Jamkesmas 2013.... Oke, Des 13

1347 SILVIA ISLAMIATI 493400878 p
1348 RIFAL FAQIH A 493401058 L
1349 M NAZRIEL A 493401159 L
1350 YASIFA KOMALASARI 493373417 P
1351 KARSIN 493402285 L
1352 NALIH 493374205 L
1353 CACAH 493374251 P
1354 LIA RUKMANA 493374284 P
1355 NITA 493374824 P
1356 ANAH 493375026 P
1357 ROMIHAH 493375184 P
1358 YUNI YUNINGSIH 493403466 P
1359 ELSA NURAINI 493375577 P
1360 ANISAH 493403848 P
1361 KHAIRUDIN 493403984 L
1362 KURNIA APRILIA 493375961 P
1363 NYIMEH 493404212 P
1364 DANA 493376613 L
1365 OMPONG 493404647 L
1366 ENYIH 493404851 P
1367 ENDA 493404873 L
1368 NOMI 493405413 P
1369 MUINAH 493377344 P

1370 YAYAN 493405468 L
1371 NAPSIAH 493377917 P
,1372 SARIPAH 493378143 P
,1373 NURYATI 493406144 P
1374 NIMIN 493378727 L
1375 WATI 493378852 P
1376 NIA 493379392 P
1377 ROHMAT 493379572 L
1378 NAWIN 493407538 L
[ 1379 ONYIH 493408168 P
1380 DARMIN 493408225 L
1381 TINAH 493408484 P
1382 JAYA 493408721 L
1383 ALOI KURNIYAWAN 493381282 L
1384 RAMIH 493409698 P
1385 JAENUDIN 493409924 L
1386 SANAH 493409992 P
1387 DINDA ARILIA 493381787 P
1388 SOPIAH 493410238 P
1389 RAFI 493410767 L
1390 AHMAD FAUZI 493411048 L
1391 EKO 493382597 L
1392 NURA 493382643 P
1393 NURYADI 493382979 L

1394 AMI 493383047 P
1395 ERNA 493383317 P
1396 TARSIH 493411656 P
1397 MUHAMAD IKSAN 493383611 L
1398 YASIN HIDAYAT 493412354 L

1473 WASDA 493429454 L
1474 KUSNADI 493429678 L
1475 WAHYU 493451594 P
1476 ANIN 493451831 L
1477 KARTINI 493430095 P
1478 SATAM 493430207 L
1479 ROMLAH 493430804 P
1480 SAPITRI 493431208 P
1481 ATIKAH 493452112 P
1482 ARIYANTO 493452382 L
1483 JANIN 493431491 L
1484 YATI 493431579 P
1485 NURYADI 493431794 L
1486 TIMAN 493452742 L
1487 LUSI 493431963 P
1488 MUNIR 493432031 L
1489 MISAH 493453337 P
1490 TITIN FATIMAH 493453822 P
1491 NENENG ANJARWATI 493453989 P
1492 USIN 493453991 L
1493 TINGGAL 493454092 L
1494 TATIH 493454215 P
1495 DINDA SARI LESTARI 493433482
1496 IMUN 493433662 L
1497 INAH 493454463 P
1498 ROMI 493454474 L
1499 ARIUDIN 493454586 L
1500 NURDIN 493454698 L
1501 M ILHAM F 493454733 L
1502 ITAH 493454856 P
1503 KARTINI 493455249 P
1504 JUMADI 493455339 L
1505 OESI PUSPITA S 493455442 P
1506 MIMIN 493455879 P
1507 OEDE A FAUZI 493455914 L
1508 MAHMUD 493435495 L
1509 AHMAD FADILAH 493456836 L
1510 NOSAN 493435765 L
1511 SITI KHADIZAH Z 493456904 P
1512 KARTA 493457231 L
1513 ANNY SUMARNI 493457253 P
1514 CI NOT 493457286
1515 SOPYAN HADI 493457321 L
1516 RUSMINI 493457657 P
1517 ISKANDAR 493457815 L
0.597 RINAH 493465915 P
0.598 GUNIN 493466321 L
0.599 NURAINI 493481992 P
0.6 M SAEPUDIN 493482014 L
601 NANA SUPRIATNA 493482093 L
602 ENAH 493482115 P
0.603 RADI 493482205 L
0.604 ELLA 493482273 P
0.605 RIKA 493466624 P
0.606 RIFALDI 493466804 L
0.607 SAMIH 493466837 P
608 AMELIA 493482464 P
609 ISMAIL SALEH 493467017 L
610 RIKA APRIYANI 493483149 P
611 M DAISAL 493467671 L
612 NEMAH 493483397 P
613 INAH MARYANAH 493468299 P
614 OMAN 493468334 L
615 YADI 493483904 L
616 NENAH 493484073 P
617 LANA SUSANTO 493468424 L
L618 SARI MANAH 493468558 P
L619 JENAH 493468569 P
1620 SARI 493484196 P
1621 DASIM 493484253 L
1622 ASEP 493484556 L
1623 TOYIDI 493469019 L
1624 MUSLIMAH 493469267 P
1625 ARYA UMARHADI 493469313 L
1626 KULTA 493469346 L
1627 KUCENG 493484657 P
1628 SRI WAHYUNI 493485028 P
1629 AHMAD HAPIS A 493469504 L
1630 MASUDIN 493469763 L
1631 DENDIH 493485164 L
1632 TAJWA1 493485197 L
1633 USMAN 493485355 L
1634 ANDRl 493485467 L
1635 NEMIH 493469998 P
1636 NAMI 493470022 P
1637 SURYADI 493470055 L
1638 SAMAH 493485524 P
1639 SIMAH 493485546 P
1640 YUSUP 493485669 L
1641 SITI MAPULAH 493485704 P
1642 ROSAD 493485985 L
1643 TANIA 493470549 P
1644 AKIN 493470562 L
1645 MASNAH 493486031 P
1646 APRIYANTI 493486108 P
1647 TINI 493486211 P
*548 MUHAMAD SIDIK 493486277 L
1725 LI LIS 493498113 P
1726 WANITA 493498124 L
1727 LISAH 493498168 P
1728 SANTIH 493498719 P
1729 DELIA PUSPITASARI 493498901 P
1730 TAMIN 493498934 L
1731 MANAN 493498978 L
1732 ANAH 493499024 P
1733 WARSIH 493499057 P
1734 M ROMADON 493499272 L
1735 ABDUL SALAM 493499283 L
1736 MARUNAH 493499608 P
1737 MIFTAHUUANAH 493499946 P
L738 KUSRINAH 493499992 P
1739 NATA 493500666 L
1741 ALDI 493500802 L
1742 RINA DEWI R 493501105 P
1743 SURYA 493501599 L
1744 NAMI 493501634 P
1745 SITI FATIMAH 493501983 P
1746 NIMAN 493502916 L
1747 RANTA 493503063 L
1748 OSIH 493503107 P
1749 ABDUL RIZAL 493503153 L
1750 SANAH 493503423 P
1751 JONO 493503456 L
1752 AMSAH 493503513 P
1753 SURYADI 493503535 L
1754 DARMA 493503581 L
1755 ENI 493503772 P
1756 SARIF HIDAYATULLAH 493503805 L
1757 RAMIN 493504143 L
1758 ANGGI 493504187 P
1759 AYU DENITA 493504255 P
1760 SUNAH 493504312 P
1761 HOLIK YANTO 493504446 L
1762 M HAKIKI 493504626 L
1763 ROYAHILI 493504749 L
1764 ANI 493504762 P
1765 SITI ROPIKOH 493505021 P
1766 TUTI ALAWIAH 493505291 P
1767 MINA 493505458 L
1768 NANTIH 493505728 P
1769 JUANDA PRASETIYO 493505886 L
1770 RIO PRAMBUDI 493505921 L
1771 SAMSUDIN 493505965 L
1775 NAINOL 493506369 P
1776 MANAH 493506595 P
1777 DAIS 493506639 P
1778 PRIANTO 493506641 L
1779 RISKA SRI MEDIKA 493506819 P
1780 IPAH KAMELIA 493507326 P
1781 ENDANG 493507664 L
1782 YATI 493507765 P
51 M SOLEH 493548603 L
AROH SITI
52 493548693 P
MUNAWAROH
53 RAME 493548849 P
54 ANGGI 493549121 P
55 AJA 493549402 L
;56 MAMAD 493549626 L
157 BOSIH 493550561 P
158 USUP 493550831 P
159 INAH 493551369 P
160 ARDI WIRANATA 493552326 L
!61 NEMAH 493552989 L
562 SAHIDIN 493554407 L
363 NYOIN SUHERMAN 493554431 L
364 SANIH 493554475 P
365 WARTINI 493554611 P
367 ABDUL MAZID 493555318 L
368 AAN 493555544 L
869 PUTRI PUSPITA SARI 493555713 P
870 ASIM 493555825 L
871 NANI 493556106 P
872 CAMI NURCAHYANI 493556308 P
873 SITI AISAH 493509374 P
874 ARMAH 493509429 P
875 SARIDAH 493509519 P
876 LUTPI S 493557107 L
877 NIKI 493557401 P
878 BENIH 493557445 P
879 RAIS 493557647 L
880 ICIH 493557726 P
881 SAPRI 493557996 L
882 KARDAN 493558233 L
883 ADI TAJIRI 493509688 L
884 NURAENI 493509712 P
0.885 SIGIT MAHESA 493509835 L
0.886 SUHARYONO 493509925 L
1887 TEGUH 493509936 L
L888 KATEM 493510105 P
1889 ERWIN 493510443 L
1890 CARMANAH 493510689 P
L891 SUKARYA 493510792 L
1892 ROAN AGAS 493510972 L
1893 ENTIN 493511027 P
1894 NURMAH 493511051 P
1895 ROKIB 493511196 L
1896 MUHANA 493511387 P
1897 RAH MAT 493511409 L
1898 M SOLEH WIJAKSONO 493511714 L
1899 NINING 493511736
1900 PUTRI KARLINA 493511938 P
1901 WIHARTA 493511951 L
1902 BOBI 493512041 L
9/b NIMAN 493523267 L
0.977 ALDA 493523289 P
0.978 SUTINAH 493523605 P
,979 FEBI 493523706 L
[980 MIRTA 493523739 L
1981 M IKSAN 493523842 L
0.982 AHMAD ISNANTO 493524101 L
0.983 WANTA 493524279 L
0.984 CEKUT 493524426 L
985 MARTAM 493524472 L
986 RUMINAH 493524628 P
1987 DARSA 493524909 L

1988 RAJU 493525135 L
1989 SADAN 493525258 L
1990 SARKIM 493525596 L
1991 ANI 493525642 P
1992 NURI 493525888 P
1993 NURYADI 493526103 L
1994 IYUNG 493526621 P
1995 DILAH 493527126 P
1996 KARMA 493527521 L
1997 NAREM 493527587 P
1998 DARA 493527622 P
1999 RATNA 493527846 P
2000 NAJARUDIN 493527925 L
2001 INAN 493527982 L
%6tS2 SANAH 493528252 P
2003 SATA 493472619 L
2004 RASEM 493472643 P
2005 SITI PATMALA 493472687 P
2006 OAYU 493472788 L
2007 ASEP 493472823 L
2008 PINAH 493558694 P
2009 TITIN 493528904 P
2010 BONAH 493559651 P
2011 IRA NURSAFITRI 493560358 P

2012 GITO 493561361 L
2013 IDA 493561416 P
2014 TRIANA 493561517 P
2015 MAHATI 493561923 P
2016 DINA 493561978 P
2017 ABDUL ROHMAN 493562182 L
2018 SAIM 493562248 L
2019 ESAH 493562259 P
2020 ROHMAH 493562676 P
2021 RONI 493562766 L
2022 SITI SOLEHAH 493563183 P
2023 ALIA DWI ROHIMAH 493563295 P
2024 ISAN 493564623 L

2025 SAINI 493564792 P
2026 P.ENDI 493564814 L
2027 PAU 493564836 L
2028 UCU 493564871 P
2029 DIAN 493565308 P
2030 SONI 493565455 L
2105 PAHRIANSAH 493598305 L
2106 NASIH 493579102 P
2107 MISRI 493579124 P
2108 KEBOT 493579438 L
2109 WAHYU 493598766 L
2110 RINAH 493598856 P
2111 HERMAN 493599093 L
2112 RINAH 493579618 P
2113 SELPI 493599519 P
2114 ROTIAH 493599881 P
2115 KAMELIA 493580619 P
2116 IKOH 493600465 P
2117 SALSABILA 493581183 P
2118 HERLINA PUTRI 493600601 p
2119 SUTARI 493600746 l
2120 ANDI 493601016 l
2121 ROMAH 493601332 p
2122 roni gunawan 493601398 l
2123 RIAN KURNIAWAN 493601455 l
2124 SAIH 493581925 l
2125 RINI 493582048 P
2126 NUNUNG NURJANAH 493601512 P
2127 DASAN 493601758 L
2128 SURYATI 493601859 P
129 TASIH 493582151 P
2130 SUHALIMAH 493582476 P
2131 PAHMI ALMUHAOIS 493602412 L
2132 UDIN 493582544 L
2133 MAAH 493582768
2134 NURHAYATI 493583297 P
2135 ROHIM 493583332 L
2136 ANGGA FAUZI 493602941 L
2137 SUMIRAH 493603029 P
2138 SUNARYO 493603064 L
2139 URIYATI 493583545 P
2140 UMIN 493603637 L
2141 SUKARYA 493603661 L
2142 WOWON 493603716 P
2143 NURSINAH 493603773 P
2144 ANGGA MUALIM 493583861 L
2145 muhamad dartim 493584388 L
2146 SRI ANDATIKA 493584423 P
2147 ANDRI AGASI 493584669 L
2148 ROHW^jÛHORI 493584759 L
29 ROHANI 493643801 P
30 MISNI RATNASARI 493644407 P
31 ELAN SUHERLAN 493645116 L
32 ERVAN HERLANSYAH 493645217 L
33 SUPARMAN 493645296 L
:34 M IRPAN 493624912 L
►35 NIIH 493625002 P
13 6 RAH MAT 493625248 L
237 JUMIYEM 493646049 P
238 PRASETIO 493646073 L
239 TUNIH 493625733 P
240 SAMSUDIN 493625889 L
241 WIRA 493625968 L
242 SOPRIH 493626058 L
243 EDI MARYADI 493646736 L
244 IKBAL 493626521 L
245 SAREM 493626688 P
246 TIIN 493647333 L
247 TATI 493647581 P
248 ECA 493626824 L
249 HALIMAH 493626971 P
250 YADI 493627151 L
251 HANIFAH 493647952 L
252 YUDA 493627612 L
253 SAID 493627724 L
254 RINDI ANTIKA 493648222 P
'255 SUCI 493648277 P
1256 SITI SOFIAH 493627768 P
!257 SURYANI 493627994 P
!258 MIAN 493648705 L
>259 SARI WULAN 493628567 P
(260 NUR 493649223 P
2261 SAPAN 493628883 I
2262 UAH 493628927 P
2263 EVI RAHMAWATI 493629006 P
2264 APRIH 493649515 L
2265 ANDRI 493649673 L
2266 NABRIH 493629276 L
2267 NIAH 493649897 P
2268 INDAR 493650009 L
2269 AMIH 493650303 P
2270 RASIH 493629794 P
2271 SUTINI 493630064 P
56 SARBINI 493680835 L
57 MIDA 493680936 p
>8 RINDIYANI 493703019 p
59 DESTY DEA NATHALIA 493703278 p
50 JOHARI 493681735 L
51 SAFITRI 493682196 p
,52 SINTA 493682602 p
163 BASUNI 493683513 L
164 TARMINAH 493683524 P
165 ILHAM 493683636 L
166 SITI BAINAH 493683906 P
167 SITI HABIBAH 493684031 P
$68 UJANG 493684086 L
$69 ANIH 493684154 P
$70 ENDANG 493684468 P
$71 UUN 493685256 P
$72 ANDRI 493685561 L
573 AYUB M 493686483 L
574 EEM 493687743 P
575 IRPAN S 493688946 L
576 MAYANG SARI 493690724 P
177 KINAN 493703447 L
)78 DEWI ANGGRAENI 493691016 P
379 KAMI 493691051 P
380 OSID 493691152 L
381 MASNI 493691602 P
382 NATIH 493691916 P
383 NADIH 493692129 L
384 IDIK 493692344 L
!385 DEWI 493693762 P
!386 DEA RULITA 493694188 P
'387 IJO 493694346 P
388 BANIH 493695066 L
389 BASIR 493695112 L
390 REZA 493695224 I
1391 MANIN 493695584 L
>392 KANIH 493696225 P
>393 HASAN 493696337 L
{394 MURNI 493696721 P
>395 RONI 493697103 L
2396 DINI 493697722 P
2397 ANGGUN 493697834 P
2398 DEWI 493698071 P
2399 LEMIH 493704382 P
2400 KASMAR 493705113 L
2402 ATO 493706248 L
2403 PANDI 493699026 L
2404 WIWIN 493707093 P
2405 SITI JAMILAH 493707262 P
2406 JAHIRAH 493707868 P
\J JMHIN 493922349 L
1481 JOYO BOYO 493901392 L
•482 MARSAH 493901673 p
!483 SRI KOMARIAH 493901897 p
!484 MUNIR A2IS 493922586 L
2485 ETI 493922621 p
2486 SITI HOPIPAH 493922812 p
2487 SUBONO 493901987 L
2488 ENAH SUHAENAH 493902191 P
2489 YONO EKO PURWANTO 493902268 L
2490 FITRIAH SITI NURAJIS 493923025 P
2491 ANISA AZZAHRA 493902538 P
2492 SUMINI 493903012 P
2493 AFIH 493924555 L
2494 EMBUN 493903585 L
2495 GUMIH 493903991 P
2496 ARDI 493924983 L
2497 NEMI 493925016 P
2498 MIMIJAMILAH 493904136 P
2499 KARMAN 493904597 L
2500 DINAH 493925365 P
2501 NIMUN 493925679 L
2502 KARMILAH 493904722 L
2503 IBROHIM 493904935 L
2504 BONYAH 493905071 P
2505 MASTINA 493925826 P
2506 NIA 493925995 P
2507 ABUT 493926219 L
2508 ACE 493905227 L
2509 SAMI 493906239 P
'2510 DEDI 493927031 L
2511 WINARSIH 493906768 P
2512 OEDEH 493906893 P
2513 JAENUDIN 493907556 L
2514 NENGSIH 493928831 P
2516 TITIN NURLAELA 493907872 P
2517 LULU KARYATI 493908164 P
2518 DEA 493929099 P
2519 DELA 493929371 P
2520 RATU LAELA SALWA 493908355 P
2521 WANDIH 493908568 L
2522 WARDIAH 493908682 P
"2523 TATANG 493929843 L
2524 TASIM 493947731 L
2525 ERYANTI 493930631 P
2526 MUNAWAROH 493909751 P
2527 IMAH 493948427 P
2528 ARTI 493948629 P
2529 DEDE MAULANA 493930866 L
2530 M ZAENUDIN 493910177 L
2531 DANA KUSTIANA 493910381 P
2532 DIANA 493948956 P
2533 SUGIH PRIATNA 493931261 L
2534 HENDRAJAYA 493931395 L
2535 TUNAH LESTARI 493931722 P
2536 SALWA KHAUDIYAH 493910965 P
tmf iviiSKAM 493957348 L
36 YATI 493957495 P
)7 ASNAN 493957697 L
)8 SETIAWATI 493941745 P
)9 ANDI 493941879 L
10 NAMOT 493957888 P
11 GUNAH 493942206 L
12 8ANJIR 493942296 P
13 ODING 493958564 L
14 ETI YUIIANTI 493958687 P
15 HOUL 493942498 L
16 KAMAH 493942792 P
17 RAMAH 493959069 P
18 DEDE SYARIFUDIN 493943141 L
19 DEDI ROMDONI 493943466 L
20 ATIP 493943646 L
21 DEDE 493959611 L
22 KAMAN 493959723 L
23 ISAH 493959947 P
24 SUHADA 493944096 P
25 DOSOL 493960252 L
26 SURYADI 493944568 L
27 TARNIH 493944636 P
28 KANAH 493961275 P
29 RINTO 493944737 L
30 RATIH 493944862 P
31 BAGAS 493945626 L
32 RASWANI 493945694 L
>33 AKUB 493961938 L
34 MANYIH 493962467 P
35 NACAH 493945931 P
36 SITI ANDAWIYAH 493946278 P
37 MAWIH 493946335 L
38 TONO 493962985 L
39 RATNASARI 493963075 P
>40 KARSIH 493946425 P
>41 ANITA 493946458 P
>42 ABDUL AZIS 493946526 L
343 HUSWATUN HASANAH 493963839 P
>44 RA5DI 493964785 L
S45 NENENG 493965617 P
546 SINAH 493975809 P
647 5ETIAJI 493966304 L
648 AGUS SANT050 493966348 L
649 ENON 493966495 P
650 AAN RATNA N 493976632 P
651 IRFAN Y 493966653 L
652 WIRGI N 493967171 P
653 SRI ASTUTI 493977159 P
654 WAWAN GUNAWAN 4939 77249 i
655 ANIH 493977295 P
656 FAZRIYAH N 493967733 P
'657 ASIM 493977565 L
!658 FAHRIZ A 493967823 L
!659 OTONG 493947134 L

2660 EMI 493947303 P
>661 CAMANG 493978195 L
2662 MARTA 493968688 L

2663 uo 493968756 P
2664 SENGGOL 493968947 L
HIMALIA 493986036 P
733 MOHAMAD ALPIANS 493986576 L
734 MASNA 494009537 P
735 DEDE HARYANTO 494009932 L
736 KAMAN 493986846 L
737 NAILA SUCITARI 493986925 P
738 GUSUN 493986969 P
739 HASBY PUTRA WIJAYA 493987048 L
740 JULI YANTO 494010347 L
741 SAIFUL 493987522 L
742 BOHIN 494010663 L
743 MANIH 494010707 P
744 NURUL 494010764 P
745 IIS ISTIQOMAH 494010808 P
746 YANAH 493988231 P
747 LARASATI 493988319 P
748 ICAY CAHYADI 493988332 L
AZAHRA TRI
749 494011383 P
WULANDARI
750 NUSI BIN RIBUT 494011462 L
751 MISTA 493988769 L
752 MISNAH 493988837 P
753 ARIF AHMAD NUGRAHA 494012171 L
754 ASEP 493988984 L
35 ROSMAWATI 493989006 P
0.756 MINTRA 493989041 L
:757 RONYA 493989142 P
j758 SADNAH 493989254 P
£759 IJOBTMUNIH 494012564 P
!760 IDRIS 494012632 L
►761 SAM IN 494012834 L
f 762 SUMARNI 493989669 P
>763 MUNAWAROH 494012924 P
2764 KOTU 494013295 L
2765 INDRA LESMANA 494013385 L
2766 ALEH 493990075 L
2767 JAMALUDIN 493990154 L
2768 MASTURI 494013677 L
2769 SANYAH 494013701 P
2770 MISIH 494013767 P
2771 M JUHARI 494014026 L
2772 JAYADIH 493990637 L
2773 AYU WANDIRA 493990907 P
2774 SANAN 494014162 L
2775 JAKARIA 494014296 L
2776 SITI KHOLIFAH 494014476 P
2777 YULIYANAH 493991561 P
2778 RINAH 494014588 P
2779 MISIM 494014713 L
2780 JUNI 494014779 P
2781 HERUN 494014882 L
2782 ABDUL SALAM 494014972 L
2783 SLAMET 494015073 L
2784 AWENG 493991875 L
2785 YAYAH 493991965 P
2786 YASIN 493992011 L
2787 NASUKA 493992044 L
2788 ARMAN 493992123 L
2789 SUPARDI 494015286 L
2790 JURIAH 494015354 P
358 NANDANG 494028527 L
B59 SITI FADILAH 494028922 P
S60 MENEN 493974898 L
361 WADI 494031159 L
362 TITI 494031407 P
363 DANI 494031789 L
364 MINAN 494031969 L
365 CICIH 494032149 P
866 BANOI 494032331 L
867 AMELLIA 494033139 P
868 BUANG 494033951 L
B69 AMAH 494033984 P
870 ARI 494034489 L
871 NOVI 494035029 P
872 NURAINI 494001922 P
873 KATAM 494057428 L
874 HERI 494057441 L
875 WASID 494035942 L
876 JURIAH 494058194 P
877 HASANAH 494036289 P
878 PANDU WIJAYA 494058363 L
879 ABDUL MUHID 494058958 L
880 ATIH SULASTRI 494058993
881 AHMAD ARIFIN 494059195 L
:882 RISMAWATI 494059432 P
!883 AMIT 494059465 L
1884 UMI 494059612 P
!885 FAJAR SIDIQ 494060286 L
>886 UDIN 494060411 L
2887 AHMAD 494060488 L
2888 MAMAT 494037933 L
2889 IRGI AHMAD FAHREZI 494060725 L
2890 HIDAYAT 494060771 L
<891 ROSID 494060949 L
{892 ECIH 494061445 P
4893 NAMAH 494061737 P
2894 DEDI KURNIAWAN 494029203 L
2895 RONIH 494084619 L
2896 MATALIH 494061985 L
2897 SIDIK 494062154 L
2898 ISAH 494039992 P
2899 YATI 494084878 P
2900 HENI SUNARDI 494084946 P
i901 YANG YANG 494084992 L
2902 YANGI 494085058 L
2903 PUTRA KESA M 494085159 L
2904 TONI 494085262 L
2905 SADIH 494085341 L
2906 MUANAH 494062569 P
2907 TINAH 494062931 P

2908 REPI 494040374 L
2909 FITRI 494040508 P
2910 AlFIAH 494040532 P
2911 SANTIH 494085385 P
2912 YOGI 494085778 L
2913 MUHADI 494063403 L
2914 HERLINA 494063447 P
2915 SAAMIN 494040868 l

516 AWAT P
!983 ANIJAH 494091066 P
!984 RWAN 494091088 L
!985 HERMAN 494046088 L
'.986 RAYSAH NUR KARMILA 494046145 P
1987 IWAN W 494046404 L
!988 ANAN 494046606 L
►989 KARSINAN 494068588 L
►990 M SAHRA 494068678 L
!991 ATA ARIM 494068746 L
!992 NAMUN 494091246 L
!993 ACING 494091303 L
(994 ONIH 494091369 P
►995 ATIH 494091483 P
►996 ULFA PAUJIAH 494091674 P
!997 SENIN 494046922 L
!998 SYARIPUDIN 494047045 L
{999 NYAMIN 494047135 L
1000 USRI 494047258 P
J001 BONIS 494047271 P
>002 ANOH 494069231 P
>003 SAMIH 494069253 P
)004 AHMAD SAHRIL 494091753 L
>005 AHMAD FAIZ 494091854 L
>006 SAI 494091911 L
>007 NAAH 494092124 P
>008 M BIMA 494047765 L
)009 SANI 494047787 P
3010 HUSNI ROBET 494047989 L
3011 MURSINAH 494069578 P
3012 AULIA P 494070006 P
3013 NASIM 494070063 L
3014 HAMDANI 494070131 L
1015 AGUS 494070153 L
!>016 SITI AMINAH 494048103 P
3017 PARMAN 494048193 L
3018 ROBAL BAYOGI 494048316 L
3019 SALSA APRILIA 494048338 P
3020 RAHUL KANA 494048349 L
3021 ALI ARSELAN 494048452 L
3022 PATIMAH 494070197 P
3023 SOMAD 494070412 L
3024 TITI 494070581 P
3025 SRI DEWI 494070603 P
3026 CAPLIN 494070737 L
3027 ROBAI KURNIA 494070748 L
3028 EMBOY 494070759 P
3029 IDI 494048733 L
3030 TITA ANISAH 494048979 P
3031 DODO WIDODO 494092416 L
3032 WANDIH 494070772 L
3033 SIDIK 494070895 L
3034 UNAH 494071031 P
3035 KISAN 494071277 L
3036 RONCI 494049137 P
3037 KAMI 494049227 P
3038 KASUM 494049431 L
3039 ASDI 494093204 L
3040 SANETl 494093237 P
3041 RINDI ATIKA 494071367 P
3042 NEMAN 494071514 L
L10 WAHYUOIN 494075395 L
111 RATNASARI 494075417 P
112 IRMAN 494097849 L
113 RATNA AYU N 494054998 P
114 RIKA AMELIA 494075946 P
115 TUNAN 494076104 L
116 PRAST 10 494076249 L
117 REMIH 494076328 P
118 DELAM 494098749 L
119 ROSITA 494098806 P
120 SELVITA 494055516 P
121 RIZKI IMAM A 494055584 L
122 KENJO 494055729 L
123 ALAMSYAH 494076576 L
124 SITI AISAH 494076622 P
125 NENTA 494076701 P
1126 EKO 494076802 L
1127 ALBAR RIFAI 494076835 L
1128 ABDUL KOMAR 494099234 L
1129 IHAK 494099425 L
1130 RADIANSYAH 494055966 L
1131 MISAH 494055988 P
J132 6UMANG 494056089 L
5133 RAHMAN 494056394 L
3134 SANYIH 494076925 P
)135 WIWIN WIANINGSIH 494077228 P
3136 ASTA 494077397 L
3137 KANI 494099818 P
3138 ADI SUHENDAR 494100009 L
3139 ERWIN ILHAM 494077509 L
3140 ROSAN 494077735 L
3141 SALMAH 494056629 P
3142 ALDIANSYAH 494056901 L
3143 ALYA SUHARTINI 494056956
3144 YANAH 494100393 P
3145 SUNANDAR 494100415 L
3146 ABIDIN 494100459 L
3147 IKA NIA 494100551 P
3148 WAWAN KARNAWAN 494100595 L
3149 AMIH 494078488 L
3150 NENGSIH 494078591 P

3151 JUMSIAH 494078613 P
3152 M IRWAN 494100944 L
3153 NAWI 494078962 L
3154 UNI 494079129 P

3155 OYI 494101359 P
3156 WARSIH 494101563 P
3157 SABRINA 494101686 P
3158 ROSITA 494079401 P
3159 NELAH 494079456 P
3160 NASIM FIRDAUS 494079489 L
3161 ROHIMATUL SALWA 494079761 P
3162 UCI SANUSI 494079816 L
3163 MAEMUNAH 494079849 P

3164 IWAN SANUSI 494079917 L
3165 MUDIN MAULANA 494080121 L
3166 ACIH 494080209 P
235 DASMINAH 494116233 P
236 NURUL FATIMAH 494108098 p
237 ABDUL FARIZR 494108212 L
238 WULAN DARI 494140713 P
239 JAMSIAH 494140768 P
240 RIVAL RIKI 5 494140825 L
241 SANUSI 494140858 L
242 NENGSIH 494140871 P
243 OMIN 494140893 L
244 IMAM ARIFIN 494141264 L
245 M SIDIK 494141376 L
246 LAMAH 494141444 P
247 DANI 494109077 L
248 MURTI 494142041 P
249 ARMIN 494109652 L
1250 AHMAD 494116751 L
1251 JAMALUDIN 494116817 L
1252 ROHMAN 494116839 L
1253 OING 494117019 L
1254 RENI 494142579 P
1255 IRFAN 494142737 L
1256 IDAH 494117368 P
*257 SUROH 494110271 P
*258 ILHAM ZAENUDIN 494110528 L
*259 MANSYUR 494118156 L
1260 INDON 494118268 L
1261 SAKEM 494110664 P
J262 TATANG 494110901 L
5263 LACI 494118494 L
$264 NANTIH 494118955 P
J265 SUSI 494111575 P
)266 NOVI 494111709 P
)267 FIKIH 494111722 L
3268 ALDIYANSAH 494144302 L
3269 JALI 494144447 L

3270 ENCUM 494119269 L
3271 RASID 494119326 L
3272 SOMAD 494144482 L
3273 MURSIAH 494144583 P
3274 SUKANTI 494144673 P
3275 ESTI 494144886 P

3276 ADI 494119697 P
3277 YAMAH 494119822 P
3278 ROSIH 494119899 P
3281 YONIH 494145595 L
3282 USUN 494120226 P

3283 SUNARYA 494120711 L
3284 INDRI 494145898 L
3285 RARASATI 494120845 P
3286 DAYAT RUSTANDI 494120924 L
*290 ROSMAH 494146708 P
3291 EKO SUSANTO 494146754 L
3292 DAHLAN 494121925 L
3293 IYAN 494147046 L
360 MAJAMUJADI 494131307 L
361 MISIN 494131397 L
362 RAPDI MUJADI 494131487 L
363 KODIR 494155877 L
364 ANIS 494156114 P
365 WARTINI 494156171 P
366 ININ 494131667 L
367 ABDUL AZIS 494156338 L
368 LIAK 494156597 P
369 AMAN 494156856 L
370 AYATIH 494132152 P
371 ASTI 494132242 P
372 IKAH 494132264 P
373 AANG 494132433 L
374 SUNGKANA W 494156924 L
375 DARSIH 494156979 P
376 IKAH 494157442 P
377 ANISAH 494132679 P
378 LEUTIK 494132782 P
379 MIRA 494157611 P
380 PERIH 494157745 L
381 LOMAN 494133513 L
382 M SAH PIKRI 494158318 L
383 ASAN 494133895 L
384 IMAM 494134154 L
385 DOMAS 494158612 P
386 LUSIH 494158904 L
387 SITI KARMILAH 494158948 P
388 PATMAWATI 494158972 P
389 SAMIH 494134345 P
390 SENDI WIJAYA PUTRA 494159207 L
391 ITI 494159286 P
1392 AMELIA 494159321 P

393 JOJON 494159411 L
394 GINAH 494159455
395 MURSAM 494159488 L
1396 ANGKAT 494159501 L
0.597 UPITA SARI 494134863 P
(398 PEBRI ADRIANSAH 494135122 L
1399 NERI 494159938 P
>400 IDRIS SUPANDI 494160175 L
>401 HUSEN 494160287 L
>402 DENDI ANANOA 494135392 L
>403 ACIM 494135447 L
)404 YUSRIZAL ZAMAN 494135763 L
*405 UTENG 494160377 L
3406 SANAH 494160467 P
5407 FEBRIANI CAHYANI 494160873 P
J408 YOYOH RUSTIKA 494136325
3409 SUMINAR 494160928 P
3410 DEA RAMDANI 494136753 P
3411 EDWIN KURNIA 494136797 L

3487 rAMIH 494198908 L
3488 KEMIH 494198954 P
3489 riTIN 494199156 P
3490 SRI WULANDARI 494199257 P
3491 SITI HODIJAH 494170222 P
3492 DESIH R 494170301 P
3493 IYEM 494170378 P
3494 DEVI SL 494170705 P
3495 TAMIN 494170716 L
3496 AMIR SALAM 3000494165823 L
3497 ALYA ROSALIN 494166137 P
3498 MISRI PAUJI 494166183 L
3499 ATIK FAUZIAH 494166216 P
3500 SONI SONJAYA 494199549 L
3501 SARJA 494200012 L
3502 DEA OKTAVIA 494170964 P
3503 EDAH SUAEDAH 494170986 L
3504 NURSIN 494221274 L
3505 ICAH WOT0449 P
3506 IK AH 494200607 P
3507 ROBIH 494200618 L
3508 NIA 494171504 P
3509 SUBEKAT 494171583 L
3510 NALIP 494171695 L
'5511 SANAH 494171717 P
1512 TABAH 494221858 I
3513 EVA 494200844
3514 M SUGANOI 494200923 L
3515 BONIH 494201158
3516 RUMSIH 494171853 P
3517 RUSDI 494171943 L

3518 SAROH 494172011 P
,3519 SAPINAH 494172044 P
3520 RUSDIANA 494172145 P
3521 NANI FERI 494172257 L
3522 TIMI 494172336 P
3523 NENGSIH 494222444 P
3524 AOIH 494222624 L
,1525 SATEM 494222861 P
3526 JUJU 494201665 P
3527 SAMBA 494201733 L
3528 YUSUP 494172404 L

3529
DEDEH 494223377 P
3530 TATI 494223658 P
3531 ENUR 494202036 P
3532 PUJI 494202071 L
3533 DEA 494202442 P
3534 NAPIKA 494173045 P
3535 ROBIH 494173157 I
3536 UMAIROH 494173203 P
3537 NALIYAH 494173293 P
3538 SAIBAH 494173495 P
3539 AMJAH 494223906 L
3540 ASAM 494202598 L

3615 ZAENUDIN 494210158 L
3616 GUNYAH 494179738 P
3617 SANDIKA NAYVA K 494179762 L
3618 JUNULBTJUHAR 494179918 P
3619 EVI 494179986 P
3620 JURIAH 494180054 P
3621 ANIN 494180166 L
3622 NAMIH 494180201 P
3623 MISNI 494231084 P
3624 HERI FIRMANSYAH 494210204 L
3625 RAMIN 494210643 L
3626 MISIN 494180785 L
3627 ISMA 494231725 P
3628 NOVI RAKSIWI 494210812 P
3629 MAHMUR 494210979 L
3631 ISAN BUTUN 494211093 L
3632 BAMBANG 494211216 L
3633 SOPIA NAJAMI 494181099 L
3634 JANE 494231938 L
3635 RAAM 494232131 L
3636 SULASIH 494232478 P
3637 TABAN 494211666 L
1638 IRPAN MAULANA Y 494181426 L
1639 SUTARI 494181538 L
3640 NYAI 494181606 P
3641 MANI 494181786 P
3642 TOPIK TARMIJI 494181922 P
3643 SUNIN 494181955 L
3644 SRI MAHMUDAH 494233064 P
3645 MUHAMAD YUNUS 494212004 L
3646 YANAH 494182427 P
3647 SITI AISAH 494182462 P
3648 SOLIHIN 494233896 L
3649 DIKIJULKARNAEN 494212577 L
3650 SANTI 494182721 P
3651 ALIB JUNAEDI 494182912 L
3652 NITA 494182991 P
3653 RUDI 494183092 L
3654 SUNIAH 494183564
3655 NIKO HERMAWAN 494183632 L
3656 INESSUHANDRA 494214028 P
3657 RAOI 494183957 L
3658 RIMI 494183979 P
3659 BAYU 494184058 L
3660 CASNIA 494234818 P
3661 SUWANDA 494214658 L

3662 DINI HANDAYANI 494214693 P
3663 SONIA OINDA WATI 494235573 P
3664 WAEMAH 494235595 P
3665 NANTIH 494185375
3666 OMIN 494236089 L
3667 ALUDIN 494215929 L
3668 NISAH 494237147
3669 ARIF PURWADI 494185566 L
f UM LIUIM WAI 1 494248961 V
3738 ISMAIL MARJUKI 494249196 L
3739 SAYI 494250682 P
3740 AYAT 494251738 P
3741 IRFAN 494253538 L
3742 GINANJAR 494254416 L
3743 NUR BAETI 494254866 P
3744 JEDING 494255171 P
3745 MITAR 494255553 L
3746 INI 494255856 P
3747 YANTO 494255981 L
3748 YANTI 494256161 P
3749 MUSTOPA 494256429 L
3750 MASLAN 494275713 P
,3751 ITA MUFUHAH 494257195 P
, 3752 SAM IN 494258196 L
3753 SURYA 494258218 L
3754 KASIH 494258736 P
> 3755 SUNTRA 494259568 L
, 3756 HERI 494259849 L
, 3757 NANA 494260424 L
3758 MANIN 494260492 L
3759 RODIAH 494261076 P
3760 MININ 494248353 L
3761 MARYAMAH 494261932 P
3762 SUSI 494262292 P
J 763 MARNI 494262595 P
_3764 SANIAH 494263168 L
L 3765 SUGIARTO 494264316 L

t 3766 SISKA 494264452 P
|3767 PUTRIJIHAN 494264632 P
13768 ELEH JIHAN 494264654 P
~3769 OROK
U
494265159 L
3770 SALEM 494265881 P
3771 RODI 494266004 L
3772 TARJO 494266048 L
3773 EPIH 494266061 P
|i 3774 SUSI LESTARI 494268107 P
3775 INTAN PANDINI 494268704 P
73776 TAUPIK HIDAYAT 494270177 L
3777 SYIFANUR A 494270223 P
3778 SAMAH 494270357 P
3779 MASUM 494271685 L
3780 NENIH 494272001 P
3781 JAIM 494272877 L
3782 SAROH MAYAROH 494273136 P
3783 RIKI 494273395 L
3784 MASIH 494274339 L
1 SITI AISAH 492084707 P

2 BUANG 492085394 L
3 DARWI 492085495 P
4 NENIH 492086068 P
5 INDAH HAERANI 492087069 P
6 MENDON 492087418 L
7 NAMSIH 492087442 P
J2 AJAT SUDRAJAT 493283823 L
33 MUHAMAD PAHRI 493284058 L
34 SAPAR 493308505 L
35 BANI 493285015 L
36 SARNIH 493308731 P
137 DASINI 493285252 P
538 BAYU 493285599 L
539 ANGGIH 493309282 L
540 USUP 493286185 L
)41 IRSAD 493286995 L
M2 JALIL 493310711 L
:?43 TAMIH 493310902 P
$44 NUNUNG 493287243 P
$45 IDA FARIDA 493311306 P
$46 FERY 493287849 L
$47 JAMILAH 493311532 P
348 NUGI 493288209 L
349 IRMA 493288569 P
bo FITRI 493312454 P
151 SAUDIH 493289256 L
$52 ROHMAH 493289302 P
$53 AISAH 493313242 P
354 DANI 493313488 L
355 ARDI 493313872 L
356 SURYA 493313894 L
357 IKBAL 493290246 L
]|8 NOVAL 493290819 I
359 IBRAHIM 493290898 L
360 MARSIM 493314636 L
361 ARMANIH 493314873 P
362 SIMI 493314963 P
363 TASADI 493315143 L
364 SUMI 493315863 P
365 DEDI SURYADI 493316278 L
366 RAHMAN MARETA 493316537 L
367 PARDI 493316673 L
368 SAMLAWI 493293115 L
369 YAMSU 493293418 P
370 JAELANI 493293475 P
371 SARDANA 493293655 L
372 SADUN 493293789 L
373 WARNAH 493317448 P
374 IRFAN 493317472 L
75 MURNAH 493294149 P
76 LUTFI ADHA KARDAMI 493317933 L

577 AAN SONJAYA 493318012 I
378 YANIH 493318214 P
379 RINI 493318495 P
380 MURDIN 493295128 L
381 ADE RINO 493295455 L
382 RENALDI 493295703 L
383 BIANG 493319406 L
384 DAYAT 493296017 L
385 TUMIH 493296489 P
386 ARIF 493296873 L

459 DAHLIA 493369299 P
460 ANGELIA 493397987 P
461 MIIN 493398178 L
462 AMIH 493398663 P
463 NISAN 493370212 L
464 MAMAH WATI 493370471 P
465 MINIH 493398865 P
466 NURLELA 493370763 P
467 RESIN 493399675 L
468 TATANG 493371617 L
469 ROHAYA 493400114 P
470 SUNARTI 493371821 P
471 MANIH 493400474 P
♦72 LATIP 493372337 L
473 WAWAN 493400812 u
474 MARAH 493372686 P
475 BUNGA LESTARI 493372833 P
176 AHMAD DIRAM 493372877 L
477 MARKUM 493373261 L
478 PATMAH 493401903 P
179 DAHLIA 493374036 P
480 IKAL 493402656 L
481 LIANA DEWI 493374543 P
482 NARMADI 493402781 L
483 NENIH 493402915 P
484 SURTI 493403005 P
485 ABDUR ROHMAN 493403275 L
486 ASTUTI 493375386 P
487 ISAN 493403668 L
488 MASNI 493375746 P
489 MURTIAH 493375948 P
490 SAROH 493404366 P
491 USMAN 493376657 L
492 SARA 493404759 P
493 NANDA 493376962 P
494 RIKA 493405266 P
495 LARAS 493405312 P
496 NINDI 493377388 P
497 MARLINA 493377434 P
498 JAYA 493377467 L
499 SUMIYATI 493405694 P
500 SUHERMAN 493405806 L
501 SITI MARIYAM 493378029 P
502 JAJA 493378211 L
503 SAMSIAH 493378615 P
504 SITI LAELA AMELIA 493378762 P
505 ROHIMUDIN 493406638 L
506 BUCHORI 493379212 L
507 CARYATI 493406831 P
508 SAHRULI 493406875 L
509 DAMAN HURI 493407099 L
510 KANAH 493407358 P
511 JANAH 493380055 P
512 DAHLIA 493407909 P
513 KANIH 493408102 P
586 MUTIARA 493352616 P
>87 AMBIH 493352864 L
>88 EDEH 493353156 P
589 ELIN 493354001 L
590 CURUMAKSUROTUN 493354427 P
>91 SARWINAH 493354642 P
>92 IIS AISYAH 493355485 P
593 WARSIH 493327563 P
>94 KASRONI 49341S324 L
595 ENUNG 493415921 P.
>96 PUTRI 493415976 P
597 SAIMAN 493416628 L
598 TATI HARTATI 493416819 P
599 SITI INDRIYANI 493417618 P
500 SIHAB 493417978 L
501 SIDI 493419036 L
502 USNI 493419374 P
503 GUNAWAN 493419587 L
504 NINA APRILIYANTI 493420252 P
505 MISIH 493420408 P
506 SAMAN 493420634 L
507 ONYIH 493421231 P
508 EBRO 493421591 P
§09 MANJUL 493422085 L
610 MAOIH 493422355 L
611 NOSAN 493423007 I
612 ICAH 493423345 P
613 YANTO 493423593 L
614 NENENG LATIFAH 493443731 P
615 SARAH ASHARI 493443819 P
616 RONICA 493444866 P
617 SAHANEN 493445079 L
618 MULYATI 493445193 P
619 AYU KHOIRIYAH 493445226 P
620 AZIZAH PATAH 493447386 P
621 RAMAN 493448196 L
622 WARSIH 493449028 P
623 ASEP 493450839 L
624 MITUN 493451313 P
625 DOMAH 493451346 P
626 RAFITA 493451954 P
627 SEPTIANA PUTRI 493430984 P
628 IJO MADI 493431131 L
629 NYAI SUWARSIH 493431287 P
630 IMAN 493452358 L
631 LELAFA 493431704 P
532 SURIFAH 493452909 P
533 MURDIN 493432211 I
534 DEDE PADILAH 493453383 P
535 PARTO 493453787 L
536 MURNI 493433109 P

0.1 HALIMAH 493481463 P
0.2 NOVA ELISA 493481542 P
0.3 NOVI 493481586 P
0.4 SOLIHIN 493481654 L
0.5 RISAH 493481709 P
0.6 DINI KARTIKA 493481968 P
0.7 JAMANI 493466466 L
0.8 SAANIH 493466747 P
0.9 MUBAROK 493466782 L
!0 PUJAWATI 493482543 P
!1 MACIH 493482565 P
12 ROZAK 493466905 L
23 AHMAD ZAELANI 493467254 L
>4 PUJI SETIAWATI 493482846 P
25 NADIH 493482914 L
26 NIMAH 493483691 P
27 NURYANTI 493468233 P
29 BAHRUDIN 493484152 L
50 ARIFSOEH 493484218 L
51 KASMITA 493484308 L
52 IHWAN 493484455 L
13 ASEN 493484567 L
54 NURHADI 493484591 L
15 PATONI 493469166 L
56 PANTI NAELATUL 493469245 P
57 ISMAN 493484905 L
58 DEDEN 493484949 P
59 NEIH 493469605 L
to MURFIAH 493469638 P
»1 FATMAWATI 493469842 P
12 MARTINI 493469908 P
43 MAYA 493485445 P
44 ASMENAH 493485772 P
45 MUNYIH 493485805 P
46 AMAN 493470988 L
47 JAMA 493471451 L
48 ROHIDIN 493471495 L
49 MARLINAH 493471517 P
50 HARYONO 493486481 L
51 ASIH 493486503 P
52 OEDI 493486694 L
53 RESTU ARDIANSAH 493472002 L
54 ALI ROHMAN 493486942 L
55 KARMA 493487019 L
56 BANAH 493487267 P
57 BANDI 493487403 L
58 ADI 493487482 L
59 WATI 493487526 P
60 OCIH 493487559
61 MAMAD SAHRONI 493472114 L
62 IIS AISYAH 493472294 P

63 IWAN 493487897 L
64 IMAM 493487998 L
65 MARWIYAH 493488281 P
66 INDRASUBUR 493488584 L
67 SURYANI 493488617 P
s SARI 493669506 P
1 KUNTET 493669787 L
5 LASTRI 493670057 P
) KURNASIH 493670169 P
) PAISAL 493670237 L
L AGUNG 493670395 L
> GOFAR 493670474 L
1 JUMHARI 493671003 L
i IKHWAL 493671058 L
J KENE 493614472 P
5 TIMIN 493671486 L
J KHAILUL 493671554 L
I IKUM 493671633 L
) UUN 493671802 P
) IMAH 493672072 P
I ARTADA 493672217 L
1 TASIH 493672263 P
. MADPUDIN 493673196 L
i AKUP 493673668 L
I RUNO WIJAYA 493673859 L
1 NAPSIAH 493673905 P
1 WAHYUDIN 493673951 L
1 RASJA 493674039 L
I SAN OH 493674074 P
SUMINAR 493674118 P
: AYU WULANDARI 493674355 P
1 FAJAR ARDIANSYAH 493674535 L
TINI 493674603 P
> AYU 493674636 P
> BONYIH 493675042 P
f MUNAH 493675266 P
i MADHASAN 493675525 L
i KEMAN 493675569 L
I ABKARI 493675615 L
SOPIAN 493675716 L
| OMAH 493676021 P
: NINING 493676278 P
1 ARYANAH 493676291 P
' ENAH 493676605 P
i ROFIK 493676831 L
■ ABDUR ROHIM 493676864 L
1 FITRI KURNIAWATI 493676908 P
1 HERLINA 493677011 P
) ROHIM 493677189 P
I SRI TINA APRIYANTI 493677292 P
I IDAM KHOLID 493677718 L
( ANIN 493677764 L
1 ABDULLATIF 493677775 L
» ABDUR ROHMAN 493677933 L

i MUAMAR KADAFI 493677966 L
r EMI 493678023 P
I MAMDUH MASTARI 493678236 L
1 SARMAN 493678271 L
) MINA 493678293 L
343 YANTI 493730695 P
344 SAM IN 493730763 L
345 SARTI 493730908 P
346 MUHAMAD FAUZIAH 493731044 L
347 JUEN 493731101 L
348 KASMI 493731257 P
349 RISEM 493731314 P
350 IWAN 493731483 L
351 KOMARUDIN 493732034 L
352 IMAN SUPARMAN 493732394 L

353 5EROH 493754793 P
354 MARDI 493732664 L
355 MAYADI 493733046 L
356 DONIH 493733081 P
357 MAAT 493754962 L
358 EMAH 493755006 P
359 MUS MAULANA 493755063 L
360 MIRNA WATI DEWI 493755208 P
362 SOIN 493733452 L
363 NURJANAH 493755434 P
564 PARIDI 493755614 L
565 MAMAT 493755737 L
566 SANAH 493733619 P
(67 GATING 493733709 P
>68 IMAH 493733957 P
369 DIMAS ADI SAPUTRA 493681318 L
370 MUNI 493681342 L
371 WISNU AL HAFID2 493681408 L
372 ZUNAEDI 493681487 L
373 RUDI 493681588 L
374 SARNIH 493681746 P
375 SANDI 493734104 L
376 RISKA SELYYANA 493681893 P
377 NESIN 493681961 L

378 ROHMAN 493682027 L
379 WARSIH 493682207 P
380 SUPENA 493734587 L
381 ACIH 493734723
382 DIAN 493734802 L
383 MIRAN 493682275 L
384 ADI 493682444 L
385 HABIBAHRI 493682556 L
386 AAS 493682646 P
387 IDA FARIDA 493735138
388 RESMI 493735274 P
389 AGUS 493735397 L
390 ELA 493735443 P
391 AMAH 493735522 P
392 BOIH 493682668 L
393 DANI 493682681 L
394 AMIR HAMZAH 493682815 L
395 MARNI 493682872 P
396 LASIH 493682995 P
39/ TONI 493683142 L
398 ARIS 493735645 I
399 AMALIA 493735678 P

95 SIPIT 493751799 P
96 ILMI 493761993 L
97 RASU 493762105 L
98 YEYEN 493762151 P
99 ROBIAH 493762421 P
0 MUMUN 493698262 P
>01 BADRI 493698429 L
2 MANAH 493698644 P
'03 SAPNIH 493751902 P
i04 JAMAH 493751924 P
105 AHMAD SAYUSNI 493751968 L
i06 AULIA 493762803 P
!07 MISNI 493762858 P
(08 RIRI 493762904 P
►09 RANI 493763038 P
iio FATUROHMAN 493763141 L
ill PUTRA 493763185 L
il2 ROHANI 493752374 P
113 ARNIH 493752699 P
114 KURDI 493763567 L
115 NENGSIH 493763624 P
>16 NENGSIH 493763859 P
►17 SITI NURFADILAH 493763949 P
118 ISAM 493764309 L
>19 NURJANAH 493764445 P
>20 ILHAM HIDAYATULLAH 493753375 L
521 ANCIH 493753465 L
522 IWAN 493764524 L
523 AHMAD IRWANSYAH 493764669 L
524 ASMENAH 493764849 P
525 SOLIHIN 493764895 L
526 DIKIN 493764963 L
527 AMAD 493754139 L
528 SURI 493754185 P
629 SURYADI 493765097 L
630 SUGIANTO 493765547 L
HI NIMI 493765661 P
532 SANUSI 493765784 L
533 SUAMAH 493765806 P
634 SANOH 493765953
635 SAID 493766212 L
636 UDIN 493766291 L
637 SANIRAH 493766482 L
638 NYAI 493766561 P
639 ATNIH 493766728 P
^40 ILHAM 493766774 L
h NADIROH 493767033 P
642 PATONI 493767145 L
,643 SITI NASIAH 493767573 P
0.644 MUHAMAD RA'FAI 493767999 L
645 SITI MUNAWAROH 493768078 P
0.646 WAHYUDIN 493768451 L
647 KHOIRUL IHSAN 493768539 L
648 NASAH NURINDAH 493768743 P
649 RIFKI FURNAMA 493768844 L
1717 ILE 493787878 L
1718 SANTI 493789094 P
1719 JOYO 493789116 L
1720 DISKA BILKIS 493810751 P
1721 NURACIH 493810828 L
1722 TUBAGUS SARANA 493810841 L
1723 NILAN 493810997 L
1724 RATIM 493811594 L
1725 RATIH 493811739 P
1726 ENTIN 493790411 P
1727 ASEPJAMALUDIN 493790455 L
1728 NESAH 493811998 P
1729 SITI KHODIJAH 493812009 P
1730 SRI MARYANI 493790894 P
1731 RAKMAN 493812459 L
1732 UNIH 493812483 P
1733 RANIM 493812821 L
1734 SARIYUM 493791625 L
1735 RANTA 493812944 L
YUMI 493812966 P
1737 RUDI 493812988 L
1738 SITI 493813023 P
1739 SUMIYATI 493813067 P
1740 ASAN 493792211 L
1741 SUCI 493792255 P
1742 KARTO 493813697 L
1743 MARSA MAULIA 493792749 L
1744 JAMALUDIN 493792773 L
1745 MARSIDI 493814349 L
1746 ERNA SUPRIANA 493814351 P
1747 TARINI 493793076 P
17,48 ANIS HABIBAH 493793177 P
1749 EVI 493793357 P
1750 DEDEH 493814619 P
i751 AYU SHALILAH 493793774 P
il752 IIF HOLIFAH 493815587 P
A753 AMINAH 493794911 P
,1754 ABDUL AJID 493795067 L
1755 MARWATI 493816015 P
,1756 ARIMBI 493816037 P
[1757 MAD ALIF ALFARIZI 493816386 L
1758 ROMADI 493816544 L
1759 RANAH 493816588 P
1760 SAHROJI 493816656 L
1761 ADE IRAWAN 493816858 L
1762 WIWI 493795934 P
11763 SIDIN 493817185 L
1764 PIPIT 493817455 P
1765 JAYAD! 493775392 L
1766 CARDI 493817984 L
1768 AHMAD ASTARI 493797126 L
1769 RCSITA 493818794 P
1770 JAKI 493818816 L
1771 SARIH 493775774 P
1772 SANI 493797453 P
1773 RIYAN 493819749 L
2096 ALIYAH 493858348 p
2097 AMELINA ANJANI 493858631 p
2098 RAIHAN 493858697 L
2099 MUHAMAD KARIM 493858798 L
2100 ROJAK 493859272 L
2101 PUTRI KHARISMA 493859643 P
2102 NURHAYATI 493859834 P
2103 SALMAH ALFARIS 493859889 L
2104 SUPANDI 493859913 L
4105 MERNI 493860464 P
2106 IKAH 493860701 P
2107 DARIM 493860767 L
2108 FITRI 493860993 P
2109 MUHAMAD ALDI 493861386 L
^2110 MINTARSIH 493861432 P
2111 OLIVIA 493861601 P
2112 KINAH 493861691 P
.'113 ABDULOHIM 493861847 L
,'114 NUR ALI 493861948 L
2115 USNUL 493862174 L
2116 ARIFIN 493862747 L
0.2117 SOPIA AULIA 493863491 P
0.2118 ABDULRAHMAN 493863671 L
2119 SANUSI 493864042 L
Il20 ANAH 493864492 P
2121 MIMIN 493864727 P
2122 SAMAN 493710783 L
2123 HANIPAH 493711391 P
2124 YATI 493711727 P

2125 ARMINAH 493711749 P
2126 ARIPIN 493711806 L
2127 SOBARI 493711975 L
2128 TIAR 493712008 P
4il30 DIAH 493712392 P
-2131 SUMIYATI 493712436 P
1132 RASMINAH 493712471 P
>2133 JAYADI 493712651 L
2134 RENDl 493712739 L

2135 YATI 493713033 P
ll36 ABEL 493713617 P
2137 KUSNADI 493892739 L
2138 ASTRA 493893415 L

2139 ROGAYAH 493893819 P
2140 NURHASAN 493894045 L
L
2141 SAEFUL BAHRI 493894091 L
2142 AYU 493894563 P
2143 TANGI 493894809 L
2144 KURIYAH 493895193 P

2145 YUSUF KAMIL 493895294 L
7223 DOMIR ( 493950262 L
2224 RIFAI 493932429 L
2226 RATNA 493911821 P
2227 MUHAMAD PRAMUJA 493912146 L
2228 WAFIK HALIMI 493932936 L
2229 MUHAMAD SUKRON 493912394 L
2230 UNUS 493934141 L
2231 SELPI 493950497 P
2232 OOM 00004^3934^ P
P
2233 ANDI 493934556 L
2234 BASAR 493951331 L
2235 RAMAN 493913777 L
2236 SUSI SULIANINGSIH 493934826 P
MOHAMAD RIZKY
2237 493934984 L
RAMADHAN
2238 ALWI 493951634 L
2239 DADE 493951757 P
2240 DIKA ALPINAYAH 493952073 L
2241 OMAS 493914071 P
2242 WAWAN 493914407 L
2243 ROSDIANA 493914554 P
£244 LANA ULANSARI 493953052 P
2245 IHSAN 493915239 L
2246 OMAH 493915274 P
247 ILHAM AKBAR 493915318 L
248 NIMAN 493936209 L
' 249 JOLE 493953265 L
250 KARDI 493953669 L
251 PARIJAL AL BUHORI 493916207 L
252 RIDO 493916275 L
253 ONENG 493937043 P
1254 SAPNIH 493953783 P
1255 ARIF 493916455 L
1256 FITRI 493916826 P
1257 DIAN 493954389 P
!259 ITA 493917276 P
260 SURYADI 493917456 L
£ JUHADA 493937763 L
262 TARWIYAH 493955019 P
263 ITA 493917715 P
[264 AHMAD HAIDAR 493917884 L
[265 JUHADI 493938404 L
266 YULIANA 493955774 P
267 RUNI 493955853 P
268 FITRIAH SALSABILA 493919201 P
269 RAFFY 493919379 L
(270 MADAM 493919414 L
>271 ARIS 493940057 L
!272 NURSIN 493956527 L
!273 IJA JUHARI 493940158 L
274 YULI YANTI 493940507 P
275 YATI 493957078 P
[7 MINAH 494655636 P
2488 BOIN 494655737 L
2489 KARMAN 494630763 L
2490 N AIM AH 494631459 P
2491 ONAH 494625611 P
2492 SAEPUL BAHRI 494656683 L
2493 INDRA 494632135 L
2494 PUTRI NURAIMAH 494632372 P
2-495 ACIH 494632462 P
2496 5AEPUDIN 494626419 L
2497 MAESAROH 494657447 P
2498 SUGANDA 494657829 L
2499 SITI ROHANA 494658685 P
2500 HASBI 494633619 L
2501 AYUB 494660169 L
1502 NURALI 494634925 L
2503 KASAN 494635105 L
2504 NYAI 494661734 P
*505 LALA 494662184 P
2506 A NAWAWI 494662228 L
2507 SUSAN 494636646 P
1508 RESTI SULASTRI 494637175 P
2509 TUTI 494663286 P
2510 INTAN 494637311 P
fSll RIA PUJIAWATI 494637737 P
SITI MUAIMAH
}512 494637827 P
AMELINDA
4513 SITI JULEHA 494638841 P
1514 PITRIA 494664513 P
[sis RIFKI 494665378 L
{516 ALIF 494639245 L
bl7 ONAH 494665468 P
2518 ONIH 494665841 P
2519 NANI 494666098 P
2520 KASNI 494639886 P
2521 KOYAH 494640044 P
2522 AIN 494667033 P

2523 ROJAK 494640685 L
1524 KOYAH 494640876 P
1525 NOPI 494667156 P
2526 SAJAM 494667461 L
2527 UMIRAH 494667674 P
2528 WULAN DARI 494668001 P
2529 SUANDA 494641956 L
2530 EMAN NURCAHAYA 404668045 L
2531 JIANA NURSUGIH 434668901 L

ID MUNIRCS 494738864 L
L7 YATI KARTIKA DEWI 494739314 P
L8 RUMSIAH 494739718 P
19 ADE LIA PARAMITA 494694696 P
!0 KURDI 494695034 L
!1 RARAS INDIYANI 494718849 P
[2 INTAN NURAINI 494719198 P
!3 HALIMAH 494719391 P
!4 ANWAR DOGAM 494741259 L
!5 ANEN 494741711 L
!6 NIMAH 494696002 P
!7 ACAH 494742396 P
!8 AMAD 494742475 L
!9 MILAH 494742712 P
ALYYUDIN 494719942 L
10_ 11
RONI 494744196 L
>2 SURYANTO 494696608 L
13 AKHMAD 494696878 L
14 ODANG JAYA 494698375 L
15 SITIJURIYAH 494698408 P
6 GUNAWAN 494698847 L
7 IYUNG 494744624 L
B HERU 494745682 L
9 YOGA 494699782 L
D BINDA 494699815 L
1 KAMIH 494701547 P
2 LITA 494702616 L
3 MUHAMAD 494702651 P
4 DURAHIM 494703022 L
5 SITI RODIATUL 494721224 P
6 AMPRUNG 494721371 L
7 AJUM 494721854 L
8 ASMAT 494723182 L
9 WADI UNYIL 494745895 L
0 CANIH 494746042 P
1 YASIN 494746716 L
2 HOLIS 494746874 L
3 ASRI 494723777 L
4 RUMSARI 494723981 P
5 DIRJAJAUN 494724227 L
6 HALIMATUSADIYAH 494725083 P
7
SUSI SUSILAWATI DEVI 494725353 P
n
KP PULbSIRIH RT 03/01 DSN 1 DSN
1, RW 01, .»,
KP PULOSIRIH RT 03/01 DSN 1 DSN
1, RW 01, RT 03
1, RW 01, RT 03
KP.CARINGIN RT 03/06 DSN 3 DSN
III, RW 06, RT 03
KP PULOSIRIH RT 05/02 DSN 1, RW
02, RT 05
KP GILI GILI RT 02/05 DSN 3 DSN III,
RW 05, RT 02
RW 05, RT 02
RW 05, RT 02
RW 05, RT 02
1, RW 03, RT 01
1, RW 03, RT 01
02, RT05
1, RW 03, RT 01
02, RT05
02, RT05
1, RW 03, RT 01
02, RT 05
o2? R?L05
III, RW 06, RT 03
III, RW 06, RT03
III, RW 06, RT 03
KP KERANDING RT 01/04 DSN 2
DSN II, RW 04, RT 01
02, RT 05
DSN II, RW 04, RT01
02, RT 05
02, RT 05
DSN II, RW 04, RT 01
01, RT01
01, RT 01
01, RT 01
01, RT 01
03, RT01
03, RT01
03, RT01
03, RT 01
02, RT 05
01, RT01
02, RT 05
02, RT 05
02, RT 05
01, RT01
02, RT 05
02, RT 05
01, RT 01
01, RT 01
1, RW 01, RT 01
1, RW 01, RT 01
1, RW 01, RT 01
1, RW 01, RT 0
KP PULOSIRIH RT 01/01 DSN 1,
RW01, RT 01
1, RW 01, RT 0
01, RT01
R.K UlLi v..-
KPGILIGIL
KP PULOSII
KP PULOSII
KPGILIGIL
KP KERANt
KP KERANt
KP KERANt
KP PULOSI
KP PULOSII
KP PULOSII
KP PULOSII
KP PULOSIf
KP KERANDINC:
KP PULOSIRIH 1
KP PULOSIRIH 1
KP KERANDING
KP KERANDING
KP KERANDING
KP PULOSIRIH
KP PULOSIRIH
KP PULOSIRIH
KP PULOSIRIH
KP KRANDING
KP PULOSIRIH
KP PULOSIRIH
KP PULOSIRIH
KP PULOSIRIH
KP PULOSIRIh
KP PULOSIRIh
KPGILIGILI R
KP PULOSIRII
KP PULOSIRII
KPGILI GILI F
KP PULOSIRII
KP KRANDING
KP PULOSIRIH
KP KRANDING
KP GILI GILI R
KPGILIGILI R
KPGILIGILI R
KPGILI GILI F
KPGILIGILI F
KPGILIGILI F
KP GILI GILI f
KP PULO
KPPULO
KP PULO
KP PULO
KP PULO
KP KRAN
KP KERA
KP KERA
KP PULC
KP PULC
KP PULO
KP KERA
KP PULO
KPGILIG
KP PULO
KP KERANui
KP PULOSIR
KPGILIGILI
KPGILI GILI
KPGILIGILI
KP PULOSIR
KP PULOSIF
KPGILIGILI
KPGILI GIL
KPGILI GIL
KPGILI Gil
KP PULOSI
KP PULOS
KP PULOSII
KP KRANDI
KPGILIGILI
KPGILIGILI
KP PULOSIF
KPGILI GIL
KPGILI GIL
KP PULOSI
KPGILI Gil
KPGILI Gil
KPGILI Gil
KP KRAND
KP GILI Gl
KP GILI Gl
KP PULOS
KP PULOS
KPGILI Gil
KP PULOSI
KP KRAND
KPGILI Gil
KP PULOSI
KPGILI Gil
KP PULOSI
KP PULOSI
KPPULOj..
KP GILI GILI RT
KP PULOSIRIH F
KP GILI GILI RT C
KP KRANDING R'
KP PULOSIRIH R'
KP PULOSIRIH R
KP PULOSIRIH R
KP PULOSIRIH F
KP PULOSIRIH F
KP PULOSIRIH 1
KP PULOSIRIH
KP PULOSIRIH
KP PULOSIRIH
KP PULOSIRIH
KP PULOSIRIH Ki i
KP PULOSIRIH RT 0
KP KRANDING RT C
KP PULOSIRIH RTC
KP KRANDING RT'
KP PULOSIRIH RT
KP GILI GILI RT 01
KP GILI GILI RT 0'
KP KRANDING R1
KP KRANDING R
KP KRANDING R
KP KRANDING F
KP KRANDING
KP PULOSIRIH
KP KRANDING
KP GILI GILI R.
KP PULOSIRIH RT 0.
KP PULOSIRIH RT 03
KP PULOSIRIH RT 0:
KP PULOSIRIH RT 0
KP GILI GILI RT01/I
KP PULOSIRIH RT 0
KP GILI GILI RT 01/
KP PULOSIRIH RT (
KP PULOSIRIH RT
KP PULOSIRIH RT
KP KRANDING RT
KP KRANDING RT
KP KRANDING RT
KP PULOSIRIH RT
KP PULOSIRIH RT
KP PUULOSIRIH R
Kf».CARRINGIN R1
KP.CAfiRINGIN R"
KP PUULOSIRIH (
*P PUULOSIRIH '
*P PUULOSIRIH
rfP PUULOSIRIH
'P KRGANDINC
KP KRANDING RT 02/04 UbiN *
KP KRANDING RT 02/04 DSN 2 D'
KP KRANDING RT 02/04 DSN 2 D
KP PULOSIRIH RT 02/01 DSN 1 D:
KP KRANDING RT 02/04 DSN 2 D!
KP KRANDING RT 02/04 DSN 2 D!
KP PULOSIRIH RT 02/01 DSN 1 D!
KP PULOSIRIH RT 02/01 DSN 1 Dl
KP KRANDING RT 02/04 DSN 2 D:
KP KRANDINGAN RT 01/04 DSN ;
KP PULOSIRIH RT 01/03 DSN 1 D
KP KRANDINGAN RT 01/04 DSN i
KP KRANDING RT 02/04 DSN 2 Dl
KP KRANDINGAN RT 01/04 DSN ;
KP PULOSIRIH RT 02/03 DSN II, 1
KP PULOSIRIH RT 02/03 DSN II,
KP PULOSIRIH RT 02/03 DSN 2 C
KP KRANDINGAN RT 01/04 DSN
KP GILI GILI RT 01/05 DSN 3 DSr
KP PULOSIRIH RT 02/03 DSN II,
KP KRANDING RT 02/04 DSN 2 1
KP KRANDING RT 02/04 DSN 2
KP KERANDING RT 01/04 DSN
KP KERANDING RT 01/04DSN
KP KRANDINGAN RT 01/04 D
KP GILI GILI RT 02/05 DSN 3
KP GILI GILI RT 012/005 DSI^
KP KRANDINGAN RT 01/04 1
KP KRANDINGAN RT 01/04
KP GILI GILI RT 012/005 DSf
KP PULOSIRIH RT 01/03 DS
KP PULOSIRIH RT 01/03 Df
KP PULOSIRIH RT 01/03 D
KP CARINGIN RT 03/06 D!
KP GILI GILI RT 02/05 D
KP GILI GILI RT 012/00'
KP GILI GILI RT 012/00
KP CARINGIN RT 03/0(
KP GILI GILI RT 02/05 '
KP GILI GILI RT012/0C
KP CARINGIN RT 03/0

02, RT05
01, RT 01
01, RT01
02, RT 05
01, RT01
KP KRANDINGAN RT 01/04 DSN 2
DSN II, RW 04, R
1, RW 01, RT 0;
DSN II, RW 04, R
RW 05, RT 01
KPGILI GILI RT 01/05 DSN 3 DSN III,
RW 05, RT 01
RW 05, RT 01
RW 05, RT 01
RW 06, RT 02
II, RW 03, RT
RW 06, RT 0;
KP PULOSIRIH RT 02/03 DSN Z DSN
" RVV OJ, m -
II, RW 03, RT 0<
II, RW 03, RT 0.
II, RW 03, RT 0
02, RT 05
02, RT 05
II, RW 03, RT C
02, RT 05
02, RT 05
KP PULOSIRIH RT 02/03 DSN II, RW
03, RT 02
II, RW 03, RT
RW 05, RT 0:
RW 05, RT 0
RW 06, RT 0
RW 05, RT f
RW 06, RT '
DSN II, RW 0<?
KP PULOSIRIH RT 02/03 DSN II, RW
03, RT 02
KP KERANDING RT 01/04DSN 2
DSN II, RW 04,
DSN II, "
DSN II,
DSN II, RV
DSN II,
DSN II, RV
DSN II, 1
RW 0
03, RT
RW 0
03, RT
03, RT
KP GILI GILI RT 02/06 DSN 3 DSN iii,
rw 0.
rw ol
rw 0(
KP GILI GILI RT 01/06 DSN 3 hck-
KP PULOSIRIH RT01/C
KP PULOSIRIH RT 02/<
KP PULOSIRIH RT 02/1
KP PULOSIRIH RT 01/
KP PULOSIRIH RT 01/
KP PULO
KP PULOS
KP PULOS
KP PULOSI
KP PULOSI
KP KRAND
KP KRANDI
KP PULOSII
KP KRANDI
KPGILI GILI
KP PULOSIR
KPGILI GILI
KP PULOSIR
KPGILI GILI
KP GILI GILI
kppuloswr, „
kp pulosirih rt g.,
kp pulosirih rt 03
kp pulosirih rt 0:
kpgili gili rt 012;
KP PULOSIRIH RT 0!
KPGILI GILI RT01/0
KP PULOSIRIH RT 03
KP PULOSIRIH RT 03
KPGILI GILI RT 012/
KPGILI GILI RT 012/
KPGILI GILI RT 01/0
KPGILI GILI RT 012/
KPGILI GILI RT 012/
KPGILI GILI RT 012/
KP KRANDINGAN R"
KP PULOSIRIH RT 0;
KPGILI GILI RT 01/05
KP KRANDINGAN RT C
KPGILI GILI RT 01/05
kpgili gili rt 02/05
kpgili gili rt 02/05
kp krandingan rt c
kp pulosirih rt 01/c
KP PULOSIRIH RT 01/C
KP KRANDINGAN rt 0
KP KRANDINGAN rt 0
KP KRANUiiiu ...
KP KRANDING RT
KP KRANDING RT
KP KRANDING RT
KP KRANDINGAN
KPGILIGILI RT 0
KP KRANDINGAr
KP PULOSIRIH R'
KP KRANDINGAI
KP KRANDINGA
KP PULOSIRIH F
KP PULOSIRIH F
KP PULOSIRIH
KPGILI GILI R1
KP KRANDINGAN .
KP PULOSIRIH RT 0
KPGILIGILI RT 02/0.
KP KRANDING RT 02
KP KRANDING RT 02
KPGILIGILI RT 01/0
KPGILIGILI RT 01/05 DL,.
KPGILIGILI RT 01/05 DSI
KP KRANDING RT 02/04 1
KPGILIGILI RT 01/05 DSI
KP PULOSIRIH RT 02/01 1
KP KRANDING RT 02/04
KPGILIGILI RT 02/06 DS
KP PULOSIRIH RT 02/0?
KP.CARINGIN RT 03/06
KP.CARINGIN RT03/06 u
KP GILI GILI RT 02/06 DSI
KPGILIGILI RT02/05 DSI
KP.CARINGIN RT 03/06 C
KP GILI GILI RT 02/05 DS
KPGILI GILI RT 02/05 DS
KP KKAl
KP KRAI
KP.CARi
KP.CARII
KP KRANI
KP KRANC
KP KRAND
KP PULOSI
KP PULOSI
KP PULOSI
KP PULOSI
KP PULOSI
KP.CARING
KP.CARING
KP.CARING
KP.CARING
wmmu
KP PULOSIRIH
KP PULOSIRIH
KP PULOSIRIH
KP PULOSIRIH
KP PULOSIRIH
KP PULOSIRIH
KP PULOSIRIH
KP.CARINGIN R
KP.CARINGIN R
KP.CARINGIN R
KP.CARINGIN R"
KP.CARINGIN R1
KP.CARINGIN RT
KP.CARINGIN RT
KP KRANDING RT
KP PULOSIRIH RT
KP PULOSIRIH RT
KP PULOSIRIH RT
KP KRANDING RT
KP KRANDING RT
KP KRANDING RT
KP KRANDING RT
KP KRANDING RT
KP KRANDING RT
KP KRANDING RT
KP KRANDING R
KP PULOSIRIH RT 05
KPGILIGILI RT 01/0
M>lTOM5ILI RT 01/C
KfRANDIhOlNG RT
K0LI GILI l\.| RT 01/1
KflLI GILI 111 RT 01/
K*»U GILI 111 RT 01/
KP ruLv.
KPGILlfclLI
KPGILIGILI
KPGILIGILI
KP.CARINGII
KP.CARINGir
KP.CARINGIf
KP PULOSIRI
KP PULOSIRII
KP PULOSIRII
KP.CARINGIN
KP PULOSIRI
KP PULOSIRII-
KP.CARIN61N RT
KP PULOSIRIH RT C
KP PULOSIRIH RT (
KP KERANDING RT
KP KERANDING RT
KP PULOSIRIH RT
KP PULOSIRIH RT
KP KERANDING R'
KP PULOSIRIH RT
KP PULOSIRIH RT
KP PULOSIRIH RT
KP PULOSIRIH RT o,,,
KP PULOSIRIH RT 05/U/1
KP PULOSIRIH RT05/0;
KPGILI GILI RT 01/05 D
KPGILIGILI RT 01/05 C
KP KRANDING RT 02/0
KP GILI GILI RT 01/05 1
KP GILI GILI RT 01/05 1
KP KRANDING RT 02/C
KP PULOSIRIH RT01/C
KP PULOSIRIH RT 01/<
KP KRANDING RT 02/04 [
KP KRANDING RT 02/04 D!
KPGILI GILI RT 01/05 DSN
KP KERANDING RT 01/04 t
KPGILIGILI RT 01/05 DSN
KP KRANDING RT 02/04 D_
KPGILIGILI RT 01/05 DSN 3 D'
KP KRANDING RT 02/04 DSN ;
KP KRANDING RT 02/04 DSN
KP KERANDING RT 01/04 DSf
KPGILIGILI RT 01/05 DSN 3'
KPGILI GILI RT 01/05 DSN 3
KP KRANDING RT 02/04 DSI
KP
KP PULOSIRIH R
KPGILIGILI RT 0;
KP PULOSIRIH RT
KP PULOSIRIH RT
KPGILIGILI RT02/
KPGILIGILI RT 02/
KPGILIGILI RT 02/
KPGILI GILI RT 02/
KPGILI GILI RT 02/
KP GILI GILI RT02/I
KP GILI GILI RT 02/l
KPGILIGILI RT01/I
KPGILIGILI RT 02/(
KP GILI GILI RT 02/<
KP KRANDING RT 0
KPGILIGILI RT 01/05 loim .
KP PULOSIRIH RT 02/03 DSN
KP PULOSIRIH RT 02/03 DSN .
KPGILIGILI RT 01/05 DSN 3 f
KP KRANDING RT 02/04 DSC
KPGILIGILI RT 01/05 DSN;
KP KERANDING RT 01/04D'
KP KERANDING RT01/04D
KP KERANDING RT01/04C
KP PULOSIRIH RT 01/03 Cbi
KP PULOSIRIH RT 01/03 DSN 1
KPGILI GILI RT 01/06 DSN 3
KPGILIGILI RT 01/06 DSN 3
KPGILIGILI RT 01/06 DSN ;
KP PULOSIRIH RT 01/01 DSN 1, P
KP PULOSIRIH RT 01/01 DSN 1, F
KP PUUJfilNH RT 01/P.3i DSN 1.
f
0

C

KP KRANDING RT 02/04 DSN 2 DSN
KPPUIOSIRIH n
KPPUlOSIRIHR
KPGILIGILI RTO
KP GUI GILI RTO
KPGILIGILI RTO
KP PULOSIRIH R1
KP GILI GILI RT 0
KP PULOSIRIH R1
KPGILIGILI RTO
KP.CARINGIN RT
KP KRANDING R1
KP KRANDING R1
KP KRANDING R1
KP KRANDING R1
KP.CARINGIN RT
KP.CARINGIN RT
KP KRANDING RT02/0
KPGILIGILI RT 01/05 [
KPGILIGILI RT 01/051
KP.CARINGIN RT 03/0
KP PULOSIRIH RT 02/(
KPGILIGILI RT 01/05
KP PULOSIRIH RT 02/
KP PULOSIRIH RT 05/
KP PULOSIRIH RT 05/
KP PULOSIRIH RT 03,
KPGILIGILI RT 01/05
KP PULOSIRIH RT 05_____
KP PULOSIRIH RT 02/03 DSI
KP GILI GILI RT 01/05 DSN •
KP PULOSIRIH RT 03/01 DSf
KP PULOSIRIH RT 03/01 DSf
KP PULOSIRIH RT 03/01 DSN . _
KP KRANDING RT 02/04 DSN 2 C
KP KRANDING RT 02/04 DSN 2 [
KP PULOSIRIH RT 05/02 DSN 1.
KP.CARINGIN RT 03/06 DSN 3
KP GILI GUI RT 01/05 DSN 3 D!
KP GIU'GILI RT 01/05 DSN 3 D!
KP GILI GILI RT 02/05 DSN 3 D
KP GILI GILI RT 012/005 DSN:
KP GILI GILI RT 012/005 DSN .
KP GILI GILI RT 012/005 DSN
KP GILI GILI RT 012/005 DSN
KP KERANDING RT01/04DSN
KP KERANDING RT 01/04DSN
KP PULOSIRIH RT 05/0?
KP PULOSIRIH RT 01/03 DSN 1, R'
KP PULOSIRIH RT 05/02 DSN 1, R>
KP GILI GILI RT 012/005 DSN 3 DS
KP PULOSIRIH RT 01/03 DSN 1, R
KP GILI GILI RT 012/005 DSN 3 D!
KP PULOSIRIH RT 05/02 DSN 1, F
KP GILI GILI RT 01/06 DSN 3 DSN
KP GILI GILI RT 01/06 DSN 3 DSK
1

i

1
1
1
(
I

i
DSN

0
0,
II
II,
KP KERANDING RT01/04DSN 2 DSN
II
KP PULOSIRIH RT Cl/01 DSN 1 DSN
1,
KP GILI GILI RT 012/005 OSN 3 DSN
III
KP PULOSIRIH RT05/02 DSN 1, RW
0

kp «<i 1 GILI RT/Z/05 rSN 3 DSN III,
KP PULOSIRIH RT 03/0-
KP PULOSIRIH RT 01/03.
KP.CARINGIN RT 03/06 D
KP PULOSIRIH RT 01/03 [
KP KRANDING RT 02/04 t
KP PULOSIRIH RT 03/01 Dbi\ . . _
KP KRANDING RT 02/04 DSN 2 DSI
KP PULOSIRIH RT 01/03 DSN 1 DSI
KP PULOSIRIH RT 03/01 DSN 1 DS
KP PULOSIRIH RT 01/03 DSN 1, R\
KP PULOSIRIH RT 01/03 DSN 1, R'
KP PULOSIRIH RT 01/01 DSN 1, f
KP PULOSIRIH RT 03/01 DSN 1 [
KP PULOSIRIH RT 02/01 DSN 1 [
KP PULOSIRIH RT 01/03 DSN 1 t
KP.CARINGIN RT 03/06 DSN
KP KERANDING RT 01/04DSI
KP GILI GIU RT 01/06 DSN 3 D!
KP KERANDING RT 01/04DSN ;
K1 HULOSIRIH RT 02/^" ~r'
terPhunSIRIH RT 01/
KP I U1
KP PUL
KP PUL
KP PULi
KP PULi
KP PUL<
KP PUL(
KP KER/
KP GILI i
KP PULC
KP PULC
KP PULC
KP KRANDINGAN n.
KP GILI GILI RT 01/06 D!
KP GILI GILI RT 01/05 Df
KP KRANDINGAN RT01/
KP GILI GILI RT 01/05 DSN ^ u
KP GILI GILI RT 01/05 DSN 3D
KP GILI GILI RT 01/06 DSN 3D
KP GILI GiLI RT 01/05 DSN 3 DSN III

KP GILI GILI RT 01/06 DSN 3 DSN III

KP GILI GILI RT 01/05 DSN 3 DSN II
KP GILI GILI RT 012/005 DSN 3 DSI*
KP GILI GILI RT 012/005 DSN 3 DSC

KP KERANDING R1 ui/v
KP PULOSIRIH RT 03/01.
KP PULOSIRIH RT 01/03 L
KP.CARINGIN RT 03/06 D5
KP.CARINGIN RT 03/06 D5
KP KERANDING RT 01/04DSN 2 DSI
KP KRANDING RT 02/04 DSN 2 DSr
KP PULOSIRIH RT 02/01 DSN 1 DSf
KP PULOSIRIH RT 02/01 DSN 1 DSr
KP PULOSIRIH RT 01/03 DSN 1, RV
KP PULOSIRIH RT 01/03 DSN 1, RV

1, R
1, R
1, R
III, F
1, P
1, F
02,
II,
II,
1,
KP PULOSIRIH RT 0#m-^N 1 DSN 1,

KP PULOSIRIH RT 0!r; - RW 02, RT
KP PULOSIRIH RT Or " RW 02, RT
KP PULOSIRIH RT (TL RW 02, RT
RT 03/01 DSN 1 D ' KP PULOSIRIH
RT" -- ul. RW
--RT 03/01 DSN 1 n--

KP PULOSIRIH R"* DTnj,--- - 3W
KP PULOSIRIH R; u, nj'm, J., . A"
KP PULOSIRIH lîncM;j,.
KP PULOSIRIH k, cTi ^ ' - -
KP PULOSIRIH R1 ru/m .r".' ^ ::vi;
<P KRANDING RT 02/04 DS~~-~
<P PULOSIRIH RT 01/01 DSr; ~
r\r Uili v____

KP PULOSIRIH RT05/U
KP KERANDING RT01/0'
KP KRANDINGAN RT 01/1
KP KERANDING RT 02/04 Ub
KP KRANDINGAN RT 01/04 D
KPGILIGILI RT 01/05 DSN 3 C
KPGILIGILI RT 01/05 DSN 3 D
KP KRANDINGAN RT 01/04 DS'
KP KRANDINGAN RT 01/04 i_ .
KP PULOSIRIH RT 03/01 DSN 1 DSf

KP KRANDING RT 02/04 DSN 2 DSf
KP KRANDING RT 02/04 DSN 2 DSI
KP KRANDING RT 02/04 DSN 2 DS
KP GILI GILI RT 01/05 DSN 3 DSN 1
KP.CARINGIN RT 03/06 DSN 3 DSt
KP KRANDING RT 02/04 DSN 2 D5
KP GILI GILI RT 01/05 DSN 3 DSI
KP KERANDING RT 01/04 DSN ;
KP KERANDING RT 01/04 DSN .
KP KERANDING RT 01/04 DSN 2 DSI
KP KERANDING RT 01/04 DSN 2 DS'

DS..
III,
II,
DSN 1
KP PULOSIRIH RT a/03 DSN 1 C

KP PULOSIRIH RT a/03 DSN 1 D5
KPGILIGILI RT 02/16 DSN 3 DSN 1
KP PULOSIRIH RT a/01 DSN 1, R\<
KP PULOSIRIH RT a/01 DSN 1, RV\
<P KERANDING RT 01/04 DSN 2 DS
<P KERANDING RT 01/04 DSN 2 DSi

1
C

0
02,
II, 1
II,
R\
1, F
02,
R
03
02
II,
III
0
1
1,
1, nv
RW
02, f
02, 1
03, 1
RW
R\A/
III, RV
02, R
1, R\A
RW t
RW C
III, RV
KP CARINGIN RT 03/06 DSN 3 DSN
III, RV
RW02. R
02, R
1, R\A
1, R\A
02, R
1, RV
RW
II, RV
KP GIUGILI RT
KP PULOSIRIH R
KP PULOSIRIH R"
KP PULOSIRIH RT
KP PULOSIRIH RT i
KP GIUGILI RT 01/
KP GIUGILI RTOl/l
KP PULOSIRIH RT 0
KP KERANDING RT
KP KERANDING RT I
KP KERANDING RT 1
KP PULOSIRIH RT 0:
KP KERANDING RT (
KP KERANDING RT C
KP PULOSIRIH RT 05/u»
KP GIUGILI RT 01/05 DSN
KP PULOSIRIH RT 03/01 C
KP GIUGILI RT 01/05 DSr
KP GIUGILI RT 01/05 DSI
KP GIUGILI RT 01/05 DS
KP GIUGILI RT 01/05 DS
KP GILI GILI RT 01/05 D5
KP KERANDING RT 01/0
KP KRANDING RT 02/0'
KP GILI GILI RT 01/05 D_.
KP GILI GILI RT 01/05 DSN i
KP GILI GILI RT 01/05 DSN ■
KP GILI GILI RT 01/05 DSN;
KP KRANDING RT 02/04 DSI
KP KRANDING RT 02/04 DSf
KP PULOSIRIH RT 02/03 DSN >., ..
KP PULOSIRIH RT 02/03 DSN II, R-
KP PULOSIRIH RT 02/03 DSN II, RV
KFGHUKfilLI RT 01/05 DSN 3 DSN II'
KP PULOSIRIH RT 02/01IB15N 1 DSt

KP PULOSIRIH RT 02/01 DSN! 1 DS
KP PULOSIRIH RT 01/03 DSN 1 T
KP KERANDING RT 01/04 (DSN 2
KP.CARINGIN RT 03/06 DSN 3 f
KP KERANDING RT 01/04. DSN
KP PULOSIRIH RT 01/03 (DSN '
r\i__
KPGILIGILI RT 02/05 DSN
KPGILIGILI RT 02/05 DSN ■
KPGILI'GILI RT 01/06 DSN 3 [
KPGILIGILI RT01/06 DSN 3 D!
KPGILIGILI RT 01/06 DSN 3 DS
KP GILI GILI RT 01/06 DSN 3 DSr
KP GILI GILI RT 02/05 D>N 3 OSN III,
RW 0!
RW 0!
RW 0!
RW 0
RW 0
RW 0
RW 0
RW C
III, RV
III, RV
III, RV
III, F
III, "
II, «vv
II, RW 0<
II, RW 0'
1, RW 01
1, RW 01,
1, RW 01,
1, RW 01,
1, RW 01,
1, RW 01,
II, RW 04,
II, RW 04,
II, RW 04,
II, RW 04,
II, RW 04,
II, RW 04,
1, RW 01,
KP KUDA KUDA RT 003 RW 001
DSN 1, RW 01,
KP GAMPRIT RT 02 RW 02 DSN 1
DSN 1, RW
DSN 1, RW
KP. KUDA
KP. KUDA
KP.GAMPI
KP.GAMPI
KP. GAMPI
KP. GAMPFv
KP. GAMPR
KP.GAMPRI
KP. GAMPRI1
KP. GAMPRI1
KP. GAMPRIT
KP. GAMPRIT
KP. GAMPRIT
KP. GAMPRIT
KP. GAMPRIT 1
KP. GAMPRIT \
KP. GAMPRIT A. .
KP. GAMPRIT RTC
KP. GAMPRIT RTO
KP. KUDA KUDA R"
KP. KUDA KUDA R1
KP. GAMPRIT RT 0<
KP. GAMPRIT RTOC
KP. GAMPRIT RT OC
KP. GAMPRIT RT OC
KP. KUDA KUDA RT
KP. KUDA KUDA RT
KP. KUDA KUDA RT
KP GAMPRIT RT 00
KP GAMPRIT RT 00
KP GAMPRIT RT 00
KP. GAMPRIT RT Ow-..... .
KP. GAMPRIT RT 003 RW 0
KP. GAMPRIT RT 003 RW Ou
KP GAMPRIT RT 02 RW 02 DSI*
KP GAMPRIT RT 02 RW 02 DSN
KP. GAMPRIT RT 003 RW 003 D
KP. GAMPRIT RT 003 RW 003 D!
KP. GAMPRIT RT 003 RW 003 DS„
KP. GAMPRIT RT 003 RW 003 DSN 3

KP. WANGKAL RT 004 RW 003 DSN

KP'
KP
KP.
KP.
KP.
KP.
KP.
KP.<
KP V
KP. V
KP W
KP. V
KP W
KP KL
KP KL '
KP KL
KP KL
KP. G
KP W
KP. G
KP W.
KP. Gi
KP W/
KP W/s
KP WA
KP WA
KP. GAl
KP GAN
KP. GAr.
KP. GAIV
KP GAM
KP. GAN
KP GAM
KP. GA\
KP GAM
KP GAM
KP. GACi
KP. GAf*
KP. GAf
KP KUD
KP KUDA ...
KP. GAMPR
KP GAMPR
KP GAMPR
KP GAMPR
KP. GAMPF
KP GAMPR
KP. GAMPF
KP. GAMPF
KP. GAMPR
KP. GAMPR
KP WANGK
KP. GAMPR
KP. GAMPR
KP. GAMPRIT RT 00.
KP. KUDAKUDA RTOOf
KP. KUDA KUDA RT 00!
KP. KUDAKUDA RT 00!
KP. KUDAKUDA RT 00!
KP. WANGKAL RT 004
KP. WANGKAL RT 004 1
KP WANGKAL RT 004 R
KP KUDA KUDA RT 003
KP KUDA KUDA RT 003
KP KUDA KUDA RT 003
KP WANGKAL RT 004 R
KP WANGKAL RT 004 R'
KP WANGKAL RT 004 R<
KP WANGKAL RT 004 R\
KP. TENJOLAUT RT 002
KP. TENJOLAUT RT 002 Kw UU1
KP. TENJOLAUT RT 002 RW 0011
KP. TENJOLAUT RT 002 RW 001 [
KP. GAMPRIT RT 002 RW 003 DSl
KP. TENJOLAUT RT 001 RW 001 C
KP. TENJOLAUT RT 001 RW 001 C
KP KUDA KUDA RT 003 RW 001 D
KP KUDA KUDA RT 003 RW 001 D
KP KUDA KUDA RT 003 RW 001 D!
KP. GAMPRIT RT 004 RW 002 DSN
KP. GAMPRIT RT 004 RW 002 DSr'
KP WANGKAL RT 004 RW 003 Df
KP WANGKAL RT 004 RW 003 C
KP WANGKAL RT 004 RW 003 C^,.
KP. KUDA KUDA RT 005 RW 001 D
KP. WANGKAL RT 004 RW 003 DSl
KP. WANGKAL RT 004 RW 003 DS
DSN 1
DSN 1
DSN 1
III,
DSN
III,
KP WANGKAL RT 004 RW 003 DSN
III
III,
III,
II
KP WANGKAL RT00*!...
KP WANGKAL RT 004 RW 003 1
KP WANGKAL RT 004 RW 003 1
KP. TENJOLAUT RT 002 RW 00:
KP. TENJOLAUT RT 002 RW 00:
KP. GAMPRIT RT 002 RW 003 D
KP. GAMPRIT RT 002 RW 003 D?
KP. GAMPRIT RT 003 RW 003 D5
KP. GAMPRIT RT 003 RW 003 DSN ■
KP. GAMPRIT RT 003 RW 003 DSN !
KP KUDA KUDA RT 004 RW 001 DSI

DSrv

III
III
III
III
KP. KUDA KUDA RT 005 RW 001

DSN 1
DSN 1
DSN 1
DSN 1

DSN 1

DSN 1
DSN 1
KP. GAMPf _ DT "03 RW 003 DSN 3
KP. GAMP1
KP. GAMP
KP. GAMP
KP. GAMP
KP KUDA KUDA RT 004 RW 001 [
KP. GAMPRIT RT 003 RW 003 DS
KP KUDA KUDA RT 004 RW 001 C
KP. GAMPRIT RT 003 RW 003 DSr
KP KUDA KUDA RT 004 RW 001 DI
KP KUDA KUDA RT 004 RW 001 DS
KP GAMPRIT RT 001 RW 003 DSN II
KP. GAMPRIT RT 003 RW 003 DSN :
KP WANGKAl RT 004 RW 003 DSN 1


KP. GAMPRIT RT 004
KP
- Q&MftWr'tfr 004 RW 002 DSN 2

DSN 1
DSN 1
DSN 1
DSN 1
DSN 1

DSN 1
DSN 1
DSN 1

III, RW 03,

III, RW 03,
III, RW 03
III, RW 01
DSN 1
III, RW 03
III, RW 03
DSN 1
III, RV

KP. GAMPRIT RT 003 RW 003 UbiN
o
DSN 1
DSN 1
DSN 1
DSN 1
DSN 1
KP GAMPRIT RT 02 RW 02 DSN 1,
RW 02, R"
DSN 1
RW 02, R"
DSN 1
DSN 1

III, RW 0

DSN 1
DSN 1
DSN 1
DSN 1
III, RW 03,
DSN 1
DSN 1
DSN 1
III, RW 03,
III, RW 03,
III, RW 03,
RW 02, RT 0
III, RW 03, F
RW 02, RT 0:

DSN 1, RW 01,
DSN 1, RW 01,
III, RW 03,

DSN 1
DSN 1, RW 01,
DSN 1

III, RW C
III, RW (
III, RW 0
DSN 1, RW
DSN 1, RW
III, RW 1
III, RW
III, R^
Ml, n, p=f.

III RW 03 Rf
DSN 1
KP WANGKA. RT 004 RW 003 DSN
III RW03 RT"
KP. GAMPR! RT 001 RW 002 DSN 1
KP WANGKA. RT 004 RW 003 DSN

III, RW 03 RT
KP WANGK«L RT 004 RW 003 DSN

III, RW 03 RT~
III RW 03 RT r
KP.
KP KUDA KUDA
KP GAMPRIT RT
KP. GAMPRIT R7
KP GAMPRIT RT
KP. GAMPRIT R1
KP. GAMPRIT R1
KP. GAMPRIT R1
KP WANGKAL R1
KP. GAMPRIT RT
KP WANGKAL RT
KP GAMPRIT RTi
KP KUDA KUDA F
KP GAMPRIT RT (
KP GAMPRIT RTC
KP GAMPRIT RTC
KP. GAMPRIT RTI
KP. GAMPRIT RT .
KP. GAMPRIT RT 003 F
KP KUDA KUDA RT 00:
KP. GAMPRIT RT 003 1
KP WANGKAL RT 004
KP. TENJOLAUT RT 00
KP. GAMPRIT RT 003 R
KP. TENJOLAUT RT 001F
KP. GAMPRIT RT 003 RV
KP GAMPRIT RT 001 RW
KP GAMPRIT RT 001 RW
KP KUDA KUDA RT 003 f
KP WANGKAL RT 004 RV
KP GAMPRIT RT 02 RW C
KP. GAMPRIT RT 003 R\A
KP KUDA KUDA RT 004 R
KP. GAMPRIT RT 003 RW
KP GAMPRIT RT 02 RW 0
KP KUDA KUDA RT 0(
KP KUDA KUDA RT 01
KP KUDA KUDA RT 01
KP KUDA KUDA RT 01
KP KUDA KUDA RT 01
KP MJ
KP KU
KP.G/
KP. TE
KP KUI
KP. TEI
KP. GA
KP. KU
KP. GA
KP. GAi
KP. GAI
KP. KUt
KP. GAI
KP. GAr
KP. KUC
KP. KUDA
KP. KUDAKUDAF
KP. GAMPRIT RT
KP. GAMPRIT RT
KP. GAMPRIT RT
KP. KUDA KUDA
KP. KUDA KUDA
KP. GAMPRIT R"
KP. GAMPRIT R
KP. GAMPRIT R
KP GAMPRIT RT 02 RW
KP. GAMPRIT RT 003 f
KP GAMPRIT RT 02 RV
KP GAMPRIT RT 02 RV
KP. GAMPRIT RT 0011
KP. GAMPRIT RT 0041
KP WANGKAL RT 004 RW
KP WANGKAL RT 004 RW
KP KUDA KUDA RT 004 RV
KP. KUDA KUDA RT 005 RV
KP. GAMPRIT RT 004 RW C
KP KUDA KUDA RT 004 R\A
KP WANGKAL RT 004 R<
KP. KUDAKUDA RT 005 R„
KP. KUDAKUDA RT 005 RW <
KP. KU'DA KUDA RT 005 RW (.
KP WANGKAL RT 004 RW 00:
KP WANGKAL RT 004 RW 003
KP. GAMPRIT RT 003 RW 003 I
KP GAMPRIT RT 001 RW 003 C
KP. GAMPRIT RT 003 RW 003 [
KP. GAMPRIT RT 003 RW 003 C
KP GAMPRIT RT 001 RW 003 D
KP. GAMPRIT RT 003 RW 003 P
KP GAMPRIT RT 001 RW 003 DS
KP GAMPRIT RT 001 RW 003 DS
KP. GAMPRIT RT 004 RW 002 D!

DSN
DSN
III,
DSN 1
DSN 1
DSN 1
DSN :
III,
DSN 1
DSN !

DSI^
DSN


CP KUdAKUD, -----AJU/
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GAMPRIT R
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LAMPIRAN I BERITA ACARA HASIL VERIFIKASI JASA JAMINAN KESEHATAN
Nomor : 800 / / Dinkes / / 2013
Tanggal :
DAFTAR BELANJA JASA JAMINAN KESEHATAN RAWAT JALAN JAMKESMAS DALAM DAN LUAR GEDUNG
DALAM KEGIATAN PELAYANAN KESEHATAN MASYARAKAT (JAMKESMAS) dan JAMINAN PERSALINAN (JAMPERSAL)
DINAS KESEHATAN KABUPATEN BEKASI
KLAIM BULAN DESEMBER 2013
NO REKENING : 5.2.2.03.13
PELAYANAN KESEHATAN DAN BESARAN TARIF
JENIS PEMERIKSAAN PENUNJANG
NO KARTU PESERTA UMUR TANGGAL Tindakan TOTAL BIAYA
NO NAMA PASIEN KELAMIN DIAGNOSA POLI UMUM POLI GIGI Lab.
JAMKESMAS (THN) KUNJUNGAN Radiologi Sederhana (Rp)
(L/P) (Rp) (Rp) Sederhana USG (Rp)
(Rp) (Rp)
(Rp)
1 SILVIA ISLAMIATI 0000 493400878 26 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2 RIFAL FAQIH A 0000 493401058 15 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3 M NAZRIEL A 0000 493401159 16 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4 YASIFA KOMALASARI 0000 493373417 32 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
5 KARSIN 0000 493402285 38 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
6 NALIH 0000 493374205 19 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
7 CACAH 0000 493374251 18 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
8 LIA RUKMANA 0000 493374284 20 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
9 NITA 0000 493374824 29 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
10 ANAH 0000 493375026 33 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
11 ROMIHAH 0000 493375184 30 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
12 YUNI YUNINGSIH 0000 493403466 22 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
13 ELSA NURAINI 0000 493375577 25 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
14 ANISAH 0000 493403848 13 P 2/12/2013 caries gigi 0 4,000 0 0 0 0 4,000
15 KHAIRUDIN 0000 493403984 15 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
16 KURNIA APRILIA 0000 493375961 26 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
17 NYIMEH 0000 493404212 22 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
18 DANA 0000 493376613 64 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
19 OMPONG 0000 493404647 44 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
20 ENYIH 0000 493404851 42 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
21 ENDA 0000 493404873 65 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
22 NOMI 0000 493405413 70 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
23 MUINAH 0000 493377344 56 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
24 YAYAN 0000 493405468 54 L 2/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
25 NAPSIAH 0000 493377917 21 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
26 SARIPAH 0000 493378143 56 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
27 NURYATI 0000 493406144 26 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
28 NIMIN 0000 493378727 27 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
29 WATI 0000 493378852 19 P 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
30 NIA 0000 493379392 20 P 2/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
31 ROHMAT 0000 493379572 30 L 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
32 NAWIN 0000 493407538 65 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
33 ONYIH 0000 493408168 70 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
34 DARMIN 0000 493408225 32 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
35 TINAH 0000 493408484 12 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
36 JAYA 0000 493408721 36 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
37 ALOI KURNIYAWAN 0000 493381282 23 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
38 RAMIH 0000 493409698 50 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
39 JAENUDIN 0000 493409924 56 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
40 SANAH 0000 493409992 40 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
41 DINDA ARILIA 0000 493381787 42 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
42 SOPIAH 0000 493410238 36 P 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
43 RAFI 0000 493410767 34 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
44 AHMAD FAUZI 0000 493411048 55 L 2/12/2013 ISPA 4,000 0 0 0 0 0 4,000
45 EKO 0000 493382597 21 L 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
46 NURA 0000 493382643 46 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
47 NURYADI 0000 493382979 60 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
48 AMI 0000 493383047 32 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
49 ERNA 0000 493383317 16 P 2/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
50 TARSIH 0000 493411656 47 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
51 MUHAMAD IKSAN 0000 493383611 50 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
52 YASIN HIDAYAT 0000 493412354 42 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
53 WASDA 0000 493429454 46 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
54 KUSNADI 0000 493429678 67 L 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
55 WAHYU 0000 493451594 54 P 2/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
56 ANIN 0000 493451831 33 L 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
57 KARTINI 0000 493430095 45 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
58 SATAM 0000 493430207 47 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
59 ROMLAH 0000 493430804 58 P 2/12/2013 caries gigi 0 4,000 0 0 0 0 4,000
60 SAPITRI 0000 493431208 22 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
61 ATIKAH 0000 493452112 34 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
62 ARIYANTO 0000 493452382 45 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
63 JANIN 0000 493431491 70 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
64 YATI 0000 493431579 56 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
65 NURYADI 0000 493431794 73 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
66 TIMAN 0000 493452742 56 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
67 LUSI 0000 493431963 44 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
68 MUNIR 0000 493432031 35 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
69 MISAH 0000 493453337 69 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
70 TITIN FATIMAH 0000 493453822 20 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
71 NENENG ANJARWATI 0000 493453989 19 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
72 USIN 0000 493453991 44 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
73 TINGGAL 0000 493454092 34 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
74 TATIH 0000 493454215 25 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
75 DINDA SARI LESTARI 0000 493433482 34 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
76 IMUN 0000 493433662 65 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
77 INAH 0000 493454463 12 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
78 ROMI 0000 493454474 29 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
79 ARIUDIN 0000 493454586 43 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
80 NURDIN 0000 493454698 50 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
81 M ILHAM F 0000 493454733 32 L 2/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
82 ITAH 0000 493454856 56 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
83 KARTINI 0000 493455249 42 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
84 JUMADI 0000 493455339 45 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
85 OESI PUSPITA S 0000 493455442 46 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
86 MIMIN 0000 493455879 29 P 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
87 OEDE A FAUZI 0000 493455914 64 L 2/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
88 MAHMUD 0000 493435495 40 L 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
89 AHMAD FADILAH 0000 493456836 12 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
90 NOSAN 0000 493435765 17 L 2/12/2013 caries gigi 0 4,000 0 0 0 0 4,000
91 SITI KHADIZAH Z 0000 493456904 32 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
92 KARTA 0000 493457231 29 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
93 ANNY SUMARNI 0000 493457253 13 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
94 CI NOT 0000 493457286 35 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
95 SOPYAN HADI 0000 493457321 27 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
96 RUSMINI 0000 493457657 54 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
97 ISKANDAR 0000 493457815 33 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
98 RINAH 0000 493465915 22 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
99 GUNIN 0000 493466321 11 L 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
100 NURAINI 0000 493481992 26 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
101 M SAEPUDIN 0000 493482014 59 L 2/12/2013 ISPA 4,000 0 0 0 0 0 4,000
102 NANA SUPRIATNA 0000 493482093 33 L 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
103 ENAH 0000 493482115 45 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
104 RADI 0000 493482205 23 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
105 ELLA 0000 493482273 45 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
106 RIKA 0000 493466624 40 P 2/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
107 RIFALDI 0000 493466804 32 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
108 SAMIH 0000 493466837 47 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
109 AMELIA 0000 493482464 40 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
110 ISMAIL SALEH 0000 493467017 32 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
111 RIKA APRIYANI 0000 493483149 17 P 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
112 M DAISAL 0000 493467671 42 L 2/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
113 NEMAH 0000 493483397 10 P 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
114 INAH MARYANAH 0000 493468299 33 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
115 OMAN 0000 493468334 28 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
116 YADI 0000 493483904 39 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
117 NENAH 0000 493484073 40 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
118 LANA SUSANTO 0000 493468424 33 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
119 SARI MANAH 0000 493468558 41 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
120 JENAH 0000 493468569 32 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
121 SARI 0000 493484196 33 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
122 DASIM 0000 493484253 45 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
123 ASEP 0000 493484556 60 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
124 TOYIDI 0000 493469019 21 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
125 MUSLIMAH 0000 493469267 25 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
126 ARYA UMARHADI 0000 493469313 37 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
127 KULTA 0000 493469346 68 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
128 KUCENG 0000 493484657 44 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
129 SRI WAHYUNI 0000 493485028 30 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
130 AHMAD HAPIS A 0000 493469504 10 L 2/12/2013 caries gigi 0 4,000 0 0 0 0 4,000
131 MASUDIN 0000 493469763 45 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
132 DENDIH 0000 493485164 33 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
133 TAJWA1 0000 493485197 23 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
134 USMAN 0000 493485355 46 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
135 ANDRl 0000 493485467 70 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
136 NEMIH 0000 493469998 32 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
137 NAMI 0000 493470022 13 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
138 SURYADI 0000 493470055 45 L 2/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
139 SAMAH 0000 493485524 60 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
140 SIMAH 0000 493485546 22 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
141 YUSUP 0000 493485669 34 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
142 SITI MAPULAH 0000 493485704 55 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
143 ROSAD 0000 493485985 13 L 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
144 TANIA 0000 493470549 45 P 2/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
145 AKIN 0000 493470562 34 L 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
146 MASNAH 0000 493486031 22 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
147 APRIYANTI 0000 493486108 36 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
148 TINI 0000 493486211 34 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
149 MUHAMAD SIDIK 0000 493486277 65 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
150 LI LIS 0000 493498113 32 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
151 WANITA 0000 493498124 33 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
152 LISAH 0000 493498168 45 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
153 SANTIH 0000 493498719 12 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
154 DELIA PUSPITASARI 0000 493498901 15 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
155 TAMIN 0000 493498934 20 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
156 MANAN 0000 493498978 14 L 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
157 ANAH 0000 493499024 56 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
158 WARSIH 0000 493499057 23 P 2/12/2013 ISPA 4,000 0 0 0 0 0 4,000
159 M ROMADON 0000 493499272 40 L 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
160 ABDUL SALAM 0000 493499283 16 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
161 MARUNAH 0000 493499608 27 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
162 MIFTAHUUANAH 0000 493499946 24 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
163 KUSRINAH 0000 493499992 30 P 2/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
164 NATA 0000 493500666 23 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
165 ALDI 0000 493500802 21 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
166 RINA DEWI R 0000 493501105 34 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
167 SURYA 0000 493501599 25 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
168 NAMI 0000 493501634 60 P 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
169 SITI FATIMAH 0000 493501983 34 P 2/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
170 NIMAN 0000 493502916 26 L 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
171 RANTA 0000 493503063 22 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
172 OSIH 0000 493503107 34 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
173 ABDUL RIZAL 0000 493503153 65 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
174 SANAH 0000 493503423 20 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
175 JONO 0000 493503456 33 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
176 AMSAH 0000 493503513 42 P 2/12/2013 penyakit pulpa 0 4,000 0 0 0 0 4,000
177 SURYADI 0000 493503535 11 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
178 DARMA 0000 493503581 24 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
179 ENI 0000 493503772 9 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
180 SARIF HIDAYATULLAH 0000 493503805 34 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
181 RAMIN 0000 493504143 22 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
182 ANGGI 0000 493504187 67 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
183 AYU DENITA 0000 493504255 79 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
184 SUNAH 0000 493504312 23 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
185 HOLIK YANTO 0000 493504446 23 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
186 M HAKIKI 0000 493504626 40 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
187 ROYAHILI 0000 493504749 50 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
188 ANI 0000 493504762 21 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
189 SITI ROPIKOH 0000 493505021 45 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
190 TUTI ALAWIAH 0000 493505291 33 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
191 MINA 0000 493505458 45 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
192 NANTIH 0000 493505728 65 P 2/12/2013 caries gigi 0 4,000 0 0 0 0 4,000
193 JUANDA PRASETIYO 0000 493505886 39 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
194 RIO PRAMBUDI 0000 493505921 21 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
195 SAMSUDIN 0000 493505965 34 L 2/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
196 NAINOL 0000 493506369 22 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
197 MANAH 0000 493506595 45 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
198 DAIS 0000 493506639 65 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
199 PRIANTO 0000 493506641 33 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
200 RISKA SRI MEDIKA 0000 493506819 31 P 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
201 IPAH KAMELIA 0000 493507326 24 P 2/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
202 ENDANG 0000 493507664 56 L 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
203 YATI 0000 493507765 60 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
204 M SOLEH 0000 493548603 43 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
205 AROH SITI MUNAWAROH 0000 493548693 25 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
206 RAME 0000 493548849 21 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
207 ANGGI 0000 493549121 22 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
208 AJA 0000 493549402 45 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
209 MAMAD 0000 493549626 34 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
210 BOSIH 0000 493550561 36 P 2/12/2013 penyakit pulpa 0 4,000 0 0 0 0 4,000
211 USUP 0000 493550831 40 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
212 INAH 0000 493551369 12 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
213 ARDI WIRANATA 0000 493552326 34 L 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
214 NEMAH 0000 493552989 25 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
215 SAHIDIN 0000 493554407 33 L 2/12/2013 ISPA 4,000 0 0 0 0 0 4,000
216 NYOIN SUHERMAN 0000 493554431 46 L 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
217 SANIH 0000 493554475 40 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
218 WARTINI 0000 493554611 13 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
219 SITI FATIMAH 0000 493555116 24 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
220 ABDUL MAZID 0000 493555318 34 L 2/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
221 AAN 0000 493555544 46 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
222 PUTRI PUSPITA SARI 0000 493555713 22 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
223 ASIM 0000 493555825 10 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
224 NANI 0000 493556106 23 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
225 CAMI NURCAHYANI 0000 493556308 29 P 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
226 SITI AISAH 0000 493509374 19 P 2/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
227 ARMAH 0000 493509429 28 P 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
228 SARIDAH 0000 493509519 18 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
229 LUTPI S 0000 493557107 17 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
230 NIKI 0000 493557401 16 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
231 BENIH 0000 493557445 14 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
232 RAIS 0000 493557647 33 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
233 ICIH 0000 493557726 26 P 2/12/2013 penyakit pulpa 0 4,000 0 0 0 0 4,000
234 SAPRI 0000 493557996 33 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
235 KARDAN 0000 493558233 26 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
236 ADI TAJIRI 0000 493509688 36 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
237 NURAENI 0000 493509712 33 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
238 SIGIT MAHESA 0000 493509835 50 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
239 SUHARYONO 0000 493509925 20 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
240 TEGUH 0000 493509936 30 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
241 KATEM 0000 493510105 43 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
242 ERWIN 0000 493510443 50 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
243 CARMANAH 0000 493510689 27 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
244 SUKARYA 0000 493510792 38 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
245 ROAN AGAS 0000 493510972 29 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
246 ENTIN 0000 493511027 22 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
247 NURMAH 0000 493511051 43 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
248 ROKIB 0000 493511196 50 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
249 MUHANA 0000 493511387 13 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
250 RAH MAT 0000 493511409 47 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
251 M SOLEH WIJAKSONO 0000 493511714 33 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
252 NINING 0000 493511736 46 2/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
253 PUTRI KARLINA 0000 493511938 28 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
254 WIHARTA 0000 493511951 27 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
255 BOBI 0000 493512041 34 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
256 NIMAN 0000 493523267 50 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
257 ALDA 0000 493523289 12 P 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
258 SUTINAH 0000 493523605 35 P 2/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
259 FEBI 0000 493523706 26 L 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
260 MIRTA 0000 493523739 38 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
261 M IKSAN 0000 493523842 12 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
262 AHMAD ISNANTO 0000 493524101 45 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
263 WANTA 0000 493524279 60 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
264 CEKUT 0000 493524426 13 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
265 MARTAM 0000 493524472 24 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
266 RUMINAH 0000 493524628 56 P 2/12/2013 penyakit pulpa 0 4,000 0 0 0 0 4,000
267 DARSA 0000 493524909 32 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
268 RAJU 0000 493525135 44 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
269 SADAN 0000 493525258 32 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
270 SARKIM 0000 493525596 22 L 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
271 ANI 0000 493525642 34 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
272 NURI 0000 493525888 54 P 2/12/2013 ISPA 4,000 0 0 0 0 0 4,000
273 NURYADI 0000 493526103 21 L 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
274 IYUNG 0000 493526621 32 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
275 DILAH 0000 493527126 42 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
276 KARMA 0000 493527521 35 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
277 NAREM 0000 493527587 36 P 2/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
278 DARA 0000 493527622 37 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
279 RATNA 0000 493527846 56 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
280 NAJARUDIN 0000 493527925 13 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
281 INAN 0000 493527982 24 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
282 SANAH 0000 493528252 33 P 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
283 SATA 0000 493472619 56 L 2/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
284 RASEM 0000 493472643 13 P 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
285 SITI PATMALA 0000 493472687 24 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
286 OAYU 0000 493472788 56 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
287 ASEP 0000 493472823 70 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
288 PINAH 0000 493558694 12 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
289 TITIN 0000 493528904 23 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
290 BONAH 0000 493559651 43 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
291 IRA NURSAFITRI 0000 493560358 54 P 2/12/2013 penyakit pulpa 0 4,000 0 0 0 0 4,000
292 GITO 0000 493561361 23 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
293 IDA 0000 493561416 45 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
294 TRIANA 0000 493561517 60 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
295 MAHATI 0000 493561923 23 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
296 DINA 0000 493561978 45 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
297 ABDUL ROHMAN 0000 493562182 32 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
298 SAIM 0000 493562248 14 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
299 ESAH 0000 493562259 23 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
300 ROHMAH 0000 493562676 45 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
301 RONI 0000 493562766 46 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
302 SITI SOLEHAH 0000 493563183 33 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
303 ALIA DWI ROHIMAH 0000 493563295 55 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
304 ISAN 0000 493564623 34 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
305 SAINI 0000 493564792 55 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
306 P.ENDI 0000 493564814 34 L 2/12/2013 infeksi gusi 0 4,000 0 0 0 0 4,000
307 PAU 0000 493564836 54 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
308 UCU 0000 493564871 32 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
309 DIAN 0000 493565308 34 P 2/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
310 SONI 0000 493565455 30 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
311 PAHRIANSAH 0000 493598305 35 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
312 NASIH 0000 493579102 24 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
313 MISRI 0000 493579124 50 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
314 KEBOT 0000 493579438 23 L 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
315 WAHYU 0000 493598766 45 L 2/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
316 RINAH 0000 493598856 15 P 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
317 HERMAN 0000 493599093 36 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
318 RINAH 0000 493579618 47 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
319 SELPI 0000 493599519 10 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
320 ROTIAH 0000 493599881 13 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
321 KAMELIA 0000 493580619 24 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
322 IKOH 0000 493600465 54 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
323 SALSABILA 0000 493581183 27 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
324 HERLINA PUTRI 0000 493600601 35 p 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
325 SUTARI 0000 493600746 46 l 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
326 ANDI 0000 493601016 56 l 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
327 ROMAH 0000 493601332 43 p 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
328 roni gunawan 0000 493601398 40 l 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
329 RIAN KURNIAWAN 0000 493601455 34 l 2/12/2013 ISPA 4,000 0 0 0 0 0 4,000
330 SAIH 0000 493581925 43 l 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
331 RINI 0000 493582048 54 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
332 NUNUNG NURJANAH 0000 493601512 32 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
333 DASAN 0000 493601758 41 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
334 SURYATI 0000 493601859 20 P 2/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
335 TASIH 0000 493582151 17 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
336 SUHALIMAH 0000 493582476 19 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
337 PAHMI ALMUHAOIS 0000 493602412 34 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
338 UDIN 0000 493582544 56 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
339 MAAH 0000 493582768 24 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
340 NURHAYATI 0000 493583297 56 P 2/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
341 ROHIM 0000 493583332 60 L 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
342 ANGGA FAUZI 0000 493602941 24 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
343 SUMIRAH 0000 493603029 25 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
344 SUNARYO 0000 493603064 35 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
345 URIYATI 0000 493583545 43 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
346 UMIN 0000 493603637 33 L 2/12/2013 infeksi gusi 0 4,000 0 0 0 0 4,000
347 SUKARYA 0000 493603661 27 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
348 WOWON 0000 493603716 19 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
349 NURSINAH 0000 493603773 23 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
350 ANGGA MUALIM 0000 493583861 14 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
351 muhamad dartim 0000 493584388 57 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
352 SRI ANDATIKA 0000 493584423 23 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
353 ANDRI AGASI 0000 493584669 40 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
354 ROHW^jÛHORI 0000 493584759 13 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
355 ROHANI 0000 493643801 24 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
356 MISNI RATNASARI 0000 493644407 50 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
357 ELAN SUHERLAN 0000 493645116 23 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
358 ERVAN HERLANSYAH 0000 493645217 45 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
359 SUPARMAN 0000 493645296 61 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
360 M IRPAN 0000 493624912 20 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
361 NIIH 0000 493625002 23 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
362 RAH MAT 0000 493625248 45 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
363 JUMIYEM 0000 493646049 49 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
364 PRASETIO 0000 493646073 20 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
365 TUNIH 0000 493625733 23 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
366 SAMSUDIN 0000 493625889 35 L 2/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
367 WIRA 0000 493625968 45 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
368 SOPRIH 0000 493626058 36 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
369 EDI MARYADI 0000 493646736 45 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
370 IKBAL 0000 493626521 13 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
371 SAREM 0000 493626688 42 P 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
372 TIIN 0000 493647333 34 L 2/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
373 TATI 0000 493647581 50 P 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
374 ECA 0000 493626824 12 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
375 HALIMAH 0000 493626971 23 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
376 YADI 0000 493627151 45 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
377 HANIFAH 0000 493647952 60 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
378 YUDA 0000 493627612 23 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
379 SAID 0000 493627724 45 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
380 RINDI ANTIKA 0000 493648222 43 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
381 SUCI 0000 493648277 44 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
382 SITI SOFIAH 0000 493627768 21 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
383 SURYANI 0000 493627994 22 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
384 MIAN 0000 493648705 45 L 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
385 SARI WULAN 0000 493628567 36 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
386 NUR 0000 493649223 38 P 2/12/2013 ISPA 4,000 0 0 0 0 0 4,000
387 SAPAN 0000 493628883 39 I 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
388 UAH 0000 493628927 23 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
389 EVI RAHMAWATI 0000 493629006 20 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
390 APRIH 0000 493649515 21 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
391 ANDRI 0000 493649673 24 L 2/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
392 NABRIH 0000 493629276 26 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
393 NIAH 0000 493649897 29 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
394 INDAR 0000 493650009 30 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
395 AMIH 0000 493650303 43 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
396 RASIH 0000 493629794 21 P 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
397 SUTINI 0000 493630064 26 P 2/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
398 SARBINI 0000 493680835 33 L 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
399 MIDA 0000 493680936 44 p 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
400 RINDIYANI 0000 493703019 20 p 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
401 DESTY DEA NATHALIA 0000 493703278 21 p 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
402 JOHARI 0000 493681735 35 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
403 SAFITRI 0000 493682196 60 p 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
404 SINTA 0000 493682602 32 p 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
405 BASUNI 0000 493683513 15 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
406 TARMINAH 0000 493683524 27 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
407 ILHAM 0000 493683636 38 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
408 SITI BAINAH 0000 493683906 21 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
409 SITI HABIBAH 0000 493684031 22 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
410 UJANG 0000 493684086 34 L 2/12/2013 infeksi gusi 0 4,000 0 0 0 0 4,000
411 ANIH 0000 493684154 56 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
412 ENDANG 0000 493684468 30 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
413 UUN 0000 493685256 12 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
414 ANDRI 0000 493685561 25 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
415 AYUB M 0000 493686483 26 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
416 EEM 0000 493687743 37 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
417 IRPAN S 0000 493688946 49 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
418 MAYANG SARI 0000 493690724 40 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
419 KINAN 0000 493703447 43 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
420 DEWI ANGGRAENI 0000 493691016 21 P 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
421 KAMI 0000 493691051 24 P 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
422 OSID 0000 493691152 30 L 2/12/2013 Demam 4,000 0 0 0 0 0 4,000
423 MASNI 0000 493691602 43 P 2/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
424 NATIH 0000 493691916 32 P 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
425 NADIH 0000 493692129 34 L 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
426 IDIK 0000 493692344 60 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
427 DEWI 0000 493693762 43 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
428 DEA RULITA 0000 493694188 34 P 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
429 IJO 0000 493694346 11 P 2/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
430 BANIH 0000 493695066 43 L 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
431 BASIR 0000 493695112 29 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
432 REZA 0000 493695224 30 I 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
433 MANIN 0000 493695584 43 L 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
434 KANIH 0000 493696225 22 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
435 HASAN 0000 493696337 10 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
436 MURNI 0000 493696721 29 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
437 RONI 0000 493697103 50 L 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
438 DINI 0000 493697722 34 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
439 ANGGUN 0000 493697834 24 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
440 DEWI 0000 493698071 22 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
441 LEMIH 0000 493704382 33 P 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
442 KASMAR 0000 493705113 40 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
443 ATO 0000 493706248 50 L 2/12/2013 ISPA 4,000 0 0 0 0 0 4,000
444 PANDI 0000 493699026 45 L 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
445 WIWIN 0000 493707093 36 P 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
446 SITI JAMILAH 0000 493707262 29 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
447 JAHIRAH 0000 493707868 30 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
448 JMHIN 0000 493922349 20 L 2/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
449 JOYO BOYO 0000 493901392 40 L 2/12/2013 Batuk 4,000 0 0 0 0 0 4,000
450 MARSAH 0000 493901673 50 p 2/12/2013 Influenza 4,000 0 0 0 0 0 4,000
451 SRI KOMARIAH 0000 493901897 30 p 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
452 MUNIR A2IS 0000 493922586 22 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
453 ETI 0000 493922621 34 p 2/12/2013 Ispa 4,000 0 0 0 0 0 4,000
454 SITI HOPIPAH 0000 493922812 50 p 2/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
455 SUBONO 0000 493901987 21 L 2/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
456 ENAH SUHAENAH 0000 493902191 23 P 2/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
457 YONO EKO PURWANTO 0000 493902268 45 L 2/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
458 FITRIAH SITI NURAJIS 0000 493923025 50 P 2/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
459 ANISA AZZAHRA 0000 493902538 24 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
460 SUMINI 0000 493903012 54 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
461 AFIH 0000 493924555 34 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
462 EMBUN 0000 493903585 44 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
463 GUMIH 0000 493903991 25 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
464 ARDI 0000 493924983 14 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
465 NEMI 0000 493925016 35 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
466 MIMIJAMILAH 0000 493904136 46 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
467 KARMAN 0000 493904597 37 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
468 DINAH 0000 493925365 40 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
469 NIMUN 0000 493925679 23 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
470 KARMILAH 0000 493904722 14 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
471 IBROHIM 0000 493904935 25 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
472 BONYAH 0000 493905071 40 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
473 MASTINA 0000 493925826 34 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
474 NIA 0000 493925995 23 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
475 ABUT 0000 493926219 17 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
476 ACE 0000 493905227 15 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
477 SAMI 0000 493906239 23 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
478 DEDI 0000 493927031 40 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
479 WINARSIH 0000 493906768 23 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
480 OEDEH 0000 493906893 43 P 3/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
481 JAENUDIN 0000 493907556 60 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
482 NENGSIH 0000 493928831 30 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
483 ABDUL ROHMAN 0000 493907815 19 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
484 TITIN NURLAELA 0000 493907872 22 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
485 LULU KARYATI 0000 493908164 34 P 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
486 DEA 0000 493929099 25 P 3/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
487 DELA 0000 493929371 50 P 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
488 RATU LAELA SALWA 0000 493908355 32 P 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
489 WANDIH 0000 493908568 45 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
490 WARDIAH 0000 493908682 22 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
491 TATANG 0000 493929843 31 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
492 TASIM 0000 493947731 23 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
493 ERYANTI 0000 493930631 34 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
494 MUNAWAROH 0000 493909751 50 P 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
495 IMAH 0000 493948427 12 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
496 ARTI 0000 493948629 13 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
497 DEDE MAULANA 0000 493930866 24 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
498 M ZAENUDIN 0000 493910177 50 L 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
499 DANA KUSTIANA 0000 493910381 13 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
500 DIANA 0000 493948956 24 P 3/12/2013 ISPA 4,000 0 0 0 0 0 4,000
501 SUGIH PRIATNA 0000 493931261 25 L 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
502 HENDRAJAYA 0000 493931395 28 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
503 TUNAH LESTARI 0000 493931722 39 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
504 SALWA KHAUDIYAH 0000 493910965 30 P 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
505 iviiSKAM 0000 493957348 21 L 3/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
506 YATI 0000 493957495 33 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
507 ASNAN 0000 493957697 24 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
508 SETIAWATI 0000 493941745 31 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
509 ANDI 0000 493941879 25 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
510 NAMOT 0000 493957888 37 P 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
511 GUNAH 0000 493942206 38 L 3/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
512 8ANJIR 0000 493942296 24 P 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
513 ODING 0000 493958564 56 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
514 ETI YUIIANTI 0000 493958687 40 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
515 HOUL 0000 493942498 21 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
516 KAMAH 0000 493942792 35 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
517 RAMAH 0000 493959069 34 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
518 DEDE SYARIFUDIN 0000 493943141 26 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
519 DEDI ROMDONI 0000 493943466 29 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
520 ATIP 0000 493943646 31 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
521 DEDE 0000 493959611 40 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
522 KAMAN 0000 493959723 45 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
523 ISAH 0000 493959947 40 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
524 SUHADA 0000 493944096 32 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
525 DOSOL 0000 493960252 47 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
526 SURYADI 0000 493944568 40 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
527 TARNIH 0000 493944636 32 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
528 KANAH 0000 493961275 17 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
529 RINTO 0000 493944737 42 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
530 RATIH 0000 493944862 10 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
531 BAGAS 0000 493945626 33 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
532 RASWANI 0000 493945694 28 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
533 AKUB 0000 493961938 39 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
534 MANYIH 0000 493962467 40 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
535 NACAH 0000 493945931 33 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
536 SITI ANDAWIYAH 0000 493946278 41 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
537 MAWIH 0000 493946335 32 L 3/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
538 TONO 0000 493962985 33 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
539 RATNASARI 0000 493963075 45 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
540 KARSIH 0000 493946425 60 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
541 ANITA 0000 493946458 21 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
542 ABDUL AZIS 0000 493946526 25 L 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
543 HUSWATUN HASANAH 493963839 37 P
0000 3/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
544 RA5DI 0000 493964785 68 L 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
545 NENENG 0000 493965617 44 P 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
546 SINAH 0000 493975809 30 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
547 5ETIAJI 0000 493966304 10 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
548 AGUS SANT050 0000 493966348 45 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
549 ENON 0000 493966495 33 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
550 AAN RATNA N 0000 493976632 23 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
551 IRFAN Y 0000 493966653 46 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
552 WIRGI N 0000 493967171 70 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
553 SRI ASTUTI 0000 493977159 32 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
554 WAWAN GUNAWAN 0000 4939 77249 13 i 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
555 ANIH 0000 493977295 45 P 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
556 FAZRIYAH N 0000 493967733 60 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
557 ASIM 0000 493977565 22 L 3/12/2013 ISPA 4,000 0 0 0 0 0 4,000
558 FAHRIZ A 0000 493967823 34 L 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
559 OTONG 0000 493947134 55 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
560 EMI 0000 493947303 13 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
561 CAMANG 0000 493978195 45 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
562 MARTA 0000 493968688 34 L 3/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
563 uo 0000 493968756 22 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
564 SENGGOL 0000 493968947 36 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
565 HIMALIA 0000 493986036 34 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
566 MOHAMAD ALPIANS 0000 493986576 65 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
567 MASNA 0000 494009537 32 P 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
568 DEDE HARYANTO 0000 494009932 33 L 3/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
569 KAMAN 0000 493986846 45 L 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
570 NAILA SUCITARI 0000 493986925 12 P 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
571 GUSUN 0000 493986969 15 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
572 HASBY PUTRA WIJAYA 0000 493987048 20 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
573 JULI YANTO 0000 494010347 14 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
574 SAIFUL 0000 493987522 56 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
575 BOHIN 0000 494010663 23 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
576 MANIH 0000 494010707 40 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
577 NURUL 0000 494010764 16 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
578 IIS ISTIQOMAH 0000 494010808 27 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
579 YANAH 0000 493988231 24 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
580 LARASATI 0000 493988319 30 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
581 ICAY CAHYADI 0000 493988332 23 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
21
582 AZAHRA TRI WULANDARI 0000 494011383 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
583 NUSI BIN RIBUT 0000 494011462 34 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
584 MISTA 0000 493988769 25 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
585 MISNAH 0000 493988837 60 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
586 ARIF AHMAD NUGRAHA 0000 494012171 34 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
587 ASEP 0000 493988984 26 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
588 ROSMAWATI 0000 493989006 22 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
589 MINTRA 0000 493989041 34 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
590 RONYA 0000 493989142 65 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
591 SADNAH 0000 493989254 20 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
592 IJOBTMUNIH 0000 494012564 33 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
593 IDRIS 0000 494012632 42 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
594 SAM IN 0000 494012834 11 L 3/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
595 SUMARNI 0000 493989669 24 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
596 MUNAWAROH 0000 494012924 9 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
597 KOTU 0000 494013295 34 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
598 INDRA LESMANA 0000 494013385 22 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
599 ALEH 0000 493990075 67 L 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
600 JAMALUDIN 0000 493990154 79 L 3/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
601 MASTURI 0000 494013677 23 L 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
602 SANYAH 0000 494013701 23 P 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
603 MISIH 0000 494013767 40 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
604 M JUHARI 0000 494014026 50 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
605 JAYADIH 0000 493990637 21 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
606 AYU WANDIRA 0000 493990907 45 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
607 SANAN 0000 494014162 33 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
608 JAKARIA 0000 494014296 45 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
609 SITI KHOLIFAH 0000 494014476 65 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
610 YULIYANAH 0000 493991561 39 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
612 MISIM 0000 494014713 34 L 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
613 JUNI 0000 494014779 22 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
614 HERUN 0000 494014882 45 L 3/12/2013 ISPA 4,000 0 0 0 0 0 4,000
615 ABDUL SALAM 0000 494014972 65 L 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
616 SLAMET 0000 494015073 33 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
617 AWENG 0000 493991875 31 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
618 YAYAH 0000 493991965 24 P 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
619 YASIN 0000 493992011 56 L 3/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
620 NASUKA 0000 493992044 60 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
621 ARMAN 0000 493992123 43 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
622 SUPARDI 0000 494015286 25 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
623 JURIAH 0000 494015354 21 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
624 NANDANG 0000 494028527 22 L 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
625 SITI FADILAH 0000 494028922 45 P 3/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
626 MENEN 0000 493974898 34 L 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
627 WADI 0000 494031159 36 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
628 TITI 0000 494031407 40 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
629 DANI 0000 494031789 12 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
630 MINAN 0000 494031969 34 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
631 CICIH 0000 494032149 25 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
632 BANOI 0000 494032331 33 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
633 AMELLIA 0000 494033139 46 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
634 BUANG 0000 494033951 40 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
635 AMAH 0000 494033984 13 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
636 ARI 0000 494034489 24 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
637 NOVI 0000 494035029 34 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
638 NURAINI 0000 494001922 46 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
639 KATAM 0000 494057428 22 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
640 HERI 0000 494057441 10 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
641 WASID 0000 494035942 23 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
642 JURIAH 0000 494058194 29 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
643 HASANAH 0000 494036289 19 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
644 PANDU WIJAYA 0000 494058363 28 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
645 ABDUL MUHID 0000 494058958 18 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
646 ATIH SULASTRI 0000 494058993 17 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
647 AHMAD ARIFIN 0000 494059195 16 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
648 RISMAWATI 0000 494059432 14 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
649 AMIT 0000 494059465 33 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
650 UMI 0000 494059612 26 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
651 FAJAR SIDIQ 0000 494060286 33 L 3/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
652 UDIN 0000 494060411 26 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
653 AHMAD 0000 494060488 36 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
654 MAMAT 0000 494037933 33 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
655 IRGI AHMAD FAHREZI 0000 494060725 50 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
656 HIDAYAT 0000 494060771 20 L 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
657 ROSID 0000 494060949 30 L 3/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
658 ECIH 0000 494061445 43 P 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
659 NAMAH 0000 494061737 50 P 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
660 DEDI KURNIAWAN 0000 494029203 27 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
661 RONIH 0000 494084619 38 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
662 MATALIH 0000 494061985 29 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
663 SIDIK 0000 494062154 22 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
664 ISAH 0000 494039992 43 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
665 YATI 0000 494084878 50 P 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
666 HENI SUNARDI 0000 494084946 13 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
667 YANG YANG 0000 494084992 47 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
668 YANGI 0000 494085058 33 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
669 PUTRA KESA M 0000 494085159 46 L 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
670 TONI 0000 494085262 28 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
671 SADIH 0000 494085341 27 L 3/12/2013 ISPA 4,000 0 0 0 0 0 4,000
672 MUANAH 0000 494062569 34 P 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
673 TINAH 0000 494062931 50 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
674 REPI 0000 494040374 12 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
675 FITRI 0000 494040508 35 P 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
676 AlFIAH 0000 494040532 26 P 3/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
677 SANTIH 0000 494085385 38 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
678 YOGI 0000 494085778 12 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
679 MUHADI 0000 494063403 45 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
680 HERLINA 0000 494063447 60 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
681 SAAMIN 0000 494040868 13 l 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
682 ANIJAH 0000 494091066 24 P 3/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
683 RWAN 0000 494091088 56 L 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
685 RAYSAH NUR KARMILA 0000 494046145 44 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
686 IWAN W 0000 494046404 32 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
687 ANAN 0000 494046606 22 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
688 KARSINAN 0000 494068588 34 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
689 M SAHRA 0000 494068678 54 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
690 ATA ARIM 0000 494068746 21 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
691 NAMUN 0000 494091246 32 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
692 ACING 0000 494091303 42 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
693 ONIH 0000 494091369 35 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
694 ATIH 0000 494091483 36 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
695 ULFA PAUJIAH 0000 494091674 37 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
696 SENIN 0000 494046922 56 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
697 SYARIPUDIN 0000 494047045 13 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
698 NYAMIN 0000 494047135 24 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
699 USRI 0000 494047258 33 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
700 BONIS 0000 494047271 56 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
701 ANOH 0000 494069231 13 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
703 AHMAD SAHRIL 0000 494091753 56 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
704 AHMAD FAIZ 0000 494091854 70 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
705 SAI 0000 494091911 12 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
706 NAAH 0000 494092124 23 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
707 M BIMA 0000 494047765 43 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
708 SANI 0000 494047787 54 P 3/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
709 HUSNI ROBET 0000 494047989 23 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
710 MURSINAH 0000 494069578 45 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
711 AULIA P 0000 494070006 60 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
712 NASIM 0000 494070063 23 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
713 HAMDANI 0000 494070131 45 L 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
714 AGUS 0000 494070153 32 L 3/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
715 SITI AMINAH 0000 494048103 14 P 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
716 PARMAN 0000 494048193 23 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
717 ROBAL BAYOGI 0000 494048316 45 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
718 SALSA APRILIA 0000 494048338 46 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
719 RAHUL KANA 0000 494048349 33 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
720 ALI ARSELAN 0000 494048452 55 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
721 PATIMAH 0000 494070197 34 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
722 SOMAD 0000 494070412 55 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
723 TITI 0000 494070581 34 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
724 SRI DEWI 0000 494070603 54 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
725 CAPLIN 0000 494070737 32 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
726 ROBAI KURNIA 0000 494070748 34 L 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
727 EMBOY 0000 494070759 30 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
728 IDI 0000 494048733 35 L 3/12/2013 ISPA 4,000 0 0 0 0 0 4,000
729 TITA ANISAH 0000 494048979 24 P 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
730 DODO WIDODO 0000 494092416 50 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
731 WANDIH 0000 494070772 23 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
732 SIDIK 0000 494070895 45 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
733 UNAH 0000 494071031 15 P 3/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
734 KISAN 0000 494071277 36 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
735 RONCI 0000 494049137 47 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
736 KAMI 0000 494049227 10 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
737 KASUM 0000 494049431 13 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
738 ASDI 0000 494093204 24 L 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
739 SANETl 0000 494093237 54 P 3/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
740 RINDI ATIKA 0000 494071367 27 P 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
741 NEMAN 0000 494071514 35 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
742 WAHYUOIN 0000 494075395 46 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
743 RATNASARI 0000 494075417 56 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
744 IRMAN 0000 494097849 43 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
745 RATNA AYU N 0000 494054998 40 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
746 RIKA AMELIA 0000 494075946 34 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
747 TUNAN 0000 494076104 43 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
748 PRAST 10 0000 494076249 54 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
749 REMIH 0000 494076328 32 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
750 DELAM 0000 494098749 41 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
751 ROSITA 0000 494098806 20 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
752 SELVITA 0000 494055516 17 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
753 RIZKI IMAM A 0000 494055584 19 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
754 KENJO 0000 494055729 34 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
755 ALAMSYAH 0000 494076576 56 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
756 SITI AISAH 0000 494076622 24 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
757 NENTA 0000 494076701 56 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
758 EKO 0000 494076802 60 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
759 ALBAR RIFAI 0000 494076835 24 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
760 ABDUL KOMAR 0000 494099234 25 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
761 IHAK 0000 494099425 35 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
762 RADIANSYAH 0000 494055966 43 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
763 MISAH 0000 494055988 33 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
764 6UMANG 0000 494056089 27 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
765 RAHMAN 0000 494056394 19 L 3/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
766 SANYIH 0000 494076925 23 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
767 WIWIN WIANINGSIH 0000 494077228 14 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
768 ASTA 0000 494077397 57 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
769 KANI 0000 494099818 23 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
770 ADI SUHENDAR 0000 494100009 40 L 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
771 ERWIN ILHAM 0000 494077509 13 L 3/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
772 ROSAN 0000 494077735 24 L 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
773 SALMAH 0000 494056629 50 P 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
774 ALDIANSYAH 0000 494056901 23 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
775 ALYA SUHARTINI 0000 494056956 45 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
776 YANAH 0000 494100393 61 P 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
777 SUNANDAR 0000 494100415 20 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
778 ABIDIN 0000 494100459 23 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
779 IKA NIA 0000 494100551 45 P 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
780 WAWAN KARNAWAN 0000 494100595 49 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
781 AMIH 0000 494078488 20 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
782 NENGSIH 0000 494078591 23 P 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
783 JUMSIAH 0000 494078613 35 P 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
784 M IRWAN 0000 494100944 45 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
785 NAWI 0000 494078962 36 L 3/12/2013 ISPA 4,000 0 0 0 0 0 4,000
786 UNI 0000 494079129 45 P 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
787 OYI 0000 494101359 13 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
788 WARSIH 0000 494101563 42 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
789 SABRINA 0000 494101686 34 P 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
790 ROSITA 0000 494079401 50 P 3/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
791 NELAH 0000 494079456 12 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
792 NASIM FIRDAUS 0000 494079489 23 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
793 ROHIMATUL SALWA 0000 494079761 45 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
794 UCI SANUSI 0000 494079816 60 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
795 MAEMUNAH 0000 494079849 23 P 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
796 IWAN SANUSI 0000 494079917 45 L 3/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
797 MUDIN MAULANA 0000 494080121 43 L 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
798 ACIH 0000 494080209 44 P 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
799 DASMINAH 0000 494116233 21 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
800 NURUL FATIMAH 0000 494108098 22 p 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
801 ABDUL FARIZR 0000 494108212 45 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
802 WULAN DARI 0000 494140713 36 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
803 JAMSIAH 0000 494140768 38 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
804 RIVAL RIKI 5 0000 494140825 39 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
805 SANUSI 0000 494140858 23 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
806 NENGSIH 0000 494140871 20 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
807 OMIN 0000 494140893 21 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
808 IMAM ARIFIN 0000 494141264 24 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
809 M SIDIK 0000 494141376 26 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
810 LAMAH 0000 494141444 29 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
811 DANI 0000 494109077 30 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
812 MURTI 0000 494142041 43 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
813 ARMIN 0000 494109652 21 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
814 AHMAD 0000 494116751 26 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
815 JAMALUDIN 0000 494116817 33 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
816 ROHMAN 0000 494116839 44 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
817 OING 0000 494117019 20 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
818 RENI 0000 494142579 21 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
819 IRFAN 0000 494142737 35 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
820 IDAH 0000 494117368 60 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
821 SUROH 0000 494110271 32 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
822 ILHAM ZAENUDIN 0000 494110528 57 L 3/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
823 MANSYUR 0000 494118156 25 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
824 INDON 0000 494118268 36 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
825 SAKEM 0000 494110664 70 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
826 TATANG 0000 494110901 13 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
827 LACI 0000 494118494 24 L 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
828 NANTIH 0000 494118955 13 P 3/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
829 SUSI 0000 494111575 25 P 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
830 NOVI 0000 494111709 60 P 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
831 FIKIH 0000 494111722 32 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
832 ALDIYANSAH 0000 494144302 45 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
833 JALI 0000 494144447 30 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
834 ENCUM 0000 494119269 35 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
835 RASID 0000 494119326 22 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
837 MURSIAH 0000 494144583 15 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
838 SUKANTI 0000 494144673 67 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
839 ESTI 0000 494144886 13 P 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
840 ADI 0000 494119697 45 P 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
841 YAMAH 0000 494119822 20 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
842 ROSIH 0000 494119899 10 P 3/12/2013 ISPA 4,000 0 0 0 0 0 4,000
843 USUN 0000 494120226 34 P 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
844 SUNARYA 0000 494120711 56 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
845 INDRI 0000 494145898 32 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
846 RARASATI 0000 494120845 41 P 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
847 DAYAT RUSTANDI 0000 494120924 56 L 3/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
848 ROSMAH 0000 494146708 65 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
849 EKO SUSANTO 0000 494146754 23 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
850 DAHLAN 0000 494121925 14 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
851 IYAN 0000 494147046 24 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
852 MAJAMUJADI 0000 494131307 35 L 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
853 MISIN 0000 494131397 67 L 3/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
854 RAPDI MUJADI 0000 494131487 48 L 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
855 KODIR 0000 494155877 70 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
856 ANIS 0000 494156114 21 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
857 WARTINI 0000 494156171 34 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
858 ININ 0000 494131667 25 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
859 ABDUL AZIS 0000 494156338 50 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
860 LIAK 0000 494156597 24 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
861 AMAN 0000 494156856 35 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
862 AYATIH 0000 494132152 60 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
863 ASTI 0000 494132242 71 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
864 IKAH 0000 494132264 34 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
865 AANG 0000 494132433 25 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
866 SUNGKANA W 0000 494156924 60 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
867 DARSIH 0000 494156979 34 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
868 IKAH 0000 494157442 25 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
869 ANISAH 0000 494132679 60 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
870 LEUTIK 0000 494132782 23 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
871 MIRA 0000 494157611 41 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
872 PERIH 0000 494157745 50 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
873 LOMAN 0000 494133513 24 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
874 M SAH PIKRI 0000 494158318 36 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
875 ASAN 0000 494133895 50 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
876 IMAM 0000 494134154 40 L 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
877 DOMAS 0000 494158612 15 P 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
878 LUSIH 0000 494158904 46 L 3/12/2013 Demam 4,000 0 0 0 0 0 4,000
879 SITI KARMILAH 0000 494158948 70 P 3/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
880 PATMAWATI 0000 494158972 34 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
882 SENDI WIJAYA PUTRA 0000 494159207 60 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
883 ITI 0000 494159286 13 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
884 AMELIA 0000 494159321 20 P 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
885 JOJON 0000 494159411 45 L 3/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
886 GINAH 0000 494159455 60 P 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
887 MURSAM 0000 494159488 32 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
888 ANGKAT 0000 494159501 42 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
889 UPITA SARI 0000 494134863 10 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
890 PEBRI ADRIANSAH 0000 494135122 34 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
891 NERI 0000 494159938 56 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
892 IDRIS SUPANDI 0000 494160175 43 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
893 HUSEN 0000 494160287 21 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
894 DENDI ANANOA 0000 494135392 35 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
895 ACIM 0000 494135447 60 L 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
896 YUSRIZAL ZAMAN 0000 494135763 40 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
897 UTENG 0000 494160377 13 L 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
898 SANAH 0000 494160467 33 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
899 FEBRIANI CAHYANI 0000 494160873 26 P 3/12/2013 ISPA 4,000 0 0 0 0 0 4,000
900 YOYOH RUSTIKA 0000 494136325 34 P 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
901 SUMINAR 0000 494160928 42 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
902 DEA RAMDANI 0000 494136753 21 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
903 EDWIN KURNIA 0000 494136797 23 L 3/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
904 rAMIH 0000 494198908 23 L 3/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
905 KEMIH 0000 494198954 33 P 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
906 riTIN 0000 494199156 23 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
907 SRI WULANDARI 0000 494199257 33 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
908 SITI HODIJAH 0000 494170222 22 P 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
909 DESIH R 0000 494170301 16 P 3/12/2013 Ispa 4,000 0 0 0 0 0 4,000
910 IYEM 0000 494170378 45 P 3/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
911 DEVI SL 0000 494170705 31 P 3/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
913 AMIR SALAM 0000 494165823 11 L 3/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
914 ALYA ROSALIN 0000 494166137 11 P 3/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
915 MISRI PAUJI 0000 494166183 36 L 3/12/2013 Batuk 4,000 0 0 0 0 0 4,000
916 ATIK FAUZIAH 0000 494166216 20 P 3/12/2013 Influenza 4,000 0 0 0 0 0 4,000
917 SONI SONJAYA 0000 494199549 21 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
918 SARJA 0000 494200012 21 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
919 DEA OKTAVIA 0000 494170964 24 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
920 EDAH SUAEDAH 0000 494170986 79 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
921 NURSIN 0000 494221274 50 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
922 ICAH 0000 WOT0449 13 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
923 IK AH 0000 494200607 21 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
924 ROBIH 0000 494200618 21 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
925 NIA 0000 494171504 41 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
926 SUBEKAT 0000 494171583 45 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
927 NALIP 0000 494171695 50 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
928 SANAH 0000 494171717 45 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
929 TABAH 0000 494221858 21 I 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
930 EVA 0000 494200844 35 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
931 M SUGANOI 0000 494200923 45 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
932 BONIH 0000 494201158 34 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
933 RUMSIH 0000 494171853 27 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
934 RUSDI 0000 494171943 21 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
935 SAROH 0000 494172011 32 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
936 SAPINAH 0000 494172044 21 P 4/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
937 RUSDIANA 0000 494172145 63 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
938 NANI FERI 0000 494172257 24 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
939 TIMI 0000 494172336 38 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
940 NENGSIH 0000 494222444 23 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
941 AOIH 0000 494222624 12 L 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
942 SATEM 0000 494222861 25 P 4/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
943 JUJU 0000 494201665 45 P 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
944 SAMBA 0000 494201733 22 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
945 YUSUP 0000 494172404 56 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
946 TATI 0000 494223658 30 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
947 ENUR 0000 494202036 26 P 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
948 PUJI 0000 494202071 21 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
949 DEA 0000 494202442 23 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
950 NAPIKA 0000 494173045 34 P 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
951 ROBIH 0000 494173157 54 I 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
952 UMAIROH 0000 494173203 33 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
953 NALIYAH 0000 494173293 32 P 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
954 SAIBAH 0000 494173495 35 P 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
955 AMJAH 0000 494223906 19 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
956 ASAM 0000 494202598 34 L 4/12/2013 ISPA 4,000 0 0 0 0 0 4,000
957 ZAENUDIN 0000 494210158 19 L 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
958 GUNYAH 0000 494179738 46 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
959 SANDIKA NAYVA K 0000 494179762 13 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
960 JUNULBTJUHAR 0000 494179918 21 P 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
961 EVI 0000 494179986 46 P 4/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
962 JURIAH 0000 494180054 22 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
963 ANIN 0000 494180166 29 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
964 NAMIH 0000 494180201 28 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
965 MISNI 0000 494231084 56 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
966 HERI FIRMANSYAH 0000 494210204 25 L 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
967 RAMIN 0000 494210643 26 L 4/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
968 MISIN 0000 494180785 22 L 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
969 ISMA 0000 494231725 64 P 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
970 NOVI RAKSIWI 0000 494210812 26 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
971 MAHMUR 0000 494210979 23 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
972 SITI FATIMAH 0000 494211058 21 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
973 ISAN BUTUN 0000 494211093 38 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
974 BAMBANG 0000 494211216 29 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
975 SOPIA NAJAMI 0000 494181099 54 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
976 JANE 0000 494231938 20 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
977 RAAM 0000 494232131 14 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
978 SULASIH 0000 494232478 60 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
979 TABAN 0000 494211666 47 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
980 IRPAN MAULANA Y 0000 494181426 22 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
981 SUTARI 0000 494181538 23 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
982 NYAI 0000 494181606 29 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
983 MANI 0000 494181786 34 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
984 TOPIK TARMIJI 0000 494181922 30 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
985 SUNIN 0000 494181955 67 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
986 SRI MAHMUDAH 0000 494233064 50 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
987 MUHAMAD YUNUS 0000 494212004 31 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
988 YANAH 0000 494182427 33 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
990 SOLIHIN 0000 494233896 34 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
991 DIKIJULKARNAEN 0000 494212577 45 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
992 SANTI 0000 494182721 14 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
993 ALIB JUNAEDI 0000 494182912 36 L 4/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
994 NITA 0000 494182991 12 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
995 RUDI 0000 494183092 15 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
996 SUNIAH 0000 494183564 45 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
997 NIKO HERMAWAN 0000 494183632 44 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
998 INESSUHANDRA 0000 494214028 14 P 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
999 RAOI 0000 494183957 32 L 4/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1000 RIMI 0000 494183979 60 P 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1001 BAYU 0000 494184058 54 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1002 CASNIA 0000 494234818 50 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1003 SUWANDA 0000 494214658 70 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1004 DINI HANDAYANI 0000 494214693 15 P 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1005 SONIA OINDA WATI 0000 494235573 56 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1006 WAEMAH 0000 494235595 32 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1007 NANTIH 0000 494185375 40 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1008 OMIN 0000 494236089 23 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1009 ALUDIN 0000 494215929 33 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1010 NISAH 0000 494237147 30 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1011 ARIF PURWADI 0000 494185566 22 L 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1012 UM LIUIM WAI 1 0000 494248961 42 V 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1013 ISMAIL MARJUKI 0000 494249196 20 L 4/12/2013 ISPA 4,000 0 0 0 0 0 4,000
1014 SAYI 0000 494250682 44 P 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1015 AYAT 0000 494251738 56 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1016 IRFAN 0000 494253538 32 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1017 GINANJAR 0000 494254416 56 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1018 NUR BAETI 0000 494254866 24 P 4/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1019 JEDING 0000 494255171 56 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1020 MITAR 0000 494255553 40 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1021 INI 0000 494255856 32 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1022 YANTO 0000 494255981 50 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1023 YANTI 0000 494256161 43 P 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1024 MUSTOPA 0000 494256429 70 L 4/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1025 MASLAN 0000 494275713 33 P 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1026 ITA MUFUHAH 0000 494257195 23 P 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1027 SAM IN 0000 494258196 64 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1028 SURYA 0000 494258218 24 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1029 KASIH 0000 494258736 56 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1030 SUNTRA 0000 494259568 45 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1031 HERI 0000 494259849 23 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1032 NANA 0000 494260424 43 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1033 MANIN 0000 494260492 43 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1034 RODIAH 0000 494261076 33 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1035 MININ 0000 494248353 45 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1036 MARYAMAH 0000 494261932 23 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1037 SUSI 0000 494262292 45 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1038 MARNI 0000 494262595 25 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1039 SANIAH 0000 494263168 34 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1040 SUGIARTO 0000 494264316 24 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1041 SISKA 0000 494264452 17 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1042 PUTRIJIHAN 0000 494264632 55 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1043 ELEH JIHAN 0000 494264654 20 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1044 OROK 0000 494265159 23 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1045 SALEM 0000 494265881 21 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1046 RODI 0000 494266004 26 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1047 TARJO 0000 494266048 21 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1048 EPIH 0000 494266061 35 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1049 SUSI LESTARI 0000 494268107 13 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1050 INTAN PANDINI 0000 494268704 50 P 4/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1051 TAUPIK HIDAYAT 0000 494270177 36 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1052 SYIFANUR A 0000 494270223 47 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1053 SAMAH 0000 494270357 33 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1054 MASUM 0000 494271685 36 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1055 NENIH 0000 494272001 45 P 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1056 JAIM 0000 494272877 10 L 4/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1057 SAROH MAYAROH 0000 494273136 23 P 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1058 RIKI 0000 494273395 33 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1059 MASIH 0000 494274339 32 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1060 SITI AISAH 0000 492084707 36 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1061 BUANG 0000 492085394 35 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1062 DARWI 0000 492085495 46 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1063 NENIH 0000 492086068 45 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1064 INDAH HAERANI 0000 492087069 24 P 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1065 MENDON 0000 492087418 33 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1066 NAMSIH 0000 492087442 40 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1067 AJAT SUDRAJAT 0000 493283823 39 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1068 MUHAMAD PAHRI 0000 493284058 54 L 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1069 SAPAR 0000 493308505 21 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1070 BANI 0000 493285015 26 L 4/12/2013 ISPA 4,000 0 0 0 0 0 4,000
1071 SARNIH 0000 493308731 21 P 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1072 DASINI 0000 493285252 25 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1073 BAYU 0000 493285599 45 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1074 ANGGIH 0000 493309282 34 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1075 USUP 0000 493286185 21 L 4/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1076 IRSAD 0000 493286995 47 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1077 JALIL 0000 493310711 35 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1078 TAMIH 0000 493310902 43 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1079 NUNUNG 0000 493287243 21 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1080 IDA FARIDA 0000 493311306 25 P 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1081 FERY 0000 493287849 35 L 4/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1082 JAMILAH 0000 493311532 44 P 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1083 NUGI 0000 493288209 27 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1084 IRMA 0000 493288569 26 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1085 FITRI 0000 493312454 33 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1086 SAUDIH 0000 493289256 23 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1087 ROHMAH 0000 493289302 70 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1088 AISAH 0000 493313242 28 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1089 DANI 0000 493313488 32 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1090 ARDI 0000 493313872 34 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1091 SURYA 0000 493313894 22 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1092 IKBAL 0000 493290246 24 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1093 NOVAL 0000 493290819 32 I 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1094 IBRAHIM 0000 493290898 23 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1095 MARSIM 0000 493314636 45 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1096 ARMANIH 0000 493314873 39 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1097 SIMI 0000 493314963 22 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1098 TASADI 0000 493315143 23 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1099 SUMI 0000 493315863 15 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1100 DEDI SURYADI 0000 493316278 24 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1101 RAHMAN MARETA 0000 493316537 46 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1102 PARDI 0000 493316673 21 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1103 SAMLAWI 0000 493293115 38 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1104 YAMSU 0000 493293418 45 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1105 JAELANI 0000 493293475 34 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1106 SARDANA 0000 493293655 23 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1107 SADUN 0000 493293789 42 L 4/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1108 WARNAH 0000 493317448 20 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1110 MURNAH 0000 493294149 50 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1111 LUTFI ADHA KARDAMI 0000 493317933 23 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1112 AAN SONJAYA 0000 493318012 12 I 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1113 YANIH 0000 493318214 26 P 4/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1114 RINI 0000 493318495 50 P 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1115 MURDIN 0000 493295128 60 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1116 ADE RINO 0000 493295455 45 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1117 RENALDI 0000 493295703 70 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1118 BIANG 0000 493319406 47 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1119 DAYAT 0000 493296017 43 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1120 TUMIH 0000 493296489 23 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1121 ARIF 0000 493296873 54 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1122 DAHLIA 0000 493369299 36 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1123 ANGELIA 0000 493397987 35 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1124 MIIN 0000 493398178 11 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1125 AMIH 0000 493398663 20 P 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1126 NISAN 0000 493370212 20 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1127 MAMAH WATI 0000 493370471 28 P 4/12/2013 ISPA 4,000 0 0 0 0 0 4,000
1128 MINIH 0000 493398865 24 P 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1129 NURLELA 0000 493370763 34 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1130 RESIN 0000 493399675 20 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1132 ROHAYA 0000 493400114 45 P 4/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1133 SUNARTI 0000 493371821 40 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1134 MANIH 0000 493400474 26 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1135 LATIP 0000 493372337 24 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1136 WAWAN 0000 493400812 32 u 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1137 MARAH 0000 493372686 33 P 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1138 BUNGA LESTARI 0000 493372833 32 P 4/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1139 AHMAD DIRAM 0000 493372877 60 L 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1140 MARKUM 0000 493373261 60 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1141 PATMAH 0000 493401903 70 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1142 DAHLIA 0000 493374036 38 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1143 IKAL 0000 493402656 40 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1144 LIANA DEWI 0000 493374543 23 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1145 NARMADI 0000 493402781 25 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1146 NENIH 0000 493402915 22 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1147 SURTI 0000 493403005 45 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1148 ABDUR ROHMAN 0000 493403275 23 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1149 ASTUTI 0000 493375386 35 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1150 ISAN 0000 493403668 56 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1151 MASNI 0000 493375746 32 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1152 MURTIAH 0000 493375948 26 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1153 SAROH 0000 493404366 56 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1154 USMAN 0000 493376657 14 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1155 SARA 0000 493404759 21 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1156 NANDA 0000 493376962 70 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1157 RIKA 0000 493405266 45 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1158 LARAS 0000 493405312 24 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1159 NINDI 0000 493377388 45 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1160 MARLINA 0000 493377434 43 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1161 JAYA 0000 493377467 53 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1162 SUMIYATI 0000 493405694 32 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1163 SUHERMAN 0000 493405806 47 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1164 SITI MARIYAM 0000 493378029 9 P 4/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1165 JAJA 0000 493378211 34 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1166 SAMSIAH 0000 493378615 11 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1167 SITI LAELA AMELIA 0000 493378762 22 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1168 ROHIMUDIN 0000 493406638 23 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1169 BUCHORI 0000 493379212 26 L 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1170 CARYATI 0000 493406831 43 P 4/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1171 SAHRULI 0000 493406875 21 L 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1172 DAMAN HURI 0000 493407099 23 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1173 KANAH 0000 493407358 33 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1174 JANAH 0000 493380055 31 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1175 DAHLIA 0000 493407909 23 P 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1176 KANIH 0000 493408102 24 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1177 MUTIARA 0000 493352616 14 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1178 AMBIH 0000 493352864 15 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1179 EDEH 0000 493353156 14 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1180 ELIN 0000 493354001 20 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1181 CURUMAKSUROTUN 0000 493354427 33 P 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1182 SARWINAH 0000 493354642 36 P 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1183 IIS AISYAH 0000 493355485 23 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1184 WARSIH 0000 493327563 24 P 4/12/2013 ISPA 4,000 0 0 0 0 0 4,000
1185 ENUNG 0000 493415921 10 P. 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1186 PUTRI 0000 493415976 36 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1187 SAIMAN 0000 493416628 14 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1188 TATI HARTATI 0000 493416819 30 P 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1189 SITI INDRIYANI 0000 493417618 54 P 4/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1190 SIHAB 0000 493417978 23 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1191 SIDI 0000 493419036 32 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1192 USNI 0000 493419374 35 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1193 GUNAWAN 0000 493419587 20 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1194 NINA APRILIYANTI 0000 493420252 45 P 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1195 MISIH 0000 493420408 20 P 4/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1196 SAMAN 0000 493420634 29 L 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1197 ONYIH 0000 493421231 44 P 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1198 EBRO 0000 493421591 38 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1199 MANJUL 0000 493422085 27 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1200 MAOIH 0000 493422355 25 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1201 NOSAN 0000 493423007 34 I 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1202 ICAH 0000 493423345 20 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1203 YANTO 0000 493423593 54 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1204 NENENG LATIFAH 0000 493443731 49 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1205 SARAH ASHARI 0000 493443819 36 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1206 RONICA 0000 493444866 23 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1207 SAHANEN 0000 493445079 35 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1208 MULYATI 0000 493445193 30 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1209 AYU KHOIRIYAH 0000 493445226 50 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1210 AZIZAH PATAH 0000 493447386 65 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1211 RAMAN 0000 493448196 34 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1212 WARSIH 0000 493449028 17 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1213 ASEP 0000 493450839 12 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1214 MITUN 0000 493451313 30 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1215 DOMAH 0000 493451346 46 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1216 RAFITA 0000 493451954 65 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1217 SEPTIANA PUTRI 0000 493430984 40 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1218 IJO MADI 0000 493431131 60 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1219 NYAI SUWARSIH 0000 493431287 65 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1220 IMAN 0000 493452358 40 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1221 LELAFA 0000 493431704 47 P 4/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1222 SURIFAH 0000 493452909 24 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1223 MURDIN 0000 493432211 27 I 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1224 DEDE PADILAH 0000 493453383 50 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1225 PARTO 0000 493453787 35 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1226 MURNI 0000 493433109 30 P 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1227 HALIMAH 0000 493481463 34 P 4/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1228 NOVA ELISA 0000 493481542 33 P 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1229 NOVI 0000 493481586 29 P 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1230 SOLIHIN 0000 493481654 34 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1231 RISAH 0000 493481709 29 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1232 DINI KARTIKA 0000 493481968 32 P 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1233 JAMANI 0000 493466466 40 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1234 SAANIH 0000 493466747 21 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1235 MUBAROK 0000 493466782 60 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1236 PUJAWATI 0000 493482543 13 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1237 MACIH 0000 493482565 46 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1238 ROZAK 0000 493466905 67 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1239 AHMAD ZAELANI 0000 493467254 55 L 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1240 PUJI SETIAWATI 0000 493482846 37 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1241 NADIH 0000 493482914 70 L 4/12/2013 ISPA 4,000 0 0 0 0 0 4,000
1242 NIMAH 0000 493483691 21 P 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1243 NURYANTI 0000 493468233 22 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1244 BAHRUDIN 0000 493484152 10 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1245 ARIFSOEH 0000 493484218 61 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1246 KASMITA 0000 493484308 54 L 4/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1247 IHWAN 0000 493484455 26 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1248 ASEN 0000 493484567 38 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1249 NURHADI 0000 493484591 60 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1250 PATONI 0000 493469166 76 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1251 PANTI NAELATUL 0000 493469245 32 P 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1252 ISMAN 0000 493484905 23 L 4/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1253 DEDEN 0000 493484949 70 P 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1254 NEIH 0000 493469605 34 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1255 MURFIAH 0000 493469638 36 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1256 FATMAWATI 0000 493469842 25 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1257 MARTINI 0000 493469908 65 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1258 MAYA 0000 493485445 74 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1259 ASMENAH 0000 493485772 26 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1260 MUNYIH 0000 493485805 36 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1261 AMAN 0000 493470988 30 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1262 JAMA 0000 493471451 15 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1263 ROHIDIN 0000 493471495 36 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1264 MARLINAH 0000 493471517 54 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1265 HARYONO 0000 493486481 30 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1266 ASIH 0000 493486503 43 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1267 OEDI 0000 493486694 35 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1268 RESTU ARDIANSAH 0000 493472002 29 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1269 ALI ROHMAN 0000 493486942 34 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1270 KARMA 0000 493487019 43 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1271 BANAH 0000 493487267 50 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1272 BANDI 0000 493487403 17 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1273 ADI 0000 493487482 60 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1274 WATI 0000 493487526 39 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1275 OCIH 0000 493487559 27 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1276 MAMAD SAHRONI 0000 493472114 23 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1277 IIS AISYAH 0000 493472294 56 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1278 IWAN 0000 493487897 67 L 4/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1279 IMAM 0000 493487998 54 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1280 MARWIYAH 0000 493488281 14 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1281 INDRASUBUR 0000 493488584 20 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1282 SURYANI 0000 493488617 74 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1283 SARI 0000 493669506 43 P 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1284 KUNTET 0000 493669787 20 L 4/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1285 LASTRI 0000 493670057 73 P 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1286 KURNASIH 0000 493670169 36 P 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1287 PAISAL 0000 493670237 49 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1288 AGUNG 0000 493670395 54 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1289 GOFAR 0000 493670474 23 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1290 JUMHARI 0000 493671003 17 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1291 IKHWAL 0000 493671058 54 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1292 KENE 0000 493614472 14 P 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1293 TIMIN 0000 493671486 54 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1294 KHAILUL 0000 493671554 43 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1295 IKUM 0000 493671633 25 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1296 UUN 0000 493671802 44 P 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1297 IMAH 0000 493672072 60 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1298 ARTADA 0000 493672217 30 L 4/12/2013 ISPA 4,000 0 0 0 0 0 4,000
1299 TASIH 0000 493672263 37 P 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1300 MADPUDIN 0000 493673196 32 L 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1301 AKUP 0000 493673668 30 L 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1302 RUNO WIJAYA 0000 493673859 35 L 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1303 NAPSIAH 0000 493673905 42 P 4/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1304 WAHYUDIN 0000 493673951 28 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1305 RASJA 0000 493674039 33 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1306 SAN OH 0000 493674074 23 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1308 AYU WULANDARI 0000 493674355 45 P 4/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1309 FAJAR ARDIANSYAH 0000 493674535 12 L 4/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1310 TINI 0000 493674603 9 P 4/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1311 AYU 0000 493674636 24 P 4/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1312 BONYIH 0000 493675042 25 P 4/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1313 MUNAH 0000 493675266 80 P 4/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1314 MADHASAN 0000 493675525 65 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1315 KEMAN 0000 493675569 41 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1316 ABKARI 0000 493675615 23 L 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1317 SOPIAN 0000 493675716 32 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1318 OMAH 0000 493676021 60 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1319 NINING 0000 493676278 47 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1320 ARYANAH 0000 493676291 32 P 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1321 ENAH 0000 493676605 80 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1322 ROFIK 0000 493676831 30 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1323 ABDUR ROHIM 0000 493676864 44 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1324 FITRI KURNIAWATI 0000 493676908 56 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1325 HERLINA 0000 493677011 24 P 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1326 ROHIM 0000 493677189 13 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1327 SRI TINA APRIYANTI 0000 493677292 32 P 4/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1328 IDAM KHOLID 0000 493677718 34 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1329 ANIN 0000 493677764 24 L 4/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1330 ABDULLATIF 0000 493677775 40 L 4/12/2013 Demam 4,000 0 0 0 0 0 4,000
1332 MUAMAR KADAFI 0000 493677966 45 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1333 EMI 0000 493678023 70 P 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1334 MAMDUH MASTARI 0000 493678236 13 L 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1335 SARMAN 0000 493678271 41 L 5/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1336 MINA 0000 493678293 23 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1337 YANTI 0000 493730695 25 P 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1338 SAM IN 0000 493730763 67 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1339 SARTI 0000 493730908 32 P 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1340 MUHAMAD FAUZIAH 0000 493731044 23 L 5/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1341 JUEN 0000 493731101 36 L 5/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1342 KASMI 0000 493731257 45 P 5/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1343 RISEM 0000 493731314 44 P 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1344 IWAN 0000 493731483 56 L 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1345 IMAN SUPARMAN 0000 493732394 25 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1346 5EROH 0000 493754793 40 P 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1347 MARDI 0000 493732664 26 L 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1348 MAYADI 0000 493733046 36 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1349 DONIH 0000 493733081 23 P 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1350 MAAT 0000 493754962 14 L 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1351 EMAH 0000 493755006 45 P 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1352 MUS MAULANA 0000 493755063 30 L 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1353 MIRNA WATI DEWI 0000 493755208 19 P 5/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1354 SOIN 0000 493733452 60 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1355 NURJANAH 0000 493755434 70 P 5/12/2013 ISPA 4,000 0 0 0 0 0 4,000
1356 PARIDI 0000 493755614 21 L 5/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1357 MAMAT 0000 493755737 23 L 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1358 SANAH 0000 493733619 14 P 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1359 GATING 0000 493733709 29 P 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1360 IMAH 0000 493733957 34 P 5/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1361 DIMAS ADI SAPUTRA 0000 493681318 23 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1362 MUNI 0000 493681342 60 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1363 WISNU AL HAFID2 0000 493681408 70 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1364 ZUNAEDI 0000 493681487 40 L 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1365 RUDI 0000 493681588 64 L 5/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1366 SARNIH 0000 493681746 10 P 5/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1367 SANDI 0000 493734104 45 L 5/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1368 RISKA SELYYANA 0000 493681893 25 P 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1369 NESIN 0000 493681961 65 L 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1370 ROHMAN 0000 493682027 36 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1371 WARSIH 0000 493682207 54 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1372 SUPENA 0000 493734587 65 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1373 ACIH 0000 493734723 45 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1374 DIAN 0000 493734802 36 L 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1375 MIRAN 0000 493682275 34 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1376 ADI 0000 493682444 56 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1377 HABIBAHRI 0000 493682556 23 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1378 AAS 0000 493682646 41 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1379 IDA FARIDA 0000 493735138 65 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1380 RESMI 0000 493735274 21 P 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1381 AGUS 0000 493735397 41 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1382 ELA 0000 493735443 60 P 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1383 AMAH 0000 493735522 25 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1384 BOIH 0000 493682668 50 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1385 DANI 0000 493682681 50 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1386 AMIR HAMZAH 0000 493682815 60 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1387 MARNI 0000 493682872 60 P 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1388 LASIH 0000 493682995 42 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1389 TONI 0000 493683142 25 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1390 ARIS 0000 493735645 13 I 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1391 AMALIA 0000 493735678 54 P 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1392 SIPIT 0000 493751799 25 P 5/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1393 ILMI 0000 493761993 69 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1394 RASU 0000 493762105 24 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1395 YEYEN 0000 493762151 32 P 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1396 ROBIAH 0000 493762421 20 P 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1397 MUMUN 0000 493698262 45 P 5/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1398 BADRI 0000 493698429 36 L 5/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1399 MANAH 0000 493698644 34 P 5/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1400 SAPNIH 0000 493751902 40 P 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1401 JAMAH 0000 493751924 20 P 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1402 AHMAD SAYUSNI 0000 493751968 46 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1403 AULIA 0000 493762803 33 P 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1404 MISNI 0000 493762858 34 P 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1405 RIRI 0000 493762904 22 P 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1406 RANI 0000 493763038 60 P 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1407 FATUROHMAN 0000 493763141 45 L 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1408 PUTRA 0000 493763185 29 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1409 ROHANI 0000 493752374 45 P 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1410 ARNIH 0000 493752699 60 P 5/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1411 KURDI 0000 493763567 32 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1412 NENGSIH 0000 493763624 21 P 5/12/2013 ISPA 4,000 0 0 0 0 0 4,000
1413 NENGSIH 0000 493763859 45 P 5/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1414 SITI NURFADILAH 0000 493763949 28 P 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1415 ISAM 0000 493764309 65 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1416 NURJANAH 0000 493764445 43 P 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1417 ILHAM HIDAYATULLAH 0000 493753375 13 L 5/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1418 ANCIH 0000 493753465 32 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1419 IWAN 0000 493764524 40 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1420 AHMAD IRWANSYAH 0000 493764669 48 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1421 ASMENAH 0000 493764849 25 P 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1422 SOLIHIN 0000 493764895 37 L 5/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1423 DIKIN 0000 493764963 70 L 5/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1424 AMAD 0000 493754139 45 L 5/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1425 SURI 0000 493754185 23 P 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1426 SURYADI 0000 493765097 34 L 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1427 SUGIANTO 0000 493765547 50 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1428 NIMI 0000 493765661 30 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1429 SANUSI 0000 493765784 70 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1430 SUAMAH 0000 493765806 37 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1431 SANOH 0000 493765953 23 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1432 SAID 0000 493766212 45 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1433 UDIN 0000 493766291 26 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1434 SANIRAH 0000 493766482 67 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1435 NYAI 0000 493766561 17 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1436 ATNIH 0000 493766728 40 P 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1437 ILHAM 0000 493766774 17 L 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1438 NADIROH 0000 493767033 32 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1439 PATONI 0000 493767145 24 L 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1440 SITI NASIAH 0000 493767573 60 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1441 MUHAMAD RA'FAI 0000 493767999 26 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1442 SITI MUNAWAROH 0000 493768078 47 P 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1443 WAHYUDIN 0000 493768451 21 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1444 KHOIRUL IHSAN 0000 493768539 65 L 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1445 NASAH NURINDAH 0000 493768743 33 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1446 RIFKI FURNAMA 0000 493768844 43 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1447 ILE 0000 493787878 57 L 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1448 SANTI 0000 493789094 36 P 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1449 JOYO 0000 493789116 33 L 5/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1450 DISKA BILKIS 0000 493810751 45 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1451 NURACIH 0000 493810828 13 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1452 TUBAGUS SARANA 0000 493810841 23 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1453 NILAN 0000 493810997 43 L 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1454 RATIM 0000 493811594 30 L 5/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1455 RATIH 0000 493811739 47 P 5/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1456 ENTIN 0000 493790411 34 P 5/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1457 ASEPJAMALUDIN 0000 493790455 32 L 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1458 NESAH 0000 493811998 34 P 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1459 SITI KHODIJAH 0000 493812009 43 P 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1460 SRI MARYANI 0000 493790894 54 P 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1461 RAKMAN 0000 493812459 26 L 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1462 UNIH 0000 493812483 69 P 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1463 RANIM 0000 493812821 60 L 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1464 SARIYUM 0000 493791625 43 L 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1465 RANTA 0000 493812944 70 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1466 YUMI 0000 493812966 16 P 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1467 RUDI 0000 493812988 36 L 5/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1468 SITI 0000 493813023 25 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1469 SUMIYATI 0000 493813067 34 P 5/12/2013 ISPA 4,000 0 0 0 0 0 4,000
1470 ASAN 0000 493792211 50 L 5/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1471 SUCI 0000 493792255 20 P 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1472 KARTO 0000 493813697 60 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1473 MARSA MAULIA 0000 493792749 37 L 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1474 JAMALUDIN 0000 493792773 57 L 5/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1475 MARSIDI 0000 493814349 71 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1476 ERNA SUPRIANA 0000 493814351 80 P 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1477 TARINI 0000 493793076 67 P 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1478 ANIS HABIBAH 0000 493793177 60 P 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1479 EVI 0000 493793357 33 P 5/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1480 DEDEH 0000 493814619 19 P 5/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1481 AYU SHALILAH 0000 493793774 60 P 5/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1482 IIF HOLIFAH 0000 493815587 45 P 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1483 AMINAH 0000 493794911 67 P 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1484 ABDUL AJID 0000 493795067 60 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1485 MARWATI 0000 493816015 42 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1486 ARIMBI 0000 493816037 14 P 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1487 MAD ALIF ALFARIZI 0000 493816386 25 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1488 ROMADI 0000 493816544 24 L 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1489 RANAH 0000 493816588 37 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1490 SAHROJI 0000 493816656 44 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1491 ADE IRAWAN 0000 493816858 45 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1492 WIWI 0000 493795934 39 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1493 SIDIN 0000 493817185 25 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1494 PIPIT 0000 493817455 40 P 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1495 JAYAD! 0000 493775392 39 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1496 CARDI 0000 493817984 14 L 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1497 ABDUL ROHMAN 0000 493797014 25 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1498 AHMAD ASTARI 0000 493797126 45 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1499 RCSITA 0000 493818794 32 P 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1500 JAKI 0000 493818816 12 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1501 SARIH 0000 493775774 39 P 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1502 SANI 0000 493797453 45 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1503 RIYAN 0000 493819749 47 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1504 ALIYAH 0000 493858348 16 p 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1505 AMELINA ANJANI 0000 493858631 20 p 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1506 RAIHAN 0000 493858697 30 L 5/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1507 MUHAMAD KARIM 0000 493858798 32 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1508 ROJAK 0000 493859272 34 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1509 PUTRI KHARISMA 0000 493859643 24 P 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1510 NURHAYATI 0000 493859834 20 P 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1511 SALMAH ALFARIS 0000 493859889 45 L 5/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1512 SUPANDI 0000 493859913 70 L 5/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1513 MERNI 0000 493860464 34 P 5/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1514 IKAH 0000 493860701 50 P 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1515 DARIM 0000 493860767 60 L 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1516 FITRI 0000 493860993 28 P 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1517 MUHAMAD ALDI 0000 493861386 45 L 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1518 MINTARSIH 0000 493861432 34 P 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1519 OLIVIA 0000 493861601 56 P 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1520 KINAH 0000 493861691 34 P 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1521 ABDULOHIM 0000 493861847 43 L 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1522 NUR ALI 0000 493861948 40 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1523 USNUL 0000 493862174 40 L 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1524 ARIFIN 0000 493862747 36 L 5/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1525 SOPIA AULIA 0000 493863491 56 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1526 ABDULRAHMAN 0000 493863671 23 L 5/12/2013 ISPA 4,000 0 0 0 0 0 4,000
1527 SANUSI 0000 493864042 13 L 5/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1528 ANAH 0000 493864492 34 P 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1529 MIMIN 0000 493864727 23 P 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1530 SAMAN 0000 493710783 12 L 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1531 HANIPAH 0000 493711391 34 P 5/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1532 YATI 0000 493711727 25 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1533 ARMINAH 0000 493711749 30 P 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1534 ARIPIN 0000 493711806 23 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1535 SOBARI 0000 493711975 23 L 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1536 TIAR 0000 493712008 40 P 5/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1537 DIAH 0000 493712392 21 P 5/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1538 SUMIYATI 0000 493712436 25 P 5/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1539 RASMINAH 0000 493712471 67 P 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1540 JAYADI 0000 493712651 32 L 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1541 RENDl 0000 493712739 25 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1542 YATI 0000 493713033 34 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1543 ABEL 0000 493713617 35 P 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1544 KUSNADI 0000 493892739 25 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1545 ASTRA 0000 493893415 17 L 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1546 ROGAYAH 0000 493893819 15 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1547 NURHASAN 0000 493894045 32 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1548 SAEFUL BAHRI 0000 493894091 36 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1549 AYU 0000 493894563 35 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1550 TANGI 0000 493894809 65 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1551 KURIYAH 0000 493895193 54 P 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1552 YUSUF KAMIL 0000 493895294 34 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1553 DOMIR ( 0000 493950262 45 L 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1554 RIFAI 0000 493932429 12 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1555 RATNA 0000 493911821 14 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1556 MUHAMAD PRAMUJA 0000 493912146 9 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1557 WAFIK HALIMI 0000 493932936 54 L 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1558 MUHAMAD SUKRON 0000 493912394 23 L 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1559 UNUS 0000 493934141 45 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1560 SELPI 0000 493950497 40 P 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1561 OOM 0000 00004^3934^ 16 P
P 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1562 ANDI 0000 493934556 23 L 5/12/2013 Demam 4,000 0 0 0 0 0 4,000
1563 BASAR 0000 493951331 14 L 5/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1564 RAMAN 0000 493913777 70 L 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1565 SUSI SULIANINGSIH 0000 493934826 32 P 5/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1566 MOHAMAD RIZKY RAMADHAN 0000 493934984 21 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1567 ALWI 0000 493951634 23 L 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1568 DADE 0000 493951757 45 P 5/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1569 DIKA ALPINAYAH 0000 493952073 32 L 5/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1570 OMAS 0000 493914071 35 P 5/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1571 WAWAN 0000 493914407 23 L 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1572 ROSDIANA 0000 493914554 22 P 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1573 LANA ULANSARI 0000 493953052 23 P 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1574 IHSAN 0000 493915239 45 L 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1575 OMAH 0000 493915274 40 P 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1576 ILHAM AKBAR 0000 493915318 34 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1577 NIMAN 0000 493936209 33 L 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1578 JOLE 0000 493953265 11 L 5/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1579 KARDI 0000 493953669 18 L 5/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1580 PARIJAL AL BUHORI 0000 493916207 60 L 5/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1581 RIDO 0000 493916275 40 L 5/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1582 ONENG 0000 493937043 24 P 5/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1583 SAPNIH 0000 493953783 14 P 5/12/2013 ISPA 4,000 0 0 0 0 0 4,000
1584 ARIF 0000 493916455 79 L 5/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1585 FITRI 0000 493916826 32 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1586 DIAN 0000 493954389 34 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1587 ITA 0000 493917276 45 P 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1588 SURYADI 0000 493917456 70 L 6/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1589 JUHADA 0000 493937763 20 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1590 TARWIYAH 0000 493955019 45 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1591 ITA 0000 493917715 32 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1592 AHMAD HAIDAR 0000 493917884 33 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1593 JUHADI 0000 493938404 56 L 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1594 YULIANA 0000 493955774 45 P 6/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1595 RUNI 0000 493955853 27 P 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1596 FITRIAH SALSABILA 0000 493919201 34 P 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1597 RAFFY 0000 493919379 34 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1598 MADAM 0000 493919414 46 L 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1599 ARIS 0000 493940057 56 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1600 NURSIN 0000 493956527 56 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1601 IJA JUHARI 0000 493940158 36 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1602 YULI YANTI 0000 493940507 24 P 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1603 YATI 0000 493957078 80 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1604 MINAH 0000 494655636 28 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1605 BOIN 0000 494655737 26 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1606 KARMAN 0000 494630763 38 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1607 N AIM AH 0000 494631459 34 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1608 ONAH 0000 494625611 22 P 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1609 SAEPUL BAHRI 0000 494656683 32 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1610 INDRA 0000 494632135 26 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1611 PUTRI NURAIMAH 0000 494632372 35 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1612 ACIH 0000 494632462 12 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1613 5AEPUDIN 0000 494626419 40 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1614 MAESAROH 0000 494657447 34 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1615 SUGANDA 0000 494657829 32 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1616 SITI ROHANA 0000 494658685 20 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1617 HASBI 0000 494633619 45 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1618 AYUB 0000 494660169 46 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1619 NURALI 0000 494634925 27 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1620 KASAN 0000 494635105 24 L 6/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1621 NYAI 0000 494661734 34 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1622 LALA 0000 494662184 29 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1623 A NAWAWI 0000 494662228 54 L 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1624 SUSAN 0000 494636646 34 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1625 RESTI SULASTRI 0000 494637175 29 P 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1626 TUTI 0000 494663286 29 P 6/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1627 INTAN 0000 494637311 56 P 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1628 RIA PUJIAWATI 0000 494637737 33 P 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1629 SITI MUAIMAH AMELINDA 0000 494637827 23 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1630 SITI JULEHA 0000 494638841 70 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1631 PITRIA 0000 494664513 60 P 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1632 RIFKI 0000 494665378 14 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1633 ALIF 0000 494639245 56 L 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1634 ONAH 0000 494665468 12 P 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1635 ONIH 0000 494665841 25 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1636 NANI 0000 494666098 60 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1637 KASNI 0000 494639886 70 P 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1638 KOYAH 0000 494640044 33 P 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1639 AIN 0000 494667033 70 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1640 ROJAK 0000 494640685 60 L 6/12/2013 ISPA 4,000 0 0 0 0 0 4,000
1641 KOYAH 0000 494640876 11 P 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1642 NOPI 0000 494667156 26 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1643 SAJAM 0000 494667461 26 L 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1644 UMIRAH 0000 494667674 43 P 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1645 WULAN DARI 0000 494668001 34 P 6/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1646 SUANDA 0000 494641956 29 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1647 EMAN NURCAHAYA 0000 404668045 21 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1648 JIANA NURSUGIH 0000 434668901 34 L 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1649 MUNIRCS 0000 494738864 50 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1650 YATI KARTIKA DEWI 0000 494739314 34 P 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1651 RUMSIAH 0000 494739718 10 P 6/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1652 ADE LIA PARAMITA 0000 494694696 33 P 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1653 KURDI 0000 494695034 10 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1654 RARAS INDIYANI 0000 494718849 36 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1655 INTAN NURAINI 0000 494719198 25 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1656 HALIMAH 0000 494719391 24 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1657 ANWAR DOGAM 0000 494741259 42 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1658 ANEN 0000 494741711 12 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1659 NIMAH 0000 494696002 10 P 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1660 ACAH 0000 494742396 56 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1661 AMAD 0000 494742475 44 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1662 MILAH 0000 494742712 45 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1663 ALYYUDIN 0000 494719942 60 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1664 RONI 0000 494744196 60 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1665 SURYANTO 0000 494696608 20 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1666 AKHMAD 0000 494696878 45 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1667 ODANG JAYA 0000 494698375 34 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1668 SITIJURIYAH 0000 494698408 39 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1669 GUNAWAN 0000 494698847 20 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1670 IYUNG 0000 494744624 32 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1671 HERU 0000 494745682 20 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1672 YOGA 0000 494699782 37 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1673 BINDA 0000 494699815 40 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1674 KAMIH 0000 494701547 26 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1675 LITA 0000 494702616 54 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1676 MUHAMAD 0000 494702651 42 P 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1677 DURAHIM 0000 494703022 32 L 6/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1678 SITI RODIATUL 0000 494721224 33 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1679 AMPRUNG 0000 494721371 34 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1680 AJUM 0000 494721854 64 L 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1681 ASMAT 0000 494723182 73 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1682 WADI UNYIL 0000 494745895 24 L 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1683 CANIH 0000 494746042 25 P 6/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1684 YASIN 0000 494746716 42 L 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1685 HOLIS 0000 494746874 40 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1686 ASRI 0000 494723777 23 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1687 RUMSARI 0000 494723981 54 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1688 DIRJAJAUN 0000 494724227 70 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1689 HALIMATUSADIYAH 0000 494725083 25 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1690 SUSI SUSILAWATI DEVI 0000 494725353 25 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1691 NIMIN 0000 493378727 27 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1692 M SOLEH 0000 493548603 43 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1694 ETI 0000 493922621 34 p 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1695 SALMAH 0000 494056629 50 P 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1696 ONYIH 0000 493408168 70 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1697 MAMAD 0000 493549626 34 L 6/12/2013 ISPA 4,000 0 0 0 0 0 4,000
1698 SITI KHOLIFAH 0000 494014476 65 P 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1699 FITRIAH SITI NURAJIS 0000 493923025 50 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1700 ABIDIN 0000 494100459 23 L 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1701 RAMIH 0000 493409698 50 P 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1702 NEMAH 0000 493552989 25 L 6/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1703 HERUN 0000 494014882 45 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1704 GUMIH 0000 493903991 25 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1705 JUMSIAH 0000 494078613 35 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1706 RAFI 0000 493410767 34 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1707 SITI FATIMAH 0000 493555116 24 P 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1708 YASIN 0000 493992011 56 L 6/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1709 DINAH 0000 493925365 40 P 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1710 WARSIH 0000 494101563 42 P 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1711 AMI 0000 493383047 32 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1712 NANI 0000 493556106 23 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1713 NANDANG 0000 494028527 22 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1714 MASTINA 0000 493925826 34 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1715 ROHIMATUL SALWA 0000 494079761 45 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1716 WASDA 0000 493429454 46 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1717 LUTPI S 0000 493557107 17 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1718 DANI 0000 494031789 12 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1719 DEDI 0000 493927031 40 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1720 ACIH 0000 494080209 44 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1721 SATAM 0000 493430207 47 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1722 SAPRI 0000 493557996 33 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1723 BUANG 0000 494033951 40 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1725 JAMSIAH 0000 494140768 38 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1726 JANIN 0000 493431491 70 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1727 SUHARYONO 0000 493509925 20 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1728 KATAM 0000 494057428 22 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1729 RATU LAELA SALWA 0000 493908355 32 P 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1730 IMAM ARIFIN 0000 494141264 24 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1731 MUNIR 0000 493432031 35 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1732 SUKARYA 0000 493510792 38 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1733 PANDU WIJAYA 0000 494058363 28 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1734 ERYANTI 0000 493930631 34 P 6/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1735 ARMIN 0000 494109652 21 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1736 TINGGAL 0000 493454092 34 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1737 MUHANA 0000 493511387 13 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1738 AMIT 0000 494059465 33 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1739 M ZAENUDIN 0000 493910177 50 L 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1740 RENI 0000 494142579 21 P 6/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1741 ROMI 0000 493454474 29 L 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1742 WIHARTA 0000 493511951 27 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1744 TUNAH LESTARI 0000 493931722 39 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1745 MANSYUR 0000 494118156 25 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1746 KARTINI 0000 493455249 42 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1747 FEBI 0000 493523706 26 L 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1749 SETIAWATI 0000 493941745 31 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1750 NANTIH 0000 494118955 13 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1751 MAHMUD 0000 493435495 40 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1752 CEKUT 0000 493524426 13 L 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1753 ISAH 0000 494039992 43 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1754 ODING 0000 493958564 56 L 6/12/2013 ISPA 4,000 0 0 0 0 0 4,000
1755 JALI 0000 494144447 30 L 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1756 ANNY SUMARNI 0000 493457253 13 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1757 SADAN 0000 493525258 32 L 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1758 PUTRA KESA M 0000 494085159 46 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1759 DEDE SYARIFUDIN 0000 493943141 26 L 6/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1760 SUKANTI 0000 494144673 67 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1761 RINAH 0000 493465915 22 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1762 IYUNG 0000 493526621 32 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1763 REPI 0000 494040374 12 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1764 ISAH 0000 493959947 40 P 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1765 USUN 0000 494120226 34 P 6/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1766 ENAH 0000 493482115 45 P 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1767 RATNA 0000 493527846 56 P 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1768 MUHADI 0000 494063403 45 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1769 KANAH 0000 493961275 17 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1770 ROSMAH 0000 494146708 65 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1772 RASEM 0000 493472643 13 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1773 HERMAN 0000 494046088 32 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1774 AKUB 0000 493961938 39 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1775 MISIN 0000 494131397 67 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1776 NEMAH 0000 493483397 10 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1777 TITIN 0000 493528904 23 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1778 M SAHRA 0000 494068678 54 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1779 TONO 0000 493962985 33 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1780 ININ 0000 494131667 25 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1781 LANA SUSANTO 0000 493468424 33 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1782 TRIANA 0000 493561517 60 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1783 ATIH 0000 494091483 36 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1784 HUSWATUN HASANAH 0000 493963839 37 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1785 ASTI 0000 494132242 71 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1786 ASEP 0000 493484556 60 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1787 ESAH 0000 493562259 23 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1788 USRI 0000 494047258 33 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1789 AGUS SANT050 0000 493966348 45 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1790 IKAH 0000 494157442 25 P 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1791 KUCENG 0000 493484657 44 P 6/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1792 ISAN 0000 493564623 34 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1793 AHMAD FAIZ 0000 494091854 70 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1794 SRI ASTUTI 0000 493977159 32 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1795 LOMAN 0000 494133513 24 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1796 TAJWA1 0000 493485197 23 L 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1797 DIAN 0000 493565308 34 P 6/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1798 HUSNI ROBET 0000 494047989 23 L 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1799 FAHRIZ A 0000 493967823 34 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1800 LUSIH 0000 494158904 46 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1801 SURYADI 0000 493470055 45 L 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1802 KEBOT 0000 493579438 23 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1803 AGUS 0000 494070153 32 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1804 uo 0000 493968756 22 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1805 ITI 0000 494159286 13 P 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1806 ROSAD 0000 493485985 13 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1809 DEDE HARYANTO 0000 494009932 33 L 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1810 ANGKAT 0000 494159501 42 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1811 TINI 0000 493486211 34 P 6/12/2013 ISPA 4,000 0 0 0 0 0 4,000
1812 HERLINA PUTRI 0000 493600601 35 p 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1813 SRI DEWI 0000 494070603 54 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1814 JULI YANTO 0000 494010347 14 L 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1815 HUSEN 0000 494160287 21 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1816 SANTIH 0000 493498719 12 P 6/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1817 RIAN KURNIAWAN 0000 493601455 34 l 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1818 TITA ANISAH 0000 494048979 24 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1819 IIS ISTIQOMAH 0000 494010808 27 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1820 SANAH 0000 494160467 33 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1821 WARSIH 0000 493499057 23 P 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1822 SURYATI 0000 493601859 20 P 6/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1823 KISAN 0000 494071277 36 L 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1824 NUSI BIN RIBUT 0000 494011462 34 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1825 EDWIN KURNIA 0000 494136797 23 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1826 KUSRINAH 0000 493499992 30 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1827 MAAH 0000 493582768 24 0 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1828 SANETl 0000 494093237 54 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1829 ROSMAWATI 0000 493989006 22 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1830 SITI HODIJAH 0000 494170222 22 P 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1831 NAMI 0000 493501634 60 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1832 SUNARYO 0000 493603064 35 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1833 IRMAN 0000 494097849 43 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1834 IDRIS 0000 494012632 42 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1835 AMIR SALAM 0000 494165823 11 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1836 ABDUL RIZAL 0000 493503153 65 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1837 NURSINAH 0000 493603773 23 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1838 REMIH 0000 494076328 32 P 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1839 INDRA LESMANA 0000 494013385 22 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1840 SARJA 0000 494200012 21 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1841 DARMA 0000 493503581 24 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1842 ROHW^jÛHORI 0000 493584759 13 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1843 KENJO 0000 494055729 34 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1844 MISIH 0000 494013767 40 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1845 IK AH 0000 494200607 21 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1846 AYU DENITA 0000 493504255 79 P 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1847 SUPARMAN 0000 493645296 61 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1848 ALBAR RIFAI 0000 494076835 24 L 6/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1849 JAKARIA 0000 494014296 45 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1850 SANAH 0000 494171717 45 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1851 ANI 0000 493504762 21 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1852 PRASETIO 0000 493646073 20 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1853 6UMANG 0000 494056089 27 L 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1854 JUNI 0000 494014779 22 P 6/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1855 RUMSIH 0000 494171853 27 P 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1856 JUANDA PRASETIYO 0000 493505886 39 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1857 EDI MARYADI 0000 493646736 45 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1858 KANI 0000 494099818 23 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1859 YAYAH 0000 493991965 24 P 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1860 NANI FERI 0000 494172257 24 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1861 DAIS 0000 493506639 65 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1862 ECA 0000 493626824 12 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1863 ALDIANSYAH 0000 494056901 23 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1864 JURIAH 0000 494015354 21 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1865 JUJU 0000 494201665 45 P 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1866 YATI 0000 493507765 60 P 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1867 SAID 0000 493627724 45 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1868 IKA NIA 0000 494100551 45 P 6/12/2013 ISPA 4,000 0 0 0 0 0 4,000
1869 TITI 0000 494031407 40 P 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1871 AJA 0000 493549402 45 L 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1872 MIAN 0000 493648705 45 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1873 M IRWAN 0000 494100944 45 L 6/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1874 AMELLIA 0000 494033139 46 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1875 NALIYAH 0000 494173293 32 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1876 ARDI WIRANATA 0000 493552326 34 L 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1877 EVI RAHMAWATI 0000 493629006 20 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1878 SABRINA 0000 494101686 34 P 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1879 NURAINI 0000 494001922 46 P 6/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1880 GUNYAH 0000 494179738 46 P 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1881 WARTINI 0000 493554611 13 P 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1882 INDAR 0000 493650009 30 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1883 UCI SANUSI 0000 494079816 60 L 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1884 HASANAH 0000 494036289 19 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1885 ANIN 0000 494180166 29 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1886 ASIM 0000 493555825 10 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1887 MIDA 0000 493680936 44 p 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1888 DASMINAH 0000 494116233 21 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1889 RISMAWATI 0000 494059432 14 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1890 MISIN 0000 494180785 22 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1891 SARIDAH 0000 493509519 18 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1892 SINTA 0000 493682602 32 p 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1893 RIVAL RIKI 5 0000 494140825 39 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1894 AHMAD 0000 494060488 36 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1895 ISAN BUTUN 0000 494211093 38 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1896 ICIH 0000 493557726 26 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1897 SITI HABIBAH 0000 493684031 22 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1898 M SIDIK 0000 494141376 26 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1899 ECIH 0000 494061445 43 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1900 SULASIH 0000 494232478 60 P 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1901 SIGIT MAHESA 0000 493509835 50 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1902 ANDRI 0000 493685561 25 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1903 AHMAD 0000 494116751 26 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1904 SIDIK 0000 494062154 22 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1905 MANI 0000 494181786 34 P 6/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1906 CARMANAH 0000 493510689 27 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1907 KINAN 0000 493703447 43 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1908 IRFAN 0000 494142737 35 L 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1909 YANGI 0000 494085058 33 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1910 YANAH 0000 494182427 33 P 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1911 ROKIB 0000 493511196 50 L 6/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1912 NATIH 0000 493691916 32 P 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1913 INDON 0000 494118268 36 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1915 ALIB JUNAEDI 0000 494182912 36 L 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1916 PUTRI KARLINA 0000 493511938 28 P 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1917 IJO 0000 493694346 11 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1918 SUSI 0000 494111575 25 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1919 YOGI 0000 494085778 12 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1920 INESSUHANDRA 0000 494214028 14 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1921 SUTINAH 0000 493523605 35 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1922 KANIH 0000 493696225 22 P 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1923 ENCUM 0000 494119269 35 L 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1924 RWAN 0000 494091088 56 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1925 SUWANDA 0000 494214658 70 L 6/12/2013 ISPA 4,000 0 0 0 0 0 4,000
1926 WANTA 0000 493524279 60 L 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1927 ANGGUN 0000 493697834 24 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1928 ESTI 0000 494144886 13 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1929 KARSINAN 0000 494068588 34 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1930 OMIN 0000 494236089 23 L 6/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1931 RAJU 0000 493525135 44 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1932 PANDI 0000 493699026 45 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1933 SUNARYA 0000 494120711 56 L 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1935 ISMAIL MARJUKI 0000 494249196 20 L 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1936 NURYADI 0000 493526103 21 L 6/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1937 JOYO BOYO 0000 493901392 40 L 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1938 EKO SUSANTO 0000 494146754 23 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1939 NYAMIN 0000 494047135 24 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1940 NUR BAETI 0000 494254866 24 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1941 DARA 0000 493527622 37 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1942 SITI HOPIPAH 0000 493922812 50 p 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1943 RAPDI MUJADI 0000 494131487 48 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1945 YANTI 0000 494256161 43 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1946 SATA 0000 493472619 56 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1947 ANISA AZZAHRA 0000 493902538 24 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1948 ABDUL AZIS 0000 494156338 50 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1949 SANI 0000 494047787 54 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1950 SURYA 0000 494258218 24 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1951 PINAH 0000 493558694 12 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1952 ARDI 0000 493924983 14 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1953 IKAH 0000 494132264 34 P 6/12/2013 caries gigi 0 4,000 0 0 0 0 4,000
1954 HAMDANI 0000 494070131 45 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1955 MANIN 0000 494260492 43 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1956 IDA 0000 493561416 45 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1957 NIMUN 0000 493925679 23 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1958 ANISAH 0000 494132679 60 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1959 SALSA APRILIA 0000 494048338 46 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1960 MARNI 0000 494262595 25 P 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1961 SAIM 0000 493562248 14 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
1962 NIA 0000 493925995 23 P 6/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1963 M SAH PIKRI 0000 494158318 36 L 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1964 TITI 0000 494070581 34 P 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1965 ELEH JIHAN 0000 494264654 20 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1966 ALIA DWI ROHIMAH 0000 493563295 55 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1967 WINARSIH 0000 493906768 23 P 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1968 SITI KARMILAH 0000 494158948 70 P 6/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1969 IDI 0000 494048733 35 L 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1970 EPIH 0000 494266061 35 P 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1971 UCU 0000 493564871 32 P 6/12/2013 infeksi gusi 0 4,000 0 0 0 0 4,000
1972 TITIN NURLAELA 0000 493907872 22 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1973 AMELIA 0000 494159321 20 P 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1974 UNAH 0000 494071031 15 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1975 SAMAH 0000 494270357 33 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1976 MISRI 0000 493579124 50 P 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1977 WANDIH 0000 493908568 45 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1978 UPITA SARI 0000 494134863 10 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1979 ASDI 0000 494093204 24 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1980 RIKI 0000 494273395 33 L 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1981 RINAH 0000 493579618 47 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1982 MUNAWAROH 0000 493909751 50 P 6/12/2013 ISPA 4,000 0 0 0 0 0 4,000
1983 DENDI ANANOA 0000 494135392 35 L 6/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
1984 RATNASARI 0000 494075417 56 P 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1985 NENIH 0000 492086068 45 P 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1987 DANA KUSTIANA 0000 493910381 13 P 6/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
1988 FEBRIANI CAHYANI 0000 494160873 26 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1989 PRAST 10 0000 494076249 54 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
1990 MUHAMAD PAHRI 0000 493284058 54 L 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1991 roni gunawan 0000 493601398 40 l 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1992 SALWA KHAUDIYAH 0000 493910965 30 P 6/12/2013 Ispa 4,000 0 0 0 0 0 4,000
1993 rAMIH 0000 494198908 23 L 6/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
1994 RIZKI IMAM A 0000 494055584 19 L 6/12/2013 caries gigi 0 4,000 0 0 0 0 4,000
1995 BAYU 0000 493285599 45 L 6/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
1996 DASAN 0000 493601758 41 L 6/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
1997 ANDI 0000 493941879 25 L 6/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
1998 DESIH R 0000 494170301 16 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
1999 EKO 0000 494076802 60 L 6/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2000 TAMIH 0000 493310902 43 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2001 UDIN 0000 493582544 56 L 6/12/2013 Demam 4,000 0 0 0 0 0 4,000
2002 ETI YUIIANTI 0000 493958687 40 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2003 ALYA ROSALIN 0000 494166137 11 P 6/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2004 MISAH 0000 494055988 33 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2005 NUGI 0000 493288209 27 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2006 SUMIRAH 0000 493603029 25 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2007 DEDI ROMDONI 0000 493943466 29 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2008 DEA OKTAVIA 0000 494170964 24 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2009 ASTA 0000 494077397 57 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2010 AISAH 0000 493313242 28 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2011 WOWON 0000 493603716 19 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2012 SUHADA 0000 493944096 32 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2013 ROBIH 0000 494200618 21 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2014 SALMAH 0000 494056629 50 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2015 NOVAL 0000 493290819 32 I 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2016 ANDRI AGASI 0000 493584669 40 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2017 RINTO 0000 493944737 42 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2018 TABAH 0000 494221858 21 I 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2019 ABIDIN 0000 494100459 23 L 7/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2020 TASADI 0000 493315143 23 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2021 ERVAN HERLANSYAH 0000 493645217 45 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2022 MANYIH 0000 493962467 40 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2023 RUSDI 0000 494171943 21 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2024 JUMSIAH 0000 494078613 35 P 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2025 SAMLAWI 0000 493293115 38 L 7/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2026 JUMIYEM 0000 493646049 49 P 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2027 RATNASARI 0000 493963075 45 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2028 TIMI 0000 494172336 38 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2030 WARNAH 0000 493317448 20 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2031 SOPRIH 0000 493626058 36 L 7/12/2013 caries gigi 0 4,000 0 0 0 0 4,000
2032 RA5DI 0000 493964785 68 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2033 SAMBA 0000 494201733 22 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2034 ROHIMATUL SALWA 0000 494079761 45 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2035 YANIH 0000 493318214 26 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2036 TATI 0000 493647581 50 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2037 ENON 0000 493966495 33 P 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2038 DEA 0000 494202442 23 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2039 ACIH 0000 494080209 44 P 7/12/2013 ISPA 4,000 0 0 0 0 0 4,000
2040 BIANG 0000 493319406 47 L 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2041 YUDA 0000 493627612 23 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2042 WAWAN GUNAWAN 0000 4939 77249 13 i 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2043 SAIBAH 0000 494173495 35 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2044 JAMSIAH 0000 494140768 38 P 7/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2045 ANGELIA 0000 493397987 35 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2046 SURYANI 0000 493627994 22 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2047 OTONG 0000 493947134 55 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2048 SANDIKA NAYVA K 0000 494179762 13 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2049 IMAM ARIFIN 0000 494141264 24 L 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2050 MINIH 0000 493398865 24 P 7/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2051 UAH 0000 493628927 23 P 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2052 SENGGOL 0000 493968947 36 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2053 NAMIH 0000 494180201 28 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2054 ARMIN 0000 494109652 21 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2055 SUNARTI 0000 493371821 40 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2056 NIAH 0000 493649897 29 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2057 KAMAN 0000 493986846 45 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2058 ISMA 0000 494231725 64 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2059 RENI 0000 494142579 21 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2060 BUNGA LESTARI 0000 493372833 32 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2061 SARBINI 0000 493680835 33 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2062 SAIFUL 0000 493987522 56 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2063 BAMBANG 0000 494211216 29 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2064 MANSYUR 0000 494118156 25 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2065 IKAL 0000 493402656 40 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2066 SAFITRI 0000 493682196 60 p 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2067 YANAH 0000 493988231 24 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2068 TABAN 0000 494211666 47 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2069 NANTIH 0000 494118955 13 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2070 ABDUR ROHMAN 0000 493403275 23 L 7/12/2013 caries gigi 0 4,000 0 0 0 0 4,000
2071 SITI BAINAH 0000 493683906 21 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2072 MISTA 0000 493988769 25 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2073 TOPIK TARMIJI 0000 494181922 30 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2074 JALI 0000 494144447 30 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2075 SAROH 0000 493404366 56 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2076 UUN 0000 493685256 12 P 7/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2077 MINTRA 0000 493989041 34 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2078 SITI AISAH 0000 494182462 30 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2080 LARAS 0000 493405312 24 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2081 MAYANG SARI 0000 493690724 40 P 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2082 SAM IN 0000 494012834 11 L 7/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2083 NITA 0000 494182991 12 P 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2084 USUN 0000 494120226 34 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2085 SUHERMAN 0000 493405806 47 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2086 MASNI 0000 493691602 43 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2087 ALEH 0000 493990075 67 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2088 RAOI 0000 494183957 32 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2089 ROSMAH 0000 494146708 65 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2090 ROHIMUDIN 0000 493406638 23 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2091 DEA RULITA 0000 493694188 34 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2093 DINI HANDAYANI 0000 494214693 15 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2094 MISIN 0000 494131397 67 L 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2095 KANAH 0000 493407358 33 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2096 MANIN 0000 493695584 43 L 7/12/2013 ISPA 4,000 0 0 0 0 0 4,000
2097 SITI KHOLIFAH 0000 494014476 65 P 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2098 ALUDIN 0000 494215929 33 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2099 ININ 0000 494131667 25 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2100 AMBIH 0000 493352864 15 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2101 DINI 0000 493697722 34 P 7/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2102 HERUN 0000 494014882 45 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2103 SAYI 0000 494250682 44 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2104 ASTI 0000 494132242 71 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2105 IIS AISYAH 0000 493355485 23 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2106 ATO 0000 493706248 50 L 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2107 YASIN 0000 493992011 56 L 7/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2108 JEDING 0000 494255171 56 P 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2109 IKAH 0000 494157442 25 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2110 TATI HARTATI 0000 493416819 30 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2111 JMHIN 0000 493922349 20 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2112 NANDANG 0000 494028527 22 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2113 MUSTOPA 0000 494256429 70 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2114 LOMAN 0000 494133513 24 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2115 GUNAWAN 0000 493419587 20 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2116 ETI 0000 493922621 34 p 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2117 DANI 0000 494031789 12 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2118 KASIH 0000 494258736 56 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2119 LUSIH 0000 494158904 46 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2120 EBRO 0000 493421591 38 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2121 FITRIAH SITI NURAJIS 0000 493923025 50 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2122 BUANG 0000 494033951 40 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2123 RODIAH 0000 494261076 33 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2124 ITI 0000 494159286 13 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2125 YANTO 0000 493423593 54 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2126 GUMIH 0000 493903991 25 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2127 KATAM 0000 494057428 22 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2128 SANIAH 0000 494263168 34 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2129 ANGKAT 0000 494159501 42 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2130 MULYATI 0000 493445193 30 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2131 DINAH 0000 493925365 40 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2133 OROK 0000 494265159 23 L 7/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2134 HUSEN 0000 494160287 21 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2135 ASEP 0000 493450839 12 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2136 MASTINA 0000 493925826 34 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2138 SUSI LESTARI 0000 494268107 13 P 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2139 SANAH 0000 494160467 33 P 7/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2140 IJO MADI 0000 493431131 60 L 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2141 DEDI 0000 493927031 40 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2143 MASUM 0000 494271685 36 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2144 EDWIN KURNIA 0000 494136797 23 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2145 MURDIN 0000 493432211 27 I 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2149 SITI HODIJAH 0000 494170222 22 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2150 NOVA ELISA 0000 493481542 33 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2151 RATU LAELA SALWA 0000 493908355 32 P 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2152 ISAH 0000 494039992 43 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2153 INDAH HAERANI 0000 492087069 24 P 7/12/2013 ISPA 4,000 0 0 0 0 0 4,000
2154 AMIR SALAM 0000 494165823 11 L 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2155 JAMANI 0000 493466466 40 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2156 ERYANTI 0000 493930631 34 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2157 PUTRA KESA M 0000 494085159 46 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2158 SAPAR 0000 493308505 21 L 7/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2159 SARJA 0000 494200012 21 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2160 ROZAK 0000 493466905 67 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2161 M ZAENUDIN 0000 493910177 50 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2163 ANGGIH 0000 493309282 34 L 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2164 IK AH 0000 494200607 21 P 7/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2165 NURYANTI 0000 493468233 22 P 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2166 TUNAH LESTARI 0000 493931722 39 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2167 MUHADI 0000 494063403 45 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2168 NUNUNG 0000 493287243 21 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2169 SANAH 0000 494171717 45 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2170 ASEN 0000 493484567 38 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2171 SETIAWATI 0000 493941745 31 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2172 HERMAN 0000 494046088 32 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2173 IRMA 0000 493288569 26 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2174 RUMSIH 0000 494171853 27 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2175 DEDEN 0000 493484949 70 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2176 ODING 0000 493958564 56 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2177 M SAHRA 0000 494068678 54 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2178 DANI 0000 493313488 32 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2179 NANI FERI 0000 494172257 24 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2180 MAYA 0000 493485445 74 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2181 DEDE SYARIFUDIN 0000 493943141 26 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2182 ATIH 0000 494091483 36 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2183 IBRAHIM 0000 493290898 23 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2184 JUJU 0000 494201665 45 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2185 ROHIDIN 0000 493471495 36 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2186 ISAH 0000 493959947 40 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2187 USRI 0000 494047258 33 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2188 SUMI 0000 493315863 15 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2189 PUJI 0000 494202071 21 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2190 RESTU ARDIANSAH 0000 493472002 29 L 7/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2191 KANAH 0000 493961275 17 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2192 AHMAD FAIZ 0000 494091854 70 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2193 YAMSU 0000 493293418 45 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2194 NALIYAH 0000 494173293 32 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2195 ADI 0000 493487482 60 L 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2196 AKUB 0000 493961938 39 L 7/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2198 IRFAN 0000 493317472 40 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2200 IWAN 0000 493487897 67 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2201 TONO 0000 493962985 33 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2202 AGUS 0000 494070153 32 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2203 RINI 0000 493318495 50 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2204 ANIN 0000 494180166 29 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2205 SARI 0000 493669506 43 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2206 HUSWATUN HASANAH 0000 493963839 37 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2208 DAYAT 0000 493296017 43 L 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2209 MISIN 0000 494180785 22 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2210 AGUNG 0000 493670395 54 L 7/12/2013 ISPA 4,000 0 0 0 0 0 4,000
2211 AGUS SANT050 0000 493966348 45 L 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2212 SRI DEWI 0000 494070603 54 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2213 MIIN 0000 493398178 11 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2214 ISAN BUTUN 0000 494211093 38 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2215 TIMIN 0000 493671486 54 L 7/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2216 SRI ASTUTI 0000 493977159 32 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2217 TITA ANISAH 0000 494048979 24 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2218 NURLELA 0000 493370763 34 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2219 SULASIH 0000 494232478 60 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2220 ARTADA 0000 493672217 30 L 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2221 FAHRIZ A 0000 493967823 34 L 7/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2222 KISAN 0000 494071277 36 L 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2223 MANIH 0000 493400474 26 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2224 MANI 0000 494181786 34 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2225 NAPSIAH 0000 493673905 42 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2226 uo 0000 493968756 22 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2227 SANETl 0000 494093237 54 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2228 AHMAD DIRAM 0000 493372877 60 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2229 YANAH 0000 494182427 33 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2230 AYU WULANDARI 0000 493674355 45 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2231 DEDE HARYANTO 0000 494009932 33 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2233 LIANA DEWI 0000 493374543 23 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2234 ALIB JUNAEDI 0000 494182912 36 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2235 MUNAH 0000 493675266 80 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2236 JULI YANTO 0000 494010347 14 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2237 REMIH 0000 494076328 32 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2238 ASTUTI 0000 493375386 35 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2239 INESSUHANDRA 0000 494214028 14 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2240 OMAH 0000 493676021 60 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2241 IIS ISTIQOMAH 0000 494010808 27 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2242 KENJO 0000 494055729 34 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2243 USMAN 0000 493376657 14 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2244 SUWANDA 0000 494214658 70 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2245 ABDUR ROHIM 0000 493676864 44 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2246 NUSI BIN RIBUT 0000 494011462 34 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2247 ALBAR RIFAI 0000 494076835 24 L 7/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2248 NINDI 0000 493377388 45 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2249 OMIN 0000 494236089 23 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2250 IDAM KHOLID 0000 493677718 34 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2251 ROSMAWATI 0000 493989006 22 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2252 6UMANG 0000 494056089 27 L 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2253 SITI MARIYAM 0000 493378029 9 P 7/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2254 ISMAIL MARJUKI 0000 494249196 20 L 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2255 EMI 0000 493678023 70 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2256 IDRIS 0000 494012632 42 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2257 KANI 0000 494099818 23 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2258 BUCHORI 0000 493379212 26 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2259 MUNAWAROH 0000 494012924 9 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2260 ROSAN 0000 494077735 24 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2261 DAMAN HURI 0000 493407099 23 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2262 INI 0000 494255856 32 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2263 JUEN 0000 493731101 36 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2264 MASTURI 0000 494013677 23 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2265 SUNANDAR 0000 494100415 20 L 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2266 MUTIARA 0000 493352616 14 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2267 ITA MUFUHAH 0000 494257195 23 P 7/12/2013 ISPA 4,000 0 0 0 0 0 4,000
2268 5EROH 0000 493754793 40 P 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2269 AYU WANDIRA 0000 493990907 45 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2270 NENGSIH 0000 494078591 23 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2271 SARWINAH 0000 493354642 36 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2272 HERI 0000 494259849 23 L 7/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2273 EMAH 0000 493755006 45 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2275 OYI 0000 494101359 13 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2276 SAIMAN 0000 493416628 14 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2277 MARYAMAH 0000 494261932 23 P 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2278 PARIDI 0000 493755614 21 L 7/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2279 SLAMET 0000 494015073 33 L 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2280 NASIM FIRDAUS 0000 494079489 23 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2281 USNI 0000 493419374 35 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2282 SISKA 0000 494264452 17 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2284 ARMAN 0000 493992123 43 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2285 MUDIN MAULANA 0000 494080121 43 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2286 ONYIH 0000 493421231 44 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2287 RODI 0000 494266004 26 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2288 SARNIH 0000 493681746 10 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2289 MENEN 0000 493974898 34 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2290 WULAN DARI 0000 494140713 36 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2291 ICAH 0000 493423345 20 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2292 TAUPIK HIDAYAT 0000 494270177 36 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2293 WARSIH 0000 493682207 54 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2294 CICIH 0000 494032149 25 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2295 OMIN 0000 494140893 21 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2296 SAHANEN 0000 493445079 35 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2297 JAIM 0000 494272877 10 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2298 ADI 0000 493682444 56 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2299 ARI 0000 494034489 24 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2300 MURTI 0000 494142041 43 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2301 WARSIH 0000 493449028 17 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2302 BUANG 0000 492085394 35 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2303 AGUS 0000 493735397 41 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2304 WASID 0000 494035942 23 L 7/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2305 OING 0000 494117019 20 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2306 SEPTIANA PUTRI 0000 493430984 40 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2308 AMIR HAMZAH 0000 493682815 60 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2309 ATIH SULASTRI 0000 494058993 17 P 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2310 ILHAM ZAENUDIN 0000 494110528 57 L 7/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2311 SURIFAH 0000 493452909 24 P 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2312 SARNIH 0000 493308731 21 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2313 AMALIA 0000 493735678 54 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2314 FAJAR SIDIQ 0000 494060286 33 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2315 LACI 0000 494118494 24 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2317 IRSAD 0000 493286995 47 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2318 ROBIAH 0000 493762421 20 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2319 HIDAYAT 0000 494060771 20 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2320 ALDIYANSAH 0000 494144302 45 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2321 DINI KARTIKA 0000 493481968 32 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2322 FERY 0000 493287849 35 L 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2323 JAMAH 0000 493751924 20 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2324 RONIH 0000 494084619 38 L 7/12/2013 ISPA 4,000 0 0 0 0 0 4,000
2325 MURSIAH 0000 494144583 15 P 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2326 MACIH 0000 493482565 46 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2327 SAUDIH 0000 493289256 23 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2328 RANI 0000 493763038 60 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2329 HENI SUNARDI 0000 494084946 13 P 7/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2330 ROSIH 0000 494119899 10 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2331 NIMAH 0000 493483691 21 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2332 SURYA 0000 493313894 22 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2333 KURDI 0000 493763567 32 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2334 SADIH 0000 494085341 27 L 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2335 DAYAT RUSTANDI 0000 494120924 56 L 7/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2336 IHWAN 0000 493484455 26 L 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2337 ARMANIH 0000 493314873 39 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2338 NURJANAH 0000 493764445 43 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2339 AlFIAH 0000 494040532 26 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2340 MAJAMUJADI 0000 494131307 35 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2341 ISMAN 0000 493484905 23 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2342 RAHMAN MARETA 0000 493316537 46 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2343 ASMENAH 0000 493764849 25 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2344 SAAMIN 0000 494040868 13 l 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2345 WARTINI 0000 494156171 34 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2346 MARTINI 0000 493469908 65 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2347 SARDANA 0000 493293655 23 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2348 SURYADI 0000 493765097 34 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2349 IWAN W 0000 494046404 32 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2350 AYATIH 0000 494132152 60 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2351 JAMA 0000 493471451 15 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2352 LUTFI ADHA KARDAMI 0000 493317933 23 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2353 SANOH 0000 493765953 23 0 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2354 NAMUN 0000 494091246 32 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2355 DARSIH 0000 494156979 34 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2356 OEDI 0000 493486694 35 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2357 ADE RINO 0000 493295455 45 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2359 SENIN 0000 494046922 56 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2360 PERIH 0000 494157745 50 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2361 BANDI 0000 493487403 17 L 7/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2362 ARIF 0000 493296873 54 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2363 MUHAMAD RA'FAI 0000 493767999 26 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2364 ANOH 0000 494069231 13 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2365 DOMAS 0000 494158612 15 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2366 IIS AISYAH 0000 493472294 56 P 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2367 NISAN 0000 493370212 20 L 7/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2368 RIFKI FURNAMA 0000 493768844 43 L 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2369 NAAH 0000 494092124 23 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2370 SENDI WIJAYA PUTRA 0000 494159207 60 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2371 SURYANI 0000 493488617 74 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2373 NURACIH 0000 493810828 13 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2374 AULIA P 0000 494070006 60 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2375 MURSAM 0000 494159488 32 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2377 WAWAN 0000 493400812 32 u 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2378 ENTIN 0000 493790411 34 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2379 PARMAN 0000 494048193 23 L 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2380 IDRIS SUPANDI 0000 494160175 43 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2381 KENE 0000 493614472 14 P 7/12/2013 ISPA 4,000 0 0 0 0 0 4,000
2382 PATMAH 0000 493401903 70 P 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2383 RAKMAN 0000 493812459 26 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2384 PATIMAH 0000 494070197 34 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2385 UTENG 0000 494160377 13 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2386 IMAH 0000 493672072 60 P 7/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2387 NENIH 0000 493402915 22 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2388 YUMI 0000 493812966 16 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2389 ROBAI KURNIA 0000 494070748 34 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2390 DEA RAMDANI 0000 494136753 21 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2391 RUNO WIJAYA 0000 493673859 35 L 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2392 MASNI 0000 493375746 32 P 7/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2393 SUCI 0000 493792255 20 P 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2394 WANDIH 0000 494070772 23 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2395 SRI WULANDARI 0000 494199257 33 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2396 SUMINAR 0000 493674118 50 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2397 NANDA 0000 493376962 70 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2398 ERNA SUPRIANA 0000 493814351 80 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2399 KAMI 0000 494049227 10 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2400 TAMIN 0000 494170716 45 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2401 BONYIH 0000 493675042 25 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2402 JAYA 0000 493377467 53 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2403 AYU SHALILAH 0000 493793774 60 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2404 NEMAN 0000 494071514 35 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2405 SONI SONJAYA 0000 494199549 21 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2406 SOPIAN 0000 493675716 32 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2407 SAMSIAH 0000 493378615 11 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2408 ARIMBI 0000 493816037 14 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2409 RIKA AMELIA 0000 494075946 34 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2410 ICAH 0000 WOT0449 13 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2411 ROFIK 0000 493676831 30 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2412 SAHRULI 0000 493406875 21 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2413 ADE IRAWAN 0000 493816858 45 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2414 ROSITA 0000 494098806 20 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2415 NALIP 0000 494171695 50 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2416 SRI TINA APRIYANTI 0000 493677292 32 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2417 KANIH 0000 493408102 24 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2418 CARDI 0000 493817984 14 L 7/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2420 BONIH 0000 494201158 34 0 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2421 MUAMAR KADAFI 0000 493677966 45 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2422 CURUMAKSUROTUN 0000 493354427 33 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2423 SARIH 0000 493775774 39 P 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2424 IHAK 0000 494099425 35 L 7/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2425 RUSDIANA 0000 494172145 63 P 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2426 YANTI 0000 493730695 25 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2427 PUTRI 0000 493415976 36 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2428 RAIHAN 0000 493858697 30 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2429 SANYIH 0000 494076925 23 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2430 SATEM 0000 494222861 25 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2431 KASMI 0000 493731257 45 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2432 SIDI 0000 493419036 32 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2433 SALMAH ALFARIS 0000 493859889 45 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2434 ERWIN ILHAM 0000 494077509 13 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2435 ENUR 0000 494202036 26 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2436 MARDI 0000 493732664 26 L 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2437 SAMAN 0000 493420634 29 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2438 FITRI 0000 493860993 28 P 7/12/2013 ISPA 4,000 0 0 0 0 0 4,000
2439 YANAH 0000 494100393 61 P 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2440 UMAIROH 0000 494173203 33 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2441 MUS MAULANA 0000 493755063 30 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2442 NOSAN 0000 493423007 34 I 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2443 ABDULOHIM 0000 493861847 43 L 7/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2444 AMIH 0000 494078488 20 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2445 ZAENUDIN 0000 494210158 19 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2446 MAMAT 0000 493755737 23 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2447 RONICA 0000 493444866 23 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2448 ABDULRAHMAN 0000 493863671 23 L 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2449 UNI 0000 494079129 45 P 7/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2450 JURIAH 0000 494180054 22 P 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2451 MUNI 0000 493681342 60 L 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2452 RAMAN 0000 493448196 34 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2453 HANIPAH 0000 493711391 34 P 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2454 NELAH 0000 494079456 12 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2455 RAMIN 0000 494210643 26 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2456 SANDI 0000 493734104 45 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2457 RAFITA 0000 493451954 65 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2458 TIAR 0000 493712008 40 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2459 IWAN SANUSI 0000 494079917 45 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2460 SITI FATIMAH 0000 494211058 21 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2461 SUPENA 0000 493734587 65 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2462 LELAFA 0000 493431704 47 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2463 RENDl 0000 493712739 25 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2464 ABDUL FARIZR 0000 494108212 45 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2465 RAAM 0000 494232131 14 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2466 HABIBAHRI 0000 493682556 23 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2467 MURNI 0000 493433109 30 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2468 ROGAYAH 0000 493893819 15 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2470 NYAI 0000 494181606 29 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2471 ELA 0000 493735443 60 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2472 RISAH 0000 493481709 29 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2473 KURIYAH 0000 493895193 54 P 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2474 DANI 0000 494109077 30 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2475 MUHAMAD YUNUS 0000 494212004 31 L 7/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2476 MARNI 0000 493682872 60 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2477 PUJAWATI 0000 493482543 13 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2478 MUHAMAD PRAMUJA 0000 493912146 9 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2479 ROHMAN 0000 494116839 44 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2480 SANTI 0000 494182721 14 P 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2481 SIPIT 0000 493751799 25 P 7/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2482 NADIH 0000 493482914 70 L 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2483 OOM 0000 00004^3934^ 16 PP 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2484 SUROH 0000 494110271 32 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2485 NIKO HERMAWAN 0000 494183632 44 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2486 MUMUN 0000 493698262 45 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2487 KASMITA 0000 493484308 54 L 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2488 MOHAMAD RIZKY RAMADHAN 0000 493934984 21 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2490 CASNIA 0000 494234818 50 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2491 AHMAD SAYUSNI 0000 493751968 46 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2492 PANTI NAELATUL 0000 493469245 32 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2493 WAWAN 0000 493914407 23 L 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2494 FIKIH 0000 494111722 32 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2495 NANTIH 0000 494185375 40 0 7/12/2013 ISPA 4,000 0 0 0 0 0 4,000
2496 FATUROHMAN 0000 493763141 45 L 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2497 FATMAWATI 0000 493469842 25 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2498 ILHAM AKBAR 0000 493915318 34 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2500 UM LIUIM WAI 1 0000 494248961 42 V 7/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2501 NENGSIH 0000 493763624 21 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2502 AMAN 0000 493470988 30 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2503 RIDO 0000 493916275 40 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2504 YAMAH 0000 494119822 20 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2505 GINANJAR 0000 494254416 56 L 7/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2506 ILHAM HIDAYATULLAH 0000 493753375 13 L 7/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2507 ASIH 0000 493486503 43 P 7/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2508 DIAN 0000 493954389 34 P 7/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2509 RARASATI 0000 494120845 41 P 7/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2510 YANTO 0000 494255981 50 L 7/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2511 SOLIHIN 0000 493764895 37 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2512 BANAH 0000 493487267 50 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2513 ITA 0000 493917715 32 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2514 IYAN 0000 494147046 24 L 7/12/2013 Demam 4,000 0 0 0 0 0 4,000
2515 SAM IN 0000 494258196 64 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2516 SUGIANTO 0000 493765547 50 L 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2517 MAMAD SAHRONI 0000 493472114 23 L 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2518 FITRIAH SALSABILA 0000 493919201 34 P 7/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2519 ANIS 0000 494156114 21 P 7/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2520 NANA 0000 494260424 43 L 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2521 SAID 0000 493766212 45 L 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2522 INDRASUBUR 0000 493488584 20 L 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2523 IJA JUHARI 0000 493940158 36 L 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2524 AMAN 0000 494156856 35 L 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2525 SUSI 0000 494262292 45 P 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2526 ILHAM 0000 493766774 17 L 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2527 KURNASIH 0000 493670169 36 P 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2528 KARMAN 0000 494630763 38 L 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2529 SUNGKANA W 0000 494156924 60 L 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2530 PUTRIJIHAN 0000 494264632 55 P 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2531 SITI MUNAWAROH 0000 493768078 47 P 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2532 IKHWAL 0000 493671058 54 L 9/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2534 MIRA 0000 494157611 41 P 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2535 TARJO 0000 494266048 21 L 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2536 ILE 0000 493787878 57 L 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2537 UUN 0000 493671802 44 P 9/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2538 SITI ROHANA 0000 494658685 20 P 9/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2539 IMAM 0000 494134154 40 L 9/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2540 DOMAS 0000 494158612 15 P 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2541 SAMAH 0000 494270357 33 P 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2542 NILAN 0000 493810997 43 L 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2543 RUNO WIJAYA 0000 493673859 35 L 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2544 LALA 0000 494662184 29 P 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2545 SENDI WIJAYA PUTRA 0000 494159207 60 L 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2546 ITI 0000 494159286 13 P 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2548 SITI KHODIJAH 0000 493812009 43 P 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2549 AYU WULANDARI 0000 493674355 45 P 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2550 RIA PUJIAWATI 0000 494637737 33 P 9/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2551 ANGKAT 0000 494159501 42 L 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2552 UPITA SARI 0000 494134863 10 P 9/12/2013 ISPA 4,000 0 0 0 0 0 4,000
2553 MENDON 0000 492087418 33 L 9/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2554 RANTA 0000 493812944 70 L 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2555 MADHASAN 0000 493675525 65 L 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2556 ONAH 0000 494665468 12 P 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2557 DENDI ANANOA 0000 494135392 35 L 9/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2558 ACIM 0000 494135447 60 L 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2559 SARNIH 0000 493308731 21 P 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2560 SUCI 0000 493792255 20 P 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2561 ARYANAH 0000 493676291 32 P 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2562 ROJAK 0000 494640685 60 L 9/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2563 YOYOH RUSTIKA 0000 494136325 34 P 9/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2564 SUMINAR 0000 494160928 42 P 9/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2565 JALIL 0000 493310711 35 L 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2566 TARINI 0000 493793076 67 P 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2567 ROHIM 0000 493677189 13 P 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2568 SUANDA 0000 494641956 29 L 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2569 riTIN 0000 494199156 23 P 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2570 SRI WULANDARI 0000 494199257 33 P 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2571 NUGI 0000 493288209 27 L 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2572 AMINAH 0000 493794911 67 P 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2573 MUAMAR KADAFI 0000 493677966 45 L 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2574 ADE LIA PARAMITA 0000 494694696 33 P 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2575 TAMIN 0000 494170716 45 L 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2577 DANI 0000 493313488 32 L 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2578 RANAH 0000 493816588 37 P 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2579 SAM IN 0000 493730763 67 L 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2580 ANEN 0000 494741711 12 L 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2581 SARJA 0000 494200012 21 L 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2582 DEA OKTAVIA 0000 494170964 24 P 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2583 MARSIM 0000 493314636 45 L 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2584 JAYAD! 0000 493775392 39 L 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2585 IWAN 0000 493731483 56 L 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2586 RONI 0000 494744196 60 L 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2587 ROBIH 0000 494200618 21 L 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2588 NIA 0000 494171504 41 P 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2589 RAHMAN MARETA 0000 493316537 46 L 9/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2590 SARIH 0000 493775774 39 P 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2591 MAAT 0000 493754962 14 L 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2592 IYUNG 0000 494744624 32 L 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2593 EVA 0000 494200844 35 P 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2594 M SUGANOI 0000 494200923 45 L 9/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2595 SADUN 0000 493293789 42 L 9/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2596 MUHAMAD KARIM 0000 493858798 32 L 9/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2597 PARIDI 0000 493755614 21 L 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2598 MUHAMAD 0000 494702651 42 P 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2599 SAPINAH 0000 494172044 21 P 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2600 RUSDIANA 0000 494172145 63 P 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2601 YANIH 0000 493318214 26 P 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2602 MERNI 0000 493860464 34 P 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2603 MUNI 0000 493681342 60 L 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2604 WADI UNYIL 0000 494745895 24 L 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2605 SATEM 0000 494222861 25 P 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2606 JUJU 0000 494201665 45 P 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2607 DAYAT 0000 493296017 43 L 9/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2608 OLIVIA 0000 493861601 56 P 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2609 RISKA SELYYANA 0000 493681893 25 P 9/12/2013 ISPA 4,000 0 0 0 0 0 4,000
2610 DIRJAJAUN 0000 494724227 70 L 9/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2612 DEA 0000 494202442 23 P 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2613 AMIH 0000 493398663 20 P 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2614 SOPIA AULIA 0000 493863491 56 P 9/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2615 DIAN 0000 493734802 36 L 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2616 ETI 0000 493922621 34 p 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2617 SAIBAH 0000 494173495 35 P 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2618 AMJAH 0000 494223906 19 L 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2619 TATANG 0000 493371617 65 L 9/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2620 HANIPAH 0000 493711391 34 P 9/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2621 RESMI 0000 493735274 21 P 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2622 ABIDIN 0000 494100459 23 L 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2623 JUNULBTJUHAR 0000 494179918 21 P 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2624 EVI 0000 494179986 46 P 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2625 MARAH 0000 493372686 33 P 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2626 DIAH 0000 493712392 21 P 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2627 AMIR HAMZAH 0000 493682815 60 L 9/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2628 RAFI 0000 493410767 34 L 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2629 HERI FIRMANSYAH 0000 494210204 25 L 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2630 RAMIN 0000 494210643 26 L 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2631 IKAL 0000 493402656 40 L 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2632 ABEL 0000 493713617 35 P 9/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2633 SIPIT 0000 493751799 25 P 9/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2634 NANI 0000 493556106 23 P 9/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2635 SITI FATIMAH 0000 494211058 21 P 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2636 ISAN BUTUN 0000 494211093 38 L 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2637 ASTUTI 0000 493375386 35 P 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2638 AYU 0000 493894563 35 P 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2639 BADRI 0000 493698429 36 L 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2640 DANI 0000 494031789 12 L 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2641 SULASIH 0000 494232478 60 P 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2642 TABAN 0000 494211666 47 L 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2643 SARA 0000 493404759 21 P 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2644 RATNA 0000 493911821 14 P 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2645 MISNI 0000 493762858 34 P 9/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2647 TOPIK TARMIJI 0000 494181922 30 P 9/12/2013 ISPA 4,000 0 0 0 0 0 4,000
2648 SUNIN 0000 494181955 67 L 9/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2649 JAYA 0000 493377467 53 L 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2650 OOM 0000 00004^3934^ 16 PP 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2651 ARNIH 0000 493752699 60 P 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2652 IMAM ARIFIN 0000 494141264 24 L 9/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2653 SOLIHIN 0000 494233896 34 L 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2654 DIKIJULKARNAEN 0000 494212577 45 L 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2655 SITI LAELA AMELIA 0000 493378762 22 P 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2656 ALWI 0000 493951634 23 L 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2657 NURJANAH 0000 493764445 43 P 9/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2658 TINGGAL 0000 493454092 34 L 9/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2659 SUNIAH 0000 494183564 45 0 9/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2660 NIKO HERMAWAN 0000 494183632 44 L 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2661 KANAH 0000 493407358 33 P 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2662 LANA ULANSARI 0000 493953052 23 P 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2663 SOLIHIN 0000 493764895 37 L 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2664 WIHARTA 0000 493511951 27 L 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2665 CASNIA 0000 494234818 50 P 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2666 SUWANDA 0000 494214658 70 L 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2667 EDEH 0000 493353156 14 P 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2668 KARDI 0000 493953669 18 L 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2669 NIMI 0000 493765661 30 P 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2670 NAMAH 0000 494061737 50 P 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2671 OMIN 0000 494236089 23 L 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2672 ALUDIN 0000 494215929 33 L 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2673 ENUNG 0000 493415921 10 P. 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2674 FITRI 0000 493916826 32 P 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2675 SANIRAH 0000 493766482 67 L 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2676 ODING 0000 493958564 56 L 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2677 SAYI 0000 494250682 44 P 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2678 AYAT 0000 494251738 56 P 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2679 SIDI 0000 493419036 32 L 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2680 ITA 0000 493917715 32 P 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2681 SITI NASIAH 0000 493767573 60 P 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2682 SUKANTI 0000 494144673 67 P 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2683 MITAR 0000 494255553 40 L 9/12/2013 Demam 4,000 0 0 0 0 0 4,000
2684 INI 0000 494255856 32 P 9/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2685 ONYIH 0000 493421231 44 P 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2686 RAFFY 0000 493919379 34 L 9/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2687 RIFKI FURNAMA 0000 493768844 43 L 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2689 ITA MUFUHAH 0000 494257195 23 P 9/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2690 SAM IN 0000 494258196 64 L 9/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2691 YANTO 0000 493423593 54 L 9/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2692 YATI 0000 493957078 80 P 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2693 TUBAGUS SARANA 0000 493810841 23 L 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2694 RASEM 0000 493472643 13 P 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2695 NANA 0000 494260424 43 L 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2696 MANIN 0000 494260492 43 L 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2697 AYU KHOIRIYAH 0000 493445226 50 P 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2698 SAEPUL BAHRI 0000 494656683 32 L 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2699 NESAH 0000 493811998 34 P 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2700 M SAHRA 0000 494068678 54 L 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2701 MARNI 0000 494262595 25 P 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2702 SANIAH 0000 494263168 34 L 9/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2703 DOMAH 0000 493451346 46 P 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2704 SUGANDA 0000 494657829 32 L 9/12/2013 ISPA 4,000 0 0 0 0 0 4,000
2705 SARIYUM 0000 493791625 43 L 9/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2706 HUSWATUN HASANAH 0000 493963839 37 P 9/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2707 OROK 0000 494265159 23 L 9/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2708 SALEM 0000 494265881 21 P 9/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2709 LELAFA 0000 493431704 47 P 9/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2710 NYAI 0000 494661734 34 P 9/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2711 ASAN 0000 493792211 50 L 10/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2712 IKAH 0000 494157442 25 P 10/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2713 INTAN PANDINI 0000 494268704 50 P 10/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2714 TAUPIK HIDAYAT 0000 494270177 36 L 10/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2715 HALIMAH 0000 493481463 34 P 10/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2716 INTAN 0000 494637311 56 P 10/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2717 ERNA SUPRIANA 0000 493814351 80 P 10/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2718 TAJWA1 0000 493485197 23 L 10/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2719 JAIM 0000 494272877 10 L 10/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2720 SAROH MAYAROH 0000 494273136 23 P 10/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2721 JAMANI 0000 493466466 40 L 10/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2722 ALIF 0000 494639245 56 L 10/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2723 IIF HOLIFAH 0000 493815587 45 P 10/12/2013 Demam 4,000 0 0 0 0 0 4,000
2724 KEBOT 0000 493579438 23 L 10/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2725 DARWI 0000 492085495 46 P 10/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2726 NENIH 0000 492086068 45 P 10/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2727 AHMAD ZAELANI 0000 493467254 55 L 10/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2728 AIN 0000 494667033 70 P 10/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2729 ROMADI 0000 493816544 24 L 10/12/2013 Demam 4,000 0 0 0 0 0 4,000
2730 RAHUL KANA 0000 494048349 33 L 10/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2731 MUHAMAD PAHRI 0000 493284058 54 L 10/12/2013 Demam 4,000 0 0 0 0 0 4,000
2732 SAPAR 0000 493308505 21 L 10/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2733 ARIFSOEH 0000 493484218 61 L 10/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2735 PIPIT 0000 493817455 40 P 10/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2736 JULI YANTO 0000 494010347 14 L 10/12/2013 Demam 4,000 0 0 0 0 0 4,000
2737 ANGGIH 0000 493309282 34 L 10/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2738 USUP 0000 493286185 21 L 10/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2739 PANTI NAELATUL 0000 493469245 32 P 10/12/2013 Demam 4,000 0 0 0 0 0 4,000
2740 RUMSIAH 0000 494739718 10 P 10/12/2013 Demam 4,000 0 0 0 0 0 4,000
2741 JAKI 0000 493818816 12 L 10/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2742 SANAH 0000 494160467 33 P 10/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2743 IDA FARIDA 0000 493311306 25 P 10/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2744 FERY 0000 493287849 35 L 10/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2745 MARTINI 0000 493469908 65 P 10/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2746 ANWAR DOGAM 0000 494741259 42 L 10/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2747 RAIHAN 0000 493858697 30 L 10/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2748 KUSRINAH 0000 493499992 30 P 10/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2749 SAUDIH 0000 493289256 23 L 10/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2750 ROHMAH 0000 493289302 70 P 10/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2751 ROHIDIN 0000 493471495 36 L 10/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2752 ALYYUDIN 0000 494719942 60 L 10/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2753 SUPANDI 0000 493859913 70 L 10/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2754 SUNARYO 0000 493603064 35 L 10/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2755 IKBAL 0000 493290246 24 L 10/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2756 NOVAL 0000 493290819 32 I 10/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2757 ALI ROHMAN 0000 493486942 34 L 10/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2758 GUNAWAN 0000 494698847 20 L 10/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2759 MINTARSIH 0000 493861432 34 P 10/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2760 REMIH 0000 494076328 32 P 10/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2761 TASADI 0000 493315143 23 L 10/12/2013 ISPA 4,000 0 0 0 0 0 4,000
2762 SUMI 0000 493315863 15 P 10/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2763 OCIH 0000 493487559 27 0 10/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2764 LITA 0000 494702616 54 L 10/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2765 ARIFIN 0000 493862747 36 L 10/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2766 MISIH 0000 494013767 40 P 10/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2767 YAMSU 0000 493293418 45 P 10/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2768 JAELANI 0000 493293475 34 P 10/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2769 INDRASUBUR 0000 493488584 20 L 10/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2770 ASMAT 0000 494723182 73 L 10/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2771 SAMAN 0000 493710783 12 L 10/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2772 SANAH 0000 494171717 45 P 10/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2773 MURNAH 0000 493294149 50 P 10/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2774 LUTFI ADHA KARDAMI 0000 493317933 23 L 10/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2776 RUMSARI 0000 494723981 54 P 10/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2777 TIAR 0000 493712008 40 P 10/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2778 JUANDA PRASETIYO 0000 493505886 39 L 10/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2779 ADE RINO 0000 493295455 45 L 10/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2780 RENALDI 0000 493295703 70 L 10/12/2013 Demam 4,000 0 0 0 0 0 4,000
2781 TIMIN 0000 493671486 54 L 10/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2782 M JUHARI 0000 494014026 50 L 11/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2783 YATI 0000 493713033 34 P 11/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2784 ECA 0000 493626824 12 L 11/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2785 DAHLIA 0000 493369299 36 P 11/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2786 ANGELIA 0000 493397987 35 P 11/12/2013 Demam 4,000 0 0 0 0 0 4,000
2787 TASIH 0000 493672263 37 P 11/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2788 FITRIAH SITI NURAJIS 0000 493923025 50 P 11/12/2013 Demam 4,000 0 0 0 0 0 4,000
2789 SAEFUL BAHRI 0000 493894091 36 L 11/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2790 IKA NIA 0000 494100551 45 P 11/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2791 MINIH 0000 493398865 24 P 11/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2792 NURLELA 0000 493370763 34 P 11/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2793 RASJA 0000 493674039 33 L 11/12/2013 Demam 4,000 0 0 0 0 0 4,000
2794 JUMSIAH 0000 494078613 35 P 11/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2795 RIFAI 0000 493932429 12 L 11/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2796 AMELLIA 0000 494033139 46 P 11/12/2013 Demam 4,000 0 0 0 0 0 4,000
2797 MANIH 0000 493400474 26 P 11/12/2013 Demam 4,000 0 0 0 0 0 4,000
2798 LATIP 0000 493372337 24 L 11/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2799 AYU 0000 493674636 24 P 11/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2800 AMI 0000 493383047 32 P 11/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2803 MARKUM 0000 493373261 60 L 11/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2804 PATMAH 0000 493401903 70 P 11/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2805 SOPIAN 0000 493675716 32 L 11/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2806 LUTPI S 0000 493557107 17 L 11/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2807 MOHAMAD RIZKY RAMADHAN 0000 493934984 21 L 11/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2808 ASIM 0000 493555825 10 L 11/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2809 NENIH 0000 493402915 22 P 11/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2810 SURTI 0000 493403005 45 P 11/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2811 ABDUR ROHIM 0000 493676864 44 L 11/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2812 BUANG 0000 494033951 40 L 11/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2813 ROSDIANA 0000 493914554 22 P 11/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2814 SINTA 0000 493682602 32 p 11/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2815 MURTIAH 0000 493375948 26 P 11/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2816 SAROH 0000 493404366 56 P 11/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2817 ANIN 0000 493677764 24 L 11/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2818 RATU LAELA SALWA 0000 493908355 32 P 11/12/2013 ISPA 4,000 0 0 0 0 0 4,000
2819 JOLE 0000 493953265 11 L 11/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2820 M SIDIK 0000 494141376 26 L 11/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2821 LARAS 0000 493405312 24 P 11/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2822 NINDI 0000 493377388 45 P 11/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2823 SARMAN 0000 493678271 41 L 11/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2824 ARMIN 0000 494109652 21 L 11/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2825 ARIF 0000 493916455 79 L 11/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2826 SIDIK 0000 494062154 22 L 11/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2827 SITI MARIYAM 0000 493378029 9 P 11/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2828 JAJA 0000 493378211 34 L 12/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2829 JUEN 0000 493731101 36 L 12/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2830 ROMI 0000 493454474 29 L 12/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2831 TARWIYAH 0000 493955019 45 P 12/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2832 YANAH 0000 494182427 33 P 12/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2833 CARYATI 0000 493406831 43 P 12/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2834 SAHRULI 0000 493406875 21 L 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2835 MARDI 0000 493732664 26 L 12/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2836 FEBI 0000 493523706 26 L 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2837 FITRIAH SALSABILA 0000 493919201 34 P 12/12/2013 Demam 4,000 0 0 0 0 0 4,000
2838 PUTRI KARLINA 0000 493511938 28 P 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2839 KANIH 0000 493408102 24 P 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2840 MUTIARA 0000 493352616 14 P 12/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2841 MIRNA WATI DEWI 0000 493755208 19 P 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2842 ISAH 0000 494039992 43 P 12/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2843 YULI YANTI 0000 493940507 24 P 12/12/2013 Demam 4,000 0 0 0 0 0 4,000
2844 KANIH 0000 493696225 22 P 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2845 SARWINAH 0000 493354642 36 P 12/12/2013 Demam 4,000 0 0 0 0 0 4,000
2847 GATING 0000 493733709 29 P 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2848 DEDE SYARIFUDIN 0000 493943141 26 L 12/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2849 ONAH 0000 494625611 22 P 12/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2850 ESTI 0000 494144886 13 P 12/12/2013 Demam 4,000 0 0 0 0 0 4,000
2851 TATI HARTATI 0000 493416819 30 P 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2852 SITI INDRIYANI 0000 493417618 54 P 12/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2853 RUDI 0000 493681588 64 L 12/12/2013 Demam 4,000 0 0 0 0 0 4,000
2854 USUN 0000 494120226 34 P 12/12/2013 Demam 4,000 0 0 0 0 0 4,000
2855 MAESAROH 0000 494657447 34 P 12/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2856 ONIH 0000 494091369 35 P 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2857 NINA APRILIYANTI 0000 493420252 45 P 12/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2858 MISIH 0000 493420408 20 P 12/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2859 WARSIH 0000 493682207 54 P 12/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2860 SAMIH 0000 493466837 47 P 12/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2861 KASAN 0000 494635105 24 L 12/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2862 NUR BAETI 0000 494254866 24 P 12/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2863 MAOIH 0000 493422355 25 L 12/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2864 NOSAN 0000 493423007 34 I 12/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2865 HABIBAHRI 0000 493682556 23 L 12/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2866 TITIN 0000 493528904 23 P 12/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2867 TUTI 0000 494663286 29 P 12/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2868 SATA 0000 493472619 56 L 12/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2869 RONICA 0000 493444866 23 P 12/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2870 SAHANEN 0000 493445079 35 L 12/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2871 AMAH 0000 493735522 25 P 12/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2872 ATIH 0000 494091483 36 P 12/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2873 RIFKI 0000 494665378 14 L 12/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2874 ARDI 0000 493924983 14 L 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2875 WARSIH 0000 493449028 17 P 12/12/2013 ISPA 4,000 0 0 0 0 0 4,000
2876 ASEP 0000 493450839 12 L 12/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2877 TONI 0000 493683142 25 L 12/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2878 AGUS SANT050 0000 493966348 45 L 12/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2879 KOYAH 0000 494640044 33 P 12/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2880 ANISAH 0000 494132679 60 P 12/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2881 IJO MADI 0000 493431131 60 L 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2882 NYAI SUWARSIH 0000 493431287 65 P 12/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2883 YEYEN 0000 493762151 32 P 12/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2884 LOMAN 0000 494133513 24 L 12/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2885 UMIRAH 0000 494667674 43 P 12/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2886 TITI 0000 494070581 34 P 12/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2887 DEDE PADILAH 0000 493453383 50 P 12/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2888 PARTO 0000 493453787 35 L 12/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2889 JAMAH 0000 493751924 20 P 12/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2891 YATI KARTIKA DEWI 0000 494739314 34 P 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2892 EPIH 0000 494266061 35 P 12/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2893 SOLIHIN 0000 493481654 34 L 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2894 RISAH 0000 493481709 29 P 12/12/2013 Demam 4,000 0 0 0 0 0 4,000
2895 FATUROHMAN 0000 493763141 45 L 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2896 SELPI 0000 493599519 10 P 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2897 HALIMAH 0000 494719391 24 P 12/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2898 MISRI 0000 493579124 50 P 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2899 PUJAWATI 0000 493482543 13 P 12/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2900 MACIH 0000 493482565 46 P 12/12/2013 Demam 4,000 0 0 0 0 0 4,000
2901 NENGSIH 0000 493763859 45 P 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2902 SRI DEWI 0000 494070603 54 P 12/12/2013 Demam 4,000 0 0 0 0 0 4,000
2903 MILAH 0000 494742712 45 P 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2904 MUNAWAROH 0000 493909751 50 P 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2905 NIMAH 0000 493483691 21 P 12/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2906 NURYANTI 0000 493468233 22 P 12/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2907 IWAN 0000 493764524 40 L 12/12/2013 Demam 4,000 0 0 0 0 0 4,000
2908 IIS ISTIQOMAH 0000 494010808 27 P 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2909 SITIJURIYAH 0000 494698408 39 P 12/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2910 FEBRIANI CAHYANI 0000 494160873 26 P 12/12/2013 Demam 4,000 0 0 0 0 0 4,000
2911 ASEN 0000 493484567 38 L 12/12/2013 Demam 4,000 0 0 0 0 0 4,000
2912 NURHADI 0000 493484591 60 L 12/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2913 SURI 0000 493754185 23 P 12/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2914 EDWIN KURNIA 0000 494136797 23 L 12/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2915 KAMIH 0000 494701547 26 P 12/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2916 RIZKI IMAM A 0000 494055584 19 L 12/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2917 NEIH 0000 493469605 34 L 12/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2918 MURFIAH 0000 493469638 36 P 12/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2919 SANOH 0000 493765953 23 P 12/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2920 NAMI 0000 493501634 60 P 12/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2921 AJUM 0000 494721854 64 L 12/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2922 TAMIH 0000 493310902 43 P 12/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2923 MUNYIH 0000 493485805 36 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2924 AMAN 0000 493470988 30 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2925 ILHAM 0000 493766774 17 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2926 NURSINAH 0000 493603773 23 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2927 ASRI 0000 494723777 23 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2928 SUMIRAH 0000 493603029 25 P 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2929 ASIH 0000 493486503 43 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2930 OEDI 0000 493486694 35 L 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2931 WAHYUDIN 0000 493768451 21 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2932 KENJO 0000 494055729 34 L 13/12/2013 ISPA 4,000 0 0 0 0 0 4,000
2933 M SOLEH 0000 493548603 43 L 13/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2934 SUHADA 0000 493944096 32 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2935 BANDI 0000 493487403 17 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2936 ADI 0000 493487482 60 L 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2937 JOYO 0000 493789116 33 L 13/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2938 JAKARIA 0000 494014296 45 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2939 SITI KHOLIFAH 0000 494014476 65 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2940 TABAH 0000 494221858 21 I 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2941 IWAN 0000 493487897 67 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2942 IMAM 0000 493487998 54 L 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2943 RATIH 0000 493811739 47 P 13/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2944 RUMSIH 0000 494171853 27 P 13/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2945 GUMIH 0000 493903991 25 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2946 JUMSIAH 0000 494078613 35 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2947 KUNTET 0000 493669787 20 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2948 LASTRI 0000 493670057 73 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2949 RAKMAN 0000 493812459 26 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2950 DAIS 0000 493506639 65 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2951 WARSIH 0000 494101563 42 P 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
2952 WARNAH 0000 493317448 20 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2953 JUMHARI 0000 493671003 17 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2954 IKHWAL 0000 493671058 54 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2955 RUDI 0000 493812988 36 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2956 SAID 0000 493627724 45 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2957 WASDA 0000 493429454 46 L 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
2958 TATI 0000 493647581 50 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2959 UUN 0000 493671802 44 P 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
2960 IMAH 0000 493672072 60 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2961 MARSA MAULIA 0000 493792749 37 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2962 M IRWAN 0000 494100944 45 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2963 SAPRI 0000 493557996 33 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2964 WAWAN GUNAWAN 0000 4939 77249 13 i 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
2965 RUNO WIJAYA 0000 493673859 35 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2966 NAPSIAH 0000 493673905 42 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2967 EVI 0000 493793357 33 P 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
2968 NURAINI 0000 494001922 46 P 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
2969 KATAM 0000 494057428 22 L 13/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2970 SANDIKA NAYVA K 0000 494179762 13 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2971 AYU WULANDARI 0000 493674355 45 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2972 FAJAR ARDIANSYAH 0000 493674535 12 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2973 MARWATI 0000 493816015 42 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2974 ANIN 0000 494180166 29 L 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2975 ERYANTI 0000 493930631 34 P 13/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
2976 ARMIN 0000 494109652 21 L 13/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2977 MADHASAN 0000 493675525 65 L 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2978 KEMAN 0000 493675569 41 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2979 ADE IRAWAN 0000 493816858 45 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2980 SARIDAH 0000 493509519 18 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2981 RENI 0000 494142579 21 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2982 BUNGA LESTARI 0000 493372833 32 P 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2983 ARYANAH 0000 493676291 32 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2986 SITI HABIBAH 0000 493684031 22 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2987 KARTINI 0000 493455249 42 P 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
2988 SAFITRI 0000 493682196 60 p 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
2989 ROHIM 0000 493677189 13 P 13/12/2013 ISPA 4,000 0 0 0 0 0 4,000
2990 SRI TINA APRIYANTI 0000 493677292 32 P 13/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
2991 RIYAN 0000 493819749 47 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2992 AHMAD 0000 494116751 26 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2993 CEKUT 0000 493524426 13 L 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
2994 MISTA 0000 493988769 25 L 13/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
2996 EMI 0000 493678023 70 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
2997 PUTRI KHARISMA 0000 493859643 24 P 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
2998 YANGI 0000 494085058 33 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
2999 PUTRA KESA M 0000 494085159 46 L 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3000 SITI AISAH 0000 494182462 30 P 13/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3001 SAM IN 0000 493730763 67 L 13/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3002 SARTI 0000 493730908 32 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3003 DARIM 0000 493860767 60 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3005 ISAH 0000 493959947 40 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3006 USUN 0000 494120226 34 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3007 IWAN 0000 493731483 56 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3008 IMAN SUPARMAN 0000 493732394 25 L 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3009 ABDULOHIM 0000 493861847 43 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3010 SUTINAH 0000 493523605 35 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3011 ROSMAH 0000 494146708 65 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3012 ROHIMUDIN 0000 493406638 23 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3013 MAAT 0000 493754962 14 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3014 EMAH 0000 493755006 45 P 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3015 SANUSI 0000 493864042 13 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3016 ANGGUN 0000 493697834 24 P 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3017 NEMAH 0000 493483397 10 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3018 MANIN 0000 493695584 43 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3019 PARIDI 0000 493755614 21 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3020 MAMAT 0000 493755737 23 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3021 ARMINAH 0000 493711749 30 P 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3022 SUNARYA 0000 494120711 56 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3024 HERUN 0000 494014882 45 L 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3025 MUNI 0000 493681342 60 L 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3026 WISNU AL HAFID2 0000 493681408 70 L 13/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3027 RASMINAH 0000 493712471 67 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3028 NYAMIN 0000 494047135 24 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3029 USRI 0000 494047258 33 P 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3030 JEDING 0000 494255171 56 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3031 RISKA SELYYANA 0000 493681893 25 P 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3032 NESIN 0000 493681961 65 L 13/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3033 ASTRA 0000 493893415 17 L 13/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3034 YANTI 0000 494256161 43 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3035 SRI ASTUTI 0000 493977159 32 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3036 LOMAN 0000 494133513 24 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3037 DIAN 0000 493734802 36 L 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3038 MIRAN 0000 493682275 34 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3039 KURIYAH 0000 493895193 54 P 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3040 PINAH 0000 493558694 12 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3041 LUSIH 0000 494158904 46 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3042 EBRO 0000 493421591 38 P 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3043 RESMI 0000 493735274 21 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3044 AGUS 0000 493735397 41 L 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3045 WAFIK HALIMI 0000 493932936 54 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3046 NIMUN 0000 493925679 23 L 13/12/2013 ISPA 4,000 0 0 0 0 0 4,000
3047 ROSAD 0000 493485985 13 L 13/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3048 GUMIH 0000 493903991 25 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3049 AMIR HAMZAH 0000 493682815 60 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3050 MARNI 0000 493682872 60 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3051 BASAR 0000 493951331 14 L 13/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3052 M SAH PIKRI 0000 494158318 36 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3053 HERLINA PUTRI 0000 493600601 35 p 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3054 PANDU WIJAYA 0000 494058363 28 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3055 SIPIT 0000 493751799 25 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3056 ILMI 0000 493761993 69 L 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3057 DIKA ALPINAYAH 0000 493952073 32 L 13/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3058 IDI 0000 494048733 35 L 13/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3059 TITA ANISAH 0000 494048979 24 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3060 SUSI LESTARI 0000 494268107 13 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3061 BADRI 0000 493698429 36 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3062 MANAH 0000 493698644 34 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3063 OMAH 0000 493915274 40 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3064 SAMAH 0000 494270357 33 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3065 NUSI BIN RIBUT 0000 494011462 34 L 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3066 EDWIN KURNIA 0000 494136797 23 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3067 MISNI 0000 493762858 34 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3068 RIRI 0000 493762904 22 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3069 RIDO 0000 493916275 40 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3071 SITI HODIJAH 0000 494170222 22 P 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3072 NOVA ELISA 0000 493481542 33 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3073 ARNIH 0000 493752699 60 P 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3074 KURDI 0000 493763567 32 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3075 ITA 0000 493917276 45 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3076 DANA KUSTIANA 0000 493910381 13 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3077 ABDUL RIZAL 0000 493503153 65 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3078 ERYANTI 0000 493930631 34 P 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3079 NURJANAH 0000 493764445 43 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3080 ILHAM HIDAYATULLAH 0000 493753375 13 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3081 JUHADI 0000 493938404 56 L 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3082 rAMIH 0000 494198908 23 L 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3083 ROHW^jÛHORI 0000 493584759 13 L 13/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3084 REPI 0000 494040374 12 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3085 SOLIHIN 0000 493764895 37 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3086 DIKIN 0000 493764963 70 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3087 ARIS 0000 493940057 56 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3088 EKO 0000 494076802 60 L 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3089 ALBAR RIFAI 0000 494076835 24 L 13/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3090 NUNUNG 0000 493287243 21 P 13/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3091 NIMI 0000 493765661 30 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3092 SANUSI 0000 493765784 70 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3093 BOIN 0000 494655737 26 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3094 NUGI 0000 493288209 27 L 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3095 JUNI 0000 494014779 22 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3096 RUMSIH 0000 494171853 27 P 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3097 SANIRAH 0000 493766482 67 L 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3098 NYAI 0000 493766561 17 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3099 PUTRI NURAIMAH 0000 494632372 35 P 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3100 WOWON 0000 493603716 19 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3101 NANI FERI 0000 494172257 24 L 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3102 MAYA 0000 493485445 74 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3103 SITI NASIAH 0000 493767573 60 P 13/12/2013 ISPA 4,000 0 0 0 0 0 4,000
3104 MUHAMAD RA'FAI 0000 493767999 26 L 13/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3105 HASBI 0000 494633619 45 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3106 RINTO 0000 493944737 42 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3107 YATI 0000 493507765 60 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3108 ISAH 0000 493959947 40 P 13/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3109 RIFKI FURNAMA 0000 493768844 43 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3110 ILE 0000 493787878 57 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3111 A NAWAWI 0000 494662228 54 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3112 RUSDI 0000 494171943 21 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3113 MIAN 0000 493648705 45 L 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3114 AHMAD FAIZ 0000 494091854 70 L 13/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3115 TUBAGUS SARANA 0000 493810841 23 L 13/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3116 NILAN 0000 493810997 43 L 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3117 SITI MUAIMAH AMELINDA 0000 494637827 23 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3119 SABRINA 0000 494101686 34 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3121 NESAH 0000 493811998 34 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3122 SITI KHODIJAH 0000 493812009 43 P 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3123 ONIH 0000 494665841 25 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3124 YANIH 0000 493318214 26 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3125 HASANAH 0000 494036289 19 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3126 ANIN 0000 494180166 29 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3127 SARIYUM 0000 493791625 43 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3128 RANTA 0000 493812944 70 L 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3129 KOYAH 0000 494640876 11 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3130 YUDA 0000 493627612 23 L 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3131 MISIN 0000 494180785 22 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3132 AGUNG 0000 493670395 54 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3133 ASAN 0000 493792211 50 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3134 SUCI 0000 493792255 20 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3135 EMAN NURCAHAYA 0000 404668045 21 L 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3136 OTONG 0000 493947134 55 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3137 ICIH 0000 493557726 26 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3138 SRI ASTUTI 0000 493977159 32 P 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3139 ERNA SUPRIANA 0000 493814351 80 P 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3140 TARINI 0000 493793076 67 P 13/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3141 KURDI 0000 494695034 10 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3142 NAMIH 0000 494180201 28 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3143 ANDRI 0000 493685561 25 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3144 KISAN 0000 494071277 36 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3145 IIF HOLIFAH 0000 493815587 45 P 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3146 AMINAH 0000 493794911 67 P 13/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3147 NIMAH 0000 494696002 10 P 13/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3148 RENI 0000 494142579 21 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3149 IRFAN 0000 494142737 35 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3150 AHMAD DIRAM 0000 493372877 60 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3151 ROMADI 0000 493816544 24 L 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3152 RANAH 0000 493816588 37 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3153 SURYANTO 0000 494696608 20 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3154 IKAL 0000 493402656 40 L 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3157 PIPIT 0000 493817455 40 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3158 JAYAD! 0000 493775392 39 L 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3159 HERU 0000 494745682 20 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3160 SITI BAINAH 0000 493683906 21 P 13/12/2013 ISPA 4,000 0 0 0 0 0 4,000
3161 INESSUHANDRA 0000 494214028 14 P 13/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3162 OMAH 0000 493676021 60 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3163 JAKI 0000 493818816 12 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3164 SARIH 0000 493775774 39 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3165 DURAHIM 0000 494703022 32 L 13/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3166 MINTRA 0000 493989041 34 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3167 WANTA 0000 493524279 60 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3168 NUSI BIN RIBUT 0000 494011462 34 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3169 RAIHAN 0000 493858697 30 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3170 MUHAMAD KARIM 0000 493858798 32 L 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3171 CANIH 0000 494746042 25 P 13/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3172 NITA 0000 494182991 12 P 13/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3173 PANDI 0000 493699026 45 L 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3174 6UMANG 0000 494056089 27 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3175 SUPANDI 0000 493859913 70 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3176 MERNI 0000 493860464 34 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3177 HALIMATUSADIYAH 0000 494725083 25 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3178 ROSMAH 0000 494146708 65 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3179 EKO SUSANTO 0000 494146754 23 L 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3180 BUCHORI 0000 493379212 26 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3181 MINTARSIH 0000 493861432 34 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3182 OLIVIA 0000 493861601 56 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3183 SALMAH 0000 494056629 50 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3184 KANAH 0000 493407358 33 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3186 MASTURI 0000 494013677 23 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3187 ARIFIN 0000 493862747 36 L 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3188 SOPIA AULIA 0000 493863491 56 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3189 RAMIH 0000 493409698 50 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3190 DINI 0000 493697722 34 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3191 SURYA 0000 494258218 24 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3192 NENGSIH 0000 494078591 23 P 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3193 SAMAN 0000 493710783 12 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3194 HANIPAH 0000 493711391 34 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3195 SITI FATIMAH 0000 493555116 24 P 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3196 YASIN 0000 493992011 56 L 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3197 IDA 0000 493561416 45 P 13/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3198 SAIMAN 0000 493416628 14 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3199 TIAR 0000 493712008 40 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3200 DIAH 0000 493712392 21 P 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3201 NANDANG 0000 494028527 22 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3202 MUSTOPA 0000 494256429 70 L 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3203 NIA 0000 493925995 23 P 13/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3204 SISKA 0000 494264452 17 P 13/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3205 YATI 0000 493713033 34 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3206 ABEL 0000 493713617 35 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3207 DEDI 0000 493927031 40 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3208 LUSIH 0000 494158904 46 L 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3209 SITI KARMILAH 0000 494158948 70 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3210 SARNIH 0000 493681746 10 P 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3211 SAEFUL BAHRI 0000 493894091 36 L 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3212 AYU 0000 493894563 35 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3213 JAMSIAH 0000 494140768 38 P 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3214 YANTO 0000 493423593 54 L 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3215 UNAH 0000 494071031 15 P 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3216 CICIH 0000 494032149 25 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3217 RIFAI 0000 493932429 12 L 13/12/2013 ISPA 4,000 0 0 0 0 0 4,000
3218 RATNA 0000 493911821 14 P 13/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3219 MUNIR 0000 493432031 35 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3220 DINAH 0000 493925365 40 P 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3221 RIKI 0000 494273395 33 L 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3222 MURTI 0000 494142041 43 P 13/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3223 SELPI 0000 493950497 40 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3224 OOM 0000 00004^3934^ 16 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3225 MUHANA 0000 493511387 13 P 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3227 SALSABILA 0000 493581183 27 P 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3228 SEPTIANA PUTRI 0000 493430984 40 P 13/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3229 MOHAMAD RIZKY RAMADHAN 0000 493934984 21 L 13/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3230 ALWI 0000 493951634 23 L 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3232 MASUM 0000 494271685 36 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3233 SALWA KHAUDIYAH 0000 493910965 30 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3234 SARNIH 0000 493308731 21 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3235 ROSDIANA 0000 493914554 22 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3236 LANA ULANSARI 0000 493953052 23 P 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3237 SETIAWATI 0000 493941745 31 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3238 SITI HODIJAH 0000 494170222 22 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3239 DESIH R 0000 494170301 16 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3240 ROBIAH 0000 493762421 20 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3241 JOLE 0000 493953265 11 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3242 KARDI 0000 493953669 18 L 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3243 JALI 0000 494144447 30 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3244 JAMANI 0000 493466466 40 L 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3245 MISAH 0000 494055988 33 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3246 RONIH 0000 494084619 38 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3247 ARIF 0000 493916455 79 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3248 FITRI 0000 493916826 32 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3249 RINAH 0000 493465915 22 P 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3250 M ZAENUDIN 0000 493910177 50 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3251 AISAH 0000 493313242 28 P 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3252 ROSIH 0000 494119899 10 P 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3253 TARWIYAH 0000 493955019 45 P 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3254 ITA 0000 493917715 32 P 13/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3255 RATNA 0000 493527846 56 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3256 MUHADI 0000 494063403 45 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3257 ANDRI AGASI 0000 493584669 40 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3258 IHWAN 0000 493484455 26 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3259 FITRIAH SALSABILA 0000 493919201 34 P 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3260 RAFFY 0000 493919379 34 L 13/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3261 HERMAN 0000 494046088 32 L 13/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3262 IRMA 0000 493288569 26 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3263 MANYIH 0000 493962467 40 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3264 RAHMAN MARETA 0000 493316537 46 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3265 YULI YANTI 0000 493940507 24 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3266 YATI 0000 493957078 80 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3267 TONO 0000 493962985 33 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3268 NANI FERI 0000 494172257 24 L 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3269 TIMI 0000 494172336 38 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3271 ONAH 0000 494625611 22 P 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3272 SAEPUL BAHRI 0000 494656683 32 L 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3273 ASTI 0000 494132242 71 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3274 ROHIDIN 0000 493471495 36 L 13/12/2013 ISPA 4,000 0 0 0 0 0 4,000
3275 ROHIMATUL SALWA 0000 494079761 45 P 13/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3276 NAMUN 0000 494091246 32 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3277 MAESAROH 0000 494657447 34 P 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3278 SUGANDA 0000 494657829 32 L 13/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3279 KUCENG 0000 493484657 44 P 13/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3280 KANAH 0000 493961275 17 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3281 BIANG 0000 493319406 47 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3282 PERIH 0000 494157745 50 L 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3283 KASAN 0000 494635105 24 L 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3284 NYAI 0000 494661734 34 P 13/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3285 DIAN 0000 493565308 34 P 13/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3288 IIS AISYAH 0000 493472294 56 P 13/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3289 TUTI 0000 494663286 29 P 13/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3290 INTAN 0000 494637311 56 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3291 AGUS 0000 494070153 32 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3292 RINI 0000 493318495 50 P 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3293 SENGGOL 0000 493968947 36 L 13/12/2013 Demam 4,000 0 0 0 0 0 4,000
3294 TATANG 0000 493371617 65 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3295 RIFKI 0000 494665378 14 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3296 ALIF 0000 494639245 56 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3297 DEDE HARYANTO 0000 494009932 33 L 13/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3298 MISIN 0000 494180785 22 L 13/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3299 ISMA 0000 494231725 64 P 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3300 ENTIN 0000 493790411 34 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3301 KOYAH 0000 494640044 33 P 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3302 AIN 0000 494667033 70 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3303 HUSEN 0000 494160287 21 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3304 TIMIN 0000 493671486 54 L 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3305 MANSYUR 0000 494118156 25 L 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3306 PATIMAH 0000 494070197 34 P 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3307 UMIRAH 0000 494667674 43 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3309 WARSIH 0000 493499057 23 P 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3310 FAHRIZ A 0000 493967823 34 L 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3311 ABDUR ROHMAN 0000 493403275 23 L 14/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3312 DEA RAMDANI 0000 494136753 21 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3313 YATI KARTIKA DEWI 0000 494739314 34 P 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3314 RUMSIAH 0000 494739718 10 P 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3315 MAAH 0000 493582768 24 P 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3316 SANETl 0000 494093237 54 P 14/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3317 UUN 0000 493685256 12 P 14/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3318 SUMINAR 0000 493674118 50 P 14/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3319 HALIMAH 0000 494719391 24 P 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3320 ANWAR DOGAM 0000 494741259 42 L 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3321 IRMAN 0000 494097849 43 L 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3322 LIANA DEWI 0000 493374543 23 P 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3324 JAYA 0000 493377467 53 L 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3325 MILAH 0000 494742712 45 P 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3326 ALYYUDIN 0000 494719942 60 L 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3327 INDRA LESMANA 0000 494013385 22 L 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3328 INESSUHANDRA 0000 494214028 14 P 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3329 RAOI 0000 494183957 32 L 14/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3330 ARIMBI 0000 493816037 14 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3331 SITIJURIYAH 0000 494698408 39 P 14/12/2013 ISPA 4,000 0 0 0 0 0 4,000
3332 GUNAWAN 0000 494698847 20 L 14/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3333 IK AH 0000 494200607 21 P 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3334 ABDUR ROHIM 0000 493676864 44 L 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3335 MISIN 0000 494131397 67 L 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3336 ROSITA 0000 494098806 20 P 14/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3337 KAMIH 0000 494701547 26 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3338 LITA 0000 494702616 54 L 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3339 ANI 0000 493504762 21 P 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3340 ROSMAWATI 0000 493989006 22 P 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3341 AMBIH 0000 493352864 15 L 14/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3342 BONIH 0000 494201158 34 P 14/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3343 AJUM 0000 494721854 64 L 14/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3344 ASMAT 0000 494723182 73 L 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3345 EDI MARYADI 0000 493646736 45 L 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3346 KANI 0000 494099818 23 P 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3347 ATO 0000 493706248 50 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3348 YANTI 0000 493730695 25 P 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3349 ASRI 0000 494723777 23 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3350 RUMSARI 0000 494723981 54 P 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3351 ALDIANSYAH 0000 494056901 23 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3352 JUEN 0000 493731101 36 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3353 NANDANG 0000 494028527 22 L 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3354 SIDI 0000 493419036 32 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3355 M SOLEH 0000 493548603 43 L 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3356 M JUHARI 0000 494014026 50 L 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3357 TITI 0000 494031407 40 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3358 AYU WANDIRA 0000 493990907 45 P 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3359 KASIH 0000 494258736 56 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3360 FITRI 0000 493860993 28 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3361 SITI KHOLIFAH 0000 494014476 65 P 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3362 FITRIAH SITI NURAJIS 0000 493923025 50 P 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3363 NALIYAH 0000 494173293 32 P 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3364 OYI 0000 494101359 13 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3365 ITI 0000 494159286 13 P 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3366 AMIH 0000 494078488 20 L 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3367 GUMIH 0000 493903991 25 P 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3368 JUMSIAH 0000 494078613 35 P 14/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3369 WARTINI 0000 493554611 13 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3370 USNI 0000 493419374 35 P 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3371 MULYATI 0000 493445193 30 P 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3372 JURIAH 0000 494180054 22 P 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3373 WARSIH 0000 494101563 42 P 14/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3374 AMI 0000 493383047 32 P 14/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3375 MIDA 0000 493680936 44 p 14/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3376 RODI 0000 494266004 26 L 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3377 MASTINA 0000 493925826 34 P 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3378 SANDI 0000 493734104 45 L 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3379 WASDA 0000 493429454 46 L 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3380 LUTPI S 0000 493557107 17 L 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3381 RIVAL RIKI 5 0000 494140825 39 L 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3382 WARSIH 0000 493682207 54 P 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3384 LELAFA 0000 493431704 47 P 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3385 SAPRI 0000 493557996 33 L 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3386 BUANG 0000 494033951 40 L 14/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3387 ECIH 0000 494061445 43 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3388 ARI 0000 494034489 24 L 14/12/2013 ISPA 4,000 0 0 0 0 0 4,000
3389 MASIH 0000 494274339 32 L 14/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3390 ROGAYAH 0000 493893819 15 P 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3391 KATAM 0000 494057428 22 L 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3392 RATU LAELA SALWA 0000 493908355 32 P 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3393 MANI 0000 494181786 34 P 14/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3394 OING 0000 494117019 20 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3396 DANI 0000 494109077 30 L 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3397 ERYANTI 0000 493930631 34 P 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3398 ARMIN 0000 494109652 21 L 14/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3399 ROKIB 0000 493511196 50 L 14/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3400 SURIFAH 0000 493452909 24 P 14/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3401 ROZAK 0000 493466905 67 L 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3402 SANTI 0000 494182721 14 P 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3403 RENI 0000 494142579 21 P 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3404 ROMI 0000 493454474 29 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3405 IJO 0000 493694346 11 P 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3406 IRSAD 0000 493286995 47 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3407 TUNAH LESTARI 0000 493931722 39 P 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3408 MUMUN 0000 493698262 45 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3409 KARTINI 0000 493455249 42 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3410 FEBI 0000 493523706 26 L 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3411 ENCUM 0000 494119269 35 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3412 JAMAH 0000 493751924 20 P 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3413 HERMAN 0000 494046088 32 L 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3414 PANTI NAELATUL 0000 493469245 32 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3415 CEKUT 0000 493524426 13 L 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3416 ISAH 0000 494039992 43 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3417 KARSINAN 0000 494068588 34 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3418 HENI SUNARDI 0000 494084946 13 P 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3419 DANI 0000 493313488 32 L 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3420 ILHAM AKBAR 0000 493915318 34 L 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3421 PUTRA KESA M 0000 494085159 46 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3422 DEDE SYARIFUDIN 0000 493943141 26 L 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3423 ISMAIL MARJUKI 0000 494249196 20 L 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3424 DAYAT RUSTANDI 0000 494120924 56 L 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3425 JUJU 0000 494201665 45 P 14/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3426 YAMAH 0000 494119822 20 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3427 ISAH 0000 493959947 40 P 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3428 USUN 0000 494120226 34 P 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3429 DARA 0000 493527622 37 P 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3430 ISMAN 0000 493484905 23 L 14/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3431 RESTU ARDIANSAH 0000 493472002 29 L 14/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3432 YANTO 0000 494255981 50 L 14/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3433 ROSMAH 0000 494146708 65 P 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3434 SAMIH 0000 493466837 47 P 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3435 ANISA AZZAHRA 0000 493902538 24 P 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3436 SARDANA 0000 493293655 23 L 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3437 AKUB 0000 493961938 39 L 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3438 SUGIANTO 0000 493765547 50 L 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3439 NEMAH 0000 493483397 10 P 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3440 TITIN 0000 493528904 23 P 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3441 IKAH 0000 494132264 34 P 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3442 SANOH 0000 493765953 23 P 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3443 AGUS 0000 494070153 32 L 14/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3444 INDRASUBUR 0000 493488584 20 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3445 TRIANA 0000 493561517 60 P 14/12/2013 ISPA 4,000 0 0 0 0 0 4,000
3446 ATIH 0000 494091483 36 P 14/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3447 SALSA APRILIA 0000 494048338 46 P 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3448 SENIN 0000 494046922 56 L 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3449 DAYAT 0000 493296017 43 L 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3450 KARMAN 0000 494630763 38 L 14/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3451 USRI 0000 494047258 33 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3452 AGUS SANT050 0000 493966348 45 L 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3453 ELEH JIHAN 0000 494264654 20 P 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3454 DOMAS 0000 494158612 15 P 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3455 ISAN BUTUN 0000 494211093 38 L 14/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3456 MIRA 0000 494157611 41 P 14/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3457 SRI ASTUTI 0000 493977159 32 P 14/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3458 LOMAN 0000 494133513 24 L 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3459 UCU 0000 493564871 32 P 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3460 SURYANI 0000 493488617 74 P 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3461 ARTADA 0000 493672217 30 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3462 DOMAS 0000 494158612 15 P 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3463 LUSIH 0000 494158904 46 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3464 SURYADI 0000 493470055 45 L 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3465 WANDIH 0000 493908568 45 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3466 WAWAN 0000 493400812 32 u 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3467 uo 0000 493968756 22 P 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3468 ITI 0000 494159286 13 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3469 ROSAD 0000 493485985 13 L 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3470 SELPI 0000 493599519 10 P 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3471 DENDI ANANOA 0000 494135392 35 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3472 RAKMAN 0000 493812459 26 L 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3473 IRMAN 0000 494097849 43 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3474 UPITA SARI 0000 494134863 10 P 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3475 HERLINA PUTRI 0000 493600601 35 p 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3476 SRI DEWI 0000 494070603 54 P 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3477 PRAST 10 0000 494076249 54 L 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3478 ROBAI KURNIA 0000 494070748 34 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3479 ASTUTI 0000 493375386 35 P 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3480 ACIM 0000 494135447 60 L 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3481 TITA ANISAH 0000 494048979 24 P 14/12/2013 Demam 4,000 0 0 0 0 0 4,000
3482 IIS ISTIQOMAH 0000 494010808 27 P 14/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3483 BAYU 0000 493285599 45 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3484 SRI WULANDARI 0000 494199257 33 P 14/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3485 SUWANDA 0000 494214658 70 L 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3487 NUSI BIN RIBUT 0000 494011462 34 L 14/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3488 EDWIN KURNIA 0000 494136797 23 L 14/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3489 UDIN 0000 493582544 56 L 14/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3490 BONYIH 0000 493675042 25 P 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3491 IDAM KHOLID 0000 493677718 34 L 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3492 SRI WULANDARI 0000 494199257 33 P 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3493 SITI HODIJAH 0000 494170222 22 P 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3494 NAMI 0000 493501634 60 P 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3495 DEDI ROMDONI 0000 493943466 29 L 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3496 SAMSIAH 0000 493378615 11 P 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3498 AMIR SALAM 0000 494165823 11 L 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3499 ABDUL RIZAL 0000 493503153 65 L 14/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3500 NURSINAH 0000 493603773 23 P 14/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3501 ROBIH 0000 494200618 21 L 14/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3502 ADE IRAWAN 0000 493816858 45 L 14/12/2013 ISPA 4,000 0 0 0 0 0 4,000
3503 INI 0000 494255856 32 P 14/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3504 DEA OKTAVIA 0000 494170964 24 P 14/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3505 ROHW^jÛHORI 0000 493584759 13 L 14/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3506 KENJO 0000 494055729 34 L 16/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3509 5EROH 0000 493754793 40 P 16/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3510 NIA 0000 494171504 41 P 16/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3511 ALBAR RIFAI 0000 494076835 24 L 16/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3512 JAKARIA 0000 494014296 45 L 16/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3513 SAMLAWI 0000 493293115 38 L 16/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3514 RUSDIANA 0000 494172145 63 P 16/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3516 M SUGANOI 0000 494200923 45 L 16/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3517 JUNI 0000 494014779 22 P 16/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3518 RUMSIH 0000 494171853 27 P 16/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3519 SOPRIH 0000 493626058 36 L 16/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3520 KASMI 0000 493731257 45 P 16/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3521 NASIM FIRDAUS 0000 494079489 23 L 16/12/2013 Demam 4,000 0 0 0 0 0 4,000
3522 RUSDIANA 0000 494172145 63 P 16/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3523 NANI FERI 0000 494172257 24 L 16/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3524 DAIS 0000 493506639 65 P 16/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3525 ENON 0000 493966495 33 P 16/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3526 SAMAN 0000 493420634 29 L 16/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3527 ONYIH 0000 493421231 44 P 16/12/2013 Demam 4,000 0 0 0 0 0 4,000
3528 JUJU 0000 494201665 45 P 16/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3529 YATI 0000 493507765 60 P 16/12/2013 Demam 4,000 0 0 0 0 0 4,000
3530 SAID 0000 493627724 45 L 16/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3531 SAIBAH 0000 494173495 35 P 16/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3532 ABDULOHIM 0000 493861847 43 L 16/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3533 TAUPIK HIDAYAT 0000 494270177 36 L 16/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3534 DEA 0000 494202442 23 P 16/12/2013 Demam 4,000 0 0 0 0 0 4,000
3535 MIAN 0000 493648705 45 L 16/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3536 M IRWAN 0000 494100944 45 L 16/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3537 IMAM ARIFIN 0000 494141264 24 L 16/12/2013 Demam 4,000 0 0 0 0 0 4,000
3538 UNI 0000 494079129 45 P 16/12/2013 Demam 4,000 0 0 0 0 0 4,000
3539 ADI 0000 493682444 56 L 16/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3540 AMJAH 0000 494223906 19 L 16/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3541 SABRINA 0000 494101686 34 P 16/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3542 NURAINI 0000 494001922 46 P 16/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3543 SUNARTI 0000 493371821 40 P 16/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3544 RAMIN 0000 494210643 26 L 17/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3545 WASID 0000 494035942 23 L 17/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3546 EVI 0000 494179986 46 P 17/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3547 HASANAH 0000 494036289 19 P 17/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3548 ANIN 0000 494180166 29 L 17/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3549 SARBINI 0000 493680835 33 L 17/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3550 SUPENA 0000 493734587 65 L 17/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3551 ILHAM ZAENUDIN 0000 494110528 57 L 17/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3552 RAMIN 0000 494210643 26 L 17/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3553 MISIN 0000 494180785 22 L 17/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3554 SARIDAH 0000 493509519 18 P 17/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3555 YANAH 0000 493988231 24 P 17/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3556 MURNI 0000 493433109 30 P 17/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3557 HALIMAH 0000 493481463 34 P 17/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3558 ISAN BUTUN 0000 494211093 38 L 17/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3559 ICIH 0000 493557726 26 P 17/12/2013 ISPA 4,000 0 0 0 0 0 4,000
3560 SITI HABIBAH 0000 493684031 22 P 17/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3561 TOPIK TARMIJI 0000 494181922 30 P 17/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3562 KURIYAH 0000 493895193 54 P 17/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3563 FERY 0000 493287849 35 L 17/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3564 TABAN 0000 494211666 47 L 17/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3565 ANDRI 0000 493685561 25 L 17/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3566 AHMAD 0000 494116751 26 L 17/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3568 ROHMAN 0000 494116839 44 L 17/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3569 RANI 0000 493763038 60 P 17/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3570 SUNIN 0000 494181955 67 L 17/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3571 IRFAN 0000 494142737 35 L 17/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3572 YANGI 0000 494085058 33 L 17/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3573 SUHERMAN 0000 493405806 47 L 17/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3574 NIKO HERMAWAN 0000 494183632 44 L 17/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3575 SADIH 0000 494085341 27 L 17/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3576 DIKIJULKARNAEN 0000 494212577 45 L 17/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3577 TINAH 0000 494062931 50 P 17/12/2013 Demam 4,000 0 0 0 0 0 4,000
3578 ALIB JUNAEDI 0000 494182912 36 L 17/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3579 DEA RULITA 0000 493694188 34 P 17/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3580 AHMAD SAYUSNI 0000 493751968 46 L 17/12/2013 Demam 4,000 0 0 0 0 0 4,000
3581 MAJAMUJADI 0000 494131307 35 L 17/12/2013 Demam 4,000 0 0 0 0 0 4,000
3582 NIKO HERMAWAN 0000 494183632 44 L 17/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3583 INESSUHANDRA 0000 494214028 14 P 17/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3584 SUTINAH 0000 493523605 35 P 17/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3585 SITI KHOLIFAH 0000 494014476 65 P 17/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3586 FATMAWATI 0000 493469842 25 P 17/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3587 MARTINI 0000 493469908 65 P 17/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3588 SUWANDA 0000 494214658 70 L 17/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3589 WANTA 0000 493524279 60 L 17/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3590 ANGGUN 0000 493697834 24 P 17/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3591 SAYI 0000 494250682 44 P 17/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3592 RIDO 0000 493916275 40 L 18/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3593 LUTFI ADHA KARDAMI 0000 493317933 23 L 18/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3594 ALUDIN 0000 494215929 33 L 18/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3595 PANDI 0000 493699026 45 L 18/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3596 SUNARYA 0000 494120711 56 L 18/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3597 IKAH 0000 494157442 25 P 18/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3598 RARASATI 0000 494120845 41 P 18/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3599 ATNIH 0000 493766728 40 P 18/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3600 AYAT 0000 494251738 56 P 18/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3601 EKO SUSANTO 0000 494146754 23 L 18/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3602 NYAMIN 0000 494047135 24 L 18/12/2013 ISPA 4,000 0 0 0 0 0 4,000
3603 GUNAWAN 0000 493419587 20 L 18/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3605 ANOH 0000 494069231 13 P 18/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3606 INI 0000 494255856 32 P 18/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3607 AHMAD SAHRIL 0000 494091753 56 L 18/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3608 YANTI 0000 494256161 43 P 18/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3609 FITRIAH SITI NURAJIS 0000 493923025 50 P 18/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3610 SAID 0000 493766212 45 L 18/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3612 SAM IN 0000 494258196 64 L 18/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3613 SURYA 0000 494258218 24 L 18/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3614 PINAH 0000 493558694 12 P 18/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3615 KATAM 0000 494057428 22 L 18/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3616 KURNASIH 0000 493670169 36 P 18/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3617 PAISAL 0000 493670237 49 L 18/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3618 MANIN 0000 494260492 43 L 18/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3619 IDA 0000 493561416 45 P 18/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3620 NIMUN 0000 493925679 23 L 18/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3621 OROK 0000 494265159 23 L 18/12/2013 Demam 4,000 0 0 0 0 0 4,000
3623 PATMAH 0000 493401903 70 P 18/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3624 SANIAH 0000 494263168 34 L 18/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3625 NIA 0000 493925995 23 P 18/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3626 M SAH PIKRI 0000 494158318 36 L 18/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3627 SANAH 0000 494160467 33 P 18/12/2013 Demam 4,000 0 0 0 0 0 4,000
3628 IMAM 0000 494134154 40 L 18/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3629 YUMI 0000 493812966 16 P 18/12/2013 Demam 4,000 0 0 0 0 0 4,000
3630 SALEM 0000 494265881 21 P 18/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3631 SITI KARMILAH 0000 494158948 70 P 18/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3632 IDI 0000 494048733 35 L 18/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3633 MURDIN 0000 493432211 27 I 18/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3634 SENDI WIJAYA PUTRA 0000 494159207 60 L 18/12/2013 Demam 4,000 0 0 0 0 0 4,000
3635 WANDIH 0000 494070772 23 L 18/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3636 TAUPIK HIDAYAT 0000 494270177 36 L 18/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3637 UNAH 0000 494071031 15 P 18/12/2013 Demam 4,000 0 0 0 0 0 4,000
3638 SAMAH 0000 494270357 33 P 18/12/2013 Demam 4,000 0 0 0 0 0 4,000
3639 RATU LAELA SALWA 0000 493908355 32 P 18/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3640 ANGKAT 0000 494159501 42 L 18/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3641 TAMIN 0000 494170716 45 L 18/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3642 SAROH MAYAROH 0000 494273136 23 P 18/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3643 RIKI 0000 494273395 33 L 18/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3644 RINAH 0000 493579618 47 P 18/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3645 PUTRA KESA M 0000 494085159 46 L 18/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3646 DENDI ANANOA 0000 494135392 35 L 18/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3647 SOPIAN 0000 493675716 32 L 18/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3648 NENIH 0000 492086068 45 P 18/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3649 SALSABILA 0000 493581183 27 P 18/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3650 DANA KUSTIANA 0000 493910381 13 P 18/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3651 ANGGIH 0000 493309282 34 L 18/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3652 YOYOH RUSTIKA 0000 494136325 34 P 18/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3653 SAHRULI 0000 493406875 21 L 18/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3654 SAPAR 0000 493308505 21 L 18/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3655 SALWA KHAUDIYAH 0000 493910965 30 P 19/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3656 rAMIH 0000 494198908 23 L 19/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3657 SANAH 0000 494171717 45 P 19/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3658 riTIN 0000 494199156 23 P 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3659 CARDI 0000 493817984 14 L 19/12/2013 ISPA 4,000 0 0 0 0 0 4,000
3660 USUP 0000 493286185 21 L 19/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3661 DESIH R 0000 494170301 16 P 19/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3662 EKO 0000 494076802 60 L 19/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3663 DEDEN 0000 493484949 70 P 19/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3664 TAMIN 0000 494170716 45 L 19/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3665 IHAK 0000 494099425 35 L 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3666 FERY 0000 493287849 35 L 19/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3667 MISAH 0000 494055988 33 P 19/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3668 NUGI 0000 493288209 27 L 19/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3669 DEDE SYARIFUDIN 0000 493943141 26 L 19/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3670 SARJA 0000 494200012 21 L 19/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3671 SATEM 0000 494222861 25 P 19/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3672 ROHMAH 0000 493289302 70 P 19/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3673 AISAH 0000 493313242 28 P 19/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3674 WOWON 0000 493603716 19 P 19/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3675 USRI 0000 494047258 33 P 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3677 MARDI 0000 493732664 26 L 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3678 NOVAL 0000 493290819 32 I 19/12/2013 Demam 4,000 0 0 0 0 0 4,000
3679 ANDRI AGASI 0000 493584669 40 L 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3680 RINTO 0000 493944737 42 L 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3681 YAMSU 0000 493293418 45 P 19/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3682 EVA 0000 494200844 35 P 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3683 NOSAN 0000 493423007 34 I 19/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3684 SUMI 0000 493315863 15 P 19/12/2013 Demam 4,000 0 0 0 0 0 4,000
3685 MANYIH 0000 493962467 40 P 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3686 RUSDI 0000 494171943 21 L 19/12/2013 Demam 4,000 0 0 0 0 0 4,000
3687 GUNYAH 0000 494179738 46 P 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3688 SAPINAH 0000 494172044 21 P 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3689 ABDULRAHMAN 0000 493863671 23 L 19/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3690 JAELANI 0000 493293475 34 P 19/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3691 TIMI 0000 494172336 38 P 19/12/2013 Demam 4,000 0 0 0 0 0 4,000
3692 WARSIH 0000 494101563 42 P 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3693 SARI 0000 493669506 43 P 19/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3694 SATEM 0000 494222861 25 P 19/12/2013 Demam 4,000 0 0 0 0 0 4,000
3695 NELAH 0000 494079456 12 P 19/12/2013 Demam 4,000 0 0 0 0 0 4,000
3696 LUTFI ADHA KARDAMI 0000 493317933 23 L 19/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3697 ROHIMATUL SALWA 0000 494079761 45 P 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3698 WOWON 0000 493603716 19 P 19/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3699 BUANG 0000 492085394 35 L 19/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3700 YULI YANTI 0000 493940507 24 P 19/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3701 MARYAMAH 0000 494261932 23 P 19/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3702 HASANAH 0000 494036289 19 P 19/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3703 TANGI 0000 493894809 65 L 19/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3704 ROHW^jÛHORI 0000 493584759 13 L 19/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3705 AJAT SUDRAJAT 0000 493283823 39 L 19/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3706 ONAH 0000 494625611 22 P 19/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3707 DIMAS ADI SAPUTRA 0000 493681318 23 L 19/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3708 MISIN 0000 494180785 22 L 19/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3709 MUHAMAD PRAMUJA 0000 493912146 9 L 19/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3710 M IRPAN 0000 493624912 20 L 19/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3711 BAYU 0000 493285599 45 L 19/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3712 MAESAROH 0000 494657447 34 P 19/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3713 MENEN 0000 493974898 34 L 19/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3714 ICIH 0000 493557726 26 P 19/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3715 ANDI 0000 493934556 23 L 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3716 SAMSUDIN 0000 493625889 35 L 19/12/2013 ISPA 4,000 0 0 0 0 0 4,000
3717 NUNUNG 0000 493287243 21 P 19/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3718 KASAN 0000 494635105 24 L 19/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3719 OMIN 0000 494140893 21 L 19/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3720 ANDRI 0000 493685561 25 L 19/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3721 DADE 0000 493951757 45 P 19/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3722 TIIN 0000 493647333 34 L 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3723 FITRI 0000 493312454 33 P 19/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3724 TUTI 0000 494663286 29 P 19/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3726 IRFAN 0000 494142737 35 L 19/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3727 IHSAN 0000 493915239 45 L 19/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3728 YUDA 0000 493627612 23 L 19/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3729 SURYA 0000 493313894 22 L 19/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3730 RIFKI 0000 494665378 14 L 19/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3732 TINAH 0000 494062931 50 P 19/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3733 PARIJAL AL BUHORI 0000 493916207 60 L 19/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3734 MIAN 0000 493648705 45 L 19/12/2013 Demam 4,000 0 0 0 0 0 4,000
3735 SIMI 0000 493314963 22 P 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3736 KOYAH 0000 494640044 33 P 19/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3737 AMALIA 0000 493735678 54 P 19/12/2013 Demam 4,000 0 0 0 0 0 4,000
3738 INESSUHANDRA 0000 494214028 14 P 19/12/2013 Demam 4,000 0 0 0 0 0 4,000
3739 DIAN 0000 493954389 34 P 19/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3740 APRIH 0000 493649515 21 L 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3741 SAMLAWI 0000 493293115 38 L 19/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3742 UMIRAH 0000 494667674 43 P 19/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3743 HIDAYAT 0000 494060771 20 L 19/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3744 WANTA 0000 493524279 60 L 19/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3745 AHMAD HAIDAR 0000 493917884 33 L 19/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3746 RASIH 0000 493629794 21 P 19/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3747 IRFAN 0000 493317472 40 L 19/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3748 YATI KARTIKA DEWI 0000 494739314 34 P 19/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3749 MURSIAH 0000 494144583 15 P 19/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3750 PANDI 0000 493699026 45 L 19/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3751 MADAM 0000 493919414 46 L 19/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3752 JOHARI 0000 493681735 35 L 19/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3753 MURDIN 0000 493295128 60 L 19/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3755 NIMAH 0000 493483691 21 P 19/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3756 EKO SUSANTO 0000 494146754 23 L 19/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3757 MINAH 0000 494655636 28 P 19/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3758 SITI BAINAH 0000 493683906 21 P 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3759 ARIF 0000 493296873 54 L 19/12/2013 ISPA 4,000 0 0 0 0 0 4,000
3760 MILAH 0000 494742712 45 P 19/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3761 ARMANIH 0000 493314873 39 P 19/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3762 AHMAD SAHRIL 0000 494091753 56 L 19/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3763 INDRA 0000 494632135 26 L 19/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3764 ANDRI 0000 493685561 25 L 19/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3765 MAMAH WATI 0000 493370471 28 P 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3766 SITIJURIYAH 0000 494698408 39 P 19/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3767 ASMENAH 0000 493764849 25 P 19/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3768 SURYA 0000 494258218 24 L 19/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3769 SITI ROHANA 0000 494658685 20 P 19/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3770 DEWI ANGGRAENI 0000 493691016 21 P 19/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3771 SUNARTI 0000 493371821 40 P 19/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3772 KAMIH 0000 494701547 26 P 19/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3773 IWAN W 0000 494046404 32 L 19/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3774 IDA 0000 493561416 45 P 19/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3775 LALA 0000 494662184 29 P 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3776 IDIK 0000 493692344 60 L 19/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3777 AHMAD DIRAM 0000 493372877 60 L 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3778 AJUM 0000 494721854 64 L 19/12/2013 Demam 4,000 0 0 0 0 0 4,000
3779 DARSIH 0000 494156979 34 P 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3780 NIA 0000 493925995 23 P 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3781 RIA PUJIAWATI 0000 494637737 33 P 19/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3782 REZA 0000 493695224 30 I 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3783 NARMADI 0000 493402781 25 L 19/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3784 ASRI 0000 494723777 23 L 19/12/2013 Demam 4,000 0 0 0 0 0 4,000
3785 BANDI 0000 493487403 17 L 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3786 SITI KARMILAH 0000 494158948 70 P 19/12/2013 Demam 4,000 0 0 0 0 0 4,000
3787 ONAH 0000 494665468 12 P 19/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3788 DINI 0000 493697722 34 P 20/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3789 MASNI 0000 493375746 32 P 20/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3790 M SOLEH 0000 493548603 43 L 20/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3791 NISAN 0000 493370212 20 L 20/12/2013 Demam 4,000 0 0 0 0 0 4,000
3792 UNAH 0000 494071031 15 P 20/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3793 ROJAK 0000 494640685 60 L 20/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3794 PANDI 0000 493699026 45 L 20/12/2013 Demam 4,000 0 0 0 0 0 4,000
3795 RIKA 0000 493405266 45 P 20/12/2013 Demam 4,000 0 0 0 0 0 4,000
3796 SITI KHOLIFAH 0000 494014476 65 P 20/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3797 NURACIH 0000 493810828 13 L 20/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3798 RIKI 0000 494273395 33 L 20/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3799 SUANDA 0000 494641956 29 L 20/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3800 MARSAH 0000 493901673 50 p 20/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3801 SUHERMAN 0000 493405806 47 L 20/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3802 GUMIH 0000 493903991 25 P 20/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3803 PARMAN 0000 494048193 23 L 20/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3805 ADE LIA PARAMITA 0000 494694696 33 P 20/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3806 ENAH SUHAENAH 0000 493902191 23 P 20/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3807 BUCHORI 0000 493379212 26 L 20/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3809 UTENG 0000 494160377 13 L 20/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3810 SALWA KHAUDIYAH 0000 493910965 30 P 20/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3811 ANEN 0000 494741711 12 L 20/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3812 EMBUN 0000 493903585 44 L 20/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3813 DAHLIA 0000 493407909 23 P 20/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3814 WASDA 0000 493429454 46 L 20/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3815 RUNO WIJAYA 0000 493673859 35 L 20/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3816 DESIH R 0000 494170301 16 P 20/12/2013 ISPA 4,000 0 0 0 0 0 4,000
3817 RONI 0000 494744196 60 L 20/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3818 DINAH 0000 493925365 40 P 20/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3819 CURUMAKSUROTUN 0000 493354427 33 P 20/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3820 SAPRI 0000 493557996 33 L 20/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3821 NANDA 0000 493376962 70 P 20/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3822 MISAH 0000 494055988 33 P 20/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3824 NIA 0000 493925995 23 P 20/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3825 SAIMAN 0000 493416628 14 L 20/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3826 KATAM 0000 494057428 22 L 20/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3827 AYU SHALILAH 0000 493793774 60 P 20/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3828 AISAH 0000 493313242 28 P 20/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3829 MUHAMAD 0000 494702651 42 P 20/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3830 OEDEH 0000 493906893 43 P 20/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3831 GUNAWAN 0000 493419587 20 L 20/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3832 ERYANTI 0000 493930631 34 P 20/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3833 RIKA AMELIA 0000 494075946 34 P 20/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3834 ANDRI AGASI 0000 493584669 40 L 20/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3835 WADI UNYIL 0000 494745895 24 L 20/12/2013 Demam 4,000 0 0 0 0 0 4,000
3836 DEA 0000 493929099 25 P 20/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3837 MANJUL 0000 493422085 27 L 20/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3838 RENI 0000 494142579 21 P 20/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3839 NALIP 0000 494171695 50 L 20/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3840 MANYIH 0000 493962467 40 P 20/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3841 DIRJAJAUN 0000 494724227 70 L 20/12/2013 Demam 4,000 0 0 0 0 0 4,000
3842 TASIM 0000 493947731 23 L 20/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3843 SARAH ASHARI 0000 493443819 36 P 20/12/2013 Demam 4,000 0 0 0 0 0 4,000
3844 KARTINI 0000 493455249 42 P 20/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3846 TIMI 0000 494172336 38 P 20/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3847 ETI 0000 493922621 34 p 20/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3848 M ZAENUDIN 0000 493910177 50 L 20/12/2013 Demam 4,000 0 0 0 0 0 4,000
3849 RAMAN 0000 493448196 34 L 20/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3850 CEKUT 0000 493524426 13 L 20/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3851 PUTRI 0000 493415976 36 P 20/12/2013 Demam 4,000 0 0 0 0 0 4,000
3852 ROHIMATUL SALWA 0000 494079761 45 P 20/12/2013 Demam 4,000 0 0 0 0 0 4,000
3854 SALWA KHAUDIYAH 0000 493910965 30 P 20/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3855 SEPTIANA PUTRI 0000 493430984 40 P 20/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3856 PUTRA KESA M 0000 494085159 46 L 20/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3857 SALMAH ALFARIS 0000 493859889 45 L 20/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3858 BIANG 0000 493319406 47 L 20/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3859 RAFI 0000 493410767 34 L 20/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3860 NAMOT 0000 493957888 37 P 20/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3861 MURDIN 0000 493432211 27 I 20/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3862 ISAH 0000 493959947 40 P 20/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3865 NANI 0000 493556106 23 P 20/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3866 KAMAH 0000 493942792 35 P 20/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3867 NOVI 0000 493481586 29 P 20/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3868 ROSMAH 0000 494146708 65 P 20/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3869 ZAENUDIN 0000 494210158 19 L 20/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3870 SENGGOL 0000 493968947 36 L 20/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3871 DANI 0000 494031789 12 L 20/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3872 KAMAN 0000 493959723 45 L 20/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3873 MUBAROK 0000 493466782 60 L 20/12/2013 ISPA 4,000 0 0 0 0 0 4,000
3874 NEMAH 0000 493483397 10 P 20/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3875 MUNI 0000 493681342 60 L 20/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3876 ISMA 0000 494231725 64 P 20/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3877 ABDUL ROHMAN 0000 493907815 19 L 20/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3878 KANAH 0000 493961275 17 P 20/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3879 NADIH 0000 493482914 70 L 20/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3881 RAFITA 0000 493451954 65 P 20/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3882 MANSYUR 0000 494118156 25 L 20/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3883 IMAM ARIFIN 0000 494141264 24 L 20/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3884 MANYIH 0000 493962467 40 P 20/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3885 IHWAN 0000 493484455 26 L 20/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3886 USRI 0000 494047258 33 P 20/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3887 RENDl 0000 493712739 25 L 20/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3888 ABDUR ROHMAN 0000 493403275 23 L 20/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3889 TINGGAL 0000 493454092 34 L 20/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3890 KARSIH 0000 493946425 60 P 21/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3891 DEDEN 0000 493484949 70 P 21/12/2013 Demam 4,000 0 0 0 0 0 4,000
3894 UUN 0000 493685256 12 P 21/12/2013 Demam 4,000 0 0 0 0 0 4,000
3895 WIHARTA 0000 493511951 27 L 21/12/2013 Demam 4,000 0 0 0 0 0 4,000
3896 SINAH 0000 493975809 30 P 21/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3897 ASMENAH 0000 493485772 26 P 21/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3898 LUSIH 0000 494158904 46 L 21/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3899 MUHAMAD YUNUS 0000 494212004 31 L 21/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3901 NAMAH 0000 494061737 50 P 21/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3902 WIRGI N 0000 493967171 70 P 21/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3903 HARYONO 0000 493486481 30 L 21/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3904 ROSAD 0000 493485985 13 L 21/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3905 SIPIT 0000 493751799 25 P 21/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3906 RAOI 0000 494183957 32 L 21/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3907 ODING 0000 493958564 56 L 21/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3908 FAHRIZ A 0000 493967823 34 L 21/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3909 BANAH 0000 493487267 50 P 21/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3910 HERLINA PUTRI 0000 493600601 35 p 21/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3911 KASMITA 0000 493484308 54 L 21/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3912 MISIN 0000 494131397 67 L 21/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3913 SUKANTI 0000 494144673 67 P 21/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3914 SENGGOL 0000 493968947 36 L 21/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3916 TITA ANISAH 0000 494048979 24 P 21/12/2013 ISPA 4,000 0 0 0 0 0 4,000
3917 WAWAN 0000 493914407 23 L 21/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3918 AMBIH 0000 493352864 15 L 21/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3919 ENAH 0000 493482115 45 P 21/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3920 NAILA SUCITARI 0000 493986925 12 P 21/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3921 SARI 0000 493669506 43 P 21/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3923 SOMAD 0000 494144482 34 L 21/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3924 ATO 0000 493706248 50 L 21/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3925 RASEM 0000 493472643 13 P 21/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3926 MANIH 0000 494010707 40 P 21/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3927 GOFAR 0000 493670474 23 L 21/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3928 SITI HODIJAH 0000 494170222 22 P 21/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3929 GINANJAR 0000 494254416 56 L 21/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3930 NANDANG 0000 494028527 22 L 21/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3931 M SAHRA 0000 494068678 54 L 21/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3932 AZAHRA TRI WULANDARI 0000 494011383 21 P 21/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3933 IKUM 0000 493671633 25 L 21/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3934 ABDUL RIZAL 0000 493503153 65 L 21/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3935 SOLIHIN 0000 493764895 37 L 21/12/2013 Demam 4,000 0 0 0 0 0 4,000
3936 KASIH 0000 494258736 56 P 21/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3937 HUSWATUN HASANAH 0000 493963839 37 P 21/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3938 ROSMAWATI 0000 493989006 22 P 21/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3939 AKUP 0000 493673668 30 L 21/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3940 ROHW^jÛHORI 0000 493584759 13 L 21/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3941 MAMAD SAHRONI 0000 493472114 23 L 21/12/2013 Demam 4,000 0 0 0 0 0 4,000
3942 ITI 0000 494159286 13 P 21/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3943 IKAH 0000 494157442 25 P 21/12/2013 Demam 4,000 0 0 0 0 0 4,000
3944 SAM IN 0000 494012834 11 L 21/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3945 SUMINAR 0000 493674118 50 P 21/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3946 ALBAR RIFAI 0000 494076835 24 L 21/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3947 IJA JUHARI 0000 493940158 36 L 21/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3948 MULYATI 0000 493445193 30 P 21/12/2013 Demam 4,000 0 0 0 0 0 4,000
3949 TAJWA1 0000 493485197 23 L 21/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3950 JAMALUDIN 0000 493990154 79 L 21/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3951 MUNAH 0000 493675266 80 P 21/12/2013 Demam 4,000 0 0 0 0 0 4,000
3952 JUNI 0000 494014779 22 P 21/12/2013 Demam 4,000 0 0 0 0 0 4,000
3953 SUNGKANA W 0000 494156924 60 L 21/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3954 MASTINA 0000 493925826 34 P 21/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3955 KEBOT 0000 493579438 23 L 21/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3956 AYU WANDIRA 0000 493990907 45 P 21/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3957 NINING 0000 493676278 47 P 21/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3958 NANI FERI 0000 494172257 24 L 21/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3959 TARJO 0000 494266048 21 L 21/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3960 MAMAT 0000 494037933 33 L 21/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3962 MISIM 0000 494014713 34 L 21/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3963 HERLINA 0000 493677011 24 P 21/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3964 YATI 0000 493507765 60 P 21/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3965 SAMAH 0000 494270357 33 P 21/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3966 MASIH 0000 494274339 32 L 21/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3967 JULI YANTO 0000 494010347 14 L 21/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3968 YAYAH 0000 493991965 24 P 21/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3969 ABDUR ROHMAN 0000 493677933 40 L 21/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3970 MIAN 0000 493648705 45 L 21/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3971 MASIH 0000 494274339 32 L 21/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3972 AMIR SALAM 0000 494165823 11 L 23/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3973 SANAH 0000 494160467 33 P 23/12/2013 ISPA 4,000 0 0 0 0 0 4,000
3974 NANDANG 0000 494028527 22 L 23/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3975 YANTI 0000 493730695 25 P 23/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3976 SABRINA 0000 494101686 34 P 23/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3977 MENDON 0000 492087418 33 L 23/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3978 ROZAK 0000 493466905 67 L 23/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
3979 KUSRINAH 0000 493499992 30 P 23/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3980 MINAN 0000 494031969 34 L 23/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3981 RISEM 0000 493731314 44 P 23/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3982 HASANAH 0000 494036289 19 P 23/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3983 SARNIH 0000 493308731 21 P 23/12/2013 Ispa 4,000 0 0 0 0 0 4,000
3984 TUNAH LESTARI 0000 493931722 39 P 23/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
3985 SUNARYO 0000 493603064 35 L 23/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
3986 ARI 0000 494034489 24 L 23/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
3987 DONIH 0000 493733081 23 P 23/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
3988 MISIN 0000 494180785 22 L 23/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
3989 JALIL 0000 493310711 35 L 23/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3990 HERMAN 0000 494046088 32 L 23/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3991 REMIH 0000 494076328 32 P 23/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3992 JURIAH 0000 494058194 29 P 23/12/2013 Demam 4,000 0 0 0 0 0 4,000
3993 NURJANAH 0000 493755434 70 P 23/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3994 ICIH 0000 493557726 26 P 23/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3995 NUGI 0000 493288209 27 L 23/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3996 DANI 0000 493313488 32 L 23/12/2013 Batuk 4,000 0 0 0 0 0 4,000
3997 MISIH 0000 494013767 40 P 23/12/2013 Influenza 4,000 0 0 0 0 0 4,000
3998 RISMAWATI 0000 494059432 14 P 23/12/2013 Demam 4,000 0 0 0 0 0 4,000
4000 ANDRI 0000 493685561 25 L 23/12/2013 Demam 4,000 0 0 0 0 0 4,000
4001 DANI 0000 493313488 32 L 23/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4002 JUJU 0000 494201665 45 P 23/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4003 SANAH 0000 494171717 45 P 23/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4004 MAMAT 0000 494037933 33 L 23/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4005 SANDI 0000 493734104 45 L 23/12/2013 Demam 4,000 0 0 0 0 0 4,000
4006 IRFAN 0000 494142737 35 L 23/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4007 MARSIM 0000 493314636 45 L 23/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4008 RESTU ARDIANSAH 0000 493472002 29 L 23/12/2013 Demam 4,000 0 0 0 0 0 4,000
4009 JUANDA PRASETIYO 0000 493505886 39 L 23/12/2013 Demam 4,000 0 0 0 0 0 4,000
4010 DEDI KURNIAWAN 0000 494029203 27 L 23/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4011 ACIH 0000 493734723 45 P 23/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4012 TINAH 0000 494062931 50 P 23/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4013 RAHMAN MARETA 0000 493316537 46 L 23/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4014 AKUB 0000 493961938 39 L 23/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4015 ECA 0000 493626824 12 L 23/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4016 HENI SUNARDI 0000 494084946 13 P 23/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4017 IDA FARIDA 0000 493735138 65 P 23/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4018 INESSUHANDRA 0000 494214028 14 P 23/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4019 SADUN 0000 493293789 42 L 23/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4020 AGUS 0000 494070153 32 L 23/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4021 IKA NIA 0000 494100551 45 P 23/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4022 MUANAH 0000 494062569 34 P 23/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4023 DANI 0000 493682681 50 L 23/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4024 WANTA 0000 493524279 60 L 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4025 YANIH 0000 493318214 26 P 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4026 DAYAT 0000 493296017 43 L 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4027 AMELLIA 0000 494033139 46 P 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4028 YOGI 0000 494085778 12 L 24/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4029 AMALIA 0000 493735678 54 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4030 PANDI 0000 493699026 45 L 24/12/2013 ISPA 4,000 0 0 0 0 0 4,000
4031 DAYAT 0000 493296017 43 L 24/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4032 ISAN BUTUN 0000 494211093 38 L 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4033 GUNYAH 0000 494179738 46 P 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4035 MUMUN 0000 493698262 45 P 24/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4036 EKO SUSANTO 0000 494146754 23 L 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4037 AMIH 0000 493398663 20 P 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4038 ARTADA 0000 493672217 30 L 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4039 ASIM 0000 493555825 10 L 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4040 ATA ARIM 0000 494068746 21 L 24/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4041 AULIA 0000 493762803 33 P 24/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4042 AHMAD SAHRIL 0000 494091753 56 L 24/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4044 uo 0000 493968756 22 P 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4045 SINTA 0000 493682602 32 p 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4046 SENIN 0000 494046922 56 L 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4047 ROHANI 0000 493752374 45 P 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4048 SURYA 0000 494258218 24 L 24/12/2013 Demam 4,000 0 0 0 0 0 4,000
4049 MARAH 0000 493372686 33 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4051 M SIDIK 0000 494141376 26 L 24/12/2013 Demam 4,000 0 0 0 0 0 4,000
4052 SAMIH 0000 494069253 24 P 24/12/2013 Demam 4,000 0 0 0 0 0 4,000
4053 ISAM 0000 493764309 65 L 24/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4054 IDA 0000 493561416 45 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4055 IKAL 0000 493402656 40 L 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4056 ASTUTI 0000 493375386 35 P 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4058 SANI 0000 494047787 54 P 24/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4059 ASMENAH 0000 493764849 25 P 24/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4060 NIA 0000 493925995 23 P 24/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4061 ASTUTI 0000 493375386 35 P 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4062 SUWANDA 0000 494214658 70 L 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4064 AGUS 0000 494070153 32 L 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4065 SUGIANTO 0000 493765547 50 L 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4066 SITI KARMILAH 0000 494158948 70 P 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4067 SARA 0000 493404759 21 P 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4068 IDAM KHOLID 0000 493677718 34 L 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4069 PUTRI KARLINA 0000 493511938 28 P 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4070 ALI ARSELAN 0000 494048452 55 L 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4071 UDIN 0000 493766291 26 L 24/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4072 UNAH 0000 494071031 15 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4073 JAYA 0000 493377467 53 L 24/12/2013 ISPA 4,000 0 0 0 0 0 4,000
4074 IDRIS 0000 494012632 42 L 24/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4075 KANIH 0000 493696225 22 P 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4076 ROBAI KURNIA 0000 494070748 34 L 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4077 PATONI 0000 493767145 24 L 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4078 RIKI 0000 494273395 33 L 24/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4079 SITI LAELA AMELIA 0000 493378762 22 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4080 INI 0000 494255856 32 P 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4081 ESTI 0000 494144886 13 P 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4083 NASAH NURINDAH 0000 493768743 33 P 24/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4084 SALSABILA 0000 493581183 27 P 24/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4085 KANAH 0000 493407358 33 P 24/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4086 5EROH 0000 493754793 40 P 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4088 ASDI 0000 494093204 24 L 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4089 NURACIH 0000 493810828 13 L 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4090 SALWA KHAUDIYAH 0000 493910965 30 P 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4091 EDEH 0000 493353156 14 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4092 RINAH 0000 494014588 21 P 24/12/2013 Demam 4,000 0 0 0 0 0 4,000
4093 NUR BAETI 0000 494254866 24 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4094 IRMAN 0000 494097849 43 L 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4095 ASEPJAMALUDIN 0000 493790455 32 L 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4096 DESIH R 0000 494170301 16 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4097 ENUNG 0000 493415921 10 P. 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4098 NASIM FIRDAUS 0000 494079489 23 L 24/12/2013 Demam 4,000 0 0 0 0 0 4,000
4099 SATA 0000 493472619 56 L 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4100 DELAM 0000 494098749 41 L 24/12/2013 Demam 4,000 0 0 0 0 0 4,000
4101 RANIM 0000 493812821 60 L 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4102 MISAH 0000 494055988 33 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4103 SIDI 0000 493419036 32 L 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4104 ONYIH 0000 493421231 44 P 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4105 ARDI 0000 493924983 14 L 24/12/2013 Demam 4,000 0 0 0 0 0 4,000
4107 SUMIYATI 0000 493813067 34 P 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4108 AISAH 0000 493313242 28 P 24/12/2013 Demam 4,000 0 0 0 0 0 4,000
4109 ONYIH 0000 493421231 44 P 24/12/2013 Demam 4,000 0 0 0 0 0 4,000
4110 TAUPIK HIDAYAT 0000 494270177 36 L 24/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4111 ANISAH 0000 494132679 60 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4112 RADIANSYAH 0000 494055966 43 L 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4113 MARSIDI 0000 493814349 71 L 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4114 ANDRI AGASI 0000 493584669 40 L 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4115 YANTO 0000 493423593 54 L 24/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4116 ADI 0000 493682444 56 L 24/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4117 TITI 0000 494070581 34 P 24/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4118 ASTA 0000 494077397 57 L 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4119 AYU SHALILAH 0000 493793774 60 P 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4120 MANYIH 0000 493962467 40 P 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4121 AYU KHOIRIYAH 0000 493445226 50 P 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4122 WASID 0000 494035942 23 L 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4123 EPIH 0000 494266061 35 P 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4124 ALDIANSYAH 0000 494056901 23 L 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4125 MAD ALIF ALFARIZI 0000 493816386 25 L 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4126 TIMI 0000 494172336 38 P 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4127 DOMAH 0000 493451346 46 P 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4128 ILHAM ZAENUDIN 0000 494110528 57 L 24/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4129 MISRI 0000 493579124 50 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4130 WAWAN KARNAWAN 0000 494100595 49 L 24/12/2013 ISPA 4,000 0 0 0 0 0 4,000
4131 SIDIN 0000 493817185 25 L 24/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4132 ROHIMATUL SALWA 0000 494079761 45 P 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4133 LELAFA 0000 493431704 47 P 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4134 HALIMAH 0000 493481463 34 P 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4135 MUNAWAROH 0000 493909751 50 P 24/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4136 UNI 0000 494079129 45 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4137 RCSITA 0000 493818794 32 P 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4138 BIANG 0000 493319406 47 L 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4140 FERY 0000 493287849 35 L 24/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4141 FEBRIANI CAHYANI 0000 494160873 26 P 24/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4142 NASIM FIRDAUS 0000 494079489 23 L 24/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4143 AMELINA ANJANI 0000 493858631 20 p 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4144 SURYANI 0000 493627994 22 P 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4145 JAMANI 0000 493466466 40 L 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4146 RANI 0000 493763038 60 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4147 RIZKI IMAM A 0000 494055584 19 L 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4148 ACIH 0000 494080209 44 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4149 SALMAH ALFARIS 0000 493859889 45 L 24/12/2013 Demam 4,000 0 0 0 0 0 4,000
4150 SENGGOL 0000 493968947 36 L 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4151 AHMAD ZAELANI 0000 493467254 55 L 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4152 SADIH 0000 494085341 27 L 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4153 TAMIH 0000 493310902 43 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4154 RIVAL RIKI 5 0000 494140825 39 L 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4155 MUHAMAD ALDI 0000 493861386 45 L 24/12/2013 Demam 4,000 0 0 0 0 0 4,000
4156 ISMA 0000 494231725 64 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4157 ARIFSOEH 0000 493484218 61 L 24/12/2013 Demam 4,000 0 0 0 0 0 4,000
4158 MAJAMUJADI 0000 494131307 35 L 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4159 SUMIRAH 0000 493603029 25 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4160 LAMAH 0000 494141444 29 P 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4161 USNUL 0000 493862174 40 L 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4162 MANSYUR 0000 494118156 25 L 24/12/2013 Demam 4,000 0 0 0 0 0 4,000
4163 PANTI NAELATUL 0000 493469245 32 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4165 SUHADA 0000 493944096 32 P 24/12/2013 Demam 4,000 0 0 0 0 0 4,000
4166 ROHMAN 0000 494116839 44 L 24/12/2013 Demam 4,000 0 0 0 0 0 4,000
4167 MIMIN 0000 493864727 23 P 24/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4170 LUTFI ADHA KARDAMI 0000 493317933 23 L 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4171 TABAH 0000 494221858 21 I 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4172 ILHAM ZAENUDIN 0000 494110528 57 L 24/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4173 SOBARI 0000 493711975 23 L 24/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4174 UUN 0000 493685256 12 P 24/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4175 ROHIDIN 0000 493471495 36 L 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4176 ATNIH 0000 493766728 40 P 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4177 JUMSIAH 0000 494078613 35 P 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4178 NANTIH 0000 494118955 13 P 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4179 RENDl 0000 493712739 25 L 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4180 SAM IN 0000 494012834 11 L 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4181 ALI ROHMAN 0000 493486942 34 L 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4182 ANOH 0000 494069231 13 P 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4183 WARNAH 0000 493317448 20 P 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4184 ENCUM 0000 494119269 35 L 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4185 NURHASAN 0000 493894045 32 L 24/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4186 RAOI 0000 494183957 32 L 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4187 OCIH 0000 493487559 27 P 24/12/2013 ISPA 4,000 0 0 0 0 0 4,000
4188 SENDI WIJAYA PUTRA 0000 494159207 60 L 24/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4189 TATI 0000 493647581 50 P 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4190 ADI 0000 494119697 45 P 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4191 DOMIR ( 0000 493950262 45 L 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4192 MISIN 0000 494131397 67 L 24/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4193 INDRASUBUR 0000 493488584 20 L 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4194 PAISAL 0000 493670237 49 L 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4195 WAWAN GUNAWAN 0000 4939 77249 13 i 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4196 RARASATI 0000 494120845 41 P 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4197 UNUS 0000 493934141 45 L 24/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4198 AMBIH 0000 493352864 15 L 24/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4199 PAISAL 0000 493670237 49 L 24/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4200 PATMAH 0000 493401903 70 P 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4201 SANDIKA NAYVA K 0000 494179762 13 L 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4202 MAJAMUJADI 0000 494131307 35 L 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4203 SUSI SULIANINGSIH 0000 493934826 32 P 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4204 ATO 0000 493706248 50 L 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4205 TIMIN 0000 493671486 54 L 24/12/2013 Demam 4,000 0 0 0 0 0 4,000
4206 YUMI 0000 493812966 16 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4207 ARMIN 0000 494109652 21 L 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4208 ININ 0000 494131667 25 L 24/12/2013 Demam 4,000 0 0 0 0 0 4,000
4209 WAWAN 0000 493914407 23 L 24/12/2013 Demam 4,000 0 0 0 0 0 4,000
4210 NANDANG 0000 494028527 22 L 24/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4211 TASIH 0000 493672263 37 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4212 WANDIH 0000 494070772 23 L 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4213 BUNGA LESTARI 0000 493372833 32 P 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4214 IKAH 0000 494132264 34 P 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4215 NIMAN 0000 493936209 33 L 24/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4216 KASIH 0000 494258736 56 P 24/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4217 RASJA 0000 493674039 33 L 24/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4219 SAFITRI 0000 493682196 60 p 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4220 LEUTIK 0000 494132782 23 P 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4221 SAPNIH 0000 493953783 14 P 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4222 ITI 0000 494159286 13 P 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4223 AYU 0000 493674636 24 P 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4224 SOPIAN 0000 493675716 32 L 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4225 MISTA 0000 493988769 25 L 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4226 IMAM 0000 494134154 40 L 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4227 JUHADA 0000 493937763 20 L 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4228 MULYATI 0000 493445193 30 P 24/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4229 SOPIAN 0000 493675716 32 L 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4230 SAHRULI 0000 493406875 21 L 24/12/2013 ISPA 4,000 0 0 0 0 0 4,000
4231 SITI AISAH 0000 494182462 30 P 24/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4233 RUNI 0000 493955853 27 P 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4234 MASTINA 0000 493925826 34 P 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4235 ABDUR ROHIM 0000 493676864 44 L 24/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4236 CARDI 0000 493817984 14 L 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4237 USUN 0000 494120226 34 P 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4238 ANGKAT 0000 494159501 42 L 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4239 IJA JUHARI 0000 493940158 36 L 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4240 MAMAT 0000 494037933 33 L 24/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4241 ANIN 0000 493677764 24 L 24/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4242 IHAK 0000 494099425 35 L 24/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4243 ROHIMUDIN 0000 493406638 23 L 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4244 DENDI ANANOA 0000 494135392 35 L 24/12/2013 Faringitis 4,000 0 0 0 0 0 4,000
4245 N AIM AH 0000 494631459 34 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4247 SARMAN 0000 493678271 41 L 24/12/2013 Asma 4,000 0 0 0 0 0 4,000
4248 SATEM 0000 494222861 25 P 24/12/2013 tukak lambung 4,000 0 0 0 0 0 4,000
4249 MANIN 0000 493695584 43 L 24/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4250 YOYOH RUSTIKA 0000 494136325 34 P 24/12/2013 Bronkhitis 4,000 0 0 0 0 0 4,000
4251 5AEPUDIN 0000 494626419 40 L 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4252 AMIR SALAM 0000 494165823 11 L 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4253 JUEN 0000 493731101 36 L 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4254 MARDI 0000 493732664 26 L 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4255 HERUN 0000 494014882 45 L 24/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4256 riTIN 0000 494199156 23 P 24/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4257 NURALI 0000 494634925 27 L 24/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4258 ROZAK 0000 493466905 67 L 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4259 MARDI 0000 493732664 26 L 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4260 NOSAN 0000 493423007 34 I 24/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4261 JEDING 0000 494255171 56 P 24/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4262 TAMIN 0000 494170716 45 L 24/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4263 RESTI SULASTRI 0000 494637175 29 P 24/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4264 TUNAH LESTARI 0000 493931722 39 P 24/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4265 MIRNA WATI DEWI 0000 493755208 19 P 24/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4266 ABDULRAHMAN 0000 493863671 23 L 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4267 LOMAN 0000 494133513 24 L 26/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4268 SARJA 0000 494200012 21 L 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4269 PITRIA 0000 494664513 60 P 26/12/2013 Demam 4,000 0 0 0 0 0 4,000
4270 HERMAN 0000 494046088 32 L 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4271 GATING 0000 493733709 29 P 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4272 NELAH 0000 494079456 12 P 26/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4273 EBRO 0000 493421591 38 P 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4275 KASNI 0000 494639886 70 P 26/12/2013 Demam 4,000 0 0 0 0 0 4,000
4276 DANI 0000 493313488 32 L 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4277 RUDI 0000 493681588 64 L 26/12/2013 Demam 4,000 0 0 0 0 0 4,000
4279 GUMIH 0000 493903991 25 P 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4280 EVA 0000 494200844 35 P 26/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4281 SAJAM 0000 494667461 26 L 26/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4282 JUJU 0000 494201665 45 P 26/12/2013 Demam 4,000 0 0 0 0 0 4,000
4283 WARSIH 0000 493682207 54 P 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4286 SAPINAH 0000 494172044 21 P 26/12/2013 Demam 4,000 0 0 0 0 0 4,000
4287 MUNIRCS 0000 494738864 50 L 26/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4288 RESTU ARDIANSAH 0000 493472002 29 L 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4290 RISAH 0000 493481709 29 P 26/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4291 SUSI LESTARI 0000 494268107 13 P 26/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4292 SATEM 0000 494222861 25 P 26/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4293 INTAN NURAINI 0000 494719198 25 P 26/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4294 AKUB 0000 493961938 39 L 26/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4295 AMAH 0000 493735522 25 P 26/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4296 MUHAMAD PRAMUJA 0000 493912146 9 L 26/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4297 EDWIN KURNIA 0000 494136797 23 L 26/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4298 PUJI 0000 494202071 21 L 26/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4299 AMAD 0000 494742475 44 L 26/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4300 AGUS 0000 494070153 32 L 26/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4301 TONI 0000 493683142 25 L 26/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4302 SUROH 0000 494110271 32 P 26/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4303 NOVA ELISA 0000 493481542 33 P 26/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4304 SAIBAH 0000 494173495 35 P 26/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4305 ODANG JAYA 0000 494698375 34 L 26/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4306 DAYAT 0000 493296017 43 L 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4307 YEYEN 0000 493762151 32 P 26/12/2013 Faringitis 4,000 0 0 0 0 0 4,000
4308 CASNIA 0000 494234818 50 P 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4309 ERYANTI 0000 493930631 34 P 26/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4310 JUNULBTJUHAR 0000 494179918 21 P 26/12/2013 Asma 4,000 0 0 0 0 0 4,000
4311 BINDA 0000 494699815 40 L 26/12/2013 tukak lambung 4,000 0 0 0 0 0 4,000
4312 ISAN BUTUN 0000 494211093 38 L 26/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4313 JAMAH 0000 493751924 20 P 26/12/2013 Bronkhitis 4,000 0 0 0 0 0 4,000
4314 FATUROHMAN 0000 493763141 45 L 26/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4316 HERI FIRMANSYAH 0000 494210204 25 L 26/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4317 AMPRUNG 0000 494721371 34 L 26/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4318 ARTADA 0000 493672217 30 L 26/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4320 AMAN 0000 493470988 30 L 26/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4321 NUNUNG 0000 493287243 21 P 26/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4322 SITI FATIMAH 0000 494211058 21 P 26/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4323 HOLIS 0000 494746874 40 L 26/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4324 uo 0000 493968756 22 P 26/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4325 NENGSIH 0000 493763859 45 P 26/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4326 DIAN 0000 493954389 34 P 26/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4327 RUMSIH 0000 494171853 27 P 26/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4328 SULASIH 0000 494232478 60 P 26/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4329 NIMIN 0000 493378727 27 L 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4331 IWAN 0000 493764524 40 L 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4332 IYAN 0000 494147046 24 L 26/12/2013 Demam 4,000 0 0 0 0 0 4,000
4333 MAYA 0000 493485445 74 P 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4334 TOPIK TARMIJI 0000 494181922 30 P 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4335 MAMAD 0000 493549626 34 L 26/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4336 ASTUTI 0000 493375386 35 P 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4337 SURI 0000 493754185 23 P 26/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4338 NANA 0000 494260424 43 L 26/12/2013 Demam 4,000 0 0 0 0 0 4,000
4339 ISAH 0000 493959947 40 P 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4340 SOLIHIN 0000 494233896 34 L 26/12/2013 Demam 4,000 0 0 0 0 0 4,000
4341 HERUN 0000 494014882 45 L 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4342 SUWANDA 0000 494214658 70 L 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4343 SANOH 0000 493765953 23 P 26/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4344 ILHAM 0000 493766774 17 L 26/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4345 AHMAD FAIZ 0000 494091854 70 L 26/12/2013 Demam 4,000 0 0 0 0 0 4,000
4346 SUNIAH 0000 494183564 45 P 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4347 DINAH 0000 493925365 40 P 26/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4348 IDAM KHOLID 0000 493677718 34 L 26/12/2013 Demam 4,000 0 0 0 0 0 4,000
4349 ILHAM 0000 493766774 17 L 26/12/2013 Demam 4,000 0 0 0 0 0 4,000
4350 IKHWAL 0000 493671058 54 L 26/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4351 IRFAN 0000 493317472 40 L 26/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4352 CASNIA 0000 494234818 50 P 26/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4353 ROHIMATUL SALWA 0000 494079761 45 P 26/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4355 WAHYUDIN 0000 493768451 21 L 26/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4356 SITI ROHANA 0000 494658685 20 P 26/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4357 ANIN 0000 494180166 29 L 26/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4358 OMIN 0000 494236089 23 L 26/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4359 SATAM 0000 493430207 47 L 26/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4360 INI 0000 494255856 32 P 26/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4361 JOYO 0000 493789116 33 L 26/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4362 LALA 0000 494662184 29 P 26/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4363 AGUNG 0000 493670395 54 L 26/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4364 SAYI 0000 494250682 44 P 26/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4365 SUHARYONO 0000 493509925 20 L 26/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4366 5EROH 0000 493754793 40 P 27/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4367 RATIH 0000 493811739 47 P 27/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4368 RIA PUJIAWATI 0000 494637737 33 P 27/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4370 MITAR 0000 494255553 40 L 27/12/2013 Faringitis 4,000 0 0 0 0 0 4,000
4371 PANDU WIJAYA 0000 494058363 28 L 27/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4372 RINAH 0000 494014588 21 P 27/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4373 RAKMAN 0000 493812459 26 L 27/12/2013 Asma 4,000 0 0 0 0 0 4,000
4374 ONAH 0000 494665468 12 P 27/12/2013 tukak lambung 4,000 0 0 0 0 0 4,000
4375 KISAN 0000 494071277 36 L 27/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4376 ITA MUFUHAH 0000 494257195 23 P 27/12/2013 Bronkhitis 4,000 0 0 0 0 0 4,000
4377 M ZAENUDIN 0000 493910177 50 L 27/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4378 NASIM FIRDAUS 0000 494079489 23 L 27/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4379 RUDI 0000 493812988 36 L 27/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4380 ROJAK 0000 494640685 60 L 27/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4381 AHMAD DIRAM 0000 493372877 60 L 27/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4382 NANA 0000 494260424 43 L 27/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4383 MANSYUR 0000 494118156 25 L 27/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4384 ONYIH 0000 493421231 44 P 27/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4385 MARSA MAULIA 0000 493792749 37 L 27/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4386 SUANDA 0000 494641956 29 L 27/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4387 ALIB JUNAEDI 0000 494182912 36 L 27/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4388 MARNI 0000 494262595 25 P 27/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4389 MAHMUD 0000 493435495 40 L 27/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4390 TAUPIK HIDAYAT 0000 494270177 36 L 27/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4391 EVI 0000 493793357 33 P 27/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4392 ADE LIA PARAMITA 0000 494694696 33 P 27/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4393 OMAH 0000 493676021 60 P 27/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4394 OROK 0000 494265159 23 L 27/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4395 SADAN 0000 493525258 32 L 27/12/2013 Demam 4,000 0 0 0 0 0 4,000
4396 ADI 0000 493682444 56 L 27/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4397 MARWATI 0000 493816015 42 P 27/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4398 ANEN 0000 494741711 12 L 27/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4400 INTAN PANDINI 0000 494268704 50 P 27/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4401 REPI 0000 494040374 12 L 27/12/2013 Demam 4,000 0 0 0 0 0 4,000
4402 WASID 0000 494035942 23 L 27/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4403 ADE IRAWAN 0000 493816858 45 L 27/12/2013 Demam 4,000 0 0 0 0 0 4,000
4404 RONI 0000 494744196 60 L 27/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4405 6UMANG 0000 494056089 27 L 27/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4406 JAIM 0000 494272877 10 L 27/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4407 KANAH 0000 493961275 17 P 27/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4408 ILHAM ZAENUDIN 0000 494110528 57 L 28/12/2013 Demam 4,000 0 0 0 0 0 4,000
4411 BUCHORI 0000 493379212 26 L 28/12/2013 Demam 4,000 0 0 0 0 0 4,000
4412 DARWI 0000 492085495 46 P 28/12/2013 Demam 4,000 0 0 0 0 0 4,000
4413 MISIN 0000 494131397 67 L 28/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4414 HALIMAH 0000 493481463 34 P 28/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4415 RIYAN 0000 493819749 47 L 28/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4416 MUHAMAD 0000 494702651 42 P 28/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4417 MASTURI 0000 494013677 23 L 28/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4418 MUHAMAD PAHRI 0000 493284058 54 L 28/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4419 LANA SUSANTO 0000 493468424 33 L 28/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4420 FERY 0000 493287849 35 L 28/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4421 PUTRI KHARISMA 0000 493859643 24 P 28/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4422 WADI UNYIL 0000 494745895 24 L 28/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4423 NENGSIH 0000 494078591 23 P 28/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4424 ANGGIH 0000 493309282 34 L 28/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4425 ESAH 0000 493562259 23 P 28/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4426 RANI 0000 493763038 60 P 28/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4427 DARIM 0000 493860767 60 L 28/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4428 DIRJAJAUN 0000 494724227 70 L 28/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4429 SAIMAN 0000 493416628 14 L 28/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4430 IDA FARIDA 0000 493311306 25 P 28/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4431 AHMAD FAIZ 0000 494091854 70 L 28/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4432 SADIH 0000 494085341 27 L 28/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4433 ABDULOHIM 0000 493861847 43 L 28/12/2013 Faringitis 4,000 0 0 0 0 0 4,000
4434 ETI 0000 493922621 34 p 28/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4435 SISKA 0000 494264452 17 P 28/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4436 SAUDIH 0000 493289256 23 L 28/12/2013 Asma 4,000 0 0 0 0 0 4,000
4437 FAHRIZ A 0000 493967823 34 L 28/12/2013 tukak lambung 4,000 0 0 0 0 0 4,000
4438 MAJAMUJADI 0000 494131307 35 L 28/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4439 SANUSI 0000 493864042 13 L 28/12/2013 Bronkhitis 4,000 0 0 0 0 0 4,000
4440 ABIDIN 0000 494100459 23 L 28/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4441 SARNIH 0000 493681746 10 P 28/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4442 IKBAL 0000 493290246 24 L 28/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4443 ITI 0000 494159286 13 P 28/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4444 MARTINI 0000 493469908 65 P 28/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4445 ARMINAH 0000 493711749 30 P 28/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4446 RAFI 0000 493410767 34 L 28/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4447 CICIH 0000 494032149 25 P 28/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4448 TASADI 0000 493315143 23 L 28/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4449 TINI 0000 493486211 34 P 28/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4450 LUTFI ADHA KARDAMI 0000 493317933 23 L 28/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4451 RASMINAH 0000 493712471 67 P 28/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4452 NANI 0000 493556106 23 P 28/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4453 MURTI 0000 494142041 43 P 28/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4454 YAMSU 0000 493293418 45 P 28/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4455 RIAN KURNIAWAN 0000 493601455 34 l 28/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4457 ASTRA 0000 493893415 17 L 28/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4458 DANI 0000 494031789 12 L 28/12/2013 Demam 4,000 0 0 0 0 0 4,000
4459 SEPTIANA PUTRI 0000 493430984 40 P 28/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4460 MURNAH 0000 493294149 50 P 28/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4461 KISAN 0000 494071277 36 L 28/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4462 ANOH 0000 494069231 13 P 30/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4463 KURIYAH 0000 493895193 54 P 30/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4465 SARNIH 0000 493308731 21 P 30/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4466 ADE RINO 0000 493295455 45 L 30/12/2013 Demam 4,000 0 0 0 0 0 4,000
4467 ROSMAWATI 0000 493989006 22 P 30/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4468 SENDI WIJAYA PUTRA 0000 494159207 60 L 30/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4469 WAFIK HALIMI 0000 493932936 54 L 30/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4470 IMAM ARIFIN 0000 494141264 24 L 30/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4471 ROBIAH 0000 493762421 20 P 30/12/2013 Demam 4,000 0 0 0 0 0 4,000
4472 DAHLIA 0000 493369299 36 P 30/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4474 PAISAL 0000 493670237 49 L 30/12/2013 Demam 4,000 0 0 0 0 0 4,000
4475 BASAR 0000 493951331 14 L 30/12/2013 Demam 4,000 0 0 0 0 0 4,000
4476 TINGGAL 0000 493454092 34 L 30/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4477 RONIH 0000 494084619 38 L 30/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4478 MINIH 0000 493398865 24 P 30/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4479 DARMA 0000 493503581 24 L 30/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4480 PATMAH 0000 493401903 70 P 30/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4481 DIKA ALPINAYAH 0000 493952073 32 L 30/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4482 WIHARTA 0000 493511951 27 L 30/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4483 ROSIH 0000 494119899 10 P 30/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4484 MANIH 0000 493400474 26 P 30/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4485 SUPARMAN 0000 493645296 61 L 30/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4486 YUMI 0000 493812966 16 P 30/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4487 OMAH 0000 493915274 40 P 30/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4488 NAMAH 0000 494061737 50 P 30/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4489 IHWAN 0000 493484455 26 L 30/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4490 MARKUM 0000 493373261 60 L 30/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4491 6UMANG 0000 494056089 27 L 30/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4492 WANDIH 0000 494070772 23 L 30/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4493 RIDO 0000 493916275 40 L 30/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4494 ODING 0000 493958564 56 L 30/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4495 RAHMAN MARETA 0000 493316537 46 L 30/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4496 NENIH 0000 493402915 22 P 30/12/2013 Faringitis 4,000 0 0 0 0 0 4,000
4497 YAYAH 0000 493991965 24 P 30/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4498 TAMIN 0000 494170716 45 L 30/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4499 ITA 0000 493917276 45 P 30/12/2013 Asma 4,000 0 0 0 0 0 4,000
4500 SUKANTI 0000 494144673 67 P 30/12/2013 tukak lambung 4,000 0 0 0 0 0 4,000
4501 SURYADI 0000 493765097 34 L 30/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4502 MURTIAH 0000 493375948 26 P 30/12/2013 Bronkhitis 4,000 0 0 0 0 0 4,000
4503 JUJU 0000 494201665 45 P 30/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4504 SOPIAN 0000 493675716 32 L 30/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4505 JUHADI 0000 493938404 56 L 30/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4506 ENAH 0000 493482115 45 P 30/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4507 NAMUN 0000 494091246 32 L 30/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4508 LARAS 0000 493405312 24 P 30/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4509 AJA 0000 493549402 45 L 30/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4510 SAHRULI 0000 493406875 21 L 30/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4511 ARIS 0000 493940057 56 L 30/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4512 RASEM 0000 493472643 13 P 30/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4513 PERIH 0000 494157745 50 L 30/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4514 SITI MARIYAM 0000 493378029 9 P 30/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4515 EVI RAHMAWATI 0000 493629006 20 P 30/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4516 CARDI 0000 493817984 14 L 30/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4517 BOIN 0000 494655737 26 L 30/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4518 M SAHRA 0000 494068678 54 L 30/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4519 IIS AISYAH 0000 493472294 56 P 30/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4520 CARYATI 0000 493406831 43 P 30/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4521 UCI SANUSI 0000 494079816 60 L 30/12/2013 Demam 4,000 0 0 0 0 0 4,000
4522 IHAK 0000 494099425 35 L 30/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4524 HUSWATUN HASANAH 0000 493963839 37 P 30/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4525 TATANG 0000 493371617 65 L 30/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4526 KANIH 0000 493408102 24 P 30/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4527 RISMAWATI 0000 494059432 14 P 30/12/2013 Demam 4,000 0 0 0 0 0 4,000
4528 SATEM 0000 494222861 25 P 30/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4529 HASBI 0000 494633619 45 L 30/12/2013 Demam 4,000 0 0 0 0 0 4,000
4530 IKAH 0000 494157442 25 P 30/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4531 ENTIN 0000 493790411 34 P 30/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4532 SARWINAH 0000 493354642 36 P 30/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4533 ISAN BUTUN 0000 494211093 38 L 30/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4534 MARDI 0000 493732664 26 L 30/12/2013 Demam 4,000 0 0 0 0 0 4,000
4535 A NAWAWI 0000 494662228 54 L 30/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4536 TAJWA1 0000 493485197 23 L 30/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4537 PATIMAH 0000 494070197 34 P 30/12/2013 Demam 4,000 0 0 0 0 0 4,000
4538 TATI HARTATI 0000 493416819 30 P 30/12/2013 Demam 4,000 0 0 0 0 0 4,000
4539 SIGIT MAHESA 0000 493509835 50 L 30/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4540 NOSAN 0000 493423007 34 I 30/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4541 SITI MUAIMAH AMELINDA 0000 494637827 23 P 30/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4542 KEBOT 0000 493579438 23 L 30/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4543 DEA RAMDANI 0000 494136753 21 P 30/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4544 NINA APRILIYANTI 0000 493420252 45 P 30/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4545 KINAN 0000 493703447 43 L 30/12/2013 Penyakit pulpa 0 4,000 0 0 0 0 4,000
4546 ABDULRAHMAN 0000 493863671 23 L 30/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4547 ONIH 0000 494665841 25 P 30/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4548 RAHUL KANA 0000 494048349 33 L 31/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4549 SUMINAR 0000 493674118 50 P 31/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4550 MAOIH 0000 493422355 25 L 31/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4551 INDON 0000 494118268 36 L 31/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4552 NELAH 0000 494079456 12 P 31/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4553 KOYAH 0000 494640876 11 P 31/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4554 JULI YANTO 0000 494010347 14 L 31/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4555 JAYA 0000 493377467 53 L 31/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4556 RONICA 0000 493444866 23 P 31/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4557 YOGI 0000 494085778 12 L 31/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4559 EMAN NURCAHAYA 0000 404668045 21 L 31/12/2013 Faringitis 4,000 0 0 0 0 0 4,000
4560 SANAH 0000 494160467 33 P 31/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4561 ARIMBI 0000 493816037 14 P 31/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4562 WARSIH 0000 493449028 17 P 31/12/2013 Penyakit pulpa 0 4,000 0 0 0 0 4,000
4563 SUWANDA 0000 494214658 70 L 31/12/2013 tukak lambung 4,000 0 0 0 0 0 4,000
4564 HABIBAHRI 0000 493682556 23 L 31/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4565 KURDI 0000 494695034 10 L 31/12/2013 Bronkhitis 4,000 0 0 0 0 0 4,000
4566 KUSRINAH 0000 493499992 30 P 31/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4567 ROSITA 0000 494098806 20 P 31/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4568 IJO MADI 0000 493431131 60 L 31/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4569 RAJU 0000 493525135 44 L 31/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4570 RISAH 0000 493481709 29 P 31/12/2013 ISPA tidak spesifik 4,000 0 0 0 0 0 4,000
4571 NIMAH 0000 494696002 10 P 31/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4572 SUNARYO 0000 493603064 35 L 31/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4573 BONIH 0000 494201158 34 P 31/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4574 DEDE PADILAH 0000 493453383 50 P 31/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4575 JOYO BOYO 0000 493901392 40 L 31/12/2013 Ispa 4,000 0 0 0 0 0 4,000
4576 MUHAMAD PRAMUJA 0000 493912146 9 L 31/12/2013 Myalgia 4,000 0 0 0 0 0 4,000
4577 SURYANTO 0000 494696608 20 L 31/12/2013 Dermatitis 4,000 0 0 0 0 0 4,000
4578 REMIH 0000 494076328 32 P 31/12/2013 Rematisme 4,000 0 0 0 0 0 4,000
4579 YANTI 0000 493730695 25 P 31/12/2013 Sakit kepala 4,000 0 0 0 0 0 4,000
4580 SOLIHIN 0000 493481654 34 L 31/12/2013 Gastritis 4,000 0 0 0 0 0 4,000
4581 RAPDI MUJADI 0000 494131487 48 L 31/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4582 SUROH 0000 494110271 32 P 31/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4583 HERU 0000 494745682 20 L 31/12/2013 Penyakit pulpa 0 4,000 0 0 0 0 4,000
4584 MISIH 0000 494013767 40 P 31/12/2013 Demam 4,000 0 0 0 0 0 4,000
4585 SIDI 0000 493419036 32 L 31/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4586 PUJAWATI 0000 493482543 13 P 31/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4587 SANI 0000 494047787 54 P 31/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4588 CASNIA 0000 494234818 50 P 31/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4589 DURAHIM 0000 494703022 32 L 31/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4590 SANAH 0000 494171717 45 P 31/12/2013 Demam 4,000 0 0 0 0 0 4,000
4591 FITRI 0000 493860993 28 P 31/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4592 NIMAH 0000 493483691 21 P 31/12/2013 Demam 4,000 0 0 0 0 0 4,000
4593 MANIN 0000 494260492 43 L 31/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4595 CANIH 0000 494746042 25 P 31/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4596 JUANDA PRASETIYO 0000 493505886 39 L 31/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4597 AMIH 0000 494078488 20 L 31/12/2013 Demam 4,000 0 0 0 0 0 4,000
4598 ASEN 0000 493484567 38 L 31/12/2013 Batuk 4,000 0 0 0 0 0 4,000
4599 SAIM 0000 493562248 14 L 31/12/2013 Influenza 4,000 0 0 0 0 0 4,000
4600 AMAN 0000 493470988 30 L 31/12/2013 Demam 4,000 0 0 0 0 0 4,000
JUMLAH TOTAL : 18,316,000 84,000 0 0 0 0 18,400,000
TERBILANG : Delapan belas juta empat ratus ribu rupiah
Mengetahui
Kepala Puskesmas Sukaindah
Hariri, SKM, MM,M.Epid

Nip.19640228 198803 1 015
REKAPITULASI PERSETUJUAN PEMBAYARAN KLAIM
PELAYANAN JAMINAN KESEHATAN DAN JAMINAN PERSALINAN
PUSKESMAS : SUKAINDAH
BULAN : DESEMBER
TAHUN : 2013
NO KEGIATAN UTAMA WAKTU LOKASI PELAKSANA BIAYA JUMLAH
A POLI UMUM Desember 2013 puskesmas Sukaindah Dokter dan Perawat 4,579 0rg x Rp 4,000 = 18,316,000
POLI GIGI 21 0rg x Rp 4,000 = 84,000
PEMERIKSAAN PENUNJANG 0 0rg x Rp 4,000 = 0
TINDAKAN SEDERHANA 0 0rg x Rp 4,000 = 0
B RAWAT INAP 0 0rg x Rp 4,000 = 0

PELAYANAN RAWAT INAP 0 0rg x Rp 4,000 = 0
TINDAKAN SEDERHANA 0 0rg x Rp 4,000 = 0
PEMERIKSAAN PENUNJANG 0 0rg x Rp 4,000 = 0
JUMLAH TOTAL 18,400,000
TERBILANG : Delapan belas juta empat ratus ribu rupiah
Mengetahui
Kepala Puskesmas Sukaindah
Hariri, SKM, MM,M.Epid

Nip.19640228 198803 1 015

Jamkesmas 2013.... Oke, Des 13

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1347 SILVIA ISLAMIATI 493400878 p

1348 RIFAL FAQIH A 493401058 L

1349 M NAZRIEL A 493401159 L

1350 YASIFA KOMALASARI 493373417 P

1351 KARSIN 493402285 L

1352 NALIH 493374205 L

1353 CACAH 493374251 P

1354 LIA RUKMANA 493374284 P

1355 NITA 493374824 P

1356 ANAH 493375026 P

1357 ROMIHAH 493375184 P

1358 YUNI YUNINGSIH 493403466 P

1359 ELSA NURAINI 493375577 P

1360 ANISAH 493403848 P

1361 KHAIRUDIN 493403984 L

1362 KURNIA APRILIA 493375961 P

1363 NYIMEH 493404212 P

1364 DANA 493376613 L

1365 OMPONG 493404647 L

1366 ENYIH 493404851 P

1367 ENDA 493404873 L

1368 NOMI 493405413 P

1369 MUINAH 493377344 P

1371 NAPSIAH 493377917 P

,1372 SARIPAH 493378143 P

,1373 NURYATI 493406144 P

1374 NIMIN 493378727 L

1375 WATI 493378852 P

1376 NIA 493379392 P

1377 ROHMAT 493379572 L

1378 NAWIN 493407538 L

[ 1379 ONYIH 493408168 P

1380 DARMIN 493408225 L

1381 TINAH 493408484 P

1382 JAYA 493408721 L

1383 ALOI KURNIYAWAN 493381282 L

1384 RAMIH 493409698 P

1385 JAENUDIN 493409924 L

1386 SANAH 493409992 P

1387 DINDA ARILIA 493381787 P

1388 SOPIAH 493410238 P

1389 RAFI 493410767 L

1390 AHMAD FAUZI 493411048 L

1391 EKO 493382597 L

1392 NURA 493382643 P

1393 NURYADI 493382979 L

1395 ERNA 493383317 P

1396 TARSIH 493411656 P

1397 MUHAMAD IKSAN 493383611 L

1398 YASIN HIDAYAT 493412354 L

0.977 ALDA 493523289 P

0.978 SUTINAH 493523605 P

,979 FEBI 493523706 L

[980 MIRTA 493523739 L

1981 M IKSAN 493523842 L

0.982 AHMAD ISNANTO 493524101 L

0.983 WANTA 493524279 L

0.984 CEKUT 493524426 L

985 MARTAM 493524472 L

986 RUMINAH 493524628 P

1987 DARSA 493524909 L

1989 SADAN 493525258 L

1990 SARKIM 493525596 L