2023/01/ DIAN BPJS

1/24/2023 31/ 1848 YUDIAND KESEHAT 0 7,193 20,000 0

RJ0134 A AN

2023/01/ BPJS
SEPTIAN
1/24/2023 26/ 5994 KESEHAT 0 21,130 20,000 0
KURNIA
RJ0019 AN

2023/01/ M JIHADI BPJS

1/24/2023 31/ 4001 AKBARUD KESEHAT 0 1,049 0 0
RJ0061 IN AN

2023/01/ ARIP BPJS

1/24/2023 31/ 5995 PERMAN KESEHAT 0 21,534 0 0
RJ0063 A AN

2023/01/ SARTIMA BPJS

1/24/2023 31/ 1676 N KESEHAT 0 5,705 0 0
RJ0065 AN

2023/01/ BPJS
DADANG
1/24/2023 31/ 1310 SUGANDA KESEHAT 0 3,108 0 0
RJ0064 AN

2023/01/ BPJS
LUKMAN
1/24/2023 31/ 4489 KESEHAT 0 21,662 0 0
A
RJ0066 AN

2023/01/ DEDI BPJS

1/24/2023 31/ 3921 KURNIAW KESEHAT 0 5,705 0 0
RJ0069 AN AN

2023/01/ BPJS
AHMAD
1/24/2023 31/ 3402 KESEHAT 0 19,133 0 0
RJ0068 SOFIANDI AN

2023/01/ IMAM BPJS

1/24/2023 31/ 1883 KESEHAT 0 22,347 0 0
HIDAYAT
RJ0073 AN

2023/01/ H.ENDAN BPJS

1/24/2023 31/ 4501 G KESEHAT 0 21,334 0 0
RJ0071 SUTRISNA AN

2023/01/ BPJS
1/24/2023 31/ 5996 RATIJO KESEHAT 0 20,058 0 0
RJ0070 AN

2023/01/ BPJS
DADANG
1/24/2023 31/ 4877 SOFYAN KESEHAT 0 7,082 0 0
RJ0062 AN

2023/01/ BPJS
1/24/2023 31/ 4356 PURWAN KESEHAT 0 5,705 0 0
TO
RJ0067 AN
 2023/01/ BPJS
ACHMAT
1/24/2023 31/ 5388 KESEHAT 0 21,767 0 0
RJ0072 DJAMIKO AN

2023/01/ AGUS BPJS

1/24/2023 31/ 3934 PURWAN KESEHAT 0 13,428 0 0
RJ0076 TO AN

2023/01/ ADE BPJS

1/25/2023 26/ 2671 JAENUL KESEHAT 0 18,503 20,000 0
RJ0059 ROHMAN AN

2023/01/ BPJS
1/25/2023 31/ 5829 OTONG KESEHAT 0 21,334 0 0
RJ0082 AN

2023/01/ AEP BPJS

1/25/2023 31/ 1420 SAEFULLO KESEHAT 0 13,881 0 0
RJ0084 H AN

ASEP
2023/01/ BPJS
SETYA
1/25/2023 31/ 3878 PERMAN KESEHAT 0 17,657 0 0
RJ0087 AN
A

2023/01/ BPJS
KRISNA
1/25/2023 31/ 1550 KESEHAT 0 5,705 0 0
BUDIANA AN
RJ0090

2023/01/ AWAN BPJS

1/25/2023 31/ 2555 KUSTIAW KESEHAT 0 15,829 0 0
RJ0092 AN AN

2023/01/ SILVIA BPJS

1/25/2023 31/ 1330 SABILISSA KESEHAT 0 17,657 0 0
RJ0096 HIDA AN

2023/01/ PRABOW BPJS

1/25/2023 31/ 5008 O ADI KESEHAT 0 20,790 0 0
RJ0101 SAPUTRO AN

2023/01/ CUN BPJS

1/25/2023 31/ 1363 SISWAND KESEHAT 0 5,705 0 0
RJ0104 AR AN

VINNA
2023/01/ BPJS
KUSRINI
1/26/2023 31/ 3914 GANDAMI KESEHAT 0 19,429 0 0
RJ0018
HARDJA AN

2023/01/ BPJS
1/26/2023 31/ 3505 SONI KESEHAT 0 3,221 0 0
SOPIAN
RJ0019 AN
 2023/01/ BPJS
DJAENAL
1/26/2023 31/ 4760 KESEHAT 0 10,995 0 0
RJ0021 HAMDANI AN

HERU
2023/01/ BPJS
PRAMUSJ
1/26/2023 31/ 3579 KESEHAT 0 4,229 0 0
ANTO
RJ0015 AN
SLAMET

2023/01/ ARI BPJS

1/26/2023 31/ 4183 FADLANS KESEHAT 0 5,705 0 0
RJ0022 YAH AN

2023/01/ AGUS BPJS

1/26/2023 31/ 4181 KESEHAT 0 4,229 0 0
WAHYUDI
RJ0023 AN

2023/01/ HARI BPJS

1/26/2023 31/ 2122 KRISTIAN KESEHAT 0 21,168 0 0
RJ0024 TO AN

2023/01/ DADANG BPJS

1/26/2023 31/ 5809 SOFYAN KESEHAT 0 21,653 0 0
RJ0025 (IP) AN

2023/01/ DIKY BPJS

1/26/2023 31/ 6013 HENDRIY KESEHAT 0 24,838 0 0
RJ0028 ANA AN

2023/01/ SITI BPJS

1/26/2023 31/ 2545 NURAENI KESEHAT 0 13,428 0 0
RJ0135 MEGAWA AN
TI

2023/01/ SHENDY BPJS

1/27/2023 27/ 1819 KESEHAT 0 21,934 20,000 0
FEBRIAN AN
RJ0109

2023/01/ NUGRAH BPJS

1/27/2023 31/ 5206 A KESEHAT 0 5,705 0 0
RJ0013 MULYADI AN

2023/01/ AGUS BPJS

1/27/2023 31/ 1376 FITRIA KESEHAT 0 15,829 0 0
RJ0012 AN

2023/01/ DEDE BPJS

1/27/2023 31/ 4573 MULYAN KESEHAT 0 4,507 0 0
RJ0011 A AN

2023/01/ DIAN BPJS

1/27/2023 27/ 1848 YUDIAND KESEHAT 0 19,880 20,000 0
RJ0102 A AN

2023/01/ BPJS
1/27/2023 27/ 5628 YANWAR KESEHAT 0 23,362 20,000 0
HIDAYAT AN
RJ0101
 2023/01/ BPJS
YAYAT
1/27/2023 31/ 1521 KESEHAT 0 11,133 0 0
RJ0010 KURNIA AN

TRI
2023/01/ BPJS
BAROTO
1/27/2023 31/ 3882 KESEHAT 0 19,133 0 0
CAHYON
RJ0006 AN
O

2023/01/ SRI BPJS

1/27/2023 31/ 1368 HARYANT KESEHAT 0 13,428 0 0
RJ0005 I AN

2023/01/ SUGIYON BPJS

1/27/2023 31/ 1203 KESEHAT 0 5,705 0 0
O
RJ0004 AN

ARINAL
2023/01/ BPJS
HAQ
1/30/2023 30/ 768 ALMAULA KESEHAT 0 8,847 0 0
RJ0059 AN
, ST

2023/01/ DIAN BPJS

1/30/2023 30/ 6014 PERMAN KESEHAT 0 17,205 20,000 0
RJ0073 A AN

2023/01/ BPJS
1/30/2023 30/ 1344 SARBINI KESEHAT 0 2,276 0 0
RJ0062 AN

2023/01/ BPJS
1/30/2023 30/ 6015 TAUFIK KESEHAT 0 13,428 0 0
RJ0064 IQBAL AN

2023/01/ GALIH BPJS

1/30/2023 30/ 4059 TEJA KESEHAT 0 4,462 0 0
RJ0066 SANTIKA AN

2023/01/ DARIS BPJS

1/30/2023 30/ 841 MANTOR KESEHAT 0 13,428 0 0
RJ0068 O AN

2023/01/ AGUS BPJS

1/30/2023 30/ 1541 HIDAYAT KESEHAT 0 16,228 0 0
RJ0070 AN

2023/01/ BPJS
EDY
1/30/2023 30/ 800 KESEHAT 0 9,368 0 0
SETYONO
RJ0051 AN

2023/01/ DWI BPJS

1/30/2023 30/ 3945 SUPRAM KESEHAT 0 5,550 0 0
RJ0048 ONO AN

2023/01/ BPJS
1/30/2023 30/ 1258 SUPRIYAN KESEHAT 0 15,370 0 0
TO
RJ0046 AN
 2023/01/ BPJS
1/30/2023 30/ 3516 WAWAN KESEHAT 0 21,334 0 0
RJ0044 AN

2023/01/ ASEP BPJS

1/30/2023 30/ 5880 YANTO KESEHAT 0 23,088 0 0
RJ0040 EFFENDI AN

AGUS
2023/01/ BPJS
1/30/2023 30/ 1012 ROHMAT KESEHAT 0 23,110 0 0
NUGRAH
RJ0038 AN
A

RIAN
2023/01/ BPJS
INDRA
1/30/2023 30/ 2116 PURNAM KESEHAT 0 14,264 0 0
RJ0036 AN
A

2023/01/ SILVIA BPJS

1/30/2023 30/ 1330 SABILISSA KESEHAT 0 13,428 0 0
RJ0034 HIDA AN

2023/01/ RONI BPJS

INDRA
1/30/2023 30/ 3965 HERMAW KESEHAT 0 10,223 0 0
RJ0032 AN
AN

2023/01/ BPJS
1/30/2023 30/ 6016 DANU KESEHAT 0 18,171 0 0
SISMOYO
RJ0030 AN

2023/01/ BPJS
MUJIATN
1/30/2023 30/ 4051 KESEHAT 0 19,599 0 0
RJ0028 O AN

2023/01/ SUMARW BPJS

1/30/2023 30/ 1207 KESEHAT 0 18,515 0 0
AN
RJ0026 AN

2023/01/ BPJS
ANNISA
1/31/2023 31/ 4099 KESEHAT 0 8,791 0 0
FITRIA
RJ0053 AN

2023/01/
AHMAD BPJS
1/31/2023 31/ 3402 SOFIANDI KESEHAT 0 19,144 0 0
RJ0033 AN

2023/01/ BPJS
ASEP
1/31/2023 31/ 4595 KESEHAT 0 13,428 0 0
SUPRIADI
RJ0035 AN

2023/01/ BPJS
1/31/2023 31/ 4371 SUHANDA KESEHAT 0 21,767 0 0
RJ0037 AN

2023/01/ BPJS
SOMANT
1/31/2023 31/ 4275 KESEHAT 0 15,829 0 0
RI
RJ0039 AN
 2023/01/ BUDI BPJS
1/31/2023 31/ 4481 KURNIAW KESEHAT 0 10,995 0 0
RJ0043 AN AN

2023/01/ BPJS
YOGA
1/31/2023 31/ 1303 KESEHAT 0 19,599 0 0
SUGARA
RJ0041 AN

2023/01/ SUHARYO BPJS

1/31/2023 31/ 2005 KESEHAT 0 11,944 0 0
RJ0049 NO AN

2023/01/ BPJS
MARTON
1/31/2023 31/ 972 KESEHAT 0 18,515 0 0
O
RJ0045 AN

2023/01/ ARIF PUJI BPJS

1/31/2023 31/ 2560 SANTOSO KESEHAT 0 23,943 0 0
RJ0047 AN
0 0 0 0 27,193 0 0 27,193 dr. Arsyad

0 0 0 0 41,130 0 0 41,130 dr. Arsyad

0 0 0 0 1,049 0 0 1,049 dr. Arsyad

0 0 0 0 21,534 0 0 21,534 dr. Arsyad

0 0 0 0 5,705 0 0 5,705 dr. Arsyad

0 0 0 0 3,108 0 0 3,108 dr. Arsyad

0 0 0 0 21,662 0 0 21,662 dr. Arsyad

0 0 0 0 5,705 0 0 5,705 dr. Arsyad

0 0 0 0 19,133 0 0 19,133 dr. Arsyad

0 0 0 0 22,347 0 0 22,347 dr. Arsyad

0 0 0 0 21,334 0 0 21,334 dr. Arsyad

0 0 0 0 20,058 0 0 20,058 dr. Arsyad

0 0 0 0 7,082 0 0 7,082 dr. Arsyad

0 0 0 0 5,705 0 0 5,705 dr. Arsyad

0 0 0 0 21,767 0 0 21,767 dr. Arsyad

0 0 0 0 13,428 0 0 13,428 dr. Arsyad

0 0 0 0 38,503 0 0 38,503 dr. Arsyad

0 0 0 0 21,334 0 0 21,334 dr. Arsyad

0 0 0 0 13,881 0 0 13,881 dr. Arsyad

0 0 0 0 17,657 0 0 17,657 dr. Arsyad

0 0 0 0 5,705 0 0 5,705 dr. Arsyad

0 0 0 0 15,829 0 0 15,829 dr. Arsyad

0 0 0 0 17,657 0 0 17,657 dr. Arsyad

0 0 0 0 20,790 0 0 20,790 dr. Arsyad

0 0 0 0 5,705 0 0 5,705 dr. Arsyad

0 0 0 0 19,429 0 0 19,429 dr. Arsyad

0 0 0 0 3,221 0 0 3,221 dr. Arsyad

0 0 0 0 10,995 0 0 10,995 dr. Arsyad

0 0 0 0 4,229 0 0 4,229 dr. Arsyad

0 0 0 0 5,705 0 0 5,705 dr. Arsyad

0 0 0 0 4,229 0 0 4,229 dr. Arsyad

0 0 0 0 21,168 0 0 21,168 dr. Arsyad

0 0 0 0 21,653 0 0 21,653 dr. Arsyad

0 0 0 0 24,838 0 0 24,838 dr. Arsyad

0 0 0 0 13,428 0 0 13,428 dr. Arsyad

0 0 0 0 41,934 0 0 41,934 dr. Arsyad

0 0 0 0 5,705 0 0 5,705 dr. Arsyad

0 0 0 0 15,829 0 0 15,829 dr. Arsyad

0 0 0 0 4,507 0 0 4,507 dr. Arsyad

0 0 0 0 39,880 0 0 39,880 dr. Arsyad

0 0 0 0 43,362 0 0 43,362 dr. Arsyad

0 0 0 0 11,133 0 0 11,133 dr. Arsyad

0 0 0 0 19,133 0 0 19,133 dr. Arsyad

0 0 0 0 13,428 0 0 13,428 dr. Arsyad

0 0 0 0 5,705 0 0 5,705 dr. Arsyad

0 0 0 0 8,847 0 0 8,847 dr.Debby

0 0 0 0 37,205 0 0 37,205 dr.Debby

0 0 0 0 2,276 0 0 2,276 dr.Debby

0 0 0 0 13,428 0 0 13,428 dr.Debby

0 0 0 0 4,462 0 0 4,462 dr.Debby

0 0 0 0 13,428 0 0 13,428 dr.Debby

0 0 0 0 16,228 0 0 16,228 dr.Debby

0 0 0 0 9,368 0 0 9,368 dr.Debby

0 0 0 0 5,550 0 0 5,550 dr.Debby

0 0 0 0 15,370 0 0 15,370 dr.Debby

0 0 0 0 21,334 0 0 21,334 dr.Debby

0 0 0 0 23,088 0 0 23,088 dr.Debby

0 0 0 0 23,110 0 0 23,110 dr.Debby

0 0 0 0 14,264 0 0 14,264 dr.Debby

0 0 0 0 13,428 0 0 13,428 dr.Debby

0 0 0 0 10,223 0 0 10,223 dr.Debby

0 0 0 0 18,171 0 0 18,171 dr.Debby

0 0 0 0 19,599 0 0 19,599 dr.Debby

0 0 0 0 18,515 0 0 18,515 dr.Debby

0 0 0 0 8,791 0 0 8,791 dr.Debby

0 0 0 0 19,144 0 0 19,144 dr.Debby

0 0 0 0 13,428 0 0 13,428 dr.Debby

0 0 0 0 21,767 0 0 21,767 dr.Debby

0 0 0 0 15,829 0 0 15,829 dr.Debby

0 0 0 0 10,995 0 0 10,995 dr.Debby

0 0 0 0 19,599 0 0 19,599 dr.Debby

0 0 0 0 11,944 0 0 11,944 dr.Debby

0 0 0 0 18,515 0 0 18,515 dr.Debby

0 0 0 0 23,943 0 0 23,943 dr.Debby