1 April
1 April
1 April
2019-04-01 2019/04/RJ/000117 2018032974 NATHAN ARDIAZ SYAILENDRA, UMUM 25.000 48.401 0 0 0 0 99 0 73.500
AN
2019-04-01 2019/04/RJ/000183 2019044664 FIRDA INDRIANTIKA, NN UMUM 35.000 24.529 10.000 0 0 0 0 0 69.529
2019-04-01 2019/04/RJ/000245 2019042902 SITI NURCHOLILAH, NY BPJS Kes - 25.000 0 100.000 0 0 0 0 0 125.000
2019-04-01 2019/04/RJ/000244 2019043290 M. FAHMI FAIUZ N, AN BPJS Kes 25.000 0 120.000 0 0 0 0 0 145.000
2019-04-01 2019/04/RJ/000595 2019042289 SRI WINARTI, NY BPJS Kes - 95.000 0 10.000 0 0 0 0 0 105.000
2019-04-01 2019/04/RJ/000052 2018038784 WINDAYATI,NY BPJS Kes - 95.000 29.824 10.000 0 0 0 0 0 134.824
2019-04-01 2019/04/RJ/000050 2018036016 KHUSNUL KHOTIMAH, NY BPJS Kes 95.000 11.110 10.000 0 0 0 0 0 116.110
2019-04-01 2019/04/RJ/000049 2019040219 NURLAILI HIDAYAH BPJS Kes - 95.000 0 10.000 0 0 0 0 0 105.000
2019-04-01 2019/04/RJ/000051 2019043362 SULIYAWATI, NY BPJS Kes KREMBUNG 95.000 6.050 50.000 0 0 0 0 0 151.050
2019-04-01 2019/04/RJ/000044 2019043651 SUYANI, NY BPJS Kes TULANGAN 95.000 6.050 50.000 0 0 0 0 0 151.050
2019-04-01 2019/04/RJ/000054 2018033905 VINA ANGGRAENI, NY BPJS Kes - 95.000 56.345 10.000 0 0 0 0 0 161.345
2019-04-01 2019/04/RJ/000222 2019042568 MUSLIMIN ,TN BPJS Kes - 80.000 28.448 0 0 0 0 0 0 108.448
2019-04-01 2019/04/RJ/000180 2019040467 UMMI SAROPAH , NY BPJS Kes TULANGAN 80.000 10.570 20.000 0 0 0 0 0 110.570
2019-04-01 2019/04/RJ/000411 2019044382 NASIFUL AMIN, TN BPJS Kes - 80.000 91.540 0 0 80.000 0 0 0 251.540
2019-04-01 2019/04/RJ/000232 2017024601 ENDANG SITI BINTI, NY BPJS Kes - 80.000 143.499 0 0 0 0 0 0 223.499
2019-04-01 2019/04/RJ/000184 2019041487 SETYO UTAMI DEWI, NY BPJS Kes BP KLINIK 80.000 48.987 0 0 0 0 0 0 128.987
MEDIS AR-
ROHMAH
2019-04-01 2019/04/RJ/000179 2019040789 ROSY SETYAWAN, TN BPJS Kes 80.000 86.540 0 0 80.000 0 0 0 246.540
2019-04-01 2019/04/RJ/000155 2018032601 SUSIANI, NY BPJS Kes - 80.000 241.945 20.000 0 0 0 0 0 341.945
2019-04-01 2019/04/RJ/000182 2018036898 MULIATI, NY BPJS Kes 80.000 25.482 20.000 0 0 0 0 0 125.482
2019-04-01 2019/04/RJ/000178 2018038910 HOSAEMA, NY BPJS Kes - 80.000 117.657 20.000 0 0 0 0 0 217.657
2019-04-01 2019/04/RJ/000177 2018038271 NURNAINI, NY BPJS Kes - 80.000 45.907 20.000 0 0 0 0 0 145.907
2019-04-01 2019/04/RJ/000181 2019044406 DWI SUHARIYANTO, TN BPJS Kes - 80.000 41.017 0 0 80.000 0 0 0 201.017
2019-04-01 2019/04/RJ/000141 2013005896 JUMA`ATI, NY BPJS Kes - 80.000 32.266 20.000 0 0 0 0 0 132.266
2019-04-01 2019/04/RJ/000186 2018037613 SULAMI, NY BPJS Kes - 80.000 24.967 20.000 0 0 0 0 0 124.967
2019-04-01 2019/04/RJ/000156 2013002459 MINUK ISMAYANTI, NY BPJS Kes - 80.000 69.100 20.000 0 0 0 0 0 169.100
2019-04-01 2019/04/RJ/000142 2013007471 JUMAIDAH, NY BPJS Kes - 80.000 132.375 20.000 0 0 0 0 0 232.375
2019-04-01 2019/04/RJ/000139 2018039187 SATUNINGTIYAS HENIS BPJS Kes KREMBUNG 80.000 49.485 20.000 0 0 0 0 0 149.485
SIYAMI, NY
2019-04-01 2019/04/RJ/000205 2019040463 KARINA ASTRIKASARI BPJS Kes 80.000 23.394 0 0 0 0 0 0 103.394
2019-04-01 2019/04/RJ/000187 2012007252 SUNAIKAH, NY BPJS Kes TULANGAN 80.000 26.484 20.000 0 0 0 0 0 126.484
2019-04-01 2019/04/RJ/000174 2018035966 FARIDAH, NY BPJS Kes KEPADANGAN 80.000 43.560 40.000 0 0 0 0 0 163.560
2019-04-01 2019/04/RJ/000193 2017023752 MIFTAKHUL HUDA, TN BPJS Kes 80.000 17.898 20.000 0 0 0 0 0 117.898
2019-04-01 2019/04/RJ/000192 2018032937 HODI, TN BPJS Kes 80.000 26.076 20.000 0 0 0 0 0 126.076
2019-04-01 2019/04/RJ/000199 2011000604 SRIATUN, NY BPJS Kes 80.000 22.462 20.000 0 0 0 0 0 122.462
2019-04-01 2019/04/RJ/000204 2018037967 SITI FATIMAH, NY BPJS Kes - 80.000 39.330 0 0 0 0 0 0 119.330
2019-04-01 2019/04/RJ/000200 2018035186 FARIDA, NY BPJS Kes - 80.000 36.626 20.000 0 0 0 0 0 136.626
2019-04-01 2019/04/RJ/000207 2018036294 NGATEMAN ,TN BPJS Kes - 80.000 18.356 0 0 0 0 0 0 98.356
2019-04-01 2019/04/RJ/000206 2012009062 SUNTIANA, NY BPJS Kes - 80.000 15.322 40.000 0 0 0 0 0 135.322
2019-04-01 2019/04/RJ/000203 2018035554 SUMIATI, NY BPJS Kes - 80.000 18.300 20.000 0 0 0 0 0 118.300
2019-04-01 2019/04/RJ/000208 2018038879 IIS INDAYATI, NY BPJS Kes - 80.000 22.622 20.000 0 0 0 0 0 122.622
2019-04-01 2019/04/RJ/000056 2018039999 KAMIDAH ,NY BPJS Kes - 25.000 54.781 0 0 0 0 0 0 79.781
2019-04-01 2019/04/RJ/000055 2015006099 HAQQI AL FATIY PUTRA BPJS Kes - 25.000 14.286 0 0 105.000 0 0 0 144.286
ALVAN, AN
2019-04-01 2019/04/RJ/000024 2019044639 SUNGKONO, TN BPJS Kes - 90.000 57.203 40.000 0 0 0 0 0 187.203
2019-04-01 2019/04/RJ/000150 2019043589 IMAM SUPARDI, TN BPJS Kes - 80.000 47.621 0 0 0 0 0 0 127.621
2019-04-01 2019/04/RJ/000202 2018039391 WIYONO, TN BPJS Kes KLINIK MITRA 80.000 29.390 0 0 0 0 0 0 109.390
94
2019-04-01 2019/04/RJ/000108 2018039838 II SUKAESIH, NY BPJS Kes 80.000 21.704 0 0 0 0 0 0 101.704
2019-04-01 2019/04/RJ/000092 2018038916 MUSLIMIN, TN BPJS Kes - 80.000 59.778 65.000 0 0 0 0 0 204.778
2019-04-01 2019/04/RJ/000152 2011005551 KHOIRUL ANAM, TN BPJS Kes - 80.000 50.496 0 0 0 0 0 0 130.496
2019-04-01 2019/04/RJ/000109 2018040104 CHUSNUL FATIMAH ,NY BPJS Kes TULANGAN 80.000 50.496 0 0 0 0 0 0 130.496
2019-04-01 2019/04/RJ/000154 2018037081 M. AL KADAPI, TN BPJS Kes BP KLINIK 80.000 42.846 0 0 0 0 0 0 122.846
PLUS RIDHO
2019-04-01 2019/04/RJ/000095 2019044643 AIRA PUTRI AZZAHARA, AN BPJS Kes - 90.000 0 0 0 0 0 0 0 90.000
2019-04-01 2019/04/RJ/000110 2019040929 SAKEMAT, TN BPJS Kes TULANGAN 80.000 39.106 0 0 0 0 0 0 119.106
2019-04-01 2019/04/RJ/000103 2018037954 TRI TYANINGSIH, NY BPJS Kes KEPADANGAN 80.000 26.257 0 0 0 0 0 0 106.257
2019-04-01 2019/04/RJ/000149 2019041947 ROSIDA ,NY BPJS Kes 80.000 27.690 0 0 0 0 0 0 107.690
2019-04-01 2019/04/RJ/000079 2018033003 WIJI, TN BPJS Kes BP KLINIK 80.000 35.069 0 0 0 0 0 0 115.069
MEDIS AR-
ROHMAH
2019-04-01 2019/04/RJ/000102 2017026951 PA`I, TN BPJS Kes - 80.000 28.292 0 0 0 0 0 0 108.292
2019-04-01 2019/04/RJ/000072 2018039821 LASENA ,NY BPJS Kes - 80.000 50.496 0 0 0 0 0 0 130.496
2019-04-01 2019/04/RJ/000113 2018031293 SUWATI, NY BPJS Kes TULANGAN 80.000 212.672 0 0 0 0 0 0 292.672
2019-04-01 2019/04/RJ/000153 2015008735 SISMIANAH,NY BPJS Kes - 80.000 33.256 65.000 0 0 0 0 0 178.256
2019-04-01 2019/04/RJ/000115 2019041411 M. TRIYOSO, TN BPJS Kes BP KLINIK 80.000 50.496 0 0 0 0 0 0 130.496
MEDIS AR-
ROHMAH
2019-04-01 2019/04/RJ/000112 2017026102 MUTMAINAH, NY BPJS Kes KEPADANGAN 80.000 37.895 0 0 0 0 0 0 117.895
2019-04-01 2019/04/RJ/000144 2018031694 PRIJA ,TN BPJS Kes - 80.000 50.496 0 0 0 0 0 0 130.496
2019-04-01 2019/04/RJ/000111 2018037090 SITI AMINAH ,NY BPJS Kes DR TRI RATIH 80.000 23.185 0 0 0 0 0 0 103.185
AGUSTINA
2019-04-01 2019/04/RJ/000104 2017023911 ABD. MUIN JUNAEDI, TN BPJS Kes TULANGAN 80.000 16.268 0 0 0 0 0 0 96.268
2019-04-01 2019/04/RJ/000151 2019044645 WAJULI, TN BPJS Kes - 90.000 27.261 65.000 0 0 0 0 0 182.261
2019-04-01 2019/04/RJ/000214 2018037296 LIDYA PUTRI RAHMA, NY BPJS Kes 95.000 78.370 10.000 0 0 0 0 0 183.370
2019-04-01 2019/04/RJ/000221 2018039648 SUSAN RIMAATUL KHASANAH, BPJS Kes - 95.000 11.110 10.000 0 0 0 0 0 116.110
NY
2019-04-01 2019/04/RJ/000217 2018038863 SITI USWATUN CHASANAH, NY BPJS Kes - 95.000 78.370 10.000 0 0 0 0 0 183.370
2019-04-01 2019/04/RJ/000212 2017023402 LAILATUL MI`ROTIN, NY BPJS Kes 95.000 16.492 50.000 0 0 0 0 0 161.492
2019-04-01 2019/04/RJ/000215 2018031271 SULIMAH, NY BPJS Kes - 95.000 27.587 50.000 0 0 0 0 0 172.587
2019-04-01 2019/04/RJ/000219 2019040530 YAYUK ERNAWATI, NY BPJS Kes - 95.000 0 10.000 0 0 0 0 0 105.000
2019-04-01 2019/04/RJ/000189 2019044292 FAUZIYAH AMENALITA, AN BPJS Kes - 80.000 24.755 0 0 0 0 0 0 104.755
2019-04-01 2019/04/RJ/000198 2016011112 M. HILMIY REZKY ANWAR, AN BPJS Kes -* 80.000 5.200 0 0 0 0 0 0 85.200
2019-04-01 2019/04/RJ/000190 2019044400 LAILI HIDAYATUN, BY.NY BPJS Kes 80.000 0 0 0 0 0 0 0 80.000
2019-04-01 2019/04/RJ/000076 2015003957 RIYATI, NY BPJS Kes - 80.000 41.587 20.000 0 0 0 0 0 141.587
2019-04-01 2019/04/RJ/000064 2019043124 NGATMINTEN, NY BPJS Kes KREMBUNG 80.000 0 20.000 0 0 0 0 0 100.000
2019-04-01 2019/04/RJ/000075 2019040505 SITI AISYAH, NY BPJS Kes KLINIK MEDIS 80.000 46.108 20.000 0 0 0 0 0 146.108
AR-ROHMAH
TULANGAN
2019-04-01 2019/04/RJ/000089 2019042117 SULIPAH, NY BPJS Kes TULANGAN 80.000 144.510 0 0 0 0 0 0 224.510
2019-04-01 2019/04/RJ/000066 2018034768 PA`I, TN BPJS Kes - 80.000 29.087 20.000 0 0 0 0 0 129.087
2019-04-01 2019/04/RJ/000107 2016017767 MALIK ASHARY, TN BPJS Kes - 80.000 242.350 20.000 0 0 0 0 0 342.350
2019-04-01 2019/04/RJ/000105 2019044329 GIYANTIK IKA IDHA, NY BPJS Kes - 80.000 24.887 0 0 0 0 0 0 104.887
2019-04-01 2019/04/RJ/000078 2019041191 TATIK, NY BPJS Kes 80.000 16.744 20.000 0 0 0 0 0 116.744
2019-04-01 2019/04/RJ/000077 2018040049 ERO WATI ,NY BPJS Kes 80.000 293.029 20.000 0 0 0 0 0 393.029
2019-04-01 2019/04/RJ/000088 2019044630 CATUR ELIS FATCHUL BPJS Kes TANGGULANG 90.000 17.076 0 0 0 0 0 0 107.076
QODRIYAH, NY IN
2019-04-01 2019/04/RJ/000188 2015008447 SITI KHUMAIROH, NY HJ BPJS Kes TULANGAN 80.000 35.359 0 0 0 0 0 0 115.359
2019-04-01 2019/04/RJ/000106 2019041724 LEWO RIANGSEH, NY BPJS Kes - 80.000 60.707 0 0 0 0 0 0 140.707
2019-04-01 2019/04/RJ/000065 2019042227 MURSIDAH, NY BPJS Kes 80.000 57.838 20.000 0 0 0 0 0 157.838
2019-04-01 2019/04/RJ/000063 2018032505 SOKEH, TN BPJS Kes 80.000 40.070 20.000 0 0 0 0 0 140.070
2019-04-01 2019/04/RJ/000023 2019044541 YENNY FINA WATI, NY BPJS Kes KLINIK 25.000 13.180 100.000 0 0 0 0 0 138.180
NUSAMEDIKA
KREMBOONG
2019-04-01 2019/04/RJ/000004 2017028500 A. SYAIFUDIN RAMADHAN, BPJS Kes 30.000 100.077 0 0 0 0 0 -50.000 80.077
SDR
2019-04-01 2019/04/RJ/000045 2014000280 AHZA DAYYAN AL-EHSAN, AN BPJS Kes - 30.000 46.134 0 0 0 0 0 0 76.134
2019-04-01 2019/04/RJ/000053 2019044283 KYRA HANIYAH, AN BPJS Kes 80.000 60.843 0 0 0 0 0 0 140.843
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. M. Fathi
Ilmawan,
Sp.PD
dr. Umriya
Retnowati Tri
A.
dr. Umriya
Retnowati Tri
A.
dr. Umriya
Retnowati Tri
A.
dr. M.
Perdana
Airlangga,
dr. M.
Sp.Jp
Perdana
Airlangga,
dr. M.
Sp.Jp
Perdana
Airlangga,
dr. M.
Sp.Jp
Perdana
Airlangga,
dr. M.
Sp.Jp
Perdana
Airlangga,
dr. M.
Sp.Jp
Perdana
Airlangga,
dr. M.
Sp.Jp
Perdana
Airlangga,
dr. M.
Sp.Jp
Perdana
Airlangga,
dr. M.
Sp.Jp
Perdana
Airlangga,
dr. M.
Sp.Jp
Perdana
Airlangga,
dr. M.
Sp.Jp
Perdana
Airlangga,
dr. M.
Sp.Jp
Perdana
Airlangga,
dr. M.
Sp.Jp
Perdana
Airlangga,
dr. M.
Sp.Jp
Perdana
Airlangga,
dr. M.
Sp.Jp
Perdana
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dr. M.
Sp.Jp
Perdana
Airlangga,
dr. M.
Sp.Jp
Perdana
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dr. M.
Sp.Jp
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dr. M.
Sp.Jp
Perdana
Airlangga,
dr. M.
Sp.Jp
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dr. M.
Perdana
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dr. M.
Perdana
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dr. M.
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dr. M.
Sp.Jp
Perdana
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dr. M.
Sp.Jp
Perdana
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dr. M.
Sp.Jp
Perdana
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Sp.Jp
dr. M.
Perdana
Airlangga,
dr. M.
Sp.Jp
Perdana
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dr. M.
Sp.Jp
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dr. M.
Sp.Jp
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dr. M.
Sp.Jp
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dr. M.
Sp.Jp
Perdana
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dr. M.
Sp.Jp
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dr. M.
Sp.Jp
Perdana
Airlangga,
dr. Agustin
Sp.Jp Astuti,
Linda
Sp.OG
dr. Agustin
Linda Astuti,
Sp.OG
dr. Agustin
Linda Astuti,
Sp.OG
dr. Agustin
Linda Astuti,
Sp.OG
dr. Agustin
Linda Astuti,
Sp.OG
dr. Agustin
Linda Astuti,
Sp.OG
dr. Agustin
Linda Astuti,
Sp.OG
dr. Agustin
Linda Astuti,
Sp.OG
dr. Agustin
Linda Astuti,
Sp.OG
dr. Medy
Pryjambodo,
SpA
dr. Medy
Pryjambodo,
SpA
dr. Medy
Pryjambodo,
SpA
dr. NISVI
DEWI
ADININGRUM
, Sp.PD
dr. NISVI
DEWI
ADININGRUM
,dr. Sp.PD
NISVI
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dr. NISVI
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dr. NISVI
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dr. NISVI
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ADININGRUM
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dr. NISVI
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drg. RENY
JUFANNISA
dr. ADI
YULIANTO
dr. ADI
YULIANTO
dr. M. Nafis
Qulyuby,
Mkes. Sp. A