Respon Time Farmasi Des 23

RSUD PMAS PATROL
JL. RAYA PATROL KM. 50
LAPORAN WAKTU TUNGGU

CARA BAYAR : Semua
INSTALASI : Instalasi Farmasi
UNIT : Semua
SUB UNIT : Semua
DOKTER : Semua
TINDAKAN : Semua
PERIODE 01 DESEMBER 2023 S/D 31 DESEMBER 2023
No. No. RM Nama Pasien JK Tgl Lahir Cara Bayar Nama Tindakan Nama Dokter Tgl Order
1 2 3 4 5 6 7 8 9
1 251761 JASRIAL L 28-01-1973 BPJS / JKN
2 133154 TATI P 21-04-1966 BPJS / JKN
3 171888 SURINIH NY P 06-10-1979 BPJS / JKN
4 250280 GENI LESTARI P 11-09-1984 BPJS / JKN
5 249732 ATIKAH P 10-05-1988 BPJS / JKN
6 175062 BUDI ISWANTO L 07-10-1977 BPJS / JKN
7 206396 ROHMANUDIN, TN L 12-12-1971 BPJS / JKN
8 246534 ULYATUN AKHIROH P 06-12-1985 BPJS / JKN
9 161894 DADAN L 15-02-1950 BPJS / JKN
10 248632 Hj. AISYAH, NY P 14-07-1956 BPJS / JKN
11 177391 MULYADI L 18-08-1969 BPJS / JKN
12 192864 MASKANAH P 25-03-1974 BPJS / JKN
13 243509 SUKIM L 22-01-1953 BPJS / JKN
14 145085 CAHYONO BIN WAMING L 12-06-1980 BPJS / JKN
15 231182 DARIMPEN NY P 07-06-1970 BPJS / JKN
16 231376 NARKATINY P 21-07-1966 BPJS / JKN
17 232183 DAUSNI NY P 01-01-1970 BPJS / JKN

18 232620 SINYOH.NY P 01-01-1970 BPJS / JKN
19 181679 TARMADI L 22-07-1977 BPJS / JKN
20 171161 DARYONO L 15-04-1972 BPJS / JKN
21 236282 GODIL L 06-06-1960 BPJS / JKN
22 185820 WARSENI P 01-01-1956 BPJS / JKN
23 237443 WASTIM TN L 17-03-1971 BPJS / JKN
24 244411 ASTINI P 08-05-1976 BPJS / JKN
25 198987 DEWI P 15-05-1976 BPJS / JKN
26 253570 SARODI L 11-06-1980 BPJS / JKN
27 243074 WANI L 19-08-1982 BPJS / JKN
28 252911 CASYANI, TN L 21-03-1972 BPJS / JKN
29 251553 HAYATUN P 22-06-1979 BPJS / JKN
30 238008 MOHRAFIZQY ZAYYID ASSAE L 17-01-2020 BPJS / JKN
31 253800 RISNANDAR L 16-09-1996 BPJS / JKN
32 241638 NURITA L 14-02-1984 BPJS / JKN
33 252792 SEPUDIN L 13-04-1982 BPJS / JKN
34 65621 MUTIA ZULFA ZAHRA P 20-03-1999 BPJS / JKN
35 249561 MAMID L 19-05-1965 BPJS / JKN
36 163017 KARSAM L 20-02-1966 BPJS / JKN
Tanpa Asuransi /
37 253801 KARSEM, NY P 10-07-1964
Umum
38 179787 QINDI IZZATUL L 09-08-2014 BPJS / JKN
39 234881 KASMIRA, NY P 17-11-1976 BPJS / JKN
40 250535 ULUL IZZAH, NY P 26-03-1994 BPJS / JKN
41 247298 IWAN YULIAWAN L 28-07-1981 BPJS / JKN
WINA SITI AMINAH

42 251680 P 23-05-2002 BPJS / JKN
RAHMAWATI
43 249563 KARTO BIN WARYA L 10-02-1962 BPJS / JKN

44 249918 JUHROH P 13-04-1988 BPJS / JKN
45 253803 ADE NURSITA L 02-09-1991 BPJS / JKN
46 253306 SARTIKAH P 05-05-1980 BPJS / JKN
47 105245 ONI ZAHRONI L 12-12-1953 BPJS / JKN
48 121217 NURETI P 10-12-1963 BPJS / JKN
49 253408 MAESAROH, Nn P 25-02-2006 BPJS / JKN
Tanpa Asuransi /
50 253813 PONIYATI P 11-03-1991
Umum
51 30305 ROICHATUL JANAH P 10-07-1982 BPJS / JKN
52 253810 CARSINAH P 10-07-1952 BPJS / JKN
53 247786 KADIYAH L 01-12-1985 BPJS / JKN
54 183704 ACA BAGUS ADI SURYANTO L 15-03-2011 BPJS / JKN
55 143349 WARIH P 15-10-1967 BPJS / JKN
56 253802 WARTI, NY P 21-02-1988 BPJS / JKN
57 161549 KOTIAH P 04-10-1992 BPJS / JKN
58 252616 DARPI BINTI RASBIN P 15-10-1975 BPJS / JKN
59 216855 YAYAT P 14-06-1974 BPJS / JKN
60 253798 MULYANI P 04-03-1996 BPJS / JKN
61 253807 TARINA P 14-03-1950 BPJS / JKN
62 246304 WARJI L 08-09-1953 BPJS / JKN
63 186665 ASHRI LUTHFI AFIEFAH P 04-12-1981 BPJS / JKN
64 89653 DARJA TN L 01-10-1962 BPJS / JKN
65 251215 SAKUDI L 20-05-1969 BPJS / JKN
66 253804 CARINIH P 12-05-1949 BPJS / JKN
67 251726 MAEMAH P 01-06-1947 BPJS / JKN
68 253793 MAHMUD L 12-06-1961 BPJS / JKN
69 253546 HUSNI THAMRIN L 17-04-1969 BPJS / JKN

70 253805 DURIAH, NY P 09-09-1961 BPJS / JKN
71 145422 LINA PUSPITA SARI P 03-04-1987 BPJS / JKN
72 246802 AGUS PRIHADI L 05-03-1980 BPJS / JKN
73 252899 NUR AENI BT MUSLIM, NY P 10-02-1972 BPJS / JKN
74 165854 IMAN TARIMAN L 23-03-1961 BPJS / JKN
75 17800 MASINAH P 03-01-1975 BPJS / JKN
76 253216 IPAH BT CARYA P 01-05-1978 BPJS / JKN
77 253744 NURHASANAH P 04-07-1989 BPJS / JKN
78 198565 HALIMAH P 11-02-1991 BPJS / JKN
79 125972 TURPIAH ROPIKO P 04-05-1969 BPJS / JKN
80 248701 SATRIA RAMADHAN L 26-06-2016 BPJS / JKN
81 253351 SITI NURAZIZAH P 31-07-2018 BPJS / JKN
82 238958 KHAYRA FARANISA AGNI P 13-11-2019 BPJS / JKN
83 154357 KHAERU WICAKSONO, AN L 03-02-2014 BPJS / JKN
84 104542 NINIK SURYATI, NY P 24-12-1960 BPJS / JKN
85 89400 ARSYAD, TN L 23-07-1956 BPJS / JKN
86 179485 BURHANUDIN L 30-03-1980 BPJS / JKN
87 198997 SARKAM BIN WARTA L 01-07-1962 BPJS / JKN
88 232019 WASDIM L 07-04-1962 BPJS / JKN
89 151432 SAKWID BIN DARTA L 20-05-1961 BPJS / JKN
90 234885 KARNA L 22-10-1959 BPJS / JKN
91 236675 KASTARI L 07-09-1951 BPJS / JKN
92 253267 TARMI P 20-04-1956 BPJS / JKN
93 167810 DAWIYATI P 01-03-1968 BPJS / JKN
94 237073 RUNASIH P 10-11-1978 BPJS / JKN
95 253488 PARIDAH P 01-01-1972 BPJS / JKN

96 253489 DEWI CARTIKA SARI P 31-05-2005 BPJS / JKN
97 161486 AMAROH BITAKWA P 01-05-2001 BPJS / JKN
98 253831 BELA KUSWATUN HASANAH P 21-04-2003 BPJS / JKN
99 253497 AYU HALIMAH P 22-11-1995 BPJS / JKN
100 253519 CASKIM L 14-03-1980 BPJS / JKN
101 155337 RAENAH, NY P 07-08-1965 BPJS / JKN
102 252608 NUR ASIH ARYANI P 27-06-1997 BPJS / JKN
Tanpa Asuransi /
103 248168 CASAYUNI SOFIYANTI, NY P 22-02-1999
Umum
104 253165 KARTIM L 12-04-1980 BPJS / JKN
105 251203 AWINAH, NY P 04-12-1997 BPJS / JKN
106 245375 KHUMAEROH BT JUNED P 05-08-1966 BPJS / JKN
107 173350 IIN WASRIAH P 13-03-1970 BPJS / JKN
108 147784 EDY HARTONO L 22-09-1969 BPJS / JKN
109 251006 KASDI, TN L 03-08-1981 BPJS / JKN
110 253014 RINDIANI P 05-09-1999 BPJS / JKN
111 246443 YUYUN YUNITA P 28-10-1993 BPJS / JKN
112 189930 CAYONG KUSMAIDI P 07-04-1972 BPJS / JKN
113 237484 DAMURI L 21-01-1979 BPJS / JKN
114 183020 RUSMINAH P 11-07-1973 BPJS / JKN
115 187453 TATI AENI P 21-12-1983 BPJS / JKN
116 176821 WARAN L 13-12-1967 BPJS / JKN
117 220017 RASCA L 26-10-1975 BPJS / JKN
118 243364 WARJA L 01-07-1965 BPJS / JKN
H. YUSUP PRIHADI BIN DASPAN,

119 91183 L 14-03-1964 BPJS / JKN
TN
120 125213 ARIYANTI FATMALA P 13-07-1993 BPJS / JKN
121 174847 ANISAH P 29-04-1982 BPJS / JKN

122 111618 YUNUS YUNILIANUS L 04-09-1956 BPJS / JKN
123 158283 JUMAROH, NY P 16-08-1982 BPJS / JKN
124 241411 RAIMAH, NY P 08-06-1969 BPJS / JKN
125 177847 INA KIRANAWATI P 01-07-1972 BPJS / JKN
126 248191 SUDIYANTORO L 26-02-1998 BPJS / JKN
127 184368 JUMAROH P 01-12-1970 BPJS / JKN
RADEN RORO ERING RIANDANI,

128 151969 P 14-05-1958 BPJS / JKN
NY
129 185257 ACHMAD SEPTIANA L 08-09-1968 BPJS / JKN
130 220591 EKA HARIYANTI P 07-01-1985 BPJS / JKN
131 141969 RANI P 13-07-1962 BPJS / JKN
132 247045 ANDRIYAN L 25-04-2004 BPJS / JKN
133 103307 IRIYANTO SPD MM PD L 26-09-1963 BPJS / JKN
134 252894 DARISEM P 12-07-1967 BPJS / JKN
135 253027 SULASTRI P 06-02-1997 BPJS / JKN
136 176164 YAYAN SUBAGIANTO L 19-09-1968 BPJS / JKN
137 244065 TARMIN L 13-05-1967 BPJS / JKN
Tanpa Asuransi /
138 245438 ROSID L 15-02-1969
Umum
139 208890 TITI SARITI P 09-10-1974 BPJS / JKN
140 253333 RUSMINI P 08-03-1972 BPJS / JKN
141 153137 GUNAWAN INDRA PRATAMA L 04-05-1992 BPJS / JKN
142 253570 SARODI L 11-06-1980 BPJS / JKN
143 248516 DAMA BIN RASTA L 23-01-1967 BPJS / JKN
144 245911 ASMINI P 16-03-1950 BPJS / JKN
145 243618 WIRIH, NY P 17-05-1965 BPJS / JKN
146 233366 WILDA WIROSA, NN P 12-09-1997 BPJS / JKN
147 250998 ABDUL ROSID, TN L 28-04-1974 BPJS / JKN

148 234727 WARJUK, TN L 10-12-1953 BPJS / JKN
149 234727 WARJUK, TN L 10-12-1953 BPJS / JKN
150 145552 ENIH P 09-03-1962 BPJS / JKN
151 253032 CASWATI P 05-07-1963 BPJS / JKN
152 237642 DARSIH P 15-02-1954 BPJS / JKN
153 157611 DARNENGSIH L 15-10-1973 BPJS / JKN
154 253866 UNAENI P 10-10-1978 BPJS / JKN
155 253880 RAPLI BERNARDI L 21-10-2008 BPJS / JKN
156 236428 CATUR BIN KASIM, TN L 11-07-1954 BPJS / JKN
157 235824 SUKENAH, NY P 08-07-1986 BPJS / JKN
158 241993 SUNITI P 18-07-1961 BPJS / JKN
159 165259 WARDIMAN L 11-10-1946 BPJS / JKN
160 109355 SHENI P 09-03-1972 BPJS / JKN
161 246051 KADERIH L 01-05-1979 BPJS / JKN
162 247477 OSIH P 10-05-1968 BPJS / JKN
163 140868 DEA MELANI P 07-03-2017 BPJS / JKN
164 253873 SAKUROH P 15-11-1979 BPJS / JKN
165 253623 AMING FRIYATNA L 14-05-1968 BPJS / JKN
166 119232 RATIWEN P 20-06-1972 BPJS / JKN
167 249538 CASINAH BTSAJAM P 26-05-1968 BPJS / JKN
168 89625 WARTINIH P 08-03-1950 BPJS / JKN
169 147239 CASIDI BIN WASNGAD L 15-11-1973 BPJS / JKN
171 253872 ERLINAH P 21-05-1989 BPJS / JKN
172 163350 TASIMA P 05-10-1970 BPJS / JKN
173 250871 TRIE MELIANTI P 21-05-2001 BPJS / JKN

175 234971 ENAH NY P 12-03-1958 BPJS / JKN
176 53405 RAKMAN, TN L 08-10-1935 BPJS / JKN
177 253881 JUNERIH P 28-08-1978 BPJS / JKN
178 173883 DURIROH P 27-01-1975 BPJS / JKN
179 141600 JANA BIN SAPIN L 12-04-1962 BPJS / JKN
180 220301 WISNU, TN L 15-04-1994 BPJS / JKN
181 234524 RATUM L 04-07-1952 BPJS / JKN
182 253103 RASNITI P 06-03-1968 BPJS / JKN
183 133717 KUSYATI P 05-01-1970 BPJS / JKN
184 252775 SIRAD, TN L 27-12-1982 BPJS / JKN
185 164624 TURMINIH, NY P 01-07-1972 BPJS / JKN
186 249993 TASWADI BIN DATAR L 01-10-1967 BPJS / JKN
187 253871 SANTINAH P 22-08-1980 BPJS / JKN
188 129023 RASITI, NY P 10-05-1960 BPJS / JKN
189 242020 TINYATI, NY P 01-07-1983 BPJS / JKN
190 253102 TANUSI BIN KENDAR L 01-08-1963 BPJS / JKN
191 238783 WARIH L 15-02-1950 BPJS / JKN
192 249398 ATO BIN KASNIM, TN L 06-03-1973 BPJS / JKN
193 183662 RASWAN L 01-07-1955 BPJS / JKN
194 248319 ROJIKIN L 12-06-1964 BPJS / JKN
195 81537 RAZIQ ABHINAYA L 10-05-2014 BPJS / JKN
196 168151 SITI RANADHIA SHADIQOH P 03-09-2018 BPJS / JKN
197 250122 DENAN, TN L 09-08-1969 BPJS / JKN
198 251489 KAPIKO L 21-03-1993 BPJS / JKN
199 251944 WARNEDI L 05-06-1989 BPJS / JKN

MUHAMMAD RAIHAN
200 145790 L 04-02-2001 BPJS / JKN
RAHMADIAN
201 53389 MARIA P 24-10-1945 BPJS / JKN
202 250289 DARTIM L 16-07-1972 BPJS / JKN
203 253646 H MUHYIDIN, TN L 01-01-1941 BPJS / JKN
204 253863 WINAH BT SAWITA P 11-10-1969 BPJS / JKN
205 248690 WARSID L 14-06-1958 BPJS / JKN
206 252211 WARMI BT SAKIR P 21-04-1980 BPJS / JKN
207 253545 MASDI L 05-06-1965 BPJS / JKN
208 248839 DELA PUSPITA P 27-08-2006 BPJS / JKN
209 251302 SITI AISYAH, NY P 08-02-1991 BPJS / JKN
210 232922 AHMAD SUJAI TN L 11-09-1967 BPJS / JKN
211 243500 TAMIN L 01-08-1966 BPJS / JKN
Tanpa Asuransi /
212 253620 DASEM P 27-09-1958
Umum
213 34578 RUSDIYANTI P 05-01-1973 BPJS / JKN
214 136966 ROHANI P 01-10-1989 BPJS / JKN
215 249104 SURATMI P 04-06-1982 BPJS / JKN
216 252598 KUSNITEM P 12-04-1967 BPJS / JKN
217 253884 SATINEM P 31-05-1966 BPJS / JKN
218 253867 WARSITA L 17-07-1978 BPJS / JKN
219 253877 AMING BIN KUSEN L 19-05-1965 BPJS / JKN
220 243249 WARCITA L 03-02-1960 BPJS / JKN
221 239244 SAMIAH P 04-02-1966 BPJS / JKN
222 253394 SUSI SUGESTI P 06-12-1984 BPJS / JKN
223 150708 KARMI P 01-07-1967 BPJS / JKN
224 161032 ROUDOTUL JANNAH P 09-11-1999 BPJS / JKN
225 247141 FANI SUGIARTI P 22-09-1993 BPJS / JKN

226 253589 YAYAH FATRI YAFI, NY P 30-04-2003 BPJS / JKN
227 253864 MELISAH, NN P 09-05-1990 BPJS / JKN
228 251639 TARSINIH P 04-06-1960 BPJS / JKN
229 248624 ENIH, NY P 10-10-1973 BPJS / JKN
230 109322 ENDANG CARSIM L 16-06-1981 BPJS / JKN
231 249732 ATIKAH P 10-05-1988 BPJS / JKN
232 249732 ATIKAH P 10-05-1988 BPJS / JKN
233 239107 RIDEM P 12-02-1956 BPJS / JKN
234 231881 RANI P 01-01-1976 BPJS / JKN
235 228153 KARWINAH P 01-01-1961 BPJS / JKN
236 253868 NANIH P 03-03-1963 BPJS / JKN
237 252803 NINING HERLINA P 07-01-1981 BPJS / JKN
238 248223 JAJULI, TN L 23-08-1962 BPJS / JKN
239 253837 WAHYUDIN, JK L 18-12-2004 BPJS / JKN
240 121570 WASTIRI, NY P 05-07-1972 BPJS / JKN
241 247746 SARINIH, NY P 15-07-1958 BPJS / JKN
242 121260 KANIAH, NY P 08-07-1965 BPJS / JKN
243 185395 WASRIAH P 09-02-1970 BPJS / JKN
244 250840 SURADI L 07-06-1958 BPJS / JKN
245 234548 DARMEN NY P 05-10-1995 BPJS / JKN
246 166042 AYU ISTIYANI, NY P 15-01-1994 BPJS / JKN
247 162243 SURATNO L 31-12-1970 BPJS / JKN
248 135421 JUHROTUN LAAELA P 16-12-1986 BPJS / JKN
249 245855 CECEP HERWANTO L 09-01-1996 BPJS / JKN
250 133027 ILAH KARMILA P 07-03-1980 BPJS / JKN
251 154127 RIKY ISKANDAR DIANA L 27-09-1977 BPJS / JKN

252 247558 DASMI BT RIBAN P 15-10-1969 BPJS / JKN
253 248189 HERYANI P 11-07-1967 BPJS / JKN
254 236722 KAMSIYAH P 21-12-1975 BPJS / JKN
255 157912 KASEM P 12-10-1972 BPJS / JKN
256 170574 ROYANI, NY P 06-05-1974 BPJS / JKN
257 249700 KURDIA L 15-05-1984 BPJS / JKN
258 131043 DARMIN SUCIPTO L 11-05-1979 BPJS / JKN
259 149918 CARSONO L 08-09-1981 BPJS / JKN
260 169491 TOBARI L 27-01-1967 BPJS / JKN
261 97283 SUNARTO, TN L 19-03-1977 BPJS / JKN
262 251047 DALAM BIN CASIAH L 07-02-1964 BPJS / JKN
263 242213 H. MOHAMMAD IRFAN L 12-04-1954 BPJS / JKN
264 233202 PATHONI TN L 01-01-1963 BPJS / JKN
265 144762 NUR DARMAYANTO L 13-03-1965 BPJS / JKN
266 231820 KARSIM, TN L 07-06-1987 BPJS / JKN
267 188025 CASRI P 18-08-1977 BPJS / JKN
268 238522 IKAH, NN P 06-11-2003 BPJS / JKN
269 180982 NONI TRISNAWATI P 16-01-1977 BPJS / JKN
270 237590 WARNIYEM P 21-10-1976 BPJS / JKN
271 189270 ANIMAH P 12-04-1989 BPJS / JKN
272 115069 SUPRIYAENI P 01-06-1998 BPJS / JKN
273 149495 SUKATNA L 26-01-1972 BPJS / JKN
274 240943 SUBAGJA L 08-05-1987 BPJS / JKN
275 135588 WASMA, S.PD.M.SI L 21-01-1966 BPJS / JKN
276 249883 NENENG AMINAH P 11-09-1977 BPJS / JKN
277 252539 ADEN MAULANA MUGIH L 30-05-1999 BPJS / JKN

278 155778 JUNAEDI ABDULLAH L 15-07-1987 BPJS / JKN
279 249371 RAUNAH P 09-07-1980 BPJS / JKN
280 151631 KHADIS BIN SABDULLAH L 26-11-1988 BPJS / JKN
285 153877 SURNALI L 03-04-1987 BPJS / JKN
286 244411 ASTINI P 08-05-1976 BPJS / JKN
288 183698 SYAMSUDIN L 15-06-1958 BPJS / JKN
289 236282 GODIL L 06-06-1960 BPJS / JKN
290 109343 CINDY WINDYANA P 03-06-1997 BPJS / JKN
293 243509 SUKIM L 22-01-1953 BPJS / JKN
295 238071 KARSIH, NY P 28-11-1959 BPJS / JKN
296 198987 DEWI P 15-05-1976 BPJS / JKN
299 133154 TATI P 21-04-1966 BPJS / JKN
301 250846 SANTOSO L 06-03-1976 BPJS / JKN

304 161894 DADAN L 15-02-1950 BPJS / JKN
307 253650 KARNITI P 19-03-1968 BPJS / JKN
309 241554 BILQIS MAR'ATUS SHOLEHA P 17-03-2015 BPJS / JKN
Tanpa Asuransi /
310 253911 NASIH BT WARGA P 11-05-1968
Umum
311 239544 SUMANTO L 17-05-1984 BPJS / JKN
312 111561 ALKONI, TN L 15-09-1983 BPJS / JKN
313 238503 KUSWATI P 04-06-1976 BPJS / JKN
314 155229 HAFIZAH, AN P 26-09-2015 BPJS / JKN
315 224016 RATINGKEM P 10-04-1981 BPJS / JKN
316 155803 WAWAS ANITA NINGRUM, AN P 04-04-2015 BPJS / JKN
317 191440 WARGAM L 15-04-1962 BPJS / JKN
318 153851 ABDUL WAHID, TN L 10-10-1998 BPJS / JKN
319 253462 HANIPAH P 07-05-1998 BPJS / JKN
320 252393 CICIH KURNIASARI P 24-05-2005 BPJS / JKN
Tanpa Asuransi /
321 247101 FHANESKA DEDYANA SYAFITRI P 26-06-2017
Umum
322 253933 WARMI P 11-08-1949 BPJS / JKN
323 154620 WARNISEM BT RAWAN P 17-04-1967 BPJS / JKN
324 133342 SARMINAH P 05-05-1970 BPJS / JKN
325 241994 MUHAMMAD RAFFA AL FARIZI L 18-06-2016 BPJS / JKN
326 46725 PATIMAH, NY P 09-02-1953 BPJS / JKN
327 160732 SARMA L 14-01-1948 BPJS / JKN
Tanpa Asuransi /
328 253924 SUTARNO L 05-02-1970
Umum
329 248446 TASMADI L 20-10-1981 BPJS / JKN

330 253460 SUKARDI L 12-06-1995 BPJS / JKN
331 253932 SITI UMI P 04-10-1974 BPJS / JKN
Tanpa Asuransi /
332 239238 YAYAN SOFIYAN, TN L 30-06-1994
Umum
333 248181 CASMI P 08-03-1966 BPJS / JKN
334 171931 DUROKIM BIN DANOYO L 30-10-1965 BPJS / JKN
335 176326 DASNIAH BT NARSA P 06-12-1968 BPJS / JKN
336 253441 DARINA P 28-02-1969 BPJS / JKN
337 252225 AGUS SONJAYA L 23-06-1993 BPJS / JKN
339 171000 TARA, TN L 02-10-1950 BPJS / JKN
340 253707 PISKA YOLANDA P 17-06-2007 BPJS / JKN
341 253611 KALIMAN L 16-03-1975 BPJS / JKN
342 253662 NURILAH P 16-04-1979 BPJS / JKN
343 253494 PULUNG L 04-01-1977 BPJS / JKN
344 185744 DARKIM L 05-08-1975 BPJS / JKN
345 252981 DATIM L 01-01-1957 BPJS / JKN
346 252433 HERA SHEPTYCA P 21-05-2016 BPJS / JKN
347 107506 FAHMI ZIYAAD RAMADHAN L 15-07-2015 BPJS / JKN
348 253143 SUTINA P 01-07-1943 BPJS / JKN
349 179608 SAMSURI L 18-07-1973 BPJS / JKN
350 252462 RAYASHA DWI PRADIPTA L 23-02-2023 BPJS / JKN
351 251229 NANI L 03-12-1977 BPJS / JKN
352 253248 ETI KURNAETI P 27-09-1986 BPJS / JKN
353 252465 DARJO L 30-05-1986 BPJS / JKN
354 81012 RINA SUHARTINA P 13-03-1973 BPJS / JKN
355 250878 KHOMSATUN P 08-01-1984 BPJS / JKN

356 250810 KARTEM P 02-11-1967 BPJS / JKN
357 204899 SUYATNI P 06-04-1975 BPJS / JKN
358 249031 TARIMAN BIN WARYO L 11-01-1973 BPJS / JKN
359 253931 INDAH ANGGRAENI P 07-08-1998 BPJS / JKN
360 252860 IKAWATI P 27-04-1996 BPJS / JKN
361 175311 DARPINAH P 23-12-1968 BPJS / JKN
362 231646 RATNAWATI NY P 01-03-1983 BPJS / JKN
363 252268 SAEFUL MUSLIMIN L 16-03-1983 BPJS / JKN
Tanpa Asuransi /
364 253922 MOHAMAD SUBHAN L 12-01-1988
Umum
365 251725 KASIRAH P 06-05-1966 BPJS / JKN
366 247749 WARSIM L 16-07-1986 BPJS / JKN
367 253912 KAPIDIN L 20-06-1980 BPJS / JKN
368 253910 ESIN BT MADSARIP, NY P 10-06-1960 BPJS / JKN
369 242284 TASEM P 10-12-1947 BPJS / JKN
370 158053 ABIZARD ALTAN MUTAQI L 13-02-2018 BPJS / JKN
371 253941 KUKUH ANDRIYANTO L 04-05-1996 BPJS / JKN
372 156513 INDY ASYFIA P 07-12-2010 BPJS / JKN
373 253194 SURINIH P 08-03-1983 BPJS / JKN
374 143693 SITI ROHMAH P 17-11-1983 BPJS / JKN
375 187404 EKO SUPRIYANTO L 22-09-1988 BPJS / JKN
376 249215 KURNAESIH P 27-03-1974 BPJS / JKN
377 149882 CASMINA P 25-11-1972 BPJS / JKN
378 253919 KARNOTO L 09-06-1965 BPJS / JKN
379 83077 UMROH P 02-06-1979 BPJS / JKN
380 151742 SRI HAYATI P 15-04-1982 BPJS / JKN
381 251039 TORIPAH, NY P 28-06-1988 BPJS / JKN

382 253934 SAKUM L 17-09-1947 BPJS / JKN
383 249960 MANSUR ZAIDAN L 20-08-1952 BPJS / JKN
384 253526 ROSITA L 10-10-1980 BPJS / JKN
385 253539 SURYAMAN L 01-07-1971 BPJS / JKN
386 253913 NURUL IMAN L 10-07-1979 BPJS / JKN
Tanpa Asuransi /
388 253936 TARINIH P 17-10-1970
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389 253942 ERTI P 01-10-1977 BPJS / JKN
390 253496 EDAH P 23-06-1979 BPJS / JKN
391 153627 ANTIKAH P 17-05-1957 BPJS / JKN
392 208613 ROKIMAN, TN L 12-10-1962 BPJS / JKN
393 241991 KASMI P 10-02-1968 BPJS / JKN
394 240193 ANA SULASTRI P 01-09-1988 BPJS / JKN
395 253917 KASMURI L 12-03-1966 BPJS / JKN
396 240148 RASMI BT TISAB P 29-07-1963 BPJS / JKN
397 175328 MISDIYANTO L 05-10-1995 BPJS / JKN
398 252354 KASIM L 12-03-1963 BPJS / JKN
399 167428 ROS SOBARIH L 27-03-2005 BPJS / JKN
400 163940 MAKRUS ALI L 03-06-1986 BPJS / JKN
401 253939 ANDI L 01-07-1999 BPJS / JKN
402 253674 DAMINAH, NY P 10-03-1968 BPJS / JKN
403 253943 SUTARDI L 25-02-1990 BPJS / JKN
404 119652 DJOHAR L 05-05-1942 BPJS / JKN
405 172054 SITI QORIAH, NY P 01-09-1981 BPJS / JKN
406 244306 TURSINAH P 09-12-1965 BPJS / JKN
407 162361 EMI SUHEMI P 25-05-1984 BPJS / JKN

408 228401 MUHAMMAD DZIKRIL HAMZAH L 07-08-2020 BPJS / JKN
409 185273 JAENAL ABIDIN L 04-03-1955 BPJS / JKN
410 124049 ILLAH SORPIN RIZKY, AN L 01-12-2012 BPJS / JKN
411 250467 KADMINIH P 08-11-1974 BPJS / JKN
412 139109 NY. ASIYAH BT CADRA, . P 06-06-1969 BPJS / JKN
413 249534 DARSINIH P 01-01-1990 BPJS / JKN
414 251277 RODIYAH, NY P 08-05-1963 BPJS / JKN
MUHAMMAD MAULID
415 246012 L 18-02-2011 BPJS / JKN
DAILFALAH
416 187320 RASITA BIN TARKAWI L 04-11-1968 BPJS / JKN
417 247501 WARTO L 05-04-1955 BPJS / JKN
418 253261 KAYSAH PUTRI DIYANTI P 11-07-2011 BPJS / JKN
419 253696 MUH SINUN L 07-08-1969 JAMKESKIN
420 151562 FUAEDAH P 15-10-1983 BPJS / JKN
421 236669 NAUREEN MIKAYLA P 26-03-2022 BPJS / JKN
422 81527 RUMINI P 01-01-1972 BPJS / JKN
423 239308 KAIRAH, NY P 05-10-1962 BPJS / JKN
424 232119 SAEPUDIN BIN KARYAN TN L 11-05-1964 BPJS / JKN
425 249387 SUMARNI P 12-03-1971 BPJS / JKN
426 253635 FATIMAH P 15-01-1982 BPJS / JKN
427 168453 ADIBAH SYAKILA P 14-09-2018 BPJS / JKN
428 119391 SAWIT BT KARTALIM P 01-07-1958 BPJS / JKN
429 236843 WASTI, NY P 02-06-1953 BPJS / JKN
430 252492 RAPLI L 31-03-2020 BPJS / JKN
431 168818 DARYUNI P 19-06-1987 BPJS / JKN
432 129732 WAHYUNINGSIH P 23-01-1965 BPJS / JKN
433 183993 NANI ROSNANI, NY P 14-07-1959 BPJS / JKN

434 161250 MUANAH P 07-02-1956 BPJS / JKN
435 253534 KARSITI P 20-04-1956 BPJS / JKN
436 46842 AAN MUNANI P 01-04-1955 BPJS / JKN
437 248992 ZAENAL ABIDIN L 14-06-1989 BPJS / JKN
438 246504 ENDANG ALDO L 12-02-1968 BPJS / JKN
439 171367 UUN UNARIH, NY P 14-06-1975 BPJS / JKN
440 149883 ALIYAH BT SARIP P 05-07-1978 BPJS / JKN
441 187552 CARMIN, TN L 07-09-1960 BPJS / JKN
442 253918 ENOK P 17-03-1970 BPJS / JKN
443 169280 CASIDIN L 14-05-1970 BPJS / JKN
444 224283 TA'AYU, NY P 25-01-1988 BPJS / JKN
445 253914 KONIAH P 09-06-1983 BPJS / JKN
446 83089 MUALIMAH P 06-06-1966 BPJS / JKN
447 91344 TUTI RAHAYU P 08-04-1992 BPJS / JKN
448 253915 JUNAEDI L 21-09-1964 BPJS / JKN
449 253975 MOCH HUSIN BIN WASTANI L 20-12-1969 BPJS / JKN
450 153074 UUS RUSNANDI L 15-08-1960 BPJS / JKN
451 251746 KASTARA L 14-10-1965 BPJS / JKN
452 7146 SUWARTI, NY P 05-02-1960 BPJS / JKN
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454 52129 UMINAH P 02-06-1966 BPJS / JKN
455 253746 GHAVIN MALIK AL FAIZAN L 19-12-2021 BPJS / JKN
456 235578 TARIPAN, TN L 20-04-1954 BPJS / JKN
457 253200 DARSEN L 12-06-1945 BPJS / JKN
458 247919 SUKARTA L 08-05-1940 BPJS / JKN
459 250843 SUWARNO L 11-06-1983 BPJS / JKN

460 233249 SURNATA L 01-01-1969 BPJS / JKN
461 231853 CASTINAH P 12-07-1985 BPJS / JKN
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462 253714 TARJI L 03-10-1970
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463 253688 KARNOTO L 07-04-1972 BPJS / JKN
464 250543 SULISTIAH P 19-09-2000 BPJS / JKN
465 150805 ATIB L 16-07-2006 BPJS / JKN
466 113759 SUGIYANTI, NY P 14-08-1961 BPJS / JKN
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468 253278 TASIH P 16-07-1955 BPJS / JKN
469 152962 TARSONO BIN TALKA L 12-10-1973 BPJS / JKN
470 125743 TARWADI, TN L 10-03-1955 BPJS / JKN
471 242269 SUHERMAN L 24-04-1993 BPJS / JKN
472 253258 VAREN DWI WARDANA L 26-03-2022 BPJS / JKN
473 99073 H MUDASIR L 10-05-1953 BPJS / JKN
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474 253091 KASTIRI P 10-12-1970
Umum
475 14246 SUPARTI, NY P 08-03-1952 BPJS / JKN
476 77468 SARTINAH P 20-10-1960 BPJS / JKN
477 148123 RASIYAH, NY P 15-03-1968 BPJS / JKN
478 121566 TARLIM, TN L 01-05-1947 BPJS / JKN
479 252592 ONIH P 01-01-1972 BPJS / JKN
480 67271 SITI AISAH P 28-05-1985 BPJS / JKN
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482 250778 ALI RACHMAN, TN L 17-08-1962 BPJS / JKN
483 250661 CASDAM L 04-11-1958 BPJS / JKN
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485 244026 NANANG SUNARYO L 04-10-1976 BPJS / JKN

486 246061 TEGUH FERDIANSYAH L 03-10-2012 BPJS / JKN
487 248971 DAVID BEKAM L 28-10-2022 BPJS / JKN
488 253900 MAYA SOFA BT ABDURI P 05-06-1973 BPJS / JKN
489 252418 KAYLA ALESHA PUTRI, AN P 08-06-2022 BPJS / JKN
490 252417 KEISHA ALMAHYRA PUTRI, AN P 08-06-2022 BPJS / JKN
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495 233915 TEGUH PRAYITNO L 02-06-1961 BPJS / JKN
496 253767 UKI, TN L 02-05-1948 BPJS / JKN
497 253442 WARSIDI L 01-10-1950 BPJS / JKN
498 235305 CARTI, NY P 16-05-1980 BPJS / JKN
499 250764 CARYAN L 01-01-1959 BPJS / JKN
500 171370 TARMI P 25-11-1981 BPJS / JKN
501 157055 TIRTA L 27-04-1978 BPJS / JKN
502 147099 MASRIAH P 05-12-1967 BPJS / JKN
503 251249 TASWADI L 25-08-1952 BPJS / JKN
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505 246124 SUPARJO, TN L 01-01-1958 BPJS / JKN
506 253973 WARJA BIN JAMHARI L 07-11-1963 BPJS / JKN
507 117980 MUKINIH P 07-02-1972 BPJS / JKN
508 115415 DANIMAH P 03-05-1969 BPJS / JKN
509 129308 PANCA MIARSIH P 28-12-1969 BPJS / JKN
510 183918 LATIFAH P 02-06-1961 BPJS / JKN
511 253743 SUBHAN ARIF BUDIMAN L 29-06-1991 BPJS / JKN

512 132661 DIVA RISMAWATI P 25-03-2005 BPJS / JKN
513 253414 MASNUN BIN YAMAN L 12-04-1972 BPJS / JKN
514 249417 CARLAB L 21-04-1954 BPJS / JKN
515 177089 KARINAH P 21-04-1968 BPJS / JKN
516 249652 KUSNOYO L 01-05-1977 BPJS / JKN
517 253732 TARYEM P 19-02-1979 BPJS / JKN
518 239701 DARNI BT MIDRIS P 27-07-1954 BPJS / JKN
519 169100 DARMINI P 18-08-1976 BPJS / JKN
520 253599 WAJI, TN L 20-03-1953 BPJS / JKN
521 252794 RASIMAN L 12-06-1953 BPJS / JKN
522 253490 PURWANTO L 12-08-1971 BPJS / JKN
523 252727 TARSEM P 07-10-1978 BPJS / JKN
524 79160 TURSINAH, NY P 12-11-1960 BPJS / JKN
525 235929 IAN ARDIYANTO L 22-09-2003 BPJS / JKN
526 253720 TASIJAH L 17-01-1954 BPJS / JKN
527 249806 IBNU FEBRIAN L 28-02-2015 BPJS / JKN
528 243447 DARWI P 01-07-1974 BPJS / JKN
529 147156 CHRISTIN ELAWITACHYA P 13-12-1963 BPJS / JKN
530 9058 KARNADI L 09-04-1962 BPJS / JKN
531 239192 CASMIAH P 25-07-1974 BPJS / JKN
532 253322 OON KONARA L 17-05-1992 BPJS / JKN
533 246206 NUR LAELA P 07-04-1976 BPJS / JKN
534 83936 SURTINAH, NY P 11-06-1954 BPJS / JKN
535 158054 ROHAETI P 20-05-1987 BPJS / JKN
536 176828 NANDA SOEDARSA L 02-10-1969 BPJS / JKN
537 183566 TRIE HANDIKA JULLIYANTI P 07-07-1995 BPJS / JKN

538 237198 PAIBAN, TN L 25-09-1960 BPJS / JKN
539 238178 RUKIYAH P 04-06-1964 BPJS / JKN
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541 125612 ELISNAWATI BT RIFA'I P 17-06-1992 BPJS / JKN
542 246671 ADNAN HANAFI L 08-12-2002 BPJS / JKN
543 241533 ADITYA SANJAYA, JK L 31-07-1991 BPJS / JKN
544 250516 SIGIT WIDODO L 01-04-2000 BPJS / JKN
545 250458 MUHAMMAD IZZAN KAMIL L 23-11-2022 BPJS / JKN
546 251444 OKING BIN BAGJA L 16-12-1960 BPJS / JKN
547 246380 PADOLI L 12-06-1959 BPJS / JKN
548 252593 CALEM BT TARMIDI P 01-04-1960 BPJS / JKN
549 236548 DARKINI P 02-02-1968 BPJS / JKN
550 251196 MUKRONI L 18-11-1973 BPJS / JKN
552 93017 RASDIKA L 01-07-1958 BPJS / JKN
553 252081 ANIAH P 13-12-1980 BPJS / JKN
554 144034 ROKAYAH, NY P 14-03-1977 BPJS / JKN
555 153630 SURATNO BIN TASAM L 01-01-1967 BPJS / JKN
556 253988 SURTINI P 06-04-1985 BPJS / JKN
557 243777 HERIDIN L 05-05-1994 BPJS / JKN
558 184903 KURNIAH P 11-12-1991 BPJS / JKN
559 242098 EFENDI L 07-02-1970 BPJS / JKN
560 137461 TOHIRIN L 15-07-1995 BPJS / JKN
561 171424 SYAMSUDIN L 18-07-1964 BPJS / JKN
562 243545 RATINIH BT KARSIM P 12-12-1989 BPJS / JKN
563 155609 KELIK HERNAWAN L 19-03-1992 BPJS / JKN

564 253418 FITRI P 04-06-1997 BPJS / JKN
565 242160 CASTEM P 06-04-1971 BPJS / JKN
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567 240951 SUGIYANTO L 25-12-2001 BPJS / JKN
568 246893 SUMERAH, NY P 05-03-1977 BPJS / JKN
569 247944 BUDIONO BIN SUKYAT L 15-10-1974 BPJS / JKN
570 141818 WINARNI P 13-08-1963 BPJS / JKN
571 246722 TARIBIN L 07-06-1967 BPJS / JKN
572 153329 DEWI KOMALASARI P 06-01-1994 BPJS / JKN
573 151991 CIPTA NENGSIH P 21-12-1983 BPJS / JKN
574 239932 WAISAH P 04-02-1973 BPJS / JKN
575 145545 FITRIYANI P 18-02-2002 BPJS / JKN
576 52433 CARI P 08-03-1963 BPJS / JKN
577 242460 KARSAM, TN L 02-07-1945 BPJS / JKN
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579 185277 RASMADI L 28-09-1993 BPJS / JKN
580 159420 ROMANAH P 03-06-1963 BPJS / JKN
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582 166808 SUTINI, NY P 08-07-1968 BPJS / JKN
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584 169814 SUNARI L 01-07-1980 BPJS / JKN
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590 93803 ISNIYATI P 22-09-1979 BPJS / JKN
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623 12316 BERNARD SIMARMATA, TN L 25-02-1963 BPJS / JKN
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668 232087 DEWI KIRANA NY P 01-01-2000 BPJS / JKN
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ASSYIFA ALKHOIRIYAH
679 253538 P 01-10-2014 BPJS / JKN
OKTAVIANI
680 253215 NUR ELFIYANTI P 27-10-2000 BPJS / JKN
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683 246088 TAMI P 11-10-1954 BPJS / JKN
685 109149 CUCU NIKO L 11-07-1989 BPJS / JKN
686 234157 WASAM BIN YAKUB L 21-10-1980 BPJS / JKN
687 254025 MASRINAH P 27-07-1971 BPJS / JKN
688 250184 EDI SAPUTRA L 12-10-1964 BPJS / JKN
689 159428 SATIWEN P 07-09-1966 BPJS / JKN
690 254021 RIWES P 05-12-1949 BPJS / JKN
691 254020 SAMIN BIN WAJAR L 11-12-1957 BPJS / JKN
692 181577 SARJAN BIN TARYAD L 10-04-1951 BPJS / JKN
693 251042 ARDIANSYAH L 17-11-1963 BPJS / JKN

694 36592 DAMIRAH P 14-07-1980 BPJS / JKN
695 245813 SHEZAN SAFAUNA, AN P 18-03-2021 BPJS / JKN
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698 252542 SIRIN FAZZA VIKLIMAH P 16-03-2013 BPJS / JKN
699 254019 RESIH P 21-06-1945 BPJS / JKN
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702 246441 WARSIH BT KARTO P 03-05-1973 BPJS / JKN
703 252118 KARTIKA SARI, BY P 19-10-2023 BPJS / JKN
704 208214 TASRINIH P 11-03-2022 BPJS / JKN
705 116565 DAHLAN RUSLANDI L 17-07-1949 BPJS / JKN
706 234211 WAMROH, NY P 17-08-1972 BPJS / JKN
707 180373 HJ. DARNI, NY P 07-10-1968 BPJS / JKN
708 163653 SUKARYO BIN TARSIMAN, TN L 14-03-1952 BPJS / JKN
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710 253760 WARKIM BIN WAKI L 01-02-1957 JAMKESKIN
711 242864 NININ P 01-07-1968 BPJS / JKN
712 253742 YOGA PERMADI, JK L 05-12-2005 BPJS / JKN
713 253765 ENCAR, NY P 01-07-1950 BPJS / JKN
714 253703 WARLAN L 12-03-1962 BPJS / JKN
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716 250773 KAWAN SUSANTO L 26-05-1987 BPJS / JKN
717 253723 ADE ANTONIO L 16-05-2001 JAMKESKIN
718 254022 DIMAN L 15-11-1971 BPJS / JKN
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720 253724 MUKRAD L 18-01-1944 BPJS / JKN
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725 153678 CASDEM P 09-05-1969 BPJS / JKN
MUHAMMAD NAWWAF AL
726 188432 L 25-08-2016 BPJS / JKN
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730 143456 TINI BT DASTA P 21-07-1968 BPJS / JKN
731 253252 SUTINAH P 17-05-1958 BPJS / JKN
732 133046 SARIPAH, NY P 20-04-1986 BPJS / JKN
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735 245648 KARJA L 05-02-1962 BPJS / JKN
736 230448 WINANTI P 12-12-2001 BPJS / JKN
737 214286 RANTINIH P 15-12-1990 BPJS / JKN
738 125646 SUKENAH P 10-01-1972 BPJS / JKN
739 228785 WASTIAH, NY P 07-03-1965 BPJS / JKN
740 189119 WASTEM P 13-05-1967 BPJS / JKN
741 254062 MARKINAH P 10-05-1948 BPJS / JKN
742 147547 LURUH P 10-05-1950 BPJS / JKN
743 254041 KAWI L 22-03-1958 BPJS / JKN
744 56941 YETI SUHAETI, NY P 05-05-1955 BPJS / JKN
745 254040 DARSINAH P 20-03-1961 BPJS / JKN

746 254066 SITI KHODIJAH P 30-09-1984 BPJS / JKN
747 238052 CANGUDI L 01-11-1978 BPJS / JKN
748 254044 JUMAIYAH P 21-08-1979 BPJS / JKN
749 254060 WARKIM L 17-04-1966 BPJS / JKN
750 242773 WARGANA L 18-10-1973 BPJS / JKN
751 176761 ROSIFAH P 21-04-2002 BPJS / JKN
752 166616 RUSNIAH AYU WULANDARI P 12-02-1983 BPJS / JKN
753 254053 CIWAN L 10-11-1970 BPJS / JKN
754 244068 RASEM BT RASWA P 06-09-1967 BPJS / JKN
755 242741 ENDANG WAHYUDIN, TN L 31-08-1960 BPJS / JKN
756 65621 MUTIA ZULFA ZAHRA P 20-03-1999 BPJS / JKN
757 185351 SITI NURODHOTUL JANNAH, NN P 29-08-2004 BPJS / JKN
758 187537 NY. WIWIN ANGGRAENI P 19-04-1995 BPJS / JKN
759 237314 SRI NURSANIAH P 15-03-1985 BPJS / JKN
760 252792 SEPUDIN L 13-04-1982 BPJS / JKN
761 185346 CARMINIH P 05-01-1976 BPJS / JKN
762 242712 SITI NUR RAHMAH OKTAVIANA P 16-10-1995 BPJS / JKN
763 254055 DEDE SITI ROKAYAH P 05-12-1995 BPJS / JKN
764 254065 SERIH BINTI RASJA P 08-04-1965 BPJS / JKN
766 179734 SUNENGSIH P 02-03-1961 BPJS / JKN
767 133154 TATI P 21-04-1966 BPJS / JKN
771 161894 DADAN L 15-02-1950 BPJS / JKN

Tanpa Asuransi /
772 253813 PONIYATI P 11-03-1991
Umum
775 198987 DEWI P 15-05-1976 BPJS / JKN
783 243509 SUKIM L 22-01-1953 BPJS / JKN
784 236282 GODIL L 06-06-1960 BPJS / JKN
786 109582 NATI NURYANTI, NY P 03-05-1979 BPJS / JKN
787 247023 KEYSAH AGUSTINA P 07-08-2022 BPJS / JKN
788 169154 WARGI, TN L 02-08-1942 BPJS / JKN
789 254059 TARYONO L 01-01-1973 BPJS / JKN
791 127113 SARMA BIN WARID L 19-03-1958 BPJS / JKN
792 254052 WASTIRI P 24-07-1970 BPJS / JKN
793 253781 ARTHA WIDIA P 14-07-2022 JAMKESKIN
794 252959 SUNEWI P 12-09-1968 BPJS / JKN
795 163017 KARSAM L 20-02-1966 BPJS / JKN
796 208889 EDI PURWADI L 27-10-1966 BPJS / JKN

798 253861 USMAN BIN TARJA L 30-07-1958 BPJS / JKN
799 254069 KALSAM L 01-07-1953 BPJS / JKN
800 24165 HJ. SRIYATI P 13-11-1962 BPJS / JKN
801 250967 KARIM BIN MUSAHAR L 01-10-1967 BPJS / JKN
802 250422 RUSTI P 07-05-1957 BPJS / JKN
803 141891 KHUSNUL KHOTIMAH P 25-12-1995 BPJS / JKN
804 163796 CASITI P 04-10-1963 BPJS / JKN
805 246370 DARTI P 12-04-1967 BPJS / JKN
806 240080 TASIR L 07-07-1959 BPJS / JKN
807 251672 NURSANIM BIN CARPAT L 01-11-1953 BPJS / JKN
808 253276 RIKY AFRIANTO L 03-12-2000 BPJS / JKN
809 252616 DARPI BINTI RASBIN P 15-10-1975 BPJS / JKN
810 117348 SITI AMINAH, NY P 27-07-1958 BPJS / JKN
811 251682 TARMID L 04-06-1940 BPJS / JKN
812 254061 WASDI L 17-05-1963 BPJS / JKN
813 247858 KARMI P 12-04-1962 BPJS / JKN
814 254063 ENIN L 01-03-1948 BPJS / JKN
815 254054 RIYANTI P 05-02-1972 BPJS / JKN
816 250759 TORANI P 04-11-1962 BPJS / JKN
818 183220 WARINI P 17-04-1985 BPJS / JKN
819 254058 SALYA BIN DAKLAN L 11-05-1984 BPJS / JKN
820 169387 SITI SHOFIAH P 10-02-1969 BPJS / JKN
821 251437 SUGIARTO, JK L 09-12-1996 BPJS / JKN
822 241484 SHAFA MAULIDA WIJAYA P 02-10-2022 BPJS / JKN
823 254003 AMY LIA PUTRI P 15-06-2001 BPJS / JKN

824 253474 YA'KUB, TN L 21-08-1964 BPJS / JKN
826 59538 KADMIRAH P 01-06-1958 BPJS / JKN
827 143378 NADZIF BARIZI , TN L 07-03-1977 BPJS / JKN
828 253151 ROJAI BIN DASKAM L 25-04-1969 BPJS / JKN
829 238656 KHASAN ASYHARI L 23-08-1987 BPJS / JKN
830 253558 SANTA, TN L 05-07-1965 BPJS / JKN
831 236725 SINTA P 17-06-2021 BPJS / JKN
832 40564 DIRSEM P 10-05-1960 BPJS / JKN
833 232642 KASTI NY P 05-07-1955 BPJS / JKN
835 250776 SUKAESIH, NY P 25-04-1979 BPJS / JKN
836 252380 TARSO, TN L 20-05-1979 BPJS / JKN
837 212340 SARWENDAH P 21-09-1977 BPJS / JKN
838 253793 MAHMUD L 12-06-1961 BPJS / JKN
839 240534 SURYATI BINTI JURI P 04-07-1958 BPJS / JKN
840 252645 ADE JAYA L 17-04-1986 BPJS / JKN
842 249732 ATIKAH P 10-05-1988 BPJS / JKN
843 253422 SATORI L 02-01-1956 JAMKESKIN
844 181420 NUR'AENAH P 02-02-1982 BPJS / JKN
846 254093 MURNI, NY P 12-12-2002 BPJS / JKN
847 167810 DAWIYATI P 01-03-1968 BPJS / JKN
848 253817 RANITA L 10-12-1965 BPJS / JKN
849 253488 PARIDAH P 01-01-1972 BPJS / JKN

850 237073 RUNASIH P 10-11-1978 BPJS / JKN
851 232750 MUHAMAD DANIL AN L 13-05-2022 BPJS / JKN
852 143073 TASINAH P 25-12-1964 BPJS / JKN
853 253519 CASKIM L 14-03-1980 BPJS / JKN
854 154877 RONI L 05-05-1981 BPJS / JKN
856 253165 KARTIM L 12-04-1980 BPJS / JKN
857 253716 TARMA WAHYUDI, TN L 07-01-1977 BPJS / JKN
858 253014 RINDIANI P 05-09-1999 BPJS / JKN
863 174847 ANISAH P 29-04-1982 BPJS / JKN

867 151969 P 14-05-1958 BPJS / JKN
NY
873 176821 WARAN L 13-12-1967 BPJS / JKN

874 91183 L 14-03-1964 BPJS / JKN
TN
875 237484 DAMURI L 21-01-1979 BPJS / JKN

877 220017 RASCA L 26-10-1975 BPJS / JKN
878 247436 TOTO L 17-04-1980 BPJS / JKN
879 251758 ENDANG WATI P 11-05-1982 BPJS / JKN
880 251662 SUMARNO L 17-07-1967 BPJS / JKN
Tanpa Asuransi /
881 254131 ABDUL MALIK L 12-12-2003
Umum
882 113605 NONO TARYONO L 01-07-1976 BPJS / JKN
883 251839 SRI MAWAR P 20-06-1986 BPJS / JKN
884 249750 ASEP ARIP HIDAYAT L 13-07-1979 BPJS / JKN
Tanpa Asuransi /
885 254132 DIAN ANGGRAENI P 05-06-1992
Umum
886 253570 SARODI L 11-06-1980 BPJS / JKN
887 250324 ROKHMAT A S BIN TAKWADI L 31-08-1992 BPJS / JKN
888 161501 RUNTIKAH, NY P 21-05-1953 BPJS / JKN
Tanpa Asuransi /
889 254129 KARMAN L 03-03-1957
Umum
890 247422 MAKMUN, TN L 10-03-1962 BPJS / JKN
891 73775 WARIH BT SABAR P 05-05-1962 BPJS / JKN
892 173759 WAKTUB L 01-03-1962 BPJS / JKN
893 191349 ERLANGGA BINTANG PRATAMA L 15-04-2009 BPJS / JKN
895 127393 ELI KUSRINI P 10-11-1975 BPJS / JKN
896 252802 MUKLAS BIN ARUN L 17-10-1952 BPJS / JKN
Tanpa Asuransi /
897 253878 RASMINAH P 24-04-1960
Umum
898 54054 TURINIH P 10-11-1979 BPJS / JKN
899 253845 TARYEM, NT P 06-07-1947 BPJS / JKN
900 253786 SUKIRAH BT TOMIK, NY P 10-12-1976 BPJS / JKN
901 111496 KUNIAH P 05-07-1976 BPJS / JKN

902 252839 DAIMUN, TN L 08-04-1953 BPJS / JKN
903 233476 SARUDIN, TN L 12-06-1963 BPJS / JKN
904 163448 DARWATI P 03-02-1986 BPJS / JKN
905 253818 NADYA SALSABILA P 09-07-2006 BPJS / JKN
906 172797 ELIN FATONAH P 30-08-1998 BPJS / JKN
907 252915 ISAH DAISAH P 11-07-1980 BPJS / JKN
908 157413 TASINGKEM, NY P 21-11-1979 BPJS / JKN
909 242710 PUTRI ANGGRAENI P 01-01-2007 BPJS / JKN
910 240371 KAPSAH P 03-04-1960 BPJS / JKN
912 107046 ENCIH ROSINTA P 20-07-1985 BPJS / JKN
913 187636 ANI ROHANI P 08-09-1965 BPJS / JKN
914 158262 TOYIBAH, ny P 12-06-1962 BPJS / JKN
915 187663 ISAK TN L 01-01-1980 BPJS / JKN
Tanpa Asuransi /
916 254136 SUKAESIH P 10-05-1978
Umum
917 238605 DARYEM BINTI CARTAM P 12-04-1959 BPJS / JKN
918 247298 IWAN YULIAWAN L 28-07-1981 BPJS / JKN
919 253545 MASDI L 05-06-1965 BPJS / JKN
920 141706 RATNA IDAH P 08-08-1965 BPJS / JKN
921 233366 WILDA WIROSA, NN P 12-09-1997 BPJS / JKN
922 253392 SAIMAH P 01-07-1974 BPJS / JKN
923 254141 JUMROH P 11-12-1962 BPJS / JKN
924 253848 WARYA, TN L 05-07-1974 BPJS / JKN
925 254146 SIMPEN, NY P 07-10-1965 BPJS / JKN
926 81012 RINA SUHARTINA P 13-03-1973 BPJS / JKN
927 177728 TARMUDI BIN CARSADI L 02-07-1980 BPJS / JKN

928 254133 SUPARMAN BIN MADULAH L 08-04-1959 BPJS / JKN
929 254140 ANIYAH, NY P 01-04-1989 BPJS / JKN
930 135070 JUMINAH P 10-06-1946 BPJS / JKN
931 248690 WARSID L 14-06-1958 BPJS / JKN
932 160732 SARMA L 14-01-1948 BPJS / JKN
933 84786 KASMINIH P 07-03-1956 BPJS / JKN
935 251456 SITI KHODIJAH P 29-10-1996 BPJS / JKN
936 254138 RAWIN BIN RASMIN L 10-01-1966 BPJS / JKN
937 254145 KISWEN BT SALAM P 12-07-1953 BPJS / JKN
939 253390 MOH IDRIS AL AYUBI L 12-07-1964 BPJS / JKN
940 249871 IROH, NY P 15-08-1975 BPJS / JKN
941 174797 KADMIRAH P 15-01-1961 BPJS / JKN
943 250289 DARTIM L 16-07-1972 BPJS / JKN
944 253416 SANIAH P 16-07-1969 BPJS / JKN
945 240011 WATINI P 08-10-1980 BPJS / JKN
946 133717 KUSYATI P 05-01-1970 BPJS / JKN
947 89653 DARJA TN L 01-10-1962 BPJS / JKN
948 113363 CASMITA, TN L 06-07-1971 BPJS / JKN
949 173265 MARWAH P 13-04-1964 BPJS / JKN
950 253027 SULASTRI P 06-02-1997 BPJS / JKN
951 253884 SATINEM P 31-05-1966 BPJS / JKN
952 52433 CARI P 08-03-1963 BPJS / JKN
953 240147 DAMI DAIRAH P 13-09-1986 BPJS / JKN

954 220910 PENDI HS L 04-03-1957 BPJS / JKN
955 252372 SUCI LIDIYA, NN P 15-10-2005 BPJS / JKN
956 147581 NADI L 16-03-1977 BPJS / JKN
957 254148 DARSONO L 07-12-1990 BPJS / JKN
958 145010 IIS ROHANI P 10-04-1980 BPJS / JKN
959 248624 ENIH, NY P 10-10-1973 BPJS / JKN
960 248502 SAMANI, TN L 25-02-1985 BPJS / JKN
961 254137 CATIMAN L 12-04-1955 BPJS / JKN
962 180219 DENADI L 12-04-1950 BPJS / JKN
963 242355 WARDO L 06-11-1971 BPJS / JKN
964 25260 PARGIYO, TN L 20-10-1962 BPJS / JKN
965 137683 TASIROH, NY P 01-04-1973 BPJS / JKN
966 48071 HIKMAH KOMALASARI P 04-11-1963 BPJS / JKN
967 61075 HJ SANIAH P 10-10-1947 BPJS / JKN
968 169995 AELIAH, NY L 12-05-1974 BPJS / JKN
969 237569 KARDI, TN L 05-08-1952 BPJS / JKN
970 254149 KALIMAH P 08-06-1960 BPJS / JKN
971 175503 HERIYANTO L 11-07-1973 BPJS / JKN
972 190932 SITI ASIAH P 26-06-2003 BPJS / JKN
973 192121 NUR INDAH NOVIANI, NN P 13-11-2002 BPJS / JKN
974 187385 MARATUS SHOLIHA, NY P 03-03-1979 BPJS / JKN
975 243567 DARPEN P 27-07-1974 BPJS / JKN
976 230016 DURIYAH, NY P 27-12-1961 BPJS / JKN
977 254155 MARDIN BIN SARKIM L 01-05-1957 BPJS / JKN
978 252765 WARNI P 02-09-1961 BPJS / JKN

980 107626 ASEP YUDI ROHANDI P 29-12-1974 BPJS / JKN
981 232994 TARILEMNY P 25-08-1968 BPJS / JKN
982 249219 WANTO L 08-04-1970 BPJS / JKN
983 249219 WANTO L 08-04-1970 BPJS / JKN
984 189341 CARNISEM P 07-01-1978 BPJS / JKN
985 244301 SEFIN L 14-08-2002 BPJS / JKN
986 244469 WASKINAH P 22-05-1974 BPJS / JKN
987 117217 ERI SUKAERI P 14-03-1975 BPJS / JKN
988 252627 SOLEH L 03-05-1981 BPJS / JKN
989 253729 NAMIN L 11-04-1950 BPJS / JKN
990 249374 RASPIN BIN CARSAN L 01-07-1956 BPJS / JKN
991 177755 YADI BASUKI L 02-02-1980 BPJS / JKN
992 254154 SUTANI BIN NARTAM, TN L 03-05-1964 BPJS / JKN
993 254152 KARTA BIN KARMIN L 02-02-1986 BPJS / JKN
994 238443 DALI L 05-06-1947 BPJS / JKN
995 236276 KARSAM L 07-03-1962 BPJS / JKN
997 254128 KARYADI L 02-01-1968 BPJS / JKN
998 190033 WARID L 04-06-1959 BPJS / JKN
999 42200 DRA SUDARIYAH P 31-08-1962 BPJS / JKN
1000 251404 CASLAM L 30-12-1954 BPJS / JKN
1001 93989 SUHARTATI P 15-03-1986 BPJS / JKN
1002 254150 NANNY P 02-10-1948 BPJS / JKN
1003 155627 ROYANI P 08-10-1971 BPJS / JKN
1004 237948 IDAH ROSITA, NY P 15-07-1983 BPJS / JKN
1005 253396 RODIS L 01-08-1961 BPJS / JKN

1006 253160 ROHAENAH P 11-08-1967 BPJS / JKN
1007 246754 MUSTOPA L 01-01-1974 BPJS / JKN
1008 166302 TARYEM P 20-11-1974 BPJS / JKN
1009 185386 NURWENDI L 04-03-1999 BPJS / JKN
1010 253107 LUPIYANTO L 01-04-1997 BPJS / JKN
1011 243364 WARJA L 01-07-1965 BPJS / JKN
1012 185956 NAPIAH P 20-06-1947 BPJS / JKN
1013 91299 HJ . SATIAH P 26-05-1973 BPJS / JKN
1014 239889 KONIDAH P 10-12-1987 BPJS / JKN
1015 253389 TANJID L 13-05-1960 BPJS / JKN
1016 240727 JANURI L 01-01-1958 BPJS / JKN
1017 253648 MAYA MARYAM P 27-11-1975 BPJS / JKN
1018 254143 KERIH, NY P 08-07-1980 BPJS / JKN
1019 105618 ASIPAH, NY P 02-10-1954 BPJS / JKN
1020 254092 CASDILAH L 20-06-1994 BPJS / JKN
1021 234293 KARWI P 15-02-1949 BPJS / JKN
1022 67529 SHOFIE AFIFATUNNISA P 06-08-2008 BPJS / JKN
1023 143941 SUMIATI , SE P 12-05-1978 BPJS / JKN
1024 253333 RUSMINI P 08-03-1972 BPJS / JKN
1025 187000 LATIFAH P 17-12-1969 BPJS / JKN
1026 250919 CATU L 07-04-1957 BPJS / JKN
1027 253101 DAURI BIN WARSA L 10-02-1976 BPJS / JKN
Tanpa Asuransi /
1028 254265 TITIN PATINAH P 11-10-1979
Umum
1029 123808 SUKANTA L 01-03-1963 BPJS / JKN
1030 185087 RAZLAEN PRANAJA L 13-03-2020 BPJS / JKN
1031 147470 SURIP, NY P 10-08-1960 BPJS / JKN

1032 185534 MASNITI P 13-05-1973 BPJS / JKN
1033 135665 TANGINAH P 01-01-1965 BPJS / JKN
1034 150159 MUHAMMAD FADLI L 06-05-2014 BPJS / JKN
Tanpa Asuransi /
1035 241462 H RANDEG, TN L 05-09-1977
Umum
1036 187863 ALYA ZAHRATUL HUSNA P 16-01-2019 BPJS / JKN
Tanpa Asuransi /
1037 238994 SAMSAMIR L 19-09-1975
Umum
1038 236096 RAMINIH P 01-07-1992 BPJS / JKN
1039 135571 WASTIRIH P 03-09-1957 BPJS / JKN
1040 237553 IIN KONIAH P 21-04-1970 BPJS / JKN
1042 253662 NURILAH P 16-04-1979 BPJS / JKN
1043 253494 PULUNG L 04-01-1977 BPJS / JKN
1044 254262 TARSIH P 12-04-1966 BPJS / JKN
1045 250204 SITI HABIBAH P 24-12-1972 BPJS / JKN
1046 253091 KASTIRI P 10-12-1970 BPJS / JKN
1047 248693 NURHAYATI P 01-07-1976 BPJS / JKN
1048 233666 KARSEM NY P 08-05-1976 BPJS / JKN
1049 248411 TRISAH NURFADILAH P 03-06-2023 BPJS / JKN
1050 230796 SARMIN L 07-10-1984 BPJS / JKN
1051 189988 TONI L 01-01-1975 BPJS / JKN
1052 231493 DIRLAM L 01-01-1974 BPJS / JKN
1053 244411 ASTINI P 08-05-1976 BPJS / JKN
1055 242952 CITRA, ASSADI P 07-03-2023 BPJS / JKN
1056 113530 TRIANA FADHILAH P 16-07-2002 BPJS / JKN

1058 10630 AMSIYAH P 14-10-1970 BPJS / JKN
1060 254234 MUSLIMAH L 02-01-1960 BPJS / JKN
1061 252268 SAEFUL MUSLIMIN L 16-03-1983 BPJS / JKN
1062 91709 HJ. SARINAH, NY P 02-03-1965 BPJS / JKN
1063 218912 WARTONO L 04-02-1994 BPJS / JKN
1064 228401 MUHAMMAD DZIKRIL HAMZAH L 07-08-2020 BPJS / JKN
1065 249392 KASTURI P 06-04-1952 BPJS / JKN
1066 247987 SUKINIH, NY P 10-09-1974 BPJS / JKN
1067 254263 RUSTINAH P 22-09-1962 BPJS / JKN
1068 253687 DANY MASTURO P 28-10-1963 BPJS / JKN
1069 164663 KOTIRAH P 07-07-1973 BPJS / JKN
1070 183226 BASARI L 24-02-1973 BPJS / JKN
1071 254281 MASARI P 11-07-1983 BPJS / JKN
1072 226109 AL FAJAR L 21-09-2021 BPJS / JKN
1073 87961 DAENZY SEYHAN RAMADHI L 05-09-2014 BPJS / JKN
1074 155425 SRUWET P 25-01-1974 BPJS / JKN
1075 254094 DASIYAH P 15-10-1957 BPJS / JKN
1076 200840 TALIM L 01-07-1958 BPJS / JKN
1077 254279 RAMADHAN HANIF SYAHBANDI L 08-06-2018 BPJS / JKN
1078 159787 IRYANI KONTESA P 21-11-1971 BPJS / JKN
1079 123443 SYARIFAH P 10-12-1983 BPJS / JKN
MUHAMMAD FAUZAN ALVINO,

1080 249645 L 23-01-2011 BPJS / JKN
AN
1081 254278 ROKMAH P 20-07-1970 BPJS / JKN
1083 161210 VERA HILDAYANTI P 10-11-1973 BPJS / JKN

1084 104115 NURBANDIAH P 02-10-1969 BPJS / JKN
1085 252490 IIS ISTIANAH L 06-08-1988 BPJS / JKN
1086 253647 WARMI, NY P 15-09-1970 BPJS / JKN
1087 98947 ENTIN CASTINIH, NY P 27-05-1990 BPJS / JKN
1088 251490 LELA ANDRIANI P 10-07-1993 BPJS / JKN
1089 10961 ROHAYATI, NY P 14-12-1982 BPJS / JKN
1090 249273 MEIGA DINDA SYAFIRA P 11-05-2012 BPJS / JKN
1091 92377 DARUNI P 01-01-1963 BPJS / JKN
1092 254260 KARTIM L 17-08-1971 BPJS / JKN
1093 238220 FAHMI HABIBURROHMAN L 28-09-1997 BPJS / JKN
1094 250160 NURKHASANAH, NY P 20-01-1983 BPJS / JKN
1095 139498 WASTINAH P 15-06-1959 BPJS / JKN
1098 234995 WARSITI P 15-01-1969 BPJS / JKN
1099 248786 RASWIN L 07-03-1963 BPJS / JKN
1100 79293 HENDRI EKA L 02-12-1988 BPJS / JKN
DEWI PURWATI BY, M. HERI

1101 231715 L 18-03-2022 BPJS / JKN
RAMADHAN
1102 253143 SUTINA P 01-07-1943 BPJS / JKN
1103 253856 CASTIRAH P 20-06-1966 BPJS / JKN
1104 157691 IIS SRI BUDIARTI, NY P 13-08-1965 BPJS / JKN
1105 254021 RIWES P 05-12-1949 BPJS / JKN
1106 254264 AHMAD NABIL AL FATIH L 22-05-2021 BPJS / JKN
1107 235119 SYATHORI, TN L 06-03-1982 BPJS / JKN
1108 246293 DASINIH P 12-08-1968 BPJS / JKN
1109 253653 ERYATI P 04-08-1973 BPJS / JKN

1111 175449 HJ. KARTINI P 01-01-1967 BPJS / JKN
1112 252965 DAISAH P 04-07-1971 BPJS / JKN
1113 152388 LIKA P 05-06-1997 BPJS / JKN
1114 254147 MUHAMAD JEFIR ALGHIFARI L 04-01-2007 BPJS / JKN
1115 250560 DIAN PURNAMA SARIH P 13-04-2006 BPJS / JKN
1116 143690 CARLAN L 22-04-1969 BPJS / JKN
1117 83754 IMROATUL IZAH, NY P 11-11-1977 BPJS / JKN
Tanpa Asuransi /
1118 254282 NACI SUNENTI P 27-01-2000
Umum
1119 107597 ROENI, NY P 07-07-1974 BPJS / JKN
1120 254277 TARKINI P 15-07-1986 BPJS / JKN
1121 246117 KOMARUDIN L 15-09-1990 BPJS / JKN
1122 189840 ELIN P 02-09-1986 BPJS / JKN
1123 107356 RASINIH BT TIJAH P 05-06-1957 BPJS / JKN
1124 187621 JULIAH P 09-07-1983 BPJS / JKN
1125 177451 KARMINI P 05-05-1973 BPJS / JKN
1126 149179 MASDUKI L 10-07-1963 BPJS / JKN
1127 159019 ISNAENI P 12-07-1986 BPJS / JKN
1128 119391 SAWIT BT KARTALIM P 01-07-1958 BPJS / JKN
1129 234673 EVI TAMALA P 05-05-1987 BPJS / JKN
1130 218637 WASMIN L 09-08-1970 BPJS / JKN
1131 252705 RADIWAN L 05-01-1958 BPJS / JKN
1132 252118 KARTIKA SARI, BY P 19-10-2023 BPJS / JKN
1134 149233 LINDA YANI P 11-02-1981 BPJS / JKN
1135 173228 SURCIMAH P 05-04-1981 BPJS / JKN

1136 251694 SUDIRMAN L 22-10-1954 BPJS / JKN
1137 254259 TARKAMAH P 04-03-1960 BPJS / JKN
1139 171681 SANIAH P 28-09-1985 BPJS / JKN
1141 234668 FAJAR FADILAH P 12-09-1999 BPJS / JKN
1142 251753 DASWIN L 07-09-1979 BPJS / JKN
1143 167900 MASILAH L 05-03-1983 BPJS / JKN
1144 234971 ENAH NY P 12-03-1958 BPJS / JKN
1145 252863 TARKA BIN TARBAN L 05-07-1942 BPJS / JKN
1146 246471 CASWI, NY P 11-02-1963 BPJS / JKN
1147 241484 SHAFA MAULIDA WIJAYA P 02-10-2022 BPJS / JKN
1148 246471 CASWI, NY P 11-02-1963 BPJS / JKN
1149 254258 KARDI L 15-07-1970 BPJS / JKN
1150 254257 AMANAH BT KASDIM P 05-09-1970 BPJS / JKN
1151 119425 SUMINAH P 08-03-1970 BPJS / JKN
1152 181266 SUTRISNO, TN L 12-04-1972 BPJS / JKN
1153 254287 ROKATI P 07-05-1985 BPJS / JKN
1154 173993 KUNAENAH BT NURALIM P 21-06-1963 BPJS / JKN
1155 153210 TOPIYAWATI P 05-05-1999 BPJS / JKN
1156 185346 CARMINIH P 05-01-1976 BPJS / JKN
1157 183036 DURJANI L 12-04-1982 BPJS / JKN
1158 185096 WAIDAH P 09-11-1993 BPJS / JKN
1159 254280 TURINAH P 01-07-1976 BPJS / JKN
1160 239396 WATI P 18-04-1956 BPJS / JKN
1161 179636 CARDANA, TN L 01-04-1980 BPJS / JKN

1162 251798 ADE ISMANTO L 14-01-1987 BPJS / JKN
1163 165512 DIMAS ARDI YANSYAH, AN L 07-04-2016 BPJS / JKN
1164 191168 SUKARA L 19-12-1984 BPJS / JKN
1165 185394 TIARA MIKAYLA P 01-01-2020 BPJS / JKN
1166 245226 SUTIMAH BT SABAR P 15-02-1965 BPJS / JKN
1168 109238 AYIP ALWI L 09-08-1962 BPJS / JKN
1169 253526 ROSITA L 10-10-1980 BPJS / JKN
1170 253539 SURYAMAN L 01-07-1971 BPJS / JKN
1171 253444 NEANDRA ABYGAIL NADHIFA P 04-01-2006 BPJS / JKN
1172 244204 LIIN, NN P 12-05-2001 BPJS / JKN
1173 28331 TUNI, NY P 12-10-1961 BPJS / JKN
1174 254290 RUKOYAH BT KAMIM P 05-02-1985 BPJS / JKN
Tanpa Asuransi /
1175 254322 DARGA SUSANTO BIN SAMSURI L 11-01-1980
Umum
1176 250132 AJI UTOMO L 10-01-1984 BPJS / JKN
RUKIA SONDANG ROMAIDA

1177 252654 P 21-04-1979 BPJS / JKN
SITOMPUL
1178 22085 TUGIMAN L 03-04-1957 BPJS / JKN
1179 111039 CASITI, NY P 09-01-1972 BPJS / JKN
1180 101351 KARWI L 12-03-1959 BPJS / JKN
1181 252612 KADMIN BIN CASMAD L 21-06-1952 BPJS / JKN
1182 252265 WARJI BIN KAMAD L 01-02-1961 BPJS / JKN
1183 252521 SITI ROKAYAH P 17-10-1986 BPJS / JKN
1184 253862 RAKMIN L 10-06-1945 BPJS / JKN
1185 254331 SALIMAN L 16-07-1976 BPJS / JKN
1187 228795 TARYEM P 27-09-1965 BPJS / JKN

1188 38517 WAWAN PERMANA, TN L 10-05-1953 BPJS / JKN
1189 254019 RESIH P 21-06-1945 BPJS / JKN
1190 252636 TURANI P 23-06-1958 BPJS / JKN
1191 253869 RUMINAH BT SAKIM P 29-09-1959 BPJS / JKN
1192 155970 ROHAYATI P 28-06-1972 BPJS / JKN
1193 153863 KUMIAH BT DIRPAN P 20-06-1960 BPJS / JKN
1194 171367 UUN UNARIH, NY P 14-06-1975 BPJS / JKN
1195 252900 MAEMUNAH, NY P 03-09-1981 BPJS / JKN
1196 155285 WAGE L 02-11-1967 BPJS / JKN
1197 253767 UKI, TN L 02-05-1948 BPJS / JKN
1198 253964 CARNITI BT CARKIM, NY P 15-06-1974 BPJS / JKN
1199 253358 SANITEM P 19-08-1977 BPJS / JKN
1202 99073 H MUDASIR L 10-05-1953 BPJS / JKN
1203 135245 CASTEM BT CASKIYAH P 19-08-1969 BPJS / JKN
1204 247106 FITRI P 10-11-1985 BPJS / JKN
Tanpa Asuransi /
1206 254001 CARMI P 10-11-1965
Umum
1207 246825 SURIAH, NY P 10-11-1972 BPJS / JKN
1208 250878 KHOMSATUN P 08-01-1984 BPJS / JKN
1209 245806 KONTRAK L 02-12-1952 BPJS / JKN
1210 233636 RUSTAYA TN L 03-10-1949 BPJS / JKN
1211 254327 SYAMSUL HAZNAM SPDSD L 01-01-1961 BPJS / JKN

1214 254325 ALIATA ROFIAH P 14-08-2004 BPJS / JKN
1215 153491 LUFI RACHMA WATI P 04-03-2005 BPJS / JKN
1216 157055 TIRTA L 27-04-1978 BPJS / JKN
1217 228913 DASNA L 25-04-1970 BPJS / JKN
1218 185763 MASKUR BIN RASTIMAN L 11-10-1968 BPJS / JKN
1219 251919 TSABINA QAIREEN ZOEYA P 06-12-2022 BPJS / JKN
1220 179711 RASINIH P 10-05-1977 BPJS / JKN
1221 159801 NENI P 10-06-1982 BPJS / JKN
1222 143384 RAHAYU, NY P 24-04-1972 BPJS / JKN
1225 152316 DEWI WULAN FAHARANI, AN P 15-06-2016 BPJS / JKN
1226 253046 RUMSI, NY P 13-01-1951 BPJS / JKN
1227 239314 RASBA, TN L 10-12-1965 BPJS / JKN
1228 254023 SUTIHAT P 12-07-1952 BPJS / JKN
1230 236383 DARILEM, NY P 12-06-1963 BPJS / JKN
1231 251072 JAHIDIN L 21-09-1990 BPJS / JKN
1232 253202 NAILAH KIRANIA AZAHRA P 16-03-2019 BPJS / JKN
1233 253893 TASWAN BIN KASAN L 06-11-1957 BPJS / JKN
1234 161146 RATIHETIN P 02-06-1983 BPJS / JKN
1235 254340 RASMINIH BT NURSADI P 16-05-1988 BPJS / JKN
1236 90692 ROIAH P 27-02-1980 BPJS / JKN
1237 249723 ENDRA L 07-10-1985 BPJS / JKN
1238 254329 WIDIA AGUSTIN P 17-08-2013 BPJS / JKN
1239 254113 SATA, TN L 20-10-1948 JAMKESKIN

1240 182351 LITA DEWI ANJANI P 11-01-1995 BPJS / JKN
1242 113602 PARDI L 04-09-1957 BPJS / JKN
1243 253732 TARYEM P 19-02-1979 BPJS / JKN
1244 155608 ROENAH P 15-06-1980 BPJS / JKN
1245 150213 HAFSAH KHOERUNNISA P 23-10-2015 BPJS / JKN
1246 253898 SUKARYO L 02-07-1972 BPJS / JKN
1247 239701 DARNI BT MIDRIS P 27-07-1954 BPJS / JKN
1249 253238 AUNUDIN, TN L 12-12-1970 BPJS / JKN
1251 153393 ASEP ARIPIN MULYADI L 29-09-1999 BPJS / JKN
1252 254324 CASNANTO L 01-09-1993 BPJS / JKN
1253 159407 JK. ROIS L 10-08-1972 BPJS / JKN
1254 55693 CICI FADILLAH P 09-12-1997 BPJS / JKN
1255 169166 WARSITI MASRIPAH P 22-05-1958 BPJS / JKN
1256 171046 YUSUF ASHARI BIN SURYA L 07-07-1998 BPJS / JKN
1257 251790 HAMDANI L 27-11-1992 BPJS / JKN
1258 129308 PANCA MIARSIH P 28-12-1969 BPJS / JKN
1259 139905 SINAH P 03-05-1962 BPJS / JKN
1261 251736 SAHRUL LANA L 15-12-2002 BPJS / JKN
1262 254343 MOCH DHIKYAN L 06-11-2000 BPJS / JKN
1263 243514 SUHERTI P 10-07-1975 BPJS / JKN
1264 137234 SITI ROHANI P 17-08-1977 BPJS / JKN
1265 246353 RISWANDI L 16-08-1993 BPJS / JKN

1266 131826 SUWARSI, NY P 17-10-1972 BPJS / JKN
1267 254289 JALI L 05-07-1988 BPJS / JKN
1269 125431 ILMANTO L 28-07-1960 BPJS / JKN
1270 253930 LARAS HATI, NY P 12-05-2004 BPJS / JKN
1271 177849 WAMAH P 01-07-1966 BPJS / JKN
1272 239660 KARMI P 04-04-1972 BPJS / JKN
1273 141810 MUKHOLIK, TN L 02-02-1976 BPJS / JKN
1274 253523 WARSINIH BT SARKA P 14-08-1955 BPJS / JKN
1275 85026 KOMARIYAH, NY P 23-02-1960 BPJS / JKN
1276 253916 NADZILLA P 21-08-2023 BPJS / JKN
1277 235347 ABD ROZAK L 04-12-1976 BPJS / JKN
1278 145901 AL MAJIDI L 01-02-1957 BPJS / JKN
1279 251243 RUMSINAH P 06-06-1962 BPJS / JKN
1280 171037 LILIS MULYANINGSIH P 25-04-1980 BPJS / JKN
1281 145726 MASRI'AH P 21-03-1958 BPJS / JKN
1283 185863 LUTHFI AKHDAN SYAHRONI L 25-11-2011 BPJS / JKN
1284 240356 NADIA AZKADINA ZHIMRAN L 31-12-2022 BPJS / JKN
1285 247655 DASI P 11-01-1954 BPJS / JKN
ALRAFAEYZA ADSKHAN
1286 254305 L 09-04-2017 BPJS / JKN
TRISTIANA
1287 251896 SRI YULIANTI, NY P 12-04-1994 BPJS / JKN

1288 253814 P 12-05-2022 BPJS / JKN
AN
1289 254339 SITI FATIMAH P 02-05-1993 BPJS / JKN
1290 187545 KASNA L 01-01-1968 BPJS / JKN
1291 251695 KHOMISAH P 01-04-1977 BPJS / JKN

1292 253807 TARINA P 14-03-1950 BPJS / JKN
1293 163096 DULGANI TN L 01-12-1965 BPJS / JKN
1294 254346 ANISA SYAFITRI P 07-08-1998 BPJS / JKN
1295 253963 BASUNI, TN L 11-02-1990 BPJS / JKN
1296 238075 ITA KURNIAWATI P 22-08-1982 BPJS / JKN
1297 161642 NUR FITRI P 01-08-2009 BPJS / JKN
1299 43147 RUHAENI P 13-05-1959 BPJS / JKN
1300 206563 EVA DEA APRIYANI P 07-04-2002 BPJS / JKN
1301 251007 ADAR, TN L 03-01-1954 BPJS / JKN
1303 253599 WAJI, TN L 20-03-1953 BPJS / JKN
1304 173608 YAYAT MIFTAHUL HIDAYAT L 18-03-1985 BPJS / JKN
1305 133144 ERIKA SEPTIANA WULANE P 11-09-1993 BPJS / JKN
1306 254336 LINDA P 21-05-1993 BPJS / JKN
1307 253385 LINA ANGGELA PUTRI P 17-02-1989 BPJS / JKN
1308 175675 DEDI SUMAEDI L 23-02-1977 BPJS / JKN
1309 185315 WASIH P 11-11-1968 BPJS / JKN
1310 113710 MISNEN L 12-04-1971 BPJS / JKN
1312 237036 NURITA L 06-07-1980 BPJS / JKN
1313 253750 WAWANG AWANGSIH P 06-04-1984 BPJS / JKN
1314 206640 SUMANTO, TN L 12-08-1978 BPJS / JKN
1316 251678 SURA BIN SARDI L 11-03-1958 BPJS / JKN
1317 241364 TASRIPAH P 10-02-1991 BPJS / JKN

1318 246245 DARMA BIN WANTAM L 19-07-1962 BPJS / JKN
Tanpa Asuransi /
1319 254369 FADIL, AN L 12-06-2008
Umum
1320 175499 RUTIANTI SUTANTO P 28-08-1956 BPJS / JKN
1321 230093 SUKAENAH P 13-03-1973 BPJS / JKN
Tanpa Asuransi /
1322 242107 RIA VANA P 23-10-2022
Umum
1323 113873 SUWATI BT SUDARNO P 24-07-1960 BPJS / JKN
1324 250186 SITI SOPIAH P 04-01-1962 BPJS / JKN
1325 40321 KARSINIH P 02-01-1961 BPJS / JKN
1326 253972 DWI FAYANI SALSABILLAH P 13-06-2003 BPJS / JKN
1327 179167 KARPAN L 19-06-1966 BPJS / JKN
1328 202852 INAH TARINAH, NY P 07-04-1953 BPJS / JKN
1329 253921 TAWA L 03-02-1950 BPJS / JKN
1330 168151 SITI RANADHIA SHADIQOH P 03-09-2018 BPJS / JKN
1331 237716 SAMYONO L 24-11-1965 BPJS / JKN
1332 182796 SUNARYO L 04-04-1961 BPJS / JKN
1333 254370 MUNAJAT L 06-04-1974 BPJS / JKN
1334 248928 RASIWAN L 10-10-1960 BPJS / JKN
1335 128873 SUKIRAH P 12-04-1955 BPJS / JKN
1336 252096 SITI JULAEKHAH BT SAYUTI P 01-11-1986 BPJS / JKN
1337 233962 SARIMAH, NY P 09-11-1960 BPJS / JKN
1339 171797 SUTANTO L 13-08-1976 BPJS / JKN
1340 253247 TASKIM L 28-08-1980 BPJS / JKN
1342 95141 SAROAH P 15-07-1972 BPJS / JKN
1343 254364 SAFITRI ARI SANDI P 27-02-1999 BPJS / JKN

1344 251106 SURNITI P 08-03-1967 BPJS / JKN
1345 152818 PUTRI ANNATASHA AYU SONIA P 27-04-2012 BPJS / JKN
1346 253339 DARSIH P 21-07-1970 BPJS / JKN
1347 253917 KASMURI L 12-03-1966 BPJS / JKN
1348 253115 WARYA L 14-02-1973 BPJS / JKN
1350 123623 ANTON L 12-04-1989 BPJS / JKN
1351 248976 ROSIJAH P 13-12-1965 BPJS / JKN
1352 238827 DARWI P 14-05-1965 BPJS / JKN
1353 153153 UJU L 29-12-1963 BPJS / JKN
1354 243354 SAMAD L 25-10-1957 BPJS / JKN
1355 253954 JUMINAWATI, NY P 02-04-1955 BPJS / JKN
1356 251377 AULIA SYAKIRAH P 08-12-2015 BPJS / JKN
1359 253541 FATIMAH AZZAHRA P 22-05-2007 BPJS / JKN
1360 240195 SISKA NOVIANTY P 29-03-1991 BPJS / JKN
1361 254022 DIMAN L 15-11-1971 BPJS / JKN
1362 254046 MAHFUD L 07-06-1942 BPJS / JKN
1364 238487 Hj. NURJANNAH P 24-10-1958 BPJS / JKN
1365 253644 RUSTA L 05-10-1951 BPJS / JKN
1366 185762 DAIRAH P 01-07-1975 BPJS / JKN
1367 185762 DAIRAH P 01-07-1975 BPJS / JKN
1368 249895 ROHATI BT SUTARA P 05-02-1963 BPJS / JKN

1371 131431 KUSNIAH BT CABIK P 05-07-1967 BPJS / JKN
1372 253439 RAGA BIN JOHARI L 01-03-1963 BPJS / JKN
1373 157684 WANITA BIN CARKIM L 17-05-1943 BPJS / JKN
1374 134733 NETIN APRIYANTI P 01-04-1992 BPJS / JKN
1375 230288 LISTIANINGSIH P 08-05-1989 BPJS / JKN
1376 248689 SATEM P 24-01-1960 BPJS / JKN
1377 151313 WASINIH, ny P 13-12-1965 BPJS / JKN
1379 247104 WAHYUDIN L 03-01-1965 BPJS / JKN
1380 133043 DICKY SUTANTO, TN L 11-12-1981 BPJS / JKN
1381 246107 KURAESIN P 08-10-1964 BPJS / JKN
1382 252371 MASKINAH, NY P 08-12-1968 BPJS / JKN
1386 189442 CARWITI P 02-01-1952 BPJS / JKN
1387 254366 KHOIRUNNISA P 25-06-1997 BPJS / JKN
1388 89898 SUDIRYO P 07-03-1959 BPJS / JKN
1389 116565 DAHLAN RUSLANDI L 17-07-1949 BPJS / JKN
1390 161149 MARYATI NY P 15-07-1974 BPJS / JKN
1391 253153 SARPUAH P 24-10-2002 BPJS / JKN
1392 37349 KASPEN, NY P 10-05-1971 BPJS / JKN
1393 198786 WAHIDAH P 29-12-1992 BPJS / JKN
1394 245354 INDAH ISASI P 26-05-1998 BPJS / JKN
1395 241983 SUKARDI L 01-01-1940 BPJS / JKN

1397 251808 HJ. SANETI L 08-11-1954 BPJS / JKN
1399 253973 WARJA BIN JAMHARI L 07-11-1963 BPJS / JKN
1401 245648 KARJA L 05-02-1962 BPJS / JKN
1402 133547 SALWA ZAHRA MAWADAH P 06-08-2015 BPJS / JKN
1403 239280 TATI SUWATI P 01-01-1960 BPJS / JKN
1404 246508 ARIS L 03-06-2012 BPJS / JKN
1405 252279 MARNI BT WIRYA P 12-09-1968 BPJS / JKN
1406 244027 HOERUL MUMININ L 18-06-2012 BPJS / JKN
1407 251682 TARMID L 04-06-1940 BPJS / JKN
1408 253724 MUKRAD L 18-01-1944 BPJS / JKN
1409 253946 CARTIWAN L 16-07-1962 BPJS / JKN
1410 155540 ALIM, TN L 06-07-1960 BPJS / JKN
1411 133057 LINA P 15-07-1992 BPJS / JKN
1412 252976 IDAH BT DAMIN P 01-07-1984 BPJS / JKN
1413 187651 SHAEFUL RIFAI L 08-09-1985 BPJS / JKN
1414 16522 SANTI OKTAVIANI, NY P 01-10-1982 BPJS / JKN
1415 169491 TOBARI L 27-01-1967 BPJS / JKN
1418 233202 PATHONI TN L 01-01-1963 BPJS / JKN
1420 188025 CASRI P 18-08-1977 BPJS / JKN

1423 189270 ANIMAH P 12-04-1989 BPJS / JKN
1425 238522 IKAH, NN P 06-11-2003 BPJS / JKN
1431 249700 KURDIA L 15-05-1984 BPJS / JKN
1432 157912 KASEM P 12-10-1972 BPJS / JKN
1436 254032 RITA L 01-05-1950 BPJS / JKN
1437 254053 CIWAN L 10-11-1970 BPJS / JKN
1438 236282 GODIL L 06-06-1960 BPJS / JKN
1441 252598 KUSNITEM P 12-04-1967 BPJS / JKN
1443 254398 ELEN PIRDA WATI P 19-07-2006 BPJS / JKN
1444 238656 KHASAN ASYHARI L 23-08-1987 BPJS / JKN
1446 248720 SUTINIH P 01-02-1970 BPJS / JKN

1448 253956 SUTIRAH P 14-05-1962 BPJS / JKN
1449 254392 MUNIAH P 20-06-1962 BPJS / JKN
1450 236983 MILAH P 18-02-1997 BPJS / JKN
1451 247645 TOISAH P 30-06-1960 BPJS / JKN
1452 252911 CASYANI, TN L 21-03-1972 BPJS / JKN
1453 249732 ATIKAH P 10-05-1988 BPJS / JKN
1455 161894 DADAN L 15-02-1950 BPJS / JKN
1457 244591 TOYIBAH, NY P 11-07-1982 BPJS / JKN
Tanpa Asuransi /
1458 251083 MOCHAMAD NATHAN IZQIAN L 22-12-2017
Umum
1459 254055 DEDE SITI ROKAYAH P 05-12-1995 BPJS / JKN
1460 253885 YUYUN KOMALA SARI P 04-07-1994 BPJS / JKN
Tanpa Asuransi /
1462 254402 AISYAH APRILIA P 06-04-2012
Umum
1464 254391 WATI'AH BT DARPIN P 11-08-1988 BPJS / JKN
Tanpa Asuransi /
1466 254406 MADI, TN L 21-05-1976
Umum
1467 254396 SUPIYATI BT TAKWID P 03-04-1982 BPJS / JKN
1469 133154 TATI P 21-04-1966 BPJS / JKN
1472 244411 ASTINI P 08-05-1976 BPJS / JKN

1476 141040 KHAERIYAH P 06-05-1952 BPJS / JKN
1478 254054 RIYANTI P 05-02-1972 BPJS / JKN
1479 253793 MAHMUD L 12-06-1961 BPJS / JKN
1481 243509 SUKIM L 22-01-1953 BPJS / JKN
1482 252063 SHAGHEA KINAN KAHIYANG P 07-10-2022 BPJS / JKN
1485 163017 KARSAM L 20-02-1966 BPJS / JKN
1486 198987 DEWI P 15-05-1976 BPJS / JKN
1487 234772 CARI'AH P 17-03-1963 BPJS / JKN
1490 124049 ILLAH SORPIN RIZKY, AN L 01-12-2012 BPJS / JKN
1492 137618 JUROH P 07-05-1960 BPJS / JKN
1493 254069 KALSAM L 01-07-1953 BPJS / JKN
1494 236694 WASTAM BIN SARMA, TN L 18-03-1977 BPJS / JKN
1495 253649 ADE TASDIK L 15-12-1986 BPJS / JKN
1496 175234 MASNUAH P 10-10-1973 BPJS / JKN
1498 232009 SARPINA BT CASMAN P 02-02-1959 BPJS / JKN
1499 189873 ROSMANILAH, NY P 15-06-1988 BPJS / JKN

1501 249896 SAMINI P 24-03-1967 BPJS / JKN
1503 238175 SULEHA P 16-02-1965 BPJS / JKN
1505 249561 MAMID L 19-05-1965 BPJS / JKN
1506 251215 SAKUDI L 20-05-1969 BPJS / JKN
1508 136134 M SUADI BIN WARSILAH L 21-03-1947 BPJS / JKN
1510 254388 SARPAN, TN L 01-07-1975 BPJS / JKN
1511 246304 WARJI L 08-09-1953 BPJS / JKN
1512 175507 TAMAT L 18-02-1965 BPJS / JKN
1513 254404 NARITEM P 05-05-1969 BPJS / JKN
1514 241495 UMYATI P 02-04-1974 BPJS / JKN
1515 141165 CASRINI P 15-04-1980 BPJS / JKN
1516 235106 MUHAEDIN L 02-11-1966 BPJS / JKN
1517 155577 JUNAH P 16-11-1960 BPJS / JKN
1518 214900 EEN NURAENI P 11-10-1982 BPJS / JKN
1519 249004 SITI FAUZIYAH AZ ZAHRA, AN P 14-05-2022 BPJS / JKN
1520 254107 DEALOVA ALEZHA, AN P 26-11-2013 BPJS / JKN
1521 177110 AYU SHANDIKA P 14-03-2019 BPJS / JKN
1522 140878 RINAN DANU, AN L 11-09-2006 BPJS / JKN
AQHILA AULIA RAMADHANI,

1523 180132 P 11-07-2014 BPJS / JKN
AN
1524 249225 WILONA ZAHROTUN NISA P 03-09-2022 BPJS / JKN
1525 112171 NOVAL ARIPIN L 02-11-2014 BPJS / JKN

1526 154357 KHAERU WICAKSONO, AN L 03-02-2014 BPJS / JKN
1527 124475 ULIL AZKA ASSA QURRO L 17-05-2012 BPJS / JKN
1528 123526 PUTRI AZKIANA RAHMA P 02-09-2013 BPJS / JKN
1531 233439 MUHAMAD HAIKAL ABQARIY L 09-12-2019 BPJS / JKN
1532 124531 NESIH, NY P 21-05-1970 BPJS / JKN
1533 242190 RATINAH P 10-11-1969 BPJS / JKN

1537 151969 P 14-05-1958 BPJS / JKN
NY
1540 237484 DAMURI L 21-01-1979 BPJS / JKN

1543 91183 L 14-03-1964 BPJS / JKN
TN
1544 243364 WARJA L 01-07-1965 BPJS / JKN
1546 220017 RASCA L 26-10-1975 BPJS / JKN
1547 176821 WARAN L 13-12-1967 BPJS / JKN

1552 174847 ANISAH P 29-04-1982 BPJS / JKN
1553 141969 RANI P 13-07-1962 BPJS / JKN
1554 253165 KARTIM L 12-04-1980 BPJS / JKN
1556 254056 RASBA L 01-12-1955 BPJS / JKN
1557 189930 CAYONG KUSMAIDI P 07-04-1972 BPJS / JKN
1559 254057 FATONI BIN WASIM L 08-02-1980 BPJS / JKN
1561 254090 MARLINA, NY P 13-11-1983 JAMKESKIN
1562 252887 DEVI YUNIAR P 05-06-1997 BPJS / JKN
1563 128584 RITA TAMALA, NY P 14-03-1992 BPJS / JKN
1564 242020 TINYATI, NY P 01-07-1983 BPJS / JKN
1565 253868 NANIH P 03-03-1963 BPJS / JKN
1567 145146 SUMARTO, TN L 06-03-1950 BPJS / JKN
1568 145851 WARTIAH, NY P 08-09-1960 BPJS / JKN
Tanpa Asuransi /
1569 254496 UKAH P 11-12-1965
Umum
1570 87201 MASTIRIH P 05-06-1964 BPJS / JKN
1571 145552 ENIH P 09-03-1962 BPJS / JKN
1572 141607 TURSINIH P 09-11-1965 BPJS / JKN
Tanpa Asuransi /
1573 243275 HUDA DWI FAHYURISNA L 04-07-2008
Umum
1575 129757 LISTIANA SETRA P 13-04-1970 BPJS / JKN
1576 250998 ABDUL ROSID, TN L 28-04-1974 BPJS / JKN
1577 251726 MAEMAH P 01-06-1947 BPJS / JKN

1578 251212 UMI ROSIDAH P 13-03-1954 BPJS / JKN
1579 141988 SARDI L 01-01-1960 BPJS / JKN
1580 246083 CASIROH P 30-12-1987 BPJS / JKN
1581 248128 ENAH P 25-02-1983 BPJS / JKN
1582 243618 WIRIH, NY P 17-05-1965 BPJS / JKN
1583 153137 GUNAWAN INDRA PRATAMA L 04-05-1992 BPJS / JKN
1584 147921 RAMIN L 07-09-1954 BPJS / JKN
1585 249165 IDAH P 11-04-1965 BPJS / JKN
Tanpa Asuransi /
1586 154674 WASTI P 02-03-1976
Umum
1587 251545 SUMAR L 13-06-1959 BPJS / JKN
1588 161966 EVI YANAH P 10-03-1993 BPJS / JKN
1589 135227 WITEM, NY P 15-10-1973 BPJS / JKN
1590 249538 CASINAH BTSAJAM P 26-05-1968 BPJS / JKN
1591 187208 RITA EMILI P 12-01-1986 BPJS / JKN
1592 249626 KIKI KURNIASIH P 07-01-1996 BPJS / JKN
1593 231748 ASPAN L 03-02-1982 BPJS / JKN
1594 249398 ATO BIN KASNIM, TN L 06-03-1973 BPJS / JKN
1595 147581 NADI L 16-03-1977 BPJS / JKN
1596 159133 SAIROH P 30-09-1981 BPJS / JKN
1597 252568 SETEPANI FAUZI L 27-09-2003 BPJS / JKN
Tanpa Asuransi /
1599 254491 RASTO L 01-07-1986
Umum
1600 190666 EVA YANTI P 04-10-1982 BPJS / JKN
1601 160732 SARMA L 14-01-1948 BPJS / JKN
1602 247477 OSIH P 10-05-1968 BPJS / JKN
1603 245798 TARMINAH P 07-10-1969 BPJS / JKN

1604 248206 CARDI L 26-08-1989 BPJS / JKN
1605 101909 TARWAN BIN CARTA L 05-06-1978 BPJS / JKN
1606 239028 DASWATI P 07-08-1973 BPJS / JKN
1608 253948 SARNITI, NY P 06-04-1975 BPJS / JKN
1609 237294 SANIMAH P 01-01-1985 BPJS / JKN
1610 183868 OTONG ZAENUDIN L 28-08-1950 BPJS / JKN
1611 247349 DIANA P 24-07-1989 BPJS / JKN
1613 122780 MUALIMIN L 01-10-1968 BPJS / JKN
1614 119232 RATIWEN P 20-06-1972 BPJS / JKN
1615 65675 SITI ELIN MARLINA, NY P 16-07-1983 BPJS / JKN
1616 250919 CATU L 07-04-1957 BPJS / JKN
1617 254143 KERIH, NY P 08-07-1980 BPJS / JKN
1618 252775 SIRAD, TN L 27-12-1982 BPJS / JKN
1619 249993 TASWADI BIN DATAR L 01-10-1967 BPJS / JKN
1621 253414 MASNUN BIN YAMAN L 12-04-1972 BPJS / JKN
1622 252966 CASWAMIN L 03-08-1967 BPJS / JKN
1623 249219 WANTO L 08-04-1970 BPJS / JKN
1624 147499 ANDRI JAENUDIN L 03-05-1985 BPJS / JKN
1625 254489 KASMITRO L 10-10-1971 BPJS / JKN
1626 139109 NY. ASIYAH BT CADRA, . P 06-06-1969 BPJS / JKN
1628 138346 CHUSNUDIN L 21-10-1960 BPJS / JKN
1629 254501 SRI SAKA WUNI P 16-06-1988 BPJS / JKN

1630 254012 DAISEM P 17-08-1972 BPJS / JKN
1631 254523 LIANI ANGGARESTI P 15-05-1998 BPJS / JKN
1632 179092 FARIZ FATH AL AKBAR L 17-07-1993 BPJS / JKN
1634 242032 YAYAH ROHALIYAH P 15-02-1973 BPJS / JKN
1635 253867 WARSITA L 17-07-1978 BPJS / JKN
1636 254058 SALYA BIN DAKLAN L 11-05-1984 BPJS / JKN
1638 254133 SUPARMAN BIN MADULAH L 08-04-1959 BPJS / JKN
1639 167635 RUSNITI, NY P 02-06-1958 BPJS / JKN
1640 210166 YUTI YULIANTI P 25-10-1987 BPJS / JKN
1641 242886 SUNANTO L 12-10-1988 BPJS / JKN
1642 254122 MARWATI P 02-10-1955 BPJS / JKN
1643 239809 AAN ISTIKANAH P 25-08-1982 BPJS / JKN
1644 239809 AAN ISTIKANAH P 25-08-1982 BPJS / JKN
1645 239216 ETIN P 10-10-1977 BPJS / JKN
1646 254526 RENI ASTUTI P 05-11-1997 BPJS / JKN
1647 253526 ROSITA L 10-10-1980 BPJS / JKN
YAKIM SOEDARTO
1648 248899 L 23-02-1946 BPJS / JKN
SATYAPUTRA
1649 254145 KISWEN BT SALAM P 12-07-1953 BPJS / JKN
1650 254505 TASBIN MAULUDIN L 20-05-1971 BPJS / JKN
1653 254516 KARITEM P 09-05-1970 BPJS / JKN
1655 254511 DASMA L 09-04-1978 BPJS / JKN

1656 254507 KARTISEM P 02-12-1958 BPJS / JKN
1657 251324 TARKEM P 11-01-1963 BPJS / JKN
1658 254527 WIDI ARTI P 23-08-1997 BPJS / JKN
1659 238783 WARIH L 15-02-1950 BPJS / JKN
1661 253807 TARINA P 14-03-1950 BPJS / JKN
1662 252877 DARWAN L 20-08-1960 BPJS / JKN
1663 254517 ROBIAH BT KAWAN P 20-08-1975 BPJS / JKN
1664 254512 BOTINA L 15-01-1985 BPJS / JKN
1665 254494 ALPIAH BINTI HS BASYARI P 13-08-1960 BPJS / JKN
1667 254515 TARSA L 06-11-1983 BPJS / JKN
1668 249827 DIANA ALIFAH P 14-01-2005 BPJS / JKN
1669 216200 NUR AFNI RAHMALIA P 26-11-2008 BPJS / JKN
1670 254514 TARWAN L 17-08-1979 BPJS / JKN
1671 189538 BAIM L 07-01-1983 BPJS / JKN
1672 163872 TARPINAH P 16-03-1957 BPJS / JKN
1673 254509 SUNINGSIH P 29-04-1986 BPJS / JKN
1674 121723 KARIYAH P 02-01-1960 BPJS / JKN
1675 233298 ARNI BINTI KARMEN NY P 05-07-1971 BPJS / JKN
1676 185402 AGUS AKHMAD HARRAS L 17-11-1961 BPJS / JKN
1679 254506 DEA FILZHA NABILA P 05-05-2012 BPJS / JKN
1680 251489 KAPIKO L 21-03-1993 BPJS / JKN
1681 252700 SARMILAH P 03-03-2002 BPJS / JKN

1682 242459 FERI L 27-12-1990 BPJS / JKN
1683 176331 INAH NY P 06-12-1940 BPJS / JKN
1684 236499 DICKY SUPRAPTO, JK L 20-07-2001 BPJS / JKN
1685 187385 MARATUS SHOLIHA, NY P 03-03-1979 BPJS / JKN
1686 198973 ZAEDI HAMDANI, JK L 29-08-2003 BPJS / JKN
1687 251944 WARNEDI L 05-06-1989 BPJS / JKN
1688 250047 DINANTO L 28-02-1963 BPJS / JKN
1690 146069 CASTIM TN L 06-06-1973 BPJS / JKN
1691 254455 WARYONO BIN KASIM L 12-05-1962 BPJS / JKN
1692 67386 ABDI PRAYUDHA L 11-06-1999 BPJS / JKN
1694 252817 CASTINIH BT TIMAN P 21-07-1974 BPJS / JKN
1695 189457 LIA YULIANI P 03-07-1998 BPJS / JKN
1696 173759 WAKTUB L 01-03-1962 BPJS / JKN
1697 231881 RANI P 01-01-1976 BPJS / JKN
1701 212340 SARWENDAH P 21-09-1977 BPJS / JKN
1702 240885 SATIRAH L 13-06-1970 BPJS / JKN
1703 235789 JHONI L 10-09-1974 BPJS / JKN
1704 99472 IDAH TURIDAH P 19-04-1972 BPJS / JKN
1705 241993 SUNITI P 18-07-1961 BPJS / JKN
1706 119859 ADE SULASTRI, NY P 15-04-1972 BPJS / JKN
1707 254111 ETI, NY P 11-05-1955 BPJS / JKN

1708 247746 SARINIH, NY P 15-07-1958 BPJS / JKN
1709 230843 TORIAH, NY P 19-04-1973 BPJS / JKN
1710 253664 DANIAH P 13-10-1963 BPJS / JKN
1711 153491 LUFI RACHMA WATI P 04-03-2005 BPJS / JKN
Tanpa Asuransi /
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Umum
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Tanpa Asuransi /
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Umum
1716 12316 BERNARD SIMARMATA, TN L 25-02-1963 BPJS / JKN
Tanpa Asuransi /
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Umum
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1720 253926 ZACKY RIFYAL FIRDAUS L 14-06-1988 BPJS / JKN
Tanpa Asuransi /
1721 254556 SYAFIKA DINDA FAUZIA P 04-07-2021
Umum
1722 254562 NOLA ADELIA, NN P 24-01-2003 BPJS / JKN
1723 254552 ARGA ADITIA L 09-01-1989 BPJS / JKN
1725 237870 KASINIH P 10-10-1993 BPJS / JKN
1726 252465 DARJO L 30-05-1986 BPJS / JKN
1727 242712 SITI NUR RAHMAH OKTAVIANA P 16-10-1995 BPJS / JKN
1728 179609 ANISATUL RAHMA P 13-07-2017 BPJS / JKN
1729 97724 ASIH P 06-03-1964 BPJS / JKN
1730 245582 ROSMALIYATI BT BAYONG P 14-05-1960 BPJS / JKN
1731 240704 WAHYUNI P 10-05-1995 BPJS / JKN
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Umum
1733 170188 AYU MULYASIH FEBRIANTI P 23-02-1987 BPJS / JKN

1734 220910 PENDI HS L 04-03-1957 BPJS / JKN
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1736 24604 IRWAN L 26-12-1986 BPJS / JKN
1738 123279 SAEPUL MAULANA HIDAYAH L 27-01-2004 BPJS / JKN
1739 254553 TATI HARYATI P 01-05-1963 BPJS / JKN
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1741 158262 TOYIBAH, ny P 12-06-1962 BPJS / JKN
1742 251725 KASIRAH P 06-05-1966 BPJS / JKN
1743 151315 SITI KAMELIA P 31-12-2002 BPJS / JKN
1744 248181 CASMI P 08-03-1966 BPJS / JKN
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Umum
1746 232119 SAEPUDIN BIN KARYAN TN L 11-05-1964 BPJS / JKN
1747 176326 DASNIAH BT NARSA P 06-12-1968 BPJS / JKN
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1749 248268 RAMA P 14-06-1960 BPJS / JKN
Tanpa Asuransi /
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Umum
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1752 113294 KURYATI P 25-08-1961 BPJS / JKN
1753 109834 ROHENI P 23-06-1968 BPJS / JKN
1754 249387 SUMARNI P 12-03-1971 BPJS / JKN
1755 185744 DARKIM L 05-08-1975 BPJS / JKN
1757 244411 ASTINI P 08-05-1976 BPJS / JKN

1760 173051 CASMI P 12-09-1965 BPJS / JKN
1761 237031 HJ. TUYINAH, NY P 15-01-1969 BPJS / JKN
1763 87961 DAENZY SEYHAN RAMADHI L 05-09-2014 BPJS / JKN
1764 228441 WASTINAH P 12-08-1952 BPJS / JKN
1765 238786 SUTARI P 05-08-1972 BPJS / JKN
1766 161003 JUMARI L 10-10-1980 BPJS / JKN
1769 243685 SURNATA, TN L 12-03-1972 BPJS / JKN
1770 236669 NAUREEN MIKAYLA P 26-03-2022 BPJS / JKN
1771 248682 SALMEH KLEB P 10-04-1949 BPJS / JKN
1772 187320 RASITA BIN TARKAWI L 04-11-1968 BPJS / JKN
1773 111261 SOPIYAH P 04-07-1966 BPJS / JKN
1774 52433 CARI P 08-03-1963 BPJS / JKN
1775 233988 KASTIRAH, NY P 26-11-1977 BPJS / JKN
1776 243256 WASNI P 17-04-1967 BPJS / JKN
1777 189160 TETI OKTAVIANI NY P 02-06-1992 BPJS / JKN
1778 187036 SUMARJA, SPD.I L 06-04-1967 BPJS / JKN
1779 125404 TUNERIH, NY P 24-10-1964 BPJS / JKN
1780 251229 NANI L 03-12-1977 BPJS / JKN
1781 163190 KARTI BT TARKIM P 17-08-1987 BPJS / JKN
1783 246825 SURIAH, NY P 10-11-1972 BPJS / JKN
1784 189461 KASMI P 20-11-1949 BPJS / JKN
1785 185535 SUNIROH P 09-10-1987 BPJS / JKN

1786 254561 DEWI SRIYANTI P 01-11-1993 BPJS / JKN
1787 154620 WARNISEM BT RAWAN P 17-04-1967 BPJS / JKN
1788 99302 REFIRMAN L 05-11-1965 BPJS / JKN
1789 241991 KASMI P 10-02-1968 BPJS / JKN
1790 254557 SARIYAH P 07-11-1980 BPJS / JKN
1793 254239 ANITA SARI P 13-10-1994 BPJS / JKN
1794 179147 DEDE SUPRIYADI L 03-12-1966 BPJS / JKN
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Umum
Tanpa Asuransi /
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Umum
1797 254568 DURPAH L 26-12-1967 BPJS / JKN
1798 254566 IJUM L 02-09-1958 BPJS / JKN
1799 254280 TURINAH P 01-07-1976 BPJS / JKN
1800 253674 DAMINAH, NY P 10-03-1968 BPJS / JKN
1801 254569 DEWI AMALIA P 06-06-1974 BPJS / JKN
1802 234971 ENAH NY P 12-03-1958 BPJS / JKN
1803 254508 RUSNIAH, NY P 05-07-1986 BPJS / JKN
1804 254109 RATINIH, NY P 09-09-1968 BPJS / JKN
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1806 200840 TALIM L 01-07-1958 BPJS / JKN
1807 176294 ELISAH CAHYA LIANI P 16-01-2009 BPJS / JKN
1808 173740 DEWI NINGRUM P 01-09-1994 BPJS / JKN
1809 103787 AMINAH, NY P 09-12-1967 BPJS / JKN
1810 103787 AMINAH, NY P 09-12-1967 BPJS / JKN

1812 145412 NARSIH, NY P 12-03-1969 BPJS / JKN
1814 7446 DIMYONO L 01-09-1969 BPJS / JKN
1815 171000 TARA, TN L 02-10-1950 BPJS / JKN
1816 214085 ELEN P 20-02-2004 BPJS / JKN
1817 187635 SAMBU L 07-05-1960 BPJS / JKN
1818 83725 KASMIRA, NY P 01-07-1974 BPJS / JKN
1819 125563 WARTIAH P 07-11-1966 BPJS / JKN
1820 189559 TARIAH P 03-07-1946 BPJS / JKN
1822 149765 YUYUN RUKMINI, NY P 12-12-1961 BPJS / JKN
1826 104873 KATIYAH P 15-04-1945 BPJS / JKN
1827 254558 CARYEM P 12-10-1960 BPJS / JKN
YAZIZ HAZIQ SYAKIR EL

1829 133006 L 14-09-2017 BPJS / JKN
ZEROUN, AN
1830 252772 RISKY PUTRA SUNANTO, AN L 03-04-2021 BPJS / JKN
1831 173267 ENO DARKEM P 17-05-1983 BPJS / JKN
1832 157439 SANIYAH P 10-04-1981 BPJS / JKN
ASSIRFAN ALKHOLIL, RUJULI

1833 239148 L 29-11-2022 BPJS / JKN
MALASARI BY
1834 234576 CEISYAH PUTRI KHANZA P 26-10-2021 BPJS / JKN
1835 115158 RASIDI, TN L 03-03-1958 BPJS / JKN
1836 115158 RASIDI, TN L 03-03-1958 BPJS / JKN
1837 200294 FATKHUR ROHMAN L 17-04-1987 BPJS / JKN

1838 77927 ROYANI P 10-10-1977 BPJS / JKN
1839 85832 ROMITI P 12-05-1964 BPJS / JKN
1840 191001 ROILAH, NY P 01-01-1964 BPJS / JKN
1841 235251 MASNUAH BT DENAN P 25-10-1955 BPJS / JKN
1842 164663 KOTIRAH P 07-07-1973 BPJS / JKN
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1844 253819 NURESIH, NY P 12-07-1992 JAMKESKIN
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1846 149848 RANI RASMAWATI P 06-05-1987 BPJS / JKN
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1849 165257 PERMONO L 18-03-1955 BPJS / JKN
1850 83496 NUR INDRIATI P 10-10-1962 BPJS / JKN
1851 153721 KAESIH P 02-03-1963 BPJS / JKN
1852 135433 WASRINIH P 14-05-1983 BPJS / JKN
1853 248779 DARINAH, NY P 09-10-1952 BPJS / JKN
1854 254471 CARTIM L 17-03-1959 BPJS / JKN
1855 252690 PUTRI ANGGUN PANDINI P 17-04-1999 BPJS / JKN
1856 214052 SAADAH P 02-05-1981 BPJS / JKN
1857 242281 AHMAD KHIDIR ZAILANI, AN L 31-07-2017 BPJS / JKN
1858 247249 TUNIAH, NY P 15-08-1976 BPJS / JKN
1859 254329 WIDIA AGUSTIN P 17-08-2013 BPJS / JKN
1860 254131 ABDUL MALIK L 12-12-2003 BPJS / JKN
1861 254295 CARSIH P 03-03-1985 JAMKESKIN
1862 253732 TARYEM P 19-02-1979 BPJS / JKN

1864 253214 TABRONI ALFARIZKI SYAHRI L 26-01-2011 BPJS / JKN
1865 187537 NY. WIWIN ANGGRAENI P 19-04-1995 BPJS / JKN
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Umum
1867 143243 TOBIAH P 25-11-1962 BPJS / JKN
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Umum
1869 175145 RASMINAH P 12-03-1978 BPJS / JKN
1870 235305 CARTI, NY P 16-05-1980 BPJS / JKN
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1873 95425 ENDANG CASMINIH, NY P 15-06-1992 BPJS / JKN
1874 254621 SUMARTO L 22-02-1995 BPJS / JKN
1875 244026 NANANG SUNARYO L 04-10-1976 BPJS / JKN
1876 253974 DEDE MAULIDDIAN P 15-06-1999 JAMKESKIN
1877 253331 KANDEG L 01-09-1968 BPJS / JKN
1878 155232 WASLIM, TN L 10-05-1953 BPJS / JKN
1879 250778 ALI RACHMAN, TN L 17-08-1962 BPJS / JKN
1880 118071 RIRIN INDRIASTUTI P 15-11-1989 BPJS / JKN
1882 158429 UCAH P 10-05-1960 BPJS / JKN
1883 254342 ELA P 07-06-1959 JAMKESKIN
1884 113445 CARKUNI P 20-05-1963 BPJS / JKN
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1885 254113 SATA, TN L 20-10-1948
Umum
1886 253599 WAJI, TN L 20-03-1953 BPJS / JKN
BAHRUM NORMAN BIN M

1887 167601 L 31-12-1959 BPJS / JKN
SALEH
1888 127862 ANA SUTIANA P 23-10-1993 BPJS / JKN
1889 251896 SRI YULIANTI, NY P 12-04-1994 BPJS / JKN

1890 179644 IQBAL NUR MUHAMAD WAFA L 30-07-2011 BPJS / JKN
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1891 254626 LUTFIAH P 19-07-2005
Umum
1892 254625 ADIVA SARALEE ABDULNUR P 31-12-2014 BPJS / JKN
1893 147099 MASRIAH P 05-12-1967 BPJS / JKN
1894 251393 PUPUNG PURWATI P 12-12-1988 BPJS / JKN
1895 129054 SUMARNO L 02-01-1962 BPJS / JKN
1896 254638 QUEENZHA ARUNG P 16-10-2009 BPJS / JKN
1897 91666 SHOFIYAH L 19-01-1970 BPJS / JKN
1898 241992 ILHAM DWIKI RAMADHANI L 23-11-2001 BPJS / JKN
1899 242556 TEDI NURHADIYANSYAH L 24-07-1990 BPJS / JKN
1900 169347 SUSI DAENI, NY P 24-07-1982 BPJS / JKN
1901 175925 SUNENTI, NY P 09-04-1986 BPJS / JKN
1903 181992 TN. DARGI L 15-03-1973 BPJS / JKN
1904 220145 SUWANDA L 23-06-1967 BPJS / JKN
1905 149859 SUJASMO, TN L 11-10-1986 BPJS / JKN
1907 248355 WAGE, TN L 29-01-1964 BPJS / JKN
1908 173202 RAPIH PRIYANTO L 04-09-1988 BPJS / JKN
1909 249493 EFRAN FEBRIANSYAH L 27-02-2006 BPJS / JKN
1910 117441 SIYAH P 08-10-1969 BPJS / JKN
1911 230853 NURTATI P 05-02-1974 BPJS / JKN
1912 166826 ERNIWATI P 10-01-1988 BPJS / JKN
1913 252652 HAERUL IKHSAN L 16-06-2000 BPJS / JKN
1914 153335 KADMINAH, NY P 10-06-1978 BPJS / JKN
1915 167908 SIGIT ADITYANATA L 23-06-1982 BPJS / JKN

1916 254617 DARINI P 01-05-1973 BPJS / JKN
1917 242093 SUGI HARTONO L 20-07-1999 BPJS / JKN
1918 254354 TANIAH P 24-08-1947 BPJS / JKN
1919 254633 ZAHWANI P 22-02-2005 BPJS / JKN
1920 184552 TARIM L 07-06-1976 BPJS / JKN
1921 254306 SUHARTO, TN L 10-10-1969 JAMKESKIN
1923 243667 HJ SUMIYATI P 11-07-1966 BPJS / JKN
1924 165210 KHOLID L 04-07-1969 BPJS / JKN
1925 177468 CARSONO SUPRIYANTO, TN L 22-03-1981 BPJS / JKN
1926 167880 SOLIMAH P 11-05-1993 BPJS / JKN
1927 250551 SRI HANIFAH P 05-02-1999 BPJS / JKN
1928 253322 OON KONARA L 17-05-1992 BPJS / JKN
1929 239678 KENTINI P 14-05-1982 BPJS / JKN
1930 137486 NY. DALIMAH P 23-03-1962 BPJS / JKN
1932 177973 ISMANTO L 11-11-1979 BPJS / JKN
1933 183849 MUNARIH P 18-05-1979 BPJS / JKN
1934 186926 TARWEN, TN P 10-12-1975 BPJS / JKN
1935 241441 RIO FIRMANSYAH L 19-08-2004 BPJS / JKN
1936 184903 KURNIAH P 11-12-1991 BPJS / JKN
1937 83936 SURTINAH, NY P 11-06-1954 BPJS / JKN
1938 179441 LELY DESVIYANA P 11-12-1995 BPJS / JKN
1939 38126 MASRONIYAH P 19-04-1959 BPJS / JKN
1940 254620 SAMPET P 04-06-1965 BPJS / JKN
1941 224443 DARSINIH. DARSINIH, DARSINIH P 05-02-1973 BPJS / JKN

1942 177785 ULAELAH S P 02-03-1968 BPJS / JKN
1943 153396 ISMAIL L 23-08-1985 BPJS / JKN
1944 185877 TARMIN, TN L 19-11-1959 BPJS / JKN
1945 141474 USMAN L 16-04-1967 BPJS / JKN
1946 254242 KASTEM P 15-06-1954 BPJS / JKN
1947 159126 DASUKI L 27-11-1962 BPJS / JKN
1949 254157 ARMI P 04-03-1960 BPJS / JKN
1951 198425 ARFAN YAZID ZIDANE L 26-02-2020 BPJS / JKN
1952 235031 KASRI P 06-10-1960 BPJS / JKN
1953 245350 RUDY KURNIADI L 10-01-1983 BPJS / JKN
1954 253034 AQILLA NUR AISYAH P 24-09-2021 BPJS / JKN
1955 253633 MUHAMAD FEBRIAN PRATAMA L 01-01-2022 BPJS / JKN
1956 248990 ISAH P 15-06-1971 BPJS / JKN
1957 251830 CATEM P 20-09-1978 BPJS / JKN
ADINDA DZAKIRA TALITA

1959 234609 P 09-12-2013 BPJS / JKN
ZAHRA
1960 32687 ADNAN L 25-06-1965 BPJS / JKN
1961 155425 SRUWET P 25-01-1974 BPJS / JKN
1962 175422 SUNARTI P 11-04-1979 BPJS / JKN
1963 254619 PATONAH P 10-11-1977 BPJS / JKN
1964 254337 TARSIDIN L 07-08-1981 BPJS / JKN
1965 254615 DASIWEN P 02-11-1977 BPJS / JKN
1966 237829 RAMNAH, NY P 08-02-1968 BPJS / JKN

1968 253963 BASUNI, TN L 11-02-1990 BPJS / JKN
1969 253985 SUSI DEPIYARNIS P 11-10-1989 BPJS / JKN
1970 254616 TAWAL L 31-12-1956 BPJS / JKN
1971 200660 AHMAD MUDAIM L 20-04-1964 BPJS / JKN
1972 251007 ADAR, TN L 03-01-1954 BPJS / JKN
1973 254623 TAWAN BIN NAMING L 02-11-1959 BPJS / JKN
1974 254631 TRI IIS SRI INDAHYANI P 06-01-1993 BPJS / JKN
1975 254632 NURSIAH P 27-01-1981 BPJS / JKN
1976 240423 SITI MURTABIAH, NN P 29-10-2003 BPJS / JKN
1978 239932 WAISAH P 04-02-1973 BPJS / JKN
1979 254336 LINDA P 21-05-1993 BPJS / JKN
1981 254357 EEN ROHIYATIN P 12-09-1958 BPJS / JKN
1983 189119 WASTEM P 13-05-1967 BPJS / JKN
1987 253694 SUKARTO L 07-09-1964 BPJS / JKN
1992 189270 ANIMAH P 12-04-1989 BPJS / JKN

1994 188025 CASRI P 18-08-1977 BPJS / JKN
1995 169491 TOBARI L 27-01-1967 BPJS / JKN
1996 238522 IKAH, NN P 06-11-2003 BPJS / JKN
2000 254116 KASMO, TN L 24-09-1966 BPJS / JKN
2001 237452 FANISYA AULIA P 21-11-2016 BPJS / JKN
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MUHAMMAD DIHYAH
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ALKALABY
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Umum
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2025 194949 AFNAN HAMIZAN L 04-01-2015 BPJS / JKN
2026 179538 SAYI P 20-02-1955 BPJS / JKN
2027 254655 NURHAETIN, NY P 24-02-1994 BPJS / JKN
2028 67108 DASWI P 09-02-1960 BPJS / JKN
2029 137373 IIS SUNENTI P 02-07-1990 BPJS / JKN
2030 252270 MUNA P 17-08-1962 BPJS / JKN
2031 216875 WAMI P 06-04-1948 BPJS / JKN
2032 254664 RASDEM P 02-08-1967 BPJS / JKN
2033 239770 ALVINO L 27-07-2021 BPJS / JKN
2034 254086 GISKA QIANA SALSABILA P 07-01-2023 BPJS / JKN
2035 157899 WARNO, TN L 07-09-1965 BPJS / JKN
2036 248971 DAVID BEKAM L 28-10-2022 BPJS / JKN
2037 171102 HJ. JUHROH P 31-01-1954 BPJS / JKN
2038 240257 LION SANTOSO L 01-07-2011 BPJS / JKN
2041 245435 KASWAN BIN KADIS L 01-03-1964 BPJS / JKN
2042 181567 KORMAN L 28-07-1981 BPJS / JKN
KHAIRAH MAULIDATUL
2043 181648 P 28-10-2014 BPJS / JKN
AULIYA
2044 254658 SARDIYAH L 11-03-1958 BPJS / JKN
2045 253703 WARLAN L 12-03-1962 BPJS / JKN

2046 254283 KARNALI L 24-03-1956 BPJS / JKN
2047 254351 KIRDEM P 15-06-1965 BPJS / JKN
2048 254266 JAMILAH P 03-07-1962 BPJS / JKN
2049 26085 BAWON P 09-07-1969 BPJS / JKN
2050 137654 DARYUNAH BT TJAKA P 19-09-1969 BPJS / JKN
2051 163085 SI'AH P 01-07-1963 BPJS / JKN
2052 228341 NAPISAH, NY P 03-04-1964 BPJS / JKN
2053 246441 WARSIH BT KARTO P 03-05-1973 BPJS / JKN
2054 129157 DARINIH P 19-07-1969 BPJS / JKN
2055 149882 CASMINA P 25-11-1972 BPJS / JKN
2056 243648 DAUNAH P 11-04-1957 BPJS / JKN
2057 141285 NANI RONIAH P 08-06-1996 BPJS / JKN
2058 254202 KALSUM P 10-10-1969 BPJS / JKN
2059 253320 ROSANTI P 12-01-1999 BPJS / JKN
2060 252819 DEFI KURNIA P 12-08-1970 BPJS / JKN
2062 83882 DARKINI L 13-10-1968 BPJS / JKN
2063 146233 TARNO L 02-07-1963 BPJS / JKN
2064 249768 SUYANTI P 08-02-1970 BPJS / JKN
2065 95141 SAROAH P 15-07-1972 BPJS / JKN
2067 55842 DEASY LUTFIANA MARYAM P 25-12-1990 BPJS / JKN
2068 208624 NIRTO L 01-01-1962 BPJS / JKN
2069 254657 KARTONI L 03-03-1984 BPJS / JKN
2070 189845 WASNI BT DARMAN P 17-08-1965 BPJS / JKN
2071 242087 SITI MARYAM P 20-07-1966 BPJS / JKN

2072 254304 SAVAS OBITO ALBARRA, AN L 01-02-2023 JAMKESKIN
2074 254246 RAINA AULIA AZAHRA P 08-03-2021 JAMKESKIN
2075 76504 TARSIM L 01-01-1970 BPJS / JKN
MUHAMMAD HAFIZH
2076 249272 L 30-06-2022 BPJS / JKN
DZULFAHMI
2077 153617 TENI P 17-05-1995 BPJS / JKN
2078 237041 SULEMAN L 12-03-1994 BPJS / JKN
2079 240157 HENDRA BIN MAKWAN L 23-01-1993 BPJS / JKN
2080 151985 ZAENAL ARIFIN L 28-02-1996 BPJS / JKN
2081 248539 TARKIM L 12-03-1980 BPJS / JKN
2082 175010 SUSAN BAKTIYAR L 01-06-1984 BPJS / JKN
2083 187315 SUKINIH P 01-01-1961 BPJS / JKN
2084 137461 TOHIRIN L 15-07-1995 BPJS / JKN
2085 167879 FERDI FIRMANSYAH L 27-05-2005 BPJS / JKN
2086 173584 DURMAD L 06-07-1959 BPJS / JKN
2087 179743 ARMI P 01-07-1972 BPJS / JKN
2088 189462 YUNUS BIN SAWILAH L 10-01-1992 BPJS / JKN
2089 169153 DR. UNTUNG GAUTARA, SPD L 21-12-1970 BPJS / JKN
2090 171594 CARIDIN L 08-08-1988 BPJS / JKN
2091 151230 CASMINIH P 15-09-1975 BPJS / JKN
2092 235831 KUDIROH L 20-07-1969 BPJS / JKN
2093 157070 TARINAH P 01-05-1992 BPJS / JKN
2094 181723 RANO L 03-09-1999 BPJS / JKN
2095 252402 ANANG RIZKI MULANA L 30-11-2011 BPJS / JKN
2096 248537 WASMITA L 11-03-1993 BPJS / JKN
2097 165909 NALURI SUJATI L 03-07-1990 BPJS / JKN

2099 151598 NN. SYAHIDAH SALSABILA P 04-07-2000 BPJS / JKN
2100 139609 VIOLA NEYMAR PRATAMA P 06-03-2015 BPJS / JKN
2101 236725 SINTA P 17-06-2021 BPJS / JKN
2102 254662 IZZATUNISA RAMADHANI P 29-06-2016 BPJS / JKN
2103 187716 AAM SAMSIYAH P 06-08-1987 BPJS / JKN
2104 254343 MOCH DHIKYAN L 06-11-2000 BPJS / JKN
2105 250708 QIANA PUTRI SYAHERA P 10-10-2022 BPJS / JKN
2106 155629 TN. DURNATA L 29-08-1981 BPJS / JKN
2107 171647 HARTINAH P 20-09-2000 BPJS / JKN
2108 177465 JK. YUSUP L 28-12-1998 BPJS / JKN
2109 153620 TARKIM L 19-12-1996 BPJS / JKN
2110 254287 ROKATI P 07-05-1985 BPJS / JKN
2111 179861 KURNIAWAN STIYADI L 24-05-1990 BPJS / JKN
2112 234997 SEKA HANANDA L 03-09-2002 BPJS / JKN
2113 157004 BASARI L 20-12-1962 BPJS / JKN
2114 157005 USEP SUHERMAN L 02-05-1976 BPJS / JKN
2115 185187 SOLIHIN L 03-02-1988 BPJS / JKN
2116 187200 NETI P 12-11-1964 BPJS / JKN
2117 185094 EDI SUPARMAN L 12-11-1993 BPJS / JKN
2118 163100 TOINAH P 13-03-1981 BPJS / JKN
2120 169073 CAKIM L 15-06-1975 BPJS / JKN
2121 177724 TARIH BT KARYAT P 02-10-1958 BPJS / JKN
2122 244108 DASIMAH P 19-06-1961 BPJS / JKN
2123 248700 ROIS L 12-02-1982 BPJS / JKN

2124 251876 AHMAD TOSIM BIN SAYIDIN L 07-05-1952 BPJS / JKN
2125 247802 AWENAENIH P 22-02-1960 BPJS / JKN
2127 253645 RAMI, NY P 01-07-1954 BPJS / JKN
2128 63896 SUSI SUNDARI SUKARMAN P 05-01-1976 BPJS / JKN
2129 252380 TARSO, TN L 20-05-1979 BPJS / JKN
2130 238862 SENORITA ANGGIRAENI CALA P 05-06-2012 BPJS / JKN
2132 141891 KHUSNUL KHOTIMAH P 25-12-1995 BPJS / JKN
2133 171797 SUTANTO L 13-08-1976 BPJS / JKN
2134 253574 RATEM P 15-05-1965 BPJS / JKN
2136 238052 CANGUDI L 01-11-1978 BPJS / JKN
2138 24165 HJ. SRIYATI P 13-11-1962 BPJS / JKN
2139 85784 SYIFA KUMALA P 01-01-2010 BPJS / JKN
Tanpa Asuransi /
2140 254672 SODANA L 15-04-1967
Umum
2141 73242 WARNITI P 15-07-1958 BPJS / JKN
2142 187401 AHMAD MUDLOFI L 06-06-2007 BPJS / JKN
2143 253519 CASKIM L 14-03-1980 BPJS / JKN
2144 254048 YETI P 01-01-1985 BPJS / JKN
Tanpa Asuransi /
2146 254678 SANUSI L 01-01-1948
Umum
2148 254060 WARKIM L 17-04-1966 BPJS / JKN
2149 105245 ONI ZAHRONI L 12-12-1953 BPJS / JKN

2151 254385 RAHEL, AN L 10-01-2022 BPJS / JKN
HARUKA QIANNDRA
2153 184869 P 11-07-2019 BPJS / JKN
SETYAWAN
2154 149097 SURINIH BT WALAN P 05-06-1970 BPJS / JKN
2155 67536 TASIM L 10-05-1970 BPJS / JKN
2156 254673 MILA ANDRAYANI P 22-06-1999 BPJS / JKN
2157 252916 ABQARY TAQY SHAFIULLA L 13-05-2022 BPJS / JKN
2158 155608 ROENAH P 15-06-1980 BPJS / JKN
2159 90196 KASMINAH, NY P 19-04-1967 BPJS / JKN
2160 253957 WIWIN MASNUROH, NY P 04-12-1986 BPJS / JKN
2161 236694 WASTAM BIN SARMA, TN L 18-03-1977 BPJS / JKN
2162 254392 MUNIAH P 20-06-1962 BPJS / JKN
2163 254677 DULAH L 04-02-1950 BPJS / JKN
2165 75838 YAYA KONSITUS SUDIRMAN L 15-12-1955 BPJS / JKN
2166 253138 EDAH HUMAEDAH P 05-06-1988 BPJS / JKN
2168 138652 CARYAN L 17-08-1974 BPJS / JKN
2169 98780 TUTI RAHAYU L 29-09-1972 BPJS / JKN
2170 107506 FAHMI ZIYAAD RAMADHAN L 15-07-2015 BPJS / JKN
2171 254674 DAKIYAN L 20-04-1955 BPJS / JKN
2172 254676 NAREM P 05-02-1947 BPJS / JKN
2173 247858 KARMI P 12-04-1962 BPJS / JKN
2174 253775 ABDULAH L 07-10-1957 BPJS / JKN
2175 155348 HJ. KATEM P 01-07-1960 BPJS / JKN

2176 233878 RATINI P 11-04-1964 BPJS / JKN
2177 253253 SONDARI P 10-08-1964 BPJS / JKN
2178 185534 MASNITI P 13-05-1973 BPJS / JKN
2180 249260 DAMARIS L 05-10-1973 BPJS / JKN
2182 208485 FERDIYANSAH L 10-12-2011 BPJS / JKN
2185 253151 ROJAI BIN DASKAM L 25-04-1969 BPJS / JKN
2189 133154 TATI P 21-04-1966 BPJS / JKN
2190 244411 ASTINI P 08-05-1976 BPJS / JKN
2193 243509 SUKIM L 22-01-1953 BPJS / JKN
2195 236282 GODIL L 06-06-1960 BPJS / JKN
2198 161894 DADAN L 15-02-1950 BPJS / JKN

2209 198987 DEWI P 15-05-1976 BPJS / JKN
Tanpa Asuransi /
2210 239435 SEYEM P 25-06-1957
Umum
Tanpa Asuransi /
2211 254235 RAMIN, TN L 12-08-1960
Umum
2213 109693 ASMAROH P 16-01-1967 BPJS / JKN
2215 254312 MIMI MULYANI, NY P 03-04-1979 BPJS / JKN
2217 254397 CASTI P 17-11-1969 BPJS / JKN
2219 254381 DUMAN, TN L 15-02-1941 BPJS / JKN
2220 253165 KARTIM L 12-04-1980 BPJS / JKN
Tanpa Asuransi /
2221 254730 DWI WULANDARIH P 26-12-2002
Umum
Tanpa Asuransi /
2222 254731 MUHAMMAD IBNU FAREL L 02-10-2009
Umum
2223 254098 SRI NOPIYANTI PUTRI P 15-02-2000 BPJS / JKN
2224 155921 HAMIDAH DZULHIJJAH, NY P 07-05-1995 BPJS / JKN
2225 192173 SUBUR L 01-01-1965 BPJS / JKN
2226 254562 NOLA ADELIA, NN P 24-01-2003 BPJS / JKN
2227 228913 DASNA L 25-04-1970 BPJS / JKN

2228 252521 SITI ROKAYAH P 17-10-1986 BPJS / JKN
Tanpa Asuransi /
2229 246207 NIZAR L 19-04-2021
Umum
2230 249750 ASEP ARIP HIDAYAT L 13-07-1979 BPJS / JKN
2231 253418 FITRI P 04-06-1997 BPJS / JKN
2234 175758 CARIAH, NY P 02-07-1969 BPJS / JKN
2235 244824 MUHAMMAD NIZAM ASSIFA, AN L 31-05-2022 BPJS / JKN
2237 157055 TIRTA L 27-04-1978 BPJS / JKN
2238 254285 MAESONAH P 09-12-1981 BPJS / JKN
2240 145259 WASJUD L 18-07-1954 BPJS / JKN
2241 254739 OKTO DWI AIMAN L 23-10-2011 BPJS / JKN
2242 242167 NENI CARINIH P 05-04-1963 BPJS / JKN
2243 167680 MARIYAH P 10-07-1968 BPJS / JKN
2244 247705 AFIFAH HILYA NAFISAH P 27-06-2020 BPJS / JKN
2245 246674 SYAHNEZ EARLYTA ARSYFA P 26-03-2015 BPJS / JKN
2246 237484 DAMURI L 21-01-1979 BPJS / JKN
2249 176821 WARAN L 13-12-1967 BPJS / JKN
2251 220591 EKA HARIYANTI P 07-01-1985 BPJS / JKN
2253 174847 ANISAH P 29-04-1982 BPJS / JKN

2254 247106 FITRI P 10-11-1985 BPJS / JKN
2255 111618 YUNUS YUNILIANUS L 04-09-1956 BPJS / JKN
2256 131563 TARMUNAH P 02-12-1972 BPJS / JKN
2259 133139 MUHAMMAD ASYRAF L 18-09-2017 BPJS / JKN
2260 245756 MUHAMMAD RIZKINA L 14-01-2002 BPJS / JKN
2261 147499 ANDRI JAENUDIN L 03-05-1985 BPJS / JKN
2262 187404 EKO SUPRIYANTO L 22-09-1988 BPJS / JKN
2264 176957 NENI SUNAENIH P 16-06-1976 BPJS / JKN
2265 152720 HIKMAH FITRIA P 28-03-1994 BPJS / JKN
2268 252051 ARSYAD ATHAR MAULANA, AN L 12-10-2020 BPJS / JKN
2269 240704 WAHYUNI P 10-05-1995 BPJS / JKN
2270 254745 PRINCESS BHALIQIA HATTA P 18-05-2016 BPJS / JKN

2271 151969 P 14-05-1958 BPJS / JKN
NY

2276 91183 L 14-03-1964 BPJS / JKN
TN
2277 183020 RUSMINAH P 11-07-1973 BPJS / JKN
2279 220017 RASCA L 26-10-1975 BPJS / JKN

2281 141969 RANI P 13-07-1962 BPJS / JKN
2286 251545 SUMAR L 13-06-1959 BPJS / JKN
2287 253767 UKI, TN L 02-05-1948 BPJS / JKN
2288 254032 RITA L 01-05-1950 BPJS / JKN
2289 253046 RUMSI, NY P 13-01-1951 BPJS / JKN
2291 162393 SUKENIH P 10-11-1972 BPJS / JKN
2292 179711 RASINIH P 10-05-1977 BPJS / JKN
MOHAMMAD HAEKAL TAJUSY

2293 254746 L 27-08-2006 BPJS / JKN
SYAROF
2294 248977 FITRI YANAH P 16-10-2003 BPJS / JKN
2295 254566 IJUM L 02-09-1958 BPJS / JKN
2296 254711 DURIM L 10-12-1954 BPJS / JKN
2298 254752 ADELIA NOVISKA FAUZI P 26-11-2012 BPJS / JKN
2300 253941 KUKUH ANDRIYANTO L 04-05-1996 BPJS / JKN
2301 253106 MARYAM P 12-04-1976 BPJS / JKN
2302 249490 TARKIM L 16-09-1953 BPJS / JKN
2303 245809 TARSINAH P 19-03-1948 BPJS / JKN
2304 245754 NURCHOLIS L 14-07-1952 BPJS / JKN
2305 253921 TAWA L 03-02-1950 BPJS / JKN

2306 180219 DENADI L 12-04-1950 BPJS / JKN
2307 254737 KARSA L 15-06-1966 BPJS / JKN
2308 174005 JUJU JURIYAH P 07-10-1977 BPJS / JKN
2310 252341 WAWAN GUNAWAN L 07-05-1973 BPJS / JKN
2311 254635 TITIN NURHAYATIN, NN P 28-06-2001 BPJS / JKN
2312 253895 IDIK L 01-10-1969 BPJS / JKN
2313 210166 YUTI YULIANTI P 25-10-1987 BPJS / JKN
2315 247655 DASI P 11-01-1954 BPJS / JKN
2316 224199 APRIYANTI P 05-04-1993 BPJS / JKN
2317 250160 NURKHASANAH, NY P 20-01-1983 BPJS / JKN
2319 247931 RIDWAN, TN L 23-07-1968 BPJS / JKN
2322 241189 TASWAN, TN L 05-04-1965 BPJS / JKN
2324 141474 USMAN L 16-04-1967 BPJS / JKN
2325 254617 DARINI P 01-05-1973 BPJS / JKN
2327 245427 KASYATI P 07-12-1986 BPJS / JKN
2328 247603 NOPI INDRIYANI P 17-03-1999 BPJS / JKN
2329 254489 KASMITRO L 10-10-1971 BPJS / JKN
2330 252508 TIWAN, TN L 01-06-1981 BPJS / JKN
2331 252073 CASNITI P 15-12-1973 BPJS / JKN

2332 128576 WINAH, NY P 12-05-1975 BPJS / JKN
2333 253545 MASDI L 05-06-1965 BPJS / JKN
2334 155577 JUNAH P 16-11-1960 BPJS / JKN
2336 234202 AMINAH P 15-12-1973 BPJS / JKN
2339 254409 KARYADI E L 21-01-1973 BPJS / JKN
2340 249871 IROH, NY P 15-08-1975 BPJS / JKN
2341 121260 KANIAH, NY P 08-07-1965 BPJS / JKN
2342 252612 KADMIN BIN CASMAD L 21-06-1952 BPJS / JKN
2343 253091 KASTIRI P 10-12-1970 BPJS / JKN
2344 253127 CASTI BT SAMA, NY P 22-01-1950 BPJS / JKN
2345 236874 DULATIP, TN L 25-09-1972 BPJS / JKN
2346 183700 AJI MASSAID P 03-08-1999 BPJS / JKN
2347 245432 WARTO L 06-10-1951 BPJS / JKN
2348 252235 CARNISEM P 04-04-1975 BPJS / JKN
2349 243667 HJ SUMIYATI P 11-07-1966 BPJS / JKN
2350 153705 MARMAH P 12-07-1960 BPJS / JKN
2351 247526 ABDUROSID L 10-09-1986 BPJS / JKN
2352 95533 AAN ANERIH P 02-08-1975 BPJS / JKN
2353 243280 WATI RIYANTI P 06-05-1978 BPJS / JKN
2354 189581 SUTRISNO HADI WIBOWO L 30-01-1992 BPJS / JKN
2355 254528 FATIMATUS SOLEHA P 23-03-2003 BPJS / JKN
2356 115079 RAMA WIRANTA L 22-03-1999 BPJS / JKN

2358 240787 SITI SULEHA P 23-01-1997 BPJS / JKN
2359 171451 NURUL ARFIYANTI MUSORI P 09-07-1997 BPJS / JKN
2360 95981 CASNI L 12-04-1980 BPJS / JKN
2361 250646 RUSDI L 15-08-1950 BPJS / JKN
2362 244411 ASTINI P 08-05-1976 BPJS / JKN
2363 192582 WIWIN NASI P 19-06-1993 BPJS / JKN
2364 100687 RUSTAM L 10-01-1958 BPJS / JKN
2365 253570 SARODI L 11-06-1980 BPJS / JKN
2366 253331 KANDEG L 01-09-1968 BPJS / JKN
2367 249451 KAGIM L 01-07-1944 BPJS / JKN
2368 252593 CALEM BT TARMIDI P 01-04-1960 BPJS / JKN
2369 251239 TARSADI L 12-09-1966 BPJS / JKN
2371 189482 DARSIDI L 12-04-1967 BPJS / JKN
2372 246708 ALIF FAUZI, AN L 19-01-2017 BPJS / JKN
2373 250764 CARYAN L 01-01-1959 BPJS / JKN
2374 254384 DASEM P 07-10-1963 BPJS / JKN
2375 249723 ENDRA L 07-10-1985 BPJS / JKN
2376 123518 KADORI. TN L 12-09-1968 BPJS / JKN
2379 63022 SAEFULLAH P 28-09-1968 BPJS / JKN
2381 254289 JALI L 05-07-1988 BPJS / JKN
2382 249273 MEIGA DINDA SYAFIRA P 11-05-2012 BPJS / JKN
2383 208056 WARKINI P 03-07-1963 BPJS / JKN

2384 254394 SUKINAH P 05-10-1963 BPJS / JKN
2388 249978 NURSITI P 10-11-1980 BPJS / JKN
2389 242952 CITRA, ASSADI P 07-03-2023 BPJS / JKN
2390 251288 BAMBANG L 01-07-2003 BPJS / JKN
2391 253896 NALEM P 01-07-1944 BPJS / JKN
2392 248502 SAMANI, TN L 25-02-1985 BPJS / JKN
2395 254661 JUNATI P 01-01-1972 BPJS / JKN
2397 239615 CASDI L 01-07-1950 BPJS / JKN
2398 183065 ALEEZA, AN L 01-01-2020 BPJS / JKN
2399 251390 SUMI P 18-11-1960 BPJS / JKN
2400 254493 DIEGO JOZCELIN L 13-09-1999 BPJS / JKN
2401 189356 DANI P 07-07-1968 BPJS / JKN
2402 248579 ARYATI P 14-10-1983 BPJS / JKN
2403 254622 RASIM L 27-03-1958 BPJS / JKN
2404 230928 AISYAH AILA FARISSAH AN P 30-05-2018 BPJS / JKN
2405 254674 DAKIYAN L 20-04-1955 BPJS / JKN
2406 127802 ABUN RIYANTO, TN L 24-05-1982 BPJS / JKN
2407 253389 TANJID L 13-05-1960 BPJS / JKN
2408 254736 KARSEM P 20-03-1960 BPJS / JKN
2409 155863 NAMI, NY P 05-01-1978 BPJS / JKN

2410 237124 TARJONO, TN L 06-08-1970 BPJS / JKN
2411 247775 UGIH KUSWARA L 04-03-1988 BPJS / JKN
2412 167981 KAMSINI, NY P 01-04-1980 BPJS / JKN
2413 188025 CASRI P 18-08-1977 BPJS / JKN
2417 238522 IKAH, NN P 06-11-2003 BPJS / JKN
2421 249700 KURDIA L 15-05-1984 BPJS / JKN
Tanpa Asuransi /
2424 254821 SAMPOERNA JAYA HADI PUTRA L 27-11-2003
Umum
2428 189270 ANIMAH P 12-04-1989 BPJS / JKN
2430 169491 TOBARI L 27-01-1967 BPJS / JKN
2431 157912 KASEM P 12-10-1972 BPJS / JKN
2432 206683 KARSIWEN P 12-07-1945 BPJS / JKN
2433 237870 KASINIH P 10-10-1993 BPJS / JKN
2434 248924 GALANG NIDAN HARYANTO L 12-02-2011 BPJS / JKN
2435 111039 CASITI, NY P 09-01-1972 BPJS / JKN

2436 239387 INDRA MARLIANI NUR P 22-03-1990 BPJS / JKN
2437 214052 SAADAH P 02-05-1981 BPJS / JKN
Tanpa Asuransi /
2439 179167 KARPAN L 19-06-1966
Umum
Tanpa Asuransi /
2440 254878 CARSINIH P 07-07-1970
Umum
2441 241969 SUHERIH P 15-09-1975 BPJS / JKN
2443 253097 IBAADURROHMAN KAFAA BIH L 01-01-2014 BPJS / JKN
2445 250184 EDI SAPUTRA L 12-10-1964 BPJS / JKN
2446 254657 KARTONI L 03-03-1984 BPJS / JKN
2447 249683 KAPENG, NY P 10-02-1974 BPJS / JKN
2449 253133 ABAN SUBANDI L 06-07-1978 BPJS / JKN
2450 245421 ADIB HAFIDZ RAMADHAN, AN L 13-04-2022 BPJS / JKN
2451 147156 CHRISTIN ELAWITACHYA P 13-12-1963 BPJS / JKN
2452 171526 RASTINAH P 26-01-1958 BPJS / JKN
2453 253687 DANY MASTURO P 28-10-1963 BPJS / JKN
2454 163872 TARPINAH P 16-03-1957 BPJS / JKN
2455 141988 SARDI L 01-01-1960 BPJS / JKN
2456 242421 DESIKA PUTRI FERDYAN, AN P 06-09-2013 BPJS / JKN
2457 253359 DARSANA BIN TAYA, TN L 11-05-1960 BPJS / JKN
2458 253271 HAFIZH SYADI ISMALLAH L 14-12-2021 BPJS / JKN
2460 252371 MASKINAH, NY P 08-12-1968 BPJS / JKN

2462 253494 PULUNG L 04-01-1977 BPJS / JKN
2463 248603 NENGSIH P 14-05-1974 BPJS / JKN
2465 254013 KURNIASIH BINTI SOBARI P 14-10-1975 BPJS / JKN
2467 254478 DASTAM, TN L 16-10-1955 BPJS / JKN
2468 251720 TARSINAH P 03-05-1981 BPJS / JKN
2469 233962 SARIMAH, NY P 09-11-1960 BPJS / JKN
2470 109834 ROHENI P 23-06-1968 BPJS / JKN
2471 181411 TARISEM, NY P 26-09-1976 BPJS / JKN
2473 120868 KARMI, NY P 25-09-1982 BPJS / JKN
2474 187893 TURIDAH P 01-01-1980 BPJS / JKN
2475 183590 DYAH AYUNINGTYAS P 22-07-2001 BPJS / JKN
2476 59679 SANIAH, NY P 03-05-1970 BPJS / JKN
2477 251106 SURNITI P 08-03-1967 BPJS / JKN
2478 254262 TARSIH P 12-04-1966 BPJS / JKN
2479 253253 SONDARI P 10-08-1964 BPJS / JKN
2480 240153 DIMAS ALDI SAPUTRA L 22-09-2000 BPJS / JKN
2481 251924 WASTINI L 15-03-1971 BPJS / JKN
2482 175409 ASIYAH P 18-08-1971 BPJS / JKN
2483 153153 UJU L 29-12-1963 BPJS / JKN
2484 243711 PITRIYANTI P 08-12-2002 BPJS / JKN
2485 254758 NANI RIZQIYAH P 15-04-1998 BPJS / JKN
2486 254359 DARYEM BT WENDA P 21-06-1983 BPJS / JKN
2487 92377 DARUNI P 01-01-1963 BPJS / JKN

2488 92377 DARUNI P 01-01-1963 BPJS / JKN
2489 254789 AYATI P 12-03-1968 BPJS / JKN
2490 185762 DAIRAH P 01-07-1975 BPJS / JKN
2491 171408 ASIRI P 28-01-1993 BPJS / JKN
2492 171408 ASIRI P 28-01-1993 BPJS / JKN
2493 234827 TASWEN, NY P 10-09-1959 BPJS / JKN
2496 162125 WASKINAH P 05-06-1966 BPJS / JKN
2497 250919 CATU L 07-04-1957 BPJS / JKN
2498 252097 RUMI P 01-01-1960 BPJS / JKN
2499 254159 NURESIH P 16-05-1973 BPJS / JKN
2500 254786 UDI MARSUDI L 22-01-1960 BPJS / JKN
2501 254653 ROHIMAH, NY P 17-06-1966 BPJS / JKN
2502 233666 KARSEM NY P 08-05-1976 BPJS / JKN
2505 254791 DARTEM BT WADI P 28-11-1969 BPJS / JKN
2506 149302 NUR ISMAYA P 23-01-1996 BPJS / JKN
2507 253463 RASMANA L 24-01-1982 BPJS / JKN
2508 40321 KARSINIH P 02-01-1961 BPJS / JKN
2509 59587 AMILAH, NY P 21-10-1971 BPJS / JKN
2510 250289 DARTIM L 16-07-1972 BPJS / JKN
2511 247444 SURYA TEGUH LESMANA L 28-05-2011 BPJS / JKN
2512 208775 MUNAZZAM AZMI L 17-06-2011 BPJS / JKN
2513 253199 DZAKY ARIZKY L 14-03-2021 BPJS / JKN

2514 249878 L 04-03-2022 BPJS / JKN
AN
2517 131431 KUSNIAH BT CABIK P 05-07-1967 BPJS / JKN
2518 245354 INDAH ISASI P 26-05-1998 BPJS / JKN
2520 119957 AMINAH P 10-05-1978 BPJS / JKN
2522 153863 KUMIAH BT DIRPAN P 20-06-1960 BPJS / JKN
2527 185799 TARCEM P 01-01-1977 BPJS / JKN
2528 254479 TALYUNI, NY P 13-11-1957 BPJS / JKN
2531 145610 BANGBANG DARYONO S, TN L 09-02-1973 BPJS / JKN
2532 254483 JAMIDI, TN L 02-06-1975 JAMKESKIN
2536 248463 SUNIAH P 05-08-1989 BPJS / JKN
2537 10630 AMSIYAH P 14-10-1970 BPJS / JKN
2538 170164 SITI MUSTIKA AYU P 06-04-1999 BPJS / JKN
2539 196874 AI DARYETI P 07-07-1988 BPJS / JKN

2540 238443 DALI L 05-06-1947 BPJS / JKN
2542 246728 ADENG HAMDANI L 04-01-1985 BPJS / JKN
2543 236553 H. KARTIJAH, TN L 05-08-1953 BPJS / JKN
2546 242741 ENDANG WAHYUDIN, TN L 31-08-1960 BPJS / JKN
2547 198100 RUPINA P 05-05-1989 BPJS / JKN
2548 131251 FATIMAH, NY P 03-09-1964 BPJS / JKN
2549 254022 DIMAN L 15-11-1971 BPJS / JKN
2550 253724 MUKRAD L 18-01-1944 BPJS / JKN
2551 247055 MUHENI BT KAMAR P 03-06-1966 BPJS / JKN
2554 248999 RATNAWATI, NY P 19-12-1963 BPJS / JKN
2556 183096 ROKMAH P 13-11-1965 BPJS / JKN

2557 253814 P 12-05-2022 BPJS / JKN
AN
2558 128873 SUKIRAH P 12-04-1955 BPJS / JKN
2559 254520 RAWUD L 10-05-1959 BPJS / JKN
2560 254149 KALIMAH P 08-06-1960 BPJS / JKN
2561 190667 YANTI.NY P 01-01-1980 BPJS / JKN
2562 157684 WANITA BIN CARKIM L 17-05-1943 BPJS / JKN
2563 254397 CASTI P 17-11-1969 BPJS / JKN
2564 189988 TONI L 01-01-1975 BPJS / JKN
2565 181956 MULYANA L 10-11-1960 BPJS / JKN

2566 16637 YAYAH SUHARIYAH, NY P 17-07-1965 BPJS / JKN
2567 165445 NURFATKHANAH P 10-12-1970 BPJS / JKN
2568 254904 SYADID HIDAYAT L 20-12-1967 BPJS / JKN
2569 254902 FAJAR PAMUNGKAS L 09-08-2008 BPJS / JKN
2570 254905 MUHAMAD FAQIH IBNU SABIL L 05-09-2003 BPJS / JKN
2571 113710 MISNEN L 12-04-1971 BPJS / JKN
2572 237945 HARUN AL RASYID L 01-01-1998 BPJS / JKN
2573 173740 DEWI NINGRUM P 01-09-1994 BPJS / JKN
2574 243074 WANI L 19-08-1982 BPJS / JKN
2575 109582 NATI NURYANTI, NY P 03-05-1979 BPJS / JKN
2576 254392 MUNIAH P 20-06-1962 BPJS / JKN
2578 254069 KALSAM L 01-07-1953 BPJS / JKN
ALMEERA MAULIDYA
2580 168180 P 24-11-2017 BPJS / JKN
PRATAMA
2581 254654 WILONA ADELIA AINI, AN P 11-03-2023 BPJS / JKN
RISMA KINANTY NUR

2583 236145 P 08-08-2016 BPJS / JKN
FATHIYYA
2584 168698 ARFAN MIYAZ ATHAFARIZ, AN L 23-09-2018 BPJS / JKN
2585 141983 ROTIN P 20-07-1965 BPJS / JKN
2586 248818 WARNO L 05-11-1957 BPJS / JKN
2587 254429 NAFASHA QAIREEN P 25-08-2021 BPJS / JKN
2588 254908 LIYANAH P 29-12-1985 BPJS / JKN
2589 254685 EKA SRI WAHYUNI P 23-06-2010 BPJS / JKN
2591 152818 PUTRI ANNATASHA AYU SONIA P 27-04-2012 BPJS / JKN

2593 247802 AWENAENIH P 22-02-1960 BPJS / JKN
2595 155540 ALIM, TN L 06-07-1960 BPJS / JKN
2596 254423 MUHAMMAD NIKO AQMAR L 25-07-2017 BPJS / JKN
2597 250127 SANATI P 25-01-1982 BPJS / JKN
2598 133128 WIYAN L 13-02-1963 BPJS / JKN
Tanpa Asuransi /
2599 255083 SIRTA L 15-04-1960
Umum
Tanpa Asuransi /
2601 255020 SARNITA BIN DADU L 23-04-1967
Umum
2602 255036 RATNA WIJAYA, NY P 02-04-1990 BPJS / JKN
2604 234995 WARSITI P 15-01-1969 BPJS / JKN
2605 255040 KARYI, NY P 16-07-1966 BPJS / JKN
2606 220709 SALEH SUHAEDI L 01-01-1956 BPJS / JKN
2608 243870 TITIN SUMARNI P 20-12-1960 BPJS / JKN
2609 239450 ROBINI P 17-02-1964 BPJS / JKN
2610 169643 MELIYA P 01-01-2004 BPJS / JKN
2611 245648 KARJA L 05-02-1962 BPJS / JKN
2613 255066 TARMIDI BIN DARMA L 16-04-1980 BPJS / JKN
2614 241986 SUHAETI P 12-04-1972 BPJS / JKN
2616 254568 DURPAH L 26-12-1967 BPJS / JKN

2619 244409 LISNA FAUZIAH RAMADHAN P 02-11-2005 BPJS / JKN
2620 156404 BUDIYARTO L 06-03-2005 BPJS / JKN
2621 251618 TANIWEN P 02-10-1978 BPJS / JKN
2622 208324 IBRAHIM LIE ANWAR L 10-07-2010 BPJS / JKN
2623 254645 DULOH L 01-09-1983 BPJS / JKN
2626 255055 DEA ANGGANA RARAS P 24-07-2014 BPJS / JKN
2627 253519 CASKIM L 14-03-1980 BPJS / JKN
2628 119853 MUARIF FAUZI AKBAR L 21-11-2016 BPJS / JKN
2629 153435 SURATI, NY P 26-08-1973 BPJS / JKN
2632 254594 SUMINIH P 14-08-1975 BPJS / JKN
2633 254687 JONO WIRYATNO L 09-04-1981 BPJS / JKN
2636 251229 NANI L 03-12-1977 BPJS / JKN
2638 254620 SAMPET P 04-06-1965 BPJS / JKN
2639 248034 EDI WARSITOSE L 01-01-1973 BPJS / JKN
2640 233878 RATINI P 11-04-1964 BPJS / JKN
2641 255048 AIKA SANI HUWAIDA P 12-09-2009 BPJS / JKN
2642 181567 KORMAN L 28-07-1981 BPJS / JKN

2645 251569 WASTIAH P 15-11-1973 BPJS / JKN
2646 253799 HAFIDZ GENTA RAMADHAN L 10-06-2018 BPJS / JKN
2647 251127 TARKAMA L 12-01-1958 BPJS / JKN
2648 154877 RONI L 05-05-1981 BPJS / JKN
2649 140621 SARNITI P 17-11-1988 BPJS / JKN
2651 222309 PARNOTO BIN TJADIRAH, TN L 17-08-1984 BPJS / JKN
2652 145797 RAKHMAT SUSANTO, TN L 20-05-1974 BPJS / JKN
2653 252434 BUKHORI L 16-12-1960 BPJS / JKN
2655 103313 RANI BT WARYO P 01-04-1969 BPJS / JKN
2657 253768 WINARSIH, NY P 17-06-2000 BPJS / JKN
2658 253718 NOVI INDRIANI P 10-07-2005 BPJS / JKN
2659 253717 RAHAYU DWI DAYANTI P 12-03-2007 BPJS / JKN
2660 253785 DARIYAH P 13-07-1985 JAMKESKIN
2661 251449 ANISA FITRI P 02-07-1992 BPJS / JKN
2662 253766 RINI, NY P 20-07-1994 BPJS / JKN
2664 248670 ASYHAB DAFFA ALHANNAN L 26-07-2023 BPJS / JKN
2665 240759 ABINAYA PUTRA WIYOKO AN L 10-01-2023 BPJS / JKN
2666 253739 INDAH SORAYA P 22-12-2022 BPJS / JKN
2667 253664 DANIAH P 13-10-1963 BPJS / JKN
2668 253784 SUHAENI L 16-11-2008 BPJS / JKN

2670 253708 AZRIEL MUL FAKHRI, AN L 06-06-2021 JAMKESKIN
2671 253795 ULFIYAH, NY P 01-01-1980 BPJS / JKN
2672 198431 ULING L 16-08-1959 BPJS / JKN
2673 253747 SUMERAH P 01-01-1940 BPJS / JKN
2676 242459 FERI L 27-12-1990 BPJS / JKN
2677 130444 TANISAH P 19-09-1982 BPJS / JKN
2678 237297 ADONIA ALESHA NIKO P 20-10-2016 BPJS / JKN
2679 253783 RINI BY P 30-11-2023 BPJS / JKN
2680 253770 DWI YANTI WIYONO, BY NY L 30-11-2023 BPJS / JKN
2681 253788 TANISAH BAYI L 30-11-2023 BPJS / JKN
2682 253755 RAHAYU DWI DAYANTI BAYI L 29-11-2023 BPJS / JKN
2683 253481 ERVINA P 12-01-1989 BPJS / JKN
2684 187145 ACHMAD KHANAPI L 22-09-1976 BPJS / JKN
2687 253809 TOPAN L 15-07-2000 BPJS / JKN
2688 253808 DONA PUSPITA PERMATASARI P 06-11-2002 BPJS / JKN
2690 144244 ADITYA L 03-05-2017 BPJS / JKN
2691 244768 CIKA AMELIA, an P 09-06-2009 BPJS / JKN
2694 253760 WARKIM BIN WAKI L 01-02-1957 JAMKESKIN
2695 253809 TOPAN L 15-07-2000 BPJS / JKN

2696 253729 NAMIN L 11-04-1950 BPJS / JKN
2698 253732 TARYEM P 19-02-1979 BPJS / JKN
2699 253815 SELYN P 14-09-2023 BPJS / JKN

2700 253814 P 12-05-2022 BPJS / JKN
AN
2701 216855 YAYAT P 14-06-1974 BPJS / JKN
2703 253534 KARSITI P 20-04-1956 BPJS / JKN
2704 253751 TARISEM P 05-11-1965 BPJS / JKN
2705 14246 SUPARTI, NY P 08-03-1952 BPJS / JKN
2706 253724 MUKRAD L 18-01-1944 BPJS / JKN
2709 181458 WASKIM L 10-07-1987 BPJS / JKN
2711 253737 LAMBERIUS DONI L 19-12-1977 BPJS / JKN
2714 251404 CASLAM L 30-12-1954 BPJS / JKN
2717 253767 UKI, TN L 02-05-1948 BPJS / JKN
2718 143073 TASINAH P 25-12-1964 BPJS / JKN
2721 157055 TIRTA L 27-04-1978 BPJS / JKN

Tanpa Asuransi /
2723 253771 MADI, TN L 02-12-1960
Umum

2725 253814 P 12-05-2022 BPJS / JKN
AN
Tanpa Asuransi /
2727 253794 KARIYAH, TN L 05-10-1965
Umum
2728 253723 ADE ANTONIO L 16-05-2001 JAMKESKIN
Tanpa Asuransi /
2730 253816 M FATUROHMAN L 01-11-2022
Umum
Tanpa Asuransi /
2731 253797 INDRIYANA P 01-01-2002
Umum
2732 109149 CUCU NIKO L 11-07-1989 BPJS / JKN
2734 253815 SELYN P 14-09-2023 BPJS / JKN
2735 253817 RANITA L 10-12-1965 BPJS / JKN
Tanpa Asuransi /
2736 253816 M FATUROHMAN L 01-11-2022
Umum
Tanpa Asuransi /
2737 253820 SAMAN, TN L 01-01-1975
Umum
2739 253784 SUHAENI L 16-11-2008 BPJS / JKN
2743 253708 AZRIEL MUL FAKHRI, AN L 06-06-2021 JAMKESKIN
2746 253822 LIYANDA, NY P 15-05-1989 BPJS / JKN
2747 253742 YOGA PERMADI, JK L 05-12-2005 BPJS / JKN

2749 253817 RANITA L 10-12-1965 BPJS / JKN
2752 253823 SOEGIH GUNANTO, TN L 21-04-1966 BPJS / JKN
2756 154877 RONI L 05-05-1981 BPJS / JKN
AENA NAJWA KHOIRUNNISA,

2759 169242 P 28-08-2019 BPJS / JKN
AN

2761 169242 P 28-08-2019 BPJS / JKN
AN
2763 216855 YAYAT P 14-06-1974 BPJS / JKN
2766 155701 WATI SUSILAWATI P 27-12-1987 BPJS / JKN
Tanpa Asuransi /
2767 253825 NURESIH BAYI P 01-12-2023
Umum
2769 253826 DIDI DIANA, TN L 01-07-1994 BPJS / JKN
2770 146232 SALIMAH BT KABUL, NY P 08-10-1982 BPJS / JKN

2774 253828 ALINA, NY P 20-08-2000 BPJS / JKN
2777 253829 PUPUT FATATUN MALIHA, NY P 14-09-1998 BPJS / JKN
2779 238443 DALI L 05-06-1947 BPJS / JKN
2784 237297 ADONIA ALESHA NIKO P 20-10-2016 BPJS / JKN
2787 253827 WATI SUSILAWATI BAYI L 02-12-2023 BPJS / JKN
2791 79462 AUNI ASY SYIFA AZ AZHRO P 25-01-2014 BPJS / JKN

2792 169242 P 28-08-2019 BPJS / JKN
AN
2793 253814 P 12-05-2022 BPJS / JKN
AN
Tanpa Asuransi /
2796 253816 M FATUROHMAN L 01-11-2022
Umum
2798 198431 ULING L 16-08-1959 BPJS / JKN

2803 253766 RINI, NY P 20-07-1994 BPJS / JKN
2804 253808 DONA PUSPITA PERMATASARI P 06-11-2002 BPJS / JKN
2806 253828 ALINA, NY P 20-08-2000 BPJS / JKN
2811 251404 CASLAM L 30-12-1954 BPJS / JKN
2814 130444 TANISAH P 19-09-1982 BPJS / JKN
2819 158011 SAMANUDIN L 02-06-1959 BPJS / JKN
2821 253729 NAMIN L 11-04-1950 BPJS / JKN
2823 216855 YAYAT P 14-06-1974 BPJS / JKN
2824 253481 ERVINA P 12-01-1989 BPJS / JKN
2825 253809 TOPAN L 15-07-2000 BPJS / JKN

2827 253836 LUSIYANA P 02-04-2003 BPJS / JKN
2828 253817 RANITA L 10-12-1965 BPJS / JKN
2833 253840 SITI PATIMAH P 28-12-1990 JAMKESKIN
2834 253839 JERI L 14-01-1999 BPJS / JKN
2835 154877 RONI L 05-05-1981 BPJS / JKN
2838 253841 RIPA NURUL HASANAH P 01-12-1994 JAMKESKIN
2840 253732 TARYEM P 19-02-1979 BPJS / JKN
2844 253838 TIA MUTIARA P 14-04-2004 BPJS / JKN
2845 251404 CASLAM L 30-12-1954 BPJS / JKN

2849 249878 L 04-03-2022 BPJS / JKN
AN
2850 253739 INDAH SORAYA P 22-12-2022 BPJS / JKN

2853 253736 RANA L 17-02-1964 BPJS / JKN
2854 253737 LAMBERIUS DONI L 19-12-1977 BPJS / JKN
2857 245388 SUSILAWATI P 14-11-1996 BPJS / JKN

2858 253814 P 12-05-2022 BPJS / JKN
AN
Tanpa Asuransi /
2859 253816 M FATUROHMAN L 01-11-2022
Umum
2868 253232 RANDAM, TN L 20-05-1959 BPJS / JKN
2870 253843 RIPA NURUL HASANAH, BY NY P 02-12-2023 JAMKESKIN
Tanpa Asuransi /
2871 253842 SITI PATIMAH, BY NY L 02-12-2023
Umum
2874 253817 RANITA L 10-12-1965 BPJS / JKN
2875 253844 LUSIYANA, BY NY P 02-12-2023 BPJS / JKN
Tanpa Asuransi /
2876 253846 ARWIN DERIYANTO, TN L 20-12-1995
Umum
2877 253770 DWI YANTI WIYONO, BY NY L 30-11-2023 BPJS / JKN

2879 253809 TOPAN L 15-07-2000 BPJS / JKN
2881 253847 WAHYUDI, TN L 01-06-2002 BPJS / JKN
2882 253847 WAHYUDI, TN L 01-06-2002 BPJS / JKN
Tanpa Asuransi /
Umum
2894 216855 YAYAT P 14-06-1974 BPJS / JKN
2897 253849 WARSINI, NY P 13-06-1966 BPJS / JKN
Tanpa Asuransi /
Umum
2901 121774 SAROH, NY P 09-11-1976 BPJS / JKN
2902 253839 JERI L 14-01-1999 BPJS / JKN
Tanpa Asuransi /
2903 253851 AREY HANAN IRAWAN, AN L 02-09-2021
Umum
Tanpa Asuransi /
Umum
REYNA SABILYA AQLA PUTRI

2909 249206 L 16-10-2021 JAMKESKIN
ERMANTO, AN
Tanpa Asuransi /
Umum
2916 251404 CASLAM L 30-12-1954 BPJS / JKN
Tanpa Asuransi /
Umum
2923 253839 JERI L 14-01-1999 BPJS / JKN
2925 198431 ULING L 16-08-1959 BPJS / JKN

Tanpa Asuransi /
2931 253816 M FATUROHMAN L 01-11-2022
Umum
2932 253729 NAMIN L 11-04-1950 BPJS / JKN
Tanpa Asuransi /
2935 253852 SYAHNA MAHVEEN AZKADINA L 01-01-2022
Umum
2936 169242 P 28-08-2019 BPJS / JKN
AN

2938 253814 P 12-05-2022 BPJS / JKN
AN
2951 253481 ERVINA P 12-01-1989 BPJS / JKN
Tanpa Asuransi /
2955 253816 M FATUROHMAN L 01-11-2022
Umum

2957 253814 P 12-05-2022 BPJS / JKN
AN
Tanpa Asuransi /
2958 253853 WARJA L 01-01-1961
Umum
2960 253854 TAMINIH P 10-12-1974 BPJS / JKN
2961 216855 YAYAT P 14-06-1974 BPJS / JKN
Tanpa Asuransi /
2965 253853 WARJA L 01-01-1961
Umum
Tanpa Asuransi /
Umum
2968 179167 KARPAN L 19-06-1966 BPJS / JKN
2976 208392 CATIMAH, NY P 19-04-1964 BPJS / JKN
2979 253858 AUW KENG HOK L 15-10-1960 BPJS / JKN
Tanpa Asuransi /
2980 253859 BIMO SUKMAWAN L 18-11-2003
Umum

2982 253860 WARIDIN L 17-06-1973 BPJS / JKN
2986 241708 KOKOM KOMALASARI P 15-10-1992 BPJS / JKN
2987 253862 RAKMIN L 10-06-1945 BPJS / JKN
Tanpa Asuransi /
2988 79293 HENDRI EKA L 02-12-1988
Umum
Tanpa Asuransi /
2989 249584 MUHAMMAD ILHAM, AN L 26-01-2023
Umum
2990 179167 KARPAN L 19-06-1966 BPJS / JKN
Tanpa Asuransi /
2991 253853 WARJA L 01-01-1961
Umum
2995 253862 RAKMIN L 10-06-1945 BPJS / JKN
2996 253862 RAKMIN L 10-06-1945 BPJS / JKN
Tanpa Asuransi /
Umum
3000 249206 L 16-10-2021 BPJS / JKN
ERMANTO, AN

3004 169242 P 28-08-2019 BPJS / JKN
AN

Tanpa Asuransi /
3015 253853 WARJA L 01-01-1961
Umum
Tanpa Asuransi /
3028 253882 AKHTAR NUFAIL HAKIMI L 02-06-2023
Umum
3030 164581 TURENI P 31-01-1991 BPJS / JKN
3031 253876 WULANDARI P 02-02-2014 BPJS / JKN
3032 253886 ISENG P 11-02-1958 JAMKESKIN

3035 253649 ADE TASDIK L 15-12-1986 JAMKESKIN
3036 198431 ULING L 16-08-1959 BPJS / JKN
3040 253839 JERI L 14-01-1999 BPJS / JKN

3045 249206 L 16-10-2021 BPJS / JKN
ERMANTO, AN
Tanpa Asuransi /
3047 253887 MAHESA ADYA PASHA L 23-10-2006
Umum
3048 169242 P 28-08-2019 BPJS / JKN
AN
3049 253890 LILIS P 01-07-1979 BPJS / JKN
Tanpa Asuransi /
Umum
3053 251404 CASLAM L 30-12-1954 BPJS / JKN
3054 253891 JHINAR RAMADHANI L 14-06-2018 JAMKESKIN
3056 253729 NAMIN L 11-04-1950 BPJS / JKN
Tanpa Asuransi /
Umum
Tanpa Asuransi /
3063 253889 CAHYA GAMAR L 24-10-2023
Umum
Tanpa Asuransi /
Umum
Tanpa Asuransi /
Umum
3073 253844 LUSIYANA, BY NY P 02-12-2023 BPJS / JKN
3074 253890 LILIS P 01-07-1979 BPJS / JKN
Tanpa Asuransi /
3076 253894 JAYA L 01-01-1983
Umum
3077 253896 NALEM P 01-07-1944 BPJS / JKN
3078 253895 IDIK L 01-10-1969 JAMKESKIN
3079 231456 CARMA TN L 16-01-1961 BPJS / JKN
Tanpa Asuransi /
3083 253897 VEVE ALAYCIA P 30-08-2019
Umum
Tanpa Asuransi /
Umum
Tanpa Asuransi /
3085 253894 JAYA L 01-01-1983
Umum
Tanpa Asuransi /
Umum
Tanpa Asuransi /
Umum
Tanpa Asuransi /
3096 253897 VEVE ALAYCIA P 30-08-2019
Umum
3097 244411 ASTINI P 08-05-1976 BPJS / JKN
3099 241563 SUCILAWATI P 10-05-1999 BPJS / JKN
3100 244411 ASTINI P 08-05-1976 BPJS / JKN
3102 253899 MISKANAH P 14-07-1957 BPJS / JKN
3104 253903 MELINDAH WIDIYAWATI P 30-05-2002 BPJS / JKN
3106 253902 DEWI SAFITRI P 08-12-2001 BPJS / JKN
3107 253904 ANISAH P 18-06-2000 BPJS / JKN
3108 253905 KARTIYEM P 15-07-1989 BPJS / JKN
3109 253906 MASANAH P 20-08-1978 BPJS / JKN
3111 253907 KASIH P 03-09-1982 BPJS / JKN

3112 253908 BY NY KARTIYEM L 05-12-2023 BPJS / JKN
Tanpa Asuransi /
3117 240010 MILATUL FITRI P 10-08-2000
Umum
3120 253920 WATI P 05-03-1956 BPJS / JKN
3121 253921 TAWA L 03-02-1950 BPJS / JKN
3122 253923 SAPENG P 01-01-1958 BPJS / JKN
3123 234772 CARI'AH P 17-03-1963 BPJS / JKN
Tanpa Asuransi /
Umum
Tanpa Asuransi /
3127 253853 WARJA L 01-01-1961
Umum
3129 179167 KARPAN L 19-06-1966 BPJS / JKN
3130 196004 YULI KARTIKA BIN NARITA P 01-05-1999 BPJS / JKN
3131 253920 WATI P 05-03-1956 BPJS / JKN
3132 244411 ASTINI P 08-05-1976 BPJS / JKN
3134 253935 SUTI P 01-10-1992 JAMKESKIN
Tanpa Asuransi /
3135 253897 VEVE ALAYCIA P 30-08-2019
Umum
3136 253940 RINAH MAYA P 07-07-1989 BPJS / JKN

3138 179167 KARPAN L 19-06-1966 BPJS / JKN
3139 253906 MASANAH P 20-08-1978 BPJS / JKN
3142 253905 KARTIYEM P 15-07-1989 BPJS / JKN
3143 187557 DASNITI P 17-04-1990 BPJS / JKN
3144 253907 KASIH P 03-09-1982 BPJS / JKN
3155 253935 SUTI P 01-10-1992 JAMKESKIN
Tanpa Asuransi /
Umum

3161 249206 L 16-10-2021 BPJS / JKN
ERMANTO, AN
3163 137797 KHAERUDIN L 09-03-1962 BPJS / JKN

3165 253945 WARNENGSIH P 07-10-1982 BPJS / JKN
3167 253862 RAKMIN L 10-06-1945 BPJS / JKN
3171 164581 TURENI P 31-01-1991 BPJS / JKN
3175 253946 CARTIWAN L 16-07-1962 JAMKESKIN
3177 238618 ISTIMUHAYANA P 11-04-1975 BPJS / JKN
3178 253890 LILIS P 01-07-1979 BPJS / JKN
Tanpa Asuransi /
Umum
3185 253904 ANISAH P 18-06-2000 BPJS / JKN
3186 241563 SUCILAWATI P 10-05-1999 BPJS / JKN
3187 253946 CARTIWAN L 16-07-1962 JAMKESKIN

3191 128133 AMANDA SHELLYA RAHAYU P 15-09-2015 BPJS / JKN
Tanpa Asuransi /
3192 253950 SAFITRI AULIA, AN P 01-01-2013
Umum
Tanpa Asuransi /
3193 253951 FAUZY ROHMAN, TN L 01-01-1998
Umum
3199 253895 IDIK L 01-10-1969 JAMKESKIN
Tanpa Asuransi /
3204 253955 KEYFA ANATASYA P 20-02-2017
Umum
Tanpa Asuransi /
3205 253894 JAYA L 01-01-1983
Umum
Tanpa Asuransi /
Umum
Tanpa Asuransi /
3211 253955 KEYFA ANATASYA P 20-02-2017
Umum
3214 172414 ETI PURWANINGSIH P 30-07-1994 BPJS / JKN
3215 253896 NALEM P 01-07-1944 BPJS / JKN

3222 253862 RAKMIN L 10-06-1945 BPJS / JKN
3225 253890 LILIS P 01-07-1979 BPJS / JKN
3227 164581 TURENI P 31-01-1991 BPJS / JKN
Tanpa Asuransi /
Umum
3232 244411 ASTINI P 08-05-1976 BPJS / JKN
3235 253944 DEWI SAFITRI BY P 05-12-2023 BPJS / JKN
YULI KARTIKA BIN NARITA, BY

3237 253947 L 05-12-2023 BPJS / JKN
NY
3238 253947 L 05-12-2023 BPJS / JKN
NY
3240 253920 WATI P 05-03-1956 BPJS / JKN

3243 253496 EDAH P 23-06-1979 BPJS / JKN
3244 253321 SAMI P 19-03-1970 BPJS / JKN
Tanpa Asuransi /
3248 240010 MILATUL FITRI P 10-08-2000
Umum
3249 234772 CARI'AH P 17-03-1963 BPJS / JKN
3250 253960 WATI, NY P 15-02-1977 BPJS / JKN
3251 253862 RAKMIN L 10-06-1945 BPJS / JKN
3252 253321 SAMI P 19-03-1970 BPJS / JKN
3253 150045 EMI MULYANI P 12-12-1979 BPJS / JKN
3254 155561 ATO IRYANTO TN L 24-10-1976 BPJS / JKN
3256 241366 SONIA P 29-06-2002 BPJS / JKN
3259 164581 TURENI P 31-01-1991 BPJS / JKN
3260 253965 DASIM, TN L 14-05-1990 BPJS / JKN
3261 253966 DIDIN ZAENUDIN, TN L 04-09-1981 BPJS / JKN
3262 253962 TITIN SUMARNI, NY P 01-01-1958 BPJS / JKN
Tanpa Asuransi /
Umum

Tanpa Asuransi /
Umum
Tanpa Asuransi /
Umum
3270 251033 GHAZI SUHERMAN, AN L 19-01-2022 BPJS / JKN
3271 131239 RUKYATI, NY P 14-03-1971 BPJS / JKN
3272 253969 KARMA BIN WARLINAH, TN L 12-05-1967 BPJS / JKN
3275 253970 FIRDA ALFAHRY, AN P 10-01-2006 BPJS / JKN
Tanpa Asuransi /
3276 253971 NANDI, TN L 16-08-1991
Umum
Tanpa Asuransi /
3282 253971 NANDI, TN L 16-08-1991
Umum
3284 253960 WATI, NY P 15-02-1977 BPJS / JKN
Tanpa Asuransi /
3285 253853 WARJA L 01-01-1961
Umum
Tanpa Asuransi /
3286 240010 MILATUL FITRI P 10-08-2000
Umum
Tanpa Asuransi /
Umum

3294 253940 RINAH MAYA P 07-07-1989 BPJS / JKN
3295 196004 YULI KARTIKA BIN NARITA P 01-05-1999 BPJS / JKN
Tanpa Asuransi /
3297 253897 VEVE ALAYCIA P 30-08-2019
Umum
3307 164581 TURENI P 31-01-1991 BPJS / JKN
3314 253908 BY NY KARTIYEM L 05-12-2023 BPJS / JKN
3315 253935 SUTI P 01-10-1992 JAMKESKIN
3316 253987 SUPARMAN L 05-05-1975 BPJS / JKN
3317 253921 TAWA L 03-02-1950 BPJS / JKN
3318 234772 CARI'AH P 17-03-1963 BPJS / JKN

3320 253955 KEYFA ANATASYA P 20-02-2017 BPJS / JKN
3328 253989 WIWIN MASNUROH BY L 06-12-2023 BPJS / JKN
3329 253953 RINAH MAYA, BY NY P 05-12-2023 BPJS / JKN
Tanpa Asuransi /
Umum
Tanpa Asuransi /
3332 253963 BASUNI, TN L 11-02-1990
Umum
Tanpa Asuransi /
3333 240010 MILATUL FITRI P 10-08-2000
Umum
3334 249206 L 16-10-2021 BPJS / JKN
ERMANTO, AN
Tanpa Asuransi /
3337 253993 ANISAH P 01-01-1999
Umum
3344 253995 RISMAYA DEWI P 03-03-2003 BPJS / JKN
3345 253921 TAWA L 03-02-1950 BPJS / JKN

3348 113602 PARDI L 04-09-1957 BPJS / JKN
3349 241366 SONIA P 29-06-2002 BPJS / JKN
3350 253984 SHELBIA ALMAIRA SHANUM P 09-08-2023 BPJS / JKN
Tanpa Asuransi /
3351 253993 ANISAH P 01-01-1999
Umum
3353 253994 IIS NURLIAH, BY NY P 06-12-2023 BPJS / JKN
3355 253996 ENDANG CASMINIH, BY NY P 06-12-2023 BPJS / JKN
Tanpa Asuransi /
3356 253997 TOENDI, TN L 15-03-1970
Umum

3361 253947 L 05-12-2023 BPJS / JKN
NY
3362 253890 LILIS P 01-07-1979 BPJS / JKN
3366 244411 ASTINI P 08-05-1976 BPJS / JKN
Tanpa Asuransi /
3369 253894 JAYA L 01-01-1983
Umum

3373 253862 RAKMIN L 10-06-1945 BPJS / JKN
Tanpa Asuransi /
Umum
3385 253896 NALEM P 01-07-1944 BPJS / JKN
Tanpa Asuransi /
Umum
3390 253920 WATI P 05-03-1956 BPJS / JKN
3392 253895 IDIK L 01-10-1969 JAMKESKIN
3396 253921 TAWA L 03-02-1950 BPJS / JKN

Tanpa Asuransi /
3403 253853 WARJA L 01-01-1961
Umum
Tanpa Asuransi /
3404 253963 BASUNI, TN L 11-02-1990
Umum
3406 253991 ANA SUTIANA BY P 06-12-2023 BPJS / JKN
3408 254000 KARTI BT MURDIKA P 05-11-1965 BPJS / JKN
3409 253655 MARATUN SHOLEHA P 04-04-2000 BPJS / JKN
3411 254001 CARMI P 10-11-1965 JAMKESKIN
3416 113524 SARIPIN L 16-11-1960 BPJS / JKN
3417 254002 SITI JUBAEDAH P 05-09-2002 BPJS / JKN

3427 248990 ISAH P 15-06-1971 BPJS / JKN
3431 162197 TRI UTAMI DEWI P 31-08-2002 BPJS / JKN
3432 254004 DIANA P 10-05-1996 BPJS / JKN
3433 253754 SITI NURAZIZAH, NY P 03-05-1983 BPJS / JKN
3434 248990 ISAH P 15-06-1971 BPJS / JKN
Tanpa Asuransi /
3435 254005 DEDE MAULIDDIAN BY NY L 06-12-2023
Umum
Tanpa Asuransi /
3436 254006 RISMAYA DEWI BY NY L 06-12-2023
Umum
Tanpa Asuransi /
3437 253971 NANDI, TN L 16-08-1991
Umum
Tanpa Asuransi /
3438 253997 TOENDI, TN L 15-03-1970
Umum
3439 253321 SAMI P 19-03-1970 BPJS / JKN
3442 113602 PARDI L 04-09-1957 BPJS / JKN
Tanpa Asuransi /
3444 254007 EUIS KURNIASIH P 16-01-1995
Umum
3446 143444 JENAB P 01-02-1968 BPJS / JKN
3447 143444 JENAB P 01-02-1968 BPJS / JKN

Tanpa Asuransi /
Umum
3452 233400 ERNAWATI NY P 03-07-1986 BPJS / JKN
Tanpa Asuransi /
3455 253963 BASUNI, TN L 11-02-1990
Umum
3464 254012 DAISEM P 17-08-1972 BPJS / JKN
3467 173467 CANA BIN TASWAD, TN L 25-07-1961 BPJS / JKN
3470 253992 SONIA, BY NY P 06-12-2023 BPJS / JKN
Tanpa Asuransi /
3473 253963 BASUNI, TN L 11-02-1990
Umum
3474 241366 SONIA P 29-06-2002 BPJS / JKN

3489 248990 ISAH P 15-06-1971 BPJS / JKN
3491 254031 SUMYATI P 12-08-1970 BPJS / JKN
3500 234772 CARI'AH P 17-03-1963 BPJS / JKN

3504 253921 TAWA L 03-02-1950 BPJS / JKN
3507 253935 SUTI P 01-10-1992 JAMKESKIN
3509 254029 ERNAWATI BY P 07-12-2023 BPJS / JKN
3511 254028 SITI NURAZIZAH BY P 07-12-2023 BPJS / JKN
Tanpa Asuransi /
Umum
Tanpa Asuransi /
3513 253853 WARJA L 01-01-1961
Umum
3514 253921 TAWA L 03-02-1950 BPJS / JKN
3516 254032 RITA L 01-05-1950 BPJS / JKN
3517 254030 JESIKA P 25-08-2011 JAMKESKIN
3518 113602 PARDI L 04-09-1957 BPJS / JKN
3521 254032 RITA L 01-05-1950 BPJS / JKN
3523 254036 UTI, NY P 09-02-1947 BPJS / JKN
3524 254035 ELIT TRIANA, NY P 31-10-1997 BPJS / JKN
3525 254033 DIANA BAYI L 07-12-2023 BPJS / JKN
3526 254004 DIANA P 10-05-1996 BPJS / JKN

3528 235789 JHONI L 10-09-1974 BPJS / JKN
3530 253960 WATI, NY P 15-02-1977 BPJS / JKN
3531 247106 FITRI P 10-11-1985 BPJS / JKN
3532 210454 CUPANG, NY P 21-02-1969 BPJS / JKN
3537 254039 APRILIYANI P 30-04-2008 BPJS / JKN
3544 235789 JHONI L 10-09-1974 BPJS / JKN
3545 218430 SITI ROHMAH. SITI ROHMAH P 10-02-1996 BPJS / JKN
3546 248990 ISAH P 15-06-1971 BPJS / JKN
Tanpa Asuransi /
3547 254038 ARYATI BT USMAN, NY P 14-04-1994
Umum
3548 254036 UTI, NY P 09-02-1947 BPJS / JKN
3550 254036 UTI, NY P 09-02-1947 BPJS / JKN
3552 247106 FITRI P 10-11-1985 BPJS / JKN
3553 254007 EUIS KURNIASIH P 16-01-1995 BPJS / JKN

Tanpa Asuransi /
Umum
3557 244411 ASTINI P 08-05-1976 BPJS / JKN
Tanpa Asuransi /
3559 253971 NANDI, TN L 16-08-1991
Umum
3563 253935 SUTI P 01-10-1992 JAMKESKIN
3569 253321 SAMI P 19-03-1970 BPJS / JKN
3570 253920 WATI P 05-03-1956 BPJS / JKN
Tanpa Asuransi /
3572 253997 TOENDI, TN L 15-03-1970
Umum
Tanpa Asuransi /
3574 254042 SUCI APRIYANI P 20-04-1999
Umum

3585 254046 MAHFUD L 07-06-1942 BPJS / JKN
Tanpa Asuransi /
3586 254047 SITI NURLAELI P 01-02-1983
Umum
Tanpa Asuransi /
3587 254050 M SURYA HANDIKA L 11-10-2003
Umum
3588 254046 MAHFUD L 07-06-1942 BPJS / JKN
3589 254051 SYAM BIN TECOL, TN L 13-01-1980 JAMKESKIN
3590 144059 ENDANG RAHAYU P 08-05-1999 BPJS / JKN
3591 251004 SRI PRIHATIN P 16-04-1973 BPJS / JKN
3592 254049 ELI DIYAWATI P 06-02-1997 JAMKESKIN
Tanpa Asuransi /
3594 254048 YETI P 01-01-1985
Umum
3595 127823 TASIROH P 12-04-1975 BPJS / JKN
3598 254064 NARUDIN L 26-12-1988 BPJS / JKN
3605 241366 SONIA P 29-06-2002 BPJS / JKN

3610 234772 CARI'AH P 17-03-1963 BPJS / JKN
3613 235789 JHONI L 10-09-1974 BPJS / JKN
3614 235789 JHONI L 10-09-1974 BPJS / JKN
Tanpa Asuransi /
Umum
3620 254032 RITA L 01-05-1950 BPJS / JKN
3621 247106 FITRI P 10-11-1985 BPJS / JKN
3623 254036 UTI, NY P 09-02-1947 BPJS / JKN
3624 143444 JENAB P 01-02-1968 BPJS / JKN
3631 248990 ISAH P 15-06-1971 BPJS / JKN

3633 234772 CARI'AH P 17-03-1963 BPJS / JKN
3634 254012 DAISEM P 17-08-1972 BPJS / JKN
Tanpa Asuransi /
3643 254071 ELI DIYAWATI BY L 08-12-2023
Umum
3644 254074 YETI BY L 08-12-2023 BPJS / JKN
Tanpa Asuransi /
3645 254075 SITI NURLAELI BY L 08-12-2023
Umum
3647 254072 INDAH PERMATA SARI P 16-09-1991 BPJS / JKN
3648 254073 WARINIH P 20-12-1992 BPJS / JKN
3649 254012 DAISEM P 17-08-1972 BPJS / JKN
3650 254004 DIANA P 10-05-1996 BPJS / JKN
3652 254042 SUCI APRIYANI P 20-04-1999 BPJS / JKN
3657 254070 WIDY YANAWATI, NY P 24-07-1999 BPJS / JKN

3661 84964 WINDI WINANTI, AN P 27-08-2013 BPJS / JKN
3666 254047 SITI NURLAELI P 01-02-1983 JAMKESKIN
3667 254048 YETI P 01-01-1985 BPJS / JKN
3668 254056 RASBA L 01-12-1955 BPJS / JKN
Tanpa Asuransi /
3675 254076 IBRAHIM L 01-01-2008
Umum
3676 152855 JAMURI L 07-09-1977 BPJS / JKN
3677 181993 MARYATI P 01-01-1967 BPJS / JKN
Tanpa Asuransi /
3678 253997 TOENDI, TN L 15-03-1970
Umum
3681 253321 SAMI P 19-03-1970 BPJS / JKN
3682 253895 IDIK L 01-10-1969 JAMKESKIN

3684 143444 JENAB P 01-02-1968 BPJS / JKN
3689 235726 TIRPAN L 26-10-1964 BPJS / JKN
Tanpa Asuransi /
3690 253971 NANDI, TN L 16-08-1991
Umum
3691 167728 EREH, NY P 16-02-1963 BPJS / JKN
3692 253992 SONIA, BY NY P 06-12-2023 BPJS / JKN
3693 254077 WARIDAH L 26-10-1952 BPJS / JKN
3695 149742 EKA SUSILAWATI, NY P 16-08-1983 BPJS / JKN
3697 254077 WARIDAH L 26-10-1952 BPJS / JKN
3698 253920 WATI P 05-03-1956 BPJS / JKN
3700 254056 RASBA L 01-12-1955 BPJS / JKN
3702 107007 ALI NURUDIN L 08-01-1970 BPJS / JKN
Tanpa Asuransi /
3704 253971 NANDI, TN L 16-08-1991
Umum
3705 254079 DEWI MULYANI, NY P 17-03-1995 BPJS / JKN

Tanpa Asuransi /
3711 254080 NUHA ZHIDIN NAHSUM, AN P 17-12-2022
Umum
Tanpa Asuransi /
3712 254078 KOMARUDIN, TN L 25-10-1975
Umum
3713 253896 NALEM P 01-07-1944 BPJS / JKN
Tanpa Asuransi /
3714 254081 AHMAD SAHRIL FALAHIN, JK L 25-02-2004
Umum
Tanpa Asuransi /
Umum
Tanpa Asuransi /
3716 254082 DEVI APRIANDLI P 02-04-1985
Umum
3717 254074 YETI BY L 08-12-2023 BPJS / JKN
3718 232144 SUPRIYANTO TN L 09-10-1976 BPJS / JKN
3720 254083 SAGI, TN L 17-10-1960 BPJS / JKN
Tanpa Asuransi /
3721 254084 ROSADI, TN L 10-03-2001
Umum
3722 254083 SAGI, TN L 17-10-1960 BPJS / JKN
3723 252360 AMOY, NY P 17-04-1955 BPJS / JKN
3726 254083 SAGI, TN L 17-10-1960 BPJS / JKN
Tanpa Asuransi /
3728 254086 GISKA QIANA SALSABILA P 07-01-2023
Umum
Tanpa Asuransi /
3731 254087 DEWI ANGGRAENI P 07-05-1991
Umum
3733 254088 RUMSARI, NY P 23-08-1980 BPJS / JKN
Tanpa Asuransi /
3734 254089 NACI SUNENTI, NY P 01-01-2000
Umum
3735 170969 NANI MURNANI, NY P 05-10-1999 BPJS / JKN

3736 198431 ULING L 16-08-1959 BPJS / JKN
Tanpa Asuransi /
3739 254086 GISKA QIANA SALSABILA P 07-01-2023
Umum
3741 252360 AMOY, NY P 17-04-1955 BPJS / JKN
Tanpa Asuransi /
3742 254091 WAHYU P 01-01-1989
Umum
3746 84964 WINDI WINANTI, AN P 27-08-2013 BPJS / JKN
3748 253793 MAHMUD L 12-06-1961 BPJS / JKN
3749 254048 YETI P 01-01-1985 BPJS / JKN
3751 252360 AMOY, NY P 17-04-1955 BPJS / JKN
3753 254046 MAHFUD L 07-06-1942 BPJS / JKN
3754 235789 JHONI L 10-09-1974 BPJS / JKN
3755 254032 RITA L 01-05-1950 BPJS / JKN

3764 254004 DIANA P 10-05-1996 BPJS / JKN
3766 247106 FITRI P 10-11-1985 BPJS / JKN
3768 144059 ENDANG RAHAYU P 08-05-1999 BPJS / JKN
3777 254049 ELI DIYAWATI P 06-02-1997 JAMKESKIN
3780 198431 ULING L 16-08-1959 BPJS / JKN
3782 254056 RASBA L 01-12-1955 BPJS / JKN
Tanpa Asuransi /
3783 254084 ROSADI, TN L 10-03-2001
Umum
Tanpa Asuransi /
3784 253971 NANDI, TN L 16-08-1991
Umum
3786 143444 JENAB P 01-02-1968 BPJS / JKN

3792 254036 UTI, NY P 09-02-1947 BPJS / JKN
Tanpa Asuransi /
3793 254082 DEVI APRIANDLI P 02-04-1985
Umum
3794 198431 ULING L 16-08-1959 BPJS / JKN
3795 248990 ISAH P 15-06-1971 BPJS / JKN
3798 254012 DAISEM P 17-08-1972 BPJS / JKN
3799 198431 ULING L 16-08-1959 BPJS / JKN
3800 254103 DINA FRIDA SAIDINA P 30-01-2004 BPJS / JKN
3801 253920 WATI P 05-03-1956 BPJS / JKN
Tanpa Asuransi /
Umum
3805 133532 SITI RUKOYAH P 02-02-1981 BPJS / JKN
3806 254101 DAFFA EMIER ALFARIZQI L 14-02-2022 JAMKESKIN
3807 254083 SAGI, TN L 17-10-1960 BPJS / JKN
Tanpa Asuransi /
3808 254104 MUHAMAD AL FATIH L 21-07-2022
Umum
Tanpa Asuransi /
3809 254099 DEVI APRIANDLI BY P 09-12-2023
Umum
3810 254105 CASINIH P 14-05-1982 BPJS / JKN
3813 248990 ISAH P 15-06-1971 BPJS / JKN

3815 247106 FITRI P 10-11-1985 BPJS / JKN
3817 254046 MAHFUD L 07-06-1942 BPJS / JKN
3820 254032 RITA L 01-05-1950 BPJS / JKN
Tanpa Asuransi /
3821 254084 ROSADI, TN L 10-03-2001
Umum
3823 129782 SAENI P 06-10-1989 BPJS / JKN
3825 254101 DAFFA EMIER ALFARIZQI L 14-02-2022 JAMKESKIN
3827 129782 SAENI P 06-10-1989 BPJS / JKN
3837 254106 CASINIH BAYI P 09-12-2023 BPJS / JKN

Tanpa Asuransi /
3841 254110 RAYEN GIANDRA, AN L 05-10-2020
Umum
3842 253793 MAHMUD L 12-06-1961 BPJS / JKN
3844 254012 DAISEM P 17-08-1972 BPJS / JKN
3846 198431 ULING L 16-08-1959 BPJS / JKN
3856 254112 TARIDAH BIN TARJA, TN L 23-10-1965 BPJS / JKN
3857 198431 ULING L 16-08-1959 BPJS / JKN
3858 208146 ANIS AROFAH, NY P 05-05-1993 BPJS / JKN
3860 244315 RANISAH P 04-04-1997 BPJS / JKN
3861 242622 KARTIKA EKAWATI, NY P 23-02-1970 JAMKESKIN
Tanpa Asuransi /
3862 254113 SATA, TN L 20-10-1948
Umum
Tanpa Asuransi /
3863 254114 ANDI SUPRIANTO L 01-01-1998
Umum

RYUZIO GHIFARI NURCAHYO,
3866 254115 L 03-08-2020 BPJS / JKN
AN
3872 235789 JHONI L 10-09-1974 BPJS / JKN
3878 152855 JAMURI L 07-09-1977 BPJS / JKN
3879 254117 WARYEM P 07-06-1959 BPJS / JKN
3881 254118 TANURI L 08-02-1970 BPJS / JKN
3882 254119 REVA ERTIKA PUTRI P 20-04-2016 BPJS / JKN
Tanpa Asuransi /
3883 254082 DEVI APRIANDLI P 02-04-1985
Umum
3884 254088 RUMSARI, NY P 23-08-1980 BPJS / JKN
3885 254048 YETI P 01-01-1985 BPJS / JKN
Tanpa Asuransi /
Umum
3887 129782 SAENI P 06-10-1989 BPJS / JKN
3890 252360 AMOY, NY P 17-04-1955 BPJS / JKN

3893 254117 WARYEM P 07-06-1959 BPJS / JKN
3896 150651 KARTIM L 03-04-1962 BPJS / JKN

3897 254115 L 03-08-2020 BPJS / JKN
AN
3898 253793 MAHMUD L 12-06-1961 BPJS / JKN
Tanpa Asuransi /
3900 252664 TURSIAH P 03-08-1975
Umum
Tanpa Asuransi /
3901 254120 KASEM P 01-01-1950
Umum
3905 198431 ULING L 16-08-1959 BPJS / JKN
3908 254111 ETI, NY P 11-05-1955 BPJS / JKN
3912 254012 DAISEM P 17-08-1972 BPJS / JKN
3913 254036 UTI, NY P 09-02-1947 BPJS / JKN
Tanpa Asuransi /
3914 254084 ROSADI, TN L 10-03-2001
Umum
3916 143444 JENAB P 01-02-1968 BPJS / JKN
Tanpa Asuransi /
3917 252664 TURSIAH P 03-08-1975
Umum
3919 254101 DAFFA EMIER ALFARIZQI L 14-02-2022 BPJS / JKN
3920 253920 WATI P 05-03-1956 BPJS / JKN
3923 254083 SAGI, TN L 17-10-1960 BPJS / JKN
3924 254118 TANURI L 08-02-1970 BPJS / JKN
3925 254117 WARYEM P 07-06-1959 BPJS / JKN
3926 150651 KARTIM L 03-04-1962 BPJS / JKN
3927 254074 YETI BY L 08-12-2023 BPJS / JKN
3928 254121 SIHABUDIN L 01-07-1962 BPJS / JKN
Tanpa Asuransi /
3929 254120 KASEM P 01-01-1950
Umum
Tanpa Asuransi /
3931 252664 TURSIAH P 03-08-1975
Umum
3932 254118 TANURI L 08-02-1970 BPJS / JKN
Tanpa Asuransi /
3933 254122 MARWATI P 02-10-1955
Umum
3934 133006 L 14-09-2017 BPJS / JKN
ZEROUN, AN
Tanpa Asuransi /
3936 254122 MARWATI P 02-10-1955
Umum
3937 214760 KHALISSA QIBYA WAHID, AN P 16-01-2021 BPJS / JKN
3938 129782 SAENI P 06-10-1989 BPJS / JKN
Tanpa Asuransi /
3940 254124 KIYA, AN P 01-01-2020
Umum
ALMERVERDY AZARIA
3941 254123 L 14-10-1997 BPJS / JKN
DOHONG, TN

3943 133006 L 14-09-2017 BPJS / JKN
ZEROUN, AN
Tanpa Asuransi /
3950 254125 SITI MULYATI P 14-07-1953
Umum
Tanpa Asuransi /
3952 254125 SITI MULYATI P 14-07-1953
Umum
3954 198269 WAHYUDIN, TN L 12-01-1956 BPJS / JKN
3955 230804 MILDA SYAH PUTRI, NY P 05-07-1987 BPJS / JKN
3956 167129 RASTO PRIYANTO L 02-06-1976 BPJS / JKN
3957 254126 HARIONO, TN L 26-08-1971 BPJS / JKN
3958 252360 AMOY, NY P 17-04-1955 BPJS / JKN
3959 159761 BISRI, TN L 25-05-1963 BPJS / JKN
3964 254130 LIKA EPI, NY P 06-06-1999 BPJS / JKN
Tanpa Asuransi /
3965 252664 TURSIAH P 03-08-1975
Umum
3967 254134 NURUL PUJI ASTUTI, NY P 29-03-2002 BPJS / JKN
Tanpa Asuransi /
3968 254082 DEVI APRIANDLI P 02-04-1985
Umum

3974 254118 TANURI L 08-02-1970 BPJS / JKN
Tanpa Asuransi /
3975 252664 TURSIAH P 03-08-1975
Umum
3978 150651 KARTIM L 03-04-1962 BPJS / JKN
3981 254117 WARYEM P 07-06-1959 BPJS / JKN
3982 198431 ULING L 16-08-1959 BPJS / JKN
Tanpa Asuransi /
3984 254125 SITI MULYATI P 14-07-1953
Umum
3986 254157 ARMI P 04-03-1960 BPJS / JKN

3995 254115 L 03-08-2020 BPJS / JKN
AN
Tanpa Asuransi /
3997 254120 KASEM P 01-01-1950
Umum
4000 143444 JENAB P 01-02-1968 BPJS / JKN
4005 254111 ETI, NY P 11-05-1955 BPJS / JKN
4007 254158 RASNITI BY NY L 11-12-2023 BPJS / JKN
4008 254083 SAGI, TN L 17-10-1960 BPJS / JKN
4011 141810 MUKHOLIK, TN L 02-02-1976 BPJS / JKN
4012 235789 JHONI L 10-09-1974 BPJS / JKN
4014 254158 RASNITI BY NY L 11-12-2023 BPJS / JKN
4016 254157 ARMI P 04-03-1960 BPJS / JKN
Tanpa Asuransi /
Umum
4019 152855 JAMURI L 07-09-1977 BPJS / JKN

4024 254178 SAMIN L 07-05-1968 BPJS / JKN
Tanpa Asuransi /
4026 254084 ROSADI, TN L 10-03-2001
Umum
4032 254036 UTI, NY P 09-02-1947 BPJS / JKN
4034 254202 KALSUM P 10-10-1969 BPJS / JKN
4035 254178 SAMIN L 07-05-1968 BPJS / JKN
4039 168649 MUHAMMAD ADIEN PRATAMA L 21-09-2018 BPJS / JKN
4041 254012 DAISEM P 17-08-1972 BPJS / JKN
4044 254111 ETI, NY P 11-05-1955 BPJS / JKN
Tanpa Asuransi /
4045 253639 SURTINIH P 25-12-1975
Umum
Tanpa Asuransi /
4047 254120 KASEM P 01-01-1950
Umum
Tanpa Asuransi /
4048 254127 MOCH SYAIFULLAH, TN L 01-08-1969
Umum
4049 254202 KALSUM P 10-10-1969 BPJS / JKN
Tanpa Asuransi /
4050 254231 MUHAMMAD SYARIF L 20-01-2005
Umum
Tanpa Asuransi /
4052 254232 UNASIH, NY P 01-06-1991
Umum
4053 254230 ABAS, TN L 01-01-1961 JAMKESKIN

4054 133006 L 14-09-2017 BPJS / JKN
ZEROUN, AN
4055 189461 KASMI P 20-11-1949 BPJS / JKN
4056 254178 SAMIN L 07-05-1968 BPJS / JKN
4062 254012 DAISEM P 17-08-1972 BPJS / JKN
Tanpa Asuransi /
Umum
4064 125518 IDWAN ASHARI, JK L 28-02-2001 BPJS / JKN
4066 253321 SAMI P 19-03-1970 BPJS / JKN
4067 254236 SULTON NAWAWI L 27-02-2004 BPJS / JKN
Tanpa Asuransi /
4068 254235 RAMIN, TN L 12-08-1960
Umum
4070 254237 DADI L 13-04-1977 JAMKESKIN
Tanpa Asuransi /
4072 254235 RAMIN, TN L 12-08-1960
Umum

4075 254237 DADI L 13-04-1977 JAMKESKIN
4076 254240 VIRA PUTRI ELVIANO P 08-10-2018 BPJS / JKN
4080 254243 YANAH P 17-05-1978 BPJS / JKN
4081 254244 FERI APANDI L 01-10-1999 BPJS / JKN
4082 254241 WARINIH BINTI TEBOL P 14-07-1967 BPJS / JKN
4083 254242 KASTEM P 15-06-1954 BPJS / JKN
4084 254237 DADI L 13-04-1977 JAMKESKIN
4085 109436 TARNO SUTARNO L 01-11-1936 BPJS / JKN
4086 189764 TARSEM, NY P 12-07-1975 BPJS / JKN
4089 254232 UNASIH, NY P 01-06-1991 BPJS / JKN
4090 253321 SAMI P 19-03-1970 BPJS / JKN
4091 254248 KASA, TN L 05-08-1951 BPJS / JKN
4092 254245 BY NY NURUL PUJI L 11-12-2023 BPJS / JKN
4095 254242 KASTEM P 15-06-1954 BPJS / JKN
4096 254248 KASA, TN L 05-08-1951 BPJS / JKN
4097 254249 BY NY UNASIH P 11-12-2023 BPJS / JKN
4098 254250 TARIYEM P 17-12-1987 BPJS / JKN
4099 254251 IIN CASMINI P 07-09-1984 BPJS / JKN

4101 254252 ASMIA P 28-10-1987 BPJS / JKN
4103 238443 DALI L 05-06-1947 BPJS / JKN
4106 238443 DALI L 05-06-1947 BPJS / JKN
4107 189461 KASMI P 20-11-1949 BPJS / JKN
4111 254255 CASWINAH P 14-05-1985 BPJS / JKN
4115 254243 YANAH P 17-05-1978 BPJS / JKN
4118 254268 M ELGIO ILYASHA L 23-01-2023 BPJS / JKN
Tanpa Asuransi /
4119 137821 IIN INDRIYANI P 15-10-1995
Umum
4122 254272 MELINA P 08-03-2004 JAMKESKIN
Tanpa Asuransi /
Umum

4131 254286 SUWANDI GANEA SALEH L 09-07-1955 BPJS / JKN
4132 254251 IIN CASMINI P 07-09-1984 BPJS / JKN
4133 254202 KALSUM P 10-10-1969 BPJS / JKN
4137 236927 CASNIAH, NY P 15-06-1965 BPJS / JKN

4141 254115 L 03-08-2020 BPJS / JKN
AN
4143 254118 TANURI L 08-02-1970 BPJS / JKN
4148 254237 DADI L 13-04-1977 JAMKESKIN
4149 198431 ULING L 16-08-1959 BPJS / JKN
4151 150651 KARTIM L 03-04-1962 BPJS / JKN

4152 254157 ARMI P 04-03-1960 BPJS / JKN
4153 254117 WARYEM P 07-06-1959 BPJS / JKN
4156 235789 JHONI L 10-09-1974 BPJS / JKN
4163 254242 KASTEM P 15-06-1954 BPJS / JKN
4164 253321 SAMI P 19-03-1970 BPJS / JKN
4169 254292 ASMIA BY P 12-12-2023 BPJS / JKN
4171 254291 TARIYEM BY L 12-12-2023 BPJS / JKN
4172 150651 KARTIM L 03-04-1962 BPJS / JKN

4174 133006 L 14-09-2017 BPJS / JKN
ZEROUN, AN
Tanpa Asuransi /
Umum
Tanpa Asuransi /
4176 252664 TURSIAH P 03-08-1975
Umum
4177 254288 REZA FADHIL NUGRAHA L 04-08-1997 BPJS / JKN

4178 152855 JAMURI L 07-09-1977 BPJS / JKN
4181 189461 KASMI P 20-11-1949 BPJS / JKN
4183 254252 ASMIA P 28-10-1987 BPJS / JKN
4187 254178 SAMIN L 07-05-1968 BPJS / JKN
4188 254235 RAMIN, TN L 12-08-1960 BPJS / JKN
Tanpa Asuransi /
4190 254295 CARSIH P 03-03-1985
Umum
4191 254296 NURAENI P 01-01-1996 BPJS / JKN
4192 254293 RINI OKTAVIYANI P 12-10-1992 BPJS / JKN
4193 254117 WARYEM P 07-06-1959 BPJS / JKN
4195 254012 DAISEM P 17-08-1972 BPJS / JKN
Tanpa Asuransi /
4198 254120 KASEM P 01-01-1950
Umum
4201 254202 KALSUM P 10-10-1969 BPJS / JKN

4204 189461 KASMI P 20-11-1949 BPJS / JKN
4206 254081 AHMAD SAHRIL FALAHIN, JK L 25-02-2004 BPJS / JKN
4208 254248 KASA, TN L 05-08-1951 BPJS / JKN

4209 254115 L 03-08-2020 BPJS / JKN
AN
4210 254118 TANURI L 08-02-1970 BPJS / JKN
4211 254299 M DASUKI BIN ARTA, TN L 07-07-1972 BPJS / JKN
4213 254298 VANESA ASMA LATIN SANI, AN P 28-07-2009 BPJS / JKN
4214 254300 RASIM, TN L 05-07-1993 BPJS / JKN
4216 254301 WAWAN, TN L 14-05-1990 BPJS / JKN
4219 187331 IMAM JURAIMI L 29-04-2008 BPJS / JKN
4220 171339 SHIFANA PUTRI, AN P 25-11-2012 BPJS / JKN
4226 238443 DALI L 05-06-1947 BPJS / JKN
4227 113885 SUPENO, TN L 02-03-1932 BPJS / JKN

4230 254303 MILDA SYAH PUTRI BAYI P 12-12-2023 BPJS / JKN
4231 254302 CASWINAH BAYI L 12-12-2023 BPJS / JKN
4236 254268 M ELGIO ILYASHA L 23-01-2023 BPJS / JKN
Tanpa Asuransi /
4243 254295 CARSIH P 03-03-1985
Umum
4245 243648 DAUNAH P 11-04-1957 BPJS / JKN
4247 254237 DADI L 13-04-1977 JAMKESKIN
Tanpa Asuransi /
4249 254307 RIFKI, AN L 01-01-2010
Umum
4250 243648 DAUNAH P 11-04-1957 BPJS / JKN
4252 238443 DALI L 05-06-1947 BPJS / JKN
4254 254310 MELINA BAYI L 12-12-2023 JAMKESKIN
4255 254308 KASYATI BAYI L 12-12-2023 BPJS / JKN

Tanpa Asuransi /
4256 254309 CARSIH BAYI L 12-12-2023
Umum
Tanpa Asuransi /
4259 254311 UWAIS NAUFAL AL MALIK, AN L 27-11-2022
Umum
4261 254157 ARMI P 04-03-1960 BPJS / JKN
4264 254313 AZIJA PITRI OKTAPIANI, AN P 15-10-2007 BPJS / JKN
Tanpa Asuransi /
4266 254295 CARSIH P 03-03-1985
Umum
4267 254314 WARTINIH, NY P 08-08-1987 JAMKESKIN
4269 254315 AINA TALITA ZAHRA, AN P 30-03-2016 BPJS / JKN
4270 254316 SITI NURJANAH, NY P 28-03-1989 BPJS / JKN
Tanpa Asuransi /
4274 254319 YESI SUSANTI, NY P 08-03-1989
Umum
Tanpa Asuransi /
4275 254318 SUWANDI, TN L 01-01-1976
Umum
Tanpa Asuransi /
4277 254321 JURI YUSANTO, TN L 01-01-1970
Umum
Tanpa Asuransi /
4278 254320 DELTA JULIANTO PUTRA L 16-07-2004
Umum
Tanpa Asuransi /
4279 254295 CARSIH P 03-03-1985
Umum

4282 254255 CASWINAH P 14-05-1985 BPJS / JKN
4283 254243 YANAH P 17-05-1978 BPJS / JKN
4285 254328 SITI JULAEHA P 07-11-1984 BPJS / JKN
Tanpa Asuransi /
4289 254334 MIKAIL AZZAM PRIYADI L 25-02-2019
Umum
4292 254252 ASMIA P 28-10-1987 BPJS / JKN
4298 173898 MOHAMAD FUAD L 11-04-1969 BPJS / JKN
4300 254157 ARMI P 04-03-1960 BPJS / JKN
4302 254118 TANURI L 08-02-1970 BPJS / JKN
4305 153239 TOTO SUWARTO L 02-05-1964 BPJS / JKN

4308 253321 SAMI P 19-03-1970 BPJS / JKN
4309 235789 JHONI L 10-09-1974 BPJS / JKN
4310 150651 KARTIM L 03-04-1962 BPJS / JKN
4311 254237 DADI L 13-04-1977 JAMKESKIN
4318 254242 KASTEM P 15-06-1954 BPJS / JKN
Tanpa Asuransi /
4321 254341 AJENG SEKAR KIRANA P 13-04-2020
Umum
4323 254338 RAMADAN L 30-10-2007 BPJS / JKN
4324 254248 KASA, TN L 05-08-1951 BPJS / JKN
4326 198431 ULING L 16-08-1959 BPJS / JKN
4328 254345 PATIJAH P 22-02-1995 BPJS / JKN
4329 254342 ELA P 07-06-1959 JAMKESKIN
Tanpa Asuransi /
4332 254347 MOH RONAL L 01-01-1996
Umum
Tanpa Asuransi /
Umum
4338 189461 KASMI P 20-11-1949 BPJS / JKN
4340 243648 DAUNAH P 11-04-1957 BPJS / JKN
4345 254202 KALSUM P 10-10-1969 BPJS / JKN
Tanpa Asuransi /
Umum
4357 113710 MISNEN L 12-04-1971 BPJS / JKN
4358 108495 YUNIARTI P 12-06-2013 BPJS / JKN

4360 237040 YUDA IBNU HAVIS L 20-12-2016 BPJS / JKN
4363 253519 CASKIM L 14-03-1980 BPJS / JKN
Tanpa Asuransi /
Umum
4365 243648 DAUNAH P 11-04-1957 BPJS / JKN
4366 65675 SITI ELIN MARLINA, NY P 16-07-1983 BPJS / JKN
4368 189461 KASMI P 20-11-1949 BPJS / JKN
4374 238443 DALI L 05-06-1947 BPJS / JKN
4376 254237 DADI L 13-04-1977 JAMKESKIN
4378 254157 ARMI P 04-03-1960 BPJS / JKN
4381 235789 JHONI L 10-09-1974 BPJS / JKN
4384 254242 KASTEM P 15-06-1954 BPJS / JKN

4388 254293 RINI OKTAVIYANI P 12-10-1992 BPJS / JKN
4389 253321 SAMI P 19-03-1970 BPJS / JKN
4391 254178 SAMIN L 07-05-1968 BPJS / JKN
4393 254342 ELA P 07-06-1959 JAMKESKIN
Tanpa Asuransi /
4396 254344 WARTINIH BY NY P 13-12-2023
Umum
4397 254350 PATIJAH BY NY P 13-12-2023 BPJS / JKN
4399 254351 KIRDEM P 15-06-1965 BPJS / JKN
4401 254248 KASA, TN L 05-08-1951 BPJS / JKN
4403 254353 NAWI L 16-05-1950 BPJS / JKN
4406 254355 RINA WATI P 18-05-1980 BPJS / JKN
4407 254354 TANIAH P 24-08-1947 BPJS / JKN
4408 245891 INTAN OKTAVIA PURNAMA, NY P 13-10-1999 BPJS / JKN
OKKY NOV WHIRAWAN

4409 253437 P 13-09-1990 BPJS / JKN
SANDRA DEWI
4410 254356 DONI PRAYOGO L 14-05-1995 BPJS / JKN

4414 253519 CASKIM L 14-03-1980 BPJS / JKN
4416 254354 TANIAH P 24-08-1947 BPJS / JKN
4420 253519 CASKIM L 14-03-1980 BPJS / JKN
4423 247923 TARLEM P 01-12-1970 BPJS / JKN
Tanpa Asuransi /
4424 254344 WARTINIH BY NY P 13-12-2023
Umum
4427 254358 LELA ANDRIANI BY NY L 13-12-2023 BPJS / JKN
4428 238443 DALI L 05-06-1947 BPJS / JKN
4431 230619 UMI SALMAH P 17-07-1965 BPJS / JKN
Tanpa Asuransi /
4435 241188 KARYADI, TN L 01-01-1953
Umum
4437 254258 KARDI L 15-07-1970 BPJS / JKN

4440 254287 ROKATI P 07-05-1985 BPJS / JKN
Tanpa Asuransi /
Umum
Tanpa Asuransi /
Umum
4451 254371 SARMINAH P 02-03-1940 BPJS / JKN
4454 254237 DADI L 13-04-1977 JAMKESKIN
4458 254248 KASA, TN L 05-08-1951 BPJS / JKN
4460 254118 TANURI L 08-02-1970 BPJS / JKN
4461 161210 VERA HILDAYANTI P 10-11-1973 BPJS / JKN

4465 233952 NARIMAH P 01-09-1965 BPJS / JKN
4467 247923 TARLEM P 01-12-1970 BPJS / JKN
4468 254354 TANIAH P 24-08-1947 BPJS / JKN
4471 150651 KARTIM L 03-04-1962 BPJS / JKN
4473 254252 ASMIA P 28-10-1987 BPJS / JKN
4482 243648 DAUNAH P 11-04-1957 BPJS / JKN
4484 254202 KALSUM P 10-10-1969 BPJS / JKN
4486 113710 MISNEN L 12-04-1971 BPJS / JKN
4488 254351 KIRDEM P 15-06-1965 BPJS / JKN

Tanpa Asuransi /
4491 240319 ATO JUHARTO L 27-02-1977
Umum
4493 254367 SULASTRI ZULIYATI P 02-08-1987 JAMKESKIN
OKKY NOV WHIRAWAN

4496 253437 P 13-09-1990 BPJS / JKN
SANDRA DEWI
4503 254375 RINA WATI BY L 14-12-2023 BPJS / JKN
4504 254373 LITA DEWI ANJANI BY L 14-12-2023 BPJS / JKN
Tanpa Asuransi /
4505 254295 CARSIH P 03-03-1985
Umum
CEISYA NABIHA ALCHAMDANI

4507 235751 P 16-05-2019 BPJS / JKN
ACHMAD
4508 189273 DEFANO ALVERO L 18-10-2021 BPJS / JKN
4509 158035 BASTIAN SEDAYU L 25-07-2017 BPJS / JKN
4511 200344 TIKA LESTARI P 17-03-2019 BPJS / JKN
Tanpa Asuransi /
4513 235602 HJ. TARLEM, NY P 03-01-1951
Umum
4514 254118 TANURI L 08-02-1970 BPJS / JKN

4516 238443 DALI L 05-06-1947 BPJS / JKN
4519 76504 TARSIM L 01-01-1970 BPJS / JKN
Tanpa Asuransi /
4522 254347 MOH RONAL L 01-01-1996
Umum
4523 167345 KASEM BT. MISTA P 01-01-1976 BPJS / JKN
4525 254248 KASA, TN L 05-08-1951 BPJS / JKN
4527 253519 CASKIM L 14-03-1980 BPJS / JKN
4531 254342 ELA P 07-06-1959 JAMKESKIN
4532 254353 NAWI L 16-05-1950 BPJS / JKN
4534 254354 TANIAH P 24-08-1947 BPJS / JKN
4535 150651 KARTIM L 03-04-1962 BPJS / JKN
4538 254351 KIRDEM P 15-06-1965 BPJS / JKN
Tanpa Asuransi /
4541 254347 MOH RONAL L 01-01-1996
Umum
4542 254237 DADI L 13-04-1977 JAMKESKIN
4544 254202 KALSUM P 10-10-1969 BPJS / JKN
4548 113710 MISNEN L 12-04-1971 BPJS / JKN
4552 254376 CAWIN, TN L 01-07-1958 BPJS / JKN

4553 252654 P 21-04-1979 BPJS / JKN
SITOMPUL

4555 252654 P 21-04-1979 BPJS / JKN
SITOMPUL

4559 252654 P 21-04-1979 BPJS / JKN
SITOMPUL
4560 254287 ROKATI P 07-05-1985 BPJS / JKN
4561 254380 TATI, NY P 17-03-1986 BPJS / JKN
Tanpa Asuransi /
4562 240319 ATO JUHARTO L 27-02-1977
Umum
Tanpa Asuransi /
4563 254379 MERLIN MARLINA, AN P 14-07-2010
Umum
4565 254258 KARDI L 15-07-1970 BPJS / JKN

4570 254377 NYIMAS LUMBAMAWATI, NY P 07-07-1994 BPJS / JKN
Tanpa Asuransi /
4571 254382 HARYATI, NY P 15-09-1971
Umum
Tanpa Asuransi /
4574 254344 WARTINIH BY NY P 13-12-2023
Umum
Tanpa Asuransi /
Umum
4576 254383 ATO KARYATO, TN L 12-05-1978 BPJS / JKN
4577 254384 DASEM P 07-10-1963 BPJS / JKN
4578 121177 ANAH SOPIYANAH, NY P 12-12-1990 BPJS / JKN
4579 254386 JERMIA TAIRAS, TN L 29-11-1968 BPJS / JKN
4580 191080 SOPENDI L 09-03-1964 BPJS / JKN
4584 220284 IDAH HELNITA NY P 03-04-1993 BPJS / JKN
4585 254380 TATI, NY P 17-03-1986 BPJS / JKN
4587 238443 DALI L 05-06-1947 BPJS / JKN
4588 254387 DANISEM, NY P 22-03-1984 JAMKESKIN
Tanpa Asuransi /
4590 241188 KARYADI, TN L 01-01-1953
Umum
4591 254389 DANISEM, BY NY GI L 15-12-2023 JAMKESKIN
4592 254390 DANISEM, BY NY GII P 15-12-2023 JAMKESKIN

4594 254384 DASEM P 07-10-1963 BPJS / JKN
4598 254397 CASTI P 17-11-1969 BPJS / JKN
4600 254397 CASTI P 17-11-1969 BPJS / JKN
4603 248463 SUNIAH P 05-08-1989 BPJS / JKN
Tanpa Asuransi /
Umum
Tanpa Asuransi /
Umum
4606 137757 KURIAH P 02-03-1981 BPJS / JKN
Tanpa Asuransi /
4607 241188 KARYADI, TN L 01-01-1953
Umum
4608 254287 ROKATI P 07-05-1985 BPJS / JKN
4612 254380 TATI, NY P 17-03-1986 BPJS / JKN
4614 254387 DANISEM, NY P 22-03-1984 JAMKESKIN
OKKY NOV WHIRAWAN

4616 253437 P 13-09-1990 BPJS / JKN
SANDRA DEWI
4617 167345 KASEM BT. MISTA P 01-01-1976 BPJS / JKN
4619 254403 ABDURAHMAN L 12-09-1945 BPJS / JKN

Tanpa Asuransi /
4623 254347 MOH RONAL L 01-01-1996
Umum
Tanpa Asuransi /
4624 129413 MUNAAH, NY P 15-05-1955
Umum
Tanpa Asuransi /
4625 240319 ATO JUHARTO L 27-02-1977
Umum
4627 254351 KIRDEM P 15-06-1965 BPJS / JKN
4628 254351 KIRDEM P 15-06-1965 BPJS / JKN
4630 243648 DAUNAH P 11-04-1957 BPJS / JKN
4632 254384 DASEM P 07-10-1963 BPJS / JKN
4636 254354 TANIAH P 24-08-1947 BPJS / JKN
4641 247923 TARLEM P 01-12-1970 BPJS / JKN
4645 76504 TARSIM L 01-01-1970 BPJS / JKN

4656 253519 CASKIM L 14-03-1980 BPJS / JKN
4660 254258 KARDI L 15-07-1970 BPJS / JKN
4662 254411 SUNIAH BY L 15-12-2023 BPJS / JKN
4663 254412 WASKINIH P 10-02-1996 JAMKESKIN
4664 186939 WIDIA SAFITRI P 23-12-2000 BPJS / JKN
4667 240369 ATI SUNARTI P 10-05-1966 BPJS / JKN
4669 254390 DANISEM, BY NY GII P 15-12-2023 JAMKESKIN

4672 150651 KARTIM L 03-04-1962 BPJS / JKN
4676 254384 DASEM P 07-10-1963 BPJS / JKN
4677 254354 TANIAH P 24-08-1947 BPJS / JKN
Tanpa Asuransi /
4680 235602 HJ. TARLEM, NY P 03-01-1951
Umum
4681 247923 TARLEM P 01-12-1970 BPJS / JKN
4684 248463 SUNIAH P 05-08-1989 BPJS / JKN
Tanpa Asuransi /
4685 254408 DANU HIFZA L 01-01-2022
Umum
Tanpa Asuransi /
4687 254408 DANU HIFZA L 01-01-2022
Umum
Tanpa Asuransi /
4688 254413 WASKINIH BY P 15-12-2023
Umum
4693 228825 WASPIYAH, AN P 01-11-2009 BPJS / JKN
4694 102345 MUHAMAD REYHAN FAHREFFI L 05-05-2014 BPJS / JKN
4696 194518 M SUWARGI, TN L 13-06-1951 BPJS / JKN

Tanpa Asuransi /
Umum
4699 133996 WASNITI, NY P 01-07-1969 BPJS / JKN
Tanpa Asuransi /
4700 254416 PUTRI P 01-01-2020
Umum
Tanpa Asuransi /
4701 254415 SUBAYONG L 10-10-1972
Umum

4703 252654 P 21-04-1979 BPJS / JKN
SITOMPUL
4704 254342 ELA P 07-06-1959 JAMKESKIN
4707 254397 CASTI P 17-11-1969 BPJS / JKN
4712 238443 DALI L 05-06-1947 BPJS / JKN
4713 254418 DELA ANISA, NY P 05-01-2002 BPJS / JKN
4714 253329 MUZAMMIL FATIH ARRAHMAN L 25-04-2022 BPJS / JKN
4715 254411 SUNIAH BY L 15-12-2023 BPJS / JKN
4716 254419 BY NY TIPAH L 05-11-2023 BPJS / JKN
4717 253329 MUZAMMIL FATIH ARRAHMAN L 25-04-2022 BPJS / JKN
4718 254420 HUSNUL AIMMAH P 24-02-1985 BPJS / JKN
4723 254421 MUTIARA SUKMA P 31-07-1999 BPJS / JKN

4724 101283 WARTI BINTI TANDA P 06-08-1969 BPJS / JKN
4727 239615 CASDI L 01-07-1950 BPJS / JKN
4729 254422 LENA P 05-02-2018 BPJS / JKN
4731 254422 LENA P 05-02-2018 BPJS / JKN
4732 239770 ALVINO L 27-07-2021 BPJS / JKN
4734 253895 IDIK L 01-10-1969 BPJS / JKN
4736 254424 YUDI DARMA L 05-12-1972 BPJS / JKN
Tanpa Asuransi /
4737 235602 HJ. TARLEM, NY P 03-01-1951
Umum
Tanpa Asuransi /
Umum
Tanpa Asuransi /
4739 129413 MUNAAH, NY P 15-05-1955
Umum
4740 186939 WIDIA SAFITRI P 23-12-2000 BPJS / JKN
4741 133996 WASNITI, NY P 01-07-1969 BPJS / JKN
4742 254412 WASKINIH P 10-02-1996 JAMKESKIN
4745 254377 NYIMAS LUMBAMAWATI, NY P 07-07-1994 BPJS / JKN

Tanpa Asuransi /
4750 240319 ATO JUHARTO L 27-02-1977
Umum
Tanpa Asuransi /
4751 254347 MOH RONAL L 01-01-1996
Umum
Tanpa Asuransi /
4757 241188 KARYADI, TN L 01-01-1953
Umum
4760 254354 TANIAH P 24-08-1947 BPJS / JKN
4761 254354 TANIAH P 24-08-1947 BPJS / JKN
Tanpa Asuransi /
4762 235602 HJ. TARLEM, NY P 03-01-1951
Umum
4763 76504 TARSIM L 01-01-1970 BPJS / JKN
4764 76504 TARSIM L 01-01-1970 BPJS / JKN
4768 238443 DALI L 05-06-1947 BPJS / JKN
4772 254342 ELA P 07-06-1959 JAMKESKIN
Tanpa Asuransi /
4773 254456 AEZHIN L 01-07-1977
Umum
4775 254425 KARWI L 12-06-1934 BPJS / JKN

4778 254429 NAFASHA QAIREEN P 25-08-2021 JAMKESKIN
4779 253895 IDIK L 01-10-1969 BPJS / JKN
4783 254425 KARWI L 12-06-1934 BPJS / JKN
4785 254428 SAMIAH P 31-12-1971 BPJS / JKN
4787 254428 SAMIAH P 31-12-1971 BPJS / JKN
4788 248463 SUNIAH P 05-08-1989 BPJS / JKN
4789 254428 SAMIAH P 31-12-1971 BPJS / JKN
4790 254431 NEVI ANGGRAENI P 07-01-1995 BPJS / JKN
4792 254430 KARTIKA YULIATI RAHMA P 13-01-1993 BPJS / JKN
4793 254384 DASEM P 07-10-1963 BPJS / JKN
4798 239615 CASDI L 01-07-1950 BPJS / JKN
4800 254384 DASEM P 07-10-1963 BPJS / JKN

4806 102345 MUHAMAD REYHAN FAHREFFI L 05-05-2014 BPJS / JKN
4807 254422 LENA P 05-02-2018 BPJS / JKN
4809 254408 DANU HIFZA L 01-01-2022 JAMKESKIN
4813 254425 KARWI L 12-06-1934 BPJS / JKN
GIBRAN ALGHIFARI
4814 254459 L 27-03-2023 BPJS / JKN
RAMADHAN, AN
GIBRAN ALGHIFARI
4816 254459 L 27-03-2023 BPJS / JKN
RAMADHAN, AN
KENES DENOF BATSNAH

4823 246558 P 10-04-2023 BPJS / JKN
LABIQA ANDARI
Tanpa Asuransi /
4826 129413 MUNAAH, NY P 15-05-1955
Umum
4827 254461 SUSI PURNAMAWATI, NY P 06-08-1995 JAMKESKIN

4829 134211 TIARA PUSPITA SARI, AN P 05-03-2008 BPJS / JKN
4831 253895 IDIK L 01-10-1969 BPJS / JKN
4832 254397 CASTI P 17-11-1969 BPJS / JKN
4837 254460 NEVI ANGGRAENI BAYI L 16-12-2023 BPJS / JKN
KARTIKA YULIATI RAHMA

4840 254458 L 16-12-2023 BPJS / JKN
BAYI
TUKASYA MUHAMAD AL Tanpa Asuransi /
4841 254462 L 15-07-2021
FATIH, AN Umum
Tanpa Asuransi /
Umum
Tanpa Asuransi /
4846 254463 MAHDA SYAHIZINDAH, NY P 03-03-2002
Umum
GHANIA FARHANNA SUGANDI,

4848 254464 P 17-09-2021 BPJS / JKN
AN
GIBRAN ALGHIFARI
4851 254459 L 27-03-2023 BPJS / JKN
RAMADHAN, AN
4853 253895 IDIK L 01-10-1969 BPJS / JKN

4854 254458 L 16-12-2023 BPJS / JKN
BAYI
4855 254458 L 16-12-2023 BPJS / JKN
BAYI
4857 245377 SYAUQI AL MALIK L 28-01-2021 BPJS / JKN
Tanpa Asuransi /
4858 254467 AFRIL, JK L 01-01-2006
Umum
4859 254465 SUWARDI, TN L 03-11-1977 BPJS / JKN
Tanpa Asuransi /
4862 254466 RAFLI, JK L 01-01-2008
Umum
4865 254428 SAMIAH P 31-12-1971 BPJS / JKN
4866 254468 SUTINIH, NY P 18-11-1965 BPJS / JKN
4873 254384 DASEM P 07-10-1963 BPJS / JKN
4875 239615 CASDI L 01-07-1950 BPJS / JKN
Tanpa Asuransi /
4878 235602 HJ. TARLEM, NY P 03-01-1951
Umum

4882 254470 LINTANG MUFIDAH AL HAQ P 08-05-2013 BPJS / JKN
4883 254425 KARWI L 12-06-1934 BPJS / JKN
4886 248463 SUNIAH P 05-08-1989 BPJS / JKN
4889 253895 IDIK L 01-10-1969 BPJS / JKN
4891 254384 DASEM P 07-10-1963 BPJS / JKN
4895 254397 CASTI P 17-11-1969 BPJS / JKN

4897 254464 P 17-09-2021 BPJS / JKN
AN
GIBRAN ALGHIFARI
4903 254459 L 27-03-2023 BPJS / JKN
RAMADHAN, AN

Tanpa Asuransi /
4907 129413 MUNAAH, NY P 15-05-1955
Umum
4915 254422 LENA P 05-02-2018 BPJS / JKN
4918 239770 ALVINO L 27-07-2021 BPJS / JKN
Tanpa Asuransi /
4919 235602 HJ. TARLEM, NY P 03-01-1951
Umum
Tanpa Asuransi /
Umum
4922 254472 MUNISAH P 15-01-1959 BPJS / JKN
4926 239770 ALVINO L 27-07-2021 BPJS / JKN
Tanpa Asuransi /
4930 254344 WARTINIH BY NY P 13-12-2023
Umum
4931 254458 L 16-12-2023 BPJS / JKN
BAYI
4933 254474 KASTA, TN L 01-01-1974 BPJS / JKN

4934 249878 L 04-03-2022 BPJS / JKN
AN
Tanpa Asuransi /
4937 254476 FIQRI INDIANTI, NN P 20-04-2006
Umum
4940 114060 SUGIONO, TN L 08-08-1960 BPJS / JKN

4941 249878 L 04-03-2022 BPJS / JKN
AN
4945 254422 LENA P 05-02-2018 BPJS / JKN
4951 189848 UNTARA, TN L 09-11-1962 BPJS / JKN
Tanpa Asuransi /
4952 254477 MASTIYAH, NY P 06-07-1968
Umum
4955 254480 TARKINAH BT WASJA, NY P 03-08-1975 BPJS / JKN
4956 253895 IDIK L 01-10-1969 BPJS / JKN

4958 254482 DARNITEM, NY P 19-04-1987 JAMKESKIN
Tanpa Asuransi /
4959 254481 SETIA REGINA P 15-01-2003
Umum
4960 239244 SAMIAH P 04-02-1966 BPJS / JKN
4961 239244 SAMIAH P 04-02-1966 BPJS / JKN
4964 254484 ASTI FIANIN, NY P 09-12-1997 BPJS / JKN
4965 228652 DIAN KOMARA, TN L 08-02-1986 BPJS / JKN
4967 83682 KENDRA L 24-07-1964 BPJS / JKN
4970 254488 ASIAH, NY P 02-04-1972 BPJS / JKN
4973 245432 WARTO L 06-10-1951 BPJS / JKN
4974 254492 ATHAR RAMADHANI L 15-04-2023 BPJS / JKN
4976 254498 SABQI HAMZAH RAFIF L 02-04-2015 BPJS / JKN
Tanpa Asuransi /
4978 161032 ROUDOTUL JANNAH P 09-11-1999
Umum
4980 254499 KRISTIN DAHMAYANTI P 18-01-1992 BPJS / JKN
4983 254500 ACENG MAHFUDIN L 04-04-1972 BPJS / JKN

Tanpa Asuransi /
4986 254481 SETIA REGINA P 15-01-2003
Umum
4990 254425 KARWI L 12-06-1934 BPJS / JKN

4994 249878 L 04-03-2022 BPJS / JKN
AN
4996 83682 KENDRA L 24-07-1964 BPJS / JKN

4997 254464 P 17-09-2021 BPJS / JKN
AN
5003 239615 CASDI L 01-07-1950 BPJS / JKN
5005 254384 DASEM P 07-10-1963 BPJS / JKN
5006 254524 DIDI SUPANDI L 20-10-1973 BPJS / JKN

5010 254397 CASTI P 17-11-1969 BPJS / JKN
5012 254520 RAWUD L 10-05-1959 JAMKESKIN
5014 239244 SAMIAH P 04-02-1966 BPJS / JKN
5016 253895 IDIK L 01-10-1969 BPJS / JKN
Tanpa Asuransi /
5018 254477 MASTIYAH, NY P 06-07-1968
Umum
GIBRAN ALGHIFARI
5020 254459 L 27-03-2023 BPJS / JKN
RAMADHAN, AN
5021 218177 YULIANTI P 22-07-1991 BPJS / JKN
5022 254482 DARNITEM, NY P 19-04-1987 JAMKESKIN
5029 254485 DARNITEM BAYI L 18-12-2023 JAMKESKIN

5031 254458 L 16-12-2023 BPJS / JKN
BAYI
5032 249878 L 04-03-2022 BPJS / JKN
AN
5034 128384 KANAPI, TN L 10-04-1976 BPJS / JKN
Tanpa Asuransi /
5035 254529 KA ARIYANTA L 07-04-2023
Umum
Tanpa Asuransi /
5037 254530 QIANA ZEA ELSHANUM P 18-06-2022
Umum
5039 254531 RUYI P 20-10-1968 BPJS / JKN
GIBRAN ALGHIFARI
5040 254459 L 27-03-2023 BPJS / JKN
RAMADHAN, AN
5042 254422 LENA P 05-02-2018 BPJS / JKN
5043 245432 WARTO L 06-10-1951 BPJS / JKN

5045 254464 P 17-09-2021 BPJS / JKN
AN
Tanpa Asuransi /
5047 254532 ROUDOTUL JANNAH BY P 18-12-2023
Umum
5048 254534 YULIANTI BY L 18-12-2023 BPJS / JKN
5050 254533 NINA APRILIANITA P 05-08-2000 BPJS / JKN
5052 254531 RUYI P 20-10-1968 BPJS / JKN
Tanpa Asuransi /
5054 254530 QIANA ZEA ELSHANUM P 18-06-2022
Umum
5057 254531 RUYI P 20-10-1968 BPJS / JKN
5058 254535 WARSINAH, NY P 10-05-1980 BPJS / JKN

5065 243364 WARJA L 01-07-1965 BPJS / JKN
MUHAMAD SELIAN
5067 254536 L 16-10-1996 BPJS / JKN
SUPRIYATNA, TN
5068 254539 DAPEN, NY P 03-09-1972 BPJS / JKN
5069 254538 KASEM, NY P 11-03-1982 BPJS / JKN
5070 210364 MUAMMAR ALDI SAHPUTRA L 30-07-2015 BPJS / JKN
5074 133128 WIYAN L 13-02-1963 BPJS / JKN
5076 224213 NIHAYATI P 01-04-1968 BPJS / JKN
5079 133128 WIYAN L 13-02-1963 BPJS / JKN
5082 254542 LUSI HANDRIANI, NY P 25-06-1980 BPJS / JKN
Tanpa Asuransi /
Umum
Tanpa Asuransi /
5084 254481 SETIA REGINA P 15-01-2003
Umum
Tanpa Asuransi /
5086 254541 REZA ADI NUGRAHA, TN L 08-11-2004
Umum

5089 254520 RAWUD L 10-05-1959 BPJS / JKN
Tanpa Asuransi /
5090 254537 SAMADI L 05-08-1982
Umum
5091 133128 WIYAN L 13-02-1963 BPJS / JKN
5096 234964 KARMILAWATI P 21-05-1985 BPJS / JKN
5097 254544 EVI DIAN FITRIA, NY P 20-08-1982 BPJS / JKN
GHEA AN NAHL MUMTADZAH,

5098 254545 P 28-12-2019 BPJS / JKN
AN
5099 253895 IDIK L 01-10-1969 BPJS / JKN
5100 254546 WISTIRIANI, NY P 14-05-2005 BPJS / JKN

5101 254545 P 28-12-2019 BPJS / JKN
AN
5104 242129 ASIYAH HARNUM P 06-08-1986 BPJS / JKN
5105 254548 TARYONO, TN L 11-09-1968 JAMKESKIN
Tanpa Asuransi /
5107 254504 SESI OKTAVIA, NN P 01-10-2005
Umum
5113 254565 WARNIDEM BT DARYA P 05-10-1965 BPJS / JKN

5115 7298 EKO MAULANA PRANINDYA L 08-10-1989 BPJS / JKN

5117 249878 L 04-03-2022 BPJS / JKN
AN
5118 254545 P 28-12-2019 BPJS / JKN
AN
5120 254529 KA ARIYANTA L 07-04-2023 BPJS / JKN
5125 83682 KENDRA L 24-07-1964 BPJS / JKN
MUHAMAD SELIAN
5126 254536 L 16-10-1996 BPJS / JKN
SUPRIYATNA, TN
5131 153364 MARSITO L 17-05-1994 BPJS / JKN
5133 245432 WARTO L 06-10-1951 BPJS / JKN
5136 254520 RAWUD L 10-05-1959 BPJS / JKN
5139 237300 DEWI P 16-08-1983 BPJS / JKN

5143 60788 INDRI ARYATIN, NN P 17-12-2004 BPJS / JKN
5146 254531 RUYI P 20-10-1968 BPJS / JKN
5155 254582 DARYUNI BY L 19-12-2023 BPJS / JKN
5158 133128 WIYAN L 13-02-1963 BPJS / JKN
5160 254581 KASNADI L 14-02-1953 JAMKESKIN
Tanpa Asuransi /
5161 254344 WARTINIH BY NY P 13-12-2023
Umum
Tanpa Asuransi /
Umum
5165 123357 ILINDA SEPTARINA P 01-09-1992 BPJS / JKN

5166 254464 P 17-09-2021 BPJS / JKN
AN
5170 254425 KARWI L 12-06-1934 BPJS / JKN
5172 243364 WARJA L 01-07-1965 BPJS / JKN
5173 253321 SAMI P 19-03-1970 BPJS / JKN
5175 254584 ELA ROHAENI P 08-05-1995 BPJS / JKN
Tanpa Asuransi /
5176 254477 MASTIYAH, NY P 06-07-1968
Umum
5179 254586 KISAH BINTI KASMURI P 17-04-1990 BPJS / JKN
5182 253895 IDIK L 01-10-1969 BPJS / JKN
MUHAMAD SELIAN
5185 254536 L 16-10-1996 BPJS / JKN
SUPRIYATNA, TN
5189 254591 KARINTA L 15-12-1979 BPJS / JKN
5190 254425 KARWI L 12-06-1934 BPJS / JKN
5191 254590 WASLI BIN TARLAM L 14-02-1951 BPJS / JKN

5195 254596 YULIYAWATI P 31-08-1984 BPJS / JKN
5197 254530 QIANA ZEA ELSHANUM P 18-06-2022 BPJS / JKN
ANANDA RIZQIANA Tanpa Asuransi /

5198 254597 P 04-12-2021
ALMAHYRA Umum
5199 251217 NOVA ELIZA TAMAROH P 05-11-2001 BPJS / JKN
5201 254584 ELA ROHAENI P 08-05-1995 BPJS / JKN
5202 83682 KENDRA L 24-07-1964 BPJS / JKN
5206 254546 WISTIRIANI, NY P 14-05-2005 BPJS / JKN
Tanpa Asuransi /
5208 254481 SETIA REGINA P 15-01-2003
Umum
5209 254425 KARWI L 12-06-1934 BPJS / JKN
5210 247749 WARSIM L 16-07-1986 BPJS / JKN
5211 254598 MUD L 01-01-1975 BPJS / JKN
Tanpa Asuransi /
5212 254504 SESI OKTAVIA, NN P 01-10-2005
Umum
5215 254600 KARTINI BTWARSADI P 01-06-2000 BPJS / JKN

Tanpa Asuransi /
5218 254602 IMAM BAIHAKI L 11-05-1998
Umum
5219 254597 P 04-12-2021
ALMAHYRA Umum
5223 254593 ILINDA SEPTARINA BY NY L 19-12-2023 BPJS / JKN
5224 254595 KRISTIN DAHMAYANTI BY NY L 19-12-2023 BPJS / JKN

5228 254545 P 28-12-2019 BPJS / JKN
AN
5230 254531 RUYI P 20-10-1968 BPJS / JKN
5236 254603 KURNIAH P 01-01-1983 JAMKESKIN
Tanpa Asuransi /
5238 254601 SLAMET L 27-09-1977
Umum
5239 247749 WARSIM L 16-07-1986 BPJS / JKN
Tanpa Asuransi /
5242 254519 JUAN PRADIPTA EWAGE L 11-03-2020
Umum
5243 254604 WASTI P 10-07-1960 BPJS / JKN

5244 133128 WIYAN L 13-02-1963 BPJS / JKN
5245 123151 SAMAN L 07-11-1960 BPJS / JKN
5246 245432 WARTO L 06-10-1951 BPJS / JKN
5247 123151 SAMAN L 07-11-1960 BPJS / JKN

5248 254597 P 04-12-2021
ALMAHYRA Umum
Tanpa Asuransi /
5250 254609 ANJAS ADITIA L 01-01-2008
Umum
Tanpa Asuransi /
5251 254608 FITRIYAH P 07-10-1985
Umum
5252 63914 ALMIRA EMBUN AISYAH P 31-10-2012 BPJS / JKN
5254 243165 KHUSNUL KHOTIMAH BY NY P 11-03-2023 BPJS / JKN
5255 254613 PUAD L 07-08-1983 BPJS / JKN
5256 254614 JAMHUR L 21-08-1974 BPJS / JKN
5257 254611 ENDANG WAHYUNI P 17-05-2000 JAMKESKIN
5258 254607 CUNAYA P 08-06-1991 BPJS / JKN
Tanpa Asuransi /
5259 254608 FITRIYAH P 07-10-1985
Umum
5260 254607 CUNAYA P 08-06-1991 BPJS / JKN
5261 249909 PAMIR L 20-11-1954 BPJS / JKN
5262 254610 BY NY KISAH P 19-12-2023 BPJS / JKN
5264 254606 ADE LISMAWATI P 05-03-1967 BPJS / JKN
5268 249909 PAMIR L 20-11-1954 BPJS / JKN
5269 249909 PAMIR L 20-11-1954 BPJS / JKN

5271 249909 PAMIR L 20-11-1954 BPJS / JKN
5272 254612 BY NY CUNAYA L 19-12-2023 BPJS / JKN
5275 247671 CAHYAN PRASETYO L 25-05-2021 BPJS / JKN
5278 254529 KA ARIYANTA L 07-04-2023 BPJS / JKN

5279 249878 L 04-03-2022 BPJS / JKN
AN
5280 254533 NINA APRILIANITA P 05-08-2000 BPJS / JKN
5281 254586 KISAH BINTI KASMURI P 17-04-1990 BPJS / JKN
Tanpa Asuransi /
5285 254636 WARTONO L 05-07-1962
Umum
Tanpa Asuransi /
5287 254634 SIGIT PRATAMA L 24-10-2013
Umum
5288 254535 WARSINAH, NY P 10-05-1980 BPJS / JKN
5289 249909 PAMIR L 20-11-1954 BPJS / JKN
Tanpa Asuransi /
5290 254634 SIGIT PRATAMA L 24-10-2013
Umum
Tanpa Asuransi /
5294 254624 ENDANG WAHYUNI BY P 20-12-2023
Umum
Tanpa Asuransi /
Umum
5299 254425 KARWI L 12-06-1934 BPJS / JKN
5300 254607 CUNAYA P 08-06-1991 BPJS / JKN
5301 220409 APRILIA WINDI P 15-04-2015 BPJS / JKN
5302 242779 WILDAN IRSYAD MUHTADI L 27-01-2008 BPJS / JKN
5303 220409 APRILIA WINDI P 15-04-2015 BPJS / JKN
5304 104768 WIBIJATI ALFARIZKI L 22-10-2014 BPJS / JKN
5313 157912 KASEM P 12-10-1972 BPJS / JKN

5315 254597 P 04-12-2021
ALMAHYRA Umum
5317 123151 SAMAN L 07-11-1960 BPJS / JKN
5319 253321 SAMI P 19-03-1970 BPJS / JKN
5320 254520 RAWUD L 10-05-1959 BPJS / JKN

5323 237300 DEWI P 16-08-1983 BPJS / JKN
5325 243364 WARJA L 01-07-1965 BPJS / JKN
5327 245432 WARTO L 06-10-1951 BPJS / JKN
Tanpa Asuransi /
5328 254642 KASWINIH P 25-01-1995
Umum
5336 247749 WARSIM L 16-07-1986 BPJS / JKN
5338 254531 RUYI P 20-10-1968 BPJS / JKN
Tanpa Asuransi /
5339 254481 SETIA REGINA P 15-01-2003
Umum
Tanpa Asuransi /
5342 254504 SESI OKTAVIA, NN P 01-10-2005
Umum
5345 254614 JAMHUR L 21-08-1974 BPJS / JKN

Tanpa Asuransi /
5350 254643 SENA NUR ARSAH P 10-11-2022
Umum
5353 247749 WARSIM L 16-07-1986 BPJS / JKN
5354 254531 RUYI P 20-10-1968 BPJS / JKN
5357 237300 DEWI P 16-08-1983 BPJS / JKN
5358 83682 KENDRA L 24-07-1964 BPJS / JKN
5363 254614 JAMHUR L 21-08-1974 BPJS / JKN
5366 243364 WARJA L 01-07-1965 BPJS / JKN
5370 254520 RAWUD L 10-05-1959 BPJS / JKN
5371 254531 RUYI P 20-10-1968 BPJS / JKN
5372 237300 DEWI P 16-08-1983 BPJS / JKN
5373 245432 WARTO L 06-10-1951 BPJS / JKN

5374 254645 DULOH L 01-09-1983 BPJS / JKN
5379 247208 HERAMITHA AZAHRA P 11-10-1998 BPJS / JKN
5381 254604 WASTI P 10-07-1960 BPJS / JKN
5385 254645 DULOH L 01-09-1983 BPJS / JKN
5386 254425 KARWI L 12-06-1934 BPJS / JKN
5393 254640 SUPRIYAENI BY GI P 20-12-2023 BPJS / JKN
5394 254641 SUPRIYAENI BY GII P 20-12-2023 BPJS / JKN
5395 254644 NURHAYATI BY P 20-12-2023 BPJS / JKN
5396 254649 TARYAN, TN L 11-10-1948 BPJS / JKN
Tanpa Asuransi /
5397 254650 KAMALUDDIN, TN L 02-09-2000
Umum
AS SYARIF MUHAMMAD
5398 254651 L 29-03-2019 BPJS / JKN
SHALAHUDDIN JAFAR
5399 247208 HERAMITHA AZAHRA P 11-10-1998 BPJS / JKN

Tanpa Asuransi /
5400 254643 SENA NUR ARSAH P 10-11-2022
Umum
5401 157912 KASEM P 12-10-1972 BPJS / JKN
5403 254610 BY NY KISAH P 19-12-2023 BPJS / JKN
Tanpa Asuransi /
Umum
Tanpa Asuransi /
5407 254652 DELIA VERAWATI P 11-04-2004
Umum
5408 254607 CUNAYA P 08-06-1991 BPJS / JKN
5414 249909 PAMIR L 20-11-1954 BPJS / JKN
5415 133128 WIYAN L 13-02-1963 BPJS / JKN
ALMEERA MAULIDYA
5422 168180 P 24-11-2017 BPJS / JKN
PRATAMA

5426 254597 P 04-12-2021
ALMAHYRA Umum
5428 254645 DULOH L 01-09-1983 BPJS / JKN
Tanpa Asuransi /
5429 254608 FITRIYAH P 07-10-1985
Umum
5430 254568 DURPAH L 26-12-1967 BPJS / JKN
5431 254643 SENA NUR ARSAH P 10-11-2022 BPJS / JKN
5439 254531 RUYI P 20-10-1968 BPJS / JKN
5442 247749 WARSIM L 16-07-1986 BPJS / JKN
5444 123151 SAMAN L 07-11-1960 BPJS / JKN
5445 254614 JAMHUR L 21-08-1974 BPJS / JKN
5449 237300 DEWI P 16-08-1983 BPJS / JKN

5452 254611 ENDANG WAHYUNI P 17-05-2000 JAMKESKIN
Tanpa Asuransi /
Umum
5460 249909 PAMIR L 20-11-1954 BPJS / JKN
5461 254607 CUNAYA P 08-06-1991 BPJS / JKN
5462 254666 DANI P 06-11-1984 BPJS / JKN
5463 157912 KASEM P 12-10-1972 BPJS / JKN
5466 254613 PUAD L 07-08-1983 BPJS / JKN
5468 254425 KARWI L 12-06-1934 BPJS / JKN
5475 18736 WINDA P 25-09-2009 BPJS / JKN
5476 95048 DENTA PUTRA KUSUMA L 12-09-2009 BPJS / JKN
5477 50347 BAYU PUTRA ANGGARA L 24-04-2011 BPJS / JKN

5479 237300 DEWI P 16-08-1983 BPJS / JKN
5480 123151 SAMAN L 07-11-1960 BPJS / JKN
5482 254614 JAMHUR L 21-08-1974 BPJS / JKN
5487 254604 WASTI P 10-07-1960 BPJS / JKN
Tanpa Asuransi /
5488 254668 KASHIFAH P 01-01-1980
Umum
5491 254568 DURPAH L 26-12-1967 BPJS / JKN
ALMEERA MAULIDYA
5494 168180 P 24-11-2017 BPJS / JKN
PRATAMA
5497 254336 LINDA P 21-05-1993 BPJS / JKN
5502 247749 WARSIM L 16-07-1986 BPJS / JKN

5504 242276 DWI CAHYANE BAGUS, AN L 05-11-2013 BPJS / JKN
5505 152134 SUTIAH AN P 13-07-2006 BPJS / JKN
RISMA KINANTY NUR

5508 236145 P 08-08-2016 BPJS / JKN
FATHIYYA
5509 253798 MULYANI P 04-03-1996 BPJS / JKN
RISMA KINANTY NUR

5510 236145 P 08-08-2016 BPJS / JKN
FATHIYYA
5519 247749 WARSIM L 16-07-1986 BPJS / JKN
5520 157912 KASEM P 12-10-1972 BPJS / JKN
5524 254336 LINDA P 21-05-1993 BPJS / JKN
5526 254607 CUNAYA P 08-06-1991 BPJS / JKN
5527 254425 KARWI L 12-06-1934 BPJS / JKN
5528 254681 DARPIN BIN WARNA L 12-04-1950 BPJS / JKN

Tanpa Asuransi /
5537 242842 ADI YAHYA L 04-03-2023
Umum
5538 254645 DULOH L 01-09-1983 BPJS / JKN
5539 254666 DANI P 06-11-1984 BPJS / JKN
Tanpa Asuransi /
5540 254608 FITRIYAH P 07-10-1985
Umum
ALMEERA MAULIDYA
5541 168180 P 24-11-2017 BPJS / JKN
PRATAMA
5545 254568 DURPAH L 26-12-1967 BPJS / JKN
Tanpa Asuransi /
5546 242842 ADI YAHYA L 04-03-2023
Umum

5548 254597 P 04-12-2021
ALMAHYRA Umum
5555 254531 RUYI P 20-10-1968 BPJS / JKN

5558 18736 WINDA P 25-09-2009 BPJS / JKN
5561 254336 LINDA P 21-05-1993 BPJS / JKN
5563 243364 WARJA L 01-07-1965 BPJS / JKN
5566 241117 ERNAWITI P 30-09-1986 BPJS / JKN
RISMA KINANTY NUR

5568 236145 P 08-08-2016 BPJS / JKN
FATHIYYA
Tanpa Asuransi /
5570 254686 ASRORI L 07-07-1961
Umum
Tanpa Asuransi /
5571 254686 ASRORI L 07-07-1961
Umum
Tanpa Asuransi /
5572 254686 ASRORI L 07-07-1961
Umum
Tanpa Asuransi /
5573 254686 ASRORI L 07-07-1961
Umum
5575 254425 KARWI L 12-06-1934 BPJS / JKN
5577 243364 WARJA L 01-07-1965 BPJS / JKN
Tanpa Asuransi /
5580 254686 ASRORI L 07-07-1961
Umum

Tanpa Asuransi /
5585 254688 ROIDAH P 01-01-1981
Umum
5587 247749 WARSIM L 16-07-1986 BPJS / JKN
5594 254531 RUYI P 20-10-1968 BPJS / JKN
5599 243364 WARJA L 01-07-1965 BPJS / JKN
5601 157912 KASEM P 12-10-1972 BPJS / JKN
5603 143196 KEY ALBY ALFARDZHAN L 07-10-2016 BPJS / JKN
5604 254645 DULOH L 01-09-1983 BPJS / JKN
5606 83445 INDAH HANDAYANI, S,KEP P 05-02-1985 BPJS / JKN

5608 254568 DURPAH L 26-12-1967 BPJS / JKN
RISMA KINANTY NUR

5609 236145 P 08-08-2016 BPJS / JKN
FATHIYYA
5611 254693 ANDI LOTANIAWAN, TN L 24-12-1977 BPJS / JKN
5612 254694 LATUNILA WAHYULIANE, NN P 15-07-1996 BPJS / JKN
5614 254336 LINDA P 21-05-1993 BPJS / JKN
5618 254336 LINDA P 21-05-1993 BPJS / JKN
5620 254697 CINDI AULIA PUTRI P 03-05-2007 BPJS / JKN
5622 254696 ABD KHALIK, TN L 20-10-1960 BPJS / JKN
5623 236725 SINTA P 17-06-2021 BPJS / JKN
Tanpa Asuransi /
5625 254698 NUR FIRDAUS, JK L 01-01-2004
Umum
5626 236725 SINTA P 17-06-2021 BPJS / JKN
5630 254336 LINDA P 21-05-1993 BPJS / JKN
5632 239083 PUTRA NURJATI L 23-11-2014 BPJS / JKN

5634 159630 NANI DARMILA P 01-04-1973 BPJS / JKN
5636 83682 KENDRA L 24-07-1964 BPJS / JKN
5638 83682 KENDRA L 24-07-1964 BPJS / JKN
5639 248858 AAM P 14-08-1982 BPJS / JKN
5640 254699 SAHUD MAHESA, JK L 08-05-2003 BPJS / JKN
5642 248858 AAM P 14-08-1982 BPJS / JKN
5644 150236 SEFRUDIN, TN L 10-11-1987 BPJS / JKN
5646 254336 LINDA P 21-05-1993 BPJS / JKN
5647 237222 SEPTIAN NANDA TOPAN L 22-09-2011 BPJS / JKN
5655 254699 SAHUD MAHESA, JK L 08-05-2003 BPJS / JKN
5656 83682 KENDRA L 24-07-1964 BPJS / JKN

5660 247749 WARSIM L 16-07-1986 BPJS / JKN
5662 254702 ANEISHA EIREEN AFAFY P 05-10-2022 BPJS / JKN
Tanpa Asuransi /
5663 254686 ASRORI L 07-07-1961
Umum
5666 236725 SINTA P 17-06-2021 BPJS / JKN
5670 236276 KARSAM L 07-03-1962 BPJS / JKN
5671 254703 BY NY MELA INDRIYANI P 17-02-2023 BPJS / JKN
5672 247749 WARSIM L 16-07-1986 BPJS / JKN
5674 254704 TARJONO L 01-06-1979 BPJS / JKN
5685 232038 GILANG SADEWA L 02-08-2014 BPJS / JKN

5686 254709 SRI PUJI LESTARI P 24-11-1953 BPJS / JKN
5687 254708 FADZLIAH AMELLIA PUTRI P 19-06-2001 BPJS / JKN
5689 254706 FATHONI MIKHAIL L 10-03-1968 BPJS / JKN
5693 254710 ZIKRI AZZAM L 05-12-2019 BPJS / JKN
5694 136983 CALEM P 15-09-1962 BPJS / JKN
5696 254336 LINDA P 21-05-1993 BPJS / JKN
5697 254711 DURIM L 10-12-1954 BPJS / JKN
5703 236276 KARSAM L 07-03-1962 BPJS / JKN
5708 236725 SINTA P 17-06-2021 BPJS / JKN
5709 83682 KENDRA L 24-07-1964 BPJS / JKN

Tanpa Asuransi /
5716 254713 RAISA FARAH AZZAHRA P 30-03-2022
Umum
5718 247749 WARSIM L 16-07-1986 BPJS / JKN
5721 136983 CALEM P 15-09-1962 BPJS / JKN
5725 254425 KARWI L 12-06-1934 BPJS / JKN
5726 236276 KARSAM L 07-03-1962 BPJS / JKN
Tanpa Asuransi /
Umum
Tanpa Asuransi /
5729 254714 USMAN L 06-11-1949
Umum
Tanpa Asuransi /
5730 239315 MUHAMMAD DANDI, AN L 19-12-2014
Umum
Tanpa Asuransi /
5734 254715 FRISCA, AN P 01-02-2013
Umum
Tanpa Asuransi /
5735 254715 FRISCA, AN P 01-02-2013
Umum
5736 252784 DILAN PRASETIA, AN L 16-12-2019 BPJS / JKN
5737 250791 NUR FATIMAH, NN P 26-05-2003 BPJS / JKN

5738 64196 TUTI NURHAETI P 29-11-1989 BPJS / JKN
Tanpa Asuransi /
5739 254716 INI CARINIH, NY P 12-12-1972
Umum
5740 254717 SAROH, NY P 12-07-1999 JAMKESKIN
5741 236725 SINTA P 17-06-2021 BPJS / JKN
5743 236276 KARSAM L 07-03-1962 BPJS / JKN
5746 254718 SAROH, BY NY L 26-12-2023 JAMKESKIN
5749 254719 ENGKAR, NY P 11-02-1970 BPJS / JKN
5756 236276 KARSAM L 07-03-1962 BPJS / JKN
5757 169787 RIYA ROSANTI P 10-05-1993 BPJS / JKN
5758 251397 DARICEM P 13-02-1962 BPJS / JKN
5759 83682 KENDRA L 24-07-1964 BPJS / JKN
5761 238457 AAN NURJANAH, NY P 24-04-1969 BPJS / JKN
5763 247749 WARSIM L 16-07-1986 BPJS / JKN

5769 136983 CALEM P 15-09-1962 BPJS / JKN
5770 254722 MUHAMMAD FACHRY RASYAD L 17-06-2007 BPJS / JKN
5776 236725 SINTA P 17-06-2021 BPJS / JKN
Tanpa Asuransi /
5784 248779 DARINAH, NY P 09-10-1952
Umum
5785 254725 SUPIN L 10-12-1970 BPJS / JKN
5786 254336 LINDA P 21-05-1993 BPJS / JKN
5787 254725 SUPIN L 10-12-1970 BPJS / JKN

5791 254726 DERI MARIAH P 06-11-1978 BPJS / JKN
5793 254728 KALANDRA ALI SAKHA L 10-12-2019 BPJS / JKN
5794 254729 KARMITA L 11-06-1997 BPJS / JKN
Tanpa Asuransi /
5795 254742 M LANTANG L 01-01-2009
Umum
5796 82333 TASLIKATN L 14-08-1978 BPJS / JKN
5801 236276 KARSAM L 07-03-1962 BPJS / JKN
Tanpa Asuransi /
5804 254741 SURIP BIN KUSEN L 12-04-1974
Umum
5805 254725 SUPIN L 10-12-1970 BPJS / JKN
5806 136983 CALEM P 15-09-1962 BPJS / JKN
Tanpa Asuransi /
Umum

Tanpa Asuransi /
5816 254753 WARTINAH, NY P 08-06-1968
Umum
5817 254749 SRI WATI P 07-03-1998 BPJS / JKN
Tanpa Asuransi /
5819 254403 ABDURAHMAN L 12-09-1945
Umum
5821 91316 AVIN PUTRA L 05-05-2014 BPJS / JKN
5822 253857 CARSIKIN L 05-08-1959 BPJS / JKN
5827 254725 SUPIN L 10-12-1970 BPJS / JKN
5829 136983 CALEM P 15-09-1962 BPJS / JKN
5830 254756 MULYATI P 09-04-1963 JAMKESKIN
5831 246434 SURTINAH P 14-05-1975 BPJS / JKN
Tanpa Asuransi /
5833 254403 ABDURAHMAN L 12-09-1945
Umum
5836 247749 WARSIM L 16-07-1986 BPJS / JKN
5840 236276 KARSAM L 07-03-1962 BPJS / JKN

5847 119861 YATI, NY P 19-06-1980 BPJS / JKN
Tanpa Asuransi /
Umum
5850 180650 CASINGKEM P 10-09-1973 BPJS / JKN
Tanpa Asuransi /
5852 254741 SURIP BIN KUSEN L 12-04-1974
Umum
5854 83682 KENDRA L 24-07-1964 BPJS / JKN
5855 254759 CATIM L 10-03-1964 JAMKESKIN
5856 250182 SAMAN L 01-12-1969 BPJS / JKN
5857 254620 SAMPET P 04-06-1965 BPJS / JKN
5859 119861 YATI, NY P 19-06-1980 BPJS / JKN
5861 250182 SAMAN L 01-12-1969 BPJS / JKN
VERLITA EVELYNN PUTRI

5866 78093 P 07-12-2011 BPJS / JKN
ANDIAN

5869 237112 DEWI P 16-10-1987 BPJS / JKN
5871 246975 KAMALI L 01-01-1961 BPJS / JKN
5872 198520 ASSYIFA NUR KHALIFAH, AN P 19-01-2018 BPJS / JKN
5873 246975 KAMALI L 01-01-1961 BPJS / JKN
5877 254762 ROBI'AH P 02-04-1997 JAMKESKIN
5878 254761 WAMAH BIN WARTIM L 01-11-1977 BPJS / JKN
5880 254620 SAMPET P 04-06-1965 BPJS / JKN
5881 237484 DAMURI L 21-01-1979 BPJS / JKN
Tanpa Asuransi /
5882 254625 ADIVA SARALEE ABDULNUR P 31-12-2014
Umum
5883 84895 KARNATI P 03-05-1984 BPJS / JKN
Tanpa Asuransi /
5884 251288 BAMBANG L 01-07-2003
Umum
Tanpa Asuransi /
5886 179644 IQBAL NUR MUHAMAD WAFA L 30-07-2011
Umum
Tanpa Asuransi /
5887 252700 SARMILAH P 03-03-2002
Umum
Tanpa Asuransi /
5890 245974 ARVI TRI WIBAWA, AN L 17-05-2023
Umum

5898 250182 SAMAN L 01-12-1969 BPJS / JKN
5902 254725 SUPIN L 10-12-1970 BPJS / JKN
5907 246975 KAMALI L 01-01-1961 BPJS / JKN

5908 78093 P 07-12-2011 BPJS / JKN
ANDIAN
Tanpa Asuransi /
5912 254901 SANIYAH P 01-01-1963
Umum
5913 254899 MUHAMMAD ALBI L 25-11-2021 BPJS / JKN
5914 85451 NUR ADELIA P 28-06-2008 BPJS / JKN
Tanpa Asuransi /
5916 254901 SANIYAH P 01-01-1963
Umum
Tanpa Asuransi /
5917 254741 SURIP BIN KUSEN L 12-04-1974
Umum
5918 237484 DAMURI L 21-01-1979 BPJS / JKN

5921 137489 NENENG YUNINGSIH P 10-11-1982 BPJS / JKN
5922 254620 SAMPET P 04-06-1965 BPJS / JKN
5923 250182 SAMAN L 01-12-1969 BPJS / JKN
Tanpa Asuransi /
5925 254741 SURIP BIN KUSEN L 12-04-1974
Umum
5927 83682 KENDRA L 24-07-1964 BPJS / JKN
5934 166577 CASIMAN, TN L 03-02-1965 BPJS / JKN
ARSYILLA APRILLIA SUDARSO, Tanpa Asuransi /

5938 254919 P 25-04-2017
AN Umum
5942 254981 IRWAN, TN L 24-07-1989 JAMKESKIN
5943 136983 CALEM P 15-09-1962 BPJS / JKN

5950 252683 JUNAH, NY P 10-12-1960 BPJS / JKN
Tanpa Asuransi /
5951 254753 WARTINAH, NY P 08-06-1968
Umum
5952 255001 FAIJAH, NY P 13-10-2000 BPJS / JKN
TUBAGUS IQBAL MAULLANA, Tanpa Asuransi /

5955 249878 L 04-03-2022
AN Umum
Tanpa Asuransi /
5956 255002 YOPA PRIYADI, AN L 25-01-2008
Umum
5959 254622 RASIM L 27-03-1958 BPJS / JKN
5964 189356 DANI P 07-07-1968 BPJS / JKN
5967 254620 SAMPET P 04-06-1965 BPJS / JKN
5969 250182 SAMAN L 01-12-1969 BPJS / JKN
5971 255035 WARSI P 03-01-1975 BPJS / JKN

5972 119861 YATI, NY P 19-06-1980 BPJS / JKN
5977 255001 FAIJAH, NY P 13-10-2000 BPJS / JKN
5978 237112 DEWI P 16-10-1987 BPJS / JKN
Tanpa Asuransi /
5984 254901 SANIYAH P 01-01-1963
Umum
5988 241554 BILQIS MAR'ATUS SHOLEHA P 17-03-2015 BPJS / JKN
5992 235859 DEWI ASIYAH P 01-01-2010 BPJS / JKN

5998 254725 SUPIN L 10-12-1970 BPJS / JKN
6001 246975 KAMALI L 01-01-1961 BPJS / JKN
6003 71862 WINDY AGNEST LESTARIE P 22-03-1991 BPJS / JKN
6006 137489 NENENG YUNINGSIH P 10-11-1982 BPJS / JKN

6009 78093 P 07-12-2011 BPJS / JKN
ANDIAN
6011 237484 DAMURI L 21-01-1979 BPJS / JKN
6012 151171 KARISAH NURHASANAH, NY P 22-09-1990 BPJS / JKN
6014 220312 CASIH P 28-09-1936 BPJS / JKN
Tanpa Asuransi /
6015 254741 SURIP BIN KUSEN L 12-04-1974
Umum
6019 189356 DANI P 07-07-1968 BPJS / JKN
6023 254622 RASIM L 27-03-1958 BPJS / JKN

Tanpa Asuransi /
6025 255169 ROKETI P 01-01-1963
Umum
Tanpa Asuransi /
6026 255168 SUKYAN L 10-07-1966
Umum
6029 250182 SAMAN L 01-12-1969 BPJS / JKN
Tanpa Asuransi /
6030 255170 RINA AGUSTININGSIH P 11-08-1998
Umum
Tanpa Asuransi /
6031 255170 RINA AGUSTININGSIH P 11-08-1998
Umum
6032 231554 JAYA L 05-05-1968 BPJS / JKN
6033 254620 SAMPET P 04-06-1965 BPJS / JKN
6037 237112 DEWI P 16-10-1987 BPJS / JKN
6040 255035 WARSI P 03-01-1975 BPJS / JKN
6043 220312 CASIH P 28-09-1936 BPJS / JKN
6044 250182 SAMAN L 01-12-1969 BPJS / JKN

6052 231554 JAYA L 05-05-1968 BPJS / JKN
6053 255204 KASANAH BT DATA P 01-03-1980 BPJS / JKN
6055 250182 SAMAN L 01-12-1969 BPJS / JKN
6057 220312 CASIH P 28-09-1936 BPJS / JKN
6059 255035 WARSI P 03-01-1975 BPJS / JKN
Tanpa Asuransi /
6064 254901 SANIYAH P 01-01-1963
Umum
6067 246975 KAMALI L 01-01-1961 BPJS / JKN
6068 254725 SUPIN L 10-12-1970 BPJS / JKN
6069 255296 HANIP ATISUNNA P 30-04-2004 BPJS / JKN
6070 255311 ANIJAH, NY P 13-03-1997 BPJS / JKN
Tanpa Asuransi /
6073 254741 SURIP BIN KUSEN L 12-04-1974
Umum

6080 189356 DANI P 07-07-1968 BPJS / JKN
6082 255170 RINA AGUSTININGSIH P 11-08-1998 BPJS / JKN
6083 254622 RASIM L 27-03-1958 BPJS / JKN
6090 255406 TASWI P 16-07-1950 BPJS / JKN
6091 255406 TASWI P 16-07-1950 BPJS / JKN
6092 255408 NENI TANIA P 10-07-1972 BPJS / JKN
6096 255410 NURULLOH L 06-09-1981 BPJS / JKN
6097 255409 BAYI NYONYA LUVI YANTI L 09-11-2023 BPJS / JKN
6100 109834 ROHENI P 23-06-1968 BPJS / JKN
6101 255204 KASANAH BT DATA P 01-03-1980 BPJS / JKN

6102 255035 WARSI P 03-01-1975 BPJS / JKN
6103 232106 NABILA RAMADHANI, AN P 29-04-2021 BPJS / JKN
6104 220312 CASIH P 28-09-1936 BPJS / JKN
6107 255410 NURULLOH L 06-09-1981 BPJS / JKN
6110 231554 JAYA L 05-05-1968 BPJS / JKN
6115 230938 ASMIYA, NY P 03-04-1968 BPJS / JKN
6116 255406 TASWI P 16-07-1950 BPJS / JKN
6117 255170 RINA AGUSTININGSIH P 11-08-1998 BPJS / JKN
6118 220312 CASIH P 28-09-1936 BPJS / JKN
6120 255409 BAYI NYONYA LUVI YANTI L 09-11-2023 BPJS / JKN
6121 230938 ASMIYA, NY P 03-04-1968 BPJS / JKN
6123 255412 SURYA SUPRIYADI, TN L 21-05-1994 BPJS / JKN
6125 241339 MUHAMMAD MIRZA HANIF, AN L 26-01-2023 BPJS / JKN

6129 255413 TOPAN HIDAYAT, TN L 29-01-1997 BPJS / JKN
AHMAD FAISAL NURDIANSYAH, Tanpa Asuransi /

6131 255414 L 01-01-2015
AN Umum
6132 222975 GITTA VIKIANI UMBARA P 29-04-1990 BPJS / JKN
6135 255415 RASTANI, TN L 02-10-1969 BPJS / JKN
Tanpa Asuransi /
6137 255416 FADIL SYAFURRIJAL, TN L 07-08-2003
Umum
6138 255406 TASWI P 16-07-1950 BPJS / JKN
6139 132353 R ENDANG JOHARUDIN L 22-11-1970 BPJS / JKN
6140 247903 WASINAH, NY P 06-01-1955 BPJS / JKN
6143 255417 ARSYILA PUTRI EFANDY, AN P 12-02-2018 BPJS / JKN
6144 247903 WASINAH, NY P 06-01-1955 BPJS / JKN
6145 132353 R ENDANG JOHARUDIN L 22-11-1970 BPJS / JKN
6146 238746 ADE RENALDI L 16-06-1995 BPJS / JKN
BRIGIT PRASRAYA PRANINDYA,

6147 231247 L 18-02-2022 BPJS / JKN
AN
6148 255418 MOHAMAD RUMLI L 06-11-1964 BPJS / JKN
6149 255418 MOHAMAD RUMLI L 06-11-1964 BPJS / JKN
BRIGIT PRASRAYA PRANINDYA,

6150 231247 L 18-02-2022 BPJS / JKN
AN
6151 230928 AISYAH AILA FARISSAH AN P 30-05-2018 BPJS / JKN
6153 154877 RONI L 05-05-1981 BPJS / JKN

Tanpa Asuransi /
6171 240010 MILATUL FITRI P 10-08-2000
Umum
6173 244411 ASTINI P 08-05-1976 BPJS / JKN
6176 248689 SATEM P 24-01-1960 BPJS / JKN
6179 251406 NARI P 12-05-1965 BPJS / JKN

6184 241366 SONIA P 29-06-2002 BPJS / JKN
Tanpa Asuransi /
6186 253971 NANDI, TN L 16-08-1991
Umum
Tanpa Asuransi /
6189 253853 WARJA L 01-01-1961
Umum
6192 253321 SAMI P 19-03-1970 BPJS / JKN
Tanpa Asuransi /
6193 253963 BASUNI, TN L 11-02-1990
Umum
6194 113602 PARDI L 04-09-1957 BPJS / JKN
6195 254004 DIANA P 10-05-1996 BPJS / JKN
6202 254048 YETI P 01-01-1985 BPJS / JKN
6205 254056 RASBA L 01-12-1955 BPJS / JKN

6207 253920 WATI P 05-03-1956 BPJS / JKN
Tanpa Asuransi /
6208 254082 DEVI APRIANDLI P 02-04-1985
Umum
6209 253793 MAHMUD L 12-06-1961 BPJS / JKN
6211 254083 SAGI, TN L 17-10-1960 BPJS / JKN
6212 250919 CATU L 07-04-1957 BPJS / JKN
6214 141988 SARDI L 01-01-1960 BPJS / JKN
6216 254243 YANAH P 17-05-1978 BPJS / JKN
6219 254252 ASMIA P 28-10-1987 BPJS / JKN
6224 238443 DALI L 05-06-1947 BPJS / JKN
6230 233878 RATINI P 11-04-1964 BPJS / JKN

6234 73242 WARNITI P 15-07-1958 BPJS / JKN
6235 253645 RAMI, NY P 01-07-1954 BPJS / JKN
OKKY NOV WHIRAWAN

6247 253437 P 13-09-1990 BPJS / JKN
SANDRA DEWI
Tanpa Asuransi /
6249 240319 ATO JUHARTO L 27-02-1977
Umum
6253 254287 ROKATI P 07-05-1985 BPJS / JKN
6254 254258 KARDI L 15-07-1970 BPJS / JKN
6257 248463 SUNIAH P 05-08-1989 BPJS / JKN

6262 253895 IDIK L 01-10-1969 BPJS / JKN
6266 254397 CASTI P 17-11-1969 BPJS / JKN
6267 254384 DASEM P 07-10-1963 BPJS / JKN
Tanpa Asuransi /
6270 254477 MASTIYAH, NY P 06-07-1968
Umum
Tanpa Asuransi /
6278 254504 SESI OKTAVIA, NN P 01-10-2005
Umum
6282 133128 WIYAN L 13-02-1963 BPJS / JKN

6287 163350 TASIMA P 05-10-1970 BPJS / JKN
6292 254613 PUAD L 07-08-1983 BPJS / JKN
6296 254568 DURPAH L 26-12-1967 BPJS / JKN
6297 254645 DULOH L 01-09-1983 BPJS / JKN
6300 143196 KEY ALBY ALFARDZHAN L 07-10-2016 BPJS / JKN
Tanpa Asuransi /
6301 254753 WARTINAH, NY P 08-06-1968
Umum
6306 237112 DEWI P 16-10-1987 BPJS / JKN
6307 254620 SAMPET P 04-06-1965 BPJS / JKN
6308 119861 YATI, NY P 19-06-1980 BPJS / JKN
6309 254622 RASIM L 27-03-1958 BPJS / JKN

6311 189356 DANI P 07-07-1968 BPJS / JKN

Tgl Terima Tgl Hasil Lama Pelayanan Bahan Kesimpulan Ket.
10 11 11-10 12 13 14
01-12-23 09:12:04
01-12-23 09:12:45
01-12-23 09:13:22
01-12-23 09:13:58
01-12-23 09:14:33
01-12-23 09:15:19
01-12-23 09:16:01
01-12-23 09:16:35
01-12-23 09:17:56
01-12-23 09:18:33
01-12-23 09:19:05
01-12-23 09:19:54
01-12-23 09:20:32
01-12-23 09:21:01
01-12-23 09:21:39
01-12-23 09:22:14
01-12-23 09:23:00
01-12-23 09:23:26
01-12-23 09:23:37
01-12-23 09:24:40
01-12-23 09:25:14
01-12-23 09:25:56
01-12-23 09:26:28
01-12-23 09:27:01
01-12-23 09:28:08
01-12-23 09:33:44
01-12-23 09:49:42
01-12-23 10:06:32
01-12-23 10:07:19
01-12-23 10:11:09
01-12-23 10:11:47
01-12-23 10:12:50
01-12-23 10:13:46
01-12-23 10:23:05
01-12-23 10:32:49
01-12-23 10:33:37
01-12-23 10:34:17
01-12-23 10:43:37
01-12-23 10:45:29
01-12-23 10:46:12
01-12-23 10:46:57
01-12-23 10:47:39
01-12-23 10:50:31
01-12-23 10:51:59
01-12-23 10:53:45
01-12-23 10:54:37
01-12-23 10:55:21
01-12-23 10:56:14
01-12-23 10:57:09
01-12-23 10:59:09
01-12-23 10:59:28
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RSUD PMAS PATROL

JL. RAYA PATROL KM. 50

LAPORAN WAKTU TUNGGU

1 251761 JASRIAL L 28-01-1973 BPJS / JKN

2 133154 TATI P 21-04-1966 BPJS / JKN

3 171888 SURINIH NY P 06-10-1979 BPJS / JKN

4 250280 GENI LESTARI P 11-09-1984 BPJS / JKN

5 249732 ATIKAH P 10-05-1988 BPJS / JKN

6 175062 BUDI ISWANTO L 07-10-1977 BPJS / JKN

7 206396 ROHMANUDIN, TN L 12-12-1971 BPJS / JKN

8 246534 ULYATUN AKHIROH P 06-12-1985 BPJS / JKN

9 161894 DADAN L 15-02-1950 BPJS / JKN

10 248632 Hj. AISYAH, NY P 14-07-1956 BPJS / JKN

11 177391 MULYADI L 18-08-1969 BPJS / JKN

12 192864 MASKANAH P 25-03-1974 BPJS / JKN

13 243509 SUKIM L 22-01-1953 BPJS / JKN

14 145085 CAHYONO BIN WAMING L 12-06-1980 BPJS / JKN

15 231182 DARIMPEN NY P 07-06-1970 BPJS / JKN

16 231376 NARKATINY P 21-07-1966 BPJS / JKN

17 232183 DAUSNI NY P 01-01-1970 BPJS / JKN

19 181679 TARMADI L 22-07-1977 BPJS / JKN

20 171161 DARYONO L 15-04-1972 BPJS / JKN

21 236282 GODIL L 06-06-1960 BPJS / JKN

22 185820 WARSENI P 01-01-1956 BPJS / JKN

23 237443 WASTIM TN L 17-03-1971 BPJS / JKN

24 244411 ASTINI P 08-05-1976 BPJS / JKN

25 198987 DEWI P 15-05-1976 BPJS / JKN

26 253570 SARODI L 11-06-1980 BPJS / JKN

27 243074 WANI L 19-08-1982 BPJS / JKN

28 252911 CASYANI, TN L 21-03-1972 BPJS / JKN

29 251553 HAYATUN P 22-06-1979 BPJS / JKN

30 238008 MOHRAFIZQY ZAYYID ASSAE L 17-01-2020 BPJS / JKN

31 253800 RISNANDAR L 16-09-1996 BPJS / JKN

32 241638 NURITA L 14-02-1984 BPJS / JKN

33 252792 SEPUDIN L 13-04-1982 BPJS / JKN

34 65621 MUTIA ZULFA ZAHRA P 20-03-1999 BPJS / JKN

35 249561 MAMID L 19-05-1965 BPJS / JKN

36 163017 KARSAM L 20-02-1966 BPJS / JKN

38 179787 QINDI IZZATUL L 09-08-2014 BPJS / JKN

39 234881 KASMIRA, NY P 17-11-1976 BPJS / JKN

40 250535 ULUL IZZAH, NY P 26-03-1994 BPJS / JKN

41 247298 IWAN YULIAWAN L 28-07-1981 BPJS / JKN

WINA SITI AMINAH

43 249563 KARTO BIN WARYA L 10-02-1962 BPJS / JKN

45 253803 ADE NURSITA L 02-09-1991 BPJS / JKN

46 253306 SARTIKAH P 05-05-1980 BPJS / JKN

47 105245 ONI ZAHRONI L 12-12-1953 BPJS / JKN

48 121217 NURETI P 10-12-1963 BPJS / JKN

49 253408 MAESAROH, Nn P 25-02-2006 BPJS / JKN

51 30305 ROICHATUL JANAH P 10-07-1982 BPJS / JKN

52 253810 CARSINAH P 10-07-1952 BPJS / JKN

53 247786 KADIYAH L 01-12-1985 BPJS / JKN

54 183704 ACA BAGUS ADI SURYANTO L 15-03-2011 BPJS / JKN

55 143349 WARIH P 15-10-1967 BPJS / JKN

56 253802 WARTI, NY P 21-02-1988 BPJS / JKN

57 161549 KOTIAH P 04-10-1992 BPJS / JKN

58 252616 DARPI BINTI RASBIN P 15-10-1975 BPJS / JKN

59 216855 YAYAT P 14-06-1974 BPJS / JKN