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<h1>FORMULIR REGISTRASI IBU HAMIL YANG MELAKUKAN TRIPLE ELIMINASI (HIV,SIFILIS,DAN


HEPATITIS)</h1>
<table>
<tr>
<td><h3><b>Tahun</b> : 2023<h3></td>
<td><h3><b>Bulan</b> : <h3></td>
</tr>
</table><br/><br/>
<body>
<table width="100%" class="content_table">
<tr class="content_header">

<td class="head-one" rowspan="4" valign="middle">No</td>


<td class="head-one" colspan="3" valign="middle">Tanggal Screening</td>
<td class="head-one" rowspan="4" valign="middle">NIK</td>
<td class="head-one" rowspan="4" valign="middle">Nama</td>
<td class="head-one" rowspan="4" valign="middle">Umur</td>
<td class="head-one" rowspan="4" valign="middle">No Kontak
(HP/telpon)</td>
<td class="head-one" rowspan="4" valign="middle">Desa</td>
<td class="head-one" rowspan="4" valign="middle">Alamat</td>
<td class="head-one" rowspan="4" valign="middle">Jenis
Pekerjaan</td>
<td class="head-one" colspan="3" valign="middle">Status
Kehamilan</td>
<td class="head-one" colspan="3" valign="middle"
style="width:180px" nowrap>Hasil Pemeriksaan (PKM)</td>
<td class="head-one" colspan="5" rowspan='2'
valign="middle">Bumil Ditandatangani/dirujuk <br/>(Y/T)</td>
<td class="head-one" rowspan="4" valign="middle">Faskes Rujukan
TTL</td>
<td class="head-one" rowspan="4" valign="middle">Pasangan Ibu HIV
Mengetahui Status HIVnya? (Y/T)</td>
<td class="head-one" rowspan="4" valign="middle">Pasangan
diperiksa SIFILIS? (Y/T)</td>
<td class="head-one" colspan="3" valign="middle">Persalinan</td>
<td class="head-one" colspan="9" valign="middle">Pemantaun Bayi
dari Ibu HIV</td>
<td class="head-one" colspan="3" valign="middle">Pemantaun Bayi
dari Ibu SIFILIS</td>
<td class="head-one" colspan="9" valign="middle">Pemantauan Bayi
Hepatitis (0-12 bulan)</td>
<td class="head-one" rowspan="4" valign="middle">Keterangan</td>
</tr>
<tr class="content_header">
<td class="head-two" rowspan="3" valign="middle"> HBsAg</td>
<td class="head-two" rowspan="3" valign="middle"> HIV</td>
<td class="head-two" rowspan="3" valign="middle"> Sifilis</td>
<td class="head-two" rowspan="3" valign="middle"> Status GPA</td>
<td class="head-two" rowspan="3" valign="middle"> Umur Kehamilan</td>
<td class="head-two" rowspan="3" valign="middle"> Taksiran Partus</td>
<td class="head-two" valign="middle"> HIV</td>
<td class="head-two" valign="middle"> Sifilis</td>
<td class="head-two" valign="middle"> HBsAG</td>
<td class="head-two" rowspan="3"> Jumlah Anak dilahirkan</td>
<td class="head-two" rowspan="3"> Tempat</td>
<td class="head-two" rowspan="3"> Tanggal</td>
<td class="head-two" rowspan="3"> Profilaksis ARV (Tanggal)</td>
<td class="head-two" colspan="2" rowspan="2"> DBS EID pada usia 6 -8
mgg (Tanggal)</td>
<td class="head-two" colspan="2" rowspan="2"> Konfirmasi EID dlm 12
bln (Tanggal)</td>
<td class="head-two" colspan="2" rowspan="2"> anak balita yang
dideteksi serologis HIV usia > 9 bln (Tanggal)</td>
<td class="head-two" rowspan="3"> balita + dirawat di PDP
(Tanggal)</td>
<td class="head-two" rowspan="3"> balita + mendapat ARV
(Tanggal)</td>
<td class="head-two" rowspan="3"> bayi ditangani/ dirujuk (Y/T)</td>
<td class="head-two" colspan="2" rowspan="2"> Usia < 2 thn diperiksa
sifilis</td>
<td class="head-two" colspan="2"> Tgl/ Jam Imunisasi</td>
<td class="head-two" colspan="3"> Tgl Imunisasi</td>
<td class="head-two" colspan="4"> Hasil Pemeriksaan Bayi (9-12
Bln)</td>
</tr>
<tr class="content_header">
<td class="head-two" rowspan="2" valign="middle"> R/NR</td>
<td class="head-two" rowspan="2" valign="middle"> R/NR</td>
<td class="head-two" rowspan="2" valign="middle"> R/NR</td>
<td class="head-two" colspan="2" valign="middle"> HIV</td>
<td class="head-two" colspan="2" valign="middle"> SIFILIS</td>
<td class="head-two" rowspan="2" valign="middle"> HEP B</td>
<td class="head-two" rowspan="2" valign="middle"
style="width:300px;white-space:nowrap"> HB 0</td>
<td class="head-two" rowspan="2" valign="middle"
style="width:300px;white-space:nowrap"> HBIg</td>
<td class="head-two" rowspan="2" valign="middle"
style="width:300px;white-space:nowrap"> DPT/HB 1</td>
<td class="head-two" rowspan="2" valign="middle"
style="width:300px;white-space:nowrap"> DPT/HB 2</td>
<td class="head-two" rowspan="2" valign="middle"
style="width:300px;white-space:nowrap"> DPT/HB 3</td>
<td class="head-two" colspan="2"valign="middle"> HBsAg</td>
<td class="head-two" colspan="2" valign="middle"> Anti HBs</td>
</tr>
<tr class="content_header">
<td class="head-two" valign="middle"> Tgl Masuk PDP</td>
<td class="head-two" valign="middle"> Tgl Mendapat/ Memulai ARV</td>
<td class="head-two" valign="middle"> Ditangani</td>
<td class="head-two" valign="middle"> Diobati adequat</td>
<td class="head-two" valign="middle"> Tanggal</td>
<td class="head-two" valign="middle"> Hasil</td>
<td class="head-two" valign="middle"> Tanggal</td>
<td class="head-two" valign="middle"> Hasil</td>
<td class="head-two" valign="middle"> Tanggal</td>
<td class="head-two" valign="middle"> Hasil</td>
<td class="head-two" valign="middle"> Tanggal</td>
<td class="head-two" valign="middle"> Hasil</td>
<td class="head-two" valign="middle"> Tanggal</td>
<td class="head-two" valign="middle"> Hasil</td>
<td class="head-two" valign="middle"> Tgl</td>
<td class="head-two" valign="middle"> Hasil</td>
</tr>
<tbody style="text-align:left">
<tr align="left">
<td>1</td>
<td nowrap>07 Januari 2023</td>
<td nowrap>07 Januari 2023</td>
<td nowrap>07 Januari 2023</td>
<td nowrap>62 12 01 501084 0014</td>
<td nowrap>MARYANI</td>
<td nowrap>
38 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap></td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G1P2A0</td>
<td nowrap>10</td>
<td nowrap>16 Oktober 2023</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>R</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>Y</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>1</td>
<td nowrap></td>
<td nowrap>17 Juni 2023 Jam 10:02:00</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap><br/></td>
<td style="width:100px !important;" nowrap>17 Juni 2023 Jam
10:03:00<br/></td>
<td style="width:100px !important;" nowrap><br/></td>
<td style="width:100px !important;" nowrap><br/></td>
<td style="width:100px !important;" nowrap><br/></td>
<td style="width:100px !important;" nowrap><br/></td>
<td style="width:100px !important;" nowrap><br/></td>
<td style="width:100px !important;" nowrap><br/></td>
<td style="width:100px !important;" nowrap><br/></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_0',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_0',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>2</td>
<td nowrap>10 Januari 2023</td>
<td nowrap>10 Januari 2023</td>
<td nowrap>10 Januari 2023</td>
<td nowrap>62 12 01 550588 0001</td>
<td nowrap>AMALIA</td>
<td nowrap>
35 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap></td>
<td nowrap>Karyawan Swasta</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_1',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_1',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>3</td>
<td nowrap>10 Januari 2023</td>
<td nowrap>10 Januari 2023</td>
<td nowrap>10 Januari 2023</td>
<td nowrap>62 12 01 480800 0003</td>
<td nowrap>MIA NURAPIAH</td>
<td nowrap>
22 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_2',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_2',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>4</td>
<td nowrap>11 Januari 2023</td>
<td nowrap>11 Januari 2023</td>
<td nowrap>11 Januari 2023</td>
<td nowrap>62 12 01 430894 0004</td>
<td nowrap>LISA KARMILA</td>
<td nowrap>
29 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>R</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>Y</td>
<td nowrap>P6213020203</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_3',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_3',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>5</td>
<td nowrap>11 Januari 2023</td>
<td nowrap>11 Januari 2023</td>
<td nowrap>11 Januari 2023</td>
<td nowrap>62 12 01 450998 0002</td>
<td nowrap>RESI ANGGRAINI</td>
<td nowrap>
24 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_4',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_4',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>6</td>
<td nowrap>11 Januari 2023</td>
<td nowrap>11 Januari 2023</td>
<td nowrap>11 Januari 2023</td>
<td nowrap>62 12 01 480299 0001</td>
<td nowrap>NORPATMAH</td>
<td nowrap>
24 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>
</tr>
<script>
selectopt('#mst_kelompok_risiko_id_5',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_5',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>7</td>
<td nowrap>11 Januari 2023</td>
<td nowrap>11 Januari 2023</td>
<td nowrap>11 Januari 2023</td>
<td nowrap>62 12 04 561105 0002</td>
<td nowrap>INDAH ALIEFA</td>
<td nowrap>
17 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>
</tr>
<script>
selectopt('#mst_kelompok_risiko_id_6',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_6',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>8</td>
<td nowrap>13 Januari 2023</td>
<td nowrap>13 Januari 2023</td>
<td nowrap>13 Januari 2023</td>
<td nowrap>62 12 01 410500 0002</td>
<td nowrap>DETRI</td>
<td nowrap>
23 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap></td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_7',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_7',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>9</td>
<td nowrap>16 Januari 2023</td>
<td nowrap>16 Januari 2023</td>
<td nowrap>16 Januari 2023</td>
<td nowrap>62 12 01 600687 0003</td>
<td nowrap>YUN ASRI MANU</td>
<td nowrap>
36 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>G3P4A1</td>
<td nowrap>28</td>
<td nowrap>09 Agustus 2023</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>R</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>Y</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>1</td>
<td nowrap></td>
<td nowrap>09 Juni 2023 Jam 10:05:00</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap><br/></td>
<td style="width:100px !important;" nowrap>09 Juni 2023 Jam
10:05:00<br/></td>
<td style="width:100px !important;" nowrap><br/></td>
<td style="width:100px !important;" nowrap><br/></td>
<td style="width:100px !important;" nowrap><br/></td>
<td style="width:100px !important;" nowrap><br/></td>
<td style="width:100px !important;" nowrap><br/></td>
<td style="width:100px !important;" nowrap><br/></td>
<td style="width:100px !important;" nowrap><br/></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_8',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_8',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>10</td>
<td nowrap>16 Januari 2023</td>
<td nowrap>16 Januari 2023</td>
<td nowrap>16 Januari 2023</td>
<td nowrap>62 12 01 580400 0001</td>
<td nowrap>RIKA</td>
<td nowrap>
23 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap></td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_9',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_9',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>11</td>
<td nowrap>16 Januari 2023</td>
<td nowrap>16 Januari 2023</td>
<td nowrap>16 Januari 2023</td>
<td nowrap>62 12 01 420491 0002</td>
<td nowrap>IKE DWI LESTARI</td>
<td nowrap>
32 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_10',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_10',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>12</td>
<td nowrap>16 Januari 2023</td>
<td nowrap>16 Januari 2023</td>
<td nowrap>16 Januari 2023</td>
<td nowrap>18 03 16 690591 0002</td>
<td nowrap>SITI FATIMAH</td>
<td nowrap>
32 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_11',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_11',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>13</td>
<td nowrap>16 Januari 2023</td>
<td nowrap>16 Januari 2023</td>
<td nowrap>16 Januari 2023</td>
<td nowrap>62 12 01 701194 0002</td>
<td nowrap>NOVIT MARLINA</td>
<td nowrap>
28 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_12',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_12',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>14</td>
<td nowrap>16 Januari 2023</td>
<td nowrap>16 Januari 2023</td>
<td nowrap>16 Januari 2023</td>
<td nowrap>62 12 09 130600 0001</td>
<td nowrap>DIKA</td>
<td nowrap>
23 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_13',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_13',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>15</td>
<td nowrap>18 Januari 2023</td>
<td nowrap>18 Januari 2023</td>
<td nowrap>18 Januari 2023</td>
<td nowrap>62 12 01 480694 0003</td>
<td nowrap>RABIYATUL ADAWIYAH</td>
<td nowrap>
29 </td>
<td nowrap></td>
<td nowrap>MUARA SUMPOI</td>
<td nowrap></td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_14',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_14',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>16</td>
<td nowrap>19 Januari 2023</td>
<td nowrap>19 Januari 2023</td>
<td nowrap>19 Januari 2023</td>
<td nowrap>62 12 03 671197 0001</td>
<td nowrap>MISDAH SYAFIRA</td>
<td nowrap>
35 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_15',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_15',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>17</td>
<td nowrap>26 Januari 2023</td>
<td nowrap>26 Januari 2023</td>
<td nowrap>26 Januari 2023</td>
<td nowrap>62 12 03 530585 0001</td>
<td nowrap>JUBAIDAH</td>
<td nowrap>
40 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_16',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_16',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>18</td>
<td nowrap>26 Januari 2023</td>
<td nowrap>26 Januari 2023</td>
<td nowrap>26 Januari 2023</td>
<td nowrap>62 12 01 670495 0001</td>
<td nowrap>ERY TRIANTI</td>
<td nowrap>
28 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_17',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_17',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>19</td>
<td nowrap>31 Januari 2023</td>
<td nowrap>31 Januari 2023</td>
<td nowrap>31 Januari 2023</td>
<td nowrap>62 12 01 450988 0001</td>
<td nowrap>EVI RISNAWATI</td>
<td nowrap>
35 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>G2P3A0</td>
<td nowrap>14</td>
<td nowrap>26 Juli 2023</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_18',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_18',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>20</td>
<td nowrap>02 Februari 2023</td>
<td nowrap>02 Februari 2023</td>
<td nowrap>02 Februari 2023</td>
<td nowrap>62 03 09 431196 0000</td>
<td nowrap>NOVIA</td>
<td nowrap>
26 </td>
<td nowrap></td>
<td nowrap>MUARA SUMPOI</td>
<td nowrap>M.SUMPOI RT.03</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G3P2A0</td>
<td nowrap>33</td>
<td nowrap>22 Maret 2023</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_19',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_19',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>21</td>
<td nowrap>02 Februari 2023</td>
<td nowrap>02 Februari 2023</td>
<td nowrap>02 Februari 2023</td>
<td nowrap>62 12 04 711295 0000</td>
<td nowrap>MELA ANGGRAENI</td>
<td nowrap>
28 </td>
<td nowrap></td>
<td nowrap>MUARA SUMPOI</td>
<td nowrap>M.SUMPOI RT.03</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G3P2A0</td>
<td nowrap>20</td>
<td nowrap>02 Juni 2023</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_20',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_20',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>22</td>
<td nowrap>02 Februari 2023</td>
<td nowrap>02 Februari 2023</td>
<td nowrap>02 Februari 2023</td>
<td nowrap>62 12 03 530585 0001</td>
<td nowrap>JUBAIDAH</td>
<td nowrap>
40 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap>JL.BHAYANGKARA RT.06</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G4P3A0</td>
<td nowrap>9</td>
<td nowrap>23 November 2023</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_21',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_21',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>23</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>62 12 01 480800 0003</td>
<td nowrap>Mia</td>
<td nowrap>
22 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>Bahitom</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_22',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_22',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>24</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>62 12 01 631190 0001</td>
<td nowrap>Kartina</td>
<td nowrap>
33 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>ds bahitom</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>12</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_23',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_23',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>25</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>62 12 01 530789 0001</td>
<td nowrap>mimi</td>
<td nowrap>
34 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>desa bahitom</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>20</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_24',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_24',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>26</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>62 12 04 630893 0002</td>
<td nowrap>RAMITA BUDI ASTUTI</td>
<td nowrap>
29 </td>
<td nowrap>081254190438</td>
<td nowrap>BAHITOM</td>
<td nowrap>DS BAHITOM</td>
<td nowrap>Karyawan Swasta</td>
<td nowrap>-</td>
<td nowrap>12</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_25',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_25',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>27</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>62 12 01 581105 0001</td>
<td nowrap>AISYAH</td>
<td nowrap>
17 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>DS.BAHITOM</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>24</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_26',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_26',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>28</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>62 12 01 490193 0001</td>
<td nowrap>MIMI ANGRIANI</td>
<td nowrap>
30 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>DS BAHITOM</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_27',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_27',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>29</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>04 Februari 2023</td>
<td nowrap>63 06 05 660891 0003</td>
<td nowrap>SRI ASTUTI H.</td>
<td nowrap>
31 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap>JL.BUDI UTOMO</td>
<td nowrap>PNS/BUMN/TNI/POLRI</td>
<td nowrap>G3P2A0</td>
<td nowrap>7</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_28',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_28',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>30</td>
<td nowrap>06 Februari 2023</td>
<td nowrap>06 Februari 2023</td>
<td nowrap>06 Februari 2023</td>
<td nowrap>62 12 01 440597 0002</td>
<td nowrap>MELY YULIANTY</td>
<td nowrap>
26 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap>DANAU USUNG RT.05</td>
<td nowrap>Karyawan Swasta</td>
<td nowrap>G2P1A0</td>
<td nowrap>8</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_29',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_29',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>31</td>
<td nowrap>06 Februari 2023</td>
<td nowrap>06 Februari 2023</td>
<td nowrap>06 Februari 2023</td>
<td nowrap>62 12 05 450491 0002</td>
<td nowrap>MITA SARI</td>
<td nowrap>
32 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap>DANAU USUNG RT.02</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G2P2A0</td>
<td nowrap>20</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_30',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_30',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>32</td>
<td nowrap>09 Februari 2023</td>
<td nowrap>09 Februari 2023</td>
<td nowrap>09 Februari 2023</td>
<td nowrap>62 12 01 480306 0001</td>
<td nowrap>NUUR ELKA WIDYA PUTR</td>
<td nowrap>
17 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap>JL.CENDRAWASIH RT.04</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G1P0A0</td>
<td nowrap>28</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_31',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_31',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>33</td>
<td nowrap>11 Februari 2023</td>
<td nowrap>11 Februari 2023</td>
<td nowrap>11 Februari 2023</td>
<td nowrap>62 12 01 440798 0004</td>
<td nowrap>YULIA SAFITRI</td>
<td nowrap>
25 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap>DANAU USUNG RT.02</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G4P2A0</td>
<td nowrap>20</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_32',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_32',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>34</td>
<td nowrap>11 Februari 2023</td>
<td nowrap>11 Februari 2023</td>
<td nowrap>11 Februari 2023</td>
<td nowrap>62 12 01 700704 0002</td>
<td nowrap>RANI</td>
<td nowrap>
19 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap>DANAU USUNG RT.001</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G1P0A0</td>
<td nowrap>24</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_33',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_33',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>35</td>
<td nowrap>11 Februari 2023</td>
<td nowrap>11 Februari 2023</td>
<td nowrap>11 Februari 2023</td>
<td nowrap>62 12 01 501183 0004</td>
<td nowrap>SANTI</td>
<td nowrap>
39 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap>DANAU USUNG RT.02</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G4P3A0</td>
<td nowrap>16</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_34',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_34',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>36</td>
<td nowrap>11 Februari 2023</td>
<td nowrap>11 Februari 2023</td>
<td nowrap>11 Februari 2023</td>
<td nowrap>63 08 04 450489 0001</td>
<td nowrap>HUSNUL KHATIMAH</td>
<td nowrap>
34 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap>A.YANI</td>
<td nowrap>Karyawan Swasta</td>
<td nowrap>G1P0A0</td>
<td nowrap>17</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_35',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_35',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>37</td>
<td nowrap>17 Februari 2023</td>
<td nowrap>24 Februari 2023</td>
<td nowrap>17 Februari 2023</td>
<td nowrap>62 12 01 430491 0001</td>
<td nowrap>AMELIA</td>
<td nowrap>
32 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap>JL.BHAYANGKARA</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G9P7A0</td>
<td nowrap>23</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_36',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_36',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>38</td>
<td nowrap>23 Februari 2023</td>
<td nowrap>23 Februari 2023</td>
<td nowrap>23 Februari 2023</td>
<td nowrap>62 12 01 081597 2000</td>
<td nowrap>MISDAH</td>
<td nowrap>
26 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap>JL.BHAYANGKARA RT.06</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G3P2A0</td>
<td nowrap>22</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_37',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_37',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>39</td>
<td nowrap>23 Februari 2023</td>
<td nowrap>23 Februari 2023</td>
<td nowrap>23 Februari 2023</td>
<td nowrap>62 12 01 410802 0003</td>
<td nowrap>YULIA HELDA</td>
<td nowrap>
1 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap>JL.CENDRAWASIH RT.01</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G1P0A0</td>
<td nowrap>24</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_38',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_38',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>40</td>
<td nowrap>01 Maret 2023</td>
<td nowrap>01 Maret 2023</td>
<td nowrap>01 Maret 2023</td>
<td nowrap>62 12 03 620690 0002</td>
<td nowrap>NORMILAH</td>
<td nowrap>
33 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap>JL.CENDRAWASIH RT.02</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_39',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_39',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>41</td>
<td nowrap>09 Maret 2023</td>
<td nowrap>09 Maret 2023</td>
<td nowrap>09 Maret 2023</td>
<td nowrap>62 12 01 621296 0001</td>
<td nowrap>RAHMILAWATI</td>
<td nowrap>
26 </td>
<td nowrap></td>
<td nowrap>MUARA SUMPOI</td>
<td nowrap>MUARA SUMPOI RT.002</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>5</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_40',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_40',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>42</td>
<td nowrap>13 Maret 2023</td>
<td nowrap>13 Maret 2023</td>
<td nowrap>13 Maret 2023</td>
<td nowrap>62 12 01 460386 0003</td>
<td nowrap>TITIN</td>
<td nowrap>
37 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap>DANAU USUNG RT.004</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_41',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_41',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>43</td>
<td nowrap>13 Maret 2023</td>
<td nowrap>13 Maret 2023</td>
<td nowrap>13 Maret 2023</td>
<td nowrap>63 08 01 560387 0001</td>
<td nowrap>MAHRITA</td>
<td nowrap>
36 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap>DANAU USUNG RT.004</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G2P1A0</td>
<td nowrap>22</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_42',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_42',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>44</td>
<td nowrap>13 Maret 2023</td>
<td nowrap>13 Maret 2023</td>
<td nowrap>13 Maret 2023</td>
<td nowrap>62 04 06 420795 0007</td>
<td nowrap>RINA RUFIDA</td>
<td nowrap>
28 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap>DANAU USUNG RT.005</td>
<td nowrap>Karyawan Swasta</td>
<td nowrap>G1P0A0</td>
<td nowrap>20</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_43',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_43',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>45</td>
<td nowrap>14 Maret 2023</td>
<td nowrap>14 Maret 2023</td>
<td nowrap>14 Maret 2023</td>
<td nowrap>62 05 06 520489 0002</td>
<td nowrap>EKA SAFITRI</td>
<td nowrap>
34 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BAHITOM</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G1P0A0</td>
<td nowrap>5</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_44',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_44',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>46</td>
<td nowrap>14 Maret 2023</td>
<td nowrap>14 Maret 2023</td>
<td nowrap>14 Maret 2023</td>
<td nowrap>62 12 01 490791 0003</td>
<td nowrap>ROSITA</td>
<td nowrap>
32 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BITAN RT.06</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G3P2A0</td>
<td nowrap>17</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_45',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_45',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>47</td>
<td nowrap>15 Maret 2023</td>
<td nowrap>15 Maret 2023</td>
<td nowrap>15 Maret 2023</td>
<td nowrap>62 12 01 450289 0002</td>
<td nowrap>NURUL HUDA</td>
<td nowrap>
34 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap>PCS RT. 006</td>
<td nowrap>Karyawan Swasta</td>
<td nowrap>-</td>
<td nowrap>32</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>R</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>T</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_46',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_46',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>48</td>
<td nowrap>16 Maret 2023</td>
<td nowrap>16 Maret 2023</td>
<td nowrap>16 Maret 2023</td>
<td nowrap>62 12 01 410188 0001</td>
<td nowrap>PARIDAH YULIANTI</td>
<td nowrap>
35 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BAHITOM</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>24</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_47',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_47',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>49</td>
<td nowrap>16 Maret 2023</td>
<td nowrap>16 Maret 2023</td>
<td nowrap>16 Maret 2023</td>
<td nowrap>62 12 01 420590 0001</td>
<td nowrap>SILAWATI</td>
<td nowrap>
33 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BAHITOM</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>24</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_48',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_48',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>50</td>
<td nowrap>16 Maret 2023</td>
<td nowrap>16 Maret 2023</td>
<td nowrap>16 Maret 2023</td>
<td nowrap>62 12 01 631193 0002</td>
<td nowrap>HERLI</td>
<td nowrap>
29 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BAHITOM</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_49',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_49',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>51</td>
<td nowrap>16 Maret 2023</td>
<td nowrap>16 Maret 2023</td>
<td nowrap>16 Maret 2023</td>
<td nowrap>62 12 01 580698 0001</td>
<td nowrap>MIRNA</td>
<td nowrap>
25 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BAHITOM</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>12</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_50',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_50',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>52</td>
<td nowrap>21 Maret 2023</td>
<td nowrap>21 Maret 2023</td>
<td nowrap>21 Maret 2023</td>
<td nowrap>62 12 01 560899 0001</td>
<td nowrap>NOR HALIPAH</td>
<td nowrap>
23 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap>JL BHAYANGKARA</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>24</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_51',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_51',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>53</td>
<td nowrap>21 Maret 2023</td>
<td nowrap>21 Maret 2023</td>
<td nowrap>21 Maret 2023</td>
<td nowrap>62 12 01 410687 0002</td>
<td nowrap>MISAH</td>
<td nowrap>
36 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap>CENDRAWASIH RT.01</td>
<td nowrap></td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_52',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_52',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>54</td>
<td nowrap>21 Maret 2023</td>
<td nowrap>21 Maret 2023</td>
<td nowrap>21 Maret 2023</td>
<td nowrap>62 12 01 610383 0002</td>
<td nowrap>DIANA</td>
<td nowrap>
40 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap>JL.BHAYANGKARA RT.06</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G4P3A0</td>
<td nowrap>0</td>
<td nowrap>17 Oktober 2023</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_53',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_53',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>55</td>
<td nowrap>21 Maret 2023</td>
<td nowrap>21 Maret 2023</td>
<td nowrap>21 Maret 2023</td>
<td nowrap>62 12 05 054490 0002</td>
<td nowrap>SUCI ISNAWATI</td>
<td nowrap>
33 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap>PCS</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G2P1A0</td>
<td nowrap>29</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_54',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_54',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>56</td>
<td nowrap>04 April 2023</td>
<td nowrap>04 April 2023</td>
<td nowrap>04 April 2023</td>
<td nowrap>62 12 01 540601 0001</td>
<td nowrap>MILA ANTASARI</td>
<td nowrap>
22 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BAHITOM</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_55',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_55',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>57</td>
<td nowrap>04 April 2023</td>
<td nowrap>04 April 2023</td>
<td nowrap>04 April 2023</td>
<td nowrap>62 12 01 541208 0001</td>
<td nowrap>HELMA</td>
<td nowrap>
14 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BAHITOM</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>32</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_56',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_56',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>58</td>
<td nowrap>04 April 2023</td>
<td nowrap>04 April 2023</td>
<td nowrap>04 April 2023</td>
<td nowrap>63 08 02 450593 0001</td>
<td nowrap>SYARIFAH ASIAH</td>
<td nowrap>
30 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BAHITOM</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>16</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_57',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_57',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>59</td>
<td nowrap>04 April 2023</td>
<td nowrap>04 April 2023</td>
<td nowrap>04 April 2023</td>
<td nowrap>62 12 01 450285 0001</td>
<td nowrap>HERNI</td>
<td nowrap>
38 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BAHITOM</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_58',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_58',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>60</td>
<td nowrap>04 April 2023</td>
<td nowrap>04 April 2023</td>
<td nowrap>04 April 2023</td>
<td nowrap>62 12 01 440700 0001</td>
<td nowrap>YULIANTI</td>
<td nowrap>
20 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BAHITOM</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>12</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_59',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_59',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>61</td>
<td nowrap>04 April 2023</td>
<td nowrap>04 April 2023</td>
<td nowrap>04 April 2023</td>
<td nowrap>62 12 01 640105 0001</td>
<td nowrap>SITI KAMARIYAH</td>
<td nowrap>
18 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BAHITOM</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>24</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_60',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_60',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>62</td>
<td nowrap>04 April 2023</td>
<td nowrap>04 April 2023</td>
<td nowrap>04 April 2023</td>
<td nowrap>62 12 04 520687 0001</td>
<td nowrap>DAHLENI MARLINA</td>
<td nowrap>
35 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BAHITOM</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>20</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_61',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_61',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>63</td>
<td nowrap>08 April 2023</td>
<td nowrap>08 April 2023</td>
<td nowrap>08 April 2023</td>
<td nowrap>62 12 04 510796 0001</td>
<td nowrap>ERNI</td>
<td nowrap>
27 </td>
<td nowrap></td>
<td nowrap>MUARA SUMPOI</td>
<td nowrap>MUARA SUMPOI RT 1</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_62',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_62',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>64</td>
<td nowrap>08 April 2023</td>
<td nowrap>08 April 2023</td>
<td nowrap>08 April 2023</td>
<td nowrap>62 12 01 410190 0007</td>
<td nowrap>HIDAYATUL R.</td>
<td nowrap>
34 </td>
<td nowrap></td>
<td nowrap>MUARA SUMPOI</td>
<td nowrap>MUARA SUMPOI RT.003</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G1P3A0</td>
<td nowrap>0</td>
<td nowrap>03 November 2023</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>
</tr>
<script>
selectopt('#mst_kelompok_risiko_id_63',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_63',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>65</td>
<td nowrap>10 April 2023</td>
<td nowrap>10 April 2023</td>
<td nowrap>10 April 2023</td>
<td nowrap>62 12 04 430792 0002</td>
<td nowrap>RATIAH</td>
<td nowrap>
31 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap>DANAU USUNG RT.001</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G3P2A0</td>
<td nowrap>32</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>
</tr>
<script>
selectopt('#mst_kelompok_risiko_id_64',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_64',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>66</td>
<td nowrap>10 April 2023</td>
<td nowrap>10 April 2023</td>
<td nowrap>10 April 2023</td>
<td nowrap>62 12 09 541004 0001</td>
<td nowrap>NOPI LESTARI</td>
<td nowrap>
19 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap>ANAU USUNG RT.004</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G1P0A0</td>
<td nowrap>20</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_65',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_65',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>67</td>
<td nowrap>17 April 2023</td>
<td nowrap>17 April 2023</td>
<td nowrap>17 April 2023</td>
<td nowrap>62 12 09 550102 0001</td>
<td nowrap>WITA</td>
<td nowrap>
21 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BAHITOM RT.06</td>
<td nowrap>Lain-lain</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_66',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_66',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>68</td>
<td nowrap>17 April 2023</td>
<td nowrap>17 April 2023</td>
<td nowrap>17 April 2023</td>
<td nowrap>62 12 01 430684 0002</td>
<td nowrap>MULIA SARI</td>
<td nowrap>
39 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BAHITOM RT.06</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_67',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_67',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>69</td>
<td nowrap>18 April 2023</td>
<td nowrap>18 April 2023</td>
<td nowrap>18 April 2023</td>
<td nowrap>62 12 01 490891 0001</td>
<td nowrap>RUKAYAH</td>
<td nowrap>
31 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BAHITOM RT.002</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_68',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_68',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>70</td>
<td nowrap>18 April 2023</td>
<td nowrap>18 April 2023</td>
<td nowrap>18 April 2023</td>
<td nowrap>63 01 01 761050 2000</td>
<td nowrap>SARAH</td>
<td nowrap>
22 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BAHITOM</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_69',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_69',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>71</td>
<td nowrap>26 April 2023</td>
<td nowrap>26 April 2023</td>
<td nowrap>26 April 2023</td>
<td nowrap>62 12 01 441100 0002</td>
<td nowrap>NORHIKMAH</td>
<td nowrap>
22 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap>JL CENDRAWASIH</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G3P0A0</td>
<td nowrap>8</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_70',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_70',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>72</td>
<td nowrap>06 Mei 2023</td>
<td nowrap>06 Mei 2023</td>
<td nowrap>06 Mei 2023</td>
<td nowrap>62 12 01 570799 0003</td>
<td nowrap>PERA HASTUTI</td>
<td nowrap>
24 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap>DESA DANAU USUNG</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G2P1A0</td>
<td nowrap>7</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_71',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_71',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>73</td>
<td nowrap>09 Mei 2023</td>
<td nowrap>09 Mei 2022</td>
<td nowrap>09 Mei 2023</td>
<td nowrap>62 03 12 600885 0001</td>
<td nowrap>RUSIANI</td>
<td nowrap>
37 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap>DANAU USUNG RT.003</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_72',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_72',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>74</td>
<td nowrap>09 Mei 2023</td>
<td nowrap>09 Mei 2023</td>
<td nowrap>09 Mei 2023</td>
<td nowrap>62 12 01 480703 0002</td>
<td nowrap>SINDIKIYAH FATIKAH F</td>
<td nowrap>
20 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap>DESA DANAU USUNG RT.001</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_73',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_73',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>75</td>
<td nowrap>10 Mei 2023</td>
<td nowrap>10 Mei 2023</td>
<td nowrap>10 Mei 2023</td>
<td nowrap>62 12 01 440203 0009</td>
<td nowrap>SALASIAH</td>
<td nowrap>
20 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap>PCS</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G2P1A0</td>
<td nowrap>9</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_74',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_74',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>76</td>
<td nowrap>15 Mei 2023</td>
<td nowrap>15 Mei 2023</td>
<td nowrap>15 Mei 2023</td>
<td nowrap>62 02 17 620795 0001</td>
<td nowrap>YUYUN IRWANDA</td>
<td nowrap>
28 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap></td>
<td nowrap>PNS/BUMN/TNI/POLRI</td>
<td nowrap>G1P0A0</td>
<td nowrap>6</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_75',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_75',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>77</td>
<td nowrap>16 Mei 2023</td>
<td nowrap>16 Mei 2023</td>
<td nowrap>16 Mei 2023</td>
<td nowrap>62 12 07 670106 0001</td>
<td nowrap>MURSIAH</td>
<td nowrap>
17 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BAHITOM RT.001</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G2P0A1</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_76',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_76',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>78</td>
<td nowrap>16 Mei 2023</td>
<td nowrap>16 Mei 2023</td>
<td nowrap>16 Mei 2023</td>
<td nowrap>62 12 01 550879 0001</td>
<td nowrap>CHUSNUL CHOTIMAH</td>
<td nowrap>
43 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap></td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G5P4A1</td>
<td nowrap>6</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_77',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_77',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>79</td>
<td nowrap>20 Mei 2023</td>
<td nowrap>20 Mei 2023</td>
<td nowrap>20 Mei 2023</td>
<td nowrap>62 12 01 500601 0003</td>
<td nowrap>EPA</td>
<td nowrap>
22 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BITAN RT007</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_78',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_78',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>80</td>
<td nowrap>05 Juni 2023</td>
<td nowrap>05 Juni 2023</td>
<td nowrap>05 Juni 2023</td>
<td nowrap>62 12 05 560897 0001</td>
<td nowrap>MURNI</td>
<td nowrap>
25 </td>
<td nowrap></td>
<td nowrap>MUARA SUMPOI</td>
<td nowrap>MUARA SUMPOI RT.001</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_79',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_79',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>81</td>
<td nowrap>06 Juni 2023</td>
<td nowrap>06 Juni 2023</td>
<td nowrap>06 Juni 2023</td>
<td nowrap>62 05 04 066074 0001</td>
<td nowrap>YULIANA</td>
<td nowrap>
21 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap></td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G1P0A0</td>
<td nowrap>0</td>
<td nowrap>21 Desember 2023</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_80',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_80',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>82</td>
<td nowrap>06 Juni 2023</td>
<td nowrap>06 Juni 2023</td>
<td nowrap>06 Juni 2023</td>
<td nowrap>62 12 01 300609 0001</td>
<td nowrap>SALMA</td>
<td nowrap>
16 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap></td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_81',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_81',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>83</td>
<td nowrap>06 Juni 2023</td>
<td nowrap>06 Juni 2023</td>
<td nowrap>06 Juni 2023</td>
<td nowrap>62 12 01 640498 0001</td>
<td nowrap>DESSY AULIA RAHMAN</td>
<td nowrap>
25 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap>JL.CENDRAWASIH RT.003</td>
<td nowrap>Wiraswasta</td>
<td nowrap>-</td>
<td nowrap>8</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_82',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_82',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>84</td>
<td nowrap>06 Juni 2023</td>
<td nowrap>13 Juni 2023</td>
<td nowrap>06 Juni 2023</td>
<td nowrap>62 12 01 581298 0001</td>
<td nowrap>ALIYAH DESIKA S</td>
<td nowrap>
24 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap>JL.CENDRAWASIH RT.001</td>
<td nowrap>Lain-lain</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_83',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_83',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>85</td>
<td nowrap>06 Juni 2023</td>
<td nowrap>06 Juni 2023</td>
<td nowrap>06 Juni 2023</td>
<td nowrap>62 12 01 590396 0002</td>
<td nowrap>INDAH ARIANTI P</td>
<td nowrap>
27 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap></td>
<td nowrap>Lain-lain</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_84',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_84',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>86</td>
<td nowrap>08 Juni 2023</td>
<td nowrap>08 Juni 2023</td>
<td nowrap>08 Juni 2023</td>
<td nowrap>62 12 01 500209 0002</td>
<td nowrap>HALIMAH</td>
<td nowrap>
14 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap>BAHITOM</td>
<td nowrap></td>
<td nowrap>-</td>
<td nowrap>4</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_85',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_85',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>87</td>
<td nowrap>08 Juni 2023</td>
<td nowrap>08 Juni 2023</td>
<td nowrap>08 Juni 2023</td>
<td nowrap>62 12 01 671197 0001</td>
<td nowrap>MARLIYANA P.S</td>
<td nowrap>
25 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap></td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>R</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>Y</td>
<td nowrap>P6213020203</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_86',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_86',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>88</td>
<td nowrap>08 Juni 2023</td>
<td nowrap>08 Juni 2023</td>
<td nowrap>08 Juni 2023</td>
<td nowrap>62 12 04 671287 0001</td>
<td nowrap>RUKMIATUN</td>
<td nowrap>
35 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap></td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_87',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_87',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>89</td>
<td nowrap>08 Juni 2023</td>
<td nowrap>08 Juni 2023</td>
<td nowrap>08 Juni 2023</td>
<td nowrap>62 12 01 510403 0002</td>
<td nowrap>MILA ANTASARI</td>
<td nowrap>
20 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap></td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>G1P0A0</td>
<td nowrap>34</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_88',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_88',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>90</td>
<td nowrap>08 Juni 2023</td>
<td nowrap>08 Juni 2023</td>
<td nowrap>08 Juni 2023</td>
<td nowrap>62 12 01 530595 0001</td>
<td nowrap>JUMIATI E. SARI</td>
<td nowrap>
27 </td>
<td nowrap></td>
<td nowrap>BAHITOM</td>
<td nowrap></td>
<td nowrap>Lain-lain</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_89',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_89',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>91</td>
<td nowrap>09 Juni 2023</td>
<td nowrap>09 Juni 2023</td>
<td nowrap>09 Juni 2023</td>
<td nowrap>62 05 05 501086 0011</td>
<td nowrap>MARSIA</td>
<td nowrap>
36 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap>DANAU USUNG RT.001</td>
<td nowrap>Lain-lain</td>
<td nowrap>G1P0A0</td>
<td nowrap>11</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_90',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_90',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>92</td>
<td nowrap>09 Juni 2023</td>
<td nowrap>09 Juni 2023</td>
<td nowrap>09 Juni 2023</td>
<td nowrap>62 12 01 170590 0001</td>
<td nowrap>LILIS SUNARTI</td>
<td nowrap>
33 </td>
<td nowrap></td>
<td nowrap>DANAU USUNG</td>
<td nowrap></td>
<td nowrap>Lain-lain</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_91',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_91',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
<tr align="left">
<td>93</td>
<td nowrap>24 Juli 2023</td>
<td nowrap>24 Juli 2023</td>
<td nowrap>24 Juli 2023</td>
<td nowrap>62 05 03 700305 0007</td>
<td nowrap>RABIYATUL ADAWIYAH</td>
<td nowrap>
18 </td>
<td nowrap></td>
<td nowrap>PURUK CAHU</td>
<td nowrap>CENDRAWASIH RT.001</td>
<td nowrap>Tidak Bekerja</td>
<td nowrap>-</td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap>NR</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap>0</td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td style="width:100px !important;" nowrap></td>
<td></td>

</tr>
<script>
selectopt('#mst_kelompok_risiko_id_92',"Kelompok
Risiko","http://localhost:8040/ajax/kelompok_risiko");
selectopt('#mst_kelurahan_id_92',"Kelurahan","http://localhost:8040/
ajax/list_kelurahan_by_fasyankes");
</script>
</tbody>
</table>
</body>

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