NO
NO KARTU
DAFTAR NAMA NAMA PASIEN BPJS / JAMKES / ASKES UPT PUSKESMAS DTP BEBER BULAN DESEMBER TAHUN 2014 NAMA PESERTA SEX
UMUR
1
450711088
SUDIRA
L
63
2
449994093
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P
7
3
449991944
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P
45
4
1431469416
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36
5
450742724
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68
6
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P
42
7
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34
8
67384473
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L
68
9
1437193247
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P
21
10
450959117
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14
11
1431817446
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51
12
451136349
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P
24
13
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36
14
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L
7
15
1189207078
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31
16
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P
27
17
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P
12
18
451053202
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P
43
19
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P
26
20
67413712
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L
67
21
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L
69
22
451931973
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P
31
23
452332236
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P
72
24
450999505
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P
37
25
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45
26
67443107
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63
27
451435162
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45
28
450695272
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25
29
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6
30
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P
8
31
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48
32
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37
33
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70
34
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43
35
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23
36
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20
37
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22
38
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21
39
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32
40
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21
41
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40
42
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32
42
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32
43
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37
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37
45
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38
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58
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38
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30
49
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10
50
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34
51
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39
52
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42
53
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84
54
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46
55
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22
56
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75
57
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57
58
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28
59
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25
60
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62
61
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25
62
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51
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56
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52
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25
66
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13
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39
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85
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53
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44
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71
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40
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14
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80
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45
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5
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85
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50
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85
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62
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28
105
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34
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8
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39
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12
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47
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41
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25
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41
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22
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22
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22
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37
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37
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28
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6
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5
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9
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45
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20
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DAFTAR NAMA NAMA PASIEN BPJS / JAMKES / ASKES
DAFTAR NAMA NAMA PASIEN BPJS / JAMKES / ASKES UPT PUSKESMAS DTP BEBER BULAN DESEMBER TAHUN 2014 1
4508 450868 6813 138 8 SUDARMA
L
68 U/u/
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2
4514 451464 6466 669 9 N&(IA
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21 U/u/
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3
4513 451382 8255 556 6 ,ITRI A%U RA P
5 U/u/
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4
4515 451529 2916 166 6 WISNU NUR+ L
4 U/u/
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5
4513 451379 7910 103 3 NURAIDA
P
21 U/u/
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L
38 U/u/
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6
1480 148012 1243 4373 73SAPURI SAPURI
7
4499 449991 9194 944 4 MUSNIAH
P
45 U/u/
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8
4499 449994 9409 093 3 INTAN SULISTP SULISTP
7 U/u/
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9
4508 45081 11067 1067I+AH I+AH
P
42 U/u/
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4509 450960 6057 579 9 NANA SU+AN L
28 U/u/
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10 11
129872 129872485 4851 1 SUHARTA
L
54 U/u/
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12
4514 451493 9361 616 6 *AN%ANI
L
50 U/u/
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13
4523 452304 0472 729 9 N&(ITASARI P
11 U/u/
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14
1452 145288 8821 2148 48R$NI R$NI SUH$R L
37 U/u/
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15
1452 145288 8824 2475 75SALSA SALSA &#TAPP &#TAPP
1 U/u/
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16
1260 126040 4032 3288 88'I(ANI 'I(ANI D$STI P
17
11 'ii
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4514 451440 4057 573 3 ILAH R&HILA P
38 U/u/
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18
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9 U/u/
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19
1442 144247 4745 4561 61D$IS D$IS SARTI# P
21 # I A ?INAP@
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20
1428 142879 7999 9926 26 ANI NURA$NI P
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1
4507 450778 7829 296 6 AAH SUMIAH P
42 # I A ?INAP@
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2
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1
4512 451227 2780 802 2 SITI NUR+AN P
22 # I A
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2
4512 451226 2637 373 3 N$NTI
P
42 U/u/
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3
4522 452219 1927 275 5 $NTIN
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50 U/u/
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4
4521 452153 5394 946 6 M$LA RISTIA P
15 U/u/
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5
1435 143539 3966 6612 12a!i>a a!i>a
1 U/u/
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6
1435 143539 3959 5914 14na na wa!i
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24 U/u/
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7
4523 452332 3261 618 8 SITI MA$MUN P
18 U/u/
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8
4510 451086 8632 322 2 SITI MASNIAHP MASNIAHP
74 U/u/
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9
4509 450940 4031 318 8 SITI AM$LI%A AM$L I%A P
18 U/u/
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10
4509 450961 6127 277 7 R$NI T
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22 U/u/
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11
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38 U/u/
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31 # I A
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12
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49 U/u/
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14
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37 U/u/
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P
24 # I A
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15 16 17
1436 143633 3324 2487 87uiana uiana
4513 451392 9291 917 7 R%AN PRATA L 1335 133537 3717 1793 93SUMARNI SUMARNI
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9 U/u/
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50 LA*
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18
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16 U/u/
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19
4509 450970 7034 345 5 SITI SALISAH P
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20
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24
4507 450798 9874 748 8 SUSWATI 'A P
54 U/u/
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25
4510 451090 9045 451 1 SUINAH
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60 U/u/
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26
4515 451558 5884 844 4 SITI HALIMAT P
6 U/u/
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27
4516 451688 8836 365 5 NUR%ADI
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74 U/u/
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28
4510 451002 0263 633 3 MA-MUN HAS L
10 U/u/
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29
4512 451232 3287 875 5 NUR $LAH
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28 U/u/
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30
4500 450000 0044 448 8 AAN NURHAS P
33 U/u/
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31
4499 449995 9594 948 8 ,AR$L ARI,INL ARI,IN L
7 U/u/
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32
1007 100728 2810 1078 78NUR NUR SA&#IA P
8 U/u/
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33
1007 100727 2765 6578 78 AN''A SAHA SAHAL L
22 U/u/
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34
4497 449746 4696 964 4 AL*IAN N
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6 U/u/
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35
4521 452127 2751 519 9 %$NI
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34 U/u/
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36
4508 450867 6702 025 5 DANIA
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9 U/u/
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37
1007 100727 2765 6589 89SITI SITI AIS%AH DP DP
14 U/u/
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38
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41 U/u/
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26 U' U'D ?INAP@
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32 # I A ?INAP@
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39 40
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4512 451201 0123 239 9 SITI SINI NU P 1336 133630 3079 7938 38R&SDIANA R&SDIANA
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4518 451816 1654 547 7 ANAH
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