KODE_RS KELAS_RS KELAS_RAWAT KODE_TARIF PTD ADMISSION_DATE

DISCHARGE_DATE BIRTH_DATE BIRTH_WEIGHT SEX DISCHARGE_STATUS

DIAGLIST PROCLIST ADL1 ADL2 IN_SP IN_SR IN_SI IN_SD INACBG
SUBACUTE CHRONIC SP SR SI SD DESKRIPSI_INACBG TARIF_INACBG
TARIF_SUBACUTE TARIF_CHRONIC DESKRIPSI_SP TARIF_SP DESKRIPSI_SR
TARIF_SR DESKRIPSI_SI TARIF_SI DESKRIPSI_SD TARIF_SD
TOTAL_TARIF TARIF_RS TARIF_POLI_EKS LOS ICU_INDIKATOR ICU_LOS
VENT_HOUR NAMA_PASIEN MRN UMUR_TAHUN UMUR_HARI DPJP SEP NOKARTU
PAYOR_ID CODER_ID VERSI_INACBG VERSI_GROUPER C1 C2 C3
C4
3272025 C 3 AP 1 15/01/2021 19/01/2021 04/12/1950 0 2
1 B34.2 - - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
2069600 0 0 - 0 - 0 - 0 - 0
2069600 5474152 0 5 0 0 0 MINAR RUMSIAH 006888
70 25610 DR. ROFIMAN SP.P 3272025ICC21020006 3202324412500002
71;JAMINAN COVID-19 INACBG;123123123123;CBG 5.4.11.202106120705 4
165274 1#0##0#0#0.0#2021-06-28
14:31:37#0#00:00:00#00:00:00#09:19:30#{"no_kartu":"3202324412500002","no_kartu_t":"
nik","covid19_status_cd":"3","covid19_status_nm":"TERKONFIRMASI","episodes":
[{"episode_id":"1","episode_class_cd":"6","episode_class_nm":"ISOLASI NON TEKANAN
NEGATIF TANPA VENTILATOR","los":"5","order_no":"10"}],"pemulasaraan_jenazah":
{"pemulasaraan":"0","kantong":"0","peti":"0","plastik":"0","desinfektan_jenazah":"0
","mobil":"0","desinfektan_mobil":"0"},"penunjang_pengurang":
{"lab_asam_laktat":"152000","lab_procalcitonin":"400000","lab_crp":"136000","lab_ku
ltur":"326000","lab_d_dimer":"192000","lab_pt":"172000","lab_aptt":"172000","lab_wa
ktu_pendarahan":"19000","lab_anti_hiv":"151000","lab_analisa_gas":"86000","lab_albu
min":"25000","rad_thorax_ap_pa":"0"},"co_insidense_ind":"0","rs_darurat_ind":"0","c
c_ind":"0","top_up_rawat_gross":"37500000","top_up_rawat_factor":"1","top_up_rawat"
:"35669000","top_up_jenazah":"0","no_pengajuan":"3272025R47020702"} 5
0721681693ed6adf2e3e35432c81cd8e
3272025 C 3 AP 1 22/12/2020 29/12/2020 06/09/1995 0 2
1 B34.2 - - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
2069600 0 0 - 0 - 0 - 0 - 0
2069600 7890139 0 8 0 0 0 IRENE PAULINA
00040669 25 9239 DR. ROFIMAN SP.P 3272025ICC21020007
3204094609950004 71;JAMINAN COVID-19 INACBG;123123123123;CBG
5.4.11.202106120705 4 165276 1#0##0#0#0.0#2021-09-18
13:52:14#0#00:00:00#00:00:00#00:00:00#{"no_kartu":"3204094609950004","no_kartu_t":"
nik","covid19_status_cd":"3","covid19_status_nm":"TERKONFIRMASI","episodes":
[{"episode_id":"1","episode_class_cd":"6","episode_class_nm":"ISOLASI NON TEKANAN
NEGATIF TANPA VENTILATOR","los":"8","order_no":"10"}],"pemulasaraan_jenazah":
{"pemulasaraan":"0","kantong":"0","peti":"0","plastik":"0","desinfektan_jenazah":"0
","mobil":"0","desinfektan_mobil":"0"},"penunjang_pengurang":
{"lab_asam_laktat":"152000","lab_procalcitonin":"400000","lab_crp":"136000","lab_ku
ltur":"326000","lab_d_dimer":"192000","lab_pt":"172000","lab_aptt":"172000","lab_wa
ktu_pendarahan":"19000","lab_anti_hiv":"151000","lab_analisa_gas":"86000","lab_albu
min":"25000","rad_thorax_ap_pa":"0"},"co_insidense_ind":"0","rs_darurat_ind":"0","c
c_ind":"0","top_up_rawat_gross":"60000000","top_up_rawat_factor":"1","top_up_rawat"
:"58169000","top_up_jenazah":"0","no_pengajuan":"3272025R47020702"} 6
67d4e4fabf8a10e8b97aea23db9c6ac6
3272025 C 3 AP 1 04/01/2021 08/01/2021 27/12/1961 0 2
4 B34.2 - - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
2069600 0 0 - 0 - 0 - 0 - 0
2069600 4431222 0 5 0 0 0 AI KUSMAYATI
00009230 59 21558 DR. ROFIMAN, SP.P 3272025ICC21060001
3202066712610001 71;JAMINAN COVID-19 INACBG;123123123123;CBG
 5.4.11.202106120705 4 176473 1#0##0#0#0.0#2021-07-29
15:39:42#0#16:32:42#16:32:42#00:00:00#{"no_kartu":"3202066712610001","no_kartu_t":"
nik","covid19_status_cd":"3","covid19_status_nm":"TERKONFIRMASI","episodes":
[{"episode_id":"1","episode_class_cd":"6","episode_class_nm":"ISOLASI NON TEKANAN
NEGATIF TANPA VENTILATOR","los":"5","order_no":"10"}],"pemulasaraan_jenazah":
{"pemulasaraan":"550000","kantong":"100000","peti":"0","plastik":"260000","desinfek
tan_jenazah":"100000","mobil":"500000","desinfektan_mobil":"100000"},"penunjang_pen
gurang":
{"lab_asam_laktat":"152000","lab_procalcitonin":"400000","lab_crp":"136000","lab_ku
ltur":"326000","lab_d_dimer":"192000","lab_pt":"172000","lab_aptt":"172000","lab_wa
ktu_pendarahan":"19000","lab_anti_hiv":"151000","lab_analisa_gas":"86000","lab_albu
min":"25000","rad_thorax_ap_pa":"0"},"co_insidense_ind":"0","rs_darurat_ind":"0","c
c_ind":"0","top_up_rawat_gross":"37500000","top_up_rawat_factor":"1","top_up_rawat"
:"35669000","top_up_jenazah":"1610000","no_pengajuan":"3272025R47020702"} 2
a328a4a8e6ebb1acbaf0bc4b0ad437fa
3272025 C 3 AP 1 04/01/2021 08/01/2021 05/11/1996 0 2
1 B34.2 - - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
2069600 0 0 - 0 - 0 - 0 - 0
2069600 8135244 0 5 0 0 0 ZHEA NURFADILLAH HAFSARI
00005075 24 8826 DR. ROFIMAN SP.P 3272025ICC21060002
3272014511960001 71;JAMINAN COVID-19 INACBG;123123123123;CBG
5.4.11.202106120705 4 176512 1#0##0#0#0.0#2021-06-30
07:34:54#0#16:56:20#16:56:20#00:00:00#{"no_kartu":"3272014511960001","no_kartu_t":"
nik","covid19_status_cd":"3","covid19_status_nm":"TERKONFIRMASI","episodes":
[{"episode_id":"1","episode_class_cd":"6","episode_class_nm":"ISOLASI NON TEKANAN
NEGATIF TANPA VENTILATOR","los":"5","order_no":"10"}],"pemulasaraan_jenazah":
{"pemulasaraan":"0","kantong":"0","peti":"0","plastik":"0","desinfektan_jenazah":"0
","mobil":"0","desinfektan_mobil":"0"},"penunjang_pengurang":
{"lab_asam_laktat":"152000","lab_procalcitonin":"400000","lab_crp":"136000","lab_ku
ltur":"326000","lab_d_dimer":"192000","lab_pt":"172000","lab_aptt":"172000","lab_wa
ktu_pendarahan":"19000","lab_anti_hiv":"151000","lab_analisa_gas":"86000","lab_albu
min":"25000","rad_thorax_ap_pa":"0"},"co_insidense_ind":"0","rs_darurat_ind":"0","c
c_ind":"0","top_up_rawat_gross":"37500000","top_up_rawat_factor":"1","top_up_rawat"
:"35669000","top_up_jenazah":"0","no_pengajuan":"3272025R47020702"} 2
b32a5e5cf3df65df2d73b19f39f3a804
3272025 C 3 AP 1 10/01/2021 20/01/2021 23/10/1967 0 2
1 B34.2 - - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
2069600 0 0 - 0 - 0 - 0 - 0
2069600 9100625 0 11 0 0 0 NENENG SUPIATY
00041288 53 19438 DR. ROFIMAN, SP.P 3272025ICC21060004
0002089926011 71;JAMINAN COVID-19 INACBG;123123123123;CBG
5.4.11.202106120705 4 178286 1#0##0#0#0.0#2021-06-30
17:52:06#0#16:13:21#16:13:21#00:00:00#{"no_kartu":"0002089926011","no_kartu_t":"kar
tu_jkn","covid19_status_cd":"3","covid19_status_nm":"TERKONFIRMASI","episodes":
[{"episode_id":"1","episode_class_cd":"6","episode_class_nm":"ISOLASI NON TEKANAN
NEGATIF TANPA VENTILATOR","los":"11","order_no":"10"}],"pemulasaraan_jenazah":
{"pemulasaraan":"0","kantong":"0","peti":"0","plastik":"0","desinfektan_jenazah":"0
","mobil":"0","desinfektan_mobil":"0"},"penunjang_pengurang":
{"lab_asam_laktat":"152000","lab_procalcitonin":"400000","lab_crp":"136000","lab_ku
ltur":"326000","lab_d_dimer":"192000","lab_pt":"172000","lab_aptt":"172000","lab_wa
ktu_pendarahan":"19000","lab_anti_hiv":"151000","lab_analisa_gas":"86000","lab_albu
min":"25000","rad_thorax_ap_pa":"0"},"co_insidense_ind":"0","rs_darurat_ind":"0","c
c_ind":"0","top_up_rawat_gross":"82500000","top_up_rawat_factor":"1","top_up_rawat"
:"80669000","top_up_jenazah":"0","no_pengajuan":"3272025R47020702"} 1
8d69d3f36f91335d2ef4fe708b110666
3272025 C 3 AP 1 05/01/2021 06/01/2021 04/04/1973 0 1
4 B34.2 - - - None None None None A-4-13-I None None
 None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
2069600 0 0 - 0 - 0 - 0 - 0
2069600 3909187 0 2 0 0 0 ECE MASLAN 00041107
47 17443 DR. ROFIMAN, SP.P 3272025ICC21060006 3272050404730001
71;JAMINAN COVID-19 INACBG;123123123123;CBG 5.4.11.202106120705 4
179855 1#0##0#0#0.0#2021-08-05
13:56:17#0#14:52:29#14:52:29#00:00:00#{"no_kartu":"3272050404730001","no_kartu_t":"
nik","covid19_status_cd":"3","covid19_status_nm":"TERKONFIRMASI","episodes":
[{"episode_id":"1","episode_class_cd":"6","episode_class_nm":"ISOLASI NON TEKANAN
NEGATIF TANPA VENTILATOR","los":"2","order_no":"10"}],"pemulasaraan_jenazah":
{"pemulasaraan":"550000","kantong":"100000","peti":"0","plastik":"260000","desinfek
tan_jenazah":"100000","mobil":"500000","desinfektan_mobil":"100000"},"penunjang_pen
gurang":
{"lab_asam_laktat":"152000","lab_procalcitonin":"400000","lab_crp":"136000","lab_ku
ltur":"326000","lab_d_dimer":"192000","lab_pt":"172000","lab_aptt":"172000","lab_wa
ktu_pendarahan":"19000","lab_anti_hiv":"151000","lab_analisa_gas":"86000","lab_albu
min":"25000","rad_thorax_ap_pa":"0"},"co_insidense_ind":"0","rs_darurat_ind":"0","c
c_ind":"0","top_up_rawat_gross":"15000000","top_up_rawat_factor":"1","top_up_rawat"
:"13169000","top_up_jenazah":"1610000","no_pengajuan":"3272025R47020702"} 2
07a1b1fc320721df78cc022477c47bfc
3272025 C 3 AP 1 07/01/2021 12/01/2021 10/09/1988 0 1
1 B34.2 - - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
2069600 0 0 - 0 - 0 - 0 - 0
2069600 6691406 0 6 0 0 0 DIDIET NUGRAHA
00023114 32 11807 DR. ROFIMAN SP.P 3272025ICC21060007
3202331009880001 71;JAMINAN COVID-19 INACBG;123123123123;CBG
5.4.11.202106120705 4 179873 1#0##0#0#0.0#2021-06-30
11:52:09#0#14:39:44#14:39:44#00:00:00#{"no_kartu":"3202331009880001","no_kartu_t":"
nik","covid19_status_cd":"3","covid19_status_nm":"TERKONFIRMASI","episodes":
[{"episode_id":"1","episode_class_cd":"6","episode_class_nm":"ISOLASI NON TEKANAN
NEGATIF TANPA VENTILATOR","los":"6","order_no":"10"}],"pemulasaraan_jenazah":
{"pemulasaraan":"0","kantong":"0","peti":"0","plastik":"0","desinfektan_jenazah":"0
","mobil":"0","desinfektan_mobil":"0"},"penunjang_pengurang":
{"lab_asam_laktat":"152000","lab_procalcitonin":"400000","lab_crp":"136000","lab_ku
ltur":"326000","lab_d_dimer":"192000","lab_pt":"172000","lab_aptt":"172000","lab_wa
ktu_pendarahan":"19000","lab_anti_hiv":"151000","lab_analisa_gas":"86000","lab_albu
min":"25000","rad_thorax_ap_pa":"0"},"co_insidense_ind":"0","rs_darurat_ind":"0","c
c_ind":"0","top_up_rawat_gross":"45000000","top_up_rawat_factor":"1","top_up_rawat"
:"43169000","top_up_jenazah":"0","no_pengajuan":"3272025R47020702"} 1
b0e4d3effa47c71fddbc22c886b5c9da
3272025 C 3 AP 1 20/01/2021 27/01/2021 29/12/1989 0 2
1 B34.2 - - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
2069600 0 0 - 0 - 0 - 0 - 0
2069600 6504216 0 8 0 0 0 DESI PAJARDINI
00041581 31 11345 DR. ROFIMAN SP.P 3272025ICC21060008
3202296412890003 71;JAMINAN COVID-19 INACBG;123123123123;CBG
5.4.11.202106120705 4 179878 1#0##0#0#0.0#2021-06-30
11:17:32#0#14:57:38#14:57:38#00:00:00#{"no_kartu":"3202296412890003","no_kartu_t":"
nik","covid19_status_cd":"3","covid19_status_nm":"TERKONFIRMASI","episodes":
[{"episode_id":"1","episode_class_cd":"6","episode_class_nm":"ISOLASI NON TEKANAN
NEGATIF TANPA VENTILATOR","los":"8","order_no":"10"}],"pemulasaraan_jenazah":
{"pemulasaraan":"0","kantong":"0","peti":"0","plastik":"0","desinfektan_jenazah":"0
","mobil":"0","desinfektan_mobil":"0"},"penunjang_pengurang":
{"lab_asam_laktat":"152000","lab_procalcitonin":"400000","lab_crp":"136000","lab_ku
ltur":"326000","lab_d_dimer":"192000","lab_pt":"172000","lab_aptt":"172000","lab_wa
ktu_pendarahan":"19000","lab_anti_hiv":"151000","lab_analisa_gas":"86000","lab_albu
min":"25000","rad_thorax_ap_pa":"0"},"co_insidense_ind":"1","rs_darurat_ind":"0","c
c_ind":"0","top_up_rawat_gross":"60000000","top_up_rawat_factor":"1","top_up_rawat"
:"56569000","top_up_jenazah":"0","no_pengajuan":"3272025R47020702"} 2
3b6b631125401e64f486121ba8e19eee
3272025 C 3 AP 1 13/01/2021 16/01/2021 12/12/1969 0 2
1 B34.2 - - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
2069600 0 0 - 0 - 0 - 0 - 0
2069600 4028309 0 4 0 0 0 ANON SARIBANON
00041381 51 18660 DR. ROFIMAN, SP.P 3272025ICC21060009
3272015212690021 71;JAMINAN COVID-19 INACBG;123123123123;CBG
5.4.11.202106120705 4 179886 1#0##0#0#0.0#2021-06-30
13:57:50#0#15:08:15#15:08:15#00:00:00#{"no_kartu":"3272015212690021","no_kartu_t":"
nik","covid19_status_cd":"3","covid19_status_nm":"TERKONFIRMASI","episodes":
[{"episode_id":"1","episode_class_cd":"6","episode_class_nm":"ISOLASI NON TEKANAN
NEGATIF TANPA VENTILATOR","los":"4","order_no":"10"}],"pemulasaraan_jenazah":
{"pemulasaraan":"0","kantong":"0","peti":"0","plastik":"0","desinfektan_jenazah":"0
","mobil":"0","desinfektan_mobil":"0"},"penunjang_pengurang":
{"lab_asam_laktat":"152000","lab_procalcitonin":"400000","lab_crp":"136000","lab_ku
ltur":"326000","lab_d_dimer":"192000","lab_pt":"172000","lab_aptt":"172000","lab_wa
ktu_pendarahan":"19000","lab_anti_hiv":"151000","lab_analisa_gas":"86000","lab_albu
min":"25000","rad_thorax_ap_pa":"0"},"co_insidense_ind":"0","rs_darurat_ind":"0","c
c_ind":"0","top_up_rawat_gross":"30000000","top_up_rawat_factor":"1","top_up_rawat"
:"28169000","top_up_jenazah":"0","no_pengajuan":"3272025R47020702"} 1
82844d2ac27aff4617ac935863e9b473
3272025 C 3 AP 1 14/01/2021 20/01/2021 15/04/1979 0 1
1 B34.2 - - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
2069600 0 0 - 0 - 0 - 0 - 0
2069600 7627226 0 7 0 0 0 MAMAN SUHENDI
00041313 41 15250 DR. ROFIMAN, SP.P 3272025ICC21060074
3272011504790920 71;JAMINAN COVID-19 INACBG;123123123123;CBG
5.4.11.202106120705 4 179894 1#0##0#0#0.0#2021-06-30
12:08:43#0#00:00:00#00:00:00#00:00:00#{"no_kartu":"3272011504790920","no_kartu_t":"
nik","covid19_status_cd":"3","covid19_status_nm":"TERKONFIRMASI","episodes":
[{"episode_id":"1","episode_class_cd":"6","episode_class_nm":"ISOLASI NON TEKANAN
NEGATIF TANPA VENTILATOR","los":"7","order_no":"10"}],"pemulasaraan_jenazah":
{"pemulasaraan":"0","kantong":"0","peti":"0","plastik":"0","desinfektan_jenazah":"0
","mobil":"0","desinfektan_mobil":"0"},"penunjang_pengurang":
{"lab_asam_laktat":"152000","lab_procalcitonin":"400000","lab_crp":"136000","lab_ku
ltur":"326000","lab_d_dimer":"192000","lab_pt":"172000","lab_aptt":"172000","lab_wa
ktu_pendarahan":"19000","lab_anti_hiv":"151000","lab_analisa_gas":"86000","lab_albu
min":"25000","rad_thorax_ap_pa":"0"},"co_insidense_ind":"0","rs_darurat_ind":"0","c
c_ind":"0","top_up_rawat_gross":"52500000","top_up_rawat_factor":"1","top_up_rawat"
:"50669000","top_up_jenazah":"0","no_pengajuan":"3272025R47020702"} 2
c7e1a94b6b2f6b3ccd5b9c5a14e57355
3272025 C 3 AP 1 13/01/2021 15/01/2021 29/05/1954 0 2
1 B34.2 - - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
2069600 0 0 - 0 - 0 - 0 - 0
2069600 7523454 0 3 0 0 0 WIWIN WINARSIH
00041352 66 24336 DR. ROFIMAN SP.P 3272025ICC2106000B
0001256742077 71;JAMINAN COVID-19 INACBG;123123123123;CBG
5.4.11.202106120705 4 180000 1#0##0#0#0.0#2021-08-03
10:53:56#0#09:20:27#09:20:27#00:00:00#{"no_kartu":"0001256742077","no_kartu_t":"nik
","covid19_status_cd":"3","covid19_status_nm":"TERKONFIRMASI","episodes":
[{"episode_id":"1","episode_class_cd":"6","episode_class_nm":"ISOLASI NON TEKANAN
NEGATIF TANPA VENTILATOR","los":"3","order_no":"10"}],"pemulasaraan_jenazah":
{"pemulasaraan":"0","kantong":"0","peti":"0","plastik":"0","desinfektan_jenazah":"0
","mobil":"0","desinfektan_mobil":"0"},"penunjang_pengurang":
{"lab_asam_laktat":"152000","lab_procalcitonin":"400000","lab_crp":"136000","lab_ku
ltur":"326000","lab_d_dimer":"192000","lab_pt":"172000","lab_aptt":"172000","lab_wa
ktu_pendarahan":"19000","lab_anti_hiv":"151000","lab_analisa_gas":"86000","lab_albu
min":"25000","rad_thorax_ap_pa":"0"},"co_insidense_ind":"0","rs_darurat_ind":"0","c
c_ind":"0","top_up_rawat_gross":"22500000","top_up_rawat_factor":"1","top_up_rawat"
:"20669000","top_up_jenazah":"0","no_pengajuan":"3272025R47020702"} 2
88560dee2e0579cfc344098af5d29905
3272025 C 3 AP 1 30/12/2020 07/01/2021 05/04/1973 0 2
1 B34.2 - - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
2069600 0 0 - 0 - 0 - 0 - 0
2069600 7140228 0 9 0 0 0 DARSINI 00040914
47 17436 DR. ROFIMAN SP.P 3272025ICC2106000C 3272024504730001
71;JAMINAN COVID-19 INACBG;123123123123;CBG 5.4.11.202106120705 4
180001 1#0##0#0#0.0#2021-06-30
18:36:06#0#09:24:12#09:24:12#00:00:00#{"no_kartu":"3272024504730001","no_kartu_t":"
nik","covid19_status_cd":"3","covid19_status_nm":"TERKONFIRMASI","episodes":
[{"episode_id":"1","episode_class_cd":"6","episode_class_nm":"ISOLASI NON TEKANAN
NEGATIF TANPA VENTILATOR","los":"9","order_no":"10"}],"pemulasaraan_jenazah":
{"pemulasaraan":"0","kantong":"0","peti":"0","plastik":"0","desinfektan_jenazah":"0
","mobil":"0","desinfektan_mobil":"0"},"penunjang_pengurang":
{"lab_asam_laktat":"152000","lab_procalcitonin":"400000","lab_crp":"136000","lab_ku
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3272025 C 3 AP 1 29/12/2020 04/01/2021 12/09/1993 0 2
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3272025 C 3 AP 1 16/01/2021 19/01/2021 29/09/1948 0 1
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3272025 C 3 AP 1 15/01/2021 22/01/2021 24/11/1987 0 1
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3272025 C 3 AP 1 07/02/2021 16/02/2021 09/12/2009 0 1
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3272025 C 3 AP 1 04/02/2021 13/02/2021 08/01/1957 0 1
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3272025 C 3 AP 1 25/01/2021 03/02/2021 03/04/1952 0 1
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3272025 C 3 AP 1 14/02/2021 19/02/2021 04/08/1995 0 1
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3272025 C 3 AP 1 01/02/2021 08/02/2021 08/07/1955 0 1
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3272025 C 3 AP 1 01/02/2021 06/02/2021 10/05/1962 0 2
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3272025 C 3 AP 1 22/02/2021 27/02/2021 14/04/1971 0 2
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3272025 C 3 AP 1 24/02/2021 28/02/2021 21/11/1952 0 2
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3272025 C 3 AP 1 08/02/2021 15/02/2021 10/09/1974 0 1
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3272025 C 3 AP 1 05/02/2021 09/02/2021 21/03/1993 0 1
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3272025 C 3 AP 1 21/01/2021 03/02/2021 16/07/1992 0 1
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3272025 C 3 AP 1 08/02/2021 16/02/2021 17/12/1979 0 1
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3272025 C 3 AP 1 18/02/2021 23/02/2021 12/10/1967 0 2
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3272025 C 3 AP 1 09/02/2021 15/02/2021 17/12/1994 0 1
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3272025 C 3 AP 1 07/02/2021 12/02/2021 14/04/1980 0 2
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3272025 C 3 AP 1 04/03/2021 12/03/2021 29/08/1973 0 2
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3272025 C 3 AP 1 18/04/2021 23/04/2021 25/10/1962 0 2
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3272025 C 3 AP 1 24/04/2021 29/04/2021 26/07/1967 0 2
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3272025 C 3 AP 1 31/03/2021 05/04/2021 01/01/1951 0 2
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3272025 C 3 AP 1 11/04/2021 16/04/2021 12/07/1977 0 2
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3272025 C 3 AP 1 30/03/2021 05/04/2021 04/03/1984 0 1
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3272025 C 3 AP 1 14/04/2021 15/04/2021 02/03/1940 0 2
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3272025 C 3 AP 1 07/04/2021 12/04/2021 04/05/1938 0 1
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3272025 C 3 AP 1 18/04/2021 22/04/2021 14/09/1959 0 1
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3272025 C 3 AP 1 13/04/2021 19/04/2021 13/08/1996 0 1
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3272025 C 3 AP 1 02/04/2021 03/04/2021 07/04/1946 0 2
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3272025 C 3 AP 1 29/03/2021 05/04/2021 01/07/1944 0 1
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3272025 C 3 AP 1 23/03/2021 29/03/2021 24/10/2007 0 2
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3272025 C 3 AP 1 11/03/2021 16/03/2021 01/08/1948 0 1
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3272025 C 3 AP 1 10/03/2021 16/03/2021 07/01/1952 0 1
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3272025 C 3 AP 1 04/03/2021 13/03/2021 19/04/1954 0 1
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3272025 C 3 AP 1 22/02/2021 03/03/2021 08/06/1968 0 1
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3272025 C 3 AP 1 18/04/2021 27/04/2021 01/02/1967 0 2
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3272025 C 3 AP 1 14/04/2021 22/04/2021 10/07/1989 0 2
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3272025 C 3 AP 1 16/04/2021 23/04/2021 21/05/1959 0 2
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3272025 C 3 AP 1 21/04/2021 30/04/2021 03/09/1960 0 2
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3272025 C 3 AP 1 18/04/2021 23/04/2021 20/02/1982 0 2
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3272025 C 3 AP 1 16/04/2021 21/04/2021 01/09/1951 0 2
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3272025 C 3 AP 1 28/04/2021 29/04/2021 22/11/1966 0 2
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