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Pengajuan Klaim Covid September 2021
Pengajuan Klaim Covid September 2021
REKAP PENGAJUAN KLAIM JAMINAN COVID-19, NO. 1903013R47021017 / RSUD SEJIRAN SETAS
JL KADUR DALAM MUNTOK / BANGKA BARAT, BANGKA BELITUNG
No. Tgl. Masuk Tgl. Pulang Nama Pasien Tgl. Lahir No. RM No. Identitas No. Klaim INACBG
1 ### ### SITI HAWA 13 Jul 1996 62451014 19050353079600041903013ICC21090049A-4-13-I
2 ### ### ANGGI PARAMITA ### 96649 19050355069400011903013ICC21090072A-4-13-I
3 ### ### ELIDIYA ### 62752 1905015303830011903013ICC21090076A-4-13-II
4 ### ### AMINAH ### 59625382 19050154055900011903013ICC21090079A-4-13-I
5 ### ### JAHANA ### 30438 1905016103470001
1903013ICC2109007FA-4-13-I
6 ### ### ROHAYA ### 077446 19050557066100011903013ICC21090087A-4-13-I
7 ### ### ARIF WAHYU PRASTYO ### 24325844273504180706890001
1903013ICC2109008BA-4-13-I
8 ### ### YASMI ### 44661771 1905065003620002
1903013ICC2109008DA-4-13-I
9 ### ### ANDRI ### 17686447 19050306017900021903013ICC21090091A-4-13-I
10 ### ### SUNDARI ### 150525399319050447096200011903013ICC21100003A-4-13-I
11 ### ### LA MINSI 01 Jul 1950173250107819030401075000221903013ICC21100004A-4-13-I
12 ### ### SAAN ### 249849405919050542036600021903013ICC21100005A-4-13-I
13 ### ### HOLIPAH 01 Jul 1971 32917929 1905044107710042
1903013ICC2110000EA-4-13-I
14 ### ### METI HARYANI ### 46375 1905015703680003
1903013ICC2110001AA-4-13-II
15 ### ### EVI MELIANI HARTATI ### 1905016505680007
1905016505680007
1903013ICC2110001BA-4-13-I
16 ### ### PEBRIANTO ### 010206 1905010102060001
1903013ICC2110001CA-4-13-I
17 ### ### MASHUD ### 006203 0002902546607 1903013ICC2110001D
A-4-13-II
18 ### ### RARA TIARA ### 997578 0002599997578 1903013ICC21100025A-4-13-I
19 ### ### META MUTMAINAH ADILLA ### 307 1671085212930001
1903013ICC2110002BA-4-13-II
20 ### ### DJUMIEN 21 Jul 199518603789961905036107550001
1903013ICC2110002EA-4-13-I
21 ### ### SULAIMAN ACOL ### 458688 1905016033500011903013ICC2110002FA-4-13-I
22 ### ### ENDANG ### 00224731 19050542088500011903013ICC21100030A-4-13-I
23 ### ### HA A NON 07 Jul 1960 6942 19050247076000011903013ICC21100033A-4-13-I
24 ### ### ATI 01 Jul 1976151029031419050241077600191903013ICC21100036A-4-13-II
25 ### ### RAMLAH ### 59497738 19050164036600031903013ICC21100038A-4-13-I
26 ### ### SUHARTINI ### 58410 1671045212740017
1903013ICC2110003BA-4-13-I
27 ### ### RASINI ### 53857 1905036705570001
1903013ICC2110003EA-4-13-I
28 ### ### RATIH ASTORINA ### 88998 1905055011880002
1903013ICC2110003FA-4-13-I
29 ### ### MURNI GUCCI ### 295231006119050446086400011903013ICC21100040A-4-13-I
30 ### ### HENY ### 323096894 16711351106700011903013ICC21100041A-4-13-I
31 ### ### ASTUTI ### 61848677 19050545127300011903013ICC21100042A-4-13-I
32 ### ### HADI WIYONO ### 111287 35100711128700011903013ICC21100043A-4-13-I
33 ### ### SULAIMAN ACOI ### 34458688 19050116033500011903013ICC21100046A-4-13-I
34 ### ### HERLINA ### 73530 19050146108200011903013ICC21100049A-4-13-I
35 ### ### SUBAI ### 361905344 1905014705650001
1903013ICC2110004A
A-4-13-III
36 ### ### SURAINI ### 34691 1905016908560001
1903013ICC2110004CA-4-13-I
37 ### ### RONI ### 120675 0001961774166 1903013ICC21100053A-4-13-I
38 ### ### ETTY ### 126490512319050343056400041903013ICC21100054A-4-13-II
39 ### ### NURHASIM ### 00297347 19050312038100011903013ICC21100055A-4-13-I
40 ### ### USMAN ARUP ### 919192 19050331127000021903013ICC21100056A-4-13-I
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Ya 1 7,208,000 - - RI Terkonfirmasi
Ya 10 ### - - RI Terkonfirmasi
- 3 ### - - RI Terkonfirmasi
- 13 ### - - RI Terkonfirmasi
- 8 ### - - RI Terkonfirmasi
- 5 ### - - RI Terkonfirmasi
- 2 ### - - RI Terkonfirmasi
Ya 14 ### - - RI Terkonfirmasi
Ya 7 ### - - RI Terkonfirmasi
Ya 12 ### - - RI Terkonfirmasi
- 4 ### - - RI Terkonfirmasi
SUB TOTAL ### ### -
TOTAL 3,112,814,000
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