Daftar Pasien Benar

NO Tg.Bl.Th Nama Umur P/L No.Rek.
Med Alamat
25-Jun-18 Tn. Mahfud 54 Th 18063459
Ny. Udriah 44 Th 18063460
Tn. Ade Syaifudin 59 Th 18063461
Tn. Al Imron 36 Th 18063462
Tn. Didi Daryadi 25 Th 18063463
Ny. Sarhanah 18063464
26-Jun-18 Ny. Diyah Dewasa 18063465
Ny. Janariyah Dewasa 18063466
Tn. Muhamad Tanzil 36 Th 18063467
28-Jun-18 Tn. Awang 40 Th 18063468
Ny. Ocah 56 Th 18063469
Tn. Sanja 62 Th 18063470
Tn. Kher Zaenul 38 th 18063471
Tn. Ismail 25 Th 18063472
Nn. Deri indiyani 19 Th 18063473
29-Jun-18 Tn. Dudi 35 Th 18063474
Tn. Kushay 56 Th 18063475
Ny. Iin 42 Th 18063476
Tn. Sahroni 52 Th 18063477
Tn. Adetya Nugraha 26 Th 18063478
Ny. Endang 36 Th 18063479
30-Jun-18 Ny. Wasini Nurhayani 34 Th 18063480
ny. Sopianah 18063481
Ny. Maskanan dewasa 18063482
Ny. Nuriah 25 th 18063483
Ny. Tunah 56 th 18063484
Ny. Merly 34 Th 18063485
2-Jul-18 Tn. Arif Hidayat 42 Th 18073486
Ny. Ninin Kartini 49 Th 18073487
3-Jul-18 Ny. Hj. Junenah 60 Th 18073488
Hery Tri Haryono 44 Th 18073489
Tn. M. Nur 44 Th 18073490
Tn. Johanis Mewengkan53 Th 18073491
Tn.M.Aulia Ahsan 16 th 18073492
Meriana 27 Th 18073493
Tn. Hamdani 48 Th 18073494
An. Anazwa 3 th 18073495
Tn. Marta 75 th 18073496
Ny. Neti 45 th 18073497
Tn. Harun 45 th 18073498
Ny. Dedeh 18073499
4-Jul-18 Tn. Jamsir 57 Th 18073500
An. Gabriel 23 Bln 18073501
Tn. Rahmat 55 th 18073502
Nn. Salsabila Amarti Ni 16 th 18073503
Ny. Lusia 26 th 18073504
5-Jul-18 Tn. H. Abdul Kodir 71 Th 18073505
Tn. Syarifudin 38 Th 18073506
Tn. Wargo 54 Th 18073507
Ny. Aida 63 Th 18073508
Tn. Nelson 44 Th 18073509
6-Jul-18 Ny. Hj. Novi 55 Th 18073510
Ny. Ani 22 Th 18073511
Andri Firgianto 21 Th 18073512
anis 25 Th 18073513
Dzaky Rakandanu 15 Th 18073514
Tn. Umar 18073515
Nn. Noni 18073516
Rakhmawati 45 Th 18073517
Ny. Wili 40 Th 18073518
7-Jul-18 Eko Riyadi 37 Th 18073519
Tn. Candra Irawan 36 Th 18073520
Tn. Yuda Andrean 22 Th 18073521
Tn. Indra Bayu 22 Th 18073522
Ahmad adi Darmawan 15 Th 18073523
9-Jul-18 Pacar 18073524
Hj. Kuraisin 18073525
zakia azzahro 19 Th 18073526
yeri 18 Th 18073527
Ny. Imas 55 Th 18073528
Jayaman 45 Th 18073529
Rika 25 Th 18073530
Tn. Hadi 30 Th 18073531
Aisyah 2 Th 18073532
Tn. Mahasi 37 Th 18073533
Ilyas 9 bln 18073534
Yuda 3 Th 18073535
10-Jul-18 Rosita 51 Th 18073536
Ny. Marhumah 55 th 18073537
Ny. Tatu 18073538
Fatmawati 49 Th 18073539
Tn. Mukti 50 Th 18073540
Tn. Samsudin 40 Th 18073541
11-Jul-18 Ef 18073542
Wika Fransisca 45 Th 18073543
Ny. Yanti Rusmayanti 37 Th 18073544
M. Riski 18073545
Yayu 18073546
Glen nico 18 Th 18073547
Sadiyah 48 Th 18073548
Tn. Asep Abidin 28 Th 18073549
Ny. Aay 49 Th 18073550
12-Jul-18 Ny. Raisah 50 th 18073551
Arista 61 Th 18073552
Sunanjar 28 Th 18073553
Gunah 55 Th 18073554
Saprudin 38 Th 18073555
Nn. Dila Hutari 25 Th 18073556
Tn. Indra 13 Th 18073557
13-Jul-18 Bramanto 18073558
Tn. Budi Susanto 35 Th 18073559
An. Raff Azam 2 Th 18073560
Ny. Siti amnah 70 Th 18073561
Ny. Subihah 53 Th 18073562
Ny. Kasbiah 50 Th 18073563
Sunanjar 37 Th 18073564
Ny. Hj. Jubaedah 68 Th 18073565
14-Jul-18 Tn. Susilo Wibowo Dws 18073566
Tn. Nafsi 64 Th 18073567
Ny. Sunaenah 70 Th 18073568
16-Jul-18 Ny. Munawaroh 46 Th 18073569
Ny. Ida 53 Th 18073570
Tn. Ari Rizkiyal A 28 Th 18073571
Tn. Ny. Solehah 31 Th 18073572
Idris Darussalam 25 Th 18073573
Tn. Bahri 56 Th 18073574
Tn. Ohim Rohimudin 26 Th 18073575
Dulah Warsoh 78 Th 18073576
Japinah 60 Th 18073577
Udin 54 Th 18073578
17-Jul-18 Tn. Kristian 58 Th 18073579
Ny. Yanti 28 Th 18073580
Ny. Eka 45 Th 18073581
Tn. Syafaat 28 Th 18073582
badiah 18073583
Ny. Cintia 27 Th 18073584
Ny. Ismayanti 28 Th 18073585
Ny. Wahda 29 Th 18073586
Ny. Suci 27 Th 18073587
Ny. Badriyah 46 Th 18073588
Tn. Fatur Roji 24 Th 18073589
Tn. Rifki 35 Th 18073590
Tn. Harunnarosid 25 Th 18073591
Tn. Humaedi 35 Th 18073592
Tn. Eko Ys 43 Th 18073593
An. Putri 5 Th 18073594
Ny. Ellis 52 Th 18073595
18-Jul-18 Tn. Amirudin 45 Th 18073596
Tn. Holidullah 27 Th 18073597
Tn. Sugianto A 28 Th 18073598
Tn. Jemian 45 Th 18073599
Tn. Sobri Hidayat 32 Th 18073600
Tn. Ahmad Andi 24 Th 18073601
Tn. Jawahirul A 36 Th 18073602
Tn. Eby Sueby 25 Th 18073603
Tn. Bastomi 27 Th 18073604
Tn. Ahmad Maerullah 28 Th 18073605
Tn. Hatibi 40 Th 18073606
Tn. Rizky A 25 Th 18073607
An. Nanda 11 bln 18073608
Tn. Aan Antawijaya 25 Th 18073609
Tn. Dedi Hartono 27 Th 18073610
Tn. Anis Fuadi 26 tH 18073611
Tn. Supardi 31 Th 18073612
Tn. Saefudin 29 Th 18073613
Putri 24 Th 18073614
19-Jul-18 H. Qodir 18073615
Ny. Marifat 35 Th 18073616
Ny. Muslimah 18073617
Rizah Ijazi 18073618
sofat 18073619
ahmad Rifai 18073620
Ahmad baihaki 18073621
20-Jul-18 Tn. Mustajib 55 Th 18073622
Tn. Sudarman Subhi 26 Th 18073623
Tn. Roisudin 19 Th 18073624
Ny. Isti 27 Th 18073625
Tn. M. Affandi 20 Th 18073626
Tn. Trie Sandya TR, SH 27 Th 18073627
Tn. Tb Alfen Rinaldi 29 Th 18073628
Tn. Nasrudin 32 Th 18073629
Tn. Jeri Gunawan 26 Th 18073630
Tn. Aditia Saputra 22 Th 18073631
Tn. Syaiful Malik 32 Th 18073632
Tn. Ferry Irawan 29 Th 18073633
Tn. Jaya Syuhada 21 Th 18073634
Tn. Amirudin 21 Th 18073635
Ny. Yuroh 53 Th 18073636
21-Jul-18 Ny. Yati 32 Th 18073637
Yunita 27 Th 18073638
Ny. Linda 47 Th 18073639
Ny. Tuti 30 Th 18073640
Ny. Lilis 41 Th 18073641
23-Jul-18 Tn. Tumaji Tajir 41 Th 18073642
Tn. Agung Apriyanto 28 Th 18073643
Tn. Yusuf Setiawan 23 Th 18073644
Tn. H. Aripudin 70 Th 18073645
An. Faisa 18073646
24-Jul-18 Firda Herlina 17 Th 18073647
Nn. Uum 17 Th 18073648
Ny. Nawiyah 39 Th 18073649
Ny. Neng Ida 48 Th 18073650
25-Jul-18 Aqilla 18 Th 18073651
Tn. Murakani 50 Th 18073652
Tn. Sarman 48 Th 18073654
Supri 50 Th 18073655
Ny. Roosetya 54 Th 18073656
Alan 19 Th 18073657
Tn. Wirta 45 Th 18073658
26-Jul-18 Ny. Wartini 53 Th 18073659
Tn. M. Darussalam 24 Th 18073660
Tn. Muhroji 32 Th 18073661
Tn. Saepudin 28 Th 18073662
Tn. M. Tyas 52 Th 18073663
By. Atar 1 Th 18073664
An. Deri Arsenio 2 Th 18073665
Tn. Samsuri 40 th 18073666
Tn. Yudi Mulyadi 39 th 18073667
Tn. Musmulyadi 34 th 18073668
Tn. Syahrani 63 Th 18073669
Ny. Rofani 34 Th 18073670
NY. Hj. Jubaedah 60 Th 18073671
27-Jul-18 Sukri dewasa 18073672
Rizki Aditya 6 Th 18073673
Ny. Roosetya 54 Th 18073674
Tn. Maskun 60 Th 18073675
Tn. Koni Kemal 32 Th 18073676
Sukri dewasa 18073677
28-Jul-18 Munawaroh 27 Th 18073678
30-Jul-18 drg. Yuliana Marliza 33 Th 18073679
Tn. H. Arifudin 70 Th 18073680
Mega Andriansyah 15 Th 18073681
Nn. Anis Mustatanisa 26 Th 18073682
Ny. Rohayah 18073683
Ny. Lidya 28 Th 18073684
31-Jul-18 M. Ridho P 22 Th 18073685
Deden Dwi 22 Th 18073686
Agung 27 Th 18073687
Alan 25 Th 18073688
Eki 40 Th 18073689
Ny. Ernawati 18073690
Ny. Rosmah 18073691
An. A Robiansyah 12 Th 18073692
Ny. Mina Dewasa 18073693
Nn. Selly 18 Th 18073694
Ny. Aulia 25 Th 18073695
Ny. Dewi Aisah 35 Th 18073696
An. Ilmi 9 Th 18073697
Suparman 39 Th 18073698
Absah 50 Th 18073699
Lindawati 19 Th 18073700
1-Aug-18 Ny. Narni 42 Th 18073701
Nn. Diana Tutut Puji M 19 Th 18073702
Tn. Adit Cahya 20 Th 18073703
Nn. Nur Alfyah 21 Th 18073704
Ny. Nur Yulianty 27 Th 18073705
Nn. Lia Liatul 16 Th 18073706
Ny. Rip'ah 43 Th 18073707
Ny. Masniah 45 Th 18073708
2-Aug-18 Tn. Muhammad Ridwan38 Th 18073709
Tn. Holilullah 26 Th 18073710
Tn. Kosim Aminudin 29 Th 18073711
Tn. Surodi 35 Th 18073712
Tn. Didi Suhardi 25 Th 18073713
Tn. Muhtarudin 24 Th 18073714
Tn. Ridwan Gunawan 24 Th 18073715
An. Asia Putri A 8 Bulan 18073716
Ny. Marhumah 55 Th 18073717
Kautsar Dinda A 21 Th 18073718
18073719
18073720
3-Aug-18 Nn. Muslihah 18 Th 18073721
Adira 2 Th 18073722
Ade Okto 7 Th 18073723
Tn. Mahad 69 Th 18073724
Ny. Yuyun 28 Th 18073725
Edriyanto Dewasa 18073726
4-Aug-18 Nn. Gita Dewi C 20 Th 18083727
Nn. Sabila Adha 18 Th 18083728
Nn. Farah Umroatun Aul20 Th 18083729
Nn. Yeni Wahyuni 23 Th 18083730
Tn. Muchammad Sukro20 Th 18083731
Tn. Asri 22 Th 18083732
Nn. Uul Fitriyah 20 Th 18083733
Tn. Fitra Sudrajat 28 Th 18083734
Tn. Muhamad Hakim 21 Th 18083735
Tn. Rahmatullah 32 Th 18083736
Tn. Setia Aji Nugroho 24 Th 18083737
Sumardi 32 Th 18083738
Alam anugrah 2 th 18083739
Nn. Sherlin 0 Th 18083740
Tn. Hoirun Nasihin 25 Th 18083741
Tn. Rahmatulloh 28 Th 18083742
Tn. Ujin Mafudin 38 Th 18083743
6-Aug-18 Ahmad Safudin 41 Th 18083744
Ny. Thania 25 Th 18083745
Bd. Sundari Dewasa 18083746
Ny. Masriyah 60 Th 18083747
Tn. Asdil 50 Th 18083748
Nn. Yuyun 28 Th 18083749
Tn. Aden 41 Th 18083750
Tn. Taufk 18083751
7-Aug-18 Ny. Hj. Jubaedah 70 Th 18083752
Tn. Habri 51 Th 18083753
Ny. Erlina 25 Th 18083754
Ny. Indah 18083755
Rasya Dwi 18083756
8-Aug-18 Tn. Dona P 27 Th 18083757
syahrul Hidayat 24 Th 18083758
Eris Kurniawan 24 Th 18083759
Ny. Sarpah 60 Th 18083760
Tn. Misal 70 Th 18083761
Ny. Hj. Asnah 80 Th 18083762
Tn. Samun 33 Th 18083763
9-Aug-18 Tn. Anas 18 Th 18083764
Ny.Hujaemah 47 Th 18083765
Ny. Hj. Esah 60 Th 18083766
10-Aug-18 Tn. Hj Jurohim 35 Th 18083767
Ny. Eka Oktaviasari 24 Th 18083768
An. M. Ilzamuddin Azra5 Th 18083769
Tn. M. Rifai 18 Th 18083770
Tn. Asepuloh 18 Th 18083771
ST Sadriyah 1 Th 18083772
Berliana 45 Th 18083773
11-Aug-18 Tn. Karjuli 34 Th 18083774
Ny. Herni 25 Th 18083775
Ny Herni 25 Th 18083776
Ny. Ika 41 Th 18083777
Masroni 34 th 18083778
Aji Putro 31 th 18083779
Ahmad Khudaeni 33 th 18083780
Melius 34 th 18083781
Adhi Nugraha 32 th 18083782
Ny. Hj. Sariah 69 Th 18083783
13-Aug-18 Tn. Hasan 29 Th 18083784
18083785
m. Subri 18083786
Agisni 18083787
Bunga 18083788
14-Aug-18 Hidayatulloh 24 Th 18083789
Rahmatulloh 34 Th 18083790
An. Perdiansyah 12 Th 18083791
Tn. Ahmad Samani 68 Th 18083792
Ny. Wiri 40 Th 18083793
15-Aug-18 H. Herman Johny 65 Th 18083794
Hj. Lilik Kustini 63 Th 18083795
Tn. Khoirul 38 Th 18083796
Ayu Fatmawati 20 Th 18083797
By. Aa; 1 Th 18083798
16 Agstus 2018Ny. Hj. Hatanah 70Th 18083799
Tn. Prido Novanto 18 Th 18083800
Tn. Johanda 52 th 18083801
Tn. Saefuloh 28 th 18083802
18-Aug-18 Ny. Indriani 23 Th 18083803
Ny. Fera 32 Th 18083804
Tn. Jeri Supriadi 22 Th 18083805
H. Agfussurun 42 Th 18083807
Ny. Sukanah 50 th 18083808
Nn. Silviana 15 th 18083809
20-Aug-18 Ny. Fabian 26 Th 18083810
Ny. Hamsiah 36 Th 18083811
zesa 7 Th 18083812
Ny. Fatimah 72 Th 18083813
Ny. Suryati 24 Th 18083814
Tn. Hasmani 48 Th 18083815
Mukroni 28 th 18083816
Marisa 12 Th 18083817
engkis 50 th 18083818
Tn. Asep 26 Th 18083819
Widya 27 Th 18083820
21-Aug-18 Nn. Erna Kusumaningr 24 Th 18083821
Ny. Dalikem 56 Th 18083822
Ny. Suniah 29 Th 18083823
Ny. Sofah 63 Th 18083824
Tn. Ismatulloh 25 Th 18083825
Ny. Hamsiah 36 Th 18083826
Ny. Siti Salma 28 Th 18083827
Nn.Ummul Azhima 25 th 18083828
Tn. Aris Sugiarto 25 th 18083829
Asikom 63 th 18083830
ika emawati 21 th 18083831
bairan 44 th 18083832
8/23/2018 Tn. Neldo 53 Th 18083833
Ny. Tarminati 50 Th 18083834
An. Amar 10 Th 18083835
Tn. Jahurdi 80 th 18083836
Ny.Ilah Karmila 37 Th 18083837
sohandi 19 Th 18083838
24-Aug-18 An. Amar 8 Th 18083839
Ny. Hj. Kuraisin Dewasa 18083840
Isa Faisal 14 Th 18083841
Tn, Bedi Kusnadi 30 Th 18083842
Tn. Dek masra 59 Th 18083843
Tn. Hadi hermawan 21 Th 18083844
Ny. Masruhah 66 Th 18083845
25-Agt-18 Tn. Masduki 54 Th 18083846
Tn. Anwar Hanid 61 Th 18083847
27-Aug-18 Ny. Saniah 52 Th 18083848
Ny. Dewi Sulistiyawati 44 th 18083849
Tn. Januri 34Th 18083850
Ny. Hj Hasbiah 50 Th 18083851
Tn. Abdussurur 40 Th 18083852
Samaun 90 Th 18083853
Asmo 30 Th 18083854
Tn. Miftahul Ulum 26 Th 18083855
28-Aug-18 Ny.Faihah 51 Th 18083856
An. Dena 4 Th 18083857
Ny. Bayiah 54 Th 18083858
An. Bagus 6 Th 18083859
Ny. Hanaah 25 Th 18083860
Ny. Hj. Uni 60 Th 18083861
Ny, Teti Heryati 21 Th 18083862
Ny. Kurtini 45 th 18083863
29-Aug-18 Ny. Hj. Jubaedah 68 Th 18083864
Ny. Resta Dwi 29 Th 18083865
An.M.Fauzan 1 th 18083866
Ny.Parni Setia 45 th 18083867
Ny.Hasanah 47 t 18083868
30-Aug-18 Tn. Sugih dewasa 18083869
31-Aug-18 Arif Munandar 25 Th 18083870
Tn. Arip 30 Th 18083871
Nn. Putri 25 Th 18083872
1-Sep-18 Nn. Nurtihandayani 18 Th 18093873
Ny. Sadiah 61 Th 18093874
3-Sep-18 Ny. Misnawati 23 Th 18093875
Ny. Wargianti 56 Th 18093876
Ny. Misnawati 18093877
Ny. Wargiati 18093878
An. Rizkiah 9 th 18093879
4-Sep-18 Ny. Saidah 55 Th 18093880
Tn. Rahmatullah 27 Th 18093881
Ny. Sumirat 23 Th 18093882
Nn. Bella Saftri 18 Th 18093883
By. Azmi 3 bln 18093884
5-Sep-18 Ny. Hj. Mar'ah 63 Th 18093885
Ny.Hakimah 30 Th 18093886
Tommy Pratama 25 Th 18093887
Muhammad Ali 37 Th 18093888
Nana Apriatna 28 Th 18093889
Tn.Sueb 68 th 18093890
Telusuri GoogleAn,Rakha 9 bln 18093891
Tn. Ade Irma 30 th 18093892
Nn. Luf 23 th 18093893
Tn.Rahmat 76 th 18093894
T,Eman 29 th 18093895
6-Sep-18 Tn. Saprudin 18093896
Ny. Rini 18093897
Tn. Halimi 18093898
7-Sep-18 Ny. Marhumah Dewasa 18093899
Ny. Nur Halimah 21 Th 18093900
Ny. Sarnati 55Th 18093901
rahma 40 Th 18093902
8-Sep-18 SARNATI 18093903
Ny. Dewi 38 Th 18093904
Tn. Dedek Bin Karim 28 Th 18093905
Tn. Tb Rangga 26 Th 18093906
Tn. M. Toni 29 Th 18093907
Tn. Andre Bin Bargo 40 Th 18093908
10-Sep-18 Abib 7 Th 18093909
Tn. Budy Suwarno 65 Th 18093910
Tn. Adma 60 Th 18093911
Tn. Ahmad Jajuli 42 Th 18093912
Tn. Arsaman 56 Th 18093913
Tn. Jendra Hangesti 26 Th 18093914
Ny. Suheti 46 Th 18093915
12-Sep-18 Tn. Jamaludin 42 Th 18093916
Qafa 18093917
Rianti 18093918
Sri 18093919
Ny. Siti Maimunah 38 Th 18093920
Ny. Binti Ayu 21 Th 18093921
Ny. Thowafyah 45 Th 18093922
Tn. Rosydin 55 Th 18093923
13-Sep-18 Ny. Yunani 49 Th 18093924
Titin Sutinah 26 Th 18093925
Nurhalimah 21 Th 18093926
Bela Saftri 18 Th 18093927
14-Sep-18 Tn. Tumaji Tajir 46 Th 18093928
15-Sep-18 Ny. Nur Halimah 26 Th 18093929
Ny. Sofah 31 Th 18093930
Lirandi 3 Th 18093932
Tn. Haryo Bimo 44 Th 18093933
Tn. Untung Satria 26 Th 18093934
Ny. Mardiah 60 Th 18093935
Tn. Asra 57 Th 18093936
Tn. Ali akbar siregar 49 Th 18093937
17-Sep-18 Tn. Riki Gustiawan 32 Th 18093938
Tn. Heru Gunawan 33 Th 18093939
Ny. Astri 34 Th 18093940
Ny. Yuli 54 Th 18093941
Nn. Haryati 22 Th 18093942
Ny. Tina 34 Th 18093943
Tn. Bakri 34 Th 18093944
18-Sep-18 Tn. Eggy Ridho Agustian18 Th 18093945
Nn. Lidya 28 Th 18093946
Ny.Reni 32 th 18093947
Ny. Rumini 50 Th 18093948
Tn. H. Juned 80 Th 18093949
An. M. Anggi 6 tH 18093950
19-Sep-18 Ny. Bily 26 Th 18093951
Nadian Rahma Putri 12 Th 18093952
Tn. Alfa 48 Th 18093954
Tn. Joko Laksono 28 Th 18093955
An. Mutiara 8 Th 18093956
Tn. Abdul Muthalib 48 th 18093957
20-Sep-18 Tn. Mastuhi 72 Th 18093958
Tn. Oza 28 Th 18093959
Tn. Irvan 34 Th 18093960
Ny. Ma'rifat 35 Th 18093961
Tn. E munandi 46 Th 18093962
21-Sep-18 Tn. Budi Susanto 36 Th 18093963
Ny. Afah 46 Th 18093964
Ny. Yeni Nuraeni 22 Th 18093965
Ny. Arifatul 30 Th 18093966
M. Heru 4,8 Th 18093967
22-Sep-18 An. M. Hafz 9 Bulan 18093968
An. Agnia N 1 Th 18093969
hafs 18093970
Tn. Hudari 66 Th 18093971
24-Sep-18 Tn. Toto 61 Th 18093972
Ny. Hadroh 63 Th 18093973
Tn. Ahmad Sarmin 65 Th 18093974
Ny.Siti Aminah 50 th 18093975
25-Sep-18 Tn. Ahmad Luthf Sirri 28 Th 18093976
Rifaldi 21 Th 18093977
Ny. Ika Nuratika 18 Th 18093978
rendi 15 th 18093979
26-Sep-18 Tn. Hudari 66 Th 18093980
Nn. Ika 18 Th 18093981
Ny. Safnah 44 Th 18093982
Tn. Wasito 46 Th 18093983
Sdr, Ibnu 18 Th 18093984
27-Sep-18 Nn. Nurul Ardiyah 25 Th 18093985
Ny. Nurjanah 27 Th 18093986
Tn. Hudari 66 Th 18093987
solihin 56 Th 18093988
An. Danish 9 th 18093989
Rufminah 29 th 18093990
Sdr. Ibnu 18 Th 18093991
28-Sep-18 Tn. Nasihul amin 22 Th 18093992
Ny. Fikah 65 Th 18093993
Nn. Afna 22 Th 18093994
Ny. Sawitri 51 Th 18093995
29-Sep-18 Tn. Rudi Haryanto 45 th 18093996
Tn. Maman 34 th 18093997
Tn. Rohyudin 34 Th 18093998
Tn. Marjuni 33 Th 18093999
Tn. Harun 52 Th 18094000
1-Oct-18 Ny. Marumi 23 Th 18104001
Ny. Hj. Kuraesin 71 Th 18104002
Tn. Jamaan 62 Th 18104003
Ny. Nurjanah 27 Th 18104004
Tn. Masruki 58 Th 18104005
Tn. Jamal 32 Th 18104006
Tn. M Ridwan 18 Th 18104007
Ny. Mafudoh 54 Th 18104008
Ny. Deny dahlia 33 th 18104009
2-Oct-18 Ny. Masriyah 27 Th 18104010
sdr tedi 19 th 18104011
Tn. Ajat Sudrajat 31 th 18104012
3-Oct An. Arsya 6 Bln 18104013
Nn. Dede 22 Th 18104014
Ny. Kartika 25 Th 18104015
Tn. Igit sugitman 34 Th 18104016
Tn. Fadlan Karomi 23 Th 18104017
Tn. Suci Hidayat 40 Th 18104018
An. Arfan 1 Th 18104019
Tn. Yunus 42 th 18104020
4-Oct-18 Ny. Marhumah 55 Th 18104021
Tn. Deden W 36 Th 18104022
Ny. Elda 18104023
Ny. Fitriah 18104024
Tn. Idris 18104025
Tn. Maulana Yusuf 18104026
Tn. Mad Tohir 18104027
Ny. Hj Jubaedah 68 Th 18104028
5-Oct-18 Tn. Suneni 30 Th 18104029
Tn. Dasuki 47 Th 18104030
Pradhita Kartika 25 Th 18104031
Ny. Tursini 31 Th 18104032
Tn. Sulihan 41 Th 18104033
Ny. Julela 33 Th 18104034
Ny. Dwi 20 Th 18104035
Ny. Kamisah 65 Th 18104036
An. Cristman 3 Th 18104037
6-Oct-18 Tn. Herudin 50 Th 18104038
Ny. Kamisah 65 Th 18104039
Ny. Evi 39 Th 18104040
An. M. Fikri 11 Tn 18104041
Ny. Kamsiah 43 Th 18104042
Ny. Dinda Putri 27 Th 18104043
An. Zulvi 7 Th 18104044
8-Oct-18 Ny. Evi 37 Th 18104045
Ny. Masani 70 Th 18104046
Ny. Kartisah 53 Th 18104047
Ny. Kadek Darsini 43 Th 18104048
Rafe 4 Th 18104049
Tn. AEN 70 Th 18104050
9-Oct-18 Tn. Mamat 63 Th 18104051
Ny. Masnah 28 Th 18104052
Ny. Maryati 24 Th 18104053
Ny. Ermiyati 29 Th 18104054
Ny. Fitriyati 34 Th 18104055
Ny. Nurhayati 31 Th 18104056
Ny. Lenawati 32 Th 18104057
Tn. Sairan 45 Th 18104058
An. Celsi 9 Th 18104059
Fauzi Rohman 22 Th 18104060
10-Oct-18 Ny. Maesaroh 65 Th 18104061
Tn. Irwandi 21 Th 18104062
Ny. Masnah 29Th 18104063
Nn. Bella Saftri 18 Th 18104064
Tn. Arman 28 Th 18104065
t. Toto 43 Th 18104066
T. Sarpani 18104067
11-Oct-18 Ny. Masitan 45 Th 18104068
Ny. Yunah 50 Th 18104069
Nn. Titi Husniati 19 th 18104070
12-Oct-18 Ny. Hadriyah 44 Th 18104071
Ny. Nurisa 42 Th 18104072
Tn. Suradji 66 Th 18104073
Ny. Rina 18 Th 18104074
Ny. Herawati 21 Th 18104075
Ny. Satiyati 32 Th 18104076
Tn. Ismayudin dewasa 18104077
13-Oct-18 Tn. Ardiansys 21 Th 18104078
Ny. Muryati 23 Th 18104079
Tn. Ifal Mashuri 32 Th 18104080
Tn. Dadang Suandi 34 th 18104081
Ny. Lailatul 28 Th 18104082
15-Oct-18 Ny. Nurisa 42 Th 18104083
Tn. Sanukri 45 Th 18104084
Tn. Syarifudin 37 Th 18104085
Tn. M. Idris 39 Th 18104086
Tn. Uki Dasuki 41 Th 18104087
Ny. Indah 29 Th 18104088
An. Tiara 3 Th 18104089
Tn. Sarwani 52 Th 18104090
Tn. Baharudin 50 Th 18104091
Tn. Masnun 29 Th 18104092
Ny. Nurhasanah 52 Th 18104093
16-Oct-18 Tn. Zulkifli 45 Th 18104094
An. Arsyad 2 Th 18104095
Tn. Ridwan 23 Th 18104096
Tn. Feri Rohadi 29 Th 18104097
Tn. Samhudi 33 Th 18104098
Tn. Hasbulloh 25 Th 18104099
Tn. Buhari 30 Th 18104100
Tn. Satibi 38 Th 18104101
Ny. Runtah 70 Th 18104102
Ny. Inayah 40 Th 18104103
Tn. Andi 30 Th 18104104
Tn. Irwan Maulana 22 Th 18104105
Tn. Antoni Ariyanto 22 Th 18104106
17-Oct-18 Ny. Nuvi Nurmala 29 Th 18104107
Tn. M. A Fauzan 60 Th 18104108
Tn. Aam Ramzani 62 Th 18104109
Ny, . Nurjanah 26 Th 18104110
Tn. Sigit 31 Th 18104111
Tn. Ahmad Huzaini 25 Th 18104112
Tn. Solihin 55 Th 18104113
Tn. Sahlani 25 Th 18104114
Tn. Ali Yusuf (B) 25 Th 18104115
Ny. Inah 35 Th 18104116
Tn. Kasan 65 Th 18104117
Tn. Imron R 26 Th 18104118
Tn. Ahmad Jakasono 23 Th 18104119
Tn. Fajar 24 Th 18104120
Tn. Jaelani 26 Th 18104121
Tn. Heru Gunawan 33 Th 18104122
Tn. H. Masruki 58 Th 18104123
Ny. Neria S 27 Th 18104124
18-Oct-18 Tn. Afrizal Kurniawan 17 Th 18104125
Tn. Sururul Muztahid 19 Th 18104126
Tn. Muchdi 60 Th 18104127
Tn. Budi Kurniawan 36 Th 18104128
Tn. Saiman 30 Th 18104129
Ny. Runtah 69 Th 18104130
Tn. Wandi 25 Th 18104131
Ny. Khotimatun 33 Th 18104132
19-Oct-18 Ny. Marifat 34 Th 18104133
Ny. Siti Rokayah 23 Th 18104134
Ny. Fenti 28 Th 18104135
Ny. By fenti 18104136
Tn. Sidik 22 Th 18104137
Nabila 13 Th 18104138
tn. Rizal 29 Th 18104139
Tn. Dadan 18104140
20-Oct-18 Ny. fenti 28 Th 18104141
Ny. Apriani 18104142
Tn. Suparmin 50 Th 18104143
Tn. Junaedi tanjung 47 Th 18104144
Nn. Patrisia 22 TH 18104145
bahrul 18104146
22-Oct-18 Ny. Hj. Novi 55 Th 18104147
Ny. Apriani 18 Th 18104148
Ny. Arnesta 30 Th 18104149
Ny. Hayatul deqwasa 18104150
23-Oct-18 Tn. Jumadi 45 Th 18104151
Tn. Frans 18104152
Tn. Fahmi 18104153
Jumaidi 18104154
Ny. Hayatul 18104155
Ny. Kamsiyah 49 Th 18104156
Tn. Kasdi Susanto 44 Th 18104157
24-Oct-14 Tn. Edi Hermanto 27 Th 18104158
Ny. Huslina 33 Th 18104159
Ny. Farida 33 Th 18104160
Ny. Saniah 33 Th 18104161
Ny. Muryati 27 Th 18104162
Sdr. Sudrajat 19 th 18104163
25-Oct-18 Ny. kamsiyah 49 Th 18104164
Nn. Fatma Imania 21 Th 18104165
Ny. Huslina 33 Th 18104166
Ny. Faridah 33 Th 18104168
Nn. Dela 20 Th 18104169
Ny. Sri 30 Th 18104170
Tn. Gustaf 38 Th 18104171
Tn. Toto 44 Th 18104172
dr. Flora 27 Th 18104173
Ny. Mulyati 44 Th 18104174
Tn. Masria 55 Th 18104175
Ny. Fitri 28 Th 18104176
26-Oct-18 Tn.Endin S 46 Th 18104177
Abdul kodir 70 Th 18104178
Tn. Suhemi 36 Th 18104180
Ny. Indah 20 Th 18104181
27-Oct-18 Ariyanto 29 Th 18104182
Feri Gunawan 34 Th 18104183
An. Keysa 18104184
hulelah 18104185
29-Oct-18 Ny. Hastin 45 Th 18104186
Ny. Euis 53 Th 18104187
Ny. Lisa 35 Th 18104188
An. Zahra 13 Th 18104189
Keysa 1,5 Th 18104190
Tn. Ibnu Maarif 18 Th 18104191
Tn. Arief Rohman Muiz 32 Th 18104192
Rahman 10 Th 18104193
30-Oct-18 Ny. Neni 19 Th 18104194
An. Ayu Azahra 13 Th 18104195
Ny. Siti Mafudoh 27 Th 18104196
31-Oct-18 Tn. Asep Sumardi 26 Th 18104197
Tn. Bakti gunawan 38 th 18104198
Ny. Masrifah 43 Th 18104199
FITRI CAHYANI 23 Th 18104200
1-Nov-18 Ref 44 18114201
Tn. Wasib 35 Th 18114202
siti ami 25 Th 18114203
An. Najwa 1,5 Th 18114204
Tn. Sarman 70 th 18114205
2-Nov-18 ziyadul 15 Th 18114206
Tn. Harwani Rois 33 Th 18114207
Tn. HADURI 36 Th 18114208
Tn. Tohyatul 35 Th 18114209
An. Safra 11Th 18114210
An. Alfka 4Th 18114211
Hidayatullah 18114212
Ny. Rani 18114213
dede 18114214
toton 44Th 18114215
11/3/2018 Tn. Budiman 52 Th 18114216
Ny. Karmini 52 Th 18114217
Tn. Haris 46 Th 18114218
Tn. Sugiarto 46 Th 18114219
Tn. Marjuki 37 Th 18114220
Tn. Agus 24 Th 18114221
Tn. Muhamad Zikri 18 Th 18114222
Nn. Hani 18 Th 18114223
An. M. Arya 9 Th 18114224
Ny. Sanimah 55 Th 18114225
11/5/2018 An. Iis Isnaeni 5 Th 18114226
Tn. Agus Darmanto 55 Th 18114227
Ny. Jubaedah 53 Th 18114229
An. Mar'atu Sulihah 4 Th 18114230
Ny. Muhimah 35 Th 18114231
Ny. Sarwi 49 Th 18114232
Nn.Novelia Azizah 16 th 18114233
Solihin 56 Th 18114234
Ny. Ati 57 th 18114235
6-Nov-18 Tn. Mad Seniri 55 Th 18114236
Tn. Hendru 18114237
Maryam 18114238
Nikmatus 28 Th 18114239
NENG 18114240
BEDAH 18114241
Ny. Sumiati 40 Th 18114242
Tn. Agung 30 Th 18114243
Ny. indah 27 th 18114244
7-Nov-18 Bella Saftri 18 Th 18114245
Tn. Hariyadi 45 Th 18114246
Tn. Galih Prabowo 19 Th 18114247
8-Nov-18 Tn. Fiki 16 Th 18114248
Malik Harbi 27Th 18114249
Ny, Hojah 63 Th 18114250
Ny. Waskini 45 Th 18114251
An. Shafra 9 Th 18114252
9-Nov-18 Ny. Waskini 45 Th 18114253
Tn. Handri 28 Th 18114254
Ny. Sugianti 50 Th 18114255
Nn. Anisa 21Th 18114256
Ny. Mariyam 33 Th 18114257
Ny. Iin I 28 Th 18114258
An. 9 Th 18114259
10 Nop 2018 siti rohmah 18114260
MILA SAFILA 19 tH 18114261
12-Nov-18 ami 22 Th 18114262
Marhumah 54 Th 18114263
Tn. Budi 37 Th 18114264
Tn. Madurip 47 Th 18114265
Ny. Jumanah 49 Th 18114266
13-Nov-18 masiah 54 Th 18114267
Nn. Dea Pradila S 21 Th 18114268
By. Tiara 1 Th 18114269
Nn. anisa 12 tH 18114270
14-Nov-18 Ny. Nana Diana 32 Th 18114271
Ny. Sindi Amada 26 Th 18114272
Ny. Maria 24 Th 18114273
Ny. Ila Rolia 25 Th 18114274
Ny.Usliyah 31 Th 18114275
Tn.Deby Andrianto 25 Th 18114276
Nn. Resti Hardayanti 26 Th 18114277
Ny. Reni 35 Th 18114278
Ny. Diswen 60 Th 18114279
An. Faiz 11 Th 18114280
Ny. Indriani 19 Th 18114281
Tn. Khoirul anwar 21 Th 18114282
15-Nov-18 Ny. Jusnarni 61 Th 18114283
Tn. Idam 28 Th 18114284
Tn. Muhaimin 27 Thn 18114285
Ny. Novi Rezeki 27 Thn 18114286
Ny. Inayah dewasa 18114287
galang 8 Th 18114288
16-Nov-18 Tn. Romli 33 Th 18114289
Tn. Musa 50 Th 18114290
xx 18114291
Tn. Ahmad Salia dewasa 18114292
Tn. Yudi Tupi 35 Th 18114293
17-Nov-18 Tn. Slamet 46 Th 18114294
Tn. Yudi Tupi 35 Th 18114295
Tn. Hendi 436 Th 18114296
Tn. Samsul arifn 33 Th 18114297
Ny. Suryaning 37 Th 18114298
19-Nov-18 18114299
Ny. Ina 37 Th 18114300
Tn. Sumardi 46 Th 18114301
Ny. Arifatul 36 Th 18114302
Ny. Hisnayati 25 Th 18114303
Tn. Sahid 37 Th 18114304
Tn. Haryono 20 tH 18114305
Tn.Ardi Herdiansyah 17 th 18114307
21-Nov-18 Tn. Wing O 34 Th 18114308
Tn. Faisal G 28 Th 18114309
Tn. Suhadi 32 Th 18114310
Tn. Andriyani 35 Th 18114311
Ny. Ernawati 30 Th 18114312
An. Ita 8 Th 18114313
Tn. Puad 26 th 18114314
18114315
22-Nov-18 Ny. Ulfa 46 Th 18114316
Tn. Kw Usup 51 Th 18114317
Tn. Ali Sodikin 35 Th 18114318
Ny. Meta P 18114319
Ny. Cinziria 18114320
Tn. Rahmat Aminudin 25 Th 18114321
Ny. Lia 18114322
Ny. Siti Marfudoh 18114323
Ny. Hesti 18114324
23-Nov-18 Ny. Tine 47 Th 18114325
Tn. Denny Amriyani 23 Th 18114326
Ny. Junenah 63 Th 18114327
An. Aurel 8 Th 18114328
sunarta 18114329
atala 18114330
24-Nov-18 Ny. Sunaryah 47 Th 18114331
Tn. Brahmanto 53 Th 18114332
Tn. Arif Hidayat 47 Th 18114333
Tn. Makurip 75 Th 18114334
An. Maulidina 3 Th 18114335
Tn. Sutisna 43 Th 18114336
Tn. Nur Fazri 23 Th 18114337
Tn. M. Sofyan 21 Th 18114338
Ade Irfan 18 Th 18114339
Ny. Manah 50 Th 18114340
26-Nov-18 Ny. Muhayaroh 62 th 18114341
Tn. Suharno 40 Th 18114342
27-Nov-18 Tn. Suharno 40- Th 18114343
febi 9bln 18114344
28-Nov-18 Ny. Pipit 26 Th 18114345
Manawiyah 53 th 18114346
Tn. Sularto 45 Th 18114347
29-Nov-18 Tn. Marjuki 37 Th 18114348
An. Raden ahmad dinar9 bln 18114349
Daeang panji 10 Th 18114350
Nimas Ayu 5 Th 18114351
Tn. Ujang 18114352
Tn. Aprizal 34 Th 18114353
30-Nov-18 M. Azira 8bulan 18114354
1-Dec-18 Tn. Royani 34 Th 18124355
Galih Yoga Prabowo 30 Th 18124356
Prio Argo 32 Th 18124357
Sarmidi 55 th 18124358
Ny. Gustin 65 Th 18124359
An. Rully Kurniawan 6,5 Th 18124360
3-Dec-18 Ny. Kaisah 53 Th 18124361
Tn. Hariri 54 Th 18124362
Rudit 18124363
Irham Maulana 2.6 18124364
4-Dec-18 Tn. Hendra 45 Th 18124365
Ny. Hadiyah 65 Th 18124366
Nn. Anisa 26 Th 18124367
Tn. Muhamad Alfarizi 32 Th 18124368
Bastian 18124369
Irham Maulana 18124370
syarif 18124371
saptoha 18124372
5-Dec-18 Tn. Humaedi 58 Th 18124373
Tn. Sarif 32 Th 18124374
bela saftri 18 th 18124375
Supendi 33Th 18124376
Novi 32Th 18124377
6-Dec-18 Tn. Sarif 32 Th 18124378
Fatimah 53 Th 18124379
Ismatulloh 10 Th 18124380
siti fuadilah 34 Th 18124381
Ida Handayani 38 Th 18124382
Ny. Aswati 35 Th 18124383
Ny. Putri 24 Th 18124384
Tn.Ahya Alhaq 32 th 18124385
Tn. Suryadi 25 Th 18124386
Ny. Devi Nurainiazizah 25 Th 18124387
7-Dec-18 Ny. Hj. Majna 70 Th 18124388
Ny. Ninuk 49 Th 18124389
Tn. Basuki 58 Th 18124390
Ny. Iin Sholihaasul 33 Th 18124391
Tn. Ali Akbar 11 Th 18124392
By. Hana 1 Th 18124393
Ny. Saimah 30 Th 18124394
Ny. Samin 55 Th 18124395
8-Dec-18 Tn. Ali Akbar 8 Th 18124396
Ny. Tuti Lestari 79 Th 18124397
Nn. Nazwa 13 Th 18124398
Tn. Riski 38 Th 18124399
10-Dec-18 Ny. Dian 35 Th 18124400
Tn. Suyono T 48 Th 18124401
Ny. Miaswiyah 30 Th 18124402
Tn. Syamsul Bahri 23 Th 18124403
Hasbullah 24Th 18124404
11-Dec-18 Ny. Marhumah 56 Th 18124405
Tn. Syamsudin 48 Th 18124406
Nn. Syafra 19 th 18124407
12-Dec-18 ny. Hj. Maemunah 63 th 18124408
An. Siti Khoirunisa 6 Th 18124409
Ny. Suadah 50 Th 18124410
Ny. Sumarni 41 Th 18124411
13-Dec-18 Tn. Doni 24 Th 18124412
Bella Suci 18 Th 18124413
Ny. Linda 35Th 18124414
Maura Susi Widia 25Th 18124415
14-Dec-18 Tn. Mardoni 35 Th 18124416
m. isya 40 th 18124417
Nn. Gusti Ayu Wibowo 21 Th 18124418
Tn. Hasan 22 Th 18124419
maemunah 35 Th 18124420
Ririn 17 Th 18124421
15-Dec-18 Ny. Hujaimah 50 Th 18124422
Tn. Saeful Bahri 17Th 18124423
17-Dec-18 Tn. Kasmiri 65 Th 18124424
Ny. Antik Perfdia 34 Th 18124425
ny. Eha 65 Th 18124426
Tn. Sahrulloh 25 Th 18124427
Tn. Aris Munandar 25 Th 18124428
Tn. Rusdiana 18124429
Nn. Istiqomah 20th 18124430
Ny. Andini 22 th 18124431
18-Dec-18 Ny. Evy 35 Th 18124432
Ny. Fitri 28 Th 18124434
Tn. Imrodi 40 Th 18124435
an. Hilma 6 Th 18124436
Nn. Nida 18 Th 18124437
Ny. Rodiyah 58Th 18124438
19-Dec-18 An. Meciska 11 Th 18124439
Ny. Akim 54 Th 18124440
Tn. Ade Rumanah 52 Th 18124441
Tn. Taufan 29 Th 18124442
Tn.Jenudin 46 th 18124443
20-Dec-18 Tn. Hartomo 32 Th 18124444
Nn. Irmayanti 21 Th 18124445
Tn. Supri 45 Th 18124446
Ny. Asmijah 42 Th 18124447
Ny. Meri 28 Th 18124448
Ny. Hayati 60 Th 18124449
Nn. Sinta Septiani SL 21 Th 18124450
Tn. Hudari 087771378450 Th 18124451
22-Dec-18 An. Azam 6 Th 18124452
An. Nathannael 1 Th 18124453
24-Dec-18 Ny. Rizkiyah 24 Th 18124454
Nn. Dea 20 Th 18124455
Ny. Umdatut 37 tH 18124456
26-Dec-18 Tn. H. Abdul Khodir 70 Th 18124457
An. Cia 3 Th 18124458
Tn. H. Muhayan 78 Th 18124459
An. Farhan 1 tH 18124460
Tn. Sugimo 58 Th 18124461
27-Dec-18 Ny. Ana 42 Th 18124462
Ny.Arnayu 27 T 18124463
Tn. Irfan Sumantri 34 Th 18124464
Tn. M. Rizki Muharam 22 Th 18124465
28-Dec-18 Ny. Mutmainah 28 Th 18124466
Radil Pratama 2 Th 18124467
Ny. Ernawati 38 Th 18124468
Haswinah 69Th 18124469
tn. Dian fadilah 56Th 18124470
18124471
12/29/2018 Ny. Verawati 43 Th 18124472
Ny. Satiah 67 Th 18124473
NY. Siti Uriyah 45 Th 18124474
12/31/2018 Tn. Samsudin 48 Th 18124475
Tn. Jaenudin 18124476
Tn. Khotibul umam 28 TH 18124477
Tn. Noval 28 Th 18124478
Tn. Sukria 66 Th 18124479
Ny. Pertiwi 28 Th 18124480
Tn. Karmin 21 Th 18124481
Tn. Hedi 57 Th 18124482
18124483
18124484
18124485
18124486
18124487
18124488
18124489
18124490
18124491
18124492
18124493
18124494
18124495
18124496
18124497
18124498
18124499
18124500
18124501
18124502
18124503
18124504
18124505
18124506
18124507
18124508
18124509
18124510
18124511
18124512
18124513
18124514
18124515
18124516
18124517
18124518
18124519
18124520
18124521
18124522
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18124524
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18124527
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18124529
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18124533
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18124540
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18124543
18124544
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18124546
18124547
18124548
18124549
18124550
18124551
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18124553
18124554
18124555
18124556
18124557
18124558
18124559
18124560
18124561
18124562
18124563
18124564
18124565
18124566
18124567
18124568
18124569
18124570
18124571
18124572
18124573
18124574
18124575
18124576
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18124580
18124581
18124582
18124583
18124584
Permintaan Parameter Tarif Keterangan
APS gnp, ch, tg Rp 105,000Lunas
APS gnp, ch Rp 70,000
Lunas
PT. PURBA KARYA BAJA Rp 850,000Lunas
PKM Ciwandan dl ditagihkan
PKM Pulo Merak dl Rp 80,000 Lunas
polres cilegon methampetamin Rp. 45,000 Lunas
Klinik Putra Banten
Klinik Putra Banten Rp 160,000
Klinik Putra Banten
Klinik Putra Banten
Klinik Putra Banten
Klinik Putra Banten
APS gnp, ch, au, 2 jam pp Rp 140,000 Lunas
APS gnp, ch, au, 2 jam pp, ot pt Rp 200,000 Lunas
APS ch, tg Rp 70,000 Lunas
PKM Ciwandan UL Rp 35,000 Lunas
APS Tes narkoba Rp 135,000 Lunas
APS DR, ct bt Rp 120,000 Lunas
APS ul Rp 35,000 Lunas
Klinik Putra Banten dl,widal ditagihkan
APS dr, ul Rp 105,000 Lunas
dr. H. Alan Sumarlan dr,fre t4,au,ch,tg,gnp,pp Rp 685,000 dp 3000
APS au,ch,tg,hdl,ldl Rp 195,000 Lunas
Klinik Iklas medika 4 ch, tg, hdl,ldl Rp 160,000 Lunas
polres cilegon methampetamin Rp 45,000 Lunas
dr.Muhammad Adibul Umam DR.Widal Rp 130,000 Lunas
Bd. Sundari DR.Widal Rp 130,000 Lunas
PKM Ciwandan dl,ul,al,ot,pt,ur, cr, ch, gds Rp 370,000 Lunas
Bidan Sundari DR, Widal Rp 130,000 Lunas
Bp. Rusliman GDS.Ur.Crea.AU Rp 140,000 Lunas
PKM Cilegon DL, Widal Rp 140,000 Lunas
APS Ureum, kreatinin, au Rp 105,000 Lunas
dr. alan dr, ct bt Rp 120,000 Lunas
Klinik sundari dr, widal Rp 130,000 Lunas
Jl. Stasiun Glukosa N/ 2jam PP Rp 60,000
PKM Ciwandan dr, widal Rp 130,000 Lunas
APS UL,gl,ch,tg,hdl,ldl, ur,cr, au Rp 325,000 Lunas
Klinik Ikhlas medika 4 dr, widal ditagihkan
APS widal Rp 60,000 Lunas
APS ul, au, ch, tg, glu, 2jampp Rp 200,000 Lunas
Bd. Sundari DR,HBSAG,Anti HIV, Siflis Rp 395,000 Lunas
PT. CF MCU Rp 390,000 Lunas
Klinik Pelangi Bunda Medika dr, ul, ur, cr, ot, pt, widal Rp 305,000 Lunas
APS TES NARKOBA Rp 135,000 Lunas
Klinik Putra Banten
Klinik Putra Banten
APS widal Rp 60,000 Lunas
APS Urin Lengkap Rp 35,000 Lunas
Polres Cilegon Metamphetamine Rp 45,000 Lunas
Klinik Sundari dr, widal Rp 130,000 Lunas
RB Kasih Insani Lunas
APS GDN/2 Jam PP, Choles,AU Rp 130,000 Lunas
APS Rp 135,000 Lunas
APS Rp 35,000 Lunas
Klinik Putra Banten 2
APS au,ch,gnp,2jampp Rp 130,000 Lunas
APS DR, UR, CR Rp 140,000 Lunas
polres cilegon Metamphetamine Rp 45,000 Lunas
Jomb. Kali DR Rp 70,000 Lunas
APS au, ch, gds Rp 105,000 Lunas
APS au,gds Rp 70,000 Lunas
APS -
Klinik Putra Banten ditagihkan
APS DR, WIDAL Rp 130,000 Lunas
APS GLU, UL Rp 70,000 Lunas
APS Au, Ch Rp 70,000
Klinik Putra Banten
Klinik Putra Banten
Klinik Putra Banten
Klinik Putra Banten
APS DR, WIDAL Rp 130,000 Lunas
PKM Merak Dl, Widal Rp 140,000 Lunas
APS au,gnp,2 jam pp, ch Rp 165,000 Lunas
APS ch, au, gnp Rp 105,000 Lunas
APS DR, Widal Rp 130,000 Lunas
dr. dwi Rp 400,000 free
PKM Ciwandan ul Rp 35,000 Lunas
Klinik Putra Banten
Klinik Putra Banten
APS GDS Rp 35,000 Lunas
Klinik Putra Banten
Klinik Putra Banten
dr. Agus Hasan DR, Ureum, Creatinin Rp 140,000 Lunas
APS ch, au, gnp Rp 70,000 Lunas
Klinik Bd. Sundari DR. Widal Rp 130,000 Lunas
Polres Cilegon metemphetamine Rp 45,000 Lunas
PKM Ciwandan
Klinik Putra Banten
Klinik Putra Banten
Klinik Putra Banten
Klinik Putra Banten
APS GNP,ur,cr, au,ch,tg,hdl,ldl Rp 355,000 Lunas
APS dr, widal Rp 130,000 Lunas
Klinik Ikhlas medika 4 CH, TG, HDL,LDL,AU Rp 195,000 Lunas
PT. CF ditagihkan
PKM Ciwandan ditagihkan
Bd. Karyati ditagihkan
Bd. Karyati
Bd. Karyati
Bd. Karyati
PKM Ciwandan
APS DR WIDAL Rp 130,000 Lunas
PKM Cilegon dl, widal Rp 140,000 Lunas
APS gnp, 2 jmpp Rp 60,000 Lunas
APS DR Rp 70,000 Lunas
APS dr, ot, pt Rp 140,000 Lunas
APS tes narkoba Rp 135,000 Lunas
APS Dl, widal Rp 140,000 Lunas
Klinik Ikhlas medika 4 gnp, 2 jam PP, au, ch, tg, ot, pt Rp 430,000 Lunas
PT. Sankyu Indonesia Internasional Rp 555,000 Lunas Tanggal 24 Juli 2018
PKM Ciwandan dl, tsh,t3, free t4 Rp 1,289,000 Lunas
APS ch, gds Rp 70,000 Lunas
PT. Sankyu Indonesia Internasional ditagihkan
Klinik Putra Banten
APS dr, ul, hbsag, anti hiv, goldar Rp 385,000 Lunas
APS ch, tg, hdl,ldl Rp 195,000 Lunas
APS au, ch Rp 70,000 Lunas
APS au, ch, gnp Rp 100,000 Lunas
PKM Ciwandan Rp 750,000 ditagihkan
dr. Arnadi Taslim DSpD GDN/2jam PP, Ur,Crea,AU Rp 165,000 Lunas
Klinik Putra Banten
APS ch Rp 35,000 Lunas
APS Ureum Rp 35,000 Lunas
APS ch Rp 35,000 Lunas
PKM Ciwandan dl, gds, widal ditagihkan
APS GDS Rp 35,000
Klinik Putra Banten dr, widal ditagihkan
Klinik Putra Banten dl, widal ditagihkan
dr. Alan Sumarlan Sp. PD dr, cr,au,ch,gnp,2jampp,ro,ekg Rp 425,000 Lunas
PT. Sankyu Indonesia Internasional
Klinik Putra Banten DL, Widal ditagihkan
Klinik Putra Banten DL ditagihkan
Narkoba Rp 80,000 Lunas
PKM Pulo Merak dl,widal Rp 140,000 Lunas
PKM Bojonegara dr Rp 70,000 Lunas
Klinik Putra Banten
Polres Cilegon metam, ampe Rp 90,000 Lunas
PKM Ciwandan
Bapelkes
KPB 2 dl, widal
APS DL, UR,CR,ELEKTROLIT Rp 390,000 Lunas
PKM Ciwandan dr, u;, widal Rp 165,000 Lunas
Klinik Sundari dr, hbsag, anti hiv Rp 320,000 Lunas
Polres Cilegon Amphetamine Rp 45,000 Lunas
APS DL, Ul, ot,pt, ur, cr, ch, tg, hdl,ldl Rp 475,000 Lunas
Bidan Hayati Nufus dl, widal Rp 140,000 Lunas
PKM Ciwandan DL Rp 80,000 Lunas
RB Kasih Insani dr, goldar Rp 100,000 Lunas
APS Narkoba Rp 135,000 Lunas
APS dr, hbsag, anti hiv Rp 320,000 Lunas
RB Imanuel dr Rp 70,000 Lunas
Jl Statsiun Glukosa N, Cholesterol, AU Rp 100,000 Lunas
Hotel The Royale Krakatau
Klinik Ikhlas medika 4
PKM Ciwandan DL, UL, ditagihkan
PKM Ciwandan dl Rp 80,000 Lunas
Rokal DR, Asam Urat Rp 105,000 Lunas
APS Narkoba Rp 135,000 Lunas
PKM Jombang dl, widal Rp 140,000 Lunas
PKM Ciwandan dl, widal Rp 140,000 Lunas
Klinik Putra Banten Rp 280,000 ditagihkan
PT. KLA
PT. KLA
PT. KLA
PT. KLA
PT. KLA
PT. KLA
PT. KLA
PKM Ciwandan
PKM Ciwandan dl, widal ditagihkan
APS Gol. Darah Rp 30,000 Lunas
PT. Buana Berlian Indonesia
APS AU, UR,CR,UL, CH Rp 175,000 Lunas
Klinik Sundari anti hiv,hbsag, dr Rp 325,000
Klinik Sundari ch,tg,au,hdl,ldl Rp 160,000
PKM Ciwandan DR, Ur, Cr,GDS ditagihkan
Polres Cilegon metam Rp 45,000 Lunas
APS gds Rp 35,000 Lunas
BD. Yeni ditagihkan
Klinik Sundari pap smear ditagihkan
Klinik Putra Banten
POLRES Cilegon THC Rp 45,000 Lunas
PT. CF Narkoba Rp 135,000 Lunas
APS DR,Widal Rp 130,000 Lunas
dr. dwi dr, ul,ur,cr,gds Rp 210,000 Lunas
APS Widal Rp 60,000 Lunas
PKM Ciwandan Darah Lengkap Rp 80,000 Lunas
Gerem Test Narkoba Rp 135,000 Lunas
Gerem Test Narkoba Rp 135,000 Lunas
Klinik Putra Banten
Klinik Putra Banten
APS ch, gdp Rp 70,000 Lunas
PKM Ciwandan darah rutin Rp 70,000 Lunas
PKM Ciwandan urine lengkap Rp 35,000 Lunas
APS GDS, AU, CHOL Rp 105,000 Lunas
Klinik Putra Banten

dr. Abdullah dl Rp 80,000 Lunas
APS Glu Rp 35,000 Lunas
APS Au, ch, gds Rp 105,000 Lunas
Rokal Cholesterol, Trgliserida Rp 70,000
Klinik Putra Banten
Klinik Putra Banten
APS Tes Narkoba Rp 135,000 Lunas
PKM Pulomerak DL Rp 80,000 Lunas
PT. Sankyu MCU ditagihkan
Link. Curug DR Rp 70,000 Lunas
PKM CIWANDAN DR ditagihkan
Klinik Putra Banten dr, widal ditagihkan
Klinik Putra Banten dl, widal Rp 230,000 ditagihkan
Bd. Karyati DL ditagihkan
PKM Ciwandan dr ditagihkan
APS GLU, CH, AU Rp 105,000
KPB 1
KPB 1
KPB 2
KPB 2
KPB 2
Klinik Sundari papsemar ditagihkan
PKM Pulomerak DL, Widal Rp 140,000 Lunas
PKM Pulomerak DL. Widal Rp 140,000 Lunas
Polres Cilegon Metampetamin Rp 45,000 Lunas
PKM Ciwandan DL ditagihkan
PT CF MCU Rp 390,000 ditagihkan
PT. Cf MCU Rp 390,000 Lunas
klinik Putra Banten dl, widal ditagihkan
APS AU,CH,GNP Rp 105,000 Lunas
PKM CIWANDAN ekg Rp 85,000 Lunas
KPB 2
KPB 1
KPB 1
APS au,ch, gds Rp 105,000 Lunas
PPKM Ciiwandan DR. Widal Rp 130,000 Lunas
PKM Ciwandan Dr, Widal, ul Rp 165,000 Lunas
KPB I
KPB I
APS gds,ch, ur, cr, au Rp 175,000 Lunas
PKM Ciwandan Widal, GDS, DL, EKG Rp 260,000 Lunas
Iklas Medika DL, Widal
Bd, Isti AU, Choles,TG,HDL/LDL Rp 195,000 Lunas
Iklas Medika gdp,gdpp,ur,cr,dr,urin lengkap Rp 235,000 Lunas
PKM Ciwandan DL, Widal Rp 140,000 Lunas
dr alan EKG Rp 85,000 Lunas
PKM CIWANDAN DR ditagihkan
APS WIDAL, CHOL Rp 95,000 Lunas
APS GDN/2 jam PP Rp 60,000 Lunas
APS DR, Widal Rp 130,000 Lunas
APS GDS, Choles, Rp 70,000 Lunas
PKM Ciwandan DR, Widal Rp 130,000 Lunas
Klinik Putra Banten DR, Widal ditagihkan
Klinik Putra Banten DL. Widal ditagihkan
APS au, ch Rp 70,000 Lunas
APS HBsAg HIV Rp 250,000 Lunas
PKM.Ciwandan Darah Lengkap ditagihkan
APS DR.WIDAL Cholesterol AU Rp 200,000 Lunas
Klinik Putra Banten 1 Darah Lengkap ditagihkan
Bd. Sekar dr, ch, gnp Rp 140,000 Lunas
KPB 1
APS hbsag Rp 55,000 Lunas
APS Darah Rutin Rp 70,000 Lunas
PPK 1 Glu, AU, Anti HIV Rp 265,000 Lunas
APS GOLDAR, Siflis, hbsag, anti hiv Rp 485,000 Lunas
APS gnp, 2 jam pp, au, ch Rp 130,000 Lunas
ditagihkan
ditagihkan
Klinik Anggrek dr, widal Rp 130,000 Lunas
PKM Ciwandan ro thorax Rp 105,000 Lunas
RSIA Kasih Insani dr Rp 70,000 Lunas
APS darah lengkap Rp 80,000 Lunas
KlinikPutra Banten dl, widal, peaces ditagihkan
APS GDS, Choles,TG, EKG Rp 105,000 Iunas
BD.Karyati
Polres Cilegon Methampetamin Rp 45,000 Lunas
Bd.Sundari Dr. Widal Rp 130,000 Lunas
APS DL, ul Rp 115,000 Lunas
APS dr,gds,AU Rp 140,000 Lunas
Klinik Putra Banten 2 DL.Widal ditagihkan
Klinik Putra Banten 2 DL.Widal ditagihkan
APS RO. Thorax Rp 105,000 Lunas
APS ot, pt, hbsag Rp 125,000 Lunas
APS dr Rp 70,000 Lunas
PKM Ciwandan VDRL Rp 75,000 Lunas
Klinik Putra Banten DL, WIDAL ditagihkan
aps au ch tg Rp 105,000 Lunas
APS UR, Cr,AU, UL Rp 140,000 Lunas

APS ot, pt, widal Rp 130,000 Lunas
APS dl, ur Rp 115,000 Lunas
PKM Ciwandan dr, widal ditagihkan
APS ch,au, gds Rp 105,000 Lunas
APS Ro Thorax Rp 105,000 Lunas
KPB 1 ditagihkan

Bd. Karyati DL.GDS,UL,Gol.darh,HBsAg.HIV ditagihkan
RSUD Cilegon Ul Rp 35,000 Lunas
APS Gol Darah Rp 30,000 Lunas
APS Gol. Darah Rp 30,000 Lunas
Pkm Ciwandan ditagihkan
APS dl Rp 80,000 Lunas
APS ur, cr, au, gnp Rp 140,000 Lunas
bd. Yeni ditagihkan
APS DR 70,000 Lunas
PKM Ciwandan dl 80,000 Lunas
APS Ch, tg, hdl, ldl Rp 145,000 Lunas
pt. sankyu mcu Rp 550,000 Lunas
Polres Cilegon amphe, mariyuana, metham Rp 145,000 Lunas
APS mcu Rp 650,000 Lunas
APS PP TEST Rp 20,000 Lunas
Komp. Rakata Ro Thorax Rp 105,000 Lunas
Komp. Rakata DR Rp 70,000 Lunas
KPB Rp 975,000 ditagihkan
PT. CF MCU ditagihkan
APS Dr.Widal,urine Rp 165,000 Lunas
APS cd4 Rp 300,000 Lunas
KPB 2 ditagihkan
KPB 1 ditagihkan
APS UL Rp 35,000 Lunas
APS Goldar Rp 30,000 Lunas
APS DL Rp 80,000 Lunas
APS ekg Rp 85,000 Lunas
Pkm Ciwandan Urin lengkap Rp 35,000 Lunas
APS Cholestrol Rp 35,000 Lunas
dr. Agus Hasan dr, widal Rp 130,000
Pkm Ciwandan dr Rp 70,000 Lunas
dr. Nur Avenzoar GDN/2 jam PP, Choles,Tg Rp 235,000 Lunas
dr Rolan Sitompul DR,Choles TG,HDL.LDL,F. Ginjal Rp 370,000 Lunas
Klinik Putra Banten Darah Lengkap,Faeces ditagihkan
APS MCU Rp 650,000 Lunas
Klinik Putra Banten Dl, Widal Ditagihkan
PKM CIWANDAN Ditagihkan
PKM CIWANDAN Dl, Widal Rp 140,000 Lunas
Pkm Ciwandan DR ditagihkan
Pkm Ciwandan DR ditagihkan
H. Mahmud Rois DR,Widal,UL Rp165,000 Lunas
APS ch, tg, gnp, au Rp 135,000 Lunas
APS ch, gds Rp 70,000 Lunas
dr rree
PKM Ciwandan ro. Thorax Rp 105,000 Lunas
APS Ch Rp 35,000 Lunas
Klinik Anggrek dl, gdt Rp 160,000 Lunas
Polres Cilegon Metamphetamin Rp 45,000 Lunas
kpb ditagihkan
APS Ur, Crea, AU,GDS Rp 140,000 Lunas
APS Crea, AU Rp 70,000 Lunas
APS Au, Choles Rp 70,000 Lunas
PKM Ciwandan DL, Widal ditagihkan
KPB 1 DL, Widal ditagihkan
Klinik Anggrek ot, pt, ur, cr Rp 140,000 Lunas
P banten dr, widal ditagihkan
Klinik Rahma DR, Widal Rp 130,000 Lunas
Klinik Pelangi Bunda Medika goldar Rp 30,000 Lunas
Klinik Pelangi Bunda Medika DL, widal Rp 140,000 Lunas
Pkm Ciwandan dl, widal Rp 140,000 Lunas
dr. Roxana dr Rp 70,000 Lunas
APS ch, ul, gds Rp 105,000 Lunas
Klinik Putra Banten 2 ditagihkan
APS Ro. Thorax, EKG Rp 190,000 Lunas
APS Ro. Thorax Rp 105,000 Lunas
Klinik Pelangi Bunda Medika DL Rp 80,000 Lunas
PKM Pulo merak dr Rp 70,000 Lunas
PKM Ciwandan DL, Widal Rp 140,000 Lunas
APS Ch, GNP Rp 70,000 Lunas
APS Ch, GNP Rp 70,000 Lunas
Putra Banten Dl, Widal ditagihkan
Putra Banten DL., Widal ditagihkan
APS Widal, ch Rp 95,000 Lunas
Klinik Anggrek dr, widal Rp 130,000 Lunas
APS GDN CholTg,HDL.LDL Rp 190,000 Lunas
APS Cholestrol Rp 35,000 Lunas
APS ch, au Rp 70,000 Lunas
APS ch, gnp Rp 65,000 Lunas
Klinik Pelangi Bunda Medika dr,ot,pt,ur,cr,ekg,ck,ck-mb Rp 765,000 Lunas
APS gula, 2jam pp Rp 60,000 Lunas
PKM Ciwandan DL.Widal ditagihkan
dr. Irwan Wicaksono MCU Rp 395,000 Lunas
dr. H. Alan Sumarlan dr, ul, elektrolit, gnp, 2 jampp Rp 405,000 Lunas
PKM Pulo Merak PKM Pulo Merak Rp 70,000 Lunas
aps dl Rp 80,000 Lunas
KPB 2 ditagihkan
KPB 2 ditagihkan
Thorax Rp 105,000 Lunas
Pkm Ciwandan ditagihkan
KPB Dl, Widal ditagihkan
KPB Dl, Widal ditagihkan
APS ch, gnp Rp 65,000 Lunas
APS ch,au,gds Rp 105,000 Lunas
PKM Pulo Merak dr Rp 70,000 Lunas
KPB Ditagihkan
PCI MCU Rp 505,000 Lunas
KPB DR, Widal Ditagihkan
APS Dr, Gds Rp 105,000 Lunas
PCI Glujosa N/2jam PP. Chols,AU Rp 130,000 Lunas
APS CH, AU Rp 70,000 Lunas
Klinik Pelangi Bunda Medika dr Rp 70,000 Lunas
KPB
KPB Rp 270,000
KPB
KPB Rp 270,000
Rusliman ot,pt,ch,tg Rp 140,000 Lunas
aps dr Rp 70,000 Lunas
PKM Ciwandan DL, Widal ditagihkan
APS au,gds,ch Rp 105,000 Lunas
APS Tes Narkoba Rp 135,000 Lunas
APS Asam Urat Rp 35,000 Lunas
APS au, ch, tg, anti hbs, gnp Rp 260,000 Lunas
APS gds Rp 35,000 Lunas
kpb
kpb
dr. Puput RO. Thorax Rp 105,000 Lunas
dr. Abdullah Albar, MARS RO. Thorax Rp 105,000 Lunas
APS feses, vdrl Rp 110,000 Lunas
APS feses, vdrl Rp 110,000 Lunas
APS urine Rp 35,000 Lunas
APS ch, tg, hdl, ldl Rp 160,000 Lunas

ketileng barat dr Rp 70,000 Lunas
APS dr, ul, ur,cr,au,ch,tg,gds Rp 315,000 Lunas
kpb1 ditagihkan
APS ch, tg, au, gdp,2jam pp Rp 165,000
PKM Ciwandan DL Widal ditagihkan
bd. karyati
PKM Ciwandan DL Widal Rp 140,000 Lunas
aps au, ch, tg
Kasih Insani DR, Gol Darah Rp 90,000 Lunas
Klinik Putra Banten 1 DL,Widal ditagihkan
pkm ciwandan ditagihkan
dr, Joos Jefri DL, SGOT/SGPT Rp 150,000 Lunas
APS dr free
KPB ditagihkan
KPB ditagihkan
KPB ditagihkan
aps au Rp 35,000 Lunas
aps au Rp 35,000 Lunas
dr alaan gnp,2jampp, cr,au,ch Rp 165,000 Lunas
aps ch, gds Rp 70,000 Lunas
aps dr, widal Rp 130,000 Lunas
PKM pulo merak dr Rp 70,000 Lunas
pkm ciwandan
aps ch, tg, hdl, ldl Rp 160,000 Lunas
aps ch, au, gnp,2jampp Rp 130,000 Lunas
bd. Isti papsear Rp 200,000 Lunas
aps ch Rp 35,000 Lunas
aps dl,ro Rp 240,000 Lunas
aps goldar Rp 30,000 Lunas
PKM Pulo merak DR Rp 70,000 Lunas
PKM Ciwandan DR ditagihkan
KPB DL, Widal ditagihkan
APS Fisik Rp 20,000 Lunas
aps gdn Rp 30,000 Lunas
Klinik Anggek T3,T4,TSH Rp 1,150,000 Lunas
Kasih Insani dr, goldar Rp 100,000 Lunas
bd. isti ul Rp 35,000 Lunas
dr. H. Agus dr, ekg, ro Rp 260,000 Lunas
PKM Ciwandan dl,widal Rp 140,000 Lunas
Klinik Putra Banten 1 dl, widal ditagihkan
Klinik Putra Banten 1 dr ditagihkan
Klinik Putra Banten 1 dr,widal Rp 405,000 ditagihkan
Klinik Putra Banten 1 dl,widal ditagihkan
Klinik Putra Banten 1 dr,widal ditagihkan
aps Choles, Tg, GDS Rp 105,000 Lunas
Warnasari Choles,TG,HDL/LDL,GDN/2jam PP Rp 220,000 Lunas
aps ul, ch, tg, ur,cr, gds Rp 245,000 Lunas
Klinik Putra Banten 2 DR, Widal ditagihkan
Klinik Putra Banten DL. Widal ditagihkan
Klinik Putra Banten DL. Widal
APS Ro, Thorax Rp 105,000 Lunas
APS ch, au, gdp Rp 105,000 Lunas
Klinik Putra Banten I DL, Widal ditagihkan
Klinik Putra Banten I DL, Widal ditagihkan
Klinik Pura Banten I DL, Widal,UL ditagihkan
Klinik Putra Banten I UL ditagihkan
IKLAS MEDIKA 4 DR WIDAL Rp 130,000 Lunas
aps au, ch Rp 70,000 Lunas
aps ch,au,gds Rp 105,000 Lunas
PT> CF
Kasih Insani Ul Rp 35,000 Lunas
aps ot,pt Rp 70,000 Lunas
aps hbsag Rp 55,000 Lunas
aps Tes narkoba Rp 135,000 Lunas
PKM Ciwandan DL dtagihkan
aps dr, widal Rp 130,000
aps ch, au Rp 70,000 Lunas
KPB 1
KPB 1
kpb 2
APS DL Rp 80,000 Lunas
bidan sundari dl, widal Rp 140,000 Lunas
aps goldar, gds Rp 65,000 Lunas
aps Glukosa Puasa, Choles,AU Rp 105,000 Lunas
Rusliman dl, ch Rp 115,000 Lunas
PKM Ciwandan dl Rp 355,000 ditagihkan
aps cg,au,gnp,2jampp Rp 130,000 Lunas
aps dl,ul,ro Rp 220,000 Lunas
KPB 1 ditagihkan
KPB 1 ditagihkan
aps ul, gds Rp 70,000 Lunas
CF dl,ul,narcoba,gds,hbsag,ro Rp 390,000 Lunas
APS dl,ul,ro Rp 220,000 Lunas
Polres Cilegon metamphetamine Rp 45,000 Lunas
aps gds, ro Rp 140,000 Lunas
aps mcu FREE FREE
Bd. HJ. Hayati nufus dr Rp 70,000 Lunas
CF MCU Rp 390,000 Lunas
aps ch, tg, au
PT. CF MCU Rp 200,000 kurang 195000
Aps HbsAg Rp 55,000 Lunas
Aps HbsAg Rp 55,000 Lunas
APS FREE
kpb 1 ditagihkan
aps Ro Thorax Rp 105,000 Lunas
APS AU, CH, GDS Rp 105,000 Lunas
kpb1 ditagihkan
aps dl, choles,tg,hdl,ldl Rp 240,000 Lunas
KPB1 ditagihkan
KPB1 ditagihkan
Rusliman ch,tg Rp 70,000 Lunas
RB. Sundari Rp 105,000
APS Widal Rp 60,000 Lunas
APS dl,ro,ul Rp 220,000 Lunas
KPB1 ditagihkan
KPB1 ditagihkan
aps gds Rp 35,000 Lunas
dr.Rose Ro Thorax Rp 105,000 Lunas
PT. CF mcu Rp 390,000 Lunas
PT. CF mcu Rp 390,000 Lunas
Putra banten dl, widal Rp 940,000 ditagihkan
aps dl,ul,gnp,2 jampp,au,ot,pt,alb Rp 320,000 Lunas

aps dl, ur,cr,hdl,ldl,au, ro Rp 450,000 Lunas
Bidan Yeni Ditagihkan
Bidan Yeni Ditagihkan
Klinik Pelangi Bunda Medika dl,widal Rp 140,000 Lunas
APS dl,ul, goldar Rp 150,000 Lunas
KPB 1 Ditagihkan
aps gnp, au, ch Rp 105,000 Lunas
aps ro. Thorax Rp 105,000 Lunas
aps DR, Widal Rp 130,000 Lunas
kpb Rp 730,000 Ditagihkan
kpb Ditagihkan
aps CH, AU, GNP Rp 105,000 Lunas
aps ch, au, gnp, 2jam pp, tg Rp 165,000 Lunas
aps ch, tg Rp 70,000 Lunas
dr. Abdullah Albar ro. Thorax Rp 105,000 Lunas
aps dl, widal Rp 140,000 Lunas
dr. Abdullah Albar dl, widal Rp 140,000 Lunas
Klinik Anggrek ur,cr Rp 70,000 Lunas
Klinik bona medika ur,cr,ul Rp 105,000 Lunas
aps dr,widal Rp 130,000 Lunas
Aps GDN/PP, AU, Cho.TG Rp 165,000 Lunas
PKM Ciwandan dl. Widal Rp 140,000 Lunas
KPB 1 Ditagihkan
aps ot,pt,gama gt, hbsag Rp 170,000 Lunas
KPB 1 Ditagihkan
KPB 1 Ditagihkan
aps free
pkm . Ciwandan dr Rp 70,000 Lunas
KPB 1 dl, widal Ditagihkan
Rusliman Jambak widal, gds Rp 95,000 Lunas
Cilegon Choles,TG Rp 70,000 Lunas
Klinik Putra Banten DL. Widal Ditagihkan
PKM Ciwandan dr Ditagihkan

dr. H. Agus Hasan ck,ckmb, ekg Rp 525,000 Lunas
PKM Ciwandan Ditagihkan
aps ch,gnp,au Rp 105,000 Lunas
pkm ciwandan dl,widal ditagihkan
krakatau medika dr,ul,gds,hbsag Rp 195,000 Lunas
PKM Pulo Merak DL Rp 80,000 Lunas
aps Rontgen Rp 105,000 Lunas
KPB 2 ditagihkan
APS Urine lengkp Rp 30,000 Lunas
Bd. Sekar Asam Urat Rp 35,000 Lunas
aps Asam Urat, Choles,TG GLukosaN/P Rp 165,000 Lunas
dr. Abdullah Albaar au,ur,cr Rp 105,000 Lunas
bd. Karyati ditagihkan
KPB 1 ditagihkan
KPB 1 ditagihkan
KPB 1 ditagihkan
APS dr free
dr. Hadi hbsag, narkoba, thorax free
aps Au, Ch Rp 70,000 Lunas
aps Au,Ch,Gdp Rp 105,000 Lunas
aps hvc,hbsag, hiv, malaria Rp 510,000 Lunas
dr. H. Alan Sumarlan ctbt, dr Rp 120,000 Lunas
PT. Bakrie mcu Rp 275,000 Lunas
CF MCU Rp 390,000 Lunas
aps DR Rp 70,000 Lunas
aps free
Klinik Pelangi Bunda Medika ekg,dr,ot,pt,ur,cr Rp 295,000 Lunas
aps dl, widal Rp 140,000 Lunas
aps ro.thorax Rp 105,000 Lunas
dr. Bio Swardi dr,thorax Rp 175,000 Lunas
aps ul Rp 35,000 Lunas
PT. Tracon Industri mcu Rp 950,000 Lunas
aps bta Rp 230,000 Lunas
PT. ISS INDONESIA MCU Rp 400,000 Lunas
KPB 2 Rp 530,000 ditagihkan
KPB 2 ditagihkan
PKM Bojonegara Widal Rp 60,000 Lunas
kpb dl, widal
Rusliman dr,ro,widal Rp 235,000 Lunas
aps ro. thorax Rp 80,000 Lunas
Rusliman ur,cr,au,ul Rp 140,000 Lunas
cf mcu Rp 390,000 Lunas
cf mcu Rp 390,000 Lunas
biomed thorax Rp 105,000 Lunas
PT. ISS INDONESIA MCU Rp 400,000 Lunas
Rusliman gnp,2jampp,au,ch,tg Rp 165,000 Lunas
aps gnds Rp 35,000 Lunas
aps Ur, Crea,AU, UL Rp 140,000 Lunas
kpb 2 ditagihkan
kpb 2 ditagihkan
Klinik Pelangi Bunda Medika dr Rp 70,000 Lunas
PKM Cibeber dl, widal Rp 140,000 Lunas
PKM Cibeber dl, widal Rp 140,000 Lunas
aps ro.thorax Rp 105,000 Lunas
PKM Ciwandan Darah Lengkap Rp 80,000 Lunas
dr. Agus Hasan Thorax Rp 105,000
KPB DITAGIHKAN
KPB DITAGIHKAN
KPB DITAGIHKAN
PT. ISS INDONESIA mcu Rp 220,000 Lunas
Kramat widal, DR Rp 130,000 Lunas
APS widal, DR Rp 130,000 Lunas
aps Urin Lengkap Rp 35,000 Lunas
KPB 1
KPB 1
APS GDN/2 jam PP AU Rp 95,000 Lunas
APS dr,widal free
KPB
PKM Ciwandan Rp 130,000 Lunas
APS AU Rp 35,000 Lunas
APS UL Rp 35,000 Lunas
dr. hendarto dl, widal Rp 140,000 Lunas
aps ul Rp 35,000 Lunas
aps dr,na,ca,ur,cr Rp 380,000 Lunas
Rp 590,000
kpb 1
kpb 1
kpb 1
APS gdn, 2pp Rp 60,000 Lunas
aps gdn, 2pp Rp 60,000 Lunas
aps dl, widal Rp 140,000
kpb 1 dl, widal, goldar ditagihkan
kpb 1 dl, widal ditagihkan
kpb 2 dr, gdn, hba1c, ch, tg, hdl, ldlbeta lipo ditagihkan
ditagihkan
as Tanggal 24 Juli 2018
diskon 10%
diskon 10%
diskon 10%
bayar pas pengambilan
sudah bayar tgl 24 agustus
lunas tgl 17 september 2018
dp 250000
kurng 5000
Bapelkes
Bapelkes
dari bu haji udah tlp
NO Tg.Bl.Th Nama Umur P/L No.Rek.Med
02 Januari 2019 Tn. Iyan Munandar 34 Th L 19010001
Ny. Badriyah 55 Th 19010002
Ny Hayanah 70 Th 19010003
Ny. Aisyah dewasa 19010004
Nn. Rizca Aprilia 22 Th 19010005
Ny. Sualiyah 68 Th 19010006
Ny. Isma 42 Th 19010007
Ny. Masayi 64 Th 19010008
03 Januari 2019 Ny. Ria 38 Th 19010009
Tn. H. Tohaji 49 Th 19010010
BAGAS 18 Th 19010011
Khotibul umam 23 Th 19010012
Isma Saftri 42 Th 19010013
Nn. Wahyuni Wulandari 22 Th 19010014
Tn. Andriansyah Muchtar 39 Th 19010015
Ny. Haqi T. Y 22 Th 19010016
04 Januari 2019 Ny. Hj. Kuraesin 63 Th 19010017
Ny. Jubaedah 69 Th 19010018
Khotibul umam 23Th 19010019
masayi 64h 19010020
m. Fariz 15 Th 19010022
5 Januari 2019 Tn. Untung Budi 43 Th 19010023
Tn. Dadang 57 Th 19010024
An. Fathan Alfarizi 9 Th 19010025
Anisa Zahra S.S 13 Th 19010026
Yolanda Rizka Ayu P 19 Th 19010027
Ny. Isma sapitri 45 Th 19010028
Ny. Saladah 71 Th 19010029
Yeni 25 Th 19010030
7 Januari 2019 Tn. Herdiansyah 27 Th 19010032
Ny. Hj. Kuraisin 63 Th 19010033
Ny. Saadah 72 Th 19010034
M. Aminudin 14 Th 19010036
Tn. Muhtadi 57 Th 19010037
Nn. Bela Sapitri 18 Th 19010038
Ny. Zakiah 52Th 19010039
8 Januari 2019 sudirman 60 Th 19010040
Ny. Rasminah 40 Th 19010041
Asep sudrajat 26 Th 19010042
Tn. Surya darma 39 Th 19010043
Tn. Fahruroji 31 Th 19010044
Tn. Asmuni 34 Th 19010045
Tn. Ridwani 32 Th 19010046
Tn. Yendi Supriadi 33 Th 19010047
Tn. Ahmad Taufk 34 Th 19010048
Tn. Suyanto 40 Th 19010049
Anwar 32 Th 19010050
9 Januari 2019 Titi Sofah 16 Th 19010051
Rasimah 39 Th 19010052
Tn. Isaq 25 Th 19010053
Tn. Farhan Fuadi 23 Th 19010054
Tn. Moch Febi 26 Th 19010055
Nn. Glasela 18 Th 19010056
Tn. Udin 66 Th 19010057
Tn. Thamrin 45 Th 19010058
Tn. H. Ubaidillah 32 Th 19010059
sudirman deawasa 19010060
An. Hifdol 9th 19010061
Tn. Hudari 52TH 19010062
10 Januari 2019 Rizki Firmansyah 13 Th 19010063
RASIMAH 39 Th 19010064
Titi Sofah 16 Th 19010065
Tn. Udin 58 Th 19010066
Afrizha Mahyar 18 Th 19010067
Tn. Ogod 39 Th 19010068
Ny. Maliyah 50 Th 19010069
Tn. Ali Mansur 45 Th 19010070
Tn. Mustangin 55 Th 19010071
Tn. Beben Setyawan 24 Th 19010072
Tn. Muji Purnyoto 45 Th 19010073
Ny. Empit Fitriana 28 Th 19010074
An. Gabriel 2.4 Th 19010075
11 Januari 2019 Ny. Dewi 42 Th 19010076
Tn. Agus Setiawan 41 Th 19010077
Ny. Siti Sakinah 19 Th 19010078
Bd. Sundari DWs 19010079
Tn. Fauzul 23 Th 19010080
Tn. Sarinan 51 Th 19010081
Ny. Siti Maisah 48 th 19010082
12 Januari 2019 An. M. Rizki 13 Th 19010083
Ny. Rosimah Dws 19010084
Tn. Jejen 45 Th 19010085
Ny. Saniah DWs 19010086
Tn. Deki 33 Th 19010087
14 Januari 2019 Ny. Yayu gemi 43 Th 19010088
An. Rizki 13 tH 19010089
Tn. Dindit 55 Th 19010090
Tn. H. Tohaji 50 Th 19010091
15 Januari 2019 Ny. Irene Mardila 26 Th 19010092
Tn. Bimma Ramadewa 54 Th 19010093
Ny. Resita 24 Th 19010094
Ny.Saliyah 60 th 19010095
Ny. Unaeni 45 Th 19010096
An. Gilang 6 Th 19010097
Tn. Adiyah 28 Th 19010098
Ny. Dini 31 Th 19010099
16 Januari 2019 Tn. Yudi 37 Th 19010100
Tn. Muntahar 65 Th 19010101
Tn/ Billy Oksaputra 22 Th 19010102
Tn. Ansory 28 Th 19010103
Nn. Eka 16 Th 19010104
Nn. Eneng 36 Th 19010105
Ny. Hj Mariam 65 Th 19010106
17 Januari 2019 Ny. Ida F 27 Th 19010107
Ny. Riama 41 Th 19010108
Tn. Murakani 51 Th 19010109
daniel 1 Th 19010110
Nn. Titi Rohati 16 Th 19010112
Ny. Ani F 31 Th 19010113
Dera Aulia 29 Th 19010114
Eko Yuwono 52 Th 19010115
18 Januari 2019 Ny. Heni Herawati 40 Th 19010116
Tn. Radi Rifai 52 Th 19010117
Tn. Hj. Hindun 59 Th 19010118
Tn. Dedi Sudiat 25 Th 19010119
Ny. Saptiah 60 Th 19010121
Ny. Melin 31 Th 19010122
19 Januari 2019 Ny. Samhah 47 Th 19010123
An. Anis 8Th 19010124
Ny. Lia Hadriah 55Th 19010125
EKA 15Th 19010126
An. Lisa Anjani 1,4 19010127
21 Januari 2019 Tn. Agus Setiawan 44 Th 19010128
Ny. Hj. Mukasul 74 Th 19010129
Nur Nizar 27 Th 19010130
Elga 25 Th 19010131
Ny. Yati 52 Th 19010132
An. Husnulaela 15 Th 19010133
Ny, Dedeh 20 Th 19010134
Tn. Ubay 44 Th 19010135
Ny. Siti Aisyah 24 Th 19010136
22 Januari 2019 Tn. Havid Nizain 29 Th 19010137
By. Iroyati 9 Hr 19010138
Ny. Evi Sulistyowati 45 Th 19010139
23 Januari 2019 Ny. Peti 36 Th 19010140
Ny. Yurike 29 Th 19010141
Tn. Ahmad 25 Th 19010142
Tn. Sutaryo 54 Th 19010143
Tn. Hanif 24 Th 19010144
Nn. Nurul A 17 Th 19010145
Tn. Rizki Yoga 19 Th 19010146
Ny. Solina 21 Th 19010147
Ny. Siti umenah 21 Th 19010148
nn. Giska gitabella 26 Th 19010149
24 Januari 2019 Tn. Sunaryono 57 Th 19010150
An. Fariz 6 Th 19010151
Ny. Solina 21 Th 19010152
Ny. Muniroh 39 Th 19010153
Nn. Ade Irma K 24 Th 19010154
25 Januari 2019 Tn. Sambang Jauardi 37 Th 19010155
Tn. Agus setiawan 44 Th 19010156
Dewi Andriani 27 Th 19010157
Tn. Muhaimin 24 Th 19010158
Tn. Hadi Suhardi 38 Th 19010159
Ny. Maskanah 72 Th 19010160
Tn. Yudi 48 Th 19010161
Tn. Komar Hidayat 43 Th 19010162
Ny. Eka 33th 19010163
Ny. Afna 22Th 19010164
Ny. Sarbanah 54Th 19010165
26 Januari 2019 Tn. Rusdi Rusmadianto 45 Th 19010166
Tn. Xx 19010167
An. Faza 6 Th 19010168
Ny. Ani iniyati 41 Th 19010169
Anisa Zahra S.S 17 th 19010170
28 Januari 2019 Ny. Sartini 31 Th 19010171
Ny. Mirna 45 Th 19010172
An. Ahmad Ripangga P 2 Bln 19010173
Tn. Robi Saputra 27 Th 19010174
abu dezar 16 th 19010175
Raisa Salsabila 11 bln 19010176
29 Januari 2019 Rizal Romli 17 Th 19010177
Tn. Daniel 35 Th 19010178
Ny. Dinda 28 Th 19010179
Ny. Titi 49 Th 19010180
Ny. Mariam 51 Th 19010181
Tn. Nurjeny 35 Th 19010182
30 Januari 2019 gilang 10 Th 19010183
Ny. Masti 51 Th 19010184
Tn. Ata 34 Th 19010185
Sauri 15 Th 19010186
Ny. Nuryuliana 40 Th 19010187
An. Tabina 5 Th 19010188
31 Januari 2019 Ny. Hulbiyah 43 Th 19010189
Tn. Abdul Malik 26 Th 19010190
Tn. Solihin 56 Th 19010191
Berlian 7 TH 19010192
Edi prabowo 55Th 19010193
01 Februari 2019 Fariq 9 Th 19020194
Ny. Pradita 24 Th 19020195
Tn. Mulyadi 38 Th 19020196
An. Kiki 18 Th 19020197
Alfan Alim 15 Th 19020198
refaldi 3th 19020199
Ny. Yeni 40 Th 19020200
2 Februari 2019 An. Dzakiyya Talita 5 Th 19020201
Tn. Sohari 52 Th 19020202
Tn. Oki Komarizki 26 Th 19020203
Tn. Faiz 41 Th 19020204
Ny. Evi Rosmawati 25Th 19020205
Ny. Uun 71 Th 19020206
04 Februari 2019 Bela Saftri 18 Th 19020207
Rosmawati 23 Th 19020208
M. Faizul 2 Th 19020209
Fafa Irham 25 Th 19020210
Ny. Jumsikah 38 Th 19020211
Tn. Nursata 25 Th 19020212
Ny. Anisah 42 tH 19020213
An. Fadhlurrohman Adnan 12 Th 19020214
06 Februari 2019 Tn. Zumroni 25 Th 19020215
Ny. Zaidah 52 Th 19020216
Ny. Katisah 53 Th 19020217
Ny. Mimih 50 Th 19020218
Tn. Robi 43 Th 19020219
Nn. Annisa Ayu Wulandari 22 Th 19020220
Tn. Rapiudin 43 Th 19020221
07 Februari 2019 An. Fitri 7 Th 19020222
Tn. Akbar 40Th 19020223
Tn. Lubis 32Th 19020224
Tn. Reza 23 Th 19020225
Qinara 2 Th 19020226
Ny. Urofyah 47 Th 19020227
Saprinah 7 Th 19020228
Ilham 16 Th 19020229
08 Februari 2019 Ny. Netri 56 Th 19020230
Tn. Dedi fernando 24 Th 19020231
Tn. M. Tumin 43 Th 19020232
Tn. Kushendri 43 Th 19020233
Tn. Andrizal 30 Th 19020234
nana 34 Th 19020235
09 Februari 2019 Tn. Yudi 48 Th 19020236
An. Arelia Indri 12 Th 19020237
Qonita Najiah 2,9 Th 19020238
Keitha 7,9 Th 19020239
Ny. Samiah 41Th 19020240
Ny. Hj. Atiyah 60 Th 19020241
An. Syahni 12 Th 19020242
An. Adeva Afsen 5 Th 19020243
An. Adhyasta Ozik 3 Th 19020244
11 Februari 2019 Tn. H. Tohaji 50 Th 19020245
NAILAH 18 Th 19020246
MUNADI 28 Th 19020247
Ny. Mursi 50 Th 19020248
Anisatul Kmailah 6 Th 19020249
Ratu manawiyah 67 Th 19020250
feri frananda 32 Th 19020251
12 Februari 2016 Ny. Kuraesin 71 Th 19020252
Tn Mawardi 55 Th 19020253
Ny. Yuyun 27Th 19020254
Ny. Hj. Rohmah 52Th 19020255
Ny. Jubaedah 68Th 19020256
13 Februari 2019 Ny. Rini 29 Th 19020257
Tn. Aziz Efendi 31 Th 19020258
Tn. Mahdum 60 Th 19020259
An. Hani 13 Th 19020260
Ny. Saiyah 53 Th 19020261
Tn. Boby 22 Th 19020262
Abdul Rauf 37Th 19020263
Jhon Triyono 33Th 19020264
Tn. Umar 66 Th 19020265
Tn. Sahrulloh 30 Th 19020266
Ny. Karmiyati 43 Th 19020267
14 Februari 2019 Tn. Irianto 61 Th 19020268
An. Putri 15 Th 19020269
An. Habib 3 Th 19020270
Ny. Rohmah 52 Th 19020271
Tn. Abdul Ajis 42 Th 19020272
Tn. Said 48 Th 19020273
15 Februari 2019 Tn. Anwar Laksana 46 Th 19020274
Tn. Rio 24 Th 19020275
Tn. M. Ridwan 40 Th 19020276
Tn. Hanaf 47 Th 19020277
Tn. Septian Kusdiana 23Th 19020278
m. abdul majid 9 Th 19020279
aulia putri 1,2 Th 19020280
16 Februari 2019 An. Kanaya 1 Th 19020281
Ny. Ajeng 30 Th 19020282
An. Lexa 3.4 Th 19020283
Tn. Islahudin Ansori 24 Th 19020284
18 Februari 2019 An. Dinda 6 Th 19020285
Tn. Ali Sobri 31 Th 19020286
Hanifa 4 Th 19020287
irham 2 Th 19020288
Tn. H. Jahiri 64 Th 19020289
An. Husna 11Th 19020290
Tn. Marjuki 36 Th 19020291
Ny. Pawit 51 Th 19020292
Tn. Muharom R 23 Th 19020293
Tn. Maryanto 25 Th 19020294
Tn. Indra Budiman 25 Th 19020295
Tn. M. Yusup 32 Th 19020296
Tn Heru Susanto 32 Th 19020297
An. Mitha Nurawaliah 6.5 Th 19020298
AN. Tubagus Maulana 1 Th 19020299
AN. Tubagus Maulana 1 Th 19020300
19 Febrari 2019 Tn. Agus S 29 Th 19020301
Tn Samsuri 28 Th 19020302
Tn. Zaenul Arifn 23 Th 19020303
Tn. Edi 27 Th 19020304
Ny. Marliana 57 Th 19020305
An.Amelia 6 Th 19020306
Tn. Fajri 21 Th 19020307
Tn. Juandi 28 Th 19020308
Tn. Sayuti 38 Th 19020309
Ny. Jupriyah 46 Th 19020310
An. Ferlita 10 Th 19020311
Tn. Solehudin 23 Th 19020312
Tn. Epan 27 Th 19020313
Tn. Dendi 40 Th 19020314
20 Februari 2019 Tn. Haerudin 49 Th 19020315
Tn. Gomrowi 40 Th 19020316
Najwa 5 Th 19020317
An. Ahlam 2,5 Th 19020318
Khoirunnisa 19 Th 19020319
m. Ahkam 2 Th 19020320
Ali misri 47 Th 19020321
An. Ilham 7 Th 19020322
Tn. Agus Tri S 35 Th 19020323
An. Rifan 7 Th 19020324
21 Februari 2019 Tn. Yang Anwar Rachman 35 Th 19020325
Marhumah 55 Th 19020326
Tn. Muhibi 50 Th 19020327
Tn. Ahmad Surohman 40 Th 19020328
Tn. Sofwan Hasbulah 32 Th 19020329
Tn. Nurhakim Pratomo 21 Th 19020330
An. Nadian 12 Th 19020331
An.Irham 2 th 19020332
Tn. Saptuni 19 Th 19020333
An. Hujiah 2 Th 19020334
Ati Supriati 21 Th 19020335
Tn. Andika 34 Th 19020336
Santoni 41 Th 19020337
22 Februari 2019 Tn. Tatang 51 Th 19020338
Ny. Nani dewasa 19020339
Tn. Ismed 59 Th 19020340
Tn. Lili Romli 30 Th 19020341
Tn. Galih pangestu 27 Th 19020342
TN. Ahya 32 Th 19020343
devi 2 Th 19020344
23 Februari 2019 Reviana 15 Th 19020345
25 Februari 2019 Tn. Ari Bahtiar 20 Th 19020346
Tn. Jahidi 33 Th 19020347
Tn. Aldi Kurniawan 7 Th 19020348
Tn. Tohaji 50 Th 19020349
Tn. Yuga 12 Th 19020350
Tn. Angga 23 Th 19020351
An. Ahmad Arji 17 Bl 19020352
An. Khanita 2,9 Th 19020353
Tn. Fauzi 41 Th 19020354
Tn. Ajat 25 Th 19020355
An. M Aska 2 Th 19020356
An. Syafazea 5 Th 19020357
26 Februari 2019 Tn. Hamdani 37 Th 19020358
Tn. Sufyan 37 Th 19020359
Tn. Ahmad Sanusi 34 Th 19020360
Nn. Mega 18 Th 19020361
Ny. Umiyati 50 Th 19020362
Bella saftri 18 Th 19020363
Ahmad. Safrudin 38Th 19020364
Nn. Tri Septiawati 22 Th 19020365
27 Februari 2019 hj jubaedah 68 Th 19020366
Ny. Ani Heryani 64 Th 19020367
An. Agni 8 Th 19020368
Tn. Lazainal 28 Th 19020369
Miya Aprilia 15 Th 19020370
Ny. Risa 28 th 19020371
Ny.Lia Novita 21 Th 19020372
Tn. Ruli efendi 36 Th 19020373
28 Februari 2019 Tn. Bed Andespa 36 Th 19020374
Lia novita 21 Th 19020375
Agnia 8 Th 19020376
Alfan Halim 15 Th 19020377
juhanah 25 Th 19020378
Nurfatmah 54Th 19020379
Miskar 36Th 19020380
An. Ade 5 Th 19020381
01 Maret 2019 deden 25 Th 19030382
aminah 65 Th 19030383
Tn. Miskar 36Th 19030384
2 Maret 2019 Nn. Zia Azkia 23 Th 19030385
Tn. Didin Salahudin 23 Th 19030386
Ny. Yayu Pujiati 56 Th 19030387
Nn. Herin Tina 24 Th 19030388
An. Raihan 14 th 19030389
Tn. Irfan Taufqurrohman 27 th 19030390
Tn. Ugi Almansyah 35 Th 19030391
Ny. Suadah 56 Th 19030392
Tn. Irwan Jaya Susanto 29 Th 19030393
An. Faraz Apraza 2 Th 19030394
An. Rizki Nuri Pratama 2 Th 19030395
M Yoga Ardiansyah 23 Th 19030396
Tn. Aziz Efendi 32 Th 19030397
ari 14 Th 19030398
Ny. Djamilah 76 Th 19030399
04 Maret 2019 Ny. Yayu 56 Th 19030400
Tn. H. Hamriri 65 Th 19030401
Ny. Suyanti 48 Th 19030402
Yuyun dewasa 19030403
Ari Hardian dewasa 19030404
rasat 48 Th 19030405
xx dewasa 19030406
Ny. Ira 39 Th 19030407
Fatimatusaidah 35 Th 19030408
05 Maret 2019 Tn. Aziz 32 Th 19030409
An. Maulida 1;3 Th 19030410
An. Shakira 3 Th 19030411
TRn. Pipin Esifn 26 Th 19030412
Tn. Syafrudin 41 Th 19030413
Hamdi Aziz 22 TH 19030414
Tn. Haerudin 38 Th 19030415
Tn. Sarkan 70 Th 19030416
Tn. Hamdi 35 Th 19030417
Tn. Asiyah 45 Th 19030418
Ny. Masluhah 50 Th 19030419
06 Maret 2019 Ny. Rohayah 73 Th 19030420
Tn. Pipin Esifn 26 Th 19030421
Ny. Samini 52Th 19030422
Ny. Ana 33Th 19030423
ss 19030424
An. Zahira 13 Th 19030425
Ny. Suheni 35 Th 19030426
08 Maret 2019 Tn. Arifudin 19 Th 19030427
Ny. Ijah 52 Th 19030428
Ny. Netri 56 Th 19030429
Tn. Bustomi 45 Th 19030430
Ny. Oong 50 Th 19030431
Tn. Santani dewasa 19030432
eko bayu 22 th 19030433
09 Maret 2019 Ny. Jumroh 58 Th 19030434
Ny. Sofyah 44 Th 19030435
Ny. Vina 28 Th 19030436
An. Adam 19030437
Ny. Diana dewasa 19030438
11 Maret 2019 Tn. Wahyu 27 Th 19030439
Tn. Edi S 41 Th 19030440
Tn. Hambali 46 Th 19030441
Tn. Sarmani 42 Th 19030442
Tn. Rifai 42 TH 19030443
Tn. Satibi 39 tH 19030444
Tn. Atoillah 48 Th 19030445
Tn. Abi 24 Th 19030446
Tn. Makbul Budiana 42 Th 19030447
Tn. Agus Fatulloh 29 Th 19030448
Tn.Jajang 40 th 19030449
An. Habil 1 Th 19030450
12 Maret 2019 An. Muhamad Hairul Fatih 11 Th 19030451
Tn. Miftahur Rohmat 33 Th 19030452
Ny. Muhayaroh 42 Th 19030453
An. Muhamad Faiz 9 Th 19030454
13 Maret 2019 Tn. Suyono 46 Th 19030455
Ny. Sri Yanti 39 Th 19030456
Nn. Vifen 13 Th 19030457
Nn. Siti Magfroh 17 Th 19030458
Nn. Ita Natalia 16 Th 19030459
Nn. Ela 19 Th 19030460
Ny. Yati 61Th 19030461
14 Maret 2018 Salwa 9 Th 19030462
Ny. Rani 30 Th 19030463
Tn. Rusmadianto 46 Th 19030464
An. M. Khoirul Ikhwan 13 Th 19030465
An. Qum Naira 4 Th 19030466
Tn. Kiki Awaludin 20 Th 19030467
Tn. Salamun 22 Th 19030468
Tn. Ruslani 63 Th 19030469
Ny. Linda 25 Th 19030470
Tn. Ahmad 35 Th 19030471
15 Maret 2019 Ny. Hafdoh 19030472
Tn. Suhemi 49Th 19030473
Ny, Hj. Kuraesin 71 Th 19030474
Tn. Ali Rohman 43 Th 19030475
An. Ezzan 10 bln 19030476
Tn. Andika 20 Th 19030477
An. Aliya 1,6 Th 19030478
16 Maret 2019 Ny. Or ruly 50 Th 19030479
aNn. Rika M 6 Th 19030480
18 Maret 2019 Ny. Tareni 37 Th 19030481
Tn. Redi 25 Th 19030482
An. Fairuz 8 Th 19030483
mais mahesa 4 th 19030484
Muhyar Hadi 35 Th 19030485
Supendi 48 Th 19030486
Nopiah 22 Th 19030487
Aunulloh 24 Th 19030488
Daud 25 Th 19030489
Tn. Susilo 21 Th 19030490
Tn. Didin 31 Th 19030491
Ny. Samhah 48 Th 19030492
Ny. Wiwin 22 Th 19030493
An. Aulia 2 Th 19030494
Tn. Danang 23 Th 19030495
Tn. Ahmad Jaelani 31 Th 19030496
19 Maret 2019 Tn. Jaelani 27 Th 19030497
An. Anisa 13 Th 19030498
Ny. Sodriah 56 Th 19030499
An. Arifki 7 Th 19030500
20 Maret 2018 An. Ainaya 3,8 Th 19030501
Ny. Sarimah 46 Th 19030502
Tn. Asmani 46 Th 19030503
An. Sultan 6 Bl 19030504
Ny. Armita Lukita 29 Th 19030505
rafaldi 20Th 19030506
21 Maret 2019 ny. Eem 69 th 19030507
Nn. Rizka 29 Th 19030508
Ny. Armita Lukita 29 Th 19030509
Hamidah 31 Th 19030510
euis holisoh 31 Th 19030511
mita 3 th 19030512
Tn. Mahendra 6 Th 19030513
22 Naret 2019 Tn. Hudali 35 th 19030514
GAREL 15 tH 19030515
Tn. Aja Sudrajat 31 Th 19030516
Tn. Ari 38 Th 19030517
An. Safratunnisa 10 Th 19030518
23 marret 2019 Tn. TB M. Fatila 24 Th 19030519
Tn. Rofki 30 Th 19030520
Tn. Haris Munji Prabowo 22 Th 19030521
Tn. Aryadi 21 Th 19030522
Tn. Holis Johandi 41 Th 19030523
Alifan 16 Th 19030524
Tn. Rizky Candra 18 Th 19030525
Tn. Redi 26 Th 19030526
Selvi Dayanti 18 Th 19030527
25 Maret 2019 Ny. Eroh 43 Th 19030528
An. Raisa 11 Th 19030529
Ny. Heni 46 Th 19030530
Ny. Sri Jumiati 49 Th 19030531
Tn. Dadan Bahrul 33 Th 19030532
Tn. Rusdiana 38 Th 19030533
Tn. Catur Santoso 36 Th 19030534
Tn. Sulbi 49 Th 19030535
Ny. Wirda 35Th 19030536
26 Maret 2019 Tn. Samsudin 48 Th 19030537
Tn. Arif Hidayat DWS 19030538
An. Fauzan 1,5 Th 19030539
Ny. Ismiyati 30 Th 19030540
An. Kukuh 1,6 Th 19030541
Ny. Teti 53 Th 19030542
An. Revanya 11 Th 19030543
Ny. Noneng 47 Th 19030544
Tn. Muhimin 64Th 19030545
Ny. Dede Farida 40th 19030546
27 Maret 2019 Pramudiani Ayu 27 Th 19030547
Tn. Muhimin 63 Th 19030548
An. Ryan Afandi 7 Th 19030549
Nn. Yesi 22 Th 19030550
Nn. Putri 26 Th 19030551
Ny. Muhdayatul 45 Th 19030552
Ahmad Rizki 2 Th 19030553
Andiny 6 Th 19030554
28 Maret 2019 An. Putra Arsya 4Th 19030555
dayat 19030556
Alfno 3 Th 19030557
Melqi Saputra 7 Th 19030558
Ny. Illah 33 Th 19030559
29 Maret 2019 Tn. Aya Suraya 30 Th 19030560
Ny. Suhesti 21 Th 19030561
Mulya Faraningsih 6 Th 19030562
meldi saputra 7 Th 19030563
An. Fadil Radi 1,1 Th 19030564
Ny.Suknayati 33 Th 19030565
Tn. Antony 66 Th 19030566
An. Fahrudin 3 Th 19030567
Tn. Ari 18 Th 19030568
Tn. Dimas 32 Th 19030569
30 Maret 2019 Tn. Solihin 56 Th 19030570
Ny. Sapuroh 27 Th 19030571
An. M. Raka 3,5 Th 19030572
Ny. Sanaiyah 30 Th 19030573
Tn. Budi Santoso 34 Th 19030574
Tn. Udin Mauludin 49 Th 19030575
1 April 2019 Ny. Yayu Gemi DWs 19040576
Ny. Masani 77 Th 19040577
Syarif hidayatullah 17 Th 19040578
Tn. Arisyah 37 Th 19040579
Ny. Ani nurjanah 21Th 19040580
Hj. Jubaedah 69Th 19040581
Tn. Dimas 35Th 19040582
2 April 2019 Tn. Yudi 47 Th 19040583
Tn. Aziz 33 Th 19040584
Tn. Maulana Isman 24 Th 19040585
04 April 2019 Tn. Pahmi Abdul Aziz 19 Th 19040587
Tn. Syafrijon 43 Th 19040588
Ny. Eroh 43 Th 19040589
Ny. Hastin 47 Th 19040590
By. Fahmi 8 bln 19040591
An. Egi 7 Bln 19040592
Tn. Rohili 26 Th 19040593
An. Bagas Putra R 6 Th 19040594
5 April 2019 Tn. Indragunawan 48 Th 19040595
Tn. Andri Wijaya 30 Th 19040596
Tn. Muhamad Herlan 20 Th 19040597
Tn. Muhamad Iqbal 22 Th 19040598
Tn. Hari Sanjaya 24 Th 19040599
Tn. Dickson Situmorang 33 Th 19040600
Tn. Fero 38 Th 19040601
Tn. Ahmad Hizwini 26 Th 19040602
An. Marsya 10 Th 19040603
An. Ilham 2,7 Th 19040604
Ny. Resi Maharani 30 Th 19040605
Ny. Lusiana 31 Th 19040606
An. Marsa 7 Th 19040607
06 April 2019 Nn. Nurul Komarosari 18 Th 19040608
Ny. Jolekah 70 Th 19040609
8 April 2019 Ny. Tareni 37 Th 19040610
Tn. Rusmadianto 46 Th 19040611
Ny. Nadiroh 30 Th 19040612
Fahrul Roji 23 Th 19040613
Dikri Khaerul Azis 24 Th 19040614
09 April 2019 Tn. Didit 27 Th 19040615
Ny. Maryani 40 Th 19040616
Ny. Derita wati 19040617
Ny. Marliana 28 Th 19040618
Ny. Yuli siti 36 Th 19040619
Tn. M. Dandi 21 Th 19040620
Tn. Adan Koesnaedi 20 Th 19040621
Tn. Ifandi Alamsyah 19 Th 19040622
Tn. Idan 31 Th 19040623
Ny. Ratu Asnawiyah 43 Th 19040624
An. Roman Sujadi 7 Th 19040625
An. Nazwa 4 Th 19040626
elsa 11 Th 19040627
Tn. Masnun 53 Th 19040628
Tn. Roni Maulana Yusuf 27 Th 19040629
10 April 2019 Tn. Wayan 19040630
An. Atika 4 Th 19040631
Ny. Yuneldi dewasa 19040632
11 April Ny. Nuraeni 56 Th 19040633
An. Ahmad Haerudin 19040635
Ny. Lamrah 70 tH 19040636
Tn. Mulyadi 20 Th 19040637
Ny. Siti nun 52 Th 19040638
An. Khoffah 3 Th 19040639
An. Syafka 1 Th 19040640
Tn. Fian Hadiyanto 22 Th 19040641
Tn.Tn. Anggi Suwardi 19040642
Tn. Muhamad Bowo 30 Th 19040643
Ny. Juwita 31 Th 19040644
12 April 2019 Tn. Ustuhri 20 Th 19040645
Tn. Achmad Eka Indrawan 27 Th 19040646
Tn. Bayu Krisna Mukti 21 Th 19040647
Tn. Agus Dhaus Rizki 22 Th 19040648
Tn. Tb. Eza Rizaldi 19 Th 19040649
Tn. Cahaya Iman 26 Th 19040650
Tn. Anis Fuadi 32 Th 19040651
Tn. Rizki Nur Iman 24 Th 19040652
Tn. Andri Gunawan 27 Th 19040653
Tn. Ajat Sudrajat 30 Th 19040654
Tn. Ilham Ardiansyah 20 Th 19040655
Tn. M. Rais 26 Th 19040656
Tn. Hafd Sepdiadi 29 Th 19040657
Tn. Aris Suandi 38 Th 19040658
Tn. Dadi Sumardikarto 36 Th 19040659
Tn. Mahyudi 34 Th 19040660
Tn. Naufal 22 Th 19040661
Ny. Vivi Madu sari 42 Th 19040662
An. Dini anak 19040663
An. Afzal 5Th 19040664
Ny. Ayu Suroiyah 26 Th 19040665
Tn. Jumadi 38 Th 19040666
Ny. Neneng P 33 Th 19040667
Ny. Hj. Inayah 42 Th 19040668
13 April 2019 An. Sivana 2 Th 19040669
Nn. Ikmaliyah 25 Th 19040670
Nn. Nazrotun Nufus 16 Th 19040671
Ny. Hilawati 30 Th 19040672
15 April 2019 Ny. Hj Jubaedah 69 Th 19040673
Tn. Ibrohim 57 Th 19040674
Ny. Hamroh 34 Th 19040675
16 April 2-19 Tn. Zulkifli 45 Th 19040676
Ny. Johanes Kristoper 39 Th 19040677
Ny. Sulistina 28 Th 19040678
18 April 2019 Tn. Mastur 50 Th 19040679
Ny. Vivi Madusari 42 Th 19040680
Nova N 24 Th 19040681
Ny. Hj. Zakiyah 64 Th 19040682
Tn. M. Ilham 19 Th 19040683
Nida Indriyani 1 Th 19040684
20 April 2019 Tn. Bahrun Siregar 60 Th 19040685
Tn. Tatang 53 Th 19040686
An. Satria 18Th 19040687
Ny. Bahariyah 26 Th 19040688
Ny. Siti Rohanah 60 Th 19040689
22 April 2019 Nur lelah 35 Th 19040690
Tn. Nasir 43 Th 19040691
Ny. Dian Herdianti 23 Th 19040692
An. Qirana 4 Bln 19040693
Ny. Era Pratiwi 24 Th 19040694
Ny. Nuning 44 Th 19040695
Ny. Gita 31 Th 19040696
Tn. Adi 22 Th 19040697
Tn. Sanfernando 27 Th 19040698
23 April 2019 An. Fahmi 5 Th 19040699
grra. F 24Th 19040700
24 April An. Fahmi 5 Th 19040701
Ny. Erra Pratiwi 25Th 19040700
Nn. Dwi Yunita 22 Th 19040701
An. Annisa 11 Th 19040704
25 April 2019 Tn. Partono 42 Th 19040705
Tn. Antor JS 61 Th 19040706
Tn.Erra Pratiwi 25 Th 19040707
26 April 2019 Bd. Catrine 70 Th 19040708
27 April 2019 H Jasuta 70 Th 19040709
29 April 2019 Ny. Ani 23 Th 19040710
An. Kurnia 7 Th 19040711
Ny. Ageng dewasa 19040712
Ny. Sri Hartati 40 Th 19040713
Tn. M Nur Cholim 59 Th 19040714
Ny. Asmaul Husna 23 Th 19040715
30 April 2019 Ny. Mutik 51 Th 19040716
Ny. Nana 23 Th 19040717
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Alamat Permintaan Parameter Tarif
kp. Kejangkungan bojonegara APS DL,OT,PT,GNP,RO,EKG Rp 375,000
Kapunduk Kepuh APS D:.UL Rp 245,000
Mancak dr. Hendarto DL.UL.Cho.TG,Ur.Cr AU Rp 550,000
PKM Ciwandan dl Rp 80,000
Cilegon PT. ISS Indonesia mcu Rp 355,000
Cilegon Klinik Anggrek Rp 255,000
PKM Ciwandan dl, widal Rp 140,000
PKM Ciwandan elektrolit,dl,widal Rp 380,000
APS ch,tg,hdl,ldl,au,gula,2jam Rp 260,000
Tegal Cabe dr. H. Alan dr,ul,ot,pt,ur,cr,ro,gds Rp 385,000
sma 3 n cilegon tes narkoba Rp 135,000
PKM Ciwandan dpl, widal Rp 140,000
PKM Ciwandan dpl, widal Rp 140,000
PT. ISS Indonesia mcu Rp 355,000
PKM Kramatwatu Ro.Thorax Rp 105,000
Anyar dr. Ajeng dr, widal Rp 130,000
APS Ur,Cr,Au Rp 105,000
Cilegon APS gds,ch Rp 70,000
cilegon pkm ciwandan dr Rp 70,000
cilegon pkm ciwandan dr Rp 70,000
Cilegon aps dr Rp 70,000
dr. H. Alan Sumarladr, ct bt Rp 120,000
Taman Raya Cilegon APS DL,UL,Ur,CR,OT/PT.UL Rp 465,000
Ramanuju APS Cholesterol,TG,HDL/LDL Rp 160,000
Kedawung - Citangkil APS DR, Widal Rp 130,000
APS narkoba Rp 135,000
Merak PT. ISS Indonesia MCU Rp 355,000
PKM Ciwandan dr Rp 70,000
Klinik P Banten dl, widal Rp 140,000
PKM Ciwandan Rp 70,000
PT. CF MCU Rp 390,000
APS ch,tg,ldl,hdl,gds Rp 195,000
dr.Laura DL Rp 80,000
aps thorax
aps ch,gnp,au Rp 105,000
PKM Ciwandan
APS ul Rp 35,000
PT. Sankyu ekg Rp 85,000
PKM Ciwandan dr
PKM Ciwandan dr
Polres Cilegon Metamphetamine Rp 45,000
PKM Ciwandan
APS ro, urin Rp 140,000
Klinik Cilegon Mediro, darah rutin Rp 175,000
kpb
kpb dl,widal
kpb dl,widal
APS dr, widal Rp 130,000
PKM Ciwandan dr
PKM Ciwandan dr
PKM Ciwandan dr, ot, pt
APS hbsag Rp 55,000
KPB
KPB
Transbakrie MCU Rp 310,000
TransBakrie MCU Rp 310,000
APS ch, au Rp 70,000
APs widal Rp 60,000
APS cho total Rp 160,000
APS AU, GDS, Choles,TG Rp 140,000
Bd. Sundari DL. Widal Rp 130,000
APS DR, AU, Ch,TG.HDL.LDL Rp 175,000
kpb1 Rp 605,000
kpb1
kpb1
Palas DR Rp 70,000
PKM Ciwandan DL,Widal
PKM Ciwandan DR
KPB 2 DR Rp 70,000
dr Rp 70,000
APS ch,au,gnp Rp 105,000
APS dr Rp 70,000
APS mcu Rp 400,000
APS au,gnp Rp 70,000
dr. Agus mcu Rp 230,000
APS mcu free
bd. Istiawati dr, ul Rp 105,000
PKM.Ciwandan DR
kpb 1
kpb 1
APs thorax Rp 105,000
bd. Istiawati PAPSMEAR Rp 200,000
APS ur, cr, gds Rp 105,000
PT: CF MCU Rp 390,000
PT: CF MCU Rp 390,000
KPB
KPB
aps dr Rp 70,000
Bd. Sundari PAPSMEAR Rp 285,000
APS au,ch Rp 70,000
APS au,ch Rp 70,000
APS dr Rp 70,000
Bd. Sundari dr, widal Rp 130,000
APS au, ch Rp 70,000
APS tes narkoba Rp 135,000
dr. Ilmi Fahmia Ro Thorax Rp 105,000
pt. bakrie pt. bakrie Rp 310,000
pt. bakrie pt. bakrie Rp 310,000
APS ro. Thorax Rp 105,000
APS gds Rp 35,000
UPTD Cibeber Ro Thorax Rp 105,000
kpb dr
kpb dl,widal
PKM Ciwandan dl,widal
PKM Ciwandan dl,widal
aps MCU Rp 650,000
aps gdp,au,ch Rp 130,000
Pt. Barata metam,amphe,ot,pt Rp 160,000
Pt. Barata metham,amphe Rp 90,000
aps GDN, Chol.TG.HDL.LDL.GD Rp 230,000
Ro Thorax Rp 105,000
Klinik Putra BantenDL, Widal
KPB 2 DL,Widal, Ul
DL,Widal
PT. BRI MCU Rp 620,000
Bd. Dini Bilirubun Tot/Dirct/Ind Rp 150,000
PT. BRI MCU
Bd. Yenni
Bd. Yenni
Mnacak GDS Rp 35,000
KPB
KPB
KPB
KPB
pulo merak dl Rp 80,000
pulo merak dl,widal Rp 140,000
APS darah lengkap Rp 80,000
APS gdp Rp 35,000
PKM Pulo merak dl, elektrolit Rp 320,000
PKM Pulo merak dr Rp 70,000
PKM Pulo merak dr Rp 70,000
PT. Bakrie mcu Rp 310,000
aps mcu Rp 650,000
aps cr,au,tg Rp 105,000
Bd. Sundari anti hiv, goldar, hbsag Rp 285,000
PT. Bakrie MCU Rp 310,000
PT. Bakrie MCU Rp 310,000
KBP 1
KBP 1
Polres Cilegon Mariyuana Rp 45,000
bd. Isti pap smear Rp 250,000
aps dr,elektrolit, Rp 540,000
bd. Sundari dr,ot,pt,gds,hbsag Rp 230,000
APS DR, Widal Rp 130,000
APS Surat Ketr. Sehat Rp 25,000
Klinik Putra BantenDL, , Widal
APS pap smear Rp 285,000
dr agus dl, widal Rp 140,000
Dr. Agus HBA1C Rp 265,000
APS Ro Bahu Rp 105,000
APS Goldar Rp 30,000
APS Goldar Rp 30,000
kpb
aps ch,tg,hdl,ldl,gnp,2jampp Rp 220,000
aps au, ch, tg, gnp Rp 140,000
dr. Kaloko Widjaya kimia Rp 690,000
Klinik Pelangi Bun Ro. Thorax Rp 105,000
Polres Cilegon METAM Rp 45,000
kpb dr
kpb dl,widal
kpb dl, widal
kpb dl, widal
APS dr, cholestrol Rp 105,000
APS goldar Rp 30,000
APS GDN, AU, Choles, TG Rp 140,000
APS DL,Widal Rp 140,000
APS gds Rp 35,000
APS DR, WIDAL Rp 100,000
APS EKG, HBA1C Rp 350,000
APS dr, widal
APS dr Rp 70,000
KPB
KPB
APS ul Rp 35,000
aps dr Rp 70,000
rusliman ul, gdn, ur, cr, au, ch, tg Rp 240,000
KPB
KPB
aps ul Rp 35,000
dr. agus dr, widal Rp 130,000
aps dr Rp 70,000
KPB
KPB
KPB
KPB
KPB
aps dl, nk Rp 215,000
Mantri Rois dl, ro Rp 185,000
APS ch, tg Rp 70,000
APS gnp,au,ch Rp 105,000
APS au,ch,gnp,2 jampp,tg,ul Rp 200,000
PT. bakrie mcu Rp 310,000
KPB
PKM Ciwandan
metam,ampe Rp 90,000
metam, ampe Rp 90,000
KPB DL, Widal
pkm ciwandan dl, widal
PKM Ciwandan DL Rp 80,000
APS narkoba Rp 135,000
PKM Ciwandan darah rutin Rp 70,000
Polres Cilegon metam Rp 45,000
kpb
Jl. Statsiun GDN, AU, Cholesterol Rp 105,000
Kavling DR Rp 70,000
Lebak Gede DR Rp 70,000
Lebak Gede DR Rp 70,000
Citangkil dr,widal Rp 130,000
DL, Widal PKM Ciwandan
DL, Widal KPB 2
DL, Widal pkm ciwandan
DL, Widal pkm ciwandan
dr. H. Alan Sumarlaau, ot,pt, gds Rp 140,000
PKM Ciwandan
PKM Ciwandan
KPB
Bd. Sundari dr, widal Rp 130,000
KPB
KPB
Jl. Statsiun GDS Rp 35,000
Cilegon Thorax PA Rp 105,000
Cilegon dl,widal Rp 140,000
kpb2 dl,widal
aps ch,gds Rp 70,000
dr H. Alan S DSpD GDN/PP,Ur,Cr,OT/PT Rp 315,000
PKM Ciwandan DL, Widal
PKM Ciwandan DR, Widal, Ur, Cr
BBS HBsAg Rp 55,000
Polres Cilegon Rp 45,000
PT. CF mcu Rp 390,000
Swing ekg Rp 85,000
KPB DL, Widal
KPB DL, Widal
KPB DL, Widal
APS ro. thorax Rp 105,000
APS ro thorax Rp 105,000
kpb
kpb
aps narkoba Rp 135,000
PKM Cibeber dl, widal Rp 140,000
APS darah rutin Rp 70,000
Bidan Sundari dr, widal Rp 130,000
APS dl, widal Rp 140,000
Klinik ISNA Medika ro, dl Rp 185,000
APS ch, tg, hdl, ldl Rp 160,000
PKM Cilegon dl, widal Rp 140,000
PKM Ciwandan
aps cr, ur Rp 70,000
Klinik Anggrek DR,RO Rp 150,000
PT. CF OT,PT,DL,UL,RO Rp 290,000
PCI DL. Widal Rp 140,000
aps dr Rp 70,000
aps dr Rp 70,000
aps widal Rp 60,000
Kp. Larangan GDS, AU Rp 50,000
Klinik Anggrek Rp 140,000
APS Ur, Crea, AU Rp 105,000
APS ur, Crea.AU Rp 105,000
APS EKG Rp 85,000
klinik putra BantenDL, Widal
APS dr Rp 70,000
APS ch, gds Rp 70,000
APS ch Rp 35,000
Praktek dokter HanDR. Widal Rp 130,000
dr. Abdullah albar dl, widal Rp 140,000
PKM Cilegon dl, widal Rp 140,000
APS ch, ul Rp 70,000
pkm ciwandan dr
Rusliman dr, widal Rp 130,000
APS ro. thorax Rp 105,000
PT. Sankyu IndonesiMCU
aps DR Rp 70,000
APS Ro. Thorax Rp 105,000
PT. Sankyu IndonesiMCU
Klinik Anggrek SGOT, SGPT, Anti HAV Rp 748,000
Klinik Anggrek dl Rp 80,000
PKM.Ciwandan dr
PKM.Ciwandan dl, widal
APS ro Rp 105,000
KPB
pt. bakrie mcu Rp 310,000
PKM Ciwandan
aps gds Rp 35,000
aps ch, tg free
aps ch, gnp, au Rp 105,000
aps Cholesterol Rp 35,000
aps ot,pt,ul
aps ro. thorax Rp 105,000
aps DR, WIDAL Rp 130,000
aps Darah Rutin Rp 70,000
PT. Sankyu MCU
PT. Sankyu MCU
dr. Abdullah albar DL, Widal Rp 140,000
dr. Alan S , Widal, GDS Rp 130,000
P Rusliman DR. Widal Rp 130,000
dr Aven Zoar DR, Widal Rp 130,000
PKM Cilegon DL. Widal Rp 140,000
Pt. Sankyu
klinik putra Banten
pkm ciwandan
aps dr widal Rp 130,000
aps gnp, au, ch Rp 105,000
aps pt,aptt,gnp, 2jam pp, hbsagRp 1,136,000
aps Ro Thorax Rp 105,000
kpb
kpb
aps darah rutin Rp 70,000
Bakrie mcu Rp 310,000
aps dr Rp 70,000
aps ch, gula 2 jam pp Rp 70,000
dr. RSKM GDN/2jamPP, UrmCr,AU Rp 360,000
PKM Ciwandan DR
aps LED Rp 40,000
dr. Nurhasan CT, BT Rp 50,000
Klinik Putra BantenDL, Widal
Cwandan DL, Widal
aps gds Rp 35,000
PKM Ciwandan
PKM Ciwandan
aps ro Rp 105,000
kpb
aps dr,widal Rp 130,000
aps ro Rp 105,000
kpb
kpb
aps ekg Rp 85,000
Jl. Pala Chole,TG,HDL.LDLAu.GDS Rp 230,000
Metro Villa MCU Rp 350,000
Kavling DL, Widal Rp 140,000
PT. CF MCU
PT. CF MCU
Kebanjiran DL, Widal Rp 140,000
Metro Cilegon MCU
Metro Cilegon DR, Widal Rp 130,000
PKM Ciwandan DR Rp 70,000
APS ur,cr,ul Rp 105,000
PKM Ciwandan
ot,pt,ur,cr,au Rp 175,000
dr. Weny Yuarsih GNP, 2jampp, hba1c Rp 325,000
APS gnp, 2jampp, ch Rp 95,000
APS ch Rp 35,000
kpb
pkm ciwandan
kpb
kpb
dr. Abdullah Albar, ro. Genus Rp 210,000
aps ch total, gnp Rp 195,000
PKM Cilegon DR, Widal Rp 130,000
PKM Cilegon DR, Widal Rp 130,000
Polres Cilegon METAM Rp 45,000
PKM Ciwandan
KPB 1
RO, Thorax Rp 105,000
bd. Sekar au Rp 35,000
bd. Sekar au Rp 35,000
PKM Cilegon ro. thorax Rp 105,000
PT. CF OT, PT Rp 70,000
aps gds Rp 35,000
PKM Ciwandan
KPB 1
KPB 1
Mantri rois ro. thorax Rp 105,000
aps Ch, au Rp 70,000
PKM Ciwandan
kpb
kpb
aps dr Rp 70,000
PKM Ciwandan dr
PKM Ciwandan dr, widal Rp 130,000
Bidan sundari dr Rp 70,000
Bidan sundari dr Rp 70,000

Dr. Agus Hasan DL, Widal Rp 140,000
aps Rontgen Thorax Rp 105,000
aps dl, na, k ,cl Rp 320,000
aps DR, Widal Rp 130,000
aps mcu Rp 360,000
aps au Rp 35,000
aps dl
aps dr, widal
aps dr, widal Tot. Rp 340.000
KPB DL. Widal
KPB DL. Widal
KPB DL, Widal
Bd. Pelangi dr,widal,ot,pt,ur,cr Rp 270,000
dr. Bui min dl,ot,pt,NsI,Widal Rp 520,000
aps ur, cr, au,ch,gds Rp 175,000
aps dr Rp 70,000
PKM Ciwandan
KPB 1 Ro. Thorax Rp 105,000
KPB 1 Rp 1,000,000
KPB 1
KPB 1
KPB 1
aps dr,pt,aptt,ur,cr,gdn,pp Rp 520,000
bakrie mcu Rp 310,000
APS GDS Rp 35,000
Bakrie MCU Rp 310,000
aps dr Rp 70,000
bd. Sundari dr widal Rp 130,000
aps cho total, cr, gl, 2 jam pp Rp 255,000
PKM Ciwandan
Aps AU Rp 35,000
bd. Sundari DR, Widal Rp 130,000
cf mcu Rp 390,000
cf mcu Rp 390,000
aps Thorax Rp 105,000
kpb dl, widal
kpb dl, widal
cf MCU Rp 390,000
cf mcu Rp 390,000
UPTD Cibeber Ro Thorax Rp 105,000
dr. Soekarno DL. Widal Rp 140,000
pkm Cilegon dl, widal Rp 140,000
Klinik Sundari dr, widal Rp 130,000
kpb
dr H, Alan S GDN/PP,Choles,TG,EKG,UL Rp 220,000
Klinik Sundari dr Rp 70,000
PKM Bojonegara dr Rp 70,000
PKM Bojonegara dr Rp 70,000
aps dl Rp 80,000
KPB
cimerak Thorax Rp 105,000
aps ot, pt Rp 70,000
thorax Rp 105,000
mcu mcu Rp 255,000
mcu mcu Rp 255,000
mcu mcu Rp 255,000
mcu mcu Rp 255,000
mcu mcu Rp 225,000
sma3 clg nk Rp 135,000
APS RO, THORAX Rp 105,000
Bp. Rusliman GDN/PP Choles.TG,UL Rp 165,000
dr. Arini DR, Widal Rp 130,000
aps GDS Rp 35,000
aps GDS Rp 35,000
KPB DL,Widal
CV. Mitra Teknik mcu Rp 220,000
aps dr,wial Rp 130,000
aps gnp, 2 jam pp Rp 60,000
aps ch, tg Rp 70,000
dr. H. Alan Sumarlaekg Rp 85,000
pkm ciwandan dl,widal Rp 140,000
Klinik Sundari DR, Widal Rp 130,000
KPB Ur, Crea
KPB DR,Widal
Merak DL Rp 80,000
Merak HBsAg Rp 55,000
KPB 1
KPB 1
KPB 1
pkm ciwandan dr,widal Rp 130,000
KPB 1
aps widal Rp 60,000
PKM Cilegon UL Rp 30,000
dr. H.Agus Hasan DR. Widal Rp 130,000
PKM Ciwandan dr
PKM Ciwandan DR. Widal Rp 130,000
aps Urine Lengkap Rp 35,000
PKM Jombang DR, Widal Rp 130,000
APS dr Rp 70,000
APS DR,WIDAL Rp 130,000
aps GDN, Cholesterol Rp 70,000
dr. H. Agus Hasan DL, Widal Rp 140,000
Dr. Ilmi Fahmia DL, Widal Rp 140,000
dr. Eny Utaya DrSp T3,T4.TSh Rp 1,209,000
APS Ro Tangan Rp 105,000
APS Cholesterol, AU Rp 70,000
aps Chole,TG,HDL.LDL Rp 160,000
PKM Ciwandan
Bp. Rusliman DR,OT/PT,Choles,Tg,HBsAg Rp 285,000
Klinik Sundari DR, Widal Rp 130,000
aps au,gds Rp 70,000
aps dr Rp 70,000
aps au,ch,gds Rp 105,000
aps tes narkoba Rp 135,000
aps dr Rp 70,000
Rusliman mcu Rp 420,000
Rusliman ot,pt,hdl,ldl,ch,tg,ro Rp 370,000
Rusliman au,ul,gnp,2jampp,ch,tg Rp 200,000
aps ch Rp 35,000
KPB

PT. Adi Warna Anugmcu Rp 315,000
PT. Adi Warna Anugrah Abadi Rp 315,000
Bd. Sundari DR, Widal Rp 130,000
PKM Cilegon DL, Widal Rp 140,000
aps Rp 35,000
kpb
aps GDN/2 jam PP,Chol, AU Rp 130,000
APS GDS,Ur,Cr,AU,Chol,DR Rp 245,000
dr. Ajeng Toxo IGG/IGM Rp 570,000
Polres Cilegon Methampetamin Rp 45,000
Polres Cilegon Methampetamin Rp 45,000
Klinik pelangi bun dl, widal Rp 140,000
Perum. BCK AU, Choles Rp 70,000
aps gds, ul Rp 70,000
aps ul Rp 35,000
Klinik pelangi bun dr, widal Rp 130,000
APS GDN/2 jam PP, Trigliserda Rp 130,000
APS
APS dl, ro.thorax Rp 185,000
APS DR , Widal Rp 130,000
APS ur, cr, ro. Thorax Rp 175,000
kpb DL,Widal,UL
aps
bd. sundari dr,widal Rp 130,000
Klinik pelangi bun dr,widal Rp 130,000
Rokal DR Rp 70,000
Aps au Rp 35,000
PKM Ciwandan
PKM Ciwandan
PKM Ciwandan
PKM Ciwandan Rp 130,000
Bd. Sundari Rp 140,000
aps Rp 70,000
kpb2 dl,widal
pkm ciwandan dr,widal Rp 130,000
APS MCU JAMAAH HJ Rp 755,000
APS
kpb dl, widal
Anggrek dl, widal Rp 140,000
APS GDS Rp 35,000
APS GDS,Choles,AU DR,Widal Rp 235,000
Bp. Rusliman Ro Thorax Rp 105,000
RSB Imanuelle DL, Widal Rp 140,000
Biomed dl,urine Rp 115,000
APS RO Rp 105,000
aps Darah Rutin, EKG Rp 70,000
Dr. Agus Hasan DR, Widal Rp 130,000
aps GDN/2 jam PP, Chol Rp 95,000
kpb
Perum. Cibeber Choles,TG, GDN Rp 105,000
BBS III GDN. Choles,AU Rp 105,000
ciwandan dr
Klinik Pelangi bun dr. widal Rp 130,000
Bd. Sekar au Rp 35,000
Klinik Pelangi bun dr. widal Rp 130,000
Klinik Anggrek Ro Thorax Rp 105,000
Klinik Sundari dr, widal Rp 130,000
PKM Ciwandan DR
PKM ciwandan DL. Na.Cl
APS DR Rp 70,000
APS au,ch,gds Rp 100,000
Klinik pelangi bun dr,elektrolit,widal Rp 370,000
Klinik Anggrek DL. Widal Rp 140,000
pkm ciwandan dr
klinik angrek dr Rp 70,000
Klinik Anggrek dr Rp 70,000
APS Narkoba Rp 135,000
PKM Ciwandan
aps Ch,tg,hdl,ldl Rp 160,000
Aps AU Rp 35,000
Citangkil DR Rp 70,000
APS KIMIA Rp 250,000
pkm Ciwandan dl, widal Rp 140,000
Bd. Misnatun Urine Protein Rp 35,000
Klinik Anggrek dr Rp 70,000
RB Kasih Insani Rp 190,000
APS dl, widal, dengue Rp 350,000
APS dr, widal, ot, pt Rp 100,000
Kasih insani dl, hbsag, goldar Rp 170,000
APS gdn, ur, cr, au, ch
PKM Ciwandan dl, ul Rp 115,000
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Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
ditagihkan
ditagihkan
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
ditagihkan
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Ditagihkan
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
ditagihkan
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Ditagihkan
Ditagihkan
Lunas
Lunas
Ditagihkan
Ditagihkan
Ditagihkan
Lunas
Ditagihkan
Lunas
Lunas
Lunas
Lunas
ditagihkan
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
ditagihkan
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
ditagihkan
ditagihkan
ditagihkan
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Ditagihkan
Lunas
Lunas
Rp1,050,000 Rujuk Rp480.000
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
free
Lunas
Lunas
Lunas
ditagihkan
sisa 190,000
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Ditagihkan
Ditagihkan
Ditagihkan
Lunas
Lunas
Lunas
Lunas
ditagihkan
Lunas
Lunas
Lunas
Lunas
ditagihkan
Lunas
ditagihkan
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Ditagihkan
Ditagihkan
Lunas
Lunas
tagihkan
Ditagihkan
ditagihkan
Lunas
Lunas
Lunas
Lunas
ditagihkan
Lunas
Lunas
Lunas
ditagihkan
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
Lunas
sisa 100,000
Lunas
PT. YAMATOGAWA
1-50
PT. YAMATOGAWA
51-100
PT. YAMATOGAWA
101-150
PT. YAMATOGAWA
151-196
PT. YAMATOGAWA
197-223
PT. YAMATOGAWA
KELAINAN RO
PT. YAMATOGAWA
KELAINAN EKG
PT. YAMATOGAWA
HBSAG (+)

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NO Tg.Bl.Th Nama Umur P/L No.Rek.

Polres Cilegon metam Rp 45,000 Lunas

APS UR, Cr,AU, UL Rp 140,000 Lunas

APS dr, widal Rp 130,000 Lunas

PKM Pulo Merak dr Rp 70,000 Lunas

aps dl,ul,gnp,2 jampp,au,ot,pt,alb Rp 320,000 Lunas

PKM Ciwandan dr Ditagihkan

PT. CF MCU Rp 460,000

aps dr, widal Rp 130,000

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