Professional Documents
Culture Documents
BULAN SEPTEMBER
SYAFRI YENTI SN
DEPATMN/LABORATORY
PEMERIKSAAN LABORATORIUM
PESERTA BPJS DAN ASKES PNS
NO NAMA UMUR NMR KARTU:JAMKESMAS/ TANGGAL BIAYA(RP)
ASKES/BPJS/JAMSOSTEK PEMERIKSAAN PEMERIKSAAN
228 YUSMANIDAR 54 THN 0000283572731 27-09-2014 120,000
229 RIKA SILVIA ANGGRAINI 44 THN 0000016135626 20-09-2014 120,000
230 JASMANI 50 THN 00000161282202 26-09-2014 120,000
231 YENI SURYANTI 32 THN 0001284932902 27-09-2014 120,000
232 DOKSA NAINGGOLAN 43 THN 0001141116625 27-09-2014 120,000
233 WISTA ARENA 42 THN 0000016337722 27-09-2014 120,000
234 FAUZIAH 49 THN 3000096157735 27-09-2014 120,000
235 NOFRATILLOFA 30 THN 000017668867 27-09-2014 120,000
236 MIRA VALENTINA 42 THN 0001131143624 27-09-2014 120,000
237 EDWI YUWELNI NURSAL 39 THN 0000016142084 27-09-2014 120,000
238 ASNELI 54 THN 0000283896641 27-09-2014 120,000
239 MAIZONA 41 THN 0001169945177 27-09-2014 120,000
240 ZULKINIDA 50 THN 0001124247148 27-09-2014 120,000
241 WISMARIA 47 THN 0000987444167 27-09-2014 120,000
242 ANIZAR 62 THN 0000987445956 27-09-2014 120,000
243 DR. SHINTA AYU INTAN 29 THN 0000207089965 27-09-2014 120,000
244 IMELDA 35 THN 0000015913102 27-09-2014 120,000
245 ROSI WIDIA 30 THN 0001424927799 27-09-2014 120,000
246 NOFRIYENTI 33 THN 0001305283689 27-09-2014 120,000
247 OKNIWATI, SE 47 THN 0000157121594 27-09-2014 120,000
248 TETI MURNI 43 THN 0001267057585 27-09-2014 120,000
249 FITRI AZWIR 30 THN 0001175896956 27-09-2014 120,000
250 ELDA GUSTI 29 THN 0001147125892 27-09-2014 120,000
251 SUSI JULI YANTI 40 THN 0000016336629 27-09-2014 120,000
252 KHURNIA EVA N, SPD 43 THN 0000015867191 27-09-2014 120,000
253 NENI 46 THN 0000283543042 27-09-2014 120,000
254 RIKA SILVIA 35 THN 0001130772756 27-09-2014 120,000
255 PIPIT YULIANTI 35 THN 0000282580255 27-09-2014 120,000
256 DOMI ANGRAINI 30 THN 0001192561457 27-09-2014 120,000
257 YULMAINI A.MD 35 THN 0001128474404 27-09-2014 120,000
258 MUTMAINAH 33 THN 0000018926065 27-09-2014 120,000
259 REFI ANGGRAINI 37 THN 0001172138016 27-09-2014 120,000
260 DAHLILA SOFIA 29 THN 0001173676972 27-09-2014 120,000
261 EMITA DEWI, A.MD.KEB 39 THN 0000206968601 27-09-2014 120,000
262 ERI YANTI 50 THN 0000283464347 27-09-2014 120,000
263 DESMERITA 33 THN 0000202731895 27-09-2014 120,000
264 RITA FITRIANA 35 THN 0000015982277 27-09-2014 120,000
265 DWI PRIHATININGSIH 44 THN 0001164820645 27-09-2014 120,000
266 YOSINTHA DEWI 38 THN 0001435326265 27-09-2014 120,000
267 SRI HARTATI 53 THN 0000019354059 27-09-2014 120,000
268 MASDELI HASIBUAN 42 THN 0000016031158 27-09-2014 120,000
269 ERMAWATI 47 THN 0001164963881 27-09-2014 120,000
270 YESMANELY 44 THN 0001130718429 27-09-2014 120,000
271 DEVI INDRIKA 29 THN 0000283027408 27-09-2014 120,000
272 SYARI YANTI 30 THN 0001188738191 27-09-2014 120,000
273 SURYA NITA 40 THN 0001262382614 27-09-2014 120,000
274 SUTR DEWI 24 THN 0001255276877 27-09-2014 120,000
275 DONA DEFRIA 33 THN 0001164908654 27-09-2014 120,000
276 SUSILAWATI 43 THN 0001300866647 27-09-2014 120,000
277 ARTHA PRIMA MISA 34 THN 00000191625228 27-09-2014 120,000
278 VIVI HARIANI 39 THN 0001302616653 27-09-2014 120,000
279 DETTI YENDRA 48 THN 0000016327091 27-09-2014 120,000
280 JAMINAR 40 THN 0000283759143 27-09-2014 120,000
281 YENI YULISTIA 33 THN 0001323962469 27-09-2014 120,000
282 LOLY REKSILO 30 THN 0001389775601 27-09-2014 120,000
283 NURLIS 50 THN 0000284413498 27-09-2014 120,000
284 RITA EMALIA 40 THN 0001287200518 27-09-2014 120,000
285 RIZKI AMELIA 28 THN 0000208194963 27-09-2014 120,000
286 RENI SANTI 49 THN 0001164884703 27-09-2014 120,000
287 RATNAWILIS 57 THN 0001434662504 27-09-2014 120,000
288 IRDA YENTI 44 THN 0000283658635 27-09-2014 120,000
289 ENNY BUSNIAR 50 THN 0001278105772 27-09-2014 120,000
290 ELIWARNI 56 THN 3000096210958 27-09-2014 120,000
291 YUSNETTI 47 THN 0001130793017 27-09-2014 120,000
292 ARTATI ZULFINA 49 THN 0001130802142 27-09-2014 120,000
293 ALYA MIADHAL RINI 38 THN 00C00060621-101 27-09-2014 120,000
294 ZULMAINI 50 THN 0000284444403 27-09-2014 120,000
295 AFRINA 33 THN 0001176435336 27-09-2014 120,000
296 RINI RAMADHANI 27 THN 0001187721279 27-09-2014 120,000
297 DR. YESSY RIVAI 40 THN 0000015303453 29-09-2014 120,000
298 SARI DEWI 40 THN 0001268197198 29-09-2014 120,000
299 WIWIT INDRAYANI 40 THN 0000016318124 30-09-2014 120,000
300 YUNITA LARASATI 33 THN 0000016317628 29-09-2014 120,000
301 SUSIYANTI 43 THN 0000015991244 30-09-2014 120,000
302 YESSY GUSMERY 34 THN 0000016323941 30-09-2014 120,000
303 NURHUSTIATI 44 THN 0000038647607 29-09-2014 120,000
304 NURMAWILIS 47 THN 0000016321015 29-09-2014 120,000
305 GUSTATI 43 THN 0000016317819 30-09-2014 120,000
306 ZAHARA 38 THN 0000016324245 30-09-2014 120,000
307 YULIANA SYARIF 47 THN 0000016317999 30-09-2014 120,000
308 ZURNAWITA 45 THN 0000016324672 25-09-2014 120,000
309 LIFWARDA 42 THN 0000016319575 25-09-2014 120,000
310 ROZA SUSANTI 42 THN 0000016321814 30-09-2014 120,000
311 ZAS RESSY ADHA 43 THN 0000016324435 30-09-2014 120,000
312 HUMAIRA 33 THN 0000016318449 30-09-2014 120,000
313 DEFNI 33 THN KARTU MENYUSUL 30-09-2014 120,000
314 NADIA ALFITRI 38 THN 0000016320431 30-09-2014 120,000
315 LINDAWATI 34 THN KARTU MENYUSUL 30-09-2014 120,000
316 NUR'AINI 37 THN 0001439392577 30-09-2014 120,000
317 LISMARNI 29 THN 0001106452023 30-09-2014 120,000
318 YUSSIE ATER MERRY 33 THN 0000016314524 30-09-2014 120,000
319 ERWITA 54 THN 0001128221651 29-09-2014 120,000
320 EVI MUTHIA 54 THN 0001279871471 29-09-2014 120,000
321 WATI WAHYUNITA 42 THN 0000283016338 29-09-2014 120,000
322 MERY MARDALENA 30 THN 0001425511563 29-09-2014 120,000
323 ARNENGTIS 48 THN 0001280379519 29-09-2014 120,000
324 WINDA RIANA 38 THN 0001385517688 29-09-2014 120,000
325 DARMAWANIS 61 THN 0001441135089 29-09-2014 120,000
326 HILDA SUSANTI 37 THN 3000095777799 29-09-2014 120,000
327 YANTI 43 THN 0000282872529 29-09-2014 120,000
328 MUTIAFARINA Z 40 THN 0001322362866 29-09-2014 120,000
329 LIFRITA 44 THN 0001293106858 29-09-2014 120,000
330 LIDYA RAIZI 35 THN 0001197739967 29-09-2014 120,000
331 ETIKA KARYAWATI G 32 THN 0001302848987 29-09-2014 120,000
332 SRI HARTATI 37 THN 0000018926662 29-09-2014 120,000
333 ERNAWATI 42 THN 0000283282492 29-09-2014 120,000
334 DAHLIARNI 59 THN 0000016840776 29-09-2014 120,000
335 RADEN SUPINAH 48 THN 0000016868709 29-09-2014 120,000
336 SUSI INDRA YANTI 34 THN 0001292765185 27-09-2014 120,000
337 ROSMANITA 41 THN 0001164806763 29-09-2014 120,000
338 WELLY ORITA 43 THN 0001165099768 29-09-2014 120,000
339 YUSMANIDAR 47 THN 0000283534334 29-09-2014 120,000
340 MARDIANI 40 THN 0001433601369 29-09-2014 120,000
341 APRIANI HASTUTI 46 THN 0000022519721 29-09-2014 120,000
342 YETNA ELITA 40 THN 0001244829767 29-09-2014 120,000
343 VINI SYAMSUAR 30 THN 0001442492594 29-09-2014 120,000
344 SAIDAH TJIKOA 54 THN 0001421932228 29-09-2014 120,000
345 SYAMSINAR 48 THN 3000096161829 29-09-2014 120,000
346 JUSMILAH 42 THN 00002808978 29-09-2014 120,000
347 VEBRI YENITA ALMI 29 THN 0001430848451 29-09-2014 120,000
348 YUSI MARINA 35 THN 0000019569982 29-09-2014 120,000
349 YULIANA FITRI 30 THN 0000987362932 29-09-2014 120,000
350 RENI MEIDA AYU N 22 THN 0001299738521 29-09-2014 120,000
351 IRNITA 55 THN 0000283681888 29-09-2014 120,000
352 ROSA FITRIANA 35 THN 0000015926771 29-09-2014 120,000
353 DESWARTI 40 THN 0000987327415 29-09-2014 120,000
354 VERA YUNITA 42 THN 0001280374558 29-09-2014 120,000
355 MUZARINA 32 THN 0001316737754 29-09-2014 120,000
356 JUSMIARNI 56 THN 0001439012226 02-10-2014 120,000
357 YESSY RIANTI NASIR 30 THN 0001385831733 01-10-2014 120,000
358 IRYANTI NASIR 34 THN 0001386752433 01-10-2014 120,000
359 NIKEN SRIYANTI 33 THN 0001390280297 01-10-2014 120,000
360 VRAMAWITA 44 THN 0000016337463 02-10-2014 120,000
361 ASNIMAR 46 THN 0000016325976 02-10-2014 120,000
362 KASMAWATI 43 THN 0000016799635 02-10-2014 120,000
364 ERMA DEWI 48 THN 0001281173883 01-10-2014 120,000
365 AFRIDANTI 39 THN 0001174207757 01-10-2014 120,000
366 SISKA YUSEVA 38 THN 0001281582944 01-10-2014 120,000
367 DARNELLIS SURYA 47 THN 0001286562025 02-10-2014 120,000
368 NURLAINI 37 THN 0000282465369 02-10-2014 120,000
369 ADVITNUR 42 THN 0000987381707 02-10-2014 120,000
370 IRIANI 52 THN 0001433237477 02-10-2014 120,000
371 NURHAYATI 58 THN 0001430896239 02-10-2014 120,000
372 RIZKI SURIANI 25 THN 0001389058334 02-10-2014 120,000
373 MARTINA M ZEIN 29 THN 0001282438394 02-10-2014 120,000
374 SRI MAHYUNI 52 THN 000282173174 02-10-2014 120,000
375 JUSNIMAR 41 THN 3000096309644 02-10-2014 120,000
376 WENTI RIANI 51 THN 0000036433416 02-10-2014 120,000
377 TETA FAUZANA 35 THN 0000196797554 02-10-2014 120,000
378 MELINDA NURMALIS 29 THN 0000283984773 02-10-2014 120,000
379 MASRIDA YANTI 37 THN 0000282752741 02-10-2014 120,000
380 GUSNAWATI 38 THN 0001300307196 02-10-2014 120,000
381 WIRDA NENGSIH 44 THN 0000281801351 02-10-2014 120,000
382 DINA OKTARIA 27 THN 0001379281691 02-10-2014 120,000
383 DELIA MUSFITA 29 THN 0001431884272 02-10-2014 120,000
384 YULIA 48 THN 0000281843267 02-10-2014 120,000
385 DJULIAR 43 THN 0000283967526 02-10-2014 120,000
386 DASIAH NUR 43 THN 0001430899031 02-10-2014 120,000
387 ERLINA 37 THN 0000987388097 02-10-2014 120,000
388 YOSRI 43 THN 0000283582124 02-10-2014 120,000
389 DAHLIA 72 THN 00013119922415 02-10-2014 120,000
390 YUSNIDAR DWS 0000283954792 02-10-2014 120,000
391 YENDRI MIRZA 47 THN 0000282290332 02-10-2014 120,000
392 ZAIMAR 39 THN 3000095658303 02-10-2014 120,000
393 PUTRIA SARI 38 THN 0001310056119 02-10-2014 120,000
394 MARDIANIS 38 THN 0001438077227 02-10-2014 120,000
395 RINI ANGGRAINI 36 THN 0001428699328 03-10-2014 120,000
396 ELI NURLAILI 48 THN 0000015709061 02-10-2014 120,000
397 ELFI 51 THN 0000021104313 02-10-2014 120,000
398 SYATRIANITA 43 THN 0000015526809 02-10-2014 120,000
399 SARIANI 67 THN 0000015660112 02-10-2014 120,000
400 JALIDAR 57 THN 0001385439366 02-10-2014 120,000
401 DEWI FITRIANI 37 THN 0000016645329 02-10-2014 120,000
402 MUSLI YANTI 35 THN 0001328628688 02-10-2014 120,000
403 MARIANI 63 THN 0001436834272 02-10-2014 120,000
404 NURDJANI 69 THN 0000021112492 03-10-2014 120,000
405 YUSNIMAR 47 THN 0000015583781 02-10-2014 120,000
406 YULIANA EMA KELEN 45 THN 0000015711142 02-10-2014 120,000
407 SYAMSUNIAR 55 THN 0000015584319 02-10-2014 120,000
408 ENI WARNI 49 THN 0001431940364 02-10-2014 120,000
409 LILI ANGGRAINI 37 THN 0000206605181 02-10-2014 120,000
410 AIGA NELLI ASMUN 42 THN 0000198795802 03-10-2014 120,000
411 NURHIDAYATTI 43 THN 0000017493581 03-10-2014 120,000
412 SOFIATI ADNAN 38 THN 0000201578962 03-10-2014 120,000
413 NELLY SURYA 45THN 0000017493006 03-10-2014 120,000
414 ARIUSNI ELFARINA 38 THN 0000017786092 03-10-2014 120,000
415 HARMANELIS 49 THN 0000016998467 03-10-2014 120,000
416 ASMARNITA 40 THN 0000016325932 07-10-2014 120,000
417 DEWI NOVITA 36 THN 0000148122696 07-10-2014 120,000
418 ADE SUYATA 43 THN 0000016324751 07-10-2014 120,000
419 ERITHRINA 44 THN 0000159046119 07-10-2014 120,000
420 WIWIT OKTAVIA 30 THN 0000017158959 02-10-2014 120,000
421 ASMALENI 40 THN 0000017075463 02-10-2014 120,000
422 GUSRIKA 32 THN 0000201780178 02-10-2014 120,000
423 ARIFNI 36 THN 0000017075395 02-10-2014 120,000
424 AN'AMAH 37 THN 0000206699782 02-10-2014 120,000
425 AGUSTINA DWS 0000283328932 03-10-2014 120,000
426 NELDA WATI 50 THN 0000016050903 03-10-2014 120,000
427 ELISNITA 51 THN 0000016049665 03-10-2014 120,000
428 NURBAITIS 34 THN 0001164774003 03-10-2014 120,000
429 ELVI MAILANI 33 THN 0001164782452 03-10-2014 120,000
430 HAJIJAH GULTOM 46 THN 0001103832213 03-10-2014 120,000
431 DUMESRIKA .A MD.RO 29 THN 0001107258388 03-10-2014 120,000
432 JAMINAN DWS 0000283021435 03-10-2014 120,000
433 MIRA ANGGRAINI DWS 0000282787986 03-10-2014 120,000
434 MARIANIS DWS 0000282787042 03-10-2014 120,000
435 DEISYI WIDYAWATI 42 THN 0001431281204 03-10-2014 120,000
436 RENITS DEWI DWS 0000283193313 03-10-2014 120,000
437 MURNIATI 56 THN 0001263806537 03-10-2014 120,000
438 NURHAIDA DWS 0000283286395 03-10-2014 120,000
439 NURAYA 47 THN 0000148967155 03-10-2014 120,000
440 MUSTAFA ERLIANTI 60 THN 0000016295905 03-10-2014 120,000
441 SASTRA RADIKA DWS 3000096169143 03-10-2014 120,000
442 ELSI FITRIANI 34 THN 0001164704477 03-10-2014 120,000
443 JASMIATI 50 THN 0001102501361 03-10-2014 120,000
444 YELLENI YUSRA 43 THN 0001320451266 03-10-2014 120,000
445 ERMITA 52 THN 0001278501783 03-10-2014 120,000
446 OKTORIDA 49 THN 0000015975663 03-10-2014 120,000
447 RAMA LISNA 32 THN 0001107863627 03-10-2014 120,000
448 SRI YESSY WATI 43 THN 0001421970794 03-10-2014 120,000
449 NANDA CHRISTINA 28 THN 0001197793901 03-10-2014 120,000
450 ELVA RETI DWS 00002825363 03-10-2014 120,000
451 WIRDA NANI 51 THN 0000036768666 03-10-2014 120,000
452 SHINTA FEBRINA 26 THN 0001287747898 03-10-2014 120,000
453 NELLI DWS 0000282443411 03-10-2014 120,000
454 RINNY RUSLI 43 THN 0001279718515 03-10-2014 120,000
455 AIDA WATI 38 THN 0001164902883 03-10-2014 120,000
456 REFRIANTI 36 THN 0001311493869 03-10-2014 120,000
457 YULIARNI 46 THN 0001387493728 03-10-2014 120,000
458 INDAH ROSZAL 32 THN 0001266202585 03-10-2014 120,000
459 NURLINA 42 THN 0001293577165 03-10- 2014 120,000
460 AIDA RUSLI 33 THN 0001422408317 29-10-2014 120,000
461 NURMALIS 47 THN 0001421482296 06-10-2014 120,000
462 SESI ASTIMANG 42 THN 0001388443397 06-10-2014 120,000
463 EVI DIANA 50 THN 0000016721234 06-10-2014 120,000
464 OKTAVIA DINA HARTATI 36 THN 0001174160327 06-10-2014 120,000
465 VERAWATI 34 THN 0000015912336 06-10-2014 120,000
466 ZUFRI YENNI 52 THN 0000019456492 06-10-2014 120,000
467 YULIARNI 44 THN 0000016149069 06-10-2014 120,000
468 MISDAR 43 THN 0000016145414 06-10-2014 120,000
469 JULIATI 52 THN 0000016731347 06-10-2014 120,000
470 RIEKA NIVIYANTI 38 THN 0000195411205 06-10-2014 120,000
471 NUR AZIZAH 34 THN 0001274894054 06-10-2014 120,000
472 HERLINA HASAN 46 THN 0000016920393 06-10-2014 120,000
473 RENI 31 THN 0001441441124 06-10-2014 120,000
474 ERMITA DARWIS 46 THN 0000017076431 06-10-2014 120,000
475 YULIS RIAWATI 34 THN 0000017080312 06-10-2014 120,000
476 RAMANI 52 THN 0000015739031 06-10-2014 120,000
477 ZUHELMI BAHRI 39 THN 0000017079298 06-10-2014 120,000
478 ARIF MULYANI 41 THN 0000017084946 06-10-2014 120,000
479 FITTA YEVA 49 THN 0000018675909 03-10-2014 120,000
480 YENIWIRDA 41 THN 0000018615993 03-10-2014 120,000
481 WIWIED ABIDIN 41 THN 0000018710875 03-10-2014 120,000
482 NURASIAH 43 THN 0000018713283 03-10-2014 120,000
483 ALFI SYUKRIYATI 34 THN 0000018710559 03-10-2014 120,000
484 ERMAWATI 43 THN 0000283456708 03 -10-2014 120,000
485 JUNI LEVITA SARI 29 THN 0001185793863 29-09-2014 120,000
486 AMNI SUSANTI LUBIS 36 THN 0000282524005 29-09-2014 120,000
487 IKE PUTRI GANTINI 27 THN 0000283016103 29-09-2014 120,000
488 VENNY 43 THN 0001164817203 29-09-2014 120,000
489 RAMDHANI 39 THN 0001164818237 29-09-2014 120,000
490 ELMA YULIANTI 28 THN 0001164859648 29-09-2014 120,000
491 NADRA USMAN 55 THN 0000159334053 29-09-2014 120,000
492 FITRIYANTI 39 THN 0000198629616 29-09-2014 120,000
493 RINI ANDRIANI 30 THN 0000167865941 29-09-2014 120,000
494 NURSIAH 51 THN 0000016868024 29-09-2014 120,000
495 LIZA NOVELIA 38 THN 0001425689504 29-09-2014 120,000
496 HERMIMI 42 THN 0000282598064 29-09-2014 120,000
497 ROSMINI FARASI 30 THN 0001440184353 29-09-2014 120,000
498 MARIANI 45 THN 0000282998755 29-09-2014 120,000
499 RINI FITRI YANTI 38 THN 3000096226427 29-09-2014 120,000
500 MARDIANA 42 THN 0001305929136 29-09-2014 120,000
501 DAHLIANI 47 THN 0001316525027 29-09-2014 120,000
502 YUMINAR 55 THN 3000096354835 29-09-2014 120,000
503 RENO SUSANTI 52 THN 0001421369908 29-09-2014 120,000
504 NILAWATI DAMRIL 34 THN 0001164888011 30-09-2014 120,000
505 ASNI 39 THN 0001268478595 29-09-2014 120,000
506 AIDA RUSLI 33 THN 0001422408317 29-09-2014 120,000
507 NURLINA 42 THN 0001293577165 29-09-2014 120,000
508 ZAINANI 49 THN 0001281542455 29-09-2014 120,000
509 ERNI 45 THN 0000281647089 29-09-2014 120,000
510 ERMAWATI 60 THN 0000016593355 08-10-2014 120,000
511 ZURIANTI 44 THN 0001447730122 08-10-2014 120,000
512 SULIS SETIAWATI JALIL 62 THN 0000016571564 29-09-2014 120,000
513 WIDIYA WATI 26 THN 0001199643805 29-09-2014 120,000
514 ASNIARTI 34 THN 0001194122215 29-09-2014 120,000
515 ASNIDAR 61 THN 0000198667203 29-09-2014 120,000
516 UPIK 51 THN 0001328835486 29-09-2014 120,000
517 KIKI MARIA 33 THN 0001164801453 29-09-2014 120,000
518 PETRIDAWATI 43 THN 0001308475629 29-09-2014 120,000
519 NURUL FATIMAH 24 THN 0000987362537 29-09-2014 120,000
520 KHAIWARNI 44 THN 0000016806249 29-09-2014 120,000
521 MASFITA ZULHERI 51 THN 0001182315609 29-09-2014 120,000
522 MURNIATI 43 THN 0001291171599 29-09-2014 120,000
523 MERI DONA 36 THN 0000282655416 29-09-2014 120,000
524 NURSITA 42 THN 0000282206777 29-09-2014 120,000
525 YULINAR 50 THN 0000283241777 29-09-2014 120,000
526 CICI NIRWANA 31 THN 0001150130261 29-09-2014 120,000
527 SUSI SUSANTI 31 THN 0001202600924 29-09-2014 120,000
528 SUSI AFRIANI 36 THN 0001311290943 03-10-2014 120,000
529 HERLINA 27 THN 0001141393667 29-09-2014 120,000
530 SARIANTI 36 THN 0000133236494 29-09-2014 120,000
531 EMRITA AMRAN 44 THN 0001268187309 29-09-2014 120,000
532 ERLINA 51 THN 3000096163473 29-09-2014 120,000
533 MAHARANI 56 THN 0001287747347 29-09-2014 120,000
534 LESNITA 44 THN 0000282516208 29-09-2014 120,000
535 ERNITA 43 THN 0000987404027 03-10-2014 120,000
536 NURSENA 49 THN 0000282969663 03-10-2014 120,000
537 ERNITA 36 THN 0001282585127 03-10-2014 120,000
538 DELIDA FATMA 45 THN 00002825255434 03-10-2014 120,000
539 ASNAH 43 THN 0000283263208 03-10-2014 120,000
540 HARNETIS 51 THN 0000016998186 03-10-2014 120,000
541 RASMI 42 THN 0000283144948 29-09-2014 120,000
542 NUREVI 50 THN 0000014096485 03-09-2014 120,000
543 BETY ANGGRIANI 31 THN 0001107233201 03-10-2014 120,000
544 PUTRI DWI DINANTI 24 THN 0000987400787 03-10-2014 120,000
545 HAFRI YULIANTI 37 THN 0000015384374 03-10-2014 120,000
546 YULIANA 42 THN 0001164893973 03-10-2014 120,000
547 LISA AFRIDA 30 THN 0001333354768 02-10-2014 120,000
548 SUKARSIH 49 THN 0001270909203 03 10 -2014 120,000
549 SILFITRA ASRA 31 THN 0001331521143 01-10-2014 120,000
550 FEBRI DALTI 49 THN 0000283599999 03-10 -2014 120,000
551 IDA MULYATI 37 THN 0001107722676 03-10-2014 120,000
JUMLAH PASIEN PAPMEAR YANG SUDAH DI KLAIM
KE KANTOR BPJS
SYAFRI YENTI SN
DEPARTEMN/LABORATORY
PEMERIKSAAN LABORATORIUM
PESERTA BPJS DAN ASKES PNS
NO NAMA UMUR NMR KARTU:JAMKESMAS/ TANGGAL BIAYA(RP)
ASKES/BPJS/JAMSOSTEK PEMERIKSAAN PEMERIKSAAN
SARI DEWI 40 THN 0001268197198 29-09-2014 120,000
YUNITA LARASATI 33 THN 0000016317628 29-09-2014 120,000
HUMAIRA 33 THN 0000016318449 30-09-2014 120,000
NADIA ALFITRI 38 THN 0000016320431 30-09-2014 120,000
MERY MARDALENA 30 THN 0001425511563 29-09-2014 120,000
ARNENGTIS 48 THN 0001280379519 29-09-2014 120,000
WINDA RIANA 38 THN 0001385517688 29-09-2014 120,000
DARMAWANIS 61 THN 0001441135089 29-09-2014 120,000
YANTI 43 THN 0000282872529 29-09-2014 120,000
MUTIAFARINA Z 40 THN 0001322362866 29-09-2014 120,000
LIFRITA 44 THN 0001293106858 29-09-2014 120,000
LIDYA RAIZI 35 THN 0001197739967 29-09-2014 120,000
ETIKA KARYAWATI G 32 THN 0001302848987 29-09-2014 120,000
SRI HARTATI 37 THN 0000018926662 29-09-2014 120,000
ERNAWATI 42 THN 0000283282492 29-09-2014 120,000
DAHLIARNI 59 THN 0000016840776 29-09-2014 120,000
RADEN SUPINAH 48 THN 0000016868709 29-09-2014 120,000
SUSI INDRA YANTI 34 THN 0001292765185 27-09-2014 120,000
YUSMANIDAR 47 THN 0000283534334 29-09-2014 120,000
MARDIANI 40 THN 0001433601369 29-09-2014 120,000
SRI MAHYUNI 52 THN 0000282173174 02-10-2014 120,000
MELINDA NURMALIS 29 THN 0000283984773 02-10-2014 120,000
YULIA 48 THN 0000281843267 02-10-2014 120,000
DJULIAR 43 THN 0000283967526 02-10-2014 120,000
YUSNIMAR 47 THN 0000015583781 02-10-2014 120,000
NURAYA 47 THN 0000148967155 03-10-2014 120,000
MUSTAFA ERLIANTI 60 THN 0000016295905 03-10-2014 120,000
ELSI FITRIANI 34 THN 0001164704477 03-10-2014 120,000
JASMIATI 50 THN 0001102501361 03-10-2014 120,000
YELLENI YUSRA 43 THN 0001320451266 03-10-2014 120,000
OKTORIDA 49 THN 0000015975663 03-10-2014 120,000
RAMA LISNA 32 THN 0001107863627 03-10-2014 120,000
SRI YESSY WATI 43 THN 0001421970794 03-10-2014 120,000
NANDA CHRISTINA 28 THN 0001197793901 03-10-2014 120,000
ELVA RETI DWS 0000282536324 03-10-2014 120,000
WIRDA NANI 51 THN 0000036768666 03-10-2014 120,000
SHINTA FEBRINA 26 THN 0001287747898 03-10-2014 120,000
NELLI DWS 0000282443411 03-10-2014 120,000
RINNY RUSLI 43 THN 0001279718515 03-10-2014 120,000
AIDA WATI 38 THN 0001164902883 03-10-2014 120,000
REFRIANTI 36 THN 0001311493869 03-10-2014 120,000
YULIARNI 46 THN 0001387493728 03-10-2014 120,000
INDAH ROSZAL 32 THN 0001266202585 03-10-2014 120,000
SYAFRI YENTIN SN
DEPARTMN/LABORATORY
PEMERIKSAAN LABORATORIUM
PESERTA BPJS DAN ASKES PNS
NO NAMA UMUR NMR KARTU:JAMKESMAS/ TANGGAL BIAYA(RP)
ASKES/BPJS/JAMSOSTEK PEMERIKSAAN PEMERIKSAAN
1 ANITA SAFITRI 48 THN 0000016325638 21-08-2014 120,000
2 GUSTITIA LUSIANA 41 THN 0000017484085 28-08-2014 120,000
3 DELI REFIANI 43 THN 0000016326797 28-08-2014 120,000
4 EVA SUSANTI 47 THN 0000016329069 28-08-2014 120,000
5 SILVIA WIDIANTARI 36 THN 0000173933583 28-08-2014 120,000
6 MARLEV HENDRI YANI 35 THN 0001101402955 28-08-2014 120,000
7 EVE MELINA BR M. 48 THN 0000016329137 28-08-2014 120,000
8 YENNI NURMAWAN 41 THN 0000111009791 28-08-2014 120,000
9 RISA ELVIRA 51 THN 0000016335404 28-08-2014 120,000
TOTAL 1080,000
SYAFRI YENTIN SN
DEPARTMN/LABORATORY