RUMAH SAKIT CAKRA HUSADA

Data Jasa Tindakan Dokter

Periode Februari 2015
Zully purnama Esti
RAWAT JALAN
No Tanggal No Rm

Sub Total :
Jumlah

RAWAT INAP
No Tanggal No Rm

1 17-Jan-15 12-29-90
2 18-Jan-15 12-31-87
3 19-Jan-15 12-32-55
4 20-Jan-15 12-32-99
5 20-Jan-15 09-78-22
6 20-Jan-15 03-61-14
7 20-Jan-15 12-30-84
8 20-Jan-15 12-23-91
9 20-Jan-15 11/10/2029
10 20-Jan-15 12-32-98
11 21-Jan-15 12-33-22
12 21-Jan-15 09-59-63
13 21-Jan-15 12-33-53
14 21-Jan-15 12-33-52
15 21-Jan-15 12-33-25
16 21-Jan-15 12-33-50
17 21-Jan-15 12-33-15
18 21-Jan-15 12-33-43
19 22-Jan-15 12-33-84
20 22-Jan-15 12-33-76
21 22-Jan-15 12-33-55
22 22-Jan-15 11-97-93
23 22-Jan-15 12-14-99
24 22-Jan-15 12-33-01
25 22-Jan-15 12-33-80
26 22-Jan-15 12-33-67
27 22-Jan-15 12-33-54
28 22-Jan-15 12-33-69
29 22-Jan-15 12-33-34
30 23-Jan-15 12-33-85
31 23-Jan-15 12-33-72
32 23-Jan-15 12/12/1960
33 23-Jan-15 12-33-86
34 23-Jan-15 12-34-09
35 23-Jan-15 12-34-26
36 23-Jan-15 12-33-90
37 23-Jan-15 12-33-97
38 23-Jan-15 12-34-05
39 23-Jan-15 12-33-91
40 23-Jan-15 12-33-96
41 23-Jan-15 11-74-69
42 23-Jan-15 12-34-12
43 23-Jan-15 12-34-25
44 23-Jan-15 12-33-99
45 23-Jan-15 12-14-92
46 23-Jan-15 12-00-29
47 24-Jan-15 12-34-47
48 24-Jan-15 12-34-27
49 24-Jan-15 12-34-57
50 24-Jan-15 10-70-16
51 24-Jan-15 12-34-32
52 24-Jan-15 12-34-28
53 24-Jan-15 12-34-41
54 24-Jan-15 12-26-40
55 24-Jan-15 12-34-43
56 24-Jan-15 12-34-55
57 25-Jan-15 06-14-91
58 25-Jan-15 11-83-54
59 25-Jan-15 7/12/1952
60 25-Jan-15 10-81-07
61 25-Jan-15 12-31-50
62 25-Jan-15 12-34-67
63 25-Jan-15 12-31-59
 64 25-Jan-15 12-34-06
65 25-Jan-15 12-34-80
66 25-Jan-15 12-33-70
67 25-Jan-15 12-34-74
68 25-Jan-15 12-34-65
69 25-Jan-15 12-34-76
70 25-Jan-15 12-34-81
71 26-Jan-15 12-35-04
72 26-Jan-15 11-94-56
73 26-Jan-15 08-75-33
74 26-Jan-15 3/8/2005
75 26-Jan-15 12-35-15
76 26-Jan-15 12-35-14
77 26-Jan-15 12-35-19
78 26-Jan-15 12-34-11
79 26-Jan-15 12-35-35
80 26-Jan-15 12-32-03
81 26-Jan-15 12-35-16
82 26-Jan-15 12-34-64
83 26-Jan-15 12-32-11
84 26-Jan-15 12-35-23
85 26-Jan-15 12-35-09
86 26-Jan-15 12-35-45
87 26-Jan-15 12-34-86
88 26-Jan-15 12-34-17
89 26-Jan-15 12-35-51
90 26-Jan-15 12-34-75
91 26-Jan-15 12-33-36
92 26-Jan-15 12-34-97
93 26-Jan-15 12-35-12
94 26-Jan-15 12-29-18
95 26-Jan-15 12-34-23
96 26-Jan-15 12-35-22
97 26-Jan-15 12-35-13
98 26-Jan-15 12-34-63
99 26-Jan-15 12-35-17
100 26-Jan-15 12/9/1979
101 27-Jan-15 12-35-55
102 27-Jan-15 04-40-32
103 27-Jan-15 12-35-81
104 27-Jan-15 12-36-05
105 27-Jan-15 12-35-26
106 27-Jan-15 12-35-88
107 27-Jan-15 03-50-16
108 27-Jan-15 12-35-77
109 27-Jan-15 12-35-89
110 27-Jan-15 05-42-10
111 27-Jan-15 12-36-06
112 27-Jan-15 11-58-63
113 27-Jan-15 12-35-80
114 27-Jan-15 12-35-79
115 27-Jan-15 11-24-82
116 27-Jan-15 12-34-56
117 27-Jan-15 12-35-82
118 27-Jan-15 12-35-76
119 27-Jan-15 12-35-30
120 27-Jan-15 12-33-35
121 28-Jan-15 12-36-26
122 28-Jan-15 12-36-56
123 28-Jan-15 12-35-56
124 28-Jan-15 12-35-58
125 28-Jan-15 11-80-52
126 28-Jan-15 09-93-69
127 28-Jan-15 12-36-25
128 28-Jan-15 12-36-46
129 28-Jan-15 1/9/1975
130 28-Jan-15 12-36-48
131 28-Jan-15 12-32-16
132 28-Jan-15 12-35-59
133 28-Jan-15 12-35-91
134 28-Jan-15 12-36-10
135 28-Jan-15 12-36-23
136 28-Jan-15 12-28-45
137 28-Jan-15 12-28-32
138 28-Jan-15 12-36-31
139 28-Jan-15 09-75-35
140 28-Jan-15 12-36-21
141 28-Jan-15 12-36-35
142 28-Jan-15 12-13-57
143 28-Jan-15 12-36-60
144 28-Jan-15 12-36-11
145 28-Jan-15 12-36-07
146 28-Jan-15 09-19-87
147 28-Jan-15 11-79-84
148 29-Jan-15 06-42-12
149 29-Jan-15 12-35-71
150 29-Jan-15 12-36-95
151 29-Jan-15 12-36-85
152 29-Jan-15 12-37-07
153 29-Jan-15 11-13-45
154 29-Jan-15 12-36-74
155 29-Jan-15 11-31-85
156 29-Jan-15 12-36-73
157 30-Jan-15 12-37-08
158 30-Jan-15 12-37-26
159 30-Jan-15 12-37-54
160 30-Jan-15 12-37-38
161 30-Jan-15 12-37-48
162 30-Jan-15 12-37-53
163 30-Jan-15 12-35-69
164 30-Jan-15 11-82-04
165 30-Jan-15 02-90-36
166 30-Jan-15 12-37-11
167 30-Jan-15 12-37-15
168 30-Jan-15 12-37-51
169 30-Jan-15 12-37-30
170 30-Jan-15 12-37-12
171 31-Jan-15 12-37-79
172 31-Jan-15 12-37-65
173 31-Jan-15 10-48-94
174 31-Jan-15 12-37-62
175 31-Jan-15 11-79-31
176 31-Jan-15 12-37-81
177 31-Jan-15 12-37-86
178 31-Jan-15 11-81-77
179 31-Jan-15 10-61-81
180 31-Jan-15 12-37-70
181 31-Jan-15 04-94-00
182 31-Jan-15 12-37-73
183 31-Jan-15 12-37-74
184 31-Jan-15 12-37-77
185 1-Feb-15 12-37-95
186 1-Feb-15 12-38-07
187 1-Feb-15 12-37-92
188 1-Feb-15 12-38-09
189 1-Feb-15 12-38-11
190 1-Feb-15 12-37-94
191 1-Feb-15 12-37-19
192 1-Feb-15 12-37-58
193 1-Feb-15 11/3/1976
194 1-Feb-15 12-38-18
195 1-Feb-15 12-37-91
196 1-Feb-15 12/12/1977
197 1-Feb-15 12-37-93
198 1-Feb-15 12-38-08
199 1-Feb-15 12-38-06
200 1-Feb-15 09-55-34
201 2-Feb-15 12-32-71
202 2-Feb-15 12-38-60
203 2-Feb-15 12-38-87
204 2-Feb-15 12-38-24
205 2-Feb-15 12-38-67
206 2-Feb-15 12-38-55
207 2-Feb-15 12-38-85
208 2-Feb-15 12-37-45
209 2-Feb-15 12-38-16
210 2-Feb-15 12-38-86
211 2-Feb-15 12-38-73
212 2-Feb-15 08-82-97
213 2-Feb-15 09-37-53
214 2-Feb-15 12-38-79
215 2-Feb-15 12-26-74
216 2-Feb-15 12-38-52
217 2-Feb-15 12-38-69
218 2-Feb-15 12-38-22
219 2-Feb-15 12-38-82
220 2-Feb-15 12-38-58
221 2-Feb-15 12-38-27
222 2-Feb-15 09-89-05
223 2-Feb-15 12-38-84
224 2-Feb-15 12-38-54
225 2-Feb-15 12-38-81
226 3-Feb-15 09-96-11
227 3-Feb-15 12-22-73
228 3-Feb-15 12-39-09
229 3-Feb-15 12-39-19
230 3-Feb-15 12-39-05
231 3-Feb-15 12-39-29
232 3-Feb-15 12-39-13
233 3-Feb-15 12-38-96
234 3-Feb-15 12-39-27
235 3-Feb-15 12-38-17
236 3-Feb-15 12-38-94
237 3-Feb-15 12-39-38
238 3-Feb-15 11-89-33
239 3-Feb-15 09-93-93
240 3-Feb-15 12-38-51
241 3-Feb-15 12-39-16
242 3-Feb-15 12-39-02
243 3-Feb-15 12-39-40
244 3-Feb-15 12-39-03
245 3-Feb-15 12-37-42
246 3-Feb-15 12-39-11
247 3-Feb-15 12-38-89
248 3-Feb-15 12-38-19
249 3-Feb-15 12-38-36
250 3-Feb-15 12-38-93
251 3-Feb-15 09-38-19
252 3-Feb-15 11-77-22
253 3-Feb-15 12-35-81
254 3-Feb-15 11-14-98
255 4-Feb-15 09-57-60
256 4-Feb-15 12-37-81
257 4-Feb-15 12-39-63
258 4-Feb-15 12-39-66
259 4-Feb-15 09-34-95
260 4-Feb-15 12-39-94
261 4-Feb-15 12-39-51
262 4-Feb-15 02-32-15
263 4-Feb-15 12-39-93
264 4-Feb-15 12-39-45
265 4-Feb-15 11-98-88
266 4-Feb-15 9/12/1971
267 4-Feb-15 12-39-57
268 4-Feb-15 11-84-83
269 4-Feb-15 10-60-25
270 4-Feb-15 12-39-80
271 4-Feb-15 12-39-58
272 4-Feb-15 12-39-37
273 4-Feb-15 09-85-06
274 4-Feb-15 12-39-83
275 4-Feb-15 11-33-42
276 4-Feb-15 12-39-67
277 4-Feb-15 11-99-49
278 4-Feb-15 12-31-07
279 5-Feb-15 12-21-53
280 5-Feb-15 12-31-03
281 5-Feb-15 12-40-09
282 5-Feb-15 05-88-75
283 5-Feb-15 12-40-38
284 5-Feb-15 03-27-07
285 5-Feb-15 12-40-33
286 5-Feb-15 12-40-13
287 5-Feb-15 12-36-66
288 5-Feb-15 12-39-42
289 5-Feb-15 9/6/1941
290 5-Feb-15 12-40-12
291 5-Feb-15 11-92-55
292 5-Feb-15 12-40-17
293 5-Feb-15 12-40-31
294 5-Feb-15 12-40-19
295 5-Feb-15 12-39-43
296 6-Feb-15 1/12/2019
297 6-Feb-15 12-40-41
298 6-Feb-15 12-40-43
299 6-Feb-15 12-40-86
300 6-Feb-15 12-40-39
301 6-Feb-15 12-40-82
302 6-Feb-15 12-40-68
303 6-Feb-15 12-40-40
304 6-Feb-15 12-40-44
305 6-Feb-15 12-40-10
306 6-Feb-15 12-40-87
307 6-Feb-15 12-40-45
308 6-Feb-15 12-40-74
309 6-Feb-15 12-40-61
310 7-Feb-15 07-46-67
311 7-Feb-15 10-35-43
312 7-Feb-15 11-75-52
313 7-Feb-15 12-41-05
314 7-Feb-15 11-83-20
315 7-Feb-15 10-70-16
316 7-Feb-15 11-60-17
317 7-Feb-15 5/10/2010
318 7-Feb-15 12-41-08
319 7-Feb-15 07-20-59
320 7-Feb-15 12-40-55
321 7-Feb-15 09-64-93
322 7-Feb-15 12-40-92
323 7-Feb-15 12-40-98
324 7-Feb-15 09-19-24
325 7-Feb-15 12-21-83
326 7-Feb-15 12-41-18
327 8-Feb-15 12-41-31
328 8-Feb-15 12-41-21
329 8-Feb-15 12-40-91
330 8-Feb-15 12-41-26
331 8-Feb-15 12-41-36
332 8-Feb-15 11-32-17
333 8-Feb-15 12-41-39
334 8-Feb-15 12-41-40
335 8-Feb-15 12-38-41
336 8-Feb-15 12-41-33
337 8-Feb-15 12-41-30
338 8-Feb-15 9/12/1931
339 8-Feb-15 8/10/1968
340 8-Feb-15 3/12/1999
341 8-Feb-15 12-41-23
342 8-Feb-15 12-41-42
343 8-Feb-15 12-41-44
344 9-Feb-15 11-87-02
345 9-Feb-15 12-41-45
346 9-Feb-15 12-41-90
347 9-Feb-15 12-34-81
348 9-Feb-15 12-41-87
349 9-Feb-15 12-41-50
350 9-Feb-15 07-25-88
351 9-Feb-15 11-33-35
352 9-Feb-15 12-41-76
353 9-Feb-15 12-41-93
354 9-Feb-15 08-37-58
355 9-Feb-15 11-68-68
356 9-Feb-15 12-41-64
357 9-Feb-15 12-41-56
358 9-Feb-15 12-41-95
359 9-Feb-15 12-41-03
360 9-Feb-15 07-22-85
361 9-Feb-15 03-22-81
362 9-Feb-15 12-41-54
363 9-Feb-15 12-41-71
364 9-Feb-15 12-41-92
365 10-Feb-15 12-42-15
366 10-Feb-15 12-42-13
367 10-Feb-15 12-42-36
368 10-Feb-15 09-27-56
369 10-Feb-15 12-25-05
370 10-Feb-15 12-41-97
371 10-Feb-15 12-42-00
372 10-Feb-15 12-42-35
373 10-Feb-15 12-42-32
374 10-Feb-15 08-71-64
375 10-Feb-15 12-42-11
376 10-Feb-15 12-37-38
377 10-Feb-15 12-41-99
378 10-Feb-15 12-42-09
379 10-Feb-15 12-42-31
380 10-Feb-15 12-42-08
381 10-Feb-15 12-41-46
382 10-Feb-15 10-90-88
383 10-Feb-15 12-41-79
384 11-Feb-15 10-56-34
385 11-Feb-15 12-41-22
386 11-Feb-15 12-42-61
387 11-Feb-15 12-42-41
388 11-Feb-15 12-42-84
389 11-Feb-15 09-84-65
390 11-Feb-15 12-42-86
391 11-Feb-15 12-42-88
392 11-Feb-15 12-42-56
393 11-Feb-15 08-16-50
394 11-Feb-15 12-42-55
395 11-Feb-15 12-42-67
396 11-Feb-15 12-24-98
397 11-Feb-15 12-41-24
398 11-Feb-15 12-19-83
399 11-Feb-15 12-42-68
400 11-Feb-15 12-42-85
401 11-Feb-15 12-42-10
402 11-Feb-15 12-42-77
403 11-Feb-15 12-42-80
404 11-Feb-15 12-42-49
405 11-Feb-15 12/11/1973
406 11-Feb-15 11-59-99
407 12-Feb-15 12-42-91
408 12-Feb-15 12-30-25
409 12-Feb-15 11/10/1973
410 12-Feb-15 12-42-99
411 12-Feb-15 12-20-48
412 12-Feb-15 08-53-43
413 12-Feb-15 12-43-19
414 12-Feb-15 12-42-90
415 12-Feb-15 12-43-20
416 12-Feb-15 09-57-25
417 12-Feb-15 12-43-00
418 12-Feb-15 11-61-60
419 12-Feb-15 10/12/1961
420 12-Feb-15 10-21-94
421 12-Feb-15 11-87-20
422 12-Feb-15 04-21-23
423 12-Feb-15 12-43-03
424 12-Feb-15 12-42-92
425 12-Feb-15 2/12/2016
426 12-Feb-15 12-40-04
427 13-Feb-15 09-95-25
428 13-Feb-15 12-43-46
429 13-Feb-15 12-42-95
430 13-Feb-15 12-43-53
431 13-Feb-15 09-38-19
432 13-Feb-15 12-43-51
433 13-Feb-15 12/12/1994
434 13-Feb-15 12-43-38
435 13-Feb-15 10-79-84
436 13-Feb-15 12-43-40
437 13-Feb-15 12-42-47
438 13-Feb-15 12-43-48
439 13-Feb-15 12-29-52
440 13-Feb-15 12-43-54
441 13-Feb-15 12-43-39
442 13-Feb-15 7/3/1937
443 13-Feb-15 12-42-06
444 13-Feb-15 3/12/2016
445 14-Feb-15 12-43-89
446 14-Feb-15 12-44-07
447 14-Feb-15 12-43-97
448 14-Feb-15 07-18-00
449 14-Feb-15 06-25-43
450 14-Feb-15 12-43-82
451 14-Feb-15 10-88-09
452 14-Feb-15 06-82-07
453 14-Feb-15 12-44-04
454 14-Feb-15 10-30-31
455 14-Feb-15 12-43-62
456 14-Feb-15 12-43-83
457 14-Feb-15 12-43-98
458 14-Feb-15 12-43-74
459 14-Feb-15 12-43-96
460 14-Feb-15 12-43-73
461 14-Feb-15 12-44-05
462 14-Feb-15 12-44-00
463 14-Feb-15 12-43-84
464 15-Feb-15 12-44-15
465 15-Feb-15 12-44-27
466 15-Feb-15 12-44-12
467 15-Feb-15 12-44-25
468 15-Feb-15 12-44-36
469 15-Feb-15 12-44-18
470 15-Feb-15 12-44-11
471 15-Feb-15 12-44-32
472 15-Feb-15 12-29-91
473 15-Feb-15 09-28-26
474 15-Feb-15 12-44-31
475 15-Feb-15 12-44-22
476 15-Feb-15 12-44-17
477 15-Feb-15 12-44-33
478 15-Feb-15 4/9/1984
479 15-Feb-15 12-44-26
480 16-Feb-15 12-44-43
481 16-Feb-15 12-44-94
482 16-Feb-15 11-46-13
483 16-Feb-15 12-44-40
484 16-Feb-15 12-44-64
485 16-Feb-15 12-44-82
486 16-Feb-15 12-44-42
487 16-Feb-15 12-44-73
488 16-Feb-15 04-94-00
489 16-Feb-15 12-44-46
490 16-Feb-15 12-40-71
491 16-Feb-15 12-44-39
492 16-Feb-15 12-43-60
493 16-Feb-15 11-48-15
494 16-Feb-15 12-41-08
495 16-Feb-15 12-44-59
496 16-Feb-15 12-44-68
497 16-Feb-15 12-42-08
498 16-Feb-15 11-13-80
499 17-Feb-15 09-16-52
500 17-Feb-15 12-43-50
501 17-Feb-15 12-42-42
502 17-Feb-15 12-45-51
503 17-Feb-15 12-45-47
504 17-Feb-15 11-23-39
505 17-Feb-15 12-18-88
506 17-Feb-15 12-45-02
507 17-Feb-15 12-45-22
508 17-Feb-15 12-44-98
509 17-Feb-15 12-45-54
510 17-Feb-15 12-45-21
511 17-Feb-15 12-41-66
512 17-Feb-15 12-43-68
513 18-Feb-15 08-23-80
514 18-Feb-15 12-45-59
515 18-Feb-15 12-45-58
516 18-Feb-15 12-45-60
517 18-Feb-15 11-77-32
518 18-Feb-15 12-45-63
519 18-Feb-15 12-45-96
520 18-Feb-15 12-45-78
521 18-Feb-15 12-45-97
522 18-Feb-15 12-45-65
523 18-Feb-15 12-36-60
524 18-Feb-15 12-45-86
525 18-Feb-15 11-98-70
526 18-Feb-15 12-45-85
527 19-Feb-15 12-46-04
528 19-Feb-15 12-46-08
529 19-Feb-15 12-45-99
530 19-Feb-15 12-46-10
531 19-Feb-15 12-46-22
532 19-Feb-15 12-46-06
533 19-Feb-15 12-46-03
534 19-Feb-15 12-46-01
535 19-Feb-15 12-46-21
536 19-Feb-15 09-42-17
537 19-Feb-15 12-46-12
538 19-Feb-15 09-63-80
539 19-Feb-15 05-84-82
540 19-Feb-15 12-38-77
541 19-Feb-15 12-45-98
542 19-Feb-15 12-46-05
543 19-Feb-15 12-45-69
544 20-Feb-15 12-46-31
545 20-Feb-15 12-46-49
546 20-Feb-15 12-42-21
547 20-Feb-15 12-46-37
548 20-Feb-15 12-46-76
549 20-Feb-15 12-46-24
550 20-Feb-15 07-86-63
551 20-Feb-15 12-46-27
552 20-Feb-15 05-91-39
553 20-Feb-15 12-40-15
554 20-Feb-15 04-32-13
555 20-Feb-15 10-49-92
 556 21-Feb-15 08-54-39
557 21-Feb-15 12-46-78
558 21-Feb-15 12-44-54
559 21-Feb-15 12-47-01
560 21-Feb-15 12-46-77
561 21-Feb-15 12-47-07
562 21-Feb-15 12-47-00
563 22-Feb-15 12-46-82
564 22-Feb-15 12-47-32
565 22-Feb-15 12-47-30
566 22-Feb-15 07-26-31
567 22-Feb-15 12-47-18
568 22-Feb-15 12-47-23
569 22-Feb-15 12-47-16
570 23-Feb-15 10-14-12
571 23-Feb-15 12-47-46
572 23-Feb-15 08-46-85
573 23-Feb-15 12-45-77
574 23-Feb-15 12-47-37
575 24-Feb-15 12-44-87
576 24-Feb-15 12-48-08
577 24-Feb-15 12-47-90
Jumlah

Tambahan Lain-lain
No Item
Total

Tambahan Lain-lain Potong PPH

No Item
Total

Rekap Transaksi
Rawat Jalan 0
Rawat Jalan Pemeriksaan IGD 0
Rawat Inap Tindakan IGD 0
Rawat Inap Tanpa Kiriman 720000
Rawat Inap Kiriman 30000
Jasa Kiriman 0
 Tambahan Lain -lain potong pph 0
Sub Total 750000
Potongan PPh 0 % 0
Potongan Rawat Inap Tanpa Kiriman
20% 0
Potongan Rawat Inap Kiriman 15% 0
Potongan Perawat IGD 5% 0
Bahan 0
Residen 0
Lain-lain 0
Gaji Komite Medik 0
Potongan Telp Air Litrik 0
Potongan Koperasi 0
Potongan Piknik 0
Tambahan Lain-lain 0
Total 750000

 HUSADA
okter

Nama Jaminan Total

0
0

Nama Jaminan Tindakan Total

WAGIYEM JKN 2500 2500

WIWIN LESTARI JKN 0 0
RASNO ARJO SUWITO JKN 2500 2500
BETI KURNIAWATI JKN 2500 2500
YITNO WIYOTO AL LASONO JKN 2500 2500
MANTO DIKROMO JKN 2500 2500
NUHRUL APRILIANA JKN 2500 2500
MARTINI JKN 2500 2500 22-Jan
SRI HARDJONO JKN 2500 2500 21-Jan
PAIMAN JKN 2500 2500
RUBIYANTO JKN 2500 2500 22-Jan
DWI YULIATI JKN 2500 2500
ABDUL HARIS JKN 2500 2500 22-Jan
PUJI SUTARMI JKN 2500 2500
NANDA DEWI AVRILIA JKN 2500 2500
TIEN SUTIYANI JKN 0 0
REVANDRA GALANG PERMANA JKN 2500 2500
SUYATMI Umum 2500 2500
SRI MULYANI JKN 2500 2500 23-Jan
ARINA DP Umum 2500 2500
M FITO RIZKI AZZIKIA A JKN 2500 2500 22-Jan
PURWADI DRS JKN 2500 2500 23-Jan
DEDI ARDIANSYAH JKN 2500 2500 23-Jan
KIRNO MARGO WIYONO Umum 2500 2500
DADI WIDOYO Umum 2500 2500
IKHTISAD ARDDIANSYAH EKA PUTRA JKN 2500 2500 23-Jan
AINIYA FAIDA AZMI Umum 2500 2500
ALFIYAH JKN 2500 2500
MUHAMAD FAUZAN AMINUDIN JKN 2500 2500
YATINEM JKN 2500 2500
MUHASIM JKN 2500 2500
MARTINI JKN 2500 2500
ARYA LUHUNG WIBISONO JKN 2500 2500
SUGIARTO JKN 2500 2500
SLAMET ISMAIL JKN 2500 2500
LAMONO JKN 2500 2500
RIZKI BACHTIAR JKN 0 0
SUMIRAH JKN 2500 2500
DAFFA RIZKY MA'ARIF JKN 0 0
ALAMSYAH AKBAR JKN 2500 2500 26-Jan
HADI SUWARNO SAJIMAN JKN 2500 2500 26-Jan
EKO SUNARYO Asuransi 2500 2500 26-Jan
FAITH ARIEF AZZAMY JKN 2500 2500 26-Jan
HARTATIK JKN 2500 2500
WASKITO TIRTONUGROHO SE JKN 2500 2500
IDA SUSI YULIANA JKN 0 0
YANICA NUR LAILA JKN 2500 2500 26-Jan
JOKO SUSILO JKN 2500 2500 26-Jan
SOEDARMO JKN 0 0
SUPATMI JKN 2500 2500 26-Jan
SUPIYATI JKN 2500 2500 26-Jan
MARJO WIYONO/MARIMAN Umum 2500 2500 26-Jan
MUHAMMAD FADHIL AZKA LESMANA JKN 2500 2500
SAMINI JKN 2500 2500 26-Jan
NGADIMIN HADI WAHYONO JKN 2500 2500 26-Jan
AS ADMAHMUD AKRAM JKN 2500 2500 26-Jan
TRIYANTO Umum 2500 2500 26-Jan
SURAMTO JKN 2500 2500 26-Jan
RIPNO DIHARJO Umum 0 0 12-Jan
ALBIN YAFI KAYANA Umum 2500 2500 26-Jan
SAPARIJAH JKN 2500 2500 26-Jan
SRI LESTARI JKN 2500 2500 26-Jan
JEMIYANTO Umum 2500 2500 26-Jan
ARIEF ILHAM KUSUMA ATMAJA Umum 2500 2500 26-Jan
CIPTO DIARJO WIDODO Umum 2500 2500 26-Jan
EDI SARTANA JKN 2500 2500 26-Jan
SUBEKTI Umum 2500 2500 27-Jan
GIGIH SETYO HARTAWAN JKN 2500 2500 26-Jan
MARIANNA SANTOSO Umum 2500 2500 28-Jan
SITI MUKHAYATUN JKN 2500 2500 26-Jan
YANT SURYA DONNY PRASETYO JKN 2500 2500 27-Jan
SRI SARMIYANTI Umum 2500 2500 27-Jan
TARNO SUWITO Umum 0 0 27-Jan
JESHALLOM CARIS JKN 2500 2500 27-Jan
ALFIZA ZAHWA Umum 2500 2500 27-Jan
E INDRIANA DINDA NOVITASARI JKN 2500 2500
ARIS BEKTI LEKSANA Umum 2500 2500 27-Jan
SOLEH SUTARYONO JKN 2500 2500 27-Jan
ROBANI JKN 2500 2500 27-Jan
SUGIYANTI Umum 2500 2500 26-Jan
FLOWRENZA PUTRI Umum 2500 2500 27-Jan
SURATMAN Umum 2500 2500 27-Jan
SAERI JKN 2500 2500 27-Jan
SIYEM GITO WIYONO Umum 2500 2500 27-Jan
SULIPAH JKN 2500 2500 27-Jan
WAHYU ENI LESTARI JKN 2500 2500 27-Jan
SULISTIYARINI JKN 2500 2500 27-Jan
CHINTYA NINDY LOLYTASARI JKN 0 0 27-Jan
SUYATMAN Umum 2500 2500 27-Jan
IBRA NOVAL Umum 2500 2500 27-Jan
SURYATI JKN 2500 2500 27-Jan
SARGI SUGIHARTI JKN 2500 2500
INTAN SASTRA WIBAWA Umum 2500 2500 27-Jan
SUPARMO JKN 0 0 27-Jan
TEGAR BAYU SASONGKO JKN 0 0 27-Jan
SRI YANIK JKN 0 0 27-Jan
NADIA KHOIRUNISA Umum 2500 2500 27-Jan
MARTINI Umum 2500 2500 27-Jan
SUKARMAN Umum 2500 2500 28-Jan
SRI INDAH MAYASARI JKN 2500 2500 27-Jan
FITRIA ROMADHON Umum 2500 2500 28-Jan
SRI WAHYUNI Umum 2500 2500 28-Jan
HARI HASTUTI JKN 2500 2500 29-Jan
SUKIMAN Umum 2500 2500 28-Jan
M ISROFIL ZAMRONI JKN 2500 2500 28-Jan
WAHYU AULIYA ROHMAN JKN 2500 2500 28-Jan
IRFAN DWI CAHYANTO Umum 2500 2500 28-Jan
IWAN Umum 2500 2500 28-Jan
JUMANTO JKN 2500 2500 28-Jan
MUNAWAR CHOLIL JKN 2500 2500 29-Jan
DENY TRI WULANDARI Umum 2500 2500 28-Jan
RINTAN FAJARWATI WIBOWO JKN 0 0
YESSY ANGELIA SERAFIM JKN 2500 2500 28-Jan
SUGIMAH Umum 0 0
ANIK ASMORO JKN 2500 2500 28-Jan
RM PINDAH ( 123965 ) SUMARJONO JKN 2500 2500 29-Jan
INA WAHYUNINGSIH JKN 2500 2500 28-Jan
KISMI JKN 2500 2500 28-Jan
FENDI PRATAMA ANDREAS JKN 2500 2500 28-Jan
SUTINI Umum 2500 2500 28-Jan
AULIA RACHMA JKN 2500 2500 29-Jan
JUWARIK JKN 2500 2500 29-Jan
SUMARYONO JKN 2500 2500 29-Jan
BAMBANG ARI SULISTYO JKN 2500 2500 29-Jan
SUWARTINAH JKN 2500 2500 28-Jan
ABDUL SUPARMAN Umum 2500 2500 29-Jan
CALVIN ADITYA W P Umum 2500 2500 29-Jan
MARTINI Umum 0 0
RINA APRI KURNIASARI JKN 2500 2500 29-Jan
PUTRI FARRA AZZAHRA Umum 2500 2500 29-Jan
LOKA DIANA SAHARA JKN 2500 2500 29-Jan
SUPINI JKN 2500 2500 29-Jan
AFIKA FARA CHISTA ALLONA JKN 0 0
YANUAR WIDATAMA Umum 2500 2500 28-Jan
HOWIE RENGGALI Umum 2500 2500 29-Jan
AKIRNO HS JKN 2500 2500 29-Jan
KARTI SOEWARNI JKN 2500 2500 29-Jan
ROHMADI JKN 2500 2500 29-Jan
SUPARDAL HERMAN YOSEP JKN 0 0
SITI TRIWIGATI JKN 2500 2500 29-Jan
MUJIMIN Umum 2500 2500 29-Jan
MARDI UTOMO JKN 2500 2500 29-Jan
SUPRIH HADI HARTONO Umum 2500 2500 29-Jan
SITI IMROATUL KASANAH JKN 2500 2500 29-Jan
ARDIATAMA WIRA RESPATI Umum 0 0
SUSANTI Umum 2500 2500 29-Jan
ERY SETYOWATI JKN 2500 2500 29-Jan
LANGGENG WIBOWO SETIAWAN Umum 0 0
FRANSISCA SUGIYARTI JKN 0 0
TRIWULAN Umum 0 0
ALIP HARJO SUWITO JKN 0 0
LEGIYEM Umum 2500 2500 2-Feb
TEGUH BAGIYO JKN 0 0
SUTRISNO Umum 2500 2500 3-Feb
TRISNO SUWITO JKN 2500 2500 2-Feb
GB GIARSO Umum 0 0
FAUZAN RAMDAN DWI JKN 2500 2500 2-Feb
SASMITA ADI GUMELAR Umum 2500 2500 2-Feb
HAFIZI ASNAWI Umum 0 0
AGOES POEJO SOESILO JKN 0 0
ALPAN Umum 2500 2500 2-Feb
MIRA RAHAYU Umum 2500 2500 2-Feb
HARTINI JKN 0 0 2-Feb
SUTARTI JKN 2500 2500 2-Feb
KAMIL DWIJODARSONO JKN 2500 2500 2-Feb
SUPARMEN Umum 2500 2500 3-Feb
SRI MULYANI JKN 0 0
YUSTINA KUSUMAWATI HANDAYANI JKN 2500 2500
SARDI WIYONO JKN 2500 2500
ST AGUS KURNIAWAN JKN 0 0
UKI MARIYA JKN 2500 2500 2-Feb
SUGIYARTO JKN 2500 2500
SRI SUNDARI Umum 2500 2500 2-Feb
NURUL SRI HARYATI Umum 2500 2500 3-Feb
HAMIDI PRAPTO HARJONO JKN 2500 2500
WIDYA OKTA VIKIASIH JKN 0 0 6-Feb
SHENTYA RAHMA SEPTI KANINGRUM JKN 2500 2500 2-Feb
ADVERTINO HERWIN KUSWOYO JKN 2500 2500 2-Feb
SURATMAN Umum 0 0
INDRIYANI Umum 2500 2500 2-Feb
HARTINI HJ JKN 2500 2500 2-Feb
LISMIYATUN NUR AHMAD Umum 2500 2500 2-Feb
MARCO TALASKA Asuransi 0 0
LINDA MARDIYANA JKN 2500 2500 3-Feb
SUKIR Umum 2500 2500 3-Feb
FERI YULIANA JKN 2500 2500
HARTANTI Umum 0 0
SIKEM RAMTO WARDOYO JKN 2500 2500 2-Feb
SUMARNI JKN 2500 2500 2-Feb
NENDI NUGROHO JKN 2500 2500 2-Feb
MARJOKO Umum 2500 2500 3-Feb
MUHAMMAD FIRDAUS NASHIRUDDIN JKN 2500 2500 3-Feb
SLAMET JKN 2500 2500
DARMO SUWITO Umum 2500 2500
HANUNG KYNAN PRIYAMBODO JKN 2500 2500 3-Feb
SITI NURNANINGSIH JKN 2500 2500
JUMINEM MARDIYONO Umum 0 0 2-Feb
SETYAWAN HADIYANTO JKN 2500 2500
MARTHA RETNO SETIANINGSIH JKN 2500 2500 3-Feb
EDRIS JKN 0 0
SRI SUGIYANTI JKN 2500 2500
ARFINA Umum 2500 2500 3-Feb
SUYONO JKN 2500 2500
YULIA NDARU CAECILIA Asuransi 2500 2500 4-Feb
SADIYEM SANDIWAN BROTO Umum 2500 2500 3-Feb
NGATIMAN JKN 2500 2500
MULYANI JKN 2500 2500 3-Feb
Y WIDYASTO M H JKN 2500 2500
RADIX MAGSUM AHMAD JKN 0 0 3-Feb
SUKIYAT Umum 2500 2500
TRI MARWANTO Umum 2500 2500
WIDYO SUMARTO JKN 2500 2500 3-Feb
ELISABETH RIRIN TRI KUNTARI Asuransi 2500 2500 3-Feb
YOSO SUMANTO/ JAMIYEM Umum 2500 2500 5-Feb
ENDANG TRI KARTIKASARI JKN 2500 2500
GRAZIANO NAUFAL FIRDAUS Umum 2500 2500 3-Feb
AGUNG SASONGKO ANINDITO Umum 2500 2500 3-Feb
LEXA ARNELYTA JKN 2500 2500
DEWI EKA PRAMUDI Umum 2500 2500 3-Feb
SUMIYEM Umum 2500 2500 3-Feb
CHRISTINA NURYANTI JKN 2500 2500
JENARTI Umum 2500 2500 3-Feb
IR TRI WINARSO JKN 0 0 3-Feb
SLAMET JKN 2500 2500
SEKAR WIDIANINGRUM Umum 2500 2500 3-Feb
FABIAN ARIANTO SETIAWAN JKN 2500 2500
MUJIMIN JKN 2500 2500
SUGIYANTO JKN 2500 2500
EKA NORMA LISNAWATI JKN 2500 2500
SRIYONO JKN 2500 2500
MEY PAMUNGKASTY Umum 2500 2500 4-Feb
KARDINAH GITO WALUYO JKN 2500 2500
SUNARTO JKN 2500 2500
TIKA APRILIA EVITANINGRUM JKN 2500 2500
MINAH CITRO SUWIRYO Umum 2500 2500 4-Feb
TIYANTO Umum 2500 2500 4-Feb
DHANY ISMAIL JKN 2500 2500
MARNO TIYOSO JKN 0 0 3-Feb
NORA OKTAVIANA JKN 2500 2500
BEKTI TRI MURNIATI JKN 2500 2500
SARDI JKN 2500 2500
CAESARIA KIRANA PILAR JKN 2500 2500
TRI ADI NUGROHO Umum 2500 2500 4-Feb
SUPARDAN Umum 0 0
DINA ISMAWATI JKN 2500 2500
DEVILIA KUMALASARI JKN 2500 2500
DIFTA TITANIA JKN 2500 2500
SLAMET SUGIYANTO JKN 2500 2500
PRABOWO WARSITO JKN 2500 2500
WAHYUDI JKN 2500 2500
ENDRI ROSITA DEWI JKN 0 0
IMRON H Umum 2500 2500 6-Feb
HARI HASTUTI JKN 2500 2500
NICOLAOUS KRESNA MUKTI UTOMO JKN 2500 2500
LARASATI SOFIA TANEKE Umum 2500 2500 5-Feb
WIDYA OKTA VIKIASIH JKN 2500 2500
JOKO TRIYONO JKN 0 0
LAILA LATHIFAH Asuransi 2500 2500 5-Feb
SIWI KUSUMASTUTI Umum 2500 2500
EKA HENDRIYANI Umum 2500 2500
MIKEM SUDIWIYONO JKN 2500 2500
ANAK AGUNG RADIKA ASTARI JKN 0 0
MULYONO Umum 2500 2500 5-Feb
IKA SUPATMI JKN 2500 2500
MUHAMMAD AHNAF RENDY M JKN 2500 2500
SUKARNI JKN 2500 2500
SUGITO Umum 2500 2500
CATARINA DWI MARTANTI JKN 2500 2500
AGVAREDYASA HABIBIE AN JKN 0 0
FAHMI ALAN NUHA Umum 2500 2500 5-Feb
JUMINTEN SISWO HARTOYO JKN 2500 2500
NETI HIDAYATI Umum 2500 2500 5-Feb
SISWANTO Umum 2500 2500 5-Feb
SARNO NARDO PRAYITNO Umum 2500 2500 5-Feb
SUWARTI Umum 2500 2500 4-Feb
GISELA PUTRI JKN 2500 2500
WIWIT WIDYHASTUTY JKN 2500 2500
CHANZA ANDINI NUR AISYA HIDAYAT Umum 2500 2500 5-Feb
SULASTRI Umum 2500 2500
MARGIYANTO JKN 2500 2500
MOCHAMMAD IRVAN AL CHAMDANI JKN 2500 2500
WIDIASTUTI HISTORINI Umum 2500 2500 6-Feb
MULYATI JKN 2500 2500
SUYATMI Umum 2500 2500 6-Feb
NELA NUR AZIZAH JKN 2500 2500
CALLYSTA SYAFA AMELIA Umum 2500 2500 6-Feb
RATNA AYU SETIYO SIWI JKN 2500 2500
MESSYE EVI MARIA JKN 2500 2500
NASIB HARYANTO Umum 2500 2500 6-Feb
KUSTINI Umum 2500 2500 6-Feb
RETNO RINGGANI Umum 2500 2500 6-Feb
DASUKI JKN 2500 2500
SURANTI Umum 0 0
MUJIONO JKN 2500 2500
SRI LESTARI JKN 2500 2500
ISTIQOMAH JKN 0 0
TASYA NINDYAH SAFANA JKN 2500 2500
HAYU SULISTYAWATI JKN 2500 2500
MARTO REJO JKN 2500 2500
KIRNO Umum 2500 2500 6-Feb
DHESKA PUTRA M Umum 2500 2500
YOGA ARJUNA PUTRA JKN 2500 2500
RIYANTI JKN 0 0
WIWIK PUSPITASARI JKN 2500 2500
SUMIYATI JKN 2500 2500
SUMIYEM JKN 2500 2500
FAUZAN ZAIN FADHLI AKBAR JKN 2500 2500
SIPON TITOWINOYO JKN 2500 2500
PADMO SUDARSO Umum 0 0
ADAMA QORIE ALEE ABIDZAR JKN 2500 2500
KISMO SUPARTO Umum 2500 2500 9-Feb
SAKINI SUMI LESTARI JKN 2500 2500
DWI HARYANTO Umum 2500 2500 9-Feb
BAYU WIJOYO JKN 2500 2500
SUPATMI JKN 2500 2500
KEISHA BRILIANA PUTRI Asuransi 2500 2500 9-Feb
RUSTYAYUDI WIGGIANI PUTRI JKN 2500 2500
HADI SUKARNO JKN 2500 2500
NADIA INDIRA RAHMI Umum 2500 2500 9-Feb
ARJUNA RAZKA Umum 2500 2500
SUKINAH JKN 2500 2500 9-Feb
LASINEM Umum 2500 2500
RADI WARNOTIYOSO Umum 2500 2500
JOVITA INTAN PUTRI Umum 2500 2500 9-Feb
SRI MULYANTO JKN 2500 2500
SATIJAH HADI SANTOSO Umum 2500 2500 9-Feb
HERY SUSANTO JKN 2500 2500
NIKEN MURBARINI SAPUTRI JKN 2500 2500
SUKIYEM JKN 2500 2500
DEDI RUSTIAN JKN 0 0
SELVI PUSPITASARI JKN 2500 2500
RUMINI MITRO PAIRO Umum 2500 2500 9-Feb
TATWA AHWALA KUSUMA ATMAJA JKN 2500 2500
NAFISAH AULYA FADHILAH JKN 2500 2500
TUKIRAH Umum 2500 2500
RADIKA DAFFA Asuransi 2500 2500 9-Feb
WAGINO HARNO MULYONO Umum 2500 2500 9-Feb
LINGGA SATRIYADI NUGROHO JKN 2500 2500 9-Feb
SURATI JKN 2500 2500
MAGDALENA AYU DANIELA JKN 2500 2500
AQILA AURELIA PUTRI Umum 2500 2500 9-Feb
ITA NURYANTI Asuransi 2500 2500
DARA NATALIA PUTRI JKN 2500 2500
TUMINAH JKN 2500 2500
DWIJO SUMARNO Umum 2500 2500
RIA DWI SUSANTI JKN 2500 2500
SITI MUKHAYATUN JKN 2500 2500
TRI ANDRAINI JKN 2500 2500
SUWANDI Umum 0 0
NIKEN INDRIYANI JKN 0 0
MONICA RIRIN AGUSTIN JKN 2500 2500
SAMIKEM JKN 2500 2500
JENO Umum 0 0
SRI WAHYUNIATI JKN 2500 2500
AMAR HANAFI Asuransi 0 0
BERNIKE NOVITASARI JKN 2500 2500
NAFISHA NANDA S JKN 2500 2500
DINDA APRILIA KRISTININGTYAS Asuransi 2500 2500
VERONIKA KISMI JKN 2500 2500
SUPRIYONO BP JKN 2500 2500
SUMIYATI JKN 0 0
SUPARMI WIDODO Umum 2500 2500
DIYO SUWARNO JKN 0 0
SUKARDI JKN 2500 2500
HARTATI Umum 2500 2500
SUROSO MARGOUTOMO Umum 2500 2500
RITA SIDI WIJAYANI JKN 2500 2500
NIKEN PUSPITASARI JKN 2500 2500
SRI RIYADI ELI SABETH JKN 2500 2500
YEHEZKIEL TRISTAN PRANATA Umum 2500 2500
V RINTA ARYANI JKN 2500 2500
TUMIYEM JKN 2500 2500
NUR HANDAYANI JKN 2500 2500
SUYATI JKN 2500 2500
SCHOLASTIKA AVE QUEEN MAHARANI Umum 2500 2500
AGOES POEJO SOESILO JKN 2500 2500 10-Feb
WAHADIMIN JKN 2500 2500
HASNA MUAFA ROFIFAH MUHAROM Umum 2500 2500
KHOIRUL DARMANSYAH Umum 2500 2500
YOSEP HARTOYO JKN 2500 2500 11-Feb
SRI NURKAYATI JKN 2500 2500
SUDARMONO JKN 2500 2500
SUKADI Umum 2500 2500
WIDURI SALSABILA JKN 2500 2500
MUHAMMAD ILHAM SUTOMO JKN 2500 2500
DARYL RADIKA PRATAMA Umum 2500 2500
MATIUS DARREN Umum 0 0
ANDREAS TRI PARWANTO JKN 2500 2500
ARIF RAHMAN SOLEH Umum 2500 2500
MI GIYAMAH JKN 0 0
TAUFIK NUR HIDAYAT Umum 2500 2500
CHELSEA APRILIA MAHARANI Asuransi 2500 2500
SUPARJI Umum 2500 2500
SINTA NINGRUM JKN 2500 2500
TITIK LASTARI JKN 2500 2500
MIA SEPTIANA JKN 2500 2500
FADHLAN AZKA MAULANA JKN 2500 2500
RATNA SUPRIATIN Asuransi 0 0
SUTARJO JKN 2500 2500
SHAFA AULIA RIYANTI JKN 2500 2500
RAHMANI JKN 2500 2500
NURHAYATI DWI ASTUTI JKN 2500 2500
LINDA TOBUHU Asuransi 2500 2500
EVINA EKA AULIA PUTRI JKN 2500 2500
AYUSTYA RATNA SAKTI JKN 0 0
SUNARYADI JOKO BUDI HERIONO JKN 2500 2500
ERIK ARDA Umum 2500 2500
ROBI NUGROHO JKN 2500 2500
ROBI ANDRIAN KUSUMA JKN 2500 2500
EKO DWI PUDJIANA JKN 2500 2500
DARMO SUKARTO Umum 2500 2500
SUROTO ROTO MIHARJO JKN 2500 2500
SUCIPTO JKN 2500 2500
MEI IVAMILU UTAMI JKN 2500 2500
SRI MURNIYATI Umum 2500 2500
UMIYATI LESTARI Asuransi 2500 2500
GEOVANI ERIC CHRISTANTO JKN 2500 2500
RAHARDIAN RICO DWI PAMUNGKAS JKN 2500 2500
SETYO HARJONO JKN 2500 2500
SUPIRMAN JKN 2500 2500
ENY SUKESI JKN 2500 2500
HONO HARSO SUMARTO JKN 0 0
KRISTANTO JKN 2500 2500
SUMARNO JKN 2500 2500
KRISTIANA ARI SUSILAWATI JKN 2500 2500
SUMARNI JKN 0 0
DEWI KURNIAWATI JKN 0 0
FAHRUDIN TRI KUNCORO JKN 0 0
MERRY PAMESTI WULAN JKN 0 0
JOKO MUJIONO JKN 2500 2500
ENDRI ROSITA DEWI JKN 0 0
DIAN BUDI PANGESTU JKN 0 0
NGATINEM SUNARNO HARJONO JKN 2500 2500
IKA RAHMAWATI JKN 2500 2500
HENRI WIDODO JKN 2500 2500
RAKKI JUAN SETIAWAN JKN 0 0
NIZAR AQLAN KURNIAWAN Umum 0 0
TRI ASIH JKN 2500 2500
GIYEM RATNO DIHARJO JKN 2500 2500
MUTIARA NUR NAFISA JKN 0 0
MARGONO Umum 2500 2500
SAMINGAN Umum 0 0
SRI SUPARTI JKN 2500 2500
SRI TETUKO JKN 2500 2500
SUMIRAH JKN 2500 2500
VELANIA FITRI ARIYANTO Umum 2500 2500
SULISTYO WINDARTI Umum 2500 2500
NOVITASARI JKN 0 0
THOMAS JOKO LELANA Umum 2500 2500
TAMPI JKN 2500 2500
NGADINI WARNO SUWITO JKN 2500 2500
WARJO SENTONO Umum 2500 2500
WIJI Asuransi 0 0
Y DEDY IRAWAN AMD JKN 2500 2500
ASIH SUTRINAH JKN 2500 2500
MUH DIMAS YULIAN SAPUTRA JKN 2500 2500
RIZKI ROMADHON Umum 2500 2500
SUGIYANTO JKN 2500 2500
SLAMET SOMO HARSONO AL DALANA Umum 2500 2500
SRI WIJIYONO JKN 2500 2500
RAVIE KHANA JKN 2500 2500
PARIYANTA JKN 2500 2500
GARBELLA SUTEJO Umum 2500 2500
NARIMO ARI WIBOWO JKN 2500 2500
DANI DIAH KUSUMA WARDANI JKN 2500 2500
DEWI HASNA NURUL AZIZAH JKN 2500 2500
NARYAMA GAURAF MARKANDEYA Asuransi 0 0
VANYA NEVI KHARISMA Umum 0 0
ADI MARDAWA JKN 2500 2500
SARJONO HADI MARYONO Umum 2500 2500
AL FARUQ IQBAL GIBRAN Umum 2500 2500
AL SUNARTO JKN 2500 2500
LUWINARTI JKN 2500 2500
WIBOWO JKN 2500 2500
SUPRIYATI JKN 2500 2500
TRI KARTINI JKN 2500 2500
MANGUN SUWITO JKN 2500 2500
GISELA AURELIA NADA Umum 2500 2500
SRIYEM JKN 2500 2500
MONIKA EKO WATI JKN 2500 2500
IDA SAFITRI Umum 2500 2500
ALEXA NUNKI WIDYASARI Asuransi 0 0
ERI HARIYANTO JKN 2500 2500
DINNA PRIYADI HARTONO Umum 2500 2500
ERIYANTO RAHMADANI Umum 2500 2500
RINA ASIH BUDI CAHYANINGRUM Umum 2500 2500
EGI FEBRIANTO Umum 2500 2500
HARTINI HJ JKN 0 0
AGUSTINUS ALVINO RAKA JKN 2500 2500
SRI SUPADMI JKN 2500 2500
MUHAMMAD BAKAT. M Umum 2500 2500
AZZAM QORIE UMAR HAMZAH JKN 0 0
TUHIMAN JKN 2500 2500
HADI SUKARNO Umum 2500 2500
YITNO SUMARTO Umum 2500 2500
EZAR YUMA PRATAMA JKN 0 0
YOSEP HARTOYO JKN 0 0
IGNATIUS SARNO SARWO JKN 2500 2500
BAMBANG SUGIYANTO JKN 2500 2500
LESTARI JKN 0 0
IHDA SUHAILA Umum 0 0
WARJO Umum 2500 2500
ADRIAN PUTRA RAMADHAN Umum 2500 2500
DM KUN HERMINATUN JKN 0 0
SRI WANTINI JKN 2500 2500
CHRISTINA WINARTI Umum 0 0
DWI KLARA INDRASTUTI Umum 2500 2500
YOTO SUMARTO JKN 2500 2500
BAMBANG PUJIHARJA DR JKN 2500 2500
TUKINEM JKN 2500 2500
MARYANI JKN 0 0
NANO SUPARDIYONO JKN 2500 2500
CEYSA AYU F JKN 2500 2500
SARINO DWIJO SISWOYO JKN 2500 2500
ERNA WATI Umum 2500 2500
PARNI Umum 2500 2500
JIMAN Umum 2500 2500
MENTO SUWARNO JKN 0 0
SUTARMI Umum 2500 2500
MARINTEN JKN 2500 2500
BILQIS ANINDYA ASMAWA JKN 2500 2500
SUPRIANTO JKN 2500 2500
SUPRIH HADI HARTONO JKN 2500 2500 20-Feb
LIA KUMALASARI Umum 2500 2500
GATOT WIDIYANTO JKN 2500 2500
PIYARTO Umum 0 0
MUR HANDAYANI JKN 2500 2500
TUKIYEM JKN 2500 2500
KELVIN ANUGRAH SAPUTRA Umum 2500 2500
SUWARNI Umum 2500 2500
WIYONO JKN 2500 2500
MUZZAKI ARIF WIJAYANA JKN 2500 2500
NUR ROHMAN AKBAR Umum 2500 2500
DARTO MIHARJO Umum 2500 2500
ROYYAN PURNAMA PUTRA Umum 2500 2500
ARINTO PRABOWO JKN 2500 2500
HENY SARASWATI Umum 2500 2500
DINDA R AZIZAN SHOLIKHA JKN 2500 2500
SUMIRAH JKN 2500 2500
SRI PAMUNGKAS JKN 2500 2500
IVAN NAYOTTAMA Umum 2500 2500
SANDY JERICHO JKN 2500 2500
LISTYO WIBOWO Umum 2500 2500
IGL SISWANTO JKN 0 0
MARDI PARIMIN Umum 2500 2500
MITRO DIHARJO JKN 0 0
NIKE SANJAYA JKN 2500 2500
ARIYANI JKN 0 0
DANANG PRAYOGO Umum 2500 2500
MUSDARODJI JKN 0 0
SUHARYANTO JKN 0 0
SRI PURWANINGSIH JKN 2500 2500
YITNO SUMARTO KUWATI JKN 0 0
YANTO SUNARYO Umum 0 0
DYAH ALFIAN NURUL KHOTIMAH JKN 2500 2500
JOKO SUSILO JKN 2500 2500
SUDIRAH CIPTO MIHARJO Umum 2500 2500
MARSITI JKN 0 0
RIZQI EGA MUSTOFA Umum 0 0
ARKANA AZZAM WIRANTO Umum 2500 2500
IMAM HAIDAR YAHYA Umum 2500 2500
SAVA APRILIA JKN 2500 2500
ARRAFAT JKN 2500 2500
RHAKES NUGROHO Umum 2500 2500
HARSO DIMEJO JKN 0 0
WAGIYEM NY Umum 0 0
NUR ROHMAN WIDODO JKN 2500 2500
PARNI JKN 0 0 20-Feb
SONTO RENUK JKN 0 0
ARISTYA KARTIKA Asuransi 0 0
BEMBY JOKO YULIANTO Umum 0 0
WIDODO MULYO DIHARJO Umum 2500 2500
MUJIYEM Umum 0 0
RIFKI TRI MURYANTO JKN 2500 2500
SRI HARTATI JKN 2500 2500
NAYSILA ADINAGTA Umum 2500 2500
KORIAH JAMIL Umum 2500 2500
1E+006