Tanggal Kartu Sehat Tanggal Lahir Tinggi Berat NamaKK Alamat Kelompok Jenis

10/9/2023 '0000564712593 9/17/1997 150 61 RAHMAT NUR ZAMAN TANJUNG RT2/3 20-44 Thn. BPJS PBI
10/9/2023 '0000566755907 5/29/1997 155 65 SUKIJO PUTUK RT3/2 20-44 Thn. BPJS PBI

10/9/2023 '0000565302734 7/9/1961 155 65 JAIMIN KEPUH WETAN TR 002/ TW 003 60-69 Thn. BPJS PBI
10/9/2023 '0001091848757 10/15/1963 150 56 SULARDI KEPUH KLN RT1/3 55-59 Thn. BPJS PBI

10/9/2023 '0000565507618 10/25/1992 155 56 AHMAD ALI KUSNADI SRAYU RT001/002 20-44 Thn. BPJS PBI
10/9/2023 '0002840992097 9/14/1966 160 77 SARIMAN NGADIPIRO RT001/004 55-59 Thn. BPJS PBI

10/9/2023 '0002699033477 5/7/1983 155 65 LASIMAN DUNGBENDO KULON RT002/002 20-44 Thn. BPJS PBI
BAMBANG
10/9/2023 '0002064438371 3/2/1974 155 65 RUSDIYANTO KAMPLONG RT1/1 45-54 Thn. BPJS NON PBI / MANDIRI
10/9/2023 '0000565760913 11/1/1960 150 38 BELIKREJO RT 01 RW 02 60-69 Thn. BPJS PBI
10/9/2023 '0000565759743 11/25/1960 0 0 SUTIYO BELIKREJO RT 01 RW 02 60-69 Thn. BPJS PBI
10/9/2023 '0003130936457 7/21/1985 155 56 SURATNO BULU RT002/003 20-44 Thn. BPJS NON PBI / MANDIRI
10/9/2023 '0002856969202 1/24/1979 156 64 SUKARDI PONDOKAN RT003/006 20-44 Thn. BPJS PBI
10/9/2023 '0002775372693 6/14/1955 160 66 MODO SUBROTO PONDOKAN RT3/6 60-69 Thn. BPJS NON PBI / MANDIRI
10/9/2023 '0002699028292 11/20/1956 155 65 SUGIYONO KEDUNGBALAR RT001/001 60-69 Thn. BPJS PBI
10/9/2023 '0002432466843 7/13/1999 168 65 BUDI SANTOSO PUTUK RT3/2 20-44 Thn. BPJS NON PBI / MANDIRI
10/9/2023 '0000565585018 7/1/1960 158 60 SUWARIJAN REJOSARI RT002/003 60-69 Thn. BPJS PBI
10/9/2023 '0001021906416 7/1/1963 156 55 WAGINO REJOSARI 60-69 Thn. BPJS PBI
10/9/2023 '0000565844455 7/1/1966 155 60 DARMIN REJOSARI 55-59 Thn. BPJS PBI
10/9/2023 '0002454257788 8/18/1960 156 55 MARTONO REJOSARI RT1/3 60-69 Thn. BPJS NON PBI / MANDIRI
MARGARETA MARIA
10/9/2023 '0002677155131 10/12/1966 155 58 RUKINI REJOSARI RT1/3 55-59 Thn. BPJS PBI
10/9/2023 '0002519315199 7/7/1958 155 50 MARTONO REJOSARI RT1/3 60-69 Thn. BPJS NON PBI / MANDIRI
10/9/2023 '0001847191803 3/16/1972 160 90 RUKIMAN REJOSARI RT2/3 45-54 Thn. BPJS NON PBI / MANDIRI
10/9/2023 '0002677154916 1/1/1958 155 56 KARIMIN REJOSARI RT2/3 60-69 Thn. BPJS PBI
10/9/2023 '0000565636364 2/1/1958 156 65 PAIMIN REJOSARI 60-69 Thn. BPJS PBI
 10/9/2023 '0000565560459 7/1/1957 156 65 TOKARMO DOTO REJOSARI 60-69 Thn. BPJS PBI
10/9/2023 '0000565575838 8/1/1967 159 65 NARDI REJOSARI 55-59 Thn. BPJS PBI
10/9/2023 '0000565811425 7/1/1959 156 65 MARTO WIYONO REJOSARI RT1/3 60-69 Thn. BPJS PBI
10/9/2023 '0000565685278 7/1/1959 158 68 ADMO DIYONO REJOSARI 60-69 Thn. BPJS PBI
10/9/2023 '0000565613076 3/19/1956 157 65 SADINO REJOSARI RT2/3 60-69 Thn. BPJS PBI
10/9/2023 '0000565613346 3/1/1964 160 65 SADINO REJOSARI 55-59 Thn. BPJS PBI
10/9/2023 '0000565829122 12/16/1963 155 58 SUWARTO REJOSARI RT2/3 55-59 Thn. BPJS PBI
10/9/2023 '0000565827287 11/29/1960 165 65 SUWARTO REJOSARI RT2/3 60-69 Thn. BPJS PBI
10/9/2023 '0000565585334 7/1/1960 156 65 SUWARIJAN REJOSARI RT2/3 60-69 Thn. BPJS PBI
10/9/2023 '0000565649212 3/1/1965 155 65 SAGIMIN REJOSARI 55-59 Thn. BPJS PBI
10/9/2023 '0000565853567 4/17/1954 165 55 MARTO WIYONO REJOSARI RT1/3 60-69 Thn. BPJS PBI
10/9/2023 '0000565496122 3/1/1973 156 65 KARDI REJOSARI 45-54 Thn. BPJS PBI
10/9/2023 '0000565624517 8/8/1965 165 55 ALOISIUS SADIMIN REJOSARI RT002/003 55-59 Thn. BPJS PBI
10/9/2023 '0002454257316 12/4/1959 156 60 MARTONO REJOSARI RT1/3 60-69 Thn. BPJS NON PBI / MANDIRI
10/9/2023 '0000566198335 5/1/1970 165 55 KATIJAN REJOSARI 45-54 Thn. BPJS PBI
10/9/2023 '0001847192275 12/16/1968 158 60 RUKIMAN REJOSARI RT2/3 45-54 Thn. BPJS NON PBI / MANDIRI
10/10/2023 '0002677154286 7/8/1959 155 65 SAMBUDI DUNGBALAR 60-69 Thn. BPJS PBI
GREGORIUS
10/10/2023 '0002196190506 12/27/1979 155 67 SUPRIYANTO DUNGWOT 2/5 20-44 Thn. BPJS NON PBI / MANDIRI
10/10/2023 '0002314374129 1/23/1978 155 65 SETIA WIDODO TROMOYO 3/4 45-54 Thn. BPJS NON PBI / MANDIRI
10/10/2023 '0001091912927 6/10/1984 155 65 SURIPTO PONDOKAN RT001/006 20-44 Thn. BPJS PBI
10/10/2023 '0000565685932 7/17/1989 155 62 HARI WIDODO REJOSARI RT001/003 20-44 Thn. BPJS PBI
10/10/2023 '0002699026391 3/17/1962 153 56 SARTO TUKLUK 1/2 60-69 Thn. BPJS PBI
10/10/2023 '0001767710441 8/8/1996 154 47 HERU TRI WIBAWA DOLOGAN RT003/RW003 20-44 Thn. BPJS NON PBI / MANDIRI
10/10/2023 '0000194936005 10/7/1984 155 48 SARJONO JATIPURO RT29/10 20-44 Thn. BPJS NON PBI / MANDIRI
f
a 10/10/2023 '0000566164754 9/22/1973 - - WARSINO BULU RT001/003 45-54 Thn. BPJS PBI
r 10/10/2023 '0001615444547 8/9/1964 160 55 TUKIMIN NGADIROYO RT1/5 55-59 Thn. BPJS PBI
i 10/10/2023 '0000565528048 3/20/1983 155 50 SUPRIYADI NGADIROYO RT1/5 20-44 Thn. BPJS PBI
d
a 10/10/2023 '0002496048873 12/12/1958 155 50 NGADIROYO RT1/5 60-69 Thn. BPJS NON PBI / MANDIRI
10/10/2023 '0000984377812 4/8/1978 158 58 MIDAH NGADIROYO RT1/5 45-54 Thn. BPJS PBI
10/10/2023 '0000566209574 1/5/1962 160 55 TARSO NGADIROYO 60-69 Thn. BPJS PBI
10/10/2023 '0001615444648 2/10/1959 158 48 ROHMIYATI NGADIROYO RT2/5 60-69 Thn. BPJS PBI
10/10/2023 '0000089440244 8/3/1961 155 60 DARYADI NGADIROYO RT002/005 60-69 Thn. BPJS NON PBI / MANDIRI
10/10/2023 '0001615444582 4/24/1974 160 55 BUDI UTOMO NGADIROYO RT1/5 45-54 Thn. BPJS PBI
a

10/10/2023 '0000565519432 8/1/1957 156 55 SUKIMIN NGADIROYO 60-69 Thn. BPJS PBI
10/10/2023 '0001021907169 1/22/1960 156 55 SUPARNI NGADIROYO RT1/5 60-69 Thn. BPJS PBI
10/10/2023 '0000565582162 5/10/1980 156 55 SUGINO NGADIROYO 20-44 Thn. BPJS PBI
10/10/2023 '0000565499463 12/31/1963 155 80 KATIYEM NGADIROYO RT2/5 55-59 Thn. BPJS PBI
10/10/2023 '0000565558255 2/19/1971 156 80 SHOLIKIN NGADIROYO RT2/5 45-54 Thn. BPJS PBI
10/10/2023 '0000565804348 5/25/1959 155 50 JAMIIN NGADIROYO RT3/5 60-69 Thn. BPJS PBI
10/10/2023 '0001021907193 1/1/1954 155 58 TUMINEM NGADIROYO RT3/5 60-69 Thn. BPJS PBI
10/10/2023 '0000565669078 10/15/1957 155 50 MARSINI NGADIROYO RT3/5 60-69 Thn. BPJS PBI
10/10/2023 '0000565562834 5/18/1967 160 55 BARYONO NGADIROYO RT1/5 55-59 Thn. BPJS PBI
10/10/2023 '0000565581429 9/8/1998 158 60 EKO WIYANTO NGADIROYO RT1/5 20-44 Thn. BPJS PBI
10/10/2023 '0000037271518 12/12/1962 155 50 SOEHARNO NGADIROYO RT001/005 60-69 Thn. BPJS NON PBI / MANDIRI
10/10/2023 '0000089147057 6/14/1960 155 56 SUWATNO NGADIROYO 60-69 Thn. BPJS NON PBI / MANDIRI
10/10/2023 '0000565557941 8/4/1973 155 56 SOLIKIN NGADIROYO RT2/5 45-54 Thn. BPJS PBI
10/10/2023 '0002677155232 11/10/1956 160 55 MARTOYO NGADIROYO RT3/5 60-69 Thn. BPJS PBI
10/10/2023 '0000565805057 10/1/1960 158 60 JAMIIN NGADIROYO RT003/005 60-69 Thn. BPJS PBI
10/10/2023 '0000565518014 1/1/1958 156 55 MITROREJO NGADIROYO RT3/5 60-69 Thn. BPJS PBI
10/10/2023 '0000565603863 4/18/1964 160 60 SONOKARTO NGADIROYO RT1/5 55-59 Thn. BPJS PBI
10/10/2023 '0000565590431 10/4/1972 155 56 PAINO NGADIROYO RT1/5 45-54 Thn. BPJS PBI
10/10/2023 '0000565623527 10/2/1960 156 55 TUGINEM NGADIROYO RT3/5 60-69 Thn. BPJS PBI
10/10/2023 '0000565542213 5/30/1978 156 52 SARWONO NGADIROYO RT1/5 45-54 Thn. BPJS PBI
SONO 002/008 NGADIPIRO
10/11/2023 '0002600134503 9/1/1983 155 54 MULYONO NGUNTORONADI 20-44 Thn. BPJS PBI
10/11/2023 '0003264029199 11/23/1997 153 45 DARWANTI PONDOKAN RT2/6 20-44 Thn. BPJS NON PBI / MANDIRI
10/11/2023 '0001615444839 9/22/1972 158 50 SUNARMO SENGON RT1/7 45-54 Thn. BPJS PBI

10/11/2023 '00016154444841 6/5/1980 156 93 SUNARMO SENGON RT1/7 20-44 Thn. BPJS PBI
10/11/2023 '0001530639055 1/12/2007 155 40 SULARDI TUKLUK RT1/2 15-19 Thn. BPJS NON PBI / MANDIRI
10/11/2023 '0000566675919 11/12/1996 155 49 RIKI DIAN IRSYANDI SURUH 003/003, BUMIHARJO 20-44 Thn. BPJS PBI
10/11/2023 '0000566671162 5/1/1972 160 80 PAINO DOLOGAN RT3/3 45-54 Thn. BPJS PBI
10/11/2023 '0000566668282 10/21/1968 156 56 PAINO DOLOGAN RT3/3 45-54 Thn. BPJS PBI
10/11/2023 '0002232327159 11/21/1979 165 85 IWAN SETIADI PLOSOREJO RT1/4 20-44 Thn. BPJS PBI
10/11/2023 '0001697774826 8/6/1960 155 56 SARMAN KEDUNGBALAR RT1/3 60-69 Thn. BPJS PBI
10/11/2023 '0000566755233 11/1/1996 155 56 SUKINI TANJUNG RT 01 RW 03 20-44 Thn. BPJS PBI
10/11/2023 '0000564682116 8/1/1995 155 56 SUPATMI LEMAHBANG 20-44 Thn. BPJS PBI
10/11/2023 '0000566219349 9/1/1960 155 56 SUMINO LEMAHBANG RT1/4 60-69 Thn. BPJS PBI
10/11/2023 '0000566219608 6/1/1967 155 56 SUMINO LEMAHBANG RT01 RW 04 55-59 Thn. BPJS PBI
10/11/2023 '0000566205017 7/1/1985 155 56 SUYANTO BELIKREJO 2/2 20-44 Thn. BPJS PBI
10/11/2023 '0000164737923 8/29/2000 160 77 NARDI ANTONIUS KAMPLONG RT4/1 20-44 Thn. BPJS NON PBI / MANDIRI
'33120668018700
10/11/2023 01 1/28/1987 155 56 SUBALI LEMAHBANG RT01 RW 04 20-44 Thn. BPJS PBI
10/11/2023 '0000565678462 7/1/1960 160 77 SUKIR POJOK RT 001 RW 006 60-69 Thn. BPJS PBI
10/12/2023 '0002265460918 12/22/1954 158 60 PRIYANTO TROMOYO RT3/4 60-69 Thn. BPJS PBI
10/12/2023 '0001021907338 6/3/1972 160 66 ROHMAN SENGON RT2/7 45-54 Thn. BPJS PBI
10/12/2023 '0003232173846 7/5/1995 160 48 SRIYONO PONDOKAN RT1/6 20-44 Thn. BPJS PBI
10/12/2023 '0002080184758 8/28/1990 155 68 HARYONO PONDOKAN RT2/6 20-44 Thn. BPJS NON PBI / MANDIRI
10/12/2023 '0000566403513 7/13/1974 150 55 KARDI DOLOGAN RT003/003 45-54 Thn. BPJS PBI
10/12/2023 '0000566188839 4/1/1975 155 54 HARNINGSIH KEDUNG BANTENG RT002/001 45-54 Thn. BPJS PBI
10/12/2023 '0000564460817 6/1/1986 - - SURATNO TANJUNG RT 1R 03 20-44 Thn. BPJS PBI
10/12/2023 '0000564460525 12/1/1975 - - SURATNO TANJUNG 45-54 Thn. BPJS PBI
10/12/2023 '0000566188154 5/1/1985 - - SUYADI KEDUNGBALAR RT 01 RW 01 20-44 Thn. BPJS PBI
10/12/2023 '0000565569628 8/1/1978 - - SUHARI BELIKREJO 45-54 Thn. BPJS PBI
10/12/2023 '0001021904706 1/9/1995 - - AGUS ARIYANTO BELIKREJO RT2/2 20-44 Thn. BPJS PBI
10/12/2023 '0000565726994 8/1/1977 - - MELIKAN 45-54 Thn. BPJS PBI
10/12/2023 '0001697774815 6/7/1959 - - SARMAN KEDUNGBALAR 60-69 Thn. BPJS PBI
10/12/2023 '0000565519691 2/2/1981 - - SUPARDI DUNGBALAR RT2/1 20-44 Thn. BPJS PBI
10/12/2023 '0002581939225 3/30/1978 - - HARYADI TANJUNG RT1/3 45-54 Thn. BPJS PBI
10/12/2023 '0000566166701 2/12/1973 - - WARSINI TANJUNG 45-54 Thn. BPJS PBI
10/12/2023 '0002432466235 12/2/1972 - - BUDI SANTOSO PUTUK RT003/002 45-54 Thn. BPJS PBI
10/12/2023 '0000565951566 1/22/1974 - - SURATNO SAMBIREJO RT001/004 45-54 Thn. BPJS PBI
10/12/2023 '0002235212357 4/17/1982 - - BAMBANG SUTEJO TUKLUK 20-44 Thn. BPJS PBI
10/12/2023 '0000565640346 5/11/1958 - - TUKIMIN DOLOGAN RT003/003 60-69 Thn. BPJS PBI
10/9/2023 '0000565734745 1/1/1975 156 52 SUNARDI KEDUNG BANTENG 45-54 Thn. BPJS PBI
10/9/2023 '0000566174474 11/1/1957 165 55 SUKARDI MELIKAN 60-69 Thn. BPJS PBI
10/9/2023 '0002699026154 11/9/1972 156 56 KATMIN NGASEM RT2/4 45-54 Thn. BPJS PBI
10/9/2023 '0002699026165 2/24/2005 156 54 KATMIN NGASEM 2/4 15-19 Thn. BPJS PBI
10/9/2023 '0002699027403 10/3/1973 156 52 TRIYANTO PUTUK RT3/2 45-54 Thn. BPJS PBI
10/9/2023 '0002677153634 3/1/1956 156 52 SUROTO KEDUNGBANTENG 2/1 60-69 Thn. BPJS PBI
10/9/2023 '0002581938933 5/12/1976 156 52 TARUJI NGASEM RT2/4 45-54 Thn. BPJS PBI
 10/10/2023 '0000566674479 6/25/1979 165 65 SUNARDI MELIKAN 20-44 Thn. BPJS PBI
10/10/2023 '0001421992113 10/4/1966 156 54 SUKADI MELIKAN 55-59 Thn. BPJS PBI
10/10/2023 '0002699027605 11/30/1980 156 65 SURYANTO KEPUH WETAN 20-44 Thn. BPJS PBI
10/10/2023 '0002699026211 12/9/1959 156 54 SAMSUL HADI KEDUNGBANTENG RT2/1 60-69 Thn. BPJS PBI
10/10/2023 '0002699026143 6/8/1966 156 54 KATIMIN NGASEM 002/004 55-59 Thn. BPJS PBI
10/10/2023 '0000566147981 9/1/1961 156 55 WIJI PUTUK 60-69 Thn. BPJS PBI
10/10/2023 '0000566117065 8/27/1965 158 39 MUJIYONO PUTUK 55-59 Thn. BPJS PBI
10/10/2023 '0000565967812 6/12/1961 157 50 KARNO MELIKAN 60-69 Thn. BPJS PBI
10/10/2023 '0000566667999 9/1/1964 156 47 SUWARNO TUKLUK RT1/2 55-59 Thn. BPJS PBI
10/10/2023 '0001021904223 9/12/1974 157 57 TUKLUK 45-54 Thn. BPJS PBI
10/10/2023 '0000566755828 5/1/1963 156 38 MARTINI TUKLUK RT2/3 60-69 Thn. BPJS PBI
10/10/2023 '0002799237903 8/29/1967 158 46 SUNARWI TUKLUK RT1/2 55-59 Thn. BPJS PBI
10/10/2023 '0002353573023 10/2/1958 158 69 SUKIJO TUKLUK RT 1 RW 2 60-69 Thn. BPJS PBI
10/10/2023 '0002677153296 9/10/1965 156 44 SUGI TUKLUK 55-59 Thn. BPJS PBI
10/10/2023 '0000566113601 1/1/1969 156 51 KATIYO TUKLUK RT1/2 45-54 Thn. BPJS PBI
10/10/2023 '0002699026424 2/6/1958 156 57 SADIYO TUKLUK RT1/2 60-69 Thn. BPJS PBI
10/11/2023 '0002699027537 6/5/1975 156 65 SUTARNO NGASEM RT2/4 45-54 Thn. BPJS PBI
10/11/2023 '0002227794939 9/20/1997 160 65 MELIKAN 20-44 Thn. BPJS NON PBI / MANDIRI
10/11/2023 '0001421663073 8/29/1980 159 57 AGUS JALAKAN 20-44 Thn. BPJS PBI
10/13/2023 '0003232173846 7/5/1995 160 49 SRIYONO PONDOKAN RT1/6 20-44 Thn. BPJS PBI
10/13/2023 '0000565816713 10/1/1967 180 88 SAIMIN SENGON RT 001/007 55-59 Thn. BPJS PBI
10/13/2023 '0000566123106 9/17/2002 155 68 SUHARI BULU 001/003 20-44 Thn. BPJS PBI
10/13/2023 '0001021908082 11/17/1969 160 66 NGADIMIN KAMPLONG RT004/001 45-54 Thn. BPJS PBI
10/13/2023 '0002488733065 12/14/1953 155 50 ANOM CARITO BANYURIPAN RT2/7 60-69 Thn. BPJS PBI
10/13/2023 '0003141867396 8/23/1963 156 65 SUGIMIN BANYURIPAN RT2/7 60-69 Thn. BPJS PBI
10/13/2023 '0000565728355 6/1/1960 156 56 SAMIYO BANYURIPAN RT2/7 60-69 Thn. BPJS PBI
10/13/2023 '0000566169017 4/12/1957 156 45 SULASNO BANYURIPAN 002/007 60-69 Thn. BPJS PBI
10/13/2023 '0000566728479 3/25/1972 156 56 SURATNO BANYURIPAN 45-54 Thn. BPJS PBI
10/13/2023 '0002677154589 1/30/1962 155 45 MARYADI BANYURIPAN RT 2/7 60-69 Thn. BPJS PBI
10/13/2023 '0000089225482 12/12/1959 155 45 MULJOTO BANYURIPAN RT2/7 60-69 Thn. BPJS NON PBI / MANDIRI
10/13/2023 '0000566169658 4/16/1958 155 57 SULASNO BANYURIPAN 2/7 60-69 Thn. BPJS PBI
10/13/2023 '0003197183264 3/17/1973 155 52 SUGIHARTO BANYURIPAN 002/007 45-54 Thn. BPJS PBI
10/13/2023 '0001882883687 7/10/1979 - - AGUNG PURWOKO DUNGWOT 001/008 20-44 Thn. BPJS NON PBI / MANDIRI
10/13/2023 '0003197183771 7/31/1987 155 54 SULARTO PONDOKAN RT001/006 20-44 Thn. BPJS PBI
A
N
A
A 10/13/2023 '0000565656456 3/5/1980 160 58 SAKIMIN TRITIS RT001/004 20-44 Thn. BPJS PBI
N 10/10/2023 '0000565594154 4/25/1955 - - SUNARDI NGELO RT1/1 60-69 Thn. BPJS PBI
A 10/14/2023 '0002677155175 1/1/1958 150 55 MISKAM TRITIS RT1/4 60-69 Thn. BPJS PBI
10/14/2023 '0000076423454 6/23/1994 153 49 ANDI PURNOMO TANJUNG RT 003 RW 002 20-44 Thn. BPJS NON PBI / MANDIRI
10/14/2023 '0001021905797 4/5/1968 155 51 SULARNO PLOSOREJO RT2/4 55-59 Thn. BPJS PBI

10/14/2023 '0000567165914 10/14/1996 155 98 EDI NURHIDAYAT DUNGBENDO KULON RT002/002 20-44 Thn. BPJS NON PBI / MANDIRI
10/14/2023 '0001250607543 5/12/2001 155 46 MARYOTO NGASEMLEGI RT1/5 20-44 Thn. BPJS PBI
10/14/2023 '0001021905674 3/1/1963 145 54 PLOSOREJO 60-69 Thn. BPJS PBI
10/14/2023 '0001528650033 7/27/1982 155 45 TRI WIDIYANTO BULU 20-44 Thn. BPJS NON PBI / MANDIRI
10/14/2023 '0001021905742 3/29/1968 155 45 SARTINI PLOSOREJO RT2/4 55-59 Thn. BPJS PBI
10/14/2023 '0001423562185 11/11/1975 155 45 SULARJO PLOSOREJO RT2/4 45-54 Thn. BPJS NON PBI / MANDIRI
10/14/2023 '0000566162559 11/1/1955 155 56 PLOSOREJO 60-69 Thn. BPJS PBI
10/10/2023 '0000565501498 8/6/1968 155 50 SUHARTI SRAYU RT1/2 55-59 Thn. BPJS PBI
10/14/2023 '0000566181281 11/27/1968 155 67 SUGIYONO PLOSOREJO RT003/004 45-54 Thn. BPJS PBI
10/10/2023 '0002677155175 1/1/1958 155 50 MISKAM TRITIS RT1/4 60-69 Thn. BPJS PBI
10/10/2023 '0001615443895 8/22/1972 160 65 SUYOTO SRAYU RT1/2 45-54 Thn. BPJS PBI
10/10/2023 '0000565711863 7/1/1961 155 47 NGADIMIN PONDOKAN RT 01 RW 06 60-69 Thn. BPJS PBI
10/10/2023 '0003197180395 1/11/1955 155 41 KALIJO PONDOKAN RT2/6 60-69 Thn. BPJS PBI
PARJAN SISWO
10/14/2023 '0000566712606 3/6/1963 155 44 PAMUNGKAS PONDOKAN RT 002/ RW 006 60-69 Thn. BPJS PBI
10/10/2023 '0000565604987 11/1/1960 155 49 PONDOKAN RT2/6 60-69 Thn. BPJS PBI
10/14/2023 '0000503376377 12/10/1981 155 65 SUTIMIN MELIKAN 001/002 20-44 Thn. BPJS PBI
10/10/2023 '0002775372849 3/20/1963 155 45 MODO SUBROTO PONDOKAN RT3/6 60-69 Thn. BPJS NON PBI / MANDIRI
10/11/2023 '0000565531481 7/1/1959 155 50 KANIMAN TRITIS 60-69 Thn. BPJS PBI
10/11/2023 '0000565624517 8/8/1965 165 65 ALOISIUS SADIMIN REJOSARI RT002/003 55-59 Thn. BPJS PBI
10/11/2023 '0000565583591 12/1/1966 155 50 SARMAN TRITIS 55-59 Thn. BPJS PBI
10/11/2023 '0000566123106 9/17/2002 150 65 SUHARI BULU 001/003 20-44 Thn. BPJS PBI
10/14/2023 '0001974275212 11/10/1959 155 48 SUGIMIN PONDOKAN RT3/6 60-69 Thn. BPJS PBI
10/14/2023 '0002601413829 6/22/2006 - - TARUJI NGASEM RT2/4 15-19 Thn. BPJS PBI
10/10/2023 '0000566113915 8/12/1963 158 63 MARNO NGASEMLEGI RT3/5 60-69 Thn. BPJS PBI
10/14/2023 '0002581938933 5/12/1976 155 65 TARUJI NGASEM RT2/4 45-54 Thn. BPJS PBI
10/14/2023 '0001697774804 6/22/2006 155 65 JUMINGIN DUNGBALAR RT 01 RW 02 15-19 Thn. BPJS PBI
10/11/2023 '0000566405684 3/14/1968 155 45 SUWANTO DOLOGAN 55-59 Thn. BPJS PBI
10/11/2023 '0000566725083 2/11/1969 155 51 SUWARTO DOLOGAN RT3/3 45-54 Thn. BPJS PBI
10/11/2023 '0002770119909 7/10/1965 155 73 PARDI DOLOGAN RT3/3 55-59 Thn. BPJS PBI
10/11/2023 '0000566705687 9/19/1972 155 45 PARTU DOLOGAN RT3/3 45-54 Thn. BPJS PBI
10/11/2023 '0000566174136 3/1/1969 155 45 DOLOGAN 45-54 Thn. BPJS PBI
10/11/2023 '0000565640346 5/11/1958 155 45 TUKIMIN DOLOGAN RT003/003 60-69 Thn. BPJS PBI
10/11/2023 '0000565639301 10/5/1957 155 45 TUKIMIN DOLOGAN RT3/3 60-69 Thn. BPJS PBI
10/11/2023 '0002129389762 12/8/1999 155 45 ARI PRAMONO DOLOGAN RT 003/ RW 003 20-44 Thn. BPJS NON PBI / MANDIRI
10/11/2023 '0002128520079 4/20/1982 155 54 SUNARNO DOLOGAN RT003/003 20-44 Thn. BPJS PBI
10/11/2023 '0000566725746 7/29/2000 155 45 SUWARTO DOLOGAN RT3/3 20-44 Thn. BPJS NON PBI / MANDIRI
10/11/2023 '0000566404481 5/25/1996 155 45 KARDI DOLOGAN RT3/3 20-44 Thn. BPJS PBI
10/14/2023 '0000076423454 6/23/1994 0 0 ANDI PURNOMO TANJUNG RT 003 RW 002 20-44 Thn. BPJS NON PBI / MANDIRI
10/16/2023 '0002428212047 6/22/1965 150 61 MARYOTO MELIKAN RT002 RW 002 55-59 Thn. BPJS PBI
KAMIDI HADI
10/16/2023 '0000565814913 12/7/1996 158 59 MULYONO TRITIS RT1/4 20-44 Thn. BPJS NON PBI / MANDIRI
10/16/2023 '0000566690207 5/30/1981 160 66 SAIJO NGASEM RT002/004 20-44 Thn. BPJS PBI
10/16/2023 '0000566694549 12/18/1973 150 67 NARKAM KEPUH KULON 45-54 Thn. BPJS PBI
10/16/2023 '0002677153342 10/3/1964 159 60 SULAR NGASEM RT002/004 55-59 Thn. BPJS PBI
MISNO SOLIKIN
10/16/2023 '0000565849506 4/22/1965 159 54 TEGUH SENGON RT003/007 55-59 Thn. BPJS NON PBI / MANDIRI
10/16/2023 '0000564729783 9/16/1966 155 65 SUPRIYANTO TANJUNG RT001 RW 003 55-59 Thn. BPJS PBI
10/16/2023 '0000566752329 10/12/1969 160 66 SAIMO TROMOYO RT003/004 45-54 Thn. BPJS PBI
10/16/2023 '0000566120621 10/11/2000 150 62 HARDI TUNGGULSARI RT001/007 20-44 Thn. BPJS PBI
10/16/2023 '0002677154545 4/29/1991 155 45 NARTO PLOSOREJO 002/004 20-44 Thn. BPJS PBI
10/16/2023 '0002222521031 12/7/1954 155 65 SUWARNO NGADIROYO RT003/005 60-69 Thn. BPJS NON PBI / MANDIRI
10/16/2023 '0000565250782 6/1/1960 155 65 TUKIMAN NGASEM RT002/004 60-69 Thn. BPJS PBI
10/16/2023 '0001078120552 9/24/1960 155 65 SUHARJO NGADIROYO RT002/005 60-69 Thn. BPJS NON PBI / MANDIRI
10/16/2023 '0002699034399 7/12/1975 155 65 KARINO PENCOL RT1/8 45-54 Thn. BPJS PBI
10/17/2023 '0000565620862 1/1/1973 155 65 KAMINO PONDOKAN RT2/6 45-54 Thn. BPJS PBI
KAMIDI HADI
10/17/2023 '0000565814913 12/7/1996 155 59 MULYONO TRITIS RT001/004 20-44 Thn. BPJS NON PBI / MANDIRI
10/17/2023 '0000565504277 4/28/1989 155 76 RUDY TRIANA NGADIROYO RT002/005 20-44 Thn. BPJS PBI
10/17/2023 '0002677153544 3/27/1962 155 65 SUTIMAN KEPUH WETAN 002/003 60-69 Thn. BPJS PBI
10/12/2023 '0000565276691 11/7/1953 156 40 NGASEM 60-69 Thn. BPJS PBI
10/12/2023 '0000566168872 5/1/1963 156 50 SATEM NGASEM 60-69 Thn. BPJS PBI
 10/12/2023 '0002699027019 12/30/1966 156 47 PARIMIN NGASEM RT2/4 55-59 Thn. BPJS PBI
10/12/2023 '0000566689239 6/20/1956 156 42 SINO NGASEM RT2/4 60-69 Thn. BPJS PBI
10/12/2023 '0000566688879 6/1/1960 156 44 MIJO NGASEM 60-69 Thn. BPJS PBI
10/12/2023 '0000565943027 11/1/1956 156 46 MIDJAN NGASEM 002/004 60-69 Thn. BPJS PBI
10/17/2023 '0002699034309 4/9/1959 155 65 HARTO POJOK RT001/006 60-69 Thn. BPJS PBI
10/12/2023 '0002699026975 2/8/1956 156 60 SIYO NGASEM RT2/4 60-69 Thn. BPJS PBI
10/12/2023 '0000566729436 1/1/1956 156 45 KARSI NGASEM 60-69 Thn. BPJS PBI
10/12/2023 '0000566700985 12/4/1961 156 55 SLAMET NGASEM RT2/4 60-69 Thn. BPJS PBI
10/12/2023 '0000566685977 10/5/1957 157 53 SAKIDI NGASEM RT2/4 60-69 Thn. BPJS PBI
10/12/2023 '0002290106057 10/12/1968 158 54 SIDO RAHAYU NGASEM RT2/4 55-59 Thn. BPJS NON PBI / MANDIRI

10/12/2023 '0002677153443 8/30/1962 157 44 TUGIMAN HARTONO SAMBIREJO RT1/4 60-69 Thn. BPJS PBI
10/12/2023 '0002353572955 3/9/1968 156 47 SULARTO NGASEM RT2/4 55-59 Thn. BPJS PBI
10/12/2023 '0002699027526 5/15/1968 165 56 SUTARNO NGASEM RT2/4 55-59 Thn. BPJS PBI
10/13/2023 '0000565962344 8/12/1958 156 60 SUKIMIN MELIKAN RT2/2 60-69 Thn. BPJS PBI
10/13/2023 '0000566191495 3/19/1973 160 59 SIDI SAMBIREJO RT1/4 45-54 Thn. BPJS PBI
10/14/2023 '0000566108649 7/1/1955 156 34 SATINEM SAMBIREJO 60-69 Thn. BPJS PBI
10/14/2023 '0000566131173 4/1/1966 156 45 SRIYANTO SAMBIREJO 55-59 Thn. BPJS PBI
10/17/2023 '0000194936005 10/7/1984 155 49 SARJONO JATIPURO RT29/10 20-44 Thn. BPJS NON PBI / MANDIRI
10/17/2023 '0000565725058 8/20/1981 156 43 SUWALNO SAMBIREJO 20-44 Thn. BPJS PBI
10/14/2023 '0000566106164 11/16/1955 156 54 SATIMIN SAMBIREJO 60-69 Thn. BPJS PBI
10/14/2023 '0000566180919 4/20/1960 156 50 HADI SUWITO SAMBIREJO RT1/4 60-69 Thn. BPJS PBI
10/14/2023 '0000565276691 11/7/1953 156 45 KATIJEM SAMBIREJO RT1/4 60-69 Thn. BPJS PBI
10/14/2023 '0002319408876 12/8/1959 156 54 TOHA SAMBIREJO RT1/4 60-69 Thn. BPJS PBI
10/14/2023 '0002699026874 7/12/1956 156 43 SADIMIN SAMBIREJO RT 01 RW 4 60-69 Thn. BPJS PBI
10/14/2023 '0002699027954 8/23/1956 156 50 SAMBIREJO 60-69 Thn. BPJS PBI
10/14/2023 '0000566732507 6/1/1960 156 43 NGADENI SAMBIREJO RT1/4 60-69 Thn. BPJS PBI
10/14/2023 '0000565954525 12/30/1953 156 34 TARNO SAMBIREJO 60-69 Thn. BPJS PBI
10/14/2023 '0000566201744 5/1/1958 156 54 DIKEM SAMBIREJO RT1 RW4 60-69 Thn. BPJS PBI
10/14/2023 '0000566686181 5/2/1956 157 45 SOKARTO SAKIYO SAMBIREJO 60-69 Thn. BPJS PBI
10/14/2023 '0002699026176 9/12/1957 156 45 SAKIDI SAMBIREJO 60-69 Thn. BPJS PBI
10/16/2023 '0000566722462 11/1/1961 156 54 SULINO TUKLUK 60-69 Thn. BPJS PBI
10/16/2023 '0000565219991 2/1/1975 160 90 KADIMIN PUTUK 45-54 Thn. BPJS PBI
10/16/2023 '0000565971682 11/9/1970 156 54 AHMAD SUBAN MELIKAN 45-54 Thn. BPJS PBI

N
I
 10/16/2023 '0000196375059 10/22/1976 156 54 SUPARWANTO JALAKAN 1/1 45-54 Thn. BPJS NON PBI / MANDIRI
10/16/2023 '0000565301643 9/1/1960 156 54 SATIMO KEDUNG BANTENG 60-69 Thn. BPJS PBI
10/16/2023 '0002091958053 4/3/1957 156 43 HARNI KEDUNGBANTENG 2/1 60-69 Thn. BPJS PBI
10/16/2023 '0002248068688 10/27/1963 156 43 MISDI KEDUNG BANTENG 55-59 Thn. BPJS PBI
10/16/2023 '0002363254277 11/12/1984 156 54 PARDI KEDUNG BANTENG 2/1 20-44 Thn. BPJS PBI
N
I 10/16/2023 '0000566103835 5/1/1962 157 54 KEDUNG BANTENG 60-69 Thn. BPJS PBI
N 10/16/2023 '0002699026299 4/16/1961 156 45 JALAKAN 60-69 Thn. BPJS PBI
I 10/16/2023 '0000565252694 8/9/1968 156 43 SUTI JALAKAN RT1/1 55-59 Thn. BPJS PBI
N
G 10/16/2023 '0000565969926 11/7/1967 156 51 SENI JALAKAN 55-59 Thn. BPJS PBI
10/16/2023 '0000566110888 5/1/1962 156 43 SADINO JALAKAN 60-69 Thn. BPJS PBI
10/16/2023 '0002799239433 8/17/1963 156 54 KASIMIN JALAKANRT1/1 60-69 Thn. BPJS PBI
10/16/2023 '0000565959238 9/10/1965 158 43 JALAKAN 55-59 Thn. BPJS PBI
10/16/2023 '0000566185656 8/12/1956 156 43 CIPTO JALAKAN RT1/1 60-69 Thn. BPJS PBI
10/16/2023 '0000566640516 4/20/1968 156 54 FAIZAL JALAKAN RT 01/01 55-59 Thn. BPJS PBI
10/17/2023 '0002436491913 5/25/1976 156 54 SUYOTO SURUH RT3/3 45-54 Thn. BPJS NON PBI / MANDIRI
10/17/2023 '0002436492047 9/19/2006 156 85 SUYOTO SURUH RT003/003 15-19 Thn. BPJS NON PBI / MANDIRI
10/17/2023 '0001091918709 3/18/1972 156 54 TRIYANTO PUTUK RT3/2 45-54 Thn. BPJS PBI
10/17/2023 '0003197179833 12/13/1972 156 54 SUWARYO TUKLUK RT1/2 45-54 Thn. BPJS PBI
10/17/2023 '0000565678462 7/1/1960 155 65 SUKIR POJOK RT 001 RW 006 60-69 Thn. BPJS PBI
10/17/2023 '0001615444672 9/17/1962 155 65 SUWARTO SRAYU RT 001 RW 002 60-69 Thn. BPJS PBI
10/18/2023 '0000566633362 3/1/1970 155 57 SIKIN NGASEMLEGI 3/5 45-54 Thn. BPJS PBI
10/18/2023 '0000039724323 8/21/1988 170 56 FAHRU RIZAL TANJUNG RT2/3 20-44 Thn. BPJS NON PBI / MANDIRI
10/18/2023 '0000566627848 3/11/1955 152 40 SUKIMAN NGASEMLEGI RT 003/005 60-69 Thn. BPJS PBI

10/18/2023 '0000565551685 9/24/1969 0 0 RAHMAD SUPRAPTO TRITIS 1/4 45-54 Thn. BPJS PBI
10/18/2023 '0001021906359 11/6/1962 160 70 LAGIMAN SENGON RT1/7 60-69 Thn. BPJS PBI
10/18/2023 '0001021906361 9/17/1967 160 70 LAGIMAN SENGON RT1/7 55-59 Thn. BPJS PBI
10/18/2023 '0000565704257 9/12/1998 150 6 LARTO KAMPLONG RT003/001 20-44 Thn. BPJS NON PBI / MANDIRI
10/18/2023 '0001790883764 8/22/1965 158 55 RAKIDI NGASEMLEGI RT3/5 55-59 Thn. BPJS NON PBI / MANDIRI
10/18/2023 '0002433167379 9/15/1989 160 86 KARDI PLOSOREJO RT2/4 20-44 Thn. BPJS NON PBI / MANDIRI
10/19/2023 '0000566122116 10/14/2003 160 65 TRI UTOMO SAMBIREJO RT1/4 20-44 Thn. BPJS PBI
10/18/2023 '0000565704257 9/12/1998 - - LARTO KAMPLONG RT003/001 20-44 Thn. BPJS NON PBI / MANDIRI
10/19/2023 '0001615444582 4/24/1974 160 65 BUDI UTOMO NGADIROYO RT1/5 45-54 Thn. BPJS PBI
10/19/2023 '0000565690228 6/1/1960 160 62 ATMO SUWITO DUNGWOT, RT 2, RW 5 60-69 Thn. BPJS PBI
10/19/2023 '0000566694549 12/18/1973 160 61 NARKAM KEPUH KULON RT001 RW 003 45-54 Thn. BPJS PBI
10/19/2023 '0002248034769 10/20/1985 160 68 RIA WALUYO SONO RT1/8 20-44 Thn. BPJS NON PBI / MANDIRI
10/19/2023 '0002699026391 3/17/1962 150 50 SARTO TUKLUK 001/002 60-69 Thn. BPJS PBI
10/19/2023 '0000565561629 9/10/1969 160 52 BARYONO NGADIROYO RT001/005 45-54 Thn. BPJS PBI
10/20/2023 '0000371680391 4/11/1970 160 62 RAKIDI REJOSARI RT1/3 45-54 Thn. BPJS PBI
10/20/2023 '0000566186275 8/3/1962 155 65 SURATNO PLOSOREJO RT2/4 60-69 Thn. BPJS PBI
10/20/2023 '0002222521031 12/7/1954 155 65 SUWARNO NGADIROYO RT003/005 60-69 Thn. BPJS NON PBI / MANDIRI
10/20/2023 '0000089126616 3/28/1954 155 65 MULYATNO BENDOSARI KIDUL RT2/2 60-69 Thn. BPJS NON PBI / MANDIRI
10/20/2023 '0002474759755 12/14/2000 155 47 SUTRISNO KAMPLONG RT 001/001 20-44 Thn. BPJS NON PBI / MANDIRI
10/20/2023 '0001694598467 3/8/1991 156 56 UNTUNG WAHONO DUNGBALAR RT1/2 20-44 Thn. BPJS NON PBI / MANDIRI
10/20/2023 '0002677154578 4/25/1963 0 0 MARYADI BANYURIPAN RT 2/7 60-69 Thn. BPJS PBI
10/20/2023 '0000565676155 4/19/1999 155 55 FUAD GERDU RT 004/005 20-44 Thn. BPJS PBI
PUGUH HADI JATIREJO RT 02 RW 06
10/21/2023 '0000089146181 4/18/1995 179 70 DARSONO WONOBOYO WONOGIRI 20-44 Thn. BPJS NON PBI / MANDIRI
10/18/2023 '0000565231959 7/8/1970 158 65 PARMAN SAMBIREJO 45-54 Thn. BPJS PBI
10/18/2023 '0002252764192 9/18/1992 158 54 BOWO MELIKAN RT2/2 20-44 Thn. BPJS PBI
10/20/2023 '0000566700658 3/1/1964 156 54 SLAMET NGASEM 55-59 Thn. BPJS PBI
10/20/2023 '0000566701569 6/3/1990 156 53 NGASEM 20-44 Thn. BPJS PBI
10/20/2023 '0002075546845 2/10/1965 160 59 SUGIMIN PUTUK RT3/2 55-59 Thn. BPJS NON PBI / MANDIRI
10/20/2023 '0002074373526 11/7/1963 163 75 PARNO KEPUH ETAN RT2/3 55-59 Thn. BPJS NON PBI / MANDIRI
10/20/2023 '0002075547352 9/11/1972 156 45 MULYANTO SURUH RT3/3 45-54 Thn. BPJS NON PBI / MANDIRI
10/20/2023 '0002353572483 3/28/1958 156 60 SUKATMAN KEDUNG BANTENG R2/1 60-69 Thn. BPJS PBI
10/20/2023 '0002353572494 10/9/1966 156 45 SUKATMAN KEDUNG BANTENG 55-59 Thn. BPJS PBI
10/21/2023 '0002699026716 9/20/1956 155 64 SATINO KEPUH WTN RT 002 RW003 60-69 Thn. BPJS PBI
10/21/2023 '0002295324426 10/8/1993 153 55 TRI SUMIYARNO TUKLUK RT1/2 20-44 Thn. BPJS NON PBI / MANDIRI
10/21/2023 '0000566141905 11/15/1957 155 65 DIMAN NGASEMLEGI 002/05 60-69 Thn. BPJS PBI
10/21/2023 '0002318404228 4/13/1975 155 65 MARYATNI KEPUH ETAN RT2/3 45-54 Thn. BPJS PBI
CORY JULIA
10/21/2023 '0002579749828 6/11/2000 155 54 NAHARDIANTO DUNGBALAR 2/1 20-44 Thn. BPJS NON PBI / MANDIRI
10/21/2023 '0002699033591 11/12/1955 155 65 KAIDI DUNGWOT RT1/5 60-69 Thn. BPJS PBI
10/21/2023 '0003197181183 3/17/1963 156 64 SISWO SUWITO TAWING RT4/7 60-69 Thn. BPJS PBI
10/21/2023 '0001528650055 8/10/2005 155 65 TRI WIDIYANTO BULU RT 02 RW 03 15-19 Thn. BPJS NON PBI / MANDIRI
10/23/2023 '0002295324426 10/8/1993 153 55 TRI SUMIYARNO TUKLUK RT1/2 20-44 Thn. BPJS NON PBI / MANDIRI
10/23/2023 '0001691428904 11/20/1986 143 46 MAHMUD KEPUH KULON RT 001/ 0033 20-44 Thn. BPJS NON PBI / MANDIRI
10/23/2023 '0000565737085 5/18/1960 155 53 MARDI DUNG BENDO WTN RT2/3 60-69 Thn. BPJS PBI
10/23/2023 '0002026091935 1/4/1970 160 75 IMAM AHMADI KAMPLONG RT001/001 45-54 Thn. BPJS NON PBI / MANDIRI
10/23/2023 '0003547787679 2/1/1972 160 70 SALIKIN TAWING RT004/007 45-54 Thn. BPJS NON PBI / MANDIRI
10/23/2023 '0001021903918 9/15/1965 156 45 SURONO KEPUH KULON RT001/003 55-59 Thn. BPJS PBI
10/23/2023 '0000565711863 7/1/1961 155 50 NGADIMIN PONDOKAN RT 001 RW 006 60-69 Thn. BPJS PBI
10/23/2023 '0003006949566 12/4/1961 150 66 MARDI BULU 002/007 60-69 Thn. BPJS NON PBI / MANDIRI
10/23/2023 '0000566707961 3/2/1981 166 67 SURYANTO TROMOYO RT 003/004 20-44 Thn. BPJS PBI
10/23/2023 '0002699027458 7/23/1966 - - SABAR UTOMO TROMOYO 003/004 55-59 Thn. BPJS PBI
10/23/2023 '0002581939225 3/30/1978 160 60 HARYADI TANJUNG RT001/003 45-54 Thn. BPJS PBI
10/23/2023 '0002677156132 1/23/2007 161 52 MUJIANTONO KAMPLONG RT002/001 15-19 Thn. BPJS PBI
10/23/2023 '0000565794112 5/15/1969 160 61 ANTONIUS MISDI POJOK 001/006 45-54 Thn. BPJS PBI
'34030912039800
10/23/2023 04 3/12/1998 0 0 HERI SETIAWAN SENGON 3/7 20-44 Thn. BPJS NON PBI / MANDIRI
10/23/2023 '0001615444986 12/27/1998 155 58 HERI SETIAWAN SENGON RT003/007 20-44 Thn. BPJS NON PBI / MANDIRI
10/23/2023 '0001390586859 3/3/1971 147 58 TARLAN SENGON RT1/7 45-54 Thn. BPJS PBI
10/23/2023 '0001390585792 10/27/1968 160 55 TARLAN SENGON RT1/7 45-54 Thn. BPJS PBI
SARNO DANU
10/23/2023 '0000564399819 12/6/1954 163 52 SUMARNO PAGUTAN 002/003 60-69 Thn. BPJS PBI
10/16/2023 '0000566121857 9/30/1963 - - MARTONO NGASEMLEGI 60-69 Thn. BPJS NON PBI / MANDIRI
10/18/2023 '0001974275212 11/10/1959 - - SUGIMIN PONDOKAN RT3/6 60-69 Thn. BPJS PBI
10/23/2023 '0000565253649 8/4/1977 159 46 KASIMAN TAWING 001/007 45-54 Thn. BPJS PBI
10/19/2023 '0003258748563 6/8/1962 - - KASDI PLOSOREJO RT2/4 60-69 Thn. BPJS NON PBI / MANDIRI
10/23/2023 '000279923815 8/8/2008 154 46 BULU 15-19 Thn. BPJS PBI
10/23/2023 '0002677154771 8/19/1981 154 56 SURATNO BULU RT2/3 20-44 Thn. BPJS PBI
10/23/2023 '0000566137484 8/10/1990 152 56 JOKO WIYONO DOLOGAN RT3/3 20-44 Thn. BPJS PBI
10/24/2023 '0001021903975 3/10/1965 155 65 SULARTO KEPUH ETAN RT2/3 55-59 Thn. BPJS PBI
10/24/2023 '0003197181069 6/12/1968 155 65 SULARTO KAMPLONG RT003 RW 001 55-59 Thn. BPJS PBI
10/24/2023 '0000565676155 4/19/1999 156 55 FUAD GERDU RT 004/005 20-44 Thn. BPJS PBI
10/24/2023 '0002622248469 2/7/1961 155 65 SAGINO SURUH RT3/3 60-69 Thn. BPJS PBI
10/24/2023 '0000503376377 12/10/1981 165 55 SUTIMIN MELIKAN 001/002 20-44 Thn. BPJS PBI
10/24/2023 '0001021906574 1/10/1968 160 60 MULYONO PENCOL 001/008 55-59 Thn. BPJS PBI
10/24/2023 '0001021906585 6/15/1968 152 40 MULYONO PENCOL RT001/008 55-59 Thn. BPJS PBI
10/24/2023 '0000566162886 9/8/1965 158 80 PARTOYO NGASEM RT002/004 55-59 Thn. BPJS PBI
 10/24/2023 '0000089440255 12/8/1953 155 50 ANTONIUS DARYADI NGADIROYO RT002/005 60-69 Thn. BPJS NON PBI / MANDIRI
10/24/2023 '0000566725746 7/29/2000 159 44 SUWARTO DOLOGAN RT003/003 20-44 Thn. BPJS NON PBI / MANDIRI

10/24/2023 '0002677155941 4/6/1978 155 43 ANTONIUS SUNARDI KAMPLONG RT003/001 45-54 Thn. BPJS PBI
10/24/2023 '0000565656456 3/5/1980 155 65 SAKIMIN TRITIS RT001/004 20-44 Thn. BPJS PBI
10/24/2023 '0000564778888 3/23/1965 160 60 SUMARNO LEMAHBANG RT002/004 55-59 Thn. BPJS PBI
10/10/2023 '0000565781646 8/1/1956 154 55 KAMINO PAKEL 60-69 Thn. BPJS PBI
10/24/2023 '0002770119909 7/10/1965 155 72 PARDI DOLOGAN RT003/003 55-59 Thn. BPJS PBI
10/10/2023 '0000565896442 5/1/1962 156 55 SUKINO PAKEL 60-69 Thn. BPJS PBI
10/10/2023 '0001021907979 6/1/1961 157 52 SLAMET PAKELRT2/9 60-69 Thn. BPJS PBI
10/10/2023 '0002381271827 12/4/1958 157 51 SUKISNI PAKEL 60-69 Thn. BPJS PBI
KEDUNGBALAR RT 01 RW
10/24/2023 '0000566127382 9/16/2001 0 0 IMAN RAHARJO 001,GEBANG 20-44 Thn. BPJS PBI
10/24/2023 '0000565607665 11/6/1967 158 49 MARNI TRITIS RT2/4 55-59 Thn. BPJS PBI
E 10/24/2023 '0000566600984 12/1/1978 156 75 BULU 20-44 Thn. BPJS PBI
N 10/14/2023 '0000565536161 3/20/1994 156 45 ARIF IRFANTO POJOK RT1/6 20-44 Thn. BPJS PBI
Y
10/14/2023 '0001021906451 6/13/1978 155 45 SUTAR POJOK RT002/006 45-54 Thn. BPJS PBI
P 10/14/2023 '0002699034322 12/31/1899 156 46 RAKINO POJOK 55-59 Thn. BPJS PBI
U 10/14/2023 '0001021907215 7/1/1963 155 60 MARGINI POJOK 60-69 Thn. BPJS PBI
J
I 10/14/2023 '0000565659854 12/31/1899 156 46 MARNO POJOK 45-54 Thn. BPJS PBI
A 10/14/2023 '0000565535406 1/1/1959 156 43 SARDI POJOK 60-69 Thn. BPJS PBI
S 10/14/2023 '0000565603356 7/1/1955 155 45 SUPARNO POJOK 60-69 Thn. BPJS PBI
T
U 10/14/2023 '0002699034344 12/31/1899 155 55 SADIN POJOK 45-54 Thn. BPJS PBI
T 10/14/2023 '0000565802278 6/29/1965 156 55 HERU POJOK RT2/6 55-59 Thn. BPJS PBI
I 10/14/2023 '0000565518014 2/8/1954 156 55 NARYO REJO POJOK 60-69 Thn. BPJS PBI
10/14/2023 '0002878511264 12/31/1899 155 55 POJOK 60-69 Thn. BPJS NON PBI / MANDIRI
10/14/2023 '0001021907125 4/17/1963 153 52 SAKIJO POJOK 60-69 Thn. BPJS PBI
10/14/2023 '0000565524663 5/12/1967 153 55 MURWADI POJOK RT001/ RW006 55-59 Thn. BPJS PBI
10/14/2023 '0000565793965 10/2/1969 155 55 MISDI POJOK RT1/6 45-54 Thn. BPJS PBI
10/14/2023 '0002699034276 12/31/1899 153 52 JOKO WITONO POJOK 55-59 Thn. BPJS PBI
10/14/2023 '0000565577256 8/1/1965 153 55 BEJO KARSONO POJOK RT2/6 55-59 Thn. BPJS PBI
10/14/2023 '0000565599418 7/17/1972 155 55 SAPTO WASITO ADI POJOK RT1/5 45-54 Thn. BPJS PBI
10/14/2023 '0000565626363 5/1/1965 155 55 KANIMIN POJOK RT1/6 55-59 Thn. BPJS PBI
10/25/2023 '0000565656456 3/5/1980 151 55 SAKIMIN TRITIS RT001/004 20-44 Thn. BPJS PBI
KAMIDI HADI
10/25/2023 '0000565814913 12/7/1996 156 61 MULYONO TRITIS RT001/004 20-44 Thn. BPJS NON PBI / MANDIRI
10/25/2023 '0000566609387 11/20/2006 - - PAIJO PLOSOREJO RT001/004 15-19 Thn. BPJS PBI
10/25/2023 '0002699026198 6/26/1958 160 65 NGADIMAN TROMOYO RT003/004 60-69 Thn. BPJS PBI
DUNGBENDO KULON RT 001 RW
10/25/2023 '0000565239306 6/8/1966 160 71 WAHYUDI 02 55-59 Thn. BPJS PBI
10/25/2023 '0000565704257 9/12/1998 150 64 LARTO KAMPLONG RT003/001 20-44 Thn. BPJS NON PBI / MANDIRI
10/25/2023 '0000565590431 10/4/1972 160 65 PAINO NGADIROYO RT1/5 45-54 Thn. BPJS PBI
10/25/2023 '0000566289281 12/31/1974 155 59 SRIYONO TANJUNG RT1/3 45-54 Thn. BPJS PBI
10/25/2023 '0000564799184 6/6/1972 55 56 SUGIMAN TANJUNG RT1/3 45-54 Thn. BPJS PBI
10/25/2023 '0000342847247 8/17/1990 160 65 TRIONO BENDOSARI KIDUL RT002/002 20-44 Thn. BPJS PBI
10/25/2023 '0000566168872 5/27/1963 160 66 SUWARDI NGASEM RT002/004 60-69 Thn. BPJS PBI
10/25/2023 '0000089448175 4/11/1961 155 66 SULARDI TANJUNG RT 02 RW 03 60-69 Thn. BPJS PBI
10/25/2023 '0000566219349 9/1/1960 155 56 SUMINO LEMAHBANG RT1/4 60-69 Thn. BPJS PBI
10/25/2023 '0000566219608 6/1/1967 155 66 SUMINO LEMAHBANG RT01 RW 04 55-59 Thn. BPJS PBI
10/21/2023 '0000565534484 7/1/1965 155 56 SUYADI TANJUNG RT 03 RW 03 55-59 Thn. BPJS PBI
10/21/2023 '0000566274519 9/23/1974 155 56 SARTINI TANJUNG RT 01 RW 03 45-54 Thn. BPJS PBI
10/21/2023 '0000564416403 5/1/1962 155 56 TANJUNG RT 01 RW 03 60-69 Thn. BPJS PBI
10/21/2023 '0002677154308 7/1/1960 155 56 KASIDI TANJUNG 60-69 Thn. BPJS PBI
KAMIDI HADI
10/25/2023 '0000565814913 12/7/1996 - - MULYONO TRITIS RT001/004 20-44 Thn. BPJS NON PBI / MANDIRI
10/25/2023 '0001796374327 4/18/1960 155 65 SUTARNO BENDOSARI KIDUL RT002/002 60-69 Thn. BPJS NON PBI / MANDIRI
10/25/2023 '0000565704257 9/12/1998 - - LARTO KAMPLONG RT003/001 20-44 Thn. BPJS NON PBI / MANDIRI
10/25/2023 '0002222521031 12/7/1954 155 65 SUWARNO NGADIROYO RT003/005 60-69 Thn. BPJS NON PBI / MANDIRI

10/26/2023 '0000567165914 10/14/1996 156 94 EDI NURHIDAYAT DUNGBENDO KULON RT002/002 20-44 Thn. BPJS NON PBI / MANDIRI
10/26/2023 '0002436448138 11/20/1968 158 58 TRI HARYONO MELIKAN 002/002 45-54 Thn. BPJS PBI

10/26/2023 '0000565749099 9/19/1964 145 44 RAHMAT TURDANTO DUNGBENDO KULON RT002/002 55-59 Thn. BPJS PBI
10/26/2023 '0000565737085 5/18/1960 155 53 MARDI DUNG BENDO WTN RT2/3 60-69 Thn. BPJS PBI
10/26/2023 '0000566159848 9/25/1999 150 50 TULUS WIDODO PLOSOREJO RT001/004 20-44 Thn. BPJS NON PBI / MANDIRI
10/26/2023 '0000566716544 7/23/1968 - - SUGIYONO SURUH RT003/003 55-59 Thn. BPJS PBI
10/26/2023 '0000565591408 9/13/1997 156 53 SUGIYONO TENGGAR KIDUL RT 002 RW 005 20-44 Thn. BPJS NON PBI / MANDIRI
10/26/2023 '0002677153948 11/10/1972 158 58 SULARMIN KEPUH ETAN RT002/003 45-54 Thn. BPJS PBI
10/26/2023 '0000564526978 4/4/1966 155 57 SUKAMTO BELIKREJO RT 01 RW 02 55-59 Thn. BPJS PBI
10/26/2023 '0000564753519 2/20/1979 155 56 MARYANTO TANJUNG RT 01 RW 03 20-44 Thn. BPJS PBI
10/26/2023 '0000039724299 9/6/1957 155 56 SYAFRUDDIN TANJUNG RT2/3 60-69 Thn. BPJS NON PBI / MANDIRI
10/26/2023 '0002471704233 6/6/1965 160 60 SUDIONO KAMPLPONG RT001 RW 001 55-59 Thn. BPJS PBI
10/26/2023 '0000566179176 2/24/2002 160 45 SARIMO PLOSOREJO RT002/004 20-44 Thn. BPJS PBI
10/26/2023 '0000565253649 8/4/1977 159 46 KASIMAN TAWING 001/007 45-54 Thn. BPJS PBI
10/26/2023 '0001796374327 4/18/1960 165 68 SUTARNO BENDOSARI KIDUL RT002/002 60-69 Thn. BPJS NON PBI / MANDIRI
10/26/2023 '0000565590431 10/4/1972 160 60 PAINO NGADIROYO RT001/005 45-54 Thn. BPJS PBI
10/12/2023 '0000565187128 10/1/1969 157 50 SIYO DUNGWOT 45-54 Thn. BPJS PBI
10/12/2023 '0001882883687 7/10/1979 156 50 AGUNG PURWOKO DUNGWOT 001/008 20-44 Thn. BPJS NON PBI / MANDIRI
10/12/2023 '0002699034118 2/15/1982 156 55 SUNARMO DUNGWOT RT2/5 20-44 Thn. BPJS PBI
10/26/2023 '0000565505921 5/11/1980 160 45 REJOSARI 20-44 Thn. BPJS PBI
10/17/2023 '0000565509126 7/1/1961 156 70 SRAYU 60-69 Thn. BPJS PBI
10/16/2023 '0000207736378 8/7/1971 155 50 JOKO PURWANTO TRITIS RT1/4 45-54 Thn. BPJS NON PBI / MANDIRI
10/16/2023 '0000565607665 11/6/1967 155 55 MARNI TRITIS RT2/4 55-59 Thn. BPJS PBI
10/18/2023 '0001615443939 11/7/1992 156 75 SUNARTO SRAYU RT1/2 20-44 Thn. BPJS PBI
10/18/2023 '0003117581504 10/24/1966 155 50 TRITIS 55-59 Thn. BPJS PBI
10/20/2023 '0000565531481 7/1/1959 155 60 KANIMAN TRITIS 60-69 Thn. BPJS PBI
10/20/2023 '0000565624517 8/8/1965 155 50 ALOISIUS SADIMIN REJOSARI RT002/003 55-59 Thn. BPJS PBI
10/20/2023 '0001615444165 11/7/1953 155 52 SUCIPTO SRAYU 60-69 Thn. BPJS PBI

10/20/2023 '0001265678098 11/12/1987 156 50 ENDANG NYUWARTI BULU RT 1/3 20-44 Thn. BPJS NON PBI / MANDIRI
10/23/2023 '0000566164754 9/22/1973 155 50 WARSINO BULU RT001/003 45-54 Thn. BPJS PBI
10/23/2023 '0000565818502 5/5/1957 165 50 SISWANTO TRITIS 1/4 60-69 Thn. BPJS PBI
10/12/2023 '0000565246967 7/1/1958 156 55 SADI DUNGBENDO KULON RT1 RW2 60-69 Thn. BPJS PBI
10/12/2023 '0002595640397 12/31/1899 159 78 DUNGBENDO ETAN 45-54 Thn. BPJS PBI
10/12/2023 '0000565524652 5/1/1970 155 41 WAGIMIN DUNG BENDO 45-54 Thn. BPJS PBI
10/12/2023 '0000565730256 1/1/1961 156 55 SUNARDI DUNG BENDO 60-69 Thn. BPJS PBI
10/27/2023 '0001615445493 9/24/1979 155 57 AGUNG SANTOSO BELIKREJO RT001/002 20-44 Thn. BPJS NON PBI / MANDIRI
10/27/2023 '0002770119909 7/10/1965 155 65 PARDI DOLOGAN RT003/003 55-59 Thn. BPJS NON PBI / MANDIRI
10/27/2023 '0001466958407 2/4/1964 155 65 SAIMUN SONO RT2/8 55-59 Thn. BPJS NON PBI / MANDIRI
 10/27/2023 '0002075547442 4/10/1969 155 65 SUGIYANTO TUKLUK RT001/002 45-54 Thn. BPJS NON PBI / MANDIRI
10/27/2023 '0001605535479 4/20/1996 155 65 SUGENG KAMPLONG 1/1 20-44 Thn. BPJS PBI
SARNO DANU
10/27/2023 '0000564399819 12/6/1954 155 65 SUMARNO PAGUTAN 002/003 60-69 Thn. BPJS PBI
10/23/2023 '0000565734475 9/18/1969 156 52 SUNARDI KEDUNGBANTENG RT2/1 45-54 Thn. BPJS PBI
KEDUNG BANTENG RT002 RW
10/23/2023 '0000565734745 1/1/1975 156 53 SUNARDI 001 45-54 Thn. BPJS PBI
10/23/2023 '0002363254277 11/12/1984 156 60 PARDI KEDUNG BANTENG 2/1 20-44 Thn. BPJS PBI
10/20/2023 '0000565820616 3/29/1983 155 55 WARSONO TRITIS RT1/4 20-44 Thn. BPJS PBI
10/23/2023 '0000566178671 8/12/1973 156 55 WIDODO PUTUK RT003/002 45-54 Thn. BPJS PBI
10/24/2023 '0000566103835 5/1/1962 156 65 KEDUNG BANTENG 60-69 Thn. BPJS PBI
10/24/2023 '0001021904493 4/18/1969 156 52 SRIYANTO KEDUNG BANTENG RT2/1 45-54 Thn. BPJS PBI
10/24/2023 '0002428212047 6/22/1965 160 56 MARYOTO MELIKAN 55-59 Thn. BPJS PBI
10/25/2023 '0002436448443 7/18/2008 156 52 MELIKAN RT 2/2 15-19 Thn. BPJS PBI
10/25/2023 '0001091902015 1/3/1979 158 52 SUPARMAN MELIKAN 20-44 Thn. BPJS PBI
10/26/2023 '0000566188839 4/1/1975 156 52 HARNININGSIH KEDUNG BANTENG 45-54 Thn. BPJS PBI
10/26/2023 '0000566103835 5/1/1962 156 65 KEDUNG BANTENG 60-69 Thn. BPJS PBI
10/26/2023 '0002699026391 3/17/1962 156 52 SARTO TUKLUK 001/002 60-69 Thn. BPJS PBI
10/26/2023 '0001091889707 11/29/1975 56 65 RIYADI SAMBIREJO RT1/4 45-54 Thn. BPJS PBI
10/26/2023 '0002353573023 10/2/1958 156 68 SUKIJO TUKLUK RT 1 RW 2 60-69 Thn. BPJS PBI
10/26/2023 '0001021904155 5/9/1955 56 58 SIKEM SURUH 60-69 Thn. BPJS PBI
10/27/2023 '0001091886941 2/28/1978 156 58 SUPARMAN MELIKAN 45-54 Thn. BPJS PBI
10/28/2023 '0002487427727 8/28/1999 155 47 PANJI MAULANA SENGON RT001/007 20-44 Thn. BPJS NON PBI / MANDIRI
10/27/2023 '0001091865014 11/19/2004 154 45 SUPARMAN MELIKAN RT2/2 15-19 Thn. BPJS PBI
10/27/2023 '0002581938999 10/9/1979 156 52 IKSANURI SAMBIREJO RT1/4 20-44 Thn. BPJS PBI
10/28/2023 '0001615444391 3/3/1971 165 65 MARGONO NGADIROYO 1/5 45-54 Thn. BPJS PBI
10/28/2023 '0000342847247 8/17/1990 155 65 TRIONO BENDOSARI KIDUL RT002/002 20-44 Thn. BPJS PBI
MANODO ARI
10/28/2023 '0001615444266 9/14/1979 155 65 SUBANDRIO REJOSARI RT1/3 20-44 Thn. BPJS NON PBI / MANDIRI
10/28/2023 '0002318238044 5/2/1964 157 54 MULYONO SENGON RT001/007 55-59 Thn. BPJS NON PBI / MANDIRI
10/28/2023 '0000565193529 4/11/1964 160 65 SUGIYANTO DUNBENDO WETAN 2/3 55-59 Thn. BPJS PBI
E 10/28/2023 '0001615444648 2/10/1959 160 65 ROHMIYATI NGADIROYO RT2/5 60-69 Thn. BPJS PBI
M KAMPLONG RT 002 RW 001
M 10/28/2023 '0002699033308 6/26/1970 160 62 MARIKEM NGADIPIRO NGUNTORONADI 45-54 Thn. BPJS PBI
Y

P
A
L
U
P
I
E
M
M
Y
10/28/2023 '0003276805061 9/14/1964 150 45 KIRMAN PLOSOREJO RT 02 RW 04 55-59 Thn. BPJS NON PBI / MANDIRI
P 10/28/2023 '0002478004187 12/18/2001 150 60 GUNAWAN PLOSOREJO RT1/4 20-44 Thn. BPJS NON PBI / MANDIRI
A 10/30/2023 '0002677155063 8/10/1962 152 47 LASMI SENGON RT3/7 60-69 Thn. BPJS NON PBI / MANDIRI
L
U 10/30/2023 '0000037271518 12/12/1962 156 65 SOEHARNO NGADIROYO RT001/005 60-69 Thn. BPJS NON PBI / MANDIRI
P 10/30/2023 '0000566121565 7/13/1958 154 45 TONO NGASEMLEGI RT2/5 60-69 Thn. BPJS PBI
I 10/30/2023 '0000566716544 7/23/1968 154 51 SUGIYONO SURUH RT003/003 55-59 Thn. BPJS PBI
10/30/2023 '0000565975449 10/24/1999 160 24 SULARNO SURUH RT3/3 20-44 Thn. BPJS PBI
10/30/2023 '0002699026918 9/19/1967 165 69 WARDI SAMBIREJO 001/004 55-59 Thn. BPJS PBI
10/30/2023 '0000566120621 10/11/2000 155 54 HARDI TUNGGULSARI RT001/007 20-44 Thn. BPJS PBI
10/30/2023 '0002699034682 2/24/1974 156 64 GIYATNO BANYURIPAN RT 002/007 45-54 Thn. BPJS PBI
10/30/2023 '0002699026053 12/21/2003 169 42 ANDRI WIBOWO NGASEM RT002/004 15-19 Thn. BPJS PBI
10/30/2023 '0000566254225 12/1/1972 - - KARNO LEMAHBANG RT 02 RW 04 45-54 Thn. BPJS PBI
10/30/2023 '0000566254574 8/1/1973 - - KARNO LEMAHBANG RT 02 RW 04 45-54 Thn. BPJS PBI
10/30/2023 '0001615445662 7/3/1980 - - WARNO PAGUTAN 20-44 Thn. BPJS PBI
10/30/2023 '0001615445572 4/2/2007 - - SRAYU 15-19 Thn. BPJS PBI
10/30/2023 '0000564755207 8/1/1972 - - SUYADI BELIKREJO RT 01 RW 02 45-54 Thn. BPJS PBI
10/30/2023 '0000564488537 10/1/1975 - - PRIHADI KEDUNGBALAR RT 01 RW 01 45-54 Thn. BPJS PBI
AGUS INDRO
10/30/2023 '0003197180068 9/15/1971 170 55 SUWANTO KARANGJATI 003/004 45-54 Thn. BPJS PBI
10/30/2023 '0000566181281 11/27/1968 160 75 SUGIYONO PLOSOREJO RT003/004 45-54 Thn. BPJS PBI
10/30/2023 '0000565531863 6/1/1977 - - LEMAHBANG RT02 RW 04 45-54 Thn. BPJS PBI
10/30/2023 '0000565531828 4/21/1974 - - SAHID LEMANGBANG RT 02 RW 04 45-54 Thn. BPJS PBI
10/30/2023 '0000565532278 8/17/2000 - - SAHID LEMAHBANG RT2/4 20-44 Thn. BPJS PBI
10/30/2023 '0000566265925 6/5/1998 - - SUBARKAH BELIKREJO 20-44 Thn. BPJS PBI
10/30/2023 '0000565499463 12/31/1963 148 54 KATIYEM NGADIROYO RT002/005 55-59 Thn. BPJS PBI
10/30/2023 '0000565270997 6/20/2000 156 48 SULIMIN MELIKAN RT 002/002 20-44 Thn. BPJS NON PBI / MANDIRI
10/30/2023 '0002677155039 12/30/1994 155 59 ADI SUSILO TRITIS RT001/004 20-44 Thn. BPJS PBI
10/30/2023 '0002677155039 12/30/1994 - - ADI SUSILO TRITIS RT001/004 20-44 Thn. BPJS PBI
10/30/2023 '0002893864915 8/15/1977 - - SARTO LEMANGBANG RT 02 RW 04 45-54 Thn. BPJS NON PBI / MANDIRI
10/30/2023 '0000565499171 3/21/1964 165 76 PARIMIN DUNGBENDO KULON 1/2 55-59 Thn. BPJS NON PBI / MANDIRI
10/31/2023 '0000564799184 6/1/1972 165 85 SUGIMAN TANJUNG RT 01 RW 03 45-54 Thn. BPJS PBI
10/31/2023 '0001021907722 5/6/1967 155 65 PAIJO DUNGBENDO ETAN 002/003 55-59 Thn. BPJS PBI
10/31/2023 '0000565916635 6/27/1968 0 0 PAIMAN NGADIPIRO RT001/004 55-59 Thn. BPJS PBI
10/31/2023 '0000566647918 6/1/1958 155 58 SULARJO BENDOSARI KIDUL RT002/002 60-69 Thn. BPJS PBI
10/31/2023 '0000565581802 7/6/1966 155 65 NGADIMIN NGADIROYO RT003/005 55-59 Thn. BPJS PBI
10/31/2023 '0001160392847 5/29/2002 155 65 SUWARDI NGASEMLEGI RT001/005 20-44 Thn. BPJS NON PBI / MANDIRI
10/31/2023 '0000564711502 4/12/1979 155 56 PARYANTO TANJUNG RT2/5 20-44 Thn. BPJS PBI
10/31/2023 '0000564711581 12/17/1964 155 56 PARYANTO TANJUNG RT2/3 55-59 Thn. BPJS PBI
10/16/2023 '0001021907979 6/1/1961 156 55 SLAMET PAKEL 60-69 Thn. BPJS PBI
10/26/2023 '0002581940755 12/31/1899 156 55 15-19 Thn. BPJS PBI
10/26/2023 '0002903045139 7/1/1957 156 55 SAIMUN SONO RT2/8 60-69 Thn. BPJS NON PBI / MANDIRI
10/31/2023 '0000565253649 8/4/1977 155 65 KASIMAN TAWING 001/007 45-54 Thn. BPJS PBI
10/31/2023 '0000565753511 3/30/1969 155 56 NGADI LEMAHBANG 01 RT 04 45-54 Thn. BPJS PBI
10/31/2023 '0000564526978 4/4/1966 155 56 SUKAMTO BELIKREJO RT 01 RW 02 55-59 Thn. BPJS PBI
10/31/2023 '0000566208663 1/1/1983 158 66 KASIYATNO PAGUTAN 4/4 20-44 Thn. BPJS PBI
10/31/2023 '0000565562891 3/14/1983 155 59 SURATNO BELIKREJORT2/2 20-44 Thn. BPJS PBI
10/31/2023 '0001615442949 6/16/1979 155 56 WAWAN DUNGBALAR 20-44 Thn. BPJS PBI
11/1/2023 '0000565804348 5/25/1959 168 67 JAMIIN NGADIROYO RT3/5 60-69 Thn. BPJS PBI
11/1/2023 '0000566123106 9/17/2002 0 0 SUHARI BULU 001/003 20-44 Thn. BPJS PBI
11/1/2023 '0002699026694 6/25/1971 155 65 SUTRISNO KEPUH WETAN 45-54 Thn. BPJS PBI
WAWAN BUDI
11/1/2023 '0001388684081 9/19/1987 155 65 SETIAWAN POJOK RT2/6 20-44 Thn. BPJS NON PBI / MANDIRI
11/1/2023 '0003040097927 5/30/1980 160 58 SRIYANTO REJOSARI RT002/003 20-44 Thn. BPJS PBI
10/30/2023 '0000566143929 4/3/1972 150 40 BAMBANG RIYADI BUMIHARJO SAMBIREJO 45-54 Thn. BPJS PBI
11/1/2023 '0001653004258 8/21/1994 0 0 SUKAMTO JALAKAN 1/1 20-44 Thn. BPJS NON PBI / MANDIRI
11/1/2023 '0000565940496 11/9/1958 0 0 SADIYO MELIKAN 60-69 Thn. BPJS PBI
11/1/2023 '0000565245099 12/30/1960 0 0 EDI S SAMBIREJO 60-69 Thn. BPJS PBI
104.8