DAFTAR PASIEN RAWAT INAP

2022/08/01/00021 090838 GHAZA ZWAGERI A1.02 ASTER I - R56.0 02/08/2022 05:53:24 03/08/2022 15:38:21 Rp 400,000.00
1 SOPIYADIN BY NY
2022/08/03/00018 102112 EVA
DEVANKA A1.01 ASTER I - BP 03/08/2022 11:32:07 06/08/2022 14:46:32 Rp 800,000.00
9
2022/08/03/00022 092994 HANENDA
MUHAMAD A1.02 ASTER I - R56.0 03/08/2022 23:13:34 10/08/2022 14:40:54 Rp 1,600,000.00
5 FADLANSYAH
NUGRAHA
2022/08/08/00021 102155 NAFEESA KHAWLA A1.01 ASTER I DHF A91 08/08/2022 14:46:45 11/08/2022 15:49:05 Rp 800,000.00
2 ARMANSYAH
2022/08/15/00016 102527 MUHAMMAD A1.01 ASTER I - J18.0 15/08/2022 08:25:12 18/08/2022 15:43:33 Rp 800,000.00
2 ARSAKHA RAFIF
2022/08/19/00016 082995 M. Arfathan Wira A1.01 ASTER I A01.0 A01.0 19/08/2022 17:20:49 22/08/2022 07:37:45 Rp 800,000.00
6 Mahardika
2022/08/22/00026 097897 REVITA NUR A1.02 ASTER I - BACTERIAL 23/08/2022 02:39:32 25/08/2022 13:07:00 Rp 600,000.00
6 AMALIA INFECTION
2022/08/24/00023 078093 TYAN RAMADHAN A1.01 ASTER I - J45.9 24/08/2022 15:35:55 27/08/2022 16:13:41 Rp 800,000.00
8 FABIANSYAH
2022/08/25/00013 102895 M. AJMA ADITA A1.02 ASTER I - DRUG 25/08/2022 20:53:33 27/08/2022 14:44:44 Rp 600,000.00
3
2022/08/27/00001 102835 PUTRA
NAKHLA ARDHIYA A1.02 ASTER I - ERUPTION
A90 27/08/2022 15:50:45 31/08/2022 10:09:23 Rp 1,000,000.00
2022/08/01/00000 102003 AL- FAQIH MALIK A3.10 ASTER III - A91 01/08/2022 11:07:27 04/08/2022 13:39:13 Rp 480,000.00
1 KHOIRLLAH
2022/08/01/00015 102030 AKBAR AL AZIIS A3.13 ASTER III - * 01/08/2022 11:20:16 04/08/2022 13:48:39 Rp 480,000.00
7
2022/08/01/00003 102006 RISMAYANTI A3.12 ASTER III - A01.0 01/08/2022 12:38:45 03/08/2022 15:23:36 Rp 360,000.00
9
2022/08/01/00019 048725 MOHAMMAD ALIZI A3.13 ASTER III A90 A90 01/08/2022 15:51:03 03/08/2022 15:52:14 Rp 360,000.00
3 AZZUMARI
2022/08/01/00020 102046 ANGGUN MENTARI A3.02 ASTER III - A91 01/08/2022 21:33:40 06/08/2022 08:58:08 Rp 720,000.00
8 HIDAYAT
2022/08/01/00020 087358 ALESHANUHA A3.15 ASTER III - A91 01/08/2022 21:41:30 04/08/2022 13:31:26 Rp 480,000.00
9 AZZAHRA
2022/08/02/00020 096681 NADZIFA AMALIYA A3.05 ASTER III - J18.0 02/08/2022 11:09:02 04/08/2022 10:18:34 Rp 360,000.00
1 EFFENDI
2022/08/02/00000 102048 AJRIL A3.11 ASTER III - R56.0 02/08/2022 13:34:19 02/08/2022 13:35:07 Rp 120,000.00
8
2022/08/02/00020 043275 NITA ANISA, AN. A3.14 ASTER III d69.8 D69.8 02/08/2022 14:35:43 04/08/2022 13:20:03 Rp 360,000.00
7
2022/08/02/00022 102095 hasna tanisa A3.17 ASTER III - R11 03/08/2022 02:34:08 03/08/2022 15:57:29 Rp 240,000.00
8
2022/08/03/00022 102152 akmalia
MUHAMAD RIZWAN A3.09 ASTER III - K59.0 03/08/2022 11:17:35 05/08/2022 09:27:51 Rp 360,000.00
6 MAULANA
2022/08/03/00023 102154 KHADIJAH AL- A3.17 ASTER III - A91 03/08/2022 21:49:23 07/08/2022 07:40:50 Rp 600,000.00
1
2022/08/03/00022 102149 MAHIRA
alya nur jannah A3.12 ASTER III - R56.0 03/08/2022 22:33:17 04/08/2022 10:32:36 Rp 240,000.00
3
2022/08/04/00006 102166 SAKI ABDULAH A3.13 ASTER III - BP 04/08/2022 14:48:24 06/08/2022 07:21:35 Rp 360,000.00
0
2022/08/04/00025 085046 JIHAN A3.16 ASTER III - R11 04/08/2022 16:05:39 08/08/2022 09:52:06 Rp 600,000.00
2 KHOIRUNNISA
2022/08/04/00023 102179 SALSABILA
SARIP PUDIN A3.08 ASTER III - N04 04/08/2022 16:07:04 19/08/2022 15:54:23 Rp 1,920,000.00
0 MUTTAQIN
11/18/22, 10:58 AM Page 1 of 25
2022/08/04/00024 048251 alfi alipatulloh A3.04 ASTER III - R11 04/08/2022 17:18:59 05/08/2022 13:11:39 Rp 240,000.00
4
2022/08/04/00023 093181 FAUZAN AL FARIZI A3.14 ASTER III - A01.0, 04/08/2022 19:41:44 07/08/2022 08:04:55 Rp 480,000.00
5
2022/08/04/00025 102193 MARPIN ERNANDO A3.15 ASTER III - I50.0 04/08/2022 21:39:17 15/08/2022 13:53:38 Rp 1,440,000.00
9
2022/08/05/00004 092069 TRIYA NILAM A3.03 ASTER III H81.1 H81.1 05/08/2022 10:13:29 08/08/2022 10:23:24 Rp 480,000.00
0
2022/08/04/00026 102196 RAHAYU
AHMAD FAISAL A3.06 ASTER III - KDK 05/08/2022 11:18:14 07/08/2022 08:49:37 Rp 360,000.00
5
2022/08/05/00007 076790 ILHAM NUGRAHA A3.04 ASTER III - J45 05/08/2022 17:38:46 07/08/2022 07:56:43 Rp 360,000.00
3 SAPUTRA
2022/08/05/00007 102219 TIARA ULYA A3.01 ASTER III - A90 05/08/2022 17:39:31 10/08/2022 15:33:07 Rp 720,000.00
4 SALSABILLA
2022/08/05/00009 102226 DIKI PAUZI A3.12 ASTER III R55 R55 06/08/2022 06:30:08 07/08/2022 08:23:20 Rp 240,000.00
8
2022/08/06/00012 090482 MUHAMAD AGNI A3.10 ASTER III 1 A49.9 06/08/2022 21:44:55 09/08/2022 13:02:55 Rp 480,000.00
1
2022/08/07/00001 102250 MUHAMMAD SAJID A3.09 ASTER III - - 07/08/2022 21:34:34 20/08/2022 10:35:16 Rp 120,000.00
3 AL-MUMTAZ
2022/08/07/00002 043275 NITA ANISA, AN. A3.05 ASTER III - G40 07/08/2022 22:37:36 09/08/2022 13:06:48 Rp 360,000.00
8
2022/08/08/00004 102266 MARNI A3.13 ASTER III - A09 08/08/2022 10:43:22 10/08/2022 15:04:29 Rp 360,000.00
1
2022/08/08/00024 100915 SITI ASHIMA AKIFA A3.02 ASTER III - KDK 08/08/2022 19:44:38 11/08/2022 13:51:47 Rp 480,000.00
4 NAILA YUMNA
2022/08/08/00022 102308 AIZA NAZIRA A3.06 ASTER III - A09.0 08/08/2022 22:01:41 10/08/2022 14:51:13 Rp 360,000.00
6
2022/08/09/00016 049911 TSAQIB DIANDRA
ARSYILA A3.01 ASTER III - J03.9 09/08/2022 14:19:22 11/08/2022 15:14:55 Rp 360,000.00
9 NADHIFA
2022/08/09/00016 099588 sheza aqila nadria A3.12 ASTER III - A46 09/08/2022 15:09:56 11/08/2022 14:41:06 Rp 360,000.00
2022/08/09/00018 102350 SITI FAOUZIA A3.10 ASTER III HYDROCEPHALUS HYDROCEPHALU 09/08/2022 19:16:37 10/08/2022 08:22:54 Rp 240,000.00
4 NOURDEENA S
2022/08/09/00018 095447 MALIKA QURAISHA A3.14 ASTER III BRONCOPNEUMON BRONCOPNEUM 09/08/2022 20:04:14 10/08/2022 15:17:42 Rp 240,000.00
0 SABHIRA IA ONIA
2022/08/10/00016 102389 FARWAH A3.12 ASTER III - R56 10/08/2022 16:00:57 13/08/2022 16:37:11 Rp 480,000.00
6 KHAMISAH AL-
2022/08/10/00015 102385 MAULA
MUHAMMAD A3.11 ASTER III 6 BRONKOPNEMO 10/08/2022 16:08:42 18/08/2022 19:22:02 Rp 1,080,000.00
9 DANISH SINATRIA NIA
2022/08/10/00017 090852 ZAHIRA ALMAHERA A3.07 ASTER III - R50.9 11/08/2022 00:41:56 14/08/2022 19:50:50 Rp 480,000.00
6
2022/08/11/00012 102418 NAUFAL ARASYID A3.05 ASTER III - KDK 11/08/2022 15:54:42 17/08/2022 07:31:54 Rp 840,000.00
0
2022/08/11/00009 033594 MIKAIL AHMAD A3.03 ASTER III - R50 11/08/2022 15:55:31 14/08/2022 16:11:03 Rp 480,000.00
3
2022/08/11/00012 086041 SANI
MUHAMAD A3.13 ASTER III J18 J18.0 11/08/2022 19:30:41 14/08/2022 15:58:33 Rp 480,000.00
8 GHIBRAN AL FATIH
2022/08/11/00013 068848 SALMA APRILIANTI A3.18 ASTER III R50 R50.9 11/08/2022 19:32:30 13/08/2022 15:45:30 Rp 360,000.00
9
2022/08/11/00014 102430 BISMA BIN YONI A3.04 ASTER III - 11/08/2022 21:24:42 13/08/2022 12:23:42 Rp 360,000.00
3
2022/08/12/00020 102453 BAYI NYONYA A3.16 ASTER III DHF DHF 12/08/2022 16:50:59 13/08/2022 10:25:28 Rp 240,000.00
8 NURASIAH
2022/08/12/00021 102455 RISKI DIANA A3.01 ASTER III - MENINGITIS 12/08/2022 23:28:56 19/08/2022 13:27:15 Rp 960,000.00
1
2022/08/13/00000 102466 PUTRA
RAFLY ABDUL AZIZ A3.10 ASTER III A90 A90 13/08/2022 11:17:26 15/08/2022 18:54:06 Rp 360,000.00
5
2022/08/13/00000 102467 Muhammad reezky A3.06 ASTER III - J18.0 13/08/2022 13:52:36 16/08/2022 15:47:31 Rp 480,000.00
7 nugraha
2022/08/13/00001 102471 CHAIRIL MIHRAM A3.16 ASTER III GEA GEA 13/08/2022 15:53:54 19/08/2022 10:52:19 Rp 840,000.00
2 ALFARIZIL
2022/08/13/00001 102470 NAUFAL A3.04 ASTER III - anemia 13/08/2022 17:08:07 22/08/2022 15:36:13 Rp 1,200,000.00
1
2022/08/13/00001 097831 ALBIANSYAH
MUHAMMAD A3.02 ASTER III R50.9 R50.9 13/08/2022 23:46:35 16/08/2022 15:51:13 Rp 480,000.00
8
2022/08/13/00002 066526 SYAKIR
MUHAMMAD ARKAN A3.05 ASTER III VOMITING R11 13/08/2022 23:48:28 17/08/2022 17:28:27 Rp 600,000.00
0 ALFARIZI
2022/08/13/00002 102478 RINI MUNIPAH A3.09 ASTER III - BRONCHIOLITIS 14/08/2022 07:51:31 16/08/2022 16:13:11 Rp 360,000.00
5
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2022/08/14/00001 100813 NADHIF A3.03 ASTER III - A90, 14/08/2022 08:35:16 17/08/2022 10:30:40 Rp 480,000.00
3 FATHARIAN
2022/08/14/00001 102488 ARCELIO
AMATULLAH A3.07 ASTER III - A90 14/08/2022 08:39:33 16/08/2022 15:45:34 Rp 360,000.00
5 NAFISAH HASNA
2022/08/14/00000 102481 NIZAM SYAHREZA A3.14 ASTER III KDS KDS 14/08/2022 10:37:35 23/08/2022 19:49:44 Rp 1,200,000.00
5
2022/08/14/00000 083870 AZHIRA MAULIDA A3.17 ASTER III - R56.0 14/08/2022 13:28:27 16/08/2022 15:54:28 Rp 360,000.00
7
2022/08/14/00001 102490 AI HILDA A3.18 ASTER III - TALASEMIA 14/08/2022 22:47:02 17/08/2022 09:46:14 Rp 480,000.00
7 SYAROTUL HUDA
2022/08/15/00021 043275 NITA ANISA, AN. A3.15 ASTER III - A01.0 15/08/2022 08:48:00 26/08/2022 17:58:40 Rp 1,440,000.00
0
2022/08/15/00020 102540 AZKIYA SINTIA A3.12 ASTER III - KDS 15/08/2022 08:52:40 17/08/2022 17:27:39 Rp 360,000.00
0 RAHMA
2022/08/15/00017 095453 HANA AZZAHRA A3.13 ASTER III - R11 15/08/2022 14:44:23 16/08/2022 10:14:38 Rp 240,000.00
7 MUBAROK
2022/08/16/00020 102590 SITI AMINAH A3.17 ASTER III - - 16/08/2022 06:18:51 17/08/2022 16:16:07 Rp 120,000.00
7
2022/08/16/00020 099890 ALMAHIRA APRILIA A3.02 ASTER III - J18.0 16/08/2022 06:20:28 23/08/2022 15:16:23 Rp 960,000.00
5 WIGUNA
2022/08/07/00001 102250 MUHAMMAD SAJID A3.04 ASTER III - BLPL 16/08/2022 13:09:50 20/08/2022 15:39:52 Rp 600,000.00
3 AL-MUMTAZ
2022/08/16/00020 079801 MUHAMMAD ARSA A3.07 ASTER III - R50.9 16/08/2022 17:35:30 18/08/2022 13:16:22 Rp 360,000.00
3 FAUZAN
2022/08/16/00019 096899 QINTHAR A3.18 ASTER III R63.3 R63.3 16/08/2022 19:24:53 19/08/2022 15:33:03 Rp 480,000.00
7 ARKHAIRAN FIRLY
2022/08/16/00020 102576 ADIBA NAJWA A3.09 ASTER III R50 R50 16/08/2022 20:22:36 17/08/2022 17:15:00 Rp 240,000.00
4 ALMAHYRA
2022/08/17/00001 102602 M RAFA AL FAUZI A3.06 ASTER III - MUSCLE SPASM 17/08/2022 12:37:38 18/08/2022 15:56:32 Rp 240,000.00
5
2022/08/17/00003 095374 MUHAMMAD A3.09 ASTER III - A09.9 18/08/2022 06:17:29 21/08/2022 15:06:33 Rp 480,000.00
2 GHIBRAN GARA AL
2022/08/18/00010 102630 GHIFARI
ALEA PUTRI A3.12 ASTER III - BP 18/08/2022 10:07:08 21/08/2022 13:13:17 Rp 480,000.00
6
2022/08/18/00006 058838 SHABIRA
SANTI BINTI A3.05 ASTER III D56 D56 18/08/2022 13:09:16 20/08/2022 16:05:24 Rp 360,000.00
2
2022/08/18/00009 102442 SUHAYA
AZKA RAFFASYA A3.07 ASTER III - P57.9 18/08/2022 13:47:02 29/08/2022 10:46:21 Rp 1,440,000.00
6 ALFARIZQI
2022/08/18/00012 102629 ALZAHIRA ZALFA A3.13 ASTER III - L04.2 18/08/2022 16:56:53 22/08/2022 15:30:49 Rp 600,000.00
3 HASNA
2022/08/19/00013 054464 MALIKA AZZAHRA A3.03 ASTER III - A90 19/08/2022 13:46:49 23/08/2022 11:44:32 Rp 600,000.00
8
2022/08/19/00016 101779 DEVI PITRIYANI A3.17 ASTER III D56 D56 19/08/2022 14:00:34 22/08/2022 15:24:04 Rp 480,000.00
9
2022/08/19/00016 102682 AZKA ALMUNTADZ A3.16 ASTER III - - 19/08/2022 16:22:29 23/08/2022 10:13:32 Rp 600,000.00
5 SANTOKO
2022/08/19/00016 095453 HANA AZZAHRA A3.13 ASTER III R11 R11 19/08/2022 17:44:24 23/08/2022 13:47:28 Rp 600,000.00
4 MUBAROK
2022/08/20/00000 091346 SIFANYA NUR A3.11 ASTER III - B34.8 20/08/2022 07:09:10 23/08/2022 15:46:11 Rp 480,000.00
1 ZAKIYYA
2022/08/20/00001 102698 LINDA AFRILIA A3.06 ASTER III - A90 20/08/2022 19:57:25 22/08/2022 16:00:34 Rp 360,000.00
2 HIDAYAT
2022/08/20/00002 093243 RASYA PUTRA A3.17 ASTER III A49.9 A49.9 21/08/2022 00:55:18 22/08/2022 07:13:36 Rp 240,000.00
4 SETIAWAN
2022/08/21/00001 102691 AZKIA BALQIS A3.17 ASTER III - DEMAM TIFOID 21/08/2022 14:27:09 26/08/2022 10:45:18 Rp 720,000.00
4
2022/08/21/00001 102666 AZIZAH
MOHAMMAD A3.18 ASTER III A01.0 A01.0 21/08/2022 15:00:09 23/08/2022 15:00:45 Rp 360,000.00
3 FATHIR ANTEP
2022/08/22/00009 044644 PUTRA
NAGITA A3.02 ASTER III A09 A09 22/08/2022 07:55:30 24/08/2022 16:58:29 Rp 360,000.00
5 AUTOPUNISA

11/18/22, 10:58 AM Page 3 of 25

2022/08/16/00020 102590 SITI AMINAH A3.08 ASTER III - MENINGITIS 22/08/2022 14:08:14 25/08/2022 11:26:16 Rp 480,000.00
7
2022/08/22/00014 102743 arman maulana A3.14 ASTER III - ANEMIA 22/08/2022 18:28:32 26/08/2022 15:15:26 Rp 600,000.00
8
2022/08/22/00024 102768 NAJWA BINTI A3.05 ASTER III - R50.9 22/08/2022 20:45:20 25/08/2022 19:19:17 Rp 480,000.00
4
2022/08/22/00022 102744 YAYAN
SYAHLA KHUMAIRA A3.09 ASTER III - J04.2 22/08/2022 21:14:08 25/08/2022 08:33:05 Rp 480,000.00
7
2022/08/22/00024 102772 ALBY RAMADHAN A3.11 ASTER III - DIARE AKUT 22/08/2022 21:17:39 26/08/2022 15:03:08 Rp 600,000.00
9
2022/08/22/00024 102770 MUHAMAD PARHAN A3.10 ASTER III 0 BP 23/08/2022 02:34:22 28/08/2022 16:43:45 Rp 720,000.00
6 ALFARIJI
2022/08/22/00024 102771 AZRIL AZZAKIA A3.01 ASTER III . K30 23/08/2022 02:37:18 26/08/2022 15:07:39 Rp 480,000.00
8
2022/08/22/00026 102778 ARSHAQ THABRANI A3.11 ASTER III TIFOID FEVER DEMAM TIFOID 23/08/2022 07:14:18 24/08/2022 01:16:49 Rp 240,000.00
2 KASENDA
2022/08/23/00048 101462 ARDI REPAL A3.16 ASTER III - A09 23/08/2022 17:21:53 25/08/2022 20:57:51 Rp 360,000.00
1
2022/08/23/00047 102819 TUBAGUS
ELSA LESTARI A3.06 ASTER III - ANEMIA BERAT 23/08/2022 19:26:50 26/08/2022 15:29:45 Rp 480,000.00
5
2022/08/23/00049 100813 NADHIF A3.04 ASTER III - ACUTE KIDNEY 23/08/2022 21:20:03 29/08/2022 07:55:09 Rp 840,000.00
4 FATHARIAN INJURY
2022/08/24/00018 102840 ARCELIO
AYSHA EREANORA A3.03 ASTER III - TB PARU 24/08/2022 13:06:27 27/08/2022 18:54:02 Rp 480,000.00
5 NAZHIRA
2022/08/24/00048 096899 QINTHAR A3.02 ASTER III - A09.9 24/08/2022 19:24:27 26/08/2022 14:55:08 Rp 360,000.00
0 ARKHAIRAN FIRLY
2022/08/24/00023 102869 FEBI BINTI A3.13 ASTER III - BP 24/08/2022 21:08:21 05/09/2022 16:07:56 Rp 1,560,000.00
1
2022/08/25/00015 102814 DUDUNG
DEA MEIDA FUTRI A3.17 ASTER III - D64.9 25/08/2022 13:32:18 27/08/2022 17:32:30 Rp 360,000.00
7
2022/08/25/00014 102899 ADELIA NOVIANTI A3.09 ASTER III e86.0 E86 25/08/2022 14:31:50 29/08/2022 13:36:57 Rp 600,000.00
4
2022/08/25/00015 058099 ZAHIDA QOLBI A3.18 ASTER III - DEMAM TIFOID 25/08/2022 16:34:01 27/08/2022 17:05:38 Rp 360,000.00
5 NADHIFA
2022/08/25/00017 100986 KAILI KHAZIM A3.08 ASTER III - A49.9 25/08/2022 23:56:43 28/08/2022 09:28:10 Rp 480,000.00
1 KHAIRULLAH
2022/08/25/00017 084447 ANNISA NUR A3.04 ASTER III - R50.9 26/08/2022 07:57:10 28/08/2022 15:32:54 Rp 360,000.00
3
2022/08/26/00025 086695 ARSYIFA
REYSA PUTRI A A3.10 ASTER III A09.9 A09.9 26/08/2022 10:04:58 29/08/2022 10:40:34 Rp 480,000.00
0
2022/08/26/00025 102922 MUHAMAD RINALDI A3.18 ASTER III diare A09 26/08/2022 13:17:38 29/08/2022 13:19:02 Rp 480,000.00
2 TSAQIF
2022/08/26/00024 102917 ANISA DITA NUR A3.05 ASTER III KDK KDK 26/08/2022 14:18:26 30/08/2022 08:43:30 Rp 600,000.00
0 ALPAN
2022/08/26/00025 102923 MUHAMAD PATIK A3.01 ASTER III - BP 26/08/2022 20:08:01 30/08/2022 07:29:34 Rp 600,000.00
3
2022/08/26/00025 102924 YAZID ABDUL A3.16 ASTER III A09.- A09 26/08/2022 21:27:18 29/08/2022 13:38:39 Rp 480,000.00
4
2022/08/26/00026 059907 MALIK
MUHAMMAD HASBI A3.02 ASTER III vomitus R11 27/08/2022 06:02:35 29/08/2022 13:34:44 Rp 360,000.00
6
2022/08/27/00002 102947 EKA RAMDANI A3.02 ASTER III - DEMAM TIFOID 27/08/2022 09:37:26 29/08/2022 09:40:54 Rp 360,000.00
3
2022/08/27/00000 102935 ALSAKHI RADEYA A3.18 ASTER III - kds 27/08/2022 13:09:07 29/08/2022 13:12:35 Rp 360,000.00
4 SETIADI
2022/08/27/00001 102945 FARIZ ZIDAN A3.11 ASTER III BP BP 27/08/2022 21:00:35 29/08/2022 10:39:27 Rp 360,000.00
8
2022/08/27/00002 072446 MULANA
M.NADHIF A3.06 ASTER III r50 R50.9 28/08/2022 06:58:11 30/08/2022 16:53:10 Rp 360,000.00
9
2022/08/27/00001 102946 RAMDHANI
MUHAMMAD A3.14 ASTER III bp BP 28/08/2022 07:04:22 30/08/2022 15:19:53 Rp 360,000.00
9
2022/08/28/00000 100238 FAUZAN
RAQILA APRILIA A3.01 ASTER III - OBS FEBRIS 28/08/2022 08:59:23 30/08/2022 15:45:05 Rp 360,000.00
1
2022/08/28/00001 087560 MUHAMMAD AZIZ A3.01 ASTER III R56.0 R56.0 28/08/2022 19:09:05 30/08/2022 15:12:26 Rp 360,000.00
4 AL FATIH
2022/08/28/00000 094168 AIRA A3.16 ASTER III R56 R56.0 28/08/2022 22:16:35 31/08/2022 14:38:06 Rp 480,000.00
4
2022/08/29/00000 101779 ZIANATUNNISA
DEVI PITRIYANI A3.17 ASTER III - - 29/08/2022 09:07:24 01/09/2022 10:18:19 Rp 480,000.00
1
2022/08/29/00019 102666 MOHAMMAD A3.06 ASTER III A01.0 A01.0 29/08/2022 09:44:34 31/08/2022 09:45:08 Rp 360,000.00
9 FATHIR ANTEP
2022/08/29/00019 103012 PUTRA
RAYYANZA A3.01 ASTER III - GEA DEHIDRASI 29/08/2022 14:33:43 31/08/2022 14:34:12 Rp 360,000.00
8 BINTANG
11/18/22, 10:58 AM Page 4 of 25
 SANTANA SEDANG
2022/08/29/00018 103010 DZIKRI SIPATUL A3.14 ASTER III - TF 29/08/2022 14:53:30 01/09/2022 14:54:03 Rp 480,000.00
5 KALUSIN
2022/08/29/00020 093422 DEVINA AZKAYRA A3.16 ASTER III A09.9 A09.9 29/08/2022 22:54:10 31/08/2022 14:35:25 Rp 360,000.00
5
2022/08/30/00005 101049 TISYA AULIA A3.16 ASTER III D64.9 D64.9 30/08/2022 08:50:02 05/09/2022 08:50:45 Rp 840,000.00
5
2022/08/30/00026 070538 SALWA RAHMA A3.14 ASTER III - R11 30/08/2022 14:50:13 01/09/2022 14:50:50 Rp 360,000.00
4
2022/08/30/00016 103039 NAIRA AIZA AZ-
KHALISA A3.05 ASTER III - KDK 30/08/2022 15:01:55 31/08/2022 18:28:01 Rp 240,000.00
1 ZAHRA. AN
2022/08/30/00022 099942 MUHAMMAD AZHAR A3.02 ASTER III - KDK 30/08/2022 15:19:28 05/09/2022 16:07:09 Rp 840,000.00
9 RAMADAN
2022/08/30/00023 103060 MUHAMMAD NAZMI A3.09 ASTER III - A01.0 30/08/2022 15:54:07 31/08/2022 14:39:29 Rp 240,000.00
7 AL BANI
2022/08/30/00023 070758 AIRA NABILA A3.18 ASTER III - R11 30/08/2022 16:47:28 31/08/2022 14:45:58 Rp 240,000.00
9
2022/08/30/00024 103061 TANISHA
M FERDIANSYAH AL A3.03 ASTER III - A09 30/08/2022 17:00:49 01/09/2022 15:00:38 Rp 360,000.00
1 HIDAYAH
2022/08/30/00024 086555 AZZAM PRADIFTA A3.07 ASTER III BP J18.0 30/08/2022 19:54:19 02/09/2022 14:44:16 Rp 480,000.00
9 MARUF
2022/08/30/00025 098503 ALETAQUENBY A3.15 ASTER III BP J18.0 30/08/2022 20:18:53 01/09/2022 19:16:03 Rp 360,000.00
2
2022/08/30/00025 103065 ELVINA
Syahira ayunindia A3.04 ASTER III A09 A09.0 30/08/2022 22:26:22 05/09/2022 16:05:08 Rp 840,000.00
3
2022/08/30/00024 103058 FATIMAH AZ ZHARA A3.08 ASTER III - ANEMIA GRAVIS 30/08/2022 22:49:37 04/09/2022 16:51:35 Rp 720,000.00
6
2022/08/31/00030 097771 AMARA PUTRI A3.15 ASTER III J18.0 J18.0 31/08/2022 08:32:52 02/09/2022 08:33:30 Rp 360,000.00
8 MULYANA
2022/08/31/00030 103093 ADHIBA KISYARA A3.01 ASTER III - R56.8 31/08/2022 08:40:30 02/09/2022 08:41:48 Rp 360,000.00
1 ALMAHYRA
2022/08/31/00031 103109 MUHAMMAD RAZKA A3.12 ASTER III A01.0 A01.0 31/08/2022 10:09:37 02/09/2022 10:10:26 Rp 360,000.00
1 HAYATA MULYA
2022/08/31/00030 103090 RAKHIS SAKHA A3.16 ASTER III - J18.0 31/08/2022 21:32:23 03/09/2022 16:07:03 Rp 480,000.00
0 MAHBUBI
2022/08/04/00002 022738 SODIKIN CD1.01 CENDANA I - - 04/08/2022 19:39:15 07/08/2022 16:03:21 Rp 800,000.00
8 FATHURUDIN
JAFAR,SE
2022/08/07/00002 097761 agus nugraha akbar CD1.01 CENDANA I - - 07/08/2022 22:20:39 09/08/2022 16:09:59 Rp 600,000.00
2022/08/11/00014 102433 ENUNG NUR CD1.01 CENDANA I - - 12/08/2022 12:48:56 13/08/2022 16:35:38 Rp 600,000.00
8 ROSMALATI
2022/08/11/00013 102424 SUSI ROSMAYANTI CD1.01 CENDANA I - - 12/08/2022 13:51:02 13/08/2022 16:37:23 Rp 600,000.00
5
2022/08/18/00013 086613 ASEP RIDWANUDIN CD1.01 CENDANA I - - 18/08/2022 18:23:07 21/08/2022 07:24:16 Rp 800,000.00
0
2022/08/18/00013 090217 IYAY SUGIARTI CD1.01 CENDANA I - - 19/08/2022 09:33:45 21/08/2022 07:28:28 Rp 800,000.00
3
2022/08/22/00025 102774 ADI HERDIANSYAH CD1.01 CENDANA I - - 22/08/2022 23:20:24 23/08/2022 09:44:13 Rp 400,000.00
2022/08/22/00024 084878 TATANG ERAWAN CD1.01 CENDANA I - - 23/08/2022 08:15:02 24/08/2022 16:16:34 Rp 600,000.00
1
2022/08/23/00026 095778 AAT BT UDIS CD1.01 CENDANA I - - 23/08/2022 08:35:44 26/08/2022 16:59:57 Rp 800,000.00
9
2022/08/23/00049 036490 AMINAH BINTI EON CD1.01 CENDANA I J18 J18 23/08/2022 22:15:47 26/08/2022 16:29:25 Rp 800,000.00
2022/08/26/00026 082339 JUBAEDAH, NY CD1.01 CENDANA I I50 I50 27/08/2022 10:25:16 28/08/2022 10:01:24 Rp 600,000.00
2022/08/31/00027 090779 H. SAEPUDIN BIN CD1.01 CENDANA I - - 31/08/2022 14:12:24 02/09/2022 14:17:11 Rp 600,000.00
9 SAYUTI
2022/08/01/00017 102035 SAHIDI CD2.05 CENDANA II - - 01/08/2022 14:41:45 03/08/2022 11:09:45 Rp 480,000.00
5
2022/08/02/00021 056870 POPON PONINGSIH CD2.01 CENDANA II - - 02/08/2022 23:15:48 04/08/2022 15:45:03 Rp 480,000.00
6
2022/08/02/00023 102099 HJ. ENUNG IRYANI CD2.021 CENDANA II - - 03/08/2022 01:43:02 04/08/2022 15:44:35 Rp 480,000.00
3
2022/08/03/00003 096039 SRI WIDYAWATI CD2.15 CENDANA II - - 04/08/2022 21:50:17 10/08/2022 16:12:41 Rp 1,280,000.00
1
2022/08/04/00026 053602 YAYAH BINTI CD2.17 CENDANA II - - 05/08/2022 09:25:40 07/08/2022 15:10:12 Rp 640,000.00
8 SAHRO
11/18/22, 10:58 AM Page 5 of 25
2022/08/07/00003 102261 ENGKOS KOSWARA CD2.13 CENDANA II - - 08/08/2022 14:21:07 13/08/2022 16:34:17 Rp 1,120,000.00
3
2022/08/09/00019 087778 MARIYAM CD2.11 CENDANA II K30 K30 10/08/2022 10:47:12 11/08/2022 10:07:13 Rp 480,000.00
2022/08/09/00019 060208 KOKOM KOMARIAH CD2.12 CENDANA II E11 E11 10/08/2022 11:00:00 13/08/2022 16:51:03 Rp 800,000.00
1
2022/08/13/00002 102476 OOY SULASTRI CD2.01 CENDANA II - - 14/08/2022 12:05:35 16/08/2022 15:29:02 Rp 480,000.00
1
2022/08/14/00001 102491 DENA BIN ABON CD2.03 CENDANA II - - 14/08/2022 23:10:13 16/08/2022 15:29:26 Rp 480,000.00
9
2022/08/15/00006 095042 BUBUN GUNAWAN CD2.019 CENDANA II - - 15/08/2022 13:01:29 17/08/2022 16:56:43 Rp 480,000.00
2022/08/20/00001 102697 SARIAH BT IDANG CD2.020 CENDANA II - - 20/08/2022 19:56:17 22/08/2022 15:42:39 Rp 480,000.00
1
2022/08/21/00001 024778 ROCKY YASA CD2.08 CENDANA II - - 21/08/2022 11:31:48 24/08/2022 11:32:35 Rp 640,000.00
2022/08/21/00000 102712 OPON BINTI ENDI CD2.019 CENDANA II - - 21/08/2022 17:11:58 23/08/2022 14:02:12 Rp 480,000.00
4
2022/08/23/00042 102807 ROHIMAT BIN CD2.08 CENDANA II - - 23/08/2022 16:20:19 24/08/2022 10:13:33 Rp 320,000.00
6
2022/08/23/00049 046287 TOHA
ASEP BAMBANG CD2.01 CENDANA II J18 J18 23/08/2022 22:37:58 26/08/2022 16:35:06 Rp 640,000.00
7
2022/08/25/00013 102004 IWAN DERMAWAN CD2.021 CENDANA II - - 25/08/2022 09:45:19 25/08/2022 19:03:13 Rp 160,000.00
6
2022/08/28/00001 086862 AI SUSILAWATI CD2.020 CENDANA II - - 29/08/2022 09:08:49 30/08/2022 13:00:06 Rp 480,000.00
9
2022/08/31/00028 069679 ROSTIKA BINTI CD2.01 CENDANA II - - 31/08/2022 12:03:27 03/09/2022 16:04:00 Rp 640,000.00
2 MASTUR
2022/08/14/00002 102494 MASITOH CD3.006 CENDANA III - - 16/08/2022 00:03:24 16/08/2022 10:36:04 Rp 120,000.00
4
2022/08/01/00016 099209 RUHIMAT FL3.04 FLAMBOYAN III K40.9 Hill D Repp 01/08/2022 09:37:46 03/08/2022 14:19:59 Rp 360,000.00
1
2022/07/31/00013 038459 SUHARDIMAN, TN. FL3.18 FLAMBOYAN III Hematoma Farietal Cedera Kepala 01/08/2022 10:43:04 03/08/2022 14:47:22 Rp 360,000.00
8 Vulnus Abresia QS 15 + Susp
Maxila dx +
2022/08/01/00016 101139 RASIM FL3.19 FLAMBOYAN III HILL Dx Reponible Hernia
ZMC dx 01/08/2022 11:02:16 03/08/2022 15:25:46 Rp 360,000.00
6 Inguinalis dx
Latenali
Reponible,
2022/08/01/00016 100740 AMAH BINTI INEN FL3.11 FLAMBOYAN III c50 Tumor Mamae 01/08/2022 11:02:57 03/08/2022 13:10:48 Rp 360,000.00
8
2022/08/01/00017 100902 AI SITI FL3.07 FLAMBOYAN III D21.9 dx
Giant STT 01/08/2022 11:03:42 03/08/2022 15:00:52 Rp 360,000.00
7
2022/08/01/00017 101315 NURHASANAH
MIDIN BIN FL3.22 FLAMBOYAN III L04.9 Femur D
Hernia 01/08/2022 11:04:43 03/08/2022 09:27:35 Rp 360,000.00
9 KARNATA Temuralis sx
2022/08/01/00018 100909 SOBANA RAY BENI FL3.15 FLAMBOYAN III M67.4 Malformasi Vena 01/08/2022 11:05:36 03/08/2022 13:34:01 Rp 360,000.00
2 Wrist Joint D
2022/07/31/00014 062467 KURNIASIH FL3.08 FLAMBOYAN III R10 Susp 01/08/2022 11:06:33 06/08/2022 10:49:46 Rp 720,000.00
7 Appenditiar
2022/08/01/00017 101219 YAYAT BIN OMAN FL3.13 FLAMBOYAN III c50 InfilitisCyst
Baker 01/08/2022 13:24:02 03/08/2022 12:45:58 Rp 360,000.00
3 Popleteal D
2022/08/01/00020 102042 AISAH BINTI FL3.03 FLAMBOYAN III Abses Mandibula Deep Rijat 01/08/2022 22:10:22 06/08/2022 10:30:02 Rp 720,000.00
2 MAMAN Submandibula
Absess + DM
Tipe 2
2022/08/02/00018 100471 U SAEPULOH FL3.05 FLAMBOYAN III S92.3 Uncla H 02/08/2022 10:03:46 04/08/2022 12:22:37 Rp 360,000.00
1 Weteterval
2022/08/02/00017 070948 FABIALDI FL3.16 FLAMBOYAN III K40 Infected
HILL DX War 02/08/2022 10:07:59 04/08/2022 15:18:42 Rp 360,000.00
6 SANDIAGA BASIRA REPONIBLE
2022/08/02/00017 101142 N
NURUL HANIFAH FL3.20 FLAMBOYAN III N60.2 Giant FAM 02/08/2022 10:09:36 04/08/2022 13:21:59 Rp 360,000.00
0
2022/08/02/00019 093943 MUHAMMAD ARYA FL3.17 FLAMBOYAN III K40 HILL Sinistra 02/08/2022 10:48:29 04/08/2022 13:21:06 Rp 360,000.00
5 DZAKY PRADANA
2022/08/02/00020 099180 JUHANA FL3.12 FLAMBOYAN III K40 Hill sx Reponible 02/08/2022 11:16:23 04/08/2022 15:28:28 Rp 360,000.00
0
2022/07/30/00011 030071 ODANG SUTARDI FL3.09 FLAMBOYAN III E11 Trauma Tumri 02/08/2022 14:00:28 03/08/2022 13:11:58 Rp 240,000.00
9 Thorax dan
Costa Lst dx 3-
e,
11/18/22, 10:58 AM Page 6 of 25
 Preamotacpy dx
Trauma Tumpul
Ginjal dx ar 3-a
+ DM Tipe 2
2022/08/02/00020 102084 SARKI BIN JAJA FL3.10 FLAMBOYAN III S42.2 Nahunian 02/08/2022 14:09:38 05/08/2022 09:00:29 Rp 480,000.00
5
2022/08/02/00019 100908 AMAS FL3.06 FLAMBOYAN III D21.3 Humer
Eksisi STT 02/08/2022 14:11:46 04/08/2022 14:39:22 Rp 360,000.00
0
2022/08/02/00019 081255 HARSUL HADDI FL3.18 FLAMBOYAN III Z47.9 Unla L Clauval 02/08/2022 14:44:15 03/08/2022 07:49:52 Rp 240,000.00
6 ABDILLAH, dr
2022/08/02/00023 101830 TITIN FL3.02 FLAMBOYAN III C22 Hepatoma 03/08/2022 08:16:29 07/08/2022 09:30:48 Rp 600,000.00
4
2022/08/03/00023 102156 H. SULAEMAN FL3.12 FLAMBOYAN III Orchitis Necrotic Testis 04/08/2022 13:01:02 11/08/2022 14:16:11 Rp 960,000.00
4 dx + Abses
Sucrition dx
2022/08/08/00019 101759 SUKAENAH FL3.01 FLAMBOYAN III Infected Manud Infected 05/08/2022 12:49:16 08/08/2022 10:51:06 Rp 480,000.00
4 Pedis Manund Pedis
2022/08/05/00007 102218 ADRIAN FL3.15 FLAMBOYAN III Abses Mandibula Abses Mandibula 05/08/2022 14:39:45 10/08/2022 14:37:41 Rp 720,000.00
2 dx + Susp Abses
Bulcal dx
2022/08/07/00002 102257 EMAN BIN AUN FL3.21 FLAMBOYAN III Frakltur Clavicula S Clsvicula S VL 08/08/2022 07:01:44 12/08/2022 15:04:52 Rp 600,000.00
6 Temporal
2022/08/08/00018 102064 SITI NURJANAH FL3.06 FLAMBOYAN III D18.0 Post Eksisi 08/08/2022 09:54:38 10/08/2022 14:11:42 Rp 360,000.00
5 Hemangioma
2022/08/08/00017 096980 BADRI FL3.02 FLAMBOYAN III C62 Tumor Testis 08/08/2022 12:02:03 10/08/2022 13:20:14 Rp 360,000.00
7
2022/08/08/00018 101788 ADO SAPRI FL3.17 FLAMBOYAN III k40.9 Hernia 08/08/2022 12:06:42 11/08/2022 15:26:26 Rp 480,000.00
3 SETIAWAN Inguinalis dx
Residif
Reponible +
Retentio Urine
2022/08/08/00018 101362 ASTI AGNIA FL3.09 FLAMBOYAN III D24 FAM dx 08/08/2022 12:13:43 10/08/2022 14:49:57 Rp 360,000.00
7
2022/08/08/00019 101577 BINTANG NURLITA FL3.13 FLAMBOYAN III D18.0 Post Eksisi 08/08/2022 12:14:50 10/08/2022 13:43:04 Rp 360,000.00
0 Hemangioma
2022/08/08/00019 062484 MAMAN BIN KANDI FL3.10 FLAMBOYAN III L04 Susp 08/08/2022 12:50:26 10/08/2022 13:07:23 Rp 360,000.00
7 Limpadenopati
2022/08/08/00020 100359 aidul muhammad FL3.05 FLAMBOYAN III M71.2 TB
Baker Cyst 08/08/2022 12:51:15 10/08/2022 13:53:48 Rp 360,000.00
0 mawaris Popilitea Sx
2022/08/08/00020 100386 JANA BIN MAHDI FL3.20 FLAMBOYAN III c44.9 BCC Prontal 08/08/2022 14:18:19 10/08/2022 12:36:25 Rp 360,000.00
2022/08/08/00013 102286 ACENG KAMALUDIN FL3.14 FLAMBOYAN III Abses Bucial Abses Buccel Sx 08/08/2022 17:03:20 12/08/2022 15:18:08 Rp 600,000.00
7 Terdrainase
Intra Ape
2022/08/09/00016 101585 yayat jumyati FL3.16 FLAMBOYAN III k40.9 Hernia 09/08/2022 11:02:21 11/08/2022 15:23:52 Rp 360,000.00
8 Inguinalis
Laterlis dx
2022/08/09/00012 098699 alkhalifi maulana FL3.22 FLAMBOYAN III s42.0 Unian Claucla
Ireponible 09/08/2022 12:23:09 10/08/2022 13:31:57 Rp 240,000.00
6 ibrahim
2022/08/09/00018 028617 MIFTAHUL FARIT FL3.18 FLAMBOYAN III D21.6 Multiple STT 09/08/2022 14:32:10 10/08/2022 15:19:10 Rp 240,000.00
2022/08/09/00016 092295 WIRDI MAUNAROH FL3.19 FLAMBOYAN III n61 Post Drainase 09/08/2022 16:27:16 11/08/2022 12:50:35 Rp 360,000.00
3 Abses Mamae
2022/08/09/00016 102357 YARTI SUMIARTINI FL3.22 FLAMBOYAN III N20.0 dx
Netrolithiasis 09/08/2022 16:32:29 10/08/2022 11:59:10 Rp 240,000.00
7
2022/08/09/00017 071958 TOMAS BIN TOTO FL3.08 FLAMBOYAN III Ulkus Pedis sx PAD Pedis sx ec 09/08/2022 21:22:08 12/08/2022 15:14:25 Rp 480,000.00
5 DM Tipe 2 +
Trombosit

11/18/22, 10:58 AM Page 7 of 25

2022/08/10/00015 102373 LINA MARLINA FL3.03 FLAMBOYAN III e11 PAD Pedis sx + 10/08/2022 12:32:25 12/08/2022 15:12:07 Rp 360,000.00
8 DM Tipe 2
2022/08/10/00015 102382 SADIMIN FL3.04 FLAMBOYAN III L97 Chrunis Wound 10/08/2022 18:46:16 12/08/2022 15:21:45 Rp 360,000.00
0 Crunis dx +
Susp
Osteomyeliti
2022/08/11/00013 102426 ETI KOMARIYAH FL3.12 FLAMBOYAN III Ulkus Diabetic a/r PAD Pedis dx 11/08/2022 20:31:26 14/08/2022 07:40:26 Rp 480,000.00
7 Pedis dx sx
2022/08/11/00014 102429 EROH BINTI BAHRI FL3.02 FLAMBOYAN III R33 Retentio Urine 11/08/2022 20:34:41 13/08/2022 07:40:56 Rp 360,000.00
2022/08/12/00022 092250 ARIS RISMANA FL3.03 FLAMBOYAN III Colic Abdomen ISK 13/08/2022 07:43:44 15/08/2022 10:14:48 Rp 360,000.00
2022/08/13/00000 102462 AHMAD WAHRA FL3.16 FLAMBOYAN III Gross Hematomi Gross 13/08/2022 11:20:38 15/08/2022 09:57:23 Rp 360,000.00
1 ecec BPH Hematunia ec
Susp Tumor Buli
2022/08/13/00001 102472 SIGIT WIBOWO FL3.10 FLAMBOYAN III CKR CKR
dd/BPH 13/08/2022 17:14:26 14/08/2022 09:27:46 Rp 240,000.00
4
2022/08/13/00001 102474 MAMAT ROHMAT FL3.12 FLAMBOYAN III Colic Abdomen ec kONSTIPASI 13/08/2022 22:42:50 15/08/2022 15:06:21 Rp 360,000.00
7 Ileus
2022/08/13/00001 102475 RIDO RAMDANI FL3.05 FLAMBOYAN III CKR Cedera Kepala 14/08/2022 00:06:27 17/08/2022 09:14:16 Rp 480,000.00
9 Ringan +
Hematomi Scalp
R. Templor Sx
2022/08/14/00000 102482 UNDANG SUNTANA FL3.18 FLAMBOYAN III Abses Mandibula Susp Sepsis 14/08/2022 12:29:24 18/08/2022 10:11:57 Rp 600,000.00
6
2022/08/14/00002 102493 YONO BIN IJUM FL3.08 FLAMBOYAN III T63.0 Edema Pedis dx 14/08/2022 22:55:56 15/08/2022 09:15:39 Rp 240,000.00
3 Snake Bite
Grade 2-3
2022/08/15/00019 102454 M NASHIR FL3.04 FLAMBOYAN III PAD Sx PAD Pedis sx ec 15/08/2022 15:03:23 17/08/2022 15:45:19 Rp 360,000.00
5 DM Tipe 2
2022/08/15/00021 102543 MAWAN FL3.01 FLAMBOYAN III N45 Orchiti dx 15/08/2022 21:40:24 16/08/2022 09:07:41 Rp 240,000.00
1 RUSTIAWAN DD/Tumor
Testis dx
2022/08/15/00022 102549 RIZKI SATRIO FL3.10 FLAMBOYAN III S/ Appenisistis Appendisitis 16/08/2022 13:06:51 18/08/2022 11:27:17 Rp 360,000.00
5 PAMUNGKAS Infiltrat Infiltrat
2022/08/17/00003 102611 JAJANG RONI FL3.09 FLAMBOYAN III cholelithiasis Susp Abses 18/08/2022 07:36:37 23/08/2022 14:54:25 Rp 720,000.00
1
2022/08/18/00004 065368 ADE KUSNADI FL3.20 FLAMBOYAN III Ulkus DM Tipe 2 Hepar
Ulkus 18/08/2022 10:38:14 25/08/2022 13:50:20 Rp 960,000.00
3 Diabeticum
Crunis dextra
2022/08/18/00013 102661 HAHAT BINTI FL3.03 FLAMBOYAN III Selulitis Ulkus
DM Tipe DM2Pedis 19/08/2022 00:12:23 20/08/2022 11:41:17 Rp 240,000.00
5 IDING Sx + Aremi
2022/08/19/00017 102685 ADE AGUN FL3.05 FLAMBOYAN III HERNIA Hemoroid Gr II 19/08/2022 19:42:16 21/08/2022 11:50:48 Rp 360,000.00
8
2022/08/21/00000 102669 SAMBAS RUHIAT FL3.18 FLAMBOYAN III HILL Bilateral tex ec + Sx 21/08/2022 10:48:04 23/08/2022 14:58:26 Rp 360,000.00
7 Ireponible Reponible +
2022/08/21/00001 096695 IMAS PIPIH FL3.01 FLAMBOYAN III Abses Dinding LUTS Dinding
Abses 21/08/2022 21:14:42 25/08/2022 11:38:17 Rp 600,000.00
7 Abdomen Abdomen + DM
Tipe 2 + Anemi
+ Riwayat
Hipoglikemi
Hipertensi
2022/08/22/00019 097245 ANI HERNAWATI FL3.14 FLAMBOYAN III I88.8 Limpadenopati 22/08/2022 09:55:49 24/08/2022 15:00:37 Rp 360,000.00
4 Colli D
2022/08/22/00020 101590 ROSI SUSILAWATI FL3.07 FLAMBOYAN III Giant STT Giant STT 22/08/2022 10:54:10 24/08/2022 14:39:46 Rp 360,000.00
2 Clavicula D
2022/08/22/00021 101853 RIZKI ADITIYA FL3.08 FLAMBOYAN III N62 Ghinesomashe 22/08/2022 10:57:19 24/08/2022 15:16:09 Rp 360,000.00
8
11/18/22, 10:58 AM Page 8 of 25
 Mamae Sx
2022/08/22/00020 080194 FITRI FL3.12 FLAMBOYAN III FAM S FAM S 22/08/2022 10:59:34 24/08/2022 14:14:22 Rp 360,000.00
0
2022/08/22/00021 094659 NURBAYYINAH
U. SAEPUDIN FL3.15 FLAMBOYAN III Ganglion Wrist Join Ganglion Wrist 22/08/2022 11:40:33 24/08/2022 14:28:00 Rp 360,000.00
6 S Joint S
2022/08/22/00025 100153 JIDIN BIN INEN FL3.10 FLAMBOYAN III K40.9 Hill S Retunive 22/08/2022 21:11:04 24/08/2022 14:48:29 Rp 360,000.00
4
2022/08/24/00022 100861 ANDI NURYADIN FL3.11 FLAMBOYAN III Abses Colli dx Abses 24/08/2022 12:29:53 26/08/2022 11:13:35 Rp 360,000.00
4 Submandibula
dx + Necrotis
Pulpa Gigi 46
2022/08/24/00016 102474 MAMAT ROHMAT FL3.16 FLAMBOYAN III ILLES Ileus Destruksi 24/08/2022 16:47:03 26/08/2022 11:01:07 Rp 360,000.00
0 e.c Susp Tumor
Colon Aserden
2022/08/24/00020 102859 KARTINI FL3.09 FLAMBOYAN III Selulitis Pedis Abses Cruris dx 24/08/2022 16:47:52 26/08/2022 11:16:55 Rp 360,000.00
3 + DM Tipe 2
2022/08/24/00023 096996 RAHMAWATI BINTI FL3.03 FLAMBOYAN III Ulkus Diabetikum PAD Pedis Dx ec 25/08/2022 13:32:49 26/08/2022 13:55:09 Rp 240,000.00
7 MUKSIN DM Tipe 2
2022/08/25/00017 070964 EDIN SAEDIN FL3.02 FLAMBOYAN III Ikterus Obstruktif Acute Mild Chol 26/08/2022 08:51:47 29/08/2022 09:07:49 Rp 480,000.00
4
2022/08/27/00003 102951 TUSRIAH FL3.20 FLAMBOYAN III Abses a/r Gluteal Multiple Abses + 28/08/2022 01:22:54 31/08/2022 15:57:58 Rp 480,000.00
0 dx, Thorax Thorax Pasterior
Pasterior dx et Glutea dx,
DM Tipe 2,
Aremi
2022/08/29/00016 099138 SANJAYA BIN FL3.01 FLAMBOYAN III Tumor Scalep R Susp Sarcana S 29/08/2022 09:38:21 30/08/2022 09:05:29 Rp 240,000.00
4 YAYAT Ocipital
2022/08/29/00019 102531 AHMAD JAMALUDIN FL3.03 FLAMBOYAN III Hemoroid Grd II Hemoroid 29/08/2022 09:39:47 31/08/2022 15:42:07 Rp 360,000.00
6 Interna gr 3
2022/08/29/00017 101546 IMAS MASRIAH FL3.21 FLAMBOYAN III Giant STT Ocipital Tumor a/r 29/08/2022 09:41:34 31/08/2022 10:25:36 Rp 360,000.00
9
2022/08/29/00017 100419 ADAR BIN HALIK FL3.07 FLAMBOYAN III HILL Dx Ocipital
HILL Dx 29/08/2022 09:42:23 02/09/2022 13:06:00 Rp 600,000.00
8
2022/08/29/00018 040099 FITRI SULASTRI FL3.22 FLAMBOYAN III Tumor Mamae Tumor Mamae 29/08/2022 09:43:07 31/08/2022 10:56:55 Rp 360,000.00
4 Bilateral Dx
2022/08/29/00018 097076 SUNDINI BINTI FL3.08 FLAMBOYAN III FAM Dx FAM D 29/08/2022 09:43:47 31/08/2022 09:47:49 Rp 360,000.00
6 SULAEMAN
2022/08/29/00016 101856 IIS SITI MARYAM FL3.06 FLAMBOYAN III Tumor Mamae sx Tumor Mamae 29/08/2022 09:46:39 31/08/2022 15:29:20 Rp 360,000.00
2 Sx Susp Jinak
2022/08/29/00018 071958 TOMAS BIN TOTO FL3.05 FLAMBOYAN III E11.9 Gargen Pedis 29/08/2022 13:08:45 02/09/2022 14:37:24 Rp 600,000.00
8
2022/08/30/00022 102333 EUTIK SUMARNI FL3.02 FLAMBOYAN III STT Thorax STT a/r Thorax 30/08/2022 09:11:00 01/09/2022 12:52:47 Rp 360,000.00
0 Posterior
2022/08/30/00022 093160 APIP JAENUDIN FL3.10 FLAMBOYAN III Infection Wound Granulamata 30/08/2022 09:11:55 01/09/2022 09:38:08 Rp 360,000.00
2 Pro Debridement
2022/08/29/00021 100401 SODID FL3.14 FLAMBOYAN III HILL dx Reponible HILL dx 30/08/2022 09:13:38 02/09/2022 14:13:55 Rp 480,000.00
9 Irreponible
2022/08/30/00023 102345 EROS ROSIAH FL3.13 FLAMBOYAN III NHML Tumor Glossus 30/08/2022 09:15:35 01/09/2022 12:00:39 Rp 360,000.00
4 Lateral Sx
2022/08/30/00022 102059 AWANG BINTI FL3.11 FLAMBOYAN III d31.6 Kista Dermoid 30/08/2022 10:11:04 01/09/2022 12:21:04 Rp 360,000.00
3 ONIH Parietal
2022/08/30/00023 101046 MAHDAR BIN FL3.16 FLAMBOYAN III NHML Limpadenopati 30/08/2022 11:12:02 01/09/2022 12:38:34 Rp 360,000.00
3 ENGKING Colli Sinistra
Multiple
2022/08/30/00025 086297 NURDINA BIN DEDE FL3.11 FLAMBOYAN III L02.9 Abses Buccal Sx 31/08/2022 07:50:51 02/09/2022 14:57:16 Rp 360,000.00
6 + Submandibula
Sx
11/18/22, 10:58 AM Page 9 of 25
2022/08/30/00025 076718 IIS ARISTA FL3.18 FLAMBOYAN III K80 Ileus Adhesive 31/08/2022 08:15:05 01/09/2022 14:58:25 Rp 240,000.00
8
2022/08/30/00026 103069 ATIN KARTAJI FL3.15 FLAMBOYAN III Susp Masa Susp Massa 31/08/2022 08:23:59 01/09/2022 14:55:01 Rp 240,000.00
7 Abdomen Kanan Abdomen
2022/08/30/00026 094914 INDI BIN SOMAWI FL3.19 FLAMBOYAN III Atas
Abses Submame sx HIM dx 31/08/2022 08:26:07 05/09/2022 14:48:26 Rp 720,000.00
9 Reponible +
Crunitis dx,
2022/08/02/00023 077507 JUJU BINTI IHIM HCU005 HCU - -
CHT, AF, H e ig 03/08/2022 02:30:27 04/08/2022 14:33:04 Rp 520,000.00
2022/08/04/00026 102196 AHMAD FAISAL HCU006 HCU - - 04/08/2022 21:41:01 05/08/2022 11:18:14 Rp 260,000.00
5
2022/08/03/00022 102147 WIWIN HCU005 HCU - - 05/08/2022 16:34:46 08/08/2022 16:01:39 Rp 780,000.00
0
2022/08/07/00000 102244 RESFI NURSIAMI HCU003 HCU = - 07/08/2022 02:25:06 10/08/2022 07:51:10 Rp 780,000.00
5 PRORINA
2022/08/07/00001 102250 MUHAMMAD SAJID HCU008 HCU - - 08/08/2022 11:23:17 16/08/2022 13:09:50 Rp 2,080,000.00
3 AL-MUMTAZ
2022/08/07/00003 063394 IKIN BIN IHAD HCU006 HCU R57.0 - 08/08/2022 18:17:41 10/08/2022 07:52:56 Rp 780,000.00
6
2022/08/13/00000 040132 NUNU SUMARNA HCU007 HCU - - 13/08/2022 14:14:41 16/08/2022 12:48:09 Rp 780,000.00
6
2022/08/13/00002 061399 OOM BINTI DARIMI HCU005 HCU - - 14/08/2022 08:41:21 22/08/2022 12:47:59 Rp 2,340,000.00
2022/08/16/00002 102551 IMAS KOMALASARI HCU003 HCU - - 16/08/2022 06:46:43 18/08/2022 20:24:37 Rp 780,000.00
0
2022/08/15/00022 100529 MAMAN IDRUS HCU0001 HCU - - 16/08/2022 10:45:56 22/08/2022 12:47:02 Rp 1,820,000.00
0
2022/08/16/00020 102590 SITI AMINAH HCU009 HCU - - 17/08/2022 16:16:07 22/08/2022 14:08:14 Rp 1,300,000.00
7
2022/08/16/00016 102147 WIWIN HCU002 HCU - - 18/08/2022 16:37:07 21/08/2022 07:50:49 Rp 1,040,000.00
1
2022/08/20/00002 102705 EMIN BINTI SURYA HCU003 HCU E87.6 - 20/08/2022 22:06:40 22/08/2022 14:06:18 Rp 520,000.00
2022/08/22/00000 048537 UCU RISMAWATI HCU003 HCU - - 22/08/2022 09:31:41 26/08/2022 10:41:09 Rp 1,300,000.00
3
2022/08/24/00019 058919 DJUMA BIN ATMEJI HCU005 HCU - - 24/08/2022 17:45:56 24/08/2022 23:55:44 Rp 260,000.00
2022/08/30/00027 103071 ALIKA SITI SALWA HCU0001 HCU - - 31/08/2022 10:56:20 04/09/2022 19:01:26 Rp 1,300,000.00
0
2022/08/31/00031 039054 SUPRIATNA BIN HCU003 HCU - - 31/08/2022 23:46:28 02/09/2022 20:04:57 Rp 780,000.00
2 ADANG
2022/08/02/00023 102098 HENDRIYANTO ISO3.04 ISOLASI - B34.2, 03/08/2022 22:53:48 04/08/2022 08:30:57 Rp 240,000.00
1
2022/08/04/00026 088875 YOYOH DAMIN ISO3.03 ISOLASI I50.0 B34.2, I50.0 05/08/2022 01:41:18 06/08/2022 10:30:36 Rp 240,000.00
1
2022/08/05/00000 102199 IIS SRIYATI ISO3.04 ISOLASI KC19 B34.2, 05/08/2022 08:15:04 05/08/2022 20:18:29 Rp 240,000.00
1
2022/08/19/00016 102681 EDI NUGRAHA ISO3.04 ISOLASI B36 B34.2, B36 19/08/2022 20:18:55 21/08/2022 01:41:20 Rp 360,000.00
2022/08/20/00002 102706 SELVI MUSTIKA ISO3.03 ISOLASI KC19 B34.2, 20/08/2022 11:07:19 21/08/2022 11:08:19 Rp 240,000.00
7
2022/08/22/00023 102763 QOTRUNNADA ISO3.08 ISOLASI - b34.2 23/08/2022 02:38:05 25/08/2022 10:39:38 Rp 360,000.00
0 PIKRIA RABBANI
2022/08/22/00025 091649 WAWAN BIN IDIT ISO3.01 ISOLASI - B34.2, 23/08/2022 23:24:05 27/08/2022 10:45:46 Rp 600,000.00
9
2022/08/25/00016 102904 YAYAT SARIF H ISO3.04 ISOLASI - B34.2, 25/08/2022 23:53:44 27/08/2022 10:19:26 Rp 360,000.00
6
2022/08/27/00001 102942 TONO HARTONO ISO3.01 ISOLASI B34 B34.2, 28/08/2022 00:25:58 30/08/2022 09:49:50 Rp 360,000.00
4
2022/08/29/00020 062175 DASUKI SAEFUL ISO3.04 ISOLASI - B34.2, 29/08/2022 13:33:11 30/08/2022 09:32:46 Rp 240,000.00
3
2022/07/29/00011 101978 AJIZ NYONYA
BAYI NC04 Kamar NICU - - 01/08/2022 08:18:25 05/08/2022 09:30:43 Rp 1,300,000.00
2 SISKA SITI
2022/07/25/00020 101814 NURHALIZA
BAYI NYONYA NC01 Kamar NICU - - 01/08/2022 08:18:48 05/08/2022 09:31:06 Rp 1,300,000.00
8 SUMARTINI
2022/08/02/00021 102088 BY. NYONYA SINTA NC05 Kamar NICU . - 02/08/2022 20:02:09 05/08/2022 09:30:25 Rp 1,040,000.00
4
2022/08/02/00021 102087 BY NY LUSI NC09 Kamar NICU - - 03/08/2022 08:15:17 08/08/2022 08:16:29 Rp 1,560,000.00
3
2022/08/02/00020 102085 SUMIATI
BY NY GINA ANDINI NC06 Kamar NICU P21.1 P21.1 04/08/2022 07:45:33 07/08/2022 07:41:59 Rp 1,040,000.00
2022/08/04/00023 102181 BAYI NYONYA NC03 Kamar NICU P22 P22 04/08/2022 15:07:21 04/08/2022 18:25:11 Rp 260,000.00
4 DATRIAH
2022/08/07/00003 102259 BAYI NYONYA NC05 Kamar NICU - P22.9 07/08/2022 21:22:37 14/08/2022 08:55:39 Rp 2,080,000.00
1 MELYSA NURAENI

11/18/22, 10:58 AM Page 10 of 25

2022/08/07/00003 102262 yajaira putri nagina NC03 Kamar NICU - - 07/08/2022 22:47:03 22/08/2022 08:36:21 Rp 4,160,000.00
4
2022/08/09/00025 102367 BY NY RISMA NC09 Kamar NICU - - 09/08/2022 08:17:41 29/08/2022 09:04:40 Rp 5,460,000.00
3
2022/08/09/00017 102358 BAYI NYONYA ELIS NC06 Kamar NICU - P22.9 09/08/2022 12:42:11 16/08/2022 12:01:59 Rp 2,080,000.00
1 HODIJAH
2022/08/10/00016 102386 BY NY SITI NC04 Kamar NICU - - 10/08/2022 08:18:32 18/08/2022 08:41:32 Rp 2,340,000.00
1
2022/08/08/00019 102301 MASITOH
BY NY MARLINA NC07 Kamar NICU - P22.9 10/08/2022 08:32:20 22/08/2022 08:45:03 Rp 3,380,000.00
3
2022/08/11/00014 102259 BAYI NYONYA NC01 Kamar NICU - - 11/08/2022 21:55:50 22/08/2022 08:40:37 Rp 3,120,000.00
9 MELYSA NURAENI
2022/08/11/00013 102425 BAYI NYONYA NC05 Kamar NICU - - 12/08/2022 08:05:18 18/08/2022 08:43:03 Rp 1,820,000.00
6
2022/08/16/00019 102358 RISNANYONYA ELIS
BAYI NC06 Kamar NICU - P22.9 16/08/2022 12:53:46 27/08/2022 10:34:41 Rp 3,120,000.00
8 HODIJAH
2022/08/17/00001 102603 BY NY KARLINA NC03 Kamar NICU - P22.9 17/08/2022 10:50:09 17/08/2022 14:11:59 Rp 260,000.00
6
2022/08/13/00000 102468 BAYI NYONYA NOVI NC02.0 Kamar NICU - - 18/08/2022 08:39:53 29/08/2022 13:34:11 Rp 3,120,000.00
8 HELYANI
2022/08/14/00000 102480 DAVIRA NAWIYA NC05 Kamar NICU - P22.9 18/08/2022 08:44:39 22/08/2022 08:44:46 Rp 1,300,000.00
3 AZZAHRA
2022/08/21/00003 102728 BAYI NYONYA NC04 Kamar NICU - p22.9 22/08/2022 00:36:33 01/09/2022 14:12:06 Rp 2,860,000.00
3 NENG RESA
2022/08/22/00014 102741 RESDIANI
BY NY RINI NC01 Kamar NICU P22.9 P22.9 22/08/2022 09:41:19 24/08/2022 14:50:35 Rp 780,000.00
7
2022/08/23/00027 102787 ANDRIANI
BY NY TITIN SITI NC07 Kamar NICU - P22.9 23/08/2022 06:58:19 07/09/2022 03:40:25 Rp 4,160,000.00
4 FATIMAH
2022/08/24/00025 102875 BY NY JUJUN NC03 Kamar NICU P22.9 P22.9 24/08/2022 09:39:45 25/08/2022 16:00:15 Rp 520,000.00
0
2022/08/01/00020 102044 ONONG BIN MT3.03 MERANTI III K74.1 K74.1, 01/08/2022 08:15:44 05/08/2022 08:07:35 Rp 600,000.00
6
2022/08/01/00015 102028 SUHAOMI
SARI BINTI OMAN MT3.07 MERANTI III A09 A09, 01/08/2022 08:18:56 03/08/2022 10:54:12 Rp 360,000.00
5
2022/08/01/00016 101753 IMAS MT3.29 MERANTI III - A15.0, 01/08/2022 14:36:24 02/08/2022 15:14:36 Rp 240,000.00
5
2022/08/01/00012 095002 MUMUN MT3.25 MERANTI III j18 J18.9, 01/08/2022 18:06:20 03/08/2022 10:56:00 Rp 360,000.00
2022/08/02/00023 102096 SANTIA NINGSIH MT3.04 MERANTI III - H81.1, 02/08/2022 08:30:27 04/08/2022 15:56:09 Rp 360,000.00
0
2022/08/02/00017 097753 IBANG MT3.10 MERANTI III K50.9 K50.9, 02/08/2022 11:10:18 04/08/2022 11:02:19 Rp 360,000.00
1
2022/08/02/00022 028054 ANAH MT3.17 MERANTI III - K30, 02/08/2022 23:14:35 06/08/2022 15:00:16 Rp 600,000.00
6
2022/08/03/00023 102158 OHAN BIN EMPUD MT3.21 MERANTI III - D64.9, 03/08/2022 08:10:35 05/08/2022 08:12:17 Rp 360,000.00
6
2022/08/03/00023 096695 IMAS PIPIH MT3.07 MERANTI III I50 I50.0, 03/08/2022 10:52:44 05/08/2022 08:17:22 Rp 360,000.00
0
2022/08/03/00022 102150 NANI SUGIAR MT3.20 MERANTI III - A91, 03/08/2022 10:59:11 07/08/2022 15:00:52 Rp 600,000.00
4
2022/08/04/00022 102148 YAYAH MT3.08 MERANTI III A09 A09, 03/08/2022 15:41:28 05/08/2022 08:24:31 Rp 360,000.00
1
2022/08/03/00021 102145 KARWATI BINTI MT3.22 MERANTI III 2 R18, 03/08/2022 20:28:48 06/08/2022 15:37:31 Rp 480,000.00
8 LUKMANUL
2022/08/03/00023 053284 TITIK ROHAETI MT3.08 MERANTI III B90.9 B90.9, 03/08/2022 20:33:27 06/08/2022 08:34:39 Rp 480,000.00
2022/08/03/00022 102153 SEPTIANA HASAN MT3.13 MERANTI III - B20, 03/08/2022 21:30:59 10/08/2022 15:41:00 Rp 960,000.00
7 SADIKIN
2022/08/03/00022 102147 WIWIN MT3.21 MERANTI III - - 03/08/2022 21:54:03 05/08/2022 16:34:46 Rp 240,000.00
0
2022/08/04/00022 094561 UDIN SYAMSUDIN MT3.15 MERANTI III K92.1 K92.1, 04/08/2022 09:33:32 05/08/2022 15:00:56 Rp 240,000.00
3
2022/08/04/00022 030425 ILAH MT3.08 MERANTI III R22.43 R22.9, 04/08/2022 11:22:52 09/08/2022 11:23:46 Rp 720,000.00
6
2022/08/02/00023 077507 JUJU BINTI IHIM MT3.29 MERANTI III - I50.0, 04/08/2022 14:33:04 06/08/2022 15:39:21 Rp 360,000.00
2022/08/04/00024 102185 KARYADI MT3.25 MERANTI III - J18.9, 04/08/2022 21:38:17 09/08/2022 18:51:02 Rp 720,000.00
6
2022/08/04/00023 071257 SAKRI MT3.26 MERANTI III - I50.0, 04/08/2022 21:42:12 05/08/2022 10:45:57 Rp 240,000.00
2022/08/05/00008 098481 SUTISNA MT3.16 MERANTI III - K74.6, 05/08/2022 09:35:18 08/08/2022 09:42:40 Rp 480,000.00
2022/08/05/00008 102222 SUGANDA MT3.33 MERANTI III - A15.0, 05/08/2022 09:36:12 08/08/2022 17:00:00 Rp 480,000.00
3
2022/08/05/00009 102225 MIRAWATI BINTI MT3.02 MERANTI III - D64.9, 05/08/2022 09:37:33 08/08/2022 17:00:50 Rp 480,000.00
6 AMIN

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2022/08/05/00007 102221 CACAH MT3.14 MERANTI III - J44.1, 05/08/2022 18:09:17 09/08/2022 13:52:59 Rp 600,000.00
9
2022/08/06/00000 102230 ADE MAHFUD MT3.10 MERANTI III - B90.9, 06/08/2022 10:08:30 08/08/2022 15:56:52 Rp 360,000.00
3
2022/08/06/00011 102235 YAYA MT3.27 MERANTI III - R57.0, 06/08/2022 10:10:47 09/08/2022 13:37:05 Rp 480,000.00
1
2022/08/07/00000 102170 MIMIN BINTI IDAN MT3.06 MERANTI III - D64.9, 07/08/2022 09:49:42 08/08/2022 14:20:07 Rp 240,000.00
3
2022/08/07/00003 102264 ANDI SUHANDI MT3.08 MERANTI III A91 A91, 07/08/2022 10:09:40 11/08/2022 10:10:24 Rp 600,000.00
7
2022/08/06/00010 095458 ADE MARYONO MT3.23 MERANTI III - I21.9, 07/08/2022 10:12:30 09/08/2022 09:12:21 Rp 360,000.00
6
2022/08/07/00001 093161 TUTI MT3.19 MERANTI III - A91, 07/08/2022 13:54:08 14/08/2022 08:33:53 Rp 960,000.00
2022/08/07/00001 096423 ade sukirman MT3.26 MERANTI III 0 D64.9, 07/08/2022 22:22:47 08/08/2022 17:00:51 Rp 240,000.00
9
2022/08/08/00024 101765 YANI HANDAYANI MT3.26 MERANTI III - I11.0, 08/08/2022 08:00:25 10/08/2022 09:17:14 Rp 360,000.00
1
2022/08/08/00007 094076 PIAH BINTI TAYAN MT3.22 MERANTI III - A09, 08/08/2022 09:23:55 09/08/2022 09:19:12 Rp 240,000.00
1
2022/08/08/00018 102298 EDIN BIN EMPE MT3.08 MERANTI III A15 A15, 08/08/2022 12:30:45 11/08/2022 08:50:15 Rp 480,000.00
1
2022/08/03/00022 102147 WIWIN MT3.08 MERANTI III - R50.9, 08/08/2022 16:01:39 09/08/2022 18:55:18 Rp 240,000.00
0
2022/08/08/00021 102304 II BIN ENDI MT3.16 MERANTI III E87.6 E87.6, 08/08/2022 16:37:32 13/08/2022 07:55:31 Rp 720,000.00
1
2022/08/08/00021 060705 UCUM SETIAWATI MT3.20 MERANTI III K76.9 K76.9, 08/08/2022 16:54:42 11/08/2022 07:59:01 Rp 480,000.00
4
2022/08/08/00016 081704 OON KOMARIAH MT3.24 MERANTI III I50 I50.0, 08/08/2022 17:15:37 10/08/2022 17:46:58 Rp 360,000.00
3
2022/08/08/00021 095949 MARPUAH BINTI MT3.15 MERANTI III I50 I50.0, 08/08/2022 18:36:17 11/08/2022 14:14:40 Rp 480,000.00
3
2022/08/08/00018 102300 OMI
ATIAH BIN SAPRI MT3.28 MERANTI III - K30, 08/08/2022 22:32:28 10/08/2022 09:12:06 Rp 360,000.00
9
2022/08/09/00000 102329 YUYUM MT3.20 MERANTI III K92.0 K92.0, 09/08/2022 16:30:47 11/08/2022 08:12:12 Rp 360,000.00
5
2022/08/09/00015 101178 ADANG BIN MT3.04 MERANTI III K30 K30, 09/08/2022 20:51:37 12/08/2022 14:00:34 Rp 480,000.00
3
2022/08/09/00017 087180 HADMAR
DENI IRAWAN MT3.08 MERANTI III - A15, 09/08/2022 21:15:16 10/08/2022 07:51:57 Rp 240,000.00
6
2022/08/07/00003 063394 IKIN BIN IHAD MT3.23 MERANTI III R57.0 R57.0, 10/08/2022 07:52:56 11/08/2022 11:00:25 Rp 240,000.00
6
2022/08/10/00016 102390 TATANG MT3.06 MERANTI III J18 J18.9, 10/08/2022 10:28:11 13/08/2022 08:19:21 Rp 480,000.00
7
2022/08/10/00016 101886 SURYAMAN
KOSIMAN WARID MT3.29 MERANTI III - J18.9, 10/08/2022 16:06:45 14/08/2022 10:00:31 Rp 600,000.00
2022/08/10/00014 087090 LILIT BINTI SIROD MT3.22 MERANTI III - E11.9, 10/08/2022 18:47:11 13/08/2022 08:13:22 Rp 480,000.00
7
2022/08/10/00016 102387 KOKOM BINTI MT3.27 MERANTI III - N39.0, 10/08/2022 23:07:55 13/08/2022 10:00:56 Rp 480,000.00
3 KARMITA
2022/08/11/00012 057434 YAYAT RUHYATNA MT3.08 MERANTI III D64.9 D64.9, 11/08/2022 10:37:57 12/08/2022 10:39:56 Rp 240,000.00
2022/08/11/00012 013565 SUJANA BIN WIHAR MT3.06 MERANTI III K29.6 K29.6, 11/08/2022 18:31:41 13/08/2022 08:06:59 Rp 360,000.00
7
2022/08/11/00012 102421 HANI TRIANI MT3.15 MERANTI III - N39.0, 11/08/2022 22:05:27 13/08/2022 15:10:34 Rp 360,000.00
9
2022/08/12/00020 100287 CECEP SOFYAN MT3.12 MERANTI III - N18.9, 12/08/2022 07:46:08 15/08/2022 15:07:36 Rp 480,000.00
7
2022/08/12/00021 100367 ITA ROSITA MT3.10 MERANTI III I50 I50.0, 12/08/2022 10:59:58 15/08/2022 17:00:37 Rp 480,000.00
5
2022/08/12/00015 102438 RINI RINDA MT3.02 MERANTI III A15 A15.3, 12/08/2022 17:34:49 15/08/2022 12:11:20 Rp 480,000.00
4
2022/08/13/00002 098763 MAYANTI
ADE RUHIYAT MT3.06 MERANTI III E87 E87, 13/08/2022 08:19:33 19/08/2022 13:48:53 Rp 840,000.00
4
2022/08/14/00002 102369 AMAH MT3.15 MERANTI III J45.9 J45.9, 14/08/2022 23:26:32 16/08/2022 13:28:19 Rp 360,000.00
7
2022/08/15/00020 088157 ISRO BIN IDA MT3.29 MERANTI III - J44.9, 15/08/2022 06:59:57 18/08/2022 14:16:53 Rp 480,000.00
7
2022/08/15/00021 091402 NANDANG SAPUTRA MT3.10 MERANTI III - E11.9, 15/08/2022 07:56:49 18/08/2022 09:08:27 Rp 480,000.00
5
2022/08/15/00013 102044 ONONG BIN MT3.33 MERANTI III - N18, 15/08/2022 13:00:26 18/08/2022 09:12:51 Rp 480,000.00
6
2022/08/15/00012 013565 SUHAOMI
SUJANA BIN WIHAR MT3.07 MERANTI III - K92.1, 15/08/2022 14:50:09 20/08/2022 10:51:47 Rp 720,000.00
7
2022/08/15/00018 102536 AAT BINTI UUN MT3.10 MERANTI III I21 I21.9, 15/08/2022 14:58:12 18/08/2022 07:46:12 Rp 480,000.00
7
2022/08/15/00018 067128 IAH SUHAYATI MT3.27 MERANTI III - E14, 15/08/2022 15:14:27 17/08/2022 10:00:21 Rp 360,000.00
9
2022/08/15/00021 102444 MAHDAR BIN MT3.02 MERANTI III J18 J18, 15/08/2022 16:55:40 25/08/2022 08:47:46 Rp 1,320,000.00
9
2022/08/16/00016 102147 KAMSIN
WIWIN MT3.30 MERANTI III - - 16/08/2022 09:34:32 18/08/2022 16:37:07 Rp 240,000.00
1
2022/08/16/00016 043993 RASMANAH BINTI MT3.01 MERANTI III J44 J44, 16/08/2022 10:15:26 18/08/2022 13:59:29 Rp 360,000.00
5 OONG
2022/08/16/00020 102591 ACENG MUMIN MT3.15 MERANTI III - G03.9, 16/08/2022 10:56:54 18/08/2022 07:49:15 Rp 360,000.00
8
2022/08/16/00020 102592 MILAH BINTI SARDI MT3.25 MERANTI III - B19.9, 16/08/2022 10:57:45 18/08/2022 09:18:10 Rp 360,000.00
9

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2022/08/16/00021 102581 DODOH BINTI MT3.13 MERANTI III - A16, 16/08/2022 10:58:40 18/08/2022 10:00:38 Rp 360,000.00
2
2022/08/13/00000 040132 ENTU
NUNU SUMARNA MT3.03 MERANTI III - J18.90, 16/08/2022 12:48:09 18/08/2022 09:16:16 Rp 360,000.00
6
2022/08/16/00018 046241 SAMSURI BIN MT3.22 MERANTI III - J18.9, 16/08/2022 21:11:36 19/08/2022 08:17:07 Rp 480,000.00
6
2022/08/17/00000 102595 SAHMA
MINAR BINTI KOMA MT3.27 MERANTI III - E11.9, 17/08/2022 09:05:51 19/08/2022 09:54:12 Rp 360,000.00
7
2022/08/17/00002 102608 SUPAR BIN SARUD MT3.19 MERANTI III - E87, 17/08/2022 22:10:01 19/08/2022 13:44:43 Rp 360,000.00
5
2022/08/18/00013 102663 OHAN BN OYO MT3.08 MERANTI III 1 I61.9, 18/08/2022 09:12:29 20/08/2022 08:23:50 Rp 360,000.00
9
2022/08/18/00014 097191 TATANG MT3.32 MERANTI III - J18.90, 18/08/2022 09:34:59 22/08/2022 17:00:30 Rp 600,000.00
0
2022/08/18/00000 102613 AHIM BIN DANI MT3.20 MERANTI III J18.90 J18.90, 18/08/2022 10:40:57 20/08/2022 07:48:44 Rp 360,000.00
1
2022/08/18/00012 102651 ODANG BIN YOHA MT3.03 MERANTI III A15 A15.9, 18/08/2022 17:35:39 19/08/2022 08:21:28 Rp 240,000.00
0
2022/08/19/00017 102245 ENGKOS MT3.33 MERANTI III - K30, 19/08/2022 00:00:54 21/08/2022 10:59:47 Rp 360,000.00
5
2022/08/19/00018 102689 roro rohayati MT3.03 MERANTI III R07.9 R07.4, 19/08/2022 08:29:36 20/08/2022 08:31:50 Rp 240,000.00
4
2022/08/18/00013 102662 NANA SUMARNA MT3.28 MERANTI III - E11.9, 19/08/2022 09:22:17 22/08/2022 11:17:24 Rp 480,000.00
8
2022/08/19/00018 053114 TITIN SUMINAR MT3.12 MERANTI III - I50.0, 19/08/2022 22:52:08 23/08/2022 15:12:15 Rp 600,000.00
2022/08/19/00017 065351 MAMAN BIN IRUH MT3.29 MERANTI III - J18.9, 19/08/2022 22:53:38 22/08/2022 17:00:39 Rp 480,000.00
7
2022/08/19/00017 102683 CACA MT3.16 MERANTI III - A01.0, 19/08/2022 22:54:30 21/08/2022 10:03:17 Rp 360,000.00
3
2022/08/19/00017 102405 IJAN BN ANDI MT3.04 MERANTI III - J40, 19/08/2022 22:55:28 20/08/2022 08:15:06 Rp 240,000.00
0
2022/08/19/00014 102676 MAMAN SUPARMAN MT3.25 MERANTI III - A15.0, 19/08/2022 23:02:31 21/08/2022 10:57:04 Rp 360,000.00
4
2022/08/19/00017 102686 ANGGI SUKMANA MT3.21 MERANTI III - - 19/08/2022 23:03:33 23/08/2022 09:12:37 Rp 600,000.00
9
2022/08/19/00014 101804 ISRO BIN IDA MT3.09 MERANTI III - J18.9, 19/08/2022 23:06:35 22/08/2022 14:45:01 Rp 480,000.00
2022/08/19/00018 102688 LUSI INTAN MT3.06 MERANTI III - G45.9 20/08/2022 09:18:21 20/08/2022 10:50:41 Rp 120,000.00
3 SETIAWATI
2022/08/20/00001 102696 LINDA BT IIM MT3.13 MERANTI III - R50.9, 20/08/2022 18:46:53 22/08/2022 17:00:46 Rp 360,000.00
0
2022/08/20/00001 091896 TUTI KASWATI MT3.27 MERANTI III K30 K30, 20/08/2022 21:43:07 23/08/2022 13:56:58 Rp 480,000.00
6
2022/08/20/00001 027617 YANG ANGGUN MT3.05 MERANTI III A49.9 A49.9, 20/08/2022 21:48:43 22/08/2022 07:46:21 Rp 360,000.00
7
2022/08/20/00002 057434 YAYAT RUHYATNA MT3.01 MERANTI III CHF - 20/08/2022 23:44:33 21/08/2022 19:18:27 Rp 240,000.00
6
2022/08/21/00001 102718 HAYATI BT EMPID MT3.26 MERANTI III CHF K72.1, 21/08/2022 02:04:13 24/08/2022 10:15:27 Rp 480,000.00
9
2022/08/21/00001 100598 TATI HERMAWATI MT3.30 MERANTI III N18 N18, 21/08/2022 02:11:50 24/08/2022 10:17:20 Rp 480,000.00
5
2022/08/16/00016 102147 WIWIN MT3.31 MERANTI III - - 21/08/2022 07:50:49 22/08/2022 15:09:34 Rp 240,000.00
1
2022/08/21/00001 069952 YANI BINTI OBOS MT3.10 MERANTI III - H81.1, 21/08/2022 21:20:51 23/08/2022 13:49:03 Rp 360,000.00
6
2022/08/21/00001 102717 IMIM BT JAPAR MT3.18 MERANTI III A01.0 A01.0, 22/08/2022 01:21:14 22/08/2022 17:00:20 Rp 240,000.00
1
2022/08/15/00022 100529 MAMAN IDRUS MT3.03 MERANTI III - I50.0, 22/08/2022 12:47:02 22/08/2022 07:41:17 Rp 120,000.00
0
2022/08/13/00002 061399 OOM BINTI DARIMI MT3.04 MERANTI III - I50.0, 22/08/2022 12:47:59 23/08/2022 13:53:56 Rp 240,000.00
2022/08/20/00002 102705 EMIN BINTI SURYA MT3.07 MERANTI III E87.6 E87.6, 22/08/2022 14:06:18 23/08/2022 13:51:57 Rp 240,000.00
2022/08/22/00025 043428 HENI BINTI IRO MT3.09 MERANTI III E16.2 E16.2, 22/08/2022 14:35:52 26/08/2022 17:00:47 Rp 600,000.00
5
2022/08/22/00018 094377 UUM RUMAESIH MT3.13 MERANTI III N39.0 N39.0, 22/08/2022 14:46:33 25/08/2022 17:34:04 Rp 480,000.00
6
2022/08/22/00024 099675 JAMLI BIN AHRI MT3.06 MERANTI III I48 I48, 22/08/2022 14:52:51 25/08/2022 11:44:11 Rp 480,000.00
3
2022/08/22/00026 102760 FARID FADILLAH MT3.33 MERANTI III - N18.5, 22/08/2022 21:03:42 25/08/2022 08:46:46 Rp 480,000.00
4
2022/08/22/00025 102773 AI NURBAYANTI MT3.25 MERANTI III J18 J18.90, 22/08/2022 23:10:28 25/08/2022 08:08:04 Rp 480,000.00
0
2022/08/23/00049 091402 NANDANG SAPUTRA MT3.04 MERANTI III - E11.9, 23/08/2022 07:17:23 25/08/2022 11:03:13 Rp 360,000.00
3
2022/08/23/00051 102834 SUSILAWATI BT MT3.15 MERANTI III - A90, 23/08/2022 11:31:52 26/08/2022 13:35:56 Rp 480,000.00
5 EUNDIH
2022/08/23/00050 102829 NUNUNG BINTI MT3.18 MERANTI III - A49.9, 23/08/2022 11:37:13 26/08/2022 09:44:07 Rp 480,000.00
5
2022/08/23/00048 102821 BAETI
UJANG ABDULAH MT3.01 MERANTI III - I11.0, 23/08/2022 11:41:07 26/08/2022 10:08:34 Rp 480,000.00
4
2022/08/23/00045 070964 MAIL
EDIN SAEDIN MT3.05 MERANTI III K56.7 K56.7, 23/08/2022 14:32:06 25/08/2022 14:29:47 Rp 360,000.00
6
2022/08/23/00046 038846 IAH BINTI ENEM MT3.28 MERANTI III J18.9 J18.9, 23/08/2022 14:42:18 25/08/2022 11:45:40 Rp 360,000.00
0
2022/08/23/00050 102831 ENUNG BINTI IDI MT3.27 MERANTI III - A09.9, 23/08/2022 23:34:57 26/08/2022 09:55:57 Rp 480,000.00
8

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2022/08/24/00024 037042 SOLIHIN BIN SARID MT3.30 MERANTI III - J18.90, 24/08/2022 09:41:45 28/08/2022 08:12:19 Rp 600,000.00
6
2022/08/24/00023 081704 OON KOMARIAH MT3.22 MERANTI III - E11, 24/08/2022 09:42:47 03/09/2022 17:00:07 Rp 1,320,000.00
2022/08/24/00024 102874 EMAH BINTI SOMA MT3.26 MERANTI III - K30, 24/08/2022 09:43:44 27/08/2022 07:58:30 Rp 480,000.00
8
2022/08/24/00000 101532 SITI MARYAM MT3.08 MERANTI III N39.0 N39.0, 24/08/2022 14:39:19 26/08/2022 13:34:04 Rp 360,000.00
2022/08/24/00023 102870 JUHAYAH MT3.29 MERANTI III - N18.5, 24/08/2022 22:14:07 27/08/2022 08:01:58 Rp 480,000.00
4
2022/08/24/00023 101623 IMAS BIN KIRMAN MT3.21 MERANTI III - J91, 24/08/2022 23:45:49 29/08/2022 11:26:03 Rp 720,000.00
9
2022/08/25/00005 100184 SATRIAH BINTI MT3.04 MERANTI III - D64, 25/08/2022 14:15:53 02/09/2022 13:19:34 Rp 1,080,000.00
6
2022/08/25/00016 102903 TAHLI
ALIS BINTI ENUH MT3.05 MERANTI III - - 25/08/2022 23:08:47 27/08/2022 10:52:07 Rp 360,000.00
5
2022/08/25/00016 097895 ADE HERI MT3.25 MERANTI III - A09, 25/08/2022 23:10:07 29/08/2022 11:25:14 Rp 600,000.00
9
2022/08/26/00026 072225 DEDI JUNAEDI, TN. MT3.01 MERANTI III - - 26/08/2022 09:57:38 31/08/2022 10:03:27 Rp 720,000.00
5
2022/08/26/00025 094214 ITOH MASITOH MT3.07 MERANTI III J18.90 J18.90, 26/08/2022 10:01:46 30/08/2022 15:30:54 Rp 600,000.00
9
2022/08/26/00025 102925 AWANG BIN MT3.19 MERANTI III E11 E11, 26/08/2022 10:38:40 30/08/2022 11:42:34 Rp 600,000.00
5
2022/08/22/00000 048537 MUHYAN
UCU RISMAWATI MT3.03 MERANTI III - I11.0, 26/08/2022 10:41:09 31/08/2022 13:35:15 Rp 600,000.00
3
2022/08/26/00024 102916 OJE SUTARJA MT3.08 MERANTI III J18 J18, 26/08/2022 11:08:12 29/08/2022 13:26:50 Rp 480,000.00
5
2022/08/26/00017 058630 IPONG BINTI MT3.08 MERANTI III K30 K30, 26/08/2022 13:30:47 27/08/2022 08:24:40 Rp 240,000.00
4
2022/08/26/00024 100488 DARNAN
KARTINI MT3.18 MERANTI III E63.9 E63.9, 26/08/2022 16:30:13 01/09/2022 13:55:38 Rp 840,000.00
2022/08/26/00018 089970 ANING BIN UYEK MT3.33 MERANTI III K72.1 K72.1, 26/08/2022 16:55:44 29/08/2022 13:30:54 Rp 480,000.00
5
2022/08/27/00002 056539 SILI KRISMAWATI MT3.23 MERANTI III 1 H81.4, 27/08/2022 09:06:53 30/08/2022 09:10:38 Rp 480,000.00
2022/08/27/00002 085289 AGUS BN EMPAD MT3.06 MERANTI III = I50.0, 27/08/2022 09:16:48 29/08/2022 17:07:01 Rp 360,000.00
7
2022/08/27/00002 102145 KARWATI BINTI MT3.12 MERANTI III E11.9 E11.9, 27/08/2022 13:14:37 29/08/2022 16:57:31 Rp 360,000.00
4 LUKMANUL
2022/08/27/00002 095198 UTIK BT AMAR MT3.16 MERANTI III E11.9 E11.9, 27/08/2022 13:17:20 29/08/2022 16:43:01 Rp 360,000.00
1
2022/08/27/00000 102934 JAKA BIN H.ARIS MT3.19 MERANTI III R50 R50.9, 27/08/2022 22:55:44 29/08/2022 13:28:35 Rp 360,000.00
3
2022/08/27/00001 102943 AJUD BIN KAMAD MT3.13 MERANTI III - R50.9, 27/08/2022 23:25:10 30/08/2022 11:40:33 Rp 480,000.00
5
2022/08/28/00002 062815 JUJU BIN ENDANG MT3.27 MERANTI III - E87.1, 28/08/2022 09:06:43 31/08/2022 13:33:43 Rp 480,000.00
0
2022/08/28/00002 102962 ENUNG MAROH MT3.08 MERANTI III - I50.0, 28/08/2022 10:36:41 30/08/2022 11:46:33 Rp 360,000.00
2022/08/28/00000 102953 ENDANG MT3.19 MERANTI III B20 B20, 28/08/2022 15:36:46 30/08/2022 11:41:31 Rp 360,000.00
6
2022/08/29/00007 102977 RUSWANDI
A SUPARDIN MT3.05 MERANTI III - D64.9, 29/08/2022 12:44:57 31/08/2022 10:10:08 Rp 360,000.00
8
2022/08/29/00013 102987 ACENG BN AMAN MT3.29 MERANTI III - D64.9, 29/08/2022 13:07:06 31/08/2022 10:05:52 Rp 360,000.00
2022/08/29/00021 103026 ISKANDAR BIN MT3.08 MERANTI III A90 A90, 29/08/2022 13:34:00 01/09/2022 10:45:42 Rp 480,000.00
0
2022/08/29/00020 103024 HASIM GELAR
FAJAR MT3.03 MERANTI III A01.0 A01.0, 29/08/2022 13:36:43 01/09/2022 10:38:40 Rp 480,000.00
7 NUGRAHA
2022/08/29/00020 103022 ROSY DANINGSIH MT3.10 MERANTI III D64.9 D64.9, 29/08/2022 13:48:37 01/09/2022 10:29:25 Rp 480,000.00
4
2022/08/29/00021 103028 AHUN BIN ANA MT3.05 MERANTI III D64.9 D64.9, 29/08/2022 13:51:58 02/09/2022 13:21:20 Rp 600,000.00
3
2022/08/29/00020 031604 SUTARSIH BINTI MT3.03 MERANTI III N39.9 N39.9, 29/08/2022 14:11:16 31/08/2022 15:27:55 Rp 360,000.00
8
2022/08/29/00020 103023 MEDI LUTFI
ANISA MT3.25 MERANTI III - - 29/08/2022 16:49:00 02/09/2022 13:22:56 Rp 600,000.00
6
2022/08/30/00023 103059 FAUZIAH
MAMAT ROHMAT MT3.30 MERANTI III - J18.9, 30/08/2022 07:23:28 01/09/2022 09:45:18 Rp 360,000.00
6
2022/08/30/00025 035293 IDRIS KALYUBI MT3.33 MERANTI III - A49.9, 30/08/2022 08:14:01 03/09/2022 07:42:14 Rp 600,000.00
4
2022/08/30/00024 102806 KARSIAH BINTI MT3.19 MERANTI III - R63.8, 30/08/2022 08:54:37 31/08/2022 10:02:37 Rp 240,000.00
0
2022/08/30/00015 084045 ERUM
CICIH BINTI SAFRI MT3.01 MERANTI III A09 A09, 30/08/2022 15:04:07 31/08/2022 15:28:47 Rp 240,000.00
0
2022/08/30/00023 102794 BIDIN BIN ASMITA MT3.07 MERANTI III - I50.0, 30/08/2022 21:25:20 06/09/2022 18:02:04 Rp 960,000.00
8
2022/08/31/00029 103100 HERI SUTIANA MT3.12 MERANTI III N20.0 N20.0, 31/08/2022 13:41:38 02/09/2022 13:17:55 Rp 360,000.00
2022/08/31/00030 036998 ATI BINTI AEP MT3.06 MERANTI III K30 K30, 31/08/2022 13:46:25 05/09/2022 17:16:39 Rp 720,000.00
7
2022/08/30/00027 103094 JAJANG NURJAMAN MT3.23 MERANTI III - H81.1, 31/08/2022 20:04:22 03/09/2022 08:57:33 Rp 480,000.00
1
2022/07/31/00014 099724 OCIM TR3.05 MERBABU - N18 02/08/2022 05:54:51 02/08/2022 17:36:12 Rp 120,000.00
6
2022/08/02/00006 087333 DIYAH RODIYAH TR3.09 MERBABU - k30 02/08/2022 10:45:28 03/08/2022 14:03:53 Rp 240,000.00
9

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2022/08/03/00016 102136 BAYI NYONYA TR3.02 MERBABU - - 03/08/2022 09:37:55 03/08/2022 07:24:06 Rp 120,000.00
6 ROSMAWATI
2022/08/03/00000 102103 RURI WIJAYA TR3.01 MERBABU - I64 04/08/2022 08:51:52 05/08/2022 17:05:09 Rp 240,000.00
5
2022/08/04/00025 099728 UYU WAHYU TR3.01 MERBABU I64 I64 04/08/2022 15:16:45 04/08/2022 14:35:02 Rp 120,000.00
8
2022/08/05/00008 096944 WIWIN TR3.09 MERBABU - - 05/08/2022 17:40:19 13/08/2022 16:49:59 Rp 1,080,000.00
4
2022/08/08/00024 088839 IIS GUSTINI TR3.06 MERBABU - N39 09/08/2022 07:57:17 09/08/2022 08:09:18 Rp 120,000.00
2022/08/13/00002 102477 BY NY ROPITASARI TR3.06 MERBABU RESPIRATORY - 14/08/2022 00:25:10 13/08/2022 08:39:07 Rp 0.00
3 DISSTRES
2022/08/17/00001 102601 NURHAYATI BINTI TR3.05 MERBABU - I21.9 18/08/2022 09:03:40 18/08/2022 11:10:43 Rp 120,000.00
4 IROD
2022/08/19/00017 040768 AJUM BIN HAMBALI TR3.06 MERBABU - E87 19/08/2022 23:04:27 20/08/2022 17:45:15 Rp 240,000.00
4
2022/08/19/00018 102687 NUR RIZKI TR3.01 MERBABU - febris 20/08/2022 07:08:22 20/08/2022 10:32:22 Rp 120,000.00
1
2022/08/24/00021 102862 CEPI BIN ISMAIL TR3.06 MERBABU - S32.4 24/08/2022 08:20:01 25/08/2022 15:45:15 Rp 240,000.00
5
2022/08/25/00015 102900 H. HAMDAN TR3.05 MERBABU - ARDS 25/08/2022 08:18:36 25/08/2022 16:00:11 Rp 120,000.00
3
2022/08/26/00023 057592 TETI ROSMAYATI TR3.06 MERBABU N18.5 N18.5 27/08/2022 10:08:08 06/09/2022 10:02:47 Rp 1,320,000.00
9
2022/08/26/00025 102927 JAPAR BIN SOLIHIN TR3.05 MERBABU ANAEMIA ANEMIA 27/08/2022 10:43:46 27/08/2022 09:43:15 Rp 120,000.00
8
2022/08/28/00001 102960 MARIAM BINTI TR3.05 MERBABU - HHD 29/08/2022 10:36:44 29/08/2022 11:02:56 Rp 120,000.00
3
2022/08/30/00005 069703 JAYA
DUDIN TR3.09 MERBABU - I24.9 31/08/2022 07:49:49 31/08/2022 11:07:30 Rp 120,000.00
8 SYAMSUDIN, TN.
2022/08/01/00020 101876 RISMA NF1.01 NIFAS I - - 01/08/2022 15:36:31 03/08/2022 11:22:54 Rp 600,000.00
0
2022/07/31/00013 101996 MURNI NF3.01 NIFAS III O42 O42 01/08/2022 10:36:46 02/08/2022 13:04:10 Rp 240,000.00
9
2022/08/01/00018 101917 SOLIHAH BINTI NF3.07 NIFAS III - - 01/08/2022 11:47:44 04/08/2022 14:53:01 Rp 480,000.00
7 AKMAL
2022/08/01/00020 102025 EKA IDA ROSDIANA NF3.05 NIFAS III - - 01/08/2022 15:29:23 03/08/2022 11:22:22 Rp 360,000.00
1
2022/08/01/00021 102047 EVI NURJANAH NF3.09 NIFAS III - - 01/08/2022 22:09:19 05/08/2022 13:24:03 Rp 600,000.00
0
2022/08/01/00018 101061 NENA NURHILA NF3.10 NIFAS III - O41.0 02/08/2022 08:12:52 02/08/2022 13:03:42 Rp 120,000.00
9
2022/08/01/00019 102021 SARI
GINA ANDINI NF3.06 NIFAS III - - 02/08/2022 08:33:50 03/08/2022 11:21:37 Rp 240,000.00
5
2022/08/02/00016 101099 LILIS SAMIRAH NF3.15 NIFAS III O32.2 O32.2 02/08/2022 08:37:37 04/08/2022 10:40:04 Rp 360,000.00
4
2022/08/02/00021 102089 NURHAYATI NF3.11 NIFAS III O42 O42 02/08/2022 08:47:27 04/08/2022 15:47:39 Rp 360,000.00
8
2022/08/02/00012 023473 LUSI SUMIATI NF3.08 NIFAS III O14.1 O14.1 02/08/2022 08:59:33 04/08/2022 14:53:50 Rp 360,000.00
9
2022/08/02/00020 100160 HENI NF3.15 NIFAS III - N80.9 02/08/2022 09:01:06 05/08/2022 10:41:03 Rp 480,000.00
6
2022/08/02/00019 101899 NENI NF3.15 NIFAS III - - 02/08/2022 10:45:54 03/08/2022 11:21:57 Rp 240,000.00
9
2022/08/02/00021 102054 TITIN SAEPUL NF3.01 NIFAS III - N83.2 02/08/2022 14:05:09 04/08/2022 10:40:23 Rp 360,000.00
0 HOTIMAH
2022/08/02/00015 102071 NINA IDA ISMAYA NF3.04 NIFAS III - - 02/08/2022 15:32:50 04/08/2022 11:34:32 Rp 360,000.00
5
2022/08/02/00022 102092 EVRIDA DINASTI NF3.07 NIFAS III - O98.4 02/08/2022 21:37:53 03/08/2022 11:23:54 Rp 240,000.00
2022/08/02/00023 101126 SAMSIAH NF3.13 NIFAS III - - 03/08/2022 00:09:03 25/08/2022 09:04:46 Rp 2,760,000.00
5
2022/08/01/00020 069047 MELTI AMELIA NF3.10 NIFAS III - O60 03/08/2022 08:40:11 05/08/2022 13:24:43 Rp 360,000.00
4 TRIMANA
2022/08/03/00013 082615 AGNISA RESTU NF3.01 NIFAS III O36.4 O36.4 03/08/2022 12:19:17 04/08/2022 12:24:04 Rp 240,000.00
3 LESTARI
2022/08/02/00022 094491 EVI RISNAWATI NF3.06 NIFAS III - O32.9 03/08/2022 13:29:03 04/08/2022 15:40:48 Rp 240,000.00
1
2022/08/02/00020 102053 ROSMAWATI BINTI NF3.14 NIFAS III - O48 03/08/2022 13:30:56 04/08/2022 15:31:54 Rp 240,000.00
4 ISAH
2022/08/02/00022 102093 LINDA NF3.07 NIFAS III - - 03/08/2022 15:52:36 05/08/2022 13:26:38 Rp 360,000.00
3
2022/08/01/00021 099502 DATRIAH NF3.05 NIFAS III O32 O32 03/08/2022 16:52:28 06/08/2022 09:05:38 Rp 480,000.00
2022/08/03/00011 102122 NURYANI BINTI NF3.12 NIFAS III - - 03/08/2022 18:33:25 08/08/2022 11:44:07 Rp 720,000.00
4
2022/08/04/00022 101890 DODO
RENI NF3.04 NIFAS III - - 04/08/2022 10:25:43 12/08/2022 12:01:40 Rp 1,080,000.00
2
11/18/22, 10:58 AM Page 15 of 25
2022/08/03/00023 024380 MARYAM NF3.07 NIFAS III - - 04/08/2022 10:36:30 05/08/2022 13:26:51 Rp 240,000.00
7
2022/08/03/00023 102157 ENDAH MIRANTI NF3.11 NIFAS III - - 04/08/2022 10:38:21 05/08/2022 13:24:32 Rp 240,000.00
5
2022/08/04/00025 102192 SUSI AGUSTIANITA NF3.15 NIFAS III - O42.0 04/08/2022 10:46:44 05/08/2022 13:25:13 Rp 240,000.00
6
2022/08/04/00025 102188 RESTI PURNAMA NF3.15 NIFAS III O02.0 O02.0 04/08/2022 12:32:37 06/08/2022 12:33:33 Rp 360,000.00
1
2022/08/03/00021 073735 ELIN LINDALUT NF3.01 NIFAS III O14 O14 04/08/2022 14:49:58 05/08/2022 13:22:35 Rp 240,000.00
3
2022/08/04/00026 102194 FIANI
SITI RISMAYANTI NF3.08 NIFAS III - O42.0 05/08/2022 10:48:27 05/08/2022 13:22:53 Rp 120,000.00
2022/08/05/00000 046082 RESI NF3.12 NIFAS III - - 05/08/2022 11:20:30 07/08/2022 15:36:27 Rp 360,000.00
7
2022/08/05/00009 101781 TINA NOPIYANTI NF3.01 NIFAS III O21.1 O21.1 05/08/2022 11:38:52 09/08/2022 11:42:23 Rp 600,000.00
3
2022/08/05/00000 102200 WIDYA ASTUTI NF3.10 NIFAS III O32.9 O32.9 05/08/2022 13:38:26 05/08/2022 09:43:47 Rp 120,000.00
2 HESTORINI
2022/08/05/00008 102208 DEDE JUBAEDAH NF3.01 NIFAS III - O41.0 06/08/2022 09:23:43 06/08/2022 09:40:33 Rp 120,000.00
0
2022/08/05/00009 102070 TITIN SAEPUL NF3.01 NIFAS III - Z48.8 06/08/2022 09:33:52 07/08/2022 08:57:11 Rp 240,000.00
7 HOTIMAH
2022/08/05/00010 102227 MAYA ROMANTIR NF3.08 NIFAS III O42 O42 06/08/2022 10:08:31 06/08/2022 17:08:42 Rp 120,000.00
0
2022/08/05/00010 102231 SELA WIDIANTI NF3.01 NIFAS III - O42.0 06/08/2022 10:14:03 07/08/2022 10:07:58 Rp 240,000.00
1
2022/08/06/00010 096284 SISKA SITI NF3.15 NIFAS III R33 R33 06/08/2022 10:22:09 12/08/2022 12:52:06 Rp 840,000.00
9 NURHALIZA
2022/08/06/00010 102233 SITI NURJANAH NF3.09 NIFAS III - O06.9 06/08/2022 13:55:23 08/08/2022 17:29:09 Rp 360,000.00
5
2022/08/06/00011 100893 WAHYUNI KARTIKA NF3.07 NIFAS III - - 06/08/2022 19:29:19 07/08/2022 08:56:45 Rp 240,000.00
6 SANTI
2022/08/07/00000 101058 AI PUPUT NF3.14 NIFAS III O42.0 O42.0 07/08/2022 09:56:36 08/08/2022 10:06:53 Rp 240,000.00
7
2022/08/07/00000 102246 SETIAWATI
TITA SUMIATI NF3.15 NIFAS III - - 07/08/2022 10:13:31 09/08/2022 11:28:09 Rp 360,000.00
8
2022/08/06/00011 102237 BINTANG ELSA SRI NF3.14 NIFAS III - O14.9 07/08/2022 10:16:06 08/08/2022 11:33:05 Rp 240,000.00
3 AYUNI
2022/08/07/00001 095884 ROHAETI NF3.14 NIFAS III - N83.2 07/08/2022 15:10:30 10/08/2022 14:30:51 Rp 480,000.00
7
2022/08/07/00000 096600 KOMALASARI NF3.10 NIFAS III O64 O64.1 07/08/2022 16:04:23 08/08/2022 11:33:37 Rp 240,000.00
4
2022/08/07/00002 102255 WIDHIA PERMATA NF3.11 NIFAS III - O21.1 07/08/2022 20:07:47 11/08/2022 07:51:02 Rp 600,000.00
1
2022/08/08/00022 102307 IYET NF3.11 NIFAS III O00 O00 08/08/2022 07:15:56 11/08/2022 14:12:27 Rp 480,000.00
3
2022/08/08/00021 102285 NIA BINTI MEMED NF3.08 NIFAS III N93.9 N93.9 08/08/2022 08:31:09 10/08/2022 14:31:47 Rp 360,000.00
7
2022/08/08/00020 099122 DEDE ROSMAWATI NF3.06 NIFAS III O99.0 O99.0 08/08/2022 08:36:20 10/08/2022 14:38:08 Rp 360,000.00
4
2022/08/08/00013 102290 NINING BINTI NF3.07 NIFAS III N93 N93 08/08/2022 09:02:01 10/08/2022 14:33:49 Rp 360,000.00
9
2022/08/05/00000 102202 AMUH
MARLINA NF3.08 NIFAS III - - 08/08/2022 09:22:00 10/08/2022 14:31:24 Rp 360,000.00
5
2022/08/08/00022 099632 YOLANDA NF3.08 NIFAS III o42 O42.0 08/08/2022 10:52:46 09/08/2022 11:31:42 Rp 240,000.00
4 KRISMONETA
2022/08/08/00021 070292 SITI LISNA NF3.04 NIFAS III - O42.1 08/08/2022 11:54:06 10/08/2022 14:32:20 Rp 360,000.00
5
2022/08/06/00011 094464 KORTIAN
SITI AISYAH NF3.06 NIFAS III - O46.9 08/08/2022 16:03:29 10/08/2022 14:29:57 Rp 360,000.00
0
2022/08/07/00003 102260 SITI SAWITRI NF3.14 NIFAS III = - 08/08/2022 16:05:21 09/08/2022 11:27:52 Rp 240,000.00
2022/08/08/00022 102277 SIFA AGUSTIN NF3.12 NIFAS III - - 08/08/2022 16:26:44 09/08/2022 15:18:36 Rp 240,000.00
8
2022/08/08/00023 089643 SILPI APRIANTI NF3.01 NIFAS III O32.9 O32.9 08/08/2022 18:03:59 09/08/2022 11:30:07 Rp 240,000.00
2022/08/08/00023 100888 WINDI MILANDARI NF3.05 NIFAS III - O98.0 08/08/2022 19:59:36 09/08/2022 11:30:36 Rp 240,000.00
7
2022/08/09/00015 102315 IMAS MASRIPAH NF3.04 NIFAS III - - 09/08/2022 08:04:23 12/08/2022 14:07:46 Rp 480,000.00
7
2022/08/09/00000 102327 RIRIN NURLITA NF3.07 NIFAS III O14.1 O14.1 09/08/2022 08:05:40 11/08/2022 16:06:44 Rp 360,000.00
3
2022/08/09/00000 102326 RESTI KARTINI NF3.06 NIFAS III O44 O44 09/08/2022 08:42:15 11/08/2022 14:13:11 Rp 360,000.00
2022/08/09/00017 098115 NENI NF3.10 NIFAS III O98.4 O98.4 09/08/2022 14:38:56 11/08/2022 14:13:28 Rp 360,000.00
8
2022/08/08/00025 102324 NUNING BINTI NF3.12 NIFAS III - O30.0 09/08/2022 14:55:20 10/08/2022 14:33:04 Rp 240,000.00
0
2022/08/09/00018 100477 KAYAH
ELI BINTI KAHYA NF3.15 NIFAS III BARTHOLIN CYST BARTHOLIN 09/08/2022 15:40:55 11/08/2022 14:14:20 Rp 360,000.00
5
2022/08/07/00000 102244 RESFI NURSIAMI NF3.14 NIFAS III = CYST
O14.9 10/08/2022 07:51:10 10/08/2022 18:17:15 Rp 120,000.00
5
11/18/22, 10:58 AM Page 16 of 25
 PRORINA
2022/08/09/00018 102363 SITI MASITOH NF3.01 NIFAS III PEB PEB 10/08/2022 08:46:31 12/08/2022 12:53:23 Rp 360,000.00
8
2022/08/10/00000 059077 YULIA KARTINI NF3.05 NIFAS III O33.9 O33.9 10/08/2022 14:48:28 12/08/2022 14:53:55 Rp 360,000.00
3
2022/08/10/00016 101676 YENI INDRIANI NF3.07 NIFAS III - O02.0 10/08/2022 19:11:21 12/08/2022 10:51:17 Rp 360,000.00
9
2022/08/10/00016 102391 IMAS BINTI LALA NF3.14 NIFAS III - O36.4 10/08/2022 19:12:53 12/08/2022 14:50:08 Rp 360,000.00
8
2022/08/10/00017 102392 RISNA BINTI IYAH NF3.11 NIFAS III - O42 11/08/2022 09:10:26 12/08/2022 12:47:17 Rp 240,000.00
0
2022/08/10/00017 102394 SUSANTI BINTI NF3.09 NIFAS III - - 11/08/2022 09:20:42 12/08/2022 10:55:15 Rp 240,000.00
7 KOMAR
2022/08/11/00012 102419 SITI KOMARIAH NF3.06 NIFAS III - O42 11/08/2022 09:35:11 12/08/2022 14:57:12 Rp 240,000.00
3
2022/08/11/00014 102432 SITI LOMRAH NF3.04 NIFAS III - O42 11/08/2022 12:16:31 13/08/2022 10:48:57 Rp 360,000.00
5
2022/08/11/00000 102396 isna dewi setiani NF3.05 NIFAS III - - 11/08/2022 14:09:42 12/08/2022 15:55:54 Rp 240,000.00
6 mardiana
2022/08/12/00020 102452 AI SRY WAHYUNI NF3.05 NIFAS III - O63.1 12/08/2022 09:47:39 13/08/2022 10:55:02 Rp 240,000.00
6
2022/08/11/00014 102428 IKA SOLIHATUN NF3.08 NIFAS III - - 12/08/2022 12:21:13 12/08/2022 14:58:03 Rp 120,000.00
1
2022/08/11/00015 102434 SITI NURJANAH NF3.12 NIFAS III - O42 12/08/2022 12:25:01 12/08/2022 14:56:39 Rp 120,000.00
0
2022/08/11/00012 102401 NOVI HELYANI NF3.01 NIFAS III - - 13/08/2022 08:39:59 14/08/2022 11:07:47 Rp 240,000.00
6
2022/08/12/00021 102457 SITI RUKOYAH NF3.06 NIFAS III O32.9 O32.9 13/08/2022 10:33:53 14/08/2022 10:06:34 Rp 240,000.00
6
2022/08/12/00022 102461 SEPTI AULIA FAUZI NF3.07 NIFAS III o42 O42 13/08/2022 10:35:47 14/08/2022 11:07:06 Rp 240,000.00
1 RAHAYU
2022/08/13/00001 102473 RISMA NURAJIJAH NF3.05 NIFAS III - - 13/08/2022 15:33:50 15/08/2022 09:26:28 Rp 360,000.00
5
2022/08/14/00000 102479 DINA LESTARI NF3.09 NIFAS III - - 14/08/2022 05:27:11 15/08/2022 15:15:53 Rp 240,000.00
1
2022/08/14/00000 102412 YANI YUNINGSIH NF3.11 NIFAS III PEB PEB 14/08/2022 10:37:31 14/08/2022 12:04:38 Rp 120,000.00
9
2022/08/14/00001 102489 PONIAWATI NF3.05 NIFAS III - O42.0 14/08/2022 11:04:59 15/08/2022 11:09:01 Rp 240,000.00
6
2022/08/14/00001 102485 IDA AYU KOMANG NF3.14 NIFAS III - O33.3 14/08/2022 12:32:24 15/08/2022 10:55:56 Rp 240,000.00
1
2022/08/14/00002 102495 SANTI FRIMASARI NF3.10 NIFAS III o42 O42 15/08/2022 03:04:28 15/08/2022 13:00:34 Rp 120,000.00
6
2022/08/15/00022 102550 YENI SUSANTI NF3.10 NIFAS III - - 15/08/2022 07:43:01 17/08/2022 14:52:24 Rp 360,000.00
6
2022/08/14/00000 102412 YANI YUNINGSIH NF3.15 NIFAS III PEB PEB 15/08/2022 10:39:16 16/08/2022 12:07:10 Rp 240,000.00
9
2022/08/15/00020 094255 ANISA DWI NF3.01 NIFAS III O32.1 O32.1 15/08/2022 10:52:23 18/08/2022 11:56:05 Rp 480,000.00
4
2022/08/15/00020 102503 PARWATI
MUTI NADIA NF3.12 NIFAS III O41.0 O41.0 15/08/2022 10:54:06 18/08/2022 11:56:25 Rp 480,000.00
3
2022/08/15/00022 102547 IIS BINTI ENUNG NF3.04 NIFAS III - - 16/08/2022 12:02:02 18/08/2022 12:03:30 Rp 360,000.00
3
2022/08/15/00022 102546 HERLINA BT NF3.04 NIFAS III 030 O30 16/08/2022 14:44:12 18/08/2022 11:54:47 Rp 360,000.00
2 KARDIMAN
2022/08/15/00022 102546 HERLINA BT NF3.08 NIFAS III 030 O30 16/08/2022 14:45:39 18/08/2022 11:55:46 Rp 360,000.00
2 KARDIMAN
2022/08/15/00020 065476 ULFAH NF3.06 NIFAS III - O41.0 16/08/2022 15:50:53 17/08/2022 15:51:20 Rp 240,000.00
1
2022/08/16/00015 102555 SOFIATUNNISA
HENI BINTI MUMUS NF3.10 NIFAS III - O63 17/08/2022 08:10:39 18/08/2022 11:56:49 Rp 240,000.00
4
2022/08/17/00001 059077 YULIA KARTINI NF3.09 NIFAS III - O63.0 17/08/2022 08:12:57 18/08/2022 11:57:12 Rp 240,000.00
3
2022/08/17/00000 102596 WULAN OKTAVIANI NF3.06 NIFAS III O60.1 O60.1 17/08/2022 10:00:01 17/08/2022 16:06:16 Rp 120,000.00
8
2022/08/17/00001 102598 KARLINA NF3.05 NIFAS III - - 17/08/2022 10:55:07 18/08/2022 11:54:09 Rp 240,000.00
0
2022/08/18/00011 102650 ENENG YASA SRI NF3.07 NIFAS III O02.1 O02.1 18/08/2022 08:17:11 21/08/2022 11:44:31 Rp 480,000.00
9 SUNDARI
2022/08/16/00002 102551 IMAS KOMALASARI NF3.10 NIFAS III - - 18/08/2022 20:24:37 19/08/2022 16:09:52 Rp 240,000.00
0
2022/08/19/00016 102652 AI HILDA NF3.10 NIFAS III - - 19/08/2022 08:18:29 21/08/2022 11:43:45 Rp 360,000.00
7
2022/08/19/00016 096458 NURJANAH
NURAISAH NF3.06 NIFAS III O60.1 O60.1 19/08/2022 09:10:01 27/08/2022 10:04:12 Rp 1,080,000.00
8
2022/08/18/00013 102658 KOMARIAH BT UMU NF3.14 NIFAS III O30.0 O30.0 19/08/2022 14:43:17 21/08/2022 08:13:04 Rp 360,000.00
1
2022/08/18/00013 102660 NURLELAWATI BT NF3.11 NIFAS III - O14.9 19/08/2022 14:45:55 19/08/2022 15:18:41 Rp 120,000.00
4 KIKIN

11/18/22, 10:58 AM Page 17 of 25

2022/08/19/00000 102667 MITA FAUZI KAHFI NF3.07 NIFAS III - O63.0 19/08/2022 14:47:22 19/08/2022 15:18:17 Rp 120,000.00
2022/08/19/00017 102684 RANI ERLIYANTO NF3.07 NIFAS III O98.7 O98.7 19/08/2022 17:29:05 21/08/2022 11:14:02 Rp 360,000.00
6
2022/08/20/00000 060848 FITRI NURFAUZIAH NF3.07 NIFAS III - - 20/08/2022 08:12:51 22/08/2022 16:16:28 Rp 360,000.00
9
2022/08/20/00001 102700 AI ROSTINI NF3.04 NIFAS III O42.9 O42.9 21/08/2022 09:04:12 22/08/2022 15:19:38 Rp 240,000.00
4
2022/08/20/00002 102707 TIKA NURYANTI NF3.08 NIFAS III PREMATURE PREMATURE 21/08/2022 09:06:19 22/08/2022 16:18:03 Rp 240,000.00
8
2022/08/20/00002 102708 ROSMAWATI BINTI NF3.12 NIFAS III O32.9 O32.9 21/08/2022 09:07:55 22/08/2022 15:21:38 Rp 240,000.00
9 HADUDIN
2022/08/21/00000 102713 SUMIYATI BINTI NF3.14 NIFAS III - - 21/08/2022 09:55:12 22/08/2022 15:15:36 Rp 240,000.00
5 SUHERMAN
2022/08/21/00002 102720 ENUR NURHAYATI NF3.15 NIFAS III - O63.1 21/08/2022 09:56:29 23/08/2022 13:39:13 Rp 360,000.00
3
2022/08/21/00001 102670 TINA MARLINA NF3.09 NIFAS III - O41.0 21/08/2022 14:39:33 22/08/2022 15:16:55 Rp 240,000.00
8
2022/08/21/00001 063065 GITA ANATASYA NF3.01 NIFAS III - - 21/08/2022 21:21:46 23/08/2022 15:40:38 Rp 360,000.00
0
2022/08/21/00002 102725 yuli nurmayanti NF3.11 NIFAS III HEG HEG 21/08/2022 22:23:30 22/08/2022 15:21:02 Rp 240,000.00
9
2022/08/22/00008 078175 INDI NF3.01 NIFAS III O00 O00 22/08/2022 08:38:00 24/08/2022 10:36:55 Rp 360,000.00
4
2022/08/22/00023 099841 NURURROHIMAH
SILVI HALIMAH NF3.07 NIFAS III O42.0 O42.0 22/08/2022 08:45:10 23/08/2022 12:46:09 Rp 240,000.00
8 SADIAH
2022/08/22/00020 067219 SUMINAR BINTI NF3.11 NIFAS III - O34 22/08/2022 12:29:23 24/08/2022 15:55:05 Rp 360,000.00
6
2022/08/22/00023 069047 UJU
MELTI AMELIA NF3.05 NIFAS III - O32.1 22/08/2022 13:07:17 29/08/2022 14:46:56 Rp 960,000.00
9 TRIMANA
2022/08/22/00024 102769 DINI TRI WAYUNI NF3.04 NIFAS III - - 22/08/2022 21:12:17 24/08/2022 12:00:13 Rp 360,000.00
5
2022/08/23/00027 102694 TITIN SITI NF3.11 NIFAS III - O60.1 23/08/2022 06:35:16 23/08/2022 12:34:20 Rp 120,000.00
3
2022/08/23/00049 100029 FATIMAH
DEANI PUTRI NF3.14 NIFAS III - O21.1 23/08/2022 07:45:54 26/08/2022 10:21:57 Rp 480,000.00
5
2022/08/23/00047 092209 GITA ROSITA NF3.11 NIFAS III O41.0 O41.0 23/08/2022 08:55:14 25/08/2022 12:29:29 Rp 360,000.00
7
2022/08/22/00022 081616 AI PURWANTI NF3.08 NIFAS III - O42 23/08/2022 08:58:51 23/08/2022 12:33:28 Rp 120,000.00
1
2022/08/22/00025 102776 EVA SELVIA NF3.12 NIFAS III - - 23/08/2022 09:00:43 23/08/2022 12:31:24 Rp 120,000.00
7
2022/08/23/00041 102804 SITI MAESAROH NF3.13 NIFAS III O42 O42 23/08/2022 09:06:14 25/08/2022 12:30:06 Rp 360,000.00
5
2022/08/22/00023 102766 HERLINA NF3.09 NIFAS III O - 23/08/2022 09:39:27 23/08/2022 16:35:03 Rp 120,000.00
7
2022/08/22/00026 102777 SOLAWATI
IMAS ADAH NF3.10 NIFAS III - - 23/08/2022 09:40:51 23/08/2022 14:10:26 Rp 120,000.00
0
2022/08/23/00049 102485 IDA AYU KOMANG NF3.04 NIFAS III - O44 23/08/2022 10:32:38 26/08/2022 12:58:59 Rp 480,000.00
1
2022/08/23/00049 102811 SITI MARYAM NF3.06 NIFAS III O20.0 O20.0 23/08/2022 13:11:26 25/08/2022 13:12:21 Rp 360,000.00
0
2022/08/23/00046 101289 DEDE ROSITA NF3.07 NIFAS III - N83.9 23/08/2022 13:15:48 26/08/2022 12:59:53 Rp 480,000.00
8
2022/08/22/00025 060598 LISDA HILDA NF3.14 NIFAS III - O32.1 23/08/2022 14:27:32 25/08/2022 12:30:54 Rp 360,000.00
8
2022/08/24/00024 060848 PAUJIAH
FITRI NURFAUZIAH NF3.12 NIFAS III - - 24/08/2022 09:16:55 27/08/2022 10:23:46 Rp 480,000.00
9
2022/08/24/00019 101592 SOPIYANTI BINTI NF3.01 NIFAS III - O14.9 24/08/2022 13:59:04 26/08/2022 12:58:29 Rp 360,000.00
8 YAYAT
2022/08/24/00022 102865 RISKA FATMAWATI NF3.15 NIFAS III - - 24/08/2022 14:42:12 25/08/2022 13:55:15 Rp 240,000.00
2022/08/24/00022 102866 JUJUN JUNAYAH NF3.06 NIFAS III - O32.1 24/08/2022 16:08:08 26/08/2022 12:57:35 Rp 360,000.00
5
2022/08/25/00000 101052 POPI SOPINI NF3.01 NIFAS III O14.9 O14.9 25/08/2022 08:24:54 27/08/2022 11:25:49 Rp 360,000.00
4
2022/08/25/00000 090067 RENI YANTI NF3.04 NIFAS III N93.9 N93.9 25/08/2022 09:02:52 25/08/2022 10:30:34 Rp 120,000.00
5 NOVASARI
2022/08/25/00015 063443 CUCU SUHAETI NF3.04 NIFAS III - O41.0 25/08/2022 13:15:33 26/08/2022 13:18:13 Rp 240,000.00
2022/08/25/00015 102267 TRIA HESTA NF3.10 NIFAS III kista kista 25/08/2022 14:36:45 29/08/2022 11:41:21 Rp 600,000.00
9 MARLIANTI
2022/08/25/00000 102876 ENING BINTI NF3.07 NIFAS III - O14.9 25/08/2022 16:09:28 26/08/2022 13:04:55 Rp 240,000.00
3
2022/08/25/00015 102447 MAHYAR
DEDEH HANDAYANI NF3.10 NIFAS III AB INCOMPLETE AB INCOMPLETE 25/08/2022 19:30:45 29/08/2022 11:51:13 Rp 600,000.00
8
2022/08/26/00018 102909 DOMERINA NF3.04 NIFAS III O42 O42 26/08/2022 07:25:49 26/08/2022 07:42:40 Rp 120,000.00
4 MENDROFA

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2022/08/26/00025 102921 LILIS KARLINA NF3.01 NIFAS III - O42 26/08/2022 09:09:52 27/08/2022 10:26:43 Rp 240,000.00
1
2022/08/26/00024 102920 RESNAWATI BT NF3.09 NIFAS III - O42 26/08/2022 09:11:53 27/08/2022 10:14:36 Rp 240,000.00
9
2022/08/26/00026 102929 SODIK
SITI CAHYANI NF3.11 NIFAS III - - 26/08/2022 09:12:53 27/08/2022 10:50:23 Rp 240,000.00
1
2022/08/26/00017 045133 WIDATIAH BINTI NF3.10 NIFAS III O32.9 O32.9 26/08/2022 10:54:45 26/08/2022 13:56:38 Rp 120,000.00
8 MOMON
2022/08/26/00024 098408 RINA RINAWATI NF3.11 NIFAS III O42 O42 26/08/2022 12:50:48 27/08/2022 10:13:20 Rp 240,000.00
6
2022/08/27/00001 102940 CICA NF3.08 NIFAS III O42 O42 27/08/2022 09:14:31 28/08/2022 10:33:00 Rp 240,000.00
0
2022/08/26/00023 102556 LENI LIDIA NF3.13 NIFAS III - O42 27/08/2022 09:15:41 28/08/2022 11:53:01 Rp 240,000.00
7
2022/08/26/00026 102931 HANI BINTI AA NF3.12 NIFAS III - O14.1 27/08/2022 09:17:12 28/08/2022 10:28:45 Rp 240,000.00
4 BARKAH
2022/08/28/00000 101552 KARLIAH BINTI NF3.07 NIFAS III - D26.0 28/08/2022 08:36:46 29/08/2022 14:45:46 Rp 240,000.00
5 MARYU
2022/08/27/00001 102944 WIDANENGSIH BT NF3.01 NIFAS III - - 28/08/2022 10:40:02 29/08/2022 10:46:20 Rp 240,000.00
7 SURATMAN
2022/08/29/00018 102811 SITI MARYAM NF3.11 NIFAS III O02.0 O02.0 29/08/2022 11:13:20 02/09/2022 11:42:12 Rp 600,000.00
7
2022/08/29/00017 051514 SINDI MAULIDA NF3.05 NIFAS III - O32.9 30/08/2022 09:59:23 31/08/2022 12:38:27 Rp 240,000.00
7 ABDILAH
2022/08/30/00018 103052 IDA PARIDA NF3.13 NIFAS III - O63.0 30/08/2022 10:06:00 31/08/2022 12:36:42 Rp 240,000.00
4
2022/08/31/00029 100619 JUAN ARISTA NF3.06 NIFAS III - O66.4 30/08/2022 10:31:15 03/09/2022 10:33:18 Rp 600,000.00
4
2022/08/30/00026 103068 DELENA
LINDA MARLINA NF3.01 NIFAS III - O21.1 30/08/2022 21:04:10 02/09/2022 12:37:42 Rp 480,000.00
1
2022/08/31/00031 103110 YULI LAELASARI NF3.06 NIFAS III - - 31/08/2022 10:37:39 01/09/2022 08:10:25 Rp 240,000.00
4
2022/07/25/00021 101819 ANASEL PUTRI K0000187 PERINATOLOGI - P07 01/08/2022 11:07:36 08/08/2022 08:14:42 Rp 960,000.00
5 KURNIAWAN
2022/08/02/00000 102049 BAYI NYONYA PERI3.10 PERINATOLOGI - P21.1 02/08/2022 05:56:43 02/08/2022 12:24:48 Rp 120,000.00
9 NENA NURHILA
2022/08/02/00020 101843 SARI
RAZKI SHAKI EL K0000178 PERINATOLOGI P21.1 P21.1 02/08/2022 08:17:29 03/08/2022 14:01:44 Rp 240,000.00
8
2022/08/02/00020 102085 BIRU
BY NY GINA ANDINI PERI3.07 PERINATOLOGI P21.1 - 02/08/2022 08:19:58 04/08/2022 07:45:33 Rp 360,000.00
2022/08/02/00017 102080 BY NY SOLIHAH PERI3.08 PERINATOLOGI - P07.1 02/08/2022 10:07:06 03/08/2022 10:43:48 Rp 240,000.00
8
2022/08/02/00021 102087 BY NY LUSI PERI3.03 PERINATOLOGI - - 02/08/2022 14:42:57 03/08/2022 08:15:17 Rp 240,000.00
3
2022/08/02/00022 102091 SUMIATI
BAYI NYONYA LILIS PERI3.01 PERINATOLOGI - P21.1 02/08/2022 17:33:46 03/08/2022 14:01:13 Rp 240,000.00
0 SAMIRAH
2022/08/02/00022 102097 BAYI NYONYA PERI3.06 PERINATOLOGI - P21.1 02/08/2022 20:34:23 03/08/2022 07:44:33 Rp 240,000.00
9 EVRIDA DINASTI
2022/08/02/00023 102100 MUCHAMAD ARSYIL PERI3.05 PERINATOLOGI - P21.1 02/08/2022 23:26:10 03/08/2022 14:05:16 Rp 240,000.00
6 KARIM
2022/08/03/00000 102104 BAYI NYONYA EVI PERI3.10 PERINATOLOGI - P22 03/08/2022 04:17:27 03/08/2022 10:56:53 Rp 120,000.00
6 RISNAWATI
2022/08/03/00016 102136 BAYI NYONYA K0000178 PERINATOLOGI - P21 03/08/2022 07:24:06 04/08/2022 11:04:03 Rp 240,000.00
6 ROSMAWATI
2022/08/03/00000 102102 BAYI NYONYA PERI3.03 PERINATOLOGI P21.1 P21.1 03/08/2022 08:18:28 03/08/2022 13:57:32 Rp 120,000.00
4 NURHAYATI
2022/08/03/00021 102143 BY. NY. LINDA PERI3.03 PERINATOLOGI P21.1 P21.1 03/08/2022 09:27:47 04/08/2022 09:29:31 Rp 240,000.00
4
2022/08/03/00016 102134 BAYI NYONYA PERI3.09 PERINATOLOGI - P21.1 03/08/2022 09:31:45 04/08/2022 09:25:38 Rp 240,000.00
0 MELTI AMELIA
2022/08/04/00026 102195 TRIMANA
BAYI NYONYA SUSI PERI3.10 PERINATOLOGI P21.1 P21.1 04/08/2022 09:35:34 05/08/2022 10:15:02 Rp 240,000.00
4 AGUSTIANITA
2022/08/04/00026 102197 BY NY MARYAM K0000178 PERINATOLOGI P21.1 P21.1 04/08/2022 09:37:01 05/08/2022 09:39:38 Rp 240,000.00
7
2022/08/04/00023 102182 BAYI NYONYA ELIN PERI3.02 PERINATOLOGI - P21.1 04/08/2022 10:37:17 05/08/2022 10:17:52 Rp 240,000.00
7 LINDIALUT FIANI

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2022/08/04/00025 102191 BAYI NYONYA PERI3.08 PERINATOLOGI - P21 04/08/2022 16:10:00 08/08/2022 08:14:24 Rp 600,000.00
5 ENDAH MIRANTI
2022/08/04/00026 102198 BAYI NYONYA SITI PERI3.01 PERINATOLOGI - P24.8 04/08/2022 23:00:23 05/08/2022 10:18:35 Rp 240,000.00
9 RISMAYANTI
2022/08/05/00000 102203 BAYI NYONYA PERI3.03 PERINATOLOGI - - 05/08/2022 04:52:43 05/08/2022 15:28:20 Rp 120,000.00
6 WIDYA ASTUTI
2022/08/02/00021 102088 HESTORINI
BY. NYONYA SINTA PERI3.05 PERINATOLOGI . P21.1 05/08/2022 09:30:25 06/08/2022 08:28:20 Rp 240,000.00
4
2022/07/29/00011 101978 BAYI NYONYA PERI3.09 PERINATOLOGI - P21.1 05/08/2022 09:30:43 13/08/2022 07:46:01 Rp 1,080,000.00
2 SISKA SITI
2022/07/25/00020 101814 NURHALIZA
BAYI NYONYA PERI3.06 PERINATOLOGI - P22.9 05/08/2022 09:31:06 06/08/2022 08:37:03 Rp 240,000.00
8 SUMARTINI
2022/08/06/00000 102228 BY NY MAYA K0000178 PERINATOLOGI - - 06/08/2022 01:17:44 08/08/2022 08:11:51 Rp 360,000.00
1 ROMANTIR
2022/08/06/00000 102229 BAYI NYONYA DEDE PERI3.01 PERINATOLOGI - P22 06/08/2022 04:38:20 08/08/2022 08:11:17 Rp 360,000.00
2 JUBAEDAH
2022/08/06/00011 102241 BY NY WAHYUNI PERI3.07 PERINATOLOGI P21.1 P21.1 06/08/2022 07:38:37 07/08/2022 07:40:02 Rp 240,000.00
9
2022/08/06/00011 102238 BY NY SELA PERI3.02 PERINATOLOGI - P22 06/08/2022 17:06:18 07/08/2022 07:40:30 Rp 240,000.00
5
2022/07/26/00020 101849 BAYI NYONYA PERI3.03 PERINATOLOGI - P07.1 07/08/2022 07:34:08 11/08/2022 11:12:37 Rp 600,000.00
2 FITRIYANI
2022/08/07/00001 102251 BY NY KOMALASARI PERI3.08 PERINATOLOGI - P06.7 07/08/2022 08:19:21 08/08/2022 13:56:11 Rp 240,000.00
4
2022/08/07/00001 102249 BY NY ITA PERI3.01 PERINATOLOGI - - 07/08/2022 08:22:01 09/08/2022 11:22:00 Rp 360,000.00
1
2022/08/07/00000 102247 BY NY BINTANG PERI3.07 PERINATOLOGI - P21.1 07/08/2022 09:54:04 07/08/2022 07:35:06 Rp 120,000.00
9
2022/08/07/00001 102248 BY NY RESFI PERI3.03 PERINATOLOGI - P21.0, 07/08/2022 09:55:01 07/08/2022 16:02:51 Rp 120,000.00
0 NURSIAMI
2022/08/07/00002 102258 PRORINA
BAYI NYONYA AI PERI3.10 PERINATOLOGI - P21 07/08/2022 18:46:01 08/08/2022 12:48:49 Rp 240,000.00
7 PUPUT SETIAWATI
2022/08/02/00021 102087 BY NY LUSI PERI3.02 PERINATOLOGI - P21.1 08/08/2022 08:10:05 08/08/2022 08:11:00 Rp 120,000.00
3
2022/08/02/00021 102087 SUMIATI
BY NY LUSI K0000187 PERINATOLOGI - P21 08/08/2022 08:16:29 13/08/2022 07:40:42 Rp 720,000.00
3
2022/08/08/00023 102314 SUMIATI
BAYI NYONYA PERI3.01 PERINATOLOGI - P21.1 08/08/2022 08:36:13 12/08/2022 07:47:18 Rp 600,000.00
6 CUCU HARYATI
2022/08/08/00024 102323 BY NY YOLANDA PERI3.05 PERINATOLOGI - P22.9 08/08/2022 08:38:27 15/08/2022 15:52:12 Rp 960,000.00
9
2022/08/08/00019 102301 BY NY MARLINA PERI3.07 PERINATOLOGI - P22.9 08/08/2022 10:06:59 12/08/2022 10:33:30 Rp 600,000.00
3
2022/08/08/00020 102302 BAYI NYONYA SITI PERI3.05 PERINATOLOGI - P21 08/08/2022 10:34:08 09/08/2022 13:46:08 Rp 240,000.00
3 AISYAH
2022/08/09/00000 102328 BAYI NYONYA PERI3.02 PERINATOLOGI - P21.1 08/08/2022 13:39:29 09/08/2022 13:46:49 Rp 240,000.00
4 TANTI SUSANTI
2022/08/08/00024 102320 BAYI NYONYA NOVI PERI3.06 PERINATOLOGI - P21.1 08/08/2022 13:40:56 09/08/2022 13:46:26 Rp 240,000.00
3 WULANDARI
2022/08/08/00012 102278 BY NY SITI PERI3.02 PERINATOLOGI - p21.1 08/08/2022 15:39:08 09/08/2022 15:40:10 Rp 240,000.00
8
2022/08/08/00023 102317 SAWITRI
BAYI NYONYA SILPI PERI3.02 PERINATOLOGI - P22 08/08/2022 18:48:51 09/08/2022 11:26:21 Rp 240,000.00
8 APRIANTI
2022/08/08/00023 102318 BAYI NYONYA PERI3.06 PERINATOLOGI - - 08/08/2022 19:05:20 09/08/2022 13:35:06 Rp 240,000.00
9 WINDI LESTARI
2022/08/08/00023 102311 BAYI NYONYA SITI K0000178 PERINATOLOGI - P21.1 08/08/2022 20:50:54 09/08/2022 13:56:38 Rp 240,000.00
1 LISNA KORTIAN
2022/08/09/00014 102347 BAYI NYONYA PERI3.01 PERINATOLOGI P21.1 P07.0 09/08/2022 08:13:34 10/08/2022 14:37:39 Rp 240,000.00
8 NUNING
2022/08/09/00018 102361 BY NY YENI PERI3.02 PERINATOLOGI - P21.1 09/08/2022 08:14:36 10/08/2022 14:39:44 Rp 240,000.00
1
2022/08/09/00000 102330 SRIYANI
BAYI NYONYA PERI3.06 PERINATOLOGI - P21 09/08/2022 08:15:22 15/08/2022 15:51:37 Rp 840,000.00
6
11/18/22, 10:58 AM Page 20 of 25
 NUNING
2022/08/08/00024 102321 BAYI NYONYA PERI3.08 PERINATOLOGI P21.1 P21.1 09/08/2022 11:27:43 09/08/2022 11:28:37 Rp 120,000.00
5 WINDI MILANDARI
2022/08/09/00018 102362 BAYI NYONYA NENI PERI3.05 PERINATOLOGI - P21.1 09/08/2022 17:24:17 10/08/2022 14:39:02 Rp 240,000.00
7
2022/08/11/00000 102395 BY NY SUSANTI K0000187 PERINATOLOGI - P21.1 11/08/2022 04:39:29 11/08/2022 08:02:27 Rp 120,000.00
5
2022/08/11/00011 102416 BY NY ISNA DEWI PERI3.02 PERINATOLOGI - P21 11/08/2022 10:34:01 22/08/2022 08:29:27 Rp 1,440,000.00
8 SETIANI
2022/08/11/00013 102425 BAYI NYONYA PERI3.10 PERINATOLOGI - - 11/08/2022 14:49:25 12/08/2022 08:05:18 Rp 240,000.00
6
2022/08/11/00014 102427 RISNANYONYA SITI
BAYI PERI3.08 PERINATOLOGI - P21 11/08/2022 16:08:08 12/08/2022 12:04:17 Rp 240,000.00
0 KOMARIAH
2022/08/12/00015 102435 BAYI NYONYA SITI PERI3.04 PERINATOLOGI - P21 12/08/2022 01:40:05 12/08/2022 08:15:07 Rp 120,000.00
1 LOMRAH
2022/08/12/00015 102436 BAYI NYONYA SITI K0000178 PERINATOLOGI - P22.9 12/08/2022 02:53:20 12/08/2022 11:59:36 Rp 120,000.00
2 NURJANAH
2022/08/12/00015 102437 BY NY IKA PERI3.07 PERINATOLOGI - P21 12/08/2022 03:38:43 12/08/2022 12:49:12 Rp 120,000.00
3
2022/08/12/00021 102456 SOLIHATUN
BY NY AI SRY PERI3.10 PERINATOLOGI - P21.1 12/08/2022 07:49:10 14/08/2022 07:50:12 Rp 360,000.00
4 WAHYUNI
2022/08/13/00000 102464 BY NY SEPTI AULIA PERI3.10 PERINATOLOGI - P21.1 13/08/2022 03:10:15 14/08/2022 07:42:49 Rp 240,000.00
3
2022/08/13/00000 102465 BY NY SITI PERI3.03 PERINATOLOGI - P22.9 13/08/2022 04:06:49 25/08/2022 11:35:28 Rp 1,560,000.00
4
2022/08/13/00000 102468 RUKOYAH
BAYI NYONYA NOVI PERI3.08 PERINATOLOGI - - 13/08/2022 07:59:42 18/08/2022 08:39:53 Rp 720,000.00
8 HELYANI
2022/08/13/00002 102477 BY NY ROPITASARI PERI3.06 PERINATOLOGI RESPIRATORY P22.9 13/08/2022 08:39:07 23/08/2022 13:48:41 Rp 1,320,000.00
3 DISSTRES
2022/08/14/00000 102480 DAVIRA NAWIYA K0000187 PERINATOLOGI - - 14/08/2022 07:59:43 18/08/2022 08:44:39 Rp 600,000.00
3 AZZAHRA
2022/08/14/00002 102492 BAYI NYONYA K0000178 PERINATOLOGI - P21 14/08/2022 19:23:07 22/08/2022 08:43:19 Rp 1,080,000.00
0 PONIAWATI
2022/08/15/00000 102539 DHINA PUSPITA PERI3.07 PERINATOLOGI - P21.1 15/08/2022 02:15:02 22/08/2022 08:42:58 Rp 960,000.00
8 AYUSTINA
2022/08/15/00020 102251 BY NY KOMALASARI K0000178 PERINATOLOGI p21.1 P21.1 15/08/2022 08:49:45 16/08/2022 08:50:34 Rp 240,000.00
2
2022/08/16/00002 102552 BY BY YENI PERI3.10 PERINATOLOGI 0 P21.1 16/08/2022 03:31:02 16/08/2022 15:27:39 Rp 120,000.00
1
2022/08/16/00019 102361 SUSANTI
BY NY YENI PERI3.04 PERINATOLOGI P21.1 P21.1 16/08/2022 08:19:53 17/08/2022 08:20:25 Rp 240,000.00
1
2022/08/16/00019 102584 SRIYANI
BAYI NYONYA PERI3.01 PERINATOLOGI - P21 16/08/2022 08:20:38 21/08/2022 08:21:06 Rp 720,000.00
0 ULFAH
2022/08/16/00019 102586 SOFIATUNNISA
BAYI NYONYA MUTI PERI3.01 PERINATOLOGI P21.1 P21.1 16/08/2022 08:28:12 17/08/2022 08:30:00 Rp 240,000.00
5 NADIA
2022/08/16/00019 102585 BY NY IIS PERI3.04 PERINATOLOGI P21.1 P21.1 16/08/2022 08:31:09 17/08/2022 08:31:54 Rp 240,000.00
3
2022/08/16/00018 102582 BY NY HERLINA 1 PERI3.04 PERINATOLOGI P21.1 P21.1 16/08/2022 08:33:08 17/08/2022 08:33:58 Rp 240,000.00
2022/08/16/00018 102583 BY NY HERLINA 2 PERI3.01 PERINATOLOGI P21.1 P21.1 16/08/2022 08:34:45 18/08/2022 08:35:34 Rp 360,000.00
4
2022/08/16/00015 102577 BY NY IMAS PERI3.03 PERINATOLOGI - P22.9 16/08/2022 09:18:02 19/08/2022 07:33:40 Rp 480,000.00
6
2022/08/16/00020 102427 BAYI NYONYA SITI PERI3.04 PERINATOLOGI - P21.1 16/08/2022 14:16:15 17/08/2022 08:18:05 Rp 240,000.00
2 KOMARIAH
2022/08/16/00020 102588 BAYI NYONYA K0000187 PERINATOLOGI P21.1 P21.1 16/08/2022 15:17:09 17/08/2022 08:36:04 Rp 240,000.00
0 ANISA DWI
2022/08/17/00000 102597 PARWATI
BAYI NYONYA K0000187 PERINATOLOGI - P21.1 17/08/2022 12:03:06 18/08/2022 12:04:08 Rp 240,000.00
9 WULAN OKTAVIANI
2022/08/17/00001 102599 BAYI NYONYA HENI K0000187 PERINATOLOGI P21.1 P21.1 17/08/2022 12:06:00 17/08/2022 12:06:28 Rp 120,000.00
1
2022/08/17/00001 102606 MOHAMMAD PERI3.05 PERINATOLOGI - P21.1 17/08/2022 12:28:26 18/08/2022 12:44:57 Rp 240,000.00
9 MUZAKIR
ALANSORI
11/18/22, 10:58 AM Page 21 of 25
2022/08/10/00016 102386 BY NY SITI K0000187 PERINATOLOGI - P21.1 18/08/2022 08:41:32 19/08/2022 14:11:25 Rp 240,000.00
1
2022/08/11/00013 102425 MASITOH
BAYI NYONYA PERI3.04 PERINATOLOGI - P21.1 18/08/2022 08:43:03 18/08/2022 11:48:26 Rp 120,000.00
6
2022/08/18/00012 102636 RISNA RAZIQ
FAIZAN PERI3.04 PERINATOLOGI - P21.1 18/08/2022 12:14:16 18/08/2022 13:50:38 Rp 120,000.00
2 ALWAHID
2022/08/19/00000 102668 BY NY MITA FAUZI PERI3.01 PERINATOLOGI - P21.1 19/08/2022 06:52:45 19/08/2022 14:12:05 Rp 120,000.00
6
2022/08/19/00015 102678 BY. NY. KOMARIAH PERI3.01 PERINATOLOGI - P21.1 19/08/2022 07:29:34 20/08/2022 07:30:15 Rp 240,000.00
6
2022/08/19/00015 102677 2 NY. KOMARIAH
BY. PERI3.01 PERINATOLOGI - P21.1 19/08/2022 07:32:37 20/08/2022 07:33:04 Rp 240,000.00
7
2022/08/19/00018 102690 1 NY RANI
BY PERI3.09 PERINATOLOGI - P22.9 19/08/2022 21:09:12 22/08/2022 08:41:49 Rp 480,000.00
5 ERLIYANTO
2022/08/21/00000 102709 BY NY ROSMAWATI K0000187 PERINATOLOGI - P21.1 21/08/2022 02:14:07 29/08/2022 09:12:28 Rp 1,080,000.00
1
2022/08/21/00000 102716 BY NY SUMIYATI PERI3.08 PERINATOLOGI - P21.1 21/08/2022 08:30:37 22/08/2022 16:28:33 Rp 240,000.00
9
2022/08/21/00000 102711 BY NY TIKA PERI3.01 PERINATOLOGI P21.1 P07 21/08/2022 08:33:33 22/08/2022 15:47:04 Rp 240,000.00
3 NURAYANTI
2022/08/21/00000 102714 BY NY AI ROSTINI PERI3.10 PERINATOLOGI - P21.1 21/08/2022 08:38:35 29/08/2022 09:13:00 Rp 1,080,000.00
6
2022/08/21/00003 102727 BY NY PERI3.05 PERINATOLOGI - P21.1 21/08/2022 23:18:10 22/08/2022 15:03:54 Rp 240,000.00
2 ENURNURHAYATI
2022/08/22/00026 102780 BAYI NYONYA SILVI PERI3.09 PERINATOLOGI - p21.1 22/08/2022 07:47:32 23/08/2022 08:05:29 Rp 240,000.00
3 HALIMAH SADIYAH
2022/08/22/00024 102767 BAYI NYONYA PERI3.01 PERINATOLOGI - P21.1 22/08/2022 08:21:25 23/08/2022 08:22:18 Rp 240,000.00
2 SUMINAR
2022/08/07/00003 102262 yajaira putri nagina PERI3.02 PERINATOLOGI - P21.1 22/08/2022 08:36:21 22/08/2022 14:44:41 Rp 120,000.00
4
2022/08/11/00014 102259 BAYI NYONYA PERI3.03 PERINATOLOGI - P22.9 22/08/2022 08:40:37 24/08/2022 09:28:44 Rp 360,000.00
9 MELYSA NURAENI
2022/08/22/00026 102781 BY NY DINI TRI PERI3.04 PERINATOLOGI - p21.1 22/08/2022 13:14:02 24/08/2022 13:17:11 Rp 360,000.00
5 WAHYUNI
2022/08/22/00026 102782 BY NY HERLINA PERI3.02 PERINATOLOGI - P21.1 22/08/2022 22:11:35 23/08/2022 08:18:41 Rp 240,000.00
7
2022/08/22/00026 102783 BY NY IMAS PERI3.05 PERINATOLOGI - P21.1 22/08/2022 23:37:08 25/08/2022 09:21:05 Rp 480,000.00
9
2022/08/23/00027 102784 BY NY EVA SELVIA PERI3.09 PERINATOLOGI P21.1 P21.1 23/08/2022 08:16:56 23/08/2022 20:17:34 Rp 240,000.00
0
2022/08/23/00050 102828 BAYI NYONYA SITI K0000178 PERINATOLOGI P21.1 P21.1 23/08/2022 10:40:27 24/08/2022 10:41:29 Rp 240,000.00
4 MAESAROH
2022/08/23/00048 102822 BY NY AI PERI3.01 PERINATOLOGI - P21.1 23/08/2022 12:20:45 23/08/2022 08:20:17 Rp 120,000.00
5
2022/08/23/00048 102824 PURWANTI
BY NY LISDA HILDA PERI3.08 PERINATOLOGI - P21.1 23/08/2022 12:21:31 02/09/2022 13:34:33 Rp 1,320,000.00
7 PAUJIAH
2022/08/24/00022 102867 BY NY RISKA PERI3.05 PERINATOLOGI P21.1 P21.1 24/08/2022 09:28:18 25/08/2022 15:21:18 Rp 240,000.00
6
2022/08/24/00018 102857 BY NY IDA AYU PERI3.09 PERINATOLOGI - P21.1 24/08/2022 09:53:39 26/08/2022 09:54:21 Rp 360,000.00
9
2022/08/23/00050 102826 BAYI NYONYA GITA K0000178 PERINATOLOGI P21.1 P21.1 25/08/2022 12:31:09 19/09/2022 08:32:27 Rp 3,120,000.00
1 ROSITA
2022/08/25/00000 102877 BY NY ENING PERI3.04 PERINATOLOGI p21.1 P21.1 25/08/2022 15:11:57 26/08/2022 15:37:44 Rp 240,000.00
6
2022/08/25/00016 102905 BY NY CUCU PERI3.01 PERINATOLOGI - P21.1 25/08/2022 19:29:37 29/08/2022 09:12:14 Rp 600,000.00
8
2022/08/26/00018 102908 BAYI NYONYA PERI3.03 PERINATOLOGI - P21.1 26/08/2022 08:02:14 27/08/2022 08:03:37 Rp 240,000.00
1 WiDATIAH
2022/08/26/00024 102919 BY NY RINA PERI3.06 PERINATOLOGI - P21.1 26/08/2022 12:18:38 27/08/2022 08:05:56 Rp 240,000.00
8
2022/08/26/00025 102926 BY NY LILIS PERI3.09 PERINATOLOGI - P21.1 26/08/2022 17:38:00 27/08/2022 07:57:55 Rp 240,000.00
6
2022/08/27/00000 102933 KARLINA
BY NY LENI LIDIA PERI3.02 PERINATOLOGI - P21.1 27/08/2022 07:40:34 29/08/2022 09:11:58 Rp 360,000.00
2022/08/27/00000 102938 BY NY HANI PERI3.04 PERINATOLOGI - P21.1 27/08/2022 09:53:21 28/08/2022 08:06:27 Rp 240,000.00
7
2022/08/28/00000 102952 BY NY K0000178 PERINATOLOGI - P21.1 28/08/2022 06:56:41 29/08/2022 09:11:47 Rp 240,000.00
2
2022/08/28/00001 102961 WIDANINGSIH
BY NY TETI PERI3.07 PERINATOLOGI - P21.1 28/08/2022 19:31:58 02/09/2022 13:35:53 Rp 720,000.00
6
2022/08/16/00019 102358 ROHAETI
BAYI NYONYA ELIS PERI3.06 PERINATOLOGI - P22.9 29/08/2022 09:04:23 29/08/2022 07:52:21 Rp 120,000.00
8
11/18/22, 10:58 AM Page 22 of 25
 HODIJAH
2022/08/09/00025 102367 BY NY RISMA PERI3.03 PERINATOLOGI - P21.1 29/08/2022 09:04:40 01/09/2022 08:19:42 Rp 480,000.00
3
2022/08/13/00000 102468 BAYI NYONYA NOVI K0000187 PERINATOLOGI - P22.9 29/08/2022 13:34:11 30/08/2022 13:34:37 Rp 240,000.00
8 HELYANI
2022/08/30/00025 103066 BAYI NYONYA PERI3.03 PERINATOLOGI P21.1 P21.1 30/08/2022 07:38:58 31/08/2022 07:39:44 Rp 240,000.00
7 SINDI MAULIDA
2022/08/30/00022 102826 ABDILAH
BAYI NYONYA GITA PERI3.03 PERINATOLOGI P21.1 P21.1 30/08/2022 07:42:50 31/08/2022 07:43:36 Rp 240,000.00
5 ROSITA
2022/08/30/00024 102905 BY NY CUCU PERI3.02 PERINATOLOGI - P21.1 30/08/2022 14:15:03 31/08/2022 07:40:17 Rp 240,000.00
5
2022/08/30/00025 103064 BY NY IDA PARIDA PERI3.09 PERINATOLOGI - P21.1 30/08/2022 16:49:54 31/08/2022 07:40:49 Rp 240,000.00
1
2022/08/30/00026 103070 BY NY AI KARYATI PERI3.10 PERINATOLOGI - P21.1 30/08/2022 22:19:39 31/08/2022 15:29:03 Rp 240,000.00
8
2022/08/31/00016 103087 BY NY LUSIANA K0000178 PERINATOLOGI P21.1 P21.1 31/08/2022 08:15:15 31/08/2022 07:45:16 Rp 120,000.00
7
2022/08/01/00019 102021 GINA ANDINI VK3.02 VERLOS KARMER - - 01/08/2022 08:08:51 02/08/2022 08:33:50 Rp 240,000.00
5
2022/08/01/00020 069047 MELTI AMELIA VK3.06 III
VERLOS KARMER - - 01/08/2022 08:10:21 03/08/2022 08:40:11 Rp 360,000.00
4 TRIMANA III
2022/08/01/00018 101061 NENA NURHILA VK3.01 VERLOS KARMER - - 01/08/2022 12:02:13 02/08/2022 08:12:52 Rp 240,000.00
9
2022/08/02/00020 102053 SARI
ROSMAWATI BINTI VK3.03 III
VERLOS KARMER - - 02/08/2022 16:14:38 03/08/2022 13:30:56 Rp 240,000.00
4 ISAH III
2022/08/02/00021 102089 NURHAYATI VK3.05 VERLOS KARMER O42 - 02/08/2022 19:35:35 02/08/2022 08:47:27 Rp 120,000.00
8
2022/08/02/00022 094491 EVI RISNAWATI VK3.01 III
VERLOS KARMER - - 02/08/2022 19:40:18 03/08/2022 13:29:03 Rp 240,000.00
1
2022/08/02/00022 102093 LINDA VK3.07 III
VERLOS KARMER - - 02/08/2022 21:13:30 03/08/2022 15:52:36 Rp 240,000.00
3
2022/08/03/00021 073735 ELIN LINDALUT VK3.04 III
VERLOS KARMER O14 - 03/08/2022 15:09:45 04/08/2022 14:49:58 Rp 240,000.00
3
2022/08/03/00023 102157 FIANI
ENDAH MIRANTI VK3.05 III
VERLOS KARMER - - 04/08/2022 06:53:21 04/08/2022 10:38:21 Rp 120,000.00
5
2022/08/03/00023 024380 MARYAM VK3.02 III
VERLOS KARMER - - 04/08/2022 06:55:48 04/08/2022 10:36:30 Rp 120,000.00
7
2022/08/04/00025 102192 SUSI AGUSTIANITA VK3.06 III
VERLOS KARMER - - 04/08/2022 16:08:06 04/08/2022 10:46:44 Rp 120,000.00
6
2022/08/04/00026 102194 SITI RISMAYANTI VK3.01 III
VERLOS KARMER - - 04/08/2022 19:42:31 05/08/2022 10:48:27 Rp 240,000.00
2
2022/08/05/00000 102200 WIDYA ASTUTI VK3.03 III
VERLOS KARMER O32.9 - 05/08/2022 03:20:40 05/08/2022 13:38:26 Rp 120,000.00
2 HESTORINI III
2022/08/05/00000 102202 MARLINA VK3.07 VERLOS KARMER - - 05/08/2022 04:53:45 08/08/2022 09:22:00 Rp 480,000.00
5
2022/08/05/00008 090415 YENI SRIYANI VK3.04 III
VERLOS KARMER O14 O14 05/08/2022 11:45:10 07/08/2022 11:54:40 Rp 360,000.00
1
2022/08/05/00008 102208 DEDE JUBAEDAH VK3.06 III
VERLOS KARMER - - 05/08/2022 11:50:21 06/08/2022 09:23:43 Rp 240,000.00
0
2022/08/05/00010 102227 MAYA ROMANTIR VK3.03 III
VERLOS KARMER O42 - 05/08/2022 22:50:17 06/08/2022 10:08:31 Rp 240,000.00
0
2022/08/05/00010 102231 SELA WIDIANTI VK3.06 III
VERLOS KARMER - - 06/08/2022 09:41:34 06/08/2022 10:14:03 Rp 120,000.00
1
2022/08/06/00011 094464 SITI AISYAH VK3.10 III
VERLOS KARMER - - 06/08/2022 16:26:27 08/08/2022 16:03:29 Rp 360,000.00
0
2022/08/06/00011 102237 BINTANG ELSA SRI VK3.01 III
VERLOS KARMER - - 06/08/2022 18:50:11 07/08/2022 10:16:06 Rp 240,000.00
3 AYUNI III
2022/08/07/00000 096600 KOMALASARI VK3.05 VERLOS KARMER O64 - 07/08/2022 02:16:06 07/08/2022 16:04:23 Rp 240,000.00
4
2022/08/07/00000 101058 AI PUPUT VK3.04 III
VERLOS KARMER O42.0 O42.0 07/08/2022 08:18:34 07/08/2022 09:56:36 Rp 120,000.00
7
2022/08/07/00003 102260 SETIAWATI
SITI SAWITRI VK3.02 III
VERLOS KARMER = - 07/08/2022 23:36:36 08/08/2022 16:05:21 Rp 240,000.00
2
2022/08/08/00003 097664 NOVI WULANDARI VK3.07 III
VERLOS KARMER - - 08/08/2022 09:43:19 09/08/2022 14:06:23 Rp 240,000.00
9
2022/08/08/00012 101820 CUCU HARYATI VK3.03 III
VERLOS KARMER - - 08/08/2022 11:56:06 09/08/2022 14:23:27 Rp 240,000.00
6
2022/08/08/00022 102293 WINDI LESTARI VK3.06 III
VERLOS KARMER - - 08/08/2022 13:17:43 09/08/2022 14:46:27 Rp 240,000.00
0
2022/08/08/00021 060608 TANTI SUSANTI VK3.04 III
VERLOS KARMER - - 08/08/2022 13:18:44 09/08/2022 14:35:48 Rp 240,000.00
9
2022/08/08/00022 099632 YOLANDA VK3.01 III
VERLOS KARMER o42 - 08/08/2022 15:56:54 08/08/2022 10:52:46 Rp 120,000.00
4 KRISMONETA III
2022/08/08/00025 102324 NUNING BINTI VK3.05 VERLOS KARMER - - 09/08/2022 07:57:18 09/08/2022 14:55:20 Rp 120,000.00
0
2022/08/09/00013 090415 KAYAH
YENI SRIYANI VK3.02 III
VERLOS KARMER - - 09/08/2022 09:44:56 10/08/2022 15:12:50 Rp 240,000.00
1 III

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2022/08/09/00018 102363 SITI MASITOH VK3.06 VERLOS KARMER PEB - 09/08/2022 18:31:57 10/08/2022 08:46:31 Rp 240,000.00
8
2022/08/10/00017 102392 RISNA BINTI IYAH VK3.05 III
VERLOS KARMER - - 10/08/2022 08:44:08 11/08/2022 09:10:26 Rp 240,000.00
0
2022/08/10/00017 102394 SUSANTI BINTI VK3.02 III
VERLOS KARMER - - 10/08/2022 23:43:28 11/08/2022 09:20:42 Rp 240,000.00
7 KOMAR III
2022/08/11/00000 102396 isna dewi setiani VK3.01 VERLOS KARMER - - 11/08/2022 06:12:09 11/08/2022 14:09:42 Rp 120,000.00
6 mardiana III
2022/08/11/00012 102419 SITI KOMARIAH VK3.03 VERLOS KARMER - - 11/08/2022 08:05:50 11/08/2022 09:35:11 Rp 120,000.00
3
2022/08/11/00012 102401 NOVI HELYANI VK3.07 III
VERLOS KARMER - - 11/08/2022 08:06:53 13/08/2022 08:39:59 Rp 360,000.00
6
2022/08/11/00014 102428 IKA SOLIHATUN VK3.10 III
VERLOS KARMER - - 11/08/2022 16:50:54 12/08/2022 12:21:13 Rp 240,000.00
1
2022/08/11/00014 102432 SITI LOMRAH VK3.02 III
VERLOS KARMER - - 11/08/2022 20:27:39 11/08/2022 12:16:31 Rp 120,000.00
5
2022/08/11/00015 102434 SITI NURJANAH VK3.06 III
VERLOS KARMER - - 12/08/2022 01:40:52 12/08/2022 12:25:01 Rp 120,000.00
0
2022/08/12/00020 102452 AI SRY WAHYUNI VK3.03 III
VERLOS KARMER - - 12/08/2022 13:47:16 12/08/2022 09:47:39 Rp 120,000.00
6
2022/08/12/00021 102457 SITI RUKOYAH VK3.02 III
VERLOS KARMER O32.9 - 12/08/2022 19:10:47 13/08/2022 10:33:53 Rp 240,000.00
6
2022/08/12/00022 102461 SEPTI AULIA FAUZI VK3.04 III
VERLOS KARMER o42 - 12/08/2022 21:46:53 13/08/2022 10:35:47 Rp 240,000.00
1 RAHAYU III
2022/08/14/00000 102412 YANI YUNINGSIH VK3.01 VERLOS KARMER PEB - 14/08/2022 12:04:38 15/08/2022 10:39:16 Rp 240,000.00
9
2022/08/14/00001 102489 PONIAWATI VK3.05 III
VERLOS KARMER - - 14/08/2022 19:22:03 14/08/2022 11:04:59 Rp 120,000.00
6
2022/08/15/00019 101177 ANA FATIAWATI VK3.10 III
VERLOS KARMER - - 15/08/2022 13:24:41 16/08/2022 14:26:37 Rp 240,000.00
9
2022/08/15/00020 065476 ULFAH VK3.06 III
VERLOS KARMER - - 15/08/2022 14:39:29 16/08/2022 15:50:53 Rp 240,000.00
1
2022/08/15/00022 102546 SOFIATUNNISA
HERLINA BT VK3.01 III
VERLOS KARMER 030 - 15/08/2022 22:47:08 16/08/2022 14:45:39 Rp 240,000.00
2 KARDIMAN III
2022/08/15/00022 102547 IIS BINTI ENUNG VK3.05 VERLOS KARMER - - 15/08/2022 23:11:59 16/08/2022 12:02:02 Rp 240,000.00
3
2022/08/16/00015 102555 HENI BINTI MUMUS VK3.02 III
VERLOS KARMER - - 16/08/2022 11:14:43 17/08/2022 08:10:39 Rp 240,000.00
4
2022/08/17/00001 059077 YULIA KARTINI VK3.06 III
VERLOS KARMER - - 17/08/2022 08:08:45 17/08/2022 08:12:57 Rp 120,000.00
3
2022/08/18/00013 102660 NURLELAWATI BT VK3.02 III
VERLOS KARMER - - 18/08/2022 10:50:18 19/08/2022 14:45:55 Rp 240,000.00
4 KIKIN III
2022/08/18/00013 102658 KOMARIAH BT UMU VK3.06 VERLOS KARMER O30.0 - 18/08/2022 16:50:42 19/08/2022 14:43:17 Rp 240,000.00
1
2022/08/18/00013 096346 IDE MULYANI VK3.05 III
VERLOS KARMER - - 18/08/2022 22:54:07 20/08/2022 08:51:19 Rp 360,000.00
7
2022/08/19/00000 102667 MITA FAUZI KAHFI VK3.07 III
VERLOS KARMER - - 19/08/2022 05:22:53 19/08/2022 14:47:22 Rp 120,000.00
2
2022/08/20/00000 102694 TITIN SITI VK3.04 III
VERLOS KARMER O42 O42 20/08/2022 11:00:35 22/08/2022 08:59:32 Rp 360,000.00
7
2022/08/20/00001 102700 FATIMAH
AI ROSTINI VK3.01 III
VERLOS KARMER O42.9 - 20/08/2022 14:46:38 21/08/2022 09:04:12 Rp 240,000.00
4
2022/08/20/00002 102707 TIKA NURYANTI VK3.10 III
VERLOS KARMER PREMATURE - 20/08/2022 23:15:09 21/08/2022 09:06:19 Rp 240,000.00
8
2022/08/20/00002 102708 ROSMAWATI BINTI VK3.02 III
VERLOS KARMER O32.9 - 20/08/2022 23:25:18 21/08/2022 09:07:55 Rp 240,000.00
9 HADUDIN III
2022/08/21/00000 102713 SUMIYATI BINTI VK3.06 VERLOS KARMER - - 21/08/2022 09:38:56 21/08/2022 09:55:12 Rp 120,000.00
5 SUHERMAN III
2022/08/21/00002 102720 ENUR NURHAYATI VK3.03 VERLOS KARMER - - 21/08/2022 21:13:30 21/08/2022 09:56:29 Rp 120,000.00
3
2022/08/22/00025 102776 EVA SELVIA VK3.10 III
VERLOS KARMER - - 22/08/2022 08:42:27 23/08/2022 09:00:43 Rp 240,000.00
7
2022/08/22/00023 102766 HERLINA VK3.01 III
VERLOS KARMER O - 22/08/2022 08:43:47 23/08/2022 09:39:27 Rp 240,000.00
7
2022/08/22/00026 102777 SOLAWATI
IMAS ADAH VK3.02 III
VERLOS KARMER - - 22/08/2022 08:50:05 23/08/2022 09:40:51 Rp 240,000.00
0
2022/08/22/00022 081616 AI PURWANTI VK3.04 III
VERLOS KARMER - - 22/08/2022 15:40:46 23/08/2022 08:58:51 Rp 240,000.00
1
2022/08/22/00025 060598 LISDA HILDA VK3.05 III
VERLOS KARMER - - 22/08/2022 21:07:57 23/08/2022 14:27:32 Rp 240,000.00
8
2022/08/24/00022 102866 PAUJIAH
JUJUN JUNAYAH VK3.04 III
VERLOS KARMER - - 24/08/2022 09:01:46 24/08/2022 16:08:08 Rp 120,000.00
5
2022/08/25/00000 102876 ENING BINTI VK3.10 III
VERLOS KARMER - - 25/08/2022 09:02:24 25/08/2022 16:09:28 Rp 120,000.00
3
2022/08/25/00015 063443 MAHYAR
CUCU SUHAETI VK3.01 III
VERLOS KARMER - - 25/08/2022 11:56:52 25/08/2022 13:15:33 Rp 120,000.00
2
2022/08/26/00025 102921 LILIS KARLINA VK3.10 III
VERLOS KARMER - - 26/08/2022 07:47:38 26/08/2022 09:09:52 Rp 120,000.00
1
2022/08/26/00024 102920 RESNAWATI BT VK3.05 III
VERLOS KARMER - - 26/08/2022 07:48:34 26/08/2022 09:11:53 Rp 120,000.00
9 SODIK III
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2022/08/26/00026 102931 HANI BINTI AA VK3.02 VERLOS KARMER - - 26/08/2022 07:50:02 27/08/2022 09:17:12 Rp 240,000.00
4 BARKAH III
2022/08/26/00023 102556 LENI LIDIA VK3.04 VERLOS KARMER - - 26/08/2022 09:59:28 27/08/2022 09:15:41 Rp 240,000.00
7
2022/08/27/00001 102944 WIDANENGSIH BT VK3.01 III
VERLOS KARMER - - 27/08/2022 17:30:56 28/08/2022 10:40:02 Rp 240,000.00
7 SURATMAN III
2022/08/29/00017 051514 SINDI MAULIDA VK3.04 VERLOS KARMER - - 29/08/2022 07:57:40 30/08/2022 09:59:23 Rp 240,000.00
7 ABDILAH III
2022/08/29/00019 101769 LUSIANA VK3.10 VERLOS KARMER - - 29/08/2022 07:59:56 31/08/2022 14:55:00 Rp 360,000.00
0
2022/08/30/00018 103052 IDA PARIDA VK3.01 III
VERLOS KARMER - - 30/08/2022 12:09:35 30/08/2022 10:06:00 Rp 120,000.00
4
2022/08/30/00026 102517 AI ULFAH FARIDA, VK3.05 III
VERLOS KARMER O60.- O60.- 30/08/2022 21:05:12 01/09/2022 13:58:33 Rp 360,000.00
5 S.Pd III

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