TANDA TERIMA KARTU INDONESIA SEHAT ( KIS )

DESA TANAGURAH TIMUR, KEC. SEPULU

NO NO KARTU NAMA ALAMAT TGL LAHIR NIK TANDA

TANGAN
1 0001086512051 BUNATI BUN 16-1-1962
LEBAR
2 0000768371139 SENENTI B 8-1-1944
3 0001086512376 MONILAM B 30-12-1972
4 0001086512411 SULIHA B 12/3/1973
5 0001086511329 SATRINI B 20/11/1946
6 0001086511645 AEMANTEN B 23/4/1947
7 0000768425635 SATTI B 6/1/1953
8 0000768437695 HAWI B 12/1/1958
9 0000767750297 SINAB B 2/1/1943
10 0000768370803 SATTI B 4/1/1944
11 0000768384562 SIYAM B 3/1/1930
12 0000767755552 ABDURROHMA TALON 6/1/1938
N
13 0000767766993 SERANI B 3/1/1942
14 0000769067289 MUSTOFA T 12/1/1943
15 0000769068898 LISTIANA T 12/1/1979
16 0000768432508 H MANIDEH T 5/1/1957
17 0000768432958 H ROSIYEH T 9/1/1979
18 0000768433184 RUHAN T 2/1/1993
19 0000769070698 TIPH T 12/1/1969
20 0000769070654 IYAT T 12/1/1964
21 0000768439157 SENIJAN B 6/1/1963
22 0000768439192 BUATI B 4/1/1969
23 0000768400514 MISRATI B 12/1/1951
24 0000768401166 HASIYAH B 12/1/1971
25 0000768401932 BURAI B 4/1/1982
26 0000768383482 JAMALUDDIN T 12/1/1980
27 0000768383537 BUNINTEN T 12/1/1970
28 0000768383919 JUHENA T 12/1/2009
29 0000769072162 MISKEH T 12/1/1970
30 0000769072915 SALEH T 6/1/1999
31 0000768381311 LISAN B 12/1/1949
32 0000768381377 SERATI B 2/1/1958
33 0000768381434 TUNI B 1/1/1965
34 0000768381682 SAHARUDDIN B 5/1/1998
NO NO KARTU NAMA ALAMAT TGL LAHIR NIK TANDA
 TANGAN
0000768367923 MISNAWI T 12/1/1962
0000768368406 SATTUMA T 1/1/1970
0000768362466 SUUD T 1/1/1961
0000768363311 MULIDAH T 9/1/1969
0000768364582 ASIS T 12/1/1983
0000767763336 MONEWI T 6/1/1970
0000767763595 MUAMAROH T 12/1/1980
0000767763786 MAYA KINI T 12/1/2003
0000767759062 NASIK B 6/1/1959
0000767759409 SUTAMI B 8/1/1962
0000767759793 SUJONO B 1/1/1985
0000767744662 MARSUET B 1/1/1964
0000767745235 SUMIATUN B 11/1/1967
0000767746721 KAMILA SARI B 12/1/1999
0000767739014 NAWERI T 11/1/1958
0000767739104 MARSIYEH T 9/1/1964
0000767724535 MASON B 6/1/1977
0000767724827 SAMLAH B 4/1/1980
0000767725064 MISBEHUL B 1/1/2000
0000767725097 MASKURI B 2/1/2007
0000769072397 TUNI T 14/1/1970 3526085401700003
0000768438909 ASMONA B 22/9/1959 3526086209590001
0000769070902 HASIYEH T 26/1/1973 3526086601730002
0000768439686 JURIYEH B 14/4/1975 3526085404750001
0000768435052 FARHANSYAH B 24/10/2003 3526082410030001
RIZAL
0000768404553 SATRU T 1/7/1940 3526080107400021
0001086412329 H IMRON T 5/1/1950
0001086412072 HANIMAH B 1/7/1960
0001086479785 NURASISEH T 1/7/1970
0001086513671 JUMANTI B 10/10/1950
0001086512927 MAHMUDEH B 25/10/1973
0001086513287 MANTEN B 5/1/1945
0001086408426 MATRUJI B 30/1/1970
0001086411238 SUMA B 21/4/1958
0001086408112 AMNA B 16/2/1954
0001086447791 MAISAROH T 25/8/1984
0001086451839 H SEHROH T 18/6/1946
0001086451593 H TOYYIB T 13/2/1945
0001086458837 MARSIMA T 11/11/1958
0001086453707 MARLIYAH T 21/4/1945
0001086458793 HOYIJEH T 12/6/1981
0001086449545 ABD AZIS T 15/6/2000
0001086458319 H SULIJEH T 13/4/1977
0001086410182 BEKRI B 12/4/1967
0001086410002 TIMAH B 9/12/1940
0001086411824 ABDUL ROSID B 8/1/2000
0001086411846 MARTUHAN B 11/2/1965
0001086447947 HARIDAH T 7/3/1968
0001086453876 FATIMATUS T 13/7/1990
SEHROH
0001086450063 OMAR T 18/10/1940
0001086451244 MUARIF T 12/4/1955
0001086451446 SUHA T 11/6/1956
0001086448645 MUHAIMIN T 1/2/1977
0001086457072 ZUBAIDAH T 3/12/1969
0001086456868 SUBAIDI T 4/2/1945
0001086452166 MARJUNI T 12/4/1955
0001086448364 RUQUYYEH T 11/6/1972
0001086447982 FAIZEH T 9/12/1999
0001086448004 MUHARUN T 5/5/1962
0001086449308 NURUL HUDA T 29/10/2004
0001086415323 ROBIATUL A T 3/4/1977
0001086415209 SAMSIYEH T 1/7/1973
0001086407234 OSMAN B 17/5/1945
0001086408843 HAMIDAH B 5/4/1972
0001086407818 PATTRUNI B 3/8/1947
0001086406277 MARTIHA B 3/5/1977
0001086406356 SALINA B 13/4/1965
0001086406299 SILAN B 4/10/1961
0001086406648 NADI B 5/7/1965
0001086513658 MARI B 16/7/1948
0001086414693 SUHEDI T
0001086414568 FATHOR T 10/11/1997
 0001086415154 SANIAH T
0001086413826 JUNAIDI T 6/3/1950
0001086413782 HOSEN T 12/10/2000
0001086413297 MARNI T 9/9/1988
0001086413646 EKA T
0001086455979 H MONARI T 4/9/1969
0001086453472 MATNINGWAR T 12/4/1950
0001086447802 MOH ALPARISI T 8/8/2005
0001086453033 JUHAIRIYEH T 17/3/1986
0001086458567 BUSIRI T 17/3/1975
0001086412623 ROSIDI T 4/5/1965
0001086412443 MANIRAH T 17/1/1960
0001086412353 SARUKI T 8/9/1950
0001086412713 MISKAWAN T 30/4/1958
0001086412893 MORDIFI T 3/11/1949
0001086412274 LIDAH T 11/7/1965
0001086455395 NAILUM T 4/1/1994
MAHROM
0001086450873 BADRUL T 27/7/2002
TAMAM
0001086449984 MARSUNI T 11/6/1945
0001086451064 SAMONA T 30/12/1965
0001086412061 MONI’A B 30/12/1963
0001086409822 HASIDEH B 20/10/1985
0001086411036 H RASIDI B 30/1/1956
0001086457419 SUKRI T 31/12/1958
0001086457509 MINTI T 14/12/1960
0001086457307 HILYATUS T 13/2/2000
ZEKIYEH
0001086450579 TAKIM T 19/7/1997
0001086454618 H MONAKI T 11/6/1965

TANDA
NO NO KARTU NAMA ALAMAT TGL LAHIR NIK
TANGAN
1 0002769243344 RISKIYAH LEMBUNG 15/2/2005
2 0002682264846 MASKUNAH L 10/6/2008
3 0002682123906 HORIROH L 31/12/1988
4 0002416413126 ABDUL GHOFUR L 11/10/1973
ASSUYUDI
5 0002416413148 MOH NASRUL L 1/11/2009
FARIQ AKBAR
6 0002416413159 FARIZ FAHREZA JM 31/8/2014
ARRAFIF
7 0002416413137 MUIMAH JM 18/2/1992
8 0002416413352 NURUL HIKMAH JM 16/10/1018
9 0002416412683 MUH ROMLI L 5/8/1996