Data Pasien Pulang

<table border="1">
<thead>
<tr>
<td colspan="14" style="text-align: center; font-size: 24px;">Data
Pasien Pulang Tanggal 01-04-2021 - 02-06-2021</td>
</tr>
<tr>
<td colspan="14" style="text-align: center;"></td>
</tr>
<tr>
<th> NO</th>
<th> NO RM</th>
<th> NAMA PASIEN</th>
<th> UMUR</th>
<th> JK</th>
<th> INSTALASI</th>
<th> POLI/RUANGAN</th>
<th> DPJP</th>
<th> DIAGNOSA</th>
<th> CARA PEMBAYARAN</th>
<th> SUB CARA PEMBAYARAN</th>
<th> CARA MASUK</th>
<th> TANGGAL DAFTAR</th>
<th> TANGGAL PULANG</th>
<th> CARA PULANG</th>
<th> PASIEN LAMA/BARU</th>
</tr>
</thead>
<tbody>
<tr>
<td>1</td>
<td>00571031</td>
<td>LIAWATI</td>
<td>25 Tahun 9 Bulan 9 Hari </td>
<td>Perempuan</td>
<td>Instalasi Rawat Inap</td>
<td>Dalam Kelas 3 BED 9</td>
<td>dr, Anugrah Abdurrohman</td>
<td>Z09 - Follow-up examination after treatment for conditions other
than malignant neoplasms</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-31 11:29:23</td>
<td>2021-05-31 17:32:30</td>
<td><p class="text-success"><strong> Meninggal</strong></p></td>
<td><p class="text-danger"><strong> Pasien Baru</strong></p></td>
</tr>
<tr>
<td>2</td>
<td>00571035</td>
<td>BY NY MAISAROH</td>
<td>Laki - Laki</td>
<td>PERINATAL BED 10</td>
<td>dr, TETI SRI GUNARTI, SpA</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-31 10:50:32</td>
<td>2021-05-31 12:47:48</td>
<td><p class="text-success"><strong>Atas Persetujuan
Dokter</strong></p></td>
</tr>
<tr>
<td>3</td>
<td>00489195</td>
<td>JUMENAH</td>
<td>Perempuan</td>
<td>dr, Themy Suteja</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-30 23:31:19</td>
<td>2021-06-01 14:31:19</td>
<td><p class="text-success"><strong>Pasien Lama</strong></p></td>
</tr>
<tr>
<td>4</td>
<td>00571042</td>
<td>IKA SUSTIAWATI</td>
<td>Perempuan</td>
<td>VK BED 7</td>
<td>dr, ACEP SUPARDI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-30 13:19:27</td>
<td>2021-05-31 21:28:51</td>
</tr>
<tr>
<td>5</td>
<td>00571040</td>
<td>NY UJU</td>
<td>Perempuan</td>
<td>Dr, m taufik</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-05-30 10:18:53</td>
<td>2021-06-01 09:47:45</td>
</tr>
<tr>
<td>6</td>
<td>00571033</td>
<td>PIKRI ULUNG</td>
<td>Anak kelas 3 BED 27</td>
<td>dr, SYARIF FAISAL, Sp.A</td>
<td></td>
<td></td>
<td>Rujukan</td>
<td>2021-05-30 09:17:20</td>
<td>2021-06-01 12:58:37</td>
</tr>
<tr>
<td>7</td>
<td>00476265</td>
<td>MARYAMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-29 23:24:00</td>
<td>2021-06-01 09:51:11</td>
</tr>
<tr>
<td>8</td>
<td>00571034</td>
<td>PIPIT PITRIAH</td>
<td>Perempuan</td>
<td>VK BED 3</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-29 21:52:17</td>
<td>2021-05-30 15:58:15</td>
</tr>
<tr>
<td>9</td>
<td>00571032</td>
<td>BAYI NYONYA ASMINAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-29 20:16:20</td>
<td>2021-05-31 13:31:27</td>
</tr>
<tr>
<td>10</td>
<td>00571031</td>
<td>LIAWATI</td>
<td>Perempuan</td>
<td>VK BED 4</td>
<td>dr, Tito Syahjihad</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-29 19:54:20</td>
<td>2021-05-31 10:45:49</td>
</tr>
<tr>
<td>11</td>
<td>00571030</td>
<td>ASMINAH</td>
<td>Perempuan</td>
<td>Nifas Kelas 3 BED 5</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-29 17:54:38</td>
<td>2021-06-01 17:37:46</td>
</tr>
<tr>
<td>12</td>
<td>00571029</td>
<td>SITI AMALIAH</td>
<td>Perempuan</td>
<td>VK BED 3</td>
<td>dr, YUDITH RADITYASARI</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-29 16:56:23</td>
<td>2021-05-29 19:43:21</td>
</tr>
<tr>
<td>13</td>
<td>00571027</td>
<td>BAYI NYONYA IRIN SUPARTINI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-29 15:23:28</td>
<td>2021-05-31 13:31:09</td>
</tr>
<tr>
<td>14</td>
<td>00495669</td>
<td>SINDI</td>
<td>Perempuan</td>
<td>Pulmo kelas 3 BED 16</td>
<td>dr, eko prasetio, Sp.P</td>
<td>Z09.4 - Follow-up examination after treatment of fracture</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-29 12:24:10</td>
<td>2021-05-29 13:28:47</td>
<td><p class="text-success"><strong> Lain - Lain</strong></p></td>
</tr>
<tr>
<td>15</td>
<td>00571024</td>
<td>ARI'AH</td>
<td>Perempuan</td>
<td>VK BED 2</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-29 12:13:06</td>
<td>2021-06-02 08:26:30</td>
</tr>
<tr>
<td>16</td>
<td>00571023</td>
<td>IRIN SUPARTINI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-29 12:00:22</td>
<td>2021-05-31 12:22:02</td>
</tr>
<tr>
<td>17</td>
<td>00571022</td>
<td>IRNA RAHAYU</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-29 11:29:26</td>
<td>2021-05-31 20:14:28</td>
</tr>
<tr>
<td>18</td>
<td>00495669</td>
<td>SINDI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-29 11:25:25</td>
<td>2021-05-31 13:00:52</td>
<td><p class="text-success"><strong> Dirujuk</strong></p></td>
</tr>
<tr>
<td>19</td>
<td>00571021</td>
<td>NINING</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-29 11:06:06</td>
<td>2021-05-31 09:37:25</td>
</tr>
<tr>
<td>20</td>
<td>00571020</td>
<td>RUMSIAH</td>
<td>Perempuan</td>
<td>Bedah kelas 3 BED 2</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-29 10:53:48</td>
<td>2021-05-31 22:23:14</td>
</tr>
<tr>
<td>21</td>
<td>00571017</td>
<td>FITRIA HERMAYANTI</td>
<td>Perempuan</td>
<td>SHOFA BED 5</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-29 10:21:42</td>
<td>2021-05-31 21:12:25</td>
</tr>
<tr>
<td>22</td>
<td>00566324</td>
<td>MUHAMMAD SIHAB AL FATIH</td>
<td>dr, murulul</td>
<td>Thalassaemia, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-29 09:24:10</td>
<td>2021-05-30 15:18:08</td>
</tr>
<tr>
<td>23</td>
<td>00388216</td>
<td>SITI KAMILA</td>
<td>Perempuan</td>
<td>Thalassaemia</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-29 09:02:17</td>
<td>2021-05-30 08:48:18</td>
</tr>
<tr>
<td>24</td>
<td>00569672</td>
<td>NAZRAN SHAZFA MESA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-29 08:59:08</td>
<td>2021-05-30 08:47:56</td>
</tr>
<tr>
<td>25</td>
<td>00382351</td>
<td>NAIZAR AFRIYUDA MESA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-29 08:57:12</td>
<td>2021-05-30 08:48:07</td>
</tr>
<tr>
<td>26</td>
<td>00556603</td>
<td>ANNASYA NURUL HASANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-29 08:50:28</td>
<td>2021-06-01 13:13:39</td>
</tr>
<tr>
<td>27</td>
<td>00571009</td>
<td>NAURA ARASYHA</td>
<td>Perempuan</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-29 08:24:54</td>
<td>2021-05-30 17:00:46</td>
</tr>
<tr>
<td>28</td>
<td>00571005</td>
<td>JAMAL</td>
<td>Dr, jeremy yoshua santosa</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-29 00:31:47</td>
<td>2021-06-01 14:45:41</td>
</tr>
<tr>
<td>29</td>
<td>00571004</td>
<td>AMRIL MUHAMAD</td>
<td></td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-28 23:58:39</td>
<td>2021-05-31 12:27:34</td>
</tr>
<tr>
<td>30</td>
<td>00571002</td>
<td>TABRANI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 23:03:29</td>
<td>2021-06-01 15:13:10</td>
</tr>
<tr>
<td>31</td>
<td>00571001</td>
<td>ADAM DAMHUR</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 22:59:30</td>
<td>2021-05-31 12:25:20</td>
</tr>
<tr>
<td>32</td>
<td>00570998</td>
<td>NURYATI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 21:32:30</td>
<td>2021-05-31 13:24:19</td>
</tr>
<tr>
<td>33</td>
<td>00550007</td>
<td>ITING</td>
<td>VK BED 2</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 21:09:51</td>
<td>2021-05-29 12:11:29</td>
</tr>
<tr>
<td>34</td>
<td>00570997</td>
<td>ANGGA DWI JULIAWAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 20:28:28</td>
<td>2021-05-31 12:25:56</td>
</tr>
<tr>
<td>35</td>
<td>00570703</td>
<td>MUHAMAD AKBAR</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-28 17:14:48</td>
<td>2021-05-28 12:55:08</td>
<td><p class="text-success"><strong> Atas Permintaan
Sendiri</strong></p></td>
</tr>
<tr>
<td>36</td>
<td>00505057</td>
<td>SITI SHOLIHATIN NISA </td>
<td>Perempuan</td>
<td>Dr., Devi, Sp.OG</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 17:06:11</td>
<td>2021-05-29 12:53:03</td>
</tr>
<tr>
<td>37</td>
<td>00570966</td>
<td>SITI ANIAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 16:56:50</td>
<td>2021-05-31 13:23:52</td>
</tr>
<tr>
<td>38</td>
<td>00570993</td>
<td>JUBAEDAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-28 16:24:27</td>
<td>2021-05-31 09:33:54</td>
</tr>
<tr>
<td>39</td>
<td>00570802</td>
<td>HUSEN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 16:15:48</td>
<td>2021-06-01 09:41:04</td>
</tr>
<tr>
<td>40</td>
<td>00570992</td>
<td>RUMSIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 16:10:43</td>
<td>2021-05-31 22:22:49</td>
</tr>
<tr>
<td>41</td>
<td>00542908</td>
<td>AFRAH ADIBA RIYANI</td>
<td>Perempuan</td>
<td>Dr, Bio swadi ghutama</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 13:39:40</td>
<td>2021-05-31 21:10:36</td>
</tr>
<tr>
<td>42</td>
<td>00570989</td>
<td>BAYI NYONYA JUHATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 13:36:42</td>
<td>2021-05-29 13:40:44</td>
</tr>
<tr>
<td>43</td>
<td>00570696</td>
<td>BY NY AAS SAFITRI</td>
<td>Perempuan</td>
<td>Z09.2 - Follow-up examination after chemotherapy for other
conditions</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-28 12:52:43</td>
<td>2021-05-29 09:11:08</td>
</tr>
<tr>
<td>44</td>
<td>00570934</td>
<td>BAYI NYONYA SITI FATMAWATI</td>
<td>Perempuan</td>
<td>Z09.8 - Follow-up examination after other treatment for other
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 12:51:28</td>
<td>2021-05-31 09:19:05</td>
</tr>
<tr>
<td>45</td>
<td>00570935</td>
<td>BAYI NYONYA SITI FATMAWATI</td>
<td>Perempuan</td>
<td>Z09.1 - Follow-up examination after radiotherapy for other
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 12:50:36</td>
<td>2021-05-31 09:19:17</td>
</tr>
<tr>
<td>46</td>
<td>00570987</td>
<td>SUSIANA</td>
<td>Perempuan</td>
<td>VK BED 4</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-28 11:43:28</td>
<td>2021-05-29 11:48:17</td>
</tr>
<tr>
<td>47</td>
<td>00570984</td>
<td>M DAVID</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-28 11:10:52</td>
<td>2021-05-31 09:23:41</td>
</tr>
<tr>
<td>48</td>
<td>00570921</td>
<td>BAYI NYONYA DEUIS NURYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 11:04:38</td>
<td>2021-05-28 12:40:24</td>
</tr>
<tr>
<td>49</td>
<td>00570976</td>
<td>JENAR ADREENA PUTRI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 10:42:47</td>
<td>2021-05-31 12:42:03</td>
</tr>
<tr>
<td>50</td>
<td>00570981</td>
<td>ARMAH</td>
<td>Perempuan</td>
<td>Z09.0 - Follow-up examination after surgery for other
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 10:33:34</td>
<td>2021-06-01 09:53:27</td>
</tr>
<tr>
<td>51</td>
<td>00570933</td>
<td>BY NY ONIH SULISTIAWATI</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-28 10:21:07</td>
<td>2021-05-28 12:53:45</td>
</tr>
<tr>
<td>52</td>
<td>00570925</td>
<td>MUHAMMAD BARRA FITRA ALFATIH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 10:19:17</td>
<td>2021-05-31 09:20:14</td>
</tr>
<tr>
<td>53</td>
<td>00570979</td>
<td>BY NY ITA</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-28 10:10:06</td>
<td>2021-05-29 13:41:06</td>
</tr>
<tr>
<td>54</td>
<td>00570833</td>
<td>BAYI NYONYA SITI ROHANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 09:49:14</td>
<td>2021-05-28 10:08:18</td>
</tr>
<tr>
<td>55</td>
<td>00570978</td>
<td>ARNI</td>
<td>Perempuan</td>
<td>dr, stanley timotius</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 09:43:42</td>
<td>2021-05-31 13:01:26</td>
</tr>
<tr>
<td>56</td>
<td>00570977</td>
<td>JUHATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 09:33:54</td>
<td>2021-05-31 13:23:28</td>
</tr>
<tr>
<td>57</td>
<td>00570974</td>
<td>NURLaELA</td>
<td>Perempuan</td>
<td>Supervision of normal pregnancy</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 09:08:23</td>
<td>2021-05-31 13:24:46</td>
</tr>
<tr>
<td>58</td>
<td>00461442</td>
<td>MOH. NAFIS FAQIH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 08:53:34</td>
<td>2021-05-29 08:48:28</td>
</tr>
<tr>
<td>59</td>
<td>00570969</td>
<td>JULAEHA</td>
<td>Perempuan</td>
<td>dr, EKA DHARMA SASTRA, ,Sp.PD</td>
<td>Spontaneous abortion, incomplete, without complication</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 08:38:32</td>
<td>2021-05-31 09:35:41</td>
</tr>
<tr>
<td>60</td>
<td>00570965</td>
<td>ENENG SAPNAH APRILIANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 08:30:41</td>
<td>2021-05-31 09:36:20</td>
</tr>
<tr>
<td>61</td>
<td>00570962</td>
<td>JUANDA</td>
<td>Drg., Moh Zain Anggriadi, Sp.BM</td>
<td>Other diseases of jaws</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 08:24:18</td>
<td>2021-05-30 16:00:56</td>
</tr>
<tr>
<td>62</td>
<td>00570838</td>
<td>BAYI NYONYA NIA AYU LESTARI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 08:21:39</td>
<td>2021-05-28 12:46:00</td>
</tr>
<tr>
<td>63</td>
<td>00570948</td>
<td>EEM SUHAEMAH</td>
<td>Perempuan</td>
<td>VK BED 5</td>
<td>Maternal care for intrauterine death</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 07:53:04</td>
<td>2021-05-30 20:28:19</td>
</tr>
<tr>
<td>64</td>
<td>00569890</td>
<td>MOCHAMMAD SAHALLUDIN WIBI</td>
<td>UTAMA BED 3</td>
<td>Fever of other and unknown origin</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 07:37:13</td>
<td>2021-06-02 08:53:25</td>
</tr>
<tr>
<td>65</td>
<td>00570944</td>
<td>IDI AMING</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 02:16:19</td>
<td>2021-05-31 15:03:43</td>
</tr>
<tr>
<td>66</td>
<td>00570943</td>
<td>DANI NOPDYANY</td>
<td>Perempuan</td>
<td>VK BED 11</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-28 00:26:44</td>
<td>2021-05-29 11:55:44</td>
</tr>
<tr>
<td>67</td>
<td>00570942</td>
<td>ITA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Langsung</td>
<td>2021-05-27 22:46:15</td>
<td>2021-05-30 13:35:44</td>
</tr>
<tr>
<td>68</td>
<td>00570941</td>
<td>ROHMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 21:09:20</td>
<td>2021-05-29 15:32:32</td>
</tr>
<tr>
<td>69</td>
<td>00505057</td>
<td>SITI SHOLIHATIN NISA </td>
<td>Perempuan</td>
<td>Dr, Ikhwanul kamil</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 20:56:25</td>
<td>2021-05-28 09:36:25</td>
</tr>
<tr>
<td>70</td>
<td>00570137</td>
<td>ONIH SULISTIAWATI</td>
<td>Perempuan</td>
<td>Dr, YUDITH RADITYASARI</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-05-27 20:46:02</td>
<td>2021-05-29 12:51:35</td>
</tr>
<tr>
<td>71</td>
<td>00570542</td>
<td>NIA AYU LESTARI</td>
<td>Perempuan</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-05-27 20:44:38</td>
<td>2021-05-28 20:33:46</td>
</tr>
<tr>
<td>72</td>
<td>00570938</td>
<td>SUMAR</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-27 19:24:38</td>
<td>2021-06-01 14:45:09</td>
</tr>
<tr>
<td>73</td>
<td>00570937</td>
<td>UMAIR JUNDULLAH AR-RABIH</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 19:04:57</td>
<td>2021-05-30 13:38:40</td>
</tr>
<tr>
<td>74</td>
<td>00570936</td>
<td>DARIAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 18:27:25</td>
<td>2021-05-30 23:13:14</td>
</tr>
<tr>
<td>75</td>
<td>00568900</td>
<td>ENUNG NURHAENI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 18:05:32</td>
<td>2021-05-28 19:47:40</td>
</tr>
<tr>
<td>76</td>
<td>00569558</td>
<td>TAUFIK KURNIAWAN</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 17:57:14</td>
<td>2021-05-31 14:16:11</td>
</tr>
<tr>
<td>77</td>
<td>00509515</td>
<td>ISNAENI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 17:13:20</td>
<td>2021-05-29 14:32:45</td>
</tr>
<tr>
<td>78</td>
<td>00570932</td>
<td>SITI FATMAWATI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 15:37:37</td>
<td>2021-05-28 12:05:20</td>
</tr>
<tr>
<td>79</td>
<td>00570858</td>
<td>AN FAIRUS</td>
<td>dr, H. MARSUDI TRISNO, Sp.B</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-27 15:32:59</td>
<td>2021-05-28 15:18:30</td>
</tr>
<tr>
<td>80</td>
<td>00570931</td>
<td>BY NY ADE</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 15:26:09</td>
<td>2021-05-31 09:18:45</td>
</tr>
<tr>
<td>81</td>
<td>00570924</td>
<td>BAYI NYONYA SITI SUHIPAH</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 14:19:59</td>
<td>2021-05-27 18:35:12</td>
</tr>
<tr>
<td>82</td>
<td>00570929</td>
<td>SARMI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 13:38:11</td>
<td>2021-05-31 12:18:28</td>
</tr>
<tr>
<td>83</td>
<td>00570928</td>
<td>BAYI NYONYA NIKEN AYU PUTRI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-27 13:23:10</td>
<td>2021-05-29 09:09:09</td>
</tr>
<tr>
<td>84</td>
<td>00570927</td>
<td>BAYI NYONYA ERNA SUERNA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-27 13:07:15</td>
<td>2021-05-29 09:11:35</td>
</tr>
<tr>
<td>85</td>
<td>00570926</td>
<td>MUSTAPA</td>
<td>MARWAH BED 7</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 12:58:05</td>
<td>2021-06-01 09:06:59</td>
</tr>
<tr>
<td>86</td>
<td>00570925</td>
<td>MUHAMMAD BARRA FITRA ALFATIH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 11:20:09</td>
<td>2021-05-28 10:09:11</td>
</tr>
<tr>
<td>87</td>
<td>00570924</td>
<td>BAYI NYONYA SITI SUHIPAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 11:15:19</td>
<td>2021-05-28 12:51:25</td>
</tr>
<tr>
<td>88</td>
<td>00570923</td>
<td>ERNA SUERNA</td>
<td>Perempuan</td>
<td>dr, DEVI NOVIANTI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 11:09:10</td>
<td>2021-05-29 12:53:37</td>
</tr>
<tr>
<td>89</td>
<td>00570922</td>
<td>BY NY SUNIATI</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Langsung</td>
<td>2021-05-27 10:57:23</td>
<td>2021-05-28 12:48:19</td>
</tr>
<tr>
<td>90</td>
<td>00570921</td>
<td>BAYI NYONYA DEUIS NURYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 10:55:00</td>
<td>2021-05-28 12:41:43</td>
</tr>
<tr>
<td>91</td>
<td>00567795</td>
<td>AMAH</td>
<td>Perempuan</td>
<td>Dr, suwandi khowanto</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 10:41:57</td>
<td>2021-05-31 12:24:14</td>
</tr>
<tr>
<td>92</td>
<td>00570658</td>
<td>GITA EKA RIZQI</td>
<td>Perempuan</td>
<td>dr, Dodi Kardia, Sp.THT</td>
<td>Acute sinusitis, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 10:06:45</td>
<td>2021-05-30 16:08:35</td>
</tr>
<tr>
<td>93</td>
<td>00570920</td>
<td>NIKEN AYU PUTRI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 10:04:31</td>
<td>2021-05-30 13:35:26</td>
</tr>
<tr>
<td>94</td>
<td>00494845</td>
<td>TITI</td>
<td>Perempuan</td>
<td>VK BED 6</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 09:54:05</td>
<td>2021-05-28 11:48:28</td>
</tr>
<tr>
<td>95</td>
<td>00513010</td>
<td>KARTINI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 09:51:18</td>
<td>2021-05-28 22:01:43</td>
</tr>
<tr>
<td>96</td>
<td>00570915</td>
<td>IDA ROSIDA</td>
<td>Perempuan</td>
<td>Postpartum haemorrhage</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 09:10:21</td>
<td>2021-05-29 12:52:20</td>
</tr>
<tr>
<td>97</td>
<td>00530272</td>
<td>fitria cahya ningsih</td>
<td>Perempuan</td>
<td>dr, roni khoerony</td>
<td>Other benign neoplasm of connective and other soft tissue of head,
face and neck</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 09:09:59</td>
<td>2021-05-30 16:02:38</td>
</tr>
<tr>
<td>98</td>
<td>00568333</td>
<td>ADE</td>
<td>Perempuan</td>
<td>Placenta praevia</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 08:14:54</td>
<td>2021-05-29 12:51:00</td>
</tr>
<tr>
<td>99</td>
<td>00570879</td>
<td>EMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-27 08:12:43</td>
<td>2021-05-31 14:16:57</td>
</tr>
<tr>
<td>100</td>
<td>00570866</td>
<td>JASURA</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-27 02:05:34</td>
<td>2021-05-28 11:41:49</td>
</tr>
<tr>
<td>101</td>
<td>00521084</td>
<td>TITI SUBIARTI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-27 01:23:14</td>
<td>2021-06-01 09:37:23</td>
</tr>
<tr>
<td>102</td>
<td>00464278</td>
<td>DEUIS NURYATI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-27 00:36:29</td>
<td>2021-05-29 12:43:52</td>
</tr>
<tr>
<td>103</td>
<td>00570862</td>
<td>SUNIATI</td>
<td>Perempuan</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-05-26 20:49:34</td>
<td>2021-05-31 09:33:04</td>
</tr>
<tr>
<td>104</td>
<td>00570861</td>
<td>DEWI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-26 19:51:07</td>
<td>2021-05-28 09:33:59</td>
</tr>
<tr>
<td>105</td>
<td>00570860</td>
<td>SARDANA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-26 19:40:19</td>
<td>2021-05-29 16:00:26</td>
</tr>
<tr>
<td>106</td>
<td>00570859</td>
<td>ENOH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-26 19:37:46</td>
<td>2021-05-29 16:20:17</td>
</tr>
<tr>
<td>107</td>
<td>00570857</td>
<td>MUHAMMAD GILBY MALEEQ JIBRANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-26 17:20:17</td>
<td>2021-05-29 12:54:16</td>
</tr>
<tr>
<td>108</td>
<td>00569981</td>
<td>RUSTINAH</td>
<td>Perempuan</td>
<td>Dr, Yoshua Wibowo</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-26 15:56:06</td>
<td>2021-06-01 09:55:41</td>
</tr>
<tr>
<td>109</td>
<td>00570854</td>
<td>AAY</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-26 14:05:08</td>
<td>2021-05-31 09:34:21</td>
</tr>
<tr>
<td>110</td>
<td>00570853</td>
<td>SAMINAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-26 13:59:02</td>
<td>2021-06-02 08:35:19</td>
</tr>
<tr>
<td>111</td>
<td>00562785</td>
<td>FAYASA ZIYADATU EL-SYAKIRA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-26 13:37:33</td>
<td>2021-05-28 12:35:26</td>
</tr>
<tr>
<td>112</td>
<td>00570852</td>
<td>SITI SUHIPAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-26 13:30:44</td>
<td>2021-05-29 12:43:15</td>
</tr>
<tr>
<td>113</td>
<td>00570851</td>
<td>YANA</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-26 12:37:54</td>
<td>2021-06-01 09:57:02</td>
</tr>
<tr>
<td>114</td>
<td>00570848</td>
<td>MURNIATI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-26 11:00:21</td>
<td>2021-05-27 10:51:58</td>
</tr>
<tr>
<td>115</td>
<td>00177406</td>
<td>HAZZA ISNAENI MA</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-26 09:12:54</td>
<td>2021-05-27 10:41:35</td>
</tr>
<tr>
<td>116</td>
<td>00570846</td>
<td>RATU ZAHWA PUTRI ALINKA</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-26 09:08:06</td>
<td>2021-06-02 08:53:20</td>
</tr>
<tr>
<td>117</td>
<td>00570845</td>
<td>BAYI NYONYA ENENG WIYARSIH</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-26 08:26:54</td>
<td>2021-05-29 09:13:18</td>
</tr>
<tr>
<td>118</td>
<td>00564309</td>
<td>NENENG KOMARIAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-26 00:10:17</td>
<td>2021-05-27 10:50:00</td>
</tr>
<tr>
<td>119</td>
<td>00546354</td>
<td>ENJUM</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-25 23:48:11</td>
<td>2021-05-28 10:52:27</td>
</tr>
<tr>
<td>120</td>
<td>00540369</td>
<td>ROHAMAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-25 23:03:17</td>
<td>2021-05-29 16:30:41</td>
</tr>
<tr>
<td>121</td>
<td>00529753</td>
<td>DENDI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-25 17:39:04</td>
<td>2021-05-27 12:11:46</td>
</tr>
<tr>
<td>122</td>
<td>00570005</td>
<td>NAHRAWI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-25 15:39:12</td>
<td>2021-05-28 15:16:22</td>
</tr>
<tr>
<td>123</td>
<td>00570835</td>
<td>ENCUP SUPPRANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-25 13:40:55</td>
<td>2021-05-28 22:02:28</td>
</tr>
<tr>
<td>124</td>
<td>00570834</td>
<td>MISNEN</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-25 13:02:58</td>
<td>2021-05-26 14:23:52</td>
</tr>
<tr>
<td>125</td>
<td>00554839</td>
<td>SUKARDI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-25 12:45:02</td>
<td>2021-05-27 12:12:14</td>
</tr>
<tr>
<td>126</td>
<td>00570789</td>
<td>MEI LANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-25 12:05:14</td>
<td>2021-05-31 12:54:25</td>
</tr>
<tr>
<td>127</td>
<td>00570542</td>
<td>NIA AYU LESTARI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-25 11:42:29</td>
<td>2021-05-27 08:48:18</td>
</tr>
<tr>
<td>128</td>
<td>00511439</td>
<td>ELAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-25 10:34:00</td>
<td>2021-06-01 10:00:48</td>
</tr>
<tr>
<td>129</td>
<td>00570790</td>
<td>ROHMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-25 10:11:17</td>
<td>2021-05-27 12:49:58</td>
</tr>
<tr>
<td>130</td>
<td>00517483</td>
<td>IJEN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-25 09:05:48</td>
<td>2021-05-29 14:54:03</td>
</tr>
<tr>
<td>131</td>
<td>00451961</td>
<td>ENONG MUNIROH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-25 09:01:39</td>
<td>2021-05-26 17:12:58</td>
</tr>
<tr>
<td>132</td>
<td>00507924</td>
<td>NURAINI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-25 08:58:39</td>
<td>2021-05-26 14:22:44</td>
</tr>
<tr>
<td>133</td>
<td>00557203</td>
<td>SUPIANAH</td>
<td>Perempuan</td>
<td>Benign neoplasm of breast</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-25 08:56:08</td>
<td>2021-05-31 09:20:56</td>
</tr>
<tr>
<td>134</td>
<td>00570821</td>
<td>MUHAMMAD IJLAL MUBAROK</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-25 08:56:06</td>
<td>2021-06-02 08:53:31</td>
</tr>
<tr>
<td>135</td>
<td>00570822</td>
<td>RIYAN YUNADI</td>
<td>Hypospadias, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-25 08:55:55</td>
<td>2021-05-31 14:14:42</td>
</tr>
<tr>
<td>136</td>
<td>00570815</td>
<td>AJAT SUDRAJAT</td>
<td>Other benign neoplasms of connective and other soft tissue</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-25 08:40:08</td>
<td>2021-05-29 10:43:42</td>
</tr>
<tr>
<td>137</td>
<td>00570811</td>
<td>IMAS MASPUPAH</td>
<td>Perempuan</td>
<td>Fibroadenosis of breast</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-25 08:32:05</td>
<td>2021-05-29 14:59:03</td>
</tr>
<tr>
<td>138</td>
<td>00570238</td>
<td>IDA SETIAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-25 08:22:39</td>
<td>2021-05-28 12:05:58</td>
</tr>
<tr>
<td>139</td>
<td>00494382</td>
<td>JAKIM</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-25 08:03:21</td>
<td>2021-05-29 14:47:19</td>
</tr>
<tr>
<td>140</td>
<td>00569985</td>
<td>SAMINAH</td>
<td>Perempuan</td>
<td>Ganglion</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-25 07:34:34</td>
<td>2021-05-29 15:06:00</td>
</tr>
<tr>
<td>141</td>
<td>00570794</td>
<td>USUP</td>
<td>Bilateral inguinal hernia, with obstruction, without gangrene</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-25 07:31:16</td>
<td>2021-05-29 15:00:06</td>
</tr>
<tr>
<td>142</td>
<td>00570788</td>
<td>MOH. AFKAR ARMIYANSAH</td>
<td>dr, FIRLIYONA</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-24 23:50:05</td>
<td>2021-05-28 13:34:12</td>
</tr>
<tr>
<td>143</td>
<td>00513243</td>
<td>SITI ROHANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 23:45:21</td>
<td>2021-05-27 12:58:28</td>
</tr>
<tr>
<td>144</td>
<td>00570535</td>
<td>OSIH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 22:25:47</td>
<td>2021-05-27 12:59:04</td>
</tr>
<tr>
<td>145</td>
<td>00570787</td>
<td>MASKUD</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 22:23:46</td>
<td>2021-05-29 15:35:15</td>
</tr>
<tr>
<td>146</td>
<td>00568023</td>
<td>BASIRUN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 22:21:03</td>
<td>2021-05-28 15:06:42</td>
</tr>
<tr>
<td>147</td>
<td>00431350</td>
<td>ENDON NATHORI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 21:37:37</td>
<td>2021-05-28 15:02:21</td>
</tr>
<tr>
<td>148</td>
<td>00431350</td>
<td>ENDON NATHORI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 21:37:37</td>
<td>2021-05-28 15:02:21</td>
</tr>
<tr>
<td>149</td>
<td>00282637</td>
<td>MAD YUSUP</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 21:14:54</td>
<td>2021-05-27 10:54:00</td>
</tr>
<tr>
<td>150</td>
<td>00570785</td>
<td>YATI NURHAYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-24 20:43:18</td>
<td>2021-05-26 14:23:39</td>
</tr>
<tr>
<td>151</td>
<td>00570712</td>
<td>ETI JUHAETI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-24 20:34:44</td>
<td>2021-05-25 20:32:01</td>
</tr>
<tr>
<td>152</td>
<td>00570784</td>
<td>SAKIM</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-24 20:13:33</td>
<td>2021-05-27 10:41:03</td>
</tr>
<tr>
<td>153</td>
<td>00501945</td>
<td>ROHIM</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-24 19:01:38</td>
<td>2021-05-27 10:40:03</td>
</tr>
<tr>
<td>154</td>
<td>00570780</td>
<td>ENDANG SUHENDAR</td>
<td>ICU BED ICU4</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-24 17:01:50</td>
<td>2021-05-27 14:38:59</td>
</tr>
<tr>
<td>155</td>
<td>00569769</td>
<td>DEDI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-24 16:47:13</td>
<td>2021-05-26 14:24:04</td>
</tr>
<tr>
<td>156</td>
<td>00570779</td>
<td>SYAKIRA AKHYARUL WAHYUDI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-24 16:33:14</td>
<td>2021-05-27 14:28:59</td>
</tr>
<tr>
<td>157</td>
<td>00570777</td>
<td>ETIN SUKMAWATI</td>
<td>Perempuan</td>
<td>VK BED 3</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-24 14:41:12</td>
<td>2021-05-27 14:17:30</td>
</tr>
<tr>
<td>158</td>
<td>00570776</td>
<td>SARIKUM</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 14:25:54</td>
<td>2021-05-28 11:04:20</td>
</tr>
<tr>
<td>159</td>
<td>00570775</td>
<td>BAYI NYONYA DARSAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 14:18:44</td>
<td>2021-05-31 09:20:31</td>
</tr>
<tr>
<td>160</td>
<td>00570774</td>
<td>JAMIN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 14:08:56</td>
<td>2021-05-28 14:51:07</td>
</tr>
<tr>
<td>161</td>
<td>00531765</td>
<td>AKSOL MAROM</td>
<td>dr, JULI SILVIA VERA, SpB-KBD</td>
<td>Internal haemorrhoids with other complications</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 12:37:56</td>
<td>2021-05-30 14:36:39</td>
</tr>
<tr>
<td>162</td>
<td>00558931</td>
<td>ARA MIRAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 12:31:17</td>
<td>2021-05-25 14:15:26</td>
</tr>
<tr>
<td>163</td>
<td>00570772</td>
<td>BAYI NYONYA MUNIROH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 12:21:39</td>
<td>2021-05-27 10:16:23</td>
</tr>
<tr>
<td>164</td>
<td>00570771</td>
<td>AISYAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 12:08:41</td>
<td>2021-05-25 10:44:32</td>
</tr>
<tr>
<td>165</td>
<td>00570769</td>
<td>BAYI NYONYA APRILIA KARTIKA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-24 11:47:34</td>
<td>2021-05-27 10:16:36</td>
</tr>
<tr>
<td>166</td>
<td>00455936</td>
<td>SUHEBAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 11:40:17</td>
<td>2021-06-01 14:45:34</td>
</tr>
<tr>
<td>167</td>
<td>00570768</td>
<td>DINA YUDAPERMANA</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-24 11:36:09</td>
<td>2021-05-27 10:52:58</td>
</tr>
<tr>
<td>168</td>
<td>00570761</td>
<td>EMAH</td>
<td>Perempuan</td>
<td>Blighted ovum and nonhydatidiform mole</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 09:28:41</td>
<td>2021-05-25 20:12:34</td>
</tr>
<tr>
<td>169</td>
<td>00570752</td>
<td>INTAN NURJANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 08:52:32</td>
<td>2021-05-25 20:10:38</td>
</tr>
<tr>
<td>170</td>
<td>00531795</td>
<td>LASTRI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 08:47:53</td>
<td>2021-05-27 12:52:00</td>
</tr>
<tr>
<td>171</td>
<td>00570742</td>
<td>INTAN LISTRIANI</td>
<td>Perempuan</td>
<td>Premature rupture of membranes, onset of labour after 24 hours</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 08:18:37</td>
<td>2021-05-27 08:49:12</td>
</tr>
<tr>
<td>172</td>
<td>00570738</td>
<td>SUHAENI</td>
<td>Perempuan</td>
<td>dr, aep saepudin, Sp. PD</td>
<td>Ulcerative colitis, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 08:13:26</td>
<td>2021-05-28 10:09:51</td>
</tr>
<tr>
<td>173</td>
<td>00570734</td>
<td>ENENG WIYARSIH</td>
<td>Perempuan</td>
<td>VK BED 11</td>
<td>Prolonged pregnancy</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 08:02:29</td>
<td>2021-05-26 10:52:21</td>
</tr>
<tr>
<td>174</td>
<td>00570729</td>
<td>DARSAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 04:10:23</td>
<td>2021-05-27 13:06:25</td>
</tr>
<tr>
<td>175</td>
<td>00570728</td>
<td>NENG DIANA PUSPITASARI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 03:53:34</td>
<td>2021-05-28 09:56:05</td>
</tr>
<tr>
<td>176</td>
<td>00570726</td>
<td>BAYI NYONYA IIN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-24 01:42:06</td>
<td>2021-05-29 09:12:21</td>
</tr>
<tr>
<td>177</td>
<td>00570724</td>
<td>MUNIROH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-23 23:11:53</td>
<td>2021-05-27 12:59:38</td>
</tr>
<tr>
<td>178</td>
<td>00493995</td>
<td>EMUANIH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-23 22:34:08</td>
<td>2021-05-27 12:54:05</td>
</tr>
<tr>
<td>179</td>
<td>00570723</td>
<td>BAYI NYONYA DEDEH ANDIYANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-23 22:11:29</td>
<td>2021-05-27 10:17:48</td>
</tr>
<tr>
<td>180</td>
<td>00570722</td>
<td>BAYI NYONYA ENIH JUNAENIH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-23 21:57:02</td>
<td>2021-05-27 10:18:04</td>
</tr>
<tr>
<td>181</td>
<td>00570720</td>
<td>ALISHA KHOIRUNISA</td>
<td>Perempuan</td>
<td>Dr. H, Nuril anwar</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-23 18:16:28</td>
<td>2021-05-28 15:09:43</td>
</tr>
<tr>
<td>182</td>
<td>00570719</td>
<td>MUHAMAD</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-23 16:47:07</td>
<td>2021-05-25 08:19:46</td>
</tr>
<tr>
<td>183</td>
<td>00570718</td>
<td>DEDE</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-23 16:09:37</td>
<td>2021-05-30 21:03:43</td>
</tr>
<tr>
<td>184</td>
<td>00570717</td>
<td>YETI SUSILAWATI</td>
<td>Perempuan</td>
<td>VK BED 13</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-23 15:55:28</td>
<td>2021-05-24 12:45:59</td>
</tr>
<tr>
<td>185</td>
<td>00518665</td>
<td>rasikin</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-23 13:15:25</td>
<td>2021-05-25 21:07:42</td>
</tr>
<tr>
<td>186</td>
<td>00555429</td>
<td>TUTINAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-23 12:12:16</td>
<td>2021-05-25 10:44:10</td>
</tr>
<tr>
<td>187</td>
<td>00493986</td>
<td>DEDEH ANDIYANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-23 11:25:57</td>
<td>2021-05-27 08:46:00</td>
</tr>
<tr>
<td>188</td>
<td>00570715</td>
<td>NADIATI</td>
<td>Perempuan</td>
<td>VK BED 6</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-23 10:30:55</td>
<td>2021-05-24 12:45:31</td>
</tr>
<tr>
<td>189</td>
<td>00570703</td>
<td>MUHAMAD AKBAR</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-23 09:06:57</td>
<td>2021-05-28 15:59:04</td>
</tr>
<tr>
<td>190</td>
<td>00526639</td>
<td>APRILIA KARTIKA</td>
<td>Perempuan</td>
<td>Z09.3 - Follow-up examination after psychotherapy</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-23 07:32:21</td>
<td>2021-05-27 08:44:51</td>
</tr>
<tr>
<td>191</td>
<td>00418898</td>
<td>ISRA</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-23 07:23:15</td>
<td>2021-05-27 12:46:45</td>
</tr>
<tr>
<td>192</td>
<td>00570713</td>
<td>HERA</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-23 07:15:29</td>
<td>2021-05-25 20:49:28</td>
</tr>
<tr>
<td>193</td>
<td>00557749</td>
<td>EKA WIDYAWATI</td>
<td>Perempuan</td>
<td>VK BED 5</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-23 06:56:41</td>
<td>2021-05-24 12:44:15</td>
</tr>
<tr>
<td>194</td>
<td>00570711</td>
<td>IKA HAYATIKA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-23 04:07:43</td>
<td>2021-05-25 12:22:28</td>
</tr>
<tr>
<td>195</td>
<td>00570710</td>
<td>MUSA</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-23 03:30:40</td>
<td>2021-05-25 08:18:41</td>
</tr>
<tr>
<td>196</td>
<td>00570708</td>
<td>PULUNG</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-23 00:17:47</td>
<td>2021-05-25 10:45:51</td>
</tr>
<tr>
<td>197</td>
<td>00569062</td>
<td>DEVI YANTI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 23:39:20</td>
<td>2021-05-25 12:25:07</td>
</tr>
<tr>
<td>198</td>
<td>00522869</td>
<td>AGNIA SALSABILA</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 22:44:28</td>
<td>2021-05-26 14:47:34</td>
</tr>
<tr>
<td>199</td>
<td>00570699</td>
<td>NUR SITI</td>
<td>Perempuan</td>
<td>dr, soleh, Sp.S</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 22:14:36</td>
<td>2021-05-24 12:01:58</td>
</tr>
<tr>
<td>200</td>
<td>00495741</td>
<td>ENIH JUNAENIH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 19:51:38</td>
<td>2021-05-27 12:55:42</td>
</tr>
<tr>
<td>201</td>
<td>00530274</td>
<td>NUR FAUZIYAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 19:37:42</td>
<td>2021-05-25 13:19:35</td>
</tr>
<tr>
<td>202</td>
<td>00570706</td>
<td>siti aisah</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 19:11:07</td>
<td>2021-05-25 20:47:19</td>
</tr>
<tr>
<td>203</td>
<td>00570705</td>
<td>WARTINI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 18:53:24</td>
<td>2021-05-25 08:52:22</td>
</tr>
<tr>
<td>204</td>
<td>00570704</td>
<td>BY NY SITI DUROTUN</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-22 18:35:12</td>
<td>2021-05-27 10:14:35</td>
</tr>
<tr>
<td>205</td>
<td>00570702</td>
<td>KAMELIA</td>
<td>Perempuan</td>
<td></td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-22 18:29:51</td>
<td>2021-05-27 10:14:55</td>
</tr>
<tr>
<td>206</td>
<td>00570701</td>
<td>BAYI NYONYA ROSINTA</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 18:21:11</td>
<td>2021-05-27 10:15:19</td>
</tr>
<tr>
<td>207</td>
<td>00570700</td>
<td>BAYI NYONYA DINI MURDIANI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 18:13:53</td>
<td>2021-05-27 10:15:34</td>
</tr>
<tr>
<td>208</td>
<td>00570698</td>
<td>BAYI NYONYA NURHALIMAH</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 17:29:05</td>
<td>2021-05-27 10:15:48</td>
</tr>
<tr>
<td>209</td>
<td>00570697</td>
<td>YATI NURAENI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 17:00:42</td>
<td>2021-06-01 09:05:56</td>
</tr>
<tr>
<td>210</td>
<td>00570695</td>
<td>BAYI NYONYA ARMAH</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 16:32:14</td>
<td>2021-05-27 10:15:59</td>
</tr>
<tr>
<td>211</td>
<td>00570696</td>
<td>BY NY AAS SAFITRI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-22 16:24:29</td>
<td>2021-05-27 18:35:21</td>
</tr>
<tr>
<td>212</td>
<td>00570694</td>
<td>DINI MURDIANI</td>
<td>Perempuan</td>
<td>VK BED 10</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 16:06:02</td>
<td>2021-05-24 12:19:13</td>
</tr>
<tr>
<td>213</td>
<td>00570693</td>
<td>SAEPUDIN</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 15:56:58</td>
<td>2021-05-26 08:15:17</td>
</tr>
<tr>
<td>214</td>
<td>00547028</td>
<td>IYAM</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 15:09:15</td>
<td>2021-05-25 10:46:19</td>
</tr>
<tr>
<td>215</td>
<td>00570690</td>
<td>SITI DUROTUN NASIHAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-22 13:38:26</td>
<td>2021-05-25 12:22:59</td>
</tr>
<tr>
<td>216</td>
<td>00570689</td>
<td>ROSINTA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 13:18:38</td>
<td>2021-05-25 12:21:51</td>
</tr>
<tr>
<td>217</td>
<td>00570688</td>
<td>AAS SAFITRI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-22 12:31:26</td>
<td>2021-05-27 12:51:13</td>
</tr>
<tr>
<td>218</td>
<td>00570687</td>
<td>NURHALIMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 12:03:46</td>
<td>2021-05-25 12:24:05</td>
</tr>
<tr>
<td>219</td>
<td>00570686</td>
<td>HERAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 11:40:29</td>
<td>2021-05-24 12:20:45</td>
</tr>
<tr>
<td>220</td>
<td>00570685</td>
<td>ARSITI SULISTIASARI</td>
<td>Perempuan</td>
<td>VK BED 2</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 11:36:03</td>
<td>2021-05-22 23:25:17</td>
</tr>
<tr>
<td>221</td>
<td>00570684</td>
<td>RATU ANISA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-22 10:55:55</td>
<td>2021-05-25 08:42:17</td>
</tr>
<tr>
<td>222</td>
<td>00570683</td>
<td>ASEP JOJO</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 10:31:27</td>
<td>2021-05-26 13:43:56</td>
</tr>
<tr>
<td>223</td>
<td>00495669</td>
<td>SINDI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 09:18:58</td>
<td>2021-05-25 12:24:41</td>
</tr>
<tr>
<td>224</td>
<td>00569796</td>
<td>FITRI HANDAYANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-22 09:17:44</td>
<td>2021-05-24 11:49:26</td>
</tr>
<tr>
<td>225</td>
<td>00568976</td>
<td>RIRIN</td>
<td>Perempuan</td>
<td>Anaemia due to enzyme disorders</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 08:23:57</td>
<td>2021-05-25 13:19:47</td>
</tr>
<tr>
<td>226</td>
<td>00570676</td>
<td>INDRA</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-22 01:10:15</td>
<td>2021-05-24 14:26:16</td>
</tr>
<tr>
<td>227</td>
<td>00569788</td>
<td>ARMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-22 00:57:42</td>
<td>2021-05-27 08:45:25</td>
</tr>
<tr>
<td>228</td>
<td>00566124</td>
<td>HJ.ENAP</td>
<td>Perempuan</td>
<td>dr, CEKLI WAHYU WIDOWATI, SpPD</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-22 00:23:12</td>
<td>2021-05-24 12:18:03</td>
</tr>
<tr>
<td>229</td>
<td>00570675</td>
<td>BAYI NYONYA LUSI LESMANA SARI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 00:16:53</td>
<td>2021-05-27 10:17:11</td>
</tr>
<tr>
<td>230</td>
<td>00570674</td>
<td>BAYI NYONYA IWAT WARTINI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-22 00:05:43</td>
<td>2021-05-27 10:17:21</td>
</tr>
<tr>
<td>231</td>
<td>00570673</td>
<td>BY NY FITRI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-21 23:34:01</td>
<td>2021-05-27 10:17:34</td>
</tr>
<tr>
<td>232</td>
<td>00570672</td>
<td>BAYI NYONYA SINDI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 23:24:47</td>
<td>2021-05-27 10:17:01</td>
</tr>
<tr>
<td>233</td>
<td>00570671</td>
<td>UPUS KHAERATUNUPUS</td>
<td>Perempuan</td>
<td>VK BED 3</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-21 23:12:37</td>
<td>2021-05-24 04:51:11</td>
</tr>
<tr>
<td>234</td>
<td>00570670</td>
<td>AFENDI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-21 22:12:39</td>
<td>2021-05-27 10:37:53</td>
</tr>
<tr>
<td>235</td>
<td>00570668</td>
<td>RODIAH</td>
<td>Perempuan</td>
<td>dr, nadia, SPOG</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 20:26:34</td>
<td>2021-05-28 09:27:22</td>
</tr>
<tr>
<td>236</td>
<td>00533550</td>
<td>MUHAMAD RIVAN SUANDA</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 20:16:25</td>
<td>2021-05-25 13:19:20</td>
</tr>
<tr>
<td>237</td>
<td>00570666</td>
<td>NY ENE</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-05-21 17:46:44</td>
<td>2021-05-27 12:54:49</td>
</tr>
<tr>
<td>238</td>
<td>00366737</td>
<td>RT NURHAYATI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 15:55:55</td>
<td>2021-05-27 11:28:18</td>
</tr>
<tr>
<td>239</td>
<td>00570593</td>
<td>BY. NY ENENG YANTI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 15:33:36</td>
<td>2021-05-22 13:35:05</td>
</tr>
<tr>
<td>240</td>
<td>00570664</td>
<td>AMINAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 14:55:54</td>
<td>2021-05-25 10:44:22</td>
</tr>
<tr>
<td>241</td>
<td>00570597</td>
<td>BY RATNA</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 14:51:03</td>
<td>2021-05-27 10:18:41</td>
</tr>
<tr>
<td>242</td>
<td>00570645</td>
<td>NIA ARIYANTI</td>
<td>Perempuan</td>
<td>VK BED 7</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 14:39:34</td>
<td>2021-05-24 12:24:50</td>
</tr>
<tr>
<td>243</td>
<td>00570634</td>
<td>SITI KHODIJAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 14:37:59</td>
<td>2021-05-23 12:20:05</td>
</tr>
<tr>
<td>244</td>
<td>00570523</td>
<td>RD. MUHAMMAD IHSAN RASYID</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 14:29:44</td>
<td>2021-05-27 11:28:12</td>
</tr>
<tr>
<td>245</td>
<td>00532921</td>
<td>syafieraa risdia harriezky</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 13:09:07</td>
<td>2021-05-24 12:08:55</td>
</tr>
<tr>
<td>246</td>
<td>00570551</td>
<td>SINTA NURAENI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 11:20:05</td>
<td>2021-05-24 11:57:48</td>
</tr>
<tr>
<td>247</td>
<td>00570616</td>
<td>ROSITA</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-21 11:18:40</td>
<td>2021-05-25 12:23:31</td>
</tr>
<tr>
<td>248</td>
<td>00570662</td>
<td>BY NY SINTA NURAENI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 10:54:48</td>
<td>2021-05-27 10:18:21</td>
</tr>
<tr>
<td>249</td>
<td>00570411</td>
<td>BY NY SAPITRI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Langsung</td>
<td>2021-05-21 10:40:06</td>
<td>2021-05-25 23:41:32</td>
</tr>
<tr>
<td>250</td>
<td>00570074</td>
<td>BY NY YANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-21 10:39:24</td>
<td>2021-05-25 23:41:56</td>
</tr>
<tr>
<td>251</td>
<td>00570597</td>
<td>BY RATNA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-21 10:35:21</td>
<td>2021-05-27 18:34:58</td>
</tr>
<tr>
<td>252</td>
<td>00570598</td>
<td>BY YULIAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-21 10:34:46</td>
<td>2021-05-25 23:41:16</td>
</tr>
<tr>
<td>253</td>
<td>00570601</td>
<td>BAYI NYONYA WIWI DANIATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-21 10:34:11</td>
<td>2021-05-25 23:40:32</td>
</tr>
<tr>
<td>254</td>
<td>00570607</td>
<td>BAYI NYONYA IMA FIRLINA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-21 10:33:32</td>
<td>2021-05-25 23:40:46</td>
</tr>
<tr>
<td>255</td>
<td>00570600</td>
<td>BAYI NYONYA RANI RAHMAWATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-21 10:32:53</td>
<td>2021-05-22 13:37:26</td>
</tr>
<tr>
<td>256</td>
<td>00570596</td>
<td>BY WINDY</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-21 10:31:52</td>
<td>2021-05-22 13:36:59</td>
</tr>
<tr>
<td>257</td>
<td>00570604</td>
<td>BAYI NYONYA MIMIN SUMINAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-21 10:30:53</td>
<td>2021-05-22 13:36:45</td>
</tr>
<tr>
<td>258</td>
<td>00380519</td>
<td>ENAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 10:17:06</td>
<td>2021-05-24 10:20:49</td>
</tr>
<tr>
<td>259</td>
<td>00567295</td>
<td>DITA OTAVIANI</td>
<td>Perempuan</td>
<td>Diseases of Bartholin gland</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 08:47:38</td>
<td>2021-05-29 14:53:19</td>
</tr>
<tr>
<td>260</td>
<td>00546791</td>
<td>MUHAMAD A'DUL HAYYI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 08:42:12</td>
<td>2021-05-27 14:28:23</td>
</tr>
<tr>
<td>261</td>
<td>00570633</td>
<td>IWAT WARTINI</td>
<td>Perempuan</td>
<td>Delivery by caesarean section, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 08:28:23</td>
<td>2021-05-24 11:49:49</td>
</tr>
<tr>
<td>262</td>
<td>00570623</td>
<td>WINAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 08:09:59</td>
<td>2021-05-22 12:48:14</td>
</tr>
<tr>
<td>263</td>
<td>00570621</td>
<td>LUSI LESMANA SARI</td>
<td>Perempuan</td>
<td>Pre-eclampsia, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 07:54:15</td>
<td>2021-05-24 11:48:54</td>
</tr>
<tr>
<td>264</td>
<td>00565109</td>
<td>MUHAMMAD HAIDAR</td>
<td>Cleft lip, unilateral</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-21 07:49:01</td>
<td>2021-05-30 13:36:35</td>
</tr>
<tr>
<td>265</td>
<td>00570617</td>
<td>AN ALMIRA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-05-21 06:16:06</td>
<td>2021-05-24 08:25:19</td>
</tr>
<tr>
<td>266</td>
<td>00569924</td>
<td>SUKINAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-21 02:47:02</td>
<td>2021-05-24 08:50:37</td>
</tr>
<tr>
<td>267</td>
<td>00570615</td>
<td>DADAY NURHIDAYAT</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-21 00:34:06</td>
<td>2021-05-24 08:50:44</td>
</tr>
<tr>
<td>268</td>
<td>00570613</td>
<td>HILNA DEWI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-20 22:56:11</td>
<td>2021-05-24 14:13:17</td>
</tr>
<tr>
<td>269</td>
<td>00570612</td>
<td>BAYI NYONYA KARIMAH FADHILAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 21:48:58</td>
<td>2021-05-25 23:43:41</td>
</tr>
<tr>
<td>270</td>
<td>00570610</td>
<td>BAYI NYONYA RENA SADRIANA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 21:43:53</td>
<td>2021-05-25 23:43:23</td>
</tr>
<tr>
<td>271</td>
<td>00570611</td>
<td>YANTI KHOIRIYAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-20 21:30:08</td>
<td>2021-05-22 09:35:47</td>
</tr>
<tr>
<td>272</td>
<td>00463626</td>
<td>SOLEMAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-20 21:16:20</td>
<td>2021-05-27 20:32:31</td>
</tr>
<tr>
<td>273</td>
<td>00426940</td>
<td>KAMSIN</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-20 19:33:34</td>
<td>2021-05-29 14:54:55</td>
</tr>
<tr>
<td>274</td>
<td>00570609</td>
<td>KARIMAH FADHILAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-20 18:32:25</td>
<td>2021-05-22 15:14:51</td>
</tr>
<tr>
<td>275</td>
<td>00570608</td>
<td>SOLIHIN</td>
conditions</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-20 18:02:02</td>
<td>2021-05-27 11:28:03</td>
</tr>
<tr>
<td>276</td>
<td>00570606</td>
<td>Siti Sifaul Mumtajah</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-20 17:36:39</td>
<td>2021-05-27 14:28:36</td>
</tr>
<tr>
<td>277</td>
<td>00570605</td>
<td>ELAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-20 17:27:38</td>
<td>2021-05-22 10:14:37</td>
</tr>
<tr>
<td>278</td>
<td>00570599</td>
<td>HADIJAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 15:44:17</td>
<td>2021-05-21 11:06:43</td>
</tr>
<tr>
<td>279</td>
<td>00558122</td>
<td>RENA SADRIANA</td>
<td>Perempuan</td>
<td>dr, PRICILIA WIDYA SUZANTI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-20 14:30:56</td>
<td>2021-05-24 11:52:03</td>
</tr>
<tr>
<td>280</td>
<td>00570595</td>
<td>BAYI NYONYA NURLELAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 14:22:14</td>
<td>2021-05-25 23:42:53</td>
</tr>
<tr>
<td>281</td>
<td>00435929</td>
<td>KASIM</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 14:17:17</td>
<td>2021-05-24 12:16:38</td>
</tr>
<tr>
<td>282</td>
<td>00570594</td>
<td>BY NANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 13:41:51</td>
<td>2021-05-27 10:19:49</td>
</tr>
<tr>
<td>283</td>
<td>00570593</td>
<td>BY. NY ENENG YANTI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 13:35:33</td>
<td>2021-05-22 13:34:47</td>
</tr>
<tr>
<td>284</td>
<td>00570592</td>
<td>BAYI NYONYA ENENG MINA RAHMI SADIAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 13:32:59</td>
<td>2021-05-25 23:42:15</td>
</tr>
<tr>
<td>285</td>
<td>00570449</td>
<td>BY NY KADMINI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 13:21:29</td>
<td>2021-05-25 23:40:12</td>
</tr>
<tr>
<td>286</td>
<td>00570485</td>
<td>BAYI NYONYA MIA SUMIYATI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 13:16:00</td>
<td>2021-05-22 13:34:27</td>
</tr>
<tr>
<td>287</td>
<td>00570503</td>
<td>BY NY MONALIA</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 13:11:57</td>
<td>2021-05-21 10:08:22</td>
</tr>
<tr>
<td>288</td>
<td>00496225</td>
<td>SARIMAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 12:22:21</td>
<td>2021-05-25 10:46:02</td>
</tr>
<tr>
<td>289</td>
<td>00557786</td>
<td>SIFA MUSTIKA</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 12:18:14</td>
<td>2021-05-24 08:18:27</td>
</tr>
<tr>
<td>290</td>
<td>00570588</td>
<td>SUHAYAH</td>
<td>Perempuan</td>
<td>VK BED 12</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 12:12:09</td>
<td>2021-05-22 08:52:38</td>
</tr>
<tr>
<td>291</td>
<td>00495402</td>
<td>SIOMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 11:52:13</td>
<td>2021-05-24 11:54:25</td>
</tr>
<tr>
<td>292</td>
<td>00516207</td>
<td>ANDRI TRI RAHAYU</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 10:43:45</td>
<td>2021-05-21 14:16:13</td>
</tr>
<tr>
<td>293</td>
<td>00570526</td>
<td>LIA ASTUTI</td>
<td>Perempuan</td>
<td>VK BED 7</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 10:24:50</td>
<td>2021-05-21 13:30:30</td>
</tr>
<tr>
<td>294</td>
<td>00378887</td>
<td>SYIFA ASIATUL FATWAR</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 10:01:31</td>
<td>2021-05-21 14:18:06</td>
</tr>
<tr>
<td>295</td>
<td>00569987</td>
<td>RASKEM</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 09:54:35</td>
<td>2021-05-30 16:06:11</td>
</tr>
<tr>
<td>296</td>
<td>00570567</td>
<td>ULUNG HASANUDIN</td>
<td>Tuberculosis of intrathoracic lymph nodes, without mention of
bacteriological or histological confirmation</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 09:51:44</td>
<td>2021-05-25 10:46:13</td>
</tr>
<tr>
<td>297</td>
<td>00485675</td>
<td>ENENG YANTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 09:45:13</td>
<td>2021-05-22 12:47:37</td>
</tr>
<tr>
<td>298</td>
<td>00570563</td>
<td>ENENG MINA RAHMI SADIAH</td>
<td>Perempuan</td>
<td>Premature rupture of membranes, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 09:35:49</td>
<td>2021-05-22 12:44:31</td>
</tr>
<tr>
<td>299</td>
<td>00570562</td>
<td>BAYI NYONYA JAMILAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-20 09:35:12</td>
<td>2021-05-22 13:38:05</td>
</tr>
<tr>
<td>300</td>
<td>00566345</td>
<td>IMAS</td>
<td>Perempuan</td>
<td>Benign mammary dysplasia</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 09:15:00</td>
<td>2021-05-24 08:49:24</td>
</tr>
<tr>
<td>301</td>
<td>00570551</td>
<td>SINTA NURAENI</td>
<td>Perempuan</td>
<td>Other specified noninflammatory disorders of vagina</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 09:14:03</td>
<td>2021-05-21 08:55:47</td>
</tr>
<tr>
<td>302</td>
<td>00569194</td>
<td>MIMIN SUMINAH</td>
<td>Perempuan</td>
<td>Complications of the puerperium, not elsewhere classified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 09:10:48</td>
<td>2021-05-22 12:43:07</td>
</tr>
<tr>
<td>303</td>
<td>00496084</td>
<td>NENG LIPAH</td>
<td>Perempuan</td>
<td>Hypokalaemia</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 09:06:48</td>
<td>2021-05-24 10:13:27</td>
</tr>
<tr>
<td>304</td>
<td>00570547</td>
<td>SRI AGUSTINA</td>
<td>Perempuan</td>
<td>Haemorrhage in early pregnancy</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 09:01:20</td>
<td>2021-05-21 14:15:46</td>
</tr>
<tr>
<td>305</td>
<td>00569974</td>
<td>ANGGI</td>
<td>Unilateral or unspecified inguinal hernia, without obstruction or
gangrene</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 09:00:52</td>
<td>2021-05-29 14:52:24</td>
</tr>
<tr>
<td>306</td>
<td>00570544</td>
<td>ELA JUNISA</td>
<td>Perempuan</td>
<td>Tuberculous peripheral lymphadenopathy</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 08:56:34</td>
<td>2021-05-24 08:48:57</td>
</tr>
<tr>
<td>307</td>
<td>00561833</td>
<td>YULILAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 08:51:55</td>
<td>2021-05-24 11:55:48</td>
</tr>
<tr>
<td>308</td>
<td>00565260</td>
<td>RANI RAHMAWATI</td>
<td>Perempuan</td>
<td>Antenatal screening</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 08:50:04</td>
<td>2021-05-24 11:53:11</td>
</tr>
<tr>
<td>309</td>
<td>00570508</td>
<td>ELISA KHAMELIA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 08:49:36</td>
<td>2021-05-22 08:25:30</td>
</tr>
<tr>
<td>310</td>
<td>00570537</td>
<td>RATNA YUNITA</td>
<td>Perempuan</td>
<td>Abnormal finding on antenatal screening of mother, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 08:44:22</td>
<td>2021-05-22 12:49:36</td>
</tr>
<tr>
<td>311</td>
<td>00559801</td>
<td>MAYA ANGGRAENI</td>
<td>Perempuan</td>
<td>Endocrine, nutritional and metabolic diseases complicating
pregnancy, childbirth and the puerperium</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 08:39:12</td>
<td>2021-05-22 12:49:59</td>
</tr>
<tr>
<td>312</td>
<td>00570154</td>
<td>OPI MASROPI</td>
<td>Chronic renal failure, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 08:37:44</td>
<td>2021-05-22 09:47:44</td>
</tr>
<tr>
<td>313</td>
<td>00570534</td>
<td>WIWI DANIATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 08:37:38</td>
<td>2021-05-22 12:49:08</td>
</tr>
<tr>
<td>314</td>
<td>00544931</td>
<td>ULAS</td>
<td>Perempuan</td>
<td>Dependence on renal dialysis</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 08:35:29</td>
<td>2021-05-22 10:00:41</td>
</tr>
<tr>
<td>315</td>
<td>00570509</td>
<td>JAMILAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-20 08:34:51</td>
<td>2021-05-24 11:54:51</td>
</tr>
<tr>
<td>316</td>
<td>00570531</td>
<td>EMPI SOPIAH</td>
<td>Perempuan</td>
<td>VK BED 5</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 08:34:16</td>
<td>2021-05-20 18:00:20</td>
</tr>
<tr>
<td>317</td>
<td>00570530</td>
<td>MIMIN</td>
<td>Perempuan</td>
<td>Follow-up examination after unspecified treatment for other
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 08:32:11</td>
<td>2021-05-24 11:53:58</td>
</tr>
<tr>
<td>318</td>
<td>00570527</td>
<td>nurhasanah </td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 08:25:25</td>
<td>2021-05-29 14:51:17</td>
</tr>
<tr>
<td>319</td>
<td>00570158</td>
<td>NURLELAH</td>
<td>Perempuan</td>
<td>Threatened abortion</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 08:17:12</td>
<td>2021-05-22 12:47:07</td>
</tr>
<tr>
<td>320</td>
<td>00569474</td>
<td>RUMINAH</td>
<td>Perempuan</td>
<td>Polyp of cervix uteri</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 08:12:59</td>
<td>2021-05-21 12:47:26</td>
</tr>
<tr>
<td>321</td>
<td>00428728</td>
<td>SURYANA</td>
<td>Unilateral or unspecified inguinal hernia, with obstruction,
without gangrene</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 08:04:02</td>
<td>2021-05-29 15:01:48</td>
</tr>
<tr>
<td>322</td>
<td>00569732</td>
<td>NANI INAYAH</td>
<td>Perempuan</td>
<td>Maternal care for breech presentation</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 07:48:23</td>
<td>2021-05-22 12:48:41</td>
</tr>
<tr>
<td>323</td>
<td>00570518</td>
<td>UUM SUTIWATI</td>
<td>Perempuan</td>
<td>Malignant neoplasm of abdomen</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 07:47:28</td>
<td>2021-05-23 12:20:52</td>
</tr>
<tr>
<td>324</td>
<td>00570517</td>
<td>TANIA</td>
<td>Perempuan</td>
<td>VK BED 2</td>
<td>Peritoneal adhesions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 07:45:43</td>
<td>2021-05-21 13:29:51</td>
</tr>
<tr>
<td>325</td>
<td>00570514</td>
<td>ODY ROYANI</td>
<td>Inguinal hernia</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 07:29:22</td>
<td>2021-05-24 08:49:02</td>
</tr>
<tr>
<td>326</td>
<td>00570512</td>
<td>WINDY APRIANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 07:24:08</td>
<td>2021-05-22 12:43:40</td>
</tr>
<tr>
<td>327</td>
<td>00567607</td>
<td>EVA SUSILAWATI</td>
<td>Perempuan</td>
<td>Death from unspecified obstetric cause</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 07:20:53</td>
<td>2021-05-20 11:36:37</td>
</tr>
<tr>
<td>328</td>
<td>00570510</td>
<td>ANI SURYANI</td>
<td>Perempuan</td>
<td>VK BED 4</td>
<td>Premature rupture of membranes</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 07:15:36</td>
<td>2021-05-22 13:11:43</td>
</tr>
<tr>
<td>329</td>
<td>00569196</td>
<td>IMA FIRLINA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 02:02:22</td>
<td>2021-05-27 08:47:01</td>
</tr>
<tr>
<td>330</td>
<td>00570507</td>
<td>BAYI NYONYA siti ninsum</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 00:11:50</td>
<td>2021-05-21 10:11:09</td>
</tr>
<tr>
<td>331</td>
<td>00570506</td>
<td>BAYI NYONYA ROHENAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-20 00:11:04</td>
<td>2021-05-21 10:10:41</td>
</tr>
<tr>
<td>332</td>
<td>00509741</td>
<td>RAIDAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 21:20:07</td>
<td>2021-05-24 12:19:56</td>
</tr>
<tr>
<td>333</td>
<td>00570502</td>
<td>AMIR CHANDRA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-19 19:27:35</td>
<td>2021-05-24 08:52:33</td>
</tr>
<tr>
<td>334</td>
<td>00561594</td>
<td>PAJRIN SUSANTO</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-19 17:19:35</td>
<td>2021-05-24 10:12:38</td>
</tr>
<tr>
<td>335</td>
<td>00570501</td>
<td>ROHENAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-19 16:32:41</td>
<td>2021-05-22 12:45:32</td>
</tr>
<tr>
<td>336</td>
<td>00537914</td>
<td>siti ninsum</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-19 16:08:19</td>
<td>2021-05-22 12:46:12</td>
</tr>
<tr>
<td>337</td>
<td>00570500</td>
<td>SAMANI</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-19 15:48:06</td>
<td>2021-05-22 14:36:53</td>
</tr>
<tr>
<td>338</td>
<td>00493940</td>
<td>IKNA SUTISNA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-19 15:12:47</td>
<td>2021-05-24 11:22:31</td>
</tr>
<tr>
<td>339</td>
<td>00570499</td>
<td>SADRAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-19 15:11:25</td>
<td>2021-05-28 11:00:45</td>
</tr>
<tr>
<td>340</td>
<td>00570498</td>
<td>MONALIA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-19 14:47:52</td>
<td>2021-05-24 08:19:13</td>
</tr>
<tr>
<td>341</td>
<td>00570497</td>
<td>BAYI NYONYA SITI ROMNA</td>
<td>Perempuan</td>
<td>Z08 - Follow-up examination after treatment for malignant
neoplasms</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 14:45:44</td>
<td>2021-05-29 12:04:04</td>
</tr>
<tr>
<td>342</td>
<td>00570462</td>
<td>JENAB</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 14:12:58</td>
<td>2021-05-21 13:57:44</td>
</tr>
<tr>
<td>343</td>
<td>00570496</td>
<td>SARMAH</td>
<td>Perempuan</td>
<td>VK BED 3</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 13:33:50</td>
<td>2021-05-20 10:40:11</td>
</tr>
<tr>
<td>344</td>
<td>00570445</td>
<td>BAYI NYONYA MIA ROSMIATI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 13:21:01</td>
<td>2021-05-21 10:06:58</td>
</tr>
<tr>
<td>345</td>
<td>00570495</td>
<td>BAYI NYONYA DWI REZA KURNIAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-19 13:15:26</td>
<td>2021-05-21 10:13:05</td>
</tr>
<tr>
<td>346</td>
<td>00570494</td>
<td>MUMU MUHIDIN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 12:56:20</td>
<td>2021-05-27 12:44:03</td>
</tr>
<tr>
<td>347</td>
<td>00569851</td>
<td>M . HERRY EFFENDI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 12:31:56</td>
<td>2021-05-24 14:52:46</td>
</tr>
<tr>
<td>348</td>
<td>00548425</td>
<td>BANGUN SIREGAR</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 10:44:44</td>
<td>2021-05-20 11:30:08</td>
</tr>
<tr>
<td>349</td>
<td>00416765</td>
<td>JUJU JUHAENI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 10:34:21</td>
<td>2021-05-21 10:59:04</td>
</tr>
<tr>
<td>350</td>
<td>00570489</td>
<td>BAYI NYONYA ERIS OKTANIANISARI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 10:31:41</td>
<td>2021-05-21 10:11:59</td>
</tr>
<tr>
<td>351</td>
<td>00570487</td>
<td>EMAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 10:02:41</td>
<td>2021-05-25 15:30:32</td>
</tr>
<tr>
<td>352</td>
<td>00553187</td>
<td>AMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 09:49:53</td>
<td>2021-05-19 11:39:52</td>
</tr>
<tr>
<td>353</td>
<td>00568855</td>
<td>SARMAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 09:24:46</td>
<td>2021-05-25 10:45:56</td>
</tr>
<tr>
<td>354</td>
<td>00570481</td>
<td>KARSO</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 09:05:21</td>
<td>2021-05-25 10:46:08</td>
</tr>
<tr>
<td>355</td>
<td>00570479</td>
<td>SURATNO</td>
<td>Other soft tissue disorder related to use overuse and pressure,
ankle and foot</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 09:00:54</td>
<td>2021-05-27 11:28:24</td>
</tr>
<tr>
<td>356</td>
<td>00337465</td>
<td>SUPIYAH </td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 09:00:53</td>
<td>2021-05-21 14:14:42</td>
</tr>
<tr>
<td>357</td>
<td>00570471</td>
<td>UCI SANUSI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 08:46:42</td>
<td>2021-05-28 15:12:55</td>
</tr>
<tr>
<td>358</td>
<td>00569798</td>
<td>IYOH ROHAYATI</td>
<td>Perempuan</td>
<td>Chronic kidney disease</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 08:42:24</td>
<td>2021-05-20 11:22:23</td>
</tr>
<tr>
<td>359</td>
<td>00516201</td>
<td>JARIAH</td>
<td>Perempuan</td>
<td>Malignant neoplasm of breast</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 08:34:53</td>
<td>2021-05-28 09:09:40</td>
</tr>
<tr>
<td>360</td>
<td>00570466</td>
<td>SITI ROMNA</td>
<td>Perempuan</td>
<td>VK BED 2</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 08:34:37</td>
<td>2021-05-20 08:03:11</td>
</tr>
<tr>
<td>361</td>
<td>00553556</td>
<td>KASINAH</td>
<td>Perempuan</td>
<td>Follow-up examination after treatment for conditions other than
malignant neoplasms</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 08:33:15</td>
<td>2021-05-20 11:32:01</td>
</tr>
<tr>
<td>362</td>
<td>00403125</td>
<td>siti rohmah</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 08:24:47</td>
<td>2021-05-20 14:42:31</td>
</tr>
<tr>
<td>363</td>
<td>00567522</td>
<td>SUTISNA</td>
<td>Residual haemorrhoidal skin tags</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 08:23:58</td>
<td>2021-05-25 14:15:42</td>
</tr>
<tr>
<td>364</td>
<td>00570461</td>
<td>SAB,A</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-05-19 08:16:01</td>
<td>2021-05-20 15:02:57</td>
</tr>
<tr>
<td>365</td>
<td>00570447</td>
<td>KHOIRUL TAMAMI</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-19 08:15:55</td>
<td>2021-05-21 13:50:05</td>
</tr>
<tr>
<td>366</td>
<td>00570460</td>
<td>MUHTAR</td>
<td>Imbalance of constituents of food intake</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 08:15:41</td>
<td>2021-05-21 10:59:57</td>
</tr>
<tr>
<td>367</td>
<td>00570456</td>
<td>RISMA SEPTIAWATI</td>
<td>Perempuan</td>
<td>Femoral hernia</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 08:00:37</td>
<td>2021-05-28 08:45:32</td>
</tr>
<tr>
<td>368</td>
<td>00530511</td>
<td>HALIM</td>
<td>Respiratory tuberculosis, not confirmed bacteriologically or
histologically</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 07:41:43</td>
<td>2021-05-23 22:03:12</td>
</tr>
<tr>
<td>369</td>
<td>00568281</td>
<td>SITI RAINA ZAKHIRA PUTRI</td>
<td>Perempuan</td>
<td>Neonatal jaundice from other specified causes</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 06:46:52</td>
<td>2021-05-29 12:58:56</td>
</tr>
<tr>
<td>370</td>
<td>00570452</td>
<td>ADE AWALUDIN</td>
<td>dr, ryan ardian saputra, Sp.PD</td>
<td>Cellulitis</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-19 06:37:50</td>
<td>2021-05-24 14:25:59</td>
</tr>
<tr>
<td>371</td>
<td>00570451</td>
<td>CASMAN</td>
<td></td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-05-19 05:07:35</td>
<td>2021-05-20 11:21:12</td>
</tr>
<tr>
<td>372</td>
<td>00570450</td>
<td>IIN FATIMAH</td>
<td>Perempuan</td>
<td></td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-19 01:34:00</td>
<td>2021-05-24 08:52:24</td>
</tr>
<tr>
<td>373</td>
<td>00570449</td>
<td>BY NY KADMINI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 21:21:18</td>
<td>2021-05-19 13:34:20</td>
</tr>
<tr>
<td>374</td>
<td>00570448</td>
<td>BAYI NYONYA YAYAH NURHAYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 20:42:14</td>
<td>2021-05-22 13:37:49</td>
</tr>
<tr>
<td>375</td>
<td>00570446</td>
<td>AGNIA APRILIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 19:53:06</td>
<td>2021-05-22 10:35:46</td>
</tr>
<tr>
<td>376</td>
<td>00570446</td>
<td>AGNIA APRILIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 19:53:06</td>
<td>2021-05-22 10:35:46</td>
</tr>
<tr>
<td>377</td>
<td>00569525</td>
<td>ERIS OKTANIANISARI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 17:29:11</td>
<td>2021-05-21 12:47:00</td>
</tr>
<tr>
<td>378</td>
<td>00233893</td>
<td>ACHYANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 17:24:56</td>
<td>2021-05-20 11:35:32</td>
</tr>
<tr>
<td>379</td>
<td>00553187</td>
<td>AMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 16:14:43</td>
<td>2021-05-29 11:50:40</td>
</tr>
<tr>
<td>380</td>
<td>00498725</td>
<td>YAYAH NURHAYATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 15:58:36</td>
<td>2021-05-21 12:46:32</td>
</tr>
<tr>
<td>381</td>
<td>00570444</td>
<td>DWI REZA KURNIAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 15:34:35</td>
<td>2021-05-21 12:46:05</td>
</tr>
<tr>
<td>382</td>
<td>00569922</td>
<td>BAYI NYONYA MASTIANA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 15:30:20</td>
<td>2021-05-25 23:41:01</td>
</tr>
<tr>
<td>383</td>
<td>00570443</td>
<td>BAYI NYONYA LATIFAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 15:29:21</td>
<td>2021-05-21 10:10:06</td>
</tr>
<tr>
<td>384</td>
<td>00570442</td>
<td>MAMAD</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 15:01:30</td>
<td>2021-05-22 10:01:43</td>
</tr>
<tr>
<td>385</td>
<td>00570440</td>
<td>BAYI NYONYA E. NURIAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 14:05:14</td>
<td>2021-05-19 13:32:53</td>
</tr>
<tr>
<td>386</td>
<td>00570439</td>
<td>BAYI NYONYA MIMIN MARYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 13:47:32</td>
<td>2021-05-19 13:32:32</td>
</tr>
<tr>
<td>387</td>
<td>00570435</td>
<td>BAYI NYONYA KHOLILAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-18 13:46:54</td>
<td>2021-05-21 10:09:20</td>
</tr>
<tr>
<td>388</td>
<td>00499524</td>
<td>ROHIM</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 13:30:27</td>
<td>2021-05-23 22:18:30</td>
</tr>
<tr>
<td>389</td>
<td>00570438</td>
<td>NANI SUMARNI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-18 13:22:01</td>
<td>2021-05-20 11:29:25</td>
</tr>
<tr>
<td>390</td>
<td>00550872</td>
<td>MIA ROSMIATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 13:13:29</td>
<td>2021-05-21 12:48:24</td>
</tr>
<tr>
<td>391</td>
<td>00570436</td>
<td>LATIFAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 13:08:50</td>
<td>2021-05-21 12:47:52</td>
</tr>
<tr>
<td>392</td>
<td>00554256</td>
<td>MIRJAYA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 11:59:28</td>
<td>2021-05-20 13:34:33</td>
</tr>
<tr>
<td>393</td>
<td>00570434</td>
<td>ENUR NURHAYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-18 11:56:46</td>
<td>2021-05-22 12:44:59</td>
</tr>
<tr>
<td>394</td>
<td>00570432</td>
<td>ANDRI HERDIAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 11:38:53</td>
<td>2021-05-25 08:50:24</td>
</tr>
<tr>
<td>395</td>
<td>00570430</td>
<td>DIAN GUNAWAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 11:31:13</td>
<td>2021-05-20 13:22:32</td>
</tr>
<tr>
<td>396</td>
<td>00570427</td>
<td>ACHMAD</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 11:08:18</td>
<td>2021-05-21 13:49:17</td>
</tr>
<tr>
<td>397</td>
<td>00570424</td>
<td>SUHANDA</td>
gangrene</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 10:37:57</td>
<td>2021-05-24 08:49:18</td>
</tr>
<tr>
<td>398</td>
<td>00570422</td>
<td>ACIH SUKARSIH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-18 10:24:56</td>
<td>2021-05-22 14:36:47</td>
</tr>
<tr>
<td>399</td>
<td>00568628</td>
<td>YATI SUHAYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 09:46:53</td>
<td>2021-05-25 10:43:53</td>
</tr>
<tr>
<td>400</td>
<td>00570297</td>
<td>SARNITI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 09:45:59</td>
<td>2021-05-19 08:40:17</td>
</tr>
<tr>
<td>401</td>
<td>00570362</td>
<td>M RIZKI</td>
<td>dr, ASEP CECENG, Sp.BS</td>
<td>Jaminan</td>
<td>JASA RAHARJA</td>
<td>Rujukan</td>
<td>2021-05-18 09:44:19</td>
<td>2021-05-20 09:55:24</td>
</tr>
<tr>
<td>402</td>
<td>00570368</td>
<td>YULIANTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JASA RAHARJA</td>
<td>Rujukan</td>
<td>2021-05-18 09:43:18</td>
<td>2021-05-24 14:15:19</td>
</tr>
<tr>
<td>403</td>
<td>00570415</td>
<td>MUHAMMAD WILDAN ALAMSYAH</td>
<td>B20 - Human immunodeficiency virus [HIV] disease resulting in
infectious and parasitic diseases</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-18 09:28:22</td>
<td>2021-05-19 14:00:18</td>
</tr>
<tr>
<td>404</td>
<td>00570411</td>
<td>BY NY SAPITRI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-18 09:09:05</td>
<td>2021-05-18 13:11:30</td>
</tr>
<tr>
<td>405</td>
<td>00570406</td>
<td>JUHDI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 08:57:47</td>
<td>2021-05-22 09:52:54</td>
</tr>
<tr>
<td>406</td>
<td>00570405</td>
<td>SURYATNA</td>
gangrene</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 08:56:13</td>
<td>2021-05-24 08:49:09</td>
</tr>
<tr>
<td>407</td>
<td>00570403</td>
<td>JUNAEDI</td>
<td>Ganglion</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 08:53:32</td>
<td>2021-05-22 14:26:34</td>
</tr>
<tr>
<td>408</td>
<td>00570399</td>
<td>PAHRUDIN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 08:44:26</td>
<td>2021-05-22 14:29:55</td>
</tr>
<tr>
<td>409</td>
<td>00392896</td>
<td>RANI RISKI MALA</td>
<td>Perempuan</td>
<td>Malignant neoplasm of cerebral meninges</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 08:43:31</td>
<td>2021-05-22 14:28:55</td>
</tr>
<tr>
<td>410</td>
<td>00570397</td>
<td>KESIH HJ</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 08:40:09</td>
<td>2021-05-22 14:28:13</td>
</tr>
<tr>
<td>411</td>
<td>00570395</td>
<td>SUPRIYADI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 08:38:41</td>
<td>2021-05-22 14:25:27</td>
</tr>
<tr>
<td>412</td>
<td>00373037</td>
<td>SUPRIYANTO</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 08:15:04</td>
<td>2021-05-27 11:28:29</td>
</tr>
<tr>
<td>413</td>
<td>00570379</td>
<td>AN RAFANDA </td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-18 01:11:51</td>
<td>2021-05-20 17:50:46</td>
</tr>
<tr>
<td>414</td>
<td>00570378</td>
<td>MUSBAH CHAIDIR</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-18 00:55:46</td>
<td>2021-05-22 14:31:29</td>
</tr>
<tr>
<td>415</td>
<td>00570377</td>
<td>BAYI NYONYA ABELIA LESTARI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-18 00:50:13</td>
<td>2021-05-19 13:33:24</td>
</tr>
<tr>
<td>416</td>
<td>00570376</td>
<td>ABELIA LESTARI</td>
<td>Perempuan</td>
<td>VK BED 7</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 23:14:19</td>
<td>2021-05-19 08:12:22</td>
</tr>
<tr>
<td>417</td>
<td>00479643</td>
<td>KARIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 21:16:46</td>
<td>2021-05-20 11:26:00</td>
</tr>
<tr>
<td>418</td>
<td>00570373</td>
<td>YASTA MULIDYA AZZHARA</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-17 19:57:49</td>
<td>2021-05-21 13:43:39</td>
</tr>
<tr>
<td>419</td>
<td>00570374</td>
<td>KHOLILAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 19:03:34</td>
<td>2021-05-21 12:45:32</td>
</tr>
<tr>
<td>420</td>
<td>00444520</td>
<td>ROKIB</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 18:57:35</td>
<td>2021-05-20 13:26:00</td>
</tr>
<tr>
<td>421</td>
<td>00546354</td>
<td>ENJUM</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 18:35:40</td>
<td>2021-05-21 10:58:09</td>
</tr>
<tr>
<td>422</td>
<td>00564783</td>
<td>SUNAENI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 17:16:43</td>
<td>2021-05-22 12:51:01</td>
</tr>
<tr>
<td>423</td>
<td>00570355</td>
<td>Perempuan</td>
<td>Dr, wisuda putra negara, Sp.D</td>
<td></td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-17 16:32:38</td>
<td>2021-05-24 12:23:24</td>
</tr>
<tr>
<td>424</td>
<td>00442802</td>
<td>NY.TATI SUPRAPTI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 14:44:01</td>
<td>2021-05-19 16:35:18</td>
</tr>
<tr>
<td>425</td>
<td>00570360</td>
<td>SUKRAMAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-17 14:07:08</td>
<td>2021-05-19 08:41:27</td>
</tr>
<tr>
<td>426</td>
<td>00570370</td>
<td>ZALFA AFIZA PUTRI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 13:21:13</td>
<td>2021-05-19 21:32:27</td>
</tr>
<tr>
<td>427</td>
<td>00570370</td>
<td>ZALFA AFIZA PUTRI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 13:21:13</td>
<td>2021-05-19 21:32:27</td>
</tr>
<tr>
<td>428</td>
<td>00570367</td>
<td>BY NY SITI ROHAYANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 12:47:54</td>
<td>2021-05-19 13:37:15</td>
</tr>
<tr>
<td>429</td>
<td>00570365</td>
<td>BY NY EMAR MARTINI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-17 12:00:58</td>
<td>2021-05-18 13:05:56</td>
</tr>
<tr>
<td>430</td>
<td>00570364</td>
<td>SITI ROHAYANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 11:45:02</td>
<td>2021-05-20 11:33:30</td>
</tr>
<tr>
<td>431</td>
<td>00570363</td>
<td>BAYI NYONYA SITI AULIA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 11:29:40</td>
<td>2021-05-18 13:03:16</td>
</tr>
<tr>
<td>432</td>
<td>00187783</td>
<td>MUHAMAD ARIA PRATAMA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 10:49:26</td>
<td>2021-05-19 08:49:27</td>
</tr>
<tr>
<td>433</td>
<td>00570359</td>
<td>BAYI NYONYA ENENG MARIAM</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-17 10:48:38</td>
<td>2021-05-18 13:03:37</td>
</tr>
<tr>
<td>434</td>
<td>00570204</td>
<td>BAYI NYONYA DEVI YANTI</td>
conditions</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-17 10:42:46</td>
<td>2021-05-18 13:02:03</td>
</tr>
<tr>
<td>435</td>
<td>00570203</td>
<td>BAYI NYONYA DEVI YANTI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 10:40:30</td>
<td>2021-05-18 13:02:29</td>
</tr>
<tr>
<td>436</td>
<td>00570111</td>
<td>BY NY NANAH</td>
conditions</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-17 10:38:11</td>
<td>2021-05-21 10:08:54</td>
</tr>
<tr>
<td>437</td>
<td>00495752</td>
<td>ENDIN NURDIN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 10:37:20</td>
<td>2021-05-25 10:43:33</td>
</tr>
<tr>
<td>438</td>
<td>00570289</td>
<td>BY NY SUSILAWATI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 10:36:48</td>
<td>2021-05-21 10:07:56</td>
</tr>
<tr>
<td>439</td>
<td>00570357</td>
<td>EMAR KARTINI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-17 10:19:34</td>
<td>2021-05-20 11:28:11</td>
</tr>
<tr>
<td>440</td>
<td>00535681</td>
<td>KADARIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 09:56:29</td>
<td>2021-05-20 08:18:10</td>
</tr>
<tr>
<td>441</td>
<td>00570300</td>
<td>AMELIA LIYA</td>
<td>Perempuan</td>
<td>Unspecified abortion, incomplete, without complication</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 09:08:34</td>
<td>2021-05-20 11:34:13</td>
</tr>
<tr>
<td>442</td>
<td>00570077</td>
<td>KASMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 09:01:04</td>
<td>2021-05-22 10:09:00</td>
</tr>
<tr>
<td>443</td>
<td>00568576</td>
<td>MAS AMAH</td>
<td>Perempuan</td>
<td>dr, oji fauji, Sp.THT kl</td>
<td>Anosmia</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 08:54:46</td>
<td>2021-05-23 14:44:36</td>
</tr>
<tr>
<td>444</td>
<td>00508684</td>
<td>JOHANAH</td>
<td>Perempuan</td>
<td>Melaena</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 08:29:03</td>
<td>2021-05-20 11:27:11</td>
</tr>
<tr>
<td>445</td>
<td>00568415</td>
<td>E. NURIAH</td>
<td>Perempuan</td>
<td>Abnormal findings on antenatal screening of mother</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 08:26:01</td>
<td>2021-05-20 12:58:00</td>
</tr>
<tr>
<td>446</td>
<td>00212306</td>
<td>MIA SUMIYATI</td>
<td>Perempuan</td>
<td>Toxoplasma oculopathy</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 08:21:51</td>
<td>2021-05-22 08:45:01</td>
</tr>
<tr>
<td>447</td>
<td>00570340</td>
<td>NURJANAH</td>
<td>Perempuan</td>
<td>Other benign neoplasms of uterus</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 08:17:29</td>
<td>2021-05-18 18:43:07</td>
</tr>
<tr>
<td>448</td>
<td>00570338</td>
<td>MIMIN MARYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 08:10:13</td>
<td>2021-05-21 12:45:05</td>
</tr>
<tr>
<td>449</td>
<td>00570337</td>
<td>NENENG SUHAEMAH</td>
<td>Perempuan</td>
<td>Brucellosis due to Brucella abortus</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 08:07:54</td>
<td>2021-05-20 11:37:01</td>
</tr>
<tr>
<td>450</td>
<td>00570336</td>
<td>SANIM</td>
<td>Agent resistant to multiple antibiotics</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 08:04:27</td>
<td>2021-05-20 11:37:20</td>
</tr>
<tr>
<td>451</td>
<td>00569754</td>
<td>MARKUSEN</td>
<td>Other and unspecified cirrhosis of liver</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-17 07:50:35</td>
<td>2021-05-20 11:16:10</td>
</tr>
<tr>
<td>452</td>
<td>00550226</td>
<td>REYSA NURUL ANISA</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-17 06:27:13</td>
<td>2021-05-19 16:34:38</td>
</tr>
<tr>
<td>453</td>
<td>00457466</td>
<td>MOHAMAD IQBAL WAHYUDI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-17 03:16:55</td>
<td>2021-05-20 11:28:29</td>
</tr>
<tr>
<td>454</td>
<td>00570334</td>
<td>EPI HANAPI</td>
conditions</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-16 22:47:30</td>
<td>2021-05-19 06:50:03</td>
</tr>
<tr>
<td>455</td>
<td>00570331</td>
<td>TANIA RAHMA</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Langsung</td>
<td>2021-05-16 20:38:11</td>
<td>2021-05-19 12:03:22</td>
</tr>
<tr>
<td>456</td>
<td>00570330</td>
<td>MUSLIKHATUN NISA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-16 20:03:46</td>
<td>2021-05-22 19:19:59</td>
</tr>
<tr>
<td>457</td>
<td>00570328</td>
<td>IIS DARLIAH</td>
<td>Perempuan</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-05-16 19:31:23</td>
<td>2021-05-19 06:46:09</td>
</tr>
<tr>
<td>458</td>
<td>00570327</td>
<td>BY RATNA </td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-16 18:46:36</td>
<td>2021-05-17 06:53:11</td>
</tr>
<tr>
<td>459</td>
<td>00570323</td>
<td>SUKMI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-16 16:28:00</td>
<td>2021-05-20 08:16:42</td>
</tr>
<tr>
<td>460</td>
<td>00570150</td>
<td>ENENG MARIAM</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-16 16:21:19</td>
<td>2021-05-19 12:04:55</td>
</tr>
<tr>
<td>461</td>
<td>00539004</td>
<td>RT. ENONG RAIHANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-16 16:17:03</td>
<td>2021-05-18 09:12:18</td>
</tr>
<tr>
<td>462</td>
<td>00486800</td>
<td>AHMAD RIFAI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-16 14:24:26</td>
<td>2021-05-19 16:38:51</td>
</tr>
<tr>
<td>463</td>
<td>00517887</td>
<td>SAEDI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-16 13:32:59</td>
<td>2021-05-24 14:11:15</td>
</tr>
<tr>
<td>464</td>
<td>00570322</td>
<td>BAI NADSIAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-16 10:43:55</td>
<td>2021-05-17 18:37:18</td>
</tr>
<tr>
<td>465</td>
<td>00570321</td>
<td>OMAN ABDUROHMAN</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-16 09:56:55</td>
<td>2021-05-17 09:33:08</td>
</tr>
<tr>
<td>466</td>
<td>00570320</td>
<td>UUM</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-16 09:27:41</td>
<td>2021-05-18 12:57:12</td>
</tr>
<tr>
<td>467</td>
<td>00509931</td>
<td>MAHDI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-16 08:21:32</td>
<td>2021-05-20 11:27:39</td>
</tr>
<tr>
<td>468</td>
<td>00570315</td>
<td>SITI SURYAMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-16 03:06:02</td>
<td>2021-05-18 13:34:12</td>
</tr>
<tr>
<td>469</td>
<td>00427013</td>
<td>KUSNIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-16 02:27:49</td>
<td>2021-05-20 13:32:36</td>
</tr>
<tr>
<td>470</td>
<td>00570313</td>
<td>KADMINI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-16 00:12:06</td>
<td>2021-05-21 20:45:34</td>
</tr>
<tr>
<td>471</td>
<td>00570312</td>
<td>DAWAMUL HIDAYAT</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-15 22:12:41</td>
<td>2021-05-21 14:01:27</td>
</tr>
<tr>
<td>472</td>
<td>00570311</td>
<td>ST. SUHERTI</td>
<td>Perempuan</td>
<td>VK BED 3</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-15 22:06:20</td>
<td>2021-05-18 08:59:28</td>
</tr>
<tr>
<td>473</td>
<td>00570306</td>
<td>IKA SUHARTIKA</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-15 20:32:08</td>
<td>2021-05-20 20:40:23</td>
</tr>
<tr>
<td>474</td>
<td>00570310</td>
<td>AHMAD</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-15 20:22:38</td>
<td>2021-05-19 08:39:22</td>
</tr>
<tr>
<td>475</td>
<td>00564131</td>
<td>LILIS SURYANI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-15 20:20:08</td>
<td>2021-05-17 18:35:33</td>
</tr>
<tr>
<td>476</td>
<td>00570309</td>
<td>ADITIA</td>
conditions</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-15 19:40:42</td>
<td>2021-05-18 17:18:04</td>
</tr>
<tr>
<td>477</td>
<td>00543811</td>
<td>LIA</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-15 16:10:35</td>
<td>2021-05-19 12:03:44</td>
</tr>
<tr>
<td>478</td>
<td>00448571</td>
<td>BAMBANG SUKIRMAN</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-15 15:59:11</td>
<td>2021-05-18 14:58:38</td>
</tr>
<tr>
<td>479</td>
<td>00570303</td>
<td>SAMSUDIN</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-15 15:56:47</td>
<td>2021-05-20 11:19:36</td>
</tr>
<tr>
<td>480</td>
<td>00570297</td>
<td>SARNITI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-15 14:42:57</td>
<td>2021-05-17 18:27:23</td>
</tr>
<tr>
<td>481</td>
<td>00570302</td>
<td>JUMALIAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-15 14:35:14</td>
<td>2021-05-20 11:32:04</td>
</tr>
<tr>
<td>482</td>
<td>00570301</td>
<td>AHMAD FATHI HAMAANIILLAH</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-15 14:25:43</td>
<td>2021-05-18 13:26:55</td>
</tr>
<tr>
<td>483</td>
<td>00570298</td>
<td>BY HERTI</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-15 13:06:21</td>
<td>2021-05-17 06:51:45</td>
</tr>
<tr>
<td>484</td>
<td>00570296</td>
<td>BAYI NYONYA HANDAYANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-15 12:42:45</td>
<td>2021-05-18 13:04:21</td>
</tr>
<tr>
<td>485</td>
<td>00570293</td>
<td>AJI SUPRIYANTO</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-15 11:37:53</td>
<td>2021-05-19 08:49:41</td>
</tr>
<tr>
<td>486</td>
<td>00570291</td>
<td>ISMAIL</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-15 10:31:56</td>
<td>2021-05-20 11:24:53</td>
</tr>
<tr>
<td>487</td>
<td>00561739</td>
<td>ROSANTI</td>
<td>Perempuan</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-15 10:17:49</td>
<td>2021-05-19 06:51:36</td>
</tr>
<tr>
<td>488</td>
<td>00570289</td>
<td>BY NY SUSILAWATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-15 09:33:13</td>
<td>2021-05-17 06:52:25</td>
</tr>
<tr>
<td>489</td>
<td>00488180</td>
<td>SALWA SEPTIANI</td>
<td>Perempuan</td>
<td>Meningitis due to other and unspecified causes</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-15 08:35:24</td>
<td>2021-05-21 13:43:26</td>
</tr>
<tr>
<td>490</td>
<td>00570285</td>
<td>HANDAYANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-15 02:38:07</td>
<td>2021-05-19 12:04:09</td>
</tr>
<tr>
<td>491</td>
<td>00570284</td>
<td>RATNA WIDIANINGSIH</td>
<td>Perempuan</td>
<td>VK BED 8</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-15 01:39:41</td>
<td>2021-05-18 08:59:46</td>
</tr>
<tr>
<td>492</td>
<td>00570283</td>
<td>KHOLIFAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-15 00:56:30</td>
<td>2021-05-18 13:30:33</td>
</tr>
<tr>
<td>493</td>
<td>00570282</td>
<td>HERTI PURNAMA SARI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-15 00:50:02</td>
<td>2021-05-18 12:51:54</td>
</tr>
<tr>
<td>494</td>
<td>00570279</td>
<td>BAYI NYONYA NANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-14 23:55:02</td>
<td>2021-05-29 09:11:56</td>
</tr>
<tr>
<td>495</td>
<td>00570278</td>
<td>BAYI NYONYA NANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-14 23:54:32</td>
<td>2021-05-27 10:19:37</td>
</tr>
<tr>
<td>496</td>
<td>00570280</td>
<td>EMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-14 23:04:03</td>
<td>2021-05-20 11:32:33</td>
</tr>
<tr>
<td>497</td>
<td>00570277</td>
<td>ACENG</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-05-14 22:43:58</td>
<td>2021-05-18 09:23:34</td>
</tr>
<tr>
<td>498</td>
<td>00570276</td>
<td>RASIMAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-14 22:28:42</td>
<td>2021-05-19 08:58:58</td>
</tr>
<tr>
<td>499</td>
<td>00569831</td>
<td>A.ROMLI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-14 22:07:27</td>
<td>2021-05-18 09:23:29</td>
</tr>
<tr>
<td>500</td>
<td>00459514</td>
<td>IDAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-14 19:38:19</td>
<td>2021-05-19 06:49:25</td>
</tr>
<tr>
<td>501</td>
<td>00570271</td>
<td>ANTI DHAMAYANTI FAUZI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-14 18:15:36</td>
<td>2021-05-18 09:13:19</td>
</tr>
<tr>
<td>502</td>
<td>00570270</td>
<td>AGUS MUSTAKIM</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-14 17:11:57</td>
<td>2021-05-15 13:41:41</td>
</tr>
<tr>
<td>503</td>
<td>00570269</td>
<td>LUSI MISANTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-14 15:43:11</td>
<td>2021-05-16 10:25:28</td>
</tr>
<tr>
<td>504</td>
<td>00570268</td>
<td>IBNU ZIYAD</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-05-14 15:05:17</td>
<td>2021-05-17 08:30:10</td>
</tr>
<tr>
<td>505</td>
<td>00570266</td>
<td>YEDI</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-05-14 14:09:24</td>
<td>2021-05-17 18:38:03</td>
</tr>
<tr>
<td>506</td>
<td>00539004</td>
<td>RT. ENONG RAIHANAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-14 12:36:20</td>
<td>2021-05-18 06:45:02</td>
</tr>
<tr>
<td>507</td>
<td>00537044</td>
<td>DWI MEILINA ADI,SE</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-14 11:57:38</td>
<td>2021-05-22 08:44:52</td>
</tr>
<tr>
<td>508</td>
<td>00570265</td>
<td>GIBRAN</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-05-14 11:44:41</td>
<td>2021-05-17 08:06:07</td>
</tr>
<tr>
<td>509</td>
<td>00570264</td>
<td>NURYATI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-05-14 11:42:21</td>
<td>2021-05-15 11:32:58</td>
</tr>
<tr>
<td>510</td>
<td>00570198</td>
<td>BAYI NYONYA TITI MARHANIAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-14 11:38:45</td>
<td>2021-05-21 10:06:18</td>
</tr>
<tr>
<td>511</td>
<td>00570263</td>
<td>RAWIAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-14 11:27:38</td>
<td>2021-05-17 18:26:50</td>
</tr>
<tr>
<td>512</td>
<td>00570219</td>
<td>BAYI NYONYA MASWATI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-14 09:54:25</td>
<td>2021-05-17 06:45:07</td>
</tr>
<tr>
<td>513</td>
<td>00570262</td>
<td>AHMAD HIBATULLAH</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-14 09:39:38</td>
<td>2021-05-16 14:58:53</td>
</tr>
<tr>
<td>514</td>
<td>00570247</td>
<td>SELVIA MAULANI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-05-14 09:30:32</td>
<td>2021-05-15 11:19:04</td>
</tr>
<tr>
<td>515</td>
<td>00570260</td>
<td>FAHRI</td>
<td></td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-14 08:16:27</td>
<td>2021-05-17 06:55:02</td>
</tr>
<tr>
<td>516</td>
<td>00570248</td>
<td>HANS</td>
<td></td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-14 07:22:17</td>
<td>2021-05-20 14:33:30</td>
</tr>
<tr>
<td>517</td>
<td>00476548</td>
<td>MIMIN SEDIHASIH </td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-14 06:29:00</td>
<td>2021-05-18 09:19:35</td>
</tr>
<tr>
<td>518</td>
<td>00570259</td>
<td>ANUNG</td>
<td></td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-14 05:34:24</td>
<td>2021-05-20 11:37:43</td>
</tr>
<tr>
<td>519</td>
<td>00570258</td>
<td>BAYI NYONYA MUTMAINAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-14 04:26:11</td>
<td>2021-05-17 06:54:38</td>
</tr>
<tr>
<td>520</td>
<td>00570257</td>
<td>BY NY AIDA RAHMAWATI HAKIM</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-14 04:13:19</td>
<td>2021-05-17 06:53:59</td>
</tr>
<tr>
<td>521</td>
<td>00570255</td>
<td>BY NY SARAH SULISTIAWATI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-14 03:55:53</td>
<td>2021-05-17 06:52:49</td>
</tr>
<tr>
<td>522</td>
<td>00570256</td>
<td>BY NY FATIMAH</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-14 03:55:08</td>
<td>2021-05-18 13:04:54</td>
</tr>
<tr>
<td>523</td>
<td>00570254</td>
<td>MUTMAINAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-14 03:16:40</td>
<td>2021-05-16 13:04:25</td>
</tr>
<tr>
<td>524</td>
<td>00559998</td>
<td>IIS</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-14 03:11:56</td>
<td>2021-05-16 15:13:31</td>
</tr>
<tr>
<td>525</td>
<td>00570253</td>
<td>MUHADI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-14 03:00:48</td>
<td>2021-05-16 08:11:07</td>
</tr>
<tr>
<td>526</td>
<td>00570252</td>
<td>BAYI NYONYA LASTRI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-14 02:36:11</td>
<td>2021-05-17 06:53:28</td>
</tr>
<tr>
<td>527</td>
<td>00570250</td>
<td>JAMIL</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-13 23:57:37</td>
<td>2021-05-24 11:28:01</td>
</tr>
<tr>
<td>528</td>
<td>00570249</td>
<td>YENI SAPITRI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-13 23:46:34</td>
<td>2021-05-18 12:56:46</td>
</tr>
<tr>
<td>529</td>
<td>00489195</td>
<td>JUMENAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-13 21:03:38</td>
<td>2021-05-15 11:31:03</td>
</tr>
<tr>
<td>530</td>
<td>00570243</td>
<td>SARAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-13 21:02:08</td>
<td>2021-05-17 09:24:35</td>
</tr>
<tr>
<td>531</td>
<td>00570246</td>
<td>SUKARTA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-13 20:11:14</td>
<td>2021-05-19 06:50:54</td>
</tr>
<tr>
<td>532</td>
<td>00570244</td>
<td>PATIMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-13 19:29:56</td>
<td>2021-05-17 09:28:20</td>
</tr>
<tr>
<td>533</td>
<td>00570237</td>
<td>ARMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-13 18:52:22</td>
<td>2021-05-16 15:02:38</td>
</tr>
<tr>
<td>534</td>
<td>00570218</td>
<td>BAYI NYONYA YULI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-13 15:41:49</td>
<td>2021-05-17 06:46:31</td>
</tr>
<tr>
<td>535</td>
<td>00570240</td>
<td>TITA ALAWIAH</td>
<td>Perempuan</td>
<td>VK BED 6</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-13 14:42:17</td>
<td>2021-05-14 10:47:27</td>
</tr>
<tr>
<td>536</td>
<td>00570239</td>
<td>SYAHRUN FUAD</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-13 14:09:58</td>
<td>2021-05-19 13:17:07</td>
</tr>
<tr>
<td>537</td>
<td>00570236</td>
<td>AIDA RAHMAWATI HAKIM</td>
<td>Perempuan</td>
<td>VK BED 5</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-13 10:42:28</td>
<td>2021-05-15 10:58:51</td>
</tr>
<tr>
<td>538</td>
<td>00570234</td>
<td>LINDA N</td>
<td>Perempuan</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-13 10:37:17</td>
<td>2021-05-14 11:35:43</td>
</tr>
<tr>
<td>539</td>
<td>00531795</td>
<td>LASTRI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-13 10:17:24</td>
<td>2021-05-16 13:04:07</td>
</tr>
<tr>
<td>540</td>
<td>00570231</td>
<td>BY NY SARINAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-13 08:29:26</td>
<td>2021-05-17 06:45:33</td>
</tr>
<tr>
<td>541</td>
<td>00570228</td>
<td>ENAS</td>
<td>Perempuan</td>
<td>VK BED 12</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-13 03:19:29</td>
<td>2021-05-15 11:52:56</td>
</tr>
<tr>
<td>542</td>
<td>00570226</td>
<td>FAUZAN</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-12 23:08:59</td>
<td>2021-05-15 11:24:00</td>
</tr>
<tr>
<td>543</td>
<td>00570224</td>
<td>DWI SEPTIANI</td>
<td>Perempuan</td>
<td>VK BED 2</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-12 16:06:20</td>
<td>2021-05-15 11:19:14</td>
</tr>
<tr>
<td>544</td>
<td>00567354</td>
<td>AISYAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-12 15:36:30</td>
<td>2021-05-21 13:43:33</td>
</tr>
<tr>
<td>545</td>
<td>00570219</td>
<td>BAYI NYONYA MASWATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-12 11:26:17</td>
<td>2021-05-17 06:46:48</td>
</tr>
<tr>
<td>546</td>
<td>00568341</td>
<td>ROMLI SUGANDA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-12 08:29:36</td>
<td>2021-05-17 08:49:44</td>
</tr>
<tr>
<td>547</td>
<td>00570217</td>
<td>YULI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-12 06:08:34</td>
<td>2021-05-17 13:00:51</td>
</tr>
<tr>
<td>548</td>
<td>00570215</td>
<td>PANJI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-12 06:00:29</td>
<td>2021-05-21 08:24:37</td>
</tr>
<tr>
<td>549</td>
<td>00570213</td>
<td>AYU</td>
<td>Perempuan</td>
conditions</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-12 01:57:35</td>
<td>2021-05-16 10:00:14</td>
</tr>
<tr>
<td>550</td>
<td>00570211</td>
<td>ASEP</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-05-12 00:48:20</td>
<td>2021-05-15 13:42:19</td>
</tr>
<tr>
<td>551</td>
<td>00569012</td>
<td>Perempuan</td>
<td>VK BED 3</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-12 00:33:42</td>
<td>2021-05-15 11:37:52</td>
</tr>
<tr>
<td>552</td>
<td>00570210</td>
<td>MASWATI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-12 00:01:32</td>
<td>2021-05-14 12:47:06</td>
</tr>
<tr>
<td>553</td>
<td>00570209</td>
<td>MOH.AL MAHRUKI</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-05-11 21:55:10</td>
<td>2021-05-15 08:51:29</td>
</tr>
<tr>
<td>554</td>
<td>00570207</td>
<td>SULASMI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-11 21:49:47</td>
<td>2021-05-17 13:01:27</td>
</tr>
<tr>
<td>555</td>
<td>00570206</td>
<td>SUHENDAR</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Rujukan</td>
<td>2021-05-11 21:20:27</td>
<td>2021-05-17 18:36:22</td>
</tr>
<tr>
<td>556</td>
<td>00570205</td>
<td>CUCU</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-11 21:09:52</td>
<td>2021-05-16 07:28:52</td>
</tr>
<tr>
<td>557</td>
<td>00561623</td>
<td>YAYAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-11 20:05:26</td>
<td>2021-05-15 13:40:39</td>
</tr>
<tr>
<td>558</td>
<td>00569701</td>
<td>MUNAHDI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-11 15:32:38</td>
<td>2021-05-17 20:31:34</td>
</tr>
<tr>
<td>559</td>
<td>00570198</td>
<td>BAYI NYONYA TITI MARHANIAH</td>
<td>Perempuan</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-05-11 15:13:11</td>
<td>2021-05-19 13:35:41</td>
</tr>
<tr>
<td>560</td>
<td>00570196</td>
<td>JUMI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-11 14:24:11</td>
<td>2021-05-12 11:51:07</td>
</tr>
<tr>
<td>561</td>
<td>00570195</td>
<td>BAYI NYONYA SURYANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-11 13:53:31</td>
<td>2021-05-17 06:48:28</td>
</tr>
<tr>
<td>562</td>
<td>00570176</td>
<td>BAYI NYONYA NURHAYATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-11 13:19:44</td>
<td>2021-05-11 14:36:29</td>
</tr>
<tr>
<td>563</td>
<td>00570190</td>
<td>BY NANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-11 12:59:33</td>
<td>2021-05-17 06:55:47</td>
</tr>
<tr>
<td>564</td>
<td>00570192</td>
<td>BY NINING WAHYUNI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-11 12:41:27</td>
<td>2021-05-17 06:52:09</td>
</tr>
<tr>
<td>565</td>
<td>00570089</td>
<td>BAYI NYONYA ATI AISAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-11 11:53:37</td>
<td>2021-05-11 13:04:33</td>
</tr>
<tr>
<td>566</td>
<td>00570188</td>
<td>BY DINDA MAHARANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-11 11:51:23</td>
<td>2021-05-17 06:46:01</td>
</tr>
<tr>
<td>567</td>
<td>00542546</td>
<td>TATU</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-11 11:21:36</td>
<td>2021-05-17 18:38:37</td>
</tr>
<tr>
<td>568</td>
<td>00570109</td>
<td>BAYI NYONYA MUTMAINAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-11 10:10:45</td>
<td>2021-05-11 13:00:15</td>
</tr>
<tr>
<td>569</td>
<td>00532732</td>
<td>DIYAH JULIASTRI, S.PD</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-11 04:03:42</td>
<td>2021-05-12 13:16:39</td>
</tr>
<tr>
<td>570</td>
<td>00570085</td>
<td>SUBRO</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-11 00:02:02</td>
<td>2021-05-13 13:29:37</td>
</tr>
<tr>
<td>571</td>
<td>00567354</td>
<td>AISYAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-10 22:52:55</td>
<td>2021-05-11 13:09:12</td>
</tr>
<tr>
<td>572</td>
<td>00544931</td>
<td>ULAS</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-10 22:40:55</td>
<td>2021-05-12 21:06:41</td>
</tr>
<tr>
<td>573</td>
<td>00570179</td>
<td>EMAN SOLEMAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-10 22:39:13</td>
<td>2021-05-17 18:36:43</td>
</tr>
<tr>
<td>574</td>
<td>00570178</td>
<td>MITA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-05-10 22:14:54</td>
<td>2021-05-13 12:32:49</td>
</tr>
<tr>
<td>575</td>
<td>00570172</td>
<td>NURHAYATI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 18:36:35</td>
<td>2021-05-13 16:21:22</td>
</tr>
<tr>
<td>576</td>
<td>00570171</td>
<td>ERINA MIFTAHUL JANNAH</td>
<td>Perempuan</td>
<td>Dr, Indah permatasari</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-10 17:19:25</td>
<td>2021-05-12 14:37:20</td>
</tr>
<tr>
<td>577</td>
<td>00570170</td>
<td>SAUMIN</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-05-10 17:06:46</td>
<td>2021-05-13 12:32:33</td>
</tr>
<tr>
<td>578</td>
<td>00537930</td>
<td>SUNARIAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-10 16:23:03</td>
<td>2021-05-17 18:26:16</td>
</tr>
<tr>
<td>579</td>
<td>00570169</td>
<td>ASNAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-10 16:21:20</td>
<td>2021-05-13 00:54:19</td>
</tr>
<tr>
<td>580</td>
<td>00570162</td>
<td>NANI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-10 16:05:59</td>
<td>2021-05-13 16:20:51</td>
</tr>
<tr>
<td>581</td>
<td>00570168</td>
<td>MILA OKTAVIANI</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-05-10 15:40:14</td>
<td>2021-05-13 16:21:07</td>
</tr>
<tr>
<td>582</td>
<td>00570167</td>
<td>AGUS FACHTUL RAKHMAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 14:33:24</td>
<td>2021-05-12 21:06:34</td>
</tr>
<tr>
<td>583</td>
<td>00570166</td>
<td>MAEMUNAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 12:11:08</td>
<td>2021-05-12 21:06:17</td>
</tr>
<tr>
<td>584</td>
<td>00570165</td>
<td>RUMINI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 12:01:22</td>
<td>2021-05-11 17:45:09</td>
</tr>
<tr>
<td>585</td>
<td>00570164</td>
<td>MARHUMAH ULFAH</td>
<td>Perempuan</td>
<td>VK BED 4</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 11:52:08</td>
<td>2021-05-10 19:39:38</td>
</tr>
<tr>
<td>586</td>
<td>00533748</td>
<td>RIDO ILAHI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 11:37:39</td>
<td>2021-05-16 09:58:42</td>
</tr>
<tr>
<td>587</td>
<td>00570093</td>
<td>BAYI NYONYA DARENI NURAENI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 11:03:55</td>
<td>2021-05-11 14:41:10</td>
</tr>
<tr>
<td>588</td>
<td>00570163</td>
<td>MARLINA</td>
<td>Perempuan</td>
<td>VK BED 2</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 11:02:44</td>
<td>2021-05-11 12:28:58</td>
</tr>
<tr>
<td>589</td>
<td>00570161</td>
<td>BAYI NYONYA YENI NOVIANA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 11:01:05</td>
<td>2021-05-11 14:38:56</td>
</tr>
<tr>
<td>590</td>
<td>00570092</td>
<td>BAYI NYONYA DARENI NURAENI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 10:58:52</td>
<td>2021-05-11 13:05:50</td>
</tr>
<tr>
<td>591</td>
<td>00570160</td>
<td>SILFIA RIZKI RAHMA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 10:57:11</td>
<td>2021-05-12 09:18:58</td>
</tr>
<tr>
<td>592</td>
<td>00562514</td>
<td>EEN</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 09:51:41</td>
<td>2021-05-13 17:31:32</td>
</tr>
<tr>
<td>593</td>
<td>00570153</td>
<td>NINING WAHYUNI</td>
<td>Perempuan</td>
<td>Maternal care for disproportion, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 09:42:26</td>
<td>2021-05-13 16:21:43</td>
</tr>
<tr>
<td>594</td>
<td>00565884</td>
<td>SITI NURWASILAH</td>
<td>Perempuan</td>
<td>Brucellosis due to Brucella abortus</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 09:35:37</td>
<td>2021-05-11 17:44:40</td>
</tr>
<tr>
<td>595</td>
<td>00565132</td>
<td>ANGGARA</td>
<td>Pleural effusion, not elsewhere classified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 08:53:33</td>
<td>2021-05-11 12:35:52</td>
</tr>
<tr>
<td>596</td>
<td>00569062</td>
<td>DEVI YANTI</td>
<td>Perempuan</td>
<td>Twin pregnancy</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 08:43:49</td>
<td>2021-05-15 10:06:33</td>
</tr>
<tr>
<td>597</td>
<td>00570145</td>
<td>RIPAH</td>
<td>Perempuan</td>
<td>Placenta praevia specified as without haemorrhage</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 08:33:08</td>
<td>2021-05-11 17:44:55</td>
</tr>
<tr>
<td>598</td>
<td>00570140</td>
<td>SURYANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 08:17:26</td>
<td>2021-05-13 16:22:23</td>
</tr>
<tr>
<td>599</td>
<td>00570136</td>
<td>DINDA MAHARANI</td>
<td>Perempuan</td>
<td>Multiple delivery, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 07:44:23</td>
<td>2021-05-13 16:22:03</td>
</tr>
<tr>
<td>600</td>
<td>00562776</td>
<td>MUHAMMAD IZZULLHAQ ARRASYD</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-10 07:05:58</td>
<td>2021-05-10 21:55:50</td>
</tr>
<tr>
<td>601</td>
<td>00570135</td>
<td>MOH.AMIN</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-09 23:57:55</td>
<td>2021-05-17 18:37:42</td>
</tr>
<tr>
<td>602</td>
<td>00568318</td>
<td>ANAH ROSANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-09 21:10:35</td>
<td>2021-05-12 21:06:25</td>
</tr>
<tr>
<td>603</td>
<td>00570132</td>
<td>ARMI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-09 20:32:41</td>
<td>2021-05-17 08:51:03</td>
</tr>
<tr>
<td>604</td>
<td>00570130</td>
<td>AAT SUTIAWAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-09 19:05:20</td>
<td>2021-05-15 08:51:06</td>
</tr>
<tr>
<td>605</td>
<td>00513799</td>
<td>ODAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-09 18:38:08</td>
<td>2021-05-12 11:50:38</td>
</tr>
<tr>
<td>606</td>
<td>00570129</td>
<td>AYI MARIAM</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-09 17:22:27</td>
<td>2021-05-15 11:32:15</td>
</tr>
<tr>
<td>607</td>
<td>00570128</td>
<td>BAYI NYONYA DELISTA MARIFATUL NURJANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-09 16:45:02</td>
<td>2021-05-11 13:07:01</td>
</tr>
<tr>
<td>608</td>
<td>00570127</td>
<td>MUNAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-09 14:08:44</td>
<td>2021-05-11 12:03:34</td>
</tr>
<tr>
<td>609</td>
<td>00570094</td>
<td>BAYI NYONYA INDI MARYANI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-09 11:18:26</td>
<td>2021-05-11 09:49:16</td>
</tr>
<tr>
<td>610</td>
<td>00570126</td>
<td>CASMAN</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-09 11:08:56</td>
<td>2021-05-11 14:27:48</td>
</tr>
<tr>
<td>611</td>
<td>00570124</td>
<td>NANI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-09 09:28:41</td>
<td>2021-05-14 12:46:35</td>
</tr>
<tr>
<td>612</td>
<td>00567623</td>
<td>LIZA AWALIAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-09 09:19:20</td>
<td>2021-05-15 08:16:45</td>
</tr>
<tr>
<td>613</td>
<td>00570123</td>
<td>HARIS</td>
conditions</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-09 09:00:45</td>
<td>2021-05-10 09:23:03</td>
</tr>
<tr>
<td>614</td>
<td>00472290</td>
<td>MURTAPIAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-09 00:07:05</td>
<td>2021-05-10 13:34:54</td>
</tr>
<tr>
<td>615</td>
<td>00570119</td>
<td>KASTINAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-08 23:06:38</td>
<td>2021-05-10 12:46:29</td>
</tr>
<tr>
<td>616</td>
<td>00570118</td>
<td>SITI HUMAIROH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-08 22:09:33</td>
<td>2021-05-11 10:00:03</td>
</tr>
<tr>
<td>617</td>
<td>00570114</td>
<td>DELISTA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-08 19:39:07</td>
<td>2021-05-12 11:51:24</td>
</tr>
<tr>
<td>618</td>
<td>00471872</td>
<td>ATI SUHARDIATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-08 18:07:00</td>
<td>2021-05-15 12:03:43</td>
</tr>
<tr>
<td>619</td>
<td>00570113</td>
<td>SAYUTI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-08 16:42:16</td>
<td>2021-05-20 14:51:43</td>
</tr>
<tr>
<td>620</td>
<td>00570112</td>
<td>SONAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-08 16:17:23</td>
<td>2021-05-10 14:34:19</td>
</tr>
<tr>
<td>621</td>
<td>00561864</td>
<td>MILLA FADHILA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-08 15:13:54</td>
<td>2021-05-12 14:28:53</td>
</tr>
<tr>
<td>622</td>
<td>00570108</td>
<td>BY NY MUTMMAINAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-08 13:40:28</td>
<td>2021-05-11 12:56:56</td>
</tr>
<tr>
<td>623</td>
<td>00570107</td>
<td>BAYI NYONYA ISMAWATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-08 13:33:55</td>
<td>2021-05-11 14:45:06</td>
</tr>
<tr>
<td>624</td>
<td>00570106</td>
<td>NANAH NAHRIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-08 13:16:40</td>
<td>2021-05-10 12:32:01</td>
</tr>
<tr>
<td>625</td>
<td>00570105</td>
<td>MUHAMAD WANGKI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-08 12:16:01</td>
<td>2021-05-11 12:36:12</td>
</tr>
<tr>
<td>626</td>
<td>00570105</td>
<td>MUHAMAD WANGKI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-08 12:16:01</td>
<td>2021-05-11 12:36:12</td>
</tr>
<tr>
<td>627</td>
<td>00570104</td>
<td>YULI FITRIYANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-08 11:24:44</td>
<td>2021-05-11 12:04:53</td>
</tr>
<tr>
<td>628</td>
<td>00570103</td>
<td>BY NY AAS</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-08 09:04:32</td>
<td>2021-05-11 14:45:49</td>
</tr>
<tr>
<td>629</td>
<td>00565299</td>
<td>SITI USWATUN KHASANAH</td>
<td>Perempuan</td>
<td>Anaemia in other chronic diseases classified elsewhere</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-08 08:53:59</td>
<td>2021-05-11 10:44:33</td>
</tr>
<tr>
<td>630</td>
<td>00570099</td>
<td>MUTMAINAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-08 08:27:45</td>
<td>2021-05-11 12:10:48</td>
</tr>
<tr>
<td>631</td>
<td>00568976</td>
<td>RIRIN</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-08 08:13:32</td>
<td>2021-05-10 12:04:10</td>
</tr>
<tr>
<td>632</td>
<td>00560866</td>
<td>AJHARI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-08 05:58:01</td>
<td>2021-05-15 13:40:04</td>
</tr>
<tr>
<td>633</td>
<td>00570098</td>
<td>AAS</td>
<td>Perempuan</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-05-08 02:43:34</td>
<td>2021-05-15 10:05:36</td>
</tr>
<tr>
<td>634</td>
<td>00570095</td>
<td>BAYI NYONYA DESKA NARTANTI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-07 23:20:31</td>
<td>2021-05-19 13:34:52</td>
</tr>
<tr>
<td>635</td>
<td>00570090</td>
<td>BAYI NYONYA ATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-07 22:22:42</td>
<td>2021-05-11 14:46:45</td>
</tr>
<tr>
<td>636</td>
<td>00570088</td>
<td>BAYI NYONYA ROHANAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-07 21:25:09</td>
<td>2021-05-11 14:48:15</td>
</tr>
<tr>
<td>637</td>
<td>00570087</td>
<td>BAYI NYONYA ERNA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-07 20:59:41</td>
<td>2021-05-11 14:47:30</td>
</tr>
<tr>
<td>638</td>
<td>00570086</td>
<td>BAYI NYONYA RISNAWATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-07 20:47:21</td>
<td>2021-05-11 14:42:42</td>
</tr>
<tr>
<td>639</td>
<td>00570085</td>
<td>SUBRO</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-05-07 20:24:15</td>
<td>2021-05-10 13:53:32</td>
</tr>
<tr>
<td>640</td>
<td>00462127</td>
<td>SRI TORIDA</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 20:04:01</td>
<td>2021-05-11 17:45:27</td>
</tr>
<tr>
<td>641</td>
<td>00570084</td>
<td>DARENI NURAENI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 19:36:30</td>
<td>2021-05-11 12:06:49</td>
</tr>
<tr>
<td>642</td>
<td>00570082</td>
<td>BY NY NUR ALISAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-07 19:24:19</td>
<td>2021-05-18 13:05:20</td>
</tr>
<tr>
<td>643</td>
<td>00570055</td>
<td>RUMSI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-07 15:43:23</td>
<td>2021-05-15 10:10:27</td>
</tr>
<tr>
<td>644</td>
<td>00528135</td>
<td>MUTMAINAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 14:55:52</td>
<td>2021-05-19 14:03:37</td>
</tr>
<tr>
<td>645</td>
<td>00570081</td>
<td>TAJUDIN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 14:21:09</td>
<td>2021-05-08 09:26:23</td>
</tr>
<tr>
<td>646</td>
<td>00570080</td>
<td>ELAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 12:43:30</td>
<td>2021-05-10 12:33:53</td>
</tr>
<tr>
<td>647</td>
<td>00570079</td>
<td>RISNAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 12:24:56</td>
<td>2021-05-11 12:06:13</td>
</tr>
<tr>
<td>648</td>
<td>00569065</td>
<td>ATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 12:03:41</td>
<td>2021-05-10 12:33:23</td>
</tr>
<tr>
<td>649</td>
<td>00570027</td>
<td>BAYI NYONYA NUR ASIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 11:50:46</td>
<td>2021-05-17 06:48:49</td>
</tr>
<tr>
<td>650</td>
<td>00570078</td>
<td>ERNA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 11:40:32</td>
<td>2021-05-10 12:34:39</td>
</tr>
<tr>
<td>651</td>
<td>00570077</td>
<td>KASMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 11:25:56</td>
<td>2021-05-12 21:06:49</td>
</tr>
<tr>
<td>652</td>
<td>00570033</td>
<td>BAYI NYONYA NURHASANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-07 11:16:39</td>
<td>2021-05-11 14:39:38</td>
</tr>
<tr>
<td>653</td>
<td>00570076</td>
<td>BY NY PATIMAH</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Langsung</td>
<td>2021-05-07 10:36:53</td>
<td>2021-05-11 14:44:24</td>
</tr>
<tr>
<td>654</td>
<td>00570074</td>
<td>BY NY YANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-07 10:00:05</td>
<td>2021-05-19 13:33:42</td>
</tr>
<tr>
<td>655</td>
<td>00570073</td>
<td>SALEHA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-07 09:57:56</td>
<td>2021-05-10 13:54:08</td>
</tr>
<tr>
<td>656</td>
<td>00504588</td>
<td>ARESYA PUTRA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 09:10:31</td>
<td>2021-05-10 10:53:08</td>
</tr>
<tr>
<td>657</td>
<td>00570064</td>
<td>INDI MARYANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 08:55:21</td>
<td>2021-05-10 11:19:49</td>
</tr>
<tr>
<td>658</td>
<td>00570062</td>
<td>FITRIYAH</td>
<td>Perempuan</td>
<td>Missed abortion</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 08:52:32</td>
<td>2021-05-08 12:34:34</td>
</tr>
<tr>
<td>659</td>
<td>00535632</td>
<td>SITI UMAYAH</td>
<td>Perempuan</td>
<td>Other specified diseases and conditions complicating pregnancy,
childbirth and the puerperium</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 08:50:23</td>
<td>2021-05-08 12:33:25</td>
</tr>
<tr>
<td>660</td>
<td>00570061</td>
<td>DEVIASARI</td>
<td>Perempuan</td>
<td>Other abnormal products of conception</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 08:49:30</td>
<td>2021-05-08 12:33:53</td>
</tr>
<tr>
<td>661</td>
<td>00288657</td>
<td>NAZRIL MAULANA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 08:48:35</td>
<td>2021-05-10 10:50:44</td>
</tr>
<tr>
<td>662</td>
<td>00469542</td>
<td>SUTARSIH</td>
<td>Perempuan</td>
<td>Other abnormal uterine and vaginal bleeding</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 08:33:28</td>
<td>2021-05-08 12:32:53</td>
</tr>
<tr>
<td>663</td>
<td>00551322</td>
<td>NURDIN</td>
<td>Cellulitis, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 08:32:07</td>
<td>2021-05-13 17:32:23</td>
</tr>
<tr>
<td>664</td>
<td>00569536</td>
<td>KAMISAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 08:25:25</td>
<td>2021-05-09 10:31:00</td>
</tr>
<tr>
<td>665</td>
<td>00570052</td>
<td>ROHANAH</td>
<td>Perempuan</td>
<td>Moderate pre-eclampsia</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 08:25:15</td>
<td>2021-05-15 10:07:17</td>
</tr>
<tr>
<td>666</td>
<td>00570051</td>
<td>ATI AISAH</td>
<td>Perempuan</td>
<td>Maternal care due to uterine scar from previous surgery</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 08:22:03</td>
<td>2021-05-11 12:05:35</td>
</tr>
<tr>
<td>667</td>
<td>00492578</td>
<td>ISMAWATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 08:09:18</td>
<td>2021-05-10 13:49:47</td>
</tr>
<tr>
<td>668</td>
<td>00570044</td>
<td>SURYATI</td>
<td>Perempuan</td>
<td>Retained placenta without haemorrhage</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-07 07:54:02</td>
<td>2021-05-10 12:32:34</td>
</tr>
<tr>
<td>669</td>
<td>00570040</td>
<td>IYAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-06 23:24:55</td>
<td>2021-05-12 21:06:29</td>
</tr>
<tr>
<td>670</td>
<td>00570039</td>
<td>DESKA NARTANTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 20:47:06</td>
<td>2021-05-08 14:50:52</td>
</tr>
<tr>
<td>671</td>
<td>00570038</td>
<td>YANI</td>
<td>Perempuan</td>
<td>VK BED 14</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 20:44:17</td>
<td>2021-05-07 12:40:36</td>
</tr>
<tr>
<td>672</td>
<td>00570037</td>
<td>NAZIYA FATIHA.R</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 20:33:08</td>
<td>2021-05-10 10:31:37</td>
</tr>
<tr>
<td>673</td>
<td>00570036</td>
<td>EVA NOVITA</td>
<td>Perempuan</td>
<td>VK BED 3</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-05-06 20:28:03</td>
<td>2021-05-07 07:52:56</td>
</tr>
<tr>
<td>674</td>
<td>00570035</td>
<td>MUNARTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-05-06 19:42:04</td>
<td>2021-05-16 09:59:40</td>
</tr>
<tr>
<td>675</td>
<td>00570034</td>
<td>M MISRI</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-06 19:08:52</td>
<td>2021-05-09 09:01:38</td>
</tr>
<tr>
<td>676</td>
<td>00527774</td>
<td>FARREL DWI ALFARIZKY</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 18:47:54</td>
<td>2021-05-11 10:44:38</td>
</tr>
<tr>
<td>677</td>
<td>00569966</td>
<td>SAHRONI</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-06 17:26:46</td>
<td>2021-05-09 10:41:27</td>
</tr>
<tr>
<td>678</td>
<td>00476182</td>
<td>JOHARI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 16:54:22</td>
<td>2021-05-08 09:28:20</td>
</tr>
<tr>
<td>679</td>
<td>00570032</td>
<td>BAYI NYONYA SRI SUMIATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-06 15:38:17</td>
<td>2021-05-11 14:40:21</td>
</tr>
<tr>
<td>680</td>
<td>00570031</td>
<td>BAYI NYONYA INA SANTINAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-06 15:10:10</td>
<td>2021-05-11 14:43:47</td>
</tr>
<tr>
<td>681</td>
<td>00570029</td>
<td>BAYI NYONYA MULYANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-06 14:52:53</td>
<td>2021-05-11 14:41:50</td>
</tr>
<tr>
<td>682</td>
<td>00570026</td>
<td>MOCH. IBRAHIM PASHA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 14:16:33</td>
<td>2021-05-10 14:03:18</td>
</tr>
<tr>
<td>683</td>
<td>00570025</td>
<td>BAYI NYONYA ITA NURHIDAYAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 14:05:40</td>
<td>2021-05-17 06:49:10</td>
</tr>
<tr>
<td>684</td>
<td>00570024</td>
<td>BAYI NYONYA YUNITA HANIDIYAWATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-06 14:03:54</td>
<td>2021-05-17 06:47:46</td>
</tr>
<tr>
<td>685</td>
<td>00569842</td>
<td>NURHASANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 13:51:21</td>
<td>2021-05-08 12:39:30</td>
</tr>
<tr>
<td>686</td>
<td>00506619</td>
<td>SINDI AULIA PUTRI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 13:45:28</td>
<td>2021-05-10 10:27:17</td>
</tr>
<tr>
<td>687</td>
<td>00570023</td>
<td>BAYI NYONYA TINI SUHARTINI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-06 13:25:23</td>
<td>2021-05-17 06:49:52</td>
</tr>
<tr>
<td>688</td>
<td>00570022</td>
<td>SRI SUMYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 13:07:48</td>
<td>2021-05-11 12:12:51</td>
</tr>
<tr>
<td>689</td>
<td>00570021</td>
<td>BAYI NYONYA MUKROMAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 13:03:06</td>
<td>2021-05-11 14:38:08</td>
</tr>
<tr>
<td>690</td>
<td>00570020</td>
<td>WINDA AMELIA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-06 12:40:40</td>
<td>2021-05-10 11:25:46</td>
</tr>
<tr>
<td>691</td>
<td>00569994</td>
<td>INA SANTINAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 12:29:53</td>
<td>2021-05-08 12:39:01</td>
</tr>
<tr>
<td>692</td>
<td>00570018</td>
<td>MUKROMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 10:43:45</td>
<td>2021-05-08 12:35:57</td>
</tr>
<tr>
<td>693</td>
<td>00411622</td>
<td>ASEP</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 10:26:31</td>
<td>2021-05-10 13:49:57</td>
</tr>
<tr>
<td>694</td>
<td>00569208</td>
<td>MADANIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 10:26:12</td>
<td>2021-05-08 12:30:19</td>
</tr>
<tr>
<td>695</td>
<td>00462734</td>
<td>MUNIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 10:21:13</td>
<td>2021-05-08 09:24:44</td>
</tr>
<tr>
<td>696</td>
<td>00569755</td>
<td>DEDE JUNIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 10:16:56</td>
<td>2021-05-07 19:19:41</td>
</tr>
<tr>
<td>697</td>
<td>00570016</td>
<td>ASKA DANISH ARPANDI </td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-06 10:13:55</td>
<td>2021-05-07 14:41:44</td>
</tr>
<tr>
<td>698</td>
<td>00382351</td>
<td>NAIZAR AFRIYUDA MESA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 10:04:39</td>
<td>2021-05-07 14:42:05</td>
</tr>
<tr>
<td>699</td>
<td>00569197</td>
<td>NUR ASIAH</td>
<td>Perempuan</td>
<td>Delivery by emergency caesarean section</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 09:52:58</td>
<td>2021-05-08 12:38:35</td>
</tr>
<tr>
<td>700</td>
<td>00481894</td>
<td>M. ARIFIN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 09:47:36</td>
<td>2021-05-07 14:42:28</td>
</tr>
<tr>
<td>701</td>
<td>00568341</td>
<td>ROMLI SUGANDA</td>
<td>Malignant neoplasm of colon, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 09:34:55</td>
<td>2021-05-10 11:27:36</td>
</tr>
<tr>
<td>702</td>
<td>00414076</td>
<td>GUGUN GUNAWAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 09:30:17</td>
<td>2021-05-07 09:04:49</td>
</tr>
<tr>
<td>703</td>
<td>00569995</td>
<td>ITA NURHIDAYAH</td>
<td>Perempuan</td>
<td>Supervision of other high-risk pregnancies</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 09:13:21</td>
<td>2021-05-08 12:36:33</td>
</tr>
<tr>
<td>704</td>
<td>00569178</td>
<td>FAHRI</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-06 09:09:49</td>
<td>2021-05-09 13:38:05</td>
</tr>
<tr>
<td>705</td>
<td>00569992</td>
<td>RIZKA PUSPITA SARI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 09:09:07</td>
<td>2021-05-07 19:24:41</td>
</tr>
<tr>
<td>706</td>
<td>00569990</td>
<td>MASTURI</td>
<td>Perempuan</td>
<td>Excessive and frequent menstruation with irregular cycle</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 09:05:35</td>
<td>2021-05-10 11:39:53</td>
</tr>
<tr>
<td>707</td>
<td>00569989</td>
<td>ALIKA NURUL WALIDAIN</td>
<td>Perempuan</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Rujukan</td>
<td>2021-05-06 09:03:02</td>
<td>2021-05-11 07:56:29</td>
</tr>
<tr>
<td>708</td>
<td>00569988</td>
<td>YAYAH NURHAYAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 09:02:40</td>
<td>2021-05-16 09:59:10</td>
</tr>
<tr>
<td>709</td>
<td>00568366</td>
<td>RUSIN</td>
face and neck</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 08:52:18</td>
<td>2021-05-08 12:51:14</td>
</tr>
<tr>
<td>710</td>
<td>00569984</td>
<td>YUNITA HANIDIYAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 08:51:51</td>
<td>2021-05-08 12:37:45</td>
</tr>
<tr>
<td>711</td>
<td>00569980</td>
<td>ICIH SUHERSIH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 08:46:47</td>
<td>2021-05-07 19:16:11</td>
</tr>
<tr>
<td>712</td>
<td>00569979</td>
<td>AAS ASMIATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 08:43:41</td>
<td>2021-05-07 19:20:00</td>
</tr>
<tr>
<td>713</td>
<td>00502302</td>
<td>TINI SUHARTINI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 08:24:18</td>
<td>2021-05-08 12:35:20</td>
</tr>
<tr>
<td>714</td>
<td>00569972</td>
<td>MULYANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-06 07:52:03</td>
<td>2021-05-08 12:37:04</td>
</tr>
<tr>
<td>715</td>
<td>00519844</td>
<td>ANWAR EFENDI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-05 23:16:06</td>
<td>2021-05-07 16:08:00</td>
</tr>
<tr>
<td>716</td>
<td>00569951</td>
<td>M NABIL ALFARUQ</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-05 22:47:00</td>
<td>2021-05-07 14:41:35</td>
</tr>
<tr>
<td>717</td>
<td>00569969</td>
<td>SITI PATIMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-05 22:35:11</td>
<td>2021-05-11 12:11:51</td>
</tr>
<tr>
<td>718</td>
<td>00569968</td>
<td>ENENG SITI NURDIANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-05 22:28:18</td>
<td>2021-05-10 13:38:46</td>
</tr>
<tr>
<td>719</td>
<td>00569963</td>
<td>AN HAIKAL</td>
conditions</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-05 20:05:05</td>
<td>2021-05-06 20:10:18</td>
</tr>
<tr>
<td>720</td>
<td>00569965</td>
<td>BAYI NYONYA RIZKY INTAN RIANTI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-05 19:38:14</td>
<td>2021-05-18 13:01:04</td>
</tr>
<tr>
<td>721</td>
<td>00569964</td>
<td>EMAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-05 16:40:31</td>
<td>2021-05-09 10:28:57</td>
</tr>
<tr>
<td>722</td>
<td>00569962</td>
<td>BAYI NYONYA ARSANAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-05 13:53:40</td>
<td>2021-05-11 09:50:18</td>
</tr>
<tr>
<td>723</td>
<td>00569961</td>
<td>SITI NADIRA PUTRI MUNAJAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-05 13:40:42</td>
<td>2021-05-08 13:40:02</td>
</tr>
<tr>
<td>724</td>
<td>00569960</td>
<td>HERMAWAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-05 13:28:02</td>
<td>2021-05-10 13:00:42</td>
</tr>
<tr>
<td>725</td>
<td>00569959</td>
<td>SADELI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-05 12:44:14</td>
<td>2021-05-10 13:50:44</td>
</tr>
<tr>
<td>726</td>
<td>00569895</td>
<td>BAHRI RAMADAN</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-05 11:56:05</td>
<td>2021-05-10 11:25:51</td>
</tr>
<tr>
<td>727</td>
<td>00569954</td>
<td>BAYI NYONYA SITI MASRUROH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-05 10:33:05</td>
<td>2021-05-11 14:37:29</td>
</tr>
<tr>
<td>728</td>
<td>00569951</td>
<td>M NABIL ALFARUQ</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-05 10:03:41</td>
<td>2021-05-05 20:23:08</td>
</tr>
<tr>
<td>729</td>
<td>00569949</td>
<td>BY NY NINING HARTATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-05 09:54:09</td>
<td>2021-05-06 09:40:16</td>
</tr>
<tr>
<td>730</td>
<td>00569946</td>
<td>ROHIMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-05 09:42:26</td>
<td>2021-05-07 09:45:51</td>
</tr>
<tr>
<td>731</td>
<td>00569941</td>
<td>ITI SUHAYATI</td>
<td>Perempuan</td>
<td>VK BED 2</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-05 09:18:01</td>
<td>2021-05-05 21:02:56</td>
</tr>
<tr>
<td>732</td>
<td>00401516</td>
<td>H. M. SUPANDI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-05 09:03:29</td>
<td>2021-05-06 14:03:56</td>
</tr>
<tr>
<td>733</td>
<td>00569930</td>
<td>HAMIZAH LARASATI</td>
<td>Perempuan</td>
<td>Corns and callosities</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-05 08:21:03</td>
<td>2021-05-19 11:15:32</td>
</tr>
<tr>
<td>734</td>
<td>00569929</td>
<td>SAHRONI</td>
<td>Other and unspecified abdominal pain</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-05 08:15:44</td>
<td>2021-05-18 14:22:01</td>
</tr>
<tr>
<td>735</td>
<td>00569927</td>
<td>ENI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-05 07:43:33</td>
<td>2021-05-08 12:52:20</td>
</tr>
<tr>
<td>736</td>
<td>00569922</td>
<td>BAYI NYONYA MASTIANA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-04 22:13:02</td>
<td>2021-05-11 09:49:55</td>
</tr>
<tr>
<td>737</td>
<td>00569923</td>
<td>NIA KURNIAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-04 21:05:17</td>
<td>2021-05-05 17:33:20</td>
</tr>
<tr>
<td>738</td>
<td>00569152</td>
<td>KOMAR RUDIN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 20:47:14</td>
<td>2021-05-16 10:23:53</td>
</tr>
<tr>
<td>739</td>
<td>00569921</td>
<td>DIDING BEN DJALAM</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 19:26:36</td>
<td>2021-05-06 14:07:06</td>
</tr>
<tr>
<td>740</td>
<td>00569920</td>
<td>IRSAD</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 18:51:18</td>
<td>2021-05-07 19:08:50</td>
</tr>
<tr>
<td>741</td>
<td>00511079</td>
<td>HJ ENNO ROHAENAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 17:10:17</td>
<td>2021-05-08 09:14:25</td>
</tr>
<tr>
<td>742</td>
<td>00490657</td>
<td>SITI ROHMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 14:10:26</td>
<td>2021-05-07 09:07:17</td>
</tr>
<tr>
<td>743</td>
<td>00569919</td>
<td>BY NY SARMANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 13:17:07</td>
<td>2021-05-11 13:04:00</td>
</tr>
<tr>
<td>744</td>
<td>00569918</td>
<td>SITI TASLIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 12:58:06</td>
<td>2021-05-08 09:24:05</td>
</tr>
<tr>
<td>745</td>
<td>00569917</td>
<td>BAYI NYONYA IIS</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 12:43:01</td>
<td>2021-05-05 09:35:03</td>
</tr>
<tr>
<td>746</td>
<td>00569916</td>
<td>BY NY ENENG SUSLIAH</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 12:04:17</td>
<td>2021-05-05 09:38:27</td>
</tr>
<tr>
<td>747</td>
<td>00569882</td>
<td>BAYI NYONYA AMELIA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-04 11:18:28</td>
<td>2021-05-04 12:53:32</td>
</tr>
<tr>
<td>748</td>
<td>00569914</td>
<td>BAYI NYONYA UUN SUTIANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-04 11:12:48</td>
<td>2021-05-05 09:44:53</td>
</tr>
<tr>
<td>749</td>
<td>00569885</td>
<td>BAYI NYONYA ILA YULIANTI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 11:11:39</td>
<td>2021-05-05 09:36:35</td>
</tr>
<tr>
<td>750</td>
<td>00569914</td>
<td>BAYI NYONYA UUN SUTIANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 10:45:06</td>
<td>2021-05-05 10:44:06</td>
</tr>
<tr>
<td>751</td>
<td>00569912</td>
<td>BY NY AAN HAYATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 10:30:42</td>
<td>2021-05-05 09:41:27</td>
</tr>
<tr>
<td>752</td>
<td>00569877</td>
<td>ety emalia ihdawati</td>
<td>Perempuan</td>
<td>dr, SUBIHAT NATAKUSUMA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 09:52:03</td>
<td>2021-05-07 09:41:29</td>
</tr>
<tr>
<td>753</td>
<td>00556148</td>
<td>DESI DESNIANTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 09:37:38</td>
<td>2021-05-06 11:39:19</td>
</tr>
<tr>
<td>754</td>
<td>00569878</td>
<td>INDA HAYATI NUPUS</td>
<td>Perempuan</td>
<td>VK BED 6</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 09:36:41</td>
<td>2021-05-04 11:48:10</td>
</tr>
<tr>
<td>755</td>
<td>00569875</td>
<td>DINDA ATIFASURI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 09:33:06</td>
<td>2021-05-07 09:07:29</td>
</tr>
<tr>
<td>756</td>
<td>00302662</td>
<td>NESA SEFTI LESTARI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 09:28:50</td>
<td>2021-05-05 20:22:37</td>
</tr>
<tr>
<td>757</td>
<td>00569879</td>
<td>DEWI</td>
<td>Perempuan</td>
<td>F84.1 - Atypical autism</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 09:23:59</td>
<td>2021-05-08 22:24:29</td>
</tr>
<tr>
<td>758</td>
<td>00569883</td>
<td>SITI HABIYAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 09:13:23</td>
<td>2021-05-05 08:30:47</td>
</tr>
<tr>
<td>759</td>
<td>00569880</td>
<td>SELA</td>
<td>Perempuan</td>
<td>VK BED 3</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 08:52:17</td>
<td>2021-05-04 12:04:12</td>
</tr>
<tr>
<td>760</td>
<td>00569876</td>
<td>SITI AMELIA</td>
<td>Perempuan</td>
<td>VK BED 2</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 08:44:25</td>
<td>2021-05-04 11:46:34</td>
</tr>
<tr>
<td>761</td>
<td>00569889</td>
<td>BAYI NYONYA SUAHANAH</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 05:28:14</td>
<td>2021-05-11 09:54:43</td>
</tr>
<tr>
<td>762</td>
<td>00441749</td>
<td>ABI WAHAB ZULKARNAIN</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-04 00:29:18</td>
<td>2021-05-05 11:37:17</td>
</tr>
<tr>
<td>763</td>
<td>00569792</td>
<td>YAYAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-03 23:47:06</td>
<td>2021-05-06 12:20:50</td>
</tr>
<tr>
<td>764</td>
<td>00569888</td>
<td>MUNADI</td>
<td></td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-05-03 23:32:19</td>
<td>2021-05-06 14:08:19</td>
</tr>
<tr>
<td>765</td>
<td>00569571</td>
<td>BAI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 22:59:38</td>
<td>2021-05-07 12:49:34</td>
</tr>
<tr>
<td>766</td>
<td>00569887</td>
<td>YAYAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-03 22:55:20</td>
<td>2021-05-10 17:01:56</td>
</tr>
<tr>
<td>767</td>
<td>00564487</td>
<td>ETY MARYATI</td>
<td>Perempuan</td>
<td></td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-05-03 22:43:06</td>
<td>2021-05-04 12:31:02</td>
</tr>
<tr>
<td>768</td>
<td>00569886</td>
<td>AMINAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 22:37:54</td>
<td>2021-05-06 12:20:29</td>
</tr>
<tr>
<td>769</td>
<td>00569869</td>
<td>ALI YAHYA</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-03 21:24:58</td>
<td>2021-05-10 11:25:58</td>
</tr>
<tr>
<td>770</td>
<td>00563501</td>
<td>ENO</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 21:11:02</td>
<td>2021-05-06 13:07:42</td>
</tr>
<tr>
<td>771</td>
<td>00563501</td>
<td>ENO</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 21:11:02</td>
<td>2021-05-06 13:07:42</td>
</tr>
<tr>
<td>772</td>
<td>00569874</td>
<td>ADI AGUSTIANINGSIH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 17:28:20</td>
<td>2021-05-07 09:06:58</td>
</tr>
<tr>
<td>773</td>
<td>00569873</td>
<td>ILA YULIANTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 15:47:37</td>
<td>2021-05-05 12:06:29</td>
</tr>
<tr>
<td>774</td>
<td>00569856</td>
<td>SARMANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-03 15:19:18</td>
<td>2021-05-06 12:18:24</td>
</tr>
<tr>
<td>775</td>
<td>00569531</td>
<td>AAN HAYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 15:05:44</td>
<td>2021-05-07 12:37:01</td>
</tr>
<tr>
<td>776</td>
<td>00569871</td>
<td>AMELIA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 14:04:59</td>
<td>2021-05-06 12:19:34</td>
</tr>
<tr>
<td>777</td>
<td>00547441</td>
<td>SARMANI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 13:54:55</td>
<td>2021-05-05 09:24:59</td>
</tr>
<tr>
<td>778</td>
<td>00569870</td>
<td>BAYI NYONYA NURHASANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 13:49:51</td>
<td>2021-05-11 09:49:41</td>
</tr>
<tr>
<td>779</td>
<td>00569868</td>
<td>BY NY HJ MIRA 2</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 12:01:56</td>
<td>2021-05-04 10:20:51</td>
</tr>
<tr>
<td>780</td>
<td>00569867</td>
<td>BY NY HJ MIRA 1</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 12:00:45</td>
<td>2021-05-04 11:05:47</td>
</tr>
<tr>
<td>781</td>
<td>00407499</td>
<td>MARNAH</td>
<td>Perempuan</td>
<td>VK BED 4</td>
<td>Antepartum haemorrhage, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 11:58:14</td>
<td>2021-05-05 08:24:56</td>
</tr>
<tr>
<td>782</td>
<td>00569865</td>
<td>NURHASANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 11:11:10</td>
<td>2021-05-06 12:17:43</td>
</tr>
<tr>
<td>783</td>
<td>00569863</td>
<td>MASTAR</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-05-03 10:35:27</td>
<td>2021-05-04 11:07:54</td>
</tr>
<tr>
<td>784</td>
<td>00569820</td>
<td>BAYI NYONYA WITA WINDIYASARI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 10:29:40</td>
<td>2021-05-05 09:40:12</td>
</tr>
<tr>
<td>785</td>
<td>00569862</td>
<td>SITI MASRUROH</td>
<td>Perempuan</td>
<td>Maternal care for disproportion due to unusually large fetus</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 10:22:50</td>
<td>2021-05-07 12:51:46</td>
</tr>
<tr>
<td>786</td>
<td>00569009</td>
<td>SITI AULIA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 10:02:08</td>
<td>2021-05-20 11:36:17</td>
</tr>
<tr>
<td>787</td>
<td>00569837</td>
<td>RATU FAUZILAH AINI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 09:57:28</td>
<td>2021-05-04 19:31:23</td>
</tr>
<tr>
<td>788</td>
<td>00569860</td>
<td>BAYI NYONYA IMAS MASYAMAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 09:46:58</td>
<td>2021-05-05 14:15:59</td>
</tr>
<tr>
<td>789</td>
<td>00569859</td>
<td>IIS</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 09:42:38</td>
<td>2021-05-06 11:41:28</td>
</tr>
<tr>
<td>790</td>
<td>00569210</td>
<td>ENENG SUSLIAH</td>
<td>Perempuan</td>
<td>Supervision of other high-risk pregnancies</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 09:08:23</td>
<td>2021-05-06 11:35:12</td>
</tr>
<tr>
<td>791</td>
<td>00569838</td>
<td>ANDI SUHANDI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 08:30:02</td>
<td>2021-05-07 09:42:13</td>
</tr>
<tr>
<td>792</td>
<td>00569844</td>
<td>ANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 08:14:16</td>
<td>2021-05-04 19:30:59</td>
</tr>
<tr>
<td>793</td>
<td>00569840</td>
<td>NINING HARTATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 07:38:07</td>
<td>2021-05-13 16:22:40</td>
</tr>
<tr>
<td>794</td>
<td>00569839</td>
<td>YATI</td>
<td>Perempuan</td>
<td>VK BED 5</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 07:28:34</td>
<td>2021-05-04 12:11:37</td>
</tr>
<tr>
<td>795</td>
<td>00569293</td>
<td>DEVA AFIATNA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-03 07:25:02</td>
<td>2021-05-10 08:58:35</td>
</tr>
<tr>
<td>796</td>
<td>00569834</td>
<td>BY ROSMIATI</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-05-02 22:23:43</td>
<td>2021-05-04 12:56:20</td>
</tr>
<tr>
<td>797</td>
<td>00569833</td>
<td>DIYAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-05-02 22:11:43</td>
<td>2021-05-10 13:52:58</td>
</tr>
<tr>
<td>798</td>
<td>00516451</td>
<td>RYBEE AZZAHIDI ELSHIRAZY</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-02 21:16:05</td>
<td>2021-05-05 11:50:14</td>
</tr>
<tr>
<td>799</td>
<td>00569554</td>
<td>SAHRA</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-02 21:01:44</td>
<td>2021-05-05 10:00:27</td>
</tr>
<tr>
<td>800</td>
<td>00501245</td>
<td>SUMA'AH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-02 20:35:23</td>
<td>2021-05-12 14:29:28</td>
</tr>
<tr>
<td>801</td>
<td>00569831</td>
<td>A.ROMLI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-02 14:53:56</td>
<td>2021-05-05 14:28:35</td>
</tr>
<tr>
<td>802</td>
<td>00553271</td>
<td>SARIFAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-02 14:47:20</td>
<td>2021-05-04 11:07:09</td>
</tr>
<tr>
<td>803</td>
<td>00566798</td>
<td>SUNJIAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-02 14:37:09</td>
<td>2021-05-07 09:07:46</td>
</tr>
<tr>
<td>804</td>
<td>00504574</td>
<td>SANDI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-02 14:02:38</td>
<td>2021-05-05 09:27:12</td>
</tr>
<tr>
<td>805</td>
<td>00569830</td>
<td>ROSMAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-02 12:51:48</td>
<td>2021-05-06 12:19:03</td>
</tr>
<tr>
<td>806</td>
<td>00409194</td>
<td>NUR AQILA AZ ZAHRA</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-01 23:13:06</td>
<td>2021-05-04 15:36:18</td>
</tr>
<tr>
<td>807</td>
<td>00569824</td>
<td>MARSINAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Langsung</td>
<td>2021-05-01 22:54:02</td>
<td>2021-05-03 13:00:09</td>
</tr>
<tr>
<td>808</td>
<td>00569823</td>
<td>BY EPON</td>
<td>Perempuan</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-05-01 21:07:44</td>
<td>2021-05-03 09:15:20</td>
</tr>
<tr>
<td>809</td>
<td>00569822</td>
<td>EEM</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-01 20:01:53</td>
<td>2021-05-04 11:05:37</td>
</tr>
<tr>
<td>810</td>
<td>00442802</td>
<td>NY.TATI SUPRAPTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-01 19:42:35</td>
<td>2021-05-04 13:08:06</td>
</tr>
<tr>
<td>811</td>
<td>00569819</td>
<td>ABDULOH</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-05-01 18:45:01</td>
<td>2021-05-05 10:35:34</td>
</tr>
<tr>
<td>812</td>
<td>00495790</td>
<td>AHMAD BUSTOMI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-01 18:17:01</td>
<td>2021-05-04 11:53:13</td>
</tr>
<tr>
<td>813</td>
<td>00284444</td>
<td>MIRA RIHATIN,S.KEP.NERS</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-01 16:59:51</td>
<td>2021-05-06 14:17:21</td>
</tr>
<tr>
<td>814</td>
<td>00541106</td>
<td>LUSI RETNADI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-01 15:41:16</td>
<td>2021-05-05 09:25:56</td>
</tr>
<tr>
<td>815</td>
<td>00569821</td>
<td>EPON TRISNAWATI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-05-01 13:45:00</td>
<td>2021-05-05 12:17:36</td>
</tr>
<tr>
<td>816</td>
<td>00569820</td>
<td>BAYI NYONYA WITA WINDIYASARI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-01 12:51:24</td>
<td>2021-05-03 09:19:15</td>
</tr>
<tr>
<td>817</td>
<td>00569818</td>
<td>MASANAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-01 11:20:21</td>
<td>2021-05-03 13:02:26</td>
</tr>
<tr>
<td>818</td>
<td>00492569</td>
<td>rukiah</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-01 10:53:44</td>
<td>2021-05-03 12:29:12</td>
</tr>
<tr>
<td>819</td>
<td>00569817</td>
<td>RISKA HARYANI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-01 09:54:15</td>
<td>2021-05-03 08:37:59</td>
</tr>
<tr>
<td>820</td>
<td>00541106</td>
<td>LUSI RETNADI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-01 09:21:20</td>
<td>2021-05-03 12:29:04</td>
</tr>
<tr>
<td>821</td>
<td>00545268</td>
<td>SONAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-05-01 07:07:22</td>
<td>2021-05-03 12:21:46</td>
</tr>
<tr>
<td>822</td>
<td>00569815</td>
<td>BAYI NYONYA PRIHATINI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-05-01 01:21:27</td>
<td>2021-05-05 14:15:09</td>
</tr>
<tr>
<td>823</td>
<td>00569571</td>
<td>BAI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-30 23:55:53</td>
<td>2021-05-02 10:21:33</td>
</tr>
<tr>
<td>824</td>
<td>00514377</td>
<td>HARUN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-30 21:47:07</td>
<td>2021-05-11 12:35:26</td>
</tr>
<tr>
<td>825</td>
<td>00535430</td>
<td>MUHAMAD FADLAN ANDRIANA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-30 21:39:41</td>
<td>2021-05-04 11:52:37</td>
</tr>
<tr>
<td>826</td>
<td>00569813</td>
<td>BY RATIH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Langsung</td>
<td>2021-04-30 20:27:31</td>
<td>2021-05-03 09:06:34</td>
</tr>
<tr>
<td>827</td>
<td>00569812</td>
<td>KARTINI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-30 20:08:04</td>
<td>2021-05-03 13:05:29</td>
</tr>
<tr>
<td>828</td>
<td>00517094</td>
<td>IDOH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-30 19:21:40</td>
<td>2021-05-05 09:24:09</td>
</tr>
<tr>
<td>829</td>
<td>00569809</td>
<td>RODIAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-30 18:20:55</td>
<td>2021-05-08 12:53:19</td>
</tr>
<tr>
<td>830</td>
<td>00569808</td>
<td>RATIH NURILAWATI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Langsung</td>
<td>2021-04-30 18:15:34</td>
<td>2021-05-03 13:25:32</td>
</tr>
<tr>
<td>831</td>
<td>00569807</td>
<td>ARIEF SURYO UTOMO</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-30 17:56:02</td>
<td>2021-05-04 09:24:50</td>
</tr>
<tr>
<td>832</td>
<td>00569805</td>
<td>BY HILDA</td>
<td>Perempuan</td>
conditions</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-30 16:04:32</td>
<td>2021-05-05 14:14:49</td>
</tr>
<tr>
<td>833</td>
<td>00569782</td>
<td>RISMAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-30 15:35:01</td>
<td>2021-05-03 13:55:50</td>
</tr>
<tr>
<td>834</td>
<td>00569804</td>
<td>JASMAN</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-30 14:24:51</td>
<td>2021-05-04 13:00:05</td>
</tr>
<tr>
<td>835</td>
<td>00440695</td>
<td>HJ TITI SUNARTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-30 13:45:42</td>
<td>2021-05-04 08:44:30</td>
</tr>
<tr>
<td>836</td>
<td>00539119</td>
<td>SITI JUBAEDAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-30 12:46:17</td>
<td>2021-05-04 11:48:37</td>
</tr>
<tr>
<td>837</td>
<td>00505059</td>
<td>JASIM</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-30 10:43:54</td>
<td>2021-05-05 08:32:32</td>
</tr>
<tr>
<td>838</td>
<td>00569800</td>
<td>WITA WIDIASARI</td>
<td>Perempuan</td>
<td>Premature rupture of membranes, onset of labour after 24 hours</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-30 10:22:14</td>
<td>2021-05-04 11:18:12</td>
</tr>
<tr>
<td>839</td>
<td>00569773</td>
<td>BY NY WINDI 2</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-30 10:15:25</td>
<td>2021-05-04 12:51:49</td>
</tr>
<tr>
<td>840</td>
<td>00569772</td>
<td>BY NY WINDI 1</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-30 10:14:07</td>
<td>2021-05-04 12:52:15</td>
</tr>
<tr>
<td>841</td>
<td>00569374</td>
<td>BAYI AZRINA NAZLA MEKKA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-30 10:01:14</td>
<td>2021-05-02 11:05:18</td>
</tr>
<tr>
<td>842</td>
<td>00569799</td>
<td>BAYI NYONYA siti sofiah </td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-30 09:47:02</td>
<td>2021-05-05 14:16:42</td>
</tr>
<tr>
<td>843</td>
<td>00569798</td>
<td>IYOH ROHAYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-30 09:02:16</td>
<td>2021-05-05 22:50:39</td>
</tr>
<tr>
<td>844</td>
<td>00388216</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-30 08:55:34</td>
<td>2021-05-01 09:40:46</td>
</tr>
<tr>
<td>845</td>
<td>00569789</td>
<td>UUN SUTIANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-30 08:30:04</td>
<td>2021-05-06 12:20:03</td>
</tr>
<tr>
<td>846</td>
<td>00569616</td>
<td>MEMED</td>
<td>E10 - Insulin-dependent diabetes mellitus</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-30 08:15:04</td>
<td>2021-05-06 13:25:34</td>
</tr>
<tr>
<td>847</td>
<td>00450606</td>
<td>ALFIN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-30 08:15:04</td>
<td>2021-05-01 09:40:33</td>
</tr>
<tr>
<td>848</td>
<td>00569787</td>
<td>RUKMINI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-30 08:06:16</td>
<td>2021-05-04 10:19:51</td>
</tr>
<tr>
<td>849</td>
<td>00569786</td>
<td>JAMSAH</td>
<td>Perempuan</td>
<td>Acquired haemolytic anaemia</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-30 08:02:12</td>
<td>2021-05-03 12:27:27</td>
</tr>
<tr>
<td>850</td>
<td>00533550</td>
<td>MUHAMAD RIVAN SUANDA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-30 01:34:47</td>
<td>2021-05-03 11:59:49</td>
</tr>
<tr>
<td>851</td>
<td>00569780</td>
<td>RUDIANA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 22:54:37</td>
<td>2021-05-10 13:36:28</td>
</tr>
<tr>
<td>852</td>
<td>00173048</td>
<td>MARIAM</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-29 18:48:12</td>
<td>2021-05-01 13:55:49</td>
</tr>
<tr>
<td>853</td>
<td>00569779</td>
<td>BAYI NYONYA SITI NUR ROHMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 18:44:19</td>
<td>2021-05-05 09:47:14</td>
</tr>
<tr>
<td>854</td>
<td>00569777</td>
<td>BAYI NYONYA SARTU</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 16:48:32</td>
<td>2021-05-03 09:16:16</td>
</tr>
<tr>
<td>855</td>
<td>00569315</td>
<td>IPROH PITRIA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-29 15:38:39</td>
<td>2021-05-05 12:16:05</td>
</tr>
<tr>
<td>856</td>
<td>00489195</td>
<td>JUMENAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-29 15:24:41</td>
<td>2021-05-04 11:04:41</td>
</tr>
<tr>
<td>857</td>
<td>00569776</td>
<td>AHYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-29 15:09:23</td>
<td>2021-04-30 10:52:22</td>
</tr>
<tr>
<td>858</td>
<td>00569737</td>
<td>SARMUNAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-29 14:57:15</td>
<td>2021-04-30 15:27:51</td>
</tr>
<tr>
<td>859</td>
<td>00524680</td>
<td>SARTU</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-29 14:32:23</td>
<td>2021-05-01 12:43:43</td>
</tr>
<tr>
<td>860</td>
<td>00569771</td>
<td>BAYI NYONYA HENI HERLIANA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 13:38:48</td>
<td>2021-05-03 09:10:48</td>
</tr>
<tr>
<td>861</td>
<td>00527614</td>
<td>TITIS ARIYANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 13:06:24</td>
<td>2021-05-03 11:35:56</td>
</tr>
<tr>
<td>862</td>
<td>00569769</td>
<td>DEDI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 13:02:02</td>
<td>2021-05-07 09:07:13</td>
</tr>
<tr>
<td>863</td>
<td>00393869</td>
<td>SARWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 12:05:36</td>
<td>2021-05-03 12:27:17</td>
</tr>
<tr>
<td>864</td>
<td>00440550</td>
<td>HERNI SUNARNI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 12:03:36</td>
<td>2021-05-03 09:11:18</td>
</tr>
<tr>
<td>865</td>
<td>00533748</td>
<td>RIDO ILAHI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 11:26:47</td>
<td>2021-05-04 13:00:43</td>
</tr>
<tr>
<td>866</td>
<td>00569217</td>
<td>TOTONG ROSIDUDIN</td>
<td>Thyrotoxicosis [hyperthyroidism]</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 10:03:02</td>
<td>2021-05-06 13:19:42</td>
</tr>
<tr>
<td>867</td>
<td>00569684</td>
<td>HIRUL FAZRI</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-29 09:55:26</td>
<td>2021-05-05 11:50:19</td>
</tr>
<tr>
<td>868</td>
<td>00529021</td>
<td>ITOH MASITOH</td>
<td>Perempuan</td>
<td>VK BED 7</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 09:48:52</td>
<td>2021-05-03 12:41:57</td>
</tr>
<tr>
<td>869</td>
<td>00569765</td>
<td>EMUS MULYADI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 09:43:51</td>
<td>2021-05-03 13:57:22</td>
</tr>
<tr>
<td>870</td>
<td>00569763</td>
<td>WINDI SUSILAWATI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Langsung</td>
<td>2021-04-29 09:40:02</td>
<td>2021-05-03 08:37:06</td>
</tr>
<tr>
<td>871</td>
<td>00568669</td>
<td>IKRAR FAJAR SAFAAT</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 09:33:50</td>
<td>2021-05-06 13:19:04</td>
</tr>
<tr>
<td>872</td>
<td>00554843</td>
<td>HENI HERLIANA</td>
<td>Perempuan</td>
<td>Follow-up examination after surgery for other conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 09:27:30</td>
<td>2021-05-01 12:44:41</td>
</tr>
<tr>
<td>873</td>
<td>00569570</td>
<td>SUMAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 09:20:29</td>
<td>2021-05-04 09:03:14</td>
</tr>
<tr>
<td>874</td>
<td>00569748</td>
<td>SITI NUR ROHMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 08:50:17</td>
<td>2021-05-01 12:44:02</td>
</tr>
<tr>
<td>875</td>
<td>00569741</td>
<td>UHAH SOLIHAH</td>
<td>Perempuan</td>
<td>VK BED 2</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 08:34:00</td>
<td>2021-05-03 08:54:02</td>
</tr>
<tr>
<td>876</td>
<td>00529967</td>
<td>INDAH IMANIAR</td>
<td>Perempuan</td>
<td>Exceptionally large baby</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 08:29:26</td>
<td>2021-05-03 08:38:34</td>
</tr>
<tr>
<td>877</td>
<td>00569726</td>
<td>ANDA FIRDAUS</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-29 08:03:50</td>
<td>2021-05-03 12:47:08</td>
</tr>
<tr>
<td>878</td>
<td>00559789</td>
<td>DEDE HENI</td>
<td>Perempuan</td>
<td>Malignant neoplasm of breast, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 07:44:29</td>
<td>2021-05-08 12:50:20</td>
</tr>
<tr>
<td>879</td>
<td>00569470</td>
<td>ROHAYATI BT. USMAN</td>
<td>Perempuan</td>
conditions</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-29 07:32:58</td>
<td>2021-05-03 13:55:20</td>
</tr>
<tr>
<td>880</td>
<td>00515170</td>
<td>EMED</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 01:32:16</td>
<td>2021-04-30 14:10:10</td>
</tr>
<tr>
<td>881</td>
<td>00569731</td>
<td>NOVITA DEWI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-29 00:12:51</td>
<td>2021-05-03 13:53:35</td>
</tr>
<tr>
<td>882</td>
<td>00569730</td>
<td>AHMAD RAFAN MUQTADA</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 23:52:44</td>
<td>2021-05-12 07:38:04</td>
</tr>
<tr>
<td>883</td>
<td>00569729</td>
<td>MAESAROH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 22:12:11</td>
<td>2021-05-03 12:27:30</td>
</tr>
<tr>
<td>884</td>
<td>00569722</td>
<td>BAYI NYONYA ASTUTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 16:52:59</td>
<td>2021-04-29 11:13:15</td>
</tr>
<tr>
<td>885</td>
<td>00569721</td>
<td>BAYI NYONYA ASTUTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 16:51:05</td>
<td>2021-04-29 11:00:55</td>
</tr>
<tr>
<td>886</td>
<td>00569727</td>
<td>H TSARIF</td>
<td></td>
<td></td>
<td>Rujukan</td>
<td>2021-04-28 16:17:41</td>
<td>2021-04-29 09:08:35</td>
</tr>
<tr>
<td>887</td>
<td>00569725</td>
<td>ENTIN SUHARTINI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 14:11:15</td>
<td>2021-04-29 10:59:39</td>
</tr>
<tr>
<td>888</td>
<td>00569724</td>
<td>MUHAMMAD JALALLUDIN</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-28 14:07:43</td>
<td>2021-04-29 10:25:22</td>
</tr>
<tr>
<td>889</td>
<td>00569375</td>
<td>SARNANGIAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 13:21:47</td>
<td>2021-04-29 11:52:52</td>
</tr>
<tr>
<td>890</td>
<td>00569681</td>
<td>BAYI NYONYA ASMARIAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 13:20:43</td>
<td>2021-05-03 09:08:31</td>
</tr>
<tr>
<td>891</td>
<td>00569716</td>
<td>BAYI NYONYA ISTI ANGGRAENI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 13:12:05</td>
<td>2021-04-29 11:03:36</td>
</tr>
<tr>
<td>892</td>
<td>00569723</td>
<td>SAEPI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 13:04:56</td>
<td>2021-05-03 12:47:36</td>
</tr>
<tr>
<td>893</td>
<td>00569720</td>
<td>MUSTAM</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-28 12:27:44</td>
<td>2021-05-03 12:27:14</td>
</tr>
<tr>
<td>894</td>
<td>00568871</td>
<td>BAYI NYONYA NURI RATNA SUGIANTI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 12:25:38</td>
<td>2021-04-29 10:59:02</td>
</tr>
<tr>
<td>895</td>
<td>00569683</td>
<td>BAYI NYONYA RENNY ANGGRAENI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 12:24:50</td>
<td>2021-04-29 10:59:57</td>
</tr>
<tr>
<td>896</td>
<td>00569628</td>
<td>BY NY DINDA</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Rujukan</td>
<td>2021-04-28 12:23:47</td>
<td>2021-05-03 09:09:09</td>
</tr>
<tr>
<td>897</td>
<td>00569689</td>
<td>BY ROHMAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-28 12:22:59</td>
<td>2021-04-29 11:04:46</td>
</tr>
<tr>
<td>898</td>
<td>00569718</td>
<td>BAYI NYONYA SUSILAWATI</td>
<td>Perempuan</td>
<td>Z09.7 - Follow-up examination after combined treatment for other
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 11:03:53</td>
<td>2021-04-29 11:05:52</td>
</tr>
<tr>
<td>899</td>
<td>00542925</td>
<td>SARNAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 10:57:19</td>
<td>2021-05-03 12:48:54</td>
</tr>
<tr>
<td>900</td>
<td>00511452</td>
<td>IRVAN SEPTIANA</td>
histologically</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 10:46:54</td>
<td>2021-05-04 08:44:37</td>
</tr>
<tr>
<td>901</td>
<td>00569714</td>
<td>MAMAN SUHERMAN</td>
histologically</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 10:00:51</td>
<td>2021-05-05 08:25:45</td>
</tr>
<tr>
<td>902</td>
<td>00569691</td>
<td>MAHMUDI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 09:27:30</td>
<td>2021-04-30 08:48:08</td>
</tr>
<tr>
<td>903</td>
<td>00569705</td>
<td>SAHRONI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 08:59:54</td>
<td>2021-05-04 13:11:42</td>
</tr>
<tr>
<td>904</td>
<td>00569426</td>
<td>MUHAMAD SUHADI</td>
face and neck</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 08:56:57</td>
<td>2021-05-05 13:54:45</td>
</tr>
<tr>
<td>905</td>
<td>00517618</td>
<td>SITI SEPTI OKTAPIA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 08:53:22</td>
<td>2021-05-05 13:56:11</td>
</tr>
<tr>
<td>906</td>
<td>00569704</td>
<td>RIZKIA PUTRI ABU</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-28 08:41:10</td>
<td>2021-04-30 14:46:16</td>
</tr>
<tr>
<td>907</td>
<td>00567499</td>
<td>SIFANI</td>
<td>Perempuan</td>
histologically</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 08:29:13</td>
<td>2021-04-30 14:51:22</td>
</tr>
<tr>
<td>908</td>
<td>00565456</td>
<td>ARTAWI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 08:25:37</td>
<td>2021-05-05 08:25:15</td>
</tr>
<tr>
<td>909</td>
<td>00569702</td>
<td>HALIMI</td>
<td>Actinic keratosis</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 08:24:45</td>
<td>2021-05-04 13:12:35</td>
</tr>
<tr>
<td>910</td>
<td>00472830</td>
<td>AMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 02:44:54</td>
<td>2021-05-03 12:27:23</td>
</tr>
<tr>
<td>911</td>
<td>00569693</td>
<td>SARAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-28 00:40:51</td>
<td>2021-05-03 12:27:21</td>
</tr>
<tr>
<td>912</td>
<td>00569692</td>
<td>AN SILVI</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-27 22:44:25</td>
<td>2021-05-04 13:13:50</td>
</tr>
<tr>
<td>913</td>
<td>00569690</td>
<td>BY ANI</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-04-27 21:45:43</td>
<td>2021-04-29 11:01:58</td>
</tr>
<tr>
<td>914</td>
<td>00569688</td>
<td>ANI SUGIARTI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-27 19:40:43</td>
<td>2021-04-29 10:58:22</td>
</tr>
<tr>
<td>915</td>
<td>00564281</td>
<td>SELVINA NELAWATI</td>
<td>Perempuan</td>
<td>VK BED 5</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-27 19:02:06</td>
<td>2021-04-29 08:41:37</td>
</tr>
<tr>
<td>916</td>
<td>00569687</td>
<td>BADRI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-27 17:31:07</td>
<td>2021-04-29 11:03:53</td>
</tr>
<tr>
<td>917</td>
<td>00569597</td>
<td>RATIH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-27 17:24:46</td>
<td>2021-04-30 11:03:04</td>
</tr>
<tr>
<td>918</td>
<td>00569674</td>
<td>MUHAMMAD ADITIA RIZKI RAMADHAN </td>
<td> BED </td>
<td></td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-27 16:39:13</td>
<td>2021-04-28 12:36:36</td>
</tr>
<tr>
<td>919</td>
<td>00569234</td>
<td>ENTUS KURNIAWIDI</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-27 16:37:34</td>
<td>2021-05-03 12:27:32</td>
</tr>
<tr>
<td>920</td>
<td>00569686</td>
<td>UYU YUNENGSIH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-27 16:15:12</td>
<td>2021-05-01 12:44:18</td>
</tr>
<tr>
<td>921</td>
<td>00569682</td>
<td>BAYI NYONYA RUKMANIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-27 13:03:02</td>
<td>2021-05-03 09:13:18</td>
</tr>
<tr>
<td>922</td>
<td>00569681</td>
<td>BAYI NYONYA ASMARIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-27 12:29:10</td>
<td>2021-04-29 11:09:03</td>
</tr>
<tr>
<td>923</td>
<td>00569680</td>
<td>EUIS SUMIATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-27 12:07:52</td>
<td>2021-04-28 10:35:09</td>
</tr>
<tr>
<td>924</td>
<td>00512769</td>
<td>HERI SUHAERI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-27 11:23:53</td>
<td>2021-04-30 09:53:22</td>
</tr>
<tr>
<td>925</td>
<td>00569675</td>
<td>BAYI NYONYA SANTI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-27 09:57:21</td>
<td>2021-05-03 09:07:30</td>
</tr>
<tr>
<td>926</td>
<td>00569640</td>
<td>NUR ROHMAWATI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-27 09:20:06</td>
<td>2021-04-29 11:00:07</td>
</tr>
<tr>
<td>927</td>
<td>00569670</td>
<td>MUHAMMAD ARTANABIL RAMDAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-27 09:18:57</td>
<td>2021-05-03 09:17:16</td>
</tr>
<tr>
<td>928</td>
<td>00569667</td>
<td>SAHIRI</td>
<td>dr, Saleh, Sp.B</td>
<td>Lipomatosis, not elsewhere classified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-27 09:07:50</td>
<td>2021-05-02 13:33:05</td>
</tr>
<tr>
<td>929</td>
<td>00569655</td>
<td>SITI YUDIAH</td>
<td>Perempuan</td>
<td>Ganglion</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-27 08:24:50</td>
<td>2021-04-30 14:14:37</td>
</tr>
<tr>
<td>930</td>
<td>00569652</td>
<td>NUR ALFIANA ALPATU ANISA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-27 08:18:30</td>
<td>2021-04-30 14:38:12</td>
</tr>
<tr>
<td>931</td>
<td>00569651</td>
<td>TRI SUWARNI</td>
<td>Perempuan</td>
<td>Ganglion</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-27 08:14:54</td>
<td>2021-04-29 12:56:47</td>
</tr>
<tr>
<td>932</td>
<td>00569643</td>
<td>JASMINE KHAUMAEROH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-27 07:46:27</td>
<td>2021-04-29 12:57:05</td>
</tr>
<tr>
<td>933</td>
<td>00496132</td>
<td>ASMARIAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-27 06:43:40</td>
<td>2021-04-29 10:57:29</td>
</tr>
<tr>
<td>934</td>
<td>00545611</td>
<td>MANDALA SAKTI JAYA KUSUMA</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-27 01:49:58</td>
<td>2021-04-30 14:45:56</td>
</tr>
<tr>
<td>935</td>
<td>00569639</td>
<td>DERI ARDIANSAH</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-27 00:33:39</td>
<td>2021-04-30 14:05:51</td>
</tr>
<tr>
<td>936</td>
<td>00569636</td>
<td>BY NY ENUNG</td>
conditions</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Langsung</td>
<td>2021-04-26 22:19:33</td>
<td>2021-04-29 10:57:09</td>
</tr>
<tr>
<td>937</td>
<td>00569455</td>
<td>NANI PEBRIANI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-26 22:15:12</td>
<td>2021-05-01 12:06:30</td>
</tr>
<tr>
<td>938</td>
<td>00565712</td>
<td>DEVI DINAR ASWIDA</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-26 22:14:29</td>
<td>2021-04-30 11:34:48</td>
</tr>
<tr>
<td>939</td>
<td>00569634</td>
<td>MASKAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-26 21:59:28</td>
<td>2021-05-03 12:46:38</td>
</tr>
<tr>
<td>940</td>
<td>00569633</td>
<td>KHANSA PUTRI LIYANA</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-26 21:56:22</td>
<td>2021-04-28 10:36:02</td>
</tr>
<tr>
<td>941</td>
<td>00554644</td>
<td>SIFA FAUZIAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 21:42:06</td>
<td>2021-04-28 10:47:13</td>
</tr>
<tr>
<td>942</td>
<td>00399394</td>
<td>Achmad dafin ajumi</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 21:25:43</td>
<td>2021-05-03 12:04:16</td>
</tr>
<tr>
<td>943</td>
<td>00569344</td>
<td>DULMUTI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 21:01:57</td>
<td>2021-05-03 12:49:46</td>
</tr>
<tr>
<td>944</td>
<td>00569631</td>
<td>JAWENAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 19:21:17</td>
<td>2021-04-29 11:58:15</td>
</tr>
<tr>
<td>945</td>
<td>00561202</td>
<td>ELI SUHELI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 17:01:29</td>
<td>2021-04-29 11:57:28</td>
</tr>
<tr>
<td>946</td>
<td>00569630</td>
<td>SUSI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 16:58:39</td>
<td>2021-04-30 11:06:10</td>
</tr>
<tr>
<td>947</td>
<td>00569629</td>
<td>IYAN SOFYAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 16:25:04</td>
<td>2021-04-29 11:03:23</td>
</tr>
<tr>
<td>948</td>
<td>00569339</td>
<td>SARMINAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 15:11:28</td>
<td>2021-04-28 10:45:02</td>
</tr>
<tr>
<td>949</td>
<td>00569626</td>
<td>BAYI NYONYA SANATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 15:08:14</td>
<td>2021-04-27 11:43:10</td>
</tr>
<tr>
<td>950</td>
<td>00527882</td>
<td>MUHAMMAD RAFQI ALI RAHMAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 14:46:52</td>
<td>2021-04-29 12:16:03</td>
</tr>
<tr>
<td>951</td>
<td>00569588</td>
<td>BAYI NYONYA FATONAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 14:31:08</td>
<td>2021-04-29 11:09:39</td>
</tr>
<tr>
<td>952</td>
<td>00569627</td>
<td>AWALUDIN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 14:22:58</td>
<td>2021-04-27 10:30:45</td>
</tr>
<tr>
<td>953</td>
<td>00569626</td>
<td>BAYI NYONYA SANATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 12:55:48</td>
<td>2021-04-27 11:43:45</td>
</tr>
<tr>
<td>954</td>
<td>00569625</td>
<td>FAHLAN HIDAYATULLAH</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-26 12:05:22</td>
<td>2021-04-30 14:09:06</td>
</tr>
<tr>
<td>955</td>
<td>00301912</td>
<td>ISTI ANGGRAENI</td>
<td>Perempuan</td>
<td>VK BED 6</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 11:30:46</td>
<td>2021-04-26 12:55:23</td>
</tr>
<tr>
<td>956</td>
<td>00568888</td>
<td>AMIN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 10:44:03</td>
<td>2021-04-30 09:18:57</td>
</tr>
<tr>
<td>957</td>
<td>00569623</td>
<td>SAMBAS</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 10:30:43</td>
<td>2021-04-29 11:58:09</td>
</tr>
<tr>
<td>958</td>
<td>00569580</td>
<td>KODRIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-26 10:20:51</td>
<td>2021-04-29 11:57:20</td>
</tr>
<tr>
<td>959</td>
<td>00486223</td>
<td>RAHMAT FIRDAUS</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-26 10:16:34</td>
<td>2021-04-30 14:10:31</td>
</tr>
<tr>
<td>960</td>
<td>00569537</td>
<td>SANATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 09:54:50</td>
<td>2021-04-28 10:35:53</td>
</tr>
<tr>
<td>961</td>
<td>00569314</td>
<td>FITRIYANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 09:40:44</td>
<td>2021-04-30 14:09:35</td>
</tr>
<tr>
<td>962</td>
<td>00569618</td>
<td>FUZI YANTI</td>
<td>Perempuan</td>
<td>VK BED 3</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 09:37:27</td>
<td>2021-04-27 08:20:33</td>
</tr>
<tr>
<td>963</td>
<td>00569615</td>
<td>RUKMANIAH</td>
<td>Perempuan</td>
<td>Placenta praevia</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 09:22:23</td>
<td>2021-04-29 11:00:40</td>
</tr>
<tr>
<td>964</td>
<td>00568294</td>
<td>EBADUROCHMAN</td>
<td>drg, Dhita Hanedyawuri</td>
<td>Gingivitis and periodontal diseases</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 09:17:30</td>
<td>2021-04-29 12:58:15</td>
</tr>
<tr>
<td>965</td>
<td>00569610</td>
<td>KANAH</td>
<td>Perempuan</td>
<td>Malignant neoplasm of mediastinum, part unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 09:07:04</td>
<td>2021-04-28 13:26:49</td>
</tr>
<tr>
<td>966</td>
<td>00564342</td>
<td>FADILLAH MUNTAHANNAH</td>
<td>Perempuan</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-26 09:03:19</td>
<td>2021-05-04 11:28:41</td>
</tr>
<tr>
<td>967</td>
<td>00514803</td>
<td>IIS ERNAWATI</td>
<td>Perempuan</td>
<td>Supervision of normal pregnancy, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 08:57:57</td>
<td>2021-04-29 09:14:21</td>
</tr>
<tr>
<td>968</td>
<td>00569608</td>
<td>SUNAH</td>
<td>Perempuan</td>
<td>Hydatidiform mole, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 08:48:34</td>
<td>2021-04-29 10:30:25</td>
</tr>
<tr>
<td>969</td>
<td>00568556</td>
<td>MAMAT</td>
<td>Respiratory tuberculosis, bacteriologically and histologically
confirmed</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 08:47:24</td>
<td>2021-04-28 09:11:34</td>
</tr>
<tr>
<td>970</td>
<td>00492901</td>
<td>YENI NOVIANA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 08:44:52</td>
<td>2021-05-12 11:50:14</td>
</tr>
<tr>
<td>971</td>
<td>00435322</td>
<td>UCI SANUSI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 08:32:02</td>
<td>2021-04-30 10:34:17</td>
</tr>
<tr>
<td>972</td>
<td>00541371</td>
<td>TITIN HARTINI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 08:29:28</td>
<td>2021-04-29 12:32:34</td>
</tr>
<tr>
<td>973</td>
<td>00568161</td>
<td>ASTUTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 08:21:21</td>
<td>2021-04-30 11:02:28</td>
</tr>
<tr>
<td>974</td>
<td>00569602</td>
<td>RENNY ANGGRAENI</td>
<td>Perempuan</td>
<td>Premature rupture of membranes, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-26 08:20:32</td>
<td>2021-04-29 11:01:26</td>
</tr>
<tr>
<td>975</td>
<td>00569593</td>
<td>JOTENG</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-26 01:48:01</td>
<td>2021-05-06 13:20:25</td>
</tr>
<tr>
<td>976</td>
<td>00569588</td>
<td>BAYI NYONYA FATONAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-25 21:39:11</td>
<td>2021-05-03 09:20:11</td>
</tr>
<tr>
<td>977</td>
<td>00569587</td>
<td>FATONAH</td>
<td>Perempuan</td>
<td>VK BED 1</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-25 20:18:28</td>
<td>2021-04-27 08:19:48</td>
</tr>
<tr>
<td>978</td>
<td>00509330</td>
<td>AMAD</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-25 19:58:32</td>
<td>2021-04-30 14:01:21</td>
</tr>
<tr>
<td>979</td>
<td>00569586</td>
<td>AYU</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-25 19:45:10</td>
<td>2021-05-05 14:43:19</td>
</tr>
<tr>
<td>980</td>
<td>00506762</td>
<td>SITI UNRIYAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-25 18:55:08</td>
<td>2021-05-01 11:42:12</td>
</tr>
<tr>
<td>981</td>
<td>00569585</td>
<td>SAMSUL BAHRI</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-25 18:31:46</td>
<td>2021-04-29 11:58:21</td>
</tr>
<tr>
<td>982</td>
<td>00569584</td>
<td>BAYI NYONYA TANTI WULANDARI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-25 17:16:31</td>
<td>2021-05-18 13:01:29</td>
</tr>
<tr>
<td>983</td>
<td>00567623</td>
<td>LIZA AWALIAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-25 17:10:30</td>
<td>2021-04-30 14:41:33</td>
</tr>
<tr>
<td>984</td>
<td>00378026</td>
<td>MOH. HUzAEMI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-25 14:05:46</td>
<td>2021-04-27 12:30:34</td>
</tr>
<tr>
<td>985</td>
<td>00569582</td>
<td>JASIM</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-25 12:13:23</td>
<td>2021-05-03 13:51:59</td>
</tr>
<tr>
<td>986</td>
<td>00569581</td>
<td>ILA FEBRIANI</td>
<td>Perempuan</td>
<td></td>
<td></td>
<td>Rujukan</td>
<td>2021-04-25 10:34:54</td>
<td>2021-04-27 12:09:44</td>
</tr>
<tr>
<td>987</td>
<td>00569577</td>
<td>NARIAH</td>
<td>Perempuan</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-04-25 09:51:58</td>
<td>2021-04-28 08:21:26</td>
</tr>
<tr>
<td>988</td>
<td>00569526</td>
<td>BAYI NYONYA SITI RUKIAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-25 08:40:43</td>
<td>2021-04-27 10:36:13</td>
</tr>
<tr>
<td>989</td>
<td>00564747</td>
<td>SUPINAH SRI MULYANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-24 16:08:00</td>
<td>2021-04-27 13:16:47</td>
</tr>
<tr>
<td>990</td>
<td>00569574</td>
<td>SARMIN</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-24 15:43:54</td>
<td>2021-04-26 15:34:46</td>
</tr>
<tr>
<td>991</td>
<td>00569573</td>
<td>SURIA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-24 15:05:17</td>
<td>2021-04-26 11:35:18</td>
</tr>
<tr>
<td>992</td>
<td>00569572</td>
<td>MAWAR</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-24 14:20:50</td>
<td>2021-04-27 11:44:42</td>
</tr>
<tr>
<td>993</td>
<td>00569571</td>
<td>BAI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-24 14:00:17</td>
<td>2021-04-28 13:24:40</td>
</tr>
<tr>
<td>994</td>
<td>00569570</td>
<td>SUMAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-24 13:33:32</td>
<td>2021-04-28 11:51:57</td>
</tr>
<tr>
<td>995</td>
<td>00483045</td>
<td>MAMAK ALAMSYAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-24 11:29:04</td>
<td>2021-04-27 08:54:29</td>
</tr>
<tr>
<td>996</td>
<td>00569569</td>
<td>BY NY SUSANTI</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-24 11:27:11</td>
<td>2021-04-29 11:11:48</td>
</tr>
<tr>
<td>997</td>
<td>00569559</td>
<td>BAYI NYONYA HAMIDAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-24 10:56:23</td>
<td>2021-04-27 10:34:59</td>
</tr>
<tr>
<td>998</td>
<td>00569568</td>
<td>NISA RIDA HASANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-24 10:35:04</td>
<td>2021-04-27 11:43:34</td>
</tr>
<tr>
<td>999</td>
<td>00569567</td>
<td>NY RUMIAH</td>
<td>Perempuan</td>
conditions</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-24 10:32:55</td>
<td>2021-04-27 10:30:03</td>
</tr>
<tr>
<td>1000</td>
<td>00566324</td>
<td>MUHAMMAD SIHAB AL FATIH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-24 09:02:16</td>
<td>2021-04-26 14:17:54</td>
</tr>
<tr>
<td>1001</td>
<td>00568680</td>
<td>AZMINULLAH</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-24 08:35:35</td>
<td>2021-04-28 13:24:03</td>
</tr>
<tr>
<td>1002</td>
<td>00569566</td>
<td>AHMAD SYAIROZI</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-24 08:20:07</td>
<td>2021-04-28 14:20:58</td>
</tr>
<tr>
<td>1003</td>
<td>00569565</td>
<td>KAMIR</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-24 06:51:06</td>
<td>2021-04-27 10:31:39</td>
</tr>
<tr>
<td>1004</td>
<td>00408830</td>
<td>yoyoh yohnisah</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 21:34:40</td>
<td>2021-04-27 10:29:05</td>
</tr>
<tr>
<td>1005</td>
<td>00569561</td>
<td>BY NY MALA</td>
<td>Perempuan</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Rujukan</td>
<td>2021-04-23 21:06:52</td>
<td>2021-04-29 11:04:17</td>
</tr>
<tr>
<td>1006</td>
<td>00569560</td>
<td>KESIH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 19:59:46</td>
<td>2021-05-03 13:50:41</td>
</tr>
<tr>
<td>1007</td>
<td>00569557</td>
<td>SUAMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 19:22:23</td>
<td>2021-04-24 10:35:48</td>
</tr>
<tr>
<td>1008</td>
<td>00569558</td>
<td>TAUFIK KURNIAWAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 19:10:22</td>
<td>2021-05-04 09:02:54</td>
</tr>
<tr>
<td>1009</td>
<td>00569555</td>
<td>YAYAN HERYANA SAPUTRA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 15:03:39</td>
<td>2021-05-03 12:51:03</td>
</tr>
<tr>
<td>1010</td>
<td>00569536</td>
<td>KAMISAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 13:52:37</td>
<td>2021-04-24 14:15:58</td>
</tr>
<tr>
<td>1011</td>
<td>00345371</td>
<td>SITI MAESAROH NY</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 13:45:00</td>
<td>2021-04-28 13:15:33</td>
</tr>
<tr>
<td>1012</td>
<td>00569554</td>
<td>SAHRA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 13:42:34</td>
<td>2021-04-28 13:25:31</td>
</tr>
<tr>
<td>1013</td>
<td>00431529</td>
<td>SUNTIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 13:34:04</td>
<td>2021-04-26 15:34:31</td>
</tr>
<tr>
<td>1014</td>
<td>00569539</td>
<td>YENI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-23 13:30:46</td>
<td>2021-04-29 10:29:01</td>
</tr>
<tr>
<td>1015</td>
<td>00568658</td>
<td>ENENG KOMARSIH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 13:01:40</td>
<td>2021-04-27 14:21:55</td>
</tr>
<tr>
<td>1016</td>
<td>00569524</td>
<td>BAYI NYONYA YAYAH SOPIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-23 12:58:39</td>
<td>2021-04-27 10:35:53</td>
</tr>
<tr>
<td>1017</td>
<td>00569552</td>
<td>MAYA Y.S</td>
<td>Perempuan</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Rujukan</td>
<td>2021-04-23 12:14:04</td>
<td>2021-04-29 09:14:08</td>
</tr>
<tr>
<td>1018</td>
<td>00569536</td>
<td>KAMISAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 11:55:58</td>
<td>2021-04-26 15:34:27</td>
</tr>
<tr>
<td>1019</td>
<td>00569523</td>
<td>ENDOT</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 11:52:31</td>
<td>2021-04-29 09:07:36</td>
</tr>
<tr>
<td>1020</td>
<td>00569550</td>
<td>FAUZAN AL GHAZALI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 10:22:45</td>
<td>2021-05-11 13:01:16</td>
</tr>
<tr>
<td>1021</td>
<td>00569549</td>
<td>FATHAN AL GHANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 10:08:04</td>
<td>2021-05-11 12:59:22</td>
</tr>
<tr>
<td>1022</td>
<td>00424208</td>
<td>TIFFANY DWI LUCITA</td>
<td>Perempuan</td>
<td>Acute maxillary sinusitis</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 08:50:45</td>
<td>2021-04-29 13:09:33</td>
</tr>
<tr>
<td>1023</td>
<td>00560779</td>
<td>BAYI NYONYA SAETI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 08:41:10</td>
<td>2021-04-26 14:17:35</td>
</tr>
<tr>
<td>1024</td>
<td>00568455</td>
<td>IRMA</td>
<td>Perempuan</td>
<td>Retained placenta and membranes, without haemorrhage</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 08:39:28</td>
<td>2021-04-28 10:23:29</td>
</tr>
<tr>
<td>1025</td>
<td>00552049</td>
<td>SUARJA</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 08:29:08</td>
<td>2021-04-26 15:34:20</td>
</tr>
<tr>
<td>1026</td>
<td>00569534</td>
<td>HAMIDAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 08:25:13</td>
<td>2021-04-26 21:22:55</td>
</tr>
<tr>
<td>1027</td>
<td>00469542</td>
<td>SUTARSIH</td>
<td>Perempuan</td>
<td>Other abnormal uterine and vaginal bleeding</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 08:22:49</td>
<td>2021-04-29 10:29:41</td>
</tr>
<tr>
<td>1028</td>
<td>00552846</td>
<td>LIA HARDIYANTI</td>
<td>Perempuan</td>
<td>VK BED 3</td>
<td>Disorder of amniotic fluid and membranes, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 08:16:12</td>
<td>2021-04-24 12:30:59</td>
</tr>
<tr>
<td>1029</td>
<td>00569530</td>
<td>EVA MALIHAH</td>
<td>Perempuan</td>
<td>VK BED 1</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 08:09:20</td>
<td>2021-04-24 09:01:26</td>
</tr>
<tr>
<td>1030</td>
<td>00569528</td>
<td>SANTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-23 07:53:48</td>
<td>2021-04-29 10:58:55</td>
</tr>
<tr>
<td>1031</td>
<td>00569522</td>
<td>RASDI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 23:28:41</td>
<td>2021-04-29 11:57:41</td>
</tr>
<tr>
<td>1032</td>
<td>00569521</td>
<td>SRI MULYATI</td>
<td>VK BED 10</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-04-22 22:16:54</td>
<td>2021-04-23 13:09:41</td>
</tr>
<tr>
<td>1033</td>
<td>00430131</td>
<td>ADE MA'RUF</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 21:16:27</td>
<td>2021-05-04 09:03:43</td>
</tr>
<tr>
<td>1034</td>
<td>00505594</td>
<td>YAYAH SOPIAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 21:05:21</td>
<td>2021-04-25 13:42:17</td>
</tr>
<tr>
<td>1035</td>
<td>00525913</td>
<td>MUNAWAROH</td>
<td>Perempuan</td>
<td>VK BED 8</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 21:02:52</td>
<td>2021-04-26 08:53:32</td>
</tr>
<tr>
<td>1036</td>
<td>00569508</td>
<td>SAYUTI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 21:00:35</td>
<td>2021-04-26 08:36:15</td>
</tr>
<tr>
<td>1037</td>
<td>00569519</td>
<td>RUMSAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 20:58:19</td>
<td>2021-04-26 15:35:21</td>
</tr>
<tr>
<td>1038</td>
<td>00524163</td>
<td>DIAN LASTRIA</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 17:01:00</td>
<td>2021-04-24 18:39:03</td>
</tr>
<tr>
<td>1039</td>
<td>00378026</td>
<td>MOH. HUzAEMI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 16:26:31</td>
<td>2021-04-25 13:43:37</td>
</tr>
<tr>
<td>1040</td>
<td>00569518</td>
<td>SAMSURI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 16:20:26</td>
<td>2021-04-26 15:35:44</td>
</tr>
<tr>
<td>1041</td>
<td>00569514</td>
<td>ANGGIA EDITYA SHABIRA</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-22 14:54:06</td>
<td>2021-04-25 14:25:18</td>
</tr>
<tr>
<td>1042</td>
<td>00569516</td>
<td>ETI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 14:12:29</td>
<td>2021-04-25 11:32:53</td>
</tr>
<tr>
<td>1043</td>
<td>00569512</td>
<td>BAYI NYONYA ESIH SULAESIH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 14:02:16</td>
<td>2021-04-23 08:59:38</td>
</tr>
<tr>
<td>1044</td>
<td>00569515</td>
<td>ASIH JUNENGSIH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 13:22:02</td>
<td>2021-04-26 10:28:27</td>
</tr>
<tr>
<td>1045</td>
<td>00569513</td>
<td>BAYI NYONYA KORIPAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-22 11:53:12</td>
<td>2021-04-23 12:46:07</td>
</tr>
<tr>
<td>1046</td>
<td>00569512</td>
<td>BAYI NYONYA ESIH SULAESIH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 11:28:41</td>
<td>2021-04-23 12:47:22</td>
</tr>
<tr>
<td>1047</td>
<td>00567976</td>
<td>WAHYUDI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 10:43:39</td>
<td>2021-04-23 08:52:58</td>
</tr>
<tr>
<td>1048</td>
<td>00569509</td>
<td>BAYI NYONYA syair irnawati </td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-22 10:01:26</td>
<td>2021-04-29 11:01:33</td>
</tr>
<tr>
<td>1049</td>
<td>00567795</td>
<td>AMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 09:20:09</td>
<td>2021-05-03 12:50:25</td>
</tr>
<tr>
<td>1050</td>
<td>00568947</td>
<td>MARTI</td>
<td>Perempuan</td>
<td>Nontoxic goitre, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 09:14:15</td>
<td>2021-04-27 12:07:18</td>
</tr>
<tr>
<td>1051</td>
<td>00568855</td>
<td>SARMAN</td>
<td>Follow-up examination after surgery for other conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 09:05:54</td>
<td>2021-04-26 12:51:10</td>
</tr>
<tr>
<td>1052</td>
<td>00495117</td>
<td>KORIPAH</td>
<td>Perempuan</td>
<td>Follow-up examination after unspecified treatment for other
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 08:46:53</td>
<td>2021-04-25 11:32:36</td>
</tr>
<tr>
<td>1053</td>
<td>00569477</td>
<td>TATANG ABDURAHMAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 08:16:26</td>
<td>2021-05-04 13:10:28</td>
</tr>
<tr>
<td>1054</td>
<td>00544221</td>
<td>SITI RUKIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-22 08:09:53</td>
<td>2021-04-25 11:33:18</td>
</tr>
<tr>
<td>1055</td>
<td>00528795</td>
<td>M. MALDI PRATAMA</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-22 06:46:37</td>
<td>2021-04-25 10:01:33</td>
</tr>
<tr>
<td>1056</td>
<td>00569469</td>
<td>SULAESIH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-22 06:30:33</td>
<td>2021-04-29 10:27:54</td>
</tr>
<tr>
<td>1057</td>
<td>00568464</td>
<td>IDA FARIDA</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-22 05:43:52</td>
<td>2021-04-24 13:28:29</td>
</tr>
<tr>
<td>1058</td>
<td>00569468</td>
<td>ARYANTO SIMANULLANG</td>
conditions</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-21 23:12:14</td>
<td>2021-04-25 08:52:48</td>
</tr>
<tr>
<td>1059</td>
<td>00425168</td>
<td>SITI JULAEHA</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-21 23:04:27</td>
<td>2021-04-26 15:34:14</td>
</tr>
<tr>
<td>1060</td>
<td>00569466</td>
<td>NUR AMILAH</td>
<td>Perempuan</td>
<td>VK BED 5</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 22:19:16</td>
<td>2021-04-23 08:44:52</td>
</tr>
<tr>
<td>1061</td>
<td>00569465</td>
<td>ARSAH</td>
<td>Perempuan</td>
<td>VK BED 4</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-21 22:13:12</td>
<td>2021-04-23 08:44:29</td>
</tr>
<tr>
<td>1062</td>
<td>00569463</td>
<td>BAYI NYONYA HERNIAWATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 21:16:32</td>
<td>2021-04-23 12:45:08</td>
</tr>
<tr>
<td>1063</td>
<td>00569461</td>
<td>AFNAN KAMILA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 20:21:20</td>
<td>2021-04-26 14:18:02</td>
</tr>
<tr>
<td>1064</td>
<td>00569460</td>
<td>SARIAH</td>
<td>Perempuan</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-21 16:50:15</td>
<td>2021-04-23 12:24:33</td>
</tr>
<tr>
<td>1065</td>
<td>00568871</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 16:40:32</td>
<td>2021-04-23 09:03:54</td>
</tr>
<tr>
<td>1066</td>
<td>00569457</td>
<td>SAJAR</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 15:32:36</td>
<td>2021-04-26 12:48:53</td>
</tr>
<tr>
<td>1067</td>
<td>00569364</td>
<td>BAYI NYONYA DURI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 15:20:43</td>
<td>2021-04-23 12:44:38</td>
</tr>
<tr>
<td>1068</td>
<td>00569325</td>
<td>BAYI NYONYA SONA WATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 14:41:41</td>
<td>2021-04-23 09:03:26</td>
</tr>
<tr>
<td>1069</td>
<td>00569455</td>
<td>NANI PEBRIANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 13:46:37</td>
<td>2021-04-26 16:26:24</td>
</tr>
<tr>
<td>1070</td>
<td>00569454</td>
<td>HERNIAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 13:45:55</td>
<td>2021-04-24 11:39:46</td>
</tr>
<tr>
<td>1071</td>
<td>00569453</td>
<td>ASIKAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 13:29:14</td>
<td>2021-04-23 12:23:47</td>
</tr>
<tr>
<td>1072</td>
<td>00569416</td>
<td>MUHDIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-21 12:12:17</td>
<td>2021-04-27 10:21:32</td>
</tr>
<tr>
<td>1073</td>
<td>00247726</td>
<td>AHMAD FUDOLI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 12:11:01</td>
<td>2021-04-24 14:14:24</td>
</tr>
<tr>
<td>1074</td>
<td>00415597</td>
<td>M CHOIRUL FAHMI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 11:14:48</td>
<td>2021-04-24 14:16:43</td>
</tr>
<tr>
<td>1075</td>
<td>00569445</td>
<td>ASEP ILYAS</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Rujukan</td>
<td>2021-04-21 10:18:59</td>
<td>2021-04-22 12:54:10</td>
</tr>
<tr>
<td>1076</td>
<td>00569444</td>
<td>SAYUTA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 10:16:32</td>
<td>2021-04-24 12:20:15</td>
</tr>
<tr>
<td>1077</td>
<td>00511721</td>
<td>PUTRI YULYANI HENDRAWATI</td>
<td>Perempuan</td>
<td>Other benign neoplasm of connective and other soft tissue,
unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 10:01:37</td>
<td>2021-04-27 12:08:32</td>
</tr>
<tr>
<td>1078</td>
<td>00569441</td>
<td>BAYI NYONYA TIA SEPTIANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 09:56:28</td>
<td>2021-04-23 09:02:36</td>
</tr>
<tr>
<td>1079</td>
<td>00569437</td>
<td>MUNAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 09:07:36</td>
<td>2021-04-24 10:34:55</td>
</tr>
<tr>
<td>1080</td>
<td>00569435</td>
<td>DEDE SUWARIYAH</td>
<td>Perempuan</td>
<td>VK BED 3</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 09:04:39</td>
<td>2021-04-22 08:53:12</td>
</tr>
<tr>
<td>1081</td>
<td>00487403</td>
<td>SINTIA NURYULIANA</td>
<td>Perempuan</td>
<td>Mucocele of salivary gland</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 08:50:19</td>
<td>2021-04-29 12:57:48</td>
</tr>
<tr>
<td>1082</td>
<td>00528962</td>
<td>MUHAMMAD FAIZAN AL- FATIH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 08:42:49</td>
<td>2021-04-27 11:43:47</td>
</tr>
<tr>
<td>1083</td>
<td>00569430</td>
<td>NANA SUKARNA</td>
<td>Respiratory tuberculosis, bacteriologically and histologically
confirmed</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 08:42:06</td>
<td>2021-04-24 12:18:22</td>
</tr>
<tr>
<td>1084</td>
<td>00567981</td>
<td>RAIHAN NAUVAL SYAHWALUDIN</td>
<td>Other appendicitis</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 08:37:42</td>
<td>2021-04-29 12:58:45</td>
</tr>
<tr>
<td>1085</td>
<td>00569420</td>
<td>ERLIS SITI RAHMAWATI</td>
<td>Perempuan</td>
<td>Peptic ulcer, site unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 08:21:52</td>
<td>2021-04-26 15:34:42</td>
</tr>
<tr>
<td>1086</td>
<td>00288657</td>
<td>NAZRIL MAULANA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 08:20:03</td>
<td>2021-04-21 14:28:28</td>
</tr>
<tr>
<td>1087</td>
<td>00409194</td>
<td>NUR AQILA AZ ZAHRA</td>
<td>Perempuan</td>
<td>Epilepsy</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 08:14:41</td>
<td>2021-04-22 12:20:28</td>
</tr>
<tr>
<td>1088</td>
<td>00569418</td>
<td>TARDI</td>
<td>Non-insulin-dependent diabetes mellitus</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 08:08:22</td>
<td>2021-04-25 14:00:23</td>
</tr>
<tr>
<td>1089</td>
<td>00497326</td>
<td>aura almas kamilah</td>
<td>Peptic ulcer, site unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-21 07:44:20</td>
<td>2021-04-23 15:26:37</td>
</tr>
<tr>
<td>1090</td>
<td>00569415</td>
<td>NENG AISHWA HALWA MASYITOH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-20 21:40:04</td>
<td>2021-04-24 14:18:26</td>
</tr>
<tr>
<td>1091</td>
<td>00569414</td>
<td>H ROHANI</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-20 20:57:23</td>
<td>2021-05-04 09:05:04</td>
</tr>
<tr>
<td>1092</td>
<td>00569316</td>
<td>BAYI NYONYA IPROH PITRIA</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-20 16:21:40</td>
<td>2021-04-23 08:58:57</td>
</tr>
<tr>
<td>1093</td>
<td>00569334</td>
<td>SAKTI VALENTINO NABABAN</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-20 16:08:56</td>
<td>2021-04-25 14:22:15</td>
</tr>
<tr>
<td>1094</td>
<td>00550246</td>
<td>MUHAMAD RAJA ARSYA NAAFIAN</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-20 15:57:17</td>
<td>2021-04-21 14:27:44</td>
</tr>
<tr>
<td>1095</td>
<td>00436023</td>
<td>ACIK</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-20 15:02:11</td>
<td>2021-04-26 11:27:49</td>
</tr>
<tr>
<td>1096</td>
<td>00569412</td>
<td>IKAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-20 14:47:33</td>
<td>2021-04-27 08:24:23</td>
</tr>
<tr>
<td>1097</td>
<td>00568752</td>
<td>BY NY JIHA</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-20 14:29:27</td>
<td>2021-04-27 11:40:35</td>
</tr>
<tr>
<td>1098</td>
<td>00569411</td>
<td>AAM</td>
<td>Perempuan</td>
conditions</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-20 14:28:22</td>
<td>2021-04-22 20:43:43</td>
</tr>
<tr>
<td>1099</td>
<td>00535964</td>
<td>OLANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-20 12:52:29</td>
<td>2021-04-24 09:03:27</td>
</tr>
<tr>
<td>1100</td>
<td>00569328</td>
<td>BAYI NYONYA SRI MULYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-20 12:16:19</td>
<td>2021-04-23 12:46:37</td>
</tr>
<tr>
<td>1101</td>
<td>00569408</td>
<td>BAYI NYONYA SAIRAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-20 11:51:11</td>
<td>2021-04-23 12:42:51</td>
</tr>
<tr>
<td>1102</td>
<td>00569407</td>
<td>BAYI NYONYA MULYATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-20 11:37:04</td>
<td>2021-04-27 10:35:31</td>
</tr>
<tr>
<td>1103</td>
<td>00408821</td>
<td>JUHAETI</td>
<td>Perempuan</td>
unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-20 09:50:26</td>
<td>2021-04-22 12:34:15</td>
</tr>
<tr>
<td>1104</td>
<td>00569004</td>
<td>EVITA PUTRI. H</td>
<td>Perempuan</td>
<td>drg, Dhita Hanedyawuri</td>
<td>Embedded and impacted teeth</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-20 09:13:10</td>
<td>2021-04-22 12:39:58</td>
</tr>
<tr>
<td>1105</td>
<td>00513155</td>
<td>FAUZAN HISBULLAH</td>
<td>Other rheumatic heart diseases</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-20 09:02:10</td>
<td>2021-04-21 20:20:09</td>
</tr>
<tr>
<td>1106</td>
<td>00568472</td>
<td>IHPANI</td>
<td>Cardiomegaly</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-20 09:01:16</td>
<td>2021-04-30 14:52:47</td>
</tr>
<tr>
<td>1107</td>
<td>00567887</td>
<td>FIFIH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-20 08:55:48</td>
<td>2021-04-22 12:38:45</td>
</tr>
<tr>
<td>1108</td>
<td>00569387</td>
<td>YARRA</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-20 08:30:47</td>
<td>2021-04-21 14:27:55</td>
</tr>
<tr>
<td>1109</td>
<td>00568426</td>
<td>EGI AGUSTIO</td>
<td>Unspecified nephritic syndrome, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-20 08:25:59</td>
<td>2021-04-24 14:18:53</td>
</tr>
<tr>
<td>1110</td>
<td>00569378</td>
<td>ANGELICA AYU SANTICE PUTRI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-20 08:12:13</td>
<td>2021-04-22 12:42:20</td>
</tr>
<tr>
<td>1111</td>
<td>00565712</td>
<td>Perempuan</td>
<td>D50 - Iron deficiency anaemia</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-20 08:09:27</td>
<td>2021-04-24 09:05:41</td>
</tr>
<tr>
<td>1112</td>
<td>00569377</td>
<td>SUBARNA</td>
<td>Nonspecific lymphadenitis, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-20 08:06:01</td>
<td>2021-04-22 12:42:02</td>
</tr>
<tr>
<td>1113</td>
<td>00569371</td>
<td>SITI BADRIAH</td>
<td>Perempuan</td>
<td>Cellulitis of finger and toe</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-20 07:48:14</td>
<td>2021-04-22 11:59:08</td>
</tr>
<tr>
<td>1114</td>
<td>00569369</td>
<td>DEBI H</td>
<td>Perempuan</td>
<td>Ganglion</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-20 07:39:32</td>
<td>2021-04-22 12:41:22</td>
</tr>
<tr>
<td>1115</td>
<td>00504900</td>
<td>NENENG TATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-20 03:42:24</td>
<td>2021-04-22 20:54:11</td>
</tr>
<tr>
<td>1116</td>
<td>00569367</td>
<td>DAYAT</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-20 03:12:16</td>
<td>2021-04-23 07:00:01</td>
</tr>
<tr>
<td>1117</td>
<td>00569366</td>
<td>MALIK ABABIL</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-20 00:10:22</td>
<td>2021-04-22 12:54:16</td>
</tr>
<tr>
<td>1118</td>
<td>00566138</td>
<td>ANISA HUMAIRA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 23:37:48</td>
<td>2021-04-25 14:20:24</td>
</tr>
<tr>
<td>1119</td>
<td>00569364</td>
<td>BAYI NYONYA DURI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 22:27:13</td>
<td>2021-04-27 10:36:42</td>
</tr>
<tr>
<td>1120</td>
<td>00569363</td>
<td>BAYI NYONYA SUMI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 21:51:48</td>
<td>2021-04-23 09:01:40</td>
</tr>
<tr>
<td>1121</td>
<td>00569356</td>
<td>SAHRAN</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-19 20:23:04</td>
<td>2021-04-21 13:33:59</td>
</tr>
<tr>
<td>1122</td>
<td>00548151</td>
<td>MAWAR RAMADANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-19 19:42:43</td>
<td>2021-04-21 14:28:17</td>
</tr>
<tr>
<td>1123</td>
<td>00569362</td>
<td>PURI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-19 18:31:12</td>
<td>2021-04-22 13:19:20</td>
</tr>
<tr>
<td>1124</td>
<td>00538354</td>
<td>ROYANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-19 16:38:25</td>
<td>2021-04-23 09:34:23</td>
</tr>
<tr>
<td>1125</td>
<td>00569361</td>
<td>ARWANI</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-19 16:37:32</td>
<td>2021-04-23 07:09:22</td>
</tr>
<tr>
<td>1126</td>
<td>00569358</td>
<td>BAYI NYONYA RITA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 15:03:01</td>
<td>2021-04-20 08:39:17</td>
</tr>
<tr>
<td>1127</td>
<td>00569360</td>
<td>AZRIA ANANDITA FEBRIANA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-19 14:19:19</td>
<td>2021-04-21 11:51:09</td>
</tr>
<tr>
<td>1128</td>
<td>00569301</td>
<td>BAYI NYONYA AYU DAINI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 13:54:58</td>
<td>2021-04-20 08:37:09</td>
</tr>
<tr>
<td>1129</td>
<td>00569347</td>
<td>TB ADE AFRIZAL</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-19 13:19:53</td>
<td>2021-04-20 21:07:56</td>
</tr>
<tr>
<td>1130</td>
<td>00551322</td>
<td>NURDIN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 13:12:54</td>
<td>2021-04-23 09:46:02</td>
</tr>
<tr>
<td>1131</td>
<td>00569359</td>
<td>SUMI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 12:48:49</td>
<td>2021-04-25 11:32:13</td>
</tr>
<tr>
<td>1132</td>
<td>00562425</td>
<td>JUMHANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 11:48:01</td>
<td>2021-04-24 13:51:57</td>
</tr>
<tr>
<td>1133</td>
<td>00569318</td>
<td>BAYI NYONYA QORINA HERDIAN RASYID</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 11:10:40</td>
<td>2021-04-19 12:59:45</td>
</tr>
<tr>
<td>1134</td>
<td>00569353</td>
<td>BY NY NUNUNG</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-19 10:29:37</td>
<td>2021-04-23 12:45:48</td>
</tr>
<tr>
<td>1135</td>
<td>00542943</td>
<td>YATMA DIPA</td>
<td>Hypertrophy of tonsils with hypertrophy of adenoids</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 09:50:57</td>
<td>2021-04-26 12:55:03</td>
</tr>
<tr>
<td>1136</td>
<td>00543079</td>
<td>ITA NURHASANAH</td>
<td>Perempuan</td>
<td>VK BED 1</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 09:49:59</td>
<td>2021-04-22 08:53:43</td>
</tr>
<tr>
<td>1137</td>
<td>00494292</td>
<td>SUBRA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 09:44:35</td>
<td>2021-04-21 09:57:19</td>
</tr>
<tr>
<td>1138</td>
<td>00463661</td>
<td>ETI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 08:40:27</td>
<td>2021-04-24 12:16:55</td>
</tr>
<tr>
<td>1139</td>
<td>00568328</td>
<td>DIDI KURDI</td>
<td>Unspecified haemorrhoids without complication</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 08:27:27</td>
<td>2021-04-22 12:52:58</td>
</tr>
<tr>
<td>1140</td>
<td>00569339</td>
<td>SARMINAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 08:18:16</td>
<td>2021-04-23 11:07:39</td>
</tr>
<tr>
<td>1141</td>
<td>00569338</td>
<td>TIA SEPTIANI</td>
<td>Perempuan</td>
<td>Antenatal screening, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 08:15:06</td>
<td>2021-04-23 11:18:32</td>
</tr>
<tr>
<td>1142</td>
<td>00537009</td>
<td>BUDI NAPSIAH</td>
<td>Perempuan</td>
<td>Non-insulin-dependent diabetes mellitus with unspecified
complications</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 08:14:23</td>
<td>2021-04-24 13:25:23</td>
</tr>
<tr>
<td>1143</td>
<td>00501387</td>
<td>JULIAH</td>
<td>Perempuan</td>
<td>Other abnormal products of conception</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 08:13:09</td>
<td>2021-04-20 19:24:26</td>
</tr>
<tr>
<td>1144</td>
<td>00526860</td>
<td>ALIMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 08:08:56</td>
<td>2021-04-23 07:11:49</td>
</tr>
<tr>
<td>1145</td>
<td>00569335</td>
<td>MULYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 08:08:19</td>
<td>2021-04-25 11:31:48</td>
</tr>
<tr>
<td>1146</td>
<td>00566884</td>
<td>IKAH</td>
<td>Perempuan</td>
<td>Hydatidiform mole, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 08:04:43</td>
<td>2021-04-20 19:24:59</td>
</tr>
<tr>
<td>1147</td>
<td>00569333</td>
<td>SAIRAH</td>
<td>Perempuan</td>
<td>Premature rupture of membranes, onset of labour within 24
hours</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 08:02:27</td>
<td>2021-04-22 13:17:34</td>
</tr>
<tr>
<td>1148</td>
<td>00551456</td>
<td>SOPIA RAHMAWATI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-19 07:40:07</td>
<td>2021-04-22 13:18:37</td>
</tr>
<tr>
<td>1149</td>
<td>00569330</td>
<td>OTIH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-19 06:00:13</td>
<td>2021-04-23 11:08:00</td>
</tr>
<tr>
<td>1150</td>
<td>00569326</td>
<td>AN RIZKI</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-19 00:20:43</td>
<td>2021-04-22 09:23:14</td>
</tr>
<tr>
<td>1151</td>
<td>00569327</td>
<td>BY SOVIA</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-04-18 23:58:21</td>
<td>2021-04-23 09:08:32</td>
</tr>
<tr>
<td>1152</td>
<td>00569325</td>
<td>BAYI NYONYA SONA WATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-18 23:12:39</td>
<td>2021-04-23 09:08:05</td>
</tr>
<tr>
<td>1153</td>
<td>00569324</td>
<td>BAYI NYONYA MASKINI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-18 22:35:31</td>
<td>2021-04-20 08:36:13</td>
</tr>
<tr>
<td>1154</td>
<td>00513921</td>
<td>ASMANAH</td>
<td>Perempuan</td>
<td>VK BED 7</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-18 21:37:45</td>
<td>2021-04-19 13:09:14</td>
</tr>
<tr>
<td>1155</td>
<td>00569322</td>
<td>SONAHWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-18 20:37:27</td>
<td>2021-04-22 20:42:43</td>
</tr>
<tr>
<td>1156</td>
<td>00569320</td>
<td>RITA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-18 19:01:47</td>
<td>2021-04-22 13:18:10</td>
</tr>
<tr>
<td>1157</td>
<td>00569319</td>
<td>MASKINI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-18 16:39:51</td>
<td>2021-04-21 18:31:19</td>
</tr>
<tr>
<td>1158</td>
<td>00569316</td>
<td>BAYI NYONYA IPROH PITRIA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-18 15:09:50</td>
<td>2021-04-23 09:07:23</td>
</tr>
<tr>
<td>1159</td>
<td>00553051</td>
<td>LUKMAN ARIF</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-18 13:53:32</td>
<td>2021-04-21 20:19:41</td>
</tr>
<tr>
<td>1160</td>
<td>00550246</td>
<td>MUHAMAD RAJA ARSYA NAAFIAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-18 12:49:14</td>
<td>2021-04-20 11:46:44</td>
</tr>
<tr>
<td>1161</td>
<td>00569315</td>
<td>IPROH PITRIA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-18 11:53:46</td>
<td>2021-04-20 12:00:43</td>
</tr>
<tr>
<td>1162</td>
<td>00569314</td>
<td>FITRIYANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-18 10:39:54</td>
<td>2021-04-24 16:04:24</td>
</tr>
<tr>
<td>1163</td>
<td>00546308</td>
<td>ENTIK HALIMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-18 10:18:15</td>
<td>2021-04-20 21:09:28</td>
</tr>
<tr>
<td>1164</td>
<td>00569313</td>
<td>AN SITI SABILA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-18 10:17:11</td>
<td>2021-04-23 20:42:56</td>
</tr>
<tr>
<td>1165</td>
<td>00505663</td>
<td>NUNUNG</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-18 09:07:18</td>
<td>2021-04-21 12:42:34</td>
</tr>
<tr>
<td>1166</td>
<td>00569311</td>
<td>YUVI SULISTINA</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-18 07:14:55</td>
<td>2021-04-20 14:38:23</td>
</tr>
<tr>
<td>1167</td>
<td>00546512</td>
<td>QORINA HERDIAN RASYID</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-18 06:26:18</td>
<td>2021-04-20 12:03:03</td>
</tr>
<tr>
<td>1168</td>
<td>00569308</td>
<td>BY NY EKA</td>
<td></td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-18 04:43:29</td>
<td>2021-04-23 12:45:30</td>
</tr>
<tr>
<td>1169</td>
<td>00569309</td>
<td>SAROH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-18 02:38:16</td>
<td>2021-04-27 14:35:15</td>
</tr>
<tr>
<td>1170</td>
<td>00545813</td>
<td>INDRA IRAWAN</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-18 00:04:20</td>
<td>2021-04-21 20:20:56</td>
</tr>
<tr>
<td>1171</td>
<td>00473501</td>
<td>SUJATNA</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 21:54:13</td>
<td>2021-04-24 12:57:13</td>
</tr>
<tr>
<td>1172</td>
<td>00565891</td>
<td>IRA OKTAVIANI</td>
<td>Perempuan</td>
<td>VK BED 1</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 21:40:33</td>
<td>2021-04-19 13:09:30</td>
</tr>
<tr>
<td>1173</td>
<td>00569274</td>
<td>TSAMARA NAZWA CLEMIRA</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 20:51:46</td>
<td>2021-04-25 14:23:36</td>
</tr>
<tr>
<td>1174</td>
<td>00569283</td>
<td>MUHITOH</td>
<td></td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-17 19:40:58</td>
<td>2021-04-19 09:47:52</td>
</tr>
<tr>
<td>1175</td>
<td>00569294</td>
<td>AN BY TUTI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-17 18:47:46</td>
<td>2021-04-21 13:36:14</td>
</tr>
<tr>
<td>1176</td>
<td>00569307</td>
<td>BAYI NYONYA SANAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 17:51:33</td>
<td>2021-04-20 08:41:08</td>
</tr>
<tr>
<td>1177</td>
<td>00569245</td>
<td>MUKTA MAROH</td>
<td>Perempuan</td>
<td></td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-17 17:39:50</td>
<td>2021-04-24 18:40:21</td>
</tr>
<tr>
<td>1178</td>
<td>00569306</td>
<td>SANTINAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 17:26:14</td>
<td>2021-04-23 07:08:40</td>
</tr>
<tr>
<td>1179</td>
<td>00569250</td>
<td>ASIAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 16:42:18</td>
<td>2021-04-17 23:04:30</td>
</tr>
<tr>
<td>1180</td>
<td>00569305</td>
<td>SANAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 16:08:57</td>
<td>2021-04-21 18:33:30</td>
</tr>
<tr>
<td>1181</td>
<td>00569304</td>
<td>BAYI NYONYA WASITOH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 15:19:20</td>
<td>2021-04-20 08:42:13</td>
</tr>
<tr>
<td>1182</td>
<td>00569303</td>
<td>BAYI NYONYA ASIAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 14:55:46</td>
<td>2021-04-20 08:40:31</td>
</tr>
<tr>
<td>1183</td>
<td>00569302</td>
<td>BY WIDIYANTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Langsung</td>
<td>2021-04-17 13:47:55</td>
<td>2021-04-23 08:59:17</td>
</tr>
<tr>
<td>1184</td>
<td>00569299</td>
<td>BAYI NYONYA SITI MARDIYANTI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 12:49:34</td>
<td>2021-04-20 09:01:16</td>
</tr>
<tr>
<td>1185</td>
<td>00500879</td>
<td>SRI RAKHMAWATI</td>
<td>Perempuan</td>
<td>dr, SUBIHAT NATAKUSUMA</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 12:45:09</td>
<td>2021-04-20 11:22:36</td>
</tr>
<tr>
<td>1186</td>
<td>00569298</td>
<td>BAYI NYONYA WIDIYA NINGSIH</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 12:27:22</td>
<td>2021-04-20 08:36:41</td>
</tr>
<tr>
<td>1187</td>
<td>00569297</td>
<td>WIDIYANTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-17 12:22:44</td>
<td>2021-04-21 08:48:30</td>
</tr>
<tr>
<td>1188</td>
<td>00569296</td>
<td>RESTIANI DASRIL,S.SOS</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 12:11:17</td>
<td>2021-04-19 10:43:43</td>
</tr>
<tr>
<td>1189</td>
<td>00569295</td>
<td>BAYI NYONYA DEWI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-17 11:58:51</td>
<td>2021-04-20 08:38:51</td>
</tr>
<tr>
<td>1190</td>
<td>00569293</td>
<td>DEVA AFIATNA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 11:40:01</td>
<td>2021-04-20 12:03:26</td>
</tr>
<tr>
<td>1191</td>
<td>00569292</td>
<td>SUPENA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 11:30:18</td>
<td>2021-04-21 08:42:17</td>
</tr>
<tr>
<td>1192</td>
<td>00533434</td>
<td>DEWI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 10:40:18</td>
<td>2021-04-19 12:33:33</td>
</tr>
<tr>
<td>1193</td>
<td>00569290</td>
<td>WIDIYA NINGSIH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 09:28:15</td>
<td>2021-04-19 12:31:08</td>
</tr>
<tr>
<td>1194</td>
<td>00569285</td>
<td>UMAY SUMARDI</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Rujukan</td>
<td>2021-04-17 09:23:04</td>
<td>2021-04-20 21:09:22</td>
</tr>
<tr>
<td>1195</td>
<td>00569279</td>
<td>RASIH</td>
<td>Perempuan</td>
<td>VK BED 1</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 09:13:39</td>
<td>2021-04-17 11:20:31</td>
</tr>
<tr>
<td>1196</td>
<td>00569278</td>
<td>LINDA PUSPITA SARI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 09:04:35</td>
<td>2021-04-20 12:04:22</td>
</tr>
<tr>
<td>1197</td>
<td>00486492</td>
<td>putri ayu nur azizah</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-17 08:33:12</td>
<td>2021-04-18 17:10:31</td>
</tr>
<tr>
<td>1198</td>
<td>00569284</td>
<td>ARDHANARESWARI FLORESSA PRATAMA</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-17 03:23:02</td>
<td>2021-04-20 09:08:21</td>
</tr>
<tr>
<td>1199</td>
<td>00569282</td>
<td>NURHATI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-17 00:22:31</td>
<td>2021-04-20 12:45:30</td>
</tr>
<tr>
<td>1200</td>
<td>00536535</td>
<td>MUHAMAD ROMLI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-16 21:27:27</td>
<td>2021-04-20 21:09:12</td>
</tr>
<tr>
<td>1201</td>
<td>00569280</td>
<td>AGUS</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-16 20:06:56</td>
<td>2021-04-23 09:45:58</td>
</tr>
<tr>
<td>1202</td>
<td>00569277</td>
<td>ATMA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 18:48:59</td>
<td>2021-04-20 21:10:34</td>
</tr>
<tr>
<td>1203</td>
<td>00569276</td>
<td>MARDIANTO</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 17:15:43</td>
<td>2021-04-20 21:11:12</td>
</tr>
<tr>
<td>1204</td>
<td>00569275</td>
<td>ENI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 17:05:15</td>
<td>2021-04-20 13:35:22</td>
</tr>
<tr>
<td>1205</td>
<td>00569264</td>
<td>BAYI NYONYA EKA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 16:37:01</td>
<td>2021-04-23 09:09:11</td>
</tr>
<tr>
<td>1206</td>
<td>00569273</td>
<td>LOJI</td>
<td>EKO HADI WIBOWO, S.Kep</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 15:49:55</td>
<td>2021-04-19 11:41:25</td>
</tr>
<tr>
<td>1207</td>
<td>00569272</td>
<td>AN TIARA</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-16 15:20:43</td>
<td>2021-04-19 10:26:59</td>
</tr>
<tr>
<td>1208</td>
<td>00569236</td>
<td>IDA FARIDA</td>
<td>Perempuan</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-04-16 14:51:55</td>
<td>2021-04-21 08:49:44</td>
</tr>
<tr>
<td>1209</td>
<td>00569239</td>
<td>BAYI NYONYA NURWIYANTI ALAWIYAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 14:24:57</td>
<td>2021-04-23 09:06:54</td>
</tr>
<tr>
<td>1210</td>
<td>00569263</td>
<td>ENENG EKA MANDELA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 14:13:12</td>
<td>2021-04-19 12:32:51</td>
</tr>
<tr>
<td>1211</td>
<td>00569271</td>
<td>BY FAHRUDIN</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-16 13:58:02</td>
<td>2021-04-27 10:37:01</td>
</tr>
<tr>
<td>1212</td>
<td>00569270</td>
<td>BAYI NYONYA AENAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 13:25:22</td>
<td>2021-04-20 08:39:44</td>
</tr>
<tr>
<td>1213</td>
<td>00569135</td>
<td>YULI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-16 12:55:08</td>
<td>2021-04-19 12:35:12</td>
</tr>
<tr>
<td>1214</td>
<td>00569268</td>
<td>AEN</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 12:38:38</td>
<td>2021-04-18 13:43:07</td>
</tr>
<tr>
<td>1215</td>
<td>00569267</td>
<td>SITI MARDIYANTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 12:23:05</td>
<td>2021-04-20 12:02:46</td>
</tr>
<tr>
<td>1216</td>
<td>00569266</td>
<td>SANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 12:11:15</td>
<td>2021-04-20 21:12:06</td>
</tr>
<tr>
<td>1217</td>
<td>00567965</td>
<td>NERAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 12:03:01</td>
<td>2021-04-25 20:47:40</td>
</tr>
<tr>
<td>1218</td>
<td>00569265</td>
<td>KENZIE BAGASKARA HIDAYAT</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-16 11:06:04</td>
<td>2021-04-20 08:37:36</td>
</tr>
<tr>
<td>1219</td>
<td>00568003</td>
<td>ALBAR</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 10:17:21</td>
<td>2021-04-23 09:27:49</td>
</tr>
<tr>
<td>1220</td>
<td>00569262</td>
<td>BAYI NYONYA NENENG JULAEHA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 10:10:29</td>
<td>2021-04-27 11:45:01</td>
</tr>
<tr>
<td>1221</td>
<td>00569261</td>
<td>BY NY DEDE</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 09:56:47</td>
<td>2021-04-19 12:55:07</td>
</tr>
<tr>
<td>1222</td>
<td>00569261</td>
<td>BY NY DEDE</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 09:56:42</td>
<td>2021-04-19 12:54:30</td>
</tr>
<tr>
<td>1223</td>
<td>00187783</td>
<td>MUHAMAD ARIA PRATAMA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 09:21:10</td>
<td>2021-04-19 08:03:43</td>
</tr>
<tr>
<td>1224</td>
<td>00569260</td>
<td>MULYONO</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 09:09:40</td>
<td>2021-04-21 11:46:37</td>
</tr>
<tr>
<td>1225</td>
<td>00166156</td>
<td>ENDIN SUBANDI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 08:57:03</td>
<td>2021-04-19 10:01:17</td>
</tr>
<tr>
<td>1226</td>
<td>00565586</td>
<td>SRI EKA WATI</td>
<td>Perempuan</td>
<td>C56 - Malignant neoplasm of ovary</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 08:41:37</td>
<td>2021-04-17 14:40:12</td>
</tr>
<tr>
<td>1227</td>
<td>00569259</td>
<td>KAMIDA</td>
<td>Drg, JOVIAN PURNOMO</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 08:38:19</td>
<td>2021-04-22 12:40:40</td>
</tr>
<tr>
<td>1228</td>
<td>00569258</td>
<td>AYU DAINI</td>
<td>Perempuan</td>
<td>Obstructed labour due to fetopelvic disproportion, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 08:35:08</td>
<td>2021-04-21 20:20:36</td>
</tr>
<tr>
<td>1229</td>
<td>00569256</td>
<td>DENI PERAMANA</td>
<td>K35 - Acute appendicitis</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 08:17:53</td>
<td>2021-04-20 13:30:06</td>
</tr>
<tr>
<td>1230</td>
<td>00569251</td>
<td>WASITOH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 08:09:44</td>
<td>2021-04-20 09:14:14</td>
</tr>
<tr>
<td>1231</td>
<td>00569250</td>
<td>ASIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 08:06:39</td>
<td>2021-04-19 12:31:52</td>
</tr>
<tr>
<td>1232</td>
<td>00418011</td>
<td>syair irnawati </td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-16 07:49:17</td>
<td>2021-04-25 10:02:11</td>
</tr>
<tr>
<td>1233</td>
<td>00569244</td>
<td>YATI</td>
<td>VK BED 4</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-16 00:25:00</td>
<td>2021-04-17 08:57:26</td>
</tr>
<tr>
<td>1234</td>
<td>00569243</td>
<td>EKA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-15 23:54:41</td>
<td>2021-04-19 12:37:51</td>
</tr>
<tr>
<td>1235</td>
<td>00377698</td>
<td>MUMUN MAEMUNAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-15 21:54:50</td>
<td>2021-04-20 15:11:25</td>
</tr>
<tr>
<td>1236</td>
<td>00569241</td>
<td>BY DASTI</td>
conditions</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Langsung</td>
<td>2021-04-15 18:58:13</td>
<td>2021-04-19 12:53:55</td>
</tr>
<tr>
<td>1237</td>
<td>00569242</td>
<td>DEDE HERYANTI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 18:49:10</td>
<td>2021-04-18 13:42:41</td>
</tr>
<tr>
<td>1238</td>
<td>00569219</td>
<td>RENI MARDIAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Langsung</td>
<td>2021-04-15 16:19:31</td>
<td>2021-04-24 11:39:17</td>
</tr>
<tr>
<td>1239</td>
<td>00569240</td>
<td>BAYI NYONYA DAHLIA KOMARDIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 13:45:41</td>
<td>2021-04-19 12:58:05</td>
</tr>
<tr>
<td>1240</td>
<td>00569221</td>
<td>DASTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-15 12:30:15</td>
<td>2021-04-20 12:03:56</td>
</tr>
<tr>
<td>1241</td>
<td>00564464</td>
<td>ATANG SUGIANTO</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 12:15:27</td>
<td>2021-04-16 09:07:12</td>
</tr>
<tr>
<td>1242</td>
<td>00569238</td>
<td>BAYI NYONYA ANI LIYANIH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 12:04:21</td>
<td>2021-04-23 09:00:02</td>
</tr>
<tr>
<td>1243</td>
<td>00504786</td>
<td>SAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 11:46:39</td>
<td>2021-04-17 11:52:47</td>
</tr>
<tr>
<td>1244</td>
<td>00569235</td>
<td>DINI FITRIYANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 10:58:22</td>
<td>2021-04-17 08:32:50</td>
</tr>
<tr>
<td>1245</td>
<td>00313550</td>
<td>neneng julaeha</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 10:44:38</td>
<td>2021-04-19 08:03:19</td>
</tr>
<tr>
<td>1246</td>
<td>00569232</td>
<td>BAYI NYONYA LATIFAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-15 10:00:16</td>
<td>2021-04-19 12:57:07</td>
</tr>
<tr>
<td>1247</td>
<td>00569223</td>
<td>JERI JAYA NEGARA</td>
<td>A88.1 - Epidemic vertigo</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 09:32:26</td>
<td>2021-04-20 08:49:57</td>
</tr>
<tr>
<td>1248</td>
<td>00569222</td>
<td>DAHLIA KOMARDIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 09:30:20</td>
<td>2021-04-17 11:14:22</td>
</tr>
<tr>
<td>1249</td>
<td>00565763</td>
<td>ARDIANSAH</td>
<td>Dr., Mulyadi, Sp.S</td>
<td>Speech disturbances, not elsewhere classified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 09:29:05</td>
<td>2021-04-17 14:31:23</td>
</tr>
<tr>
<td>1250</td>
<td>00506069</td>
<td>RANI FITRIYANI</td>
<td>Perempuan</td>
<td>Acute appendicitis with generalized peritonitis</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 09:15:12</td>
<td>2021-04-22 11:34:24</td>
</tr>
<tr>
<td>1251</td>
<td>00569214</td>
<td>SISKA S</td>
<td>Perempuan</td>
<td>Chronic persistent hepatitis, not elsewhere classified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 09:10:44</td>
<td>2021-04-19 10:44:43</td>
</tr>
<tr>
<td>1252</td>
<td>00568659</td>
<td>MISRI</td>
<td>Unilateral or unspecified inguinal hernia, with obstruction,
without gangrene</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 09:08:24</td>
<td>2021-04-22 12:52:27</td>
</tr>
<tr>
<td>1253</td>
<td>00569212</td>
<td>TB. MUKRI</td>
gangrene</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 09:06:01</td>
<td>2021-04-21 14:10:58</td>
</tr>
<tr>
<td>1254</td>
<td>00569211</td>
<td>AAH JULAEHA</td>
<td>Perempuan</td>
<td>Benign neoplasm of unspecified site</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 09:03:50</td>
<td>2021-04-19 14:00:22</td>
</tr>
<tr>
<td>1255</td>
<td>00501434</td>
<td>NURWIYANTI A</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 09:01:02</td>
<td>2021-04-17 11:13:17</td>
</tr>
<tr>
<td>1256</td>
<td>00569209</td>
<td>ANI LIYANIH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 08:58:04</td>
<td>2021-04-17 15:07:58</td>
</tr>
<tr>
<td>1257</td>
<td>00569193</td>
<td>PUSPITA ULANDARI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 08:31:36</td>
<td>2021-04-19 13:52:02</td>
</tr>
<tr>
<td>1258</td>
<td>00147721</td>
<td>E. MAESAROH</td>
<td>Perempuan</td>
<td>Non-insulin-dependent diabetes mellitus with neurological
complications</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 08:03:32</td>
<td>2021-04-23 15:27:38</td>
</tr>
<tr>
<td>1259</td>
<td>00569186</td>
<td>SANTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 07:45:47</td>
<td>2021-04-16 19:32:56</td>
</tr>
<tr>
<td>1260</td>
<td>00229757</td>
<td>KAPSAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-15 06:54:08</td>
<td>2021-04-20 21:09:38</td>
</tr>
<tr>
<td>1261</td>
<td>00569183</td>
<td>FIKRIYANSAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-14 22:25:05</td>
<td>2021-04-18 17:05:37</td>
</tr>
<tr>
<td>1262</td>
<td>00569182</td>
<td>SUPARTA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-14 21:21:07</td>
<td>2021-04-19 14:03:02</td>
</tr>
<tr>
<td>1263</td>
<td>00569178</td>
<td>FAHRI</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-14 21:15:45</td>
<td>2021-04-26 14:17:40</td>
</tr>
<tr>
<td>1264</td>
<td>00569181</td>
<td>AN PUTRI</td>
<td>Perempuan</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-14 20:53:02</td>
<td>2021-04-15 20:27:05</td>
</tr>
<tr>
<td>1265</td>
<td>00569179</td>
<td>ERNA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-14 19:05:47</td>
<td>2021-04-17 20:50:39</td>
</tr>
<tr>
<td>1266</td>
<td>00569177</td>
<td>RIKA DARMAYANTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-14 16:06:36</td>
<td>2021-04-20 13:53:35</td>
</tr>
<tr>
<td>1267</td>
<td>00300934</td>
<td>NENI YUHANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-14 14:28:07</td>
<td>2021-04-17 12:11:05</td>
</tr>
<tr>
<td>1268</td>
<td>00569176</td>
<td>ASEP WAHYUDIN</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-14 13:25:36</td>
<td>2021-04-19 11:25:45</td>
</tr>
<tr>
<td>1269</td>
<td>00569175</td>
<td>PATIMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-14 12:56:44</td>
<td>2021-04-24 12:40:15</td>
</tr>
<tr>
<td>1270</td>
<td>00569117</td>
<td>ASPI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-14 12:36:34</td>
<td>2021-04-16 20:20:06</td>
</tr>
<tr>
<td>1271</td>
<td>00569127</td>
<td>BAYI NYONYA LINA MARLIANA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-14 12:20:50</td>
<td>2021-04-16 08:58:22</td>
</tr>
<tr>
<td>1272</td>
<td>00569171</td>
<td>BY NY RUSTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-14 12:20:03</td>
<td>2021-04-19 12:56:39</td>
</tr>
<tr>
<td>1273</td>
<td>00569173</td>
<td>ALFIN SURYA AL FAUJAR</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-14 11:34:56</td>
<td>2021-04-22 12:53:59</td>
</tr>
<tr>
<td>1274</td>
<td>00569172</td>
<td>SITI ROHANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-14 11:18:37</td>
<td>2021-04-15 15:05:02</td>
</tr>
<tr>
<td>1275</td>
<td>00569169</td>
<td>BAYI NYONYA NURHAYATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-14 10:20:34</td>
<td>2021-04-23 09:00:21</td>
</tr>
<tr>
<td>1276</td>
<td>00569167</td>
<td>BAYI NYONYA INAH KOSINAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-14 09:38:00</td>
<td>2021-04-20 08:38:10</td>
</tr>
<tr>
<td>1277</td>
<td>00569164</td>
<td>BAYI NYONYA DESTI RAHMAH AWALIAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-14 08:58:55</td>
<td>2021-04-15 09:28:12</td>
</tr>
<tr>
<td>1278</td>
<td>00568802</td>
<td>VINY ALVIANY</td>
<td>Perempuan</td>
<td>Chronic sinusitis</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-14 08:57:27</td>
<td>2021-04-19 09:48:16</td>
</tr>
<tr>
<td>1279</td>
<td>00569163</td>
<td>ASMAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-14 08:56:59</td>
<td>2021-04-16 08:48:08</td>
</tr>
<tr>
<td>1280</td>
<td>00569161</td>
<td>BAYI NYONYA DESTI RAHMAH AWALIAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-14 08:55:53</td>
<td>2021-04-15 09:27:50</td>
</tr>
<tr>
<td>1281</td>
<td>00221981</td>
<td>ADITIA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-14 08:51:01</td>
<td>2021-04-14 19:22:49</td>
</tr>
<tr>
<td>1282</td>
<td>00568855</td>
<td>SARMAN</td>
<td>Pleural effusion, not elsewhere classified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-14 08:15:15</td>
<td>2021-04-19 11:25:15</td>
</tr>
<tr>
<td>1283</td>
<td>00569146</td>
<td>SIBRO MALISI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-14 08:10:14</td>
<td>2021-04-20 10:28:17</td>
</tr>
<tr>
<td>1284</td>
<td>00496386</td>
<td>M.HADI MAULANA</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Langsung</td>
<td>2021-04-13 22:35:35</td>
<td>2021-04-16 08:45:21</td>
</tr>
<tr>
<td>1285</td>
<td>00569141</td>
<td>AYU AISYAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 22:15:26</td>
<td>2021-04-15 22:06:18</td>
</tr>
<tr>
<td>1286</td>
<td>00569140</td>
<td>TITIN SUHARTINI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 21:58:29</td>
<td>2021-04-16 12:36:20</td>
</tr>
<tr>
<td>1287</td>
<td>00569139</td>
<td>BY NY NENG LALA KHOLILAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-13 21:47:44</td>
<td>2021-04-23 09:09:41</td>
</tr>
<tr>
<td>1288</td>
<td>00569135</td>
<td>YULI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-13 19:35:56</td>
<td>2021-04-16 12:37:03</td>
</tr>
<tr>
<td>1289</td>
<td>00569136</td>
<td>BY NY PUTRI AULIA</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-13 19:34:51</td>
<td>2021-04-23 09:01:16</td>
</tr>
<tr>
<td>1290</td>
<td>00569134</td>
<td>BY NY MASPIROH</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-13 19:34:19</td>
<td>2021-04-14 09:13:21</td>
</tr>
<tr>
<td>1291</td>
<td>00569137</td>
<td>NURHAYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 19:10:57</td>
<td>2021-04-16 12:38:54</td>
</tr>
<tr>
<td>1292</td>
<td>00499698</td>
<td>EIS</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 16:43:08</td>
<td>2021-04-15 11:58:42</td>
</tr>
<tr>
<td>1293</td>
<td>00569132</td>
<td>BAYI NYONYA MASRIYANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 15:03:31</td>
<td>2021-04-16 08:58:51</td>
</tr>
<tr>
<td>1294</td>
<td>00569131</td>
<td>BAYI NYONYA DELIA PUTRI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 14:46:01</td>
<td>2021-04-23 09:03:02</td>
</tr>
<tr>
<td>1295</td>
<td>00569130</td>
<td>BAYI NYONYA EUIS NURLAELASARI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-13 14:09:24</td>
<td>2021-04-15 09:28:44</td>
</tr>
<tr>
<td>1296</td>
<td>00569129</td>
<td>RUSTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 13:45:18</td>
<td>2021-04-17 11:12:40</td>
</tr>
<tr>
<td>1297</td>
<td>00569128</td>
<td>BY NY HESTY</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 13:38:00</td>
<td>2021-04-23 09:02:13</td>
</tr>
<tr>
<td>1298</td>
<td>00520281</td>
<td>DESTI RAHMAH AWALIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 13:15:24</td>
<td>2021-04-17 09:14:44</td>
</tr>
<tr>
<td>1299</td>
<td>00569127</td>
<td>BAYI NYONYA LINA MARLIANA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 12:55:42</td>
<td>2021-04-27 11:45:58</td>
</tr>
<tr>
<td>1300</td>
<td>00569126</td>
<td>RODIAH</td>
<td>Perempuan</td>
<td>VK BED 4</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 12:44:09</td>
<td>2021-04-13 17:13:22</td>
</tr>
<tr>
<td>1301</td>
<td>00569035</td>
<td>BAYI NYONYA MILA ROSITA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 10:59:12</td>
<td>2021-04-23 12:43:54</td>
</tr>
<tr>
<td>1302</td>
<td>00569087</td>
<td>BAYI NYONYA ANITA SUPRIHATIN</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 10:59:01</td>
<td>2021-04-15 09:26:51</td>
</tr>
<tr>
<td>1303</td>
<td>00569123</td>
<td>HURIATUL FIKRI ARITA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 10:12:36</td>
<td>2021-04-17 08:31:17</td>
</tr>
<tr>
<td>1304</td>
<td>00569122</td>
<td>H ATING</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-13 09:41:45</td>
<td>2021-04-15 12:33:11</td>
</tr>
<tr>
<td>1305</td>
<td>00569121</td>
<td>MUDROPI</td>
gangrene</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 09:31:24</td>
<td>2021-04-15 13:42:34</td>
</tr>
<tr>
<td>1306</td>
<td>00436048</td>
<td>EDAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 09:20:50</td>
<td>2021-04-17 08:57:31</td>
</tr>
<tr>
<td>1307</td>
<td>00498754</td>
<td>NUGI HAIRUL PUTRA</td>
<td>Nephrotic syndrome</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 09:09:53</td>
<td>2021-04-18 17:09:49</td>
</tr>
<tr>
<td>1308</td>
<td>00569095</td>
<td>SUSI SUSIANA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-13 08:39:20</td>
<td>2021-04-14 09:41:18</td>
</tr>
<tr>
<td>1309</td>
<td>00495830</td>
<td>MASAGUS ABDUL BAQI FAHRIN</td>
<td> BED </td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 08:33:25</td>
<td>2021-04-17 12:12:27</td>
</tr>
<tr>
<td>1310</td>
<td>00569103</td>
<td>SITI ADELIA PUTRI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-13 08:24:00</td>
<td>2021-04-16 10:42:17</td>
</tr>
<tr>
<td>1311</td>
<td>00569101</td>
<td>LINA MARLIANA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 08:17:06</td>
<td>2021-04-16 12:52:28</td>
</tr>
<tr>
<td>1312</td>
<td>00568789</td>
<td>ENDANG FAUZAN</td>
face and neck</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 07:57:28</td>
<td>2021-04-15 13:42:59</td>
</tr>
<tr>
<td>1313</td>
<td>00569097</td>
<td>LALA KHOLILAH</td>
<td>Perempuan</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-04-13 06:04:29</td>
<td>2021-04-19 12:36:38</td>
</tr>
<tr>
<td>1314</td>
<td>00569096</td>
<td>MASRIYANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-13 01:23:47</td>
<td>2021-04-16 12:37:49</td>
</tr>
<tr>
<td>1315</td>
<td>00568440</td>
<td>DEWI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-12 23:44:23</td>
<td>2021-04-15 10:49:10</td>
</tr>
<tr>
<td>1316</td>
<td>00569094</td>
<td>M REZA ALFARIZI</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-04-12 22:35:58</td>
<td>2021-04-15 10:06:09</td>
</tr>
<tr>
<td>1317</td>
<td>00569064</td>
<td>SUKNAH</td>
<td>Perempuan</td>
<td>Unspecified abortion, incomplete, with other and unspecified
complications</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-12 17:32:08</td>
<td>2021-04-15 10:43:44</td>
</tr>
<tr>
<td>1318</td>
<td>00569085</td>
<td>OON </td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-12 17:20:47</td>
<td>2021-04-14 12:06:48</td>
</tr>
<tr>
<td>1319</td>
<td>00569093</td>
<td>MARCELO PUTRA ALISA</td>
<td></td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-12 16:41:12</td>
<td>2021-04-14 22:50:20</td>
</tr>
<tr>
<td>1320</td>
<td>00463211</td>
<td>ASIM</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-12 16:36:02</td>
<td>2021-04-16 13:48:19</td>
</tr>
<tr>
<td>1321</td>
<td>00493880</td>
<td>YAYAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-12 15:50:38</td>
<td>2021-04-19 08:04:20</td>
</tr>
<tr>
<td>1322</td>
<td>00569086</td>
<td>SAELI </td>
<td></td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-12 15:32:44</td>
<td>2021-04-15 10:45:45</td>
</tr>
<tr>
<td>1323</td>
<td>00545334</td>
<td>NURSAAD TOHIR</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-12 15:29:24</td>
<td>2021-04-14 09:40:36</td>
</tr>
<tr>
<td>1324</td>
<td>00569043</td>
<td>BAYI NYONYA ANI SUARNI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-12 15:06:34</td>
<td>2021-04-14 09:11:45</td>
</tr>
<tr>
<td>1325</td>
<td>00437168</td>
<td>BURHAN</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-12 14:54:51</td>
<td>2021-04-15 10:46:18</td>
</tr>
<tr>
<td>1326</td>
<td>00569091</td>
<td>UCI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-12 13:43:10</td>
<td>2021-04-17 08:56:48</td>
</tr>
<tr>
<td>1327</td>
<td>00558644</td>
<td>SUNTIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-12 12:40:38</td>
<td>2021-04-17 11:55:03</td>
</tr>
<tr>
<td>1328</td>
<td>00527914</td>
<td>MUSTAHIM</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-12 11:25:49</td>
<td>2021-04-15 09:52:50</td>
</tr>
<tr>
<td>1329</td>
<td>00569090</td>
<td>INDAH DWIYANTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-12 11:17:46</td>
<td>2021-04-17 09:22:53</td>
</tr>
<tr>
<td>1330</td>
<td>00569089</td>
<td>MAIL</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-12 11:17:15</td>
<td>2021-04-14 09:39:20</td>
</tr>
<tr>
<td>1331</td>
<td>00568963</td>
<td>AJAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-12 11:13:53</td>
<td>2021-04-15 10:42:29</td>
</tr>
<tr>
<td>1332</td>
<td>00569088</td>
<td>BAYI NYONYA ANITA SUPRIHATIN</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-12 11:11:40</td>
<td>2021-04-15 09:27:23</td>
</tr>
<tr>
<td>1333</td>
<td>00529144</td>
<td>IIM ILMIATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-12 09:56:08</td>
<td>2021-04-15 12:33:06</td>
</tr>
<tr>
<td>1334</td>
<td>00569073</td>
<td>DELIA PUTRI</td>
<td>Perempuan</td>
<td>Prolonged second stage (of labour)</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-12 08:57:39</td>
<td>2021-04-16 19:12:38</td>
</tr>
<tr>
<td>1335</td>
<td>00541062</td>
<td>EUIS NURLAELASARI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-12 08:32:59</td>
<td>2021-04-15 11:59:06</td>
</tr>
<tr>
<td>1336</td>
<td>00564142</td>
<td>MAMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-12 08:22:54</td>
<td>2021-04-16 12:35:36</td>
</tr>
<tr>
<td>1337</td>
<td>00498317</td>
<td>HESTY HANDAYANI</td>
<td>Perempuan</td>
<td>Other maternal diseases classifiable elsewhere but complicating
pregnancy, childbirth and the puerperium</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-12 08:10:00</td>
<td>2021-04-15 12:53:29</td>
</tr>
<tr>
<td>1338</td>
<td>00569058</td>
<td>AMINAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-12 07:02:58</td>
<td>2021-04-13 10:36:21</td>
</tr>
<tr>
<td>1339</td>
<td>00544279</td>
<td>EMBAY SUNARYAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-12 00:42:56</td>
<td>2021-04-13 10:35:39</td>
</tr>
<tr>
<td>1340</td>
<td>00569056</td>
<td>MASRI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-11 22:12:05</td>
<td>2021-04-15 08:26:02</td>
</tr>
<tr>
<td>1341</td>
<td>00569055</td>
<td>JASIR</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-11 22:02:30</td>
<td>2021-04-17 14:26:25</td>
</tr>
<tr>
<td>1342</td>
<td>00569053</td>
<td>KIARA ARSILA KANSA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-11 21:03:04</td>
<td>2021-04-14 09:44:30</td>
</tr>
<tr>
<td>1343</td>
<td>00545407</td>
<td>GHATHFAAN ANUGRAH PRIMULYA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-11 20:55:47</td>
<td>2021-04-14 09:43:29</td>
</tr>
<tr>
<td>1344</td>
<td>00569052</td>
<td>HALIMAH</td>
<td>Perempuan</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-11 15:07:37</td>
<td>2021-04-17 11:54:13</td>
</tr>
<tr>
<td>1345</td>
<td>00569051</td>
<td>YAYAH</td>
<td>Perempuan</td>
conditions</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-11 14:16:38</td>
<td>2021-04-13 09:00:14</td>
</tr>
<tr>
<td>1346</td>
<td>00569050</td>
<td>BAYI NYONYA SULASIAH</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-11 12:40:04</td>
<td>2021-04-13 17:52:37</td>
</tr>
<tr>
<td>1347</td>
<td>00569048</td>
<td>MENE</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-11 12:24:44</td>
<td>2021-04-15 10:48:39</td>
</tr>
<tr>
<td>1348</td>
<td>00569046</td>
<td>MUHAMMAD RASYA</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-11 12:10:17</td>
<td>2021-04-14 09:45:33</td>
</tr>
<tr>
<td>1349</td>
<td>00569049</td>
<td>BY NY ATIAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-11 12:01:08</td>
<td>2021-04-13 17:51:30</td>
</tr>
<tr>
<td>1350</td>
<td>00569043</td>
<td>BAYI NYONYA ANI SUARNI</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-11 11:50:02</td>
<td>2021-04-14 09:47:54</td>
</tr>
<tr>
<td>1351</td>
<td>00568962</td>
<td>BAYI NYONYA HERLINAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-11 11:43:15</td>
<td>2021-04-13 17:50:21</td>
</tr>
<tr>
<td>1352</td>
<td>00569047</td>
<td>SURNI</td>
<td>Perempuan</td>
<td>VK BED 9</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-11 10:39:34</td>
<td>2021-04-13 09:09:54</td>
</tr>
<tr>
<td>1353</td>
<td>00569044</td>
<td>NAURA</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-11 09:14:47</td>
<td>2021-04-17 14:36:59</td>
</tr>
<tr>
<td>1354</td>
<td>00569045</td>
<td>SULASIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-11 08:13:09</td>
<td>2021-04-15 10:41:39</td>
</tr>
<tr>
<td>1355</td>
<td>00504778</td>
<td>vivi alviah</td>
<td>Perempuan</td>
<td>VK BED 6</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-11 06:04:49</td>
<td>2021-04-12 10:42:36</td>
</tr>
<tr>
<td>1356</td>
<td>00569036</td>
<td>JIHAN</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-10 21:55:01</td>
<td>2021-04-14 22:49:09</td>
</tr>
<tr>
<td>1357</td>
<td>00569041</td>
<td>OPI MASROPI</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-10 18:46:49</td>
<td>2021-04-13 10:57:57</td>
</tr>
<tr>
<td>1358</td>
<td>00569040</td>
<td>PATONI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-10 18:01:38</td>
<td>2021-04-15 08:26:44</td>
</tr>
<tr>
<td>1359</td>
<td>00569039</td>
<td>JOHANA</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-10 17:52:34</td>
<td>2021-04-14 19:22:00</td>
</tr>
<tr>
<td>1360</td>
<td>00563139</td>
<td>deswita</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-10 16:55:22</td>
<td>2021-04-13 10:56:47</td>
</tr>
<tr>
<td>1361</td>
<td>00528480</td>
<td>SUSILAWATI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-10 15:53:27</td>
<td>2021-04-13 09:15:45</td>
</tr>
<tr>
<td>1362</td>
<td>00569034</td>
<td>PEPI</td>
conditions</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-10 15:31:17</td>
<td>2021-04-19 09:33:59</td>
</tr>
<tr>
<td>1363</td>
<td>00568969</td>
<td>BAYI NYONYA HAJAH NURUL AINI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-10 15:27:56</td>
<td>2021-04-12 06:39:01</td>
</tr>
<tr>
<td>1364</td>
<td>00569033</td>
<td>ANIS</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-10 15:19:18</td>
<td>2021-04-20 13:38:47</td>
</tr>
<tr>
<td>1365</td>
<td>00569032</td>
<td>JAHRAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-10 14:47:05</td>
<td>2021-04-10 23:44:32</td>
</tr>
<tr>
<td>1366</td>
<td>00569031</td>
<td>BAYI NYONYA CICIH CAHYATI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-10 13:52:02</td>
<td>2021-04-13 17:49:56</td>
</tr>
<tr>
<td>1367</td>
<td>00569030</td>
<td>AISYAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-10 13:26:16</td>
<td>2021-04-15 10:56:02</td>
</tr>
<tr>
<td>1368</td>
<td>00569029</td>
<td>BAYI NYONYA SUMIRAT</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-10 13:11:53</td>
<td>2021-04-19 12:55:57</td>
</tr>
<tr>
<td>1369</td>
<td>00569028</td>
<td>MILA ROSITA</td>
<td>Perempuan</td>
<td>VK BED 7</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-10 12:24:47</td>
<td>2021-04-12 10:55:07</td>
</tr>
<tr>
<td>1370</td>
<td>00569018</td>
<td>UMAR DANI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-10 11:58:10</td>
<td>2021-04-13 14:33:39</td>
</tr>
<tr>
<td>1371</td>
<td>00569014</td>
<td>BAYI NYONYA SITI KHODIJAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-10 11:52:24</td>
<td>2021-04-12 06:39:34</td>
</tr>
<tr>
<td>1372</td>
<td>00569027</td>
<td>YANTI PURNAMA</td>
<td>Perempuan</td>
<td>VK BED 4</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-10 11:46:52</td>
<td>2021-04-12 10:24:48</td>
</tr>
<tr>
<td>1373</td>
<td>00558794</td>
<td>arief rifai</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-10 10:59:05</td>
<td>2021-04-14 09:36:58</td>
</tr>
<tr>
<td>1374</td>
<td>00566179</td>
<td>BAI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-10 09:00:16</td>
<td>2021-04-13 11:00:36</td>
</tr>
<tr>
<td>1375</td>
<td>00569024</td>
<td>AMAR MARUP</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-10 06:55:10</td>
<td>2021-04-11 12:27:17</td>
</tr>
<tr>
<td>1376</td>
<td>00569023</td>
<td>MUHAMAAD YUSUP</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-09 23:42:03</td>
<td>2021-04-14 13:31:50</td>
</tr>
<tr>
<td>1377</td>
<td>00569021</td>
<td>E. SUDRAJAT</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-09 20:24:15</td>
<td>2021-04-13 09:58:42</td>
</tr>
<tr>
<td>1378</td>
<td>00565852</td>
<td>BAYI NYONYA SITI MUTHMAINAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-09 20:04:23</td>
<td>2021-04-14 09:43:59</td>
</tr>
<tr>
<td>1379</td>
<td>00568874</td>
<td>SOLEHUDDIN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-09 19:34:01</td>
<td>2021-04-15 08:27:20</td>
</tr>
<tr>
<td>1380</td>
<td>00569020</td>
<td>DADI AHYADI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-09 18:58:21</td>
<td>2021-04-19 09:34:39</td>
</tr>
<tr>
<td>1381</td>
<td>00569019</td>
<td>JUNAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-09 18:48:48</td>
<td>2021-04-13 10:39:14</td>
</tr>
<tr>
<td>1382</td>
<td>00569017</td>
<td>ABIDIN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-09 16:57:16</td>
<td>2021-04-13 11:00:21</td>
</tr>
<tr>
<td>1383</td>
<td>00568991</td>
<td>ATIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-09 11:59:12</td>
<td>2021-04-15 10:42:00</td>
</tr>
<tr>
<td>1384</td>
<td>00557849</td>
<td>NABILA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-09 11:38:37</td>
<td>2021-04-13 09:52:19</td>
</tr>
<tr>
<td>1385</td>
<td>00568958</td>
<td>BY NY DAHLIA</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-09 11:29:59</td>
<td>2021-04-09 13:08:03</td>
</tr>
<tr>
<td>1386</td>
<td>00506992</td>
<td>TATANG MUHTASAR</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-09 10:58:08</td>
<td>2021-04-13 10:38:42</td>
</tr>
<tr>
<td>1387</td>
<td>00528594</td>
<td>HARRY SETYA NEGARA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-09 10:57:23</td>
<td>2021-04-12 21:34:40</td>
</tr>
<tr>
<td>1388</td>
<td>00568957</td>
<td>BAYI NYONYA UUS USLIAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-09 10:55:13</td>
<td>2021-04-09 13:07:35</td>
</tr>
<tr>
<td>1389</td>
<td>00569013</td>
<td>DATUM</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-09 10:32:24</td>
<td>2021-04-13 14:32:20</td>
</tr>
<tr>
<td>1390</td>
<td>00566401</td>
<td>LATIFAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-09 08:56:17</td>
<td>2021-04-17 11:13:41</td>
</tr>
<tr>
<td>1391</td>
<td>00569008</td>
<td>SAHAL</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-09 08:46:54</td>
<td>2021-04-19 09:35:40</td>
</tr>
<tr>
<td>1392</td>
<td>00569007</td>
<td>IIN HARIYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-09 08:43:03</td>
<td>2021-04-17 09:22:26</td>
</tr>
<tr>
<td>1393</td>
<td>00568412</td>
<td>IMAS TRIYANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-09 08:42:49</td>
<td>2021-04-15 10:45:24</td>
</tr>
<tr>
<td>1394</td>
<td>00568996</td>
<td>NURHAYATI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-09 08:23:00</td>
<td>2021-04-14 14:17:53</td>
</tr>
<tr>
<td>1395</td>
<td>00568993</td>
<td>SITI ONASIH</td>
<td>Perempuan</td>
<td>Maternal care for other known or suspected fetal problems</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-09 08:15:01</td>
<td>2021-04-12 11:06:55</td>
</tr>
<tr>
<td>1396</td>
<td>00568335</td>
<td>ANITA NOVIANTI</td>
<td>Perempuan</td>
<td>Chronic tonsillitis</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-09 08:14:54</td>
<td>2021-04-15 13:49:55</td>
</tr>
<tr>
<td>1397</td>
<td>00568992</td>
<td>ROHMININGSIH</td>
<td>Perempuan</td>
<td>Obstructed labour due to incomplete rotation of fetal head</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-09 08:13:13</td>
<td>2021-04-12 11:06:21</td>
</tr>
<tr>
<td>1398</td>
<td>00568986</td>
<td>NICAH</td>
<td>Perempuan</td>
<td>VK BED 1</td>
<td>Haemorrhage in early pregnancy, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-09 07:47:00</td>
<td>2021-04-12 10:43:09</td>
</tr>
<tr>
<td>1399</td>
<td>00568983</td>
<td>CICIH CAHYATI</td>
<td>Perempuan</td>
<td>Other chronic diseases of tonsils and adenoids</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-09 07:15:29</td>
<td>2021-04-15 10:44:24</td>
</tr>
<tr>
<td>1400</td>
<td>00568981</td>
<td>MOCH. DARREL ALHADI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-09 03:03:28</td>
<td>2021-04-12 08:58:15</td>
</tr>
<tr>
<td>1401</td>
<td>00474703</td>
<td>TB. E. SYACHRONI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-09 00:16:59</td>
<td>2021-04-14 13:16:48</td>
</tr>
<tr>
<td>1402</td>
<td>00568978</td>
<td>BAYI NYONYA MAISYAROH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 19:42:34</td>
<td>2021-04-12 06:40:16</td>
</tr>
<tr>
<td>1403</td>
<td>00568977</td>
<td>BAYI NYONYA MELANI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 19:21:38</td>
<td>2021-04-09 13:13:45</td>
</tr>
<tr>
<td>1404</td>
<td>00568976</td>
<td>RIRIN</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 19:16:12</td>
<td>2021-04-14 09:47:13</td>
</tr>
<tr>
<td>1405</td>
<td>00568975</td>
<td>SARAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 19:12:34</td>
<td>2021-04-13 11:03:43</td>
</tr>
<tr>
<td>1406</td>
<td>00568974</td>
<td>KARTA</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 19:05:53</td>
<td>2021-04-10 21:06:50</td>
</tr>
<tr>
<td>1407</td>
<td>00568973</td>
<td>BY RIKA</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 18:56:55</td>
<td>2021-04-09 13:14:14</td>
</tr>
<tr>
<td>1408</td>
<td>00568972</td>
<td>BAYI NYONYA NURFU ADAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 18:50:23</td>
<td>2021-04-15 09:29:13</td>
</tr>
<tr>
<td>1409</td>
<td>00568971</td>
<td>SUWARSIH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 18:33:53</td>
<td>2021-04-10 09:16:17</td>
</tr>
<tr>
<td>1410</td>
<td>00568970</td>
<td>Perempuan</td>
<td>VK BED 5</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 18:19:02</td>
<td>2021-04-12 10:54:21</td>
</tr>
<tr>
<td>1411</td>
<td>00568969</td>
<td>BAYI NYONYA HAJAH NURUL AINI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 18:01:08</td>
<td>2021-04-12 06:40:57</td>
</tr>
<tr>
<td>1412</td>
<td>00183730</td>
<td>NY.HABSAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 17:56:50</td>
<td>2021-04-13 08:32:26</td>
</tr>
<tr>
<td>1413</td>
<td>00568968</td>
<td>BAYI NYONYA LUSI AFIANA SUSANTI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 17:30:34</td>
<td>2021-04-09 13:13:12</td>
</tr>
<tr>
<td>1414</td>
<td>00568952</td>
<td>RIKI</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-08 17:21:11</td>
<td>2021-04-09 14:05:20</td>
</tr>
<tr>
<td>1415</td>
<td>00568967</td>
<td>BAYI NYONYA ENENG JUMAWATI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 16:51:32</td>
<td>2021-04-09 13:12:42</td>
</tr>
<tr>
<td>1416</td>
<td>00568966</td>
<td>BY NY OYOH</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-08 16:28:17</td>
<td>2021-04-15 09:29:55</td>
</tr>
<tr>
<td>1417</td>
<td>00568965</td>
<td>BAYI NYONYA INTAN ULFA ANNISA</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 16:22:47</td>
<td>2021-04-09 13:12:14</td>
</tr>
<tr>
<td>1418</td>
<td>00568964</td>
<td>NURFU ADAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 16:07:46</td>
<td>2021-04-11 13:20:12</td>
</tr>
<tr>
<td>1419</td>
<td>00568962</td>
<td>BAYI NYONYA HERLINAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 15:40:48</td>
<td>2021-04-09 13:11:46</td>
</tr>
<tr>
<td>1420</td>
<td>00547403</td>
<td>SITI SALMA APRILIA</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 15:35:45</td>
<td>2021-04-10 08:49:57</td>
</tr>
<tr>
<td>1421</td>
<td>00568908</td>
<td>ROHAYATI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-08 15:25:43</td>
<td>2021-04-09 18:49:34</td>
</tr>
<tr>
<td>1422</td>
<td>00568961</td>
<td>BAYI NYONYA YENI YULYILAWATI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 15:18:55</td>
<td>2021-04-09 13:11:18</td>
</tr>
<tr>
<td>1423</td>
<td>00568960</td>
<td>BAYI NYONYA N. EVA SEPTIANA</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 15:12:21</td>
<td>2021-04-09 13:10:46</td>
</tr>
<tr>
<td>1424</td>
<td>00568959</td>
<td>BY NY SUNAETI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 15:00:34</td>
<td>2021-04-12 06:40:35</td>
</tr>
<tr>
<td>1425</td>
<td>00568958</td>
<td>BY NY DAHLIA</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 14:32:32</td>
<td>2021-04-09 13:14:40</td>
</tr>
<tr>
<td>1426</td>
<td>00568956</td>
<td>BAYI NYONYA AI FUJIAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-08 13:35:25</td>
<td>2021-04-16 08:56:55</td>
</tr>
<tr>
<td>1427</td>
<td>00568790</td>
<td>ELIN HERLINA</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-08 13:27:03</td>
<td>2021-04-12 09:33:17</td>
</tr>
<tr>
<td>1428</td>
<td>00568949</td>
<td>BY MUSLIHAH</td>
<td>Perempuan</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Rujukan</td>
<td>2021-04-08 13:25:47</td>
<td>2021-04-13 17:48:20</td>
</tr>
<tr>
<td>1429</td>
<td>00568945</td>
<td>MAISYAROH</td>
<td>Perempuan</td>
<td>VK BED 14</td>
<td>P08.0 - Exceptionally large baby</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 12:36:26</td>
<td>2021-04-12 10:29:22</td>
</tr>
<tr>
<td>1430</td>
<td>00568951</td>
<td>YENI YULYILAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 11:55:54</td>
<td>2021-04-12 11:05:05</td>
</tr>
<tr>
<td>1431</td>
<td>00568891</td>
<td>OYOH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-08 11:55:06</td>
<td>2021-04-11 13:22:21</td>
</tr>
<tr>
<td>1432</td>
<td>00562514</td>
<td>EEN</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 11:04:37</td>
<td>2021-04-13 08:33:33</td>
</tr>
<tr>
<td>1433</td>
<td>00568948</td>
<td>RIKA ANGRAENI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 10:46:55</td>
<td>2021-04-11 13:23:46</td>
</tr>
<tr>
<td>1434</td>
<td>00568946</td>
<td>ANDRI LULU EDIANA</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-08 10:24:35</td>
<td>2021-04-10 12:50:24</td>
</tr>
<tr>
<td>1435</td>
<td>00568793</td>
<td>NENI SUHERNI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-08 10:02:29</td>
<td>2021-04-10 12:50:29</td>
</tr>
<tr>
<td>1436</td>
<td>00497706</td>
<td>TURMUDI</td>
<td>Malignant neoplasm of abdomen</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 09:48:19</td>
<td>2021-04-15 13:27:14</td>
</tr>
<tr>
<td>1437</td>
<td>00568927</td>
<td>SALBIAH</td>
<td>Perempuan</td>
<td>Inflammatory disorders of breast</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 09:35:37</td>
<td>2021-04-14 13:33:06</td>
</tr>
<tr>
<td>1438</td>
<td>00388216</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 09:35:00</td>
<td>2021-04-09 13:17:20</td>
</tr>
<tr>
<td>1439</td>
<td>00568926</td>
<td>HERLINAH</td>
<td>Perempuan</td>
<td>Premature rupture of membranes, onset of labour within 24
hours</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 09:34:58</td>
<td>2021-04-11 13:22:50</td>
</tr>
<tr>
<td>1440</td>
<td>00568921</td>
<td>DARMADI</td>
<td>I64 - Stroke, not specified as haemorrhage or infarction</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-08 09:32:54</td>
<td>2021-04-14 13:40:14</td>
</tr>
<tr>
<td>1441</td>
<td>00567159</td>
<td>INTAN ULFA ANNISA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 09:25:33</td>
<td>2021-04-11 13:21:52</td>
</tr>
<tr>
<td>1442</td>
<td>00560095</td>
<td>ENENG JUMAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 09:23:22</td>
<td>2021-04-11 13:21:04</td>
</tr>
<tr>
<td>1443</td>
<td>00568915</td>
<td>WELLY AJIE</td>
<td></td>
<td></td>
<td>Rujukan</td>
<td>2021-04-08 09:16:36</td>
<td>2021-04-17 08:56:27</td>
</tr>
<tr>
<td>1444</td>
<td>00455936</td>
<td>SUHEBAH</td>
<td>Perempuan</td>
<td>Acute sinusitis</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 09:16:00</td>
<td>2021-04-22 12:44:16</td>
</tr>
<tr>
<td>1445</td>
<td>00568916</td>
<td>MELANI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-08 09:14:47</td>
<td>2021-04-11 13:20:39</td>
</tr>
<tr>
<td>1446</td>
<td>00568912</td>
<td>AKIDAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 09:07:22</td>
<td>2021-04-09 18:46:09</td>
</tr>
<tr>
<td>1447</td>
<td>00568366</td>
<td>RUSIN</td>
face and neck</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 09:07:11</td>
<td>2021-04-17 12:13:10</td>
</tr>
<tr>
<td>1448</td>
<td>00568910</td>
<td>N. EVA SEPTIANA</td>
<td>Perempuan</td>
<td>Maternal care for disproportion due to unusually large fetus</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 09:03:00</td>
<td>2021-04-12 11:07:14</td>
</tr>
<tr>
<td>1449</td>
<td>00568901</td>
<td>ENDANG DAEROBI</td>
conditions</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-08 08:52:43</td>
<td>2021-04-13 09:51:25</td>
</tr>
<tr>
<td>1450</td>
<td>00566368</td>
<td>AAT MUSLIHAT</td>
<td>Perempuan</td>
<td>Other benign neoplasm of connective and other soft tissue of
abdomen</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 08:45:47</td>
<td>2021-04-13 14:33:45</td>
</tr>
<tr>
<td>1451</td>
<td>00564446</td>
<td>EDI NURAEDI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 08:39:59</td>
<td>2021-04-13 14:33:51</td>
</tr>
<tr>
<td>1452</td>
<td>00568787</td>
<td>UCI SANUSI</td>
<td>Unspecified abdominal hernia without obstruction or gangrene</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 08:32:06</td>
<td>2021-04-15 13:43:40</td>
</tr>
<tr>
<td>1453</td>
<td>00567606</td>
<td>LUSI AFIANA SUSANTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-08 08:29:14</td>
<td>2021-04-11 13:23:18</td>
</tr>
<tr>
<td>1454</td>
<td>00547075</td>
<td>SADELI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 08:25:05</td>
<td>2021-04-13 10:59:59</td>
</tr>
<tr>
<td>1455</td>
<td>00568894</td>
<td>SITI MURNIYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 08:18:27</td>
<td>2021-04-14 13:34:31</td>
</tr>
<tr>
<td>1456</td>
<td>00568748</td>
<td>IIS SUSILAWATI</td>
<td>Perempuan</td>
<td>Spontaneous abortion</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 07:38:40</td>
<td>2021-04-10 14:33:52</td>
</tr>
<tr>
<td>1457</td>
<td>00566595</td>
<td>ATENG</td>
<td>Hyperplasia of prostate</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 07:30:12</td>
<td>2021-04-16 13:41:37</td>
</tr>
<tr>
<td>1458</td>
<td>00568882</td>
<td>UUS USLIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 07:02:20</td>
<td>2021-04-12 11:05:51</td>
</tr>
<tr>
<td>1459</td>
<td>00568881</td>
<td>AI FUJIAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-08 06:40:29</td>
<td>2021-04-12 11:04:41</td>
</tr>
<tr>
<td>1460</td>
<td>00568879</td>
<td>YUNIDAR RIFA'ATUL MUKARROMAH</td>
<td>Perempuan</td>
<td>VK BED 13</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 23:58:51</td>
<td>2021-04-09 09:13:06</td>
</tr>
<tr>
<td>1461</td>
<td>00568834</td>
<td>DEDE HUDAEBI</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-07 21:06:48</td>
<td>2021-04-14 13:32:04</td>
</tr>
<tr>
<td>1462</td>
<td>00568877</td>
<td>CUCUM</td>
<td>Perempuan</td>
conditions</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-07 21:00:23</td>
<td>2021-04-13 09:01:14</td>
</tr>
<tr>
<td>1463</td>
<td>00471167</td>
<td>AWANG MUNAWAR</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 20:36:49</td>
<td>2021-04-13 10:58:38</td>
</tr>
<tr>
<td>1464</td>
<td>00543297</td>
<td>KUSNIAH</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 20:01:20</td>
<td>2021-04-13 10:37:35</td>
</tr>
<tr>
<td>1465</td>
<td>00568875</td>
<td>HILMAN</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-07 18:56:28</td>
<td>2021-04-10 20:47:02</td>
</tr>
<tr>
<td>1466</td>
<td>00568873</td>
<td>TB. NOVA APRIANSYAH</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 17:14:35</td>
<td>2021-04-13 10:57:21</td>
</tr>
<tr>
<td>1467</td>
<td>00568872</td>
<td>UDIN BAKHRUDIN</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 15:18:40</td>
<td>2021-04-10 20:54:08</td>
</tr>
<tr>
<td>1468</td>
<td>00568871</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 14:44:36</td>
<td>2021-04-15 09:26:28</td>
</tr>
<tr>
<td>1469</td>
<td>00568870</td>
<td>RINI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 14:39:09</td>
<td>2021-04-15 13:59:45</td>
</tr>
<tr>
<td>1470</td>
<td>00568832</td>
<td>SRI SUNARTI</td>
<td>Perempuan</td>
<td></td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-07 14:22:00</td>
<td>2021-04-13 09:50:30</td>
</tr>
<tr>
<td>1471</td>
<td>00568868</td>
<td>BAYI NYONYA PUJI LASMINI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 11:59:18</td>
<td>2021-04-09 13:10:16</td>
</tr>
<tr>
<td>1472</td>
<td>00423405</td>
<td>FAKHRI FAUZUL ADZIM</td>
<td>A75 - Typhus fever</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 11:42:04</td>
<td>2021-04-11 17:35:42</td>
</tr>
<tr>
<td>1473</td>
<td>00568865</td>
<td>ROBI SUGARA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 11:15:29</td>
<td>2021-04-10 08:54:28</td>
</tr>
<tr>
<td>1474</td>
<td>00568620</td>
<td>OON</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 10:31:15</td>
<td>2021-04-09 14:01:48</td>
</tr>
<tr>
<td>1475</td>
<td>00568862</td>
<td>BY NY ITA SURNITA</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Langsung</td>
<td>2021-04-07 10:07:06</td>
<td>2021-04-08 08:59:48</td>
</tr>
<tr>
<td>1476</td>
<td>00568861</td>
<td>BY NY ENAH</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Langsung</td>
<td>2021-04-07 09:58:02</td>
<td>2021-04-09 09:22:17</td>
</tr>
<tr>
<td>1477</td>
<td>00568806</td>
<td>HENDRA MAULANA HASAN</td>
<td>drg, arisa permata sari</td>
<td>Necrosis of pulp</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 09:29:58</td>
<td>2021-04-15 13:27:33</td>
</tr>
<tr>
<td>1478</td>
<td>00568852</td>
<td>DEDE MAHRUZ AMIN</td>
<td>Mucocele of salivary gland</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 08:51:03</td>
<td>2021-04-15 13:25:01</td>
</tr>
<tr>
<td>1479</td>
<td>00486125</td>
<td>PUJI LASMINI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 08:50:07</td>
<td>2021-04-12 11:04:06</td>
</tr>
<tr>
<td>1480</td>
<td>00568844</td>
<td>AISYAH NURMAULINA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 08:33:34</td>
<td>2021-04-11 12:44:04</td>
</tr>
<tr>
<td>1481</td>
<td>00509330</td>
<td>AMAD</td>
<td>Anal fistula</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 08:21:21</td>
<td>2021-04-13 14:32:31</td>
</tr>
<tr>
<td>1482</td>
<td>00451961</td>
<td>ENONG MUNIROH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 08:11:35</td>
<td>2021-04-08 08:52:15</td>
</tr>
<tr>
<td>1483</td>
<td>00568840</td>
<td>ENENG SUKNAH</td>
<td>Perempuan</td>
<td>Benign lipomatous neoplasm, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 08:08:36</td>
<td>2021-04-13 14:32:25</td>
</tr>
<tr>
<td>1484</td>
<td>00568614</td>
<td>HJ.RUMANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 07:49:44</td>
<td>2021-04-17 08:32:44</td>
</tr>
<tr>
<td>1485</td>
<td>00567946</td>
<td>GHAILAN MALIK FIRDAUS</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-07 06:46:05</td>
<td>2021-04-08 13:26:36</td>
</tr>
<tr>
<td>1486</td>
<td>00568826</td>
<td>MISNAN</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-06 19:20:40</td>
<td>2021-04-13 09:16:21</td>
</tr>
<tr>
<td>1487</td>
<td>00568831</td>
<td>ARSUNI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-06 18:55:46</td>
<td>2021-05-04 09:06:18</td>
</tr>
<tr>
<td>1488</td>
<td>00560418</td>
<td>ASNIZAR</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-06 18:12:30</td>
<td>2021-04-08 13:43:40</td>
</tr>
<tr>
<td>1489</td>
<td>00568777</td>
<td>BAYI NYONYA MAESAROH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-06 15:36:06</td>
<td>2021-04-07 09:18:06</td>
</tr>
<tr>
<td>1490</td>
<td>00568829</td>
<td>ENAH AEN</td>
<td>Perempuan</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-04-06 14:46:39</td>
<td>2021-04-17 16:27:21</td>
</tr>
<tr>
<td>1491</td>
<td>00441980</td>
<td>SURTINI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-06 13:48:41</td>
<td>2021-04-08 14:36:48</td>
</tr>
<tr>
<td>1492</td>
<td>00568732</td>
<td>BAYI NYONYA RATNA NINGSIH</td>
<td>Z03.8 - Observation for other suspected diseases and
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-06 11:09:31</td>
<td>2021-04-07 09:20:46</td>
</tr>
<tr>
<td>1493</td>
<td>00526903</td>
<td>CUNDIAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-06 10:04:31</td>
<td>2021-04-09 15:41:43</td>
</tr>
<tr>
<td>1494</td>
<td>00568615</td>
<td>MAMAN SUPARMAN</td>
<td>Cardiomegaly</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-06 09:33:38</td>
<td>2021-04-08 12:20:25</td>
</tr>
<tr>
<td>1495</td>
<td>00568814</td>
<td>RUMLI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-06 09:07:53</td>
<td>2021-04-10 21:23:50</td>
</tr>
<tr>
<td>1496</td>
<td>00568562</td>
<td>IDI PUDIANSYAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-06 09:02:50</td>
<td>2021-04-09 13:54:21</td>
</tr>
<tr>
<td>1497</td>
<td>00568552</td>
<td>ENJOH</td>
<td>Perempuan</td>
<td>Melanoma in situ of other and unspecified parts of face</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-06 08:54:31</td>
<td>2021-04-10 12:44:52</td>
</tr>
<tr>
<td>1498</td>
<td>00566835</td>
<td>AYU RAHMA HAPSARI</td>
<td>Perempuan</td>
unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-06 08:33:14</td>
<td>2021-04-08 12:37:12</td>
</tr>
<tr>
<td>1499</td>
<td>00568798</td>
<td>VIKA PRIHASTUTI</td>
<td>Perempuan</td>
<td>Benign mammary dysplasia</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-06 08:31:47</td>
<td>2021-04-08 13:12:37</td>
</tr>
<tr>
<td>1500</td>
<td>00507924</td>
<td>NURAINI</td>
<td>Perempuan</td>
<td>Beta thalassaemia</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-06 08:19:11</td>
<td>2021-04-07 20:58:31</td>
</tr>
<tr>
<td>1501</td>
<td>00561594</td>
<td>PAJRIN SUSANTO</td>
<td>Ascites</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-06 08:16:19</td>
<td>2021-04-10 21:13:01</td>
</tr>
<tr>
<td>1502</td>
<td>00541164</td>
<td>KASIAH</td>
<td>Perempuan</td>
<td>Other benign neoplasm of connective and other soft tissue of
abdomen</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-06 07:50:58</td>
<td>2021-04-08 13:24:29</td>
</tr>
<tr>
<td>1503</td>
<td>00568785</td>
<td>RABI'AH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-06 07:24:56</td>
<td>2021-04-08 13:45:24</td>
</tr>
<tr>
<td>1504</td>
<td>00568782</td>
<td>SARMANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-06 07:10:19</td>
<td>2021-04-11 08:48:08</td>
</tr>
<tr>
<td>1505</td>
<td>00568784</td>
<td>LISNAWATI</td>
<td>Perempuan</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-06 06:56:28</td>
<td>2021-04-10 09:04:57</td>
</tr>
<tr>
<td>1506</td>
<td>00568783</td>
<td>SABILA ZAHRA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-05 23:34:48</td>
<td>2021-04-09 13:18:19</td>
</tr>
<tr>
<td>1507</td>
<td>00498253</td>
<td>UJANG SUMAWINATA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-05 22:19:50</td>
<td>2021-04-13 10:42:46</td>
</tr>
<tr>
<td>1508</td>
<td>00521099</td>
<td>LASTRI SUSANA</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-05 20:06:29</td>
<td>2021-04-08 13:43:10</td>
</tr>
<tr>
<td>1509</td>
<td>00568779</td>
<td>ANI MARYATI</td>
<td>Perempuan</td>
<td>VK BED 4</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-05 19:58:40</td>
<td>2021-04-07 08:34:13</td>
</tr>
<tr>
<td>1510</td>
<td>00568778</td>
<td>ROHAEDI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-05 18:16:02</td>
<td>2021-04-09 14:05:12</td>
</tr>
<tr>
<td>1511</td>
<td>00568741</td>
<td>RUNARSIH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-05 17:20:49</td>
<td>2021-04-11 17:42:29</td>
</tr>
<tr>
<td>1512</td>
<td>00568717</td>
<td>BAYI NYONYA NURBAETI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-05 15:50:27</td>
<td>2021-04-07 09:17:07</td>
</tr>
<tr>
<td>1513</td>
<td>00568776</td>
<td>ITA SURNITA</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-05 15:25:32</td>
<td>2021-04-12 11:03:32</td>
</tr>
<tr>
<td>1514</td>
<td>00568773</td>
<td>MUHAMAD ANJAR HERLAMBANG</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-05 13:22:26</td>
<td>2021-04-10 08:46:27</td>
</tr>
<tr>
<td>1515</td>
<td>00568772</td>
<td>ADELIA HUMAERA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-05 12:56:49</td>
<td>2021-04-09 13:08:34</td>
</tr>
<tr>
<td>1516</td>
<td>00568771</td>
<td>IDA FARIDA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-05 12:24:46</td>
<td>2021-04-07 11:13:31</td>
</tr>
<tr>
<td>1517</td>
<td>00568770</td>
<td>UCU JUHARIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-05 12:15:45</td>
<td>2021-05-04 09:06:59</td>
</tr>
<tr>
<td>1518</td>
<td>00568768</td>
<td>KAYLA AURELIA PUTRI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-05 12:09:37</td>
<td>2021-04-09 13:09:30</td>
</tr>
<tr>
<td>1519</td>
<td>00568767</td>
<td>BAYI NYONYA RAHMAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-05 12:05:53</td>
<td>2021-04-07 09:47:52</td>
</tr>
<tr>
<td>1520</td>
<td>00479643</td>
<td>KARIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-05 11:48:51</td>
<td>2021-04-08 13:46:09</td>
</tr>
<tr>
<td>1521</td>
<td>00568765</td>
<td>BAYI NYONYA MULYATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-05 11:18:37</td>
<td>2021-04-07 09:48:18</td>
</tr>
<tr>
<td>1522</td>
<td>00568764</td>
<td>MAESAROH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-05 11:16:13</td>
<td>2021-04-07 12:21:35</td>
</tr>
<tr>
<td>1523</td>
<td>00568751</td>
<td>MUKSIN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-05 10:56:31</td>
<td>2021-04-08 13:43:19</td>
</tr>
<tr>
<td>1524</td>
<td>00568694</td>
<td>BAYI NYONYA YOSIE LARASWATI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-05 10:51:51</td>
<td>2021-04-07 09:04:10</td>
</tr>
<tr>
<td>1525</td>
<td>00568762</td>
<td>MASPIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-05 10:40:06</td>
<td>2021-04-10 21:23:27</td>
</tr>
<tr>
<td>1526</td>
<td>00568761</td>
<td>BAYI NYONYA SUSI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-05 10:31:00</td>
<td>2021-04-13 17:48:46</td>
</tr>
<tr>
<td>1527</td>
<td>00512037</td>
<td>EEN HERMAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-05 09:06:24</td>
<td>2021-04-14 13:40:58</td>
</tr>
<tr>
<td>1528</td>
<td>00568752</td>
<td>BY NY JIHA</td>
<td>Perempuan</td>
<td>P07.1 - Other low birth weight</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-05 08:48:55</td>
<td>2021-04-13 17:49:19</td>
</tr>
<tr>
<td>1529</td>
<td>00568749</td>
<td>KASMAH</td>
<td>Perempuan</td>
<td>Secondary hypertension</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-05 08:08:49</td>
<td>2021-04-08 13:43:44</td>
</tr>
<tr>
<td>1530</td>
<td>00568747</td>
<td>YUNUS</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-05 01:45:30</td>
<td>2021-04-08 13:43:31</td>
</tr>
<tr>
<td>1531</td>
<td>00568746</td>
<td>KASTIRI</td>
<td>Perempuan</td>
<td>VK BED 3</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-05 00:09:13</td>
<td>2021-04-06 09:01:16</td>
</tr>
<tr>
<td>1532</td>
<td>00568745</td>
<td>ETI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-04 23:43:48</td>
<td>2021-04-07 19:30:06</td>
</tr>
<tr>
<td>1533</td>
<td>00568744</td>
<td>TISYA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-04 22:02:49</td>
<td>2021-04-08 11:24:44</td>
</tr>
<tr>
<td>1534</td>
<td>00568743</td>
<td>SUSI</td>
<td>Perempuan</td>
<td>VK BED 1</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-04 21:52:51</td>
<td>2021-04-06 09:02:12</td>
</tr>
<tr>
<td>1535</td>
<td>00568742</td>
<td>DIANDRA GHEISAN R</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-04 20:31:06</td>
<td>2021-04-11 12:26:18</td>
</tr>
<tr>
<td>1536</td>
<td>00568741</td>
<td>RUNARSIH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-04 18:20:57</td>
<td>2021-04-05 14:47:23</td>
</tr>
<tr>
<td>1537</td>
<td>00568658</td>
<td>ENENG KOMARSIH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-04 15:21:46</td>
<td>2021-04-07 10:33:29</td>
</tr>
<tr>
<td>1538</td>
<td>00408830</td>
<td>yoyoh yohnisah</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-04 13:31:31</td>
<td>2021-04-09 19:35:13</td>
</tr>
<tr>
<td>1539</td>
<td>00568738</td>
<td>UNUNG</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-04-04 11:08:44</td>
<td>2021-04-09 19:38:26</td>
</tr>
<tr>
<td>1540</td>
<td>00435223</td>
<td>HALIMI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-04 01:44:26</td>
<td>2021-04-05 21:22:10</td>
</tr>
<tr>
<td>1541</td>
<td>00568727</td>
<td>ANI</td>
<td>Perempuan</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-04-03 23:51:00</td>
<td>2021-04-06 17:38:33</td>
</tr>
<tr>
<td>1542</td>
<td>00568736</td>
<td>RATNASARI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-03 23:24:44</td>
<td>2021-04-06 17:37:27</td>
</tr>
<tr>
<td>1543</td>
<td>00568734</td>
<td>JELITA ALIFA KANSA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-03 22:36:03</td>
<td>2021-04-07 11:26:00</td>
</tr>
<tr>
<td>1544</td>
<td>00511439</td>
<td>ELAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-03 21:33:15</td>
<td>2021-04-07 09:02:08</td>
</tr>
<tr>
<td>1545</td>
<td>00568735</td>
<td>BAYI NYONYA SITI MAKIYAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-03 21:08:20</td>
<td>2021-04-07 09:46:52</td>
</tr>
<tr>
<td>1546</td>
<td>00568733</td>
<td>SITI MAKIYAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-03 20:05:27</td>
<td>2021-04-07 11:13:07</td>
</tr>
<tr>
<td>1547</td>
<td>00568730</td>
<td>BY NY ANI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-04-03 18:50:40</td>
<td>2021-04-07 09:49:31</td>
</tr>
<tr>
<td>1548</td>
<td>00568731</td>
<td>BAYI NYONYA MIRA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-03 18:49:41</td>
<td>2021-04-07 09:48:46</td>
</tr>
<tr>
<td>1549</td>
<td>00568108</td>
<td>RATNA NINGSIH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-03 17:28:53</td>
<td>2021-04-07 11:12:48</td>
</tr>
<tr>
<td>1550</td>
<td>00568728</td>
<td>MIRA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-03 16:23:49</td>
<td>2021-04-08 15:49:21</td>
</tr>
<tr>
<td>1551</td>
<td>00509931</td>
<td>MAHDI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-03 15:34:39</td>
<td>2021-04-05 21:26:23</td>
</tr>
<tr>
<td>1552</td>
<td>00568726</td>
<td>ARSAH S.ST</td>
<td>Perempuan</td>
<td></td>
<td></td>
<td>Rujukan</td>
<td>2021-04-03 11:07:59</td>
<td>2021-04-12 21:35:11</td>
</tr>
<tr>
<td>1553</td>
<td>00522343</td>
<td>SUBADRA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-03 10:45:26</td>
<td>2021-04-06 08:56:34</td>
</tr>
<tr>
<td>1554</td>
<td>00498307</td>
<td>TIRMAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-03 10:09:08</td>
<td>2021-04-05 10:39:27</td>
</tr>
<tr>
<td>1555</td>
<td>00568724</td>
<td>MASRIP</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-03 10:05:38</td>
<td>2021-04-19 14:02:51</td>
</tr>
<tr>
<td>1556</td>
<td>00526860</td>
<td>ALIMAH</td>
<td>Perempuan</td>
<td>G81 - Hemiplegia</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-03 09:01:55</td>
<td>2021-04-05 21:13:30</td>
</tr>
<tr>
<td>1557</td>
<td>00568720</td>
<td>UCI SANUSI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-03 03:42:36</td>
<td>2021-04-08 13:43:15</td>
</tr>
<tr>
<td>1558</td>
<td>00565712</td>
<td>Perempuan</td>
<td>ANITA SALAMA</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-03 00:10:35</td>
<td>2021-04-17 12:10:40</td>
</tr>
<tr>
<td>1559</td>
<td>00568707</td>
<td>MADYUNAH</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-02 23:31:17</td>
<td>2021-04-08 13:49:01</td>
</tr>
<tr>
<td>1560</td>
<td>00568718</td>
<td>TATANG SUHERMAN</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-02 23:18:47</td>
<td>2021-04-08 13:48:58</td>
</tr>
<tr>
<td>1561</td>
<td>00568715</td>
<td>KUSNADI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-02 22:21:37</td>
<td>2021-04-08 13:47:45</td>
</tr>
<tr>
<td>1562</td>
<td>00568702</td>
<td>M TORIK</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-02 22:18:25</td>
<td>2021-04-11 12:26:51</td>
</tr>
<tr>
<td>1563</td>
<td>00568711</td>
<td>SUHAENI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-02 18:53:19</td>
<td>2021-04-08 11:57:26</td>
</tr>
<tr>
<td>1564</td>
<td>00568706</td>
<td>JELITA</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-04-02 17:19:04</td>
<td>2021-04-08 11:22:37</td>
</tr>
<tr>
<td>1565</td>
<td>00410010</td>
<td>SULAEMAN</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-02 17:02:39</td>
<td>2021-04-04 09:14:30</td>
</tr>
<tr>
<td>1566</td>
<td>00309160</td>
<td>SUPANDI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-02 13:36:43</td>
<td>2021-04-05 14:47:04</td>
</tr>
<tr>
<td>1567</td>
<td>00568703</td>
<td>IHWAN</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-02 03:53:25</td>
<td>2021-04-07 14:21:21</td>
</tr>
<tr>
<td>1568</td>
<td>00568700</td>
<td>AN AKILA</td>
<td>Perempuan</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-04-01 20:01:15</td>
<td>2021-04-05 10:38:52</td>
</tr>
<tr>
<td>1569</td>
<td>00568701</td>
<td>TAUPIK KURNIAZAT</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-04-01 19:57:23</td>
<td>2021-04-05 21:17:13</td>
</tr>
<tr>
<td>1570</td>
<td>00568698</td>
<td>SUNARYO</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-04-01 19:46:04</td>
<td>2021-04-05 21:18:50</td>
</tr>
<tr>
<td>1571</td>
<td>00568699</td>
<td>BAYI NYONYA NENG WIWIN</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-01 19:42:49</td>
<td>2021-04-07 09:20:01</td>
</tr>
<tr>
<td>1572</td>
<td>00568697</td>
<td>BAYI NYONYA MURSAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-01 17:37:13</td>
<td>2021-04-07 09:05:12</td>
</tr>
<tr>
<td>1573</td>
<td>00568652</td>
<td>SRI WAHYUNI MAULINDA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-01 17:32:17</td>
<td>2021-04-07 10:29:53</td>
</tr>
<tr>
<td>1574</td>
<td>00568696</td>
<td>BAYI NYONYA ANIS</td>
<td>ACEP MULYANA, Amd.Kep</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-01 16:51:23</td>
<td>2021-04-07 09:04:51</td>
</tr>
<tr>
<td>1575</td>
<td>00568695</td>
<td>BAYI NYONYA ST. SUAPIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-01 16:30:03</td>
<td>2021-04-07 09:05:36</td>
</tr>
<tr>
<td>1576</td>
<td>00568634</td>
<td>BAYI NYONYA NENI HANDAYANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 14:59:45</td>
<td>2021-04-07 09:04:29</td>
</tr>
<tr>
<td>1577</td>
<td>00548558</td>
<td>EMAN MOCH SUBHAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 13:51:02</td>
<td>2021-04-06 08:58:03</td>
</tr>
<tr>
<td>1578</td>
<td>00568644</td>
<td>JOHARI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 13:38:43</td>
<td>2021-04-08 13:43:35</td>
</tr>
<tr>
<td>1579</td>
<td>00399962</td>
<td>SABRANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 13:06:58</td>
<td>2021-04-13 10:38:28</td>
</tr>
<tr>
<td>1580</td>
<td>00559494</td>
<td>KASIMAN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 13:01:00</td>
<td>2021-04-05 21:14:45</td>
</tr>
<tr>
<td>1581</td>
<td>00568693</td>
<td>MURSAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 12:58:47</td>
<td>2021-04-03 10:49:12</td>
</tr>
<tr>
<td>1582</td>
<td>00568690</td>
<td>IMA SUMAWATI</td>
<td>Perempuan</td>
<td>VK BED 7</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 12:08:38</td>
<td>2021-04-07 08:39:19</td>
</tr>
<tr>
<td>1583</td>
<td>00568689</td>
<td>SUHAEDI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 11:47:55</td>
<td>2021-04-08 13:43:23</td>
</tr>
<tr>
<td>1584</td>
<td>00568688</td>
<td>SARMI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 11:19:19</td>
<td>2021-04-07 10:30:39</td>
</tr>
<tr>
<td>1585</td>
<td>00456181</td>
<td>M. E. MIFTAHUDIN</td>
<td>Haemorrhoids in the puerperium</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 10:49:27</td>
<td>2021-04-11 17:39:37</td>
</tr>
<tr>
<td>1586</td>
<td>00568684</td>
<td>SITI SUAFIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 10:15:22</td>
<td>2021-04-03 10:50:27</td>
</tr>
<tr>
<td>1587</td>
<td>00568653</td>
<td>INTAN YUDIA NINGSIH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 10:00:45</td>
<td>2021-04-03 10:51:41</td>
</tr>
<tr>
<td>1588</td>
<td>00568682</td>
<td>BAYI NYONYA EMAH PUSPITASARI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-01 09:55:38</td>
<td>2021-04-07 09:19:17</td>
</tr>
<tr>
<td>1589</td>
<td>00541332</td>
<td>H. JAMALUDIN</td>
<td>Unspecified diabetes mellitus</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 09:30:25</td>
<td>2021-04-10 12:46:40</td>
</tr>
<tr>
<td>1590</td>
<td>00564500</td>
<td>FEREN NADIYA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 09:18:41</td>
<td>2021-04-08 12:43:24</td>
</tr>
<tr>
<td>1591</td>
<td>00568676</td>
<td>RAHMA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 09:07:56</td>
<td>2021-04-07 11:14:24</td>
</tr>
<tr>
<td>1592</td>
<td>00568675</td>
<td>YOSIE LARASWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 09:04:05</td>
<td>2021-04-05 14:45:38</td>
</tr>
<tr>
<td>1593</td>
<td>00563703</td>
<td>SOFIYATUL HURIYAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 08:55:41</td>
<td>2021-04-06 08:52:23</td>
</tr>
<tr>
<td>1594</td>
<td>00563934</td>
<td>ROHANAH</td>
<td>Perempuan</td>
<td>Leiomyoma of uterus, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 08:52:17</td>
<td>2021-04-08 11:58:57</td>
</tr>
<tr>
<td>1595</td>
<td>00568662</td>
<td>NENG WIWIN</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 08:24:51</td>
<td>2021-04-07 09:02:25</td>
</tr>
<tr>
<td>1596</td>
<td>00568044</td>
<td>ANIS</td>
<td>Perempuan</td>
<td>Placenta praevia specified as without haemorrhage</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 08:18:19</td>
<td>2021-04-03 10:49:47</td>
</tr>
<tr>
<td>1597</td>
<td>00531478</td>
<td>ELAHAYATI</td>
<td>Perempuan</td>
<td>Dr, wisuda putra negara, Sp.D</td>
<td>Generalized skin eruption due to drugs and medicaments</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 07:40:24</td>
<td>2021-04-08 14:36:53</td>
</tr>
<tr>
<td>1598</td>
<td>00568654</td>
<td>M. NURDIN</td>
<td>Lipomatosis, not elsewhere classified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-04-01 07:39:16</td>
<td>2021-04-07 13:57:38</td>
</tr>
<tr>
<td>1599</td>
<td>00568651</td>
<td>RAUL MAULANA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-01 06:20:30</td>
<td>2021-04-06 11:23:23</td>
</tr>
<tr>
<td>1600</td>
<td>00568650</td>
<td>MUHAMAD SAID</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-04-01 06:17:17</td>
<td>2021-04-02 22:30:41</td>
</tr>
<tr>
<td>1601</td>
<td>00568648</td>
<td>BY NY ATIAH 2</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-03-31 22:48:20</td>
<td>2021-04-07 09:06:34</td>
</tr>
<tr>
<td>1602</td>
<td>00568647</td>
<td>BY NY ATIAH 1</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-03-31 22:47:40</td>
<td>2021-04-16 08:57:34</td>
</tr>
<tr>
<td>1603</td>
<td>00568646</td>
<td>JUNIA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-03-31 21:54:11</td>
<td>2021-04-01 19:18:10</td>
</tr>
<tr>
<td>1604</td>
<td>00568645</td>
<td>AL ALAWIYAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 20:20:08</td>
<td>2021-04-09 14:02:56</td>
</tr>
<tr>
<td>1605</td>
<td>00565299</td>
<td>SITI USWATUN KHASANAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-03-31 18:38:10</td>
<td>2021-04-06 11:24:57</td>
</tr>
<tr>
<td>1606</td>
<td>00568637</td>
<td>DEDE PERMANA</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-03-31 18:25:02</td>
<td>2021-04-05 08:24:29</td>
</tr>
<tr>
<td>1607</td>
<td>00568643</td>
<td>EMAH PUSPITASARI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 16:55:36</td>
<td>2021-04-05 14:46:40</td>
</tr>
<tr>
<td>1608</td>
<td>00568640</td>
<td>WANDI</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-03-31 16:27:03</td>
<td>2021-04-06 08:52:00</td>
</tr>
<tr>
<td>1609</td>
<td>00568642</td>
<td>NURBAETI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 16:23:54</td>
<td>2021-04-06 16:12:30</td>
</tr>
<tr>
<td>1610</td>
<td>00568587</td>
<td>BAYI NYONYA ZELIKA REJA FIRDAUS</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-03-31 15:39:16</td>
<td>2021-04-01 13:17:24</td>
</tr>
<tr>
<td>1611</td>
<td>00568641</td>
<td>ADNAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-03-31 15:32:33</td>
<td>2021-04-03 11:46:14</td>
</tr>
<tr>
<td>1612</td>
<td>00568585</td>
<td>BAYI NYONYA JUNAENI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 15:06:22</td>
<td>2021-04-27 10:33:22</td>
</tr>
<tr>
<td>1613</td>
<td>00568584</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 15:02:25</td>
<td>2021-04-07 09:16:49</td>
</tr>
<tr>
<td>1614</td>
<td>00568636</td>
<td>BAYI NYONYA HALIAH</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-03-31 14:12:22</td>
<td>2021-04-01 13:16:56</td>
</tr>
<tr>
<td>1615</td>
<td>00435929</td>
<td>KASIM</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 13:04:43</td>
<td>2021-04-04 16:35:06</td>
</tr>
<tr>
<td>1616</td>
<td>00568638</td>
<td>MUTMAINAH</td>
<td>Perempuan</td>
<td>VK BED 1</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 12:57:04</td>
<td>2021-04-01 09:59:32</td>
</tr>
<tr>
<td>1617</td>
<td>00378813</td>
<td>delia septiani</td>
<td>Perempuan</td>
<td>D56 - Thalassaemia</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 12:55:27</td>
<td>2021-04-03 08:58:03</td>
</tr>
<tr>
<td>1618</td>
<td>00568635</td>
<td>OMAN</td>
<td>K56.7 - Ileus, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 12:11:02</td>
<td>2021-04-05 13:27:07</td>
</tr>
<tr>
<td>1619</td>
<td>00568634</td>
<td>BAYI NYONYA NENI HANDAYANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 11:54:02</td>
<td>2021-04-01 13:20:13</td>
</tr>
<tr>
<td>1620</td>
<td>00568633</td>
<td>BAYI NYONYA SITI HAJAR</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 10:53:32</td>
<td>2021-04-01 13:20:37</td>
</tr>
<tr>
<td>1621</td>
<td>00568632</td>
<td>SURNA</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-03-31 10:27:35</td>
<td>2021-04-05 08:26:20</td>
</tr>
<tr>
<td>1622</td>
<td>00568630</td>
<td>BAYI NYONYA DESI YANI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 10:18:04</td>
<td>2021-04-01 13:18:25</td>
</tr>
<tr>
<td>1623</td>
<td>00568628</td>
<td>YATI SUHAYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 09:44:19</td>
<td>2021-04-05 21:23:57</td>
</tr>
<tr>
<td>1624</td>
<td>00545611</td>
<td>MANDALA SAKTI JAYA KUSUMA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 09:32:51</td>
<td>2021-04-03 08:59:20</td>
</tr>
<tr>
<td>1625</td>
<td>00568627</td>
<td>DJUNAEDI</td>
<td>K30 - Dyspepsia</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 09:19:24</td>
<td>2021-04-06 08:53:33</td>
</tr>
<tr>
<td>1626</td>
<td>00568625</td>
<td>ANANDA RIZKIA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 09:12:43</td>
<td>2021-04-03 11:58:16</td>
</tr>
<tr>
<td>1627</td>
<td>00568621</td>
<td>ADI ICHSAN ALI</td>
<td>Impacted teeth</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 09:06:33</td>
<td>2021-04-08 12:21:50</td>
</tr>
<tr>
<td>1628</td>
<td>00568613</td>
<td>MOCH. ariq haidar</td>
<td>Other disorders of urinary system</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 08:37:32</td>
<td>2021-04-05 10:42:28</td>
</tr>
<tr>
<td>1629</td>
<td>00568611</td>
<td>ENAH SUHAENAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-03-31 08:27:15</td>
<td>2021-04-06 13:16:32</td>
</tr>
<tr>
<td>1630</td>
<td>00557634</td>
<td>UBAEDILLAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 08:21:03</td>
<td>2021-04-07 13:54:18</td>
</tr>
<tr>
<td>1631</td>
<td>00568600</td>
<td>RATNASIH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 06:17:45</td>
<td>2021-04-04 09:13:36</td>
</tr>
<tr>
<td>1632</td>
<td>00562527</td>
<td>HALIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 01:10:25</td>
<td>2021-04-02 11:02:50</td>
</tr>
<tr>
<td>1633</td>
<td>00568601</td>
<td>SITI HAJAR</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-31 01:04:05</td>
<td>2021-04-02 11:28:51</td>
</tr>
<tr>
<td>1634</td>
<td>00567699</td>
<td>ARNAMAN</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-30 22:15:46</td>
<td>2021-04-11 08:48:31</td>
</tr>
<tr>
<td>1635</td>
<td>00568597</td>
<td>BY NY SULASTRI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-30 21:21:38</td>
<td>2021-04-01 13:21:01</td>
</tr>
<tr>
<td>1636</td>
<td>00568595</td>
<td>ARNI</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Langsung</td>
<td>2021-03-30 18:38:45</td>
<td>2021-04-01 12:05:09</td>
</tr>
<tr>
<td>1637</td>
<td>00568100</td>
<td>NENI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-03-30 17:42:16</td>
<td>2021-04-02 11:11:12</td>
</tr>
<tr>
<td>1638</td>
<td>00568593</td>
<td>NAPSIAWATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-03-30 16:54:02</td>
<td>2021-04-02 11:07:24</td>
</tr>
<tr>
<td>1639</td>
<td>00568592</td>
<td>E. WIRA ATMAJAYA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-03-30 16:36:11</td>
<td>2021-04-05 14:46:02</td>
</tr>
<tr>
<td>1640</td>
<td>00568591</td>
<td>SULASTRI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-03-30 16:18:37</td>
<td>2021-04-05 15:24:35</td>
</tr>
<tr>
<td>1641</td>
<td>00568590</td>
<td>SITI ROHMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-03-30 15:39:02</td>
<td>2021-04-01 07:52:40</td>
</tr>
<tr>
<td>1642</td>
<td>00563173</td>
<td>SAMI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-03-30 14:24:05</td>
<td>2021-04-03 11:29:38</td>
</tr>
<tr>
<td>1643</td>
<td>00514784</td>
<td>NANA NAIMAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-03-30 14:14:17</td>
<td>2021-04-08 13:48:54</td>
</tr>
<tr>
<td>1644</td>
<td>00568504</td>
<td>BAYI NYONYA UMIYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-03-30 14:05:03</td>
<td>2021-04-01 13:19:38</td>
</tr>
<tr>
<td>1645</td>
<td>00568587</td>
<td>BAYI NYONYA ZELIKA REJA FIRDAUS</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-30 14:03:44</td>
<td>2021-04-01 13:19:17</td>
</tr>
<tr>
<td>1646</td>
<td>00552559</td>
<td>SARINAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-03-30 13:54:10</td>
<td>2021-04-05 15:23:27</td>
</tr>
<tr>
<td>1647</td>
<td>00568586</td>
<td>alfin hanafi</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-30 13:10:17</td>
<td>2021-04-10 12:51:41</td>
</tr>
<tr>
<td>1648</td>
<td>00568585</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-30 12:52:54</td>
<td>2021-04-01 13:17:54</td>
</tr>
<tr>
<td>1649</td>
<td>00568584</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-30 12:50:11</td>
<td>2021-04-01 13:18:50</td>
</tr>
<tr>
<td>1650</td>
<td>00568559</td>
<td>ZUNA RIZKY UMAIR</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-30 12:33:00</td>
<td>2021-04-07 09:10:52</td>
</tr>
<tr>
<td>1651</td>
<td>00536947</td>
<td>AEP TARYANA</td>
<td>I50 - Heart failure</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-30 12:02:23</td>
<td>2021-04-07 09:02:52</td>
</tr>
<tr>
<td>1652</td>
<td>00568583</td>
<td>RAHMAT</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-30 11:56:55</td>
<td>2021-04-06 08:52:45</td>
</tr>
<tr>
<td>1653</td>
<td>00568582</td>
<td>NURIAH</td>
<td>Perempuan</td>
<td>A15.0 - Tuberculosis of lung, confirmed by sputum microscopy with
or without culture</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-30 11:32:26</td>
<td>2021-04-03 08:58:31</td>
</tr>
<tr>
<td>1654</td>
<td>00496084</td>
<td>NENG LIPAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-30 11:22:36</td>
<td>2021-04-03 11:57:26</td>
</tr>
<tr>
<td>1655</td>
<td>00563004</td>
<td>SITI FADILAH</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-30 11:02:51</td>
<td>2021-04-05 09:16:38</td>
</tr>
<tr>
<td>1656</td>
<td>00568566</td>
<td>WINDA DWI APRILIANI WIJAYA</td>
<td>Perempuan</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Rujukan</td>
<td>2021-03-30 09:20:56</td>
<td>2021-04-05 14:48:19</td>
</tr>
<tr>
<td>1657</td>
<td>00533911</td>
<td>JUJUN</td>
<td>Nasal polyp, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-30 08:53:05</td>
<td>2021-04-03 11:29:03</td>
</tr>
<tr>
<td>1658</td>
<td>00568541</td>
<td>MASRIYAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-03-30 08:27:53</td>
<td>2021-04-02 10:52:41</td>
</tr>
<tr>
<td>1659</td>
<td>00568538</td>
<td>IDOH FARIDOH</td>
<td>Perempuan</td>
<td>Drg, JOVIAN PURNOMO</td>
<td>Impacted teeth</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-30 08:23:15</td>
<td>2021-04-08 12:21:12</td>
</tr>
<tr>
<td>1660</td>
<td>00567920</td>
<td>RAMAL</td>
<td>Hyperplasia of prostate</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-30 08:22:47</td>
<td>2021-04-08 12:19:24</td>
</tr>
<tr>
<td>1661</td>
<td>00568531</td>
<td>CECEP</td>
<td>Anal fissure, unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-30 07:56:53</td>
<td>2021-04-19 09:47:37</td>
</tr>
<tr>
<td>1662</td>
<td>00549471</td>
<td>PARTI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-30 07:45:51</td>
<td>2021-04-10 12:44:07</td>
</tr>
<tr>
<td>1663</td>
<td>00568526</td>
<td>SUHANDA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-29 23:13:51</td>
<td>2021-04-08 09:11:09</td>
</tr>
<tr>
<td>1664</td>
<td>00408317</td>
<td>unayah</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-29 22:26:59</td>
<td>2021-04-01 11:02:36</td>
</tr>
<tr>
<td>1665</td>
<td>00568525</td>
<td>ASNIRWAN MURNI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-29 22:05:01</td>
<td>2021-04-11 08:47:50</td>
</tr>
<tr>
<td>1666</td>
<td>00568524</td>
<td>NENG SITI HASANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-29 21:14:34</td>
<td>2021-04-03 10:40:14</td>
</tr>
<tr>
<td>1667</td>
<td>00568520</td>
<td>BY NY HENI</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-03-29 20:33:22</td>
<td>2021-04-07 09:47:25</td>
</tr>
<tr>
<td>1668</td>
<td>00568518</td>
<td>ASWATI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-29 19:38:56</td>
<td>2021-04-01 12:04:29</td>
</tr>
<tr>
<td>1669</td>
<td>00568517</td>
<td>H. DULMUTI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-29 17:31:02</td>
<td>2021-04-03 11:29:43</td>
</tr>
<tr>
<td>1670</td>
<td>00568515</td>
<td>JUHERI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-29 14:53:23</td>
<td>2021-04-06 08:11:12</td>
</tr>
<tr>
<td>1671</td>
<td>00568437</td>
<td>SUMANDA PUSPITA</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-29 14:41:48</td>
<td>2021-04-14 09:12:34</td>
</tr>
<tr>
<td>1672</td>
<td>00568514</td>
<td>ARUM</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-29 14:21:47</td>
<td>2021-04-01 12:04:10</td>
</tr>
<tr>
<td>1673</td>
<td>00568481</td>
<td>ZELIKA REJA FIRDAUS</td>
<td>Perempuan</td>
<td>O41.0 - Oligohydramnios</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-29 13:24:24</td>
<td>2021-04-01 12:04:47</td>
</tr>
<tr>
<td>1674</td>
<td>00568512</td>
<td>NURHAYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-29 13:06:15</td>
<td>2021-04-03 11:55:42</td>
</tr>
<tr>
<td>1675</td>
<td>00568511</td>
<td>SITI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-29 13:01:38</td>
<td>2021-04-03 09:14:10</td>
</tr>
<tr>
<td>1676</td>
<td>00506121</td>
<td>hj. SUHATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-29 12:34:16</td>
<td>2021-04-04 15:12:59</td>
</tr>
<tr>
<td>1677</td>
<td>00568184</td>
<td>SUADIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-29 11:50:27</td>
<td>2021-04-03 11:52:15</td>
</tr>
<tr>
<td>1678</td>
<td>00544931</td>
<td>ULAS</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-29 11:32:40</td>
<td>2021-04-06 08:57:11</td>
</tr>
<tr>
<td>1679</td>
<td>00568505</td>
<td>PAJRI ROSADI</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-03-29 11:08:14</td>
<td>2021-04-05 08:25:13</td>
</tr>
<tr>
<td>1680</td>
<td>00536486</td>
<td>DARWIS</td>
<td>A15.2 - Tuberculosis of lung, confirmed histologically</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-29 10:52:13</td>
<td>2021-04-05 08:27:09</td>
</tr>
<tr>
<td>1681</td>
<td>00568496</td>
<td>BAYI NYONYA SITI ROHMAH</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-29 09:24:31</td>
<td>2021-04-07 09:46:37</td>
</tr>
<tr>
<td>1682</td>
<td>00568482</td>
<td>DESI YANI</td>
<td>Perempuan</td>
<td>Supervision of high-risk pregnancy</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-29 08:18:40</td>
<td>2021-04-02 11:31:18</td>
</tr>
<tr>
<td>1683</td>
<td>00568475</td>
<td>EROH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-29 03:30:14</td>
<td>2021-04-05 15:22:11</td>
</tr>
<tr>
<td>1684</td>
<td>00568470</td>
<td>PIPIN</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>JAMPERSAL</td>
<td>Rujukan</td>
<td>2021-03-28 16:12:20</td>
<td>2021-04-05 15:25:52</td>
</tr>
<tr>
<td>1685</td>
<td>00568004</td>
<td>IMAS MASRIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-28 09:53:44</td>
<td>2021-04-09 09:28:15</td>
</tr>
<tr>
<td>1686</td>
<td>00564334</td>
<td>TATIN SUPRIHATIN</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-28 09:47:05</td>
<td>2021-04-03 11:28:43</td>
</tr>
<tr>
<td>1687</td>
<td>00565821</td>
<td>SUMSIAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-28 09:32:29</td>
<td>2021-04-01 19:17:41</td>
</tr>
<tr>
<td>1688</td>
<td>00568466</td>
<td>YULI DZULHIDJATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-28 09:08:59</td>
<td>2021-04-01 10:40:32</td>
</tr>
<tr>
<td>1689</td>
<td>00568450</td>
<td>EOD</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-03-27 19:59:22</td>
<td>2021-04-05 08:25:51</td>
</tr>
<tr>
<td>1690</td>
<td>00568435</td>
<td>BAYI NYONYA NANI NOVITA SARI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-27 11:04:17</td>
<td>2021-04-07 09:18:25</td>
</tr>
<tr>
<td>1691</td>
<td>00568448</td>
<td>TUKMINI</td>
<td>Perempuan</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-27 11:00:39</td>
<td>2021-04-06 08:55:54</td>
</tr>
<tr>
<td>1692</td>
<td>00500762</td>
<td>SITI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-27 08:26:56</td>
<td>2021-04-04 14:59:56</td>
</tr>
<tr>
<td>1693</td>
<td>00568407</td>
<td>NIKO SAFUTRA</td>
conditions</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Rujukan</td>
<td>2021-03-26 21:13:53</td>
<td>2021-04-03 11:27:35</td>
</tr>
<tr>
<td>1694</td>
<td>00568433</td>
<td>TARSAN</td>
conditions</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-03-26 21:03:13</td>
<td>2021-04-05 08:24:52</td>
</tr>
<tr>
<td>1695</td>
<td>00568428</td>
<td>SUHAETI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-03-26 16:58:24</td>
<td>2021-04-04 15:18:05</td>
</tr>
<tr>
<td>1696</td>
<td>00568425</td>
<td>IKSAN SUMINDRAP</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-26 10:54:05</td>
<td>2021-04-06 07:34:32</td>
</tr>
<tr>
<td>1697</td>
<td>00505391</td>
<td>LASMAN LESMANA</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-26 10:32:55</td>
<td>2021-04-05 14:47:43</td>
</tr>
<tr>
<td>1698</td>
<td>00516850</td>
<td>NURYATI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-26 08:40:27</td>
<td>2021-04-07 11:15:05</td>
</tr>
<tr>
<td>1699</td>
<td>00568054</td>
<td>MULYATI</td>
<td>Perempuan</td>
<td>Maternal care for disproportion due to generally contracted
pelvis</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-26 07:47:48</td>
<td>2021-04-07 11:10:33</td>
</tr>
<tr>
<td>1700</td>
<td>00568408</td>
<td>RIKI</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-03-26 00:59:14</td>
<td>2021-04-03 11:30:52</td>
</tr>
<tr>
<td>1701</td>
<td>00568396</td>
<td>ARSAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-03-25 20:33:02</td>
<td>2021-04-01 10:25:42</td>
</tr>
<tr>
<td>1702</td>
<td>00568403</td>
<td>M AZRIL </td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-03-25 19:36:07</td>
<td>2021-04-01 15:14:22</td>
</tr>
<tr>
<td>1703</td>
<td>00568042</td>
<td>SITI MUTIVAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Rujukan</td>
<td>2021-03-25 14:41:21</td>
<td>2021-04-05 15:22:44</td>
</tr>
<tr>
<td>1704</td>
<td>00568391</td>
<td>RASMANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-25 11:47:22</td>
<td>2021-04-03 11:30:25</td>
</tr>
<tr>
<td>1705</td>
<td>00568389</td>
<td>EKO MARYULIANTO</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-25 11:02:48</td>
<td>2021-04-01 10:25:58</td>
</tr>
<tr>
<td>1706</td>
<td>00568053</td>
<td>TRISNAWATI</td>
<td>Perempuan</td>
<td>Hydatidiform mole</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-25 09:56:10</td>
<td>2021-04-12 11:08:03</td>
</tr>
<tr>
<td>1707</td>
<td>00568381</td>
<td>ELAN</td>
gangrene</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-25 09:54:36</td>
<td>2021-04-01 14:12:30</td>
</tr>
<tr>
<td>1708</td>
<td>00566984</td>
<td>SITI SULKHIYAH</td>
<td>Perempuan</td>
<td>Unspecified lump in breast</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-25 09:51:00</td>
<td>2021-04-17 14:35:32</td>
</tr>
<tr>
<td>1709</td>
<td>00568371</td>
<td>DATI</td>
<td>Perempuan</td>
<td>Visual impairment including blindness (binocular or monocular)</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-25 09:36:01</td>
<td>2021-04-04 15:13:35</td>
</tr>
<tr>
<td>1710</td>
<td>00567078</td>
<td>ANAH</td>
<td>Perempuan</td>
<td>Other and unspecified ovarian cysts</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-25 08:25:44</td>
<td>2021-04-07 11:09:46</td>
</tr>
<tr>
<td>1711</td>
<td>00568022</td>
<td>MUHTAR</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Langsung</td>
<td>2021-03-25 07:39:23</td>
<td>2021-04-06 13:16:19</td>
</tr>
<tr>
<td>1712</td>
<td>00568327</td>
<td>SAKRANI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-25 07:31:51</td>
<td>2021-04-05 13:27:12</td>
</tr>
<tr>
<td>1713</td>
<td>00568324</td>
<td>BY SUHAYATI</td>
<td>Tunai</td>
<td>TUNAI</td>
<td>Rujukan</td>
<td>2021-03-25 07:15:02</td>
<td>2021-04-01 13:21:31</td>
</tr>
<tr>
<td>1714</td>
<td>00568318</td>
<td>ANAH ROSANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-24 21:37:15</td>
<td>2021-04-01 14:12:41</td>
</tr>
<tr>
<td>1715</td>
<td>00568026</td>
<td>SITI MAEMANAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-24 17:41:11</td>
<td>2021-04-07 14:12:54</td>
</tr>
<tr>
<td>1716</td>
<td>00568313</td>
<td>RINA ROSTIANA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-24 15:29:15</td>
<td>2021-04-05 15:23:51</td>
</tr>
<tr>
<td>1717</td>
<td>00568300</td>
<td>AHMAD SOFI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-24 10:48:04</td>
<td>2021-04-01 10:25:50</td>
</tr>
<tr>
<td>1718</td>
<td>00498962</td>
<td>KIRANA WIJAYA KUSUMA</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-24 09:44:48</td>
<td>2021-04-12 21:23:55</td>
</tr>
<tr>
<td>1719</td>
<td>00568288</td>
<td>YUNI</td>
<td>Perempuan</td>
<td>Other noninfective disorders of lymphatic vessels and lymph
nodes</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-24 08:34:17</td>
<td>2021-04-03 11:28:59</td>
</tr>
<tr>
<td>1720</td>
<td>00568274</td>
<td>SURYA WIBAWA</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-23 17:28:54</td>
<td>2021-04-04 10:09:19</td>
</tr>
<tr>
<td>1721</td>
<td>00568243</td>
<td>ST HINDUN</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-23 08:32:03</td>
<td>2021-04-13 09:51:01</td>
</tr>
<tr>
<td>1722</td>
<td>00556883</td>
<td>NASIROH</td>
<td>Perempuan</td>
unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-23 08:05:49</td>
<td>2021-04-10 12:42:59</td>
</tr>
<tr>
<td>1723</td>
<td>00568062</td>
<td>JUBAEDAH</td>
<td>Perempuan</td>
face and neck</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-23 08:04:55</td>
<td>2021-04-10 12:46:03</td>
</tr>
<tr>
<td>1724</td>
<td>00568194</td>
<td>MUHAMAD ALFATEH PIRDAUS</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-22 10:31:11</td>
<td>2021-04-01 15:12:23</td>
</tr>
<tr>
<td>1725</td>
<td>00568175</td>
<td>ANITA SUPRIHATIN</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-22 08:49:00</td>
<td>2021-04-14 11:33:09</td>
</tr>
<tr>
<td>1726</td>
<td>00568155</td>
<td>SATIM</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-03-21 20:59:18</td>
<td>2021-04-06 08:53:10</td>
</tr>
<tr>
<td>1727</td>
<td>00568078</td>
<td>SUHARYANTI</td>
<td>Perempuan</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-18 15:54:01</td>
<td>2021-05-04 09:04:44</td>
</tr>
<tr>
<td>1728</td>
<td>00538637</td>
<td>ESIH SULASTRI</td>
<td>Perempuan</td>
<td>Acute periodontitis</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-18 11:11:18</td>
<td>2021-04-01 10:25:37</td>
</tr>
<tr>
<td>1729</td>
<td>00567946</td>
<td>GHAILAN MALIK FIRDAUS</td>
<td>Ganglion</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-16 09:14:31</td>
<td>2021-04-06 13:17:13</td>
</tr>
<tr>
<td>1730</td>
<td>00567934</td>
<td>HERNI</td>
<td>Perempuan</td>
<td>Other benign neoplasm of connective and other soft tissue of upper
limb, including shoulder</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-16 08:46:19</td>
<td>2021-04-08 13:19:18</td>
</tr>
<tr>
<td>1731</td>
<td>00567709</td>
<td>ASDI</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2021-03-16 08:11:09</td>
<td>2021-04-10 12:50:44</td>
</tr>
<tr>
<td>1732</td>
<td>00447071</td>
<td>ENJAT SUDARJAT</td>
unspecified</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-16 07:45:49</td>
<td>2021-04-02 22:25:21</td>
</tr>
<tr>
<td>1733</td>
<td>00567916</td>
<td>KULSUM</td>
<td>Perempuan</td>
<td>Keloid scar</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-16 07:36:56</td>
<td>2021-04-01 14:11:25</td>
</tr>
<tr>
<td>1734</td>
<td>00548675</td>
<td>SITI MASITOH</td>
<td>Perempuan</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-03-15 18:51:18</td>
<td>2021-04-06 08:53:54</td>
</tr>
<tr>
<td>1735</td>
<td>00567809</td>
<td>BAYI NYONYA MASKAH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-11 21:14:51</td>
<td>2021-04-01 13:22:03</td>
</tr>
<tr>
<td>1736</td>
<td>00567747</td>
<td>BAYI NYONYA ATIK</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-03-09 14:06:52</td>
<td>2021-04-07 09:01:28</td>
</tr>
<tr>
<td>1737</td>
<td>00566625</td>
<td>YAYAT</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-02-25 09:18:31</td>
<td>2021-04-12 14:10:51</td>
</tr>
<tr>
<td>1738</td>
<td>00566034</td>
<td>HASAN</td>
<td></td>
<td></td>
<td>Rujukan</td>
<td>2021-01-21 13:20:09</td>
<td>2021-04-14 09:05:31</td>
</tr>
<tr>
<td>1739</td>
<td>00565904</td>
<td>WAHIDIN</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-01-18 09:50:10</td>
<td>2021-04-14 09:04:07</td>
</tr>
<tr>
<td>1740</td>
<td>00565799</td>
<td>RITA INDRIANI</td>
<td>Perempuan</td>
<td></td>
<td></td>
<td>Langsung</td>
<td>2021-01-14 19:27:13</td>
<td>2021-04-14 09:05:51</td>
</tr>
<tr>
<td>1741</td>
<td>00565437</td>
<td>TUTI susilawati</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-01-07 08:58:53</td>
<td>2021-04-14 09:06:06</td>
</tr>
<tr>
<td>1742</td>
<td>00565312</td>
<td>HJ TITIN SUPRIYATIN</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2021-01-04 23:34:12</td>
<td>2021-04-14 09:02:01</td>
</tr>
<tr>
<td>1743</td>
<td>00565199</td>
<td>DEDEN THAMZILATUL IKHROM</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2021-01-01 16:19:26</td>
<td>2021-04-16 13:43:08</td>
</tr>
<tr>
<td>1744</td>
<td>00565149</td>
<td>AHMAD USRI FAUZI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2020-12-30 18:50:12</td>
<td>2021-04-14 09:01:40</td>
</tr>
<tr>
<td>1745</td>
<td>00309160</td>
<td>SUPANDI</td>
conditions</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2020-12-30 07:53:08</td>
<td>2021-04-14 09:01:09</td>
</tr>
<tr>
<td>1746</td>
<td>00484017</td>
<td>KEMAS ACHMAD</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2020-12-30 01:53:11</td>
<td>2021-04-14 09:06:27</td>
</tr>
<tr>
<td>1747</td>
<td>00564974</td>
<td>JIRJIS</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Langsung</td>
<td>2020-12-26 15:35:38</td>
<td>2021-04-14 09:04:48</td>
</tr>
<tr>
<td>1748</td>
<td>00501245</td>
<td>SUMA'AH</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2020-12-26 11:17:17</td>
<td>2021-04-14 09:03:42</td>
</tr>
<tr>
<td>1749</td>
<td>00525940</td>
<td>ZAHRA KHOERUNNISA EFENDI</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2020-12-26 08:27:46</td>
<td>2021-04-14 09:02:33</td>
</tr>
<tr>
<td>1750</td>
<td>00514126</td>
<td>SUMARNI</td>
<td>Perempuan</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2020-12-24 20:35:17</td>
<td>2021-04-14 09:05:10</td>
</tr>
<tr>
<td>1751</td>
<td>00564925</td>
<td>JUHARI</td>
<td></td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2020-12-23 20:43:45</td>
<td>2021-04-14 09:06:49</td>
</tr>
<tr>
<td>1752</td>
<td>00490802</td>
<td>AHMAD SLAMET RAHAYU</td>
<td>Jaminan</td>
<td>BPJS</td>
<td>Rujukan</td>
<td>2020-12-23 09:41:52</td>
<td>2021-04-14 09:03:08</td>
</tr>
<tr>
<td>1753</td>
<td>00553348</td>
<td>DERIS</td>
<td>Jaminan</td>
<td>JAMKESDA</td>
<td>Langsung</td>
<td>2020-04-08 08:56:29</td>
<td>2021-05-21 10:13:59</td>
</tr>
</tbody>
</table>

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