PLATE 1

1 2
A

MUSTOFA AYU TRI K

26/06/1986 29/08/1996

KHAIRUL ILHAM SAEFUL ANWAR

10/08/2012 18/09/1990

TANGGAL
26 JUNI 2021
YUKI AULIA I RETNO. O.K
C 14/07/2015 23/10/1992
KLOTER
K5 M1 JKTM
260621

RISNA YULIASTARI MAECHEL DODY

D 12/07/1987 07/09/1993
NAMA PJ

EKSTRAKSI WILYAM PARULI ROIHATUL J

E 26/05/2015 09/05/1994

LULU PARNINGOTAN JUWINTAN M

F 15/11/1971 26/02/1991

TUKUL MARYANTO VERAWATI

G 17/10/1962 28/02/1998

WAHYU SUWARSIH SALOMO EBENEIZER

H 14/11/1963 06/10/2000
 PLATE 2
3 4
A

SUGENG PRIASTULA
POSITIVE CONTROL
13/12/1968

ARIYO RYADI R.P

NEGATIVE CONTROL
25/04/1990

TANGGAL
26 JUNI 2021
WINARTI
C 30/12/1958
KLOTER
5
NAMA PJ
MASHUDI, SH. MH
D 05/10/1953

DETEKSI

ROMASTA SINURAT
E 07/02/1972

ETI MARYATI
F 02/09/1981

UJANG SADIKIN
G 27/05/1980

PUTRA GAHARA
H 16/08/1994