Mix

KODE_RS KELAS_RS KELAS_RAWAT KODE_TARIF PTD ADMISSION_DATE
DISCHARGE_DATE BIRTH_DATE BIRTH_WEIGHT SEX DISCHARGE_STATUS

DIAGLIST PROCLIST ADL1 ADL2 IN_SP IN_SR IN_SI IN_SD INACBG
SUBACUTE CHRONIC SP SR SI SD DESKRIPSI_INACBG TARIF_INACBG
TARIF_SUBACUTE TARIF_CHRONIC DESKRIPSI_SP TARIF_SP DESKRIPSI_SR
TARIF_SR DESKRIPSI_SI TARIF_SI DESKRIPSI_SD TARIF_SD
TOTAL_TARIF TARIF_RS TARIF_POLI_EKS LOS ICU_INDIKATOR ICU_LOS
VENT_HOUR NAMA_PASIEN MRN UMUR_TAHUN UMUR_HARI DPJP SEP NOKARTU
PAYOR_ID CODER_ID VERSI_INACBG VERSI_GROUPER C1 C2 C3
C4
3578090 D 3 DP 2 01/05/2018 01/05/2018 22/07/2016 0 1
1 L02.9 - - - None None None None Q-5-42-0 None None
None None None None PENYAKIT AKUT KECIL LAIN-LAIN 173400 0 0
- 0 - 0 - 0 - 0 173400 263000 0
1 0 0 0 RAFA AZKA ALKHALIFI 023817 1 648 DR.
RIVAN 0217R0190518V000004 0002451601168 3;JKN ANIS FITRIA;3515074203950002
5.2.1.201804062320 4 100799 1#0##0#0#0.0#2018-05-09
11:29:12#0#00:00:00#00:00:00#00:00:00 1 48b5c9ab4225416201d945e1061da72d
3578090 D 3 DP 2 01/05/2018 01/05/2018 29/06/1965 0 1
1 M79.16 - - - None None None None Q-5-44-0 None
None None None None None PENYAKIT KRONIS KECIL LAIN-LAIN 176200
0 0 - 0 - 0 - 0 - 0 176200 147000
0 1 0 0 0 SUDARSONO 023112 52 19299 DR. RIZKY
SATYA 0217R0190518V000005 0001102837476 3;JKN ANIS FITRIA;3515074203950002
5.2.1.201804062320 4 100800 1#0##0#0#0.0#2018-05-09
11:35:03#0#00:00:00#00:00:00#11:29:51 1 b9f8a103bd65ed43eebf1fb40dd303a9
3578090 D 3 DP 2 01/05/2018 01/05/2018 03/04/1975 0 1
1 B02.9 - - - None None None None Q-5-42-0 None None
- 0 - 0 - 0 - 0 173400 150000 0
1 0 0 0 INDARTO EKO PUTRO 021904 43 15734 DR. RIZKY
5.2.1.201804062320 4 100801 1#0##0#0#0.0#2018-05-09
11:40:01#0#00:00:00#00:00:00#12:07:04 1 3507aff30956e33956efd6a4cdabc52a
3578090 D 3 DP 2 01/05/2018 01/05/2018 17/08/1942 0 2
0 0 - 0 - 0 - 0 - 0 176200 147000
0 1 0 0 0 ANIK 003957 75 27651 DR. RIVAN
0217R0190518V000006 0000101045171 3;JKN ANIS FITRIA;3515074203950002
5.2.1.201804062320 4 100802 1#0##0#0#0.0#2018-05-09
11:42:43#0#00:00:00#00:00:00#00:00:00 1 b53eaba090fd9fd2d040b1a20278fe22
3578090 D 3 DP 2 01/05/2018 01/05/2018 27/11/2012 0 2
1 R50.9 - - - None None None None Q-5-42-0 None None
- 0 - 0 - 0 - 0 173400 150000 0
1 0 0 0 CANTIKA PUTRI CHAURA BELLA 019175 5 1981
DR. RIVAN 0217R0190518V000007 0001819651149 3;JKN ANIS
FITRIA;3515074203950002 5.2.1.201804062320 4 100803 1#0##0#0#0.0#2018-
05-09 11:45:11#0#00:00:00#00:00:00#10:31:12 1
9cbe2c03c7a6f76b147e51b3fe2aee3c
3578090 D 3 DP 2 01/05/2018 01/05/2018 05/06/1971 0 1
1 N39.0 - - - None None None None Q-5-40-0 None None
None None None None INFEKSI SALURAN KEMIH AKUT 117100 0 0
- 0 - 0 - 0 - 0 117100 197000 0
1 0 0 0 IMRON ROSADI 023816 46 17132 DR. RIVAN
5.2.1.201804062320 4 100804 1#0##0#0#0.0#2018-05-09
11:47:29#0#00:00:00#00:00:00#12:20:58 1 f810dd21b85fb96516c6085e962296b2
3578090 D 3 DP 2 01/05/2018 01/05/2018 19/09/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 177000
0 1 0 0 0 POSMAN MUNTHE 006861 74 27253 DR.
RIVAN 0217R0190518V000002 0000101043281 3;JKN ANIS FITRIA;3515074203950002
5.2.1.201804062320 4 100805 1#0##0#0#0.0#2018-05-09
11:49:50#0#00:00:00#00:00:00#00:00:00 1 2ffaa008c32f70606ff9046383dd4167
3578090 D 3 DP 2 02/05/2018 02/05/2018 16/12/1969 0 1
1 K04.1 23.71 - - None None None None U-3-16-0 None None
None None None None PROSEDUR PADA GIGI 269500 0 0 -
0 - 0 - 0 - 0 269500 220000 0 1
0 0 0 SHOLIHIN 016748 48 17669 DRG. MIKA RAMADHANI
5.2.1.201804062320 4 100806 1#0##0#0#0.0#2018-05-09
11:57:27#0#00:00:00#00:00:00#00:00:00 1 a8491f06bfc12ee021dbbfc5f37780b6
3578090 D 3 DP 2 02/05/2018 02/05/2018 11/05/1998 0 2
- 0 - 0 - 0 - 0 173400 165000 0
1 0 0 0 MEISSY MAUREN LASEDUW 023840 19 7296 DR.
LYDIA TRISNAWATI 0217R0190518V000022 0001338051418 3;JKN ANIS
FITRIA;3515074203950002 5.2.1.201804062320 4 100807 1#0##0#0#0.0#2018-
05-09 12:05:59#0#00:00:00#00:00:00#00:00:00 1
e9684977053ba294a69dda2ed904ab1c
3578090 D 3 DP 2 02/05/2018 02/05/2018 13/11/1968 0 2
1 I10 - - - None None None None Q-5-44-0 None None
None None None None PENYAKIT KRONIS KECIL LAIN-LAIN 176200 0
0 - 0 - 0 - 0 - 0 176200 130000
0 1 0 0 0 MUNAINI 013046 49 18067 DR. RIZKY
5.2.1.201804062320 4 100810 1#0##0#0#0.0#2018-05-09
12:13:41#0#00:00:00#00:00:00#00:00:00 1 12383ff65b03bd98b174de28eb1169e1
3578090 D 3 DP 2 02/05/2018 02/05/2018 28/09/1964 0 1
- 0 - 0 - 0 - 0 173400 135000 0
1 0 0 0 ATMU EDI 023821 53 19574 DR. LYDIA
TRISNAWATI 0217R0190518V000012 0001110174917 3;JKN ANIS
FITRIA;3515074203950002 5.2.1.201804062320 4 100811 1#0##0#0#0.0#2018-
05-09 12:17:09#0#00:00:00#00:00:00#00:00:00 1
3605c32f0737bbc66ee6e685cf9eb784
3578090 D 3 DP 2 02/05/2018 02/05/2018 24/12/1963 0 1
1 T14.0 - - - None None None None Q-5-42-0 None None
- 0 - 0 - 0 - 0 173400 167000 0
1 0 0 0 SUJAKA 022291 54 19853 DR. RIVAN
5.2.1.201804062320 4 100812 1#0##0#0#0.0#2018-05-09
12:19:22#0#00:00:00#00:00:00#12:04:27 1 f6d8f734be7131652495dd7843346dcb
3578090 D 3 DP 2 02/05/2018 02/05/2018 11/08/1965 0 2
1 H10.9 - - - None None None None Q-5-42-0 None None
- 0 - 0 - 0 - 0 173400 167000 0
1 0 0 0 NOOR IDA CHOIRIDAH 021206 52 19257 DR.
WIDHIYORETNO NS, SPKJ 0217R0190518V000108 0001226679636 3;JKN ANIS
FITRIA;3515074203950002 5.2.1.201804062320 4 100813 1#0##0#0#0.0#2018-
05-09 12:21:21#0#00:00:00#00:00:00#10:13:49 1
bb985088bd5188f7d82ee60ba74df7a4
3578090 D 3 DP 2 02/05/2018 02/05/2018 12/12/1944 0 2
1 F41.2 - - - None None None None F-5-14-0 None None
None None None None PSIKOTHERAPI INDIVIDU DEWASA BUKAN AKUT 184700
0 0 - 0 - 0 - 0 - 0 184700 253000
0 1 0 0 0 PINTA SIHITE 005337 73 26804 DR.
WIDHIYORETNO NS, SPKJ 0217R0190518V000018 0000101043292 3;JKN ANIS
FITRIA;3515074203950002 5.2.1.201804062320 4 100814 1#0##0#0#0.0#2018-
05-09 12:25:15#0#00:00:00#00:00:00#00:00:00 1
a3d0d3a53815d6ebffa15bb2f1d55479
3578090 D 3 DP 2 02/05/2018 02/05/2018 09/07/1950 0 2
0 - 0 - 0 - 0 269500 291000 0 1
0 0 0 SARIFAH 011681 67 24769 DRG. MIKA RAMADHANI
5.2.1.201804062320 4 100815 1#0##0#0#0.0#2018-05-09
12:28:02#0#00:00:00#00:00:00#00:00:00 1 35b1c6cc3b293aa00789cb56b0c5acdd
3578090 D 3 DP 2 02/05/2018 02/05/2018 09/06/1978 0 2
0 - 0 - 0 - 0 269500 220000 0 1
0 0 0 SULASTRI 017489 39 14572 DRG. RIAWATI
5.2.1.201804062320 4 100816 1#0##0#0#0.0#2018-05-09
12:29:54#0#00:00:00#00:00:00#09:36:10 1 9ce206d0d2ea324be1c49dfc67f85aa0
3578090 D 3 DP 2 02/05/2018 02/05/2018 17/12/1990 0 2
0 - 0 - 0 - 0 269500 220000 0 1
0 0 0 ALIA RATNANINGRUM 022436 27 9998 DRG. MIKA
RAMADHANI 0217R0190518V000019 0001534930244 3;JKN ANIS
FITRIA;3515074203950002 5.2.1.201804062320 4 100817 1#0##0#0#0.0#2018-
05-09 12:32:33#0#00:00:00#00:00:00#12:00:00 1
ecdedef4859dfa7fadc54e3e0d7cfde2
3578090 D 3 DP 2 02/05/2018 02/05/2018 08/06/1962 0 2
0 - 0 - 0 - 0 269500 220000 0 1
0 0 0 SRI HANDAYANI 023755 55 20417 DRG. MIKA
FITRIA;3515074203950002 5.2.1.201804062320 4 100818 1#0##0#0#0.0#2018-
05-09 12:34:17#0#00:00:00#00:00:00#00:00:00 1
fc12e997fb0cd271b6a111170720c069
3578090 D 3 DP 2 02/05/2018 02/05/2018 11/07/1963 0 2
0 - 0 - 0 - 0 269500 220000 0 1
0 0 0 SUSTIANI 019172 54 20019 DRG. MIKA RAMADHANI
5.2.1.201804062320 4 100819 1#0##0#0#0.0#2018-05-09
12:36:39#0#00:00:00#00:00:00#00:00:00 1 d46661168252ac7e14f3e0fa3eb34ca8
3578090 D 3 DP 2 02/05/2018 02/05/2018 28/03/1970 0 2
0 - 0 - 0 - 0 269500 220000 0 1
0 0 0 NOER CHASANAH 007535 48 17567 DRG. RIAWATI
5.2.1.201804062320 4 100820 1#0##0#0#0.0#2018-05-09
12:38:34#0#00:00:00#00:00:00#00:00:00 1 62889822002d26c44dcc3d635a036daf
3578090 D 3 DP 2 02/05/2018 02/05/2018 17/02/1975 0 2
0 - 0 - 0 - 0 269500 220000 0 1
0 0 0 EMI TRIASTUTI 023559 43 15780 DRG. MIKA
FITRIA;3515074203950002 5.2.1.201804062320 4 100821 1#0##0#0#0.0#2018-
05-09 12:40:26#0#00:00:00#00:00:00#12:00:00 1
5acd4e2c101a5b3551703b2f89f7be0d
3578090 D 3 DP 2 02/05/2018 02/05/2018 23/03/1972 0 1
0 - 0 - 0 - 0 269500 220000 0 1
0 0 0 HARYADI 023823 46 16841 DRG. MIKA RAMADHANI
5.2.1.201804062320 4 100822 1#0##0#0#0.0#2018-05-09
12:42:43#0#00:00:00#00:00:00#13:55:51 1 3d6a9501f39575be036c9bd908ea8031
3578090 D 3 DP 2 02/05/2018 02/05/2018 13/05/1975 0 1
- 0 - 0 - 0 - 0 173400 125000 0
1 0 0 0 WIDI RACHMANTO 00005688 42 15695 DR. RIZKY
5.2.1.201804062320 4 100809 1#0##0#0#0.0#2018-05-09
13:26:22#0#00:00:00#00:00:00#00:00:00 1 ac31a8ca61a51832ff9653716f55b40b
3578090 D 3 DP 2 02/05/2018 02/05/2018 05/10/1971 0 2
0 - 0 - 0 - 0 269500 133000 0 1
0 0 0 PRASTIWI HARIYANTI, S.PD. 023841 46 17011 DR.
RIZKY SATYA 0217R0190518V000289 0001226942302 3;JKN ANIS
FITRIA;3515074203950002 5.2.1.201804062320 4 100823 1#0##0#0#0.0#2018-
05-09 13:48:15#0#00:00:00#00:00:00#00:00:00 1
39f84bfedf702d6cf4a8e01328b0d527
3578090 D 1 DP 1 30/04/2018 02/05/2018 10/04/1942 0 2
1 I25.8 - - - None None None None I-4-16-I None None
None None None None ATHEROSKLEROSIS (RINGAN) 1907900 0 0
- 0 - 0 - 0 - 0 1907900 3528065 0
3 0 0 0 RR. ANDAROEKMI, ba 005759 76 27779 DR.
SARTONO, SP. D 0217R0190418V000527 0000101079268 3;JKN
INACBG;123123123123 5.2.2.201806040537 4 101581
1#0##0#0#0.0#2018-06-22 10:19:57#0#00:00:00#00:00:00#00:00:00 1
974f65836c8c5dd28227221e38caca8f
3578090 D 2 DP 1 30/04/2018 02/05/2018 25/04/1989 0 2
1 O80.0;Z37.0 73.59 - - None None None None O-6-13-I None
None None None None None PERSALINAN VAGINAL (RINGAN) 1761100 0
0 - 0 - 0 - 0 - 0 1761100 2238500
0 3 0 0 0 SUSANTI 023576 29 10597 DR. RIANTO,
SPOG 0217R0190418V000530 0001110304664 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101590 1#0##0#0#0.0#2018-06-22
10:57:19#0#00:00:00#00:00:00#12:00:00 1 4754857b1b5813dd78d2e495aa60ec96
3578090 D 3 DP 2 03/05/2018 03/05/2018 08/06/1982 0 2
1 J02.9 - - - None None None None Q-5-42-0 None None
- 0 - 0 - 0 - 0 173400 163000 0
1 0 0 0 YUNIARTI 021668 35 13113 DR. LYDIA
TRISNAWATI 0217R0190518V000109 0001108555885 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100857 1#0##0#0#0.0#2018-05-24
10:34:24#0#00:00:00#00:00:00#00:00:00 1 509456c2c8de13c2ce0d54addaedeaac
3578090 D 3 DP 2 03/05/2018 03/05/2018 18/02/1938 0 2
1 G62.9 - - - None None None None G-5-17-0 None None
None None None None PENYAKIT SARAF KRANIAL DAN SARAF PERIFER LAIN-LAIN
229900 0 0 - 0 - 0 - 0 - 0 229900
240000 0 1 0 0 0 ETMI SOERJOTOENINGSIH 007275
80 29294 DR. LYDIA TRISNAWATI 0217R0190518V000075 0000101051032
3;JKN INACBG;123123123123 5.2.1.201804062320 4 100858
1#0##0#0#0.0#2018-05-24 10:35:54#0#00:00:00#00:00:00#00:00:00 1
8b9fb44e7375a33fe353118f1b846db6
3578090 D 3 DP 2 03/05/2018 03/05/2018 03/01/1971 0 1
1 Z09.8;F20.0 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 222000
0 1 0 0 0 JERI SULISTIJO 010921 47 17287 DR.
WIDHIYORETNO NS, SPKJ 0217R0190518V000070 0001226629168 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 100859
1#0##0#0#0.0#2018-05-24 10:37:11#0#00:00:00#00:00:00#00:00:00 1
3dad59174bb459710c5b52ef8d2ac8e0
3578090 D 3 DP 2 03/05/2018 03/05/2018 09/06/1978 0 2
1 Z09.8;K04.1 23.71 - - None None None None U-3-16-0 None
None None None None None PROSEDUR PADA GIGI 269500 0 0
- 0 - 0 - 0 - 0 269500 258500 0
1 0 0 0 SULASTRI 017489 39 14573 DRG. MIKA
RAMADHANI 0217R0190518V000081 0001227223361 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100860 1#0##0#0#0.0#2018-05-24
10:39:59#0#00:00:00#00:00:00#09:36:10 1 8dcc7d5f3ae9ee17b4631abc6a059fc1
3578090 D 3 DP 2 03/05/2018 03/05/2018 31/12/1961 0 1
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 HERU SULISTIYONO SM 022732 56 20577 DRG.
MIKA RAMADHANI 0217R0190518V000085 0001226623094 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 100861
1#0##0#0#0.0#2018-05-24 10:40:41#0#00:00:00#00:00:00#12:00:00 1
bc364543f270e50d95aabcc413c57f20
3578090 D 3 DP 2 03/05/2018 03/05/2018 06/12/1958 0 1
0 0 - 0 - 0 - 0 - 0 176200 186500
0 1 0 0 0 MOCH.RIDWAN.S 023813 59 21698 DR.
IMAM HIDAYAT, SP.S 0217R0190518V000059 0001102975391 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 100862
1#0##0#0#0.0#2018-05-24 10:41:41#0#00:00:00#00:00:00#00:00:00 1
bafc8ec36de387dc30963c263ddb2c82
3578090 D 3 DP 2 03/05/2018 03/05/2018 19/01/1948 0 2
1 Z09.8;I10 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 178000
0 1 0 0 0 ENDANG RATNA HERANI 006923 70 25672
DR. IMAM HIDAYAT, SP.S. 0217R0190518V000093 0000101029217 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 100863
1#0##0#0#0.0#2018-05-24 10:47:21#0#00:00:00#00:00:00#00:00:00 1
b73d4b4ce9e1bfcc8ccaa7bfd26b73e9
3578090 D 3 DP 2 03/05/2018 03/05/2018 08/12/1943 0 1
1 Z09.8;M53.16 - - - None None None None Q-5-44-0
None None None None None None PENYAKIT KRONIS KECIL LAIN-LAIN 176200
0 0 - 0 - 0 - 0 - 0 176200 198000
0 1 0 0 0 DJAMIJO 010761 74 27175 DR. IMAM
HIDAYAT, SP S 0217R0190518V000091 0000101027788 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 100864
1#0##0#0#0.0#2018-05-24 10:48:05#0#00:00:00#00:00:00#00:00:00 1
5aef1cca5aaafec5d0f2cf68dfb8fba1
3578090 D 3 DP 2 03/05/2018 03/05/2018 17/03/1964 0 2
1 Z09.8;I63.9 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 180000
0 1 0 0 0 NI LUH ANGGRAINI 00009794 54 19770 DR.
INACBG;123123123123 5.2.1.201804062320 4 100865
1#0##0#0#0.0#2018-05-24 10:49:07#0#00:00:00#00:00:00#00:00:00 1
b309706fb0622cd7cce5c53c46620424
3578090 D 3 DP 2 03/05/2018 03/05/2018 17/08/1942 0 2
1 Z09.8;G25.6 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 228000
0 1 0 0 0 ANIK 003957 75 27653 DR. IMAM HIDAYAT,
SP.S 0217R0190518V000086 0000101045171 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100866 1#0##0#0#0.0#2018-05-24
10:50:36#0#00:00:00#00:00:00#00:00:00 1 4afa1ad9d01cfaee78ab413e9d8c2525
3578090 D 3 DP 2 03/05/2018 03/05/2018 08/07/1939 0 1
0 0 - 0 - 0 - 0 - 0 176200 198000
0 1 0 0 0 TABRANI 004358 78 28789 DR. IMAM
HIDAYAT, SP.S. 0217R0190518V000090 0000100773088 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 100867
1#0##0#0#0.0#2018-05-24 10:51:20#0#00:00:00#00:00:00#00:00:00 1
20b200ba8baeffe895df8905a811a7e8
3578090 D 3 DP 2 03/05/2018 03/05/2018 28/12/1971 0 1
0 0 - 0 - 0 - 0 - 0 176200 310500
0 1 0 0 0 MOCH. JUSUF SUDJATMIKO,SE 017376 46
16928 DR. IMAM HIDAYAT, SP.S. 0217R0190518V000089 0001463322227 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 100868
1#0##0#0#0.0#2018-05-24 10:52:19#0#00:00:00#00:00:00#10:58:32 1
92635247f606054cef9e3ce2bb8e20f4
3578090 D 3 DP 2 03/05/2018 03/05/2018 16/07/1942 0 2
1 Z09.8;E11.4;G63.2 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 280500
0 1 0 0 0 TASMINAH BSC 004353 75 27685 DR.
INACBG;123123123123 5.2.1.201804062320 4 100869
1#0##0#0#0.0#2018-05-24 10:53:24#0#00:00:00#00:00:00#00:00:00 1
72c87c4bc30cf8829563e9b497ed702d
3578090 D 3 DP 2 03/05/2018 03/05/2018 20/10/1969 0 2
1 Z09.8;E11.9;K76.0 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 545500
0 1 0 0 0 ERNY ISRIANAWATI 013909 48 17727 DR.
SARTONO, SP PD` 0217R0190518V000039 0001227290106 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 100870
1#0##0#0#0.0#2018-05-24 10:54:41#0#00:00:00#00:00:00#00:00:00 1
c87853d2a3eb981ce291829df44de5e3
3578090 D 3 DP 2 03/05/2018 03/05/2018 02/02/1944 0 2
1 Z09.8;E11.9 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 360000
0 1 0 0 0 LILIK SULASTRI 005395 74 27119
SARTONO, SP. PD 0217R0190518V000087 0000101023367 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 100871
1#0##0#0#0.0#2018-05-24 10:55:45#0#00:00:00#00:00:00#00:00:00 1
3b1af6ecf104ee12cb42bfa9f1e3a4b2
3578090 D 3 DP 2 03/05/2018 03/05/2018 28/06/1940 0 1
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0 0 - 0 - 0 - 0 - 0 176200 291000
0 1 0 0 0 A.A. DJAMIRAGA 00008713 77 28433 DR.
SARTONO, SP PD 0217R0190518V000102 0000101023064 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 100872
1#0##0#0#0.0#2018-05-24 10:57:04#0#00:00:00#00:00:00#12:47:38 1
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3578090 D 3 DP 2 03/05/2018 03/05/2018 20/12/1947 0 1
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0 1 0 0 0 ABD. MADJID 005528 70 25702 DR. SARTONO,
SP PD` 0217R0190518V000065 0000101165962 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100873 1#0##0#0#0.0#2018-05-24
10:57:58#0#00:00:00#00:00:00#00:00:00 1 1026b30f444d669d70630e15fc38c5d7
3578090 D 3 DP 2 03/05/2018 03/05/2018 20/10/1970 0 2
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0 1 0 0 0 SRI SULASTRI 018967 47 17362 DR.
INACBG;123123123123 5.2.1.201804062320 4 100874
1#0##0#0#0.0#2018-05-24 10:58:45#0#00:00:00#00:00:00#14:39:00 1
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3578090 D 3 DP 2 03/05/2018 03/05/2018 14/01/1956 0 2
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0 1 0 0 0 SRI RUSMIJATI 008743 62 22755 DR.
INACBG;123123123123 5.2.1.201804062320 4 100875
1#0##0#0#0.0#2018-05-24 10:59:37#0#00:00:00#00:00:00#00:00:00 1
4d2ecdd7c7aa7fa273d4625f99989d1e
3578090 D 3 DP 2 03/05/2018 03/05/2018 21/09/1952 0 2
1 Z09.8;K30 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 285000
0 1 0 0 0 REIDA SIMANJUNTAK 011118 65 23965 DR.
INACBG;123123123123 5.2.1.201804062320 4 100876
1#0##0#0#0.0#2018-05-24 11:01:47#0#00:00:00#00:00:00#15:27:51 1
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3578090 D 3 DP 2 03/05/2018 03/05/2018 12/05/1954 0 1
1 Z09.8;E11.9;I69.3 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 173000
0 1 0 0 0 GILBERT RONALD 019080/B 63 23367 DR.
INACBG;123123123123 5.2.1.201804062320 4 100877
1#0##0#0#0.0#2018-05-24 11:02:40#0#00:00:00#00:00:00#00:00:00 1
509dce91cd067f12fc06b2d70e7c981d
3578090 D 3 DP 2 03/05/2018 03/05/2018 12/09/1940 0 1
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0 1 0 0 0 PANGADI 017942 77 28357 DR. SARTONO,
SP. D 0217R0190518V000047 0000101042908 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100878 1#0##0#0#0.0#2018-05-24
11:03:33#0#00:00:00#00:00:00#00:00:00 1 3cb6cf28267c9561ff72cc4ec1daffea
3578090 D 3 DP 2 03/05/2018 03/05/2018 19/05/1953 0 2
0 0 - 0 - 0 - 0 - 0 176200 705000
0 1 0 0 0 ALIMA KUSUMA RATNI JD. 012747 64 23725
DR. SARTONO, SP. D 0217R0190518V000034 0000101024458 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 100879
1#0##0#0#0.0#2018-05-24 11:06:52#0#00:00:00#00:00:00#00:00:00 1
8b4fc58cf96341b35ae650bd3d2b145d
3578090 D 3 DP 2 03/05/2018 03/05/2018 05/10/1971 0 2
1 Z09.8;A09.9 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 214000
0 1 0 0 0 PRASTIWI HARIYANTI, S.PD. 023841 46
17012 DR. SARTONO, SP. D 0217R0190518V000053 0001226942302 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 100880
1#0##0#0#0.0#2018-05-24 11:07:53#0#00:00:00#00:00:00#00:00:00 1
93b9111bb96cfef89cffa9f5f937a1d1
3578090 D 3 DP 2 03/05/2018 03/05/2018 04/07/1946 0 1
0 0 - 0 - 0 - 0 - 0 176200 596000
0 1 0 0 0 TEDJO HARTONO 008367 71 26236 DR.
INACBG;123123123123 5.2.1.201804062320 4 100881
1#0##0#0#0.0#2018-05-24 11:08:46#0#00:00:00#00:00:00#00:00:00 1
de48d2961737c3efc2c7ebb769971372
3578090 D 3 DP 2 03/05/2018 03/05/2018 10/04/1955 0 2
0 0 - 0 - 0 - 0 - 0 176200 261500
0 1 0 0 0 ENDAH SOELIASTININGSIH 007137 63 23034
DR. SARTONO, SP PD 0217R0190518V000032 0001270756225 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 100882
1#0##0#0#0.0#2018-05-24 11:09:28#0#00:00:00#00:00:00#00:00:00 1
26ea1d151bc5c38a96d661061037daa5
3578090 D 3 DP 2 03/05/2018 03/05/2018 29/09/1946 0 2
0 0 - 0 - 0 - 0 - 0 176200 568500
0 1 0 0 0 ARIYANI K 006437 71 26149 DR. SARTONO,
SP. D 0217R0190518V000067 0000101050389 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100883 1#0##0#0#0.0#2018-05-24
11:10:20#0#00:00:00#00:00:00#10:53:07 1 55e0b3abdfc8725765b39064d04b0f60
3578090 D 3 DP 2 03/05/2018 03/05/2018 17/11/1972 0 2
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0 1 0 0 0 TINTIN SETIANINGSIH 00008254 45 16603
INACBG;123123123123 5.2.1.201804062320 4 100884
1#0##0#0#0.0#2018-05-24 11:12:43#0#00:00:00#00:00:00#00:00:00 1
9e618d1e8cfcd36139f454688a493b39
3578090 D 3 DP 2 03/05/2018 03/05/2018 21/01/1969 0 1
0 0 - 0 - 0 - 0 - 0 176200 275000
0 1 0 0 0 ATUT JAYANTO 022926 49 17999 DR.
INACBG;123123123123 5.2.1.201804062320 4 100885
1#0##0#0#0.0#2018-05-24 11:13:34#0#00:00:00#00:00:00#12:00:00 1
c2f7257e84e127360707f42243aef892
3578090 D 3 DP 2 03/05/2018 03/05/2018 13/10/1965 0 1
0 0 - 0 - 0 - 0 - 0 176200 175000
0 1 0 0 0 SAMIUN 014289 52 19195 DR. SARTONO,
SP. D 0217R0190518V000072 0001226765924 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100886 1#0##0#0#0.0#2018-05-24
11:14:18#0#00:00:00#00:00:00#00:00:00 1 daed1762d76ed0d3c3aeed59bb7ca16a
3578090 D 3 DP 2 03/05/2018 03/05/2018 10/11/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 330000
0 1 0 0 0 KAYATUN 017965 69 25376 DR. SARTONO,
5.2.1.201804062320 4 100887 1#0##0#0#0.0#2018-05-24
11:15:03#0#00:00:00#00:00:00#00:00:00 1 16ec0479f18c13d8fbd13a266f07f97a
3578090 D 3 DP 2 03/05/2018 03/05/2018 17/05/1942 0 1
1 Z09.8;E11.9;J40 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 254000
0 1 0 0 0 KALUBI 018563 75 27745 DR. SARTONO,
5.2.1.201804062320 4 100888 1#0##0#0#0.0#2018-05-24
11:16:01#0#00:00:00#00:00:00#00:00:00 1 3bb4286d68a64a47bd72ee088f3f7609
3578090 D 3 DP 2 03/05/2018 03/05/2018 17/07/1954 0 1
0 0 - 0 - 0 - 0 - 0 176200 251000
0 1 0 0 0 SRI SUGIARTINI 004324 63 23301 DR.
INACBG;123123123123 5.2.1.201804062320 4 100889
1#0##0#0#0.0#2018-05-24 11:16:50#0#00:00:00#00:00:00#00:00:00 1
b6e02a2abc30a283869b0954ec4b8d88
3578090 D 3 DP 2 03/05/2018 03/05/2018 12/10/1954 0 2
0 0 - 0 - 0 - 0 - 0 176200 249000
0 1 0 0 0 REYNA HUTABARAT 012366 63 23214 DR.
INACBG;123123123123 5.2.1.201804062320 4 100890
1#0##0#0#0.0#2018-05-24 11:17:33#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 03/05/2018 03/05/2018 27/05/1966 0 2
0 0 - 0 - 0 - 0 - 0 176200 346000
0 1 0 0 0 ENDANG SULISTYO RINIE 020744 51 18969
INACBG;123123123123 5.2.1.201804062320 4 100891
1#0##0#0#0.0#2018-05-24 11:18:13#0#00:00:00#00:00:00#11:24:26 1
2b1117fc6df959c85b054ffb80f1eb02
3578090 D 3 DP 2 03/05/2018 03/05/2018 25/02/1939 0 2
0 0 - 0 - 0 - 0 - 0 176200 346000
0 1 0 0 0 HIRAS TIOLINA L.TOBING 003954 79 28922
INACBG;123123123123 5.2.1.201804062320 4 100892
1#0##0#0#0.0#2018-05-24 11:20:29#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 03/05/2018 03/05/2018 25/08/1968 0 1
0 0 - 0 - 0 - 0 - 0 176200 278000
0 1 0 0 0 DEDY KUSNADI 023672 49 18148 DR.
INACBG;123123123123 5.2.1.201804062320 4 100893
1#0##0#0#0.0#2018-05-24 11:21:13#0#00:00:00#00:00:00#12:00:00 1
941e0b86b2a505ae0f4fdb682b98f605
3578090 D 3 DP 2 03/05/2018 03/05/2018 21/12/1940 0 2
0 0 - 0 - 0 - 0 - 0 176200 315000
0 1 0 0 0 BETSY BERNADUS 005676 77 28257 DR.
INACBG;123123123123 5.2.1.201804062320 4 100894
1#0##0#0#0.0#2018-05-24 11:22:03#0#00:00:00#00:00:00#00:00:00 1
824ecf566864a8dcc4d8eab0505c38d3
3578090 D 3 DP 2 03/05/2018 03/05/2018 23/01/1939 0 2
0 0 - 0 - 0 - 0 - 0 176200 459000
0 1 0 0 0 IG.A.P. OKA SULASTRI 009197 79 28955
INACBG;123123123123 5.2.1.201804062320 4 100895
1#0##0#0#0.0#2018-05-24 11:22:50#0#00:00:00#00:00:00#00:00:00 1
bb09966585e98f23ef2712dab4fd2000
3578090 D 3 DP 2 03/05/2018 03/05/2018 05/04/1947 0 1
1 Z09.8;N18.2 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 270000
0 1 0 0 0 JAIDI 010165 71 25961 DR. SARTONO, SP. D
0217R0190518V000066 0000101177537 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100896 1#0##0#0#0.0#2018-05-24
11:24:16#0#00:00:00#00:00:00#00:00:00 1 26ce7a4f2f71035608d9060e2092b14a
3578090 D 3 DP 2 03/05/2018 03/05/2018 30/06/1956 0 2
0 0 - 0 - 0 - 0 - 0 176200 664000
0 1 0 0 0 NUR HALIMAH 015511 61 22587 DR. SARTONO,
SP. D 0217R0190518V000035 0001298948872 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100897 1#0##0#0#0.0#2018-05-24
11:25:29#0#00:00:00#00:00:00#00:00:00 1 21f81df57872d8f5d6c3a0c998620147
3578090 D 3 DP 2 03/05/2018 03/05/2018 11/01/1954 0 2
0 0 - 0 - 0 - 0 - 0 176200 403000
0 1 0 0 0 TOMASI 018177 64 23488 DR. SARTONO,
SP. D 0217R0190518V000057 0000101197078 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100898 1#0##0#0#0.0#2018-05-24
11:26:11#0#00:00:00#00:00:00#00:00:00 1 9a1b7640ed9dc5828529a1fe2ad51593
3578090 D 3 DP 2 03/05/2018 03/05/2018 07/06/1942 0 2
1 Z09.8;K80.1 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 232000
0 1 0 0 0 SUPARTI 018509 75 27724 DR. SARTONO,
SP PD 0217R0190518V000080 0000100880605 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100899 1#0##0#0#0.0#2018-05-24
11:26:56#0#00:00:00#00:00:00#11:38:08 1 4e4d20dd7187540dfa4a68894b420210
3578090 D 3 DP 2 03/05/2018 03/05/2018 02/07/1947 0 2
0 0 - 0 - 0 - 0 - 0 176200 279000
0 1 0 0 0 KUN MARJATI, DRA. 011126 70 25873 DR.
INACBG;123123123123 5.2.1.201804062320 4 100900
1#0##0#0#0.0#2018-05-24 11:27:44#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 03/05/2018 03/05/2018 16/03/1964 0 1
0 0 - 0 - 0 - 0 - 0 176200 254000
0 1 0 0 0 SALIMAN 020116 54 19771 DR. SARTONO,
5.2.1.201804062320 4 100901 1#0##0#0#0.0#2018-05-24
11:28:26#0#00:00:00#00:00:00#15:26:28 1 8affed2b3d87e87911a3f5733d5888cc
3578090 D 3 DP 2 03/05/2018 03/05/2018 01/04/1975 0 2
0 0 - 0 - 0 - 0 - 0 176200 480000
0 1 0 0 0 PUJI LESTARI 017113 43 15738 DR.
INACBG;123123123123 5.2.1.201804062320 4 100902
1#0##0#0#0.0#2018-05-24 11:29:14#0#00:00:00#00:00:00#00:00:00 1
3d5602a15573491694b696604939f3e3
3578090 D 3 DP 2 03/05/2018 03/05/2018 09/03/1946 0 1
0 0 - 0 - 0 - 0 - 0 176200 348500
0 1 0 0 0 KARTONO, SE 017557 72 26353 DR. SARTONO,
5.2.1.201804062320 4 100903 1#0##0#0#0.0#2018-05-24
11:30:02#0#00:00:00#00:00:00#11:09:18 1 145e0c398dfbd0f096b42fd539665213
3578090 D 3 DP 2 03/05/2018 03/05/2018 07/02/1941 0 2
0 0 - 0 - 0 - 0 - 0 176200 316000
0 1 0 0 0 MARISI PASARIBU 004411 77 28209
INACBG;123123123123 5.2.1.201804062320 4 100904
1#0##0#0#0.0#2018-05-24 11:47:02#0#00:00:00#00:00:00#00:00:00 1
eb8b6718bdcb2f87c41b2fe76896207a
3578090 D 3 DP 2 03/05/2018 03/05/2018 07/04/1939 0 1
0 0 - 0 - 0 - 0 - 0 176200 274500
0 1 0 0 0 KISMOJO 014799 79 28881 DR. SARTONO,
5.2.1.201804062320 4 100905 1#0##0#0#0.0#2018-05-24
11:47:49#0#00:00:00#00:00:00#00:00:00 1 0fdd4f915d2d58f70d6dee208dc9fe95
3578090 D 3 DP 2 03/05/2018 03/05/2018 25/07/1962 0 2
0 0 - 0 - 0 - 0 - 0 176200 294000
0 1 0 0 0 RIRIN EKOWATI 004112 55 20371 DR.
INACBG;123123123123 5.2.1.201804062320 4 100906
1#0##0#0#0.0#2018-05-24 11:49:19#0#00:00:00#00:00:00#00:00:00 1
5af8a4906462ff893b45eea1d2a5dabf
3578090 D 3 DP 2 03/05/2018 03/05/2018 20/08/1954 0 2
0 0 - 0 - 0 - 0 - 0 176200 349000
0 1 0 0 0 ROSWITA VERONICA SUKUR 003981 63 23267
INACBG;123123123123 5.2.1.201804062320 4 100907
1#0##0#0#0.0#2018-05-24 11:50:16#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 03/05/2018 03/05/2018 04/11/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 285000
0 1 0 0 0 SITI RUBIANTI 006557 72 26478 DR.
INACBG;123123123123 5.2.1.201804062320 4 100908
1#0##0#0#0.0#2018-05-24 11:51:05#0#00:00:00#00:00:00#00:00:00 1
17f3bf08af19160fb7bcf9e55466cabc
3578090 D 3 DP 2 03/05/2018 03/05/2018 14/03/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 218000
0 1 0 0 0 R.M. SILITONGA 004539 75 27444 DR.
INACBG;123123123123 5.2.1.201804062320 4 100909
1#0##0#0#0.0#2018-05-24 11:51:50#0#00:00:00#00:00:00#00:00:00 1
83038ad423e3ae8c70c4463ce10f2e50
3578090 D 3 DP 2 03/05/2018 03/05/2018 10/08/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 205000
0 1 0 0 0 KEN ISNANTI 007736 72 26564 DR. SARTONO,
SP. D 0217R0190518V000056 0000101044844 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100910 1#0##0#0#0.0#2018-05-24
11:52:36#0#00:00:00#00:00:00#00:00:00 1 576395e1a65a21424c8ee595066ef347
3578090 D 3 DP 2 03/05/2018 03/05/2018 14/09/1952 0 2
0 0 - 0 - 0 - 0 - 0 176200 536000
0 1 0 0 0 E. TAMPUBOLON 017973 65 23972 DR.
INACBG;123123123123 5.2.1.201804062320 4 100911
1#0##0#0#0.0#2018-05-24 11:53:36#0#00:00:00#00:00:00#00:00:00 1
7f8cc2d2618226c5bc47c492f14ddd7d
3578090 D 3 DP 2 03/05/2018 03/05/2018 27/03/1943 0 1
1 Z09.8;E11.9;N40 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 320000
0 1 0 0 0 SUDARTO 009323 75 27431 DR. SARTONO,
5.2.1.201804062320 4 100912 1#0##0#0#0.0#2018-05-24
11:55:41#0#00:00:00#00:00:00#00:00:00 1 8dc7120beeff3eb5d0134f5364a98318
3578090 D 3 DP 2 03/05/2018 03/05/2018 25/12/1941 0 1
0 0 - 0 - 0 - 0 - 0 176200 276500
0 1 0 0 0 DULROCHIM B. JUSUF 018103 76 27888
INACBG;123123123123 5.2.1.201804062320 4 100913
1#0##0#0#0.0#2018-05-24 11:56:26#0#00:00:00#00:00:00#00:00:00 1
015decf4d7348a45eb5c72e6210b6316
3578090 D 3 DP 2 03/05/2018 03/05/2018 09/07/1950 0 2
0 0 - 0 - 0 - 0 - 0 176200 224000
0 1 0 0 0 SARIFAH 011681 67 24770 DR. SARTONO,
SP. D 0217R0190518V000082 0000099907053 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100914 1#0##0#0#0.0#2018-05-24
11:57:12#0#00:00:00#00:00:00#00:00:00 1 9c9d1dd3c4d01d7f8dc197327e63ed39
3578090 D 3 DP 2 03/05/2018 03/05/2018 07/08/1935 0 2
0 0 - 0 - 0 - 0 - 0 176200 272000
0 1 0 0 0 TIORIA SINUR MANURUNG JD. 005680 82
30220 DR. SARTONO, SP PD` 0217R0190518V000099 0000101055835 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 100915
1#0##0#0#0.0#2018-05-24 11:57:53#0#00:00:00#00:00:00#00:00:00 1
a8b6841d8f9a04090a74b2514908a2af
3578090 D 3 DP 2 03/05/2018 03/05/2018 06/06/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 417500
0 1 0 0 0 MUMAYA ZAINI AMIR 004541 72 26629 DR.
INACBG;123123123123 5.2.1.201804062320 4 100916
1#0##0#0#0.0#2018-05-24 12:00:24#0#00:00:00#00:00:00#00:00:00 1
ff17c25c3a45646393ff4d777c5ddc13
3578090 D 3 DP 2 03/05/2018 03/05/2018 02/07/1973 0 2
0 0 - 0 - 0 - 0 - 0 176200 284000
0 1 0 0 0 MARIA SELVIANA E.MUSKANAN 019545 44
16376 DR. SARTONO, SP PD 0217R0190518V000061 0001108548459 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 100917
1#0##0#0#0.0#2018-05-24 12:10:59#0#00:00:00#00:00:00#11:03:28 1
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3578090 D 3 DP 2 03/05/2018 03/05/2018 22/12/1962 0 2
0 0 - 0 - 0 - 0 - 0 176200 231000
0 1 0 0 0 YAYUK SUPRISTI WAHYUNI 017261 55 20221
DR. SARTONO, SP PD` 0217R0190518V000030 0001110241361 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 100918
1#0##0#0#0.0#2018-05-24 12:12:07#0#00:00:00#00:00:00#12:00:00 1
b519885ffe86add624a2f05ee6f3e3ee
3578090 D 3 DP 2 03/05/2018 03/05/2018 13/11/1968 0 2
0 0 - 0 - 0 - 0 - 0 176200 213000
0 1 0 0 0 MUNAINI 013046 49 18068 DR. SARTONO,
SP. D 0217R0190518V000038 0001227577083 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100919 1#0##0#0#0.0#2018-05-24
12:12:50#0#00:00:00#00:00:00#00:00:00 1 7083206f2fa3c5e7f881e8a3bd89360c
3578090 D 3 DP 2 03/05/2018 03/05/2018 23/05/1966 0 1
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3578090 D 3 DP 2 03/05/2018 03/05/2018 22/09/1970 0 1
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3578090 D 3 DP 2 03/05/2018 03/05/2018 14/08/1947 0 2
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3578090 D 3 DP 2 03/05/2018 03/05/2018 08/08/1944 0 2
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3578090 D 3 DP 2 03/05/2018 03/05/2018 14/08/1942 0 2
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3578090 D 3 DP 2 03/05/2018 03/05/2018 10/10/1942 0 1
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3578090 D 3 DP 2 03/05/2018 03/05/2018 22/02/1974 0 2
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3578090 D 3 DP 2 03/05/2018 03/05/2018 19/02/1974 0 1
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3578090 D 3 DP 2 03/05/2018 03/05/2018 29/07/1961 0 2
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3578090 D 3 DP 2 03/05/2018 03/05/2018 27/07/1951 0 2
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3578090 D 3 DP 2 03/05/2018 03/05/2018 12/06/1943 0 1
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3578090 D 3 DP 2 03/05/2018 03/05/2018 05/05/1943 0 1
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3578090 D 3 DP 2 04/05/2018 04/05/2018 12/09/1979 0 2
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3578090 D 3 DP 2 04/05/2018 04/05/2018 23/09/1971 0 1
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3578090 D 3 DP 2 04/05/2018 04/05/2018 18/10/1974 0 2
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3578090 D 3 DP 2 04/05/2018 04/05/2018 01/01/1942 0 2
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3578090 D 3 DP 2 04/05/2018 04/05/2018 02/03/1952 0 1
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12:08:42#0#00:00:00#00:00:00#00:00:00 2 13fdb00520825e7f485fce82111aaa79
3578090 D 3 DP 2 04/05/2018 04/05/2018 08/01/1987 0 2
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3578090 D 3 DP 2 04/05/2018 04/05/2018 22/06/1971 0 1
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12:10:07#0#00:00:00#00:00:00#09:27:26 1 2efee265f969eebb7fb7a9981a9ed109
3578090 D 3 DP 2 04/05/2018 04/05/2018 30/03/1967 0 1
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12:10:52#0#00:00:00#00:00:00#12:00:00 1 ba27ef36da6494c1f8200b144d301a62
3578090 D 3 DP 2 04/05/2018 04/05/2018 12/10/1999 0 1
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12:11:33#0#00:00:00#00:00:00#00:00:00 1 a319f5a2a2a505e9ce86811ba1a6cf2c
3578090 D 3 DP 2 04/05/2018 04/05/2018 16/08/1979 0 1
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12:12:18#0#00:00:00#00:00:00#00:00:00 1 4cede5e0a5b29b1b60d6ee397fbbc8d1
3578090 D 3 DP 2 04/05/2018 04/05/2018 17/07/1961 0 1
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3578090 D 3 DP 2 04/05/2018 04/05/2018 23/03/1972 0 1
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12:13:59#0#00:00:00#00:00:00#13:55:51 1 2af812386c39e1491c3382fce038be44
3578090 D 3 DP 2 04/05/2018 04/05/2018 27/06/1981 0 1
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12:14:55#0#00:00:00#00:00:00#00:00:00 1 94e219310e8ff019d35d647d6765dd79
3578090 D 3 DP 2 04/05/2018 04/05/2018 18/11/1946 0 2
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3578090 D 3 DP 2 04/05/2018 04/05/2018 11/09/1940 0 1
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3578090 D 3 DP 2 04/05/2018 04/05/2018 05/04/1947 0 1
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3578090 D 3 DP 2 04/05/2018 04/05/2018 17/08/1942 0 2
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3578090 D 3 DP 2 04/05/2018 04/05/2018 26/02/1935 0 1
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3578090 D 3 DP 2 04/05/2018 04/05/2018 12/09/1940 0 1
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3578090 D 3 DP 2 04/05/2018 04/05/2018 10/11/1948 0 2
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3578090 D 3 DP 2 04/05/2018 04/05/2018 04/07/1946 0 1
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3578090 D 3 DP 2 04/05/2018 04/05/2018 20/03/1944 0 1
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3578090 D 3 DP 2 04/05/2018 04/05/2018 09/03/1946 0 1
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3578090 D 3 DP 2 04/05/2018 04/05/2018 19/09/1943 0 1
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3578090 D 3 DP 2 04/05/2018 04/05/2018 30/06/1943 0 2
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3578090 D 3 DP 2 04/05/2018 04/05/2018 04/10/1948 0 2
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3578090 D 3 DP 2 04/05/2018 04/05/2018 12/12/1944 0 2
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3578090 D 3 DP 2 04/05/2018 04/05/2018 10/04/1942 0 2
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3578090 D 3 DP 2 04/05/2018 04/05/2018 13/09/1958 0 2
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3578090 D 3 DP 2 04/05/2018 04/05/2018 24/11/1958 0 1
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3578090 D 3 DP 2 04/05/2018 04/05/2018 14/08/1947 0 2
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3578090 D 3 DP 2 04/05/2018 04/05/2018 07/12/1951 0 2
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3578090 D 3 DP 2 04/05/2018 04/05/2018 12/06/1943 0 1
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3578090 D 3 DP 2 04/05/2018 04/05/2018 05/05/1938 0 2
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3578090 D 3 DP 2 04/05/2018 04/05/2018 13/06/1954 0 2
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0 1 0 0 0 ALIFAH 022951 63 23336 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 100970
1#0##0#0#0.0#2018-05-25 12:37:39#0#00:00:00#00:00:00#12:00:00 1
ca052adb75164dae6d62561a3b012fc4
3578090 D 3 DP 2 04/05/2018 04/05/2018 30/11/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 267500
0 1 0 0 0 ELLYS SIMANJUNTAK 006438 72 26453 DR.
INACBG;123123123123 5.2.1.201804062320 4 100971
1#0##0#0#0.0#2018-05-25 12:39:09#0#00:00:00#00:00:00#00:00:00 1
8656bc474672f528376b6a9fc3ddb310
3578090 D 3 DP 2 04/05/2018 04/05/2018 18/02/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 188000
0 1 0 0 0 TUNGGUL SIBARANI 006439 75 27469 DR.
INACBG;123123123123 5.2.1.201804062320 4 100972
1#0##0#0#0.0#2018-05-25 12:39:54#0#00:00:00#00:00:00#00:00:00 1
3682e287a02aaa120e2e123c51492021
3578090 D 3 DP 2 04/05/2018 04/05/2018 30/06/1940 0 2
0 0 - 0 - 0 - 0 - 0 176200 288000
0 1 0 0 0 SRIJATUN JD. SOEPARLI 006857 77 28432
3;JKN INACBG;123123123123 5.2.1.201804062320 4 100973
1#0##0#0#0.0#2018-05-25 12:40:40#0#00:00:00#00:00:00#00:00:00 1
8aff05084199abaded00d83cfd26187e
3578090 D 3 DP 2 04/05/2018 04/05/2018 19/05/1953 0 2
0 0 - 0 - 0 - 0 - 0 176200 172000
3;JKN INACBG;123123123123 5.2.1.201804062320 4 100974
1#0##0#0#0.0#2018-05-25 12:41:24#0#00:00:00#00:00:00#00:00:00 1
d71d002cf9a0584b7ca70f2f5ac27101
3578090 D 3 DP 2 04/05/2018 04/05/2018 30/06/1956 0 2
0 0 - 0 - 0 - 0 - 0 176200 175000
0 1 0 0 0 NUR HALIMAH 015511 61 22588 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 100975
1#0##0#0#0.0#2018-05-25 12:42:55#0#00:00:00#00:00:00#00:00:00 1
b4266a7710e2270abccf5cef1dcfb79b
3578090 D 3 DP 2 04/05/2018 04/05/2018 17/07/1954 0 1
0 0 - 0 - 0 - 0 - 0 176200 212000
INACBG;123123123123 5.2.1.201804062320 4 100976
1#0##0#0#0.0#2018-05-25 12:43:48#0#00:00:00#00:00:00#00:00:00 1
eec00c221bdf498e1fafaf3329c1c09f
3578090 D 3 DP 2 04/05/2018 04/05/2018 18/02/1938 0 2
0 0 - 0 - 0 - 0 - 0 176200 355000
0 1 0 0 0 ETMI SOERJOTOENINGSIH 007275 80 29295
3;JKN INACBG;123123123123 5.2.1.201804062320 4 100977
1#0##0#0#0.0#2018-05-25 12:44:38#0#00:00:00#00:00:00#00:00:00 1
aa02862dcf865ddf93e39808d19dfd1f
3578090 D 3 DP 2 04/05/2018 04/05/2018 19/08/1974 0 2
0 0 - 0 - 0 - 0 - 0 176200 166000
0 1 0 0 0 SITI YAMYULATIM 013731 43 15964 DR.
INACBG;123123123123 5.2.1.201804062320 4 100979
1#0##0#0#0.0#2018-05-25 12:46:47#0#00:00:00#00:00:00#00:00:00 1
8c699404bcdce741db77e38e543cf42f
3578090 D 3 DP 2 04/05/2018 04/05/2018 13/11/1966 0 1
1 Z09.8;I10;I78.1 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 182000
0 1 0 0 0 SUHENDRO DK 011301 51 18800 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 100980
1#0##0#0#0.0#2018-05-25 12:47:43#0#00:00:00#00:00:00#00:00:00 1
94c9b6a161382e4ff4e2b51282beb622
3578090 D 3 DP 2 04/05/2018 04/05/2018 07/02/1941 0 2
1 Z09.8;I11.9;I20.8 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 319000
0 1 0 0 0 MARISI PASARIBU 004411 77 28210 DR.
INACBG;123123123123 5.2.1.201804062320 4 100981
1#0##0#0#0.0#2018-05-25 12:48:36#0#00:00:00#00:00:00#00:00:00 1
3c197310e34e10af45a72d7f2fcf386b
3578090 D 3 DP 2 04/05/2018 04/05/2018 16/06/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 178000
0 1 0 0 0 MUDJIATI BA 012505 72 26620 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 100982
1#0##0#0#0.0#2018-05-25 12:49:17#0#00:00:00#00:00:00#00:00:00 1
a37d9aa4cd9d57fa0589fbc98c843fd2
3578090 D 3 DP 2 04/05/2018 04/05/2018 28/02/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 204000
0 1 0 0 0 SRI SUKMO MURNIAH 017969 70 25633 DR.
INACBG;123123123123 5.2.1.201804062320 4 100983
1#0##0#0#0.0#2018-05-25 12:50:04#0#00:00:00#00:00:00#00:00:00 1
c3423057cb179cc55fa9c3e4a3842b3e
3578090 D 3 DP 2 04/05/2018 04/05/2018 10/08/1947 0 1
0 0 - 0 - 0 - 0 - 0 176200 183000
0 1 0 0 0 SUTIYONO 006398 70 25835 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 100984
1#0##0#0#0.0#2018-05-25 12:50:43#0#00:00:00#00:00:00#00:00:00 1
a70fe413f91e5f7ac8685e417e923e54
3578090 D 3 DP 2 04/05/2018 04/05/2018 30/06/1954 0 2
0 0 - 0 - 0 - 0 - 0 176200 180000
0 1 0 0 0 KARTINI 00010987 63 23319 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 100985
1#0##0#0#0.0#2018-05-25 12:51:28#0#00:00:00#00:00:00#22:30:47 1
dee62eeec1e2dc3d54b2718b2719dfb4
3578090 D 3 DP 2 04/05/2018 04/05/2018 24/12/1934 0 1
0 0 - 0 - 0 - 0 - 0 176200 192000
0 1 0 0 0 SOERATMAN BSC 014349 83 30447 DR.
TONY E. PARENGKUAN, SP. JP 0217r0190518v000125 0000101051021 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 100986
1#0##0#0#0.0#2018-05-25 13:03:43#0#13:02:57#13:02:57#15:07:39 1
258e7e83e9d75ff911589c70b4a8b16c
3578090 D 3 DP 2 04/05/2018 04/05/2018 11/12/1992 0 2
0 0 - 0 - 0 - 0 - 0 176200 160000
0 1 0 0 0 LIKA MANDALASARI 021684 25 9275 DR.
INACBG;123123123123 5.2.2.201806040537 4 101575
1#0##0#0#0.0#2018-06-06 12:04:25#0#00:00:00#00:00:00#15:19:01 1
695e7a8b6f9d060829627bf192f38e72
3578090 D 2 DP 1 02/05/2018 04/05/2018 02/06/2000 0 2
1 K30;K92.0 - - - None None None None K-4-18-II None
None None None None None GANGGUAN SISTEM PENCERNAAN LAIN-LAIN (SEDANG)
1848600 0 0 - 0 - 0 - 0 - 0
1848600 2565520 0 3 0 0 0 MAUDY VANIA AISYAH
015763 17 6543 DR. SARTONO, SP PD 0217R0190518V000016
0001110475348 3;JKN INACBG;123123123123 5.2.2.201806040537 4
101580 1#0##0#0#0.0#2018-06-22 10:13:31#0#00:00:00#00:00:00#15:24:38
1 59e0b433994faf6dd1b28f9fb4f28ea3
3578090 D 3 DP 2 05/05/2018 05/05/2018 24/12/1963 0 1
1 E11.5 - - - None None None None Q-5-44-0 None None
0 - 0 - 0 - 0 - 0 176200 240000
0 1 0 0 0 SUJAKA 022291 54 19856 DR. ROBBY
R.W. 0217R0190518V000177 0001110069437 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100987 1#0##0#0#0.0#2018-05-25
14:08:04#0#00:00:00#00:00:00#12:04:27 1 85ab3081416ec63c63d793b1d4dc0c11
3578090 D 3 DP 2 05/05/2018 05/05/2018 06/06/1945 0 2
1 K30 - - - None None None None K-5-18-0 None None
None None None None PENYAKIT SISTEM PENCERNAAN LAIN-LAIN 229900
0 0 - 0 - 0 - 0 - 0 229900 257000
0 1 0 0 0 MUMAYA ZAINI AMIR 004541 72 26631 DR.
ROBBY R.W. 0217R0190518V000174 0000101040682 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100988 1#0##0#0#0.0#2018-05-25
14:09:03#0#00:00:00#00:00:00#00:00:00 1 abb7ae88aeaa610706e5e8755504daee
3578090 D 3 DP 2 05/05/2018 05/05/2018 09/07/2007 0 1
- 0 - 0 - 0 - 0 173400 167000 0
1 0 0 0 MOCH ILHAM ALIF ATHALAH 007235 10 3953 DR.
MARISA 0217R0190518V000179 0001108556324 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100989 1#0##0#0#0.0#2018-05-25
14:09:56#0#00:00:00#00:00:00#12:00:00 1 24b0f23fdaab7357290c72c74c144e6a
3578090 D 3 DP 2 05/05/2018 05/05/2018 10/12/1972 0 1
- 0 - 0 - 0 - 0 173400 157000 0
1 0 0 0 SURYADI 008377 45 16582 DR. MARISA
0217R0190518V000178 0001102885942 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100990 1#0##0#0#0.0#2018-05-25
14:10:38#0#00:00:00#00:00:00#00:00:00 1 1dce901dd64dbe46afd978e983f38bf8
3578090 D 3 DP 2 05/05/2018 05/05/2018 29/11/2012 0 2
- 0 - 0 - 0 - 0 173400 150000 0
1 0 0 0 FARAH SALSABILA PUTRI 023341 5 1983 DR.
5.2.1.201804062320 4 100991 1#0##0#0#0.0#2018-05-25
14:12:07#0#00:00:00#00:00:00#12:00:00 1 04cfb0a71aced7dc35c52f70a244ee14
3578090 D 3 DP 2 05/05/2018 05/05/2018 19/07/1986 0 2
1 N39.0;N89.8 - - - None None None None Q-5-40-0 None
None None None None None INFEKSI SALURAN KEMIH AKUT 117100 0
0 - 0 - 0 - 0 - 0 117100 177000
0 1 0 0 0 DYAH PRAMITA INDRASWARI 00006967 31 11613
DR. MARISA 0217R0190518V000181 0000101651545 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 100992
1#0##0#0#0.0#2018-05-25 14:13:02#0#00:00:00#00:00:00#00:00:00 1
2989dec9705a8bc9cac42f1b7133f951
3578090 D 3 DP 2 05/05/2018 05/05/2018 30/03/1967 0 2
None None None None GASTROINTESTINAL AKUT 125500 0 0 -
0 - 0 - 0 - 0 125500 162000 0 1
0 0 0 SUSI JULIANI 017108 51 18664 DR. ROBBY R.W.
0217R0190518V000171 0001110495003 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100993 1#0##0#0#0.0#2018-05-25
14:13:45#0#00:00:00#00:00:00#08:42:25 1 c84dc0bf610ddc9d23cb60cd85fc55a6
3578090 D 3 DP 2 05/05/2018 05/05/2018 29/09/1950 0 2
0 0 - 0 - 0 - 0 - 0 176200 210000
0 1 0 0 0 M.Y. PURWATI 005248 67 24690 DR.
INACBG;123123123123 5.2.1.201804062320 4 100994
1#0##0#0#0.0#2018-05-25 14:14:45#0#00:00:00#00:00:00#00:00:00 1
658832fc8b08523f666cb5c1efc8e7b8
3578090 D 3 DP 2 05/05/2018 05/05/2018 18/05/1955 0 2
0 0 - 0 - 0 - 0 - 0 176200 269000
0 1 0 0 0 SITI AISAH 016541 62 22998 DR. SARTONO,
5.2.1.201804062320 4 100995 1#0##0#0#0.0#2018-05-25
14:15:44#0#00:00:00#00:00:00#00:00:00 1 6bff60ec7593ddae80a29e7f19699811
3578090 D 3 DP 2 05/05/2018 05/05/2018 26/07/1947 0 1
0 0 - 0 - 0 - 0 - 0 176200 252000
0 1 0 0 0 SARDI 016540 70 25851 DR. SARTONO, SP PD
0217R0190518V000172 0000101255602 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100996 1#0##0#0#0.0#2018-05-25
14:16:26#0#00:00:00#00:00:00#00:00:00 1 3260ebb35d9c2c46738951c2d3616155
3578090 D 3 DP 2 05/05/2018 05/05/2018 04/04/1955 0 2
0 0 - 0 - 0 - 0 - 0 176200 365000
0 1 0 0 0 UMI LESTARI 023266 63 23042 DR. SARTONO,
5.2.1.201804062320 4 100997 1#0##0#0#0.0#2018-05-25
14:17:17#0#00:00:00#00:00:00#16:16:55 1 c9a75d392b6e015bb1709bf944242a5c
3578090 D 2 DP 1 02/05/2018 05/05/2018 19/09/2003 0 1
1 A90 - - - None None None None A-4-13-I None None
None None None None INFEKSI VIRAL & NON-BAKTERIAL LAIN (RINGAN)
1256500 0 0 - 0 - 0 - 0 - 0
1256500 2746500 0 4 0 0 0 RECKY P.JS. 021336
14 5339 DR. SARTONO, SP. D 0217R0190518V000024 0001226817472
3;JKN INACBG;123123123123 5.2.2.201806040537 4 101579
1#0##0#0#0.0#2018-06-22 10:02:05#0#00:00:00#00:00:00#00:00:00 1
c72ee5c4bbaec1010c0df37ca80195c1
3578090 D 3 DP 2 06/05/2018 06/05/2018 31/03/2014 0 2
- 0 - 0 - 0 - 0 173400 257000 0
1 0 0 0 SANDRINE DENUS AMEERA 022754 4 1497 DR.
RIVAN 0217R0190518V000183 0001786716292 3;JKN INACBG;123123123123
5.2.1.201804062320 4 100998 1#0##0#0#0.0#2018-05-25
14:22:10#0#00:00:00#00:00:00#12:00:00 1 c88cb6acd7c1ad909916181352b8ff6c
3578090 D 3 DP 2 06/05/2018 06/05/2018 28/09/2012 0 2
- 0 - 0 - 0 - 0 173400 143000 0
1 0 0 0 SABREEN DENUS CETTA 022755 5 2046 DR.
5.2.1.201804062320 4 100999 1#0##0#0#0.0#2018-05-25
14:23:06#0#00:00:00#00:00:00#12:00:00 1 4f6ebab5ff23bdfe666b7abe082c801d
3578090 D 3 DP 2 06/05/2018 06/05/2018 19/12/1983 0 2
0 - 0 - 0 - 0 - 0 176200 163000
0 1 0 0 0 DENNY MULIA SARI 023279 34 12557 DR.
5.2.1.201804062320 4 101000 1#0##0#0#0.0#2018-05-25
14:23:58#0#00:00:00#00:00:00#12:00:00 1 2d1f20915c3853a227f7888b9741c657
3578090 D 3 DP 2 06/05/2018 06/05/2018 25/11/2002 0 2
1 J00 - - - None None None None Q-5-42-0 None None
- 0 - 0 - 0 - 0 173400 148000 0
1 0 0 0 TRI ASTUTI 018573 15 5641 DR. RIVAN
0217R0190518V000187 0001110279137 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101001 1#0##0#0#0.0#2018-05-25
14:24:40#0#00:00:00#00:00:00#00:00:00 1 688768d083d7c3195918890b954881d2
3578090 D 3 DP 2 06/05/2018 06/05/2018 09/08/2016 0 1
- 0 - 0 - 0 - 0 173400 167000 0
1 0 0 0 REYNAND AUGUSTIAN ROBERTH 022370 1 635
DR. RIVAN 0217R0190518V000188 0002076717993 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101002
1#0##0#0#0.0#2018-05-25 14:25:20#0#00:00:00#00:00:00#00:00:00 1
db8e2c5d02060d185531915a51ecbdfb
3578090 D 3 DP 2 06/05/2018 06/05/2018 12/12/1944 0 2
0 0 - 0 - 0 - 0 - 0 229900 171000
0 1 0 0 0 PINTA SIHITE 005337 73 26808 DR.
5.2.1.201804062320 4 101003 1#0##0#0#0.0#2018-05-25
14:26:01#0#00:00:00#00:00:00#00:00:00 1 3cee98efee48c3b1b651a04cc4a6f142
3578090 D 3 DP 2 06/05/2018 06/05/2018 02/08/2015 0 2
- 0 - 0 - 0 - 0 173400 155000 0
1 0 0 0 THALITA KHAIRA AZZAHRA 023827 2 1008 DR.
5.2.1.201804062320 4 101004 1#0##0#0#0.0#2018-05-25
14:26:53#0#00:00:00#00:00:00#00:00:00 1 d6e34523a7cb07c097a8da4cb1977593
3578090 D 3 DP 2 07/05/2018 07/05/2018 21/05/1967 0 2
1 R50.9;J02.9 - - - None None None None Q-5-42-0 None
None None None None None PENYAKIT AKUT KECIL LAIN-LAIN 173400 0
0 - 0 - 0 - 0 - 0 173400 153000
0 1 0 0 0 SRI KARTINI 017518 50 18614 DR. LYDIA
5.2.1.201804062320 4 101005 1#0##0#0#0.0#2018-05-28
07:46:51#0#00:00:00#00:00:00#00:00:00 1 a026d4ae0e1be972d1b6f128d16c53e4
3578090 D 3 DP 2 07/05/2018 07/05/2018 10/09/1991 0 1
1 T14.61 - - - None None None None Q-5-42-0 None
0 - 0 - 0 - 0 - 0 173400 212500
0 1 0 0 0 SEPTIAN D. ANGGARA 008408 26 9736
DR. LYDIA TRISNAWATI 0217R0190518V000199 0001102852181 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101006
1#0##0#0#0.0#2018-05-28 07:47:47#0#00:00:00#00:00:00#00:00:00 1
6f4e55125bdfea898bc0d1da3326b8d8
3578090 D 3 DP 2 07/05/2018 07/05/2018 17/12/1974 0 2
0 0 - 0 - 0 - 0 - 0 229900 159000
0 1 0 0 0 SRI AMBARWATI 022654 43 15847 DR.
RIZKY SATYA 0217R0190518V000200 0001269675178 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101007 1#0##0#0#0.0#2018-05-28
07:49:44#0#00:00:00#00:00:00#12:00:00 1 aaab558898a35336bbb360db91ea71f4
3578090 D 3 DP 2 07/05/2018 07/05/2018 27/06/1940 0 2
1 E11.4;G63.2 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 157000
0 1 0 0 0 SRI MARIYANI 011142 77 28438 DR.
5.2.1.201804062320 4 101008 1#0##0#0#0.0#2018-05-28
07:50:43#0#00:00:00#00:00:00#00:00:00 1 7eb80ee13fbcc43af1e3c578e5316c52
3578090 D 3 DP 2 07/05/2018 07/05/2018 28/03/1970 0 2
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 NOER CHASANAH 007535 48 17572 DRG. RIAWATI
0217R0190518V000194 0001226681436 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101009 1#0##0#0#0.0#2018-05-28
07:51:30#0#00:00:00#00:00:00#00:00:00 1 40b996559df1d96b3c207a925f632e74
3578090 D 3 DP 2 07/05/2018 07/05/2018 02/10/2011 0 1
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 YAHYA 023286 6 2409 DRG. RIAWATI
0217R0190518V000196 0001293298143 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101011 1#0##0#0#0.0#2018-05-28
07:52:26#0#00:00:00#00:00:00#12:00:00 1 805b17ceac407fde990f9c36811e9661
3578090 D 3 DP 2 07/05/2018 07/05/2018 22/06/1971 0 1
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 SUCIPTO 00015174 46 17121 DRG. MIKA
5.2.1.201804062320 4 101012 1#0##0#0#0.0#2018-05-28
07:53:10#0#00:00:00#00:00:00#09:27:26 1 1e8cbf246278a17dc1a59e668e234ca1
3578090 D 3 DP 2 07/05/2018 07/05/2018 11/01/1963 0 1
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 ZAINUDDIN 010912 55 20205 DRG. RIAWATI
0217R0190518V000189 0001102907676 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101013 1#0##0#0#0.0#2018-05-28
07:54:03#0#00:00:00#00:00:00#00:00:00 1 12183dc503c9ea5be0d4d3925ebd9bd9
3578090 D 3 DP 2 07/05/2018 07/05/2018 17/03/1978 0 2
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 LENNY SUSANTY 00012374 40 14661 DRG. MIKA
5.2.1.201804062320 4 101014 1#0##0#0#0.0#2018-05-28
07:56:52#0#00:00:00#00:00:00#00:00:00 1 d61000de946ec060746eea4ab9bc25da
3578090 D 3 DP 2 07/05/2018 07/05/2018 09/06/1978 0 2
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 SULASTRI 017489 39 14577 DRG. MIKA
5.2.1.201804062320 4 101010 1#0##0#0#0.0#2018-05-28
07:57:37#0#00:00:00#00:00:00#09:36:10 1 1096234cf18639b878f4fd5c6422caab
3578090 D 3 DP 2 07/05/2018 07/05/2018 18/01/1967 0 1
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 SUPRIYADI 021900 51 18737 DRG. MIKA
5.2.1.201804062320 4 101015 1#0##0#0#0.0#2018-05-28
08:04:05#0#00:00:00#00:00:00#00:00:00 1 e86262fec0974a73886b99305b68d4ae
3578090 D 3 DP 2 07/05/2018 07/05/2018 27/07/1969 0 2
1 Z09.8;N89.8 88.79 - - None None None None Z-3-23-0 None
None None None None None PROSEDUR ULTRASOUND LAIN-LAIN 508200 0
0 - 0 - 0 - 0 - 0 508200 281000
0 1 0 0 0 RINI BUDIASTUTI 023332 48 17816 DR.
RIANTO, SPOG 0217R0190518V000753 0001226719034 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101367
1#0##0#0#0.0#2018-06-04 10:39:27#0#00:00:00#00:00:00#12:00:00 1
460c7ae81fbc1d1c18514af36a62d441
3578090 D 3 DP 2 08/05/2018 08/05/2018 07/06/1976 0 2
1 T16 98.11 - - None None None None U-3-15-0 None None
None None None None PROSEDUR LAIN-LAIN PADA TELINGA, HIDUNG, MULUT DAN
TENGGOROKAN 238300 0 0 - 0 - 0 - 0 - 0
238300 301000 0 1 0 0 0 YULI SETYAWATI 023835
41 15310 DR. LYDIA TRISNAWATI 0217R0190518V000263 0001535053904
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101016
1#0##0#0#0.0#2018-05-28 08:11:04#0#00:00:00#00:00:00#00:00:00 1
e32ef22e9e6b3fcd0f6c2538e24a852f
3578090 D 3 DP 2 08/05/2018 08/05/2018 06/09/1972 0 2
1 Z09.8;Z35.9 88.78 - - None None None None Z-3-25-0 None
None None None None None PROSEDUR ULTRASOUND GINEKOLOGIK 281500
0 0 - 0 - 0 - 0 - 0 281500 281000
0 1 0 0 0 KUNAWATI 023736 45 16680 DR. RIANTO,
5.2.1.201804062320 4 101017 1#0##0#0#0.0#2018-05-28
08:12:19#0#00:00:00#00:00:00#00:00:00 1 e05ae6921faa388023a59b2be7683dab
3578090 D 3 DP 2 08/05/2018 08/05/2018 12/10/1999 0 1
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 ANJAS SAPUTRA 023799 18 6783 DRG. MIKA
5.2.1.201804062320 4 101018 1#0##0#0#0.0#2018-05-28
08:13:01#0#00:00:00#00:00:00#00:00:00 1 943ee2efa3a24c5b20c1ad30197c10e2
3578090 D 3 DP 2 08/05/2018 08/05/2018 12/07/1934 0 2
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 SUWIDJAH 018912 83 30616 DRG. RIAWATI
0217R0190518V000237 0000101040759 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101019 1#0##0#0#0.0#2018-05-28
08:13:47#0#00:00:00#00:00:00#00:00:00 1 6c34e8b5b209a2f7a0d2af601c1186d2
3578090 D 3 DP 2 08/05/2018 08/05/2018 30/03/1967 0 1
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 SULASMAN 023191 51 18667 DRG. MIKA
5.2.1.201804062320 4 101020 1#0##0#0#0.0#2018-05-28
08:14:52#0#00:00:00#00:00:00#12:00:00 1 eff158a34044753f523fde25e81f3868
3578090 D 3 DP 2 08/05/2018 08/05/2018 02/03/1952 0 1
- 0 - 0 - 0 - 0 269500 248000 0
1 0 0 0 ABDULLAH 014360 66 24173 DRG. MIKA
5.2.1.201804062320 4 101021 1#0##0#0#0.0#2018-05-28
08:16:22#0#00:00:00#00:00:00#00:00:00 1 107e2c283a3e56afa54c070e58a0d50a
3578090 D 3 DP 2 08/05/2018 08/05/2018 31/12/1961 0 1
- 0 - 0 - 0 - 0 269500 220000 0
INACBG;123123123123 5.2.1.201804062320 4 101022
1#0##0#0#0.0#2018-05-28 08:17:17#0#00:00:00#00:00:00#12:00:00 1
45b85d983d8abc18e42813c92dd3f65f
3578090 D 3 DP 2 08/05/2018 08/05/2018 28/05/1972 0 2
1 Z09.8;H52.1;H52.4 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 260000
0 1 0 0 0 DJOKO BUDI PURNOMO 00016754 45 16781
DR. AMIR SURYA, SPM 0217R0190518V000223 0001226559172 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101023
1#0##0#0#0.0#2018-05-28 08:18:16#0#00:00:00#00:00:00#12:49:25 1
8e694ecb409b9d478892d70bc15765c3
3578090 D 3 DP 2 08/05/2018 08/05/2018 03/05/1967 0 2
1 Z09.8;H52.2 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 285000
0 1 0 0 0 SRI UJIATI 022139 51 18633 DR. AMIR
SURYA, SPM 0217R0190518V000220 0001226681368 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101024 1#0##0#0#0.0#2018-05-28
08:19:13#0#00:00:00#00:00:00#00:00:00 1 4fcb5290b2964d366f8bdeb387adedde
3578090 D 3 DP 2 08/05/2018 08/05/2018 10/08/1960 0 2
0 0 - 0 - 0 - 0 - 0 176200 323000
0 1 0 0 0 ENDANG SUBEKTI 007489 57 21090 DR.
AMIR SURYA, SPM 0217R0190518V000238 0001226681291 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101025
1#0##0#0#0.0#2018-05-28 08:20:13#0#00:00:00#00:00:00#00:00:00 1
02b4a83dd3e45453782d3de1baf04b9d
3578090 D 3 DP 2 08/05/2018 08/05/2018 24/02/1994 0 1
0 0 - 0 - 0 - 0 - 0 176200 252000
0 1 0 0 0 RAMADHANA RIZKYAWAN 023711 24 8839
DR. IMAM HIDAYAT, SP.S 0217R0190518V000218 0001227185616 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101026
1#0##0#0#0.0#2018-05-28 08:21:05#0#00:00:00#00:00:00#00:00:00 1
2090e79ef76c1329a7d97a3127f4c9f7
3578090 D 3 DP 2 08/05/2018 08/05/2018 24/07/1942 0 2
0 0 - 0 - 0 - 0 - 0 176200 238000
0 1 0 0 0 EMMELIA SIMANJUNTAK JD 012961 75 27682
INACBG;123123123123 5.2.1.201804062320 4 101027
1#0##0#0#0.0#2018-05-28 08:21:48#0#00:00:00#00:00:00#00:00:00 1
f92afab83b996e7e2057dda8029bb4d9
3578090 D 3 DP 2 08/05/2018 08/05/2018 21/12/1956 0 1
0 0 - 0 - 0 - 0 - 0 176200 186500
0 1 0 0 0 BAMBANG SUYONO 015796 61 22418 DR.
IMAM HIDAYAT, SP.S. 0217R0190518V000229 0001326454795 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101028
1#0##0#0#0.0#2018-05-28 08:22:29#0#00:00:00#00:00:00#00:00:00 1
c94905041a0797fccc369a7c8ebb9f16
3578090 D 3 DP 2 08/05/2018 08/05/2018 03/03/1968 0 1
0 0 - 0 - 0 - 0 - 0 176200 242000
0 1 0 0 0 VIRGILIO BRITO 023505 50 18328 DR.
INACBG;123123123123 5.2.1.201804062320 4 101029
1#0##0#0#0.0#2018-05-28 08:23:16#0#00:00:00#00:00:00#12:00:00 1
2ba842f61294708315815eea648e795b
3578090 D 3 DP 2 08/05/2018 08/05/2018 31/12/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 196000
0 1 0 0 0 NOER CHAULAH 005581 66 24235 DR.
INACBG;123123123123 5.2.1.201804062320 4 101030
1#0##0#0#0.0#2018-05-28 08:24:05#0#00:00:00#00:00:00#00:00:00 1
883d3458bcbde5b1c499a8f3198649ed
3578090 D 3 DP 2 08/05/2018 08/05/2018 05/04/1947 0 1
0 0 - 0 - 0 - 0 - 0 176200 192500
0 1 0 0 0 JAIDI 010165 71 25966 DR. IMAM HIDAYAT,
SP.S 0217R0190518V000219 0000101177537 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101031 1#0##0#0#0.0#2018-05-28
08:24:54#0#00:00:00#00:00:00#00:00:00 1 afcced1f9e79135b6d21778f2ceec6ac
3578090 D 3 DP 2 08/05/2018 08/05/2018 06/08/1955 0 1
0 0 - 0 - 0 - 0 - 0 176200 211000
0 1 0 0 0 SUYONO 017984 62 22921 DR. IMAM
HIDAYAT, SP.S 0217R0190518V000222 0000101213346 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101032
1#0##0#0#0.0#2018-05-28 08:25:37#0#00:00:00#00:00:00#09:53:40 1
04d956c65483f2eb9f43a275ba6c0759
3578090 D 3 DP 2 08/05/2018 08/05/2018 09/03/1946 0 1
0 0 - 0 - 0 - 0 - 0 176200 313500
0 1 0 0 0 KARTONO, SE 017557 72 26358 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101033
1#0##0#0#0.0#2018-05-28 08:26:33#0#00:00:00#00:00:00#11:09:18 1
94a49e66aea74a84e6a47461f4bea9ec
3578090 D 3 DP 2 08/05/2018 08/05/2018 05/05/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 340500
27397 DR. IMAM HIDAYAT, SP.S 0217R0190518V000213 0000101030343 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101034
1#0##0#0#0.0#2018-05-28 08:27:18#0#00:00:00#00:00:00#00:00:00 1
eff0470cc603683c49bb6b7aae964688
3578090 D 3 DP 2 08/05/2018 08/05/2018 21/09/1952 0 2
0 0 - 0 - 0 - 0 - 0 176200 192000
INACBG;123123123123 5.2.1.201804062320 4 101035
1#0##0#0#0.0#2018-05-28 08:28:01#0#00:00:00#00:00:00#15:27:51 1
1387ce84da5ad3973ae5f01c36310056
3578090 D 3 DP 2 08/05/2018 08/05/2018 27/08/1939 0 1
0 0 - 0 - 0 - 0 - 0 176200 181500
0 1 0 0 0 DJUWAHIR 018936 78 28744 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101036
1#0##0#0#0.0#2018-05-28 08:29:21#0#00:00:00#00:00:00#15:20:43 1
9a96781ac41f9a47a6bdbfcc5fc1e062
3578090 D 3 DP 2 08/05/2018 08/05/2018 13/01/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 203000
0 1 0 0 0 SUDI PRANOTO 017794 78 28605 DR.
INACBG;123123123123 5.2.1.201804062320 4 101037
1#0##0#0#0.0#2018-05-28 08:30:02#0#00:00:00#00:00:00#00:00:00 1
c7a3449b205277e7cebd8636a769a0a7
3578090 D 3 DP 2 08/05/2018 08/05/2018 23/07/1938 0 2
0 0 - 0 - 0 - 0 - 0 176200 181000
0 1 0 0 0 YULIA LOUISE 017516 79 29144 DR.
INACBG;123123123123 5.2.1.201804062320 4 101038
1#0##0#0#0.0#2018-05-28 08:30:42#0#00:00:00#00:00:00#00:00:00 1
8409147a4f6b4b34685c175a16aba9b6
3578090 D 3 DP 2 08/05/2018 08/05/2018 25/02/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 169000
0 1 0 0 0 ENDANG DJATMINI 014402 70 25640 DR.
INACBG;123123123123 5.2.1.201804062320 4 101039
1#0##0#0#0.0#2018-05-28 08:31:30#0#00:00:00#00:00:00#00:00:00 1
6fd1e04e3bc6be6fa001e68776be8ce7
3578090 D 3 DP 2 08/05/2018 08/05/2018 08/09/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 225500
0 1 0 0 0 JAN BERT KESEK 010522 77 28366 DR.
INACBG;123123123123 5.2.1.201804062320 4 101040
1#0##0#0#0.0#2018-05-28 08:32:11#0#00:00:00#00:00:00#00:00:00 1
4657fec0c0effe0bf8f76ccf9e0b1c67
3578090 D 3 DP 2 08/05/2018 08/05/2018 01/01/1929 0 1
0 0 - 0 - 0 - 0 - 0 176200 173500
0 1 0 0 0 BARIJEM JD. SOEKIRNO 018718 89 32634
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101041
1#0##0#0#0.0#2018-05-28 08:32:53#0#00:00:00#00:00:00#14:33:49 1
4474b5d6fb77b8064a6d41a34d9b8545
3578090 D 3 DP 2 08/05/2018 08/05/2018 30/10/1970 0 1
0 0 - 0 - 0 - 0 - 0 176200 259000
0 1 0 0 0 MUHAMAD ZAINUDIN 023615 47 17357 DR.
INACBG;123123123123 5.2.1.201804062320 4 101042
1#0##0#0#0.0#2018-05-28 08:33:39#0#00:00:00#00:00:00#12:00:00 1
86679fe9ac8ac632579abb979f44e8ec
3578090 D 3 DP 2 08/05/2018 08/05/2018 24/12/1951 0 1
0 0 - 0 - 0 - 0 - 0 176200 222000
0 1 0 0 0 SUBANDIYO, DRS. 012550 66 24242 DR.
INACBG;123123123123 5.2.1.201804062320 4 101043
1#0##0#0#0.0#2018-05-28 08:35:55#0#00:00:00#00:00:00#00:00:00 1
d879bc854235d9979976335de6c3b294
3578090 D 3 DP 2 08/05/2018 08/05/2018 30/06/1945 0 1
0 0 - 0 - 0 - 0 - 0 176200 178500
0 1 0 0 0 ACHMAD 018110 72 26610 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101044
1#0##0#0#0.0#2018-05-28 08:38:43#0#00:00:00#00:00:00#00:00:00 1
d4051a29c2a531481828c6bb76b21649
3578090 D 3 DP 2 08/05/2018 08/05/2018 04/09/1966 0 2
0 0 - 0 - 0 - 0 - 0 176200 176000
0 1 0 0 0 AMIN HALIYAH 017317 51 18874 DR.
INACBG;123123123123 5.2.1.201804062320 4 101045
1#0##0#0#0.0#2018-05-28 08:39:32#0#00:00:00#00:00:00#00:00:00 1
94ad6d25dad1557dacbd9ed9690d60dd
3578090 D 3 DP 2 08/05/2018 08/05/2018 06/04/1968 0 2
0 0 - 0 - 0 - 0 - 0 176200 166000
0 1 0 0 0 NASIYAH 016178 50 18294 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101046
1#0##0#0#0.0#2018-05-28 08:40:41#0#00:00:00#00:00:00#00:00:00 1
2ba95e4add15256cab0fbdf96090ad6c
3578090 D 3 DP 2 08/05/2018 08/05/2018 12/03/1942 0 1
0 0 - 0 - 0 - 0 - 0 176200 184500
0 1 0 0 0 WIDJI SANTOSO 021887 76 27816 DR.
INACBG;123123123123 5.2.1.201804062320 4 101047
1#0##0#0#0.0#2018-05-28 08:41:25#0#00:00:00#00:00:00#00:00:00 1
e86f0a9a62c274ddda2a7cbf162f22f9
3578090 D 3 DP 2 08/05/2018 08/05/2018 07/06/1965 0 2
0 0 - 0 - 0 - 0 - 0 176200 170000
0 1 0 0 0 LILIK ENDANG SUDARWATI 012367 52 19328
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101048
1#0##0#0#0.0#2018-05-28 08:42:08#0#00:00:00#00:00:00#00:00:00 1
4f98abdc8bb97eac71ca93324be23a99
3578090 D 3 DP 2 08/05/2018 08/05/2018 15/04/1966 0 1
0 0 - 0 - 0 - 0 - 0 176200 184000
0 1 0 0 0 SUHADAK 004414 52 19016 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101049
1#0##0#0#0.0#2018-05-28 08:42:52#0#00:00:00#00:00:00#00:00:00 1
02723604f733eb1679194026e08f1683
3578090 D 3 DP 2 08/05/2018 08/05/2018 20/05/1966 0 1
0 0 - 0 - 0 - 0 - 0 176200 172000
0 1 0 0 0 SUKARNO 020725 51 18981 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101050
1#0##0#0#0.0#2018-05-28 08:43:42#0#00:00:00#00:00:00#16:09:31 1
55c2dd047235c0bf5ace493f8bc7cae1
3578090 D 3 DP 2 08/05/2018 08/05/2018 20/08/1954 0 2
0 0 - 0 - 0 - 0 - 0 176200 160000
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101051
1#0##0#0#0.0#2018-05-28 08:44:50#0#00:00:00#00:00:00#00:00:00 1
2ed6baa9e99e1354b1a583dde85bd41c
3578090 D 3 DP 2 08/05/2018 08/05/2018 27/10/1947 0 2
0 0 - 0 - 0 - 0 - 0 176200 222000
0 1 0 0 0 R.RIANA SINAGA 006930 70 25761 DR.
INACBG;123123123123 5.2.1.201804062320 4 101052
1#0##0#0#0.0#2018-05-28 08:45:39#0#00:00:00#00:00:00#00:00:00 1
f083bd1063982943df8bc67996028ac5
3578090 D 3 DP 2 08/05/2018 08/05/2018 19/10/1963 0 1
0 0 - 0 - 0 - 0 - 0 176200 532000
0 1 0 0 0 JAMIATUN 021562 54 19925 DR. SARTONO,
5.2.1.201804062320 4 101053 1#0##0#0#0.0#2018-05-28
08:48:08#0#00:00:00#00:00:00#13:14:58 1 4de48f4fde99e5cd6d6e0ebd140b2656
3578090 D 3 DP 2 08/05/2018 08/05/2018 07/08/1945 0 1
0 0 - 0 - 0 - 0 - 0 176200 188000
0 1 0 0 0 LAIDIN MANURUNG 007332 72 26572 DR.
INACBG;123123123123 5.2.1.201804062320 4 101054
1#0##0#0#0.0#2018-05-28 08:48:48#0#00:00:00#00:00:00#00:00:00 1
89255a45465295b6411c5b8e1e8216ef
3578090 D 3 DP 2 08/05/2018 08/05/2018 27/07/1946 0 2
0 0 - 0 - 0 - 0 - 0 176200 280500
0 1 0 0 0 SRI RAHAYU 021089 71 26218 DR. SARTONO,
5.2.1.201804062320 4 101055 1#0##0#0#0.0#2018-05-28
08:50:19#0#00:00:00#00:00:00#09:54:33 1 b9d1b1797d63cadfe7524b5d131d0a55
3578090 D 3 DP 2 08/05/2018 08/05/2018 19/08/1949 0 2
1 Z09.8;R51 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 555000
0 1 0 0 0 RASMAH 005292 68 25099 DR. SARTONO,
5.2.1.201804062320 4 101056 1#0##0#0#0.0#2018-05-28
08:51:07#0#00:00:00#00:00:00#15:43:15 1 4e8ac30a2657294d3877815db5486f2d
3578090 D 3 DP 2 08/05/2018 08/05/2018 02/02/1942 0 1
0 0 - 0 - 0 - 0 - 0 176200 265500
0 1 0 0 0 SUHARTO PS 004399 76 27854 DR. SARTONO,
5.2.1.201804062320 4 101057 1#0##0#0#0.0#2018-05-28
08:51:51#0#00:00:00#00:00:00#17:54:51 1 7037bcd9eccbb57defe2bdd2c7c46c98
3578090 D 3 DP 2 08/05/2018 08/05/2018 30/06/1960 0 2
0 0 - 0 - 0 - 0 - 0 176200 262500
0 1 0 0 0 NIAMAH 018329 57 21131 DR. SARTONO,
5.2.1.201804062320 4 101058 1#0##0#0#0.0#2018-05-28
08:52:43#0#00:00:00#00:00:00#00:00:00 1 16cd45283733a68cefcd0e6992eb2022
3578090 D 3 DP 2 08/05/2018 08/05/2018 28/02/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 675000
INACBG;123123123123 5.2.1.201804062320 4 101059
1#0##0#0#0.0#2018-05-28 08:53:37#0#00:00:00#00:00:00#00:00:00 1
f2640d9e8fd02ad7c9afba7c0a7f4182
3578090 D 3 DP 2 08/05/2018 08/05/2018 18/11/1941 0 2
0 0 - 0 - 0 - 0 - 0 176200 199000
0 1 0 0 0 RP.NADAPDAP JD 004372 76 27930 DR.
INACBG;123123123123 5.2.1.201804062320 4 101060
1#0##0#0#0.0#2018-05-28 08:54:25#0#00:00:00#00:00:00#00:00:00 1
a8a64035d27ddc4227b02ebcc739e6e8
3578090 D 3 DP 2 08/05/2018 08/05/2018 12/07/1940 0 2
0 0 - 0 - 0 - 0 - 0 176200 246000
0 1 0 0 0 HARSIYAH WARI SOEROTO 004035 77 28424
INACBG;123123123123 5.2.1.201804062320 4 101061
1#0##0#0#0.0#2018-05-28 08:55:14#0#00:00:00#00:00:00#00:00:00 1
99ab237fa0c6d45dd866592f7e832337
3578090 D 3 DP 2 08/05/2018 08/05/2018 28/08/1941 0 2
0 0 - 0 - 0 - 0 - 0 176200 436000
0 1 0 0 0 TIOMAS PANGARIBUAN JD 013158 76 28012
INACBG;123123123123 5.2.1.201804062320 4 101062
1#0##0#0#0.0#2018-05-28 08:55:59#0#00:00:00#00:00:00#00:00:00 1
0e32806e3c43951fd0a4ce5a5ddbfd23
3578090 D 3 DP 2 08/05/2018 08/05/2018 07/08/1942 0 1
0 0 - 0 - 0 - 0 - 0 176200 260000
0 1 0 0 0 SOEWANDI 018501 75 27668 DR. SARTONO,
5.2.1.201804062320 4 101063 1#0##0#0#0.0#2018-05-28
08:56:40#0#00:00:00#00:00:00#00:00:00 1 a068d7149f20c81e0bc7f05818796242
3578090 D 3 DP 2 08/05/2018 08/05/2018 05/08/1953 0 2
0 0 - 0 - 0 - 0 - 0 176200 305000
0 1 0 0 0 ENDANG RAHAYU 017977 64 23652 DR.
INACBG;123123123123 5.2.1.201804062320 4 101064
1#0##0#0#0.0#2018-05-28 08:57:38#0#00:00:00#00:00:00#12:44:11 1
1989b0f0f5341c671998c77c0d695cb7
3578090 D 3 DP 2 08/05/2018 08/05/2018 02/06/2000 0 2
0 0 - 0 - 0 - 0 - 0 176200 197000
0 1 0 0 0 MAUDY VANIA AISYAH 015763 17 6549
INACBG;123123123123 5.2.1.201804062320 4 101065
1#0##0#0#0.0#2018-05-28 08:58:24#0#00:00:00#00:00:00#15:24:38 1
ee084e209d71f596f55b6880a474826a
3578090 D 3 DP 2 08/05/2018 08/05/2018 27/10/1942 0 2
0 0 - 0 - 0 - 0 - 0 176200 243000
0 1 0 0 0 SRI ISMINARTI 003927 75 27587 DR.
INACBG;123123123123 5.2.1.201804062320 4 101066
1#0##0#0#0.0#2018-05-28 08:59:20#0#00:00:00#00:00:00#00:00:00 1
702505106734755fd53bca1b9594fd2d
3578090 D 3 DP 2 08/05/2018 08/05/2018 04/09/1938 0 1
0 0 - 0 - 0 - 0 - 0 176200 271500
0 1 0 0 0 SOETARDJO, BA 005424 79 29101 DR.
INACBG;123123123123 5.2.1.201804062320 4 101067
1#0##0#0#0.0#2018-05-28 09:00:24#0#00:00:00#00:00:00#00:00:00 1
c92f27beebeb331fad6ae62fa1c952e3
3578090 D 3 DP 2 08/05/2018 08/05/2018 29/09/1950 0 2
0 0 - 0 - 0 - 0 - 0 176200 270000
0 1 0 0 0 YAYUK KATININGSIH 004360 67 24693 DR.
INACBG;123123123123 5.2.1.201804062320 4 101068
1#0##0#0#0.0#2018-05-28 09:01:11#0#00:00:00#00:00:00#00:00:00 1
ebc98dce4cacb14b3388c2e52d293324
3578090 D 3 DP 2 08/05/2018 08/05/2018 03/01/1971 0 1
0 0 - 0 - 0 - 0 - 0 176200 169000
0 1 0 0 0 JERI SULISTIJO 010921 47 17292 DR.
INACBG;123123123123 5.2.1.201804062320 4 101069
1#0##0#0#0.0#2018-05-28 09:01:55#0#00:00:00#00:00:00#00:00:00 1
eecb8d9d3cee2f8e168579d65a4b91f0
3578090 D 3 DP 2 08/05/2018 08/05/2018 15/07/1946 0 1
0 0 - 0 - 0 - 0 - 0 176200 611000
0 1 0 0 0 ENDRO SUBIYANTO 015121 71 26230 DR.
INACBG;123123123123 5.2.1.201804062320 4 101070
1#0##0#0#0.0#2018-05-28 09:02:38#0#00:00:00#00:00:00#00:00:00 1
ec471343442383047d271f2ee15fbd36
3578090 D 3 DP 2 08/05/2018 08/05/2018 04/09/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 189000
0 1 0 0 0 KUSNILA RATNA S.TAMBUNAN 004316 66
INACBG;123123123123 5.2.1.201804062320 4 101071
1#0##0#0#0.0#2018-05-28 09:03:20#0#00:00:00#00:00:00#00:00:00 1
d1a92d92572e6450cb07a80f4f5f4363
3578090 D 3 DP 2 08/05/2018 08/05/2018 04/05/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 348000
0 1 0 0 0 ENGELIEN SUNDALANGI 020383 69 25206
INACBG;123123123123 5.2.1.201804062320 4 101072
1#0##0#0#0.0#2018-05-28 09:04:20#0#00:00:00#00:00:00#09:24:48 1
d56d1625576fe1b9ec15ee85709b238f
3578090 D 3 DP 2 08/05/2018 08/05/2018 05/10/1971 0 2
0 0 - 0 - 0 - 0 - 0 176200 392000
0 1 0 0 0 PRASTIWI HARIYANTI, S.PD. 023841 46
INACBG;123123123123 5.2.1.201804062320 4 101073
1#0##0#0#0.0#2018-05-28 09:05:11#0#00:00:00#00:00:00#00:00:00 1
26b205dbe3c610b5180858d24300175f
3578090 D 3 DP 2 08/05/2018 08/05/2018 31/07/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 242500
0 1 0 0 0 BADRIYAH 004367 66 24388 DR. SARTONO,
SP. D 0217R0190518V000214 0000101026001 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101074 1#0##0#0#0.0#2018-05-28
09:06:04#0#00:00:00#00:00:00#00:00:00 1 9f5016c8284d69405ba4a4e10aa18d86
3578090 D 3 DP 2 08/05/2018 08/05/2018 15/12/1947 0 2
0 0 - 0 - 0 - 0 - 0 176200 198000
0 1 0 0 0 SRI MANGESTI 004309 70 25712 DR.
INACBG;123123123123 5.2.1.201804062320 4 101075
1#0##0#0#0.0#2018-05-28 09:06:48#0#00:00:00#00:00:00#10:56:59 1
d46764f0b37c92a14fa1bcd2fd6fa340
3578090 D 3 DP 2 08/05/2018 08/05/2018 02/06/1973 0 2
0 0 - 0 - 0 - 0 - 0 176200 244000
0 1 0 0 0 IMROATIN WULANDARI 022716 44 16411
INACBG;123123123123 5.2.1.201804062320 4 101076
1#0##0#0#0.0#2018-05-28 09:07:29#0#00:00:00#00:00:00#12:00:00 1
ad6ea1946b34c11dd4cc541506ad4574
3578090 D 3 DP 2 08/05/2018 08/05/2018 14/03/1947 0 1
0 0 - 0 - 0 - 0 - 0 176200 172500
0 1 0 0 0 SUPARMAN, DRS.MM 005577 71 25988 DR.
INACBG;123123123123 5.2.1.201804062320 4 101077
1#0##0#0#0.0#2018-05-28 09:08:28#0#00:00:00#00:00:00#09:51:46 1
38bd23faeeb4349ed15077f49acaea76
3578090 D 3 DP 2 08/05/2018 08/05/2018 07/05/1944 0 1
0 0 - 0 - 0 - 0 - 0 176200 235500
0 1 0 0 0 CHOLIL 005562 74 27029 DR. SARTONO,
5.2.1.201804062320 4 101078 1#0##0#0#0.0#2018-05-28
09:09:40#0#00:00:00#00:00:00#00:00:00 1 30722e6ab39d74e91e8ec15052206b1c
3578090 D 3 DP 2 08/05/2018 08/05/2018 28/12/1948 0 1
0 0 - 0 - 0 - 0 - 0 176200 307000
0 1 0 0 0 TULUS MURDIANI 018500 69 25333 DR.
INACBG;123123123123 5.2.1.201804062320 4 101079
1#0##0#0#0.0#2018-05-28 09:10:22#0#00:00:00#00:00:00#00:00:00 1
b92708ee4f5f1532aed7d2bcc758cb7c
3578090 D 3 DP 2 09/05/2018 09/05/2018 18/02/2014 0 1
- 0 - 0 - 0 - 0 173400 177000 0
1 0 0 0 CALVIN FEBRIAN ROBERTH 011535 4 1541 DR.
5.2.1.201804062320 4 101080 1#0##0#0#0.0#2018-05-28
09:38:06#0#00:00:00#00:00:00#12:43:03 1 418bd68b1eaca22f28db677e04248ed1
3578090 D 3 DP 2 09/05/2018 09/05/2018 09/08/2016 0 1
- 0 - 0 - 0 - 0 173400 228000 0
1 0 0 0 REYNAND AUGUSTIAN ROBERTH 022370 1 638
DR. ROBBY R.W. 0217R0190518V000292 0002076717993 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101081
1#0##0#0#0.0#2018-05-28 09:39:04#0#00:00:00#00:00:00#00:00:00 1
7eaed71cecb769fe351d1931d50be8e5
3578090 D 3 DP 2 09/05/2018 09/05/2018 20/10/1981 0 2
- 0 - 0 - 0 - 0 173400 219000 0
1 0 0 0 KISWATI 021116 36 13350 DR. ROBBY R.W.
0217R0190518V000291 0001227524264 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101082 1#0##0#0#0.0#2018-05-28
09:39:57#0#00:00:00#00:00:00#00:00:00 1 4519834c70020a443cac094702fb47bb
3578090 D 3 DP 2 09/05/2018 09/05/2018 29/07/1970 0 1
- 0 - 0 - 0 - 0 173400 160000 0
1 0 0 0 IMAM SYAFI,I AIN 00017959 47 17451 DR. LYDIA
5.2.1.201804062320 4 101083 1#0##0#0#0.0#2018-05-28
09:40:38#0#00:00:00#00:00:00#12:08:44 1 07b368c7e116dc1dd4c7a10f14c01895
3578090 D 3 DP 2 09/05/2018 09/05/2018 09/08/1987 0 1
1 K61.0 - - - None None None None Q-5-25-0 None None
0 - 0 - 0 - 0 125500 147000 0 1
0 0 0 EKO AGUS WAHYUDI 023842 30 11231 DR. ROBBY R.W.
0217R0190518V000290 0001102843732 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101084 1#0##0#0#0.0#2018-05-28
09:41:30#0#00:00:00#00:00:00#00:00:00 1 a4ed62ae267b091e2d793dc613a07ca1
3578090 D 3 DP 2 09/05/2018 09/05/2018 25/05/1987 0 2
1 Z09.8;O21.0 88.78 - - None None None None Z-3-25-0 None
0 0 - 0 - 0 - 0 - 0 281500 414500
0 1 0 0 0 NUNUK PUTRININGSIH 021942 30 11307
DR. RIANTO, SPOG 0217R0190518V000278 0002073090396 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101085
1#0##0#0#0.0#2018-05-28 09:42:54#0#00:00:00#00:00:00#00:00:00 1
7d1d252b6198f29bf9e09c1f73803a93
3578090 D 3 DP 2 09/05/2018 09/05/2018 04/07/1976 0 1
0 0 - 0 - 0 - 0 - 0 176200 260000
0 1 0 0 0 KHOIRUR ROZIQIN 021009 41 15284 DR.
INACBG;123123123123 5.2.1.201804062320 4 101087
1#0##0#0#0.0#2018-05-28 09:44:30#0#00:00:00#00:00:00#11:52:55 1
f74b754413884566e7f4400b6e13c677
3578090 D 3 DP 2 09/05/2018 09/05/2018 22/07/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 285000
0 1 0 0 0 JOUCKE JOHANNA TICOALU 021755 68 25128
INACBG;123123123123 5.2.1.201804062320 4 101088
1#0##0#0#0.0#2018-05-28 09:45:17#0#00:00:00#00:00:00#00:00:00 1
7eb8713337f8bafe066756fa1c5e72e1
3578090 D 3 DP 2 09/05/2018 09/05/2018 01/01/1935 0 1
0 0 - 0 - 0 - 0 - 0 176200 315000
0 1 0 0 0 PAIDI 018382 83 30444 DR. AMIR SURYA,
SPM 0217R0190518V000270 0000100888018 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101089 1#0##0#0#0.0#2018-05-28
09:46:36#0#00:00:00#00:00:00#00:00:00 1 309a37062c4ec7206d1a3080bb1dda22
3578090 D 3 DP 2 09/05/2018 09/05/2018 19/08/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 322000
0 1 0 0 0 RASMAH 005292 68 25100 DR. AMIR
5.2.1.201804062320 4 101090 1#0##0#0#0.0#2018-05-28
09:47:22#0#00:00:00#00:00:00#15:43:15 1 ff85db97755aaa16ee80855c8573f359
3578090 D 3 DP 2 09/05/2018 09/05/2018 13/03/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 315000
0 1 0 0 0 SUPINI 021215 69 25259 DR. AMIR
5.2.1.201804062320 4 101091 1#0##0#0#0.0#2018-05-28
09:48:04#0#00:00:00#00:00:00#00:00:00 1 8fb5458bcba9f82e3ea6afa82ef7e0b9
3578090 D 3 DP 2 09/05/2018 09/05/2018 20/08/1954 0 2
0 0 - 0 - 0 - 0 - 0 176200 322000
INACBG;123123123123 5.2.1.201804062320 4 101092
1#0##0#0#0.0#2018-05-28 09:48:48#0#00:00:00#00:00:00#00:00:00 1
f35336803fd00b5748114d3cad2315ec
3578090 D 3 DP 2 09/05/2018 09/05/2018 21/09/1991 0 2
0 0 - 0 - 0 - 0 - 0 176200 260000
0 1 0 0 0 AYU MAULIDDINA OETOMO 023607 26 9727
INACBG;123123123123 5.2.1.201804062320 4 101093
1#0##0#0#0.0#2018-05-28 09:49:29#0#00:00:00#00:00:00#12:00:00 1
7b24c690f4cf4f675dd6840dd3f5ba68
3578090 D 3 DP 2 09/05/2018 09/05/2018 11/09/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 305500
0 1 0 0 0 HARYONO 009166 77 28364 DR. AMIR
5.2.1.201804062320 4 101094 1#0##0#0#0.0#2018-05-28
09:50:14#0#00:00:00#00:00:00#00:00:00 1 099201d976367735dd3824588ac7fc0a
3578090 D 3 DP 2 09/05/2018 09/05/2018 27/08/1958 0 1
- 0 - 0 - 0 - 0 269500 272000 0
1 0 0 0 WAKIRAN WINOTO 008543B 59 21805 DRG. MIKA
5.2.1.201804062320 4 101095 1#0##0#0#0.0#2018-05-28
09:51:09#0#00:00:00#00:00:00#11:12:12 1 2e3491dc2e300f6d6c2a304dde09fa89
3578090 D 3 DP 2 09/05/2018 09/05/2018 26/03/1999 0 2
- 0 - 0 - 0 - 0 269500 280000 0
1 0 0 0 TRENADIA HAFILDA 023838 19 6984 DRG. MIKA
5.2.1.201804062320 4 101096 1#0##0#0#0.0#2018-05-28
09:52:11#0#00:00:00#00:00:00#00:00:00 1 cd2047286750dff3e3ef3ccf732c2a3d
3578090 D 3 DP 2 09/05/2018 09/05/2018 02/07/2013 0 1
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 muhammad javier arrayyan s 022214 4 1772
DRG. MIKA RAMADHANI 0217R0190518V000275 0001386522505 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101097
1#0##0#0#0.0#2018-05-28 09:52:57#0#00:00:00#00:00:00#00:00:00 1
36f20198ef6d429dbf5c457d4c09c85f
3578090 D 3 DP 2 09/05/2018 09/05/2018 10/09/1967 0 1
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 SUGIYONO 018742 50 18504 DRG. MIKA
5.2.1.201804062320 4 101098 1#0##0#0#0.0#2018-05-28
09:53:43#0#00:00:00#00:00:00#08:04:03 1 60333f8019309f61669d21e818be76c2
3578090 D 3 DP 2 09/05/2018 09/05/2018 17/12/1990 0 2
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 ALIA RATNANINGRUM 022436 27 10005 DRG. MIKA
5.2.1.201804062320 4 101099 1#0##0#0#0.0#2018-05-28
09:54:20#0#00:00:00#00:00:00#12:00:00 1 6f7e16cecedf8b40796037ccd5d9dec6
3578090 D 3 DP 2 09/05/2018 09/05/2018 09/08/1968 0 2
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 DEWI PRAWITASARI 00015749 49 18170 DRG. MIKA
5.2.1.201804062320 4 101100 1#0##0#0#0.0#2018-05-28
09:54:59#0#00:00:00#00:00:00#10:36:24 1 b711b56e044f088526f074d7c6c3057b
3578090 D 3 DP 2 09/05/2018 09/05/2018 11/07/1963 0 2
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 SUSTIANI 019172 54 20026 DRG. MIKA
5.2.1.201804062320 4 101101 1#0##0#0#0.0#2018-05-28
09:55:37#0#00:00:00#00:00:00#00:00:00 1 d41a9fee00810fe30d408b9b9a17d4a0
3578090 D 3 DP 2 09/05/2018 09/05/2018 25/05/1979 0 2
0 0 - 0 - 0 - 0 - 0 176200 175000
0 1 0 0 0 HIDAYATUS SOLICHAH 012905 38 14229
DR. WIDHIYORETNO NS, SPKJ 0217r0190518v000286 0001110286102 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101102
1#0##0#0#0.0#2018-05-28 10:03:06#0#10:02:15#10:02:15#00:00:00 1
0a4821c109d57bc5f0101befbe2d154b
3578090 D 2 DP 1 07/05/2018 09/05/2018 30/09/1967 0 2
1 G45.9 - - - None None None None G-4-16-I None None
None None None None ISKEMIK TRANSIENT (RINGAN) 2625100 0 0
- 0 - 0 - 0 - 0 2625100 2031000 0
3 0 0 0 SURJANA JUSUF 021344 50 18482 DR. IMAM
INACBG;123123123123 5.2.2.201806040537 4 101584
1#0##0#0#0.0#2018-06-22 10:34:52#0#00:00:00#00:00:00#13:54:00 1
1a81bcd292324684cec30c9758805be5
3578090 D 3 DP 2 10/05/2018 10/05/2018 07/07/2000 0 1
- 0 - 0 - 0 - 0 173400 137000 0
1 0 0 0 DIMAS ARMANDO WIYONO 017418 17 6516 DR.
DEWI SARTIKA 0217R0190518V000294 0001108573907 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101103
1#0##0#0#0.0#2018-05-28 10:07:28#0#00:00:00#00:00:00#00:00:00 1
5c1cfa8af035022dafe5bc26af8d1691
3578090 D 3 DP 2 10/05/2018 10/05/2018 15/05/2014 0 2
1 H60.0 18.09 - - None None None None U-3-11-0 None None
None None None None PROSEDUR KECIL LAIN-LAIN PADA TELINGA, HIDUNG, MULUT
DAN TENGGOROKAN 288700 0 0 - 0 - 0 - 0 -
0 288700 210000 0 1 0 0 0 SHAKILA ARKAH
NURIYAH ANDRIYANTI 017197 3 1456 DR. DEWI SARTIKA
0217R0190518V000295 0001446433481 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101104 1#0##0#0#0.0#2018-05-28
10:08:33#0#00:00:00#00:00:00#00:00:00 1 2d575263d99e5bb347a57e42ddbaa6cb
3578090 D 3 DP 2 11/05/2018 11/05/2018 15/01/1945 0 1
0 - 0 - 0 - 0 125500 197000 0 1
0 0 0 LOMBA HADIR 019580 73 26779 DR. ROBBY R.W.
0217R0190518V000351 0000101592999 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101105 1#0##0#0#0.0#2018-05-28
10:12:18#0#00:00:00#00:00:00#10:32:01 1 dc378d7fd3cbe7b09b296cf98b7cfaec
3578090 D 3 DP 2 11/05/2018 11/05/2018 05/04/1967 0 2
0 - 0 - 0 - 0 - 0 176200 182000
0 1 0 0 0 dr. WIDHIYORETNO NI SURATIH 013794 51
18664 DR. ROBBY R.W. 0217R0190518V000352 0001290808383 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101106
1#0##0#0#0.0#2018-05-28 10:13:20#0#00:00:00#00:00:00#00:00:00 1
f1180e275735ed9b8c8a4a09a0f150e1
3578090 D 3 DP 2 11/05/2018 11/05/2018 03/03/1989 0 2
1 A09.9 - - - None None None None Q-5-42-0 None None
- 0 - 0 - 0 - 0 173400 150000 0
1 0 0 0 IKA NILA NAVYYANTI 015380 29 10661 DR.
5.2.1.201804062320 4 101107 1#0##0#0#0.0#2018-05-28
10:14:42#0#00:00:00#00:00:00#11:08:36 1 e695c8964545b0962267c99d60e66f0b
3578090 D 3 DP 2 11/05/2018 11/05/2018 13/07/1975 0 2
- 0 - 0 - 0 - 0 173400 140000 0
1 0 0 0 YULI ERNAWATI 023843 42 15643 DR. LYDIA
5.2.1.201804062320 4 101108 1#0##0#0#0.0#2018-05-28
10:16:22#0#00:00:00#00:00:00#00:00:00 1 455f0190340f19acb14da7eae9b39c6f
3578090 D 3 DP 2 11/05/2018 11/05/2018 20/07/1943 0 2
0 0 - 0 - 0 - 0 - 0 176200 277000
0 1 0 0 0 MARLUPI 009963 74 27324 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101109
1#0##0#0#0.0#2018-05-28 10:17:06#0#00:00:00#00:00:00#00:00:00 1
4ff17e81401a9d13f26851ce28182f06
3578090 D 3 DP 2 11/05/2018 11/05/2018 06/12/1958 0 1
0 0 - 0 - 0 - 0 - 0 176200 211000
0 1 0 0 0 MOCH.RIDWAN.S 023813 59 21706 DR.
INACBG;123123123123 5.2.1.201804062320 4 101110
1#0##0#0#0.0#2018-05-28 10:17:55#0#00:00:00#00:00:00#00:00:00 1
e9d5bc927d167b254c375904422ba8bb
3578090 D 3 DP 2 11/05/2018 11/05/2018 31/03/1985 0 1
0 0 - 0 - 0 - 0 - 0 176200 187000
0 1 0 0 0 SUBAGIYA 00016132 33 12094 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101111
1#0##0#0#0.0#2018-05-28 10:18:39#0#00:00:00#00:00:00#10:18:07 1
8a81bb3eb5adedb70a46dfeebc8f073f
3578090 D 3 DP 2 11/05/2018 11/05/2018 23/05/1943 0 1
1 Z09.8;G20 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 273000
0 1 0 0 0 J. KUSRIN HATMOSUDARMO 015725 74 27382
INACBG;123123123123 5.2.1.201804062320 4 101112
1#0##0#0#0.0#2018-05-28 10:19:23#0#00:00:00#00:00:00#00:00:00 1
681a078059f7ddb1f04a88df0000f160
3578090 D 3 DP 2 11/05/2018 11/05/2018 08/01/1987 0 2
- 0 - 0 - 0 - 0 269500 220000 0
5.2.1.201804062320 4 101113 1#0##0#0#0.0#2018-05-28
10:20:15#0#00:00:00#00:00:00#00:00:00 1 4a739a59fb5322cfaca6bd42e2034133
3578090 D 3 DP 2 11/05/2018 11/05/2018 23/03/1972 0 1
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 HARYADI 023823 46 16850 DRG. MIKA
5.2.1.201804062320 4 101114 1#0##0#0#0.0#2018-05-28
10:21:03#0#00:00:00#00:00:00#13:55:51 1 bb3eaa8cc16d74e35102db97793482e0
3578090 D 3 DP 2 11/05/2018 11/05/2018 26/03/1999 0 2
- 0 - 0 - 0 - 0 269500 220000 0
5.2.1.201804062320 4 101115 1#0##0#0#0.0#2018-05-28
10:21:48#0#00:00:00#00:00:00#00:00:00 1 353b9e01bc798ad63038ccaff2acea07
3578090 D 3 DP 2 11/05/2018 11/05/2018 27/04/1953 0 2
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 LYSIANA 005518 65 23755 DRG. MIKA
5.2.1.201804062320 4 101116 1#0##0#0#0.0#2018-05-28
10:22:46#0#00:00:00#00:00:00#00:00:00 1 c21176887a30b8c6f3a19fd86b6f0139
3578090 D 3 DP 2 11/05/2018 11/05/2018 09/08/1968 0 2
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5.2.1.201804062320 4 101117 1#0##0#0#0.0#2018-05-28
10:23:27#0#00:00:00#00:00:00#10:36:24 1 31d259ce05160dd7d009957c2c22e4f5
3578090 D 3 DP 2 11/05/2018 11/05/2018 06/09/1972 0 2
1 Z35.8 88.78 - - None None None None Z-3-25-0 None None
None None None None PROSEDUR ULTRASOUND GINEKOLOGIK 281500 0
0 - 0 - 0 - 0 - 0 281500 281000
5.2.1.201804062320 4 101118 1#0##0#0#0.0#2018-05-28
10:24:33#0#00:00:00#00:00:00#00:00:00 1 8bd7a55e48a1605611de7a5cc6dca159
3578090 D 3 DP 2 11/05/2018 11/05/2018 25/06/1989 0 2
0 0 - 0 - 0 - 0 - 0 281500 290000
0 1 0 0 0 INDRA MUSTIKASARI 00017747 28 10547 DR.
INACBG;123123123123 5.2.1.201804062320 4 101119
1#0##0#0#0.0#2018-05-28 10:25:29#0#00:00:00#00:00:00#12:56:51 1
12b77e7f7acf3be08a571de2d9d39428
3578090 D 3 DP 2 11/05/2018 11/05/2018 09/11/1982 0 2
0 0 - 0 - 0 - 0 - 0 281500 290000
0 1 0 0 0 NENNY NOVARINA 023639 35 12967 DR.
INACBG;123123123123 5.2.1.201804062320 4 101120
1#0##0#0#0.0#2018-05-28 10:26:23#0#00:00:00#00:00:00#12:00:00 1
9e58eeacc98562bf284cf786e25e682a
3578090 D 3 DP 2 11/05/2018 11/05/2018 01/01/1940 0 2
0 0 - 0 - 0 - 0 - 0 176200 172000
0 1 0 0 0 HAIRI SOEGIJAH 005361 78 28620 DR.
INACBG;123123123123 5.2.1.201804062320 4 101121
1#0##0#0#0.0#2018-05-28 10:32:10#0#00:00:00#00:00:00#23:27:36 1
1b8fee8c8a53e70b1b51a6e2df807cb8
3578090 D 3 DP 2 11/05/2018 11/05/2018 13/03/1944 0 2
0 0 - 0 - 0 - 0 - 0 176200 175000
0 1 0 0 0 ASRI HASTUTIK 004323 74 27087 DR.
INACBG;123123123123 5.2.1.201804062320 4 101122
1#0##0#0#0.0#2018-05-28 10:33:03#0#00:00:00#00:00:00#00:00:00 1
e81f23a0c0d89519c89acb84115b4fc6
3578090 D 3 DP 2 11/05/2018 11/05/2018 12/07/1940 0 2
0 0 - 0 - 0 - 0 - 0 176200 170000
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101123
1#0##0#0#0.0#2018-05-28 10:33:54#0#00:00:00#00:00:00#00:00:00 1
eb74f68f20892a716d3e94e4cc94397d
3578090 D 3 DP 2 11/05/2018 11/05/2018 03/03/1954 0 2
0 0 - 0 - 0 - 0 - 0 176200 192000
0 1 0 0 0 SRI HYDAYATI 005290 64 23445 DR.
INACBG;123123123123 5.2.1.201804062320 4 101125
1#0##0#0#0.0#2018-05-28 10:35:09#0#00:00:00#00:00:00#00:00:00 1
4e185e8d61973f62e4ceaa114ab6a74a
3578090 D 3 DP 2 11/05/2018 11/05/2018 30/12/1944 0 1
0 0 - 0 - 0 - 0 - 0 176200 258000
0 1 0 0 0 FREDERIK GREGORIUS SUPARDI 019383 73
0000101173825 3;JKN INACBG;123123123123 5.2.1.201804062320 4
101124 1#0##0#0#0.0#2018-05-28 10:36:26#0#00:00:00#00:00:00#13:28:44
1 ac8b6c5eadcdde041af1fbbc94a4f3c7
3578090 D 3 DP 2 11/05/2018 11/05/2018 08/12/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 172000
0 1 0 0 0 DJAMIJO 010761 74 27183 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101126
1#0##0#0#0.0#2018-05-28 10:37:11#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 11/05/2018 11/05/2018 29/09/1950 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101127
1#0##0#0#0.0#2018-05-28 10:37:55#0#00:00:00#00:00:00#00:00:00 1
1c2a091d39a14767338a6919b86ee3b1
3578090 D 3 DP 2 11/05/2018 11/05/2018 21/02/1967 0 2
0 0 - 0 - 0 - 0 - 0 176200 170000
0 1 0 0 0 MARDIATI 023309 51 18707 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101128
1#0##0#0#0.0#2018-05-28 10:38:40#0#00:00:00#00:00:00#12:00:00 1
41adebbac7eabe1d53d0099175bd1a5a
3578090 D 3 DP 2 11/05/2018 11/05/2018 21/08/1955 0 2
0 0 - 0 - 0 - 0 - 0 176200 176000
0 1 0 0 0 SRIATI 018328 62 22909 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101129
1#0##0#0#0.0#2018-05-28 10:39:24#0#00:00:00#00:00:00#13:49:19 1
6d5583d6e8f7f8269c33d5dcbe13091d
3578090 D 3 DP 2 11/05/2018 11/05/2018 13/05/1940 0 2
0 0 - 0 - 0 - 0 - 0 176200 242000
0 1 0 0 0 T.H ARMIDA 008972 77 28487 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101130
1#0##0#0#0.0#2018-05-28 10:40:08#0#00:00:00#00:00:00#00:00:00 1
6af9560e429fd555da797c610e18a0a4
3578090 D 3 DP 2 11/05/2018 11/05/2018 23/01/1939 0 2
1 Z09.8;I10;I78.0 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 170000
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101131
1#0##0#0#0.0#2018-05-28 10:41:01#0#00:00:00#00:00:00#00:00:00 1
6db8d6ecbc7e78c7dd00f5f0ad411237
3578090 D 3 DP 2 11/05/2018 11/05/2018 21/08/1966 0 1
0 0 - 0 - 0 - 0 - 0 176200 173000
0 1 0 0 0 BUDI SUGIARTO 018383 51 18891 DR.
INACBG;123123123123 5.2.1.201804062320 4 101132
1#0##0#0#0.0#2018-05-28 10:41:50#0#00:00:00#00:00:00#15:20:24 1
f46c71ed4dca1d4bfa16c3d8ac9ae46a
3578090 D 3 DP 2 11/05/2018 11/05/2018 25/04/1980 0 1
1 Z09.8;E78.6;I10 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 170000
0 1 0 0 0 EKO BUDIONO 020381 38 13895 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101134
1#0##0#0#0.0#2018-05-28 10:42:50#0#00:00:00#00:00:00#10:43:03 1
b812b8fb8e77bdb118ce87fe94453ec5
3578090 D 3 DP 2 11/05/2018 11/05/2018 10/05/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 240000
0 1 0 0 0 DESSY DASILAH 004581 73 26664 DR.
INACBG;123123123123 5.2.1.201804062320 4 101135
1#0##0#0#0.0#2018-05-28 10:43:36#0#00:00:00#00:00:00#00:00:00 1
c57a8818649d2d79ff45a8aa8cb8b3f7
3578090 D 3 DP 2 11/05/2018 11/05/2018 31/05/1943 0 2
0 0 - 0 - 0 - 0 - 0 176200 263500
0 1 0 0 0 WAHIDAH.DRA 018772 74 27374 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101136
1#0##0#0#0.0#2018-05-28 10:46:35#0#00:00:00#00:00:00#11:59:12 1
e1ac1c99f50253f2f40f8278cb8ca609
3578090 D 3 DP 2 11/05/2018 11/05/2018 02/05/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 172000
0 1 0 0 0 MUHADI 017937 78 28498 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101137
1#0##0#0#0.0#2018-05-28 10:47:20#0#00:00:00#00:00:00#00:00:00 1
899b8329df57632dba236fe743c8913a
3578090 D 3 DP 2 11/05/2018 11/05/2018 07/12/1953 0 2
0 0 - 0 - 0 - 0 - 0 176200 175000
0 1 0 0 0 MASKAROMAH 010357 64 23531 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101138
1#0##0#0#0.0#2018-05-28 10:48:05#0#00:00:00#00:00:00#00:00:00 1
a000e93db383aad05c280e494de30856
3578090 D 3 DP 2 11/05/2018 11/05/2018 10/04/1942 0 2
0 0 - 0 - 0 - 0 - 0 176200 198500
0 1 0 0 0 RR. ANDAROEKMI, ba 005759 76 27790
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101139
1#0##0#0#0.0#2018-05-28 10:48:49#0#00:00:00#00:00:00#00:00:00 1
42237dfa564c21776415bdb08bca2d53
3578090 D 3 DP 2 11/05/2018 11/05/2018 24/07/1949 0 1
0 0 - 0 - 0 - 0 - 0 176200 170000
0 1 0 0 0 CORRY SETIOWATY 016709 68 25128 DR.
INACBG;123123123123 5.2.1.201804062320 4 101140
1#0##0#0#0.0#2018-05-28 10:49:42#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 11/05/2018 11/05/2018 02/08/1931 0 2
0 0 - 0 - 0 - 0 - 0 176200 185000
0 1 0 0 0 JETH HOKE DAULU 005694 86 31694 DR.
INACBG;123123123123 5.2.1.201804062320 4 101141
1#0##0#0#0.0#2018-05-28 10:57:02#0#00:00:00#00:00:00#00:00:00 1
0e9b03c74c24d833453c13b375a0232a
3578090 D 3 DP 2 11/05/2018 11/05/2018 20/03/1969 0 2
0 0 - 0 - 0 - 0 - 0 176200 245000
0 1 0 0 0 ANITAH UMARWATI 022218 49 17949 DR.
INACBG;123123123123 5.2.1.201804062320 4 101142
1#0##0#0#0.0#2018-05-28 10:58:22#0#00:00:00#00:00:00#00:00:00 1
ebf05d8e69763b1c6d8b20ef2d98600b
3578090 D 3 DP 2 11/05/2018 11/05/2018 31/12/1966 0 1
0 0 - 0 - 0 - 0 - 0 176200 370000
0 1 0 0 0 SUJOKO HADI 019393 51 18759 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101143
1#0##0#0#0.0#2018-05-28 11:00:39#0#00:00:00#00:00:00#11:53:21 1
c13e710b2e67e7497ff75934514f28b1
3578090 D 3 DP 2 11/05/2018 11/05/2018 15/01/1946 0 2
0 0 - 0 - 0 - 0 - 0 176200 205000
0 1 0 0 0 SITI SUNTINI 016385 72 26414 DR.
INACBG;123123123123 5.2.1.201804062320 4 101144
1#0##0#0#0.0#2018-05-28 11:01:38#0#00:00:00#00:00:00#00:00:00 1
41b99c5c101412ab51c40dd0b3f70533
3578090 D 3 DP 2 12/05/2018 12/05/2018 20/07/1972 0 2
- 0 - 0 - 0 - 0 173400 135000 0
1 0 0 0 HARDJANTI RATNA Damajanti 018937 45 16732
DR. DEWI SARTIKA 0217R0190518V000362 0001226681469 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101145
1#0##0#0#0.0#2018-05-28 12:36:25#0#00:00:00#00:00:00#00:00:00 1
24bbb5f8bbbb962d6718d97ddd0a5fc1
3578090 D 3 DP 2 12/05/2018 12/05/2018 02/03/1995 0 2
- 0 - 0 - 0 - 0 173400 137000 0
1 0 0 0 ANIS FITRIA SAPUTRI 023772 23 8472 DR.
INACBG;123123123123 5.2.1.201804062320 4 101146
1#0##0#0#0.0#2018-05-28 12:37:20#0#00:00:00#00:00:00#00:00:00 1
2ab6f2c6dc03cf1ff963775f708002b3
3578090 D 3 DP 2 12/05/2018 12/05/2018 26/01/2008 0 1
- 0 - 0 - 0 - 0 173400 150000 0
1 0 0 0 MUHAMMAD ALAUDIN P.A.S 019752 10 3759 DR.
INACBG;123123123123 5.2.1.201804062320 4 101147
1#0##0#0#0.0#2018-05-28 12:38:49#0#00:00:00#00:00:00#10:15:15 1
11ab0eea65e592b345c6e3d495552482
3578090 D 3 DP 2 12/05/2018 12/05/2018 12/08/1978 0 1
0 - 0 - 0 - 0 125500 160000 0 1
0 0 0 ARWAN YUWONO 023848 39 14518 DR. RIZKY
0217R0190518V000364 0001102985616 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101148 1#0##0#0#0.0#2018-05-28
12:39:55#0#00:00:00#00:00:00#00:00:00 1 6a6476f938f372958953b0e961ecac83
3578090 D 3 DP 2 12/05/2018 12/05/2018 15/09/1975 0 1
1 T15.9 98.21 - - None None None None H-3-11-0 None None
None None None None PROSEDUR KECIL PADA EKTRAOKULER 240700 0
0 - 0 - 0 - 0 - 0 240700 200000
0 1 0 0 0 SUKARDI 023847 42 15580 DR. ROBBY
R.W. 0217R0190518V000354 0001110203684 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101149 1#0##0#0#0.0#2018-05-28
12:41:14#0#00:00:00#00:00:00#00:00:00 1 bf7094730b0ddeeff1f441a5f490c49f
3578090 D 3 DP 2 12/05/2018 12/05/2018 14/03/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 657070
0 1 0 0 0 R.M. SILITONGA 004539 75 27453 DR.
INACBG;123123123123 5.2.1.201804062320 4 101150
1#0##0#0#0.0#2018-05-28 12:42:25#0#00:00:00#00:00:00#00:00:00 1
d12370a8e44aa0e1c14587babe204a44
3578090 D 3 DP 2 12/05/2018 12/05/2018 18/03/1944 0 1
0 0 - 0 - 0 - 0 - 0 176200 350100
0 1 0 0 0 SOEKARWAN 004346 74 27083 DR. SARTONO,
5.2.1.201804062320 4 101151 1#0##0#0#0.0#2018-05-28
12:43:15#0#00:00:00#00:00:00#00:00:00 1 77491e9f6dd29f3c98fede8371157929
3578090 D 3 DP 2 12/05/2018 12/05/2018 25/05/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 552000
0 1 0 0 0 TINA SETYONINGSIH 005446 68 25189 DR.
INACBG;123123123123 5.2.1.201804062320 4 101152
1#0##0#0#0.0#2018-05-28 12:44:01#0#00:00:00#00:00:00#00:00:00 1
ee2a3a74d8ae76aa5550d65e08f2c3c3
3578090 D 3 DP 2 12/05/2018 12/05/2018 19/09/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 231000
0 1 0 0 0 POSMAN MUNTHE 006861 74 27264 DR.
INACBG;123123123123 5.2.1.201804062320 4 101153
1#0##0#0#0.0#2018-05-28 12:44:58#0#00:00:00#00:00:00#00:00:00 1
765e898a742886184623887fce50a58f
3578090 D 3 DP 2 12/05/2018 12/05/2018 15/01/1945 0 1
0 0 - 0 - 0 - 0 - 0 176200 205000
0 1 0 0 0 LOMBA HADIR 019580 73 26780 DR. SARTONO,
SP. D 0217R0190518V000361 0000101592999 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101154 1#0##0#0#0.0#2018-05-28
12:45:49#0#00:00:00#00:00:00#10:32:01 1 d930ff030fc280e09b92c7645c6d6b0d
3578090 D 3 DP 2 13/05/2018 13/05/2018 29/07/1945 0 1
1 R34 57.94 - - None None None None N-3-14-0 None None
None None None None PROSEDUR KECIL ENDOSKOPI PADA SALURAN KEMIH 319200
0 0 - 0 - 0 - 0 - 0 319200 356200
0 1 0 0 0 ROESKAN 017958 72 26586 DR. RIZKY
0217R0190518V000365 0000101138883 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101155 1#0##0#0#0.0#2018-05-28
12:49:39#0#00:00:00#00:00:00#11:56:52 1 926e362acce5602de0ee968344c32305
3578090 D 3 DP 2 13/05/2018 13/05/2018 26/02/2013 0 1
- 0 - 0 - 0 - 0 173400 140000 0
1 0 0 0 RAYNALD JOVANNO OSAZE 012319 5 1902 DR.
5.2.1.201804062320 4 101156 1#0##0#0#0.0#2018-05-28
12:50:40#0#00:00:00#00:00:00#00:00:00 1 1aa12f899262752cfb8ed488c2dd322b
3578090 D 3 DP 2 13/05/2018 13/05/2018 20/08/1945 0 1
0 - 0 - 0 - 0 - 0 176200 140000
0 1 0 0 0 I MADE RENTEB 017700 72 26564 DR.
5.2.1.201804062320 4 101157 1#0##0#0#0.0#2018-05-28
12:51:24#0#00:00:00#00:00:00#00:00:00 1 6a6627bc783327e362d5cf68e801ef46
3578090 D 3 DP 2 14/05/2018 14/05/2018 20/10/1969 0 2
- 0 - 0 - 0 - 0 173400 172000 0
1 0 0 0 ERNY ISRIANAWATI 013909 48 17738 DR. LYDIA
5.2.1.201804062320 4 101159 1#0##0#0#0.0#2018-05-28
12:53:50#0#00:00:00#00:00:00#00:00:00 2 c1530620b3bc0e73f492fbd24e7325df
3578090 D 3 DP 2 14/05/2018 14/05/2018 22/04/2017 0 2
- 0 - 0 - 0 - 0 173400 157000 0
1 0 0 0 MUTHI'AH BULAN ALENDA NARESWARI 023467 1
387 DR. RIZKY SATYA 0217R0190518V000390 0002244496599 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101160
1#0##0#0#0.0#2018-05-28 12:54:36#0#00:00:00#00:00:00#12:00:00 1
983b6700632864c376651253f6b98d30
3578090 D 3 DP 2 14/05/2018 14/05/2018 09/10/2011 0 1
- 0 - 0 - 0 - 0 173400 261000 0
1 0 0 0 NEZEL NOA NURIO ARLAN 015580 6 2409 DR.
INACBG;123123123123 5.2.1.201804062320 4 101161
1#0##0#0#0.0#2018-05-28 12:55:25#0#00:00:00#00:00:00#00:00:00 1
2ccf0b8f96445efd75127dfa228c3960
3578090 D 3 DP 2 14/05/2018 14/05/2018 27/08/1958 0 1
- 0 - 0 - 0 - 0 269500 230000 0
1 0 0 0 WAKIRAN WINOTO 008543B 59 21810 DRG. MIKA
5.2.1.201804062320 4 101162 1#0##0#0#0.0#2018-05-28
12:56:14#0#00:00:00#00:00:00#11:12:12 1 b8483531254d5ad47ceba8e7e6207464
3578090 D 3 DP 2 14/05/2018 14/05/2018 09/08/1968 0 2
- 0 - 0 - 0 - 0 269500 220000 0
5.2.1.201804062320 4 101163 1#0##0#0#0.0#2018-05-28
12:56:53#0#00:00:00#00:00:00#10:36:24 1 ddfe8eece85dadb116ee2b74b68f9fd1
3578090 D 3 DP 2 14/05/2018 14/05/2018 31/12/1961 0 1
- 0 - 0 - 0 - 0 269500 220000 0
INACBG;123123123123 5.2.1.201804062320 4 101164
1#0##0#0#0.0#2018-05-28 12:57:38#0#00:00:00#00:00:00#12:00:00 1
d283111f0ba0045e5610aeb4a0990a5c
3578090 D 3 DP 2 14/05/2018 14/05/2018 10/12/1943 0 2
0 0 - 0 - 0 - 0 - 0 176200 174100
0 1 0 0 0 SRI SUHARTINI 010565 74 27184 DR.
INACBG;123123123123 5.2.1.201804062320 4 101165
1#0##0#0#0.0#2018-05-28 12:58:26#0#00:00:00#00:00:00#00:00:00 1
c7585cdaf6e794543da100e8523d643d
3578090 D 3 DP 2 14/05/2018 14/05/2018 29/09/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 196000
0 1 0 0 0 MULYADI BA 004306 77 28351 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101166
1#0##0#0#0.0#2018-05-28 12:59:08#0#00:00:00#00:00:00#00:00:00 1
28f2ee58120f27257b11a8710fd4b6d2
3578090 D 3 DP 2 14/05/2018 14/05/2018 29/09/1942 0 2
1 Z09.8;J40 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 205000
0 1 0 0 0 SOEDARJATI 004620 75 27621 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101167
1#0##0#0#0.0#2018-05-28 12:59:58#0#00:00:00#00:00:00#00:00:00 1
314f5f405f8a1c1040d44bab70b4dc16
3578090 D 3 DP 2 14/05/2018 14/05/2018 30/09/1967 0 2
0 0 - 0 - 0 - 0 - 0 176200 268000
0 1 0 0 0 SURJANA JUSUF 021344 50 18489 DR.
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3578090 D 3 DP 2 14/05/2018 14/05/2018 15/08/1945 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101169
1#0##0#0#0.0#2018-05-28 13:01:36#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 14/05/2018 14/05/2018 06/09/1951 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101170
1#0##0#0#0.0#2018-05-28 13:02:29#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 14/05/2018 14/05/2018 20/08/1954 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101171
1#0##0#0#0.0#2018-05-28 13:03:12#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 14/05/2018 14/05/2018 27/04/1953 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101172
1#0##0#0#0.0#2018-05-28 13:03:58#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 14/05/2018 14/05/2018 07/12/1947 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101173
1#0##0#0#0.0#2018-05-28 13:04:50#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 14/05/2018 14/05/2018 07/12/1953 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101174
1#0##0#0#0.0#2018-05-28 13:05:56#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 14/05/2018 14/05/2018 18/01/1994 0 2
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0 1 0 0 0 LOVIRA ZENITHA ANGGRAENI 023531 24
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3;JKN INACBG;123123123123 5.2.1.201804062320 4 101175
1#0##0#0#0.0#2018-05-28 13:06:36#0#00:00:00#00:00:00#12:00:00 1
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3578090 D 3 DP 2 14/05/2018 14/05/2018 12/12/1944 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101176
1#0##0#0#0.0#2018-05-28 13:07:24#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 14/05/2018 14/05/2018 05/12/1952 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101177
1#0##0#0#0.0#2018-05-28 13:08:19#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 14/05/2018 14/05/2018 07/01/1938 0 1
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INACBG;123123123123 5.2.2.201806040537 4 101573
1#0##0#0#0.0#2018-06-06 12:02:00#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 14/05/2018 14/05/2018 27/07/1984 0 2
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INACBG;123123123123 5.2.2.201806040537 4 101574
1#0##0#0#0.0#2018-06-06 12:03:45#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 05/01/1941 0 1
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INACBG;123123123123 5.2.1.201804062320 4 101178
1#0##0#0#0.0#2018-05-28 13:44:18#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 18/07/1952 0 2
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13:45:10#0#00:00:00#00:00:00#11:10:44 1 56bae9e23006de80560d2c7b0cb4395b
3578090 D 3 DP 2 15/05/2018 15/05/2018 03/03/1958 0 2
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1#0##0#0#0.0#2018-05-28 13:45:56#0#00:00:00#00:00:00#10:14:07 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 18/12/1971 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101181
1#0##0#0#0.0#2018-05-28 13:46:42#0#00:00:00#00:00:00#09:45:34 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 19/09/1963 0 2
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5.2.1.201804062320 4 101182 1#0##0#0#0.0#2018-05-28
13:47:29#0#00:00:00#00:00:00#00:00:00 1 c65a54ee83b90e2fd5571135a46414b4
3578090 D 3 DP 2 15/05/2018 15/05/2018 19/03/1944 0 1
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INACBG;123123123123 5.2.1.201804062320 4 101183
1#0##0#0#0.0#2018-05-28 13:48:13#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 27/09/1954 0 2
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5.2.1.201804062320 4 101184 1#0##0#0#0.0#2018-05-28
13:49:09#0#00:00:00#00:00:00#12:00:00 1 b268f18ca4e7d2f2d410a81ba01b165c
3578090 D 3 DP 2 15/05/2018 15/05/2018 17/02/1946 0 1
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SP. D 0217R0190518V000454 0000101606308 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101185 1#0##0#0#0.0#2018-05-28
13:50:09#0#00:00:00#00:00:00#00:00:00 1 529dbc5c26a2ae90f5256b6c25330196
3578090 D 3 DP 2 15/05/2018 15/05/2018 07/06/1942 0 2
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13:50:56#0#00:00:00#00:00:00#11:38:08 1 38eb3b0be7f87811a6678834c2593ce4
3578090 D 3 DP 2 15/05/2018 15/05/2018 10/12/1942 0 1
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INACBG;123123123123 5.2.1.201804062320 4 101187
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3578090 D 3 DP 2 15/05/2018 15/05/2018 23/08/1951 0 2
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3;JKN INACBG;123123123123 5.2.1.201804062320 4 101188
1#0##0#0#0.0#2018-05-28 13:53:09#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 10/02/1929 0 1
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1#0##0#0#0.0#2018-05-28 13:54:08#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 26/04/1943 0 1
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3;JKN INACBG;123123123123 5.2.1.201804062320 4 101190
1#0##0#0#0.0#2018-05-28 13:54:53#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 23/03/1973 0 1
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INACBG;123123123123 5.2.1.201804062320 4 101191
1#0##0#0#0.0#2018-05-28 13:55:41#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 10/12/1944 0 1
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INACBG;123123123123 5.2.1.201804062320 4 101192
1#0##0#0#0.0#2018-05-28 13:56:25#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 03/11/1945 0 2
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1#0##0#0#0.0#2018-05-28 13:57:16#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 16/03/1959 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101194
1#0##0#0#0.0#2018-05-28 13:57:58#0#00:00:00#00:00:00#10:28:20 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 15/01/1936 0 1
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INACBG;123123123123 5.2.1.201804062320 4 101195
1#0##0#0#0.0#2018-05-28 13:58:43#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 15/04/1941 0 1
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INACBG;123123123123 5.2.1.201804062320 4 101196
1#0##0#0#0.0#2018-05-28 13:59:29#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 05/05/1943 0 1
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0000101030343 3;JKN INACBG;123123123123 5.2.1.201804062320 4
101197 1#0##0#0#0.0#2018-05-28 14:00:16#0#00:00:00#00:00:00#00:00:00
1 ecdf616ac2287c59ffc76ae80dbd8f87
3578090 D 3 DP 2 15/05/2018 15/05/2018 19/06/1975 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101198
1#0##0#0#0.0#2018-05-28 14:00:59#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 17/01/1973 0 2
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3;JKN INACBG;123123123123 5.2.1.201804062320 4 101199
1#0##0#0#0.0#2018-05-28 14:01:40#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 10/03/1930 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101200
1#0##0#0#0.0#2018-05-28 14:02:17#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 12/07/1939 0 1
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1#0##0#0#0.0#2018-05-28 14:03:06#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 02/09/1970 0 1
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INACBG;123123123123 5.2.1.201804062320 4 101202
1#0##0#0#0.0#2018-05-28 14:03:55#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 14/12/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 286050
0 1 0 0 0 TESMIYATUN 007534 66 24259 DR. SARTONO,
5.2.1.201804062320 4 101204 1#0##0#0#0.0#2018-05-28
14:05:08#0#00:00:00#00:00:00#00:00:00 1 6ac480a0b9f9f87cfe10c8438d9b405c
3578090 D 3 DP 2 15/05/2018 15/05/2018 23/12/1966 0 1
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INACBG;123123123123 5.2.1.201804062320 4 101205
1#0##0#0#0.0#2018-05-28 14:06:06#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 23/07/1938 0 2
1 Z09.8;I50.9;R73.0 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 271700
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INACBG;123123123123 5.2.1.201804062320 4 101206
1#0##0#0#0.0#2018-05-28 14:07:00#0#00:00:00#00:00:00#00:00:00 1
71aa9cac7d2147e8a10ddbc4fbf3392b
3578090 D 3 DP 2 15/05/2018 15/05/2018 25/12/1951 0 2
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0 1 0 0 0 NATALIA ADRIANA AMINAH 021248 66 24248
INACBG;123123123123 5.2.1.201804062320 4 101207
1#0##0#0#0.0#2018-05-28 14:07:42#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 12/08/1948 0 1
0 0 - 0 - 0 - 0 - 0 176200 236000
0 1 0 0 0 MUKSIN 005692 69 25478 DR. SARTONO,
SP. D 0217R0190518V000457 0000101040761 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101208 1#0##0#0#0.0#2018-05-28
14:08:28#0#00:00:00#00:00:00#00:00:00 1 2ef4c18ec0cf14d028570dfc75d75215
3578090 D 3 DP 2 15/05/2018 15/05/2018 13/12/1947 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101209
1#0##0#0#0.0#2018-05-28 14:09:14#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 08/09/1940 0 1
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INACBG;123123123123 5.2.1.201804062320 4 101210
1#0##0#0#0.0#2018-05-28 14:09:59#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 12/04/1968 0 1
0 0 - 0 - 0 - 0 - 0 176200 255000
0 1 0 0 0 KAMISAN 022697 50 18295 DR. SARTONO,
5.2.1.201804062320 4 101211 1#0##0#0#0.0#2018-05-28
14:10:46#0#00:00:00#00:00:00#12:00:00 1 f09b5e4a55deb0440271f71c9b05ffd5
3578090 D 3 DP 2 15/05/2018 15/05/2018 14/02/1982 0 1
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0 1 0 0 0 INDRA KUSUMA, SH. 023098 36 13239 DR.
INACBG;123123123123 5.2.1.201804062320 4 101212
1#0##0#0#0.0#2018-05-28 14:11:29#0#00:00:00#00:00:00#12:00:00 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 19/09/2003 0 1
1 Z03.8;B15.9 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 230100
0 1 0 0 0 RECKY P.JS. 021336 14 5352 DR. SARTONO,
SP. D 0217R0190518V000435 0001226817472 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101213 1#0##0#0#0.0#2018-05-28
14:12:44#0#00:00:00#00:00:00#00:00:00 1 e623edefacec8c778e851796b4074f37
3578090 D 3 DP 2 15/05/2018 15/05/2018 08/01/1942 0 1
1 Z09.8;K80.1;E11.9 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 300500
0 1 0 0 0 TOGA SIRAIT 017985 76 27886 DR. SARTONO,
5.2.1.201804062320 4 101214 1#0##0#0#0.0#2018-05-28
14:13:32#0#00:00:00#00:00:00#00:00:00 1 2d4c8e2c76798194e03674d4d10d890a
3578090 D 3 DP 2 15/05/2018 15/05/2018 17/03/1971 0 1
0 0 - 0 - 0 - 0 - 0 176200 254000
0 1 0 0 0 MOCH YASIR 020115 47 17226 DR. SARTONO,
5.2.1.201804062320 4 101215 1#0##0#0#0.0#2018-05-28
14:14:13#0#00:00:00#00:00:00#10:36:01 1 2d893259309525c41eec703a2814e209
3578090 D 3 DP 2 15/05/2018 15/05/2018 09/02/1974 0 2
0 0 - 0 - 0 - 0 - 0 176200 258000
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INACBG;123123123123 5.2.1.201804062320 4 101216
1#0##0#0#0.0#2018-05-28 14:14:53#0#00:00:00#00:00:00#14:34:18 1
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3578090 D 3 DP 2 15/05/2018 15/05/2018 09/06/1970 0 2
0 0 - 0 - 0 - 0 - 0 176200 305500
0 1 0 0 0 PUJI ASTUTI 022341 47 17507 DR. SARTONO,
5.2.1.201804062320 4 101217 1#0##0#0#0.0#2018-05-28
14:15:43#0#00:00:00#00:00:00#00:00:00 1 54644ef1fb2fe226fac958699ff45f3f
3578090 D 3 DP 2 15/05/2018 15/05/2018 11/01/1969 0 1
0 0 - 0 - 0 - 0 - 0 176200 232000
0 1 0 0 0 DANI HAMDANI 022956 49 18021 DR.
INACBG;123123123123 5.2.1.201804062320 4 101218
1#0##0#0#0.0#2018-05-28 14:16:43#0#00:00:00#00:00:00#12:00:00 1
3dc46678494279ee4bd5b2ce8dd09ce8
3578090 D 3 DP 2 15/05/2018 15/05/2018 21/08/1947 0 1
0 0 - 0 - 0 - 0 - 0 176200 186000
0 1 0 0 0 KASIDO 004485 70 25835 DR. SARTONO,
5.2.1.201804062320 4 101219 1#0##0#0#0.0#2018-05-30
08:41:32#0#00:00:00#00:00:00#13:48:08 1 5e75253ec5ab4ed323dfb6b807e3596a
3578090 D 3 DP 2 15/05/2018 15/05/2018 01/01/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 453000
0 1 0 0 0 SULIJATI 017714 67 24606 DR. SARTONO,
5.2.1.201804062320 4 101220 1#0##0#0#0.0#2018-05-30
08:42:26#0#00:00:00#00:00:00#00:00:00 1 8d7f1aeebb3401ea4b729ec0fbccdd2e
3578090 D 3 DP 2 15/05/2018 15/05/2018 01/01/1935 0 1
0 0 - 0 - 0 - 0 - 0 176200 199000
0 1 0 0 0 PAIDI 018382 83 30450 DR. SARTONO, SP. D
0217R0190518V000426 0000100888018 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101221 1#0##0#0#0.0#2018-05-30
08:43:22#0#00:00:00#00:00:00#00:00:00 1 63856183cd1ca84451bff607b85c9957
3578090 D 3 DP 2 15/05/2018 15/05/2018 11/03/1966 0 1
0 0 - 0 - 0 - 0 - 0 176200 251000
0 1 0 0 0 SENO 009697 52 19058 DR. SARTONO, SP
PD` 0217R0190518V000423 0001102931346 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101222 1#0##0#0#0.0#2018-05-30
08:44:13#0#00:00:00#00:00:00#12:00:00 1 61b1d66f4c8712d0a865db05184748c2
3578090 D 3 DP 2 15/05/2018 15/05/2018 05/09/1982 0 1
0 0 - 0 - 0 - 0 - 0 176200 271000
0 1 0 0 0 MULYONO 022803 35 13036 DR. SARTONO,
5.2.1.201804062320 4 101223 1#0##0#0#0.0#2018-05-30
08:45:40#0#00:00:00#00:00:00#12:00:00 1 2f34f1ad24bf9465b860d9c676426ae0
3578090 D 3 DP 2 15/05/2018 15/05/2018 22/10/1956 0 2
0 0 - 0 - 0 - 0 - 0 176200 438200
0 1 0 0 0 SRI WILUDJENG 017217 61 22485 DR.
INACBG;123123123123 5.2.1.201804062320 4 101224
1#0##0#0#0.0#2018-05-30 08:46:30#0#00:00:00#00:00:00#00:00:00 1
5e5383c35664c90bef72297ac5b9bee5
3578090 D 3 DP 2 15/05/2018 15/05/2018 29/09/1942 0 2
0 0 - 0 - 0 - 0 - 0 176200 318200
0 1 0 0 0 SOEDARJATI 004620 75 27622 DR. SARTONO,
SP. D 0217R0190518V000447 0000101051245 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101225 1#0##0#0#0.0#2018-05-30
08:47:22#0#00:00:00#00:00:00#00:00:00 1 b4d18f8b63e4acbb6fa8aa0b3a4528c3
3578090 D 3 DP 2 15/05/2018 15/05/2018 28/03/1945 0 2
1 Z09.8;I10;M19.98 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 188800
0 1 0 0 0 Ny SRI ISMAYAWATI 004590 73 26711 DR.
INACBG;123123123123 5.2.1.201804062320 4 101226
1#0##0#0#0.0#2018-05-30 08:48:07#0#00:00:00#00:00:00#00:00:00 1
c64ba59ea155bd6ddb0f933bde04ffb4
3578090 D 3 DP 2 15/05/2018 15/05/2018 28/09/1952 0 2
0 0 - 0 - 0 - 0 - 0 176200 263000
0 1 0 0 0 Ny WORO HASTUTI 00008955 65 23970 DR.
INACBG;123123123123 5.2.1.201804062320 4 101227
1#0##0#0#0.0#2018-05-30 08:48:52#0#00:00:00#00:00:00#00:00:00 1
d1e4fa0cd0a1088bbc809b1dffcc0716
3578090 D 3 DP 2 15/05/2018 15/05/2018 03/08/1964 0 1
0 0 - 0 - 0 - 0 - 0 176200 322000
0 1 0 0 0 NURHASANUDDIN 00007660 53 19643 DR.
INACBG;123123123123 5.2.1.201804062320 4 101228
1#0##0#0#0.0#2018-05-30 08:49:40#0#00:00:00#00:00:00#00:00:00 1
0575ed0ae0605e084c223a618e0681a4
3578090 D 3 DP 2 15/05/2018 15/05/2018 17/06/1943 0 2
0 0 - 0 - 0 - 0 - 0 176200 232000
0 1 0 0 0 RUDOLFINEWIJAYA SITI N 018316 74 27361
INACBG;123123123123 5.2.1.201804062320 4 101133
1#0##0#0#0.0#2018-05-30 08:50:31#0#00:00:00#00:00:00#00:00:00 1
8867d9c31c443fd9e6a00c0f9f319c29
3578090 D 3 DP 2 15/05/2018 15/05/2018 22/03/1970 0 2
0 0 - 0 - 0 - 0 - 0 176200 369000
0 1 0 0 0 RR.E.NIKEN DYAH P, SPD 016342 48 17586
INACBG;123123123123 5.2.1.201804062320 4 101229
1#0##0#0#0.0#2018-05-30 08:51:24#0#00:00:00#00:00:00#11:57:54 1
e4ae19148be7c05e97e47dfc81e76da4
3578090 D 3 DP 2 15/05/2018 15/05/2018 31/12/1954 0 2
0 0 - 0 - 0 - 0 - 0 176200 256500
0 1 0 0 0 SUMARSIH 023021 63 23146 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101230
1#0##0#0#0.0#2018-05-30 08:52:11#0#00:00:00#00:00:00#12:00:00 1
b5deba64d9552f7673e55f4981656ba2
3578090 D 3 DP 2 15/05/2018 15/05/2018 10/03/1963 0 2
0 0 - 0 - 0 - 0 - 0 176200 179000
0 1 0 0 0 LINA PARYATUN 023052 55 20155 DR.
INACBG;123123123123 5.2.1.201804062320 4 101231
1#0##0#0#0.0#2018-05-30 08:53:00#0#00:00:00#00:00:00#12:00:00 1
4a5a972e4e11c457b3c8ff55645622b0
3578090 D 3 DP 2 15/05/2018 15/05/2018 04/09/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 183000
INACBG;123123123123 5.2.1.201804062320 4 101232
1#0##0#0#0.0#2018-05-30 08:53:43#0#00:00:00#00:00:00#00:00:00 1
7271f4b470409b7db8faefe2c4d8c7bf
3578090 D 3 DP 2 15/05/2018 15/05/2018 25/02/1939 0 2
0 0 - 0 - 0 - 0 - 0 176200 206000
INACBG;123123123123 5.2.1.201804062320 4 101233
1#0##0#0#0.0#2018-05-30 08:55:06#0#00:00:00#00:00:00#00:00:00 1
51c7eb14d7b96351a8a6c54b94bf3700
3578090 D 3 DP 2 15/05/2018 15/05/2018 08/12/1954 0 1
0 0 - 0 - 0 - 0 - 0 176200 211500
0 1 0 0 0 SALIM SAAD 005459 63 23169 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101234
1#0##0#0#0.0#2018-05-30 08:55:56#0#00:00:00#00:00:00#00:00:00 1
3884a356ed2ea48ff8591c42ba8036d8
3578090 D 3 DP 2 15/05/2018 15/05/2018 12/06/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 181000
0 1 0 0 0 S. SIMANJUNTAK 007561 66 24444 DR.
INACBG;123123123123 5.2.1.201804062320 4 101235
1#0##0#0#0.0#2018-05-30 08:56:46#0#00:00:00#00:00:00#00:00:00 1
4925d7b7238650360f220d39260f6637
3578090 D 3 DP 2 15/05/2018 15/05/2018 09/08/1974 0 2
0 0 - 0 - 0 - 0 - 0 176200 249300
0 1 0 0 0 FENI ERNAWATI 015957 43 15985 DR.
INACBG;123123123123 5.2.1.201804062320 4 101236
1#0##0#0#0.0#2018-05-30 08:57:29#0#00:00:00#00:00:00#00:00:00 1
2a0dd012b7344cb6956df18d15047295
3578090 D 3 DP 2 15/05/2018 15/05/2018 16/04/1972 0 2
- 0 - 0 - 0 - 0 173400 227000 0
1 0 0 0 NURUL HIDAYATI 00000276 46 16830 DR. MUH BAYU
0217R0190518V000465 0001110249246 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101237 1#0##0#0#0.0#2018-05-30
08:58:24#0#00:00:00#00:00:00#00:00:00 1 a3fafda4f24b6988131f78136f84c28c
3578090 D 3 DP 2 15/05/2018 15/05/2018 25/12/1972 0 1
1 S06.01;G40.6 93.96 - - None None None None J-3-13-0
None None None None None None PROSEDUR TERAPI SALURAN PERNAFASAN 292900
0 0 - 0 - 0 - 0 - 0 292900 784500
0 1 0 0 0 NURDIYANTO 023850 45 16577 DR. LYDIA
5.2.1.201804062320 4 101238 1#0##0#0#0.0#2018-05-30
09:00:02#0#00:00:00#00:00:00#00:00:00 1 872b6158ee420eb950e78cb789e216b3
3578090 D 3 DP 2 15/05/2018 15/05/2018 03/03/1989 0 2
- 0 - 0 - 0 - 0 173400 201000 0
1 0 0 0 IKA NILA NAVYYANTI 015380 29 10665 DR.
INACBG;123123123123 5.2.1.201804062320 4 101239
1#0##0#0#0.0#2018-05-30 09:00:47#0#00:00:00#00:00:00#11:08:36 1
818d9af45de16ccfdf053880c2689ee5
3578090 D 3 DP 2 15/05/2018 15/05/2018 05/02/1975 0 1
1 Z09.8;F29;R31 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 209500
0 1 0 0 0 MOHAMMAD SOLEKAN 023249 43 15805 DR.
INACBG;123123123123 5.2.1.201804062320 4 101240
1#0##0#0#0.0#2018-05-30 09:01:33#0#00:00:00#00:00:00#12:00:00 1
d6965d1ccd1ff8417fa93bb73c10e1d5
3578090 D 3 DP 2 15/05/2018 15/05/2018 08/06/1962 0 2
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 SRI HANDAYANI 023755 55 20430 DRG. RIAWATI
0217R0190518V000451 0000100773955 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101241 1#0##0#0#0.0#2018-05-30
09:03:20#0#00:00:00#00:00:00#00:00:00 1 e0c58e617425a9a82f8978faa1d67654
3578090 D 3 DP 2 15/05/2018 15/05/2018 10/12/1962 0 1
- 0 - 0 - 0 - 0 269500 230000 0
1 0 0 0 MOCHAMAD MUNIR 018150 55 20245 DRG. RIAWATI
0217R0190518V000445 0001226672008 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101242 1#0##0#0#0.0#2018-05-30
09:04:13#0#00:00:00#00:00:00#00:00:00 1 09295ea5fd23d3ada486f7190a25ee33
3578090 D 3 DP 2 15/05/2018 15/05/2018 22/04/2017 0 2
0 0 - 0 - 0 - 0 - 0 176200 248000
0 1 0 0 0 MUTHI'AH BULAN ALENDA NARESWARI 023467
1 388 DR. DEVI EMAWANTI, SP. A 0217R0190518V000414
0002244496599 3;JKN INACBG;123123123123 5.2.1.201804062320 4
101243 1#0##0#0#0.0#2018-05-30 09:05:07#0#00:00:00#00:00:00#12:00:00
1 530ba047855b97c5c7680b3e7479d6bf
3578090 D 3 DP 2 15/05/2018 15/05/2018 09/01/1999 0 2
0 - 0 - 0 - 0 - 0 176200 260000
0 1 0 0 0 RICHA DWI RAMADHANI 023851 19 7066
INACBG;123123123123 5.2.1.201804062320 4 101244
1#0##0#0#0.0#2018-05-30 09:06:03#0#00:00:00#00:00:00#00:00:00 1
44b49a387e8413b9d1ddd8f4a9846112
3578090 D 3 DP 2 15/05/2018 15/05/2018 22/07/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 260000
INACBG;123123123123 5.2.1.201804062320 4 101245
1#0##0#0#0.0#2018-05-30 09:06:42#0#00:00:00#00:00:00#00:00:00 1
0f49203fd3aa13488749ac4c4cb98fc2
3578090 D 3 DP 2 15/05/2018 15/05/2018 29/09/1950 0 2
1 Z96.1 - - - None None None None Q-5-44-0 None None
0 - 0 - 0 - 0 - 0 176200 282500
INACBG;123123123123 5.2.1.201804062320 4 101246
1#0##0#0#0.0#2018-05-30 09:07:26#0#00:00:00#00:00:00#00:00:00 1
f54dc368e189d4e2aa97f1325566c95e
3578090 D 3 DP 2 15/05/2018 15/05/2018 30/08/1948 0 1
0 0 - 0 - 0 - 0 - 0 176200 305200
0 1 0 0 0 SOERIPTO, IR. 008535 69 25460 DR.
INACBG;123123123123 5.2.1.201804062320 4 101247
1#0##0#0#0.0#2018-05-30 09:08:10#0#00:00:00#00:00:00#00:00:00 1
2ef87bf55b398477b741ef4c26f2b6e0
3578090 D 3 DP 2 15/05/2018 15/05/2018 07/12/1947 0 2
0 0 - 0 - 0 - 0 - 0 176200 305200
0 1 0 0 0 MASCHUFAH 018939 70 25727 DR. AMIR
5.2.1.201804062320 4 101248 1#0##0#0#0.0#2018-05-30
09:08:55#0#00:00:00#00:00:00#00:00:00 1 61b779bc63926009f920c22c1ec42c48
3578090 D 3 DP 2 15/05/2018 15/05/2018 04/09/1938 0 1
0 0 - 0 - 0 - 0 - 0 176200 306000
0 1 0 0 0 SOETARDJO, BA 005424 79 29108 DR.
INACBG;123123123123 5.2.1.201804062320 4 101249
1#0##0#0#0.0#2018-05-30 09:09:40#0#00:00:00#00:00:00#00:00:00 1
595948f01560127f41d34c66c681aae1
3578090 D 3 DP 2 15/05/2018 15/05/2018 22/06/1975 0 1
1 Z09.8;A36.8 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 160000
0 1 0 0 0 ROHIM ROBUNA 019597 42 15668 DR.
INACBG;123123123123 5.2.2.201806040537 4 101577
1#0##0#0#0.0#2018-06-06 12:06:00#0#00:00:00#00:00:00#11:36:34 1
87cbb735d3af821fb0959b17990312fd
3578090 D 2 DP 1 14/05/2018 15/05/2018 06/09/1972 0 2
1 O02.0 69.09 - - None None None None W-1-11-I None None
None None None None PROSEDUR DILATASI, KURET, INTRAUTERIN & SERVIK
(RINGAN) 1734800 0 0 - 0 - 0 - 0 - 0
1734800 3495000 0 2 0 0 0 KUNAWATI 023736
45 16686 DR. RIANTO, SPOG 0217r0190518v000368 0001227457315 3;JKN
INACBG;123123123123 5.2.2.201806040537 4 101578
1#0##0#0#0.0#2018-06-22 09:57:53#0#09:04:44#09:04:44#00:00:00 1
a72b56d03587941adc3e4302372707f3
3578090 D 3 DP 2 16/05/2018 16/05/2018 08/01/1942 0 1
0 0 - 0 - 0 - 0 - 0 176200 259100
0 1 0 0 0 TOGA SIRAIT 017985 76 27887 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101250
1#0##0#0#0.0#2018-05-30 11:59:13#0#00:00:00#00:00:00#00:00:00 1
68af26bfaf5bb75240be82aabaf628ae
3578090 D 3 DP 2 16/05/2018 16/05/2018 07/02/1941 0 2
0 0 - 0 - 0 - 0 - 0 176200 227000
INACBG;123123123123 5.2.1.201804062320 4 101251
1#0##0#0#0.0#2018-05-30 12:00:02#0#00:00:00#00:00:00#00:00:00 1
da487952fd6714380743e9db99769e17
3578090 D 3 DP 2 16/05/2018 16/05/2018 03/09/1934 0 1
0 0 - 0 - 0 - 0 - 0 176200 179200
0 1 0 0 0 M SIBURIAN 004315 83 30571 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101252
1#0##0#0#0.0#2018-05-30 12:01:01#0#00:00:00#00:00:00#00:00:00 1
118c0be8c1490d5b4a68967125feb017
3578090 D 3 DP 2 16/05/2018 16/05/2018 25/05/1944 0 1
0 0 - 0 - 0 - 0 - 0 176200 184180
0 1 0 0 0 J.A.MOELJONO 018156 73 27019 DR.
INACBG;123123123123 5.2.1.201804062320 4 101253
1#0##0#0#0.0#2018-05-30 12:01:50#0#00:00:00#00:00:00#00:00:00 1
dac8ff3c35fbbd75e68663c49af64a5e
3578090 D 3 DP 2 16/05/2018 16/05/2018 25/02/1974 0 2
0 0 - 0 - 0 - 0 - 0 176200 225130
0 1 0 0 0 SUSHARTATI 00008928 44 16151 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101254
1#0##0#0#0.0#2018-05-30 12:07:47#0#00:00:00#00:00:00#08:50:05 1
afb6803b7c7aa506f3ee841817ad0488
3578090 D 3 DP 2 16/05/2018 16/05/2018 06/12/1958 0 1
0 0 - 0 - 0 - 0 - 0 176200 199180
0 1 0 0 0 MOCH.RIDWAN.S 023813 59 21711 DR.
INACBG;123123123123 5.2.1.201804062320 4 101255
1#0##0#0#0.0#2018-05-30 12:08:36#0#00:00:00#00:00:00#00:00:00 1
27e9f1e542372bff4d2fac0e9bd82282
3578090 D 3 DP 2 16/05/2018 16/05/2018 08/12/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 199180
0 1 0 0 0 DJAMIJO 010761 74 27188 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101256
1#0##0#0#0.0#2018-05-30 12:09:30#0#00:00:00#00:00:00#00:00:00 1
616ec82ff36c7bf616cc854fe5198f6f
3578090 D 3 DP 2 16/05/2018 16/05/2018 23/08/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 254570
0 1 0 0 0 ASINAHOT SIMANJUNTAK 017986 66 24373
INACBG;123123123123 5.2.1.201804062320 4 101257
1#0##0#0#0.0#2018-05-30 12:10:18#0#00:00:00#00:00:00#00:00:00 1
0cecee4307478ae4a8445e743da7ecd9
3578090 D 3 DP 2 16/05/2018 16/05/2018 07/12/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 195200
0 1 0 0 0 TUTIK SRIANI 019139 66 24267 DR.
INACBG;123123123123 5.2.1.201804062320 4 101258
1#0##0#0#0.0#2018-05-30 12:11:19#0#00:00:00#00:00:00#11:27:35 1
d056e675ed921e54c411d81223113ccf
3578090 D 3 DP 2 16/05/2018 16/05/2018 11/01/1980 0 2
1 Z09.8;M19.98 81.92 - - None None None None M-3-11-0
None None None None None None PROSEDUR DIAGNOSTIK DAN TERAPEUTIK
MUSKULOSKELETAL 384500 0 0 - 0 - 0 - 0 -
0 384500 334000 0 1 0 0 0 DEFIT
KURNIANINGSIH 019554 38 14005 DR. IMAM HIDAYAT, SP.S
0217R0190518V000561 0001431940836 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101259 1#0##0#0#0.0#2018-05-30
12:12:50#0#00:00:00#00:00:00#14:11:18 1 8c50898d8118c17821396f271b7f7c50
3578090 D 3 DP 2 16/05/2018 16/05/2018 15/01/2001 0 2
0 0 - 0 - 0 - 0 - 0 229900 206000
0 1 0 0 0 YAYAH FITRIYANA 023614 17 6330 DR.
INACBG;123123123123 5.2.1.201804062320 4 101260
1#0##0#0#0.0#2018-05-30 12:13:49#0#00:00:00#00:00:00#12:00:00 1
093c25a729ae9003804ea49943c68efa
3578090 D 3 DP 2 16/05/2018 16/05/2018 02/02/1975 0 1
0 - 0 - 0 - 0 - 0 176200 205000
0 1 0 0 0 FATCHURROHMAN ZUHRI 023854 43 15809
INACBG;123123123123 5.2.1.201804062320 4 101261
1#0##0#0#0.0#2018-05-30 12:14:44#0#00:00:00#00:00:00#00:00:00 1
f6ca0d9605f9bad0a4949a6134d6fedd
3578090 D 3 DP 2 16/05/2018 16/05/2018 29/09/1942 0 2
0 0 - 0 - 0 - 0 - 0 176200 285000
0 1 0 0 0 SOEDARJATI 004620 75 27623 DR. AMIR
5.2.1.201804062320 4 101262 1#0##0#0#0.0#2018-05-30
12:15:38#0#00:00:00#00:00:00#00:00:00 1 7e2692af4b1e03403ec48b7a56975a28
3578090 D 3 DP 2 16/05/2018 16/05/2018 19/09/1963 0 2
0 0 - 0 - 0 - 0 - 0 176200 305500
0 1 0 0 0 SRI RAHAYU 004574 54 19963 DR. AMIR
5.2.1.201804062320 4 101263 1#0##0#0#0.0#2018-05-30
12:16:24#0#00:00:00#00:00:00#00:00:00 1 d5858e9871fc467590491ede42b76adc
3578090 D 3 DP 2 16/05/2018 16/05/2018 23/07/1939 0 1
0 0 - 0 - 0 - 0 - 0 176200 305500
0 1 0 0 0 SUNARDI DONOHARDJO 005226 78 28787
INACBG;123123123123 5.2.1.201804062320 4 101265
1#0##0#0#0.0#2018-05-30 12:17:39#0#00:00:00#00:00:00#00:00:00 1
41ffea2f1aea155cb99d67df99c056fc
3578090 D 3 DP 2 16/05/2018 16/05/2018 30/11/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 282500
INACBG;123123123123 5.2.1.201804062320 4 101266
1#0##0#0#0.0#2018-05-30 12:18:49#0#00:00:00#00:00:00#00:00:00 1
7552fadcfa8371803c1615973ec283ec
3578090 D 3 DP 2 16/05/2018 16/05/2018 26/03/1999 0 2
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12:19:33#0#00:00:00#00:00:00#00:00:00 1 510ba14c864b9a20227969225f26e107
3578090 D 3 DP 2 16/05/2018 16/05/2018 28/03/1970 0 2
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3578090 D 3 DP 2 16/05/2018 16/05/2018 23/03/1972 0 1
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3578090 D 3 DP 2 16/05/2018 16/05/2018 10/09/1967 0 1
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3578090 D 3 DP 2 16/05/2018 16/05/2018 17/12/1990 0 2
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3578090 D 3 DP 2 16/05/2018 16/05/2018 11/07/1963 0 2
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12:25:14#0#00:00:00#00:00:00#00:00:00 1 718ab64850c3139a23bc0d036c148d97
3578090 D 3 DP 2 16/05/2018 16/05/2018 26/07/1990 0 2
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3578090 D 3 DP 2 17/05/2018 17/05/2018 24/09/1965 0 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 15/12/1946 0 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 10/12/1943 0 2
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3578090 D 3 DP 2 17/05/2018 17/05/2018 06/06/1965 0 2
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3578090 D 3 DP 2 17/05/2018 17/05/2018 11/10/1964 0 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 01/12/1941 0 1
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12:36:54#0#00:00:00#00:00:00#00:00:00 1 5cd58c89187b288976e59b0789a9ebb8
3578090 D 3 DP 2 17/05/2018 17/05/2018 07/08/1951 0 2
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5.2.1.201804062320 4 101278 1#0##0#0#0.0#2018-05-30
12:37:48#0#00:00:00#00:00:00#00:00:00 1 e9cdf4fc9703ed3d6e3e7ff7b11ca4f2
3578090 D 3 DP 2 17/05/2018 17/05/2018 26/02/1946 0 2
1 Z09.8;M19.98;R73.0 - - - None None None None Q-5-
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5.2.1.201804062320 4 101279 1#0##0#0#0.0#2018-05-30
12:38:44#0#00:00:00#00:00:00#00:00:00 1 d5d9a96d040779c485572a13a6f531e0
3578090 D 3 DP 2 17/05/2018 17/05/2018 31/12/1951 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101280
1#0##0#0#0.0#2018-05-30 12:39:45#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 07/02/1941 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101281
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3578090 D 3 DP 2 17/05/2018 17/05/2018 10/04/1942 0 2
1 Z09.8;H81.3;E11.4;G63.2 - - - None None None None Q-5-
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INACBG;123123123123 5.2.1.201804062320 4 101282
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3578090 D 3 DP 2 17/05/2018 17/05/2018 30/10/1943 0 1
1 Z09.8;N40;G20 - - - None None None None Q-5-44-0
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INACBG;123123123123 5.2.1.201804062320 4 101283
1#0##0#0#0.0#2018-05-30 12:43:22#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 25/05/1944 0 1
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INACBG;123123123123 5.2.1.201804062320 4 101284
1#0##0#0#0.0#2018-05-30 12:44:09#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 03/11/1960 0 1
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INACBG;123123123123 5.2.1.201804062320 4 101285
1#0##0#0#0.0#2018-05-30 12:44:51#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 18/12/1946 0 1
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INACBG;123123123123 5.2.1.201804062320 4 101286
1#0##0#0#0.0#2018-05-30 12:45:41#0#00:00:00#00:00:00#00:00:00 1
1fb92f914f0dc078caf1d870219f6ad5
3578090 D 3 DP 2 17/05/2018 17/05/2018 15/08/1967 0 1
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INACBG;123123123123 5.2.1.201804062320 4 101287
1#0##0#0#0.0#2018-05-30 12:46:30#0#00:00:00#00:00:00#11:50:08 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 10/08/1965 0 1
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0 1 0 0 0 AGUSTINUS T 023447 52 19273 DR. SARTONO,
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5.2.1.201804062320 4 101288 1#0##0#0#0.0#2018-05-30
12:47:20#0#00:00:00#00:00:00#12:00:00 1 c15d249987fcfcf5f9307e43104b7213
3578090 D 3 DP 2 17/05/2018 17/05/2018 29/06/1966 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101289
1#0##0#0#0.0#2018-05-30 12:48:03#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 16/11/1964 0 1
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INACBG;123123123123 5.2.1.201804062320 4 101290
1#0##0#0#0.0#2018-05-30 12:48:43#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 22/05/1957 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101291
1#0##0#0#0.0#2018-05-30 12:49:33#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 03/03/1974 0 1
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0 1 0 0 0 ASTHOBAH 023247 44 16146 DR. SARTONO,
5.2.1.201804062320 4 101292 1#0##0#0#0.0#2018-05-30
12:50:17#0#00:00:00#00:00:00#12:00:00 1 e3828cf6451f2771826f75132bb245ad
3578090 D 3 DP 2 17/05/2018 17/05/2018 07/12/1947 0 2
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5.2.1.201804062320 4 101293 1#0##0#0#0.0#2018-05-30
12:51:15#0#00:00:00#00:00:00#00:00:00 1 84718ed9fc27c2df45df3992c3189b12
3578090 D 3 DP 2 17/05/2018 17/05/2018 20/08/1951 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101294
1#0##0#0#0.0#2018-05-30 12:52:07#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 28/11/1930 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101295
1#0##0#0#0.0#2018-05-30 12:53:08#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 05/05/1955 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101296
1#0##0#0#0.0#2018-05-30 12:53:51#0#00:00:00#00:00:00#09:51:13 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 04/11/1940 0 2
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0 1 0 0 0 MAHMUDAH NUR 004296 77 28318 DR.
INACBG;123123123123 5.2.1.201804062320 4 101297
1#0##0#0#0.0#2018-05-30 12:54:36#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 27/07/1947 0 1
1 Z09.8;E11.4;G63.2;N40 - - - None None None None Q-5-
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INACBG;123123123123 5.2.1.201804062320 4 101298
1#0##0#0#0.0#2018-05-30 12:55:29#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 25/04/1958 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101299
1#0##0#0#0.0#2018-05-30 12:56:21#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 29/09/1940 0 1
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0 1 0 0 0 MULYADI BA 004306 77 28354 DR. SARTONO,
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5.2.1.201804062320 4 101300 1#0##0#0#0.0#2018-05-30
12:57:11#0#00:00:00#00:00:00#00:00:00 1 2d39c081a34de34e38109e67d4780ee1
3578090 D 3 DP 2 17/05/2018 17/05/2018 10/02/1929 0 1
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0 1 0 0 0 ALI ATMADJIDISASTRA 005087 89 32603
INACBG;123123123123 5.2.1.201804062320 4 101301
1#0##0#0#0.0#2018-05-30 12:58:00#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 05/08/1952 0 2
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0 1 0 0 0 RR.RAHAYU SETYAWATI 007956 65 24026
INACBG;123123123123 5.2.1.201804062320 4 101302
1#0##0#0#0.0#2018-05-30 12:58:46#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 17/08/1942 0 2
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5.2.1.201804062320 4 101303 1#0##0#0#0.0#2018-05-30
12:59:33#0#00:00:00#00:00:00#00:00:00 1 b58588b28fe82b4861ec5fcd40737444
3578090 D 3 DP 2 17/05/2018 17/05/2018 21/01/1962 0 1
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0 1 0 0 0 RONNY JIMY ARON 019710 56 20570 DR.
INACBG;123123123123 5.2.1.201804062320 4 101304
1#0##0#0#0.0#2018-05-30 13:00:31#0#00:00:00#00:00:00#10:10:34 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 17/01/1973 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101305
1#0##0#0#0.0#2018-05-30 13:01:16#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 25/02/1939 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101306
1#0##0#0#0.0#2018-05-30 13:02:16#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 23/08/1974 0 1
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INACBG;123123123123 5.2.1.201804062320 4 101307
1#0##0#0#0.0#2018-05-30 13:02:59#0#00:00:00#00:00:00#08:06:37 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 31/08/1969 0 2
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5.2.1.201804062320 4 101308 1#0##0#0#0.0#2018-05-30
13:03:42#0#00:00:00#00:00:00#14:40:56 1 8f64ea9fc09215547257ef85c50adc27
3578090 D 3 DP 2 17/05/2018 17/05/2018 10/12/1962 0 1
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1 0 0 0 MOCHAMAD MUNIR 018150 55 20247 DRG. MIKA
5.2.1.201804062320 4 101309 1#0##0#0#0.0#2018-05-30
13:04:41#0#00:00:00#00:00:00#00:00:00 1 551a02084becd38596676940cad17813
3578090 D 3 DP 2 17/05/2018 17/05/2018 05/03/1968 0 1
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0 1 0 0 0 SUGENG WARAS 022801 50 18335 DR.
INACBG;123123123123 5.2.1.201804062320 4 101368
1#0##0#0#0.0#2018-06-04 11:08:17#0#00:00:00#00:00:00#12:00:00 1
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3578090 D 3 DP 2 17/05/2018 17/05/2018 17/06/1966 0 1
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0 1 0 0 0 SISWANTO 023055 51 18962 DR. SARTONO,
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5.2.1.201804062320 4 101369 1#0##0#0#0.0#2018-06-04
11:09:08#0#00:00:00#00:00:00#12:00:00 1 45827718a06e4bf166eb1c7c0cd7268d
3578090 D 3 DP 2 17/05/2018 17/05/2018 20/10/1969 0 2
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INACBG;123123123123 5.2.2.201806040537 4 101203
1#0##0#0#0.0#2018-06-06 12:02:52#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 18/05/2018 18/05/2018 25/04/1958 0 2
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3;JKN INACBG;123123123123 5.2.1.201804062320 4 101370
1#0##0#0#0.0#2018-06-04 11:10:41#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 18/05/2018 18/05/2018 05/01/1965 0 1
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0 1 0 0 0 TRIYONO 004048 53 19491 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101371
1#0##0#0#0.0#2018-06-04 11:11:30#0#00:00:00#00:00:00#00:00:00 1
9ce633a2c9366c442ae850ab43e4d6f1
3578090 D 3 DP 2 18/05/2018 18/05/2018 07/12/1947 0 2
0 0 - 0 - 0 - 0 - 0 176200 204000
0 1 0 0 0 MASCHUFAH 018939 70 25730 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101372
1#0##0#0#0.0#2018-06-04 11:12:23#0#00:00:00#00:00:00#00:00:00 1
a0a0fd73235369a2aab44748b5d48dd6
3578090 D 3 DP 2 18/05/2018 18/05/2018 05/02/1980 0 1
0 0 - 0 - 0 - 0 - 0 176200 445000
0 1 0 0 0 FEBRIAN FERDINAND SERVA 022528 38 13982
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101373
1#0##0#0#0.0#2018-06-04 11:13:08#0#00:00:00#00:00:00#12:00:00 1
ab1da68eb3b1d1de1754b4d08eada26b
3578090 D 3 DP 2 18/05/2018 18/05/2018 04/06/1938 0 2
0 0 - 0 - 0 - 0 - 0 176200 315500
0 1 0 0 0 ANTJE ROSALINA LASEDUW 013323 79 29203
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101374
1#0##0#0#0.0#2018-06-04 11:14:04#0#00:00:00#00:00:00#13:48:18 1
29153e62d21cf85b3db73572120a8e3c
3578090 D 3 DP 2 18/05/2018 18/05/2018 28/05/1964 0 1
0 0 - 0 - 0 - 0 - 0 176200 170000
0 1 0 0 0 PIRYONO 006713 53 19713 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101375
1#0##0#0#0.0#2018-06-04 11:14:44#0#00:00:00#00:00:00#14:17:52 1
89b444256c943d4ab3bcc12b10929359
3578090 D 3 DP 2 18/05/2018 18/05/2018 16/06/1944 0 1
0 0 - 0 - 0 - 0 - 0 176200 180000
0 1 0 0 0 MASNGUD 008150 73 26999 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101376
1#0##0#0#0.0#2018-06-04 11:15:24#0#00:00:00#00:00:00#14:51:48 1
b7c3b9c9cd9aa057c6fd0ed96a7b68e7
3578090 D 3 DP 2 18/05/2018 18/05/2018 12/08/1948 0 1
0 0 - 0 - 0 - 0 - 0 176200 182000
0 1 0 0 0 MUKSIN 005692 69 25481 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101377
1#0##0#0#0.0#2018-06-04 11:16:10#0#00:00:00#00:00:00#00:00:00 1
b883f11d3b66ea3f91274ce7c016910b
3578090 D 3 DP 2 18/05/2018 18/05/2018 19/09/1963 0 2
0 0 - 0 - 0 - 0 - 0 176200 170000
0 1 0 0 0 SRI RAHAYU 004574 54 19965 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101378
1#0##0#0#0.0#2018-06-04 11:16:55#0#00:00:00#00:00:00#00:00:00 1
d1cfa93ab09fa70759a73dca07fa8e33
3578090 D 3 DP 2 18/05/2018 18/05/2018 14/04/1958 0 2
0 0 - 0 - 0 - 0 - 0 176200 182000
0 1 0 0 0 ADJIE MIATI 006148 60 21949 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101379
1#0##0#0#0.0#2018-06-04 11:17:43#0#00:00:00#00:00:00#00:00:00 1
a46ac3882f7ca2a908688e2f7b450c61
3578090 D 3 DP 2 18/05/2018 18/05/2018 22/04/1941 0 1
0 0 - 0 - 0 - 0 - 0 176200 178000
0 1 0 0 0 MUHAMMAD MAULAN 005461 77 28150 DR.
INACBG;123123123123 5.2.1.201804062320 4 101380
1#0##0#0#0.0#2018-06-04 11:18:28#0#00:00:00#00:00:00#00:00:00 1
f4abbdfade045299437da63567e9e0a8
3578090 D 3 DP 2 18/05/2018 18/05/2018 25/12/1966 0 2
0 0 - 0 - 0 - 0 - 0 176200 170000
0 1 0 0 0 CHRISTIJORINI 021121 51 18772 DR.
INACBG;123123123123 5.2.1.201804062320 4 101381
1#0##0#0#0.0#2018-06-04 11:19:31#0#00:00:00#00:00:00#00:00:00 1
87fc918e8c365484501c2d1605a65ac8
3578090 D 3 DP 2 18/05/2018 18/05/2018 21/08/1947 0 1
0 0 - 0 - 0 - 0 - 0 176200 198500
0 1 0 0 0 KASIDO 004485 70 25838 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101382
1#0##0#0#0.0#2018-06-04 11:32:41#0#00:00:00#00:00:00#13:48:08 1
497186d0388c2ddd53915a156ad8e8a0
3578090 D 3 DP 2 18/05/2018 18/05/2018 28/10/1972 0 1
0 0 - 0 - 0 - 0 - 0 176200 178500
0 1 0 0 0 MARNO 016796 45 16638 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101383
1#0##0#0#0.0#2018-06-04 12:01:17#0#00:00:00#00:00:00#13:32:27 1
4b3e2a3b2fc6bfbe9af3ecbfa8d8bfca
3578090 D 3 DP 2 18/05/2018 18/05/2018 02/05/1966 0 1
0 0 - 0 - 0 - 0 - 0 176200 256000
0 1 0 0 0 RIATIM 00016743 52 19009 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101384
1#0##0#0#0.0#2018-06-04 12:02:09#0#00:00:00#00:00:00#12:45:06 1
91650d9c976618a46172e60b495cfbb8
3578090 D 3 DP 2 18/05/2018 18/05/2018 07/07/1967 0 2
0 0 - 0 - 0 - 0 - 0 176200 182000
0 1 0 0 0 SUMINARSIH 017945 50 18578 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101385
1#0##0#0#0.0#2018-06-04 12:02:49#0#00:00:00#00:00:00#00:00:00 1
4838fd833545c0752f15b02975de1257
3578090 D 3 DP 2 18/05/2018 18/05/2018 27/12/1972 0 2
0 - 0 - 0 - 0 - 0 176200 235000
0 1 0 0 0 SITI AISYAH 023857 45 16578 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101386
1#0##0#0#0.0#2018-06-04 12:04:02#0#00:00:00#00:00:00#00:00:00 1
15c3dd7704378ba8f191ca090a680e09
3578090 D 3 DP 2 18/05/2018 18/05/2018 01/12/1941 0 1
0 0 - 0 - 0 - 0 - 0 176200 230000
0 1 0 0 0 SEGER 019165 76 27927 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101387
1#0##0#0#0.0#2018-06-04 12:04:50#0#00:00:00#00:00:00#00:00:00 1
30d84644d1b59a06c628d6097a2c1c76
3578090 D 3 DP 2 18/05/2018 18/05/2018 07/01/1938 0 1
0 0 - 0 - 0 - 0 - 0 176200 160000
0 1 0 0 0 SOETRISNO BA. 004185 80 29351 DR.
INACBG;123123123123 5.2.1.201804062320 4 101388
1#0##0#0#0.0#2018-06-04 12:05:56#0#00:00:00#00:00:00#00:00:00 1
bc4b772b8906e16fe6a26bfcf52a9414
3578090 D 3 DP 2 18/05/2018 18/05/2018 21/10/1952 0 2
0 0 - 0 - 0 - 0 - 0 176200 295500
0 1 0 0 0 SALAMAH 018972 65 23950 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101389
1#0##0#0#0.0#2018-06-04 12:06:52#0#00:00:00#00:00:00#11:30:08 1
47df8978ca47e780bed83fe236a2142d
3578090 D 3 DP 2 18/05/2018 18/05/2018 11/05/1999 0 1
- 0 - 0 - 0 - 0 173400 125000 0
1 0 0 0 MAULANA ALFIAN 00015378 19 6947 DR. RIZKY
SATYA 0217R0190518V000563 0001110317545 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101391 1#0##0#0#0.0#2018-06-04
12:08:29#0#00:00:00#00:00:00#13:25:07 1 5bb2a764d4524001a8bf465c3d001bdf
3578090 D 3 DP 2 18/05/2018 18/05/2018 23/06/1979 0 1
- 0 - 0 - 0 - 0 173400 212000 0
1 0 0 0 CHANDRA LESTARI 023859 38 14209 DR. RIZKY
5.2.1.201804062320 4 101392 1#0##0#0#0.0#2018-06-04
12:10:38#0#00:00:00#00:00:00#00:00:00 1 ecc907c48deaa52bd49c04df35317225
3578090 D 3 DP 2 18/05/2018 18/05/2018 08/01/1987 0 2
- 0 - 0 - 0 - 0 269500 220000 0
5.2.1.201804062320 4 101393 1#0##0#0#0.0#2018-06-04
12:11:26#0#00:00:00#00:00:00#00:00:00 1 858cbc5549d4110aba49c5957e85f326
3578090 D 3 DP 2 18/05/2018 18/05/2018 23/03/1972 0 1
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 HARYADI 023823 46 16857 DRG. MIKA
5.2.1.201804062320 4 101394 1#0##0#0#0.0#2018-06-04
12:12:09#0#00:00:00#00:00:00#13:55:51 1 7b6dcdd8c51af9f40b8f4897c1e560a4
3578090 D 3 DP 2 18/05/2018 18/05/2018 16/08/1979 0 1
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 AGUS EKO PRASETYO 006524 38 14155 DRG. MIKA
5.2.1.201804062320 4 101395 1#0##0#0#0.0#2018-06-04
12:12:57#0#00:00:00#00:00:00#00:00:00 1 416b13ff9b67b68aad4a030f19e0b32e
3578090 D 3 DP 2 18/05/2018 18/05/2018 10/12/1942 0 1
0 0 - 0 - 0 - 0 - 0 176200 314000
0 1 0 0 0 PARDJAN 004368 75 27553 DR. IMAM
HIDAYAT, SP.S. 0217r0190518v000551 0000097938213 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101396
1#0##0#0#0.0#2018-06-04 12:22:48#0#12:20:58#12:20:58#00:00:00 2
9e6806bd2cb97a4bd412980978ce26be
3578090 D 3 DP 2 18/05/2018 18/05/2018 02/03/1968 0 1
- 0 - 0 - 0 - 0 173400 135000 0
1 0 0 0 SUHARNO 012740 50 18339 DR. LYDIA
5.2.2.201806040537 4 101572 1#0##0#0#0.0#2018-06-06
12:01:16#0#00:00:00#00:00:00#00:00:00 1 b74e5230d02c5a2f1685c2bf14eb44fd
3578090 D 3 DP 2 19/05/2018 19/05/2018 30/09/1965 0 1
- 0 - 0 - 0 - 0 173400 140000 0
1 0 0 0 SUWOTO 018793 52 19224 DR. DINDA
0217R0190518V000570 0001110087538 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101310 1#0##0#0#0.0#2018-05-31
10:43:21#0#00:00:00#00:00:00#00:00:00 1 5c4b499687936a8c5f9fa79a7a9cb274
3578090 D 3 DP 2 19/05/2018 19/05/2018 12/07/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 535500
0 1 0 0 0 F. ENDANG SETYANINGSIH 008130 68 25148
INACBG;123123123123 5.2.1.201804062320 4 101311
1#0##0#0#0.0#2018-05-31 10:44:30#0#00:00:00#00:00:00#00:00:00 1
488e09ee8366de90ccca19c399e064a5
3578090 D 3 DP 2 19/05/2018 19/05/2018 24/08/1956 0 2
0 0 - 0 - 0 - 0 - 0 176200 214000
0 1 0 0 0 HERRY ENNY SUDJIATMITRI 018751 61 22548
INACBG;123123123123 5.2.1.201804062320 4 101312
1#0##0#0#0.0#2018-05-31 10:46:06#0#00:00:00#00:00:00#00:00:00 1
99652e6456fbb05b7d839644cbd067a1
3578090 D 3 DP 2 19/05/2018 19/05/2018 06/07/1974 0 2
None None None None PENYAKIT KRONIS BESAR LAIN-LAIN 248800 0
0 - 0 - 0 - 0 - 0 248800 228045
0 1 0 0 0 LIE WILLIAM FIFIANI 023860 43 16023
INACBG;123123123123 5.2.1.201804062320 4 101313
1#0##0#0#0.0#2018-05-31 10:48:31#0#00:00:00#00:00:00#00:00:00 1
42a39cf30a7835fb4ef725429be6d74e
3578090 D 3 DP 2 19/05/2018 19/05/2018 31/05/1947 0 1
0 0 - 0 - 0 - 0 - 0 176200 433000
0 1 0 0 0 GATOT SUHARYOSO 022538 70 25921 DR.
INACBG;123123123123 5.2.1.201804062320 4 101314
1#0##0#0#0.0#2018-05-31 10:50:07#0#00:00:00#00:00:00#00:00:00 1
f34202832896fcd8ca5feda83bc8a164
3578090 D 3 DP 2 19/05/2018 19/05/2018 06/09/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 270000
0 1 0 0 0 SITI SUMANTRI 023849 66 24362 DR.
INACBG;123123123123 5.2.1.201804062320 4 101397
1#0##0#0#0.0#2018-06-04 12:26:20#0#00:00:00#00:00:00#00:00:00 1
72f3746e46183b8d361625517bf7ffdf
3578090 D 3 DP 2 19/05/2018 19/05/2018 21/10/1952 0 2
0 0 - 0 - 0 - 0 - 0 176200 279900
0 1 0 0 0 SALAMAH 018972 65 23951 DR. SARTONO,
SP. D 0217R0190518V000567 0000101348032 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101398 1#0##0#0#0.0#2018-06-04
12:27:19#0#00:00:00#00:00:00#11:30:08 1 6458cc2bbe963e450f9db53c5fca3fb1
3578090 D 3 DP 2 20/05/2018 20/05/2018 18/10/1974 0 2
- 0 - 0 - 0 - 0 173400 171000 0
DR. RIVAN 0217R0190518V000571 0001226836732 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101315
1#0##0#0#0.0#2018-05-31 10:57:26#0#00:00:00#00:00:00#00:00:00 1
1d79d80f542bb7c2bc5fc948013f5721
3578090 D 3 DP 2 21/05/2018 21/05/2018 30/12/1944 0 1
0 0 - 0 - 0 - 0 - 0 176200 190800
INACBG;123123123123 5.2.1.201804062320 4 101316
1#0##0#0#0.0#2018-05-31 11:14:07#0#00:00:00#00:00:00#13:28:44 1
290e15775755fe597e34ce2c0823d8ef
3578090 D 3 DP 2 21/05/2018 21/05/2018 30/09/1967 0 2
0 0 - 0 - 0 - 0 - 0 176200 170000
0 1 0 0 0 SURJANA JUSUF 021344 50 18496 DR.
INACBG;123123123123 5.2.1.201804062320 4 101317
1#0##0#0#0.0#2018-05-31 11:15:03#0#00:00:00#00:00:00#13:54:00 1
2c47160df8105ab500bd455874b2c515
3578090 D 3 DP 2 21/05/2018 21/05/2018 13/03/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 185000
0 1 0 0 0 SUPINI 021215 69 25271 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101318
1#0##0#0#0.0#2018-05-31 11:16:15#0#00:00:00#00:00:00#00:00:00 1
624bcd6314fbc343fcf5f59a99c00930
3578090 D 3 DP 2 21/05/2018 21/05/2018 01/01/1950 0 2
0 0 - 0 - 0 - 0 - 0 176200 182000
0 1 0 0 0 ANIZAR UPIK 007052 68 24977 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101319
1#0##0#0#0.0#2018-05-31 11:17:26#0#00:00:00#00:00:00#00:00:00 1
77be0c742b184e937c4e546979fcd568
3578090 D 3 DP 2 21/05/2018 21/05/2018 13/09/1950 0 2
0 0 - 0 - 0 - 0 - 0 176200 171010
0 1 0 0 0 WENNY RAHAYU 006717 67 24722 DR.
IMAM HIDAYAT, SP S 0217R0190518V000575 0000101076254 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101320
1#0##0#0#0.0#2018-05-31 11:18:31#0#00:00:00#00:00:00#00:00:00 1
72f626aea8488724d3c0b0669148076e
3578090 D 3 DP 2 21/05/2018 21/05/2018 10/02/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 246000
0 1 0 0 0 BOESTAMI 010362 78 28590 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101321
1#0##0#0#0.0#2018-05-31 11:19:38#0#00:00:00#00:00:00#00:00:00 1
d9915864b458f24ee1929bf8cca27eae
3578090 D 3 DP 2 21/05/2018 21/05/2018 24/08/1937 0 2
0 0 - 0 - 0 - 0 - 0 176200 388000
0 1 0 0 0 TIEN KARTINI 00009184 80 29490 DR.
INACBG;123123123123 5.2.1.201804062320 4 101322
1#0##0#0#0.0#2018-05-31 11:21:08#0#00:00:00#00:00:00#13:06:48 1
c1ae4bd5a120ff749466792b2f02a31e
3578090 D 3 DP 2 21/05/2018 21/05/2018 11/02/1940 0 2
1 K30 93.96 - - None None None None J-3-13-0 None None
None None None None PROSEDUR TERAPI SALURAN PERNAFASAN 292900 0
0 - 0 - 0 - 0 - 0 292900 385500
0 1 0 0 0 FREDERIKA TARIHORAN 016719 78 28589
INACBG;123123123123 5.2.1.201804062320 4 101323
1#0##0#0#0.0#2018-05-31 11:31:56#0#00:00:00#00:00:00#00:00:00 1
f75218326b07648569c0d07cc2f3eeae
3578090 D 3 DP 2 21/05/2018 21/05/2018 29/11/1974 0 1
0 0 - 0 - 0 - 0 - 0 229900 161000
0 1 0 0 0 HERI ARIS SUSANTO 014796 43 15879 DR.
5.2.1.201804062320 4 101324 1#0##0#0#0.0#2018-05-31
11:35:09#0#00:00:00#00:00:00#06:02:01 1 bb881abff953b4fca4648c9407c55351
3578090 D 3 DP 2 21/05/2018 21/05/2018 12/11/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 239000
0 1 0 0 0 FAIZAH 005493 69 25392 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101325
1#0##0#0#0.0#2018-05-31 12:36:08#0#00:00:00#00:00:00#00:00:00 1
7d5d7cf071ce091786d1c0084e78e546
3578090 D 2 DP 1 17/05/2018 21/05/2018 24/06/2017 0 2
1 J40 - - - None None None None J-4-21-I None None
None None None None GEJALA, TANDA DAN DIAGNOSIS SISTEM PERNAFASAN LAIN-
LAIN (RINGAN) 3033500 0 0 - 0 - 0 - 0 -
0 3033500 3105500 0 5 0 0 0 BAYI NY ENDAH DWI
SAFITRI 022606 0 327 DR. DEVI EMAWANTI, SP. A
0217R0190518V000535 0002261422798 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101589 1#0##0#0#0.0#2018-06-22
10:51:13#0#00:00:00#00:00:00#12:00:00 1 7dc37ce05d0b9c7f6a7234cafe88d2bc
3578090 D 3 DP 2 22/05/2018 22/05/2018 26/02/1998 0 2
- 0 - 0 - 0 - 0 173400 144000 0
1 0 0 0 AMELIA KHAIRANI DAMAYANTI 012999 20 7390
DR. ROBBY R.W. 0217R0190518V000629 0001110584968 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101326
1#0##0#0#0.0#2018-05-31 12:44:13#0#00:00:00#00:00:00#00:00:00 1
472fd6e45b1d4135d2c52e3d5679a861
3578090 D 3 DP 2 22/05/2018 22/05/2018 11/09/1997 0 1
1 A90 - - - None None None None Q-5-41-0 None None
None None None None PENYAKIT AKUT BESAR LAIN-LAIN 274800 0 0
- 0 - 0 - 0 - 0 274800 219000 0
1 0 0 0 DICKY PRASETYO 023867 20 7558 DR. LYDIA
5.2.1.201804062320 4 101327 1#0##0#0#0.0#2018-05-31
12:45:23#0#00:00:00#00:00:00#00:00:00 1 7604e44d6aea2d3c38e1bb8a65f97f8d
3578090 D 3 DP 2 22/05/2018 22/05/2018 15/03/1983 0 2
0 0 - 0 - 0 - 0 - 0 176200 283000
0 1 0 0 0 HERDAYANTI 006899 35 12852 DR. SARTONO,
5.2.1.201804062320 4 101328 1#0##0#0#0.0#2018-05-31
12:46:21#0#00:00:00#00:00:00#00:00:00 1 2453dd9c3b25ea4ff986a5d0e84a11ea
3578090 D 3 DP 2 22/05/2018 22/05/2018 06/12/1942 0 1
0 0 - 0 - 0 - 0 - 0 176200 282000
0 1 0 0 0 SOEDIRJO 006449 75 27561 DR. SARTONO,
5.2.1.201804062320 4 101329 1#0##0#0#0.0#2018-05-31
12:47:19#0#00:00:00#00:00:00#00:00:00 1 580d5a23282dbed3aee9211f75f77801
3578090 D 3 DP 2 22/05/2018 22/05/2018 30/09/1967 0 2
0 0 - 0 - 0 - 0 - 0 176200 265000
0 1 0 0 0 SURJANA JUSUF 021344 50 18497 DR.
INACBG;123123123123 5.2.1.201804062320 4 101330
1#0##0#0#0.0#2018-05-31 12:48:18#0#00:00:00#00:00:00#13:54:00 1
6ed56449fb2284290d992460ebeb8617
3578090 D 3 DP 2 22/05/2018 22/05/2018 09/03/1965 0 1
0 0 - 0 - 0 - 0 - 0 176200 245000
0 1 0 0 0 EKO SETIYONO 00015163 53 19432 DR.
INACBG;123123123123 5.2.1.201804062320 4 101331
1#0##0#0#0.0#2018-05-31 12:49:13#0#00:00:00#00:00:00#15:38:23 1
288a9c7d3fa71045c80b48abd2c78faa
3578090 D 3 DP 2 22/05/2018 22/05/2018 24/12/1969 0 1
0 0 - 0 - 0 - 0 - 0 176200 183000
0 1 0 0 0 DEDY ASIANTO 00017538 48 17681 DR.
INACBG;123123123123 5.2.1.201804062320 4 101332
1#0##0#0#0.0#2018-05-31 12:50:37#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 22/05/2018 22/05/2018 06/06/1968 0 1
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0 1 0 0 0 KARDIANA 020788 49 18247 DR. SARTONO,
SP. D 0217R0190518V000606 0001226605871 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101333 1#0##0#0#0.0#2018-05-31
12:52:54#0#00:00:00#00:00:00#09:46:18 1 d5deaecb9a622e2b96e23812d4d12710
3578090 D 3 DP 2 22/05/2018 22/05/2018 02/06/2000 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101334
1#0##0#0#0.0#2018-05-31 12:53:46#0#00:00:00#00:00:00#15:24:38 1
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3578090 D 3 DP 2 22/05/2018 22/05/2018 04/06/1938 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101335
1#0##0#0#0.0#2018-05-31 12:54:44#0#00:00:00#00:00:00#13:48:18 1
0f0d1443abb6e75775c94f35712d72c2
3578090 D 3 DP 2 22/05/2018 22/05/2018 03/10/1978 0 1
0 0 - 0 - 0 - 0 - 0 176200 265000
0 1 0 0 0 ARRY NUGROHO 021366 39 14476 DR.
INACBG;123123123123 5.2.1.201804062320 4 101336
1#0##0#0#0.0#2018-05-31 12:55:32#0#00:00:00#00:00:00#11:07:33 1
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3578090 D 3 DP 2 22/05/2018 22/05/2018 16/09/1977 0 2
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0 1 0 0 0 ANITA DYAH RACHMAWATI 011662 40 14858
INACBG;123123123123 5.2.1.201804062320 4 101337
1#0##0#0#0.0#2018-05-31 12:56:36#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 22/05/2018 22/05/2018 09/05/1963 0 1
0 0 - 0 - 0 - 0 - 0 176200 506000
0 1 0 0 0 BAMBANG MORO SUKO NY 004034L 55 20102
INACBG;123123123123 5.2.1.201804062320 4 101338
1#0##0#0#0.0#2018-05-31 12:57:57#0#00:00:00#00:00:00#00:00:00 1
4af07d39ede02b87f3880ee31b5e1f90
3578090 D 3 DP 2 22/05/2018 22/05/2018 07/02/1941 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101339
1#0##0#0#0.0#2018-05-31 12:58:59#0#00:00:00#00:00:00#00:00:00 1
309827bf50da05a9da1c885d49a43a15
3578090 D 3 DP 2 22/05/2018 22/05/2018 11/03/1965 0 2
0 0 - 0 - 0 - 0 - 0 176200 655000
0 1 0 0 0 ELVA ROMASI SIBURIAN, Ir. 010769 53
INACBG;123123123123 5.2.1.201804062320 4 101340
1#0##0#0#0.0#2018-05-31 13:00:27#0#00:00:00#00:00:00#00:00:00 1
5451869e3e7361d7c5e971f5bdcbe16f
3578090 D 3 DP 2 22/05/2018 22/05/2018 27/07/1941 0 2
0 0 - 0 - 0 - 0 - 0 176200 236000
0 1 0 0 0 DEWI AISJAH 004536 76 28058 DR. SARTONO,
5.2.1.201804062320 4 101341 1#0##0#0#0.0#2018-05-31
13:03:06#0#00:00:00#00:00:00#00:00:00 1 b8543036f89f63981f6cf14cceed84ac
3578090 D 3 DP 2 22/05/2018 22/05/2018 04/09/1951 0 2
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INACBG;123123123123 5.2.1.201804062320 4 101342
1#0##0#0#0.0#2018-05-31 13:05:04#0#00:00:00#00:00:00#00:00:00 1
470efa0061b570fe961fe56d8bba98a1
3578090 D 3 DP 2 22/05/2018 22/05/2018 15/06/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 311000
0 1 0 0 0 AGOENG HARTONO 004547 77 28465 DR.
INACBG;123123123123 5.2.1.201804062320 4 101343
1#0##0#0#0.0#2018-05-31 13:06:43#0#00:00:00#00:00:00#00:00:00 1
835b5c51e496d318974fb0646634ba82
3578090 D 3 DP 2 22/05/2018 22/05/2018 02/05/1966 0 1
0 0 - 0 - 0 - 0 - 0 176200 223500
0 1 0 0 0 RIATIM 00016743 52 19013 DR. SARTONO,
5.2.1.201804062320 4 101344 1#0##0#0#0.0#2018-05-31
13:07:45#0#00:00:00#00:00:00#12:45:06 1 d5b6490c66add60a7a4ed61e1fef18ee
3578090 D 3 DP 2 22/05/2018 22/05/2018 02/05/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 170000
0 1 0 0 0 MUHADI 017937 78 28509 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101345
1#0##0#0#0.0#2018-05-31 13:09:34#0#00:00:00#00:00:00#00:00:00 1
f4730d148fa366c71f272b53e9ac5b3f
3578090 D 3 DP 2 22/05/2018 22/05/2018 22/07/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 275000
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101346
1#0##0#0#0.0#2018-05-31 13:10:33#0#00:00:00#00:00:00#00:00:00 1
5872885952ec3b6d1fcb462cb88342d6
3578090 D 3 DP 2 22/05/2018 22/05/2018 12/05/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 208000
0 1 0 0 0 SIMON SAPAN KONDO 00010186 78 28499 DR.
INACBG;123123123123 5.2.1.201804062320 4 101347
1#0##0#0#0.0#2018-05-31 13:11:34#0#00:00:00#00:00:00#00:00:00 1
238f7878a267a7352030734d92004a29
3578090 D 3 DP 2 22/05/2018 22/05/2018 12/10/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 190000
0 1 0 0 0 MARTIN SUSANTO 018954 74 27251 DR.
INACBG;123123123123 5.2.1.201804062320 4 101348
1#0##0#0#0.0#2018-05-31 13:12:27#0#00:00:00#00:00:00#10:40:59 1
e6c8696662d603fc38db70a1d2b237ba
3578090 D 3 DP 2 22/05/2018 22/05/2018 12/06/1939 0 1
0 0 - 0 - 0 - 0 - 0 176200 182000
0 1 0 0 0 THOMAS SAKIMAN 008984 78 28834 DR.
INACBG;123123123123 5.2.1.201804062320 4 101349
1#0##0#0#0.0#2018-05-31 13:13:18#0#00:00:00#00:00:00#00:00:00 1
e1fbe5808c77b0034975b5443508836d
3578090 D 3 DP 2 22/05/2018 22/05/2018 13/09/1950 0 2
0 0 - 0 - 0 - 0 - 0 176200 254000
0 1 0 0 0 WENNY RAHAYU 006717 67 24723 DR.
INACBG;123123123123 5.2.1.201804062320 4 101350
1#0##0#0#0.0#2018-05-31 13:14:12#0#00:00:00#00:00:00#00:00:00 1
84c2e32874dd38c782b61b32f8a36dc5
3578090 D 3 DP 2 22/05/2018 22/05/2018 21/11/1953 0 2
0 0 - 0 - 0 - 0 - 0 176200 256000
0 1 0 0 0 KATRIEN F NENDER 006880 64 23558 DR.
INACBG;123123123123 5.2.1.201804062320 4 101351
1#0##0#0#0.0#2018-05-31 13:15:07#0#00:00:00#00:00:00#00:00:00 1
b2c3e688891d269ac7a0092ec4545b5e
3578090 D 3 DP 2 22/05/2018 22/05/2018 22/05/1942 0 2
0 0 - 0 - 0 - 0 - 0 176200 204000
0 1 0 0 0 MT. ENDANG WINARSIH 005652 76 27759
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101352
1#0##0#0#0.0#2018-05-31 13:16:21#0#00:00:00#00:00:00#00:00:00 1
3dbf0968c20ac8e7bcce7c9ba3b9e716
3578090 D 3 DP 2 22/05/2018 22/05/2018 10/08/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 200000
0 1 0 0 0 DJOEMIATI 018116 68 25122 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101353
1#0##0#0#0.0#2018-05-31 13:17:22#0#00:00:00#00:00:00#00:00:00 1
9d8670b38f86f24f374ef29071167218
3578090 D 3 DP 2 22/05/2018 22/05/2018 08/10/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 202000
0 1 0 0 0 SUNARJO 018113 74 27255 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101354
1#0##0#0#0.0#2018-05-31 13:19:41#0#00:00:00#00:00:00#00:00:00 1
04facae14bb99eff982025b4be622b57
3578090 D 3 DP 2 22/05/2018 22/05/2018 09/12/1974 0 1
0 0 - 0 - 0 - 0 - 0 176200 330000
0 1 0 0 0 MOHAMAD RIDWAN 022982 43 15870 DR.
INACBG;123123123123 5.2.1.201804062320 4 101355
1#0##0#0#0.0#2018-05-31 13:20:40#0#00:00:00#00:00:00#12:00:00 1
9b9ab57c4f8c4d1d567fc6431a5ffe57
3578090 D 3 DP 2 22/05/2018 22/05/2018 09/09/1939 0 1
0 0 - 0 - 0 - 0 - 0 176200 354000
0 1 0 0 0 B. PANDJAITAN 005503 78 28745 DR.
INACBG;123123123123 5.2.1.201804062320 4 101356
1#0##0#0#0.0#2018-05-31 13:21:56#0#00:00:00#00:00:00#00:00:00 1
81f68837bc6e36453aa33d14cca51267
3578090 D 3 DP 2 22/05/2018 22/05/2018 12/04/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 170000
0 1 0 0 0 SULISTIYAWATI 007280 70 25607 DR.
INACBG;123123123123 5.2.1.201804062320 4 101357
1#0##0#0#0.0#2018-05-31 13:22:47#0#00:00:00#00:00:00#00:00:00 1
4c98db777ed382defd6048eefcb4aa74
3578090 D 3 DP 2 22/05/2018 22/05/2018 30/06/1952 0 2
0 0 - 0 - 0 - 0 - 0 176200 172000
0 1 0 0 0 MARTINI 019340 65 24067 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101358
1#0##0#0#0.0#2018-05-31 13:23:36#0#00:00:00#00:00:00#00:00:00 1
880dc7d6b48a28775637447120a126fd
3578090 D 3 DP 2 22/05/2018 22/05/2018 11/10/1964 0 1
0 0 - 0 - 0 - 0 - 0 176200 198000
0 1 0 0 0 SUGIMA 014365 53 19581 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101359
1#0##0#0#0.0#2018-05-31 13:24:31#0#00:00:00#00:00:00#00:00:00 1
ea3a7f5ac534717228217ed525b16b97
3578090 D 3 DP 2 22/05/2018 22/05/2018 02/05/1962 0 2
0 0 - 0 - 0 - 0 - 0 176200 238000
0 1 0 0 0 YULI ASTUTIK 016791 56 20474 DR.
INACBG;123123123123 5.2.1.201804062320 4 101360
1#0##0#0#0.0#2018-05-31 13:25:16#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 22/05/2018 22/05/2018 25/05/1936 0 1
0 0 - 0 - 0 - 0 - 0 176200 178000
0 1 0 0 0 ZABIR HUSIN 006925 81 29947 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101361
1#0##0#0#0.0#2018-05-31 13:26:04#0#00:00:00#00:00:00#00:00:00 1
2b287e618e297b59411938118d0f38c4
3578090 D 3 DP 2 22/05/2018 22/05/2018 11/08/1965 0 2
0 0 - 0 - 0 - 0 - 0 176200 292000
0 1 0 0 0 NOOR IDA CHOIRIDAH 021206 52 19277
INACBG;123123123123 5.2.1.201804062320 4 101362
1#0##0#0#0.0#2018-05-31 13:26:59#0#00:00:00#00:00:00#10:13:49 1
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3578090 D 3 DP 2 22/05/2018 22/05/2018 27/09/1966 0 1
0 - 0 - 0 - 0 - 0 176200 260000
0 1 0 0 0 SOETIKNO CAHYA KUNCORO,S.PD 022552 51
18865 DR. AMIR SURYA, SPM 0217R0190518V000594 0000102313315 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101363
1#0##0#0#0.0#2018-05-31 13:29:37#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 22/05/2018 22/05/2018 22/04/2017 0 2
0 0 - 0 - 0 - 0 - 0 176200 213000
0 1 0 0 0 MUTHI'AH BULAN ALENDA NARESWARI 023467
1 395 DR. DEVI EMAWANTI, SP. A 0217R0190518V000597
0002244496599 3;JKN INACBG;123123123123 5.2.1.201804062320 4
101364 1#0##0#0#0.0#2018-05-31 13:30:36#0#00:00:00#00:00:00#12:00:00
1 b10e139bbfe78d98066747479d5bfbec
3578090 D 3 DP 2 22/05/2018 22/05/2018 08/09/1983 0 1
- 0 - 0 - 0 - 0 173400 136000 0
1 0 0 0 MARTIN DARMA KUSUMA TJANDRA 021252B 34 12675
INACBG;123123123123 5.2.1.201804062320 4 101365
1#0##0#0#0.0#2018-05-31 13:46:36#0#00:00:00#00:00:00#00:00:00 1
d7e6ad791f64099101c4294db441ef3e
3578090 D 3 DP 2 22/05/2018 22/05/2018 05/07/1968 0 2
0 0 - 0 - 0 - 0 - 0 176200 509710
0 1 0 0 0 RNR D PURNAMASARI 007391 49 18218 DR.
INACBG;123123123123 5.2.1.201804062320 4 101399
1#0##0#0#0.0#2018-06-04 12:29:10#0#00:00:00#00:00:00#00:00:00 1
a1b0c0639cb26b899602ecd4260bd50e
3578090 D 3 DP 2 22/05/2018 22/05/2018 10/05/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 270000
0 1 0 0 0 DESSY DASILAH 004581 73 26675 DR.
INACBG;123123123123 5.2.1.201804062320 4 101400
1#0##0#0#0.0#2018-06-04 12:30:27#0#00:00:00#00:00:00#00:00:00 1
12e8a84081cd9c7a0cb781e12bd22cdc
3578090 D 3 DP 2 22/05/2018 22/05/2018 31/12/1961 0 1
- 0 - 0 - 0 - 0 269500 220000 0
INACBG;123123123123 5.2.1.201804062320 4 101401
1#0##0#0#0.0#2018-06-04 12:31:15#0#00:00:00#00:00:00#12:00:00 1
4a02fd570e1e25606f3abb635714b4d0
3578090 D 3 DP 2 22/05/2018 22/05/2018 13/09/1954 0 1
0 0 - 0 - 0 - 0 - 0 176200 468000
0 1 0 0 0 SUPRAPTO 011520 63 23262 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101566
1#0##0#0#0.0#2018-06-05 13:02:36#0#00:00:00#00:00:00#00:00:00 1
934b752c5c5135ee72a5b90d30bd7809
3578090 D 3 DP 2 23/05/2018 23/05/2018 20/06/1969 0 1
0 0 - 0 - 0 - 0 - 0 176200 252000
0 1 0 0 0 RINO AKSAN BAHAR PATILA 019122 48 17869
INACBG;123123123123 5.2.1.201804062320 4 101402
1#0##0#0#0.0#2018-06-04 12:32:18#0#00:00:00#00:00:00#00:00:00 1
3246b0a131697a3876d3e17d0ca6eb4b
3578090 D 3 DP 2 23/05/2018 23/05/2018 17/04/1969 0 2
0 0 - 0 - 0 - 0 - 0 176200 470000
0 1 0 0 0 ERNA KUSUMASTUTI 017735 49 17933 DR.
INACBG;123123123123 5.2.1.201804062320 4 101403
1#0##0#0#0.0#2018-06-04 12:33:06#0#00:00:00#00:00:00#09:41:40 1
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3578090 D 3 DP 2 23/05/2018 23/05/2018 23/03/1972 0 1
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 HARYADI 023823 46 16862 DRG. RIAWATI
0217R0190518V000639 0001110227679 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101404 1#0##0#0#0.0#2018-06-04
12:34:00#0#00:00:00#00:00:00#13:55:51 1 eee0248b6fd194036d2e692d02c399b3
3578090 D 3 DP 2 23/05/2018 23/05/2018 26/03/1999 0 2
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 TRENADIA HAFILDA 023838 19 6998 DRG. RIAWATI
0217R0190518V000641 0001227121244 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101405 1#0##0#0#0.0#2018-06-04
12:34:43#0#00:00:00#00:00:00#00:00:00 1 4def8a304f47a6127b03de8b6c57215e
3578090 D 3 DP 2 23/05/2018 23/05/2018 16/01/1966 0 1
0 - 0 - 0 - 0 - 0 176200 144000
0 1 0 0 0 YENURI IMAN S 016563 52 19120 DR.
MUH BAYU 0217R0190518V000649 0001226625546 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101406 1#0##0#0#0.0#2018-06-04
12:35:43#0#00:00:00#00:00:00#00:00:00 1 01c2881b6ad8db2746139709d8126a52
3578090 D 3 DP 2 23/05/2018 23/05/2018 30/03/1973 0 2
0 0 - 0 - 0 - 0 - 0 229900 287700
0 1 0 0 0 SRI MULYATI 017128 45 16490 DR. MUH BAYU
0217R0190518V000648 0001110268271 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101407 1#0##0#0#0.0#2018-06-04
12:36:35#0#00:00:00#00:00:00#12:01:00 1 7fc1d652d13fc2a310af2ee4bcf83dcf
3578090 D 3 DP 2 23/05/2018 23/05/2018 31/12/2009 0 2
- 0 - 0 - 0 - 0 173400 140000 0
1 0 0 0 RANIA JASMINE NURZAHRA 023872 8 3065 DR.
INACBG;123123123123 5.2.1.201804062320 4 101408
1#0##0#0#0.0#2018-06-04 12:37:31#0#00:00:00#00:00:00#00:00:00 1
cc8a4d4a460ec2dd37685316bbf37e96
3578090 D 3 DP 2 23/05/2018 23/05/2018 24/07/1949 0 1
0 0 - 0 - 0 - 0 - 0 176200 305125
INACBG;123123123123 5.2.1.201804062320 4 101409
1#0##0#0#0.0#2018-06-04 12:38:28#0#00:00:00#00:00:00#00:00:00 1
e51422b85bc5297414f3f853834654be
3578090 D 3 DP 2 23/05/2018 23/05/2018 13/05/1940 0 2
0 0 - 0 - 0 - 0 - 0 176200 282500
0 1 0 0 0 T.H ARMIDA 008972 78 28499 DR. AMIR
5.2.1.201804062320 4 101410 1#0##0#0#0.0#2018-06-04
12:39:21#0#00:00:00#00:00:00#00:00:00 1 991fc4fc3a985cd93ae8b4540cd109df
3578090 D 3 DP 2 23/05/2018 23/05/2018 07/07/1972 0 2
1 G44.2 - - - None None None None Q-5-44-0 None None
0 - 0 - 0 - 0 - 0 176200 140000
0 1 0 0 0 ERNI KUSUMAWATI 022524 45 16756 DR.
5.2.1.201804062320 4 101411 1#0##0#0#0.0#2018-06-04
12:40:11#0#00:00:00#00:00:00#12:00:00 1 d78c06a45d18373a1e18828eb27d42b8
3578090 D 3 DP 2 23/05/2018 23/05/2018 12/10/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 268000
INACBG;123123123123 5.2.1.201804062320 4 101412
1#0##0#0#0.0#2018-06-04 12:40:56#0#00:00:00#00:00:00#10:40:59 1
02448de57be01d33c516fe8669d6eb1d
3578090 D 3 DP 2 23/05/2018 23/05/2018 16/10/1968 0 2
1 Z09.8;G25.6;M19.98 - - - None None None None Q-5-
0 0 - 0 - 0 - 0 - 0 176200 193000
0 1 0 0 0 RINI SOEKARTIN 018946 49 18116 DR.
INACBG;123123123123 5.2.1.201804062320 4 101413
1#0##0#0#0.0#2018-06-04 12:42:05#0#00:00:00#00:00:00#14:30:04 1
40953225cdbbc1b61ae6435bea7c4e7d
3578090 D 3 DP 2 23/05/2018 23/05/2018 07/08/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 241500
0 1 0 0 0 SETIAWANI 004116 66 24396 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101414
1#0##0#0#0.0#2018-06-04 12:42:51#0#00:00:00#00:00:00#00:00:00 1
9451750f5f3c521a6f94951c181d9241
3578090 D 3 DP 2 23/05/2018 23/05/2018 30/10/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 230100
INACBG;123123123123 5.2.1.201804062320 4 101415
1#0##0#0#0.0#2018-06-04 12:43:44#0#00:00:00#00:00:00#00:00:00 1
c78a7e83863f3508a0cd5ed1c935a8ae
3578090 D 3 DP 2 23/05/2018 23/05/2018 17/04/1950 0 2
0 0 - 0 - 0 - 0 - 0 176200 187830
0 1 0 0 0 NENENG KURNIASIH 003983 68 24873 DR.
INACBG;123123123123 5.2.1.201804062320 4 101416
1#0##0#0#0.0#2018-06-04 12:44:29#0#00:00:00#00:00:00#00:00:00 1
db7d5491b537e1c0e85b3731c1e35e68
3578090 D 3 DP 2 23/05/2018 23/05/2018 17/08/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 177100
0 1 0 0 0 SUNARSIH 017377 66 24386 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101417
1#0##0#0#0.0#2018-06-04 12:45:11#0#00:00:00#00:00:00#00:00:00 1
7d867ebca11cac4be2c4e42f547aa8ee
3578090 D 3 DP 2 23/05/2018 23/05/2018 07/11/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 186900
0 1 0 0 0 TAN KIOK HWA 021610 72 26495 DR.
INACBG;123123123123 5.2.1.201804062320 4 101418
1#0##0#0#0.0#2018-06-04 12:45:50#0#00:00:00#00:00:00#14:39:13 1
913aac219cffa635e9c48197f7f30333
3578090 D 3 DP 2 23/05/2018 23/05/2018 06/12/1946 0 2
0 0 - 0 - 0 - 0 - 0 176200 185000
0 1 0 0 0 C. SRI REDJEKI, BA 009354 71 26101
INACBG;123123123123 5.2.1.201804062320 4 101419
1#0##0#0#0.0#2018-06-04 12:46:31#0#00:00:00#00:00:00#00:00:00 1
e504adcd4ad73c1861b90811f3528056
3578090 D 3 DP 2 23/05/2018 23/05/2018 30/06/1940 0 2
0 0 - 0 - 0 - 0 - 0 176200 205125
INACBG;123123123123 5.2.1.201804062320 4 101420
1#0##0#0#0.0#2018-06-04 12:47:25#0#00:00:00#00:00:00#00:00:00 1
c1ea5e1267dc6d23de60f5be09c5d2cf
3578090 D 3 DP 2 24/05/2018 24/05/2018 03/04/1975 0 1
0 0 - 0 - 0 - 0 - 0 176200 260000
0 1 0 0 0 INDARTO EKO PUTRO 021904 43 15757 DR.
INACBG;123123123123 5.2.1.201804062320 4 101421
1#0##0#0#0.0#2018-06-04 12:53:39#0#00:00:00#00:00:00#12:07:04 1
a99343c834aa93034f70bdf17f16c05a
3578090 D 3 DP 2 24/05/2018 24/05/2018 10/09/1967 0 1
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 SUGIYONO 018742 50 18519 DRG. MIKA
5.2.1.201804062320 4 101422 1#0##0#0#0.0#2018-06-04
12:54:27#0#00:00:00#00:00:00#08:04:03 1 0e441ccef3d7c8621da97af21ebf255b
3578090 D 3 DP 2 24/05/2018 24/05/2018 31/08/1942 0 1
1 Z09.8;E11.2;N08.3 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 485000
0 1 0 0 0 BERNARD JOSEPH KLOATUBUN 018709 75
INACBG;123123123123 5.2.1.201804062320 4 101423
1#0##0#0#0.0#2018-06-04 12:55:36#0#00:00:00#00:00:00#00:00:00 1
787a409241630e2a13dc24fdf8461e28
3578090 D 3 DP 2 24/05/2018 24/05/2018 04/08/1938 0 1
0 0 - 0 - 0 - 0 - 0 176200 488000
0 1 0 0 0 PAULUS SUDARMAN 017793 79 29148 DR.
INACBG;123123123123 5.2.1.201804062320 4 101424
1#0##0#0#0.0#2018-06-04 12:56:30#0#00:00:00#00:00:00#00:00:00 1
f210ec53e0d7c8c0b05ad1f2e82c7cdd
3578090 D 3 DP 2 24/05/2018 24/05/2018 08/12/1954 0 1
0 0 - 0 - 0 - 0 - 0 176200 380000
0 1 0 0 0 SALIM SAAD 005459 63 23178 DR. SARTONO,
SP. D 0217R0190518V000664 0000097985968 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101425 1#0##0#0#0.0#2018-06-04
12:57:20#0#00:00:00#00:00:00#00:00:00 1 2fde7d046b0e185a598bb76db157c46a
3578090 D 3 DP 2 24/05/2018 24/05/2018 30/06/1950 0 2
0 0 - 0 - 0 - 0 - 0 176200 338000
0 1 0 0 0 SAMINAH 018582 67 24800 DR. SARTONO,
5.2.1.201804062320 4 101426 1#0##0#0#0.0#2018-06-04
12:59:14#0#00:00:00#00:00:00#00:00:00 1 6f2dadb861176f605a7c659aebea33d8
3578090 D 3 DP 2 24/05/2018 24/05/2018 01/01/1950 0 2
0 0 - 0 - 0 - 0 - 0 176200 276000
0 1 0 0 0 ANIZAR UPIK 007052 68 24980 DR. SARTONO,
SP. D 0217R0190518V000688 0000101026732 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101427 1#0##0#0#0.0#2018-06-04
13:00:02#0#00:00:00#00:00:00#00:00:00 1 e5a65c8c0dbaa589bb3957a92a7e7bf6
3578090 D 3 DP 2 24/05/2018 24/05/2018 03/05/1967 0 2
1 N23 - - - None None None None Q-5-32-0 None None
None None None None GANGGUAN SALURAN KEMIH AKUT 238100 0 0
- 0 - 0 - 0 - 0 238100 125000 0
1 0 0 0 SRI UJIATI 022139 51 18649 DR. LYDIA
5.2.1.201804062320 4 101428 1#0##0#0#0.0#2018-06-04
13:11:10#0#00:00:00#00:00:00#00:00:00 1 f84a03de9515899ccddc8326c30837d6
3578090 D 3 DP 2 24/05/2018 24/05/2018 01/07/1980 0 2
0 0 - 0 - 0 - 0 - 0 176200 140000
0 1 0 0 0 RITA WIDYAWATI 017780 37 13841 DR.
INACBG;123123123123 5.2.1.201804062320 4 101429
1#0##0#0#0.0#2018-06-04 13:12:08#0#00:00:00#00:00:00#14:50:46 1
beba5c700a3b0b0fff230ffa17b52c4d
3578090 D 3 DP 2 24/05/2018 24/05/2018 23/11/1972 0 2
- 0 - 0 - 0 - 0 173400 321000 0
1 0 0 0 MAPINDO N. S SI 00015783 45 16618 DR. LYDIA
5.2.1.201804062320 4 101430 1#0##0#0#0.0#2018-06-04
13:13:24#0#00:00:00#00:00:00#13:22:26 1 7ada0feb2b0694010e23432b6afcbc46
3578090 D 3 DP 2 24/05/2018 24/05/2018 01/09/2017 0 2
0 0 - 0 - 0 - 0 - 0 176200 212000
0 1 0 0 0 MIKHAELA GANESWARI AL MURSYID 023524 0
265 DR. DEVI EMAWANTI, SP. A 0217R0190518V000690 0002291649309
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101431
1#0##0#0#0.0#2018-06-04 13:14:23#0#00:00:00#00:00:00#12:00:00 1
7943f7950996d417f054cff9bb141488
3578090 D 3 DP 2 24/05/2018 24/05/2018 17/04/1950 0 2
0 0 - 0 - 0 - 0 - 0 176200 242000
INACBG;123123123123 5.2.1.201804062320 4 101432
1#0##0#0#0.0#2018-06-04 13:15:17#0#00:00:00#00:00:00#00:00:00 1
dff6bd52482c26bf6032dfcfdef6df60
3578090 D 3 DP 2 24/05/2018 24/05/2018 24/06/2017 0 2
0 0 - 0 - 0 - 0 - 0 176200 212000
0 1 0 0 0 BAYI NY ENDAH DWI SAFITRI 022606 0
334 DR. DEVI EMAWANTI, SP. A 0217R0190518V000693 0002261422798
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101433
1#0##0#0#0.0#2018-06-04 13:15:58#0#00:00:00#00:00:00#12:00:00 1
2733e6a88840d7055140ae5263572883
3578090 D 3 DP 2 24/05/2018 24/05/2018 30/06/1935 0 2
0 0 - 0 - 0 - 0 - 0 176200 192000
0 1 0 0 0 TJUTJUK SOEMAIJAH JD. SONY 008029 82
INACBG;123123123123 5.2.1.201804062320 4 101434
1#0##0#0#0.0#2018-06-04 13:16:39#0#00:00:00#00:00:00#00:00:00 1
53a0e0727ae4d1913aa9dd957715a78d
3578090 D 3 DP 2 24/05/2018 24/05/2018 27/09/1954 0 2
0 0 - 0 - 0 - 0 - 0 176200 278000
0 1 0 0 0 SRI MULYANI 022660 63 23250 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101435
1#0##0#0#0.0#2018-06-04 13:17:21#0#00:00:00#00:00:00#12:00:00 1
90d9bc609e5e422077eb9f34a188a382
3578090 D 3 DP 2 24/05/2018 24/05/2018 30/06/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 198000
0 1 0 0 0 MURSIATI 00004404 69 25530 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101436
1#0##0#0#0.0#2018-06-04 13:18:16#0#00:00:00#00:00:00#00:00:00 1
f6759e5c743e494e1e1c4c722a871f89
3578090 D 3 DP 2 24/05/2018 24/05/2018 30/09/1965 0 1
0 0 - 0 - 0 - 0 - 0 176200 242000
0 1 0 0 0 IRAWAN SUKARNO 022492 52 19229 DR.
INACBG;123123123123 5.2.1.201804062320 4 101437
1#0##0#0#0.0#2018-06-04 13:19:01#0#00:00:00#00:00:00#12:00:00 1
48507fda241106ea30a1963898597eca
3578090 D 3 DP 2 24/05/2018 24/05/2018 10/08/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 305000
0 1 0 0 0 KEN ISNANTI 007736 72 26585 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101438
1#0##0#0#0.0#2018-06-04 13:19:52#0#00:00:00#00:00:00#00:00:00 1
077656d13c3ebd1bdd3ccfd5910424ef
3578090 D 3 DP 2 24/05/2018 24/05/2018 24/08/1948 0 1
0 0 - 0 - 0 - 0 - 0 176200 274000
0 1 0 0 0 DAUD SURA 018990 69 25475 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101439
1#0##0#0#0.0#2018-06-04 13:20:30#0#00:00:00#00:00:00#00:00:00 1
4c28b636f651ecff695c5ab4b0ab0b88
3578090 D 3 DP 2 24/05/2018 24/05/2018 16/05/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 375000
0 1 0 0 0 RUSLIANA MANALU 006929 69 25210 DR.
INACBG;123123123123 5.2.1.201804062320 4 101440
1#0##0#0#0.0#2018-06-04 13:21:10#0#00:00:00#00:00:00#00:00:00 1
9b8a2d9b98e30908df5d6d0f15ee33ce
3578090 D 3 DP 2 24/05/2018 24/05/2018 12/06/1978 0 2
0 0 - 0 - 0 - 0 - 0 176200 209500
0 1 0 0 0 YUNI HERISTINI 00006698 39 14591 DR.
INACBG;123123123123 5.2.1.201804062320 4 101441
1#0##0#0#0.0#2018-06-04 13:21:52#0#00:00:00#00:00:00#09:43:00 1
1bd9c4b4ad318c869cbf0f8005862c05
3578090 D 3 DP 2 24/05/2018 24/05/2018 04/02/1947 0 1
0 0 - 0 - 0 - 0 - 0 176200 208000
0 1 0 0 0 PHILEMON LUBIS 007279 71 26042 DR.
INACBG;123123123123 5.2.1.201804062320 4 101442
1#0##0#0#0.0#2018-06-04 13:22:29#0#00:00:00#00:00:00#00:00:00 1
22d8c32314fe7030032b7c179b11c1c7
3578090 D 3 DP 2 24/05/2018 24/05/2018 22/05/1957 0 2
0 0 - 0 - 0 - 0 - 0 176200 222500
0 1 0 0 0 HETTY SUSILIANTI 005359 61 22282 DR.
INACBG;123123123123 5.2.1.201804062320 4 101443
1#0##0#0#0.0#2018-06-04 13:23:14#0#00:00:00#00:00:00#00:00:00 1
41e34052f6311c914d95c61797f5ee2d
3578090 D 3 DP 2 24/05/2018 24/05/2018 06/06/1967 0 1
0 0 - 0 - 0 - 0 - 0 176200 188000
0 1 0 0 0 IWA KARTIWA 022665 50 18615 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101444
1#0##0#0#0.0#2018-06-04 13:24:32#0#00:00:00#00:00:00#12:00:00 1
6704465c39f45fd1f972ae8f6ede3292
3578090 D 3 DP 2 24/05/2018 24/05/2018 17/06/1943 0 2
0 0 - 0 - 0 - 0 - 0 176200 175000
INACBG;123123123123 5.2.1.201804062320 4 101445
1#0##0#0#0.0#2018-06-04 13:25:13#0#00:00:00#00:00:00#00:00:00 1
2adbe91e58783f694a7ca7af090dbf1e
3578090 D 3 DP 2 24/05/2018 24/05/2018 22/05/1947 0 2
0 0 - 0 - 0 - 0 - 0 176200 336500
0 1 0 0 0 MARIA HENNY 010363 71 25935 DR. SARTONO,
SP. D 0217R0190518V000658 0000101031873 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101446 1#0##0#0#0.0#2018-06-04
13:25:55#0#00:00:00#00:00:00#00:00:00 1 92a4b5ef2e9b80525791804046ce1aee
3578090 D 3 DP 2 24/05/2018 24/05/2018 31/05/1971 0 1
0 0 - 0 - 0 - 0 - 0 176200 279000
0 1 0 0 0 HERU POERWIDAJATNO 020751 46 17160
INACBG;123123123123 5.2.1.201804062320 4 101447
1#0##0#0#0.0#2018-06-04 13:26:42#0#00:00:00#00:00:00#09:24:47 1
dd4013ee8929841bb3e3ae4f721f0287
3578090 D 3 DP 2 24/05/2018 24/05/2018 02/05/1965 0 2
0 0 - 0 - 0 - 0 - 0 176200 484000
0 1 0 0 0 ARI SETIJOWATI 019124 53 19380 DR.
INACBG;123123123123 5.2.1.201804062320 4 101448
1#0##0#0#0.0#2018-06-04 13:28:29#0#00:00:00#00:00:00#00:00:00 1
5bad9bccd78228230454c42cd8c1066c
3578090 D 3 DP 2 24/05/2018 24/05/2018 16/08/1962 0 2
0 0 - 0 - 0 - 0 - 0 176200 633000
0 1 0 0 0 ASTIRUKHAH 004184 55 20370 DR. SARTONO,
5.2.1.201804062320 4 101449 1#0##0#0#0.0#2018-06-04
13:29:52#0#00:00:00#00:00:00#00:00:00 1 893e95d6dfbbfdf0ef36c1a45f5f8c8f
3578090 D 3 DP 2 24/05/2018 24/05/2018 06/08/1955 0 1
0 0 - 0 - 0 - 0 - 0 176200 699000
0 1 0 0 0 SUYONO 017984 62 22937 DR. SARTONO,
SP. D 0217R0190518V000655 0000101213346 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101450 1#0##0#0#0.0#2018-06-04
13:30:48#0#00:00:00#00:00:00#09:53:40 1 8225c314d414310b1a77837822bab8bd
3578090 D 3 DP 2 24/05/2018 24/05/2018 09/07/1964 0 2
0 0 - 0 - 0 - 0 - 0 176200 296500
0 1 0 0 0 ELIS SUSILAWATI, S.PD. 011125 53 19677
INACBG;123123123123 5.2.1.201804062320 4 101451
1#0##0#0#0.0#2018-06-04 13:31:43#0#00:00:00#00:00:00#00:00:00 1
4b6cc0a6288c253f5bd3d5ca17edffd3
3578090 D 3 DP 2 24/05/2018 24/05/2018 30/06/1940 0 2
0 0 - 0 - 0 - 0 - 0 176200 596000
INACBG;123123123123 5.2.1.201804062320 4 101452
1#0##0#0#0.0#2018-06-04 13:32:40#0#00:00:00#00:00:00#00:00:00 1
0fe054e507eccde0531eafd3b418d78a
3578090 D 3 DP 2 24/05/2018 24/05/2018 18/02/1938 0 2
0 0 - 0 - 0 - 0 - 0 176200 241000
INACBG;123123123123 5.2.1.201804062320 4 101453
1#0##0#0#0.0#2018-06-04 13:33:32#0#00:00:00#00:00:00#00:00:00 1
d5cbc2057d62ea08769ee3b486c8dd00
3578090 D 3 DP 2 24/05/2018 24/05/2018 02/05/1962 0 2
0 0 - 0 - 0 - 0 - 0 176200 286000
0 1 0 0 0 YULI ASTUTIK 016791 56 20476 DR.
INACBG;123123123123 5.2.1.201804062320 4 101454
1#0##0#0#0.0#2018-06-04 13:35:54#0#00:00:00#00:00:00#00:00:00 1
d9732af21b4dc1be3d53089f2eb18976
3578090 D 3 DP 2 24/05/2018 24/05/2018 08/10/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 305000
0 1 0 0 0 SUNARJO 018113 74 27257 DR. SARTONO,
SP. D 0217R0190518V000669 0000100788759 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101455 1#0##0#0#0.0#2018-06-04
13:36:44#0#00:00:00#00:00:00#00:00:00 1 d8b0815eebe86f33eb12084d3fd9df5d
3578090 D 3 DP 2 24/05/2018 24/05/2018 24/07/1949 0 1
0 0 - 0 - 0 - 0 - 0 176200 341000
INACBG;123123123123 5.2.1.201804062320 4 101456
1#0##0#0#0.0#2018-06-04 13:37:36#0#00:00:00#00:00:00#00:00:00 1
a07289906e5fd9d606dbd908b541e075
3578090 D 3 DP 2 24/05/2018 24/05/2018 13/05/1940 0 2
0 0 - 0 - 0 - 0 - 0 176200 188000
0 1 0 0 0 T.H ARMIDA 008972 78 28500 DR. SARTONO,
SP. D 0217R0190518V000657 0000101032727 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101457 1#0##0#0#0.0#2018-06-04
13:38:15#0#00:00:00#00:00:00#00:00:00 1 3dccec2977b9bffac64a930d060c9422
3578090 D 3 DP 2 24/05/2018 24/05/2018 28/11/1930 0 2
0 0 - 0 - 0 - 0 - 0 176200 230000
INACBG;123123123123 5.2.1.201804062320 4 101458
1#0##0#0#0.0#2018-06-04 13:38:51#0#00:00:00#00:00:00#00:00:00 1
178765238ddc8bafa0136ea59097b3e4
3578090 D 3 DP 2 24/05/2018 24/05/2018 27/04/1953 0 2
0 0 - 0 - 0 - 0 - 0 176200 302000
0 1 0 0 0 LYSIANA 005518 65 23768 DR. SARTONO,
SP. D 0217R0190518V000681 0000101079303 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101459 1#0##0#0#0.0#2018-06-04
13:39:39#0#00:00:00#00:00:00#00:00:00 1 3ffc0922743a502bc360ed7721573ec1
3578090 D 3 DP 2 24/05/2018 24/05/2018 16/02/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 248000
0 1 0 0 0 I.B GEDE PUTRA 021300 75 27491 DR.
INACBG;123123123123 5.2.1.201804062320 4 101460
1#0##0#0#0.0#2018-06-04 13:40:22#0#00:00:00#00:00:00#00:00:00 1
b1de7dbf3919726ac30ec0bfb8f7bcd5
3578090 D 3 DP 2 24/05/2018 24/05/2018 10/02/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 185000
0 1 0 0 0 BOESTAMI 010362 78 28593 DR. SARTONO,
SP. D 0217R0190518V000687 0000101026721 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101461 1#0##0#0#0.0#2018-06-04
13:41:04#0#00:00:00#00:00:00#00:00:00 1 a28337669a3f4a118f32671f3a4956e6
3578090 D 3 DP 2 24/05/2018 24/05/2018 10/05/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 280000
0 1 0 0 0 DESSY DASILAH 004581 73 26677 DR.
INACBG;123123123123 5.2.1.201804062320 4 101462
1#0##0#0#0.0#2018-06-04 13:41:47#0#00:00:00#00:00:00#00:00:00 1
60380b7382f8c7b5bf5ec26cf2aeed3b
3578090 D 3 DP 2 24/05/2018 24/05/2018 12/11/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 267000
0 1 0 0 0 FAIZAH 005493 69 25395 DR. SARTONO,
SP. D 0217R0190518V000689 0000101029487 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101463 1#0##0#0#0.0#2018-06-04
13:42:50#0#00:00:00#00:00:00#00:00:00 1 b5047d9179c4b798f826addadf8e1d4a
3578090 D 1 DP 1 21/05/2018 24/05/2018 31/07/1966 0 2
1 H81.3 - - - None None None None U-4-11-I None None
None None None None DYSEQUILIBRIUM (RINGAN) 1602100 0 0 -
0 - 0 - 0 - 0 1602100 3008300 0 4
0 0 0 JULI MARIATI 013374 51 18922 DR. IMAM HIDAYAT,
SP.S 0217R0190518V000576 0001226876949 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101585 1#0##0#0#0.0#2018-06-22
10:38:03#0#00:00:00#00:00:00#00:00:00 1 15a8188db8e803c1267c93b833db65aa
3578090 D 3 DP 2 25/05/2018 25/05/2018 19/01/1993 0 2
0 0 - 0 - 0 - 0 - 0 281500 281000
0 1 0 0 0 TITIK NOVITASARI 023521 25 9257 DR.
INACBG;123123123123 5.2.1.201804062320 4 101464
1#0##0#0#0.0#2018-06-04 14:07:27#0#00:00:00#00:00:00#00:00:00 1
8389cb3a7e0e6f14f884a72e2f39541b
3578090 D 3 DP 2 25/05/2018 25/05/2018 05/04/1947 0 2
0 0 - 0 - 0 - 0 - 0 176200 295000
0 1 0 0 0 AGUSTINE GARTINI 011196 71 25983 DR.
INACBG;123123123123 5.2.1.201804062320 4 101465
1#0##0#0#0.0#2018-06-04 14:08:08#0#00:00:00#00:00:00#00:00:00 1
b4ec27835b3ae6c39add8434f9b55a32
3578090 D 3 DP 2 25/05/2018 25/05/2018 27/02/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 184000
0 1 0 0 0 IDA PUJIWATI 021198 69 25289 DR.
INACBG;123123123123 5.2.1.201804062320 4 101466
1#0##0#0#0.0#2018-06-04 14:08:51#0#00:00:00#00:00:00#00:00:00 1
ef2d987e87d8015b84c8315e554d8d67
3578090 D 3 DP 2 25/05/2018 25/05/2018 14/07/1964 0 2
0 0 - 0 - 0 - 0 - 0 176200 170000
0 1 0 0 0 LISDIANA JULIANI 018789 53 19673 DR.
INACBG;123123123123 5.2.1.201804062320 4 101467
1#0##0#0#0.0#2018-06-04 14:09:49#0#00:00:00#00:00:00#00:00:00 1
3f0b6b81af1b58dd671f0b2647378d5b
3578090 D 3 DP 2 25/05/2018 25/05/2018 14/04/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 175000
0 1 0 0 0 ELFINA BR TAMPUBOLON 007183 69 25243
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101468
1#0##0#0#0.0#2018-06-04 14:10:34#0#00:00:00#00:00:00#00:00:00 1
a7e074f36bb5511390a46358083a05f5
3578090 D 3 DP 2 25/05/2018 25/05/2018 13/08/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 172000
0 1 0 0 0 A J PAIMAN 010940 77 28409 DR.
INACBG;123123123123 5.2.1.201804062320 4 101469
1#0##0#0#0.0#2018-06-04 14:11:12#0#00:00:00#00:00:00#00:00:00 1
c900b218c39b13eec704e07719ca4cc5
3578090 D 3 DP 2 25/05/2018 25/05/2018 14/01/1956 0 2
0 0 - 0 - 0 - 0 - 0 176200 175000
0 1 0 0 0 SRI RUSMIJATI 008743 62 22777 DR.
INACBG;123123123123 5.2.1.201804062320 4 101470
1#0##0#0#0.0#2018-06-04 14:26:04#0#00:00:00#00:00:00#00:00:00 1
09e13e2c7da236e3339a448e60d3dcb4
3578090 D 3 DP 2 25/05/2018 25/05/2018 02/08/1933 0 1
0 0 - 0 - 0 - 0 - 0 176200 195000
0 1 0 0 0 I GUSTI NYOMAN GUNADNYA 014347 84 30977
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101471
1#0##0#0#0.0#2018-06-04 14:26:46#0#00:00:00#00:00:00#00:00:00 1
42eb10b47abe4294319df1e53e6cb8d5
3578090 D 3 DP 2 25/05/2018 25/05/2018 19/09/1938 0 2
0 0 - 0 - 0 - 0 - 0 176200 180000
0 1 0 0 0 RUBINEM 007028 79 29103 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101472
1#0##0#0#0.0#2018-06-04 14:27:24#0#00:00:00#00:00:00#00:00:00 1
92a20331c4da5c9f8b8005c921d4d60e
3578090 D 3 DP 2 25/05/2018 25/05/2018 14/08/1942 0 2
0 0 - 0 - 0 - 0 - 0 176200 232500
0 1 0 0 0 EMY TARYANI 005418 75 27678 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101473
1#0##0#0#0.0#2018-06-04 14:28:09#0#00:00:00#00:00:00#00:00:00 1
f490aeb1295aa6657f370e80bc5425bf
3578090 D 3 DP 2 25/05/2018 25/05/2018 16/02/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 185000
0 1 0 0 0 I.B GEDE PUTRA 021300 75 27492 DR.
INACBG;123123123123 5.2.1.201804062320 4 101474
1#0##0#0#0.0#2018-06-04 14:28:51#0#00:00:00#00:00:00#00:00:00 1
a92d12ff516a94b20a29fa78c15746b3
3578090 D 3 DP 2 25/05/2018 25/05/2018 22/05/1947 0 2
0 0 - 0 - 0 - 0 - 0 176200 182000
0 1 0 0 0 MARIA HENNY 010363 71 25936 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101475
1#0##0#0#0.0#2018-06-04 14:29:34#0#00:00:00#00:00:00#00:00:00 1
9363354f6b7cd17a107831331f62224d
3578090 D 3 DP 2 25/05/2018 25/05/2018 10/08/1946 0 2
0 0 - 0 - 0 - 0 - 0 176200 248000
0 1 0 0 0 SOEHARJATI 005218 71 26221 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101476
1#0##0#0#0.0#2018-06-04 14:30:20#0#00:00:00#00:00:00#00:00:00 1
9b4449e1e781b46d4f1553c55dc36122
3578090 D 3 DP 2 25/05/2018 25/05/2018 25/05/1944 0 1
0 0 - 0 - 0 - 0 - 0 176200 250000
0 1 0 0 0 J.A.MOELJONO 018156 73 27028 DR.
INACBG;123123123123 5.2.1.201804062320 4 101477
1#0##0#0#0.0#2018-06-04 14:31:20#0#00:00:00#00:00:00#00:00:00 1
50d465ffc7a4658b0437e860586b3590
3578090 D 3 DP 2 25/05/2018 25/05/2018 27/02/1947 0 1
0 0 - 0 - 0 - 0 - 0 176200 202000
0 1 0 0 0 LESMAN TAMASOLENG 016728 71 26020 DR.
INACBG;123123123123 5.2.1.201804062320 4 101478
1#0##0#0#0.0#2018-06-04 14:32:02#0#00:00:00#00:00:00#00:00:00 1
82859c8326d214566e07f00b60d1aac1
3578090 D 3 DP 2 25/05/2018 25/05/2018 17/02/1946 0 1
0 0 - 0 - 0 - 0 - 0 176200 180000
INACBG;123123123123 5.2.1.201804062320 4 101479
1#0##0#0#0.0#2018-06-04 14:32:47#0#00:00:00#00:00:00#00:00:00 1
dd5fe9a74ffb978cf3d4d0885edad871
3578090 D 3 DP 2 25/05/2018 25/05/2018 28/04/1939 0 1
0 0 - 0 - 0 - 0 - 0 176200 225000
0 1 0 0 0 SOESENO 007117 79 28882 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101480
1#0##0#0#0.0#2018-06-04 14:33:37#0#00:00:00#00:00:00#00:00:00 1
13f56a5901112eee01ffec7ddf33e736
3578090 D 3 DP 2 25/05/2018 25/05/2018 08/09/1940 0 2
0 0 - 0 - 0 - 0 - 0 176200 189000
0 1 0 0 0 SRI HENDRATATI JD 005696 77 28383
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101481
1#0##0#0#0.0#2018-06-04 14:34:19#0#00:00:00#00:00:00#00:00:00 1
ef6e54d993f5168fbbc5b7aa8356ee63
3578090 D 3 DP 2 25/05/2018 25/05/2018 21/10/1979 0 2
0 0 - 0 - 0 - 0 - 0 176200 175000
0 1 0 0 0 HARTATI KULLE 022727 38 14096 DR.
INACBG;123123123123 5.2.1.201804062320 4 101482
1#0##0#0#0.0#2018-06-04 14:34:55#0#00:00:00#00:00:00#12:00:00 1
f91cac770038d0cc864e94057aac2eb6
3578090 D 3 DP 2 25/05/2018 25/05/2018 06/08/1945 0 1
0 0 - 0 - 0 - 0 - 0 176200 190000
0 1 0 0 0 ROMULUS PANDJAITAN 018107 72 26590
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101483
1#0##0#0#0.0#2018-06-04 14:35:31#0#00:00:00#00:00:00#10:12:47 1
85818de9242d704902438e34cbc45193
3578090 D 3 DP 2 25/05/2018 25/05/2018 25/02/1939 0 2
0 0 - 0 - 0 - 0 - 0 176200 175000
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101484
1#0##0#0#0.0#2018-06-04 14:36:13#0#00:00:00#00:00:00#00:00:00 1
5f2904d38338cd8fa6922b797f4dce25
3578090 D 3 DP 2 25/05/2018 25/05/2018 10/08/1958 0 1
0 0 - 0 - 0 - 0 - 0 176200 272500
0 1 0 0 0 SUTRISNO 022929 59 21838 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101485
1#0##0#0#0.0#2018-06-04 14:36:51#0#00:00:00#00:00:00#12:00:00 1
a9705d7d07af854f74fb04a75dec31de
3578090 D 3 DP 2 25/05/2018 25/05/2018 17/06/1966 0 1
0 0 - 0 - 0 - 0 - 0 176200 182000
0 1 0 0 0 SISWANTO 023055 51 18970 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101486
1#0##0#0#0.0#2018-06-04 14:37:33#0#00:00:00#00:00:00#12:00:00 1
1c8b3e508142f15ae0fde41b9d7df20c
3578090 D 3 DP 2 25/05/2018 25/05/2018 10/08/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 186000
0 1 0 0 0 KEN ISNANTI 007736 72 26586 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101487
1#0##0#0#0.0#2018-06-04 14:38:14#0#00:00:00#00:00:00#00:00:00 1
45b69553920f537ed856b21fb1079387
3578090 D 3 DP 2 25/05/2018 25/05/2018 05/06/1947 0 2
0 0 - 0 - 0 - 0 - 0 176200 182000
0 1 0 0 0 NY E.KARTINI 005045 70 25922 DR.
INACBG;123123123123 5.2.1.201804062320 4 101488
1#0##0#0#0.0#2018-06-04 14:38:56#0#00:00:00#00:00:00#00:00:00 1
1fe60f2a5bc6ef1754d118b73c9fa86d
3578090 D 3 DP 2 25/05/2018 25/05/2018 04/11/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 175000
0 1 0 0 0 SITI RUBIANTI 006557 72 26500 DR.
INACBG;123123123123 5.2.1.201804062320 4 101489
1#0##0#0#0.0#2018-06-04 14:39:43#0#00:00:00#00:00:00#00:00:00 1
709bd13adbee67b018528346403f41f1
3578090 D 3 DP 2 25/05/2018 25/05/2018 06/08/1955 0 1
0 0 - 0 - 0 - 0 - 0 176200 185000
0 1 0 0 0 SUYONO 017984 62 22938 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101490
1#0##0#0#0.0#2018-06-04 14:40:25#0#00:00:00#00:00:00#09:53:40 1
36a3b4486f6aaeb7ceb6708f11bf5768
3578090 D 3 DP 2 25/05/2018 25/05/2018 16/05/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 175000
INACBG;123123123123 5.2.1.201804062320 4 101491
1#0##0#0#0.0#2018-06-04 14:41:06#0#00:00:00#00:00:00#00:00:00 1
5a232b367a3e5fe908b9105762a68b2a
3578090 D 3 DP 2 25/05/2018 25/05/2018 04/02/1947 0 1
0 0 - 0 - 0 - 0 - 0 176200 170000
INACBG;123123123123 5.2.1.201804062320 4 101492
1#0##0#0#0.0#2018-06-04 14:41:45#0#00:00:00#00:00:00#00:00:00 1
74c235ab54138c84b2d75b9962eeedbf
3578090 D 3 DP 2 25/05/2018 25/05/2018 15/04/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 255000
0 1 0 0 0 ESTHER DARISE 018921 69 25242 DR.
INACBG;123123123123 5.2.1.201804062320 4 101493
1#0##0#0#0.0#2018-06-04 14:42:24#0#00:00:00#00:00:00#00:00:00 1
ade47a179c2449b3ad5d510e965de4fd
3578090 D 3 DP 2 25/05/2018 25/05/2018 01/01/1950 0 2
0 0 - 0 - 0 - 0 - 0 176200 180000
0 1 0 0 0 ANIZAR UPIK 007052 68 24981 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101494
1#0##0#0#0.0#2018-06-04 14:43:04#0#00:00:00#00:00:00#00:00:00 1
2a06c65ffbe19adb085bde2a680cf4f0
3578090 D 3 DP 2 25/05/2018 25/05/2018 10/02/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 222000
0 1 0 0 0 BOESTAMI 010362 78 28594 DR. TONY E.
INACBG;123123123123 5.2.1.201804062320 4 101495
1#0##0#0#0.0#2018-06-04 14:43:45#0#00:00:00#00:00:00#00:00:00 1
e3afd1b9ca588cce45ed7c1b5a10b946
3578090 D 3 DP 2 25/05/2018 25/05/2018 06/12/1946 0 2
0 0 - 0 - 0 - 0 - 0 176200 301500
0 1 0 0 0 C. SRI REDJEKI, BA 009354 71 26103
INACBG;123123123123 5.2.1.201804062320 4 101496
1#0##0#0#0.0#2018-06-04 14:44:39#0#00:00:00#00:00:00#00:00:00 1
0e3a567109f1c5c2fbee30a357714189
3578090 D 3 DP 2 25/05/2018 25/05/2018 06/09/1972 0 2
0 0 - 0 - 0 - 0 - 0 281500 296000
5.2.1.201804062320 4 101497 1#0##0#0#0.0#2018-06-04
14:46:05#0#00:00:00#00:00:00#00:00:00 1 277ae7be62844ecdd5df1fa594c4676a
3578090 D 3 DP 2 25/05/2018 25/05/2018 23/03/1972 0 1
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 HARYADI 023823 46 16864 DRG. MIKA
5.2.1.201804062320 4 101498 1#0##0#0#0.0#2018-06-04
14:47:01#0#00:00:00#00:00:00#13:55:51 1 86dd3ff8b52264d5806e9348ad6565b3
3578090 D 3 DP 2 25/05/2018 25/05/2018 23/11/1972 0 2
0 0 - 0 - 0 - 0 - 0 176200 235000
0 1 0 0 0 MAPINDO N. S SI 00015783 45 16619 DR.
INACBG;123123123123 5.2.2.201806040537 4 101567
1#0##0#0#0.0#2018-06-05 13:03:43#0#00:00:00#00:00:00#13:22:26 1
7f71287a2b38b5e230dd12870f3ba787
3578090 D 3 DP 2 25/05/2018 25/05/2018 01/03/1965 0 1
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 SUDARMO 023877 53 19443 DRG. MIKA
5.2.2.201806040537 4 101499 1#0##0#0#0.0#2018-06-06
11:59:38#0#00:00:00#00:00:00#00:00:00 1 21a5ba237dbb6f154f7be500d8854f38
3578090 D 3 DP 2 26/05/2018 26/05/2018 08/06/1972 0 2
0 0 - 0 - 0 - 0 - 0 176200 242000
0 1 0 0 0 NI PUTU EVI ANDAYANI 019587 45 16788
INACBG;123123123123 5.2.1.201804062320 4 101500
1#0##0#0#0.0#2018-06-04 15:00:34#0#00:00:00#00:00:00#08:53:54 1
6a888b0b56cdf3084b1df2d6cf92fe0c
3578090 D 3 DP 2 26/05/2018 26/05/2018 07/04/1974 0 1
- 0 - 0 - 0 - 0 173400 180000 0
1 0 0 0 SUYITNO 014545 44 16120 DR. LYDIA
5.2.1.201804062320 4 101501 1#0##0#0#0.0#2018-06-04
15:01:26#0#00:00:00#00:00:00#00:00:00 1 3108f041a9a82a04712afafe9f8ac3c3
3578090 D 3 DP 2 26/05/2018 26/05/2018 12/04/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 352000
INACBG;123123123123 5.2.1.201804062320 4 101502
1#0##0#0#0.0#2018-06-04 15:02:09#0#00:00:00#00:00:00#00:00:00 1
d76ae1cc75614812caa5d401b1ac3e84
3578090 D 2 DP 1 23/05/2018 26/05/2018 11/09/1997 0 1
1256500 0 0 - 0 - 0 - 0 - 0
1256500 2339000 0 4 0 0 0 DICKY PRASETYO 023867
20 7559 DR. SARTONO, SP PD 0217R0190518V000646 0001227262408
3;JKN INACBG;123123123123 5.2.2.201806040537 4 101586
1#0##0#0#0.0#2018-06-22 10:40:38#0#00:00:00#00:00:00#00:00:00 1
c18cfd8ff9d293e380de6ec61e6739bc
3578090 D 1 DP 1 22/05/2018 26/05/2018 20/05/2000 0 1
1465900 0 0 - 0 - 0 - 0 - 0
1465900 3977000 0 5 0 0 0 ARYA YUSUF MARSTYA
0001326007991 3;JKN INACBG;123123123123 5.2.2.201806040537 4
101587 1#0##0#0#0.0#2018-06-22 10:43:40#0#00:00:00#00:00:00#00:00:00
1 d2d3a30620864c4bd2d074ee7dcc35f6
3578090 D 1 DP 1 24/05/2018 26/05/2018 17/06/1997 0 1
1 R55 - - - None None None None I-4-21-I None None
None None None None SYNCOPE & COLLAPSE (RINGAN) 2766600 0 0
- 0 - 0 - 0 - 0 2766600 2395500 0
3 0 0 0 AJI NUR RACHMAT 023875 20 7646 DR. SARTONO,
5.2.2.201806040537 4 101588 1#0##0#0#0.0#2018-06-22
10:47:16#0#00:00:00#00:00:00#00:00:00 1 dda49c0ab4fdb0e57541a8c3e2345b45
3578090 D 3 DP 2 27/05/2018 27/05/2018 31/01/1971 0 1
1 R51 - - - None None None None Q-5-42-0 None None
- 0 - 0 - 0 - 0 173400 140000 0
1 0 0 0 HADI SUPRIYANTO 00013942 47 17283 DR. ROBBY
R.W. 0217R0190518V000742 0001226708324 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101503 1#0##0#0#0.0#2018-06-04
15:03:36#0#00:00:00#00:00:00#16:21:15 1 ac5f4de243838fa69dd2d3b0766fd65e
3578090 D 3 DP 2 27/05/2018 27/05/2018 16/01/1992 0 1
- 0 - 0 - 0 - 0 173400 139000 0
1 0 0 0 DIDIN KUSUMAHATI 021029 26 9628 DR. ROBBY
R.W. 0217R0190518V000743 0001543117588 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101504 1#0##0#0#0.0#2018-06-04
15:04:17#0#00:00:00#00:00:00#00:00:00 1 53095da50ca6c1f0d5221cf710c681ec
3578090 D 3 DP 2 27/05/2018 27/05/2018 04/04/2017 0 2
- 0 - 0 - 0 - 0 173400 170000 0
1 0 0 0 VANESYA APRILIA AZZAHRA 022516 1 418 DR.
5.2.1.201804062320 4 101505 1#0##0#0#0.0#2018-06-04
15:05:00#0#00:00:00#00:00:00#12:00:00 1 3454b66ba22f6138978c1e49b59d4b77
3578090 D 3 DP 2 27/05/2018 27/05/2018 20/05/2013 0 2
- 0 - 0 - 0 - 0 173400 175000 0
1 0 0 0 ZAHIRAH ANDINI 023541 5 1833 DR. ROBBY
R.W. 0217R0190518V000740 0001882286908 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101506 1#0##0#0#0.0#2018-06-04
15:05:43#0#00:00:00#00:00:00#12:00:00 1 65db10a4ac0eea48f88934d1aebf5f7e
3578090 D 3 DP 2 27/05/2018 27/05/2018 21/05/2004 0 1
0 - 0 - 0 - 0 - 0 176200 185500
0 1 0 0 0 BAGAS RIFKY DIO DARMAWAN 022756 14
5119 DR. ROBBY R.W. 0217R0190518V000745 0001110613195 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101507
1#0##0#0#0.0#2018-06-04 15:06:57#0#00:00:00#00:00:00#12:00:00 1
af29eca8c3e9da71ae83cc8180119c81
3578090 D 3 DP 2 27/05/2018 27/05/2018 24/12/1963 0 1
1 L97 - - - None None None None Q-5-43-0 None None
0 - 0 - 0 - 0 - 0 248800 115000
0 1 0 0 0 SUJAKA 022291 54 19878 DR. ROBBY
R.W. 0217R0190518V000741 0001110069437 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101508 1#0##0#0#0.0#2018-06-04
15:07:43#0#00:00:00#00:00:00#12:04:27 1 8f3d1e05e3f573471a8831efac2556f1
3578090 D 3 DP 2 28/05/2018 28/05/2018 25/08/1994 0 2
0 0 - 0 - 0 - 0 - 0 176200 265000
0 1 0 0 0 VIRGITA KASIH ARWINDA 022605 23 8677
INACBG;123123123123 5.2.1.201804062320 4 101509
1#0##0#0#0.0#2018-06-04 15:09:37#0#00:00:00#00:00:00#12:00:00 1
21f0713791bf017605fc760a98fbec53
3578090 D 3 DP 2 28/05/2018 28/05/2018 28/01/1954 0 2
0 0 - 0 - 0 - 0 - 0 176200 204000
0 1 0 0 0 TUTIK SURYANING TYAS 005494 64 23496
INACBG;123123123123 5.2.1.201804062320 4 101510
1#0##0#0#0.0#2018-06-04 15:10:15#0#00:00:00#00:00:00#00:00:00 1
d4530968f28e5d3a394adecc2d738f36
3578090 D 3 DP 2 28/05/2018 28/05/2018 06/07/1965 0 1
0 384500 412000 0 1 0 0 0 WAHYU 017325
52 19319 DR. IMAM HIDAYAT, SP S 0217R0190518V000748 0001103013167
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101511
1#0##0#0#0.0#2018-06-04 15:12:04#0#00:00:00#00:00:00#00:00:00 1
2b707b4c819d6f304b4fc12fd415cc5b
3578090 D 3 DP 2 28/05/2018 28/05/2018 15/05/1947 0 1
1 Z09.8;G30.1;F00.1 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 208500
0 1 0 0 0 TOHA 021322 71 25946 DR. WIDHIYORETNO
NS, SPKJ 0217R0190518V000749 0000100897424 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101512 1#0##0#0#0.0#2018-06-04
15:14:17#0#00:00:00#00:00:00#00:00:00 1 32efad391737b062530b0fbba1018f6e
3578090 D 3 DP 2 28/05/2018 28/05/2018 04/10/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 242000
INACBG;123123123123 5.2.1.201804062320 4 101513
1#0##0#0#0.0#2018-06-04 15:15:06#0#00:00:00#00:00:00#00:00:00 1
199b58c5fd6629eae3462528334a8f7e
3578090 D 3 DP 2 28/05/2018 28/05/2018 02/06/1980 0 2
0 0 - 0 - 0 - 0 - 0 229900 230000
0 1 0 0 0 PERMATA IKA ONTHONI,SS. 021628 37 13874
DR. RIZKY 0217R0190518V000756 0001448005331 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101514
1#0##0#0#0.0#2018-06-04 15:16:01#0#00:00:00#00:00:00#00:00:00 1
d4de0dffd3c4ba9b33da923346aa0275
3578090 D 3 DP 2 28/05/2018 28/05/2018 29/07/1945 0 1
1 N40 57.94 - - None None None None N-3-14-0 None None
None None None None PROSEDUR KECIL ENDOSKOPI PADA SALURAN KEMIH 319200
0 0 - 0 - 0 - 0 - 0 319200 200500
0 1 0 0 0 ROESKAN 017958 72 26601 DR. ROBBY
R.W. 0217R0190518V000746 0000101138883 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101515 1#0##0#0#0.0#2018-06-04
15:17:52#0#00:00:00#00:00:00#11:56:52 1 55d49e78ab7764793395e58a7ab8317a
3578090 D 3 DP 2 28/05/2018 28/05/2018 02/07/2013 0 1
0 0 - 0 - 0 - 0 - 0 176200 220000
0 1 0 0 0 muhammad javier arrayyan s 022214 4
1791 DRG. MIKA RAMADHANI 0217R0190518V000752 0001386522505 3;JKN
INACBG;123123123123 5.2.1.201804062320 4 101516
1#0##0#0#0.0#2018-06-04 15:18:41#0#00:00:00#00:00:00#00:00:00 1
2f72525f937c7e965d7cba436dc848a8
3578090 D 3 DP 2 28/05/2018 28/05/2018 25/04/1984 0 2
None None None None CARDIAC ARREST, RESPIRATORY ARREST & SHOCK 246500
0 0 - 0 - 0 - 0 - 0 246500 140000
0 1 0 0 0 DIAH TJATUR WULANDARI 014166 34 12451
INACBG;123123123123 5.2.2.201806040537 4 101570
1#0##0#0#0.0#2018-06-05 13:05:55#0#00:00:00#00:00:00#00:00:00 1
8649b08f81303085c455cc9eae9f6032
3578090 D 3 DP 2 28/05/2018 28/05/2018 15/10/1969 0 2
- 0 - 0 - 0 - 0 173400 147000 0
1 0 0 0 HARIKATI RAHAJENG 00013756 48 17757 DR. LYDIA
5.2.2.201806040537 4 101571 1#0##0#0#0.0#2018-06-05
13:06:38#0#00:00:00#00:00:00#14:35:21 1 53f8a20ec44e4d122107d04a0f7a8bf8
3578090 D 3 DP 2 29/05/2018 29/05/2018 26/10/1970 0 1
- 0 - 0 - 0 - 0 173400 156000 0
1 0 0 0 CTO SINAGA 023879 47 17382 DR. MUH BAYU
0217R0190518V000759 0001226622306 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101517 1#0##0#0#0.0#2018-06-04
15:23:43#0#00:00:00#00:00:00#00:00:00 1 f09620dc65e9c4cd0d3c173d975b143f
3578090 D 3 DP 2 29/05/2018 29/05/2018 21/08/1967 0 1
0 - 0 - 0 - 0 - 0 176200 161650
0 1 0 0 0 AGUNG PUDJIANTO 011998 50 18544 DR.
5.2.1.201804062320 4 101518 1#0##0#0#0.0#2018-06-04
15:24:29#0#00:00:00#00:00:00#14:57:50 1 1ec4a0c4e987e7a1e750696ef44f27db
3578090 D 3 DP 2 29/05/2018 29/05/2018 30/05/2006 0 1
- 0 - 0 - 0 - 0 173400 220000 0
1 0 0 0 MAULANA BOBY SATRIA 023878 11 4382 DR.
5.2.1.201804062320 4 101519 1#0##0#0#0.0#2018-06-04
15:25:23#0#00:00:00#00:00:00#00:00:00 1 9f874732c16a1bace6c833cd11947d99
3578090 D 3 DP 2 29/05/2018 29/05/2018 17/10/1998 0 1
- 0 - 0 - 0 - 0 173400 477000 0
1 0 0 0 FRIZAL ARDIYA PURNANDA 017944 19 7164 DR.
5.2.1.201804062320 4 101520 1#0##0#0#0.0#2018-06-04
15:26:10#0#00:00:00#00:00:00#12:30:39 1 5d64d9579566aa917b7b2cf16dbbcb1f
3578090 D 3 DP 2 29/05/2018 29/05/2018 26/01/1988 0 1
- 0 - 0 - 0 - 0 173400 130000 0
1 0 0 0 DR. BAYU AJI SAPUTRA SUDARNO 023215 30 11081
INACBG;123123123123 5.2.2.201806040537 4 101576
1#0##0#0#0.0#2018-06-06 12:05:06#0#00:00:00#00:00:00#12:00:00 1
fc9ce2a70fbbd9ecc4ee2d1d0f1c302b
3578090 D 3 DP 2 30/05/2018 30/05/2018 11/07/1981 0 2
0 0 - 0 - 0 - 0 - 0 176200 160000
0 1 0 0 0 TITAH HANUNTUN LUWIH AJI 022189/B 36
3;JKN INACBG;123123123123 5.2.1.201804062320 4 101521
1#0##0#0#0.0#2018-06-04 15:29:10#0#00:00:00#00:00:00#00:00:00 1
8d4dc963588454854627968055851a5a
3578090 D 3 DP 2 30/05/2018 30/05/2018 11/09/1967 0 2
1 T14.3;I10 - - - None None None None Q-5-42-0 None
0 - 0 - 0 - 0 - 0 173400 140000
0 1 0 0 0 UUT HARDIJANTI 012900 50 18524 DR.
5.2.1.201804062320 4 101522 1#0##0#0#0.0#2018-06-04
15:29:53#0#00:00:00#00:00:00#12:00:00 1 c2db51695945cf42d7a1c9942e8a121e
3578090 D 3 DP 2 30/05/2018 30/05/2018 12/12/1944 0 2
0 0 - 0 - 0 - 0 - 0 176200 229500
0 1 0 0 0 PINTA SIHITE 005337 73 26832 DR.
INACBG;123123123123 5.2.1.201804062320 4 101523
1#0##0#0#0.0#2018-06-04 15:32:01#0#00:00:00#00:00:00#00:00:00 1
5938164539e9be3cc773e594e6c3aba0
3578090 D 3 DP 2 30/05/2018 30/05/2018 11/07/1963 0 2
- 0 - 0 - 0 - 0 269500 242000 0
1 0 0 0 SUSTIANI 019172 54 20047 DRG. RIAWATI
0217R0190518V000777 0001226876815 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101524 1#0##0#0#0.0#2018-06-04
15:32:45#0#00:00:00#00:00:00#00:00:00 1 ceae666d93e1f31049798c7209856ffa
3578090 D 3 DP 2 30/05/2018 30/05/2018 05/04/1947 0 1
0 0 - 0 - 0 - 0 - 0 176200 291000
0 1 0 0 0 JAIDI 010165 71 25988 DR. IMAM HIDAYAT,
SP.S 0217R0190518V000768 0000101177537 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101525 1#0##0#0#0.0#2018-06-04
15:33:23#0#00:00:00#00:00:00#00:00:00 1 945085798ddcba07fe5b9f3249d29754
3578090 D 3 DP 2 30/05/2018 30/05/2018 07/08/1935 0 2
0 0 - 0 - 0 - 0 - 0 176200 549980
INACBG;123123123123 5.2.1.201804062320 4 101526
1#0##0#0#0.0#2018-06-04 15:35:07#0#00:00:00#00:00:00#00:00:00 1
f493e7733f063b1f70c70c50220d7efa
3578090 D 3 DP 2 30/05/2018 30/05/2018 31/07/1966 0 2
0 0 - 0 - 0 - 0 - 0 176200 165000
0 1 0 0 0 JULI MARIATI 013374 51 18931 DR.
INACBG;123123123123 5.2.1.201804062320 4 101527
1#0##0#0#0.0#2018-06-04 15:35:58#0#00:00:00#00:00:00#00:00:00 1
2cd36de290150671d229ef1fe628bbfd
3578090 D 3 DP 2 30/05/2018 30/05/2018 31/08/1942 0 1
0 0 - 0 - 0 - 0 - 0 176200 175300
INACBG;123123123123 5.2.1.201804062320 4 101528
1#0##0#0#0.0#2018-06-04 15:36:41#0#00:00:00#00:00:00#00:00:00 1
c78ac96e60ee96159df42df4efec5fad
3578090 D 3 DP 2 30/05/2018 30/05/2018 26/01/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 206000
0 1 0 0 0 NURMALA HASIBUAN 019714 70 25692 DR.
INACBG;123123123123 5.2.1.201804062320 4 101529
1#0##0#0#0.0#2018-06-04 15:37:43#0#00:00:00#00:00:00#14:29:31 1
9f08aed68857e072d7df0d7c6ece6fe4
3578090 D 3 DP 2 30/05/2018 30/05/2018 08/02/1942 0 1
0 0 - 0 - 0 - 0 - 0 176200 272000
0 1 0 0 0 AMINULLAH 018565 76 27870 DR. IMAM
INACBG;123123123123 5.2.1.201804062320 4 101530
1#0##0#0#0.0#2018-06-04 15:38:20#0#00:00:00#00:00:00#00:00:00 1
fb738aa04c40e2cbe76a17c3aea19608
3578090 D 3 DP 2 30/05/2018 30/05/2018 19/05/1953 0 2
0 0 - 0 - 0 - 0 - 0 176200 370900
INACBG;123123123123 5.2.1.201804062320 4 101531
1#0##0#0#0.0#2018-06-04 15:39:09#0#00:00:00#00:00:00#00:00:00 1
7365fa50a1139ded5e925bf68afabee3
3578090 D 3 DP 2 30/05/2018 30/05/2018 11/03/1965 0 2
0 0 - 0 - 0 - 0 - 0 176200 305500
INACBG;123123123123 5.2.1.201804062320 4 101532
1#0##0#0#0.0#2018-06-04 15:40:10#0#00:00:00#00:00:00#00:00:00 1
a3ae40c248190f948a24c9b458cef33f
3578090 D 3 DP 2 30/05/2018 30/05/2018 12/05/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 282500
0 1 0 0 0 SIMON SAPAN KONDO 00010186 78 28507 DR.
INACBG;123123123123 5.2.1.201804062320 4 101533
1#0##0#0#0.0#2018-06-04 15:42:08#0#00:00:00#00:00:00#00:00:00 1
a72d2bf48fe86df30ce26b7b278a222a
3578090 D 3 DP 2 30/05/2018 30/05/2018 13/03/1949 0 2
1 Z09.8;Z96.1 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 289000
0 1 0 0 0 SUPINI 021215 69 25280 DR. AMIR
5.2.1.201804062320 4 101534 1#0##0#0#0.0#2018-06-04
15:42:53#0#00:00:00#00:00:00#00:00:00 1 f87698f263c189e4d95c014ebce68b3f
3578090 D 3 DP 2 30/05/2018 30/05/2018 16/06/1943 0 2
0 0 - 0 - 0 - 0 - 0 176200 282500
0 1 0 0 0 CHRISTINA KAREBA 008094 74 27377 DR.
INACBG;123123123123 5.2.1.201804062320 4 101535
1#0##0#0#0.0#2018-06-04 15:43:43#0#00:00:00#00:00:00#06:09:15 1
16ebcae387bd934fa52ad2dbe0a94bfe
3578090 D 3 DP 2 30/05/2018 30/05/2018 10/08/1960 0 2
0 0 - 0 - 0 - 0 - 0 176200 322000
0 1 0 0 0 ENDANG SUBEKTI 007489 57 21112 DR.
INACBG;123123123123 5.2.1.201804062320 4 101536
1#0##0#0#0.0#2018-06-04 15:44:27#0#00:00:00#00:00:00#00:00:00 1
0310941dec121fc6a3adb28ced101156
3578090 D 3 DP 2 30/05/2018 30/05/2018 29/09/1946 0 2
0 0 - 0 - 0 - 0 - 0 176200 282500
0 1 0 0 0 ARIYANI K 006437 71 26176 DR. AMIR
5.2.1.201804062320 4 101537 1#0##0#0#0.0#2018-06-04
15:45:17#0#00:00:00#00:00:00#10:53:07 1 16f71498a40220a9e608d588a5d9a1d2
3578090 D 3 DP 2 30/05/2018 30/05/2018 10/12/1989 0 1
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 ARDIYANTO WAHYU SUSILO 018737 28 10398 DRG.
RIAWATI 0217R0190518V000780 0001142009807 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101568 1#0##0#0#0.0#2018-06-05
13:04:31#0#00:00:00#00:00:00#09:16:17 1 89144aad191574e1341fc50f8d86dd95
3578090 D 3 DP 2 30/05/2018 30/05/2018 26/03/1999 0 2
- 0 - 0 - 0 - 0 269500 220000 0
5.2.2.201806040537 4 101569 1#0##0#0#0.0#2018-06-05
13:05:13#0#00:00:00#00:00:00#00:00:00 1 e1b1d39804739e56fd12014968af62b5
3578090 D 1 DP 1 24/05/2018 30/05/2018 07/02/1941 0 2
1 H81.3;K30 - - - None None None None U-4-11-I None
None None None None None DYSEQUILIBRIUM (RINGAN) 1602100 0 0
- 0 - 0 - 0 - 0 1602100 4467000 0
7 0 0 0 MARISI PASARIBU 004411 77 28230 DR. SARTONO,
SP. D 0217R0190518V000695 0000100771187 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101583 1#0##0#0#0.0#2018-06-22
12:47:23#0#00:00:00#00:00:00#00:00:00 3 86fb93ddefa9f4920b47d1679818e7b4
3578090 D 3 DP 2 31/05/2018 31/05/2018 08/01/1987 0 2
- 0 - 0 - 0 - 0 269500 220000 0
5.2.1.201804062320 4 101538 1#0##0#0#0.0#2018-06-05
10:10:34#0#00:00:00#00:00:00#00:00:00 1 1d908796116d79a2451a42a0dc44593b
3578090 D 3 DP 2 31/05/2018 31/05/2018 26/03/1999 0 2
- 0 - 0 - 0 - 0 269500 220000 0
5.2.1.201804062320 4 101539 1#0##0#0#0.0#2018-06-05
10:11:45#0#00:00:00#00:00:00#00:00:00 1 016b0c7291634532f755db183a290793
3578090 D 3 DP 2 31/05/2018 31/05/2018 17/12/1990 0 2
- 0 - 0 - 0 - 0 269500 220000 0
0217R0190518V000812 0001534930244 3;JKN INACBG;123123123123
5.2.1.201804062320 4 101540 1#0##0#0#0.0#2018-06-05
10:12:38#0#00:00:00#00:00:00#12:00:00 1 6ce262de712e09b461737444c45720fd
3578090 D 3 DP 2 31/05/2018 31/05/2018 17/02/1990 0 1
0 0 - 0 - 0 - 0 - 0 229900 157000
0 1 0 0 0 IQBAL TANJUNG 023884 28 10330 DR.
5.2.1.201804062320 4 101542 1#0##0#0#0.0#2018-06-05
10:14:24#0#00:00:00#00:00:00#00:00:00 1 4b9dad8c1617935f73d7cf31678a1f03
3578090 D 3 DP 2 31/05/2018 31/05/2018 25/10/1972 0 2
1 R06.0 93.96 - - None None None None J-3-13-0 None None
0 - 0 - 0 - 0 - 0 292900 323000
0 1 0 0 0 ZULAWATI 011505 45 16654 DR. LYDIA
5.2.2.201806040537 4 101543 1#0##0#0#0.0#2018-06-05
11:44:58#0#00:00:00#00:00:00#12:50:25 1 bd6a96b04a5e21d1b4154993ee1d5179
3578090 D 3 DP 2 31/05/2018 31/05/2018 31/07/1966 0 2
0 0 - 0 - 0 - 0 - 0 176200 272000
0 1 0 0 0 JULI MARIATI 013374 51 18932 DR.
INACBG;123123123123 5.2.2.201806040537 4 101544
1#0##0#0#0.0#2018-06-05 11:46:28#0#00:00:00#00:00:00#00:00:00 1
5b47e1f0e459056d6f33d073ad94dcc0
3578090 D 3 DP 2 31/05/2018 31/05/2018 17/07/1954 0 1
0 0 - 0 - 0 - 0 - 0 176200 273000
INACBG;123123123123 5.2.2.201806040537 4 101545
1#0##0#0#0.0#2018-06-05 11:47:26#0#00:00:00#00:00:00#00:00:00 1
ac2501d4ee5946312e9c63e182e133a8
3578090 D 3 DP 2 31/05/2018 31/05/2018 19/05/1953 0 2
0 0 - 0 - 0 - 0 - 0 176200 338500
INACBG;123123123123 5.2.2.201806040537 4 101546
1#0##0#0#0.0#2018-06-05 11:48:14#0#00:00:00#00:00:00#00:00:00 1
aae7fa0c9c11df902f930b3197b47066
3578090 D 3 DP 2 31/05/2018 31/05/2018 05/04/1947 0 1
0 0 - 0 - 0 - 0 - 0 176200 330000
0 1 0 0 0 JAIDI 010165 71 25989 DR. SARTONO, SP. D
0217R0190518V000787 0000101177537 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101547 1#0##0#0#0.0#2018-06-05
11:50:11#0#00:00:00#00:00:00#00:00:00 1 1775588bab1153eb950e4e8ad06fd631
3578090 D 3 DP 2 31/05/2018 31/05/2018 07/02/1941 0 2
0 0 - 0 - 0 - 0 - 0 176200 200000
INACBG;123123123123 5.2.2.201806040537 4 101548
1#0##0#0#0.0#2018-06-05 11:50:57#0#00:00:00#00:00:00#00:00:00 1
7c74407590c6a103a8d4a83b356f1b16
3578090 D 3 DP 2 31/05/2018 31/05/2018 25/02/1939 0 2
0 0 - 0 - 0 - 0 - 0 176200 334000
INACBG;123123123123 5.2.2.201806040537 4 101549
1#0##0#0#0.0#2018-06-05 11:51:48#0#00:00:00#00:00:00#00:00:00 1
f63f99b94ad3fa2efb438b09e01aeebf
3578090 D 3 DP 2 31/05/2018 31/05/2018 22/12/1962 0 2
0 0 - 0 - 0 - 0 - 0 176200 239000
0 1 0 0 0 YAYUK SUPRISTI WAHYUNI 017261 55 20249
INACBG;123123123123 5.2.2.201806040537 4 101550
1#0##0#0#0.0#2018-06-05 12:17:12#0#00:00:00#00:00:00#12:00:00 1
c8879b60bd95f5ce9cb3c361959a975a
3578090 D 3 DP 2 31/05/2018 31/05/2018 02/06/2000 0 2
0 0 - 0 - 0 - 0 - 0 176200 333500
INACBG;123123123123 5.2.2.201806040537 4 101551
1#0##0#0#0.0#2018-06-05 12:18:34#0#00:00:00#00:00:00#15:24:38 1
b7402b300a0f363a39b860464841fdb6
3578090 D 3 DP 2 31/05/2018 31/05/2018 10/05/1933 0 2
0 0 - 0 - 0 - 0 - 0 176200 402500
0 1 0 0 0 SUMI 018769 85 31067 DR. SARTONO, SP
PD` 0217R0190518V000791 0000101053721 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101552 1#0##0#0#0.0#2018-06-05
12:19:52#0#00:00:00#00:00:00#10:22:41 1 36dd78437b28cfa93bdf0372d82afd2b
3578090 D 3 DP 2 31/05/2018 31/05/2018 02/05/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 287000
0 1 0 0 0 MUHADI 017937 78 28518 DR. SARTONO,
SP. D 0217R0190518V000800 0000101040579 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101553 1#0##0#0#0.0#2018-06-05
12:21:49#0#00:00:00#00:00:00#00:00:00 1 2390af83349f90ae7052a15bee4f8021
3578090 D 3 DP 2 31/05/2018 31/05/2018 09/09/1939 0 1
0 0 - 0 - 0 - 0 - 0 176200 278000
0 1 0 0 0 B. PANDJAITAN 005503 78 28754 DR.
INACBG;123123123123 5.2.2.201806040537 4 101554
1#0##0#0#0.0#2018-06-05 12:24:13#0#00:00:00#00:00:00#00:00:00 1
b5ebdd28550629acfa9102ee3514d30f
3578090 D 3 DP 2 31/05/2018 31/05/2018 14/07/1964 0 2
0 0 - 0 - 0 - 0 - 0 176200 373000
INACBG;123123123123 5.2.2.201806040537 4 101555
1#0##0#0#0.0#2018-06-05 12:25:28#0#00:00:00#00:00:00#00:00:00 1
15299bb360729c69539206d2b8f3e289
3578090 D 3 DP 2 31/05/2018 31/05/2018 08/02/1942 0 1
0 0 - 0 - 0 - 0 - 0 176200 225000
0 1 0 0 0 AMINULLAH 018565 76 27871 DR. SARTONO,
SP. D 0217R0190518V000792 0000100878647 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101556 1#0##0#0#0.0#2018-06-05
12:26:11#0#00:00:00#00:00:00#00:00:00 1 94c8dcabb7c0cf03360d4956904603a9
3578090 D 3 DP 2 31/05/2018 31/05/2018 30/06/1956 0 2
0 0 - 0 - 0 - 0 - 0 176200 361000
0 1 0 0 0 NUR HALIMAH 015511 61 22615 DR. SARTONO,
SP. D 0217R0190518V000790 0001298948872 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101557 1#0##0#0#0.0#2018-06-05
12:27:47#0#00:00:00#00:00:00#00:00:00 1 540832ce70041757c3968902e04eb4a0
3578090 D 3 DP 2 31/05/2018 31/05/2018 25/05/1936 0 1
0 0 - 0 - 0 - 0 - 0 176200 354000
0 1 0 0 0 ZABIR HUSIN 006925 82 29956 DR. SARTONO,
SP. D 0217R0190518V000797 0000101057747 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101558 1#0##0#0#0.0#2018-06-05
12:29:06#0#00:00:00#00:00:00#00:00:00 1 55069c8507b07263c2c19ac1a19c90da
3578090 D 3 DP 2 31/05/2018 31/05/2018 01/04/1975 0 2
0 0 - 0 - 0 - 0 - 0 176200 423000
0 1 0 0 0 PUJI LESTARI 017113 43 15766 DR.
INACBG;123123123123 5.2.2.201806040537 4 101559
1#0##0#0#0.0#2018-06-05 12:30:15#0#00:00:00#00:00:00#00:00:00 1
d46a4d602073653949195b24534b8fbc
3578090 D 3 DP 2 31/05/2018 31/05/2018 25/10/1962 0 1
0 0 - 0 - 0 - 0 - 0 176200 288000
0 1 0 0 0 BOEDI ASMONO 023099 55 20307 DR.
INACBG;123123123123 5.2.2.201806040537 4 101560
1#0##0#0#0.0#2018-06-05 12:34:42#0#00:00:00#00:00:00#12:00:00 1
7f02cf1413c38efad3e22091e301519c
3578090 D 3 DP 2 31/05/2018 31/05/2018 10/04/1953 0 2
0 0 - 0 - 0 - 0 - 0 176200 315500
0 1 0 0 0 SITI AISYAH JD. Y.F.SENDUK 005760 65
INACBG;123123123123 5.2.2.201806040537 4 101561
1#0##0#0#0.0#2018-06-05 12:36:24#0#00:00:00#00:00:00#00:00:00 1
e3f16c882f1ab1e66ac3ce977ff27d57
3578090 D 3 DP 2 31/05/2018 31/05/2018 05/05/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 253000
INACBG;123123123123 5.2.2.201806040537 4 101562
1#0##0#0#0.0#2018-06-05 12:37:25#0#00:00:00#00:00:00#00:00:00 1
e322dd73b820a0be26dfac09a4c5f408
3578090 D 3 DP 2 31/05/2018 31/05/2018 07/01/1971 0 1
0 0 - 0 - 0 - 0 - 0 176200 318000
0 1 0 0 0 R. DADANG KURNIAWAN 015928 47 17311
INACBG;123123123123 5.2.2.201806040537 4 101563
1#0##0#0#0.0#2018-06-05 12:38:10#0#00:00:00#00:00:00#15:55:53 1
93c9687a2a8d54d4fbacc2ff1c92bd09
3578090 D 3 DP 2 31/05/2018 31/05/2018 03/12/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 276000
0 1 0 0 0 E.SUMIATI RAHAYU JD 007390 72 26477
INACBG;123123123123 5.2.2.201806040537 4 101564
1#0##0#0#0.0#2018-06-05 12:38:57#0#00:00:00#00:00:00#00:00:00 1
83b8e8b7148990006bf131286f3df6ae
3578090 D 3 DP 2 31/05/2018 31/05/2018 09/12/1992 0 2
- 0 - 0 - 0 - 0 173400 195000 0
1 0 0 0 TRIMO MULYATI 023883 25 9304 DR. RIANTO,
5.2.2.201806040537 4 101565 1#0##0#0#0.0#2018-06-05
12:40:19#0#00:00:00#00:00:00#00:00:00 1 43f8b8860815b25529b4d40b689836aa
3578090 D 3 DP 2 31/05/2018 31/05/2018 01/03/1965 0 1
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 SUDARMO 023877 53 19449 DRG. MIKA
5.2.2.201806040537 4 101541 1#0##0#0#0.0#2018-06-06
12:00:25#0#00:00:00#00:00:00#00:00:00 1 abd1d7341339b7741510a91ec0b083b8
3578090 D 3 DP 1 30/05/2018 31/05/2018 06/09/1951 0 2
1 J06.9;K30 - - - None None None None U-4-13-I None
None None None None None PERADANGAN EPIGLOTIS, TELINGA TENGAH, ISPA DAN
LARINGOTRAKEITIS (RINGAN) 1735000 0 0 - 0 - 0 -
0 - 0 1735000 2697500 0 2 0 0 0 SITI
SUMANTRI 023849 66 24373 DR. SARTONO, SP. D 0217R0190518V000784
0002445744025 3;JKN INACBG;123123123123 5.2.2.201806040537 4
101582 1#0##0#0#0.0#2018-06-22 10:27:36#0#00:00:00#00:00:00#00:00:00
1 f9bf94c818301966d8e7c715861e9357
3578090 D 3 DP 2 01/06/2018 01/06/2018 14/02/2009 0 1
0 0 - 0 - 0 - 0 - 0 229900 180000
0 1 0 0 0 NAUFAL AFKAR IDLAN 023885 9 3394
DR. RIVAN 0217R0190618V000001 0001327401235 3;JKN
INACBG;123123123123 5.2.2.201806040537 4 101594
1#0##0#0#0.0#2018-06-25 10:44:42#0#00:00:00#00:00:00#00:00:00 1
64f55c337830ea1bfd8edbffbbc10801
3578090 D 3 DP 2 01/06/2018 01/06/2018 21/07/1978 0 2
- 0 - 0 - 0 - 0 173400 187000 0
1 0 0 0 HENNY YULIANTY 011120 39 14560 DR. RIVAN
0217R0190618V000002 0001110563537 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101595 1#0##0#0#0.0#2018-06-25
10:45:37#0#00:00:00#00:00:00#14:48:05 1 7e6e3ac863d36f69b3e35f04a02101cc
3578090 D 3 DP 2 02/06/2018 02/06/2018 18/08/2016 0 2
1 S99.9 - - - None None None None Q-5-42-0 None None
- 0 - 0 - 0 - 0 173400 230000 0
1 0 0 0 AN. MA'RIFATUHA M 023886 1 653 DR. ROBBY
R.W. 0217R0190618V000006 0002229595468 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101596 1#0##0#0#0.0#2018-06-25
10:54:47#0#00:00:00#00:00:00#00:00:00 1 ec393793610ddf25ed748434508e613d
3578090 D 3 DP 2 02/06/2018 02/06/2018 25/11/1949 0 1
- 0 - 0 - 0 - 0 173400 147000 0
1 0 0 0 HASAN 022726 68 25026 DR. ROBBY R.W.
0217R0190618V000005 0000098237046 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101597 1#0##0#0#0.0#2018-06-25
10:55:46#0#00:00:00#00:00:00#12:00:00 1 d1e8b061c85d2f7b447ecc10da894beb
3578090 D 3 DP 2 02/06/2018 02/06/2018 14/08/1947 0 2
0 0 - 0 - 0 - 0 - 0 176200 511288
5.2.2.201806040537 4 101598 1#0##0#0#0.0#2018-06-25
10:58:14#0#00:00:00#00:00:00#00:00:00 1 37aaa8c1d601710c8eeb85f390b51d47
3578090 D 3 DP 2 03/06/2018 03/06/2018 18/10/1974 0 2
- 0 - 0 - 0 - 0 173400 161000 0
DR. RIVAN 0217R0190618V000008 0001226836732 3;JKN
INACBG;123123123123 5.2.2.201806040537 4 101599
1#0##0#0#0.0#2018-06-25 11:00:21#0#00:00:00#00:00:00#00:00:00 1
136f7cdec5c7aa995367752c4c8694a0
3578090 D 3 DP 2 03/06/2018 03/06/2018 23/09/1971 0 1
- 0 - 0 - 0 - 0 173400 167000 0
1 0 0 0 SUPRAYITNO 00011167 46 17055 DR. RIVAN
0217R0190618V000009 0001226551961 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101600 1#0##0#0#0.0#2018-06-25
11:01:08#0#00:00:00#00:00:00#21:55:06 1 a79016efdfbffe0624af3b428b786ee1
3578090 D 3 DP 2 03/06/2018 03/06/2018 04/01/1988 0 2
- 0 - 0 - 0 - 0 173400 130000 0
1 0 0 0 SATRIA WIJAYA 021776 30 11108 DR. RIVAN
0217R0190618V000007 0001292300087 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101601 1#0##0#0#0.0#2018-06-25
11:01:52#0#00:00:00#00:00:00#00:00:00 1 3d108499cd674800db4560009e9fd743
3578090 D 3 DP 2 04/06/2018 04/06/2018 09/06/1978 0 2
0 0 - 0 - 0 - 0 - 0 176200 220000
0 1 0 0 0 SULASTRI 017489 39 14605 DRG. RIAWATI
0217R0190618V000013 0001227223361 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101602 1#0##0#0#0.0#2018-06-25
11:14:21#0#00:00:00#00:00:00#09:36:10 1 8759ec6634a7a97e2b2431fa3917013a
3578090 D 3 DP 2 04/06/2018 04/06/2018 27/10/1987 0 2
- 0 - 0 - 0 - 0 173400 396000 0
1 0 0 0 LYDIA TRISNAWATI, S.Ked 021593 30 11178 DR.
5.2.2.201806040537 4 101603 1#0##0#0#0.0#2018-06-25
11:15:27#0#00:00:00#00:00:00#11:04:38 1 39d69aaa342a279fe3d1f09432a69439
3578090 D 3 DP 2 04/06/2018 04/06/2018 26/07/1990 0 2
0 - 0 - 0 - 0 - 0 281500 368500
INACBG;123123123123 5.2.2.201806040537 4 101604
1#0##0#0#0.0#2018-06-25 11:16:22#0#00:00:00#00:00:00#00:00:00 1
20fcc48823ad214337aa86f16125d623
3578090 D 3 DP 2 04/06/2018 04/06/2018 02/09/1970 0 1
0 0 - 0 - 0 - 0 - 0 176200 192000
0 1 0 0 0 ROKIM PRAYITNO 016163 47 17442 DR.
IMAM HIDAYAT, SP S 0217R0190618V000016 0001102797617 3;JKN
INACBG;123123123123 5.2.2.201806040537 4 101605
1#0##0#0#0.0#2018-06-25 11:17:14#0#00:00:00#00:00:00#00:00:00 1
4d9b39ce1fd1bbb53e392ec828538c2a
3578090 D 3 DP 2 04/06/2018 04/06/2018 18/11/1946 0 2
0 0 - 0 - 0 - 0 - 0 176200 164000
0 1 0 0 0 SIELTJE DATUMBANUA 00010767 71 26131
INACBG;123123123123 5.2.2.201806040537 4 101606
1#0##0#0#0.0#2018-06-25 11:18:01#0#00:00:00#00:00:00#00:00:00 1
4c75cc7f417fed4fe2fc489aac297c3b
3578090 D 3 DP 2 04/06/2018 04/06/2018 10/04/1942 0 2
0 0 - 0 - 0 - 0 - 0 176200 233200
0 1 0 0 0 RR. ANDAROEKMI, ba 005759 76 27814
INACBG;123123123123 5.2.2.201806040537 4 101607
1#0##0#0#0.0#2018-06-25 11:19:13#0#00:00:00#00:00:00#00:00:00 1
af71a07b5085ab2103a0eb50b4de3fd2
3578090 D 3 DP 2 04/06/2018 04/06/2018 19/01/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 179050
INACBG;123123123123 5.2.2.201806040537 4 101608
1#0##0#0#0.0#2018-06-25 11:19:59#0#00:00:00#00:00:00#00:00:00 1
c512cc5b721388113c4e325dd9792726
3578090 D 3 DP 2 04/06/2018 04/06/2018 05/07/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 196000
0 1 0 0 0 DRA. NURAFLAH 018158 68 25171 DR.
INACBG;123123123123 5.2.2.201806040537 4 101609
1#0##0#0#0.0#2018-06-25 11:20:51#0#00:00:00#00:00:00#00:00:00 1
ba84af963c251616e3ac7fd2f1c3e87c
3578090 D 3 DP 2 04/06/2018 04/06/2018 30/09/1967 0 2
0 0 - 0 - 0 - 0 - 0 176200 269860
0 1 0 0 0 SURJANA JUSUF 021344 50 18510 DR.
INACBG;123123123123 5.2.2.201806040537 4 101610
1#0##0#0#0.0#2018-06-25 11:22:02#0#00:00:00#00:00:00#13:54:00 1
7bd07d2c4b793cf34fd65c231b06ceef
3578090 D 3 DP 2 04/06/2018 04/06/2018 07/12/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 203000
0 1 0 0 0 TUTIK SRIANI 019139 66 24286 DR.
INACBG;123123123123 5.2.2.201806040537 4 101611
1#0##0#0#0.0#2018-06-25 11:22:48#0#00:00:00#00:00:00#11:27:35 1
2189068ae7eb884eebec44bed9413672
3578090 D 3 DP 2 05/06/2018 05/06/2018 18/09/1985 0 2
- 0 - 0 - 0 - 0 173400 175500 0
1 0 0 0 SEPTINA WIDAYANTI 012586 32 11948 DR.
INACBG;123123123123 5.2.2.201806040537 4 101612
1#0##0#0#0.0#2018-06-25 11:25:33#0#00:00:00#00:00:00#00:00:00 1
1d59d6d602770de6ee9d5d7f5e822074
3578090 D 3 DP 2 05/06/2018 05/06/2018 17/12/1974 0 2
0 0 - 0 - 0 - 0 - 0 229900 154000
0 1 0 0 0 SRI AMBARWATI 022654 43 15876 DR.
5.2.2.201806040537 4 101613 1#0##0#0#0.0#2018-06-25
11:26:20#0#00:00:00#00:00:00#12:00:00 1 38119149b1a117c0dcb1984467b47ee8
3578090 D 3 DP 2 05/06/2018 05/06/2018 17/12/1990 0 2
- 0 - 0 - 0 - 0 269500 220000 0
0217R0190618V000041 0001534930244 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101615 1#0##0#0#0.0#2018-06-25
11:28:03#0#00:00:00#00:00:00#12:00:00 1 a9224b6b9cdc00d013bce522e751836d
3578090 D 3 DP 2 05/06/2018 05/06/2018 08/01/1987 0 2
- 0 - 0 - 0 - 0 269500 220000 0
5.2.2.201806040537 4 101614 1#0##0#0#0.0#2018-06-25
11:28:35#0#00:00:00#00:00:00#00:00:00 2 90f5e79f9b703fb0378bd8ed4bf85466
3578090 D 3 DP 2 05/06/2018 05/06/2018 19/02/1974 0 1
0 0 - 0 - 0 - 0 - 0 176200 266390
0 1 0 0 0 FERNANDUS SIMANJUNTAK, SE. 014351 44
INACBG;123123123123 5.2.2.201806040537 4 101616
1#0##0#0#0.0#2018-06-25 11:29:25#0#00:00:00#00:00:00#00:00:00 1
222c8c13da2948b8a54083db19e091f9
3578090 D 3 DP 2 05/06/2018 05/06/2018 04/07/1946 0 1
0 0 - 0 - 0 - 0 - 0 176200 246760
0 1 0 0 0 TEDJO HARTONO 008367 71 26269 DR.
INACBG;123123123123 5.2.2.201806040537 4 101617
1#0##0#0#0.0#2018-06-25 11:30:18#0#00:00:00#00:00:00#00:00:00 1
56bebbb72468361320c706250e2f52f7
3578090 D 3 DP 2 05/06/2018 05/06/2018 19/05/1969 0 2
0 0 - 0 - 0 - 0 - 0 176200 197363
0 1 0 0 0 DRA ANA TRISSANTY 00001956 49 17914 DR.
INACBG;123123123123 5.2.2.201806040537 4 101618
1#0##0#0#0.0#2018-06-25 11:31:10#0#00:00:00#00:00:00#11:27:24 1
11dabbec99776e38f3577d581d3fa848
3578090 D 3 DP 2 05/06/2018 05/06/2018 22/09/1970 0 1
0 0 - 0 - 0 - 0 - 0 176200 330710
0 1 0 0 0 DASKIM 00011929 47 17423 DR. SARTONO,
5.2.2.201806040537 4 101619 1#0##0#0#0.0#2018-06-25
11:32:00#0#00:00:00#00:00:00#00:00:00 1 8bba95bd8489b19d2fcbfcb9822dd002
3578090 D 3 DP 2 05/06/2018 05/06/2018 04/05/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 337230
0 1 0 0 0 ENGELIEN SUNDALANGI 020383 69 25234
INACBG;123123123123 5.2.2.201806040537 4 101620
1#0##0#0#0.0#2018-06-25 11:36:13#0#00:00:00#00:00:00#09:24:48 1
808009dfad4a308625c540cd8704df26
3578090 D 3 DP 2 05/06/2018 05/06/2018 04/11/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 560480
0 1 0 0 0 SITI RUBIANTI 006557 72 26511 DR.
INACBG;123123123123 5.2.2.201806040537 4 101621
1#0##0#0#0.0#2018-06-25 11:42:49#0#00:00:00#00:00:00#00:00:00 1
6e6a20670b41d4d2252519b76f48d166
3578090 D 3 DP 2 05/06/2018 05/06/2018 14/01/1956 0 2
0 0 - 0 - 0 - 0 - 0 176200 243200
0 1 0 0 0 SRI RUSMIJATI 008743 62 22788 DR.
INACBG;123123123123 5.2.2.201806040537 4 101622
1#0##0#0#0.0#2018-06-25 11:43:43#0#00:00:00#00:00:00#00:00:00 1
0e857859bc961f220d74e9cbc7d702e9
3578090 D 3 DP 2 05/06/2018 05/06/2018 09/06/1970 0 2
0 0 - 0 - 0 - 0 - 0 176200 211738
0 1 0 0 0 PUJI ASTUTI 022341 47 17528 DR. SARTONO,
5.2.2.201806040537 4 101623 1#0##0#0#0.0#2018-06-25
11:44:34#0#00:00:00#00:00:00#00:00:00 1 61ae2d1fd4e0607de4454de43cc40fb1
3578090 D 3 DP 2 05/06/2018 05/06/2018 19/09/2003 0 1
1 Z09.8;A90 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 315520
0 1 0 0 0 RECKY P.JS. 021336 14 5373 DR. SARTONO,
SP. D 0217R0190618V000045 0001226817472 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101624 1#0##0#0#0.0#2018-06-25
11:45:43#0#00:00:00#00:00:00#00:00:00 1 1de3c44149477ad137ea67ab5e9bd6ac
3578090 D 3 DP 2 05/06/2018 05/06/2018 27/09/1954 0 2
0 0 - 0 - 0 - 0 - 0 176200 295200
0 1 0 0 0 SRI MULYANI 022660 63 23262 DR. SARTONO,
5.2.2.201806040537 4 101625 1#0##0#0#0.0#2018-06-25
11:46:33#0#00:00:00#00:00:00#12:00:00 1 7b08d7251fa592c12bd0b5ea48f7438f
3578090 D 3 DP 2 05/06/2018 05/06/2018 18/11/1941 0 2
0 0 - 0 - 0 - 0 - 0 176200 353300
0 1 0 0 0 RP.NADAPDAP JD 004372 76 27958 DR.
INACBG;123123123123 5.2.2.201806040537 4 101626
1#0##0#0#0.0#2018-06-25 11:47:17#0#00:00:00#00:00:00#00:00:00 1
a4d9e14fbb6e74a84d39b8b10ba290d0
3578090 D 3 DP 2 05/06/2018 05/06/2018 07/08/1935 0 2
0 0 - 0 - 0 - 0 - 0 176200 276353
INACBG;123123123123 5.2.2.201806040537 4 101627
1#0##0#0#0.0#2018-06-25 11:48:23#0#00:00:00#00:00:00#00:00:00 1
9124b5fb7475cb6185af795560cc5397
3578090 D 3 DP 2 05/06/2018 05/06/2018 07/05/1944 0 1
1 Z09.8;E11.4;H81.3 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 214510
0 1 0 0 0 CHOLIL 005562 74 27057 DR. SARTONO,
5.2.2.201806040537 4 101628 1#0##0#0#0.0#2018-06-25
11:49:11#0#00:00:00#00:00:00#00:00:00 1 bfac32f85e5aff8a3c59e123c1f56ae9
3578090 D 3 DP 2 05/06/2018 05/06/2018 10/04/1955 0 2
0 0 - 0 - 0 - 0 - 0 176200 578765
0 1 0 0 0 ENDAH SOELIASTININGSIH 007137 63 23067
INACBG;123123123123 5.2.2.201806040537 4 101629
1#0##0#0#0.0#2018-06-25 11:49:59#0#00:00:00#00:00:00#00:00:00 1
d678d2a2293010ed7ca61b57cf50eaf9
3578090 D 3 DP 2 05/06/2018 05/06/2018 02/07/1973 0 2
0 0 - 0 - 0 - 0 - 0 176200 263810
0 1 0 0 0 MARIA SELVIANA E.MUSKANAN 019545 44
INACBG;123123123123 5.2.2.201806040537 4 101630
1#0##0#0#0.0#2018-06-25 11:51:22#0#00:00:00#00:00:00#11:03:28 1
f10861eefec955521da0cffdebad2f5b
3578090 D 3 DP 2 05/06/2018 05/06/2018 12/09/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 249850
0 1 0 0 0 PANGADI 017942 77 28390 DR. SARTONO,
5.2.2.201806040537 4 101631 1#0##0#0#0.0#2018-06-25
11:52:08#0#00:00:00#00:00:00#00:00:00 1 2caedcad3b36b9c38b2c7aafd5916232
3578090 D 3 DP 2 05/06/2018 05/06/2018 25/07/1962 0 2
0 0 - 0 - 0 - 0 - 0 176200 571000
0 1 0 0 0 RIRIN EKOWATI 004112 55 20404 DR.
INACBG;123123123123 5.2.2.201806040537 4 101632
1#0##0#0#0.0#2018-06-25 11:52:56#0#00:00:00#00:00:00#00:00:00 1
1ede9649c25c6f169947fa66e52bc7bc
3578090 D 3 DP 2 05/06/2018 05/06/2018 22/02/1974 0 2
0 0 - 0 - 0 - 0 - 0 176200 258145
0 1 0 0 0 CHRISTIEN WIDYASTUTI,SE 014350 44 16174
INACBG;123123123123 5.2.2.201806040537 4 101633
1#0##0#0#0.0#2018-06-25 11:53:58#0#00:00:00#00:00:00#00:00:00 1
0f3ccecb0a82eca4c23da6cd2e021af5
3578090 D 3 DP 2 05/06/2018 05/06/2018 09/03/1969 0 1
0 0 - 0 - 0 - 0 - 0 176200 280403
0 1 0 0 0 HERU SETIAWAN 023892 49 17985 DR.
INACBG;123123123123 5.2.2.201806040537 4 101634
1#0##0#0#0.0#2018-06-25 11:55:30#0#00:00:00#00:00:00#00:00:00 1
2533f763b7bf983f45db81bbdfc395b3
3578090 D 3 DP 2 05/06/2018 05/06/2018 27/07/1947 0 1
0 0 - 0 - 0 - 0 - 0 176200 167960
3;JKN INACBG;123123123123 5.2.2.201806040537 4 101635
1#0##0#0#0.0#2018-06-25 11:56:41#0#00:00:00#00:00:00#00:00:00 1
8485b416f5db19a081db06dbdc2b0474
3578090 D 3 DP 2 05/06/2018 05/06/2018 29/09/1950 0 2
0 0 - 0 - 0 - 0 - 0 176200 585000
INACBG;123123123123 5.2.2.201806040537 4 101636
1#0##0#0#0.0#2018-06-25 11:57:41#0#00:00:00#00:00:00#00:00:00 1
cd56fbfdb33370b528ba0a5c45e4a402
3578090 D 3 DP 2 05/06/2018 05/06/2018 04/09/1938 0 1
0 0 - 0 - 0 - 0 - 0 176200 224630
0 1 0 0 0 SOETARDJO, BA 005424 79 29129 DR.
INACBG;123123123123 5.2.2.201806040537 4 101637
1#0##0#0#0.0#2018-06-25 11:58:41#0#00:00:00#00:00:00#00:00:00 1
dc998804c959a60ac22bb3bbdef3cce5
3578090 D 3 DP 2 05/06/2018 05/06/2018 10/08/1945 0 2
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SP. D 0217R0190618V000036 0000101044844 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101638 1#0##0#0#0.0#2018-06-25
12:02:04#0#00:00:00#00:00:00#00:00:00 1 b30c73a2a063b5ceb5dfd65db09e754f
3578090 D 3 DP 2 05/06/2018 05/06/2018 08/09/1966 0 2
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0 1 0 0 0 LULUK SRI RAHAYU 016335 51 18898 DR.
INACBG;123123123123 5.2.2.201806040537 4 101639
1#0##0#0#0.0#2018-06-25 12:02:54#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 05/06/2018 05/06/2018 07/04/1939 0 1
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0 1 0 0 0 KISMOJO 014799 79 28914 DR. SARTONO,
5.2.2.201806040537 4 101640 1#0##0#0#0.0#2018-06-25
12:03:41#0#00:00:00#00:00:00#00:00:00 1 745d1e49483c2d88e5177775fa04919d
3578090 D 3 DP 2 05/06/2018 05/06/2018 08/09/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 222000
0 1 0 0 0 JAN BERT KESEK 010522 77 28394 DR.
INACBG;123123123123 5.2.2.201806040537 4 101641
1#0##0#0#0.0#2018-06-25 12:05:27#0#00:00:00#00:00:00#00:00:00 1
5a766caa83709817a9fe8246d75b181b
3578090 D 3 DP 2 05/06/2018 05/06/2018 21/12/1940 0 2
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INACBG;123123123123 5.2.2.201806040537 4 101642
1#0##0#0#0.0#2018-06-25 12:06:10#0#00:00:00#00:00:00#00:00:00 1
d2ccd0b2d3564717f83118f75900c5bd
3578090 D 3 DP 2 05/06/2018 05/06/2018 26/02/1935 0 1
0 0 - 0 - 0 - 0 - 0 176200 177500
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INACBG;123123123123 5.2.2.201806040537 4 101643
1#0##0#0#0.0#2018-06-25 12:09:43#0#00:00:00#00:00:00#14:24:02 1
06a5bda66df48ce73a8746cf0f170e9e
3578090 D 3 DP 2 05/06/2018 05/06/2018 04/10/1948 0 2
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INACBG;123123123123 5.2.2.201806040537 4 101644
1#0##0#0#0.0#2018-06-25 12:10:32#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 05/06/2018 05/06/2018 06/02/1960 0 1
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0 1 0 0 0 FERTJE B. MANDEROS 022126 58 21304
3;JKN INACBG;123123123123 5.2.2.201806040537 4 101645
1#0##0#0#0.0#2018-06-25 12:11:16#0#00:00:00#00:00:00#00:00:00 1
f7cf47faa9cce2526493594bb7c52423
3578090 D 3 DP 2 05/06/2018 05/06/2018 23/07/1938 0 2
0 0 - 0 - 0 - 0 - 0 176200 206100
0 1 0 0 0 YULIA LOUISE 017516 79 29172 DR.
INACBG;123123123123 5.2.2.201806040537 4 101646
1#0##0#0#0.0#2018-06-25 12:12:03#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 05/06/2018 05/06/2018 20/04/1959 0 2
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3;JKN INACBG;123123123123 5.2.2.201806040537 4 101647
1#0##0#0#0.0#2018-06-25 12:12:48#0#00:00:00#00:00:00#00:00:00 1
1b47cd8bae07ab5ea51c6d492e939865
3578090 D 3 DP 2 05/06/2018 05/06/2018 30/10/1970 0 1
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INACBG;123123123123 5.2.2.201806040537 4 101648
1#0##0#0#0.0#2018-06-25 12:13:50#0#00:00:00#00:00:00#12:00:00 1
632b9036ce2098ffa5db896e438eadaf
3578090 D 3 DP 2 05/06/2018 05/06/2018 03/03/1968 0 1
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0 1 0 0 0 VIRGILIO BRITO 023505 50 18356 DR.
INACBG;123123123123 5.2.2.201806040537 4 101649
1#0##0#0#0.0#2018-06-25 12:14:43#0#00:00:00#00:00:00#12:00:00 1
03060f8e366cec151d9c7ef190fa58a0
3578090 D 3 DP 2 05/06/2018 05/06/2018 10/08/1947 0 1
0 0 - 0 - 0 - 0 - 0 176200 185000
0 1 0 0 0 SUTIYONO 006398 70 25867 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101650
1#0##0#0#0.0#2018-06-25 12:15:32#0#00:00:00#00:00:00#00:00:00 1
a0c640c3d1e58cc106ec764334de23eb
3578090 D 3 DP 2 05/06/2018 05/06/2018 25/05/1936 0 1
0 0 - 0 - 0 - 0 - 0 176200 196000
0 1 0 0 0 ZABIR HUSIN 006925 82 29961 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101651
1#0##0#0#0.0#2018-06-25 12:16:16#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 05/06/2018 05/06/2018 06/09/1970 0 1
0 0 - 0 - 0 - 0 - 0 176200 185000
0 1 0 0 0 MUHAMMAD NURHADI A 021320 47 17439
3;JKN INACBG;123123123123 5.2.2.201806040537 4 101653
1#0##0#0#0.0#2018-06-25 12:17:40#0#00:00:00#00:00:00#13:41:24 1
2f13dba20ee1b2a30968deb2c6defb76
3578090 D 3 DP 2 05/06/2018 05/06/2018 05/02/1966 0 1
0 0 - 0 - 0 - 0 - 0 176200 190000
0 1 0 0 0 KATIJAN 022983 52 19113 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101654
1#0##0#0#0.0#2018-06-25 12:18:23#0#00:00:00#00:00:00#12:00:00 1
d333e3af4d77cee71def5c526be5e962
3578090 D 3 DP 2 05/06/2018 05/06/2018 06/04/1968 0 2
0 0 - 0 - 0 - 0 - 0 176200 175000
0 1 0 0 0 NASIYAH 016178 50 18322 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101655
1#0##0#0#0.0#2018-06-25 12:19:05#0#00:00:00#00:00:00#00:00:00 1
48b24a8f67072f01e60dd3a2271ec472
3578090 D 3 DP 2 05/06/2018 05/06/2018 13/01/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 215000
0 1 0 0 0 SUDI PRANOTO 017794 78 28633 DR.
INACBG;123123123123 5.2.2.201806040537 4 101656
1#0##0#0#0.0#2018-06-25 12:19:43#0#00:00:00#00:00:00#00:00:00 1
5ce84d6db9cac147156cf6bc831edded
3578090 D 3 DP 2 05/06/2018 05/06/2018 17/01/1942 0 1
0 0 - 0 - 0 - 0 - 0 176200 195000
0 1 0 0 0 H. SURADJI 022030 76 27898 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101657
1#0##0#0#0.0#2018-06-25 12:20:22#0#00:00:00#00:00:00#00:00:00 1
023e72d69a09da0f4d4039109fdcd5c8
3578090 D 3 DP 2 05/06/2018 05/06/2018 28/02/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 215000
INACBG;123123123123 5.2.2.201806040537 4 101658
1#0##0#0#0.0#2018-06-25 12:21:07#0#00:00:00#00:00:00#00:00:00 1
ad05a63d5197f80d0a648b85f2d3e80c
3578090 D 3 DP 2 05/06/2018 05/06/2018 16/06/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 185000
0 1 0 0 0 MUDJIATI BA 012505 72 26652 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101659
1#0##0#0#0.0#2018-06-25 12:21:48#0#00:00:00#00:00:00#00:00:00 1
15c2ed308a4299f8324097a6c643db2b
3578090 D 3 DP 2 05/06/2018 05/06/2018 05/05/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 180000
0000101030343 3;JKN INACBG;123123123123 5.2.2.201806040537 4
101660 1#0##0#0#0.0#2018-06-25 12:22:29#0#00:00:00#00:00:00#00:00:00
1 cadf5149a0a2ed88518606c1d2b9b341
3578090 D 3 DP 2 05/06/2018 05/06/2018 27/08/1939 0 1
0 0 - 0 - 0 - 0 - 0 176200 186000
0 1 0 0 0 DJUWAHIR 018936 78 28772 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101661
1#0##0#0#0.0#2018-06-25 12:23:10#0#00:00:00#00:00:00#15:20:43 1
3cfc47f32c3b5d521d423c115cb56cbb
3578090 D 3 DP 2 05/06/2018 05/06/2018 11/09/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 195000
0 1 0 0 0 HARYONO 009166 77 28391 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101662
1#0##0#0#0.0#2018-06-25 12:23:53#0#00:00:00#00:00:00#00:00:00 1
b70c2fa3bb25c8019fc8aaee63884ef8
3578090 D 3 DP 2 05/06/2018 05/06/2018 20/03/1944 0 1
0 0 - 0 - 0 - 0 - 0 176200 298000
0 1 0 0 0 B.O. PRIHARTONO 00005440 74 27105 DR.
INACBG;123123123123 5.2.2.201806040537 4 101663
1#0##0#0#0.0#2018-06-25 12:24:31#0#00:00:00#00:00:00#00:00:00 1
5a3b9f87ba6a7b71fbd0f037e08bcef6
3578090 D 3 DP 2 05/06/2018 05/06/2018 07/10/1949 0 1
0 0 - 0 - 0 - 0 - 0 176200 235000
0 1 0 0 0 NICO GERRITH LOTULUNG 018720 68 25078
3;JKN INACBG;123123123123 5.2.2.201806040537 4 101664
1#0##0#0#0.0#2018-06-25 12:25:24#0#00:00:00#00:00:00#00:00:00 1
2e55a0dc8c666e400122fc8bb9cb75c6
3578090 D 3 DP 2 05/06/2018 05/06/2018 28/08/1977 0 2
0 0 - 0 - 0 - 0 - 0 176200 260000
0 1 0 0 0 HETY RUSMIATI, S.SOS 012637 40 14891
INACBG;123123123123 5.2.2.201806040537 4 101665
1#0##0#0#0.0#2018-06-25 12:27:06#0#00:00:00#00:00:00#00:00:00 1
4a548a3a670e1e449ee901455c5b3176
3578090 D 3 DP 2 05/06/2018 05/06/2018 07/12/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 305200
0 1 0 0 0 TUTIK SRIANI 019139 66 24287 DR.
INACBG;123123123123 5.2.2.201806040537 4 101666
1#0##0#0#0.0#2018-06-25 12:27:53#0#00:00:00#00:00:00#11:27:35 1
18e602badace8d19541ebd51c413e031
3578090 D 3 DP 2 05/06/2018 05/06/2018 11/04/2010 0 2
0 0 - 0 - 0 - 0 - 0 176200 260000
0 1 0 0 0 NAYLA ALMIRAH SAFWAH 00013754 8 2977
INACBG;123123123123 5.2.2.201806040537 4 101667
1#0##0#0#0.0#2018-06-25 12:28:39#0#00:00:00#00:00:00#14:41:18 1
2c76651776e31bf73ee51cd743f8f0bd
3578090 D 3 DP 2 05/06/2018 05/06/2018 05/07/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 305200
0 1 0 0 0 DRA. NURAFLAH 018158 68 25172 DR.
INACBG;123123123123 5.2.2.201806040537 4 101668
1#0##0#0#0.0#2018-06-25 12:29:25#0#00:00:00#00:00:00#00:00:00 1
bc9dab6f7e9b69422d49b9c41728448c
3578090 D 3 DP 2 05/06/2018 05/06/2018 26/11/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 282500
0 1 0 0 0 SITI CHOIRIJAH 007276 69 25393 DR.
INACBG;123123123123 5.2.2.201806040537 4 101669
1#0##0#0#0.0#2018-06-25 12:30:12#0#00:00:00#00:00:00#00:00:00 1
de9a2e89674095dbf7576b024c841cf8
3578090 D 3 DP 2 05/06/2018 05/06/2018 20/12/2017 0 1
0 0 - 0 - 0 - 0 - 0 176200 260000
0 1 0 0 0 ADYATMA ALBY DAVIE 023331 0 167
INACBG;123123123123 5.2.2.201806040537 4 101670
1#0##0#0#0.0#2018-06-25 12:31:04#0#00:00:00#00:00:00#12:00:00 1
387c05c0ec054f68372cb793adfa0f4a
3578090 D 3 DP 2 05/06/2018 05/06/2018 09/03/1946 0 1
0 0 - 0 - 0 - 0 - 0 176200 244820
0 1 0 0 0 KARTONO, SE 017557 72 26386 DR. IMAM
INACBG;123123123123 5.2.2.201806040537 4 101671
1#0##0#0#0.0#2018-06-25 12:31:44#0#00:00:00#00:00:00#11:09:18 1
268521994f4b63f4b90c83d29b148ebe
3578090 D 3 DP 2 05/06/2018 05/06/2018 31/03/1985 0 1
0 0 - 0 - 0 - 0 - 0 176200 177960
0 1 0 0 0 SUBAGIYA 00016132 33 12119 DR. IMAM
INACBG;123123123123 5.2.2.201806040537 4 101672
1#0##0#0#0.0#2018-06-25 12:32:26#0#00:00:00#00:00:00#10:18:07 1
de5bd5e14f22c07c62b9441dad0f8c37
3578090 D 3 DP 2 05/06/2018 05/06/2018 21/03/1958 0 2
0 0 - 0 - 0 - 0 - 0 176200 444348
0 1 0 0 0 SUDARTI 007550 60 21991 DR. SARTONO,
SP. D 0217R0190618V000065 0001386612731 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101673 1#0##0#0#0.0#2018-06-25
12:33:28#0#00:00:00#00:00:00#00:00:00 1 c1eb00e89d4b6890da07aef25131e601
3578090 D 3 DP 2 05/06/2018 05/06/2018 31/12/1955 0 2
0 0 - 0 - 0 - 0 - 0 176200 244120
0 1 0 0 0 DETTY MALONDA 023895 62 22802 DR.
INACBG;123123123123 5.2.2.201806040537 4 101674
1#0##0#0#0.0#2018-06-25 12:35:59#0#00:00:00#00:00:00#00:00:00 1
86a5eedd54ad49139566cef372e10798
3578090 D 3 DP 2 05/06/2018 05/06/2018 24/04/1942 0 2
0 0 - 0 - 0 - 0 - 0 176200 186000
0 1 0 0 0 SUWAGIYAH 006858 76 27801 DR. TONY E.
PARENGKUAN, SP. JP 0217r0190618v000056 0000101057758 3;JKN
INACBG;123123123123 5.2.2.201806040537 4 101675
1#0##0#0#0.0#2018-06-25 12:50:06#0#12:49:27#12:49:27#00:00:00 1
7c1d867f4348204d1af9d5207b5a6d37
3578090 D 3 DP 2 05/06/2018 05/06/2018 13/09/1958 0 2
0 0 - 0 - 0 - 0 - 0 176200 222000
0 1 0 0 0 DR. ELSJE SETYAWATI, SP.PK 013792 59
0001227476654 3;JKN INACBG;123123123123 5.2.2.201806040537 4
101688 1#0##0#0#0.0#2018-06-26 07:48:47#0#00:00:00#00:00:00#00:00:00
1 3b5d7b909d145cfeb302e1f37c7d0642
3578090 D 3 DP 2 05/06/2018 05/06/2018 24/11/1958 0 1
0 0 - 0 - 0 - 0 - 0 176200 222000
0 1 0 0 0 DR HERU BUNAWAN 013793 59 21743 DR.
INACBG;123123123123 5.2.2.201806040537 4 101689
1#0##0#0#0.0#2018-06-26 07:49:28#0#00:00:00#00:00:00#00:00:00 1
214a2d7a0fe5d02fb036579abdbe9c35
3578090 D 3 DP 2 06/06/2018 06/06/2018 17/07/1954 0 1
0 0 - 0 - 0 - 0 - 0 176200 305200
INACBG;123123123123 5.2.2.201806040537 4 101676
1#0##0#0#0.0#2018-06-26 07:25:04#0#00:00:00#00:00:00#00:00:00 1
ef2d7bb16ebd747f337f65f00da32e00
3578090 D 3 DP 2 06/06/2018 06/06/2018 04/09/1938 0 1
0 0 - 0 - 0 - 0 - 0 176200 305200
0 1 0 0 0 SOETARDJO, BA 005424 79 29130 DR.
INACBG;123123123123 5.2.2.201806040537 4 101677
1#0##0#0#0.0#2018-06-26 07:26:04#0#00:00:00#00:00:00#00:00:00 1
821b21d7b83b89352d7387c26a0d3e2a
3578090 D 3 DP 2 06/06/2018 06/06/2018 07/08/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 305200
0 1 0 0 0 SETIAWANI 004116 66 24410 DR. AMIR
5.2.2.201806040537 4 101678 1#0##0#0#0.0#2018-06-26
07:26:56#0#00:00:00#00:00:00#00:00:00 1 29409156de94c4427fef86054495bddd
3578090 D 3 DP 2 06/06/2018 06/06/2018 30/06/1956 0 2
0 0 - 0 - 0 - 0 - 0 176200 305200
0 1 0 0 0 NUR HALIMAH 015511 61 22621 DR. AMIR
5.2.2.201806040537 4 101679 1#0##0#0#0.0#2018-06-26
07:27:45#0#00:00:00#00:00:00#00:00:00 1 3f016ca331e4f0d443f1026b0a5624cc
3578090 D 3 DP 2 06/06/2018 06/06/2018 30/10/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 305200
INACBG;123123123123 5.2.2.201806040537 4 101680
1#0##0#0#0.0#2018-06-26 07:28:34#0#00:00:00#00:00:00#00:00:00 1
3797b6c6f6f117e3e1600f8374e5e244
3578090 D 3 DP 2 06/06/2018 06/06/2018 29/04/2003 0 2
1 Z09.8;N83.2 88.79 - - None None None None Z-3-23-0 None
None None None None None PROSEDUR ULTRASOUND LAIN-LAIN 508200 0
0 - 0 - 0 - 0 - 0 508200 286000
0 1 0 0 0 DELIA DEWI NUR FITRIANI 017385 15 5517
INACBG;123123123123 5.2.2.201806040537 4 101681
1#0##0#0#0.0#2018-06-26 07:31:05#0#00:00:00#00:00:00#14:54:50 1
5068b553d4ca7c0f44be66119337957a
3578090 D 3 DP 2 06/06/2018 06/06/2018 08/12/1976 0 1
0 0 - 0 - 0 - 0 - 0 176200 290560
0 1 0 0 0 JUWARNO 023667 41 15155 DR.
INACBG;123123123123 5.2.2.201806040537 4 101682
1#0##0#0#0.0#2018-06-26 07:31:49#0#00:00:00#00:00:00#12:00:00 1
b9c8bdd5822d39216e8846f60c260461
3578090 D 3 DP 2 06/06/2018 06/06/2018 29/09/1950 0 2
0 0 - 0 - 0 - 0 - 0 176200 182500
INACBG;123123123123 5.2.2.201806040537 4 101683
1#0##0#0#0.0#2018-06-26 07:34:16#0#00:00:00#00:00:00#00:00:00 1
2a3d96a6c6ea393d33150da712232029
3578090 D 3 DP 2 06/06/2018 06/06/2018 13/08/1956 0 2
0 0 - 0 - 0 - 0 - 0 176200 282500
0 1 0 0 0 M.M.HAS BUAN 012332 61 22577 DR.
INACBG;123123123123 5.2.2.201806040537 4 101684
1#0##0#0#0.0#2018-06-26 07:35:10#0#00:00:00#00:00:00#00:00:00 1
bfc7365702e2c8bca3d9d8c801a38801
3578090 D 3 DP 2 06/06/2018 06/06/2018 01/01/1935 0 1
0 0 - 0 - 0 - 0 - 0 176200 297600
0 1 0 0 0 PAIDI 018382 83 30472 DR. AMIR SURYA,
SPM 0217R0190618V000089 0000100888018 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101685 1#0##0#0#0.0#2018-06-26
07:44:57#0#00:00:00#00:00:00#00:00:00 1 ad4496658ccc341abfe3df942913ccba
3578090 D 3 DP 2 06/06/2018 06/06/2018 21/12/1956 0 1
0 0 - 0 - 0 - 0 - 0 176200 173100
0 1 0 0 0 BAMBANG SUYONO 015796 61 22447 DR.
INACBG;123123123123 5.2.2.201806040537 4 101686
1#0##0#0#0.0#2018-06-26 07:46:06#0#00:00:00#00:00:00#00:00:00 1
08c1ce71c35ca457daed5aec9c6b739a
3578090 D 3 DP 2 06/06/2018 06/06/2018 17/08/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 180000
0 1 0 0 0 SUNARSIH 017377 66 24400 DR. IMAM
INACBG;123123123123 5.2.2.201806040537 4 101687
1#0##0#0#0.0#2018-06-26 07:48:01#0#00:00:00#00:00:00#00:00:00 1
737e3c67f05122c7798180379a8d5acf
3578090 D 3 DP 2 06/06/2018 06/06/2018 08/06/1968 0 2
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 NURCHAYATI 006193 49 18260 DRG. MIKA
5.2.2.201806040537 4 102084 1#0##0#0#0.0#2018-07-04
13:05:33#0#00:00:00#00:00:00#00:00:00 1 653108a1fefdabfdfa6d753d8a36fea1
3578090 D 3 DP 2 06/06/2018 06/06/2018 06/02/1960 0 1
0 0 - 0 - 0 - 0 - 0 176200 260000
INACBG;123123123123 5.2.2.201806040537 4 102100
1#0##0#0#0.0#2018-07-05 09:18:43#0#00:00:00#00:00:00#00:00:00 1
5f2e1b518622cc9009736462001d5786
3578090 D 3 DP 2 06/06/2018 06/06/2018 11/08/1984 0 1
- 0 - 0 - 0 - 0 173400 145000 0
1 0 0 0 AGUS SETIAWAN 006575 33 12352 DR. LYDIA
5.2.2.201806040537 4 102101 1#0##0#0#0.0#2018-07-05
09:27:29#0#00:00:00#00:00:00#00:00:00 1 1ed5173010549c73edbfb99ed9682fd5
3578090 D 3 DP 2 06/06/2018 06/06/2018 13/11/1982 0 2
0 - 0 - 0 - 0 - 0 281500 281000
0 1 0 0 0 ASMAUL CHUSNAH 008627 35 12989 DR.
INACBG;123123123123 5.2.2.201806040537 4 102102
1#0##0#0#0.0#2018-07-05 09:28:51#0#00:00:00#00:00:00#00:00:00 1
74bfd4defddbfd3349824957f21878dd
3578090 D 3 DP 2 07/06/2018 07/06/2018 03/09/1993 0 2
- 0 - 0 - 0 - 0 173400 260000 0
1 0 0 0 AYU RYAN PRAMESWARI 019364 24 9043 DR.
RIZKY 0217R0190618V000131 0001475270919 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101690 1#0##0#0#0.0#2018-06-26
08:54:44#0#00:00:00#00:00:00#00:00:00 1 2eb0b391882b1fad60c691ac52370321
3578090 D 3 DP 2 07/06/2018 07/06/2018 08/09/1983 0 1
- 0 - 0 - 0 - 0 173400 150000 0
INACBG;123123123123 5.2.2.201806040537 4 101691
1#0##0#0#0.0#2018-06-26 08:56:10#0#00:00:00#00:00:00#00:00:00 1
7c624179a3f0b9edb82a4d6394f67830
3578090 D 3 DP 2 07/06/2018 07/06/2018 07/07/1972 0 2
0 0 - 0 - 0 - 0 - 0 229900 170000
0 1 0 0 0 ERNI KUSUMAWATI 022524 45 16771 DR.
5.2.2.201806040537 4 101692 1#0##0#0#0.0#2018-06-26
08:58:54#0#00:00:00#00:00:00#12:00:00 1 fcac74bd62fd8413560454f8fdb5679f
3578090 D 3 DP 2 07/06/2018 07/06/2018 24/04/1966 0 1
0 - 0 - 0 - 0 - 0 176200 220000
0 1 0 0 0 SUPRAPTO 00017349 52 19037 DR. RIZKY
0217R0190618V000135 0001102965388 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101693 1#0##0#0#0.0#2018-06-26
08:59:38#0#00:00:00#00:00:00#17:13:52 1 15f17be4c563877051ecdc5d5aaa10ee
3578090 D 3 DP 2 07/06/2018 07/06/2018 12/07/1990 0 2
0 0 - 0 - 0 - 0 - 0 229900 264000
0 1 0 0 0 AYU LINDA PRATIWI 023898 27 10192 DR.
5.2.2.201806040537 4 101694 1#0##0#0#0.0#2018-06-26
09:01:11#0#00:00:00#00:00:00#00:00:00 1 2b433b8c5af2f0efee7dc3c00ed7ec8b
3578090 D 3 DP 2 07/06/2018 07/06/2018 02/07/1947 0 2
0 0 - 0 - 0 - 0 - 0 176200 286000
0 1 0 0 0 KUN MARJATI, DRA. 011126 70 25908 DR.
INACBG;123123123123 5.2.2.201806040537 4 101695
1#0##0#0#0.0#2018-06-26 09:01:56#0#00:00:00#00:00:00#00:00:00 1
426ba2f026a439ad12e04528090b5ecd
3578090 D 3 DP 2 07/06/2018 07/06/2018 30/06/1960 0 2
0 0 - 0 - 0 - 0 - 0 176200 274000
0 1 0 0 0 NIAMAH 018329 57 21161 DR. SARTONO,
5.2.2.201806040537 4 101696 1#0##0#0#0.0#2018-06-26
09:02:41#0#00:00:00#00:00:00#00:00:00 1 c031dc0a1e0adca0b749460bfa9f7c83
3578090 D 3 DP 2 07/06/2018 07/06/2018 17/05/1942 0 1
0 0 - 0 - 0 - 0 - 0 176200 248000
0 1 0 0 0 KALUBI 018563 76 27780 DR. SARTONO,
5.2.2.201806040537 4 101697 1#0##0#0#0.0#2018-06-26
09:03:21#0#00:00:00#00:00:00#00:00:00 1 0449996957257e1d2a4123494b286ddc
3578090 D 3 DP 2 07/06/2018 07/06/2018 23/01/1939 0 2
0 0 - 0 - 0 - 0 - 0 176200 265000
INACBG;123123123123 5.2.2.201806040537 4 101698
1#0##0#0#0.0#2018-06-26 09:04:06#0#00:00:00#00:00:00#00:00:00 1
7afdb0139cb7c0b979c90d03514b8a7d
3578090 D 3 DP 2 07/06/2018 07/06/2018 27/07/1946 0 2
0 0 - 0 - 0 - 0 - 0 176200 265000
5.2.2.201806040537 4 101699 1#0##0#0#0.0#2018-06-26
09:04:48#0#00:00:00#00:00:00#09:54:33 1 051cd4d0efdb8c5347d67570448be86e
3578090 D 3 DP 2 07/06/2018 07/06/2018 21/09/1952 0 2
0 0 - 0 - 0 - 0 - 0 176200 292000
INACBG;123123123123 5.2.2.201806040537 4 101700
1#0##0#0#0.0#2018-06-26 09:05:37#0#00:00:00#00:00:00#15:27:51 1
c7f595f18391f4ccfb0cc4adea631283
3578090 D 3 DP 2 07/06/2018 07/06/2018 31/12/1955 0 2
0 0 - 0 - 0 - 0 - 0 176200 504000
0 1 0 0 0 DETTY MALONDA 023895 62 22804 DR.
INACBG;123123123123 5.2.2.201806040537 4 101701
1#0##0#0#0.0#2018-06-26 09:06:36#0#00:00:00#00:00:00#00:00:00 1
7cfdfb05960b9eff6e1a35633259e6c4
3578090 D 3 DP 2 07/06/2018 07/06/2018 07/10/1949 0 1
0 0 - 0 - 0 - 0 - 0 176200 412000
0 1 0 0 0 NICO GERRITH LOTULUNG 018720 68 25080
INACBG;123123123123 5.2.2.201806040537 4 101702
1#0##0#0#0.0#2018-06-26 09:07:34#0#00:00:00#00:00:00#00:00:00 1
e61ede11dbd26e4fcb5a3084b3acfa13
3578090 D 3 DP 2 07/06/2018 07/06/2018 09/03/1946 0 1
0 0 - 0 - 0 - 0 - 0 176200 390000
0 1 0 0 0 KARTONO, SE 017557 72 26388 DR. SARTONO,
SP. D 0217R0190618V000119 0000100770985 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101703 1#0##0#0#0.0#2018-06-26
09:08:20#0#00:00:00#00:00:00#11:09:18 1 c1339a0900906f1a2398f7c63ce5a4b1
3578090 D 3 DP 2 07/06/2018 07/06/2018 16/07/1942 0 2
0 0 - 0 - 0 - 0 - 0 176200 451500
0 1 0 0 0 TASMINAH BSC 004353 75 27720 DR.
INACBG;123123123123 5.2.2.201806040537 4 101704
1#0##0#0#0.0#2018-06-26 09:09:30#0#00:00:00#00:00:00#00:00:00 1
950013094f61b71981d2de92707366ea
3578090 D 3 DP 2 07/06/2018 07/06/2018 28/02/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 386000
INACBG;123123123123 5.2.2.201806040537 4 101705
1#0##0#0#0.0#2018-06-26 09:10:14#0#00:00:00#00:00:00#00:00:00 1
056e4753a8e8586443c2d044cb3b2cef
3578090 D 3 DP 2 07/06/2018 07/06/2018 07/08/1942 0 1
0 0 - 0 - 0 - 0 - 0 176200 286000
0 1 0 0 0 SOEWANDI 018501 75 27698 DR. SARTONO,
5.2.2.201806040537 4 101706 1#0##0#0#0.0#2018-06-26
09:11:21#0#00:00:00#00:00:00#00:00:00 1 85375fac76c07715d3e0deb897c328f5
3578090 D 3 DP 2 07/06/2018 07/06/2018 28/12/1948 0 1
0 0 - 0 - 0 - 0 - 0 176200 212000
0 1 0 0 0 TULUS MURDIANI 018500 69 25363 DR.
INACBG;123123123123 5.2.2.201806040537 4 101707
1#0##0#0#0.0#2018-06-26 09:12:01#0#00:00:00#00:00:00#00:00:00 1
e60bf094f288a5ac4c9b86a61d5c1adb
3578090 D 3 DP 2 07/06/2018 07/06/2018 10/11/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 337000
0 1 0 0 0 KAYATUN 017965 69 25411 DR. SARTONO,
SP. D 0217R0190618V000109 0000101034134 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101708 1#0##0#0#0.0#2018-06-26
09:12:50#0#00:00:00#00:00:00#00:00:00 1 274031b1f3fe9b175e78a928d32516f9
3578090 D 3 DP 2 07/06/2018 07/06/2018 12/06/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 284000
0 1 0 0 0 RUDIATI 004350 74 27389 DR. SARTONO,
SP. D 0217R0190618V000116 0000101051212 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101709 1#0##0#0#0.0#2018-06-26
09:13:52#0#00:00:00#00:00:00#00:00:00 1 05f9a5d53ab09a7addc1b30ea7334c30
3578090 D 3 DP 2 07/06/2018 07/06/2018 01/01/1935 0 1
0 0 - 0 - 0 - 0 - 0 176200 274000
0 1 0 0 0 PAIDI 018382 83 30473 DR. SARTONO, SP. D
0217R0190618V000111 0000100888018 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101710 1#0##0#0#0.0#2018-06-26
09:14:36#0#00:00:00#00:00:00#00:00:00 1 60e9fc5320d5ab517863696524e7263e
3578090 D 3 DP 2 07/06/2018 07/06/2018 19/10/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 251000
0 1 0 0 0 DAMIATI 018137 68 25068 DR. SARTONO,
SP. D 0217R0190618V000107 0000101170642 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101711 1#0##0#0#0.0#2018-06-26
09:16:21#0#00:00:00#00:00:00#00:00:00 1 ae51f2f52778c578849174c4e2346c58
3578090 D 3 DP 2 07/06/2018 07/06/2018 03/03/1974 0 1
0 0 - 0 - 0 - 0 - 0 176200 225000
0 1 0 0 0 ASTHOBAH 023247 44 16167 DR. SARTONO,
5.2.2.201806040537 4 101712 1#0##0#0#0.0#2018-06-26
09:17:00#0#00:00:00#00:00:00#12:00:00 1 6d0231b0ac64d3c47087ebf107e3f151
3578090 D 3 DP 2 07/06/2018 07/06/2018 11/10/1969 0 2
0 0 - 0 - 0 - 0 - 0 176200 616000
0 1 0 0 0 ULIP INDRA SUWARI 023801 48 17771 DR.
INACBG;123123123123 5.2.2.201806040537 4 101713
1#0##0#0#0.0#2018-06-26 09:17:49#0#00:00:00#00:00:00#00:00:00 1
b1de5aeb3fc71e02654ce89c29c4d73f
3578090 D 3 DP 2 07/06/2018 07/06/2018 20/10/1969 0 2
0 0 - 0 - 0 - 0 - 0 176200 524000
INACBG;123123123123 5.2.2.201806040537 4 101714
1#0##0#0#0.0#2018-06-26 09:20:43#0#00:00:00#00:00:00#00:00:00 1
8f1ca5db2972ea531465330f235409f8
3578090 D 3 DP 2 07/06/2018 07/06/2018 21/12/1940 0 2
0 0 - 0 - 0 - 0 - 0 176200 282000
INACBG;123123123123 5.2.2.201806040537 4 101715
1#0##0#0#0.0#2018-06-26 09:22:17#0#00:00:00#00:00:00#00:00:00 1
ef0f425249931c7f34a80548ad34815b
3578090 D 3 DP 2 07/06/2018 07/06/2018 14/09/1952 0 2
0 0 - 0 - 0 - 0 - 0 176200 245000
0 1 0 0 0 E. TAMPUBOLON 017973 65 24007 DR.
INACBG;123123123123 5.2.2.201806040537 4 101716
1#0##0#0#0.0#2018-06-26 09:23:00#0#00:00:00#00:00:00#00:00:00 1
267916e11907fa9205613ada138cb157
3578090 D 3 DP 2 07/06/2018 07/06/2018 13/08/1956 0 2
0 0 - 0 - 0 - 0 - 0 176200 230000
0 1 0 0 0 M.M.HAS BUAN 012332 61 22578 DR.
INACBG;123123123123 5.2.2.201806040537 4 101717
1#0##0#0#0.0#2018-06-26 09:23:43#0#00:00:00#00:00:00#00:00:00 1
474b5b73221606eb3f8823a34f04b77e
3578090 D 3 DP 2 07/06/2018 07/06/2018 06/09/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 225000
0 1 0 0 0 SITI SUMANTRI 023849 66 24381 DR.
INACBG;123123123123 5.2.2.201806040537 4 101780
1#0##0#0#0.0#2018-06-26 11:58:36#0#00:00:00#00:00:00#00:00:00 1
41a68a5a05984b6a787eb9ab6c149bc0
3578090 D 3 DP 2 07/06/2018 07/06/2018 24/09/1965 0 1
0 0 - 0 - 0 - 0 - 0 176200 376000
0 1 0 0 0 SEMUEL RU'UNG 022404 52 19249 DR.
INACBG;123123123123 5.2.2.201806040537 4 102085
1#0##0#0#0.0#2018-07-04 13:06:28#0#00:00:00#00:00:00#00:00:00 1
428f26e351f4612b35e9eaac2a3e40e7
3578090 D 3 DP 2 08/06/2018 08/06/2018 15/01/1945 0 1
0 0 - 0 - 0 - 0 - 0 176200 160000
0 1 0 0 0 LOMBA HADIR 019580 73 26807 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101718
1#0##0#0#0.0#2018-06-26 10:05:22#0#00:00:00#00:00:00#10:32:01 1
3ec923de5fb5e9ff31731755b3a3ad1e
3578090 D 3 DP 2 08/06/2018 08/06/2018 23/11/1972 0 2
0 0 - 0 - 0 - 0 - 0 176200 160000
0 1 0 0 0 MAPINDO N. S SI 00015783 45 16633 DR.
INACBG;123123123123 5.2.2.201806040537 4 101719
1#0##0#0#0.0#2018-06-26 10:06:00#0#00:00:00#00:00:00#13:22:26 1
08f972a36c1fecb54f0eccbe7fd1856b
3578090 D 3 DP 2 08/06/2018 08/06/2018 12/07/1939 0 1
0 0 - 0 - 0 - 0 - 0 176200 257720
0 1 0 0 0 JOHN FREDRIK UMBAS 006860 78 28821
3;JKN INACBG;123123123123 5.2.2.201806040537 4 101720
1#0##0#0#0.0#2018-06-26 10:06:50#0#00:00:00#00:00:00#00:00:00 1
1ee0b4f48a39b3b459f03d82dff4b46c
3578090 D 3 DP 2 08/06/2018 08/06/2018 24/12/1951 0 1
0 0 - 0 - 0 - 0 - 0 176200 226800
0 1 0 0 0 SUBANDIYO, DRS. 012550 66 24273 DR.
INACBG;123123123123 5.2.2.201806040537 4 101721
1#0##0#0#0.0#2018-06-26 10:08:08#0#00:00:00#00:00:00#00:00:00 1
25715efa0400b94c706dceb0ecb03ea8
3578090 D 3 DP 2 08/06/2018 08/06/2018 15/01/1946 0 2
0 0 - 0 - 0 - 0 - 0 176200 199500
0 1 0 0 0 SITI SUNTINI 016385 72 26442 DR.
INACBG;123123123123 5.2.2.201806040537 4 101722
1#0##0#0#0.0#2018-06-26 10:09:02#0#00:00:00#00:00:00#00:00:00 1
73778cd484577606095e1124bde0681f
3578090 D 3 DP 2 08/06/2018 08/06/2018 08/12/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 169500
0 1 0 0 0 DJAMIJO 010761 74 27211 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101723
1#0##0#0#0.0#2018-06-26 10:09:50#0#00:00:00#00:00:00#00:00:00 1
af4271bc2e5be7c2c9f0a02374afe14c
3578090 D 3 DP 2 08/06/2018 08/06/2018 19/10/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 171500
0 1 0 0 0 DAMIATI 018137 68 25069 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101724
1#0##0#0#0.0#2018-06-26 10:10:36#0#00:00:00#00:00:00#00:00:00 1
22505647ed1ae0f4f52fb7a03e99e366
3578090 D 3 DP 2 08/06/2018 08/06/2018 17/08/1942 0 2
1 Z09.8;I10;E78.6 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 191000
0 1 0 0 0 ANIK 003957 75 27689 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101725
1#0##0#0#0.0#2018-06-26 10:11:28#0#00:00:00#00:00:00#00:00:00 1
e084fbf3bf2a2bdf1a115259015ecf8b
3578090 D 3 DP 2 08/06/2018 08/06/2018 30/06/1940 0 2
0 0 - 0 - 0 - 0 - 0 176200 231500
3;JKN INACBG;123123123123 5.2.2.201806040537 4 101726
1#0##0#0#0.0#2018-06-26 10:12:22#0#00:00:00#00:00:00#00:00:00 1
7ab6ccff25b0f359581c954a0d69eb12
3578090 D 3 DP 2 08/06/2018 08/06/2018 10/05/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 239500
0 1 0 0 0 DESSY DASILAH 004581 73 26692 DR.
INACBG;123123123123 5.2.2.201806040537 4 101727
1#0##0#0#0.0#2018-06-26 10:13:52#0#00:00:00#00:00:00#00:00:00 1
ad24c862d1f42c10747feff21c8a96fe
3578090 D 3 DP 2 08/06/2018 08/06/2018 22/07/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 262600
3;JKN INACBG;123123123123 5.2.2.201806040537 4 101728
1#0##0#0#0.0#2018-06-26 10:14:44#0#00:00:00#00:00:00#00:00:00 1
2191ad25cbd008417979ae238473686f
3578090 D 3 DP 2 08/06/2018 08/06/2018 30/06/1954 0 2
0 0 - 0 - 0 - 0 - 0 176200 175000
0 1 0 0 0 KARTINI 00010987 63 23354 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101729
1#0##0#0#0.0#2018-06-26 10:15:35#0#00:00:00#00:00:00#22:30:47 1
fd7176245da5051af49e20cdaa4adeb0
3578090 D 3 DP 2 08/06/2018 08/06/2018 29/04/1937 0 2
0 0 - 0 - 0 - 0 - 0 176200 179000
0 1 0 0 0 TIEN ARTINAH 020382 81 29625 DR.
INACBG;123123123123 5.2.2.201806040537 4 101730
1#0##0#0#0.0#2018-06-26 10:16:31#0#00:00:00#00:00:00#00:00:00 1
0726157947ede31e8eda448f304ba041
3578090 D 3 DP 2 08/06/2018 08/06/2018 14/09/1952 0 2
0 0 - 0 - 0 - 0 - 0 176200 170000
0 1 0 0 0 E. TAMPUBOLON 017973 65 24008 DR.
INACBG;123123123123 5.2.2.201806040537 4 101731
1#0##0#0#0.0#2018-06-26 10:17:15#0#00:00:00#00:00:00#00:00:00 1
8e8147c9e871c9a3d2f7903e7320e8ae
3578090 D 3 DP 2 08/06/2018 08/06/2018 21/09/1952 0 2
0 0 - 0 - 0 - 0 - 0 176200 179100
INACBG;123123123123 5.2.2.201806040537 4 101732
1#0##0#0#0.0#2018-06-26 10:18:02#0#00:00:00#00:00:00#15:27:51 1
644ffadc3b43b9a36fded4c1029ba00a
3578090 D 3 DP 2 08/06/2018 08/06/2018 05/05/1938 0 2
0 0 - 0 - 0 - 0 - 0 176200 167000
0 1 0 0 0 SOEKESI 005650 80 29254 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101733
1#0##0#0#0.0#2018-06-26 10:18:45#0#00:00:00#00:00:00#00:00:00 1
e5de4a3a7ef859ed695f70b47913af41
3578090 D 3 DP 2 08/06/2018 08/06/2018 12/06/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 206900
0 1 0 0 0 RUDIATI 004350 74 27390 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101734
1#0##0#0#0.0#2018-06-26 10:20:38#0#00:00:00#00:00:00#00:00:00 1
f0f48f8327ede038b9da2f285aaf887f
3578090 D 3 DP 2 08/06/2018 08/06/2018 20/03/1969 0 2
0 0 - 0 - 0 - 0 - 0 176200 173100
0 1 0 0 0 ANITAH UMARWATI 022218 49 17977 DR.
INACBG;123123123123 5.2.2.201806040537 4 101735
1#0##0#0#0.0#2018-06-26 10:39:09#0#00:00:00#00:00:00#00:00:00 1
36205b234b94e59047273139be215115
3578090 D 3 DP 2 08/06/2018 08/06/2018 01/01/1940 0 2
0 0 - 0 - 0 - 0 - 0 176200 164000
0 1 0 0 0 HAIRI SOEGIJAH 005361 78 28648 DR.
INACBG;123123123123 5.2.2.201806040537 4 101736
1#0##0#0#0.0#2018-06-26 10:39:52#0#00:00:00#00:00:00#23:27:36 1
4630ed0c60210c45fc67789b8bd62052
3578090 D 3 DP 2 08/06/2018 08/06/2018 13/06/1954 0 2
0 0 - 0 - 0 - 0 - 0 176200 228000
0 1 0 0 0 ALIFAH 022951 63 23371 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101737
1#0##0#0#0.0#2018-06-26 10:40:33#0#00:00:00#00:00:00#12:00:00 1
14c3b970cc7eff19e8dea74c76325cca
3578090 D 3 DP 2 08/06/2018 08/06/2018 07/12/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 175100
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INACBG;123123123123 5.2.2.201806040537 4 101738
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3578090 D 3 DP 2 08/06/2018 08/06/2018 12/03/1942 0 1
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INACBG;123123123123 5.2.2.201806040537 4 101740
1#0##0#0#0.0#2018-06-26 10:43:09#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 09/03/1946 0 1
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INACBG;123123123123 5.2.2.201806040537 4 101741
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3578090 D 3 DP 2 08/06/2018 08/06/2018 23/01/1939 0 2
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3578090 D 3 DP 2 08/06/2018 08/06/2018 24/07/1949 0 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 13/05/1940 0 2
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3578090 D 3 DP 2 08/06/2018 08/06/2018 10/11/1948 0 2
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INACBG;123123123123 5.2.2.201806040537 4 101745
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3578090 D 3 DP 2 08/06/2018 08/06/2018 12/07/1940 0 2
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3578090 D 3 DP 2 08/06/2018 08/06/2018 13/03/1944 0 2
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INACBG;123123123123 5.2.2.201806040537 4 101747
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3578090 D 3 DP 2 08/06/2018 08/06/2018 17/07/1954 0 1
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INACBG;123123123123 5.2.2.201806040537 4 101748
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3578090 D 3 DP 2 08/06/2018 08/06/2018 19/05/1953 0 2
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3578090 D 3 DP 2 08/06/2018 08/06/2018 30/11/1945 0 2
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INACBG;123123123123 5.2.2.201806040537 4 101750
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3578090 D 3 DP 2 08/06/2018 08/06/2018 18/02/1943 0 1
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INACBG;123123123123 5.2.2.201806040537 4 101751
1#0##0#0#0.0#2018-06-26 10:54:48#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 05/04/1947 0 1
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INACBG;123123123123 5.2.2.201806040537 4 101752
1#0##0#0#0.0#2018-06-26 10:56:28#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 18/02/1938 0 2
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1#0##0#0#0.0#2018-06-26 10:57:59#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 04/07/1946 0 1
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INACBG;123123123123 5.2.2.201806040537 4 101755
1#0##0#0#0.0#2018-06-26 10:58:50#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 25/07/1962 0 2
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INACBG;123123123123 5.2.2.201806040537 4 101756
1#0##0#0#0.0#2018-06-26 11:00:22#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 22/04/1941 0 1
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INACBG;123123123123 5.2.2.201806040537 4 101758
1#0##0#0#0.0#2018-06-26 11:02:17#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 04/06/1967 0 2
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INACBG;123123123123 5.2.2.201806040537 4 101759
1#0##0#0#0.0#2018-06-26 11:03:04#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 14/08/1947 0 2
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INACBG;123123123123 5.2.2.201806040537 4 101760
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3578090 D 3 DP 2 08/06/2018 08/06/2018 24/02/1994 0 1
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0 1 0 0 0 RAMADHANA RIZKYAWAN 023711 24 8870
INACBG;123123123123 5.2.2.201806040537 4 101761
1#0##0#0#0.0#2018-06-26 11:04:38#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 15/08/1945 0 2
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INACBG;123123123123 5.2.2.201806040537 4 101762
1#0##0#0#0.0#2018-06-26 11:05:53#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 31/12/1954 0 2
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INACBG;123123123123 5.2.2.201806040537 4 101763
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3578090 D 3 DP 2 08/06/2018 08/06/2018 07/12/1953 0 2
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0 1 0 0 0 MASKAROMAH 010357 64 23559 DR. IMAM
INACBG;123123123123 5.2.2.201806040537 4 101764
1#0##0#0#0.0#2018-06-26 11:07:23#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 12/06/1951 0 2
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INACBG;123123123123 5.2.2.201806040537 4 101765
1#0##0#0#0.0#2018-06-26 11:08:26#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 24/07/1942 0 2
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0 1 0 0 0 EMMELIA SIMANJUNTAK JD 012961 75 27713
INACBG;123123123123 5.2.2.201806040537 4 101766
1#0##0#0#0.0#2018-06-26 11:09:16#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 15/05/1947 0 1
1 Z09.8;G30.9;F00.9 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 177500
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5.2.2.201806040537 4 101767 1#0##0#0#0.0#2018-06-26
11:14:01#0#00:00:00#00:00:00#00:00:00 1 f63ecd10cbf84942fa2c42b762397013
3578090 D 3 DP 2 08/06/2018 08/06/2018 05/12/1952 0 2
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INACBG;123123123123 5.2.2.201806040537 4 101768
1#0##0#0#0.0#2018-06-26 11:14:43#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 01/09/1993 0 2
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1 0 0 0 SHINTA AMALIA 00006369 24 9046 DRG. RIAWATI
0217R0190618V000184 0001109460352 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101769 1#0##0#0#0.0#2018-06-26
11:15:43#0#00:00:00#00:00:00#08:08:20 1 d755f44e3470a899c0abea9d4e463a94
3578090 D 3 DP 2 08/06/2018 08/06/2018 29/07/1971 0 2
0 - 0 - 0 - 0 269500 232000 0 1
0 0 0 CHATERINA JULIANA M L 023901 46 17116 DRG. MIKA
5.2.2.201806040537 4 101770 1#0##0#0#0.0#2018-06-26
11:16:49#0#00:00:00#00:00:00#00:00:00 1 58e4e272240511ea653f515e9c48e694
3578090 D 3 DP 2 08/06/2018 08/06/2018 09/05/2007 0 1
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1 0 0 0 ARMEILEN DWIPA SATRIAJI 012729 11 4048 DR.
INACBG;123123123123 5.2.2.201806040537 4 101771
1#0##0#0#0.0#2018-06-26 11:17:36#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 15/04/1966 0 1
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INACBG;123123123123 5.2.2.201806040537 4 101772
1#0##0#0#0.0#2018-06-26 11:22:24#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 24/12/1934 0 1
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0 1 0 0 0 SOERATMAN BSC 014349 83 30482 DR.
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INACBG;123123123123 5.2.2.201806040537 4 101773
1#0##0#0#0.0#2018-06-26 11:24:17#0#11:23:36#11:23:36#15:07:39 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 23/03/1972 0 1
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1 0 0 0 HARYADI 023823 46 16878 DRG. RIAWATI
0217R0190618V000181 0001110227679 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101784 1#0##0#0#0.0#2018-06-26
13:01:40#0#00:00:00#00:00:00#13:55:51 1 97d84128fcfa66c2cd0299b8093f179c
3578090 D 3 DP 2 08/06/2018 08/06/2018 30/09/1992 0 1
0 - 0 - 0 - 0 - 0 176200 235000
0 1 0 0 0 DIMAS PRASETYO 023900 25 9382 DR.
INACBG;123123123123 5.2.2.201806040537 4 101785
1#0##0#0#0.0#2018-06-26 13:03:03#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 01/01/1929 0 1
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0 1 0 0 0 BARIJEM JD. SOEKIRNO 018718 89 32665
3;JKN INACBG;123123123123 5.2.2.201806040537 4 101786
1#0##0#0#0.0#2018-06-26 13:04:18#0#00:00:00#00:00:00#14:33:49 1
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3578090 D 3 DP 2 08/06/2018 08/06/2018 30/10/1943 0 1
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INACBG;123123123123 5.2.2.201806040537 4 102086
1#0##0#0#0.0#2018-07-04 13:07:46#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 09/06/2018 09/06/2018 28/09/2012 0 2
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1 0 0 0 SABREEN DENUS CETTA 022755 5 2080 DR.
5.2.2.201806040537 4 101774 1#0##0#0#0.0#2018-06-26
11:47:57#0#00:00:00#00:00:00#12:00:00 1 911f0afd2d9a23d6ab6adcb9b362e115
3578090 D 3 DP 2 09/06/2018 09/06/2018 18/10/2008 0 1
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1 0 0 0 SAFARAZ DENUS HAQ 022737 9 3521 DR. RIZKY
0217R0190618V000200 0001110313945 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101775 1#0##0#0#0.0#2018-06-26
11:49:11#0#00:00:00#00:00:00#12:00:00 1 7f17cbed5718dab105e9c5a6ebd1f388
3578090 D 3 DP 2 09/06/2018 09/06/2018 31/03/2014 0 2
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5.2.2.201806040537 4 101776 1#0##0#0#0.0#2018-06-26
11:52:17#0#00:00:00#00:00:00#12:00:00 1 eb1182148dca9ea5f5c2ae08c0f883a4
3578090 D 3 DP 2 09/06/2018 09/06/2018 11/05/1998 0 2
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5.2.2.201806040537 4 101777 1#0##0#0#0.0#2018-06-26
11:53:07#0#00:00:00#00:00:00#00:00:00 1 a3fd81470edf43de7bbf5245c747aa8c
3578090 D 3 DP 2 09/06/2018 09/06/2018 24/08/1956 0 2
0 0 - 0 - 0 - 0 - 0 176200 218000
0 1 0 0 0 HERRY ENNY SUDJIATMITRI 018751 61 22569
INACBG;123123123123 5.2.2.201806040537 4 101778
1#0##0#0#0.0#2018-06-26 11:54:19#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 09/06/2018 09/06/2018 10/04/1942 0 2
0 0 - 0 - 0 - 0 - 0 176200 277000
0 1 0 0 0 RR. ANDAROEKMI, ba 005759 76 27819
INACBG;123123123123 5.2.2.201806040537 4 101779
1#0##0#0#0.0#2018-06-26 11:55:54#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 09/06/2018 09/06/2018 02/02/1942 0 1
0 0 - 0 - 0 - 0 - 0 176200 224000
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5.2.2.201806040537 4 101781 1#0##0#0#0.0#2018-06-26
11:59:20#0#00:00:00#00:00:00#17:54:51 1 79735a5acb3607ebecdcac3330aeeb97
3578090 D 3 DP 2 09/06/2018 09/06/2018 25/02/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 316000
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INACBG;123123123123 5.2.2.201806040537 4 101782
1#0##0#0#0.0#2018-06-26 12:01:33#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 09/06/2018 09/06/2018 20/08/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 485000
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INACBG;123123123123 5.2.2.201806040537 4 101783
1#0##0#0#0.0#2018-06-26 12:04:25#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 10/06/2018 10/06/2018 07/01/1982 0 2
1 J40 93.94 - - None None None None J-3-13-0 None None
0 - 0 - 0 - 0 - 0 292900 290000
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5.2.2.201806040537 4 101787 1#0##0#0#0.0#2018-06-26
13:07:06#0#00:00:00#00:00:00#00:00:00 1 a3bee383c3a70e2b8587e19bfc648050
3578090 D 3 DP 2 10/06/2018 10/06/2018 17/04/1950 0 2
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5.2.2.201806040537 4 101788 1#0##0#0#0.0#2018-06-26
13:08:23#0#00:00:00#00:00:00#00:00:00 1 d9415074a3903db467579d4f6d6c7a9a
3578090 D 3 DP 2 11/06/2018 11/06/2018 01/07/1967 0 2
0 - 0 - 0 - 0 - 0 176200 195000
0 1 0 0 0 SITTI MARYAM 023902 50 18608 DR.
5.2.2.201806040537 4 101789 1#0##0#0#0.0#2018-06-26
13:11:14#0#00:00:00#00:00:00#00:00:00 1 e5796ab8efae390a4f51eb6b2e53b129
3578090 D 3 DP 2 11/06/2018 11/06/2018 24/12/1963 0 1
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0 1 0 0 0 SUJAKA 022291 54 19893 DR. MARISA
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5.2.2.201806040537 4 101790 1#0##0#0#0.0#2018-06-26
13:13:14#0#00:00:00#00:00:00#12:04:27 2 6889414bb611991ae25d38179275bd8b
3578090 D 1 DP 1 09/06/2018 11/06/2018 18/02/1938 0 2
1 E16.2 - - - None None None None E-4-10-I None None
None None None None PENYAKIT KENCING MANIS & GANGGUAN NUTRISI/ METABOLIK
(RINGAN) 4429700 0 0 - 0 - 0 - 0 - 0
4429700 2880000 0 3 0 0 0 ETMI SOERJOTOENINGSIH
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0000101051032 3;JKN INACBG;123123123123 5.2.2.201806040537 4
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3578090 D 3 DP 2 12/06/2018 12/06/2018 26/08/1997 0 2
- 0 - 0 - 0 - 0 173400 135000 0
1 0 0 0 PUTRI MEGA WIJAYANTI 023903 20 7595 DR.
INACBG;123123123123 5.2.2.201806040537 4 101791
1#0##0#0#0.0#2018-06-26 13:14:58#0#00:00:00#00:00:00#00:00:00 1
4db6429fa0abbc7a6d97393091eb1636
3578090 D 3 DP 2 12/06/2018 12/06/2018 04/05/2011 0 1
- 0 - 0 - 0 - 0 173400 140000 0
1 0 0 0 WAHYU NUGRAHA PRATAMA 023409 7 2596 DR.
INACBG;123123123123 5.2.2.201806040537 4 101792
1#0##0#0#0.0#2018-06-26 13:15:41#0#00:00:00#00:00:00#12:00:00 1
291b2e04d0164b5be0aeb0ef0a6a5d56
3578090 D 3 DP 2 12/06/2018 12/06/2018 15/08/2007 0 1
- 0 - 0 - 0 - 0 173400 167000 0
1 0 0 0 BINTANG SAKTI P 006158 10 3954 DR. RIZKY
5.2.2.201806040537 4 101793 1#0##0#0#0.0#2018-06-26
13:16:39#0#00:00:00#00:00:00#02:22:28 1 cd7e92024d1609290327d2d6549b271e
3578090 D 3 DP 2 13/06/2018 13/06/2018 04/05/1981 0 2
None None None None GIGI DAN PERMASALAHANNYA 196200 0 0
- 0 - 0 - 0 - 0 196200 125000 0
1 0 0 0 IFFA RIZKI AMALIYAH 016592 37 13554 DR.
5.2.2.201806040537 4 101794 1#0##0#0#0.0#2018-06-26
13:18:30#0#00:00:00#00:00:00#13:58:53 1 844e99321efeff0c5f4f5f7827bf90f1
3578090 D 3 DP 2 13/06/2018 13/06/2018 27/05/2007 0 2
0 0 - 0 - 0 - 0 - 0 229900 159000
0 1 0 0 0 AULIA RIZKY DAMAYANTI 023904 11 4035
DR. MUH BAYU 0217R0190618V000214 0001227080531 3;JKN
INACBG;123123123123 5.2.2.201806040537 4 101795
1#0##0#0#0.0#2018-06-26 13:19:18#0#00:00:00#00:00:00#00:00:00 1
b7b906e0c270b6bc6e2262335b88e24b
3578090 D 3 DP 2 13/06/2018 13/06/2018 02/06/1973 0 2
0 - 0 - 0 - 0 125500 145000 0 1
0 0 0 IMROATIN WULANDARI 022716 45 16447 DR. MUH BAYU
0217R0190618V000215 0001227381783 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101796 1#0##0#0#0.0#2018-06-26
13:20:04#0#00:00:00#00:00:00#12:00:00 1 1505c63a518275d5e1b01ea8455dca9d
3578090 D 3 DP 2 13/06/2018 13/06/2018 05/02/2007 0 2
- 0 - 0 - 0 - 0 173400 149000 0
1 0 0 0 ALFITRI RIZKI AKMALIA 013944 11 4146 DR.
5.2.2.201806040537 4 101797 1#0##0#0#0.0#2018-06-26
13:20:49#0#00:00:00#00:00:00#16:15:34 1 c714738e2074730c0abee4692c459bb6
3578090 D 3 DP 2 13/06/2018 13/06/2018 24/12/1963 0 1
0 - 0 - 0 - 0 - 0 176200 165000
0 1 0 0 0 SUJAKA 022291 54 19895 DR. LYDIA
5.2.2.201806040537 4 102103 1#0##0#0#0.0#2018-07-05
09:29:56#0#00:00:00#00:00:00#12:04:27 1 07695777c4f3763373305999a8b4e983
3578090 D 3 DP 2 14/06/2018 14/06/2018 22/04/1952 0 2
0 0 - 0 - 0 - 0 - 0 229900 552200
0 1 0 0 0 KARMINEM 023906 66 24159 DR. MUH BAYU
0217R0190618V000220 0002294362765 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101798 1#0##0#0#0.0#2018-06-26
13:23:54#0#00:00:00#00:00:00#00:00:00 1 e40e6665d2b158cfc45edb8b313930fd
3578090 D 3 DP 2 14/06/2018 14/06/2018 24/12/1963 0 1
0 - 0 - 0 - 0 - 0 176200 245000
0 1 0 0 0 SUJAKA 022291 54 19896 DR. MUH BAYU
0217R0190618V000221 0001110069437 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101799 1#0##0#0#0.0#2018-06-26
13:24:38#0#00:00:00#00:00:00#12:04:27 1 ad2710931acc1cfbf5437cd9d7112e81
3578090 D 3 DP 2 14/06/2018 14/06/2018 07/02/1941 0 2
0 0 - 0 - 0 - 0 - 0 229900 306200
5.2.2.201806040537 4 101800 1#0##0#0#0.0#2018-06-26
13:25:37#0#00:00:00#00:00:00#00:00:00 1 51e486beecd4e2afdef1dbab3c4736ea
3578090 D 3 DP 2 14/06/2018 14/06/2018 09/06/1966 0 1
- 0 - 0 - 0 - 0 173400 159000 0
1 0 0 0 WIRNOTO 00017560 52 18998 DR. MUH BAYU
0217R0190618V000222 0001226617413 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101801 1#0##0#0#0.0#2018-06-26
13:26:19#0#00:00:00#00:00:00#12:54:35 1 aeb105cf8a4d7f367183dbd3a57a62d7
3578090 D 3 DP 2 14/06/2018 14/06/2018 29/02/1984 0 2
0 - 0 - 0 - 0 - 0 176200 150000
0 1 0 0 0 KHOLIpAH INDAHSARI 009655 34 12524
DR. MUH BAYU 0217R0190618V000223 0001226640126 3;JKN
INACBG;123123123123 5.2.2.201806040537 4 101802
1#0##0#0#0.0#2018-06-26 13:27:12#0#00:00:00#00:00:00#00:00:00 1
7ad0e080bb66a4e57add2ddd9650c497
3578090 D 3 DP 2 15/06/2018 15/06/2018 24/12/1963 0 1
0 - 0 - 0 - 0 - 0 176200 165000
0 1 0 0 0 SUJAKA 022291 54 19897 DR. RIVAN
0217R0190618V000224 0001110069437 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101803 1#0##0#0#0.0#2018-06-26
13:44:27#0#00:00:00#00:00:00#12:04:27 1 437a5bd9deba2a694e6eae3d18c94e17
3578090 D 3 DP 2 15/06/2018 15/06/2018 10/03/1994 0 1
- 0 - 0 - 0 - 0 173400 180000 0
1 0 0 0 ANDIKA YUDHA PRATAMA 023432 24 8863 DR.
5.2.2.201806040537 4 101804 1#0##0#0#0.0#2018-06-26
13:45:11#0#00:00:00#00:00:00#12:00:00 1 5e2952622b5817c4c049bba609c90393
3578090 D 3 DP 2 15/06/2018 15/06/2018 31/12/1969 0 1
- 0 - 0 - 0 - 0 173400 210000 0
1 0 0 0 ANTONIUS NUR W 022553 48 17698 DR. RIVAN
0217R0190618V000226 0001226589276 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101805 1#0##0#0#0.0#2018-06-26
13:46:05#0#00:00:00#00:00:00#12:00:00 1 da3378725a9255238c499579326175f2
3578090 D 3 DP 2 16/06/2018 16/06/2018 08/09/1983 0 1
- 0 - 0 - 0 - 0 173400 170000 0
INACBG;123123123123 5.2.2.201806040537 4 102104
1#0##0#0#0.0#2018-07-05 09:32:06#0#00:00:00#00:00:00#00:00:00 1
bf5d711ea8b3df566e189568b6e575bd
3578090 D 3 DP 2 17/06/2018 17/06/2018 31/12/1969 0 1
- 0 - 0 - 0 - 0 173400 167000 0
1 0 0 0 ANTONIUS NUR W 022553 48 17700 DR. RIVAN
0217R0190618V000229 0001226589276 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101806 1#0##0#0#0.0#2018-06-26
13:47:53#0#00:00:00#00:00:00#12:00:00 1 11908424a53293f94929699f841144cb
3578090 D 3 DP 2 17/06/2018 17/06/2018 16/04/1972 0 2
1 K30 93.96 - - None None None None J-3-13-0 None None
0 - 0 - 0 - 0 - 0 292900 250000
0 1 0 0 0 NURUL HIDAYATI 00000276 46 16863 DR. S.
YALA YUNIARTI 0217R0190618V000228 0001110249246 3;JKN
INACBG;123123123123 5.2.2.201806040537 4 101807
1#0##0#0#0.0#2018-06-26 13:50:46#0#00:00:00#00:00:00#00:00:00 1
b499f10fa717326479a8868b444c62c8
3578090 D 3 DP 2 18/06/2018 18/06/2018 29/11/1975 0 2
- 0 - 0 - 0 - 0 173400 130000 0
1 0 0 0 RIKA RIANA DEWI NOVITA 016908 42 15542 DR.
CHRISTINA 0217R0190618V000235 0001110439563 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101808 1#0##0#0#0.0#2018-06-26
13:52:55#0#00:00:00#00:00:00#17:47:00 1 d4560f113f606c528744de004d2ad3f1
3578090 D 3 DP 2 18/06/2018 18/06/2018 17/11/1944 0 1
None None None None BRONKIAL AKUT 178000 0 0 - 0
- 0 - 0 - 0 178000 160000 0 1 0
0 0 PANANGAMAN PASARIBU 013353 73 26876 DR. CHRISTINA
0217R0190618V000230 0000101042886 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101809 1#0##0#0#0.0#2018-06-26
13:53:35#0#00:00:00#00:00:00#14:09:05 1 2e4de2e1820b07f725b9bcd0c5f1431e
3578090 D 3 DP 2 18/06/2018 18/06/2018 20/06/1935 0 2
0 - 0 - 0 - 0 - 0 176200 177000
0 1 0 0 0 NURJANNAH 008523 82 30314 DR.
5.2.2.201806040537 4 101810 1#0##0#0#0.0#2018-06-26
13:55:26#0#00:00:00#00:00:00#00:00:00 1 1d26081b97f21da41d444ab02807bfdd
3578090 D 3 DP 2 18/06/2018 18/06/2018 28/03/1946 0 2
0 0 - 0 - 0 - 0 - 0 229900 183000
0 1 0 0 0 MASTORIA SILITONGA 015742 72 26380
DR. CHRISTINA 0217R0190618V000231 0000101598276 3;JKN
INACBG;123123123123 5.2.2.201806040537 4 101811
1#0##0#0#0.0#2018-06-26 13:56:10#0#00:00:00#00:00:00#00:00:00 1
8c11ec005bb82f03267d90a940d104f9
3578090 D 3 DP 2 18/06/2018 18/06/2018 12/09/1979 0 2
0 0 - 0 - 0 - 0 - 0 176200 142000
0 1 0 0 0 ENDAH WINARTI 007180 38 14159 DR.
5.2.2.201806040537 4 101812 1#0##0#0#0.0#2018-06-26
13:56:55#0#00:00:00#00:00:00#00:00:00 1 fa7f6547ce4632d182e4039db6fff067
3578090 D 3 DP 2 18/06/2018 18/06/2018 13/12/1965 0 1
0 - 0 - 0 - 0 - 0 176200 145000
0 1 0 0 0 JUMADI 021695 52 19180 DR.
5.2.2.201806040537 4 101813 1#0##0#0#0.0#2018-06-26
13:57:35#0#00:00:00#00:00:00#13:47:42 1 c74f299f02c23f50a36ecb5b4cb3924c
3578090 D 3 DP 2 18/06/2018 18/06/2018 27/07/1982 0 1
- 0 - 0 - 0 - 0 173400 167000 0
1 0 0 0 ROBBY SANDRA BAKTI 023907 35 13110 DR.
5.2.2.201806040537 4 101814 1#0##0#0#0.0#2018-06-26
13:58:28#0#00:00:00#00:00:00#00:00:00 1 6580fdd264edb4fd310a2c730b9ca61c
3578090 D 3 DP 2 19/06/2018 19/06/2018 12/10/1991 0 1
- 0 - 0 - 0 - 0 173400 124000 0
1 0 0 0 PUGUH ANDIK P. 022942 26 9747 DR. LYDIA
5.2.2.201806040537 4 102105 1#0##0#0#0.0#2018-07-05
09:34:22#0#00:00:00#00:00:00#12:00:00 1 fc6d38fbd4b673fe49c52fa9380a0f5c
3578090 D 3 DP 2 19/06/2018 19/06/2018 20/11/1979 0 2
0 - 0 - 0 - 0 - 0 176200 213000
0 1 0 0 0 ANITA PURWANINGSIH 00011577 38 14091
INACBG;123123123123 5.2.2.201806040537 4 102114
1#0##0#0#0.0#2018-07-05 10:42:25#0#00:00:00#00:00:00#00:00:00 1
392d84fb2b1c8d647340316dc8b82299
3578090 D 3 DP 2 19/06/2018 19/06/2018 09/11/1969 0 1
0 0 - 0 - 0 - 0 - 0 229900 135000
0 1 0 0 0 WAHUD 023910 48 17754 DR. S. YALA
YUNIARTI 0217R0190618V000239 0001102820692 3;JKN INACBG;123123123123
5.2.2.201806040537 4 102115 1#0##0#0#0.0#2018-07-05
10:43:59#0#00:00:00#00:00:00#00:00:00 1 1f6d55341be8a10983216a7d7634f587
3578090 D 3 DP 2 19/06/2018 19/06/2018 15/04/1962 0 1
1 M79.16;E11.9 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 170000
0 1 0 0 0 EKO RIYANTO 019529 56 20519 DR. S. YALA
5.2.2.201806040537 4 102116 1#0##0#0#0.0#2018-07-05
10:44:54#0#00:00:00#00:00:00#00:00:00 1 ab44d792d0ef42aafa2c0c96e1a39eec
3578090 D 3 DP 2 19/06/2018 19/06/2018 30/05/2010 0 1
- 0 - 0 - 0 178000 167000 0 1 0
0 0 KHRISNANDA ANUGRAH YUANDI 017252 8 2942 DR. S. YALA
5.2.2.201806040537 4 102117 1#0##0#0#0.0#2018-07-05
10:47:16#0#00:00:00#00:00:00#00:00:00 1 cba69633005ff17a40d143b05471f481
3578090 D 3 DP 2 19/06/2018 19/06/2018 06/09/1970 0 1
0 - 0 - 0 - 0 - 0 176200 130000
0 1 0 0 0 YUSUP 023909 47 17453 DR. LYDIA
5.2.2.201806040537 4 102118 1#0##0#0#0.0#2018-07-05
10:48:18#0#00:00:00#00:00:00#00:00:00 1 d63511d96207803c315692312bee043b
3578090 D 3 DP 2 20/06/2018 20/06/2018 29/04/1968 0 1
- 0 - 0 - 0 - 0 173400 160000 0
1 0 0 0 KUSAERI 019988 50 18314 DR. MUH BAYU
0217R0190618V000242 0001102852405 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101815 1#0##0#0#0.0#2018-06-26
14:01:15#0#00:00:00#00:00:00#14:53:44 1 a3b715306318aa6193b2d95291349dfe
3578090 D 3 DP 2 20/06/2018 20/06/2018 30/05/2000 0 2
1 S62.80 - - - None None None None Q-5-42-0 None
0 - 0 - 0 - 0 - 0 173400 191000
0 1 0 0 0 DINI ABRIYANTI NH 023912 18 6595 DR.
5.2.2.201806040537 4 101816 1#0##0#0#0.0#2018-06-26
14:02:15#0#00:00:00#00:00:00#00:00:00 1 8342fa200e380dc116696023ab7b5e67
3578090 D 3 DP 2 20/06/2018 20/06/2018 10/12/1972 0 1
- 0 - 0 - 0 178000 158000 0 1 0
0 0 SURYADI 008377 45 16628 DR. MUH BAYU
0217R0190618V000246 0001102885942 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101817 1#0##0#0#0.0#2018-06-26
14:02:55#0#00:00:00#00:00:00#00:00:00 1 1079f9e3de41c2ff31e300b91f7fac3f
3578090 D 3 DP 2 20/06/2018 20/06/2018 19/01/1981 0 2
0 0 - 0 - 0 - 0 - 0 229900 237000
0 1 0 0 0 IRMAYANTI, SE 023914 37 13666 DR.
5.2.2.201806040537 4 101818 1#0##0#0#0.0#2018-06-26
14:03:43#0#00:00:00#00:00:00#00:00:00 1 fec56078d980061b4afd3cde35543fd6
3578090 D 3 DP 2 20/06/2018 20/06/2018 19/06/1972 0 1
None None None None CARDIAC ARREST, RESPIRATORY ARREST & SHOCK 246500
0 0 - 0 - 0 - 0 - 0 246500 255000
0 1 0 0 0 SUDAR SUPRIATNA 023913 46 16802 DR.
5.2.2.201806040537 4 101819 1#0##0#0#0.0#2018-06-26
14:04:31#0#00:00:00#00:00:00#00:00:00 1 c4f4c2e2913ee7676da5d1cff8583b81
3578090 D 3 DP 2 21/06/2018 21/06/2018 26/03/1999 0 2
- 0 - 0 - 0 - 0 269500 220000 0
5.2.2.201806040537 4 101820 1#0##0#0#0.0#2018-06-26
14:12:52#0#00:00:00#00:00:00#00:00:00 1 b404594c4597c9f63eafe0ad9f69567e
3578090 D 3 DP 2 21/06/2018 21/06/2018 27/08/1968 0 1
- 0 - 0 - 0 - 0 173400 644000 0
1 0 0 0 ABDILLAH 023915 49 18195 DR. LYDIA
5.2.2.201806040537 4 101821 1#0##0#0#0.0#2018-06-26
14:15:33#0#00:00:00#00:00:00#00:00:00 1 2225689d5d962fe1ec9c2f82ad6e1ba6
3578090 D 3 DP 2 21/06/2018 21/06/2018 16/01/2006 0 1
- 0 - 0 - 0 - 0 173400 220000 0
1 0 0 0 ELLYSA SATYA WINANDANG 023917 12 4539 DR. S.
YALA YUNIARTI 0217R0190618V000248 0001384148147 3;JKN
INACBG;123123123123 5.2.2.201806040537 4 101822
1#0##0#0#0.0#2018-06-26 14:16:30#0#00:00:00#00:00:00#00:00:00 1
e3f734e30ff103e6c4481d55a22b3057
3578090 D 3 DP 2 21/06/2018 21/06/2018 21/12/2012 0 1
- 0 - 0 - 0 - 0 173400 190000 0
1 0 0 0 ALVIN DZAKY ALFAHREZI 023920 5 2008 DR.
5.2.2.201806040537 4 101823 1#0##0#0#0.0#2018-06-26
14:17:31#0#00:00:00#00:00:00#00:00:00 1 1bba9e1638c222ea448382cd31207871
3578090 D 3 DP 2 21/06/2018 21/06/2018 11/04/2010 0 2
- 0 - 0 - 0 - 0 173400 172500 0
1 0 0 0 NAYLA ALMIRAH SAFWAH 00013754 8 2993 DR.
5.2.2.201806040537 4 101824 1#0##0#0#0.0#2018-06-26
14:18:18#0#00:00:00#00:00:00#14:41:18 1 6388d9c3184336d89e5b8f5eba814ab7
3578090 D 3 DP 2 21/06/2018 21/06/2018 10/12/1972 0 1
- 0 - 0 - 0 - 0 173400 161200 0
1 0 0 0 SURYADI 008377 45 16629 DR. MARISA
0217R0190618V000272 0001102885942 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101825 1#0##0#0#0.0#2018-06-26
14:19:54#0#00:00:00#00:00:00#00:00:00 1 229ac46322d1cd63cebd5f92d6a18347
3578090 D 3 DP 2 21/06/2018 21/06/2018 28/08/1977 0 2
0 - 0 - 0 - 0 - 0 176200 134200
0 1 0 0 0 HETY RUSMIATI, S.SOS 012637 40 14907
DR. MARISA 0217R0190618V000271 0001227360655 3;JKN
INACBG;123123123123 5.2.2.201806040537 4 101826
1#0##0#0#0.0#2018-06-26 14:20:45#0#00:00:00#00:00:00#00:00:00 1
13fb6f3bcf1f45f160bd2063552ef48c
3578090 D 3 DP 2 21/06/2018 21/06/2018 06/08/1976 0 1
1 S92.30 - - - None None None None Q-5-31-0 None
None None None None None FRAKTUR 119900 0 0 - 0
- 0 - 0 - 0 119900 285000 0 1 0
0 0 AANG GUNAEDI 013555 41 15294 DR. LYDIA TRISNAWATI
0217R0190618V000268 0001102969787 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101827 1#0##0#0#0.0#2018-06-26
14:21:46#0#00:00:00#00:00:00#00:00:00 1 f6fe1814a5d465627d823a606bc966ae
3578090 D 3 DP 2 21/06/2018 21/06/2018 19/06/1972 0 1
- 0 - 0 - 0 - 0 173400 153000 0
1 0 0 0 SUDAR SUPRIATNA 023913 46 16803 DR. MARISA
0217R0190618V000274 0001110003333 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101828 1#0##0#0#0.0#2018-06-26
14:22:39#0#00:00:00#00:00:00#00:00:00 1 999ebd21ee07e6801b69447140499d23
3578090 D 3 DP 2 21/06/2018 21/06/2018 28/12/1971 0 1
0 0 - 0 - 0 - 0 - 0 176200 197000
0 1 0 0 0 MOCH. JUSUF SUDJATMIKO,SE 017376 46
INACBG;123123123123 5.2.2.201806040537 4 101829
1#0##0#0#0.0#2018-06-26 14:23:22#0#00:00:00#00:00:00#10:58:32 1
7d55267ff367b717fa356fd2f03d8967
3578090 D 3 DP 2 21/06/2018 21/06/2018 04/02/1947 0 1
0 0 - 0 - 0 - 0 - 0 176200 185000
INACBG;123123123123 5.2.2.201806040537 4 101830
1#0##0#0#0.0#2018-06-26 14:24:08#0#00:00:00#00:00:00#00:00:00 1
4289d092e389c3f7cd8dbf27d12f5cf8
3578090 D 3 DP 2 21/06/2018 21/06/2018 24/08/1948 0 1
0 0 - 0 - 0 - 0 - 0 176200 242000
0 1 0 0 0 DAUD SURA 018990 69 25503 DR. IMAM
INACBG;123123123123 5.2.2.201806040537 4 101831
1#0##0#0#0.0#2018-06-26 14:24:58#0#00:00:00#00:00:00#00:00:00 1
588fe27543d342bf443d1a3ebf6a5127
3578090 D 3 DP 2 21/06/2018 21/06/2018 16/05/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 302100
INACBG;123123123123 5.2.2.201806040537 4 101832
1#0##0#0#0.0#2018-06-26 14:25:42#0#00:00:00#00:00:00#00:00:00 1
c1337b6c427c04c31b4b6770131c6ed3
3578090 D 3 DP 2 21/06/2018 21/06/2018 06/07/1965 0 1
0 0 - 0 - 0 - 0 - 0 176200 299200
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3578090 D 3 DP 2 21/06/2018 21/06/2018 06/11/1966 0 1
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3578090 D 3 DP 2 22/06/2018 22/06/2018 14/12/1973 0 1
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3578090 D 3 DP 2 22/06/2018 22/06/2018 28/04/1939 0 1
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INACBG;123123123123 5.2.2.201806040537 4 101851
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3578090 D 3 DP 2 22/06/2018 22/06/2018 07/06/1965 0 2
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1#0##0#0#0.0#2018-06-29 10:26:58#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 22/06/2018 22/06/2018 12/08/1948 0 1
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3578090 D 3 DP 2 22/06/2018 22/06/2018 04/02/1947 0 1
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3578090 D 3 DP 2 22/06/2018 22/06/2018 21/12/1949 0 1
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3578090 D 3 DP 2 22/06/2018 22/06/2018 30/06/1952 0 2
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3578090 D 3 DP 2 22/06/2018 22/06/2018 08/10/1943 0 1
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3578090 D 3 DP 2 22/06/2018 22/06/2018 10/08/1949 0 2
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3578090 D 3 DP 2 22/06/2018 22/06/2018 16/03/1959 0 2
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3578090 D 3 DP 2 22/06/2018 22/06/2018 09/09/1939 0 1
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3578090 D 3 DP 2 22/06/2018 22/06/2018 31/12/1966 0 1
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3578090 D 3 DP 2 22/06/2018 22/06/2018 30/12/1942 0 1
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3578090 D 3 DP 2 22/06/2018 22/06/2018 29/09/1950 0 2
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3578090 D 3 DP 2 22/06/2018 22/06/2018 26/04/1943 0 1
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3578090 D 3 DP 2 22/06/2018 22/06/2018 17/01/1973 0 2
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3578090 D 3 DP 2 22/06/2018 22/06/2018 19/09/1963 0 2
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3578090 D 3 DP 2 22/06/2018 22/06/2018 07/07/1967 0 2
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3578090 D 3 DP 2 22/06/2018 22/06/2018 21/11/1953 0 2
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3578090 D 3 DP 2 22/06/2018 22/06/2018 06/08/1944 0 2
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3578090 D 3 DP 2 22/06/2018 22/06/2018 10/12/1942 0 1
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3578090 D 3 DP 2 22/06/2018 22/06/2018 17/04/1969 0 2
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3578090 D 3 DP 2 22/06/2018 22/06/2018 20/06/1969 0 1
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INACBG;123123123123 5.2.2.201806040537 4 101875
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11:45:30#0#00:00:00#00:00:00#00:00:00 1 a893184187ba78c79b86571702e33bff
3578090 D 3 DP 2 22/06/2018 22/06/2018 16/02/1981 0 2
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INACBG;123123123123 5.2.2.201806040537 4 101878
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3578090 D 3 DP 2 22/06/2018 22/06/2018 07/03/1998 0 2
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INACBG;123123123123 5.2.2.201806040537 4 101877
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3578090 D 3 DP 2 22/06/2018 22/06/2018 03/03/1974 0 1
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5.2.2.201806040537 4 101879 1#0##0#0#0.0#2018-06-29
11:50:18#0#00:00:00#00:00:00#12:00:00 1 98717123966088114bff69e00a09bd0a
3578090 D 3 DP 2 22/06/2018 22/06/2018 05/07/1968 0 2
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5.2.2.201806040537 4 101880 1#0##0#0#0.0#2018-06-29
11:51:08#0#00:00:00#00:00:00#00:00:00 1 a3ddf350f2783c8d18c669a2cdb2dfdf
3578090 D 3 DP 2 22/06/2018 22/06/2018 12/12/1944 0 2
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5.2.2.201806040537 4 101881 1#0##0#0#0.0#2018-06-29
11:52:07#0#00:00:00#00:00:00#00:00:00 1 5b8f6d2653fd19fe3dab66f19b7dfe64
3578090 D 3 DP 2 22/06/2018 22/06/2018 11/02/1975 0 2
1 Z09.8;O82.9 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 285000
0 1 0 0 0 YUSIANA 00009355 43 15837 DR. RIANTO,
5.2.2.201806040537 4 102087 1#0##0#0#0.0#2018-07-04
13:09:01#0#00:00:00#00:00:00#10:51:26 1 7deec043584e7e45067ef3beb9975973
3578090 D 3 DP 2 22/06/2018 22/06/2018 05/08/1952 0 2
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0 1 0 0 0 RR.RAHAYU SETYAWATI 007956 65 24062
INACBG;123123123123 5.2.2.201806040537 4 102088
1#0##0#0#0.0#2018-07-04 13:10:00#0#00:00:00#00:00:00#00:00:00 1
7ac1035014ccd2b25df74ece08380dbe
3578090 D 3 DP 2 23/06/2018 23/06/2018 27/09/1975 0 1
2 J18.9 93.96;93.94 - - None None None None J-3-13-0 None
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0 0 - 0 - 0 - 0 - 0 292900 900000
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0217R0190618V000316 0001110080013 3;JKN INACBG;123123123123
5.2.2.201806040537 4 102089 1#0##0#0#0.0#2018-07-04
13:11:54#0#00:00:00#00:00:00#00:00:00 1 f7be1cdd6df5b179c6db437ec3893b5c
3578090 D 3 DP 2 23/06/2018 23/06/2018 12/04/1948 0 2
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INACBG;123123123123 5.2.2.201806040537 4 102090
1#0##0#0#0.0#2018-07-04 13:13:01#0#00:00:00#00:00:00#00:00:00 1
18a303ee19d24476e3c43c51f89132fa
3578090 D 3 DP 2 23/06/2018 23/06/2018 15/06/1940 0 1
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0 1 0 0 0 AGOENG HARTONO 004547 78 28497 DR.
INACBG;123123123123 5.2.2.201806040537 4 102091
1#0##0#0#0.0#2018-07-04 13:13:49#0#00:00:00#00:00:00#00:00:00 1
2a5c1646aefc6415f7bd3af83d8044e0
3578090 D 2 DP 1 21/06/2018 23/06/2018 25/12/1966 0 1
2 S37.00 - - - None None None None N-4-16-I None
None None None None None PENYAKIT GINJAL DAN SALURAN URIN LAIN-LAIN
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2873200 3547580 0 3 0 0 0 TUGIK WARSITO
0001110003783 3;JKN INACBG;123123123123 5.2.2.201806040537 4
102317 1#0##0#0#0.0#2018-07-09 10:54:45#0#00:00:00#00:00:00#00:00:00
1 4b8c90c11cff1d60528548d69ffaf1cc
3578090 D 3 DP 2 24/06/2018 24/06/2018 30/06/1954 0 2
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5.2.2.201806040537 4 102092 1#0##0#0#0.0#2018-07-04
13:14:51#0#00:00:00#00:00:00#22:30:47 1 63a8917f29b9f82c7a342a202e23d6a9
3578090 D 3 DP 2 25/06/2018 25/06/2018 12/12/1944 0 2
0 0 - 0 - 0 - 0 - 0 176200 202500
0 1 0 0 0 PINTA SIHITE 005337 73 26858 DR.
INACBG;123123123123 5.2.2.201806040537 4 101882
1#0##0#0#0.0#2018-06-29 12:17:22#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 06/08/1955 0 1
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0 1 0 0 0 SUYONO 017984 62 22969 DR. IMAM
INACBG;123123123123 5.2.2.201806040537 4 101883
1#0##0#0#0.0#2018-06-29 12:18:19#0#00:00:00#00:00:00#09:53:40 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 01/01/1950 0 2
0 384500 373000 0 1 0 0 0 ANIZAR UPIK 007052
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3;JKN INACBG;123123123123 5.2.2.201806040537 4 101884
1#0##0#0#0.0#2018-06-29 12:19:31#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 10/02/1940 0 1
1 Z09.8;M17.0;I63.9 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 284000
0 1 0 0 0 BOESTAMI 010362 78 28625 DR. IMAM
INACBG;123123123123 5.2.2.201806040537 4 101885
1#0##0#0#0.0#2018-06-29 12:20:30#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 23/05/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 362000
0 1 0 0 0 J. KUSRIN HATMOSUDARMO 015725 75 27427
INACBG;123123123123 5.2.2.201806040537 4 101886
1#0##0#0#0.0#2018-06-29 12:21:15#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 25/05/1944 0 1
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0 1 0 0 0 J.A.MOELJONO 018156 74 27059 DR.
INACBG;123123123123 5.2.2.201806040537 4 101887
1#0##0#0#0.0#2018-06-29 12:22:04#0#00:00:00#00:00:00#00:00:00 1
4668bf152d7aba33f0c287e95f4eead1
3578090 D 3 DP 2 25/06/2018 25/06/2018 17/07/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 302000
0 1 0 0 0 LIEKE SOELA SH 006896 72 26641 DR.
INACBG;123123123123 5.2.2.201806040537 4 101888
1#0##0#0#0.0#2018-06-29 12:22:46#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 29/09/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 258000
0 1 0 0 0 MULYADI BA 004306 77 28393 DR. IMAM
INACBG;123123123123 5.2.2.201806040537 4 101889
1#0##0#0#0.0#2018-06-29 12:23:46#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 10/12/1943 0 2
0 0 - 0 - 0 - 0 - 0 176200 202000
0 1 0 0 0 SRI SUHARTINI 010565 74 27226 DR.
INACBG;123123123123 5.2.2.201806040537 4 101890
1#0##0#0#0.0#2018-06-29 12:28:01#0#00:00:00#00:00:00#00:00:00 1
3e4f8773bd11c587689e450c5a53aaf1
3578090 D 3 DP 2 25/06/2018 25/06/2018 30/09/1965 0 1
0 0 - 0 - 0 - 0 - 0 176200 240000
0 1 0 0 0 IRAWAN SUKARNO 022492 52 19261 DR.
INACBG;123123123123 5.2.2.201806040537 4 101891
1#0##0#0#0.0#2018-06-29 12:28:45#0#00:00:00#00:00:00#12:00:00 1
1f93b3617d7a609c70e37eade9b1ea2e
3578090 D 3 DP 2 25/06/2018 25/06/2018 07/01/1938 0 1
0 0 - 0 - 0 - 0 - 0 176200 168000
0 1 0 0 0 SOETRISNO BA. 004185 80 29389 DR.
INACBG;123123123123 5.2.2.201806040537 4 101892
1#0##0#0#0.0#2018-06-29 12:29:37#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 17/01/1973 0 2
0 0 - 0 - 0 - 0 - 0 176200 198000
INACBG;123123123123 5.2.2.201806040537 4 101893
1#0##0#0#0.0#2018-06-29 12:35:56#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 21/01/1962 0 1
0 0 - 0 - 0 - 0 - 0 176200 178000
0 1 0 0 0 RONNY JIMY ARON 019710 56 20609 DR.
INACBG;123123123123 5.2.2.201806040537 4 101894
1#0##0#0#0.0#2018-06-29 12:37:22#0#00:00:00#00:00:00#10:10:34 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 10/04/1942 0 2
0 0 - 0 - 0 - 0 - 0 176200 220000
0 1 0 0 0 RR. ANDAROEKMI, ba 005759 76 27835
INACBG;123123123123 5.2.2.201806040537 4 101895
1#0##0#0#0.0#2018-06-29 12:38:17#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 20/07/1943 0 2
0 0 - 0 - 0 - 0 - 0 176200 277000
0 1 0 0 0 MARLUPI 009963 74 27369 DR. IMAM
INACBG;123123123123 5.2.2.201806040537 4 101896
1#0##0#0#0.0#2018-06-29 12:39:04#0#00:00:00#00:00:00#00:00:00 1
1c705eb2394e29b5034c75ca0c99e437
3578090 D 3 DP 2 25/06/2018 25/06/2018 03/09/1934 0 1
0 0 - 0 - 0 - 0 - 0 176200 208000
0 1 0 0 0 M SIBURIAN 004315 83 30611 DR. IMAM
INACBG;123123123123 5.2.2.201806040537 4 101897
1#0##0#0#0.0#2018-06-29 12:39:51#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 07/02/1941 0 2
0 0 - 0 - 0 - 0 - 0 176200 195000
INACBG;123123123123 5.2.2.201806040537 4 101898
1#0##0#0#0.0#2018-06-29 12:40:39#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 30/06/1940 0 2
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INACBG;123123123123 5.2.2.201806040537 4 101899
1#0##0#0#0.0#2018-06-29 12:41:28#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 25/02/1939 0 2
0 0 - 0 - 0 - 0 - 0 176200 180000
INACBG;123123123123 5.2.2.201806040537 4 101900
1#0##0#0#0.0#2018-06-29 12:54:41#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 19/03/1980 0 2
0 - 0 - 0 - 0 - 0 281500 281000
0 1 0 0 0 MARTINI 001226 38 13977 DR. RIANTO,
5.2.2.201806040537 4 101901 1#0##0#0#0.0#2018-06-29
12:56:06#0#00:00:00#00:00:00#00:00:00 1 96e3892637873c8c0950654788f16e27
3578090 D 3 DP 2 25/06/2018 25/06/2018 09/11/1982 0 2
0 0 - 0 - 0 - 0 - 0 281500 297000
0 1 0 0 0 NENNY NOVARINA 023639 35 13012 DR.
INACBG;123123123123 5.2.2.201806040537 4 101902
1#0##0#0#0.0#2018-06-29 12:57:31#0#00:00:00#00:00:00#12:00:00 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 13/11/1982 0 2
1 Z09.8;O82.9 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 285000
0 1 0 0 0 ASMAUL CHUSNAH 008627 35 13008 DR.
INACBG;123123123123 5.2.2.201806040537 4 101903
1#0##0#0#0.0#2018-06-29 13:10:29#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 06/02/1980 0 2
0 - 0 - 0 - 0 - 0 281500 792000
0 1 0 0 0 SITI ZULAIKHAH 017131 38 14019 DR.
INACBG;123123123123 5.2.2.201806040537 4 101904
1#0##0#0#0.0#2018-06-29 13:11:26#0#00:00:00#00:00:00#00:00:00 1
cfac9e0838c0710d00eeafa7dcc0adce
3578090 D 3 DP 2 25/06/2018 25/06/2018 09/12/1990 0 2
0 - 0 - 0 - 0 - 0 248800 150000
0 1 0 0 0 AYUNDA YOVITA S 023549 27 10060 DR.
INACBG;123123123123 5.2.2.201806040537 4 101905
1#0##0#0#0.0#2018-06-29 13:12:15#0#00:00:00#00:00:00#12:00:00 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 29/03/1992 0 2
- 0 - 0 - 0 - 0 173400 120500 0
1 0 0 0 ROOSPITASARI AYUNINGTYAS 013936 26 9584
INACBG;123123123123 5.2.2.201806040537 4 101906
1#0##0#0#0.0#2018-06-29 13:13:14#0#00:00:00#00:00:00#00:00:00 1
974437a79392a0b86d708b27a925cd04
3578090 D 3 DP 2 25/06/2018 25/06/2018 03/12/1945 0 2
1 J40 93.94 - - None None None None J-3-13-0 None None
0 - 0 - 0 - 0 - 0 292900 195000
INACBG;123123123123 5.2.2.201806040537 4 102093
1#0##0#0#0.0#2018-07-04 13:15:57#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 04/10/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 193000
INACBG;123123123123 5.2.2.201806040537 4 102094
1#0##0#0#0.0#2018-07-04 13:16:53#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 25/06/2018 25/06/2018 06/11/1964 0 2
0 0 - 0 - 0 - 0 - 0 176200 120000
0 1 0 0 0 MUSLIMAH 022261 53 19589 DR. IMAM
INACBG;123123123123 5.2.2.201806040537 4 102107
1#0##0#0#0.0#2018-07-05 09:36:25#0#00:00:00#00:00:00#00:00:00 1
3c4a5988801692148843236d623621c1
3578090 D 3 DP 2 26/06/2018 26/06/2018 10/05/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 289000
0 1 0 0 0 DESSY DASILAH 004581 73 26710 DR.
INACBG;123123123123 5.2.2.201806040537 4 101907
1#0##0#0#0.0#2018-06-29 14:03:45#0#00:00:00#00:00:00#00:00:00 1
75b0abc7a4bcbd92ca14bbed4b3b99ec
3578090 D 3 DP 2 26/06/2018 26/06/2018 12/10/1954 0 2
0 0 - 0 - 0 - 0 - 0 176200 312000
0 1 0 0 0 REYNA HUTABARAT 012366 63 23268 DR.
INACBG;123123123123 5.2.2.201806040537 4 101908
1#0##0#0#0.0#2018-06-29 14:04:36#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 26/06/2018 26/06/2018 31/08/1942 0 1
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INACBG;123123123123 5.2.2.201806040537 4 101909
1#0##0#0#0.0#2018-06-29 14:05:32#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 26/06/2018 26/06/2018 27/03/1943 0 1
1 Z09.8;E11.9;N40 - - - None None None None Q-5-44-0
0 0 - 0 - 0 - 0 - 0 176200 346000
0 1 0 0 0 SUDARTO 009323 75 27485 DR. SARTONO,
5.2.2.201806040537 4 101910 1#0##0#0#0.0#2018-06-29
14:07:26#0#00:00:00#00:00:00#00:00:00 1 018e60bcf15b2574b96bb57f6dae1481
3578090 D 3 DP 2 26/06/2018 26/06/2018 10/04/1942 0 2
0 0 - 0 - 0 - 0 - 0 176200 208000
0 1 0 0 0 RR. ANDAROEKMI, ba 005759 76 27836
INACBG;123123123123 5.2.2.201806040537 4 101911
1#0##0#0#0.0#2018-06-29 14:09:01#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 26/06/2018 26/06/2018 04/09/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 303000
INACBG;123123123123 5.2.2.201806040537 4 101912
1#0##0#0#0.0#2018-06-29 14:09:47#0#00:00:00#00:00:00#00:00:00 1
c75cc79a5ff54ba94168f26f8801c966
3578090 D 3 DP 2 26/06/2018 26/06/2018 10/08/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 198000
0 1 0 0 0 DJOEMIATI 018116 68 25157 DR. SARTONO,
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5.2.2.201806040537 4 101913 1#0##0#0#0.0#2018-06-29
14:10:45#0#00:00:00#00:00:00#00:00:00 1 b04add04169100bdd92d4d810c9070d5
3578090 D 3 DP 2 26/06/2018 26/06/2018 08/10/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 348000
0 1 0 0 0 SUNARJO 018113 74 27290 DR. SARTONO,
SP. D 0217R0190618V000385 0000100788759 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101914 1#0##0#0#0.0#2018-06-29
14:11:41#0#00:00:00#00:00:00#00:00:00 1 7dd12b272e23fcdb697d5b313a3eb1ec
3578090 D 3 DP 2 26/06/2018 26/06/2018 19/09/1963 0 2
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SP. D 0217R0190618V000389 0000209875206 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101915 1#0##0#0#0.0#2018-06-29
14:12:36#0#00:00:00#00:00:00#00:00:00 1 9656be140a97f5e37f4ef58d29cff1c2
3578090 D 3 DP 2 26/06/2018 26/06/2018 07/02/1941 0 2
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INACBG;123123123123 5.2.2.201806040537 4 101916
1#0##0#0#0.0#2018-06-29 14:13:26#0#00:00:00#00:00:00#00:00:00 1
13b3e02a4857f44ade82156c986d7efa
3578090 D 3 DP 2 26/06/2018 26/06/2018 27/07/1941 0 2
0 0 - 0 - 0 - 0 - 0 176200 248000
0 1 0 0 0 DEWI AISJAH 004536 76 28093 DR. SARTONO,
5.2.2.201806040537 4 101917 1#0##0#0#0.0#2018-06-29
14:14:35#0#00:00:00#00:00:00#00:00:00 1 e38131cddd8f49227a28c2c0b6c30295
3578090 D 3 DP 2 26/06/2018 26/06/2018 09/07/1964 0 2
0 0 - 0 - 0 - 0 - 0 176200 270000
0 1 0 0 0 ELIS SUSILAWATI, S.PD. 011125 53 19710
INACBG;123123123123 5.2.2.201806040537 4 101918
1#0##0#0#0.0#2018-06-29 14:15:19#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 26/06/2018 26/06/2018 10/06/1946 0 2
0 0 - 0 - 0 - 0 - 0 176200 300000
0 1 0 0 0 I MADE DANI 011530 72 26314 DR. SARTONO,
5.2.2.201806040537 4 101919 1#0##0#0#0.0#2018-06-29
14:16:13#0#00:00:00#00:00:00#00:00:00 1 7a779cd49571b4b1e1a7fa712cec2e50
3578090 D 3 DP 2 26/06/2018 26/06/2018 23/12/1966 0 1
0 0 - 0 - 0 - 0 - 0 176200 352000
0 1 0 0 0 M B TJIPTONO 011982 51 18813 DR.
INACBG;123123123123 5.2.2.201806040537 4 101920
1#0##0#0#0.0#2018-06-29 14:16:59#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 26/06/2018 26/06/2018 26/05/1960 0 2
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INACBG;123123123123 5.2.2.201806040537 4 101921
1#0##0#0#0.0#2018-06-29 14:17:47#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 26/06/2018 26/06/2018 06/08/1955 0 1
0 0 - 0 - 0 - 0 - 0 176200 374000
0 1 0 0 0 SUYONO 017984 62 22970 DR. SARTONO,
SP. D 0217R0190618V000363 0000101213346 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101922 1#0##0#0#0.0#2018-06-29
14:18:39#0#00:00:00#00:00:00#09:53:40 1 aa4f3f32e6592735888cb4b38816f175
3578090 D 3 DP 2 26/06/2018 26/06/2018 30/06/1940 0 2
0 0 - 0 - 0 - 0 - 0 176200 317500
INACBG;123123123123 5.2.2.201806040537 4 101923
1#0##0#0#0.0#2018-06-29 14:19:43#0#00:00:00#00:00:00#00:00:00 1
d92abb3c44ce912b3d288cb7f88d3ddc
3578090 D 3 DP 2 26/06/2018 26/06/2018 29/09/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 190000
0 1 0 0 0 MULYADI BA 004306 77 28394 DR. SARTONO,
SP. D 0217R0190618V000372 0000101040805 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101924 1#0##0#0#0.0#2018-06-29
14:21:44#0#00:00:00#00:00:00#00:00:00 1 42abd0495f873e339266c9b0296d72ca
3578090 D 3 DP 2 26/06/2018 26/06/2018 17/06/1966 0 1
0 0 - 0 - 0 - 0 - 0 176200 313000
0 1 0 0 0 SISWANTO 023055 52 19002 DR. SARTONO,
SP. D 0217R0190618V000360 0001110229975 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101925 1#0##0#0#0.0#2018-06-29
14:22:43#0#00:00:00#00:00:00#12:00:00 1 e4cc589921bee5e92dcb74659ea3ae5b
3578090 D 3 DP 2 26/06/2018 26/06/2018 21/01/1969 0 1
0 0 - 0 - 0 - 0 - 0 176200 205000
0 1 0 0 0 ATUT JAYANTO 022926 49 18053 DR.
INACBG;123123123123 5.2.2.201806040537 4 101926
1#0##0#0#0.0#2018-06-29 14:23:31#0#00:00:00#00:00:00#12:00:00 1
8292f53812adfeb554262a0f017e8188
3578090 D 3 DP 2 26/06/2018 26/06/2018 12/04/1968 0 1
0 0 - 0 - 0 - 0 - 0 176200 268000
0 1 0 0 0 KAMISAN 022697 50 18337 DR. SARTONO,
5.2.2.201806040537 4 101927 1#0##0#0#0.0#2018-06-29
14:24:18#0#00:00:00#00:00:00#12:00:00 1 4eae8b7a809f1581c353402db1903fb5
3578090 D 3 DP 2 26/06/2018 26/06/2018 10/12/1943 0 2
0 0 - 0 - 0 - 0 - 0 176200 212000
0 1 0 0 0 SRI SUHARTINI 010565 74 27227 DR.
INACBG;123123123123 5.2.2.201806040537 4 101928
1#0##0#0#0.0#2018-06-29 14:25:14#0#00:00:00#00:00:00#00:00:00 1
df89c6a434b1b6db2918d544d4eec323
3578090 D 3 DP 2 26/06/2018 26/06/2018 29/07/1961 0 2
0 0 - 0 - 0 - 0 - 0 176200 313000
0 1 0 0 0 MARLISA 021760 56 20786 DR. SARTONO,
5.2.2.201806040537 4 101929 1#0##0#0#0.0#2018-06-29
14:26:01#0#00:00:00#00:00:00#00:00:00 1 2cc0c86bf526c41005ffdd916744ea2d
3578090 D 3 DP 2 26/06/2018 26/06/2018 25/02/1939 0 2
0 0 - 0 - 0 - 0 - 0 176200 372000
INACBG;123123123123 5.2.2.201806040537 4 101930
1#0##0#0#0.0#2018-06-29 14:26:56#0#00:00:00#00:00:00#00:00:00 1
40437ab5f180aecc562502f4c531a211
3578090 D 3 DP 2 26/06/2018 26/06/2018 27/05/1966 0 2
0 0 - 0 - 0 - 0 - 0 176200 709000
0 1 0 0 0 ENDANG SULISTYO RINIE 020744 52 19023
INACBG;123123123123 5.2.2.201806040537 4 101931
1#0##0#0#0.0#2018-06-29 14:27:41#0#00:00:00#00:00:00#11:24:26 1
1d4104a176b1396d19c02215258a5e7e
3578090 D 3 DP 2 26/06/2018 26/06/2018 03/08/1964 0 1
0 0 - 0 - 0 - 0 - 0 176200 364000
0 1 0 0 0 NURHASANUDDIN 00007660 53 19685 DR.
INACBG;123123123123 5.2.2.201806040537 4 101932
1#0##0#0#0.0#2018-06-29 14:28:27#0#00:00:00#00:00:00#00:00:00 1
dd1c76e547c94c6fd922c640fccff574
3578090 D 3 DP 2 26/06/2018 26/06/2018 02/05/1965 0 2
1 Z09.8;E11.9;M54.56 - - - None None None None Q-5-
0 0 - 0 - 0 - 0 - 0 176200 472000
0 1 0 0 0 ARI SETIJOWATI 019124 53 19413 DR.
INACBG;123123123123 5.2.2.201806040537 4 101933
1#0##0#0#0.0#2018-06-29 14:29:17#0#00:00:00#00:00:00#00:00:00 1
a75755f6e706dc7833bb4f5d5b5c7266
3578090 D 3 DP 2 26/06/2018 26/06/2018 25/05/1944 0 1
0 0 - 0 - 0 - 0 - 0 176200 376000
0 1 0 0 0 J.A.MOELJONO 018156 74 27060 DR.
INACBG;123123123123 5.2.2.201806040537 4 101934
1#0##0#0#0.0#2018-06-29 14:30:55#0#00:00:00#00:00:00#00:00:00 1
a4f8ba7521334aa80fed7119422f7132
3578090 D 3 DP 2 26/06/2018 26/06/2018 12/08/1948 0 1
0 0 - 0 - 0 - 0 - 0 176200 234000
0 1 0 0 0 MUKSIN 005692 69 25520 DR. SARTONO,
SP. D 0217R0190618V000375 0000101040761 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101935 1#0##0#0#0.0#2018-06-29
14:31:44#0#00:00:00#00:00:00#00:00:00 1 9c8b12f7daabb3d78d4796a52d8d4158
3578090 D 3 DP 2 26/06/2018 26/06/2018 11/03/1966 0 1
0 0 - 0 - 0 - 0 - 0 176200 270000
0 1 0 0 0 SENO 009697 52 19100 DR. SARTONO, SP
PD` 0217R0190618V000350 0001102931346 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101936 1#0##0#0#0.0#2018-06-29
14:32:37#0#00:00:00#00:00:00#12:00:00 1 f828117d1afe9b08cb4952e080083c1d
3578090 D 3 DP 2 26/06/2018 26/06/2018 28/05/1939 0 2
0 0 - 0 - 0 - 0 - 0 176200 253000
0 1 0 0 0 R.A.SRI ADJENG KADARWATI 004268 79
INACBG;123123123123 5.2.2.201806040537 4 101937
1#0##0#0#0.0#2018-06-29 14:33:37#0#00:00:00#00:00:00#00:00:00 1
651c609b247bda58a0e7cee72c307fe3
3578090 D 3 DP 2 26/06/2018 26/06/2018 05/08/1946 0 2
0 0 - 0 - 0 - 0 - 0 176200 204500
0 1 0 0 0 MASNAWARI PANE 007537 71 26258 DR.
INACBG;123123123123 5.2.2.201806040537 4 101938
1#0##0#0#0.0#2018-06-29 14:34:30#0#00:00:00#00:00:00#00:00:00 1
741cafffb7ae227135065016ba914dbc
3578090 D 3 DP 2 26/06/2018 26/06/2018 18/02/1938 0 2
0 0 - 0 - 0 - 0 - 0 176200 667000
INACBG;123123123123 5.2.2.201806040537 4 101939
1#0##0#0#0.0#2018-06-29 14:35:34#0#00:00:00#00:00:00#00:00:00 1
d91a418c581c98881e0bd39dc34b5b7a
3578090 D 3 DP 2 26/06/2018 26/06/2018 24/12/1934 0 1
0 0 - 0 - 0 - 0 - 0 176200 264000
0 1 0 0 0 SOERATMAN BSC 014349 83 30500 DR.
SARTONO, SP. D 0217r0190618v000351 0000101051021 3;JKN
INACBG;123123123123 5.2.2.201806040537 4 101941
1#0##0#0#0.0#2018-06-29 14:37:39#0#14:36:55#14:36:55#15:07:39 1
74aae7c2c6e023bc77938439f31f931a
3578090 D 3 DP 2 26/06/2018 26/06/2018 25/06/1989 0 2
0 - 0 - 0 - 0 - 0 281500 291000
INACBG;123123123123 5.2.2.201806040537 4 101942
1#0##0#0#0.0#2018-06-29 14:38:27#0#00:00:00#00:00:00#12:56:51 1
17992eab189377f9fc812d00adb7c30d
3578090 D 3 DP 2 26/06/2018 26/06/2018 26/07/1990 0 2
0 0 - 0 - 0 - 0 - 0 281500 293000
INACBG;123123123123 5.2.2.201806040537 4 101943
1#0##0#0#0.0#2018-06-29 14:39:45#0#00:00:00#00:00:00#00:00:00 1
4cf875c5c9d2b882efdbc2988b199a23
3578090 D 3 DP 2 26/06/2018 26/06/2018 09/08/2005 0 2
0 0 - 0 - 0 - 0 - 0 176200 282500
0 1 0 0 0 GHISKA SETYONINGRUM 012345 12 4704
INACBG;123123123123 5.2.2.201806040537 4 101944
1#0##0#0#0.0#2018-06-29 14:40:40#0#00:00:00#00:00:00#10:23:01 1
209052e8f0d07daa3aedbbe12cb068fd
3578090 D 3 DP 2 26/06/2018 26/06/2018 13/05/1940 0 2
0 0 - 0 - 0 - 0 - 0 176200 282500
0 1 0 0 0 T.H ARMIDA 008972 78 28533 DR. AMIR
5.2.2.201806040537 4 101945 1#0##0#0#0.0#2018-06-29
14:41:28#0#00:00:00#00:00:00#00:00:00 1 60c1acf60c8607deb9343edb833238cd
3578090 D 3 DP 2 26/06/2018 26/06/2018 25/12/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 282500
INACBG;123123123123 5.2.2.201806040537 4 101946
1#0##0#0#0.0#2018-06-29 14:42:16#0#00:00:00#00:00:00#00:00:00 1
40e78ee2c550bd97fdfc7f7c49ba0402
3578090 D 3 DP 2 26/06/2018 26/06/2018 24/07/1949 0 1
0 0 - 0 - 0 - 0 - 0 176200 305500
INACBG;123123123123 5.2.2.201806040537 4 101947
1#0##0#0#0.0#2018-06-29 14:43:09#0#00:00:00#00:00:00#00:00:00 1
42525b7863239b5225a05f82cd1de182
3578090 D 3 DP 2 26/06/2018 26/06/2018 26/01/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 305500
0 1 0 0 0 NURMALA HASIBUAN 019714 70 25719 DR.
INACBG;123123123123 5.2.2.201806040537 4 101948
1#0##0#0#0.0#2018-06-29 14:44:05#0#00:00:00#00:00:00#14:29:31 1
a546d9ee7d85a8e8f02dec4f66d39c75
3578090 D 3 DP 2 26/06/2018 26/06/2018 05/09/1967 0 1
0 - 0 - 0 - 0 - 0 176200 260000
0 1 0 0 0 SULTHONI 023931 50 18557 DR. AMIR
5.2.2.201806040537 4 101949 1#0##0#0#0.0#2018-06-29
14:46:26#0#00:00:00#00:00:00#00:00:00 1 c7099844c79b63b6378edf160ce0fad3
3578090 D 3 DP 2 26/06/2018 26/06/2018 17/04/1982 0 2
0 - 0 - 0 - 0 - 0 176200 260000
0 1 0 0 0 SUHARNI YUSUF AMD KES 023932 36 13219
INACBG;123123123123 5.2.2.201806040537 4 101950
1#0##0#0#0.0#2018-06-29 14:47:18#0#00:00:00#00:00:00#00:00:00 1
2c74d0b34824b668d54f00c5ba748cac
3578090 D 3 DP 2 26/06/2018 26/06/2018 19/04/1987 0 2
0 - 0 - 0 - 0 - 0 176200 260000
0 1 0 0 0 dr. CHRISTINA WIDOSARI 016934 31 11391
INACBG;123123123123 5.2.2.201806040537 4 101951
1#0##0#0#0.0#2018-06-29 14:48:08#0#00:00:00#00:00:00#00:00:00 1
aeea85086040e847959f546687656c2d
3578090 D 3 DP 2 26/06/2018 26/06/2018 17/03/1987 0 2
0 0 - 0 - 0 - 0 - 0 176200 289000
0 1 0 0 0 DR. MARISA TULUS PURNOMO 021277 31
INACBG;123123123123 5.2.2.201806040537 4 101952
1#0##0#0#0.0#2018-06-29 14:48:58#0#00:00:00#00:00:00#00:00:00 1
09c2a6b582c4567f0e430797b9fe36df
3578090 D 3 DP 2 26/06/2018 26/06/2018 12/04/1955 0 2
0 - 0 - 0 - 0 - 0 176200 282500
0 1 0 0 0 SUSMIYATI 023929 63 23086 DR. AMIR
5.2.2.201806040537 4 101953 1#0##0#0#0.0#2018-06-29
14:49:55#0#00:00:00#00:00:00#00:00:00 1 e2e0c70002c71878ca5a9b4d54e903b1
3578090 D 3 DP 2 26/06/2018 26/06/2018 25/06/1988 0 2
0 0 - 0 - 0 - 0 - 0 176200 282500
0 1 0 0 0 SITI INDRIYANI 00005157 30 10958 DR.
INACBG;123123123123 5.2.2.201806040537 4 101954
1#0##0#0#0.0#2018-06-29 14:50:53#0#00:00:00#00:00:00#01:31:09 1
ec07f406679b0d277e4575679061c5cb
3578090 D 3 DP 2 26/06/2018 26/06/2018 22/05/1957 0 2
0 0 - 0 - 0 - 0 - 0 176200 212000
INACBG;123123123123 5.2.2.201806040537 4 101955
1#0##0#0#0.0#2018-06-29 14:51:42#0#00:00:00#00:00:00#00:00:00 1
f8d91012319f4b2db17956979aebc419
3578090 D 3 DP 2 26/06/2018 26/06/2018 22/12/1934 0 2
0 0 - 0 - 0 - 0 - 0 176200 256000
0 1 0 0 0 SOESANTI 005291 83 30502 DR. IMAM
INACBG;123123123123 5.2.2.201806040537 4 101956
1#0##0#0#0.0#2018-06-29 14:52:37#0#00:00:00#00:00:00#00:00:00 1
e2631d15ad5870c7990e2f1546988e61
3578090 D 3 DP 2 26/06/2018 26/06/2018 27/09/1954 0 2
0 0 - 0 - 0 - 0 - 0 176200 272000
0 1 0 0 0 SRI MULYANI 022660 63 23283 DR. IMAM
INACBG;123123123123 5.2.2.201806040537 4 101957
1#0##0#0#0.0#2018-06-29 14:54:03#0#00:00:00#00:00:00#12:00:00 1
97f3e00eb5a89ba28751335dfce8598b
3578090 D 3 DP 2 26/06/2018 26/06/2018 31/12/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 210000
0 1 0 0 0 NOER CHAULAH 005581 66 24284 DR.
INACBG;123123123123 5.2.2.201806040537 4 101958
1#0##0#0#0.0#2018-06-29 14:54:48#0#00:00:00#00:00:00#00:00:00 1
e930586fe5756fa59fca800744c4e03d
3578090 D 3 DP 2 26/06/2018 26/06/2018 24/04/1971 0 1
0 0 - 0 - 0 - 0 - 0 176200 172000
0 1 0 0 0 JOJOK H SE 022894 47 17230 DR. IMAM
INACBG;123123123123 5.2.2.201806040537 4 101959
1#0##0#0#0.0#2018-06-29 14:55:40#0#00:00:00#00:00:00#12:00:00 1
094fc7f16e890f9b4f65bed4a886b6d8
3578090 D 3 DP 2 26/06/2018 26/06/2018 06/09/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 252000
0 1 0 0 0 SITI SUMANTRI 023849 66 24400 DR.
INACBG;123123123123 5.2.2.201806040537 4 101960
1#0##0#0#0.0#2018-06-29 14:57:32#0#00:00:00#00:00:00#00:00:00 1
64b2726fe355ada052dbc9f0feb24c14
3578090 D 3 DP 2 26/06/2018 26/06/2018 17/06/1943 0 2
0 0 - 0 - 0 - 0 - 0 176200 172000
INACBG;123123123123 5.2.2.201806040537 4 101961
1#0##0#0#0.0#2018-06-29 14:58:14#0#00:00:00#00:00:00#00:00:00 1
298ec5ef84d39080d5475fc2aab50da9
3578090 D 3 DP 2 26/06/2018 26/06/2018 07/11/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 186000
0 1 0 0 0 TAN KIOK HWA 021610 72 26529 DR.
INACBG;123123123123 5.2.2.201806040537 4 101962
1#0##0#0#0.0#2018-06-29 14:59:00#0#00:00:00#00:00:00#14:39:13 1
aebd454f2ef64618847ed7f1792d7f97
3578090 D 3 DP 2 26/06/2018 26/06/2018 06/11/1964 0 2
0 384500 343000 0 1 0 0 0 MUSLIMAH 022261
53 19590 DR. IMAM HIDAYAT, SP.S 0217R0190618V000399 0001704299703
3;JKN INACBG;123123123123 5.2.2.201806040537 4 101963
1#0##0#0#0.0#2018-06-29 15:00:52#0#00:00:00#00:00:00#00:00:00 1
f15c9bc12f118ae7e5efe720c8f582ff
3578090 D 1 DP 1 26/06/2018 26/06/2018 04/06/1938 0 2
1 Z09.8;I25.8 - - - None None None None Z-4-12-I None
None None None None None FAKTOR-FAKTOR YANG MEMPENGARUHI STATUS
KESEHATAN LAIN-LAIN (RINGAN) 1055300 0 0 - 0 - 0 -
0 - 0 1055300 235000 0 1 0 0 0 ANTJE
ROSALINA LASEDUW 013323 80 29242 DR. TONY E. PARENGKUAN, SP. JP
0217R0190618V000429 0001278135865 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101964 1#0##0#0#0.0#2018-06-29
15:01:36#0#00:00:00#00:00:00#13:48:18 1 e38a5c8f4ae55621b92499f3bb9b25ae
3578090 D 3 DP 2 26/06/2018 26/06/2018 11/12/1971 0 2
0 0 - 0 - 0 - 0 - 0 176200 270000
0 1 0 0 0 asih wibawati 021233 46 16999 DR.
INACBG;123123123123 5.2.2.201806040537 4 101965
1#0##0#0#0.0#2018-06-29 15:02:23#0#00:00:00#00:00:00#00:00:00 1
344ade7578c684da7b9a3ae6514b5330
3578090 D 3 DP 2 26/06/2018 26/06/2018 01/01/1950 0 2
0 0 - 0 - 0 - 0 - 0 176200 176000
0 1 0 0 0 ANIZAR UPIK 007052 68 25013 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101966
1#0##0#0#0.0#2018-06-29 15:03:17#0#00:00:00#00:00:00#00:00:00 1
64a543988dd23a3dca41ae0db50a9334
3578090 D 1 DP 1 26/06/2018 26/06/2018 13/09/1954 0 1
1 Z09.8;I10 - - - None None None None Z-4-12-I None
None None None None None FAKTOR-FAKTOR YANG MEMPENGARUHI STATUS
KESEHATAN LAIN-LAIN (RINGAN) 1055300 0 0 - 0 - 0 -
0 - 0 1055300 243000 0 1 0 0 0
SUPRAPTO 011520 63 23297 DR. TONY E. PARENGKUAN, SP. JP
0217R0190618V000421 0001079508881 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101968 1#0##0#0#0.0#2018-06-29
15:05:09#0#00:00:00#00:00:00#00:00:00 1 11128e3e81f365d40a0dc109be866b69
3578090 D 3 DP 2 26/06/2018 26/06/2018 21/10/1979 0 2
0 0 - 0 - 0 - 0 - 0 176200 292000
0 1 0 0 0 HARTATI KULLE 022727 38 14128 DR.
INACBG;123123123123 5.2.2.201806040537 4 101969
1#0##0#0#0.0#2018-06-29 15:05:58#0#00:00:00#00:00:00#12:00:00 1
8d69a78f4fe35debde5e080858d24309
3578090 D 3 DP 2 26/06/2018 26/06/2018 10/02/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 223000
0 1 0 0 0 BOESTAMI 010362 78 28626 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101970
1#0##0#0#0.0#2018-06-29 15:06:45#0#00:00:00#00:00:00#00:00:00 1
b4ff5c2e3840abb9a1c5f73162ded6f9
3578090 D 3 DP 2 26/06/2018 26/06/2018 12/06/1939 0 1
0 0 - 0 - 0 - 0 - 0 176200 188000
0 1 0 0 0 THOMAS SAKIMAN 008984 79 28869 DR.
INACBG;123123123123 5.2.2.201806040537 4 101971
1#0##0#0#0.0#2018-06-29 15:07:24#0#00:00:00#00:00:00#00:00:00 1
47cf7d5939f365d84c3eee63557da3c3
3578090 D 3 DP 2 26/06/2018 26/06/2018 11/02/1940 0 2
0 0 - 0 - 0 - 0 - 0 176200 216000
0 1 0 0 0 FREDERIKA TARIHORAN 016719 78 28625
3;JKN INACBG;123123123123 5.2.2.201806040537 4 101973
1#0##0#0#0.0#2018-06-29 15:09:21#0#00:00:00#00:00:00#00:00:00 1
9e86f51c22aabd03a234ec02d00577f8
3578090 D 3 DP 2 26/06/2018 26/06/2018 06/02/1960 0 1
0 0 - 0 - 0 - 0 - 0 176200 245000
3;JKN INACBG;123123123123 5.2.2.201806040537 4 101974
1#0##0#0#0.0#2018-06-29 15:10:09#0#00:00:00#00:00:00#00:00:00 1
296649a2d104ced4f12550fd70329bfd
3578090 D 3 DP 2 26/06/2018 26/06/2018 12/10/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 184000
INACBG;123123123123 5.2.2.201806040537 4 101975
1#0##0#0#0.0#2018-06-29 15:10:59#0#00:00:00#00:00:00#10:40:59 1
46bc783b3589dfb67ff55785830f8750
3578090 D 3 DP 2 26/06/2018 26/06/2018 09/12/1974 0 1
0 0 - 0 - 0 - 0 - 0 176200 270000
0 1 0 0 0 MOHAMAD RIDWAN 022982 43 15905 DR.
INACBG;123123123123 5.2.2.201806040537 4 101976
1#0##0#0#0.0#2018-06-29 15:11:41#0#00:00:00#00:00:00#12:00:00 1
1e91209db9cdf8ee2f9f4e1f719918e5
3578090 D 3 DP 2 26/06/2018 26/06/2018 23/03/1973 0 1
0 0 - 0 - 0 - 0 - 0 176200 182000
INACBG;123123123123 5.2.2.201806040537 4 101977
1#0##0#0#0.0#2018-06-29 15:12:22#0#00:00:00#00:00:00#00:00:00 1
4a6f5599e764bc30ed675a0331974483
3578090 D 3 DP 2 26/06/2018 26/06/2018 22/05/1942 0 2
0 0 - 0 - 0 - 0 - 0 176200 205000
0 1 0 0 0 MT. ENDANG WINARSIH 005652 76 27794
3;JKN INACBG;123123123123 5.2.2.201806040537 4 101978
1#0##0#0#0.0#2018-06-29 15:13:03#0#00:00:00#00:00:00#00:00:00 1
c1162de37c2e8e68139a9dc8e8f93226
3578090 D 3 DP 2 26/06/2018 26/06/2018 28/01/1982 0 1
0 - 0 - 0 - 0 - 0 176200 175000
0 1 0 0 0 LIRO'ID 023933 36 13298 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101979
1#0##0#0#0.0#2018-06-29 15:14:03#0#00:00:00#00:00:00#00:00:00 1
4f168d3c6de8c7736700837f09353487
3578090 D 3 DP 2 26/06/2018 26/06/2018 12/12/1944 0 2
0 0 - 0 - 0 - 0 - 0 176200 202000
0 1 0 0 0 PINTA SIHITE 005337 73 26859 DR.
INACBG;123123123123 5.2.2.201806040537 4 101980
1#0##0#0#0.0#2018-06-29 15:14:51#0#00:00:00#00:00:00#00:00:00 1
9a72d7f26896be26e4d10ce0c8df07fc
3578090 D 3 DP 2 26/06/2018 26/06/2018 19/09/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 272500
0 1 0 0 0 POSMAN MUNTHE 006861 74 27309 DR.
INACBG;123123123123 5.2.2.201806040537 4 101981
1#0##0#0#0.0#2018-06-29 15:15:41#0#00:00:00#00:00:00#00:00:00 1
da7b9ab69fd8d83e002c016aa2d43ca1
3578090 D 3 DP 2 26/06/2018 26/06/2018 08/04/1965 0 1
0 - 0 - 0 - 0 - 0 176200 260500
0 1 0 0 0 SARNO 023930 53 19437 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101982
1#0##0#0#0.0#2018-06-29 15:16:37#0#00:00:00#00:00:00#00:00:00 1
d5dbe955c88611647deae30fb04c235f
3578090 D 3 DP 2 26/06/2018 26/06/2018 02/08/1986 0 1
- 0 - 0 - 0 - 0 173400 141500 0
1 0 0 0 MOHTOYIB 022035 31 11651 DR. ROBBY R.W.
0217R0190618V000439 0001102827058 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101983 1#0##0#0#0.0#2018-06-29
15:17:22#0#00:00:00#00:00:00#00:00:00 1 bf895d883239a2503387067f83b2b4d4
3578090 D 3 DP 2 26/06/2018 26/06/2018 07/06/1979 0 2
1 O21.0 - - - None None None None Q-5-23-0 None None
None None None None PEMERIKSAAN ANTEPARTUM 117600 0 0 -
0 - 0 - 0 - 0 117600 307000 0 1
0 0 0 ERNI YUNIARTI 023934 39 14264 DR. ROBBY R.W.
0217R0190618V000440 0001110271836 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101984 1#0##0#0#0.0#2018-06-29
15:18:18#0#00:00:00#00:00:00#00:00:00 1 e389442dad9b16b256083421af946f53
3578090 D 3 DP 2 26/06/2018 26/06/2018 19/01/1948 0 2
0 0 - 0 - 0 - 0 - 0 176200 186500
INACBG;123123123123 5.2.2.201806040537 4 101985
1#0##0#0#0.0#2018-07-03 10:55:27#0#00:00:00#00:00:00#00:00:00 1
5e072bb794b9e56c269f388fcce3aaa1
3578090 D 3 DP 2 26/06/2018 26/06/2018 14/08/1947 0 2
0 0 - 0 - 0 - 0 - 0 176200 212000
0 1 0 0 0 SUWARTI 018366 70 25884 DR. IMAM
INACBG;123123123123 5.2.2.201806040537 4 101987
1#0##0#0#0.0#2018-07-03 11:16:19#0#00:00:00#00:00:00#00:00:00 1
f8ad03d27ef219901bfa1bb1192d70b7
3578090 D 3 DP 2 26/06/2018 26/06/2018 05/05/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 245000
INACBG;123123123123 5.2.2.201806040537 4 101988
1#0##0#0#0.0#2018-07-03 11:18:55#0#00:00:00#00:00:00#00:00:00 1
8948f2043d4eb4f7c8cb70fec14567d3
3578090 D 3 DP 2 26/06/2018 26/06/2018 19/10/1963 0 1
0 0 - 0 - 0 - 0 - 0 176200 480000
0 1 0 0 0 JAMIATUN 021562 54 19974 DR. SARTONO,
5.2.2.201806040537 4 101989 1#0##0#0#0.0#2018-07-03
11:19:47#0#00:00:00#00:00:00#13:14:58 1 1d61ae5224b16dae64accf14c25f5203
3578090 D 3 DP 2 26/06/2018 26/06/2018 05/02/1971 0 1
0 0 - 0 - 0 - 0 - 0 176200 267000
0 1 0 0 0 BUDIYONO 022747 47 17308 DR. SARTONO,
5.2.2.201806040537 4 101990 1#0##0#0#0.0#2018-07-03
11:20:41#0#00:00:00#00:00:00#12:00:00 1 f3b59512bfa9f564d2dd2810f5b2d515
3578090 D 3 DP 2 26/06/2018 26/06/2018 20/09/1948 0 1
0 0 - 0 - 0 - 0 - 0 176200 305500
0 1 0 0 0 TJAHJANO TEDJA PRASETYA 023001 69 25481
INACBG;123123123123 5.2.2.201806040537 4 101991
1#0##0#0#0.0#2018-07-03 11:22:19#0#00:00:00#00:00:00#12:00:00 1
306efe8df8c0345c75f4717b566f56a6
3578090 D 3 DP 2 26/06/2018 26/06/2018 10/12/1944 0 1
0 0 - 0 - 0 - 0 - 0 176200 235000
0 1 0 0 0 SOEROTO 019546 73 26861 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101992
1#0##0#0#0.0#2018-07-03 11:33:53#0#00:00:00#00:00:00#00:00:00 1
57c3d48363a58447fa89d480700b4dcb
3578090 D 3 DP 2 26/06/2018 26/06/2018 14/08/1942 0 2
0 0 - 0 - 0 - 0 - 0 176200 232000
0 1 0 0 0 EMY TARYANI 005418 75 27710 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 101993
1#0##0#0#0.0#2018-07-03 11:34:58#0#00:00:00#00:00:00#00:00:00 1
18688df943961c03a23b7bf8e2181e3f
3578090 D 3 DP 2 26/06/2018 26/06/2018 10/03/1994 0 1
- 0 - 0 - 0 - 0 173400 169000 0
1 0 0 0 ANDIKA YUDHA PRATAMA 023432 24 8874 DR.
INACBG;123123123123 5.2.2.201806040537 4 101994
1#0##0#0#0.0#2018-07-03 11:38:04#0#00:00:00#00:00:00#12:00:00 1
f3b393f5b0ad617f23bbd01fbc67e71d
3578090 D 3 DP 2 26/06/2018 26/06/2018 06/07/1965 0 1
0 0 - 0 - 0 - 0 - 0 176200 343000
0 1 0 0 0 WAHYU 017325 52 19348 DR. SARTONO, SP. D
0217R0190618V000412 0001103013167 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101995 1#0##0#0#0.0#2018-07-03
11:39:11#0#00:00:00#00:00:00#00:00:00 1 26ee1f0fb704c376755470bbcb2f8a9c
3578090 D 3 DP 2 26/06/2018 26/06/2018 04/06/1938 0 2
0 0 - 0 - 0 - 0 - 0 176200 235000
3;JKN INACBG;123123123123 5.2.2.201806040537 4 102112
1#0##0#0#0.0#2018-07-05 09:49:21#0#00:00:00#00:00:00#13:48:18 1
b6fd468c2c386591d7824de0346ce9b9
3578090 D 3 DP 2 26/06/2018 26/06/2018 13/09/1954 0 1
0 0 - 0 - 0 - 0 - 0 176200 243000
0 1 0 0 0 SUPRAPTO 011520 63 23297 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 102113
1#0##0#0#0.0#2018-07-05 09:50:33#0#00:00:00#00:00:00#00:00:00 1
7fad5e70d070d5f6fda18707990a94d4
3578090 D 3 DP 2 27/06/2018 27/06/2018 21/07/1978 0 2
- 0 - 0 - 0 - 0 173400 143000 0
1 0 0 0 HENNY YULIANTY 011120 39 14586 DR. RIZKY
0217R0190618V000441 0001110563537 3;JKN INACBG;123123123123
5.2.2.201806040537 4 102095 1#0##0#0#0.0#2018-07-04
13:18:03#0#00:00:00#00:00:00#14:48:05 1 f60db1949f6c01d3259795e53b741e6c
3578090 D 3 DP 2 27/06/2018 27/06/2018 26/11/1999 0 1
- 0 - 0 - 0 - 0 173400 153000 0
1 0 0 0 MOHAMMAD LUTFI BAHARI 019147 18 6788 DR.
5.2.2.201806040537 4 102096 1#0##0#0#0.0#2018-07-04
13:19:05#0#00:00:00#00:00:00#13:05:25 1 41db8b7e5ab69a1cbb314737e65b857e
3578090 D 3 DP 2 27/06/2018 27/06/2018 25/06/1989 0 2
0 0 - 0 - 0 - 0 - 0 176200 260000
INACBG;123123123123 5.2.2.201806040537 4 102097
1#0##0#0#0.0#2018-07-04 13:20:05#0#00:00:00#00:00:00#12:56:51 1
bc0bac2fb1ec320ac4f430ecd9127124
3578090 D 1 DP 1 24/06/2018 27/06/2018 02/05/1972 0 2
1 A09.9 - - - None None None None K-4-17-I None None
None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (RINGAN)
1511400 0 0 - 0 - 0 - 0 - 0
1511400 2998500 0 4 0 0 0 GAMAR TANOF 006546
46 16854 DR. SARTONO, SP. D 0217R0190618V000320 0001226642016
3;JKN INACBG;123123123123 5.2.2.201806040537 4 102319
1#0##0#0#0.0#2018-07-09 11:00:28#0#00:00:00#00:00:00#00:00:00 2
3fbbdb701d6c863a70975f58a0c356d3
3578090 D 3 DP 2 28/06/2018 28/06/2018 06/11/2011 0 2
- 0 - 0 - 0 - 0 173400 185000 0
1 0 0 0 MONALISA THERESIA NATHANIA PURBA 008073 6
2426 DR. ROBBY R.W. 0217R0190618V000483 0001110620384 3;JKN
INACBG;123123123123 5.2.2.201806040537 4 101996
1#0##0#0#0.0#2018-07-03 11:56:33#0#00:00:00#00:00:00#00:00:00 1
6fd06e97ed4716f08c0dfae556d7873d
3578090 D 3 DP 2 28/06/2018 28/06/2018 12/07/2010 0 2
- 0 - 0 - 0 - 0 173400 139000 0
1 0 0 0 NI PUTU MARITZAPRAMESWARI WIDYARINI 011195 7
2908 DR. ROBBY R.W. 0217R0190618V000482 0001108652466 3;JKN
INACBG;123123123123 5.2.2.201806040537 4 101997
1#0##0#0#0.0#2018-07-03 11:57:25#0#00:00:00#00:00:00#00:00:00 1
e42064c717b8a4b2c94d0a9dd3052adc
3578090 D 3 DP 2 28/06/2018 28/06/2018 08/04/1983 0 1
- 0 - 0 - 0 - 0 173400 124000 0
1 0 0 0 MONANG PURBA, S.TH 020350 35 12865 DR.
5.2.2.201806040537 4 101998 1#0##0#0#0.0#2018-07-03
11:58:24#0#00:00:00#00:00:00#07:46:43 1 977fe4486c7df83c7dd5b6e2ae8857d7
3578090 D 3 DP 2 28/06/2018 28/06/2018 16/05/1942 0 1
0 0 - 0 - 0 - 0 - 0 292900 578000
0 1 0 0 0 LUKAS DOKO 011386 76 27802 DR. ROBBY
R.W. 0217R0190618V000486 0000101036373 3;JKN INACBG;123123123123
5.2.2.201806040537 4 101999 1#0##0#0#0.0#2018-07-03
12:00:06#0#00:00:00#00:00:00#00:00:00 1 c1d54d3db400c0efd90ae7d1e5b6ead5
3578090 D 3 DP 2 28/06/2018 28/06/2018 07/01/1938 0 1
0 0 - 0 - 0 - 0 - 0 176200 160000
0 1 0 0 0 SOETRISNO BA. 004185 80 29392 DR.
INACBG;123123123123 5.2.2.201806040537 4 102000
1#0##0#0#0.0#2018-07-03 12:01:14#0#00:00:00#00:00:00#00:00:00 1
f44333c1123e54bb8212786f55bb123d
3578090 D 3 DP 2 28/06/2018 28/06/2018 11/07/1981 0 2
0 0 - 0 - 0 - 0 - 0 176200 160000
0 1 0 0 0 TITAH HANUNTUN LUWIH AJI 022189/B 36
3;JKN INACBG;123123123123 5.2.2.201806040537 4 102001
1#0##0#0#0.0#2018-07-03 12:02:01#0#00:00:00#00:00:00#00:00:00 1
085ec49715114a3eba6078aa8ae57781
3578090 D 3 DP 2 28/06/2018 28/06/2018 27/07/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 244000
INACBG;123123123123 5.2.2.201806040537 4 102002
1#0##0#0#0.0#2018-07-03 12:04:23#0#00:00:00#00:00:00#00:00:00 1
33d56436d53addea41df3983c3fd5202
3578090 D 3 DP 2 28/06/2018 28/06/2018 11/03/1965 0 2
0 0 - 0 - 0 - 0 - 0 176200 336000
INACBG;123123123123 5.2.2.201806040537 4 102003
1#0##0#0#0.0#2018-07-03 12:05:15#0#00:00:00#00:00:00#00:00:00 1
4e094247738efb156aaf00cebd2b1f5e
3578090 D 3 DP 2 28/06/2018 28/06/2018 03/12/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 292000
INACBG;123123123123 5.2.2.201806040537 4 102004
1#0##0#0#0.0#2018-07-03 12:07:05#0#00:00:00#00:00:00#00:00:00 1
ecd747db8ccbc6af376044f37337aa85
3578090 D 3 DP 2 28/06/2018 28/06/2018 19/03/1944 0 1
0 0 - 0 - 0 - 0 - 0 176200 242000
0 1 0 0 0 SUDARNO SAIR 010346 74 27129 DR.
INACBG;123123123123 5.2.2.201806040537 4 102005
1#0##0#0#0.0#2018-07-03 12:07:44#0#00:00:00#00:00:00#00:00:00 1
6cfc71ae88bf816bc5a03f31380f7d6a
3578090 D 3 DP 2 28/06/2018 28/06/2018 07/01/1971 0 1
0 0 - 0 - 0 - 0 - 0 176200 422500
0 1 0 0 0 R. DADANG KURNIAWAN 015928 47 17339
INACBG;123123123123 5.2.2.201806040537 4 102006
1#0##0#0#0.0#2018-07-03 12:09:11#0#00:00:00#00:00:00#15:55:53 1
91b39825851d7e8bd2ee58264fda8b50
3578090 D 3 DP 2 28/06/2018 28/06/2018 07/04/1965 0 2
0 0 - 0 - 0 - 0 - 0 176200 292000
0 1 0 0 0 SUTITIN 010909 53 19440 DR. SARTONO,
5.2.2.201806040537 4 102007 1#0##0#0#0.0#2018-07-03
12:10:31#0#00:00:00#00:00:00#00:00:00 1 d214f20e2073fee1560b2d9dae578214
3578090 D 3 DP 2 28/06/2018 28/06/2018 17/04/1967 0 2
- 0 - 0 - 0 - 0 269500 262500 0
1 0 0 0 AMIK PRIATIN 017477 51 18700 DRG. RIAWATI
0217R0190618V000464 0001226940309 3;JKN INACBG;123123123123
5.2.2.201806040537 4 102008 1#0##0#0#0.0#2018-07-03
12:11:19#0#00:00:00#00:00:00#00:00:00 1 a3577835a17874984d71c1743a48c615
3578090 D 3 DP 2 28/06/2018 28/06/2018 05/05/1955 0 2
0 0 - 0 - 0 - 0 - 0 176200 254000
0 1 0 0 0 ATIK SUGIARTIK 018367 63 23065 DR.
INACBG;123123123123 5.2.2.201806040537 4 102009
1#0##0#0#0.0#2018-07-03 12:12:01#0#00:00:00#00:00:00#09:51:13 1
56ef568e17027cf040988c9136c85e62
3578090 D 3 DP 2 28/06/2018 28/06/2018 14/02/1982 0 1
0 0 - 0 - 0 - 0 - 0 176200 579000
0 1 0 0 0 INDRA KUSUMA, SH. 023098 36 13283 DR.
INACBG;123123123123 5.2.2.201806040537 4 102010
1#0##0#0#0.0#2018-07-03 12:12:59#0#00:00:00#00:00:00#12:00:00 1
36e5ce5b53465588847a148425f76049
3578090 D 3 DP 2 28/06/2018 28/06/2018 31/05/1971 0 1
0 0 - 0 - 0 - 0 - 0 176200 339000
0 1 0 0 0 HERU POERWIDAJATNO 020751 47 17195
INACBG;123123123123 5.2.2.201806040537 4 102011
1#0##0#0#0.0#2018-07-03 12:13:54#0#00:00:00#00:00:00#09:24:47 1
61a8765cc82acdddb4bc092d9521e684
3578090 D 3 DP 2 28/06/2018 28/06/2018 16/08/1962 0 2
0 0 - 0 - 0 - 0 - 0 176200 248000
0 1 0 0 0 ASTIRUKHAH 004184 55 20405 DR. SARTONO,
5.2.2.201806040537 4 102012 1#0##0#0#0.0#2018-07-03
12:14:38#0#00:00:00#00:00:00#00:00:00 1 4bf5bce718b418b3e138fb29c1edca6e
3578090 D 3 DP 2 28/06/2018 28/06/2018 24/06/1966 0 2
0 0 - 0 - 0 - 0 - 0 176200 258000
0 1 0 0 0 YUNI YUSWATI IRIANI 014741 52 18997
INACBG;123123123123 5.2.2.201806040537 4 102013
1#0##0#0#0.0#2018-07-03 12:15:16#0#00:00:00#00:00:00#00:00:00 1
bd080439ac5789556de9c14dbe173e8f
3578090 D 3 DP 2 28/06/2018 28/06/2018 12/05/1954 0 1
0 0 - 0 - 0 - 0 - 0 176200 256000
0 1 0 0 0 GILBERT RONALD 019080/B 64 23423 DR.
INACBG;123123123123 5.2.2.201806040537 4 102014
1#0##0#0#0.0#2018-07-03 12:16:01#0#00:00:00#00:00:00#00:00:00 1
9dcc17b858658607861a9855a167effd
3578090 D 3 DP 2 28/06/2018 28/06/2018 05/09/1982 0 1
0 0 - 0 - 0 - 0 - 0 176200 170000
0 1 0 0 0 MULYONO 022803 35 13080 DR. SARTONO,
5.2.2.201806040537 4 102015 1#0##0#0#0.0#2018-07-03
12:18:01#0#00:00:00#00:00:00#12:00:00 1 ac628812c75299ebf131cd571f7ed08c
3578090 D 3 DP 2 28/06/2018 28/06/2018 09/09/1939 0 1
0 0 - 0 - 0 - 0 - 0 176200 368000
0 1 0 0 0 B. PANDJAITAN 005503 78 28782 DR.
INACBG;123123123123 5.2.2.201806040537 4 102016
1#0##0#0#0.0#2018-07-03 12:18:49#0#00:00:00#00:00:00#00:00:00 1
4b52f32e7fb264dfa1077ba6c305e636
3578090 D 3 DP 2 28/06/2018 28/06/2018 07/08/1935 0 2
0 0 - 0 - 0 - 0 - 0 176200 291000
INACBG;123123123123 5.2.2.201806040537 4 102017
1#0##0#0#0.0#2018-07-03 12:19:31#0#00:00:00#00:00:00#00:00:00 1
0e52713fbf341655b48083a284118f51
3578090 D 3 DP 2 28/06/2018 28/06/2018 16/11/1964 0 1
0 0 - 0 - 0 - 0 - 0 176200 274000
0 1 0 0 0 BUDI SANTOSO 018339 53 19582 DR.
INACBG;123123123123 5.2.2.201806040537 4 102018
1#0##0#0#0.0#2018-07-03 12:20:19#0#00:00:00#00:00:00#00:00:00 1
6b24c4280f7822aa82363e8732f54b45
3578090 D 3 DP 2 28/06/2018 28/06/2018 04/08/1938 0 1
0 0 - 0 - 0 - 0 - 0 176200 395000
0 1 0 0 0 PAULUS SUDARMAN 017793 79 29183 DR.
INACBG;123123123123 5.2.2.201806040537 4 102019
1#0##0#0#0.0#2018-07-03 12:20:59#0#00:00:00#00:00:00#00:00:00 1
22a9b55b1e43c8514f702087137adf23
3578090 D 3 DP 2 28/06/2018 28/06/2018 01/12/1941 0 1
0 0 - 0 - 0 - 0 - 0 176200 559000
0 1 0 0 0 SEGER 019165 76 27968 DR. SARTONO, SP. D
0217R0190618V000446 0000100891001 3;JKN INACBG;123123123123
5.2.2.201806040537 4 102020 1#0##0#0#0.0#2018-07-03
12:21:45#0#00:00:00#00:00:00#00:00:00 1 ca178c8eb50161730f3a897a2a85fc4a
3578090 D 3 DP 2 28/06/2018 28/06/2018 28/11/1930 0 2
0 0 - 0 - 0 - 0 - 0 176200 214000
INACBG;123123123123 5.2.2.201806040537 4 102021
1#0##0#0#0.0#2018-07-03 12:22:34#0#00:00:00#00:00:00#00:00:00 1
0065178d4bafed604ae3c01e58e1d88d
3578090 D 3 DP 2 28/06/2018 28/06/2018 20/08/1954 0 2
0 0 - 0 - 0 - 0 - 0 176200 565000
INACBG;123123123123 5.2.2.201806040537 4 102022
1#0##0#0#0.0#2018-07-03 12:23:20#0#00:00:00#00:00:00#00:00:00 1
826cfcb4f106a5d257eebe22ea3ae8f0
3578090 D 3 DP 2 28/06/2018 28/06/2018 22/05/1957 0 2
0 0 - 0 - 0 - 0 - 0 176200 259000
INACBG;123123123123 5.2.2.201806040537 4 102023
1#0##0#0#0.0#2018-07-03 12:24:04#0#00:00:00#00:00:00#00:00:00 1
56d69a281c24ca4b149f019201dfe044
3578090 D 3 DP 2 28/06/2018 28/06/2018 11/10/1964 0 1
0 0 - 0 - 0 - 0 - 0 176200 268500
0 1 0 0 0 SUGIMA 014365 53 19618 DR. SARTONO,
SP. D 0217R0190618V000456 0001102985818 3;JKN INACBG;123123123123
5.2.2.201806040537 4 102024 1#0##0#0#0.0#2018-07-03
12:24:51#0#00:00:00#00:00:00#00:00:00 1 23c2a0ce3b3b0300ac51c57c4591e22e
3578090 D 3 DP 2 28/06/2018 28/06/2018 29/06/1966 0 2
0 0 - 0 - 0 - 0 - 0 176200 280000
0 1 0 0 0 YULI HARYATI 017301 51 18992 DR.
INACBG;123123123123 5.2.2.201806040537 4 102025
1#0##0#0#0.0#2018-07-03 12:25:38#0#00:00:00#00:00:00#00:00:00 1
6ce51c80ca0bf4062c15ef3d0663f19a
3578090 D 3 DP 2 28/06/2018 28/06/2018 23/03/1973 0 1
0 0 - 0 - 0 - 0 - 0 176200 416000
INACBG;123123123123 5.2.2.201806040537 4 102026
1#0##0#0#0.0#2018-07-03 12:26:26#0#00:00:00#00:00:00#00:00:00 1
96002e40af8f9a84f4caf485288a1aab
3578090 D 3 DP 2 28/06/2018 28/06/2018 18/12/1946 0 1
0 0 - 0 - 0 - 0 - 0 176200 496000
0 1 0 0 0 I WAYAN PUNDUH 00005041 71 26125 DR.
INACBG;123123123123 5.2.2.201806040537 4 102027
1#0##0#0#0.0#2018-07-03 12:27:10#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 28/06/2018 28/06/2018 15/03/1983 0 2
0 0 - 0 - 0 - 0 - 0 176200 254000
0 1 0 0 0 HERDAYANTI 006899 35 12889 DR. SARTONO,
5.2.2.201806040537 4 102028 1#0##0#0#0.0#2018-07-03
12:29:07#0#00:00:00#00:00:00#00:00:00 1 df7f61bfa7b244ef3923dd1d378cec5f
3578090 D 3 DP 2 28/06/2018 28/06/2018 07/08/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 199000
0 1 0 0 0 SETIAWANI 004116 66 24432 DR. SARTONO,
SP. D 0217R0190618V000453 0000101030117 3;JKN INACBG;123123123123
5.2.2.201806040537 4 102029 1#0##0#0#0.0#2018-07-03
12:29:52#0#00:00:00#00:00:00#00:00:00 1 ec8bf88e74d21d7b010332011e37aa48
3578090 D 3 DP 2 28/06/2018 28/06/2018 30/10/1943 0 1
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INACBG;123123123123 5.2.2.201806040537 4 102030
1#0##0#0#0.0#2018-07-03 12:30:41#0#00:00:00#00:00:00#00:00:00 1
934d015ac8376b5b8ea5ec28348b2ab7
3578090 D 3 DP 2 28/06/2018 28/06/2018 28/09/1970 0 2
- 0 - 0 - 0 - 0 269500 220000 0
1 0 0 0 Sulistiorini ACHMAWATI 011274 47 17440 DRG.
INACBG;123123123123 5.2.2.201806040537 4 102108
1#0##0#0#0.0#2018-07-05 09:37:47#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 28/06/2018 28/06/2018 24/05/1999 0 1
0 - 0 - 0 - 0 269500 220000 0 1
0 0 0 M. YOGIG ADITIYA 023242 19 6975 DRG. MIKA
5.2.2.201806040537 4 102109 1#0##0#0#0.0#2018-07-05
09:38:42#0#00:00:00#00:00:00#00:00:00 1 771437af70034aba359739c8f443ba2d
3578090 D 3 DP 2 28/06/2018 28/06/2018 26/03/1999 0 2
- 0 - 0 - 0 - 0 269500 220000 0
5.2.2.201806040537 4 102110 1#0##0#0#0.0#2018-07-05
09:40:25#0#00:00:00#00:00:00#00:00:00 1 e12b1522bfe0fe1d9b564b6329c59780
3578090 D 2 DP 1 26/06/2018 28/06/2018 25/04/2006 0 1
1 A09.9 - - - None None None None K-4-17-I None None
None None None None NYERI ABDOMEN & GASTROENTERITIS LAIN-LAIN (RINGAN)
1295500 0 0 - 0 - 0 - 0 - 0
1295500 1933000 0 3 0 0 0 AEFAN FANDI PRATAMA
011221 12 4445 DR. DEVI EMAWANTI, SP. A 0217R0190618V000420
0001227450442 3;JKN INACBG;123123123123 5.2.2.201806040537 4
102315 1#0##0#0#0.0#2018-07-09 10:45:36#0#00:00:00#00:00:00#08:56:13
1 441a913638618032fb1b438210388d30
3578090 D 3 DP 2 29/06/2018 29/06/2018 18/12/1984 0 2
0 0 - 0 - 0 - 0 - 0 281500 289000
0 1 0 0 0 CANDRA FATMASARI 015545 33 12246 DR.
INACBG;123123123123 5.2.2.201806040537 4 101986
1#0##0#0#0.0#2018-07-04 09:23:50#0#00:00:00#00:00:00#12:59:51 1
003a6b1b2bb34d461a6dd8ddcdcd0854
3578090 D 3 DP 2 29/06/2018 29/06/2018 18/10/1973 0 2
1 J02.9;N39.0 - - - None None None None Q-5-42-0 None
0 - 0 - 0 - 0 - 0 173400 230000
0 1 0 0 0 imelda david 021664 44 16325 DR.
INACBG;123123123123 5.2.2.201806040537 4 102031
1#0##0#0#0.0#2018-07-04 09:24:54#0#00:00:00#00:00:00#00:00:00 1
9327f8843fc07565d1de2cc2546fc99b
3578090 D 3 DP 2 29/06/2018 29/06/2018 20/01/2000 0 1
- 0 - 0 - 0 - 0 173400 120000 0
1 0 0 0 MUHAMMAD NISAR YANUAR UTOMO 023946 18 6735
INACBG;123123123123 5.2.2.201806040537 4 102032
1#0##0#0#0.0#2018-07-04 09:30:12#0#00:00:00#00:00:00#00:00:00 1
825c0eca4d841adc48524a3378e09695
3578090 D 3 DP 2 29/06/2018 29/06/2018 27/06/1974 0 2
- 0 - 0 - 0 - 0 173400 148000 0
1 0 0 0 WIDI WATINENGSIH 023612 44 16073 DR. RIZKY
5.2.2.201806040537 4 102033 1#0##0#0#0.0#2018-07-04
09:31:56#0#00:00:00#00:00:00#00:00:00 1 89dde874bbd75f8ca048237522ce4b37
3578090 D 3 DP 2 29/06/2018 29/06/2018 12/09/1979 0 2
- 0 - 0 - 0 - 0 173400 143000 0
1 0 0 0 ENDAH WINARTI 007180 38 14170 DR. RIZKY
5.2.2.201806040537 4 102034 1#0##0#0#0.0#2018-07-04
09:33:19#0#00:00:00#00:00:00#00:00:00 1 5ea54fabaddef0458ff44b19cbd7d7b6
3578090 D 3 DP 2 29/06/2018 29/06/2018 03/04/1976 0 1
1 N23 - - - None None None None Q-5-32-0 None None
None None None None GANGGUAN SALURAN KEMIH AKUT 238100 0 0
- 0 - 0 - 0 - 0 238100 211000 0
1 0 0 0 WAHYU DJATMIKO EDY 023948 42 15427 DR.
5.2.2.201806040537 4 102035 1#0##0#0#0.0#2018-07-04
09:34:11#0#00:00:00#00:00:00#00:00:00 1 1a036192c59731aed90ef11c805a2459
3578090 D 3 DP 2 29/06/2018 29/06/2018 22/02/1972 0 2
1 D25.9;R10.4 - - - None None None None Q-5-44-0 None
0 0 - 0 - 0 - 0 - 0 176200 167000
0 1 0 0 0 FENY RISWIHARTI, SE. 007977 46 16929
INACBG;123123123123 5.2.2.201806040537 4 102036
1#0##0#0#0.0#2018-07-04 09:36:17#0#00:00:00#00:00:00#00:00:00 1
0a4f6779fd34a5b41c9d17249dd99503
3578090 D 3 DP 2 29/06/2018 29/06/2018 06/09/1968 0 1
- 0 - 0 - 0 - 0 173400 171000 0
1 0 0 0 Y DWI ARI WIBOWO 021273 49 18193 DR. RIZKY
5.2.2.201806040537 4 102037 1#0##0#0#0.0#2018-07-04
09:37:08#0#00:00:00#00:00:00#11:09:33 1 ef0c709f97bd5df6e93473dc846b1ac9
3578090 D 3 DP 2 29/06/2018 29/06/2018 07/02/1941 0 2
0 0 - 0 - 0 - 0 - 0 176200 258000
INACBG;123123123123 5.2.2.201806040537 4 102038
1#0##0#0#0.0#2018-07-04 09:38:02#0#00:00:00#00:00:00#00:00:00 1
0e0cf614dbf6a19b624a29710751ada0
3578090 D 3 DP 2 29/06/2018 29/06/2018 15/01/1936 0 1
0 0 - 0 - 0 - 0 - 0 176200 285000
0 1 0 0 0 MOELJONO 007392 82 30116 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 102039
1#0##0#0#0.0#2018-07-04 09:38:39#0#00:00:00#00:00:00#00:00:00 1
5a172d2c9cb6afa32c6506c58166dc84
3578090 D 3 DP 2 29/06/2018 29/06/2018 03/11/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 220000
0 1 0 0 0 SUDARMI PINTO ASTUTI 004579 72 26536
3;JKN INACBG;123123123123 5.2.2.201806040537 4 102040
1#0##0#0#0.0#2018-07-04 09:39:17#0#00:00:00#00:00:00#00:00:00 1
522ee180f0f0a99ca15d1da42aecf974
3578090 D 3 DP 2 29/06/2018 29/06/2018 07/01/1982 0 2
0 0 - 0 - 0 - 0 - 0 176200 176000
0 1 0 0 0 ANITA WIJAYANTI 001200 36 13322 DR.
INACBG;123123123123 5.2.2.201806040537 4 102041
1#0##0#0#0.0#2018-07-04 09:39:58#0#00:00:00#00:00:00#00:00:00 1
dce2f64d84f69f328833438f954f9d7f
3578090 D 3 DP 2 29/06/2018 29/06/2018 25/05/1944 0 1
0 0 - 0 - 0 - 0 - 0 176200 235000
0 1 0 0 0 J.A.MOELJONO 018156 74 27063 DR.
INACBG;123123123123 5.2.2.201806040537 4 102042
1#0##0#0#0.0#2018-07-04 09:40:40#0#00:00:00#00:00:00#00:00:00 1
505229ef813cf06b6ad6d2f59600613b
3578090 D 3 DP 2 29/06/2018 29/06/2018 28/03/1946 0 2
0 0 - 0 - 0 - 0 - 0 176200 176000
0 1 0 0 0 MASTORIA SILITONGA 015742 72 26391
3;JKN INACBG;123123123123 5.2.2.201806040537 4 102043
1#0##0#0#0.0#2018-07-04 09:41:20#0#00:00:00#00:00:00#00:00:00 1
fb910b496d6a68b8b59ab3e92218e0d7
3578090 D 3 DP 2 29/06/2018 29/06/2018 13/09/1950 0 2
0 0 - 0 - 0 - 0 - 0 176200 252500
0 1 0 0 0 WENNY RAHAYU 006717 67 24761 DR.
INACBG;123123123123 5.2.2.201806040537 4 102044
1#0##0#0#0.0#2018-07-04 09:42:00#0#00:00:00#00:00:00#00:00:00 1
2a5a957763b97e74d1d70eae35d4f476
3578090 D 3 DP 2 29/06/2018 29/06/2018 16/02/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 182000
0 1 0 0 0 I.B GEDE PUTRA 021300 75 27527 DR.
INACBG;123123123123 5.2.2.201806040537 4 102045
1#0##0#0#0.0#2018-07-04 09:42:38#0#00:00:00#00:00:00#00:00:00 1
8520b2327c1d3e0e790cad46b55426ba
3578090 D 3 DP 2 29/06/2018 29/06/2018 22/05/1947 0 2
0 0 - 0 - 0 - 0 - 0 176200 194500
0 1 0 0 0 MARIA HENNY 010363 71 25971 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 102046
1#0##0#0#0.0#2018-07-04 09:43:18#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 29/06/2018 29/06/2018 01/01/1950 0 2
0 0 - 0 - 0 - 0 - 0 176200 174000
0 1 0 0 0 RUHAEDAH 008988 68 25016 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 102047
1#0##0#0#0.0#2018-07-04 09:43:58#0#00:00:00#00:00:00#00:00:00 1
6f76ba3d9251385e2eaa952ed6ba5bc4
3578090 D 3 DP 2 29/06/2018 29/06/2018 05/04/1947 0 2
0 0 - 0 - 0 - 0 - 0 176200 196000
0 1 0 0 0 AGUSTINE GARTINI 011196 71 26018 DR.
INACBG;123123123123 5.2.2.201806040537 4 102048
1#0##0#0#0.0#2018-07-04 09:44:34#0#00:00:00#00:00:00#00:00:00 1
e0bd72c5a84111019d0ca58a223af58f
3578090 D 3 DP 2 29/06/2018 29/06/2018 03/03/1954 0 2
0 0 - 0 - 0 - 0 - 0 176200 215500
0 1 0 0 0 SRI HYDAYATI 005290 64 23494 DR.
INACBG;123123123123 5.2.2.201806040537 4 102050
1#0##0#0#0.0#2018-07-04 09:48:20#0#00:00:00#00:00:00#00:00:00 1
0322192b76609b3fb0975768f2a9933d
3578090 D 3 DP 2 29/06/2018 29/06/2018 05/07/1968 0 2
0 0 - 0 - 0 - 0 - 0 176200 437000
0 1 0 0 0 RNR D PURNAMASARI 007391 49 18256 DR.
INACBG;123123123123 5.2.2.201806040537 4 102051
1#0##0#0#0.0#2018-07-04 09:49:05#0#00:00:00#00:00:00#00:00:00 1
f9c05c679564df60b498dbad369c0bb2
3578090 D 3 DP 2 29/06/2018 29/06/2018 14/04/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 182000
0 1 0 0 0 ELFINA BR TAMPUBOLON 007183 69 25278
3;JKN INACBG;123123123123 5.2.2.201806040537 4 102052
1#0##0#0#0.0#2018-07-04 09:49:41#0#00:00:00#00:00:00#00:00:00 1
3febb0bde2b0f515dbb759569391efc1
3578090 D 3 DP 2 29/06/2018 29/06/2018 01/09/1941 0 1
0 0 - 0 - 0 - 0 - 0 176200 215000
0 1 0 0 0 SOEMBOGO 005199 76 28060 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 102053
1#0##0#0#0.0#2018-07-04 09:50:22#0#00:00:00#00:00:00#00:00:00 1
853c905703427a66371dfbaaa2371855
3578090 D 3 DP 2 29/06/2018 29/06/2018 04/11/1945 0 2
0 0 - 0 - 0 - 0 - 0 176200 175000
0 1 0 0 0 SITI RUBIANTI 006557 72 26535 DR.
INACBG;123123123123 5.2.2.201806040537 4 102054
1#0##0#0#0.0#2018-07-04 09:51:04#0#00:00:00#00:00:00#00:00:00 1
a8d809ba33d933adfe4da1e38d32acf1
3578090 D 3 DP 2 29/06/2018 29/06/2018 14/07/1964 0 2
0 0 - 0 - 0 - 0 - 0 176200 170000
INACBG;123123123123 5.2.2.201806040537 4 102055
1#0##0#0#0.0#2018-07-04 09:59:59#0#00:00:00#00:00:00#00:00:00 1
b65cb0f11c77cf93c2c85bca5a8eea3d
3578090 D 3 DP 2 29/06/2018 29/06/2018 13/08/1940 0 1
0 0 - 0 - 0 - 0 - 0 176200 172000
0 1 0 0 0 A J PAIMAN 010940 77 28444 DR.
INACBG;123123123123 5.2.2.201806040537 4 102056
1#0##0#0#0.0#2018-07-04 10:13:44#0#00:00:00#00:00:00#00:00:00 1
a995aa9f5a075910080a2a4edc33470c
3578090 D 3 DP 2 29/06/2018 29/06/2018 02/08/1933 0 1
0 0 - 0 - 0 - 0 - 0 176200 204000
0 1 0 0 0 I GUSTI NYOMAN GUNADNYA 014347 84 31012
3;JKN INACBG;123123123123 5.2.2.201806040537 4 102057
1#0##0#0#0.0#2018-07-04 10:14:27#0#00:00:00#00:00:00#00:00:00 1
a150a543fb3becde6d6053cbc9fda3a2
3578090 D 3 DP 2 29/06/2018 29/06/2018 14/01/1956 0 2
0 0 - 0 - 0 - 0 - 0 176200 312000
0 1 0 0 0 SRI RUSMIJATI 008743 62 22812 DR.
INACBG;123123123123 5.2.2.201806040537 4 102058
1#0##0#0#0.0#2018-07-04 10:15:17#0#00:00:00#00:00:00#00:00:00 1
3d24ea0c843f7d4fde9e58a608b107c2
3578090 D 3 DP 2 29/06/2018 29/06/2018 27/02/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 340500
0 1 0 0 0 IDA PUJIWATI 021198 69 25324 DR.
INACBG;123123123123 5.2.2.201806040537 4 102059
1#0##0#0#0.0#2018-07-04 10:15:57#0#00:00:00#00:00:00#00:00:00 1
76010601ae43af6e7d7f2c831ab9b7fe
3578090 D 3 DP 2 29/06/2018 29/06/2018 27/07/1951 0 2
0 0 - 0 - 0 - 0 - 0 176200 255000
3;JKN INACBG;123123123123 5.2.2.201806040537 4 102060
1#0##0#0#0.0#2018-07-04 10:16:48#0#00:00:00#00:00:00#00:00:00 1
6433ca218c99e545b2caabb687468c79
3578090 D 3 DP 2 29/06/2018 29/06/2018 08/01/1966 0 1
0 - 0 - 0 - 0 - 0 248800 273000
0 1 0 0 0 TUKIMAN 023941 52 19165 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 102061
1#0##0#0#0.0#2018-07-04 10:17:36#0#00:00:00#00:00:00#00:00:00 1
7c36e2803fe111f59407067ab7e8db5e
3578090 D 3 DP 2 29/06/2018 29/06/2018 03/03/1955 0 1
0 - 0 - 0 - 0 - 0 248800 273000
0 1 0 0 0 SYAIFUL 023947 63 23129 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 102049
1#0##0#0#0.0#2018-07-04 10:18:39#0#00:00:00#00:00:00#00:00:00 2
bc41adbb59e8df90201fabe115f2ee80
3578090 D 3 DP 2 29/06/2018 29/06/2018 17/02/1946 0 1
0 0 - 0 - 0 - 0 - 0 176200 305000
INACBG;123123123123 5.2.2.201806040537 4 102062
1#0##0#0#0.0#2018-07-04 10:28:30#0#00:00:00#00:00:00#00:00:00 1
6ffbde92a6ba00f13dccd9ca44dc3d9a
3578090 D 3 DP 2 29/06/2018 29/06/2018 06/08/1955 0 1
0 0 - 0 - 0 - 0 - 0 176200 186500
0 1 0 0 0 SUYONO 017984 62 22973 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 102063
1#0##0#0#0.0#2018-07-04 10:29:15#0#00:00:00#00:00:00#09:53:40 1
c62c49a554a2ab3edff3c17cad7a846e
3578090 D 3 DP 2 29/06/2018 29/06/2018 01/01/1942 0 2
0 0 - 0 - 0 - 0 - 0 176200 270000
0 1 0 0 0 RUSMINI 018197B 76 27938 DR.
INACBG;123123123123 5.2.2.201806040537 4 102064
1#0##0#0#0.0#2018-07-04 10:34:54#0#00:00:00#00:00:00#00:00:00 1
2b3f800dd42e7b300085e95ef6b31cdc
3578090 D 3 DP 2 29/06/2018 29/06/2018 25/02/1939 0 2
0 0 - 0 - 0 - 0 - 0 176200 192000
3;JKN INACBG;123123123123 5.2.2.201806040537 4 102065
1#0##0#0#0.0#2018-07-04 10:36:44#0#00:00:00#00:00:00#00:00:00 1
ab8c9ed7f80a50ac19f5ea707cb9b8ab
3578090 D 3 DP 2 29/06/2018 29/06/2018 15/04/1949 0 2
0 0 - 0 - 0 - 0 - 0 176200 272000
0 1 0 0 0 ESTHER DARISE 018921 69 25277 DR.
INACBG;123123123123 5.2.2.201806040537 4 102066
1#0##0#0#0.0#2018-07-04 10:37:21#0#00:00:00#00:00:00#00:00:00 1
14bb8f845d78d71ee526ce50cc27293d
3578090 D 3 DP 2 29/06/2018 29/06/2018 12/03/1943 0 1
0 0 - 0 - 0 - 0 - 0 176200 205000
0 1 0 0 0 JULIUS SOEKARNO 011124 75 27503 DR.
INACBG;123123123123 5.2.2.201806040537 4 102067
1#0##0#0#0.0#2018-07-04 10:37:57#0#00:00:00#00:00:00#00:00:00 1
b977d4eeef776bd4206ca2ab5ea0cab9
3578090 D 3 DP 2 29/06/2018 29/06/2018 11/01/1954 0 2
0 0 - 0 - 0 - 0 - 0 176200 238000
0 1 0 0 0 TOMASI 018177 64 23545 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 102068
1#0##0#0#0.0#2018-07-04 10:38:40#0#00:00:00#00:00:00#00:00:00 1
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3578090 D 3 DP 2 29/06/2018 29/06/2018 28/05/1964 0 1
0 0 - 0 - 0 - 0 - 0 176200 175500
0 1 0 0 0 PIRYONO 006713 54 19755 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 102069
1#0##0#0#0.0#2018-07-04 10:39:24#0#00:00:00#00:00:00#14:17:52 1
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3578090 D 3 DP 2 29/06/2018 29/06/2018 17/06/1966 0 1
0 0 - 0 - 0 - 0 - 0 176200 179000
0 1 0 0 0 SISWANTO 023055 52 19005 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 102070
1#0##0#0#0.0#2018-07-04 10:40:08#0#00:00:00#00:00:00#12:00:00 1
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3578090 D 3 DP 2 29/06/2018 29/06/2018 10/08/1958 0 1
0 0 - 0 - 0 - 0 - 0 176200 262000
0 1 0 0 0 SUTRISNO 022929 59 21873 DR. TONY E.
INACBG;123123123123 5.2.2.201806040537 4 102071
1#0##0#0#0.0#2018-07-04 10:40:44#0#00:00:00#00:00:00#12:00:00 1
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3578090 D 3 DP 2 29/06/2018 29/06/2018 05/10/1953 0 2
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0 1 0 0 0 WIDIASTUTIK 023942 64 23643 DR. TONY E.
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3578090 D 3 DP 2 29/06/2018 29/06/2018 11/02/1975 0 2
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3578090 D 3 DP 2 30/06/2018 30/06/2018 07/07/1943 0 1
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3578090 D 3 DP 2 30/06/2018 30/06/2018 13/12/1947 0 2
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3578090 D 3 DP 2 30/06/2018 30/06/2018 14/08/1947 0 2
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3578090 D 3 DP 2 30/06/2018 30/06/2018 31/01/1939 0 2
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3578090 D 3 DP 2 30/06/2018 30/06/2018 18/05/1955 0 2
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3578090 D 3 DP 2 30/06/2018 30/06/2018 26/07/1947 0 1
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