KETIDAKLENGKAPAN CATATAN MEDIS RAWAT JALAN

RSI SULTAN HADLIRIN JEPARA

ASSESMENT AWAL KEPERAWATAN

ANLS ASSESMENT DOKTER CPPT
RWYT H RWY TGL
NAMA NO RM JNS
UMUR
ALAMAT IMPL NM RWYT NM TGL KMBL
(TH)
KL KELU RESIK PSIKO STTS MSL EVAL KLH T RWYT PRKSA
HAN NYERI O JTH &PNGT GIZI H EMN UASI TTD PRW N PNYK ALR OBT TTD DKT SOAP TTD NAMA I
NO MN HAN KEP/
TS T T
G
R
POLIKLINIK UMUM KEB
BAWU 21/04_x000D_
1 MUHYIDIN, TN 0129921 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
POLIKLINIK BEDAH JAMBU 01/01_x000D_
_x000D_
1 TASYA JULIVIA NUR 0161734 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
PENDEM 3/3_x000D_
2 CHOIRUL UMAM, SD0161778 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
3 SRI HIDAYAH, NY 0158541 BULUNGAN 08/03 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
KARANGGONDANG 07/02_x000D_
HANDOKO 0131402 TUBANAN 7 / 4_x000D_
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
4 7/11/2018
_x000D_
5 TARSIH,NY 0159475 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
BANJARAN 03/11_x000D_
6 SUHARTO, TN 0161485 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
KANCILAN 4 / 1_x000D_
7 SURINAH , NY 0159865 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
JINGGOTAN 03/02_x000D_
8 RUBIYATI, NY 0161987 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
KARANGGONDANG 01/04_x000D_
9 JUMAINAH, NY 0152017 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
PENDEM 2 / 1_x000D_
10 SUGIMAH , NY 0160731 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
PEKALONGAN 03/03_x000D_
11 SUTAMI, NY 0161653 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
KARANGGONDANG 4 / 8_x000D_
12 KASRI,NY 0160673 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
13 MOH FANDELI.TN 0101358 KAUMAN 3/1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
BONDO 01/01_x000D_
14 LIDIA MURTINA.NY 0148116 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
15 ARHAB HILMY YASAR0033496 BANDENGAN 5/2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

16 NGATIPAH, NY 0141975 GELANG 1/3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

DERMOLO 02/06_x000D_
17 DENI HARDANI, NY 0159681 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
BUMIHARJO 4 / 2_x000D_
18 KEMADI , TN 0161959 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
19 TITIK WISNU WATNI0116330 KAUMAN 1/3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
PLAJAN 14/02_x000D_
20 RAFKA ZHAFRAN ALF0161991 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
21 KASMONAH,NY 0100175 SUWAWAL B 2/4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

22 SUNTARI , NY 0119518 SROBYONG 4 / 4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

SARIPAN 02/02_x000D_
23 ROIHANAH, NY 0160895 TUBANAN 7 / 4_x000D_
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
_x000D_
24 TARSIH,NY 0159475 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
KALINEGORO 1/3 MAGELANG / KALIAMAN _x000D_
25 RAHMAD DWI RIYADI
0162007 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
BULU 03/02_x000D_
26 YULIANA FRISKA, NY0162008 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
27 NAELA ULFA 0110420 BANGSRI 2/4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
27 27 27 27 27 27 27 27 27 27 27 27 27 27 27 27 27 27 27
POLIKLINIK ANAK
NGABUL 02/05_x000D_
1 M RAMADAN ARIANS0143241 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
2 ALVARO PUTRA PRA0154517 BONDO 4/8 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
SROBYONG 01/05_x000D_
3 NAGITA PUTRI, AN 0146839 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
SUWAWAL TIMUR 03/02_x000D_
4 M FIRZA ELQI YANTO0154225 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
SUWAWAL 08/03_x000D_
5 GAIZKA JENNA NASY0160651 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
TUBANAN 06/07_x000D_
6 AHMAD ADITYA PRA0154035 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

7 ALVARO PUTRA PRA0154517 BONDO 4/8 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
POLIKLINIK DALAM
1 SRI NURYATI 0109760 GUYANGAN 01/01 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
2 SINOM PRANOTO , 0058280 GUYANGAN RT 1/1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

3 KASMO DASAN, TN 0137937 KANCILAN 1/4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

BANGSRI 04/17_x000D_
4 NINA ARIYANTI 0128663 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
KALIAMAN 02/01_x000D_
5 MUHAMMAD ILHAM,0141221 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
6 JOJOK SETIAWAN 0074877 KAUMAN RT 02 RW 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

7 TARMIN, TN 0113937 BONDO 03/08 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

8 SINI MUNTIATI, NY 0120162 TUBANAN 01/02 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
KECAPI 40/07_x000D_
9 MUSLIKATUN, NY 0156143 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
SROBYONG 02/06 / KAMPUNG SAWAH JAKARTA SELATAN_x000D_
10 M ASRORI.TN 0157701 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
BANDENGAN 4/1_x000D_
11 KASIH, NY 0154220 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
BANDENGAN 06/02_x000D_
12 SUKINI, NY 0128413 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
13 SUNARTO, TN 0118173 BANDENGAN 18/0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
JAMBU T 12/03_x000D_
14 SUNTONO 0125738 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

15 SRINAH,NY 0082240 PETEKEYAN 20/4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

KEDUNGCINO 2 / 1_x000D_
16 HARSOYO,TN 0161701 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
BANDENGAN 20/06_x000D_
17 SUMIJATI.NY 0148299 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
18 HARYATI, NY 0086204 BANGSRI 2/17 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
KEDUNGCINO 13/05_x000D_
19 UMAROH, NY 0127593 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
20 NUR ASIH 0116488 BONDO 03/03 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
BANGSRI 06/16_x000D_
21 SUMINAH.NY 0121838 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
BAWU 25/05_x000D_
22 ERNAWATI, NY 0161758 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
SINANGGUL 25/5_x000D_
23 SRI MINTASIH, NY 0161761 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
NGABUL 5/6_x000D_
24 KASTINI, NY 0127547 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

25 KASMONAH,NY 0100175 SUWAWAL B 2/4 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

26 SAYUTI, TN 0114345 SINANGGUL 39/8 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
LEBAK 04/05_x000D_
27 DIDIT YULIANTO, TN0161812 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
MULYOHARJO 06/02_x000D_
28 AZWAR ACHSAN, TN0161820 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

29 RIYANTI, NY 0095920 JERUKWANGI 01/0 1

NGELING 04/05_x000D_ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
30 AHYAR ROSYID.TN 0158676 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
SINANGGUL 28/05_x000D_
31 KARTINI.NY 0134556 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
WEDELAN 01/09_x000D_
32 SUWADI.TN 0150174 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
GUYANGAN 01/04_x000D_
33 M. SUGI, TN 0154010 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
DEMAAN 2 / 7_x000D_
34 BUDI PRAPTI NINGSI0161829 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
BANGSRI 02/02_x000D_
35 MUHAMMAD FARID0123162 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
36 NGARIYONO, TN 0138798 MAMBAK 04/04 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
JAMBU 36/07_x000D_
37 D. SITI YUAFAH, NY 0160122 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
38 SRIAMAH, NY 0117888 BANDENGAN 05/0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

39 MISIH, NY 0144893 KEMOJAN 1/3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

BANGSRI 06/16_x000D_
40 MUNIJAH, NY 0161995 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
WEDELAN 2 / 10_x000D_
41 ULFAH ROHANA , NY0152079 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
42 YOVANA HARI VAND0087987 SEMARANG GUNUN 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
 BANGSRI 06/16_x000D_
44 SUMINAH.NY 0121838 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

45 MUNSIAH, NY 0076996 BANDENGAN 12/0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

DEMAAN 03/07_x000D_
46 BEKTI LESTARI.NY 0161834 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45 45
POLIKLINIK GIGI
BANDENGAN 13/04_x000D_
1 LAELATUR ROHMAH0161563 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
TAHUNAN 2/1_x000D_
2 INDAR HUROIROTUL0161993 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
SINANGGUL 16/03_x000D_
3 PUTRI AYU LESTARI, 0161809 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
SUWAWAL 04/02_x000D_
4 SENDY PUTRA MERD0160609 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
JAMBU TIMUR 28/06_x000D_
5 MUNTIASIH, NY 0160500 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
POLIKLINIK KANDUNGAN
BANGSRI 6/17_x000D_
1 MUALLIFATUL KHOIR0161680 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
SINANGGUL 26 / 5_x000D_
2 MUSTAIN, NY 0161245 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
PENGKOL 04/01_x000D_
3 ASMARANI BUDI LES0161687 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
BAWU 15/03_x000D_
4 LILIS TIQOMAH, NY 0161733 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
BANGSRI 6/17_x000D_
5 MUALLIFATUL KHOIR0161680 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
6 FATIMATUN NIKMA 0, 118551 TUBANAN 4 / 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
BAWU 15/03_x000D_
7 LILIS TIQOMAH, NY 0161733 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
POLIKLINIK THT
1 NABILA APRILIA CA 0066766 KEDUNGCINO 7/3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
KALIAMAN 3/5_x000D_
2 ATMO NANI, TN 0161990 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
KEDUNGLEPER 1/2_x000D_
3 NURUL AINI, AN 0161992 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
4 NABILA APRILIA CA 0066766 KEDUNGCINO 7/3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

5 WALUYO, TN 0117216 JAMBU 05/06 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

KEDUNGLEPER 1/2_x000D_
6 NURUL AINI, AN 0161992 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
MINDAHAN KIDUL 01/04_x000D_
7 AHMAD AAN 0124974 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
BONDO 4/7_x000D_
8 GABRIELLA DAMAI 0161663 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8 8
 POLIKLINIK MATA
JAMBU 21/5_x000D_
1 SUJARNO,TN 0161988 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
2 KARSIYAM.NY 0108538 WONOREJO 02/01 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
SOWAN KIDOL 05/04_x000D_
3 MASTUR, TN 0158973
GUYANGAN 1/4_x000D_
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
4 ISKANDAR. TN 0161664 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

5 SUWARTI 0042299 JERUK WANGI RT 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

MANTINGAN 28/08_x000D_
6 M SULIS AMIN, TN 0127032 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
SUWAWAL 6 / 3_x000D_
BULUNGAN 02/03_x000D_
7 SUKARTI , NY 0134857 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
_x000D_
8 M MARVEL DARWIS 0161996 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
BONDO 2/7_x000D_
9 SUSILOWATI, NY 0162000 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
BANGSRI 02/05_x000D_
10 SUKANAH, NY 0130695 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
SROBYONG 01/04_x000D_
11 SODIKUN, TN 0162004 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
SROBYONG 01/4_x000D_
12 WIYANTI, NY 0162005 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
TUNAHAN 14/4_x000D_
13 MASHUDI, TN 0158617 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

13 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13 13
POLIKLINIK PARU
KECAPI 15 / 2_x000D_
1 KUNADI , TN 0136636 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
SUWAWAL TIMUR 2/2_x000D_
2 PANGGIH NUGRAHEN
0154030 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
MULYOHARJO 01/05_x000D_
3 LEGIMAN ARYA S P ,0085807 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
NGABUL 1 / 1_x000D_
4 NOVAL KURNIAWAN0139025 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

5 ACHMAD SETYAWAN0117098 JLEGONG 12/01029/06_x000D_

JAMBU TIMUR 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
6 SULKAN, TN 0161586 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6
POLIKLINIK SYARAF
1 PUJIATI, NY 0078205 BANDENGAN 12/0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
JAMBU 05/06_x000D_
2 SITI ZAHRO.NY 0148978 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

3 NUR CAHYATI, NY 0076662 KARANGGONDANG 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

4 MURSIH, NY 0067688 SUWAWAL BARAT 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

5 PURWOTO 0089274 GUYANGAN 4/1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

MINDAHAN 03/01_x000D_
6 SISMO HENDIP.TN 0147656 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
 BULUNGAN 02/03_x000D_
7 MUNARI.NY 0142974 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
KARANGGONDANG 07/03_x000D_
8 BARETA SIMANJUTA0146543 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
BULUNGAN 02/05_x000D_
KASWADI.TN 0160798 SROBYONG 05/02_x000D_
9 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
_x000D_
10 MAKSUN, TN 0159517 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10
POLIKLINIK FISIO
1 MUNTAMAH, NY 0141524 SUNGGINGAN 2/1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
DEMAAN 1/1_x000D_
2 SUMIYATI, NY 0160265 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

3 MARIFATUN 0091230 JINGGOTAN 1/2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

JAMBU 43/08_x000D_
4 MUHAMMAD SOLEH,
0130043 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

5 ARIYANTI 0071986 SUWAWAL 3/2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

SROBYONG 04/02_x000D_
6 ASLIKAH, NY 0158595 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018
JAMBU 09/02_x000D_
7 ANZIFAH, NY 0140136 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

8 SURINAH, NY 0149708 TAHUNAN 3/7 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

9 IMRON ROSYIDI 0078893 PENGKOL 01/03 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 7/11/2018

9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9 9