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No UPTD Tanggal Nama Alamat NIK Umur JK Type Pasien No Kartu Nakes ICD X Berat Badan Tinggi Badan

NIK Umur JK Type Pasien No Kartu Nakes ICD X Berat Badan Tinggi Badan Tensi Atas Tensi Bawah Respiratory Rate Heart Rate Temperature
1 Pacarkeling 02-12-2019 MARIYAM PACARKELING 2/31 3578106611780004 41 P BPJS-Jamkesmas 0000788069046 dr.VICA I10 62 155 122 77 20 88 36
2 Pacarkeling 02-12-2019 SAPTI KALIKEPITING BHAKTI 33/2 3578104309400002 79 P BPJS-Jamkesmas 0001395572679 dr.WINDA WINASTUTI I10 58 154 135 78 20 76 36
3 Pacarkeling 02-12-2019 SITI SOPIJAH TEMBOK GEDE 6/10 SURABAYA 3578134306670001 52 P BPJS-Jamkesmas 0000789453819 dr.WINDA WINASTUTI I10 72 161 124 76 20 69 36
4 Pacarkeling 02-12-2019 SOETIAH KEDUNGTARUKAN 5/52 3578105203540003 65 P BPJS-Jamkesmas 0000788241521 dr.VICA I10 55 149 123 78 20 77 36
5 Pacarkeling 02-12-2019 SUKARLIK PACARKEMBANG 4/48-BLK 3578107006660061 53 P BPJS-Jamkesmas 0000788188061 dr.WINDA WINASTUTI I10 73 151 125 76 20 71 36
6 Pacarkeling 02-12-2019 TRI BANUN PUDJI ASTUTI KALASAN NO.46 3578105002560005 63 P BPJS-Askes 0000102092422 dr.VICA I10 59 144 122 75 20 72 36
7 Pacarkeling 02-12-2019 WARNI HIDAYAT KEDUNGSROKO BUNTU NO.8-A 3578103112630009 55 L BPJS-Mandiri 0001855450247 dr.VICA I10 65 165 125 76 20 74 36
8 Pacarkeling 03-12-2019 DJOKO SUSILO SLAMET RIYADI PACARKEMBANG GG.LANGGAR 6 3578102208630003 56 L BPJS-Jamkesmas 0001395566054 dr.WINDA WINASTUTI I10 65 162 129 75 20 93 36
9 Pacarkeling 03-12-2019 GUNAWAN bandoro pacarkembang 5c1/15 3578101505530005 65 L BPJS-Jamkesmas 0001543021953 dr.VICA H10.9;I10;E11.8 98 169 130 71 21 80 36
10 Pacarkeling 03-12-2019 MAGDALENA GERSIKAN 4/18 3578107011480003 69 P BPJS-Jamkesmas 0001395538097 dr.WINDA WINASTUTI I10 64 150 136 72 20 77 36
11 Pacarkeling 03-12-2019 MUKRI GUBENG MASJID 1/55 3578103006570173 62 L BPJS-Mandiri 0001281477431 dr.WINDA WINASTUTI I10 49 156 125 75 20 80 36
12 Pacarkeling 03-12-2019 RASMIN KALIKEPITING JAYA 2/39 3524130505710002 48 L BPJS-Mandiri 0002295038619 dr.VICA I10 66 157 123 78 20 74 36
13 Pacarkeling 03-12-2019 SITI SOPIJAH TEMBOK GEDE 6/10 SURABAYA 3578134306670001 52 P BPJS-Jamkesmas 0000789453819 dr.WINDA WINASTUTI I10 72 161 125 74 20 78 36
14 Pacarkeling 03-12-2019 SRI RUKMINI JEDONG 3/14 3578105509510004 68 P BPJS-Peserta Askes 0000111580031 dr.WINDA WINASTUTI I10 120 71
15 Pacarkeling 03-12-2019 SUKARLIK PACARKEMBANG 4/48-BLK 3578107006660061 53 P BPJS-Jamkesmas 0000788188061 dr.WINDA WINASTUTI I10 73 151 125 72 20 89 36
16 Pacarkeling 03-12-2019 TRI BANUN PUDJI ASTUTI KALASAN NO.46 3578105002560005 63 P BPJS-Askes 0000102092422 dr.WINDA WINASTUTI I10 59 144 126 76 20 80 36
17 Pacarkeling 03-12-2019 TUPAH KASETYO KEDUNG TARUKAN 5/79 3578105006530001 68 P BPJS-Askes 0000101854899 dr.VICA I10 65 157 134 77 20 80 36
18 Pacarkeling 04-12-2019 IKA AGUSTINA PACARKEMBANG 5-F/2 3578106708760007 43 P BPJS-Mandiri 0002249857225 dr.VICA I10 64 152 124 78 20 80 36
19 Pacarkeling 04-12-2019 JEMINEM ASMINARTI PACARKELING 2/16-A 3526185407770003 42 P BPJS-Jamkesmas 0002162828812 dr.VICA I10 68 150 129 74 20 87 36
20 Pacarkeling 04-12-2019 NOERADJI KEDUNG TARUKAN 2/44 3578100409560007 63 L BPJS-Mandiri 0001455054254 dr.VICA I10 68 166 120 75 20 73 36
21 Pacarkeling 04-12-2019 NOER AZIZAH PACARKEMBANG BUNTU NO. 11 3578106507670002 52 P BPJS-Mandiri 0001885995639 dr.VICA I10 48 144 126 78 20 80 36
22 Pacarkeling 04-12-2019 RASMIN KALIKEPITING JAYA 2/39 3524130505710002 48 L BPJS-Mandiri 0002295038619 dr.VICA I10 65 159 128 74 20 80 36
23 Pacarkeling 04-12-2019 SOETIAH KEDUNGTARUKAN 5/52 3578105203540003 65 P BPJS-Jamkesmas 0000788241521 dr.VICA I10 54 149 129 75 23 82 36.5
24 Pacarkeling 04-12-2019 SUHARSONO BRONGGALAN SAWAH 4-E/78 3578100206440003 75 L BPJS-Jamkesmas 0001395570723 dr.VICA I10 48 151 135 74 20 80 36
25 Pacarkeling 04-12-2019 UMI DAROJAH pacarkembang 3/35 3578107112410002 76 P BPJS-Askes 0000101829508 dr.VICA J00;I10 32 136 135 76 20 80 36
26 Pacarkeling 05-12-2019 AKIYAT PACARKEMBANG 1/47 3578100510510002 68 L BPJS-Jamkesmas 0001395568506 dr.WINDA WINASTUTI I10 67 155 134 79 20 80 36
27 Pacarkeling 05-12-2019 DJIMAN PACARKEMBANG 3/74 3578102006530007 66 L BPJS-Jamkesmas 0000789287141 dr.VICA I10 46 156 135 77 20 80 36
28 Pacarkeling 05-12-2019 JAHDI GUDEL KARANGGAYAM 1/3K 3578102206450002 74 L BPJS-Askes 0000101800113 dr.VICA I10 75 166 137 75 20 80 36
29 Pacarkeling 05-12-2019 JATMINAH GERSIKAN 2/1 3578106509550005 64 P BPJS-Mandiri 0001790831676 dr.VICA I10 60 154 124 76 20 94 30
30 Pacarkeling 05-12-2019 LUKITO pacarkeling 1/115 3578180905450000 74 L BPJS-Jamkesmas 0000788019153 dr.VICA I10 56 153 136 75 20 80 36
31 Pacarkeling 05-12-2019 SOEKAENI PACARKEMBANG 2/82 3578105308360002 83 P BPJS-Askes 0000071192237 dr.VICA I10 35 155 135 71 20 80 36
32 Pacarkeling 05-12-2019 SRI INDAH ISMUDJIATI PACARKEMBANG 6/9-A 3578104909680003 51 P BPJS-Jamkesmas 0001395545231 dr.SULUH RAHARDJO I10 54 155 121 77 20 79 36
33 Pacarkeling 05-12-2019 SUTIATI pacarkeling 5/23 3578105810530001 66 P BPJS-Jamkesmas 0000788344121 dr.WINDA WINASTUTI I10 50 151 136 76 20 93 36
34 Pacarkeling 05-12-2019 TI,AH 3578104306640001 55 P BPJS-Mandiri 0001901933313 dr.VICA I10 42 144 128 79 20 80 36
35 Pacarkeling 06-12-2019 CHOLIFAH KEDUNGSROKO 3/32 3578106106580003 61 P BPJS-Jamkesmas 0001395591243 dr.VICA I10;E11.8 54 142 126 78 20 81 69
36 Pacarkeling 06-12-2019 DJOEMIATI JEDONG 2/6 3578107112470001 71 P BPJS-Askes 0000071177602 dr.WINDA WINASTUTI I10;E11.8 51 151 131 71 20 77 36
37 Pacarkeling 06-12-2019 JAHDI GUDEL KARANGGAYAM 1/3K 3578102206450002 74 L BPJS-Askes 0000101800113 dr.WINDA WINASTUTI I10 75 166 135 77 21 79 36
38 Pacarkeling 06-12-2019 KARSI BRONGGALAN SAWAH 4-C/23 3578107005550010 64 P BPJS-Mandiri 0001461795287 dr.WINDA WINASTUTI I10 70 150 123 74 21 73 36.1
39 Pacarkeling 06-12-2019 LILIEN WAHYUNINGSIH PACARKEMBANG 7/16 3578106004670002 52 P BPJS-Jamkesmas 0001395573592 dr.WINDA WINASTUTI I10 52 155 125 73 20 68 36.5
40 Pacarkeling 06-12-2019 MAGDALENA GERSIKAN 4/18 3578107011480003 69 P BPJS-Jamkesmas 0001395538097 dr.WINDA WINASTUTI I10;E11.8 62 150 133 76 20 102 36
41 Pacarkeling 06-12-2019 NY SRIANI JOLOTUNDO NO.36 3578104107400001 79 P BPJS-Askes 0000071178917 dr.VICA I10 49 140 138 77 20 80 36
42 Pacarkeling 06-12-2019 RUDOLF bronggalan sawah 5 baru tengah 48 3578100111670005 49 L BPJS-Jamkesmas 0001050079498 dr.WINDA WINASTUTI L30.9;I10 74 174 124 79 20 102 36
43 Pacarkeling 06-12-2019 SUTAJI KENCANA BRONGGALAN SAWAH 1/17-A 3578100307770002 42 L BPJS-Jamkesmas 0000788234297 dr.WINDA WINASTUTI J00;I10 60 159 123 73 20 89 36
44 Pacarkeling 06-12-2019 SUYONO BRONGGALAN SAWAH 4-I/52 3578100608500001 69 L BPJS-Mandiri 0002236557148 dr.WINDA WINASTUTI I10 55 166 133 72 20 80 36
45 Pacarkeling 06-12-2019 WAGIMAN HADI PRAJITNO PACARKEMBANG 5/51 3578102406470004 72 L BPJS-Mandiri 0001470895301 dr.WINDA WINASTUTI I10 68 163 135 73 21 70 36.3
46 Pacarkeling 06-12-2019 WARSINI SAWENTAR NO.11 3578104107620005 57 P BPJS-Jamkesmas 0000788504275 dr.WINDA WINASTUTI M79.1;I10 70 145 123 77 22 89 36.2
47 Pacarkeling 06-12-2019 wiji KEDUNGSROKO 6/23 3578105806610005 58 P BPJS-Jamkesmas 0001878914575 dr.VICA I10 51 147 125 77 20 80 36
48 Pacarkeling 07-12-2019 NAINI ROMLAH KALIKEPITING BHAKTI 33/17 3578104407820010 37 P BPJS-Jamkesmas 0001395553948 dr.WINDA WINASTUTI I10 87 159 126 77 20 82 36
49 Pacarkeling 07-12-2019 SUPRIATIN KEDUNG TARUKAN WETAN NO. 8 3578106206610006 58 P BPJS-Jamkesmas 0001083549554 dr.WINDA WINASTUTI I10 70 153 121 78 20 80 36
50 Pacarkeling 09-12-2019 ANI PACAR KEMBANG XI/25A 3578106104660007 53 P BPJS-Mandiri 0002680738659 dr.WINDA WINASTUTI I10 68 156 126 73 20 80 36
51 Pacarkeling 09-12-2019 DIDIK KUSTONO KEDUNGTARUKAN BUNTU NO. 21 3578102911540001 65 L BPJS-Mandiri 0001227630813 dr.VICA I10 82 174 130 76 23 81 36
52 Pacarkeling 09-12-2019 SUTIATI pacarkeling 5/23 3578105810530001 66 P BPJS-Jamkesmas 0000788344121 dr.VICA I10 50 151 132 75 20 80 36
53 Pacarkeling 09-12-2019 SYAHRAWI PACARKEMBANG 5/41-B 3578100512720006 47 L BPJS-Mandiri 0001320265089 dr.VICA I10 89 168 125 76 22 85 36
54 Pacarkeling 10-12-2019 H. HASYIM/SANUR PACARKEMBANG LANGGAR NO. 8 3578101008520008 67 L BPJS-Mandiri 0001872656774 dr.VICA I10 70 169 134 77 20 80 36
55 Pacarkeling 10-12-2019 PRAWOTO BRONGGALAN SAWAH 5-B/15-A 3578100201530001 66 L BPJS-Jamkesmas 0000787450217 dr.VICA I10 60 151 135 74 20 80 36
56 Pacarkeling 10-12-2019 SAMIN JOLOTUNDO BARU 2/3 3578101812330004 85 L BPJS-Askes 0000071188222 dr.WINDA WINASTUTI I10;E11.9 73 168 132 77 22 88 36
57 Pacarkeling 10-12-2019 SUPENI KALIKEPITING JAYA 8-A/3 3578104101630003 56 P BPJS-Jamkesmas 0000787393449 dr.WINDA WINASTUTI I10 67 162 125 75 20 71 36
58 Pacarkeling 10-12-2019 SUSARNI SUTOREJO BARU 4 3578104511650014 54 P BPJS-Mandiri 0001259454532 dr.WINDA WINASTUTI J00;I10 59 148 134 73 20 89 36
59 Pacarkeling 10-12-2019 TAN, YULIANA JOLOTUNDO NO.1 3578104708550003 64 P BPJS-Jamkesmas 0001050068529 dr.VICA I10 55 150 125 74 20 80 36
60 Pacarkeling 11-12-2019 BUASIH KALIKEPITING NO. 23-B 3578105907660003 53 P BPJS-Jamkesmas 0000789405614 dr.VICA I10 62 157 125 79 20 80 36
61 Pacarkeling 11-12-2019 MINTARTI PACARKEMBANG 5-A/20 3578107006440074 75 P BPJS-Jamkesmas 0000788573788 dr.VICA I10 49 146 136 76 20 67 36
62 Pacarkeling 11-12-2019 PANIMIN PACARKELING 4/42 3578181203510000 68 L BPJS-Jamkesmas 0000788524479 dr.VICA I10 49 156 132 77 20 80 36
63 Pacarkeling 11-12-2019 SUPRIATIN KEDUNG TARUKAN WETAN NO. 8 3578106206610006 58 P BPJS-Jamkesmas 0001083549554 dr.VICA I10 69 153 125 77 20 74 36
64 Pacarkeling 12-12-2019 PATRI PACARKEMBANG 5-B1/38 3578105510450001 74 P BPJS-Jamkesmas 0000788271276 dr.VICA I10 55 148 138 78 20 80 36
65 Pacarkeling 12-12-2019 soejinah gubeng masjid 2/11 3578105306480004 71 P BPJS-Jamkesmas 0001395537862 dr.VICA M54.5;I10 60 153 136 76 20 88 36
66 Pacarkeling 12-12-2019 SUDARMAJI TAPAKSIRING NO. 2 3578101102620005 57 L BPJS-Mandiri 0001402255912 dr.VICA E11.8;I10 64 167 126 71 20 80 36
67 Pacarkeling 12-12-2019 SUPIAH PACARKEMBANG 3/58 3578104912530005 66 P BPJS-Jamkesmas 0001395576573 dr.VICA I10 69 48 131 78 20 80 36
68 Pacarkeling 13-12-2019 JUMA ATI PACARKEMBANG 8/31A 3578185304730000 46 P BPJS-Mandiri 0000787434208 dr.SULUH RAHARDJO I10 63 153 123 72 20 89 36
69 Pacarkeling 13-12-2019 MURTI PACARKEMBANG KITIRAN NO.20 3578104402420007 77 P BPJS-Askes 0000205291732 dr.WINDA WINASTUTI I10 85 156 139 72 20 80 36
70 Pacarkeling 13-12-2019 RIAMI BRONGGALAN SAWAH 4-C/21 3578105011600010 59 P BPJS-Jamkesmas 0001050081006 dr.SULUH RAHARDJO I10 56 146 121 78 20 77 36
71 Pacarkeling 14-12-2019 HARTUTI KEDUNG SROKO TEGAL 2/8 3578105505480003 71 P BPJS-Mandiri 0001269301904 dr.VICA I10 50 145 133 77 20 80 36
72 Pacarkeling 14-12-2019 SUWARDJOJO BRONGGALAN SAWAH 1/18 3578100507560004 63 L BPJS-Jamkesmas 0002162837215 dr.WINDA WINASTUTI I10 53 157 125 75 20 80 36
73 Pacarkeling 16-12-2019 ANDA KUSUMA PACARKEMBANG 3/39 3578100709830001 36 L BPJS-Jamkesmas 0000789372336 dr.VICA I10 52 166 123 77 20 87 36
74 Pacarkeling 16-12-2019 GUSWATI, SPD. PLOSO TIMUR 10/117 3578105708650007 54 P BPJS-Mandiri 0001788964751 dr.VICA I10 65 146 126 71 20 107 36
75 Pacarkeling 16-12-2019 ISNAN BRONGGALAN SAWAH TIMUR 2/16 3578100807460002 73 L BPJS-Jamkesmas 0001395562983 dr.VICA I10 40 160 137 72 20 80 36
76 Pacarkeling 16-12-2019 KATINAH GERSIKAN 1/10 3578184704320000 87 P BPJS-Jamkesmas 0000788554012 dr.VICA I10 33 133 136 72 20 80 36
77 Pacarkeling 16-12-2019 MARIANI/NURSIATI GERSIKAN 1/26 3578104612530002 66 P BPJS-Mandiri 0001701000055 dr.VICA I10 48 144 131 74 20 80 36
78 Pacarkeling 16-12-2019 SITI AMINAH SAWENTAR BARAT I/5S 3578107006550156 64 P BPJS-Jamkesmas 0000788450016 dr.VICA J00;I10 66 157 123 77 20 80 36
79 Pacarkeling 16-12-2019 SUPARTI gersikan baru 1 3578107006570112 60 P BPJS-Jamkesmas 0000788172669 dr.VICA I10 152 65 124 75 20 75 36
80 Pacarkeling 16-12-2019 SUTEINO PACAR KEMBANG 5-C-1/30-B 3578100906550001 64 L BPJS-Mandiri 0002069517071 dr.VICA I10 87 178 125 74 20 88 36
81 Pacarkeling 16-12-2019 TRININGSIH DJOHAR ROHANA PACARKELING 10/3 3578105106620005 57 P BPJS-Mandiri 0001406193298 dr.VICA I10 55 149 126 72 20 117 36
82 Pacarkeling 17-12-2019 MASRADIANA KEDUNGTARUKAN BUNTU NO.29 3578106304780005 41 P BPJS-Mandiri 0001182361588 dr.WINDA WINASTUTI I10 74 157 124 73 23 75 36
83 Pacarkeling 17-12-2019 Musti Karanggayam 1/3B 3578107006440103 75 P BPJS-Peserta Askes 0000071180932 dr.VICA I10 79 150 138 71 20 80 36
84 Pacarkeling 17-12-2019 SAMPURNO GERSIKAN 2/17 3578101002590005 60 L BPJS-Mandiri 0001430014184 dr.VICA I10 85 170 127 78 20 80 36
85 Pacarkeling 17-12-2019 SUDARSIH GUBENG MASJID 5/15 3578104808490002 71 P BPJS-Jamkesmas 0000787909882 dr.WINDA WINASTUTI J00;I10;E11.8 55 144 136 77 20 80 36
86 Pacarkeling 17-12-2019 TITIK ENDANG SRI HARDJANTI GUBENG MASJID 1/19 3578106802490001 70 P BPJS-Mandiri 0001313568066 dr.WINDA WINASTUTI I10 60 156 138 71 20 80 36
87 Pacarkeling 18-12-2019 ABDUL LADZIM PACARKEMBANG 71-D 3578100104490002 70 L BPJS-Jamkesmas 0002763856034 dr.VICA I10 57 158 137 79 20 80 36
88 Pacarkeling 18-12-2019 MARIYANI JEDONG 1/25 3578107006490047 70 P BPJS-Jamkesmas 0002161910261 dr.VICA I10 31 130 136 79 20 80 36
89 Pacarkeling 18-12-2019 MUDNIN PACARKEMBANG 10/32 3515064904440001 75 P BPJS-Jamkesmas 0002164643976 dr.VICA I10 36 131 133 76 20 80 36
90 Pacarkeling 18-12-2019 SARDJONO KARANGGAYAM TERATAI 20A 3578102207580001 61 L BPJS-Jamkesmas 0001395526432 dr.VICA I10 104 165 127 77 20 106 36
91 Pacarkeling 18-12-2019 SOEMIATI GUBENG MASJID 6/63 3578104812480003 71 P BPJS-Jamkesmas 0000788063376 dr.VICA M79.1;I10 60 145 134 76 20 80 36
92 Pacarkeling 18-12-2019 SUDIRO PLOSO 4/9 3524131509800001 39 L BPJS-Mandiri 0002032810233 dr.VICA I10 67 164 125 72 20 91 36
93 Pacarkeling 19-12-2019 BAMBANG HARIADI kedung tarukan 7/22 3578101306530002 66 L BPJS-Askes 0000102395823 dr.WINDA WINASTUTI I10 80 167 134 72 20 77 36
94 Pacarkeling 19-12-2019 DRA. EC. RR. SETYA RAHAYU BRONGGALAN 2/58 3578104106590004 60 P BPJS-Askes 0000099807063 dr.VICA I10 59 152 121 70 20 80 36
95 Pacarkeling 19-12-2019 ENDANG ELIATI PACARKEMBANG KITIRAN NO. 10 3578104711660001 53 P BPJS-Jamkesmas 0001395576167 dr.VICA I10 61 144 124 76 20 80 36
96 Pacarkeling 19-12-2019 KUSMIATI BRONGGALAN SAWAH 5 BARU TGH 33 3578105507830008 36 P BPJS-Jamkesmas 0002217268067 dr.WINDA WINASTUTI I10 76 150 128 72 20 80 36
97 Pacarkeling 19-12-2019 MINAH GERSIKAN 2/27 3578107006430099 76 P BPJS-Askes 0000071188481 dr.VICA I10 65 151 136 76 20 80 36
98 Pacarkeling 19-12-2019 SAMSIJATI PACARKEMBANG 2/123-A 3578106011510004 68 P BPJS-Askes 0000071186826 dr.VICA I10 59 141 134 72 20 80 36
99 Pacarkeling 19-12-2019 SOEGINEM PACARKEMBANG 8/6 3578107006470103 72 P BPJS-Askes 0000101802475 dr.VICA I10 29 149 139 71 20 80 36
100 Pacarkeling 19-12-2019 sulastri pacarkeling 6/53 3578106604640007 54 P BPJS-Jamkesmas 0000788390594 dr.WINDA WINASTUTI I10 58 136 125 74 20 85 36
101 Pacarkeling 19-12-2019 UMI KODIAH KAPAS BARU 1/56 3578105302670004 52 P BPJS-Jamkesmas 0002680738931 dr.WINDA WINASTUTI M79.1;I10 53 141 126 75 20 81 36
102 Pacarkeling 20-12-2019 AMIR HAMZAH PACARKEMBANG 3/60 3578101206440001 75 L BPJS-Jamkesmas 0001395590466 dr.VICA I10 58 153 135 79 20 80 36
103 Pacarkeling 20-12-2019 ERNIE BEATRIS TABANG PACARKEMBANG 8/46-A 3578105805400002 79 P BPJS-Jamkesmas 0001701061885 dr.VICA I10 50 146 138 71 20 80 36
104 Pacarkeling 20-12-2019 MAT KOESAERI PACARKEMBANG 2/122-A 3578100506510009 68 L BPJS-Mandiri 0001315203579 dr.VICA I10 63 168 139 77 20 80 36
105 Pacarkeling 20-12-2019 MUDJI RAHAYU BRONGGALAN SAWAH 4-I/52 3578107006690040 50 P BPJS-Jamkesmas 0001050075101 dr.VICA I10 59 144 126 74 20 80 36
106 Pacarkeling 20-12-2019 SUHARTINI KALIKEPITING BHAKTI 31/12 3578104604500002 69 P BPJS-Askes 0000071043063 dr.VICA I10 55 150 135 72 20 86 36
107 Pacarkeling 20-12-2019 TUKIYAH bronggalan sawah 4a/51 3578104206530004 64 P BPJS-Jamkesmas 0000787425197 dr.VICA I10 64 138 125 73 20 80 36
108 Pacarkeling 21-12-2019 SURYANTORO sepanjang 33 3515130510670015 52 L BPJS-Askes 0000099808457 dr.VICA I10 70 155 126 71 20 80 36
109 Pacarkeling 21-12-2019 WARNI HIDAYAT KEDUNGSROKO BUNTU NO.8-A 3578103112630009 55 L BPJS-Mandiri 0001855450247 dr.VICA I10 62 165 123 72 20 81 36
110 Pacarkeling 23-12-2019 HARSONO BRONGGALAN SAWAH 1/31 3578101110550001 64 L BPJS-Jamkesmas 0000789341185 dr.VICA I10 62 167 124 77 20 80 36
111 Pacarkeling 23-12-2019 JATINI KEDUNG SROKO 76-A 3578104404480005 71 P BPJS-Jamkesmas 0001395591456 dr.VICA I10 54 149 136 71 20 80 36
112 Pacarkeling 23-12-2019 MUADI KALIKEPITING JAYA 10/16 3578101302540001 65 L BPJS-Mandiri 0001389989507 dr.VICA I10 74 169 130 72 20 80 36
113 Pacarkeling 23-12-2019 NOERADJI KEDUNG TARUKAN 2/44 3578100409560007 63 L BPJS-Mandiri 0001455054254 dr.SULUH RAHARDJO I10 65 166 125 71 20 72 36
114 Pacarkeling 23-12-2019 ROFI`I PACARKEMBANG LANGGAR 11 3578100407470003 72 L BPJS-Jamkesmas 0001050078868 dr.SULUH RAHARDJO E11.0;I10 40 156 137 72 20 114 36
115 Pacarkeling 23-12-2019 SITI ISTIQOMAH PLOSO TIMUR 1/85 3578104111650002 54 P BPJS-Mandiri 0000100844425 dr.VICA I10 54 149 126 71 20 95 36
116 Pacarkeling 23-12-2019 SRI RUKMINI JEDONG 3/14 3578105509510004 68 P BPJS-Peserta Askes 0000111580031 dr.VICA I10 59 145 131 73 20 72 36
117 Pacarkeling 23-12-2019 SULIANAH pacar kembang 10/14 3578106303580005 59 P BPJS-Askes 0000071175205 dr.VICA I10 56 153 125 75 20 80 36
118 Pacarkeling 24-12-2019 BAMBANG MUDIARTO KEDUNG TARUKAN 5/54-B 3576021108500001 69 L BPJS-Askes 0000100685171 dr.VICA I10 65 161 134 76 20 77 36
119 Pacarkeling 24-12-2019 SULISTIJOWARNI PACARKEMBANG 5/55 3578105203580006 61 P BPJS-Mandiri 0001230138786 dr.VICA I10;E11.8 62 142 124 79 20 80 36
120 Pacarkeling 26-12-2019 ANA SUWARNI PACARKEMBANG 3/68-D 3578105805590004 60 P BPJS-Peserta Askes 0000789335943 dr.WINDA WINASTUTI I10 55 159 126 74 20 80 36.5
121 Pacarkeling 26-12-2019 ESTI BUDI RAHAYU PACARKELING 8/20 3578104703700001 49 P BPJS-Mandiri 0001612144304 dr.WINDA WINASTUTI E78.0;I10;E11.8 53 151 125 73 20 80 36
122 Pacarkeling 26-12-2019 MINTARTI PACARKEMBANG 5-A/20 3578107006440074 75 P BPJS-Jamkesmas 0000788573788 dr.WINDA WINASTUTI I10 50 146 134 77 20 66 36
123 Pacarkeling 26-12-2019 MISKE KEDUNGTARUKAN 3/6 3578105207570011 62 P BPJS-Mandiri 0002063156051 dr.WINDA WINASTUTI I10 73 146 126 76 20 79 36
124 Pacarkeling 26-12-2019 MOCH. AINI SALEH pacarkembang 3/63 3578101708310002 88 L BPJS-Jamkesmas 0001395584144 dr.WINDA WINASTUTI I10 39 154 136 72 20 80 36
125 Pacarkeling 26-12-2019 SITI FATIMAH JEDONG 1/1 1256184407570002 62 P BPJS-Jamkesmas 0002161908909 dr.WINDA WINASTUTI I10 53 159 125 72 20 80 36
126 Pacarkeling 26-12-2019 SUPRIATIN KEDUNG TARUKAN WETAN NO. 8 3578106206610006 58 P BPJS-Jamkesmas 0001083549554 dr.WINDA WINASTUTI I10 69 151 124 76 20 81 36
127 Pacarkeling 26-12-2019 TAKARI TRI WAHYUDI PACARKELING 8/20 3578100701660004 53 L BPJS-Mandiri 0001612144293 dr.WINDA WINASTUTI L30.9;I10 80 163 122 71 20 80 36
128 Pacarkeling 27-12-2019 CHOTIDJAH PACARKEMBANG TENGAH NO. 26 3578105707360002 83 P BPJS-Jamkesmas 0000101784216 dr.WINDA WINASTUTI I10 45 139 136 75 20 80 36
129 Pacarkeling 27-12-2019 DJUMINEM KALIKEPITING 47/25 3578107008620009 57 P BPJS-Jamkesmas 0000789186688 dr.WINDA WINASTUTI I10 52 140 122 79 20 80 36
130 Pacarkeling 27-12-2019 NUR AFIFAH PACARKEMBANG 10/28 3516186007760002 43 P BPJS-Mandiri 0002354300561 dr.WINDA WINASTUTI I10 62 151 121 76 20 80 36
131 Pacarkeling 27-12-2019 SATUN GERSIKAN 1/23 3578105001590001 60 P BPJS-Jamkesmas 0001395538558 dr.WINDA WINASTUTI I10 28 150 123 72 20 80 36
132 Pacarkeling 28-12-2019 MARIYATI KEDUNGTARUKAN 5/7-A 3578105902650002 54 P BPJS-Mandiri 0001836694427 dr.VICA I10 76 156 124 72 20 80 36
133 Pacarkeling 28-12-2019 NING PACARKEMBANG 5-B-2/12 3524126911590001 60 P BPJS-Mandiri 0002737834007 dr.WINDA WINASTUTI I10 54 145 126 73 20 80 36
134 Pacarkeling 28-12-2019 POPPY AGUSTIN JAGIRAN 1/65 3578106908540002 65 P BPJS-Mandiri 0001467823274 dr.WINDA WINASTUTI I10 52 150 129 75 20 80 36
135 Pacarkeling 30-12-2019 AMIJATI BRONGGALAN 2C/23 3578105406480004 71 P BPJS-Peserta Askes 0000101828676 dr.WINDA WINASTUTI I10 44 145 136 76 20 71 36
136 Pacarkeling 30-12-2019 DJUMINEM KALIKEPITING 47/25 3578107008620009 57 P BPJS-Jamkesmas 0000789186688 dr.WINDA WINASTUTI I10 51 140 125 78 20 80 36
137 Pacarkeling 30-12-2019 KASTONAH KEDUNG TARUKAN 2/24A 1256184412450001 74 P BPJS-Peserta Askes 0000101804084 dr.WINDA WINASTUTI I10 54 144 133 76 20 80 36
138 Pacarkeling 30-12-2019 MOEDJIATUN PACARKEMBANG GANG LANGGAR NO.43578105503670009 52 P BPJS-Jamkesmas 0000788157821 dr.WINDA WINASTUTI J00;I10;M15.4 60 145 126 77 20 80 36
139 Pacarkeling 30-12-2019 NUR FADHILAH OKTARIVANI PACAR KEMBANG 105 A 3578105110860004 33 P BPJS-Mandiri 0001288292837 dr.WINDA WINASTUTI I10 76 150 125 76 20 80 36
140 Pacarkeling 30-12-2019 PENI SUPRAPTI BRONGGALAN SAWAH 4-C/62 3578104708570005 62 P BPJS-Jamkesmas 0001395584267 dr.WINDA WINASTUTI I10 45 149 122 72 20 80 36
141 Pacarkeling 30-12-2019 SITI MUNAWAROH PACARKELING 9/8 A 3578106905690004 50 P BPJS-Jamkesmas 0000788364011 dr.WINDA WINASTUTI I10 59 152 125 72 20 80 36
142 Pacarkeling 30-12-2019 SOEWODJO KALIKEPITING JAYA 1/53 3578102906370001 82 L BPJS-Mandiri 0001270242325 dr.WINDA WINASTUTI I10 46 157 137 79 20 80 36
143 Pacarkeling 30-12-2019 SUPENI KALIKEPITING JAYA 8-A/3 3578104101630003 56 P BPJS-Jamkesmas 0000787393449 dr.WINDA WINASTUTI I10 67 162 126 77 20 80 36
144 Pacarkeling 30-12-2019 SUWANINGSIH PACARKEMBANG 4/40 3578105212540002 65 P BPJS-Jamkesmas 0001050080152 dr.WINDA WINASTUTI I10 66 159 126 72 20 80 36
145 Pacarkeling 30-12-2019 WITJAKSONO BRONGGALAN 1/29-B 3578101711650003 54 L BPJS-Jamkesmas 0001705411078 dr.WINDA WINASTUTI I10 75 160 126 77 20 80 36
146 Pacarkeling 31-12-2019 DJULIONO JEDONG NO.32-C 3578102007680003 51 L BPJS-Mandiri 0001421278896 dr.WINDA WINASTUTI I10 63 159 125 75 20 80 36
147 Pacarkeling 31-12-2019 H. KOESNAN ENIK SISWANTO,BA.SHGERSIKAN 6/10 3578101504470004 72 L BPJS-Askes 0000101794331 dr.WINDA WINASTUTI I10 58 161 134 79 20 80 36

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