Book 1

No Status Tanggal Nama NIK Umur Tanggal Lahir
JK Type Pasien
HP
59 Selesai 28-01-202 JOHANNA P35780349 61 09-04-196 P BPJS-Askes 8.21E+10
38 Selesai 27-01-202 NAYLA RIZ 35780351 13 11-06-200 P BPJS-Askes 8.57E+10
726 Selesai 25-02-202 IMRONAH 35780356 62 16-06-196 P BPJS-Askes
24 Selesai 27-01-202 ABDUL MU 35780325 32 25-09-199 L BPJS-Askes 8.39E+10
60 Selesai 28-01-202 KHOLIDAH 35290364 28 24-06-199 P BPJS-Askes 8.78E+10
524 Selesai 20-02-202 DWI EVI T 35780366 59 26-07-196 P BPJS-Askes 8.14E+10
8 Selesai 26-01-202 ENDANG P 35780356 60 16-06-196 P BPJS-Askes
544 Selesai 20-02-202 SITI MARTA35780364 64 24-10-195 P BPJS-Askes
179 Selesai 02-02-202 NUR UTAM35780344 56 04-05-196 P BPJS-Askes
515 Selesai 17-02-202 SUPRIHANT35780369 64 29-10-195 P BPJS-Askes 8.58E+10
548 Selesai 20-02-202 TRI INDRIA 35782542 61 02-01-196 P BPJS-Askes
301 Selesai 07-02-202 Wahyudi 35780312 50 12-07-197 L BPJS-Askes
602 Selesai 21-02-202 TRI INDRIA 35782542 61 02-01-196 P BPJS-Askes
569 Selesai 21-02-202 HJ. SUTANI 35780367 74 27-05-194 P BPJS-Askes
702 Selesai 24-02-202 FARIDATUN35780367 56 01-01-196 P BPJS-Askes
748 Selesai 25-02-202 SUPRIHANT35780369 64 29-10-195 P BPJS-Askes 8.58E+10
141 Selesai 01-02-202 KELVIN BR 35161423 25 23-12-199 L BPJS-Askes 8.16E+09
228 Selesai 04-02-202 R.A.RIKA 35780359 57 19-02-196 P BPJS-Askes
439 Selesai 14-02-202 NURHAYATI35780854 60 14-04-196 P BPJS-Askes
642 Selesai 22-02-202 SIIN SUNAR35780363 72 23-03-195 P BPJS-Askes 8.21E+09
731 Selesai 25-02-202 KHOLIDAH 35290364 28 24-06-199 P BPJS-Askes 8.78E+10
534 Selesai 20-02-202 muhammad35782230 6 30-10-201 L BPJS-Jamk 8.57E+10
9 Selesai 26-01-202 ENDA RAT 35780341 71 01-10-195 P BPJS-Jamkesmas
216 Selesai 04-02-202 IRAWAN M35780312 36 12-08-198 L BPJS-Jamkesmas
17 Selesai 26-01-202 LAILATUL F 35780350 27 10-08-199 P BPJS-Jamk 8.12E+10
65 Selesai 28-01-202 MUTIA ELY 35780358 9 18-03-201 P BPJS-Jamk 8.79E+10
19 Selesai 26-01-202 NOKADIAN 35780956 51 16-02-197 P BPJS-Jamk 8.53E+10
2 Selesai 26-01-202 AZRA MEIL 35151771 19 31-05-200 P BPJS-Jamk 8.31E+10
75 Selesai 30-01-202 CITRA SAR 35780342 25 02-04-199 P BPJS-Jamk 8.12E+10
10 Selesai 26-01-202 EZRA MEIL 35151771 19 31-05-200 P BPJS-Jamk 8.31E+10
3 Selesai 26-01-202 BIAH SUGI 35782447 58 07-09-196 P BPJS-Jamk 8.12E+10
31 Selesai 27-01-202 FITRIANI 35161143 20 01-04-200 P BPJS-Jamk 8.58E+10
220 Selesai 04-02-202 LUTFIA NU 35780367 23 27-01-200 P BPJS-Jamk 8.57E+10
33 Selesai 27-01-202 MD. ESHA 35131120 50 20-12-197 L BPJS-Jamk 8.14E+10
51 Selesai 28-01-202 AMALIA NA35780354 23 14-02-199 P BPJS-Jamkesmas
337 Selesai 09-02-202 HUWAIDAH35780370 4 30-06-201 P BPJS-Jamkesmas
160 Selesai 02-02-202 ANISA PUT 35782465 14 25-03-200 P BPJS-Jamk 8.38E+10
52 Selesai 28-01-202 ANA SHOP 35780351 21 11-01-200 P BPJS-Jamkesmas
55 Selesai 28-01-202 IKE WIJAYA35780957 46 17-10-197 P BPJS-Jamk 8.12E+10
353 Selesai 10-02-202 HADI WIL 35782510 47 10-03-197 L BPJS-Jamk 8.12E+09
222 Selesai 04-02-202 MIA CHRIS 35780352 44 12-08-197 P BPJS-Jamk 8.11E+10
49 Selesai 28-01-202 ADEEVA CE35780355 6 15-04-201 P BPJS-Jamkesmas
83 Selesai 30-01-202 FITRIANI 35161143 20 01-04-200 P BPJS-Jamk 8.58E+10
91 Selesai 30-01-202 MD. ESHA 35131120 50 20-12-197 L BPJS-Jamk 8.14E+10
25 Selesai 27-01-202 ABDUL RA 35780305 55 05-10-196 L BPJS-Jamk 8.95E+11
62 Selesai 28-01-202 MIA CHRIS 35780352 44 12-08-197 P BPJS-Jamk 8.11E+10
47 Selesai 27-01-202 RIZKYKA E 35780357 30 17-05-199 P BPJS-Jamk 8.57E+10
197 Selesai 03-02-202 FANTIA AG 35780361 29 21-08-199 P BPJS-Jamk 8.58E+10
70 Selesai 28-01-202 SUMINI 35780363 39 23-03-198 P BPJS-Jamk 8.22E+10
82 Selesai 30-01-202 FAKKAR AL 35780312 20 12-08-200 L BPJS-Jamk 8.95E+11
58 Selesai 28-01-202 JESSICA D 35780341 18 01-08-200 P BPJS-Jamk 7.31E+10
101 Selesai 31-01-202 AQILLA SA 35780353 8 13-03-201 P BPJS-Jamk 8.53E+10
53 Selesai 28-01-202 AZRA MEIL 35151771 19 31-05-200 P BPJS-Jamk 8.31E+10
66 Selesai 28-01-202 NAJWA NA 35780343 11 03-11-201 L BPJS-Jamkesmas
121 Selesai 31-01-202 RISMA KUR35780359 45 19-09-197 P BPJS-Jamk 8.12E+10
130 Selesai 01-02-202 ANIK MUDJ35780346 60 06-09-196 P BPJS-Jamk 8.78E+10
208 Selesai 04-02-202 AMALIA NA35780354 23 14-02-199 P BPJS-Jamkesmas
176 Selesai 02-02-202 MESSI MU 35780304 9 04-02-201 L BPJS-Jamk 9E+09
95 Selesai 30-01-202 RINDI ANT 32090670 28 30-05-199 P BPJS-Jamk 8.13E+10
45 Selesai 27-01-202 PUTRI TAS 35780353 12 13-11-201 P BPJS-Jamk 8.56E+10
113 Selesai 31-01-202 MOCH. DZ 35780305 6 05-10-201 L BPJS-Jamk 8.59E+10
155 Selesai 02-02-202 ADAM RAS 35780312 7 12-11-201 L BPJS-Jamk 8.31E+10
139 Selesai 01-02-202 ISTIJARSIH 35781060 82 20-08-194 P BPJS-Jamk 8.79E+10
129 Selesai 01-02-202 AMILIA 35780341 38 01-07-198 P BPJS-Jamk
268 Selesai 07-02-202 ANIK MUDJ35780346 60 06-09-196 P BPJS-Jamk 8.78E+10
146 Selesai 01-02-202 NURUL LAI 35780666 25 26-08-199 P BPJS-Jamk 8.12E+10
253 Konsul Dok06-02-202 NIKE RATN 35780350 10 10-04-201 P BPJS-Jamkesmas
229 Selesai 04-02-202 RIKA RETN 35780370 26 30-10-199 P BPJS-Jamkesmas
213 Selesai 04-02-202 H. SURMAW35780310 76 10-02-194 L BPJS-Jamkesmas
738 Selesai 25-02-202 NABILA KH 35780346 7 06-05-201 P BPJS-Jamk 8.97E+10
238 Selesai 06-02-202 AJWA SAND35780344 7 04-01-201 P BPJS-Jamkesmas
225 Selesai 04-02-202 OKTA ANGE35291143 17 03-10-200 P BPJS-Jamk 8.78E+10
239 Selesai 06-02-202 AQILLA SA 35780353 8 13-03-201 P BPJS-Jamk 8.53E+10
363 Selesai 10-02-202 SYAHRUL 35081801 22 01-12-200 L BPJS-Jamk 8.12E+10
240 Selesai 06-02-202 CARISSA H 35780346 8 06-06-201 L BPJS-Jamk 8.97E+10
492 Selesai 16-02-202 SRI ANTAS 35080944 42 04-11-198 P BPJS-Jamk 8.23E+10
264 Selesai 07-02-202 ADITYA DW35780802 18 02-04-200 L BPJS-Jamkesmas
168 Selesai 02-02-202 DEVI NUR F35780342 15 02-11-200 P BPJS-Jamk 8.57E+10
170 Selesai 02-02-202 DWI ERNA 35780357 40 17-07-198 P BPJS-Jamk 8.13E+10
158 Selesai 02-02-202 AISYAH NA 35780360 2 20-02-201 L BPJS-Jamkesmas
163 Selesai 02-02-202 AYRA ARIS 35780652 6 12-04-201 P BPJS-Jamk 8.38E+10
165 Selesai 02-02-202 CAYLA BLE 35782970 6 30-07-201 P BPJS-Jamk 8.12E+10
260 Selesai 06-02-202 SITI AMIN 357803511 48 01-11-197 P BPJS-Jamkesmas
309 Selesai 08-02-202 KAISAKA P 35780817 3 17-05-201 L BPJS-Jamkesmas
312 Selesai 08-02-202 M.SAID 35780309 56 09-02-196 L BPJS-Jamkesmas
471 Selesai 16-02-202 AINEES AP 35780966 27 26-04-199 P BPJS-Jamkesmas
336 Selesai 09-02-202 ENDRO SU 91710100 77 07-07-194 L BPJS-Jamk 8.13E+10
345 Selesai 09-02-202 RIZKY NUA 35780955 32 15-01-199 P BPJS-Jamk 8.18E+10
98 Selesai 30-01-202 SOEKRI 35780314 58 14-01-196 L BPJS-Jamk 8.95E+10
622 Selesai 22-02-202 JIHAN HAN 35780352 6 12-09-201 P BPJS-Jamk 8.57E+10
269 Selesai 07-02-202 ARI HARDJ 35780329 52 29-09-197 L BPJS-Jamk 8.13E+10
174 Selesai 02-02-202 KHANZA N 35780370 7 30-04-201 P BPJS-Jamk 089967775
198 Selesai 03-02-202 ILMI NUR 35780348 11 08-11-201 P BPJS-Jamkesmas
219 Selesai 04-02-202 KHANZA PU35780342 9 02-05-201 P BPJS-Jamk 8.56E+10
627 Selesai 22-02-202 KUSAINI 35781730 67 30-06-195 L BPJS-Jamkesmas
107 Selesai 31-01-202 IKA NURJA 35780362 38 22-05-198 P BPJS-Jamkesmas
389 Selesai 13-02-202 AHSANUL 35780329 38 29-09-198 L BPJS-Jamkesmas
451 Selesai 15-02-202 DHIRGHAM35780321 6 21-03-201 L BPJS-Jamk 8.13E+10
460 Selesai 15-02-202 MAMNUCH35780345 52 05-04-197 P BPJS-Jamkesmas
304 Selesai 08-02-202 AMILIA 35780341 38 01-07-198 P BPJS-Jamk
463 Selesai 15-02-202 MOCHAMM35782609 32 09-05-199 L BPJS-Jamkesmas
183 Selesai 02-02-202 SUTINO 35780313 50 01-01-197 L BPJS-Jamkesmas
236 Selesai 06-02-202 ADELIA PU 35780366 9 26-10-201 P BPJS-Jamkesmas
293 Selesai 07-02-202 SAFILLAH 35780359 8 19-11-201 P BPJS-Jamkesmas
360 Selesai 10-02-202 MUHAMMAD 35780303 5 03-10-201 L BPJS-Jamkesmas
135 Selesai 01-02-202 DESI RAH 35790349 25 09-12-199 P BPJS-Jamk 8.57E+10
718 Selesai 25-02-202 BUNGA RO 35780348 15 08-01-200 P BPJS-Jamk 8.13E+10
382 Selesai 11-02-202 NATHALIE 35781648 19 08-07-200 P BPJS-Jamk 8.96E+11
311 Selesai 08-02-202 MOHAMMAD 35780314 5 14-01-201 L BPJS-Jamk 8.57E+10
429 Selesai 14-02-202 EKO SUSWA35780666 56 26-03-196 P BPJS-Jamkesmas
531 Selesai 20-02-202 LULUK SU 35780223 40 23-12-198 L BPJS-Jamkesmas
549 Selesai 20-02-202 WILLYAND 35780307 17 07-05-200 L BPJS-Jamkesmas
576 Selesai 21-02-202 KHUSAINI 35780301 47 01-06-197 L BPJS-Jamkesmas
583 Selesai 21-02-202 MINUK IND35780345 57 05-05-196 P BPJS-Jamk 8.38E+10
297 Selesai 07-02-202 SRI ANTAS 35080944 42 04-11-198 P BPJS-Jamk 8.23E+10
355 Selesai 10-02-202 MARIYATUL35782569 30 29-07-199 P BPJS-Jamk 8.58E+10
346 Selesai 09-02-202 SISTIAGUN 35780324 60 24-04-196 L BPJS-Jamkesmas
443 Selesai 14-02-202 SUPRIJATI 35100953 56 13-02-196 P BPJS-Jamkesmas
390 Selesai 13-02-202 AJWA SAND35780344 7 04-01-201 P BPJS-Jamkesmas
449 Selesai 15-02-202 AQILA PUT 35780351 7 11-01-201 P BPJS-Jamkesmas
402 Selesai 13-02-202 LIA ISTIANI 35780344 21 04-02-200 P BPJS-Jamkesmas
465 Selesai 15-02-202 RIEKE MUK 35780951 7 11-04-201 P BPJS-Jamk 8.13E+10
535 Selesai 20-02-202 MUHAMMAD 35780303 8 03-01-201 L BPJS-Jamkesmas
589 Selesai 21-02-202 MUHAMMAD 35780302 8 02-09-201 L BPJS-Jamk 8.13E+10
361 Selesai 10-02-202 MUKHOLIF 35780360 25 20-09-199 P BPJS-Jamk 8.97E+10
387 Selesai 11-02-202 VANI HER 35780317 34 17-11-198 L BPJS-Jamk 8.57E+10
417 Selesai 13-02-202 VANI HER 35780317 34 17-11-198 L BPJS-Jamk 8.57E+10
435 Selesai 14-02-202 ISNATUN K 35780357 50 17-11-197 P BPJS-Jamk 8.21E+10
458 Selesai 15-02-202 JIHAN HAN 35780352 6 12-09-201 P BPJS-Jamk 8.57E+10
431 Selesai 14-02-202 ERLIANA K 33160258 30 18-02-199 P BPJS-Jamk 8.57E+10
512 Selesai 17-02-202 SHAFFIYAH 35780366 7 26-07-201 P BPJS-Jamk 8.95E+11
528 Selesai 20-02-202 IMAM FAT 35191310 39 10-04-198 L BPJS-Jamk 8.53E+10
696 Selesai 24-02-202 ANINDITA 35780341 7 01-06-201 P BPJS-Jamk 8.12E+09
742 Selesai 25-02-202 RATNA SAR35780345 18 05-03-200 P BPJS-Jamkesmas
391 Selesai 13-02-202 ALVI MAUL 35780503 26 03-12-199 L BPJS-Jamkesmas
571 Selesai 21-02-202 IMA KUSUM35780341 27 01-05-199 P BPJS-Jamkesmas
681 Selesai 23-02-202 NUR HABI 35780360 6 20-05-201 P BPJS-Jamk 8.59E+10
736 Selesai 25-02-202 MOCH. AB 35780328 7 28-11-201 L BPJS-Jamk 8.58E+10
665 Selesai 23-02-202 ENIK PRIS 35780347 41 07-05-198 P BPJS-Jamk 8.56E+10
686 Selesai 23-02-202 SUKMANA 35780306 59 06-06-196 L BPJS-Jamk 8.22E+10
741 Selesai 25-02-202 RANI FARA 35780349 8 09-02-201 P BPJS-Jamkesmas
538 Selesai 20-02-202 PUTRI WUL35780360 22 20-04-200 P BPJS-Jamkesmas
540 Selesai 20-02-202 RIZKYKA E 35780357 30 17-05-199 P BPJS-Jamk 8.57E+10
708 Selesai 24-02-202 MUSA WIDJ35780323 53 23-08-196 L BPJS-Jamk 8.17E+09
745 Selesai 25-02-202 SHAFFIYAH 35780366 7 26-07-201 P BPJS-Jamk 8.95E+11
732 Selesai 25-02-202 LAILATUL F 35780357 37 17-06-198 P BPJS-Jamkesmas
227 Selesai 04-02-202 PIPIT WIN 35780368 31 28-06-199 P BPJS-Jamk 8.95E+11
547 Selesai 20-02-202 TAUFIQ HI 35780326 58 26-05-196 L BPJS-Jamk 8.22E+10
237 Selesai 06-02-202 ADITYA DW35780802 18 02-04-200 L BPJS-Jamkesmas
261 Selesai 06-02-202 SUTINO 35780313 50 01-01-197 L BPJS-Jamkesmas
265 Selesai 07-02-202 ALVIN ALL 35780307 13 07-05-200 L BPJS-Jamk 8.13E+10
749 Selesai 25-02-202 SUSILAWAT35780351 37 11-08-198 P BPJS-Jamk 8.58E+11
349 Selesai 09-02-202 WIDIASTUT35780969 40 29-04-198 P BPJS-Jamk 8.22E+10
367 Selesai 11-02-202 AHMAD KU35780301 40 01-03-198 L BPJS-Jamk 8.13E+11
497 Selesai 16-02-202 ZIYANA WA35082167 24 27-08-199 P BPJS-Jamkesmas
517 Selesai 17-02-202 YEMIMA HA35780366 22 26-08-200 P BPJS-Jamk 8.6E+10
522 Selesai 20-02-202 DHIRGHAM35780321 6 21-03-201 L BPJS-Jamk 8.13E+10
525 Selesai 20-02-202 DWI OKTAV35780341 25 01-11-199 P BPJS-Jamkesmas
546 Selesai 20-02-202 SYLVIA MA 35781042 49 02-04-197 P BPJS-Jamkesmas
582 Selesai 21-02-202 MIFTAKHU 35780313 18 13-04-200 L BPJS-Jamk 8.13E+10
669 Selesai 23-02-202 IWAN DHA 35782525 53 25-01-197 L BPJS-Jamk 8.11E+08
737 Selesai 25-02-202 MOHAMMAD 73160201 21 20-08-200 L BPJS-Jamk 8.53E+10
746 Selesai 25-02-202 SITI CHOIR 35780967 34 27-09-198 P BPJS-Jamk 8.96E+10
187 Selesai 02-02-202 YULNITA 35220767 35 27-07-198 P BPJS-Jamsostek
13 Selesai 26-01-202 HJ.NURAIN 35780353 45 13-11-197 P BPJS-Mandiri
136 Selesai 01-02-202 FIKRI ANAS 35780421 33 21-10-198 L BPJS-Mandiri
39 Selesai 27-01-202 NOR KASAN35780560 42 20-05-198 P BPJS-Mandiri
72 Selesai 28-01-202 ZIZIFA LO 35780359 13 19-05-200 P BPJS-Mandi8.79E+10
307 Selesai 08-02-202 FIKRI ANAS 35780421 33 21-10-198 L BPJS-Mandiri
81 Selesai 30-01-202 DIYAN LEST35021561 32 21-06-199 P BPJS-Mandiri
115 Selesai 31-01-202 MUHAMMAD 35780319 24 19-02-199 L BPJS-Mandiri
34 Selesai 27-01-202 MOCH. ALI 35780305 67 05-08-195 L BPJS-Mandiri
61 Selesai 28-01-202 Margaretha32121569 6 29-02-201 P BPJS-Mandiri
104 Selesai 31-01-202 FITRI WAZN35242641 36 01-06-198 P BPJS-Mandi8.57E+10
120 Selesai 31-01-202 RIA REZKI 74710147 34 07-12-198 P BPJS-Mandi8.22E+10
114 Selesai 31-01-202 MUHAMMAD 35780306 3 06-05-201 P BPJS-Mandi8.12E+10
182 Selesai 02-02-202 SRI SUYANT35780960 72 30-12-195 P BPJS-Mandi8.56E+10
705 Selesai 24-02-202 IKA SEPTI 35051865 21 25-08-200 P BPJS-Mandi8.57E+10
189 Selesai 03-02-202 ALVARO A 35780304 8 04-11-201 L BPJS-Mandiri
207 Selesai 03-02-202 UMI TIAM 35780370 61 30-06-196 P BPJS-Mandiri
217 Selesai 04-02-202 IRMA TRID 35780353 23 13-12-199 P BPJS-Mandiri
298 Selesai 07-02-202 SRI HARTIN35780351 57 11-11-196 P BPJS-Mandi8.53E+10
368 Selesai 11-02-202 almeera ok 35782268 6 28-10-201 P BPJS-Mandiri
566 Selesai 21-02-202 FITRI WUL 35780341 36 01-06-198 P BPJS-Mandiri
27 Selesai 27-01-202 ANGGI KU 35780342 29 02-01-199 P BPJS-Mandiri
63 Selesai 28-01-202 MOCH. ALI 35780305 67 05-08-195 L BPJS-Mandiri
604 Selesai 21-02-202 VELIZIA PU 35780369 9 29-11-201 P BPJS-Mandiri
658 Selesai 23-02-202 ASIH MUJIA35780458 47 18-01-197 P BPJS-Mandi8.78E+10
707 Selesai 24-02-202 LILIK UMIA 35780341 51 01-06-197 P BPJS-Mandiri
747 Selesai 25-02-202 SRI BANDIN35780650 68 10-02-195 P BPJS-Mandi8.38E+10
43 Selesai 27-01-202 PHIN, ROS 35780371 49 31-03-197 P BPJS-Mandiri
69 Selesai 28-01-202 SRI BANDIN35780650 67 10-02-195 P BPJS-Mandi8.38E+10
78 Selesai 30-01-202 DAVIN AZK 35780301 7 01-10-201 L BPJS-Mandi8.16E+10
204 Selesai 03-02-202 PRAMITA N35781044 29 04-11-199 P BPJS-Mandi8.12E+10
125 Selesai 31-01-202 SRIYONO 35780311 47 11-10-197 L BPJS-Mandi8.57E+10
212 Selesai 04-02-202 FENDI CAH 35051220 33 20-12-198 L BPJS-Mandiri
126 Selesai 31-01-202 TRI LESTARI35780354 42 14-08-198 P BPJS-Mandi8.14E+10
242 Selesai 06-02-202 CHYNTIA A 35780344 5 04-08-201 P BPJS-Mandiri
11 Selesai 26-01-202 GILBERT S 35780315 5 15-05-201 P BPJS-Mandiri
148 Selesai 01-02-202 PUGUH LE 35780307 40 07-06-198 L BPJS-Mandi8.77E+10
7 Selesai 26-01-202 ENDANG PR35782557 58 17-01-196 P BPJS-Mandi8.13E+10
294 Selesai 07-02-202 SHELLY AR 35780365 31 25-05-199 P BPJS-Mandiri
42 Selesai 27-01-202 PADMI LES 35782665 37 25-04-198 P BPJS-Mandiri
46 Selesai 27-01-202 RIMA CHA 35780449 48 09-07-197 P BPJS-Mandiri
162 Selesai 02-02-202 ASTIA ANI 35780351 12 11-06-201 P BPJS-Mandiri
235 Selesai 06-02-202 ABDURROHM 35780305 5 05-09-201 L BPJS-Mandi8.57E+10
18 Selesai 26-01-202 MIFTACHUL35780315 7 15-07-201 L BPJS-Mandi8.22E+10
48 Selesai 27-01-202 SULTAN M 35781605 7 05-10-201 L BPJS-Mandi8.56E+09
299 Selesai 07-02-202 SUTIYA 35781045 56 05-10-196 P BPJS-Mandi8.39E+10
320 Selesai 08-02-202 SUYANTO 35780602 48 02-03-197 L BPJS-Mandi8.79E+10
149 Selesai 01-02-202 RITA ASMA35780369 63 29-05-195 P BPJS-Mandi-
246 Selesai 06-02-202 EWIKA NAD35780956 26 16-09-199 P BPJS-Mandi8.13E+10
330 Selesai 09-02-202 ALVIRA Q 35780354 6 14-08-201 P BPJS-Mandiri
185 Selesai 02-02-202 TRI ASIH 35780370 57 30-06-196 P BPJS-Mandiri
86 Selesai 30-01-202 ISTIJARSIH 35781060 82 20-08-194 P BPJS-Mandiri
88 Selesai 30-01-202 LELY MAHA35780352 41 12-04-198 P BPJS-Mandiri
12 Selesai 26-01-202 HALIMATUS35231769 30 29-09-199 P BPJS-Mandi8.57E+10
252 Selesai 06-02-202 NADIRAH Z 35780666 10 26-06-201 P BPJS-Mandi8.21E+10
394 Selesai 13-02-202 DIMAS BA 35031110 23 10-11-199 L BPJS-Mandi8.12E+10
383 Selesai 11-02-202 NIMAS AYU35780358 3 18-06-201 P BPJS-Mandiri
255 Selesai 06-02-202 RATNAWAT35781055 55 15-01-196 P BPJS-Mandi8.14E+10
274 Selesai 07-02-202 DIAH AYU. 35780642 41 02-11-198 P BPJS-Mandiri
276 Selesai 07-02-202 FEBBI SU 35780363 26 23-09-199 P BPJS-Mandi8.12E+11
108 Selesai 31-01-202 ISTIJARSIH 35781060 82 20-08-194 P BPJS-Mandiri
415 Selesai 13-02-202 SUDARMAJI35782503 69 03-09-195 L BPJS-Mandi8.14E+10
315 Selesai 08-02-202 ROBERT S. 35780328 68 28-08-195 L BPJS-Mandiri
40 Selesai 27-01-202 NOVITRI W 35151841 31 01-07-199 P BPJS-Mandi8.17E+10
80 Selesai 30-01-202 DINDA MAR35780347 26 07-03-199 P BPJS-Mandiri
418 Selesai 14-02-202 ACHMAD 35780312 41 12-11-198 L BPJS-Mandiri
118 Selesai 31-01-202 ONY THOYI 35780323 45 23-10-197 L BPJS-Mandi8.14E+10
153 Selesai 01-02-202 YULIANTO 35781120 64 20-07-195 L BPJS-Mandi8.16E+10
54 Selesai 28-01-202 FAYYOLA C 35780350 6 10-12-201 P BPJS-Mandiri
94 Selesai 30-01-202 REVA ALISA35780945 6 05-11-201 P BPJS-Mandi8.12E+10
173 Selesai 02-02-202 IMAM GHO35780321 47 21-05-197 L BPJS-Mandiri
245 Selesai 06-02-202 EDI UTOM 35781014 69 14-05-195 L BPJS-Mandi8.17E+08
526 Selesai 20-02-202 FAHRUR RO35780325 60 25-06-196 L BPJS-Mandi8.32E+09
210 Selesai 04-02-202 ANNISA AG35780358 11 18-03-201 P BPJS-Mandiri
232 Selesai 04-02-202 SYAIFUDIN 35780303 28 02-07-199 L BPJS-Mandiri
233 Selesai 04-02-202 SYIHAB 35780331 12 31-03-201 L BPJS-Mandi81137266
423 Selesai 14-02-202 BILLA HAU 35780349 13 08-09-200 P BPJS-Mandiri
15 Selesai 26-01-202 ISROK WAH35780303 38 03-11-198 L BPJS-Mandiri
89 Selesai 30-01-202 LUTFI ARIN35782566 31 26-04-199 P BPJS-Mandi8.89E+11
112 Selesai 31-01-202 Mafaza Far 35780370 5 30-03-201 P BPJS-Mandiri
132 Selesai 01-02-202 ARUMI NAS33120666 6 26-10-201 P BPJS-Mandi8.12E+10
184 Selesai 02-02-202 TJAN YUDI 35781029 54 29-05-196 L BPJS-Mandi8.12E+09
142 Selesai 01-02-202 mahmud fen 35251506 5 06-05-201 L BPJS-Mandi8.57E+10
476 Selesai 16-02-202 ERLITA SARI35780466 40 26-07-198 P BPJS-Mandiri
341 Selesai 09-02-202 RETNOWAT35780366 32 26-05-199 P BPJS-Mandiri
498 Selesai 17-02-202 ACHAMD M35780323 4 13-06-201 L BPJS-Mandi8.57E+10
291 Selesai 07-02-202 REFILIA SA 35780366 8 26-08-201 P BPJS-Mandiri
128 Selesai 01-02-202 AGUNG TIA35151321 33 21-05-198 L BPJS-Mandi8.12E+10
152 Selesai 01-02-202 TJAN YUDI 35781029 54 29-05-196 L BPJS-Mandi8.12E+09
357 Selesai 10-02-202 MOCH. FA 35151723 34 23-02-198 L BPJS-Mandiri
308 Selesai 08-02-202 JULI ANDIT 35780370 22 30-06-200 P BPJS-Mandi8.17E+09
354 Selesai 10-02-202 LISA 35780265 66 25-08-195 P BPJS-Mandiri
455 Selesai 15-02-202 INDAH SET 35780359 39 19-06-198 P BPJS-Mandiri
270 Selesai 07-02-202 AULIA ZAH 35780361 6 21-09-201 P BPJS-Mandiri
358 Selesai 10-02-202 MOCH.MUC35782616 73 16-04-194 L BPJS-Mandi8.58E+09
370 Selesai 11-02-202 AWWALUL 35170954 29 14-05-199 P BPJS-Mandi8.58E+10
652 Selesai 23-02-202 AGUNG TR35780316 35 16-04-198 L BPJS-Mandiri
339 Selesai 09-02-202 MOCH.MA 35780330 63 29-06-195 L BPJS-Mandiri
624 Selesai 22-02-202 JOSHE VAL 35760217 15 17-04-200 L BPJS-Mandi8.57E+10
348 Selesai 09-02-202 WAHYUDI 35780312 50 12-07-197 L BPJS-Mandiri
365 Selesai 11-02-202 AFFANDI F 35782220 8 20-02-201 L BPJS-Mandiri
521 Selesai 20-02-202 AYSILA FA 35781648 5 08-09-201 P BPJS-Mandi8.56E+09
461 Selesai 15-02-202 MAULIDA D35781042 5 02-12-201 P BPJS-Mandiri
322 Selesai 08-02-202 YASIN 35780314 57 14-12-196 L BPJS-Mandiri
488 Selesai 16-02-202 PANCA HAR35780344 49 04-01-197 P BPJS-Mandiri
530 Selesai 20-02-202 KURNIA DW35780962 22 22-11-200 P BPJS-Mandi8.39E+10
536 Selesai 20-02-202 NUR ALK 35780370 51 01-01-197 P BPJS-Mandiri
335 Selesai 09-02-202 AWWALUL 35170954 29 14-05-199 P BPJS-Mandi8.58E+10
409 Selesai 13-02-202 MOHAMAD35052207 32 07-05-199 L BPJS-Mandi8.57E+10
568 Selesai 21-02-202 HARRY SA 35780323 51 23-06-197 L BPJS-Mandiri
600 Selesai 21-02-202 SOEDJONO 35780803 71 03-03-195 L BPJS-Mandi8.51E+10
159 Selesai 02-02-202 ANDREW A35061102 25 02-09-199 L BPJS-Mandi8.22E+10
661 Selesai 23-02-202 BAYU KUN 35210121 28 21-04-199 L BPJS-Mandi8.57E+10
643 Selesai 22-02-202 SRI FATMA 35780356 43 16-08-197 P BPJS-Mandi8.23E+10
671 Selesai 23-02-202 KUSMINDA35780309 68 09-10-195 L BPJS-Mandiri
251 Selesai 06-02-202 MUHAMMAD 35780323 20 23-04-200 L BPJS-Mandi8.23E+10
751 Selesai 25-02-202 WARNO 35780224 51 24-12-197 L BPJS-Mandi8.97E+10
716 Selesai 25-02-202 ASRI AYU 35780658 29 18-09-199 P BPJS-Mandi8.39E+10
545 Selesai 20-02-202 SUDARMAJI35782503 69 03-09-195 L BPJS-Mandi8.14E+10
302 Selesai 07-02-202 YENNY DI 35780367 50 27-12-197 P BPJS-Mandiri
558 Selesai 21-02-202 AR-RA`D J 35780302 26 02-12-199 L BPJS-Mandiri
29 Selesai 27-01-202 ENDANG PR35782557 58 17-01-196 P BPJS-Mandi8.13E+10
605 Selesai 21-02-202 WIDYADHA35782555 15 15-11-200 P BPJS-Mandiri
388 Selesai 13-02-202 ACHMAD SU 35780306 12 06-04-201 L BPJS-Mandiri
271 Selesai 07-02-202 CHRISTIAN 33710103 7 03-06-201 L BPJS-Mandiri
396 Selesai 13-02-202 ENDANG SA35780358 55 18-09-196 P BPJS-Mandi8.12E+10
413 Selesai 13-02-202 REFILIA SA 35780366 8 26-08-201 P BPJS-Mandiri
430 Selesai 14-02-202 ENDANG SA35780358 55 18-09-196 P BPJS-Mandi8.12E+10
685 Selesai 23-02-202 SRIJATI 35780355 68 13-05-195 P BPJS-Mandi8.51E+10
378 Selesai 11-02-202 KEISA SHA 35780370 7 24-09-201 P BPJS-Mandiri
436 Selesai 14-02-202 MOCH.MA 35780330 63 29-06-195 L BPJS-Mandiri
380 Selesai 11-02-202 LARAS IND 35780350 5 10-07-201 P BPJS-Mandi8.57E+10
441 Selesai 14-02-202 SHELLY AR 35780365 31 25-05-199 P BPJS-Mandiri
444 Selesai 14-02-202 SUYANTO 35780602 48 02-03-197 L BPJS-Mandi8.79E+10
710 Selesai 24-02-202 SOEDJONO 35780803 71 03-03-195 L BPJS-Mandi8.51E+10
32 Selesai 27-01-202 HALIMATUS35231769 30 29-09-199 P BPJS-Mandi8.57E+10
714 Selesai 25-02-202 ALYSSA AN 35780364 16 24-09-200 P BPJS-Mandi8.82E+10
450 Selesai 15-02-202 BILLA HAU 35780349 13 08-09-200 P BPJS-Mandiri
403 Selesai 13-02-202 mahmud fen 35251506 5 06-05-201 L BPJS-Mandi8.57E+10
392 Selesai 13-02-202 ARIEF AFFA35780314 60 14-06-196 L BPJS-Mandiri
477 Selesai 16-02-202 ETI RAHM 35781061 46 21-11-197 P BPJS-Mandiri
482 Selesai 16-02-202 Kurliah amu35780350 70 10-09-195 P BPJS-Mandiri
513 Selesai 17-02-202 SITI MARIY 35780970 55 30-11-196 P BPJS-Mandiri
496 Selesai 16-02-202 WUWUH HE35780350 62 10-09-196 P BPJS-Mandiri
438 Selesai 14-02-202 NAURA SHI 35780351 5 11-04-201 P BPJS-Mandiri
445 Selesai 14-02-202 SYABILA 35780371 6 31-10-201 P BPJS-Mandiri
519 Selesai 20-02-202 ABD. ROKI 35780929 65 29-08-195 L BPJS-Mandi8.13E+10
601 Selesai 21-02-202 TASLIMAH 35780355 58 15-05-196 P BPJS-Mandiri
407 Selesai 13-02-202 MISRO'IN 35780302 55 02-12-196 L BPJS-Mandiri
656 Selesai 23-02-202 AMELIA DE 35780366 19 26-06-200 P BPJS-Mandi8.12E+10
709 Selesai 24-02-202 NAIFA MU 35780356 22 16-11-200 P BPJS-Mandi
487 Selesai 16-02-202 MULYO EDI35780824 55 24-10-196 L BPJS-Mandi8.95E+11
424 Selesai 14-02-202 CARDINA Y 35180558 22 18-06-200 P BPJS-Mandi8.59E+10
591 Selesai 21-02-202 NANIK SUT 35780370 56 30-06-196 P BPJS-Mandiri
730 Selesai 25-02-202 KHAIRUNNI35780349 6 09-12-201 P BPJS-Mandiri
442 Selesai 14-02-202 SUCI ELWE 35780360 27 20-06-199 P BPJS-Mandi8.13E+10
734 Selesai 25-02-202 MEI FITRI 35782153 32 13-05-199 P BPJS-Mandiri
507 Selesai 17-02-202 KHAIRAN A 35780304 28 04-05-199 L BPJS-Mandiri
510 Selesai 17-02-202 NABEELA I 35780960 19 20-10-200 P BPJS-Mandi8.54E+11
579 Selesai 21-02-202 LIM JEFFR 35780829 38 29-03-198 L BPJS-Mandi8.14E+10
533 Selesai 20-02-202 MOCH.RAK35082127 10 27-03-201 L BPJS-Mandiri
537 Selesai 20-02-202 NUR HABI 35780360 6 20-05-201 P BPJS-Mandi8.59E+10
556 Selesai 21-02-202 ANNASYWA35290154 8 14-06-201 P BPJS-Mandi8.57E+10
452 Selesai 15-02-202 DINDA LES 35073249 22 09-03-200 P BPJS-Mandi8.14E+10
664 Selesai 23-02-202 EKA MEGA 35780348 13 08-03-200 P BPJS-Mandiri
687 Selesai 23-02-202 SUMARJAT 33740270 57 30-04-196 P BPJS-Mandiri
712 Selesai 25-02-202 AGHNIA NU35780357 6 17-07-201 P BPJS-Mandiri
468 Selesai 15-02-202 SUCI ELWE 35780360 27 20-06-199 P BPJS-Mandi8.13E+10
469 Selesai 15-02-202 YEREMIA A 35780313 26 13-05-199 L BPJS-Mandi8.96E+10
728 Selesai 25-02-202 KEISA SHA 35780370 7 24-09-201 P BPJS-Mandiri
699 Selesai 24-02-202 BAYU KUN 35210121 28 21-04-199 L BPJS-Mandi8.57E+10
478 Selesai 16-02-202 GIYONO 35020726 40 26-12-198 L BPJS-Mandi8.12E+10
729 Selesai 25-02-202 KHAIRANI 35780357 5 17-03-201 P BPJS-Mandi8.22E+10
750 Selesai 25-02-202 TITIS ARG 35780366 8 26-10-201 P BPJS-Mandiri
493 Selesai 16-02-202 SUHARTATI35782667 41 27-05-198 P BPJS-Mandiri
494 Selesai 16-02-202 SUSIANAW 35760271 66 31-08-195 P BPJS-Mandi8.57E+10
502 Selesai 17-02-202 BISMA RIZ 35780821 9 21-12-201 L BPJS-Mandiri
720 Selesai 25-02-202 DIAN NUR 35780363 18 23-03-200 P BPJS-Mandiri
543 Selesai 20-02-202 SITI MARIY 35780970 55 30-11-196 P BPJS-Mandiri
733 Selesai 25-02-202 MAZAYATU35780148 19 08-01-200 P BPJS-Mandi8.58E+10
688 Selesai 23-02-202 SUMARMI 35780367 63 27-08-195 P BPJS-Mandiri
580 Selesai 21-02-202 MARIA YAS53100346 28 06-09-199 P BPJS-Mandi8.53E+10
631 Selesai 22-02-202 MUHAMAD35141118 32 18-02-199 L BPJS-Mandi8.19E+10
667 Selesai 23-02-202 HARRY SA 35780323 51 23-06-197 L BPJS-Mandiri
694 Selesai 23-02-202 ZALDY PESI 35781702 32 02-03-199 L BPJS-Mandiri
572 Selesai 21-02-202 INDRATMA 35780927 8 27-11-201 L BPJS-Peser 8.21E+10
150 Selesai 01-02-202 SOEKOTJO, 35780321 77 21-07-194 L BPJS-Peserta Askes
134 Selesai 01-02-202 BAMBANG 35780919 71 19-09-195 L BPJS-Peser 8.12E+09
169 Selesai 02-02-202 DJOKO TJA 35780311 61 11-01-196 L BPJS-Peser 8.13E+10
249 Selesai 06-02-202 JOHANNA P35780349 61 09-04-196 P BPJS-Peserta Askes
623 Selesai 22-02-202 JOHANNA P35780349 61 09-04-196 P BPJS-Peserta Askes
85 Selesai 30-01-202 HJ.UMI M 35780953 60 13-09-196 P BPJS-Peser 8.16E+09
647 Selesai 22-02-202 YUNITA RA 35780349 37 09-06-198 P BPJS-TNI/Po8.12E+10
41 Selesai 27-01-202 NUR RAMA35781767 43 27-12-197 P BPJS-TNI/Po8.21E+10
518 Selesai 17-02-202 YUNITA RA 35780349 37 09-06-198 P BPJS-TNI/Po8.12E+10
177 Selesai 02-02-202 MUHAMMAD 35101615 5 15-05-201 L Gratis
87 Selesai 30-01-202 KELVIN BR 35161423 25 23-12-199 L Umum 8.16E+09
117 Selesai 31-01-202 NUR LAILA 35050544 34 30-12-198 P Umum
617 Selesai 22-02-202 FAKHRI M 2 23-09-202 L Umum 8.21E+10
618 Selesai 22-02-202 FITRAH AM35150410 26 10-02-199 L Umum 8.21E+10
68 Selesai 28-01-202 PUTRI RIZ 35150361 28 21-06-199 P Umum 8.12E+10
73 Selesai 30-01-202 ANDINI KU 35150745 24 05-08-199 P Umum 8.13E+10
90 Selesai 30-01-202 MARIANO D53020224 29 24-08-199 L Umum 8.23E+10
124 Selesai 31-01-202 SRINI 33160346 38 06-06-198 P Umum 8.23E+10
138 Selesai 01-02-202 Hanif Faiza 35191054 18 14-02-200 P Umum 8.56E+10
144 Selesai 01-02-202 NICO ASRIL 7 09-05-201 L Umum
167 Selesai 02-02-202 DARMISIH 35060744 55 04-07-196 P Umum 8.52E+10
194 Selesai 03-02-202 AZAHRA 357803 7 30-12-201 P Umum
313 Selesai 08-02-202 PAMELA R 32092045 18 05-07-200 P Umum 8.98E+09
195 Selesai 03-02-202 EKA ALFI F 35170457 29 30-12-199 P Umum
356 Selesai 10-02-202 MILAH 17 15-05-200 P Umum 8.12E+09
230 Selesai 04-02-202 SITI ZAIDA 33171341 40 01-01-198 P Umum 8.52E+10
398 Selesai 13-02-202 FEBY DAVI 36740666 13 26-02-200 P Umum
364 Selesai 10-02-202 YULIA OKT 62070353 21 13-10-200 P Umum 8.23E+10
459 Selesai 15-02-202 KRISTINA 35061456 25 16-06-199 P Umum 8.57E+10
244 Selesai 06-02-202 DIMAS BA 35031110 23 10-11-199 L Umum 8.12E+10
485 Selesai 16-02-202 MARIA YAS53100346 28 06-09-199 P Umum 8.53E+10
470 Selesai 16-02-202 AHMAT TRI35191507 19 07-01-200 L Umum 8.32E+10
475 Selesai 16-02-202 CHUSNUL 51710155 39 15-11-198 P Umum 8.12E+10
555 Selesai 21-02-202 ANINDYA P 31750554 19 14-10-200 P Umum 8.2E+10
629 Selesai 22-02-202 MAHIRA AI 4 12-06-201 P Umum 8.21E+10
574 Selesai 21-02-202 JOKO AJI 35171410 33 10-11-198 L Umum
626 Selesai 22-02-202 KRISTINA 35061456 25 16-06-199 P Umum 8.57E+10
675 Selesai 23-02-202 Mufarroha 35261742 17 02-02-200 P Umum 8.79E+10
715 Selesai 25-02-202 ANINDYA P 31750554 19 14-10-200 P Umum 8.2E+10
722 Selesai 25-02-202 ELOK KURN35251359 23 19-09-199 P Umum 8.32E+10
221 Selesai 04-02-202 Luthfiyatul 33221241 27 01-01-199 P Umum
280 Selesai 07-02-202 LIWEUL HI 35270541 24 01-06-199 P Umum 8.39E+10
305 Selesai 08-02-202 EKA ALFI F 35170457 29 30-12-199 P Umum
484 Selesai 16-02-202 LIWEUL HI 35270541 24 01-06-199 P Umum 8.39E+10
501 Selesai 17-02-202 ARIF ANDR 35051129 51 29-01-197 L Umum 8.14E+10
406 Selesai 13-02-202 MILAH 17 15-05-200 P Umum 8.12E+09
495 Selesai 16-02-202 TITIK RUMI 35100750 47 10-03-197 P Umum 8.38E+10
689 Selesai 23-02-202 SUTIAH 35270865 27 25-10-199 P Umum 8.59E+10
97 Selesai 30-01-202 SHAFA ABA35271453 8 13-11-201 P Umum 8.23E+10
704 Selesai 24-02-202 HERIYANT 35120209 48 09-09-197 L Umum 8.12E+10
131 Selesai 01-02-202 ANISA NUR35261671 12 30-01-201 P Umum
164 Selesai 02-02-202 BOBY CARL 4 09-03-201 L Umum 8.39E+10
684 Selesai 23-02-202 SHELFI RO 35030059 4 19-07-201 P Umum 8.14E+10
711 Selesai 25-02-202 ACHMAD F 6 01-02-201 L Umum 8.15E+10
397 Selesai 13-02-202 Erni Novita 16711451 49 11-11-197 P Umum 8.22E+10
405 Selesai 13-02-202 MARMO 35020414 49 14-08-197 L Umum
672 Selesai 23-02-202 MAD SOLIK35070512 50 12-02-197 L Umum
621 Selesai 22-02-202 JHOSUA AU12190405 21 05-06-200 L Umum 8.83E+10
196 Selesai 03-02-202 EVI FAMIAT35061863 21 23-02-200 P Umum 8.96E+11
4 Selesai 26-01-202 BRAMA GHA 35780302 4 02-12-201 L Umum Surabaya Grati
5 Selesai 26-01-202 DIANDRA N35780350 4 10-11-201 P Umum Surabaya Grati
35 Selesai 27-01-202 MULYONO 35780302 47 02-03-197 L Umum Sura8.51E+10
103 Selesai 31-01-202 Diandra 35181460 2 06-06-202 L Umum Surabaya Grati
105 Selesai 31-01-202 Gianluigi 35780316 2 16-04-202 L Umum Surabaya Grati
109 Selesai 31-01-202 Kiara adiba 35780942 2 02-06-202 P Umum Surabaya Grati
116 Selesai 31-01-202 Nadine Elvi 35060351 3 11-04-201 P Umum Surabaya Grati
119 Selesai 31-01-202 Qeannares 35780360 2 20-12-202 P Umum Surabaya Grati
122 Selesai 31-01-202 Samara 35780353 3 23-02-201 P Umum Surabaya Grati
127 Selesai 31-01-202 Wilis 33181230 3 30-09-201 L Umum Surabaya Grati
145 Selesai 01-02-202 NOKADIAN 35780956 51 16-02-197 P Umum Sura8.53E+10
154 Selesai 02-02-202 ACHMAD M35782502 6 02-01-201 L Umum Surabaya Grati
156 Selesai 02-02-202 ADELISHA 35780865 6 25-01-201 P Umum Surabaya Grati
157 Selesai 02-02-202 ADHYASTA 35780317 6 17-09-201 L Umum Surabaya Grati
161 Selesai 02-02-202 ARKKA 35780301 7 07-01-201 L Umum Surabaya Grati
171 Selesai 02-02-202 FAUZAN 35780329 6 29-08-201 L Umum Surabaya Grati
74 Selesai 30-01-202 ANJUNG TR35782509 34 09-12-198 L Umum Sura8.82E+09
175 Selesai 02-02-202 KINANTI 35073143 5 13-07-201 P Umum Surabaya Grati
178 Selesai 02-02-202 MUTIARA D35780862 6 22-10-201 P Umum Surabaya Grati
186 Selesai 02-02-202 VELOVE AL 35780859 7 19-01-201 P Umum Surabaya Grati
188 Selesai 02-02-202 ZIVAN TRI 35782229 6 29-12-201 L Umum Surabaya Grati
201 Selesai 03-02-202 MARIE ROS35780346 2 06-10-202 P Umum Surabaya Grati
266 Selesai 07-02-202 Amanda 35780363 2 23-07-202 P Umum Surabaya Grati
283 Selesai 07-02-202 MARSYAH B35780345 10 05-09-201 P Umum Surabaya Grati
285 Selesai 07-02-202 Millinear 35780691 4 29-11-201 P Umum Surabaya Grati
286 Selesai 07-02-202 M made ka 35780302 3 02-05-201 L Umum Surabaya Grati
287 Selesai 07-02-202 M zaya xav 35782505 2 05-08-202 L Umum Surabaya Grati
289 Selesai 07-02-202 Nayyara ai 35780365 3 15-02-201 P Umum Surabaya Grati
290 Selesai 07-02-202 Pricellia 35010459 4 19-12-201 P Umum Surabaya Grati
303 Selesai 07-02-202 Zea khanza 35780349 4 29-12-201 P Umum Surabaya Grati
324 Selesai 09-02-202 AHWAZ FA 35780312 4 12-05-201 P Umum Surabaya Grati
325 Selesai 09-02-202 AIDA ANNI 35782544 6 14-07-201 P Umum Surabaya Grati
326 Selesai 09-02-202 AINUNNA 35780366 5 06-12-201 P Umum Surabaya Grati
327 Selesai 09-02-202 AISYAH 35780366 5 06-10-201 P Umum Surabaya Grati
328 Selesai 09-02-202 ALDRIC AR 35222018 4 18-05-201 L Umum Surabaya Grati
329 Selesai 09-02-202 ALVARO R 35782529 6 29-06-201 L Umum Surabaya Grati
331 Selesai 09-02-202 ANAND SA 35780317 6 17-07-201 L Umum Surabaya Grati
333 Selesai 09-02-202 ARSALAM 35203130 5 13-01-201 L Umum Surabaya Grati
338 Selesai 09-02-202 LAISAMAN 35780702 4 02-03-201 L Umum Surabaya Grati
377 Selesai 11-02-202 IZANA APR 35780366 36 26-04-198 P Umum Surabaya Grati
419 Selesai 14-02-202 ARSYILA D 35780370 6 30-06-201 P Umum Surabaya Grati
420 Selesai 14-02-202 ARYO BAYU33130608 7 08-12-201 L Umum Surabaya Grati
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14 Selesai 26-01-202 INSAN KAM35780319 26 19-10-199 L Umum Sura8.13E+10
22 Selesai 26-01-202 SITI AZIZA 35780958 25 18-06-199 P Umum Sura8.39E+10
28 Selesai 27-01-202 DESI RAH 35790349 25 09-12-199 P Umum Sura8.57E+10
16 Selesai 26-01-202 JIHAN HAN 35780352 6 12-09-201 P Umum Sura8.57E+10
64 Selesai 28-01-202 MOCH. ZIO 35780305 5 05-03-201 L Umum Surabaya Grati
26 Selesai 27-01-202 ACHMAD LA35781708 28 08-03-199 L Umum Sura8.23E+10
36 Selesai 27-01-202 MUSIADI 35780805 64 05-10-195 L Umum Sura8.21E+10
71 Selesai 28-01-202 TEGAR SH 35780722 20 22-04-200 L Umum Sura8.13E+10
37 Selesai 27-01-202 M. YAKLU 35170825 31 25-08-199 L Umum Sura8.21E+10
79 Selesai 30-01-202 DEVANO P 35780322 7 22-01-201 L Umum Sura8.12E+10
56 Selesai 28-01-202 IMRONAH 35780356 62 16-06-196 P Umum Surabaya Grati
99 Selesai 30-01-202 SUWARNI 35780350 42 01-01-198 P Umum Surabaya Grati
100 Selesai 30-01-202 ZATRIA NAB35780314 5 14-03-201 L Umum Sura8.13E+10
206 Selesai 03-02-202 SHAKIRA A 35782561 3 21-06-201 P Umum Sura8.12E+10
57 Selesai 28-01-202 INTAN MAU35780359 12 19-03-201 P Umum Surabaya Grati
84 Selesai 30-01-202 HAFNI SYA 35780350 52 10-09-197 P Umum Surabaya Grati
6 Selesai 26-01-202 DRA. HJ. 35780352 59 12-11-196 P Umum Sura3.19E+08
21 Selesai 26-01-202 RADINE AD 35780362 5 22-04-201 P Umum Sura8.96E+10
93 Selesai 30-01-202 ODESSA DI 35781005 30 05-12-199 L Umum Sura8.13E+10
295 Selesai 07-02-202 SHINTA KR 35782546 22 06-05-200 P Umum Surabaya Grati
296 Selesai 07-02-202 SITI AMIN 35780355 54 15-10-196 P Umum Surabaya Grati
151 Selesai 01-02-202 SOLICHA 35780350 53 10-06-196 P Umum Sura8.54E+10
23 Selesai 26-01-202 SULASTRI 35780554 66 14-10-195 P Umum Surabaya Grati
181 Selesai 02-02-202 RR ARIE A 35780260 42 20-04-198 P Umum Sura8.14E+10
133 Selesai 01-02-202 ARY PRAN 35782565 53 25-08-196 P Umum Sura8.51E+10
140 Selesai 01-02-202 JAKA PROP 32790204 35 04-09-198 L Umum Sura8.13E+10
192 Selesai 03-02-202 ASROZIAH 35760142 21 02-01-200 P Umum Sura8.78E+10
193 Selesai 03-02-202 AVRIZAL M 35780322 7 22-04-201 L Umum Sura8.58E+10
332 Selesai 09-02-202 ARMINA A 35781365 6 05-01-201 P Umum Surabaya Grati
350 Selesai 09-02-202 ZANIA APR 35781749 4 09-04-201 P Umum Sura8.59E+11
351 Selesai 10-02-202 ACHMAD B 35780321 8 21-01-201 L Umum Surabaya Grati
359 Selesai 10-02-202 MUHAMMAD 35780927 9 27-12-201 L Umum Surabaya Grati
96 Selesai 30-01-202 SALSA SAV 35782468 7 30-08-201 P Umum Surabaya Grati
541 Selesai 20-02-202 RR. GALUH 35781254 53 14-01-197 P Umum Sura8.79E+10
374 Selesai 11-02-202 FITRIA YUL 35782553 39 13-07-198 P Umum Sura8.13E+10
259 Selesai 06-02-202 SAFIRA SAF35780350 34 10-09-198 P Umum Sura8.95E+10
375 Selesai 11-02-202 FREDA AND35151107 38 07-06-198 L Umum Sura8.12E+09
404 Selesai 13-02-202 MAHMUD S35071104 27 04-08-199 L Umum Sura 9E+09
421 Selesai 14-02-202 AUDIL DAF 35780304 6 04-07-201 L Umum Surabaya Grati
422 Selesai 14-02-202 AZZAHRA G35780447 5 07-12-201 P Umum Surabaya Grati
143 Selesai 01-02-202 NASRULLOH35780321 44 21-11-197 L Umum Sura8.57E+10
425 Selesai 14-02-202 CHRISTABE 35780363 6 23-09-201 P Umum Surabaya Grati
426 Selesai 14-02-202 CLIFFORD 35780318 6 18-10-201 L Umum Surabaya Grati
412 Selesai 13-02-202 NARENDRA35780304 8 04-12-201 L Umum Surabaya Grati
200 Selesai 03-02-202 IZZATUL A 35780354 6 14-07-201 P Umum Surabaya Grati
427 Selesai 14-02-202 DHAAFIYAH35781365 4 26-06-201 L Umum Surabaya Grati
447 Selesai 14-02-202 YEMIMA HA35780366 22 26-08-200 P Umum Sura 8.6E+10
432 Selesai 14-02-202 FARIZA HA 32041122 5 22-03-201 P Umum Surabaya Grati
433 Selesai 14-02-202 FARRAH AS35780364 6 24-10-201 P Umum Surabaya Grati
211 Selesai 04-02-202 AUFAR RAM35780305 7 05-04-201 L Umum Sura8.38E+10
453 Selesai 15-02-202 EMELY RAS 35780366 3 26-02-201 P Umum Surabaya Grati
284 Selesai 07-02-202 MARWAH BE 35780345 10 05-09-201 P Umum Sura8.14E+10
321 Selesai 08-02-202 TUTIK SUW35780363 56 23-04-196 P Umum Surabaya Grati
434 Selesai 14-02-202 GYHTA AZZ 35780368 6 28-02-201 P Umum Surabaya Grati
550 Selesai 21-02-202 ABDULLOH 35780327 5 27-12-201 L Umum Surabaya Grati
462 Selesai 15-02-202 MIZANUL 35780324 22 24-03-200 L Umum Sura8.21E+10
466 Selesai 15-02-202 RR. GALUH 35781254 53 14-01-197 P Umum Sura8.79E+10
551 Selesai 21-02-202 ABIZARD B 35780319 5 19-08-201 L Umum Surabaya Grati
467 Selesai 15-02-202 SITI MUSR 35780365 59 25-06-196 P Umum Sura8.12E+10
491 Selesai 16-02-202 SITI RAHA 35781742 38 02-10-198 P Umum Sura8.57E+10
553 Selesai 21-02-202 AHMAD RA35780302 5 02-10-201 L Umum Surabaya Grati
503 Selesai 17-02-202 CYNTIA EL 35780355 1 15-03-202 P Umum Surabaya Grati
554 Selesai 21-02-202 AISA BARRA35780968 5 28-06-201 P Umum Surabaya Grati
557 Selesai 21-02-202 ARJUNA AR35780409 5 09-02-201 L Umum Surabaya Grati
30 Selesai 27-01-202 FANTIA AG 35780361 29 21-08-199 P Umum Sura8.58E+10
559 Selesai 21-02-202 ARSYILA H 35780353 5 13-10-201 P Umum Surabaya Grati
504 Selesai 17-02-202 DEVI NURC 35780842 25 02-07-199 P Umum Sura8.38E+10
560 Selesai 21-02-202 AYRA APRIL35101056 5 06-04-201 P Umum Surabaya Grati
567 Selesai 21-02-202 HAIDAR M 35780329 6 29-01-201 L Umum Surabaya Grati
570 Selesai 21-02-202 HUMAYRA 35780361 5 21-06-201 P Umum Surabaya Grati
575 Selesai 21-02-202 KHAYRA AZ35780342 5 02-09-201 P Umum Surabaya Grati
577 Selesai 21-02-202 LAKSHYA A 35782519 5 19-09-201 P Umum Surabaya Grati
288 Selesai 07-02-202 NATHALIA 35782447 7 07-01-201 P Umum Sura8.13E+10
578 Selesai 21-02-202 LAUDYA CY35780366 5 26-09-201 P Umum Surabaya Grati
581 Selesai 21-02-202 MEFIKA FE 35782461 6 21-05-201 P Umum Surabaya Grati
584 Selesai 21-02-202 MOCH IBR 35780302 4 02-06-201 P Umum Surabaya Grati
585 Selesai 21-02-202 MOHAMMAD 35780321 5 21-10-201 L Umum Surabaya Grati
190 Selesai 03-02-202 alvinza mei 35151462 27 22-05-199 P Umum Surabaya Grati
514 Selesai 17-02-202 SITI MUSR 35780365 59 25-06-196 P Umum Sura8.12E+10
241 Selesai 06-02-202 CELINE ME 35780329 5 27-06-201 P Umum Sura8.59E+10
263 Selesai 06-02-202 ZAHRA PUT35780364 20 24-04-200 P Umum Sura8.97E+10
277 Selesai 07-02-202 IDA SUHAR 63720566 48 26-04-197 P Umum Sura8.13E+09
592 Selesai 21-02-202 NAYLA YU 35780955 5 15-05-201 P Umum Surabaya Grati
376 Selesai 11-02-202 GAVRILA Z 35780945 22 05-06-200 P Umum Surabaya Grati
278 Selesai 07-02-202 KASIATI 35780346 41 06-11-198 P Umum Surabaya Grati
593 Selesai 21-02-202 NURCHOLI 35780311 39 11-10-198 L Umum Sura8.96E+10
594 Selesai 21-02-202 RADINKA A 35780348 5 08-05-201 L Umum Surabaya Grati
292 Selesai 07-02-202 RONNY SU 35780327 48 27-05-197 L Umum Sura8.18E+08
595 Selesai 21-02-202 RAFI ARSYA35780310 5 10-11-201 L Umum Surabaya Grati
300 Selesai 07-02-202 TUTIK SUW35780363 56 23-04-196 P Umum Sura8.57E+10
597 Selesai 21-02-202 SAFIRA AZ 35780347 6 07-10-201 P Umum Surabaya Grati
598 Selesai 21-02-202 SARAH ALE 35782054 5 14-03-201 L Umum Surabaya Grati
599 Selesai 21-02-202 SHAQUEENA 35780361 6 21-07-201 P Umum Surabaya Grati
608 Selesai 22-02-202 ACHMAD R 35780314 4 14-08-201 L Umum Surabaya Grati
609 Selesai 22-02-202 AHMAD FA 35780328 6 28-01-201 L Umum Surabaya Grati
611 Selesai 22-02-202 ALIFAH NA 35780362 5 23-03-201 P Umum Surabaya Grati
614 Selesai 22-02-202 ANDITA SY 35780366 6 26-08-201 P Umum Surabaya Grati
218 Selesai 04-02-202 KAMILA KA 35780356 31 16-07-199 P Umum Sura8.21E+10
316 Selesai 08-02-202 ROSALIA 35781267 44 27-03-197 P Umum Surabaya Grati
317 Selesai 08-02-202 RR ARIE A 35780260 42 20-04-198 P Umum Sura8.14E+10
318 Selesai 08-02-202 SHERYL D 35780360 6 20-01-201 P Umum Sura8.22E+10
615 Selesai 22-02-202 BILQIS TH 35780371 6 31-03-201 P Umum Surabaya Grati
147 Selesai 01-02-202 PEGGY FAN35191154 25 14-09-199 P Umum Sura8.21E+10
616 Selesai 22-02-202 DIAN FAUZ 35261754 6 14-05-201 P Umum Surabaya Grati
224 Selesai 04-02-202 NINDITA NI35782962 25 22-07-199 P Umum Sura8.79E+10
411 Selesai 13-02-202 NABILLA M 35780646 26 06-08-199 P Umum Sura8.38E+10
619 Selesai 22-02-202 GADING SA35781604 6 04-05-201 L Umum Surabaya Grati
620 Selesai 22-02-202 HAFIDZAH 35780364 5 24-01-201 P Umum Surabaya Grati
625 Selesai 22-02-202 KANISA AJ 35780354 4 14-03-201 P Umum Surabaya Grati
366 Selesai 11-02-202 AFTASYA A 35780449 25 09-04-199 P Umum Sura8.79E+10
630 Selesai 22-02-202 M TITAN M35780610 7 08-10-201 L Umum Surabaya Grati
632 Selesai 22-02-202 MUHAMMA35780924 5 24-03-201 L Umum Surabaya Grati
473 Selesai 16-02-202 ALVINA FA 35170465 9 25-01-201 P Umum Sura8.99E+09
393 Selesai 13-02-202 ATHALA NA35780312 6 12-01-201 L Umum Surabaya Grati
369 Selesai 11-02-202 ALMIRA K 35780363 5 23-03-201 P Umum Sura8.51E+10
529 Selesai 20-02-202 INDRA PUS 35780347 58 07-02-196 P Umum Surabaya Grati
247 Selesai 06-02-202 HAFNI SYA 35780350 52 10-09-197 P Umum Surabaya Grati
542 Selesai 20-02-202 SHAFIA AL 35151768 5 28-09-201 P Umum Sura8.56E+10
401 Selesai 13-02-202 KAYLA PRE 35780460 6 20-06-201 P Umum Sura8.13E+10
490 Selesai 16-02-202 RUNAKO J 35780305 9 30-12-201 L Umum Surabaya Grati
258 Selesai 06-02-202 RONNY SU 35780327 48 27-05-197 L Umum Sura8.18E+08
636 Selesai 22-02-202 NARAYA AQ35780344 6 04-12-201 P Umum Surabaya Grati
638 Selesai 22-02-202 RIFKA SYA 35780463 6 23-11-201 P Umum Surabaya Grati
640 Selesai 22-02-202 SAFIRA CH 35780341 6 01-06-201 P Umum Surabaya Grati
262 Selesai 06-02-202 SUWARNI 35780350 42 01-01-198 P Umum Surabaya Grati
649 Selesai 22-02-202 ZUFAR RAS 35781030 6 30-10-201 L Umum Surabaya Grati
650 Selesai 23-02-202 ABDURRAH35780350 5 05-09-201 L Umum Surabaya Grati
651 Selesai 23-02-202 ADARA QIS 35090667 6 27-10-201 P Umum Surabaya Grati
428 Selesai 14-02-202 DIANA HE 35730155 63 15-02-195 P Umum Sura8.13E+10
653 Selesai 23-02-202 AINAZ SHA 35781047 5 07-07-201 P Umum Surabaya Grati
654 Selesai 23-02-202 AISYAH AM35780348 5 08-09-201 P Umum Surabaya Grati
655 Selesai 23-02-202 AL RAMAH 35780329 5 29-03-201 L Umum Surabaya Grati
657 Selesai 23-02-202 AQILA AZK 35780355 5 15-03-201 P Umum Surabaya Grati
440 Selesai 14-02-202 SARI SUKES35780351 63 11-10-195 P Umum Surabaya Grati
659 Selesai 23-02-202 ATHALLAH 35780321 5 21-10-201 L Umum Surabaya Grati
660 Selesai 23-02-202 AZMYA ANA35780363 5 23-10-201 P Umum Surabaya Grati
448 Selesai 14-02-202 ZUFAR RAS 35781030 6 30-10-201 L Umum Sura8.22E+10
479 Selesai 16-02-202 IMRONAH 35780356 62 16-06-196 P Umum Surabaya Grati
454 Selesai 15-02-202 HANIFA N 35241750 8 10-03-201 P Umum Surabaya Grati
662 Selesai 23-02-202 CENAYU EL 35781460 5 20-10-201 P Umum Surabaya Grati
663 Selesai 23-02-202 DEVI ASSY 35782648 5 08-01-201 P Umum Surabaya Grati
267 Selesai 07-02-202 ANANDA PU73711049 10 09-07-201 P Umum Sura8.13E+10
279 Selesai 07-02-202 KEISHA SA 35781365 11 25-03-201 P Umum Sura8.19E+10
668 Selesai 23-02-202 ILHAM GHIF38780309 4 09-04-201 L Umum Surabaya Grati
670 Selesai 23-02-202 KANAYA CH35780319 6 19-02-201 P Umum Surabaya Grati
562 Selesai 21-02-202 DENMAS D 35781713 2 13-11-202 L Umum Sura8.19E+10
673 Selesai 23-02-202 M. Faris A 35780327 5 27-09-201 L Umum Surabaya Grati
472 Selesai 16-02-202 ALEDYA AD35782556 6 16-07-201 P Umum Sura8.13E+10
674 Selesai 23-02-202 MIKHAILA 35780315 6 15-06-201 P Umum Surabaya Grati
678 Selesai 23-02-202 NADIA NUR35180558 6 18-10-201 P Umum Surabaya Grati
480 Selesai 16-02-202 KAYLA ZAI 35780970 6 30-12-201 P Umum Sura8.22E+10
679 Selesai 23-02-202 NAURA NUR35780317 5 17-10-201 P Umum Surabaya Grati
680 Selesai 23-02-202 NAYYARA A35780369 6 29-05-201 P Umum Surabaya Grati
481 Selesai 16-02-202 KAYSA AQI 35780970 6 30-12-201 P Umum Sura8.22E+10
506 Selesai 17-02-202 HANDAYANI33720550 40 10-10-198 P Umum Sura8.56E+09
486 Selesai 16-02-202 MUJI SUW 35780817 59 17-12-196 L Umum Sura8.12E+10
414 Selesai 13-02-202 SARI SUKES35780351 63 11-10-195 P Umum Surabaya Grati
362 Selesai 10-02-202 SAFIRA SAF35780350 34 10-09-198 P Umum Sura8.95E+10
682 Selesai 23-02-202 RAFANI FA 35261254 4 14-10-201 P Umum Surabaya Grati
509 Selesai 17-02-202 MUJI SUW 35780817 59 17-12-196 L Umum Sura8.12E+10
683 Selesai 23-02-202 RAFASYA K 35782566 5 26-11-201 P Umum Surabaya Grati
690 Selesai 23-02-202 Usman Yosa35080130 4 20-03-201 L Umum Surabaya Grati
692 Selesai 23-02-202 ZAFIA ZA 35780348 6 08-11-201 P Umum Surabaya Grati
516 Selesai 17-02-202 TRULY TRI 35780966 40 26-02-198 P Umum Sura8.23E+10
644 Selesai 22-02-202 SULTAN ID 35011111 12 11-09-201 L Umum Sura8.17E+10
456 Selesai 15-02-202 ISMAIL 35780411 49 11-03-197 L Umum Surabaya Grati
511 Selesai 17-02-202 RINI KUM 35780360 35 20-08-198 P Umum Sura8.13E+10
693 Selesai 23-02-202 ZAFINA AZ 35261250 5 10-11-201 P Umum Surabaya Grati
77 Selesai 30-01-202 DARMAWAN 35780323 70 06-12-195 L Umum Surabaya Grati
603 Selesai 21-02-202 TUTIK SUW35780363 56 23-04-196 P Umum Surabaya Grati
606 Selesai 21-02-202 WIWIK SUE35780368 67 28-03-195 P Umum Sura8.98E+09
539 Selesai 20-02-202 RIYAN FEBI 35780219 36 19-09-198 L Umum Sura8.23E+09
695 Selesai 23-02-202 ZOYA AGHI 35781765 4 25-09-201 P Umum Surabaya Grati
563 Selesai 21-02-202 DEWI SUSI 35780361 37 10-12-198 P Umum Surabaya Grati
20 Selesai 26-01-202 PUJI ASTUT35780346 43 06-07-197 P Umum Sura8.23E+10
613 Selesai 22-02-202 ANANDA PU73711049 10 09-07-201 P Umum Sura8.13E+10
500 Selesai 17-02-202 ALVIAN AK 33120117 7 17-07-201 L Umum Sura8.59E+10
561 Selesai 21-02-202 AZKA MAUL35780319 6 19-07-201 L Umum Sura8.19E+10
199 Selesai 03-02-202 INTAN MAU35780359 12 19-03-201 P Umum Surabaya Grati
637 Selesai 22-02-202 NURYATI 35780902 34 02-06-198 L Umum Sura8.38E+10
645 Selesai 22-02-202 TEGAR SH 35780722 20 22-04-200 L Umum Sura8.13E+10
248 Selesai 06-02-202 JEFRI EKO 35780304 38 04-06-198 L Umum Surabaya Grati
700 Konsul Nak24-02-202 CHEERISH 32160747 0 24-02-202 P Umum Surabaya Grati
92 Selesai 30-01-202 MUHAMMA35780303 48 03-07-197 L Umum Surabaya Grati
310 Selesai 08-02-202 MILLIANA 35780854 31 14-02-199 P Umum Surabaya Grati
596 Selesai 21-02-202 RUFINA P 35780361 20 21-07-200 P Umum Sura8.17E+10
628 Selesai 22-02-202 MAHARRAN35782566 28 26-02-199 P Umum Sura8.21E+10
273 Selesai 07-02-202 DERI YOFE 35780306 37 06-07-198 L Umum Sura8.97E+10
648 Selesai 22-02-202 ZAHROTUT 35781760 29 20-11-199 P Umum Sura8.57E+10
319 Selesai 08-02-202 SOLICHA 35780350 53 10-06-196 P Umum Sura8.54E+10
698 Selesai 24-02-202 ASMAI MA 35782568 52 28-04-197 P Umum Sura8.99E+09
697 Selesai 24-02-202 ARIF HIDA 35782711 23 11-04-199 L Umum Sura8.79E+10
564 Selesai 21-02-202 ELFITRI W 35780366 10 26-05-201 P Umum Surabaya Grati
641 Selesai 22-02-202 SHAFY AL 35780922 10 22-03-201 L Umum Surabaya Grati
639 Selesai 22-02-202 RUNAKO J 35780305 9 30-12-201 L Umum Surabaya Grati
721 Selesai 25-02-202 DINE DEVI 63710254 26 14-06-199 P Umum Sura8.12E+10
725 Selesai 25-02-202 GUSTI HAN 63710453 51 13-07-197 P Umum Sura8.12E+10
379 Selesai 11-02-202 KEISHA SA 35781365 11 25-03-201 P Umum Sura8.19E+10
646 Selesai 22-02-202 XAVIER MI 35780301 8 01-03-201 L Umum Sura8.12E+10
691 Selesai 23-02-202 WIWIK SUE35780368 67 28-03-195 P Umum Sura8.98E+09
612 Selesai 22-02-202 ALVINA FA 35170465 9 25-01-201 P Umum Sura8.99E+09
703 Selesai 24-02-202 HANDAYANI33720550 40 10-10-198 P Umum Sura8.56E+09
666 Selesai 23-02-202 FIONA FELI 35780344 6 04-06-201 P Umum Sura8.14E+10
706 Selesai 24-02-202 INDRA PUS 35780347 58 07-02-196 P Umum Surabaya Grati
743 Selesai 25-02-202 R.A.YENNY 35781362 57 22-06-196 P Umum Surabaya Grati
677 Selesai 23-02-202 MUHAMMAD 35780328 7 28-04-201 L Umum Sura8.57E+10
735 Selesai 25-02-202 MICHA AN 35780357 13 17-04-200 P Umum Sura8.57E+10
727 Selesai 25-02-202 IZAL RAHM 35782507 16 07-05-200 L Umum Surabaya Grati
347 Selesai 09-02-202 SYAHRUL 35081801 22 01-12-200 L Umum Sura8.12E+10
744 Selesai 25-02-202 RIFKA SYA 35780463 6 23-11-201 P Umum Sura8.21E+10
76 Selesai 30-01-202 CYPRIANU 35782526 75 26-09-194 L Umum Sura 8703519
243 Selesai 06-02-202 DIANA HE 35730155 63 15-02-195 P VAKSIN AP 8.13E+10
No Kartu Nakes Type Pelayanan
Baru Lama
00001005drg. Umi - X V
00017020drg. Umi - X V
00001022drg. Umi - X V
00024593drg. Umi - X V
00001174drg. Umi - V X
00000977drg. Umi - X V
00001022drg. Umi - V X
00001013drg. Umi - V X
00001022drg. Umi - X V
00001001drg. Umi - V X
00001022drg. Umi - V X
00001013drg. Umi - V X
00026828drg. Umi - V X
00001022drg. Umi - V X
00001013drg. Umi - V X
00001009drg. Umi - V X
00001005drg. Umi - X V
00001022drg. Umi - V X
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00001001drg. Umi - V X
00000998drg. Umi - V X
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00030779drg. Umi - V X
00026828drg. Umi - X V
00019079drg. Umi - V X
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00028459drg. Umi - V X
00014682drg. Umi - V X
00018885drg. Umi - V X
00024165drg. Umi - X V
00018885drg. Umi - V X
00016688drg. Umi - X V
00007263drg. Umi - V X
00015367drg. Umi - V X
00018858drg. Umi - X V
00014044drg. Umi - X V
00031079drg. Umi - X V
00011663drg. Umi - V X
00007870drg. Umi - V X
00029981drg. Umi - V X
00011485drg. Umi - X V
00015427drg. Umi - V X
00028146drg. Umi - X V
00007263drg. Umi - V X
00018858drg. Umi - V X
00029970drg. Umi - V X
00015427drg. Umi - X V
00026828drg. Umi - V X
00000998drg. Umi - X V
00013944drg. Umi - V X
00029970drg. Umi - V X
00028146drg. Umi - V X
00022033drg. Umi - V X
00018885drg. Umi - V X
00026828drg. Umi - V X
00015367drg. Umi - X V
00018444drg. Umi - V X
00012028drg. Umi - V X
00014044drg. Umi - X V
00011485drg. Umi - X V
00024882drg. Umi - X V
00007870drg. Umi - X V
00011485drg. Umi - V X
00016649drg. Umi - V X
00014507drg. Umi - X V
00022526drg. Umi - V X
00026828drg. Umi - V X
00012914drg. Umi - X V
00024165drg. Umi - V X
00015446drg. Umi - X V
00012028drg. Umi - X V
00018738drg. Umi - V X
00022613drg. Umi - V X
00007871drg. Umi - X V
00000997drg. Umi - V X
00029981drg. Umi - V X
00028878drg. Umi - V X
00020325drg. Umi - V X
00028866drg. Umi - X V
00024165drg. Umi - X V
00022033drg. Umi - V X
00024165drg. Umi - V X
00028759drg. Umi - V X
00016649drg. Umi - X V
00021627drg. Umi - X V
00027274drg. Umi - X V
00024905drg. Umi - V X
00007871drg. Umi - V X
00007881drg. Umi - V X
00028759drg. Umi - V X
00013197drg. Umi - X V
00027317drg. Umi - V X
00018444drg. Umi - V X
00027663drg. Umi - V X
00022271drg. Umi - V X
00007875drg. Umi - V X
00027656drg. Umi - V X
00007872drg. Umi - V X
00013953drg. Umi - V X
00007871drg. Umi - V X
00018559drg. Umi - X V
00007871drg. Umi - X V
00022907drg. Umi - X V
00013953drg. Umi - X V
00007875drg. Umi - X V
00024157drg. Umi - X V
00007875drg. Umi - X V
00011277drg. Umi - X V
00024882drg. Umi - V X
00013944drg. Umi - V X
00014629drg. Umi - V X
00013811drg. Umi - X V
00000998drg. Umi - X V
00016649drg. Umi - V X
00029970drg. Umi - X V
00029971drg. Umi - V X
00020683drg. Umi - X V
00007871drg. Umi - X V
00015446drg. Umi - V X
00029972drg. Umi - X V
00007877drg. Umi - V X
00028987drg. Umi - V X
00026416drg. Umi - V X
00000998drg. Umi - V X
00027720drg. Umi - X V
00025022drg. Umi - V X
00015426drg. Umi - V X
00013953drg. Umi - X V
00007881drg. Umi - V X
00029977drg. Umi - V X
00032873drg. Umi - V X
00029981drg. Umi - V X
00029232drg. Umi - V X
00013944drg. Umi - V X
00014022drg. Umi - V X
00018503drg. Umi - V X
00007875drg. Umi - X V
00027274drg. Umi - V X
00015422drg. Umi - V X
00011282drg. Umi - V X
00010405drg. Umi - V X
00020325drg. Umi - V X
00026828drg. Umi - V X
00007866drg. Umi - V X
00022248drg. Umi - V X
00027432drg. Umi - V X
00029971drg. Umi - V X
00013944drg. Umi - X V
00014637drg. Umi - V X
00028759drg. Umi - V X
00014637drg. Umi - X V
00016124drg. Umi - V X
00016124drg. Umi - X V
00024157drg. Umi - V X
00010236drg. Umi - V X
00021645drg. Umi - V X
00014105drg. Umi - V X
00029970drg. Umi - V X
00015367drg. Umi - V X
00007875drg. Umi - X V
00010498drg. Umi - V X
00010498drg. Umi - V X
00007870drg. Umi - V X
00014059drg. Umi - X V
00016430drg. Umi - V X
00020503drg. Umi - V X
00016124drg. Umi - V X
00027313drg. Umi - V X
00029971drg. Umi - V X
00011944drg. Umi - V X
00028759drg. Umi - X V
00007870drg. Umi - V X
00018909drg. Umi - V X
00026828drg. Umi - V X
00007881drg. Umi - V X
00029981drg. Umi - V X
00029970drg. Umi - V X
00026828drg. Umi - X V
00029970drg. Umi - V X
00021645drg. Umi - V X
00014530drg. Umi - V X
00021617drg. Umi - V X
00027313drg. Umi - X V
00024905drg. Umi - V X
00007877drg. Umi - X V
00024905drg. Umi - V X
00015367drg. Umi - X V
00018444drg. Umi - V X
00018366drg. Umi - V X
00029218drg. Umi - V X
00014738drg. Umi - V X
00001008drg. Umi - V X
00015446drg. Umi - V X
00020683drg. Umi - V X
00029970drg. Umi - V X
00029970drg. Umi - X V
00017227drg. Umi - V X
00021586drg. Umi - X V
00009395drg. Umi - X V
00014665drg. Umi - V X
00020622drg. Umi - X V
00015445drg. Umi - V X
00013181drg. Umi - X V
00015431drg. Umi - V X
00021556drg. Umi - V X
00013181drg. Umi - X V
00028934drg. Umi - V X
00017045drg. Umi - V X
00011317drg. Umi - V X
00028748drg. Umi - V X
00002115drg. Umi - V X
00019708drg. Umi - X V
00027631drg. Umi - X V
00013412drg. Umi - X V
00015445drg. Umi - X V
00014606drg. Umi - X V
00014798drg. Umi - X V
00013400drg. Umi - X V
00022597drg. Umi - X V
00021996drg. Umi - X V
00026828drg. Umi - X V
00023782drg. Umi - V X
00011317drg. Umi - X V
00016521drg. Umi - X V
00020690drg. Umi - X V
00015446drg. Umi - V X
00014510drg. Umi - V X
00029970drg. Umi - X V
00014510drg. Umi - V X
00019072drg. Umi - V X
00017010drg. Umi - V X
00015368drg. Umi - V X
00013251drg. Umi - X V
00013368drg. Umi - V X
00024166drg. Umi - X V
00022498drg. Umi - V X
00012807drg. Umi - V X
00014557drg. Umi - V X
00013933drg. Umi - X V
00017855drg. Umi - V X
00014539drg. Umi - V X
00026433drg. Umi - V X
00026828drg. Umi - V X
00026828drg. Umi - V X
00015445drg. Umi - V X
00013368drg. Umi - V X
00019646drg. Umi - V X
00015355drg. Umi - V X
00014606drg. Umi - X V
00018359drg. Umi - X V
00016295drg. Umi - X V
00012638drg. Umi - V X
00026828drg. Umi - V X
00017987drg. Umi - X V
00012914drg. Umi - V X
00029970drg. Umi - V X
00029293drg. Umi - V X
00022654drg. Umi - V X
00001730dr. Enny Wi- V X
00027346drg. Umi - V X
00018498drg. Umi - V X
00016062drg. Umi - V X
00017020drg. Umi - V X
00012914drg. Umi - X V
00012623drg. Umi - V X
00001023drg. Umi - X V
00012382drg. Umi - V X
00029970drg. Umi - X V
00018406drg. Umi - V X
00013109drg. Umi - V X
00029970drg. Umi - X V
00006917drg. Umi - V X
00020870drg. Umi - V X
00021986drg. Umi - V X
00026179drg. Umi - V X
00014599drg. Umi - X V
00011475drg. Umi - X V
00014386drg. Umi - V X
00013109drg. Umi - X V
00001016drg. Umi - V X
00014386drg. Umi - V X
00013218drg. Umi - V X
00016346drg. Umi - V X
00020994drg. Umi - X V
00022377drg. Umi - V X
00022335drg. Umi - V X
00029970drg. Umi - X V
00029970drg. Umi - X V
00022324drg. Umi - V X
00018175drg. Umi - V X
00027346drg. Umi - X V
00014678drg. Umi - V X
00022440drg. Umi - V X
00018175drg. Umi - V X
00029970drg. Umi - X V
00029970drg. Umi - V X
00020646drg. Umi - V X
00029970drg. Umi - V X
00015445drg. Umi - X V
00017953drg. Umi - V X
00023143drg. Umi - X V
00013211drg. Umi - X V
00011905drg. Umi - X V
00027509drg. Umi - V X
00013288drg. Umi - V X
00001088drg. Umi - V X
00013288drg. Umi - V X
00001016drg. Umi - V X
00018059drg. Umi - V X
00018358drg. Umi - X V
00026828drg. Umi - V X
00018371drg. Umi - V X
00022845drg. Umi - V X
00023162drg. Umi - X V
00018484drg. Umi - X V
00013944drg. Umi - X V
00015438drg. Umi - X V
00007875drg. Umi - V X
00001088drg. Umi - V X
00020722drg. Umi - V X
00016062drg. Umi - V X
00013799drg. Umi - V X
00012712drg. Umi - X V
00013251drg. Umi - X V
00018128drg. Umi - V X
00007412drg. Umi - X V
00017053drg. Umi - V X
00014425drg. Umi - V X
00023772drg. Umi - V X
00015375drg. Umi - V X
00029981drg. Umi - V X
00012623drg. Umi - V X
00014552drg. Umi - X V
00018175drg. Umi - X V
00012272drg. Umi - V X
00018175drg. Umi - X V
00014557drg. Umi - V X
00021645drg. Umi - X V
00013267drg. Umi - V X
00013109drg. Umi - V X
00024940drg. Umi - V X
00016056drg. Umi - X V
00029970drg. Umi - V X
00016056drg. Umi - V X
00017881drg. Umi - V X
00029160drg. Umi - V X
00018059drg. Umi - V X
00022640drg. Umi - V X
00013933drg. Umi - V X
00018359drg. Umi - V X
00012712drg. Umi - V X
00029293drg. Umi - V X
00013368drg. Umi - V X
00011619drg. Umi - V X
00013218drg. Umi - V X
00022324drg. Umi - V X
00013251drg. Umi - X V
00012457drg. Umi - V X
00015348drg. Umi - V X
00001016drg. Umi - V X
00029970drg. Umi - V X
00014665drg. Umi - X V
00018376drg. Umi - V X
00013109drg. Umi - V X
00021627drg. Umi - V X
00016062drg. Umi - V X
00022244drg. Umi - V X
00017315drg. Umi - X V
00015445drg. Umi - V X
00014229drg. Umi - V X
00029971drg. Umi - V X
00013944drg. Umi - V X
00014639drg. Umi - V X
00030700drg. Umi - X V
00014606drg. Umi - V X
00018454drg. Umi - V X
00031266drg. Umi - V X
00021603drg. Umi - V X
00014545drg. Umi - V X
00011618drg. Umi - V X
00011619drg. Umi - V X
00027346drg. Umi - X V
00029970drg. Umi - V X
00022744drg. Umi - V X
00022170drg. Umi - V X
00020503drg. Umi - V X
00030779drg. Umi - V X
00024883drg. Umi - V X
00017056drg. Umi - V X
00018211drg. Umi - V X
00020731drg. Umi - V X
00021603drg. Umi - V X
00015446drg. Umi - V X
00029160drg. Umi - V X
00007412drg. Umi - V X
00029222drg. Umi - V X
00023145drg. Umi - V X
00023050drg. Umi - V X
00017056drg. Umi - X V
00021565drg. Umi - X V
00012583drg. Umi - X V
00023252drg. Umi - V X
00018175drg. Umi - X V
00014665drg. Umi - X V
00026418drg. Umi - V X
00013944drg. Umi - X V
00013288drg. Umi - V X
00027636drg. Umi - V X
00001129drg. Umi - V X
00013799drg. Umi - V X
00012999drg. Umi - V X
00018851drg. Umi - V X
00013015drg. Umi - X V
00000928drg. Umi - X V
00001022drg. Umi - V X
00001005drg. Umi - X V
00001005drg. Umi - X V
00001001drg. Umi - V X
00011011drg. Umi - V X
00010976drg. Umi - V X
00011011drg. Umi - V X
drg. Umi UKS V X
00007250drg. Umi - V X
drg. Umi - X V
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
00000976drg. Umi - V X
00012729drg. Umi - V X
0 drg. Umi - V X
00001064drg. Umi - V X
drg. Umi - V X
0 drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - X V
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
00029282drg. Umi - V X
00006761drg. Umi - V X
00001730drg. Umi - V X
00027636drg. Umi - V X
drg. Umi - X V
drg. Umi - V X
00016405drg. Umi - V X
drg. Umi - V X
00013019drg. Umi - V X
00006761drg. Umi - X V
drg. Umi - V X
00016405drg. Umi - V X
drg. Umi - V X
00006032drg. Umi - V X
00006032drg. Umi - V X
drg. Umi - X V
00007712drg. Umi - X V
drg. Umi - X V
00007712drg. Umi - X V
00012622drg. Umi - V X
00012622drg. Umi - V X
drg. Umi - X V
00023257drg. Umi - V X
drg. Umi - V X
0 drg. Umi - V X
0 drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
00006032drg. Umi - V X
00012622drg. Umi - V X
00022750drg. Umi - V X
0 drg. Umi - X V
drg. Umi - V X
0 drg. Umi - V X
0 drg. Umi - X V
drg. Umi - V X
drg. Umi - V X
00011427drg. Umi - X V
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
00014682drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
00017055drg. Umi - V X
drg. Umi - V X
drg. Umi UKS V X
drg. Umi UKS V X
drg. Umi UKS V X
0 drg. Umi - X V
drg. Umi - V X
00025995drg. Umi - X V
drg. Umi - V X
00011427drg. Umi - X V
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - X V
drg. Umi - V X
drg. Umi - V X
00030888drg. Umi - V X
0 drg. Umi - X V
00029985drg. Umi - V X
00025022drg. Umi - V X
00024157drg. Umi - V X
00022143drg. Umi - V X
drg. Umi - V X
00014020drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
00020769drg. Umi - V X
00001022drg. Umi - V X
drg. Umi - V X
00022598drg. Umi - V X
0 drg. Umi - V X
00018443drg. Umi - V X
00029970drg. Umi - X V
00001003drg. Umi - V X
00022239drg. Umi - V X
00010500drg. Umi - V X
00023084drg. Umi - V X
drg. Umi - V X
00011008drg. Umi - V X
00001016drg. Umi - V X
00014725drg. Umi - V X
00026176drg. Umi - X V
00018326drg. Umi - X V
00017966drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
00017053drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
00022239drg. Umi - V X
00024799drg. Umi - X V
00011317drg. Umi - V X
0 drg. Umi - V X
drg. Umi - V X
00010381drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
00017048drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
00017061drg. Umi - V X
00026828drg. Umi - V X
drg. Umi - V X
00015446drg. Umi - X V
drg. Umi - V X
drg. Umi - V X
00030477drg. Umi - V X
drg. Umi - V X
00026085drg. Umi - V X
00021556drg. Umi - V X
drg. Umi - V X
00023094drg. Umi - V X
00028856drg. Umi - V X
00024799drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - X V
00021598drg. Umi - V X
drg. Umi - X V
drg. Umi - V X
drg. Umi - V X
00000998drg. Umi - X V
00028878drg. Umi - V X
00021556drg. Umi - V X
drg. Umi - V X
drg. Umi - X V
drg. Umi - X V
00029970drg. Umi - X V
drg. Umi - V X
00017057drg. Umi - V X
00029971drg. Umi - X V
drg. Umi - V X
00029999drg. Umi - V X
00026828drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - X V
00022453drg. Umi - V X
00013282drg. Umi - V X
drg. Umi - V X
00026830drg. Umi - V X
00018788drg. Umi - X V
drg. Umi - V X
00001003drg. Umi - X V
drg. Umi - X V
00024440drg. Umi - V X
00013282drg. Umi - V X
drg. Umi - V X
00021556drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
dr Istikom - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
00014725drg. Umi - V X
drg. Umi - X V
drg. Umi - V X
00026985drg. Umi - V X
drg. Umi - X V
00011103drg. Umi - V X
00016026drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
0 drg. Umi - V X
drg. Umi - V X
dr Istikom - V X
00026962drg. Umi - V X
drg. Umi - V X
00022225drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
00013944drg. Umi - V X
00029970drg. Umi - V X
drg. Umi - V X
00022005drg. Umi - V X
drg. Umi - V X
00013282drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
dr Istikom - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
00019017drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
00022240drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
00010785drg. Umi - V X
00011868drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
0 drg. Umi - V X
drg. Umi - V X
00020680drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
00014656drg. Umi - V X
0 drg. Umi - V X
00019017drg. Umi - X V
0 drg. Umi - V X
00022239drg. Umi - V X
drg. Umi - V X
0 drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
00024606drg. Umi - V X
drg. Umi - V X
00001003drg. Umi - V X
00013221drg. Umi - V X
00021556drg. Umi - X V
00014270drg. Umi - V X
00017966drg. Umi - X V
00018290drg. Umi - V X
drg. Umi - V X
00014638drg. Umi - V X
drg. Umi - X V
00010785drg. Umi - V X
00025819drg. Umi - V X
drg. Umi - V X
00018443drg. Umi - X V
00007871drg. Umi - X V
drg. Umi - V X
00023787drg. Umi - V X
- V X
00029970drg. Umi - V X
00000997drg. Umi - X V
00022626drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
00015445drg. Umi - V X
00011008drg. Umi - X V
00012916drg. Umi - V X
00015428drg. Umi - X V
00017966drg. Umi - V X
00028146drg. Umi - V X
drg. Umi - V X
drg. Umi - V X
00013191drg. Umi - V X
drg. Umi - V X
00011868drg. Umi - X V
00011427drg. Umi - X V
00020777drg. Umi - V X
00014270drg. Umi - X V
00026962drg. Umi - X V
00014656drg. Umi - X V
00020657drg. Umi - V X
00013944drg. Umi - X V
00029983drg. Umi - V X
00018955drg. Umi - V X
00017412drg. Umi - V X
drg. Umi - V X
00028759drg. Umi - V X
00026828drg. Umi - V X
00012771drg. Umi - V X
drg. Umi - X V
Keluhan ICD X
47 eugenol cavit K04.0
resep K04.1
47 abses ada fistel - resep K04.7
konsultasi K04.0
18,28 karies impaksi bucoversi pro odontektomi - konsultasi K01.1
24 pulp caping, gic K04.0
35 GIC K04.7;K04.0
scaling 6 K05.1
cabut permanen 47 K05.3
scaling 4 K05.1
41 Eugenol cavit K02.1
17 gic K02.1
35 gic K02.1
gic gigi 26 K02.1
eugenol cavit 11 K02.1
komposit 23 K02.1
gic gigi 41 K02.1
46 rujuk rs haji K04.1
rujuk K05.3
rujuk K05.3
rujuk K04.1
18,28 impaksi - rujuk rs haji K01.1
cabut sulung ce 52 K00.6
23 grinding/ open boor K04.1
scaling 6 K05.1
36 gangren pulpa pro ekso di RS krn penyulit letak - rujuk rs unair K04.1
25 nekrose pulpa pro endo - rujuk rs unair K04.1
46 abses-resep K04.7
KONSULTASI PX TDK DATANG Z01.2
25 abses o.k GR- resep K04.7
47 resep K04.0
scaling 6 K05.1
16 pro TS - resep K04.0
Ingin tambal gigi, 21 komposit K02.1
75 ABSES - OPEN BOOR DAN RESEP K04.7
mucocele / konsultasi K11.6
Eugenol cavit 24 K04.0
eugenol cavit 22,23 K02.1
47 bongkar tumpatan / open boor dan resep K04.7
scaling 6 K05.1
74 pulp caping, SULUNG gic K02.1
47 pembersihan kavitas - resep K04.0
cabut permanen K05.3
46 gic K02.1
16 nekrose pulpa pro endo - rujuk rs unair K04.1
pulp caping, gic 18 K02.1
35 GIC K02.1
26 gic K02.1
Ingin tambal gigi 11 komposit K02.1
47 post abses - rujuk rs haji K04.7
Cabut sulung ce 53 K00.6
38 EUGENOL CAVIT K04.0
11 komposit K02.1
konsultasi K00.6
konsultasi Z01.2
gic 47,48 K02.1
45 resep K04.0
36 cabut permanen - resep K04.1
71 cabut sulung ce K00.6
gic 26 K02.1
resep K04.0
kontrol gusi masih bengkak - resep K04.5
sariawan oleh krn jamur - resep B37.0
36 eugenol cavit - resep K04.5
konsultasi Z01.2
resep K04.0
22 23 komposit K02.1
55, 84 sulung gic / 63 abses - resep K04.7;K02.1;K02.1
65,65,55,54 abses periapikal - resep K04.7
scalling 6 regio K05.1
kontrol tambalan tetapi gigi masih sakit dan tidak bisa buka mulut - resep K04.4
11 komposit K02.1
konsultasi px tidak datang Z01.2
16 pulp cap gic K02.1
scaling 6 K05.1
38 impaksi gigi, resep K01.1
21 komposit K02.1
cabut sulung ce 71 81 K00.6
RESEP K04.1
15 sisa akar sakit sampai pusing - resep K04.1
resep K04.7
mau cabut gigi - resep K04.7
48 eugenol cavit / 16 gic K02.1;K04.0
gigi kanan masih sakit 48 impaksi - resep K01.1
konsultasi Z01.2
17 cabut permanen K04.1
74,84 pulp capping, SULUNG GIC K02.1
Ingin cabut gigi 44. Nekrose pulpa - konsultasi K04.1
46 GIC K02.1
74,75 eugenol cavit K04.0;K04.0
px ingin buat gigi palsu - konsultasi K06.8
BASIS, GIC 18 K02.1
resep K01.1
46 - peresepan obat K04.7
resep K04.0
scalling 6 K05.1
48 impaksi bengkak - resep K01.1
44,45 eugenol cavit K04.0
gic 18 K02.1
sulung gic 74,75 K02.1
37 nekrose pulpa - rujuk K04.1
12 komposit, 45 eugenol cavit K04.0;K02.1
tambalan gigi 48 sakit - resep K04.0
36 GIC K02.1
16 gic K02.1
71,81 cabut sulung ce K00.6;K00.6
22 GIC K02.1
resep K04.7;K01.1
36 periodontitis apikal akut - resep K04.4
resep K04.0
abses 23, resep K04.7
EUGENOL CAVIT K04.0
scalling 6 K05.1
35 gic K02.1
scaling 6 K05.3
45,47 gic K02.1;K02.1
74,84 eugenol cavit ulang K04.0;K04.0
scaling 6 K05.0
38 gic K02.1
scaling 3 K05.0
scaling 3 RA K05.1
komposit 21 22 K02.1
25 gic K02.1
34 38 gic K02.1
74,84 sulung gic K02.1;K02.1
GIC 25 K02.1
22, 23 komposit K02.1
rujuk K04.0
38 GIC K02.1
cabut sulung ce K00.6
46 gic K02.1
scaling 6 K05.1
scaling 6 K05.1
scaling 6 K05.1
scaling 2 K05.1
75,74 sulung gic K02.1;K04.0
scaling 6 K05.1
46 RUJUK HAJI ENDO K04.0
46 NEKROSE PULPA - RUJUK RS K04.1
44,45 PERIODONTITIS APICALIS - RUJUK RS UNAIR K04.5
gigi 11 nekrosis pulpa, rujuk sp endo K04.1
38 devitalisasi permanen K04.0
35 - rujuk RS HAJI K04.1
22 komposit K02.1
ingin cabut gigi, 38 karies dengan penyulit letak - rujuk rs unair K04.1
rujuk K04.1
rahang sakit untuk buka mulut - rujuk rs haji K07.6
rujuk RS Haji Sp Endodontic 47 K04.1
rujuk rs haji D10.2
46 nekrose pulpa rujuk K04.1
perpanjang rujukan K04.1
rujuk K01.1
PERPANJANG RUJUKAN K04.1
16,27 sisa akar - perpanjang rujukan ke rs haji K04.1
rujuk K04.1
scaling 6 K05.1
17 sisa akar - rujuk rs haji K04.1
25 non vital - sterilisasi 1 K04.1
15 rujuk K04.1
22 rujuk rs unair K04.0
25 - sterilisasi 2 (tkf cavit) K04.1
18, 48 impaksi - rujuk rs unair K01.1
38 impaksi - rujuk rsi a yani K01.1
61 luksasi - konsultasi K00.6
KONSULTASI PX TIDAK DATANG Z01.2
33 34 radang gusi, berkali kali sakit, sudah diobati tetap sakit - rujuk K05.0
konsultasi K02.0
konsultasi px tdk datang Z01.2
47 sterilisasi 1 K04.1
konsultasi Z01.2
konsultasi K05.3
konsultasi Z01.2
px ingin buat gigi palsu - konsultasi K08.2
mau periksa gigi tp takut - konsultasi Z01.2
konsultasi Z01.2
46 abses - resep K04.7
16,17 sisa akar abses - resep I10;K04.7
periksa gigi - konsultasi Z01.2
Konsultasi K05.3
konsultasi K02.1
26 luksasi derajat 1 - konsultasi K05.2
eugenol cavit 37, 46 grinding/ open boor K02.1;S02.5
26 luksasi derajat 1 - resep K05.2
rujuk K04.0
resep K04.0
resep K04.7
48 impaksi - resep K01.1
36 gic K02.1
24,25 eugenol cavit K04.0;K04.0
gic 46 K02.1
gic 16 K02.1
85 abses pro endo- rujuk rs K04.7
tambalan lepas dan sakit, 26 eugenol cavit - resep K04.0
open boor gigi 26 - resep K04.7
sulung gic 64 K02.1
64, 65 sulung GIC K02.1
26, 27 eugenol cavit K04.0
46 abses periapikal - resep dan rujuk rs K04.7
84 85 Eugenol cavit K04.0
44 gic K02.1
14 gic K02.1
scaling 6 K05.1
22 impaksi - rujuk rs haji K01.1
24, 44 eugenol cavit, 28 gic K04.0;K02.1
84,85 eugenol cavit K04.1
17 NON VITAL - NEKROSE PULPA RUJUK RS HAJI K04.1
47 - resep K05.5
resep K04.1
34 gic K02.1
cabut permanen 11 - resep K04.1
scaling 6 K05.1
38 gic fisur bukal K02.1
scaling 6 K05.1
46 47 gic K02.1
17 gic K02.1
46 gic K02.1
11 fraktur - cabut permanen S02.5
eugenol cavit 17 - resep K04.0
16 gic K02.1
gigi bengkak - resep K04.7
44, 46 gic K05.1
gic 36 K02.1
scaling 6 / 47 gic K02.1;K05.1
scaling 1 K05.1
KESUNDULAN . 81 CABUT SULUNG CE K00.6
gusi kanan bawah bengkak / 84,85 GP abses - resep K04.7
bengkak 18 - resep K04.7
84 85 eugenol cavit K04.0
37 pulp caping gic K04.0
46 GIC K02.1
scaling 6 K05.1
scaling 6 K05.1
scaling 3 / pulp caping, gic 36 K04.0;K05.1
36 Gangrene radix - cabut permanen K04.1
pulp cap gic 26 K02.1
resep K05.0
resep K12.1
scaling 1 regio - resep K05.0
35 gic K02.1
36 GIC K02.1
54 55 sulung gic K02.1
74 Eugenol cavit K02.1
74 terasa goyang lagi, pasien tidak kooperatif - resep S02.5
36 pro TS dengan hipersensitif pd mulut (muntah) - resep K04.0
resep K04.1
gigi 47 rujuk endo rshaji K04.1
open boor 11 K04.1
24 25 gic K02.1
resep K04.0
Kontrol tumpatan semetara. 46 gic K02.1
SCALING 6 K05.1
resep K04.1
resep K04.1
SCALING 6 K05.1
46 grinding/open boor K04.1
37 resep K04.7
scaling 3 K05.1
45 gic pulp caping K02.1
36 komposit K02.1
44, 46 gic K02.1
48 karies pulpa, eugenol cavit K04.0
26 gic K02.1
55, 84, 85 sulung gic K02.1
25,26 gic K02.1;K02.1
38 GIC K02.2
24 25 GIC K02.1
16,17 gic K02.1
gigi 37 eugenol cavit K04.1
13,14 komposit K03.1;K03.1
26 rujuk sp endo rs haji K04.7
36 gic K02.1
46 selapis tipis GIC, komposit K04.0
rujuk RS Unair Sp Endodonsi K04.1
14 GIC K02.1
21 gic K02.1
gic K02.1
26 gic K02.1
gic 35 K02.1
scaling 6 K05.1
37 gic K02.1
rujuk K10.0
47 gic K02.2
gigi 36 gic K02.1
komposit gigi 11,22 K02.1
46 perpanjang rujukan K04.1
74 sulung gic K02.1
komposit 12, 13 K02.1
75 sulung gic K02.1
scalling 6 K05.1
gic 17 K02.1
scalling 6 K05.1
cabut sulung injeksi 73 K00.6
84,85 sulung gic K04.0;K04.0
37 gic K02.1
scaling 6 K05.1
rujuk sp ekso - rs haji K07.3
53 cabut sulung injeksi K00.6
scaling 2 K05.1
ingin cabut gigi 26, rujuk rs haji K04.1
rujuk K04.1
scaling 6 K05.1
24,25,26 rujuk rs unair K04.1
perpanjangan rujukan K13.6
perpanjang rujukan K04.1
ingin minta rujukan gigi 75 nekrose pulpa pro PSA - rujuk rs unair K04.1
scaling 3 K05.1
scaling 6 K05.1
cabut permanen 17,18 K04.1
scaling 6 K05.1
TMD bagian kiri - rujuk K07.6
48 rujuk K04.0
38 impaksi - rujuk rs unair K01.1
37 nekrose pulpa, post abses - rujuk rs haji K04.1
18 rujuk S02.5
sariawan di bibir - resep K12.1
36 grinding / open boor K04.1
16 gic K02.1
gic 46 K02.1
17 pulp capping GIC K02.1
15 sekunder karies - komposit K02.1
47 gic K02.1
scaling 6 K05.1
konsultasi Z01.2
konsultasi K04.1
konsultasi K02.1
periksa gigi tdk mau buka mulut - konsultasi Z01.2
Konsultasi 45 Z01.2
47 - resep K04.4
resep K01.1;K04.1
RESEP K01.1
resep K04.7
RESEP K02.1
48 sisa akar nyeri bengkak, sudah minum amoksilin - resep K01.1
resep K04.7
resep K04.0;K01.1
resep K04.7
gigi nyeri- px sedang hamil, resep K04.0
eugenol cavit 24,28 - resep K04.0
46 sisa akar pro ekso di rs karena penyulit letak- resep K04.7
38 IMPAKSI - RESEP K01.1;K04.7
46 devitalisasi permanen - resep K04.0
resep K04.5
36 resep K04.7
resep K04.5
46 47 GIC K02.1
37 gic K02.1
46 devitalisasi permanen K04.0
gic 16 K02.1
gic 26 K02.1
16 devitalisasi permanen (tkf cavit) K04.0
44 gic K02.1
cabut sulung ce 71,81 K00.6
cabut sulung ce 71,81 K00.6;K00.6
scalling 6 K05.1
scaling 4 K05.1
cabut permanen S02.5
Scaling 4 regio K05.0
21 komposit K02.1
konsultasi K00.6
konsultasi K00.6
37 abses - sterilisasi 1 (tkf cavit) K04.1
konsultasi Z01.2
konsultasi K02.0
konsultasi Z01.2
konsultasi Z01.2
konsultasi K02.0
konsultasi Z01.2
konsultasi Z01.2
25 pro ekso di rs - konsultasi K04.1
konsultasi K02.1
konsultasi K04.1
konsultasi K00.6
konsultasi K00.6
konsultasi K00.6
36 non vital, sterilisasi 1 (tkf cavit) K04.1
konsultasi K00.6
konsultasi K02.1
konsultasi K02.1
konsultasi K00.6
konsultasi Z01.2
kONSULTASI Z01.2
konsultasi K00.6
kONSULTASI 74 Z01.2
37 sterilisasi 2 K04.1
kONSULTASI PERSISTENSI 71 K00.6
kONSULTASI 74 K02.1
kONSULTASI PERSISTENSI 61 K00.6
kONSULTASI 82 K00.6
kONSULTASI 54 K02.9
74,85 karies / konsultasi K02.1
ada gigi lubang 74,84 karies - konsultasi K02.1
ada gigi lubang, sakit / 84 pulpitis - konsultasi K04.0
periksa gigi / 51,61 persistensi - konsultasi K00.6
periksa gigi / 81 persistensi - konsultasi K00.6
periksa gigi - konsultasi Z01.2
74 karies - konsultasi K02.1
74,84 kaires - konsultasi K02.1
tidak ada keluhan, periksa gigi saja. konsultasi Z01.2
konsultasi K05.1
KONSULTASI K02.1
KONSULTASI K04.0
28 impaksi bucoversi - resep K01.1
37 abses, resep K04.7
74,75,84,85 lubang dan sakit- resep K04.0
resep K04.7
sariawan - resep K12.1
35 eugenol cavit K04.7;K04.0
36 abses dan luksasi - resep K05.2
abses o.k multiple gr - resep K04.7
resep K04.1
28 gic K02.1
75 sulung gic K04.0
resep K04.7
27 gangren pulpa kemarin masih sakit - resep K04.4
25 gic K02.1
36 dan 16 eugenol cavit K04.0
16,17 gic K02.1
46 plup caping, gic K04.0
85,84 pulpitis - resep K04.0
gigi bengkak - resep K04.7
55 karies pulpa abses - resep K04.7
resep K04.4
devitalisasi permanen (tkf cavit) 34 K04.0
resep K12.1
48 eugenol
Sakit cavit
gigi, gusi bengkak . Belum minum obat - resep K04.0
K05.2
resep K01.1
KONSULTASI K00.6
KONSULTASI Z01.2
46 GIC K04.0
KONSULTASI K00.6
KONSULTASI K02.1
resep K00.6
KONSULTASI Z01.2
47 - resep K04.7
KONSULTASI K04.0
KONSULTASI K02.1
abses periapikal, resep K04.7
14 15 EUGENOL CAVIT K04.0
KONSULTASI K00.6
KONSULTASI GIGI Z00.1
resep K01.1;K04.1
gigi berlubang 34, bengkak sudah 1 hari - resep K04.7
KONSULTASI Z00.1
44 gic K02.1
34 abses periapikal - resep K04.7
GIC 26 K02.1
SARIAWAN - RESEP K12.1
sariawan di lidah - resep K12.1
scaling 4 K05.1
resep K01.1
GIGI LUBANG, 85 KARIES, KONSULTASI K02.1
KONSULTASI K00.6
KONSULTASI K02.1
55 KARIES, KONSULTASI K02.1
75 KARIES PULPA, KONSULTASI K04.1
scaling 4 K05.1
gigi bawah kiri terasa bengkak - abses, resep K04.7
74 sulung GIC K02.1
24 GIC K02.1
12,16,44 gic K02.1;K02.1;K02.1
gic 16 K02.1
periksa gigi-KONSULTASI Z01.2
gic 14,15 K02.2
14 gic K02.1
71 PERSISTENSI, KONSULTASI K00.6
81 KESUNDULAN, KONSULTASI K00.6
Konsultasi 84 K02.1
scaling 4 K05.1
gic K02.1
36,16 gic K04.0
sulung gic 64, 65, 74 K02.1
scaling 2 K05.1
KONSULTASI Z00.2
38 48 gic K02.1
sulung gic 55, 65 K02.1
cabut sulung ce 71 81 K00.6
resep K04.0
EUGENOL CAVIT 28 - RESEP K04.0
75,85 abses resep K04.7
scaling 4 K05.1
scaling 4 K05.1
konsultasi Z01.2
tambalan lepas, 36 gic K02.1
konsultasi K00.6
konsultasi K02.1
gic 15,14 K02.1;K02.1
konsultasi K00.6
konsultasi K02.1
gic 36 K02.1
konsultasi K02.1
konsultasi K02.1
konsultasi K02.1
resep K04.7
konsultasi K04.1
36 gic K02.1
scaling 6 K05.1
48 bongkar tumpatan, rawat ulang (eugenol cavit) - resep K04.0
85 gic K02.1
46 gic K02.1
konsultasi K00.6
resep K04.0
scalling 4 dan cabut permanen 26 K05.3;K05.1
scaling 6 K05.1
27 gic K02.1
21 komposit K02.1
14 gic K02.1
GIC 47 K02.1
47 sterilisasi 1 (tkf cavit) K04.4
scaling 6 K01.1;K05.1
36 eugenol cavit ulang K04.0
71 81 cabut sulung ce K00.6
resep K04.7
CABUT PERMANEN 17 - RESEP K04.1
KONSULTASI K00.6
21 komposit K02.1
scaling 4 K05.1
Scalling 4 regio K05.0
scaling 6 K05.1
scaling 6 K05.1
sariawan - resep K12.1
konsultasi K04.7
74 Cabut sulung CE K00.6
84 85 sulung gic K04.0
scaling 6 K05.1
scaling 3 K05.1
37 Pulp caping, GIC K04.0
GIC 37 K02.1
46 Pulp caping GIC K02.1
36 gic pulp caping K02.1
gigi 26, 27 eugenol cavit K02.1
resep K05.3
36,25 gic K02.1;K02.1
konsultasi Z01.2
12 komposit K02.1
27 nekrose pulpa / grinding/ open boor K04.1
36 GIC K02.1

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No Status Tanggal Nama NIK Umur Tanggal Lahir

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