i--------~-------------------------------------~-------.

I r,:;;~ BPJS 1\(''',Cll;lt~Ul

I ~::;l•••••••
""""'
•••••
>0-- ""'" _

FORMUUR WALK THROUGH AUDIT (WTAI

II.M m<",..tlI'" "•• "'•• p.r.,".,. V'"S ,!!>or"." 0••••' ••••• m••/lJo••••.Prol:t;./.",,;, ."ta",. Y'nl ","",V'''; P•••••• epl5
••••.••••• ". ",". kom; ""''' b.rt«\m, ""iii> .pablto e'pa"!lbufSd,fl be"' ••••• "ntu' m••• po Fo,,,,yll< W.1k n.~ A.da In'

Tor",. ,"'1> •••• pa"""' ••••••••

$.1•••, BPJ5
.~.lAn
,,
,, I. Data Dlr! Ancla

,, , N ••••

,,,
1 NQ. Ka"o JK'l-K16
:l N.m. "" •••••••• ''0•• 1><,";.P"ta",.
". T.n~ •• a"",U"J""i
,, ~. l\unjuf'g>' >;.

,, 6 Nom<><~"

,, Bert peniliri"" Anda on"'~ 5e''''. pomy.t •••• d'mgan memberl t.mi. "x.".,da skaJojdwa~n_ Pnmy"t •• n yang dipa!h
addl"h perny.•••••••y••ng mervp ••• n peMaIM' And" .e<",,! <lnflgan 'ondlsl Y""9 Andd temo'"n padd .""'e.maslOo""
,, .ra'Ii'iKIhlil< p,.'.m. y.na And. 'onjlJOal.

~ Pernyataan n Tlo.k

, ""'a'.h hM <'Onjam p<.l:tl<polav.n;>n ""soa'

d""'.l.n y.ng t.,ca"tom ""da papa" "a,na?

, Inld.pat
••••••••n •• ,an. pl'a,arann dl, .•,litas 'eseh.ta.
rr.embuat .M' "' ••.•s. n•• "","?

, Ajl•• ah w.l<tu .nd. "",nunggu untu' p.IO.'n .•"

kosoh.t.n <"'0<19dan 30 meon?
r- Apal:ah anda dlkena•• n lu,l>ay. pad••• at
•
r- po•••.•n.n?
, Ap.l<ohp<tuga. m.I •• aoj dong.n rom.h?
r- ""ol<ohdoKtOfmoml>en'.n p" .••• nan
• ••••• h.lan d..,...n boa;.(m<!"",~rn ondo, \
",onjol.skon kond;" ke•••nato" 'rId')?
r- "Pa'.h f"-Tl' meml>o!<lOkanpoI'Von.n p.m
, PoI'yan.n, "'"ng t1.lOW",",'ug •• Y'OQ
m••••• nI) .n'ara poserta JKN"KISd""g.n p",.,n
umuml
r- ••••••••,l •• d. ",endap •••.•n inl",ma,l Mk d."

,, • <ew.J'l>an<eMga' 1"''''''. JKN-KIS?

,, II. Hoiyang menurut ancl. yanll' m•• 11lpenu dilolwkato perbalhn !erk.lt clengo" pelayanan

I
,, .

,, -_.- -.__ .. _.- ._ - -------_._.- -----

,, ---_._
...
-_
--_._--_
------.------_._
-------_._ -------_ .
.
._-----------------------------------------------------"