Jasa Tindakan

REPORT JASA DOKTER / FEE MEDIS
PERIODE 2022-09-01 sampai 2022-09-30 DOKTER
No Keterangan Tarif Qty Total Jasa

ABDUL HAFID, AMD.KEP
1 GDA STIK Rp 5,000.00 1 Rp 5,000.00
2 GDA STIK Rp 5,000.00 1 Rp 5,000.00
3 PELEPASAN KATETER Rp 15,000.00 1 Rp 15,000.00
4 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
5 PELEPASAN INFUS DEWASA Rp 10,000.00 1 Rp 10,000.00
6 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
7 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
8 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
10 BPJS NEBULIZER Rp 10,000.00 1 Rp 10,000.00
15 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
16 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
20 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
23 PEMASANGAN DAN PELEPASAN INFUS DEWASA Rp 20,000.00 1 Rp 20,000.00
25 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
27 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
28 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
29 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
33 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
34 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
35 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
42 GDA STIK Rp 5,000.00 1 Rp 5,000.00
43 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
44 GDA STIK Rp 5,000.00 1 Rp 5,000.00
46 PELEPASAN INFUS ANAK Rp 10,000.00 1 Rp 10,000.00
47 PEMASANGAN DAN PELEPASAN INFUS ANAK Rp 25,000.00 1 Rp 25,000.00
48 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
49 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
50 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
56 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
59 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
62 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
63 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
65 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
67 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
68 GDA STIK Rp 5,000.00 1 Rp 5,000.00
78 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
79 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
80 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
TOTAL Rp 850,000.00
ADE BELA SUKMA, S.KEP.NS
2 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
3 GDA STIK Rp 5,000.00 1 Rp 5,000.00
4 RAWAT JENASAH Rp 50,000.00 1 Rp 50,000.00
5 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
7 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
8 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
9 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
10 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
13 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
17 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
19 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
20 GDA STIK Rp 5,000.00 1 Rp 5,000.00
21 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
22 GDA STIK Rp 5,000.00 1 Rp 5,000.00
23 BPJS PEMASANGANDAN PELEPASAN INFUS DEWASA Rp 20,000.00 1 Rp 20,000.00
26 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
27 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
28 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
29 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
31 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
32 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
33 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
34 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
38 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
39 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
40 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
43 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
45 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
47 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
TOTAL 580000
AHLI GIZI
1 PELAYANAN GIZI KELAS II Rp 45,000.00 1 Rp 45,000.00
2 PELAYANAN GIZI VIP Rp 45,000.00 1 Rp 45,000.00
3 PELAYANAN GIZI MAKANAN TAMBAHAN 2 Rp 10,000.00 1 Rp 10,000.00
21 PELAYANAN GIZI KELAS 1 Rp 45,000.00 1 Rp 45,000.00
578 JASA KONSULTASI GIZI RANAP Rp 5,000.00 1 Rp 5,000.00
TOTAL Rp 31,545,000.00
AHMAD RIDWAN, S.KEP.NS
1 GDA STIK Rp 5,000.00 1 Rp 5,000.00
2 GDA STIK Rp 5,000.00 1 Rp 5,000.00
3 GDA STIK Rp 5,000.00 1 Rp 5,000.00
4 GDA STIK Rp 5,000.00 1 Rp 5,000.00
6 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
8 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
9 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
10 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
15 GDA STIK Rp 5,000.00 1 Rp 5,000.00
18 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
19 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
20 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
21 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
23 GDA STIK Rp 5,000.00 1 Rp 5,000.00
25 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
28 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
29 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
30 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
31 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
33 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
39 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
40 PEMASANGAN KATETER Rp 15,000.00 1 Rp 15,000.00
41 PELEPASAN KATETER Rp 15,000.00 1 Rp 15,000.00
46 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
48 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
52 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
53 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
55 RAWAT LUKA RINGAN Rp 20,000.00 1 Rp 20,000.00
56 BPJS GDA STIK Rp 5,000.00 1 Rp 5,000.00
57 GDA STIK Rp 5,000.00 1 Rp 5,000.00
58 GDA STIK Rp 5,000.00 1 Rp 5,000.00
TOTAL Rp 605,000.00
SEWA ALAT KLINIK
1 SEWA ALAT EKG/ECG Rp 50,000.00 1 Rp 50,000.00
3 SEWA ALAT NEBULEZER Rp 10,000.00 1 Rp 10,000.00
26 PEMAKAIAN OKSIGEN KURANG DARI 2000 LITER Rp 105,000.00 1 Rp 105,000.00
40 SEWA ALAT GDA STIK Rp 5,000.00 1 Rp 5,000.00
62 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
163 PEMAKAIAN TABUNG OKSIGIN Rp 125,000.00 1 Rp 125,000.00
178 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
210 JASA EKG/ECG Rp 25,000.00 1 Rp 25,000.00
211 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
221 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
229 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
TOTAL Rp 2,520,000.00
ANA WILDANI, S.TR.KEB
1 ANC RANAP Rp 20,000 1 Rp 20,000
2 JASA BIDAN ANC RANAP Rp 15,000 1 Rp 15,000
3 JASA BIDAN KB SUNTIK 1 BULAN Rp 5,000 1 Rp 5,000
4 KB SUNTIK 1 BULAN CYCLO/ANDALAN Rp 7,500 1 Rp 7,500
TOTAL Rp 47,500
BAGUS ROBBY FITRIANTO,S.KEP.NS
1 JASA PERAWAT UGD BPJS Rp 10,000.00 1 Rp 10,000.00
2 GDA STIK Rp 5,000.00 1 Rp 5,000.00
7 GDA STIK Rp 5,000.00 1 Rp 5,000.00
9 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
10 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
14 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
17 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
TOTAL Rp 150,000.00
BENI EKA WULANDARI, AMD.KEB
1 BPJS NON KAPITASI ANC RANAP Rp 2,000.00 1 Rp 2,000.00
2 JASA BIDAN BPJS NON KAPITASI ANC RANAP Rp 3,000.00 1 Rp 3,000.00
5 BPJS PERAWATAN BAYI BARU LAHIR NORMAL Rp 50,000.00 1 Rp 50,000.00
6 BKIA BPJS Rp 1,000.00 1 Rp 1,000.00
7 JASA BIDAN BPJS NON KAPITASI KB SUNTIK 3 BULAN Rp 5,000.00 1 Rp 5,000.00
8 BPJS NON KAPITASI KB SUNTIK 3 BULAN Rp 9,000.00 1 Rp 9,000.00
10 JASA BIDAN KB SUNTIK 3 BULAN Rp 5,000.00 1 Rp 5,000.00
11 BKIA UMUM Rp 5,000.00 1 Rp 5,000.00
12 ANC BIDAN Rp 20,000.00 1 Rp 20,000.00
13 JASA BIDAN ANC BIDAN Rp 15,000.00 1 Rp 15,000.00
14 JASA RESEP RJ Rp 2,000.00 1 Rp 2,000.00
TOTAL Rp 122,000.00
BIDAN JAGA
1 BPJS JASA OBSERVASI Rp 10,000.00 2 Rp 20,000.00
2 JASA OBSERVASI PERSALINAN Rp 40,000.00 2 Rp 80,000.00
3 OBSERVASI PERSALINAN Rp 60,000.00 2 Rp 120,000.00
4 GIZI UNTUK PERSALINAN Rp 45,000.00 1 Rp 45,000.00
5 HEATCHING DERAJAT II Rp 150,000.00 1 Rp 150,000.00
6 PEMASANGAN INFUS PERSALINAN Rp 20,000.00 1 Rp 20,000.00
7 JASA MANUAL PLASENTA TANPA PERTOLONGAN PER Rp 300,000.00 1 Rp 300,000.00
8 MANUAL PLASENTA TANPA PERTOLONGAN PERSALI Rp 450,000.00 1 Rp 450,000.00
9 JASA PERAWATAN BAYI BARU LAHIR NORMAL Rp 40,000.00 1 Rp 40,000.00
10 PERAWATAN BAYI BARU LAHIR NORMAL Rp 60,000.00 1 Rp 60,000.00
11 JASA DOKUMENTASI FOTO NEWBORN Rp 100,000.00 1 Rp 100,000.00
12 BPJS JASA OBSERVASI Rp 10,000.00 1 Rp 10,000.00
13 GIZI UNTUK PERSALINAN Rp 45,000.00 1 Rp 45,000.00
14 PEMASANGAN INFUS PERSALINAN Rp 20,000.00 1 Rp 20,000.00
15 SEWA AMBULANCE PERSALINAN WILAYAH JEMBER Rp 250,000.00 1 Rp 250,000.00
16 BPJS KAPITASI ANC BIDAN Rp 7,000.00 1 Rp 7,000.00
18 BPJS JASA OBSERVASI PERSALINAN Rp 10,000.00 1 Rp 10,000.00
20 JASA BIDAN VT RANAP Rp 10,000.00 1 Rp 10,000.00
21 VT RANAP Rp 15,000.00 1 Rp 15,000.00
TOTAL Rp 1,778,000.00
DANA FATHURROHMAN, AMD.KEP
1 GDA STIK Rp 5,000.00 1 Rp 5,000.00
2 JASA PERAWAT UGD Rp 75,000.00 1 Rp 75,000.00
3 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
5 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
7 BPJS EKG/ECG Rp 25,000.00 1 Rp 25,000.00
12 BPJS EKG/ECG Rp 25,000.00 1 Rp 25,000.00
13 JASA EKG/ECG Rp 25,000.00 1 Rp 25,000.00
14 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
15 HEATCHING 1-5 Rp 30,000.00 1 Rp 30,000.00
16 RAWAT LUKA SEDANG Rp 35,000.00 1 Rp 35,000.00
17 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
18 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
19 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
21 BPJS RAWAT LUKA RINGAN Rp 10,000.00 1 Rp 10,000.00
TOTAL Rp 515,000.00
DEVITA SINGGIH R, S.KEP.NS
1 GDA STIK Rp 5,000 1 Rp 5,000.00
2 GDA STIK Rp 5,000 1 Rp 5,000.00
3 NEBULIZER Rp 10,000 1 Rp 10,000.00
4 NEBULIZER Rp 10,000 1 Rp 10,000.00
5 NEBULIZER Rp 10,000 1 Rp 10,000.00
6 GDA STIK Rp 5,000 1 Rp 5,000.00
7 GDA STIK Rp 5,000 1 Rp 5,000.00
8 GDA STIK Rp 5,000 1 Rp 5,000.00
9 NEBULIZER Rp 10,000 1 Rp 10,000.00
10 GDA STIK Rp 5,000 1 Rp 5,000.00
11 JASA PERAWAT UGD Rp 75,000 1 Rp 75,000.00
12 GDA STIK Rp 5,000 1 Rp 5,000.00
13 NEBULIZER Rp 10,000 1 Rp 10,000.00
14 NEBULIZER Rp 10,000 1 Rp 10,000.00
15 EKG/ECG Rp 25,000 1 Rp 25,000.00
16 JASA PERAWAT UGD BPJS Rp 10,000 1 Rp 10,000.00
17 RAWAT JENASAH Rp 50,000 1 Rp 50,000.00
18 NEBULIZER Rp 10,000 1 Rp 10,000.00
19 NEBULIZER Rp 10,000 1 Rp 10,000.00
21 RAWAT JENASAH Rp 50,000 1 Rp 50,000.00
22 HEATCHING 1-5 Rp 30,000 1 Rp 30,000.00
23 HEACTCHING (PENAMBAHAN >5) Rp 5,000 5 Rp 25,000.00
24 RAWAT LUKA RINGAN Rp 20,000 1 Rp 20,000.00
25 HEATCHING 1-5 Rp 30,000 1 Rp 30,000.00
26 HEACTCHING (PENAMBAHAN >5) Rp 5,000 3 Rp 15,000.00
27 NEBULIZER Rp 10,000 1 Rp 10,000.00
28 NEBULIZER Rp 10,000 1 Rp 10,000.00
TOTAL Rp 535,000.00
dr. BUDIONO
1 VISITE DOKTER VIP Rp 100,000.0 1 Rp 100,000.00
2 BPJS VISITE DOKTER Rp 10,000.0 1 Rp 10,000.00
12 VISITE DOKTER KLS II & UGD Rp 60,000.0 1 Rp 60,000.00
22 VISITE DOKTER KELAS 1 Rp 75,000.0 1 Rp 75,000.00
23 JASA PERAWAT RUANGAN KELAS 1 Rp 75,000.0 1 Rp 75,000.00
35 PASIEN UMUM RJ Rp 35,000.0 1 Rp 30,000.00
41 PASIEN BPJS RJ Rp 4,000.0 1 Rp 3,000.00
TOTAL Rp 3,115,000.00
dr. FAHMI
7 JASA PERAWAT RUANGAN KELAS II & UGD Rp 50,000.00 1 Rp 50,000.00
72 BPJS PELEPASAN KATETER Rp 15,000.00 1 Rp 15,000.00
TOTAL Rp 2,458,000.00
dr. IVAN
6 JASA BIDAN ANC RANAP Rp 15,000.00 1 Rp 15,000.00
17 BPJS JASA PERAWAT RUANGAN Rp 10,000.00 1 Rp 10,000.00
24 JASA PERAWAT RUANGAN KELAS VIP Rp 75,000.00 1 Rp 75,000.00
31 NEBULIZER Rp 10,000.00 2 Rp 20,000.00
90 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
TOTAL Rp 2,727,000.00
dr. KUKUH HADI TRI WIBOWO
139 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
261 RJP DEWASA Rp 35,000.00 1 Rp 35,000.00
463 HEATCHING 1-5 Rp 30,000.00 1 Rp 30,000.00
464 HEACTCHING (PENAMBAHAN >5) Rp 5,000.00 3 Rp 15,000.00
TOTAL 15801000
dr. MOHAMMAD HISYAM RIFQI
694 BEDAH MINOR NERVUS Rp 150,000.00 1 Rp 150,000.00
TOTAL Rp 25,786,000.00
dr. YEDI
1 VISITE DOKTER VIP 100000 1 100000
TOTAL 100000
dr.TIWI
TOTAL Rp 8,502,000.00
Drg. RUDI
2 PERIKSA GIGI Rp 15,000.00 1 Rp 15,000.00
4 SKALING PER RAHANG 1 RA/RB Rp 100,000.00 1 Rp 100,000.00
7 PENCABUTAN GIGI TETAP Rp 100,000.00 1 Rp 100,000.00
24 BPJS KONSELING Rp 7,000.00 1 Rp 7,000.00
26 KONSELING GIGI Rp 25,000.00 1 Rp 25,000.00
28 PENCABUTAN GIGI SUSU CHLORETIL Rp 50,000.00 1 Rp 50,000.00
30 BPJS KONSELING Rp 7,000.00 1 Rp 7,000.00
32 PENCABUTAN GIGI SUSU CITOJECT Rp 75,000.00 1 Rp 75,000.00
49 PENCABUTAN GIGI SUSU CHLORETIL Rp 50,000.00 1 Rp 50,000.00
TOTAL 1592000
Drg. YANI
1 PASIEN BPJS RJ 4000 1 3000
TOTAL 3000
EVI KOMALASARI, AMD.KEP
6 EKG/ECG Rp 25,000.00 1 Rp 25,000.00
7 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
8 EKG/ECG Rp 25,000.00 1 Rp 25,000.00
10 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
11 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
13 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
14 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
20 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
21 GDA STIK Rp 5,000.00 1 Rp 5,000.00
22 EKG/ECG Rp 25,000.00 1 Rp 25,000.00
24 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
25 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
26 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
27 GDA STIK Rp 5,000.00 1 Rp 5,000.00
28 GDA STIK Rp 5,000.00 1 Rp 5,000.00
29 GDA STIK Rp 5,000.00 1 Rp 5,000.00
33 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
35 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
36 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
37 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
38 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
39 GDA STIK Rp 5,000.00 1 Rp 5,000.00
40 GDA STIK Rp 5,000.00 1 Rp 5,000.00
TOTAL Rp 445,000.00
FAKHRUSY SYAKIRIN, S.KEP.NS
1 JASA PERAWAT UGD 75000 1 Rp 75,000.00
2 NEBULIZER 10000 1 Rp 10,000.00
3 RAWAT LUKA RINGAN 20000 2 Rp 40,000.00
4 PELEPASAN INFUS DEWASA 10000 1 Rp 10,000.00
5 NEBULIZER 10000 1 Rp 10,000.00
9 NEBULIZER 10000 1 Rp 10,000.00
10 NEBULIZER 10000 1 Rp 10,000.00
12 NEBULIZER 10000 1 Rp 10,000.00
13 NEBULIZER 10000 1 Rp 10,000.00
14 NEBULIZER 10000 1 Rp 10,000.00
15 PELEPASAN KATETER 15000 1 Rp 15,000.00
17 PEMASANGAN KATETER 15000 1 Rp 15,000.00
19 BPJS JASA PERAWAT RUANGAN 10000 1 Rp 10,000.00
20 BPJS JASA PERAWAT RUANGAN 10000 1 Rp 10,000.00
21 NEBULIZER 10000 1 Rp 10,000.00
22 HEATCHING 1-5 30000 1 Rp 30,000.00
23 HEACTCHING (PENAMBAHAN >5) 5000 7 Rp 35,000.00
25 NEBULIZER 10000 1 Rp 10,000.00
26 RAWAT LUKA SEDANG 35000 1 Rp 35,000.00
27 NEBULIZER 10000 1 Rp 10,000.00
28 NEBULIZER 10000 1 Rp 10,000.00
TOTAL Rp 495,000.00
GUNAWAN PRASETYO, S.KEP.NS
1 GDA STIK Rp 5,000.00 1 Rp 5,000.00
4 PEMAKAIAN OKSIGEN MASKER Rp 5,000.00 1 Rp 5,000.00
7 EKG/ECG Rp 25,000.00 1 Rp 25,000.00
9 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
18 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
20 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
30 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
32 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
33 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
41 GDA STIK Rp 5,000.00 1 Rp 5,000.00
43 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
TOTAL Rp 520,000.00
HANY INDAH LESTARI, A.MD.KEB
2 ANC RANAP Rp 20,000.00 1 Rp 20,000.00
3 ANC RANAP Rp 20,000.00 1 Rp 20,000.00
5 VT RANAP Rp 15,000.00 1 Rp 15,000.00
6 JASA BIDAN VT RANAP Rp 10,000.00 1 Rp 10,000.00
10 KB SUNTIK 1 BULAN CYCLO/ANDALAN Rp 7,500.00 1 Rp 7,500.00
12 JASA BIDAN BPJS KAPITASI ANC BIDAN Rp 2,000.00 1 Rp 2,000.00
13 JASA BIDAN PELEPASAN IMPLAN Rp 40,000.00 1 Rp 40,000.00
14 BAYI SEHAT (KN) Rp 20,000.00 1 Rp 20,000.00
15 JASA BIDAN BAYI SEHAT (KN) Rp 15,000.00 1 Rp 15,000.00
16 JASA BIDAN PNC BIDAN Rp 15,000.00 1 Rp 15,000.00
19 JASA BIDAN KONSELING Rp 10,000.00 1 Rp 10,000.00
20 KONSELING BKIA Rp 15,000.00 1 Rp 15,000.00
22 BPJS NON KAPITASI PELEPASAN IMPLAN Rp 40,000.00 1 Rp 40,000.00
23 JASA BIDAN BPJS NON KAPITASI PELEPASAN IMPLAN Rp 39,000.00 1 Rp 39,000.00
24 ANC BIDAN Rp 20,000.00 1 Rp 20,000.00
26 JASA BIDAN PEMASANGAN IUD Rp 40,000.00 1 Rp 40,000.00
31 BPJS NON KAPITASI PELEPASAN IMPLAN Rp 40,000.00 1 Rp 40,000.00
32 JASA BIDAN BPJS NON KAPITASI PELEPASAN IMPLAN Rp 39,000.00 1 Rp 39,000.00
TOTAL Rp 631,500.00
IFA MARIA ULFA, AMD.KEB
3 BPJS PERTOLONGAN PERSALINAN NORMAL Rp 300,000.00 1 Rp 300,000.00
4 BPJS HEACTING DERAJAT 1 Rp 50,000.00 1 Rp 50,000.00
5 JASA BIDAN VT RALAN Rp 10,000.00 1 Rp 10,000.00
6 VT RALAN Rp 15,000.00 1 Rp 15,000.00
15 GDA STIK Rp 5,000.00 1 Rp 5,000.00
TOTAL Rp 436,000.00
IRFAN FIRMANSYAH, S.KEP.NS
4 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
6 GDA STIK Rp 5,000.00 2 Rp 10,000.00
9 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
14 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
17 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
20 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
21 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
24 GDA STIK Rp 5,000.00 1 Rp 5,000.00
25 GDA STIK Rp 5,000.00 1 Rp 5,000.00
26 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
31 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
32 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
33 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
34 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
36 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
37 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
38 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
TOTAL Rp 415,000.00
JULITA SARI P, AMD.KEB
1 ANC RANAP Rp 20,000.00 1 Rp 20,000.00
6 ANC RANAP Rp 20,000.00 1 Rp 20,000.00
TOTAL Rp 149,000.00
LENNY LESTI DIRGANTARI, S.ST
352 PELAYANAN GIZI UGD Rp 45,000.00 1 Rp 45,000.00
621 PELAYANAN GIZI UGD Rp 45,000.00 1 Rp 45,000.00
TOTAL Rp 11,550,000.00
M. ALAM KUSUMA ATMAJA,S.KEP.NS
1 NEBULIZER Rp 10,000.00 1 Rp 10,000
2 BPJS PEMASANGANDAN PELEPASAN INFUS DEWASA Rp 20,000.00 1 Rp 20,000
3 GDA STIK Rp 5,000.00 1 Rp 5,000
4 NEBULIZER Rp 10,000.00 1 Rp 10,000
5 PELEPASAN INFUS DEWASA Rp 10,000.00 1 Rp 10,000
7 PELEPASAN INFUS ANAK Rp 10,000.00 1 Rp 10,000
12 NEBULIZER Rp 10,000.00 1 Rp 10,000
13 NEBULIZER Rp 10,000.00 1 Rp 10,000
15 NEBULIZER Rp 10,000.00 1 Rp 10,000
16 PEMASANGAN DAN PELEPASAN INFUS DEWASA Rp 20,000.00 1 Rp 20,000
19 NEBULIZER Rp 10,000.00 1 Rp 10,000
20 NEBULIZER Rp 10,000.00 1 Rp 10,000
22 BPJS NEBULIZER Rp 10,000.00 1 Rp 10,000
23 NEBULIZER Rp 10,000.00 1 Rp 10,000
25 RAWAT JENASAH Rp 50,000.00 1 Rp 50,000
28 GDA STIK Rp 5,000.00 1 Rp 5,000
31 NEBULIZER Rp 10,000.00 1 Rp 10,000
TOTAL Rp 410,000.00
MEIKE JUWITA SARI, STR.KEB
3 ANC RANAP Rp 20,000.00 1 Rp 20,000.00
8 KB SUNTIK 3 BULAN ANDALAN Rp 8,300.00 1 Rp 8,300.00
TOTAL Rp 53,300.00
NUR IMAMAH, A.MD.KEB
2 BPJS PERAWATAN BAYI BARU LAHIR NORMAL Rp 50,000.00 1 Rp 50,000.00
3 BPJS PERTOLONGAN PERSALINAN NORMAL Rp 300,000.00 1 Rp 300,000.00
TOTAL Rp 360,000.00
O2
4 BPJS PEMAKAIAN OKSIGEN NASAL Rp 2,500.00 1 Rp 2,500.00
5 BPJS PEMAKAIAN OKSIGEN KURANG DARI 500 LITER Rp 30,000.00 1 Rp 30,000.00
TOTAL Rp 272,500.00
PERAWAT RANAP
4 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
7 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
8 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
41 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
43 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
45 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
46 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
47 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
50 GDA STIK Rp 5,000.0 1 Rp 5,000.00
52 GDA STIK Rp 5,000.0 1 Rp 5,000.00
53 GDA STIK Rp 5,000.0 1 Rp 5,000.00
54 GDA STIK Rp 5,000.0 1 Rp 5,000.00
55 GDA STIK Rp 5,000.0 1 Rp 5,000.00
71 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
116 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
124 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
126 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
130 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
131 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
132 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
133 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
134 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
137 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
140 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
141 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
149 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
150 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
179 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
203 GDA STIK Rp 5,000.0 1 Rp 5,000.00
391 NEBULIZER Rp 10,000.0 2 Rp 20,000.00
393 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
797 NEBULIZER Rp 10,000.0 1 Rp 10,000.00
798 NEBULIZER Rp 10,000.0 4 Rp 40,000.00
TOTAL Rp 31,395,000.00
PERAWAT UGD
27 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
249 GDA STIK Rp 5,000.00 1 Rp 5,000.00
250 NGT Rp 25,000.00 1 Rp 25,000.00
260 BPJS EKG/ECG Rp 25,000.00 1 Rp 25,000.00
278 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
287 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
TOTAL Rp 10,320,000.00
SANEX FEBRIAN, AMD.KEP
3 GDA STIK Rp 5,000.00 1 Rp 5,000.00
4 GDA STIK Rp 5,000.00 1 Rp 5,000.00
6 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
7 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
8 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
10 GDA STIK Rp 5,000.00 1 Rp 5,000.00
11 GDA STIK Rp 5,000.00 1 Rp 5,000.00
12 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
15 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
17 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
20 JASA EKG/ECG Rp 25,000.00 1 Rp 25,000.00
21 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
22 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
23 RAWAT LUKA SEDANG Rp 35,000.00 1 Rp 35,000.00
24 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
25 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
26 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
27 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
TOTAL Rp 475,000.00
SITI MAISYAROH, AMD.KEP
2 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
3 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
6 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
7 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
9 GDA STIK Rp 5,000.00 1 Rp 5,000.00
10 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
13 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
16 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
17 GDA STIK Rp 5,000.00 1 Rp 5,000.00
18 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
22 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
23 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
24 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
29 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
33 GDA STIK Rp 5,000.00 1 Rp 5,000.00
34 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
35 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
36 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
38 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
43 GDA STIK Rp 5,000.00 1 Rp 5,000.00
TOTAL 505000
SULISTYANINGSIH, AMD.KEB
1 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
2 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
3 OBSERVASI PERSALINAN Rp 60,000.00 1 Rp 60,000.00
4 GDA STIK Rp 5,000.00 1 Rp 5,000.00
5 JASA OBSERVASI PERSALINAN Rp 40,000.00 1 Rp 40,000.00
6 GDA STIK Rp 5,000.00 1 Rp 5,000.00
7 JASA PEMASANGAN INFUS PERSALINAN Rp 10,000.00 1 Rp 10,000.00
11 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
16 GDA STIK Rp 5,000.00 1 Rp 5,000.00
18 KB SUNTIK 3 BULAN ANDALAN Rp 8,300.00 1 Rp 8,300.00
19 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
21 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
23 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
28 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
33 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
35 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
38 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
39 NEBULIZER Rp 10,000.00 5 Rp 50,000.00
41 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
46 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
47 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
48 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
49 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
51 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
52 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
53 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
54 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
58 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
60 GDA STIK Rp 5,000.00 1 Rp 5,000.00
61 GDA STIK Rp 5,000.00 1 Rp 5,000.00
62 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
63 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
65 GDA STIK Rp 5,000.00 1 Rp 5,000.00
66 GDA STIK Rp 5,000.00 1 Rp 5,000.00
67 NEBULIZER Rp 10,000.00 1 Rp 10,000.00
E MEDIS
ALL
Nama Pasien
SUNARSIH / B IM
SUNARSIH / B IM
ABDUR ROHMAN
JAUHAROTUL MAKIYAH
SUNAMI / B. TIN
KIANA TALISHA SHEENAZ ARIFIN
MARYATI
INDANI AINUN FAJRIA
HANIAH
AHMAD FATAH ALJABBARUL ILHAM
LATIFA
MADINATUS SAYYIDAH
MUHAMMAD ABIM BERDIAN
MUHAMMAD SYAHRUL HUDA
MAT KADIR
MUHAMMAD NIZAM FAKHRIL ARIF
MUHAMMAD MALKA AL KAHFI
AZIZAH / ASIZEH
AHMAD IZUL ISLAM
ANA NUR LAILA LATIFAH
SAMINA / BUK FITRI
HOSZAIMAH
PRAYOGI SURYA RAMADHAN
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
SAMI / HJ. ABDUL HADI
SITI NURAINI
AHMAD RIDHO ARMANDO
ALEEYA NUR RAMADINA PUTRI
AHMAD ZIYAD ZIDQIL
MATRAJI
MATRAJI
MUHENA
MAIMUNA
HAMDAN HAKIKI
SAHARUDIN
SAHARUDIN
RESTU ALIF FIRMANSYAH
ZAINULLAH
ZAINULLAH
LAJI / PAK MUKHLIS
MUSLIHANI
ALFI KAMILA RAMADHANI DARMAWAN
MUHAMMAD BALUQIA ARKA
AULIYA RAMADHANI
AULIYA RAMADHANI
IDEH / B. SU
YULIANA SETIA PUTRI
ARSO
RANIA RAHMEDIA RUMAISYAH
FATAN BUSYRA SYAHREZA
WAHYUDI
EKA WAHYU NOVI ANTINI
HUMAIRA ALIFA NAJMA ALFATUNNISA
PAENA / IBU SU
ABU ASAN
MUHAMMAD AQHAR FIDANISA
PA
MOHAMMAD MIRZA AL-FARIZI
LIA AGUSTIN
NIZAR MUSTAKFIRI ASROR
SAHRIYAH / IBU MUHYIT
LAILI HIDAYAH
IFTAH SALSABILA
IBROHIM
ASIFA NAURATUL HASANAH
DAFIT ANDIKA
NIBA / IBU NADI
AHMAT HORI
AHMAD NAZRIL ALFAREZI
JAUSIRIYANTO
DJUMARI
DJUMARI
DJUMARI
DJUMARI
RUDI HARTONO
MAÙN
MAÙN
SUNARSIH / B IM
ABDUR ROHMAN
JAUHAROTUL MAKIYAH
JAUHAROTUL MAKIYAH
REYNAN RAJENDRA HANDIKA
LATIFA
AHMAD ARIS RAMADHAN
ALFIYATUL HASANAH
AHMAD BAIRI
JUNAIDI
BADRUL ULUM / P. AGA
HALIMATUS SA`DIYAH
ENTIN KUSTINI
TUNGGASWATI
AHMAD ZIYAD ZIDQIL
MUHENA
MUHENA
ZAINULLAH
ZAINULLAH
PAÌ / P YUL
MOH FIKRI
SARMANI
SARMANI
AULIYA RAMADHANI
AULIYA RAMADHANI
AULIYA RAMADHANI
AULIYA RAMADHANI
MUSTIRAH / BU MUS
TUTIK SITI ROHMAH
MARDI
GALIH RAMADHAN MUBAROK
PAENA / IBU SU
MOH RIFKI HASAN
ABU ASAN
ABU ASAN
ABU ASAN
MUHAMMAD DIRGA ALKANTARA
ELDINAR SHAKIRA
HANIAH
HOLIFATUL HASANAH
HOLIFATUL HASANAH
SUNARTO
NURSASI
MAT KADIR
MAT KADIR
MAT KADIR
MAT KADIR
MUHAMMAD BAKIR
MUHAMMAD BAKIR
MUHAMMAD BAKIR
MUHAMMAD BAKIR
AMARI
AMARI
UMAR FARIKI
UMAR FARIKI
AZIZAH / ASIZEH
AZIZAH / ASIZEH
AZIZAH / ASIZEH
ADELIA FITRI
ADELIA FITRI
ADELIA FITRI
ALIFIA CAHYANI
ALIFIA CAHYANI
ALIFIA CAHYANI
ALIFIA CAHYANI
ALI AKBAR HASYIMI
ALI AKBAR HASYIMI
ALI AKBAR HASYIMI
RAKA TAMA
RAKA TAMA
AHMAD IZUL ISLAM
AHMAD IZUL ISLAM
AHMAD IZUL ISLAM
AHMAD IZUL ISLAM
DIA AINUN NISA
DIA AINUN NISA
DIA AINUN NISA
DIA AINUN NISA
SAMINA / BUK FITRI
SAMINA / BUK FITRI
SAMINA / BUK FITRI
SAMINA / BUK FITRI
SAMSUL ARIFIN
SAMSUL ARIFIN
SAMSUL ARIFIN
HOSZAIMAH
HOSZAIMAH
HOSZAIMAH
HOSZAIMAH
HOSZAIMAH
HOSZAIMAH
TRIANA RAHMADANI
TRIANA RAHMADANI
TRIANA RAHMADANI
TRIANA RAHMADANI
TRIANA RAHMADANI
RETNO AYU NINGTIAS
RETNO AYU NINGTIAS
RETNO AYU NINGTIAS
RETNO AYU NINGTIAS
AHMAD ARIS RAMADHAN
AHMAD ARIS RAMADHAN
AHMAD ARIS RAMADHAN
ALFIYATUL HASANAH
ALFIYATUL HASANAH
ALFIYATUL HASANAH
ALFIYATUL HASANAH
SYAROFAH NELLI AGUSTINA
RIYA FANDU WINATA
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
MUS / P HENI
MUS / P HENI
MUS / P HENI
MUS / P HENI
AIRIN MAUFIROH
AIRIN MAUFIROH
JUNAIDI
JUNAIDI
JUNAIDI
SITI NURAINI
SITI NURAINI
SITI NURAINI
SITI NURAINI
AHMAD RIDHO ARMANDO
AHMAD RIDHO ARMANDO
AHMAD RIDHO ARMANDO
AHMAD RIDHO ARMANDO
AHMAD RIDHO ARMANDO
NIWI
NIWI
NIWI
HALIMATUS SA`DIYAH
HALIMATUS SA`DIYAH
HALIMATUS SA`DIYAH
HALIMATUS SA`DIYAH
NURUL HASANAH
NURUL HASANAH
NURUL HASANAH
NURUL HASANAH
ILMIATI
ILMIATI
ILMIATI
MUHAMMAD NAFLI
MUHAMMAD NAFLI
MUHAMMAD NAFLI
ARBIAN MAULANA YUSUF
ENTIN KUSTINI
ENTIN KUSTINI
ENTIN KUSTINI
ENTIN KUSTINI
ENTIN KUSTINI
ENTIN KUSTINI
ENTIN KUSTINI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
ANA NAJMA ZAHIRA
ANA NAJMA ZAHIRA
ANA NAJMA ZAHIRA
ANA NAJMA ZAHIRA
ANA NAJMA ZAHIRA
ANA NAJMA ZAHIRA
JUMAATI
JUMAATI
JUMAATI
JUMAATI
ALLAYA ZILAILI HAFIZA
EVANANI ZEHIROH
KUSDIANTO
KUSDIANTO
KUSDIANTO
KUSDIANTO
JUPRI
JUPRI
MAISUNA / BU HALIL
MAISUNA / BU HALIL
KHANZA ANINDIA SYAHROTUL AINI
BUNAMA/B.MUR
BUNAMA/B.MUR
BUNAMA/B.MUR
BUNAMA/B.MUR
BUNAMA/B.MUR
BUNAMA/B.MUR
BUNAMA/B.MUR
BUNAMA/B.MUR
BUNAMA/B.MUR
NOFITA AYU CANDRA
NOFITA AYU CANDRA
IFAN FAUZI
IFAN FAUZI
IMAM WAHDI
IMAM WAHDI
IMAM WAHDI
AHMAD ZIYAD ZIDQIL
AHMAD ZIYAD ZIDQIL
AHMAD ZIYAD ZIDQIL
FIKRI RAMADHANI
FIKRI RAMADHANI
FIKRI RAMADHANI
FIKRI RAMADHANI
MATRAJI
MATRAJI
MATRAJI
MATRAJI
MATRAJI
MATRAJI
MATRAJI
MATRAJI
MATRAJI
MUHENA
MUHENA
MUHENA
MUHENA
MUHENA
MUHENA
MUHENA
MUHENA
MUHENA
MUSLIHATI
MUSLIHATI
MUSLIHATI
MUSLIHATI
MUSLIHATI
MUSLIHATI
MUSLIHATI
MUSLIHATI
MUSLIHATI
MUSLIHATI
MUSLIHATI
MAIMUNA
MAIMUNA
MAIMUNA
MAIMUNA
MAIMUNA
MAIMUNA
MAIMUNA
MAIMUNA
MAIMUNA
HAMDAN HAKIKI
HAMDAN HAKIKI
HAMDAN HAKIKI
HAMDAN HAKIKI
RIDWAN / BAPAK NAFISA
MASNIA JULITA SARI
MASNIA JULITA SARI
MASNIA JULITA SARI
MASNIA JULITA SARI
SAHARUDIN
SAHARUDIN
SAHARUDIN
SAHARUDIN
ZAINULLAH
ZAINULLAH
ZAINULLAH
ZAINULLAH
ZAINULLAH
ZAINULLAH
ZAINULLAH
ZAINULLAH
ZAINULLAH
ZAINULLAH
ZAINULLAH
AHMADIYEK / AHMAD DIYAK / BAPAK EP
YUS SUDARSO
YUS SUDARSO
YUS SUDARSO
YUS SUDARSO
LAJI / PAK MUKHLIS
LAJI / PAK MUKHLIS
LAJI / PAK MUKHLIS
LAJI / PAK MUKHLIS
LAJI / PAK MUKHLIS
LAJI / PAK MUKHLIS
PUTRI SYIFA BILUNA
PUTRI SYIFA BILUNA
PUTRI SYIFA BILUNA
MAIMUNA
MAIMUNA
MAIMUNA
AYIB FARIDA
AYIB FARIDA
AYIB FARIDA
AYIB FARIDA
NAYLA SALSABILA AZZAHRA
SRIYANI
SRIYANI
SRIYANI
SRIYANI
SRIYANI
PAÌ / P YUL
PAÌ / P YUL
PAÌ / P YUL
PAÌ / P YUL
PAÌ / P YUL
PAÌ / P YUL
PAÌ / P YUL
KARISMA
KARISMA
KARISMA
KARISMA
RAKESYA CAMILIA PUTRI
MOH FIKRI
MOH FIKRI
MOH FIKRI
MOH FIKRI
NIKMATUN / BU HER
NIKMATUN / BU HER
NIKMATUN / BU HER
NIKMATUN / BU HER
NY. IIM IKA N
NY. IIM IKA N
NY. IIM IKA N
NY. IIM IKA N
MUSLIHANI
MUSLIHANI
MUSLIHANI
MUSLIHANI
MUSLIHANI
SARMANI
SARMANI
SARMANI
SARMANI
SARMANI
NISFI AMALIA. N
NISFI AMALIA. N
AULIYA RAMADHANI
AULIYA RAMADHANI
AULIYA RAMADHANI
AULIYA RAMADHANI
IDEH / B. SU
IDEH / B. SU
IDEH / B. SU
IDEH / B. SU
IDEH / B. SU
IDEH / B. SU
YULIANA SETIA PUTRI
YULIANA SETIA PUTRI
YULIANA SETIA PUTRI
YULIANA SETIA PUTRI
ARSO
ARSO
ARSO
ARSO
MUSTIRAH / BU MUS
MUSTIRAH / BU MUS
MUSTIRAH / BU MUS
MUSTIRAH / BU MUS
MUSTIRAH / BU MUS
TUTIK SITI ROHMAH
TUTIK SITI ROHMAH
TUTIK SITI ROHMAH
TUTIK SITI ROHMAH
JUHAIRIA / B IN
JUHAIRIA / B IN
JUHAIRIA / B IN
JUHAIRIA / B IN
YUSUF
YUSUF
YUSUF
M. RIJALUDDIN
M. RIJALUDDIN
M. RIJALUDDIN
M. RIJALUDDIN
M. RIJALUDDIN
M. RIJALUDDIN
MULAGI
MULAGI
MULAGI
MULAGI
MARDI
MARDI
MARDI
SURYATI
SURYATI
SURYATI
SURYATI
SURYATI
EVI KOMALASARI
EVI KOMALASARI
SITI FATIMATUS ZAHRA
JALAL / PAK SULFA
JALAL / PAK SULFA
JALAL / PAK SULFA
JALAL / PAK SULFA
JALAL / PAK SULFA
MELISA ISTIANA
MELISA ISTIANA
MELISA ISTIANA
MELISA ISTIANA
MELISA ISTIANA
MELISA ISTIANA
MELISA ISTIANA
MELISA ISTIANA
MELISA ISTIANA
MISNADI
MISNADI
MISNADI
MISNADI
MISNADI
WAHYUDI
WAHYUDI
WAHYUDI
WAHYUDI
WAHYUDI
PAENA / IBU SU
PAENA / IBU SU
PAENA / IBU SU
PAENA / IBU SU
PAENA / IBU SU
PAENA / IBU SU
PAENA / IBU SU
PAENA / IBU SU
AHMADUN / P INDRA
AHMADUN / P INDRA
AHMADUN / P INDRA
AHMADUN / P INDRA
AHMADUN / P INDRA
SAMSUL
SAMSUL
SAMSUL
SAMSUL
SAMSUL
SAMSUL
MOH RIFKI HASAN
MOH RIFKI HASAN
MOH RIFKI HASAN
MOH RIFKI HASAN
SINTA DWI PUTRI
SINTA DWI PUTRI
SINTA DWI PUTRI
SINTA DWI PUTRI
SINTA DWI PUTRI
ARSO
ARSO
ARSO
ARSO
ARSO
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
KHOFIFAH NURUL WAHWUNI
ASYATI
ASYATI
ASYATI
ASYATI
ASYATI
ASYATI
ASYATI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MARWATI
MARWATI
ABD MUKIT
ABD MUKIT
ABD MUKIT
ABD MUKIT
ABD MUKIT
ARUMI MAULIDA ATMAJA
SITI AMINAH
SITI AMINAH
SITI AMINAH
RAHMAT HIDAYATULLAH SABIQUL FADLI
MELISA ISTIANA
MELISA ISTIANA
MELISA ISTIANA
HALIMA / IBU YOGA
HALIMA / IBU YOGA
HALIMA / IBU YOGA
HALIMA / IBU YOGA
PA
PA
PA
SAIFUL
SAIFUL
SAIFUL
CHAISYA PUTRI FIRMANSYAH
AISYAH NUR KAMILA
AISYAH NUR KAMILA
AISYAH NUR KAMILA
IBROHIM
IBROHIM
ZAINUDIN
ZAINUDIN
ZAINUDIN
ZAINUDIN
ZAINUDIN
SATIJE / BU MUARIS
SATIJE / BU MUARIS
LINDA ALITA WULANDARI
HENDRIK BACHTIAR
HENDRIK BACHTIAR
HENDRIK BACHTIAR
HENDRIK BACHTIAR
HENDRIK BACHTIAR
HENDRIK BACHTIAR
LIA AGUSTIN
LIA AGUSTIN
LIA AGUSTIN
LIA AGUSTIN
LIA AGUSTIN
LIA AGUSTIN
ALVIN MAULANA HAMZAH
SYAILA AINUR SAFANA
SYAILA AINUR SAFANA
SYAILA AINUR SAFANA
HERMANTO
HERMANTO
HERMANTO
HERMANTO
HERMANTO
HERMANTO
HERMANTO
SITI FATIMAZ ZAHROTUL ALIYAH
INDAH FARHATIN
INDAH FARHATIN
INDAH FARHATIN
INDAH FARHATIN
SUTIYANI
SUTIYANI
SUTIYANI
SUTIYANI
SUNARYA
SUNARYA
SUNARYA
LAILI HIDAYAH
LAILI HIDAYAH
LAILI HIDAYAH
LAILI HIDAYAH
LAILI HIDAYAH
LAILI HIDAYAH
LAILI HIDAYAH
LAILI HIDAYAH
LAILI HIDAYAH
INDAY YATI
INDAY YATI
INDAY YATI
INDAY YATI
INDAY YATI
INDAY YATI
IFTAH SALSABILA
IFTAH SALSABILA
IFTAH SALSABILA
IFTAH SALSABILA
IFTAH SALSABILA
SUDIYANTO H FAISOL
IBROHIM
IBROHIM
IBROHIM
IBROHIM
IBROHIM
IBROHIM
IBROHIM
IBROHIM
SUHAIRIYA
SUHAIRIYA
SUHAIRIYA
SUHAIRIYA
SUHAIRIYA
SUHAIRIYA
SUHAIRIYA
SUHAIRIYA
SUHAIRIYA
SUHAIRIYA
SUHAIRIYA
DAFIT ANDIKA
DAFIT ANDIKA
MAULANA RAIKA ZAHRA
MAULANA RAIKA ZAHRA
MAULANA RAIKA ZAHRA
MAULANA RAIKA ZAHRA
NIBA / IBU NADI
NIBA / IBU NADI
NIBA / IBU NADI
NIBA / IBU NADI
TOSAN
TOSAN
TOSAN
TOSAN
TOSAN
TOSAN
SELIN AULIA
SELIN AULIA
SELIN AULIA
SELIN AULIA
SELIN AULIA
AHMAT HORI
AHMAT HORI
AHMAT HORI
AHMAT HORI
AHMAT HORI
AHMAT HORI
ASRI
ASRI
ASRI
ASRI
HOZZAIMAH
HOZZAIMAH
HOZZAIMAH
HOZZAIMAH
HOZZAIMAH
HOZZAIMAH
HOZZAIMAH
ANANDA SHERIN AZKAYRA
ALFINO
ALFINO
ALFINO
ALFINO
ALFINO
NISMA / B. SUPAR
NISMA / B. SUPAR
NISMA / B. SUPAR
NISMA / B. SUPAR
JAUSIRIYANTO
JAUSIRIYANTO
JAUSIRIYANTO
JAUSIRIYANTO
DJUMARI
DJUMARI
DJUMARI
DJUMARI
DJUMARI
DJUMARI
ABDUL AZIZ / BAPAK YUL
RUDI HARTONO
RUDI HARTONO
RUDI HARTONO
TONI / IBU TIK
TONI / IBU TIK
TONI / IBU TIK
TONI / IBU TIK
TONI / IBU TIK
KURNIAWAN BUDI SANTOSO
SANAN
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
NOVILATUL LAILA
DEVI FERNANDA
LATIFA
LATIFA
MAT KADIR
MUHAMMAD BAKIR
AMARI
UMAR FARIKI
HOSZAIMAH
IFAN FAUZI
IMAM WAHDI
MATRAJI
MUHENA
MUHENA
MUHENA
MUHENA
MAIMUNA
MASNIA JULITA SARI
ZAINULLAH
ZAINULLAH
LAJI / PAK MUKHLIS
AULIYA RAMADHANI
YUSUF
M. RIJALUDDIN
JALAL / PAK SULFA
MELISA ISTIANA
PAENA / IBU SU
SAMSUL
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
MAT ROSI
MELISA ISTIANA
SELIN AULIA
ASRI
DJUMARI
DJUMARI
JENIS SRI AYU
SANA
SUKATMIATIN
BADRIYA
JUMIATI
MARYATI
MARYATI
MARYATI
MARYATI
MARYATI
MARYATI
INDANI AINUN FAJRIA
INDANI AINUN FAJRIA
INDANI AINUN FAJRIA
LATIFA
LATIFA
LATIFA
LATIFA
LATIFA
LATIFA
LATIFA
SUNARTO
SUNARTO
MAT KADIR
MAT KADIR
MAT KADIR
MAT KADIR
MAT KADIR
MAT KADIR
AMARI
ADELIA FITRI
ADELIA FITRI
ADELIA FITRI
ADELIA FITRI
ADELIA FITRI
AHMAD IZUL ISLAM
HOSZAIMAH
TRIANA RAHMADANI
AHMAD ARIS RAMADHAN
AHMAD ARIS RAMADHAN
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
ENTIN KUSTINI
ENTIN KUSTINI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
MAISUNA / BU HALIL
BUNAMA/B.MUR
BUNAMA/B.MUR
AHMAD ZIYAD ZIDQIL
AHMAD ZIYAD ZIDQIL
AHMAD ZIYAD ZIDQIL
AHMAD ZIYAD ZIDQIL
AHMAD ZIYAD ZIDQIL
AHMAD ZIYAD ZIDQIL
MATRAJI
MATRAJI
MATRAJI
MATRAJI
MATRAJI
MATRAJI
MATRAJI
MUHENA
MUHENA
MUHENA
MUHENA
MUHENA
MUHENA
MUHENA
MUHENA
MUHENA
MUHENA
MUHENA
MUHENA
MAIMUNA
SAHARUDIN
SAHARUDIN
ZAINULLAH
ZAINULLAH
ZAINULLAH
ZAINULLAH
ZAINULLAH
ZAINULLAH
ZAINULLAH
LAJI / PAK MUKHLIS
MAIMUNA
PAÌ / P YUL
MUSLIHANI
SARMANI
SARMANI
AULIYA RAMADHANI
AULIYA RAMADHANI
AULIYA RAMADHANI
AULIYA RAMADHANI
AULIYA RAMADHANI
AULIYA RAMADHANI
AULIYA RAMADHANI
YUSUF
YUSUF
YUSUF
YUSUF
YUSUF
MULAGI
MELISA ISTIANA
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
SATIJE / BU MUARIS
TOSAN
HOZZAIMAH
HOZZAIMAH
HOZZAIMAH
HOZZAIMAH
NISMA / B. SUPAR
NISMA / B. SUPAR
NISMA / B. SUPAR
NISMA / B. SUPAR
NISMA / B. SUPAR
DJUMARI
DJUMARI
DJUMARI
DJUMARI
DJUMARI
DJUMARI
DJUMARI
DJUMARI
DJUMARI
DJUMARI
DJUMARI
DJUMARI
TONI / IBU TIK
MISKATI / HJ. AISYAH
MARYATI
SLAMET / PAK SELA
MUHAMMAD ZIDEN
MUHAMMAD ZIDEN
AULIYA RAMADHANI
SITI ARMELIA KHAIRUNNISA
MARYATI
MUHAMMAD HAIDARUL IKBAR
MASI / B. SINAP
SEI
ZAHROTUL KAMILAH
ASAN
SIA
SIA
AULIA NUR ZAHRA
MOH ALIFUL MAKLUF
HALIMA
SANA
DULAMI
SUKATMIATIN
SITI NAILATUL ROHMAH
MUHAMMAD AL FAHRI
BADRIYA
ABDUR ROHIM
MISRAN
TRIANA RAHMADANI
TRIANA RAHMADANI
PAIJEM
PAIJEM

BUYATI
BUYATI
AHMAD GUNAWAR
MUHAMMAD IMRON
AHMAD / HAJI AHMAD
H. ALPAN
SHOLEHA
SUNARMI
HARBABUN / HAJI ABDUL HADI
SUDARMADI HASAN
ATMANI
TOREJO
ABRIZAM FATAN A.
SUTIJA / HAJJAH LATIFA
SUMAR / BAPAK SAIFUL
SUYANI / IBU LUT

RETNO AYU NINGTIAS
RETNO AYU NINGTIAS
EVANANI ZEHIROH
NAILUL HIDAYATUL FITRI
MAISYATUL MUNAWAROH
SULISTIYOWATI
SULISTIYOWATI
SULISTIYOWATI
SULISTIYOWATI
NOVIALIS ANGGRAINI
SUÀIBAH
SUÀIBAH
SUÀIBAH
SUÀIBAH
SUÀIBAH
SUÀIBAH
SUÀIBAH
SUÀIBAH
SUÀIBAH
SUÀIBAH
DEVI HIDAYATULLAH
DEVI HIDAYATULLAH
DEVI HIDAYATULLAH
DEVI HIDAYATULLAH
EVANANI ZEHIROH
EVANANI ZEHIROH
INDRI VERALIAWATI
INDRI VERALIAWATI
MISWATI NINGSIH
MISWATI NINGSIH
SUNARSIH / B IM
MARYATI
MARYATI
ALIFIA CAHYANI
HALIMATUS SA`DIYAH
YUSUF
YUSUF
MARDI
MARDI
ABU ASAN
ABU ASAN
IFTAH SALSABILA
IFTAH SALSABILA
AULIA NUR ZAHRA
MOH ALIFUL MAKLUF
ALIFAH ELSAFA
REYFALDI ARDIANSYAH
ADAM
AMSIH/ P SUTIK
SUNARSIH / B IM
SUNARSIH / B IM
ADELIA FITRI
ADELIA FITRI
ADELIA FITRI
MAISUNA / BU HALIL
MUHENA
PAÌ / P YUL
AULIYA RAMADHANI
MULAGI
INA / IBU BUYAMI
INA / IBU BUYAMI
SUNARDI
JA`FAR
SUNARMI
AULIYA RAMADHANI
ASAN
MAULANA MALIK IBRAHIM
SAHUR
SAHUR
SAHUR
ABDUL AZIS
ABDUL AZIS
MUHAMMAD AL FAHRI
MISRAN
MUHAMMAD FADIL BAHTIAR

JUNAIDI
SITI NURAINI
AHMAD RIDHO ARMANDO
NIWI
HALIMATUS SA`DIYAH
NURUL HASANAH
ILMIATI
ANA NAJMA ZAHIRA
JUMAATI
JUMAATI
KUSDIANTO
JUPRI
JUPRI
JUPRI
IMAM WAHDI
FIKRI RAMADHANI
PUTRI SYIFA BILUNA
PUTRI SYIFA BILUNA
PAÌ / P YUL
KARISMA
KARISMA
MAT ROSI
MAT ROSI
MAT ROSI
SITI AMINAH
SITI AMINAH
SITI AMINAH
SAIFUL
SAIFUL
LIA AGUSTIN
SELAMET RIYADI
MUHAMMAD IRFANI
RAMILA
TURYATI/ BU SELFI
SITI AMINAH/B.HJ.HAMINA
LILIS PUTRI NOVIA SARI
JUHRIYAH
KUSYADI
LUTFI / BAPAK WAFIQ
AZLAN SAUQILLAH SUWOTO
ASMA/ PAK SIPUL
NABILA IZZA AFKARINA
AININDA ZELDA
MUARIP
SULISTYANINGSIH
MUHAMMAD ZAIDAN EL HAFIZH
MISKADI
LATIFATUL JANNAH
EKA CINTIYA FEBRIANTI
MUHAMMAD HAFIDI
FATIMA
INTAN KURNIA FEBRIANTI
SUGIANTO
NAURA RAMADHANI
HJ. NURYATI/NURYATI
ASAN
SHELIN
HAFIZH ZAKI MUBAROK
DEVITA SINGGIH RAHAJENG
MUANI
DIDIK NOR HADI
PAIDA
MUHAMMAD ISBAT GAUTAMA
MAMLUATUL HASANAH
MUHAMMAD FAHREZI
HAFIZH ZAKI MUBAROK
MUHAMMAD FEBIAN GAUTAMA
PAÌ / P YUL
JENIS SRI AYU
HALIMA
BERYL HAMIZAN KASYAFANI
HASAN
ZAINAL ARIFIN
SUMINA
ATI / BU TOHANI
SALMAN / P. YUNI
MUHAMMAD AUFA RAMADHANI
HAVID
MOHAMMAD ADAM IZZ RAYYAN
JULITA SARI P
AHMAD SYAMSUL ARIFIN
NAINI
SUTIK / B.HIKMAH
TOHARI/ P TOTOK
HILMAN GABRIEL ABDILAH
SANA
SUKIMAN/P.LIN
ENI MARDIANA
SUCIPTO
LADY VIRGINA JASMIN
AFDIAR ROSIQI PRABAWANA
MUHAMMAD KANZI
MISBAH
AHDAN RAKA
MUHAMMAD ADAM RAMADAN
REYFALDI ARDIANSYAH
MUHAMMAD FAIZZAQI
SYARIF HIDAYAT
INDAH AYU PRATIWI
MUYATI
SUTIRA / B. MASKURI
MOCH. GIBRAN RAZIQ AR -RIDWAN
KEISYA NAFISAH AR. R
LILIS SUSILOWATI
JUMARIYA
MARHAWI
MAULANA ALVARO RISQI
SAHNAN
FARIDATUL HASANAH
ERFAATIN
MUHAMMAD AL FAHRI
ASIA / B. TILA
BADRIYA
IMROÀTUL HASANAH
BAGAS KAFFA AZ ZIKRI
IMRON HIDAYAT
ZEINIYAH / B. HOS
SUKUR
GUNAWAN PRASETYO
HENDRA FARIADI
AFGATHA ZAHY PRANATA

MARYATI
INDANI AINUN FAJRIA
NOVILATUL LAILA
AINIATUL JANNAH
AINIATUL JANNAH
AINIATUL JANNAH
MAT KADIR
ADELIA FITRI
RAKA TAMA
TRIANA RAHMADANI
ALFIYATUL HASANAH
MUS / P HENI
MUS / P HENI
AHMAD RIDHO ARMANDO
ENTIN KUSTINI
TUNGGASWATI
KUSDIANTO
JUPRI
MAISUNA / BU HALIL
MAISUNA / BU HALIL
MAISUNA / BU HALIL
MAISUNA / BU HALIL
IMAM WAHDI
FIKRI RAMADHANI
MATRAJI
MUHENA
LAJI / PAK MUKHLIS
NIKMATUN / BU HER
NY. IIM IKA N
AULIYA RAMADHANI
IDEH / B. SU
YULIANA SETIA PUTRI
ARSO
MUSTIRAH / BU MUS
TUTIK SITI ROHMAH
JUHAIRIA / B IN
M. RIJALUDDIN
SURYATI
MELISA ISTIANA
MELISA ISTIANA
MISNADI
WAHYUDI
SAMSUL
MOH RIFKI HASAN
SINTA DWI PUTRI
ARSO
ABU ASAN
SITI AMINAH
HALIMA / IBU YOGA
PA
SAIFUL
ZAINUDIN
HENDRIK BACHTIAR
LIA AGUSTIN
TONI / IBU TIK
ANANDA CECE AZRILA
TN. DIN /P. HORI
TN. DIN /P. HORI
YUSRA AINUN MAHYA
HATIPA / BU DI
ABDUR ROHMAN
SUNAMI / B. TIN
NOVILATUL LAILA
NOVILATUL LAILA
ZAHROTUL FIKRI ANNABILA
HANIAH
HANIAH
HANIAH
HANIAH
HANIAH
HANIAH
MADINATUS SAYYIDAH
MADINATUS SAYYIDAH
MADINATUS SAYYIDAH
MADINATUS SAYYIDAH
DIA AINUN NISA
ALFIYATUL HASANAH
MASNIA JULITA SARI
ABU ASAN
ABU ASAN
HJ. SUJUD
RAKA TAMA
GIUNIA LAVANYA KANEISHIA
EKA BUDI PRASETIA
MISNU
BUNASIR
BAWON RAHARTO
LULUK FITRIANI
NAFISATUL MUHIMMAH
KHAIRINA SELVIA ANGGRAINI
ACHAMD ASRORI
ROMLA
RAKA FEBRIAN PUTRA
MARIA ULFA
URIFAH
ARSITA
ACH JUNAIDI NOER
WIYANT0 / P, FIKA
ADIMAS WAHYU MAULANA
JA`FAR
INDAH AYU PRATIWI
AZKYA KAYLA ALMARA
MUHAMMAD IRFANI
TUPA / B. NURUL
KURDI
ABDULLAH HANIF
JUPRI
ELSA SAFIKA AULIA
HABIBAH
YUSRA AINUN MAHYA
MASI / B. SINAP
NAJWA AL QOMARIAH
ASALINA AZZAHRA RAIKA
KASYATI
DESI AMELIA PUTRI
ADELIA SYARIF KOMALA HIDAYAH
ANISAH ISMATUL ALIYAH
MUSLIHATIN
MISKADI
MURBIATI / BUK DUL AZIS
SUDIYEH
KAINDRA BAHTIAR PANDU WIJAYA
ABDUL HADI
MAWARDI
SEI
AHMAD BAIRI
ZAHROTUL KAMILAH
YUNI ARLISATIANI
SUMARDI
SAFARA MAULIDIA SALAMAH
MUHAMMAD TALUM
ARYATI/ B MUNIB
FATIMAH SYAKILA KAIRINA
FATIMAH SYAKILA KAIRINA
NAYLA AZ-ZAHRO SALSABILA
SUNARDI
ZAHRA FADILA MUMTAZA
ARYA NOFAIS PRATAMA
HERI SUPARMAN
SITI NURJANNAH
J. TUKADI
KINA AH
HADI SUSANTO
ASMARO
AISYAH RABIATUL HUSNI
EFENDI PRADANA
AZKHANA AINUN MAHYA
DIDIK NOR HADI
BELQESYA AZZAHRA KHUMAIRA
SITTI ROHAYU / IBU MIKI
WAQIATUL HASANAH
A ZULKARNAIN ALI
SUWARDI / BAPAK UNIK
AHMAD AFIN
SANAN
WARDAH DZULQOIDAH M
WARDAH DZULQOIDAH M
WARDAH DZULQOIDAH M
ABRAHAM ABDUL MALIK
ABRAHAM ABDUL MALIK
ABRAHAM ABDUL MALIK
FITRIYATUL HASANAH
FITRIYATUL HASANAH
FITRIYATUL HASANAH
FITRIYATUL HASANAH
PERI / P. EKA
PERI / P. EKA
PERI / P. EKA
MAÙN
MAÙN
MAÙN
MAÙN
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
NANANG HADI SYAIFULLAH
SITI NUR MUFIDAH NINGTIAS
SUNAMI / B. TIN
SUNAMI / B. TIN
SUNAMI / B. TIN
SUNAMI / B. TIN
TUYAMI
MOH ROBIT UBAIDILLAH
JUMIATI
JUMIATI
IMAM BUHARI
IMAM BUHARI
IMAM BUHARI
IMAM BUHARI
RISTA SAFIRA
ALISHA SABYA PUTRI WINDAYU
MARYATI
INDANI AINUN FAJRIA
INDANI AINUN FAJRIA
NOVILATUL LAILA
DEVI FERNANDA
DEVI FERNANDA
DEVI FERNANDA
AURA ZAHRO
HANIAH
HANIAH
LATIFA
MADINATUS SAYYIDAH
HOLIFATUL HASANAH
SUNARTO
SUNARTO
NURSASI
NURSASI
MAT KADIR
MUHAMMAD BAKIR
MUHAMMAD BAKIR
MUHAMMAD BAKIR
AMARI
AMARI
AMARI
UMAR FARIKI
UMAR FARIKI
UMAR FARIKI
AZIZAH / ASIZEH
AZIZAH / ASIZEH
AZIZAH / ASIZEH
ADELIA FITRI
ADELIA FITRI
ALIFIA CAHYANI
ALIFIA CAHYANI
ALIFIA CAHYANI
ALI AKBAR HASYIMI
RAKA TAMA
AHMAD IZUL ISLAM
AHMAD IZUL ISLAM
AHMAD IZUL ISLAM
AHMAD IZUL ISLAM
DIA AINUN NISA
DIA AINUN NISA
SAMINA / BUK FITRI
SAMINA / BUK FITRI
SULISTYANINGSIH
SULISTYANINGSIH
SULISTYANINGSIH
SULISTYANINGSIH
SAMSUL ARIFIN
SAMSUL ARIFIN
SAMSUL ARIFIN
SAMSUL ARIFIN
HOSZAIMAH
RETNO AYU NINGTIAS
RETNO AYU NINGTIAS
RETNO AYU NINGTIAS
AHMAD ARIS RAMADHAN
AHMAD ARIS RAMADHAN
AHMAD ARIS RAMADHAN
AHMAD ARIS RAMADHAN
AHMAD BAIRI
AHMAD BAIRI
MUS / P HENI
MUS / P HENI
AIRIN MAUFIROH
AIRIN MAUFIROH
JUNAIDI
SITI NURAINI
SITI NURAINI
AHMAD RIDHO ARMANDO
AHMAD RIDHO ARMANDO
NIWI
NIWI
HALIMATUS SA`DIYAH
NURUL HASANAH
NURUL HASANAH
NURUL HASANAH
ILMIATI
MUHAMMAD NAFLI
MUHAMMAD NAFLI
MUHAMMAD NAFLI
ENTIN KUSTINI
ENTIN KUSTINI
ENTIN KUSTINI
KUSDIANTO
BUNAMA/B.MUR
MUHENA
MUHENA
MUHENA
MUSLIHATI
MASNIA JULITA SARI
MASNIA JULITA SARI
MASNIA JULITA SARI
SAHARUDIN
SAHARUDIN
SAHARUDIN
YUS SUDARSO
YUS SUDARSO
YUS SUDARSO
LAJI / PAK MUKHLIS
LAJI / PAK MUKHLIS
LAJI / PAK MUKHLIS
MAIMUNA
MAIMUNA
MAIMUNA
AYIB FARIDA
AYIB FARIDA
AYIB FARIDA
AYIB FARIDA
SRIYANI
SRIYANI
SRIYANI
SRIYANI
MOH FIKRI
MOH FIKRI
MOH FIKRI
MOH FIKRI
NIKMATUN / BU HER
NY. IIM IKA N
SARMANI
SARMANI
SARMANI
SARMANI
SARMANI
NISFI AMALIA. N
AULIYA RAMADHANI
AULIYA RAMADHANI
IDEH / B. SU
IDEH / B. SU
IDEH / B. SU
YULIANA SETIA PUTRI
YULIANA SETIA PUTRI
MUSTIRAH / BU MUS
TUTIK SITI ROHMAH
M. RIJALUDDIN
M. RIJALUDDIN
M. RIJALUDDIN
M. RIJALUDDIN
MULAGI
MULAGI
SURYATI
SURYATI
PAENA / IBU SU
AHMADUN / P INDRA
SAMSUL
SAMSUL
SINTA DWI PUTRI
ARSO
ABU ASAN
ASYATI
MAT ROSI
MARWATI
MARWATI
ABD MUKIT
SITI AMINAH
MELISA ISTIANA
HALIMA / IBU YOGA
HALIMA / IBU YOGA
PA
PA
SAIFUL
SAIFUL
SAIFUL
SAIFUL
AISYAH NUR KAMILA
AISYAH NUR KAMILA
AISYAH NUR KAMILA
IBROHIM
IBROHIM
ZAINUDIN
ZAINUDIN
INA / IBU BUYAMI
INA / IBU BUYAMI
HENDRIK BACHTIAR
HENDRIK BACHTIAR
LIA AGUSTIN
LIA AGUSTIN
SYAILA AINUR SAFANA
SYAILA AINUR SAFANA
HERMANTO
HERMANTO
INDAH FARHATIN
INDAH FARHATIN
SUTIYANI
SUTIYANI
LAILI HIDAYAH
LAILI HIDAYAH
INDAY YATI
INDAY YATI
IFTAH SALSABILA
IFTAH SALSABILA
IFTAH SALSABILA
IBROHIM
SUHAIRIYA
DAFIT ANDIKA
DAFIT ANDIKA
MAULANA RAIKA ZAHRA
NIBA / IBU NADI
NIBA / IBU NADI
NIBA / IBU NADI
TOSAN
TOSAN
TOSAN
TOSAN
SELIN AULIA
AHMAT HORI
ALFINO
ALFINO
ALFINO
ALFINO
NISMA / B. SUPAR
NISMA / B. SUPAR
NISMA / B. SUPAR
JAUSIRIYANTO
JAUSIRIYANTO
JAUSIRIYANTO
JAUSIRIYANTO
DJUMARI
DJUMARI
DJUMARI
DJUMARI
RUDI HARTONO
TONI / IBU TIK
TONI / IBU TIK
TONI / IBU TIK
TONI / IBU TIK
HAMDAN HAKIKI
SLAMET RIYADI
MUHAMMAD AL MALIK
AHMAD ARIS RAMADHAN
SONI HERMAWAN
WIDADAH
SUPARTO
FITRIA MEGA WULANDARI
NIHAN / BAPAK SUM
TAUFIK JOYO SAPUTRO
BAHASIS
HENNY SAPARINGGA
SUPA I / BAPAK EVA
NAINI
JULITA SARI P
ONI FITRIYANTI
MIYATI / IBU LIA
MAÙN
SAYATI/ B ATAN
SITI AISYAH AZZAHRA RASYIDA
AHMAD / HAJI AHMAD
REISYA APRILIA PUTRI
NGATINEM / B. JUP
H. ALPAN
ROHATI
MOH ALIFUL MAKLUF
IIN MAFTUHAH
SUHARTADI
YUNITA
MUHAMMAD WILDAN TSAQIF
SHOLEHA
SHANUM IKBAR RUZ ZAMAN
RAFANDA QALESYA PUTRI EFENDI
YAYUK PUJI LESTARI
FEBY FARADILA
YULIATIK
MUHSINATIN
DIMAS FIRDAUZEN
IFA YULIANTI
ANDINI RIZQI MELIANA HERMANTO
HABIYEH
BADARUDIN
LINDA YULIATIN
SUTIYA
LAVANYA DIYA TAJ RUMI
SUNARMI
IIN MAFTUHAH
MISRAWI / HAJI HOLIK
AHMAD LUKMAN HADI
HALIMA / IBU YOGA
MISYATUN
ORLIN
HARBABUN / HAJI ABDUL HADI
JULITA SARI P
AULIYA RAMADHANI
ASEP/PAK SUBAIRI
MUHAMMAD AFKAR NURDIANSYAH PRADIPTA
AURELIA PUTRI IZZAHANIFA
MUHAMMAD ROIS
FADILATUL HASANAH
MUHAMMAD ADNAN ZIO SYAHPUTRA
ZARINA NAVEN TAHERA
KEVIN MAULANA
SAYFUL BARI
MURYAMA
AHMAD FAWAID
KHADIJAH HAURA AZKIYA
ANDI PRAYITNO
AHMAD / HAJI AHMAD
MAISUNA / BU HALIL
NARMI / IBU JULI
MUHAMMAD BAKIR
HALIMA / IBU YOGA
SUAJI / IBU HAR
MUSDALIFAH
MAT KADIR
IIS UFAYANA
MUHAMMAD NAFLI
NUR AININ GHITA SALSABILLA
SUYANI
SRI HARTINI
SUPAIDA
NORHASANAH
LILIS SUSILOWATI
VANESA
YUNI FIRDAUSI NUZULA
SAMSUL
DASUKI / BAPAK HOLIK
NAURA AGUSTIN
MUHAMMAD BIMA PRASETYO
IFTAH SALSABILA
HENDRA FARIADI
AHMAD ARIS RAMADHAN
CHIKA PRICILIA PUTRI
MUHAMMAD AZ ZHAHIR. R
KEISHA ARSYFA WAFIYAH
FATIMAH AR RIZQIA ZHAHIRA
F. MUFED
F. MUFED
AINIYATUL KARIMAH
MAURA SEPTI ANDINI
MERI ANANDA
ITA RESITA
ADIFA ASALINA MAHFIN
SONY PRATAMA
TOYAMA
MAUFIROH
HARTOKO
ULFATUS SHOLIHAH
WIRYANI / IBU ERFAN
SURAMI
MOH HEDI
SULISTYANINGSIH
FITRIA MEGA WULANDARI
SUMARTI / B. DIAH
ZAHRA FADILA MUMTAZA
SUDARMADI HASAN
ATMANI
BAYU AJI
ANDINI FAHMA ELIYA ZANNUBA
SUDARSO
SUPRIYADI
ABRIZAM FATAN A.
KHALID UMAR FATHAN
KARISMA
CANTIKA DEWI
SUTOMO
IMRON ROFIKI
SAHUR
LAVANYA DIYA TAJ RUMI
SAFITRI WULANDARI
MEIKE JUWITA SARI
ALEA AGHNIA SALSABILA
ADAM
ADAM
ADAM
TRILA DEWI ANTIKA
BOYZEROUN PRABOWO
NURLAILINDA
KEISYA NUR AZIZAH
MARYATI
MISNA
ELDINAR SHAKIRA
QIAS AKBAR ALFAWAID
MUHAMMAD ALI FIKRIANSYAH
MUHAMMAD SAMRONI
JUMA A
NAILUL AMANI
MUHAMMAD TALUM
SUTIJA / HAJJAH LATIFA
RIZHA DANIEL ARVAN
MUHAMMAD NAFLI
MISBAKHUL ADI CANDRA
MUHAMMAD FADILATUR ROHMAN
DWI NAUVAL ZAKARIA
SUARNO / BAPAK MOL
SULISTYANINGSIH
MOHAMMAD KHAFIL BASRI
SAINAP
TALITA KAMILA RAMADHANI
FAWAIDURRAHMAN
MUHAMMAD DAFFA YUSUF
VIRENDRA ISKIAN. A
FATIMAH / BU SIYEH
SAHUR
NABILA NAFASA
SULIHA / B. MUSEN
SULASTRI
SUBUR SUHERMAN
AHMAD WAKIT
ABDUL AZIS
SUNAMI / IBU SUKIR
AISYAH NUR KAMILA
ANA WILDANI
ZAINUDIN
BUNGKOS / BAPAK HOIRIYEH
LISA
MAIMONA
FATIMATUS SUHRO
ITA ASTUTIK
ROHATI
MUHAMMAD AUFA RAMADHANI
RISMA OLIVIA
ZASKIA SHEVA SABILA
FRISTIKA MIRA WIDIYANTI
IIN MAFTUHAH
ASIS / BAPAK IN
KINA AH
UMAR SODIQ PRANOTO
YUNI FIRDAUSI NUZULA
SRI WATININGSIH
FARA AZZAHRA
BAGUS ROBBY FITRIANTO
WIDI ASTUTIK
MUHAMMAD ANGGA SAPUTRA
FIRMAN HAIDAR ABDUS S.
MUHAMMAD AFIL ARDIANSYAH
MOH. DAVI SABTIAN
SAHUR
JIBRAN DZAKA DWI SAMTA
NISFI AMALIA. N
SUHARTADI
REYHAN
RIYADI
HERMANTO
KEYLA HANIS SAUFA
ANINDITA KEISYA AZZAHRA
ABDUL AZIS
ELVINA NURIL MAULIDAH
MOHAMMAD HOIRUL F
NAWANG TASBIHA
UNTUNG MARTA LEGAWA
NAJWA AL QOMARIAH
PAENA / IBU SU
KUSTINI / IBU WAHYU
MUHAMMAD RAKA
RANIA ALMAHYRA MECCA
AURA SELA ROZANA
ISLAMIAH ALIYA PUTRI
ARKA WIRAYUDA RAKSONO
ARSYILA ROMEZA FARZANA
AHMAD AZZZAMIRU ADITYA NAHROWI

MUHAMMAD RADITYA SAPUTRA
SANAN
ASWAR / PAK KUS
ASWAR / PAK KUS
ABDULLAH HANIF
ABDULLAH HANIF
JAUHAROTUL MAKIYAH
JAUHAROTUL MAKIYAH
JAUHAROTUL MAKIYAH
JAUHAROTUL MAKIYAH
SUNAMI / B. TIN
WARDAH DZULQOIDAH M
MUHAMMAD AZKA ALFARISKI
TUYAMI
TUYAMI
NAGITA SEVINA PUTRI ELFAS
SUWARNA
JUMIATI
IMAM BUHARI
RISTA SAFIRA
MARYATI
MARYATI
MARYATI
INDANI AINUN FAJRIA
NOVILATUL LAILA
DEVI FERNANDA
AINIATUL JANNAH
ERNAWATI
ERNAWATI
AURA ZAHRO
AURA ZAHRO
AURA ZAHRO
LATIFA
LATIFA
LATIFA
MADINATUS SAYYIDAH
MADINATUS SAYYIDAH
MADINATUS SAYYIDAH
HOLIFATUL HASANAH
SUNARTO
SUNARTO
NURSASI
NURSASI
MAT KADIR
MAT KADIR
MAT KADIR
MUHAMMAD BAKIR
AMARI
ALIFIA CAHYANI
ALI AKBAR HASYIMI
ALI AKBAR HASYIMI
RAKA TAMA
RAKA TAMA
RAKA TAMA
DIA AINUN NISA
SAMINA / BUK FITRI
SAMINA / BUK FITRI
HOSZAIMAH
HOSZAIMAH
HOSZAIMAH
HOSZAIMAH
TRIANA RAHMADANI
TRIANA RAHMADANI
RETNO AYU NINGTIAS
AHMAD ARIS RAMADHAN
ALFIYATUL HASANAH
ALFIYATUL HASANAH
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
JUNAIDI
SITI NURAINI
AHMAD RIDHO ARMANDO
HALIMATUS SA`DIYAH
HALIMATUS SA`DIYAH
HALIMATUS SA`DIYAH
ILMIATI
MUHAMMAD NAFLI
ENTIN KUSTINI
ENTIN KUSTINI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
ANA NAJMA ZAHIRA
BUNAMA/B.MUR
BUNAMA/B.MUR
BUNAMA/B.MUR
AHMAD ZIYAD ZIDQIL
FIKRI RAMADHANI
MATRAJI
MATRAJI
MATRAJI
MUHENA
MUSLIHATI
MUSLIHATI
MUSLIHATI
MAIMUNA
MAIMUNA
HAMDAN HAKIKI
HAMDAN HAKIKI
ZAINULLAH
ZAINULLAH
ZAINULLAH
ZAINULLAH
PUTRI SYIFA BILUNA
PUTRI SYIFA BILUNA
PAÌ / P YUL
PAÌ / P YUL
PAÌ / P YUL
KARISMA
KARISMA
KARISMA
NIKMATUN / BU HER
NIKMATUN / BU HER
NY. IIM IKA N
NY. IIM IKA N
MUSLIHANI
MUSLIHANI
MUSLIHANI
MUSLIHANI
NISFI AMALIA. N
NISFI AMALIA. N
IDEH / B. SU
ARSO
ARSO
MUSTIRAH / BU MUS
MUSTIRAH / BU MUS
TUTIK SITI ROHMAH
JUHAIRIA / B IN
JUHAIRIA / B IN
YUSUF
YUSUF
YUSUF
JUMAR
JUMAR
MARDI
MARDI
MARDI
EVI KOMALASARI
EVI KOMALASARI
JALAL / PAK SULFA
JALAL / PAK SULFA
MELISA ISTIANA
MELISA ISTIANA
MISNADI
MISNADI
MISNADI
WAHYUDI
WAHYUDI
WAHYUDI
PAENA / IBU SU
PAENA / IBU SU
PAENA / IBU SU
AHMADUN / P INDRA
SAMSUL
MOH RIFKI HASAN
MOH RIFKI HASAN
SINTA DWI PUTRI
SINTA DWI PUTRI
ARSO
ABU ASAN
ABU ASAN
ABU ASAN
ASYATI
ASYATI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
ABD MUKIT
ABD MUKIT
MELISA ISTIANA
HALIMA / IBU YOGA
ZAINUDIN
ZAINUDIN
ZAINUDIN
SATIJE / BU MUARIS
SATIJE / BU MUARIS
HENDRIK BACHTIAR
HENDRIK BACHTIAR
HENDRIK BACHTIAR
LIA AGUSTIN
SYAILA AINUR SAFANA
RISKIYAH
HERMANTO
INDAH FARHATIN
INDAH FARHATIN
INDAH FARHATIN
INDAH FARHATIN
SUNARYA
LAILI HIDAYAH
LAILI HIDAYAH
LAILI HIDAYAH
INDAY YATI
INDAY YATI
SUDIYANTO H FAISOL
IBROHIM
IBROHIM
SUHAIRIYA
SUHAIRIYA
SUHAIRIYA
SUHAIRIYA
MAULANA RAIKA ZAHRA
MAULANA RAIKA ZAHRA
MAULANA RAIKA ZAHRA
NIBA / IBU NADI
TOSAN
SELIN AULIA
SELIN AULIA
AHMAT HORI
AHMAT HORI
AHMAT HORI
ASRI
ASRI
HOZZAIMAH
HOZZAIMAH
HOZZAIMAH
HOZZAIMAH
NISMA / B. SUPAR
DJUMARI
RUDI HARTONO
SUPYANI/B,AGUS
SUNARDI
MUNAYAH
ASOKA JUNA PUTRA
BUYATI
AINEIL AZIZAH
MUHAMMAD DAFA IBNU H
MUHAMMAD BERYL ZAHRAN
HERMANTO
AHMAD GUNAWAR
SUPYATI
MUHAMMAD IMRON
SUKARTINI
NESYA FEBRIKA SETIAWAN
ALISATUS SAKINAH
LASMINI
MUHAMMAD GUFRON
SUPANDIAH
AHMAD SUKRON ROFIKI
SUNYOTO
MARYATI
MISNAYAN / P. MAR
LUTFI / BAPAK WAFIQ
AFIFAH
MURATI / B. LIS
NINO / PAK SUK
SAKRUMI
VANESSA ANGELITA
MUSHOLLINAH
BUYATI / B. AL
SURAKMO
JUHAIRIYAH
AINUN NADIFA
SUAMI
SABU
JEFRIAN DEBI RIFKIANTO
MUHAMMAD HAIKAL ASSEGAF
DIAN KHUMAIROH
MEYRITA HANIFATUL NUR AZIZAH
FENI NUR IRIANTI
AHMAD SALEH // IFA MARIA ULFA
JAMALLUDDIN
RAHMATUL HS
SELVI EVA
YURANTI
NARMI / B. NURSIDI
MUNAÌ / P. FAHMI
AMMA/B.TRIS
IMSIATI / B. FAHMIL
ASIA / B. TILA
AHMAD ILMAN BACHTIAR
UMI FADHILA
ANDRIK SUSANTO
HOTIJA / SEY
ENTIN KUSTINI
JURI / P. YUL
IMAM ROFIKI
MUHAMMAD RAKA
PUTRI DWI AJENG
FIKRI SIDDIQI
LINTANG ALFINA DEWI
SUBUR SUHERMAN
ASNIA
UNTUNG SLAMET
SAMSUL ARIFIN
SUHAIRIYA
JUMZAINATUN
RINA YONIASTI
SAID
MUHAMMAD IFAN
FAYYOLA QONITA ZAHRA AULIA
AINUN WIDIYA HERNANDA
MAT ASUS
YUNI TRI
SUPARTILA
SELVI ANGGRIANI
BAHROSI/ H LUTFI
AIRA SAFA
NUR ISKANDAR
RUSTI/B.EN
MUHAMMAD ABDUL FAQIH
FERI IRAWAN
SURYADI
KEYSIFA MAHDA / VIA
MUNAYAH
SUPIYA / BU PON
SITI NURJANNAH
HAFIZ FIRDAUS ALI
ADELIA SEPTIA PUTRI
YULIANI
ASBULLAH
AURELIA LUTFIA SEPTIANI
BABUR ROHMAH
SLAMET / PAK SELA
DIAN NOVITA DINASARI ATNAWATI
MUHAMMAD ZIDEN
SUGENG PRAYOGO
AGUSTINA / B. AISYAH
BUNASIR
YENI TIRTA DIANA PUTRI
AMIRUL HASAN
BRIAN ADHYASTA AFRIANDI
DEDI AFRIANDI
DIMA / BU SUKRI
HERLINA / BU AYU
SHELIN
MUHAMMAD LAIS
TUNGGASWATI
NY. HJ. MAFTUHAH
ARSY HILMA NUR RAISA
H JAZULI
BURAWI / P. MIS
SIFHA NASYA ANINDITA
JUMAÀTI
ARSYILA ZAHWA ALTAFUNISA
IMAM WAHYUDI
ARDITA FEBRIYANTI
TITIN HARYANTI
ALI WAFI
KHADIJAH HAURA AZKIYA
JUMANI
MATRAJI
MUHAMMAD ABRIZAM REYNAN
MUNAJIB/ BAPAK RIRIN
AHMAD AZAIN ALFATIHIL ASYROF
MAULIDIA SAFIRA
ALVARES
ADEEVA ZIVANA PUTRI WIDODO
IFTAH SALSABILA
YADIMA
MUHAMMAD MUKRI
FINA DAMAYANTI
AULIA PASHA NADIRA
SONI HERMAWAN
ALFIYATUL HASANAH
MUNIRI/ PAK MUS
ZULFATUL MAUFIROH
MARYATI
MUHAMMAD SURAWI
MURYAMA
BASIRAH
AHMAD ADRI HASAN
FATMAWATI
ASNI / BU IB
BIKDIN / PAK RAHMAT
BOBBY INDRA
NINDI
NUNUNG AFIFAH
GUNAWAN PRASETYO
HASAN / BAPAK EDI
MEDINA ZAKIYATUN NUFUS
FATHULLAH
FIRA AULIA DEWI
ZAHRA DIYARI JENNATI
SLAMET / PAK SELA
MUSHOLLINAH
SAMSUL ARIFIN
ANDI
ROFI FATONI
MUHAMMAD SHAKEIL NIZAMA PUTRA
MUHAMMAD BAYU SAPUTRA
MUHAMMAD HASAN
NISFI AMALIA. N
NISFI AMALIA. N
ALVARENDRA RUNAKO ADIDARMA
LATHIFAH
MUHAMMAD RAHMAD DANI
AKHMAD ZAINI
FARIDA
SUCIK
IZZATUL ALIYAH
SAINAL
ALMIRA ZAKIYA ALTAFUNISA
ENI SULIKA
SIA
WAWAN HARDIANTO
SUNARTI
MAIMUNAH
JUMADI / PAK EVA
ARSY EKA PUTRI SETIAWAN
ZAINAL ANSORI
BURIYA / IBU MISYANA
MAISUN
NUR AZIZAH
WONGSO / P. NOVI
ROHEMAH
MOH. GIBRAN ARFAN ALHUSAIN
KAIYIMAH
HALIMATUS SAKDIYAH
SUHARTADI
SITI MUNIRAH
MOCH SUHDI
PANDI
JOSO
YULI NABILA AMALIA
ABDUL HAFID
ARYANI/ B MISEH
YENI TIRTA DIANA PUTRI
SUKRON
JUNAIDI
AGUS SUSANTO
SUCIK SUSIANA
DINARA ZAHIRA AZALIYA
SOFIATUN HASANAH
KAILA ZAHRA
DIMA / BU SUKRI
HARTONO
AULIA NUR ZAHRA
DAFINA NUR RAMADINA
ANDI
KUSTINI / BUK HERI
MOH ALIFUL MAKLUF
LINTANG ALFINA DEWI
RAISYA MARATIN
LAJI / PAK MUKHLIS
SAKTIMAN / P. PUT
ARKA ZIKRILA
DAHNI
AHMAD / HAJI AHMAD
ALIFAH ELSAFA
IRMA NURMAYANTI
MUHAMMAD SULTAN FATTAH HADINATA
INTAN PUTRI FADILA
M. AZKA ZIO ITKON
M. HARRUN AR RASYID
UMYANI / BUK HAJAH TOHIR
NY. NIWATI
LISTIANA ROMADHOYANTI
LULUK FITRIANI
SUGIANTO
MUHAMMAD SULTAN FATTAH HADINATA
DIMAS FEBRIAN
AJIS/P.YUS
MUHAMMAD DAFA IBNU H
SEPTANIA DEVINA
SUYITNO
FENDI ARDIANSYAH
MARIA ULFA
ANDINI RIHADATUL AISYI
INDRA MULYADI
BETY HARIANI
MUTIMMATUL ULUM
AGHNIA KHALWA AYU WIJAYA
MIMMA AMALIA
SENIMAN
SUMINA
ASIA
RAFANDA QALESYA PUTRI EFENDI
HOLIFAH / B. FINA
JA`FAROH
AULIYA RAMADHANI
JUMAAH / BU IKE
ARPADI / B SUTEMA
M RIJO / PAK SISKA
MISYATI / BUK TI
SULIMAN
NASIA / BU SUNAMI
ICA MAULIDIYAH
MUHAMMAD ZIDAN ZAKI
BADRIATUS SHOLIHATIN
ALMIRA HIZA NARAYA
RAISYA AZKYA FITRIA ROBIT
RESTU BUDI PRASETYO
ARIFIYANTO
MUSRIFAH
SUGIANTO
HOLIFAH
AHMAD SUBHAN HADI
JUNAINI ALFIAH
SUMIATI
AKMA/ B KARIM
SENAMI / B SUNA
MUHAMMAD ZHIAN AL GHAAZIY
RENZY AFFELLIA AL-HAKIM
ALDI PRATAMA
BURANI
MISYATI NINGSIH
AFIFAH
SUYONO / PAK WAFAQ
AHMAD BAIRI
AGHNIA KHALWA AYU WIJAYA
OMAR
JAFAR SAHWAN FIRDAUS
SITI SAADATUL AZIZAH
YUSRA AINUN MAHYA
M. NUR SULTAN AL FARIZI
MAULANA RAIKA ZAHRA
ZAFIR AHMAD RAMADHAN
NOR HOTIM
SENI
SUGIANTO
WARDATUL HASANAH
IMAM FATONI
AFANDI FIRDATAMA
MARYATI
NURHALIMAH
FERI IRAWAN
SILVI MASQIROH
ABDUL AZIS
HIMAS LAILATUL ERVANIAH
ABRIZAM FARIKI AULADI
HAJI SAMSUL ARIFIN
AHMAD WAKIT
AHMAD WAKIT
MUHAMMAD RAFFA AZKA PUTRA
ASÀD / P. MISTARI
SUAIBAH
JUNAIDI
MUHAMMAD RAFA
FADLAN ALFARISI
MAT ROSI
SENIMAN
QONITA AZZAHRA BILGINA / GINA
INDAH SETYOWATI
FAIQOTUL HIMMAH
PATWARI / BAPAK FATHOL
ROMLA
DULAMI
ADILAH AZKA LABIBA
MUJIONO
SYAILA AINUR SAFANA
IMAM WAHYUDI
M. JOHNY. A
SUDIYANTO H FAISOL
KAINDRA BAHTIAR PANDU WIJAYA
MUHAMMAD ROBIT BAIFILLAH
SUKATMIATIN
DARSAN
DALISA AZKIA KAURIN
TUTIK ASYATUN/ B TUTIK
RAKA FEBRIAN PUTRA
YUNI TRI
MUHAMMAD ISBAT GAUTAMA
IRAWATI KHOTIMAH
ALBERT ADRIAN K
WAHYUNINGSIH
NAILUL AMANI
ASYIFA PUTRI AURA ZASKIA
ABDUR ROHIM
MIRZA DAMARA
MUHAMMAD APRILIAN RISKI SAHBANA
AUDRI VIRSILIA ROSA
MISRAN
HAVID
SAHRI
SUSYATI/ IBU SUCIP
ALFIANDRA ARIFIN
AINIATUL JANNAH
TUYAMI
SUWARNA
JUMIATI
IMAM BUHARI
RISTA SAFIRA
RISTA SAFIRA
MARYATI
HANIAH
HOLIFATUL HASANAH
NURSASI
AMARI
UMAR FARIKI
AZIZAH / ASIZEH
SAMSUL ARIFIN
AHMAD ARIS RAMADHAN
TUNGGASWATI
ANA NAJMA ZAHIRA
JUMAATI
KUSDIANTO
JUPRI
MAISUNA / BU HALIL
BUNAMA/B.MUR
BUNAMA/B.MUR
NOFITA AYU CANDRA
NOFITA AYU CANDRA
IFAN FAUZI
IFAN FAUZI
IMAM WAHDI
AHMAD ZIYAD ZIDQIL
AHMAD ZIYAD ZIDQIL
FIKRI RAMADHANI
MATRAJI
MUHENA
MUSLIHATI
MUSLIHATI
MAIMUNA
MAIMUNA
MAIMUNA
HAMDAN HAKIKI
HAMDAN HAKIKI
HAMDAN HAKIKI
SAHARUDIN
ZAINULLAH
ZAINULLAH
YUS SUDARSO
LAJI / PAK MUKHLIS
LAJI / PAK MUKHLIS
SRIYANI
AULIYA RAMADHANI
IDEH / B. SU
YULIANA SETIA PUTRI
ARSO
MUSTIRAH / BU MUS
TUTIK SITI ROHMAH
JUHAIRIA / B IN
M. RIJALUDDIN
MULAGI
MULAGI
MARDI
SURYATI
SURYATI
EVI KOMALASARI
JALAL / PAK SULFA
MELISA ISTIANA
MISNADI
WAHYUDI
AHMADUN / P INDRA
SAMSUL
SAMSUL
MOH RIFKI HASAN
SINTA DWI PUTRI
ARSO
ARSO
ABU ASAN
ASYATI
MAT ROSI
HALIMA / IBU YOGA
HENDRIK BACHTIAR
LIA AGUSTIN
HERMANTO
SUTIYANI
SUTIYANI
SUTIYANI
SUNARYA
SUNARYA
SUNARYA
LAILI HIDAYAH
INDAY YATI
INDAY YATI
IFTAH SALSABILA
IFTAH SALSABILA
IBROHIM
SUHAIRIYA
NIBA / IBU NADI
TOSAN
SELIN AULIA
SELIN AULIA
ALFINO
ALFINO
HELYATUN
ALI AKBAR HASYIMI
TITIN SULISTIYOWATI
PUTRI NUR AISYAH
HER / BAPAK AGUS
TASYA ALFATUNNISA
NARTO
MISYA
SITI HOIRIYAH
SUNARTO H.S
MUHAMMAD ADI HARJA AJI PRATAMA
PATWARI / BAPAK FATHOL
HOSZAIMAH
HARYONO TOYO
DHINA/ BUK HAJAH MAIMONA
ISWANTO
MUHAMMAD CLAZYA
JUMALIA
KUSTINI / IBU WAHYU
FELA PUJI ASTUTIK
ASMUI
VIA DWI SAFITRI
BUKADIN
DARSAN
MIYATI / IBU LIA
AHMAD SYAMSUL ARIFIN
NAINI
SAHRA/ P SAMSUL
WAKIAH
SUNARMI / HJ AZIZAH
RIFATUL HASANAH
MUHAMMAD FAISAL ARIF
BY. IRSYAD MAUZA AULIAN
BENI EKA WULANDARI
ANA WILDANI
SUHADAK
ENI PUJIATI
MOHAMMAD ALDEBARAN. S
BUDIH
AKHMAD ZAINI
SUSYATI/ IBU SUCIP
M. KEVIN ARDIANSYAH
MUHAMMAD RAFA AGATHA
A. MISBAHUL MUNIR
MUHAMMAD GIBRAN
MUHAMMAD MUFASIR ALFARISI
MUHAMMAD MUHLIS
DEDY SUROSO
SUPAMI
SUMIATI BU RIO
SARIFATUL AULIA
SAWATI/ B. SELI
SATURUDI
MOCHAMMAD ALI GUFRON
FARAH ADINDA
ZAKIYA BELIA PUTRI KURNAIN
MUHAMMAD WILDAN FAHRI
MAIMONA
FATIMA
IBNU FAQIH
FARAH MAULIDIA
AJENG PUTRI BILQIS GHUFRONIA
BENDOT SUBROTO
AURA SELA ROZANA
MAIMUNA
MATJURI / MADJURI / P. DI / P. DHI
MUHAMMAD ARSYA ALFAUZI
SYADDAD MANAF AHKELL RASYID
TITIN SULISTIYOWATI
TOREJO
SUNITO / BAPAK HAI
MURYATI
SOLIHIN / P. DIDIK
MUHAMMAD ZAINUDIN SOLEH
AHMAD ZIYAD ZIDQIL
PANUT DIONO
SUHADAK
FAUZAN
HAJJAH. SITI SHOFIAH
BEWI/P SADI
SITI MAIMUNA
MOHAMMAD DENI ORLANDO
ABDUR ROFIQ
JUPRI
AUFAL MAROM
SONI PRANATA
MUHAMAMD ELDIS WIRATA
ROHMAWATI
ATIKA ZAHRA LATIFAH
IBNAINI KURNIA AZIZAH
ARINAL AFROH
QORI
HERLIN / B. NAFIS
DEDI ROFIKI
BUNASIR
AHMAD BAIRI
MUYATI
ABDUR ROHIM
WULANDARI
MISJELI
AISYATUL QORIAH
MARTI/B.SAYONO
IIN JANUARTI
IMRONI / IBU ABIM
DEDI ROFIKI
MUHAMMAD AFIL ARDIANSYAH
MURATI / B. LIS
NY. HALIMATUS SA`DIYAH
YATIMA
MURBIATI / BUK DUL AZIS
AHMAD SEHU
NADIROH
M ROBIT RAISAL HAQ
MEIKE JUWITA SARI
IDEH / B. SU
MIYATI / IBU LIA
SAINI
SUPRIANTO
SUYANI / IBU LUT
PUTRI AMALIA SARI
ANDIKA RADIT PRATAMA
DIAN GAFUR
MUHAMMAD MUKRI
JUMIATI
M. IFAN HASBIYALLAH
MUHAMMAD ZAKI MUBAROK
YUSRA AINUN MAHYA
AMELIA SYARIF KOMALA HIDAYAH
KEISHA ARSYFA WAFIYAH
MARWATI
ELI ERNAWATI
AHMAD BAIDHOWI
KHUSNUL HOTIMAH
ADAM
ASIS / BAPAK IN
HASAN / BAPAK EDI
NUR IMAMAH
JUHAIRIYAH
SUWARDI / BAPAK UNIK
MAHRUS ALI
JUMANTO
SAMSUL ARIFIN
ATIKA SARI
RAFIF ZAHRAN
SARNI
SUPIYATI/ BUK DIAN
ZAIDANI ROYHAINATUL AINI
NAURA SALSABILA PUTRI
HERLIN / B. NAFIS
MUHAMMAD DAFA AL RIFQI
ABDUL HADI
SITI NAWARUO
UMI ANITA ZAHROH
TIMO/P. RUDI
QISYA AQILA FARZANA
IRA SYAHARANI
LATHIFAH
MURTINI / IBU WAHYUNI
M. BAKRI
FEBY ASKA QISTHI AULIA
FADIA AFKARINA
AHMAD FAUZAN NURRUDIN
FATIMAH
NINIK SUBAKTINI
AHMAD SUKRON ROFIKI

AHMAD SUKRON ROFIKI
ADELIA SEPTIA PUTRI
ADELIA SEPTIA PUTRI
NURUL HIKMAH
M. IRVAN BAIDILLAH
M. IRVAN BAIDILLAH
YUNITA MARIA ULFA
ALDI AFLATUL AFSAN
KRISTINA
KRISTINA
NURUDDIN
NUR FADILLAH
WAQIATUL HASANAH
SELVYA NANDA DWI KARTIKO
REISYA APRILIA PUTRI
REYFALDI ARDIANSYAH
REYFALDI ARDIANSYAH
ALDI AFLATUL AFSAN
ALDI AFLATUL AFSAN
SULIS KURNIAWATI
SULIS KURNIAWATI
NATASYA
NATASYA
AYUNINDIYA KEIZHA AZZAHRA
AYUNINDIYA KEIZHA AZZAHRA
RUHANIYAH
MOH ROIKHAN BAIDHAWI
SUDARMADI HASAN
WIDADAH
ROZANA ELIMANI
ROZANA ELIMANI
ROHATI
MURYAMA
WIDADAH
MURYAMA
RAIHANATU AMBAR ZAHIRATUS SYITA
IMAM ROFIKI / BAPAK FIKI
FATIMATUS SUHRO
FATIMATUS SUHRO
HADARI / BAPAK DENDI
HADARI / BAPAK DENDI
SUDARMADI HASAN
WIDADAH
ABRAHAM ABDUL MALIK

ABDULLAH HANIF
TUYAMI
JUMIATI
MARYATI
MARYATI
INDANI AINUN FAJRIA
LATIFA
NURSASI
MAT KADIR
MAT KADIR
MUHAMMAD NAFLI
KUSDIANTO
MAISUNA / BU HALIL
BUNAMA/B.MUR
BUNAMA/B.MUR
BUNAMA/B.MUR
AHMAD ZIYAD ZIDQIL
MATRAJI
MATRAJI
MUHENA
MUHENA
MUHENA
SUHAIRIYA
MAULANA RAIKA ZAHRA
TOSAN
TOSAN
NISMA / B. SUPAR
DJUMARI
DJUMARI
TONI / IBU TIK
MARYATI

ADELIA FITRI
MARWATI
MARWATI
MAÙN
SAYATI/ B ATAN
MOH ALIFUL MAKLUF
NURAHMATIN
MARYATI
MASI / B. SINAP
AHMAD / HAJI AHMAD
AMSIH/ P SUTIK
AMSIH/ P SUTIK
IFTAH SALSABILA
NISFI AMALIA. N
NISFI AMALIA. N
HALIMA
ADAM
ADAM
MARYATI
SUAIBAH
DULAMI
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
MARYATI
LATIFA
HOLIFATUL HASANAH
SUNARTO
NURSASI
MAT KADIR
ALIFIA CAHYANI
ALI AKBAR HASYIMI
DIA AINUN NISA
SAMSUL ARIFIN
AHMAD ARIS RAMADHAN
AIRIN MAUFIROH
ILMIATI
ENTIN KUSTINI
TUNGGASWATI
BUNAMA/B.MUR
ZAINULLAH
PUTRI SYIFA BILUNA
AYIB FARIDA
NY. IIM IKA N
SARMANI
SARMANI
YUSUF
YUSUF
YUSUF
MULAGI
ABU ASAN
ABU ASAN
MAT ROSI
AISYAH NUR KAMILA
ZAINUDIN
ZAINUDIN
SUTIYANI
HOZZAIMAH
ALFINO
NISMA / B. SUPAR
TONI / IBU TIK

ERNAWATI
ERNAWATI
ERNAWATI
ERNAWATI
RETNO AYU NINGTIAS
RETNO AYU NINGTIAS
LINTANG ALFINA DEWI
LINTANG ALFINA DEWI
HAFIDATUL KOMARIYAH
HAFIDATUL KOMARIYAH
HOTIMATUL ROHMAH
M. SEPTA AQUILAN PUTRA RENALDI
M. SEPTA AQUILAN PUTRA RENALDI
RIYA FANDU WINATA
MARIYANA
TANTI MAISARO
TANTI MAISARO
TANTI MAISARO
WAGINI
HOSAIMAH
HOSAIMAH
UNZILATIR ROHMA
UNZILATIR ROHMA
RISTA ANGGRAENI FIRANTI
RISTA ANGGRAENI FIRANTI
RIFKATUL AISYAH
RIFKATUL AISYAH
RIFKATUL AISYAH
SAROVA
SAROVA
DEVI FERNANDA
DEVI FERNANDA
RIYA FANDU WINATA
RIYA FANDU WINATA
EVANANI ZEHIROH
EVANANI ZEHIROH
SOFIYAH
SOFIYAH
MAIMUNA
MAIMUNA
RIRIN
RIRIN
MISYATI / B.TATIK
MISYATI / B.TATIK
UNTUNG MARTA LEGAWA
WARDAH DZULQOIDAH M
ASWAR / PAK KUS
FITRIYATUL HASANAH
MAÙN
ABDUR ROHMAN
ABDUR ROHMAN
JAUHAROTUL MAKIYAH
MARYATI
MARYATI
AINIATUL JANNAH
LATIFA
AMARI
ILMIATI
TUNGGASWATI
JUPRI
MATRAJI
MUHENA
MUHENA
MUHENA
AYIB FARIDA
SRIYANI
MISNADI
ABU ASAN
ABU ASAN
HERMANTO
NISMA / B. SUPAR
DJUMARI
DJUMARI

TRIANA RAHMADANI
TRIANA RAHMADANI
IGHFIRLINA YAUMIL AKHDA
IGHFIRLINA YAUMIL AKHDA
FITRIA
FITRIA
SITI MUTMAINAH
SITI MUTMAINAH
IDA /B.RETA
IDA /B.RETA
ARKY MARSHA NURLITASARI
ARKY MARSHA NURLITASARI
FITRIATUL HASANAH
FITRIATUL HASANAH

SANAN
SANAN
SANAN
SANAN
WARDAH DZULQOIDAH M
WARDAH DZULQOIDAH M
WARDAH DZULQOIDAH M
WARDAH DZULQOIDAH M
WARDAH DZULQOIDAH M
WARDAH DZULQOIDAH M
ABRAHAM ABDUL MALIK
ABRAHAM ABDUL MALIK
ABRAHAM ABDUL MALIK
ABRAHAM ABDUL MALIK
ABRAHAM ABDUL MALIK
ABRAHAM ABDUL MALIK
ASWAR / PAK KUS
ASWAR / PAK KUS
ASWAR / PAK KUS
ASWAR / PAK KUS
ASWAR / PAK KUS
ASWAR / PAK KUS
ASWAR / PAK KUS
FITRIYATUL HASANAH
FITRIYATUL HASANAH
FITRIYATUL HASANAH
FITRIYATUL HASANAH
PERI / P. EKA
PERI / P. EKA
PERI / P. EKA
MAÙN
MAÙN
MAÙN
MAÙN
MAÙN
MAÙN
MAÙN
MAÙN
MAÙN
MAÙN
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
ABDULLAH HANIF
ABDULLAH HANIF
ABDULLAH HANIF
ABDULLAH HANIF
ABDULLAH HANIF
ABDUR ROHMAN
ABDUR ROHMAN
ABDUR ROHMAN
JAUHAROTUL MAKIYAH
JAUHAROTUL MAKIYAH
JAUHAROTUL MAKIYAH
JAUHAROTUL MAKIYAH
JAUHAROTUL MAKIYAH
JAUHAROTUL MAKIYAH
JAUHAROTUL MAKIYAH
JAUHAROTUL MAKIYAH
JAUHAROTUL MAKIYAH
JAUHAROTUL MAKIYAH
SUNAMI / B. TIN
SUNAMI / B. TIN
SUNAMI / B. TIN
SUNAMI / B. TIN
SUNAMI / B. TIN
SUNAMI / B. TIN
NOVIALIS ANGGRAINI
NOVIALIS ANGGRAINI
TUYAMI
TUYAMI
TUYAMI
TUYAMI
TUYAMI
TUYAMI
TUYAMI
TUYAMI
SUWARNA
SUWARNA
SUWARNA
JUMIATI
JUMIATI
JUMIATI
JUMIATI
IMAM BUHARI
IMAM BUHARI
IMAM BUHARI
IMAM BUHARI
IMAM BUHARI
IMAM BUHARI
RISTA SAFIRA
RISTA SAFIRA
RISTA SAFIRA
MARYATI
MARYATI
MARYATI
MARYATI
MARYATI
MARYATI
MARYATI
MARYATI
MARYATI
INDANI AINUN FAJRIA
INDANI AINUN FAJRIA
INDANI AINUN FAJRIA
INDANI AINUN FAJRIA
INDANI AINUN FAJRIA
INDANI AINUN FAJRIA
INDANI AINUN FAJRIA
NOVILATUL LAILA
NOVILATUL LAILA
NOVILATUL LAILA
NOVILATUL LAILA
NOVILATUL LAILA
NOVILATUL LAILA
DEVI FERNANDA
DEVI FERNANDA
DEVI FERNANDA
DEVI FERNANDA
AINIATUL JANNAH
AINIATUL JANNAH
AINIATUL JANNAH
AINIATUL JANNAH
AINIATUL JANNAH
AINIATUL JANNAH
AINIATUL JANNAH
AINIATUL JANNAH
AINIATUL JANNAH
ERNAWATI
ERNAWATI
ERNAWATI
ERNAWATI
AURA ZAHRO
AURA ZAHRO
AURA ZAHRO
AURA ZAHRO
AURA ZAHRO
AURA ZAHRO
AURA ZAHRO
AURA ZAHRO
AURA ZAHRO
AURA ZAHRO
AURA ZAHRO
HANIAH
HANIAH
LATIFA
LATIFA
LATIFA
LATIFA
LATIFA
LATIFA
LATIFA
LATIFA
LATIFA
LATIFA
MADINATUS SAYYIDAH
MADINATUS SAYYIDAH
MADINATUS SAYYIDAH
MADINATUS SAYYIDAH
MADINATUS SAYYIDAH
MADINATUS SAYYIDAH
MADINATUS SAYYIDAH
MADINATUS SAYYIDAH
MADINATUS SAYYIDAH
MADINATUS SAYYIDAH
MADINATUS SAYYIDAH
HOLIFATUL HASANAH
HOLIFATUL HASANAH
HOLIFATUL HASANAH
HOLIFATUL HASANAH
HOLIFATUL HASANAH
SUNARTO
SUNARTO
SUNARTO
SUNARTO
SUNARTO
SUNARTO
NURSASI
NURSASI
NURSASI
NURSASI
MAT KADIR
MAT KADIR
MAT KADIR
MAT KADIR
MAT KADIR
MAT KADIR
MAT KADIR
MAT KADIR
AMARI
AMARI
AMARI
UMAR FARIKI
UMAR FARIKI
AZIZAH / ASIZEH
ADELIA FITRI
ALI AKBAR HASYIMI
ALI AKBAR HASYIMI
RAKA TAMA
RAKA TAMA
RAKA TAMA
RAKA TAMA
RAKA TAMA
RAKA TAMA
RAKA TAMA
SULISTYANINGSIH
SULISTYANINGSIH
SULISTYANINGSIH
SULISTYANINGSIH
SAMSUL ARIFIN
SAMSUL ARIFIN
HOSZAIMAH
HOSZAIMAH
HOSZAIMAH
HOSZAIMAH
HOSZAIMAH
HOSZAIMAH
HOSZAIMAH
TRIANA RAHMADANI
TRIANA RAHMADANI
AHMAD ARIS RAMADHAN
AHMAD ARIS RAMADHAN
AHMAD ARIS RAMADHAN
ALFIYATUL HASANAH
ALFIYATUL HASANAH
ALFIYATUL HASANAH
ALFIYATUL HASANAH
ALFIYATUL HASANAH
ALFIYATUL HASANAH
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
MUHAMMAD NAFLI
MUHAMMAD NAFLI
MUHAMMAD NAFLI
ENTIN KUSTINI
ENTIN KUSTINI
ENTIN KUSTINI
ENTIN KUSTINI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
ANA NAJMA ZAHIRA
ANA NAJMA ZAHIRA
ANA NAJMA ZAHIRA
JUMAATI
JUMAATI
EVANANI ZEHIROH
KUSDIANTO
KUSDIANTO
KUSDIANTO
MAISUNA / BU HALIL
BUNAMA/B.MUR
BUNAMA/B.MUR
BUNAMA/B.MUR
BUNAMA/B.MUR
NOFITA AYU CANDRA
IFAN FAUZI
AHMAD ZIYAD ZIDQIL
AHMAD ZIYAD ZIDQIL
FIKRI RAMADHANI
FIKRI RAMADHANI
FIKRI RAMADHANI
MATRAJI
MATRAJI
MATRAJI
MUHENA
MUHENA
MUHENA
MUHENA
MUHENA
MUHENA
MUHENA
MUSLIHATI
MUSLIHATI
MUSLIHATI
MUSLIHATI
MUSLIHATI
MAIMUNA
MAIMUNA
MAIMUNA
HAMDAN HAKIKI
HAMDAN HAKIKI
HAMDAN HAKIKI
ZAINULLAH
ZAINULLAH
ZAINULLAH
ZAINULLAH
ZAINULLAH
PUTRI SYIFA BILUNA
PUTRI SYIFA BILUNA
MAIMUNA
MAIMUNA
MAIMUNA
PAÌ / P YUL
PAÌ / P YUL
PAÌ / P YUL
KARISMA
KARISMA
KARISMA
NIKMATUN / BU HER
NIKMATUN / BU HER
MUSLIHANI
MUSLIHANI
MUSLIHANI
MUSLIHANI
MUSLIHANI
NISFI AMALIA. N
NISFI AMALIA. N
NISFI AMALIA. N
AULIYA RAMADHANI
AULIYA RAMADHANI
AULIYA RAMADHANI
AULIYA RAMADHANI
YUSUF
YUSUF
EVI KOMALASARI
EVI KOMALASARI
JALAL / PAK SULFA
JALAL / PAK SULFA
MELISA ISTIANA
MELISA ISTIANA
MELISA ISTIANA
PAENA / IBU SU
PAENA / IBU SU
PAENA / IBU SU
PAENA / IBU SU
AHMADUN / P INDRA
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ASYATI
ASYATI
ASYATI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MARWATI
ABD MUKIT
ABD MUKIT
ABD MUKIT
MELISA ISTIANA
MELISA ISTIANA
MELISA ISTIANA
AISYAH NUR KAMILA
AISYAH NUR KAMILA
ZAINUDIN
SATIJE / BU MUARIS
SYAILA AINUR SAFANA
SYAILA AINUR SAFANA
SYAILA AINUR SAFANA
HERMANTO
HERMANTO
HERMANTO
SUTIYANI
LAILI HIDAYAH
LAILI HIDAYAH
LAILI HIDAYAH
LAILI HIDAYAH
LAILI HIDAYAH
LAILI HIDAYAH
INDAY YATI
INDAY YATI
INDAY YATI
INDAY YATI
IBROHIM
IBROHIM
IBROHIM
SUHAIRIYA
SUHAIRIYA
SUHAIRIYA
SUHAIRIYA
DAFIT ANDIKA
DAFIT ANDIKA
MAULANA RAIKA ZAHRA
MAULANA RAIKA ZAHRA
MAULANA RAIKA ZAHRA
NIBA / IBU NADI
SELIN AULIA
SELIN AULIA
SELIN AULIA
SELIN AULIA
AHMAT HORI
AHMAT HORI
AHMAT HORI
ASRI
ASRI
HOZZAIMAH
HOZZAIMAH
HOZZAIMAH
NISMA / B. SUPAR
NISMA / B. SUPAR
NISMA / B. SUPAR
DJUMARI
DJUMARI
DJUMARI
DJUMARI
DJUMARI
RUDI HARTONO
RUDI HARTONO
JA`FAR
FARAH SAKINA
NISFI AMALIA. N
NISFI AMALIA. N
FITRIYATUL HASANAH
FITRIYATUL HASANAH
SUNARSIH / B IM
LATIFA
SUNARTO
AMARI
AHMAD IZUL ISLAM
SAMSUL ARIFIN
HOSZAIMAH
AHMAD BAIRI
AHMAD BAIRI
MUS / P HENI
BUNAMA/B.MUR
MAIMUNA
NIKMATUN / BU HER
YUSUF
INA / IBU BUYAMI
HENDRIK BACHTIAR
SYAILA AINUR SAFANA
SUNARYA
INDAY YATI
DJUMARI

TRIANA RAHMADANI
TRIANA RAHMADANI
MAISAROH
MAISAROH
RIYA FANDU WINATA

RIYA FANDU WINATA
EVANANI ZEHIROH
AMARI
AZIZAH / ASIZEH
AZIZAH / ASIZEH
MULAGI
BIKDIN / PAK RAHMAT

SANAN
SANAN
WARDAH DZULQOIDAH M
WARDAH DZULQOIDAH M
WARDAH DZULQOIDAH M
ABRAHAM ABDUL MALIK
ABRAHAM ABDUL MALIK
ABRAHAM ABDUL MALIK
ASWAR / PAK KUS
ASWAR / PAK KUS
ASWAR / PAK KUS
FITRIYATUL HASANAH
FITRIYATUL HASANAH
FITRIYATUL HASANAH
FITRIYATUL HASANAH
PERI / P. EKA
PERI / P. EKA
PERI / P. EKA
MAÙN
MAÙN
MAÙN
MAÙN
MAÙN
MAÙN
MAÙN
MAÙN
MAÙN
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
SUNARSIH / B IM
ABDULLAH HANIF
ABDULLAH HANIF
ABDUR ROHMAN
ABDUR ROHMAN
ABDUR ROHMAN
JAUHAROTUL MAKIYAH
JAUHAROTUL MAKIYAH
JAUHAROTUL MAKIYAH
JAUHAROTUL MAKIYAH
JAUHAROTUL MAKIYAH
SUNAMI / B. TIN
SUNAMI / B. TIN
SUNAMI / B. TIN
SUNAMI / B. TIN
SUNAMI / B. TIN
SUNAMI / B. TIN
WARDAH DZULQOIDAH M
TUYAMI
TUYAMI
TUYAMI
TUYAMI
JUMIATI
JUMIATI
JUMIATI
IMAM BUHARI
IMAM BUHARI
IMAM BUHARI
IMAM BUHARI
IMAM BUHARI
IMAM BUHARI
RISTA SAFIRA
RISTA SAFIRA
RISTA SAFIRA
RISTA SAFIRA
RISTA SAFIRA
MARYATI
MARYATI
MARYATI
MARYATI
MARYATI
MARYATI
MARYATI
MARYATI
MARYATI
MARYATI
MARYATI
MARYATI
INDANI AINUN FAJRIA
INDANI AINUN FAJRIA
INDANI AINUN FAJRIA
INDANI AINUN FAJRIA
INDANI AINUN FAJRIA
INDANI AINUN FAJRIA
INDANI AINUN FAJRIA
NOVILATUL LAILA
NOVILATUL LAILA
NOVILATUL LAILA
NOVILATUL LAILA
DEVI FERNANDA
DEVI FERNANDA
DEVI FERNANDA
DEVI FERNANDA
AINIATUL JANNAH
AINIATUL JANNAH
AINIATUL JANNAH
ERNAWATI
ERNAWATI
AURA ZAHRO
AURA ZAHRO
AURA ZAHRO
AURA ZAHRO
HANIAH
HANIAH
HANIAH
HANIAH
LATIFA
LATIFA
LATIFA
LATIFA
MADINATUS SAYYIDAH
MADINATUS SAYYIDAH
MADINATUS SAYYIDAH
MADINATUS SAYYIDAH
HOLIFATUL HASANAH
HOLIFATUL HASANAH
HOLIFATUL HASANAH
SUNARTO
SUNARTO
SUNARTO
SUNARTO
NURSASI
NURSASI
NURSASI
NURSASI
NURSASI
NURSASI
MAT KADIR
MAT KADIR
MAT KADIR
MAT KADIR
MAT KADIR
MUHAMMAD BAKIR
MUHAMMAD BAKIR
MUHAMMAD BAKIR
MUHAMMAD BAKIR
AMARI
AMARI
AMARI
AMARI
UMAR FARIKI
UMAR FARIKI
UMAR FARIKI
UMAR FARIKI
AZIZAH / ASIZEH
AZIZAH / ASIZEH
AZIZAH / ASIZEH
AZIZAH / ASIZEH
ALIFIA CAHYANI
ALIFIA CAHYANI
ALIFIA CAHYANI
ALIFIA CAHYANI
ALI AKBAR HASYIMI
ALI AKBAR HASYIMI
ALI AKBAR HASYIMI
RAKA TAMA
RAKA TAMA
RAKA TAMA
RAKA TAMA
RAKA TAMA
AHMAD IZUL ISLAM
AHMAD IZUL ISLAM
AHMAD IZUL ISLAM
AHMAD IZUL ISLAM
DIA AINUN NISA
DIA AINUN NISA
SAMINA / BUK FITRI
SAMINA / BUK FITRI
SAMINA / BUK FITRI
SULISTYANINGSIH
SULISTYANINGSIH
SULISTYANINGSIH
SULISTYANINGSIH
SULISTYANINGSIH
SAMSUL ARIFIN
SAMSUL ARIFIN
SAMSUL ARIFIN
SAMSUL ARIFIN
SAMSUL ARIFIN
HOSZAIMAH
HOSZAIMAH
HOSZAIMAH
HOSZAIMAH
HOSZAIMAH
TRIANA RAHMADANI
TRIANA RAHMADANI
TRIANA RAHMADANI
RETNO AYU NINGTIAS
RETNO AYU NINGTIAS
RETNO AYU NINGTIAS
RETNO AYU NINGTIAS
AHMAD ARIS RAMADHAN
AHMAD ARIS RAMADHAN
AHMAD ARIS RAMADHAN
AHMAD ARIS RAMADHAN
AHMAD ARIS RAMADHAN
AHMAD ARIS RAMADHAN
ALFIYATUL HASANAH
ALFIYATUL HASANAH
ALFIYATUL HASANAH
ALFIYATUL HASANAH
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
AHMAD BAIRI
MUS / P HENI
MUS / P HENI
MUS / P HENI
AIRIN MAUFIROH
AIRIN MAUFIROH
JUNAIDI
JUNAIDI
JUNAIDI
SITI NURAINI
SITI NURAINI
SITI NURAINI
SITI NURAINI
AHMAD RIDHO ARMANDO
AHMAD RIDHO ARMANDO
AHMAD RIDHO ARMANDO
AHMAD RIDHO ARMANDO
NIWI
NIWI
HALIMATUS SA`DIYAH
HALIMATUS SA`DIYAH
HALIMATUS SA`DIYAH
NURUL HASANAH
NURUL HASANAH
NURUL HASANAH
NURUL HASANAH
ILMIATI
ILMIATI
ILMIATI
MUHAMMAD NAFLI
MUHAMMAD NAFLI
ENTIN KUSTINI
ENTIN KUSTINI
ENTIN KUSTINI
ENTIN KUSTINI
ENTIN KUSTINI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
TUNGGASWATI
ANA NAJMA ZAHIRA
ANA NAJMA ZAHIRA
ANA NAJMA ZAHIRA
JUMAATI
JUMAATI
JUMAATI
KUSDIANTO
KUSDIANTO
KUSDIANTO
KUSDIANTO
JUPRI
JUPRI
JUPRI
JUPRI
MAISUNA / BU HALIL
MAISUNA / BU HALIL
MAISUNA / BU HALIL
BUNAMA/B.MUR
BUNAMA/B.MUR
BUNAMA/B.MUR
BUNAMA/B.MUR
BUNAMA/B.MUR
BUNAMA/B.MUR
NOFITA AYU CANDRA
NOFITA AYU CANDRA
IFAN FAUZI
IFAN FAUZI
IMAM WAHDI
IMAM WAHDI
IMAM WAHDI
AHMAD ZIYAD ZIDQIL
AHMAD ZIYAD ZIDQIL
AHMAD ZIYAD ZIDQIL
AHMAD ZIYAD ZIDQIL
AHMAD ZIYAD ZIDQIL
FIKRI RAMADHANI
FIKRI RAMADHANI
FIKRI RAMADHANI
FIKRI RAMADHANI
MATRAJI
MATRAJI
MATRAJI
MATRAJI
MUHENA
MUHENA
MUHENA
MUHENA
MUHENA
MUHENA
MUSLIHATI
MUSLIHATI
MUSLIHATI
MUSLIHATI
MUSLIHATI
MUSLIHATI
MAIMUNA
MAIMUNA
MAIMUNA
MAIMUNA
MAIMUNA
HAMDAN HAKIKI
HAMDAN HAKIKI
HAMDAN HAKIKI
HAMDAN HAKIKI
MASNIA JULITA SARI
MASNIA JULITA SARI
MASNIA JULITA SARI
MASNIA JULITA SARI
SAHARUDIN
SAHARUDIN
SAHARUDIN
SAHARUDIN
ZAINULLAH
ZAINULLAH
ZAINULLAH
ZAINULLAH
ZAINULLAH
ZAINULLAH
YUS SUDARSO
YUS SUDARSO
YUS SUDARSO
YUS SUDARSO
LAJI / PAK MUKHLIS
LAJI / PAK MUKHLIS
LAJI / PAK MUKHLIS
LAJI / PAK MUKHLIS
LAJI / PAK MUKHLIS
LAJI / PAK MUKHLIS
PUTRI SYIFA BILUNA
PUTRI SYIFA BILUNA
PUTRI SYIFA BILUNA
MAIMUNA
MAIMUNA
MAIMUNA
AYIB FARIDA
SRIYANI
SRIYANI
SRIYANI
SRIYANI
SRIYANI
SRIYANI
PAÌ / P YUL
PAÌ / P YUL
PAÌ / P YUL
PAÌ / P YUL
KARISMA
KARISMA
KARISMA
MOH FIKRI
MOH FIKRI
MOH FIKRI
MOH FIKRI
NIKMATUN / BU HER
NIKMATUN / BU HER
NY. IIM IKA N
NY. IIM IKA N
NY. IIM IKA N
MUSLIHANI
MUSLIHANI
MUSLIHANI
MUSLIHANI
SARMANI
SARMANI
NISFI AMALIA. N
NISFI AMALIA. N
NISFI AMALIA. N
AULIYA RAMADHANI
AULIYA RAMADHANI
IDEH / B. SU
IDEH / B. SU
IDEH / B. SU
IDEH / B. SU
IDEH / B. SU
IDEH / B. SU
YULIANA SETIA PUTRI
YULIANA SETIA PUTRI
ARSO
ARSO
MUSTIRAH / BU MUS
MUSTIRAH / BU MUS
MUSTIRAH / BU MUS
TUTIK SITI ROHMAH
TUTIK SITI ROHMAH
TUTIK SITI ROHMAH
JUHAIRIA / B IN
JUHAIRIA / B IN
YUSUF
YUSUF
YUSUF
M. RIJALUDDIN
M. RIJALUDDIN
M. RIJALUDDIN
M. RIJALUDDIN
M. RIJALUDDIN
M. RIJALUDDIN
MULAGI
MULAGI
MULAGI
MARDI
MARDI
MARDI
SURYATI
SURYATI
SURYATI
EVI KOMALASARI
EVI KOMALASARI
JALAL / PAK SULFA
JALAL / PAK SULFA
JALAL / PAK SULFA
MELISA ISTIANA
MELISA ISTIANA
MELISA ISTIANA
MELISA ISTIANA
MELISA ISTIANA
MISNADI
MISNADI
MISNADI
MISNADI
WAHYUDI
WAHYUDI
WAHYUDI
WAHYUDI
PAENA / IBU SU
PAENA / IBU SU
PAENA / IBU SU
PAENA / IBU SU
PAENA / IBU SU
AHMADUN / P INDRA
AHMADUN / P INDRA
AHMADUN / P INDRA
AHMADUN / P INDRA
AHMADUN / P INDRA
SAMSUL
SAMSUL
SAMSUL
SAMSUL
SAMSUL
MOH RIFKI HASAN
MOH RIFKI HASAN
MOH RIFKI HASAN
MOH RIFKI HASAN
SINTA DWI PUTRI
SINTA DWI PUTRI
SINTA DWI PUTRI
ARSO
ARSO
ARSO
ARSO
ARSO
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ASYATI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
MAT ROSI
ABD MUKIT
ABD MUKIT
ABD MUKIT
SITI AMINAH
MELISA ISTIANA
MELISA ISTIANA
HALIMA / IBU YOGA
HALIMA / IBU YOGA
PA
PA
SAIFUL
SAIFUL
SAIFUL
AISYAH NUR KAMILA
AISYAH NUR KAMILA
AISYAH NUR KAMILA
IBROHIM
IBROHIM
ZAINUDIN
ZAINUDIN
ZAINUDIN
SATIJE / BU MUARIS
SATIJE / BU MUARIS
HENDRIK BACHTIAR
HENDRIK BACHTIAR
HENDRIK BACHTIAR
HENDRIK BACHTIAR
LIA AGUSTIN
LIA AGUSTIN
LIA AGUSTIN
LIA AGUSTIN
SYAILA AINUR SAFANA
SYAILA AINUR SAFANA
SYAILA AINUR SAFANA
HERMANTO
HERMANTO
HERMANTO
HERMANTO
INDAH FARHATIN
INDAH FARHATIN
INDAH FARHATIN
INDAH FARHATIN
INDAH FARHATIN
INDAH FARHATIN
SUTIYANI
SUTIYANI
SUTIYANI
SUTIYANI
SUNARYA
SUNARYA
SUNARYA
LAILI HIDAYAH
LAILI HIDAYAH
LAILI HIDAYAH
LAILI HIDAYAH
LAILI HIDAYAH
LAILI HIDAYAH
INDAY YATI
INDAY YATI
INDAY YATI
INDAY YATI
INDAY YATI
INDAY YATI
IFTAH SALSABILA
IFTAH SALSABILA
IFTAH SALSABILA
IFTAH SALSABILA
IBROHIM
IBROHIM
IBROHIM
IBROHIM
SUHAIRIYA
SUHAIRIYA
SUHAIRIYA
SUHAIRIYA
SUHAIRIYA
SUHAIRIYA
DAFIT ANDIKA
DAFIT ANDIKA
MAULANA RAIKA ZAHRA
MAULANA RAIKA ZAHRA
MAULANA RAIKA ZAHRA
MAULANA RAIKA ZAHRA
NIBA / IBU NADI
NIBA / IBU NADI
NIBA / IBU NADI
NIBA / IBU NADI
NIBA / IBU NADI
TOSAN
TOSAN
TOSAN
TOSAN
TOSAN
TOSAN
SELIN AULIA
SELIN AULIA
SELIN AULIA
SELIN AULIA
SELIN AULIA
AHMAT HORI
AHMAT HORI
AHMAT HORI
AHMAT HORI
ASRI
ASRI
HOZZAIMAH
HOZZAIMAH
HOZZAIMAH
HOZZAIMAH
ALFINO
ALFINO
ALFINO
ALFINO
NISMA / B. SUPAR
NISMA / B. SUPAR
NISMA / B. SUPAR
NISMA / B. SUPAR
NISMA / B. SUPAR
NISMA / B. SUPAR
JAUSIRIYANTO
JAUSIRIYANTO
JAUSIRIYANTO
JAUSIRIYANTO
DJUMARI
DJUMARI
DJUMARI
DJUMARI
DJUMARI
RUDI HARTONO
RUDI HARTONO
TONI / IBU TIK
TONI / IBU TIK
TONI / IBU TIK
TONI / IBU TIK
TONI / IBU TIK
SANAN
WARDAH DZULQOIDAH M
ABRAHAM ABDUL MALIK
ASWAR / PAK KUS
FITRIYATUL HASANAH
PERI / P. EKA
MAÙN
SUNARSIH / B IM
ABDULLAH HANIF
ABDUR ROHMAN
JAUHAROTUL MAKIYAH
SUNAMI / B. TIN
TUYAMI
SUWARNA
SUWARNA
SUWARNA
JUMIATI
JUMIATI
IMAM BUHARI
INDANI AINUN FAJRIA
NOVILATUL LAILA
AINIATUL JANNAH
AURA ZAHRO
LATIFA
HOLIFATUL HASANAH
MAT KADIR
MUHAMMAD BAKIR
AMARI
AZIZAH / ASIZEH
ADELIA FITRI
ADELIA FITRI
ADELIA FITRI
ADELIA FITRI
ALI AKBAR HASYIMI
RAKA TAMA
AHMAD IZUL ISLAM
DIA AINUN NISA
DIA AINUN NISA
DIA AINUN NISA
SAMINA / BUK FITRI
SAMINA / BUK FITRI
SULISTYANINGSIH
SAMSUL ARIFIN
HOSZAIMAH
TRIANA RAHMADANI
RETNO AYU NINGTIAS
ALFIYATUL HASANAH
AHMAD BAIRI
MUS / P HENI
MUS / P HENI
AIRIN MAUFIROH
JUNAIDI
SITI NURAINI
AHMAD RIDHO ARMANDO
AHMAD RIDHO ARMANDO
NIWI
HALIMATUS SA`DIYAH
HALIMATUS SA`DIYAH
NURUL HASANAH
ILMIATI
MUHAMMAD NAFLI
ENTIN KUSTINI
TUNGGASWATI
ANA NAJMA ZAHIRA
JUMAATI
KUSDIANTO
JUPRI
MAISUNA / BU HALIL
NOFITA AYU CANDRA
IFAN FAUZI
IMAM WAHDI
AHMAD ZIYAD ZIDQIL
FIKRI RAMADHANI
MATRAJI
MUHENA
MUSLIHATI
MAIMUNA
HAMDAN HAKIKI
MASNIA JULITA SARI
SAHARUDIN
ZAINULLAH
YUS SUDARSO
LAJI / PAK MUKHLIS
PUTRI SYIFA BILUNA
MAIMUNA
AYIB FARIDA
AYIB FARIDA
AYIB FARIDA
AYIB FARIDA
SRIYANI
PAÌ / P YUL
KARISMA
MOH FIKRI
NIKMATUN / BU HER
NIKMATUN / BU HER
NIKMATUN / BU HER
NY. IIM IKA N
NY. IIM IKA N
MUSLIHANI
SARMANI
SARMANI
SARMANI
SARMANI
NISFI AMALIA. N
AULIYA RAMADHANI
AULIYA RAMADHANI
AULIYA RAMADHANI
IDEH / B. SU
YULIANA SETIA PUTRI
YULIANA SETIA PUTRI
YULIANA SETIA PUTRI
ARSO
ARSO
ARSO
MUSTIRAH / BU MUS
MUSTIRAH / BU MUS
MUSTIRAH / BU MUS
TUTIK SITI ROHMAH
TUTIK SITI ROHMAH
JUHAIRIA / B IN
JUHAIRIA / B IN
JUHAIRIA / B IN
M. RIJALUDDIN
JUMAR
JUMAR
MULAGI
MARDI
SURYATI
SURYATI
SURYATI
EVI KOMALASARI
JALAL / PAK SULFA
MELISA ISTIANA
MISNADI
MISNADI
WAHYUDI
WAHYUDI
PAENA / IBU SU
AHMADUN / P INDRA
SAMSUL
MOH RIFKI HASAN
SINTA DWI PUTRI
SINTA DWI PUTRI
SINTA DWI PUTRI
ARSO
ABU ASAN
ASYATI
ASYATI
ASYATI
MAT ROSI
MAT ROSI
MARWATI
MARWATI
MARWATI
ABD MUKIT
SITI AMINAH
SITI AMINAH
SITI AMINAH
MELISA ISTIANA
HALIMA / IBU YOGA
HALIMA / IBU YOGA
HALIMA / IBU YOGA
HALIMA / IBU YOGA
PA
PA
SAIFUL
SAIFUL
SAIFUL
IBROHIM
ZAINUDIN
ZAINUDIN
SATIJE / BU MUARIS
HENDRIK BACHTIAR
HENDRIK BACHTIAR
HENDRIK BACHTIAR
LIA AGUSTIN
LIA AGUSTIN
LIA AGUSTIN
SYAILA AINUR SAFANA
RISKIYAH
RISKIYAH
HERMANTO
INDAH FARHATIN
SUTIYANI
SUNARYA
LAILI HIDAYAH
INDAY YATI
IFTAH SALSABILA
IFTAH SALSABILA
SUDIYANTO H FAISOL
SUDIYANTO H FAISOL
SUDIYANTO H FAISOL
IBROHIM
SUHAIRIYA
DAFIT ANDIKA
MAULANA RAIKA ZAHRA
NIBA / IBU NADI
TOSAN
TOSAN
SELIN AULIA
AHMAT HORI
ASRI
HOZZAIMAH
ALFINO
ALFINO
ALFINO
NISMA / B. SUPAR
JAUSIRIYANTO
DJUMARI
RUDI HARTONO
TONI / IBU TIK
NIHAN / BAPAK SUM
SUPYANI/B,AGUS
JA`FAR
FARAH SAKINA
FARAH SAKINA
SUNARMI
AMSIH/ P SUTIK
BIKDIN / PAK RAHMAT
NISFI AMALIA. N
NISFI AMALIA. N
AISYAH RABIATUL HUSNI
AHMAD WAKIT

SUWARNA
SUWARNA
LATIFA
AMARI
ADELIA FITRI
ADELIA FITRI
ADELIA FITRI
IFAN FAUZI
AHMAD ZIYAD ZIDQIL
AHMAD ZIYAD ZIDQIL
SAHARUDIN
MAIMUNA
SRIYANI
MUSLIHANI
AISYAH NUR KAMILA
ZAINUDIN
RISKIYAH
DJUMARI
MUNAYAH
ONI FITRIYANTI
SITI AMINAH/B.HJ.HAMINA
MUHAMMAD MUFASIR ALFARISI
MARIA ULFA
AHMAD WAKIT
SAHUR
PERI / P. EKA
MAÙN
JAUHAROTUL MAKIYAH
IMAM BUHARI
MARYATI
INDANI AINUN FAJRIA
SUNARTO
NURSASI
MAT KADIR
NIWI
NURUL HASANAH
TUNGGASWATI
ANA NAJMA ZAHIRA
JUMAATI
MATRAJI
MUHENA
MUHENA
LAJI / PAK MUKHLIS
KARISMA
SARMANI
NISFI AMALIA. N
JUHAIRIA / B IN
YUSUF
YUSUF
SURYATI
EVI KOMALASARI
MELISA ISTIANA
ABU ASAN
ABU ASAN
ABU ASAN
SYAILA AINUR SAFANA
INDAY YATI
IBROHIM
HOZZAIMAH
HOZZAIMAH
MAÙN
MAÙN
INDRI VERALIAWATI
SUNARSIH / B IM
INDRI VERALIAWATI
SUNARSIH / B IM
INDRI VERALIAWATI
AURA ZAHRO
MAT KADIR
AMARI
TRIANA RAHMADANI
RETNO AYU NINGTIAS
AHMAD ARIS RAMADHAN
ROMLAH ARIFIN
ROMLAH ARIFIN
NOFITA AYU CANDRA
AHMAD ZIYAD ZIDQIL
JUMAANI
AHMAD ZIYAD ZIDQIL
JUMAANI
AHMAD ZIYAD ZIDQIL
FIKRI RAMADHANI
MATRAJI
MATRAJI
MUSLIHATI
MARYANI
ZAINULLAH
MARYANI
ZAINULLAH
YUS SUDARSO
MAIMUNA
MUSLIHANI
AHMADUN / P INDRA
SINTA DWI PUTRI
ARSO
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN
ASYATI
HALIMA / IBU YOGA
HERMANTO
HOZZAIMAH
HOZZAIMAH
DJUMARI
DJUMARI
SEI
ZAHROTUL KAMILAH
ABDUR ROHIM
1 NEBULIZER 10000 1 10000 MAÙN
2 NEBULIZER 10000 1 10000 MAÙN
4 OBSERVASI PERSALINAN 60000 1 60000 INDRI VERALIAWATI
5 GDA STIK 5000 1 5000 SUNARSIH / B IM
5 JASA OBSERVASI PERSALINAN 40000 1 40000 INDRI VERALIAWATI
6 GDA STIK 5000 1 5000 SUNARSIH / B IM
7 JASA PEMASANGAN INFUS PERSALINAN 10000 1 10000 INDRI VERALIAWATI
8 PELEPASAN INFUS DEWASA 10000 1 10000 ZAHROTUL FIKRI ANNABILA
9 PELEPASAN INFUS DEWASA 10000 1 10000 AURA ZAHRO
10 PELEPASAN INFUS DEWASA 10000 1 10000 AHMAD FATAH ALJABBARUL
11 NEBULIZER 10000 1 10000 MAT KADIR
12 PELEPASAN INFUS DEWASA 10000 1 10000 AMARI
13 PELEPASAN INFUS DEWASA 10000 1 10000 TRIANA RAHMADANI
14 PELEPASAN INFUS DEWASA 10000 1 10000 RETNO AYU NINGTIAS
15 BPJS NEBULIZER 10000 1 10000 AHMAD ARIS RAMADHAN
16 GDA STIK 5000 1 5000 SAMI / HJ. ABDUL HADI
16 JASA BIDAN KB SUNTIK 3 BULAN 5000 1 5000 ROMLAH ARIFIN
17 KB SUNTIK 3 BULAN ANDALAN 8300 1 8300 ROMLAH ARIFIN
17 NEBULIZER 10000 1 10000 SAMI / HJ. ABDUL HADI
18 PELEPASAN INFUS DEWASA 10000 1 10000 NOFITA AYU CANDRA
19 NEBULIZER 10000 1 10000 AHMAD ZIYAD ZIDQIL
20 BPJS NON KAPITASI KB SUNTIK 3 BULAN 9000 1 9000 JUMAANI
20 NEBULIZER 10000 1 10000 AHMAD ZIYAD ZIDQIL
21 JASA BIDAN KB SUNTIK 3 BULAN 5000 1 5000 JUMAANI
21 PELEPASAN INFUS ANAK 10000 1 10000 AHMAD ZIYAD ZIDQIL
22 PELEPASAN INFUS ANAK 10000 1 10000 FIKRI RAMADHANI
23 JASA BIDAN BPJS NON KAPITASI KB SUNTIK 3 BULAN 5000 1 5000 HIMAS LAILATUL ERVANIAH
23 NEBULIZER 10000 1 10000 MATRAJI
24 BPJS NON KAPITASI KB SUNTIK 3 BULAN 9000 1 9000 HIMAS LAILATUL ERVANIAH
24 PELEPASAN INFUS DEWASA 10000 1 10000 MATRAJI
25 PELEPASAN INFUS DEWASA 10000 1 10000 MUSLIHATI
26 JASA BIDAN KB SUNTIK 3 BULAN 5000 1 5000 MARYANI
26 NEBULIZER 10000 1 10000 ZAINULLAH
27 BPJS NON KAPITASI KB SUNTIK 3 BULAN 9000 1 9000 MARYANI
27 NEBULIZER 10000 1 10000 ZAINULLAH
28 PELEPASAN INFUS DEWASA 10000 1 10000 AHMADIYEK / AHMAD DIYA
29 PELEPASAN INFUS DEWASA 10000 1 10000 YUS SUDARSO
30 NEBULIZER 10000 1 10000 MAIMUNA
31 NEBULIZER 10000 5 50000 MUSLIHANI
32 PEMASANGAN DAN PELEPASAN INFUS ANAK 25000 1 25000 SITI FATIMATUS ZAHRA
33 NEBULIZER 10000 1 10000 FATAN BUSYRA SYAHREZA
34 PELEPASAN INFUS ANAK 10000 1 10000 FATAN BUSYRA SYAHREZA
35 PELEPASAN INFUS DEWASA 10000 1 10000 AHMADUN / P INDRA
36 PELEPASAN INFUS DEWASA 10000 1 10000 SINTA DWI PUTRI
37 PELEPASAN INFUS DEWASA 10000 1 10000 ARSO
38 NEBULIZER 10000 1 10000 ABU ASAN
42 PELEPASAN INFUS DEWASA 10000 1 10000 ASYATI
43 NEBULIZER 10000 1 10000 MUHAMMAD DIRGA ALKAN
44 NEBULIZER 10000 1 10000 MUHAMMAD DIRGA ALKAN
45 NEBULIZER 10000 1 10000 MUHAMMAD AQHAR FIDAN
46 NEBULIZER 10000 1 10000 MUHAMMAD AQHAR FIDAN
47 PELEPASAN INFUS ANAK 10000 1 10000 MUHAMMAD AQHAR FIDAN
48 PELEPASAN INFUS DEWASA 10000 1 10000 HALIMA / IBU YOGA
49 PELEPASAN INFUS DEWASA 10000 1 10000 HERMANTO
50 NEBULIZER 10000 1 10000 NIZAR MUSTAKFIRI ASROR
51 PELEPASAN INFUS DEWASA 10000 1 10000 SITI FATIMAZ ZAHROTUL ALI
52 GDA STIK 5000 1 5000 HOZZAIMAH
53 GDA STIK 5000 1 5000 HOZZAIMAH
54 NEBULIZER 10000 1 10000 DJUMARI
55 NEBULIZER 10000 1 10000 DJUMARI
56 PEMASANGAN DAN PELEPASAN INFUS DEWASA 20000 1 20000 ABDUL AZIZ / BAPAK YUL
57 GDA STIK 5000 1 5000 SEI
58 GDA STIK 5000 1 5000 ZAHROTUL KAMILAH
59 NEBULIZER 10000 1 10000 ABDUR ROHIM
6 PEMASANGAN INFUS PERSALINAN 10000 1 10000 INDRI VERALIAWATI
TOTAL 375300
TOTAL 610000
YULI NABILA AMALIA, AMD.KEP
YUNI FIRDAUSI NUSULA, A.MD.AK
INDRI VERALIAWATI
SUNARSIH / B IM
INDRI VERALIAWATI
SUNARSIH / B IM
INDRI VERALIAWATI
AURA ZAHRO
MAT KADIR
TRIANA RAHMADANI
RETNO AYU NINGTIAS
AHMAD ARIS RAMADHAN
ROMLAH ARIFIN
ROMLAH ARIFIN
NOFITA AYU CANDRA
AHMAD ZIYAD ZIDQIL
AHMAD ZIYAD ZIDQIL
AHMAD ZIYAD ZIDQIL

FIKRI RAMADHANI
MUSLIHATI
ZAINULLAH
ZAINULLAH
YUS SUDARSO
MAIMUNA
MUSLIHANI
AHMADUN / P INDRA
SINTA DWI PUTRI
ABU ASAN
ABU ASAN
ABU ASAN
ABU ASAN

HALIMA / IBU YOGA
HERMANTO
HOZZAIMAH
HOZZAIMAH
ZAHROTUL KAMILAH
ABDUR ROHIM
INDRI VERALIAWATI
70 PEMAKAIAN 125000 1 0 SUNARSIH / B IM
86 PEMAKAIAN 125000 1 0 ABDUR ROHMAN
No Keterangan Tarif Total
QtyJasa Dokter / Nama
Fee Medis
Pasien
ABDUL HAFID, AMD.KEP
SEWA ALAT 5000 1 5000 SUNARSIH / B IM
SEWA ALAT 10000 1 10000 JAUHAROTUL MAKIYAH
SEWA ALAT 10000 1 10000 KIANA TALISHA SHEENAZ ARIFIN
SEWA ALAT 10000 1 10000 MARYATI
ADE BELA SUKMA, S.KEP.NS
2 SEWA ALAT 10000 1 10000 MAÙN
4 SEWA ALAT 5000 1 5000 SUNARSIH / B IM
8 SEWA ALAT 10000 1 10000 JAUHAROTUL MAKIYAH
11 SEWA ALAT 10000 1 10000 KIANA TALISHA SHEENAZ ARIFIN
13 SEWA ALAT 10000 1 10000 REYNAN RAJENDRA HANDIKA
AHMAD RIDWAN, S.KEP.NS
2 SEWA ALAT 5000 1 5000 SANAN
BAGUS ROBBY FITRIANTO,S.KEP.NS
5 SEWA ALAT 5000 1 5000 AHMAD GUNAWAR
8 SEWA ALAT 5000 1 5000 H. ALPAN
11 SEWA ALAT 5000 1 5000 SHOLEHA
12 SEWA ALAT 10000 1 10000 SUNARMI
15 SEWA ALAT 10000 1 10000 HARBABUN / HAJI ABDUL HADI
16 SEWA ALAT 5000 1 5000 SUDARMADI HASAN
19 SEWA ALAT 5000 1 5000 ATMANI
20 SEWA ALAT 5000 1 5000 TOREJO
23 SEWA ALAT 10000 1 10000 ABRIZAM FATAN A.
24 SEWA ALAT 10000 1 10000 SUTIJA / HAJJAH LATIFA
28 SEWA ALAT 10000 1 10000 SUYANI / IBU LUT
DANA FATHURROHMAN, AMD.KEP
2 SEWA ALAT 10000 1 10000 MARYATI
4 SEWA ALAT 50000 1 50000 HALIMATUS SA`DIYAH
5 SEWA ALAT 50000 1 50000 MARDI
6 SEWA ALAT 10000 1 10000 ALIFAH ELSAFA
DEVITA SINGGIH R, S.KEP.NS
1 SEWA ALAT 10000 1 10000 MAÙN
19 SEWA ALAT 50000 1 50000 SUNARDI
272 SEWA ALAT 10000 1 10000 FATIMAH SYAKILA KAIRINA

dr.Moh.Hisyam Rifqi
SEWA ALAT EKG/ECG
SEWA ALAT EKG/ECG
SEWA ALAT NEBULEZER
SEWA AMBULANCE PERSALINAN WILAYAH JEMBER
SEWA ALAT NEBULEZER

SEWA ALAT NEBULEZER
SEWA ALAT NEBULEZER
FAKHRUSY SYAKIRIN, S.KEP.NS

6 SEWA ALAT 10000 1 10000 MAÙN
8 SEWA ALAT 10000 1 10000 MOH ALIFUL MAKLUF
11 SEWA ALAT 10000 1 10000 NURAHMATIN
IFA MARIA ULFA, AMD.KEB
16 SEWA ALAT ### 1 ### UNTUNG MARTA LEGAWA
IRFAN FIRMANSYAH, S.KEP.NS
4 SEWA ALAT ### 1 ### MAÙN
8 SEWA ALAT ### 2 ### ABDUR ROHMAN
11 SEWA ALAT ### 1 ### MARYATI
M. ALAM KUSUMA ATMAJA,S.KEP.NS

2 SEWA ALAT 10000 1 10000 FITRIYATUL HASANAH
30 SEWA ALAT 5000 1 5000 SAHRIYAH / IBU MUHYIT

229 SEWA ALAT 5000 1 5000 NURSASI
502 SEWA ALAT 5000 1 5000 SRIYANI
4 SEWA ALAT 10000 1 10000 AHMAD AZZZAMIRU ADITYA NAHROWI
45 SEWA ALAT 10000 1 10000 MAÙN
48 SEWA ALAT 10000 1 10000 MAÙN
52 SEWA ALAT 10000 1 10000 MAÙN
53 SEWA ALAT 10000 1 10000 MAÙN
55 SEWA ALAT 10000 1 10000 MAÙN
137 SEWA ALAT 10000 1 10000 RISTA SAFIRA
161 SEWA ALAT 10000 1 10000 INDANI AINUN FAJRIA
199 SEWA ALAT 10000 1 10000 AHMAD FATAH ALJABBARUL ILHAM
377 SEWA ALAT 10000 1 10000 TUNGGASWATI
728 SEWA AMBU 250000 1 250000 RISKIYAH
SEWA ALAT 50000 1 50000 TOSAN

SEWA ALAT 5000 1 5000 MUHENA
SEWA ALAT 5000 1 5000 MUHENA
SEWA ALAT 5000 1 5000 SUDIYANTO H FAISOL
SEWA ALAT 10000 1 10000 JUMIATI
SEWA ALAT 10000 1 10000 SUPYANI/B,AGUS
SEWA ALAT 10000 1 10000 AISYAH RABIATUL HUSNI
SEWA ALAT 10000 1 10000 ELDINAR SHAKIRA
SEWA ALAT 50000 1 50000 RISKIYAH

SEWA ALAT 5000 1 5000 SUWARNA
SEWA ALAT 5000 1 5000 LATIFA
SEWA ALAT 5000 1 5000 SAMI / HJ. ABDUL HADI
SEWA ALAT 5000 1 5000 IFAN FAUZI
SEWA ALAT 5000 1 5000 SRIYANI
SEWA ALAT 10000 1 10000 AMARI
SEWA ALAT 10000 1 10000 ADELIA FITRI
SEWA ALAT 10000 1 10000 ADELIA FITRI
SEWA ALAT 10000 1 10000 AHMAD ZIYAD ZIDQIL
SEWA ALAT 10000 1 10000 MAIMUNA
SEWA ALAT 10000 1 10000 MUSLIHANI
SEWA ALAT 10000 1 10000 DJUMARI
SEWA ALAT 10000 1 10000 MUNAYAH
SEWA ALAT 10000 1 10000 SITI AMINAH/B.HJ.HAMINA
SEWA ALAT 10000 1 10000 MUHAMMAD MUFASIR ALFARISI
SEWA ALAT 10000 1 10000 MARIA ULFA
13 SEWA ALAT 5000 1 5000 NURSASI

2 SEWA ALAT 10000 1 10000 MAÙN
10 SEWA ALAT 10000 1 10000 INDANI AINUN FAJRIA

SEWA ALAT 10000 1 10000 MAÙN
SEWA AMBU200000 1 200000 INDRI VERALIAWATI

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REPORT JASA DOKTER / FEE MEDIS

PERIODE 2022-09-01 sampai 2022-09-30 DOKTER

No Keterangan Tarif Qty Total Jasa

MUHAMMAD BALUQIA ARKA

ANA NUR LAILA LATIFAH

MUHAMMAD FADIL BAHTIAR

AFGATHA ZAHY PRANATA

AHMAD AZZZAMIRU ADITYA NAHROWI

AHMAD SUKRON ROFIKI

ABRAHAM ABDUL MALIK

MUHAMMAD ABIM BERDIAN

ZAHROTUL FIKRI ANNABILA

ZAHROTUL FIKRI ANNABILA

AHMAD AZZZAMIRU ADITYA NAHROWI

ANA NUR LAILA LATIFAH

RIYA FANDU WINATA

AHMAD AZZZAMIRU ADITYA NAHROWI

KIANA TALISHA SHEENAZ ARIFIN

AHMAD ZIYAD ZIDQIL

AHMAD ZIYAD ZIDQIL

HIMAS LAILATUL ERVANIAH

MUHAMMAD DIRGA ALKANTARA

ABDUL AZIZ / BAPAK YUL

272 SEWA ALAT 10000 1 10000 FATIMAH SYAKILA KAIRINA

SEWA ALAT NEBULEZER

FAKHRUSY SYAKIRIN, S.KEP.NS

M. ALAM KUSUMA ATMAJA,S.KEP.NS

59 SEWA ALAT 5000 1 5000 SUNARSIH / B IM

SEWA ALAT 50000 1 50000 TOSAN

SEWA ALAT 50000 1 50000 RISKIYAH

13 SEWA ALAT 5000 1 5000 NURSASI

SEWA ALAT 5000 1 5000 SUNARSIH / B IM

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