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KODE_RS KELAS_RS KELAS_RAWAT KODE_TARIF PTD ADMISSION_DATE

DISCHARGE_DATE BIRTH_DATE BIRTH_WEIGHT SEX DISCHARGE_STATUS


DIAGLIST PROCLIST ADL1 ADL2 IN_SP IN_SR IN_SI IN_SD INACBG
SUBACUTE CHRONIC SP SR SI SD DESKRIPSI_INACBG TARIF_INACBG
TARIF_SUBACUTE TARIF_CHRONIC DESKRIPSI_SP TARIF_SP DESKRIPSI_SR
TARIF_SR DESKRIPSI_SI TARIF_SI DESKRIPSI_SD TARIF_SD
TOTAL_TARIF TARIF_RS TARIF_POLI_EKS LOS ICU_INDIKATOR ICU_LOS
VENT_HOUR NAMA_PASIEN MRN UMUR_TAHUN UMUR_HARI DPJP SEP NOKARTU
PAYOR_ID CODER_ID VERSI_INACBG VERSI_GROUPER C1 C2 C3
C4
7171104 C 3 CP 2 01/10/2019 01/10/2019 29/06/1964 0 1
1 Z09.8;H25.1;H52.1;H52.4 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARTHUR NGANTUNG 051211 55 20182 DR
DYANA T.WATANIA,SPM 0309R0191019V000075 0001433959119 3;JKN linda03;
5.3.9.201904290125 4 79205 1#0##0#0#0.0#2019-10-02
08:16:39#0#00:00:00#00:00:00#00:00:00 1 465fa67e2d6ec97314017fd56b965541
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/06/1961 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOHANA DOODOH 051968 58 21306 DR
YULIANA HARTONO,SPM 0309R0191019V000074 0000908289325 3;JKN linda03;
5.3.9.201904290125 4 79206 1#0##0#0#0.0#2019-10-02
08:17:28#0#00:00:00#00:00:00#00:00:00 1 1347ab4470453a9675cb452c078d39a7
7171104 C 3 CP 2 01/10/2019 01/10/2019 08/01/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LOUISA DOMPAS 051814 62 22911 DR DYANA
T.WATANIA,SPM 0309R0191019V000073 0001838921984 3;JKN linda03;
5.3.9.201904290125 4 79207 1#0##0#0#0.0#2019-10-02
08:18:13#0#00:00:00#00:00:00#00:00:00 1 4cfe46d09b1faa40613b88e89a981e01
7171104 C 3 CP 2 01/10/2019 01/10/2019 14/10/1959 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ARNOL MANGINSELA 051720 59 21902 DR.MELISA
RATAG,SPM 0309R0191019V000072 0002462623648 3;JKN linda03;
5.3.9.201904290125 4 79208 1#0##0#0#0.0#2019-10-02
08:18:54#0#00:00:00#00:00:00#00:00:00 1 968894988a9e4e2c8e0c9dadb5116224
7171104 C 3 CP 2 01/10/2019 01/10/2019 02/05/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YESTINA BANDIL 051813 71 26084 DR DYANA
T.WATANIA,SPM 0309R0191019V000071 0001323390508 3;JKN linda03;
5.3.9.201904290125 4 79209 1#0##0#0#0.0#2019-10-02
08:19:44#0#00:00:00#00:00:00#00:00:00 1 ed235a36474af0588ba8d723efa5822a
7171104 C 3 CP 2 01/10/2019 01/10/2019 20/10/1992 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WINESTHY MARIZCHA ANGGRAENY ALFONS 020210 26
9842 DR RALF PANGALILA,SPM 0309R0191019V000149 0000137003398 3;JKN
Vian02; 5.3.9.201904290125 4 79211 1#0##0#0#0.0#2019-10-02
08:54:15#0#00:00:00#00:00:00#00:00:00 1 3a786a62f28832ab74e50e83ba6a3c55
7171104 C 3 CP 2 01/10/2019 01/10/2019 31/07/1964 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TELLY RURUGALA 051903 55 20150
DR.MELISA RATAG,SPM 0309R0191019V000150 0002060480643 3;JKN
Vian02; 5.3.9.201904290125 4 79212 1#0##0#0#0.0#2019-10-02
09:01:48#0#00:00:00#00:00:00#00:00:00 1 da12c2b58b27a60847b4bab78ad02627
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/11/1961 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PILET WENTUK 051970 57 21153 DR
YULIANA HARTONO,SPM 0309R0191019V000070 0000908288392 3;JKN linda03;
5.3.9.201904290125 4 79213 1#0##0#0#0.0#2019-10-02
09:02:46#0#00:00:00#00:00:00#00:00:00 1 476601c2d5774889a37bed18164b8fed
7171104 C 3 CP 2 01/10/2019 01/10/2019 10/09/1970 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ISMAIL SAMURI 052007 49 17918
DR.MELISA RATAG,SPM 0309R0191019V000069 0002474511963 3;JKN
linda03; 5.3.9.201904290125 4 79214 1#0##0#0#0.0#2019-10-02
09:06:48#0#00:00:00#00:00:00#00:00:00 1 31eb3850bbf640f22b215334e72571f9
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/08/1969 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTIN MANDAGI 051977 50 18323 DR
YULIANA HARTONO,SPM 0309R0191019V000068 0000907882053 3;JKN linda03;
5.3.9.201904290125 4 79215 1#0##0#0#0.0#2019-10-02
09:15:41#0#00:00:00#00:00:00#00:00:00 1 6dec843d3cfbcb0639c132a7b512bea6
7171104 C 3 CP 2 01/10/2019 01/10/2019 26/01/1969 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JESSY CHRISTINE MOMONGAN 052005 50
18510 DR RALF PANGALILA,SPM 0309R0191019V000067 0000137364153 3;JKN
linda03; 5.3.9.201904290125 4 79216 1#0##0#0#0.0#2019-10-02
09:16:50#0#00:00:00#00:00:00#00:00:00 1 f9729b422408edcad5022bccc730c39c
7171104 C 3 CP 2 01/10/2019 01/10/2019 25/04/1962 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ABDULLAH ARBIE 051203 57 20978 DR DYANA
T.WATANIA,SPM 0309R0191019V000066 0001971367492 3;JKN linda03;
5.3.9.201904290125 4 79217 1#0##0#0#0.0#2019-10-02
09:17:52#0#00:00:00#00:00:00#00:00:00 1 d39d9c5c1b50ced45462bba3ae3e3c86
7171104 C 3 CP 2 01/10/2019 01/10/2019 28/12/1985 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TIRZA KANSIL 052006 33 12330 DR RALF
PANGALILA,SPM 0309R0191019V000064 0000201311188 3;JKN linda03;
5.3.9.201904290125 4 79218 1#0##0#0#0.0#2019-10-02
09:19:09#0#00:00:00#00:00:00#00:00:00 1 0d7fa02d083db4c82e3e9d1ae3c21b16
7171104 C 3 CP 2 01/10/2019 01/10/2019 06/12/1956 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KALARTJE RAPITAN 051746 62 22944
DR.MELISA RATAG,SPM 0309R0191019V000063 0000136872832 3;JKN
linda03; 5.3.9.201904290125 4 79219 1#0##0#0#0.0#2019-10-02
09:20:01#0#00:00:00#00:00:00#00:00:00 1 6169e346a56989e3ae712994be3c8aab
7171104 C 3 CP 2 01/10/2019 01/10/2019 10/05/1948 0 2
1 Z96.1;H33.0;H59.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARIANTJE KAPOH 023615 71 26076 DR
DYANA T.WATANIA,SPM 0309R0191019V000062 0000138946342 3;JKN linda03;
5.3.9.201904290125 4 79220 1#0##0#0#0.0#2019-10-02
09:21:04#0#00:00:00#00:00:00#00:00:00 1 d1eeac0161564ef4fd3bf94112fe118d
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/05/1951 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOOTJE MEWOH 051817 68 24990 DR.MELISA
RATAG,SPM 0309R0191019V000060 0001569340844 3;JKN linda03;
5.3.9.201904290125 4 79221 1#0##0#0#0.0#2019-10-02
09:22:10#0#00:00:00#00:00:00#00:00:00 1 ab24b3f8964f1b2549d4dad292a71bb2
7171104 C 3 CP 2 01/10/2019 01/10/2019 24/01/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAGDALENA KALENGKONGAN 051597 72 26548 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000059 0002434738792 3;JKN
linda03; 5.3.9.201904290125 4 79222 1#0##0#0#0.0#2019-10-02
09:23:01#0#00:00:00#00:00:00#00:00:00 1 6cdac2481c41b92cea39e271df19085c
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/01/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NUSIA MOKODOMPIS 051175 77 28397 DR YULIANA
HARTONO,SPM 0309R0191019V000147 0000905445696 3;JKN Patrick K.;
5.3.9.201904290125 4 79223 1#0##0#0#0.0#2019-10-02
09:28:35#0#00:00:00#00:00:00#00:00:00 1 5e5d8220d13e5d44d3d0804a6b2d6e97
7171104 C 3 CP 2 01/10/2019 01/10/2019 22/03/1981 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA MAHDALENA PELEALU 043240 38 14072
DR DYANA T.WATANIA,SPM 0309R0191019V000146 0001635538689 3;JKN
Patrick K.; 5.3.9.201904290125 4 79224 1#0##0#0#0.0#2019-10-02
09:29:56#0#00:00:00#00:00:00#00:00:00 1 9fd233cd077a0e6fe3f62d487cf6596d
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/05/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MEITJE MAINDOKA 050816 66 24259 DR YULIANA
HARTONO,SPM 0309R0191019V000145 0000909411996 3;JKN Patrick K.;
5.3.9.201904290125 4 79225 1#0##0#0#0.0#2019-10-02
09:30:55#0#00:00:00#00:00:00#00:00:00 1 2db5e15e47016c6e941bae6f38e0afd8
7171104 C 3 CP 2 01/10/2019 01/10/2019 06/09/1964 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SEPMING SUMENDA 030125 55 20113
DR.MELISA RATAG,SPM 0309R0191019V000143 0001250247442 3;JKN
Patrick K.; 5.3.9.201904290125 4 79226 1#0##0#0#0.0#2019-10-02
09:31:47#0#00:00:00#00:00:00#00:00:00 1 bad2f7dbf91325111fc1f44e7e72bb2a
7171104 C 3 CP 2 01/10/2019 01/10/2019 13/01/1982 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TIA TORA 051264 37 13775 DR RALF
PANGALILA,SPM 0309R0191019V000142 0001902579131 3;JKN Patrick K.;
5.3.9.201904290125 4 79227 1#0##0#0#0.0#2019-10-02
09:32:55#0#00:00:00#00:00:00#00:00:00 1 74976c0f6ba57359ed574d6e33ba7e5b
7171104 C 3 CP 2 01/10/2019 01/10/2019 08/07/1934 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SOENYSON ROEDOLF THE 051901 85 31131
DR.MELISA RATAG,SPM 0309R0191019V000141 0001890906017 3;JKN
Patrick K.; 5.3.9.201904290125 4 79228 1#0##0#0#0.0#2019-10-02
09:34:17#0#00:00:00#00:00:00#00:00:00 1 6fad9a452c9237b23cda0723e89f59c1
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/04/1952 0 1
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HERY TUMIMOMOR 013776 67 24654 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000140 0000907603784 3;JKN
Patrick K.; 5.3.9.201904290125 4 79229 1#0##0#0#0.0#2019-10-02
09:35:46#0#00:00:00#00:00:00#00:00:00 1 2ff6081d8d89aee751266bbd342b605d
7171104 C 3 CP 2 01/10/2019 01/10/2019 02/02/1964 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ISMAIL LIHAWA 045129 55 20330 DR YULIANA
HARTONO,SPM 0309R0191019V000058 0000138318467 3;JKN linda03;
5.3.9.201904290125 4 79230 1#0##0#0#0.0#2019-10-02
09:36:09#0#00:00:00#00:00:00#00:00:00 1 491dd7e4ff8fcd07fef08d3aa8b4d00c
7171104 C 3 CP 2 01/10/2019 01/10/2019 17/05/1950 0 2
1 Z09.8;H10.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIEKE PANGEMANAN 046290 69 25339
DR.MELISA RATAG,SPM 0309R0191019V000137 0001250394974 3;JKN
Patrick K.; 5.3.9.201904290125 4 79231 1#0##0#0#0.0#2019-10-02
09:36:45#0#00:00:00#00:00:00#00:00:00 1 d94f1e9f6f741a21cd96ce179a09d63d
7171104 C 3 CP 2 01/10/2019 01/10/2019 26/04/1955 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADONJA KATUUK 015421 64 23534 DR
YULIANA HARTONO,SPM 0309R0191019V000136 0001810153247 3;JKN Patrick K.;
5.3.9.201904290125 4 79232 1#0##0#0#0.0#2019-10-02
09:37:28#0#00:00:00#00:00:00#00:00:00 1 588392e20ed3f472cac95db8f66256e5
7171104 C 3 CP 2 01/10/2019 01/10/2019 04/01/1957 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JETTY THEO 042775 62 22915 DR DYANA
T.WATANIA,SPM 0309R0191019V000135 0002276457849 3;JKN Patrick K.;
5.3.9.201904290125 4 79233 1#0##0#0#0.0#2019-10-02
09:38:21#0#00:00:00#00:00:00#00:00:00 1 a29098f237f664de66ad5549ec420e1e
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/01/1966 0 2
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANIKE BARAMIN 051639 53 19631 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000057 0002389519989 3;JKN
linda03; 5.3.9.201904290125 4 79234 1#0##0#0#0.0#2019-10-02
09:38:32#0#00:00:00#00:00:00#00:00:00 1 de4a6fa56653b02d56fc189619aa80f8
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/09/1960 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SINTJE PETRUS 046526 59 21579 DR
YULIANA HARTONO,SPM 0309R0191019V000056 0001066983761 3;JKN linda03;
5.3.9.201904290125 4 79235 1#0##0#0#0.0#2019-10-02
09:39:18#0#00:00:00#00:00:00#00:00:00 1 3f11d4651a657f7869319974a62aae6e
7171104 C 3 CP 2 01/10/2019 01/10/2019 11/11/1963 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LIES KAPELE 051612 55 20413 DR.MELISA
RATAG,SPM 0309R0191019V000134 0002419367613 3;JKN Patrick K.;
5.3.9.201904290125 4 79236 1#0##0#0#0.0#2019-10-02
09:39:40#0#00:00:00#00:00:00#00:00:00 1 6f578c2d0fa6a10cd0462d9a5a3f7dca
7171104 C 3 CP 2 01/10/2019 01/10/2019 19/01/1952 0 2
1 H35.2;H43.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIETJE PANGKEY 052015 67 24727 DR
DYANA T.WATANIA,SPM 0309R0191019V000133 0000169372473 3;JKN Patrick K.;
5.3.9.201904290125 4 79237 1#0##0#0#0.0#2019-10-02
09:41:07#0#00:00:00#00:00:00#00:00:00 1 a24f4325cea5242880b9f5f3a4eeaa5e
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/10/1974 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUTH PONGOH 051974 44 16436 DR YULIANA
HARTONO,SPM 0309R0191019V000132 0001066870337 3;JKN Patrick K.;
5.3.9.201904290125 4 79238 1#0##0#0#0.0#2019-10-02
09:44:20#0#00:00:00#00:00:00#00:00:00 1 ab1717da69de56f8453bf41f7d08725a
7171104 C 3 CP 2 01/10/2019 01/10/2019 03/05/1958 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAXIE JAVET MAMENGKO 051418 61 22431 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000131 0000137255229 3;JKN
Patrick K.; 5.3.9.201904290125 4 79239 1#0##0#0#0.0#2019-10-02
09:45:50#0#00:00:00#00:00:00#00:00:00 1 e8e0a06dad7c0883d1de81e22dbefad5
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/05/1966 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MELI MONTORORING 051158 53 19511 DR
YULIANA HARTONO,SPM 0309R0191019V000130 0001903064747 3;JKN Patrick K.;
5.3.9.201904290125 4 79240 1#0##0#0#0.0#2019-10-02
09:47:17#0#00:00:00#00:00:00#00:00:00 1 410a8cc6816e97117b53f6e6399038e6
7171104 C 3 CP 2 01/10/2019 01/10/2019 03/09/1947 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA TH. NGANTUNG S 051975 72 26326
DR YULIANA HARTONO,SPM 0309R0191019V000129 0000137168673 3;JKN
Patrick K.; 5.3.9.201904290125 4 79241 1#0##0#0#0.0#2019-10-02
09:48:35#0#00:00:00#00:00:00#00:00:00 1 7d042e2e275848157371cd1a571ff6a7
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/01/1958 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PONGOH JULIANA 051973 61 22553 DR
YULIANA HARTONO,SPM 0309R0191019V000128 0000138570524 3;JKN Patrick K.;
5.3.9.201904290125 4 79242 1#0##0#0#0.0#2019-10-02
09:49:39#0#00:00:00#00:00:00#00:00:00 1 72e72495eb0f9cd4f9b6b053e455b12c
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/07/1957 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JINU SULAEMAN 051801 62 22737
DR.MELISA RATAG,SPM 0309R0191019V000127 0000908247958 3;JKN
Patrick K.; 5.3.9.201904290125 4 79243 1#0##0#0#0.0#2019-10-02
09:50:35#0#00:00:00#00:00:00#00:00:00 1 55a78ac4282c790aed371f536f53dd8d
7171104 C 3 CP 2 01/10/2019 01/10/2019 21/03/1993 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MUNAWIR RABIL 050459 26 9690 DR DYANA
T.WATANIA,SPM 0309R0191019V000126 0002231354193 3;JKN Patrick K.;
5.3.9.201904290125 4 79244 1#0##0#0#0.0#2019-10-02
09:51:37#0#00:00:00#00:00:00#00:00:00 1 0f6ea65b61579a6037fbaa7755d2e091
7171104 C 3 CP 2 01/10/2019 01/10/2019 08/08/1948 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NICOLAS MESAK RUMIMPUNU 051949 71 25986
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000123 0002884073951 3;JKN
Patrick K.; 5.3.9.201904290125 4 79246 1#0##0#0#0.0#2019-10-02
09:52:35#0#00:00:00#00:00:00#00:00:00 1 df1e61bcfb3c9289ec8a64e3d0be9bfb
7171104 C 3 CP 2 01/10/2019 01/10/2019 06/08/1975 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADAKU HASAN 050569 44 16127 DR RALF
PANGALILA,SPM 0309R0191019V000122 0000908715126 3;JKN Patrick K.;
5.3.9.201904290125 4 79247 1#0##0#0#0.0#2019-10-02
09:53:22#0#00:00:00#00:00:00#00:00:00 1 3ce95a0c84de85a532bb561c32e30702
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/06/1941 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HESMIN MANUMPIL 051176 78 28611 DR YULIANA
HARTONO,SPM 0309R0191019V000121 0000905445099 3;JKN Patrick K.;
5.3.9.201904290125 4 79248 1#0##0#0#0.0#2019-10-02
09:54:09#0#00:00:00#00:00:00#00:00:00 1 21d95995951b3adb876dde021445107d
7171104 C 3 CP 2 01/10/2019 01/10/2019 12/06/1948 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA D.LASUT 006816 71 26043 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000120 0000137178775 3;JKN
Patrick K.; 5.3.9.201904290125 4 79249 1#0##0#0#0.0#2019-10-02
09:55:20#0#00:00:00#00:00:00#00:00:00 1 39a16775e4ba80bc5746414bede27bae
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/05/1936 0 2
1 Z96.1;H25.0;H25.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ERNI MANARAT 052004 83 30468 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000055 0000908045763 3;JKN
linda03; 5.3.9.201904290125 4 79245 1#0##0#0#0.0#2019-10-02
09:56:42#0#00:00:00#00:00:00#00:00:00 1 c38fc652ef027efbbd121b09ed76b0d1
7171104 C 3 CP 2 01/10/2019 01/10/2019 10/07/1969 0 1
1 Z09.8;H17.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRANCKY O.W. RUMOPA 050903 50 18345
DR YULIANA HARTONO,SPM 0309R0191019V000119 0001565935975 3;JKN
Patrick K.; 5.3.9.201904290125 4 79250 1#0##0#0#0.0#2019-10-02
09:57:21#0#00:00:00#00:00:00#00:00:00 1 ba8f6dab678fbe8e3fdba4c226440c51
7171104 C 3 CP 2 01/10/2019 01/10/2019 24/04/1958 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PAULUS ENGELBERT R. KORAAG 051803 61
22440 DR YULIANA HARTONO,SPM 0309R0191019V000053 0000163893609 3;JKN
linda03; 5.3.9.201904290125 4 79251 1#0##0#0#0.0#2019-10-02
09:58:11#0#00:00:00#00:00:00#00:00:00 1 cef18e0bf3c0838d7edc0cffd6d34e88
7171104 C 3 CP 2 01/10/2019 01/10/2019 29/11/1967 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADELMINCE SAHEN TUMBAGE 051738 51 18934 DR
RALF PANGALILA,SPM 0309R0191019V000118 0002778840189 3;JKN Patrick K.;
5.3.9.201904290125 4 79252 1#0##0#0#0.0#2019-10-02
09:58:27#0#00:00:00#00:00:00#00:00:00 1 32169bce36bfef327b354d2415f20401
7171104 C 3 CP 2 01/10/2019 01/10/2019 09/10/1968 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 REYNA RACHMAN 033633 50 18619
DR.MELISA RATAG,SPM 0309R0191019V000117 0001817162649 3;JKN
Patrick K.; 5.3.9.201904290125 4 79254 1#0##0#0#0.0#2019-10-02
10:00:21#0#00:00:00#00:00:00#00:00:00 1 e84d6585b7ddda1f416d16f629df4e8b
7171104 C 3 CP 2 01/10/2019 01/10/2019 04/11/1957 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELSYE MAKAL 051972 61 22611 DR YULIANA
HARTONO,SPM 0309R0191019V000116 0001604482165 3;JKN Patrick K.;
5.3.9.201904290125 4 79255 1#0##0#0#0.0#2019-10-02
10:02:57#0#00:00:00#00:00:00#00:00:00 1 db6c2bad6f7f8d21714914c8774a4218
7171104 C 3 CP 2 01/10/2019 01/10/2019 03/01/1937 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LEO IG SAMPOW 051634 82 30221 DR
DYANA T.WATANIA,SPM 0309R0191019V000115 0000138841503 3;JKN Patrick K.;
5.3.9.201904290125 4 79256 1#0##0#0#0.0#2019-10-02
10:03:45#0#00:00:00#00:00:00#00:00:00 1 922a146c6fc85f3fc795100ca7187b44
7171104 C 3 CP 2 01/10/2019 01/10/2019 30/04/1974 0 1
1 H40.5;H20.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALFREDS WAHIU 052014 45 16590 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000114 0002880050038 3;JKN
Patrick K.; 5.3.9.201904290125 4 79257 1#0##0#0#0.0#2019-10-02
10:07:57#0#00:00:00#00:00:00#00:00:00 1 55c3042f1b0b1e163046d03e33771f0c
7171104 C 3 CP 2 01/10/2019 01/10/2019 24/05/1948 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EDDY RENGKUNG 051978 71 26062 DR
YULIANA HARTONO,SPM 0309R0191019V000112 0000206941599 3;JKN Patrick K.;
5.3.9.201904290125 4 79258 1#0##0#0#0.0#2019-10-02
10:09:06#0#00:00:00#00:00:00#00:00:00 1 77b33b04d13c50ba9af3e375041d3f99
7171104 C 3 CP 2 01/10/2019 01/10/2019 03/03/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SULEMAN GEORGE 051384 70 25779 DR YULIANA
HARTONO,SPM 0309R0191019V000111 0001243637482 3;JKN Patrick K.;
5.3.9.201904290125 4 79259 1#0##0#0#0.0#2019-10-02
10:09:54#0#00:00:00#00:00:00#00:00:00 1 bb02b6a82ad3f00a7b7216d8bbeaee1f
7171104 C 3 CP 2 01/10/2019 01/10/2019 19/05/1956 0 2
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 GRACE VONNEKE WASTHI SONDAKH 052013 63 23145
DR YULIANA HARTONO,SPM 0309R0191019V000110 0001185419957 3;JKN
Patrick K.; 5.3.9.201904290125 4 79260 1#0##0#0#0.0#2019-10-02
10:11:00#0#00:00:00#00:00:00#00:00:00 1 3dd5bfcfda84f37a105e382ce377186c
7171104 C 3 CP 2 01/10/2019 01/10/2019 06/12/1957 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JHON D. TUMIWA 051388 61 22579 DR DYANA
T.WATANIA,SPM 0309R0191019V000109 0001296443114 3;JKN Patrick K.;
5.3.9.201904290125 4 79261 1#0##0#0#0.0#2019-10-02
10:12:07#0#00:00:00#00:00:00#00:00:00 1 2e2cd310348d8c4821459c3a81e2cff4
7171104 C 3 CP 2 01/10/2019 01/10/2019 06/01/1960 0 1
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ABDUL RAHMAN YUSUF 005892 59 21818
DR.MELISA RATAG,SPM 0309R0191019V000108 0001813938186 3;JKN
Patrick K.; 5.3.9.201904290125 4 79262 1#0##0#0#0.0#2019-10-02
10:13:00#0#00:00:00#00:00:00#00:00:00 1 14bd3f65af7aca22d2474737c4e67c59
7171104 C 3 CP 2 01/10/2019 01/10/2019 22/02/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROOSJE SUMANTI 025760 66 24327 DR YULIANA
HARTONO,SPM 0309R0191019V000008 0000138399862 3;JKN Patrick K.;
5.3.9.201904290125 4 79263 1#0##0#0#0.0#2019-10-02
10:13:56#0#00:00:00#00:00:00#00:00:00 1 c4493e34d8a4f91a37aea57bbd9a6f5f
7171104 C 3 CP 2 01/10/2019 01/10/2019 15/11/1947 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIANA TANGKERE 051980 71 26253 DR
YULIANA HARTONO,SPM 0309R0191019V000107 0002444274145 3;JKN Patrick K.;
5.3.9.201904290125 4 79264 1#0##0#0#0.0#2019-10-02
10:15:35#0#00:00:00#00:00:00#00:00:00 1 96993408d8d48006f0424eab473c5c4d
7171104 C 3 CP 2 01/10/2019 01/10/2019 10/05/1949 0 2
1 Z09.8;H44.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BARNETJE ROTTIE 050301 70 25711
DR.MELISA RATAG,SPM 0309R0191019V000106 0000137211311 3;JKN
Patrick K.; 5.3.9.201904290125 4 79265 1#0##0#0#0.0#2019-10-02
10:16:19#0#00:00:00#00:00:00#00:00:00 1 b4d60e4ed495cdfb3646da39d84a5651
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/02/1946 0 1
1 Z09.8;H52.0;H52.4;H44.5 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAX TAREK 037011 73 26905 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V000104 0000908043006 3;JKN Patrick K.;
5.3.9.201904290125 4 79266 1#0##0#0#0.0#2019-10-02
10:17:12#0#00:00:00#00:00:00#00:00:00 1 40c28277ffda3650279e3e542764ddd3
7171104 C 3 CP 2 01/10/2019 01/10/2019 19/02/1990 0 2
1 Z09.8;H00.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FAUTY FALENTINE KAUNANG 051613 29 10816
DR YULIANA HARTONO,SPM 0309R0191019V000103 0002255470705 3;JKN
Patrick K.; 5.3.9.201904290125 4 79267 1#0##0#0#0.0#2019-10-02
10:18:29#0#00:00:00#00:00:00#00:00:00 2 8244c109f4f5cf2ca974fb9035538e6e
7171104 C 3 CP 2 01/10/2019 01/10/2019 23/02/1949 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA YOSEFIN KATUUK 051984 70 25787
DR YULIANA HARTONO,SPM 0309R0191019V000102 0002034873641 3;JKN
Patrick K.; 5.3.9.201904290125 4 79268 1#0##0#0#0.0#2019-10-02
10:19:21#0#00:00:00#00:00:00#00:00:00 1 f4e80e38719be0719c2877bb45eae87c
7171104 C 3 CP 2 01/10/2019 01/10/2019 27/12/1967 0 2
1 H11.0;T15.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEITJE WAWORUNDENG 052012 51 18906
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000100 0001808088941 3;JKN
Patrick K.; 5.3.9.201904290125 4 79269 1#0##0#0#0.0#2019-10-02
10:21:36#0#00:00:00#00:00:00#00:00:00 1 ec92dc479b4085d9c0ba3e28c05c2457
7171104 C 3 CP 2 01/10/2019 01/10/2019 20/12/1954 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JETTY TINTINGON 051976 64 23661 DR
YULIANA HARTONO,SPM 0309R0191019V000098 0001604482863 3;JKN Patrick K.;
5.3.9.201904290125 4 79270 1#0##0#0#0.0#2019-10-02
10:23:01#0#00:00:00#00:00:00#00:00:00 1 54695b84d31773e71e40fe3bf3e4712c
7171104 C 3 CP 2 01/10/2019 01/10/2019 10/07/1948 0 1
1 H26.9;H18.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MESAK TATIMU 012496 71 26015 DR
YULIANA HARTONO,SPM 0309R0191019V000097 0002465254787 3;JKN Patrick K.;
5.3.9.201904290125 4 79271 1#0##0#0#0.0#2019-10-02
10:27:52#0#00:00:00#00:00:00#00:00:00 2 c24617d15e158b349d981850430cda5b
7171104 C 3 CP 2 01/10/2019 01/10/2019 12/06/1956 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TUTIK 047476 63 23121 DR DYANA T.WATANIA,SPM
0309R0191019V000096 0001321560887 3;JKN Patrick K.; 5.3.9.201904290125
4 79272 1#0##0#0#0.0#2019-10-02 10:29:32#0#00:00:00#00:00:00#00:00:00
1 4d31d631f647a38cb121eb09d38995c6
7171104 C 3 CP 2 01/10/2019 01/10/2019 20/02/1953 0 1
1 Z09.8;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YANTJE LANO 051620 66 24329 DR YULIANA
HARTONO,SPM 0309R0191019V000095 0002435165199 3;JKN Patrick K.;
5.3.9.201904290125 4 79273 1#0##0#0#0.0#2019-10-02
10:31:45#0#00:00:00#00:00:00#00:00:00 1 e6ce6bceeb2e69d8664877e7afc5db57
7171104 C 3 CP 2 01/10/2019 01/10/2019 30/04/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FATMA KANTOHE 051385 69 25356 DR YULIANA
HARTONO,SPM 0309R0191019V000094 0002090159098 3;JKN Patrick K.;
5.3.9.201904290125 4 79274 1#0##0#0#0.0#2019-10-02
10:32:34#0#00:00:00#00:00:00#00:00:00 1 cecbe55273f26df534d5bd9aed9f9773
7171104 C 3 CP 2 01/10/2019 01/10/2019 16/01/1953 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOHANIS KATUUK 051983 66 24364 DR
YULIANA HARTONO,SPM 0309R0191019V000093 0001066870124 3;JKN Patrick K.;
5.3.9.201904290125 4 79275 1#0##0#0#0.0#2019-10-02
10:33:35#0#00:00:00#00:00:00#00:00:00 1 b93806b539dbe05bfd8670341909acfa
7171104 C 3 CP 2 01/10/2019 01/10/2019 26/11/1964 0 2
1 Z09.8;H35.2;H43.1;H33.4 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ASTIN LAPASI 051209 54 20032 DR
DYANA T.WATANIA,SPM 0309R0191019V000092 0001236746788 3;JKN Patrick K.;
5.3.9.201904290125 4 79276 1#0##0#0#0.0#2019-10-02
10:34:38#0#00:00:00#00:00:00#00:00:00 1 2aa6aeaabf30dcda16766fe2580841f7
7171104 C 3 CP 2 01/10/2019 01/10/2019 25/06/1960 0 2
1 H10.9;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUSTIEN KARUNGU 052011 59 21647
DR.MELISA RATAG,SPM 0309R0191019V000091 0001791034749 3;JKN
Patrick K.; 5.3.9.201904290125 4 79277 1#0##0#0#0.0#2019-10-02
10:36:14#0#00:00:00#00:00:00#00:00:00 1 e6b74103b2244ef9bc2225e2952057f8
7171104 C 3 CP 2 01/10/2019 01/10/2019 02/10/1962 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MOHAMAD ZAINUDDIN 051525 56 20818 DR.MELISA
RATAG,SPM 0309R0191019V000090 0001096408304 3;JKN Patrick K.;
5.3.9.201904290125 4 79278 1#0##0#0#0.0#2019-10-02
10:37:20#0#00:00:00#00:00:00#00:00:00 1 4350fe05278eb763bd9f90c86406a538
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/03/1961 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARITJE PONGOH 051967 58 21398 DR
YULIANA HARTONO,SPM 0309R0191019V000089 0000907846209 3;JKN Patrick K.;
5.3.9.201904290125 4 79279 1#0##0#0#0.0#2019-10-02
10:38:31#0#00:00:00#00:00:00#00:00:00 1 520e51f60d20eecb3943d7348476c82e
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/09/1957 0 1
1 Z09.8;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WELSON H LANGKUN 016149 62 22675 DR
DYANA T.WATANIA,SPM 0309R0191019V000088 0000906226839 3;JKN Patrick K.;
5.3.9.201904290125 4 79280 1#0##0#0#0.0#2019-10-02
10:39:28#0#00:00:00#00:00:00#00:00:00 1 e9d631c830357337d01fb0bd64cfaf76
7171104 C 3 CP 2 01/10/2019 01/10/2019 08/12/1971 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VELLY DANY LAMPUS 050697 47 17464 DR RALF
PANGALILA,SPM 0309R0191019V000087 0000909918101 3;JKN Patrick K.;
5.3.9.201904290125 4 79281 1#0##0#0#0.0#2019-10-02
10:40:10#0#00:00:00#00:00:00#00:00:00 1 df96ead5407ff74d36cbbbfeb9c4a78f
7171104 C 3 CP 2 01/10/2019 01/10/2019 10/12/1955 0 2
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HILDA DAICY KANDIJOH 040900 63 23306
DR DYANA T.WATANIA,SPM 0309R0191019V000086 0000138295394 3;JKN
Patrick K.; 5.3.9.201904290125 4 79282 1#0##0#0#0.0#2019-10-02
10:40:56#0#00:00:00#00:00:00#00:00:00 1 029174496d45904d3f423c1f8f006540
7171104 C 3 CP 2 01/10/2019 01/10/2019 15/12/1945 0 2
1 Z09.8;H04.3;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JENNY LUCIA NAJOAN 021047 73 26953
DR YULIANA HARTONO,SPM 0309R0191019V000084 0001427372763 3;JKN
Patrick K.; 5.3.9.201904290125 4 79283 1#0##0#0#0.0#2019-10-02
10:43:16#0#00:00:00#00:00:00#00:00:00 1 79dcea3edf40decec3970ae6087fcedf
7171104 C 3 CP 2 01/10/2019 01/10/2019 08/11/1960 0 2
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHERLY ELAINE KOMBAITAN 031141 58 21511
DR YULIANA HARTONO,SPM 0309R0191019V000083 0002079822892 3;JKN
Patrick K.; 5.3.9.201904290125 4 79284 1#0##0#0#0.0#2019-10-02
10:44:04#0#00:00:00#00:00:00#00:00:00 1 ca53e1af146bfa91a8e5fa7af7d723b6
7171104 C 3 CP 2 01/10/2019 01/10/2019 05/07/1990 0 2
1 Z09.8;H40.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ASTRI TUMENGGUNG 049752 29 10680 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000082 0001386888491 3;JKN
Patrick K.; 5.3.9.201904290125 4 79285 1#0##0#0#0.0#2019-10-02
10:44:52#0#00:00:00#00:00:00#00:00:00 1 f8a3d427a518de608b8f0aeae815a57b
7171104 C 3 CP 2 01/10/2019 01/10/2019 26/08/1952 0 1
1 Z09.8;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ABISISWONDO SOEDEWO LIEK 020740 67
24507 DR YULIANA HARTONO,SPM 0309R0191019V000081 0002088381352 3;JKN
Patrick K.; 5.3.9.201904290125 4 79286 1#0##0#0#0.0#2019-10-02
10:47:07#0#00:00:00#00:00:00#00:00:00 1 d56931401bf5c832f53833e267f5a454
7171104 C 3 CP 2 01/10/2019 01/10/2019 12/07/1947 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LUSYE TINTINGON 051969 72 26379 DR
YULIANA HARTONO,SPM 0309R0191019V000080 0001250406527 3;JKN Patrick K.;
5.3.9.201904290125 4 79287 1#0##0#0#0.0#2019-10-02
10:47:52#0#00:00:00#00:00:00#00:00:00 1 f84f20a37073e35adecb43d33489bc37
7171104 C 3 CP 2 01/10/2019 01/10/2019 17/10/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROBERT KAREL MAN0PO 011948 63 23360 DR
DYANA T.WATANIA,SPM 0309R0191019V000078 0001304827615 3;JKN Patrick K.;
5.3.9.201904290125 4 79288 1#0##0#0#0.0#2019-10-02
10:50:28#0#00:00:00#00:00:00#00:00:00 1 f9596fd26a1690cda1fb090f1e5331a1
7171104 C 3 CP 2 01/10/2019 01/10/2019 15/04/1968 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FAUZIAH W KURNIAWAN 042007 51 18796 DR
RALF PANGALILA,SPM 0309R0191019V000052 0001651178226 3;JKN linda03;
5.3.9.201904290125 4 79253 1#0##0#0#0.0#2019-10-02
10:51:23#0#00:00:00#00:00:00#00:00:00 1 f576a3cdf9a83de3bdf6f0055358694d
7171104 C 3 CP 2 01/10/2019 01/10/2019 12/08/1982 0 1
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARTHUR SUSANTO MOESADI 035756 37 13564
DR RALF PANGALILA,SPM 0309R0191019V000049 0000201311302 3;JKN
linda03; 5.3.9.201904290125 4 79289 1#0##0#0#0.0#2019-10-02
10:52:18#0#00:00:00#00:00:00#00:00:00 1 6f2fa26a0d8e4e29a0424d3422f6d57d
7171104 C 3 CP 2 01/10/2019 01/10/2019 24/12/1959 0 1
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHANIS MASEHI TAIDI 025721 59 21831
DR.MELISA RATAG,SPM 0309R0191019V000076 0002220161793 3;JKN
Patrick K.; 5.3.9.201904290125 4 79290 1#0##0#0#0.0#2019-10-02
10:52:23#0#00:00:00#00:00:00#00:00:00 1 1aa146b93851edb5f2372f36856e9361
7171104 C 3 CP 2 01/10/2019 01/10/2019 15/01/1962 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SELVY DAUD 014388 57 21078 DR RALF
PANGALILA,SPM 0309R0191019V000051 0001814554978 3;JKN linda03;
5.3.9.201904290125 4 79291 1#0##0#0#0.0#2019-10-02
10:58:43#0#00:00:00#00:00:00#00:00:00 1 7b63e9403f0d354fc711f27017a7d80c
7171104 C 3 CP 2 01/10/2019 01/10/2019 24/11/1948 0 1
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NELSON WONOMBONG 023911 70 25878 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000048 0000004437314 3;JKN
linda03; 5.3.9.201904290125 4 79292 1#0##0#0#0.0#2019-10-02
11:01:04#0#00:00:00#00:00:00#00:00:00 1 f21130b58b30a50038a7e1ba3b0a0ad3
7171104 C 3 CP 2 01/10/2019 01/10/2019 27/12/1967 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DOORTJI BANDER 050808 51 18906 DR.MELISA
RATAG,SPM 0309R0191019V000047 0001571174965 3;JKN linda03;
5.3.9.201904290125 4 79293 1#0##0#0#0.0#2019-10-02
11:01:57#0#00:00:00#00:00:00#00:00:00 1 a37cba55b2bc5749959dd9cc3304cb21
7171104 C 3 CP 2 01/10/2019 01/10/2019 23/07/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALEX D. TENDEAN JOUKE 041960 71 26002
DR.MELISA RATAG,SPM 0309R0191019V000046 0000138276876 3;JKN
linda03; 5.3.9.201904290125 4 79294 1#0##0#0#0.0#2019-10-02
11:02:38#0#00:00:00#00:00:00#00:00:00 1 ead784a3f610747bc991508cddbae9d1
7171104 C 3 CP 2 01/10/2019 01/10/2019 12/01/1945 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADELINA SOMPIE 014490 74 27290
DR.MELISA RATAG,SPM 0309R0191019V000043 0001875787931 3;JKN
linda03; 5.3.9.201904290125 4 79295 1#0##0#0#0.0#2019-10-02
11:09:15#0#00:00:00#00:00:00#00:00:00 1 65346533bdf6496ffe84dd68bef5162d
7171104 C 3 CP 2 01/10/2019 01/10/2019 17/09/1949 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WOLTERS NANONO 052003 70 25581 DR RALF
PANGALILA,SPM 0309R0191019V000042 0000137544759 3;JKN linda03;
5.3.9.201904290125 4 79296 1#0##0#0#0.0#2019-10-02
11:18:35#0#00:00:00#00:00:00#00:00:00 1 91db4a656e38068163863dc8d2b3c903
7171104 C 3 CP 2 01/10/2019 01/10/2019 28/10/1961 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NELLY SALAWATI 023848 57 21157 DR
YULIANA HARTONO,SPM 0309R0191019V000041 0001448495853 3;JKN linda03;
5.3.9.201904290125 4 79297 1#0##0#0#0.0#2019-10-02
11:19:29#0#00:00:00#00:00:00#00:00:00 1 f35bce26b58298f6e01d9cc78f71a341
7171104 C 3 CP 2 01/10/2019 01/10/2019 08/06/1956 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BERNITJE KAHIMPONG 052002 63 23125 DR
DYANA T.WATANIA,SPM 0309R0191019V000040 0000137544761 3;JKN linda03;
5.3.9.201904290125 4 79298 1#0##0#0#0.0#2019-10-02
11:20:19#0#00:00:00#00:00:00#00:00:00 1 6c72428d5993eecf9380cf320258fc0d
7171104 C 3 CP 2 01/10/2019 01/10/2019 19/08/2005 0 1
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MUHAMAD RIFAI 052001 14 5156 DR YULIANA
HARTONO,SPM 0309R0191019V000039 0001648406799 3;JKN linda03;
5.3.9.201904290125 4 79299 1#0##0#0#0.0#2019-10-02
11:21:16#0#00:00:00#00:00:00#00:00:00 1 2739e536b9b51175de8217f13f8fa1d2
7171104 C 3 CP 2 01/10/2019 01/10/2019 20/12/1957 0 2
1 Z96.1;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DOLIMA LAUSO 051153 61 22565 DR
DYANA T.WATANIA,SPM 0309R0191019V000038 0002444912425 3;JKN linda03;
5.3.9.201904290125 4 79300 1#0##0#0#0.0#2019-10-02
11:29:36#0#00:00:00#00:00:00#00:00:00 1 e47a0539f96a893a48f3d5063373ef23
7171104 C 3 CP 2 01/10/2019 01/10/2019 16/01/1951 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JAN MUAJA 045677 68 25095 DR DYANA
T.WATANIA,SPM 0309R0191019V000037 0001250440042 3;JKN linda03;
5.3.9.201904290125 4 79301 1#0##0#0#0.0#2019-10-02
11:35:01#0#00:00:00#00:00:00#00:00:00 1 05c15cea9f217d817c607cde3e3c3e1c
7171104 C 3 CP 2 01/10/2019 01/10/2019 15/05/1941 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 APOLONIA MANOPPO 051610 78 28628 DR
YULIANA HARTONO,SPM 0309R0191019V000036 0002442454301 3;JKN linda03;
5.3.9.201904290125 4 79302 1#0##0#0#0.0#2019-10-02
11:36:35#0#00:00:00#00:00:00#00:00:00 1 6db6ab5d2823c6d0430bdeb3b18e546a
7171104 C 3 CP 2 01/10/2019 01/10/2019 03/05/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ILYAS RACHMAN 036559 70 25718 DR RALF
PANGALILA,SPM 0309R0191019V000151 0001164103503 3;JKN Vian02;
5.3.9.201904290125 4 79304 1#0##0#0#0.0#2019-10-02
11:38:21#0#00:00:00#00:00:00#00:00:00 1 340476a70de59d3beeb53081446fc523
7171104 C 3 CP 2 01/10/2019 01/10/2019 09/04/1958 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VONNY AHADA 050076 61 22455 DR DYANA
T.WATANIA,SPM 0309R0191019V000152 0001885580482 3;JKN Vian02;
5.3.9.201904290125 4 79305 1#0##0#0#0.0#2019-10-02
11:39:45#0#00:00:00#00:00:00#00:00:00 1 0897a1a02e5ce62722cf9e3bcc23b753
7171104 C 3 CP 2 01/10/2019 01/10/2019 19/03/1934 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTINA PASIOWAN 021124 85 31242 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V000153 0001565096174 3;JKN Vian02;
5.3.9.201904290125 4 79306 1#0##0#0#0.0#2019-10-02
11:40:57#0#00:00:00#00:00:00#00:00:00 1 1e34b2a253fe4099dbfb4a8eda6cb6cd
7171104 C 3 CP 2 01/10/2019 01/10/2019 14/12/1951 0 1
1 Z96.1;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 IBRAHIM SIMBAR 015319 67 24763 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000154 0001250261335 3;JKN
Vian02; 5.3.9.201904290125 4 79307 1#0##0#0#0.0#2019-10-02
11:41:58#0#00:00:00#00:00:00#00:00:00 1 e0b81cece67c447e31871cf93a1fc91e
7171104 C 3 CP 2 01/10/2019 01/10/2019 03/06/1968 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANTHONETA ANISE 052016 51 18747
DR.MELISA RATAG,SPM 0309R0191019V000155 0000906836051 3;JKN
Vian02; 5.3.9.201904290125 4 79308 1#0##0#0#0.0#2019-10-02
11:46:15#0#00:00:00#00:00:00#00:00:00 1 779879245fd67fa57bd0c2f4237f2fa4
7171104 C 3 CP 2 01/10/2019 01/10/2019 28/01/1938 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULES LUMATAUW 050444 81 29831 DR DYANA
T.WATANIA,SPM 0309R0191019V000157 0000138099025 3;JKN Vian02;
5.3.9.201904290125 4 79309 1#0##0#0#0.0#2019-10-02
11:47:15#0#00:00:00#00:00:00#00:00:00 1 b00f6df8369e068972b38c701d771b83
7171104 C 3 CP 2 01/10/2019 01/10/2019 20/06/1980 0 1
1 H52.7 95.16;95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YANCE MANGARE 052018 39 14347 DR
DYANA T.WATANIA,SPM 0309R0191019V000158 0001567911159 3;JKN Vian02;
5.3.9.201904290125 4 79310 1#0##0#0#0.0#2019-10-02
11:48:40#0#00:00:00#00:00:00#00:00:00 1 9c0f93276ad4a17756521d48e739d715
7171104 C 3 CP 2 01/10/2019 01/10/2019 21/11/1953 0 2
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NONTJE MARAMIS 052000 65 24055 DR.MELISA
RATAG,SPM 0309R0191019V000035 0000139095652 3;JKN linda03;
5.3.9.201904290125 4 79303 1#0##0#0#0.0#2019-10-02
11:49:50#0#00:00:00#00:00:00#00:00:00 1 526e5bada538c0e66cc7e442f15b6d78
7171104 C 3 CP 2 01/10/2019 01/10/2019 08/12/1949 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NICO JOHANES TAMPI 050972 69 25499
DR YULIANA HARTONO,SPM 0309R0191019V000159 0001447221712 3;JKN
Vian02; 5.3.9.201904290125 4 79311 1#0##0#0#0.0#2019-10-02
11:49:54#0#00:00:00#00:00:00#00:00:00 1 0b26f14988daa5843babae52781e036b
7171104 C 3 CP 2 01/10/2019 01/10/2019 05/03/1963 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SARTINI MENO MATIHO 052019 56 20664
DR RALF PANGALILA,SPM 0309R0191019V000161 0000137589129 3;JKN
Vian02; 5.3.9.201904290125 4 79312 1#0##0#0#0.0#2019-10-02
11:51:27#0#00:00:00#00:00:00#00:00:00 1 cfc04062ed4e43682be57dd8d9323740
7171104 C 3 CP 2 01/10/2019 01/10/2019 22/03/1961 0 1
1 H25.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTHEN SENGKA 052020 58 21377 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000162 0002258105286 3;JKN
Vian02; 5.3.9.201904290125 4 79313 1#0##0#0#0.0#2019-10-02
12:04:02#0#00:00:00#00:00:00#00:00:00 1 ac79d8df2b997a6c1a5b4106c45d2fc3
7171104 C 3 CP 2 01/10/2019 01/10/2019 22/11/1995 0 2
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 IKA RO'IFATUL FAUZIAH 052022 23 8714 DR
YULIANA HARTONO,SPM 0309R0191019V000164 0000673702896 3;JKN Vian02;
5.3.9.201904290125 4 79314 1#0##0#0#0.0#2019-10-02
12:05:52#0#00:00:00#00:00:00#00:00:00 1 a81b9c89db6835039acde2094736d887
7171104 C 3 CP 2 01/10/2019 01/10/2019 08/07/1993 0 2
1 Z09.8;H40.0;H52.2;H52.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MIRNA NANIU 051819 26 9581 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V000165 0002044464096 3;JKN Vian02;
5.3.9.201904290125 4 79315 1#0##0#0#0.0#2019-10-02
12:12:43#0#00:00:00#00:00:00#00:00:00 1 4edea3810c87f9bc83bbb1648b81e6bb
7171104 C 3 CP 2 01/10/2019 01/10/2019 20/12/1952 0 2
1 Z96.1;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KETTY LIANA TUMBOIMBELA 047933 66 24391
DR DYANA T.WATANIA,SPM 0309R0191019V000166 0002465613742 3;JKN
Vian02; 5.3.9.201904290125 4 79316 1#0##0#0#0.0#2019-10-02
12:13:31#0#00:00:00#00:00:00#00:00:00 1 e8ef049f6874fda732c2590f76174075
7171104 C 3 CP 2 01/10/2019 01/10/2019 14/06/1953 0 2
1 Z09.8;H40.2;Z96.1;H25.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RINNE FIECE LASUT 047358 66 24215 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000167 0000977187598 3;JKN
Vian02; 5.3.9.201904290125 4 79317 1#0##0#0#0.0#2019-10-02
12:16:09#0#00:00:00#00:00:00#00:00:00 1 189d0493da6c7ff66be7669db5623d08
7171104 C 3 CP 2 01/10/2019 01/10/2019 12/06/1956 0 2
1 Z09.8;H04.1;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANTONIA ANI KALENSUN 015277 63 23121
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000168 0000138919533 3;JKN
Vian02; 5.3.9.201904290125 4 79318 1#0##0#0#0.0#2019-10-02
12:16:54#0#00:00:00#00:00:00#00:00:00 1 2465bca242b7ba43b42cbd8ba98d5da2
7171104 C 3 CP 2 01/10/2019 01/10/2019 17/04/1953 0 2
1 H25.0;Z96.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AISYAH SYAUS 029108 66 24273 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000169 0001452113482 3;JKN
Vian02; 5.3.9.201904290125 4 79319 1#0##0#0#0.0#2019-10-02
12:17:47#0#00:00:00#00:00:00#00:00:00 1 c43f5eed304345cf7c6c4b0c9bc79552
7171104 C 3 CP 2 01/10/2019 01/10/2019 17/05/1981 0 1
1 Z09.8;H18.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MASRAN SAHI 046555 38 14016 DR.MELISA
RATAG,SPM 0309R0191019V000170 0001078403556 3;JKN Vian02;
5.3.9.201904290125 4 79320 1#0##0#0#0.0#2019-10-02
12:19:08#0#00:00:00#00:00:00#00:00:00 1 ea0e61402bab8d32623216161b27e14f
7171104 C 3 CP 2 01/10/2019 01/10/2019 20/05/1964 0 1
1 Z09.8;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRANGKY E. B. SANGIAN 051798 55 20222
DR DYANA T.WATANIA,SPM 0309R0191019V000171 0000137229423 3;JKN
Vian02; 5.3.9.201904290125 4 79321 1#0##0#0#0.0#2019-10-02
12:23:40#0#00:00:00#00:00:00#00:00:00 1 d5f145533037e98fc1a4db7fca809753
7171104 C 3 CP 2 01/10/2019 01/10/2019 07/10/1937 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PAULINA RAINTUNG 051180 81 29944 DR RALF
PANGALILA,SPM 0309R0191019V000172 0002056359249 3;JKN Vian02;
5.3.9.201904290125 4 79322 1#0##0#0#0.0#2019-10-02
12:25:01#0#00:00:00#00:00:00#00:00:00 1 ce092e75d1a9365861fea31d15616b7f
7171104 C 3 CP 2 01/10/2019 01/10/2019 02/12/1945 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ENGELIN S. SOMPOTAN 052023 73 26966
DR.MELISA RATAG,SPM 0309R0191019V000173 0002389381503 3;JKN
Vian02; 5.3.9.201904290125 4 79323 1#0##0#0#0.0#2019-10-02
12:25:47#0#00:00:00#00:00:00#00:00:00 1 c7a5969c2aa7a036c9c1f6492babf3e3
7171104 C 3 CP 2 01/10/2019 01/10/2019 05/07/1942 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUL GANDA 050824 77 28212 DR.MELISA
RATAG,SPM 0309R0191019V000174 0000909411265 3;JKN Vian02;
5.3.9.201904290125 4 79324 1#0##0#0#0.0#2019-10-02
12:27:31#0#00:00:00#00:00:00#00:00:00 1 dcb7b41b11a77883ea8d89c01f90b91d
7171104 C 3 CP 2 01/10/2019 01/10/2019 25/05/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JENNY EMMA LOING 052024 70 25696 DR YULIANA
HARTONO,SPM 0309R0191019V000175 0000137164048 3;JKN Vian02;
5.3.9.201904290125 4 79325 1#0##0#0#0.0#2019-10-02
12:28:44#0#00:00:00#00:00:00#00:00:00 1 09ec6767a0501a627873962e726c9736
7171104 C 3 CP 2 01/10/2019 01/10/2019 25/01/1940 0 2
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WENY LIMENGAN 023893 79 29104 DR
YULIANA HARTONO,SPM 0309R0191019V000176 0001807577482 3;JKN Vian02;
5.3.9.201904290125 4 79326 1#0##0#0#0.0#2019-10-02
12:30:03#0#00:00:00#00:00:00#00:00:00 1 d0d9ab44fdfae2d56b329553c091d2f2
7171104 C 3 CP 2 01/10/2019 01/10/2019 18/01/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JENNY WIJAYAWATY TOHAR 047934 64 23632 DR
DYANA T.WATANIA,SPM 0309R0191019V000177 0002089779322 3;JKN Vian02;
5.3.9.201904290125 4 79327 1#0##0#0#0.0#2019-10-02
12:30:42#0#00:00:00#00:00:00#00:00:00 1 85e872f794a0ea60814230c957ed58ea
7171104 C 3 CP 2 01/10/2019 01/10/2019 16/09/1952 0 1
1 Z96.1;H43.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEMMY KAUNANG 010797 67 24486 DR
DYANA T.WATANIA,SPM 0309R0191019V000178 0001312511962 3;JKN Vian02;
5.3.9.201904290125 4 79328 1#0##0#0#0.0#2019-10-02
12:32:34#0#00:00:00#00:00:00#00:00:00 1 faf429590b2fe607a1b86669285b93d0
7171104 C 3 CP 2 01/10/2019 01/10/2019 05/12/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEITJE WURANGIAN 050586 76 28059 DR RALF
PANGALILA,SPM 0309R0191019V000179 0000909455927 3;JKN Vian02;
5.3.9.201904290125 4 79329 1#0##0#0#0.0#2019-10-02
12:33:15#0#00:00:00#00:00:00#00:00:00 1 d8fd0afbb320f6a7e26a919e46e355a6
7171104 C 3 CP 2 01/10/2019 01/10/2019 27/06/1961 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARKUS ANG 051865 58 21280 DR YULIANA
HARTONO,SPM 0309R0191019V000180 0002756860648 3;JKN Vian02;
5.3.9.201904290125 4 79330 1#0##0#0#0.0#2019-10-02
12:34:30#0#00:00:00#00:00:00#00:00:00 1 443443d329227a9279c6654131c0799e
7171104 C 3 CP 2 01/10/2019 01/10/2019 12/04/1974 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALBERT K. LANGUJU 050262 45 16608 DR DYANA
T.WATANIA,SPM 0309R0191019V000181 0000137079088 3;JKN Vian02;
5.3.9.201904290125 4 79331 1#0##0#0#0.0#2019-10-02
12:35:20#0#00:00:00#00:00:00#00:00:00 1 e88bc359f6f284d3ab4288396824d495
7171104 C 3 CP 2 01/10/2019 01/10/2019 22/09/1942 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STIN LENDONGAN 051181 77 28133 DR
RALF PANGALILA,SPM 0309R0191019V000182 0001821599245 3;JKN Vian02;
5.3.9.201904290125 4 79332 1#0##0#0#0.0#2019-10-02
12:37:16#0#00:00:00#00:00:00#00:00:00 1 ac18d661561b5f215956aff656b21ed8
7171104 C 3 CP 2 01/10/2019 01/10/2019 10/04/1954 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BRUCE MAKAWIMBANG 007029 65 23915 DR DYANA
T.WATANIA,SPM 0309R0191019V000183 0001838096638 3;JKN Vian02;
5.3.9.201904290125 4 79333 1#0##0#0#0.0#2019-10-02
12:37:56#0#00:00:00#00:00:00#00:00:00 1 e147b421f95bb7f4eae1ea16a3fb2d4d
7171104 C 3 CP 2 01/10/2019 01/10/2019 10/09/1965 0 1
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOSEPH KAMBEY 032914 54 19744 DR
DYANA T.WATANIA,SPM 0309R0191019V000184 0001387385008 3;JKN Vian02;
5.3.9.201904290125 4 79334 1#0##0#0#0.0#2019-10-02
12:38:56#0#00:00:00#00:00:00#00:00:00 1 cc2948e6910a77f7a4841f6dc7457fee
7171104 C 3 CP 2 01/10/2019 01/10/2019 05/10/1945 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DJAFAR TANE PANEO 046920 73 27024 DR.MELISA
RATAG,SPM 0309R0191019V000185 0001840612509 3;JKN Vian02;
5.3.9.201904290125 4 79335 1#0##0#0#0.0#2019-10-02
12:45:18#0#00:00:00#00:00:00#00:00:00 1 a72d66e125d25de62a39290511e43718
7171104 C 3 CP 2 01/10/2019 01/10/2019 16/05/1961 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DANIEL MAKAPELE 041181 58 21322
DR.MELISA RATAG,SPM 0309R0191019V000186 0002376375197 3;JKN
Vian02; 5.3.9.201904290125 4 79336 1#0##0#0#0.0#2019-10-02
12:48:50#0#00:00:00#00:00:00#00:00:00 1 82cef14b4cc7e146abdd529854f17107
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/12/1937 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LEONORA IGIR 048225 81 29889 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V000033 0000909953559 3;JKN linda03;
5.3.9.201904290125 4 79338 1#0##0#0#0.0#2019-10-02
13:15:42#0#00:00:00#00:00:00#00:00:00 1 df1d7d8a8840de006657d67572a75301
7171104 C 3 CP 2 01/10/2019 01/10/2019 08/03/1945 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROSALI NOWING 051920 74 27235 DR
DYANA T.WATANIA,SPM 0309R0191019V000032 0001968242501 3;JKN linda03;
5.3.9.201904290125 4 79339 1#0##0#0#0.0#2019-10-02
13:16:31#0#00:00:00#00:00:00#00:00:00 1 8c31a6c40e5ff6f8326e691f8dcc2aa3
7171104 C 3 CP 2 01/10/2019 01/10/2019 15/12/1954 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LEKSI KAWUWUNG 051999 64 23666 DR YULIANA
HARTONO,SPM 0309R0191019V000031 0000136962325 3;JKN linda03;
5.3.9.201904290125 4 79340 1#0##0#0#0.0#2019-10-02
13:17:22#0#00:00:00#00:00:00#00:00:00 1 ac1fc4c7b3e273083b8fb9c9450ee275
7171104 C 3 CP 2 01/10/2019 01/10/2019 19/08/1952 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HANNI ANDRIES NAJOAN 003711 67 24514
DR YULIANA HARTONO,SPM 0309R0191019V000030 0000137241641 3;JKN
linda03; 5.3.9.201904290125 4 79341 1#0##0#0#0.0#2019-10-02
13:18:00#0#00:00:00#00:00:00#00:00:00 1 54db714f95ef30ca7e4f4969c5033908
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/03/1938 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TRESNA NAMONTI 051997 81 29799 DR RALF
PANGALILA,SPM 0309R0191019V000028 0000906367397 3;JKN linda03;
5.3.9.201904290125 4 79342 1#0##0#0#0.0#2019-10-02
13:18:51#0#00:00:00#00:00:00#00:00:00 1 b9e91c455b77be6146dc0b177639fec1
7171104 C 3 CP 2 01/10/2019 01/10/2019 09/09/2009 0 1
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOSHUA PANGERAPAN 051998 10 3674 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V000027 0000167676693 3;JKN linda03;
5.3.9.201904290125 4 79343 1#0##0#0#0.0#2019-10-02
13:19:47#0#00:00:00#00:00:00#00:00:00 1 6563602652e0fff7c7dc6c7c79537de4
7171104 C 3 CP 2 01/10/2019 01/10/2019 07/01/1975 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEIN TAMAHIWU 037075 44 16338 DR
YULIANA HARTONO,SPM 0309R0191019V000026 0001292638814 3;JKN linda03;
5.3.9.201904290125 4 79344 1#0##0#0#0.0#2019-10-02
13:20:38#0#00:00:00#00:00:00#00:00:00 1 fd6db549e1723091a37363dd23ab076b
7171104 C 3 CP 2 01/10/2019 01/10/2019 04/08/1944 0 1
1 Z09.0;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HIDEKI WOROTIKAN 051295 75 27451 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000025 0001305619402 3;JKN
linda03; 5.3.9.201904290125 4 79345 1#0##0#0#0.0#2019-10-02
13:21:23#0#00:00:00#00:00:00#00:00:00 1 25923c2e3635b0d2cc54b8d4af727957
7171104 C 3 CP 2 01/10/2019 01/10/2019 23/08/1946 0 1
1 H52.0;H52.4;H25.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNARD LODEWYK TULUNG 015970 73 26702
DR.MELISA RATAG,SPM 0309R0191019V000024 0000138271476 3;JKN
linda03; 5.3.9.201904290125 4 79346 1#0##0#0#0.0#2019-10-02
13:22:29#0#00:00:00#00:00:00#00:00:00 1 e8df5d40ad2d46d6f27f15c95b82eb5a
7171104 C 3 CP 2 01/10/2019 01/10/2019 03/03/1965 0 2
1 Z96.1;H25.0;H35.3 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAARTJE PANAMBUNAN 047584 54 19935
DR DYANA T.WATANIA,SPM 0309R0191019V000023 0000139011478 3;JKN
linda03; 5.3.9.201904290125 4 79347 1#0##0#0#0.0#2019-10-02
13:23:22#0#00:00:00#00:00:00#00:00:00 1 14f2b8d929b888a1f571a7e7800c33d3
7171104 C 3 CP 2 01/10/2019 01/10/2019 03/04/1951 0 2
1 Z09.8;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALFIEN PANDALEKE 038886 68 25018 DR
DYANA T.WATANIA,SPM 0309R0191019V000021 0000126550877 3;JKN linda03;
5.3.9.201904290125 4 79348 1#0##0#0#0.0#2019-10-02
13:24:54#0#00:00:00#00:00:00#00:00:00 1 f3a4412e6e030f16cf48a3c4ea2f4eb0
7171104 C 3 CP 2 01/10/2019 01/10/2019 11/11/1950 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BOYKE MOKODOMPIS 051934 68 25161
DR.MELISA RATAG,SPM 0309R0191019V000020 0002094763149 3;JKN
linda03; 5.3.9.201904290125 4 79349 1#0##0#0#0.0#2019-10-02
13:25:44#0#00:00:00#00:00:00#00:00:00 1 1fedd88d9117b92f2c12a7e6263b9bd3
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/05/1982 0 2
1 Z09.8;H52.4;H11.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEIVA MEISYE LOLOMBULAN 051707 37 13667
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000019 0000905337538 3;JKN
linda03; 5.3.9.201904290125 4 79350 1#0##0#0#0.0#2019-10-02
13:26:27#0#00:00:00#00:00:00#00:00:00 1 e6747055aece6925588117815bd48dfc
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/07/1965 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULITA WENUR 025631 54 19815
DR.MELISA RATAG,SPM 0309R0191019V000018 0000910247141 3;JKN
linda03; 5.3.9.201904290125 4 79351 1#0##0#0#0.0#2019-10-02
13:27:13#0#00:00:00#00:00:00#00:00:00 1 03eeadbdebb1d0af64703dcf089ec3cd
7171104 C 3 CP 2 01/10/2019 01/10/2019 09/04/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALTJI BATTO 009848 66 24281 DR DYANA
T.WATANIA,SPM 0309R0191019V000016 0001966792072 3;JKN linda03;
5.3.9.201904290125 4 79352 1#0##0#0#0.0#2019-10-02
13:27:57#0#00:00:00#00:00:00#00:00:00 1 0302e090dc89471c59dd7f27fdd4bf10
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/03/1975 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NOFRINE MALONDA 021012 44 16285 DR
YULIANA HARTONO,SPM 0309R0191019V000014 0000910084487 3;JKN linda03;
5.3.9.201904290125 4 79353 1#0##0#0#0.0#2019-10-02
13:28:34#0#00:00:00#00:00:00#00:00:00 1 6611bc65aa2fd985e559336155d2281c
7171104 C 3 CP 2 01/10/2019 01/10/2019 12/09/1954 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALEX MANTIRI 051051 65 23760 DR RALF
PANGALILA,SPM 0309R0191019V000012 0001604478633 3;JKN linda03;
5.3.9.201904290125 4 79354 1#0##0#0#0.0#2019-10-02
13:29:19#0#00:00:00#00:00:00#00:00:00 1 04cf652825cc223abd1ac94986a64507
7171104 C 3 CP 2 01/10/2019 01/10/2019 11/08/1963 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SALEH MUSA 050633 56 20505 DR YULIANA
HARTONO,SPM 0309R0191019V000189 0002236775422 3;JKN Vian02;
5.3.9.201904290125 4 79355 1#0##0#0#0.0#2019-10-02
13:29:57#0#00:00:00#00:00:00#00:00:00 1 99384ad90a1915a03638815197d029fa
7171104 C 3 CP 2 01/10/2019 01/10/2019 15/09/1958 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SUZAN DENGAH 050975 61 22296 DR.MELISA
RATAG,SPM 0309R0191019V000011 0001867704996 3;JKN linda03;
5.3.9.201904290125 4 79356 1#0##0#0#0.0#2019-10-02
13:30:35#0#00:00:00#00:00:00#00:00:00 1 60981fb445b2a14c6f26e68fc2f296d7
7171104 C 3 CP 2 01/10/2019 01/10/2019 19/09/1960 0 2
1 Z96.1;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FEMMY LEFHIA RAMBING 043379 59 21561
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000190 0001566995343 3;JKN
Vian02; 5.3.9.201904290125 4 79357 1#0##0#0#0.0#2019-10-02
13:30:49#0#00:00:00#00:00:00#00:00:00 1 3ad5300402a7c49f0ed16309131d1e4d
7171104 C 3 CP 2 01/10/2019 01/10/2019 26/10/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BASTIAAN IZAK WAGIU 050629 66 24446 DR
DYANA T.WATANIA,SPM 0309R0191019V000191 0002267552259 3;JKN Vian02;
5.3.9.201904290125 4 79358 1#0##0#0#0.0#2019-10-02
13:31:39#0#00:00:00#00:00:00#00:00:00 1 dca4fd8afa07ca01cf4b22f27e3efe4a
7171104 C 3 CP 2 01/10/2019 01/10/2019 08/06/1960 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RAMLAN SCHU 051624 59 21664 DR DYANA
T.WATANIA,SPM 0309R0191019V000193 0001261578688 3;JKN Vian02;
5.3.9.201904290125 4 79359 1#0##0#0#0.0#2019-10-02
13:32:30#0#00:00:00#00:00:00#00:00:00 1 6e3e3bed1fc6cb8b06685c5018b33698
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/07/1972 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FARIDA KASIM 052025 47 17258 DR
RALF PANGALILA,SPM 0309R0191019V000194 0000910394965 3;JKN Vian02;
5.3.9.201904290125 4 79360 1#0##0#0#0.0#2019-10-02
13:34:39#0#00:00:00#00:00:00#00:00:00 1 710dfcad00e946e79a69b82db4d560b5
7171104 C 3 CP 2 01/10/2019 01/10/2019 26/06/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JUNITA SAKUL 040169 66 24203 DR YULIANA
HARTONO,SPM 0309R0191019V000197 0000138441306 3;JKN Vian02;
5.3.9.201904290125 4 79361 1#0##0#0#0.0#2019-10-02
13:35:19#0#00:00:00#00:00:00#00:00:00 1 399d59f21d544905991d96f87056c639
7171104 C 3 CP 2 01/10/2019 01/10/2019 19/01/1957 0 1
1 Z09.8;Q11.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANTJE MONIGIR 024310 62 22900
DR.MELISA RATAG,SPM 0309R0191019V000199 0000139131797 3;JKN
Vian02; 5.3.9.201904290125 4 79362 1#0##0#0#0.0#2019-10-02
13:36:52#0#00:00:00#00:00:00#00:00:00 1 760e379aa9feb904c4070b339c12abf3
7171104 C 3 CP 2 01/10/2019 01/10/2019 10/04/1964 0 2
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINA ISKANDAR 001539 55 20262 DR
YULIANA HARTONO,SPM 0309R0191019V000202 0001823599113 3;JKN Vian02;
5.3.9.201904290125 4 79363 1#0##0#0#0.0#2019-10-02
13:37:57#0#00:00:00#00:00:00#00:00:00 1 6d9bb29f410ea2897d4aa3bf4459b93f
7171104 C 3 CP 2 01/10/2019 01/10/2019 17/09/1947 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LENNY KARUNTU 050976 72 26312 DR
DYANA T.WATANIA,SPM 0309R0191019V000010 0002069837932 3;JKN linda03;
5.3.9.201904290125 4 79364 1#0##0#0#0.0#2019-10-02
13:38:33#0#00:00:00#00:00:00#00:00:00 1 50555e6e7bb49afac8b3447d2016040b
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/04/1966 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ARNOD KAUNANG 052030 53 19541 DR DYANA
T.WATANIA,SPM 0309R0191019V000204 0000907495457 3;JKN Vian02;
5.3.9.201904290125 4 79365 1#0##0#0#0.0#2019-10-02
13:38:49#0#00:00:00#00:00:00#00:00:00 1 1680909a4bc45f68f33b8cc17e7431ea
7171104 C 3 CP 2 01/10/2019 01/10/2019 21/10/1947 0 1
1 Z09.8;H27.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FREDY RUMENGAN 051787 71 26278 DR
DYANA T.WATANIA,SPM 0309R0191019V000205 0002885646431 3;JKN Vian02;
5.3.9.201904290125 4 79366 1#0##0#0#0.0#2019-10-02
13:39:44#0#00:00:00#00:00:00#00:00:00 1 1585d825b4a3d020d42a905028a84bd8
7171104 C 3 CP 2 01/10/2019 01/10/2019 18/08/1987 0 2
1 H05.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AGUSTIEN ANGELIA KIMBAL 052032 32 11732 DR
YULIANA HARTONO,SPM 0309R0191019V000206 0002389026047 3;JKN Vian02;
5.3.9.201904290125 4 79367 1#0##0#0#0.0#2019-10-02
13:40:41#0#00:00:00#00:00:00#00:00:00 1 e7a287448c6b64d85d62c1e955835284
7171104 C 3 CP 2 01/10/2019 01/10/2019 30/01/1978 0 2
1 Z09.8;H26.9;H33.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FATMAWATI AMALI, S.AG 051536 41 15219
DR DYANA T.WATANIA,SPM 0309R0191019V000009 0000159311687 3;JKN
linda03; 5.3.9.201904290125 4 79369 1#0##0#0#0.0#2019-10-02
13:41:40#0#00:00:00#00:00:00#00:00:00 1 32875c50c68003e4c4af1559d9e959b9
7171104 C 3 CP 2 01/10/2019 01/10/2019 14/05/1959 0 2
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SIENTJE LANGOY 015976 60 22055 DR
RALF PANGALILA,SPM 0309R0191019V000207 0000137385314 3;JKN Vian02;
5.3.9.201904290125 4 79368 1#0##0#0#0.0#2019-10-02
13:41:47#0#00:00:00#00:00:00#00:00:00 1 0af31f7a1fe1239d72f814ca111832e2
7171104 C 3 CP 2 01/10/2019 01/10/2019 13/01/1941 0 2
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTINA RORI 029112 78 28750 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000007 0001568199778 3;JKN
linda03; 5.3.9.201904290125 4 79370 1#0##0#0#0.0#2019-10-02
13:42:17#0#00:00:00#00:00:00#00:00:00 1 27f09ea1052afd81acad85a123ecb7f7
7171104 C 3 CP 2 01/10/2019 01/10/2019 03/07/1968 0 2
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUDIT PETRA C KAUNANG 050917 51 18717
DR YULIANA HARTONO,SPM 0309R0191019V000208 0002230804765 3;JKN
Vian02; 5.3.9.201904290125 4 79371 1#0##0#0#0.0#2019-10-02
13:42:36#0#00:00:00#00:00:00#00:00:00 1 258aaeaaa403a981b1da9bd3f7c10eef
7171104 C 3 CP 2 01/10/2019 01/10/2019 12/07/1971 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TELLY HENNY LUMOLOS 032843 48 17613
DR YULIANA HARTONO,SPM 0309R0191019V000006 0000137804343 3;JKN
linda03; 5.3.9.201904290125 4 79372 1#0##0#0#0.0#2019-10-02
13:43:06#0#00:00:00#00:00:00#00:00:00 1 dcea046b596f041722ef9d041358f7fa
7171104 C 3 CP 2 01/10/2019 01/10/2019 19/12/1945 0 2
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HALIMA IDRUS 052033 73 26949 DR
DYANA T.WATANIA,SPM 0309R0191019V000210 0000138032425 3;JKN Vian02;
5.3.9.201904290125 4 79373 1#0##0#0#0.0#2019-10-02
13:43:29#0#00:00:00#00:00:00#00:00:00 1 b4be3c489c30c37c6d6189afccf57518
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/03/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOTJE LUMENTA 050783 64 23590 DR YULIANA
HARTONO,SPM 0309R0191019V000005 0001604491863 3;JKN linda03;
5.3.9.201904290125 4 79374 1#0##0#0#0.0#2019-10-02
13:43:52#0#00:00:00#00:00:00#00:00:00 1 d4e6140b90a0d634d3fcfa8565bf76dc
7171104 C 3 CP 2 01/10/2019 01/10/2019 30/05/1987 0 2
1 Z09.8;H44.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FLORA SUNDAH 051815 32 11812 DR
DYANA T.WATANIA,SPM 0309R0191019V000211 0001569920049 3;JKN Vian02;
5.3.9.201904290125 4 79375 1#0##0#0#0.0#2019-10-02
13:44:08#0#00:00:00#00:00:00#00:00:00 1 8dad00c9cd0396a4853df93eef58add5
7171104 C 3 CP 2 01/10/2019 01/10/2019 12/06/1951 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GOFRIT WAHIR 051560 68 24948
DR.MELISA RATAG,SPM 0309R0191019V000004 0001243675923 3;JKN
linda03; 5.3.9.201904290125 4 79376 1#0##0#0#0.0#2019-10-02
13:44:30#0#00:00:00#00:00:00#00:00:00 1 341a358efe338b5ef5ac6365bd7359b0
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/10/1968 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GEBBY OLLYVIA ESTHER MENGKO 030468 50
18627 DR DYANA T.WATANIA,SPM 0309R0191019V000213 0000909649089 3;JKN
Vian02; 5.3.9.201904290125 4 79377 1#0##0#0#0.0#2019-10-02
13:45:01#0#00:00:00#00:00:00#00:00:00 1 8aff1b96118abd110b5838e8cadeb49a
7171104 C 3 CP 2 01/10/2019 01/10/2019 04/03/1965 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MASYE RUMONDOR 051596 54 19934
DR.MELISA RATAG,SPM 0309R0191019V000003 0001983549431 3;JKN
linda03; 5.3.9.201904290125 4 79378 1#0##0#0#0.0#2019-10-02
13:45:08#0#00:00:00#00:00:00#00:00:00 1 157d94b7b96701cce5fe66d6d804469b
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/01/1966 0 1
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 EFRAIM TUMBEL 030467 53 19631 DR DYANA
T.WATANIA,SPM 0309R0191019V000214 0000909648426 3;JKN Vian02;
5.3.9.201904290125 4 79379 1#0##0#0#0.0#2019-10-02
13:45:43#0#00:00:00#00:00:00#00:00:00 1 484193282ac21ad5492e82148f48b263
7171104 C 3 CP 2 01/10/2019 01/10/2019 05/04/1957 0 1
1 Z09.8;H25.1;H40.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HASAN RAHMOLA 050594 62 22824 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000002 0002259897603 3;JKN
linda03; 5.3.9.201904290125 4 79380 1#0##0#0#0.0#2019-10-02
13:45:50#0#00:00:00#00:00:00#00:00:00 1 ef8ad9f1d8c4031da65bab5425453291
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/11/1963 0 2
1 Z09.8;H20.0;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KATRINTJE ALANG 051846 55 20423 DR
RALF PANGALILA,SPM 0309R0191019V000215 0000908174147 3;JKN Vian02;
5.3.9.201904290125 4 79381 1#0##0#0#0.0#2019-10-02
13:46:34#0#00:00:00#00:00:00#00:00:00 1 d5dd8b91163c1da2a07d0bee3fe422c1
7171104 C 3 CP 2 01/10/2019 01/10/2019 27/06/1962 0 2
1 Z09.8;H35.2;H33.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RETNY HAMLAN 050648 57 20915 DR
DYANA T.WATANIA,SPM 0309R0191019V000001 0000136624678 3;JKN linda03;
5.3.9.201904290125 4 79382 1#0##0#0#0.0#2019-10-02
13:46:49#0#00:00:00#00:00:00#00:00:00 1 c02f0b5a875143c892f7130cb5d69ea6
7171104 C 3 CP 2 01/10/2019 01/10/2019 10/02/1984 0 1
1 Z09.8;H33.0;H40.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HERDI FABRIAN THIO 026098 35 13017
DR DYANA T.WATANIA,SPM 0309R0191019V000217 0001326368698 3;JKN
Vian02; 5.3.9.201904290125 4 79383 1#0##0#0#0.0#2019-10-02
13:47:15#0#00:00:00#00:00:00#00:00:00 1 7956b977c0b84088e971d21057ff8962
7171104 C 3 CP 2 01/10/2019 01/10/2019 18/04/1944 0 1
1 Z09.8;H40.1;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELVIANUS NGANGI 003675 75 27559 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000218 0001450948972 3;JKN
Vian02; 5.3.9.201904290125 4 79384 1#0##0#0#0.0#2019-10-02
13:48:26#0#00:00:00#00:00:00#00:00:00 1 31ad7f6eaecbce05458abe0a0025a62a
7171104 C 3 CP 2 01/10/2019 01/10/2019 02/03/1947 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTHEN JOHNNY PATRAS 050267 72 26511 DR
RALF PANGALILA,SPM 0309R0191019V000222 0002769461065 3;JKN Vian02;
5.3.9.201904290125 4 79385 1#0##0#0#0.0#2019-10-02
13:49:15#0#00:00:00#00:00:00#00:00:00 1 c5f2dcf47b87b3a39332cd6a3a90caec
7171104 C 3 CP 2 01/10/2019 01/10/2019 06/03/1973 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENDRIK JASWITO MARDJUKI 052039 46
17010 DR RALF PANGALILA,SPM 0309R0191019V000223 0001729707557 3;JKN
Vian02; 5.3.9.201904290125 4 79386 1#0##0#0#0.0#2019-10-02
13:50:01#0#00:00:00#00:00:00#00:00:00 1 463b5e37ba089ddadd22db65b1786db8
7171104 C 3 CP 2 01/10/2019 01/10/2019 24/11/1985 0 1
1 Z09.8;H16.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BRIAN JONATHAN GERALDY PUA 051914 33
12364 DR DYANA T.WATANIA,SPM 0309R0191019V000224 0002388501077 3;JKN
Vian02; 5.3.9.201904290125 4 79387 1#0##0#0#0.0#2019-10-02
13:51:16#0#00:00:00#00:00:00#00:00:00 1 9542d578fb8f944fb1242664275a1081
7171104 C 3 CP 2 01/10/2019 01/10/2019 17/04/1958 0 2
1 Z09.8;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RARUNG TIENEKE ALBERTHIN 042718 61
22447 DR DYANA T.WATANIA,SPM 0309R0191019V000225 0000139012209 3;JKN
Vian02; 5.3.9.201904290125 4 79388 1#0##0#0#0.0#2019-10-02
13:52:11#0#00:00:00#00:00:00#00:00:00 1 b5f48b66ed635c074abd22b80210b4dd
7171104 C 3 CP 2 01/10/2019 01/10/2019 23/10/1945 0 2
1 Z96.1;H43.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LENNY SONDAKH 017814 73 27006 DR
DYANA T.WATANIA,SPM 0309R0191019V000226 0002046900914 3;JKN Vian02;
5.3.9.201904290125 4 79389 1#0##0#0#0.0#2019-10-02
13:53:00#0#00:00:00#00:00:00#00:00:00 1 5d542d9e0f12ffb8777e0138e9b69681
7171104 C 1 CP 1 30/09/2019 01/10/2019 08/02/1951 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5989900
0 0 - 0 - 0 - 0 - 0 5989900
9807400 0 2 0 0 0 M. D. NELWAN 051800 68
25071 DR MARIA E.D.S ORATMANGUN,SPM 0309R0190919V003765 0000205797734
3;JKN eka06; 5.3.9.201904290125 4 79648 1#0##0#0#0.0#2019-10-04
11:51:55#0#00:00:00#00:00:00#00:00:00 1 b65d38e053ed68e25b221b10d10b7014
7171104 C 3 CP 1 30/09/2019 01/10/2019 01/03/1964 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 HES PANDENSOLANG 051842 55
20301 DR YULIANA HARTONO,SPM 0309R0190919V003860 0000907768776 3;JKN
eka06; 5.3.9.201904290125 4 79649 1#0##0#0#0.0#2019-10-04
11:52:44#0#00:00:00#00:00:00#00:00:00 1 f46449e8e86fcfc27bc6a2a25aec14e5
7171104 C 3 CP 1 30/09/2019 01/10/2019 01/02/1941 0 1
1 C69.9 10.31;10.21;10.44 - - None None None None H-1-20-I
None None None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN)
4278500 0 0 - 0 - 0 - 0 - 0
4278500 3825400 0 2 0 0 0 HARTIN PARESE 051792
78 28730 DR YULIANA HARTONO,SPM 0309R0190919V003845 0000906374248
3;JKN eka06; 5.3.9.201904290125 4 79650 1#0##0#0#0.0#2019-10-04
11:59:29#0#00:00:00#00:00:00#00:00:00 1 7da8a1b53bb68cb6b2dfcce970e8f72d
7171104 C 2 CP 1 30/09/2019 01/10/2019 28/02/1954 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5134200
0 0 - 0 - 0 - 0 - 0 5134200
9807400 0 2 0 0 0 ARNOLD JANTJE PINANGKAAN 051636
65 23955 DR MARIA E.D.S ORATMANGUN,SPM 0309R0190919V003747
0000138049975 3;JKN eka06; 5.3.9.201904290125 4 79651
1#0##0#0#0.0#2019-10-04 12:00:52#0#00:00:00#00:00:00#00:00:00 1
6079b39dfd4ccbc5dbbed045358828cf
7171104 C 1 CP 1 30/09/2019 01/10/2019 11/01/1965 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5989900
0 0 - 0 - 0 - 0 - 0 5989900
9807400 0 2 0 0 0 LESLY MAMBU 011605 54 19985
DR MARIA E.D.S ORATMANGUN,SPM 0309R0190919V003829 0000137467776 3;JKN
eka06; 5.3.9.201904290125 4 80145 1#0##0#0#0.0#2019-10-09
11:06:37#0#00:00:00#00:00:00#00:00:00 1 9a8c47fff6aafd43328e278a09cdeb74
7171104 C 2 CP 1 30/09/2019 01/10/2019 03/11/1944 0 2
1 H25.2;H40.5;H21.5 13.59;12.64 - - None None None None H-1-
30-I None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
7812300 0 0 - 0 - 0 - 0 - 0
7812300 3825400 0 2 0 0 0 MARTENSI TATANGINDATU
051003 74 27359 DR MARIA E.D.S ORATMANGUN,SPM 0309R0190919V003766
0002040693895 3;JKN eka06; 5.3.9.201904290125 4 80146
1#0##0#0#0.0#2019-10-09 11:11:34#0#00:00:00#00:00:00#00:00:00 1
d41059d3a2cd2814cc544896305a69e8
7171104 C 3 CP 2 01/10/2019 01/10/2019 05/12/1952 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 RICHARD F KOROMPIS 044970 66 24406
DR.MELISA RATAG,SPM 0309R0191019V000188 0000169373384 3;JKN
Boni04; 5.3.9.201904290125 4 80717 1#0##0#0#0.0#2019-10-12
11:29:49#0#00:00:00#00:00:00#00:00:00 1 1924b050ad700e34d6507d5e8a2f32a8
7171104 C 3 CP 2 01/10/2019 01/10/2019 15/03/1954 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 MAXI OROH 051907 65 23941 DR.MELISA
RATAG,SPM 0309R0191019V000138 0000907850643 3;JKN Boni04;
5.3.9.201904290125 4 80718 1#0##0#0#0.0#2019-10-12
11:35:59#0#00:00:00#00:00:00#00:00:00 1 bd180c05c6e4f0e7dac55e88d69d833d
7171104 C 3 CP 2 01/10/2019 01/10/2019 14/06/1952 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 SEMUEL PULUMBARA 019565 67 24580
DR.MELISA RATAG,SPM 0309R0191019V000045 0001970546883 3;JKN
Boni04; 5.3.9.201904290125 4 80719 1#0##0#0#0.0#2019-10-12
11:36:47#0#00:00:00#00:00:00#00:00:00 1 9a03480a49fa3fc8ffac74a86ede1b66
7171104 C 3 CP 2 01/10/2019 01/10/2019 10/11/1934 0 1
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 MAX JOHANIS LAPIAN 028319 84 31006 DR
RALF PANGALILA,SPM 0309R0191019V000099 0000138177279 3;JKN Boni04;
5.3.9.201904290125 4 80720 1#0##0#0#0.0#2019-10-12
11:37:37#0#00:00:00#00:00:00#00:00:00 1 84ee32168c60c55bd5334017a3ee61c4
7171104 C 3 CP 2 01/10/2019 01/10/2019 09/07/1948 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 PIET HEIN RUMIMPUNU 019753 71 26016
DR YULIANA HARTONO,SPM 0309R0191019V000015 0000139095663 3;JKN
Boni04; 5.3.9.201904290125 4 80721 1#0##0#0#0.0#2019-10-12
11:39:39#0#00:00:00#00:00:00#00:00:00 1 d6080fdb7a71a9a4f15809bf9b6117b1
7171104 C 3 CP 2 01/10/2019 01/10/2019 29/04/1940 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 ALBERT REPI 047239 79 29009 DR YULIANA
HARTONO,SPM 0309R0191019V000124 0000138103839 3;JKN Boni04;
5.3.9.201904290125 4 80722 1#0##0#0#0.0#2019-10-12
11:40:20#0#00:00:00#00:00:00#00:00:00 1 9a8b5df47661469ff119706d6d48fc06
7171104 C 3 CP 2 01/10/2019 01/10/2019 14/02/1953 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 BERNADET POMANTOW 052021 66 24335 DR
YULIANA HARTONO,SPM 0309R0191019V000163 0001848698504 3;JKN Boni04;
5.3.9.201904290125 4 80723 1#0##0#0#0.0#2019-10-12
11:41:04#0#00:00:00#00:00:00#00:00:00 1 c7178571c44bab2f1c8bf4fc8638a81a
7171104 C 3 CP 2 01/10/2019 01/10/2019 06/05/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FIENTJE M. PALAR
051965 71 26080 DR SALAM SURBAKTI,SPM 0309R0191019V000105
0000138278766 3;JKN Boni04; 5.3.9.201904290125 4 80724
1#0##0#0#0.0#2019-10-12 11:46:15#0#00:00:00#00:00:00#00:00:00 1
ff19994895e7b7999a149cb7a86deb20
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/02/1950 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SALMA IBRAHIM
051954 69 25444 DR SALAM SURBAKTI,SPM 0309R0191019V000054
0000908960591 3;JKN Boni04; 5.3.9.201904290125 4 80725
1#0##0#0#0.0#2019-10-12 11:47:01#0#00:00:00#00:00:00#00:00:00 1
7f5fe1edcc4b064d7b65194a0a237b09
7171104 C 3 CP 2 01/10/2019 01/10/2019 06/01/1948 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JAN A BOSEKE
051427 71 26201 DR IVONNE RAMENUSA,SPM 0309R0191019V000148
0000137258886 3;JKN Boni04; 5.3.9.201904290125 4 80726
1#0##0#0#0.0#2019-10-12 11:48:07#0#00:00:00#00:00:00#00:00:00 1
d90f3ecd13218ccd18facb451c015211
7171104 C 3 CP 2 01/10/2019 01/10/2019 19/07/1953 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 TANGIAN YULIANA
NELY 019122 66 24180 DR IVONNE RAMENUSA,SPM 0309R0191019V000160
0000138768715 3;JKN Boni04; 5.3.9.201904290125 4 80727
1#0##0#0#0.0#2019-10-12 11:50:12#0#00:00:00#00:00:00#00:00:00 1
e6a81d2498ba2546714dcc4e278a092c
7171104 C 3 CP 2 01/10/2019 01/10/2019 28/09/1954 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LOUISJE PONDAAG
052017 65 23744 DR IVONNE RAMENUSA,SPM 0309R0191019V000156
0000137202017 3;JKN Boni04; 5.3.9.201904290125 4 80728
1#0##0#0#0.0#2019-10-12 11:51:37#0#00:00:00#00:00:00#00:00:00 1
b3e3de241f31d6d6752f80375c2511e4
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/10/1941 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ELSI DJURIAN
051773 77 28489 DR IVONNE RAMENUSA,SPM 0309R0191019V000065
0000908015826 3;JKN Boni04; 5.3.9.201904290125 4 80729
1#0##0#0#0.0#2019-10-12 11:58:27#0#00:00:00#00:00:00#00:00:00 1
36b5f79e31f5cf08bf950e875e0013c2
7171104 C 3 CP 2 01/10/2019 01/10/2019 08/12/1955 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 WUISAN SANGIAN
051837 63 23308 DR PAULA M V LUMUNON,SPM 0309R0191019V000144
0002068776448 3;JKN Boni04; 5.3.9.201904290125 4 80730
1#0##0#0#0.0#2019-10-12 12:02:04#0#00:00:00#00:00:00#00:00:00 1
58ba658ec2df1ed33c37765a0681f3b3
7171104 C 3 CP 2 01/10/2019 01/10/2019 08/07/1936 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 BERTA SALINSIHI
051748 83 30400 DR PAULA M V LUMUNON,SPM 0309R0191019V000050
0002776666847 3;JKN Boni04; 5.3.9.201904290125 4 80731
1#0##0#0#0.0#2019-10-12 12:05:08#0#00:00:00#00:00:00#00:00:00 1
9063fe952acb6a8c91579a7bf9d1d069
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/04/1962 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LINTJE MARTJE
SINGON 051834 57 21002 DR PAULA M V LUMUNON,SPM
0309R0191019V000195 0001066832829 3;JKN Boni04; 5.3.9.201904290125
4 80732 1#0##0#0#0.0#2019-10-12 12:06:38#0#00:00:00#00:00:00#00:00:00
1 68738311156eb6047b11b2477af1d92a
7171104 C 3 CP 2 01/10/2019 01/10/2019 17/12/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARGARETHA WATUNA
051833 66 24394 DR PAULA M V LUMUNON,SPM 0309R0191019V000196
0000139127139 3;JKN Boni04; 5.3.9.201904290125 4 80733
1#0##0#0#0.0#2019-10-12 12:10:27#0#00:00:00#00:00:00#00:00:00 1
900b180bcf81dc6b212a2f9c396ad0b5
7171104 C 3 CP 2 01/10/2019 01/10/2019 28/08/1960 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 AGUSTINUS NGALA
051839 59 21583 DR PAULA M V LUMUNON,SPM 0309R0191019V000209
0001802329299 3;JKN Boni04; 5.3.9.201904290125 4 80734
1#0##0#0#0.0#2019-10-12 12:11:59#0#00:00:00#00:00:00#00:00:00 1
b6442343b2ef1c9a9cbdb829ecb6af8c
7171104 C 3 CP 2 01/10/2019 01/10/2019 30/08/1980 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 AMBROSIUS MARKUS
LOHO 051541 39 14276 DR PAULA M V LUMUNON,SPM 0309R0191019V000029
0001280693204 3;JKN Boni04; 5.3.9.201904290125 4 80735
1#0##0#0#0.0#2019-10-12 12:13:02#0#00:00:00#00:00:00#00:00:00 1
7d317dd3a3e3246c5f1274b8c0083fc6
7171104 C 3 CP 2 01/10/2019 01/10/2019 11/12/1946 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 EDDY VENTJE OWAY
051856 72 26592 DR PAULA M V LUMUNON,SPM 0309R0191019V000017
0000137144608 3;JKN Boni04; 5.3.9.201904290125 4 80736
1#0##0#0#0.0#2019-10-12 12:13:58#0#00:00:00#00:00:00#00:00:00 1
85d36f47e19298f9a2ac283a7707479c
7171104 C 3 CP 2 01/10/2019 01/10/2019 03/03/1951 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LOISA MANGONDAENG
046631 68 25049 DR PAULA M V LUMUNON,SPM 0309R0191019V000044
0001565192215 3;JKN Boni04; 5.3.9.201904290125 4 80737
1#0##0#0#0.0#2019-10-12 12:14:56#0#00:00:00#00:00:00#00:00:00 1
05f8d67f06ef11ba474eb8e7f271139d
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/02/1949 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SAARTJE LUMEMPOW
051835 70 25809 DR PAULA M V LUMUNON,SPM 0309R0191019V000085
0001066839592 3;JKN Boni04; 5.3.9.201904290125 4 80738
1#0##0#0#0.0#2019-10-12 12:16:02#0#00:00:00#00:00:00#00:00:00 1
ec378115c6494152087b7a9c0ec42fe2
7171104 C 3 CP 2 01/10/2019 01/10/2019 18/12/1946 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ELISA MAMUAJA
050760 72 26585 DR PAULA M V LUMUNON,SPM 0309R0191019V000077
0001305627254 3;JKN Boni04; 5.3.9.201904290125 4 80739
1#0##0#0#0.0#2019-10-12 12:17:05#0#00:00:00#00:00:00#00:00:00 1
39f147c21ed91bd6bc61fe698fdddfab
7171104 C 3 CP 2 01/10/2019 01/10/2019 19/11/1954 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 RIN LINTONG 052036
64 23692 DR SAUL RAPAR,SPM 0309R0191019V000220 0001604365918 3;JKN
Boni04; 5.3.9.201904290125 4 80785 1#0##0#0#0.0#2019-10-14
11:25:23#0#00:00:00#00:00:00#00:00:00 1 53649b5ef425c043e2d47133957a8db0
7171104 C 3 CP 2 01/10/2019 01/10/2019 21/08/1969 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ALTJE TUNTU 052035
50 18303 DR SAUL RAPAR,SPM 0309R0191019V000219 0001604390837 3;JKN
Boni04; 5.3.9.201904290125 4 80786 1#0##0#0#0.0#2019-10-14
11:27:12#0#00:00:00#00:00:00#00:00:00 1 5e589920579f5106cb035e533023cc20
7171104 C 3 CP 2 01/10/2019 01/10/2019 28/07/1945 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARIE JULIANA
KOJONGIAN 052029 74 27093 DR SAUL RAPAR,SPM 0309R0191019V000203
0000139071025 3;JKN Boni04; 5.3.9.201904290125 4 80830
1#0##0#0#0.0#2019-10-15 08:18:04#0#00:00:00#00:00:00#00:00:00 1
b771039ec16fa92760127771bfe68703
7171104 C 3 CP 2 01/10/2019 01/10/2019 04/10/1953 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHANIS MANOPPO
052027 65 24103 DR SAUL RAPAR,SPM 0309R0191019V000200
0001569869932 3;JKN Boni04; 5.3.9.201904290125 4 80831
1#0##0#0#0.0#2019-10-15 08:22:04#0#00:00:00#00:00:00#00:00:00 1
40a32b1d9e5fd70aed18e0414140a791
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/11/1956 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ALFRETS SAM
RUMONDA 052028 62 22979 DR SAUL RAPAR,SPM 0309R0191019V000201
0001604367663 3;JKN Boni04; 5.3.9.201904290125 4 80833
1#0##0#0#0.0#2019-10-15 08:23:07#0#00:00:00#00:00:00#00:00:00 1
f8d61643593f4fd9cbedcf7e36e4d3ef
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/07/1945 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HENNY JACOBUS
052026 74 27120 DR SAUL RAPAR,SPM 0309R0191019V000198
0000908308078 3;JKN Boni04; 5.3.9.201904290125 4 80834
1#0##0#0#0.0#2019-10-15 08:24:02#0#00:00:00#00:00:00#00:00:00 1
55dc6f6e2c78bbe521206b03d0db3614
7171104 C 3 CP 2 01/10/2019 01/10/2019 10/10/1942 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARIA WENAS 018156
76 28115 DR SAUL RAPAR,SPM 0309R0191019V000212 0001308673574 3;JKN
Boni04; 5.3.9.201904290125 4 80835 1#0##0#0#0.0#2019-10-15
08:25:02#0#00:00:00#00:00:00#00:00:00 1 8d0663eb194978c0db5a43963040f034
7171104 C 3 CP 2 01/10/2019 01/10/2019 28/09/1956 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FRETS S BUJUNG
010385 63 23013 DR SAUL RAPAR,SPM 0309R0191019V000139
0000139014459 3;JKN Boni04; 5.3.9.201904290125 4 80836
1#0##0#0#0.0#2019-10-15 08:25:51#0#00:00:00#00:00:00#00:00:00 1
605bc2d9dcb2e0faa38755ae91c7ac12
7171104 C 3 CP 2 01/10/2019 01/10/2019 31/01/1956 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ANDRIAS MONINGKA
051630 63 23254 DR SAUL RAPAR,SPM 0309R0191019V000013
0000909541989 3;JKN Boni04; 5.3.9.201904290125 4 80837
1#0##0#0#0.0#2019-10-15 08:26:43#0#00:00:00#00:00:00#00:00:00 1
ed38bbf6b53e9e12c5ee0e10d6257774
7171104 C 3 CP 2 01/10/2019 01/10/2019 11/11/1948 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ROTI SALAINTI
051629 70 25891 DR SAUL RAPAR,SPM 0309R0191019V000022
0001248027412 3;JKN Boni04; 5.3.9.201904290125 4 80838
1#0##0#0#0.0#2019-10-15 08:27:41#0#00:00:00#00:00:00#00:00:00 1
0a4c1193a7fcee9ffc1c803993e82dcb
7171104 C 3 CP 2 01/10/2019 01/10/2019 01/01/1955 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ANNA MARIE PALIT
051908 64 23649 DR SAUL RAPAR,SPM 0309R0191019V000101
0000907851982 3;JKN Boni04; 5.3.9.201904290125 4 80839
1#0##0#0#0.0#2019-10-15 08:28:41#0#00:00:00#00:00:00#00:00:00 1
24bcdc47ae0407126b544a17ef40c5d9
7171104 C 3 CP 2 01/10/2019 01/10/2019 24/12/1970 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DEVI YOVI ROMPIS
051948 48 17813 DR SAUL RAPAR,SPM 0309R0191019V000034
0001448801548 3;JKN Boni04; 5.3.9.201904290125 4 80840
1#0##0#0#0.0#2019-10-15 08:29:33#0#00:00:00#00:00:00#00:00:00 1
65249a6c47698a4020fc82f056809397
7171104 C 3 CP 1 30/09/2019 01/10/2019 01/05/1956 0 1
1 H40.5;H25.1 12.64 - - None None None None H-1-30-I None
None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6510200 0 0 - 0 - 0 - 0 - 0
6510200 1073900 0 2 0 0 0 MUSA LEMBONG 046794
63 23162 DR MARIA E.D.S ORATMANGUN,SPM 0309R0190919V003799
0000909284679 3;JKN eka06; 5.3.9.201904290125 4 83883
1#0##0#0#0.0#2019-11-02 08:43:20#0#00:00:00#00:00:00#00:00:00 1
5a2614703fe999af2f5014a2165ad66a
7171104 C 3 CP 1 30/09/2019 01/10/2019 01/10/1967 0 1
1 H40.1;H25.0 12.64 - - None None None None H-1-30-I None
None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6510200 0 0 - 0 - 0 - 0 - 0
6510200 1073900 0 2 0 0 0 NAZAR LABADJO 049918
51 18992 DR MARIA E.D.S ORATMANGUN,SPM 0309R0190919V003809
0000909737122 3;JKN eka06; 5.3.9.201904290125 4 83885
1#0##0#0#0.0#2019-11-02 08:45:11#0#00:00:00#00:00:00#00:00:00 1
925b374e1eb4cb0d849070d15917a43f
7171104 C 3 CP 2 01/10/2019 01/10/2019 08/09/1989 0 1
1 Z09.8;H35.2;H43.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADRIE MAWIKERE 043791 30 10980 DR
SALAM SURBAKTI,SPM 0309R0191019V000187 0001565227517 3;JKN linda03;
5.3.9.201904290125 4 84494 1#0##0#0#0.0#2019-11-06
13:45:46#0#00:00:00#00:00:00#00:00:00 1 359ed98e545409656df935ea829f8b0d
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/01/1949 0 1
1 Z09.8;H10.9;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SANUSI ARSYAD 051831 70 25841 DR
SAUL RAPAR,SPM 0309R0191019V000376 0000138381129 3;JKN Patrick K.;
5.3.9.201904290125 4 79390 1#0##0#0#0.0#2019-10-04
08:02:49#0#00:00:00#00:00:00#00:00:00 1 39945c58f0984e38f5590bc4c133361c
7171104 C 3 CP 2 02/10/2019 02/10/2019 17/04/1961 0 2
1 Z09.8;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SYAMSIAH ZAKARIA 017846 58 21352 DR
PAULA M V LUMUNON,SPM 0309R0191019V000375 0000138381131 3;JKN Patrick K.;
5.3.9.201904290125 4 79391 1#0##0#0#0.0#2019-10-04
08:07:09#0#00:00:00#00:00:00#00:00:00 2 a795a8f11200125f98295f376ffdbc3a
7171104 C 3 CP 2 02/10/2019 02/10/2019 10/12/1934 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANIE ASENG 049701 84 30977 DR YULIANA
HARTONO,SPM 0309R0191019V000374 0002496770559 3;JKN Patrick K.;
5.3.9.201904290125 4 79392 1#0##0#0#0.0#2019-10-04
08:08:38#0#00:00:00#00:00:00#00:00:00 1 28e3d142aaff7195fd5a735188849ed7
7171104 C 3 CP 2 02/10/2019 02/10/2019 13/07/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SOMPOTAN BOLANG 050938 66 24187 DR SAUL
RAPAR,SPM 0309R0191019V000373 0001341366895 3;JKN Patrick K.;
5.3.9.201904290125 4 79393 1#0##0#0#0.0#2019-10-04
08:11:03#0#00:00:00#00:00:00#00:00:00 1 51b9ac7c8200c2044bce6fc022085f82
7171104 C 3 CP 2 02/10/2019 02/10/2019 08/08/1968 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FARIDA HASANUDIN 050956 51 18682 DR SAUL
RAPAR,SPM 0309R0191019V000372 0002881340706 3;JKN Patrick K.;
5.3.9.201904290125 4 79394 1#0##0#0#0.0#2019-10-04
08:14:06#0#00:00:00#00:00:00#00:00:00 1 50be5ff3a86e0549fc223a3291e173d3
7171104 C 3 CP 2 02/10/2019 02/10/2019 22/05/1956 0 1
1 Z09.8;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TENEH MAXI W 051389 63 23143 DR
YULIANA HARTONO,SPM 0309R0191019V000371 0000137000957 3;JKN Patrick K.;
5.3.9.201904290125 4 79395 1#0##0#0#0.0#2019-10-04
08:15:59#0#00:00:00#00:00:00#00:00:00 1 dc62f9bea4f98ab0e0947d84623727ac
7171104 C 3 CP 2 02/10/2019 02/10/2019 21/06/1938 0 2
1 Z96.1;H26.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIANA RUMONDOR 019527 81 29688 DR
PAULA M V LUMUNON,SPM 0309R0191019V000370 0001427489853 3;JKN Patrick K.;
5.3.9.201904290125 4 79396 1#0##0#0#0.0#2019-10-04
08:19:25#0#00:00:00#00:00:00#00:00:00 1 798b2d402d1f6199a137be372fbba627
7171104 C 3 CP 2 02/10/2019 02/10/2019 10/10/1945 0 2
1 H16.9;Z96.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SIEN SASELA 012800 73 27020 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V000369 0001812813805 3;JKN Patrick K.;
5.3.9.201904290125 4 79397 1#0##0#0#0.0#2019-10-04
08:20:41#0#00:00:00#00:00:00#00:00:00 1 a5b97d61c7199cbf9823fb17969725d6
7171104 C 3 CP 2 02/10/2019 02/10/2019 22/11/1950 0 2
1 H25.0;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NORTJE KALALO 052061 68 25151 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000368 0001465940204 3;JKN
Patrick K.; 5.3.9.201904290125 4 79398 1#0##0#0#0.0#2019-10-04
08:22:47#0#00:00:00#00:00:00#00:00:00 1 f83ade4d66fc163df581b19f410175d3
7171104 C 3 CP 2 02/10/2019 02/10/2019 21/04/1964 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEBBIE MARHAENI KARTINI PINATIK 052062 55
20252 DR PAULA M V LUMUNON,SPM 0309R0191019V000367 0000137413102
3;JKN Patrick K.; 5.3.9.201904290125 4 79399 1#0##0#0#0.0#2019-10-04
08:24:33#0#00:00:00#00:00:00#00:00:00 1 924eee950fa06c05ff1d2da29aa9795f
7171104 C 3 CP 2 02/10/2019 02/10/2019 10/02/1952 0 2
1 Z09.8;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VEMMY SUMUAL 051784 67 24706 DR
PAULA M V LUMUNON,SPM 0309R0191019V000365 0002444185844 3;JKN Patrick K.;
5.3.9.201904290125 4 79400 1#0##0#0#0.0#2019-10-04
08:25:54#0#00:00:00#00:00:00#00:00:00 1 cc6a51340764e69ee0df8fcefe9600c7
7171104 C 3 CP 2 02/10/2019 02/10/2019 20/02/1955 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WEMPRIT PATTA 052060 64 23600 DR SAUL
RAPAR,SPM 0309R0191019V000364 0001246236074 3;JKN Patrick K.;
5.3.9.201904290125 4 79401 1#0##0#0#0.0#2019-10-04
08:27:14#0#00:00:00#00:00:00#00:00:00 1 cecd5320a7d9e8d28e16fca9248530b4
7171104 C 3 CP 2 02/10/2019 02/10/2019 09/09/1967 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TREISYE TALUMEWO 051436 52 19016 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000363 0001734656782 3;JKN
Patrick K.; 5.3.9.201904290125 4 79402 1#0##0#0#0.0#2019-10-04
08:28:38#0#00:00:00#00:00:00#00:00:00 1 723e3669fe42337aa65d440b90b3b1a9
7171104 C 3 CP 2 02/10/2019 02/10/2019 02/04/1977 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LILY ANITA TALUMEPA 028133 42 15523
DR PAULA M V LUMUNON,SPM 0309R0191019V000361 0001270471858 3;JKN
Patrick K.; 5.3.9.201904290125 4 79403 1#0##0#0#0.0#2019-10-04
08:29:58#0#00:00:00#00:00:00#00:00:00 1 132e8b50f22924f8b198b0c13c4b496d
7171104 C 3 CP 2 02/10/2019 02/10/2019 08/05/1944 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HENDRIK WEKEN 013428 75 27540 DR YULIANA
HARTONO,SPM 0309R0191019V000360 0002052430187 3;JKN Patrick K.;
5.3.9.201904290125 4 79404 1#0##0#0#0.0#2019-10-04
08:32:19#0#00:00:00#00:00:00#00:00:00 1 37cf54a4e63ad421819c0b079a251c69
7171104 C 3 CP 2 02/10/2019 02/10/2019 16/02/1932 0 2
1 Z09.8;H49.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIEN MONIUNG 006524 87 32005 DR
YULIANA HARTONO,SPM 0309R0191019V000359 0000138066546 3;JKN Patrick K.;
5.3.9.201904290125 4 79405 1#0##0#0#0.0#2019-10-04
08:33:18#0#00:00:00#00:00:00#00:00:00 1 d886a57098202631a01b2a083bbda282
7171104 C 3 CP 2 02/10/2019 02/10/2019 02/08/1957 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LOTJE LAMPEANG 052059 62 22706 DR
PAULA M V LUMUNON,SPM 0309R0191019V000358 0001246236085 3;JKN Patrick K.;
5.3.9.201904290125 4 79406 1#0##0#0#0.0#2019-10-04
08:34:36#0#00:00:00#00:00:00#00:00:00 1 1b24540bcb21115bd6f56aef275b3ba9
7171104 C 3 CP 2 02/10/2019 02/10/2019 09/09/1956 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SIENTJE RAUWAN 039739 63 23033 DR PAULA M V
LUMUNON,SPM 0309R0191019V000356 0000910975768 3;JKN Patrick K.;
5.3.9.201904290125 4 79407 1#0##0#0#0.0#2019-10-04
08:36:07#0#00:00:00#00:00:00#00:00:00 1 6f3bf4efc888d0905edadc75ccf840b1
7171104 C 3 CP 2 02/10/2019 02/10/2019 08/08/1966 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PETRUS AGUS HENDRIK NELWAN 051582 53
19413 DR YULIANA HARTONO,SPM 0309R0191019V000377 0000138539992 3;JKN
Vian02; 5.3.9.201904290125 4 79408 1#0##0#0#0.0#2019-10-04
08:36:28#0#00:00:00#00:00:00#00:00:00 1 d920b22c54992606c75d093826996720
7171104 C 3 CP 2 02/10/2019 02/10/2019 14/07/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HERMAN WULLUR 016372 66 24186 DR YULIANA
HARTONO,SPM 0309R0191019V000378 0001604449214 3;JKN Vian02;
5.3.9.201904290125 4 79409 1#0##0#0#0.0#2019-10-04
08:37:11#0#00:00:00#00:00:00#00:00:00 1 f6f5c0698db6785d0c6ce0e70a4e1c9d
7171104 C 3 CP 2 02/10/2019 02/10/2019 03/12/1971 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEVI LUMINTANG 050676 47 17470 DR YULIANA
HARTONO,SPM 0309R0191019V000355 0002884033585 3;JKN Patrick K.;
5.3.9.201904290125 4 79410 1#0##0#0#0.0#2019-10-04
08:37:29#0#00:00:00#00:00:00#00:00:00 1 3ecda6b2cdae4a53277db4f1c3d0931d
7171104 C 3 CP 2 02/10/2019 02/10/2019 30/10/1948 0 1
1 Z09.8;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRANSISKUS KORAAG 050436 70 25904 DR
YULIANA HARTONO,SPM 0309R0191019V000379 0000137115775 3;JKN Vian02;
5.3.9.201904290125 4 79411 1#0##0#0#0.0#2019-10-04
08:38:03#0#00:00:00#00:00:00#00:00:00 1 f84efc2ccf7595d62559d48e5deeecdd
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/05/1963 0 2
1 Z09.8;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PIRANG DERAK 051886 56 20608 DR
SAUL RAPAR,SPM 0309R0191019V000381 0000907813348 3;JKN Vian02;
5.3.9.201904290125 4 79413 1#0##0#0#0.0#2019-10-04
08:39:04#0#00:00:00#00:00:00#00:00:00 1 56847d77e9ee35c0dcc191f3343730db
7171104 C 3 CP 2 02/10/2019 02/10/2019 17/08/1948 0 1
1 H25.0;H17.9;H25.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOOST JUSTUS SUAK 052056 71 25978 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000354 0001903421654 3;JKN
Patrick K.; 5.3.9.201904290125 4 79412 1#0##0#0#0.0#2019-10-04
08:39:51#0#00:00:00#00:00:00#00:00:00 1 06b28a5bdb446963cec47969d4d17288
7171104 C 3 CP 2 02/10/2019 02/10/2019 15/02/1950 0 2
1 Z09.0;H11.0;H26.9 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANEKE SOLAR 051691 69 25431 DR YULIANA
HARTONO,SPM 0309R0191019V000304 0001892639856 3;JKN linda03;
5.3.9.201904290125 4 79414 1#0##0#0#0.0#2019-10-04
08:40:25#0#00:00:00#00:00:00#00:00:00 1 218471ccd3e62cb52d9413ce63e68565
7171104 C 3 CP 2 02/10/2019 02/10/2019 15/03/1974 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARYANTI NANI 052068 45 16637 DR
YULIANA HARTONO,SPM 0309R0191019V000382 0000910261124 3;JKN Vian02;
5.3.9.201904290125 4 79415 1#0##0#0#0.0#2019-10-04
08:41:13#0#00:00:00#00:00:00#00:00:00 1 85d2a5b4b8920647c005c0d1d1f7f202
7171104 C 3 CP 2 02/10/2019 02/10/2019 27/09/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SINTJE SUMENDAP 050623 62 22650 DR YULIANA
HARTONO,SPM 0309R0191019V000383 0001247580009 3;JKN Vian02;
5.3.9.201904290125 4 79417 1#0##0#0#0.0#2019-10-04
08:41:56#0#00:00:00#00:00:00#00:00:00 1 3bcb8ac2e2f309ed0a246f80b0201d9d
7171104 C 3 CP 2 02/10/2019 02/10/2019 05/12/1954 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ARCHIMEDES BAWOLE 051314 64 23677 DR YULIANA
HARTONO,SPM 0309R0191019V000384 0001568715445 3;JKN Vian02;
5.3.9.201904290125 4 79419 1#0##0#0#0.0#2019-10-04
08:42:44#0#00:00:00#00:00:00#00:00:00 1 6bfcc3785ef83da7c5d394f57edfc602
7171104 C 3 CP 2 02/10/2019 02/10/2019 04/09/1950 0 2
1 H10.9;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SAANTJE JOHANA ROPA 052063 69 25230
DR SAUL RAPAR,SPM 0309R0191019V000385 0002454026681 3;JKN Vian02;
5.3.9.201904290125 4 79421 1#0##0#0#0.0#2019-10-04
08:43:29#0#00:00:00#00:00:00#00:00:00 1 7f7e7d0b17247efb6a0ca24976e10e48
7171104 C 3 CP 2 02/10/2019 02/10/2019 26/08/1951 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AGUSTIN MAINDOKA 050671 68 24874 DR SAUL
RAPAR,SPM 0309R0191019V000386 0002325228581 3;JKN Vian02;
5.3.9.201904290125 4 79422 1#0##0#0#0.0#2019-10-04
08:44:35#0#00:00:00#00:00:00#00:00:00 1 3827216ee6cc84629492308d91bf5c3e
7171104 C 3 CP 2 02/10/2019 02/10/2019 25/04/1981 0 2
1 H52.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RILSY JETTY SUAK 052054 38 14039 DR
PAULA M V LUMUNON,SPM 0309R0191019V000353 0001573059014 3;JKN Patrick K.;
5.3.9.201904290125 4 79416 1#0##0#0#0.0#2019-10-04
08:44:38#0#00:00:00#00:00:00#00:00:00 2 d66a1db4d5937bc4fd78483dee346ff9
7171104 C 3 CP 2 02/10/2019 02/10/2019 06/04/1952 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 REHANA BAKARI 052064 67 24650 DR
PAULA M V LUMUNON,SPM 0309R0191019V000387 0001388339594 3;JKN Vian02;
5.3.9.201904290125 4 79423 1#0##0#0#0.0#2019-10-04
08:45:39#0#00:00:00#00:00:00#00:00:00 1 b1ff5ad7e1c2fc918bc9293256d41482
7171104 C 3 CP 2 02/10/2019 02/10/2019 25/03/1957 0 1
1 Z09.8;H44.5;H11.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTHEN LENGKEY 006805 62 22836 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000352 0002763277154 3;JKN
Patrick K.; 5.3.9.201904290125 4 79418 1#0##0#0#0.0#2019-10-04
08:45:53#0#00:00:00#00:00:00#00:00:00 2 2aadfd48b6a25cbd32250fc5479c7e9e
7171104 C 3 CP 2 02/10/2019 02/10/2019 13/04/1960 0 2
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ORPA LAHADE 034312 59 21721 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V000388 0002040254201 3;JKN Vian02;
5.3.9.201904290125 4 79425 1#0##0#0#0.0#2019-10-04
08:46:31#0#00:00:00#00:00:00#00:00:00 1 76730123e26d9dc4e3c6280ffd859801
7171104 C 3 CP 2 02/10/2019 02/10/2019 08/06/1971 0 1
1 H52.0;H52.4;H11.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TONNY FRANGKY LENGKONG 026543 48 17648
DR SAUL RAPAR,SPM 0309R0191019V000389 0001474906689 3;JKN Vian02;
5.3.9.201904290125 4 79427 1#0##0#0#0.0#2019-10-04
08:47:27#0#00:00:00#00:00:00#00:00:00 1 a004137345a2ad7be534df6d92774a7e
7171104 C 3 CP 2 02/10/2019 02/10/2019 07/10/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALEXANDRIANA MANDAGI 049275 73 27023 DR
YULIANA HARTONO,SPM 0309R0191019V000348 0001341872853 3;JKN Patrick K.;
5.3.9.201904290125 4 79429 1#0##0#0#0.0#2019-10-04
08:49:19#0#00:00:00#00:00:00#00:00:00 1 01693aee6ad9c055504c79e81a82fb64
7171104 C 3 CP 2 02/10/2019 02/10/2019 23/08/1986 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LEFIRA AGUSTIN KAUNANG, SST 052057 33 12093
DR SAUL RAPAR,SPM 0309R0191019V000347 0001854912587 3;JKN Patrick K.;
5.3.9.201904290125 4 79430 1#0##0#0#0.0#2019-10-04
08:51:01#0#00:00:00#00:00:00#00:00:00 1 e089ccea777c4825138ac30df575cd34
7171104 C 3 CP 2 02/10/2019 02/10/2019 03/01/1953 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LEXI ONIBALA 003961 66 24378 DR
PAULA M V LUMUNON,SPM 0309R0191019V000303 0001422777262 3;JKN linda03;
5.3.9.201904290125 4 79432 1#0##0#0#0.0#2019-10-04
08:52:03#0#00:00:00#00:00:00#00:00:00 1 2129c70722724d14dfde7581efcdb6a0
7171104 C 3 CP 2 02/10/2019 02/10/2019 21/04/1960 0 2
1 H02.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SAARTJE LOHO 052053 59 21713 DR YULIANA
HARTONO,SPM 0309R0191019V000346 0001568896154 3;JKN Patrick K.;
5.3.9.201904290125 4 79431 1#0##0#0#0.0#2019-10-04
08:52:24#0#00:00:00#00:00:00#00:00:00 1 cf93d22e3dc630d44d2f8b34af71347d
7171104 C 3 CP 2 02/10/2019 02/10/2019 08/01/1948 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONTJE RONDONUWU 051694 71 26200 DR
YULIANA HARTONO,SPM 0309R0191019V000302 0001341872087 3;JKN linda03;
5.3.9.201904290125 4 79433 71#0##0#0#0.0#2019-10-04
08:52:48#0#00:00:00#00:00:00#00:00:00 1 795bbb92ffb6de6c68ccf180b608d6a8
7171104 C 3 CP 2 02/10/2019 02/10/2019 21/08/1969 0 2
1 Z09.0;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALTJE TUNTU 052035 50 18304 DR SAUL
RAPAR,SPM 0309R0191019V000301 0001604390837 3;JKN linda03;
5.3.9.201904290125 4 79435 1#0##0#0#0.0#2019-10-04
08:53:33#0#00:00:00#00:00:00#00:00:00 1 d76cca189dd665521e741c9191880627
7171104 C 3 CP 2 02/10/2019 02/10/2019 17/05/1954 0 2
1 Z96.1;H59.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ASMIN MACHMUD 008157 65 23879 DR
PAULA M V LUMUNON,SPM 0309R0191019V000345 0000137993916 3;JKN Patrick K.;
5.3.9.201904290125 4 79434 1#0##0#0#0.0#2019-10-04
08:53:34#0#00:00:00#00:00:00#00:00:00 1 ad1a78644767982c8822e9eb1db2bda4
7171104 C 3 CP 2 02/10/2019 02/10/2019 14/05/1944 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHN KAWENGIAN 051215 75 27534 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000343 0002298880563 3;JKN
Patrick K.; 5.3.9.201904290125 4 79437 1#0##0#0#0.0#2019-10-04
08:54:29#0#00:00:00#00:00:00#00:00:00 1 4a7cff9ec0f2db5c9a37040bd4a309b0
7171104 C 3 CP 2 02/10/2019 02/10/2019 06/01/1952 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ABRAM A PONGOH 051684 67 24741 DR
YULIANA HARTONO,SPM 0309R0191019V000300 0000139100152 3;JKN linda03;
5.3.9.201904290125 4 79438 1#0##0#0#0.0#2019-10-04
08:54:48#0#00:00:00#00:00:00#00:00:00 1 15647a3403213803250eb73565e228bc
7171104 C 3 CP 2 02/10/2019 02/10/2019 07/07/1965 0 2
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RATNA ARUNDAA 052048 54 19810 DR PAULA M V
LUMUNON,SPM 0309R0191019V000299 0002390784333 3;JKN linda03;
5.3.9.201904290125 4 79440 1#0##0#0#0.0#2019-10-04
08:55:30#0#00:00:00#00:00:00#00:00:00 1 56bbc1d054483fb764cab44289c92ef4
7171104 C 3 CP 2 02/10/2019 02/10/2019 19/10/1939 0 2
1 Z09.8;H59.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DIEK MARIANTJE RUOH 025453 79 29203
DR YULIANA HARTONO,SPM 0309R0191019V000341 0002216670197 3;JKN
Patrick K.; 5.3.9.201904290125 4 79439 1#0##0#0#0.0#2019-10-04
08:56:00#0#00:00:00#00:00:00#00:00:00 1 601c7eb48eb4671325313dca3c891a3f
7171104 C 3 CP 2 02/10/2019 02/10/2019 18/11/1958 0 1
1 Z09.8;H52.4;H52.2;Z96.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DJONI KURES 051205 60 22233 DR SAUL
RAPAR,SPM 0309R0191019V000340 0000138984974 3;JKN Patrick K.;
5.3.9.201904290125 4 79442 1#0##0#0#0.0#2019-10-04
08:57:31#0#00:00:00#00:00:00#00:00:00 1 b539e9d0f61eb0bb52f380a3818bd8c9
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/05/1954 0 2
1 H52.2;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAGDALENA MAKAHINSADE 052069 65 23895
DR SAUL RAPAR,SPM 0309R0191019V000390 0000906370187 3;JKN Vian02;
5.3.9.201904290125 4 79443 1#0##0#0#0.0#2019-10-04
08:58:12#0#00:00:00#00:00:00#00:00:00 1 f4ad06a764f3193895aeb0de51f20883
7171104 C 3 CP 2 02/10/2019 02/10/2019 08/11/1955 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DOORTJE PANTOW 051687 63 23339 DR
YULIANA HARTONO,SPM 0309R0191019V000298 0000139100409 3;JKN linda03;
5.3.9.201904290125 4 79445 1#0##0#0#0.0#2019-10-04
09:00:02#0#00:00:00#00:00:00#00:00:00 1 3f7e8f5c8c60d2e7f7832e45a52e4400
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/07/1970 0 2
1 H52.0;H52.4;H11.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOHANA TALUMEPA 052058 49 17990 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000338 0000909493299 3;JKN
Patrick K.; 5.3.9.201904290125 4 79446 1#0##0#0#0.0#2019-10-04
09:00:32#0#00:00:00#00:00:00#00:00:00 1 5c6e0821cb619c21a84c615c1684ae5b
7171104 C 3 CP 2 02/10/2019 02/10/2019 19/11/1954 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RIN LINTONG 052036 64 23693 DR SAUL
RAPAR,SPM 0309R0191019V000296 0001604365918 3;JKN linda03;
5.3.9.201904290125 4 79448 1#0##0#0#0.0#2019-10-04
09:01:34#0#00:00:00#00:00:00#00:00:00 1 e59b1794d98bc1b5eed152b5c536f8f9
7171104 C 3 CP 2 02/10/2019 02/10/2019 16/10/1974 0 1
1 Z09.8;H40.1;H25.0;H50.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALEXANDER MONDE SIGARLAKI 051810 44
16422 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000336 0001564965865
3;JKN Patrick K.; 5.3.9.201904290125 4 79449 1#0##0#0#0.0#2019-10-04
09:02:06#0#00:00:00#00:00:00#00:00:00 1 5dee6dfa11a7d35aaee23e4f51a7f0a4
7171104 C 3 CP 2 02/10/2019 02/10/2019 29/04/1943 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SARTJE TUMUNDO 051693 76 27915 DR
YULIANA HARTONO,SPM 0309R0191019V000295 0001341872583 3;JKN linda03;
5.3.9.201904290125 4 79453 1#0##0#0#0.0#2019-10-04
09:04:45#0#00:00:00#00:00:00#00:00:00 1 09ca3e03dcc2dc83db9b159054cd5d76
7171104 C 3 CP 2 02/10/2019 02/10/2019 03/03/1939 0 2
1 Z09.8;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTJE TENGKO 044861 80 29433 DR
YULIANA HARTONO,SPM 0309R0191019V000332 0001573067316 3;JKN Patrick K.;
5.3.9.201904290125 4 79455 1#0##0#0#0.0#2019-10-04
09:06:43#0#00:00:00#00:00:00#00:00:00 1 5b71039c7c72f3926f49abd933b0d327
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/07/1945 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENNY JACOBUS 052026 74 27121 DR
SAUL RAPAR,SPM 0309R0191019V000331 0000908308078 3;JKN Patrick K.;
5.3.9.201904290125 4 79456 1#0##0#0#0.0#2019-10-04
09:08:26#0#00:00:00#00:00:00#00:00:00 1 e0f48f86d223310439380ae30d2e7317
7171104 C 3 CP 2 02/10/2019 02/10/2019 17/11/1971 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FIETJE NETTY NORTJE DUMANAUW 026545 47
17486 DR YULIANA HARTONO,SPM 0309R0191019V000391 0001474907411 3;JKN
Vian02; 5.3.9.201904290125 4 79450 1#0##0#0#0.0#2019-10-04
09:09:08#0#00:00:00#00:00:00#00:00:00 1 9dc56ef1acabd51dd1b96356c52a6611
7171104 C 3 CP 2 02/10/2019 02/10/2019 05/03/1956 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SOFYAN DAENG MAPATO 051042 63 23221 DR
PAULA M V LUMUNON,SPM 0309R0191019V000330 0001819097177 3;JKN Patrick K.;
5.3.9.201904290125 4 79457 1#0##0#0#0.0#2019-10-04
09:09:13#0#00:00:00#00:00:00#00:00:00 1 b569012c31295deecefc950e7ab2cb74
7171104 C 3 CP 2 02/10/2019 02/10/2019 02/06/1948 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CRESTINA MANDAGI 051679 71 26054 DR
YULIANA HARTONO,SPM 0309R0191019V000294 0001341871615 3;JKN linda03;
5.3.9.201904290125 4 79458 1#0##0#0#0.0#2019-10-04
09:09:51#0#00:00:00#00:00:00#00:00:00 1 7b3648319ddc8d8d9adc2c4de181b79e
7171104 C 3 CP 2 02/10/2019 02/10/2019 10/11/1957 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FENTJE MUNDUNG 050170 61 22606 DR PAULA M V
LUMUNON,SPM 0309R0191019V000393 0000137769175 3;JKN Vian02;
5.3.9.201904290125 4 79459 1#0##0#0#0.0#2019-10-04
09:10:00#0#00:00:00#00:00:00#00:00:00 1 ecf3b7e882e5af1fb0654e21f3418567
7171104 C 3 CP 2 02/10/2019 02/10/2019 16/12/1947 0 2
1 H01.0;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NI NYOMAN MURNIATI 052052 71 26223
DR SAUL RAPAR,SPM 0309R0191019V000329 0000142982605 3;JKN Patrick K.;
5.3.9.201904290125 4 79460 1#0##0#0#0.0#2019-10-04
09:10:19#0#00:00:00#00:00:00#00:00:00 1 bc167c47561a8e6fb7ee6fc994a6bca7
7171104 C 3 CP 2 02/10/2019 02/10/2019 12/09/1970 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VANDRYVELD MAKIENGGUNG 052047 49 17917
DR PAULA M V LUMUNON,SPM 0309R0191019V000293 0002355615516 3;JKN
linda03; 5.3.9.201904290125 4 79461 1#0##0#0#0.0#2019-10-04
09:10:40#0#00:00:00#00:00:00#00:00:00 1 d71a706325ef3f749bfd1198e65120ff
7171104 C 3 CP 2 02/10/2019 02/10/2019 28/05/1946 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNEKE E.M. REMPAS 052065 73 26790 DR
PAULA M V LUMUNON,SPM 0309R0191019V000395 0000138162622 3;JKN Vian02;
5.3.9.201904290125 4 79462 1#0##0#0#0.0#2019-10-04
09:11:19#0#00:00:00#00:00:00#00:00:00 1 48658bfe1e0efa2557af9fb8fc288b3b
7171104 C 3 CP 2 02/10/2019 02/10/2019 14/06/1946 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JACOBA PANGKEREGO 051686 73 26773 DR
YULIANA HARTONO,SPM 0309R0191019V000292 0001569893624 3;JKN linda03;
5.3.9.201904290125 4 79463 1#0##0#0#0.0#2019-10-04
09:11:22#0#00:00:00#00:00:00#00:00:00 1 09e9e468bdf55a23b2236f63bfd688c6
7171104 C 3 CP 2 02/10/2019 02/10/2019 10/10/1942 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA WENAS 018156 76 28116 DR SAUL
RAPAR,SPM 0309R0191019V000328 0001308673574 3;JKN Patrick K.;
5.3.9.201904290125 4 79464 1#0##0#0#0.0#2019-10-04
09:11:48#0#00:00:00#00:00:00#00:00:00 1 f7a9e253e8b32460c7aef4fc286e744b
7171104 C 3 CP 2 02/10/2019 02/10/2019 29/05/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FEMMY .H. ROLOS,DRA 051225 67 24597 DR
SAUL RAPAR,SPM 0309R0191019V000396 0000138224158 3;JKN Vian02;
5.3.9.201904290125 4 79465 1#0##0#0#0.0#2019-10-04
09:12:01#0#00:00:00#00:00:00#00:00:00 1 25bea7b8ed30f68cf26bf17bbff987e5
7171104 C 3 CP 2 02/10/2019 02/10/2019 06/06/1952 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YULIANA MANALIP 052055 67 24589 DR YULIANA
HARTONO,SPM 0309R0191019V000327 0002239388109 3;JKN Patrick K.;
5.3.9.201904290125 4 79466 1#0##0#0#0.0#2019-10-04
09:12:52#0#00:00:00#00:00:00#00:00:00 1 7e3390dd22ee188594c1e67ca895b088
7171104 C 3 CP 2 02/10/2019 02/10/2019 19/12/1973 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HELDA JOICE MONINGKA 052066 45 16723
DR PAULA M V LUMUNON,SPM 0309R0191019V000397 0002389216904 3;JKN
Vian02; 5.3.9.201904290125 4 79467 1#0##0#0#0.0#2019-10-04
09:13:23#0#00:00:00#00:00:00#00:00:00 1 3328a47adfc951a1a1d23bfacffea6b0
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/01/1955 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANNA MARIE PALIT 051908 64 23650 DR
SAUL RAPAR,SPM 0309R0191019V000325 0000907851982 3;JKN Patrick K.;
5.3.9.201904290125 4 79468 1#0##0#0#0.0#2019-10-04
09:13:46#0#00:00:00#00:00:00#00:00:00 1 a023dffd0dcfb92b974541bdf848c697
7171104 C 3 CP 2 02/10/2019 02/10/2019 17/10/1945 0 1
1 Z09.8;H40.1;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DANNIE GUSJE RURU 050651 73 27013 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000324 0001810524352 3;JKN
Patrick K.; 5.3.9.201904290125 4 79469 1#0##0#0#0.0#2019-10-04
09:14:50#0#00:00:00#00:00:00#00:00:00 1 9aa8544bdc4cca361e5f03ba91439829
7171104 C 3 CP 2 02/10/2019 02/10/2019 05/10/1955 0 1
1 Z09.8;H40.1;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SAKEO ADITIRTA 000081 63 23373 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000321 0001290837161 3;JKN
Patrick K.; 5.3.9.201904290125 4 79470 1#0##0#0#0.0#2019-10-04
09:16:29#0#00:00:00#00:00:00#00:00:00 1 68776bfc9078a4f10c67db72371ad711
7171104 C 3 CP 2 02/10/2019 02/10/2019 11/02/1991 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 STEFANUS F MAWITJERE 052070 28 10460 DR
SAUL RAPAR,SPM 0309R0191019V000398 0000138420933 3;JKN Vian02;
5.3.9.201904290125 4 79471 1#0##0#0#0.0#2019-10-04
09:21:12#0#00:00:00#00:00:00#00:00:00 1 a57cba663739e9cad32d08eb9d143f26
7171104 C 3 CP 2 02/10/2019 02/10/2019 07/09/1965 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MISKE SEANE LAURA WELANG 052051 54 19748
DR SAUL RAPAR,SPM 0309R0191019V000320 0002231249128 3;JKN Patrick K.;
5.3.9.201904290125 4 79472 1#0##0#0#0.0#2019-10-04
09:21:15#0#00:00:00#00:00:00#00:00:00 1 e9687a857b796f77d4c4c366ed8fa224
7171104 C 3 CP 2 02/10/2019 02/10/2019 02/04/1976 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CONNY LAOW 050435 43 15888 DR YULIANA
HARTONO,SPM 0309R0191019V000319 0001573002595 3;JKN Patrick K.;
5.3.9.201904290125 4 79473 1#0##0#0#0.0#2019-10-04
09:21:58#0#00:00:00#00:00:00#00:00:00 1 df6cd2ce53c370f069e98e614fb3a0a1
7171104 C 3 CP 2 02/10/2019 02/10/2019 06/04/1962 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SATRIA ABAS 000338 57 20998 DR PAULA M V
LUMUNON,SPM 0309R0191019V000399 0001789201664 3;JKN Vian02;
5.3.9.201904290125 4 79474 1#0##0#0#0.0#2019-10-04
09:22:51#0#00:00:00#00:00:00#00:00:00 1 257150c8db3d5d6037fc037601f8d0e1
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/09/1958 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SARTJI AREROS 052067 61 22311 DR YULIANA
HARTONO,SPM 0309R0191019V000400 0000910002857 3;JKN Vian02;
5.3.9.201904290125 4 79476 1#0##0#0#0.0#2019-10-04
09:23:38#0#00:00:00#00:00:00#00:00:00 1 487ec25d9abf5cccb5b2d090892b5745
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/11/1956 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALFRETS SAM RUMONDA 052028 62 22980
DR SAUL RAPAR,SPM 0309R0191019V000318 0001604367663 3;JKN Patrick K.;
5.3.9.201904290125 4 79475 1#0##0#0#0.0#2019-10-04
09:23:43#0#00:00:00#00:00:00#00:00:00 1 3fa3488d83e7f95bd74f9d8515045839
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/09/1967 0 1
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RIZAL PAPUTUNGAN 051737 52 19024 DR
YULIANA HARTONO,SPM 0309R0191019V000401 0000912127577 3;JKN Vian02;
5.3.9.201904290125 4 79477 1#0##0#0#0.0#2019-10-04
09:24:29#0#00:00:00#00:00:00#00:00:00 1 a4f0fb3e795eb6ff17772b30166fcaf2
7171104 C 3 CP 2 02/10/2019 02/10/2019 18/07/1967 0 1
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HERI D RORI 050833 52 19069 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V000403 0001839879358 3;JKN Vian02;
5.3.9.201904290125 4 79479 1#0##0#0#0.0#2019-10-04
09:25:17#0#00:00:00#00:00:00#00:00:00 1 91554a538b888577dd5eb8c4a3971457
7171104 C 3 CP 2 02/10/2019 02/10/2019 26/11/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DRS. BROERY TANAUMA 048487 68 25147 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000405 0000138222786 3;JKN
Vian02; 5.3.9.201904290125 4 79480 1#0##0#0#0.0#2019-10-04
09:26:07#0#00:00:00#00:00:00#00:00:00 1 cb842e1b331b03138bf1777fa305ef1c
7171104 C 3 CP 2 02/10/2019 02/10/2019 02/09/1933 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ESTEFINA KUMAUNANG 052074 86 31441 DR
PAULA M V LUMUNON,SPM 0309R0191019V000406 0001305233559 3;JKN Vian02;
5.3.9.201904290125 4 79481 1#0##0#0#0.0#2019-10-04
09:26:51#0#00:00:00#00:00:00#00:00:00 1 b640007620ad568d01cfd40885c72378
7171104 C 3 CP 2 02/10/2019 02/10/2019 30/08/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNA MANDAGI 051411 65 23774 DR YULIANA
HARTONO,SPM 0309R0191019V000408 0001341870186 3;JKN Vian02;
5.3.9.201904290125 4 79483 1#0##0#0#0.0#2019-10-04
09:27:35#0#00:00:00#00:00:00#00:00:00 1 ff97bbb5aa2bb0921f879c6aab1f10af
7171104 C 3 CP 2 02/10/2019 02/10/2019 10/05/1958 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DJAINAM MARIANA LIHAWA 050669 61 22425 DR
YULIANA HARTONO,SPM 0309R0191019V000316 0000138492292 3;JKN Patrick K.;
5.3.9.201904290125 4 79482 1#0##0#0#0.0#2019-10-04
09:28:10#0#00:00:00#00:00:00#00:00:00 1 9cf464027f14fe8536243bbe7b8f80a5
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/12/1960 0 1
1 Z09.8;H52.4;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ABDUL TAMAHAE 048223 58 21489 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000410 0000911005839 3;JKN
Vian02; 5.3.9.201904290125 4 79484 1#0##0#0#0.0#2019-10-04
09:28:23#0#00:00:00#00:00:00#00:00:00 1 d1857ce6a129ec558f282c2ea8740213
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/10/1936 0 1
1 Z09.8;H44.5;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOSAFAT DILLY 051504 83 30316 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000315 0000905680236 3;JKN
Patrick K.; 5.3.9.201904290125 4 79485 1#0##0#0#0.0#2019-10-04
09:29:12#0#00:00:00#00:00:00#00:00:00 1 965fc0f0a7a1edf0e9e453a2745c4b92
7171104 C 3 CP 2 02/10/2019 02/10/2019 02/06/2010 0 1
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HANNY CHRISTIANO WAHONGAN 051929 9
3409 DR SAUL RAPAR,SPM 0309R0191019V000411 0002223089504 3;JKN
Vian02; 5.3.9.201904290125 4 79486 1#0##0#0#0.0#2019-10-04
09:29:19#0#00:00:00#00:00:00#00:00:00 1 4140862bce02ed8fec1ad6648edfbced
7171104 C 3 CP 2 02/10/2019 02/10/2019 18/08/1963 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PROKLA A. A. LARUMPA 039766 56 20499 DR
PAULA M V LUMUNON,SPM 0309R0191019V000412 0000137380116 3;JKN Vian02;
5.3.9.201904290125 4 79487 1#0##0#0#0.0#2019-10-04
09:30:07#0#00:00:00#00:00:00#00:00:00 1 0841a042f379d9f03398928c98c31252
7171104 C 3 CP 2 02/10/2019 02/10/2019 28/07/1965 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RITTA DAMALANG 045207 54 19789 DR YULIANA
HARTONO,SPM 0309R0191019V000314 0002388990791 3;JKN Patrick K.;
5.3.9.201904290125 4 79488 1#0##0#0#0.0#2019-10-04
09:30:27#0#00:00:00#00:00:00#00:00:00 1 0ff19772e7463bdc2bb6b758047b3198
7171104 C 3 CP 2 02/10/2019 02/10/2019 22/04/1995 0 2
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALFRIDA LODE' 051664 24 8929 DR
YULIANA HARTONO,SPM 0309R0191019V000413 0002388983501 3;JKN Vian02;
5.3.9.201904290125 4 79489 1#0##0#0#0.0#2019-10-04
09:31:02#0#00:00:00#00:00:00#00:00:00 1 6a83c4e954f428787064c61cc430dd8c
7171104 C 3 CP 2 02/10/2019 02/10/2019 12/09/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOSEPHIN WEWENDAMPELE BAWELLE 000779 66 24126
DR YULIANA HARTONO,SPM 0309R0191019V000313 0000138403124 3;JKN
Patrick K.; 5.3.9.201904290125 4 79491 1#0##0#0#0.0#2019-10-04
09:32:18#0#00:00:00#00:00:00#00:00:00 1 95563d2f067fe006ffc5388180c600a2
7171104 C 3 CP 2 02/10/2019 02/10/2019 12/11/1953 0 1
1 H25.0;Z96.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENRY A RUMOKOY 031803 65 24065 DR
SAUL RAPAR,SPM 0309R0191019V000416 0000137236149 3;JKN Vian02;
5.3.9.201904290125 4 79492 1#0##0#0#0.0#2019-10-04
09:32:33#0#00:00:00#00:00:00#00:00:00 1 ebdab4870a89a0468cc7aa5f550ecdeb
7171104 C 3 CP 2 02/10/2019 02/10/2019 23/05/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MIN SUMALATA 036238 72 26430 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V000417 0001822295079 3;JKN Vian02;
5.3.9.201904290125 4 79493 1#0##0#0#0.0#2019-10-04
09:33:18#0#00:00:00#00:00:00#00:00:00 1 ee1a9fa21b31c56cf289200502395157
7171104 C 3 CP 2 02/10/2019 02/10/2019 25/10/1934 0 2
1 Z09.8;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANTJE ROSALIEN MAKALEW 051692 84 31023
DR YULIANA HARTONO,SPM 0309R0191019V000418 0001767474066 3;JKN
Vian02; 5.3.9.201904290125 4 79495 1#0##0#0#0.0#2019-10-04
09:34:24#0#00:00:00#00:00:00#00:00:00 1 317095647699d7f90b6cc62e5a6c2e5c
7171104 C 3 CP 2 02/10/2019 02/10/2019 28/07/1945 0 2
1 Z09.0;H26.9;Z96.1;H25.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIE JULIANA KOJONGIAN 052029 74 27094
DR SAUL RAPAR,SPM 0309R0191019V000311 0000139071025 3;JKN Patrick K.;
5.3.9.201904290125 4 79494 1#0##0#0#0.0#2019-10-04
09:34:50#0#00:00:00#00:00:00#00:00:00 2 29e74ffd2c848f8c0a17e1c58b362736
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/02/1946 0 1
1 Z96.1;H59.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 POLINA RUMERUNG 049050 73 26906 DR
YULIANA HARTONO,SPM 0309R0191019V000419 0000907894168 3;JKN Vian02;
5.3.9.201904290125 4 79496 1#0##0#0#0.0#2019-10-04
09:35:07#0#00:00:00#00:00:00#00:00:00 1 61fb1cbd73c0229e09b2a26433827244
7171104 C 3 CP 2 02/10/2019 02/10/2019 18/11/1949 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONTJE MARAMIS 050039 69 25520 DR
SAUL RAPAR,SPM 0309R0191019V000309 0001449860084 3;JKN Patrick K.;
5.3.9.201904290125 4 79497 1#0##0#0#0.0#2019-10-04
09:35:51#0#00:00:00#00:00:00#00:00:00 1 c25b6f5a7bf1dcd847007a07c6b7667f
7171104 C 3 CP 2 02/10/2019 02/10/2019 05/04/1956 0 2
1 Z09.8;H40.5;H21.0;Z96.1;H33.4 95.02 - - None None None None
H-3-12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA
213700 0 0 - 0 - 0 - 0 - 0 213700
160600 0 1 0 0 0 FLORENCE RUMAMPUK 037391 63
23190 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000420 0001882154261
3;JKN Vian02; 5.3.9.201904290125 4 79498 1#0##0#0#0.0#2019-10-04
09:36:03#0#00:00:00#00:00:00#00:00:00 1 53e8fdd12a4c7cfd713947b0509cdde5
7171104 C 3 CP 2 02/10/2019 02/10/2019 05/09/1964 0 1
1 Z09.8;Z96.1;H52.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUDY SEMUEL IROTH 021433 55 20115 DR
YULIANA HARTONO,SPM 0309R0191019V000421 0002214443711 3;JKN Vian02;
5.3.9.201904290125 4 79499 1#0##0#0#0.0#2019-10-04
09:36:44#0#00:00:00#00:00:00#00:00:00 1 36e8f073e199b001837fa304bbfeab20
7171104 C 3 CP 2 02/10/2019 02/10/2019 04/10/1953 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHANIS MANOPPO 052027 65 24104 DR
SAUL RAPAR,SPM 0309R0191019V000308 0001569869932 3;JKN Patrick K.;
5.3.9.201904290125 4 79500 1#0##0#0#0.0#2019-10-04
09:37:14#0#00:00:00#00:00:00#00:00:00 1 562136a332647a13556b7f7641387a04
7171104 C 3 CP 2 02/10/2019 02/10/2019 16/01/1978 0 1
1 Z09.8;H33.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RONI BAWEKES 051905 41 15234 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000422 0001184482293 3;JKN
Vian02; 5.3.9.201904290125 4 79501 1#0##0#0#0.0#2019-10-04
09:37:42#0#00:00:00#00:00:00#00:00:00 1 9639c1f7064016083c5c6bdaace83922
7171104 C 3 CP 2 02/10/2019 02/10/2019 17/03/1938 0 2
1 Z09.8;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MIKE YOHANA MASSIE 050624 81 29784
DR YULIANA HARTONO,SPM 0309R0191019V000307 0001483900356 3;JKN
Patrick K.; 5.3.9.201904290125 4 79502 1#0##0#0#0.0#2019-10-04
09:38:12#0#00:00:00#00:00:00#00:00:00 1 5ac97f8e462249f9c879029ffafb1173
7171104 C 3 CP 2 02/10/2019 02/10/2019 10/08/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DORTJE UMBOH,BSC 051685 72 26351 DR YULIANA
HARTONO,SPM 0309R0191019V000423 0000138239019 3;JKN Vian02;
5.3.9.201904290125 4 79503 1#0##0#0#0.0#2019-10-04
09:38:30#0#00:00:00#00:00:00#00:00:00 1 706091bcbd1bffb2ce401d539c170e42
7171104 C 3 CP 2 02/10/2019 02/10/2019 27/04/2001 0 1
1 Z09.8;H00.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SARAH HAMEL 050936 18 6732 DR YULIANA
HARTONO,SPM 0309R0191019V000424 0002613262836 3;JKN Vian02;
5.3.9.201904290125 4 79504 1#0##0#0#0.0#2019-10-04
09:39:22#0#00:00:00#00:00:00#00:00:00 1 3ca901c5ecf1b1eb253c270c1b41f268
7171104 C 3 CP 2 02/10/2019 02/10/2019 08/02/1999 0 1
1 Z09.8;S04.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 H. ABDULLOH AKBAR 044483 20 7541 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000306 0002624814055 3;JKN
Patrick K.; 5.3.9.201904290125 4 79505 1#0##0#0#0.0#2019-10-04
09:39:52#0#00:00:00#00:00:00#00:00:00 1 7623d6a4a66cf036abf657c529f9c7c7
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/12/1954 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FRANS MONTOLALU 050850 64 23681 DR YULIANA
HARTONO,SPM 0309R0191019V000425 0000905365664 3;JKN Vian02;
5.3.9.201904290125 4 79506 1#0##0#0#0.0#2019-10-04
09:39:53#0#00:00:00#00:00:00#00:00:00 1 5b64ef25feea059c9d134253c544dc00
7171104 C 3 CP 2 02/10/2019 02/10/2019 10/12/1943 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CLARA UMBOH 005549 75 27690 DR YULIANA
HARTONO,SPM 0309R0191019V000426 0000163419568 3;JKN Vian02;
5.3.9.201904290125 4 79508 1#0##0#0#0.0#2019-10-04
09:40:35#0#00:00:00#00:00:00#00:00:00 1 c61a0cd11490186d8112a8bd2220e960
7171104 C 3 CP 2 02/10/2019 02/10/2019 23/11/1943 0 1
1 Z09.8;H40.8;H25.0;Z96.1;H52.2 95.02 - - None None None None
H-3-12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA
213700 0 0 - 0 - 0 - 0 - 0 213700
160600 0 1 0 0 0 ARIE DENGAH BOLANG 050247
75 27707 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000305
0000137993422 3;JKN Patrick K.; 5.3.9.201904290125 4 79507
1#0##0#0#0.0#2019-10-04 09:40:55#0#00:00:00#00:00:00#00:00:00 1
32c51a552de7750cc02ec12eb84a7f9e
7171104 C 3 CP 2 02/10/2019 02/10/2019 14/04/1942 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HERMAN PAULUS PURUKAN 052071 77 28295 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000429 0002489552684 3;JKN
Vian02; 5.3.9.201904290125 4 79509 1#0##0#0#0.0#2019-10-04
09:41:23#0#00:00:00#00:00:00#00:00:00 1 a4d791839d49e8e06585c7e83b2d11cd
7171104 C 3 CP 2 02/10/2019 02/10/2019 16/07/1938 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANI TORONDEK 050589 81 29663 DR YULIANA
HARTONO,SPM 0309R0191019V000430 0000907796766 3;JKN Vian02;
5.3.9.201904290125 4 79511 1#0##0#0#0.0#2019-10-04
09:44:53#0#00:00:00#00:00:00#00:00:00 1 cee51677f9112d3071c9ca46b6d3c28c
7171104 C 3 CP 2 02/10/2019 02/10/2019 05/08/1960 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINA MONINGKA 021792 59 21607 DR
SAUL RAPAR,SPM 0309R0191019V000431 0002056214272 3;JKN Vian02;
5.3.9.201904290125 4 79512 1#0##0#0#0.0#2019-10-04
09:45:42#0#00:00:00#00:00:00#00:00:00 1 b7b06c2789e4caab2109bdaf0304bb2e
7171104 C 3 CP 2 02/10/2019 02/10/2019 15/11/1959 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 IKBAL SOLEMAN 052072 59 21871 DR SAUL
RAPAR,SPM 0309R0191019V000432 0000140162444 3;JKN Vian02;
5.3.9.201904290125 4 79514 1#0##0#0#0.0#2019-10-04
09:46:29#0#00:00:00#00:00:00#00:00:00 1 d5d8ff5de6f7e72f7cbd3b4f09d30436
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/08/1954 0 2
1 Z09.8;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KARLINA CAMBEY 051689 65 23803 DR
YULIANA HARTONO,SPM 0309R0191019V000433 0000139100174 3;JKN Vian02;
5.3.9.201904290125 4 79516 1#0##0#0#0.0#2019-10-04
09:47:23#0#00:00:00#00:00:00#00:00:00 1 4c0f6155534f3e8aebaf9c332308614f
7171104 C 3 CP 2 02/10/2019 02/10/2019 24/08/1967 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JERRY TUWAIDAN 050913 52 19032 DR YULIANA
HARTONO,SPM 0309R0191019V000434 0001827051579 3;JKN Vian02;
5.3.9.201904290125 4 79517 1#0##0#0#0.0#2019-10-04
09:48:01#0#00:00:00#00:00:00#00:00:00 1 a39145430170923d2e9811195d73bb44
7171104 C 3 CP 2 02/10/2019 02/10/2019 25/10/1944 0 2
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DORKAS HATIBAE 051658 74 27370 DR
SAUL RAPAR,SPM 0309R0191019V000435 0001790374173 3;JKN Vian02;
5.3.9.201904290125 4 79520 1#0##0#0#0.0#2019-10-04
09:51:33#0#00:00:00#00:00:00#00:00:00 1 9d161c6265b23b1713d1665ab5923c95
7171104 C 3 CP 2 02/10/2019 02/10/2019 30/10/1973 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLVIE WANTA 051654 45 16773 DR YULIANA
HARTONO,SPM 0309R0191019V000436 0001441542216 3;JKN Vian02;
5.3.9.201904290125 4 79521 1#0##0#0#0.0#2019-10-04
09:52:20#0#00:00:00#00:00:00#00:00:00 1 ae7b469950fa138cd6799dba1fe17167
7171104 C 3 CP 2 02/10/2019 02/10/2019 11/10/1959 0 2
1 Z09.8;H40.2;H44.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TETTY B PANGAU 037319 59 21906 DR
PAULA M V LUMUNON,SPM 0309R0191019V000437 0001844354081 3;JKN Vian02;
5.3.9.201904290125 4 79522 1#0##0#0#0.0#2019-10-04
09:53:23#0#00:00:00#00:00:00#00:00:00 1 7ae703f8c68e4c668afaadd181c42efc
7171104 C 3 CP 2 02/10/2019 02/10/2019 28/03/1957 0 2
1 Z96.1;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTJE DOROTHEA KUMENTAS 045032 62
22833 DR YULIANA HARTONO,SPM 0309R0191019V000444 0001795564124 3;JKN
Vian02; 5.3.9.201904290125 4 79525 1#0##0#0#0.0#2019-10-04
09:54:53#0#00:00:00#00:00:00#00:00:00 1 df3e60f985c0d6fcc32d60ea5598bf5f
7171104 C 3 CP 2 02/10/2019 02/10/2019 28/05/1977 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEITY HERNY PARENGKUAN 052075 42 15467
DR YULIANA HARTONO,SPM 0309R0191019V000445 0000137485923 3;JKN
Vian02; 5.3.9.201904290125 4 79526 1#0##0#0#0.0#2019-10-04
09:57:09#0#00:00:00#00:00:00#00:00:00 1 94701309747f2f8300e12ac6768b8d03
7171104 C 3 CP 2 02/10/2019 02/10/2019 15/12/1963 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SRI WAHJOEWIDARTI SOE WARNO 052076 55
20380 DR YULIANA HARTONO,SPM 0309R0191019V000446 0000138447819 3;JKN
Vian02; 5.3.9.201904290125 4 79529 1#0##0#0#0.0#2019-10-04
10:00:50#0#00:00:00#00:00:00#00:00:00 1 5929795224eabe2ad9bb8cba1e45ae37
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/06/1972 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SAMSU HASYIM 051431 47 17289 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000453 0000908171133 3;JKN
Vian02; 5.3.9.201904290125 4 79532 1#0##0#0#0.0#2019-10-04
10:01:38#0#00:00:00#00:00:00#00:00:00 1 416141270e22d5e0755b9de15cf666d1
7171104 C 3 CP 2 02/10/2019 02/10/2019 17/02/1945 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FERRY V.M. PORAJOW 016923 74 27255
DR YULIANA HARTONO,SPM 0309R0191019V000456 0000138278744 3;JKN
Vian02; 5.3.9.201904290125 4 79533 1#0##0#0#0.0#2019-10-04
10:02:30#0#00:00:00#00:00:00#00:00:00 1 d40c6b211146125a5a18f94b939ad344
7171104 C 3 CP 2 02/10/2019 02/10/2019 22/05/1990 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ASRI MEIDI UDAMPO 052077 29 10725 DR SAUL
RAPAR,SPM 0309R0191019V000460 0002432979775 3;JKN Vian02;
5.3.9.201904290125 4 79534 1#0##0#0#0.0#2019-10-04
10:03:21#0#00:00:00#00:00:00#00:00:00 1 272a5ed0b02e01dc993d971ceb811e6f
7171104 C 3 CP 2 02/10/2019 02/10/2019 14/05/1946 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WELMENTJI KATUUK 051680 73 26804 DR
YULIANA HARTONO,SPM 0309R0191019V000291 0000907814621 3;JKN linda03;
5.3.9.201904290125 4 79611 60#0##0#0#0.0#2019-10-04
11:27:59#0#00:00:00#00:00:00#00:00:00 1 b3e307f49168eff72590cd992d663ed8
7171104 C 3 CP 2 02/10/2019 02/10/2019 16/04/1972 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LIKE SASUE 052046 47 17335 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V000290 0002355615527 3;JKN linda03;
5.3.9.201904290125 4 79612 1#0##0#0#0.0#2019-10-04
11:28:57#0#00:00:00#00:00:00#00:00:00 1 f9aa539335327f49cedd4469cae7a489
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/03/1964 0 2
1 H52.4;H02.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAREYKE SUMARAUW 052045 55 20303 DR
YULIANA HARTONO,SPM 0309R0191019V000289 0001066687593 3;JKN linda03;
5.3.9.201904290125 4 79616 1#0##0#0#0.0#2019-10-04
11:30:34#0#00:00:00#00:00:00#00:00:00 1 32589ce206de10899c9ebba3bd3125a9
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/05/1951 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WELMINA KATUUK 051683 68 24991 DR
YULIANA HARTONO,SPM 0309R0191019V000288 0000907927435 3;JKN linda03;
5.3.9.201904290125 4 79618 1#0##0#0#0.0#2019-10-04
11:31:10#0#00:00:00#00:00:00#00:00:00 1 22e2ae50811cee6de676f3fe80c8b2be
7171104 C 3 CP 2 02/10/2019 02/10/2019 30/08/1950 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOSEPHIEN A DENGAH 051688 69 25235
DR YULIANA HARTONO,SPM 0309R0191019V000286 0000139067684 3;JKN
linda03; 5.3.9.201904290125 4 79621 1#0##0#0#0.0#2019-10-04
11:32:13#0#00:00:00#00:00:00#00:00:00 1 5fa87d1a760997c205c24707cee72c8a
7171104 C 3 CP 1 01/10/2019 02/10/2019 01/09/1936 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 WELIANA KAHUMBAHU 051772 83
30345 DR IVONNE RAMENUSA,SPM 0309R0191019V000061 0000907969577 3;JKN
eka06; 5.3.9.201904290125 4 79646 1#0##0#0#0.0#2019-10-04
11:49:14#0#00:00:00#00:00:00#00:00:00 1 a1cce4e93363cdb7d1e891d7032eece8
7171104 C 1 CP 1 01/10/2019 02/10/2019 08/08/1965 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5989900
0 0 - 0 - 0 - 0 - 0 5989900
9807400 0 2 0 0 0 SONNI SINGAL 052034 54
19777 DR SAUL RAPAR,SPM 0309R0191019V000221 0000139053194 3;JKN eka06;
5.3.9.201904290125 4 79647 1#0##0#0#0.0#2019-10-04
11:50:10#0#00:00:00#00:00:00#00:00:00 1 0f0b244be8134797ee4c9a08b249ff81
7171104 C 3 CP 2 02/10/2019 02/10/2019 14/02/1947 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONA LENDO 034749 72 26528 DR YULIANA
HARTONO,SPM 0309R0191019V000282 0001732860404 3;JKN linda03;
5.3.9.201904290125 4 79624 1#0##0#0#0.0#2019-10-04
12:21:25#0#00:00:00#00:00:00#00:00:00 1 b51903f1b28476ba43f8a4579efefb90
7171104 C 3 CP 2 02/10/2019 02/10/2019 08/04/1955 0 2
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LENTJI MAGDALENA LONTOH P NY 024230 64
23553 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000281 0000138356223
3;JKN linda03; 5.3.9.201904290125 4 79652 1#0##0#0#0.0#2019-10-04
12:22:00#0#00:00:00#00:00:00#00:00:00 1 f391925ace3f4d332e1d88e3e82224dd
7171104 C 3 CP 2 02/10/2019 02/10/2019 03/03/1951 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LOISA MANGONDAENG 046631 68 25050 DR
PAULA M V LUMUNON,SPM 0309R0191019V000280 0001565192215 3;JKN linda03;
5.3.9.201904290125 4 79653 1#0##0#0#0.0#2019-10-04
12:22:38#0#00:00:00#00:00:00#00:00:00 1 ef2163d8e0434c4afcc92d62ca39c449
7171104 C 3 CP 2 02/10/2019 02/10/2019 13/04/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KETTY RAWIS 050087 67 24643 DR YULIANA
HARTONO,SPM 0309R0191019V000279 0000138325678 3;JKN linda03;
5.3.9.201904290125 4 79654 1#0##0#0#0.0#2019-10-04
12:26:40#0#00:00:00#00:00:00#00:00:00 1 680841fdfe970022b7b2cbe1b3cdb838
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/10/1941 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELSI DJURIAN 051773 78 28490 DR
PAULA M V LUMUNON,SPM 0309R0191019V000277 0000908015826 3;JKN linda03;
5.3.9.201904290125 4 79655 1#0##0#0#0.0#2019-10-04
12:28:03#0#00:00:00#00:00:00#00:00:00 1 25e6b53cd72063a6d5dffcfe881ea2ca
7171104 C 3 CP 2 02/10/2019 02/10/2019 13/06/1965 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YENNY ROSMAILE YATTY TICOALU 021346 54
19834 DR PAULA M V LUMUNON,SPM 0309R0191019V000276 0002312109911
3;JKN linda03; 5.3.9.201904290125 4 79656 1#0##0#0#0.0#2019-10-04
12:28:53#0#00:00:00#00:00:00#00:00:00 1 a34d6c74241273de96f06e87210f4548
7171104 C 3 CP 2 02/10/2019 02/10/2019 30/04/1974 0 1
1 Z09.8;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALFREDS WAHIU 052014 45 16591 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000274 0002880050038 3;JKN
linda03; 5.3.9.201904290125 4 79657 1#0##0#0#0.0#2019-10-04
12:29:43#0#00:00:00#00:00:00#00:00:00 1 9d99ab06ae2aadead22f1e8b280729e2
7171104 C 3 CP 2 02/10/2019 02/10/2019 28/08/1960 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINUS NGALA 051839 59 21584 DR
PAULA M V LUMUNON,SPM 0309R0191019V000273 0001802329299 3;JKN linda03;
5.3.9.201904290125 4 79658 1#0##0#0#0.0#2019-10-04
12:30:19#0#00:00:00#00:00:00#00:00:00 1 0c47f887f3b96ebb5f4ff35bf4a3f907
7171104 C 3 CP 2 02/10/2019 02/10/2019 28/03/1958 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ARFA HASAN 051425 61 22468 DR SAUL RAPAR,SPM
0309R0191019V000272 0000140757276 3;JKN linda03; 5.3.9.201904290125
4 79659 1#0##0#0#0.0#2019-10-04 12:31:34#0#00:00:00#00:00:00#00:00:00
1 733693ab2710ce3408bf1fb58aa2d00c
7171104 C 3 CP 2 02/10/2019 02/10/2019 28/03/1948 0 1
1 Z09.8;H59.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUDY FTREDY CHEN 033293 71 26120 DR
PAULA M V LUMUNON,SPM 0309R0191019V000271 0001480995628 3;JKN linda03;
5.3.9.201904290125 4 79660 1#0##0#0#0.0#2019-10-04
12:33:40#0#00:00:00#00:00:00#00:00:00 1 17cad86be3864f5ce732220eb1f127d5
7171104 C 3 CP 2 02/10/2019 02/10/2019 25/01/1956 0 1
1 Z09.8;H25.1;H11.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PELEALU JOHAN BERNARD 051193 63 23261
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000269 0000137955464 3;JKN
linda03; 5.3.9.201904290125 4 79661 1#0##0#0#0.0#2019-10-04
12:34:21#0#00:00:00#00:00:00#00:00:00 1 da14e494577cb1afb9490e0fc8082965
7171104 C 3 CP 2 02/10/2019 02/10/2019 31/01/1960 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEANNE DJENNY LONAN 024383 59 21794
DR SAUL RAPAR,SPM 0309R0191019V000266 0000137869751 3;JKN linda03;
5.3.9.201904290125 4 79662 1#0##0#0#0.0#2019-10-04
12:36:03#0#00:00:00#00:00:00#00:00:00 1 28ef0b5814cada0626d2e9dedc205f56
7171104 C 3 CP 2 02/10/2019 02/10/2019 30/05/1981 0 2
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEILANI SINGAL 051150 38 14004 DR
YULIANA HARTONO,SPM 0309R0191019V000265 0001305748236 3;JKN linda03;
5.3.9.201904290125 4 79663 1#0##0#0#0.0#2019-10-04
12:36:42#0#00:00:00#00:00:00#00:00:00 1 7abda716454861bc50af0cdb58fa67c0
7171104 C 3 CP 2 02/10/2019 02/10/2019 07/07/1956 0 2
1 Z09.8;H40.5;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NURAIN BOGAR 050831 63 23097 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000264 0001243640799 3;JKN
linda03; 5.3.9.201904290125 4 79664 1#0##0#0#0.0#2019-10-04
12:37:16#0#00:00:00#00:00:00#00:00:00 1 86a32f5fd959ea2bd20418a49772a17a
7171104 C 3 CP 2 02/10/2019 02/10/2019 06/05/1948 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FIENTJE M. PALAR 051965 71 26081 DR
YULIANA HARTONO,SPM 0309R0191019V000263 0000138278766 3;JKN linda03;
5.3.9.201904290125 4 79665 1#0##0#0#0.0#2019-10-04
12:37:56#0#00:00:00#00:00:00#00:00:00 1 4b0b74ff10c84b1365ce9be8bb50d62b
7171104 C 3 CP 2 02/10/2019 02/10/2019 08/07/1936 0 2
1 Z09.0;H26.9;H44.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERTA SALINSIHI 051748 83 30401 DR
PAULA M V LUMUNON,SPM 0309R0191019V000262 0002776666847 3;JKN linda03;
5.3.9.201904290125 4 79666 1#0##0#0#0.0#2019-10-04
12:38:30#0#00:00:00#00:00:00#00:00:00 1 bfd66df7018073a9c9c1e1e7ded719e4
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/02/1949 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SAARTJE LUMEMPOW 051835 70 25810 DR
PAULA M V LUMUNON,SPM 0309R0191019V000261 0001066839592 3;JKN linda03;
5.3.9.201904290125 4 79667 1#0##0#0#0.0#2019-10-04
12:39:04#0#00:00:00#00:00:00#00:00:00 1 182efa72b190c382c5124c9be83f3787
7171104 C 3 CP 2 02/10/2019 02/10/2019 17/12/1952 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARGARETHA WATUNA 051833 66 24395 DR
PAULA M V LUMUNON,SPM 0309R0191019V000259 0000139127139 3;JKN linda03;
5.3.9.201904290125 4 79668 1#0##0#0#0.0#2019-10-04
12:39:36#0#00:00:00#00:00:00#00:00:00 1 a58dd2ed9b546dda2b0dd2314db68cc9
7171104 C 3 CP 2 02/10/2019 02/10/2019 30/08/1980 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AMBROSIUS MARKUS LOHO 051541 39 14277
DR PAULA M V LUMUNON,SPM 0309R0191019V000257 0001280693204 3;JKN
linda03; 5.3.9.201904290125 4 79669 1#0##0#0#0.0#2019-10-04
12:40:59#0#00:00:00#00:00:00#00:00:00 1 e6d0c86fc7ff83dbc669c27dfd5c259c
7171104 C 3 CP 2 02/10/2019 02/10/2019 08/12/1955 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WUISAN SANGIAN 051837 63 23309 DR
PAULA M V LUMUNON,SPM 0309R0191019V000256 0002068776448 3;JKN linda03;
5.3.9.201904290125 4 79670 1#0##0#0#0.0#2019-10-04
12:44:47#0#00:00:00#00:00:00#00:00:00 1 699d98b44f16fd16952fb1c0794af9f1
7171104 C 3 CP 2 02/10/2019 02/10/2019 11/11/1948 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROTI SALAINTI 051629 70 25892 DR
SAUL RAPAR,SPM 0309R0191019V000255 0001248027412 3;JKN linda03;
5.3.9.201904290125 4 79671 1#0##0#0#0.0#2019-10-04
12:45:24#0#00:00:00#00:00:00#00:00:00 1 8bab1d4b052c330839e82b41c8d6070b
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/04/1962 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LINTJE MARTJE SINGON 051834 57 21003
DR PAULA M V LUMUNON,SPM 0309R0191019V000254 0001066832829 3;JKN
linda03; 5.3.9.201904290125 4 79672 1#0##0#0#0.0#2019-10-04
12:47:16#0#00:00:00#00:00:00#00:00:00 1 67e6075a919a17951a099192610ec2cd
7171104 C 3 CP 2 02/10/2019 02/10/2019 11/12/1946 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EDDY VENTJE OWAY 051856 72 26593 DR
PAULA M V LUMUNON,SPM 0309R0191019V000252 0000137144608 3;JKN linda03;
5.3.9.201904290125 4 79673 1#0##0#0#0.0#2019-10-04
12:47:54#0#00:00:00#00:00:00#00:00:00 1 4311f3025da9b89b492ea2d4901bb971
7171104 C 3 CP 2 02/10/2019 02/10/2019 06/01/1948 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JAN A BOSEKE 051427 71 26202 DR
IVONNE RAMENUSA,SPM 0309R0191019V000250 0000137258886 3;JKN linda03;
5.3.9.201904290125 4 79674 1#0##0#0#0.0#2019-10-04
12:48:24#0#00:00:00#00:00:00#00:00:00 1 81a7a3440f376f6679ddac158ca5dfd4
7171104 C 3 CP 2 02/10/2019 02/10/2019 19/07/1953 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TANGIAN YULIANA NELY 019122 66 24181
DR IVONNE RAMENUSA,SPM 0309R0191019V000249 0000138768715 3;JKN
linda03; 5.3.9.201904290125 4 79675 1#0##0#0#0.0#2019-10-04
12:49:10#0#00:00:00#00:00:00#00:00:00 1 e6f22f12fb0e3fc2e7b686bb80b79151
7171104 C 3 CP 2 02/10/2019 02/10/2019 28/09/1954 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LOUISJE PONDAAG 052017 65 23745 DR
EUGINI SUMANTI,SPM 0309R0191019V000247 0000137202017 3;JKN linda03;
5.3.9.201904290125 4 79676 1#0##0#0#0.0#2019-10-04
12:51:20#0#00:00:00#00:00:00#00:00:00 1 d2a99b3c1d3f92b4c4f707bab52c28e8
7171104 C 3 CP 2 02/10/2019 02/10/2019 30/09/1958 0 1
1 Z96.1;H52.2;H53.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEMMY DECKY BUJUNG 023501 61 22282
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000246 0002080853853 3;JKN
linda03; 5.3.9.201904290125 4 79677 1#0##0#0#0.0#2019-10-04
12:51:56#0#00:00:00#00:00:00#00:00:00 1 dd7f13850320a048dd6654cab3f09703
7171104 C 3 CP 2 02/10/2019 02/10/2019 14/03/1953 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FERDY HERMAN ROMBOT 034018 66 24308
DR YULIANA HARTONO,SPM 0309R0191019V000244 0001278757754 3;JKN
linda03; 5.3.9.201904290125 4 79678 1#0##0#0#0.0#2019-10-04
12:52:34#0#00:00:00#00:00:00#00:00:00 1 482f9fb0499ed6f07a6aae89872ec724
7171104 C 3 CP 2 02/10/2019 02/10/2019 03/07/1951 0 1
1 Z09.8;H00.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANTJE ALBERT PALAR 007443 68 24928
DR YULIANA HARTONO,SPM 0309R0191019V000242 0000138268214 3;JKN
linda03; 5.3.9.201904290125 4 79679 1#0##0#0#0.0#2019-10-04
12:55:20#0#00:00:00#00:00:00#00:00:00 1 9f9ad5f8cad6f39b06ccf5d3b3bc0d36
7171104 C 3 CP 2 02/10/2019 02/10/2019 24/12/1970 0 2
1 Z09.0;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEVI YOVI ROMPIS 051948 48 17814 DR
SAUL RAPAR,SPM 0309R0191019V000241 0001448801548 3;JKN linda03;
5.3.9.201904290125 4 79680 1#0##0#0#0.0#2019-10-04
12:56:26#0#00:00:00#00:00:00#00:00:00 1 570349d6871fbde23cf023023d624d7d
7171104 C 3 CP 2 02/10/2019 02/10/2019 03/01/1944 0 2
1 Z09.8;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JETJE MOMONGAN 007158 75 27666 DR
PAULA M V LUMUNON,SPM 0309R0191019V000240 0000138253814 3;JKN linda03;
5.3.9.201904290125 4 79681 1#0##0#0#0.0#2019-10-05
07:51:38#0#00:00:00#00:00:00#00:00:00 1 355736d3543980f60670397a321d9dcb
7171104 C 3 CP 2 02/10/2019 02/10/2019 28/09/1956 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRETS S BUJUNG 010385 63 23014 DR
SAUL RAPAR,SPM 0309R0191019V000239 0000139014459 3;JKN linda03;
5.3.9.201904290125 4 79682 1#0##0#0#0.0#2019-10-05
07:53:01#0#00:00:00#00:00:00#00:00:00 1 e0a31594e0d778b0bd9d50bf92e399e0
7171104 C 3 CP 2 02/10/2019 02/10/2019 31/01/1956 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANDRIAS MONINGKA 051630 63 23255 DR
SAUL RAPAR,SPM 0309R0191019V000237 0000909541989 3;JKN linda03;
5.3.9.201904290125 4 79683 1#0##0#0#0.0#2019-10-05
07:54:24#0#00:00:00#00:00:00#00:00:00 1 43d9c6896166e16baa461a94b47b4eb9
7171104 C 3 CP 2 02/10/2019 02/10/2019 28/11/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NURJANA TIMBALO 051055 61 22588 DR PAULA M V
LUMUNON,SPM 0309R0191019V000236 0002067963063 3;JKN linda03;
5.3.9.201904290125 4 79684 1#0##0#0#0.0#2019-10-05
07:55:09#0#00:00:00#00:00:00#00:00:00 1 2cc3e8810580e0591568806d4aad8d51
7171104 C 3 CP 2 02/10/2019 02/10/2019 24/02/1958 0 2
1 Z09.8 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RITA SUMUAL 005403 61 22500 DR YULIANA
HARTONO,SPM 0309R0191019V000235 0001792164846 3;JKN linda03;
5.3.9.201904290125 4 79685 1#0##0#0#0.0#2019-10-05
07:56:25#0#00:00:00#00:00:00#00:00:00 1 694aaf6b343a46d32ba819e8f56722a4
7171104 C 3 CP 2 02/10/2019 02/10/2019 24/08/1941 0 1
1 Z96.1;H27.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINUS LAWITANG 007851 78 28528
DR YULIANA HARTONO,SPM 0309R0191019V000234 0000138050673 3;JKN
linda03; 5.3.9.201904290125 4 79686 1#0##0#0#0.0#2019-10-05
07:58:18#0#00:00:00#00:00:00#00:00:00 1 b1b3b966a1da1b36aae664dae39127f2
7171104 C 3 CP 2 02/10/2019 02/10/2019 29/12/1959 0 2
1 Z09.8;H59.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LENNY D. RUMENGAN 046059 59 21827 DR
YULIANA HARTONO,SPM 0309R0191019V000233 0000138488556 3;JKN linda03;
5.3.9.201904290125 4 79687 1#0##0#0#0.0#2019-10-05
07:59:44#0#00:00:00#00:00:00#00:00:00 1 8326429b8eea86ccaaf7fcadb76b34f6
7171104 C 3 CP 2 02/10/2019 02/10/2019 10/11/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NETTY SIENTJE PANGKEY 051368 64 23702 DR
YULIANA HARTONO,SPM 0309R0191019V000232 0000043270806 3;JKN linda03;
5.3.9.201904290125 4 79688 1#0##0#0#0.0#2019-10-05
08:03:31#0#00:00:00#00:00:00#00:00:00 1 ec3040b7e533430f6577d16e19d00ed4
7171104 C 3 CP 2 02/10/2019 02/10/2019 29/08/1963 0 2
1 Z96.1;Z09.0;H11.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINA FARIDA KAUROUW 050162 56 20488
DR YULIANA HARTONO,SPM 0309R0191019V000231 0002236389647 3;JKN
linda03; 5.3.9.201904290125 4 79689 1#0##0#0#0.0#2019-10-05
08:05:15#0#00:00:00#00:00:00#00:00:00 1 c9bd433bce1ec9a46b7baa9e86a2eb93
7171104 C 3 CP 2 02/10/2019 02/10/2019 12/08/1968 0 2
1 Z09.8;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RESTY MASOARA 049709 51 18678 DR
PAULA M V LUMUNON,SPM 0309R0191019V000230 0002389467868 3;JKN linda03;
5.3.9.201904290125 4 79690 1#0##0#0#0.0#2019-10-05
08:06:24#0#00:00:00#00:00:00#00:00:00 1 1a0d2554d25a7352f7aeb0a8784c858a
7171104 C 3 CP 2 02/10/2019 02/10/2019 09/12/1943 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEYTJE LUMOWA 051188 75 27691 DR YULIANA
HARTONO,SPM 0309R0191019V000229 0002078514753 3;JKN linda03;
5.3.9.201904290125 4 79691 1#0##0#0#0.0#2019-10-05
08:07:01#0#00:00:00#00:00:00#00:00:00 1 292ca1bb6f075db8bb6c2083805709d3
7171104 C 3 CP 2 02/10/2019 02/10/2019 21/06/1954 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADOLF GUSTAAF KAIRUPAN 051019 65 23844 DR
SAUL RAPAR,SPM 0309R0191019V000227 0001308976468 3;JKN linda03;
5.3.9.201904290125 4 79692 1#0##0#0#0.0#2019-10-05
08:07:35#0#00:00:00#00:00:00#00:00:00 1 6491189707c6d32db2dd51f12955648f
7171104 C 3 CP 2 02/10/2019 02/10/2019 12/05/1962 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MOHAMAD IMAM SYA`RONI 052073 57 20962
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000427 0000137831714 3;JKN
Vian02; 5.3.9.201904290125 4 79490 1#0##0#0#0.0#2019-10-07
10:26:22#0#00:00:00#00:00:00#00:00:00 1 25e90032734e2d5f594a5e11124f9ec4
7171104 C 3 CP 2 02/10/2019 02/10/2019 08/03/1945 0 2
1 H26.9 13.59;13.71 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 ROSALI NOWING 051920 74 27236 DR
DYANA T.WATANIA,SPM 0309R0191019V000337 0001968242501 3;JKN Boni04;
5.3.9.201904290125 4 80851 1#0##0#0#0.0#2019-10-15
09:03:04#0#00:00:00#00:00:00#00:00:00 1 b38e86c99d645cbf5510315b4dc6a9af
7171104 C 3 CP 2 02/10/2019 02/10/2019 20/05/1964 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FRANGKY E. B.
SANGIAN 051798 55 20223 DR DYANA T.WATANIA,SPM 0309R0191019V000428
0000137229423 3;JKN Boni04; 5.3.9.201904290125 4 80854
1#0##0#0#0.0#2019-10-15 09:04:33#0#00:00:00#00:00:00#00:00:00 1
494046c98d586c98c61e422579fecd8d
7171104 C 3 CP 2 02/10/2019 02/10/2019 21/04/1963 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 TAKKI HASAN 035128
56 20618 DR DYANA T.WATANIA,SPM 0309R0191019V000459 0002286578013
3;JKN Boni04; 5.3.9.201904290125 4 80856 1#0##0#0#0.0#2019-10-15
09:05:59#0#00:00:00#00:00:00#00:00:00 1 9c32a7e124bdd433c4aeff8366803973
7171104 C 3 CP 2 02/10/2019 02/10/2019 16/11/1959 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LAMBERT HUMBAS
052044 59 21870 DR DYANA T.WATANIA,SPM 0309R0191019V000287
0001809970086 3;JKN Boni04; 5.3.9.201904290125 4 80860
1#0##0#0#0.0#2019-10-15 09:08:19#0#00:00:00#00:00:00#00:00:00 1
6646e1df01c36fe7255f74ff05a9393d
7171104 C 3 CP 2 02/10/2019 02/10/2019 18/02/1955 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 REN ILHAM SUHERFI
052043 64 23602 DR DYANA T.WATANIA,SPM 0309R0191019V000285
0000139395453 3;JKN Boni04; 5.3.9.201904290125 4 80863
1#0##0#0#0.0#2019-10-15 09:09:26#0#00:00:00#00:00:00#00:00:00 1
803835c39311ed8097377e9ea7afd76c
7171104 C 3 CP 2 02/10/2019 02/10/2019 05/11/1941 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 VENTJE RUMOKOY
052041 77 28455 DR DYANA T.WATANIA,SPM 0309R0191019V000278
0002392644587 3;JKN Boni04; 5.3.9.201904290125 4 80864
1#0##0#0#0.0#2019-10-15 09:10:08#0#00:00:00#00:00:00#00:00:00 1
e3a76159077c25823795ade04a3f44eb
7171104 C 3 CP 2 02/10/2019 02/10/2019 12/02/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7486000 0 1 0 0 0 ASTRID L MANGORE
051811 71 26165 DR DYANA T.WATANIA,SPM 0309R0191019V000451
0000139035892 3;JKN Boni04; 5.3.9.201904290125 4 80865
1#0##0#0#0.0#2019-10-15 09:11:16#0#00:00:00#00:00:00#00:00:00 1
f798d6eeb3c997f6e55f7f9cc6ffb2b6
7171104 C 3 CP 2 02/10/2019 02/10/2019 15/09/1946 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JUSTINUS WELAN
042422 73 26680 DR DYANA T.WATANIA,SPM 0309R0191019V000415
0001272154048 3;JKN Boni04; 5.3.9.201904290125 4 80866
1#0##0#0#0.0#2019-10-15 09:12:29#0#00:00:00#00:00:00#00:00:00 1
8353a0a953b66295699a13ae1895aa50
7171104 C 3 CP 2 02/10/2019 02/10/2019 11/10/1962 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HENDRIK MANOPPO
051816 56 20810 DR DYANA T.WATANIA,SPM 0309R0191019V000414
0002388776736 3;JKN Boni04; 5.3.9.201904290125 4 80867
1#0##0#0#0.0#2019-10-15 09:13:18#0#00:00:00#00:00:00#00:00:00 1
e930279061b94a9b6f75f1a5b0513186
7171104 C 3 CP 2 02/10/2019 02/10/2019 29/08/1964 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 KAREL EFRAIM LASUT
049381 55 20122 DR DYANA T.WATANIA,SPM 0309R0191019V000441
0001094204169 3;JKN Boni04; 5.3.9.201904290125 4 80869
1#0##0#0#0.0#2019-10-15 09:14:41#0#00:00:00#00:00:00#00:00:00 1
d3580e985b0737a07d42417c5931de75
7171104 C 3 CP 2 02/10/2019 02/10/2019 20/10/1931 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHNY LIEMEX
052049 87 32124 DR DYANA T.WATANIA,SPM 0309R0191019V000439
0001471917609 3;JKN Boni04; 5.3.9.201904290125 4 80871
1#0##0#0#0.0#2019-10-15 09:15:26#0#00:00:00#00:00:00#00:00:00 1
1854bc05dbd7538131cf471d7523ea2c
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/07/1968 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YULIATI RIYADI
051808 51 18720 DR DYANA T.WATANIA,SPM 0309R0191019V000442
0002062016515 3;JKN Boni04; 5.3.9.201904290125 4 80872
1#0##0#0#0.0#2019-10-15 09:16:10#0#00:00:00#00:00:00#00:00:00 1
4d7b5523e6cfbb866b3b461dec352b34
7171104 C 3 CP 2 02/10/2019 02/10/2019 21/03/1993 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MUNAWIR RABIL
050459 26 9691 DR DYANA T.WATANIA,SPM 0309R0191019V000394
0002231354193 3;JKN Boni04; 5.3.9.201904290125 4 80873
1#0##0#0#0.0#2019-10-15 09:17:05#0#00:00:00#00:00:00#00:00:00 1
8099b8e3e461d48911c59350603f8741
7171104 C 3 CP 2 02/10/2019 02/10/2019 03/03/1965 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MAARTJE PANAMBUNAN
047584 54 19936 DR DYANA T.WATANIA,SPM 0309R0191019V000362
0000139011478 3;JKN Boni04; 5.3.9.201904290125 4 80875
1#0##0#0#0.0#2019-10-15 09:17:57#0#00:00:00#00:00:00#00:00:00 1
6e8216c105e38f7942826d37ce55aeb2
7171104 C 3 CP 2 02/10/2019 02/10/2019 04/06/1954 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 TRYFJE ROOSJE
YEANETE VONNEKE KUMAAT 051697 65 23861 DR DYANA T.WATANIA,SPM
0309R0191019V000297 0000138419289 3;JKN Boni04; 5.3.9.201904290125
4 80876 1#0##0#0#0.0#2019-10-15 09:18:55#0#00:00:00#00:00:00#00:00:00
1 94ef295de58bfeb914148dd0e5ab3fde
7171104 C 3 CP 2 02/10/2019 02/10/2019 18/08/1949 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 CLARA THERESIA
MONTOLALU 039488 70 25612 DR DYANA T.WATANIA,SPM 0309R0191019V000258
0001297007008 3;JKN Boni04; 5.3.9.201904290125 4 80877
1#0##0#0#0.0#2019-10-15 09:19:48#0#00:00:00#00:00:00#00:00:00 1
f730c23505599494656b9453955154a7
7171104 C 3 CP 2 02/10/2019 02/10/2019 17/09/1947 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LENNY KARUNTU
050976 72 26313 DR DYANA T.WATANIA,SPM 0309R0191019V000312
0002069837932 3;JKN Boni04; 5.3.9.201904290125 4 80878
1#0##0#0#0.0#2019-10-15 09:21:03#0#00:00:00#00:00:00#00:00:00 1
198433533f994c7883add19dc2ac4bdb
7171104 C 3 CP 2 02/10/2019 02/10/2019 08/06/1956 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 BERNITJE KAHIMPONG
052002 63 23126 DR DYANA T.WATANIA,SPM 0309R0191019V000322
0000137544761 3;JKN Boni04; 5.3.9.201904290125 4 80879
1#0##0#0#0.0#2019-10-15 09:21:41#0#00:00:00#00:00:00#00:00:00 1
c090c75a40fe949c04fdc7d2025af222
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/07/1942 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DOORTJE LINTJEWAS
052042 77 28217 DR DYANA T.WATANIA,SPM 0309R0191019V000283
0001066846151 3;JKN Boni04; 5.3.9.201904290125 4 80881
1#0##0#0#0.0#2019-10-15 09:24:03#0#00:00:00#00:00:00#00:00:00 1
b6e1e00d867ecd2aa2f3fada30495bcb
7171104 C 3 CP 2 02/10/2019 02/10/2019 15/08/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARITJE KORAAG 048855 72 26346 DR DYANA
T.WATANIA,SPM 0309R0191019V000443 0002085314499 3;JKN Boni04;
5.3.9.201904290125 4 80847 1#0##0#0#0.0#2019-10-15
09:27:19#0#00:00:00#00:00:00#00:00:00 2 841aaffc3b928b7a0c760ffc24c981ed
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/06/1960 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KANSELIR SAMURI 012636 59 21672 DR DYANA
T.WATANIA,SPM 0309R0191019V000407 0000911064306 3;JKN Boni04;
5.3.9.201904290125 4 80843 1#0##0#0#0.0#2019-10-15
09:28:13#0#00:00:00#00:00:00#00:00:00 2 d69aa5887b1068500147276a7c4d8874
7171104 C 3 CP 2 02/10/2019 02/10/2019 05/01/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANI SAKUL 017768 62 22915 DR DYANA
T.WATANIA,SPM 0309R0191019V000251 0001813080969 3;JKN Boni04;
5.3.9.201904290125 4 80886 1#0##0#0#0.0#2019-10-15
09:29:28#0#00:00:00#00:00:00#00:00:00 1 65edb6a67a045727f174541dfda579df
7171104 C 3 CP 2 02/10/2019 02/10/2019 07/12/1965 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELLEN TINEKE SOMBAH 049417 53 19657 DR
DYANA T.WATANIA,SPM 0309R0191019V000452 0000139012749 3;JKN Boni04;
5.3.9.201904290125 4 80887 1#0##0#0#0.0#2019-10-15
09:30:11#0#00:00:00#00:00:00#00:00:00 1 783a4007c69b1c9a8d93986dce229dbb
7171104 C 3 CP 2 02/10/2019 02/10/2019 05/04/1954 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARGARETA CIA 027568 65 23921 DR DYANA
T.WATANIA,SPM 0309R0191019V000449 0001243667687 3;JKN Boni04;
5.3.9.201904290125 4 80888 1#0##0#0#0.0#2019-10-15
09:31:12#0#00:00:00#00:00:00#00:00:00 1 b4b3d8f2461bca8ee9bcebf3ffd9177f
7171104 C 3 CP 2 02/10/2019 02/10/2019 13/09/1951 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 THEREISYE WALANGITAN 045174 68 24856 DR
DYANA T.WATANIA,SPM 0309R0191019V000310 0001604483021 3;JKN Boni04;
5.3.9.201904290125 4 80889 1#0##0#0#0.0#2019-10-15
09:31:54#0#00:00:00#00:00:00#00:00:00 1 60b4dc30c87037c325a81d04a14e3f4c
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/03/1938 0 2
1 H26.9 13.59;13.71 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 TRESNA NAMONTI 051997 81 29800 DR
SAUL RAPAR,SPM 0309R0191019V000490 0000906367397 3;JKN Boni04;
5.3.9.201904290125 4 80891 1#0##0#0#0.0#2019-10-15
09:33:36#0#00:00:00#00:00:00#00:00:00 1 5e9e275afcb8a16d53bcbc4f5d97172c
7171104 C 3 CP 2 02/10/2019 02/10/2019 08/06/1954 0 2
1 H26.9 13.59;13.71 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 JENNY MANDANG 051765 65 23857 DR
RALF PANGALILA,SPM 0309R0191019V000402 0000138078955 3;JKN Boni04;
5.3.9.201904290125 4 80893 1#0##0#0#0.0#2019-10-15
09:34:25#0#00:00:00#00:00:00#00:00:00 1 a8549fcc83588a3707ee7aa4b7c971c3
7171104 C 3 CP 2 02/10/2019 02/10/2019 26/03/1948 0 2
1 H26.9 13.59;13.71 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 MARHOCE LUMINTANG 020583 71 26122 DR
RALF PANGALILA,SPM 0309R0191019V000448 0001572832721 3;JKN Boni04;
5.3.9.201904290125 4 80894 1#0##0#0#0.0#2019-10-15
09:35:08#0#00:00:00#00:00:00#00:00:00 1 e456763afaafc36faaba5b3737a72321
7171104 C 3 CP 2 02/10/2019 02/10/2019 19/09/1956 0 1
1 H26.9 13.59;13.71 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 DARTJE KAHIMPONG 051397 63 23023 DR
RALF PANGALILA,SPM 0309R0191019V000357 0001423782865 3;JKN Boni04;
5.3.9.201904290125 4 80895 1#0##0#0#0.0#2019-10-15
09:35:51#0#00:00:00#00:00:00#00:00:00 1 3e26accaef2de1f14f975e7329db1783
7171104 C 3 CP 2 02/10/2019 02/10/2019 22/09/1942 0 2
1 H26.9 13.59;13.71 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 STIN LENDONGAN 051181 77 28134 DR
RALF PANGALILA,SPM 0309R0191019V000284 0001821599245 3;JKN Boni04;
5.3.9.201904290125 4 80896 1#0##0#0#0.0#2019-10-15
09:37:31#0#00:00:00#00:00:00#00:00:00 1 d8cbc07af5a199ba394a2fc2049ca6be
7171104 C 3 CP 2 02/10/2019 02/10/2019 31/07/1959 0 2
1 H26.9 13.59;13.71 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 ALTJE POSUMAH 051586 60 21978 DR
RALF PANGALILA,SPM 0309R0191019V000323 0001567777239 3;JKN Boni04;
5.3.9.201904290125 4 80898 1#0##0#0#0.0#2019-10-15
09:38:16#0#00:00:00#00:00:00#00:00:00 1 5c4d3abd01c94a7e5dbc8c8f5542b7d1
7171104 C 3 CP 2 02/10/2019 02/10/2019 06/05/1956 0 2
1 H26.9 13.59;13.71 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 MASTIN DEREK 051793 63 23159 DR
RALF PANGALILA,SPM 0309R0191019V000351 0002486234632 3;JKN Boni04;
5.3.9.201904290125 4 80899 1#0##0#0#0.0#2019-10-15
09:38:57#0#00:00:00#00:00:00#00:00:00 1 ad55475b7fbd3588c68ca02593c2578d
7171104 C 3 CP 2 02/10/2019 02/10/2019 16/03/1939 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 KAROLIN SUPIT
050826 80 29420 DR.MELISA RATAG,SPM 0309R0191019V000450
0000211328324 3;JKN Boni04; 5.3.9.201904290125 4 80900
1#0##0#0#0.0#2019-10-15 09:41:33#0#00:00:00#00:00:00#00:00:00 1
aecf2646449a982f94f5ee3895d11932
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/12/1951 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MINTJE TANGKA
051884 67 24777 DR.MELISA RATAG,SPM 0309R0191019V000440
0000907815159 3;JKN Boni04; 5.3.9.201904290125 4 80901
1#0##0#0#0.0#2019-10-15 09:42:50#0#00:00:00#00:00:00#00:00:00 1
b827aecfab4fa3032c3696e800b03429
7171104 C 3 CP 2 02/10/2019 02/10/2019 31/01/1946 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JANTJE HARRY
MANTIRI 051922 73 26907 DR.MELISA RATAG,SPM 0309R0191019V000404
0000137181352 3;JKN Boni04; 5.3.9.201904290125 4 80903
1#0##0#0#0.0#2019-10-15 09:43:33#0#00:00:00#00:00:00#00:00:00 1
706f76130a425af4b610e80baf37a654
7171104 C 3 CP 2 02/10/2019 02/10/2019 05/03/1958 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARTHEN INARAY
051928 61 22491 DR.MELISA RATAG,SPM 0309R0191019V000392
0001574607609 3;JKN Boni04; 5.3.9.201904290125 4 80904
1#0##0#0#0.0#2019-10-15 09:44:18#0#00:00:00#00:00:00#00:00:00 1
760cb56928d44ac21a1ec9770bce1fdc
7171104 C 3 CP 2 02/10/2019 02/10/2019 16/10/1960 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 TONNY TENDEAN
051909 58 21535 DR.MELISA RATAG,SPM 0309R0191019V000366
0000138349337 3;JKN Boni04; 5.3.9.201904290125 4 80905
1#0##0#0#0.0#2019-10-15 09:45:15#0#00:00:00#00:00:00#00:00:00 1
d8e5b4ab44a564c2c4c379887f4a4682
7171104 C 3 CP 2 02/10/2019 02/10/2019 14/05/1946 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MEITY MAWUNTU
006850 73 26804 DR.MELISA RATAG,SPM 0309R0191019V000350
0002054976693 3;JKN Boni04; 5.3.9.201904290125 4 80906
1#0##0#0#0.0#2019-10-15 09:46:10#0#00:00:00#00:00:00#00:00:00 1
54bdf74f5901d1390d56f9e7d1ba3252
7171104 C 3 CP 2 02/10/2019 02/10/2019 04/03/1965 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MASYE RUMONDOR
051596 54 19935 DR.MELISA RATAG,SPM 0309R0191019V000238
0001983549431 3;JKN Boni04; 5.3.9.201904290125 4 80907
1#0##0#0#0.0#2019-10-15 09:49:29#0#00:00:00#00:00:00#00:00:00 1
d42672ce07a7aeb6b5d64caf08ef6ac1
7171104 C 3 CP 2 02/10/2019 02/10/2019 23/08/1946 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 BERNARD LODEWYK
TULUNG 015970 73 26703 DR.MELISA RATAG,SPM 0309R0191019V000245
0000138271476 3;JKN Boni04; 5.3.9.201904290125 4 80909
1#0##0#0#0.0#2019-10-15 09:52:15#0#00:00:00#00:00:00#00:00:00 1
0dbbaf9676723d5e56cdd15e0fb6fe4d
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/06/1957 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 AGUSTIN WEWENGKANG 005679 62 22768
DR PAULA M V LUMUNON,SPM 0309R0191019V000339 0000908846482 3;JKN
Boni04; 5.3.9.201904290125 4 80910 1#0##0#0#0.0#2019-10-15
09:56:32#0#00:00:00#00:00:00#00:00:00 1 6c616bf6115c748e7fb525e02239b466
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/07/1952 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 JULIN MAKAHEMING 016068 67 24564 DR
YULIANA HARTONO,SPM 0309R0191019V000228 0000911032378 3;JKN Boni04;
5.3.9.201904290125 4 80911 1#0##0#0#0.0#2019-10-15
09:59:02#0#00:00:00#00:00:00#00:00:00 1 3cdc4abb60654ce36884b96515bf2713
7171104 C 3 CP 2 02/10/2019 02/10/2019 10/09/1962 0 2
1 Z09.0;C69.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FATMAWATI IBRAHIM 051733 57 20841 DR
YULIANA HARTONO,SPM 0309R0191019V000349 0000139982804 3;JKN Patrick K.;
5.3.9.201904290125 4 79426 1#0##0#0#0.0#2019-10-25
08:43:14#0#00:00:00#00:00:00#00:00:00 2 b488fa2200eca9e3c211a0fc008c8032
7171104 C 3 CP 2 02/10/2019 02/10/2019 29/09/1958 0 1
1 H25.0;H21.5;H44.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SEMI SOLEMAN 052050 61 22283 DR
SAUL RAPAR,SPM 0309R0191019V000317 0000908443236 3;JKN Patrick K.;
5.3.9.201904290125 4 79478 1#0##0#0#0.0#2019-11-05
13:15:05#0#00:00:00#00:00:00#00:00:00 2 c4269b6375b8701ecd7d0f7d998ae200
7171104 C 3 CP 2 02/10/2019 02/10/2019 01/02/1950 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SALMA IBRAHIM 051954 69 25445 DR
YULIANA HARTONO,SPM 0309R0191019V000260 0000908960591 3;JKN Patrick K.;
5.3.9.201904290125 4 84288 1#0##0#0#0.0#2019-11-05
15:12:15#0#00:00:00#00:00:00#00:00:00 2 53259b6d26bf431950cad2598f16be42
7171104 C 2 CP 1 02/10/2019 03/10/2019 05/11/1965 0 1
1 H44.0 14.74;99.21 - - YY09 None None None H-1-30-I None
None YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
7812300 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 14322500 7179000 0 2 0 0 0 JEFRY BUKASILI
MAMOEKO 040386 53 19689 DR SALAM SURBAKTI,SPM 0309R0191019V000457
0000137870122 3;JKN eka06; 5.3.9.201904290125 4 79420
1#0##0#0#0.0#2019-10-04 08:46:36#0#00:00:00#00:00:00#00:00:00 2
699e7f622d07e7b2c35e709d111eac80
7171104 C 1 CP 1 02/10/2019 03/10/2019 24/06/1969 0 2
1 T85.3 14.74 - - YY09 None None None H-1-30-I None None
YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
9114300 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 15624500 7179000 0 2 0 0 0 NURHAYATI JASIN
044987 50 18362 DR SALAM SURBAKTI,SPM 0309R0191019V000243
0000138394776 3;JKN eka06; 5.3.9.201904290125 4 79424
1#0##0#0#0.0#2019-10-04 08:47:44#0#00:00:00#00:00:00#00:00:00 1
67f55b82f5fcbef2fc3208478f0dabe4
7171104 C 3 CP 1 02/10/2019 03/10/2019 01/03/1957 0 1
1 H43.3 14.74 - - YY09 None None None H-1-30-I None None
YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6510200 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 13020400 7179000 0 2 0 0 0 JHONY SUMAMPOUW
051159 62 22860 DR SALAM SURBAKTI,SPM 0309R0191019V000380
0001066652177 3;JKN eka06; 5.3.9.201904290125 4 79428
1#0##0#0#0.0#2019-10-04 08:53:20#0#00:00:00#00:00:00#00:00:00 1
c7677daeaae21755c450e7faf90b6e8c
7171104 C 2 CP 1 02/10/2019 03/10/2019 06/05/2008 0 1
1 H26.9 13.43 - - None None None None H-1-30-I None None
None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN) 7812300
0 0 - 0 - 0 - 0 - 0 7812300
7179000 0 2 0 0 0 MERANDY PRASETYA JANIS 050370
11 4166 DR SALAM SURBAKTI,SPM 0309R0191019V000270 0000194628497
3;JKN eka06; 5.3.9.201904290125 4 79436 1#0##0#0#0.0#2019-10-04
08:55:04#0#00:00:00#00:00:00#00:00:00 1 ee6210817218d721b6684cd62f99c5b3
7171104 C 1 CP 1 02/10/2019 03/10/2019 01/08/1946 0 2
1 H33.0 14.74 - - YY09 None None None H-1-30-I None None
YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
9114300 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 15624500 7179000 0 2 0 0 0 NY AGUSTIEN MAMBU
049478 73 26725 DR SALAM SURBAKTI,SPM 0309R0191019V000253
0000138938859 3;JKN eka06; 5.3.9.201904290125 4 79441
1#0##0#0#0.0#2019-10-04 08:58:30#0#00:00:00#00:00:00#00:00:00 1
ca8421b62b6bd3995726fe3577efa70c
7171104 C 3 CP 1 02/10/2019 03/10/2019 15/10/1943 0 1
1 H43.3 14.74 - - YY09 None None None H-1-30-I None None
YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6510200 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 13020400 7179000 0 2 0 0 0 LENDRIMUS MANIHAI
051123 75 27746 DR SALAM SURBAKTI,SPM 0309R0191019V000454
0001571189973 3;JKN eka06; 5.3.9.201904290125 4 79444
1#0##0#0#0.0#2019-10-04 09:00:13#0#00:00:00#00:00:00#00:00:00 1
50af23a8304c2f96972e6bd2305cb2bc
7171104 C 2 CP 1 02/10/2019 03/10/2019 04/03/1967 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5134200
0 0 - 0 - 0 - 0 - 0 5134200
9807400 0 2 0 0 0 MARCELINUS SIMPURU 005349
52 19205 DR RALF PANGALILA,SPM 0309R0191019V000409 0000148727957
3;JKN eka06; 5.3.9.201904290125 4 79447 1#0##0#0#0.0#2019-10-04
09:01:19#0#00:00:00#00:00:00#00:00:00 1 c2a720cfc36109384d06e91e102232f0
7171104 C 3 CP 1 02/10/2019 03/10/2019 01/04/1975 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 ANTJE DEVNI KORAAG 016190
44 16255 DR RALF PANGALILA,SPM 0309R0191019V000334 0000906130765
3;JKN eka06; 5.3.9.201904290125 4 79451 1#0##0#0#0.0#2019-10-04
09:02:18#0#00:00:00#00:00:00#00:00:00 1 b46fcdc22440345001638091fb9db1f7
7171104 C 2 CP 1 02/10/2019 03/10/2019 21/11/1953 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5134200
0 0 - 0 - 0 - 0 - 0 5134200
9807400 0 2 0 0 0 NONTJE MARAMIS 052000 65
24056 DR.MELISA RATAG,SPM 0309R0191019V000447 0000139095652 3;JKN
eka06; 5.3.9.201904290125 4 79452 1#0##0#0#0.0#2019-10-04
09:04:21#0#00:00:00#00:00:00#00:00:00 1 1ccbd057a6cc38bdad3af013be921e36
7171104 C 3 CP 1 02/10/2019 03/10/2019 08/09/1989 0 1
1 Z96.1;H35.2;H43.1 14.74 - - YY09 None None None H-1-30-II
None None YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER
(SEDANG) 8088300 0 0 VITRECTOMY 6510200 - 0 - 0
- 0 14598500 7179000 0 2 0 0 0 ADRIE
MAWIKERE 043791 30 10981 DR DYANA T.WATANIA,SPM 0309R0191019V000455
0001565227517 3;JKN eka06; 5.3.9.201904290125 4 79454
1#0##0#0#0.0#2019-10-04 09:10:48#0#00:00:00#00:00:00#00:00:00 1
40d2aaef6ab963104d569165700e95fc
7171104 C 3 CP 2 03/10/2019 03/10/2019 12/06/1970 0 1
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EDISON BOGAR 052098 49 18010 DR
RALF PANGALILA,SPM 0309R0191019V000603 0000138743403 3;JKN Patrick K.;
5.3.9.201904290125 4 79510 1#0##0#0#0.0#2019-10-04
09:44:24#0#00:00:00#00:00:00#00:00:00 1 b4f71003e2853d47cf258ea3ade9fc0a
7171104 C 3 CP 2 03/10/2019 03/10/2019 23/03/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SERVI SENDUK 051262 69 25396 DR. DENNY
WALANDOW, SPM 0309R0191019V000602 0002044797164 3;JKN Patrick K.;
5.3.9.201904290125 4 79513 1#0##0#0#0.0#2019-10-04
09:46:23#0#00:00:00#00:00:00#00:00:00 1 a1aed1053604686ae86ea58ac210cca3
7171104 C 3 CP 2 03/10/2019 03/10/2019 05/02/1943 0 2
1 Z09.8;H40.5;H35.2;Z96.1;H25.0 95.02 - - None None None None
H-3-12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA
213700 0 0 - 0 - 0 - 0 - 0 213700
160600 0 1 0 0 0 CATRYNTJE F. KALEB 050872
76 27999 DR.FELLY A. TOAD,S.PM 0309R0191019V000601 0000137185738
3;JKN Patrick K.; 5.3.9.201904290125 4 79515 1#0##0#0#0.0#2019-10-04
09:47:29#0#00:00:00#00:00:00#00:00:00 1 d292c2592dfc362a734fabb9bef934ff
7171104 C 3 CP 2 03/10/2019 03/10/2019 30/08/1971 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANIKA YUL SUNDAME 052097 48 17566 DR
DYANA T.WATANIA,SPM 0309R0191019V000599 0000138743414 3;JKN Patrick K.;
5.3.9.201904290125 4 79518 1#0##0#0#0.0#2019-10-04
09:49:28#0#00:00:00#00:00:00#00:00:00 1 2dcd2c70d97b68b5dc15a1cd81b87844
7171104 C 3 CP 2 03/10/2019 03/10/2019 24/04/1951 0 1
1 Z09.8;H35.2;H25.0;H44.5 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BAHARUDDIN PANRELLI 010300 68 24999
DR.FELLY A. TOAD,S.PM 0309R0191019V000597 0000158153049 3;JKN
Patrick K.; 5.3.9.201904290125 4 79519 1#0##0#0#0.0#2019-10-04
09:51:08#0#00:00:00#00:00:00#00:00:00 1 21748b6ece50755149b8b329ec096ea8
7171104 C 3 CP 2 03/10/2019 03/10/2019 08/05/2002 0 1
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RIVANO JOCOM 051698 17 6357 DR. DENNY
WALANDOW, SPM 0309R0191019V000596 0001078926265 3;JKN Patrick K.;
5.3.9.201904290125 4 79524 1#0##0#0#0.0#2019-10-04
09:56:12#0#00:00:00#00:00:00#00:00:00 1 14b8340be829ff3c1b8c74c8f963a560
7171104 C 3 CP 2 03/10/2019 03/10/2019 19/11/1942 0 2
1 Z09.8;Q11.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CORNELIA SARAPI 006694 76 28077 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000595 0000138659095 3;JKN Patrick K.;
5.3.9.201904290125 4 79527 1#0##0#0#0.0#2019-10-04
09:57:23#0#00:00:00#00:00:00#00:00:00 1 d3066c766b49d80ba8b8ed4a999ecc25
7171104 C 3 CP 2 03/10/2019 03/10/2019 20/01/1945 0 2
1 Z96.1;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GRIETJE E. PANGKEY 050713 74 27284
DR. DENNY WALANDOW, SPM 0309R0191019V000594 0000137179282 3;JKN
Patrick K.; 5.3.9.201904290125 4 79528 1#0##0#0#0.0#2019-10-04
09:58:39#0#00:00:00#00:00:00#00:00:00 1 2976e757bcdd3b2c9341ccccfe975dd5
7171104 C 3 CP 2 03/10/2019 03/10/2019 19/02/1940 0 1
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KODOATI WEMPI 005834 79 29081 DR
RALF PANGALILA,SPM 0309R0191019V000592 0000139039277 3;JKN Patrick K.;
5.3.9.201904290125 4 79530 1#0##0#0#0.0#2019-10-04
10:00:15#0#00:00:00#00:00:00#00:00:00 1 4bcac45c3374789c2d8579d2ab876d9f
7171104 C 3 CP 2 03/10/2019 03/10/2019 24/06/1943 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CATOTJE ELSJE ROPA 052094 76 27860 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000590 0000138114606 3;JKN Patrick K.;
5.3.9.201904290125 4 79531 1#0##0#0#0.0#2019-10-04
10:02:36#0#00:00:00#00:00:00#00:00:00 1 d7b13f2329b495b9cf738e0dd4c97a58
7171104 C 3 CP 2 03/10/2019 03/10/2019 31/07/1958 0 2
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZUSKE LIEKE KANDOU 049027 61 22344
DR.FELLY A. TOAD,S.PM 0309R0191019V000589 0002259901315 3;JKN
Patrick K.; 5.3.9.201904290125 4 79535 1#0##0#0#0.0#2019-10-04
10:04:01#0#00:00:00#00:00:00#00:00:00 1 a5f3042d54a3c7923714413ba2d9951a
7171104 C 3 CP 2 03/10/2019 03/10/2019 30/10/1957 0 1
1 Z09.8;H40.1;H25.0;Z96.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLD MESAK 050144 61 22618 DR.FELLY A.
TOAD,S.PM 0309R0191019V000588 0002257390833 3;JKN Patrick K.;
5.3.9.201904290125 4 79536 1#0##0#0#0.0#2019-10-04
10:05:39#0#00:00:00#00:00:00#00:00:00 1 6fcbbb15f4290aa9bd8f979db626a52f
7171104 C 3 CP 2 03/10/2019 03/10/2019 02/01/1989 0 2
1 Z01.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JEIN REINE EHU 052096 30 11231 DR.FELLY A.
TOAD,S.PM 0309R0191019V000587 0001178112701 3;JKN Patrick K.;
5.3.9.201904290125 4 79537 1#0##0#0#0.0#2019-10-04
10:06:54#0#00:00:00#00:00:00#00:00:00 1 7441ffd10560447e7f7863b37597b8f0
7171104 C 3 CP 2 03/10/2019 03/10/2019 19/04/1939 0 1
1 Z09.8;H10.5;H16.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAX HENDRIK TANGKILISAN 008631 80 29387
DR. SAMUEL MALINGKAS,SPM 0309R0191019V000586 0001300001589 3;JKN
Patrick K.; 5.3.9.201904290125 4 79538 1#0##0#0#0.0#2019-10-04
10:11:33#0#00:00:00#00:00:00#00:00:00 1 34180790f09aa8ffe9c43c28ba6ae953
7171104 C 3 CP 2 03/10/2019 03/10/2019 03/04/1977 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 REFLIEN MEIRITA PINATIK 052095 42 15523
DR. DENNY WALANDOW, SPM 0309R0191019V000585 0000904784084 3;JKN
Patrick K.; 5.3.9.201904290125 4 79539 1#0##0#0#0.0#2019-10-04
10:14:02#0#00:00:00#00:00:00#00:00:00 2 8ef2bcfc158bd4338bed02e564d070e0
7171104 C 3 CP 2 03/10/2019 03/10/2019 25/02/1955 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FERRY ASIR 051260 64 23596 DR DYANA
T.WATANIA,SPM 0309R0191019V000584 0000138051786 3;JKN Patrick K.;
5.3.9.201904290125 4 79540 1#0##0#0#0.0#2019-10-04
10:15:09#0#00:00:00#00:00:00#00:00:00 1 7415d4a3429cceab041e249a8cd5e1f8
7171104 C 3 CP 2 03/10/2019 03/10/2019 08/01/2005 0 1
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZEFA JEREMIA RUNTU 050733 14 5381
DR RALF PANGALILA,SPM 0309R0191019V000583 0000904784782 3;JKN
Patrick K.; 5.3.9.201904290125 4 79541 1#0##0#0#0.0#2019-10-04
10:16:42#0#00:00:00#00:00:00#00:00:00 1 fd7db78915d13b359f14f400ac74ee5a
7171104 C 3 CP 2 03/10/2019 03/10/2019 06/12/1944 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARKUS HANS LAMPAH 050911 74 27329 DR.
DENNY WALANDOW, SPM 0309R0191019V000582 0001871357027 3;JKN Patrick K.;
5.3.9.201904290125 4 79542 1#0##0#0#0.0#2019-10-04
10:18:24#0#00:00:00#00:00:00#00:00:00 1 c519041c6646ff62f3657274f9628ace
7171104 C 3 CP 2 03/10/2019 03/10/2019 03/08/1965 0 2
1 Z09.8;H40.5;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOUCE MANANEKE 029707 54 19784 DR
DYANA T.WATANIA,SPM 0309R0191019V000581 0001261501086 3;JKN Patrick K.;
5.3.9.201904290125 4 79543 1#0##0#0#0.0#2019-10-04
10:19:36#0#00:00:00#00:00:00#00:00:00 1 9e48de433f6d0461ad9270119a2f03fd
7171104 C 3 CP 2 03/10/2019 03/10/2019 21/11/1954 0 2
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENNY KUMENDONG 010667 64 23692 DR
RALF PANGALILA,SPM 0309R0191019V000580 0001309829062 3;JKN Patrick K.;
5.3.9.201904290125 4 79544 1#0##0#0#0.0#2019-10-04
10:20:47#0#00:00:00#00:00:00#00:00:00 1 836ef3b5291f4e88df389d2d1a7e1379
7171104 C 3 CP 2 03/10/2019 03/10/2019 21/11/1960 0 2
1 Z09.8;H40.5;H35.2;Z96.1;H26.4 95.02 - - None None None None
H-3-12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA
213700 0 0 - 0 - 0 - 0 - 0 213700
160600 0 1 0 0 0 NONCE A. DIRENO 042413 58
21500 DR.FELLY A. TOAD,S.PM 0309R0191019V000579 0000136907932 3;JKN
Patrick K.; 5.3.9.201904290125 4 79545 1#0##0#0#0.0#2019-10-04
10:22:28#0#00:00:00#00:00:00#00:00:00 1 afe1421c5679cfa3a67c104624ea126c
7171104 C 3 CP 2 03/10/2019 03/10/2019 20/05/1951 0 1
1 Z09.8;H40.5;Z96.1;H50.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SIMON AIPIPIDELY 000352 68 24973
DR.FELLY A. TOAD,S.PM 0309R0191019V000577 0000138274749 3;JKN
Patrick K.; 5.3.9.201904290125 4 79546 1#0##0#0#0.0#2019-10-04
10:23:56#0#00:00:00#00:00:00#00:00:00 1 a456bba37957865a2d512875dab97cf3
7171104 C 3 CP 2 03/10/2019 03/10/2019 17/08/1994 0 2
1 H11.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RENELLY ANDREINA PROKLA PANGKEY 052093 25
9178 DR. DENNY WALANDOW, SPM 0309R0191019V000576 0002388309759 3;JKN
Patrick K.; 5.3.9.201904290125 4 79547 1#0##0#0#0.0#2019-10-04
10:30:17#0#00:00:00#00:00:00#00:00:00 2 32667dbbdb415ad03f15fad88de41d31
7171104 C 3 CP 2 03/10/2019 03/10/2019 11/11/1970 0 1
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BOYKE P.R. LOING 051606 48 17858 DR
RALF PANGALILA,SPM 0309R0191019V000575 0001452389174 3;JKN Patrick K.;
5.3.9.201904290125 4 79548 1#0##0#0#0.0#2019-10-04
10:31:15#0#00:00:00#00:00:00#00:00:00 1 d3d9aa3ac1c58af81fd5d33c66bb1d4e
7171104 C 3 CP 2 03/10/2019 03/10/2019 04/03/1976 0 2
1 Z09.8;H40.5;E11.3;Z96.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SARLOTA GOBEL 040959 43 15918
DR.FELLY A. TOAD,S.PM 0309R0191019V000574 0002247254965 3;JKN
Patrick K.; 5.3.9.201904290125 4 79549 1#0##0#0#0.0#2019-10-04
10:32:40#0#00:00:00#00:00:00#00:00:00 1 327b9a82ae5787edb1277d2c78034dde
7171104 C 3 CP 2 03/10/2019 03/10/2019 04/10/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KONDA MALINDIM PALENEWEN 051521 76 28123
DR. DENNY WALANDOW, SPM 0309R0191019V000573 0002243157063 3;JKN
Patrick K.; 5.3.9.201904290125 4 79550 1#0##0#0#0.0#2019-10-04
10:34:02#0#00:00:00#00:00:00#00:00:00 1 8975ba65d019f40266acb7b4eb1e1bc6
7171104 C 3 CP 2 03/10/2019 03/10/2019 09/02/1955 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA LINCE HUMBAS 051518 64 23612
DR. DENNY WALANDOW, SPM 0309R0191019V000571 0001564965281 3;JKN
Patrick K.; 5.3.9.201904290125 4 79551 1#0##0#0#0.0#2019-10-04
10:35:08#0#00:00:00#00:00:00#00:00:00 1 373a329840d143ffa4ec2f2c73f4e8d9
7171104 C 3 CP 2 03/10/2019 03/10/2019 06/05/1976 0 2
1 Z96.1;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEILANY TUMARAR S.SOS 051455 43 15855
DR. DENNY WALANDOW, SPM 0309R0191019V000570 0000207410128 3;JKN
Patrick K.; 5.3.9.201904290125 4 79552 1#0##0#0#0.0#2019-10-04
10:36:16#0#00:00:00#00:00:00#00:00:00 1 f2333f1df541ec84066b33fd3ac41137
7171104 C 3 CP 2 03/10/2019 03/10/2019 26/12/1975 0 1
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHRISTIAN DEDY TAMBURIAN 051238 43
15987 DR.FELLY A. TOAD,S.PM 0309R0191019V000569 0001565148857 3;JKN
Patrick K.; 5.3.9.201904290125 4 79553 1#0##0#0#0.0#2019-10-04
10:39:09#0#00:00:00#00:00:00#00:00:00 1 e7f62401a0fa2ddf035aa97372a21915
7171104 C 3 CP 2 03/10/2019 03/10/2019 26/10/2002 0 2
1 Z09.8;H17.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LUSIA MARIA KALANGI 002373 16 6186
DR. SAMUEL MALINGKAS,SPM 0309R0191019V000605 0001099787646 3;JKN
Vian02; 5.3.9.201904290125 4 79555 1#0##0#0#0.0#2019-10-04
10:41:12#0#00:00:00#00:00:00#00:00:00 1 6b5135fcc0407721ec40624ce4bab16a
7171104 C 3 CP 2 03/10/2019 03/10/2019 15/10/1970 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OTJE VENTJE KARUNDENG 016809 48 17885
DR RALF PANGALILA,SPM 0309R0191019V000568 0001142397696 3;JKN
Patrick K.; 5.3.9.201904290125 4 79554 1#0##0#0#0.0#2019-10-04
10:41:40#0#00:00:00#00:00:00#00:00:00 1 6246f1c223058422a83a224d77096d59
7171104 C 3 CP 2 03/10/2019 03/10/2019 28/11/1939 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NETJE SUAL 051275 79 29164 DR RALF
PANGALILA,SPM 0309R0191019V000567 0000203381379 3;JKN Patrick K.;
5.3.9.201904290125 4 79556 1#0##0#0#0.0#2019-10-04
10:44:49#0#00:00:00#00:00:00#00:00:00 1 1c4246ddcc9c9bc4f3b6e02a42f9ec5f
7171104 C 3 CP 2 03/10/2019 03/10/2019 18/05/1955 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEIDY LIOGU 051669 64 23514 DR.FELLY A.
TOAD,S.PM 0309R0191019V000566 0000137263375 3;JKN Patrick K.;
5.3.9.201904290125 4 79557 1#0##0#0#0.0#2019-10-04
10:46:52#0#00:00:00#00:00:00#00:00:00 1 0ea0119866b6e9118ac6406df582e978
7171104 C 3 CP 2 03/10/2019 03/10/2019 03/03/1943 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SARAPI M TUMULO 050175 76 27973 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V000606 0000138039805 3;JKN Vian02;
5.3.9.201904290125 4 79558 1#0##0#0#0.0#2019-10-04
10:49:29#0#00:00:00#00:00:00#00:00:00 1 a239a2878b219acb795b4b9cd5584fcc
7171104 C 3 CP 2 03/10/2019 03/10/2019 18/09/1958 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAHMUD ALIM 000137 61 22295 DR RALF
PANGALILA,SPM 0309R0191019V000607 0000909854133 3;JKN Vian02;
5.3.9.201904290125 4 79560 1#0##0#0#0.0#2019-10-04
10:50:10#0#00:00:00#00:00:00#00:00:00 1 cb5b71c939edbea26eaf1ee2522a4f0b
7171104 C 3 CP 2 03/10/2019 03/10/2019 13/01/1961 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOSEPH AREN ANDRIES 051887 58 21447
DR DYANA T.WATANIA,SPM 0309R0191019V000608 0001181851931 3;JKN
Vian02; 5.3.9.201904290125 4 79561 1#0##0#0#0.0#2019-10-04
10:51:21#0#00:00:00#00:00:00#00:00:00 1 22bbbe73919223ea865a55ae3574708d
7171104 C 3 CP 2 03/10/2019 03/10/2019 20/05/1964 0 1
1 Z96.1;H35.2;H33.4;H43.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRANGKY E. B. SANGIAN 051798 55 20224
DR DYANA T.WATANIA,SPM 0309R0191019V000611 0000137229423 3;JKN
Vian02; 5.3.9.201904290125 4 79562 1#0##0#0#0.0#2019-10-04
10:52:18#0#00:00:00#00:00:00#00:00:00 1 2ce7cedafc0104ce03943a9c39171076
7171104 C 3 CP 2 03/10/2019 03/10/2019 07/03/1958 0 2
1 Z09.8;B02.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GILLIAN M.LAOH 051744 61 22490 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000612 0000138143182 3;JKN Vian02;
5.3.9.201904290125 4 79563 1#0##0#0#0.0#2019-10-04
10:53:13#0#00:00:00#00:00:00#00:00:00 1 7ce9f6f72b7d2ae9918689aff4a8837f
7171104 C 3 CP 2 03/10/2019 03/10/2019 17/09/1930 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TUMBEL SONDAKH 051276 89 32523 DR RALF
PANGALILA,SPM 0309R0191019V000564 0000203381109 3;JKN Patrick K.;
5.3.9.201904290125 4 79559 1#0##0#0#0.0#2019-10-04
10:53:28#0#00:00:00#00:00:00#00:00:00 2 524b8e11f9421ef514ef26e4152bafbc
7171104 C 3 CP 2 03/10/2019 03/10/2019 15/12/1944 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 A.MANDANG-SOLANG NY 022264 74 27320
DR.FELLY A. TOAD,S.PM 0309R0191019V000616 0000138099306 3;JKN
Vian02; 5.3.9.201904290125 4 79564 1#0##0#0#0.0#2019-10-04
10:54:28#0#00:00:00#00:00:00#00:00:00 1 bca1b64217e795e795a262b80944f341
7171104 C 3 CP 2 03/10/2019 03/10/2019 16/11/1952 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIEN MADONSA 052092 66 24427 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V000563 0000138338133 3;JKN Patrick K.;
5.3.9.201904290125 4 79565 1#0##0#0#0.0#2019-10-04
10:55:03#0#00:00:00#00:00:00#00:00:00 1 8ecdb8164a2d5a89c1a1901f1340e8f9
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/06/1968 0 1
1 Z09.0;H40.5;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIANUS PONTOH 045505 51 18751
DR.FELLY A. TOAD,S.PM 0309R0191019V000618 0000905034699 3;JKN
Vian02; 5.3.9.201904290125 4 79566 1#0##0#0#0.0#2019-10-04
10:55:18#0#00:00:00#00:00:00#00:00:00 1 dde23ec94e2a0e58f25468d265368130
7171104 C 3 CP 2 03/10/2019 03/10/2019 04/07/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SALIA IBRAHIM 003016 62 22736 DR DYANA
T.WATANIA,SPM 0309R0191019V000620 0002066912763 3;JKN Vian02;
5.3.9.201904290125 4 79568 1#0##0#0#0.0#2019-10-04
10:56:09#0#00:00:00#00:00:00#00:00:00 1 5ae03e34412e721966da3f3ba97dbf7f
7171104 C 3 CP 2 03/10/2019 03/10/2019 19/11/1969 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MOUDIE REPI 014177 49 18215 DR. DENNY
WALANDOW, SPM 0309R0191019V000562 0002046740387 3;JKN Patrick K.;
5.3.9.201904290125 4 79567 1#0##0#0#0.0#2019-10-04
10:56:25#0#00:00:00#00:00:00#00:00:00 1 86ad6efc5b3941898c7b197d5f5e6a68
7171104 C 3 CP 2 03/10/2019 03/10/2019 29/04/1964 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HELLY ALTJE PAENDONG 052105 55 20245
DR. DENNY WALANDOW, SPM 0309R0191019V000622 0000137382557 3;JKN
Vian02; 5.3.9.201904290125 4 79569 1#0##0#0#0.0#2019-10-04
10:57:10#0#00:00:00#00:00:00#00:00:00 1 a9c848dc5aedae58fdc408e3fbee727a
7171104 C 3 CP 2 03/10/2019 03/10/2019 08/11/1950 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MURTIAH 051522 68 25166 DR. DENNY
WALANDOW, SPM 0309R0191019V000561 0000908532617 3;JKN Patrick K.;
5.3.9.201904290125 4 79570 1#0##0#0#0.0#2019-10-04
10:57:52#0#00:00:00#00:00:00#00:00:00 1 65357872783e4d7d0a3129ae9ce756ca
7171104 C 3 CP 2 03/10/2019 03/10/2019 19/12/1938 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DARIUS TURANG 052106 80 29508 DR.FELLY A.
TOAD,S.PM 0309R0191019V000623 0000203549139 3;JKN Vian02;
5.3.9.201904290125 4 79571 1#0##0#0#0.0#2019-10-04
10:58:01#0#00:00:00#00:00:00#00:00:00 1 88746f17c1ed2c1b9c8e1385d965d088
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/08/1943 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KARTINI BAWERENG 051520 76 27822 DR.
DENNY WALANDOW, SPM 0309R0191019V000624 0000908057294 3;JKN Vian02;
5.3.9.201904290125 4 79572 1#0##0#0#0.0#2019-10-04
10:59:01#0#00:00:00#00:00:00#00:00:00 1 708d7cb2d588be4af78d1aef409e885b
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/02/1947 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAHDALENA LUMINTANG 051682 72 26542
DR. SAMUEL MALINGKAS,SPM 0309R0191019V000626 0000908737029 3;JKN
Vian02; 5.3.9.201904290125 4 79574 1#0##0#0#0.0#2019-10-04
10:59:51#0#00:00:00#00:00:00#00:00:00 1 3a680b5dd3872279ac63217930c6bbab
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/07/1960 0 2
1 Z96.1;H47.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EVA KATIANG 051351 59 21643 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V000559 0000904363525 3;JKN Patrick K.;
5.3.9.201904290125 4 79573 1#0##0#0#0.0#2019-10-04
11:00:13#0#00:00:00#00:00:00#00:00:00 1 98f15411ee3da31ee3db13deec884a0a
7171104 C 3 CP 2 03/10/2019 03/10/2019 21/06/2007 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YUNIKA MICELL GEORJINA PINANGKAAN 052107 12
4487 DR RALF PANGALILA,SPM 0309R0191019V000627 0002741001939 3;JKN
Vian02; 5.3.9.201904290125 4 79575 1#0##0#0#0.0#2019-10-04
11:00:38#0#00:00:00#00:00:00#00:00:00 1 dd97a6140bee1c04930936d608cc690f
7171104 C 3 CP 2 03/10/2019 03/10/2019 08/02/2013 0 1
1 H10.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CHRIST YOSUA PANGKONG 045648 6 2428 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000629 0002242373602 3;JKN Vian02;
5.3.9.201904290125 4 79576 1#0##0#0#0.0#2019-10-04
11:01:57#0#00:00:00#00:00:00#00:00:00 1 98b29c9821ed1b4828fe0952a68911bd
7171104 C 3 CP 2 03/10/2019 03/10/2019 10/10/1934 0 2
1 Z09.8;H44.5;H40.1;Z96.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LIEM GIOK ENG NIO 025621 84 31039
DR.FELLY A. TOAD,S.PM 0309R0191019V000631 0002214711011 3;JKN
Vian02; 5.3.9.201904290125 4 79577 1#0##0#0#0.0#2019-10-04
11:02:42#0#00:00:00#00:00:00#00:00:00 1 7eb031c0242665258f3a86e039aa77be
7171104 C 3 CP 2 03/10/2019 03/10/2019 21/05/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROBERT LEGI 050536 66 24241 DR RALF
PANGALILA,SPM 0309R0191019V000632 0002259774775 3;JKN Vian02;
5.3.9.201904290125 4 79578 1#0##0#0#0.0#2019-10-04
11:03:34#0#00:00:00#00:00:00#00:00:00 1 87fc9f711b1e5526b9a42de29f8e4971
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/03/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARRI WAWOLANGI 050847 74 27244 DR RALF
PANGALILA,SPM 0309R0191019V000633 0000908404075 3;JKN Vian02;
5.3.9.201904290125 4 79579 1#0##0#0#0.0#2019-10-04
11:04:15#0#00:00:00#00:00:00#00:00:00 1 c404078942fe3030dc43ddde25782618
7171104 C 3 CP 2 03/10/2019 03/10/2019 08/06/1949 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAX MAKALEW 051676 70 25684 DR. DENNY
WALANDOW, SPM 0309R0191019V000635 0001287756516 3;JKN Vian02;
5.3.9.201904290125 4 79580 1#0##0#0#0.0#2019-10-04
11:05:04#0#00:00:00#00:00:00#00:00:00 1 20a529abca5453d00e7878cab6a889de
7171104 C 3 CP 2 03/10/2019 03/10/2019 10/10/1945 0 2
1 Z09.8;H16.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SIEN SASELA 012800 73 27021 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V000636 0001812813805 3;JKN Vian02;
5.3.9.201904290125 4 79581 1#0##0#0#0.0#2019-10-04
11:05:44#0#00:00:00#00:00:00#00:00:00 1 1825a6fca0d499f14cd3a0097ebbc7d2
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/07/1968 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIATI RIYADI 051808 51 18721 DR
DYANA T.WATANIA,SPM 0309R0191019V000556 0002062016515 3;JKN Patrick K.;
5.3.9.201904290125 4 79582 1#0##0#0#0.0#2019-10-04
11:05:58#0#00:00:00#00:00:00#00:00:00 1 d55bce4237ba045eedb2a8c405f3fd6c
7171104 C 3 CP 2 03/10/2019 03/10/2019 31/01/1952 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLLY MAKALEW BUNOCH 051675 67 24717
DR. DENNY WALANDOW, SPM 0309R0191019V000637 0001287757394 3;JKN
Vian02; 5.3.9.201904290125 4 79583 1#0##0#0#0.0#2019-10-04
11:06:31#0#00:00:00#00:00:00#00:00:00 1 7092c64adad6bd1761035723a8dcef26
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/10/1972 0 2
1 Z09.8;H53.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLVIANA MANDIANGAN 050791 47 17168
DR RALF PANGALILA,SPM 0309R0191019V000638 0000908593165 3;JKN
Vian02; 5.3.9.201904290125 4 79584 1#0##0#0#0.0#2019-10-04
11:07:18#0#00:00:00#00:00:00#00:00:00 1 6277bbca4e26f9d2d393f8b2e0965038
7171104 C 3 CP 2 03/10/2019 03/10/2019 12/03/1983 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LADY ELISABETH FRANSISCA SONDAKH 052109 36
13354 DR. SAMUEL MALINGKAS,SPM 0309R0191019V000639 0001906623281
3;JKN Vian02; 5.3.9.201904290125 4 79586 1#0##0#0#0.0#2019-10-04
11:08:38#0#00:00:00#00:00:00#00:00:00 1 99acc42be6d5535db7ca3fb77a74e3fa
7171104 C 3 CP 2 03/10/2019 03/10/2019 09/12/1963 0 2
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CORRY DEETJE RASUH, S.TH 050319 55
20387 DR.FELLY A. TOAD,S.PM 0309R0191019V000552 0001565409071 3;JKN
Patrick K.; 5.3.9.201904290125 4 79587 1#0##0#0#0.0#2019-10-04
11:09:23#0#00:00:00#00:00:00#00:00:00 1 d42f776a916ec501f57165d29e3b4838
7171104 C 3 CP 2 03/10/2019 03/10/2019 10/08/1979 0 1
1 Z09.8;H40.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AUGUST ADRIANUS UMBOH 051671 40 14664
DR. DENNY WALANDOW, SPM 0309R0191019V000551 0001846900146 3;JKN
Patrick K.; 5.3.9.201904290125 4 79588 1#0##0#0#0.0#2019-10-04
11:10:50#0#00:00:00#00:00:00#00:00:00 1 25f8487b8a0f6b3aea79aadce0bf2fe8
7171104 C 3 CP 2 03/10/2019 03/10/2019 16/07/1967 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LUISE MARIA MAMANGKEY 052110 52 19072
DR DYANA T.WATANIA,SPM 0309R0191019V000642 0002248609274 3;JKN
Vian02; 5.3.9.201904290125 4 79589 1#0##0#0#0.0#2019-10-04
11:10:58#0#00:00:00#00:00:00#00:00:00 1 47d14d4eed9afd7cdcf9fec04ba446e7
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/07/1976 0 1
1 H44.7 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 REFLI AMIMAN 052111 43 15799 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V000643 0001066975402 3;JKN Vian02;
5.3.9.201904290125 4 79591 1#0##0#0#0.0#2019-10-04
11:12:36#0#00:00:00#00:00:00#00:00:00 1 b6c9487b524bef15c77b3018f5475e15
7171104 C 3 CP 2 03/10/2019 03/10/2019 17/02/1944 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PAULIENA WINOKAN, JD 051270 75 27622
DR. DENNY WALANDOW, SPM 0309R0191019V000644 0000138034855 3;JKN
Vian02; 5.3.9.201904290125 4 79592 1#0##0#0#0.0#2019-10-04
11:13:24#0#00:00:00#00:00:00#00:00:00 1 756b3513c97cd0ae40071fdb18f134c1
7171104 C 3 CP 2 03/10/2019 03/10/2019 30/04/1974 0 1
1 Z09.8;H20.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALFREDS WAHIU 052014 45 16592
DR.FELLY A. TOAD,S.PM 0309R0191019V000550 0002880050038 3;JKN
Patrick K.; 5.3.9.201904290125 4 79590 1#0##0#0#0.0#2019-10-04
11:13:39#0#00:00:00#00:00:00#00:00:00 1 0f4a8057a25bcdfa5fe950f26fbdf757
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/09/1967 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SENDY UNDAP 045743 52 19025 DR. DENNY
WALANDOW, SPM 0309R0191019V000645 0000904148155 3;JKN Vian02;
5.3.9.201904290125 4 79593 1#0##0#0#0.0#2019-10-04
11:14:17#0#00:00:00#00:00:00#00:00:00 1 22c54c639a1545e3ad454ee9419daebe
7171104 C 3 CP 2 03/10/2019 03/10/2019 28/08/1951 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NELLY PALENEWEN 051524 68 24873 DR. DENNY
WALANDOW, SPM 0309R0191019V000549 0001564969318 3;JKN Patrick K.;
5.3.9.201904290125 4 79594 1#0##0#0#0.0#2019-10-04
11:14:53#0#00:00:00#00:00:00#00:00:00 1 3c215db9f6bab32ba76e3150a3aabe9d
7171104 C 3 CP 2 03/10/2019 03/10/2019 04/10/1939 0 2
1 Z09.8;H59.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RITA KOLONDAM 033113 79 29219 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000647 0000137638078 3;JKN Vian02;
5.3.9.201904290125 4 79595 1#0##0#0#0.0#2019-10-04
11:15:06#0#00:00:00#00:00:00#00:00:00 1 9930eff5cef51dfc61e6da10f36845f8
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/01/1972 0 1
1 Z09.8;H26.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YAN TONDOK 051993 47 17442 DR. DENNY
WALANDOW, SPM 0309R0191019V000648 0000138586048 3;JKN Vian02;
5.3.9.201904290125 4 79596 1#0##0#0#0.0#2019-10-04
11:16:08#0#00:00:00#00:00:00#00:00:00 1 d6d28fce6a768de60e1c5e4796e27890
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/11/1948 0 1
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARAMIS TICOALU 051523 70 25903 DR.
DENNY WALANDOW, SPM 0309R0191019V000548 0000907808703 3;JKN Patrick K.;
5.3.9.201904290125 4 79597 1#0##0#0#0.0#2019-10-04
11:16:24#0#00:00:00#00:00:00#00:00:00 1 76d6bd46d5869995832a28ab3c25f40a
7171104 C 3 CP 2 03/10/2019 03/10/2019 28/04/1957 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ERKE WOSAL 051490 62 22803 DR.FELLY A.
TOAD,S.PM 0309R0191019V000649 0001570561154 3;JKN Vian02;
5.3.9.201904290125 4 79598 1#0##0#0#0.0#2019-10-04
11:16:47#0#00:00:00#00:00:00#00:00:00 1 5b0b4350ebf40b5e48d09c459e22d372
7171104 C 3 CP 2 03/10/2019 03/10/2019 14/06/1961 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARDIANA BAGINDO 050756 58 21295 DR. DENNY
WALANDOW, SPM 0309R0191019V000650 0002255549894 3;JKN Vian02;
5.3.9.201904290125 4 79600 1#0##0#0#0.0#2019-10-04
11:18:04#0#00:00:00#00:00:00#00:00:00 1 2a71ba411eeaa17b2ca2fbb3cc55e1fd
7171104 C 3 CP 2 03/10/2019 03/10/2019 12/11/1949 0 1
1 Z09.8;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NICOLAUS SENDUK 051681 69 25527 DR
RALF PANGALILA,SPM 0309R0191019V000547 0001824291832 3;JKN Patrick K.;
5.3.9.201904290125 4 79599 1#0##0#0#0.0#2019-10-04
11:18:08#0#00:00:00#00:00:00#00:00:00 1 cec84874b31dff612bc24c988693f998
7171104 C 3 CP 2 03/10/2019 03/10/2019 18/11/2005 0 1
1 Z09.8;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRANSISCO TALULEMBANG 018582 13 5067
DR.FELLY A. TOAD,S.PM 0309R0191019V000652 0001164370724 3;JKN
Vian02; 5.3.9.201904290125 4 79602 1#0##0#0#0.0#2019-10-04
11:21:01#0#00:00:00#00:00:00#00:00:00 1 428054d2df7d470c4589a4fbbd6aff08
7171104 C 3 CP 2 03/10/2019 03/10/2019 31/07/1945 0 2
1 Z09.8;H35.2;H31.0;H25.0;H44.5 95.02 - - None None None None
H-3-12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA
213700 0 0 - 0 - 0 - 0 - 0 213700
160600 0 1 0 0 0 YULIEN .M. SUMADI 048756 74
27092 DR.FELLY A. TOAD,S.PM 0309R0191019V000546 0001869717778 3;JKN
Patrick K.; 5.3.9.201904290125 4 79601 1#0##0#0#0.0#2019-10-04
11:21:13#0#00:00:00#00:00:00#00:00:00 1 8dafba1efec78744fc82018022bc5d5a
7171104 C 3 CP 2 03/10/2019 03/10/2019 24/08/2005 0 2
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANGLE VIRGINIA POMANTOW 051701 14 5153
DR. SAMUEL MALINGKAS,SPM 0309R0191019V000654 0002389246569 3;JKN
Vian02; 5.3.9.201904290125 4 79603 1#0##0#0#0.0#2019-10-04
11:21:51#0#00:00:00#00:00:00#00:00:00 1 07980b4e6142c9f8194046ad07589f89
7171104 C 3 CP 2 03/10/2019 03/10/2019 21/02/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOSEFIEN MAMONDOL 013775 69 25426 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V000658 0000157994954 3;JKN Vian02;
5.3.9.201904290125 4 79605 1#0##0#0#0.0#2019-10-04
11:22:43#0#00:00:00#00:00:00#00:00:00 1 1106597a82e8396ceb6bed82cb4ca75f
7171104 C 3 CP 2 03/10/2019 03/10/2019 21/03/1993 0 1
1 Z09.0;H26.9;Z96.1;H33.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MUNAWIR RABIL 050459 26 9692 DR
DYANA T.WATANIA,SPM 0309R0191019V000545 0002231354193 3;JKN Patrick K.;
5.3.9.201904290125 4 79604 1#0##0#0#0.0#2019-10-04
11:23:06#0#00:00:00#00:00:00#00:00:00 2 152395c1fe54d74cfe610b3420552111
7171104 C 3 CP 2 03/10/2019 03/10/2019 16/12/1940 0 1
1 Z96.1;H40.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENKIE SAKUL 049804 78 28780
DR.FELLY A. TOAD,S.PM 0309R0191019V000659 0000173049153 3;JKN
Vian02; 5.3.9.201904290125 4 79606 1#0##0#0#0.0#2019-10-04
11:23:32#0#00:00:00#00:00:00#00:00:00 1 6821a70b375b72547ee68d87b6a4389f
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/01/1953 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YANSI KANDOU 051272 66 24381
DR.FELLY A. TOAD,S.PM 0309R0191019V000660 0000908893901 3;JKN
Vian02; 5.3.9.201904290125 4 79609 1#0##0#0#0.0#2019-10-04
11:26:38#0#00:00:00#00:00:00#00:00:00 1 2b923b28304cd84c467f3c31a7ff9485
7171104 C 3 CP 2 03/10/2019 03/10/2019 15/09/1946 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUSTINUS WELAN 042422 73 26681 DR
DYANA T.WATANIA,SPM 0309R0191019V000541 0001272154048 3;JKN Patrick K.;
5.3.9.201904290125 4 79608 1#0##0#0#0.0#2019-10-04
11:27:29#0#00:00:00#00:00:00#00:00:00 1 86cd302cd352483c5149580a3b738319
7171104 C 3 CP 2 03/10/2019 03/10/2019 04/02/1969 0 2
1 Z09.0;H11.0;H04.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VENITJE PONGAJOUW 051885 50 18503 DR
DYANA T.WATANIA,SPM 0309R0191019V000664 0001569813175 3;JKN Vian02;
5.3.9.201904290125 4 79610 1#0##0#0#0.0#2019-10-04
11:28:06#0#00:00:00#00:00:00#00:00:00 1 e77c3112208cb8042d10ca31270c03d5
7171104 C 3 CP 2 03/10/2019 03/10/2019 06/07/1958 0 2
1 Z09.8;H53.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEISYE KOJO 051593 61 22369 DR. DENNY
WALANDOW, SPM 0309R0191019V000667 0001263753966 3;JKN Vian02;
5.3.9.201904290125 4 79613 1#0##0#0#0.0#2019-10-04
11:28:50#0#00:00:00#00:00:00#00:00:00 1 1659c664d3f96691c0912d117131e564
7171104 C 3 CP 2 03/10/2019 03/10/2019 04/03/1957 0 2
1 H35.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 STIENTJE LENGKONG 052090 62 22858 DR DYANA
T.WATANIA,SPM 0309R0191019V000540 0002177574906 3;JKN Patrick K.;
5.3.9.201904290125 4 79614 1#0##0#0#0.0#2019-10-04
11:29:19#0#00:00:00#00:00:00#00:00:00 1 9b7c9e23a6994e75fb3f2fbee851bcd3
7171104 C 3 CP 2 03/10/2019 03/10/2019 17/06/1959 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NURHAYATI KILAPONG 052087 60 22023 DR.
DENNY WALANDOW, SPM 0309R0191019V000668 0002388838792 3;JKN Vian02;
5.3.9.201904290125 4 79615 1#0##0#0#0.0#2019-10-04
11:29:47#0#00:00:00#00:00:00#00:00:00 1 efa2018cbce57d015ea154567c047b37
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/05/1963 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEISKE OROH 051549 56 20609 DR.FELLY A.
TOAD,S.PM 0309R0191019V000673 0000908064448 3;JKN Vian02;
5.3.9.201904290125 4 79617 1#0##0#0#0.0#2019-10-04
11:30:55#0#00:00:00#00:00:00#00:00:00 1 63226f66d067a316c771fc97b8e634b1
7171104 C 3 CP 2 03/10/2019 03/10/2019 10/08/1979 0 1
1 Z09.8;H40.1;H52.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HAMAN KASENDA FREDERIK PALANDUNG 050515
40 14664 DR.FELLY A. TOAD,S.PM 0309R0191019V000674 0000162758428
3;JKN Vian02; 5.3.9.201904290125 4 79619 1#0##0#0#0.0#2019-10-04
11:31:36#0#00:00:00#00:00:00#00:00:00 1 36da3421dca10837ac54014647cf1351
7171104 C 3 CP 2 03/10/2019 03/10/2019 20/08/1940 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AGUSTINE LEGOH 052114 79 28898 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V000678 0001433952742 3;JKN Vian02;
5.3.9.201904290125 4 79622 1#0##0#0#0.0#2019-10-04
11:32:28#0#00:00:00#00:00:00#00:00:00 1 62244e6bd525f5a5f78c1d81514b08b4
7171104 C 3 CP 2 03/10/2019 03/10/2019 27/12/1974 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ERWIN RAYMOND TANDAJU 047194 44 16351
DR. DENNY WALANDOW, SPM 0309R0191019V000679 0001480248573 3;JKN
Vian02; 5.3.9.201904290125 4 79623 1#0##0#0#0.0#2019-10-04
11:33:05#0#00:00:00#00:00:00#00:00:00 1 4c31317fa14d2e22a5fe14d407be189b
7171104 C 3 CP 2 03/10/2019 03/10/2019 20/10/1931 0 1
1 Z09.0;H26.9;Z96.1;H11.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHNY LIEMEX 052049 87 32125 DR
DYANA T.WATANIA,SPM 0309R0191019V000539 0001471917609 3;JKN Patrick K.;
5.3.9.201904290125 4 79620 1#0##0#0#0.0#2019-10-04
11:33:13#0#00:00:00#00:00:00#00:00:00 1 5f4346048bac4537cd62e32eea03ec0b
7171104 C 3 CP 2 03/10/2019 03/10/2019 08/06/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JENNY MANDANG 051765 65 23858 DR RALF
PANGALILA,SPM 0309R0191019V000683 0000138078955 3;JKN Vian02;
5.3.9.201904290125 4 79625 1#0##0#0#0.0#2019-10-04
11:33:58#0#00:00:00#00:00:00#00:00:00 1 9bfc705a9f3c95e9e8b61a32a22c7fe9
7171104 C 3 CP 2 03/10/2019 03/10/2019 05/08/1947 0 2
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 IRENE MANENGAL 026078 72 26357 DR.
DENNY WALANDOW, SPM 0309R0191019V000685 0000207762333 3;JKN Vian02;
5.3.9.201904290125 4 79627 1#0##0#0#0.0#2019-10-04
11:34:41#0#00:00:00#00:00:00#00:00:00 1 d6d8893246ce5bf7a2e23ee26be5df3a
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/08/1953 0 2
1 Z09.0;H11.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEETJE MARINGKA 050495 66 24169
DR.FELLY A. TOAD,S.PM 0309R0191019V000538 0000138067312 3;JKN
Patrick K.; 5.3.9.201904290125 4 79626 1#0##0#0#0.0#2019-10-04
11:34:59#0#00:00:00#00:00:00#00:00:00 1 935b8c6eff7ad09e640d32da1838887a
7171104 C 3 CP 2 03/10/2019 03/10/2019 13/01/1992 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEWI KARTINI TURANGAN 052118 27 10125 DR
RALF PANGALILA,SPM 0309R0191019V000686 0001669050314 3;JKN Vian02;
5.3.9.201904290125 4 79629 1#0##0#0#0.0#2019-10-04
11:35:49#0#00:00:00#00:00:00#00:00:00 1 17ed7ad910d6e9d5cdef4f27551fbb27
7171104 C 3 CP 2 03/10/2019 03/10/2019 21/04/1963 0 1
1 Z09.0;H26.9;Z96.1;H18.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TAKKI HASAN 035128 56 20619 DR DYANA
T.WATANIA,SPM 0309R0191019V000537 0002286578013 3;JKN Patrick K.;
5.3.9.201904290125 4 79628 1#0##0#0#0.0#2019-10-04
11:35:59#0#00:00:00#00:00:00#00:00:00 1 c50cb394301a4fe77e72382aa1132410
7171104 C 3 CP 2 03/10/2019 03/10/2019 11/01/1961 0 2
1 Z09.8;H25.0;H52.4;H52.2 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HJ. NURANI TUTUPO 050912 58 21449
DR.FELLY A. TOAD,S.PM 0309R0191019V000688 0001322942128 3;JKN
Vian02; 5.3.9.201904290125 4 79630 1#0##0#0#0.0#2019-10-04
11:36:39#0#00:00:00#00:00:00#00:00:00 1 b6a9af5c4897508794eff1141f308aa3
7171104 C 3 CP 2 03/10/2019 03/10/2019 13/08/1963 0 1
1 Z09.8;H40.2;Z96.1;H59.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ACHMAD ANWAR 048122 56 20505
DR.FELLY A. TOAD,S.PM 0309R0191019V000689 0001317233518 3;JKN
Vian02; 5.3.9.201904290125 4 79632 1#0##0#0#0.0#2019-10-04
11:37:19#0#00:00:00#00:00:00#00:00:00 1 855431e6589155b6607e06096d8c84d6
7171104 C 3 CP 2 03/10/2019 03/10/2019 15/02/1970 0 1
1 Z09.8;H16.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 THEODORE VANNY LUMINGKEWAS 048251 49
18127 DR. SAMUEL MALINGKAS,SPM 0309R0191019V000691 0000139013796
3;JKN Vian02; 5.3.9.201904290125 4 79634 1#0##0#0#0.0#2019-10-04
11:38:08#0#00:00:00#00:00:00#00:00:00 1 39ad1b5a3aa95dd4ec6a02265048b388
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/02/1954 0 2
1 Z96.1;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EFRIN MONGKOL 050542 65 23985
DR.FELLY A. TOAD,S.PM 0309R0191019V000694 0001066602824 3;JKN
Vian02; 5.3.9.201904290125 4 79635 1#0##0#0#0.0#2019-10-04
11:38:45#0#00:00:00#00:00:00#00:00:00 1 cc6c5d1fc788bf62b74e836a2770eb4c
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/09/1937 0 1
1 Z09.8;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HOSEA MARADESA 033959 82 29982 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000534 0000907127357 3;JKN Patrick K.;
5.3.9.201904290125 4 79636 1#0##0#0#0.0#2019-10-04
11:38:56#0#00:00:00#00:00:00#00:00:00 1 b5fb971dd9485312b83c84cdd1da3d27
7171104 C 3 CP 2 03/10/2019 03/10/2019 11/09/1969 0 2
1 H52.1;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FEYBE REYVI WAWORUNDENG 005865 50 18284
DR DYANA T.WATANIA,SPM 0309R0191019V000696 0000137033155 3;JKN
Vian02; 5.3.9.201904290125 4 79637 1#0##0#0#0.0#2019-10-04
11:39:41#0#00:00:00#00:00:00#00:00:00 1 90ce145cd57bcf21305e91b664289344
7171104 C 3 CP 2 03/10/2019 03/10/2019 23/01/1964 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SARTJE HURIA 024297 55 20342 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V000533 0002041538106 3;JKN Patrick K.;
5.3.9.201904290125 4 79633 1#0##0#0#0.0#2019-10-04
11:39:51#0#00:00:00#00:00:00#00:00:00 2 39e822213b3351dbae2a8336f21c2e0c
7171104 C 3 CP 2 03/10/2019 03/10/2019 24/02/1975 0 2
1 Z09.8;H35.2;Z09.0;H44.5 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STEPHANI VERONICA MARLINA TAROREH 045414
44 16292 DR.FELLY A. TOAD,S.PM 0309R0191019V000697 0000169379943
3;JKN Vian02; 5.3.9.201904290125 4 79638 1#0##0#0#0.0#2019-10-04
11:40:23#0#00:00:00#00:00:00#00:00:00 1 43d12852ea518e705e6b76aed75c6d16
7171104 C 3 CP 2 03/10/2019 03/10/2019 05/12/1977 0 2
1 H53.1;H52.4;H52.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEIBY JOHANIS 052089 41 15277 DR
DYANA T.WATANIA,SPM 0309R0191019V000532 0001175261747 3;JKN Patrick K.;
5.3.9.201904290125 4 79639 1#0##0#0#0.0#2019-10-04
11:40:50#0#00:00:00#00:00:00#00:00:00 1 d7c2bc15a65a989e3cf40b0b5068eb41
7171104 C 3 CP 2 03/10/2019 03/10/2019 28/04/1947 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CHRISTOFEL KIROH 051184 72 26456 DR RALF
PANGALILA,SPM 0309R0191019V000698 0002460789821 3;JKN Vian02;
5.3.9.201904290125 4 79640 1#0##0#0#0.0#2019-10-04
11:41:03#0#00:00:00#00:00:00#00:00:00 1 e478a4458e328d7f5773e9cce3ce80d7
7171104 C 3 CP 2 03/10/2019 03/10/2019 25/06/1988 0 2
1 Z09.8;H44.5;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUNITA PINGKAN PANGKENI 051672 31 11422
DR.FELLY A. TOAD,S.PM 0309R0191019V000700 0001835007208 3;JKN
Vian02; 5.3.9.201904290125 4 79642 1#0##0#0#0.0#2019-10-04
11:41:48#0#00:00:00#00:00:00#00:00:00 1 574d29960c074729f6525e131149d00e
7171104 C 3 CP 2 03/10/2019 03/10/2019 26/04/1955 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JEFRY EDUARD GEORGE KEMBUAN 052088 64 23536
DR. DENNY WALANDOW, SPM 0309R0191019V000531 0002389216476 3;JKN
Patrick K.; 5.3.9.201904290125 4 79641 1#0##0#0#0.0#2019-10-04
11:42:05#0#00:00:00#00:00:00#00:00:00 1 7ce60fc5ad8763f76bd016c7e13f545f
7171104 C 3 CP 2 03/10/2019 03/10/2019 25/12/1958 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DOLFIE KURES 042920 60 22197 DR. DENNY
WALANDOW, SPM 0309R0191019V000702 0002199749894 3;JKN Vian02;
5.3.9.201904290125 4 79643 1#0##0#0#0.0#2019-10-04
11:42:31#0#00:00:00#00:00:00#00:00:00 1 d95fadc4c676ef4d066608d8eda2beda
7171104 C 3 CP 2 03/10/2019 03/10/2019 21/09/1976 0 2
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BEYBI PAULINA KAWAHE 051233 43 15717
DR.FELLY A. TOAD,S.PM 0309R0191019V000703 0000976408672 3;JKN
Vian02; 5.3.9.201904290125 4 79645 1#0##0#0#0.0#2019-10-04
11:43:37#0#00:00:00#00:00:00#00:00:00 1 854a3a27adb04c4c7f7ac5b71ed8fd9f
7171104 C 3 CP 2 03/10/2019 03/10/2019 11/08/1936 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HENDRIK HEIN RENGKUNG 004880 83 30368 DR
RALF PANGALILA,SPM 0309R0191019V000530 0000138190904 3;JKN Patrick K.;
5.3.9.201904290125 4 79644 1#0##0#0#0.0#2019-10-04
11:44:07#0#00:00:00#00:00:00#00:00:00 1 dd972f41148820373ce7e18983b9830f
7171104 C 3 CP 2 03/10/2019 03/10/2019 16/10/1960 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TONNY TENDEAN 051909 58 21536 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000529 0000138349337 3;JKN linda03;
5.3.9.201904290125 4 79693 1#0##0#0#0.0#2019-10-05
08:16:35#0#00:00:00#00:00:00#00:00:00 1 f1b8ce9df60ec0055421123b249a73a9
7171104 C 3 CP 2 03/10/2019 03/10/2019 21/08/1959 0 2
1 Z09.8;H44.5;H25.1;H40.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FLORENTJE PUASA 032670 60 21958
DR.FELLY A. TOAD,S.PM 0309R0191019V000528 0002283208648 3;JKN
linda03; 5.3.9.201904290125 4 79694 1#0##0#0#0.0#2019-10-05
08:23:31#0#00:00:00#00:00:00#00:00:00 1 c95e11995a483bc511a8d10c4346cd55
7171104 C 3 CP 2 03/10/2019 03/10/2019 16/03/1939 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KAROLIN SUPIT 050826 80 29421 DR
IVONNE RAMENUSA,SPM 0309R0191019V000527 0000211328324 3;JKN linda03;
5.3.9.201904290125 4 79696 1#0##0#0#0.0#2019-10-05
08:24:19#0#00:00:00#00:00:00#00:00:00 1 3d21f11af239da72fa7033fbb1f02595
7171104 C 3 CP 2 03/10/2019 03/10/2019 10/10/1955 0 2
1 Z96.1;H40.2;H25.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAKRINA THERESIA RONGA 047181 63 23369
DR.FELLY A. TOAD,S.PM 0309R0191019V000526 0000139047434 3;JKN
linda03; 5.3.9.201904290125 4 79697 1#0##0#0#0.0#2019-10-05
08:25:00#0#00:00:00#00:00:00#00:00:00 1 bc517a1cf599adf8f1d3d09a330ee2dc
7171104 C 3 CP 2 03/10/2019 03/10/2019 05/11/1941 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VENTJE RUMOKOY 052041 77 28456 DR
DYANA T.WATANIA,SPM 0309R0191019V000525 0002392644587 3;JKN linda03;
5.3.9.201904290125 4 79698 1#0##0#0#0.0#2019-10-05
08:25:47#0#00:00:00#00:00:00#00:00:00 1 d3e75d959e715a17ad7fac4762c460a9
7171104 C 3 CP 2 03/10/2019 03/10/2019 13/11/1966 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NORMA NETTY MANDEY 025551 52 19317 DR
DYANA T.WATANIA,SPM 0309R0191019V000523 0000138420347 3;JKN linda03;
5.3.9.201904290125 4 79699 1#0##0#0#0.0#2019-10-05
08:26:28#0#00:00:00#00:00:00#00:00:00 1 287523f94f64346414d3cd09cd826c24
7171104 C 3 CP 2 03/10/2019 03/10/2019 19/09/1953 0 2
1 Z96.1;H27.0;H40.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SIRBANUN KONDOALUMANG 051067 66 24120
DR.FELLY A. TOAD,S.PM 0309R0191019V000522 0001571141474 3;JKN
linda03; 5.3.9.201904290125 4 79700 1#0##0#0#0.0#2019-10-05
08:27:05#0#00:00:00#00:00:00#00:00:00 1 5934ed4e78857a2bc6e4c9ac917e1f34
7171104 C 3 CP 2 03/10/2019 03/10/2019 29/08/1964 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KAREL EFRAIM LASUT 049381 55 20123
DR DYANA T.WATANIA,SPM 0309R0191019V000521 0001094204169 3;JKN
linda03; 5.3.9.201904290125 4 79701 1#0##0#0#0.0#2019-10-05
08:27:39#0#00:00:00#00:00:00#00:00:00 1 96aec86b279277601cc6131bfa8271a6
7171104 C 3 CP 2 03/10/2019 03/10/2019 11/10/1962 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENDRIK MANOPPO 051816 56 20811 DR
DYANA T.WATANIA,SPM 0309R0191019V000519 0002388776736 3;JKN linda03;
5.3.9.201904290125 4 79702 1#0##0#0#0.0#2019-10-05
08:28:10#0#00:00:00#00:00:00#00:00:00 1 a06207ceb721cbe867dbf43ea3237d36
7171104 C 3 CP 2 03/10/2019 03/10/2019 06/05/1956 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MASTIN DEREK 051793 63 23160 DR
RALF PANGALILA,SPM 0309R0191019V000518 0002486234632 3;JKN linda03;
5.3.9.201904290125 4 79703 1#0##0#0#0.0#2019-10-05
08:29:31#0#00:00:00#00:00:00#00:00:00 1 57a999ed7201786cd9e7b77dc60fa6fb
7171104 C 3 CP 2 03/10/2019 03/10/2019 19/04/1945 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JANSEN B RAWUNG BA 050503 74 27195 DR
RALF PANGALILA,SPM 0309R0191019V000517 0000137125967 3;JKN linda03;
5.3.9.201904290125 4 79713 1#0##0#0#0.0#2019-10-05
08:44:51#0#00:00:00#00:00:00#00:00:00 1 9119aa3da5e4f1e2122f6188d3c5cfed
7171104 C 3 CP 2 03/10/2019 03/10/2019 05/02/1956 0 2
1 Z96.1;H26.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FIETJE FEMY NARAY 010953 63 23251 DR.
DENNY WALANDOW, SPM 0309R0191019V000516 0001802514813 3;JKN linda03;
5.3.9.201904290125 4 79718 1#0##0#0#0.0#2019-10-05
08:45:31#0#00:00:00#00:00:00#00:00:00 1 2702e908d24e9bbfd16b04ed7d47be8e
7171104 C 3 CP 2 03/10/2019 03/10/2019 27/07/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JUUL WATUSEKE 051665 72 26366 DR. DENNY
WALANDOW, SPM 0309R0191019V000515 0002610518084 3;JKN linda03;
5.3.9.201904290125 4 79720 1#0##0#0#0.0#2019-10-05
08:47:22#0#00:00:00#00:00:00#00:00:00 1 15c7ab88a404a11f44874b7fbdb25b67
7171104 C 3 CP 2 03/10/2019 03/10/2019 08/09/1975 0 1
1 Z09.8;H10.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DONNY OSMON WAWONDATU 052086 44 16096
DR DYANA T.WATANIA,SPM 0309R0191019V000513 0000906093268 3;JKN
linda03; 5.3.9.201904290125 4 79722 1#0##0#0#0.0#2019-10-05
08:53:39#0#00:00:00#00:00:00#00:00:00 1 425f34a897284326bc8c0bf669d054d9
7171104 C 3 CP 2 03/10/2019 03/10/2019 18/08/1965 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AMIRULLAH HI SABOLLAH 051423 54 19769
DR. DENNY WALANDOW, SPM 0309R0191019V000512 0000137941391 3;JKN
linda03; 5.3.9.201904290125 4 79731 1#0##0#0#0.0#2019-10-05
08:54:52#0#00:00:00#00:00:00#00:00:00 1 e471985ff410e502ab810d388f354080
7171104 C 3 CP 2 03/10/2019 03/10/2019 16/11/1959 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LAMBERT HUMBAS 052044 59 21871 DR
DYANA T.WATANIA,SPM 0309R0191019V000511 0001809970086 3;JKN linda03;
5.3.9.201904290125 4 79733 1#0##0#0#0.0#2019-10-05
08:56:15#0#00:00:00#00:00:00#00:00:00 1 242be6172cbfd3cdab35a0edb3595ccb
7171104 C 3 CP 2 03/10/2019 03/10/2019 10/02/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KUSMA DJAFAR 049850 69 25437 DR. DENNY
WALANDOW, SPM 0309R0191019V000510 0000138204674 3;JKN linda03;
5.3.9.201904290125 4 79736 1#0##0#0#0.0#2019-10-05
08:57:27#0#00:00:00#00:00:00#00:00:00 1 e2a8ba9002f41ea6bf32bc8ea1049e92
7171104 C 3 CP 2 03/10/2019 03/10/2019 07/01/1962 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHANA WEHANTOUW 052085 57 21088 DR RALF
PANGALILA,SPM 0309R0191019V000509 0000137883317 3;JKN linda03;
5.3.9.201904290125 4 79737 1#0##0#0#0.0#2019-10-05
08:58:28#0#00:00:00#00:00:00#00:00:00 1 d51ad658e03bc1bed14c061f1d9b8a24
7171104 C 3 CP 2 03/10/2019 03/10/2019 02/03/1972 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALFRINA MANGARONDA 051273 47 17381 DR.
DENNY WALANDOW, SPM 0309R0191019V000508 0001243668104 3;JKN linda03;
5.3.9.201904290125 4 79739 1#0##0#0#0.0#2019-10-05
08:59:08#0#00:00:00#00:00:00#00:00:00 1 e56a71f21949f118efa26189d677dda7
7171104 C 3 CP 2 03/10/2019 03/10/2019 14/05/1946 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEITY MAWUNTU 006850 73 26805 DR
DYANA T.WATANIA,SPM 0309R0191019V000507 0002054976693 3;JKN linda03;
5.3.9.201904290125 4 79740 1#0##0#0#0.0#2019-10-05
09:00:00#0#00:00:00#00:00:00#00:00:00 1 9f14af6e2c00cf98bb559ce2d1f38792
7171104 C 3 CP 2 03/10/2019 03/10/2019 13/01/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAGDALENA HUMAMPING 050774 66 24369 DR.
DENNY WALANDOW, SPM 0309R0191019V000505 0001897545701 3;JKN linda03;
5.3.9.201904290125 4 79742 1#0##0#0#0.0#2019-10-05
09:01:43#0#00:00:00#00:00:00#00:00:00 1 631066179d329336e3fbea76646802fc
7171104 C 3 CP 2 03/10/2019 03/10/2019 21/12/1957 0 1
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEITJE TANDAJU 050602 61 22566 DR.
DENNY WALANDOW, SPM 0309R0191019V000504 0000137320108 3;JKN linda03;
5.3.9.201904290125 4 79744 1#0##0#0#0.0#2019-10-05
09:02:24#0#00:00:00#00:00:00#00:00:00 1 abe8570c6dc72a31119629a87e79ec60
7171104 C 3 CP 2 03/10/2019 03/10/2019 25/07/1956 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OMNY POTENCE BAWENTI 000420 63 23080
DR.FELLY A. TOAD,S.PM 0309R0191019V000503 0001261640542 3;JKN
linda03; 5.3.9.201904290125 4 79746 1#0##0#0#0.0#2019-10-05
09:03:00#0#00:00:00#00:00:00#00:00:00 1 f0d409ff026043e05e8dcd358b8e2730
7171104 C 3 CP 2 03/10/2019 03/10/2019 26/09/1965 0 2
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MASJITA MARDJUN 008577 54 19730 DR. DENNY
WALANDOW, SPM 0309R0191019V000502 0000137941389 3;JKN linda03;
5.3.9.201904290125 4 79747 1#0##0#0#0.0#2019-10-05
09:03:45#0#00:00:00#00:00:00#00:00:00 1 d83c6c0244186692cdf25c40f39d6a34
7171104 C 3 CP 2 03/10/2019 03/10/2019 08/06/1956 0 2
1 Z09.0;H26.9;H35.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNITJE KAHIMPONG 052002 63 23127
DR DYANA T.WATANIA,SPM 0309R0191019V000501 0000137544761 3;JKN
linda03; 5.3.9.201904290125 4 79748 1#0##0#0#0.0#2019-10-05
09:08:29#0#00:00:00#00:00:00#00:00:00 1 41073aa3e83f4b181180315f56447b72
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/12/1957 0 2
1 Z96.1;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADRIANA PIKU 049728 61 22586
DR.FELLY A. TOAD,S.PM 0309R0191019V000500 0000909540461 3;JKN
linda03; 5.3.9.201904290125 4 79751 1#0##0#0#0.0#2019-10-05
09:09:13#0#00:00:00#00:00:00#00:00:00 1 cd988bccdeb58be1f13ed6362921dae0
7171104 C 3 CP 2 03/10/2019 03/10/2019 06/04/1974 0 2
1 H52.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUSAN ETI WAGEY 052084 45 16616 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000498 0002044739654 3;JKN linda03;
5.3.9.201904290125 4 79752 1#0##0#0#0.0#2019-10-05
09:10:05#0#00:00:00#00:00:00#00:00:00 1 65a993e5378fcedf19614f7bbf2c9ac3
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/12/1951 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MINTJE TANGKA 051884 67 24778 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000497 0000907815159 3;JKN linda03;
5.3.9.201904290125 4 79754 1#0##0#0#0.0#2019-10-05
09:10:45#0#00:00:00#00:00:00#00:00:00 1 b757624bffa2330afc57948a4232e64d
7171104 C 3 CP 2 03/10/2019 03/10/2019 24/03/1947 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTHEN JOHNY KALUMATA 008597 72 26491 DR
RALF PANGALILA,SPM 0309R0191019V000496 0000138281051 3;JKN linda03;
5.3.9.201904290125 4 79755 1#0##0#0#0.0#2019-10-05
09:11:42#0#00:00:00#00:00:00#00:00:00 1 45ce554ca6ac13b2cda0aecbc355c38c
7171104 C 3 CP 2 03/10/2019 03/10/2019 08/02/1977 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SARNI DUYOH 052083 42 15577 DR RALF
PANGALILA,SPM 0309R0191019V000495 0001570496567 3;JKN linda03;
5.3.9.201904290125 4 79757 1#0##0#0#0.0#2019-10-05
09:12:27#0#00:00:00#00:00:00#00:00:00 1 830bdb68866bdd8a595704f0e63cc202
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/03/1938 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TRESNA NAMONTI 051997 81 29801 DR
RALF PANGALILA,SPM 0309R0191019V000494 0000906367397 3;JKN linda03;
5.3.9.201904290125 4 79766 1#0##0#0#0.0#2019-10-05
09:48:33#0#00:00:00#00:00:00#00:00:00 1 08ff73168e187f1044bfb1ea45e1e79f
7171104 C 3 CP 2 03/10/2019 03/10/2019 09/12/1980 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STENLY MANTIRI 051445 38 14177
DR.FELLY A. TOAD,S.PM 0309R0191019V000493 0001789606844 3;JKN
linda03; 5.3.9.201904290125 4 79767 1#0##0#0#0.0#2019-10-05
09:50:39#0#00:00:00#00:00:00#00:00:00 1 40356d6b594f8b080fdfe759f60655f3
7171104 C 3 CP 2 03/10/2019 03/10/2019 03/03/1965 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAARTJE PANAMBUNAN 047584 54 19937
DR DYANA T.WATANIA,SPM 0309R0191019V000492 0000139011478 3;JKN
linda03; 5.3.9.201904290125 4 79768 1#0##0#0#0.0#2019-10-05
09:51:27#0#00:00:00#00:00:00#00:00:00 1 be1931e73d8b432f2f62d7ad3fab8cf5
7171104 C 3 CP 2 03/10/2019 03/10/2019 23/08/1946 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNARD LODEWYK TULUNG 015970 73 26704
DR DYANA T.WATANIA,SPM 0309R0191019V000488 0000138271476 3;JKN
linda03; 5.3.9.201904290125 4 79769 1#0##0#0#0.0#2019-10-05
09:52:28#0#00:00:00#00:00:00#00:00:00 1 2935bcab0ccd0ea6339f0ffbf015708f
7171104 C 3 CP 2 03/10/2019 03/10/2019 12/10/1962 0 2
1 H35.3 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YUTI MARTHA LINGKAN 052082 56 20810 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000487 0001860692207 3;JKN linda03;
5.3.9.201904290125 4 79770 1#0##0#0#0.0#2019-10-05
10:01:08#0#00:00:00#00:00:00#00:00:00 1 fea2cd54ce49fa41a25aa9f877b49da5
7171104 C 3 CP 2 03/10/2019 03/10/2019 09/08/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAGDALENA TOGAS 025280 72 26353 DR. DENNY
WALANDOW, SPM 0309R0191019V000486 0002070525969 3;JKN linda03;
5.3.9.201904290125 4 79771 1#0##0#0#0.0#2019-10-05
10:02:00#0#00:00:00#00:00:00#00:00:00 1 33f6d60ef9f8a0b944f87facc82b0a81
7171104 C 3 CP 2 03/10/2019 03/10/2019 16/04/1961 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 EMA BAWATAA 051337 58 21354 DR RALF
PANGALILA,SPM 0309R0191019V000485 0002680082537 3;JKN linda03;
5.3.9.201904290125 4 79772 1#0##0#0#0.0#2019-10-05
10:02:38#0#00:00:00#00:00:00#00:00:00 1 1255d821e1e35b4aa6134c984f668403
7171104 C 3 CP 2 03/10/2019 03/10/2019 04/03/1965 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MASYE RUMONDOR 051596 54 19936
DR.MELISA RATAG,SPM 0309R0191019V000484 0001983549431 3;JKN
linda03; 5.3.9.201904290125 4 79773 1#0##0#0#0.0#2019-10-05
10:03:13#0#00:00:00#00:00:00#00:00:00 1 04fffcc204be3475fa327028d99dd8ce
7171104 C 3 CP 2 03/10/2019 03/10/2019 18/08/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CLARA THERESIA MONTOLALU 039488 70 25613
DR DYANA T.WATANIA,SPM 0309R0191019V000483 0001297007008 3;JKN
linda03; 5.3.9.201904290125 4 79774 1#0##0#0#0.0#2019-10-05
10:03:54#0#00:00:00#00:00:00#00:00:00 1 893ca9013a90a39adb7efb7ef5313760
7171104 C 3 CP 2 03/10/2019 03/10/2019 02/03/1957 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAX MISA 050898 62 22860 DR. DENNY
WALANDOW, SPM 0309R0191019V000482 0001246251036 3;JKN linda03;
5.3.9.201904290125 4 79775 1#0##0#0#0.0#2019-10-05
10:09:32#0#00:00:00#00:00:00#00:00:00 1 10edeeb18999ef83489526ac4695f1e1
7171104 C 3 CP 2 03/10/2019 03/10/2019 17/09/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LENNY KARUNTU 050976 72 26314 DR DYANA
T.WATANIA,SPM 0309R0191019V000481 0002069837932 3;JKN linda03;
5.3.9.201904290125 4 79778 1#0##0#0#0.0#2019-10-05
10:11:50#0#00:00:00#00:00:00#00:00:00 1 4c308a057b93a2f90c7624229629ab82
7171104 C 3 CP 2 03/10/2019 03/10/2019 19/09/1956 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DARTJE KAHIMPONG 051397 63 23024 DR
RALF PANGALILA,SPM 0309R0191019V000478 0001423782865 3;JKN linda03;
5.3.9.201904290125 4 79779 1#0##0#0#0.0#2019-10-05
10:13:39#0#00:00:00#00:00:00#00:00:00 1 f3f30f2e1841abc5374538d369f83336
7171104 C 3 CP 2 03/10/2019 03/10/2019 31/01/1946 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANTJE HARRY MANTIRI 051922 73 26908
DR DYANA T.WATANIA,SPM 0309R0191019V000476 0000137181352 3;JKN
linda03; 5.3.9.201904290125 4 79780 1#0##0#0#0.0#2019-10-05
10:15:12#0#00:00:00#00:00:00#00:00:00 1 8b1aa76497b4cbddc6cc320bc815732b
7171104 C 3 CP 2 03/10/2019 03/10/2019 07/10/1963 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALFRITS ROBBY KUSSOY 051060 55 20450 DR.
DENNY WALANDOW, SPM 0309R0191019V000475 0001430917029 3;JKN linda03;
5.3.9.201904290125 4 79781 1#0##0#0#0.0#2019-10-05
10:19:19#0#00:00:00#00:00:00#00:00:00 1 a3cd6076321e5d2a8e28f478a41e2be5
7171104 C 3 CP 2 03/10/2019 03/10/2019 22/09/1942 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STIN LENDONGAN 051181 77 28135 DR
DYANA T.WATANIA,SPM 0309R0191019V000474 0001821599245 3;JKN linda03;
5.3.9.201904290125 4 79782 1#0##0#0#0.0#2019-10-05
10:20:14#0#00:00:00#00:00:00#00:00:00 1 43022ca9abc2679acce78bebd6b88a74
7171104 C 3 CP 2 03/10/2019 03/10/2019 27/09/1953 0 1
1 Z09.8;H44.5;H40.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HANTJE PIETER 045150 66 24112
DR.FELLY A. TOAD,S.PM 0309R0191019V000473 0000137232235 3;JKN
linda03; 5.3.9.201904290125 4 79783 1#0##0#0#0.0#2019-10-05
10:21:50#0#00:00:00#00:00:00#00:00:00 1 4541af060a905a0c9f852be51f808eef
7171104 C 3 CP 2 03/10/2019 03/10/2019 14/03/1948 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOPPY SUAK 052079 71 26135 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V000471 0002388431766 3;JKN linda03;
5.3.9.201904290125 4 79784 1#0##0#0#0.0#2019-10-05
10:22:49#0#00:00:00#00:00:00#00:00:00 1 662ddc1c6db4f055df5d454ede8c3749
7171104 C 3 CP 2 03/10/2019 03/10/2019 31/08/1956 0 2
1 Z09.8;H43.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AMATASIA MAK 020581 63 23043 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000470 0002077820111 3;JKN linda03;
5.3.9.201904290125 4 79785 1#0##0#0#0.0#2019-10-05
10:23:24#0#00:00:00#00:00:00#00:00:00 1 dbc02bb5f3cfd9d6e80af3f236a6822f
7171104 C 3 CP 2 03/10/2019 03/10/2019 03/11/1951 0 2
1 Z96.1;H40.5;H26.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 THERESIA MIJKE LIEN MANGKEY 002583 67
24806 DR.FELLY A. TOAD,S.PM 0309R0191019V000468 0000138316713 3;JKN
linda03; 5.3.9.201904290125 4 79786 1#0##0#0#0.0#2019-10-05
10:23:59#0#00:00:00#00:00:00#00:00:00 1 b724cab3547bffd2c4a25a9badd21264
7171104 C 3 CP 2 03/10/2019 03/10/2019 28/03/1950 0 1
1 Z09.8;H59.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAX PANGKEY 006365 69 25391 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V000467 0000138560128 3;JKN linda03;
5.3.9.201904290125 4 79787 1#0##0#0#0.0#2019-10-05
10:24:36#0#00:00:00#00:00:00#00:00:00 1 76297e9be8a8f5208561b0706eb5a094
7171104 C 3 CP 2 03/10/2019 03/10/2019 04/06/1954 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TRYFJE ROOSJE YEANETE VONNEKE KUMAAT 051697
65 23862 DR DYANA T.WATANIA,SPM 0309R0191019V000466 0000138419289
3;JKN linda03; 5.3.9.201904290125 4 79788 1#0##0#0#0.0#2019-10-05
10:25:19#0#00:00:00#00:00:00#00:00:00 1 11773c23e9740acc12cea0228818e0b0
7171104 C 3 CP 2 03/10/2019 03/10/2019 05/03/1958 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTHEN INARAY 051928 61 22492 DR
RALF PANGALILA,SPM 0309R0191019V000464 0001574607609 3;JKN linda03;
5.3.9.201904290125 4 79790 1#0##0#0#0.0#2019-10-05
10:26:31#0#00:00:00#00:00:00#00:00:00 1 879adc711259eef8739c3df78f783605
7171104 C 3 CP 2 03/10/2019 03/10/2019 12/01/1948 0 1
1 H26.8 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KARIM KAUSAHA 052078 71 26197 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V000463 0000138270238 3;JKN linda03;
5.3.9.201904290125 4 79791 1#0##0#0#0.0#2019-10-05
10:27:33#0#00:00:00#00:00:00#00:00:00 1 0cbf66ccefd661a660ae96d18cb247dc
7171104 C 3 CP 2 03/10/2019 03/10/2019 11/05/1940 0 2
1 Z96.1;H59.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HELENA LAURINA KEREH 014013 79 28999
DR DYANA T.WATANIA,SPM 0309R0191019V000462 0000138932065 3;JKN
linda03; 5.3.9.201904290125 4 79793 1#0##0#0#0.0#2019-10-05
10:28:58#0#00:00:00#00:00:00#00:00:00 1 6eb729ca8d7fc2c6154ccd8621df2fa4
7171104 C 3 CP 2 03/10/2019 03/10/2019 07/07/1973 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YESSY WONGKAR 051243 46 16889 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000461 0001667174049 3;JKN linda03;
5.3.9.201904290125 4 79794 1#0##0#0#0.0#2019-10-05
10:29:31#0#00:00:00#00:00:00#00:00:00 1 7e78e2adcb781e2605d9bcf4f897080f
7171104 C 3 CP 2 03/10/2019 03/10/2019 22/08/1981 0 1
1 Z09.8;H40.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RINES ALFONSUS TEROK 049076 38 13921
DR.FELLY A. TOAD,S.PM 0309R0191019V000465 0001424078008 3;JKN
linda03; 5.3.9.201904290125 4 79796 1#0##0#0#0.0#2019-10-05
10:58:21#0#00:00:00#00:00:00#00:00:00 1 ea2afbf1ea54828a2076f535171e9df8
7171104 C 3 CP 2 03/10/2019 03/10/2019 03/02/1938 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 EVERHARD BEENHARD MAMUAJA 015795 81 29827
DR. SAMUEL MALINGKAS,SPM 0309R0191019V000477 0002049898724 3;JKN
linda03; 5.3.9.201904290125 4 79797 1#0##0#0#0.0#2019-10-05
11:05:24#0#00:00:00#00:00:00#00:00:00 1 74b9208cba59c6eba7d870e08169a977
7171104 C 3 CP 2 03/10/2019 03/10/2019 08/03/1945 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROSALI NOWING 051920 74 27237 DR
DYANA T.WATANIA,SPM 0309R0191019V000479 0001968242501 3;JKN linda03;
5.3.9.201904290125 4 79798 1#0##0#0#0.0#2019-10-05
11:06:18#0#00:00:00#00:00:00#00:00:00 1 691ea022533e08769f29f8a4aeb9e94b
7171104 C 3 CP 2 03/10/2019 03/10/2019 19/12/1958 0 2
1 Z09.8;H18.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FATMA LANAU 025255 60 22203 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V000641 0000908447916 3;JKN Vian02;
5.3.9.201904290125 4 79889 1#0##0#0#0.0#2019-10-07
10:22:33#0#00:00:00#00:00:00#00:00:00 1 d81175d96d8ca90caf98209a4afeab7f
7171104 C 3 CP 2 03/10/2019 03/10/2019 10/04/1943 0 2
1 Z09.8;H18.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONTJE OPING 024320 76 27935 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000695 0001892948207 3;JKN Vian02;
5.3.9.201904290125 4 79890 1#0##0#0#0.0#2019-10-07
10:24:12#0#00:00:00#00:00:00#00:00:00 1 5613e38fe0ec1e5fcb3631127e5cf3fb
7171104 C 3 CP 2 03/10/2019 03/10/2019 07/12/1958 0 2
1 Z09.8;H44.7 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANEKE TAMPOMALU 048159 60 22215 DR
DYANA T.WATANIA,SPM 0309R0191019V000646 0000136955103 3;JKN Vian02;
5.3.9.201904290125 4 79888 1#0##0#0#0.0#2019-10-07
10:25:36#0#00:00:00#00:00:00#00:00:00 1 bb40cd87e0c8781409e3a92ef03d88c9
7171104 C 3 CP 1 02/10/2019 03/10/2019 07/02/1958 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 MINTJE LAUSAN 050689 61
22517 DR YULIANA HARTONO,SPM 0309R0191019V000499 0002484311657 3;JKN
eka06; 5.3.9.201904290125 4 80148 1#0##0#0#0.0#2019-10-09
11:13:40#0#00:00:00#00:00:00#00:00:00 1 8205f91f8c89235c62f01428a35fd87f
7171104 C 3 CP 1 02/10/2019 03/10/2019 21/10/1947 0 1
1 Z96.1;H43.3 14.74 - - YY09 None None None H-1-30-I None
None YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6510200 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 13020400 7179000 0 2 0 0 0 FREDY RUMENGAN
051787 71 26279 DR DYANA T.WATANIA,SPM 0309R0191019V000344
0002885646431 3;JKN eka06; 5.3.9.201904290125 4 80149
1#0##0#0#0.0#2019-10-09 11:27:46#0#00:00:00#00:00:00#00:00:00 1
fb7279862b3398176d98e7d75b654242
7171104 C 2 CP 1 02/10/2019 03/10/2019 10/09/1965 0 1
1 H26.9;H43.3 14.74 - - YY09 None None None H-1-30-I None
None YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
7812300 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 14322500 7179000 0 2 0 0 0 JOSEPH KAMBEY
032914 54 19745 DR DYANA T.WATANIA,SPM 0309R0191019V000342
0001387385008 3;JKN eka06; 5.3.9.201904290125 4 80150
1#0##0#0#0.0#2019-10-09 11:29:12#0#00:00:00#00:00:00#00:00:00 1
7938a855a874afd76fe4c79a16fa66f9
7171104 C 3 CP 1 02/10/2019 03/10/2019 21/11/1964 0 1
1 Z96.1;H40.5;H43.3 14.74;13.43 - - YY09 None None None H-1-
30-I None None YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER
(RINGAN) 6510200 0 0 VITRECTOMY 6510200 - 0 - 0
- 0 13020400 7179000 0 2 0 0 0 SYAMSUDIN
ASILAKA 051543 54 20038 DR DYANA T.WATANIA,SPM 0309R0191019V000275
0001470858715 3;JKN eka06; 5.3.9.201904290125 4 80151
1#0##0#0#0.0#2019-10-09 11:30:57#0#00:00:00#00:00:00#00:00:00 1
da3fb26f2f01fc15dd5e8ef9e1274b10
7171104 C 2 CP 1 02/10/2019 03/10/2019 04/02/1976 0 2
1 H33.0 14.74 - - YY09 None None None H-1-30-I None None
YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
7812300 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 14322500 7179000 0 2 0 0 0 FERA MARDALENY
051607 43 15946 DR SALAM SURBAKTI,SPM 0309R0191019V000458
0000197031778 3;JKN eka06; 5.3.9.201904290125 4 80152
1#0##0#0#0.0#2019-10-09 11:32:49#0#00:00:00#00:00:00#00:00:00 1
c1935663bf26595d9cebd7bb0f00c9fa
7171104 C 3 CP 1 03/10/2019 03/10/2019 01/06/1961 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 1 0 0 0 YUNUS SASIKOME 052099 58
21308 DR SAUL RAPAR,SPM 0309R0191019V000687 0000908040622 3;JKN eka06;
5.3.9.201904290125 4 80159 1#0##0#0#0.0#2019-10-09
11:40:20#0#00:00:00#00:00:00#00:00:00 1 63ab1e1bed4a68a77d51dd570b460909
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/07/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DOORTJE LINTJEWAS 052042 77 28218 DR DYANA
T.WATANIA,SPM 0309R0191019V000553 0001066846151 3;JKN Boni04;
5.3.9.201904290125 4 80912 1#0##0#0#0.0#2019-10-15
10:22:36#0#00:00:00#00:00:00#00:00:00 1 1ec2b2b68f321991f358dfde5d174564
7171104 C 3 CP 2 03/10/2019 03/10/2019 12/02/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ASTRID L MANGORE 051811 71 26166 DR DYANA
T.WATANIA,SPM 0309R0191019V000560 0000139035892 3;JKN Boni04;
5.3.9.201904290125 4 80952 1#0##0#0#0.0#2019-10-15
11:36:02#0#00:00:00#00:00:00#00:00:00 1 b52cd47ce0152c650c073cba57a7d320
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/11/1958 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 ELISABETH BOLANG 000393 60 22251
DR.FELLY A. TOAD,S.PM 0309R0191019V000628 0000138038376 3;JKN
Boni04; 5.3.9.201904290125 4 80953 1#0##0#0#0.0#2019-10-15
11:41:06#0#00:00:00#00:00:00#00:00:00 1 24349043e8cff5106d5d10da5dda8680
7171104 C 3 CP 2 03/10/2019 03/10/2019 29/10/1959 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 BASTIANA PINAMANGGUNG 030764 59 21889
DR.FELLY A. TOAD,S.PM 0309R0191019V000693 0001568128847 3;JKN
Boni04; 5.3.9.201904290125 4 80954 1#0##0#0#0.0#2019-10-15
11:41:49#0#00:00:00#00:00:00#00:00:00 1 c150e13964c058259e8dde5048f5c5e9
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/04/1939 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 AISHA MAMONTO 017906 80 29405 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V000491 0000908706227 3;JKN Boni04;
5.3.9.201904290125 4 80955 1#0##0#0#0.0#2019-10-15
11:44:08#0#00:00:00#00:00:00#00:00:00 1 818807a20412431b76c8cc7c33421cb1
7171104 C 3 CP 2 03/10/2019 03/10/2019 19/06/1953 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 THEREISYE MONDNG 022997 66 24212 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V000598 0002214032038 3;JKN Boni04;
5.3.9.201904290125 4 80956 1#0##0#0#0.0#2019-10-15
11:45:00#0#00:00:00#00:00:00#00:00:00 1 5cd3e759cd46d4254253d5ebf523ad78
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/03/1949 0 1
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 MARDJAN MANOSO 031526 70 25783 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V000663 0000909152122 3;JKN Boni04;
5.3.9.201904290125 4 80957 1#0##0#0#0.0#2019-10-15
11:45:42#0#00:00:00#00:00:00#00:00:00 1 eb3ba49b617cb2ea7a45a6d5ac602c28
7171104 C 3 CP 2 03/10/2019 03/10/2019 30/10/1948 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 NONVI DIEN 052080 70 25905 DR. DENNY
WALANDOW, SPM 0309R0191019V000472 0001892970887 3;JKN Boni04;
5.3.9.201904290125 4 80958 1#0##0#0#0.0#2019-10-15
11:47:56#0#00:00:00#00:00:00#00:00:00 1 3ebc28e1bcd64935eee96ab82b3c2faa
7171104 C 3 CP 2 03/10/2019 03/10/2019 15/08/1944 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 MARIE POPIE MANOPPO 007402 75 27442
DR. DENNY WALANDOW, SPM 0309R0191019V000520 0000138665147 3;JKN
Boni04; 5.3.9.201904290125 4 80959 1#0##0#0#0.0#2019-10-15
11:49:01#0#00:00:00#00:00:00#00:00:00 1 408586594ed100789d220b3303abc5bc
7171104 C 3 CP 2 03/10/2019 03/10/2019 03/04/1957 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 HENNY PALIT 031393 62 22828 DR. DENNY
WALANDOW, SPM 0309R0191019V000591 0001433979009 3;JKN Boni04;
5.3.9.201904290125 4 80960 1#0##0#0#0.0#2019-10-15
11:49:57#0#00:00:00#00:00:00#00:00:00 1 49015c52fc335d821ed20cf2a58e560d
7171104 C 3 CP 2 03/10/2019 03/10/2019 30/12/1945 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 BOBBY JEFTA MANEMBU 016487 73 26940
DR. DENNY WALANDOW, SPM 0309R0191019V000651 0001896845207 3;JKN
Boni04; 5.3.9.201904290125 4 80961 1#0##0#0#0.0#2019-10-15
11:50:55#0#00:00:00#00:00:00#00:00:00 1 730e9528fe309dada452907d4d83e57e
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/07/1963 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YUL MALUMBEKE
052117 56 20548 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000682
0000907843871 3;JKN Boni04; 5.3.9.201904290125 4 80962
1#0##0#0#0.0#2019-10-15 11:55:54#0#00:00:00#00:00:00#00:00:00 1
d8913ed8252df0cd32dc35abb3e21e82
7171104 C 3 CP 2 03/10/2019 03/10/2019 06/12/1951 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DIN LUSYA WEKU
052115 67 24773 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000699
0000908666122 3;JKN Boni04; 5.3.9.201904290125 4 80963
1#0##0#0#0.0#2019-10-15 11:56:45#0#00:00:00#00:00:00#00:00:00 1
75a23df5261859436328573d9507a03b
7171104 C 3 CP 2 03/10/2019 03/10/2019 22/05/1938 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HENKIE RUMENGAN
049645 81 29719 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000555
0001568323293 3;JKN Boni04; 5.3.9.201904290125 4 80964
1#0##0#0#0.0#2019-10-15 11:57:47#0#00:00:00#00:00:00#00:00:00 1
2113f856eb29ae7a3f8c402f3263c0cd
7171104 C 3 CP 2 03/10/2019 03/10/2019 22/03/1961 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARTHEN SENGKA
052020 58 21379 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000565
0002258105286 3;JKN Boni04; 5.3.9.201904290125 4 80965
1#0##0#0#0.0#2019-10-15 11:58:24#0#00:00:00#00:00:00#00:00:00 1
81a082b9510e2ae205bd61055472e91d
7171104 C 3 CP 2 03/10/2019 03/10/2019 11/06/1950 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHAN SANGGELORANG
051708 69 25316 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000593
0001604411076 3;JKN Boni04; 5.3.9.201904290125 4 80967
1#0##0#0#0.0#2019-10-15 11:59:15#0#00:00:00#00:00:00#00:00:00 1
f5c4b64d49d5abae156eb85c1d253983
7171104 C 3 CP 2 03/10/2019 03/10/2019 02/09/1933 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ESTEFINA KUMAUNANG
052074 86 31442 DR PAULA M V LUMUNON,SPM 0309R0191019V000543
0001305233559 3;JKN Boni04; 5.3.9.201904290125 4 80969
1#0##0#0#0.0#2019-10-15 12:01:02#0#00:00:00#00:00:00#00:00:00 1
ef402330df8987f19a610e71784995ad
7171104 C 3 CP 2 03/10/2019 03/10/2019 03/03/1951 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LOISA MANGONDAENG
046631 68 25051 DR PAULA M V LUMUNON,SPM 0309R0191019V000617
0001565192215 3;JKN Boni04; 5.3.9.201904290125 4 80970
1#0##0#0#0.0#2019-10-15 12:01:39#0#00:00:00#00:00:00#00:00:00 1
2cbd1d50697e3dd7157295237ff98c1c
7171104 C 3 CP 2 03/10/2019 03/10/2019 26/11/1973 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ALPIUS PANTAS
051877 45 16747 DR PAULA M V LUMUNON,SPM 0309R0191019V000609
0002420102856 3;JKN Boni04; 5.3.9.201904290125 4 80972
1#0##0#0#0.0#2019-10-15 12:02:27#0#00:00:00#00:00:00#00:00:00 1
007abc3f4d891f97dacbf7f34825e5dc
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/06/1942 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NON LASUT 051857
77 28248 DR PAULA M V LUMUNON,SPM 0309R0191019V000489
0000908001167 3;JKN Boni04; 5.3.9.201904290125 4 80973
1#0##0#0#0.0#2019-10-15 12:03:06#0#00:00:00#00:00:00#00:00:00 1
bfd115189dc20464a887feb2aa95c97e
7171104 C 3 CP 2 03/10/2019 03/10/2019 14/06/1956 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHNY KAWINDAH
016528 63 23121 DR PAULA M V LUMUNON,SPM 0309R0191019V000672
0001261985229 3;JKN Boni04; 5.3.9.201904290125 4 80974
1#0##0#0#0.0#2019-10-15 12:04:05#0#00:00:00#00:00:00#00:00:00 1
ab79726888c435944e9860a84b67e391
7171104 C 3 CP 2 03/10/2019 03/10/2019 08/05/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 KATOCE MEDATA
051964 67 24619 DR PAULA M V LUMUNON,SPM 0309R0191019V000657
0000909632035 3;JKN Boni04; 5.3.9.201904290125 4 80976
1#0##0#0#0.0#2019-10-15 12:04:40#0#00:00:00#00:00:00#00:00:00 1
94c0d5d7aa8b76405143a3cc177b7a29
7171104 C 3 CP 2 03/10/2019 03/10/2019 14/05/1965 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DJAMALUDIN ZAKARIA
051953 54 19865 DR PAULA M V LUMUNON,SPM 0309R0191019V000677
0001143220015 3;JKN Boni04; 5.3.9.201904290125 4 80978
1#0##0#0#0.0#2019-10-15 12:05:39#0#00:00:00#00:00:00#00:00:00 1
f6e74d7bd6a97a992d50916cde4281cf
7171104 C 3 CP 2 03/10/2019 03/10/2019 05/01/1957 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JANSJE RAWIS
051867 62 22916 DR PAULA M V LUMUNON,SPM 0309R0191019V000634
0002318746926 3;JKN Boni04; 5.3.9.201904290125 4 80979
1#0##0#0#0.0#2019-10-15 12:06:20#0#00:00:00#00:00:00#00:00:00 1
a932f810eaca945a52a4f3560b75bd9f
7171104 C 3 CP 2 03/10/2019 03/10/2019 17/03/1938 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MIKE YOHANA MASSIE
050624 81 29785 DR YULIANA HARTONO,SPM 0309R0191019V000676
0001483900356 3;JKN Boni04; 5.3.9.201904290125 4 80980
1#0##0#0#0.0#2019-10-15 12:07:58#0#00:00:00#00:00:00#00:00:00 1
677fc2f5c67e0677de13c4fe4b455189
7171104 C 3 CP 2 03/10/2019 03/10/2019 18/10/1969 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 REYNE LUSIA WAROUW
051872 49 18247 DR YULIANA HARTONO,SPM 0309R0191019V000670
0001225895049 3;JKN Boni04; 5.3.9.201904290125 4 80982
1#0##0#0#0.0#2019-10-15 12:08:48#0#00:00:00#00:00:00#00:00:00 1
b9ac8b899021916c681f73a0f9391700
7171104 C 3 CP 2 03/10/2019 03/10/2019 31/01/1939 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 STIEN WELAN 051863
80 29465 DR YULIANA HARTONO,SPM 0309R0191019V000557 0000137184502
3;JKN Boni04; 5.3.9.201904290125 4 80983 1#0##0#0#0.0#2019-10-15
12:09:38#0#00:00:00#00:00:00#00:00:00 1 c34d4d6f0e3d84853ff59103b245b657
7171104 C 3 CP 2 03/10/2019 03/10/2019 31/08/1945 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SANONANG LAWITAN
051858 74 27061 DR YULIANA HARTONO,SPM 0309R0191019V000506
0001604386607 3;JKN Boni04; 5.3.9.201904290125 4 80984
1#0##0#0#0.0#2019-10-15 12:10:34#0#00:00:00#00:00:00#00:00:00 1
3a712391a2497ec213e7ce2a58cc07d9
7171104 C 3 CP 2 03/10/2019 03/10/2019 07/04/1949 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NELTJE KESEK
051862 70 25746 DR YULIANA HARTONO,SPM 0309R0191019V000469
0001564816509 3;JKN Boni04; 5.3.9.201904290125 4 80985
1#0##0#0#0.0#2019-10-15 12:15:01#0#00:00:00#00:00:00#00:00:00 1
fcd5838bea4d1ff80281ba4355efc5f4
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/03/1956 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YOSEP RARUN 051637
63 23226 DR YULIANA HARTONO,SPM 0309R0191019V000480 0000905067213
3;JKN Boni04; 5.3.9.201904290125 4 80986 1#0##0#0#0.0#2019-10-15
12:15:44#0#00:00:00#00:00:00#00:00:00 1 71ac1be10ec910d50241be615ca4ed6d
7171104 C 3 CP 2 03/10/2019 03/10/2019 09/02/1950 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHAN W. MANTIRI
051646 69 25438 DR YULIANA HARTONO,SPM 0309R0191019V000600
0001565051062 3;JKN Boni04; 5.3.9.201904290125 4 80987
1#0##0#0#0.0#2019-10-15 12:16:26#0#00:00:00#00:00:00#00:00:00 1
db51ba90b48520ba7fe7503d55d25c52
7171104 C 3 CP 2 03/10/2019 03/10/2019 29/09/1946 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FIENTJE JOHANA
RUMBAY 007429 73 26667 DR YULIANA HARTONO,SPM 0309R0191019V000625
0002251011936 3;JKN Boni04; 5.3.9.201904290125 4 80988
1#0##0#0#0.0#2019-10-15 12:17:52#0#00:00:00#00:00:00#00:00:00 1
c222b543191db13c66107f523b9c61eb
7171104 C 3 CP 2 03/10/2019 03/10/2019 15/08/1954 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 STIENTJE MONONEGE
051420 65 23790 DR YULIANA HARTONO,SPM 0309R0191019V000669
0002465377457 3;JKN Boni04; 5.3.9.201904290125 4 80989
1#0##0#0#0.0#2019-10-15 12:22:01#0#00:00:00#00:00:00#00:00:00 1
b37e3e0e1182096bb44d043ca3d63f0c
7171104 C 3 CP 2 03/10/2019 03/10/2019 08/07/1965 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHNLY ONIBALA
051871 54 19810 DR YULIANA HARTONO,SPM 0309R0191019V000542
0001447138956 3;JKN Boni04; 5.3.9.201904290125 4 80990
1#0##0#0#0.0#2019-10-15 12:22:51#0#00:00:00#00:00:00#00:00:00 1
e2cb44d4219c131147799056e8710317
7171104 C 3 CP 2 03/10/2019 03/10/2019 10/05/1954 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FRANS MANGUNDAP
051799 65 23887 DR YULIANA HARTONO,SPM 0309R0191019V000535
0002291032102 3;JKN Boni04; 5.3.9.201904290125 4 80991
1#0##0#0#0.0#2019-10-15 12:24:48#0#00:00:00#00:00:00#00:00:00 1
14067905dadc2d35e28f93ad555c2c3a
7171104 C 3 CP 2 03/10/2019 03/10/2019 11/01/1959 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NELLY MANTIRI
051881 60 22180 DR YULIANA HARTONO,SPM 0309R0191019V000661
0002388309737 3;JKN Boni04; 5.3.9.201904290125 4 80992
1#0##0#0#0.0#2019-10-15 12:25:26#0#00:00:00#00:00:00#00:00:00 1
8b619f1dea5c140b32332f92f26dca40
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/08/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ADELEIDE RONDONUWU
051893 71 25995 DR SAUL RAPAR,SPM 0309R0191019V000630
0000904633029 3;JKN Boni04; 5.3.9.201904290125 4 80993
1#0##0#0#0.0#2019-10-15 12:28:38#0#00:00:00#00:00:00#00:00:00 1
f59d54b5859d2c7ddcf57a0c520d144f
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/10/1946 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ALMINTJE LEGESANG
052102 73 26665 DR SAUL RAPAR,SPM 0309R0191019V000614
0000908447951 3;JKN Boni04; 5.3.9.201904290125 4 80994
1#0##0#0#0.0#2019-10-15 12:29:15#0#00:00:00#00:00:00#00:00:00 1
a8bb90c2b16dc6deecf83e05f526f509
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/02/1951 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HANS BINEY 052104
68 25081 DR SAUL RAPAR,SPM 0309R0191019V000619 0000907512715 3;JKN
Boni04; 5.3.9.201904290125 4 80997 1#0##0#0#0.0#2019-10-15
12:30:01#0#00:00:00#00:00:00#00:00:00 1 5c26d2ec318e56d8331c1214416f6ba1
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/06/1957 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FATMA NGAU 052101
62 22769 DR SAUL RAPAR,SPM 0309R0191019V000613 0000908698195 3;JKN
Boni04; 5.3.9.201904290125 4 80998 1#0##0#0#0.0#2019-10-15
12:30:43#0#00:00:00#00:00:00#00:00:00 1 f5ebeca93683e980e5df8446c7b5bb01
7171104 C 3 CP 2 03/10/2019 03/10/2019 28/03/1965 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARTINUS TAMARA
017879 54 19912 DR SAUL RAPAR,SPM 0309R0191019V000675
0000137267381 3;JKN Boni04; 5.3.9.201904290125 4 81000
1#0##0#0#0.0#2019-10-15 12:31:42#0#00:00:00#00:00:00#00:00:00 1
036acf5a9b941c7d9d79da295b2d0350
7171104 C 3 CP 2 03/10/2019 03/10/2019 08/12/1944 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 C. WONDAL PALAR
024128 74 27327 DR SAUL RAPAR,SPM 0309R0191019V000665
0000138264153 3;JKN Boni04; 5.3.9.201904290125 4 81002
1#0##0#0#0.0#2019-10-15 12:32:17#0#00:00:00#00:00:00#00:00:00 1
6e4cec822a3a5f18dbd00ebe99956ef7
7171104 C 3 CP 2 03/10/2019 03/10/2019 01/06/1970 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DORTJE WALA 051963
49 18021 DR SAUL RAPAR,SPM 0309R0191019V000578 0001566226337 3;JKN
Boni04; 5.3.9.201904290125 4 81003 1#0##0#0#0.0#2019-10-15
12:33:23#0#00:00:00#00:00:00#00:00:00 1 e2be6abe016d3e2fff69cfcdde621dc4
7171104 C 3 CP 2 03/10/2019 03/10/2019 15/11/1959 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 IKBAL SOLEMAN
052072 59 21872 DR SAUL RAPAR,SPM 0309R0191019V000572
0000140162444 3;JKN Boni04; 5.3.9.201904290125 4 81005
1#0##0#0#0.0#2019-10-15 12:34:07#0#00:00:00#00:00:00#00:00:00 1
cf2c0b07db68fcd9e403f74019d7cf7c
7171104 C 3 CP 2 03/10/2019 03/10/2019 14/06/1962 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JHONY HERY
LONGDONG 051346 57 20930 DR SAUL RAPAR,SPM 0309R0191019V000524
0001567005175 3;JKN Boni04; 5.3.9.201904290125 4 81007
1#0##0#0#0.0#2019-10-15 12:35:16#0#00:00:00#00:00:00#00:00:00 1
907fda0d7e5c37a4cfa58d1d929113bb
7171104 C 3 CP 2 03/10/2019 03/10/2019 20/02/1955 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 WEMPRIT PATTA
052060 64 23601 DR SAUL RAPAR,SPM 0309R0191019V000640
0001246236074 3;JKN Boni04; 5.3.9.201904290125 4 81009
1#0##0#0#0.0#2019-10-15 12:36:05#0#00:00:00#00:00:00#00:00:00 1
eb2e429bd49a05fd32b138caf98fb43b
7171104 C 3 CP 2 03/10/2019 03/10/2019 29/03/1942 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARIA MARTHA GONI
051761 77 28312 DR SAUL RAPAR,SPM 0309R0191019V000621
0001842839368 3;JKN Boni04; 5.3.9.201904290125 4 81010
1#0##0#0#0.0#2019-10-15 12:36:55#0#00:00:00#00:00:00#00:00:00 1
242d3491099319e3db2d267c69a77b02
7171104 C 3 CP 2 03/10/2019 03/10/2019 07/09/1965 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MISKE SEANE LAURA
WELANG 052051 54 19749 DR SAUL RAPAR,SPM 0309R0191019V000653
0002231249128 3;JKN Boni04; 5.3.9.201904290125 4 81013
1#0##0#0#0.0#2019-10-15 12:37:45#0#00:00:00#00:00:00#00:00:00 1
f558e763e474d19f29909e6c18fc62ad
7171104 C 3 CP 2 03/10/2019 03/10/2019 25/10/1944 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DORKAS HATIBAE
051658 74 27371 DR SAUL RAPAR,SPM 0309R0191019V000666
0001790374173 3;JKN Boni04; 5.3.9.201904290125 4 81015
1#0##0#0#0.0#2019-10-15 12:38:20#0#00:00:00#00:00:00#00:00:00 1
587b06b9f9f815f7c88dc0e37bdb1dcb
7171104 C 3 CP 2 03/10/2019 03/10/2019 17/06/1953 0 1
1 Z96.1;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HERMAN PONTOH 036292 66 24214
DR.FELLY A. TOAD,S.PM 0309R0191019V000554 0001155083714 3;JKN
Patrick K.; 5.3.9.201904290125 4 79585 1#0##0#0#0.0#2019-10-25
08:22:54#0#00:00:00#00:00:00#00:00:00 1 5834a9fb370bb298851a15972d0372e6
7171104 C 3 CP 2 03/10/2019 03/10/2019 17/01/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNA ANGELIN RONGA 051500 65 24000 DR.
DENNY WALANDOW, SPM 0309R0191019V000536 0000139049278 3;JKN Patrick K.;
5.3.9.201904290125 4 79631 1#0##0#0#0.0#2019-11-05
15:03:24#0#00:00:00#00:00:00#00:00:00 2 ac036ef779f20d973e74f20626d5c3b4
7171104 C 3 CP 2 03/10/2019 03/10/2019 29/07/1952 0 2
1 Z96.1;H43.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIN WANGANIA 051501 67 24537 DR.
DENNY WALANDOW, SPM 0309R0191019V000544 0001447364788 3;JKN Patrick K.;
5.3.9.201904290125 4 79607 1#0##0#0#0.0#2019-11-05
15:06:12#0#00:00:00#00:00:00#00:00:00 2 d5c24b1b1f8595cf2889978e4c85b823
7171104 C 3 CP 2 04/10/2019 04/10/2019 17/03/1938 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MIKE YOHANA MASSIE 050624 81 29786
DR YULIANA HARTONO,SPM 0309R0191019V000834 0001483900356 3;JKN
Patrick K.; 5.3.9.201904290125 4 79695 1#0##0#0#0.0#2019-10-05
08:25:29#0#00:00:00#00:00:00#00:00:00 2 ccaa878296b807f0704af412a6df4f84
7171104 C 3 CP 2 04/10/2019 04/10/2019 27/04/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROSINA NENDER SUMOLANG NY 051921 69 25362
DR SAUL RAPAR,SPM 0309R0191019V000833 0000137956274 3;JKN Patrick K.;
5.3.9.201904290125 4 79704 1#0##0#0#0.0#2019-10-05
08:30:28#0#00:00:00#00:00:00#00:00:00 2 e0d5e0f4c844f04f27a128e3b61967c0
7171104 C 3 CP 2 04/10/2019 04/10/2019 30/05/1964 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRYLIE LUCIANA MAMAHIT 051172 55 20215
DR SAUL RAPAR,SPM 0309R0191019V000832 0001786213372 3;JKN Patrick K.;
5.3.9.201904290125 4 79705 1#0##0#0#0.0#2019-10-05
08:31:38#0#00:00:00#00:00:00#00:00:00 1 3d803530d7b488ad817c760fc86c9d0d
7171104 C 3 CP 2 04/10/2019 04/10/2019 10/11/1952 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LENTJI RUMENDEK 051825 66 24434 DR
SALAM SURBAKTI,SPM 0309R0191019V000829 0001604466235 3;JKN Patrick K.;
5.3.9.201904290125 4 79706 1#0##0#0#0.0#2019-10-05
08:32:59#0#00:00:00#00:00:00#00:00:00 1 616afb74a3ea571b4fdcc7bff5916099
7171104 C 3 CP 2 04/10/2019 04/10/2019 06/12/1935 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TERSIA SASUBE 050222 83 30618 DR
PAULA M V LUMUNON,SPM 0309R0191019V000828 0002390879823 3;JKN Patrick K.;
5.3.9.201904290125 4 79708 1#0##0#0#0.0#2019-10-05
08:34:20#0#00:00:00#00:00:00#00:00:00 1 a82b1fb61197e7494cd23c4bf29b92e8
7171104 C 3 CP 2 04/10/2019 04/10/2019 02/02/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NONTJE IROTH 051308 77 28368 DR SALAM
SURBAKTI,SPM 0309R0191019V000826 0000136281194 3;JKN Patrick K.;
5.3.9.201904290125 4 79710 1#0##0#0#0.0#2019-10-05
08:36:12#0#00:00:00#00:00:00#00:00:00 1 82766f14041cd96d27c7f4db223832cc
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/03/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARRI WAWOLANGI 050847 74 27245 DR YULIANA
HARTONO,SPM 0309R0191019V000824 0000908404075 3;JKN Patrick K.;
5.3.9.201904290125 4 79711 1#0##0#0#0.0#2019-10-05
08:37:33#0#00:00:00#00:00:00#00:00:00 1 2215722bf34625aed9729f16008b785c
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/07/1972 0 2
1 Z09.8;H35.3;H34.9 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALTJE SUMANTI 048240 47 17261 DR
SALAM SURBAKTI,SPM 0309R0191019V000823 0000906040866 3;JKN Patrick K.;
5.3.9.201904290125 4 79712 1#0##0#0#0.0#2019-10-05
08:39:12#0#00:00:00#00:00:00#00:00:00 1 276b4261aae5f10089517a245e248907
7171104 C 3 CP 2 04/10/2019 04/10/2019 29/03/1942 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA MARTHA GONI 051761 77 28313 DR
SAUL RAPAR,SPM 0309R0191019V000822 0001842839368 3;JKN Patrick K.;
5.3.9.201904290125 4 79714 1#0##0#0#0.0#2019-10-05
08:42:40#0#00:00:00#00:00:00#00:00:00 1 7e5dc571bfcb00a212749d200c4a1af6
7171104 C 3 CP 2 04/10/2019 04/10/2019 09/02/1942 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SIMSON BESAH 031083 77 28361 DR YULIANA
HARTONO,SPM 0309R0191019V000821 0000138728169 3;JKN Patrick K.;
5.3.9.201904290125 4 79715 1#0##0#0#0.0#2019-10-05
08:44:26#0#00:00:00#00:00:00#00:00:00 1 9190997cb102bba1efab5ea6125f2749
7171104 C 3 CP 2 04/10/2019 04/10/2019 16/10/1964 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ESTER S. RORI 005949 54 20076 DR
PAULA M V LUMUNON,SPM 0309R0191019V000835 0000137791923 3;JKN Vian02;
5.3.9.201904290125 4 79716 1#0##0#0#0.0#2019-10-05
08:44:40#0#00:00:00#00:00:00#00:00:00 1 d4c5113b7acaa2d00e1a3ea44edf602a
7171104 C 3 CP 2 04/10/2019 04/10/2019 27/07/1962 0 2
1 Z09.8;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DRA. TESLY J. PUNUH,MSI 045617 57 20888
DR SALAM SURBAKTI,SPM 0309R0191019V000819 0000138731894 3;JKN
Patrick K.; 5.3.9.201904290125 4 79717 1#0##0#0#0.0#2019-10-05
08:45:16#0#00:00:00#00:00:00#00:00:00 1 911fdd59a0a96deac9a2675006ead5eb
7171104 C 3 CP 2 04/10/2019 04/10/2019 20/02/1955 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WEMPRIT PATTA 052060 64 23602 DR
SAUL RAPAR,SPM 0309R0191019V000818 0001246236074 3;JKN Patrick K.;
5.3.9.201904290125 4 79719 1#0##0#0#0.0#2019-10-05
08:46:27#0#00:00:00#00:00:00#00:00:00 1 6d5236422169019380869d50d7421a25
7171104 C 3 CP 2 04/10/2019 04/10/2019 29/07/1999 0 1
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIUS RUDOLOP SUPIT 051357 20 7372
DR SALAM SURBAKTI,SPM 0309R0191019V000817 0002035307384 3;JKN
Patrick K.; 5.3.9.201904290125 4 79721 1#0##0#0#0.0#2019-10-05
08:48:23#0#00:00:00#00:00:00#00:00:00 1 2d3e864da908790b96bb122c30740cb7
7171104 C 3 CP 2 04/10/2019 04/10/2019 30/12/1952 0 2
1 H25.0;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MINGGU LENNY 052130 66 24384 DR
SAUL RAPAR,SPM 0309R0191019V000837 0000163594743 3;JKN Vian02;
5.3.9.201904290125 4 79723 1#0##0#0#0.0#2019-10-05
08:49:52#0#00:00:00#00:00:00#00:00:00 1 48f4532eaf884aa475c650abc35698ed
7171104 C 3 CP 2 04/10/2019 04/10/2019 02/09/1933 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ESTEFINA KUMAUNANG 052074 86 31443
DR PAULA M V LUMUNON,SPM 0309R0191019V000816 0001305233559 3;JKN
Patrick K.; 5.3.9.201904290125 4 79724 1#0##0#0#0.0#2019-10-05
08:50:23#0#00:00:00#00:00:00#00:00:00 2 7c92d7de66a1aa31a604d6e028ea65a7
7171104 C 3 CP 2 04/10/2019 04/10/2019 17/10/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 EMMA KAPOYOS 051298 71 26285 DR SALAM
SURBAKTI,SPM 0309R0191019V000815 0000137125798 3;JKN Patrick K.;
5.3.9.201904290125 4 79725 1#0##0#0#0.0#2019-10-05
08:51:16#0#00:00:00#00:00:00#00:00:00 1 6af98bf939a01a0d65608e6e06bef47f
7171104 C 3 CP 2 04/10/2019 04/10/2019 24/02/1956 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TAKANAUMANG STIENTJE 052131 63 23233
DR YULIANA HARTONO,SPM 0309R0191019V000838 0000139085998 3;JKN
Vian02; 5.3.9.201904290125 4 79726 1#0##0#0#0.0#2019-10-05
08:52:05#0#00:00:00#00:00:00#00:00:00 1 50b1e11809de5e5c61e971bd22cdc936
7171104 C 3 CP 2 04/10/2019 04/10/2019 14/05/1965 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DJAMALUDIN ZAKARIA 051953 54 19866
DR PAULA M V LUMUNON,SPM 0309R0191019V000813 0001143220015 3;JKN
Patrick K.; 5.3.9.201904290125 4 79727 1#0##0#0#0.0#2019-10-05
08:52:42#0#00:00:00#00:00:00#00:00:00 1 08d3d7ca72c52ec02aa961e12db98e84
7171104 C 3 CP 2 04/10/2019 04/10/2019 29/12/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANDRIAN DAVID 012348 63 23290 DR SALAM
SURBAKTI,SPM 0309R0191019V000839 0001439930136 3;JKN Vian02;
5.3.9.201904290125 4 79728 1#0##0#0#0.0#2019-10-05
08:52:58#0#00:00:00#00:00:00#00:00:00 1 d240f23a33cbcb6132953535b5081a6a
7171104 C 3 CP 2 04/10/2019 04/10/2019 03/03/1951 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LOISA MANGONDAENG 046631 68 25052 DR PAULA M V
LUMUNON,SPM 0309R0191019V000840 0001565192215 3;JKN Vian02;
5.3.9.201904290125 4 79729 1#0##0#0#0.0#2019-10-05
08:53:52#0#00:00:00#00:00:00#00:00:00 1 97e476b54e7623b4e941237be807d874
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/08/1955 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANEKE MARAMIS 051044 64 23440 DR
SALAM SURBAKTI,SPM 0309R0191019V000841 0000903272411 3;JKN Vian02;
5.3.9.201904290125 4 79730 1#0##0#0#0.0#2019-10-05
08:54:44#0#00:00:00#00:00:00#00:00:00 1 696ffd7ae4407ce8ea2be67b3a60bb41
7171104 C 3 CP 2 04/10/2019 04/10/2019 02/04/1967 0 1
1 H35.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALFREDS HERMANUS SIDAMO 052120 52 19178 DR
SALAM SURBAKTI,SPM 0309R0191019V000842 0001812370228 3;JKN Vian02;
5.3.9.201904290125 4 79732 1#0##0#0#0.0#2019-10-05
08:55:28#0#00:00:00#00:00:00#00:00:00 1 e32abdfcf96babd212814af7c0d780dc
7171104 C 3 CP 2 04/10/2019 04/10/2019 22/02/1939 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BELTAZAR PONTOH 051493 80 29444 DR YULIANA
HARTONO,SPM 0309R0191019V000843 0002253997405 3;JKN Vian02;
5.3.9.201904290125 4 79734 1#0##0#0#0.0#2019-10-05
08:56:14#0#00:00:00#00:00:00#00:00:00 1 32b259ff1cc17585172ce61d7d71b42b
7171104 C 3 CP 2 04/10/2019 04/10/2019 10/05/1960 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 THERESIA KANSIL 051301 59 21696 DR SAUL
RAPAR,SPM 0309R0191019V000844 0001435697021 3;JKN Vian02;
5.3.9.201904290125 4 79735 1#0##0#0#0.0#2019-10-05
08:57:05#0#00:00:00#00:00:00#00:00:00 1 504feba60d9bb63d0b0f6c4c1295f52d
7171104 C 3 CP 2 04/10/2019 04/10/2019 18/12/1959 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELIAS DEREK 050580 59 21840 DR PAULA M V
LUMUNON,SPM 0309R0191019V000812 0000138350687 3;JKN Patrick K.;
5.3.9.201904290125 4 79738 1#0##0#0#0.0#2019-10-05
08:59:30#0#00:00:00#00:00:00#00:00:00 1 c35aaa3621d9d7de033d9ce2569fc45c
7171104 C 3 CP 2 04/10/2019 04/10/2019 18/10/1969 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 REYNE LUSIA WAROUW 051872 49 18248
DR YULIANA HARTONO,SPM 0309R0191019V000811 0001225895049 3;JKN
Patrick K.; 5.3.9.201904290125 4 79741 1#0##0#0#0.0#2019-10-05
09:00:14#0#00:00:00#00:00:00#00:00:00 1 2b714c05af2041126a70b0e2ac821b91
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/03/1965 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARLEIN KAENG 031532 54 19940 DR SALAM
SURBAKTI,SPM 0309R0191019V000810 0000905802142 3;JKN Patrick K.;
5.3.9.201904290125 4 79743 1#0##0#0#0.0#2019-10-05
09:01:02#0#00:00:00#00:00:00#00:00:00 1 cd677ff4e16ed70eda796c8ac45eb493
7171104 C 3 CP 2 04/10/2019 04/10/2019 22/03/1956 0 1
1 H26.4;Z96.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MUAJA PAATH 023281 63 23206 DR SAUL
RAPAR,SPM 0309R0191019V000808 0002059757605 3;JKN Patrick K.;
5.3.9.201904290125 4 79749 1#0##0#0#0.0#2019-10-05
09:08:14#0#00:00:00#00:00:00#00:00:00 1 975f94bf8df39086dbac373169771486
7171104 C 3 CP 2 04/10/2019 04/10/2019 17/08/1960 0 2
1 Z09.8;H44.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELSYE ASMA RANSINGIN 046906 59 21597
DR SALAM SURBAKTI,SPM 0309R0191019V000845 0002751346225 3;JKN
Vian02; 5.3.9.201904290125 4 79753 1#0##0#0#0.0#2019-10-05
09:10:41#0#00:00:00#00:00:00#00:00:00 1 1d6d6fe9edc150661ef738dace88a194
7171104 C 3 CP 2 04/10/2019 04/10/2019 05/07/1977 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DELLI JULITA WONGKAR 042478 42 15431
DR SALAM SURBAKTI,SPM 0309R0191019V000847 0001565105321 3;JKN
Vian02; 5.3.9.201904290125 4 79756 1#0##0#0#0.0#2019-10-05
09:11:55#0#00:00:00#00:00:00#00:00:00 1 d183e21e3bb06a179009e9a2cba56556
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/11/1980 0 2
1 H52.2;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NOVRITA GRACE RINNY LUMENTA 052132 38
14216 DR SAUL RAPAR,SPM 0309R0191019V000850 0000138802162 3;JKN
Vian02; 5.3.9.201904290125 4 79758 1#0##0#0#0.0#2019-10-05
09:12:48#0#00:00:00#00:00:00#00:00:00 1 1344ad14bdf7f91f3c4252897631e991
7171104 C 3 CP 2 04/10/2019 04/10/2019 29/12/1959 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARGARETHA SINGKO 052133 59 21829 DR
SALAM SURBAKTI,SPM 0309R0191019V000851 0001439930777 3;JKN Vian02;
5.3.9.201904290125 4 79759 1#0##0#0#0.0#2019-10-05
09:17:17#0#00:00:00#00:00:00#00:00:00 1 cb96652665dfb4c6cfc3e2024c4e6cef
7171104 C 3 CP 2 04/10/2019 04/10/2019 06/10/1949 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RITJE SIWU 052134 69 25565 DR SALAM
SURBAKTI,SPM 0309R0191019V000852 0001565944828 3;JKN Vian02;
5.3.9.201904290125 4 79760 1#0##0#0#0.0#2019-10-05
09:20:12#0#00:00:00#00:00:00#00:00:00 1 934fb91184133102c9f60a2664343146
7171104 C 3 CP 2 04/10/2019 04/10/2019 06/10/1962 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARGARETHA MARLYN KARINDA 052135 56
20817 DR YULIANA HARTONO,SPM 0309R0191019V000853 0001173703735 3;JKN
Vian02; 5.3.9.201904290125 4 79761 1#0##0#0#0.0#2019-10-05
09:24:10#0#00:00:00#00:00:00#00:00:00 1 e7d7a4bfd4bdb7e85f2cd3137cd3323e
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/05/1963 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 IBRAHIM LEKES 050705 56 20610 DR SALAM
SURBAKTI,SPM 0309R0191019V000855 0001066846645 3;JKN Vian02;
5.3.9.201904290125 4 79762 1#0##0#0#0.0#2019-10-05
09:30:19#0#00:00:00#00:00:00#00:00:00 1 6689b58e2e42d9f1b21712b006f3cdfb
7171104 C 3 CP 2 04/10/2019 04/10/2019 04/10/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROOSINA KAMBEY 051841 72 26298 DR SALAM
SURBAKTI,SPM 0309R0191019V000856 0000139076796 3;JKN Vian02;
5.3.9.201904290125 4 79763 1#0##0#0#0.0#2019-10-05
09:32:33#0#00:00:00#00:00:00#00:00:00 1 4ca9df519e64f420a9c276535fe90efb
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/03/2010 0 1
1 H10.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TIRTACHRIST SENDOW 052136 9 3504 DR
SAUL RAPAR,SPM 0309R0191019V000857 0000908046843 3;JKN Vian02;
5.3.9.201904290125 4 79764 1#0##0#0#0.0#2019-10-05
09:42:11#0#00:00:00#00:00:00#00:00:00 1 0d1f39b116c01b6791ea4d7f4fe39524
7171104 C 3 CP 2 04/10/2019 04/10/2019 04/01/1980 0 2
1 H52.7 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOICE MANGOWAL 052137 39 14518 DR YULIANA
HARTONO,SPM 0309R0191019V000858 0001464164919 3;JKN Vian02;
5.3.9.201904290125 4 79765 1#0##0#0#0.0#2019-10-05
09:51:12#0#00:00:00#00:00:00#00:00:00 1 113cd2447ffb734140492e2fd5d68a59
7171104 C 3 CP 2 04/10/2019 04/10/2019 29/09/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FIENTJE JOHANA RUMBAY 007429 73 26668 DR
YULIANA HARTONO,SPM 0309R0191019V000859 0002251011936 3;JKN Vian02;
5.3.9.201904290125 4 79776 1#0##0#0#0.0#2019-10-05
10:07:30#0#00:00:00#00:00:00#00:00:00 1 1a838e13c3a1ed400db613880ceff0bb
7171104 C 3 CP 2 04/10/2019 04/10/2019 07/10/1951 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNEKE MARGARETHA WUWUNG 051771 67 24834
DR SALAM SURBAKTI,SPM 0309R0191019V000860 0000137273692 3;JKN
Vian02; 5.3.9.201904290125 4 79777 1#0##0#0#0.0#2019-10-05
10:09:43#0#00:00:00#00:00:00#00:00:00 1 e415473ec60f9705ad15a9c198d8c110
7171104 C 3 CP 2 04/10/2019 04/10/2019 07/06/1961 0 2
1 Z09.8;H35.2;H43.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LISJE TAMPI 044449 58 21303 DR SALAM
SURBAKTI,SPM 0309R0191019V000861 0002313729999 3;JKN Vian02;
5.3.9.201904290125 4 79789 1#0##0#0#0.0#2019-10-05
10:26:34#0#00:00:00#00:00:00#00:00:00 1 8b6013710c64a36c8bc7a572aae1ee6e
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/12/1946 0 1
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DANIEL MANOPPO 047076 72 26605 DR
SALAM SURBAKTI,SPM 0309R0191019V000862 0000908881121 3;JKN Vian02;
5.3.9.201904290125 4 79792 1#0##0#0#0.0#2019-10-05
10:28:07#0#00:00:00#00:00:00#00:00:00 1 68f4f2cf5ddb91388313e9dbb82591b5
7171104 C 3 CP 2 04/10/2019 04/10/2019 11/11/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KARTINI 023459 68 25164 DR SALAM
SURBAKTI,SPM 0309R0191019V000863 0002081832579 3;JKN Vian02;
5.3.9.201904290125 4 79795 1#0##0#0#0.0#2019-10-05
10:36:29#0#00:00:00#00:00:00#00:00:00 1 b0de062cb0bb4181afe42c81599b2c48
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/07/1963 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUL MALUMBEKE 052117 56 20549 DR
PAULA M V LUMUNON,SPM 0309R0191019V000770 0000907843871 3;JKN linda03;
5.3.9.201904290125 4 79799 1#0##0#0#0.0#2019-10-05
11:14:31#0#00:00:00#00:00:00#00:00:00 1 44c23bb75750a58a98f828225e03202d
7171104 C 3 CP 2 04/10/2019 04/10/2019 26/11/1973 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALPIUS PANTAS 051877 45 16748 DR
PAULA M V LUMUNON,SPM 0309R0191019V000768 0002420102856 3;JKN linda03;
5.3.9.201904290125 4 79800 1#0##0#0#0.0#2019-10-05
11:15:21#0#00:00:00#00:00:00#00:00:00 1 a25530b82c2178e71236f651fd1d2e9b
7171104 C 3 CP 2 04/10/2019 04/10/2019 15/11/1959 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 IKBAL SOLEMAN 052072 59 21873 DR
SAUL RAPAR,SPM 0309R0191019V000765 0000140162444 3;JKN linda03;
5.3.9.201904290125 4 79801 1#0##0#0#0.0#2019-10-05
11:16:03#0#00:00:00#00:00:00#00:00:00 1 cb2cf929e213c75f20dba5a51b3f0815
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/03/1956 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOSEP RARUN 051637 63 23227 DR YULIANA
HARTONO,SPM 0309R0191019V000764 0000905067213 3;JKN linda03;
5.3.9.201904290125 4 79802 1#0##0#0#0.0#2019-10-05
11:16:40#0#00:00:00#00:00:00#00:00:00 1 e6cdc1168927920add306b181857913c
7171104 C 3 CP 2 04/10/2019 04/10/2019 08/10/1950 0 2
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 REYNASMIN PELONGAN 046981 68 25198
DR SAUL RAPAR,SPM 0309R0191019V000763 0000137533004 3;JKN linda03;
5.3.9.201904290125 4 79803 1#0##0#0#0.0#2019-10-05
11:17:19#0#00:00:00#00:00:00#00:00:00 1 7e0a19f6298627bb67a0d67f61648fc3
7171104 C 3 CP 2 04/10/2019 04/10/2019 11/06/1950 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHAN SANGGELORANG 051708 69 25317
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000762 0001604411076 3;JKN
linda03; 5.3.9.201904290125 4 79804 1#0##0#0#0.0#2019-10-05
11:17:50#0#00:00:00#00:00:00#00:00:00 1 e6ca230686ea7e688f9f5d0452f846f9
7171104 C 3 CP 2 04/10/2019 04/10/2019 18/12/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELISA MAMUAJA 050760 72 26588 DR PAULA M V
LUMUNON,SPM 0309R0191019V000761 0001305627254 3;JKN linda03;
5.3.9.201904290125 4 79805 1#0##0#0#0.0#2019-10-05
11:20:10#0#00:00:00#00:00:00#00:00:00 1 733f50bdbf1949b9621b03901a7aed76
7171104 C 3 CP 2 04/10/2019 04/10/2019 28/09/1991 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 STEPHANIE ESTER PINANGKAAN 052091 28 10233
DR YULIANA HARTONO,SPM 0309R0191019V000760 0000137175017 3;JKN
linda03; 5.3.9.201904290125 4 79806 1#0##0#0#0.0#2019-10-05
11:20:53#0#00:00:00#00:00:00#00:00:00 1 aa04724a98d98045cbfcb8d8876e8a1b
7171104 C 3 CP 2 04/10/2019 04/10/2019 24/04/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VERONICA XENIA ZITA LENGKONG 052125 62 22808
DR SALAM SURBAKTI,SPM 0309R0191019V000759 0000138616683 3;JKN
linda03; 5.3.9.201904290125 4 79807 1#0##0#0#0.0#2019-10-05
11:22:02#0#00:00:00#00:00:00#00:00:00 1 c62f620d522ef07b3701f3c21d266656
7171104 C 3 CP 2 04/10/2019 04/10/2019 10/05/1954 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRANS MANGUNDAP 051799 65 23888 DR
YULIANA HARTONO,SPM 0309R0191019V000758 0002291032102 3;JKN linda03;
5.3.9.201904290125 4 79808 1#0##0#0#0.0#2019-10-05
11:22:38#0#00:00:00#00:00:00#00:00:00 1 75e03d019747da5df40e6714afb579dc
7171104 C 3 CP 2 04/10/2019 04/10/2019 16/09/1957 0 1
1 H40.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HAMZA DUHE 052124 62 22663 DR SALAM
SURBAKTI,SPM 0309R0191019V000757 0000908157789 3;JKN linda03;
5.3.9.201904290125 4 79809 1#0##0#0#0.0#2019-10-05
11:24:27#0#00:00:00#00:00:00#00:00:00 1 905d2f8d132a79eaee116b9ab6d07a44
7171104 C 3 CP 2 04/10/2019 04/10/2019 09/02/1950 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHAN W. MANTIRI 051646 69 25439 DR
YULIANA HARTONO,SPM 0309R0191019V000754 0001565051062 3;JKN linda03;
5.3.9.201904290125 4 79810 1#0##0#0#0.0#2019-10-05
11:25:03#0#00:00:00#00:00:00#00:00:00 1 2f894741d617a745b0afcc7addb9d104
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/05/1966 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VENTJE MANAMBE 044662 53 19514 DR SAUL
RAPAR,SPM 0309R0191019V000753 0002462676873 3;JKN linda03;
5.3.9.201904290125 4 79811 1#0##0#0#0.0#2019-10-05
11:25:36#0#00:00:00#00:00:00#00:00:00 1 b7648b462bffe09e23fc2ad5b16e477f
7171104 C 3 CP 2 04/10/2019 04/10/2019 27/12/1970 0 1
1 H26.9;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENRDIK LETUNGGAMU 052122 48 17813
DR SALAM SURBAKTI,SPM 0309R0191019V000752 0001248466206 3;JKN
linda03; 5.3.9.201904290125 4 79812 1#0##0#0#0.0#2019-10-05
11:26:22#0#00:00:00#00:00:00#00:00:00 1 8058e6a678da0500bd089a422ae87671
7171104 C 3 CP 2 04/10/2019 04/10/2019 12/08/1968 0 1
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEFRI WULA 042534 51 18680 DR SALAM
SURBAKTI,SPM 0309R0191019V000751 0002312556355 3;JKN linda03;
5.3.9.201904290125 4 79813 1#0##0#0#0.0#2019-10-05
11:26:53#0#00:00:00#00:00:00#00:00:00 1 f81e1aefa51ea83560f80329da208b96
7171104 C 3 CP 2 04/10/2019 04/10/2019 31/07/1959 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALTJE POSUMAH 051586 60 21980 DR
SALAM SURBAKTI,SPM 0309R0191019V000750 0001567777239 3;JKN linda03;
5.3.9.201904290125 4 79814 1#0##0#0#0.0#2019-10-05
11:27:32#0#00:00:00#00:00:00#00:00:00 1 17d1e302407579dc5c45e86f8ae96a70
7171104 C 3 CP 2 04/10/2019 04/10/2019 10/10/1956 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NURDIN KOSU 052121 62 23004 DR YULIANA
HARTONO,SPM 0309R0191019V000749 0002053609007 3;JKN linda03;
5.3.9.201904290125 4 79815 1#0##0#0#0.0#2019-10-05
11:28:24#0#00:00:00#00:00:00#00:00:00 1 74eb8ef876811e3891b7b0d813b07557
7171104 C 3 CP 2 04/10/2019 04/10/2019 02/11/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAGGIE WOWOR 051829 65 24077 DR SALAM
SURBAKTI,SPM 0309R0191019V000748 0002308738307 3;JKN linda03;
5.3.9.201904290125 4 79816 1#0##0#0#0.0#2019-10-05
11:28:56#0#00:00:00#00:00:00#00:00:00 1 64999415b127622adbb8a228d7485c5f
7171104 C 3 CP 2 04/10/2019 04/10/2019 25/10/1948 0 1
1 Z09.8;H33.0;H57.8 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOSIAS MESIAS PATRAS 036769 70 25911
DR SALAM SURBAKTI,SPM 0309R0191019V000747 0002424853899 3;JKN
linda03; 5.3.9.201904290125 4 79817 1#0##0#0#0.0#2019-10-05
11:29:36#0#00:00:00#00:00:00#00:00:00 1 7ff30e1421aa82fc11f742922f172928
7171104 C 3 CP 2 04/10/2019 04/10/2019 20/07/1955 0 2
1 Z09.8;H33.0;H57.8 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIN TUMANUNG 050511 64 23452 DR
SALAM SURBAKTI,SPM 0309R0191019V000846 0002456145696 3;JKN linda03;
5.3.9.201904290125 4 79818 1#0##0#0#0.0#2019-10-05
11:30:10#0#00:00:00#00:00:00#00:00:00 1 39b1266e7e5429043571d783f81d51ae
7171104 C 3 CP 2 04/10/2019 04/10/2019 29/01/1939 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIAN WUISAN 051828 80 29468 DR SALAM
SURBAKTI,SPM 0309R0191019V000746 0001604460273 3;JKN linda03;
5.3.9.201904290125 4 79819 1#0##0#0#0.0#2019-10-05
11:31:30#0#00:00:00#00:00:00#00:00:00 1 b858e52fe245f8d69cf3c490b1715577
7171104 C 3 CP 2 04/10/2019 04/10/2019 28/03/1965 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTINUS TAMARA 017879 54 19913 DR
SAUL RAPAR,SPM 0309R0191019V000745 0000137267381 3;JKN linda03;
5.3.9.201904290125 4 79820 1#0##0#0#0.0#2019-10-05
11:35:22#0#00:00:00#00:00:00#00:00:00 1 8917d0b86a1b9fa57a5aff894770513a
7171104 C 3 CP 2 04/10/2019 04/10/2019 22/07/1944 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SUPIA KARIM 050020 75 27467 DR SALAM
SURBAKTI,SPM 0309R0191019V000743 0001066881183 3;JKN linda03;
5.3.9.201904290125 4 79821 1#0##0#0#0.0#2019-10-05
11:41:35#0#00:00:00#00:00:00#00:00:00 1 b3c491051efafd1310b819ad6e7aea49
7171104 C 3 CP 2 04/10/2019 04/10/2019 11/01/1959 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NELLY MANTIRI 051881 60 22181 DR
YULIANA HARTONO,SPM 0309R0191019V000742 0002388309737 3;JKN linda03;
5.3.9.201904290125 4 79822 1#0##0#0#0.0#2019-10-05
11:42:13#0#00:00:00#00:00:00#00:00:00 1 29e00f0fe5e0e529320904909664b432
7171104 C 3 CP 2 04/10/2019 04/10/2019 14/02/1958 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LILY SURYANI PANGAYOW 051288 61 22512 DR
SALAM SURBAKTI,SPM 0309R0191019V000741 0000138087628 3;JKN linda03;
5.3.9.201904290125 4 79823 1#0##0#0#0.0#2019-10-05
11:42:46#0#00:00:00#00:00:00#00:00:00 1 24395bd79e6837eacc10e70f3c9524e8
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/08/1967 0 2
1 Z09.8;H52.0;H52.2;H52.4 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MURIA SUALANG 025230 52 19057 DR
SAUL RAPAR,SPM 0309R0191019V000740 0000908043039 3;JKN linda03;
5.3.9.201904290125 4 79824 1#0##0#0#0.0#2019-10-05
11:43:38#0#00:00:00#00:00:00#00:00:00 1 9789a72edf62727a2def8eeff0cedcbe
7171104 C 3 CP 2 04/10/2019 04/10/2019 18/01/1947 0 2
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DOORTYE Y. KEPEL 050560 72 26557 DR
SALAM SURBAKTI,SPM 0309R0191019V000739 0002039844655 3;JKN linda03;
5.3.9.201904290125 4 79825 1#0##0#0#0.0#2019-10-05
11:44:12#0#00:00:00#00:00:00#00:00:00 1 2bc46cfa65b6d46570c995fb7c3b0ff1
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/03/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KATOTJE KAWULUSAN 050870 66 24323 DR YULIANA
HARTONO,SPM 0309R0191019V000738 0000906248981 3;JKN linda03;
5.3.9.201904290125 4 79826 1#0##0#0#0.0#2019-10-05
11:44:44#0#00:00:00#00:00:00#00:00:00 1 c58bf6e54f03bb6123aa183d5d1df5da
7171104 C 3 CP 2 04/10/2019 04/10/2019 22/05/1938 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENKIE RUMENGAN 049645 81 29720 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000737 0001568323293 3;JKN
linda03; 5.3.9.201904290125 4 79827 1#0##0#0#0.0#2019-10-05
11:45:19#0#00:00:00#00:00:00#00:00:00 1 3316bf1f06e7945542f3d17f57090ae8
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/02/1942 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ATJE NGALA 051487 77 28369 DR SALAM
SURBAKTI,SPM 0309R0191019V000736 0001066758873 3;JKN linda03;
5.3.9.201904290125 4 79828 1#0##0#0#0.0#2019-10-05
11:45:53#0#00:00:00#00:00:00#00:00:00 1 ba7cb0494e9db354b86b9df9872e43d4
7171104 C 3 CP 2 04/10/2019 04/10/2019 15/08/1954 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STIENTJE MONONEGE 051420 65 23791 DR
YULIANA HARTONO,SPM 0309R0191019V000734 0002465377457 3;JKN linda03;
5.3.9.201904290125 4 79829 1#0##0#0#0.0#2019-10-05
11:46:28#0#00:00:00#00:00:00#00:00:00 1 bdaafa7a68adca41c12beb27d264f62c
7171104 C 3 CP 2 04/10/2019 04/10/2019 25/08/1951 0 1
1 Z96.1;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHAN RUDOLF TUMIWA 050557 68 24877
DR SALAM SURBAKTI,SPM 0309R0191019V000733 0000138873025 3;JKN
linda03; 5.3.9.201904290125 4 79830 1#0##0#0#0.0#2019-10-05
11:47:29#0#00:00:00#00:00:00#00:00:00 1 8b832d296ab9ee2480ee52d090f3bec6
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/12/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MANUEL SASEWA 051486 72 26605 DR SALAM
SURBAKTI,SPM 0309R0191019V000731 0001066758862 3;JKN linda03;
5.3.9.201904290125 4 79831 1#0##0#0#0.0#2019-10-05
11:48:05#0#00:00:00#00:00:00#00:00:00 1 4c887bf8fcb3ba1f35e28ed174af7ae8
7171104 C 3 CP 2 04/10/2019 04/10/2019 31/01/1939 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STIEN WELAN 051863 80 29466 DR YULIANA
HARTONO,SPM 0309R0191019V000730 0000137184502 3;JKN linda03;
5.3.9.201904290125 4 79832 1#0##0#0#0.0#2019-10-05
11:48:40#0#00:00:00#00:00:00#00:00:00 1 35c8ed0d3012767a64eb9041e17876ae
7171104 C 3 CP 2 04/10/2019 04/10/2019 12/06/1963 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALEXANDER HENDRIK KUMAJAS 051342 56 20568
DR YULIANA HARTONO,SPM 0309R0191019V000729 0002392923745 3;JKN
linda03; 5.3.9.201904290125 4 79833 1#0##0#0#0.0#2019-10-05
11:49:16#0#00:00:00#00:00:00#00:00:00 1 5f22d949eba29a916f52c6ad40419ed2
7171104 C 3 CP 2 04/10/2019 04/10/2019 08/11/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JAHJA SIGARLAKI 051821 68 25167 DR SALAM
SURBAKTI,SPM 0309R0191019V000728 0000139065557 3;JKN linda03;
5.3.9.201904290125 4 79834 1#0##0#0#0.0#2019-10-05
11:49:46#0#00:00:00#00:00:00#00:00:00 1 f46cb0f88b9129762ecdceb64dec71de
7171104 C 3 CP 2 04/10/2019 04/10/2019 20/11/1942 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANSEN H. PONTO, SH 009497 76 28077
DR YULIANA HARTONO,SPM 0309R0191019V000727 0000138159887 3;JKN
linda03; 5.3.9.201904290125 4 79835 1#0##0#0#0.0#2019-10-05
11:50:30#0#00:00:00#00:00:00#00:00:00 1 93e8c9f4257e15801bfb0dfb902e1835
7171104 C 3 CP 2 04/10/2019 04/10/2019 06/06/1941 0 1
1 Z09.8;D31.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUSOF WAHONGAN 013803 78 28609 DR
YULIANA HARTONO,SPM 0309R0191019V000726 0000138233968 3;JKN linda03;
5.3.9.201904290125 4 79836 1#0##0#0#0.0#2019-10-05
11:51:26#0#00:00:00#00:00:00#00:00:00 1 c5888b7f80c0998ef4dd74c34bf8227d
7171104 C 3 CP 2 04/10/2019 04/10/2019 25/07/1956 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OMNY POTENCE BAWENTI 000420 63 23081
DR SALAM SURBAKTI,SPM 0309R0191019V000725 0001261640542 3;JKN
linda03; 5.3.9.201904290125 4 79837 1#0##0#0#0.0#2019-10-05
11:54:59#0#00:00:00#00:00:00#00:00:00 1 161df903aeca3882a24c6dafb7720c95
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/02/1951 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HANS BINEY 052104 68 25082 DR SAUL
RAPAR,SPM 0309R0191019V000724 0000907512715 3;JKN linda03;
5.3.9.201904290125 4 79838 1#0##0#0#0.0#2019-10-05
11:55:47#0#00:00:00#00:00:00#00:00:00 1 a2723dd905b2dac9045696b8f37de011
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/06/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOHANA U SATUKA 051573 64 23501 DR SALAM
SURBAKTI,SPM 0309R0191019V000864 0001066656846 3;JKN Vian02;
5.3.9.201904290125 4 79839 1#0##0#0#0.0#2019-10-07
06:48:09#0#00:00:00#00:00:00#00:00:00 1 7678b5b069f1c5bc4a83b1caaa8ad8e5
7171104 C 3 CP 2 04/10/2019 04/10/2019 25/10/1944 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DORKAS HATIBAE 051658 74 27372 DR SAUL
RAPAR,SPM 0309R0191019V000865 0001790374173 3;JKN Vian02;
5.3.9.201904290125 4 79840 1#0##0#0#0.0#2019-10-07
06:48:48#0#00:00:00#00:00:00#00:00:00 1 1e130e3162fe96addeae903b48b602d0
7171104 C 3 CP 2 04/10/2019 04/10/2019 05/04/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIANTJE SUNDAH 034942 67 24653 DR SALAM
SURBAKTI,SPM 0309R0191019V000866 0000137173138 3;JKN Vian02;
5.3.9.201904290125 4 79841 1#0##0#0#0.0#2019-10-07
06:49:40#0#00:00:00#00:00:00#00:00:00 1 d9a870ec6c425e5fe84fed3bf7339a08
7171104 C 3 CP 2 04/10/2019 04/10/2019 08/08/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RASIMA KAKILO 035426 71 25989 DR YULIANA
HARTONO,SPM 0309R0191019V000867 0000138070822 3;JKN Vian02;
5.3.9.201904290125 4 79842 1#0##0#0#0.0#2019-10-07
06:50:20#0#00:00:00#00:00:00#00:00:00 1 d79dc2441cbde1ecf7458abc813e5eff
7171104 C 3 CP 2 04/10/2019 04/10/2019 05/07/1954 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CORNELA G M SUMENDAP KARUNDENG 052138
65 23832 DR YULIANA HARTONO,SPM 0309R0191019V000869 0000137214426
3;JKN Vian02; 5.3.9.201904290125 4 79843 1#0##0#0#0.0#2019-10-07
06:51:24#0#00:00:00#00:00:00#00:00:00 1 1ade555f4c068571034a09dd1a6c8722
7171104 C 3 CP 2 04/10/2019 04/10/2019 28/02/1957 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEANNET ALINE SUMEISEY 050940 62 22863
DR SAUL RAPAR,SPM 0309R0191019V000870 0002048234354 3;JKN Vian02;
5.3.9.201904290125 4 79844 1#0##0#0#0.0#2019-10-07
06:52:15#0#00:00:00#00:00:00#00:00:00 1 f88d937b631dbb90bcc9098b487c5187
7171104 C 3 CP 2 04/10/2019 04/10/2019 29/08/1982 0 2
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LIDIA LIANDO 016082 37 13550 DR SAUL
RAPAR,SPM 0309R0191019V000871 0001287092171 3;JKN Vian02;
5.3.9.201904290125 4 79845 1#0##0#0#0.0#2019-10-07
06:53:06#0#00:00:00#00:00:00#00:00:00 1 996118ace44d29fa789bf242e4967a16
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/06/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NON LASUT 051857 77 28249 DR PAULA M V
LUMUNON,SPM 0309R0191019V000873 0000908001167 3;JKN Vian02;
5.3.9.201904290125 4 79846 1#0##0#0#0.0#2019-10-07
06:53:54#0#00:00:00#00:00:00#00:00:00 1 afce19d4eb81531b949da495f2c68c04
7171104 C 3 CP 2 04/10/2019 04/10/2019 31/08/1945 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SANONANG LAWITAN 051858 74 27062 DR
YULIANA HARTONO,SPM 0309R0191019V000874 0001604386607 3;JKN Vian02;
5.3.9.201904290125 4 79847 1#0##0#0#0.0#2019-10-07
06:54:42#0#00:00:00#00:00:00#00:00:00 1 73fa9ca5975085cc2ba8dfed5d80b4a9
7171104 C 3 CP 2 04/10/2019 04/10/2019 13/04/1949 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NY ALTJE OPIT RAMPENGAN 052139 70
25741 DR YULIANA HARTONO,SPM 0309R0191019V000875 0000137273668 3;JKN
Vian02; 5.3.9.201904290125 4 79848 1#0##0#0#0.0#2019-10-07
07:00:30#0#00:00:00#00:00:00#00:00:00 1 cf6279d5531a62967c6e26a5bcc09de2
7171104 C 3 CP 2 04/10/2019 04/10/2019 12/05/1943 0 2
1 Z09.8;H02.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DRA.S.A.G.PAMURU-T NY. 031978 76 27904
DR SAUL RAPAR,SPM 0309R0191019V000876 0000138123707 3;JKN Vian02;
5.3.9.201904290125 4 79849 1#0##0#0#0.0#2019-10-07
07:01:16#0#00:00:00#00:00:00#00:00:00 1 1dc4f1d7a826f9d5f5476da2aa7b6a22
7171104 C 3 CP 2 04/10/2019 04/10/2019 13/05/1971 0 2
1 Z09.8;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEIKE MOKODASER 024336 48 17676 DR
SALAM SURBAKTI,SPM 0309R0191019V000877 0001422980133 3;JKN Vian02;
5.3.9.201904290125 4 79850 1#0##0#0#0.0#2019-10-07
07:02:17#0#00:00:00#00:00:00#00:00:00 1 7456e0e5be629047de72a9e94d88b7b1
7171104 C 3 CP 2 04/10/2019 04/10/2019 23/03/1968 0 2
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTHA ROMBON 027932 51 18822 DR
SAUL RAPAR,SPM 0309R0191019V000879 0001566209834 3;JKN Vian02;
5.3.9.201904290125 4 79851 1#0##0#0#0.0#2019-10-07
07:07:02#0#00:00:00#00:00:00#00:00:00 1 af2044d2cc2281812ee91413baed8714
7171104 C 3 CP 2 04/10/2019 04/10/2019 03/12/1992 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ASITA D MANGOLO 052141 26 9801 DR PAULA M V
LUMUNON,SPM 0309R0191019V000880 0002388370577 3;JKN Vian02;
5.3.9.201904290125 4 79852 1#0##0#0#0.0#2019-10-07
07:18:02#0#00:00:00#00:00:00#00:00:00 1 c586ad8d2b0f0fe0929b33464758ebba
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/05/1958 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JUL SUAK 050147 61 22436 DR SAUL RAPAR,SPM
0309R0191019V000884 0002316984568 3;JKN Vian02; 5.3.9.201904290125
4 79853 1#0##0#0#0.0#2019-10-07 07:18:47#0#00:00:00#00:00:00#00:00:00
1 332f6845c675eb3253dba1698d4b76e4
7171104 C 3 CP 2 04/10/2019 04/10/2019 08/10/2006 0 2
1 Z96.1;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FITRI AIRIN RAMADANI SAHIDE 050951 12
4744 DR SAUL RAPAR,SPM 0309R0191019V000885 0001814041416 3;JKN
Vian02; 5.3.9.201904290125 4 79854 1#0##0#0#0.0#2019-10-07
07:19:41#0#00:00:00#00:00:00#00:00:00 1 bcc4e4db1ea549fb4c9c77c0f3b373d3
7171104 C 3 CP 2 04/10/2019 04/10/2019 07/12/1976 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ERVINA RAMPANGILEY 051911 42 15641
DR YULIANA HARTONO,SPM 0309R0191019V000886 0001822009241 3;JKN
Vian02; 5.3.9.201904290125 4 79855 1#0##0#0#0.0#2019-10-07
07:20:36#0#00:00:00#00:00:00#00:00:00 1 e9d8852c72dda0338299bed913806664
7171104 C 3 CP 2 04/10/2019 04/10/2019 19/01/1993 0 2
1 Z09.8;H16.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GEBBY AYU NITA 051711 26 9754 DR
SAUL RAPAR,SPM 0309R0191019V000887 0002222287301 3;JKN Vian02;
5.3.9.201904290125 4 79856 1#0##0#0#0.0#2019-10-07
07:21:19#0#00:00:00#00:00:00#00:00:00 1 79204cc2828df02c82dd534cf13a73c7
7171104 C 3 CP 2 04/10/2019 04/10/2019 26/03/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARHOCE LUMINTANG 020583 71 26124 DR YULIANA
HARTONO,SPM 0309R0191019V000888 0001572832721 3;JKN Vian02;
5.3.9.201904290125 4 79857 1#0##0#0#0.0#2019-10-07
07:24:08#0#00:00:00#00:00:00#00:00:00 1 a3a54ffc4ff6ae30de9e9e2770f01923
7171104 C 3 CP 2 04/10/2019 04/10/2019 13/11/1957 0 2
1 Z09.8;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VERA NELLY ROMPAS 051782 61 22605 DR
SALAM SURBAKTI,SPM 0309R0191019V000889 0001787799407 3;JKN Vian02;
5.3.9.201904290125 4 79858 1#0##0#0#0.0#2019-10-07
07:24:59#0#00:00:00#00:00:00#00:00:00 1 ec98d84f0daaa6a1a74b9a7464fd11e5
7171104 C 3 CP 2 04/10/2019 04/10/2019 21/04/1998 0 2
1 H11.3 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NAFTALI PRATIDINA SULUH 051777 21 7836 DR
PAULA M V LUMUNON,SPM 0309R0191019V000890 0001445027567 3;JKN Vian02;
5.3.9.201904290125 4 79859 1#0##0#0#0.0#2019-10-07
07:26:59#0#00:00:00#00:00:00#00:00:00 1 c7c3c41fbab2d760aa57ede16adba5ae
7171104 C 3 CP 2 04/10/2019 04/10/2019 09/10/1959 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NELTJE TAKALIWANG 051359 59 21910 DR SAUL
RAPAR,SPM 0309R0191019V000891 0002078183182 3;JKN Vian02;
5.3.9.201904290125 4 79860 1#0##0#0#0.0#2019-10-07
07:29:05#0#00:00:00#00:00:00#00:00:00 1 5937f833c585f2907ce8b0b2bc209830
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/03/1965 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SUPIRMAN MUSTAMIN 047646 54 19940 DR YULIANA
HARTONO,SPM 0309R0191019V000892 0001066989633 3;JKN Vian02;
5.3.9.201904290125 4 79861 1#0##0#0#0.0#2019-10-07
07:29:46#0#00:00:00#00:00:00#00:00:00 1 0131526652cd0ea7e329d4faf6aff61c
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/01/1947 0 1
1 H20.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BERNAD GINGGIRAN 052145 72 26574 DR SALAM
SURBAKTI,SPM 0309R0191019V000893 0000906800354 3;JKN Vian02;
5.3.9.201904290125 4 79862 1#0##0#0#0.0#2019-10-07
07:33:36#0#00:00:00#00:00:00#00:00:00 1 232d323a501f3269bc1a80aa3fab2b42
7171104 C 3 CP 2 04/10/2019 04/10/2019 18/01/1994 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NI MADE SUTARMINI 052146 25 9390 DR SAUL
RAPAR,SPM 0309R0191019V000894 0002090740757 3;JKN Vian02;
5.3.9.201904290125 4 79863 1#0##0#0#0.0#2019-10-07
07:35:03#0#00:00:00#00:00:00#00:00:00 1 04787831bc7c81472bb2dc0a2ff7e522
7171104 C 3 CP 2 04/10/2019 04/10/2019 12/10/1947 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TIENEKE TOOY 051424 71 26290 DR
SALAM SURBAKTI,SPM 0309R0191019V000895 0000139074704 3;JKN Vian02;
5.3.9.201904290125 4 79864 1#0##0#0#0.0#2019-10-07
07:35:49#0#00:00:00#00:00:00#00:00:00 1 3f9e3f7aaf95cc4830d78a5d1e2054ce
7171104 C 3 CP 2 04/10/2019 04/10/2019 09/06/1962 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JENNY MAGDA RUNTU 045041 57 20936 DR
YULIANA HARTONO,SPM 0309R0191019V000896 0001904870294 3;JKN Vian02;
5.3.9.201904290125 4 79865 1#0##0#0#0.0#2019-10-07
07:36:55#0#00:00:00#00:00:00#00:00:00 1 4ad64c95586b1fdd8bbed8c22442829f
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/06/2001 0 2
1 Z09.8;H40.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YINRIANY VIRGIN HUSULA 042233 18 6699
DR SALAM SURBAKTI,SPM 0309R0191019V000807 0000910221344 3;JKN
Patrick K.; 5.3.9.201904290125 4 79750 1#0##0#0#0.0#2019-10-07
13:11:34#0#00:00:00#00:00:00#00:00:00 2 ef189af7ab1c0a751391a9ce6e305c2d
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/05/1959 0 2
1 Z09.8;H52.4;H04.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEIKE KAENG 038924 60 22071 DR PAULA M V
LUMUNON,SPM 0309R0191019V000806 0000906227583 3;JKN Patrick K.;
5.3.9.201904290125 4 79891 1#0##0#0#0.0#2019-10-07
13:12:33#0#00:00:00#00:00:00#00:00:00 1 05990da09343daee209b6a0db74b2dd0
7171104 C 3 CP 2 04/10/2019 04/10/2019 05/05/1935 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MELDA PANTOW 051466 84 30833 DR SAUL
RAPAR,SPM 0309R0191019V000804 0001824422128 3;JKN Patrick K.;
5.3.9.201904290125 4 79892 1#0##0#0#0.0#2019-10-07
13:39:50#0#00:00:00#00:00:00#00:00:00 1 8ed281f3adb1afc6381e4bfa8562a8a9
7171104 C 3 CP 2 04/10/2019 04/10/2019 08/07/1939 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIANA MIETJE KOLINUG 049981 80 29308 DR
SALAM SURBAKTI,SPM 0309R0191019V000723 0000138066491 3;JKN linda03;
5.3.9.201904290125 4 79893 1#0##0#0#0.0#2019-10-08
07:23:53#0#00:00:00#00:00:00#00:00:00 1 c08e739fd04cc1c36f1034124b6991cb
7171104 C 3 CP 2 04/10/2019 04/10/2019 05/10/1989 0 1
1 Z09.8;H25.0;H17.8 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STEVIE FREDY MONGKARENG 033227 29 10956
DR SALAM SURBAKTI,SPM 0309R0191019V000803 0001296660126 3;JKN
Patrick K.; 5.3.9.201904290125 4 79894 1#0##0#0#0.0#2019-10-08
07:26:32#0#00:00:00#00:00:00#00:00:00 1 8c031acba2fae6e4a874e6295713b097
7171104 C 3 CP 2 04/10/2019 04/10/2019 19/08/1943 0 1
1 H26.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ABSALOM SUMIHI 031384 76 27805 DR SALAM
SURBAKTI,SPM 0309R0191019V000722 0001844323817 3;JKN linda03;
5.3.9.201904290125 4 79895 1#0##0#0#0.0#2019-10-08
07:26:57#0#00:00:00#00:00:00#00:00:00 1 8cdb993016bc4a072afc774033d3722d
7171104 C 3 CP 2 04/10/2019 04/10/2019 11/08/1955 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNATJE GUMENGGILUNG 048503 64 23430
DR SALAM SURBAKTI,SPM 0309R0191019V000802 0001726499788 3;JKN
Patrick K.; 5.3.9.201904290125 4 79896 1#0##0#0#0.0#2019-10-08
07:27:48#0#00:00:00#00:00:00#00:00:00 1 fc74a2bb80cdad37c62b3e6ced6e57db
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/10/1969 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FAUJIA HINGO 051115 50 18265 DR
PAULA M V LUMUNON,SPM 0309R0191019V000721 0000908030744 3;JKN linda03;
5.3.9.201904290125 4 79897 1#0##0#0#0.0#2019-10-08
07:29:40#0#00:00:00#00:00:00#00:00:00 1 03b53ac69387f3cf458af138dca0c8c8
7171104 C 3 CP 2 04/10/2019 04/10/2019 05/08/1960 0 1
1 Z09.8;T85.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FERDY IBRAHIM RUMAGIT 046119 59 21609
DR SALAM SURBAKTI,SPM 0309R0191019V000801 0002063615995 3;JKN
Patrick K.; 5.3.9.201904290125 4 79898 1#0##0#0#0.0#2019-10-08
07:29:53#0#00:00:00#00:00:00#00:00:00 1 ff73de3374544dc71f48dde7bd833bfa
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/08/1938 0 1
1 Z09.8;H59.0;H25.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANWAR LIMOH 051788 81 29649 DR PAULA M V
LUMUNON,SPM 0309R0191019V000718 0000908117166 3;JKN linda03;
5.3.9.201904290125 4 79899 1#0##0#0#0.0#2019-10-08
07:30:30#0#00:00:00#00:00:00#00:00:00 1 b130d4fb176c397d42312909471adbf2
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/06/1957 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FATMA NGAU 052101 62 22770 DR SAUL
RAPAR,SPM 0309R0191019V000717 0000908698195 3;JKN linda03;
5.3.9.201904290125 4 79900 1#0##0#0#0.0#2019-10-08
07:31:16#0#00:00:00#00:00:00#00:00:00 1 a082183502f28e3ddaa78a4cc963efe6
7171104 C 3 CP 2 04/10/2019 04/10/2019 16/03/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LIESJE IETJE KANDOU 050768 73 26865 DR
SALAM SURBAKTI,SPM 0309R0191019V000715 0000138254512 3;JKN linda03;
5.3.9.201904290125 4 79901 1#0##0#0#0.0#2019-10-08
07:32:19#0#00:00:00#00:00:00#00:00:00 1 0ee2c86753a0b78cd61e4669be04843f
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/10/1946 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALMINTJE LEGESANG 052102 73 26666 DR
SAUL RAPAR,SPM 0309R0191019V000714 0000908447951 3;JKN linda03;
5.3.9.201904290125 4 79902 1#0##0#0#0.0#2019-10-08
07:33:04#0#00:00:00#00:00:00#00:00:00 1 2cded0b942ca8806e623398184037513
7171104 C 3 CP 2 04/10/2019 04/10/2019 06/06/1959 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SUWARNI MUSTAFA 051824 60 22035 DR SALAM
SURBAKTI,SPM 0309R0191019V000712 0001604468439 3;JKN linda03;
5.3.9.201904290125 4 79904 1#0##0#0#0.0#2019-10-08
07:33:38#0#00:00:00#00:00:00#00:00:00 1 48ef46e8b5a7c910c723d1ee7ebf39c1
7171104 C 3 CP 2 04/10/2019 04/10/2019 25/01/1957 0 2
1 Z09.8;H35.2;H33.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANEKE ANATJE EMOR 045447 62 22897
DR SALAM SURBAKTI,SPM 0309R0191019V000709 0001335164782 3;JKN
linda03; 5.3.9.201904290125 4 79905 1#0##0#0#0.0#2019-10-08
07:34:27#0#00:00:00#00:00:00#00:00:00 1 899430922a5092d76820ad22a9cf87d5
7171104 C 3 CP 2 04/10/2019 04/10/2019 13/08/1972 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINA MAARUA 051894 47 17218 DR
SALAM SURBAKTI,SPM 0309R0191019V000799 0000906980815 3;JKN Patrick K.;
5.3.9.201904290125 4 79903 1#0##0#0#0.0#2019-10-08
07:34:56#0#00:00:00#00:00:00#00:00:00 1 3af9af291dd80de64b5e94459ed5ee0f
7171104 C 3 CP 2 04/10/2019 04/10/2019 28/10/1960 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALFRETS M KUMENAP 051706 58 21525 DR
SALAM SURBAKTI,SPM 0309R0191019V000708 0001325274232 3;JKN linda03;
5.3.9.201904290125 4 79906 1#0##0#0#0.0#2019-10-08
07:35:00#0#00:00:00#00:00:00#00:00:00 1 181cb1d955f6e0740e469e4ef007db53
7171104 C 3 CP 2 04/10/2019 04/10/2019 02/10/1951 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNA PAULIN PITOY 050726 68 24839 DR SALAM
SURBAKTI,SPM 0309R0191019V000798 0000138736293 3;JKN Patrick K.;
5.3.9.201904290125 4 79907 1#0##0#0#0.0#2019-10-08
07:36:31#0#00:00:00#00:00:00#00:00:00 1 3c9304591d07fdad9f49eabe156aacfd
7171104 C 3 CP 2 04/10/2019 04/10/2019 08/05/1952 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KATOCE MEDATA 051964 67 24620 DR
PAULA M V LUMUNON,SPM 0309R0191019V000796 0000909632035 3;JKN Patrick K.;
5.3.9.201904290125 4 79908 1#0##0#0#0.0#2019-10-08
07:38:05#0#00:00:00#00:00:00#00:00:00 1 d450a07e5ca266b1f675888fa826aba0
7171104 C 3 CP 2 04/10/2019 04/10/2019 12/10/1962 0 2
1 Z09.8;H40.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUTI MARTHA LINGKAN 052082 56 20811
DR SALAM SURBAKTI,SPM 0309R0191019V000795 0001860692207 3;JKN
Patrick K.; 5.3.9.201904290125 4 79909 1#0##0#0#0.0#2019-10-08
07:39:05#0#00:00:00#00:00:00#00:00:00 1 3c3169b4671f4fd18a22bc60dfd1766b
7171104 C 3 CP 2 04/10/2019 04/10/2019 08/12/1944 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 C. WONDAL PALAR 024128 74 27328 DR
SAUL RAPAR,SPM 0309R0191019V000794 0000138264153 3;JKN Patrick K.;
5.3.9.201904290125 4 79910 1#0##0#0#0.0#2019-10-08
07:40:18#0#00:00:00#00:00:00#00:00:00 1 875072187b5a9b8dfad4e87696049c24
7171104 C 3 CP 2 04/10/2019 04/10/2019 14/07/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOHANIS DUMANAUW 051056 64 23458 DR SALAM
SURBAKTI,SPM 0309R0191019V000793 0000138736282 3;JKN Patrick K.;
5.3.9.201904290125 4 79911 1#0##0#0#0.0#2019-10-08
07:41:25#0#00:00:00#00:00:00#00:00:00 1 e8e5dc61b28195238bb87c47cba34a04
7171104 C 3 CP 2 04/10/2019 04/10/2019 08/05/1960 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOLANDA M. TUMBELAKA 006559 59 21698 DR
PAULA M V LUMUNON,SPM 0309R0191019V000792 0001892274186 3;JKN Patrick K.;
5.3.9.201904290125 4 79913 1#0##0#0#0.0#2019-10-08
07:42:31#0#00:00:00#00:00:00#00:00:00 1 861f93f9132dc37c8ca16e2a1d77a6fe
7171104 C 3 CP 2 04/10/2019 04/10/2019 07/09/1965 0 2
1 Z09.0;H26.9;Z96.1;H25.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MISKE SEANE LAURA WELANG 052051 54
19750 DR SAUL RAPAR,SPM 0309R0191019V000791 0002231249128 3;JKN
Patrick K.; 5.3.9.201904290125 4 79914 1#0##0#0#0.0#2019-10-08
07:43:53#0#00:00:00#00:00:00#00:00:00 1 2f8766e7303437085244d19f51f42b9f
7171104 C 3 CP 2 04/10/2019 04/10/2019 04/10/1942 0 2
1 Z96.1;H31.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KONDA MALINDIM PALENEWEN 051521 76
28124 DR SALAM SURBAKTI,SPM 0309R0191019V000790 0002243157063 3;JKN
Patrick K.; 5.3.9.201904290125 4 79915 1#0##0#0#0.0#2019-10-08
07:45:06#0#00:00:00#00:00:00#00:00:00 1 fb82638bad3e36e2e5d18fb6b5fd079f
7171104 C 3 CP 2 04/10/2019 04/10/2019 27/07/1941 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HORTEN WANGKE 052128 78 28558 DR YULIANA
HARTONO,SPM 0309R0191019V000789 0001381409864 3;JKN Patrick K.;
5.3.9.201904290125 4 79916 1#0##0#0#0.0#2019-10-08
07:46:30#0#00:00:00#00:00:00#00:00:00 1 d6432034efa3bdda36eb5fc9b2c475ad
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/06/1970 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DORTJE WALA 051963 49 18022 DR SAUL
RAPAR,SPM 0309R0191019V000788 0001566226337 3;JKN Patrick K.;
5.3.9.201904290125 4 79917 1#0##0#0#0.0#2019-10-08
07:47:57#0#00:00:00#00:00:00#00:00:00 1 b545606583522d7221bf625cb6827cb1
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/08/1948 0 2
1 Z09.0;H26.9;Z96.1;H25.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADELEIDE RONDONUWU 051893 71 25996
DR SAUL RAPAR,SPM 0309R0191019V000786 0000904633029 3;JKN Patrick K.;
5.3.9.201904290125 4 79918 1#0##0#0#0.0#2019-10-08
07:49:24#0#00:00:00#00:00:00#00:00:00 1 142ee6e37a6f3e07cffec0e5964ea0e1
7171104 C 3 CP 2 04/10/2019 04/10/2019 10/10/2009 0 2
1 Z09.8;H50.9;H52.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 THEODORA CITANIZIA 051956 9 3646
DR SAUL RAPAR,SPM 0309R0191019V000785 0000199803328 3;JKN Patrick K.;
5.3.9.201904290125 4 79919 1#0##0#0#0.0#2019-10-08
07:51:29#0#00:00:00#00:00:00#00:00:00 1 8fcc9e8f6efc07d715babd88c27dd536
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/08/1980 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RAMLI MUSTAPA 051827 39 14308 DR SALAM
SURBAKTI,SPM 0309R0191019V000707 0001066868673 3;JKN linda03;
5.3.9.201904290125 4 79912 1#0##0#0#0.0#2019-10-08
07:52:52#0#00:00:00#00:00:00#00:00:00 1 b9e89a062cb1004e217995f7d6272eee
7171104 C 3 CP 2 04/10/2019 04/10/2019 22/06/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELSJE KIDAM 015152 73 26767 DR SAUL RAPAR,SPM
0309R0191019V000706 0001442257514 3;JKN linda03; 5.3.9.201904290125
4 79923 1#0##0#0#0.0#2019-10-08 07:53:35#0#00:00:00#00:00:00#00:00:00
1 2f3ff6b3f824d829f6964363bcb206c8
7171104 C 3 CP 2 04/10/2019 04/10/2019 30/08/1943 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SUNTJE WURANGIAN 051569 76 27794 DR SALAM
SURBAKTI,SPM 0309R0191019V000782 0001834338723 3;JKN Patrick K.;
5.3.9.201904290125 4 79922 1#0##0#0#0.0#2019-10-08
07:54:01#0#00:00:00#00:00:00#00:00:00 1 33e97c6c479d49f9cb21011c3c474507
7171104 C 3 CP 2 04/10/2019 04/10/2019 15/03/1960 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARLEIN TUJU 013019 59 21752 DR
PAULA M V LUMUNON,SPM 0309R0191019V000781 0000137801553 3;JKN Patrick K.;
5.3.9.201904290125 4 79925 1#0##0#0#0.0#2019-10-08
07:55:41#0#00:00:00#00:00:00#00:00:00 1 6aa4a0513d6216c81e5b9861cb4fecb2
7171104 C 3 CP 2 04/10/2019 04/10/2019 11/11/1937 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANATJE KATIE RATON 052127 81 29912 DR
SAUL RAPAR,SPM 0309R0191019V000780 0001890413436 3;JKN Patrick K.;
5.3.9.201904290125 4 79926 1#0##0#0#0.0#2019-10-08
07:57:25#0#00:00:00#00:00:00#00:00:00 1 eb5ad953f6b5621ce7d58371f0f8cec8
7171104 C 3 CP 2 04/10/2019 04/10/2019 11/02/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAGDALENA ANGKOW 030788 67 24707 DR YULIANA
HARTONO,SPM 0309R0191019V000779 0002220194395 3;JKN Patrick K.;
5.3.9.201904290125 4 79928 1#0##0#0#0.0#2019-10-08
07:58:15#0#00:00:00#00:00:00#00:00:00 1 dc7026d6d2028ee0f2d69edaeb94d48f
7171104 C 3 CP 2 04/10/2019 04/10/2019 05/01/1957 0 2
1 Z09.8;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANSJE RAWIS 051867 62 22917 DR
PAULA M V LUMUNON,SPM 0309R0191019V000778 0002318746926 3;JKN Patrick K.;
5.3.9.201904290125 4 79929 1#0##0#0#0.0#2019-10-08
07:59:01#0#00:00:00#00:00:00#00:00:00 1 632b228c10d69aaa2840caf22bb9c251
7171104 C 3 CP 2 04/10/2019 04/10/2019 02/06/1967 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHN ANTONIUS RAY TAMPATTY 010843 52 19117
DR SALAM SURBAKTI,SPM 0309R0191019V000705 0001736406472 3;JKN
linda03; 5.3.9.201904290125 4 79930 1#0##0#0#0.0#2019-10-08
07:59:40#0#00:00:00#00:00:00#00:00:00 1 bbcca1f83636782ebc30c4b3fc898701
7171104 C 3 CP 2 04/10/2019 04/10/2019 21/11/1938 0 1
1 H04.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 APOLO FERRY MOGIE 052126 80 29537 DR YULIANA
HARTONO,SPM 0309R0191019V000777 0001328699507 3;JKN Patrick K.;
5.3.9.201904290125 4 79931 1#0##0#0#0.0#2019-10-08
08:00:56#0#00:00:00#00:00:00#00:00:00 1 3cad0946f54e3e191c2fd7e4b5dc7c1b
7171104 C 3 CP 2 04/10/2019 04/10/2019 29/10/1943 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DJAMILA KIDAM 016446 75 27734 DR SAUL
RAPAR,SPM 0309R0191019V000704 0001424435185 3;JKN linda03;
5.3.9.201904290125 4 79933 8#0##0#0#0.0#2019-10-08
08:01:22#0#00:00:00#00:00:00#00:00:00 1 b4ad6fc190f56fa6bef79efed1ff21a7
7171104 C 3 CP 2 04/10/2019 04/10/2019 12/04/1966 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEBORA FRIEDA SELLY PIRI 049254 53 19533
DR SAUL RAPAR,SPM 0309R0191019V000776 0001568121478 3;JKN Patrick K.;
5.3.9.201904290125 4 79934 1#0##0#0#0.0#2019-10-08
08:01:58#0#00:00:00#00:00:00#00:00:00 1 5324bfd794d39d6aa834640048c0a8ba
7171104 C 3 CP 2 04/10/2019 04/10/2019 14/06/1962 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JHONY HERY LONGDONG 051346 57 20931
DR SAUL RAPAR,SPM 0309R0191019V000773 0001567005175 3;JKN Patrick K.;
5.3.9.201904290125 4 79935 1#0##0#0#0.0#2019-10-08
08:03:22#0#00:00:00#00:00:00#00:00:00 1 354692b5d75e8d2f83b209cc70f939d5
7171104 C 3 CP 2 04/10/2019 04/10/2019 31/12/1963 0 1
1 Z09.8;T85.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EDDY NICOLAAS 051319 55 20366 DR
SALAM SURBAKTI,SPM 0309R0191019V000772 0000137731228 3;JKN Patrick K.;
5.3.9.201904290125 4 79937 1#0##0#0#0.0#2019-10-08
08:05:46#0#00:00:00#00:00:00#00:00:00 1 1b517719bb16395155a704c2b2d081b6
7171104 C 3 CP 2 04/10/2019 04/10/2019 06/12/1951 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DIN LUSYA WEKU 052115 67 24774 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000771 0000908666122 3;JKN
Patrick K.; 5.3.9.201904290125 4 79939 1#0##0#0#0.0#2019-10-08
08:07:35#0#00:00:00#00:00:00#00:00:00 2 2ab611a243aaaacf3b5ebf17b0612c3f
7171104 C 3 CP 1 03/10/2019 04/10/2019 01/06/1950 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 DORCE KANO 052103 69 25326
DR SAUL RAPAR,SPM 0309R0191019V000690 0000908470719 3;JKN eka06;
5.3.9.201904290125 4 80153 1#0##0#0#0.0#2019-10-09
11:34:20#0#00:00:00#00:00:00#00:00:00 1 164966958c27646478b0e061ac21e5a0
7171104 C 3 CP 1 03/10/2019 04/10/2019 17/11/1940 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 LINTJE WOWILING 015975 78
28809 DR YULIANA HARTONO,SPM 0309R0191019V000662 0000904912637 3;JKN
eka06; 5.3.9.201904290125 4 80154 1#0##0#0#0.0#2019-10-09
11:35:33#0#00:00:00#00:00:00#00:00:00 1 9bfaf9ace5bcd08d27d33f713edd5e94
7171104 C 3 CP 1 03/10/2019 04/10/2019 01/06/1961 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 JENNY PONDAAG 052116 58
21308 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000701 0000907870926
3;JKN eka06; 5.3.9.201904290125 4 80155 1#0##0#0#0.0#2019-10-09
11:36:31#0#00:00:00#00:00:00#00:00:00 1 4a33ea7de99d779a765cfae1569192f8
7171104 C 1 CP 1 03/10/2019 04/10/2019 11/02/1979 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5989900
0 0 - 0 - 0 - 0 - 0 5989900
9807400 0 2 0 0 0 GUNTHER FARRY PIETER, SIP 051866
40 14844 DR YULIANA HARTONO,SPM 0309R0191019V000656 0000137033638
3;JKN eka06; 5.3.9.201904290125 4 80156 1#0##0#0#0.0#2019-10-09
11:37:20#0#00:00:00#00:00:00#00:00:00 1 d12e42365e054bd2afefa01937d1cdc3
7171104 C 1 CP 1 03/10/2019 04/10/2019 26/04/1957 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5989900
0 0 - 0 - 0 - 0 - 0 5989900
9807400 0 2 0 0 0 KASBRAWI BAWON 000688 62
22805 DR YULIANA HARTONO,SPM 0309R0191019V000655 0000138079383 3;JKN
eka06; 5.3.9.201904290125 4 80157 1#0##0#0#0.0#2019-10-09
11:38:04#0#00:00:00#00:00:00#00:00:00 1 de5fe3d0afe910d76cd4cbb3d89981cf
7171104 C 2 CP 1 03/10/2019 04/10/2019 19/05/1956 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5134200
0 0 - 0 - 0 - 0 - 0 5134200
9807400 0 2 0 0 0 GRACE VONNEKE WASTHI SONDAKH 052013
63 23147 DR YULIANA HARTONO,SPM 0309R0191019V000671 0001185419957
3;JKN eka06; 5.3.9.201904290125 4 80158 1#0##0#0#0.0#2019-10-09
11:38:58#0#00:00:00#00:00:00#00:00:00 1 9289190cec216929c39863b85d3e54e4
7171104 C 3 CP 1 03/10/2019 04/10/2019 01/09/1987 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 SELVI UDUNG 052100 32 11720
DR SAUL RAPAR,SPM 0309R0191019V000692 0000907977104 3;JKN eka06;
5.3.9.201904290125 4 80160 1#0##0#0#0.0#2019-10-09
11:42:17#0#00:00:00#00:00:00#00:00:00 1 e9e51ec592a487ec6a586309fed388ee
7171104 C 3 CP 2 04/10/2019 04/10/2019 08/07/1965 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHNLY ONIBALA 051871 54 19811 DR
YULIANA HARTONO,SPM 0309R0191019V000775 0001447138956 3;JKN Patrick K.;
5.3.9.201904290125 4 80172 1#0##0#0#0.0#2019-10-09
12:25:15#0#00:00:00#00:00:00#00:00:00 1 4d46f95637c4e5f2c91c097784d4f701
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/03/1962 0 1
1 H35.4 14.34 - - None None None None H-2-37-0 None None
None None None None PROSEDUR PHOTOKOAGULASI DAN KRIOTHERAPI PADA RETINA
775400 0 0 - 0 - 0 - 0 - 0 775400
370400 0 1 0 0 0 MARNES DOMINSILI 051239 57
21036 DR SALAM SURBAKTI,SPM 0309R0191019V000716 0000911365773 3;JKN
Boni04; 5.3.9.201904290125 4 81019 1#0##0#0#0.0#2019-10-15
12:44:23#0#00:00:00#00:00:00#00:00:00 1 f2554072f4ddf146e05557052a80fdbf
7171104 C 3 CP 2 04/10/2019 04/10/2019 21/03/1993 0 1
1 H35.4 14.34 - - None None None None H-2-37-0 None None
None None None None PROSEDUR PHOTOKOAGULASI DAN KRIOTHERAPI PADA RETINA
775400 0 0 - 0 - 0 - 0 - 0 775400
370400 0 1 0 0 0 MUNAWIR RABIL 050459 26
9693 DR SALAM SURBAKTI,SPM 0309R0191019V000831 0002231354193 3;JKN
Boni04; 5.3.9.201904290125 4 81022 1#0##0#0#0.0#2019-10-15
12:45:48#0#00:00:00#00:00:00#00:00:00 1 e4ee0213f422b1cfe924a16b330050b5
7171104 C 3 CP 2 04/10/2019 04/10/2019 14/04/1951 0 2
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 K.G. PATTYLIMA-FRANS NY. 025342 68
25010 DR SALAM SURBAKTI,SPM 0309R0191019V000713 0000138336737 3;JKN
Boni04; 5.3.9.201904290125 4 81023 1#0##0#0#0.0#2019-10-15
12:46:57#0#00:00:00#00:00:00#00:00:00 1 faa7c6204a35f0d0cdd864865e5f02f6
7171104 C 3 CP 2 04/10/2019 04/10/2019 20/01/1976 0 1
1 H35.2;H43.1 14.24 - - None None None None H-3-10-0 None
None None None None None PROSEDUR LASER SEDANG PADA MATA 476900
0 0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 YANI LEMBONG 009317 43 15963 DR
SALAM SURBAKTI,SPM 0309R0191019V000766 0001717373013 3;JKN Boni04;
5.3.9.201904290125 4 81024 1#0##0#0#0.0#2019-10-15
12:48:11#0#00:00:00#00:00:00#00:00:00 1 102c6bdbd4578b772d96e85f8dbdee16
7171104 C 3 CP 2 04/10/2019 04/10/2019 31/08/1956 0 2
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 AMATASIA MAK 020581 63 23044 DR
SALAM SURBAKTI,SPM 0309R0191019V000710 0002077820111 3;JKN Boni04;
5.3.9.201904290125 4 81025 1#0##0#0#0.0#2019-10-15
12:49:29#0#00:00:00#00:00:00#00:00:00 1 72553763896b4c95a240cda78f8769d6
7171104 C 3 CP 2 04/10/2019 04/10/2019 21/09/1975 0 1
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 CHRISTI JACKI REFLI WAJONG 039327 44
16084 DR SALAM SURBAKTI,SPM 0309R0191019V000805 0001565408305 3;JKN
Boni04; 5.3.9.201904290125 4 81026 1#0##0#0#0.0#2019-10-15
12:50:57#0#00:00:00#00:00:00#00:00:00 1 6e62884ed95c13fef866784bfadcd16c
7171104 C 3 CP 2 04/10/2019 04/10/2019 06/02/1952 0 2
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 FRIDA SANTIAGO 023800 67 24712 DR
SALAM SURBAKTI,SPM 0309R0191019V000735 0001261659969 3;JKN Boni04;
5.3.9.201904290125 4 81027 1#0##0#0#0.0#2019-10-15
12:57:32#0#00:00:00#00:00:00#00:00:00 1 33271b9420edf00942e4d935f5f6be42
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/03/1948 0 1
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 ERENS MOKODOMPIS 051282 71 26149 DR
SALAM SURBAKTI,SPM 0309R0191019V000720 0001420975124 3;JKN Boni04;
5.3.9.201904290125 4 81028 1#0##0#0#0.0#2019-10-15
12:59:48#0#00:00:00#00:00:00#00:00:00 1 5324d345e8723840aaacc79722f4bc67
7171104 C 3 CP 2 04/10/2019 04/10/2019 18/11/1966 0 2
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 HELENA LORANGASAL 052123 52 19313 DR
SALAM SURBAKTI,SPM 0309R0191019V000744 0001164143024 3;JKN Boni04;
5.3.9.201904290125 4 81029 1#0##0#0#0.0#2019-10-15
13:09:33#0#00:00:00#00:00:00#00:00:00 1 75e0d92fdbab4594e00d9ba826f04219
7171104 C 3 CP 2 04/10/2019 04/10/2019 07/07/1965 0 2
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 RATNA ARUNDAA 052048 54 19812 DR
SALAM SURBAKTI,SPM 0309R0191019V000787 0002390784333 3;JKN Boni04;
5.3.9.201904290125 4 81030 1#0##0#0#0.0#2019-10-15
13:13:18#0#00:00:00#00:00:00#00:00:00 1 5a61e1a6062c3735bc3c84b2fa5fa1f3
7171104 C 3 CP 2 04/10/2019 04/10/2019 26/05/1957 0 2
1 H34.1 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 EVIE KARAUAN 049278 62 22776 DR
SALAM SURBAKTI,SPM 0309R0191019V000848 0000045832004 3;JKN Boni04;
5.3.9.201904290125 4 81031 1#0##0#0#0.0#2019-10-15
13:15:26#0#00:00:00#00:00:00#00:00:00 1 e64f6443a088ab72aa403ec03b75ab83
7171104 C 3 CP 2 04/10/2019 04/10/2019 07/08/1961 0 2
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 LENNY MANGEMBULUDE 051674 58 21242
DR SALAM SURBAKTI,SPM 0309R0191019V000797 0002388311932 3;JKN
Boni04; 5.3.9.201904290125 4 81033 1#0##0#0#0.0#2019-10-15
13:16:52#0#00:00:00#00:00:00#00:00:00 1 76b356bd0b331dd1e433ef38433d522d
7171104 C 3 CP 2 04/10/2019 04/10/2019 17/09/1935 0 2
1 H26.9 13.59;13.71 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 EVERDIN WENAS 052143 84 30698 DR
RALF PANGALILA,SPM 0309R0191019V000882 0002767383639 3;JKN Boni04;
5.3.9.201904290125 4 81042 1#0##0#0#0.0#2019-10-15
13:29:54#0#00:00:00#00:00:00#00:00:00 1 d51bc3ba971166bcced717b96e86c4a4
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/11/1940 0 1
1 H26.9 13.59;13.71 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 CORNELIUS LONGDONG 052144 78 28826
DR RALF PANGALILA,SPM 0309R0191019V000883 0000907486389 3;JKN
Boni04; 5.3.9.201904290125 4 81053 1#0##0#0#0.0#2019-10-15
13:31:56#0#00:00:00#00:00:00#00:00:00 1 074e89051098d0f5276c835082373d9a
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/02/1964 0 2
1 H26.9 13.59;13.71 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 NI MA SENEN 052142 55 20334 DR RALF
PANGALILA,SPM 0309R0191019V000881 0000908133366 3;JKN Boni04;
5.3.9.201904290125 4 81054 1#0##0#0#0.0#2019-10-15
13:35:48#0#00:00:00#00:00:00#00:00:00 1 63dec876db520bd4ed6552992e1317b3
7171104 C 3 CP 2 04/10/2019 04/10/2019 12/11/1949 0 1
1 H26.9 13.59;13.71 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 NICOLAUS SENDUK 051681 69 25528 DR
RALF PANGALILA,SPM 0309R0191019V000769 0001824291832 3;JKN Boni04;
5.3.9.201904290125 4 81055 1#0##0#0#0.0#2019-10-15
13:37:00#0#00:00:00#00:00:00#00:00:00 1 4ee0bca737fb33285ac458ba32a187e6
7171104 C 3 CP 2 04/10/2019 04/10/2019 07/01/1962 0 2
1 H26.9 13.59;13.71 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 JOHANA WEHANTOUW 052085 57 21089 DR
RALF PANGALILA,SPM 0309R0191019V000774 0000137883317 3;JKN Boni04;
5.3.9.201904290125 4 81056 1#0##0#0#0.0#2019-10-15
13:39:01#0#00:00:00#00:00:00#00:00:00 1 41bf133993cb8a243781e15d304044b6
7171104 C 3 CP 2 04/10/2019 04/10/2019 19/12/1938 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DARIUS TURANG
052106 80 29509 DR. SAMUEL MALINGKAS,SPM 0309R0191019V000825
0000203549139 3;JKN Boni04; 5.3.9.201904290125 4 81057
1#0##0#0#0.0#2019-10-15 13:41:31#0#00:00:00#00:00:00#00:00:00 1
7407ed51e0e5843452a5466da90f26b3
7171104 C 3 CP 2 04/10/2019 04/10/2019 24/06/1943 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 CATOTJE ELSJE ROPA
052094 76 27861 DR. SAMUEL MALINGKAS,SPM 0309R0191019V000814
0000138114606 3;JKN Boni04; 5.3.9.201904290125 4 81058
1#0##0#0#0.0#2019-10-15 13:42:22#0#00:00:00#00:00:00#00:00:00 1
2037709c8bf29addc16e2f432eebd1c3
7171104 C 3 CP 2 04/10/2019 04/10/2019 05/05/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 WESTEPIN MAALUA
051989 71 26084 DR. SAMUEL MALINGKAS,SPM 0309R0191019V000820
0000136914243 3;JKN Boni04; 5.3.9.201904290125 4 81059
1#0##0#0#0.0#2019-10-15 13:45:21#0#00:00:00#00:00:00#00:00:00 1
33cf71d731581b491adb1b14a9f7e2d7
7171104 C 3 CP 2 04/10/2019 04/10/2019 29/03/1968 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YULIANA TAMARA
051673 51 18816 DR. SAMUEL MALINGKAS,SPM 0309R0191019V000872
0001567891146 3;JKN Boni04; 5.3.9.201904290125 4 81060
1#0##0#0#0.0#2019-10-15 13:46:19#0#00:00:00#00:00:00#00:00:00 1
f333372928ef03eb3917cf5c35b288d2
7171104 C 3 CP 2 04/10/2019 04/10/2019 28/07/1950 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ROLEX LALENDIM
051678 69 25270 DR. SAMUEL MALINGKAS,SPM 0309R0191019V000800
0002390787123 3;JKN Boni04; 5.3.9.201904290125 4 81061
1#0##0#0#0.0#2019-10-15 13:47:15#0#00:00:00#00:00:00#00:00:00 1
1b56c35a7855b6813dce6dca8a79d67e
7171104 C 3 CP 2 04/10/2019 04/10/2019 17/09/1949 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 WOLTERS NANONO
052003 70 25584 DR. SAMUEL MALINGKAS,SPM 0309R0191019V000711
0000137544759 3;JKN Boni04; 5.3.9.201904290125 4 81062
1#0##0#0#0.0#2019-10-15 13:52:14#0#00:00:00#00:00:00#00:00:00 1
7b1893c1277ea5e1537fd5da69da44d2
7171104 C 3 CP 2 04/10/2019 04/10/2019 11/11/1970 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 BOYKE P.R. LOING
051606 48 17859 DR. SAMUEL MALINGKAS,SPM 0309R0191019V000755
0001452389174 3;JKN Boni04; 5.3.9.201904290125 4 81063
1#0##0#0#0.0#2019-10-15 13:53:56#0#00:00:00#00:00:00#00:00:00 1
00ac2cef00d030b44555e89665780120
7171104 C 3 CP 2 04/10/2019 04/10/2019 12/01/1948 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 KARIM KAUSAHA
052078 71 26198 DR. SAMUEL MALINGKAS,SPM 0309R0191019V000756
0000138270238 3;JKN Boni04; 5.3.9.201904290125 4 81064
1#0##0#0#0.0#2019-10-15 13:54:41#0#00:00:00#00:00:00#00:00:00 1
1afb857e76d9823729b75ab896f77784
7171104 C 3 CP 2 04/10/2019 04/10/2019 16/11/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JULIEN MADONSA
052092 66 24428 DR. SAMUEL MALINGKAS,SPM 0309R0191019V000767
0000138338133 3;JKN Boni04; 5.3.9.201904290125 4 81065
1#0##0#0#0.0#2019-10-15 13:55:26#0#00:00:00#00:00:00#00:00:00 1
0dfcf511121eca49b10b22ed75be4b09
7171104 C 3 CP 2 04/10/2019 04/10/2019 14/03/1948 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YOPPY SUAK 052079
71 26136 DR. SAMUEL MALINGKAS,SPM 0309R0191019V000719
0002388431766 3;JKN Boni04; 5.3.9.201904290125 4 81066
1#0##0#0#0.0#2019-10-15 13:57:06#0#00:00:00#00:00:00#00:00:00 1
d2e4f4c720b9d8a838066cae4588fbdf
7171104 C 3 CP 2 04/10/2019 04/10/2019 01/02/1947 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MAHDALENA
LUMINTANG 051682 72 26543 DR. SAMUEL MALINGKAS,SPM
0309R0191019V000784 0000908737029 3;JKN Boni04; 5.3.9.201904290125
4 81067 1#0##0#0#0.0#2019-10-15 14:02:53#0#00:00:00#00:00:00#00:00:00
2 205a4500c746adc41c85c345a792762b
7171104 C 3 CP 2 04/10/2019 04/10/2019 07/04/1949 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NELTJE KESEK 051862 70 25747 DR
YULIANA HARTONO,SPM 0309R0191019V000783 0001564816509 3;JKN Patrick K.;
5.3.9.201904290125 4 79920 1#0##0#0#0.0#2019-10-25
08:08:10#0#00:00:00#00:00:00#00:00:00 2 8dc3bdc768a487271d57a3c31252964d
7171104 C 3 CP 2 04/10/2019 04/10/2019 14/06/1956 0 1
1 Z09.0;H26.9;Z96.1;H25.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHNY KAWINDAH 016528 63 23122 DR
PAULA M V LUMUNON,SPM 0309R0191019V000809 0001261985229 3;JKN Patrick K.;
5.3.9.201904290125 4 79745 1#0##0#0#0.0#2019-10-25
08:12:50#0#00:00:00#00:00:00#00:00:00 2 56fdaa1623a07ad7a8a2e5795237062c
7171104 C 3 CP 2 04/10/2019 04/10/2019 17/05/1960 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALTJE MEIKE TUUK 051826 59 21689 DR
SALAM SURBAKTI,SPM 0309R0191019V000827 0001569816336 3;JKN Patrick K.;
5.3.9.201904290125 4 79709 1#0##0#0#0.0#2019-11-05
15:08:18#0#00:00:00#00:00:00#00:00:00 2 09dcf0efd8696a7e069e7820abea3c53
7171104 C 3 CP 2 04/10/2019 04/10/2019 18/11/1966 0 2
1 Z09.8;H52.2;H52.4;H10.9 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VERA ANEKE TUUK 015849 52 19313 DR
SAUL RAPAR,SPM 0309R0191019V000854 0000138471759 3;JKN Patrick K.;
5.3.9.201904290125 4 84615 1#0##0#0#0.0#2019-11-07
09:14:00#0#00:00:00#00:00:00#00:00:00 3 43f6e52d756b2d73978cd619d8c5406d
7171104 C 2 CP 1 04/10/2019 04/10/2019 19/04/1950 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5134200
0 0 - 0 - 0 - 0 - 0 5134200
9807400 0 1 0 0 0 DIENTJE MANENGAL 027369 69
25370 DR.FELLY A. TOAD,S.PM 0309R0191019V000836 0001328432422 3;JKN
eka06; 5.3.9.201904290125 4 80161 1#0##0#0#0.0#2019-11-08
10:17:27#0#00:00:00#00:00:00#00:00:00 2 3835c9c9789f58d591f58442533e0755
7171104 C 3 CP 2 05/10/2019 05/10/2019 01/09/1976 0 1
1 Z09.8;H16.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STEVEN RORONG 051992 43 15739
DR.MELISA RATAG,SPM 0309R0191019V000945 0001066869944 3;JKN
Vian02; 5.3.9.201904290125 4 79867 1#0##0#0#0.0#2019-10-07
08:00:15#0#00:00:00#00:00:00#00:00:00 1 5fe78281e0dee7f0235a50d56c5c8847
7171104 C 3 CP 2 05/10/2019 05/10/2019 13/11/1974 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NOVRY JAMES RENGKUNG 051506 44 16397 DR
SALAM SURBAKTI,SPM 0309R0191019V000946 0001643097609 3;JKN Vian02;
5.3.9.201904290125 4 79868 1#0##0#0#0.0#2019-10-07
09:06:19#0#00:00:00#00:00:00#00:00:00 1 c1a24e6ed44420bab6003df992fcab4e
7171104 C 3 CP 2 05/10/2019 05/10/2019 23/07/1988 0 2
1 H10.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CICILIA YOLANDA PONGOH 052154 31 11396
DR.MELISA RATAG,SPM 0309R0191019V000947 0000138432521 3;JKN
Vian02; 5.3.9.201904290125 4 79869 1#0##0#0#0.0#2019-10-07
09:07:15#0#00:00:00#00:00:00#00:00:00 1 423eb56c89c849a19e9a2aab06aab1ba
7171104 C 3 CP 2 05/10/2019 05/10/2019 26/05/1963 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NURHAYATI SAALAM 052155 56 20586 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000948 0001814243321 3;JKN
Vian02; 5.3.9.201904290125 4 79870 1#0##0#0#0.0#2019-10-07
09:08:16#0#00:00:00#00:00:00#00:00:00 1 370942d5a5f21e3ea278426abda86a56
7171104 C 3 CP 2 05/10/2019 05/10/2019 11/08/1954 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HELENA R. PATILIMA 052156 65 23796
DR SALAM SURBAKTI,SPM 0309R0191019V000949 0000138016991 3;JKN
Vian02; 5.3.9.201904290125 4 79871 1#0##0#0#0.0#2019-10-07
09:09:02#0#00:00:00#00:00:00#00:00:00 1 f527ce7bbdc39d38c99fe4d80bf9a990
7171104 C 3 CP 2 05/10/2019 05/10/2019 22/01/2001 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BIMO AMMORA DEWANTARA BAYUPUTRO 052157 18
6830 DR SALAM SURBAKTI,SPM 0309R0191019V000950 0002076856042 3;JKN
Vian02; 5.3.9.201904290125 4 79872 1#0##0#0#0.0#2019-10-07
09:13:16#0#00:00:00#00:00:00#00:00:00 1 7a8336cbeec8747d8f461c406760e372
7171104 C 3 CP 2 05/10/2019 05/10/2019 29/12/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANDRIAN DAVID 012348 63 23291 DR SALAM
SURBAKTI,SPM 0309R0191019V000951 0001439930136 3;JKN Vian02;
5.3.9.201904290125 4 79873 1#0##0#0#0.0#2019-10-07
09:15:41#0#00:00:00#00:00:00#00:00:00 1 56535f5b7e38c194600085e24dd624d4
7171104 C 3 CP 2 05/10/2019 05/10/2019 13/05/1965 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LAURINO JACQULINE VERONIQUE LUMINGKEWAS 052159
54 19868 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000952
0002076851474 3;JKN Vian02; 5.3.9.201904290125 4 79874
1#0##0#0#0.0#2019-10-07 09:16:51#0#00:00:00#00:00:00#00:00:00 1
7100f1bcc8793dacb8188aca0b22ec90
7171104 C 3 CP 2 05/10/2019 05/10/2019 07/06/1970 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SRI ANGGRAINI 052160 49 18017
DR.MELISA RATAG,SPM 0309R0191019V000953 0001147757501 3;JKN
Vian02; 5.3.9.201904290125 4 79875 1#0##0#0#0.0#2019-10-07
09:17:46#0#00:00:00#00:00:00#00:00:00 1 0a67a03df026235d385f74704f6a27f6
7171104 C 3 CP 2 05/10/2019 05/10/2019 25/12/1959 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RONNY LUAWO 013161 59 21834 DR.MELISA
RATAG,SPM 0309R0191019V000955 0001126361259 3;JKN Vian02;
5.3.9.201904290125 4 79876 1#0##0#0#0.0#2019-10-07
09:31:47#0#00:00:00#00:00:00#00:00:00 1 2408a35e14d1ab38747af3c21cc578ef
7171104 C 3 CP 2 05/10/2019 05/10/2019 28/07/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROLEX LALENDIM 051678 69 25271 DR SALAM
SURBAKTI,SPM 0309R0191019V000957 0002390787123 3;JKN Vian02;
5.3.9.201904290125 4 79877 1#0##0#0#0.0#2019-10-07
09:32:49#0#00:00:00#00:00:00#00:00:00 1 0562aea92c786883851f3ace784f5d5b
7171104 C 3 CP 2 05/10/2019 05/10/2019 12/11/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NICOLAUS SENDUK 051681 69 25529 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V000958 0001824291832 3;JKN Vian02;
5.3.9.201904290125 4 79878 1#0##0#0#0.0#2019-10-07
09:34:46#0#00:00:00#00:00:00#00:00:00 1 175061f03bc254cc6a94c20fc35c69c5
7171104 C 3 CP 2 05/10/2019 05/10/2019 20/07/1966 0 2
1 H44.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DIANA JULIANTI 052162 53 19435 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000959 0001304154595 3;JKN
Vian02; 5.3.9.201904290125 4 79879 1#0##0#0#0.0#2019-10-07
09:42:39#0#00:00:00#00:00:00#00:00:00 1 713c53e58264663edc835a351a1191dc
7171104 C 3 CP 2 05/10/2019 05/10/2019 10/07/2004 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANGELIQ SHARON MINTJE 052163 15 5565 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000960 0001188662016 3;JKN
Vian02; 5.3.9.201904290125 4 79880 1#0##0#0#0.0#2019-10-07
09:46:55#0#00:00:00#00:00:00#00:00:00 1 0a329ee482169946b1b5d78493e86b4d
7171104 C 3 CP 2 05/10/2019 05/10/2019 22/10/1992 0 2
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SALLY LESTARI P. BEMPA 052164 26 9844
DR.MELISA RATAG,SPM 0309R0191019V000961 0000139552277 3;JKN
Vian02; 5.3.9.201904290125 4 79881 1#0##0#0#0.0#2019-10-07
09:47:40#0#00:00:00#00:00:00#00:00:00 1 132d2176394444000cd554151e9e7681
7171104 C 3 CP 2 05/10/2019 05/10/2019 08/09/1961 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALEX TUILAN 036459 58 21211 DR SALAM
SURBAKTI,SPM 0309R0191019V000962 0000138389422 3;JKN Vian02;
5.3.9.201904290125 4 79882 1#0##0#0#0.0#2019-10-07
09:48:27#0#00:00:00#00:00:00#00:00:00 1 fa61268b0db9baaf4cb2dd8e310c216f
7171104 C 3 CP 2 05/10/2019 05/10/2019 26/09/1976 0 1
1 Z09.8;G44.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ETBERT HERRIE ASSAH 039344 43 15714
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000963 0002441158839 3;JKN
Vian02; 5.3.9.201904290125 4 79883 1#0##0#0#0.0#2019-10-07
09:51:39#0#00:00:00#00:00:00#00:00:00 1 8746ba25ec18d1848c2750e3f0797c6f
7171104 C 3 CP 2 05/10/2019 05/10/2019 22/09/1990 0 2
1 H52.2;H02.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SEIDY KALANGI 052165 29 10605 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000964 0001821963756 3;JKN
Vian02; 5.3.9.201904290125 4 79884 1#0##0#0#0.0#2019-10-07
09:52:51#0#00:00:00#00:00:00#00:00:00 1 f8fde0aa791fcde925a28955da286b43
7171104 C 3 CP 2 05/10/2019 05/10/2019 13/09/1967 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANTJE ROSALIE LELAH 038663 52 19015
DR SALAM SURBAKTI,SPM 0309R0191019V000965 0000904761134 3;JKN
Vian02; 5.3.9.201904290125 4 79885 1#0##0#0#0.0#2019-10-07
09:53:37#0#00:00:00#00:00:00#00:00:00 1 9beed402847216619fb31e8e5592c026
7171104 C 3 CP 2 05/10/2019 05/10/2019 18/07/1940 0 2
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIEN SANGER 008957 79 28933 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000966 0000138168966 3;JKN
Vian02; 5.3.9.201904290125 4 79886 1#0##0#0#0.0#2019-10-07
09:54:27#0#00:00:00#00:00:00#00:00:00 1 66f891940a7ef9643eb4fd691812ff44
7171104 C 3 CP 2 05/10/2019 05/10/2019 05/11/1952 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LITJE E. SAMBENTHIRO 048668 66 24440
DR.MELISA RATAG,SPM 0309R0191019V000967 0000137078965 3;JKN
Vian02; 5.3.9.201904290125 4 79887 1#0##0#0#0.0#2019-10-07
09:55:14#0#00:00:00#00:00:00#00:00:00 1 2e7f5c4987016c76e74db6ab06dd5fe7
7171104 C 3 CP 2 05/10/2019 05/10/2019 13/06/1986 0 2
1 Z09.8;H43.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VERONICA TATUKUDE 039003 33 12167 DR
SALAM SURBAKTI,SPM 0309R0191019V000968 0001843485748 3;JKN Vian02;
5.3.9.201904290125 4 79866 1#0##0#0#0.0#2019-10-07
09:56:32#0#00:00:00#00:00:00#00:00:00 1 396d9b9e8b4c35e43b0c2b14fa7d230e
7171104 C 3 CP 2 05/10/2019 05/10/2019 16/06/1963 0 2
1 H11.3 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARGARETA ERNA SALETTIA 052153 56 20565
DR.MELISA RATAG,SPM 0309R0191019V000944 0002390876943 3;JKN
Patrick K.; 5.3.9.201904290125 4 79942 1#0##0#0#0.0#2019-10-08
08:10:54#0#00:00:00#00:00:00#00:00:00 1 2844a39112cee35d06bbc34e8f919d48
7171104 C 3 CP 2 05/10/2019 05/10/2019 16/01/1978 0 1
1 Z09.8;H35.7 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RONI BAWEKES 051905 41 15237 DR
SALAM SURBAKTI,SPM 0309R0191019V000943 0001184482293 3;JKN Patrick K.;
5.3.9.201904290125 4 79944 1#0##0#0#0.0#2019-10-08
08:19:08#0#00:00:00#00:00:00#00:00:00 1 1c78e95a8550fb7d5f826b191feb4160
7171104 C 3 CP 2 05/10/2019 05/10/2019 06/11/1972 0 1
1 Z09.8;H44.5;H27.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MOURITS ARGEMIROW SORULLOW MATANTU 048651
46 17134 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000942
0001569854878 3;JKN Patrick K.; 5.3.9.201904290125 4 79947
1#0##0#0#0.0#2019-10-08 08:20:02#0#00:00:00#00:00:00#00:00:00 1
b879c75bf9bea81876fe766607e82bd2
7171104 C 3 CP 2 05/10/2019 05/10/2019 04/07/1983 0 2
1 H10.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WANDA BUJUNG 000716 36 13242 DR.MELISA
RATAG,SPM 0309R0191019V000941 0000203746061 3;JKN Patrick K.;
5.3.9.201904290125 4 79948 1#0##0#0#0.0#2019-10-08
08:21:21#0#00:00:00#00:00:00#00:00:00 1 b532dfb9e5fd0df67752761a5067f136
7171104 C 3 CP 2 05/10/2019 05/10/2019 05/01/2000 0 2
1 Z09.8;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SAFITRI NURAINI R DUKA 051329 19 7213
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000940 0000038679355 3;JKN
Patrick K.; 5.3.9.201904290125 4 79950 1#0##0#0#0.0#2019-10-08
08:22:24#0#00:00:00#00:00:00#00:00:00 1 c6b05e4a6bacae642e2f15e9e4b71de6
7171104 C 3 CP 2 05/10/2019 05/10/2019 05/05/1948 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WESTEPIN MAALUA 051989 71 26085 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000921 0000136914243 3;JKN linda03;
5.3.9.201904290125 4 79951 1#0##0#0#0.0#2019-10-08
08:23:03#0#00:00:00#00:00:00#00:00:00 1 5aa0af7a73ba23e5a2adf1ff8b06f6d8
7171104 C 3 CP 2 05/10/2019 05/10/2019 01/06/1958 0 1
1 Z96.1;H40.5;H52.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARANGSEKE TAOLE 047087 61 22406 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000920 0001250347511 3;JKN
linda03; 5.3.9.201904290125 4 79952 1#0##0#0#0.0#2019-10-08
08:23:54#0#00:00:00#00:00:00#00:00:00 1 c24cb5a96c55acfd9c1601ad04ff3e43
7171104 C 3 CP 2 05/10/2019 05/10/2019 07/01/1962 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHANA WEHANTOUW 052085 57 21090 DR
RALF PANGALILA,SPM 0309R0191019V000919 0000137883317 3;JKN linda03;
5.3.9.201904290125 4 79954 1#0##0#0#0.0#2019-10-08
08:24:37#0#00:00:00#00:00:00#00:00:00 1 21ae5b3ebb2cddf101cf45418ed4abb2
7171104 C 3 CP 2 05/10/2019 05/10/2019 29/03/1968 0 2
1 Z09.0;H26.9;Z96.1;H17.9 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIANA TAMARA 051673 51 18817 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000939 0001567891146 3;JKN Patrick K.;
5.3.9.201904290125 4 79953 1#0##0#0#0.0#2019-10-08
08:25:25#0#00:00:00#00:00:00#00:00:00 2 be8fc797ad6f94b0a6448e0ba34ad66a
7171104 C 3 CP 2 05/10/2019 05/10/2019 15/01/1968 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JERNY MASIKOME 052148 51 18891 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000918 0000138389815 3;JKN
linda03; 5.3.9.201904290125 4 79955 1#0##0#0#0.0#2019-10-08
08:32:10#0#00:00:00#00:00:00#00:00:00 1 e25bb6f9bcaa18583451e8f06fa3e539
7171104 C 3 CP 2 05/10/2019 05/10/2019 01/02/1947 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAHDALENA LUMINTANG 051682 72 26544
DR. SAMUEL MALINGKAS,SPM 0309R0191019V000917 0000908737029 3;JKN
linda03; 5.3.9.201904290125 4 79957 1#0##0#0#0.0#2019-10-08
08:33:09#0#00:00:00#00:00:00#00:00:00 1 631dd80ce9084bf626e748464d435ec6
7171104 C 3 CP 2 05/10/2019 05/10/2019 01/06/1960 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARRY RAMBING 014657 59 21675 DR SALAM
SURBAKTI,SPM 0309R0191019V000916 0001066674262 3;JKN linda03;
5.3.9.201904290125 4 79958 1#0##0#0#0.0#2019-10-08
08:34:12#0#00:00:00#00:00:00#00:00:00 1 3554916c3f4ecfb02fa95b967e83fc43
7171104 C 3 CP 2 05/10/2019 05/10/2019 27/08/1964 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 REGINA ANGWARMASE 013630 55 20127 DR SALAM
SURBAKTI,SPM 0309R0191019V000915 0000139125284 3;JKN linda03;
5.3.9.201904290125 4 79959 1#0##0#0#0.0#2019-10-08
08:35:21#0#00:00:00#00:00:00#00:00:00 1 70c2cbff7811bb12477eaa09fd3b6226
7171104 C 3 CP 2 05/10/2019 05/10/2019 29/11/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TOLOLIU FRANS LIKE RAMBING 045322 66 24416
DR SALAM SURBAKTI,SPM 0309R0191019V000914 0001456977317 3;JKN
linda03; 5.3.9.201904290125 4 79963 1#0##0#0#0.0#2019-10-08
08:50:06#0#00:00:00#00:00:00#00:00:00 1 ccf1a01723364b0b26968937d68691c5
7171104 C 3 CP 2 05/10/2019 05/10/2019 14/04/1942 0 1
1 Z09.8;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HERMAN PAULUS PURUKAN 052071 77 28298
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000912 0002489552684 3;JKN
linda03; 5.3.9.201904290125 4 79965 1#0##0#0#0.0#2019-10-08
08:50:43#0#00:00:00#00:00:00#00:00:00 1 67201649706be2ef9d3a7b6107c76ca4
7171104 C 3 CP 2 05/10/2019 05/10/2019 22/12/1957 0 1
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HELENUS PONGOH 052152 61 22567
DR.MELISA RATAG,SPM 0309R0191019V000938 0001093841706 3;JKN
Patrick K.; 5.3.9.201904290125 4 79967 1#0##0#0#0.0#2019-10-08
08:51:15#0#00:00:00#00:00:00#00:00:00 1 c38ff3e8c99ee3e85df2db427a17621f
7171104 C 3 CP 2 05/10/2019 05/10/2019 30/10/1943 0 2
1 Z09.8;H02.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEANE WUYSANG 048816 75 27734
DR.MELISA RATAG,SPM 0309R0191019V000937 0001831554369 3;JKN
Patrick K.; 5.3.9.201904290125 4 79970 1#0##0#0#0.0#2019-10-08
08:52:22#0#00:00:00#00:00:00#00:00:00 1 b45f736563bf408761fcae0a83f1976b
7171104 C 3 CP 2 05/10/2019 05/10/2019 01/03/1946 0 2
1 Z09.8;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 INO MA'RUF 002615 73 26881 DR.MELISA
RATAG,SPM 0309R0191019V000909 0001067014629 3;JKN linda03;
5.3.9.201904290125 4 79971 1#0##0#0#0.0#2019-10-08
08:52:49#0#00:00:00#00:00:00#00:00:00 1 e348c46dc69696fe9e1a39ff77c2dde4
7171104 C 3 CP 2 05/10/2019 05/10/2019 18/02/1952 0 2
1 Z09.8;H25.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROHANI ASIGARI 051534 67 24701 DR
SALAM SURBAKTI,SPM 0309R0191019V000908 0000004437178 3;JKN linda03;
5.3.9.201904290125 4 79973 1#0##0#0#0.0#2019-10-08
08:53:47#0#00:00:00#00:00:00#00:00:00 1 6e585431a270513406622906601f0648
7171104 C 3 CP 2 05/10/2019 05/10/2019 01/10/1967 0 1
1 Z09.8;H25.1;H40.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NAZAR LABADJO 049918 52 18997 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000907 0000909737122 3;JKN
linda03; 5.3.9.201904290125 4 79975 1#0##0#0#0.0#2019-10-08
08:54:31#0#00:00:00#00:00:00#00:00:00 1 8e8c2fa4feca23590cadd72ed9091b2f
7171104 C 3 CP 2 05/10/2019 05/10/2019 14/06/1952 0 1
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SEMUEL PULUMBARA 019565 67 24584
DR.MELISA RATAG,SPM 0309R0191019V000906 0001970546883 3;JKN
linda03; 5.3.9.201904290125 4 79977 1#0##0#0#0.0#2019-10-08
08:55:07#0#00:00:00#00:00:00#00:00:00 1 0453f258f73664eff3dbfa1446041ca2
7171104 C 3 CP 2 05/10/2019 05/10/2019 04/12/1958 0 1
1 Z09.8;H18.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BELLY EPLY MANUHUTU 041337 60 22220
DR.MELISA RATAG,SPM 0309R0191019V000905 0001883581132 3;JKN
linda03; 5.3.9.201904290125 4 79978 1#0##0#0#0.0#2019-10-08
08:56:02#0#00:00:00#00:00:00#00:00:00 1 2908c42756e88f1e234b4c48adb2eab6
7171104 C 3 CP 2 05/10/2019 05/10/2019 04/06/1985 0 1
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MICHAEL JULIAN HERRY DAYOH 050458 34
12541 DR SALAM SURBAKTI,SPM 0309R0191019V000936 0001385507733 3;JKN
Patrick K.; 5.3.9.201904290125 4 79980 1#0##0#0#0.0#2019-10-08
08:57:59#0#00:00:00#00:00:00#00:00:00 1 4d05d9ec63a564efbb83c149f3640ce8
7171104 C 3 CP 2 05/10/2019 05/10/2019 16/11/1952 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIEN MADONSA 052092 66 24429 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000904 0000138338133 3;JKN linda03;
5.3.9.201904290125 4 79979 1#0##0#0#0.0#2019-10-08
08:58:02#0#00:00:00#00:00:00#00:00:00 1 ddddf401a5d21c58c7c0e4739689c3f1
7171104 C 3 CP 2 05/10/2019 05/10/2019 05/10/1962 0 2
1 Z09.8;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SOPHIA MARIE UNDAP 005626 56 20819
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000935 0000138432508 3;JKN
Patrick K.; 5.3.9.201904290125 4 79981 1#0##0#0#0.0#2019-10-08
09:00:43#0#00:00:00#00:00:00#00:00:00 2 6364416788266145e3548838ee6c8ac4
7171104 C 3 CP 2 05/10/2019 05/10/2019 07/05/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HENGKI KUSSOY 009533 66 24257 DR SALAM
SURBAKTI,SPM 0309R0191019V000934 0000138990251 3;JKN Patrick K.;
5.3.9.201904290125 4 79985 1#0##0#0#0.0#2019-10-08
09:01:50#0#00:00:00#00:00:00#00:00:00 1 c5906339cbae53f1778f404fbf4aeb28
7171104 C 3 CP 2 05/10/2019 05/10/2019 18/12/1971 0 2
1 Z09.8;H15.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RINSABANIA LIANGKABA 020787 47 17458
DR.MELISA RATAG,SPM 0309R0191019V000902 0000910986456 3;JKN
linda03; 5.3.9.201904290125 4 79982 1#0##0#0#0.0#2019-10-08
09:02:17#0#00:00:00#00:00:00#00:00:00 1 94d0d57e54b059034b110bfbfb5693a3
7171104 C 3 CP 2 05/10/2019 05/10/2019 01/09/2007 0 2
1 Z09.8;S04.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHYNTIA D. POLUAN 051131 12 4417 DR
SALAM SURBAKTI,SPM 0309R0191019V000931 0000907828143 3;JKN Patrick K.;
5.3.9.201904290125 4 79987 1#0##0#0#0.0#2019-10-08
09:03:03#0#00:00:00#00:00:00#00:00:00 1 dcf2094027663c1d36285edddee0d61c
7171104 C 3 CP 2 05/10/2019 05/10/2019 19/12/1938 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DARIUS TURANG 052106 80 29510 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000930 0000203549139 3;JKN Patrick K.;
5.3.9.201904290125 4 79988 1#0##0#0#0.0#2019-10-08
09:04:01#0#00:00:00#00:00:00#00:00:00 1 24491be7289a6a205d6cb187a49434cd
7171104 C 3 CP 2 05/10/2019 05/10/2019 24/06/1943 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CATOTJE ELSJE ROPA 052094 76 27862
DR. SAMUEL MALINGKAS,SPM 0309R0191019V000929 0000138114606 3;JKN
Patrick K.; 5.3.9.201904290125 4 79990 1#0##0#0#0.0#2019-10-08
09:04:56#0#00:00:00#00:00:00#00:00:00 1 bd012f18f631e94330153375bca7b2d7
7171104 C 3 CP 2 05/10/2019 05/10/2019 27/12/1993 0 1
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROGERI TONGGENGBIO 052151 25 9413 DR
SALAM SURBAKTI,SPM 0309R0191019V000928 0002215133684 3;JKN Patrick K.;
5.3.9.201904290125 4 79992 1#0##0#0#0.0#2019-10-08
09:05:46#0#00:00:00#00:00:00#00:00:00 1 aadf76df00dc268e1583b170479c2921
7171104 C 3 CP 2 05/10/2019 05/10/2019 02/11/1953 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NOCH TUMBAGE 026792 65 24078
DR.MELISA RATAG,SPM 0309R0191019V000927 0002050821009 3;JKN
Patrick K.; 5.3.9.201904290125 4 79993 1#0##0#0#0.0#2019-10-08
09:07:15#0#00:00:00#00:00:00#00:00:00 1 22cf3305ee4a8523797873d8d1db0611
7171104 C 3 CP 2 05/10/2019 05/10/2019 20/03/1951 0 2
1 H25.0;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA ROLOS 052150 68 25036 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V000926 0000138849434 3;JKN Patrick K.;
5.3.9.201904290125 4 79994 1#0##0#0#0.0#2019-10-08
09:08:42#0#00:00:00#00:00:00#00:00:00 1 e650a8338ff4bb8f19aa5ffcb85db106
7171104 C 3 CP 2 05/10/2019 05/10/2019 21/04/1999 0 1
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CREDO GALILEO RAMBEMBUOCH 052149 20 7472
DR SALAM SURBAKTI,SPM 0309R0191019V000925 0000195161679 3;JKN
Patrick K.; 5.3.9.201904290125 4 79995 1#0##0#0#0.0#2019-10-08
09:12:15#0#00:00:00#00:00:00#00:00:00 1 835a219596b143016c7968db8b04454f
7171104 C 3 CP 2 05/10/2019 05/10/2019 14/03/1948 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOPPY SUAK 052079 71 26137 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V000899 0002388431766 3;JKN linda03;
5.3.9.201904290125 4 79996 1#0##0#0#0.0#2019-10-08
09:13:08#0#00:00:00#00:00:00#00:00:00 1 f94e041d74ef4ea3a01732b15f54ec7d
7171104 C 3 CP 2 05/10/2019 05/10/2019 15/03/1954 0 1
1 Z09.8;H52.2;H52.4;Z96.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAXI OROH 051907 65 23945 DR.MELISA
RATAG,SPM 0309R0191019V000924 0000907850643 3;JKN Patrick K.;
5.3.9.201904290125 4 79997 1#0##0#0#0.0#2019-10-08
09:13:46#0#00:00:00#00:00:00#00:00:00 1 5e21362017b0191d40eebadd4c5f8d8f
7171104 C 3 CP 2 05/10/2019 05/10/2019 17/09/1949 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WOLTERS NANONO 052003 70 25585 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000898 0000137544759 3;JKN linda03;
5.3.9.201904290125 4 79998 1#0##0#0#0.0#2019-10-08
09:14:17#0#00:00:00#00:00:00#00:00:00 1 4cd381cdb966abb384c52666faac847e
7171104 C 3 CP 2 05/10/2019 05/10/2019 23/08/2006 0 2
1 Z09.8;H10.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEANETTE CH DATU SALO 034976 13 4791
DR.MELISA RATAG,SPM 0309R0191019V000923 0000138463378 3;JKN
Patrick K.; 5.3.9.201904290125 4 79999 1#0##0#0#0.0#2019-10-08
09:16:45#0#00:00:00#00:00:00#00:00:00 1 325c2926c525aaca9fa8a27224036210
7171104 C 3 CP 2 05/10/2019 05/10/2019 25/05/1972 0 2
1 Z09.8;H53.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEIYANTI PALI 007523 47 17299 DR
SALAM SURBAKTI,SPM 0309R0191019V000922 0000138463356 3;JKN Patrick K.;
5.3.9.201904290125 4 80000 1#0##0#0#0.0#2019-10-08
09:17:39#0#00:00:00#00:00:00#00:00:00 1 525cf0b241c43f77844764650846bfa8
7171104 C 3 CP 2 05/10/2019 05/10/2019 11/11/1970 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BOYKE P.R. LOING 051606 48 17860 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000897 0001452389174 3;JKN linda03;
5.3.9.201904290125 4 80001 1#0##0#0#0.0#2019-10-08
09:19:25#0#00:00:00#00:00:00#00:00:00 1 b90493a45281947fb09fe44927d88cc0
7171104 C 3 CP 2 05/10/2019 05/10/2019 12/01/1948 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KARIM KAUSAHA 052078 71 26199 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V000901 0000138270238 3;JKN linda03;
5.3.9.201904290125 4 80002 1#0##0#0#0.0#2019-10-08
09:24:35#0#00:00:00#00:00:00#00:00:00 1 83a47ee7c0854578f48545576d031b9e
7171104 C 3 CP 2 05/10/2019 05/10/2019 01/09/1957 0 2
1 H25.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SINTJE LANGI 016375 62 22679
DR.MELISA RATAG,SPM 0309R0191019V000910 0001066781529 3;JKN
linda03; 5.3.9.201904290125 4 80003 1#0##0#0#0.0#2019-10-08
09:32:45#0#00:00:00#00:00:00#00:00:00 1 421fb437bf91e42b14267e0effa4b703
7171104 C 3 CP 2 05/10/2019 05/10/2019 02/04/1941 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DIN WOWOR 052147 78 28675 DR.MELISA
RATAG,SPM 0309R0191019V000911 0001565111193 3;JKN linda03;
5.3.9.201904290125 4 80004 1#0##0#0#0.0#2019-10-08
09:37:18#0#00:00:00#00:00:00#00:00:00 1 2e040a79195223991548ea0889965f8c
7171104 C 1 CP 1 04/10/2019 05/10/2019 08/05/2002 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5989900
0 0 - 0 - 0 - 0 - 0 5989900
9807400 0 2 0 0 0 RIVANO JOCOM 051698 17
6358 DR.FELLY A. TOAD,S.PM 0309R0191019V000830 0001078926265 3;JKN
eka06; 5.3.9.201904290125 4 80162 1#0##0#0#0.0#2019-10-09
11:52:09#0#00:00:00#00:00:00#00:00:00 1 2a480a9cd73f870b5bcd0ea104ec16e1
7171104 C 1 CP 1 04/10/2019 05/10/2019 28/11/1958 0 2
1 H40.9 12.64 - - None None None None H-1-30-I None None
None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN) 9114300
0 0 - 0 - 0 - 0 - 0 9114300
1073900 0 2 0 0 0 NONI BERDAME 041111 60
22225 DR.FELLY A. TOAD,S.PM 0309R0191019V000849 0001479204584 3;JKN
eka06; 5.3.9.201904290125 4 80212 1#0##0#0#0.0#2019-10-09
13:31:44#0#00:00:00#00:00:00#00:00:00 1 d2f0d101a97a26b1ea28073d76ebf8ef
7171104 C 3 CP 2 05/10/2019 05/10/2019 01/10/1937 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 MAGDALENA KAWUWUNG 022057 82 29954
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000956 0000910105593 3;JKN
Boni04; 5.3.9.201904290125 4 81144 1#0##0#0#0.0#2019-10-16
08:35:30#0#00:00:00#00:00:00#00:00:00 1 f08e3421eaf2b5564dbdb3aad2f8b767
7171104 C 3 CP 2 05/10/2019 05/10/2019 06/12/1958 0 1
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 C SAMPEKALO 051609 60 22218 DR SALAM
SURBAKTI,SPM 0309R0191019V000954 0001327737047 3;JKN Boni04;
5.3.9.201904290125 4 81146 1#0##0#0#0.0#2019-10-16
08:37:09#0#00:00:00#00:00:00#00:00:00 1 e65673932c6656d9d03f799ada78bc77
7171104 C 3 CP 2 05/10/2019 05/10/2019 27/07/1962 0 2
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 DRA. TESLY J. PUNUH,MSI 045617 57 20889
DR SALAM SURBAKTI,SPM 0309R0191019V000932 0000138731894 3;JKN
Boni04; 5.3.9.201904290125 4 81147 1#0##0#0#0.0#2019-10-16
08:39:15#0#00:00:00#00:00:00#00:00:00 1 005aadb42b2fe8e8caab9a71dc5cd560
7171104 C 3 CP 2 05/10/2019 05/10/2019 01/10/1963 0 2
1 H35.2;H33.4 14.24 - - None None None None H-3-10-0 None
None None None None None PROSEDUR LASER SEDANG PADA MATA 476900
0 0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 NENENG GONI 050133 56 20458 DR SALAM
SURBAKTI,SPM 0309R0191019V000903 0000908645051 3;JKN Boni04;
5.3.9.201904290125 4 81148 1#0##0#0#0.0#2019-10-16
08:44:02#0#00:00:00#00:00:00#00:00:00 1 ccf7d2bf88eaeb7b25813bf5913d7c75
7171104 C 3 CP 2 05/10/2019 05/10/2019 14/05/1950 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 HELENA KANDOUW 023146 69 25346 DR SALAM
SURBAKTI,SPM 0309R0191019V000933 0002207442069 3;JKN Boni04;
5.3.9.201904290125 4 81149 1#0##0#0#0.0#2019-10-16
08:46:27#0#00:00:00#00:00:00#00:00:00 1 7010070ba794aee4db7476659017fb3e
7171104 C 3 CP 2 05/10/2019 05/10/2019 02/05/1945 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 AMU SABAYA 027044 74 27184 DR SALAM
SURBAKTI,SPM 0309R0191019V000913 0002077818232 3;JKN Boni04;
5.3.9.201904290125 4 81150 1#0##0#0#0.0#2019-10-16
08:47:07#0#00:00:00#00:00:00#00:00:00 1 54f014300810e3d46eb835d5e5a71efb
7171104 C 3 CP 2 05/10/2019 05/10/2019 31/08/1956 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 AMATASIA MAK 020581 63 23045 DR SALAM
SURBAKTI,SPM 0309R0191019V000900 0002077820111 3;JKN Boni04;
5.3.9.201904290125 4 81151 1#0##0#0#0.0#2019-10-16
08:48:36#0#00:00:00#00:00:00#00:00:00 1 82527c587457d0eeb721e55c487bb952
7171104 C 3 CP 2 07/10/2019 07/10/2019 12/04/1957 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SRI HARTATI 052220 62 22823 DR IVONNE
RAMENUSA,SPM 0309R0191019V001163 0000908251277 3;JKN Vian02;
5.3.9.201904290125 4 79921 1#0##0#0#0.0#2019-10-08
07:53:37#0#00:00:00#00:00:00#00:00:00 1 5375cffd4f450abd3f52821c98493e68
7171104 C 3 CP 2 07/10/2019 07/10/2019 17/05/1970 0 2
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAGDALENA ANDRIANI KASIRAN 052219 49 18040
DR IVONNE RAMENUSA,SPM 0309R0191019V001162 0001476365883 3;JKN
Vian02; 5.3.9.201904290125 4 79924 1#0##0#0#0.0#2019-10-08
07:55:17#0#00:00:00#00:00:00#00:00:00 1 7c17de36dce72b7485011183a5eb8093
7171104 C 3 CP 2 07/10/2019 07/10/2019 21/08/1968 0 1
1 Z09.8;H40.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AUDY LEPA 008333 51 18674 DR IVONNE
RAMENUSA,SPM 0309R0191019V001161 0000911079314 3;JKN Vian02;
5.3.9.201904290125 4 79927 1#0##0#0#0.0#2019-10-08
07:57:29#0#00:00:00#00:00:00#00:00:00 1 f097228b91074e2428e08013f5c29b0c
7171104 C 3 CP 2 07/10/2019 07/10/2019 24/11/1985 0 1
1 Z09.8;H16.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BRIAN JONATHAN GERALDY PUA 051914 33
12370 DR IVONNE RAMENUSA,SPM 0309R0191019V001160 0002388501077 3;JKN
Vian02; 5.3.9.201904290125 4 79932 1#0##0#0#0.0#2019-10-08
08:00:39#0#00:00:00#00:00:00#00:00:00 1 45438667f7612f81375f85ea87d22ab2
7171104 C 3 CP 2 07/10/2019 07/10/2019 23/12/1949 0 2
1 Z09.8;H18.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ERNA LAHIANG 032905 69 25490 DR
IVONNE RAMENUSA,SPM 0309R0191019V001157 0000138031615 3;JKN Vian02;
5.3.9.201904290125 4 79936 1#0##0#0#0.0#2019-10-08
08:04:35#0#00:00:00#00:00:00#00:00:00 1 75f3f1d33cb294925711170ca95996d8
7171104 C 3 CP 2 07/10/2019 07/10/2019 20/02/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KARTINI LAPASAU 043125 62 22874 DR PAULA M V
LUMUNON,SPM 0309R0191019V001143 0001568311558 3;JKN Vian02;
5.3.9.201904290125 4 79938 1#0##0#0#0.0#2019-10-08
08:05:39#0#00:00:00#00:00:00#00:00:00 1 134501ea06af60978ae7a5680554f2ee
7171104 C 3 CP 2 07/10/2019 07/10/2019 05/03/1955 0 2
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AISYA JUBA 049005 64 23592 DR PAULA M V
LUMUNON,SPM 0309R0191019V001142 0002253200319 3;JKN Vian02;
5.3.9.201904290125 4 79940 1#0##0#0#0.0#2019-10-08
08:07:20#0#00:00:00#00:00:00#00:00:00 1 d37ad38bea17b418549bf409bcd56bce
7171104 C 3 CP 2 07/10/2019 07/10/2019 12/11/1951 0 2
1 Z96.1;H59.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SOFICE BUKARA 052204 67 24801 DR
SAUL RAPAR,SPM 0309R0191019V001141 0000138133089 3;JKN Vian02;
5.3.9.201904290125 4 79941 1#0##0#0#0.0#2019-10-08
08:09:43#0#00:00:00#00:00:00#00:00:00 1 62957f94a85f1eefc75777373e53b3ba
7171104 C 3 CP 2 07/10/2019 07/10/2019 03/04/1974 0 1
1 H52.4;H17.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALLEN SUPIT 052203 45 16623 DR IVONNE
RAMENUSA,SPM 0309R0191019V001140 0002073098935 3;JKN Vian02;
5.3.9.201904290125 4 79943 1#0##0#0#0.0#2019-10-08
08:11:04#0#00:00:00#00:00:00#00:00:00 1 56af625e0739a98e9e11b7c4c15f837e
7171104 C 3 CP 2 07/10/2019 07/10/2019 18/10/2000 0 2
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 GRACE GLADYS PERMATA LENGKONG 052202 18 6928
DR SAUL RAPAR,SPM 0309R0191019V001139 0000137971991 3;JKN Vian02;
5.3.9.201904290125 4 79945 1#0##0#0#0.0#2019-10-08
08:12:29#0#00:00:00#00:00:00#00:00:00 1 66f6fc53ac6d7b9602ec48d90836b8f3
7171104 C 3 CP 2 07/10/2019 07/10/2019 12/04/1948 0 2
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROOSJE KOPETH 049930 71 26110 DR
SAUL RAPAR,SPM 0309R0191019V001138 0001860850326 3;JKN Vian02;
5.3.9.201904290125 4 79946 1#0##0#0#0.0#2019-10-08
08:19:27#0#00:00:00#00:00:00#00:00:00 1 0d438a4e8d4df32fb71621591f27f78f
7171104 C 3 CP 2 07/10/2019 07/10/2019 02/10/2013 0 2
1 H40.3 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 Q'MBERLY CECILIA FARA TOLOLIU 052201 6 2196
DR SAUL RAPAR,SPM 0309R0191019V001137 0001569848725 3;JKN Vian02;
5.3.9.201904290125 4 79949 1#0##0#0#0.0#2019-10-08
08:23:14#0#00:00:00#00:00:00#00:00:00 1 cb1bd07d81932e32559314696116991d
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/02/1950 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SALMA IBRAHIM 051954 69 25450 DR
PAULA M V LUMUNON,SPM 0309R0191019V001135 0000908960591 3;JKN Vian02;
5.3.9.201904290125 4 79956 1#0##0#0#0.0#2019-10-08
08:30:15#0#00:00:00#00:00:00#00:00:00 1 09dafef8867914e0ff1f267e7c9008a3
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/05/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MILKA PALENTENG 048511 66 24265 DR PAULA M V
LUMUNON,SPM 0309R0191019V001134 0000907753059 3;JKN Vian02;
5.3.9.201904290125 4 79960 1#0##0#0#0.0#2019-10-08
08:47:09#0#00:00:00#00:00:00#00:00:00 1 799e1918f52b4d7691e49ffeb2c72911
7171104 C 3 CP 2 07/10/2019 07/10/2019 08/06/1947 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FEMMY JULIANA TAMBUWUN 052200 72 26419 DR
PAULA M V LUMUNON,SPM 0309R0191019V001133 0002744777507 3;JKN Vian02;
5.3.9.201904290125 4 79961 1#0##0#0#0.0#2019-10-08
08:48:14#0#00:00:00#00:00:00#00:00:00 1 595c96cacfecfd60726ab412b0177089
7171104 C 3 CP 2 07/10/2019 07/10/2019 14/06/1989 0 1
1 H10.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALLAN BRIAN SAKUL 052199 30 11072 DR IVONNE
RAMENUSA,SPM 0309R0191019V001132 0001620732306 3;JKN Vian02;
5.3.9.201904290125 4 79962 1#0##0#0#0.0#2019-10-08
08:49:01#0#00:00:00#00:00:00#00:00:00 1 bb14ce9f98ae770a89c6fa40477c85d8
7171104 C 3 CP 2 07/10/2019 07/10/2019 10/04/1967 0 2
1 H35.6 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALMARENTJE HARIMU 052198 52 19173 DR IVONNE
RAMENUSA,SPM 0309R0191019V001130 0001570499122 3;JKN Vian02;
5.3.9.201904290125 4 79964 1#0##0#0#0.0#2019-10-08
08:50:04#0#00:00:00#00:00:00#00:00:00 1 066070b50b3e12013a63ef3e00247625
7171104 C 3 CP 2 07/10/2019 07/10/2019 25/03/1973 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANNA ANSOW 034751 46 16997 DR SAUL
RAPAR,SPM 0309R0191019V001129 0000904248911 3;JKN Vian02;
5.3.9.201904290125 4 79966 1#0##0#0#0.0#2019-10-08
08:51:04#0#00:00:00#00:00:00#00:00:00 1 6581c35118e51cd2b15aff09b1b3dfab
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/09/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SYULTJE WOWOR 012150 64 23412 DR PAULA M V
LUMUNON,SPM 0309R0191019V001128 0001066781452 3;JKN Vian02;
5.3.9.201904290125 4 79969 1#0##0#0#0.0#2019-10-08
08:51:49#0#00:00:00#00:00:00#00:00:00 1 1a680976dcef6b344dd6d5ddf141ee3e
7171104 C 3 CP 2 07/10/2019 07/10/2019 18/01/1985 0 2
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HELISKE F J SONDAKH 037631 34 12680
DR SAUL RAPAR,SPM 0309R0191019V001127 0001567856744 3;JKN Vian02;
5.3.9.201904290125 4 79972 1#0##0#0#0.0#2019-10-08
08:53:15#0#00:00:00#00:00:00#00:00:00 1 81ae6cbc5ce58ffb13b060e018b7dee0
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/09/1936 0 2
1 Z09.0;H11.0;H26.9 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WELIANA KAHUMBAHU 051772 83 30351 DR
IVONNE RAMENUSA,SPM 0309R0191019V001126 0000907969577 3;JKN Vian02;
5.3.9.201904290125 4 79974 1#0##0#0#0.0#2019-10-08
08:54:04#0#00:00:00#00:00:00#00:00:00 1 a1a68a3bdc7b50c62a4a2241f6bda08d
7171104 C 3 CP 2 07/10/2019 07/10/2019 25/11/1966 0 1
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HANNY BERTI SIWI 009676 52 19309 DR
IVONNE RAMENUSA,SPM 0309R0191019V001125 0000139127679 3;JKN Vian02;
5.3.9.201904290125 4 79976 1#0##0#0#0.0#2019-10-08
08:55:14#0#00:00:00#00:00:00#00:00:00 1 a45301a62ac2396651a3734bbefffd5e
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/04/1975 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANTJE DEVNI KORAAG 016190 44 16260
DR SAUL RAPAR,SPM 0309R0191019V001124 0001378769152 3;JKN Vian02;
5.3.9.201904290125 4 79983 1#0##0#0#0.0#2019-10-08
09:00:28#0#00:00:00#00:00:00#00:00:00 1 c859fdc017210f9de679a5d41c472326
7171104 C 3 CP 2 07/10/2019 07/10/2019 16/12/1974 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DIANA SUALANG 051561 44 16366 DR
RALF PANGALILA,SPM 0309R0191019V001123 0002500863243 3;JKN Vian02;
5.3.9.201904290125 4 79984 1#0##0#0#0.0#2019-10-08
09:01:14#0#00:00:00#00:00:00#00:00:00 1 98382153d4333200656fb1f9f0cdac03
7171104 C 3 CP 2 07/10/2019 07/10/2019 16/08/1945 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AMAL KOLOPITA 050668 74 27080 DR
IVONNE RAMENUSA,SPM 0309R0191019V001122 0002450556674 3;JKN Vian02;
5.3.9.201904290125 4 79986 1#0##0#0#0.0#2019-10-08
09:02:07#0#00:00:00#00:00:00#00:00:00 1 67bcd7a9d179aaa5213e1b363f43a53a
7171104 C 3 CP 2 07/10/2019 07/10/2019 22/05/2017 0 2
1 H50.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KHUMAIRA AZZAHRA THOMAS 052197 2 868 DR
SAUL RAPAR,SPM 0309R0191019V001121 0002264421104 3;JKN Vian02;
5.3.9.201904290125 4 79989 1#0##0#0#0.0#2019-10-08
09:04:10#0#00:00:00#00:00:00#00:00:00 1 a76506ed2b203ca1209364895461c8f1
7171104 C 3 CP 2 07/10/2019 07/10/2019 28/10/1966 0 1
1 Z09.8;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HERIJANTO MAKASIDAMO 011731 52 19337
DR SALAM SURBAKTI,SPM 0309R0191019V001119 0000137482964 3;JKN
Vian02; 5.3.9.201904290125 4 79991 1#0##0#0#0.0#2019-10-08
09:17:00#0#00:00:00#00:00:00#00:00:00 1 d15f822b0eac910d4f0e3ac8cdba84ad
7171104 C 3 CP 2 07/10/2019 07/10/2019 06/04/2001 0 1
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MOHAMAD YUSRAN IBRAHIM 051942 18 6758
DR SAUL RAPAR,SPM 0309R0191019V000969 0001785986177 3;JKN linda03;
5.3.9.201904290125 4 80006 1#0##0#0#0.0#2019-10-08
10:20:23#0#00:00:00#00:00:00#00:00:00 1 f20c4c97d59df95376de5da8b7a113d5
7171104 C 3 CP 2 07/10/2019 07/10/2019 10/10/1947 0 1
1 Z09.8;H17.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHANNIS KOLOAY 010037 71 26295 DR
PAULA M V LUMUNON,SPM 0309R0191019V000971 0000138253601 3;JKN linda03;
5.3.9.201904290125 4 80007 1#0##0#0#0.0#2019-10-08
10:21:17#0#00:00:00#00:00:00#00:00:00 1 2934791fb08a756d3cd38582e87e8a6f
7171104 C 3 CP 2 07/10/2019 07/10/2019 26/03/1947 0 1
1 Z96.1;H52.0;H52.2;H52.4 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LOT SENGKEY 039371 72 26493 DR SAUL
RAPAR,SPM 0309R0191019V000972 0002293678451 3;JKN linda03;
5.3.9.201904290125 4 80008 1#0##0#0#0.0#2019-10-08
10:22:12#0#00:00:00#00:00:00#00:00:00 1 b7e7a707369a0624cfc94c443019e682
7171104 C 3 CP 2 07/10/2019 07/10/2019 24/07/1985 0 1
1 Z09.8;H18.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RAHMAN PAKAYA 040310 34 12493 DR
IVONNE RAMENUSA,SPM 0309R0191019V000973 0001568109543 3;JKN linda03;
5.3.9.201904290125 4 80009 1#0##0#0#0.0#2019-10-08
10:22:59#0#00:00:00#00:00:00#00:00:00 1 89a99fa59ad69c28341e93ed57d20c28
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/11/1965 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BENNY KENAP 052196 53 19698 DR SAUL RAPAR,SPM
0309R0191019V001118 0000907469425 3;JKN Vian02; 5.3.9.201904290125
4 80005 1#0##0#0#0.0#2019-10-08 10:23:18#0#00:00:00#00:00:00#00:00:00
1 7f9078d21433561b478ee091f9a41bbd
7171104 C 3 CP 2 07/10/2019 07/10/2019 11/10/1941 0 2
1 Z09.8;H01.0;H02.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIN PANELEWEN 029291 77 28485 DR
IVONNE RAMENUSA,SPM 0309R0191019V000974 0001565113983 3;JKN linda03;
5.3.9.201904290125 4 80010 1#0##0#0#0.0#2019-10-08
10:24:09#0#00:00:00#00:00:00#00:00:00 1 e94895b2d968758d5081d5cd814d8165
7171104 C 3 CP 2 07/10/2019 07/10/2019 16/01/1975 0 1
1 H20.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 STENDLY MAKAHINDA 052195 44 16335 DR IVONNE
RAMENUSA,SPM 0309R0191019V001117 0001325872653 3;JKN Vian02;
5.3.9.201904290125 4 80011 1#0##0#0#0.0#2019-10-08
10:24:41#0#00:00:00#00:00:00#00:00:00 1 11cc1b128b13389b3046814d6a83df04
7171104 C 3 CP 2 07/10/2019 07/10/2019 11/11/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROTI SALAINTI 051629 70 25897 DR SAUL
RAPAR,SPM 0309R0191019V000976 0001248027412 3;JKN linda03;
5.3.9.201904290125 4 80012 1#0##0#0#0.0#2019-10-08
10:25:00#0#00:00:00#00:00:00#00:00:00 1 08210ac2af7d29292aac777f8694a710
7171104 C 3 CP 2 07/10/2019 07/10/2019 29/03/1943 0 2
1 H26.9;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FEMMI MASSIE 052194 76 27951 DR
SAUL RAPAR,SPM 0309R0191019V001116 0001568007483 3;JKN Vian02;
5.3.9.201904290125 4 80013 1#0##0#0#0.0#2019-10-08
10:25:45#0#00:00:00#00:00:00#00:00:00 1 ef4b502a9e5d96e116b3225685b7fb9a
7171104 C 3 CP 2 07/10/2019 07/10/2019 11/02/1948 0 2
1 Z09.8;H52.2;H52.4;Z96.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FIECE RINDENGAN 027068 71 26171 DR
SAUL RAPAR,SPM 0309R0191019V001115 0000101018654 3;JKN Vian02;
5.3.9.201904290125 4 80015 1#0##0#0#0.0#2019-10-08
10:26:38#0#00:00:00#00:00:00#00:00:00 1 8a55ad726eb342893a237baf2624ba4d
7171104 C 3 CP 2 07/10/2019 07/10/2019 21/06/1950 0 2
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JAENA LOKIMAN 051010 69 25310 DR
IVONNE RAMENUSA,SPM 0309R0191019V001114 0002740728284 3;JKN Vian02;
5.3.9.201904290125 4 80016 1#0##0#0#0.0#2019-10-08
10:27:38#0#00:00:00#00:00:00#00:00:00 1 c50e08906a49c81cd12d1b4d89a92dee
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/09/1957 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADRI RORONG 013936 62 22681 DR SAUL RAPAR,SPM
0309R0191019V001113 0001434836553 3;JKN Vian02; 5.3.9.201904290125
4 80017 1#0##0#0#0.0#2019-10-08 10:28:35#0#00:00:00#00:00:00#00:00:00
1 f127929d1a437d8eb1ec4c600585229b
7171104 C 3 CP 2 07/10/2019 07/10/2019 22/04/1956 0 1
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VENTJE NGANTUNG 051195 63 23178 DR
SAUL RAPAR,SPM 0309R0191019V000977 0001272211604 3;JKN linda03;
5.3.9.201904290125 4 80014 1#0##0#0#0.0#2019-10-08
10:29:34#0#00:00:00#00:00:00#00:00:00 1 8b2a28e9b5e152503142bfc0fceacc24
7171104 C 3 CP 2 07/10/2019 07/10/2019 04/11/1964 0 1
1 Z09.8;H49.2;H53.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUSNO YUSUF 051950 54 20060 DR SAUL
RAPAR,SPM 0309R0191019V000979 0001326213009 3;JKN linda03;
5.3.9.201904290125 4 80018 1#0##0#0#0.0#2019-10-08
10:37:12#0#00:00:00#00:00:00#00:00:00 1 0cc961595193a4381cf836d0139c7831
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/07/1950 0 1
1 H17.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VENTJE SUMARAUW 019338 69 25300 DR IVONNE
RAMENUSA,SPM 0309R0191019V001111 0000906491867 3;JKN Vian02;
5.3.9.201904290125 4 80019 1#0##0#0#0.0#2019-10-08
10:47:15#0#00:00:00#00:00:00#00:00:00 1 d626501906d2ee275ee852b62f7e9d39
7171104 C 3 CP 2 07/10/2019 07/10/2019 05/09/1992 0 2
1 Z09.8;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SILVA DJAFAR 049717 27 9893 DR
SAUL RAPAR,SPM 0309R0191019V001107 0000910859758 3;JKN Vian02;
5.3.9.201904290125 4 80020 1#0##0#0#0.0#2019-10-08
10:50:39#0#00:00:00#00:00:00#00:00:00 1 fa7fcba7efbdf7ef51581b77410159ed
7171104 C 3 CP 2 07/10/2019 07/10/2019 23/08/1978 0 1
1 Z09.8;T15.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUS ESAU 051971 41 15020 DR SAUL
RAPAR,SPM 0309R0191019V001106 0001567863584 3;JKN Vian02;
5.3.9.201904290125 4 80021 1#0##0#0#0.0#2019-10-08
10:57:38#0#00:00:00#00:00:00#00:00:00 1 7de8bb7600466a23a6f4515641be634a
7171104 C 3 CP 2 07/10/2019 07/10/2019 10/12/1958 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 REFLY DANIEL RUMENSER 006933 60 22216
DR IVONNE RAMENUSA,SPM 0309R0191019V001103 0001384697867 3;JKN
Vian02; 5.3.9.201904290125 4 80022 1#0##0#0#0.0#2019-10-08
11:13:10#0#00:00:00#00:00:00#00:00:00 1 c80b97a2ff8384d50a0ad3ff7c732147
7171104 C 3 CP 2 07/10/2019 07/10/2019 08/08/1965 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SONNI SINGAL 052034 54 19783 DR
SAUL RAPAR,SPM 0309R0191019V000981 0000139053194 3;JKN linda03;
5.3.9.201904290125 4 80024 1#0##0#0#0.0#2019-10-08
11:24:26#0#00:00:00#00:00:00#00:00:00 1 71e9b64e41563a10a9c9610ec79c1b68
7171104 C 3 CP 2 07/10/2019 07/10/2019 03/06/1967 0 2
1 H33.0;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUSNA SUNE 052170 52 19119 DR SALAM
SURBAKTI,SPM 0309R0191019V000982 0002047030828 3;JKN linda03;
5.3.9.201904290125 4 80025 1#0##0#0#0.0#2019-10-08
11:25:38#0#00:00:00#00:00:00#00:00:00 1 4efe43190e7ef21fe324656fa723057a
7171104 C 3 CP 2 07/10/2019 07/10/2019 02/11/1961 0 2
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NENI SANDA 005357 57 21158 DR SALAM
SURBAKTI,SPM 0309R0191019V000983 0000137909428 3;JKN linda03;
5.3.9.201904290125 4 80026 14#0##0#0#0.0#2019-10-08
11:27:32#0#00:00:00#00:00:00#00:00:00 1 ae404c72631a8d8d54e7e3ecffecccf2
7171104 C 3 CP 2 07/10/2019 07/10/2019 05/06/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PREDRIKA PATTA 051386 64 23500 DR PAULA M V
LUMUNON,SPM 0309R0191019V000985 0002278024738 3;JKN linda03;
5.3.9.201904290125 4 80027 1#0##0#0#0.0#2019-10-08
11:36:05#0#00:00:00#00:00:00#00:00:00 1 fe588c752f6200ce47f8a42e75f422b0
7171104 C 3 CP 2 07/10/2019 07/10/2019 27/12/1984 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 THEODORUS DUMANAW 033653 34 12702 DR SAUL
RAPAR,SPM 0309R0191019V000986 0001246209489 3;JKN linda03;
5.3.9.201904290125 4 80028 1#0##0#0#0.0#2019-10-08
11:37:21#0#00:00:00#00:00:00#00:00:00 1 0002038a1de06e1fda00190dd33bba60
7171104 C 3 CP 2 07/10/2019 07/10/2019 12/09/1954 0 1
1 Z96.1;H52.1;H52.2;H52.4 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALEX MANTIRI 051051 65 23766 DR
SAUL RAPAR,SPM 0309R0191019V000987 0001604478633 3;JKN linda03;
5.3.9.201904290125 4 80029 1#0##0#0#0.0#2019-10-08
11:38:33#0#00:00:00#00:00:00#00:00:00 1 6c2099e6bf192d17c0f4909ba4e7a0a7
7171104 C 3 CP 2 07/10/2019 07/10/2019 28/01/1966 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JANTJE OLENG 052191 53 19610 DR PAULA M V
LUMUNON,SPM 0309R0191019V001101 0001827406675 3;JKN Vian02;
5.3.9.201904290125 4 80023 1#0##0#0#0.0#2019-10-08
11:41:39#0#00:00:00#00:00:00#00:00:00 1 78eeeb42580891110660426db728b369
7171104 C 3 CP 2 07/10/2019 07/10/2019 16/05/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TESINA T.PUA 047391 70 25711 DR SALAM
SURBAKTI,SPM 0309R0191019V000988 0000138241192 3;JKN linda03;
5.3.9.201904290125 4 80030 1#0##0#0#0.0#2019-10-08
11:42:19#0#00:00:00#00:00:00#00:00:00 1 0f7f5b3dec3e4295da861fdb57ce2e1e
7171104 C 3 CP 2 07/10/2019 07/10/2019 08/02/1958 0 1
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 REMNI MUSA 039316 61 22521 DR PAULA M V
LUMUNON,SPM 0309R0191019V000989 0000137909417 3;JKN linda03;
5.3.9.201904290125 4 80031 1#0##0#0#0.0#2019-10-08
11:44:07#0#00:00:00#00:00:00#00:00:00 1 515f8b3b6e5d595da80832bc78eef6dc
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/03/1938 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TRESNA NAMONTI 051997 81 29805 DR SAUL
RAPAR,SPM 0309R0191019V000990 0000906367397 3;JKN linda03;
5.3.9.201904290125 4 80033 1#0##0#0#0.0#2019-10-08
11:44:46#0#00:00:00#00:00:00#00:00:00 1 d13cdad7ddd9cd4edc164dcaf93e66e4
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/02/1954 0 2
1 H52.2;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRANSISKA TUMOLE 052171 65 23989 DR
SAUL RAPAR,SPM 0309R0191019V000991 0000907207648 3;JKN linda03;
5.3.9.201904290125 4 80034 1#0##0#0#0.0#2019-10-08
11:45:43#0#00:00:00#00:00:00#00:00:00 1 bd43d9531600a3980d90f21d90385463
7171104 C 3 CP 2 07/10/2019 07/10/2019 23/12/2011 0 2
1 Z09.8;H43.3;H10.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MIRAKHEL LENDJI PANGEMANAN 051459 7
2845 DR SAUL RAPAR,SPM 0309R0191019V000992 0002501179064 3;JKN
linda03; 5.3.9.201904290125 4 80035 1#0##0#0#0.0#2019-10-08
11:46:47#0#00:00:00#00:00:00#00:00:00 1 876c04ca029da62b4d2dbea4d11883a9
7171104 C 3 CP 2 07/10/2019 07/10/2019 12/11/1990 0 1
1 Z01.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 GLENDY LONDAR 052190 28 10556 DR PAULA M V
LUMUNON,SPM 0309R0191019V001099 0001150143366 3;JKN Vian02;
5.3.9.201904290125 4 80032 1#0##0#0#0.0#2019-10-08
11:47:24#0#00:00:00#00:00:00#00:00:00 1 6f82c1a36f5cfc6f5eee67d582595c03
7171104 C 3 CP 2 07/10/2019 07/10/2019 30/07/1936 0 2
1 H44.5;Q11.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROSIANA HORMAN 052172 83 30384 DR
IVONNE RAMENUSA,SPM 0309R0191019V000993 0001961559246 3;JKN linda03;
5.3.9.201904290125 4 80036 1#0##0#0#0.0#2019-10-08
11:47:59#0#00:00:00#00:00:00#00:00:00 1 3ed61ea8710bfdc1233ee60b018faff4
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/01/1947 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNAD GINGGIRAN 052145 72 26577 DR
SALAM SURBAKTI,SPM 0309R0191019V001097 0000906800354 3;JKN Vian02;
5.3.9.201904290125 4 80037 1#0##0#0#0.0#2019-10-08
11:48:45#0#00:00:00#00:00:00#00:00:00 1 067bf26cecc8fbe80e069c0e0d1ab31b
7171104 C 3 CP 2 07/10/2019 07/10/2019 19/11/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RIN LINTONG 052036 64 23698 DR SAUL RAPAR,SPM
0309R0191019V000994 0001604365918 3;JKN linda03; 5.3.9.201904290125
4 80038 1#0##0#0#0.0#2019-10-08 11:49:11#0#00:00:00#00:00:00#00:00:00
1 5a121754afe167fc9b004d8dd3aaada6
7171104 C 3 CP 2 07/10/2019 07/10/2019 26/04/1973 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EDISON L.NABABAN 052173 46 16965 DR
PAULA M V LUMUNON,SPM 0309R0191019V000995 0001475531526 3;JKN linda03;
5.3.9.201904290125 4 80039 1#0##0#0#0.0#2019-10-08
11:50:28#0#00:00:00#00:00:00#00:00:00 1 0a3df2e356d466c51efcc03485c4ab65
7171104 C 3 CP 2 07/10/2019 07/10/2019 05/02/1967 0 1
1 Z09.8;H47.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CORNELES FILIPUS ESSING 042501 52 19237
DR PAULA M V LUMUNON,SPM 0309R0191019V000996 0002298115157 3;JKN
linda03; 5.3.9.201904290125 4 80040 1#0##0#0#0.0#2019-10-08
11:51:13#0#00:00:00#00:00:00#00:00:00 1 ae8a3a3c21338e3b44685709a7b00557
7171104 C 3 CP 2 07/10/2019 07/10/2019 06/05/1956 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MASTIN DEREK 051793 63 23164 DR
PAULA M V LUMUNON,SPM 0309R0191019V000999 0002486234632 3;JKN linda03;
5.3.9.201904290125 4 80041 1#0##0#0#0.0#2019-10-08
11:55:40#0#00:00:00#00:00:00#00:00:00 1 c133babe055c325330946127d4b79e9e
7171104 C 3 CP 2 07/10/2019 07/10/2019 04/10/1953 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROSALI EMOR 009482 66 24109 DR SALAM
SURBAKTI,SPM 0309R0191019V001000 0000137303943 3;JKN linda03;
5.3.9.201904290125 4 80042 1#0##0#0#0.0#2019-10-08
12:07:06#0#00:00:00#00:00:00#00:00:00 1 3bbc4f79a25fd2dae3037183e7888209
7171104 C 3 CP 2 07/10/2019 07/10/2019 14/08/1938 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MELKI WILSON TOMBILING 052189 81 29639 DR
SAUL RAPAR,SPM 0309R0191019V001096 0001283635877 3;JKN Vian02;
5.3.9.201904290125 4 80043 1#0##0#0#0.0#2019-10-08
12:13:56#0#00:00:00#00:00:00#00:00:00 1 051b444c03e78a6ffbd4bece345449e9
7171104 C 3 CP 2 07/10/2019 07/10/2019 08/02/1956 0 1
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DJONI SUMAKUL 018355 63 23252 DR
SAUL RAPAR,SPM 0309R0191019V001093 0000155769658 3;JKN Vian02;
5.3.9.201904290125 4 80045 1#0##0#0#0.0#2019-10-08
12:15:58#0#00:00:00#00:00:00#00:00:00 1 4fa1bb8bafde52b861969bfb2a6ff7a9
7171104 C 3 CP 2 07/10/2019 07/10/2019 19/01/1960 0 1
1 H10.9;H52.2;H52.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANS LODIWIJK PALIT 052174 59 21811
DR SAUL RAPAR,SPM 0309R0191019V001001 0000137948602 3;JKN linda03;
5.3.9.201904290125 4 80044 1#0##0#0#0.0#2019-10-08
12:18:33#0#00:00:00#00:00:00#00:00:00 1 56a5148d7470f0f076330411e1f3a9e0
7171104 C 3 CP 2 07/10/2019 07/10/2019 06/03/1968 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LELY WAHYUNINGTYAS 051118 51 18842 DR
IVONNE RAMENUSA,SPM 0309R0191019V001002 0001100223022 3;JKN linda03;
5.3.9.201904290125 4 80047 1#0##0#0#0.0#2019-10-08
12:19:49#0#00:00:00#00:00:00#00:00:00 1 4baa2559b9adc27915d52f9f8376da2e
7171104 C 3 CP 2 07/10/2019 07/10/2019 03/07/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIUS JOHANIS ROMPIS 029378 66 24202 DR
PAULA M V LUMUNON,SPM 0309R0191019V001003 0000137809269 3;JKN linda03;
5.3.9.201904290125 4 80048 1#0##0#0#0.0#2019-10-08
12:27:15#0#00:00:00#00:00:00#00:00:00 1 34eb2ed9832f48201781289b734bd3f5
7171104 C 3 CP 2 07/10/2019 07/10/2019 03/04/1964 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANETJE MANDAKE 052176 55 20275 DR
SALAM SURBAKTI,SPM 0309R0191019V001004 0001385278119 3;JKN linda03;
5.3.9.201904290125 4 80049 1#0##0#0#0.0#2019-10-08
12:30:48#0#00:00:00#00:00:00#00:00:00 1 55c44f3c65b3b13887cc1e4538bed920
7171104 C 3 CP 2 07/10/2019 07/10/2019 08/07/1936 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BERTA SALINSIHI 051748 83 30406 DR PAULA M V
LUMUNON,SPM 0309R0191019V001005 0002776666847 3;JKN linda03;
5.3.9.201904290125 4 80050 1#0##0#0#0.0#2019-10-08
12:33:04#0#00:00:00#00:00:00#00:00:00 1 c85fdac6fa59c0fc5c454a239ef73fe8
7171104 C 3 CP 2 07/10/2019 07/10/2019 13/12/1954 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DETSY L MONTORORING 018356 64 23674 DR
PAULA M V LUMUNON,SPM 0309R0191019V001086 0000155769669 3;JKN Vian02;
5.3.9.201904290125 4 80046 1#0##0#0#0.0#2019-10-08
12:38:02#0#00:00:00#00:00:00#00:00:00 1 8977f78f86f38b5c2f6fa424ac1650e9
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/07/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HENNY JACOBUS 052026 74 27126 DR SAUL
RAPAR,SPM 0309R0191019V001006 0000908308078 3;JKN linda03;
5.3.9.201904290125 4 80051 1#0##0#0#0.0#2019-10-08
12:39:03#0#00:00:00#00:00:00#00:00:00 1 1b69a831506a04277f84c20ef1f3f0df
7171104 C 3 CP 2 07/10/2019 07/10/2019 21/05/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOSEP TAHULENDING 009840 71 26071 DR PAULA M V
LUMUNON,SPM 0309R0191019V001084 0000138053046 3;JKN Vian02;
5.3.9.201904290125 4 80052 1#0##0#0#0.0#2019-10-08
12:43:03#0#00:00:00#00:00:00#00:00:00 1 11915cbb60e49116d11e9d9ba879baab
7171104 C 3 CP 2 07/10/2019 07/10/2019 26/05/1948 0 2
1 H49.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AGUSTINA MANARIANGKUBA 052175 71 26066 DR
SAUL RAPAR,SPM 0309R0191019V001007 0001243370226 3;JKN linda03;
5.3.9.201904290125 4 80053 1#0##0#0#0.0#2019-10-08
12:43:36#0#00:00:00#00:00:00#00:00:00 1 f56b68f9bac297c678d92a7fbf7a698e
7171104 C 3 CP 2 07/10/2019 07/10/2019 10/10/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA WENAS 018156 76 28121 DR SAUL RAPAR,SPM
0309R0191019V001009 0001308673574 3;JKN linda03; 5.3.9.201904290125
4 80054 1#0##0#0#0.0#2019-10-08 12:45:39#0#00:00:00#00:00:00#00:00:00
1 44098a8210d9a443e6c4c194ffac3b21
7171104 C 3 CP 2 07/10/2019 07/10/2019 22/01/1966 0 1
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROBBIE PANGKEREGO 031911 53 19616 DR
SALAM SURBAKTI,SPM 0309R0191019V001010 0000040142733 3;JKN linda03;
5.3.9.201904290125 4 80055 1#0##0#0#0.0#2019-10-08
12:46:55#0#00:00:00#00:00:00#00:00:00 1 ace891d74f41e1aa0666582b35df7db5
7171104 C 3 CP 2 07/10/2019 07/10/2019 15/01/1962 0 2
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SELVY DAUD 014388 57 21084 DR SALAM
SURBAKTI,SPM 0309R0191019V001011 0001814554978 3;JKN linda03;
5.3.9.201904290125 4 80056 1#0##0#0#0.0#2019-10-08
12:49:10#0#00:00:00#00:00:00#00:00:00 1 a187004f88dd6d8536f3e261494f8c2e
7171104 C 3 CP 2 07/10/2019 07/10/2019 31/01/1956 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANDRIAS MONINGKA 051630 63 23260 DR SAUL
RAPAR,SPM 0309R0191019V001012 0000909541989 3;JKN linda03;
5.3.9.201904290125 4 80057 43#0##0#0#0.0#2019-10-08
12:51:40#0#00:00:00#00:00:00#00:00:00 1 2aff0a58bdccff17b401a7751b339646
7171104 C 3 CP 2 07/10/2019 07/10/2019 22/12/1964 0 1
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HUSEN MALANGI 052185 54 20012 DR SALAM
SURBAKTI,SPM 0309R0191019V001083 0002212662194 3;JKN Vian02;
5.3.9.201904290125 4 80058 1#0##0#0#0.0#2019-10-08
12:53:38#0#00:00:00#00:00:00#00:00:00 1 6e013b77d30dc5bd8e50e57e32eb2c62
7171104 C 3 CP 2 07/10/2019 07/10/2019 07/07/1948 0 2
1 Z09.8;H26.9;H40.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ERTJI GUTU 051727 71 26024 DR PAULA M V
LUMUNON,SPM 0309R0191019V001013 0002737289452 3;JKN linda03;
5.3.9.201904290125 4 80059 1#0##0#0#0.0#2019-10-08
12:54:28#0#00:00:00#00:00:00#00:00:00 1 d816a79d800720256fce2df4732496c4
7171104 C 3 CP 2 07/10/2019 07/10/2019 12/07/1994 0 1
1 Z09.8;H18.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROBERTO RINALDO SONDAK 050419 25 9218
DR IVONNE RAMENUSA,SPM 0309R0191019V001082 0002073962248 3;JKN
Vian02; 5.3.9.201904290125 4 80061 1#0##0#0#0.0#2019-10-08
12:55:46#0#00:00:00#00:00:00#00:00:00 1 190dacef9d824aa70f80176eb2674f66
7171104 C 3 CP 2 07/10/2019 07/10/2019 10/05/1949 0 2
1 Z09.8;H44.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BARNETJE ROTTIE 050301 70 25717 DR
SALAM SURBAKTI,SPM 0309R0191019V001014 0000137211311 3;JKN linda03;
5.3.9.201904290125 4 80060 1#0##0#0#0.0#2019-10-08
12:56:16#0#00:00:00#00:00:00#00:00:00 1 fb4f45dfb83b83ccb64f2e7ccd5dd99d
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/05/1944 0 2
1 Z09.0;H11.0;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA MAGDALENA WOWOR 051742 75 27552
DR SAUL RAPAR,SPM 0309R0191019V001081 0000907236562 3;JKN Vian02;
5.3.9.201904290125 4 80062 1#0##0#0#0.0#2019-10-08
12:56:43#0#00:00:00#00:00:00#00:00:00 1 aeb2bc67f78a50cd0efba3a4c76f189a
7171104 C 3 CP 2 07/10/2019 07/10/2019 08/06/1954 0 2
1 Z09.8;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JENNY MANDANG 051765 65 23862 DR
SAUL RAPAR,SPM 0309R0191019V001080 0000138078955 3;JKN Vian02;
5.3.9.201904290125 4 80064 1#0##0#0#0.0#2019-10-08
12:57:47#0#00:00:00#00:00:00#00:00:00 1 c30db147f6b23bb83baf774e90305e4d
7171104 C 3 CP 2 07/10/2019 07/10/2019 04/02/1980 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PINGKAN WALANGITAN 052184 39 14490
DR SAUL RAPAR,SPM 0309R0191019V001079 0001770567524 3;JKN Vian02;
5.3.9.201904290125 4 80065 1#0##0#0#0.0#2019-10-08
12:58:47#0#00:00:00#00:00:00#00:00:00 1 03cb7ae72f7861d8d11281bdbb47d0c2
7171104 C 3 CP 2 07/10/2019 07/10/2019 04/03/1967 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARCELINUS SIMPURU 005349 52 19210
DR PAULA M V LUMUNON,SPM 0309R0191019V001016 0000148727957 3;JKN
linda03; 5.3.9.201904290125 4 80063 1#0##0#0#0.0#2019-10-08
12:59:06#0#00:00:00#00:00:00#00:00:00 1 877013de69e5ef90af93c758dbacdbc1
7171104 C 3 CP 2 07/10/2019 07/10/2019 18/06/1998 0 1
1 Z09.8;H18.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RIVALDI LASAHIA 050742 21 7781 DR
IVONNE RAMENUSA,SPM 0309R0191019V001015 0001164216958 3;JKN linda03;
5.3.9.201904290125 4 80066 1#0##0#0#0.0#2019-10-08
14:16:42#0#00:00:00#00:00:00#00:00:00 1 db940f62f624ebd58d6884dbf211e789
7171104 C 3 CP 2 07/10/2019 07/10/2019 12/05/1952 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTHIN MANGERONGKONDA 050771 67 24619
DR SAUL RAPAR,SPM 0309R0191019V001017 0002500223984 3;JKN linda03;
5.3.9.201904290125 4 80067 1#0##0#0#0.0#2019-10-08
14:17:36#0#00:00:00#00:00:00#00:00:00 1 94508b089d6834d0969bf449df433d17
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/11/1956 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALFRETS SAM RUMONDA 052028 62 22985 DR
SAUL RAPAR,SPM 0309R0191019V001018 0001604367663 3;JKN linda03;
5.3.9.201904290125 4 80068 1#0##0#0#0.0#2019-10-08
14:18:12#0#00:00:00#00:00:00#00:00:00 1 48709a041f9af6c50e902ff2bdd13a41
7171104 C 3 CP 2 07/10/2019 07/10/2019 28/09/1956 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FRETS S BUJUNG 010385 63 23019 DR SAUL
RAPAR,SPM 0309R0191019V001019 0000139014459 3;JKN linda03;
5.3.9.201904290125 4 80069 1#0##0#0#0.0#2019-10-08
14:19:10#0#00:00:00#00:00:00#00:00:00 1 c6d5943fe2b73039eb795e5bb7e3208b
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/07/1957 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JINU SULAEMAN 051801 62 22743 DR IVONNE
RAMENUSA,SPM 0309R0191019V001020 0000908247958 3;JKN linda03;
5.3.9.201904290125 4 80070 1#0##0#0#0.0#2019-10-08
14:19:48#0#00:00:00#00:00:00#00:00:00 1 11e220282b2b40f79b42bdbd018cf9b0
7171104 C 3 CP 2 07/10/2019 07/10/2019 28/01/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ERNIE MUAJA 002504 66 24358 DR PAULA M V
LUMUNON,SPM 0309R0191019V001021 0000138266008 3;JKN linda03;
5.3.9.201904290125 4 80071 1#0##0#0#0.0#2019-10-08
14:20:23#0#00:00:00#00:00:00#00:00:00 1 ef461bb90b918c181ab727c2396324e7
7171104 C 3 CP 2 07/10/2019 07/10/2019 03/06/1955 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EVIE RUMAMBI 031174 64 23502 DR
SAUL RAPAR,SPM 0309R0191019V001023 0000137946071 3;JKN linda03;
5.3.9.201904290125 4 80072 1#0##0#0#0.0#2019-10-08
14:20:53#0#00:00:00#00:00:00#00:00:00 1 d500335c2f931f50d40037a21a89fa09
7171104 C 3 CP 2 07/10/2019 07/10/2019 28/10/1961 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NELLY SALAWATI 023848 57 21163 DR SAUL
RAPAR,SPM 0309R0191019V001024 0001448495853 3;JKN linda03;
5.3.9.201904290125 4 80073 1#0##0#0#0.0#2019-10-08
14:21:26#0#00:00:00#00:00:00#00:00:00 1 d4955145f457669c768c8a6b52608a72
7171104 C 3 CP 2 07/10/2019 07/10/2019 11/11/1951 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NONA DAREA 039660 67 24802 DR PAULA M V
LUMUNON,SPM 0309R0191019V001025 0001290806897 3;JKN linda03;
5.3.9.201904290125 4 80074 1#0##0#0#0.0#2019-10-08
14:21:57#0#00:00:00#00:00:00#00:00:00 1 ed52f7bc310532afd4c3ea9cb056f3ae
7171104 C 3 CP 2 07/10/2019 07/10/2019 19/04/1939 0 1
1 Z09.8;H10.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAX HENDRIK TANGKILISAN 008631 80 29391
DR IVONNE RAMENUSA,SPM 0309R0191019V001026 0001300001589 3;JKN
linda03; 5.3.9.201904290125 4 80075 1#0##0#0#0.0#2019-10-08
14:22:37#0#00:00:00#00:00:00#00:00:00 1 bfa724d6d25f3eec2f6f360ef95b93c2
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/09/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ZAINAB NOMBA 032543 77 28160 DR PAULA M V
LUMUNON,SPM 0309R0191019V001027 0000910918304 3;JKN Patrick K.;
5.3.9.201904290125 4 80346 1#0##0#0#0.0#2019-10-10
12:27:59#0#00:00:00#00:00:00#00:00:00 1 3a409afb48a97337198c6ffbd31a9c5e
7171104 C 3 CP 2 07/10/2019 07/10/2019 20/01/1939 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RIMBA KAROLINA MAKALEW 026224 80 29480 DR
SAUL RAPAR,SPM 0309R0191019V001028 0000137175221 3;JKN Patrick K.;
5.3.9.201904290125 4 80347 1#0##0#0#0.0#2019-10-10
12:39:31#0#00:00:00#00:00:00#00:00:00 1 0616bdcacc0cb545dd14af002878edf0
7171104 C 3 CP 2 07/10/2019 07/10/2019 03/09/1961 0 1
1 Z09.8;T85.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DARMAN AUGHOGHO 050766 58 21218 DR
SALAM SURBAKTI,SPM 0309R0191019V001029 0001570481019 3;JKN Patrick K.;
5.3.9.201904290125 4 80348 1#0##0#0#0.0#2019-10-10
12:54:51#0#00:00:00#00:00:00#00:00:00 1 c8a696234ce951ac3f22407c1f73ea14
7171104 C 3 CP 2 07/10/2019 07/10/2019 06/07/1969 0 2
1 Z09.8;H20.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OWAN TOWADI 049854 50 18355 DR IVONNE
RAMENUSA,SPM 0309R0191019V001030 0002239782592 3;JKN Patrick K.;
5.3.9.201904290125 4 80349 1#0##0#0#0.0#2019-10-10
12:56:52#0#00:00:00#00:00:00#00:00:00 1 3a3dfe606e541505b5c9dfe6fab88fa3
7171104 C 3 CP 2 07/10/2019 07/10/2019 31/07/1964 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TELLY RURUGALA 051903 55 20156 DR IVONNE
RAMENUSA,SPM 0309R0191019V001031 0002060480643 3;JKN Patrick K.;
5.3.9.201904290125 4 80350 1#0##0#0#0.0#2019-10-10
12:58:05#0#00:00:00#00:00:00#00:00:00 1 d89dc9f9b1d962c0d518dcd57b8e07e8
7171104 C 3 CP 2 07/10/2019 07/10/2019 02/06/1937 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YUS RONDONUWU 051341 82 30077 DR PAULA M V
LUMUNON,SPM 0309R0191019V001032 0000908187952 3;JKN Patrick K.;
5.3.9.201904290125 4 80351 1#0##0#0#0.0#2019-10-10
12:58:55#0#00:00:00#00:00:00#00:00:00 1 14ab2ddc5913223feb3a54384a468881
7171104 C 3 CP 2 07/10/2019 07/10/2019 18/11/1940 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SARTJE NAOMI KINDANGEN 051570 78 28812
DR SAUL RAPAR,SPM 0309R0191019V001033 0000138834854 3;JKN Patrick K.;
5.3.9.201904290125 4 80352 1#0##0#0#0.0#2019-10-10
12:59:46#0#00:00:00#00:00:00#00:00:00 1 02bf3e046e6d5c87d21cd4ccc884470c
7171104 C 3 CP 2 07/10/2019 07/10/2019 16/07/1942 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NURLELI GONI 052179 77 28207 DR SAUL
RAPAR,SPM 0309R0191019V001034 0000138812332 3;JKN Patrick K.;
5.3.9.201904290125 4 80353 1#0##0#0#0.0#2019-10-10
13:01:14#0#00:00:00#00:00:00#00:00:00 1 f5d30f220989f9d35cfc643554492697
7171104 C 3 CP 2 07/10/2019 07/10/2019 06/05/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FIENTJE M. PALAR 051965 71 26086 DR SALAM
SURBAKTI,SPM 0309R0191019V001035 0000138278766 3;JKN Patrick K.;
5.3.9.201904290125 4 80354 1#0##0#0#0.0#2019-10-10
13:02:35#0#00:00:00#00:00:00#00:00:00 1 348d626c872b4e81c8f0517a3bdb2268
7171104 C 3 CP 2 07/10/2019 07/10/2019 18/12/1971 0 2
1 Z09.8;H15.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RINSABANIA LIANGKABA 020787 47 17460
DR IVONNE RAMENUSA,SPM 0309R0191019V001036 0000910986456 3;JKN
Patrick K.; 5.3.9.201904290125 4 80355 1#0##0#0#0.0#2019-10-10
13:03:43#0#00:00:00#00:00:00#00:00:00 1 864d1f6e65ad3dff3ba0c2578b60d7ad
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/01/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNA MARIE PALIT 051908 64 23655 DR IVONNE
RAMENUSA,SPM 0309R0191019V001037 0000907851982 3;JKN Patrick K.;
5.3.9.201904290125 4 80356 1#0##0#0#0.0#2019-10-10
13:04:39#0#00:00:00#00:00:00#00:00:00 1 0664a7e572bdc6c0818c625f2d09fd9a
7171104 C 3 CP 2 07/10/2019 07/10/2019 20/03/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SARMINA MONGKAU 048950 67 24672 DR PAULA M V
LUMUNON,SPM 0309R0191019V001038 0001281360442 3;JKN Patrick K.;
5.3.9.201904290125 4 80357 1#0##0#0#0.0#2019-10-10
13:05:32#0#00:00:00#00:00:00#00:00:00 1 614bfb6537c2e8905d39ca62bd573808
7171104 C 3 CP 2 07/10/2019 07/10/2019 21/08/1969 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALTJE TUNTU 052035 50 18309 DR SAUL RAPAR,SPM
0309R0191019V001039 0001604390837 3;JKN Patrick K.; 5.3.9.201904290125
4 80358 1#0##0#0#0.0#2019-10-10 13:06:39#0#00:00:00#00:00:00#00:00:00
1 178a8836305ecae690b0ee1cf5cfc9f8
7171104 C 3 CP 2 07/10/2019 07/10/2019 04/05/1935 0 2
1 Z09.8;H52.1;H52.2;Z96.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 IMELDA ANGKOUW 014541 84 30837 DR
SAUL RAPAR,SPM 0309R0191019V001040 0000207627412 3;JKN Patrick K.;
5.3.9.201904290125 4 80359 1#0##0#0#0.0#2019-10-10
13:07:44#0#00:00:00#00:00:00#00:00:00 1 228df83058b6196d73b27867144cf0dd
7171104 C 3 CP 2 07/10/2019 07/10/2019 28/01/1971 0 1
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JERIKO ALEX WANTAH 050137 48 17784
DR IVONNE RAMENUSA,SPM 0309R0191019V001041 0001833835948 3;JKN
Patrick K.; 5.3.9.201904290125 4 80360 1#0##0#0#0.0#2019-10-10
13:08:48#0#00:00:00#00:00:00#00:00:00 1 b0104e8ff4ddcdd827b9a541c63b2d2d
7171104 C 3 CP 2 07/10/2019 07/10/2019 02/12/1960 0 2
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MASYE TUNTU 025948 58 21493 DR SAUL
RAPAR,SPM 0309R0191019V001042 0000139014764 3;JKN Patrick K.;
5.3.9.201904290125 4 80361 1#0##0#0#0.0#2019-10-10
13:10:08#0#00:00:00#00:00:00#00:00:00 1 057f0349d2c059fe24df7f7e04ac650a
7171104 C 3 CP 2 07/10/2019 07/10/2019 18/06/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BURHAN OWU 030263 67 24582 DR SALAM
SURBAKTI,SPM 0309R0191019V001043 0002275821461 3;JKN Patrick K.;
5.3.9.201904290125 4 80362 1#0##0#0#0.0#2019-10-10
13:11:22#0#00:00:00#00:00:00#00:00:00 1 c19ee8c2a3d4a666b3d9fb5d0962a500
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/01/1941 0 2
1 Z09.8;H52.1;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NAOMI ELUNGAN 050387 78 28768 DR
IVONNE RAMENUSA,SPM 0309R0191019V001044 0000906356709 3;JKN Patrick K.;
5.3.9.201904290125 4 80363 1#0##0#0#0.0#2019-10-10
13:13:08#0#00:00:00#00:00:00#00:00:00 1 2dbeca26b70b5f67268ea5be3c5a331a
7171104 C 3 CP 2 07/10/2019 07/10/2019 10/11/1934 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAX JOHANIS LAPIAN 028319 84 31012 DR
PAULA M V LUMUNON,SPM 0309R0191019V001045 0000138177279 3;JKN Patrick K.;
5.3.9.201904290125 4 80364 1#0##0#0#0.0#2019-10-10
13:13:59#0#00:00:00#00:00:00#00:00:00 1 3e5043e819a2817cfed4ef99beccad8b
7171104 C 3 CP 2 07/10/2019 07/10/2019 07/01/1962 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHANA WEHANTOUW 052085 57 21092 DR SALAM
SURBAKTI,SPM 0309R0191019V001046 0000137883317 3;JKN Patrick K.;
5.3.9.201904290125 4 80365 1#0##0#0#0.0#2019-10-10
13:15:22#0#00:00:00#00:00:00#00:00:00 1 f7c89fb6688485c5840fe7af8474214f
7171104 C 3 CP 2 07/10/2019 07/10/2019 20/07/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KARLINA MANSEH 020590 69 25281 DR PAULA M V
LUMUNON,SPM 0309R0191019V001047 0001066689573 3;JKN Patrick K.;
5.3.9.201904290125 4 80366 1#0##0#0#0.0#2019-10-10
13:16:19#0#00:00:00#00:00:00#00:00:00 1 ba21d6e0bcb9648996a34bd5e8b37b1a
7171104 C 3 CP 2 07/10/2019 07/10/2019 18/03/1944 0 2
1 Z09.8;H44.5;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MM SUMAMPOUW REPPIE 004863 75 27596
DR PAULA M V LUMUNON,SPM 0309R0191019V001048 0000138230684 3;JKN
Patrick K.; 5.3.9.201904290125 4 80367 1#0##0#0#0.0#2019-10-10
13:17:18#0#00:00:00#00:00:00#00:00:00 1 20a0a7e22cfd796b31d67abd5242e91a
7171104 C 3 CP 2 07/10/2019 07/10/2019 12/12/1964 0 2
1 Z09.8;H25.0;E11.3 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CILFIA POLUAN 006062 54 20022 DR
SALAM SURBAKTI,SPM 0309R0191019V001049 0001439312321 3;JKN Patrick K.;
5.3.9.201904290125 4 80368 1#0##0#0#0.0#2019-10-10
13:18:29#0#00:00:00#00:00:00#00:00:00 1 7d0071a876246313ffdcc9eb14c44391
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/06/1966 0 1
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JHONNI TUMBELAKA 051478 53 19486 DR
IVONNE RAMENUSA,SPM 0309R0191019V001050 0000907441975 3;JKN Patrick K.;
5.3.9.201904290125 4 80369 1#0##0#0#0.0#2019-10-10
13:19:45#0#00:00:00#00:00:00#00:00:00 1 f8e100e7162460a99afb0a937a004fa2
7171104 C 3 CP 2 07/10/2019 07/10/2019 27/01/1937 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHANA KUMAYAS 050493 82 30203 DR IVONNE
RAMENUSA,SPM 0309R0191019V001052 0002400876696 3;JKN Patrick K.;
5.3.9.201904290125 4 80370 1#0##0#0#0.0#2019-10-10
13:20:35#0#00:00:00#00:00:00#00:00:00 1 ca70ce3900f9b3b7488cc16b742991ca
7171104 C 3 CP 2 07/10/2019 07/10/2019 23/02/1998 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VICKI VERNANDO KAENG 052181 21 7896 DR
SALAM SURBAKTI,SPM 0309R0191019V001053 0002294579755 3;JKN Patrick K.;
5.3.9.201904290125 4 80371 1#0##0#0#0.0#2019-10-10
13:21:43#0#00:00:00#00:00:00#00:00:00 1 2d23a0f7a032ccfbe5ec8e24f6f01a03
7171104 C 3 CP 2 07/10/2019 07/10/2019 11/07/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WELLY MANDEY 008012 67 24559 DR SAUL
RAPAR,SPM 0309R0191019V001054 0001572937863 3;JKN Patrick K.;
5.3.9.201904290125 4 80373 1#0##0#0#0.0#2019-10-10
13:23:11#0#00:00:00#00:00:00#00:00:00 1 15fe4ca9bc44f3df86a79d429e1d8402
7171104 C 3 CP 2 07/10/2019 07/10/2019 21/04/1963 0 1
1 Z09.8;H18.1;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TAKKI HASAN 035128 56 20623 DR IVONNE
RAMENUSA,SPM 0309R0191019V001055 0002286578013 3;JKN Patrick K.;
5.3.9.201904290125 4 80374 1#0##0#0#0.0#2019-10-10
13:24:15#0#00:00:00#00:00:00#00:00:00 1 1d9822cdca1bfab9a1d6b9069a08e901
7171104 C 3 CP 2 07/10/2019 07/10/2019 16/11/1948 0 1
1 Z09.0;H11.0;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NELTJE KINEKE PANTOUW 051608 70 25892
DR SAUL RAPAR,SPM 0309R0191019V001056 0001565073909 3;JKN Patrick K.;
5.3.9.201904290125 4 80376 1#0##0#0#0.0#2019-10-10
13:25:36#0#00:00:00#00:00:00#00:00:00 1 d7647d9847e63a3f622f9e3552ddf7bd
7171104 C 3 CP 2 07/10/2019 07/10/2019 14/06/1956 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHNY KAWINDAH 016528 63 23125 DR
PAULA M V LUMUNON,SPM 0309R0191019V001058 0001261985229 3;JKN Patrick K.;
5.3.9.201904290125 4 80377 1#0##0#0#0.0#2019-10-10
13:26:35#0#00:00:00#00:00:00#00:00:00 1 4e6983879d3ad3ad6d23204684acdcad
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/05/1960 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MINCE RAMBING 051216 59 21708 DR PAULA M V
LUMUNON,SPM 0309R0191019V001059 0000911254195 3;JKN Patrick K.;
5.3.9.201904290125 4 80378 1#0##0#0#0.0#2019-10-10
13:27:36#0#00:00:00#00:00:00#00:00:00 1 0201b663ebe0ac4a158459a4f337761a
7171104 C 3 CP 2 07/10/2019 07/10/2019 04/03/1958 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JERNIS MAABUAT 052182 61 22497 DR IVONNE
RAMENUSA,SPM 0309R0191019V001060 0000159480742 3;JKN Patrick K.;
5.3.9.201904290125 4 80380 1#0##0#0#0.0#2019-10-10
13:28:34#0#00:00:00#00:00:00#00:00:00 1 e0d3044088c00e46a22b0c95572c6902
7171104 C 3 CP 2 07/10/2019 07/10/2019 11/10/2005 0 1
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FIKAR ESAU MANAROINSONG 051940 13 5109
DR IVONNE RAMENUSA,SPM 0309R0191019V001061 0000908491555 3;JKN
Patrick K.; 5.3.9.201904290125 4 80381 1#0##0#0#0.0#2019-10-10
13:31:02#0#00:00:00#00:00:00#00:00:00 1 f4e1d2055d24244d34609a4cd22e6780
7171104 C 3 CP 2 07/10/2019 07/10/2019 02/09/1933 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ESTEFINA KUMAUNANG 052074 86 31446 DR
PAULA M V LUMUNON,SPM 0309R0191019V001062 0001305233559 3;JKN Patrick K.;
5.3.9.201904290125 4 80384 1#0##0#0#0.0#2019-10-10
13:31:45#0#00:00:00#00:00:00#00:00:00 1 3f86647a6b6d5be347ec9b210cb541e5
7171104 C 3 CP 2 07/10/2019 07/10/2019 06/06/1952 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JENNY A.MAMESAH 013663 67 24594 DR PAULA M V
LUMUNON,SPM 0309R0191019V001063 0000138268585 3;JKN Patrick K.;
5.3.9.201904290125 4 80387 1#0##0#0#0.0#2019-10-10
13:33:20#0#00:00:00#00:00:00#00:00:00 1 825a7f1c8228cde32c421a061d4169d5
7171104 C 3 CP 2 07/10/2019 07/10/2019 11/02/1994 0 1
1 Z09.8;H16.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANDREW FEKARIANTO DOODOH 050035 25
9369 DR IVONNE RAMENUSA,SPM 0309R0191019V001064 0001482525821 3;JKN
Patrick K.; 5.3.9.201904290125 4 80390 1#0##0#0#0.0#2019-10-10
13:34:44#0#00:00:00#00:00:00#00:00:00 1 b22f03acc3162ce7cc8fba90314bcc2c
7171104 C 3 CP 2 07/10/2019 07/10/2019 11/12/1961 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SYANE HARUN 052183 57 21119 DR SALAM
SURBAKTI,SPM 0309R0191019V001065 0001809712585 3;JKN Patrick K.;
5.3.9.201904290125 4 80393 1#0##0#0#0.0#2019-10-10
13:36:02#0#00:00:00#00:00:00#00:00:00 1 4e6b9a8e3e16ba9d0ba7caede7cb153d
7171104 C 3 CP 2 07/10/2019 07/10/2019 19/01/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TAMPANGOEMA JAN 050124 64 23637 DR PAULA M V
LUMUNON,SPM 0309R0191019V001066 0000139282018 3;JKN Patrick K.;
5.3.9.201904290125 4 80397 1#0##0#0#0.0#2019-10-10
13:37:30#0#00:00:00#00:00:00#00:00:00 1 ab3497a15566243be43371127e0e338f
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/02/1958 0 1
1 Z09.8;H18.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADAM BIKI 018846 61 22528 DR IVONNE
RAMENUSA,SPM 0309R0191019V001067 0000910578879 3;JKN Patrick K.;
5.3.9.201904290125 4 80399 1#0##0#0#0.0#2019-10-10
13:38:10#0#00:00:00#00:00:00#00:00:00 1 8090e56ef3ae5ddb239a3006d7f6711d
7171104 C 3 CP 2 07/10/2019 07/10/2019 15/09/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TRIENTJE SAMADI 021953 69 25224 DR PAULA M V
LUMUNON,SPM 0309R0191019V001069 0000138008283 3;JKN Patrick K.;
5.3.9.201904290125 4 80401 1#0##0#0#0.0#2019-10-10
13:38:56#0#00:00:00#00:00:00#00:00:00 1 a17ce2f1357d212c811ce11ec9f712ab
7171104 C 3 CP 2 07/10/2019 07/10/2019 06/01/1960 0 1
1 Z09.8;H17.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ABDUL RAHMAN YUSUF 005892 59 21824
DR IVONNE RAMENUSA,SPM 0309R0191019V001070 0001813938186 3;JKN
Patrick K.; 5.3.9.201904290125 4 80403 1#0##0#0#0.0#2019-10-10
13:39:43#0#00:00:00#00:00:00#00:00:00 1 57bfadce9a8d3e30f8b330b3ca591fa7
7171104 C 3 CP 2 07/10/2019 07/10/2019 12/09/1952 0 2
1 Z09.8;H16.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JURIA UGUY 018462 67 24496 DR IVONNE
RAMENUSA,SPM 0309R0191019V001071 0002062567991 3;JKN Patrick K.;
5.3.9.201904290125 4 80406 1#0##0#0#0.0#2019-10-10
13:41:33#0#00:00:00#00:00:00#00:00:00 1 f9348d67828cce7b9b94e991107aa797
7171104 C 3 CP 2 07/10/2019 07/10/2019 19/09/1956 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DARTJE KAHIMPONG 051397 63 23028 DR SAUL
RAPAR,SPM 0309R0191019V001072 0001423782865 3;JKN Patrick K.;
5.3.9.201904290125 4 80409 1#0##0#0#0.0#2019-10-10
13:42:35#0#00:00:00#00:00:00#00:00:00 1 622c131dc637f42e2495ef5a628de088
7171104 C 3 CP 2 07/10/2019 07/10/2019 13/02/1958 0 2
1 H52.0;H52.4;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BETSY PONDAAG 030869 61 22516 DR
SAUL RAPAR,SPM 0309R0191019V001073 0001421389337 3;JKN Patrick K.;
5.3.9.201904290125 4 80410 1#0##0#0#0.0#2019-10-10
13:44:33#0#00:00:00#00:00:00#00:00:00 2 2a8817e9b105d2b8bceab415c7249166
7171104 C 3 CP 2 07/10/2019 07/10/2019 04/01/1947 0 2
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANSYE J PAAT 051037 72 26574 DR
SAUL RAPAR,SPM 0309R0191019V001074 0001434704027 3;JKN Patrick K.;
5.3.9.201904290125 4 80411 1#0##0#0#0.0#2019-10-10
13:45:39#0#00:00:00#00:00:00#00:00:00 1 3110cf2c2bf6ac1985739d8dd6b6db2a
7171104 C 3 CP 2 07/10/2019 07/10/2019 17/06/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HERMAN PONTOH 036292 66 24218 DR SALAM
SURBAKTI,SPM 0309R0191019V001075 0001155083714 3;JKN Patrick K.;
5.3.9.201904290125 4 80412 1#0##0#0#0.0#2019-10-10
13:46:44#0#00:00:00#00:00:00#00:00:00 1 b0fa19802a6055af3649b327d471a6bb
7171104 C 3 CP 2 07/10/2019 07/10/2019 31/03/1952 0 2
1 Z09.8;H18.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUSNI POLII 027189 67 24661 DR IVONNE
RAMENUSA,SPM 0309R0191019V001076 0000138054486 3;JKN Patrick K.;
5.3.9.201904290125 4 80413 1#0##0#0#0.0#2019-10-10
13:47:45#0#00:00:00#00:00:00#00:00:00 1 565b2eece1c40c3a442ccf640ec7cca0
7171104 C 3 CP 2 07/10/2019 07/10/2019 26/05/1963 0 2
1 Z09.8;H52.0;H52.4;H52.2 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTHA PALELU 023456 56 20588 DR
SAUL RAPAR,SPM 0309R0191019V001077 0001268823216 3;JKN Patrick K.;
5.3.9.201904290125 4 80414 1#0##0#0#0.0#2019-10-10
13:48:44#0#00:00:00#00:00:00#00:00:00 1 54c7de608851dc7b1717ebf7d1245a0f
7171104 C 3 CP 2 07/10/2019 07/10/2019 05/12/1949 0 1
1 Z09.8;H52.0;H52.2;H52.4 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DORTJE ANNIE KUMAAT 034797 69 25508
DR SAUL RAPAR,SPM 0309R0191019V001078 0001278239591 3;JKN Patrick K.;
5.3.9.201904290125 4 80415 1#0##0#0#0.0#2019-10-10
13:50:01#0#00:00:00#00:00:00#00:00:00 1 1b1d9008834d97a3a3f069e3ca907797
7171104 C 3 CP 2 07/10/2019 07/10/2019 13/01/1947 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 MINTJE RUMAGIT 041502 72 26565 DR
PAULA M V LUMUNON,SPM 0309R0191019V001136 0001326867669 3;JKN Boni04;
5.3.9.201904290125 4 81152 1#0##0#0#0.0#2019-10-16
08:51:32#0#00:00:00#00:00:00#00:00:00 1 767672cf7e481f190d5b630c764864a2
7171104 C 3 CP 2 07/10/2019 07/10/2019 31/08/1956 0 2
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 AMATASIA MAK 020581 63 23047 DR
SALAM SURBAKTI,SPM 0309R0191019V000970 0002077820111 3;JKN Boni04;
5.3.9.201904290125 4 81153 1#0##0#0#0.0#2019-10-16
08:52:47#0#00:00:00#00:00:00#00:00:00 1 4e0fb7f5ba1ed06450101f2f04b3f6d1
7171104 C 3 CP 2 07/10/2019 07/10/2019 22/03/1956 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 MUAJA PAATH 023281 63 23209 DR SAUL
RAPAR,SPM 0309R0191019V001068 0002059757605 3;JKN Boni04;
5.3.9.201904290125 4 81154 1#0##0#0#0.0#2019-10-16
08:53:58#0#00:00:00#00:00:00#00:00:00 1 a57741c085f4ddcfffa67194cce199ba
7171104 C 3 CP 2 07/10/2019 07/10/2019 08/02/1956 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LIEM HARYANTO
043039 63 23252 DR DYANA T.WATANIA,SPM 0309R0191019V000980
0001904622941 3;JKN Boni04; 5.3.9.201904290125 4 81155
1#0##0#0#0.0#2019-10-16 08:57:49#0#00:00:00#00:00:00#00:00:00 1
b4a35f58545b5b3da10b3533468fc938
7171104 C 3 CP 2 07/10/2019 07/10/2019 14/04/1942 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HERMAN PAULUS
PURUKAN 052071 77 28300 DR MARIA E.D.S ORATMANGUN,SPM
0309R0191019V000997 0002489552684 3;JKN Boni04; 5.3.9.201904290125
4 81156 1#0##0#0#0.0#2019-10-16 08:58:50#0#00:00:00#00:00:00#00:00:00
1 298e034a4b5c0a9ce2c1aaeb4c7d60a1
7171104 C 3 CP 2 07/10/2019 07/10/2019 17/04/1953 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 AISYAH SYAUS
029108 66 24279 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001008
0001452113482 3;JKN Boni04; 5.3.9.201904290125 4 81157
1#0##0#0#0.0#2019-10-16 09:00:30#0#00:00:00#00:00:00#00:00:00 1
b1fc51e3dcb03ac4edc0a1661e45cf40
7171104 C 3 CP 2 07/10/2019 07/10/2019 17/08/1948 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOOST JUSTUS SUAK
052056 71 25983 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000998
0001903421654 3;JKN Boni04; 5.3.9.201904290125 4 81158
1#0##0#0#0.0#2019-10-16 09:01:58#0#00:00:00#00:00:00#00:00:00 1
d1a11d5a419294a63dfd8d753ebee262
7171104 C 3 CP 2 07/10/2019 07/10/2019 13/08/1966 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 AGUSTINUS MANUMPIL
022054 53 19413 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V000984
0000204445168 3;JKN Boni04; 5.3.9.201904290125 4 81159
1#0##0#0#0.0#2019-10-16 09:03:58#0#00:00:00#00:00:00#00:00:00 1
e361c7ed72871fe2ccde5f56aee1bc78
7171104 C 3 CP 2 07/10/2019 07/10/2019 14/02/1990 0 1
1 T15.0 93.57 - - None None None None Z-3-27-0 None None
None None None None PERAWATAN LUKA 186200 0 0 - 0
- 0 - 0 - 0 186200 160600 0 1 0
0 0 MURDANI MOKOAGOW 035063 29 10827 DR.MELISA RATAG,SPM
0309R0191019V001131 0002296954236 3;JKN Boni04; 5.3.9.201904290125
4 81160 1#0##0#0#0.0#2019-10-16 09:28:29#0#00:00:00#00:00:00#00:00:00
1 d7f9a9a5a6de7de40fadf31afef75270
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/08/1947 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NAOMI TINTE 052211
72 26365 DR.MELISA RATAG,SPM 0309R0191019V001152 0000907844275
3;JKN Boni04; 5.3.9.201904290125 4 81161 1#0##0#0#0.0#2019-10-16
09:30:42#0#00:00:00#00:00:00#00:00:00 1 88210c7f0a9ade2073980a4d30b0a1c4
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/04/1974 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HETMINA ROMPAH
052210 45 16625 DR.MELISA RATAG,SPM 0309R0191019V001151
0000907729097 3;JKN Boni04; 5.3.9.201904290125 4 81162
1#0##0#0#0.0#2019-10-16 09:42:34#0#00:00:00#00:00:00#00:00:00 1
1674600a55bd4a908644e8441e032260
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/06/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 RIBKA KAEMPE
052212 67 24599 DR.MELISA RATAG,SPM 0309R0191019V001153
0001243668971 3;JKN Boni04; 5.3.9.201904290125 4 81163
1#0##0#0#0.0#2019-10-16 09:43:34#0#00:00:00#00:00:00#00:00:00 1
f9b41cf63ad467915664658b94359060
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/07/1944 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 CELCIUS SILANGEN
052213 75 27491 DR.MELISA RATAG,SPM 0309R0191019V001154
0000908067418 3;JKN Boni04; 5.3.9.201904290125 4 81164
1#0##0#0#0.0#2019-10-16 09:44:44#0#00:00:00#00:00:00#00:00:00 1
200881086fa52bb4ddc84e403c611bae
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/04/1953 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARTJE KIRIMAN
052209 66 24295 DR.MELISA RATAG,SPM 0309R0191019V001150
0000908784854 3;JKN Boni04; 5.3.9.201904290125 4 81165
1#0##0#0#0.0#2019-10-16 09:45:50#0#00:00:00#00:00:00#00:00:00 1
095dc081f8237c1bdca96e8385d11650
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/01/1953 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SARAWINA KAKONDO
052205 66 24385 DR.MELISA RATAG,SPM 0309R0191019V001146
0000907758786 3;JKN Boni04; 5.3.9.201904290125 4 81166
1#0##0#0#0.0#2019-10-16 09:46:31#0#00:00:00#00:00:00#00:00:00 1
5d5e5a085a471c30db9a15b513548e42
7171104 C 3 CP 2 07/10/2019 07/10/2019 22/11/1966 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MASAAT BIN BAHAR
052208 52 19312 DR.MELISA RATAG,SPM 0309R0191019V001149
0001568720575 3;JKN Boni04; 5.3.9.201904290125 4 81167
1#0##0#0#0.0#2019-10-16 09:47:42#0#00:00:00#00:00:00#00:00:00 1
994b2fd05a8cf7ac6adcf57697c06fe6
7171104 C 3 CP 2 07/10/2019 07/10/2019 08/08/1944 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JHON TOWOLIU
052215 75 27453 DR.MELISA RATAG,SPM 0309R0191019V001156
0001066883501 3;JKN Boni04; 5.3.9.201904290125 4 81168
1#0##0#0#0.0#2019-10-16 09:48:37#0#00:00:00#00:00:00#00:00:00 1
35b64ccae114bb96a1c093bf58da637c
7171104 C 3 CP 2 07/10/2019 07/10/2019 31/08/1951 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HERMINA MAKAHINDA
052206 68 24874 DR.MELISA RATAG,SPM 0309R0191019V001147
0002237359781 3;JKN Boni04; 5.3.9.201904290125 4 81169
1#0##0#0#0.0#2019-10-16 09:49:44#0#00:00:00#00:00:00#00:00:00 1
6d45fb07d71e8e1cb2d5de278c66548a
7171104 C 3 CP 2 07/10/2019 07/10/2019 02/02/1955 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ALTJIE KALENDI
049106 64 23623 DR.MELISA RATAG,SPM 0309R0191019V001144
0002236438348 3;JKN Boni04; 5.3.9.201904290125 4 81170
1#0##0#0#0.0#2019-10-16 09:50:26#0#00:00:00#00:00:00#00:00:00 1
d9fd347911c18b071fddc9f4ef2997dd
7171104 C 3 CP 2 07/10/2019 07/10/2019 24/12/1959 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHANIS MASEHI
TAIDI 025721 59 21837 DR.MELISA RATAG,SPM 0309R0191019V001051
0002220161793 3;JKN Boni04; 5.3.9.201904290125 4 81171
1#0##0#0#0.0#2019-10-16 09:51:28#0#00:00:00#00:00:00#00:00:00 1
35ff341183ca3855bbec04282f7446a8
7171104 C 3 CP 2 07/10/2019 07/10/2019 18/04/1963 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ELEN A PANGAU
036715 56 20626 DR.MELISA RATAG,SPM 0309R0191019V000975
0000138438033 3;JKN Boni04; 5.3.9.201904290125 4 81172
1#0##0#0#0.0#2019-10-16 09:52:16#0#00:00:00#00:00:00#00:00:00 1
b7bce008857e4e659f4d9cbbeafbc288
7171104 C 3 CP 2 07/10/2019 07/10/2019 03/07/1951 0 1
1 H00.1 10.0 - - None None None None H-2-23-0 None None
None None None None PROSEDUR KECIL PADA MATA EKSTERNAL 509800 0
0 - 0 - 0 - 0 - 0 509800 150400
0 1 0 0 0 JANTJE ALBERT PALAR 007443 68 24933
DR YULIANA HARTONO,SPM 0309R0191019V001120 0000138268214 3;JKN
Boni04; 5.3.9.201904290125 4 81173 1#0##0#0#0.0#2019-10-16
10:04:40#0#00:00:00#00:00:00#00:00:00 1 8363ff2636bf6f4a78d168c02775a75d
7171104 C 3 CP 2 07/10/2019 07/10/2019 24/02/1956 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 TAKANAUMANG
STIENTJE 052131 63 23236 DR YULIANA HARTONO,SPM 0309R0191019V001112
0000139085998 3;JKN Boni04; 5.3.9.201904290125 4 81174
1#0##0#0#0.0#2019-10-16 10:05:24#0#00:00:00#00:00:00#00:00:00 1
4d7a6ec599f26bc4b1a8117d7514c27f
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/11/1961 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 PILET WENTUK
051970 57 21159 DR YULIANA HARTONO,SPM 0309R0191019V001094
0000908288392 3;JKN Boni04; 5.3.9.201904290125 4 81175
1#0##0#0#0.0#2019-10-16 10:07:14#0#00:00:00#00:00:00#00:00:00 1
075e008ee85e6165f3c5ee342ace978f
7171104 C 3 CP 2 07/10/2019 07/10/2019 07/01/1975 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JEIN TAMAHIWU
037075 44 16344 DR YULIANA HARTONO,SPM 0309R0191019V001088
0001292638814 3;JKN Boni04; 5.3.9.201904290125 4 81176
1#0##0#0#0.0#2019-10-16 10:08:05#0#00:00:00#00:00:00#00:00:00 1
d45df89371f0c02d18220016a3df67a3
7171104 C 3 CP 2 07/10/2019 07/10/2019 15/05/1941 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 APOLONIA MANOPPO
051610 78 28634 DR YULIANA HARTONO,SPM 0309R0191019V001108
0002442454301 3;JKN Boni04; 5.3.9.201904290125 4 81177
1#0##0#0#0.0#2019-10-16 10:08:54#0#00:00:00#00:00:00#00:00:00 1
8dd8a3b38a73113b43373156cdbb60b1
7171104 C 3 CP 2 07/10/2019 07/10/2019 04/11/1957 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ELSYE MAKAL 051972
61 22617 DR YULIANA HARTONO,SPM 0309R0191019V001092 0001604482165
3;JKN Boni04; 5.3.9.201904290125 4 81178 1#0##0#0#0.0#2019-10-16
10:09:37#0#00:00:00#00:00:00#00:00:00 1 70d7263a76e84993eb95148b6bbc2d26
7171104 C 3 CP 2 07/10/2019 07/10/2019 06/06/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YULIANA MANALIP
052055 67 24594 DR YULIANA HARTONO,SPM 0309R0191019V001105
0002239388109 3;JKN Boni04; 5.3.9.201904290125 4 81179
1#0##0#0#0.0#2019-10-16 10:10:35#0#00:00:00#00:00:00#00:00:00 1
5d7cbdf92db214415968599e8c6aa9a6
7171104 C 3 CP 2 07/10/2019 07/10/2019 30/08/1950 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOSEPHIEN A DENGAH
051688 69 25240 DR YULIANA HARTONO,SPM 0309R0191019V001095
0000139067684 3;JKN Boni04; 5.3.9.201904290125 4 81180
1#0##0#0#0.0#2019-10-16 10:11:37#0#00:00:00#00:00:00#00:00:00 1
e9d7e0442796a9dd27dd87baca746404
7171104 C 3 CP 2 07/10/2019 07/10/2019 02/06/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 CRESTINA MANDAGI
051679 71 26059 DR YULIANA HARTONO,SPM 0309R0191019V001098
0001341871615 3;JKN Boni04; 5.3.9.201904290125 4 81181
1#0##0#0#0.0#2019-10-16 10:12:17#0#00:00:00#00:00:00#00:00:00 1
02547e55cfa34b7db6017cd9663cac0c
7171104 C 3 CP 2 07/10/2019 07/10/2019 14/05/1946 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 WELMENTJI KATUUK
051680 73 26809 DR YULIANA HARTONO,SPM 0309R0191019V001102
0000907814621 3;JKN Boni04; 5.3.9.201904290125 4 81182
1#0##0#0#0.0#2019-10-16 10:13:29#0#00:00:00#00:00:00#00:00:00 1
17bbaf643b941c4aed8dabdd2b2b7598
7171104 C 3 CP 2 07/10/2019 07/10/2019 01/05/1951 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 WELMINA KATUUK
051683 68 24996 DR YULIANA HARTONO,SPM 0309R0191019V001100
0000907927435 3;JKN Boni04; 5.3.9.201904290125 4 81183
1#0##0#0#0.0#2019-10-16 10:14:14#0#00:00:00#00:00:00#00:00:00 1
192acbdaa2be4507ec4906dadae8289c
7171104 C 3 CP 2 07/10/2019 07/10/2019 29/04/1943 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SARTJE TUMUNDO
051693 76 27920 DR YULIANA HARTONO,SPM 0309R0191019V001104
0001341872583 3;JKN Boni04; 5.3.9.201904290125 4 81184
1#0##0#0#0.0#2019-10-16 10:14:57#0#00:00:00#00:00:00#00:00:00 1
5b5f316722413de9d1643881f4681795
7171104 C 3 CP 2 07/10/2019 07/10/2019 31/08/1945 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SANONANG LAWITAN
051858 74 27065 DR YULIANA HARTONO,SPM 0309R0191019V001110
0001604386607 3;JKN Boni04; 5.3.9.201904290125 4 81185
1#0##0#0#0.0#2019-10-16 10:15:36#0#00:00:00#00:00:00#00:00:00 1
9630d1c483fd7afe47e18270deedf421
7171104 C 3 CP 2 07/10/2019 07/10/2019 20/02/1953 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YANTJE LANO 051620
66 24335 DR YULIANA HARTONO,SPM 0309R0191019V001109 0002435165199
3;JKN Boni04; 5.3.9.201904290125 4 81186 1#0##0#0#0.0#2019-10-16
10:16:36#0#00:00:00#00:00:00#00:00:00 1 0fde968c1bb4ffb74fda84178c404b4e
7171104 C 3 CP 2 07/10/2019 07/10/2019 15/12/1954 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LEKSI KAWUWUNG
051999 64 23672 DR YULIANA HARTONO,SPM 0309R0191019V001091
0000136962325 3;JKN Boni04; 5.3.9.201904290125 4 81187
1#0##0#0#0.0#2019-10-16 10:18:39#0#00:00:00#00:00:00#00:00:00 1
48361a76e5d1118749a20846cda1df6c
7171104 C 3 CP 2 07/10/2019 07/10/2019 10/10/1956 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NURDIN KOSU 052121
62 23007 DR YULIANA HARTONO,SPM 0309R0191019V001090 0002053609007
3;JKN Boni04; 5.3.9.201904290125 4 81188 1#0##0#0#0.0#2019-10-16
10:19:32#0#00:00:00#00:00:00#00:00:00 1 e228838e00b2f400b7c79a96c31b6c27
7171104 C 3 CP 2 07/10/2019 07/10/2019 18/08/1947 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 WELLEM PUNUH
052187 72 26348 DR YULIANA HARTONO,SPM 0309R0191019V001087
0002072265401 3;JKN Boni04; 5.3.9.201904290125 4 81189
1#0##0#0#0.0#2019-10-16 10:21:20#0#00:00:00#00:00:00#00:00:00 1
9dd17b053b476724a963a47fd15b7981
7171104 C 3 CP 2 08/10/2019 08/10/2019 06/01/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JAN A BOSEKE 051427 71 26208 DR.MELISA
RATAG,SPM 0309R0191019V001449 0000137258886 3;JKN Vian02;
5.3.9.201904290125 4 80076 1#0##0#0#0.0#2019-10-09
07:20:52#0#00:00:00#00:00:00#00:00:00 1 22720fc217d49aacbe911126c8cccb5e
7171104 C 3 CP 2 08/10/2019 08/10/2019 19/07/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TANGIAN YULIANA NELY 019122 66 24187
DR.MELISA RATAG,SPM 0309R0191019V001448 0000138768715 3;JKN
Vian02; 5.3.9.201904290125 4 80077 1#0##0#0#0.0#2019-10-09
07:22:23#0#00:00:00#00:00:00#00:00:00 1 2e738f82c809ed5c993f4a01e0c9a657
7171104 C 3 CP 2 08/10/2019 08/10/2019 22/08/1979 0 1
1 H16.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RACHMAN SOAMOLE 052286 40 14657 DR.MELISA
RATAG,SPM 0309R0191019V001447 0002890966105 3;JKN Vian02;
5.3.9.201904290125 4 80078 1#0##0#0#0.0#2019-10-09
07:24:25#0#00:00:00#00:00:00#00:00:00 1 d87e882c3001e9ad99c572e9e066ef55
7171104 C 3 CP 2 08/10/2019 08/10/2019 30/07/1985 0 1
1 Z09.8;H47.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FERDINAND RONALD BILLY LELENG 001970 34
12488 DR.MELISA RATAG,SPM 0309R0191019V001446 0002036607276 3;JKN
Vian02; 5.3.9.201904290125 4 80079 1#0##0#0#0.0#2019-10-09
07:25:10#0#00:00:00#00:00:00#00:00:00 1 c69972bc53995e40e9a09f8f61e361bc
7171104 C 3 CP 2 08/10/2019 08/10/2019 31/07/1940 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHANIS KARAMOY 052285 79 28923 DR.MELISA
RATAG,SPM 0309R0191019V001445 0001876506963 3;JKN Vian02;
5.3.9.201904290125 4 80080 1#0##0#0#0.0#2019-10-09
07:26:18#0#00:00:00#00:00:00#00:00:00 1 b09d57cfffcff968b701935f28765a2f
7171104 C 3 CP 2 08/10/2019 08/10/2019 13/01/1970 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JANTY M. RUMIMPUNU 052277 49 18165
DR.MELISA RATAG,SPM 0309R0191019V001438 0000138462366 3;JKN
Vian02; 5.3.9.201904290125 4 80081 1#0##0#0#0.0#2019-10-09
07:27:41#0#00:00:00#00:00:00#00:00:00 1 3a7133c91a5be66de3167209ae31c4b3
7171104 C 3 CP 2 08/10/2019 08/10/2019 26/04/1978 0 2
1 H04.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JUNITA MEINI KOWEL 052276 41 15140
DR.MELISA RATAG,SPM 0309R0191019V001437 0000138463299 3;JKN
Vian02; 5.3.9.201904290125 4 80082 1#0##0#0#0.0#2019-10-09
07:28:45#0#00:00:00#00:00:00#00:00:00 1 4914e8644dd2a0c556d5395d5abdf451
7171104 C 3 CP 2 08/10/2019 08/10/2019 14/02/1966 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRIEDA FIETJE MEDELU 047026 53 19594
DR.MELISA RATAG,SPM 0309R0191019V001436 0000138459723 3;JKN
Vian02; 5.3.9.201904290125 4 80083 1#0##0#0#0.0#2019-10-09
07:30:12#0#00:00:00#00:00:00#00:00:00 1 862a65f260dbdf7f46ad9b6a61444a1a
7171104 C 3 CP 2 08/10/2019 08/10/2019 20/04/2002 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARLINA HUSAIN 052274 17 6380 DR.MELISA
RATAG,SPM 0309R0191019V001435 0001569865127 3;JKN Vian02;
5.3.9.201904290125 4 80084 1#0##0#0#0.0#2019-10-09
07:30:58#0#00:00:00#00:00:00#00:00:00 1 0997beac1ed587572575f80b4e5eca75
7171104 C 3 CP 2 08/10/2019 08/10/2019 26/09/1976 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ETBERT HERRIE ASSAH 039344 43 15717
DR.MELISA RATAG,SPM 0309R0191019V001434 0002441158839 3;JKN
Vian02; 5.3.9.201904290125 4 80085 1#0##0#0#0.0#2019-10-09
07:32:27#0#00:00:00#00:00:00#00:00:00 1 626bf12a2c8557f54ab62ed0040ebbdb
7171104 C 3 CP 2 08/10/2019 08/10/2019 08/09/1989 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADRIE MAWIKERE 043791 30 10987 DR.MELISA
RATAG,SPM 0309R0191019V001432 0001565227517 3;JKN Vian02;
5.3.9.201904290125 4 80086 1#0##0#0#0.0#2019-10-09
07:33:37#0#00:00:00#00:00:00#00:00:00 1 de5a8221fd751e37b0a99170c7717e2a
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/09/1976 0 1
1 Z09.8;H16.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STEVEN RORONG 051992 43 15742
DR.MELISA RATAG,SPM 0309R0191019V001431 0001066869944 3;JKN
Vian02; 5.3.9.201904290125 4 80087 1#0##0#0#0.0#2019-10-09
07:34:28#0#00:00:00#00:00:00#00:00:00 1 305fa7649850feb142bef69398501c43
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/09/1951 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WANTAH JEHESKIEL MAKALEW 050065 68 24874
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001430 0000910211804 3;JKN
Vian02; 5.3.9.201904290125 4 80088 1#0##0#0#0.0#2019-10-09
07:45:43#0#00:00:00#00:00:00#00:00:00 1 3b7214a3851bbbf7c26c5de3727b51b3
7171104 C 3 CP 2 08/10/2019 08/10/2019 06/08/1963 0 2
1 H04.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MERRY ANSYE RORONG 052273 56 20517
DR.MELISA RATAG,SPM 0309R0191019V001429 0001574507621 3;JKN
Vian02; 5.3.9.201904290125 4 80089 1#0##0#0#0.0#2019-10-09
07:46:58#0#00:00:00#00:00:00#00:00:00 1 ce319394c686f2392ed3359dc2e79576
7171104 C 3 CP 2 08/10/2019 08/10/2019 19/03/1978 0 2
1 D23.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SHERLY GEORGE 052258 41 15178 DR YULIANA
HARTONO,SPM 0309R0191019V001428 0002077493444 3;JKN Vian02;
5.3.9.201904290125 4 80090 1#0##0#0#0.0#2019-10-09
07:47:57#0#00:00:00#00:00:00#00:00:00 1 1fe05bc946659d12ea78d5fe5a4d9eb7
7171104 C 3 CP 2 08/10/2019 08/10/2019 09/09/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SHERLY PANGAU 049389 62 22674 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V001427 0002235091252 3;JKN Vian02;
5.3.9.201904290125 4 80091 1#0##0#0#0.0#2019-10-09
07:48:40#0#00:00:00#00:00:00#00:00:00 1 3ea55b1e417d9c56e4646e91960b43d4
7171104 C 3 CP 2 08/10/2019 08/10/2019 18/12/1967 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MOHAMAD BIKI 051008 51 18922 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V001426 0002136210805 3;JKN Vian02;
5.3.9.201904290125 4 80092 1#0##0#0#0.0#2019-10-09
07:49:32#0#00:00:00#00:00:00#00:00:00 1 d723d07510b7950e5467669975ae66cc
7171104 C 3 CP 2 08/10/2019 08/10/2019 28/03/1957 0 2
1 Z09.8;H02.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTJE DOROTHEA KUMENTAS 045032 62
22839 DR.MELISA RATAG,SPM 0309R0191019V001425 0001795564124 3;JKN
Vian02; 5.3.9.201904290125 4 80093 1#0##0#0#0.0#2019-10-09
07:50:16#0#00:00:00#00:00:00#00:00:00 1 6bde4116c8fabb532cb632567e48f4f5
7171104 C 3 CP 2 08/10/2019 08/10/2019 03/09/1947 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA TH. NGANTUNG S 051975 72 26333
DR YULIANA HARTONO,SPM 0309R0191019V001424 0000137168673 3;JKN
Vian02; 5.3.9.201904290125 4 80094 1#0##0#0#0.0#2019-10-09
07:51:15#0#00:00:00#00:00:00#00:00:00 1 c5f2369de0f36702b2f15207c3e4b039
7171104 C 3 CP 2 08/10/2019 08/10/2019 04/05/1948 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DRS. WILHELMUS MAIT 051653 71 26089
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001423 0000137178865 3;JKN
Vian02; 5.3.9.201904290125 4 80095 1#0##0#0#0.0#2019-10-09
07:51:53#0#00:00:00#00:00:00#00:00:00 1 a71aa5e210eb292c86cc4c519850b622
7171104 C 3 CP 2 08/10/2019 08/10/2019 12/07/1947 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LUSYE TINTINGON 051969 72 26386 DR
YULIANA HARTONO,SPM 0309R0191019V001422 0001250406527 3;JKN Vian02;
5.3.9.201904290125 4 80096 1#0##0#0#0.0#2019-10-09
07:52:44#0#00:00:00#00:00:00#00:00:00 1 1d7c5717b7fa3bfe3f2be8a2f4010c3d
7171104 C 3 CP 2 08/10/2019 08/10/2019 09/09/1953 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUSANA SELVIE PANDELEKE 050858 66 24135
DR YULIANA HARTONO,SPM 0309R0191019V001421 0002225508603 3;JKN
Vian02; 5.3.9.201904290125 4 80097 1#0##0#0#0.0#2019-10-09
07:53:39#0#00:00:00#00:00:00#00:00:00 1 51237ff7eac325704af6850dabc02426
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/03/1961 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARITJE PONGOH 051967 58 21405 DR YULIANA
HARTONO,SPM 0309R0191019V001420 0000907846209 3;JKN Vian02;
5.3.9.201904290125 4 80098 1#0##0#0#0.0#2019-10-09
07:54:24#0#00:00:00#00:00:00#00:00:00 1 2369add11956a66dd2892f3078afc3a5
7171104 C 3 CP 2 08/10/2019 08/10/2019 16/01/1953 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOHANIS KATUUK 051983 66 24371 DR
YULIANA HARTONO,SPM 0309R0191019V001419 0001066870124 3;JKN Vian02;
5.3.9.201904290125 4 80099 1#0##0#0#0.0#2019-10-09
07:55:01#0#00:00:00#00:00:00#00:00:00 1 ae7e08137dd3a8bdbfa07654c35bc8e9
7171104 C 3 CP 2 08/10/2019 08/10/2019 13/07/1941 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KATOTJE KARISIHE 035173 78 28576 DR YULIANA
HARTONO,SPM 0309R0191019V001418 0002216515285 3;JKN Vian02;
5.3.9.201904290125 4 80100 1#0##0#0#0.0#2019-10-09
07:55:45#0#00:00:00#00:00:00#00:00:00 1 279cf5781a39adba558d905ce7c8c2ff
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/10/1974 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RUTH PONGOH 051974 45 16443 DR YULIANA
HARTONO,SPM 0309R0191019V001417 0001066870337 3;JKN Vian02;
5.3.9.201904290125 4 80101 1#0##0#0#0.0#2019-10-09
07:57:07#0#00:00:00#00:00:00#00:00:00 1 a68d58224a8ec9df19cd7dcb4e49dc7a
7171104 C 3 CP 2 08/10/2019 08/10/2019 29/06/1959 0 1
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SIMON PETRUS ZACHARIAS POLII 011149 60
22016 DR YULIANA HARTONO,SPM 0309R0191019V001416 0000138351115 3;JKN
Vian02; 5.3.9.201904290125 4 80102 1#0##0#0#0.0#2019-10-09
07:57:47#0#00:00:00#00:00:00#00:00:00 1 41ae44ddaf1b45d6789335cc7b9fc8ba
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/10/2001 0 1
1 Z09.8;H52.7 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALBERTO MALIMBE 041847 18 6581 DR
YULIANA HARTONO,SPM 0309R0191019V001415 0000907065764 3;JKN Vian02;
5.3.9.201904290125 4 80103 1#0##0#0#0.0#2019-10-09
07:58:52#0#00:00:00#00:00:00#00:00:00 1 d5aa0701821164d55a40fdc4d6a0559b
7171104 C 3 CP 2 08/10/2019 08/10/2019 20/07/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIANA ANITHA SASIA 010195 67 24551
DR.MELISA RATAG,SPM 0309R0191019V001414 0000137852289 3;JKN
Vian02; 5.3.9.201904290125 4 80104 1#0##0#0#0.0#2019-10-09
07:59:39#0#00:00:00#00:00:00#00:00:00 1 1f091e487f29958cf67192d4ac8f87a8
7171104 C 3 CP 2 08/10/2019 08/10/2019 22/03/1941 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MIEKE MANOPPO OROH NY 051529 78 28689
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001413 0000137141908 3;JKN
Vian02; 5.3.9.201904290125 4 80105 1#0##0#0#0.0#2019-10-09
08:00:22#0#00:00:00#00:00:00#00:00:00 1 a27e6206051e5f19b145a1c2429176a8
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/12/1982 0 1
1 Z09.8;H59.0;H33.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JERRY KARWUR 008777 36 13460 DR
YULIANA HARTONO,SPM 0309R0191019V001412 0001274161059 3;JKN Vian02;
5.3.9.201904290125 4 80106 1#0##0#0#0.0#2019-10-09
08:01:13#0#00:00:00#00:00:00#00:00:00 1 98c43b098bf0d1c3be6f192c4bfd394c
7171104 C 3 CP 2 08/10/2019 08/10/2019 27/05/1970 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WAHIDA SELLE 052272 49 18031 DR.MELISA
RATAG,SPM 0309R0191019V001411 0000905407233 3;JKN Vian02;
5.3.9.201904290125 4 80107 1#0##0#0#0.0#2019-10-09
08:02:03#0#00:00:00#00:00:00#00:00:00 1 55e905b6a449a30ed25d2ff3c090e5bb
7171104 C 3 CP 2 08/10/2019 08/10/2019 23/02/1949 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA YOSEFIN KATUUK 051984 70 25794
DR YULIANA HARTONO,SPM 0309R0191019V001410 0002034873641 3;JKN
Vian02; 5.3.9.201904290125 4 80108 1#0##0#0#0.0#2019-10-09
08:02:54#0#00:00:00#00:00:00#00:00:00 1 ad8f466c4828dea7c3f80e9ed5cb6d47
7171104 C 3 CP 2 08/10/2019 08/10/2019 25/05/1949 0 2
1 Z09.8;H49.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JENNY EMMA LOING 052024 70 25703 DR
YULIANA HARTONO,SPM 0309R0191019V001409 0000137164048 3;JKN Vian02;
5.3.9.201904290125 4 80109 1#0##0#0#0.0#2019-10-09
08:04:05#0#00:00:00#00:00:00#00:00:00 1 c202ab765894189556871cc1d68160ea
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/10/1966 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FREDY RUATA 052270 53 19365 DR.MELISA
RATAG,SPM 0309R0191019V001408 0000908136641 3;JKN Vian02;
5.3.9.201904290125 4 80110 1#0##0#0#0.0#2019-10-09
08:04:58#0#00:00:00#00:00:00#00:00:00 1 45de770c24a26ee666dd2110657e4004
7171104 C 3 CP 2 08/10/2019 08/10/2019 22/02/1939 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BELTAZAR PONTOH 051493 80 29448 DR.MELISA
RATAG,SPM 0309R0191019V001407 0002253997405 3;JKN Vian02;
5.3.9.201904290125 4 80111 1#0##0#0#0.0#2019-10-09
08:57:18#0#00:00:00#00:00:00#00:00:00 1 fb8c3c8b12c357eea6e428c5ef67665e
7171104 C 3 CP 2 08/10/2019 08/10/2019 28/04/1957 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELIZABETH ROOSJE PONGOH 052271 62 22808
DR YULIANA HARTONO,SPM 0309R0191019V001406 0000138292424 3;JKN
Vian02; 5.3.9.201904290125 4 80112 1#0##0#0#0.0#2019-10-09
08:58:14#0#00:00:00#00:00:00#00:00:00 1 90f0d9790b655716802ac1df23976bb1
7171104 C 3 CP 2 08/10/2019 08/10/2019 14/11/1957 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VEINE DINTJE RATULANGI 052269 61 22608
DR.MELISA RATAG,SPM 0309R0191019V001405 0001570726269 3;JKN
Vian02; 5.3.9.201904290125 4 80113 1#0##0#0#0.0#2019-10-09
08:59:23#0#00:00:00#00:00:00#00:00:00 1 db7f5ac150b77e56a7273502877f7d47
7171104 C 3 CP 2 08/10/2019 08/10/2019 20/12/1954 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JETTY TINTINGON 051976 64 23668 DR
YULIANA HARTONO,SPM 0309R0191019V001404 0001604482863 3;JKN Vian02;
5.3.9.201904290125 4 80114 1#0##0#0#0.0#2019-10-09
09:00:15#0#00:00:00#00:00:00#00:00:00 1 05a2db73e4c28f7d4764e5b9a42b9d06
7171104 C 3 CP 2 08/10/2019 08/10/2019 28/09/1964 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SYANE RATULANGI 052268 55 20098
DR.MELISA RATAG,SPM 0309R0191019V001403 0001889032691 3;JKN
Vian02; 5.3.9.201904290125 4 80115 1#0##0#0#0.0#2019-10-09
09:01:03#0#00:00:00#00:00:00#00:00:00 1 4fb4e729b3e942aebc462bc05b97d2f9
7171104 C 3 CP 2 08/10/2019 08/10/2019 07/12/1958 0 2
1 Z09.8;H02.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANEKE TAMPOMALU 048159 60 22220
DR.MELISA RATAG,SPM 0309R0191019V001402 0000136955103 3;JKN
Vian02; 5.3.9.201904290125 4 80116 1#0##0#0#0.0#2019-10-09
09:01:56#0#00:00:00#00:00:00#00:00:00 1 902186c42782a13cf6b8a4225a6c4591
7171104 C 3 CP 2 08/10/2019 08/10/2019 11/08/1963 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SALEH MUSA 050633 56 20512 DR YULIANA
HARTONO,SPM 0309R0191019V001401 0002236775422 3;JKN Vian02;
5.3.9.201904290125 4 80117 1#0##0#0#0.0#2019-10-09
09:02:41#0#00:00:00#00:00:00#00:00:00 1 873d24318b1ed4cf50357cfc9c92a2df
7171104 C 3 CP 2 08/10/2019 08/10/2019 07/07/1940 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIANUS BENONI MARANGKEY 030358 79
28947 DR.MELISA RATAG,SPM 0309R0191019V001400 0000046250403 3;JKN
Vian02; 5.3.9.201904290125 4 80118 1#0##0#0#0.0#2019-10-09
09:03:32#0#00:00:00#00:00:00#00:00:00 1 9f0549719e8df7443d5c4e79addaf52d
7171104 C 3 CP 2 08/10/2019 08/10/2019 29/08/1964 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KAREL EFRAIM LASUT 049381 55 20128
DR.MELISA RATAG,SPM 0309R0191019V001399 0001094204169 3;JKN
Vian02; 5.3.9.201904290125 4 80119 1#0##0#0#0.0#2019-10-09
09:04:15#0#00:00:00#00:00:00#00:00:00 1 37921d699128e832a682b68df6e45229
7171104 C 3 CP 2 08/10/2019 08/10/2019 06/10/1945 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NY. JEMMY L MENAJANG 040273 74 27030
DR YULIANA HARTONO,SPM 0309R0191019V001397 0000138190959 3;JKN
Vian02; 5.3.9.201904290125 4 80120 1#0##0#0#0.0#2019-10-09
09:05:05#0#00:00:00#00:00:00#00:00:00 1 2d8098fcc609a3031e3b0835ef4c436b
7171104 C 3 CP 2 08/10/2019 08/10/2019 15/09/1962 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HUSNA UMAR 052267 57 20842 DR MARIA E.D.S
ORATMANGUN,SPM 0309R0191019V001396 0001318419279 3;JKN Vian02;
5.3.9.201904290125 4 80121 1#0##0#0#0.0#2019-10-09
09:05:45#0#00:00:00#00:00:00#00:00:00 1 1a5347e5a9197154e83b004ef23361dc
7171104 C 3 CP 2 08/10/2019 08/10/2019 03/11/1944 0 2
1 Z96.1;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTENSI TATANGINDATU 051003 74 27367
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001395 0002040693895 3;JKN
Vian02; 5.3.9.201904290125 4 80122 1#0##0#0#0.0#2019-10-09
09:06:34#0#00:00:00#00:00:00#00:00:00 1 9b69a6c9b82cee679fd803c6db7c9204
7171104 C 3 CP 2 08/10/2019 08/10/2019 16/01/1944 0 1
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANTJE TAMPA 033535 75 27659 DR
YULIANA HARTONO,SPM 0309R0191019V001394 0000204590248 3;JKN Vian02;
5.3.9.201904290125 4 80123 1#0##0#0#0.0#2019-10-09
09:07:24#0#00:00:00#00:00:00#00:00:00 1 df81ddafb14d0f5fb218ecfeb52435bd
7171104 C 3 CP 2 08/10/2019 08/10/2019 18/08/1954 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 GUSTAP FAICI 052266 65 23792 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V001393 0002474455487 3;JKN Vian02;
5.3.9.201904290125 4 80124 1#0##0#0#0.0#2019-10-09
09:08:19#0#00:00:00#00:00:00#00:00:00 1 88b2be9578875100efe8dee54091faa6
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/10/1937 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAGDALENA KAWUWUNG 022057 82 29957 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001392 0000910105593 3;JKN
Vian02; 5.3.9.201904290125 4 80125 1#0##0#0#0.0#2019-10-09
09:09:17#0#00:00:00#00:00:00#00:00:00 1 a75e1757d601eaeea70bb7a54be146f5
7171104 C 3 CP 2 08/10/2019 08/10/2019 08/07/1934 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SOENYSON ROEDOLF THE 051901 85 31138
DR.MELISA RATAG,SPM 0309R0191019V001391 0001890906017 3;JKN
Vian02; 5.3.9.201904290125 4 80126 1#0##0#0#0.0#2019-10-09
09:54:14#0#00:00:00#00:00:00#00:00:00 1 e9e4f79f55f19a26368d768a0a81e2c0
7171104 C 3 CP 2 08/10/2019 08/10/2019 17/09/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NURJANI HUSAIN 051183 69 25223 DR.MELISA
RATAG,SPM 0309R0191019V001390 0002220307727 3;JKN Vian02;
5.3.9.201904290125 4 80127 1#0##0#0#0.0#2019-10-09
09:56:25#0#00:00:00#00:00:00#00:00:00 1 0f3cd9a9c7506430a95f64393da9ccf6
7171104 C 3 CP 2 08/10/2019 08/10/2019 03/10/1952 0 2
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OSYE TUMBOIMBELA 024212 67 24476 DR
YULIANA HARTONO,SPM 0309R0191019V001389 0000138872294 3;JKN Vian02;
5.3.9.201904290125 4 80128 1#0##0#0#0.0#2019-10-09
09:57:22#0#00:00:00#00:00:00#00:00:00 1 addb548f54ee9d514bc0b164d86d6b9a
7171104 C 3 CP 2 08/10/2019 08/10/2019 13/10/1968 0 2
1 Z09.8;H00.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MASNIN TABANSA 027372 50 18622 DR
YULIANA HARTONO,SPM 0309R0191019V001388 0001131958653 3;JKN Vian02;
5.3.9.201904290125 4 80129 1#0##0#0#0.0#2019-10-09
09:58:32#0#00:00:00#00:00:00#00:00:00 1 3b5291579bf0acea716285b6b40ecd14
7171104 C 3 CP 2 08/10/2019 08/10/2019 16/11/1959 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LAMBERT HUMBAS 052044 59 21876 DR YULIANA
HARTONO,SPM 0309R0191019V001387 0001809970086 3;JKN Vian02;
5.3.9.201904290125 4 80130 1#0##0#0#0.0#2019-10-09
10:00:26#0#00:00:00#00:00:00#00:00:00 1 ce8e646dcc903598d11b0b3c3a6619d8
7171104 C 3 CP 2 08/10/2019 08/10/2019 16/12/1984 0 1
1 Z09.8;H53.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DANNI DONAL CHRISTIAN RANTUNG 042212 34
12714 DR YULIANA HARTONO,SPM 0309R0191019V001386 0001853807951 3;JKN
Vian02; 5.3.9.201904290125 4 80131 1#0##0#0#0.0#2019-10-09
10:02:33#0#00:00:00#00:00:00#00:00:00 1 64b4f82383453c074290c1ced76e9bec
7171104 C 3 CP 2 08/10/2019 08/10/2019 31/08/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HENNY TEWUH 051031 69 25240 DR YULIANA
HARTONO,SPM 0309R0191019V001385 0000138686938 3;JKN Vian02;
5.3.9.201904290125 4 80132 1#0##0#0#0.0#2019-10-09
10:03:35#0#00:00:00#00:00:00#00:00:00 1 b2356911e706fc57fa02d7a2d29acf36
7171104 C 3 CP 2 08/10/2019 08/10/2019 15/09/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JUSTINUS WELAN 042422 73 26686 DR.MELISA
RATAG,SPM 0309R0191019V001384 0001272154048 3;JKN Vian02;
5.3.9.201904290125 4 80133 1#0##0#0#0.0#2019-10-09
10:04:36#0#00:00:00#00:00:00#00:00:00 1 ec7f4c79541d2cbdf19be820bff72337
7171104 C 3 CP 2 08/10/2019 08/10/2019 04/04/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELISABETH KANDOU 051663 65 23928 DR YULIANA
HARTONO,SPM 0309R0191019V001383 0001424729463 3;JKN Vian02;
5.3.9.201904290125 4 80134 1#0##0#0#0.0#2019-10-09
10:05:17#0#00:00:00#00:00:00#00:00:00 1 9b320baf36b5e11200e3e238d6a9d4aa
7171104 C 3 CP 2 08/10/2019 08/10/2019 29/03/1942 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA MARTHA GONI 051761 77 28317 DR.MELISA
RATAG,SPM 0309R0191019V001382 0001842839368 3;JKN Vian02;
5.3.9.201904290125 4 80135 1#0##0#0#0.0#2019-10-09
10:06:18#0#00:00:00#00:00:00#00:00:00 1 56738f2705b2fd3fde8776c167047629
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/05/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MEITJE MAINDOKA 050816 66 24266 DR YULIANA
HARTONO,SPM 0309R0191019V001381 0000909411996 3;JKN Vian02;
5.3.9.201904290125 4 80136 1#0##0#0#0.0#2019-10-09
10:07:54#0#00:00:00#00:00:00#00:00:00 1 46ad9666288a11f221e0999c9bd12d27
7171104 C 3 CP 2 08/10/2019 08/10/2019 09/03/1947 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTHEN F. WUWUNGAN 007002 72 26511
DR.MELISA RATAG,SPM 0309R0191019V001380 0000138231551 3;JKN
Vian02; 5.3.9.201904290125 4 80137 1#0##0#0#0.0#2019-10-09
10:08:45#0#00:00:00#00:00:00#00:00:00 1 2bb1d1c08f958ed7c758e6ae76f518ff
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/03/1964 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HES PANDENSOLANG 051842 55 20309 DR
YULIANA HARTONO,SPM 0309R0191019V001379 0000907768776 3;JKN Vian02;
5.3.9.201904290125 4 80138 1#0##0#0#0.0#2019-10-09
10:09:41#0#00:00:00#00:00:00#00:00:00 1 42df55c8b73264576914251ceedbdfbc
7171104 C 3 CP 2 08/10/2019 08/10/2019 17/12/1966 0 2
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROLINE ESTHER KOLEANGAN 052265 52 19288 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001378 0001190932558 3;JKN
Vian02; 5.3.9.201904290125 4 80139 1#0##0#0#0.0#2019-10-09
10:10:29#0#00:00:00#00:00:00#00:00:00 1 4595e454679b5b3b188611ee58568f44
7171104 C 3 CP 2 08/10/2019 08/10/2019 10/04/1954 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BRUCE MAKAWIMBANG 007029 65 23922 DR YULIANA
HARTONO,SPM 0309R0191019V001377 0001838096638 3;JKN Vian02;
5.3.9.201904290125 4 80141 1#0##0#0#0.0#2019-10-09
10:44:28#0#00:00:00#00:00:00#00:00:00 1 c931d24c6f5a609b3a6a85310fed3ae4
7171104 C 3 CP 2 08/10/2019 08/10/2019 02/06/2011 0 1
1 Z09.8;H43.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OTHNIEL A MAKALEW 049128 8 3050 DR
YULIANA HARTONO,SPM 0309R0191019V001376 0002218790081 3;JKN Vian02;
5.3.9.201904290125 4 80142 1#0##0#0#0.0#2019-10-09
10:47:52#0#00:00:00#00:00:00#00:00:00 1 d66418dadc26526720a97af0ebacc641
7171104 C 3 CP 2 08/10/2019 08/10/2019 26/12/1951 0 1
1 Z96.1;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DENNY ATTENG 046058 67 24758
DR.MELISA RATAG,SPM 0309R0191019V001375 0001314366186 3;JKN
Vian02; 5.3.9.201904290125 4 80143 1#0##0#0#0.0#2019-10-09
10:49:03#0#00:00:00#00:00:00#00:00:00 1 80c6b184fd2f95b8156e973bf4a46e66
7171104 C 3 CP 2 08/10/2019 08/10/2019 10/09/1965 0 1
1 Z09.8;H27.0;H33.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOSEPH KAMBEY 032914 54 19751 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001374 0001387385008 3;JKN
Vian02; 5.3.9.201904290125 4 80144 1#0##0#0#0.0#2019-10-09
10:49:56#0#00:00:00#00:00:00#00:00:00 1 a92f7845678ef7796b4cca50b700b57e
7171104 C 3 CP 2 08/10/2019 08/10/2019 22/08/1957 0 2
1 H40.0;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEINY CAMELIA MONINGKA 052263 62 22692
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001373 0001971344777 3;JKN
Vian02; 5.3.9.201904290125 4 80147 1#0##0#0#0.0#2019-10-09
11:10:20#0#00:00:00#00:00:00#00:00:00 1 4921a0b18282de8576ebba602ee81d05
7171104 C 3 CP 2 08/10/2019 08/10/2019 02/11/1942 0 2
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HERIEN MANURIP 020927 76 28099 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001372 0001272650894 3;JKN
Vian02; 5.3.9.201904290125 4 80163 1#0##0#0#0.0#2019-10-09
11:49:29#0#00:00:00#00:00:00#00:00:00 1 5aa95180b15ea9e1c0fb8a23ba97a2f4
7171104 C 3 CP 2 08/10/2019 08/10/2019 05/07/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIANA MAGRITHA PONTO 051603 70 25662
DR.MELISA RATAG,SPM 0309R0191019V001371 0002228635361 3;JKN
Vian02; 5.3.9.201904290125 4 80164 1#0##0#0#0.0#2019-10-09
11:50:08#0#00:00:00#00:00:00#00:00:00 1 c08655f4987b8b9a093b81c646948c16
7171104 C 3 CP 2 08/10/2019 08/10/2019 08/09/1941 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANATJE MANURIP 047406 78 28519 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V001370 0001295326787 3;JKN Vian02;
5.3.9.201904290125 4 80165 1#0##0#0#0.0#2019-10-09
12:04:27#0#00:00:00#00:00:00#00:00:00 1 7cc99d51ad2d618bbab1bf170d768e10
7171104 C 3 CP 2 08/10/2019 08/10/2019 18/01/1933 0 2
1 Z09.8;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DETTY J. WUNGOW TAMBUN 008689 86 31674
DR.MELISA RATAG,SPM 0309R0191019V001369 0000138118274 3;JKN
Vian02; 5.3.9.201904290125 4 80166 1#0##0#0#0.0#2019-10-09
12:05:37#0#00:00:00#00:00:00#00:00:00 1 1c486290636ef371c4f215e6d86a387c
7171104 C 3 CP 2 08/10/2019 08/10/2019 17/07/2005 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MONICA GISELLE SUMUAL 052264 14 5196
DR.MELISA RATAG,SPM 0309R0191019V001368 0001879237203 3;JKN
Vian02; 5.3.9.201904290125 4 80167 1#0##0#0#0.0#2019-10-09
12:06:24#0#00:00:00#00:00:00#00:00:00 1 4006220605748d29a855657081f1fe63
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/07/1971 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HARTO TEWU KOJOH 051365 48 17631
DR.MELISA RATAG,SPM 0309R0191019V001367 0000910510582 3;JKN
Vian02; 5.3.9.201904290125 4 80168 1#0##0#0#0.0#2019-10-09
12:12:22#0#00:00:00#00:00:00#00:00:00 1 5cdc7fed9cc4f2459ba5975401b899f9
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/02/1941 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HARTIN PARESE 051792 78 28738 DR
YULIANA HARTONO,SPM 0309R0191019V001366 0000906374248 3;JKN Vian02;
5.3.9.201904290125 4 80169 1#0##0#0#0.0#2019-10-09
12:13:09#0#00:00:00#00:00:00#00:00:00 1 2afeb952ef91c5ef6a879b976ea2a710
7171104 C 3 CP 2 08/10/2019 08/10/2019 23/08/1957 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YETTI TOMBOKAN 051011 62 22691 DR
YULIANA HARTONO,SPM 0309R0191019V001365 0001898402793 3;JKN Vian02;
5.3.9.201904290125 4 80170 1#0##0#0#0.0#2019-10-09
12:13:59#0#00:00:00#00:00:00#00:00:00 1 59a87703c926b413ad60a1405a65f1f8
7171104 C 3 CP 2 08/10/2019 08/10/2019 30/04/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FATMA KANTOHE 051385 69 25363 DR YULIANA
HARTONO,SPM 0309R0191019V001364 0002090159098 3;JKN Vian02;
5.3.9.201904290125 4 80171 1#0##0#0#0.0#2019-10-09
12:14:33#0#00:00:00#00:00:00#00:00:00 1 1813b2814ac42783cd67ac6d6a28565c
7171104 C 3 CP 2 08/10/2019 08/10/2019 19/08/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HANNI ANDRIES NAJOAN 003711 67 24521 DR
YULIANA HARTONO,SPM 0309R0191019V001265 0000137241641 3;JKN Patrick K.;
5.3.9.201904290125 4 80173 1#0##0#0#0.0#2019-10-09
12:27:26#0#00:00:00#00:00:00#00:00:00 1 4b14e79369db4e8cf9279cdd7ed7482f
7171104 C 3 CP 2 08/10/2019 08/10/2019 05/07/1990 0 2
1 Z09.8;H40.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ASTRI TUMENGGUNG 049752 29 10687 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001266 0001386888491 3;JKN
Patrick K.; 5.3.9.201904290125 4 80174 1#0##0#0#0.0#2019-10-09
12:29:04#0#00:00:00#00:00:00#00:00:00 1 154598ff227a5e12493ce702d275c6bb
7171104 C 3 CP 2 08/10/2019 08/10/2019 26/08/1956 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ESTELIN PIAY 043343 63 23053 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V001269 0001297144664 3;JKN Patrick K.;
5.3.9.201904290125 4 80175 1#0##0#0#0.0#2019-10-09
12:30:20#0#00:00:00#00:00:00#00:00:00 1 8fa9d74b2c447b911f71b413c73a9a7d
7171104 C 3 CP 2 08/10/2019 08/10/2019 02/10/1962 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MOHAMAD ZAINUDDIN 051525 57 20825 DR.MELISA
RATAG,SPM 0309R0191019V001271 0001096408304 3;JKN Patrick K.;
5.3.9.201904290125 4 80176 1#0##0#0#0.0#2019-10-09
12:33:03#0#00:00:00#00:00:00#00:00:00 1 33404b818d97e3e8baa92ea2175c7989
7171104 C 3 CP 2 08/10/2019 08/10/2019 18/10/1961 0 2
1 Z09.8;H25.0;H35.2;Z96.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FATRINI ELINA AKEDE 048471 57 21174
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001272 0000137587004 3;JKN
Patrick K.; 5.3.9.201904290125 4 80177 1#0##0#0#0.0#2019-10-09
12:36:24#0#00:00:00#00:00:00#00:00:00 1 c956af9c2da8843fe6d7785eabeba25b
7171104 C 3 CP 2 08/10/2019 08/10/2019 08/11/1960 0 2
1 Z09.8;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHERLY ELAINE KOMBAITAN 031141 58 21518
DR YULIANA HARTONO,SPM 0309R0191019V001274 0002079822892 3;JKN
Patrick K.; 5.3.9.201904290125 4 80178 1#0##0#0#0.0#2019-10-09
12:37:44#0#00:00:00#00:00:00#00:00:00 1 6e4c45afd26464fe18decd47f3bfd379
7171104 C 3 CP 2 08/10/2019 08/10/2019 07/06/1940 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DRS.M.R.PONGOH 019340 79 28977 DR YULIANA
HARTONO,SPM 0309R0191019V001275 0000138701327 3;JKN Patrick K.;
5.3.9.201904290125 4 80179 1#0##0#0#0.0#2019-10-09
12:43:33#0#00:00:00#00:00:00#00:00:00 1 4372d0bc5a44bc04d5749ac07407a4b4
7171104 C 3 CP 2 08/10/2019 08/10/2019 10/07/1969 0 1
1 Z09.8;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRANCKY O.W. RUMOPA 050903 50 18352
DR YULIANA HARTONO,SPM 0309R0191019V001278 0001565935975 3;JKN
Patrick K.; 5.3.9.201904290125 4 80180 1#0##0#0#0.0#2019-10-09
12:44:32#0#00:00:00#00:00:00#00:00:00 1 f5806f5e88b1eb1998ec3f0dda057384
7171104 C 3 CP 2 08/10/2019 08/10/2019 24/12/1959 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHANIS MASEHI TAIDI 025721 59 21838
DR.MELISA RATAG,SPM 0309R0191019V001280 0002220161793 3;JKN
Patrick K.; 5.3.9.201904290125 4 80181 1#0##0#0#0.0#2019-10-09
12:45:23#0#00:00:00#00:00:00#00:00:00 1 5fff79f5a375028065171b96e00890bf
7171104 C 3 CP 2 08/10/2019 08/10/2019 08/07/1965 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHNLY ONIBALA 051871 54 19815 DR
YULIANA HARTONO,SPM 0309R0191019V001283 0001447138956 3;JKN Patrick K.;
5.3.9.201904290125 4 80182 1#0##0#0#0.0#2019-10-09
12:46:24#0#00:00:00#00:00:00#00:00:00 1 f0b8cafcd89d4589fe3b3823b4a6c8a6
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/08/1969 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTIN MANDAGI 051977 50 18330 DR
YULIANA HARTONO,SPM 0309R0191019V001285 0000907882053 3;JKN Patrick K.;
5.3.9.201904290125 4 80183 1#0##0#0#0.0#2019-10-09
12:47:51#0#00:00:00#00:00:00#00:00:00 1 ba8aed3233bc36054122a536931d12fb
7171104 C 3 CP 2 08/10/2019 08/10/2019 24/02/1956 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TAKANAUMANG STIENTJE 052131 63 23237
DR YULIANA HARTONO,SPM 0309R0191019V001287 0000139085998 3;JKN
Patrick K.; 5.3.9.201904290125 4 80184 1#0##0#0#0.0#2019-10-09
12:49:04#0#00:00:00#00:00:00#00:00:00 1 a63b7f4bc869e75cb173b30451aec49e
7171104 C 3 CP 2 08/10/2019 08/10/2019 31/08/1945 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SANONANG LAWITAN 051858 74 27066 DR
YULIANA HARTONO,SPM 0309R0191019V001289 0001604386607 3;JKN Patrick K.;
5.3.9.201904290125 4 80185 1#0##0#0#0.0#2019-10-09
12:50:19#0#00:00:00#00:00:00#00:00:00 1 9191045b9cb99fe5c6cb57cb7bfca260
7171104 C 3 CP 2 08/10/2019 08/10/2019 11/08/2013 0 1
1 H15.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YUDHISTIRA SATRIA WIRAYUDA YEHOSUA 052236 6
2249 DR.MELISA RATAG,SPM 0309R0191019V001290 0001082528875 3;JKN
Patrick K.; 5.3.9.201904290125 4 80186 1#0##0#0#0.0#2019-10-09
12:51:28#0#00:00:00#00:00:00#00:00:00 1 d7bdc1318c8a00ee793a54d18fdd11ed
7171104 C 3 CP 2 08/10/2019 08/10/2019 02/02/1948 0 2
1 H52.2;H52.4;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FITJE RUNTUWAROUW 052232 71 26181 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001291 0002388989024 3;JKN
Patrick K.; 5.3.9.201904290125 4 80187 1#0##0#0#0.0#2019-10-09
12:52:37#0#00:00:00#00:00:00#00:00:00 1 020f52864e652fae5220871732501ddb
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/06/1948 0 1
1 H25.0;H02.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FATIMUS YUDAS 052233 71 26061 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001292 0000908226606 3;JKN
Patrick K.; 5.3.9.201904290125 4 80188 1#0##0#0#0.0#2019-10-09
12:54:35#0#00:00:00#00:00:00#00:00:00 1 76f24f88a91e16a7f19c6cb3737d8e6d
7171104 C 3 CP 2 08/10/2019 08/10/2019 21/09/1972 0 2
1 H52.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SESKA KAMBEY 033586 47 17183
DR.MELISA RATAG,SPM 0309R0191019V001293 0001389670571 3;JKN
Patrick K.; 5.3.9.201904290125 4 80189 1#0##0#0#0.0#2019-10-09
12:55:55#0#00:00:00#00:00:00#00:00:00 1 6130389deb15799d137fe8793b574f28
7171104 C 3 CP 2 08/10/2019 08/10/2019 27/08/1945 0 2
1 Z09.8;H04.1;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MIENTJE KOJOH 050237 74 27070
DR.MELISA RATAG,SPM 0309R0191019V001294 0000137188484 3;JKN
Patrick K.; 5.3.9.201904290125 4 80190 1#0##0#0#0.0#2019-10-09
12:58:38#0#00:00:00#00:00:00#00:00:00 1 52cbac60334b44185f7ead514062cc88
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/07/1968 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YULIATI RIYADI 051808 51 18726 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V001295 0002062016515 3;JKN Patrick K.;
5.3.9.201904290125 4 80191 1#0##0#0#0.0#2019-10-09
12:59:57#0#00:00:00#00:00:00#00:00:00 1 9721d0b3d1c92e5fe20ffe105da6244b
7171104 C 3 CP 2 08/10/2019 08/10/2019 09/07/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PIET HEIN RUMIMPUNU 019753 71 26023 DR
YULIANA HARTONO,SPM 0309R0191019V001296 0000139095663 3;JKN Patrick K.;
5.3.9.201904290125 4 80192 1#0##0#0#0.0#2019-10-09
13:02:21#0#00:00:00#00:00:00#00:00:00 1 6b881df5ae922142b6b73b60020afad5
7171104 C 3 CP 2 08/10/2019 08/10/2019 04/07/1954 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NELLY PIOH 052239 65 23837 DR.MELISA
RATAG,SPM 0309R0191019V001297 0001721696804 3;JKN Patrick K.;
5.3.9.201904290125 4 80193 1#0##0#0#0.0#2019-10-09
13:03:34#0#00:00:00#00:00:00#00:00:00 1 0568aa957cb7d079246ef976ca801970
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/01/1945 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NELTJE MANGALA 052235 74 27308 DR YULIANA
HARTONO,SPM 0309R0191019V001298 0001574557334 3;JKN Patrick K.;
5.3.9.201904290125 4 80194 1#0##0#0#0.0#2019-10-09
13:05:31#0#00:00:00#00:00:00#00:00:00 1 f3173af28b94cc3bf0c9524784482753
7171104 C 3 CP 2 08/10/2019 08/10/2019 06/04/1953 0 1
1 H25.0;H43.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CELESTINUS KAUNANG 052241 66 24291
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001299 0002743497178 3;JKN
Patrick K.; 5.3.9.201904290125 4 80195 1#0##0#0#0.0#2019-10-09
13:06:26#0#00:00:00#00:00:00#00:00:00 1 feb8842d671c2a3a02d01e2ffbe727a7
7171104 C 3 CP 2 08/10/2019 08/10/2019 21/11/1953 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONTJE MARAMIS 052000 65 24062
DR.MELISA RATAG,SPM 0309R0191019V001300 0000139095652 3;JKN
Patrick K.; 5.3.9.201904290125 4 80196 1#0##0#0#0.0#2019-10-09
13:07:33#0#00:00:00#00:00:00#00:00:00 1 7229a0ebcba5d7de1ee9ddbbc525177e
7171104 C 3 CP 2 08/10/2019 08/10/2019 19/06/1992 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RICHARD WELIAN WENUR PELLENG 052238 27 9972
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001301 0002256314218 3;JKN
Patrick K.; 5.3.9.201904290125 4 80197 1#0##0#0#0.0#2019-10-09
13:08:45#0#00:00:00#00:00:00#00:00:00 1 f120083bc2cc8b63390e50423e8ed0c6
7171104 C 3 CP 2 08/10/2019 08/10/2019 29/03/1975 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TINEKE YUDAS 052242 44 16264 DR.MELISA
RATAG,SPM 0309R0191019V001302 0001243638652 3;JKN Patrick K.;
5.3.9.201904290125 4 80198 1#0##0#0#0.0#2019-10-09
13:09:54#0#00:00:00#00:00:00#00:00:00 1 1c42973dbfe8691f0e4e48ac42d258b6
7171104 C 3 CP 2 08/10/2019 08/10/2019 06/12/1956 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KALARTJE RAPITAN 051746 62 22951
DR.MELISA RATAG,SPM 0309R0191019V001304 0000136872832 3;JKN
Patrick K.; 5.3.9.201904290125 4 80199 1#0##0#0#0.0#2019-10-09
13:11:45#0#00:00:00#00:00:00#00:00:00 2 93c227b1794e20e1feeebad95d50c465
7171104 C 3 CP 2 08/10/2019 08/10/2019 06/06/1952 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIANA MANALIP 052055 67 24595 DR
YULIANA HARTONO,SPM 0309R0191019V001307 0002239388109 3;JKN Patrick K.;
5.3.9.201904290125 4 80200 1#0##0#0#0.0#2019-10-09
13:12:39#0#00:00:00#00:00:00#00:00:00 1 70d5f2e5443b92fcae2df03656c0cde4
7171104 C 3 CP 2 08/10/2019 08/10/2019 07/01/1951 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANJTE JOHANIS PANGEMANAN 041670 68
25111 DR YULIANA HARTONO,SPM 0309R0191019V001308 0002038746082 3;JKN
Patrick K.; 5.3.9.201904290125 4 80201 1#0##0#0#0.0#2019-10-09
13:13:38#0#00:00:00#00:00:00#00:00:00 1 a89de11d40d357984b34b86e31d44ace
7171104 C 3 CP 2 08/10/2019 08/10/2019 15/11/1947 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIANA TANGKERE 051980 71 26260 DR
YULIANA HARTONO,SPM 0309R0191019V001309 0002444274145 3;JKN Patrick K.;
5.3.9.201904290125 4 80202 1#0##0#0#0.0#2019-10-09
13:15:55#0#00:00:00#00:00:00#00:00:00 1 0ee270753ac16c1ddfaf20f404ca248b
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/06/1961 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOHANA DOODOH 051968 58 21313 DR YULIANA
HARTONO,SPM 0309R0191019V001312 0000908289325 3;JKN Patrick K.;
5.3.9.201904290125 4 80203 1#0##0#0#0.0#2019-10-09
13:16:41#0#00:00:00#00:00:00#00:00:00 1 482313a57c8fc0f291351a3981973795
7171104 C 3 CP 2 08/10/2019 08/10/2019 19/08/2002 0 2
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KEREN CHRISANTY ABAST 052248 17 6259 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001314 0000909754198 3;JKN
Patrick K.; 5.3.9.201904290125 4 80204 1#0##0#0#0.0#2019-10-09
13:17:34#0#00:00:00#00:00:00#00:00:00 1 aa4140235c7ddd969231f427fa90cf1f
7171104 C 3 CP 2 08/10/2019 08/10/2019 25/05/1952 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAX PANEKENAN 052251 67 24607 DR.MELISA
RATAG,SPM 0309R0191019V001316 0001573473969 3;JKN Patrick K.;
5.3.9.201904290125 4 80205 1#0##0#0#0.0#2019-10-09
13:18:51#0#00:00:00#00:00:00#00:00:00 1 9ffa27c02e1b7a8a60e877720282033c
7171104 C 3 CP 2 08/10/2019 08/10/2019 08/01/2009 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RESHITA CH. L. MONINGKEY 052249 10 3925
DR.MELISA RATAG,SPM 0309R0191019V001317 0001291277417 3;JKN
Patrick K.; 5.3.9.201904290125 4 80206 1#0##0#0#0.0#2019-10-09
13:20:02#0#00:00:00#00:00:00#00:00:00 1 966a5e27c213c6acc10e0413b504bfc9
7171104 C 3 CP 2 08/10/2019 08/10/2019 29/12/1955 0 1
1 Z09.8;H27.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANDRIAN DAVID 012348 63 23294 DR
YULIANA HARTONO,SPM 0309R0191019V001318 0001439930136 3;JKN Patrick K.;
5.3.9.201904290125 4 80207 1#0##0#0#0.0#2019-10-09
13:21:47#0#00:00:00#00:00:00#00:00:00 1 a872c3b34b6cc27a2d3210b23222539d
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/10/1999 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ESTHER PAMELA ADELEIDA MALONDA 033340 20
7312 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001320 0001389672652
3;JKN Patrick K.; 5.3.9.201904290125 4 80209 1#0##0#0#0.0#2019-10-09
13:26:52#0#00:00:00#00:00:00#00:00:00 1 800e8024cd68092c52c07fe40bf4bfe0
7171104 C 3 CP 2 08/10/2019 08/10/2019 06/11/1988 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NINDI PUA 050979 30 11293 DR.MELISA
RATAG,SPM 0309R0191019V001321 0001574696777 3;JKN Patrick K.;
5.3.9.201904290125 4 80210 1#0##0#0#0.0#2019-10-09
13:27:45#0#00:00:00#00:00:00#00:00:00 1 276d82eecf795d4053f56a4a3f920155
7171104 C 3 CP 2 08/10/2019 08/10/2019 26/05/1934 0 2
1 H40.1;S04.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTEN SIMBAWA 052246 85 31181 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001322 0001250447286 3;JKN
Patrick K.; 5.3.9.201904290125 4 80211 1#0##0#0#0.0#2019-10-09
13:29:06#0#00:00:00#00:00:00#00:00:00 1 3768be39a10739db097ff7947bbaa4f9
7171104 C 3 CP 2 08/10/2019 08/10/2019 30/09/1942 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HERLY GERUNGAN 052244 77 28132 DR YULIANA
HARTONO,SPM 0309R0191019V001324 0000138226252 3;JKN Patrick K.;
5.3.9.201904290125 4 80213 1#0##0#0#0.0#2019-10-09
13:32:55#0#00:00:00#00:00:00#00:00:00 1 5ce13126dee0c587c7f3c7d9e53d6899
7171104 C 2 CP 1 07/10/2019 08/10/2019 01/05/1986 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5134200
0 0 - 0 - 0 - 0 - 0 5134200
9807400 0 2 0 0 0 BOBBY GERUNGAN 052188 33
12212 DR YULIANA HARTONO,SPM 0309R0191019V001145 0001640115415 3;JKN
eka06; 5.3.9.201904290125 4 80214 1#0##0#0#0.0#2019-10-09
13:33:45#0#00:00:00#00:00:00#00:00:00 1 ee7f8914e08f7b6666de7c526d4a9ead
7171104 C 3 CP 2 08/10/2019 08/10/2019 03/11/1944 0 1
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TEDDY THIMOTIUS TANDIAPA 038945 74
27367 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001325 0001428623728
3;JKN Patrick K.; 5.3.9.201904290125 4 80215 1#0##0#0#0.0#2019-10-09
13:33:59#0#00:00:00#00:00:00#00:00:00 1 eec6c0cb2e134661e12d8be7aec066e6
7171104 C 3 CP 2 08/10/2019 08/10/2019 17/08/1975 0 1
1 H04.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 GERRY H L NEMAN 052250 44 16123 DR.MELISA
RATAG,SPM 0309R0191019V001326 0001137665079 3;JKN Patrick K.;
5.3.9.201904290125 4 80217 1#0##0#0#0.0#2019-10-09
13:35:09#0#00:00:00#00:00:00#00:00:00 1 9eae8459922c5d152f3cb0cc0eee9d38
7171104 C 3 CP 2 08/10/2019 08/10/2019 06/07/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROSALI NON RAPAR 021046 66 24200 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V001327 0000137280778 3;JKN Patrick K.;
5.3.9.201904290125 4 80218 1#0##0#0#0.0#2019-10-09
13:35:57#0#00:00:00#00:00:00#00:00:00 1 7aa1609a8209acf5fe67dedbde1c569d
7171104 C 1 CP 1 07/10/2019 08/10/2019 16/05/1957 0 2
1 H26.9 13.59;13.71 - - None None None None H-1-30-I None
None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
9114300 0 0 - 0 - 0 - 0 - 0
9114300 3825400 0 2 0 0 0 ADOLFINA LENGKONG 052186
62 22789 DR YULIANA HARTONO,SPM 0309R0191019V001158 0000157940144
3;JKN eka06; 5.3.9.201904290125 4 80216 1#0##0#0#0.0#2019-10-09
13:36:51#0#00:00:00#00:00:00#00:00:00 1 25391d9313df0cb4c8bdb8c484c92e96
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/02/1970 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VENNI WOWOR 052255 49 18146 DR YULIANA
HARTONO,SPM 0309R0191019V001328 0000905904336 3;JKN Patrick K.;
5.3.9.201904290125 4 80219 1#0##0#0#0.0#2019-10-09
13:36:51#0#00:00:00#00:00:00#00:00:00 1 e21623d970e5b74447ff5b03fd768b25
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/08/1965 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTIN TINONDIGHANG 052252 54 19791
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001329 0000910840803 3;JKN
Patrick K.; 5.3.9.201904290125 4 80220 1#0##0#0#0.0#2019-10-09
13:37:53#0#00:00:00#00:00:00#00:00:00 1 eb3794266924259dc563b9b70cc72b63
7171104 C 3 CP 2 08/10/2019 08/10/2019 24/02/1982 0 1
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FAISAL PALAMANI 052253 37 13740 DR YULIANA
HARTONO,SPM 0309R0191019V001330 0001124401691 3;JKN Patrick K.;
5.3.9.201904290125 4 80222 1#0##0#0#0.0#2019-10-09
13:38:51#0#00:00:00#00:00:00#00:00:00 1 0e585dedc46d7e137e91051cd71d2256
7171104 C 3 CP 1 07/10/2019 08/10/2019 01/10/1962 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 RONI NARANDE 052214 57
20825 DR.MELISA RATAG,SPM 0309R0191019V001159 0000907863805 3;JKN
eka06; 5.3.9.201904290125 4 80221 1#0##0#0#0.0#2019-10-09
13:38:55#0#00:00:00#00:00:00#00:00:00 1 4abd582d203e56ae3d8bd091f71e1b99
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/06/1941 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HESMIN MANUMPIL 051176 78 28618 DR YULIANA
HARTONO,SPM 0309R0191019V001332 0000905445099 3;JKN Patrick K.;
5.3.9.201904290125 4 80223 1#0##0#0#0.0#2019-10-09
13:40:11#0#00:00:00#00:00:00#00:00:00 1 d17a35a84094185f279cb3c8e3b5f0ef
7171104 C 3 CP 1 07/10/2019 08/10/2019 23/10/1975 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 DEKROLI LARENAUNG 052169 43
16055 DR.MELISA RATAG,SPM 0309R0191019V001057 0002084638882 3;JKN
eka06; 5.3.9.201904290125 4 80224 1#0##0#0#0.0#2019-10-09
13:40:52#0#00:00:00#00:00:00#00:00:00 1 54f3de25e9cd8a69d5b36d95a7270d1f
7171104 C 1 CP 1 07/10/2019 08/10/2019 25/01/1956 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5989900
0 0 - 0 - 0 - 0 - 0 5989900
9807400 0 2 0 0 0 PELEALU JOHAN BERNARD 051193
63 23266 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001022
0000137955464 3;JKN eka06; 5.3.9.201904290125 4 80225
1#0##0#0#0.0#2019-10-09 13:41:49#0#00:00:00#00:00:00#00:00:00 1
9406b486c4b5fefd247b8a2c237f86d9
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/12/1951 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MINTJE TANGKA 051884 67 24783 DR.MELISA
RATAG,SPM 0309R0191019V001331 0000907815159 3;JKN Patrick K.;
5.3.9.201904290125 4 80226 1#0##0#0#0.0#2019-10-09
13:42:20#0#00:00:00#00:00:00#00:00:00 2 134200ddb2e51de76cc36b0eb0ffb215
7171104 C 3 CP 2 08/10/2019 08/10/2019 08/08/1948 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NICOLAS MESAK RUMIMPUNU 051949 71 25993
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001333 0002884073951 3;JKN
Patrick K.; 5.3.9.201904290125 4 80228 1#0##0#0#0.0#2019-10-09
13:43:08#0#00:00:00#00:00:00#00:00:00 1 d663048f471779f5d7d9a8cd82acd86a
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/07/1954 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOTINA AWUMBAS 022634 65 23840 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001334 0001448451718 3;JKN
Patrick K.; 5.3.9.201904290125 4 80229 1#0##0#0#0.0#2019-10-09
13:44:00#0#00:00:00#00:00:00#00:00:00 1 66f5dded2380c4259dddd17eefe83f36
7171104 C 3 CP 2 08/10/2019 08/10/2019 21/09/1947 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SAARTJE PINONTOAN 052256 72 26315 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V001335 0000138204178 3;JKN Patrick K.;
5.3.9.201904290125 4 80230 1#0##0#0#0.0#2019-10-09
13:45:33#0#00:00:00#00:00:00#00:00:00 1 bacdae3412f66895db697f7fdec43d36
7171104 C 3 CP 2 08/10/2019 08/10/2019 24/05/1948 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EDDY RENGKUNG 051978 71 26069 DR
YULIANA HARTONO,SPM 0309R0191019V001336 0000206941599 3;JKN Patrick K.;
5.3.9.201904290125 4 80231 1#0##0#0#0.0#2019-10-09
13:46:24#0#00:00:00#00:00:00#00:00:00 1 c602d17b1176b729ddd7fa6391e2a1e2
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/01/1942 0 2
1 Z09.8;D31.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NUSIA MOKODOMPIS 051175 77 28404 DR
YULIANA HARTONO,SPM 0309R0191019V001338 0000905445696 3;JKN Patrick K.;
5.3.9.201904290125 4 80232 1#0##0#0#0.0#2019-10-09
13:47:37#0#00:00:00#00:00:00#00:00:00 1 9aacb04bad6a55e4f2fb65a636138cf6
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/12/1937 0 2
1 Z09.8;H25.0;Z96.1;H11.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LEONORA IGIR 048225 81 29896 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001340 0000909953559 3;JKN
Patrick K.; 5.3.9.201904290125 4 80234 1#0##0#0#0.0#2019-10-09
13:51:23#0#00:00:00#00:00:00#00:00:00 1 0c1cc1463824d638f5aaf733469f5029
7171104 C 3 CP 2 08/10/2019 08/10/2019 04/06/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TRYFJE ROOSJE YEANETE VONNEKE KUMAAT 051697
65 23867 DR YULIANA HARTONO,SPM 0309R0191019V001341 0000138419289
3;JKN Patrick K.; 5.3.9.201904290125 4 80235 1#0##0#0#0.0#2019-10-09
13:52:24#0#00:00:00#00:00:00#00:00:00 1 6c0b95d7fcfa69e81b80e00cc145b839
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/05/1956 0 1
1 Z96.1;H40.5;H25.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MUSA LEMBONG 046794 63 23170 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001342 0000909284679 3;JKN
Patrick K.; 5.3.9.201904290125 4 80236 1#0##0#0#0.0#2019-10-09
13:54:00#0#00:00:00#00:00:00#00:00:00 1 8f4848af1991cfebba0840d95270df15
7171104 C 3 CP 2 08/10/2019 08/10/2019 09/09/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NAO PHOE KHOEN 034668 69 25231 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V001343 0001447657288 3;JKN Patrick K.;
5.3.9.201904290125 4 80237 1#0##0#0#0.0#2019-10-09
13:55:10#0#00:00:00#00:00:00#00:00:00 1 af866a7ef60e2a02ab556289dcdfe9c0
7171104 C 3 CP 2 08/10/2019 08/10/2019 12/06/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA D.LASUT 006816 71 26050 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V001344 0000137178775 3;JKN Patrick K.;
5.3.9.201904290125 4 80238 1#0##0#0#0.0#2019-10-09
13:56:20#0#00:00:00#00:00:00#00:00:00 1 8cedae12fd755d0768354bff72436326
7171104 C 3 CP 2 08/10/2019 08/10/2019 18/02/1970 0 1
1 Z96.1;H26.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FREDY KAWULUR 049118 49 18129
DR.MELISA RATAG,SPM 0309R0191019V001345 0000148098273 3;JKN
Patrick K.; 5.3.9.201904290125 4 80239 1#0##0#0#0.0#2019-10-09
13:57:41#0#00:00:00#00:00:00#00:00:00 1 a383b9ac9ff5a32059c85dec49cbacd2
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/09/1960 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SINTJE PETRUS 046526 59 21586 DR YULIANA
HARTONO,SPM 0309R0191019V001346 0001066983761 3;JKN Patrick K.;
5.3.9.201904290125 4 80240 1#0##0#0#0.0#2019-10-09
13:59:32#0#00:00:00#00:00:00#00:00:00 1 c95f31e5211b76739a147ec2e733f4ba
7171104 C 3 CP 2 08/10/2019 08/10/2019 08/08/1948 0 2
1 Z96.1;H40.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RASIMA KAKILO 035426 71 25993 DR
YULIANA HARTONO,SPM 0309R0191019V001347 0000138070822 3;JKN Patrick K.;
5.3.9.201904290125 4 80241 1#0##0#0#0.0#2019-10-09
14:00:34#0#00:00:00#00:00:00#00:00:00 1 d336927ce716616c9da9dc0106cd111e
7171104 C 3 CP 2 08/10/2019 08/10/2019 25/12/1944 0 1
1 Z09.8;H25.0;H11.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRANS MORAY,BA 003050 74 27315 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001348 0000138142607 3;JKN
Patrick K.; 5.3.9.201904290125 4 80242 1#0##0#0#0.0#2019-10-09
14:01:59#0#00:00:00#00:00:00#00:00:00 1 99429948ded4f116b0c83b259050cd50
7171104 C 3 CP 2 08/10/2019 08/10/2019 08/05/1986 0 2
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEWI SHINTA MAMONTO 052260 33 12206
DR.MELISA RATAG,SPM 0309R0191019V001349 0001310052374 3;JKN
Patrick K.; 5.3.9.201904290125 4 80243 1#0##0#0#0.0#2019-10-09
14:03:19#0#00:00:00#00:00:00#00:00:00 1 55e4cc5b253bfbcb4deed8f861ae984b
7171104 C 3 CP 2 08/10/2019 08/10/2019 27/01/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ASRI BAWIMBANG 051588 67 24726 DR YULIANA
HARTONO,SPM 0309R0191019V001350 0001327210964 3;JKN Patrick K.;
5.3.9.201904290125 4 80244 1#0##0#0#0.0#2019-10-09
14:04:13#0#00:00:00#00:00:00#00:00:00 1 df3466130999847a01bbbdaedd51d858
7171104 C 3 CP 2 08/10/2019 08/10/2019 21/10/1947 0 1
1 Z09.0;H43.3;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FREDY RUMENGAN 051787 71 26285
DR.MELISA RATAG,SPM 0309R0191019V001352 0002885646431 3;JKN
Patrick K.; 5.3.9.201904290125 4 80245 1#0##0#0#0.0#2019-10-09
14:10:37#0#00:00:00#00:00:00#00:00:00 3 de775f6c502a2efa3bd5d565c767c10b
7171104 C 3 CP 2 08/10/2019 08/10/2019 06/09/1964 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SEPMING SUMENDA 030125 55 20120 DR.MELISA
RATAG,SPM 0309R0191019V001353 0001250247442 3;JKN Patrick K.;
5.3.9.201904290125 4 80246 1#0##0#0#0.0#2019-10-09
14:11:38#0#00:00:00#00:00:00#00:00:00 1 b196921bab7f142dc04456d00b2a154c
7171104 C 3 CP 2 08/10/2019 08/10/2019 08/02/1951 0 1
1 Z09.8;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 M. D. NELWAN 051800 68 25079 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001354 0000205797734 3;JKN
Patrick K.; 5.3.9.201904290125 4 80247 1#0##0#0#0.0#2019-10-09
14:12:45#0#00:00:00#00:00:00#00:00:00 1 ceb74d4d22f5a37d2a54d7f1accf46cb
7171104 C 3 CP 2 08/10/2019 08/10/2019 26/12/1954 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTEN TEBI 052262 64 23662 DR.MELISA
RATAG,SPM 0309R0191019V001355 0000140392574 3;JKN Patrick K.;
5.3.9.201904290125 4 80248 1#0##0#0#0.0#2019-10-09
14:13:54#0#00:00:00#00:00:00#00:00:00 1 29dba6393a5f212eb86584ed14cf8ca3
7171104 C 3 CP 2 08/10/2019 08/10/2019 06/12/1969 0 1
1 H33.0;Z96.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DICKY H. TANGKERE 052259 49 18203 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001356 0001475474354 3;JKN
Patrick K.; 5.3.9.201904290125 4 80249 1#0##0#0#0.0#2019-10-09
14:15:24#0#00:00:00#00:00:00#00:00:00 1 fffb4288c59b55be5f649e63fe7296b3
7171104 C 3 CP 2 08/10/2019 08/10/2019 05/03/1958 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTHEN INARAY 051928 61 22497
DR.MELISA RATAG,SPM 0309R0191019V001357 0001574607609 3;JKN
Patrick K.; 5.3.9.201904290125 4 80250 1#0##0#0#0.0#2019-10-09
14:16:49#0#00:00:00#00:00:00#00:00:00 2 44827592a3c6acb51d3ee0cb01c26824
7171104 C 3 CP 2 08/10/2019 08/10/2019 14/11/1963 0 1
1 H40.0;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FERRY SETIONO 052261 55 20417 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001358 0001466590105 3;JKN
Patrick K.; 5.3.9.201904290125 4 80251 1#0##0#0#0.0#2019-10-09
14:21:24#0#00:00:00#00:00:00#00:00:00 2 6df11e3a939fdcf9e56be9cc3eb8fdf9
7171104 C 3 CP 2 08/10/2019 08/10/2019 26/01/1963 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JENRY MAXIE SUALANG 051412 56 20709
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001359 0000138442061 3;JKN
Patrick K.; 5.3.9.201904290125 4 80252 1#0##0#0#0.0#2019-10-09
14:21:59#0#00:00:00#00:00:00#00:00:00 2 c386726d7305df92afdbca5fd418ca76
7171104 C 3 CP 2 08/10/2019 08/10/2019 22/05/1956 0 1
1 Z09.8;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TENEH MAXI W 051389 63 23149 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001360 0000137000957 3;JKN
Patrick K.; 5.3.9.201904290125 4 80253 1#0##0#0#0.0#2019-10-09
14:22:41#0#00:00:00#00:00:00#00:00:00 2 9533d9b5f65f6b55837815019fd1d6fc
7171104 C 3 CP 2 08/10/2019 08/10/2019 11/10/1962 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HENDRIK MANOPPO 051816 56 20816 DR.MELISA
RATAG,SPM 0309R0191019V001361 0002388776736 3;JKN Patrick K.;
5.3.9.201904290125 4 80254 1#0##0#0#0.0#2019-10-09
14:23:20#0#00:00:00#00:00:00#00:00:00 1 d8d9d7f9fcd9800437e8082354ac4eb3
7171104 C 3 CP 2 08/10/2019 08/10/2019 03/03/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SULEMAN GEORGE 051384 70 25786 DR YULIANA
HARTONO,SPM 0309R0191019V001362 0001243637482 3;JKN Patrick K.;
5.3.9.201904290125 4 80255 1#0##0#0#0.0#2019-10-09
14:24:09#0#00:00:00#00:00:00#00:00:00 1 fa9e48dc805b2cd585a1fb5704207e7f
7171104 C 3 CP 2 08/10/2019 08/10/2019 14/02/1953 0 2
1 Z96.1;H31.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNADET POMANTOW 052021 66 24342 DR
YULIANA HARTONO,SPM 0309R0191019V001363 0001848698504 3;JKN Patrick K.;
5.3.9.201904290125 4 80256 1#0##0#0#0.0#2019-10-09
14:26:15#0#00:00:00#00:00:00#00:00:00 1 b3524adeb6dd5fb6ed34a9ad2550f809
7171104 C 3 CP 2 08/10/2019 08/10/2019 02/02/1955 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALTJIE KALENDI 049106 64 23624
DR.MELISA RATAG,SPM 0309R0191019V001202 0002236438348 3;JKN
linda03; 5.3.9.201904290125 4 80257 1#0##0#0#0.0#2019-10-10
07:11:37#0#00:00:00#00:00:00#00:00:00 1 fab7ffa3f8884891743a7479e0031e07
7171104 C 3 CP 2 08/10/2019 08/10/2019 22/11/1966 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MASAAT BIN BAHAR 052208 52 19313
DR.MELISA RATAG,SPM 0309R0191019V001198 0001568720575 3;JKN
linda03; 5.3.9.201904290125 4 80258 1#0##0#0#0.0#2019-10-10
07:12:26#0#00:00:00#00:00:00#00:00:00 1 bc4b3630d3450ab0f0a26feddac83b03
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/04/1953 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTJE KIRIMAN 052209 66 24296
DR.MELISA RATAG,SPM 0309R0191019V001196 0000908784854 3;JKN
linda03; 5.3.9.201904290125 4 80259 1#0##0#0#0.0#2019-10-10
07:13:56#0#00:00:00#00:00:00#00:00:00 1 c8109c96190216b4cf1249ec9a00005f
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/01/1953 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SARAWINA KAKONDO 052205 66 24386
DR.MELISA RATAG,SPM 0309R0191019V001191 0000907758786 3;JKN
linda03; 5.3.9.201904290125 4 80260 1#0##0#0#0.0#2019-10-10
07:14:49#0#00:00:00#00:00:00#00:00:00 1 9994b79e88f4de104d9ae01c8d512c36
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/03/1975 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NOFRINE MALONDA 021012 44 16292 DR YULIANA
HARTONO,SPM 0309R0191019V001164 0000910084487 3;JKN linda03;
5.3.9.201904290125 4 80261 1#0##0#0#0.0#2019-10-10
07:17:36#0#00:00:00#00:00:00#00:00:00 1 442b8b4a4a736cac563359f6e049edf4
7171104 C 3 CP 2 08/10/2019 08/10/2019 23/08/1946 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNARD LODEWYK TULUNG 015970 73 26709
DR.MELISA RATAG,SPM 0309R0191019V001165 0000138271476 3;JKN
linda03; 5.3.9.201904290125 4 80262 1#0##0#0#0.0#2019-10-10
07:18:20#0#00:00:00#00:00:00#00:00:00 1 8c98895a1241d21d078a6830c65a0667
7171104 C 3 CP 2 08/10/2019 08/10/2019 08/05/1927 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PETRUS P. RUMENGAN 040955 92 33756
DR YULIANA HARTONO,SPM 0309R0191019V001166 0000138196192 3;JKN
linda03; 5.3.9.201904290125 4 80263 1#0##0#0#0.0#2019-10-10
07:19:02#0#00:00:00#00:00:00#00:00:00 1 8492f998b62806ede15439968a395dde
7171104 C 3 CP 2 08/10/2019 08/10/2019 11/01/1965 0 1
1 Z09.8;H11.0;H35.3 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LESLY MAMBU 011605 54 19993 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V001167 0000137467776 3;JKN linda03;
5.3.9.201904290125 4 80264 1#0##0#0#0.0#2019-10-10
07:22:07#0#00:00:00#00:00:00#00:00:00 1 0ad2502d8c01f91dfd8c265f4114736a
7171104 C 3 CP 2 08/10/2019 08/10/2019 25/03/1940 0 2
1 Z09.8;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARYAM ABUDI 011029 79 29051
DR.MELISA RATAG,SPM 0309R0191019V001168 0001604525578 3;JKN
linda03; 5.3.9.201904290125 4 80265 1#0##0#0#0.0#2019-10-10
07:23:06#0#00:00:00#00:00:00#00:00:00 1 d746a2b9a790b660767cf736eaff96b6
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/03/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOTJE LUMENTA 050783 64 23597 DR YULIANA
HARTONO,SPM 0309R0191019V001169 0001604491863 3;JKN linda03;
5.3.9.201904290125 4 80266 1#0##0#0#0.0#2019-10-10
07:23:50#0#00:00:00#00:00:00#00:00:00 1 097d07a73868e4e29a40db8908e89e9e
7171104 C 3 CP 2 08/10/2019 08/10/2019 17/08/1948 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOOST JUSTUS SUAK 052056 71 25984 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001171 0001903421654 3;JKN
linda03; 5.3.9.201904290125 4 80267 1#0##0#0#0.0#2019-10-10
07:24:26#0#00:00:00#00:00:00#00:00:00 1 c2c7c5cd64f3590eb3e75f311ef82edd
7171104 C 3 CP 2 08/10/2019 08/10/2019 11/11/1950 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BOYKE MOKODOMPIS 051934 68 25168
DR.MELISA RATAG,SPM 0309R0191019V001172 0002094763149 3;JKN
linda03; 5.3.9.201904290125 4 80268 1#0##0#0#0.0#2019-10-10
07:25:08#0#00:00:00#00:00:00#00:00:00 1 a3886bea333fef94c3b231dff9061b52
7171104 C 3 CP 2 08/10/2019 08/10/2019 24/07/1939 0 2
1 Z96.1;H40.5;H59.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANEN THEO DORUS 015890 80 29296 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001173 0001904484609 3;JKN
linda03; 5.3.9.201904290125 4 80269 1#0##0#0#0.0#2019-10-10
07:27:57#0#00:00:00#00:00:00#00:00:00 1 6d3ffc3fb5d640bb0a21f2df22459922
7171104 C 3 CP 2 08/10/2019 08/10/2019 18/04/1963 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELEN A PANGAU 036715 56 20627
DR.MELISA RATAG,SPM 0309R0191019V001174 0000138438033 3;JKN
linda03; 5.3.9.201904290125 4 80270 1#0##0#0#0.0#2019-10-10
07:30:04#0#00:00:00#00:00:00#00:00:00 1 6ef7a2b96fda049f371148ef2a8b7ef6
7171104 C 3 CP 2 08/10/2019 08/10/2019 15/12/1954 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LEKSI KAWUWUNG 051999 64 23673 DR
YULIANA HARTONO,SPM 0309R0191019V001176 0000136962325 3;JKN linda03;
5.3.9.201904290125 4 80271 1#0##0#0#0.0#2019-10-10
07:35:46#0#00:00:00#00:00:00#00:00:00 1 a13deb614a458645c0ca74b8507c53c5
7171104 C 3 CP 2 08/10/2019 08/10/2019 23/01/1960 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LENI TOGELANG 019268 59 21808 DR YULIANA
HARTONO,SPM 0309R0191019V001177 0001564889141 3;JKN linda03;
5.3.9.201904290125 4 80272 1#0##0#0#0.0#2019-10-10
07:36:36#0#00:00:00#00:00:00#00:00:00 1 766ec6db41abbafb7ce8103d271b07b0
7171104 C 3 CP 2 08/10/2019 08/10/2019 13/08/1966 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINUS MANUMPIL 022054 53 19414
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001178 0000204445168 3;JKN
linda03; 5.3.9.201904290125 4 80273 1#0##0#0#0.0#2019-10-10
07:38:28#0#00:00:00#00:00:00#00:00:00 1 017ee9e4769f17538b9b2de91eb6d0f6
7171104 C 3 CP 2 08/10/2019 08/10/2019 06/11/1952 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PATRAS ARNOLD HM 032981 66 24442 DR YULIANA
HARTONO,SPM 0309R0191019V001179 0000138195639 3;JKN linda03;
5.3.9.201904290125 4 80274 1#0##0#0#0.0#2019-10-10
07:39:43#0#00:00:00#00:00:00#00:00:00 1 d5b4b38abbcd3790c2b94ed6062eeacb
7171104 C 3 CP 2 08/10/2019 08/10/2019 07/01/1975 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEIN TAMAHIWU 037075 44 16345 DR
YULIANA HARTONO,SPM 0309R0191019V001180 0001292638814 3;JKN linda03;
5.3.9.201904290125 4 80275 1#0##0#0#0.0#2019-10-10
07:40:45#0#00:00:00#00:00:00#00:00:00 1 632579f543f64bce910a3d9cc065adca
7171104 C 3 CP 2 08/10/2019 08/10/2019 06/11/1957 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZANDRA TAKATELIDE 052222 61 22616
DR.MELISA RATAG,SPM 0309R0191019V001181 0001901381747 3;JKN
linda03; 5.3.9.201904290125 4 80276 1#0##0#0#0.0#2019-10-10
07:48:57#0#00:00:00#00:00:00#00:00:00 1 0f8f8daf52c1ca8dbd1e0d24adf8d554
7171104 C 3 CP 2 08/10/2019 08/10/2019 17/05/1950 0 2
1 Z09.8;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIEKE PANGEMANAN 046290 69 25346
DR.MELISA RATAG,SPM 0309R0191019V001183 0001250394974 3;JKN
linda03; 5.3.9.201904290125 4 80277 1#0##0#0#0.0#2019-10-10
07:49:46#0#00:00:00#00:00:00#00:00:00 1 c30d208113597b57130a863090300547
7171104 C 3 CP 2 08/10/2019 08/10/2019 18/08/1947 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WELLEM PUNUH 052187 72 26349 DR
YULIANA HARTONO,SPM 0309R0191019V001184 0002072265401 3;JKN linda03;
5.3.9.201904290125 4 80278 1#0##0#0#0.0#2019-10-10
07:58:12#0#00:00:00#00:00:00#00:00:00 1 91a6fd32e8c3871df488b86e7428c5b2
7171104 C 3 CP 2 08/10/2019 08/10/2019 04/05/1946 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CAROLINA MOKALU 015626 73 26820
DR.MELISA RATAG,SPM 0309R0191019V001189 0000138037994 3;JKN
linda03; 5.3.9.201904290125 4 80279 1#0##0#0#0.0#2019-10-10
07:59:16#0#00:00:00#00:00:00#00:00:00 1 c2f00bafc91062ba5827d8edc438aa7f
7171104 C 3 CP 2 08/10/2019 08/10/2019 14/05/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SAM MARKUS MANUEL AWON 040501 73 26810 DR
YULIANA HARTONO,SPM 0309R0191019V001190 0001565958756 3;JKN linda03;
5.3.9.201904290125 4 80280 1#0##0#0#0.0#2019-10-10
08:01:21#0#00:00:00#00:00:00#00:00:00 1 f1d80e341e89a8ab8fcecd64267ec133
7171104 C 3 CP 2 08/10/2019 08/10/2019 28/02/1954 0 1
1 Z09.8;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARNOLD JANTJE PINANGKAAN 051636 65
23963 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001192 0000138049975
3;JKN linda03; 5.3.9.201904290125 4 80281 1#0##0#0#0.0#2019-10-10
08:02:20#0#00:00:00#00:00:00#00:00:00 1 9f2d6b05d83c4e2f6abb72517805e29a
7171104 C 3 CP 2 08/10/2019 08/10/2019 16/06/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FEMMY PAAT 040624 73 26777 DR YULIANA
HARTONO,SPM 0309R0191019V001193 0002463899264 3;JKN linda03;
5.3.9.201904290125 4 80282 1#0##0#0#0.0#2019-10-10
08:03:07#0#00:00:00#00:00:00#00:00:00 1 5e668d693cb864d402b08ac2ef2b6b17
7171104 C 3 CP 2 08/10/2019 08/10/2019 14/03/1953 0 1
1 Z09.8;H40.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FERDY HERMAN ROMBOT 034018 66 24314
DR YULIANA HARTONO,SPM 0309R0191019V001195 0001278757754 3;JKN
linda03; 5.3.9.201904290125 4 80283 1#0##0#0#0.0#2019-10-10
08:04:14#0#00:00:00#00:00:00#00:00:00 1 051ef1776de717a1ff3004ca23712bb0
7171104 C 3 CP 2 08/10/2019 08/10/2019 28/07/1946 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WEMPI PANDEY 018571 73 26735 DR
YULIANA HARTONO,SPM 0309R0191019V001197 0000138945385 3;JKN linda03;
5.3.9.201904290125 4 80284 1#0##0#0#0.0#2019-10-10
08:05:11#0#00:00:00#00:00:00#00:00:00 1 e38ad492f59ac3d1253c1d5ffd400c44
7171104 C 3 CP 2 08/10/2019 08/10/2019 08/03/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROSALI NOWING 051920 74 27242 DR.MELISA
RATAG,SPM 0309R0191019V001200 0001968242501 3;JKN linda03;
5.3.9.201904290125 4 80285 1#0##0#0#0.0#2019-10-10
08:06:17#0#00:00:00#00:00:00#00:00:00 1 053da529b34f3702d0295d2613d99fd7
7171104 C 3 CP 2 08/10/2019 08/10/2019 26/06/1947 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOSEPHIN KAWUWUNG 042247 72 26402
DR.MELISA RATAG,SPM 0309R0191019V001203 0000138067391 3;JKN
linda03; 5.3.9.201904290125 4 80286 1#0##0#0#0.0#2019-10-10
08:07:40#0#00:00:00#00:00:00#00:00:00 1 422420edb6dcb2a19380e6763665ddec
7171104 C 3 CP 2 08/10/2019 08/10/2019 03/01/1962 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ZAKIR LAKODI 052223 57 21097 DR YULIANA
HARTONO,SPM 0309R0191019V001204 0001093549206 3;JKN linda03;
5.3.9.201904290125 4 80288 1#0##0#0#0.0#2019-10-10
08:51:49#0#00:00:00#00:00:00#00:00:00 1 3f3a817d23da9c8023a5d3c72215a40d
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/07/1965 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YULITA WENUR 025631 54 19822 DR.MELISA
RATAG,SPM 0309R0191019V001205 0000910247141 3;JKN linda03;
5.3.9.201904290125 4 80289 1#0##0#0#0.0#2019-10-10
08:53:02#0#00:00:00#00:00:00#00:00:00 1 edd02f69c821d61b5e91d3ea0dc115db
7171104 C 3 CP 2 08/10/2019 08/10/2019 17/09/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LENNY KARUNTU 050976 72 26319 DR.MELISA
RATAG,SPM 0309R0191019V001206 0002069837932 3;JKN linda03;
5.3.9.201904290125 4 80290 1#0##0#0#0.0#2019-10-10
09:06:48#0#00:00:00#00:00:00#00:00:00 1 061457a9188ee4b058c1fbc2e5085734
7171104 C 3 CP 2 08/10/2019 08/10/2019 08/06/1956 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNITJE KAHIMPONG 052002 63 23132
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001207 0000137544761 3;JKN
linda03; 5.3.9.201904290125 4 80298 1#0##0#0#0.0#2019-10-10
09:07:23#0#00:00:00#00:00:00#00:00:00 1 13e710f16a75328ddd2145e9de383f48
7171104 C 3 CP 2 08/10/2019 08/10/2019 14/04/1942 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HERMAN PAULUS PURUKAN 052071 77 28301 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001208 0002489552684 3;JKN
linda03; 5.3.9.201904290125 4 80300 1#0##0#0#0.0#2019-10-10
09:08:12#0#00:00:00#00:00:00#00:00:00 1 0bcd18521ecb92d700772d4dca666945
7171104 C 3 CP 2 08/10/2019 08/10/2019 16/08/1950 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINA JACOB 051595 69 25255 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001211 0000137098225 3;JKN
linda03; 5.3.9.201904290125 4 80302 1#0##0#0#0.0#2019-10-10
09:09:26#0#00:00:00#00:00:00#00:00:00 1 5cd8b9815af72b322c83a62b62e74dda
7171104 C 3 CP 2 08/10/2019 08/10/2019 26/01/1956 0 2
1 Z96.1;H18.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOSINA MAABUAT 024518 63 23266 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001212 0000138710621 3;JKN
linda03; 5.3.9.201904290125 4 80304 1#0##0#0#0.0#2019-10-10
09:10:44#0#00:00:00#00:00:00#00:00:00 1 e700fa9e7a8f7ca2d726bc80539e81b0
7171104 C 3 CP 2 08/10/2019 08/10/2019 13/04/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KETTY RAWIS 050087 67 24649 DR YULIANA
HARTONO,SPM 0309R0191019V001213 0000138325678 3;JKN linda03;
5.3.9.201904290125 4 80306 1#0##0#0#0.0#2019-10-10
09:11:58#0#00:00:00#00:00:00#00:00:00 1 c3ba4d867b6481f56383e43167cf6f2a
7171104 C 3 CP 2 08/10/2019 08/10/2019 09/02/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHAN W. MANTIRI 051646 69 25443 DR YULIANA
HARTONO,SPM 0309R0191019V001214 0001565051062 3;JKN linda03;
5.3.9.201904290125 4 80308 1#0##0#0#0.0#2019-10-10
09:12:54#0#00:00:00#00:00:00#00:00:00 1 0c50b807046e7ce1d3e664ac24a03f0b
7171104 C 3 CP 2 08/10/2019 08/10/2019 24/01/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAGDALENA KALENGKONGAN 051597 72 26555 DR
YULIANA HARTONO,SPM 0309R0191019V001215 0002434738792 3;JKN linda03;
5.3.9.201904290125 4 80310 1#0##0#0#0.0#2019-10-10
09:13:51#0#00:00:00#00:00:00#00:00:00 1 2b46639bff273ebafa270be40e49e000
7171104 C 3 CP 2 08/10/2019 08/10/2019 04/08/1944 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HIDEKI WOROTIKAN 051295 75 27458 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001216 0001305619402 3;JKN
linda03; 5.3.9.201904290125 4 80312 1#0##0#0#0.0#2019-10-10
09:14:31#0#00:00:00#00:00:00#00:00:00 1 4358cd71742d4d7ccbec93508e5e2fa6
7171104 C 3 CP 2 08/10/2019 08/10/2019 04/02/1964 0 2
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELIZABETH MARIANI 025361 55 20335 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001217 0002224094152 3;JKN
linda03; 5.3.9.201904290125 4 80314 1#0##0#0#0.0#2019-10-10
09:15:26#0#00:00:00#00:00:00#00:00:00 1 ecb7f9c7960a371b5213c433966dfa03
7171104 C 3 CP 2 08/10/2019 08/10/2019 21/11/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NONTJE RUMONDOR 045986 66 24427 DR YULIANA
HARTONO,SPM 0309R0191019V001218 0002218689279 3;JKN linda03;
5.3.9.201904290125 4 80316 1#0##0#0#0.0#2019-10-10
09:16:15#0#00:00:00#00:00:00#00:00:00 1 578a8c391e4419e93b0bece282d3f4d2
7171104 C 3 CP 2 08/10/2019 08/10/2019 28/07/1965 0 2
1 Z96.1;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RITTA DAMALANG 045207 54 19795 DR
YULIANA HARTONO,SPM 0309R0191019V001219 0002388990791 3;JKN linda03;
5.3.9.201904290125 4 80318 1#0##0#0#0.0#2019-10-10
09:17:06#0#00:00:00#00:00:00#00:00:00 1 52f68af8c64f15fede92dd3517fab1bc
7171104 C 3 CP 2 08/10/2019 08/10/2019 25/12/1965 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SURYATI NAFAI 050422 53 19645 DR YULIANA
HARTONO,SPM 0309R0191019V001220 0000138995605 3;JKN linda03;
5.3.9.201904290125 4 80321 1#0##0#0#0.0#2019-10-10
09:18:51#0#00:00:00#00:00:00#00:00:00 1 a080f80d4f42c9b4e6776e56853b9f0a
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/05/1951 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WELMINA KATUUK 051683 68 24997 DR
YULIANA HARTONO,SPM 0309R0191019V001221 0000907927435 3;JKN linda03;
5.3.9.201904290125 4 80322 1#0##0#0#0.0#2019-10-10
09:19:26#0#00:00:00#00:00:00#00:00:00 1 f5451cb63d705f8abeaa4ac18cc3c54b
7171104 C 3 CP 2 08/10/2019 08/10/2019 12/07/1959 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HANNY BOHANG 051804 60 22003 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V001222 0001886601486 3;JKN linda03;
5.3.9.201904290125 4 80323 1#0##0#0#0.0#2019-10-10
09:20:03#0#00:00:00#00:00:00#00:00:00 1 a2e8012ef3811f5a752dd04c8ff953f0
7171104 C 3 CP 2 08/10/2019 08/10/2019 03/03/1965 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAARTJE PANAMBUNAN 047584 54 19942 DR
YULIANA HARTONO,SPM 0309R0191019V001223 0000139011478 3;JKN linda03;
5.3.9.201904290125 4 80324 1#0##0#0#0.0#2019-10-10
09:21:08#0#00:00:00#00:00:00#00:00:00 1 7d8b7c9e21ccc2ef8f7180ef5aec11af
7171104 C 3 CP 2 08/10/2019 08/10/2019 29/04/1943 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SARTJE TUMUNDO 051693 76 27921 DR
YULIANA HARTONO,SPM 0309R0191019V001224 0001341872583 3;JKN linda03;
5.3.9.201904290125 4 80325 1#0##0#0#0.0#2019-10-10
09:22:03#0#00:00:00#00:00:00#00:00:00 1 524cecd12e184609a6b712ffff650cbb
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/07/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DOORTJE LINTJEWAS 052042 77 28223 DR YULIANA
HARTONO,SPM 0309R0191019V001225 0001066846151 3;JKN linda03;
5.3.9.201904290125 4 80326 1#0##0#0#0.0#2019-10-10
09:23:50#0#00:00:00#00:00:00#00:00:00 1 d2d117e9e7d4cffb4ba2569bd95dac2c
7171104 C 3 CP 2 08/10/2019 08/10/2019 26/04/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADONJA KATUUK 015421 64 23541 DR YULIANA
HARTONO,SPM 0309R0191019V001226 0001810153247 3;JKN linda03;
5.3.9.201904290125 4 80327 1#0##0#0#0.0#2019-10-10
09:25:08#0#00:00:00#00:00:00#00:00:00 1 1ba545151886fa723f135b76766e6bfa
7171104 C 3 CP 2 08/10/2019 08/10/2019 02/06/1948 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CRESTINA MANDAGI 051679 71 26060 DR
YULIANA HARTONO,SPM 0309R0191019V001228 0001341871615 3;JKN linda03;
5.3.9.201904290125 4 80328 1#0##0#0#0.0#2019-10-10
09:26:30#0#00:00:00#00:00:00#00:00:00 1 7a5e857e4616c4f91fee55c18abda912
7171104 C 3 CP 2 08/10/2019 08/10/2019 27/11/1967 0 2
1 H52.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EMMA WILHELMINA MOZES 051843 51 18943
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001230 0000910659227 3;JKN
linda03; 5.3.9.201904290125 4 80329 1#0##0#0#0.0#2019-10-10
09:27:37#0#00:00:00#00:00:00#00:00:00 1 07189c38de017205e4e011923560ff43
7171104 C 3 CP 2 08/10/2019 08/10/2019 30/06/2000 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JAVIER FIGO TIEMOTIE MAMANGKEY 025093 19
7039 DR.MELISA RATAG,SPM 0309R0191019V001231 0001482523694 3;JKN
linda03; 5.3.9.201904290125 4 80330 1#0##0#0#0.0#2019-10-10
09:28:36#0#00:00:00#00:00:00#00:00:00 1 b0b05eaa58b79bc65c56c3a900912db8
7171104 C 3 CP 2 08/10/2019 08/10/2019 06/03/1950 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AMELIA TANGKOME 052225 69 25418 DR.MELISA
RATAG,SPM 0309R0191019V001232 0001831553043 3;JKN linda03;
5.3.9.201904290125 4 80372 1#0##0#0#0.0#2019-10-10
13:23:18#0#00:00:00#00:00:00#00:00:00 1 91071a181949873c1d132b2339f09a2c
7171104 C 3 CP 2 08/10/2019 08/10/2019 14/10/1961 0 2
1 Z96.1;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TRESYE KUMAUNANG 051375 57 21178 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001234 0000138505926 3;JKN
linda03; 5.3.9.201904290125 4 80375 1#0##0#0#0.0#2019-10-10
13:25:48#0#00:00:00#00:00:00#00:00:00 1 b352bf203de8ddbaad1fa9aeb9daacec
7171104 C 3 CP 2 08/10/2019 08/10/2019 08/02/1956 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LIEM HARYANTO 043039 63 23253 DR YULIANA
HARTONO,SPM 0309R0191019V001235 0001904622941 3;JKN linda03;
5.3.9.201904290125 4 80379 1#0##0#0#0.0#2019-10-10
13:28:30#0#00:00:00#00:00:00#00:00:00 1 805b84fa2467e49b85324abdc40f36ed
7171104 C 3 CP 2 08/10/2019 08/10/2019 04/08/1954 0 2
1 Z96.1;H26.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AMINA BULOTO 052226 65 23806 DR
YULIANA HARTONO,SPM 0309R0191019V001237 0000908008604 3;JKN linda03;
5.3.9.201904290125 4 80382 78#0##0#0#0.0#2019-10-10
13:30:43#0#00:00:00#00:00:00#00:00:00 1 660e1042790c0ff6c3da3084e57bbe35
7171104 C 3 CP 2 08/10/2019 08/10/2019 14/05/1946 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WELMENTJI KATUUK 051680 73 26810 DR
YULIANA HARTONO,SPM 0309R0191019V001238 0000907814621 3;JKN linda03;
5.3.9.201904290125 4 80383 1#0##0#0#0.0#2019-10-10
13:31:28#0#00:00:00#00:00:00#00:00:00 1 fc1be852df74c4daf3377fede0719294
7171104 C 3 CP 2 08/10/2019 08/10/2019 26/12/1936 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LENNY A.G TALUMEPA 005470 82 30236 DR
YULIANA HARTONO,SPM 0309R0191019V001239 0000138270611 3;JKN linda03;
5.3.9.201904290125 4 80385 1#0##0#0#0.0#2019-10-10
13:32:01#0#00:00:00#00:00:00#00:00:00 1 975b4f55c084ad5e95be8592d2470417
7171104 C 3 CP 2 08/10/2019 08/10/2019 03/05/1957 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WILSON SASUBE 050799 62 22803 DR YULIANA
HARTONO,SPM 0309R0191019V001240 0001243375716 3;JKN linda03;
5.3.9.201904290125 4 80386 1#0##0#0#0.0#2019-10-10
13:32:38#0#00:00:00#00:00:00#00:00:00 1 62016e2dfb767946026512e748d688c0
7171104 C 3 CP 2 08/10/2019 08/10/2019 17/04/1953 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AISYAH SYAUS 029108 66 24280 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001241 0001452113482 3;JKN
linda03; 5.3.9.201904290125 4 80388 1#0##0#0#0.0#2019-10-10
13:33:12#0#00:00:00#00:00:00#00:00:00 1 939aca3746ac8dfa8b4486b9a3e0687d
7171104 C 3 CP 2 08/10/2019 08/10/2019 21/07/1951 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 THERESIA PAULIN MAKAGANSA 052227 68 24916
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001242 0000137547134 3;JKN
linda03; 5.3.9.201904290125 4 80389 1#0##0#0#0.0#2019-10-10
13:33:59#0#00:00:00#00:00:00#00:00:00 1 89bc92015480498ef677b79385d9be28
7171104 C 3 CP 2 08/10/2019 08/10/2019 10/10/1956 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NURDIN KOSU 052121 62 23008 DR YULIANA
HARTONO,SPM 0309R0191019V001243 0002053609007 3;JKN linda03;
5.3.9.201904290125 4 80391 1#0##0#0#0.0#2019-10-10
13:34:34#0#00:00:00#00:00:00#00:00:00 1 67b73a8ebfb6d579d6b4d464cb0200e9
7171104 C 3 CP 2 08/10/2019 08/10/2019 14/10/1959 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ARNOL MANGINSELA 051720 59 21909 DR.MELISA
RATAG,SPM 0309R0191019V001244 0002462623648 3;JKN linda03;
5.3.9.201904290125 4 80392 1#0##0#0#0.0#2019-10-10
13:35:16#0#00:00:00#00:00:00#00:00:00 1 b0b1c78f87336b1c6a61a8db0808b67f
7171104 C 3 CP 2 08/10/2019 08/10/2019 20/12/1942 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MATRDNA RUATA 051350 76 28051
DR.MELISA RATAG,SPM 0309R0191019V001245 0002388396442 3;JKN
linda03; 5.3.9.201904290125 4 80394 1#0##0#0#0.0#2019-10-10
13:36:05#0#00:00:00#00:00:00#00:00:00 1 f49c8dccd508905fe8fedf282edf968f
7171104 C 3 CP 2 08/10/2019 08/10/2019 14/03/1946 0 2
1 Z09.8;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARSELINA TANGKABIRINGAN 028988 73
26871 DR YULIANA HARTONO,SPM 0309R0191019V001246 0000137192927 3;JKN
linda03; 5.3.9.201904290125 4 80395 1#0##0#0#0.0#2019-10-10
13:36:37#0#00:00:00#00:00:00#00:00:00 1 a6d2042bee8ec71b8c49708e12e590bf
7171104 C 3 CP 2 08/10/2019 08/10/2019 15/05/1941 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 APOLONIA MANOPPO 051610 78 28635 DR
YULIANA HARTONO,SPM 0309R0191019V001247 0002442454301 3;JKN linda03;
5.3.9.201904290125 4 80396 88#0##0#0#0.0#2019-10-10
13:37:09#0#00:00:00#00:00:00#00:00:00 1 b830a6355105f8398b5caee9764b9132
7171104 C 3 CP 2 08/10/2019 08/10/2019 18/08/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CLARA THERESIA MONTOLALU 039488 70 25618
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001248 0001297007008 3;JKN
linda03; 5.3.9.201904290125 4 80398 1#0##0#0#0.0#2019-10-10
13:37:45#0#00:00:00#00:00:00#00:00:00 1 d2e040216d846d6ec11cc3499b0cd352
7171104 C 3 CP 2 08/10/2019 08/10/2019 25/06/1960 0 2
1 Z09.8;H25.1;H04.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUSTIEN KARUNGU 052011 59 21654
DR.MELISA RATAG,SPM 0309R0191019V001249 0001791034749 3;JKN
linda03; 5.3.9.201904290125 4 80400 1#0##0#0#0.0#2019-10-10
13:38:33#0#00:00:00#00:00:00#00:00:00 1 610d1b566acadea546515ee2e8e34a64
7171104 C 3 CP 2 08/10/2019 08/10/2019 20/02/1953 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YANTJE LANO 051620 66 24336 DR YULIANA
HARTONO,SPM 0309R0191019V001250 0002435165199 3;JKN linda03;
5.3.9.201904290125 4 80402 1#0##0#0#0.0#2019-10-10
13:39:09#0#00:00:00#00:00:00#00:00:00 1 f722a3df8c330dfee4912c6e332f7b9c
7171104 C 3 CP 2 08/10/2019 08/10/2019 07/06/1940 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HERMANUS WALANGARE 013756 79 28977
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001251 0000138056297 3;JKN
linda03; 5.3.9.201904290125 4 80404 1#0##0#0#0.0#2019-10-10
13:39:43#0#00:00:00#00:00:00#00:00:00 1 c03860b96dc501dd22ec4a43231e7dc6
7171104 C 3 CP 2 08/10/2019 08/10/2019 12/02/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ASTRID L MANGORE 051811 71 26171 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V001253 0000139035892 3;JKN linda03;
5.3.9.201904290125 4 80405 1#0##0#0#0.0#2019-10-10
13:40:16#0#00:00:00#00:00:00#00:00:00 1 10cd2b598914dfd1efacd3f8ccf33526
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/12/1958 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADELIN RENGKUNG 052228 60 22226 DR.MELISA
RATAG,SPM 0309R0191019V001255 0000905227244 3;JKN linda03;
5.3.9.201904290125 4 80407 1#0##0#0#0.0#2019-10-10
13:41:13#0#00:00:00#00:00:00#00:00:00 1 b3f7e4e3e78c97c4406f818aafccc4b8
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/03/1975 0 2
1 H35.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 OLVANY R. USSU 052229 44 16292 DR.MELISA
RATAG,SPM 0309R0191019V001257 0000910248186 3;JKN linda03;
5.3.9.201904290125 4 80408 1#0##0#0#0.0#2019-10-10
13:42:09#0#00:00:00#00:00:00#00:00:00 1 a06ef29aa806cc949b6ce52bf64017e2
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/11/1961 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PILET WENTUK 051970 57 21160 DR
YULIANA HARTONO,SPM 0309R0191019V001256 0000908288392 3;JKN linda03;
5.3.9.201904290125 4 80416 1#0##0#0#0.0#2019-10-10
13:52:57#0#00:00:00#00:00:00#00:00:00 1 594d3a111b14e075654789929490358f
7171104 C 3 CP 2 08/10/2019 08/10/2019 26/11/2002 0 2
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SHANIA REGINA KONTRAS 085230 16 6160 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001259 0000910249839 3;JKN
linda03; 5.3.9.201904290125 4 80417 1#0##0#0#0.0#2019-10-10
13:54:08#0#00:00:00#00:00:00#00:00:00 1 fde9a258407627a1ed8b2ef9cf3e07d2
7171104 C 3 CP 2 08/10/2019 08/10/2019 04/11/1957 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELSYE MAKAL 051972 61 22618 DR YULIANA
HARTONO,SPM 0309R0191019V001260 0001604482165 3;JKN linda03;
5.3.9.201904290125 4 80418 1#0##0#0#0.0#2019-10-10
13:54:52#0#00:00:00#00:00:00#00:00:00 1 2162498e1747584e789cd73560941c02
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/09/1951 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MUL LENGKONG 052231 68 24874 DR YULIANA
HARTONO,SPM 0309R0191019V001261 0000905144411 3;JKN linda03;
5.3.9.201904290125 4 80419 102#0##0#0#0.0#2019-10-10
13:56:00#0#00:00:00#00:00:00#00:00:00 1 fa6e8f5fb190859015318d30fd95e5f9
7171104 C 3 CP 2 08/10/2019 08/10/2019 30/08/1950 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOSEPHIEN A DENGAH 051688 69 25241
DR YULIANA HARTONO,SPM 0309R0191019V001262 0000139067684 3;JKN
linda03; 5.3.9.201904290125 4 80420 1#0##0#0#0.0#2019-10-10
13:56:32#0#00:00:00#00:00:00#00:00:00 1 9ea78241be3fa3fcdc1ade2200226853
7171104 C 3 CP 2 08/10/2019 08/10/2019 22/09/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADOLFINA SALINDEHO 050973 69 25218 DR
YULIANA HARTONO,SPM 0309R0191019V001264 0002055412855 3;JKN linda03;
5.3.9.201904290125 4 80421 1#0##0#0#0.0#2019-10-10
13:57:17#0#00:00:00#00:00:00#00:00:00 1 d9ca55f43cf1d6152fe6a70a6fdf5fc1
7171104 C 3 CP 2 08/10/2019 08/10/2019 13/04/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNIE WAURAN 050421 77 28302 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V001284 0001573001234 3;JKN Boni04;
5.3.9.201904290125 4 81190 1#0##0#0#0.0#2019-10-16
10:26:28#0#00:00:00#00:00:00#00:00:00 1 6da3d59b4866a0582955693262fae949
7171104 C 3 CP 2 08/10/2019 08/10/2019 21/05/1948 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 OSCAR TINDI 014502 71 26072 DR.MELISA
RATAG,SPM 0309R0191019V001187 0002057365732 3;JKN Boni04;
5.3.9.201904290125 4 81191 1#0##0#0#0.0#2019-10-16
10:34:17#0#00:00:00#00:00:00#00:00:00 1 c204071f81f2554d55c94007eaa4c49b
7171104 C 3 CP 2 08/10/2019 08/10/2019 22/03/1946 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 KOM LIEN 052257 73 26863 DR.MELISA
RATAG,SPM 0309R0191019V001323 0000137072711 3;JKN Boni04;
5.3.9.201904290125 4 81192 1#0##0#0#0.0#2019-10-16
10:35:31#0#00:00:00#00:00:00#00:00:00 1 307bbf831928c4fc27bb726ee3fe8905
7171104 C 3 CP 2 08/10/2019 08/10/2019 02/09/1954 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 SEBEDEUS GARING 024278 65 23777 DR
YULIANA HARTONO,SPM 0309R0191019V001433 0002085776706 3;JKN Boni04;
5.3.9.201904290125 4 81193 1#0##0#0#0.0#2019-10-16
11:57:41#0#00:00:00#00:00:00#00:00:00 1 21a9360a055dffb41693748d732e5698
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/06/1992 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 INDRA REWA 046140 27 9990 DR YULIANA
HARTONO,SPM 0309R0191019V001258 0000908215626 3;JKN Boni04;
5.3.9.201904290125 4 81194 1#0##0#0#0.0#2019-10-16
11:58:27#0#00:00:00#00:00:00#00:00:00 1 0c5dfaa6517423581bb7e878586ca473
7171104 C 3 CP 2 08/10/2019 08/10/2019 15/12/1945 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 JENNY LUCIA NAJOAN 021047 73 26960
DR YULIANA HARTONO,SPM 0309R0191019V001186 0001427372763 3;JKN
Boni04; 5.3.9.201904290125 4 81195 1#0##0#0#0.0#2019-10-16
11:59:13#0#00:00:00#00:00:00#00:00:00 1 8ae27ba558d4fa9538403058099a2df4
7171104 C 3 CP 2 08/10/2019 08/10/2019 23/02/1957 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 FEMMY MAMANGKEY 006398 62 22872 DR
YULIANA HARTONO,SPM 0309R0191019V001185 0001889167127 3;JKN Boni04;
5.3.9.201904290125 4 81196 1#0##0#0#0.0#2019-10-16
12:00:13#0#00:00:00#00:00:00#00:00:00 1 d04282b924fd3a7b0c7af0d829269a80
7171104 C 3 CP 2 08/10/2019 08/10/2019 13/06/1955 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 JHONY LELA 051235 64 23493 DR YULIANA
HARTONO,SPM 0309R0191019V001227 0000907424831 3;JKN Boni04;
5.3.9.201904290125 4 81197 1#0##0#0#0.0#2019-10-16
12:00:58#0#00:00:00#00:00:00#00:00:00 1 de04ac3fcdd8b86a67f8e33ba07ebab4
7171104 C 3 CP 2 08/10/2019 08/10/2019 14/05/1952 0 2
1 H26.9 13.59;13.71 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 NAOMI TATONTOS 052284 67 24618 DR
IVONNE RAMENUSA,SPM 0309R0191019V001444 0001243646706 3;JKN Boni04;
5.3.9.201904290125 4 81198 1#0##0#0#0.0#2019-10-16
12:04:23#0#00:00:00#00:00:00#00:00:00 1 3000e4dd51edc0f6304bff40851085d2
7171104 C 3 CP 2 08/10/2019 08/10/2019 11/09/1944 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 KAROLINA ROLOS
052247 75 27420 DR IVONNE RAMENUSA,SPM 0309R0191019V001310
0001422067375 3;JKN Boni04; 5.3.9.201904290125 4 81199
1#0##0#0#0.0#2019-10-16 12:05:11#0#00:00:00#00:00:00#00:00:00 1
221ac09da6de1418c6e7b438d3951825
7171104 C 3 CP 2 08/10/2019 08/10/2019 10/04/1955 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 PIET TAMPOMURI
044059 64 23557 DR IVONNE RAMENUSA,SPM 0309R0191019V001313
0001479364828 3;JKN Boni04; 5.3.9.201904290125 4 81200
1#0##0#0#0.0#2019-10-16 12:05:57#0#00:00:00#00:00:00#00:00:00 1
5562e3956e2396e542ae50f343379c09
7171104 C 3 CP 2 08/10/2019 08/10/2019 28/04/1958 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ALFRETS
PONTOLOSANG 052280 61 22443 DR IVONNE RAMENUSA,SPM 0309R0191019V001441
0001243635265 3;JKN Boni04; 5.3.9.201904290125 4 81201
1#0##0#0#0.0#2019-10-16 12:06:34#0#00:00:00#00:00:00#00:00:00 1
07919889af2461a0a3b9d4ad42220502
7171104 C 3 CP 2 08/10/2019 08/10/2019 19/01/1963 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HALIM HARI BOHAM
052278 56 20716 DR IVONNE RAMENUSA,SPM 0309R0191019V001439
0002641327839 3;JKN Boni04; 5.3.9.201904290125 4 81202
1#0##0#0#0.0#2019-10-16 12:07:33#0#00:00:00#00:00:00#00:00:00 1
34619ee78e5fcae46f56d2a8ac89dd29
7171104 C 3 CP 2 08/10/2019 08/10/2019 03/02/1957 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JEMMY MANTIRI
052282 62 22892 DR IVONNE RAMENUSA,SPM 0309R0191019V001443
0002067269286 3;JKN Boni04; 5.3.9.201904290125 4 81203
1#0##0#0#0.0#2019-10-16 12:08:30#0#00:00:00#00:00:00#00:00:00 1
360fc0557e4faaaf3805d7b709a0fa1a
7171104 C 3 CP 2 08/10/2019 08/10/2019 07/07/1953 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 BERNAT BERHANUS
052281 66 24199 DR IVONNE RAMENUSA,SPM 0309R0191019V001440
0002067218504 3;JKN Boni04; 5.3.9.201904290125 4 81204
1#0##0#0#0.0#2019-10-16 12:09:07#0#00:00:00#00:00:00#00:00:00 1
7f795f202a2f3fb0d46240b48fd0b5c5
7171104 C 3 CP 2 08/10/2019 08/10/2019 19/10/1944 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 KARSUM A HARUN
046939 74 27382 DR IVONNE RAMENUSA,SPM 0309R0191019V001201
0000139068797 3;JKN Boni04; 5.3.9.201904290125 4 81205
1#0##0#0#0.0#2019-10-16 12:09:58#0#00:00:00#00:00:00#00:00:00 1
6c280ae9e4d88f00696d35b8d243096d
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/03/1960 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YOKEBET
TAMBULANGGO 036684 59 21770 DR IVONNE RAMENUSA,SPM 0309R0191019V001351
0000907692647 3;JKN Boni04; 5.3.9.201904290125 4 81206
1#0##0#0#0.0#2019-10-16 12:10:41#0#00:00:00#00:00:00#00:00:00 1
1991c74706a1e2deddd0bfaee61bebed
7171104 C 3 CP 2 08/10/2019 08/10/2019 02/11/1953 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DORKAS IRIANTO
TUMBELAKA 016808 65 24081 DR IVONNE RAMENUSA,SPM 0309R0191019V001306
0001310993627 3;JKN Boni04; 5.3.9.201904290125 4 81207
1#0##0#0#0.0#2019-10-16 12:11:19#0#00:00:00#00:00:00#00:00:00 1
ed474027b165f4c7835e08c8d461609f
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/10/1941 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ELSI DJURIAN
051773 78 28496 DR IVONNE RAMENUSA,SPM 0309R0191019V001281
0000908015826 3;JKN Boni04; 5.3.9.201904290125 4 81208
1#0##0#0#0.0#2019-10-16 12:12:05#0#00:00:00#00:00:00#00:00:00 1
f44acda8e1595358a29b6ca1b6fd5110
7171104 C 3 CP 2 08/10/2019 08/10/2019 22/10/1940 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 POLIEN PIRI 051085
78 28840 DR SAUL RAPAR,SPM 0309R0191019V001286 0001566235383 3;JKN
Boni04; 5.3.9.201904290125 4 81209 1#0##0#0#0.0#2019-10-16
12:14:24#0#00:00:00#00:00:00#00:00:00 1 69c6677a7221bfe08587799985ab2d26
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/05/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NURSIA PAULUS
051987 71 26092 DR SAUL RAPAR,SPM 0309R0191019V001315
0000911619955 3;JKN Boni04; 5.3.9.201904290125 4 81210
1#0##0#0#0.0#2019-10-16 12:15:05#0#00:00:00#00:00:00#00:00:00 1
2155c7705c1a27c0bbbf40f756939b71
7171104 C 3 CP 2 08/10/2019 08/10/2019 12/11/1953 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HENRY A RUMOKOY
031803 65 24071 DR SAUL RAPAR,SPM 0309R0191019V001303
0000137236149 3;JKN Boni04; 5.3.9.201904290125 4 81211
1#0##0#0#0.0#2019-10-16 12:15:42#0#00:00:00#00:00:00#00:00:00 1
d314af45fd7ea7a12c649ad54bfc3da2
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/10/1965 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JANI TAMUNTUAN
052234 54 19730 DR SAUL RAPAR,SPM 0309R0191019V001288
0001079845119 3;JKN Boni04; 5.3.9.201904290125 4 81212
1#0##0#0#0.0#2019-10-16 12:16:25#0#00:00:00#00:00:00#00:00:00 1
f34b526e830bb2f0d6ab04f2188da0e8
7171104 C 3 CP 2 08/10/2019 08/10/2019 24/12/1970 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DEVI YOVI ROMPIS
051948 48 17820 DR SAUL RAPAR,SPM 0309R0191019V001199
0001448801548 3;JKN Boni04; 5.3.9.201904290125 4 81213
1#0##0#0#0.0#2019-10-16 12:17:22#0#00:00:00#00:00:00#00:00:00 1
a7efb215c83be3293b879d56627e55b0
7171104 C 3 CP 2 08/10/2019 08/10/2019 28/07/1945 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARIE JULIANA
KOJONGIAN 052029 74 27100 DR SAUL RAPAR,SPM 0309R0191019V001263
0000139071025 3;JKN Boni04; 5.3.9.201904290125 4 81214
1#0##0#0#0.0#2019-10-16 12:18:01#0#00:00:00#00:00:00#00:00:00 1
619983f56ae8ee05d2c68bd87e127a26
7171104 C 3 CP 2 08/10/2019 08/10/2019 29/09/1958 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SEMI SOLEMAN
052050 61 22289 DR SAUL RAPAR,SPM 0309R0191019V001254
0000908443236 3;JKN Boni04; 5.3.9.201904290125 4 81215
1#0##0#0#0.0#2019-10-16 12:18:56#0#00:00:00#00:00:00#00:00:00 1
e6698c65cdb82169772ba3f057ee4182
7171104 C 3 CP 2 08/10/2019 08/10/2019 11/11/1937 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ANATJE KATIE RATON
052127 81 29916 DR SAUL RAPAR,SPM 0309R0191019V001311
0001890413436 3;JKN Boni04; 5.3.9.201904290125 4 81216
1#0##0#0#0.0#2019-10-16 12:19:30#0#00:00:00#00:00:00#00:00:00 1
be2b73dfd0ba66f8dfc3337d5ddde76a
7171104 C 3 CP 2 08/10/2019 08/10/2019 04/10/1953 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHANIS MANOPPO
052027 66 24110 DR SAUL RAPAR,SPM 0309R0191019V001268
0001569869932 3;JKN Boni04; 5.3.9.201904290125 4 81217
1#0##0#0#0.0#2019-10-16 12:20:26#0#00:00:00#00:00:00#00:00:00 1
5361c5290f421e875de5f3da557e80e3
7171104 C 3 CP 2 08/10/2019 08/10/2019 01/02/1954 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SUPIA SURANG
051776 65 23990 DR PAULA M V LUMUNON,SPM 0309R0191019V001337
0000908236541 3;JKN Boni04; 5.3.9.201904290125 4 81218
1#0##0#0#0.0#2019-10-16 12:21:02#0#00:00:00#00:00:00#00:00:00 1
5ad0bc08df12a0f79432a0e58810ff28
7171104 C 3 CP 2 08/10/2019 08/10/2019 06/05/1956 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MASTIN DEREK
051793 63 23165 DR PAULA M V LUMUNON,SPM 0309R0191019V001182
0002486234632 3;JKN Boni04; 5.3.9.201904290125 4 81219
1#0##0#0#0.0#2019-10-16 12:24:05#0#00:00:00#00:00:00#00:00:00 1
79a5bb5a14ff1e71f437497c51b4a112
7171104 C 3 CP 2 08/10/2019 08/10/2019 10/02/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 VEMMY SUMUAL
051784 67 24712 DR PAULA M V LUMUNON,SPM 0309R0191019V001188
0002444185844 3;JKN Boni04; 5.3.9.201904290125 4 81220
1#0##0#0#0.0#2019-10-16 12:24:55#0#00:00:00#00:00:00#00:00:00 1
51b9dc30f9b7bc6422d7d1c92d2e12f1
7171104 C 3 CP 2 08/10/2019 08/10/2019 11/12/1946 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 EDDY VENTJE OWAY
051856 72 26599 DR PAULA M V LUMUNON,SPM 0309R0191019V001194
0000137144608 3;JKN Boni04; 5.3.9.201904290125 4 81221
1#0##0#0#0.0#2019-10-16 12:25:39#0#00:00:00#00:00:00#00:00:00 1
9af4ef8dd27b913cd51168aa3dcd75e0
7171104 C 3 CP 2 08/10/2019 08/10/2019 07/07/1949 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ESKE KANDOWANGKO
052221 70 25660 DR PAULA M V LUMUNON,SPM 0309R0191019V001170
0000138123459 3;JKN Boni04; 5.3.9.201904290125 4 81222
1#0##0#0#0.0#2019-10-16 12:26:41#0#00:00:00#00:00:00#00:00:00 1
53df0b1d2eb5481eec7f5b10e16af0e4
7171104 C 3 CP 2 08/10/2019 08/10/2019 16/10/1964 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ESTER S. RORI
005949 54 20080 DR PAULA M V LUMUNON,SPM 0309R0191019V001209
0000137791923 3;JKN Boni04; 5.3.9.201904290125 4 81223
1#0##0#0#0.0#2019-10-16 12:27:44#0#00:00:00#00:00:00#00:00:00 1
ee12778055a62a63c49a8bac2a8b524e
7171104 C 3 CP 2 08/10/2019 08/10/2019 06/04/1962 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SATRIA ABAS 000338
57 21004 DR PAULA M V LUMUNON,SPM 0309R0191019V001210
0001789201664 3;JKN Boni04; 5.3.9.201904290125 4 81224
1#0##0#0#0.0#2019-10-16 12:28:45#0#00:00:00#00:00:00#00:00:00 1
db149ddef58f2a3f8aa564eb325bc8ce
7171104 C 3 CP 2 08/10/2019 08/10/2019 05/01/1957 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JANSJE RAWIS
051867 62 22921 DR PAULA M V LUMUNON,SPM 0309R0191019V001233
0002318746926 3;JKN Boni04; 5.3.9.201904290125 4 81225
1#0##0#0#0.0#2019-10-16 12:29:33#0#00:00:00#00:00:00#00:00:00 1
012c59c71479fa6541e3e228bc517b5c
7171104 C 3 CP 2 08/10/2019 08/10/2019 26/11/1973 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ALPIUS PANTAS
051877 45 16752 DR PAULA M V LUMUNON,SPM 0309R0191019V001229
0002420102856 3;JKN Boni04; 5.3.9.201904290125 4 81226
1#0##0#0#0.0#2019-10-16 12:31:10#0#00:00:00#00:00:00#00:00:00 1
f88705b972f2b88fe4436f5418c06d9d
7171104 C 3 CP 2 08/10/2019 08/10/2019 08/05/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 KATOCE MEDATA
051964 67 24624 DR PAULA M V LUMUNON,SPM 0309R0191019V001277
0000909632035 3;JKN Boni04; 5.3.9.201904290125 4 81227
1#0##0#0#0.0#2019-10-16 12:31:54#0#00:00:00#00:00:00#00:00:00 1
8f139f6cea953cf7463ba31b049de200
7171104 C 3 CP 2 08/10/2019 08/10/2019 13/06/1965 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YENNY ROSMAILE
YATTY TICOALU 021346 54 19840 DR PAULA M V LUMUNON,SPM
0309R0191019V001236 0002312109911 3;JKN Boni04; 5.3.9.201904290125
4 81228 1#0##0#0#0.0#2019-10-16 12:32:36#0#00:00:00#00:00:00#00:00:00
1 b1014d63510e782e45d6b3ced10bde47
7171104 C 3 CP 2 08/10/2019 08/10/2019 02/06/1944 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHN FRANS KAUNANG
051778 75 27521 DR PAULA M V LUMUNON,SPM 0309R0191019V001252
0000138253691 3;JKN Boni04; 5.3.9.201904290125 4 81229
1#0##0#0#0.0#2019-10-16 12:33:30#0#00:00:00#00:00:00#00:00:00 1
8d93279c46c2136d37a9f273a318ec2f
7171104 C 3 CP 2 08/10/2019 08/10/2019 08/12/1962 0 2
1 Z09.0;H26.9;H35.2;H33.4 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEISY GETOLEYDA RUMBAJAN 051173 56
20758 DR.MELISA RATAG,SPM 0309R0191019V001339 0001574658112 3;JKN
Patrick K.; 5.3.9.201904290125 4 80233 1#0##0#0#0.0#2019-10-25
08:53:33#0#00:00:00#00:00:00#00:00:00 2 b1604efbd06688ff6b3d00c28d96dd43
7171104 C 3 CP 2 08/10/2019 08/10/2019 18/06/2005 0 1
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JUNINHO ARJUN PANGULIMANG 052237 14 5225
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001319 0001181350214 3;JKN
Patrick K.; 5.3.9.201904290125 4 80208 1#0##0#0#0.0#2019-11-05
15:17:40#0#00:00:00#00:00:00#00:00:00 2 ea6651404b61b669458a10230e2e2034
7171104 C 3 CP 1 08/10/2019 09/10/2019 01/10/1969 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 FAUJIA HINGO 051115 50
18269 DR IVONNE RAMENUSA,SPM 0309R0191019V001175 0000908030744 3;JKN
eka06; 5.3.9.201904290125 4 80227 1#0##0#0#0.0#2019-10-09
13:42:57#0#00:00:00#00:00:00#00:00:00 1 14fb28e9ec7ff99295400a2b562ca4cc
7171104 C 3 CP 2 09/10/2019 09/10/2019 08/12/1963 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BUSLAR SANGER 051376 55 20394 DR PAULA M V
LUMUNON,SPM 0309R0191019V001640 0000138446897 3;JKN Vian02;
5.3.9.201904290125 4 80287 1#0##0#0#0.0#2019-10-10
08:42:18#0#00:00:00#00:00:00#00:00:00 1 9e1b7f570e24edb6d1d6995c317b0e47
7171104 C 3 CP 2 09/10/2019 09/10/2019 02/01/2005 0 2
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LOUISA JOVANKA COLARA NAGNAN LOLO 052327 14
5393 DR PAULA M V LUMUNON,SPM 0309R0191019V001639 0001389914021
3;JKN Vian02; 5.3.9.201904290125 4 80291 1#0##0#0#0.0#2019-10-10
08:59:40#0#00:00:00#00:00:00#00:00:00 1 f6d8972bc40520896260599794374170
7171104 C 3 CP 2 09/10/2019 09/10/2019 24/03/2006 0 2
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MEGA MARIA WILDA WELAN 052326 13 4947 DR
SAUL RAPAR,SPM 0309R0191019V001637 0000172858972 3;JKN Vian02;
5.3.9.201904290125 4 80292 1#0##0#0#0.0#2019-10-10
09:01:54#0#00:00:00#00:00:00#00:00:00 1 3f5213662d7460d306c52475c2425b24
7171104 C 3 CP 2 09/10/2019 09/10/2019 13/03/1980 0 2
1 H52.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARITJE MAGDALENA PANTOUW 032160 39
14454 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001636 0000137753482
3;JKN Vian02; 5.3.9.201904290125 4 80293 1#0##0#0#0.0#2019-10-10
09:03:08#0#00:00:00#00:00:00#00:00:00 1 e75371081a5db5680a12906520c19be4
7171104 C 3 CP 2 09/10/2019 09/10/2019 19/05/1953 0 1
1 H27.0;H59.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUNAIDY SANGKOP 051853 66 24249 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001635 0002893813929 3;JKN
Vian02; 5.3.9.201904290125 4 80294 1#0##0#0#0.0#2019-10-10
09:04:16#0#00:00:00#00:00:00#00:00:00 1 7681e22e19e026f434b4f57a4db62220
7171104 C 3 CP 2 09/10/2019 09/10/2019 20/03/1972 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MERSY ELSYE MOMONGAN 003165 47 17369
DR PAULA M V LUMUNON,SPM 0309R0191019V001634 0000137767498 3;JKN
Vian02; 5.3.9.201904290125 4 80295 1#0##0#0#0.0#2019-10-10
09:05:27#0#00:00:00#00:00:00#00:00:00 1 48c0cc96ff53ea0290770a2df39067cb
7171104 C 3 CP 2 09/10/2019 09/10/2019 10/02/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VEMMY SUMUAL 051784 67 24713 DR PAULA M V
LUMUNON,SPM 0309R0191019V001633 0002444185844 3;JKN Vian02;
5.3.9.201904290125 4 80296 1#0##0#0#0.0#2019-10-10
09:06:19#0#00:00:00#00:00:00#00:00:00 1 c1b7ba184b7fde9525b9820fa3b96869
7171104 C 3 CP 2 09/10/2019 09/10/2019 10/08/1949 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 THERESIA SAMPOW 052325 70 25627 DR
PAULA M V LUMUNON,SPM 0309R0191019V001632 0000138873879 3;JKN Vian02;
5.3.9.201904290125 4 80297 1#0##0#0#0.0#2019-10-10
09:07:05#0#00:00:00#00:00:00#00:00:00 1 40bffa3bdcab9432fabd95289f333421
7171104 C 3 CP 2 09/10/2019 09/10/2019 07/02/1958 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MINTJE LAUSAN 050689 61 22524 DR
YULIANA HARTONO,SPM 0309R0191019V001631 0002484311657 3;JKN Vian02;
5.3.9.201904290125 4 80299 1#0##0#0#0.0#2019-10-10
09:07:54#0#00:00:00#00:00:00#00:00:00 1 d2773c0394bd87fe6f70913d48e3dccb
7171104 C 3 CP 2 09/10/2019 09/10/2019 20/12/1955 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONJE TATIMU 051196 63 23304 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001629 0001790321883 3;JKN
Vian02; 5.3.9.201904290125 4 80301 1#0##0#0#0.0#2019-10-10
09:08:32#0#00:00:00#00:00:00#00:00:00 1 28799444acaffeb25ad669b7a1aa1318
7171104 C 3 CP 2 09/10/2019 09/10/2019 14/06/1953 0 2
1 Z09.8;H44.5;H40.1;Z96.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NURMI ALOWON 050519 66 24223 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001627 0002243999733 3;JKN
Vian02; 5.3.9.201904290125 4 80305 1#0##0#0#0.0#2019-10-10
09:11:12#0#00:00:00#00:00:00#00:00:00 1 741cfe3f5b9180a15bedfce627657b8e
7171104 C 3 CP 2 09/10/2019 09/10/2019 09/06/1943 0 1
1 Z96.1;H27.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUN RUMUAT 051730 76 27881 DR SAUL
RAPAR,SPM 0309R0191019V001626 0000905500798 3;JKN Vian02;
5.3.9.201904290125 4 80307 1#0##0#0#0.0#2019-10-10
09:12:18#0#00:00:00#00:00:00#00:00:00 1 1bb909fa31eb765ecdc1ec97fdfdc42c
7171104 C 3 CP 2 09/10/2019 09/10/2019 06/12/1965 0 2
1 H52.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEYTJE V. TURANGAN 052322 53 19665
DR YULIANA HARTONO,SPM 0309R0191019V001625 0002078336755 3;JKN
Vian02; 5.3.9.201904290125 4 80309 1#0##0#0#0.0#2019-10-10
09:13:13#0#00:00:00#00:00:00#00:00:00 1 4bb00b5e6901ba78f6dca2c7a2ae03aa
7171104 C 3 CP 2 09/10/2019 09/10/2019 22/12/1959 0 2
1 Z09.8;H25.0;H40.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELFIE ROMPAS 009834 59 21841 DR
PAULA M V LUMUNON,SPM 0309R0191019V001623 0000137352813 3;JKN Vian02;
5.3.9.201904290125 4 80311 1#0##0#0#0.0#2019-10-10
09:14:10#0#00:00:00#00:00:00#00:00:00 1 e9793b7cb75ae201699c23af8ca2db92
7171104 C 3 CP 2 09/10/2019 09/10/2019 30/08/1980 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AMBROSIUS MARKUS LOHO 051541 39 14284 DR
PAULA M V LUMUNON,SPM 0309R0191019V001620 0001280693204 3;JKN Vian02;
5.3.9.201904290125 4 80313 1#0##0#0#0.0#2019-10-10
09:14:46#0#00:00:00#00:00:00#00:00:00 1 416081c45319a0bb5356f8ad7a7240d6
7171104 C 3 CP 2 09/10/2019 09/10/2019 17/12/1952 0 2
1 Z96.1;H17.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARGARETHA WATUNA 051833 66 24402 DR
PAULA M V LUMUNON,SPM 0309R0191019V001619 0000139127139 3;JKN Vian02;
5.3.9.201904290125 4 80315 1#0##0#0#0.0#2019-10-10
09:15:40#0#00:00:00#00:00:00#00:00:00 1 7e69c4353c3a1ab086be5f34efa7137c
7171104 C 3 CP 2 09/10/2019 09/10/2019 11/04/1953 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANNIE F. TAMPI 030213 66 24287 DR
SAUL RAPAR,SPM 0309R0191019V001617 0001803783745 3;JKN Vian02;
5.3.9.201904290125 4 80317 1#0##0#0#0.0#2019-10-10
09:16:16#0#00:00:00#00:00:00#00:00:00 1 292f3e2b394c65b73a074659e01e3ea8
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/04/1962 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LINTJE MARTJE SINGON 051834 57 21010 DR
PAULA M V LUMUNON,SPM 0309R0191019V001616 0001066832829 3;JKN Vian02;
5.3.9.201904290125 4 80319 1#0##0#0#0.0#2019-10-10
09:17:04#0#00:00:00#00:00:00#00:00:00 1 20b5a4acdc11eacb45ac3ca965919398
7171104 C 3 CP 2 09/10/2019 09/10/2019 29/09/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FIENTJE JOHANA RUMBAY 007429 73 26673 DR
YULIANA HARTONO,SPM 0309R0191019V001615 0002251011936 3;JKN Vian02;
5.3.9.201904290125 4 80320 1#0##0#0#0.0#2019-10-10
09:17:42#0#00:00:00#00:00:00#00:00:00 1 170d97e3738a2aeceac62d56d57eb141
7171104 C 3 CP 2 09/10/2019 09/10/2019 29/05/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FEMMY .H. ROLOS,DRA 051225 67 24604 DR
SAUL RAPAR,SPM 0309R0191019V001614 0000138224158 3;JKN Vian02;
5.3.9.201904290125 4 80331 1#0##0#0#0.0#2019-10-10
09:33:27#0#00:00:00#00:00:00#00:00:00 1 c4da8ae5a7092c7fed1402994e93ece1
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/04/1964 0 2
1 Z09.8;H52.1;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANTJE ANDRETA SANGIAN 051868 55 20279
DR PAULA M V LUMUNON,SPM 0309R0191019V001613 0000138592236 3;JKN
Vian02; 5.3.9.201904290125 4 80332 1#0##0#0#0.0#2019-10-10
09:34:16#0#00:00:00#00:00:00#00:00:00 1 25e26e665057e544ec4dab95e855f775
7171104 C 3 CP 2 09/10/2019 09/10/2019 27/03/1963 0 1
1 Z96.1;H11.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HASTON PETRUS RAMPEN 028934 56 20650
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001611 0000138972969 3;JKN
Vian02; 5.3.9.201904290125 4 80333 1#0##0#0#0.0#2019-10-10
09:35:47#0#00:00:00#00:00:00#00:00:00 1 4dfd480b3d17c62558bccbabdce77c24
7171104 C 3 CP 2 09/10/2019 09/10/2019 20/03/1968 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TETTY M. MORAY 052319 51 18830 DR
SAUL RAPAR,SPM 0309R0191019V001610 0000138275245 3;JKN Vian02;
5.3.9.201904290125 4 80334 1#0##0#0#0.0#2019-10-10
09:36:37#0#00:00:00#00:00:00#00:00:00 1 c2780c10c5e4853b495a00abecc879e8
7171104 C 3 CP 2 09/10/2019 09/10/2019 28/06/1971 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DJENRIF DAUD SAMOLA 052320 48 17635 DR
SAUL RAPAR,SPM 0309R0191019V001609 0002388492257 3;JKN Vian02;
5.3.9.201904290125 4 80335 1#0##0#0#0.0#2019-10-10
09:37:34#0#00:00:00#00:00:00#00:00:00 1 42ad2e74f61c3815ea84f2d6e10a3203
7171104 C 3 CP 2 09/10/2019 09/10/2019 16/02/1971 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FINTJE DALEDA 052317 48 17767 DR YULIANA
HARTONO,SPM 0309R0191019V001608 0001164173602 3;JKN Vian02;
5.3.9.201904290125 4 80336 1#0##0#0#0.0#2019-10-10
09:38:18#0#00:00:00#00:00:00#00:00:00 1 e2b6f8f1da23edfb3d9d4ec78067ddeb
7171104 C 3 CP 2 09/10/2019 09/10/2019 13/01/1958 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ARNOLDUS K. J. FREDERIK 051039 61 22549 DR
PAULA M V LUMUNON,SPM 0309R0191019V001607 0000139010523 3;JKN Vian02;
5.3.9.201904290125 4 80337 1#0##0#0#0.0#2019-10-10
09:39:06#0#00:00:00#00:00:00#00:00:00 1 70bbfdebb1a0164f0a51df5c31590ce2
7171104 C 3 CP 2 09/10/2019 09/10/2019 11/02/1979 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GUNTHER FARRY PIETER, SIP 051866 40
14850 DR YULIANA HARTONO,SPM 0309R0191019V001606 0000137033638 3;JKN
Vian02; 5.3.9.201904290125 4 80338 1#0##0#0#0.0#2019-10-10
09:39:43#0#00:00:00#00:00:00#00:00:00 1 97f5338d01066d18720ec24921f997ce
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/10/1946 0 1
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALBERT RAUAN 049947 73 26671 DR
SAUL RAPAR,SPM 0309R0191019V001605 0001066820646 3;JKN Vian02;
5.3.9.201904290125 4 80339 1#0##0#0#0.0#2019-10-10
09:40:35#0#00:00:00#00:00:00#00:00:00 1 d3fa4cc5a5e2d6e2bb06dd9de638ac87
7171104 C 3 CP 2 09/10/2019 09/10/2019 18/03/1973 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIKE ANDRIS 031605 46 17006 DR
YULIANA HARTONO,SPM 0309R0191019V001602 0001604508175 3;JKN Vian02;
5.3.9.201904290125 4 80340 1#0##0#0#0.0#2019-10-10
09:41:23#0#00:00:00#00:00:00#00:00:00 1 fbbbe7314910ff77b858f6aad4012199
7171104 C 3 CP 2 09/10/2019 09/10/2019 29/03/1956 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PANGEMANAN HERMIN 044914 63 23204 DR
YULIANA HARTONO,SPM 0309R0191019V001601 0000138474966 3;JKN Vian02;
5.3.9.201904290125 4 80341 1#0##0#0#0.0#2019-10-10
09:44:36#0#00:00:00#00:00:00#00:00:00 1 1544d2b749eef6075d642ec4ad425cd6
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/02/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SAARTJE LUMEMPOW 051835 70 25817 DR PAULA M V
LUMUNON,SPM 0309R0191019V001600 0001066839592 3;JKN Vian02;
5.3.9.201904290125 4 80342 1#0##0#0#0.0#2019-10-10
09:45:11#0#00:00:00#00:00:00#00:00:00 1 53fc8ec045dc31553855d6fc17f04d05
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/03/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARRI WAWOLANGI 050847 74 27250 DR YULIANA
HARTONO,SPM 0309R0191019V001599 0000908404075 3;JKN Vian02;
5.3.9.201904290125 4 80343 1#0##0#0#0.0#2019-10-10
09:46:13#0#00:00:00#00:00:00#00:00:00 1 e3959042ebaa8adac496da17c1714abc
7171104 C 3 CP 2 09/10/2019 09/10/2019 06/10/1966 0 1
1 H52.2;H52.1;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MUH NUR JAYA 052316 53 19361 DR
SAUL RAPAR,SPM 0309R0191019V001598 0001834294061 3;JKN Vian02;
5.3.9.201904290125 4 80344 1#0##0#0#0.0#2019-10-10
09:47:37#0#00:00:00#00:00:00#00:00:00 1 34452ed124e510b8f39cd54bec57117d
7171104 C 3 CP 2 09/10/2019 09/10/2019 20/09/1976 0 1
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEDDY TOMMY KAUNANG 052313 43 15724
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001597 0001640460497 3;JKN
Vian02; 5.3.9.201904290125 4 80345 1#0##0#0#0.0#2019-10-10
09:48:42#0#00:00:00#00:00:00#00:00:00 1 10935dd3eb3aee3272e51a975225af01
7171104 C 3 CP 2 09/10/2019 09/10/2019 28/07/1945 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIE JULIANA KOJONGIAN 052029 74 27101
DR SAUL RAPAR,SPM 0309R0191019V001450 0000139071025 3;JKN linda03;
5.3.9.201904290125 4 80422 1#0##0#0#0.0#2019-10-10
14:21:35#0#00:00:00#00:00:00#00:00:00 1 62a9f34e1774e9dd5aa9f5de315b37f8
7171104 C 3 CP 2 09/10/2019 09/10/2019 24/12/1970 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEVI YOVI ROMPIS 051948 48 17821 DR
SAUL RAPAR,SPM 0309R0191019V001451 0001448801548 3;JKN linda03;
5.3.9.201904290125 4 80423 3#0##0#0#0.0#2019-10-10
14:22:21#0#00:00:00#00:00:00#00:00:00 1 09bf11cf998fa4ef5c442d7d881ba3ee
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/02/1954 0 2
1 Z09.0;H27.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUPIA SURANG 051776 65 23991 DR
PAULA M V LUMUNON,SPM 0309R0191019V001452 0000908236541 3;JKN linda03;
5.3.9.201904290125 4 80424 1#0##0#0#0.0#2019-10-10
14:24:20#0#00:00:00#00:00:00#00:00:00 1 4f31b9c5fda29c3feb951eb3cb933631
7171104 C 3 CP 2 09/10/2019 09/10/2019 11/12/1946 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EDDY VENTJE OWAY 051856 72 26600 DR
PAULA M V LUMUNON,SPM 0309R0191019V001455 0000137144608 3;JKN linda03;
5.3.9.201904290125 4 80425 1#0##0#0#0.0#2019-10-10
14:25:55#0#00:00:00#00:00:00#00:00:00 1 54508a71b80a9514cfe207fa7b9cfa62
7171104 C 3 CP 2 09/10/2019 09/10/2019 13/06/1965 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YENNY ROSMAILE YATTY TICOALU 021346 54
19841 DR PAULA M V LUMUNON,SPM 0309R0191019V001456 0002312109911
3;JKN linda03; 5.3.9.201904290125 4 80426 1#0##0#0#0.0#2019-10-10
14:27:41#0#00:00:00#00:00:00#00:00:00 1 ad6f11fa743e3cbd3667f4a9cf35db15
7171104 C 3 CP 2 09/10/2019 09/10/2019 26/11/1973 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALPIUS PANTAS 051877 45 16753 DR
PAULA M V LUMUNON,SPM 0309R0191019V001457 0002420102856 3;JKN linda03;
5.3.9.201904290125 4 80427 1#0##0#0#0.0#2019-10-10
14:32:24#0#00:00:00#00:00:00#00:00:00 1 062803c246a8020448824eda7ab78465
7171104 C 3 CP 2 09/10/2019 09/10/2019 06/05/1956 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MASTIN DEREK 051793 63 23166 DR
PAULA M V LUMUNON,SPM 0309R0191019V001458 0002486234632 3;JKN linda03;
5.3.9.201904290125 4 80428 1#0##0#0#0.0#2019-10-10
14:34:33#0#00:00:00#00:00:00#00:00:00 1 3ca98307b0265d7b3e78092716d9e6bd
7171104 C 3 CP 2 09/10/2019 09/10/2019 02/06/1944 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHN FRANS KAUNANG 051778 75 27522
DR PAULA M V LUMUNON,SPM 0309R0191019V001459 0000138253691 3;JKN
linda03; 5.3.9.201904290125 4 80429 1#0##0#0#0.0#2019-10-10
14:35:09#0#00:00:00#00:00:00#00:00:00 1 497c7cd964957d26d699bda0e3750e1e
7171104 C 3 CP 2 09/10/2019 09/10/2019 02/11/1953 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DORKAS IRIANTO TUMBELAKA 016808 65
24082 DR SAUL RAPAR,SPM 0309R0191019V001460 0001310993627 3;JKN
linda03; 5.3.9.201904290125 4 80430 1#0##0#0#0.0#2019-10-10
14:35:46#0#00:00:00#00:00:00#00:00:00 1 956b9dbb1bac00da1a5f09bb662cd844
7171104 C 3 CP 2 09/10/2019 09/10/2019 16/10/1964 0 2
1 Z09.0;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ESTER S. RORI 005949 54 20081 DR
PAULA M V LUMUNON,SPM 0309R0191019V001461 0000137791923 3;JKN linda03;
5.3.9.201904290125 4 80431 1#0##0#0#0.0#2019-10-10
14:36:32#0#00:00:00#00:00:00#00:00:00 1 b7f72941e1c1dd022ae8eb6fee08d941
7171104 C 3 CP 2 09/10/2019 09/10/2019 19/10/1944 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KARSUM A HARUN 046939 74 27383 DR
SAUL RAPAR,SPM 0309R0191019V001462 0000139068797 3;JKN linda03;
5.3.9.201904290125 4 80432 1#0##0#0#0.0#2019-10-10
14:37:30#0#00:00:00#00:00:00#00:00:00 1 b9442bde9171b8bac7f7fbc6393851f0
7171104 C 3 CP 2 09/10/2019 09/10/2019 05/01/1957 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANSJE RAWIS 051867 62 22922 DR
PAULA M V LUMUNON,SPM 0309R0191019V001463 0002318746926 3;JKN linda03;
5.3.9.201904290125 4 80433 1#0##0#0#0.0#2019-10-10
14:38:08#0#00:00:00#00:00:00#00:00:00 1 1816e47dea756d2b0f5c4f5b11dcc715
7171104 C 3 CP 2 09/10/2019 09/10/2019 12/12/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DORKAS MANDA 002967 70 25868 DR PAULA M V
LUMUNON,SPM 0309R0191019V001470 0000138119905 3;JKN linda03;
5.3.9.201904290125 4 80434 1#0##0#0#0.0#2019-10-10
14:39:16#0#00:00:00#00:00:00#00:00:00 1 3a7764213ed75279b16118c5495505ac
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/09/1951 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KAMARIA LEMBO 034384 68 24875 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V001471 0000911234024 3;JKN linda03;
5.3.9.201904290125 4 80435 1#0##0#0#0.0#2019-10-10
14:39:59#0#00:00:00#00:00:00#00:00:00 1 490a05454ba1ced572c8511eea2be995
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/03/1952 0 1
1 Z96.1;H47.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOSEF MARKUS MONIAGA 046594 67 24693
DR YULIANA HARTONO,SPM 0309R0191019V001473 0001066998317 3;JKN
linda03; 5.3.9.201904290125 4 80436 1#0##0#0#0.0#2019-10-10
14:40:39#0#00:00:00#00:00:00#00:00:00 1 55227ec674f591a0800e0c5e097c6024
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/10/1941 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELSI DJURIAN 051773 78 28497 DR
SAUL RAPAR,SPM 0309R0191019V001474 0000908015826 3;JKN linda03;
5.3.9.201904290125 4 80437 1#0##0#0#0.0#2019-10-10
14:50:09#0#00:00:00#00:00:00#00:00:00 1 f128eb3d5a1a5908af05a49b941ee667
7171104 C 3 CP 2 09/10/2019 09/10/2019 20/03/1937 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WILHELMINA MAMAHIT MOKAT 052288 82 30153
DR YULIANA HARTONO,SPM 0309R0191019V001476 0000138850817 3;JKN
linda03; 5.3.9.201904290125 4 80439 1#0##0#0#0.0#2019-10-10
15:07:45#0#00:00:00#00:00:00#00:00:00 1 ee01b1b6efa84e571228d4b0b0786d54
7171104 C 3 CP 2 09/10/2019 09/10/2019 16/12/1960 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SASMOKO DESI HERTJAHJO 039549 58 21481 DR
YULIANA HARTONO,SPM 0309R0191019V001477 0001443310648 3;JKN linda03;
5.3.9.201904290125 4 80440 1#0##0#0#0.0#2019-10-10
15:09:41#0#00:00:00#00:00:00#00:00:00 1 f139d37e542d4e8ce634a6fb1e6f6177
7171104 C 3 CP 2 09/10/2019 09/10/2019 11/11/1937 0 1
1 Z09.0;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANATJE KATIE RATON 052127 81 29917
DR SAUL RAPAR,SPM 0309R0191019V001478 0001890413436 3;JKN linda03;
5.3.9.201904290125 4 80441 1#0##0#0#0.0#2019-10-10
15:10:36#0#00:00:00#00:00:00#00:00:00 1 7de2e64bcccd29788fe3582ac9c3d68d
7171104 C 3 CP 2 09/10/2019 09/10/2019 23/03/1975 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARLINCE K TENGKUE 052289 44 16271 DR
PAULA M V LUMUNON,SPM 0309R0191019V001479 0002043227261 3;JKN linda03;
5.3.9.201904290125 4 80442 1#0##0#0#0.0#2019-10-10
15:13:31#0#00:00:00#00:00:00#00:00:00 1 024d3663f4fcaa4d2a0ea7cde91fbb9e
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/03/1941 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARGONIPONIKE IROTH 052290 78 28711 DR
YULIANA HARTONO,SPM 0309R0191019V001480 0001066645438 3;JKN linda03;
5.3.9.201904290125 4 80443 1#0##0#0#0.0#2019-10-10
15:15:23#0#00:00:00#00:00:00#00:00:00 1 66d7636da71c50058fcdd1a743374e6f
7171104 C 3 CP 2 09/10/2019 09/10/2019 29/09/1958 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SEMI SOLEMAN 052050 61 22290 DR
SAUL RAPAR,SPM 0309R0191019V001481 0000908443236 3;JKN linda03;
5.3.9.201904290125 4 80444 1#0##0#0#0.0#2019-10-10
15:16:50#0#00:00:00#00:00:00#00:00:00 1 2dbcb702bc4e18479fcba1a3649eafa8
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/10/1965 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANI TAMUNTUAN 052234 54 19731 DR
SAUL RAPAR,SPM 0309R0191019V001484 0001079845119 3;JKN linda03;
5.3.9.201904290125 4 80445 1#0##0#0#0.0#2019-10-10
15:17:31#0#00:00:00#00:00:00#00:00:00 1 f1c740f1df5e3de7be6be29c0167cb51
7171104 C 3 CP 2 09/10/2019 09/10/2019 29/05/1956 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YER BUANGSAMPUHI 052292 63 23143 DR
YULIANA HARTONO,SPM 0309R0191019V001485 0002445973773 3;JKN linda03;
5.3.9.201904290125 4 80446 36#0##0#0#0.0#2019-10-10
15:18:18#0#00:00:00#00:00:00#00:00:00 1 7c09c29d0291c5926edc8a4d722d8fd5
7171104 C 3 CP 2 09/10/2019 09/10/2019 15/04/1950 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GETROIDA TAKALELUMAN 013366 69 25379
DR YULIANA HARTONO,SPM 0309R0191019V001486 0001876699574 3;JKN
linda03; 5.3.9.201904290125 4 80447 1#0##0#0#0.0#2019-10-10
15:21:28#0#00:00:00#00:00:00#00:00:00 1 f2b08df186ac7d00742080ef770efc77
7171104 C 3 CP 2 09/10/2019 09/10/2019 15/06/1982 0 2
1 H10.9;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GRACE NITTA WOLLAH 052293 37 13630
DR SAUL RAPAR,SPM 0309R0191019V001487 0000138994604 3;JKN linda03;
5.3.9.201904290125 4 80448 1#0##0#0#0.0#2019-10-10
15:22:54#0#00:00:00#00:00:00#00:00:00 1 aaafc3e1f383c1a4b7416e7b49f72080
7171104 C 3 CP 2 09/10/2019 09/10/2019 28/09/1948 0 2
1 Z96.1;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STANS W. MARINGKA 032988 71 25943 DR
YULIANA HARTONO,SPM 0309R0191019V001488 0002240254056 3;JKN linda03;
5.3.9.201904290125 4 80449 1#0##0#0#0.0#2019-10-10
15:24:18#0#00:00:00#00:00:00#00:00:00 1 bd6348bc586e69651e0d0414b700a8a8
7171104 C 3 CP 2 09/10/2019 09/10/2019 22/10/1940 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 POLIEN PIRI 051085 78 28841 DR SAUL
RAPAR,SPM 0309R0191019V001489 0001566235383 3;JKN linda03;
5.3.9.201904290125 4 80450 1#0##0#0#0.0#2019-10-10
15:25:13#0#00:00:00#00:00:00#00:00:00 1 6dd0ae9a2d6706313c670cbcd1c48e37
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/11/1974 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NOVA PAULUS 052294 44 16413 DR PAULA M V
LUMUNON,SPM 0309R0191019V001490 0000910390217 3;JKN linda03;
5.3.9.201904290125 4 80451 1#0##0#0#0.0#2019-10-10
15:26:10#0#00:00:00#00:00:00#00:00:00 1 6b98fba76ceb6d81ded4fe987e675c66
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/09/1987 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SELVI UDUNG 052100 32 11726 DR SAUL
RAPAR,SPM 0309R0191019V001492 0000907977104 3;JKN linda03;
5.3.9.201904290125 4 80452 1#0##0#0#0.0#2019-10-10
15:27:10#0#00:00:00#00:00:00#00:00:00 1 f4cd946d2abb0e180ce019a90d4a6ac8
7171104 C 3 CP 2 09/10/2019 09/10/2019 10/10/1953 0 2
1 Z09.8;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLGA SAHELANGI 048743 65 24105 DR
PAULA M V LUMUNON,SPM 0309R0191019V001493 0002217868108 3;JKN linda03;
5.3.9.201904290125 4 80453 1#0##0#0#0.0#2019-10-10
15:28:03#0#00:00:00#00:00:00#00:00:00 1 9620948ab1c61a615c9890be2bfe59e4
7171104 C 3 CP 2 09/10/2019 09/10/2019 06/12/1951 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DIN LUSYA WEKU 052115 67 24779 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001494 0000908666122 3;JKN
linda03; 5.3.9.201904290125 4 80454 1#0##0#0#0.0#2019-10-10
15:29:26#0#00:00:00#00:00:00#00:00:00 1 ed900cbd473409039292181ba7ea6c5a
7171104 C 3 CP 2 09/10/2019 09/10/2019 24/07/1938 0 2
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CORRY WANTALANGI 015663 81 29662 DR
YULIANA HARTONO,SPM 0309R0191019V001495 0001066691709 3;JKN linda03;
5.3.9.201904290125 4 80455 1#0##0#0#0.0#2019-10-10
15:30:21#0#00:00:00#00:00:00#00:00:00 1 a9772c35ae4934ce65d9994120f9f1e9
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/02/1973 0 1
1 H10.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AHMAD MATO 052295 46 17051 DR YULIANA
HARTONO,SPM 0309R0191019V001496 0000909627535 3;JKN linda03;
5.3.9.201904290125 4 80456 1#0##0#0#0.0#2019-10-10
15:31:07#0#00:00:00#00:00:00#00:00:00 1 4e64deb5356986eb330d0dc553a49015
7171104 C 3 CP 2 09/10/2019 09/10/2019 13/01/1946 0 1
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LAURENS WILSON LIMPONG 047663 73 26932
DR YULIANA HARTONO,SPM 0309R0191019V001497 0000138173354 3;JKN
linda03; 5.3.9.201904290125 4 80457 1#0##0#0#0.0#2019-10-10
15:32:03#0#00:00:00#00:00:00#00:00:00 1 d2c598e2fd31a759cda7b51d8c3ab6df
7171104 C 3 CP 2 09/10/2019 09/10/2019 04/10/1953 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHANIS MANOPPO 052027 66 24111 DR
SAUL RAPAR,SPM 0309R0191019V001498 0001569869932 3;JKN linda03;
5.3.9.201904290125 4 80458 1#0##0#0#0.0#2019-10-10
15:33:09#0#00:00:00#00:00:00#00:00:00 1 f2340f577cd414a340b733de4b6e236d
7171104 C 3 CP 2 09/10/2019 09/10/2019 18/10/1969 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 REYNE LUSIA WAROUW 051872 49 18253 DR
YULIANA HARTONO,SPM 0309R0191019V001596 0001225895049 3;JKN Vian02;
5.3.9.201904290125 4 80460 1#0##0#0#0.0#2019-10-11
06:57:53#0#00:00:00#00:00:00#00:00:00 1 9c4b41052565e0feb94ceedd1c8813d3
7171104 C 3 CP 2 09/10/2019 09/10/2019 08/01/1973 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAGDALENA HENGKENGUNAUNG 027440 46
17075 DR PAULA M V LUMUNON,SPM 0309R0191019V001595 0001568321583
3;JKN Vian02; 5.3.9.201904290125 4 80461 1#0##0#0#0.0#2019-10-11
06:58:58#0#00:00:00#00:00:00#00:00:00 1 2ecf036f9fe6d4f5aadf4b3d66f20854
7171104 C 3 CP 2 09/10/2019 09/10/2019 19/05/1956 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GRACE VONNEKE WASTHI SONDAKH 052013 63
23153 DR YULIANA HARTONO,SPM 0309R0191019V001594 0001185419957 3;JKN
Vian02; 5.3.9.201904290125 4 80462 1#0##0#0#0.0#2019-10-11
06:59:55#0#00:00:00#00:00:00#00:00:00 1 323279a9f09f108eae6fed6532a5c0ec
7171104 C 3 CP 2 09/10/2019 09/10/2019 11/06/1950 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHAN SANGGELORANG 051708 69 25322
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001592 0001604411076 3;JKN
Vian02; 5.3.9.201904290125 4 80463 1#0##0#0#0.0#2019-10-11
07:01:22#0#00:00:00#00:00:00#00:00:00 1 57d7c198cbf9bd09806cf2e5e60fb3d5
7171104 C 3 CP 2 09/10/2019 09/10/2019 19/03/1956 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARITJE MONINGKA 032315 63 23214 DR
SAUL RAPAR,SPM 0309R0191019V001591 0002310218954 3;JKN Vian02;
5.3.9.201904290125 4 80464 1#0##0#0#0.0#2019-10-11
07:02:18#0#00:00:00#00:00:00#00:00:00 1 7682b3c43185f820e030891fae1ec3be
7171104 C 3 CP 2 09/10/2019 09/10/2019 07/05/1960 0 2
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANATJE MEIKE DONDOKAMBEY 051038 59
21704 DR SAUL RAPAR,SPM 0309R0191019V001590 0000139010534 3;JKN
Vian02; 5.3.9.201904290125 4 80465 1#0##0#0#0.0#2019-10-11
07:03:02#0#00:00:00#00:00:00#00:00:00 1 b8a9b7618eeee9abf28d7cba104358ef
7171104 C 3 CP 2 09/10/2019 09/10/2019 10/10/1974 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 OLVY WAROUW 052314 44 16435 DR SAUL RAPAR,SPM
0309R0191019V001589 0002389227715 3;JKN Vian02; 5.3.9.201904290125
4 80466 1#0##0#0#0.0#2019-10-11 07:03:46#0#00:00:00#00:00:00#00:00:00
1 91a55feac859a833576e759a5f2654f7
7171104 C 3 CP 2 09/10/2019 09/10/2019 21/06/1938 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIANA RUMONDOR 019527 81 29695 DR PAULA M V
LUMUNON,SPM 0309R0191019V001588 0001427489853 3;JKN Vian02;
5.3.9.201904290125 4 80467 1#0##0#0#0.0#2019-10-11
07:05:09#0#00:00:00#00:00:00#00:00:00 1 fbd2d0c3b5ca8c8889777554009e5df9
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/09/1967 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RIZAL PAPUTUNGAN 051737 52 19031 DR
YULIANA HARTONO,SPM 0309R0191019V001587 0000912127577 3;JKN Vian02;
5.3.9.201904290125 4 80468 1#0##0#0#0.0#2019-10-11
07:06:09#0#00:00:00#00:00:00#00:00:00 1 c1f006b33bea45f7c9ef5e11007b3485
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/08/1975 0 1
1 Z09.8;H52.0;H52.4;H11.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ASRIL KAIRUPAN 051575 44 16140 DR
PAULA M V LUMUNON,SPM 0309R0191019V001585 0000908174957 3;JKN Vian02;
5.3.9.201904290125 4 80469 1#0##0#0#0.0#2019-10-11
07:07:43#0#00:00:00#00:00:00#00:00:00 1 74e6fc0a36001b714e5e6e09d7c438df
7171104 C 3 CP 2 09/10/2019 09/10/2019 20/03/1965 0 1
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NO ALEXANDER WAKULU 052311 54 19926
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001584 0001130642223 3;JKN
Vian02; 5.3.9.201904290125 4 80470 1#0##0#0#0.0#2019-10-11
07:09:31#0#00:00:00#00:00:00#00:00:00 1 cfc791815ee4b5c48550f46a39704767
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/06/1961 0 1
1 Z09.8;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUNUS SASIKOME 052099 58 21314 DR
SAUL RAPAR,SPM 0309R0191019V001583 0000908040622 3;JKN Vian02;
5.3.9.201904290125 4 80471 1#0##0#0#0.0#2019-10-11
07:10:14#0#00:00:00#00:00:00#00:00:00 1 3c7af4fe81d385bfc38e8f5ba13451d2
7171104 C 3 CP 2 09/10/2019 09/10/2019 14/08/1982 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LANEMEY MEYTA MANGALA 052310 37 13570 DR
SAUL RAPAR,SPM 0309R0191019V001582 0001164247929 3;JKN Vian02;
5.3.9.201904290125 4 80472 1#0##0#0#0.0#2019-10-11
07:11:08#0#00:00:00#00:00:00#00:00:00 1 5d500f773b66408397760b222518ca83
7171104 C 3 CP 2 09/10/2019 09/10/2019 25/10/1944 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DORKAS HATIBAE 051658 74 27377 DR SAUL
RAPAR,SPM 0309R0191019V001581 0001790374173 3;JKN Vian02;
5.3.9.201904290125 4 80473 1#0##0#0#0.0#2019-10-11
07:11:54#0#00:00:00#00:00:00#00:00:00 1 2183843e9234b9fcc9e25276c2b79926
7171104 C 3 CP 2 09/10/2019 09/10/2019 16/08/1951 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADELEIDA PONGILATAN 018551 68 24891 DR
YULIANA HARTONO,SPM 0309R0191019V001580 0002214567977 3;JKN Vian02;
5.3.9.201904290125 4 80474 1#0##0#0#0.0#2019-10-11
07:12:55#0#00:00:00#00:00:00#00:00:00 1 2af9ebcd958248abf1d51490b04574b8
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/02/1951 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HANS BINEY 052104 68 25087 DR SAUL RAPAR,SPM
0309R0191019V001578 0000907512715 3;JKN Vian02; 5.3.9.201904290125
4 80475 1#0##0#0#0.0#2019-10-11 07:13:41#0#00:00:00#00:00:00#00:00:00
1 2de01f76fbe05985a355db1c0498e915
7171104 C 3 CP 2 09/10/2019 09/10/2019 19/10/1961 0 2
1 Z09.8;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HONEKE MOKALU 003100 57 21174 DR
YULIANA HARTONO,SPM 0309R0191019V001577 0000137043178 3;JKN Vian02;
5.3.9.201904290125 4 80476 1#0##0#0#0.0#2019-10-11
07:14:30#0#00:00:00#00:00:00#00:00:00 1 410809aed380e51673c8bb6c0eb80dc9
7171104 C 3 CP 2 09/10/2019 09/10/2019 04/11/1994 0 1
1 S05.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RIFKI KATIMPALI 052318 24 9105 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V001603 0001246239707 3;JKN Vian02;
5.3.9.201904290125 4 80477 1#0##0#0#0.0#2019-10-11
07:19:49#0#00:00:00#00:00:00#00:00:00 1 939ce68422557297dfab523dd269089f
7171104 C 3 CP 2 09/10/2019 09/10/2019 08/12/1944 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 C. WONDAL PALAR 024128 74 27333 DR SAUL
RAPAR,SPM 0309R0191019V001519 0000138264153 3;JKN Patrick K.;
5.3.9.201904290125 4 80478 1#0##0#0#0.0#2019-10-11
08:01:00#0#00:00:00#00:00:00#00:00:00 1 8677e6b26ca58b59f3afc3bfd27713d6
7171104 C 3 CP 2 09/10/2019 09/10/2019 14/05/1951 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ACHMAD DJOJOSUROTO 052296 68 24985
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001520 0000159963142 3;JKN
Patrick K.; 5.3.9.201904290125 4 80479 1#0##0#0#0.0#2019-10-11
08:09:29#0#00:00:00#00:00:00#00:00:00 1 800aeb08a4c65c0e518f2a6d3d572366
7171104 C 3 CP 2 09/10/2019 09/10/2019 18/11/1948 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LINTJE MANDAK 052297 70 25892 DR
YULIANA HARTONO,SPM 0309R0191019V001521 0000138704163 3;JKN Patrick K.;
5.3.9.201904290125 4 80480 1#0##0#0#0.0#2019-10-11
08:13:18#0#00:00:00#00:00:00#00:00:00 1 0e6c5c528e1033c0a333b922cb214463
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/06/1970 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DORTJE WALA 051963 49 18027 DR SAUL RAPAR,SPM
0309R0191019V001522 0001566226337 3;JKN Patrick K.; 5.3.9.201904290125
4 80481 1#0##0#0#0.0#2019-10-11 08:14:07#0#00:00:00#00:00:00#00:00:00
1 5b7ba65f7d40b492cee629b504120f83
7171104 C 3 CP 2 09/10/2019 09/10/2019 06/05/1969 0 2
1 H33.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MEITA MOUDY MUSSU 052243 50 18418 DR YULIANA
HARTONO,SPM 0309R0191019V001523 0001865326443 3;JKN Patrick K.;
5.3.9.201904290125 4 80482 1#0##0#0#0.0#2019-10-11
08:21:22#0#00:00:00#00:00:00#00:00:00 1 1d30d9115998d14ab77ecbb84ab9a7b9
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/05/1963 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PIRANG DERAK 051886 56 20615 DR
SAUL RAPAR,SPM 0309R0191019V001524 0000907813348 3;JKN Patrick K.;
5.3.9.201904290125 4 80484 1#0##0#0#0.0#2019-10-11
08:22:35#0#00:00:00#00:00:00#00:00:00 1 f0f0b92e58997025ccaa2514b4034515
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/08/1963 0 2
1 H52.0;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SHERLY LORIS 052299 56 20523 DR
SAUL RAPAR,SPM 0309R0191019V001525 0000911142448 3;JKN Patrick K.;
5.3.9.201904290125 4 80485 1#0##0#0#0.0#2019-10-11
08:24:15#0#00:00:00#00:00:00#00:00:00 1 19278a8a419806cb074460ebd7c0e1d9
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/06/1961 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JENNY PONDAAG 052116 58 21314 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001499 0000907870926 3;JKN
linda03; 5.3.9.201904290125 4 80483 1#0##0#0#0.0#2019-10-11
08:25:07#0#00:00:00#00:00:00#00:00:00 1 73409d8e0b98ce0f24dc43db4e60405b
7171104 C 3 CP 2 09/10/2019 09/10/2019 06/05/1943 0 2
1 Z09.8;H27.0;H44.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HERMINA MAMAHIT 008218 76 27915 DR
PAULA M V LUMUNON,SPM 0309R0191019V001526 0001079625003 3;JKN Patrick K.;
5.3.9.201904290125 4 80486 1#0##0#0#0.0#2019-10-11
08:25:46#0#00:00:00#00:00:00#00:00:00 1 3b127d7fed6ceaaa213820ee773986e1
7171104 C 3 CP 2 09/10/2019 09/10/2019 22/03/1961 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTHEN SENGKA 052020 58 21385 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001500 0002258105286 3;JKN
linda03; 5.3.9.201904290125 4 80487 1#0##0#0#0.0#2019-10-11
08:26:35#0#00:00:00#00:00:00#00:00:00 1 acb6f1f528673a8ecf94e9285c2fc67b
7171104 C 3 CP 2 09/10/2019 09/10/2019 23/04/1956 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VIRSON LAHEMA BOHAM 051160 63 23179 DR
YULIANA HARTONO,SPM 0309R0191019V001527 0002253940648 3;JKN Patrick K.;
5.3.9.201904290125 4 80488 1#0##0#0#0.0#2019-10-11
08:26:56#0#00:00:00#00:00:00#00:00:00 1 b94a9e861003458672e1b449a918af86
7171104 C 3 CP 2 09/10/2019 09/10/2019 11/09/1944 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KAROLINA ROLOS 052247 75 27421 DR
SAUL RAPAR,SPM 0309R0191019V001501 0001422067375 3;JKN linda03;
5.3.9.201904290125 4 80489 1#0##0#0#0.0#2019-10-11
08:27:26#0#00:00:00#00:00:00#00:00:00 1 8398bac95ee85ec3516384c4959f98fd
7171104 C 3 CP 2 09/10/2019 09/10/2019 06/07/1969 0 2
1 Z09.8;H20.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OWAN TOWADI 049854 50 18357 DR YULIANA
HARTONO,SPM 0309R0191019V001528 0002239782592 3;JKN Patrick K.;
5.3.9.201904290125 4 80490 1#0##0#0#0.0#2019-10-11
08:27:58#0#00:00:00#00:00:00#00:00:00 1 7ce0791052e08ad08acedbe0d89e8f51
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/07/1963 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUL MALUMBEKE 052117 56 20554 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001502 0000907843871 3;JKN
linda03; 5.3.9.201904290125 4 80491 1#0##0#0#0.0#2019-10-11
08:28:02#0#00:00:00#00:00:00#00:00:00 1 0693fb1becd92ad6051fd3bbad6da69b
7171104 C 3 CP 2 09/10/2019 09/10/2019 21/06/1954 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADOLF GUSTAAF KAIRUPAN 051019 65 23851 DR
SAUL RAPAR,SPM 0309R0191019V001503 0001308976468 3;JKN linda03;
5.3.9.201904290125 4 80492 1#0##0#0#0.0#2019-10-11
08:28:58#0#00:00:00#00:00:00#00:00:00 1 81dfa08ed232175c508ce794f6732378
7171104 C 3 CP 2 09/10/2019 09/10/2019 26/04/1957 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KASBRAWI BAWON 000688 62 22811 DR
YULIANA HARTONO,SPM 0309R0191019V001529 0000138079383 3;JKN Patrick K.;
5.3.9.201904290125 4 80493 1#0##0#0#0.0#2019-10-11
08:28:58#0#00:00:00#00:00:00#00:00:00 1 9aaf9f0af2f17e8ccfe6ba269bc0e712
7171104 C 3 CP 2 09/10/2019 09/10/2019 07/08/1964 0 1
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADRIANUS TEBO 051870 55 20151 DR
PAULA M V LUMUNON,SPM 0309R0191019V001504 0002060480147 3;JKN linda03;
5.3.9.201904290125 4 80494 1#0##0#0#0.0#2019-10-11
08:29:38#0#00:00:00#00:00:00#00:00:00 1 cc2f91882a38a58d4e57744181fe44da
7171104 C 3 CP 2 09/10/2019 09/10/2019 10/04/1955 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PIET TAMPOMURI 044059 64 23558 DR
SAUL RAPAR,SPM 0309R0191019V001505 0001479364828 3;JKN linda03;
5.3.9.201904290125 4 80495 1#0##0#0#0.0#2019-10-11
08:30:14#0#00:00:00#00:00:00#00:00:00 1 014cf65ad10921294207112303913c56
7171104 C 3 CP 2 09/10/2019 09/10/2019 16/12/1947 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NI NYOMAN MURNIATI 052052 71 26230
DR SAUL RAPAR,SPM 0309R0191019V001530 0000142982605 3;JKN Patrick K.;
5.3.9.201904290125 4 80496 1#0##0#0#0.0#2019-10-11
08:30:32#0#00:00:00#00:00:00#00:00:00 1 3140c1e62aa4927cbdc8c0cf5be43b20
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/03/1956 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOSEP RARUN 051637 63 23232 DR YULIANA
HARTONO,SPM 0309R0191019V001506 0000905067213 3;JKN linda03;
5.3.9.201904290125 4 80497 1#0##0#0#0.0#2019-10-11
08:30:43#0#00:00:00#00:00:00#00:00:00 1 5c460afda4e958589159701a7568bc65
7171104 C 3 CP 2 09/10/2019 09/10/2019 10/05/1954 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FRANS MANGUNDAP 051799 65 23893 DR YULIANA
HARTONO,SPM 0309R0191019V001507 0002291032102 3;JKN linda03;
5.3.9.201904290125 4 80498 1#0##0#0#0.0#2019-10-11
08:31:13#0#00:00:00#00:00:00#00:00:00 1 f800a9221d746e0e5d1b71222ad8624c
7171104 C 3 CP 2 09/10/2019 09/10/2019 12/01/1974 0 2
1 Z09.0;H40.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YANNIE SUSANA PINONTOAN 050570 45 16706
DR PAULA M V LUMUNON,SPM 0309R0191019V001508 0002768519619 3;JKN
linda03; 5.3.9.201904290125 4 80499 1#0##0#0#0.0#2019-10-11
08:31:48#0#00:00:00#00:00:00#00:00:00 1 4f901080b8a7c59e6a9b1a6a37178c24
7171104 C 3 CP 2 09/10/2019 09/10/2019 24/12/1959 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHANIS MASEHI TAIDI 025721 59 21839 DR
YULIANA HARTONO,SPM 0309R0191019V001531 0002220161793 3;JKN Patrick K.;
5.3.9.201904290125 4 80500 1#0##0#0#0.0#2019-10-11
08:32:16#0#00:00:00#00:00:00#00:00:00 1 c0d11b421114d5879e6071729e0b65e6
7171104 C 3 CP 2 09/10/2019 09/10/2019 26/03/1930 0 1
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JAHJA KANDOLI 006770 89 32704 DR
SAUL RAPAR,SPM 0309R0191019V001509 0000137931502 3;JKN linda03;
5.3.9.201904290125 4 80501 1#0##0#0#0.0#2019-10-11
08:33:02#0#00:00:00#00:00:00#00:00:00 1 bab13db468abdb52b59077ea6b536ada
7171104 C 3 CP 2 09/10/2019 09/10/2019 28/11/1971 0 2
1 H52.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SHIRLEY PADULI 052300 47 17482 DR
PAULA M V LUMUNON,SPM 0309R0191019V001532 0001446510161 3;JKN Patrick K.;
5.3.9.201904290125 4 80502 1#0##0#0#0.0#2019-10-11
08:33:28#0#00:00:00#00:00:00#00:00:00 1 3a7422a8cc83d8e1e2320a89ad9ac232
7171104 C 3 CP 2 09/10/2019 09/10/2019 21/06/1952 0 2
1 Z09.8;H52.2;H04.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YENNI PELEALU 044387 67 24581 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001533 0002079605586 3;JKN
Patrick K.; 5.3.9.201904290125 4 80503 1#0##0#0#0.0#2019-10-11
08:34:35#0#00:00:00#00:00:00#00:00:00 1 1c56f8db4a813edd7fb3602900655dc6
7171104 C 3 CP 2 09/10/2019 09/10/2019 08/05/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KATOCE MEDATA 051964 67 24625 DR PAULA M V
LUMUNON,SPM 0309R0191019V001510 0000909632035 3;JKN linda03;
5.3.9.201904290125 4 80504 1#0##0#0#0.0#2019-10-11
08:35:09#0#00:00:00#00:00:00#00:00:00 1 987ffd03b23544f1b7356f4c5cf1008e
7171104 C 3 CP 2 09/10/2019 09/10/2019 24/08/1948 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARNOLD R MAMAHIT 011491 71 25978 DR
YULIANA HARTONO,SPM 0309R0191019V001534 0001293534797 3;JKN Patrick K.;
5.3.9.201904290125 4 80505 1#0##0#0#0.0#2019-10-11
08:35:53#0#00:00:00#00:00:00#00:00:00 1 4d2caf75c6b36350bf8aa05b51510ff7
7171104 C 3 CP 2 09/10/2019 09/10/2019 16/05/1961 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DANIEL MAKAPELE 041181 58 21330 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001511 0002376375197 3;JKN
linda03; 5.3.9.201904290125 4 80506 1#0##0#0#0.0#2019-10-11
08:36:00#0#00:00:00#00:00:00#00:00:00 1 4810ca3a8506e50c1361853201d8822b
7171104 C 3 CP 2 09/10/2019 09/10/2019 13/07/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SOMPOTAN BOLANG 050938 66 24194 DR SAUL
RAPAR,SPM 0309R0191019V001513 0001341366895 3;JKN linda03;
5.3.9.201904290125 4 80507 1#0##0#0#0.0#2019-10-11
08:36:36#0#00:00:00#00:00:00#00:00:00 1 1526c202ab1936387ab8f47ee1ed01b3
7171104 C 3 CP 2 09/10/2019 09/10/2019 18/10/1953 0 1
1 Z96.1;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROBERT SONNY RANTUNG 003531 65 24097
DR YULIANA HARTONO,SPM 0309R0191019V001535 0000128749678 3;JKN
Patrick K.; 5.3.9.201904290125 4 80508 1#0##0#0#0.0#2019-10-11
08:36:50#0#00:00:00#00:00:00#00:00:00 1 47f3f2fd43340de2da37b487061565a6
7171104 C 3 CP 2 09/10/2019 09/10/2019 06/04/1962 0 2
1 Z09.0;H26.9;Z96.1;H25.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SATRIA ABAS 000338 57 21005 DR PAULA M V
LUMUNON,SPM 0309R0191019V001537 0001789201664 3;JKN Patrick K.;
5.3.9.201904290125 4 80509 1#0##0#0#0.0#2019-10-11
08:38:30#0#00:00:00#00:00:00#00:00:00 1 7d8d8efeb899a0a1eaf3d267b54e5c1a
7171104 C 3 CP 2 09/10/2019 09/10/2019 22/08/1949 0 2
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 D. SONDAKH LUMINTANG 002251 70 25615
DR SAUL RAPAR,SPM 0309R0191019V001538 0000138277697 3;JKN Patrick K.;
5.3.9.201904290125 4 80510 1#0##0#0#0.0#2019-10-11
08:39:24#0#00:00:00#00:00:00#00:00:00 1 355ca623ccb2ada13b111f28303ba858
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/05/1949 0 1
1 Z09.8;H43.3;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HUSEN SUMAILA 017972 70 25728 DR
SAUL RAPAR,SPM 0309R0191019V001539 0001066991466 3;JKN Patrick K.;
5.3.9.201904290125 4 80511 1#0##0#0#0.0#2019-10-11
08:40:58#0#00:00:00#00:00:00#00:00:00 1 0ed810328013512727d24903e35ff2c9
7171104 C 3 CP 2 09/10/2019 09/10/2019 17/11/1940 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LINTJE WOWILING 015975 78 28815 DR
YULIANA HARTONO,SPM 0309R0191019V001514 0000904912637 3;JKN linda03;
5.3.9.201904290125 4 80512 65#0##0#0#0.0#2019-10-11
08:41:23#0#00:00:00#00:00:00#00:00:00 1 a4a42b3f862e88dca050407149f8d593
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/09/1956 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HENNY KASIM 023078 63 23048 DR YULIANA
HARTONO,SPM 0309R0191019V001540 0001170445048 3;JKN Patrick K.;
5.3.9.201904290125 4 80513 1#0##0#0#0.0#2019-10-11
08:42:18#0#00:00:00#00:00:00#00:00:00 1 e0e8763818d641a582a7828a42343406
7171104 C 3 CP 2 09/10/2019 09/10/2019 25/08/1979 0 2
1 Z09.0;H26.9;H52.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SANDRA LENDA PARERA 051757 40 14655
DR SAUL RAPAR,SPM 0309R0191019V001516 0001655258422 3;JKN linda03;
5.3.9.201904290125 4 80514 1#0##0#0#0.0#2019-10-11
08:42:28#0#00:00:00#00:00:00#00:00:00 1 e5147604305494d9133e7a234ce24e4d
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/09/1947 0 2
1 Z96.1;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LODEWYK LUNTUNGAN 013805 72 26336 DR
PAULA M V LUMUNON,SPM 0309R0191019V001517 0001067051035 3;JKN linda03;
5.3.9.201904290125 4 80515 1#0##0#0#0.0#2019-10-11
08:43:16#0#00:00:00#00:00:00#00:00:00 1 7f9e22d4997f558aa84823a8f7e747bc
7171104 C 3 CP 2 09/10/2019 09/10/2019 30/08/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNA MANDAGI 051411 65 23781 DR YULIANA
HARTONO,SPM 0309R0191019V001518 0001341870186 3;JKN linda03;
5.3.9.201904290125 4 80516 1#0##0#0#0.0#2019-10-11
08:43:57#0#00:00:00#00:00:00#00:00:00 1 75f22f96ba92da996691e0ed5e573a77
7171104 C 3 CP 2 09/10/2019 09/10/2019 14/06/1962 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JHONY HERY LONGDONG 051346 57 20936 DR
SAUL RAPAR,SPM 0309R0191019V001541 0001567005175 3;JKN Patrick K.;
5.3.9.201904290125 4 80517 1#0##0#0#0.0#2019-10-11
08:45:08#0#00:00:00#00:00:00#00:00:00 1 ce6c28c38a619a78d27d6fb7b0e4bb57
7171104 C 3 CP 2 09/10/2019 09/10/2019 10/07/1944 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DANIEL TAMBENGI 051210 75 27484 DR YULIANA
HARTONO,SPM 0309R0191019V001542 0001809312581 3;JKN Patrick K.;
5.3.9.201904290125 4 80518 1#0##0#0#0.0#2019-10-11
08:46:07#0#00:00:00#00:00:00#00:00:00 1 8d876c15f87b26cdc6c0219381cba590
7171104 C 3 CP 2 09/10/2019 09/10/2019 18/04/1954 0 1
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANDRIES KAUNANG 051021 65 23915 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001543 0000137857105 3;JKN
Patrick K.; 5.3.9.201904290125 4 80519 1#0##0#0#0.0#2019-10-11
08:47:56#0#00:00:00#00:00:00#00:00:00 1 ac3e1d228a2f6b5209a69482626362ef
7171104 C 3 CP 2 09/10/2019 09/10/2019 07/08/1942 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 F. ARDA MARIDJAN 052298 77 28187 DR PAULA M V
LUMUNON,SPM 0309R0191019V001544 0000138672371 3;JKN Patrick K.;
5.3.9.201904290125 4 80520 1#0##0#0#0.0#2019-10-11
08:49:33#0#00:00:00#00:00:00#00:00:00 1 04c3e76621351d13ba468dbb9be8363f
7171104 C 3 CP 2 09/10/2019 09/10/2019 08/01/1995 0 2
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NATALIA UMBOH 052301 24 9040 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V001545 0002006030171 3;JKN Patrick K.;
5.3.9.201904290125 4 80521 1#0##0#0#0.0#2019-10-11
08:52:03#0#00:00:00#00:00:00#00:00:00 1 e4e92e4aed22c5561aa4628e1a486d33
7171104 C 3 CP 2 09/10/2019 09/10/2019 06/01/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FIEN R MUMBUNAN 033409 71 26209 DR PAULA M V
LUMUNON,SPM 0309R0191019V001546 0000137168019 3;JKN Patrick K.;
5.3.9.201904290125 4 80522 1#0##0#0#0.0#2019-10-11
08:55:51#0#00:00:00#00:00:00#00:00:00 1 7483ae80401bfd08aaa3294ecaba560d
7171104 C 3 CP 2 09/10/2019 09/10/2019 15/08/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 STIENTJE MONONEGE 051420 65 23796 DR YULIANA
HARTONO,SPM 0309R0191019V001547 0002465377457 3;JKN Patrick K.;
5.3.9.201904290125 4 80523 1#0##0#0#0.0#2019-10-11
08:57:14#0#00:00:00#00:00:00#00:00:00 1 21ae2e9a7a6bd23f6a19b3672ce543e2
7171104 C 3 CP 2 09/10/2019 09/10/2019 21/10/1974 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GREISYE ANTHONIE 052302 44 16424 DR
PAULA M V LUMUNON,SPM 0309R0191019V001548 0001430843139 3;JKN Patrick K.;
5.3.9.201904290125 4 80524 1#0##0#0#0.0#2019-10-11
08:59:06#0#00:00:00#00:00:00#00:00:00 1 e3df3543f619e89dd7350245e87536a6
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/07/1966 0 2
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JEINY KUMAYAS 052303 53 19458 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V001549 0000905480043 3;JKN Patrick K.;
5.3.9.201904290125 4 80525 1#0##0#0#0.0#2019-10-11
09:01:46#0#00:00:00#00:00:00#00:00:00 1 206369591b5d6ee761ab9e0dd445c6a0
7171104 C 3 CP 2 09/10/2019 09/10/2019 28/02/1939 0 1
1 Z96.1;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ESRY J. ASSA BA 015397 80 29443 DR
PAULA M V LUMUNON,SPM 0309R0191019V001550 0000137307554 3;JKN Patrick K.;
5.3.9.201904290125 4 80526 1#0##0#0#0.0#2019-10-11
09:03:45#0#00:00:00#00:00:00#00:00:00 1 d8db15d1cb85865ce330863ad9fbd0f8
7171104 C 3 CP 2 09/10/2019 09/10/2019 15/09/1959 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOUKE MATANO 052304 60 21939 DR PAULA M V
LUMUNON,SPM 0309R0191019V001551 0001386411737 3;JKN Patrick K.;
5.3.9.201904290125 4 80527 1#0##0#0#0.0#2019-10-11
09:06:53#0#00:00:00#00:00:00#00:00:00 1 099be48311f107b0df6c8759de7a2b05
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/08/1948 0 2
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADELEIDE RONDONUWU 051893 71 26001
DR SAUL RAPAR,SPM 0309R0191019V001553 0000904633029 3;JKN Patrick K.;
5.3.9.201904290125 4 80528 1#0##0#0#0.0#2019-10-11
09:08:26#0#00:00:00#00:00:00#00:00:00 1 3ed38257a77843722bc85652256d60bd
7171104 C 3 CP 2 09/10/2019 09/10/2019 12/11/1953 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENRY A RUMOKOY 031803 65 24072 DR
SAUL RAPAR,SPM 0309R0191019V001554 0000137236149 3;JKN Patrick K.;
5.3.9.201904290125 4 80529 1#0##0#0#0.0#2019-10-11
09:11:17#0#00:00:00#00:00:00#00:00:00 2 cd3841d4d1da170dd6d8dea2187ea19c
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/06/1950 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DORCE KANO 052103 69 25332 DR SAUL
RAPAR,SPM 0309R0191019V001555 0000908470719 3;JKN Patrick K.;
5.3.9.201904290125 4 80530 1#0##0#0#0.0#2019-10-11
09:17:51#0#00:00:00#00:00:00#00:00:00 1 c4811dc877d64aac3dee4457df306ed8
7171104 C 3 CP 2 09/10/2019 09/10/2019 06/09/1997 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PRISCILLA GAUDENSIA HENRIETTE SUMAKUD 023937
22 8068 DR YULIANA HARTONO,SPM 0309R0191019V001556 0001164125924
3;JKN Patrick K.; 5.3.9.201904290125 4 80531 1#0##0#0#0.0#2019-10-11
09:20:31#0#00:00:00#00:00:00#00:00:00 1 ad8252361768d93747de52edcd18f03c
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/06/1942 0 2
1 Z09.8;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NON LASUT 051857 77 28254 DR PAULA M V
LUMUNON,SPM 0309R0191019V001557 0000908001167 3;JKN Patrick K.;
5.3.9.201904290125 4 80532 1#0##0#0#0.0#2019-10-11
09:21:46#0#00:00:00#00:00:00#00:00:00 1 fac0710ef3a1b6ff1f5a0ae75e7387e7
7171104 C 3 CP 2 09/10/2019 09/10/2019 30/12/2014 0 1
1 Z09.8;H50.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FAITH AYUB EUKHARISTO DUMANAUW 051847
4 1744 DR SAUL RAPAR,SPM 0309R0191019V001558 0001966635371 3;JKN
Patrick K.; 5.3.9.201904290125 4 80533 1#0##0#0#0.0#2019-10-11
09:27:18#0#00:00:00#00:00:00#00:00:00 1 5eafae2ba198711c149a9ac0ed5b3c3b
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/09/1969 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WANTI PANGALIMA 052305 50 18300 DR
YULIANA HARTONO,SPM 0309R0191019V001559 0000909466165 3;JKN Patrick K.;
5.3.9.201904290125 4 80534 1#0##0#0#0.0#2019-10-11
09:29:33#0#00:00:00#00:00:00#00:00:00 1 8bc5e1b2ad90eeb464b466f80bbe8bcc
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/01/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNA MARIE PALIT 051908 64 23657 DR SAUL
RAPAR,SPM 0309R0191019V001560 0000907851982 3;JKN Patrick K.;
5.3.9.201904290125 4 80535 1#0##0#0#0.0#2019-10-11
09:34:14#0#00:00:00#00:00:00#00:00:00 1 a515a9fb61ce2c0e61576ec7c243cd6a
7171104 C 3 CP 2 09/10/2019 09/10/2019 28/08/1960 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AGUSTINUS NGALA 051839 59 21591 DR PAULA M V
LUMUNON,SPM 0309R0191019V001561 0001802329299 3;JKN Patrick K.;
5.3.9.201904290125 4 80536 1#0##0#0#0.0#2019-10-11
09:37:26#0#00:00:00#00:00:00#00:00:00 1 748d708ed7463bc03c810c82c89ab1e6
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/05/1948 0 2
1 Z09.0;H26.9;Z96.1;H25.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NURSIA PAULUS 051987 71 26093 DR
SAUL RAPAR,SPM 0309R0191019V001562 0000911619955 3;JKN Patrick K.;
5.3.9.201904290125 4 80537 1#0##0#0#0.0#2019-10-11
09:38:51#0#00:00:00#00:00:00#00:00:00 1 553151a5203fba05a61af2519fbc3cf1
7171104 C 3 CP 2 09/10/2019 09/10/2019 15/08/1968 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GEISKE LENDE 052306 51 18682 DR
PAULA M V LUMUNON,SPM 0309R0191019V001564 0001429977868 3;JKN Patrick K.;
5.3.9.201904290125 4 80538 1#0##0#0#0.0#2019-10-11
09:41:12#0#00:00:00#00:00:00#00:00:00 1 7e434231ab32c438afcf07024564b1df
7171104 C 3 CP 2 09/10/2019 09/10/2019 10/07/1937 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOHANES W. SINGKAY 045204 82 30041 DR
YULIANA HARTONO,SPM 0309R0191019V001565 0001853565478 3;JKN Patrick K.;
5.3.9.201904290125 4 80539 1#0##0#0#0.0#2019-10-11
09:43:18#0#00:00:00#00:00:00#00:00:00 1 e341061180dc5e7a4b9a2a3f650a7794
7171104 C 3 CP 2 09/10/2019 09/10/2019 10/08/1953 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANATJE BAWINTIL 052308 66 24166 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V001566 0002390979003 3;JKN Patrick K.;
5.3.9.201904290125 4 80540 1#0##0#0#0.0#2019-10-11
09:45:10#0#00:00:00#00:00:00#00:00:00 1 fa2aac438426432de14cced5d28d797b
7171104 C 3 CP 2 09/10/2019 09/10/2019 08/12/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WUISAN SANGIAN 051837 63 23316 DR PAULA M V
LUMUNON,SPM 0309R0191019V001567 0002068776448 3;JKN Patrick K.;
5.3.9.201904290125 4 80541 1#0##0#0#0.0#2019-10-11
09:45:58#0#00:00:00#00:00:00#00:00:00 1 1e80a300796339a7ca0f8a8a167450fc
7171104 C 3 CP 2 09/10/2019 09/10/2019 20/01/1958 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARYAM ROLEH 052307 61 22542 DR YULIANA
HARTONO,SPM 0309R0191019V001568 0002391662283 3;JKN Patrick K.;
5.3.9.201904290125 4 80542 1#0##0#0#0.0#2019-10-11
09:47:09#0#00:00:00#00:00:00#00:00:00 1 182c69b1fa26188eb5eafaf3c54cb179
7171104 C 3 CP 2 09/10/2019 09/10/2019 29/03/1952 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PIET HEIN MISA 006388 67 24665 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001569 0000137594125 3;JKN
Patrick K.; 5.3.9.201904290125 4 80543 1#0##0#0#0.0#2019-10-11
09:48:42#0#00:00:00#00:00:00#00:00:00 1 0220a2e02b7e20b8d3a54c8c29e793c3
7171104 C 3 CP 2 09/10/2019 09/10/2019 19/09/1991 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TRI AYU WIDYA NINGRUM BAWON 052309 28 10247
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001570 0000138079405 3;JKN
Patrick K.; 5.3.9.201904290125 4 80544 1#0##0#0#0.0#2019-10-11
09:50:11#0#00:00:00#00:00:00#00:00:00 1 ffd7b14a9396233e466ff272db928384
7171104 C 3 CP 2 09/10/2019 09/10/2019 07/08/1952 0 2
1 Z09.8;H40.2;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINA WOROTITJAN 050827 67 24534
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001571 0001301521781 3;JKN
Patrick K.; 5.3.9.201904290125 4 80545 1#0##0#0#0.0#2019-10-11
09:51:16#0#00:00:00#00:00:00#00:00:00 1 d196286a86798aba4c9c22c52047e595
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/06/1957 0 2
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTIN WEWENGKANG 005679 62 22775
DR PAULA M V LUMUNON,SPM 0309R0191019V001572 0000908846482 3;JKN
Patrick K.; 5.3.9.201904290125 4 80546 1#0##0#0#0.0#2019-10-11
09:52:25#0#00:00:00#00:00:00#00:00:00 1 970e6b8955256d6f027e8d28d8403472
7171104 C 3 CP 2 09/10/2019 09/10/2019 08/05/2002 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RIVANO JOCOM 051698 17 6363 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001573 0001078926265 3;JKN
Patrick K.; 5.3.9.201904290125 4 80547 1#0##0#0#0.0#2019-10-11
09:53:46#0#00:00:00#00:00:00#00:00:00 1 79897a38d7c23ce486cde96550fccdff
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/04/1968 0 1
1 Z09.8;H49.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEYDI KARUNDENG 051317 51 18818 DR
YULIANA HARTONO,SPM 0309R0191019V001574 0002388398859 3;JKN Patrick K.;
5.3.9.201904290125 4 80548 1#0##0#0#0.0#2019-10-11
09:55:04#0#00:00:00#00:00:00#00:00:00 1 f376f523b3143ecd1d1467e706bfcada
7171104 C 3 CP 2 09/10/2019 09/10/2019 17/01/1968 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JANY SALEM 014546 51 18893 DR PAULA M V
LUMUNON,SPM 0309R0191019V001575 0001187623956 3;JKN Patrick K.;
5.3.9.201904290125 4 80549 1#0##0#0#0.0#2019-10-11
09:56:14#0#00:00:00#00:00:00#00:00:00 1 294c6db8b55ad5114fe20d9200e0ddd6
7171104 C 3 CP 2 09/10/2019 09/10/2019 20/02/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WEMPRIT PATTA 052060 64 23607 DR SAUL
RAPAR,SPM 0309R0191019V001576 0001246236074 3;JKN Patrick K.;
5.3.9.201904290125 4 80550 1#0##0#0#0.0#2019-10-11
09:57:18#0#00:00:00#00:00:00#00:00:00 1 e69158190f179e9425aac598438e9939
7171104 C 3 CP 2 09/10/2019 09/10/2019 06/10/1962 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 MARGARETHA MARLYN KARINDA 052135 57
20822 DR YULIANA HARTONO,SPM 0309R0191019V001604 0001173703735 3;JKN
Boni04; 5.3.9.201904290125 4 81231 1#0##0#0#0.0#2019-10-16
12:38:36#0#00:00:00#00:00:00#00:00:00 1 d4c137838517ad4a82bc87a64c16be06
7171104 C 3 CP 2 09/10/2019 09/10/2019 17/03/1938 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 MIKE YOHANA MASSIE 050624 81 29791
DR YULIANA HARTONO,SPM 0309R0191019V001579 0001483900356 3;JKN
Boni04; 5.3.9.201904290125 4 81233 1#0##0#0#0.0#2019-10-16
12:42:45#0#00:00:00#00:00:00#00:00:00 1 ae71bd3c51209f898fc38d9e4472a7cc
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/07/1952 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 JULIN MAKAHEMING 016068 67 24571 DR
YULIANA HARTONO,SPM 0309R0191019V001472 0000911032378 3;JKN Boni04;
5.3.9.201904290125 4 81235 1#0##0#0#0.0#2019-10-16
12:43:33#0#00:00:00#00:00:00#00:00:00 1 bb781fa16ce75a240b3501a602a7fe3f
7171104 C 3 CP 2 09/10/2019 09/10/2019 06/04/1940 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 CHARLOTA DALAPIS 032394 79 29040 DR
YULIANA HARTONO,SPM 0309R0191019V001468 0001569375336 3;JKN Boni04;
5.3.9.201904290125 4 81237 1#0##0#0#0.0#2019-10-16
12:44:34#0#00:00:00#00:00:00#00:00:00 1 03c2e7cc5459504611e341b3a2ea4a3d
7171104 C 3 CP 2 09/10/2019 09/10/2019 18/05/1967 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 SAARTJE MEITY KINDANGEN, S.TH 038985 52
19137 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001512 0001565425517
3;JKN Boni04; 5.3.9.201904290125 4 81239 1#0##0#0#0.0#2019-10-16
12:46:09#0#00:00:00#00:00:00#00:00:00 1 66b04aab5aff52dc7d5f6b38b72623a9
7171104 C 3 CP 2 09/10/2019 09/10/2019 30/12/1949 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 DIENTJE TOMPUNU 031476 69 25485 DR
SAUL RAPAR,SPM 0309R0191019V001586 0001860437057 3;JKN Boni04;
5.3.9.201904290125 4 81240 1#0##0#0#0.0#2019-10-16
12:46:57#0#00:00:00#00:00:00#00:00:00 1 ca4cfb1eb8873ec26c8210278864c691
7171104 C 3 CP 2 09/10/2019 09/10/2019 11/08/1945 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 EMMY KOAGOUW PESIK 031980 74 27087
DR SAUL RAPAR,SPM 0309R0191019V001482 0000138248008 3;JKN Boni04;
5.3.9.201904290125 4 81242 1#0##0#0#0.0#2019-10-16
12:48:49#0#00:00:00#00:00:00#00:00:00 1 89b3dd7ea64ba14e1190339182cf2343
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/01/1960 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 SUDIA CHUNG 027538 59 21831 DR PAULA M V
LUMUNON,SPM 0309R0191019V001593 0000908403041 3;JKN Boni04;
5.3.9.201904290125 4 81243 1#0##0#0#0.0#2019-10-16
12:50:04#0#00:00:00#00:00:00#00:00:00 1 fc72708114af16dff874a90596b4f90c
7171104 C 3 CP 2 09/10/2019 09/10/2019 25/09/1942 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 FRIEDA MABELLE SENDUK 019817 77 28138
DR PAULA M V LUMUNON,SPM 0309R0191019V001536 0000138269057 3;JKN
Boni04; 5.3.9.201904290125 4 81246 1#0##0#0#0.0#2019-10-16
12:50:54#0#00:00:00#00:00:00#00:00:00 1 e8a2ac23368b353eb75890ab7aba7dbb
7171104 C 3 CP 2 09/10/2019 09/10/2019 27/02/1961 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 NORA BERTHA WENDUR 026401 58 21408
DR PAULA M V LUMUNON,SPM 0309R0191019V001515 0002073079203 3;JKN
Boni04; 5.3.9.201904290125 4 81247 1#0##0#0#0.0#2019-10-16
12:51:55#0#00:00:00#00:00:00#00:00:00 1 415f899c3e802f419c8ee9a31dfe5ceb
7171104 C 3 CP 2 09/10/2019 09/10/2019 11/11/1950 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 BOYKE MOKODOMPIS
051934 68 25169 DR.MELISA RATAG,SPM 0309R0191019V001454
0002094763149 3;JKN Boni04; 5.3.9.201904290125 4 81250
1#0##0#0#0.0#2019-10-16 12:53:51#0#00:00:00#00:00:00#00:00:00 1
60004db7dbff319a8ba4d6410d58fc7c
7171104 C 3 CP 2 09/10/2019 09/10/2019 23/08/1946 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 BERNARD LODEWYK
TULUNG 015970 73 26710 DR.MELISA RATAG,SPM 0309R0191019V001453
0000138271476 3;JKN Boni04; 5.3.9.201904290125 4 81251
1#0##0#0#0.0#2019-10-16 12:54:32#0#00:00:00#00:00:00#00:00:00 1
88ca3e2399316c7f5ed02e88ed6c943b
7171104 C 3 CP 2 09/10/2019 09/10/2019 01/12/1958 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ADELIN RENGKUNG
052228 60 22227 DR.MELISA RATAG,SPM 0309R0191019V001465
0000905227244 3;JKN Boni04; 5.3.9.201904290125 4 81253
1#0##0#0#0.0#2019-10-16 12:55:23#0#00:00:00#00:00:00#00:00:00 1
45e7c1230040837b110deb6e00d236a7
7171104 C 3 CP 2 09/10/2019 09/10/2019 31/01/1946 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JANTJE HARRY
MANTIRI 051922 73 26914 DR.MELISA RATAG,SPM 0309R0191019V001464
0000137181352 3;JKN Boni04; 5.3.9.201904290125 4 81254
1#0##0#0#0.0#2019-10-16 12:56:04#0#00:00:00#00:00:00#00:00:00 1
59a2595618b428d6066947cc748b5079
7171104 C 3 CP 2 09/10/2019 09/10/2019 27/05/1970 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 WAHIDA SELLE
052272 49 18032 DR.MELISA RATAG,SPM 0309R0191019V001467
0000905407233 3;JKN Boni04; 5.3.9.201904290125 4 81255
1#0##0#0#0.0#2019-10-16 12:56:56#0#00:00:00#00:00:00#00:00:00 1
4968e14371ce5556e1dd991607d4af79
7171104 C 3 CP 2 09/10/2019 09/10/2019 04/03/1958 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JERNIS MAABUAT
052182 61 22499 DR.MELISA RATAG,SPM 0309R0191019V001469
0000159480742 3;JKN Boni04; 5.3.9.201904290125 4 81257
1#0##0#0#0.0#2019-10-16 12:57:48#0#00:00:00#00:00:00#00:00:00 1
987c75302354641e345e75d213252c20
7171104 C 3 CP 2 09/10/2019 09/10/2019 04/07/1954 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NELLY PIOH 052239
65 23838 DR.MELISA RATAG,SPM 0309R0191019V001466 0001721696804
3;JKN Boni04; 5.3.9.201904290125 4 81259 1#0##0#0#0.0#2019-10-16
12:58:47#0#00:00:00#00:00:00#00:00:00 1 3f254c9caa4429a7c3fccb5147b055bc
7171104 C 3 CP 2 09/10/2019 09/10/2019 08/03/2000 0 1
1 H26.9 13.59;13.71 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 CHERLYN REGINA BAWOLE ROMPIS 048821 19
7154 DR.MELISA RATAG,SPM 0309R0191019V001475 0001553549466 3;JKN
Boni04; 5.3.9.201904290125 4 81261 1#0##0#0#0.0#2019-10-16
13:00:07#0#00:00:00#00:00:00#00:00:00 1 8c4b518d92060eed2aec3a17effdcc09
7171104 C 3 CP 2 09/10/2019 09/10/2019 26/12/1954 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARTEN TEBI 052262
64 23663 DR.MELISA RATAG,SPM 0309R0191019V001491 0000140392574
3;JKN Boni04; 5.3.9.201904290125 4 81263 1#0##0#0#0.0#2019-10-16
13:01:07#0#00:00:00#00:00:00#00:00:00 1 c3ce3a02ddb5f46cfe4e9c9afa5685b2
7171104 C 3 CP 2 09/10/2019 09/10/2019 02/04/1941 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DIN WOWOR 052147
78 28679 DR.MELISA RATAG,SPM 0309R0191019V001552 0001565111193
3;JKN Boni04; 5.3.9.201904290125 4 81264 1#0##0#0#0.0#2019-10-16
13:02:00#0#00:00:00#00:00:00#00:00:00 1 0db5087398b508c142e2f10d8901f099
7171104 C 3 CP 2 09/10/2019 09/10/2019 19/12/1955 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 IR. FRANKIE PH. F. RORING 052611 63 23305
DR PAULA M V LUMUNON,SPM 0309R0191019V001628 0000138573876 3;JKN
Patrick K.; 5.3.9.201904290125 4 80303 1#0##0#0#0.0#2019-10-18
09:31:18#0#00:00:00#00:00:00#00:00:00 2 34f166be780849513000d85f8c4d0928
7171104 C 3 CP 2 10/10/2019 10/10/2019 13/01/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAGDALENA HUMAMPING 050774 66 24376 DR.
DENNY WALANDOW, SPM 0309R0191019V001698 0001897545701 3;JKN Patrick K.;
5.3.9.201904290125 4 80552 1#0##0#0#0.0#2019-10-11
10:00:04#0#00:00:00#00:00:00#00:00:00 1 373b805d442912f69b0a9512b4cd9c98
7171104 C 3 CP 2 10/10/2019 10/10/2019 04/12/1958 0 1
1 Z09.8;H17.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BELLY EPLY MANUHUTU 041337 60 22225
DR. SAMUEL MALINGKAS,SPM 0309R0191019V001699 0001883581132 3;JKN
Patrick K.; 5.3.9.201904290125 4 80553 1#0##0#0#0.0#2019-10-11
10:01:49#0#00:00:00#00:00:00#00:00:00 1 4435048204994a8976d6b9113eea20b5
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/11/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARAMIS TICOALU 051523 70 25910 DR. DENNY
WALANDOW, SPM 0309R0191019V001701 0000907808703 3;JKN Patrick K.;
5.3.9.201904290125 4 80554 1#0##0#0#0.0#2019-10-11
10:02:46#0#00:00:00#00:00:00#00:00:00 1 40bf1b66d4e59b0231da1d8a83db564a
7171104 C 3 CP 2 10/10/2019 10/10/2019 29/03/1968 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YULIANA TAMARA 051673 51 18822 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001703 0001567891146 3;JKN Patrick K.;
5.3.9.201904290125 4 80555 1#0##0#0#0.0#2019-10-11
10:04:03#0#00:00:00#00:00:00#00:00:00 1 7937c5d10306024b23ae1685547ed1fb
7171104 C 3 CP 2 10/10/2019 10/10/2019 13/10/1960 0 2
1 H35.3 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALISTA BADOA 052336 58 21546 DR. DENNY
WALANDOW, SPM 0309R0191019V001704 0002389383606 3;JKN Patrick K.;
5.3.9.201904290125 4 80556 1#0##0#0#0.0#2019-10-11
10:06:43#0#00:00:00#00:00:00#00:00:00 1 a5a5b0628630309b54abefad0b970582
7171104 C 3 CP 2 10/10/2019 10/10/2019 21/09/1962 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARINTJE MUGAMA 003386 57 20838 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V001705 0002130303993 3;JKN Patrick K.;
5.3.9.201904290125 4 80557 1#0##0#0#0.0#2019-10-11
10:08:06#0#00:00:00#00:00:00#00:00:00 1 bab2b0129789eb4ed2f72bdf22ed0416
7171104 C 3 CP 2 10/10/2019 10/10/2019 03/11/1953 0 1
1 Z09.8;H11.0;H17.8;H52.2 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NOLDY B. KARWUR 047247 65 24082
DR.FELLY A. TOAD,S.PM 0309R0191019V001641 0001800988402 3;JKN
linda03; 5.3.9.201904290125 4 80551 1#0##0#0#0.0#2019-10-11
10:10:14#0#00:00:00#00:00:00#00:00:00 1 f635e5e9f8d88ad6120054d3df0e7c98
7171104 C 3 CP 2 10/10/2019 10/10/2019 14/08/1962 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MERRY ANNEKE MANTIRI 031485 57 20876
DR. DENNY WALANDOW, SPM 0309R0191019V001706 0001434837936 3;JKN
Patrick K.; 5.3.9.201904290125 4 80558 1#0##0#0#0.0#2019-10-11
10:11:35#0#00:00:00#00:00:00#00:00:00 1 383f0e9b760cbfdcf3ff8f605a6d2376
7171104 C 3 CP 2 10/10/2019 10/10/2019 23/08/1946 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNARD LODEWYK TULUNG 015970 73 26711
DR.MELISA RATAG,SPM 0309R0191019V001707 0000138271476 3;JKN
Patrick K.; 5.3.9.201904290125 4 80559 1#0##0#0#0.0#2019-10-11
10:13:37#0#00:00:00#00:00:00#00:00:00 1 2037c2f07fd572d197378d83e83e2f4a
7171104 C 3 CP 2 10/10/2019 10/10/2019 12/10/1962 0 2
1 Z09.8;H25.1;H35.0;H43.8 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUTI MARTHA LINGKAN 052082 56 20817
DR.FELLY A. TOAD,S.PM 0309R0191019V001643 0001860692207 3;JKN
linda03; 5.3.9.201904290125 4 80560 1#0##0#0#0.0#2019-10-11
10:14:09#0#00:00:00#00:00:00#00:00:00 1 08c0e7f47d61d6672d464b48db13c231
7171104 C 3 CP 2 10/10/2019 10/10/2019 26/04/1955 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEFRY EDUARD GEORGE KEMBUAN 052088 64
23543 DR. DENNY WALANDOW, SPM 0309R0191019V001711 0002389216476 3;JKN
Patrick K.; 5.3.9.201904290125 4 80561 1#0##0#0#0.0#2019-10-11
10:17:13#0#00:00:00#00:00:00#00:00:00 1 a843de33c99885e9b9e3ef066dc6c034
7171104 C 3 CP 2 10/10/2019 10/10/2019 02/03/1972 0 1
1 Z09.8;H52.4;H52.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALFRINA MANGARONDA 051273 47 17388
DR.FELLY A. TOAD,S.PM 0309R0191019V001712 0001243668104 3;JKN
Patrick K.; 5.3.9.201904290125 4 80562 1#0##0#0#0.0#2019-10-11
10:20:04#0#00:00:00#00:00:00#00:00:00 2 e1974a8a6b7a92c22a8b31f985c4cd3c
7171104 C 3 CP 2 10/10/2019 10/10/2019 25/02/1955 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FERRY ASIR 051260 64 23603 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001713 0000138051786 3;JKN Patrick K.;
5.3.9.201904290125 4 80564 1#0##0#0#0.0#2019-10-11
10:23:20#0#00:00:00#00:00:00#00:00:00 1 979bda2149aa5bad6b0f2f208f8ad972
7171104 C 3 CP 2 10/10/2019 10/10/2019 25/01/1957 0 2
1 Z96.1;H35.2;H33.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANEKE ANATJE EMOR 045447 62 22903
DR.FELLY A. TOAD,S.PM 0309R0191019V001646 0001335164782 3;JKN
linda03; 5.3.9.201904290125 4 80563 1#0##0#0#0.0#2019-10-11
10:25:56#0#00:00:00#00:00:00#00:00:00 1 32b68ce39633762deec37e9fb23e6bc4
7171104 C 3 CP 2 10/10/2019 10/10/2019 04/03/1965 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MASYE RUMONDOR 051596 54 19943 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001647 0001983549431 3;JKN linda03;
5.3.9.201904290125 4 80565 1#0##0#0#0.0#2019-10-11
10:28:56#0#00:00:00#00:00:00#00:00:00 2 86e89414e73631257fb8de100d186eef
7171104 C 3 CP 2 10/10/2019 10/10/2019 14/03/1948 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOPPY SUAK 052079 71 26142 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001648 0002388431766 3;JKN linda03;
5.3.9.201904290125 4 80566 1#0##0#0#0.0#2019-10-11
10:29:38#0#00:00:00#00:00:00#00:00:00 1 3b1aae21876b5ade5a719cef42a7d1e8
7171104 C 3 CP 2 10/10/2019 10/10/2019 24/01/1973 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROMMY AP. DUMINGGU 006033 46 17060 DR.
DENNY WALANDOW, SPM 0309R0191019V001650 0001966825528 3;JKN linda03;
5.3.9.201904290125 4 80567 1#0##0#0#0.0#2019-10-11
10:40:21#0#00:00:00#00:00:00#00:00:00 1 da592e7e1777be0ce3ca64b9c5b8a687
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/04/1939 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AISHA MAMONTO 017906 80 29412 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001651 0000908706227 3;JKN linda03;
5.3.9.201904290125 4 80568 1#0##0#0#0.0#2019-10-11
10:42:06#0#00:00:00#00:00:00#00:00:00 1 aaed1be4cf9f41c979858d3db89436cf
7171104 C 3 CP 2 10/10/2019 10/10/2019 14/10/1949 0 1
1 Z96.1;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LAMBERTUS JACOBUS UNDAP 005483 69 25563
DR. DENNY WALANDOW, SPM 0309R0191019V001652 0000138558115 3;JKN
linda03; 5.3.9.201904290125 4 80569 1#0##0#0#0.0#2019-10-11
10:42:46#0#00:00:00#00:00:00#00:00:00 1 443fb4554d13d681f9925e1111d6fb9c
7171104 C 3 CP 2 10/10/2019 10/10/2019 23/03/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SERVI SENDUK 051262 69 25403 DR. DENNY
WALANDOW, SPM 0309R0191019V001653 0002044797164 3;JKN linda03;
5.3.9.201904290125 4 80570 1#0##0#0#0.0#2019-10-11
10:43:22#0#00:00:00#00:00:00#00:00:00 1 3133faf10ef587d95b555d55636902c1
7171104 C 3 CP 2 10/10/2019 10/10/2019 09/08/1947 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAGDALENA TOGAS 025280 72 26360 DR.
DENNY WALANDOW, SPM 0309R0191019V001654 0002070525969 3;JKN linda03;
5.3.9.201904290125 4 80571 1#0##0#0#0.0#2019-10-11
10:44:03#0#00:00:00#00:00:00#00:00:00 1 f645622cef63df1d381719ea6ad4af1c
7171104 C 3 CP 2 10/10/2019 10/10/2019 13/04/1990 0 1
1 H52.1;H53.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 APRIANDO RONDONUWU 052335 29 10772
DR. SAMUEL MALINGKAS,SPM 0309R0191019V001700 0002433530452 3;JKN
linda03; 5.3.9.201904290125 4 80572 1#0##0#0#0.0#2019-10-11
10:44:51#0#00:00:00#00:00:00#00:00:00 1 947961b683ae09f0bf0c001ae92d6232
7171104 C 3 CP 2 10/10/2019 10/10/2019 28/08/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHN LAMBE 015101 67 24514 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001655 0001452476081 3;JKN linda03;
5.3.9.201904290125 4 80573 1#0##0#0#0.0#2019-10-11
10:45:38#0#00:00:00#00:00:00#00:00:00 1 6725882c51d3e9a42bf5527c4007d3a8
7171104 C 3 CP 2 10/10/2019 10/10/2019 07/03/1962 0 1
1 Z09.8;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUSTAM LAKORO 051451 57 21036
DR.FELLY A. TOAD,S.PM 0309R0191019V001656 0000907832632 3;JKN
linda03; 5.3.9.201904290125 4 80574 1#0##0#0#0.0#2019-10-11
10:47:00#0#00:00:00#00:00:00#00:00:00 1 65e16f96567a0ef4113c9751e1ad549f
7171104 C 3 CP 2 10/10/2019 10/10/2019 27/06/1961 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARKUS ANG 051865 58 21289 DR. DENNY
WALANDOW, SPM 0309R0191019V001657 0002756860648 3;JKN linda03;
5.3.9.201904290125 4 80575 1#0##0#0#0.0#2019-10-11
10:47:48#0#00:00:00#00:00:00#00:00:00 1 8e769c3b1e999593b33fcf4c13e2993a
7171104 C 3 CP 2 10/10/2019 10/10/2019 10/02/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KUSMA DJAFAR 049850 69 25444 DR. DENNY
WALANDOW, SPM 0309R0191019V001659 0000138204674 3;JKN linda03;
5.3.9.201904290125 4 80576 1#0##0#0#0.0#2019-10-11
10:48:42#0#00:00:00#00:00:00#00:00:00 1 d8da5fcc0feaf2dc2e30c9cd779d8f91
7171104 C 3 CP 2 10/10/2019 10/10/2019 16/10/1960 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TONNY TENDEAN 051909 58 21543 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V001660 0000138349337 3;JKN linda03;
5.3.9.201904290125 4 80577 1#0##0#0#0.0#2019-10-11
10:49:23#0#00:00:00#00:00:00#00:00:00 1 2a12c556adeb8c8ec82f70289b13448b
7171104 C 3 CP 2 10/10/2019 10/10/2019 12/01/1948 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KARIM KAUSAHA 052078 71 26204 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V001661 0000138270238 3;JKN linda03;
5.3.9.201904290125 4 80578 1#0##0#0#0.0#2019-10-11
10:53:51#0#00:00:00#00:00:00#00:00:00 1 e1f00872d5b3db956190cbc064679dd1
7171104 C 3 CP 2 10/10/2019 10/10/2019 30/11/1970 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NOUKE SANDRA KANSIL 021480 48 17846
DR. SAMUEL MALINGKAS,SPM 0309R0191019V001662 0001809783202 3;JKN
linda03; 5.3.9.201904290125 4 80579 1#0##0#0#0.0#2019-10-11
10:55:27#0#00:00:00#00:00:00#00:00:00 1 054f4d9948760c163266bbe0bebe6650
7171104 C 3 CP 2 10/10/2019 10/10/2019 27/07/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JUUL WATUSEKE 051665 72 26373 DR. DENNY
WALANDOW, SPM 0309R0191019V001714 0002610518084 3;JKN Patrick K.;
5.3.9.201904290125 4 80580 1#0##0#0#0.0#2019-10-11
10:56:00#0#00:00:00#00:00:00#00:00:00 1 41c751d31703a4d823569a1d6b0bab53
7171104 C 3 CP 2 10/10/2019 10/10/2019 14/12/1947 0 1
1 Z09.8;H40.5;H21.0;H25.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DICKY L LINTONG,DRS 025467 71 26233
DR.FELLY A. TOAD,S.PM 0309R0191019V001716 0000138264827 3;JKN
Patrick K.; 5.3.9.201904290125 4 80581 1#0##0#0#0.0#2019-10-11
10:58:06#0#00:00:00#00:00:00#00:00:00 1 3b75efea84251f31644d9cf951495580
7171104 C 3 CP 2 10/10/2019 10/10/2019 29/09/2015 0 1
1 C49.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DANTE GLADWIN TUMILANTOUW 052340 4 1472
DR.FELLY A. TOAD,S.PM 0309R0191019V001717 0002389229728 3;JKN
Patrick K.; 5.3.9.201904290125 4 80582 1#0##0#0#0.0#2019-10-11
11:07:22#0#00:00:00#00:00:00#00:00:00 1 bc8cb4acb350e19b599ef168eff34b5c
7171104 C 3 CP 2 10/10/2019 10/10/2019 26/12/1951 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JAHYA WUISAN 052337 67 24760 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001719 0001786865758 3;JKN Patrick K.;
5.3.9.201904290125 4 80584 1#0##0#0#0.0#2019-10-11
11:09:25#0#00:00:00#00:00:00#00:00:00 1 329c817f35ea06e08181a3ef02b4686a
7171104 C 3 CP 2 10/10/2019 10/10/2019 16/07/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOPPIE REIN SANGIAN 051255 69 25288 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V001720 0000138269428 3;JKN Patrick K.;
5.3.9.201904290125 4 80585 1#0##0#0#0.0#2019-10-11
11:10:10#0#00:00:00#00:00:00#00:00:00 1 dfc074b96b1f7be6780ddd136ea7d071
7171104 C 3 CP 2 10/10/2019 10/10/2019 02/03/1957 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAX MISA 050898 62 22867 DR. DENNY
WALANDOW, SPM 0309R0191019V001663 0001246251036 3;JKN linda03;
5.3.9.201904290125 4 80587 1#0##0#0#0.0#2019-10-11
11:13:43#0#00:00:00#00:00:00#00:00:00 1 3dd09577c8ad07b3cd797566e5794f7e
7171104 C 3 CP 2 10/10/2019 10/10/2019 31/08/1978 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 STELLA LIDIA MAMENTU 052375 41 15015 DR.
DENNY WALANDOW, SPM 0309R0191019V001841 0000137888572 3;JKN Vian02;
5.3.9.201904290125 4 80588 1#0##0#0#0.0#2019-10-11
11:14:07#0#00:00:00#00:00:00#00:00:00 1 0a74328a05befaeaef75c2302fa362a4
7171104 C 3 CP 2 10/10/2019 10/10/2019 16/07/1966 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MIKE WIDJAJATI 052374 53 19444 DR.
DENNY WALANDOW, SPM 0309R0191019V001840 0000138730105 3;JKN Vian02;
5.3.9.201904290125 4 80590 1#0##0#0#0.0#2019-10-11
11:15:11#0#00:00:00#00:00:00#00:00:00 1 506198091049895047dbf51b4cc6ef74
7171104 C 3 CP 2 10/10/2019 10/10/2019 28/03/1965 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTINUS TAMARA 017879 54 19919 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001664 0000137267381 3;JKN linda03;
5.3.9.201904290125 4 80589 1#0##0#0#0.0#2019-10-11
11:15:14#0#00:00:00#00:00:00#00:00:00 1 92bac4f19076fafa2a19b9fd4c0881db
7171104 C 3 CP 2 10/10/2019 10/10/2019 06/01/1961 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TOKSEN LUMIKIS 047681 58 21461 DR.
DENNY WALANDOW, SPM 0309R0191019V001665 0000194639365 3;JKN linda03;
5.3.9.201904290125 4 80591 1#0##0#0#0.0#2019-10-11
11:16:17#0#00:00:00#00:00:00#00:00:00 1 e828e4592d32e1ff25d2d08b00829678
7171104 C 3 CP 2 10/10/2019 10/10/2019 30/08/1953 0 1
1 Z09.8;H40.8;H35.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SULEMAN ALI 023775 66 24147 DR.FELLY A.
TOAD,S.PM 0309R0191019V001666 0000137889202 3;JKN linda03;
5.3.9.201904290125 4 80592 1#0##0#0#0.0#2019-10-11
11:17:09#0#00:00:00#00:00:00#00:00:00 1 f48cb0947f3a933dfe121b9ee517c0da
7171104 C 3 CP 2 10/10/2019 10/10/2019 17/09/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WOLTERS NANONO 052003 70 25590 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001667 0000137544759 3;JKN linda03;
5.3.9.201904290125 4 80593 1#0##0#0#0.0#2019-10-11
11:17:48#0#00:00:00#00:00:00#00:00:00 1 b4c780c08e093c6460d03bb3def39a8a
7171104 C 3 CP 2 10/10/2019 10/10/2019 04/07/1954 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NELLY PIOH 052239 65 23839 DR.MELISA
RATAG,SPM 0309R0191019V001668 0001721696804 3;JKN linda03;
5.3.9.201904290125 4 80594 1#0##0#0#0.0#2019-10-11
11:18:21#0#00:00:00#00:00:00#00:00:00 1 f865b332b121fb1529ebc6633c7ff344
7171104 C 3 CP 2 10/10/2019 10/10/2019 28/12/1978 0 2
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 GUNI ARTI 052372 40 14896 DR. DENNY
WALANDOW, SPM 0309R0191019V001838 0000137947217 3;JKN Vian02;
5.3.9.201904290125 4 80438 1#0##0#0#0.0#2019-10-11
11:19:19#0#00:00:00#00:00:00#00:00:00 1 af741b8f457b1f837eb7774c1e6f5de7
7171104 C 3 CP 2 10/10/2019 10/10/2019 02/07/1974 0 2
1 H52.2;Z96.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 IMELDA GLENSYE WAWORUNTU 052371 45
16536 DR. DENNY WALANDOW, SPM 0309R0191019V001837 0000138327388 3;JKN
Vian02; 5.3.9.201904290125 4 80597 1#0##0#0#0.0#2019-10-11
11:21:00#0#00:00:00#00:00:00#00:00:00 1 af4ba99a6f0feb40b7c9ed2f0c5d91ae
7171104 C 3 CP 2 10/10/2019 10/10/2019 20/02/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CYRUS TAAFISAN LALOMPOH 050254 70 25799 DR.
DENNY WALANDOW, SPM 0309R0191019V001836 0000137420076 3;JKN Vian02;
5.3.9.201904290125 4 80596 1#0##0#0#0.0#2019-10-11
11:22:23#0#00:00:00#00:00:00#00:00:00 1 682e3adcb89d11e0de907924d6e0c2a0
7171104 C 3 CP 2 10/10/2019 10/10/2019 29/05/1961 0 1
1 Z09.8;H40.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JAMES RAFAEL SUMERA 044034 58 21318
DR.FELLY A. TOAD,S.PM 0309R0191019V001835 0001853145944 3;JKN
Vian02; 5.3.9.201904290125 4 80598 1#0##0#0#0.0#2019-10-11
11:23:07#0#00:00:00#00:00:00#00:00:00 1 47daaa3ec7ad9488453ea0a7fad68397
7171104 C 3 CP 2 10/10/2019 10/10/2019 12/02/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TAHIR SAMIDEN 026249 64 23616 DR. DENNY
WALANDOW, SPM 0309R0191019V001669 0001969203418 3;JKN linda03;
5.3.9.201904290125 4 80595 1#0##0#0#0.0#2019-10-11
11:28:48#0#00:00:00#00:00:00#00:00:00 1 34dadac3827a1b0d5fb72757e1571730
7171104 C 3 CP 2 10/10/2019 10/10/2019 16/03/1939 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KAROLIN SUPIT 050826 80 29428 DR. DENNY
WALANDOW, SPM 0309R0191019V001829 0000211328324 3;JKN Vian02;
5.3.9.201904290125 4 80599 1#0##0#0#0.0#2019-10-11
11:31:43#0#00:00:00#00:00:00#00:00:00 1 56a7473067962bbbb1058fa91ae18463
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/08/1978 0 1
1 Z09.8;Q11.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEIDI TAMPI 042785 41 15045 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001827 0000905457914 3;JKN Vian02;
5.3.9.201904290125 4 80600 1#0##0#0#0.0#2019-10-11
11:34:54#0#00:00:00#00:00:00#00:00:00 1 154b8550ce8334c9770103252ce089bc
7171104 C 3 CP 2 10/10/2019 10/10/2019 20/07/1998 0 1
1 Z09.8;D31.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HIZKIA R. KOJO 042937 21 7752 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V001826 0001250442786 3;JKN Vian02;
5.3.9.201904290125 4 80601 1#0##0#0#0.0#2019-10-11
11:41:39#0#00:00:00#00:00:00#00:00:00 1 4141ee76f3dde8f3038f1313f1607dc9
7171104 C 3 CP 2 10/10/2019 10/10/2019 26/12/1954 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTEN TEBI 052262 64 23664 DR.MELISA
RATAG,SPM 0309R0191019V001670 0000140392574 3;JKN linda03;
5.3.9.201904290125 4 80602 1#0##0#0#0.0#2019-10-11
11:42:50#0#00:00:00#00:00:00#00:00:00 1 815f3cc6d17b01591c5898010e763d1b
7171104 C 3 CP 2 10/10/2019 10/10/2019 17/01/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNA ANGELIN RONGA 051500 65 24007 DR.
DENNY WALANDOW, SPM 0309R0191019V001671 0000139049278 3;JKN linda03;
5.3.9.201904290125 4 80603 1#0##0#0#0.0#2019-10-11
11:43:23#0#00:00:00#00:00:00#00:00:00 1 f6c90fff9a10c46f60bf28b4fa3243a8
7171104 C 3 CP 2 10/10/2019 10/10/2019 15/12/1944 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 A.MANDANG-SOLANG NY 022264 74 27327
DR.FELLY A. TOAD,S.PM 0309R0191019V001673 0000138099306 3;JKN
linda03; 5.3.9.201904290125 4 80604 1#0##0#0#0.0#2019-10-11
11:43:55#0#00:00:00#00:00:00#00:00:00 1 66ec3fe12694ba177f8d931cfe2e5de7
7171104 C 3 CP 2 10/10/2019 10/10/2019 29/07/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YULIN WANGANIA 051501 67 24544 DR. DENNY
WALANDOW, SPM 0309R0191019V001674 0001447364788 3;JKN linda03;
5.3.9.201904290125 4 80605 1#0##0#0#0.0#2019-10-11
11:44:28#0#00:00:00#00:00:00#00:00:00 1 833d2f05051500356dcc71350bc44645
7171104 C 3 CP 2 10/10/2019 10/10/2019 31/01/1946 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANTJE HARRY MANTIRI 051922 73 26915
DR.MELISA RATAG,SPM 0309R0191019V001675 0000137181352 3;JKN
linda03; 5.3.9.201904290125 4 80606 1#0##0#0#0.0#2019-10-11
11:45:40#0#00:00:00#00:00:00#00:00:00 1 1e32fa26403c7d80669b2cde49b85c0d
7171104 C 3 CP 2 10/10/2019 10/10/2019 17/09/1930 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TUMBEL SONDAKH 051276 89 32530 DR. DENNY
WALANDOW, SPM 0309R0191019V001821 0000203381109 3;JKN Vian02;
5.3.9.201904290125 4 80607 1#0##0#0#0.0#2019-10-11
11:46:48#0#00:00:00#00:00:00#00:00:00 1 79d174e0114c042627d8dbc8892be530
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/10/1962 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELFI LOHO 052361 57 20828 DR. DENNY
WALANDOW, SPM 0309R0191019V001820 0000908095735 3;JKN Vian02;
5.3.9.201904290125 4 80608 1#0##0#0#0.0#2019-10-11
11:47:38#0#00:00:00#00:00:00#00:00:00 1 507969c5804b4722bd6bb8c13d1f8255
7171104 C 3 CP 2 10/10/2019 10/10/2019 06/08/1958 0 2
1 H52.0;H52.4;H52.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ASMARANI G KARINDA 052339 61 22345
DR. SAMUEL MALINGKAS,SPM 0309R0191019V001723 0000138463042 3;JKN
Patrick K.; 5.3.9.201904290125 4 80609 1#0##0#0#0.0#2019-10-11
11:52:03#0#00:00:00#00:00:00#00:00:00 1 e3c718f3738582f2851c23f56e7e24fe
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/12/1998 0 2
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 OVELYA TAMARA 052359 20 7618 DR. DENNY
WALANDOW, SPM 0309R0191019V001818 0000908098211 3;JKN Vian02;
5.3.9.201904290125 4 80610 1#0##0#0#0.0#2019-10-11
12:34:18#0#00:00:00#00:00:00#00:00:00 1 670a1150f3f47e554590fd4465e4cb76
7171104 C 3 CP 2 10/10/2019 10/10/2019 28/11/1939 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NETJE SUAL 051275 79 29171 DR. DENNY
WALANDOW, SPM 0309R0191019V001819 0000203381379 3;JKN Vian02;
5.3.9.201904290125 4 80611 1#0##0#0#0.0#2019-10-11
12:35:36#0#00:00:00#00:00:00#00:00:00 1 cdb59b23d849ca2fe95c2df7f6fd38eb
7171104 C 3 CP 2 10/10/2019 10/10/2019 16/11/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIEN MADONSA 052092 66 24434 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001815 0000138338133 3;JKN Vian02;
5.3.9.201904290125 4 80612 1#0##0#0#0.0#2019-10-11
12:37:09#0#00:00:00#00:00:00#00:00:00 1 ba9cbc5776eae6584778eaa0a18fa396
7171104 C 3 CP 2 10/10/2019 10/10/2019 27/07/1962 0 2
1 Z09.8;H35.2;Z96.1;H11.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DRA. TESLY J. PUNUH,MSI 045617 57 20894
DR.FELLY A. TOAD,S.PM 0309R0191019V001812 0000138731894 3;JKN
Vian02; 5.3.9.201904290125 4 80613 1#0##0#0#0.0#2019-10-11
12:39:26#0#00:00:00#00:00:00#00:00:00 1 9c07d1a6bb059c22e5eeba2ad1870c4f
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/08/1954 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 STIN WURANGIAN 052358 65 23811 DR.FELLY A.
TOAD,S.PM 0309R0191019V001811 0000909525633 3;JKN Vian02;
5.3.9.201904290125 4 80614 1#0##0#0#0.0#2019-10-11
12:40:13#0#00:00:00#00:00:00#00:00:00 1 b28e526ecc396ce9c8a39c73111b8343
7171104 C 3 CP 2 10/10/2019 10/10/2019 24/08/2005 0 2
1 Z09.8;H18.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANGLE VIRGINIA POMANTOW 051701 14 5160
DR. SAMUEL MALINGKAS,SPM 0309R0191019V001808 0002389246569 3;JKN
Vian02; 5.3.9.201904290125 4 80615 1#0##0#0#0.0#2019-10-11
12:41:26#0#00:00:00#00:00:00#00:00:00 1 c0c221d4050c3f937a74bbcbe6f8198c
7171104 C 3 CP 2 10/10/2019 10/10/2019 05/05/1935 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MELDA PANTOW 051466 84 30839 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001676 0001824422128 3;JKN linda03;
5.3.9.201904290125 4 80617 1#0##0#0#0.0#2019-10-11
13:17:28#0#00:00:00#00:00:00#00:00:00 1 21c22e0ab84f836a333bbecd362846a7
7171104 C 3 CP 2 10/10/2019 10/10/2019 05/02/1967 0 1
1 H47.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CORNELES FILIPUS ESSING 042501 52 19240 DR.
DENNY WALANDOW, SPM 0309R0191019V001677 0002298115157 3;JKN linda03;
5.3.9.201904290125 4 80618 1#0##0#0#0.0#2019-10-11
13:18:52#0#00:00:00#00:00:00#00:00:00 1 70028224544844dd0f5a8a74a8961972
7171104 C 3 CP 2 10/10/2019 10/10/2019 30/10/1957 0 1
1 Z96.1;H40.1;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLD MESAK 050144 61 22625 DR.FELLY A.
TOAD,S.PM 0309R0191019V001678 0002257390833 3;JKN linda03;
5.3.9.201904290125 4 80619 1#0##0#0#0.0#2019-10-11
13:20:18#0#00:00:00#00:00:00#00:00:00 1 8b0a068e9867e07e42fc328e1cc18678
7171104 C 3 CP 2 10/10/2019 10/10/2019 04/03/1958 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JERNIS MAABUAT 052182 61 22500
DR.MELISA RATAG,SPM 0309R0191019V001680 0000159480742 3;JKN
linda03; 5.3.9.201904290125 4 80620 1#0##0#0#0.0#2019-10-11
13:23:26#0#00:00:00#00:00:00#00:00:00 1 ad14ab016f66cc82c7e50f1858b5ed2a
7171104 C 3 CP 2 10/10/2019 10/10/2019 14/05/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MEITY MAWUNTU 006850 73 26812 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001681 0002054976693 3;JKN linda03;
5.3.9.201904290125 4 80621 1#0##0#0#0.0#2019-10-11
13:26:00#0#00:00:00#00:00:00#00:00:00 1 bb5230836e7acd1d1ff35cacd83d521b
7171104 C 3 CP 2 10/10/2019 10/10/2019 02/07/1994 0 2
1 Z09.8;H52.2;H53.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DINA ANDREINA SENGKEY 052330 25 9231
DR. SAMUEL MALINGKAS,SPM 0309R0191019V001684 0002245819623 3;JKN
linda03; 5.3.9.201904290125 4 80622 1#0##0#0#0.0#2019-10-11
13:28:46#0#00:00:00#00:00:00#00:00:00 1 520c299cc4a3f672750d7d06fd1a788d
7171104 C 3 CP 2 10/10/2019 10/10/2019 11/11/1970 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BOYKE P.R. LOING 051606 48 17865 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V001686 0001452389174 3;JKN linda03;
5.3.9.201904290125 4 80623 1#0##0#0#0.0#2019-10-11
13:29:47#0#00:00:00#00:00:00#00:00:00 1 38a4d3ea06bd1956f52370c3a0f061b2
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/12/1958 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADELIN RENGKUNG 052228 60 22228
DR.MELISA RATAG,SPM 0309R0191019V001687 0000905227244 3;JKN
linda03; 5.3.9.201904290125 4 80624 1#0##0#0#0.0#2019-10-11
13:30:49#0#00:00:00#00:00:00#00:00:00 1 67e07131bcea031effdcd77a180ef9db
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/05/1948 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TELMA PAPENDANG 052332 71 26094 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001688 0000909572635 3;JKN linda03;
5.3.9.201904290125 4 80625 1#0##0#0#0.0#2019-10-11
13:47:25#0#00:00:00#00:00:00#00:00:00 1 955cf11c90fd6498f41aaddb43524dfa
7171104 C 3 CP 2 10/10/2019 10/10/2019 11/11/1950 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BOYKE MOKODOMPIS 051934 68 25170
DR.MELISA RATAG,SPM 0309R0191019V001689 0002094763149 3;JKN
linda03; 5.3.9.201904290125 4 80626 1#0##0#0#0.0#2019-10-11
13:48:15#0#00:00:00#00:00:00#00:00:00 1 589288f3f928220018d09c35c849ab61
7171104 C 3 CP 2 10/10/2019 10/10/2019 27/05/1970 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WAHIDA SELLE 052272 49 18033
DR.MELISA RATAG,SPM 0309R0191019V001690 0000905407233 3;JKN
linda03; 5.3.9.201904290125 4 80627 1#0##0#0#0.0#2019-10-11
13:50:53#0#00:00:00#00:00:00#00:00:00 1 62c5829e923abb9fa830a18731eeb516
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/05/1946 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAXII MILIAM PUDIHANG 052333 73 26825 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V001691 0000909572141 3;JKN linda03;
5.3.9.201904290125 4 80628 1#0##0#0#0.0#2019-10-11
13:52:14#0#00:00:00#00:00:00#00:00:00 1 6ed8ded2c8b89f5325cf5f8d886db8cf
7171104 C 3 CP 2 10/10/2019 10/10/2019 02/04/1941 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DIN WOWOR 052147 78 28680 DR.MELISA
RATAG,SPM 0309R0191019V001693 0001565111193 3;JKN linda03;
5.3.9.201904290125 4 80629 1#0##0#0#0.0#2019-10-11
13:53:18#0#00:00:00#00:00:00#00:00:00 1 d8f85d09ecf4f285894321362459861f
7171104 C 3 CP 2 10/10/2019 10/10/2019 04/06/1975 0 1
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RIZAL SILALAHI 052334 44 16199 DR. DENNY
WALANDOW, SPM 0309R0191019V001694 0000138293267 3;JKN linda03;
5.3.9.201904290125 4 80630 1#0##0#0#0.0#2019-10-11
13:54:02#0#00:00:00#00:00:00#00:00:00 1 3a84db40f462e0f81691c98bbdc645a7
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/10/1939 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA MASAWET 031992 80 29229 DR. DENNY
WALANDOW, SPM 0309R0191019V001695 0001066985831 3;JKN linda03;
5.3.9.201904290125 4 80631 1#0##0#0#0.0#2019-10-11
13:54:42#0#00:00:00#00:00:00#00:00:00 1 aec1e82dfb601e6e94732644e355bf2e
7171104 C 3 CP 2 10/10/2019 10/10/2019 05/11/1941 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VENTJE RUMOKOY 052041 77 28463 DR. DENNY
WALANDOW, SPM 0309R0191019V001697 0002392644587 3;JKN linda03;
5.3.9.201904290125 4 80632 57#0##0#0#0.0#2019-10-11
13:55:18#0#00:00:00#00:00:00#00:00:00 1 930465bd545369bc5b8d692e572d3a33
7171104 C 3 CP 2 10/10/2019 10/10/2019 05/05/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WESTEPIN MAALUA 051989 71 26090 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001724 0000136914243 3;JKN Patrick K.;
5.3.9.201904290125 4 80633 1#0##0#0#0.0#2019-10-11
14:01:57#0#00:00:00#00:00:00#00:00:00 1 9ef1453dc859ebd26c59fc74ddcadc6c
7171104 C 3 CP 2 10/10/2019 10/10/2019 03/05/1954 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAXMEILIAN POSUMAH 052342 65 23901 DR.
DENNY WALANDOW, SPM 0309R0191019V001725 0000138501628 3;JKN Patrick K.;
5.3.9.201904290125 4 80634 1#0##0#0#0.0#2019-10-11
14:05:04#0#00:00:00#00:00:00#00:00:00 1 4a77c1787abf0017ceb8d74d85b5cf14
7171104 C 3 CP 2 10/10/2019 10/10/2019 08/09/1975 0 1
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DONNY OSMON WAWONDATU 052086 44 16103
DR. DENNY WALANDOW, SPM 0309R0191019V001728 0000906093268 3;JKN
Patrick K.; 5.3.9.201904290125 4 80636 1#0##0#0#0.0#2019-10-11
14:07:58#0#00:00:00#00:00:00#00:00:00 1 e13fb4aeb467319b152aaef8143e20fc
7171104 C 3 CP 2 10/10/2019 10/10/2019 28/07/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROLEX LALENDIM 051678 69 25276 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001729 0002390787123 3;JKN Patrick K.;
5.3.9.201904290125 4 80637 1#0##0#0#0.0#2019-10-11
14:08:52#0#00:00:00#00:00:00#00:00:00 1 53add053aa15951eec59275a35ad3267
7171104 C 3 CP 2 10/10/2019 10/10/2019 22/05/1938 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HENKIE RUMENGAN 049645 81 29726 DR. DENNY
WALANDOW, SPM 0309R0191019V001731 0001568323293 3;JKN Patrick K.;
5.3.9.201904290125 4 80638 1#0##0#0#0.0#2019-10-11
14:10:22#0#00:00:00#00:00:00#00:00:00 1 c2b11ffce0ddb2cd280582202fe31316
7171104 C 3 CP 2 10/10/2019 10/10/2019 19/12/1938 0 1
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DARIUS TURANG 052106 80 29515 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V001734 0000203549139 3;JKN Patrick K.;
5.3.9.201904290125 4 80639 1#0##0#0#0.0#2019-10-11
14:11:03#0#00:00:00#00:00:00#00:00:00 1 774e6a1f01f3d618d77719f760b1747d
7171104 C 3 CP 2 10/10/2019 10/10/2019 13/01/1992 0 2
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEWI KARTINI TURANGAN 052118 27 10132
DR. SAMUEL MALINGKAS,SPM 0309R0191019V001735 0001669050314 3;JKN
Patrick K.; 5.3.9.201904290125 4 80640 1#0##0#0#0.0#2019-10-11
14:11:55#0#00:00:00#00:00:00#00:00:00 1 98fcff32d8f22297aa7e732283226eec
7171104 C 3 CP 2 10/10/2019 10/10/2019 06/05/1976 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MEILANY TUMARAR S.SOS 051455 43 15862 DR.
DENNY WALANDOW, SPM 0309R0191019V001736 0000207410128 3;JKN Patrick K.;
5.3.9.201904290125 4 80641 1#0##0#0#0.0#2019-10-11
14:12:47#0#00:00:00#00:00:00#00:00:00 1 b3c36a61b784988fbc4bb47c53fb9f32
7171104 C 3 CP 2 10/10/2019 10/10/2019 09/03/1969 0 2
1 Z09.8;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEISKE TINANGON 021229 50 18477 DR.
DENNY WALANDOW, SPM 0309R0191019V001806 0001166986236 3;JKN Vian02;
5.3.9.201904290125 4 80616 1#0##0#0#0.0#2019-10-11
14:15:20#0#00:00:00#00:00:00#00:00:00 1 b339e91c59092200593c47e00d535387
7171104 C 3 CP 2 10/10/2019 10/10/2019 26/05/1939 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MIENTJE SUMAJOW 009973 80 29357 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001804 0000138853631 3;JKN Vian02;
5.3.9.201904290125 4 80643 1#0##0#0#0.0#2019-10-11
14:16:37#0#00:00:00#00:00:00#00:00:00 1 b3755c91ff1ed5ba6de45fc3b61989eb
7171104 C 3 CP 2 10/10/2019 10/10/2019 19/04/1950 0 2
1 Z09.0;Z96.1;H26.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DIENTJE MANENGAL 027369 69 25376
DR.FELLY A. TOAD,S.PM 0309R0191019V001803 0001328432422 3;JKN
Vian02; 5.3.9.201904290125 4 80644 1#0##0#0#0.0#2019-10-11
14:17:55#0#00:00:00#00:00:00#00:00:00 1 e6d5ca2ece340ad96b1f78ed3a2a4e14
7171104 C 3 CP 2 10/10/2019 10/10/2019 26/10/2002 0 2
1 Z09.8;H17.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LUSIA MARIA KALANGI 002373 16 6193
DR. SAMUEL MALINGKAS,SPM 0309R0191019V001738 0001099787646 3;JKN
Patrick K.; 5.3.9.201904290125 4 80645 1#0##0#0#0.0#2019-10-11
14:18:38#0#00:00:00#00:00:00#00:00:00 1 5f74ff724938666d258f2b068387fd9f
7171104 C 3 CP 2 10/10/2019 10/10/2019 29/11/1967 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADELMINCE SAHEN TUMBAGE 051738 51 18943 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V001740 0002778840189 3;JKN Patrick K.;
5.3.9.201904290125 4 80646 1#0##0#0#0.0#2019-10-11
14:19:30#0#00:00:00#00:00:00#00:00:00 1 2e7148bfb665af69c4005de77cc41ee8
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/02/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAHDALENA LUMINTANG 051682 72 26549 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V001741 0000908737029 3;JKN Patrick K.;
5.3.9.201904290125 4 80648 1#0##0#0#0.0#2019-10-11
14:21:13#0#00:00:00#00:00:00#00:00:00 1 16cf067fdbc07ffbf1a8dabfcb2dc6c3
7171104 C 3 CP 2 10/10/2019 10/10/2019 05/07/1974 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SOFIANA ABAS 052343 45 16533 DR.
DENNY WALANDOW, SPM 0309R0191019V001745 0002640383954 3;JKN Patrick K.;
5.3.9.201904290125 4 80650 1#0##0#0#0.0#2019-10-11
14:23:27#0#00:00:00#00:00:00#00:00:00 1 3791773c0863b8b98021452e2139eee4
7171104 C 3 CP 2 10/10/2019 10/10/2019 14/02/1943 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PAULINA SUPIT 052344 76 27997 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001746 0002388460419 3;JKN Patrick K.;
5.3.9.201904290125 4 80651 1#0##0#0#0.0#2019-10-11
14:24:41#0#00:00:00#00:00:00#00:00:00 1 1a223385dfcf988b02c51ebb3c3c1b83
7171104 C 3 CP 2 10/10/2019 10/10/2019 07/03/1958 0 2
1 Z09.8;H10.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GILLIAN M.LAOH 051744 61 22497 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V001748 0000138143182 3;JKN Patrick K.;
5.3.9.201904290125 4 80652 1#0##0#0#0.0#2019-10-11
14:25:41#0#00:00:00#00:00:00#00:00:00 1 7ee43d8edddd2e9b856ba2a67e09f905
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/04/1936 0 1
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 THEIS H SIMBAWA 036921 83 30507 DR.
DENNY WALANDOW, SPM 0309R0191019V001751 0000906379198 3;JKN Patrick K.;
5.3.9.201904290125 4 80653 1#0##0#0#0.0#2019-10-11
14:26:43#0#00:00:00#00:00:00#00:00:00 1 199e888537327dc8deef8d0e2751fdbf
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/06/2001 0 2
1 Z09.8;H47.0;H40.8 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YINRIANY VIRGIN HUSULA 042233 18 6705
DR.FELLY A. TOAD,S.PM 0309R0191019V001752 0000910221344 3;JKN
Patrick K.; 5.3.9.201904290125 4 80654 1#0##0#0#0.0#2019-10-11
14:27:47#0#00:00:00#00:00:00#00:00:00 1 2db0fc5cdf516864bb0adb4bb692162b
7171104 C 3 CP 2 10/10/2019 10/10/2019 14/06/1967 0 1
1 H17.8 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 S BAGUS SANTOSO 052346 52 19111 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001754 0002214597756 3;JKN Patrick K.;
5.3.9.201904290125 4 80655 1#0##0#0#0.0#2019-10-11
14:29:00#0#00:00:00#00:00:00#00:00:00 1 32fcf7e6e8652da17879d2a0a005b954
7171104 C 3 CP 2 10/10/2019 10/10/2019 05/12/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RICHARD F KOROMPIS 044970 66 24415 DR.
DENNY WALANDOW, SPM 0309R0191019V001757 0000169373384 3;JKN Patrick K.;
5.3.9.201904290125 4 80656 1#0##0#0#0.0#2019-10-11
14:29:43#0#00:00:00#00:00:00#00:00:00 1 5675e5731182e8599af81a0c78f20b70
7171104 C 3 CP 2 10/10/2019 10/10/2019 04/02/1969 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VENITJE PONGAJOUW 051885 50 18510
DR.FELLY A. TOAD,S.PM 0309R0191019V001758 0001569813175 3;JKN
Patrick K.; 5.3.9.201904290125 4 80657 1#0##0#0#0.0#2019-10-11
14:30:51#0#00:00:00#00:00:00#00:00:00 1 89c7e2beca0f87ce5834b4b2b265e41c
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/12/1957 0 2
1 Z09.8;H44.5;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADRIANA PIKU 049728 61 22593
DR.FELLY A. TOAD,S.PM 0309R0191019V001760 0000909540461 3;JKN
Patrick K.; 5.3.9.201904290125 4 80658 1#0##0#0#0.0#2019-10-11
14:31:38#0#00:00:00#00:00:00#00:00:00 1 d23fd6b42637e24f05f414bc2115885b
7171104 C 3 CP 2 10/10/2019 10/10/2019 08/08/1968 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FARIDA HASANUDIN 050956 51 18690 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001761 0002881340706 3;JKN Patrick K.;
5.3.9.201904290125 4 80659 1#0##0#0#0.0#2019-10-11
14:32:47#0#00:00:00#00:00:00#00:00:00 1 c57ae50a948c67e200505302b5df2bc1
7171104 C 3 CP 2 10/10/2019 10/10/2019 15/06/1936 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MIEN UMBOHAN 051422 83 30432 DR. DENNY
WALANDOW, SPM 0309R0191019V001762 0002376301781 3;JKN Patrick K.;
5.3.9.201904290125 4 80660 1#0##0#0#0.0#2019-10-11
14:33:39#0#00:00:00#00:00:00#00:00:00 1 e8be45ae9d05287de48635404876c19c
7171104 C 3 CP 2 10/10/2019 10/10/2019 14/05/1942 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 STIEN TUMBEL 052351 77 28273 DR. DENNY
WALANDOW, SPM 0309R0191019V001763 0000195785098 3;JKN Patrick K.;
5.3.9.201904290125 4 80661 1#0##0#0#0.0#2019-10-11
14:34:53#0#00:00:00#00:00:00#00:00:00 1 d3d2f1c0436879f647643c7b64afd71d
7171104 C 3 CP 2 10/10/2019 10/10/2019 11/05/1940 0 2
1 Z96.1;H18.1;H40.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HELENA LAURINA KEREH 014013 79 29006
DR. SAMUEL MALINGKAS,SPM 0309R0191019V001764 0000138932065 3;JKN
Patrick K.; 5.3.9.201904290125 4 80662 1#0##0#0#0.0#2019-10-11
14:37:05#0#00:00:00#00:00:00#00:00:00 2 110454d1aabcbc95a803c7747e3f5bbd
7171104 C 3 CP 2 10/10/2019 10/10/2019 12/01/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADELINA SOMPIE 014490 74 27299 DR.FELLY A.
TOAD,S.PM 0309R0191019V001801 0001875787931 3;JKN Vian02;
5.3.9.201904290125 4 80647 1#0##0#0#0.0#2019-10-11
14:38:13#0#00:00:00#00:00:00#00:00:00 1 960dc5b8f8fffdee4963dbabe445fe87
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/01/1953 0 2
1 Z09.8;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YANSI KANDOU 051272 66 24388
DR.FELLY A. TOAD,S.PM 0309R0191019V001781 0000908893901 3;JKN
Vian02; 5.3.9.201904290125 4 80663 1#0##0#0#0.0#2019-10-11
14:39:13#0#00:00:00#00:00:00#00:00:00 1 ded3881743bd3d94a1b3cdd45e5c5465
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/05/1940 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WEMPI RATAG 050716 79 29016 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001802 0001066661807 3;JKN Vian02;
5.3.9.201904290125 4 80664 1#0##0#0#0.0#2019-10-11
14:40:33#0#00:00:00#00:00:00#00:00:00 1 9a2cda5618793b0282d01945361f53e2
7171104 C 3 CP 2 10/10/2019 10/10/2019 05/04/1962 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MIEKE RINE A.TIWOW 051836 57 21007
DR. SAMUEL MALINGKAS,SPM 0309R0191019V001799 0000138565012 3;JKN
Vian02; 5.3.9.201904290125 4 80665 1#0##0#0#0.0#2019-10-11
14:43:37#0#00:00:00#00:00:00#00:00:00 1 31a206b8dde5414c51c24ecae986e35f
7171104 C 3 CP 2 10/10/2019 10/10/2019 11/08/1965 0 2
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANEKE CHEYMI SUMUAL 051938 54 19783
DR.FELLY A. TOAD,S.PM 0309R0191019V001797 0002246768662 3;JKN
Vian02; 5.3.9.201904290125 4 80666 1#0##0#0#0.0#2019-10-11
14:44:55#0#00:00:00#00:00:00#00:00:00 1 d7c8a12a5a896c74035bca958281cd7f
7171104 C 3 CP 2 10/10/2019 10/10/2019 08/06/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAX MAKALEW 051676 70 25691 DR. DENNY
WALANDOW, SPM 0309R0191019V001795 0001287756516 3;JKN Vian02;
5.3.9.201904290125 4 80667 1#0##0#0#0.0#2019-10-11
14:45:33#0#00:00:00#00:00:00#00:00:00 1 b9408e6ee0ded2fa75370d618afb7a4f
7171104 C 3 CP 2 10/10/2019 10/10/2019 23/11/1965 0 2
1 Z09.8;H25.0;H40.1;H35.2 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA WAGIU 049015 53 19679 DR.FELLY A.
TOAD,S.PM 0309R0191019V001794 0000137244385 3;JKN Vian02;
5.3.9.201904290125 4 80668 1#0##0#0#0.0#2019-10-11
14:51:46#0#00:00:00#00:00:00#00:00:00 1 b1479ec1c83bdc84e325db7f3d489e2b
7171104 C 3 CP 2 10/10/2019 10/10/2019 04/04/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALTJE WALANGITAN 020817 65 23930 DR. DENNY
WALANDOW, SPM 0309R0191019V001792 0002231817412 3;JKN Vian02;
5.3.9.201904290125 4 80669 1#0##0#0#0.0#2019-10-11
15:28:16#0#00:00:00#00:00:00#00:00:00 1 6cc8b69d68e780a1300660c3ecba59ee
7171104 C 3 CP 2 10/10/2019 10/10/2019 28/11/1958 0 2
1 Z09.8;H40.1;H25.0;H44.5 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONI BERDAME 041111 60 22231
DR.FELLY A. TOAD,S.PM 0309R0191019V001791 0001479204584 3;JKN
Vian02; 5.3.9.201904290125 4 80670 1#0##0#0#0.0#2019-10-11
15:35:28#0#00:00:00#00:00:00#00:00:00 1 1dbdae73fa6df5e95e16910b4ad775c8
7171104 C 3 CP 2 10/10/2019 10/10/2019 22/08/1979 0 1
1 Z09.8;H44.1;H18.8 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RACHMAN SOAMOLE 052286 40 14659 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V001790 0002890966105 3;JKN Vian02;
5.3.9.201904290125 4 80671 1#0##0#0#0.0#2019-10-11
15:38:12#0#00:00:00#00:00:00#00:00:00 1 06d6dad98ac6c2faa49dad03b4600314
7171104 C 3 CP 2 10/10/2019 10/10/2019 26/02/1963 0 2
1 Z09.8;H35.2;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WELLI LAWO PEIBE TARLELUAN 049036 56
20680 DR.FELLY A. TOAD,S.PM 0309R0191019V001789 0000136947418 3;JKN
Vian02; 5.3.9.201904290125 4 80672 1#0##0#0#0.0#2019-10-11
15:39:57#0#00:00:00#00:00:00#00:00:00 1 ab3702c77d579d0663e889d97c44b58e
7171104 C 3 CP 2 10/10/2019 10/10/2019 13/01/1961 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOSEPH AREN ANDRIES 051887 58 21454
DR.FELLY A. TOAD,S.PM 0309R0191019V001787 0001181851931 3;JKN
Vian02; 5.3.9.201904290125 4 80673 1#0##0#0#0.0#2019-10-11
15:41:00#0#00:00:00#00:00:00#00:00:00 1 cf7a2dd2bea588af36cd785e7883db7a
7171104 C 3 CP 2 10/10/2019 10/10/2019 28/04/1957 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ERKE WOSAL 051490 62 22810 DR.FELLY A.
TOAD,S.PM 0309R0191019V001786 0001570561154 3;JKN Vian02;
5.3.9.201904290125 4 80674 1#0##0#0#0.0#2019-10-11
15:42:09#0#00:00:00#00:00:00#00:00:00 1 b1488924aaa122384fe90a377901ecf0
7171104 C 3 CP 2 10/10/2019 10/10/2019 10/05/1960 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 THERESIA KANSIL 051301 59 21702 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001784 0001435697021 3;JKN Vian02;
5.3.9.201904290125 4 80675 1#0##0#0#0.0#2019-10-11
15:42:53#0#00:00:00#00:00:00#00:00:00 1 52e546fabb9bed41b09fba45d8aed5c9
7171104 C 3 CP 2 10/10/2019 10/10/2019 30/09/1971 0 2
1 Z09.8;H43.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SENIE SUAK 049839 48 17542 DR. DENNY
WALANDOW, SPM 0309R0191019V001783 0001799850262 3;JKN Vian02;
5.3.9.201904290125 4 80676 1#0##0#0#0.0#2019-10-11
15:43:52#0#00:00:00#00:00:00#00:00:00 1 1d51e148b0b07451a69722013fc1ce8a
7171104 C 3 CP 2 10/10/2019 10/10/2019 12/11/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NICOLAUS SENDUK 051681 69 25534 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001782 0001824291832 3;JKN Vian02;
5.3.9.201904290125 4 80677 1#0##0#0#0.0#2019-10-11
15:44:29#0#00:00:00#00:00:00#00:00:00 1 2de683a465c04a2c1fc786fa1ab94d4d
7171104 C 3 CP 2 10/10/2019 10/10/2019 25/07/1952 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 EVIE ALDA SIWI 052357 67 24548 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001780 0000207934931 3;JKN Vian02;
5.3.9.201904290125 4 80678 1#0##0#0#0.0#2019-10-11
15:45:29#0#00:00:00#00:00:00#00:00:00 1 47d2971a417c6082f013e38b55823e0f
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/03/1988 0 1
1 H02.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAYKEL RUKAIT 052356 31 11545 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001779 0000904962172 3;JKN Vian02;
5.3.9.201904290125 4 80679 1#0##0#0#0.0#2019-10-11
15:46:52#0#00:00:00#00:00:00#00:00:00 1 182c0539a9f7fe9718ace86cfa3e94d0
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/03/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARDJAN MANOSO 031526 70 25790 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001777 0000909152122 3;JKN Vian02;
5.3.9.201904290125 4 80680 1#0##0#0#0.0#2019-10-11
15:48:48#0#00:00:00#00:00:00#00:00:00 1 e4ec3883b49d16ac1c671c0a1aef5a23
7171104 C 3 CP 2 10/10/2019 10/10/2019 25/01/1964 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RONNI WAWORUNTU 052354 55 20347 DR. DENNY
WALANDOW, SPM 0309R0191019V001775 0002389581088 3;JKN Vian02;
5.3.9.201904290125 4 80681 1#0##0#0#0.0#2019-10-11
15:49:35#0#00:00:00#00:00:00#00:00:00 1 6282a865a2dd61ddea6f5f47476736a4
7171104 C 3 CP 2 10/10/2019 10/10/2019 08/12/1950 0 1
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUBERT WUISAN 025154 68 25143
DR.FELLY A. TOAD,S.PM 0309R0191019V001772 0000138297115 3;JKN
Vian02; 5.3.9.201904290125 4 80682 1#0##0#0#0.0#2019-10-11
15:50:41#0#00:00:00#00:00:00#00:00:00 1 7ac473ac2ffb57b231dc8a4eb0e5add4
7171104 C 3 CP 2 10/10/2019 10/10/2019 17/12/1941 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CORRY H PANGEMANAN 052353 77 28421
DR.FELLY A. TOAD,S.PM 0309R0191019V001771 0000904764262 3;JKN
Vian02; 5.3.9.201904290125 4 80683 1#0##0#0#0.0#2019-10-11
15:52:14#0#00:00:00#00:00:00#00:00:00 1 00889c62e4b5452553586f8d89658e2f
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/01/1957 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANWAR USULU 052350 62 22927 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001770 0002251158254 3;JKN Vian02;
5.3.9.201904290125 4 80684 1#0##0#0#0.0#2019-10-11
15:53:11#0#00:00:00#00:00:00#00:00:00 1 8097ffe88c265d05d51d3fa43402c29a
7171104 C 3 CP 2 10/10/2019 10/10/2019 11/06/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA WOI 007533 69 25323 DR. DENNY
WALANDOW, SPM 0309R0191019V001768 0002045663076 3;JKN Vian02;
5.3.9.201904290125 4 80685 1#0##0#0#0.0#2019-10-11
15:54:07#0#00:00:00#00:00:00#00:00:00 1 fc54b5e886276f3214327644ac630759
7171104 C 3 CP 2 10/10/2019 10/10/2019 24/06/1943 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CATOTJE ELSJE ROPA 052094 76 27867
DR. SAMUEL MALINGKAS,SPM 0309R0191019V001767 0000138114606 3;JKN
Vian02; 5.3.9.201904290125 4 80686 1#0##0#0#0.0#2019-10-11
15:55:01#0#00:00:00#00:00:00#00:00:00 1 cf0c217d4ebeefd28dd3be51f3f55139
7171104 C 3 CP 2 10/10/2019 10/10/2019 27/10/1959 0 2
1 H25.0;H52.1;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MASJE MARGOTJE MOMOMUAT 052352 59 21898
DR.FELLY A. TOAD,S.PM 0309R0191019V001765 0001066875625 3;JKN
Vian02; 5.3.9.201904290125 4 80687 1#0##0#0#0.0#2019-10-11
15:56:05#0#00:00:00#00:00:00#00:00:00 1 6373073e4ad0129f6b8f19e79db8b52e
7171104 C 3 CP 1 09/10/2019 10/10/2019 04/01/1966 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 ANACE SALATANG 052291 53
19636 DR.MELISA RATAG,SPM 0309R0191019V001630 0002295381789 3;JKN
eka06; 5.3.9.201904290125 4 81035 1#0##0#0#0.0#2019-10-15
13:18:05#0#00:00:00#00:00:00#00:00:00 1 e2db779a51a6c43a2bdbec2ea6e2515a
7171104 C 3 CP 2 10/10/2019 10/10/2019 03/04/1948 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 FOLNEY LOMBONE 052331 71 26122
DR.FELLY A. TOAD,S.PM 0309R0191019V001685 0002063119689 3;JKN
Boni04; 5.3.9.201904290125 4 81269 1#0##0#0#0.0#2019-10-16
13:15:04#0#00:00:00#00:00:00#00:00:00 1 539bd7dd329ac4be7943ce2f631aee1b
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/03/1954 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 MARTA DANES 027392 65 23964 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001710 0000907831833 3;JKN Boni04;
5.3.9.201904290125 4 81270 1#0##0#0#0.0#2019-10-16
13:16:55#0#00:00:00#00:00:00#00:00:00 1 21da8c2950e9315021a6998e3fac6230
7171104 C 3 CP 2 10/10/2019 10/10/2019 19/06/1953 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 THEREISYE MONDNG 022997 66 24219 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001679 0002214032038 3;JKN Boni04;
5.3.9.201904290125 4 81271 1#0##0#0#0.0#2019-10-16
13:18:15#0#00:00:00#00:00:00#00:00:00 1 3765b10b1252d60db842104cfea217ec
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/11/1949 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 ZET SION 052367 69 25545 DR. DENNY
WALANDOW, SPM 0309R0191019V001831 0000907975293 3;JKN Boni04;
5.3.9.201904290125 4 81272 1#0##0#0#0.0#2019-10-16
13:20:05#0#00:00:00#00:00:00#00:00:00 1 c75ec92bb600ce6971c95d6b854490e9
7171104 C 3 CP 2 10/10/2019 10/10/2019 02/05/1952 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 FIENTJE PONTOH 052349 67 24632 DR.
DENNY WALANDOW, SPM 0309R0191019V001755 0001249376038 3;JKN Boni04;
5.3.9.201904290125 4 81273 1#0##0#0#0.0#2019-10-16
13:21:04#0#00:00:00#00:00:00#00:00:00 1 df8073dae35eaa49cd2eaca2905465d8
7171104 C 3 CP 2 10/10/2019 10/10/2019 23/04/1966 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 SIENTJE AGNES SAMPEL 052347 53 19528
DR. DENNY WALANDOW, SPM 0309R0191019V001750 0000905077473 3;JKN
Boni04; 5.3.9.201904290125 4 81274 1#0##0#0#0.0#2019-10-16
13:22:06#0#00:00:00#00:00:00#00:00:00 1 ff73248de1b88642a373eb9595e131c9
7171104 C 3 CP 2 10/10/2019 10/10/2019 30/12/1945 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 BOBBY JEFTA MANEMBU 016487 73 26947
DR. DENNY WALANDOW, SPM 0309R0191019V001733 0001896845207 3;JKN
Boni04; 5.3.9.201904290125 4 81275 1#0##0#0#0.0#2019-10-16
13:23:03#0#00:00:00#00:00:00#00:00:00 1 9726bc4c2899252ec91656704118389d
7171104 C 3 CP 2 10/10/2019 10/10/2019 09/10/1939 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 SITTI MAIMUNAH DJAMAR 052338 80 29221
DR. DENNY WALANDOW, SPM 0309R0191019V001721 0000138062259 3;JKN
Boni04; 5.3.9.201904290125 4 81276 1#0##0#0#0.0#2019-10-16
13:23:58#0#00:00:00#00:00:00#00:00:00 1 caa2e73eb10876bb2a390233909ea908
7171104 C 3 CP 2 10/10/2019 10/10/2019 21/09/1954 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 KATRIN MAAMEAH 026936 65 23760 DR.
DENNY WALANDOW, SPM 0309R0191019V001709 0001892570229 3;JKN Boni04;
5.3.9.201904290125 4 81277 1#0##0#0#0.0#2019-10-16
13:32:01#0#00:00:00#00:00:00#00:00:00 1 0b8fbd67763be5a0754800ec01637cf5
7171104 C 3 CP 2 10/10/2019 10/10/2019 30/10/1948 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 NONVI DIEN 052080 70 25912 DR. DENNY
WALANDOW, SPM 0309R0191019V001644 0001892970887 3;JKN Boni04;
5.3.9.201904290125 4 81278 1#0##0#0#0.0#2019-10-16
13:33:01#0#00:00:00#00:00:00#00:00:00 1 5ec9b97be236e335fe0c6e36f0fc2d8e
7171104 C 3 CP 2 10/10/2019 10/10/2019 21/07/1951 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 THERESIA PAULIN
MAKAGANSA 052227 68 24918 DR MARIA E.D.S ORATMANGUN,SPM
0309R0191019V001739 0000137547134 3;JKN Boni04; 5.3.9.201904290125
4 81982 1#0##0#0#0.0#2019-10-22 10:40:23#0#00:00:00#00:00:00#00:00:00
1 e041cb09b64036a13c7a009dafabc2f0
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/05/1936 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ERNI MANARAT
052004 83 30477 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001749
0000908045763 3;JKN Boni04; 5.3.9.201904290125 4 81983
1#0##0#0#0.0#2019-10-22 10:41:29#0#00:00:00#00:00:00#00:00:00 1
a4ba9f460dc4d21964c65323f99e618e
7171104 C 3 CP 2 10/10/2019 10/10/2019 10/08/1953 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ANATJE BAWINTIL
052308 66 24167 DR YULIANA HARTONO,SPM 0309R0191019V001778
0002390979003 3;JKN Boni04; 5.3.9.201904290125 4 81984
1#0##0#0#0.0#2019-10-22 10:43:55#0#00:00:00#00:00:00#00:00:00 1
ae7382f9e4f92e9b356cbc371654e735
7171104 C 3 CP 2 10/10/2019 10/10/2019 29/03/1952 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 PIET HEIN MISA
006388 67 24666 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001785
0000137594125 3;JKN Boni04; 5.3.9.201904290125 4 81985
1#0##0#0#0.0#2019-10-22 10:47:35#0#00:00:00#00:00:00#00:00:00 1
6dc94ff8a91b9ffdc1961c49e4a2dbbd
7171104 C 3 CP 2 10/10/2019 10/10/2019 18/08/1954 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 GUSTAP FAICI
052266 65 23794 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001793
0002474455487 3;JKN Boni04; 5.3.9.201904290125 4 81986
1#0##0#0#0.0#2019-10-22 10:53:44#0#00:00:00#00:00:00#00:00:00 1
c854b4554a105648bfcec31b66ce4650
7171104 C 3 CP 2 10/10/2019 10/10/2019 14/05/1965 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DJAMALUDIN ZAKARIA
051953 54 19872 DR PAULA M V LUMUNON,SPM 0309R0191019V001774
0001143220015 3;JKN Boni04; 5.3.9.201904290125 4 81987
1#0##0#0#0.0#2019-10-22 11:00:02#0#00:00:00#00:00:00#00:00:00 1
a262f0d6f4a9b179914c4f02f6b32aea
7171104 C 3 CP 2 10/10/2019 10/10/2019 05/10/1989 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 STEVIE FREDY
MONGKARENG 033227 30 10962 DR PAULA M V LUMUNON,SPM
0309R0191019V001788 0001296660126 3;JKN Boni04; 5.3.9.201904290125
4 81988 1#0##0#0#0.0#2019-10-22 11:00:41#0#00:00:00#00:00:00#00:00:00
1 b693d6232d9cc9799087781760cadac6
7171104 C 3 CP 2 10/10/2019 10/10/2019 06/12/1935 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 TERSIA SASUBE
050222 83 30624 DR PAULA M V LUMUNON,SPM 0309R0191019V001800
0002390879823 3;JKN Boni04; 5.3.9.201904290125 4 81989
1#0##0#0#0.0#2019-10-22 11:01:39#0#00:00:00#00:00:00#00:00:00 1
0a9354195a4f2e699a2adeb7d86e978e
7171104 C 3 CP 2 10/10/2019 10/10/2019 04/02/1970 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JONATHAN HANNY
WAWO 052129 49 18145 DR PAULA M V LUMUNON,SPM 0309R0191019V001809
0002391478852 3;JKN Boni04; 5.3.9.201904290125 4 81990
1#0##0#0#0.0#2019-10-22 11:09:05#0#00:00:00#00:00:00#00:00:00 1
5864aa3bd9e797e7b81897e4ee14e7d7
7171104 C 3 CP 2 10/10/2019 10/10/2019 23/03/1975 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARLINCE K TENGKUE
052289 44 16272 DR PAULA M V LUMUNON,SPM 0309R0191019V001672
0002043227261 3;JKN Boni04; 5.3.9.201904290125 4 81991
1#0##0#0#0.0#2019-10-22 11:10:02#0#00:00:00#00:00:00#00:00:00 1
d14941718ff31791c945a66e3495158f
7171104 C 3 CP 2 10/10/2019 10/10/2019 07/08/1942 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 F. ARDA MARIDJAN
052298 77 28188 DR PAULA M V LUMUNON,SPM 0309R0191019V001696
0000138672371 3;JKN Boni04; 5.3.9.201904290125 4 81992
1#0##0#0#0.0#2019-10-22 11:11:04#0#00:00:00#00:00:00#00:00:00 1
3ac641396eaaa1d0bfdbc33eccd623a0
7171104 C 3 CP 2 10/10/2019 10/10/2019 28/01/1966 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JANTJE OLENG
052191 53 19613 DR PAULA M V LUMUNON,SPM 0309R0191019V001702
0001827406675 3;JKN Boni04; 5.3.9.201904290125 4 81993
1#0##0#0#0.0#2019-10-22 11:13:10#0#00:00:00#00:00:00#00:00:00 1
ade8c1aad6db6f12d7d893f763c0bed6
7171104 C 3 CP 2 10/10/2019 10/10/2019 08/06/1947 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FEMMY JULIANA
TAMBUWUN 052200 72 26422 DR PAULA M V LUMUNON,SPM
0309R0191019V001817 0002744777507 3;JKN Boni04; 5.3.9.201904290125
4 81995 1#0##0#0#0.0#2019-10-22 11:35:34#0#00:00:00#00:00:00#00:00:00
1 34d7d7f18bf33c2e72c2225596b12f41
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/10/1946 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JEPSAN TAMARA
052364 73 26672 DR PAULA M V LUMUNON,SPM 0309R0191019V001825
0000907479189 3;JKN Boni04; 5.3.9.201904290125 4 81996
1#0##0#0#0.0#2019-10-22 11:37:39#0#00:00:00#00:00:00#00:00:00 1
0e5b3697e4a42e01c358db40f3530c25
7171104 C 3 CP 2 10/10/2019 10/10/2019 17/02/1963 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DJEFRI MONDING
052365 56 20689 DR PAULA M V LUMUNON,SPM 0309R0191019V001828
0001311155728 3;JKN Boni04; 5.3.9.201904290125 4 81997
1#0##0#0#0.0#2019-10-22 11:38:50#0#00:00:00#00:00:00#00:00:00 1
a5853c3df710895a083b9ffa91d98bfe
7171104 C 3 CP 2 10/10/2019 10/10/2019 16/08/1980 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ZEM LAHEBA 052368
39 14299 DR PAULA M V LUMUNON,SPM 0309R0191019V001832
0000908153504 3;JKN Boni04; 5.3.9.201904290125 4 81998
1#0##0#0#0.0#2019-10-22 11:39:59#0#00:00:00#00:00:00#00:00:00 1
c84d653dd1f643122aa24e029ec9874f
7171104 C 3 CP 2 10/10/2019 10/10/2019 14/02/1952 0 1
1 H27.8 12.40 - - None None None None H-2-33-0 None None
None None None None PROSEDUR KECIL PADA SEGMEN ANTERIOR MATA 258400
0 0 - 0 - 0 - 0 - 0 258400 370400
0 1 0 0 0 MAXI SUNDALANGIE 048402 67 24710 DR
SAUL RAPAR,SPM 0309R0191019V001813 0000908092631 3;JKN Boni04;
5.3.9.201904290125 4 81999 1#0##0#0#0.0#2019-10-22
12:01:09#0#00:00:00#00:00:00#00:00:00 1 d922ed6c01ca8ea8addba283e1b6866d
7171104 C 3 CP 2 10/10/2019 10/10/2019 14/05/1947 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHAN KOPALIT
052329 72 26447 DR SAUL RAPAR,SPM 0309R0191019V001682
0002255085628 3;JKN Boni04; 5.3.9.201904290125 4 82050
1#0##0#0#0.0#2019-10-22 13:51:49#0#00:00:00#00:00:00#00:00:00 1
f204f9773178fbbd671d4a2d0e939ef7
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/10/1946 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ALMINTJE LEGESANG
052102 73 26672 DR SAUL RAPAR,SPM 0309R0191019V001766
0000908447951 3;JKN Boni04; 5.3.9.201904290125 4 82052
1#0##0#0#0.0#2019-10-22 13:53:08#0#00:00:00#00:00:00#00:00:00 1
8b3ec8f4ee5f238b47ec90dc431ee693
7171104 C 3 CP 2 10/10/2019 10/10/2019 07/09/1965 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MISKE SEANE LAURA
WELANG 052051 54 19756 DR SAUL RAPAR,SPM 0309R0191019V001756
0002231249128 3;JKN Boni04; 5.3.9.201904290125 4 82055
1#0##0#0#0.0#2019-10-22 13:56:15#0#00:00:00#00:00:00#00:00:00 1
dc06568652c97e46e35f7ab640a16efe
7171104 C 3 CP 2 10/10/2019 10/10/2019 28/06/1971 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DJENRIF DAUD
SAMOLA 052320 48 17636 DR SAUL RAPAR,SPM 0309R0191019V001807
0002388492257 3;JKN Boni04; 5.3.9.201904290125 4 82056
1#0##0#0#0.0#2019-10-22 13:56:54#0#00:00:00#00:00:00#00:00:00 1
41a4afcd0659531a607834b43a6c1ad8
7171104 C 3 CP 2 10/10/2019 10/10/2019 29/05/1956 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YER BUANGSAMPUHI
052292 63 23144 DR SAUL RAPAR,SPM 0309R0191019V001642
0002445973773 3;JKN Boni04; 5.3.9.201904290125 4 82057
1#0##0#0#0.0#2019-10-22 13:57:46#0#00:00:00#00:00:00#00:00:00 1
15bca59668237298ef9d4021f0f3327a
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/06/1957 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FATMA NGAU 052101
62 22776 DR SAUL RAPAR,SPM 0309R0191019V001645 0000908698195 3;JKN
Boni04; 5.3.9.201904290125 4 82059 1#0##0#0#0.0#2019-10-22
13:58:31#0#00:00:00#00:00:00#00:00:00 1 7ce5eff638de20c55e531227c0a59aa0
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/08/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ADELEIDE RONDONUWU
051893 71 26002 DR SAUL RAPAR,SPM 0309R0191019V001692
0000904633029 3;JKN Boni04; 5.3.9.201904290125 4 82060
1#0##0#0#0.0#2019-10-22 13:59:20#0#00:00:00#00:00:00#00:00:00 1
667ecc4d1498aa21cbed22e3542dac8d
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/03/1957 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ADRIANA RENTANDATU
052362 62 22868 DR SAUL RAPAR,SPM 0309R0191019V001823
0000908095149 3;JKN Boni04; 5.3.9.201904290125 4 82061
1#0##0#0#0.0#2019-10-22 14:00:24#0#00:00:00#00:00:00#00:00:00 1
a99d9d1e9a44ff618745565523e6aaad
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/10/1952 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 PILTON KANARANG
052366 67 24480 DR SAUL RAPAR,SPM 0309R0191019V001830
0000907479549 3;JKN Boni04; 5.3.9.201904290125 4 82062
1#0##0#0#0.0#2019-10-22 14:02:24#0#00:00:00#00:00:00#00:00:00 1
55cbd09a0434c87b2591718169236e80
7171104 C 3 CP 2 10/10/2019 10/10/2019 07/11/1967 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JULIEN DAULAR
052369 51 18965 DR SAUL RAPAR,SPM 0309R0191019V001833
0001604406047 3;JKN Boni04; 5.3.9.201904290125 4 82063
1#0##0#0#0.0#2019-10-22 14:03:18#0#00:00:00#00:00:00#00:00:00 1
a6b90e5861c0c3cf5e59387f2f45d462
7171104 C 3 CP 2 10/10/2019 10/10/2019 19/03/1978 0 2
1 D23.1 10.1 - - None None None None H-2-23-0 None None
None None None None PROSEDUR KECIL PADA MATA EKSTERNAL 509800 0
0 - 0 - 0 - 0 - 0 509800 3825400
0 1 0 0 0 SHERLY GEORGE 052258 41 15180 DR
YULIANA HARTONO,SPM 0309R0191019V001730 0002077493444 3;JKN Boni04;
5.3.9.201904290125 4 82066 1#0##0#0#0.0#2019-10-22
14:13:39#0#00:00:00#00:00:00#00:00:00 1 be3436a89bf8a2b815eca5002fb07aed
7171104 C 3 CP 2 10/10/2019 10/10/2019 13/10/1968 0 2
1 H00.1 08.21 - - None None None None H-2-23-0 None None
None None None None PROSEDUR KECIL PADA MATA EKSTERNAL 509800 0
0 - 0 - 0 - 0 - 0 509800 3825400
0 1 0 0 0 MASNIN TABANSA 027372 50 18624 DR
YULIANA HARTONO,SPM 0309R0191019V001816 0001131958653 3;JKN Boni04;
5.3.9.201904290125 4 82073 1#0##0#0#0.0#2019-10-22
14:15:15#0#00:00:00#00:00:00#00:00:00 1 b555daf005dd654c1bf4c4859024c51a
7171104 C 3 CP 2 10/10/2019 10/10/2019 15/02/1950 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ANEKE SOLAR 051691
69 25439 DR YULIANA HARTONO,SPM 0309R0191019V001722 0001892639856
3;JKN Boni04; 5.3.9.201904290125 4 82074 1#0##0#0#0.0#2019-10-22
14:16:01#0#00:00:00#00:00:00#00:00:00 1 81395d436999635e57494c469ae1c18b
7171104 C 3 CP 2 10/10/2019 10/10/2019 06/01/1952 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ABRAM A PONGOH
051684 67 24749 DR YULIANA HARTONO,SPM 0309R0191019V001732
0000139100152 3;JKN Boni04; 5.3.9.201904290125 4 82075
1#0##0#0#0.0#2019-10-22 14:17:04#0#00:00:00#00:00:00#00:00:00 1
4fac68ebf70dd4c3215ceae741e14d11
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/02/1970 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 VENNI WOWOR 052255
49 18148 DR YULIANA HARTONO,SPM 0309R0191019V001708 0000905904336
3;JKN Boni04; 5.3.9.201904290125 4 82076 1#0##0#0#0.0#2019-10-22
14:17:46#0#00:00:00#00:00:00#00:00:00 1 b53a8d71a55a014f35b5c3d2e1a503af
7171104 C 3 CP 2 10/10/2019 10/10/2019 14/06/1946 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JACOBA PANGKEREGO
051686 73 26781 DR YULIANA HARTONO,SPM 0309R0191019V001715
0001569893624 3;JKN Boni04; 5.3.9.201904290125 4 82077
1#0##0#0#0.0#2019-10-22 14:19:19#0#00:00:00#00:00:00#00:00:00 1
aa840c30148c423b077c054af015be17
7171104 C 3 CP 2 10/10/2019 10/10/2019 07/04/1949 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NELTJE KESEK
051862 70 25753 DR YULIANA HARTONO,SPM 0309R0191019V001649
0001564816509 3;JKN Boni04; 5.3.9.201904290125 4 82078
1#0##0#0#0.0#2019-10-22 14:20:05#0#00:00:00#00:00:00#00:00:00 1
8e7fb032e9a37724ed2e96599f2757fd
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/01/1945 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NELTJE MANGALA
052235 74 27310 DR YULIANA HARTONO,SPM 0309R0191019V001658
0001574557334 3;JKN Boni04; 5.3.9.201904290125 4 82079
1#0##0#0#0.0#2019-10-22 14:20:59#0#00:00:00#00:00:00#00:00:00 1
ea311d1ff5c1ba65c9f0b2245deb58cb
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/08/1954 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 KARLINA CAMBEY
051689 65 23811 DR YULIANA HARTONO,SPM 0309R0191019V001747
0000139100174 3;JKN Boni04; 5.3.9.201904290125 4 82080
1#0##0#0#0.0#2019-10-22 14:22:28#0#00:00:00#00:00:00#00:00:00 1
16e76bd91d5a823b5682451c50c3ebbc
7171104 C 3 CP 2 10/10/2019 10/10/2019 25/10/1934 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ANTJE ROSALIEN
MAKALEW 051692 84 31031 DR YULIANA HARTONO,SPM 0309R0191019V001726
0001767474066 3;JKN Boni04; 5.3.9.201904290125 4 82081
1#0##0#0#0.0#2019-10-22 14:23:11#0#00:00:00#00:00:00#00:00:00 1
68e9f3a843be3e417152f56e6a0c21c9
7171104 C 3 CP 2 10/10/2019 10/10/2019 08/01/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NONTJE RONDONUWU
051694 71 26208 DR YULIANA HARTONO,SPM 0309R0191019V001742
0001341872087 3;JKN Boni04; 5.3.9.201904290125 4 82082
1#0##0#0#0.0#2019-10-22 14:24:12#0#00:00:00#00:00:00#00:00:00 1
1bd82505be52d66ca87d775262cc6420
7171104 C 3 CP 2 10/10/2019 10/10/2019 11/01/1959 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NELLY MANTIRI
051881 60 22187 DR YULIANA HARTONO,SPM 0309R0191019V001773
0002388309737 3;JKN Boni04; 5.3.9.201904290125 4 82083
1#0##0#0#0.0#2019-10-22 14:25:30#0#00:00:00#00:00:00#00:00:00 1
d09b2a7b683ac43a6825142af3e0fd72
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/01/1958 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 PONGOH JULIANA
051973 61 22562 DR YULIANA HARTONO,SPM 0309R0191019V001798
0000138570524 3;JKN Boni04; 5.3.9.201904290125 4 82084
1#0##0#0#0.0#2019-10-22 14:26:29#0#00:00:00#00:00:00#00:00:00 1
ade34ccd1a25680ed44cec80e69686a4
7171104 C 3 CP 2 10/10/2019 10/10/2019 23/08/1957 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YETTI TOMBOKAN
051011 62 22693 DR YULIANA HARTONO,SPM 0309R0191019V001810
0001898402793 3;JKN Boni04; 5.3.9.201904290125 4 82085
1#0##0#0#0.0#2019-10-22 14:27:24#0#00:00:00#00:00:00#00:00:00 1
be5b0114feec9bf788720eb25ccbcedd
7171104 C 3 CP 2 10/10/2019 10/10/2019 03/03/1939 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARTJE TENGKO
044861 80 29441 DR YULIANA HARTONO,SPM 0309R0191019V001805
0001573067316 3;JKN Boni04; 5.3.9.201904290125 4 82086
1#0##0#0#0.0#2019-10-22 14:28:13#0#00:00:00#00:00:00#00:00:00 1
58b2d8320d69ad40f18cfb01bf566819
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/05/1962 0 2
1 Z09.8;H18.9;Z96.1;H18.4 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONTJE LENGATO 051245 57 20981
DR.FELLY A. TOAD,S.PM 0309R0191019V001737 0000910410344 3;JKN
Patrick K.; 5.3.9.201904290125 4 80642 1#0##0#0#0.0#2019-10-25
07:46:21#0#00:00:00#00:00:00#00:00:00 2 9dbd9b1fde25b35ce9598a3acc041b3f
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/08/1970 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TRIS MADENDEHE 049955 49 17967 DR. DENNY
WALANDOW, SPM 0309R0191019V001727 0000905877595 3;JKN Patrick K.;
5.3.9.201904290125 4 80635 1#0##0#0#0.0#2019-10-25
07:48:41#0#00:00:00#00:00:00#00:00:00 3 85b632982b0920f69f64aa36f92b101c
7171104 C 3 CP 2 10/10/2019 10/10/2019 22/05/1959 0 1
1 Z09.8;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CECEP NATSIR 048841 60 22056 DR
PAULA M V LUMUNON,SPM 0309R0191019V001718 0001426403812 3;JKN Patrick K.;
5.3.9.201904290125 4 80583 1#0##0#0#0.0#2019-11-05
13:08:37#0#00:00:00#00:00:00#00:00:00 1 80933a60b4f6e492b7cbcb29a8951d7c
7171104 C 3 CP 2 10/10/2019 10/10/2019 22/05/1956 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EMMA TUMBELAKA 052360 63 23151 DR.
DENNY WALANDOW, SPM 0309R0191019V001822 0001382066886 3;JKN Patrick K.;
5.3.9.201904290125 4 80586 1#0##0#0#0.0#2019-11-05
14:58:41#0#00:00:00#00:00:00#00:00:00 2 7641476b1e382d2a402a44f2a9296219
7171104 C 3 CP 2 10/10/2019 10/10/2019 04/11/1964 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NOVRIN RUMUNE 052341 54 20063 DR.
DENNY WALANDOW, SPM 0309R0191019V001743 0000906836027 3;JKN Patrick K.;
5.3.9.201904290125 4 80649 1#0##0#0#0.0#2019-11-05
15:01:44#0#00:00:00#00:00:00#00:00:00 2 7cfd377626ce0727cf99c22c6526cd6a
7171104 C 3 CP 2 10/10/2019 10/10/2019 14/08/1938 0 1
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MELKI WILSON TOMBILING 052189 81 29642
DR SAUL RAPAR,SPM 0309R0191019V001744 0001283635877 3;JKN Patrick K.;
5.3.9.201904290125 4 84596 1#0##0#0#0.0#2019-11-07
07:38:03#0#00:00:00#00:00:00#00:00:00 1 234bebdd1f6d6bf5c6315c237f87284a
7171104 C 3 CP 2 10/10/2019 10/10/2019 01/09/1957 0 1
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADRI RORONG 013936 62 22684 DR SAUL
RAPAR,SPM 0309R0191019V001759 0001434836553 3;JKN Patrick K.;
5.3.9.201904290125 4 84598 1#0##0#0#0.0#2019-11-07
07:58:47#0#00:00:00#00:00:00#00:00:00 1 1e946bcab44833615059e4b31302b3fd
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/10/1952 0 1
1 Z09.0;H26.9;Z96.1;H25.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PILTON KANARANG 052366 67 24481 DR
SAUL RAPAR,SPM 0309R0191019V001875 0000907479549 3;JKN Patrick K.;
5.3.9.201904290125 4 80688 1#0##0#0#0.0#2019-10-12
08:26:01#0#00:00:00#00:00:00#00:00:00 1 145551fb2a5b300e0ec3127d1182adab
7171104 C 3 CP 2 11/10/2019 11/10/2019 07/11/1967 0 2
1 Z09.0;H26.9;Z96.1;H25.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIEN DAULAR 052369 51 18966 DR
SAUL RAPAR,SPM 0309R0191019V001877 0001604406047 3;JKN Patrick K.;
5.3.9.201904290125 4 80689 1#0##0#0#0.0#2019-10-12
08:28:36#0#00:00:00#00:00:00#00:00:00 1 9013cb652fbc2e11ccda46e491f62913
7171104 C 3 CP 2 11/10/2019 11/10/2019 14/11/1971 0 1
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RENTJE L RENDUS 052382 47 17498 DR
PAULA M V LUMUNON,SPM 0309R0191019V001878 0001132067834 3;JKN Patrick K.;
5.3.9.201904290125 4 80690 1#0##0#0#0.0#2019-10-12
08:37:06#0#00:00:00#00:00:00#00:00:00 1 f8b38f7fbd3c38b410400c5d21fca4e2
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/03/1957 0 2
1 Z09.0;H26.9;Z96.1;H25.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADRIANA RENTANDATU 052362 62 22869
DR SAUL RAPAR,SPM 0309R0191019V001880 0000908095149 3;JKN Patrick K.;
5.3.9.201904290125 4 80691 1#0##0#0#0.0#2019-10-12
08:39:28#0#00:00:00#00:00:00#00:00:00 1 84ccafd6a0fb49a1484c2788d0c7da8b
7171104 C 3 CP 2 11/10/2019 11/10/2019 19/03/1969 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARLADY PEGGY RAKIAN 052383 50 18468
DR YULIANA HARTONO,SPM 0309R0191019V001881 0001439794089 3;JKN
Patrick K.; 5.3.9.201904290125 4 80692 1#0##0#0#0.0#2019-10-12
08:41:17#0#00:00:00#00:00:00#00:00:00 1 550da43797065d9e8782013bdae8210a
7171104 C 3 CP 2 11/10/2019 11/10/2019 19/09/1960 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALEX SASIALANG 052385 59 21571 DR
YULIANA HARTONO,SPM 0309R0191019V001886 0001439793358 3;JKN Patrick K.;
5.3.9.201904290125 4 80693 1#0##0#0#0.0#2019-10-12
08:45:17#0#00:00:00#00:00:00#00:00:00 1 2201937dcbe1ddb7cd7e9e67ce6c8029
7171104 C 3 CP 2 11/10/2019 11/10/2019 23/03/1975 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARLINCE K TENGKUE 052289 44 16273
DR PAULA M V LUMUNON,SPM 0309R0191019V001890 0002043227261 3;JKN
Patrick K.; 5.3.9.201904290125 4 80694 1#0##0#0#0.0#2019-10-12
08:46:16#0#00:00:00#00:00:00#00:00:00 1 f8f5699d1d2b394048b67b2f96bed658
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/08/1948 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADELEIDE RONDONUWU 051893 71 26003
DR SAUL RAPAR,SPM 0309R0191019V001892 0000904633029 3;JKN Patrick K.;
5.3.9.201904290125 4 80695 1#0##0#0#0.0#2019-10-12
08:47:12#0#00:00:00#00:00:00#00:00:00 1 9273126075b608771404927d5b513afa
7171104 C 3 CP 2 11/10/2019 11/10/2019 14/05/1965 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DJAMALUDIN ZAKARIA 051953 54 19873 DR
PAULA M V LUMUNON,SPM 0309R0191019V001893 0001143220015 3;JKN Patrick K.;
5.3.9.201904290125 4 80696 1#0##0#0#0.0#2019-10-12
08:48:19#0#00:00:00#00:00:00#00:00:00 1 d4a880d771d4d7e5269ab4e55fb20104
7171104 C 3 CP 2 11/10/2019 11/10/2019 09/03/1947 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTHEN F. WUWUNGAN 007002 72 26514
DR YULIANA HARTONO,SPM 0309R0191019V001896 0000138231551 3;JKN
Patrick K.; 5.3.9.201904290125 4 80697 1#0##0#0#0.0#2019-10-12
08:52:46#0#00:00:00#00:00:00#00:00:00 1 5825b19c8b68e1532ed5f3c916acf353
7171104 C 3 CP 2 11/10/2019 11/10/2019 10/08/1953 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANATJE BAWINTIL 052308 66 24168 DR
YULIANA HARTONO,SPM 0309R0191019V001897 0002390979003 3;JKN Patrick K.;
5.3.9.201904290125 4 80698 1#0##0#0#0.0#2019-10-12
08:54:40#0#00:00:00#00:00:00#00:00:00 2 0c60d3fcacbf29f988b983664e490bb4
7171104 C 3 CP 2 11/10/2019 11/10/2019 19/12/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NETTIE KAPOROH 020021 64 23672 DR SAUL
RAPAR,SPM 0309R0191019V001898 0001808267499 3;JKN Patrick K.;
5.3.9.201904290125 4 80699 1#0##0#0#0.0#2019-10-12
09:09:37#0#00:00:00#00:00:00#00:00:00 2 76a1d3ad97f1778c59991a014198b875
7171104 C 3 CP 2 11/10/2019 11/10/2019 08/06/1947 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FEMMY JULIANA TAMBUWUN 052200 72 26423
DR PAULA M V LUMUNON,SPM 0309R0191019V001899 0002744777507 3;JKN
Patrick K.; 5.3.9.201904290125 4 80700 1#0##0#0#0.0#2019-10-12
09:11:17#0#00:00:00#00:00:00#00:00:00 1 bb78cbb5349256eefc993ddc062109ea
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/01/1958 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PONGOH JULIANA 051973 61 22563 DR
YULIANA HARTONO,SPM 0309R0191019V001900 0000138570524 3;JKN Patrick K.;
5.3.9.201904290125 4 80701 1#0##0#0#0.0#2019-10-12
09:12:43#0#00:00:00#00:00:00#00:00:00 1 3cfd7eec0253708db7c694860e510001
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/09/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SINTJE TAARE 048530 71 25972 DR PAULA M V
LUMUNON,SPM 0309R0191019V001903 0000907225255 3;JKN Patrick K.;
5.3.9.201904290125 4 80702 1#0##0#0#0.0#2019-10-12
09:13:35#0#00:00:00#00:00:00#00:00:00 1 df5e491fc15d97a7f709bab4635975d8
7171104 C 3 CP 2 11/10/2019 11/10/2019 03/03/1939 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTJE TENGKO 044861 80 29442 DR YULIANA
HARTONO,SPM 0309R0191019V001904 0001573067316 3;JKN Patrick K.;
5.3.9.201904290125 4 80703 1#0##0#0#0.0#2019-10-12
09:21:24#0#00:00:00#00:00:00#00:00:00 1 bc9a3fe2256b195e512198859fde7f89
7171104 C 3 CP 2 11/10/2019 11/10/2019 26/05/1958 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SANTJE MEITY BESOUW 052388 61 22418
DR SAUL RAPAR,SPM 0309R0191019V001905 0000137956882 3;JKN Patrick K.;
5.3.9.201904290125 4 80704 1#0##0#0#0.0#2019-10-12
09:32:23#0#00:00:00#00:00:00#00:00:00 1 4e8e12eebb99514dbf05366a179fd2b3
7171104 C 3 CP 2 11/10/2019 11/10/2019 07/08/1963 0 1
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 I WAYAN NASIB 045442 56 20519 DR
YULIANA HARTONO,SPM 0309R0191019V001906 0002064525074 3;JKN Patrick K.;
5.3.9.201904290125 4 80705 1#0##0#0#0.0#2019-10-12
09:33:18#0#00:00:00#00:00:00#00:00:00 1 0e844995757474e26138c8a20db15d31
7171104 C 3 CP 2 11/10/2019 11/10/2019 12/10/2013 0 1
1 Z09.8;H53.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SHINICHI RAITO LOHO 032062 5 2190
DR YULIANA HARTONO,SPM 0309R0191019V001907 0001818565244 3;JKN
Patrick K.; 5.3.9.201904290125 4 80706 1#0##0#0#0.0#2019-10-12
09:52:14#0#00:00:00#00:00:00#00:00:00 1 73dd498140aec0fc7a06e8ac3ab73a24
7171104 C 3 CP 2 11/10/2019 11/10/2019 06/12/1935 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TERSIA SASUBE 050222 83 30625 DR
PAULA M V LUMUNON,SPM 0309R0191019V001908 0002390879823 3;JKN Patrick K.;
5.3.9.201904290125 4 80707 1#0##0#0#0.0#2019-10-12
09:53:44#0#00:00:00#00:00:00#00:00:00 1 8cc5e8ff375312e4dfb7849579dae012
7171104 C 3 CP 2 11/10/2019 11/10/2019 15/09/1986 0 2
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUSTIN LINDY ANGLIN LUMUKO 034540 33
12079 DR YULIANA HARTONO,SPM 0309R0191019V001909 0001135629246 3;JKN
Patrick K.; 5.3.9.201904290125 4 80708 1#0##0#0#0.0#2019-10-12
09:54:48#0#00:00:00#00:00:00#00:00:00 1 77fd09624361cbe79407794d406507db
7171104 C 3 CP 2 11/10/2019 11/10/2019 24/08/1954 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA AGUSTIN DOTULONG 029445 65 23789
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001911 0000152363171 3;JKN
Patrick K.; 5.3.9.201904290125 4 80709 1#0##0#0#0.0#2019-10-12
09:58:16#0#00:00:00#00:00:00#00:00:00 1 8f09da385ca1a841a90f6323be578759
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/02/1970 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VENNI WOWOR 052255 49 18149 DR YULIANA
HARTONO,SPM 0309R0191019V001913 0000905904336 3;JKN Patrick K.;
5.3.9.201904290125 4 80710 1#0##0#0#0.0#2019-10-12
10:01:03#0#00:00:00#00:00:00#00:00:00 1 ec86dd9b7b4fd9865096181008874134
7171104 C 3 CP 2 11/10/2019 11/10/2019 29/05/1956 0 1
1 Z09.0;H26.9;Z96.1;H43.3 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YER BUANGSAMPUHI 052292 63 23145 DR
SAUL RAPAR,SPM 0309R0191019V001914 0002445973773 3;JKN Patrick K.;
5.3.9.201904290125 4 80711 1#0##0#0#0.0#2019-10-12
10:02:07#0#00:00:00#00:00:00#00:00:00 1 2d82619b9c32b10d9a0c46759201d8c5
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/11/1942 0 2
1 H25.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNECE SALINDEHO 052389 76 28103 DR
SAUL RAPAR,SPM 0309R0191019V001917 0000908601063 3;JKN Patrick K.;
5.3.9.201904290125 4 80713 1#0##0#0#0.0#2019-10-12
10:06:06#0#00:00:00#00:00:00#00:00:00 1 408594c4e562bbdad35f4ee3845ad89a
7171104 C 3 CP 2 11/10/2019 11/10/2019 29/08/1950 0 2
1 Z09.8;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FIEKE MONNA TEKLA LUISA SIBY 051535 69
25245 DR SAUL RAPAR,SPM 0309R0191019V001919 0001889300542 3;JKN
Patrick K.; 5.3.9.201904290125 4 80714 1#0##0#0#0.0#2019-10-12
10:07:28#0#00:00:00#00:00:00#00:00:00 1 ae5781cfef07aea65ec8915fa796d58c
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/01/1945 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NELTJE MANGALA 052235 74 27311 DR
YULIANA HARTONO,SPM 0309R0191019V001920 0001574557334 3;JKN Patrick K.;
5.3.9.201904290125 4 80715 1#0##0#0#0.0#2019-10-12
10:08:57#0#00:00:00#00:00:00#00:00:00 2 1f638b3a1abb0cdcf53bf11ef9f29e62
7171104 C 3 CP 2 11/10/2019 11/10/2019 30/11/1939 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KITTY LEGOH 051355 79 29170 DR YULIANA
HARTONO,SPM 0309R0191019V001966 0000137106202 3;JKN Vian02;
5.3.9.201904290125 4 80740 1#0##0#0#0.0#2019-10-14
09:22:34#0#00:00:00#00:00:00#00:00:00 1 2499c6e78be9af2bee4cc91c71d509df
7171104 C 3 CP 2 11/10/2019 11/10/2019 14/06/1958 0 2
1 Z09.8;H04.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SJANNE TAMBUWUN MENTANG 037184 61 22399
DR IVONNE RAMENUSA,SPM 0309R0191019V001964 0000137287427 3;JKN
Vian02; 5.3.9.201904290125 4 80742 1#0##0#0#0.0#2019-10-14
09:24:54#0#00:00:00#00:00:00#00:00:00 1 4e811f1e4d3681ea191d6fa6f2db4d94
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/06/1957 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FATMA NGAU 052101 62 22777 DR SAUL
RAPAR,SPM 0309R0191019V001842 0000908698195 3;JKN linda03;
5.3.9.201904290125 4 80743 1#0##0#0#0.0#2019-10-14
09:25:54#0#00:00:00#00:00:00#00:00:00 1 3e695938a6253f615d2414ac294caae2
7171104 C 3 CP 2 11/10/2019 11/10/2019 07/08/1942 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 F. ARDA MARIDJAN 052298 77 28189 DR
PAULA M V LUMUNON,SPM 0309R0191019V001843 0000138672371 3;JKN linda03;
5.3.9.201904290125 4 80744 1#0##0#0#0.0#2019-10-14
09:27:12#0#00:00:00#00:00:00#00:00:00 1 daef7256d613f875790928c2231eabc8
7171104 C 3 CP 2 11/10/2019 11/10/2019 17/05/1969 0 1
1 Z09.8;H44.2;H40.5;H44.5 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SEMUEL SULANGI 045273 50 18409 DR
YULIANA HARTONO,SPM 0309R0191019V001963 0001567161369 3;JKN Vian02;
5.3.9.201904290125 4 80745 1#0##0#0#0.0#2019-10-14
09:27:48#0#00:00:00#00:00:00#00:00:00 1 bad86d7ccd971587c60dffdafe70a3d2
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/05/1936 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ERNI MANARAT 052004 83 30478 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001844 0000908045763 3;JKN
linda03; 5.3.9.201904290125 4 80746 1#0##0#0#0.0#2019-10-14
09:28:11#0#00:00:00#00:00:00#00:00:00 1 be1784e4dd9aaf2ad283d5b176d3e081
7171104 C 3 CP 2 11/10/2019 11/10/2019 17/09/1957 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NONTJE PELLE 052406 62 22669 DR YULIANA
HARTONO,SPM 0309R0191019V001960 0000137281307 3;JKN Vian02;
5.3.9.201904290125 4 80747 1#0##0#0#0.0#2019-10-14
09:28:56#0#00:00:00#00:00:00#00:00:00 1 363d1593cb23d0f26afeeeb9c65ebc13
7171104 C 3 CP 2 11/10/2019 11/10/2019 30/07/1959 0 1
1 H16.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TESMAN LONDO 052377 60 21988 DR YULIANA
HARTONO,SPM 0309R0191019V001845 0001572604479 3;JKN linda03;
5.3.9.201904290125 4 80748 1#0##0#0#0.0#2019-10-14
09:29:39#0#00:00:00#00:00:00#00:00:00 1 8c7240b5f0646eb2dfd19e18787f7e89
7171104 C 3 CP 2 11/10/2019 11/10/2019 28/01/1966 0 1
1 Z09.0;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANTJE OLENG 052191 53 19614 DR
PAULA M V LUMUNON,SPM 0309R0191019V001847 0001827406675 3;JKN linda03;
5.3.9.201904290125 4 80750 1#0##0#0#0.0#2019-10-14
09:30:46#0#00:00:00#00:00:00#00:00:00 1 e0b1a4c19937e6ac77a2f564c56c56e8
7171104 C 3 CP 2 11/10/2019 11/10/2019 08/03/1950 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SIGARLAKI PANTOW 052404 69 25419 DR YULIANA
HARTONO,SPM 0309R0191019V001959 0000137738103 3;JKN Vian02;
5.3.9.201904290125 4 80749 1#0##0#0#0.0#2019-10-14
09:31:14#0#00:00:00#00:00:00#00:00:00 1 361616fb93635e39aa3502dcc9193a6f
7171104 C 3 CP 2 11/10/2019 11/10/2019 02/10/2013 0 2
1 Z09.8;H40.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 Q'MBERLY CECILIA FARA TOLOLIU 052201 6
2200 DR SAUL RAPAR,SPM 0309R0191019V001957 0001569848725 3;JKN
Vian02; 5.3.9.201904290125 4 80752 1#0##0#0#0.0#2019-10-14
09:36:20#0#00:00:00#00:00:00#00:00:00 1 8c2045469b21936d860d33fa21823c71
7171104 C 3 CP 2 11/10/2019 11/10/2019 24/02/1975 0 2
1 Z09.8;H35.2;H26.9;H44.5 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STEPHANI VERONICA MARLINA TAROREH 045414
44 16300 DR SAUL RAPAR,SPM 0309R0191019V001955 0000169379943 3;JKN
Vian02; 5.3.9.201904290125 4 80753 1#0##0#0#0.0#2019-10-14
09:37:51#0#00:00:00#00:00:00#00:00:00 1 1a0091964b75ffd42b3bbb0daa1ab610
7171104 C 3 CP 2 11/10/2019 11/10/2019 04/02/1970 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JONATHAN HANNY WAWO 052129 49 18146
DR PAULA M V LUMUNON,SPM 0309R0191019V001848 0002391478852 3;JKN
linda03; 5.3.9.201904290125 4 80754 1#0##0#0#0.0#2019-10-14
09:38:50#0#00:00:00#00:00:00#00:00:00 1 b8fdcc05e497077a2826b7ea294d9bf1
7171104 C 3 CP 2 11/10/2019 11/10/2019 07/12/1988 0 1
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DONNY TOOY 052378 30 11265 DR PAULA M V
LUMUNON,SPM 0309R0191019V001849 0001316187786 3;JKN linda03;
5.3.9.201904290125 4 80755 1#0##0#0#0.0#2019-10-14
09:39:54#0#00:00:00#00:00:00#00:00:00 1 505f5c795ab6617c7e9de88c35f82720
7171104 C 3 CP 2 11/10/2019 11/10/2019 10/01/1956 0 1
1 Z96.1;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRANS BULAMBAE 039519 63 23285 DR
PAULA M V LUMUNON,SPM 0309R0191019V001850 0000137474414 3;JKN linda03;
5.3.9.201904290125 4 80756 1#0##0#0#0.0#2019-10-14
09:40:38#0#00:00:00#00:00:00#00:00:00 1 ec244e0ce158656552a3179869bedbce
7171104 C 3 CP 2 11/10/2019 11/10/2019 29/03/1952 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PIET HEIN MISA 006388 67 24667 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001852 0000137594125 3;JKN
linda03; 5.3.9.201904290125 4 80757 1#0##0#0#0.0#2019-10-14
09:42:12#0#00:00:00#00:00:00#00:00:00 1 2a779f000c5a83f3dca194cd2e8490d6
7171104 C 3 CP 2 11/10/2019 11/10/2019 15/03/1953 0 2
1 H52.2;H52.0;H25.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HETTY MARTHA SOPUTAN 040692 66 24316
DR SAUL RAPAR,SPM 0309R0191019V001853 0000138267718 3;JKN linda03;
5.3.9.201904290125 4 80758 1#0##0#0#0.0#2019-10-14
09:42:51#0#00:00:00#00:00:00#00:00:00 1 302146d4bda902a2284711b2f6f7992c
7171104 C 3 CP 2 11/10/2019 11/10/2019 18/10/1966 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLHA S. NIODE 052370 52 19351 DR
SAUL RAPAR,SPM 0309R0191019V001952 0000138495385 3;JKN Vian02;
5.3.9.201904290125 4 80759 1#0##0#0#0.0#2019-10-14
09:43:40#0#00:00:00#00:00:00#00:00:00 1 1ece125dd160c4afc41ca23896d6fb04
7171104 C 3 CP 2 11/10/2019 11/10/2019 14/06/1980 0 1
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JEKNES NENDER 052401 39 14363 DR SAUL
RAPAR,SPM 0309R0191019V001949 0002279404686 3;JKN Vian02;
5.3.9.201904290125 4 80761 1#0##0#0#0.0#2019-10-14
09:45:02#0#00:00:00#00:00:00#00:00:00 1 e8600e52e58ed26fa20de79dd68a20a1
7171104 C 3 CP 2 11/10/2019 11/10/2019 14/03/1950 0 1
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEDID JAH LANTAKA 039335 69 25413 DR
PAULA M V LUMUNON,SPM 0309R0191019V001851 0000138348459 3;JKN linda03;
5.3.9.201904290125 4 80760 1#0##0#0#0.0#2019-10-14
09:45:49#0#00:00:00#00:00:00#00:00:00 1 67234dbffb3391ddf586ecdae1b83966
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/06/1951 0 1
1 H16.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAXSIMUS PARAPAGA 052400 68 24969 DR SAUL
RAPAR,SPM 0309R0191019V001948 0000906227335 3;JKN Vian02;
5.3.9.201904290125 4 80762 1#0##0#0#0.0#2019-10-14
09:50:20#0#00:00:00#00:00:00#00:00:00 1 73fcabbc98643f5a046bc19d9dac2bd7
7171104 C 3 CP 2 11/10/2019 11/10/2019 30/04/1979 0 1
1 H53.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WIDI PRADITYO 052399 40 14774 DR SAUL
RAPAR,SPM 0309R0191019V001947 0001799506539 3;JKN Vian02;
5.3.9.201904290125 4 80764 1#0##0#0#0.0#2019-10-14
09:58:47#0#00:00:00#00:00:00#00:00:00 1 b8cf1ef3c1a4bf25c678dcc24d53c64b
7171104 C 3 CP 2 11/10/2019 11/10/2019 17/09/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LENNY KARUNTU 050976 72 26322 DR SAUL
RAPAR,SPM 0309R0191019V001946 0002069837932 3;JKN Vian02;
5.3.9.201904290125 4 80765 1#0##0#0#0.0#2019-10-14
09:59:48#0#00:00:00#00:00:00#00:00:00 1 1c1a44c805e9bc78df819574c61749a8
7171104 C 3 CP 2 11/10/2019 11/10/2019 25/09/1959 0 2
1 H52.4;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LAURINA KALIGIS 052396 60 21931 DR
SAUL RAPAR,SPM 0309R0191019V001945 0001574715734 3;JKN Vian02;
5.3.9.201904290125 4 80766 1#0##0#0#0.0#2019-10-14
10:00:41#0#00:00:00#00:00:00#00:00:00 1 9808796078ef2a4b2cf6e2db08d762ed
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/08/2008 0 2
1 H02.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARYAM AKUBA 052380 11 4088 DR YULIANA
HARTONO,SPM 0309R0191019V001854 0000957442577 3;JKN linda03;
5.3.9.201904290125 4 80763 1#0##0#0#0.0#2019-10-14
10:05:35#0#00:00:00#00:00:00#00:00:00 1 474a3cdd7c2577c1055a3c622a10e9ea
7171104 C 3 CP 2 11/10/2019 11/10/2019 07/04/1949 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NELTJE KESEK 051862 70 25754 DR
YULIANA HARTONO,SPM 0309R0191019V001855 0001564816509 3;JKN linda03;
5.3.9.201904290125 4 80767 1#0##0#0#0.0#2019-10-14
10:06:47#0#00:00:00#00:00:00#00:00:00 1 103de068ca5201b10e4c67bc2d53fe48
7171104 C 3 CP 2 11/10/2019 11/10/2019 27/09/1954 0 2
1 Z96.1;H52.2;H52.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONTJE F PIRI 051390 65 23755 DR
SAUL RAPAR,SPM 0309R0191019V001856 0002050828211 3;JKN linda03;
5.3.9.201904290125 4 80768 1#0##0#0#0.0#2019-10-14
10:07:33#0#00:00:00#00:00:00#00:00:00 1 aa514c187c87c9bda319c1b1c70b2e88
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/10/1946 0 2
1 Z09.0;H26.9;H55 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALMINTJE LEGESANG 052102 73 26673 DR
SAUL RAPAR,SPM 0309R0191019V001857 0000908447951 3;JKN linda03;
5.3.9.201904290125 4 80769 1#0##0#0#0.0#2019-10-14
10:08:18#0#00:00:00#00:00:00#00:00:00 1 47324f2424b7892a3d7d93ced67c380d
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/11/1954 0 2
1 Z09.8 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DINTJE MATHIAS 007545 64 23720 DR YULIANA
HARTONO,SPM 0309R0191019V001858 0001432540866 3;JKN linda03;
5.3.9.201904290125 4 80770 19#0##0#0#0.0#2019-10-14
10:09:53#0#00:00:00#00:00:00#00:00:00 1 474765f6834cfa4dd4d09ae1745fec48
7171104 C 3 CP 2 11/10/2019 11/10/2019 09/06/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAGDALENA SOLANG 048696 69 25326 DR SAUL
RAPAR,SPM 0309R0191019V001859 0002266304027 3;JKN linda03;
5.3.9.201904290125 4 80771 1#0##0#0#0.0#2019-10-14
10:31:46#0#00:00:00#00:00:00#00:00:00 1 8837e6bf91a997f6b5a6e1439780a8d9
7171104 C 3 CP 2 11/10/2019 11/10/2019 14/06/1946 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JACOBA PANGKEREGO 051686 73 26782 DR
YULIANA HARTONO,SPM 0309R0191019V001860 0001569893624 3;JKN linda03;
5.3.9.201904290125 4 80772 1#0##0#0#0.0#2019-10-14
10:32:40#0#00:00:00#00:00:00#00:00:00 1 ccfa6ace261dbcabef24ab45a4e28745
7171104 C 3 CP 2 11/10/2019 11/10/2019 22/08/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SALMA TIMBOWO 047562 67 24521 DR PAULA M V
LUMUNON,SPM 0309R0191019V001862 0000137833209 3;JKN linda03;
5.3.9.201904290125 4 80773 1#0##0#0#0.0#2019-10-14
10:33:23#0#00:00:00#00:00:00#00:00:00 1 7f5dbb439a0f738dec487bd24ab1b6d4
7171104 C 3 CP 2 11/10/2019 11/10/2019 18/08/1954 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GUSTAP FAICI 052266 65 23795 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001863 0002474455487 3;JKN
linda03; 5.3.9.201904290125 4 80774 1#0##0#0#0.0#2019-10-14
10:34:15#0#00:00:00#00:00:00#00:00:00 1 8ed2429aa0c76422218ec3ac3c09dd78
7171104 C 3 CP 2 11/10/2019 11/10/2019 19/04/1958 0 2
1 Z09.0;H33.0;H26.9 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HERI REMBET 051182 61 22455 DR PAULA M V
LUMUNON,SPM 0309R0191019V001864 0002016842927 3;JKN linda03;
5.3.9.201904290125 4 80775 1#0##0#0#0.0#2019-10-14
10:34:55#0#00:00:00#00:00:00#00:00:00 1 dcd19568302bd8f557ad32adac009ecb
7171104 C 3 CP 2 11/10/2019 11/10/2019 21/07/1951 0 2
1 Z09.0;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 THERESIA PAULIN MAKAGANSA 052227 68
24919 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001865 0000137547134
3;JKN linda03; 5.3.9.201904290125 4 80776 1#0##0#0#0.0#2019-10-14
10:35:47#0#00:00:00#00:00:00#00:00:00 1 853cd382a4c93e2b9585ad4d5da35914
7171104 C 3 CP 2 11/10/2019 11/10/2019 26/08/1961 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LEVYNNA MARIA SUZAN KALALO 052381 58
21230 DR SAUL RAPAR,SPM 0309R0191019V001866 0000137434285 3;JKN
linda03; 5.3.9.201904290125 4 80777 1#0##0#0#0.0#2019-10-14
10:36:51#0#00:00:00#00:00:00#00:00:00 1 c9b73918500ea883bd2297fadb9edb2d
7171104 C 3 CP 2 11/10/2019 11/10/2019 07/09/1965 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MISKE SEANE LAURA WELANG 052051 54
19757 DR SAUL RAPAR,SPM 0309R0191019V001867 0002231249128 3;JKN
linda03; 5.3.9.201904290125 4 80778 1#0##0#0#0.0#2019-10-14
10:38:59#0#00:00:00#00:00:00#00:00:00 1 564acd54d9ca88b733011457977f3e9c
7171104 C 3 CP 2 11/10/2019 11/10/2019 08/11/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DOORTJE PANTOW 051687 63 23348 DR YULIANA
HARTONO,SPM 0309R0191019V001868 0000139100409 3;JKN linda03;
5.3.9.201904290125 4 80779 1#0##0#0#0.0#2019-10-14
10:48:12#0#00:00:00#00:00:00#00:00:00 1 6d9704503a90cb63711145b0b2cbb31c
7171104 C 3 CP 2 11/10/2019 11/10/2019 15/02/1950 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANEKE SOLAR 051691 69 25440 DR YULIANA
HARTONO,SPM 0309R0191019V001869 0001892639856 3;JKN linda03;
5.3.9.201904290125 4 80780 1#0##0#0#0.0#2019-10-14
10:49:06#0#00:00:00#00:00:00#00:00:00 1 db246a8fadd8cdf3c88be8cca8925c91
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/08/1954 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KARLINA CAMBEY 051689 65 23812 DR
YULIANA HARTONO,SPM 0309R0191019V001870 0000139100174 3;JKN linda03;
5.3.9.201904290125 4 80781 1#0##0#0#0.0#2019-10-14
10:49:47#0#00:00:00#00:00:00#00:00:00 1 8a79b87fe5cc86486fe514f59d033cb4
7171104 C 3 CP 2 11/10/2019 11/10/2019 06/01/1952 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ABRAM A PONGOH 051684 67 24750 DR
YULIANA HARTONO,SPM 0309R0191019V001871 0000139100152 3;JKN linda03;
5.3.9.201904290125 4 80782 1#0##0#0#0.0#2019-10-14
10:50:35#0#00:00:00#00:00:00#00:00:00 1 2743e13a8f068b12addda0fd94a5a971
7171104 C 3 CP 2 11/10/2019 11/10/2019 25/10/1934 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANTJE ROSALIEN MAKALEW 051692 84 31032
DR YULIANA HARTONO,SPM 0309R0191019V001873 0001767474066 3;JKN
linda03; 5.3.9.201904290125 4 80783 1#0##0#0#0.0#2019-10-14
10:51:15#0#00:00:00#00:00:00#00:00:00 1 d65a23f304037d28cdca19fa0f7264d8
7171104 C 3 CP 2 11/10/2019 11/10/2019 08/01/1948 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONTJE RONDONUWU 051694 71 26209 DR
YULIANA HARTONO,SPM 0309R0191019V001874 0001341872087 3;JKN linda03;
5.3.9.201904290125 4 80784 1#0##0#0#0.0#2019-10-14
10:51:52#0#00:00:00#00:00:00#00:00:00 1 feac1aba96dda1422ee7cce869e1fc69
7171104 C 3 CP 2 11/10/2019 11/10/2019 24/02/1957 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VENTJE SAMOLA 052395 62 22874 DR YULIANA
HARTONO,SPM 0309R0191019V001944 0001431620177 3;JKN Vian02;
5.3.9.201904290125 4 80787 1#0##0#0#0.0#2019-10-14
11:43:00#0#00:00:00#00:00:00#00:00:00 1 87403d031eb93da770a0f1dc6ae26824
7171104 C 3 CP 2 11/10/2019 11/10/2019 06/08/1971 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SISKA LUAS 052394 48 17598 DR YULIANA
HARTONO,SPM 0309R0191019V001942 0002891040614 3;JKN Vian02;
5.3.9.201904290125 4 80788 1#0##0#0#0.0#2019-10-14
11:43:58#0#00:00:00#00:00:00#00:00:00 1 30db5112cb2383a7d616a3700e652e5b
7171104 C 3 CP 2 11/10/2019 11/10/2019 20/07/1998 0 1
1 Z09.8;D31.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HIZKIA R. KOJO 042937 21 7753 DR
YULIANA HARTONO,SPM 0309R0191019V001940 0001250442786 3;JKN Vian02;
5.3.9.201904290125 4 80789 1#0##0#0#0.0#2019-10-14
11:48:32#0#00:00:00#00:00:00#00:00:00 1 2684aef9cff4340b2c789d25ac269381
7171104 C 3 CP 2 11/10/2019 11/10/2019 05/02/1943 0 2
1 Z09.8;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CATRYNTJE F. KALEB 050872 76 28007
DR YULIANA HARTONO,SPM 0309R0191019V001938 0000137185738 3;JKN
Vian02; 5.3.9.201904290125 4 80790 1#0##0#0#0.0#2019-10-14
11:49:40#0#00:00:00#00:00:00#00:00:00 1 7433d46683935398756708f3b23b2387
7171104 C 3 CP 2 11/10/2019 11/10/2019 29/04/1971 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELIZABET KABUHUNG 052393 48 17697 DR
SAUL RAPAR,SPM 0309R0191019V001936 0002423676363 3;JKN Vian02;
5.3.9.201904290125 4 80796 1#0##0#0#0.0#2019-10-14
12:02:01#0#00:00:00#00:00:00#00:00:00 1 70a6d4fae97c3ecaaf75353a399cd240
7171104 C 3 CP 2 11/10/2019 11/10/2019 17/06/1949 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JUSTINUS GUSTAF TAMBAJONG 052392 70 25683
DR YULIANA HARTONO,SPM 0309R0191019V001934 0000138170316 3;JKN
Vian02; 5.3.9.201904290125 4 80797 1#0##0#0#0.0#2019-10-14
12:09:50#0#00:00:00#00:00:00#00:00:00 1 b82a7074326a114050fdb0b1541aa36a
7171104 C 3 CP 2 11/10/2019 11/10/2019 07/12/1948 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DIENTJE ANNEKE RAWIS 048018 70 25875
DR YULIANA HARTONO,SPM 0309R0191019V001930 0000137174354 3;JKN
Vian02; 5.3.9.201904290125 4 80798 1#0##0#0#0.0#2019-10-14
12:12:15#0#00:00:00#00:00:00#00:00:00 1 5c26cacb7c0a3a5ab3142636ef7a9160
7171104 C 3 CP 2 11/10/2019 11/10/2019 28/06/1971 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DJENRIF DAUD SAMOLA 052320 48 17637 DR
SAUL RAPAR,SPM 0309R0191019V001931 0002388492257 3;JKN Vian02;
5.3.9.201904290125 4 80799 1#0##0#0#0.0#2019-10-14
12:12:55#0#00:00:00#00:00:00#00:00:00 1 7a337cff75349480c1f848241b99a6f9
7171104 C 3 CP 2 11/10/2019 11/10/2019 15/10/1963 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALWINA OLGA SAMADI 052391 55 20450
DR YULIANA HARTONO,SPM 0309R0191019V001929 0000169397425 3;JKN
Vian02; 5.3.9.201904290125 4 80800 1#0##0#0#0.0#2019-10-14
12:13:50#0#00:00:00#00:00:00#00:00:00 1 b468a964edc4e7cbe80142b9fb9e7a19
7171104 C 3 CP 2 11/10/2019 11/10/2019 16/08/1978 0 1
1 Z09.8;H34.2;H44.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEDDY ARNOLD DONSU 024224 41 15031
DR SAUL RAPAR,SPM 0309R0191019V001928 0002217362084 3;JKN Vian02;
5.3.9.201904290125 4 80801 1#0##0#0#0.0#2019-10-14
12:14:42#0#00:00:00#00:00:00#00:00:00 1 832cd9fceae49ae270bf914f58eb427c
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/01/1972 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WESMA MATUALA IPU 052390 47 17450 DR
SAUL RAPAR,SPM 0309R0191019V001926 0000907132364 3;JKN Vian02;
5.3.9.201904290125 4 80802 1#0##0#0#0.0#2019-10-14
12:15:40#0#00:00:00#00:00:00#00:00:00 1 0cb4ee95f572520002ced3ffe60c9b64
7171104 C 3 CP 2 11/10/2019 11/10/2019 05/10/1989 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STEVIE FREDY MONGKARENG 033227 30 10963
DR PAULA M V LUMUNON,SPM 0309R0191019V001924 0001296660126 3;JKN
Vian02; 5.3.9.201904290125 4 80803 1#0##0#0#0.0#2019-10-14
12:16:32#0#00:00:00#00:00:00#00:00:00 1 3f36b9afedbf049ee78c13c780bf5955
7171104 C 3 CP 2 11/10/2019 11/10/2019 23/08/1957 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YETTI TOMBOKAN 051011 62 22694 DR
YULIANA HARTONO,SPM 0309R0191019V001923 0001898402793 3;JKN Vian02;
5.3.9.201904290125 4 80804 1#0##0#0#0.0#2019-10-14
12:17:12#0#00:00:00#00:00:00#00:00:00 1 fccfd8d058a4d63957b56fbe4387968b
7171104 C 3 CP 1 10/10/2019 11/10/2019 27/11/1967 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 EMMA WILHELMINA MOZES 051843
51 18945 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001776
0000910659227 3;JKN eka06; 5.3.9.201904290125 4 81037
1#0##0#0#0.0#2019-10-15 13:19:15#0#00:00:00#00:00:00#00:00:00 1
0431c1b8444d7d29f65c5f1f7f5758d8
7171104 C 3 CP 1 10/10/2019 11/10/2019 01/05/1956 0 1
1 H40.5 12.64 - - None None None None H-1-30-I None None
None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN) 6510200
0 0 - 0 - 0 - 0 - 0 6510200
1073900 0 2 0 0 0 MUSA LEMBONG 046794 63
23172 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001796 0000909284679
3;JKN eka06; 5.3.9.201904290125 4 81039 1#0##0#0#0.0#2019-10-15
13:22:16#0#00:00:00#00:00:00#00:00:00 1 db1f6c53ee06e7d54f186f67da85f3eb
7171104 C 1 CP 1 10/10/2019 11/10/2019 25/12/1944 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5989900
0 0 - 0 - 0 - 0 - 0 5989900
9807400 0 2 0 0 0 FRANS MORAY,BA 003050 74
27317 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V001769 0000138142607
3;JKN eka06; 5.3.9.201904290125 4 81043 1#0##0#0#0.0#2019-10-15
13:23:02#0#00:00:00#00:00:00#00:00:00 1 aa4f3951803c8b98f6903cbed81b6171
7171104 C 3 CP 2 11/10/2019 11/10/2019 12/11/1952 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROBERT RATAG 052407 66 24439 DR YULIANA
HARTONO,SPM 0309R0191019V001965 0001066815527 3;JKN Vian02;
5.3.9.201904290125 4 80741 1#0##0#0#0.0#2019-10-23
09:07:17#0#00:00:00#00:00:00#00:00:00 1 032f9ff80af0b6eb789da1507c13f755
7171104 C 3 CP 2 11/10/2019 11/10/2019 31/01/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 OLLY MAKALEW
BUNOCH 051675 67 24725 DR. DENNY WALANDOW, SPM 0309R0191019V001941
0001287757394 3;JKN Boni04; 5.3.9.201904290125 4 82209
1#0##0#0#0.0#2019-10-23 12:26:24#0#00:00:00#00:00:00#00:00:00 1
8eb0f34b71383c56b2b42245c494977d
7171104 C 3 CP 2 11/10/2019 11/10/2019 26/04/1955 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JEFRY EDUARD
GEORGE KEMBUAN 052088 64 23544 DR. DENNY WALANDOW, SPM
0309R0191019V001925 0002389216476 3;JKN Boni04; 5.3.9.201904290125
4 82210 1#0##0#0#0.0#2019-10-23 12:27:28#0#00:00:00#00:00:00#00:00:00
1 e770e6bc56a0580018ffaf81ad8802ac
7171104 C 3 CP 2 11/10/2019 11/10/2019 06/01/1961 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 TOKSEN LUMIKIS
047681 58 21462 DR. DENNY WALANDOW, SPM 0309R0191019V001943
0000194639365 3;JKN Boni04; 5.3.9.201904290125 4 82211
1#0##0#0#0.0#2019-10-23 12:28:12#0#00:00:00#00:00:00#00:00:00 1
10ad59af84a638ed53f29341f5cb7399
7171104 C 3 CP 2 11/10/2019 11/10/2019 17/06/1959 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NURHAYATI KILAPONG
052087 60 22031 DR. DENNY WALANDOW, SPM 0309R0191019V001901
0002388838792 3;JKN Boni04; 5.3.9.201904290125 4 82214
1#0##0#0#0.0#2019-10-23 12:32:53#0#00:00:00#00:00:00#00:00:00 1
0d4870f2ad16dbfe949a806688435ef3
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/10/1939 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARIA MASAWET
031992 80 29230 DR. DENNY WALANDOW, SPM 0309R0191019V001916
0001066985831 3;JKN Boni04; 5.3.9.201904290125 4 82215
1#0##0#0#0.0#2019-10-23 12:35:10#0#00:00:00#00:00:00#00:00:00 1
48f0f3212af5fc4c162932d2e07765c9
7171104 C 3 CP 2 11/10/2019 11/10/2019 15/06/1936 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MIEN UMBOHAN
051422 83 30433 DR. DENNY WALANDOW, SPM 0309R0191019V001912
0002376301781 3;JKN Boni04; 5.3.9.201904290125 4 82216
1#0##0#0#0.0#2019-10-23 12:36:28#0#00:00:00#00:00:00#00:00:00 1
956901a79a7815359b5359962448ddb7
7171104 C 3 CP 2 11/10/2019 11/10/2019 30/10/1957 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 OLD MESAK 050144
61 22626 DR. DENNY WALANDOW, SPM 0309R0191019V001910 0002257390833
3;JKN Boni04; 5.3.9.201904290125 4 82217 1#0##0#0#0.0#2019-10-23
12:37:11#0#00:00:00#00:00:00#00:00:00 1 eec9bb53ab6e3f041dc36811a415146e
7171104 C 3 CP 2 11/10/2019 11/10/2019 03/05/1954 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MAXMEILIAN POSUMAH
052342 65 23902 DR. DENNY WALANDOW, SPM 0309R0191019V001895
0000138501628 3;JKN Boni04; 5.3.9.201904290125 4 82218
1#0##0#0#0.0#2019-10-23 12:38:06#0#00:00:00#00:00:00#00:00:00 1
bdb793c9506796db487cbddc43cc063c
7171104 C 3 CP 2 11/10/2019 11/10/2019 07/04/1941 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YUNUS ALULU 052384
78 28676 DR. DENNY WALANDOW, SPM 0309R0191019V001884 0001328500293
3;JKN Boni04; 5.3.9.201904290125 4 82219 1#0##0#0#0.0#2019-10-23
12:38:47#0#00:00:00#00:00:00#00:00:00 1 0ab89bac186fb1447a7b2daf719bf228
7171104 C 3 CP 2 11/10/2019 11/10/2019 25/01/1964 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 RONNI WAWORUNTU
052354 55 20348 DR. DENNY WALANDOW, SPM 0309R0191019V001951
0002389581088 3;JKN Boni04; 5.3.9.201904290125 4 82220
1#0##0#0#0.0#2019-10-23 12:39:32#0#00:00:00#00:00:00#00:00:00 1
6d74a2767343adf8e78bf487cc153bfd
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/08/1954 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 STIN WURANGIAN
052358 65 23812 DR. DENNY WALANDOW, SPM 0309R0191019V001932
0000909525633 3;JKN Boni04; 5.3.9.201904290125 4 82222
1#0##0#0#0.0#2019-10-23 12:44:19#0#00:00:00#00:00:00#00:00:00 1
7fe7ff5da1a9baf2aa448caa104b9833
7171104 C 3 CP 2 11/10/2019 11/10/2019 14/03/1948 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YOPPY SUAK 052079
71 26143 DR. SAMUEL MALINGKAS,SPM 0309R0191019V001885
0002388431766 3;JKN Boni04; 5.3.9.201904290125 4 82225
1#0##0#0#0.0#2019-10-23 12:48:17#0#00:00:00#00:00:00#00:00:00 1
3764adbe1f0c64ad10208d4ea0e2e9f0
7171104 C 3 CP 2 11/10/2019 11/10/2019 11/11/1970 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 BOYKE P.R. LOING
051606 48 17866 DR. SAMUEL MALINGKAS,SPM 0309R0191019V001879
0001452389174 3;JKN Boni04; 5.3.9.201904290125 4 82229
1#0##0#0#0.0#2019-10-23 12:49:00#0#00:00:00#00:00:00#00:00:00 1
4fa07b41d3446b805034870a8c1c52f9
7171104 C 3 CP 2 11/10/2019 11/10/2019 12/01/1948 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 KARIM KAUSAHA
052078 71 26205 DR. SAMUEL MALINGKAS,SPM 0309R0191019V001889
0000138270238 3;JKN Boni04; 5.3.9.201904290125 4 82231
1#0##0#0#0.0#2019-10-23 12:50:04#0#00:00:00#00:00:00#00:00:00 1
19cc693db49209dd1a3c9d8282968202
7171104 C 3 CP 2 11/10/2019 11/10/2019 07/07/1973 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YESSY WONGKAR
051243 46 16897 DR. SAMUEL MALINGKAS,SPM 0309R0191019V001872
0001667174049 3;JKN Boni04; 5.3.9.201904290125 4 82233
1#0##0#0#0.0#2019-10-23 12:51:07#0#00:00:00#00:00:00#00:00:00 1
819bc0768528b723d9fd10bf4452c81e
7171104 C 3 CP 2 11/10/2019 11/10/2019 14/02/1943 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 PAULINA SUPIT
052344 76 27998 DR. SAMUEL MALINGKAS,SPM 0309R0191019V001918
0002388460419 3;JKN Boni04; 5.3.9.201904290125 4 82234
1#0##0#0#0.0#2019-10-23 12:51:45#0#00:00:00#00:00:00#00:00:00 1
ca82f62c764e8f1f995ff0b78cda1aef
7171104 C 3 CP 2 11/10/2019 11/10/2019 26/12/1951 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JAHYA WUISAN
052337 67 24761 DR. SAMUEL MALINGKAS,SPM 0309R0191019V001922
0001786865758 3;JKN Boni04; 5.3.9.201904290125 4 82235
1#0##0#0#0.0#2019-10-23 12:52:43#0#00:00:00#00:00:00#00:00:00 1
6802022b09b12d1d9b39cd649253c27b
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/05/1946 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MAXII MILIAM
PUDIHANG 052333 73 26826 DR. SAMUEL MALINGKAS,SPM
0309R0191019V001891 0000909572141 3;JKN Boni04; 5.3.9.201904290125
4 82237 1#0##0#0#0.0#2019-10-23 12:53:21#0#00:00:00#00:00:00#00:00:00
1 ad48d357e66df2f94e0118ee7ab68ba1
7171104 C 3 CP 2 11/10/2019 11/10/2019 24/06/1943 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 CATOTJE ELSJE ROPA
052094 76 27868 DR. SAMUEL MALINGKAS,SPM 0309R0191019V001927
0000138114606 3;JKN Boni04; 5.3.9.201904290125 4 82239
1#0##0#0#0.0#2019-10-23 12:54:05#0#00:00:00#00:00:00#00:00:00 1
68c9c9f0a0575afe9385c4bee3e6b9d7
7171104 C 3 CP 2 11/10/2019 11/10/2019 19/12/1938 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DARIUS TURANG
052106 80 29516 DR. SAMUEL MALINGKAS,SPM 0309R0191019V001935
0000203549139 3;JKN Boni04; 5.3.9.201904290125 4 82241
1#0##0#0#0.0#2019-10-23 12:54:54#0#00:00:00#00:00:00#00:00:00 1
7b035df03dc3111d30daa56de2cdebc1
7171104 C 3 CP 2 11/10/2019 11/10/2019 20/08/1940 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 AGUSTINE LEGOH
052114 79 28906 DR. SAMUEL MALINGKAS,SPM 0309R0191019V001933
0001433952742 3;JKN Boni04; 5.3.9.201904290125 4 82243
1#0##0#0#0.0#2019-10-23 12:56:15#0#00:00:00#00:00:00#00:00:00 1
e8f6536329f3cc6919357f538b30c9c4
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/01/1957 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ANWAR USULU 052350
62 22928 DR. SAMUEL MALINGKAS,SPM 0309R0191019V001953
0002251158254 3;JKN Boni04; 5.3.9.201904290125 4 82245
1#0##0#0#0.0#2019-10-23 12:56:57#0#00:00:00#00:00:00#00:00:00 1
9d04350b527e48fb005bf2484c0f0bce
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/05/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 TELMA PAPENDANG
052332 71 26095 DR. SAMUEL MALINGKAS,SPM 0309R0191019V001894
0000909572635 3;JKN Boni04; 5.3.9.201904290125 4 82248
1#0##0#0#0.0#2019-10-23 12:57:42#0#00:00:00#00:00:00#00:00:00 1
b0307fbda451c388efbc0eb5240d920f
7171104 C 3 CP 2 11/10/2019 11/10/2019 30/11/1953 0 2
1 H52.2;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LUCIA NORMA MAMAHIT 031261 65 24056
DR SAUL RAPAR,SPM 0309R0191019V001915 0000138170327 3;JKN Patrick K.;
5.3.9.201904290125 4 80712 1#0##0#0#0.0#2019-10-25
07:18:14#0#00:00:00#00:00:00#00:00:00 1 e7d85b502e8a1b2b9ef62ff08d285f35
7171104 C 3 CP 2 11/10/2019 11/10/2019 25/01/1968 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LAN KASIATI TADU 052408 51 18887 DR
YULIANA HARTONO,SPM 0309R0191019V001962 0000137830926 3;JKN Vian02;
5.3.9.201904290125 4 82157 1#0##0#0#0.0#2019-10-25
10:02:05#0#00:00:00#00:00:00#00:00:00 1 aa43df903d3007463ba2fec1d78fd49b
7171104 C 3 CP 2 11/10/2019 11/10/2019 14/02/1952 0 1
1 Z09.0;H27.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAXI SUNDALANGIE 048402 67 24711 DR
SAUL RAPAR,SPM 0309R0191019V001921 0000908092631 3;JKN Patrick K.;
5.3.9.201904290125 4 80716 1#0##0#0#0.0#2019-11-05
13:05:02#0#00:00:00#00:00:00#00:00:00 2 284f240b6768058830b31f172044e9ac
7171104 C 3 CP 2 11/10/2019 11/10/2019 09/01/1977 0 1
1 H10.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DRYAN JUSUF MASLOMAN 052405 42 15615 DR
SAUL RAPAR,SPM 0309R0191019V001958 0001371392965 3;JKN eka06;
5.3.9.201904290125 4 80751 1#0##0#0#0.0#2019-11-06
14:26:21#0#00:00:00#00:00:00#00:00:00 2 fa91727d76ad3a477dcf220e0527c03c
7171104 C 3 CP 2 11/10/2019 11/10/2019 16/08/1980 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZEM LAHEBA 052368 39 14300 DR PAULA M V
LUMUNON,SPM 0309R0191019V001887 0000908153504 3;JKN Patrick K.;
5.3.9.201904290125 4 85093 1#0##0#0#0.0#2019-11-11
09:51:21#0#00:00:00#00:00:00#00:00:00 1 0c872ca2b5487f864cd0502b33011e3f
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/11/1949 0 1
1 Z09.0;H26.4;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZET SION 052367 69 25546 DR PAULA M V
LUMUNON,SPM 0309R0191019V001882 0000907975293 3;JKN Patrick K.;
5.3.9.201904290125 4 85094 1#0##0#0#0.0#2019-11-11
09:53:26#0#00:00:00#00:00:00#00:00:00 1 4c4096f9815bbeab253ecbe296f6f8ae
7171104 C 3 CP 2 11/10/2019 11/10/2019 01/10/1946 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEPSAN TAMARA 052364 73 26673 DR
PAULA M V LUMUNON,SPM 0309R0191019V001888 0000907479189 3;JKN Patrick K.;
5.3.9.201904290125 4 85095 1#0##0#0#0.0#2019-11-11
09:54:50#0#00:00:00#00:00:00#00:00:00 1 5ef63248e802695f9fef790c8c81c673
7171104 C 3 CP 2 11/10/2019 11/10/2019 17/02/1963 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DJEFRI MONDING 052365 56 20690 DR
PAULA M V LUMUNON,SPM 0309R0191019V001883 0001311155728 3;JKN Patrick K.;
5.3.9.201904290125 4 85096 1#0##0#0#0.0#2019-11-11
10:03:25#0#00:00:00#00:00:00#00:00:00 1 4da6c8e8649a1b0a33f402bd59c6b7e0
7171104 C 3 CP 2 12/10/2019 12/10/2019 01/05/1948 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TELMA PAPENDANG 052332 71 26096 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V001988 0000909572635 3;JKN linda03;
5.3.9.201904290125 4 80791 1#0##0#0#0.0#2019-10-14
11:53:11#0#00:00:00#00:00:00#00:00:00 1 d29dfbcc406f7bf86b4db4f2363bf8ff
7171104 C 3 CP 2 12/10/2019 12/10/2019 01/08/1954 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STIN WURANGIAN 052358 65 23813 DR.
DENNY WALANDOW, SPM 0309R0191019V001987 0000909525633 3;JKN linda03;
5.3.9.201904290125 4 80792 1#0##0#0#0.0#2019-10-14
11:55:17#0#00:00:00#00:00:00#00:00:00 1 33ea306e5059a80d9afbfb746aac18ba
7171104 C 3 CP 2 12/10/2019 12/10/2019 26/04/1955 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEFRY EDUARD GEORGE KEMBUAN 052088 64
23545 DR. DENNY WALANDOW, SPM 0309R0191019V001984 0002389216476 3;JKN
linda03; 5.3.9.201904290125 4 80793 1#0##0#0#0.0#2019-10-14
11:55:58#0#00:00:00#00:00:00#00:00:00 1 fe2838ba15ce19b5fb05e99df89a794e
7171104 C 3 CP 2 12/10/2019 12/10/2019 30/07/1985 0 1
1 Z09.8;H46 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FERDINAND RONALD BILLY LELENG 001970 34
12492 DR SALAM SURBAKTI,SPM 0309R0191019V001983 0002036607276 3;JKN
linda03; 5.3.9.201904290125 4 80794 1#0##0#0#0.0#2019-10-14
11:57:06#0#00:00:00#00:00:00#00:00:00 1 3d534c7a518f12419cd11b6d7f91e01c
7171104 C 3 CP 2 12/10/2019 12/10/2019 06/01/1961 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TOKSEN LUMIKIS 047681 58 21463 DR. DENNY
WALANDOW, SPM 0309R0191019V002036 0000194639365 3;JKN Vian02;
5.3.9.201904290125 4 80805 1#0##0#0#0.0#2019-10-15
07:07:24#0#00:00:00#00:00:00#00:00:00 1 bd786893828fae1c3ff88a51f345ac0e
7171104 C 3 CP 2 12/10/2019 12/10/2019 22/02/1988 0 2
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FERNY R SUPIT 026831 31 11555 DR SALAM
SURBAKTI,SPM 0309R0191019V002035 0001188021069 3;JKN Vian02;
5.3.9.201904290125 4 80806 1#0##0#0#0.0#2019-10-15
07:08:41#0#00:00:00#00:00:00#00:00:00 1 7b1f06d50ff664a4ec362f617bfa2c84
7171104 C 3 CP 2 12/10/2019 12/10/2019 15/06/1955 0 1
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SALIHU MAHADING 038493 64 23495 DR
SALAM SURBAKTI,SPM 0309R0191019V002033 0001287341515 3;JKN Vian02;
5.3.9.201904290125 4 80807 70#0##0#0#0.0#2019-10-15
07:12:03#0#00:00:00#00:00:00#00:00:00 1 7f0f5ca7d766027de6932c85b877f01f
7171104 C 3 CP 2 12/10/2019 12/10/2019 06/01/1958 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIANA PINOKE PHILIPUS 051444 61 22559
DR SALAM SURBAKTI,SPM 0309R0191019V002032 0000154374838 3;JKN
Vian02; 5.3.9.201904290125 4 80808 1#0##0#0#0.0#2019-10-15
07:13:15#0#00:00:00#00:00:00#00:00:00 1 e62a77c4ffe9d9ceaef1bd77f3a7a25c
7171104 C 3 CP 2 12/10/2019 12/10/2019 08/09/1949 0 2
1 Z09.8;H26.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STIENTJE ROGAHANG 004774 70 25601 DR
SALAM SURBAKTI,SPM 0309R0191019V002023 0000138871596 3;JKN Vian02;
5.3.9.201904290125 4 80809 1#0##0#0#0.0#2019-10-15
07:15:34#0#00:00:00#00:00:00#00:00:00 1 60577958953c1d7997f755f2aa96fc88
7171104 C 3 CP 2 12/10/2019 12/10/2019 05/11/1965 0 1
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEFRY BUKASILI MAMOEKO 040386 53 19699
DR SALAM SURBAKTI,SPM 0309R0191019V002022 0000137870122 3;JKN
Vian02; 5.3.9.201904290125 4 80810 1#0##0#0#0.0#2019-10-15
07:16:19#0#00:00:00#00:00:00#00:00:00 1 54b2a9baae039ce4fa82b5a68610da56
7171104 C 3 CP 2 12/10/2019 12/10/2019 07/07/1973 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YESSY WONGKAR 051243 46 16898 DR. DENNY
WALANDOW, SPM 0309R0191019V002019 0001667174049 3;JKN Vian02;
5.3.9.201904290125 4 80811 1#0##0#0#0.0#2019-10-15
07:17:14#0#00:00:00#00:00:00#00:00:00 1 336fba784b563cca3a0e8a265fea4a6e
7171104 C 3 CP 2 12/10/2019 12/10/2019 01/01/1957 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANWAR USULU 052350 62 22929 DR. DENNY
WALANDOW, SPM 0309R0191019V002018 0002251158254 3;JKN Vian02;
5.3.9.201904290125 4 80812 1#0##0#0#0.0#2019-10-15
07:18:19#0#00:00:00#00:00:00#00:00:00 1 16b1aed14a8e553f92c1030a689f306b
7171104 C 3 CP 2 12/10/2019 12/10/2019 02/05/1960 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROOSYE . POMANTOW 033822 59 21712 DR SALAM
SURBAKTI,SPM 0309R0191019V002017 0002302519487 3;JKN Vian02;
5.3.9.201904290125 4 80813 1#0##0#0#0.0#2019-10-15
07:18:57#0#00:00:00#00:00:00#00:00:00 1 8c10ded8378f416ea2ca67dd28a054fb
7171104 C 3 CP 2 12/10/2019 12/10/2019 06/05/1969 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEITA MOUDY MUSSU 052243 50 18421 DR
SALAM SURBAKTI,SPM 0309R0191019V001982 0001865326443 3;JKN linda03;
5.3.9.201904290125 4 80795 1#0##0#0#0.0#2019-10-15
07:19:16#0#00:00:00#00:00:00#00:00:00 1 c22097ac137870bbb8b04a205c8973ef
7171104 C 3 CP 2 12/10/2019 12/10/2019 07/04/1941 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YUNUS ALULU 052384 78 28677 DR. DENNY
WALANDOW, SPM 0309R0191019V002016 0001328500293 3;JKN Vian02;
5.3.9.201904290125 4 80814 1#0##0#0#0.0#2019-10-15
07:20:21#0#00:00:00#00:00:00#00:00:00 1 a4394b6cfbb31443274d0f6bfed49f4b
7171104 C 3 CP 2 12/10/2019 12/10/2019 11/11/1970 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BOYKE P.R. LOING 051606 48 17867 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V001981 0001452389174 3;JKN linda03;
5.3.9.201904290125 4 80815 1#0##0#0#0.0#2019-10-15
07:20:23#0#00:00:00#00:00:00#00:00:00 1 290f4ddfcdb7d445a027d9aa70175a47
7171104 C 3 CP 2 12/10/2019 12/10/2019 12/01/1948 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KARIM KAUSAHA 052078 71 26206 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V001979 0000138270238 3;JKN linda03;
5.3.9.201904290125 4 80817 1#0##0#0#0.0#2019-10-15
07:21:22#0#00:00:00#00:00:00#00:00:00 1 ac57603627d18784a53a5c357edeca03
7171104 C 3 CP 2 12/10/2019 12/10/2019 13/04/2003 0 1
1 Z09.8;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KEVIN T.DAIMOEN 047967 16 6026 DR
SALAM SURBAKTI,SPM 0309R0191019V002015 0000163326519 3;JKN Vian02;
5.3.9.201904290125 4 80816 1#0##0#0#0.0#2019-10-15
07:21:33#0#00:00:00#00:00:00#00:00:00 1 8cbfd1b745d5e01e92bf433153618449
7171104 C 3 CP 2 12/10/2019 12/10/2019 27/05/1961 0 1
1 Z09.8;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PEIT HEIN LENGKONG 001969 58 21322
DR SALAM SURBAKTI,SPM 0309R0191019V001978 0000138496228 3;JKN
linda03; 5.3.9.201904290125 4 80818 1#0##0#0#0.0#2019-10-15
07:22:04#0#00:00:00#00:00:00#00:00:00 1 2a069eeb142b7635b00c03504a0d8a5c
7171104 C 3 CP 2 12/10/2019 12/10/2019 01/05/1946 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAXII MILIAM PUDIHANG 052333 73 26827
DR. SAMUEL MALINGKAS,SPM 0309R0191019V001977 0000909572141 3;JKN
linda03; 5.3.9.201904290125 4 80820 1#0##0#0#0.0#2019-10-15
07:22:48#0#00:00:00#00:00:00#00:00:00 1 9abb9f0845e759a7e6fb3c2dbe40ee41
7171104 C 3 CP 2 12/10/2019 12/10/2019 14/06/1989 0 1
1 Z09.8;H16.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALLAN BRIAN SAKUL 052199 30 11077 DR
SALAM SURBAKTI,SPM 0309R0191019V002014 0001620732306 3;JKN Vian02;
5.3.9.201904290125 4 80819 1#0##0#0#0.0#2019-10-15
07:23:11#0#00:00:00#00:00:00#00:00:00 1 483dbfbd291122714e38b2a3dce24785
7171104 C 3 CP 2 12/10/2019 12/10/2019 15/06/1936 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MIEN UMBOHAN 051422 83 30434 DR. DENNY
WALANDOW, SPM 0309R0191019V002012 0002376301781 3;JKN Vian02;
5.3.9.201904290125 4 80821 1#0##0#0#0.0#2019-10-15
07:24:21#0#00:00:00#00:00:00#00:00:00 1 f48523df11d778a41ed1579eb44f2392
7171104 C 3 CP 2 12/10/2019 12/10/2019 01/03/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 INO MA'RUF 002615 73 26888 DR SALAM
SURBAKTI,SPM 0309R0191019V001975 0001067014629 3;JKN linda03;
5.3.9.201904290125 4 80822 1#0##0#0#0.0#2019-10-15
07:24:28#0#00:00:00#00:00:00#00:00:00 1 e0e475347e0072670386f4205866ed97
7171104 C 3 CP 2 12/10/2019 12/10/2019 16/08/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AGUSTINA BUNGKAES 050759 69 25259 DR SALAM
SURBAKTI,SPM 0309R0191019V001974 0002240550347 3;JKN linda03;
5.3.9.201904290125 4 80823 1#0##0#0#0.0#2019-10-15
07:25:21#0#00:00:00#00:00:00#00:00:00 1 319358ec819875b1d047693d42ac81a8
7171104 C 3 CP 2 12/10/2019 12/10/2019 03/07/1936 0 2
1 Z96.1;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WIHELMINA WALANGITAN 036556 83 30416
DR SALAM SURBAKTI,SPM 0309R0191019V001972 0000138194177 3;JKN
linda03; 5.3.9.201904290125 4 80824 1#0##0#0#0.0#2019-10-15
07:26:02#0#00:00:00#00:00:00#00:00:00 1 217ba8039c1bb06ee7bb85da54804bbb
7171104 C 3 CP 2 12/10/2019 12/10/2019 30/04/1979 0 1
1 Z09.8;H49.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WIDI PRADITYO 052399 40 14775 DR
SALAM SURBAKTI,SPM 0309R0191019V002011 0001799506539 3;JKN Vian02;
5.3.9.201904290125 4 80825 1#0##0#0#0.0#2019-10-15
07:26:22#0#00:00:00#00:00:00#00:00:00 1 8bc711806dff2d47d1c40f6f936ceee2
7171104 C 3 CP 2 12/10/2019 12/10/2019 30/10/1957 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLD MESAK 050144 61 22627 DR. DENNY
WALANDOW, SPM 0309R0191019V001971 0002257390833 3;JKN linda03;
5.3.9.201904290125 4 80826 1#0##0#0#0.0#2019-10-15
07:26:47#0#00:00:00#00:00:00#00:00:00 1 0bdaf88b94c0a2b31b03251912dc6a6d
7171104 C 3 CP 2 12/10/2019 12/10/2019 31/01/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 OLLY MAKALEW BUNOCH 051675 67 24726 DR.
DENNY WALANDOW, SPM 0309R0191019V002010 0001287757394 3;JKN Vian02;
5.3.9.201904290125 4 80827 1#0##0#0#0.0#2019-10-15
07:27:00#0#00:00:00#00:00:00#00:00:00 1 100022bfbe5f0dde67a1f7544a2263dc
7171104 C 3 CP 2 12/10/2019 12/10/2019 17/06/1959 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NURHAYATI KILAPONG 052087 60 22032
DR. DENNY WALANDOW, SPM 0309R0191019V001970 0002388838792 3;JKN
linda03; 5.3.9.201904290125 4 80828 1#0##0#0#0.0#2019-10-15
07:27:36#0#00:00:00#00:00:00#00:00:00 1 b6d2942d0c60b31fd2d5c93adb649e1f
7171104 C 3 CP 2 12/10/2019 12/10/2019 14/02/1943 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PAULINA SUPIT 052344 76 27999 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V001967 0002388460419 3;JKN linda03;
5.3.9.201904290125 4 80829 1#0##0#0#0.0#2019-10-15
07:28:16#0#00:00:00#00:00:00#00:00:00 1 d088e74d5955a331fde4678b2159f626
7171104 C 3 CP 2 12/10/2019 12/10/2019 14/03/1948 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOPPY SUAK 052079 71 26144 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V001968 0002388431766 3;JKN linda03;
5.3.9.201904290125 4 80832 1#0##0#0#0.0#2019-10-15
08:22:11#0#00:00:00#00:00:00#00:00:00 1 c988f1fba4a71f9db52b0e0c2fec500e
7171104 C 3 CP 1 11/10/2019 12/10/2019 22/12/1964 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 HUSEN MALANGI 052185 54
20016 DR.FELLY A. TOAD,S.PM 0309R0191019V001939 0002212662194 3;JKN
eka06; 5.3.9.201904290125 4 81044 1#0##0#0#0.0#2019-10-15
13:24:02#0#00:00:00#00:00:00#00:00:00 1 46c14b008c051696f54b78e2ef3a1677
7171104 C 3 CP 1 11/10/2019 12/10/2019 01/02/1954 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 EFRIN MONGKOL 050542 65
23993 DR.FELLY A. TOAD,S.PM 0309R0191019V001956 0001066602824 3;JKN
eka06; 5.3.9.201904290125 4 81045 1#0##0#0#0.0#2019-10-15
13:24:55#0#00:00:00#00:00:00#00:00:00 1 fd64c6f0384c16820d03340e08a630e2
7171104 C 3 CP 1 11/10/2019 12/10/2019 01/01/1953 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 YANSI KANDOU 051272 66
24389 DR.FELLY A. TOAD,S.PM 0309R0191019V001937 0000908893901 3;JKN
eka06; 5.3.9.201904290125 4 81047 1#0##0#0#0.0#2019-10-15
13:25:44#0#00:00:00#00:00:00#00:00:00 1 b34119bc9881dc521e4e170ca2e0e8eb
7171104 C 3 CP 1 11/10/2019 12/10/2019 28/04/1957 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 ERKE WOSAL 051490 62 22811
DR.FELLY A. TOAD,S.PM 0309R0191019V001861 0001570561154 3;JKN eka06;
5.3.9.201904290125 4 81048 1#0##0#0#0.0#2019-10-15
13:26:36#0#00:00:00#00:00:00#00:00:00 1 26427af843bd345b78531e1c07203505
7171104 C 3 CP 2 12/10/2019 12/10/2019 19/12/1938 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DARIUS TURANG 052106 80 29517 DR.
DENNY WALANDOW, SPM 0309R0191019V002009 0000203549139 3;JKN Patrick K.;
5.3.9.201904290125 4 81068 1#0##0#0#0.0#2019-10-15
14:47:17#0#00:00:00#00:00:00#00:00:00 1 d777b8c73b60dcfe9891a24c264706b1
7171104 C 3 CP 2 12/10/2019 12/10/2019 03/08/1965 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOUCE MANANEKE 029707 54 19793 DR SALAM
SURBAKTI,SPM 0309R0191019V002008 0001261501086 3;JKN Patrick K.;
5.3.9.201904290125 4 81069 1#0##0#0#0.0#2019-10-15
14:49:04#0#00:00:00#00:00:00#00:00:00 1 d715c2d0055b7b64ac2c7d0b27af33fb
7171104 C 3 CP 2 12/10/2019 12/10/2019 03/05/1954 0 1
1 Z09.0;H26.9;Z96.1 - - - None None None None Q-5-44-0
None None None None None None PENYAKIT KRONIS KECIL LAIN-LAIN 183500
0 0 - 0 - 0 - 0 - 0 183500 160600
0 1 0 0 0 MAXMEILIAN POSUMAH 052342 65 23903
DR. DENNY WALANDOW, SPM 0309R0191019V002006 0000138501628 3;JKN
Patrick K.; 5.3.9.201904290125 4 81070 1#0##0#0#0.0#2019-10-15
14:49:56#0#00:00:00#00:00:00#00:00:00 1 b20ab2e0fa883f027560e7b5138bfb4f
7171104 C 3 CP 2 12/10/2019 12/10/2019 25/01/1964 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RONNI WAWORUNTU 052354 55 20349 DR.
DENNY WALANDOW, SPM 0309R0191019V002005 0002389581088 3;JKN Patrick K.;
5.3.9.201904290125 4 81071 1#0##0#0#0.0#2019-10-15
14:50:41#0#00:00:00#00:00:00#00:00:00 1 0f58a4550a49729abebbc67b62475cd3
7171104 C 3 CP 2 12/10/2019 12/10/2019 01/09/1970 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUMIRA BAY 029646 49 17938 DR SALAM
SURBAKTI,SPM 0309R0191019V002004 0000909839171 3;JKN Patrick K.;
5.3.9.201904290125 4 81072 1#0##0#0#0.0#2019-10-15
14:51:37#0#00:00:00#00:00:00#00:00:00 1 a8a03752adaceb46a531f6bcd210abe8
7171104 C 3 CP 2 12/10/2019 12/10/2019 31/07/1958 0 2
1 Z96.1;H11.0;H35.3 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZUSKE LIEKE KANDOU 049027 61 22353
DR SALAM SURBAKTI,SPM 0309R0191019V002003 0002259901315 3;JKN
Patrick K.; 5.3.9.201904290125 4 81073 1#0##0#0#0.0#2019-10-15
14:53:18#0#00:00:00#00:00:00#00:00:00 1 c8f5c01ca2ba3e4fa2e5a1468e440d1a
7171104 C 3 CP 2 12/10/2019 12/10/2019 24/04/1951 0 1
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BAHARUDDIN PANRELLI 010300 68 25008
DR SALAM SURBAKTI,SPM 0309R0191019V002002 0000158153049 3;JKN
Patrick K.; 5.3.9.201904290125 4 81074 1#0##0#0#0.0#2019-10-15
14:54:11#0#00:00:00#00:00:00#00:00:00 1 87770e67e997a541c14f7dd7056d4d4a
7171104 C 3 CP 2 12/10/2019 12/10/2019 01/03/1953 0 1
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARKUS SANGKONG 050888 66 24331 DR
SALAM SURBAKTI,SPM 0309R0191019V001999 0000906418135 3;JKN Patrick K.;
5.3.9.201904290125 4 81076 1#0##0#0#0.0#2019-10-15
14:55:22#0#00:00:00#00:00:00#00:00:00 1 1aa3ab085b173c222dd8cf5ad233570b
7171104 C 3 CP 2 12/10/2019 12/10/2019 26/12/1951 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JAHYA WUISAN 052337 67 24762 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V001997 0001786865758 3;JKN Patrick K.;
5.3.9.201904290125 4 81077 1#0##0#0#0.0#2019-10-15
14:56:24#0#00:00:00#00:00:00#00:00:00 1 0f489ef2abd18ec4d5b2f0b7fc4b9d70
7171104 C 3 CP 2 12/10/2019 12/10/2019 20/08/1940 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINE LEGOH 052114 79 28907 DR.
DENNY WALANDOW, SPM 0309R0191019V001995 0001433952742 3;JKN Patrick K.;
5.3.9.201904290125 4 81079 1#0##0#0#0.0#2019-10-15
15:00:34#0#00:00:00#00:00:00#00:00:00 1 a12b1410bb3564c8d17bca1664e0e8fd
7171104 C 3 CP 2 12/10/2019 12/10/2019 01/01/1941 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NAOMI ELUNGAN 050387 78 28773 DR SALAM
SURBAKTI,SPM 0309R0191019V001994 0000906356709 3;JKN Patrick K.;
5.3.9.201904290125 4 81080 1#0##0#0#0.0#2019-10-15
15:01:46#0#00:00:00#00:00:00#00:00:00 1 105a1cbef0c884827d25cbd07a83a1fa
7171104 C 3 CP 2 12/10/2019 12/10/2019 24/06/1943 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CATOTJE ELSJE ROPA 052094 76 27869
DR. SAMUEL MALINGKAS,SPM 0309R0191019V001990 0000138114606 3;JKN
Patrick K.; 5.3.9.201904290125 4 81082 1#0##0#0#0.0#2019-10-15
15:04:30#0#00:00:00#00:00:00#00:00:00 1 048b91c254688b907bfc0c3435dee022
7171104 C 3 CP 2 12/10/2019 12/10/2019 15/07/1949 0 1
1 Z09.8;H27.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BEATRIIX KAIRUPAN 049959 70 25656 DR
SALAM SURBAKTI,SPM 0309R0191019V001989 0002466899245 3;JKN Patrick K.;
5.3.9.201904290125 4 81083 1#0##0#0#0.0#2019-10-15
15:05:16#0#00:00:00#00:00:00#00:00:00 1 053fe307e39a6f726323bc0c603af490
7171104 C 3 CP 2 12/10/2019 12/10/2019 10/04/1967 0 2
1 H34.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 ALMARENTJE HARIMU 052198 52 19178 DR
SALAM SURBAKTI,SPM 0309R0191019V001980 0001570499122 3;JKN Boni04;
5.3.9.201904290125 4 81282 1#0##0#0#0.0#2019-10-16
13:37:59#0#00:00:00#00:00:00#00:00:00 1 b00a0633dabf1952f87480d582e3f2fc
7171104 C 3 CP 2 12/10/2019 12/10/2019 01/03/1958 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 TETI LOMBAN 001977 61 22505 DR SALAM
SURBAKTI,SPM 0309R0191019V002007 0001066999667 3;JKN Boni04;
5.3.9.201904290125 4 81283 1#0##0#0#0.0#2019-10-16
13:40:49#0#00:00:00#00:00:00#00:00:00 1 8fe36067ce6e2e1973b8bdc4d67b5337
7171104 C 3 CP 2 12/10/2019 12/10/2019 22/09/1963 0 2
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 NURHAYATI RIUNG 052427 56 20474 DR
SALAM SURBAKTI,SPM 0309R0191019V002024 0001570060383 3;JKN Boni04;
5.3.9.201904290125 4 81280 1#0##0#0#0.0#2019-10-16
13:52:33#0#00:00:00#00:00:00#00:00:00 1 86d9a8e8559717e73804c4b030e602c1
7171104 C 3 CP 2 12/10/2019 12/10/2019 02/05/1950 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 MASYE LENDONGAN 024405 69 25365 DR SALAM
SURBAKTI,SPM 0309R0191019V001973 0000138854338 3;JKN Boni04;
5.3.9.201904290125 4 81292 1#0##0#0#0.0#2019-10-16
13:54:26#0#00:00:00#00:00:00#00:00:00 1 a9b65df87a47242e5bc1017fd34ab710
7171104 C 3 CP 2 12/10/2019 12/10/2019 31/08/1956 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 AMATASIA MAK 020581 63 23052 DR SALAM
SURBAKTI,SPM 0309R0191019V001969 0002077820111 3;JKN Boni04;
5.3.9.201904290125 4 81293 1#0##0#0#0.0#2019-10-16
13:55:32#0#00:00:00#00:00:00#00:00:00 1 130b7a2a2e42d58336f971ca65bdba61
7171104 C 3 CP 2 12/10/2019 12/10/2019 18/05/1967 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 SAARTJE MEITY KINDANGEN, S.TH 038985 52 19140
DR SALAM SURBAKTI,SPM 0309R0191019V001993 0001565425517 3;JKN
Boni04; 5.3.9.201904290125 4 81294 1#0##0#0#0.0#2019-10-16
13:56:41#0#00:00:00#00:00:00#00:00:00 1 9d5ec4263bf722c635a1702c951fb23d
7171104 C 3 CP 2 12/10/2019 12/10/2019 01/11/2003 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 GABRIELA RAMBITAN 052419 15 5824 DR SALAM
SURBAKTI,SPM 0309R0191019V001976 0000904904651 3;JKN Vian02;
5.3.9.201904290125 4 82158 1#0##0#0#0.0#2019-10-25
09:37:13#0#00:00:00#00:00:00#00:00:00 1 8353ce705fd8ec479c369a216718d5bf
7171104 C 3 CP 2 12/10/2019 12/10/2019 01/07/2003 0 1
1 H44.7 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HAYUN N. IGIRISA 052411 16 5947 DR SALAM
SURBAKTI,SPM 0309R0191019V001985 0000958822312 3;JKN Vian02;
5.3.9.201904290125 4 82159 1#0##0#0#0.0#2019-10-25
09:38:24#0#00:00:00#00:00:00#00:00:00 1 d955514073266d6410a6a1df914c6722
7171104 C 3 CP 2 12/10/2019 12/10/2019 01/01/1978 0 1
1 H43.3 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 REN GULUE 052430 41 15259 DR SALAM
SURBAKTI,SPM 0309R0191019V001991 0000912539676 3;JKN Vian02;
5.3.9.201904290125 4 82161 1#0##0#0#0.0#2019-10-25
09:39:56#0#00:00:00#00:00:00#00:00:00 1 c7839235c4cfa9266a204d10a378b74b
7171104 C 3 CP 2 12/10/2019 12/10/2019 08/10/1978 0 1
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JEFFRY REVOLENO KOMALING 052417 41 14979
DR SALAM SURBAKTI,SPM 0309R0191019V001992 0001302877495 3;JKN
Vian02; 5.3.9.201904290125 4 82162 1#0##0#0#0.0#2019-10-25
09:41:01#0#00:00:00#00:00:00#00:00:00 1 a152b977c2eedda1baf0ae9b6becc716
7171104 C 3 CP 2 12/10/2019 12/10/2019 11/08/2005 0 2
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PRINCESSA WULAN LONGDONG 052414 14 5175
DR SALAM SURBAKTI,SPM 0309R0191019V002001 0001604491569 3;JKN
Vian02; 5.3.9.201904290125 4 82164 1#0##0#0#0.0#2019-10-25
09:42:09#0#00:00:00#00:00:00#00:00:00 1 46f8e5f3b38dc1f4d2c7e8f44c4da0f7
7171104 C 3 CP 2 12/10/2019 12/10/2019 23/06/1966 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DJONIE MAKAINAS 024494 53 19469 DR
SALAM SURBAKTI,SPM 0309R0191019V002013 0001452619337 3;JKN Vian02;
5.3.9.201904290125 4 82165 1#0##0#0#0.0#2019-10-25
09:43:28#0#00:00:00#00:00:00#00:00:00 1 be3f32d6aa5ee4d32744b63fe5b19bc2
7171104 C 3 CP 2 12/10/2019 12/10/2019 03/04/2008 0 1
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 GERALD ANTONIO 052423 11 4209 DR SALAM
SURBAKTI,SPM 0309R0191019V002020 0001639644985 3;JKN Vian02;
5.3.9.201904290125 4 82166 1#0##0#0#0.0#2019-10-25
09:44:37#0#00:00:00#00:00:00#00:00:00 1 7ba4dbba89ef6893bc4646cfe292a965
7171104 C 3 CP 2 12/10/2019 12/10/2019 24/06/1972 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RICHARD MAOPAZAND KARDINAL 052420 47 17276
DR SALAM SURBAKTI,SPM 0309R0191019V002025 0001639644974 3;JKN
Vian02; 5.3.9.201904290125 4 82167 1#0##0#0#0.0#2019-10-25
09:46:19#0#00:00:00#00:00:00#00:00:00 1 898903f5a149c3e627d22fc6f73ad556
7171104 C 3 CP 2 12/10/2019 12/10/2019 03/01/2007 0 1
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 REGINALD ALBERT NATHANAEL 052847 12 4665
DR SALAM SURBAKTI,SPM 0309R0191019V002026 0001639644996 3;JKN
Vian02; 5.3.9.201904290125 4 82168 1#0##0#0#0.0#2019-10-25
09:47:28#0#00:00:00#00:00:00#00:00:00 1 715babebbc2893cfb2bb807812e2eebe
7171104 C 3 CP 2 12/10/2019 12/10/2019 23/04/1991 0 2
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AMELIA VERONICA TAMPEMAWA 052421 28 10399
DR SALAM SURBAKTI,SPM 0309R0191019V002027 0002388334599 3;JKN
Vian02; 5.3.9.201904290125 4 82735 1#0##0#0#0.0#2019-10-25
09:48:25#0#00:00:00#00:00:00#00:00:00 1 66ce3e7eb1bd337cc956e5636f3af04a
7171104 C 3 CP 2 12/10/2019 12/10/2019 16/03/1974 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SRI NURHAYATI LIM 052426 45 16646 DR SALAM
SURBAKTI,SPM 0309R0191019V002028 0002199003197 3;JKN Vian02;
5.3.9.201904290125 4 82169 1#0##0#0#0.0#2019-10-25
09:49:51#0#00:00:00#00:00:00#00:00:00 1 2de102cd7809a2c78aa49b9c91e47d52
7171104 C 3 CP 2 12/10/2019 12/10/2019 15/10/1972 0 2
1 H52.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LESTARI ATI 052412 46 17163 DR. DENNY
WALANDOW, SPM 0309R0191019V002029 0000138804377 3;JKN Vian02;
5.3.9.201904290125 4 82170 1#0##0#0#0.0#2019-10-25
09:56:15#0#00:00:00#00:00:00#00:00:00 1 13014c00a330e53739a96fc4260339ef
7171104 C 3 CP 2 12/10/2019 12/10/2019 29/08/2001 0 2
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AGNES SUMAKUD 052846 18 6618 DR SALAM
SURBAKTI,SPM 0309R0191019V002030 0001164125935 3;JKN Vian02;
5.3.9.201904290125 4 82171 1#0##0#0#0.0#2019-10-25
09:57:03#0#00:00:00#00:00:00#00:00:00 1 93617b07d0a4a5530f39d273b95672c1
7171104 C 3 CP 2 12/10/2019 12/10/2019 30/04/1964 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SYENNY S. SEMBOR 027219 55 20253 DR
SALAM SURBAKTI,SPM 0309R0191019V002031 0000158861812 3;JKN Vian02;
5.3.9.201904290125 4 82172 1#0##0#0#0.0#2019-10-25
09:58:06#0#00:00:00#00:00:00#00:00:00 1 35dd96c1d796e2a730c9d2b177aa3eac
7171104 C 3 CP 2 12/10/2019 12/10/2019 11/09/1940 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NAOMI WUWUNG 052845 79 28885 DR
SALAM SURBAKTI,SPM 0309R0191019V002034 0001328644192 3;JKN Vian02;
5.3.9.201904290125 4 82173 1#0##0#0#0.0#2019-10-25
09:59:53#0#00:00:00#00:00:00#00:00:00 1 4a767b3221f547169d24b3ea4a620ac8
7171104 C 3 CP 2 12/10/2019 12/10/2019 27/10/1971 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLFI MONIAGA 024491 47 17517 DR
SALAM SURBAKTI,SPM 0309R0191019V001998 0001452619653 3;JKN Vian02;
5.3.9.201904290125 4 82163 1#0##0#0#0.0#2019-10-28
08:53:59#0#00:00:00#00:00:00#00:00:00 1 4fccd5bc7cb6b7fc46fca2b87438675c
7171104 C 3 CP 2 12/10/2019 12/10/2019 17/02/1939 0 1
1 H33.0;H27.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WELIAM TAGAH 052853 80 29457 DR
SALAM SURBAKTI,SPM 0309R0191019V001986 0001263692114 3;JKN Vian02;
5.3.9.201904290125 4 82160 1#0##0#0#0.0#2019-10-28
11:19:16#0#00:00:00#00:00:00#00:00:00 1 e18af6e5dbca220d3a11cd372540c399
7171104 C 3 CP 2 12/10/2019 12/10/2019 21/02/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOSEFIEN MAMONDOL 013775 69 25435 DR SALAM
SURBAKTI,SPM 0309R0191019V002000 0000157994954 3;JKN Patrick K.;
5.3.9.201904290125 4 81075 1#0##0#0#0.0#2019-11-05
15:14:28#0#00:00:00#00:00:00#00:00:00 1 cd3d848536cc0f7fe79e5f33829e629a
7171104 C 3 CP 2 12/10/2019 12/10/2019 14/07/1986 0 2
1 Z09.8;H33.4;H35.8 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LINDA SINEKE 026159 33 12143 DR
SALAM SURBAKTI,SPM 0309R0191019V001996 0001822239336 3;JKN Patrick K.;
5.3.9.201904290125 4 81078 1#0##0#0#0.0#2019-11-05
15:46:41#0#00:00:00#00:00:00#00:00:00 1 2c7ca7a25d6135b259c647a0a3ebcb6b
7171104 C 3 CP 2 14/10/2019 14/10/2019 03/02/1957 0 2
1 Z09.8;H18.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BUJUNA IME 010777 62 22898 DR IVONNE
RAMENUSA,SPM 0309R0191019V002100 0000137616636 3;JKN linda03;
5.3.9.201904290125 4 80842 1#0##0#0#0.0#2019-10-15
08:40:14#0#00:00:00#00:00:00#00:00:00 1 ec554a455d5bb0b1f1408684bf7a3d04
7171104 C 3 CP 2 14/10/2019 14/10/2019 19/10/1944 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KARSUM A HARUN 046939 74 27388 DR IVONNE
RAMENUSA,SPM 0309R0191019V002099 0000139068797 3;JKN linda03;
5.3.9.201904290125 4 80844 1#0##0#0#0.0#2019-10-15
08:40:53#0#00:00:00#00:00:00#00:00:00 1 dd9d117c33842b2faf85a15866ffa7f9
7171104 C 3 CP 2 14/10/2019 14/10/2019 26/04/1957 0 2
1 Z96.1;H52.2;H52.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 POPPY RUMAMBI 016939 62 22816 DR
SAUL RAPAR,SPM 0309R0191019V002096 0001813968955 3;JKN linda03;
5.3.9.201904290125 4 80846 1#0##0#0#0.0#2019-10-15
08:42:25#0#00:00:00#00:00:00#00:00:00 1 7322d9362e524eadea2f8fb5cd2e246c
7171104 C 3 CP 2 14/10/2019 14/10/2019 08/08/1965 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SONNI SINGAL 052034 54 19790 DR
SAUL RAPAR,SPM 0309R0191019V002094 0000139053194 3;JKN linda03;
5.3.9.201904290125 4 80848 1#0##0#0#0.0#2019-10-15
08:43:11#0#00:00:00#00:00:00#00:00:00 1 b726ea10bb848e487c005d639009457c
7171104 C 3 CP 2 14/10/2019 14/10/2019 29/07/1999 0 1
1 Z09.8;H11.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIUS RUDOLOP SUPIT 051357 20 7382
DR IVONNE RAMENUSA,SPM 0309R0191019V002193 0002035307384 3;JKN
Vian02; 5.3.9.201904290125 4 80841 1#0##0#0#0.0#2019-10-15
08:43:50#0#00:00:00#00:00:00#00:00:00 1 6a61c6545112ecd9f4f37402044bf6c4
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/09/2000 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BATISTUTA LUMENTAH 051143 19 6982 DR
SALAM SURBAKTI,SPM 0309R0191019V002194 0000905803345 3;JKN Vian02;
5.3.9.201904290125 4 80849 1#0##0#0#0.0#2019-10-15
08:45:42#0#00:00:00#00:00:00#00:00:00 1 2d1c66a97833dea0d82d08219c5bb61e
7171104 C 3 CP 2 14/10/2019 14/10/2019 15/09/1979 0 2
1 Z09.8;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SHERLY KILANUSA 007480 40 14639 DR
RALF PANGALILA,SPM 0309R0191019V002195 0001451395179 3;JKN Vian02;
5.3.9.201904290125 4 80850 1#0##0#0#0.0#2019-10-15
09:01:31#0#00:00:00#00:00:00#00:00:00 1 d666636f3a1e0569ce9c30a37b36aaf3
7171104 C 3 CP 2 14/10/2019 14/10/2019 08/07/1960 0 2
1 Z09.8;H52.4;H11.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RITJE RUNTUNUWU 047504 59 21647 DR
PAULA M V LUMUNON,SPM 0309R0191019V002196 0001567264566 3;JKN Vian02;
5.3.9.201904290125 4 80852 1#0##0#0#0.0#2019-10-15
09:02:16#0#00:00:00#00:00:00#00:00:00 1 608e82677786aad0f817a92939c114c6
7171104 C 3 CP 2 14/10/2019 14/10/2019 27/02/1961 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NORA BERTHA WENDUR 026401 58 21413 DR
PAULA M V LUMUNON,SPM 0309R0191019V002092 0002073079203 3;JKN linda03;
5.3.9.201904290125 4 80855 1#0##0#0#0.0#2019-10-15
09:05:19#0#00:00:00#00:00:00#00:00:00 1 f9db844f048e9f6a71d9ad14f07d048e
7171104 C 3 CP 2 14/10/2019 14/10/2019 18/12/1971 0 2
1 Z09.8;H52.1;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RINSABANIA LIANGKABA 020787 47 17467
DR IVONNE RAMENUSA,SPM 0309R0191019V002091 0000910986456 3;JKN
linda03; 5.3.9.201904290125 4 80857 1#0##0#0#0.0#2019-10-15
09:05:57#0#00:00:00#00:00:00#00:00:00 1 aedf0eb3ae4d805ae9eed015da59b49c
7171104 C 3 CP 2 14/10/2019 14/10/2019 18/11/1969 0 1
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NOLDY WENSEN 051568 49 18227 DR
IVONNE RAMENUSA,SPM 0309R0191019V002090 0002779020009 3;JKN linda03;
5.3.9.201904290125 4 80858 1#0##0#0#0.0#2019-10-15
09:06:34#0#00:00:00#00:00:00#00:00:00 1 e3666019f1eef528cd1738338c9af934
7171104 C 3 CP 2 14/10/2019 14/10/2019 04/04/1967 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FRITS METU MARKUS LUMENDEK 050949 52 19186
DR RALF PANGALILA,SPM 0309R0191019V002089 0002298507974 3;JKN
linda03; 5.3.9.201904290125 4 80861 1#0##0#0#0.0#2019-10-15
09:07:21#0#00:00:00#00:00:00#00:00:00 1 95238a45199bd2f2c0577d222ac85ce3
7171104 C 3 CP 2 14/10/2019 14/10/2019 04/02/1964 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELIZABETH MARIANI 025361 55 20341 DR
RALF PANGALILA,SPM 0309R0191019V002088 0002224094152 3;JKN linda03;
5.3.9.201904290125 4 80862 1#0##0#0#0.0#2019-10-15
09:08:10#0#00:00:00#00:00:00#00:00:00 1 283b6752c89cbd47c2c8e7e7b8824f20
7171104 C 3 CP 2 14/10/2019 14/10/2019 02/09/1933 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ESTEFINA KUMAUNANG 052074 86 31453 DR
PAULA M V LUMUNON,SPM 0309R0191019V002198 0001305233559 3;JKN Vian02;
5.3.9.201904290125 4 80859 1#0##0#0#0.0#2019-10-15
09:14:11#0#00:00:00#00:00:00#00:00:00 1 87f14b58ff2096ca30533d94b197ef77
7171104 C 3 CP 2 14/10/2019 14/10/2019 22/05/2017 0 2
1 Z09.8;H50.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KHUMAIRA AZZAHRA THOMAS 052197 2 875
DR SAUL RAPAR,SPM 0309R0191019V002199 0002264421104 3;JKN Vian02;
5.3.9.201904290125 4 80870 1#0##0#0#0.0#2019-10-15
09:17:07#0#00:00:00#00:00:00#00:00:00 2 4511581eaddddc27525ec568b06437f2
7171104 C 3 CP 2 14/10/2019 14/10/2019 14/06/1935 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SOFIE M ROMPAS 004643 84 30803 DR PAULA M V
LUMUNON,SPM 0309R0191019V002201 0000138246489 3;JKN Vian02;
5.3.9.201904290125 4 80874 1#0##0#0#0.0#2019-10-15
09:18:27#0#00:00:00#00:00:00#00:00:00 1 273cdf0037c5b7471bfca0e92f6018eb
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/10/1969 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FAUJIA HINGO 051115 50 18275 DR
IVONNE RAMENUSA,SPM 0309R0191019V002086 0000908030744 3;JKN linda03;
5.3.9.201904290125 4 80882 1#0##0#0#0.0#2019-10-15
09:24:11#0#00:00:00#00:00:00#00:00:00 1 7ef78ed86f4d3fa883240c8042e4d026
7171104 C 3 CP 2 14/10/2019 14/10/2019 09/01/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JENNY A.DUMANAUW LUMI 030190 73 26941 DR
SALAM SURBAKTI,SPM 0309R0191019V002085 0000137127453 3;JKN linda03;
5.3.9.201904290125 4 80883 1#0##0#0#0.0#2019-10-15
09:26:39#0#00:00:00#00:00:00#00:00:00 1 a0233034ac08cfd414b98adaec825fcb
7171104 C 3 CP 2 14/10/2019 14/10/2019 26/10/1959 0 2
1 Z09.8;E11.3;H34.8 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TRULLY ANSA 049614 59 21903 DR SALAM
SURBAKTI,SPM 0309R0191019V002084 0000139090691 3;JKN linda03;
5.3.9.201904290125 4 80884 1#0##0#0#0.0#2019-10-15
09:28:16#0#00:00:00#00:00:00#00:00:00 1 f9e581baec1e5b4db447e4799956d728
7171104 C 3 CP 2 14/10/2019 14/10/2019 19/11/1954 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RIN LINTONG 052036 64 23705 DR SAUL
RAPAR,SPM 0309R0191019V002083 0001604365918 3;JKN linda03;
5.3.9.201904290125 4 80885 1#0##0#0#0.0#2019-10-15
09:29:26#0#00:00:00#00:00:00#00:00:00 1 c2725528c3bd6929881e523390a2c9c6
7171104 C 3 CP 2 14/10/2019 14/10/2019 31/01/1939 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 STIEN WELAN 051863 80 29476 DR RALF
PANGALILA,SPM 0309R0191019V002081 0000137184502 3;JKN linda03;
5.3.9.201904290125 4 80890 1#0##0#0#0.0#2019-10-15
09:32:49#0#00:00:00#00:00:00#00:00:00 1 1e7b960e0d835b31347acb62813e8b86
7171104 C 3 CP 2 14/10/2019 14/10/2019 24/12/1959 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHANIS MASEHI TAIDI 025721 59 21844 DR
RALF PANGALILA,SPM 0309R0191019V002080 0002220161793 3;JKN linda03;
5.3.9.201904290125 4 80892 1#0##0#0#0.0#2019-10-15
09:34:18#0#00:00:00#00:00:00#00:00:00 1 533dbc86801f573e4020ce6eaf9cca52
7171104 C 3 CP 2 14/10/2019 14/10/2019 31/01/1956 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANDRIAS MONINGKA 051630 63 23267 DR SAUL
RAPAR,SPM 0309R0191019V002079 0000909541989 3;JKN linda03;
5.3.9.201904290125 4 80897 1#0##0#0#0.0#2019-10-15
09:37:46#0#00:00:00#00:00:00#00:00:00 1 58956c661c757cf97f4fcdbac8e19826
7171104 C 3 CP 2 14/10/2019 14/10/2019 31/08/1956 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AMATASIA MAK 020581 63 23054 DR SALAM
SURBAKTI,SPM 0309R0191019V002077 0002077820111 3;JKN linda03;
5.3.9.201904290125 4 80913 1#0##0#0#0.0#2019-10-15
10:33:35#0#00:00:00#00:00:00#00:00:00 1 b97519592a46f5981302b44c7b45d0fc
7171104 C 3 CP 2 14/10/2019 14/10/2019 08/07/1934 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SOENYSON ROEDOLF THE 051901 85 31144 DR
IVONNE RAMENUSA,SPM 0309R0191019V002202 0001890906017 3;JKN Vian02;
5.3.9.201904290125 4 80880 1#0##0#0#0.0#2019-10-15
10:47:19#0#00:00:00#00:00:00#00:00:00 1 e5beaab0557b59657bbcb377ff84bf42
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/10/1941 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELSI DJURIAN 051773 78 28502 DR IVONNE
RAMENUSA,SPM 0309R0191019V002205 0000908015826 3;JKN Vian02;
5.3.9.201904290125 4 80916 1#0##0#0#0.0#2019-10-15
10:48:05#0#00:00:00#00:00:00#00:00:00 1 74fa021cb07c92401066fca52fc90616
7171104 C 3 CP 2 14/10/2019 14/10/2019 08/04/1955 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LENTJI MAGDALENA LONTOH P NY 024230 64
23565 DR SALAM SURBAKTI,SPM 0309R0191019V002207 0000138356223 3;JKN
Vian02; 5.3.9.201904290125 4 80917 1#0##0#0#0.0#2019-10-15
10:49:01#0#00:00:00#00:00:00#00:00:00 1 ffeb38fcd4927627fb289a35d757c4f0
7171104 C 3 CP 2 14/10/2019 14/10/2019 29/03/1943 0 2
1 Z09.8;H10.9;H25.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FEMMI MASSIE 052194 76 27958 DR
SAUL RAPAR,SPM 0309R0191019V002074 0001568007483 3;JKN linda03;
5.3.9.201904290125 4 80915 1#0##0#0#0.0#2019-10-15
10:49:32#0#00:00:00#00:00:00#00:00:00 1 8d79e23250e4b6e4bb03f7be9096b170
7171104 C 3 CP 2 14/10/2019 14/10/2019 22/03/1956 0 1
1 Z96.1;H52.0;H52.2;H52.4 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MUAJA PAATH 023281 63 23216 DR SAUL
RAPAR,SPM 0309R0191019V002208 0002059757605 3;JKN Vian02;
5.3.9.201904290125 4 80918 1#0##0#0#0.0#2019-10-15
10:49:47#0#00:00:00#00:00:00#00:00:00 1 649eac035413f5985948168f17d07763
7171104 C 3 CP 2 14/10/2019 14/10/2019 11/02/1994 0 1
1 Z09.8;H16.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANDREW FEKARIANTO DOODOH 050035 25
9376 DR IVONNE RAMENUSA,SPM 0309R0191019V002209 0001482525821 3;JKN
Vian02; 5.3.9.201904290125 4 80919 1#0##0#0#0.0#2019-10-15
10:50:49#0#00:00:00#00:00:00#00:00:00 1 aec2f4adfe3d8d08de49b547f9f0c0a0
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/12/1958 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADELIN RENGKUNG 052228 60 22232 DR IVONNE
RAMENUSA,SPM 0309R0191019V002072 0000905227244 3;JKN linda03;
5.3.9.201904290125 4 80920 1#0##0#0#0.0#2019-10-15
10:51:07#0#00:00:00#00:00:00#00:00:00 1 8a8362b12a990198ed40583aa684d9f3
7171104 C 3 CP 2 14/10/2019 14/10/2019 24/10/1941 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BARNETJE SINGA 049898 77 28479 DR
IVONNE RAMENUSA,SPM 0309R0191019V002210 0000158525561 3;JKN Vian02;
5.3.9.201904290125 4 80921 1#0##0#0#0.0#2019-10-15
10:52:01#0#00:00:00#00:00:00#00:00:00 1 1f59d9dbdec1d4e9f4a6f72be17625ff
7171104 C 3 CP 2 14/10/2019 14/10/2019 28/01/1971 0 1
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JERIKO ALEX WANTAH 050137 48 17791
DR IVONNE RAMENUSA,SPM 0309R0191019V002211 0001833835948 3;JKN
Vian02; 5.3.9.201904290125 4 80922 1#0##0#0#0.0#2019-10-15
10:52:53#0#00:00:00#00:00:00#00:00:00 1 96b1a80b2564f851e2dc3c8c6124e139
7171104 C 3 CP 2 14/10/2019 14/10/2019 19/12/1958 0 2
1 Z09.8;H18.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FATMA LANAU 025255 60 22214 DR IVONNE
RAMENUSA,SPM 0309R0191019V002214 0000908447916 3;JKN Vian02;
5.3.9.201904290125 4 80923 1#0##0#0#0.0#2019-10-15
10:53:52#0#00:00:00#00:00:00#00:00:00 1 acc86b9db69e4f9139a5679d119569c6
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/06/1951 0 1
1 Z09.8;H44.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAXSIMUS PARAPAGA 052400 68 24972 DR
IVONNE RAMENUSA,SPM 0309R0191019V002217 0000906227335 3;JKN Vian02;
5.3.9.201904290125 4 80924 1#0##0#0#0.0#2019-10-15
10:54:42#0#00:00:00#00:00:00#00:00:00 1 f81686cd2a2ae5bec5ed799588e1cb58
7171104 C 3 CP 2 14/10/2019 14/10/2019 17/01/1955 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YETJE TAKALIWANG 051360 64 23646 DR
SALAM SURBAKTI,SPM 0309R0191019V002218 0002304969118 3;JKN Vian02;
5.3.9.201904290125 4 80925 1#0##0#0#0.0#2019-10-15
10:55:41#0#00:00:00#00:00:00#00:00:00 1 c48d9df42d3728a590da574765ecf7ce
7171104 C 3 CP 2 14/10/2019 14/10/2019 03/07/1936 0 2
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WIHELMINA WALANGITAN 036556 83 30418
DR SALAM SURBAKTI,SPM 0309R0191019V002221 0000138194177 3;JKN
Vian02; 5.3.9.201904290125 4 80926 1#0##0#0#0.0#2019-10-15
10:59:29#0#00:00:00#00:00:00#00:00:00 1 84ea8a9d534f7b35ad68da4ed32d6018
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/03/1974 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAGRIET MOTULO 009644 45 16663 DR
SAUL RAPAR,SPM 0309R0191019V002223 0000905253952 3;JKN Vian02;
5.3.9.201904290125 4 80927 1#0##0#0#0.0#2019-10-15
11:00:19#0#00:00:00#00:00:00#00:00:00 1 960f8f2799051eb78e131c89922872f4
7171104 C 3 CP 2 14/10/2019 14/10/2019 10/12/1958 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 REFLY DANIEL RUMENSER 006933 60 22223 DR
SALAM SURBAKTI,SPM 0309R0191019V002224 0001384697867 3;JKN Vian02;
5.3.9.201904290125 4 80928 1#0##0#0#0.0#2019-10-15
11:01:11#0#00:00:00#00:00:00#00:00:00 1 4987c499f55a2be5e975668d2864acf7
7171104 C 3 CP 2 14/10/2019 14/10/2019 26/02/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FREDIKA RONDONUWU 051488 69 25432 DR RALF
PANGALILA,SPM 0309R0191019V002226 0001570731265 3;JKN Vian02;
5.3.9.201904290125 4 80929 1#0##0#0#0.0#2019-10-15
11:02:20#0#00:00:00#00:00:00#00:00:00 1 e75dd5d591fe7a3e80ddfa041e5cc7b8
7171104 C 3 CP 2 14/10/2019 14/10/2019 19/04/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROSLIN KANDATI 033799 72 26476 DR PAULA M V
LUMUNON,SPM 0309R0191019V002227 0002229898419 3;JKN Vian02;
5.3.9.201904290125 4 80930 1#0##0#0#0.0#2019-10-15
11:03:02#0#00:00:00#00:00:00#00:00:00 1 511e09d38aab5c80d7c039162cea1294
7171104 C 3 CP 2 14/10/2019 14/10/2019 28/04/1947 0 1
1 Z96.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHRISTOFEL KIROH 051184 72 26467 DR
IVONNE RAMENUSA,SPM 0309R0191019V002228 0002460789821 3;JKN Vian02;
5.3.9.201904290125 4 80931 1#0##0#0#0.0#2019-10-15
11:03:55#0#00:00:00#00:00:00#00:00:00 1 7eeea2a3328415c25e31a5ae1c2ac4a7
7171104 C 3 CP 2 14/10/2019 14/10/2019 03/05/1958 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAXIE JAVET MAMENGKO 051418 61 22444 DR
PAULA M V LUMUNON,SPM 0309R0191019V002229 0000137255229 3;JKN Vian02;
5.3.9.201904290125 4 80932 1#0##0#0#0.0#2019-10-15
11:05:06#0#00:00:00#00:00:00#00:00:00 1 55bb7511758d63050bc7eb04717ce2dc
7171104 C 3 CP 2 14/10/2019 14/10/2019 26/10/1956 0 1
1 Z09.8;H00.0;H01.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUSUF MALIKI 047541 62 22998 DR
RALF PANGALILA,SPM 0309R0191019V002231 0000137873924 3;JKN Vian02;
5.3.9.201904290125 4 80933 1#0##0#0#0.0#2019-10-15
11:05:54#0#00:00:00#00:00:00#00:00:00 1 4ce3b66f970b68de8f1fabf94e94638b
7171104 C 3 CP 2 14/10/2019 14/10/2019 29/01/1944 0 1
1 Z96.1;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALBERT PANGKEY 050574 75 27652 DR
PAULA M V LUMUNON,SPM 0309R0191019V002233 0002882411188 3;JKN Vian02;
5.3.9.201904290125 4 80934 1#0##0#0#0.0#2019-10-15
11:06:42#0#00:00:00#00:00:00#00:00:00 1 696b86f89a67c29ae4673740cdd23632
7171104 C 3 CP 2 14/10/2019 14/10/2019 22/05/1989 0 1
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MOH AKBAR M DOATING 024988 30 11102
DR RALF PANGALILA,SPM 0309R0191019V002234 0001791105456 3;JKN
Vian02; 5.3.9.201904290125 4 80935 1#0##0#0#0.0#2019-10-15
11:09:13#0#00:00:00#00:00:00#00:00:00 1 ae5c94521c921d9a9f34522766f93217
7171104 C 3 CP 2 14/10/2019 14/10/2019 30/07/1961 0 2
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TUTI DWI LESTARI 051770 58 21260 DR
SALAM SURBAKTI,SPM 0309R0191019V002236 0000138275548 3;JKN Vian02;
5.3.9.201904290125 4 80936 1#0##0#0#0.0#2019-10-15
11:10:06#0#00:00:00#00:00:00#00:00:00 1 b812955d88716de8b4cd257f6bce0025
7171104 C 3 CP 2 14/10/2019 14/10/2019 18/06/1992 0 1
1 Z09.8;H59.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 REFY JELRY LANGINGI 050227 27 9979
DR IVONNE RAMENUSA,SPM 0309R0191019V002237 0001570618135 3;JKN
Vian02; 5.3.9.201904290125 4 80937 1#0##0#0#0.0#2019-10-15
11:10:53#0#00:00:00#00:00:00#00:00:00 1 68e2a53975006ce35a982dfe8164317a
7171104 C 3 CP 2 14/10/2019 14/10/2019 25/04/1970 0 1
1 Z09.8;H10.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALFRETS MANUEL 051906 49 18069 DR
PAULA M V LUMUNON,SPM 0309R0191019V002071 0002222581138 3;JKN linda03;
5.3.9.201904290125 4 80938 1#0##0#0#0.0#2019-10-15
11:11:49#0#00:00:00#00:00:00#00:00:00 1 3ebdb6f469718f7fbdea8262bcbbd6f0
7171104 C 3 CP 2 14/10/2019 14/10/2019 14/05/1968 0 2
1 Z09.8;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEI BETSIE SOLANG 045385 51 18780 DR
PAULA M V LUMUNON,SPM 0309R0191019V002238 0000137263241 3;JKN Vian02;
5.3.9.201904290125 4 80939 1#0##0#0#0.0#2019-10-15
11:11:56#0#00:00:00#00:00:00#00:00:00 1 d7034d0fa2c370c8754377d8f3567b10
7171104 C 3 CP 2 14/10/2019 14/10/2019 28/02/1937 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WELLEM PANDEY 041157 82 30178 DR SALAM
SURBAKTI,SPM 0309R0191019V002069 0001428533414 3;JKN linda03;
5.3.9.201904290125 4 80940 1#0##0#0#0.0#2019-10-15
11:12:30#0#00:00:00#00:00:00#00:00:00 1 bf683e4dde9f0a4f49c15c7580123b5e
7171104 C 3 CP 2 14/10/2019 14/10/2019 05/03/1959 0 1
1 Z09.8;H52.2;H52.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VERRY MARTHEN LUMINTANG 030487 60 22138
DR RALF PANGALILA,SPM 0309R0191019V002239 0000137316429 3;JKN
Vian02; 5.3.9.201904290125 4 80941 1#0##0#0#0.0#2019-10-15
11:12:43#0#00:00:00#00:00:00#00:00:00 1 96839106f950d401aa9276548e8ad89e
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/11/1965 0 1
1 Z09.8;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BENNY KENAP 052196 53 19705 DR SALAM
SURBAKTI,SPM 0309R0191019V002242 0000907469425 3;JKN Vian02;
5.3.9.201904290125 4 80942 1#0##0#0#0.0#2019-10-15
11:13:49#0#00:00:00#00:00:00#00:00:00 1 dda225968fd12f214639ba78e7ce3069
7171104 C 3 CP 2 14/10/2019 14/10/2019 19/01/1957 0 1
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANTJE MONIGIR 024310 62 22913
DR.MELISA RATAG,SPM 0309R0191019V002245 0000139131797 3;JKN
Vian02; 5.3.9.201904290125 4 80943 1#0##0#0#0.0#2019-10-15
11:14:47#0#00:00:00#00:00:00#00:00:00 1 0071b8397383954b92991aa87513cab4
7171104 C 3 CP 2 14/10/2019 14/10/2019 23/10/1975 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEKROLI LARENAUNG 052169 43 16062 DR
IVONNE RAMENUSA,SPM 0309R0191019V002068 0002084638882 3;JKN linda03;
5.3.9.201904290125 4 80944 1#0##0#0#0.0#2019-10-15
11:15:09#0#00:00:00#00:00:00#00:00:00 1 152c092699cee735185080c7fa2e52a4
7171104 C 3 CP 2 14/10/2019 14/10/2019 09/09/1949 0 1
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHN GERKE WAROUW 009139 70 25602 DR
RALF PANGALILA,SPM 0309R0191019V002246 0001257600071 3;JKN Vian02;
5.3.9.201904290125 4 80945 1#0##0#0#0.0#2019-10-15
11:15:30#0#00:00:00#00:00:00#00:00:00 1 2f03d003a57c03f0c6ee13f012d5abe0
7171104 C 3 CP 2 14/10/2019 14/10/2019 16/09/1957 0 1
1 Z09.8;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HAMZA DUHE 052124 62 22673 DR SALAM
SURBAKTI,SPM 0309R0191019V002067 0000908157789 3;JKN linda03;
5.3.9.201904290125 4 80946 1#0##0#0#0.0#2019-10-15
11:16:04#0#00:00:00#00:00:00#00:00:00 1 fb6cede117b67d8821278ac7123e661d
7171104 C 3 CP 2 14/10/2019 14/10/2019 19/07/1961 0 2
1 Z09.8;H35.2;H33.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JENY FRIDA SINGON 034102 58 21271 DR
SALAM SURBAKTI,SPM 0309R0191019V002066 0001789984269 3;JKN linda03;
5.3.9.201904290125 4 80947 1#0##0#0#0.0#2019-10-15
11:17:02#0#00:00:00#00:00:00#00:00:00 1 7aeb2b1dbdae9aa6c1d223a4077dd050
7171104 C 3 CP 2 14/10/2019 14/10/2019 11/11/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROTI SALAINTI 051629 70 25904 DR SAUL
RAPAR,SPM 0309R0191019V002063 0001248027412 3;JKN linda03;
5.3.9.201904290125 4 80948 1#0##0#0#0.0#2019-10-15
11:18:18#0#00:00:00#00:00:00#00:00:00 1 d05885f46d489cb1eca0c138d786723c
7171104 C 3 CP 2 14/10/2019 14/10/2019 24/12/1970 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEVI YOVI ROMPIS 051948 48 17826 DR SAUL
RAPAR,SPM 0309R0191019V002062 0001448801548 3;JKN linda03;
5.3.9.201904290125 4 80949 1#0##0#0#0.0#2019-10-15
11:19:37#0#00:00:00#00:00:00#00:00:00 1 dffc8cc3d221522730adc0c6cdf9201c
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/03/1960 0 2
1 Z96.1;H43.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOKEBET TAMBULANGGO 036684 59 21776
DR SALAM SURBAKTI,SPM 0309R0191019V002061 0000907692647 3;JKN
linda03; 5.3.9.201904290125 4 80950 25#0##0#0#0.0#2019-10-15
11:20:24#0#00:00:00#00:00:00#00:00:00 1 12710e569589906af56bf3fecda5b3c6
7171104 C 3 CP 2 14/10/2019 14/10/2019 06/04/2001 0 1
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MOHAMAD YUSRAN IBRAHIM 051942 18 6765
DR SAUL RAPAR,SPM 0309R0191019V002060 0001785986177 3;JKN linda03;
5.3.9.201904290125 4 80951 1#0##0#0#0.0#2019-10-15
11:21:06#0#00:00:00#00:00:00#00:00:00 1 1e968644019806e154bf2a3f68e9feb8
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/03/1950 0 2
1 Z96.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELTJE DIEN 050751 69 25429 DR SAUL
RAPAR,SPM 0309R0191019V002059 0000908377817 3;JKN linda03;
5.3.9.201904290125 4 80966 1#0##0#0#0.0#2019-10-15
11:59:02#0#00:00:00#00:00:00#00:00:00 1 3801d56f778acd294b55421ff5dee2d9
7171104 C 3 CP 2 14/10/2019 14/10/2019 23/06/1973 0 1
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHANDRA 049164 46 16914 DR PAULA M V
LUMUNON,SPM 0309R0191019V002058 0002488659366 3;JKN linda03;
5.3.9.201904290125 4 80968 1#0##0#0#0.0#2019-10-15
11:59:58#0#00:00:00#00:00:00#00:00:00 1 723684b3cf33081eafb14a1fe5401995
7171104 C 3 CP 2 14/10/2019 14/10/2019 14/09/1964 0 2
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SIANE KAWENGIAN 033982 55 20118 DR
IVONNE RAMENUSA,SPM 0309R0191019V002057 0000139224036 3;JKN linda03;
5.3.9.201904290125 4 80971 1#0##0#0#0.0#2019-10-15
12:02:53#0#00:00:00#00:00:00#00:00:00 1 00e20854d231b01db988064d3142601f
7171104 C 3 CP 2 14/10/2019 14/10/2019 02/08/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LELISTINA KINGKAME 050333 64 23449 DR
IVONNE RAMENUSA,SPM 0309R0191019V002056 0001246237119 3;JKN linda03;
5.3.9.201904290125 4 80975 1#0##0#0#0.0#2019-10-15
12:04:24#0#00:00:00#00:00:00#00:00:00 1 753545d09018ef951f7c171aa67c0107
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/08/1952 0 1
1 Z09.8;H35.2;E11.3 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALEX RORING 006429 67 24545 DR SALAM
SURBAKTI,SPM 0309R0191019V002055 0000905532985 3;JKN linda03;
5.3.9.201904290125 4 80977 1#0##0#0#0.0#2019-10-15
12:07:37#0#00:00:00#00:00:00#00:00:00 1 089b863fe2940cc107c47a75307640e2
7171104 C 3 CP 2 14/10/2019 14/10/2019 24/01/1944 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHAN ULAG 011063 75 27657 DR IVONNE
RAMENUSA,SPM 0309R0191019V002054 0001323443878 3;JKN linda03;
5.3.9.201904290125 4 80981 1#0##0#0#0.0#2019-10-15
12:14:04#0#00:00:00#00:00:00#00:00:00 1 ff1b6913064aa2f75aae1296f321ece8
7171104 C 3 CP 2 14/10/2019 14/10/2019 14/05/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NAOMI TATONTOS 052284 67 24624 DR IVONNE
RAMENUSA,SPM 0309R0191019V002053 0001243646706 3;JKN linda03;
5.3.9.201904290125 4 80995 1#0##0#0#0.0#2019-10-15
12:29:27#0#00:00:00#00:00:00#00:00:00 1 390c5cf7742e6a9b3e7b8e7577b6f5bc
7171104 C 3 CP 2 14/10/2019 14/10/2019 07/07/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BERNAT BERHANUS 052281 66 24205 DR IVONNE
RAMENUSA,SPM 0309R0191019V002052 0002067218504 3;JKN linda03;
5.3.9.201904290125 4 80996 1#0##0#0#0.0#2019-10-15
12:30:09#0#00:00:00#00:00:00#00:00:00 1 5b15f5ea0202162988250d9520922354
7171104 C 3 CP 2 14/10/2019 14/10/2019 03/02/1957 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JEMMY MANTIRI 052282 62 22898 DR IVONNE
RAMENUSA,SPM 0309R0191019V002051 0002067269286 3;JKN linda03;
5.3.9.201904290125 4 80999 1#0##0#0#0.0#2019-10-15
12:31:00#0#00:00:00#00:00:00#00:00:00 1 9be67b765c95cf78b9c65548683d4f8d
7171104 C 3 CP 2 14/10/2019 14/10/2019 19/01/1960 0 1
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANS LODIWIJK PALIT 052174 59 21818
DR SAUL RAPAR,SPM 0309R0191019V002050 0000137948602 3;JKN linda03;
5.3.9.201904290125 4 81001 1#0##0#0#0.0#2019-10-15
12:31:36#0#00:00:00#00:00:00#00:00:00 1 27954e37fabaf2135df7538ffcdf39f0
7171104 C 3 CP 2 14/10/2019 14/10/2019 28/04/1958 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALFRETS PONTOLOSANG 052280 61 22449 DR
IVONNE RAMENUSA,SPM 0309R0191019V002049 0001243635265 3;JKN linda03;
5.3.9.201904290125 4 81004 1#0##0#0#0.0#2019-10-15
12:34:03#0#00:00:00#00:00:00#00:00:00 1 ca34456e326d85865ad1f3ba17bc94c1
7171104 C 3 CP 2 14/10/2019 14/10/2019 31/07/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WILLY JULIAN ROMPAS 017227 71 26007 DR
PAULA M V LUMUNON,SPM 0309R0191019V002048 0000043317371 3;JKN linda03;
5.3.9.201904290125 4 81006 1#0##0#0#0.0#2019-10-15
12:35:06#0#00:00:00#00:00:00#00:00:00 1 6b011a65592a46a5624f55fb89928fdc
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/09/1987 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SELVI UDUNG 052100 32 11731 DR SAUL
RAPAR,SPM 0309R0191019V002047 0000907977104 3;JKN linda03;
5.3.9.201904290125 4 81008 1#0##0#0#0.0#2019-10-15
12:36:10#0#00:00:00#00:00:00#00:00:00 1 a120f77c01e53c479f510ba747697c9c
7171104 C 3 CP 2 14/10/2019 14/10/2019 24/06/1969 0 2
1 Z09.8;H35.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NURHAYATI JASIN 044987 50 18374 DR
SALAM SURBAKTI,SPM 0309R0191019V002045 0000138394776 3;JKN linda03;
5.3.9.201904290125 4 81012 1#0##0#0#0.0#2019-10-15
12:37:25#0#00:00:00#00:00:00#00:00:00 1 3d20875abd8fca23b25ec7928a9d70ec
7171104 C 3 CP 2 14/10/2019 14/10/2019 30/07/1959 0 1
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TESMAN LONDO 052377 60 21991 DR
IVONNE RAMENUSA,SPM 0309R0191019V002044 0001572604479 3;JKN linda03;
5.3.9.201904290125 4 81014 1#0##0#0#0.0#2019-10-15
12:38:15#0#00:00:00#00:00:00#00:00:00 1 5e1097683125f349e1eb6a59897e71d9
7171104 C 3 CP 2 14/10/2019 14/10/2019 26/01/1956 0 2
1 Z09.8;H18.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOSINA MAABUAT 024518 63 23272 DR
IVONNE RAMENUSA,SPM 0309R0191019V002043 0000138710621 3;JKN linda03;
5.3.9.201904290125 4 81016 1#0##0#0#0.0#2019-10-15
12:39:25#0#00:00:00#00:00:00#00:00:00 1 d5b91700134ab35e8c5fd943f667f9ab
7171104 C 3 CP 2 14/10/2019 14/10/2019 28/03/1950 0 1
1 Z09.8;H10.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAX PANGKEY 006365 69 25402 DR IVONNE
RAMENUSA,SPM 0309R0191019V002042 0000138560128 3;JKN linda03;
5.3.9.201904290125 4 81017 1#0##0#0#0.0#2019-10-15
12:40:19#0#00:00:00#00:00:00#00:00:00 1 b2c5612cd6bb025e531dd4f1f07469b1
7171104 C 3 CP 2 14/10/2019 14/10/2019 05/04/1957 0 1
1 Z09.8;H26.9;H40.9 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HASAN RAHMOLA 050594 62 22837 DR
PAULA M V LUMUNON,SPM 0309R0191019V002040 0002259897603 3;JKN linda03;
5.3.9.201904290125 4 81018 1#0##0#0#0.0#2019-10-15
12:41:54#0#00:00:00#00:00:00#00:00:00 1 2d99be4508a8804cd59ce991ceec46cb
7171104 C 3 CP 2 14/10/2019 14/10/2019 19/01/1963 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HALIM HARI BOHAM 052278 56 20722 DR IVONNE
RAMENUSA,SPM 0309R0191019V002039 0002641327839 3;JKN linda03;
5.3.9.201904290125 4 81020 1#0##0#0#0.0#2019-10-15
12:43:42#0#00:00:00#00:00:00#00:00:00 1 a9415fdee4b0136cfbf637d6477745cb
7171104 C 3 CP 2 14/10/2019 14/10/2019 04/01/1966 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANACE SALATANG 052291 53 19641 DR
IVONNE RAMENUSA,SPM 0309R0191019V002038 0002295381789 3;JKN linda03;
5.3.9.201904290125 4 81021 1#0##0#0#0.0#2019-10-15
12:45:17#0#00:00:00#00:00:00#00:00:00 1 a3f0688cbf03e6fe97b383bbd539f264
7171104 C 3 CP 2 14/10/2019 14/10/2019 16/12/1974 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DIANA SUALANG 051561 44 16373 DR
RALF PANGALILA,SPM 0309R0191019V002247 0002500863243 3;JKN Vian02;
5.3.9.201904290125 4 81032 1#0##0#0#0.0#2019-10-15
13:15:59#0#00:00:00#00:00:00#00:00:00 1 1774f885a4dc638e032fcf5ec382b5cb
7171104 C 3 CP 2 14/10/2019 14/10/2019 24/02/1975 0 2
1 Z09.8;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STEPHANI VERONICA MARLINA TAROREH 045414
44 16303 DR SALAM SURBAKTI,SPM 0309R0191019V002248 0000169379943
3;JKN Vian02; 5.3.9.201904290125 4 81034 1#0##0#0#0.0#2019-10-15
13:17:23#0#00:00:00#00:00:00#00:00:00 1 3d15ec22843dafdb1207fd80e8017fbd
7171104 C 3 CP 2 14/10/2019 14/10/2019 31/12/1949 0 2
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MASJE M SONDAKH 050477 69 25489 DR
SAUL RAPAR,SPM 0309R0191019V002250 0001199795962 3;JKN Vian02;
5.3.9.201904290125 4 81038 1#0##0#0#0.0#2019-10-15
13:19:18#0#00:00:00#00:00:00#00:00:00 1 c05520943963a60097a19b0cc6e1c92f
7171104 C 3 CP 2 14/10/2019 14/10/2019 07/03/1973 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 STEVI WOROTIKAN 038592 46 17022 DR SALAM
SURBAKTI,SPM 0309R0191019V002251 0001824401913 3;JKN Vian02;
5.3.9.201904290125 4 81040 1#0##0#0#0.0#2019-10-15
13:20:40#0#00:00:00#00:00:00#00:00:00 1 7bd8b64a3d7829fec2bc21fa67288822
7171104 C 3 CP 2 14/10/2019 14/10/2019 16/09/1962 0 1
1 Z09.8;H44.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENDRIK MALUENSENG 028716 57 20847
DR IVONNE RAMENUSA,SPM 0309R0191019V002252 0000138732884 3;JKN
Vian02; 5.3.9.201904290125 4 81041 1#0##0#0#0.0#2019-10-15
13:24:41#0#00:00:00#00:00:00#00:00:00 1 1108b8f4361932d56b6c0e01248e4fd9
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/09/1976 0 1
1 Z09.8;H18.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STEVEN RORONG 051992 43 15748 DR
IVONNE RAMENUSA,SPM 0309R0191019V002253 0001066869944 3;JKN Vian02;
5.3.9.201904290125 4 81046 1#0##0#0#0.0#2019-10-15
13:25:29#0#00:00:00#00:00:00#00:00:00 1 a0a22b775d067b1bbf4525c99d4c2907
7171104 C 3 CP 2 14/10/2019 14/10/2019 21/09/1992 0 2
1 Z09.8;H02.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DIVINY REDEMTA TULUNG 051147 27 9884
DR IVONNE RAMENUSA,SPM 0309R0191019V002255 0001827774213 3;JKN
Vian02; 5.3.9.201904290125 4 81049 1#0##0#0#0.0#2019-10-15
13:26:33#0#00:00:00#00:00:00#00:00:00 1 f55ce5bf4d5b3eff7627c3661b6e13c2
7171104 C 3 CP 2 14/10/2019 14/10/2019 19/05/1953 0 1
1 Z09.8;H18.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUNAIDY SANGKOP 051853 66 24254 DR
IVONNE RAMENUSA,SPM 0309R0191019V002256 0002893813929 3;JKN Vian02;
5.3.9.201904290125 4 81050 1#0##0#0#0.0#2019-10-15
13:27:23#0#00:00:00#00:00:00#00:00:00 1 1329f4c512247044b919b7af1681684e
7171104 C 3 CP 2 14/10/2019 14/10/2019 14/04/1947 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TENO BOBIHU 050703 72 26481 DR IVONNE
RAMENUSA,SPM 0309R0191019V002191 0002776055084 3;JKN Patrick K.;
5.3.9.201904290125 4 81084 1#0##0#0#0.0#2019-10-15
15:07:17#0#00:00:00#00:00:00#00:00:00 2 096f66c7d10a5a45121e697c2ec9bd89
7171104 C 3 CP 2 14/10/2019 14/10/2019 12/09/1962 0 2
1 Z09.8;H52.1;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ASNA UGUI 039935 57 20851 DR IVONNE
RAMENUSA,SPM 0309R0191019V002190 0001570669154 3;JKN Patrick K.;
5.3.9.201904290125 4 81085 1#0##0#0#0.0#2019-10-15
15:07:48#0#00:00:00#00:00:00#00:00:00 1 3b647d2016342bd361cf9997c62213b5
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/12/1970 0 2
1 Z09.8;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PAULINA LENGKONG 027558 48 17849 DR
PAULA M V LUMUNON,SPM 0309R0191019V002188 0000907831102 3;JKN Patrick K.;
5.3.9.201904290125 4 81086 1#0##0#0#0.0#2019-10-15
15:08:44#0#00:00:00#00:00:00#00:00:00 1 c4ce72cd4193f959548c7d9458481739
7171104 C 3 CP 2 14/10/2019 14/10/2019 17/01/1955 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEANE ONIBALA 041529 64 23646 DR
PAULA M V LUMUNON,SPM 0309R0191019V002185 0001959274978 3;JKN Patrick K.;
5.3.9.201904290125 4 81087 1#0##0#0#0.0#2019-10-15
15:09:35#0#00:00:00#00:00:00#00:00:00 1 fa951cb271fe52c0c6eda60968a14842
7171104 C 3 CP 2 14/10/2019 14/10/2019 13/10/1960 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALISTA BADOA 052336 59 21550 DR
SALAM SURBAKTI,SPM 0309R0191019V002182 0002389383606 3;JKN Patrick K.;
5.3.9.201904290125 4 81088 1#0##0#0#0.0#2019-10-15
15:10:24#0#00:00:00#00:00:00#00:00:00 1 7394d66eeb631bb909cd8047b4785008
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/01/1950 0 2
1 Z09.8;H25.0;Z96.1;H18.8 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LIEM GIOK LAN 031262 69 25488 DR
PAULA M V LUMUNON,SPM 0309R0191019V002179 0002056731658 3;JKN Patrick K.;
5.3.9.201904290125 4 81089 1#0##0#0#0.0#2019-10-15
15:17:42#0#00:00:00#00:00:00#00:00:00 1 b5dfa765da7875df1cd33691f9cd8ac1
7171104 C 3 CP 2 14/10/2019 14/10/2019 21/04/1963 0 1
1 Z09.8;H18.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TAKKI HASAN 035128 56 20630 DR IVONNE
RAMENUSA,SPM 0309R0191019V002178 0002286578013 3;JKN Patrick K.;
5.3.9.201904290125 4 81090 1#0##0#0#0.0#2019-10-15
15:18:41#0#00:00:00#00:00:00#00:00:00 1 36f7fce373657f56ecf26e48ef499a0e
7171104 C 3 CP 2 14/10/2019 14/10/2019 06/12/1935 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TERSIA SASUBE 050222 83 30628 DR PAULA M V
LUMUNON,SPM 0309R0191019V002175 0002390879823 3;JKN Patrick K.;
5.3.9.201904290125 4 81091 1#0##0#0#0.0#2019-10-15
15:19:46#0#00:00:00#00:00:00#00:00:00 1 87434c4029ade46af3b10f4af3571972
7171104 C 3 CP 2 14/10/2019 14/10/2019 21/08/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 EDDY TANGKA 044137 67 24525 DR SALAM
SURBAKTI,SPM 0309R0191019V002171 0000203763429 3;JKN Patrick K.;
5.3.9.201904290125 4 81093 1#0##0#0#0.0#2019-10-15
15:21:08#0#00:00:00#00:00:00#00:00:00 1 786765c0429bb288c7092afaaed54ca4
7171104 C 3 CP 2 14/10/2019 14/10/2019 13/01/1982 0 2
1 Z09.8;H53.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TIA TORA 051264 37 13788 DR RALF
PANGALILA,SPM 0309R0191019V002169 0001902579131 3;JKN Patrick K.;
5.3.9.201904290125 4 81094 1#0##0#0#0.0#2019-10-15
15:21:51#0#00:00:00#00:00:00#00:00:00 1 d988b33361bdd21ae7e973083be26452
7171104 C 3 CP 2 14/10/2019 14/10/2019 11/11/1937 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANATJE KATIE RATON 052127 81 29922
DR SAUL RAPAR,SPM 0309R0191019V002158 0001890413436 3;JKN Patrick K.;
5.3.9.201904290125 4 81097 1#0##0#0#0.0#2019-10-15
15:31:08#0#00:00:00#00:00:00#00:00:00 1 f9e3f7e8b70ed7fe3dfb4f6d1dfb4c3f
7171104 C 3 CP 2 14/10/2019 14/10/2019 26/09/1957 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 OBED CHARLES M. RIUNG 049342 62 22663 DR
RALF PANGALILA,SPM 0309R0191019V002155 0000136946586 3;JKN Patrick K.;
5.3.9.201904290125 4 81098 1#0##0#0#0.0#2019-10-15
15:31:50#0#00:00:00#00:00:00#00:00:00 1 576e6c2eb4c3b337ca4fdf7cee77a80f
7171104 C 3 CP 2 14/10/2019 14/10/2019 29/03/1968 0 2
1 Z96.1;H17.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIANA TAMARA 051673 51 18826 DR
RALF PANGALILA,SPM 0309R0191019V002154 0001567891146 3;JKN Patrick K.;
5.3.9.201904290125 4 81099 1#0##0#0#0.0#2019-10-15
15:32:49#0#00:00:00#00:00:00#00:00:00 1 46860341f2d68255ce41b75f88c0456a
7171104 C 3 CP 2 14/10/2019 14/10/2019 14/02/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAXI SUNDALANGIE 048402 67 24714 DR IVONNE
RAMENUSA,SPM 0309R0191019V002152 0000908092631 3;JKN Patrick K.;
5.3.9.201904290125 4 81100 1#0##0#0#0.0#2019-10-15
15:33:32#0#00:00:00#00:00:00#00:00:00 1 ead5794623ba55889ef55e7f0cabc646
7171104 C 3 CP 2 14/10/2019 14/10/2019 10/10/1959 0 2
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JURA OLII 051566 60 21919 DR SAUL
RAPAR,SPM 0309R0191019V002145 0002312297008 3;JKN Patrick K.;
5.3.9.201904290125 4 81103 1#0##0#0#0.0#2019-10-15
15:52:04#0#00:00:00#00:00:00#00:00:00 1 423a39ca17b55129774d273c7e207d84
7171104 C 3 CP 2 14/10/2019 14/10/2019 12/09/1952 0 2
1 Z09.8;B00.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JURIA UGUY 018462 67 24503 DR IVONNE
RAMENUSA,SPM 0309R0191019V002144 0002062567991 3;JKN Patrick K.;
5.3.9.201904290125 4 81104 1#0##0#0#0.0#2019-10-15
15:58:32#0#00:00:00#00:00:00#00:00:00 1 b4986c5805c014a6779cade943b9e8b6
7171104 C 3 CP 2 14/10/2019 14/10/2019 15/05/1951 0 1
1 Z09.8;H52.2;H52.1;Z96.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BINSAUT BANGOL 051128 68 24989 DR
SAUL RAPAR,SPM 0309R0191019V002143 0002312296806 3;JKN Patrick K.;
5.3.9.201904290125 4 81105 1#0##0#0#0.0#2019-10-15
16:00:35#0#00:00:00#00:00:00#00:00:00 1 0e4dc5b31abf7fd56ab39abd9a78e53a
7171104 C 3 CP 2 14/10/2019 14/10/2019 22/10/1940 0 1
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 POLIEN PIRI 051085 78 28846 DR SAUL
RAPAR,SPM 0309R0191019V002141 0001566235383 3;JKN Patrick K.;
5.3.9.201904290125 4 81107 1#0##0#0#0.0#2019-10-15
16:15:10#0#00:00:00#00:00:00#00:00:00 1 003f9e574d25565de43b9a73940b972b
7171104 C 3 CP 2 14/10/2019 14/10/2019 28/07/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIE JULIANA KOJONGIAN 052029 74 27106 DR
SAUL RAPAR,SPM 0309R0191019V002140 0000139071025 3;JKN Patrick K.;
5.3.9.201904290125 4 81108 1#0##0#0#0.0#2019-10-15
16:15:59#0#00:00:00#00:00:00#00:00:00 1 cf773117920ef406f06e049f4ca22c00
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/06/1966 0 1
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JHONNI TUMBELAKA 051478 53 19493 DR
IVONNE RAMENUSA,SPM 0309R0191019V002139 0000907441975 3;JKN Patrick K.;
5.3.9.201904290125 4 81109 1#0##0#0#0.0#2019-10-15
16:16:56#0#00:00:00#00:00:00#00:00:00 1 b7fae4927d6675c06703bc7670938f57
7171104 C 3 CP 2 14/10/2019 14/10/2019 29/09/1958 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SEMI SOLEMAN 052050 61 22295 DR SAUL
RAPAR,SPM 0309R0191019V002138 0000908443236 3;JKN Patrick K.;
5.3.9.201904290125 4 81110 1#0##0#0#0.0#2019-10-15
16:17:58#0#00:00:00#00:00:00#00:00:00 1 695392b5ff3bd6fe708be723871bc102
7171104 C 3 CP 2 14/10/2019 14/10/2019 18/09/1958 0 1
1 Z09.8;H52.1;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAHMUD ALIM 000137 61 22306 DR IVONNE
RAMENUSA,SPM 0309R0191019V002137 0000909854133 3;JKN Patrick K.;
5.3.9.201904290125 4 81111 1#0##0#0#0.0#2019-10-15
16:18:53#0#00:00:00#00:00:00#00:00:00 1 6019f21d59063f26a2e0dc3a3ebc0809
7171104 C 3 CP 2 14/10/2019 14/10/2019 11/11/1963 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LIES KAPELE 051612 55 20426 DR SALAM
SURBAKTI,SPM 0309R0191019V002136 0002419367613 3;JKN Patrick K.;
5.3.9.201904290125 4 81112 1#0##0#0#0.0#2019-10-15
16:19:48#0#00:00:00#00:00:00#00:00:00 1 ffbdd98e9d6bf0f7a72e330cecdf16e4
7171104 C 3 CP 2 14/10/2019 14/10/2019 09/04/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALTJI BATTO 009848 66 24294 DR SALAM
SURBAKTI,SPM 0309R0191019V002134 0001966792072 3;JKN Patrick K.;
5.3.9.201904290125 4 81114 1#0##0#0#0.0#2019-10-15
16:20:47#0#00:00:00#00:00:00#00:00:00 1 4e2f73cfc5cdbe34fbcea86936916103
7171104 C 3 CP 2 14/10/2019 14/10/2019 10/10/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA WENAS 018156 77 28128 DR SAUL RAPAR,SPM
0309R0191019V002133 0001308673574 3;JKN Patrick K.; 5.3.9.201904290125
4 81115 1#0##0#0#0.0#2019-10-15 16:21:40#0#00:00:00#00:00:00#00:00:00
1 5df47db97b8b99c021d7923869100229
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/07/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HENNY JACOBUS 052026 74 27133 DR SAUL
RAPAR,SPM 0309R0191019V002132 0000908308078 3;JKN Patrick K.;
5.3.9.201904290125 4 81116 1#0##0#0#0.0#2019-10-15
16:22:32#0#00:00:00#00:00:00#00:00:00 1 a426612de50e44a6ca0d7d0ebe002af6
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/01/1962 0 2
1 Z09.8;H17.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TIRSA LOMBO 047808 57 21105 DR SALAM
SURBAKTI,SPM 0309R0191019V002131 0001066878459 3;JKN Patrick K.;
5.3.9.201904290125 4 81117 1#0##0#0#0.0#2019-10-15
16:23:36#0#00:00:00#00:00:00#00:00:00 1 897ebf4a19f4e1735db8aa8edf47f351
7171104 C 3 CP 2 14/10/2019 14/10/2019 28/09/1956 0 1
1 Z09.8;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRETS S BUJUNG 010385 63 23026 DR
SAUL RAPAR,SPM 0309R0191019V002130 0000139014459 3;JKN Patrick K.;
5.3.9.201904290125 4 81118 1#0##0#0#0.0#2019-10-15
16:24:47#0#00:00:00#00:00:00#00:00:00 1 949a18295b901eddcc3674d7a607b86d
7171104 C 3 CP 2 14/10/2019 14/10/2019 12/11/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HENRY A RUMOKOY 031803 65 24077 DR SAUL
RAPAR,SPM 0309R0191019V002129 0000137236149 3;JKN Patrick K.;
5.3.9.201904290125 4 81119 1#0##0#0#0.0#2019-10-15
16:25:52#0#00:00:00#00:00:00#00:00:00 1 bd84a8bcaa87a8092a09464e834eadd6
7171104 C 3 CP 2 14/10/2019 14/10/2019 21/10/1966 0 2
1 Z96.1;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SANDRA H LENGKONG 047899 52 19351 DR
SALAM SURBAKTI,SPM 0309R0191019V002128 0001431405819 3;JKN Patrick K.;
5.3.9.201904290125 4 81120 1#0##0#0#0.0#2019-10-15
16:26:39#0#00:00:00#00:00:00#00:00:00 1 169063a63c8be8e7d2f014dd3de2c451
7171104 C 3 CP 2 14/10/2019 14/10/2019 26/09/2010 0 1
1 Z09.8;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ASYAM FILA SHAWALI 051230 9 3305
DR SAUL RAPAR,SPM 0309R0191019V002126 0001110335837 3;JKN Patrick K.;
5.3.9.201904290125 4 81121 1#0##0#0#0.0#2019-10-15
16:27:37#0#00:00:00#00:00:00#00:00:00 1 16de017241aabe56bf55c8a07b7e1252
7171104 C 3 CP 2 14/10/2019 14/10/2019 02/11/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DORKAS IRIANTO TUMBELAKA 016808 65 24087
DR IVONNE RAMENUSA,SPM 0309R0191019V002124 0001310993627 3;JKN
Patrick K.; 5.3.9.201904290125 4 81123 1#0##0#0#0.0#2019-10-15
16:32:41#0#00:00:00#00:00:00#00:00:00 1 afec387724190309d929ebcaa320bfe3
7171104 C 3 CP 2 14/10/2019 14/10/2019 08/10/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NONTJE SUMUAL 006067 70 25573 DR PAULA M V
LUMUNON,SPM 0309R0191019V002123 0002388778964 3;JKN Patrick K.;
5.3.9.201904290125 4 81124 1#0##0#0#0.0#2019-10-15
16:33:24#0#00:00:00#00:00:00#00:00:00 1 b57940b55d0e19e44f49a7967377a3f1
7171104 C 3 CP 2 14/10/2019 14/10/2019 19/04/1939 0 1
1 Z09.8;H10.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAX HENDRIK TANGKILISAN 008631 80 29398
DR IVONNE RAMENUSA,SPM 0309R0191019V002122 0001300001589 3;JKN
Patrick K.; 5.3.9.201904290125 4 81125 1#0##0#0#0.0#2019-10-15
16:34:15#0#00:00:00#00:00:00#00:00:00 1 9787232f06922f84f9018f08d03fb9b7
7171104 C 3 CP 2 14/10/2019 14/10/2019 18/06/1998 0 1
1 Z09.8;H16.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RIVALDI LASAHIA 050742 21 7788 DR
IVONNE RAMENUSA,SPM 0309R0191019V002121 0001164216958 3;JKN Patrick K.;
5.3.9.201904290125 4 81126 1#0##0#0#0.0#2019-10-15
16:35:53#0#00:00:00#00:00:00#00:00:00 1 fd45e150bc8ea4cf26b9332cdf33bd09
7171104 C 3 CP 2 14/10/2019 14/10/2019 22/08/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SALMA TIMBOWO 047562 67 24524 DR PAULA M V
LUMUNON,SPM 0309R0191019V002120 0000137833209 3;JKN Patrick K.;
5.3.9.201904290125 4 81127 1#0##0#0#0.0#2019-10-15
16:36:37#0#00:00:00#00:00:00#00:00:00 1 c872bb7cd231da6cdd46630432308639
7171104 C 3 CP 2 14/10/2019 14/10/2019 11/05/1940 0 2
1 Z96.1;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HELENA LAURINA KEREH 014013 79 29010
DR PAULA M V LUMUNON,SPM 0309R0191019V002119 0000138932065 3;JKN
Patrick K.; 5.3.9.201904290125 4 81128 1#0##0#0#0.0#2019-10-15
16:37:57#0#00:00:00#00:00:00#00:00:00 1 fc287ae5a0ec5296bd35bb492f6526a9
7171104 C 3 CP 2 14/10/2019 14/10/2019 17/07/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BOBBY TEX RITTER ENGKA 024670 67 24560 DR
PAULA M V LUMUNON,SPM 0309R0191019V002118 0002209796897 3;JKN Patrick K.;
5.3.9.201904290125 4 81129 1#0##0#0#0.0#2019-10-15
16:38:57#0#00:00:00#00:00:00#00:00:00 1 c8a702e76e5fbc3f4089d5f4b4fe50dd
7171104 C 3 CP 2 14/10/2019 14/10/2019 18/07/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHNY MOMUAT 047245 69 25290 DR PAULA M V
LUMUNON,SPM 0309R0191019V002117 0000138133528 3;JKN Patrick K.;
5.3.9.201904290125 4 81130 1#0##0#0#0.0#2019-10-15
16:39:54#0#00:00:00#00:00:00#00:00:00 1 72e4c275408899ffeb7de7c16a88b5f7
7171104 C 3 CP 2 14/10/2019 14/10/2019 06/12/1969 0 1
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DICKY H. TANGKERE 052259 49 18209 DR
SALAM SURBAKTI,SPM 0309R0191019V002116 0001475474354 3;JKN Patrick K.;
5.3.9.201904290125 4 81131 1#0##0#0#0.0#2019-10-15
16:40:59#0#00:00:00#00:00:00#00:00:00 1 f50da22b0c35e28fbb07648a68dd00df
7171104 C 3 CP 2 14/10/2019 14/10/2019 27/07/1955 0 1
1 Z09.8;T85.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WELLY NANGON 034690 64 23455 DR
SALAM SURBAKTI,SPM 0309R0191019V002115 0001318599191 3;JKN Patrick K.;
5.3.9.201904290125 4 81132 1#0##0#0#0.0#2019-10-15
16:42:18#0#00:00:00#00:00:00#00:00:00 1 4ce216d547cf46196f4ac1aee39afe97
7171104 C 3 CP 2 14/10/2019 14/10/2019 26/05/1948 0 2
1 Z09.8;H49.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINA MANARIANGKUBA 052175 71 26073
DR RALF PANGALILA,SPM 0309R0191019V002114 0001243370226 3;JKN
Patrick K.; 5.3.9.201904290125 4 81133 1#0##0#0#0.0#2019-10-15
16:43:14#0#00:00:00#00:00:00#00:00:00 1 61659336aecb44b1c3090043bfae58b8
7171104 C 3 CP 2 14/10/2019 14/10/2019 03/06/1947 0 1
1 Z96.1;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOST PANAMBUNAN 051510 72 26431 DR
SAUL RAPAR,SPM 0309R0191019V002112 0001826624294 3;JKN Patrick K.;
5.3.9.201904290125 4 81134 1#0##0#0#0.0#2019-10-15
16:44:09#0#00:00:00#00:00:00#00:00:00 1 8f250ea5f9f17c5e8c80e0a5083326e4
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/01/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNA MARIE PALIT 051908 64 23662 DR SAUL
RAPAR,SPM 0309R0191019V002111 0000907851982 3;JKN Patrick K.;
5.3.9.201904290125 4 81135 1#0##0#0#0.0#2019-10-15
16:45:19#0#00:00:00#00:00:00#00:00:00 1 607890188320f6ede3214b6127b789ba
7171104 C 3 CP 2 14/10/2019 14/10/2019 24/08/1962 0 2
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SHERLY RUMENGAN 021988 57 20870 DR
SALAM SURBAKTI,SPM 0309R0191019V002106 0000138519549 3;JKN Patrick K.;
5.3.9.201904290125 4 81137 1#0##0#0#0.0#2019-10-15
16:46:34#0#00:00:00#00:00:00#00:00:00 1 91636a96df84e80aaf83e5e4aa7c2b70
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/11/1956 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALFRETS SAM RUMONDA 052028 62 22992 DR
SAUL RAPAR,SPM 0309R0191019V002105 0001604367663 3;JKN Patrick K.;
5.3.9.201904290125 4 81138 1#0##0#0#0.0#2019-10-15
16:47:26#0#00:00:00#00:00:00#00:00:00 1 006d8e92c7ff133881e53b00e5309c88
7171104 C 3 CP 2 14/10/2019 14/10/2019 19/05/1957 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MIEKE WUISANG 049574 62 22793 DR
SALAM SURBAKTI,SPM 0309R0191019V002104 0001574532606 3;JKN Patrick K.;
5.3.9.201904290125 4 81139 1#0##0#0#0.0#2019-10-15
16:48:20#0#00:00:00#00:00:00#00:00:00 1 43f27e68b051910c4ec70e4feda5a9de
7171104 C 3 CP 2 14/10/2019 14/10/2019 14/05/1947 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHAN KOPALIT 052329 72 26451 DR SAUL
RAPAR,SPM 0309R0191019V002103 0002255085628 3;JKN Patrick K.;
5.3.9.201904290125 4 81140 1#0##0#0#0.0#2019-10-15
16:50:17#0#00:00:00#00:00:00#00:00:00 1 da6128a1cd7ec11b7db8602378022f10
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/03/1938 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TRESNA NAMONTI 051997 81 29812 DR RALF
PANGALILA,SPM 0309R0191019V002102 0000906367397 3;JKN Patrick K.;
5.3.9.201904290125 4 81141 1#0##0#0#0.0#2019-10-15
16:50:59#0#00:00:00#00:00:00#00:00:00 1 4774dd751636e104c5a104f1ca6c0131
7171104 C 3 CP 2 14/10/2019 14/10/2019 29/07/1940 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FELMA KALENDI 051283 79 28931 DR SALAM
SURBAKTI,SPM 0309R0191019V002101 0000139063241 3;JKN Patrick K.;
5.3.9.201904290125 4 81142 1#0##0#0#0.0#2019-10-15
16:53:05#0#00:00:00#00:00:00#00:00:00 1 ff70953c4081ba9561a4f6b542f75700
7171104 C 3 CP 2 14/10/2019 14/10/2019 08/10/1943 0 1
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 EDUARD R. SANGER 011167 76 27765 DR RALF
PANGALILA,SPM 0309R0191019V002127 0000138245106 3;JKN Boni04;
5.3.9.201904290125 4 81295 1#0##0#0#0.0#2019-10-16
14:00:37#0#00:00:00#00:00:00#00:00:00 1 a055a14d28d689504b31d729136fb8a3
7171104 C 3 CP 2 14/10/2019 14/10/2019 02/06/1950 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 SAONA YOHAN 019480 69 25336 DR RALF
PANGALILA,SPM 0309R0191019V002240 0002074966525 3;JKN Boni04;
5.3.9.201904290125 4 81296 1#0##0#0#0.0#2019-10-16
14:01:17#0#00:00:00#00:00:00#00:00:00 1 7183b87a40e8fb45b2286e31b0e5bb8f
7171104 C 3 CP 2 14/10/2019 14/10/2019 27/11/1947 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LEXI RUNTUWAROW 052440 71 26254 DR SAUL
RAPAR,SPM 0309R0191019V002087 0001300312168 3;JKN linda03;
5.3.9.201904290125 4 80868 1#0##0#0#0.0#2019-10-23
07:56:43#0#00:00:00#00:00:00#00:00:00 1 88d869aad9aeed4a6af4f0d26fc3ad94
7171104 C 3 CP 2 14/10/2019 14/10/2019 15/06/1945 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIEN TUMIMOMOR 052441 74 27149 DR RALF
PANGALILA,SPM 0309R0191019V002097 0002610778228 3;JKN linda03;
5.3.9.201904290125 4 82109 1#0##0#0#0.0#2019-10-23
08:00:50#0#00:00:00#00:00:00#00:00:00 1 b6f824eb682fecf16d3391b3413fd15c
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/03/1965 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA SIGARLAKI 052692 54 19950 DR RALF
PANGALILA,SPM 0309R0191019V002073 0000907876269 3;JKN linda03;
5.3.9.201904290125 4 82102 1#0##0#0#0.0#2019-10-23
08:11:32#0#00:00:00#00:00:00#00:00:00 1 13f3c406c5504bcf50a0d4579520e7cd
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/02/1955 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PAULINA MAKAHEMING 052447 64 23631 DR
RALF PANGALILA,SPM 0309R0191019V002257 0000907171042 3;JKN Vian02;
5.3.9.201904290125 4 82139 1#0##0#0#0.0#2019-10-23
08:39:36#0#00:00:00#00:00:00#00:00:00 1 37ad877e1f86345ff8b780706e862639
7171104 C 3 CP 2 14/10/2019 14/10/2019 25/02/1956 0 1
1 H25.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YUSUF HUSA 052446 63 23242 DR RALF
PANGALILA,SPM 0309R0191019V002241 0001573971726 3;JKN Vian02;
5.3.9.201904290125 4 82143 1#0##0#0#0.0#2019-10-23
08:42:17#0#00:00:00#00:00:00#00:00:00 1 e47012152c27c63dcf5e474cc09384b4
7171104 C 3 CP 2 14/10/2019 14/10/2019 12/06/1945 0 1
1 H25.0;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHN ASSA RUNTUWENE 052449 74 27152
DR IVONNE RAMENUSA,SPM 0309R0191019V002206 0000138164681 3;JKN
Vian02; 5.3.9.201904290125 4 82151 1#0##0#0#0.0#2019-10-23
08:46:44#0#00:00:00#00:00:00#00:00:00 1 5ea825110efd61209faf302f8eea2f26
7171104 C 3 CP 2 14/10/2019 14/10/2019 15/11/1947 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YULIANA TANGKERE
051980 71 26266 DR YULIANA HARTONO,SPM 0309R0191019V002174
0002444274145 3;JKN Boni04; 5.3.9.201904290125 4 82254
1#0##0#0#0.0#2019-10-23 13:07:48#0#00:00:00#00:00:00#00:00:00 1
6eb1cb89ba6a6a8af08756b2d290b1c9
7171104 C 3 CP 2 14/10/2019 14/10/2019 17/06/1949 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JUSTINUS GUSTAF
TAMBAJONG 052392 70 25686 DR YULIANA HARTONO,SPM 0309R0191019V002183
0000138170316 3;JKN Boni04; 5.3.9.201904290125 4 82257
1#0##0#0#0.0#2019-10-23 13:08:37#0#00:00:00#00:00:00#00:00:00 1
bd2622dd2b733dac9fe1108e670a32a2
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/02/1944 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 CORIE ROSANG
052429 75 27649 DR YULIANA HARTONO,SPM 0309R0191019V002082
0001851095068 3;JKN Boni04; 5.3.9.201904290125 4 82258
1#0##0#0#0.0#2019-10-23 13:09:28#0#00:00:00#00:00:00#00:00:00 1
724f4d386d668c0a8ee34be26f3ae64d
7171104 C 3 CP 2 14/10/2019 14/10/2019 09/09/1953 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SUSANA SELVIE
PANDELEKE 050858 66 24141 DR YULIANA HARTONO,SPM 0309R0191019V002184
0002225508603 3;JKN Boni04; 5.3.9.201904290125 4 82259
1#0##0#0#0.0#2019-10-23 13:10:15#0#00:00:00#00:00:00#00:00:00 1
845ea3a67eaf7367cbda99a0ada07510
7171104 C 3 CP 2 14/10/2019 14/10/2019 03/09/1947 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARIA TH. NGANTUNG
S 051975 72 26339 DR YULIANA HARTONO,SPM 0309R0191019V002177
0000137168673 3;JKN Boni04; 5.3.9.201904290125 4 82261
1#0##0#0#0.0#2019-10-23 13:11:07#0#00:00:00#00:00:00#00:00:00 1
22989fc0ee5fd3b43b9c101d03511e14
7171104 C 3 CP 2 14/10/2019 14/10/2019 24/05/1948 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 EDDY RENGKUNG
051978 71 26075 DR YULIANA HARTONO,SPM 0309R0191019V002176
0000206941599 3;JKN Boni04; 5.3.9.201904290125 4 82263
1#0##0#0#0.0#2019-10-23 13:12:03#0#00:00:00#00:00:00#00:00:00 1
c49e77a14c905786ef87e2a35a3a3ad5
7171104 C 3 CP 2 14/10/2019 14/10/2019 12/07/1947 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LUSYE TINTINGON
051969 72 26392 DR YULIANA HARTONO,SPM 0309R0191019V002170
0001250406527 3;JKN Boni04; 5.3.9.201904290125 4 82264
1#0##0#0#0.0#2019-10-23 13:12:49#0#00:00:00#00:00:00#00:00:00 1
fe0e8d841f8d0f97ccea525c1c1af780
7171104 C 3 CP 2 14/10/2019 14/10/2019 23/02/1949 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARIA YOSEFIN
KATUUK 051984 70 25800 DR YULIANA HARTONO,SPM 0309R0191019V002168
0002034873641 3;JKN Boni04; 5.3.9.201904290125 4 82266
1#0##0#0#0.0#2019-10-23 13:13:40#0#00:00:00#00:00:00#00:00:00 1
1ad0d7854935df8fd6a9b1c6560fbb87
7171104 C 3 CP 2 14/10/2019 14/10/2019 08/07/1965 0 1
1 H26.9 13.59;13.71 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 JOHNLY ONIBALA 051871 54 19821 DR
YULIANA HARTONO,SPM 0309R0191019V002166 0001447138956 3;JKN Boni04;
5.3.9.201904290125 4 82269 1#0##0#0#0.0#2019-10-23
13:14:58#0#00:00:00#00:00:00#00:00:00 1 bc36b0b162ecebb970dde576181611e8
7171104 C 3 CP 2 14/10/2019 14/10/2019 07/01/1951 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JANJTE JOHANIS
PANGEMANAN 041670 68 25117 DR YULIANA HARTONO,SPM 0309R0191019V002157
0002038746082 3;JKN Boni04; 5.3.9.201904290125 4 82271
1#0##0#0#0.0#2019-10-23 13:15:35#0#00:00:00#00:00:00#00:00:00 1
a4f16a2e623dc1e8bc36abf6ad09e404
7171104 C 3 CP 2 14/10/2019 14/10/2019 16/01/1953 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YOHANIS KATUUK
051983 66 24377 DR YULIANA HARTONO,SPM 0309R0191019V002162
0001066870124 3;JKN Boni04; 5.3.9.201904290125 4 82274
1#0##0#0#0.0#2019-10-23 13:16:44#0#00:00:00#00:00:00#00:00:00 1
9c2fea983ea2458b29d1f4de52bbbc34
7171104 C 3 CP 2 14/10/2019 14/10/2019 20/12/1954 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JETTY TINTINGON
051976 64 23674 DR YULIANA HARTONO,SPM 0309R0191019V002151
0001604482863 3;JKN Boni04; 5.3.9.201904290125 4 82276
1#0##0#0#0.0#2019-10-23 13:17:31#0#00:00:00#00:00:00#00:00:00 1
281de80691f5c02787057014bc4d0634
7171104 C 3 CP 2 14/10/2019 14/10/2019 08/11/1955 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DOORTJE PANTOW
051687 63 23351 DR YULIANA HARTONO,SPM 0309R0191019V002180
0000139100409 3;JKN Boni04; 5.3.9.201904290125 4 82278
1#0##0#0#0.0#2019-10-23 13:18:27#0#00:00:00#00:00:00#00:00:00 1
faa4bb43bc3e36f0d79d45c61be4325b
7171104 C 3 CP 2 14/10/2019 14/10/2019 28/07/1946 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 WEMPI PANDEY
018571 73 26741 DR YULIANA HARTONO,SPM 0309R0191019V002156
0000138945385 3;JKN Boni04; 5.3.9.201904290125 4 82281
1#0##0#0#0.0#2019-10-23 13:19:41#0#00:00:00#00:00:00#00:00:00 1
2623022566676fd469372ab409e611c0
7171104 C 3 CP 2 14/10/2019 14/10/2019 08/03/1950 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SIGARLAKI PANTOW
052404 69 25422 DR YULIANA HARTONO,SPM 0309R0191019V002187
0000137738103 3;JKN Boni04; 5.3.9.201904290125 4 82282
1#0##0#0#0.0#2019-10-23 13:20:17#0#00:00:00#00:00:00#00:00:00 1
9abb6ba0fbe8c29953e3da338441445d
7171104 C 3 CP 2 14/10/2019 14/10/2019 13/04/1949 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NY ALTJE OPIT
RAMPENGAN 052139 70 25751 DR YULIANA HARTONO,SPM 0309R0191019V002186
0000137273668 3;JKN Boni04; 5.3.9.201904290125 4 82284
1#0##0#0#0.0#2019-10-23 13:21:07#0#00:00:00#00:00:00#00:00:00 1
4d00bcfe81e1ccf1f7d373edea290f76
7171104 C 3 CP 2 14/10/2019 14/10/2019 03/01/1962 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ZAKIR LAKODI
052223 57 21103 DR YULIANA HARTONO,SPM 0309R0191019V002153
0001093549206 3;JKN Boni04; 5.3.9.201904290125 4 82286
1#0##0#0#0.0#2019-10-23 13:21:40#0#00:00:00#00:00:00#00:00:00 1
8abe59562f2f279b71f67d255b8e4273
7171104 C 3 CP 2 14/10/2019 14/10/2019 15/12/1954 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LEKSI KAWUWUNG
051999 64 23679 DR YULIANA HARTONO,SPM 0309R0191019V002149
0000136962325 3;JKN Boni04; 5.3.9.201904290125 4 82289
1#0##0#0#0.0#2019-10-23 13:22:38#0#00:00:00#00:00:00#00:00:00 1
9ee973feb039ad691c3ced9abf5ff14e
7171104 C 3 CP 2 14/10/2019 14/10/2019 06/11/1952 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 PATRAS ARNOLD HM
032981 66 24448 DR YULIANA HARTONO,SPM 0309R0191019V002147
0000138195639 3;JKN Boni04; 5.3.9.201904290125 4 82290
1#0##0#0#0.0#2019-10-23 13:23:18#0#00:00:00#00:00:00#00:00:00 1
2823837e2be2fe324718cef28180c21e
7171104 C 3 CP 2 14/10/2019 14/10/2019 12/11/1952 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ROBERT RATAG
052407 66 24442 DR YULIANA HARTONO,SPM 0309R0191019V002172
0001066815527 3;JKN Boni04; 5.3.9.201904290125 4 82293
1#0##0#0#0.0#2019-10-23 13:24:10#0#00:00:00#00:00:00#00:00:00 1
25520427216000622ba3302ccdef70d3
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/01/1942 0 2
1 D23.1 08.20 - - None None None None H-2-23-0 None None
None None None None PROSEDUR KECIL PADA MATA EKSTERNAL 509800 0
0 - 0 - 0 - 0 - 0 509800 3825400
0 1 0 0 0 NUSIA MOKODOMPIS 051175 77 28410 DR
YULIANA HARTONO,SPM 0309R0191019V002160 0000905445696 3;JKN Boni04;
5.3.9.201904290125 4 82294 1#0##0#0#0.0#2019-10-23
13:28:30#0#00:00:00#00:00:00#00:00:00 1 83bf188d86be5d28af04dfdc87c34e49
7171104 C 3 CP 2 14/10/2019 14/10/2019 29/12/1955 0 1
1 H27.0 13.72 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 ANDRIAN DAVID 012348 63 23300 DR YULIANA
HARTONO,SPM 0309R0191019V002189 0001439930136 3;JKN Boni04;
5.3.9.201904290125 4 82305 1#0##0#0#0.0#2019-10-23
13:29:57#0#00:00:00#00:00:00#00:00:00 1 63fe655f8bb1cc4edbbb06cf14032b94
7171104 C 3 CP 2 14/10/2019 14/10/2019 11/11/1953 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 NACE MANTIRI 052439 65 24078 DR
SAUL RAPAR,SPM 0309R0191019V002161 0002236164355 3;JKN Boni04;
5.3.9.201904290125 4 81297 1#0##0#0#0.0#2019-10-23
13:39:24#0#00:00:00#00:00:00#00:00:00 1 1639c4b098cb730ad2b6b7f31769079b
7171104 C 3 CP 2 14/10/2019 14/10/2019 27/07/1961 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 JHONY PAAT 032763 58 21263 DR PAULA M V
LUMUNON,SPM 0309R0191019V002235 0000137263252 3;JKN Boni04;
5.3.9.201904290125 4 82307 1#0##0#0#0.0#2019-10-23
13:40:39#0#00:00:00#00:00:00#00:00:00 1 4fdcc8450b03827c6169303bc505de6e
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/01/1960 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 SUDIA CHUNG 027538 59 21836 DR PAULA M V
LUMUNON,SPM 0309R0191019V002181 0000908403041 3;JKN Boni04;
5.3.9.201904290125 4 82308 1#0##0#0#0.0#2019-10-23
13:41:25#0#00:00:00#00:00:00#00:00:00 1 142c21a2877952630ea6e1d02da1f2f9
7171104 C 3 CP 2 14/10/2019 14/10/2019 16/03/1960 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 REGINA JULIN AKAY 033751 59 21761 DR
PAULA M V LUMUNON,SPM 0309R0191019V002113 0000137196426 3;JKN Boni04;
5.3.9.201904290125 4 82309 1#0##0#0#0.0#2019-10-23
13:43:12#0#00:00:00#00:00:00#00:00:00 1 f83acdb0755b2750946e8d40f049a6d1
7171104 C 3 CP 2 14/10/2019 14/10/2019 04/02/1946 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 FINTJE TUMURANG 030609 73 26915 DR
PAULA M V LUMUNON,SPM 0309R0191019V002222 0001565032454 3;JKN Boni04;
5.3.9.201904290125 4 82310 1#0##0#0#0.0#2019-10-23
13:44:09#0#00:00:00#00:00:00#00:00:00 1 113405b77a1a2e3603427ac1714495d4
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/03/1975 0 2
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 OLVANY R. USSU 052229 44 16298 DR
SALAM SURBAKTI,SPM 0309R0191019V002064 0000910248186 3;JKN Boni04;
5.3.9.201904290125 4 82311 1#0##0#0#0.0#2019-10-23
13:45:57#0#00:00:00#00:00:00#00:00:00 1 e2370387971cb5336379c3f02af9060c
7171104 C 3 CP 2 14/10/2019 14/10/2019 18/04/1963 0 1
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 ELEN A PANGAU 036715 56 20633 DR
SALAM SURBAKTI,SPM 0309R0191019V002037 0000138438033 3;JKN Boni04;
5.3.9.201904290125 4 82312 1#0##0#0#0.0#2019-10-23
13:46:38#0#00:00:00#00:00:00#00:00:00 1 c5e38141fd8a14c1112c4856cbabe824
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/08/1946 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 NY AGUSTIEN MAMBU 049478 73 26737 DR SALAM
SURBAKTI,SPM 0309R0191019V002150 0000138938859 3;JKN Boni04;
5.3.9.201904290125 4 82313 1#0##0#0#0.0#2019-10-23
13:47:19#0#00:00:00#00:00:00#00:00:00 1 343d750dde99393ef64ae05e17b17e52
7171104 C 3 CP 2 14/10/2019 14/10/2019 17/09/1960 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 RACHMAWATI 042983 59 21576 DR SALAM
SURBAKTI,SPM 0309R0191019V002108 0002195530841 3;JKN Boni04;
5.3.9.201904290125 4 82314 1#0##0#0#0.0#2019-10-23
13:48:16#0#00:00:00#00:00:00#00:00:00 1 61f18a12f0106cff4c45613c13a85f04
7171104 C 3 CP 2 14/10/2019 14/10/2019 07/01/1971 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 VANNY MASSIE 046862 48 17812 DR SALAM
SURBAKTI,SPM 0309R0191019V002093 0002075883805 3;JKN Boni04;
5.3.9.201904290125 4 82315 1#0##0#0#0.0#2019-10-23
13:49:15#0#00:00:00#00:00:00#00:00:00 1 e3d70891592045347b57f6d195f44501
7171104 C 3 CP 2 14/10/2019 14/10/2019 25/05/1941 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 ANEKE TUMIWA 052438 78 28631 DR SALAM
SURBAKTI,SPM 0309R0191019V002212 0002041072222 3;JKN Boni04;
5.3.9.201904290125 4 82316 1#0##0#0#0.0#2019-10-23
13:50:55#0#00:00:00#00:00:00#00:00:00 1 499339de431127cba963ecc87dc88b44
7171104 C 3 CP 2 14/10/2019 14/10/2019 26/05/1953 0 2
1 H10.5;H02.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRIDA H. KEMUR 052453 66 24247 DR
IVONNE RAMENUSA,SPM 0309R0191019V002254 0000138712825 3;JKN Vian02;
5.3.9.201904290125 4 82140 1#0##0#0#0.0#2019-10-25
09:11:29#0#00:00:00#00:00:00#00:00:00 1 255d4d482dc7a7224d25159c58ff8736
7171104 C 3 CP 2 14/10/2019 14/10/2019 09/12/1990 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RICKY CHRISTY SARIOWAN 052455 28 10536 DR
SAUL RAPAR,SPM 0309R0191019V002244 0002389328717 3;JKN Vian02;
5.3.9.201904290125 4 82141 1#0##0#0#0.0#2019-10-25
09:12:23#0#00:00:00#00:00:00#00:00:00 1 70cb16e48387701ef0d28871311ef156
7171104 C 3 CP 2 14/10/2019 14/10/2019 26/04/1985 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAYA KASIM 052457 34 12589 DR PAULA M V
LUMUNON,SPM 0309R0191019V002243 0002261888324 3;JKN Vian02;
5.3.9.201904290125 4 82142 1#0##0#0#0.0#2019-10-25
09:13:21#0#00:00:00#00:00:00#00:00:00 1 7b018b9f30958483299654ca63994f86
7171104 C 3 CP 2 14/10/2019 14/10/2019 11/01/2016 0 1
1 H16.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JUNIOR YEHESKIEL KASILINSINA 052431 3 1372
DR IVONNE RAMENUSA,SPM 0309R0191019V002232 0002388012153 3;JKN
Vian02; 5.3.9.201904290125 4 82144 1#0##0#0#0.0#2019-10-25
09:15:30#0#00:00:00#00:00:00#00:00:00 1 c147a56ea4b4a2891991a924859f3667
7171104 C 3 CP 2 14/10/2019 14/10/2019 11/03/1944 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SASKAR MANOPPO 052643 75 27610 DR SAUL
RAPAR,SPM 0309R0191019V002220 0002198880246 3;JKN Vian02;
5.3.9.201904290125 4 82147 1#0##0#0#0.0#2019-10-25
09:16:21#0#00:00:00#00:00:00#00:00:00 1 db53366651d5e54216d5908cd9097a10
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/04/1959 0 2
1 H11.3 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SAMSIA RAHMAN 052448 60 22111 DR IVONNE
RAMENUSA,SPM 0309R0191019V002216 0002250112566 3;JKN Vian02;
5.3.9.201904290125 4 82148 1#0##0#0#0.0#2019-10-25
09:17:30#0#00:00:00#00:00:00#00:00:00 1 c0d50b3f17fc544ca42422159857f9d2
7171104 C 3 CP 2 14/10/2019 14/10/2019 23/03/1980 0 1
1 H52.2;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARNIX MORIS KAWALO 052454 39 14449
DR SAUL RAPAR,SPM 0309R0191019V002204 0001288378067 3;JKN Vian02;
5.3.9.201904290125 4 82152 1#0##0#0#0.0#2019-10-25
09:19:06#0#00:00:00#00:00:00#00:00:00 1 639ec3d3154cc5689c0f9032e8bdc524
7171104 C 3 CP 2 14/10/2019 14/10/2019 19/06/1980 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JEANE SELTY TAMA 052458 39 14361 DR PAULA M V
LUMUNON,SPM 0309R0191019V002200 0002275945312 3;JKN Vian02;
5.3.9.201904290125 4 82153 1#0##0#0#0.0#2019-10-25
09:22:08#0#00:00:00#00:00:00#00:00:00 1 dd693294f0229c56e9795d291667708d
7171104 C 3 CP 2 14/10/2019 14/10/2019 02/06/1953 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JEANETTE TALANGI 052445 66 24240 DR SAUL
RAPAR,SPM 0309R0191019V002197 0000138437739 3;JKN Vian02;
5.3.9.201904290125 4 80853 1#0##0#0#0.0#2019-10-25
09:23:45#0#00:00:00#00:00:00#00:00:00 1 b7a1e1a5074a1eafec2d0903223a28d3
7171104 C 3 CP 2 14/10/2019 14/10/2019 28/02/1942 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FREDRIKA WOYONGAN 052647 77 28352 DR PAULA M V
LUMUNON,SPM 0309R0191019V002107 0002260661501 3;JKN Patrick K.;
5.3.9.201904290125 4 82918 1#0##0#0#0.0#2019-10-26
11:39:07#0#00:00:00#00:00:00#00:00:00 1 71de0853065217a2c357bb769910a127
7171104 C 3 CP 2 14/10/2019 14/10/2019 31/07/1945 0 2
1 Z09.8;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIEN .M. SUMADI 048756 74 27103 DR
SALAM SURBAKTI,SPM 0309R0191019V002125 0001869717778 3;JKN Patrick K.;
5.3.9.201904290125 4 82920 1#0##0#0#0.0#2019-10-26
11:41:24#0#00:00:00#00:00:00#00:00:00 1 9ad5b817005cec4803ce2a7b17ded5da
7171104 C 3 CP 2 14/10/2019 14/10/2019 27/05/1965 0 1
1 Z09.0;H40.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HAIRUDIN RUMESI 040197 54 19863 DR
PAULA M V LUMUNON,SPM 0309R0191019V002148 0002446074843 3;JKN Patrick K.;
5.3.9.201904290125 4 81101 1#0##0#0#0.0#2019-10-26
11:58:32#0#00:00:00#00:00:00#00:00:00 1 0b7b1cc7a5cee4703e8ccc86e0a52f07
7171104 C 3 CP 2 14/10/2019 14/10/2019 18/07/1990 0 2
1 H01.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULTRIINA PANGALO 052452 29 10680 DR IVONNE
RAMENUSA,SPM 0309R0191019V002167 0002039919502 3;JKN Patrick K.;
5.3.9.201904290125 4 81095 1#0##0#0#0.0#2019-10-26
12:05:07#0#00:00:00#00:00:00#00:00:00 1 ea2604f7d9f77e5a863ce0384f60df40
7171104 C 3 CP 2 14/10/2019 14/10/2019 28/03/1951 0 2
1 H04.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIE M RUMONDOR 052857 68 25037 DR RALF
PANGALILA,SPM 0309R0191019V002249 0001868657051 3;JKN Vian02;
5.3.9.201904290125 4 81036 1#0##0#0#0.0#2019-10-28
08:45:38#0#00:00:00#00:00:00#00:00:00 1 b343c7e16877c2e173dc1a44587aa439
7171104 C 3 CP 2 14/10/2019 14/10/2019 02/02/1961 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DONNY AKUBA 052856 58 21438 DR PAULA M V
LUMUNON,SPM 0309R0191019V002225 0002388769705 3;JKN Vian02;
5.3.9.201904290125 4 82146 1#0##0#0#0.0#2019-10-28
08:46:59#0#00:00:00#00:00:00#00:00:00 1 0fa6861a56255debb7073abe5f1cdc67
7171104 C 3 CP 2 14/10/2019 14/10/2019 20/10/1968 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLFI MERENTEK 052855 50 18621 DR
SAUL RAPAR,SPM 0309R0191019V002230 0002050364327 3;JKN Vian02;
5.3.9.201904290125 4 82145 1#0##0#0#0.0#2019-10-28
08:47:59#0#00:00:00#00:00:00#00:00:00 1 b2d92af4d5f7e62fab89d9264567fb06
7171104 C 3 CP 2 14/10/2019 14/10/2019 04/11/1967 0 1
1 H52.2;H52.1;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEHOSUA SAMRATSON V. SINOLUNGAN 019292
51 18972 DR RALF PANGALILA,SPM 0309R0191019V002258 0000138551804
3;JKN Vian02; 5.3.9.201904290125 4 82138 1#0##0#0#0.0#2019-10-28
08:49:15#0#00:00:00#00:00:00#00:00:00 1 4230c671ffe2fae30eefe874e115a62f
7171104 C 3 CP 2 14/10/2019 14/10/2019 20/09/1980 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 STEVIN SANDRA SUPIT 033135 39 14268 DR
SALAM SURBAKTI,SPM 0309R0191019V002215 0001089176894 3;JKN Vian02;
5.3.9.201904290125 4 82149 1#0##0#0#0.0#2019-10-28
08:50:08#0#00:00:00#00:00:00#00:00:00 1 c737f328432a2fc3d17e670d1a291d49
7171104 C 3 CP 2 14/10/2019 14/10/2019 19/02/1967 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VEKY KENTEY 013017 52 19230 DR RALF
PANGALILA,SPM 0309R0191019V002213 0000137828024 3;JKN Vian02;
5.3.9.201904290125 4 82150 1#0##0#0#0.0#2019-10-28
08:51:17#0#00:00:00#00:00:00#00:00:00 1 ec1384811700ee3bb2767383db036e37
7171104 C 3 CP 2 14/10/2019 14/10/2019 12/03/1942 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SALMA SAMADI VAN GOBEL 025226 77 28340 DR
RALF PANGALILA,SPM 0309R0191019V002163 0000138261868 3;JKN Patrick K.;
5.3.9.201904290125 4 82933 1#0##0#0#0.0#2019-10-30
13:35:48#0#00:00:00#00:00:00#00:00:00 1 befeea70e1da3a5393e7a0de3b07c461
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/07/1973 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NIKO KASENDA 052456 46 16906 DR
RALF PANGALILA,SPM 0309R0191019V002173 0000907831056 3;JKN Patrick K.;
5.3.9.201904290125 4 81092 1#0##0#0#0.0#2019-10-30
13:42:34#0#00:00:00#00:00:00#00:00:00 1 8d8736ce729fa37cca470ec189f0a5b6
7171104 C 3 CP 2 14/10/2019 14/10/2019 05/07/1972 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FAJAR SISWANTO 052831 47 17267 DR SALAM
SURBAKTI,SPM 0309R0191019V002164 0001103079971 3;JKN Patrick K.;
5.3.9.201904290125 4 82935 1#0##0#0#0.0#2019-10-30
13:43:35#0#00:00:00#00:00:00#00:00:00 1 1323b38bd95e3f4c5a97ae6555aca05a
7171104 C 3 CP 2 14/10/2019 14/10/2019 30/01/1976 0 1
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 F. N. BARTEN RANTUNG 052504 43 15963 DR
PAULA M V LUMUNON,SPM 0309R0191019V002110 0001850951204 3;JKN Patrick K.;
5.3.9.201904290125 4 81136 1#0##0#0#0.0#2019-10-30
13:44:43#0#00:00:00#00:00:00#00:00:00 1 5c69b43330ae4d31fb0a343a2bc1d22a
7171104 C 3 CP 2 14/10/2019 14/10/2019 10/12/1971 0 2
1 H11.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DIANA PAPUTUNGAN 052451 47 17475 DR YULIANA
HARTONO,SPM 0309R0191019V002135 0002209624986 3;JKN Patrick K.;
5.3.9.201904290125 4 81113 1#0##0#0#0.0#2019-10-30
13:46:16#0#00:00:00#00:00:00#00:00:00 1 e5e1e580e2fbe080a65eebec7f3d058d
7171104 C 3 CP 2 14/10/2019 14/10/2019 17/02/2017 0 1
1 S05.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KAYLEEN BELICIA CHRISTEL PONGAI 052437 2
969 DR SAUL RAPAR,SPM 0309R0191019V002146 0002237817701 3;JKN
Patrick K.; 5.3.9.201904290125 4 81102 1#0##0#0#0.0#2019-10-30
13:57:34#0#00:00:00#00:00:00#00:00:00 2 a9b7f9c0525bc818560149cebce3956b
7171104 C 3 CP 2 14/10/2019 14/10/2019 17/09/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AKNES TINUNGKI 016318 70 25594 DR SALAM
SURBAKTI,SPM 0309R0191019V002078 0000137523464 3;JKN linda03;
5.3.9.201904290125 4 80902 1#0##0#0#0.0#2019-10-31
12:45:32#0#00:00:00#00:00:00#00:00:00 1 77ddb5cdf2d049cd089d4eeba274d949
7171104 C 3 CP 2 14/10/2019 14/10/2019 01/01/1978 0 1
1 Z09.8;H17.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 REN GULUE 052430 41 15261 DR IVONNE
RAMENUSA,SPM 0309R0191019V002070 0000912539676 3;JKN linda03;
5.3.9.201904290125 4 82103 1#0##0#0#0.0#2019-10-31
12:52:01#0#00:00:00#00:00:00#00:00:00 1 64d9a1260ed9c3134dd62085fadb1a24
7171104 C 3 CP 2 14/10/2019 14/10/2019 16/12/1969 0 1
1 H35.5 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LIONEL PATRAS 052443 49 18199 DR SALAM
SURBAKTI,SPM 0309R0191019V002046 0002319492925 3;JKN linda03;
5.3.9.201904290125 4 81011 1#0##0#0#0.0#2019-10-31
13:02:48#0#00:00:00#00:00:00#00:00:00 1 f9618045aaff764d4bfc39d8d6e66d71
7171104 C 3 CP 2 14/10/2019 14/10/2019 15/01/1944 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNA INTUANG 052459 75 27666 DR PAULA M V
LUMUNON,SPM 0309R0191019V002098 0001569877931 3;JKN linda03;
5.3.9.201904290125 4 80845 1#0##0#0#0.0#2019-11-04
09:25:51#0#00:00:00#00:00:00#00:00:00 1 1a5cfc4e334ea406d688594c5f8ceb0b
7171104 C 3 CP 2 14/10/2019 14/10/2019 23/09/1960 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SURIATI UMAR 453067 59 21570 DR SAUL
RAPAR,SPM 0309R0191019V002095 0000138388533 3;JKN linda03;
5.3.9.201904290125 4 82107 1#0##0#0#0.0#2019-11-04
09:33:51#0#00:00:00#00:00:00#00:00:00 1 069f6eab8ada949ce6e8e41d94bf0170
7171104 C 3 CP 2 14/10/2019 14/10/2019 27/11/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RUT CALI 052433 68 25158 DR SALAM
SURBAKTI,SPM 0309R0191019V002065 0001604394178 3;JKN linda03;
5.3.9.201904290125 4 82104 1#0##0#0#0.0#2019-11-04
09:37:38#0#00:00:00#00:00:00#00:00:00 1 74ad8baf6307f8bd807eba75df0baf85
7171104 C 3 CP 2 14/10/2019 14/10/2019 07/05/2000 0 2
1 H00.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MEILANI SARI 052436 19 7099 DR RALF
PANGALILA,SPM 0309R0191019V002075 0001906112621 3;JKN linda03;
5.3.9.201904290125 4 82101 1#0##0#0#0.0#2019-11-04
09:39:13#0#00:00:00#00:00:00#00:00:00 1 e58a50eb223a7fe60e01f2b329076bba
7171104 C 3 CP 2 14/10/2019 14/10/2019 13/04/1958 0 1
1 H25.1;H43.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ERNIS MAABUAT 016192 61 22464 DR
RALF PANGALILA,SPM 0309R0191019V002041 0001066751515 3;JKN linda03;
5.3.9.201904290125 4 82100 1#0##0#0#0.0#2019-11-04
09:41:16#0#00:00:00#00:00:00#00:00:00 1 8587933cad7276853e8e34ea3123c79f
7171104 C 3 CP 2 14/10/2019 14/10/2019 04/09/1970 0 2
1 H52.0;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SISKE MAMANGKEY 052434 49 17937 DR
SAUL RAPAR,SPM 0309R0191019V002076 0000903871506 3;JKN linda03;
5.3.9.201904290125 4 80914 1#0##0#0#0.0#2019-11-04
14:07:56#0#00:00:00#00:00:00#00:00:00 1 489cf72c515958b786cf8729c76c68b9
7171104 C 3 CP 2 14/10/2019 14/10/2019 08/01/1946 0 1
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTINUS MAPARIPE 033287 73 26942 DR
PAULA M V LUMUNON,SPM 0309R0191019V002142 0000906563744 3;JKN Patrick K.;
5.3.9.201904290125 4 81106 1#0##0#0#0.0#2019-11-05
16:23:25#0#00:00:00#00:00:00#00:00:00 1 c4baf2bde7147bdaf6ef39d939c18d69
7171104 C 3 CP 2 14/10/2019 14/10/2019 12/06/1950 0 2
1 Z09.8;Q11.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MILANINGSIH 020103 69 25326 DR IVONNE
RAMENUSA,SPM 0309R0191019V002159 0001453439169 3;JKN Patrick K.;
5.3.9.201904290125 4 81096 1#0##0#0#0.0#2019-11-05
16:25:12#0#00:00:00#00:00:00#00:00:00 1 b158b45c3a5e8208f274ee6ba08868c1
7171104 C 3 CP 1 14/10/2019 15/10/2019 01/03/1964 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 HES PANDENSOLANG 051842 55
20315 DR YULIANA HARTONO,SPM 0309R0191019V002219 0000907768776 3;JKN
eka06; 5.3.9.201904290125 4 81051 1#0##0#0#0.0#2019-10-15
13:28:07#0#00:00:00#00:00:00#00:00:00 1 16d57a0b71db7b5c8adb22239ecfc4a7
7171104 C 1 CP 1 14/10/2019 15/10/2019 08/11/1960 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5989900
0 0 - 0 - 0 - 0 - 0 5989900
9807400 0 2 0 0 0 CHERLY ELAINE KOMBAITAN 031141
58 21524 DR YULIANA HARTONO,SPM 0309R0191019V002192 0002079822892
3;JKN eka06; 5.3.9.201904290125 4 81052 1#0##0#0#0.0#2019-10-15
13:28:56#0#00:00:00#00:00:00#00:00:00 1 134a0b85b2157165dbcdcd5d71764535
7171104 C 3 CP 2 15/10/2019 15/10/2019 29/07/1952 0 2
1 H02.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YULIN KAENG 052485 67 24549 DR RALF
PANGALILA,SPM 0309R0191019V002429 0001243680805 3;JKN Vian02;
5.3.9.201904290125 4 81230 1#0##0#0#0.0#2019-10-16
12:40:38#0#00:00:00#00:00:00#00:00:00 1 21eb28b42c7e5d7f5babd1b25bd0e79c
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/05/1974 0 1
1 T15.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SILAS BENGKEY 052486 45 16603 DR RALF
PANGALILA,SPM 0309R0191019V002431 0001066663326 3;JKN Vian02;
5.3.9.201904290125 4 81232 1#0##0#0#0.0#2019-10-16
12:42:37#0#00:00:00#00:00:00#00:00:00 1 360269d4be2b23a10fc60153146073a9
7171104 C 3 CP 2 15/10/2019 15/10/2019 14/04/1942 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HERMAN PAULUS PURUKAN 052071 77 28308 DR
RALF PANGALILA,SPM 0309R0191019V002432 0002489552684 3;JKN Vian02;
5.3.9.201904290125 4 81234 1#0##0#0#0.0#2019-10-16
12:43:25#0#00:00:00#00:00:00#00:00:00 1 580bb9013f6e278dee3fac8e592f2ef1
7171104 C 3 CP 2 15/10/2019 15/10/2019 15/09/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JUSTINUS WELAN 042422 73 26693 DR DYANA
T.WATANIA,SPM 0309R0191019V002433 0001272154048 3;JKN Vian02;
5.3.9.201904290125 4 81236 1#0##0#0#0.0#2019-10-16
12:44:15#0#00:00:00#00:00:00#00:00:00 1 e0833aefa21fa27b92910c79b0ad51a7
7171104 C 3 CP 2 15/10/2019 15/10/2019 07/07/1960 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HERMINAWATY POPA 052487 59 21649 DR
DYANA T.WATANIA,SPM 0309R0191019V002434 0002388323439 3;JKN Vian02;
5.3.9.201904290125 4 81238 1#0##0#0#0.0#2019-10-16
12:47:01#0#00:00:00#00:00:00#00:00:00 1 0f08864edda6bdb186c479725d57ec7b
7171104 C 3 CP 2 15/10/2019 15/10/2019 31/07/1964 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TELLY RURUGALA 051903 55 20164 DR.MELISA
RATAG,SPM 0309R0191019V002438 0002060480643 3;JKN Vian02;
5.3.9.201904290125 4 81241 1#0##0#0#0.0#2019-10-16
12:48:42#0#00:00:00#00:00:00#00:00:00 1 aead57f138310fb8649ae0617aff8da9
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/03/1961 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARITJE PONGOH 051967 58 21412 DR YULIANA
HARTONO,SPM 0309R0191019V002440 0000907846209 3;JKN Vian02;
5.3.9.201904290125 4 81244 1#0##0#0#0.0#2019-10-16
12:50:07#0#00:00:00#00:00:00#00:00:00 1 a2f55a20bd7889d000ba7e66e42e4158
7171104 C 3 CP 2 15/10/2019 15/10/2019 28/04/1954 0 2
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FEMMY MONIAGA 012691 65 23911 DR RALF
PANGALILA,SPM 0309R0191019V002441 0001283668918 3;JKN Vian02;
5.3.9.201904290125 4 81245 1#0##0#0#0.0#2019-10-16
12:51:03#0#00:00:00#00:00:00#00:00:00 1 6903edae6b3f1d1f608b276ce6752830
7171104 C 3 CP 2 15/10/2019 15/10/2019 06/07/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROSALI NON RAPAR 021046 66 24207 DR DYANA
T.WATANIA,SPM 0309R0191019V002442 0000137280778 3;JKN Vian02;
5.3.9.201904290125 4 81248 1#0##0#0#0.0#2019-10-16
12:52:47#0#00:00:00#00:00:00#00:00:00 1 84e7db776118c6b8a490ecca6bb9c1c6
7171104 C 3 CP 2 15/10/2019 15/10/2019 05/07/1949 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIANA MAGRITHA PONTO 051603 70 25669
DR DYANA T.WATANIA,SPM 0309R0191019V002443 0002228635361 3;JKN
Vian02; 5.3.9.201904290125 4 81249 1#0##0#0#0.0#2019-10-16
12:53:54#0#00:00:00#00:00:00#00:00:00 1 a020b203212c5ca2c6ce75105ca329dc
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/04/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HERY TUMIMOMOR 013776 67 24668 DR DYANA
T.WATANIA,SPM 0309R0191019V002444 0000907603784 3;JKN Vian02;
5.3.9.201904290125 4 81252 1#0##0#0#0.0#2019-10-16
12:55:04#0#00:00:00#00:00:00#00:00:00 1 b19d58dfeb9b64d10f5b4042c2760cdb
7171104 C 3 CP 2 15/10/2019 15/10/2019 31/08/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SANONANG LAWITAN 051858 74 27073 DR YULIANA
HARTONO,SPM 0309R0191019V002446 0001604386607 3;JKN Vian02;
5.3.9.201904290125 4 81256 1#0##0#0#0.0#2019-10-16
12:57:40#0#00:00:00#00:00:00#00:00:00 1 a8df5c7dec18f79672478852cb9cb911
7171104 C 3 CP 2 15/10/2019 15/10/2019 12/08/1955 0 1
1 Z96.1;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HES JUSTUS ALBERT KAWUNG 034107 64
23440 DR DYANA T.WATANIA,SPM 0309R0191019V002447 0001146447652 3;JKN
Vian02; 5.3.9.201904290125 4 81258 1#0##0#0#0.0#2019-10-16
12:58:31#0#00:00:00#00:00:00#00:00:00 1 7e9e36d8201a45588557bb1159a1b4c8
7171104 C 3 CP 2 15/10/2019 15/10/2019 13/11/1994 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SWANLY GLORIA KOJONGIAN 029471 24 9102 DR
RALF PANGALILA,SPM 0309R0191019V002450 0002322487473 3;JKN Vian02;
5.3.9.201904290125 4 81260 1#0##0#0#0.0#2019-10-16
12:59:59#0#00:00:00#00:00:00#00:00:00 1 db6d6ff41b3bd08eb293a1a928e796bb
7171104 C 3 CP 2 15/10/2019 15/10/2019 13/08/1966 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AGUSTINUS MANUMPIL 022054 53 19421 DR
RALF PANGALILA,SPM 0309R0191019V002452 0000204445168 3;JKN Vian02;
5.3.9.201904290125 4 81262 1#0##0#0#0.0#2019-10-16
13:03:49#0#00:00:00#00:00:00#00:00:00 1 cb376bd2d5c284270a0875726c0e94b0
7171104 C 3 CP 2 15/10/2019 15/10/2019 09/09/1953 0 2
1 Z96.1 95.06 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SUSANA SELVIE PANDELEKE 050858 66 24142 DR
YULIANA HARTONO,SPM 0309R0191019V002453 0002225508603 3;JKN Vian02;
5.3.9.201904290125 4 81265 1#0##0#0#0.0#2019-10-16
13:04:45#0#00:00:00#00:00:00#00:00:00 1 322466969cd6509f5bb83ed2a64edd3a
7171104 C 3 CP 2 15/10/2019 15/10/2019 14/06/1953 0 2
1 Z09.8;H40.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 161600
0 1 0 0 0 RINNE FIECE LASUT 047358 66 24229 DR
RALF PANGALILA,SPM 0309R0191019V002454 0000977187598 3;JKN Vian02;
5.3.9.201904290125 4 81266 1#0##0#0#0.0#2019-10-16
13:07:02#0#00:00:00#00:00:00#00:00:00 1 699bd8bbfb0259c1cd78471448af124c
7171104 C 3 CP 2 15/10/2019 15/10/2019 11/02/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAGDALENA ANGKOW 030788 67 24718 DR.MELISA
RATAG,SPM 0309R0191019V002457 0002220194395 3;JKN Vian02;
5.3.9.201904290125 4 81267 1#0##0#0#0.0#2019-10-16
13:08:46#0#00:00:00#00:00:00#00:00:00 1 289e0f6aafa2e9e9a933ba4c87ee1e77
7171104 C 3 CP 2 15/10/2019 15/10/2019 17/12/1941 0 2
1 Z09.8;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CORRY H PANGEMANAN 052353 77 28426
DR YULIANA HARTONO,SPM 0309R0191019V002459 0000904764262 3;JKN
Vian02; 5.3.9.201904290125 4 81268 195#0##0#0#0.0#2019-10-16
13:10:39#0#00:00:00#00:00:00#00:00:00 1 5ebef1d45031935d8febfdba84b058f0
7171104 C 3 CP 2 15/10/2019 15/10/2019 09/09/1966 0 2
1 H40.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ZUS AGUSTINA RATULANGI 018373 53 19394
DR.MELISA RATAG,SPM 0309R0191019V002460 0002317507165 3;JKN
Vian02; 5.3.9.201904290125 4 81279 1#0##0#0#0.0#2019-10-16
13:36:18#0#00:00:00#00:00:00#00:00:00 1 883c73b34565121e8cd5086ec8071046
7171104 C 3 CP 2 15/10/2019 15/10/2019 19/09/1960 0 2
1 Z09.8;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FEMMY LEFHIA RAMBING 043379 59 21575
DR YULIANA HARTONO,SPM 0309R0191019V002461 0001566995343 3;JKN
Vian02; 5.3.9.201904290125 4 81281 1#0##0#0#0.0#2019-10-16
13:44:13#0#00:00:00#00:00:00#00:00:00 1 c6ba4df74379855852d72760efc082e6
7171104 C 3 CP 2 15/10/2019 15/10/2019 08/10/1959 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRANS PORMES PANDOH 052491 60 21922
DR YULIANA HARTONO,SPM 0309R0191019V002462 0000138436626 3;JKN
Vian02; 5.3.9.201904290125 4 81284 1#0##0#0#0.0#2019-10-16
13:45:10#0#00:00:00#00:00:00#00:00:00 1 b53a8617800fdec4b77f8fff918da477
7171104 C 3 CP 2 15/10/2019 15/10/2019 06/07/1958 0 2
1 Z09.8;H53.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEISYE KOJO 051593 61 22381 DR YULIANA
HARTONO,SPM 0309R0191019V002464 0001263753966 3;JKN Vian02;
5.3.9.201904290125 4 81285 1#0##0#0#0.0#2019-10-16
13:46:24#0#00:00:00#00:00:00#00:00:00 1 08fd9cc1fa918fc9f5d78610285231bd
7171104 C 3 CP 2 15/10/2019 15/10/2019 05/12/1967 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HERMINA DEITJE DOODOH 052492 51 18942
DR YULIANA HARTONO,SPM 0309R0191019V002465 0001328794749 3;JKN
Vian02; 5.3.9.201904290125 4 81286 1#0##0#0#0.0#2019-10-16
13:47:10#0#00:00:00#00:00:00#00:00:00 1 e2d5276c39e43b56a142bc4573d1d245
7171104 C 3 CP 2 15/10/2019 15/10/2019 14/03/1979 0 2
1 H52.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EYKE KRISTINE ASSA 052493 40 14825
DR YULIANA HARTONO,SPM 0309R0191019V002466 0001300023224 3;JKN
Vian02; 5.3.9.201904290125 4 81287 1#0##0#0#0.0#2019-10-16
13:48:12#0#00:00:00#00:00:00#00:00:00 1 2f3f71a9e448dbab4f03a3ea45020eb1
7171104 C 3 CP 2 15/10/2019 15/10/2019 04/04/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELISABETH KANDOU 051663 65 23935 DR YULIANA
HARTONO,SPM 0309R0191019V002467 0001424729463 3;JKN Vian02;
5.3.9.201904290125 4 81288 1#0##0#0#0.0#2019-10-16
13:49:07#0#00:00:00#00:00:00#00:00:00 1 838b7702d8951f5af0946b1a7cd66410
7171104 C 3 CP 2 15/10/2019 15/10/2019 05/04/1956 0 2
1 Z96.1;H40.5;H35.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FLORENCE RUMAMPUK 037391 63 23203 DR
DYANA T.WATANIA,SPM 0309R0191019V002468 0001882154261 3;JKN Vian02;
5.3.9.201904290125 4 81289 1#0##0#0#0.0#2019-10-16
13:49:53#0#00:00:00#00:00:00#00:00:00 1 a1fd191d52185aafa0e6fefffe3e659f
7171104 C 3 CP 2 15/10/2019 15/10/2019 08/06/1979 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YATI MERSI TONDATUON,S.PD 052494 40
14739 DR.MELISA RATAG,SPM 0309R0191019V002469 0000149528316 3;JKN
Vian02; 5.3.9.201904290125 4 81290 1#0##0#0#0.0#2019-10-16
13:50:57#0#00:00:00#00:00:00#00:00:00 1 e6eb986c898a3b01fa0e3cb04cd53151
7171104 C 3 CP 2 15/10/2019 15/10/2019 13/03/1968 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HETTY ELISABETH YERMIAS 052495 51 18843
DR RALF PANGALILA,SPM 0309R0191019V002470 0002248426675 3;JKN
Vian02; 5.3.9.201904290125 4 81291 1#0##0#0#0.0#2019-10-16
13:51:55#0#00:00:00#00:00:00#00:00:00 1 12409964cd12bb96aaced054a67b7a49
7171104 C 3 CP 2 15/10/2019 15/10/2019 29/10/1976 0 2
1 Z96.1;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALTJE KOROPIT 050304 42 15691 DR
RALF PANGALILA,SPM 0309R0191019V002471 0002603691584 3;JKN Vian02;
5.3.9.201904290125 4 81298 1#0##0#0#0.0#2019-10-17
06:44:02#0#00:00:00#00:00:00#00:00:00 1 fad90e133fb1208cf7967a3964749dbc
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/02/1954 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EFRIN MONGKOL 050542 65 23997 DR
RALF PANGALILA,SPM 0309R0191019V002473 0001066602824 3;JKN Vian02;
5.3.9.201904290125 4 81300 1#0##0#0#0.0#2019-10-17
06:47:08#0#00:00:00#00:00:00#00:00:00 1 b68a1b76b309a65bae860d4241fbef2c
7171104 C 3 CP 2 15/10/2019 15/10/2019 23/11/1943 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CORRY MAMESAH 050841 75 27720 DR DYANA
T.WATANIA,SPM 0309R0191019V002428 0001250211791 3;JKN Patrick K.;
5.3.9.201904290125 4 81301 1#0##0#0#0.0#2019-10-17
07:22:11#0#00:00:00#00:00:00#00:00:00 1 0e742352446fe44fb924ee995801d3f5
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/07/1971 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HARTO TEWU KOJOH 051365 48 17638 DR
RALF PANGALILA,SPM 0309R0191019V002427 0000910510582 3;JKN Patrick K.;
5.3.9.201904290125 4 81302 1#0##0#0#0.0#2019-10-17
07:23:31#0#00:00:00#00:00:00#00:00:00 1 7f39d9a5becd300be201064315d7a12d
7171104 C 3 CP 2 15/10/2019 15/10/2019 08/07/1965 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHNLY ONIBALA 051871 54 19822 DR
YULIANA HARTONO,SPM 0309R0191019V002425 0001447138956 3;JKN Patrick K.;
5.3.9.201904290125 4 81303 1#0##0#0#0.0#2019-10-17
07:24:43#0#00:00:00#00:00:00#00:00:00 1 ce8695abd6467722879b3826490b9257
7171104 C 3 CP 2 15/10/2019 15/10/2019 12/06/1950 0 2
1 Z09.8;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MILANINGSIH 020103 69 25327 DR YULIANA
HARTONO,SPM 0309R0191019V002424 0001453439169 3;JKN Patrick K.;
5.3.9.201904290125 4 81304 1#0##0#0#0.0#2019-10-17
07:25:49#0#00:00:00#00:00:00#00:00:00 1 ff0e74807728299e84c303102aff4df3
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/04/1957 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNI S KARINDA 052483 62 22842 DR.MELISA
RATAG,SPM 0309R0191019V002423 0000910416587 3;JKN Patrick K.;
5.3.9.201904290125 4 81305 1#0##0#0#0.0#2019-10-17
07:27:21#0#00:00:00#00:00:00#00:00:00 1 1a45e8f31bfee478e5f344c6964fe385
7171104 C 3 CP 2 15/10/2019 15/10/2019 13/08/1951 0 1
1 Z09.8;H40.1;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAWAROY J SELAINDONG 049115 68 24900
DR.MELISA RATAG,SPM 0309R0191019V002422 0000138325318 3;JKN
Patrick K.; 5.3.9.201904290125 4 81306 1#0##0#0#0.0#2019-10-17
07:29:12#0#00:00:00#00:00:00#00:00:00 1 741d90e24134d3115857eccdf422f210
7171104 C 3 CP 2 15/10/2019 15/10/2019 10/10/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FRANCIN TICOALU 050863 62 22650 DR.MELISA
RATAG,SPM 0309R0191019V002421 0001866932289 3;JKN Patrick K.;
5.3.9.201904290125 4 81307 1#0##0#0#0.0#2019-10-17
07:29:55#0#00:00:00#00:00:00#00:00:00 1 f72bdaff32a7b73609f2b32d4c3b995a
7171104 C 3 CP 2 15/10/2019 15/10/2019 29/04/1940 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALBERT REPI 047239 79 29023 DR YULIANA
HARTONO,SPM 0309R0191019V002420 0000138103839 3;JKN Patrick K.;
5.3.9.201904290125 4 81308 1#0##0#0#0.0#2019-10-17
07:30:54#0#00:00:00#00:00:00#00:00:00 1 6582fc686f90433ee83f705ea961f7e4
7171104 C 3 CP 2 15/10/2019 15/10/2019 26/04/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADONJA KATUUK 015421 64 23548 DR YULIANA
HARTONO,SPM 0309R0191019V002418 0001810153247 3;JKN Patrick K.;
5.3.9.201904290125 4 81309 1#0##0#0#0.0#2019-10-17
07:31:41#0#00:00:00#00:00:00#00:00:00 1 dcb4f734b06b33c06119296236f55b21
7171104 C 3 CP 2 15/10/2019 15/10/2019 31/03/1941 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ITHA MANDOME 052482 78 28687 DR.MELISA
RATAG,SPM 0309R0191019V002417 0002389341306 3;JKN Patrick K.;
5.3.9.201904290125 4 81310 1#0##0#0#0.0#2019-10-17
07:33:22#0#00:00:00#00:00:00#00:00:00 1 3fa422a22657d9aea3464300ffae0161
7171104 C 3 CP 2 15/10/2019 15/10/2019 19/02/1990 0 2
1 Z09.8;H00.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FAUTY FALENTINE KAUNANG 051613 29 10830
DR YULIANA HARTONO,SPM 0309R0191019V002416 0002255470705 3;JKN
Patrick K.; 5.3.9.201904290125 4 81311 1#0##0#0#0.0#2019-10-17
07:34:05#0#00:00:00#00:00:00#00:00:00 1 dca93c7bf49fc396816fa83d3b92eca8
7171104 C 3 CP 2 15/10/2019 15/10/2019 16/02/1932 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIEN MONIUNG 006524 87 32018 DR
YULIANA HARTONO,SPM 0309R0191019V002415 0000138066546 3;JKN Patrick K.;
5.3.9.201904290125 4 81312 1#0##0#0#0.0#2019-10-17
07:34:55#0#00:00:00#00:00:00#00:00:00 1 7a1d3d6732719215d59fa6dec2b794a5
7171104 C 3 CP 2 15/10/2019 15/10/2019 18/10/1961 0 2
1 Z96.1;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FATRINI ELINA AKEDE 048471 57 21181
DR DYANA T.WATANIA,SPM 0309R0191019V002414 0000137587004 3;JKN
Patrick K.; 5.3.9.201904290125 4 81313 1#0##0#0#0.0#2019-10-17
07:35:51#0#00:00:00#00:00:00#00:00:00 1 90287d290662f4f8030f33462ddb455b
7171104 C 3 CP 2 15/10/2019 15/10/2019 22/05/1949 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEBORA LONDA 052484 70 25713 DR RALF
PANGALILA,SPM 0309R0191019V002411 0000137215405 3;JKN Patrick K.;
5.3.9.201904290125 4 81314 1#0##0#0#0.0#2019-10-17
07:36:58#0#00:00:00#00:00:00#00:00:00 1 237dd87e7bf319f3ddf01543b8228deb
7171104 C 3 CP 2 15/10/2019 15/10/2019 30/04/2005 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANJELLO J SIGAR 028338 14 5281 DR DYANA
T.WATANIA,SPM 0309R0191019V002410 0001566245103 3;JKN Patrick K.;
5.3.9.201904290125 4 81315 1#0##0#0#0.0#2019-10-17
07:38:05#0#00:00:00#00:00:00#00:00:00 1 9fa03a54b363eda72d34a8b40e195ae1
7171104 C 3 CP 2 15/10/2019 15/10/2019 16/10/1974 0 1
1 Z09.8;H40.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALEXANDER MONDE SIGARLAKI 051810 44
16435 DR.MELISA RATAG,SPM 0309R0191019V002409 0001564965865 3;JKN
Patrick K.; 5.3.9.201904290125 4 81316 1#0##0#0#0.0#2019-10-17
07:39:18#0#00:00:00#00:00:00#00:00:00 1 5147db7ff3537833c5c8e65f72c9c35d
7171104 C 3 CP 2 15/10/2019 15/10/2019 20/07/1967 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TUKIMIN 051734 52 19080 DR YULIANA
HARTONO,SPM 0309R0191019V002408 0002887258566 3;JKN Patrick K.;
5.3.9.201904290125 4 81317 1#0##0#0#0.0#2019-10-17
07:40:10#0#00:00:00#00:00:00#00:00:00 1 09d099b78f2d5ce6c4082d83870151e7
7171104 C 3 CP 2 15/10/2019 15/10/2019 31/12/1963 0 1
1 Z09.8;H33.0;H26.9 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EDDY NICOLAAS 051319 55 20377 DR
DYANA T.WATANIA,SPM 0309R0191019V002406 0000137731228 3;JKN Patrick K.;
5.3.9.201904290125 4 81318 1#0##0#0#0.0#2019-10-17
07:41:04#0#00:00:00#00:00:00#00:00:00 1 bb128dedb32aee04da755783f01986db
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/07/1968 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YULIATI RIYADI 051808 51 18733 DR DYANA
T.WATANIA,SPM 0309R0191019V002405 0002062016515 3;JKN Patrick K.;
5.3.9.201904290125 4 81319 1#0##0#0#0.0#2019-10-17
07:41:53#0#00:00:00#00:00:00#00:00:00 1 210abc9a1856e8247c312913ba261691
7171104 C 3 CP 2 15/10/2019 15/10/2019 13/09/1951 0 2
1 Z96.1;H35.2;E11.3 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 THEREISYE WALANGITAN 045174 68 24869
DR DYANA T.WATANIA,SPM 0309R0191019V002404 0001604483021 3;JKN
Patrick K.; 5.3.9.201904290125 4 81320 1#0##0#0#0.0#2019-10-17
07:43:13#0#00:00:00#00:00:00#00:00:00 1 28555f51be7046a7b9f4853b2d765aaf
7171104 C 3 CP 2 15/10/2019 15/10/2019 12/02/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ASTRID L MANGORE 051811 71 26178 DR DYANA
T.WATANIA,SPM 0309R0191019V002403 0000139035892 3;JKN Patrick K.;
5.3.9.201904290125 4 81321 1#0##0#0#0.0#2019-10-17
07:44:09#0#00:00:00#00:00:00#00:00:00 1 76fe1b33ac6a4e09868b311a23dfd336
7171104 C 3 CP 2 15/10/2019 15/10/2019 07/01/1951 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANJTE JOHANIS PANGEMANAN 041670 68
25118 DR YULIANA HARTONO,SPM 0309R0191019V002402 0002038746082 3;JKN
Patrick K.; 5.3.9.201904290125 4 81322 1#0##0#0#0.0#2019-10-17
07:45:02#0#00:00:00#00:00:00#00:00:00 1 bbc105442d28b7d922abec1e38b07803
7171104 C 3 CP 2 15/10/2019 15/10/2019 24/09/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DRS.H.ABDURRAHMAN L 020391 73 26684 DR
YULIANA HARTONO,SPM 0309R0191019V002401 0000137941626 3;JKN Patrick K.;
5.3.9.201904290125 4 81323 1#0##0#0#0.0#2019-10-17
07:45:51#0#00:00:00#00:00:00#00:00:00 1 87c46e3040bc98141a46b16a7f561804
7171104 C 3 CP 2 15/10/2019 15/10/2019 13/07/1941 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KATOTJE KARISIHE 035173 78 28583 DR YULIANA
HARTONO,SPM 0309R0191019V002400 0002216515285 3;JKN Patrick K.;
5.3.9.201904290125 4 81324 1#0##0#0#0.0#2019-10-17
07:46:44#0#00:00:00#00:00:00#00:00:00 1 ab4599c4b1133cdddc8d6cedc41805fb
7171104 C 3 CP 2 15/10/2019 15/10/2019 06/11/1988 0 1
1 Z09.8;H26.9;H33.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NINDI PUA 050979 30 11300 DR DYANA
T.WATANIA,SPM 0309R0191019V002399 0001574696777 3;JKN Patrick K.;
5.3.9.201904290125 4 81325 1#0##0#0#0.0#2019-10-17
07:47:51#0#00:00:00#00:00:00#00:00:00 1 a85cc07e3ed13819fb573f7b18ffaf38
7171104 C 3 CP 2 15/10/2019 15/10/2019 17/03/1953 0 2
1 Z96.1;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NANS H. SOPUTAN 050284 66 24318
DR.MELISA RATAG,SPM 0309R0191019V002398 0001280802172 3;JKN
Patrick K.; 5.3.9.201904290125 4 81326 1#0##0#0#0.0#2019-10-17
07:49:08#0#00:00:00#00:00:00#00:00:00 1 9a51ece9bf78ff489066643c6a161980
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/05/1986 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BOBBY GERUNGAN 052188 33 12220 DR
YULIANA HARTONO,SPM 0309R0191019V002397 0001640115415 3;JKN Patrick K.;
5.3.9.201904290125 4 81327 1#0##0#0#0.0#2019-10-17
07:50:17#0#00:00:00#00:00:00#00:00:00 1 174fd0bce0554f625047da48e6591cc3
7171104 C 3 CP 2 15/10/2019 15/10/2019 17/04/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AISYAH SYAUS 029108 66 24287 DR RALF
PANGALILA,SPM 0309R0191019V002396 0001452113482 3;JKN Patrick K.;
5.3.9.201904290125 4 81328 1#0##0#0#0.0#2019-10-17
07:51:21#0#00:00:00#00:00:00#00:00:00 1 fa83bdd7c18fa46a2b992ad3845d305e
7171104 C 3 CP 2 15/10/2019 15/10/2019 06/12/1957 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JHON D. TUMIWA 051388 61 22593 DR DYANA
T.WATANIA,SPM 0309R0191019V002395 0001296443114 3;JKN Patrick K.;
5.3.9.201904290125 4 81329 1#0##0#0#0.0#2019-10-17
07:52:04#0#00:00:00#00:00:00#00:00:00 1 23b8d00a42dc24afbe33607d5290abf0
7171104 C 3 CP 2 15/10/2019 15/10/2019 29/04/1943 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RENNY EVIE TAKAPENTE 009919 76 27928
DR.MELISA RATAG,SPM 0309R0191019V002394 0002388832277 3;JKN
Patrick K.; 5.3.9.201904290125 4 81330 1#0##0#0#0.0#2019-10-17
07:52:50#0#00:00:00#00:00:00#00:00:00 1 f9685e98142e3dbcb1c9f12a95ebe4de
7171104 C 3 CP 2 15/10/2019 15/10/2019 16/05/2003 0 1
1 Z09.8;H53.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 INAYAH AFDIANDITHA HIOLA 051600 16
5996 DR RALF PANGALILA,SPM 0309R0191019V002393 0002252978289 3;JKN
Patrick K.; 5.3.9.201904290125 4 81331 1#0##0#0#0.0#2019-10-17
07:54:17#0#00:00:00#00:00:00#00:00:00 2 75a8ec28167a3c0e597891d501c844ad
7171104 C 3 CP 2 15/10/2019 15/10/2019 23/02/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA YOSEFIN KATUUK 051984 70 25801 DR
YULIANA HARTONO,SPM 0309R0191019V002392 0002034873641 3;JKN Patrick K.;
5.3.9.201904290125 4 81332 1#0##0#0#0.0#2019-10-17
07:55:03#0#00:00:00#00:00:00#00:00:00 1 342e5dfc1f607ab9480dbed9fbff654e
7171104 C 3 CP 2 15/10/2019 15/10/2019 17/03/1938 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MIKE YOHANA MASSIE 050624 81 29797 DR
YULIANA HARTONO,SPM 0309R0191019V002391 0001483900356 3;JKN Patrick K.;
5.3.9.201904290125 4 81333 1#0##0#0#0.0#2019-10-17
07:55:39#0#00:00:00#00:00:00#00:00:00 1 3a898ace7f33d3f07c11e4152aebb333
7171104 C 3 CP 2 15/10/2019 15/10/2019 12/07/1947 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LUSYE TINTINGON 051969 72 26393 DR
YULIANA HARTONO,SPM 0309R0191019V002390 0001250406527 3;JKN Patrick K.;
5.3.9.201904290125 4 81334 1#0##0#0#0.0#2019-10-17
07:57:57#0#00:00:00#00:00:00#00:00:00 1 b7a9e236ce61723be5301a0d147cb097
7171104 C 3 CP 2 15/10/2019 15/10/2019 04/03/1957 0 2
1 Z09.8;E11.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STIENTJE LENGKONG 052090 62 22870 DR
DYANA T.WATANIA,SPM 0309R0191019V002389 0002177574906 3;JKN Patrick K.;
5.3.9.201904290125 4 81335 1#0##0#0#0.0#2019-10-17
07:59:03#0#00:00:00#00:00:00#00:00:00 1 ca1b95613456781ab38732ab59e39667
7171104 C 3 CP 2 15/10/2019 15/10/2019 11/07/1969 0 1
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JEFRY MAUTANG 052481 50 18358 DR.MELISA
RATAG,SPM 0309R0191019V002388 0001726977003 3;JKN Patrick K.;
5.3.9.201904290125 4 81336 1#0##0#0#0.0#2019-10-17
08:00:00#0#00:00:00#00:00:00#00:00:00 1 d6604c45ee4c07f21b54f2c6916b08fc
7171104 C 3 CP 2 15/10/2019 15/10/2019 15/11/1947 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIANA TANGKERE 051980 71 26267 DR
YULIANA HARTONO,SPM 0309R0191019V002387 0002444274145 3;JKN Patrick K.;
5.3.9.201904290125 4 81337 1#0##0#0#0.0#2019-10-17
08:00:49#0#00:00:00#00:00:00#00:00:00 1 76c950f0c5f1115de0363cac3cb20313
7171104 C 3 CP 2 15/10/2019 15/10/2019 02/05/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YESTINA BANDIL 051813 71 26098 DR DYANA
T.WATANIA,SPM 0309R0191019V002386 0001323390508 3;JKN Patrick K.;
5.3.9.201904290125 4 81338 1#0##0#0#0.0#2019-10-17
08:01:32#0#00:00:00#00:00:00#00:00:00 1 b9e51537b956766b4b84ae6c409cd7c6
7171104 C 3 CP 2 15/10/2019 15/10/2019 08/07/1982 0 2
1 H10.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LAILA MUSTAFA 052480 37 13613 DR.MELISA
RATAG,SPM 0309R0191019V002385 0001738404955 3;JKN Patrick K.;
5.3.9.201904290125 4 81339 1#0##0#0#0.0#2019-10-17
08:03:50#0#00:00:00#00:00:00#00:00:00 1 61694eb9051a95cdfca548ed03abe367
7171104 C 3 CP 2 15/10/2019 15/10/2019 08/03/1950 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SIGARLAKI PANTOW 052404 69 25423 DR
YULIANA HARTONO,SPM 0309R0191019V002384 0000137738103 3;JKN Patrick K.;
5.3.9.201904290125 4 81340 1#0##0#0#0.0#2019-10-17
08:04:45#0#00:00:00#00:00:00#00:00:00 1 c04d48ad3d1eca8d8dd7f15f3fef13ef
7171104 C 3 CP 2 15/10/2019 15/10/2019 08/01/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LOUISA DOMPAS 051814 62 22925 DR DYANA
T.WATANIA,SPM 0309R0191019V002383 0001838921984 3;JKN Patrick K.;
5.3.9.201904290125 4 81341 1#0##0#0#0.0#2019-10-17
08:06:55#0#00:00:00#00:00:00#00:00:00 1 267e1a0d866d8663f3734987e71f5d70
7171104 C 3 CP 2 15/10/2019 15/10/2019 20/02/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YANTJE LANO 051620 66 24343 DR YULIANA
HARTONO,SPM 0309R0191019V002381 0002435165199 3;JKN Patrick K.;
5.3.9.201904290125 4 81342 1#0##0#0#0.0#2019-10-17
08:07:51#0#00:00:00#00:00:00#00:00:00 1 179d8ba0313ca1f103ebaaf859b64ac0
7171104 C 3 CP 2 15/10/2019 15/10/2019 18/08/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CLARA THERESIA MONTOLALU 039488 70 25625
DR DYANA T.WATANIA,SPM 0309R0191019V002379 0001297007008 3;JKN
Patrick K.; 5.3.9.201904290125 4 81343 1#0##0#0#0.0#2019-10-17
08:09:06#0#00:00:00#00:00:00#00:00:00 1 f4907dfa416e8aa8bff247b7aeef1428
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/11/1992 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PRISKILIA PANGALILA 052478 26 9844 DR
DYANA T.WATANIA,SPM 0309R0191019V002378 0000907605314 3;JKN Patrick K.;
5.3.9.201904290125 4 81344 1#0##0#0#0.0#2019-10-17
08:10:31#0#00:00:00#00:00:00#00:00:00 1 146cf575ee50a13b18f112458e77738d
7171104 C 3 CP 2 15/10/2019 15/10/2019 14/10/1961 0 2
1 Z09.8;H35.3;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TRESYE KUMAUNANG 051375 58 21185 DR
DYANA T.WATANIA,SPM 0309R0191019V002377 0000138505926 3;JKN Patrick K.;
5.3.9.201904290125 4 81345 1#0##0#0#0.0#2019-10-17
08:12:21#0#00:00:00#00:00:00#00:00:00 1 2f98b98cbc2f64636a6c6acfc8733996
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/07/1944 0 1
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JANTJE MORAY 052477 75 27499 DR.MELISA
RATAG,SPM 0309R0191019V002376 0000138873126 3;JKN Patrick K.;
5.3.9.201904290125 4 81346 1#0##0#0#0.0#2019-10-17
08:13:21#0#00:00:00#00:00:00#00:00:00 1 8fba3fbb172163f07b5dee1a8dd49e09
7171104 C 3 CP 2 15/10/2019 15/10/2019 08/05/1960 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOLANDA M. TUMBELAKA 006559 59 21709 DR
RALF PANGALILA,SPM 0309R0191019V002374 0001892274186 3;JKN Patrick K.;
5.3.9.201904290125 4 81347 1#0##0#0#0.0#2019-10-17
08:14:16#0#00:00:00#00:00:00#00:00:00 1 9d369c7bb0bdeb59d1444c3fbbe28f86
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/10/1974 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RUTH PONGOH 051974 45 16450 DR YULIANA
HARTONO,SPM 0309R0191019V002373 0001066870337 3;JKN Patrick K.;
5.3.9.201904290125 4 81348 1#0##0#0#0.0#2019-10-17
08:15:12#0#00:00:00#00:00:00#00:00:00 1 b847cef1540e9ea23eb8fb989914ae62
7171104 C 3 CP 2 15/10/2019 15/10/2019 15/05/1948 0 1
1 Z96.1;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HASAN S. LUNTAJO 015618 71 26085 DR
YULIANA HARTONO,SPM 0309R0191019V002372 0000138279227 3;JKN Patrick K.;
5.3.9.201904290125 4 81349 1#0##0#0#0.0#2019-10-17
08:16:26#0#00:00:00#00:00:00#00:00:00 1 f73ba8d579ff11c394ad65483d5883b0
7171104 C 3 CP 2 15/10/2019 15/10/2019 03/07/1951 0 1
1 Z09.0;H00.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANTJE ALBERT PALAR 007443 68 24941
DR YULIANA HARTONO,SPM 0309R0191019V002371 0000138268214 3;JKN
Patrick K.; 5.3.9.201904290125 4 81350 1#0##0#0#0.0#2019-10-17
08:17:29#0#00:00:00#00:00:00#00:00:00 1 8347a1b68aede19a1a19105bf97dc409
7171104 C 3 CP 2 15/10/2019 15/10/2019 27/06/1961 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARKUS ANG 051865 58 21294 DR YULIANA
HARTONO,SPM 0309R0191019V002370 0002756860648 3;JKN Patrick K.;
5.3.9.201904290125 4 81351 1#0##0#0#0.0#2019-10-17
08:18:20#0#00:00:00#00:00:00#00:00:00 1 0a3a00c4196f921c4302d3067310c72b
7171104 C 3 CP 2 15/10/2019 15/10/2019 15/05/1941 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 APOLONIA MANOPPO 051610 78 28642 DR YULIANA
HARTONO,SPM 0309R0191019V002369 0002442454301 3;JKN Patrick K.;
5.3.9.201904290125 4 81352 1#0##0#0#0.0#2019-10-17
08:19:25#0#00:00:00#00:00:00#00:00:00 1 584ed36b80e5f6ed6bb4a6e1c77e4886
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/09/1960 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SINTJE PETRUS 046526 59 21593 DR YULIANA
HARTONO,SPM 0309R0191019V002367 0001066983761 3;JKN Patrick K.;
5.3.9.201904290125 4 81353 1#0##0#0#0.0#2019-10-17
08:20:14#0#00:00:00#00:00:00#00:00:00 1 8aa43b040c06dcf81882566bf26177fc
7171104 C 3 CP 2 15/10/2019 15/10/2019 23/07/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALEX D. TENDEAN JOUKE 041960 71 26016
DR.MELISA RATAG,SPM 0309R0191019V002366 0000138276876 3;JKN
Patrick K.; 5.3.9.201904290125 4 81354 1#0##0#0#0.0#2019-10-17
08:21:35#0#00:00:00#00:00:00#00:00:00 1 0245252e7eae47b309442f0ec4a7a525
7171104 C 3 CP 2 15/10/2019 15/10/2019 02/04/1940 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LIENA LEENTJE TICOALU 005437 79 29050 DR
RALF PANGALILA,SPM 0309R0191019V002364 0000138280612 3;JKN Patrick K.;
5.3.9.201904290125 4 81355 1#0##0#0#0.0#2019-10-17
08:23:00#0#00:00:00#00:00:00#00:00:00 1 320ae51ec831276bf4b494a5ce8a321e
7171104 C 3 CP 2 15/10/2019 15/10/2019 13/04/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NY ALTJE OPIT RAMPENGAN 052139 70 25752
DR YULIANA HARTONO,SPM 0309R0191019V002362 0000137273668 3;JKN
Patrick K.; 5.3.9.201904290125 4 81357 1#0##0#0#0.0#2019-10-17
08:24:56#0#00:00:00#00:00:00#00:00:00 1 988489e236394bf0a28fdebde1d6f80f
7171104 C 3 CP 2 15/10/2019 15/10/2019 06/10/1978 0 2
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YUNITA SEKOH 052476 41 14984 DR.MELISA
RATAG,SPM 0309R0191019V002360 0002388528178 3;JKN Patrick K.;
5.3.9.201904290125 4 81358 1#0##0#0#0.0#2019-10-17
08:26:03#0#00:00:00#00:00:00#00:00:00 1 7d638ca592907face1271d3484650e19
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/05/1960 0 1
1 H35.2;H43.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HANTJE TATIMU 052475 59 21716 DR
DYANA T.WATANIA,SPM 0309R0191019V002359 0002199258505 3;JKN Patrick K.;
5.3.9.201904290125 4 81359 1#0##0#0#0.0#2019-10-17
08:26:56#0#00:00:00#00:00:00#00:00:00 1 ac77abdabae4d8a5ef0edb1a316843a3
7171104 C 3 CP 2 15/10/2019 15/10/2019 16/05/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADOLFINA LENGKONG 052186 62 22797 DR YULIANA
HARTONO,SPM 0309R0191019V002349 0000157940144 3;JKN Patrick K.;
5.3.9.201904290125 4 81360 1#0##0#0#0.0#2019-10-17
08:28:03#0#00:00:00#00:00:00#00:00:00 1 81d3f3363c33d3d2c4634ea25f26da6f
7171104 C 3 CP 2 15/10/2019 15/10/2019 23/12/1963 0 2
1 Z96.1;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HELENA LISAN LIE 002157 55 20385 DR
DYANA T.WATANIA,SPM 0309R0191019V002347 0001432461093 3;JKN Patrick K.;
5.3.9.201904290125 4 81362 1#0##0#0#0.0#2019-10-17
08:29:18#0#00:00:00#00:00:00#00:00:00 1 b4073386ba78551e1295fb0a02ba03ec
7171104 C 3 CP 2 15/10/2019 15/10/2019 24/05/1948 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EDDY RENGKUNG 051978 71 26076 DR
YULIANA HARTONO,SPM 0309R0191019V002346 0000206941599 3;JKN Patrick K.;
5.3.9.201904290125 4 81363 1#0##0#0#0.0#2019-10-17
08:31:13#0#00:00:00#00:00:00#00:00:00 1 21536f69a892ccfba93aae01f239a4d6
7171104 C 3 CP 2 15/10/2019 15/10/2019 05/11/1941 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VENTJE RUMOKOY 052041 77 28468 DR DYANA
T.WATANIA,SPM 0309R0191019V002345 0002392644587 3;JKN linda03;
5.3.9.201904290125 4 81364 1#0##0#0#0.0#2019-10-17
09:37:44#0#00:00:00#00:00:00#00:00:00 1 883becb0c04099e4e47a22d1991346ec
7171104 C 3 CP 2 15/10/2019 15/10/2019 10/10/1956 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NURDIN KOSU 052121 63 23015 DR YULIANA
HARTONO,SPM 0309R0191019V002344 0002053609007 3;JKN linda03;
5.3.9.201904290125 4 81365 1#0##0#0#0.0#2019-10-17
09:39:14#0#00:00:00#00:00:00#00:00:00 1 797d9529ede915b4472bb209cd132c72
7171104 C 3 CP 2 15/10/2019 15/10/2019 19/08/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HANNI ANDRIES NAJOAN 003711 67 24528 DR
YULIANA HARTONO,SPM 0309R0191019V002343 0000137241641 3;JKN linda03;
5.3.9.201904290125 4 81366 1#0##0#0#0.0#2019-10-17
09:39:58#0#00:00:00#00:00:00#00:00:00 1 cf31c7f7c7c087fdf95bb773ad290dc2
7171104 C 3 CP 2 15/10/2019 15/10/2019 29/04/1954 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANTONIA P. SUNDALANGI 052469 65 23910
DR YULIANA HARTONO,SPM 0309R0191019V002341 0000137782326 3;JKN
linda03; 5.3.9.201904290125 4 81367 1#0##0#0#0.0#2019-10-17
09:40:54#0#00:00:00#00:00:00#00:00:00 1 c281ffbdf5e651fb6501d48df3b34c87
7171104 C 3 CP 2 15/10/2019 15/10/2019 16/08/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AGUSTINA BUNGKAES 050759 69 25262 DR DYANA
T.WATANIA,SPM 0309R0191019V002339 0002240550347 3;JKN linda03;
5.3.9.201904290125 4 81368 1#0##0#0#0.0#2019-10-17
09:43:21#0#00:00:00#00:00:00#00:00:00 1 3cec35b3d85e8afb1d9470968d7da7a9
7171104 C 3 CP 2 15/10/2019 15/10/2019 05/09/1955 0 1
1 H10.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JACOB THOMAS 052468 64 23416 DR.MELISA
RATAG,SPM 0309R0191019V002337 0001477593437 3;JKN linda03;
5.3.9.201904290125 4 81369 1#0##0#0#0.0#2019-10-17
09:44:39#0#00:00:00#00:00:00#00:00:00 1 c06b556f4f8317bc15b159ea0b59ac08
7171104 C 3 CP 2 15/10/2019 15/10/2019 11/08/2013 0 1
1 Z09.8;H15.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUDHISTIRA SATRIA WIRAYUDA YEHOSUA 052236
6 2256 DR.MELISA RATAG,SPM 0309R0191019V002336 0001082528875
3;JKN linda03; 5.3.9.201904290125 4 81370 1#0##0#0#0.0#2019-10-17
09:45:16#0#00:00:00#00:00:00#00:00:00 1 443acf4db786b6fc935b445db11ec574
7171104 C 3 CP 2 15/10/2019 15/10/2019 25/01/1956 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PELEALU JOHAN BERNARD 051193 63 23274
DR RALF PANGALILA,SPM 0309R0191019V002334 0000137955464 3;JKN
linda03; 5.3.9.201904290125 4 81371 1#0##0#0#0.0#2019-10-17
09:46:00#0#00:00:00#00:00:00#00:00:00 1 ae0131782024252243d3d787f3b12aef
7171104 C 3 CP 2 15/10/2019 15/10/2019 14/11/1963 0 1
1 Z09.8;H04.1;H52.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FERRY SETIONO 052261 55 20424
DR.MELISA RATAG,SPM 0309R0191019V002332 0001466590105 3;JKN
linda03; 5.3.9.201904290125 4 81372 1#0##0#0#0.0#2019-10-17
09:53:02#0#00:00:00#00:00:00#00:00:00 1 1be7cc2a47ab71526f3102dda4ec94bc
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/05/1951 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOOTJE MEWOH 051817 68 25004
DR.MELISA RATAG,SPM 0309R0191019V002331 0001569340844 3;JKN
linda03; 5.3.9.201904290125 4 81373 1#0##0#0#0.0#2019-10-17
09:53:40#0#00:00:00#00:00:00#00:00:00 1 c8fa0e9200a605752a65ccc42d3190af
7171104 C 3 CP 2 15/10/2019 15/10/2019 06/10/1969 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLGA SAPELLANANGEN MANAMBE 045738 50
18271 DR RALF PANGALILA,SPM 0309R0191019V002475 0001798345563 3;JKN
Vian02; 5.3.9.201904290125 4 81377 1#0##0#0#0.0#2019-10-17
10:04:51#0#00:00:00#00:00:00#00:00:00 1 496eca31ece742cd8ba37507f25e3385
7171104 C 3 CP 2 15/10/2019 15/10/2019 06/06/1952 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIANA MANALIP 052055 67 24602 DR
YULIANA HARTONO,SPM 0309R0191019V002326 0002239388109 3;JKN linda03;
5.3.9.201904290125 4 81375 1#0##0#0#0.0#2019-10-17
10:05:34#0#00:00:00#00:00:00#00:00:00 1 5b7a1163a5fb88d79ee696f453d60fa0
7171104 C 3 CP 2 15/10/2019 15/10/2019 08/06/1960 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RAMLAN SCHU 051624 59 21678 DR DYANA
T.WATANIA,SPM 0309R0191019V002476 0001261578688 3;JKN Vian02;
5.3.9.201904290125 4 81378 1#0##0#0#0.0#2019-10-17
10:07:01#0#00:00:00#00:00:00#00:00:00 1 1eb7cf83969788c61d5ecf5bc41d32c9
7171104 C 3 CP 2 15/10/2019 15/10/2019 08/06/1956 0 2
1 Z96.1;H26.9;H10.9 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNITJE KAHIMPONG 052002 63 23139
DR DYANA T.WATANIA,SPM 0309R0191019V002330 0000137544761 3;JKN
linda03; 5.3.9.201904290125 4 81379 1#0##0#0#0.0#2019-10-17
10:07:03#0#00:00:00#00:00:00#00:00:00 1 317bfdb62aa07edb88a4de989222816e
7171104 C 3 CP 2 15/10/2019 15/10/2019 17/06/1949 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUSTINUS GUSTAF TAMBAJONG 052392 70
25687 DR YULIANA HARTONO,SPM 0309R0191019V002325 0000138170316 3;JKN
linda03; 5.3.9.201904290125 4 81381 1#0##0#0#0.0#2019-10-17
10:08:31#0#00:00:00#00:00:00#00:00:00 1 11d1ff4920dc37fe56d1f2a07766a45a
7171104 C 3 CP 2 15/10/2019 15/10/2019 07/10/1937 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PAULINA RAINTUNG 051180 82 29958 DR RALF
PANGALILA,SPM 0309R0191019V002478 0002056359249 3;JKN Vian02;
5.3.9.201904290125 4 81382 1#0##0#0#0.0#2019-10-17
10:08:44#0#00:00:00#00:00:00#00:00:00 1 bf58448383a7fefea429e2895adc9abf
7171104 C 3 CP 2 15/10/2019 15/10/2019 31/08/1959 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YENNI BENAWAN 048616 60 21960 DR DYANA
T.WATANIA,SPM 0309R0191019V002479 0002080804318 3;JKN Vian02;
5.3.9.201904290125 4 81383 1#0##0#0#0.0#2019-10-17
10:10:55#0#00:00:00#00:00:00#00:00:00 1 0e79553d00101b84cf3a08cf5eb3f67f
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/10/1937 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAGDALENA KAWUWUNG 022057 82 29964 DR
YULIANA HARTONO,SPM 0309R0191019V002480 0000910105593 3;JKN Vian02;
5.3.9.201904290125 4 81384 1#0##0#0#0.0#2019-10-17
10:12:11#0#00:00:00#00:00:00#00:00:00 1 b7c6ff679611597d7df7601b56f845ad
7171104 C 3 CP 2 15/10/2019 15/10/2019 10/01/2010 0 1
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AL FATHIR RIZKI MODEONG 052496 9 3565 DR
YULIANA HARTONO,SPM 0309R0191019V002472 0002389390132 3;JKN Vian02;
5.3.9.201904290125 4 81299 1#0##0#0#0.0#2019-10-17
10:13:39#0#00:00:00#00:00:00#00:00:00 1 e06fa58437bf04579be17db3f300922b
7171104 C 3 CP 2 15/10/2019 15/10/2019 22/09/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 STIN LENDONGAN 051181 77 28147 DR RALF
PANGALILA,SPM 0309R0191019V002481 0001821599245 3;JKN Vian02;
5.3.9.201904290125 4 81385 1#0##0#0#0.0#2019-10-17
10:14:41#0#00:00:00#00:00:00#00:00:00 1 4e132905cce8e1d3305effb0dc257546
7171104 C 3 CP 2 15/10/2019 15/10/2019 10/04/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PIET TAMPOMURI 044059 64 23564 DR.MELISA
RATAG,SPM 0309R0191019V002482 0001479364828 3;JKN Vian02;
5.3.9.201904290125 4 81386 1#0##0#0#0.0#2019-10-17
10:15:24#0#00:00:00#00:00:00#00:00:00 1 0500f8a38a747887b66f377d2d9fa445
7171104 C 3 CP 2 15/10/2019 15/10/2019 07/10/1959 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALTJE PANTOW 043953 60 21923 DR.MELISA
RATAG,SPM 0309R0191019V002483 0001721244813 3;JKN Vian02;
5.3.9.201904290125 4 81387 1#0##0#0#0.0#2019-10-17
10:16:11#0#00:00:00#00:00:00#00:00:00 1 8eb420f8e1a85c012ab7818054ab8c6b
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/04/1975 0 2
1 Z09.8;H53.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANTJE DEVNI KORAAG 016190 44 16268
DR RALF PANGALILA,SPM 0309R0191019V002324 0001378769152 3;JKN
linda03; 5.3.9.201904290125 4 81388 1#0##0#0#0.0#2019-10-17
10:16:34#0#00:00:00#00:00:00#00:00:00 1 38cde796d64735f36b20b7569eed059b
7171104 C 3 CP 2 15/10/2019 15/10/2019 06/07/1969 0 2
1 Z09.8;H26.9;H30.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OWAN TOWADI 049854 50 18363 DR DYANA
T.WATANIA,SPM 0309R0191019V002323 0002239782592 3;JKN linda03;
5.3.9.201904290125 4 81389 1#0##0#0#0.0#2019-10-17
10:17:23#0#00:00:00#00:00:00#00:00:00 1 ccc9c8617fdb963e9d085a2c88217ccb
7171104 C 3 CP 2 15/10/2019 15/10/2019 26/04/1965 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOSEPHINA KAUNANG 052508 54 19895 DR DYANA
T.WATANIA,SPM 0309R0191019V002328 0001477594394 3;JKN linda03;
5.3.9.201904290125 4 81374 1#0##0#0#0.0#2019-10-17
10:20:20#0#00:00:00#00:00:00#00:00:00 2 e9f6351306657adb5358b3a40f54f9d5
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/06/1960 0 1
1 Z96.1;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KANSELIR SAMURI 012636 59 21685 DR
DYANA T.WATANIA,SPM 0309R0191019V002322 0000911064306 3;JKN linda03;
5.3.9.201904290125 4 81390 1#0##0#0#0.0#2019-10-17
10:22:12#0#00:00:00#00:00:00#00:00:00 1 11fdc74bd00a169c9228c16a1a5cb30f
7171104 C 3 CP 2 15/10/2019 15/10/2019 21/09/1971 0 2
1 H49.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LIDYA SERVIANTY KANDOU 052467 48 17556 DR
RALF PANGALILA,SPM 0309R0191019V002321 0001787042597 3;JKN linda03;
5.3.9.201904290125 4 81391 1#0##0#0#0.0#2019-10-17
10:29:47#0#00:00:00#00:00:00#00:00:00 1 c59eda05bf48b34f436e78c9e2d93483
7171104 C 3 CP 2 15/10/2019 15/10/2019 21/06/1960 0 2
1 Z09.0;H40.8;H25.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANI DORTJE KAUNANG 030162 59 21665
DR RALF PANGALILA,SPM 0309R0191019V002320 0001834427193 3;JKN
linda03; 5.3.9.201904290125 4 81392 1#0##0#0#0.0#2019-10-17
10:30:38#0#00:00:00#00:00:00#00:00:00 1 acad2d8f60622f075c5be12fcc1bb900
7171104 C 3 CP 2 15/10/2019 15/10/2019 06/04/1953 0 1
1 Z09.8;H43.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CELESTINUS KAUNANG 052241 66 24298
DR RALF PANGALILA,SPM 0309R0191019V002315 0002743497178 3;JKN
linda03; 5.3.9.201904290125 4 81393 1#0##0#0#0.0#2019-10-17
10:35:56#0#00:00:00#00:00:00#00:00:00 1 346e7856dc9fe501e0650484deb66628
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/04/1984 0 2
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MENY MANANGGUNG 052466 35 12980 DR RALF
PANGALILA,SPM 0309R0191019V002313 0000908309621 3;JKN linda03;
5.3.9.201904290125 4 81395 1#0##0#0#0.0#2019-10-17
10:37:42#0#00:00:00#00:00:00#00:00:00 1 b63911fc3799e13c311e9cb2b0ff0094
7171104 C 3 CP 2 15/10/2019 15/10/2019 07/12/1965 0 2
1 Z96.1;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELLEN TINEKE SOMBAH 049417 53 19670
DR DYANA T.WATANIA,SPM 0309R0191019V002312 0000139012749 3;JKN
linda03; 5.3.9.201904290125 4 81396 1#0##0#0#0.0#2019-10-17
10:38:20#0#00:00:00#00:00:00#00:00:00 1 ca70f2160efed38fdab5beb36c3ba247
7171104 C 3 CP 2 15/10/2019 15/10/2019 08/06/1961 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHN HENRY KENNEDY SUMAMPOUW 052465 58
21313 DR DYANA T.WATANIA,SPM 0309R0191019V002311 0000138439743 3;JKN
linda03; 5.3.9.201904290125 4 81397 1#0##0#0#0.0#2019-10-17
10:39:16#0#00:00:00#00:00:00#00:00:00 1 0fe67147b7a914976e7e4fdaa96d420e
7171104 C 3 CP 2 15/10/2019 15/10/2019 08/11/1939 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LOISYE E. RUNTUWAILAN 014145 79 29196 DR
RALF PANGALILA,SPM 0309R0191019V002309 0000138246974 3;JKN linda03;
5.3.9.201904290125 4 81398 1#0##0#0#0.0#2019-10-17
10:40:02#0#00:00:00#00:00:00#00:00:00 1 d38143f00bd4e2bc0bfa855eb5643729
7171104 C 3 CP 2 15/10/2019 15/10/2019 21/10/1947 0 1
1 Z09.8;H27.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FREDY RUMENGAN 051787 71 26292 DR
DYANA T.WATANIA,SPM 0309R0191019V002485 0002885646431 3;JKN Vian02;
5.3.9.201904290125 4 81399 1#0##0#0#0.0#2019-10-17
10:40:15#0#00:00:00#00:00:00#00:00:00 1 ba86e225f732761b5d2a6d38adacb466
7171104 C 3 CP 2 15/10/2019 15/10/2019 10/05/1948 0 2
1 Z96.1;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARIANTJE KAPOH 023615 71 26090 DR
DYANA T.WATANIA,SPM 0309R0191019V002308 0000138946342 3;JKN linda03;
5.3.9.201904290125 4 81400 1#0##0#0#0.0#2019-10-17
10:40:47#0#00:00:00#00:00:00#00:00:00 1 61ac4375fba0e478c4b0b1bb324de513
7171104 C 3 CP 2 15/10/2019 15/10/2019 29/12/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANDRIAN DAVID 012348 63 23301 DR YULIANA
HARTONO,SPM 0309R0191019V002486 0001439930136 3;JKN Vian02;
5.3.9.201904290125 4 81401 1#0##0#0#0.0#2019-10-17
10:40:49#0#00:00:00#00:00:00#00:00:00 1 bd183c26baf847d607da5ce9e15ce1f1
7171104 C 3 CP 2 15/10/2019 15/10/2019 10/02/1947 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SAFINA SANUSI 005310 72 26545 DR
YULIANA HARTONO,SPM 0309R0191019V002306 0002216023705 3;JKN linda03;
5.3.9.201904290125 4 81402 1#0##0#0#0.0#2019-10-17
10:41:36#0#00:00:00#00:00:00#00:00:00 1 64dd85275143291fa9d4347917ab9927
7171104 C 3 CP 2 15/10/2019 15/10/2019 18/08/1947 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WELLEM PUNUH 052187 72 26356 DR YULIANA
HARTONO,SPM 0309R0191019V002487 0002072265401 3;JKN Vian02;
5.3.9.201904290125 4 81404 1#0##0#0#0.0#2019-10-17
10:42:11#0#00:00:00#00:00:00#00:00:00 1 179a9624322b5c5c40dbe9a1fb961d59
7171104 C 3 CP 2 15/10/2019 15/10/2019 17/08/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOOST JUSTUS SUAK 052056 71 25991 DR RALF
PANGALILA,SPM 0309R0191019V002305 0001903421654 3;JKN linda03;
5.3.9.201904290125 4 81405 1#0##0#0#0.0#2019-10-17
10:42:38#0#00:00:00#00:00:00#00:00:00 1 4d3508454538ec0e5d6d6429adf22cdc
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/04/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SARCE SAMBIRAN 052500 74 27225 DR YULIANA
HARTONO,SPM 0309R0191019V002488 0000907823665 3;JKN Vian02;
5.3.9.201904290125 4 81406 1#0##0#0#0.0#2019-10-17
10:43:02#0#00:00:00#00:00:00#00:00:00 1 adf06660cd0b0a1f62f096127466572c
7171104 C 3 CP 2 15/10/2019 15/10/2019 19/03/1979 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 IMELDA DIANA MUSSU 052464 40 14820 DR
RALF PANGALILA,SPM 0309R0191019V002304 0001337675174 3;JKN linda03;
5.3.9.201904290125 4 81407 1#0##0#0#0.0#2019-10-17
10:43:27#0#00:00:00#00:00:00#00:00:00 1 8ca530f7dca886ad6b70b8e77002d08c
7171104 C 3 CP 2 15/10/2019 15/10/2019 22/11/2007 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADVENTUROUS PRINCESS NELWAN 045867 11 4345
DR DYANA T.WATANIA,SPM 0309R0191019V002491 0000908310508 3;JKN
Vian02; 5.3.9.201904290125 4 81408 1#0##0#0#0.0#2019-10-17
10:43:45#0#00:00:00#00:00:00#00:00:00 1 5598138e17824c5c1a6411170d45688c
7171104 C 3 CP 2 15/10/2019 15/10/2019 03/04/1974 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALLEN SUPIT 052203 45 16631 DR DYANA
T.WATANIA,SPM 0309R0191019V002492 0002073098935 3;JKN Vian02;
5.3.9.201904290125 4 81409 1#0##0#0#0.0#2019-10-17
10:44:38#0#00:00:00#00:00:00#00:00:00 1 99ef248e213d04761a16500e6f99a62a
7171104 C 3 CP 2 15/10/2019 15/10/2019 24/08/1967 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JERRY TUWAIDAN 050913 52 19045 DR DYANA
T.WATANIA,SPM 0309R0191019V002493 0001827051579 3;JKN Vian02;
5.3.9.201904290125 4 81410 1#0##0#0#0.0#2019-10-17
10:45:35#0#00:00:00#00:00:00#00:00:00 1 e6f809593176a4f934e0fc9698887754
7171104 C 3 CP 2 15/10/2019 15/10/2019 08/09/1989 0 1
1 Z96.1;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADRIE MAWIKERE 043791 30 10994 DR
DYANA T.WATANIA,SPM 0309R0191019V002494 0001565227517 3;JKN Vian02;
5.3.9.201904290125 4 81411 1#0##0#0#0.0#2019-10-17
10:46:43#0#00:00:00#00:00:00#00:00:00 1 81a6dc7aa0bdf917789e8c224313dab2
7171104 C 3 CP 2 15/10/2019 15/10/2019 27/01/1949 0 2
1 Z09.8;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANS MAGRIETJE ASSA 000004 70 25828
DR.MELISA RATAG,SPM 0309R0191019V002495 0000138279835 3;JKN
Vian02; 5.3.9.201904290125 4 81412 230#0##0#0#0.0#2019-10-17
10:51:55#0#00:00:00#00:00:00#00:00:00 1 3e80e660d10eebf2182758b1f8aceabb
7171104 C 3 CP 2 15/10/2019 15/10/2019 05/03/1953 0 1
1 H26.9;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HASAN KAIRUPAN 052502 66 24330 DR
DYANA T.WATANIA,SPM 0309R0191019V002497 0002043985667 3;JKN Vian02;
5.3.9.201904290125 4 81413 1#0##0#0#0.0#2019-10-17
10:53:53#0#00:00:00#00:00:00#00:00:00 1 d0cdd756be3c38e9255b6233c7e53f18
7171104 C 3 CP 2 15/10/2019 15/10/2019 30/09/1976 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SERLLY SELVY KINDANGEN 052503 43 15720
DR YULIANA HARTONO,SPM 0309R0191019V002498 0000137969381 3;JKN
Vian02; 5.3.9.201904290125 4 81414 1#0##0#0#0.0#2019-10-17
10:55:04#0#00:00:00#00:00:00#00:00:00 1 c65085f84fafa1f575d9baa9d5a1fe8b
7171104 C 3 CP 2 15/10/2019 15/10/2019 24/11/1985 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BRIAN JONATHAN GERALDY PUA 051914 33
12378 DR.MELISA RATAG,SPM 0309R0191019V002499 0002388501077 3;JKN
Vian02; 5.3.9.201904290125 4 81415 1#0##0#0#0.0#2019-10-17
10:56:00#0#00:00:00#00:00:00#00:00:00 1 d0723fc6ef25ee2f515e3641cae1a8e9
7171104 C 3 CP 2 15/10/2019 15/10/2019 10/02/1984 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HERDI FABRIAN THIO 026098 35 13031
DR.MELISA RATAG,SPM 0309R0191019V002500 0001326368698 3;JKN
Vian02; 5.3.9.201904290125 4 81416 1#0##0#0#0.0#2019-10-17
10:56:49#0#00:00:00#00:00:00#00:00:00 1 a09f1ca3b154d9cd8af2454c1d78100a
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/03/2000 0 1
1 H18.8 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SIMON NELWAN 052506 19 7167 DR.MELISA
RATAG,SPM 0309R0191019V002501 0000906491428 3;JKN Vian02;
5.3.9.201904290125 4 81417 1#0##0#0#0.0#2019-10-17
11:03:04#0#00:00:00#00:00:00#00:00:00 1 af579f0995d41863eb83b3e57a5a5ec9
7171104 C 3 CP 2 15/10/2019 15/10/2019 06/06/1961 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LEXI WENAS 052507 58 21315 DR.MELISA
RATAG,SPM 0309R0191019V002502 0002896185249 3;JKN Vian02;
5.3.9.201904290125 4 81418 1#0##0#0#0.0#2019-10-17
11:03:58#0#00:00:00#00:00:00#00:00:00 1 b26663a69f41b40c3a2b3b09dec29507
7171104 C 3 CP 2 15/10/2019 15/10/2019 03/04/1983 0 2
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 GREETY FARIDA KORAAG 024352 36 13344
DR.MELISA RATAG,SPM 0309R0191019V002503 0002040491902 3;JKN
Vian02; 5.3.9.201904290125 4 81419 1#0##0#0#0.0#2019-10-17
11:05:52#0#00:00:00#00:00:00#00:00:00 1 b1dcf1166dc745b16b913a66e7ed19ac
7171104 C 3 CP 2 15/10/2019 15/10/2019 26/08/1976 0 2
1 H52.4;H43.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANITA KALIGIS 052463 43 15755
DR.MELISA RATAG,SPM 0309R0191019V002300 0001897594997 3;JKN
linda03; 5.3.9.201904290125 4 81420 1#0##0#0#0.0#2019-10-17
11:32:54#0#00:00:00#00:00:00#00:00:00 1 49905a33212a36325a298d60e003bc18
7171104 C 3 CP 2 15/10/2019 15/10/2019 14/09/1964 0 2
1 Z09.8;H26.9;H35.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SIANE KAWENGIAN 033982 55 20119 DR
DYANA T.WATANIA,SPM 0309R0191019V002299 0000139224036 3;JKN linda03;
5.3.9.201904290125 4 81421 41#0##0#0#0.0#2019-10-17
11:40:41#0#00:00:00#00:00:00#00:00:00 1 00c324ed3eef679e19864f315e30098b
7171104 C 3 CP 2 15/10/2019 15/10/2019 19/03/1934 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTINA PASIOWAN 021124 85 31256 DR
YULIANA HARTONO,SPM 0309R0191019V002298 0001565096174 3;JKN linda03;
5.3.9.201904290125 4 81422 1#0##0#0#0.0#2019-10-17
11:49:50#0#00:00:00#00:00:00#00:00:00 1 ff54c2321ce23184a66329ad02b10679
7171104 C 3 CP 2 15/10/2019 15/10/2019 19/01/1990 0 2
1 H44.0;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YANI MAHMUD 052462 29 10861 DR.MELISA
RATAG,SPM 0309R0191019V002297 0002241635332 3;JKN linda03;
5.3.9.201904290125 4 81423 1#0##0#0#0.0#2019-10-17
11:50:54#0#00:00:00#00:00:00#00:00:00 1 f8b870c38e7dcb02840561caa0c9c782
7171104 C 3 CP 2 15/10/2019 15/10/2019 12/07/1959 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HANNY BOHANG 051804 60 22010 DR DYANA
T.WATANIA,SPM 0309R0191019V002295 0001886601486 3;JKN linda03;
5.3.9.201904290125 4 81424 1#0##0#0#0.0#2019-10-17
12:00:14#0#00:00:00#00:00:00#00:00:00 1 e0c0e58efacfd5f1566e0258c6e2d3d6
7171104 C 3 CP 2 15/10/2019 15/10/2019 22/08/1957 0 2
1 H40.0;Z09.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEINY CAMELIA MONINGKA 052263 62 22699
DR RALF PANGALILA,SPM 0309R0191019V002294 0001971344777 3;JKN
linda03; 5.3.9.201904290125 4 81425 1#0##0#0#0.0#2019-10-17
12:01:25#0#00:00:00#00:00:00#00:00:00 1 d1c64d5c0323b696690ff8c242bae659
7171104 C 3 CP 2 15/10/2019 15/10/2019 04/10/1930 0 2
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA TANIA 007407 89 32518 DR YULIANA
HARTONO,SPM 0309R0191019V002293 0000137027698 3;JKN linda03;
5.3.9.201904290125 4 81426 1#0##0#0#0.0#2019-10-17
12:02:20#0#00:00:00#00:00:00#00:00:00 1 8660e1eb3e183132407cc1b74ddbc9c1
7171104 C 3 CP 2 15/10/2019 15/10/2019 03/01/1962 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZAKIR LAKODI 052223 57 21104 DR
YULIANA HARTONO,SPM 0309R0191019V002292 0001093549206 3;JKN linda03;
5.3.9.201904290125 4 81427 1#0##0#0#0.0#2019-10-17
12:03:38#0#00:00:00#00:00:00#00:00:00 1 482b821100146708c53c471f46a5f408
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/05/1963 0 2
1 Z09.0;H25.1;H11.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PIRANG DERAK 051886 56 20621
DR.MELISA RATAG,SPM 0309R0191019V002291 0000907813348 3;JKN
linda03; 5.3.9.201904290125 4 81428 1#0##0#0#0.0#2019-10-17
12:09:26#0#00:00:00#00:00:00#00:00:00 1 06bd48b27e78c8655732b8af807c5ba1
7171104 C 3 CP 2 15/10/2019 15/10/2019 16/01/1953 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOHANIS KATUUK 051983 66 24378 DR
YULIANA HARTONO,SPM 0309R0191019V002289 0001066870124 3;JKN linda03;
5.3.9.201904290125 4 81429 1#0##0#0#0.0#2019-10-17
12:10:38#0#00:00:00#00:00:00#00:00:00 1 62e838942c2ee0c590535eb781d0c64d
7171104 C 3 CP 2 15/10/2019 15/10/2019 09/02/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHAN W. MANTIRI 051646 69 25450 DR YULIANA
HARTONO,SPM 0309R0191019V002288 0001565051062 3;JKN linda03;
5.3.9.201904290125 4 81430 1#0##0#0#0.0#2019-10-17
12:11:23#0#00:00:00#00:00:00#00:00:00 1 cf419bdabe244957d16ff7929ed8d79b
7171104 C 3 CP 2 15/10/2019 15/10/2019 18/04/1960 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALFRETS. L.TAWALUJAN 037023 59 21729 DR
YULIANA HARTONO,SPM 0309R0191019V002287 0000138527605 3;JKN linda03;
5.3.9.201904290125 4 81431 1#0##0#0#0.0#2019-10-17
12:12:17#0#00:00:00#00:00:00#00:00:00 1 471ee04cda4bc9ba7d16cad7faa39f4e
7171104 C 3 CP 2 15/10/2019 15/10/2019 08/11/1955 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DOORTJE PANTOW 051687 63 23352 DR
YULIANA HARTONO,SPM 0309R0191019V002286 0000139100409 3;JKN linda03;
5.3.9.201904290125 4 81432 1#0##0#0#0.0#2019-10-17
12:27:00#0#00:00:00#00:00:00#00:00:00 1 1ca3f3acf88fa089ce016532e3b4f173
7171104 C 3 CP 2 15/10/2019 15/10/2019 03/09/1947 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA TH. NGANTUNG S 051975 72 26340
DR YULIANA HARTONO,SPM 0309R0191019V002284 0000137168673 3;JKN
linda03; 5.3.9.201904290125 4 81433 1#0##0#0#0.0#2019-10-17
12:27:50#0#00:00:00#00:00:00#00:00:00 1 02bca74f3060d08a9c5b34a8963f2591
7171104 C 3 CP 2 15/10/2019 15/10/2019 14/03/1953 0 1
1 Z09.8;H26.9;H40.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FERDY HERMAN ROMBOT 034018 66 24321
DR YULIANA HARTONO,SPM 0309R0191019V002283 0001278757754 3;JKN
linda03; 5.3.9.201904290125 4 81434 1#0##0#0#0.0#2019-10-17
12:28:41#0#00:00:00#00:00:00#00:00:00 1 dbef5bbf3eb9b61e5bbe8ac0d6c1312b
7171104 C 3 CP 2 15/10/2019 15/10/2019 13/08/1944 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LOLE SAMPEL SUMAMPOW 036850b 75 27456
DR YULIANA HARTONO,SPM 0309R0191019V002282 0001439195038 3;JKN
linda03; 5.3.9.201904290125 4 81435 1#0##0#0#0.0#2019-10-17
12:29:22#0#00:00:00#00:00:00#00:00:00 1 fedafaf68049305cc86908f47159bacf
7171104 C 3 CP 2 15/10/2019 15/10/2019 05/01/1957 0 2
1 Z09.0;H43.1;Z96.1;E11.3 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANI SAKUL 017768 62 22928 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V002280 0001813080969 3;JKN linda03;
5.3.9.201904290125 4 81436 1#0##0#0#0.0#2019-10-17
12:32:25#0#00:00:00#00:00:00#00:00:00 1 0bf23f3b0a96b54d9b7e5e4b9bd96abd
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/02/1944 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CORIE ROSANG 052429 75 27650 DR
YULIANA HARTONO,SPM 0309R0191019V002279 0001851095068 3;JKN linda03;
5.3.9.201904290125 4 81437 1#0##0#0#0.0#2019-10-17
12:39:28#0#00:00:00#00:00:00#00:00:00 1 733aa031a425b0ae94311585223fb5dc
7171104 C 3 CP 2 15/10/2019 15/10/2019 13/06/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JHONY LELA 051235 64 23500 DR YULIANA
HARTONO,SPM 0309R0191019V002276 0000907424831 3;JKN linda03;
5.3.9.201904290125 4 81438 1#0##0#0#0.0#2019-10-17
12:41:20#0#00:00:00#00:00:00#00:00:00 1 a8945751b0a03da4f9b776ae2efaf454
7171104 C 3 CP 2 15/10/2019 15/10/2019 20/12/1954 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JETTY TINTINGON 051976 64 23675 DR
YULIANA HARTONO,SPM 0309R0191019V002275 0001604482863 3;JKN linda03;
5.3.9.201904290125 4 81439 1#0##0#0#0.0#2019-10-17
12:52:40#0#00:00:00#00:00:00#00:00:00 1 a7ae91634bee64be0f8bd96b4c32ce2b
7171104 C 3 CP 2 15/10/2019 15/10/2019 09/03/1947 0 1
1 Z09.8;H46 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTHEN F. WUWUNGAN 007002 72 26518
DR YULIANA HARTONO,SPM 0309R0191019V002274 0000138231551 3;JKN
linda03; 5.3.9.201904290125 4 81440 1#0##0#0#0.0#2019-10-17
12:57:08#0#00:00:00#00:00:00#00:00:00 1 1eba07937d8826019d67cbda1673a9e4
7171104 C 3 CP 2 15/10/2019 15/10/2019 22/05/1938 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HENKIE RUMENGAN 049645 81 29731 DR DYANA
T.WATANIA,SPM 0309R0191019V002273 0001568323293 3;JKN linda03;
5.3.9.201904290125 4 81441 1#0##0#0#0.0#2019-10-17
12:57:42#0#00:00:00#00:00:00#00:00:00 1 fd065c035bad2908d34a53c91055f70e
7171104 C 3 CP 2 15/10/2019 15/10/2019 04/08/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AMINA BULOTO 052226 65 23813 DR YULIANA
HARTONO,SPM 0309R0191019V002272 0000908008604 3;JKN linda03;
5.3.9.201904290125 4 81442 1#0##0#0#0.0#2019-10-17
12:58:18#0#00:00:00#00:00:00#00:00:00 1 e5ae21d3706d97e31cfc37c2a3a7edae
7171104 C 3 CP 2 15/10/2019 15/10/2019 28/07/1946 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WEMPI PANDEY 018571 73 26742 DR
YULIANA HARTONO,SPM 0309R0191019V002271 0000138945385 3;JKN linda03;
5.3.9.201904290125 4 81443 1#0##0#0#0.0#2019-10-17
13:01:07#0#00:00:00#00:00:00#00:00:00 1 164c86827e1e26295d2597a1733c8e7a
7171104 C 3 CP 2 15/10/2019 15/10/2019 23/03/2003 0 1
1 Z09.8;H05.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARCHVILIO THEO TANGKERE 051191 16
6050 DR YULIANA HARTONO,SPM 0309R0191019V002266 0001283720229 3;JKN
linda03; 5.3.9.201904290125 4 81445 1#0##0#0#0.0#2019-10-17
13:05:27#0#00:00:00#00:00:00#00:00:00 1 d379da495b30181729146b2c14c4f80c
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/03/1975 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NOFRINE MALONDA 021012 44 16299 DR YULIANA
HARTONO,SPM 0309R0191019V002265 0000910084487 3;JKN linda03;
5.3.9.201904290125 4 81447 1#0##0#0#0.0#2019-10-17
13:06:07#0#00:00:00#00:00:00#00:00:00 1 58b5f92c6645dc13126d6cb670367b65
7171104 C 3 CP 2 15/10/2019 15/10/2019 20/02/1967 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRANCKY ROOYKE TENG 022443 52 19230
DR RALF PANGALILA,SPM 0309R0191019V002264 0000136955698 3;JKN
linda03; 5.3.9.201904290125 4 81448 1#0##0#0#0.0#2019-10-17
13:07:16#0#00:00:00#00:00:00#00:00:00 1 7f19299c0dd5e18ddedf9aa4ebaff1f2
7171104 C 3 CP 2 15/10/2019 15/10/2019 06/11/1952 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PATRAS ARNOLD HM 032981 66 24449 DR
YULIANA HARTONO,SPM 0309R0191019V002262 0000138195639 3;JKN linda03;
5.3.9.201904290125 4 81449 6#0##0#0#0.0#2019-10-17
13:08:11#0#00:00:00#00:00:00#00:00:00 1 364c915a0de05a4aa71db1a04cb65ab1
7171104 C 3 CP 2 15/10/2019 15/10/2019 28/11/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DAUD REGAR 017197 70 25888 DR YULIANA
HARTONO,SPM 0309R0191019V002261 0001437017916 3;JKN linda03;
5.3.9.201904290125 4 81452 1#0##0#0#0.0#2019-10-17
13:10:39#0#00:00:00#00:00:00#00:00:00 1 a47abe7372b3dc4756a9421d447a9cbd
7171104 C 3 CP 2 15/10/2019 15/10/2019 17/12/1964 0 2
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DIENTJE SERLIE SOPUTAN 007122 54 20025
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002260 0001474364103 3;JKN
linda03; 5.3.9.201904290125 4 81453 1#0##0#0#0.0#2019-10-17
13:11:26#0#00:00:00#00:00:00#00:00:00 1 fc7c5b1e235ce5979332f5cda7253a1d
7171104 C 3 CP 2 15/10/2019 15/10/2019 15/12/1954 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LEKSI KAWUWUNG 051999 64 23680 DR
YULIANA HARTONO,SPM 0309R0191019V002259 0000136962325 3;JKN linda03;
5.3.9.201904290125 4 81455 1#0##0#0#0.0#2019-10-17
13:12:10#0#00:00:00#00:00:00#00:00:00 1 823cedd18ee82074840bd9eb2071ca53
7171104 C 3 CP 2 15/10/2019 15/10/2019 20/05/1968 0 2
1 Z09.8;H33.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEBBY WALELENG 041745 51 18775 DR
DYANA T.WATANIA,SPM 0309R0191019V002412 0002463326076 3;JKN Patrick K.;
5.3.9.201904290125 4 81538 1#0##0#0#0.0#2019-10-18
07:12:38#0#00:00:00#00:00:00#00:00:00 1 d5b53cf9649ab2440e689fc5080feddb
7171104 C 3 CP 2 15/10/2019 15/10/2019 26/09/1938 0 1
1 H10.5 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ZIANET HAMEL 052649 81 29604 DR.MELISA
RATAG,SPM 0309R0191019V002268 0002062861659 3;JKN linda03;
5.3.9.201904290125 4 81444 1#0##0#0#0.0#2019-10-23
07:33:37#0#00:00:00#00:00:00#00:00:00 1 b80b71a566359e057dd9f17922065cdd
7171104 C 3 CP 2 15/10/2019 15/10/2019 12/11/1952 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROBERT RATAG 052407 66 24443 DR
YULIANA HARTONO,SPM 0309R0191019V002267 0001066815527 3;JKN linda03;
5.3.9.201904290125 4 82099 1#0##0#0#0.0#2019-10-23
07:49:49#0#00:00:00#00:00:00#00:00:00 1 57ef23000dcdc3e8a0acfc1d2997079e
7171104 C 3 CP 2 15/10/2019 15/10/2019 26/03/1945 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEETJE.GELDA. WERUNG LIANDO NY 052501 74
27231 DR DYANA T.WATANIA,SPM 0309R0191019V002489 0000138264423 3;JKN
Vian02; 5.3.9.201904290125 4 82155 1#0##0#0#0.0#2019-10-23
08:56:02#0#00:00:00#00:00:00#00:00:00 1 794472a1f5c4cadbc18f874047efdcfe
7171104 C 3 CP 2 15/10/2019 15/10/2019 06/04/1962 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SATRIA ABAS 000338
57 21011 DR PAULA M V LUMUNON,SPM 0309R0191019V002419
0001789201664 3;JKN Boni04; 5.3.9.201904290125 4 82664
1#0##0#0#0.0#2019-10-24 12:23:49#0#00:00:00#00:00:00#00:00:00 1
cdd1e20ad3a8f9770623ddf14ec44248
7171104 C 3 CP 2 15/10/2019 15/10/2019 14/06/1956 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHNY KAWINDAH
016528 63 23133 DR PAULA M V LUMUNON,SPM 0309R0191019V002413
0001261985229 3;JKN Boni04; 5.3.9.201904290125 4 82670
1#0##0#0#0.0#2019-10-24 12:26:05#0#00:00:00#00:00:00#00:00:00 1
defabd3a30a3501a0c0d8e6188aa43af
7171104 C 3 CP 2 15/10/2019 15/10/2019 13/12/1954 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DETSY L
MONTORORING 018356 64 23682 DR PAULA M V LUMUNON,SPM
0309R0191019V002375 0000155769669 3;JKN Boni04; 5.3.9.201904290125
4 82673 1#0##0#0#0.0#2019-10-24 12:27:33#0#00:00:00#00:00:00#00:00:00
1 06e580c5fd016399f77d87ca9a726883
7171104 C 3 CP 2 15/10/2019 15/10/2019 23/03/1975 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARLINCE K TENGKUE
052289 44 16277 DR PAULA M V LUMUNON,SPM 0309R0191019V002281
0002043227261 3;JKN Boni04; 5.3.9.201904290125 4 82677
1#0##0#0#0.0#2019-10-24 12:29:11#0#00:00:00#00:00:00#00:00:00 1
b9382dc754b97b21348fff59a983c5fe
7171104 C 3 CP 2 15/10/2019 15/10/2019 08/06/1947 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FEMMY JULIANA
TAMBUWUN 052200 72 26427 DR PAULA M V LUMUNON,SPM
0309R0191019V002463 0002744777507 3;JKN Boni04; 5.3.9.201904290125
4 82680 1#0##0#0#0.0#2019-10-24 12:32:28#0#00:00:00#00:00:00#00:00:00
1 12390e2841676430828f2fa362c3cb52
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/01/1947 0 1
1 H26.9 13.59;13.71 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 BERNAD GINGGIRAN 052145 72 26585 DR
IVONNE RAMENUSA,SPM 0309R0191019V002310 0000906800354 3;JKN Boni04;
5.3.9.201904290125 4 82685 1#0##0#0#0.0#2019-10-24
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0 7013200 7478600 0 1 0 0 0 AKNES TINUNGKI
016318 70 25595 DR SALAM SURBAKTI,SPM 0309R0191019V002301
0000137523464 3;JKN Boni04; 5.3.9.201904290125 4 82715
1#0##0#0#0.0#2019-10-24 14:06:53#0#00:00:00#00:00:00#00:00:00 1
12abad05c21a7671edcf3c843fb4e2ca
7171104 C 3 CP 2 15/10/2019 15/10/2019 13/10/1941 0 1
1 H26.4;H01.0 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 MIENTJE SEPANG 013814 78 28491
DR.MELISA RATAG,SPM 0309R0191019V002285 0001439197784 3;JKN
Boni04; 5.3.9.201904290125 4 82729 1#0##0#0#0.0#2019-10-24
14:14:54#0#00:00:00#00:00:00#00:00:00 1 1fe975fcc7ec18da5b42fb1d74663bd3
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/01/1987 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 HARIS SULEMAN 025186 32 11975
DR.MELISA RATAG,SPM 0309R0191019V002361 0000908360065 3;JKN
Boni04; 5.3.9.201904290125 4 82730 1#0##0#0#0.0#2019-10-24
14:15:37#0#00:00:00#00:00:00#00:00:00 1 702ee6ca62737cc834528af6f8e7207b
7171104 C 3 CP 2 15/10/2019 15/10/2019 15/04/1949 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 VONNY LORETA KALIGIS 024038 70 25750
DR.MELISA RATAG,SPM 0309R0191019V002437 0001301599899 3;JKN
Boni04; 5.3.9.201904290125 4 82731 1#0##0#0#0.0#2019-10-24
14:17:15#0#00:00:00#00:00:00#00:00:00 1 1f834196ba85485e24d4c0082e9f12a3
7171104 C 3 CP 2 15/10/2019 15/10/2019 10/04/1951 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 MANUEL RANTUNG 020681 68 25025 DR
YULIANA HARTONO,SPM 0309R0191019V002278 0001813079417 3;JKN Boni04;
5.3.9.201904290125 4 82732 1#0##0#0#0.0#2019-10-24
14:17:59#0#00:00:00#00:00:00#00:00:00 1 ce7d6a900bc10b00513919bfa489b32a
7171104 C 3 CP 2 15/10/2019 15/10/2019 23/02/1957 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 FEMMY MAMANGKEY 006398 62 22879 DR
YULIANA HARTONO,SPM 0309R0191019V002277 0001889167127 3;JKN Boni04;
5.3.9.201904290125 4 82733 1#0##0#0#0.0#2019-10-24
14:20:20#0#00:00:00#00:00:00#00:00:00 1 878bd46247d91dc4075b7e882efd109d
7171104 C 3 CP 2 15/10/2019 15/10/2019 02/02/1972 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NURAIN ARSJAD 052642 47 17422 DR
RALF PANGALILA,SPM 0309R0191019V002435 0002225080754 3;JKN Vian02;
5.3.9.201904290125 4 82156 1#0##0#0#0.0#2019-10-25
09:26:32#0#00:00:00#00:00:00#00:00:00 1 7912b95c1816c2dc1126ad51fe5ecbef
7171104 C 3 CP 2 15/10/2019 15/10/2019 28/09/1969 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MUKHLIS ESTEPANUS 052499 50 18279 DR RALF
PANGALILA,SPM 0309R0191019V002484 0000907755311 3;JKN Vian02;
5.3.9.201904290125 4 81403 1#0##0#0#0.0#2019-10-25
10:04:35#0#00:00:00#00:00:00#00:00:00 1 e6186ff37655fcccf85153217dccad14
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/01/1947 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 REINES KAONSENG 052498 72 26585 DR.MELISA
RATAG,SPM 0309R0191019V002477 0001067018905 3;JKN Vian02;
5.3.9.201904290125 4 81380 1#0##0#0#0.0#2019-10-25
10:05:28#0#00:00:00#00:00:00#00:00:00 1 c250d7402be8e8834c965375adab5b09
7171104 C 3 CP 2 15/10/2019 15/10/2019 05/09/1988 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LIA RAWANDANI ANTAENG 052497 31 11362 DR
YULIANA HARTONO,SPM 0309R0191019V002474 0002389390121 3;JKN Vian02;
5.3.9.201904290125 4 81376 1#0##0#0#0.0#2019-10-25
10:12:37#0#00:00:00#00:00:00#00:00:00 1 eb4b0872ddc4ec5b9b7b8f5f0713b74d
7171104 C 3 CP 2 15/10/2019 15/10/2019 05/07/1972 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FAJAR SISWANTO
052831 47 17268 DR SALAM SURBAKTI,SPM 0309R0191019V002270
0001103079971 3;JKN Boni04; 5.3.9.201904290125 4 82721
1#0##0#0#0.0#2019-10-27 11:02:29#0#00:00:00#00:00:00#00:00:00 1
2bd887fe97ad8df4a8a213858e5c51b4
7171104 C 3 CP 2 15/10/2019 15/10/2019 07/04/1949 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 ENNY AWUY 025588 70 25758 DR YULIANA
HARTONO,SPM 0309R0191019V002456 0001308474909 3;JKN Boni04;
5.3.9.201904290125 4 82939 1#0##0#0#0.0#2019-10-27
11:06:22#0#00:00:00#00:00:00#00:00:00 1 198765758a5c2c47f208853540e085c5
7171104 C 3 CP 2 15/10/2019 15/10/2019 28/10/1961 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 NELLY SALAWATI 023848 57 21171 DR
YULIANA HARTONO,SPM 0309R0191019V002407 0001448495853 3;JKN Boni04;
5.3.9.201904290125 4 83049 1#0##0#0#0.0#2019-10-29
09:47:25#0#00:00:00#00:00:00#00:00:00 1 8a7d8ea2358140f7f4c9c4b25a7055ff
7171104 C 3 CP 2 15/10/2019 15/10/2019 10/12/1971 0 2
1 Z09.8;H11.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DIANA PAPUTUNGAN 052451 47 17476 DR
RALF PANGALILA,SPM 0309R0191019V002363 0002209624986 3;JKN Patrick K.;
5.3.9.201904290125 4 81356 1#0##0#0#0.0#2019-10-30
13:39:34#0#00:00:00#00:00:00#00:00:00 1 b8edeff2a5bb54044713ece2236d2c96
7171104 C 3 CP 2 15/10/2019 15/10/2019 26/02/1976 0 2
1 H52.2;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FLORENSI MANDAKI 052810 43 15937 DR
RALF PANGALILA,SPM 0309R0191019V002348 0002488144926 3;JKN Patrick K.;
5.3.9.201904290125 4 81630 1#0##0#0#0.0#2019-10-30
13:47:32#0#00:00:00#00:00:00#00:00:00 2 10ad2ecd7028c3e23569f32024ac8196
7171104 C 3 CP 2 15/10/2019 15/10/2019 25/07/1940 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 RUSDIANA SOLEMAN 013538 79 28936 DR
YULIANA HARTONO,SPM 0309R0191019V002303 0000139044442 3;JKN Boni04;
5.3.9.201904290125 4 82734 1#0##0#0#0.0#2019-10-31
09:24:16#0#00:00:00#00:00:00#00:00:00 1 f75e2ba58345c69ef02652d648080472
7171104 C 3 CP 2 15/10/2019 15/10/2019 15/04/1979 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DIANA UMATERNATE 052509 40 14793 DR RALF
PANGALILA,SPM 0309R0191019V002314 0001564879285 3;JKN linda03;
5.3.9.201904290125 4 81394 1#0##0#0#0.0#2019-11-04
13:41:04#0#00:00:00#00:00:00#00:00:00 1 045d1fbd2da56aec6c875f57206d88d6
7171104 C 3 CP 2 15/10/2019 15/10/2019 01/05/1948 0 2
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NURSIA PAULUS 051987 71 26099 DR
SAUL RAPAR,SPM 0309R0191019V002439 0000911619955 3;JKN Patrick K.;
5.3.9.201904290125 4 84597 1#0##0#0#0.0#2019-11-07
07:39:38#0#00:00:00#00:00:00#00:00:00 1 c598d856ccdcf353c5e57023f1927b17
7171104 C 3 CP 2 15/10/2019 15/10/2019 13/11/1960 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NOLIN TANGKA 052489 58 21520 DR SALAM
SURBAKTI,SPM 0309R0191019V002448 0001569814784 3;JKN Patrick K.;
5.3.9.201904290125 4 84641 1#0##0#0#0.0#2019-11-07
09:25:02#0#00:00:00#00:00:00#00:00:00 1 595d719b6fa1f4eb3e9a28f52ec8e394
7171104 C 3 CP 2 16/10/2019 16/10/2019 13/10/1968 0 2
1 Z09.8;D21.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MASNIN TABANSA 027372 51 18630 DR
YULIANA HARTONO,SPM 0309R0191019V002708 0001131958653 3;JKN Vian02;
5.3.9.201904290125 4 81446 1#0##0#0#0.0#2019-10-17
13:07:50#0#00:00:00#00:00:00#00:00:00 1 01eea76bd4149f8519a994f5331de1d3
7171104 C 3 CP 2 16/10/2019 16/10/2019 27/12/1996 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NATHALIA LIDIA KOSU 052536 22 8328 DR
PAULA M V LUMUNON,SPM 0309R0191019V002709 0001889093002 3;JKN Vian02;
5.3.9.201904290125 4 81450 1#0##0#0#0.0#2019-10-17
13:09:45#0#00:00:00#00:00:00#00:00:00 1 5194b78f41626e4de09c7eefb8342fc7
7171104 C 3 CP 2 16/10/2019 16/10/2019 06/11/1972 0 1
1 Z09.8;H40.5;H27.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MOURITS ARGEMIROW SORULLOW MATANTU 048651
46 17145 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002710
0001569854878 3;JKN Vian02; 5.3.9.201904290125 4 81451
1#0##0#0#0.0#2019-10-17 13:10:54#0#00:00:00#00:00:00#00:00:00 1
ee481c0581882126716e275eb3b57451
7171104 C 3 CP 2 16/10/2019 16/10/2019 29/05/1952 0 2
1 Z96.1;H52.1;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FEMMY .H. ROLOS,DRA 051225 67 24611
DR SAUL RAPAR,SPM 0309R0191019V002711 0000138224158 3;JKN Vian02;
5.3.9.201904290125 4 81454 1#0##0#0#0.0#2019-10-17
13:11:46#0#00:00:00#00:00:00#00:00:00 1 6cc235b0dca02738d704f2f2c38af81f
7171104 C 3 CP 2 16/10/2019 16/10/2019 27/03/1963 0 1
1 Z09.8;H11.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HASTON PETRUS RAMPEN 028934 56 20657
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002714 0000138972969 3;JKN
Vian02; 5.3.9.201904290125 4 81456 1#0##0#0#0.0#2019-10-17
13:12:35#0#00:00:00#00:00:00#00:00:00 1 6c53fd68398c24164101831cf10bddd2
7171104 C 3 CP 2 16/10/2019 16/10/2019 26/11/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DRS. BROERY TANAUMA 048487 68 25161 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002715 0000138222786 3;JKN
Vian02; 5.3.9.201904290125 4 81457 1#0##0#0#0.0#2019-10-17
13:13:31#0#00:00:00#00:00:00#00:00:00 1 03f67640606b9b1844193961f4b132b0
7171104 C 3 CP 2 16/10/2019 16/10/2019 26/03/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARHOCE LUMINTANG 020583 71 26136 DR SAUL
RAPAR,SPM 0309R0191019V002716 0001572832721 3;JKN Vian02;
5.3.9.201904290125 4 81458 1#0##0#0#0.0#2019-10-17
13:15:29#0#00:00:00#00:00:00#00:00:00 1 4737feb7c0ac523b07c228163c11a6e8
7171104 C 3 CP 2 16/10/2019 16/10/2019 18/10/1969 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 REYNE LUSIA WAROUW 051872 49 18260 DR
YULIANA HARTONO,SPM 0309R0191019V002718 0001225895049 3;JKN Vian02;
5.3.9.201904290125 4 81459 1#0##0#0#0.0#2019-10-17
13:16:10#0#00:00:00#00:00:00#00:00:00 1 6314711b437210714488799854c99f3a
7171104 C 3 CP 2 16/10/2019 16/10/2019 29/10/1963 0 2
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WIDARNI 049515 55 20441 DR SAUL
RAPAR,SPM 0309R0191019V002719 0001479211727 3;JKN Vian02;
5.3.9.201904290125 4 81460 1#0##0#0#0.0#2019-10-17
13:17:24#0#00:00:00#00:00:00#00:00:00 1 7ca3b22711058954e6fa08fdd6d15c4e
7171104 C 3 CP 2 16/10/2019 16/10/2019 27/09/1957 0 2
1 Z96.1;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SINTJE SUMENDAP 050623 62 22664 DR
YULIANA HARTONO,SPM 0309R0191019V002720 0001247580009 3;JKN Vian02;
5.3.9.201904290125 4 81461 1#0##0#0#0.0#2019-10-17
13:18:19#0#00:00:00#00:00:00#00:00:00 1 ce775c6e6f86a82d5482ea415f5c8c90
7171104 C 3 CP 2 16/10/2019 16/10/2019 09/10/1959 0 2
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NELTJE TAKALIWANG 051359 60 21922 DR
SAUL RAPAR,SPM 0309R0191019V002722 0002078183182 3;JKN Vian02;
5.3.9.201904290125 4 81462 1#0##0#0#0.0#2019-10-17
13:19:00#0#00:00:00#00:00:00#00:00:00 1 ce4a22b6303687cc4f9360fce8265766
7171104 C 3 CP 2 16/10/2019 16/10/2019 08/08/1948 0 2
1 Z96.1;H40.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RASIMA KAKILO 035426 71 26001 DR
YULIANA HARTONO,SPM 0309R0191019V002724 0000138070822 3;JKN Vian02;
5.3.9.201904290125 4 81463 1#0##0#0#0.0#2019-10-17
13:20:11#0#00:00:00#00:00:00#00:00:00 1 a15061f443a521f856cbfb1670038167
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/10/1967 0 1
1 Z09.8;H40.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NAZAR LABADJO 049918 52 19008 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002725 0000909737122 3;JKN
Vian02; 5.3.9.201904290125 4 81464 1#0##0#0#0.0#2019-10-17
13:21:00#0#00:00:00#00:00:00#00:00:00 1 ef5bc3718782fa5e775ff3dbc075c892
7171104 C 3 CP 2 16/10/2019 16/10/2019 21/06/2012 0 1
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DANIEL MIKHAEL RAU 049284 7 2673
DR SAUL RAPAR,SPM 0309R0191019V002726 0000976421564 3;JKN Vian02;
5.3.9.201904290125 4 81465 1#0##0#0#0.0#2019-10-17
13:22:00#0#00:00:00#00:00:00#00:00:00 1 24d4b1bad8616824e3debda01347c31f
7171104 C 3 CP 2 16/10/2019 16/10/2019 23/10/1945 0 2
1 Z96.1;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LENNY SONDAKH 017814 73 27021 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002727 0002046900914 3;JKN
Vian02; 5.3.9.201904290125 4 81466 1#0##0#0#0.0#2019-10-17
13:24:31#0#00:00:00#00:00:00#00:00:00 1 0ba1e18b8a9b1e718cc3c49f4313f7ba
7171104 C 3 CP 2 16/10/2019 16/10/2019 28/06/1971 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DJENRIF DAUD SAMOLA 052320 48 17642 DR
SAUL RAPAR,SPM 0309R0191019V002729 0002388492257 3;JKN Vian02;
5.3.9.201904290125 4 81467 1#0##0#0#0.0#2019-10-17
13:25:17#0#00:00:00#00:00:00#00:00:00 1 c22f122ed6504c05a994c897ccc905e4
7171104 C 3 CP 2 16/10/2019 16/10/2019 09/01/1952 0 2
1 H52.2;H52.4;H02.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FINTJE TUMIWA 052518 67 24752 DR
PAULA M V LUMUNON,SPM 0309R0191019V002588 0001312090514 3;JKN linda03;
5.3.9.201904290125 4 81468 1#0##0#0#0.0#2019-10-17
13:29:32#0#00:00:00#00:00:00#00:00:00 1 b93f5f53db19f4fa631753a536bfd915
7171104 C 3 CP 2 16/10/2019 16/10/2019 09/09/1967 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TREISYE TALUMEWO 051436 52 19030 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002730 0001734656782 3;JKN
Vian02; 5.3.9.201904290125 4 81470 1#0##0#0#0.0#2019-10-17
13:31:07#0#00:00:00#00:00:00#00:00:00 1 7bdc3bcb024932f7bd90c5d317012077
7171104 C 3 CP 2 16/10/2019 16/10/2019 29/09/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FIENTJE JOHANA RUMBAY 007429 73 26680 DR
YULIANA HARTONO,SPM 0309R0191019V002733 0002251011936 3;JKN Vian02;
5.3.9.201904290125 4 81471 1#0##0#0#0.0#2019-10-17
13:31:58#0#00:00:00#00:00:00#00:00:00 1 35b7042743665701d04480b0f37140c7
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/09/1959 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SANTJE LYDIA RUMANGKANG 052516 60 21960
DR YULIANA HARTONO,SPM 0309R0191019V002587 0000910327353 3;JKN
linda03; 5.3.9.201904290125 4 81469 1#0##0#0#0.0#2019-10-17
13:32:05#0#00:00:00#00:00:00#00:00:00 1 fc21e5362df1763a4b2ff11e4422e103
7171104 C 3 CP 2 16/10/2019 16/10/2019 15/12/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JENNY LUCIA NAJOAN 021047 73 26968 DR
YULIANA HARTONO,SPM 0309R0191019V002735 0001427372763 3;JKN Vian02;
5.3.9.201904290125 4 81473 1#0##0#0#0.0#2019-10-17
13:32:51#0#00:00:00#00:00:00#00:00:00 1 e8694176a9a145ca6ac56724ca4a44d6
7171104 C 3 CP 2 16/10/2019 16/10/2019 10/10/1959 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JURA OLII 051566 60 21921 DR SAUL
RAPAR,SPM 0309R0191019V002586 0002312297008 3;JKN linda03;
5.3.9.201904290125 4 81472 1#0##0#0#0.0#2019-10-17
13:32:58#0#00:00:00#00:00:00#00:00:00 1 651b6d2244dc76ef381cf5328cdf8024
7171104 C 3 CP 2 16/10/2019 16/10/2019 10/07/1956 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULTJE ALTJE WAURAN 005663 63 23108 DR
PAULA M V LUMUNON,SPM 0309R0191019V002736 0000157993187 3;JKN Vian02;
5.3.9.201904290125 4 81474 1#0##0#0#0.0#2019-10-17
13:33:42#0#00:00:00#00:00:00#00:00:00 1 86cde6b4bef49e59da0c3d3a5aa2e6ce
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/06/1961 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUNUS SASIKOME 052099 58 21321 DR
YULIANA HARTONO,SPM 0309R0191019V002585 0000908040622 3;JKN linda03;
5.3.9.201904290125 4 81475 1#0##0#0#0.0#2019-10-17
13:33:47#0#00:00:00#00:00:00#00:00:00 1 d29eea7a3290d86d9610f05b350a6d0a
7171104 C 3 CP 2 16/10/2019 16/10/2019 13/01/1947 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MINTJE RUMAGIT 041502 72 26574 DR
PAULA M V LUMUNON,SPM 0309R0191019V002737 0001326867669 3;JKN Vian02;
5.3.9.201904290125 4 81476 1#0##0#0#0.0#2019-10-17
13:34:38#0#00:00:00#00:00:00#00:00:00 1 152ec42fef9448bcf021f430492f4e26
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/07/1965 0 1
1 H40.2;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DIKSON PINANGGE 052537 54 19830 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002738 0001066769381 3;JKN
Vian02; 5.3.9.201904290125 4 81478 1#0##0#0#0.0#2019-10-17
13:35:46#0#00:00:00#00:00:00#00:00:00 1 b67b1f978ad46776a9e12265e97ee813
7171104 C 3 CP 2 16/10/2019 16/10/2019 03/05/1962 0 2
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MYSKE F.TUMILAAR 011512 57 20985 DR
SAUL RAPAR,SPM 0309R0191019V002583 0001282046376 3;JKN linda03;
5.3.9.201904290125 4 81477 1#0##0#0#0.0#2019-10-17
13:36:06#0#00:00:00#00:00:00#00:00:00 1 ba220c7234c7b55b8b8c9f6b0dc5b59f
7171104 C 3 CP 2 16/10/2019 16/10/2019 23/10/1945 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LONI MOSEY 052538 73 27021 DR MARIA E.D.S
ORATMANGUN,SPM 0309R0191019V002739 0000908968757 3;JKN Vian02;
5.3.9.201904290125 4 81479 1#0##0#0#0.0#2019-10-17
13:36:41#0#00:00:00#00:00:00#00:00:00 1 dd3fbf79c13f9da414303d7a6a22b6d6
7171104 C 3 CP 2 16/10/2019 16/10/2019 31/12/1949 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MASJE M SONDAKH 050477 69 25491 DR
SAUL RAPAR,SPM 0309R0191019V002582 0001199795962 3;JKN linda03;
5.3.9.201904290125 4 81480 1#0##0#0#0.0#2019-10-17
13:36:43#0#00:00:00#00:00:00#00:00:00 1 9dd6fdd2561bbc39f38cd44e99455a5c
7171104 C 3 CP 2 16/10/2019 16/10/2019 19/06/1992 0 1
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RICHARD WELIAN WENUR PELLENG 052238 27
9980 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002581 0002256314218
3;JKN linda03; 5.3.9.201904290125 4 81481 1#0##0#0#0.0#2019-10-17
13:37:19#0#00:00:00#00:00:00#00:00:00 1 de823f2cff29a8440235ff36cc81d32d
7171104 C 3 CP 2 16/10/2019 16/10/2019 05/11/1952 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LITJE E. SAMBENTHIRO 048668 66 24451
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002740 0000137078965 3;JKN
Vian02; 5.3.9.201904290125 4 81482 1#0##0#0#0.0#2019-10-17
13:37:51#0#00:00:00#00:00:00#00:00:00 1 5b06ac474651d6b613b4494d1b40134f
7171104 C 3 CP 2 16/10/2019 16/10/2019 26/11/1973 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALPIUS PANTAS 051877 45 16760 DR PAULA M V
LUMUNON,SPM 0309R0191019V002580 0002420102856 3;JKN linda03;
5.3.9.201904290125 4 81483 1#0##0#0#0.0#2019-10-17
13:38:08#0#00:00:00#00:00:00#00:00:00 1 fc88f1865ab5200b18d7e068db92f370
7171104 C 3 CP 2 16/10/2019 16/10/2019 27/07/1956 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PUNCE IBRAHIM 047997 63 23091 DR PAULA M V
LUMUNON,SPM 0309R0191019V002741 0002389586668 3;JKN Vian02;
5.3.9.201904290125 4 81484 1#0##0#0#0.0#2019-10-17
13:38:34#0#00:00:00#00:00:00#00:00:00 1 55f2a97899dd4ff48413c706fdc22063
7171104 C 3 CP 2 16/10/2019 16/10/2019 11/08/1955 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNATJE GUMENGGILUNG 048503 64 23442
DR SALAM SURBAKTI,SPM 0309R0191019V002579 0001726499788 3;JKN
linda03; 5.3.9.201904290125 4 81485 1#0##0#0#0.0#2019-10-17
13:38:46#0#00:00:00#00:00:00#00:00:00 1 ea1c6a20d2fed8f4deb3398fbc69676f
7171104 C 3 CP 2 16/10/2019 16/10/2019 16/09/1937 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FINTJE TUMIWA 007666 82 29980 DR YULIANA
HARTONO,SPM 0309R0191019V002578 0001383931697 3;JKN linda03;
5.3.9.201904290125 4 81486 72#0##0#0#0.0#2019-10-17
13:39:26#0#00:00:00#00:00:00#00:00:00 1 c9428528e042c15f10e830184240889c
7171104 C 3 CP 2 16/10/2019 16/10/2019 05/02/1973 0 1
1 H21.0;H43.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HIRPAN SARIPI 052539 46 17054 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002742 0000908140173 3;JKN
Vian02; 5.3.9.201904290125 4 81487 1#0##0#0#0.0#2019-10-17
13:39:41#0#00:00:00#00:00:00#00:00:00 1 039cf260ff51fd610ac277b3786f0db4
7171104 C 3 CP 2 16/10/2019 16/10/2019 10/08/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DORTJE UMBOH,BSC 051685 72 26365 DR YULIANA
HARTONO,SPM 0309R0191019V002577 0000138239019 3;JKN linda03;
5.3.9.201904290125 4 81488 1#0##0#0#0.0#2019-10-17
13:40:06#0#00:00:00#00:00:00#00:00:00 1 f67451bf0911995edbcc0598f6432062
7171104 C 3 CP 2 16/10/2019 16/10/2019 28/09/1954 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LOUISJE PONDAAG 052017 65 23759 DR
IVONNE RAMENUSA,SPM 0309R0191019V002576 0000137202017 3;JKN linda03;
5.3.9.201904290125 4 81490 1#0##0#0#0.0#2019-10-17
13:40:46#0#00:00:00#00:00:00#00:00:00 1 eae1b992b31ad838bd67784fa4ae8fa4
7171104 C 3 CP 2 16/10/2019 16/10/2019 22/03/1961 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTJE MARGARITHA TONGKOTOW 052540 58 21392
DR YULIANA HARTONO,SPM 0309R0191019V002743 0000138351172 3;JKN
Vian02; 5.3.9.201904290125 4 81489 1#0##0#0#0.0#2019-10-17
13:40:58#0#00:00:00#00:00:00#00:00:00 1 dfa3d846f74517890135242dd25c575a
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/10/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALMINTJE LEGESANG 052102 73 26678 DR SAUL
RAPAR,SPM 0309R0191019V002574 0000908447951 3;JKN linda03;
5.3.9.201904290125 4 81491 1#0##0#0#0.0#2019-10-17
13:42:09#0#00:00:00#00:00:00#00:00:00 1 22bbb24784e475495ab739d26a03ee18
7171104 C 3 CP 2 16/10/2019 16/10/2019 04/04/1951 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SJULTJE ANTE 052541 68 25032 DR PAULA M V
LUMUNON,SPM 0309R0191019V002744 0000138257289 3;JKN Vian02;
5.3.9.201904290125 4 81492 1#0##0#0#0.0#2019-10-17
13:42:13#0#00:00:00#00:00:00#00:00:00 1 a74991ff0faf67fbf6486f94abe6161e
7171104 C 3 CP 2 16/10/2019 16/10/2019 31/12/1960 0 2
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SRI SISWATI 049181 58 21473 DR PAULA M V
LUMUNON,SPM 0309R0191019V002746 0002033705452 3;JKN Vian02;
5.3.9.201904290125 4 81493 1#0##0#0#0.0#2019-10-17
13:43:53#0#00:00:00#00:00:00#00:00:00 1 6f2de12b5b5a02d202a809cb1d2c643b
7171104 C 3 CP 2 16/10/2019 16/10/2019 18/11/1939 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SYLVIA A SALANGKA 051413 79 29187 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V002747 0000138855622 3;JKN Vian02;
5.3.9.201904290125 4 81494 1#0##0#0#0.0#2019-10-17
13:45:03#0#00:00:00#00:00:00#00:00:00 1 4971d1fd44cbd4d43e0f12380ae3bc18
7171104 C 3 CP 2 16/10/2019 16/10/2019 06/12/1978 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DONNA LADY KAWENGIAN 052530 40 14924 DR
PAULA M V LUMUNON,SPM 0309R0191019V002695 0000909712337 3;JKN Vian02;
5.3.9.201904290125 4 81496 1#0##0#0#0.0#2019-10-17
13:49:35#0#00:00:00#00:00:00#00:00:00 1 c84e59ce8936e961d8fcbd0a65e1598e
7171104 C 3 CP 2 16/10/2019 16/10/2019 11/11/1933 0 2
1 Z96.1;H40.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 G. MARIA MARAMIS 002520 85 31385 DR
PAULA M V LUMUNON,SPM 0309R0191019V002696 0000138060819 3;JKN Vian02;
5.3.9.201904290125 4 81497 1#0##0#0#0.0#2019-10-17
13:50:24#0#00:00:00#00:00:00#00:00:00 1 de06f09c4ffeeae02899ff1aac3893ad
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/07/1978 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YUNIA SUMA 051107 41 15082 DR PAULA M V
LUMUNON,SPM 0309R0191019V002697 0000910902993 3;JKN Vian02;
5.3.9.201904290125 4 81498 1#0##0#0#0.0#2019-10-17
13:52:36#0#00:00:00#00:00:00#00:00:00 1 3b101a410c8290ef4f135ed69727c6a3
7171104 C 3 CP 2 16/10/2019 16/10/2019 19/12/1939 0 2
1 Z09.8;H10.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NY THERESIA M A SAUD L 035443 79 29156
DR SAUL RAPAR,SPM 0309R0191019V002698 0000138851245 3;JKN Vian02;
5.3.9.201904290125 4 81499 1#0##0#0#0.0#2019-10-17
13:53:22#0#00:00:00#00:00:00#00:00:00 1 f3e9cf18561a3440e061e0f138e813b3
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/12/1960 0 1
1 Z96.1;H40.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ABDUL TAMAHAE 048223 58 21503 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002699 0000911005839 3;JKN
Vian02; 5.3.9.201904290125 4 81500 1#0##0#0#0.0#2019-10-17
13:54:12#0#00:00:00#00:00:00#00:00:00 1 ecd9fd815f6dcf8208d95fdf55b0dde0
7171104 C 3 CP 2 16/10/2019 16/10/2019 11/05/1970 0 2
1 H10.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SELVIE MIKE ELLEN PRATASIS 052532 49 18055
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002700 0001565431446 3;JKN
Vian02; 5.3.9.201904290125 4 81501 1#0##0#0#0.0#2019-10-17
13:55:33#0#00:00:00#00:00:00#00:00:00 1 b725f85624d7400d56eaea599426804f
7171104 C 3 CP 2 16/10/2019 16/10/2019 25/10/1944 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DORKAS HATIBAE 051658 74 27384 DR SAUL
RAPAR,SPM 0309R0191019V002702 0001790374173 3;JKN Vian02;
5.3.9.201904290125 4 81502 1#0##0#0#0.0#2019-10-17
14:07:55#0#00:00:00#00:00:00#00:00:00 1 043b0995aaa2ede4285760ae88b5a00c
7171104 C 3 CP 2 16/10/2019 16/10/2019 06/02/1971 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUMIATY SALUGANI 034031 48 17784 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002703 0000910639956 3;JKN
Vian02; 5.3.9.201904290125 4 81503 1#0##0#0#0.0#2019-10-17
14:09:04#0#00:00:00#00:00:00#00:00:00 1 319565f6c304b9ae84bb4523ef18c2fd
7171104 C 3 CP 2 16/10/2019 16/10/2019 26/08/1951 0 2
1 Z09.8;H52.2;H52.0;H52.4 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTIN MAINDOKA 050671 68 24888 DR
SAUL RAPAR,SPM 0309R0191019V002704 0002325228581 3;JKN Vian02;
5.3.9.201904290125 4 81504 1#0##0#0#0.0#2019-10-17
14:11:21#0#00:00:00#00:00:00#00:00:00 1 af04c227e1a03506c15cab24554eece7
7171104 C 3 CP 2 16/10/2019 16/10/2019 18/11/1965 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SANJARMINI NOVIANA KERE 021577 53 19690
DR PAULA M V LUMUNON,SPM 0309R0191019V002705 0000138417377 3;JKN
Vian02; 5.3.9.201904290125 4 81505 1#0##0#0#0.0#2019-10-17
14:13:13#0#00:00:00#00:00:00#00:00:00 1 9f55ca2e40bf7bf728474ee90033c3fa
7171104 C 3 CP 2 16/10/2019 16/10/2019 22/05/1975 0 1
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NARYO 052533 44 16218 DR MARIA E.D.S
ORATMANGUN,SPM 0309R0191019V002706 0002259961481 3;JKN Vian02;
5.3.9.201904290125 4 81506 1#0##0#0#0.0#2019-10-17
14:14:44#0#00:00:00#00:00:00#00:00:00 1 a614cc1f332674e7fb8c8335f0bc6e35
7171104 C 3 CP 2 16/10/2019 16/10/2019 15/05/1968 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEITY BIBSJE KANDOWANGKO 052534 51
18781 DR SAUL RAPAR,SPM 0309R0191019V002707 0001373388625 3;JKN
Vian02; 5.3.9.201904290125 4 81495 1#0##0#0#0.0#2019-10-17
14:16:00#0#00:00:00#00:00:00#00:00:00 1 0bf8c3746fe8de887db7edc98b55ae47
7171104 C 3 CP 2 16/10/2019 16/10/2019 11/10/1967 0 1
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGATO KORAAG 052515 52 18998 DR
YULIANA HARTONO,SPM 0309R0191019V002573 0000138421203 3;JKN linda03;
5.3.9.201904290125 4 81507 1#0##0#0#0.0#2019-10-17
14:18:46#0#00:00:00#00:00:00#00:00:00 1 aed96e450a45a45e3304c3fa0f8b15dc
7171104 C 3 CP 2 16/10/2019 16/10/2019 14/03/1946 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FINTJE M. R. WAWOINTANA 052470 73 26879
DR IVONNE RAMENUSA,SPM 0309R0191019V002572 0000138871416 3;JKN
linda03; 5.3.9.201904290125 4 81508 1#0##0#0#0.0#2019-10-17
14:19:56#0#00:00:00#00:00:00#00:00:00 1 4e009908a59236eff901f67acb74f2b7
7171104 C 3 CP 2 16/10/2019 16/10/2019 03/03/1939 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTJE TENGKO 044861 80 29447 DR YULIANA
HARTONO,SPM 0309R0191019V002694 0001573067316 3;JKN Vian02;
5.3.9.201904290125 4 81509 183#0##0#0#0.0#2019-10-17
14:20:11#0#00:00:00#00:00:00#00:00:00 1 7d7d793305d56766f5e47327e5e86f22
7171104 C 3 CP 2 16/10/2019 16/10/2019 25/12/1944 0 1
1 Z09.0;H11.0;H18.9;H25.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRANS MORAY,BA 003050 74 27323 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002570 0000138142607 3;JKN
linda03; 5.3.9.201904290125 4 81511 1#0##0#0#0.0#2019-10-17
14:21:02#0#00:00:00#00:00:00#00:00:00 1 4a82c6d46b7859c18ce19e0c787227b6
7171104 C 3 CP 2 16/10/2019 16/10/2019 05/01/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JANSJE RAWIS 051867 62 22929 DR PAULA M V
LUMUNON,SPM 0309R0191019V002568 0002318746926 3;JKN linda03;
5.3.9.201904290125 4 81514 1#0##0#0#0.0#2019-10-17
14:21:52#0#00:00:00#00:00:00#00:00:00 1 4f5b687a351ac052c49211175f85a6a9
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/05/1956 0 1
1 Z09.8;H40.5;H25.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MUSA LEMBONG 046794 63 23178 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002693 0000909284679 3;JKN
Vian02; 5.3.9.201904290125 4 81512 1#0##0#0#0.0#2019-10-17
14:22:17#0#00:00:00#00:00:00#00:00:00 1 f5386aae4d434fe02470f4c2f1cfbd20
7171104 C 3 CP 2 16/10/2019 16/10/2019 18/12/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELISA MAMUAJA 050760 72 26600 DR PAULA M V
LUMUNON,SPM 0309R0191019V002567 0001305627254 3;JKN linda03;
5.3.9.201904290125 4 81515 1#0##0#0#0.0#2019-10-17
14:22:24#0#00:00:00#00:00:00#00:00:00 1 170f372d0c735fb9fb46984d8e287c9d
7171104 C 3 CP 2 16/10/2019 16/10/2019 30/12/1949 0 2
1 Z09.8;H52.0;H52.4;Z96.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DIENTJE TOMPUNU 031476 69 25492 DR
SAUL RAPAR,SPM 0309R0191019V002691 0001860437057 3;JKN Vian02;
5.3.9.201904290125 4 81516 1#0##0#0#0.0#2019-10-17
14:23:03#0#00:00:00#00:00:00#00:00:00 1 1624ed467ad69d697af38e46118f3b2d
7171104 C 3 CP 2 16/10/2019 16/10/2019 11/12/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 EDDY VENTJE OWAY 051856 72 26607 DR PAULA M V
LUMUNON,SPM 0309R0191019V002565 0000137144608 3;JKN linda03;
5.3.9.201904290125 4 81517 1#0##0#0#0.0#2019-10-17
14:23:07#0#00:00:00#00:00:00#00:00:00 1 774162a9d3b62f85f1bdd6d828480d9e
7171104 C 3 CP 2 16/10/2019 16/10/2019 17/02/1963 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DJEFRI MONDING 052365 56 20695 DR
PAULA M V LUMUNON,SPM 0309R0191019V002690 0001311155728 3;JKN Vian02;
5.3.9.201904290125 4 81518 1#0##0#0#0.0#2019-10-17
14:24:41#0#00:00:00#00:00:00#00:00:00 1 93e333c964827f47ec99a4e6257b3248
7171104 C 3 CP 2 16/10/2019 16/10/2019 09/11/1962 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NONTJE MAGDALENA LEGI 052514 56 20795 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002564 0000138329594 3;JKN
linda03; 5.3.9.201904290125 4 81519 1#0##0#0#0.0#2019-10-17
14:24:47#0#00:00:00#00:00:00#00:00:00 1 ef86c9ff10a82e8ef34dd7e12f994ffe
7171104 C 3 CP 2 16/10/2019 16/10/2019 07/08/1942 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 F. ARDA MARIDJAN 052298 77 28194 DR PAULA M V
LUMUNON,SPM 0309R0191019V002563 0000138672371 3;JKN linda03;
5.3.9.201904290125 4 81520 1#0##0#0#0.0#2019-10-17
14:25:21#0#00:00:00#00:00:00#00:00:00 1 6268349e5d3f8a6963eee3b1de76b669
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/01/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NUSIA MOKODOMPIS 051175 77 28412 DR YULIANA
HARTONO,SPM 0309R0191019V002689 0000905445696 3;JKN Vian02;
5.3.9.201904290125 4 81521 1#0##0#0#0.0#2019-10-17
14:25:21#0#00:00:00#00:00:00#00:00:00 1 ffa682a075c30e3b9f7265b9d8f4563e
7171104 C 3 CP 2 16/10/2019 16/10/2019 07/04/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NELTJE KESEK 051862 70 25759 DR YULIANA
HARTONO,SPM 0309R0191019V002562 0001564816509 3;JKN linda03;
5.3.9.201904290125 4 81522 1#0##0#0#0.0#2019-10-17
14:25:54#0#00:00:00#00:00:00#00:00:00 1 d9f8eceba84a19aa7171ea276e5d730d
7171104 C 3 CP 2 16/10/2019 16/10/2019 05/12/1954 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ARCHIMEDES BAWOLE 051314 64 23691 DR YULIANA
HARTONO,SPM 0309R0191019V002688 0001568715445 3;JKN Vian02;
5.3.9.201904290125 4 81523 1#0##0#0#0.0#2019-10-17
14:26:05#0#00:00:00#00:00:00#00:00:00 1 0b913a68c408d0fa08513cfb8f7cdfe4
7171104 C 3 CP 2 16/10/2019 16/10/2019 02/05/1950 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MASYE LENDONGAN 024405 69 25369 DR
SALAM SURBAKTI,SPM 0309R0191019V002561 0000138854338 3;JKN linda03;
5.3.9.201904290125 4 81524 56#0##0#0#0.0#2019-10-17
14:26:33#0#00:00:00#00:00:00#00:00:00 1 497d9f2a3316b9fecfcfdb667363637b
7171104 C 3 CP 2 16/10/2019 16/10/2019 08/05/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KATOCE MEDATA 051964 67 24632 DR PAULA M V
LUMUNON,SPM 0309R0191019V002686 0000909632035 3;JKN Vian02;
5.3.9.201904290125 4 81525 1#0##0#0#0.0#2019-10-17
14:26:46#0#00:00:00#00:00:00#00:00:00 1 1cab1002e4a0890121f9993287924d44
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/06/1964 0 1
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 THOMAS JAMES TIMPAULU 051296 55 20225
DR SAUL RAPAR,SPM 0309R0191019V002560 0000910012836 3;JKN linda03;
5.3.9.201904290125 4 81526 1#0##0#0#0.0#2019-10-17
14:27:25#0#00:00:00#00:00:00#00:00:00 1 f26826e880d1c3da8f405dce14182c44
7171104 C 3 CP 2 16/10/2019 16/10/2019 03/01/1999 0 2
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NURLITA KARIM 052531 20 7591 DR PAULA M V
LUMUNON,SPM 0309R0191019V002685 0002234763213 3;JKN Vian02;
5.3.9.201904290125 4 81527 1#0##0#0#0.0#2019-10-17
14:27:41#0#00:00:00#00:00:00#00:00:00 1 a34c6e10076ab48f13e0f2cb83d1e3c0
7171104 C 3 CP 2 16/10/2019 16/10/2019 29/08/1963 0 2
1 Z96.1;Z09.0;H11.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINA FARIDA KAUROUW 050162 56 20502
DR YULIANA HARTONO,SPM 0309R0191019V002559 0002236389647 3;JKN
linda03; 5.3.9.201904290125 4 81528 54#0##0#0#0.0#2019-10-17
14:28:02#0#00:00:00#00:00:00#00:00:00 1 9ef181ea622f14b7d7d5d8b6d2828965
7171104 C 3 CP 2 16/10/2019 16/10/2019 02/06/1944 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHN FRANS KAUNANG 051778 75 27529 DR
PAULA M V LUMUNON,SPM 0309R0191019V002684 0000138253691 3;JKN Vian02;
5.3.9.201904290125 4 81529 1#0##0#0#0.0#2019-10-17
14:28:23#0#00:00:00#00:00:00#00:00:00 1 d40d02896765105e9c6762a408c84363
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/01/1947 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNAD GINGGIRAN 052145 72 26586 DR
IVONNE RAMENUSA,SPM 0309R0191019V002558 0000906800354 3;JKN linda03;
5.3.9.201904290125 4 81531 1#0##0#0#0.0#2019-10-17
14:29:14#0#00:00:00#00:00:00#00:00:00 1 730853ba452c503652f46ac70a2e5262
7171104 C 3 CP 2 16/10/2019 16/10/2019 02/07/1982 0 1
1 H10.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YULENS HEIN SEBA 052513 37 13620 DR YULIANA
HARTONO,SPM 0309R0191019V002556 0001096107096 3;JKN linda03;
5.3.9.201904290125 4 81532 1#0##0#0#0.0#2019-10-18
07:01:15#0#00:00:00#00:00:00#00:00:00 1 738b05ed3ea3dc5f0afa5525f00ac244
7171104 C 3 CP 2 16/10/2019 16/10/2019 19/11/1935 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PETRUS WALEWANGKO 048694 83 30647 DR PAULA M V
LUMUNON,SPM 0309R0191019V002555 0001965866207 3;JKN linda03;
5.3.9.201904290125 4 81533 50#0##0#0#0.0#2019-10-18
07:03:46#0#00:00:00#00:00:00#00:00:00 1 833fb8e9ade511806231a5f90b20b558
7171104 C 3 CP 2 16/10/2019 16/10/2019 15/06/1942 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RABAIA BANGKI MOKODONGAN 052512 77 28247
DR SAUL RAPAR,SPM 0309R0191019V002554 0000138046825 3;JKN linda03;
5.3.9.201904290125 4 81534 1#0##0#0#0.0#2019-10-18
07:06:10#0#00:00:00#00:00:00#00:00:00 1 95e2fa8bcd6da5df073073e215dd8670
7171104 C 3 CP 2 16/10/2019 16/10/2019 28/08/1959 0 2
1 Z96.1;Q11.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELVI ANTOW 028433 60 21964 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V002553 0000137942537 3;JKN linda03;
5.3.9.201904290125 4 81536 1#0##0#0#0.0#2019-10-18
07:09:51#0#00:00:00#00:00:00#00:00:00 1 dd24ef30cc97da3357e525841654df42
7171104 C 3 CP 2 16/10/2019 16/10/2019 05/10/1962 0 2
1 Z09.8;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SOPHIA MARIE UNDAP 005626 57 20830
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002681 0000138432508 3;JKN
Vian02; 5.3.9.201904290125 4 81535 1#0##0#0#0.0#2019-10-18
07:12:50#0#00:00:00#00:00:00#00:00:00 1 627148a6438edab8d13f70006aca12fe
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/06/1950 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DORCE KANO 052103 69 25339 DR SAUL
RAPAR,SPM 0309R0191019V002679 0000908470719 3;JKN Vian02;
5.3.9.201904290125 4 81540 1#0##0#0#0.0#2019-10-18
07:13:41#0#00:00:00#00:00:00#00:00:00 1 3bf21693309327f0fdc162ffc0badbbd
7171104 C 3 CP 2 16/10/2019 16/10/2019 25/09/1988 0 2
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 IRMAYANTI KASADI 036739 31 11343 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002678 0001831935633 3;JKN
Vian02; 5.3.9.201904290125 4 81541 1#0##0#0#0.0#2019-10-18
07:15:20#0#00:00:00#00:00:00#00:00:00 1 b143ea7832a2a559906cf83680805f54
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/06/1976 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NELI HARUN 052526 43 15842 DR MARIA E.D.S
ORATMANGUN,SPM 0309R0191019V002665 0000911226712 3;JKN Patrick K.;
5.3.9.201904290125 4 81542 1#0##0#0#0.0#2019-10-18
07:17:44#0#00:00:00#00:00:00#00:00:00 1 b1e94e9740b00b956f0e62e2313905e0
7171104 C 3 CP 2 16/10/2019 16/10/2019 12/10/1940 0 2
1 Z96.1;H40.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUTH ROMPAS. JD 025021 79 28858 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002677 0000138039355 3;JKN
Vian02; 5.3.9.201904290125 4 81543 1#0##0#0#0.0#2019-10-18
07:18:32#0#00:00:00#00:00:00#00:00:00 1 1675496830e16b4558d8bd3c97676cee
7171104 C 3 CP 2 16/10/2019 16/10/2019 28/03/1943 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SELFIA MAILANGKAY 002995 76 27961 DR
PAULA M V LUMUNON,SPM 0309R0191019V002664 0000138068302 3;JKN Patrick K.;
5.3.9.201904290125 4 81544 1#0##0#0#0.0#2019-10-18
07:18:46#0#00:00:00#00:00:00#00:00:00 1 12e59318b83568e906ec9268f0de09bb
7171104 C 3 CP 2 16/10/2019 16/10/2019 03/07/1981 0 1
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALFIEN KAPARANG 052529 38 13984 DR YULIANA
HARTONO,SPM 0309R0191019V002676 0000147887943 3;JKN Vian02;
5.3.9.201904290125 4 81545 1#0##0#0#0.0#2019-10-18
07:19:31#0#00:00:00#00:00:00#00:00:00 1 c59d622df3c064fd59649bee7bbcbfbc
7171104 C 3 CP 2 16/10/2019 16/10/2019 25/09/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FRIEDA MABELLE SENDUK 019817 77 28145 DR
PAULA M V LUMUNON,SPM 0309R0191019V002674 0000138269057 3;JKN Vian02;
5.3.9.201904290125 4 81547 1#0##0#0#0.0#2019-10-18
07:21:34#0#00:00:00#00:00:00#00:00:00 1 771994111cbd78fbddfe64710b9beeb0
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/01/1958 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PONGOH JULIANA 051973 61 22568 DR YULIANA
HARTONO,SPM 0309R0191019V002673 0000138570524 3;JKN Vian02;
5.3.9.201904290125 4 81546 1#0##0#0#0.0#2019-10-18
07:22:15#0#00:00:00#00:00:00#00:00:00 1 14a4b5f849f27afc3ae00728e7cfa385
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/01/1985 0 1
1 H44.5;H44.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JONLI TAMAMEU 049978 34 12706 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002551 0000906654159 3;JKN
linda03; 5.3.9.201904290125 4 81539 1#0##0#0#0.0#2019-10-18
07:22:33#0#00:00:00#00:00:00#00:00:00 1 ae91702978d7a4a3ec17093d1ca1b1c6
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/02/1951 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HANS BINEY 052104 68 25094 DR SAUL RAPAR,SPM
0309R0191019V002672 0000907512715 3;JKN Vian02; 5.3.9.201904290125
4 81549 1#0##0#0#0.0#2019-10-18 07:23:01#0#00:00:00#00:00:00#00:00:00
1 cd8e447124c72417f5342eec5f467135
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/08/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KARLINA CAMBEY 051689 65 23817 DR YULIANA
HARTONO,SPM 0309R0191019V002671 0000139100174 3;JKN Vian02;
5.3.9.201904290125 4 81551 1#0##0#0#0.0#2019-10-18
07:23:51#0#00:00:00#00:00:00#00:00:00 1 816e995dc88db90392387918bfb97068
7171104 C 3 CP 2 16/10/2019 16/10/2019 06/06/1950 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIANA MOKEY WAROUW 052510 69 25334 DR
YULIANA HARTONO,SPM 0309R0191019V002550 0001266832113 3;JKN linda03;
5.3.9.201904290125 4 81550 1#0##0#0#0.0#2019-10-18
07:24:22#0#00:00:00#00:00:00#00:00:00 1 fb68f60b670e1d975efbc43e3411c330
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/06/1968 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIANUS PONTOH 045505 51 18764 DR
PAULA M V LUMUNON,SPM 0309R0191019V002669 0000905034699 3;JKN Vian02;
5.3.9.201904290125 4 81552 1#0##0#0#0.0#2019-10-18
07:24:49#0#00:00:00#00:00:00#00:00:00 1 ee0eb20b0565491725ccc984e34470d9
7171104 C 3 CP 2 16/10/2019 16/10/2019 19/09/1962 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SUDIR BANGKIANG 048954 57 20846 DR SAUL
RAPAR,SPM 0309R0191019V002668 0001799119809 3;JKN Vian02;
5.3.9.201904290125 4 81553 1#0##0#0#0.0#2019-10-18
07:25:30#0#00:00:00#00:00:00#00:00:00 1 bf85b6f29358e347a18cfaf7d59ca3c8
7171104 C 3 CP 2 16/10/2019 16/10/2019 23/08/1957 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YETTI TOMBOKAN 051011 62 22699 DR
YULIANA HARTONO,SPM 0309R0191019V002663 0001898402793 3;JKN Patrick K.;
5.3.9.201904290125 4 81548 1#0##0#0#0.0#2019-10-18
07:25:40#0#00:00:00#00:00:00#00:00:00 1 f85a42d73ff25d1d9589bfef33763026
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/02/1949 0 1
1 Z09.8;H17.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAX MAKARAU 029804 70 25824 DR PAULA M V
LUMUNON,SPM 0309R0191019V002667 0001484705259 3;JKN Vian02;
5.3.9.201904290125 4 81554 1#0##0#0#0.0#2019-10-18
07:26:24#0#00:00:00#00:00:00#00:00:00 1 3a8053154ef14a4e81e71b5f1508b969
7171104 C 3 CP 2 16/10/2019 16/10/2019 09/12/1960 0 2
1 Z09.8;H43.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUBIATI NAFAL 051162 58 21495 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002662 0001792148376 3;JKN
Patrick K.; 5.3.9.201904290125 4 81555 1#0##0#0#0.0#2019-10-18
07:26:36#0#00:00:00#00:00:00#00:00:00 1 65ffdd6ecb87a878ef1b7e77c213436d
7171104 C 3 CP 2 16/10/2019 16/10/2019 23/03/1975 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARLINCE K TENGKUE 052289 44 16278
DR PAULA M V LUMUNON,SPM 0309R0191019V002547 0002043227261 3;JKN
linda03; 5.3.9.201904290125 4 81556 1#0##0#0#0.0#2019-10-18
07:27:46#0#00:00:00#00:00:00#00:00:00 1 d3261d923e16608db04a9bee4c023602
7171104 C 3 CP 2 16/10/2019 16/10/2019 20/02/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WEMPRIT PATTA 052060 64 23614 DR SAUL
RAPAR,SPM 0309R0191019V002661 0001246236074 3;JKN Patrick K.;
5.3.9.201904290125 4 81557 1#0##0#0#0.0#2019-10-18
07:28:00#0#00:00:00#00:00:00#00:00:00 1 4c0a7a39e7288269e50ab473a24410a2
7171104 C 3 CP 2 16/10/2019 16/10/2019 27/11/1967 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EMMA WILHELMINA MOZES 051843 51 18951
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002545 0000910659227 3;JKN
linda03; 5.3.9.201904290125 4 81558 1#0##0#0#0.0#2019-10-18
07:28:31#0#00:00:00#00:00:00#00:00:00 1 bbe14c4e5a1ea47d7667573c724904dd
7171104 C 3 CP 2 16/10/2019 16/10/2019 13/12/1954 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DETSY L MONTORORING 018356 64 23683
DR PAULA M V LUMUNON,SPM 0309R0191019V002544 0000155769669 3;JKN
linda03; 5.3.9.201904290125 4 81560 1#0##0#0#0.0#2019-10-18
07:29:56#0#00:00:00#00:00:00#00:00:00 1 00ef694c939abd22552244797efdc002
7171104 C 3 CP 2 16/10/2019 16/10/2019 25/10/1934 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANTJE ROSALIEN MAKALEW 051692 84 31037 DR
YULIANA HARTONO,SPM 0309R0191019V002660 0001767474066 3;JKN Patrick K.;
5.3.9.201904290125 4 81559 1#0##0#0#0.0#2019-10-18
07:30:01#0#00:00:00#00:00:00#00:00:00 1 d69e4380b8a1704615de027f03fcc3f8
7171104 C 3 CP 2 16/10/2019 16/10/2019 06/10/1949 0 2
1 Z09.0;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RITJE SIWU 052134 70 25577 DR SALAM
SURBAKTI,SPM 0309R0191019V002542 0001565944828 3;JKN linda03;
5.3.9.201904290125 4 81561 1#0##0#0#0.0#2019-10-18
07:30:33#0#00:00:00#00:00:00#00:00:00 1 c5c302422656b754311be295929d0712
7171104 C 3 CP 2 16/10/2019 16/10/2019 11/08/1945 0 2
1 Z96.1;H52.2;H52.1;H52.4 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EMMY KOAGOUW PESIK 031980 74 27094
DR SAUL RAPAR,SPM 0309R0191019V002539 0000138248008 3;JKN linda03;
5.3.9.201904290125 4 81562 1#0##0#0#0.0#2019-10-18
07:31:46#0#00:00:00#00:00:00#00:00:00 1 caacb164e4e2879ed380997ff73ab60d
7171104 C 3 CP 2 16/10/2019 16/10/2019 31/12/1963 0 1
1 Z96.1;H33.0;H26.9;H35.3 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EDDY NICOLAAS 051319 55 20378 DR
SAUL RAPAR,SPM 0309R0191019V002659 0000137731228 3;JKN Patrick K.;
5.3.9.201904290125 4 81563 1#0##0#0#0.0#2019-10-18
07:32:48#0#00:00:00#00:00:00#00:00:00 1 ee4a383f3eac444958fe6ad35c174031
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/06/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FATMA NGAU 052101 62 22782 DR SAUL RAPAR,SPM
0309R0191019V002538 0000908698195 3;JKN linda03; 5.3.9.201904290125
4 81564 1#0##0#0#0.0#2019-10-18 07:33:33#0#00:00:00#00:00:00#00:00:00
1 d6ca9bee8b8f2acf54fb14422cc989ef
7171104 C 3 CP 2 16/10/2019 16/10/2019 29/03/1942 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA MARTHA GONI 051761 77 28325 DR SAUL
RAPAR,SPM 0309R0191019V002658 0001842839368 3;JKN Patrick K.;
5.3.9.201904290125 4 81565 1#0##0#0#0.0#2019-10-18
07:33:45#0#00:00:00#00:00:00#00:00:00 1 6d8f71ea1d37d41bded56dfcf9e2e0a9
7171104 C 3 CP 2 16/10/2019 16/10/2019 13/06/1965 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YENNY ROSMAILE YATTY TICOALU 021346 54 19848
DR PAULA M V LUMUNON,SPM 0309R0191019V002537 0002312109911 3;JKN
linda03; 5.3.9.201904290125 4 81566 1#0##0#0#0.0#2019-10-18
07:34:08#0#00:00:00#00:00:00#00:00:00 1 d8c94817e555e5ea82e20e7b9352436d
7171104 C 3 CP 2 16/10/2019 16/10/2019 14/05/1965 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DJAMALUDIN ZAKARIA 051953 54 19878 DR
PAULA M V LUMUNON,SPM 0309R0191019V002657 0001143220015 3;JKN Patrick K.;
5.3.9.201904290125 4 81567 1#0##0#0#0.0#2019-10-18
07:34:38#0#00:00:00#00:00:00#00:00:00 1 ef627ce41d84f8f48b3bc69a7dd4193e
7171104 C 3 CP 2 16/10/2019 16/10/2019 20/08/1998 0 2
1 H04.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JENNY ADOLFIN VILIANI RATURANDANG 009852 21
7727 DR YULIANA HARTONO,SPM 0309R0191019V002535 0001314901809 3;JKN
linda03; 5.3.9.201904290125 4 81568 1#0##0#0#0.0#2019-10-18
07:35:27#0#00:00:00#00:00:00#00:00:00 1 3835eb961b4849fb198ec693f888b099
7171104 C 3 CP 2 16/10/2019 16/10/2019 18/11/1940 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SARTJE NAOMI KINDANGEN 051570 78 28821
DR SAUL RAPAR,SPM 0309R0191019V002656 0000138834854 3;JKN Patrick K.;
5.3.9.201904290125 4 81569 1#0##0#0#0.0#2019-10-18
07:35:38#0#00:00:00#00:00:00#00:00:00 1 96e1224d4e53b0529a4d9d6869470b97
7171104 C 3 CP 2 16/10/2019 16/10/2019 05/10/1947 0 2
1 Z96.1;H40.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHANA SAROINSONG 047573 72 26309 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002534 0002388793972 3;JKN
linda03; 5.3.9.201904290125 4 81570 1#0##0#0#0.0#2019-10-18
07:36:25#0#00:00:00#00:00:00#00:00:00 1 592adc2e20dfed38d3bcdfe524f7118b
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/08/1977 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RATNA SAHEMPA 052527 42 15416 DR PAULA M V
LUMUNON,SPM 0309R0191019V002655 0000910629224 3;JKN Patrick K.;
5.3.9.201904290125 4 81571 1#0##0#0#0.0#2019-10-18
07:36:47#0#00:00:00#00:00:00#00:00:00 1 4f1368200a5783d5d23c63db35a4ab9c
7171104 C 3 CP 2 16/10/2019 16/10/2019 10/05/1954 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FRANS MANGUNDAP 051799 65 23900 DR YULIANA
HARTONO,SPM 0309R0191019V002533 0002291032102 3;JKN linda03;
5.3.9.201904290125 4 81572 1#0##0#0#0.0#2019-10-18
07:37:08#0#00:00:00#00:00:00#00:00:00 1 7692dd7057de25063999573889c558e3
7171104 C 3 CP 2 16/10/2019 16/10/2019 03/06/1955 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EVIE RUMAMBI 031174 64 23511 DR
SAUL RAPAR,SPM 0309R0191019V002654 0000137946071 3;JKN Patrick K.;
5.3.9.201904290125 4 81573 1#0##0#0#0.0#2019-10-18
07:37:52#0#00:00:00#00:00:00#00:00:00 1 c82f865f80b6e7b89b7cf5f2cdad4502
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/03/1956 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOSEP RARUN 051637 63 23239 DR YULIANA
HARTONO,SPM 0309R0191019V002532 0000905067213 3;JKN linda03;
5.3.9.201904290125 4 81574 1#0##0#0#0.0#2019-10-18
07:38:39#0#00:00:00#00:00:00#00:00:00 1 e684674f97a38214434ccbc06f830d52
7171104 C 3 CP 2 16/10/2019 16/10/2019 10/02/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VEMMY SUMUAL 051784 67 24720 DR PAULA M V
LUMUNON,SPM 0309R0191019V002650 0002444185844 3;JKN Patrick K.;
5.3.9.201904290125 4 81578 1#0##0#0#0.0#2019-10-18
07:39:57#0#00:00:00#00:00:00#00:00:00 1 8eeb3f768fbfc4705354d63a7e9e811b
7171104 C 3 CP 2 16/10/2019 16/10/2019 20/12/1981 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NATALIA TAPPANGAN 052535 37 13814 DR
YULIANA HARTONO,SPM 0309R0191019V002649 0001874259393 3;JKN Patrick K.;
5.3.9.201904290125 4 81579 1#0##0#0#0.0#2019-10-18
07:41:54#0#00:00:00#00:00:00#00:00:00 1 fc40edfa27d6b99db6376562b860cd75
7171104 C 3 CP 2 16/10/2019 16/10/2019 16/05/1958 0 2
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOHANI PORMARA 052522 61 22433 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V002648 0000138200275 3;JKN Patrick K.;
5.3.9.201904290125 4 81580 1#0##0#0#0.0#2019-10-18
07:43:00#0#00:00:00#00:00:00#00:00:00 1 d4174a5b4dfa979a14fc439a0f590ab9
7171104 C 3 CP 2 16/10/2019 16/10/2019 11/07/1981 0 2
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LUSYIE MERI PANGAYOUW 052523 38 13976 DR
YULIANA HARTONO,SPM 0309R0191019V002646 0001444232902 3;JKN Patrick K.;
5.3.9.201904290125 4 81581 1#0##0#0#0.0#2019-10-18
07:44:24#0#00:00:00#00:00:00#00:00:00 1 13c82b85117e6ce31618cae477491ef9
7171104 C 3 CP 2 16/10/2019 16/10/2019 26/09/1956 0 1
1 Z09.8;H52.2;H52.4 - - - None None None None Q-5-44-0
None None None None None None PENYAKIT KRONIS KECIL LAIN-LAIN 183500
0 0 - 0 - 0 - 0 - 0 183500 160600
0 1 0 0 0 TONNY KAPOH 038317 63 23030 DR YULIANA
HARTONO,SPM 0309R0191019V002645 0000138991026 3;JKN Patrick K.;
5.3.9.201904290125 4 81582 1#0##0#0#0.0#2019-10-18
07:45:21#0#00:00:00#00:00:00#00:00:00 1 60ce31c7641b64ce825d22aaa9e4b70b
7171104 C 3 CP 2 16/10/2019 16/10/2019 06/07/1956 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 REFBOM RUGIAN 052473 63 23112 DR
IVONNE RAMENUSA,SPM 0309R0191019V002644 0001573473565 3;JKN Patrick K.;
5.3.9.201904290125 4 81583 1#0##0#0#0.0#2019-10-18
07:47:07#0#00:00:00#00:00:00#00:00:00 1 f2f3c12d3083ac2dc439b392a34465cb
7171104 C 3 CP 2 16/10/2019 16/10/2019 24/09/1937 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARITJE ROTTY 016125 82 29972 DR
PAULA M V LUMUNON,SPM 0309R0191019V002643 0001863432977 3;JKN Patrick K.;
5.3.9.201904290125 4 81584 1#0##0#0#0.0#2019-10-18
07:47:43#0#00:00:00#00:00:00#00:00:00 1 07d0503d80f65881ecfbcd0bc03f9acb
7171104 C 3 CP 2 16/10/2019 16/10/2019 26/03/1960 0 2
1 Z09.8;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARGARETHA TAMPI 038316 59 21753 DR
YULIANA HARTONO,SPM 0309R0191019V002642 0000138991037 3;JKN Patrick K.;
5.3.9.201904290125 4 81585 1#0##0#0#0.0#2019-10-18
07:50:02#0#00:00:00#00:00:00#00:00:00 1 a8339ab43f8c9cf2a97a83cbb6a25280
7171104 C 3 CP 2 16/10/2019 16/10/2019 07/09/1965 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MISKE SEANE LAURA WELANG 052051 54 19762
DR SAUL RAPAR,SPM 0309R0191019V002641 0002231249128 3;JKN Patrick K.;
5.3.9.201904290125 4 81586 1#0##0#0#0.0#2019-10-18
07:51:33#0#00:00:00#00:00:00#00:00:00 1 b160c0c0cb1094e3e044bc593abb3507
7171104 C 3 CP 2 16/10/2019 16/10/2019 18/11/1949 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONTJE MARAMIS 050039 69 25534 DR
SAUL RAPAR,SPM 0309R0191019V002640 0001449860084 3;JKN Patrick K.;
5.3.9.201904290125 4 81587 1#0##0#0#0.0#2019-10-18
07:52:29#0#00:00:00#00:00:00#00:00:00 1 aa0d1d1051fa358a82d0002f4c4e4f9c
7171104 C 3 CP 2 16/10/2019 16/10/2019 06/04/1962 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SATRIA ABAS 000338 57 21012 DR PAULA M V
LUMUNON,SPM 0309R0191019V002639 0001789201664 3;JKN Patrick K.;
5.3.9.201904290125 4 81588 1#0##0#0#0.0#2019-10-18
07:53:48#0#00:00:00#00:00:00#00:00:00 1 20c57547e0e2b1910d03474f5b74d1b4
7171104 C 3 CP 2 16/10/2019 16/10/2019 14/06/1962 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JHONY HERY LONGDONG 051346 57 20943 DR
SAUL RAPAR,SPM 0309R0191019V002638 0001567005175 3;JKN Patrick K.;
5.3.9.201904290125 4 81589 1#0##0#0#0.0#2019-10-18
07:55:24#0#00:00:00#00:00:00#00:00:00 1 98d08c61f1cbe2645d5e53e7580eaab0
7171104 C 3 CP 2 16/10/2019 16/10/2019 14/06/1956 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHNY KAWINDAH 016528 63 23134 DR
PAULA M V LUMUNON,SPM 0309R0191019V002637 0001261985229 3;JKN Patrick K.;
5.3.9.201904290125 4 81590 1#0##0#0#0.0#2019-10-18
07:59:07#0#00:00:00#00:00:00#00:00:00 1 fafe46287ba6e53cb967f2cfa5d6e43b
7171104 C 3 CP 2 16/10/2019 16/10/2019 08/06/1947 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FEMMY JULIANA TAMBUWUN 052200 72 26428
DR PAULA M V LUMUNON,SPM 0309R0191019V002635 0002744777507 3;JKN
Patrick K.; 5.3.9.201904290125 4 81592 1#0##0#0#0.0#2019-10-18
08:02:21#0#00:00:00#00:00:00#00:00:00 1 364b32794362fb1105fd89b4b8de41c0
7171104 C 3 CP 2 16/10/2019 16/10/2019 05/01/1958 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NORMA MUCHSIN 032355 61 22564 DR
SAUL RAPAR,SPM 0309R0191019V002634 0002240046145 3;JKN Patrick K.;
5.3.9.201904290125 4 81593 1#0##0#0#0.0#2019-10-18
08:04:09#0#00:00:00#00:00:00#00:00:00 1 13a1d77abf911912dbdd580e504d7978
7171104 C 3 CP 2 16/10/2019 16/10/2019 25/03/1940 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARYAM ABUDI 011029 79 29059 DR
IVONNE RAMENUSA,SPM 0309R0191019V002632 0001604525578 3;JKN Patrick K.;
5.3.9.201904290125 4 81594 1#0##0#0#0.0#2019-10-18
08:05:35#0#00:00:00#00:00:00#00:00:00 2 4bb4f7b60adf4501781a4442742b5e79
7171104 C 3 CP 2 16/10/2019 16/10/2019 27/11/1947 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LEXI RUNTUWAROW 052440 71 26256 DR
SAUL RAPAR,SPM 0309R0191019V002631 0001300312168 3;JKN Patrick K.;
5.3.9.201904290125 4 81595 1#0##0#0#0.0#2019-10-18
08:06:36#0#00:00:00#00:00:00#00:00:00 1 0707a740347e9fe9ecd34fbed0276114
7171104 C 3 CP 2 16/10/2019 16/10/2019 09/12/1943 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEYTJE LUMOWA 051188 75 27705 DR YULIANA
HARTONO,SPM 0309R0191019V002630 0002078514753 3;JKN Patrick K.;
5.3.9.201904290125 4 81596 1#0##0#0#0.0#2019-10-18
08:07:29#0#00:00:00#00:00:00#00:00:00 1 fc99908691196a769ec447ff9d248633
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/05/1944 0 2
1 Z09.0;H26.9;Z96.1;H25.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA MAGDALENA WOWOR 051742 75 27561
DR SAUL RAPAR,SPM 0309R0191019V002629 0000907236562 3;JKN Patrick K.;
5.3.9.201904290125 4 81597 1#0##0#0#0.0#2019-10-18
08:10:04#0#00:00:00#00:00:00#00:00:00 1 851971ed5881121b990fd6d6f68634a7
7171104 C 3 CP 2 16/10/2019 16/10/2019 30/10/1973 0 2
1 Z09.8;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLVIE WANTA 051654 45 16787 DR YULIANA
HARTONO,SPM 0309R0191019V002627 0001441542216 3;JKN Patrick K.;
5.3.9.201904290125 4 81598 1#0##0#0#0.0#2019-10-18
08:11:16#0#00:00:00#00:00:00#00:00:00 1 efda0d4da1f7f69277cfe79d03e380bf
7171104 C 3 CP 2 16/10/2019 16/10/2019 22/06/1946 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FREDRIK LUMEMPOUW 050809 73 26779 DR
SALAM SURBAKTI,SPM 0309R0191019V002626 0001569906628 3;JKN Patrick K.;
5.3.9.201904290125 4 81599 1#0##0#0#0.0#2019-10-18
08:13:51#0#00:00:00#00:00:00#00:00:00 1 333cb7af36733b3a5ae8cd0f8b252ad7
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/08/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADELEIDE RONDONUWU 051893 71 26008 DR
SAUL RAPAR,SPM 0309R0191019V002625 0000904633029 3;JKN Patrick K.;
5.3.9.201904290125 4 81600 1#0##0#0#0.0#2019-10-18
08:15:32#0#00:00:00#00:00:00#00:00:00 1 50696f44b225f863b098792d74be651f
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/09/1957 0 1
1 Z09.8;H34.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WELSON H LANGKUN 016149 62 22690 DR
YULIANA HARTONO,SPM 0309R0191019V002624 0000906226839 3;JKN Patrick K.;
5.3.9.201904290125 4 81601 1#0##0#0#0.0#2019-10-18
08:16:59#0#00:00:00#00:00:00#00:00:00 1 59f567dd52e2773d89589813a7b19ac2
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/02/1950 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SALMA IBRAHIM 051954 69 25459 DR
SALAM SURBAKTI,SPM 0309R0191019V002623 0000908960591 3;JKN Patrick K.;
5.3.9.201904290125 4 81602 1#0##0#0#0.0#2019-10-18
08:17:55#0#00:00:00#00:00:00#00:00:00 1 a021abe49f4b312c2fd7aab189968bf8
7171104 C 3 CP 2 16/10/2019 16/10/2019 21/09/1947 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SAARTJE PINONTOAN 052256 72 26323 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002622 0000138204178 3;JKN
Patrick K.; 5.3.9.201904290125 4 81603 1#0##0#0#0.0#2019-10-18
08:18:46#0#00:00:00#00:00:00#00:00:00 1 c4ca67a87631f724ebb8dbedc859caea
7171104 C 3 CP 2 16/10/2019 16/10/2019 27/12/1984 0 1
1 Z96.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 THEODORUS DUMANAW 033653 34 12711 DR
SAUL RAPAR,SPM 0309R0191019V002621 0001246209489 3;JKN Patrick K.;
5.3.9.201904290125 4 81604 1#0##0#0#0.0#2019-10-18
08:19:44#0#00:00:00#00:00:00#00:00:00 1 b1f7609c43a8e1b63f70ae58a3245046
7171104 C 3 CP 2 16/10/2019 16/10/2019 24/07/1950 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANDRIE HERRY NAJOAN 052402 69 25286 DR
SAUL RAPAR,SPM 0309R0191019V002620 0000121648353 3;JKN Patrick K.;
5.3.9.201904290125 4 81605 1#0##0#0#0.0#2019-10-18
08:21:24#0#00:00:00#00:00:00#00:00:00 1 a09496980362ece0189da5a3875f3f98
7171104 C 3 CP 2 16/10/2019 16/10/2019 27/07/1941 0 1
1 Z09.8;H47.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HORTEN WANGKE 052128 78 28570 DR
YULIANA HARTONO,SPM 0309R0191019V002618 0001381409864 3;JKN Patrick K.;
5.3.9.201904290125 4 81606 1#0##0#0#0.0#2019-10-18
08:22:18#0#00:00:00#00:00:00#00:00:00 1 19c0315008e3958f5f39d67dc7d054c0
7171104 C 3 CP 2 16/10/2019 16/10/2019 08/01/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NONTJE RONDONUWU 051694 71 26214 DR YULIANA
HARTONO,SPM 0309R0191019V002617 0001341872087 3;JKN Patrick K.;
5.3.9.201904290125 4 81607 1#0##0#0#0.0#2019-10-18
08:23:30#0#00:00:00#00:00:00#00:00:00 1 6ae0da2c9104d3870bb5260371eeff4a
7171104 C 3 CP 2 16/10/2019 16/10/2019 15/08/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARITJE KORAAG 048855 72 26360 DR YULIANA
HARTONO,SPM 0309R0191019V002615 0002085314499 3;JKN Patrick K.;
5.3.9.201904290125 4 81608 1#0##0#0#0.0#2019-10-18
08:25:06#0#00:00:00#00:00:00#00:00:00 1 90d78e25f23c51280eef79406b5435d3
7171104 C 3 CP 2 16/10/2019 16/10/2019 14/05/1944 0 1
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHN KAWENGIAN 051215 75 27548 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002613 0002298880563 3;JKN
Patrick K.; 5.3.9.201904290125 4 81609 1#0##0#0#0.0#2019-10-18
08:30:22#0#00:00:00#00:00:00#00:00:00 1 165cfde1d995d4ad4159554481de3177
7171104 C 3 CP 2 16/10/2019 16/10/2019 06/08/1971 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SISKA LUAS 052394 48 17603 DR SAUL
RAPAR,SPM 0309R0191019V002612 0002891040614 3;JKN Patrick K.;
5.3.9.201904290125 4 81610 1#0##0#0#0.0#2019-10-18
08:33:15#0#00:00:00#00:00:00#00:00:00 1 ac447abefccf245be1229ec047fa71eb
7171104 C 3 CP 2 16/10/2019 16/10/2019 08/12/1944 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 C. WONDAL PALAR 024128 74 27340 DR SAUL
RAPAR,SPM 0309R0191019V002611 0000138264153 3;JKN Patrick K.;
5.3.9.201904290125 4 81611 1#0##0#0#0.0#2019-10-18
08:34:42#0#00:00:00#00:00:00#00:00:00 1 51754dfb02bce1a98751e76295a049c2
7171104 C 3 CP 2 16/10/2019 16/10/2019 15/02/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANEKE SOLAR 051691 69 25445 DR YULIANA
HARTONO,SPM 0309R0191019V002610 0001892639856 3;JKN Patrick K.;
5.3.9.201904290125 4 81612 1#0##0#0#0.0#2019-10-18
08:38:48#0#00:00:00#00:00:00#00:00:00 1 abbde6394a14d2505498998d831274e8
7171104 C 3 CP 2 16/10/2019 16/10/2019 11/12/1957 0 2
1 Z09.8;H18.9;H17.9;H25.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TRESYE KAAWOAN 035923 61 22589 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002609 0002043716534 3;JKN
Patrick K.; 5.3.9.201904290125 4 81613 1#0##0#0#0.0#2019-10-18
08:39:43#0#00:00:00#00:00:00#00:00:00 1 25ccb20022588d471bb130865f98c8b6
7171104 C 3 CP 2 16/10/2019 16/10/2019 06/01/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ABRAM A PONGOH 051684 67 24755 DR YULIANA
HARTONO,SPM 0309R0191019V002608 0000139100152 3;JKN Patrick K.;
5.3.9.201904290125 4 81614 1#0##0#0#0.0#2019-10-18
08:41:02#0#00:00:00#00:00:00#00:00:00 1 811b5c78ec8f8e7980d6e57ff0bd3843
7171104 C 3 CP 2 16/10/2019 16/10/2019 10/12/1943 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CLARA UMBOH 005549 75 27704 DR YULIANA
HARTONO,SPM 0309R0191019V002606 0000163419568 3;JKN Patrick K.;
5.3.9.201904290125 4 81615 1#0##0#0#0.0#2019-10-18
08:41:48#0#00:00:00#00:00:00#00:00:00 1 de1d731554a8436993b94e9d4ae4a2ea
7171104 C 3 CP 2 16/10/2019 16/10/2019 14/06/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JACOBA PANGKEREGO 051686 73 26787 DR YULIANA
HARTONO,SPM 0309R0191019V002605 0001569893624 3;JKN Patrick K.;
5.3.9.201904290125 4 81616 1#0##0#0#0.0#2019-10-18
08:42:56#0#00:00:00#00:00:00#00:00:00 1 70cb1615794d4ac124c8e75b05c68030
7171104 C 3 CP 2 16/10/2019 16/10/2019 09/04/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALICE DEANNE MAHIPE 045788 77 28314 DR
PAULA M V LUMUNON,SPM 0309R0191019V002604 0000137991172 3;JKN Patrick K.;
5.3.9.201904290125 4 81617 1#0##0#0#0.0#2019-10-18
08:43:34#0#00:00:00#00:00:00#00:00:00 1 6fcb74cca14b8b3c4eb7930fd3530bf2
7171104 C 3 CP 2 16/10/2019 16/10/2019 04/11/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELSYE MAKAL 051972 61 22626 DR YULIANA
HARTONO,SPM 0309R0191019V002603 0001604482165 3;JKN Patrick K.;
5.3.9.201904290125 4 81618 1#0##0#0#0.0#2019-10-18
08:44:43#0#00:00:00#00:00:00#00:00:00 1 6e664cadc98c00b2b8ed392616dbfffc
7171104 C 3 CP 2 16/10/2019 16/10/2019 29/04/1943 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SARTJE TUMUNDO 051693 76 27929 DR YULIANA
HARTONO,SPM 0309R0191019V002602 0001341872583 3;JKN Patrick K.;
5.3.9.201904290125 4 81619 1#0##0#0#0.0#2019-10-18
08:45:24#0#00:00:00#00:00:00#00:00:00 1 952322c59c4d4ed0538af6655fad9c34
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/11/1961 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PILET WENTUK 051970 57 21168 DR YULIANA
HARTONO,SPM 0309R0191019V002600 0000908288392 3;JKN Patrick K.;
5.3.9.201904290125 4 81620 1#0##0#0#0.0#2019-10-18
08:46:24#0#00:00:00#00:00:00#00:00:00 1 6f015bd37c4476490050cf9ed2956fa7
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/06/1961 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOHANA DOODOH 051968 58 21321 DR YULIANA
HARTONO,SPM 0309R0191019V002599 0000908289325 3;JKN Patrick K.;
5.3.9.201904290125 4 81621 1#0##0#0#0.0#2019-10-18
08:47:06#0#00:00:00#00:00:00#00:00:00 1 8b35e19c94636c57e340fdd93c9a0450
7171104 C 3 CP 2 16/10/2019 16/10/2019 14/05/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WELMENTJI KATUUK 051680 73 26818 DR YULIANA
HARTONO,SPM 0309R0191019V002598 0000907814621 3;JKN Patrick K.;
5.3.9.201904290125 4 81622 1#0##0#0#0.0#2019-10-18
08:47:55#0#00:00:00#00:00:00#00:00:00 1 cda8833ae39fbf120886ac7a0ea3893b
7171104 C 3 CP 2 16/10/2019 16/10/2019 30/08/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOSEPHIEN A DENGAH 051688 69 25249 DR
YULIANA HARTONO,SPM 0309R0191019V002596 0000139067684 3;JKN Patrick K.;
5.3.9.201904290125 4 81623 1#0##0#0#0.0#2019-10-18
08:49:58#0#00:00:00#00:00:00#00:00:00 1 e62f81875a9b2e8bc3d52fe04a9de341
7171104 C 3 CP 2 16/10/2019 16/10/2019 28/04/2006 0 1
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AL VIRA SITI HUMAIRAH SALEH 052520 13 4919
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002595 0002439630246 3;JKN
Patrick K.; 5.3.9.201904290125 4 81624 1#0##0#0#0.0#2019-10-18
08:51:40#0#00:00:00#00:00:00#00:00:00 1 eb2a741332c809026398d1aa0afae431
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/05/1951 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WELMINA KATUUK 051683 68 25005 DR YULIANA
HARTONO,SPM 0309R0191019V002594 0000907927435 3;JKN Patrick K.;
5.3.9.201904290125 4 81625 1#0##0#0#0.0#2019-10-18
08:59:26#0#00:00:00#00:00:00#00:00:00 1 ba77c7ccc7c7566f71b8bccdc61c22fa
7171104 C 3 CP 2 16/10/2019 16/10/2019 05/01/1954 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADOLVIN POSUMAH 052488 65 24025 DR
SALAM SURBAKTI,SPM 0309R0191019V002593 0002883980351 3;JKN Patrick K.;
5.3.9.201904290125 4 81626 1#0##0#0#0.0#2019-10-18
09:00:45#0#00:00:00#00:00:00#00:00:00 2 8dba77ae042bd8aba1405f8c1b352368
7171104 C 3 CP 2 16/10/2019 16/10/2019 02/06/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CRESTINA MANDAGI 051679 71 26068 DR YULIANA
HARTONO,SPM 0309R0191019V002591 0001341871615 3;JKN Patrick K.;
5.3.9.201904290125 4 81627 1#0##0#0#0.0#2019-10-18
09:01:32#0#00:00:00#00:00:00#00:00:00 1 7fc3f103dd559e33cd092d53be7b822a
7171104 C 3 CP 2 16/10/2019 16/10/2019 27/10/1947 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DANIEL WUISAN 052490 71 26287 DR
SALAM SURBAKTI,SPM 0309R0191019V002590 0001604474471 3;JKN Patrick K.;
5.3.9.201904290125 4 81628 1#0##0#0#0.0#2019-10-18
09:03:25#0#00:00:00#00:00:00#00:00:00 1 fa23ddfef756c8843d3ca9d4c1280c64
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/10/1977 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEWI SUSAN KINDANGEN 052517 42 15355 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002589 0000905432128 3;JKN
Patrick K.; 5.3.9.201904290125 4 81629 1#0##0#0#0.0#2019-10-18
09:05:41#0#00:00:00#00:00:00#00:00:00 1 da8deec496e2b99242b9cb685b382ea9
7171104 C 3 CP 2 16/10/2019 16/10/2019 17/09/1951 0 2
1 H52.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROSE ADELAIDE KUHON 052524 68 24866
DR SAUL RAPAR,SPM 0309R0191019V002652 0000138975388 3;JKN Patrick K.;
5.3.9.201904290125 4 81576 1#0##0#0#0.0#2019-10-18
09:33:03#0#00:00:00#00:00:00#00:00:00 1 1058ded402612e46a6b7dd9bd001ac23
7171104 C 3 CP 2 16/10/2019 16/10/2019 25/04/1994 0 1
1 H52.2;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RIKWAN F. WONGKAR 052528 25 9305 DR
PAULA M V LUMUNON,SPM 0309R0191019V002636 0000138587804 3;JKN Patrick K.;
5.3.9.201904290125 4 81591 1#0##0#0#0.0#2019-10-18
09:34:09#0#00:00:00#00:00:00#00:00:00 1 bfe5c9947ee5e50c70d9298b61a2456e
7171104 C 3 CP 2 16/10/2019 16/10/2019 22/10/1974 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RENNY YULIANA MANGARE 047093 44 16430 DR
YULIANA HARTONO,SPM 0309R0191019V002531 0002439968872 3;JKN linda03;
5.3.9.201904290125 4 81577 1#0##0#0#0.0#2019-10-19
09:07:05#0#00:00:00#00:00:00#00:00:00 1 0d92937bd54fed13621f2f894c8ea300
7171104 C 3 CP 2 16/10/2019 16/10/2019 06/05/1969 0 2
1 Z09.0;H26.9;H33.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEITA MOUDY MUSSU 052243 50 18425 DR
SALAM SURBAKTI,SPM 0309R0191019V002528 0001865326443 3;JKN linda03;
5.3.9.201904290125 4 81631 1#0##0#0#0.0#2019-10-19
09:08:46#0#00:00:00#00:00:00#00:00:00 1 34d311ce37490977505c12f332a4b4ed
7171104 C 3 CP 2 16/10/2019 16/10/2019 07/03/1958 0 2
1 Z09.0;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAGRITHA MANDJI 052479 61 22503 DR
SAUL RAPAR,SPM 0309R0191019V002527 0000138427389 3;JKN linda03;
5.3.9.201904290125 4 81632 1#0##0#0#0.0#2019-10-19
09:09:47#0#00:00:00#00:00:00#00:00:00 1 23ea2457c75dd42327ae940985ac21c0
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/11/1942 0 2
1 Z09.0;H26.9;H11.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNECE SALINDEHO 052389 76 28108 DR
SAUL RAPAR,SPM 0309R0191019V002525 0000908601063 3;JKN linda03;
5.3.9.201904290125 4 81633 22#0##0#0#0.0#2019-10-19
09:10:38#0#00:00:00#00:00:00#00:00:00 1 8d1e6ed7d95e4f8b75b9a356611119ae
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/10/1965 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANI TAMUNTUAN 052234 54 19738 DR
SAUL RAPAR,SPM 0309R0191019V002524 0001079845119 3;JKN linda03;
5.3.9.201904290125 4 81634 1#0##0#0#0.0#2019-10-19
09:12:14#0#00:00:00#00:00:00#00:00:00 1 dcf542b4b24cdd018eec78e411c2fbef
7171104 C 3 CP 2 16/10/2019 16/10/2019 28/11/1951 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 POLII PANTOW 052474 67 24794 DR
SAUL RAPAR,SPM 0309R0191019V002521 0002292104204 3;JKN linda03;
5.3.9.201904290125 4 81636 1#0##0#0#0.0#2019-10-19
09:14:57#0#00:00:00#00:00:00#00:00:00 1 c3e4704c240f69a1f412da47dc4d9886
7171104 C 3 CP 2 16/10/2019 16/10/2019 13/08/1972 0 2
1 Z09.0;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINA MAARUA 051894 47 17230 DR
SALAM SURBAKTI,SPM 0309R0191019V002520 0000906980815 3;JKN linda03;
5.3.9.201904290125 4 81637 1#0##0#0#0.0#2019-10-19
09:16:46#0#00:00:00#00:00:00#00:00:00 1 9bd81f49d90b48c606390544171e5812
7171104 C 3 CP 2 16/10/2019 16/10/2019 27/12/1970 0 1
1 Z09.0;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENRDIK LETUNGGAMU 052122 48 17825
DR SALAM SURBAKTI,SPM 0309R0191019V002518 0001248466206 3;JKN
linda03; 5.3.9.201904290125 4 81638 1#0##0#0#0.0#2019-10-19
09:17:31#0#00:00:00#00:00:00#00:00:00 1 003dfa5c6e9926fd5f80cd25ef4e7a4b
7171104 C 3 CP 2 16/10/2019 16/10/2019 28/10/1960 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALFRETS M KUMENAP 051706 58 21537 DR
SALAM SURBAKTI,SPM 0309R0191019V002516 0001325274232 3;JKN linda03;
5.3.9.201904290125 4 81639 1#0##0#0#0.0#2019-10-19
09:18:19#0#00:00:00#00:00:00#00:00:00 1 4b489ce8c5f33181dedaaaa56fe675b3
7171104 C 3 CP 2 16/10/2019 16/10/2019 17/05/1960 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALTJE MEIKE TUUK 051826 59 21701 DR
SALAM SURBAKTI,SPM 0309R0191019V002515 0001569816336 3;JKN linda03;
5.3.9.201904290125 4 81640 13#0##0#0#0.0#2019-10-19
09:19:06#0#00:00:00#00:00:00#00:00:00 1 e4d615f8cac1617c3b023b8c06072e9a
7171104 C 3 CP 2 16/10/2019 16/10/2019 11/09/1944 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KAROLINA ROLOS 052247 75 27428 DR
IVONNE RAMENUSA,SPM 0309R0191019V002514 0001422067375 3;JKN linda03;
5.3.9.201904290125 4 81641 1#0##0#0#0.0#2019-10-19
09:19:52#0#00:00:00#00:00:00#00:00:00 1 c2454d65aebc7a3658f868874b7ed8bc
7171104 C 3 CP 2 16/10/2019 16/10/2019 21/06/1954 0 1
1 Z96.1;H52.1;H52.4;H52.2 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADOLF GUSTAAF KAIRUPAN 051019 65 23858
DR SAUL RAPAR,SPM 0309R0191019V002511 0001308976468 3;JKN linda03;
5.3.9.201904290125 4 81642 10#0##0#0#0.0#2019-10-19
09:20:31#0#00:00:00#00:00:00#00:00:00 1 71155c31c64ac55e8fa2523481548a5b
7171104 C 3 CP 2 16/10/2019 16/10/2019 10/11/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NETTY SIENTJE PANGKEY 051368 64 23716 DR
YULIANA HARTONO,SPM 0309R0191019V002510 0000043270806 3;JKN linda03;
5.3.9.201904290125 4 81643 1#0##0#0#0.0#2019-10-19
09:21:21#0#00:00:00#00:00:00#00:00:00 1 dd696a715b3b3410610c1db29c9e6f99
7171104 C 3 CP 2 16/10/2019 16/10/2019 15/06/1982 0 2
1 Z09.8;H52.2;H52.4;H10.9 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GRACE NITTA WOLLAH 052293 37 13637
DR SAUL RAPAR,SPM 0309R0191019V002509 0000138994604 3;JKN linda03;
5.3.9.201904290125 4 81644 1#0##0#0#0.0#2019-10-19
09:22:10#0#00:00:00#00:00:00#00:00:00 1 947c7cc0afb02a1d26e3a6f388c3095a
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/01/1941 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULUIS KOUNTUR 052472 78 28777 DR
IVONNE RAMENUSA,SPM 0309R0191019V002507 0001567964777 3;JKN linda03;
5.3.9.201904290125 4 81645 1#0##0#0#0.0#2019-10-19
09:23:15#0#00:00:00#00:00:00#00:00:00 1 dd3912fe5dfda118ededf850bea1a33e
7171104 C 3 CP 2 16/10/2019 16/10/2019 13/01/1947 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALSYE SHOPIA KAWULUSAN 052471 72 26574
DR IVONNE RAMENUSA,SPM 0309R0191019V002506 0000138871067 3;JKN
linda03; 5.3.9.201904290125 4 81646 1#0##0#0#0.0#2019-10-19
09:27:02#0#00:00:00#00:00:00#00:00:00 1 6aa7292c073cb6e761aac581f4ecf7f7
7171104 C 3 CP 2 16/10/2019 16/10/2019 10/11/1952 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LENTJI RUMENDEK 051825 66 24446 DR
SALAM SURBAKTI,SPM 0309R0191019V002504 0001604466235 3;JKN linda03;
5.3.9.201904290125 4 82116 1#0##0#0#0.0#2019-10-23
08:06:34#0#00:00:00#00:00:00#00:00:00 1 cccf8fe6d4be010504f4babae5ddcae8
7171104 C 2 CP 1 15/10/2019 16/10/2019 17/05/1970 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5134200
0 0 - 0 - 0 - 0 - 0 5134200
9807400 0 2 0 0 0 MAGDALENA ANDRIANI KASIRAN 052219
49 18048 DR IVONNE RAMENUSA,SPM 0309R0191019V002342 0001476365883
3;JKN eka06; 5.3.9.201904290125 4 82204 1#0##0#0#0.0#2019-10-23
12:21:39#0#00:00:00#00:00:00#00:00:00 2 d89c61d665517a8e599190ba72e427b3
7171104 C 3 CP 1 15/10/2019 16/10/2019 29/08/1950 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 FIEKE MONNA TEKLA LUISA SIBY 051535
69 25249 DR SALAM SURBAKTI,SPM 0309R0191019V002490 0001889300542
3;JKN eka06; 5.3.9.201904290125 4 82203 1#0##0#0#0.0#2019-10-23
12:23:08#0#00:00:00#00:00:00#00:00:00 2 8c90563fa7b0bfad2c9f1c4f38f8c63a
7171104 C 3 CP 1 15/10/2019 16/10/2019 01/06/1951 0 1
1 H44.0 99.21 - - None None None None H-4-10-I None None
None None None None INFEKSI MATA AKUT MAYOR (RINGAN) 2566100 0
0 - 0 - 0 - 0 - 0 2566100 1492600
0 2 0 0 0 MAXSIMUS PARAPAGA 052400 68 24973 DR
IVONNE RAMENUSA,SPM 0309R0191019V002496 0000906227335 3;JKN eka06;
5.3.9.201904290125 4 82201 1#0##0#0#0.0#2019-10-23
12:24:27#0#00:00:00#00:00:00#00:00:00 2 fe361cfc38750a5913409737b4cb3f3d
7171104 C 3 CP 2 16/10/2019 16/10/2019 13/12/2005 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 IRENE N. ANDARIA 052645 13 5055 DR SAUL
RAPAR,SPM 0309R0191019V002666 0002389220065 3;JKN Vian02;
5.3.9.201904290125 4 82154 1#0##0#0#0.0#2019-10-25
09:24:44#0#00:00:00#00:00:00#00:00:00 1 b8519d5f1a98b5ceae3ba74b4e1b1b74
7171104 C 3 CP 2 16/10/2019 16/10/2019 03/06/1967 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SAMSIA T ALIM 052854 52 19128 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V002683 0001067014416 3;JKN Vian02;
5.3.9.201904290125 4 81530 1#0##0#0#0.0#2019-10-28
08:52:44#0#00:00:00#00:00:00#00:00:00 1 d6ac9cc4c38f901ae3ff3ba07f765eeb
7171104 C 3 CP 2 16/10/2019 16/10/2019 06/10/1962 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 MARGARETHA MARLYN KARINDA 052135 57
20829 DR YULIANA HARTONO,SPM 0309R0191019V002717 0001173703735 3;JKN
Boni04; 5.3.9.201904290125 4 83053 1#0##0#0#0.0#2019-10-29
09:54:56#0#00:00:00#00:00:00#00:00:00 1 e2e2d65cee0f799f694e4159292fc011
7171104 C 3 CP 2 16/10/2019 16/10/2019 29/06/1959 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 SIMON PETRUS ZACHARIAS POLII 011149 60
22024 DR YULIANA HARTONO,SPM 0309R0191019V002557 0000138351115 3;JKN
Boni04; 5.3.9.201904290125 4 83054 1#0##0#0#0.0#2019-10-29
09:56:03#0#00:00:00#00:00:00#00:00:00 1 876231bb37f819b9623eecf803512287
7171104 C 3 CP 2 16/10/2019 16/10/2019 06/04/1940 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 CHARLOTA DALAPIS 032394 79 29047 DR
YULIANA HARTONO,SPM 0309R0191019V002543 0001569375336 3;JKN Boni04;
5.3.9.201904290125 4 83055 1#0##0#0#0.0#2019-10-29
09:57:24#0#00:00:00#00:00:00#00:00:00 1 d9d0c6baab658f28b3d8f68d596eaa3f
7171104 C 3 CP 2 16/10/2019 16/10/2019 06/12/1955 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 CORRIE ERNA KAWULUR 010285 63 23325
DR YULIANA HARTONO,SPM 0309R0191019V002713 0000138499402 3;JKN
Boni04; 5.3.9.201904290125 4 83333 1#0##0#0#0.0#2019-10-31
07:22:35#0#00:00:00#00:00:00#00:00:00 1 dd03b436b2083dad8a6bca85f71ae590
7171104 C 3 CP 2 16/10/2019 16/10/2019 11/04/1938 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 OBED MANDAK 025449 81 29773 DR YULIANA
HARTONO,SPM 0309R0191019V002566 0002234238478 3;JKN Boni04;
5.3.9.201904290125 4 83334 1#0##0#0#0.0#2019-10-31
07:23:55#0#00:00:00#00:00:00#00:00:00 1 48043ba310e083860a9cba95869e8964
7171104 C 3 CP 2 16/10/2019 16/10/2019 15/05/1940 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 JULIANA PIRI 026563 79 29008 DR
YULIANA HARTONO,SPM 0309R0191019V002682 0001840356742 3;JKN Boni04;
5.3.9.201904290125 4 83335 1#0##0#0#0.0#2019-10-31
07:24:52#0#00:00:00#00:00:00#00:00:00 1 b1a4cabe1cf7f1b0cec53eb224038ab9
7171104 C 3 CP 2 16/10/2019 16/10/2019 21/01/1950 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 JANSJE JEANET MUMEKH 016945 69 25470
DR PAULA M V LUMUNON,SPM 0309R0191019V002546 0000138319165 3;JKN
Boni04; 5.3.9.201904290125 4 83336 1#0##0#0#0.0#2019-10-31
07:26:44#0#00:00:00#00:00:00#00:00:00 1 20ff0d00333b29af7ea7b918b0c46536
7171104 C 3 CP 2 16/10/2019 16/10/2019 10/02/1935 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 FRANSIN WALALANGI 035977 84 30929
DR PAULA M V LUMUNON,SPM 0309R0191019V002548 0000137988055 3;JKN
Boni04; 5.3.9.201904290125 4 83337 1#0##0#0#0.0#2019-10-31
07:27:47#0#00:00:00#00:00:00#00:00:00 1 4346b65417eb68219d9f96adf1dd9039
7171104 C 3 CP 2 16/10/2019 16/10/2019 04/08/1946 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 NICOLINA HOSANG 014843 73 26736 DR
PAULA M V LUMUNON,SPM 0309R0191019V002513 0002049052184 3;JKN Boni04;
5.3.9.201904290125 4 83338 1#0##0#0#0.0#2019-10-31
07:28:59#0#00:00:00#00:00:00#00:00:00 1 c8d127c04a83d62d7c476de9a6b58511
7171104 C 3 CP 2 16/10/2019 16/10/2019 04/02/1946 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 FINTJE TUMURANG 030609 73 26917 DR
PAULA M V LUMUNON,SPM 0309R0191019V002721 0001565032454 3;JKN Boni04;
5.3.9.201904290125 4 83339 1#0##0#0#0.0#2019-10-31
07:31:53#0#00:00:00#00:00:00#00:00:00 1 f6e723f778b81d2f7fdb751a63dbe882
7171104 C 3 CP 2 16/10/2019 16/10/2019 05/03/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RUDOLOF NEGHE 050814 71 26157 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V002651 0000908155833 3;JKN Boni04;
5.3.9.201904290125 4 83340 1#0##0#0#0.0#2019-10-31
07:35:53#0#00:00:00#00:00:00#00:00:00 1 830858ea7df01db4e4da6eca75df1d7d
7171104 C 3 CP 2 16/10/2019 16/10/2019 05/03/1958 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARTHEN INARAY
051928 61 22505 DR.MELISA RATAG,SPM 0309R0191019V002680
0001574607609 3;JKN Boni04; 5.3.9.201904290125 4 83342
1#0##0#0#0.0#2019-10-31 07:39:08#0#00:00:00#00:00:00#00:00:00 1
8a1f786cc2a29cf627455b74fd2047ff
7171104 C 3 CP 2 16/10/2019 16/10/2019 31/03/1941 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ITHA MANDOME
052482 78 28688 DR.MELISA RATAG,SPM 0309R0191019V002619
0002389341306 3;JKN Boni04; 5.3.9.201904290125 4 83345
1#0##0#0#0.0#2019-10-31 07:40:10#0#00:00:00#00:00:00#00:00:00 1
70a3cc9519eba434592be38ba3a137f3
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/04/1957 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ANNI S KARINDA
052483 62 22843 DR.MELISA RATAG,SPM 0309R0191019V002584
0000910416587 3;JKN Boni04; 5.3.9.201904290125 4 83346
1#0##0#0#0.0#2019-10-31 07:41:16#0#00:00:00#00:00:00#00:00:00 1
3be3cd80890d04378f5df9acc3cfa3ce
7171104 C 3 CP 2 16/10/2019 16/10/2019 06/06/1961 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LEXI WENAS 052507
58 21316 DR.MELISA RATAG,SPM 0309R0191019V002529 0002896185249
3;JKN Boni04; 5.3.9.201904290125 4 83348 1#0##0#0#0.0#2019-10-31
08:01:39#0#00:00:00#00:00:00#00:00:00 1 d0941cddf2dfedf5115c53389abc8af0
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/05/1951 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOOTJE MEWOH
051817 68 25005 DR.MELISA RATAG,SPM 0309R0191019V002523
0001569340844 3;JKN Boni04; 5.3.9.201904290125 4 83357
1#0##0#0#0.0#2019-10-31 08:02:23#0#00:00:00#00:00:00#00:00:00 1
b601fe87d10b217b56eefd276681d9b4
7171104 C 3 CP 2 16/10/2019 16/10/2019 12/06/1951 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 GOFRIT WAHIR
051560 68 24963 DR.MELISA RATAG,SPM 0309R0191019V002519
0001243675923 3;JKN Boni04; 5.3.9.201904290125 4 83358
1#0##0#0#0.0#2019-10-31 08:03:21#0#00:00:00#00:00:00#00:00:00 1
0469acc630bf49a6f1bdb8bf1fc53ebe
7171104 C 3 CP 2 16/10/2019 16/10/2019 29/07/1968 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JULIANA LANGINGI
052519 51 18706 DR RALF PANGALILA,SPM 0309R0191019V002597
0002195839091 3;JKN Boni04; 5.3.9.201904290125 4 83359
1#0##0#0#0.0#2019-10-31 08:05:43#0#00:00:00#00:00:00#00:00:00 1
3911c2c3f70d98f917214e0cfe6f97ee
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/03/1965 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARIA SIGARLAKI
052692 54 19952 DR RALF PANGALILA,SPM 0309R0191019V002614
0000907876269 3;JKN Boni04; 5.3.9.201904290125 4 83360
1#0##0#0#0.0#2019-10-31 08:06:31#0#00:00:00#00:00:00#00:00:00 1
0907d9fb22a47f4426dc41b383d512dd
7171104 C 3 CP 2 16/10/2019 16/10/2019 15/06/1945 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JULIEN TUMIMOMOR
052441 74 27151 DR RALF PANGALILA,SPM 0309R0191019V002592
0002610778228 3;JKN Boni04; 5.3.9.201904290125 4 83361
1#0##0#0#0.0#2019-10-31 08:07:29#0#00:00:00#00:00:00#00:00:00 1
d0048db1f86a575239bce46328e0598c
7171104 C 3 CP 2 16/10/2019 16/10/2019 22/05/1949 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DEBORA LONDA
052484 70 25714 DR RALF PANGALILA,SPM 0309R0191019V002541
0000137215405 3;JKN Boni04; 5.3.9.201904290125 4 83362
1#0##0#0#0.0#2019-10-31 08:08:51#0#00:00:00#00:00:00#00:00:00 1
0f6e8d04ee6677a24d64e2a2d6be37b6
7171104 C 3 CP 2 16/10/2019 16/10/2019 28/09/1969 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MUKHLIS ESTEPANUS
052499 50 18280 DR RALF PANGALILA,SPM 0309R0191019V002712
0000907755311 3;JKN Boni04; 5.3.9.201904290125 4 83363
1#0##0#0#0.0#2019-10-31 08:10:04#0#00:00:00#00:00:00#00:00:00 1
06b7d635554122b0e3d8ae02f3b0b763
7171104 C 3 CP 2 16/10/2019 16/10/2019 08/06/1954 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JENNY MANDANG
051765 65 23871 DR RALF PANGALILA,SPM 0309R0191019V002687
0000138078955 3;JKN Boni04; 5.3.9.201904290125 4 83364
1#0##0#0#0.0#2019-10-31 08:10:58#0#00:00:00#00:00:00#00:00:00 1
d7715383b47658a2b5232830e746d95a
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/02/1955 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 PAULINA MAKAHEMING
052447 64 23633 DR RALF PANGALILA,SPM 0309R0191019V002701
0000907171042 3;JKN Boni04; 5.3.9.201904290125 4 83365
1#0##0#0#0.0#2019-10-31 08:12:02#0#00:00:00#00:00:00#00:00:00 1
79efbe2782ac43b82c0f3bdc5c394d12
7171104 C 3 CP 2 16/10/2019 16/10/2019 25/02/1956 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YUSUF HUSA 052446
63 23244 DR RALF PANGALILA,SPM 0309R0191019V002731 0001573971726
3;JKN Boni04; 5.3.9.201904290125 4 83367 1#0##0#0#0.0#2019-10-31
08:13:24#0#00:00:00#00:00:00#00:00:00 1 865a9b1d78a65d02b373a610c0f45051
7171104 C 3 CP 2 16/10/2019 16/10/2019 05/07/1949 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JULIANA MAGRITHA
PONTO 051603 70 25670 DR DYANA T.WATANIA,SPM 0309R0191019V002692
0002228635361 3;JKN Boni04; 5.3.9.201904290125 4 83390
1#0##0#0#0.0#2019-10-31 09:29:31#0#00:00:00#00:00:00#00:00:00 1
6ac314153529b6577af76ebea4f5e922
7171104 C 3 CP 2 16/10/2019 16/10/2019 20/06/1949 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HADIDJAH B LATIDI
050280 70 25685 DR DYANA T.WATANIA,SPM 0309R0191019V002628
0000137358213 3;JKN Boni04; 5.3.9.201904290125 4 83391
1#0##0#0#0.0#2019-10-31 09:30:22#0#00:00:00#00:00:00#00:00:00 1
c9bd8c8950505439e620876ce3a5768f
7171104 C 3 CP 2 16/10/2019 16/10/2019 06/11/1988 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NINDI PUA 050979
30 11301 DR DYANA T.WATANIA,SPM 0309R0191019V002549 0001574696777
3;JKN Boni04; 5.3.9.201904290125 4 83392 1#0##0#0#0.0#2019-10-31
09:31:33#0#00:00:00#00:00:00#00:00:00 1 6a750ea0918006f974c2c77461e2e2ea
7171104 C 3 CP 2 16/10/2019 16/10/2019 17/08/1969 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 AGUSTIN MANGERO
033975 50 18322 DR DYANA T.WATANIA,SPM 0309R0191019V002536
0000136916651 3;JKN Boni04; 5.3.9.201904290125 4 83393
1#0##0#0#0.0#2019-10-31 09:32:26#0#00:00:00#00:00:00#00:00:00 1
f9ca8859e15dd5dca5b609b4ae6f885a
7171104 C 3 CP 2 16/10/2019 16/10/2019 26/03/1945 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DEETJE.GELDA.
WERUNG LIANDO NY 052501 74 27232 DR DYANA T.WATANIA,SPM
0309R0191019V002526 0000138264423 3;JKN Boni04; 5.3.9.201904290125
4 83395 1#0##0#0#0.0#2019-10-31 09:33:45#0#00:00:00#00:00:00#00:00:00
1 3d57a41412cb8f5608331809c1a5f7c1
7171104 C 3 CP 2 16/10/2019 16/10/2019 06/07/1969 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 OWAN TOWADI 049854
50 18364 DR DYANA T.WATANIA,SPM 0309R0191019V002670 0002239782592
3;JKN Boni04; 5.3.9.201904290125 4 83397 1#0##0#0#0.0#2019-10-31
09:35:04#0#00:00:00#00:00:00#00:00:00 1 9b8776623b1fcd6893b8f289472fdf24
7171104 C 3 CP 2 16/10/2019 16/10/2019 03/02/1961 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YANTJE SITOHAN
049349 58 21439 DR DYANA T.WATANIA,SPM 0309R0191019V002653
0001260876431 3;JKN Boni04; 5.3.9.201904290125 4 83398
1#0##0#0#0.0#2019-10-31 09:36:24#0#00:00:00#00:00:00#00:00:00 1
0dea5d986856a303b028850c349246b7
7171104 C 3 CP 2 16/10/2019 16/10/2019 01/05/1960 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HANTJE TATIMU
052475 59 21717 DR DYANA T.WATANIA,SPM 0309R0191019V002745
0002199258505 3;JKN Boni04; 5.3.9.201904290125 4 83400
1#0##0#0#0.0#2019-10-31 09:37:35#0#00:00:00#00:00:00#00:00:00 1
377e952c2966adc80a449b11d96df08b
7171104 C 3 CP 2 16/10/2019 16/10/2019 19/01/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARIETJE PANGKEY
052015 67 24742 DR DYANA T.WATANIA,SPM 0309R0191019V002732
0000169372473 3;JKN Boni04; 5.3.9.201904290125 4 83402
1#0##0#0#0.0#2019-10-31 09:38:23#0#00:00:00#00:00:00#00:00:00 1
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7171104 C 3 CP 2 16/10/2019 16/10/2019 28/12/1953 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DIANA U. TAROREH
052521 65 24033 DR DYANA T.WATANIA,SPM 0309R0191019V002607
0002261403922 3;JKN Boni04; 5.3.9.201904290125 4 83404
1#0##0#0#0.0#2019-10-31 09:39:18#0#00:00:00#00:00:00#00:00:00 1
596c98f977eba65c256f879620014ca4
7171104 C 3 CP 2 16/10/2019 16/10/2019 05/07/1972 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FAJAR SISWANTO 052831 47 17269 DR
SALAM SURBAKTI,SPM 0309R0191019V002552 0001103079971 3;JKN linda03;
5.3.9.201904290125 4 81537 1#0##0#0#0.0#2019-10-31
13:04:55#0#00:00:00#00:00:00#00:00:00 1 b49d4012d0896668b1a7c0da972adc61
7171104 C 3 CP 2 16/10/2019 16/10/2019 11/03/1944 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SASKAR MANOPPO 052643 75 27612 DR
SAUL RAPAR,SPM 0309R0191019V002522 0002198880246 3;JKN linda03;
5.3.9.201904290125 4 81635 1#0##0#0#0.0#2019-10-31
13:05:58#0#00:00:00#00:00:00#00:00:00 1 159e9df9de8c257923641212107bb0d0
7171104 C 3 CP 2 16/10/2019 16/10/2019 17/09/1949 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AKNES TINUNGKI 016318 70 25596 DR
SALAM SURBAKTI,SPM 0309R0191019V002505 0000137523464 3;JKN linda03;
5.3.9.201904290125 4 81648 1#0##0#0#0.0#2019-11-04
08:28:26#0#00:00:00#00:00:00#00:00:00 1 74e38fb3110e62d3af59677c42bc9c2d
7171104 C 3 CP 2 16/10/2019 16/10/2019 12/08/1964 0 1
1 H11.0;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DARWIS ARIFIN 17779 55 20153 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V002569 0001873748237 3;JKN linda03;
5.3.9.201904290125 4 81513 1#0##0#0#0.0#2019-11-04
13:17:35#0#00:00:00#00:00:00#00:00:00 1 3e73742d98c030f77f89c27e2dd1cc42
7171104 C 3 CP 2 16/10/2019 16/10/2019 21/11/1953 0 2
1 H25.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELSJE GUNENA SMS 52644 65 24070 DR PAULA M V
LUMUNON,SPM 0309R0191019V002571 0000138439438 3;JKN linda03;
5.3.9.201904290125 4 81510 1#0##0#0#0.0#2019-11-04
13:22:24#0#00:00:00#00:00:00#00:00:00 1 3c9ad2774203dd6b8dc52c911980646a
7171104 C 3 CP 2 17/10/2019 17/10/2019 03/11/1967 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LISTIYANI 051100 51 18976 DR RALF
PANGALILA,SPM 0309R0191019V002978 0000194537485 3;JKN Vian02;
5.3.9.201904290125 4 81649 1#0##0#0#0.0#2019-10-19
09:27:54#0#00:00:00#00:00:00#00:00:00 1 ce70447ff0a3bec3c7aaa40420a65643
7171104 C 3 CP 2 17/10/2019 17/10/2019 04/02/1988 0 2
1 H46 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FEIBY WINOKAN 052588 31 11578 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002977 0002388138603 3;JKN Vian02;
5.3.9.201904290125 4 81650 1#0##0#0#0.0#2019-10-19
09:30:12#0#00:00:00#00:00:00#00:00:00 1 83b2d6a46baee4852435e1605b584551
7171104 C 3 CP 2 17/10/2019 17/10/2019 29/05/1961 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MEITA GRETY WALANGITAN 005680 58 21325 DR
RALF PANGALILA,SPM 0309R0191019V002976 0000137374301 3;JKN Vian02;
5.3.9.201904290125 4 81651 1#0##0#0#0.0#2019-10-19
09:30:53#0#00:00:00#00:00:00#00:00:00 1 f5cf9211863ddc1a9cec237e31ecba76
7171104 C 3 CP 2 17/10/2019 17/10/2019 07/08/1953 0 1
1 H25.0;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOKO KAREPOAN 052587 66 24177
DR.FELLY A. TOAD,S.PM 0309R0191019V002975 0001800766618 3;JKN
Vian02; 5.3.9.201904290125 4 81652 1#0##0#0#0.0#2019-10-19
09:32:16#0#00:00:00#00:00:00#00:00:00 1 919820302a1640e1b27abf39f5db631c
7171104 C 3 CP 2 17/10/2019 17/10/2019 10/04/1943 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NONTJE OPING 024320 76 27949 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002974 0001892948207 3;JKN Vian02;
5.3.9.201904290125 4 81653 1#0##0#0#0.0#2019-10-19
09:33:19#0#00:00:00#00:00:00#00:00:00 1 0ceebd6d3c27a806fbb9b162649acd5f
7171104 C 3 CP 2 17/10/2019 17/10/2019 22/11/1966 0 2
1 Z96.1;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MASAAT BIN BAHAR 052208 52 19322
DR.MELISA RATAG,SPM 0309R0191019V002973 0001568720575 3;JKN
Vian02; 5.3.9.201904290125 4 81654 1#0##0#0#0.0#2019-10-19
09:34:12#0#00:00:00#00:00:00#00:00:00 1 4d800da61cbb1e6cda6515a6b133f1f4
7171104 C 3 CP 2 17/10/2019 17/10/2019 08/12/1984 0 1
1 D23.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 REAGI THOSAL 052586 34 12731 DR RALF
PANGALILA,SPM 0309R0191019V002972 0002067923316 3;JKN Vian02;
5.3.9.201904290125 4 81655 219#0##0#0#0.0#2019-10-19
09:35:54#0#00:00:00#00:00:00#00:00:00 1 c1b2d7484abc10bc37408a923f4d92ea
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/08/1990 0 1
1 H10.9;H18.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RIDWAN POU 052585 29 10669 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002971 0000911138861 3;JKN Vian02;
5.3.9.201904290125 4 81656 1#0##0#0#0.0#2019-10-19
09:37:22#0#00:00:00#00:00:00#00:00:00 1 84824fa7ed9486f84005d89e0afbaf81
7171104 C 3 CP 2 17/10/2019 17/10/2019 02/06/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SAONA YOHAN 019480 69 25339 DR RALF
PANGALILA,SPM 0309R0191019V002970 0002074966525 3;JKN Vian02;
5.3.9.201904290125 4 81657 1#0##0#0#0.0#2019-10-19
09:38:34#0#00:00:00#00:00:00#00:00:00 1 9817ef23d022b8dc111ab990a7dee01e
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/12/1943 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELIESER HARINDAH 052583 75 27714 DR. DENNY
WALANDOW, SPM 0309R0191019V002967 0000908275588 3;JKN Vian02;
5.3.9.201904290125 4 81660 1#0##0#0#0.0#2019-10-19
09:41:42#0#00:00:00#00:00:00#00:00:00 1 7813fda1ce11bfe27b131a21fba1a4e6
7171104 C 3 CP 2 17/10/2019 17/10/2019 25/07/1942 0 1
1 H11.3 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAX DAVID LOMPOLIUW 052581 77 28208 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V002966 0000138281152 3;JKN Vian02;
5.3.9.201904290125 4 81661 1#0##0#0#0.0#2019-10-19
09:42:38#0#00:00:00#00:00:00#00:00:00 1 29c9a126fbde98cbe8077f4912c253c7
7171104 C 3 CP 2 17/10/2019 17/10/2019 25/10/1952 0 2
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADRIANA WAUDA 047781 66 24463
DR.MELISA RATAG,SPM 0309R0191019V002965 0001897228697 3;JKN
Vian02; 5.3.9.201904290125 4 81662 1#0##0#0#0.0#2019-10-19
09:44:24#0#00:00:00#00:00:00#00:00:00 1 7afe1389cde25e9736e35bbaccdbc8dc
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/02/1985 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VERONITA C. TAMALIHIS 052579 34 12676 DR
RALF PANGALILA,SPM 0309R0191019V002964 0000906108208 3;JKN Vian02;
5.3.9.201904290125 4 81663 1#0##0#0#0.0#2019-10-19
09:45:43#0#00:00:00#00:00:00#00:00:00 1 935f80dd54b2af4c987fd4c92ee40b17
7171104 C 3 CP 2 17/10/2019 17/10/2019 09/04/1967 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FRETS A. JESKIEL SUPIT 052580 52 19184 DR
DYANA T.WATANIA,SPM 0309R0191019V002962 0001097800187 3;JKN Vian02;
5.3.9.201904290125 4 81664 1#0##0#0#0.0#2019-10-19
09:46:38#0#00:00:00#00:00:00#00:00:00 1 17f0155cc786cfb3d5e5c841c5b68e6b
7171104 C 3 CP 2 17/10/2019 17/10/2019 31/01/1976 0 2
1 H44.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HARIATI DARSONO 052549 43 15965 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002813 0001447272551 3;JKN linda03;
5.3.9.201904290125 4 81665 1#0##0#0#0.0#2019-10-19
09:47:44#0#00:00:00#00:00:00#00:00:00 1 8562017b7c0a7f7ee478194f1c5b3b71
7171104 C 3 CP 2 17/10/2019 17/10/2019 28/01/1978 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NOVITA WATULINGAS 052550 41 15237 DR. DENNY
WALANDOW, SPM 0309R0191019V002816 0001584917919 3;JKN linda03;
5.3.9.201904290125 4 81666 1#0##0#0#0.0#2019-10-19
09:48:35#0#00:00:00#00:00:00#00:00:00 1 6eadee58f01adeff3e4d883ed00d0556
7171104 C 3 CP 2 17/10/2019 17/10/2019 18/05/1955 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEIDY LIOGU 051669 64 23528 DR.FELLY A.
TOAD,S.PM 0309R0191019V002814 0000137263375 3;JKN linda03;
5.3.9.201904290125 4 81667 1#0##0#0#0.0#2019-10-19
09:49:10#0#00:00:00#00:00:00#00:00:00 1 d425c154fcb9f15452a1d308d5725247
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/08/1953 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEETJE MARINGKA 050495 66 24183
DR.MELISA RATAG,SPM 0309R0191019V002812 0000138067312 3;JKN
linda03; 5.3.9.201904290125 4 81668 1#0##0#0#0.0#2019-10-19
09:50:17#0#00:00:00#00:00:00#00:00:00 1 07704ab5338e8d898fb99ed71888f034
7171104 C 3 CP 2 17/10/2019 17/10/2019 22/05/1949 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEBORA LONDA 052484 70 25715 DR
RALF PANGALILA,SPM 0309R0191019V002811 0000137215405 3;JKN linda03;
5.3.9.201904290125 4 81669 1#0##0#0#0.0#2019-10-19
09:50:53#0#00:00:00#00:00:00#00:00:00 1 72fe9292aba2d39df358ac5042de6220
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/04/1964 0 2
1 Z09.0;H40.9;H40.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELVI SAROINSONG 024582 55 20287
DR.FELLY A. TOAD,S.PM 0309R0191019V002810 0000904748084 3;JKN
linda03; 5.3.9.201904290125 4 81670 1#0##0#0#0.0#2019-10-19
09:51:40#0#00:00:00#00:00:00#00:00:00 1 ff25da3cece607be7a686f3bdb04307e
7171104 C 3 CP 2 17/10/2019 17/10/2019 11/12/1957 0 2
1 Z09.8;H18.9;H11.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TRESYE KAAWOAN 035923 61 22590 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V002809 0002043716534 3;JKN linda03;
5.3.9.201904290125 4 81671 1#0##0#0#0.0#2019-10-19
09:52:26#0#00:00:00#00:00:00#00:00:00 1 e7571991187f02a2d6c63833ac365bfb
7171104 C 3 CP 2 17/10/2019 17/10/2019 17/08/1969 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTIN MANGERO 033975 50 18323 DR
DYANA T.WATANIA,SPM 0309R0191019V002808 0000136916651 3;JKN linda03;
5.3.9.201904290125 4 81672 1#0##0#0#0.0#2019-10-19
09:52:59#0#00:00:00#00:00:00#00:00:00 1 4ee33bb17bfceda1183f3b489447af45
7171104 C 3 CP 2 17/10/2019 17/10/2019 15/02/2000 0 1
1 Z09.0;H33.0;H26.9 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RIVALDO EFRAIM UHING 041360 19 7184
DR DYANA T.WATANIA,SPM 0309R0191019V002961 0001968496492 3;JKN
Vian02; 5.3.9.201904290125 4 81673 1#0##0#0#0.0#2019-10-19
09:53:29#0#00:00:00#00:00:00#00:00:00 1 2a2ad7c0b0dd5ce218ef7987bf38300d
7171104 C 3 CP 2 17/10/2019 17/10/2019 27/05/1970 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WAHIDA SELLE 052272 49 18040
DR.MELISA RATAG,SPM 0309R0191019V002807 0000905407233 3;JKN
linda03; 5.3.9.201904290125 4 81674 1#0##0#0#0.0#2019-10-19
09:53:38#0#00:00:00#00:00:00#00:00:00 1 e613e23db3b7ddd7bccf03df0e9495c4
7171104 C 3 CP 2 17/10/2019 17/10/2019 16/12/1990 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HERLINA KRISTI LAMRIA SIMANGUNSONG 024784 28
10532 DR. DENNY WALANDOW, SPM 0309R0191019V002960 0001149581103 3;JKN
Vian02; 5.3.9.201904290125 4 81675 1#0##0#0#0.0#2019-10-19
09:54:37#0#00:00:00#00:00:00#00:00:00 1 8221c85d3fa5db52d2cbd75027adf332
7171104 C 3 CP 2 17/10/2019 17/10/2019 14/07/1955 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOHANIS DUMANAUW 051056 64 23471
DR.MELISA RATAG,SPM 0309R0191019V002806 0000138736282 3;JKN
linda03; 5.3.9.201904290125 4 81676 1#0##0#0#0.0#2019-10-19
09:54:53#0#00:00:00#00:00:00#00:00:00 1 18c129847d1b94b9791e513835e57c43
7171104 C 3 CP 2 17/10/2019 17/10/2019 11/11/1970 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BOYKE P.R. LOING 051606 48 17872 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002804 0001452389174 3;JKN linda03;
5.3.9.201904290125 4 81678 1#0##0#0#0.0#2019-10-19
09:55:23#0#00:00:00#00:00:00#00:00:00 1 8304d4a60768590524e1f6d2a757b1d9
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/05/1958 0 2
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUL SUAK 050147 61 22449 DR.MELISA
RATAG,SPM 0309R0191019V002959 0002316984568 3;JKN Vian02;
5.3.9.201904290125 4 81677 1#0##0#0#0.0#2019-10-19
09:55:26#0#00:00:00#00:00:00#00:00:00 1 e08dd06b51deb8070fdbab0ed2b30e96
7171104 C 3 CP 2 17/10/2019 17/10/2019 26/02/1967 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HETTY KAHENGKENG 052576 52 19226 DR
DYANA T.WATANIA,SPM 0309R0191019V002957 0001066649185 3;JKN Vian02;
5.3.9.201904290125 4 81680 1#0##0#0#0.0#2019-10-19
10:10:27#0#00:00:00#00:00:00#00:00:00 1 dfb767f9665d562acfed11cfdf6b7e28
7171104 C 3 CP 2 17/10/2019 17/10/2019 03/11/1956 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HERIET W. TIMBANGALAN 050021 62 22993 DR
RALF PANGALILA,SPM 0309R0191019V002956 0001897490248 3;JKN Vian02;
5.3.9.201904290125 4 81681 1#0##0#0#0.0#2019-10-19
10:11:20#0#00:00:00#00:00:00#00:00:00 1 06ed68b75b2980b57718d1d2b5ea38ed
7171104 C 3 CP 2 17/10/2019 17/10/2019 24/08/2005 0 2
1 Z09.8;H18.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANGLE VIRGINIA POMANTOW 051701 14 5167
DR. SAMUEL MALINGKAS,SPM 0309R0191019V002955 0002389246569 3;JKN
Vian02; 5.3.9.201904290125 4 81682 1#0##0#0#0.0#2019-10-19
10:12:09#0#00:00:00#00:00:00#00:00:00 1 304fbda72841b9e6a49fb700109724e1
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/05/1960 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HANTJE TATIMU 052475 59 21718 DR
DYANA T.WATANIA,SPM 0309R0191019V002802 0002199258505 3;JKN linda03;
5.3.9.201904290125 4 81679 1#0##0#0#0.0#2019-10-19
10:12:17#0#00:00:00#00:00:00#00:00:00 1 9e1fd52ff547f82cc3ec05770a9fc579
7171104 C 3 CP 2 17/10/2019 17/10/2019 29/08/1964 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KAREL EFRAIM LASUT 049381 55 20137 DR
DYANA T.WATANIA,SPM 0309R0191019V002954 0001094204169 3;JKN Vian02;
5.3.9.201904290125 4 81683 1#0##0#0#0.0#2019-10-19
10:12:57#0#00:00:00#00:00:00#00:00:00 1 65344e51eb8c3b109479ff2c5da63375
7171104 C 3 CP 2 17/10/2019 17/10/2019 04/03/1958 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JERNIS MAABUAT 052182 61 22507
DR.MELISA RATAG,SPM 0309R0191019V002801 0000159480742 3;JKN
linda03; 5.3.9.201904290125 4 81685 1#0##0#0#0.0#2019-10-19
10:15:17#0#00:00:00#00:00:00#00:00:00 1 a512495bb6a4d06e1766cf3d2b39a329
7171104 C 3 CP 2 17/10/2019 17/10/2019 27/09/1950 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HOPNY TORAR 029404 69 25222 DR DYANA
T.WATANIA,SPM 0309R0191019V002800 0001966570683 3;JKN linda03;
5.3.9.201904290125 4 81686 1#0##0#0#0.0#2019-10-19
10:15:51#0#00:00:00#00:00:00#00:00:00 1 13bc983d90d65029ffefc4c808ba8746
7171104 C 3 CP 2 17/10/2019 17/10/2019 20/12/1954 0 1
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RAIMON ARNOLD DJAJUS ROGAHANG 012350 64
23677 DR. SAMUEL MALINGKAS,SPM 0309R0191019V002953 0000137758937
3;JKN Vian02; 5.3.9.201904290125 4 81684 1#0##0#0#0.0#2019-10-19
10:16:10#0#00:00:00#00:00:00#00:00:00 1 8b308b52bdacf54e975653fad25727cf
7171104 C 3 CP 2 17/10/2019 17/10/2019 12/02/1955 0 1
1 Z96.1;H35.2;E11.3 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TAHIR SAMIDEN 026249 64 23623 DR
DYANA T.WATANIA,SPM 0309R0191019V002798 0001969203418 3;JKN linda03;
5.3.9.201904290125 4 81687 1#0##0#0#0.0#2019-10-19
10:16:36#0#00:00:00#00:00:00#00:00:00 1 5c4bbf807001ae7548b6b62efe423edf
7171104 C 3 CP 2 17/10/2019 17/10/2019 15/06/1936 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MIEN UMBOHAN 051422 83 30439 DR. DENNY
WALANDOW, SPM 0309R0191019V002952 0002376301781 3;JKN Vian02;
5.3.9.201904290125 4 81688 1#0##0#0#0.0#2019-10-19
10:16:58#0#00:00:00#00:00:00#00:00:00 1 69a66547da0ffb07abcc2f8a7b23f751
7171104 C 3 CP 2 17/10/2019 17/10/2019 09/01/1983 0 1
1 Z96.1;H33.0;H40.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUDOLF YONATHAN WEHANTOUW 046116 36
13430 DR.FELLY A. TOAD,S.PM 0309R0191019V002797 0002744894283 3;JKN
linda03; 5.3.9.201904290125 4 81689 1#0##0#0#0.0#2019-10-19
10:17:21#0#00:00:00#00:00:00#00:00:00 1 df2bd4f082b9becac777860c5c4cf60e
7171104 C 3 CP 2 17/10/2019 17/10/2019 12/01/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADELINA SOMPIE 014490 74 27306 DR.MELISA
RATAG,SPM 0309R0191019V002796 0001875787931 3;JKN linda03;
5.3.9.201904290125 4 81691 1#0##0#0#0.0#2019-10-19
10:19:29#0#00:00:00#00:00:00#00:00:00 1 48fa6169d48699b37b3894e8d2add7a0
7171104 C 3 CP 2 17/10/2019 17/10/2019 24/06/1943 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CATOTJE ELSJE ROPA 052094 76 27874 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V002793 0000138114606 3;JKN linda03;
5.3.9.201904290125 4 81692 1#0##0#0#0.0#2019-10-19
10:20:27#0#00:00:00#00:00:00#00:00:00 1 22ec95986dd20ab78cee15f87232fe3a
7171104 C 3 CP 2 17/10/2019 17/10/2019 16/09/1957 0 1
1 Z09.8;H44.5;H40.8 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HAMZA DUHE 052124 62 22676 DR.FELLY A.
TOAD,S.PM 0309R0191019V002792 0000908157789 3;JKN linda03;
5.3.9.201904290125 4 81693 1#0##0#0#0.0#2019-10-19
10:22:12#0#00:00:00#00:00:00#00:00:00 1 7b68add28fae7ceffea4774225d3108e
7171104 C 3 CP 2 17/10/2019 17/10/2019 03/02/1961 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YANTJE SITOHAN 049349 58 21440 DR
DYANA T.WATANIA,SPM 0309R0191019V002791 0001260876431 3;JKN linda03;
5.3.9.201904290125 4 81694 1#0##0#0#0.0#2019-10-19
10:22:47#0#00:00:00#00:00:00#00:00:00 1 2846ec7404e3e5f1712e363c9ceb9649
7171104 C 3 CP 2 17/10/2019 17/10/2019 14/09/1959 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GABRIEL TUMANKEN 038526 60 21948 DR.
DENNY WALANDOW, SPM 0309R0191019V002790 0000137960357 3;JKN linda03;
5.3.9.201904290125 4 81695 1#0##0#0#0.0#2019-10-19
10:23:31#0#00:00:00#00:00:00#00:00:00 1 2386125a50beedb214e3102e45bb6520
7171104 C 3 CP 2 17/10/2019 17/10/2019 28/07/1964 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA BERNADETH SANGER 038525 55 20169
DR.MELISA RATAG,SPM 0309R0191019V002789 0000137960368 3;JKN
linda03; 5.3.9.201904290125 4 81696 1#0##0#0#0.0#2019-10-19
10:24:07#0#00:00:00#00:00:00#00:00:00 1 56cdc5f0b6e0bdcaf13681038b0d8773
7171104 C 3 CP 2 17/10/2019 17/10/2019 19/07/1968 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 EMI KORDI APITA 052546 51 18717 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002788 0000908309564 3;JKN linda03;
5.3.9.201904290125 4 81697 1#0##0#0#0.0#2019-10-19
10:25:12#0#00:00:00#00:00:00#00:00:00 1 1ffe581d60bff19c70225320c87ac64b
7171104 C 3 CP 2 17/10/2019 17/10/2019 23/07/1971 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SITI HALIMA 052560 48 17618 DR.MELISA
RATAG,SPM 0309R0191019V002897 0002389303001 3;JKN Vian02;
5.3.9.201904290125 4 81698 1#0##0#0#0.0#2019-10-21
07:12:46#0#00:00:00#00:00:00#00:00:00 1 828ab99769497a5e6576238cd7898117
7171104 C 3 CP 2 17/10/2019 17/10/2019 29/04/1958 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANEKE SUPIT 052559 61 22451 DR RALF
PANGALILA,SPM 0309R0191019V002898 0002388460566 3;JKN Vian02;
5.3.9.201904290125 4 81699 1#0##0#0#0.0#2019-10-21
07:25:38#0#00:00:00#00:00:00#00:00:00 1 b521e87e080d2082fc5bd3f74921ff8b
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/01/1957 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANWAR USULU 052350 62 22934 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002899 0002251158254 3;JKN Vian02;
5.3.9.201904290125 4 81700 1#0##0#0#0.0#2019-10-21
07:27:48#0#00:00:00#00:00:00#00:00:00 1 76bb00b66e4492edbee811b5db3a2747
7171104 C 3 CP 2 17/10/2019 17/10/2019 17/07/1940 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YULIN SUMANTI 052561 79 28946 DR.MELISA
RATAG,SPM 0309R0191019V002900 0002388050943 3;JKN Vian02;
5.3.9.201904290125 4 81701 1#0##0#0#0.0#2019-10-21
07:28:48#0#00:00:00#00:00:00#00:00:00 1 e1a2f6e5aba984b49c2cdfe9829f8bad
7171104 C 3 CP 2 17/10/2019 17/10/2019 10/09/1952 0 2
1 Z09.8;H25.0;H35.3 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AALTJE DOORTJE MAPALIEY 038624 67 24508
DR RALF PANGALILA,SPM 0309R0191019V002901 0000138167739 3;JKN
Vian02; 5.3.9.201904290125 4 81702 1#0##0#0#0.0#2019-10-21
07:30:23#0#00:00:00#00:00:00#00:00:00 1 33074407122918997f27aca1c2e23896
7171104 C 3 CP 2 17/10/2019 17/10/2019 05/01/1943 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LIEN KRISTAUNG 052562 76 28044 DR RALF
PANGALILA,SPM 0309R0191019V002902 0000138111445 3;JKN Vian02;
5.3.9.201904290125 4 81703 1#0##0#0#0.0#2019-10-21
07:31:33#0#00:00:00#00:00:00#00:00:00 1 bdebe0c368d69c15fedd55ff00f3644f
7171104 C 3 CP 2 17/10/2019 17/10/2019 16/12/1940 0 1
1 Z96.1;Z09.0;H40.9 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENKIE SAKUL 049804 78 28794
DR.FELLY A. TOAD,S.PM 0309R0191019V002903 0000173049153 3;JKN
Vian02; 5.3.9.201904290125 4 81704 1#0##0#0#0.0#2019-10-21
07:32:25#0#00:00:00#00:00:00#00:00:00 1 36f6cccd273389e4d971c3ee45f1e157
7171104 C 3 CP 2 17/10/2019 17/10/2019 05/07/1969 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DESSY DJULITA WAROUW 052563 50 18366
DR. DENNY WALANDOW, SPM 0309R0191019V002905 0000137864057 3;JKN
Vian02; 5.3.9.201904290125 4 81705 1#0##0#0#0.0#2019-10-21
07:38:57#0#00:00:00#00:00:00#00:00:00 1 6b3289e25951c36762ce133e9f362dc6
7171104 C 3 CP 2 17/10/2019 17/10/2019 04/07/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NELLY PIOH 052239 65 23846 DR.MELISA
RATAG,SPM 0309R0191019V002907 0001721696804 3;JKN Vian02;
5.3.9.201904290125 4 81706 1#0##0#0#0.0#2019-10-21
07:39:38#0#00:00:00#00:00:00#00:00:00 1 6ca4822be7fe439b64a7f8be7a201e62
7171104 C 3 CP 2 17/10/2019 17/10/2019 29/04/1944 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LAURINA B. MARAMIS 052572 75 27564
DR DYANA T.WATANIA,SPM 0309R0191019V002908 0001826618286 3;JKN
Vian02; 5.3.9.201904290125 4 81707 1#0##0#0#0.0#2019-10-21
07:40:53#0#00:00:00#00:00:00#00:00:00 1 8ee0c1b5762f80a26b26af5500a9c4be
7171104 C 3 CP 2 17/10/2019 17/10/2019 25/01/1964 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RONNI WAWORUNTU 052354 55 20354 DR. DENNY
WALANDOW, SPM 0309R0191019V002910 0002389581088 3;JKN Vian02;
5.3.9.201904290125 4 81708 1#0##0#0#0.0#2019-10-21
07:41:40#0#00:00:00#00:00:00#00:00:00 1 cfbaba6f492fb5508757b7225160896f
7171104 C 3 CP 2 17/10/2019 17/10/2019 26/10/2002 0 2
1 Z09.8;H18.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LUSIA MARIA KALANGI 002373 16 6200
DR. SAMUEL MALINGKAS,SPM 0309R0191019V002928 0001099787646 3;JKN
Vian02; 5.3.9.201904290125 4 81709 1#0##0#0#0.0#2019-10-21
07:42:29#0#00:00:00#00:00:00#00:00:00 1 ccb62714fbd439099ad2628d70b15bc6
7171104 C 3 CP 2 17/10/2019 17/10/2019 29/07/1968 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIANA LANGINGI 052519 51 18707 DR RALF
PANGALILA,SPM 0309R0191019V002912 0002195839091 3;JKN Vian02;
5.3.9.201904290125 4 81710 1#0##0#0#0.0#2019-10-21
07:44:05#0#00:00:00#00:00:00#00:00:00 1 744bb3960e9f75035ec1512d1a617acd
7171104 C 3 CP 2 17/10/2019 17/10/2019 04/08/1960 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALTJE AGUSTIN TIRES 052564 59 21623
DR RALF PANGALILA,SPM 0309R0191019V002913 0000137074781 3;JKN
Vian02; 5.3.9.201904290125 4 81711 1#0##0#0#0.0#2019-10-21
07:45:45#0#00:00:00#00:00:00#00:00:00 1 83d96874ad0c45f82a926846d028c375
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/01/1986 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YERLIN POTO 052565 33 12342 DR DYANA
T.WATANIA,SPM 0309R0191019V002914 0000906162513 3;JKN Vian02;
5.3.9.201904290125 4 81712 1#0##0#0#0.0#2019-10-21
07:49:03#0#00:00:00#00:00:00#00:00:00 1 185211d14459e8475c4a58042e0689e0
7171104 C 3 CP 2 17/10/2019 17/10/2019 19/01/1952 0 2
1 Z96.1;H43.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIETJE PANGKEY 052015 67 24743 DR
DYANA T.WATANIA,SPM 0309R0191019V002916 0000169372473 3;JKN Vian02;
5.3.9.201904290125 4 81713 1#0##0#0#0.0#2019-10-21
07:49:49#0#00:00:00#00:00:00#00:00:00 1 92e607b590cbb8f137596a12ffc430d8
7171104 C 3 CP 2 17/10/2019 17/10/2019 22/12/1959 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CHRISTIAN RONALD DIEN 052566 59 21849 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V002918 0000138533038 3;JKN Vian02;
5.3.9.201904290125 4 81714 1#0##0#0#0.0#2019-10-21
07:50:44#0#00:00:00#00:00:00#00:00:00 1 475b297e3da60e13e7e43a34e264df61
7171104 C 3 CP 2 17/10/2019 17/10/2019 30/12/1945 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BOBBY JEFTA MANEMBU 016487 73 26954 DR.
DENNY WALANDOW, SPM 0309R0191019V002919 0001896845207 3;JKN Vian02;
5.3.9.201904290125 4 81715 1#0##0#0#0.0#2019-10-21
07:51:45#0#00:00:00#00:00:00#00:00:00 1 c85b1245af76cdd05bd854c7d0cfd1b7
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/01/1953 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YANSI KANDOU 051272 66 24395
DR.FELLY A. TOAD,S.PM 0309R0191019V002921 0000908893901 3;JKN
Vian02; 5.3.9.201904290125 4 81716 1#0##0#0#0.0#2019-10-21
07:52:38#0#00:00:00#00:00:00#00:00:00 1 d7de196a9f5868bd91b6f8044379fd82
7171104 C 3 CP 2 17/10/2019 17/10/2019 08/06/1949 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAX MAKALEW 051676 70 25698 DR. DENNY
WALANDOW, SPM 0309R0191019V002922 0001287756516 3;JKN Vian02;
5.3.9.201904290125 4 81717 1#0##0#0#0.0#2019-10-21
07:53:24#0#00:00:00#00:00:00#00:00:00 1 32152dcacbeb3ea5c7bec32bc9bfe4de
7171104 C 3 CP 2 17/10/2019 17/10/2019 31/01/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 OLLY MAKALEW BUNOCH 051675 67 24731 DR.
DENNY WALANDOW, SPM 0309R0191019V002924 0001287757394 3;JKN Vian02;
5.3.9.201904290125 4 81718 1#0##0#0#0.0#2019-10-21
07:54:06#0#00:00:00#00:00:00#00:00:00 1 152f217c1c228a185ca0b6eab0aeef22
7171104 C 3 CP 2 17/10/2019 17/10/2019 08/08/1944 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JHON TOWOLIU 052215 75 27463
DR.MELISA RATAG,SPM 0309R0191019V002925 0001066883501 3;JKN
Vian02; 5.3.9.201904290125 4 81719 1#0##0#0#0.0#2019-10-21
07:55:02#0#00:00:00#00:00:00#00:00:00 1 5bdf45649317b63efb62f1336cd93ac3
7171104 C 3 CP 2 17/10/2019 17/10/2019 06/01/1961 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TOKSEN LUMIKIS 047681 58 21468 DR. DENNY
WALANDOW, SPM 0309R0191019V002927 0000194639365 3;JKN Vian02;
5.3.9.201904290125 4 81720 1#0##0#0#0.0#2019-10-21
07:55:49#0#00:00:00#00:00:00#00:00:00 1 444c0d2b71f23fd74570fe46f1009887
7171104 C 3 CP 2 17/10/2019 17/10/2019 10/05/1960 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 THERESIA KANSIL 051301 59 21709 DR.MELISA
RATAG,SPM 0309R0191019V002929 0001435697021 3;JKN Vian02;
5.3.9.201904290125 4 81721 1#0##0#0#0.0#2019-10-21
07:56:40#0#00:00:00#00:00:00#00:00:00 1 75ab2b5acf9f448b868bd0f14cff20fb
7171104 C 3 CP 2 17/10/2019 17/10/2019 26/06/1946 0 1
1 Z09.8;H35.2;Z96.1;H40.5 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUWIRMAN TANJUNG 022814 73 26776
DR.FELLY A. TOAD,S.PM 0309R0191019V002930 0001803708922 3;JKN
Vian02; 5.3.9.201904290125 4 81722 1#0##0#0#0.0#2019-10-21
07:57:44#0#00:00:00#00:00:00#00:00:00 1 6c5ba461c9d17c94ca5d159447d3cd90
7171104 C 3 CP 2 17/10/2019 17/10/2019 03/08/1948 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NY. WELHELMINA L PULU 017584 71 26007 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V002938 0000138192028 3;JKN Vian02;
5.3.9.201904290125 4 81723 1#0##0#0#0.0#2019-10-21
07:58:44#0#00:00:00#00:00:00#00:00:00 1 eb122a7256b02a2e6a129c0932478add
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/10/1962 0 1
1 Z09.8;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RONI NARANDE 052214 57 20835
DR.MELISA RATAG,SPM 0309R0191019V002947 0000907863805 3;JKN
Vian02; 5.3.9.201904290125 4 81724 1#0##0#0#0.0#2019-10-21
07:59:33#0#00:00:00#00:00:00#00:00:00 1 5a357eccc9494ba927bfb023e7a7dbfd
7171104 C 3 CP 2 17/10/2019 17/10/2019 26/12/1951 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JAHYA WUISAN 052337 67 24767 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002950 0001786865758 3;JKN Vian02;
5.3.9.201904290125 4 81725 1#0##0#0#0.0#2019-10-21
08:00:12#0#00:00:00#00:00:00#00:00:00 1 ff6e93f85083a484de3a346a68a66a62
7171104 C 3 CP 2 17/10/2019 17/10/2019 16/10/1968 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINUS F. VILLACARLOS 052575 51
18628 DR.MELISA RATAG,SPM 0309R0191019V002951 0001971960974 3;JKN
Vian02; 5.3.9.201904290125 4 81690 1#0##0#0#0.0#2019-10-21
08:01:02#0#00:00:00#00:00:00#00:00:00 1 6a3394b54d4553d3cf8a36a5a6723c07
7171104 C 3 CP 2 17/10/2019 17/10/2019 15/11/1964 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARRUK HARYANTI 052567 54 20059 DR
RALF PANGALILA,SPM 0309R0191019V002896 0000138676994 3;JKN Patrick K.;
5.3.9.201904290125 4 81728 1#0##0#0#0.0#2019-10-21
08:56:17#0#00:00:00#00:00:00#00:00:00 1 af878f5fe450a158e388d3e87c86b5f4
7171104 C 3 CP 2 17/10/2019 17/10/2019 12/02/1955 0 1
1 H25.0;H25.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BURTJE MURSIH 052544 64 23623
DR.FELLY A. TOAD,S.PM 0309R0191019V002787 0001604379868 3;JKN
linda03; 5.3.9.201904290125 4 81730 1#0##0#0#0.0#2019-10-21
10:04:24#0#00:00:00#00:00:00#00:00:00 1 215a700312b31338ab6dcfe914388a37
7171104 C 3 CP 2 17/10/2019 17/10/2019 28/09/1959 0 1
1 H16.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LEXI BERTJE KAPOH 052545 60 21934 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002785 0001820880764 3;JKN linda03;
5.3.9.201904290125 4 81731 1#0##0#0#0.0#2019-10-21
10:54:15#0#00:00:00#00:00:00#00:00:00 1 afbde7021a2eca10bcd0acceb2b6795f
7171104 C 3 CP 2 17/10/2019 17/10/2019 08/04/1950 0 2
1 H00.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOSEPHIN YAURI 052542 69 25394 DR. DENNY
WALANDOW, SPM 0309R0191019V002784 0002068594874 3;JKN linda03;
5.3.9.201904290125 4 81732 1#0##0#0#0.0#2019-10-21
10:55:47#0#00:00:00#00:00:00#00:00:00 1 35313fb6cf57a25ee4cdabe38fa068c6
7171104 C 3 CP 2 17/10/2019 17/10/2019 28/02/1947 0 2
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANSJE FRANSIE ROMPAS 032902 72 26529
DR RALF PANGALILA,SPM 0309R0191019V002782 0000138861044 3;JKN
linda03; 5.3.9.201904290125 4 81733 1#0##0#0#0.0#2019-10-21
10:57:13#0#00:00:00#00:00:00#00:00:00 1 51dbf12f4359caddd95284e30ce48330
7171104 C 3 CP 2 17/10/2019 17/10/2019 10/04/1938 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NICOLAS PALOHOEN 047380 81 29775 DR. DENNY
WALANDOW, SPM 0309R0191019V002781 0000137143686 3;JKN linda03;
5.3.9.201904290125 4 81734 1#0##0#0#0.0#2019-10-21
10:57:58#0#00:00:00#00:00:00#00:00:00 1 3660d83e372174f0214c8aed0d745ce2
7171104 C 3 CP 2 17/10/2019 17/10/2019 28/11/1958 0 2
1 Z09.8;H40.1;H44.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONI BERDAME 041111 60 22238
DR.FELLY A. TOAD,S.PM 0309R0191019V002780 0001479204584 3;JKN
linda03; 5.3.9.201904290125 4 81735 1#0##0#0#0.0#2019-10-21
10:58:42#0#00:00:00#00:00:00#00:00:00 1 ab4def5bb01cd7a7aa26423c798f82ea
7171104 C 3 CP 2 17/10/2019 17/10/2019 21/11/1960 0 2
1 Z96.1;H40.8;H35.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONCE A. DIRENO 042413 58 21514
DR.FELLY A. TOAD,S.PM 0309R0191019V002779 0000136907932 3;JKN
linda03; 5.3.9.201904290125 4 81736 1#0##0#0#0.0#2019-10-21
10:59:43#0#00:00:00#00:00:00#00:00:00 1 a2861f1c0ad90e1732288d2c7a16521d
7171104 C 3 CP 2 17/10/2019 17/10/2019 05/03/1958 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTHEN INARAY 051928 61 22506
DR.MELISA RATAG,SPM 0309R0191019V002777 0001574607609 3;JKN
linda03; 5.3.9.201904290125 4 81738 1#0##0#0#0.0#2019-10-21
11:01:45#0#00:00:00#00:00:00#00:00:00 1 d3f96803407bd87e3acdd39c9c73c124
7171104 C 3 CP 2 17/10/2019 17/10/2019 31/07/1959 0 2
1 Z96.1;H44.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALTJE POSUMAH 051586 60 21993 DR
RALF PANGALILA,SPM 0309R0191019V002774 0001567777239 3;JKN linda03;
5.3.9.201904290125 4 81739 1#0##0#0#0.0#2019-10-21
11:02:31#0#00:00:00#00:00:00#00:00:00 1 e3bc05df9fc7278ef5da439363c72d5c
7171104 C 3 CP 2 17/10/2019 17/10/2019 12/01/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KARIM KAUSAHA 052078 71 26211 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002773 0000138270238 3;JKN linda03;
5.3.9.201904290125 4 81740 1#0##0#0#0.0#2019-10-21
11:03:09#0#00:00:00#00:00:00#00:00:00 1 1254490a5254fb98983f89214e21bd75
7171104 C 3 CP 2 17/10/2019 17/10/2019 23/08/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BERNARD LODEWYK TULUNG 015970 73 26718
DR.MELISA RATAG,SPM 0309R0191019V002772 0000138271476 3;JKN
linda03; 5.3.9.201904290125 4 81741 1#0##0#0#0.0#2019-10-21
11:04:02#0#00:00:00#00:00:00#00:00:00 1 f796659bbd14101e989a923ce097824c
7171104 C 3 CP 2 17/10/2019 17/10/2019 06/06/1961 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LEXI WENAS 052507 58 21317 DR.MELISA
RATAG,SPM 0309R0191019V002771 0002896185249 3;JKN linda03;
5.3.9.201904290125 4 81742 1#0##0#0#0.0#2019-10-21
11:07:22#0#00:00:00#00:00:00#00:00:00 1 2ff1e33957341ddb050157c49cc3a6c9
7171104 C 3 CP 2 17/10/2019 17/10/2019 26/03/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEETJE.GELDA. WERUNG LIANDO NY 052501 74
27233 DR RALF PANGALILA,SPM 0309R0191019V002770 0000138264423 3;JKN
linda03; 5.3.9.201904290125 4 81743 1#0##0#0#0.0#2019-10-21
11:08:23#0#00:00:00#00:00:00#00:00:00 1 027b57a02d15430ed4d6f857638287f5
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/05/1946 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAXII MILIAM PUDIHANG 052333 73 26832
DR. SAMUEL MALINGKAS,SPM 0309R0191019V002769 0000909572141 3;JKN
linda03; 5.3.9.201904290125 4 81744 1#0##0#0#0.0#2019-10-21
11:08:59#0#00:00:00#00:00:00#00:00:00 1 648fe6008b44b81563c2d62e236ae78f
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/05/1951 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOOTJE MEWOH 051817 68 25006
DR.MELISA RATAG,SPM 0309R0191019V002767 0001569340844 3;JKN
linda03; 5.3.9.201904290125 4 81745 1#0##0#0#0.0#2019-10-21
11:10:03#0#00:00:00#00:00:00#00:00:00 1 7437b99bd5c9d89f9a1ae63851e3ed9d
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/05/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TELMA PAPENDANG 052332 71 26101 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002766 0000909572635 3;JKN linda03;
5.3.9.201904290125 4 81746 1#0##0#0#0.0#2019-10-21
11:13:09#0#00:00:00#00:00:00#00:00:00 1 a0c8243aa8305d570a0d43642fbf3344
7171104 C 3 CP 2 17/10/2019 17/10/2019 12/06/1951 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GOFRIT WAHIR 051560 68 24964
DR.MELISA RATAG,SPM 0309R0191019V002764 0001243675923 3;JKN
linda03; 5.3.9.201904290125 4 81750 1#0##0#0#0.0#2019-10-21
11:16:10#0#00:00:00#00:00:00#00:00:00 1 f2292d079996f2cae94ff26cda4ae80d
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/07/1965 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YULITA WENUR 025631 54 19831 DR.MELISA
RATAG,SPM 0309R0191019V002763 0000910247141 3;JKN linda03;
5.3.9.201904290125 4 81758 24#0##0#0#0.0#2019-10-21
11:29:18#0#00:00:00#00:00:00#00:00:00 1 8b49c3dc0acd31eb84f312b6dd64bf64
7171104 C 3 CP 2 17/10/2019 17/10/2019 15/06/1945 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIEN TUMIMOMOR 052441 74 27152 DR
RALF PANGALILA,SPM 0309R0191019V002762 0002610778228 3;JKN linda03;
5.3.9.201904290125 4 81759 1#0##0#0#0.0#2019-10-21
11:30:47#0#00:00:00#00:00:00#00:00:00 1 0a37f3de29f6f730c633fe68c9ae223b
7171104 C 3 CP 2 17/10/2019 17/10/2019 29/07/1952 0 2
1 Z96.1;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIN WANGANIA 051501 67 24551 DR.
DENNY WALANDOW, SPM 0309R0191019V002761 0001447364788 3;JKN linda03;
5.3.9.201904290125 4 81760 1#0##0#0#0.0#2019-10-21
11:35:02#0#00:00:00#00:00:00#00:00:00 1 c3f5e14f9de00f3d734249698175a4a7
7171104 C 3 CP 2 17/10/2019 17/10/2019 17/01/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNA ANGELIN RONGA 051500 65 24014 DR.
DENNY WALANDOW, SPM 0309R0191019V002760 0000139049278 3;JKN linda03;
5.3.9.201904290125 4 81761 1#0##0#0#0.0#2019-10-21
11:35:51#0#00:00:00#00:00:00#00:00:00 1 85f362afacff3de719dfed9688a71740
7171104 C 3 CP 2 17/10/2019 17/10/2019 14/03/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOPPY SUAK 052079 71 26149 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002758 0002388431766 3;JKN linda03;
5.3.9.201904290125 4 81763 1#0##0#0#0.0#2019-10-21
11:37:21#0#00:00:00#00:00:00#00:00:00 1 e844729a9f9b46e87d4dc82122835ac1
7171104 C 3 CP 2 17/10/2019 17/10/2019 10/11/1963 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIE RUMONDOR 036744 55 20430
DR.MELISA RATAG,SPM 0309R0191019V002757 0000137742399 3;JKN
linda03; 5.3.9.201904290125 4 81764 1#0##0#0#0.0#2019-10-21
11:38:15#0#00:00:00#00:00:00#00:00:00 1 184a583e5ced32bde1c9b1fb73f40137
7171104 C 3 CP 2 17/10/2019 17/10/2019 03/01/1948 0 1
1 Z09.8;H40.5;H33.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YAKOB PUNUINDOONG 047768 71 26220
DR.FELLY A. TOAD,S.PM 0309R0191019V002756 0002252556854 3;JKN
linda03; 5.3.9.201904290125 4 81765 1#0##0#0#0.0#2019-10-21
11:39:03#0#00:00:00#00:00:00#00:00:00 1 4ba370e85c8a50b298076acf58ec024a
7171104 C 3 CP 2 17/10/2019 17/10/2019 14/12/1947 0 1
1 Z09.8;H40.8;H52.0;H25.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DICKY L LINTONG,DRS 025467 71 26240
DR.FELLY A. TOAD,S.PM 0309R0191019V002755 0000138264827 3;JKN
linda03; 5.3.9.201904290125 4 81766 1#0##0#0#0.0#2019-10-21
11:39:55#0#00:00:00#00:00:00#00:00:00 1 786d980d70d8b54325dbee101001b5fa
7171104 C 3 CP 2 17/10/2019 17/10/2019 10/11/1939 0 2
1 Z09.8;H01.0;Q11.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ESTER LERAH 011976 79 29196 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002754 0002238310372 3;JKN linda03;
5.3.9.201904290125 4 81767 1#0##0#0#0.0#2019-10-21
11:52:14#0#00:00:00#00:00:00#00:00:00 1 5a22146fba09a36a03927096907e7ae5
7171104 C 3 CP 2 17/10/2019 17/10/2019 31/01/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JANTJE HARRY MANTIRI 051922 73 26922
DR.MELISA RATAG,SPM 0309R0191019V002768 0000137181352 3;JKN
linda03; 5.3.9.201904290125 4 81787 1#0##0#0#0.0#2019-10-21
13:14:41#0#00:00:00#00:00:00#00:00:00 1 c000728ba362d1dcf56e94011e940edd
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/03/1962 0 1
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARNES DOMINSILI 051239 57 21049 DR
DYANA T.WATANIA,SPM 0309R0191019V002753 0000911365773 3;JKN linda03;
5.3.9.201904290125 4 81794 1#0##0#0#0.0#2019-10-21
13:20:27#0#00:00:00#00:00:00#00:00:00 1 4577113810175784d74d7bf0f8dbab2f
7171104 C 3 CP 2 17/10/2019 17/10/2019 26/12/1954 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTEN TEBI 052262 64 23671 DR.MELISA
RATAG,SPM 0309R0191019V002752 0000140392574 3;JKN linda03;
5.3.9.201904290125 4 81795 13#0##0#0#0.0#2019-10-21
13:21:44#0#00:00:00#00:00:00#00:00:00 1 fa9f5c5a09a3e8d334e83da9605b71bf
7171104 C 3 CP 2 17/10/2019 17/10/2019 11/11/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BOYKE MOKODOMPIS 051934 68 25177 DR.MELISA
RATAG,SPM 0309R0191019V002751 0002094763149 3;JKN linda03;
5.3.9.201904290125 4 81797 1#0##0#0#0.0#2019-10-21
13:23:10#0#00:00:00#00:00:00#00:00:00 1 f6aaca9e2926e4a810a944bb1104945e
7171104 C 3 CP 2 17/10/2019 17/10/2019 05/04/1957 0 1
1 Z09.8;H40.2;H25.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HASAN RAHMOLA 050594 62 22840
DR.FELLY A. TOAD,S.PM 0309R0191019V002750 0002259897603 3;JKN
linda03; 5.3.9.201904290125 4 81798 1#0##0#0#0.0#2019-10-21
13:23:58#0#00:00:00#00:00:00#00:00:00 1 3645508195245705db1f5c057cc3dfe0
7171104 C 3 CP 2 17/10/2019 17/10/2019 08/08/1968 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FARIDA HASANUDIN 050956 51 18697 DR RALF
PANGALILA,SPM 0309R0191019V002895 0002881340706 3;JKN Patrick K.;
5.3.9.201904290125 4 81729 1#0##0#0#0.0#2019-10-21
15:37:44#0#00:00:00#00:00:00#00:00:00 1 b267b82bde5dd057b751e238e8655a02
7171104 C 3 CP 2 17/10/2019 17/10/2019 20/03/1958 0 1
1 H27.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DRS. CORNELES MULUWERE 052557 61 22491 DR
DYANA T.WATANIA,SPM 0309R0191019V002892 0000024263651 3;JKN Patrick K.;
5.3.9.201904290125 4 81815 1#0##0#0#0.0#2019-10-21
15:40:35#0#00:00:00#00:00:00#00:00:00 1 700f46a80713435342968c17c37cf736
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/02/1955 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PAULINA MAKAHEMING 052447 64 23634
DR RALF PANGALILA,SPM 0309R0191019V002891 0000907171042 3;JKN
Patrick K.; 5.3.9.201904290125 4 81816 1#0##0#0#0.0#2019-10-21
15:41:53#0#00:00:00#00:00:00#00:00:00 1 5161383e21887758b08db269648fefb0
7171104 C 3 CP 2 17/10/2019 17/10/2019 17/09/1996 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VERNIA BRIGITA SULTRI WATTIE 052556 23 8430
DR DYANA T.WATANIA,SPM 0309R0191019V002890 0002036355816 3;JKN
Patrick K.; 5.3.9.201904290125 4 81817 1#0##0#0#0.0#2019-10-21
15:42:48#0#00:00:00#00:00:00#00:00:00 1 c165ec6fec275997b5b53954c81b3bbf
7171104 C 3 CP 2 17/10/2019 17/10/2019 06/05/1958 0 1
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VENTJE DUMAT 052558 61 22444 DR RALF
PANGALILA,SPM 0309R0191019V002893 0000167174695 3;JKN Patrick K.;
5.3.9.201904290125 4 81818 1#0##0#0#0.0#2019-10-21
15:43:59#0#00:00:00#00:00:00#00:00:00 1 7635c2fc694a24cd117dbc809a97bb79
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/12/1977 0 2
1 Z09.8;H52.1;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SINTA HASYIM 007702 41 15295 DR.
DENNY WALANDOW, SPM 0309R0191019V002887 0000910228048 3;JKN Patrick K.;
5.3.9.201904290125 4 81819 1#0##0#0#0.0#2019-10-21
15:45:00#0#00:00:00#00:00:00#00:00:00 1 ba04b69bfeed15c17ab20eef631c5d08
7171104 C 3 CP 2 17/10/2019 17/10/2019 08/06/1954 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JENNY MANDANG 051765 65 23872 DR
RALF PANGALILA,SPM 0309R0191019V002884 0000138078955 3;JKN Patrick K.;
5.3.9.201904290125 4 81820 1#0##0#0#0.0#2019-10-21
15:46:04#0#00:00:00#00:00:00#00:00:00 1 485898e6a2bd3bbdb62640677ef4423d
7171104 C 3 CP 2 17/10/2019 17/10/2019 18/03/1963 0 2
1 Z96.1;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HASNAH ASSAGAF 045881 56 20667
DR.FELLY A. TOAD,S.PM 0309R0191019V002882 0002062060481 3;JKN
Patrick K.; 5.3.9.201904290125 4 81821 1#0##0#0#0.0#2019-10-21
15:46:58#0#00:00:00#00:00:00#00:00:00 1 a9cab0cdf986105d09fd4f8a2545f7ae
7171104 C 3 CP 2 17/10/2019 17/10/2019 05/02/1943 0 2
1 Z09.8;H44.5;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CATRYNTJE F. KALEB 050872 76 28013
DR.FELLY A. TOAD,S.PM 0309R0191019V002880 0000137185738 3;JKN
Patrick K.; 5.3.9.201904290125 4 81822 1#0##0#0#0.0#2019-10-21
15:49:38#0#00:00:00#00:00:00#00:00:00 1 b4a5fbed223201de847943d5da5251d6
7171104 C 3 CP 2 17/10/2019 17/10/2019 20/08/1940 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINE LEGOH 052114 79 28912 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V002874 0001433952742 3;JKN Patrick K.;
5.3.9.201904290125 4 81823 1#0##0#0#0.0#2019-10-21
15:50:39#0#00:00:00#00:00:00#00:00:00 1 be50d112ff9e614805d12e955de3a9bd
7171104 C 3 CP 2 17/10/2019 17/10/2019 15/04/1962 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARYAM PALOWA 034456 57 21004 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002873 0002205051726 3;JKN Patrick K.;
5.3.9.201904290125 4 81824 1#0##0#0#0.0#2019-10-21
15:52:06#0#00:00:00#00:00:00#00:00:00 1 d81779a78e36f4e487bb9d9affe87415
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/09/2001 0 2
1 H17.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WINDY WEOL 052555 18 6620 DR RALF
PANGALILA,SPM 0309R0191019V002877 0000907399078 3;JKN Patrick K.;
5.3.9.201904290125 4 81825 1#0##0#0#0.0#2019-10-21
15:53:03#0#00:00:00#00:00:00#00:00:00 1 f585b536a54d4087756c4863fdca34af
7171104 C 3 CP 2 17/10/2019 17/10/2019 17/06/1959 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NURHAYATI KILAPONG 052087 60 22037 DR.
DENNY WALANDOW, SPM 0309R0191019V002872 0002388838792 3;JKN Patrick K.;
5.3.9.201904290125 4 81826 1#0##0#0#0.0#2019-10-21
15:53:57#0#00:00:00#00:00:00#00:00:00 1 ca7d08d995a687b7e7d5f73c5267fde4
7171104 C 3 CP 2 17/10/2019 17/10/2019 05/05/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WESTEPIN MAALUA 051989 71 26097 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002871 0000136914243 3;JKN Patrick K.;
5.3.9.201904290125 4 81827 1#0##0#0#0.0#2019-10-21
15:54:38#0#00:00:00#00:00:00#00:00:00 1 2e2379ac3e438f169a4fa33eac1abef8
7171104 C 3 CP 2 17/10/2019 17/10/2019 12/04/1966 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEBORA FRIEDA SELLY PIRI 049254 53 19546
DR DYANA T.WATANIA,SPM 0309R0191019V002870 0001568121478 3;JKN
Patrick K.; 5.3.9.201904290125 4 81828 1#0##0#0#0.0#2019-10-21
15:56:44#0#00:00:00#00:00:00#00:00:00 2 ffc203395652142883b00a52a626b104
7171104 C 3 CP 2 17/10/2019 17/10/2019 06/12/1944 0 1
1 Z09.8;H52.2;H52.4;Z96.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARKUS HANS LAMPAH 050911 74 27343
DR. DENNY WALANDOW, SPM 0309R0191019V002869 0001871357027 3;JKN
Patrick K.; 5.3.9.201904290125 4 81829 1#0##0#0#0.0#2019-10-21
15:57:42#0#00:00:00#00:00:00#00:00:00 1 ba2fef7ff24f329e2f70f4d932965b98
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/08/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NAOMI TINTE 052211 72 26375 DR.MELISA
RATAG,SPM 0309R0191019V002866 0000907844275 3;JKN Patrick K.;
5.3.9.201904290125 4 81831 1#0##0#0#0.0#2019-10-21
15:59:40#0#00:00:00#00:00:00#00:00:00 1 de3b7cbca20985f9cd5463c8cd02cdc2
7171104 C 3 CP 2 17/10/2019 17/10/2019 29/03/1968 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YULIANA TAMARA 051673 51 18829 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002865 0001567891146 3;JKN Patrick K.;
5.3.9.201904290125 4 81832 1#0##0#0#0.0#2019-10-21
16:00:29#0#00:00:00#00:00:00#00:00:00 1 dc3ce26806d576193112b64b332b0c2a
7171104 C 3 CP 2 17/10/2019 17/10/2019 06/04/1953 0 1
1 Z09.8;H43.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CELESTINUS KAUNANG 052241 66 24300
DR DYANA T.WATANIA,SPM 0309R0191019V002863 0002743497178 3;JKN
Patrick K.; 5.3.9.201904290125 4 81833 1#0##0#0#0.0#2019-10-21
16:03:30#0#00:00:00#00:00:00#00:00:00 1 734fe611e18dddf1533cbf7043fad287
7171104 C 3 CP 2 17/10/2019 17/10/2019 08/05/2002 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RIVANO JOCOM 051698 17 6371
DR.FELLY A. TOAD,S.PM 0309R0191019V002862 0001078926265 3;JKN
Patrick K.; 5.3.9.201904290125 4 81834 1#0##0#0#0.0#2019-10-21
16:04:39#0#00:00:00#00:00:00#00:00:00 1 df218dd301365845bf9937425e7aa01a
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/04/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTJE KIRIMAN 052209 66 24305 DR.MELISA
RATAG,SPM 0309R0191019V002861 0000908784854 3;JKN Patrick K.;
5.3.9.201904290125 4 81835 1#0##0#0#0.0#2019-10-21
16:05:29#0#00:00:00#00:00:00#00:00:00 1 fe1e25b24236d1a19717286b9fa58b0f
7171104 C 3 CP 2 17/10/2019 17/10/2019 02/04/1941 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DIN WOWOR 052147 78 28687 DR.MELISA
RATAG,SPM 0309R0191019V002860 0001565111193 3;JKN Patrick K.;
5.3.9.201904290125 4 81836 1#0##0#0#0.0#2019-10-21
16:06:13#0#00:00:00#00:00:00#00:00:00 1 a7aaffa4fad1f78bb180a1c0f87de918
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/07/1944 0 1
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CELCIUS SILANGEN 052213 75 27501
DR.MELISA RATAG,SPM 0309R0191019V002859 0000908067418 3;JKN
Patrick K.; 5.3.9.201904290125 4 81837 1#0##0#0#0.0#2019-10-21
16:06:59#0#00:00:00#00:00:00#00:00:00 1 20fed5853d46d67c2914491a21bd302c
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/06/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RIBKA KAEMPE 052212 67 24609 DR.MELISA
RATAG,SPM 0309R0191019V002858 0001243668971 3;JKN Patrick K.;
5.3.9.201904290125 4 81838 1#0##0#0#0.0#2019-10-21
16:08:15#0#00:00:00#00:00:00#00:00:00 1 18881b457bc1deca3c55ab14da112ce9
7171104 C 3 CP 2 17/10/2019 17/10/2019 02/02/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALTJIE KALENDI 049106 64 23633 DR.MELISA
RATAG,SPM 0309R0191019V002857 0002236438348 3;JKN Patrick K.;
5.3.9.201904290125 4 81839 1#0##0#0#0.0#2019-10-21
16:08:56#0#00:00:00#00:00:00#00:00:00 1 7c77e245653d874806f423332e1a3b6a
7171104 C 3 CP 2 17/10/2019 17/10/2019 31/08/1951 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HERMINA MAKAHINDA 052206 68 24884
DR.MELISA RATAG,SPM 0309R0191019V002853 0002237359781 3;JKN
Patrick K.; 5.3.9.201904290125 4 81840 1#0##0#0#0.0#2019-10-21
16:09:46#0#00:00:00#00:00:00#00:00:00 1 f3e0d799e6b8f2f7c3d29d58c76e785b
7171104 C 3 CP 2 17/10/2019 17/10/2019 19/12/1938 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DARIUS TURANG 052106 80 29522 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002852 0000203549139 3;JKN Patrick K.;
5.3.9.201904290125 4 81841 1#0##0#0#0.0#2019-10-21
16:11:33#0#00:00:00#00:00:00#00:00:00 1 bb6bb604e6844c84308c5e7117dbce07
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/01/1953 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SARAWINA KAKONDO 052205 66 24395
DR.MELISA RATAG,SPM 0309R0191019V002851 0000907758786 3;JKN
Patrick K.; 5.3.9.201904290125 4 81842 1#0##0#0#0.0#2019-10-21
16:12:13#0#00:00:00#00:00:00#00:00:00 1 7d8513c4d81924cbaa2c68e8048e33ea
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/04/1974 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HETMINA ROMPAH 052210 45 16635 DR.MELISA
RATAG,SPM 0309R0191019V002850 0000907729097 3;JKN Patrick K.;
5.3.9.201904290125 4 81843 1#0##0#0#0.0#2019-10-21
16:13:00#0#00:00:00#00:00:00#00:00:00 1 e4bfa6b91b231e31d2847252fa65354d
7171104 C 3 CP 2 17/10/2019 17/10/2019 09/10/1938 0 2
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HELENA M.LUMINGKEWAS 052554 81 29593
DR RALF PANGALILA,SPM 0309R0191019V002849 0000138252374 3;JKN
Patrick K.; 5.3.9.201904290125 4 81844 1#0##0#0#0.0#2019-10-21
16:14:19#0#00:00:00#00:00:00#00:00:00 1 50a54e6af107a31d22ede3bcca515ed7
7171104 C 3 CP 2 17/10/2019 17/10/2019 27/07/1962 0 2
1 Z09.8;H40.5;E11.3;H35.2;Z96.1 95.02 - - None None None None
H-3-12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA
213700 0 0 - 0 - 0 - 0 - 0 213700
160600 0 1 0 0 0 DRA. TESLY J. PUNUH,MSI 045617
57 20901 DR.FELLY A. TOAD,S.PM 0309R0191019V002848 0000138731894
3;JKN Patrick K.; 5.3.9.201904290125 4 81845 1#0##0#0#0.0#2019-10-21
16:17:50#0#00:00:00#00:00:00#00:00:00 1 796ba72f8cb07e11a72c7b4be5be10ff
7171104 C 3 CP 2 17/10/2019 17/10/2019 29/09/2015 0 1
1 Z09.8;H05.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DANTE GLADWIN TUMILANTOUW 052340 4
1479 DR.FELLY A. TOAD,S.PM 0309R0191019V002847 0002389229728 3;JKN
Patrick K.; 5.3.9.201904290125 4 81846 1#0##0#0#0.0#2019-10-21
16:19:18#0#00:00:00#00:00:00#00:00:00 1 6d77fa7586da88d398d1ccbcda8f9d77
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/03/1979 0 2
1 Z09.8;H44.5;H25.1;H27.1;H25.0;H52.7 95.02 - - None None None
None H-3-12-0 None None None None None None PROSEDUR LAIN-LAIN PADA
MATA 213700 0 0 - 0 - 0 - 0 - 0 213700
160600 0 1 0 0 0 ERNY NAPU 039040 40 14840
DR IVONNE RAMENUSA,SPM 0309R0191019V002846 0000906465914 3;JKN
Patrick K.; 5.3.9.201904290125 4 81847 1#0##0#0#0.0#2019-10-21
16:21:39#0#00:00:00#00:00:00#00:00:00 1 c326edbf55dd239aad67f6dc4d0e5ad8
7171104 C 3 CP 2 17/10/2019 17/10/2019 24/11/1957 0 2
1 Z09.8;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DORCI KUTIKA 050974 61 22607
DR.MELISA RATAG,SPM 0309R0191019V002845 0001248442312 3;JKN
Patrick K.; 5.3.9.201904290125 4 81848 1#0##0#0#0.0#2019-10-21
16:23:26#0#00:00:00#00:00:00#00:00:00 1 e4b777660ad400bc9de6ef353c1009d4
7171104 C 3 CP 2 17/10/2019 17/10/2019 03/05/1954 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAXMEILIAN POSUMAH 052342 65 23908
DR. DENNY WALANDOW, SPM 0309R0191019V002842 0000138501628 3;JKN
Patrick K.; 5.3.9.201904290125 4 81849 1#0##0#0#0.0#2019-10-21
16:24:13#0#00:00:00#00:00:00#00:00:00 1 de5d4907e919d027536dcbb5838924c0
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/11/1949 0 1
1 Z96.1;H47.0;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZET SION 052367 69 25552 DR. DENNY
WALANDOW, SPM 0309R0191019V002841 0000907975293 3;JKN Patrick K.;
5.3.9.201904290125 4 81850 1#0##0#0#0.0#2019-10-21
16:25:58#0#00:00:00#00:00:00#00:00:00 3 d008f220bd63f90c75c5c03fc8fc71ad
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/11/1989 0 1
1 H35.0;H47.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WOLTER PENESE 052553 29 10942 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V002840 0000907541515 3;JKN Patrick K.;
5.3.9.201904290125 4 81851 1#0##0#0#0.0#2019-10-21
16:29:17#0#00:00:00#00:00:00#00:00:00 1 10a674e31f4a9da1072199be07d57b91
7171104 C 3 CP 2 17/10/2019 17/10/2019 25/09/1957 0 1
1 Z09.8;H40.0;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUS LAURENS WOLTER WAGEY 050838 62
22667 DR.FELLY A. TOAD,S.PM 0309R0191019V002839 0000138435996 3;JKN
Patrick K.; 5.3.9.201904290125 4 81852 1#0##0#0#0.0#2019-10-21
16:30:47#0#00:00:00#00:00:00#00:00:00 1 8482da8a20b69aa5ced7927b9b249aeb
7171104 C 3 CP 2 17/10/2019 17/10/2019 17/08/1952 0 2
1 H25.9;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RAM MONOARFA 052525 67 24532 DR
DYANA T.WATANIA,SPM 0309R0191019V002836 0002321490251 3;JKN Patrick K.;
5.3.9.201904290125 4 81853 1#0##0#0#0.0#2019-10-21
16:34:49#0#00:00:00#00:00:00#00:00:00 1 ab3bb38bdd8158109b49a2c7a7c2d3bd
7171104 C 3 CP 2 17/10/2019 17/10/2019 29/04/1986 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FEIBI LAHEBA 052552 33 12224 DR. DENNY
WALANDOW, SPM 0309R0191019V002835 0001569875657 3;JKN Patrick K.;
5.3.9.201904290125 4 81854 1#0##0#0#0.0#2019-10-21
16:37:59#0#00:00:00#00:00:00#00:00:00 1 765d727ddecf84ed9cc9e20740a5bca2
7171104 C 3 CP 2 17/10/2019 17/10/2019 26/04/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JEFRY EDUARD GEORGE KEMBUAN 052088 64 23550
DR. DENNY WALANDOW, SPM 0309R0191019V002834 0002389216476 3;JKN
Patrick K.; 5.3.9.201904290125 4 81855 1#0##0#0#0.0#2019-10-21
16:39:01#0#00:00:00#00:00:00#00:00:00 1 61875025cc0ba2fb58bc86c0aa2c13bc
7171104 C 3 CP 2 17/10/2019 17/10/2019 31/03/1941 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ITHA MANDOME 052482 78 28689
DR.MELISA RATAG,SPM 0309R0191019V002833 0002389341306 3;JKN
Patrick K.; 5.3.9.201904290125 4 81856 1#0##0#0#0.0#2019-10-21
16:39:51#0#00:00:00#00:00:00#00:00:00 1 8c93c417d91315e6c485c853977e7b08
7171104 C 3 CP 2 17/10/2019 17/10/2019 27/01/1937 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHANA KUMAYAS 050493 82 30213 DR.MELISA
RATAG,SPM 0309R0191019V002832 0002400876696 3;JKN Patrick K.;
5.3.9.201904290125 4 81857 1#0##0#0#0.0#2019-10-21
16:40:46#0#00:00:00#00:00:00#00:00:00 1 723cfcdcc1a008630902f1d3478ad75a
7171104 C 3 CP 2 17/10/2019 17/10/2019 19/12/1954 0 2
1 Z96.1;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NETTIE KAPOROH 020021 64 23678 DR
DYANA T.WATANIA,SPM 0309R0191019V002831 0001808267499 3;JKN Patrick K.;
5.3.9.201904290125 4 81858 1#0##0#0#0.0#2019-10-21
16:43:32#0#00:00:00#00:00:00#00:00:00 1 a0934f7989309388ef0286766d0af8c7
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/04/1957 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANNI S KARINDA 052483 62 22844
DR.MELISA RATAG,SPM 0309R0191019V002830 0000910416587 3;JKN
Patrick K.; 5.3.9.201904290125 4 81859 1#0##0#0#0.0#2019-10-21
16:44:19#0#00:00:00#00:00:00#00:00:00 1 8e880f1f110415c86a4b50fb7c9a8a28
7171104 C 3 CP 2 17/10/2019 17/10/2019 19/06/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 THEREISYE MONDNG 022997 66 24226 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002829 0002214032038 3;JKN Patrick K.;
5.3.9.201904290125 4 81860 1#0##0#0#0.0#2019-10-21
16:45:22#0#00:00:00#00:00:00#00:00:00 1 9699c0bb9f536853435de3cdb112dec6
7171104 C 3 CP 2 17/10/2019 17/10/2019 28/04/1957 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ERKE WOSAL 051490 62 22817 DR.FELLY A.
TOAD,S.PM 0309R0191019V002828 0001570561154 3;JKN Patrick K.;
5.3.9.201904290125 4 81861 1#0##0#0#0.0#2019-10-21
16:47:52#0#00:00:00#00:00:00#00:00:00 1 8babe82054161fd1b667e89a01694ed0
7171104 C 3 CP 2 17/10/2019 17/10/2019 14/06/1967 0 1
1 Z09.8;H17.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 S BAGUS SANTOSO 052346 52 19118 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V002827 0002214597756 3;JKN Patrick K.;
5.3.9.201904290125 4 81862 1#0##0#0#0.0#2019-10-21
16:53:38#0#00:00:00#00:00:00#00:00:00 1 c641ff5c6ee5f4e4f02d1e010f5cd456
7171104 C 3 CP 2 17/10/2019 17/10/2019 06/11/1988 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NINDI PUA 050979 30 11302 DR DYANA
T.WATANIA,SPM 0309R0191019V002826 0001574696777 3;JKN Patrick K.;
5.3.9.201904290125 4 81863 1#0##0#0#0.0#2019-10-21
17:00:14#0#00:00:00#00:00:00#00:00:00 1 1a97371d2ac05d5abe05a4a316722a5d
7171104 C 3 CP 2 17/10/2019 17/10/2019 18/02/1990 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FERRO LAURA LENGKONG 052551 29 10833 DR
RALF PANGALILA,SPM 0309R0191019V002824 0000138496241 3;JKN Patrick K.;
5.3.9.201904290125 4 81864 1#0##0#0#0.0#2019-10-21
17:01:18#0#00:00:00#00:00:00#00:00:00 1 7cd834f8315b0bae465a4e1e17d88e82
7171104 C 3 CP 2 17/10/2019 17/10/2019 28/12/1953 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DIANA U. TAROREH 052521 65 24034 DR
DYANA T.WATANIA,SPM 0309R0191019V002823 0002261403922 3;JKN Patrick K.;
5.3.9.201904290125 4 81865 1#0##0#0#0.0#2019-10-21
17:04:41#0#00:00:00#00:00:00#00:00:00 1 94b6c62c6d2d270e210841df90311831
7171104 C 3 CP 2 17/10/2019 17/10/2019 06/07/1969 0 2
1 Z09.0;H26.9;Z96.1;H20.9 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OWAN TOWADI 049854 50 18365 DR DYANA
T.WATANIA,SPM 0309R0191019V002821 0002239782592 3;JKN Patrick K.;
5.3.9.201904290125 4 81866 1#0##0#0#0.0#2019-10-21
17:07:00#0#00:00:00#00:00:00#00:00:00 2 4cee010248b01f7118ffa5b572dc0596
7171104 C 3 CP 2 17/10/2019 17/10/2019 22/03/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KOM LIEN 052257 73 26872 DR.MELISA
RATAG,SPM 0309R0191019V002820 0000137072711 3;JKN Patrick K.;
5.3.9.201904290125 4 81867 1#0##0#0#0.0#2019-10-21
17:07:52#0#00:00:00#00:00:00#00:00:00 1 949f2edf9e2d8a158b8af59f377327c1
7171104 C 3 CP 2 17/10/2019 17/10/2019 30/08/1953 0 1
1 Z09.8;H40.5;H35.2;Z96.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SULEMAN ALI 023775 66 24154 DR.FELLY A.
TOAD,S.PM 0309R0191019V002817 0000137889202 3;JKN Patrick K.;
5.3.9.201904290125 4 81869 1#0##0#0#0.0#2019-10-21
17:09:21#0#00:00:00#00:00:00#00:00:00 1 ef8eda7c4b8842a9745c057e9a5b3ff2
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/03/1965 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA SIGARLAKI 052692 54 19953 DR
RALF PANGALILA,SPM 0309R0191019V002759 0000907876269 3;JKN linda03;
5.3.9.201904290125 4 81762 1#0##0#0#0.0#2019-10-23
08:10:16#0#00:00:00#00:00:00#00:00:00 1 b6037b5755bc912a40a7dd98966573ca
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/04/1958 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CHRISTOFORUS BERMALAM 052584 61 22479 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V002969 0000907972266 3;JKN Vian02;
5.3.9.201904290125 4 81658 1#0##0#0#0.0#2019-10-25
10:16:13#0#00:00:00#00:00:00#00:00:00 1 3737f810bc70bd884fecf8e4cb289cb1
7171104 C 3 CP 2 17/10/2019 17/10/2019 05/07/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIANA MAGRITHA PONTO 051603 70 25671 DR
DYANA T.WATANIA,SPM 0309R0191019V002909 0002228635361 3;JKN Vian02;
5.3.9.201904290125 4 82967 1#0##0#0#0.0#2019-10-28
08:41:01#0#00:00:00#00:00:00#00:00:00 1 837625185cce4b40aa404a0fb5c9c62d
7171104 C 3 CP 2 17/10/2019 17/10/2019 10/03/1945 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 MARIA RUNTUWAROUW 017220 74 27249 DR RALF
PANGALILA,SPM 0309R0191019V002878 0000138194381 3;JKN Boni04;
5.3.9.201904290125 4 83415 1#0##0#0#0.0#2019-10-31
09:50:26#0#00:00:00#00:00:00#00:00:00 1 604dac63ea65d2d8382bca865e78c008
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/03/1954 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 MARTA DANES 027392 65 23971 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002775 0000907831833 3;JKN Boni04;
5.3.9.201904290125 4 83418 1#0##0#0#0.0#2019-10-31
09:52:45#0#00:00:00#00:00:00#00:00:00 1 e7f80567b2a9f5d49d1df77cf418488a
7171104 C 3 CP 2 17/10/2019 17/10/2019 09/03/1961 0 2
1 H26.4 13.41;13.71 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 HENNY ROBOT 036972 58 21406 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002876 0001250388099 3;JKN Boni04;
5.3.9.201904290125 4 83420 1#0##0#0#0.0#2019-10-31
09:54:07#0#00:00:00#00:00:00#00:00:00 1 1afcf286c5e31876937747b496077856
7171104 C 3 CP 2 17/10/2019 17/10/2019 10/10/1945 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 SIEN SASELA 012800 74 27035 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V002875 0001812813805 3;JKN Boni04;
5.3.9.201904290125 4 83421 1#0##0#0#0.0#2019-10-31
09:55:24#0#00:00:00#00:00:00#00:00:00 1 ef417337f0c9210dd831100735f20805
7171104 C 3 CP 2 17/10/2019 17/10/2019 21/05/1948 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 OSCAR TINDI 014502 71 26081 DR.MELISA
RATAG,SPM 0309R0191019V002749 0002057365732 3;JKN Boni04;
5.3.9.201904290125 4 83423 1#0##0#0#0.0#2019-10-31
09:57:03#0#00:00:00#00:00:00#00:00:00 1 646e50142d6f8fe581d021d1a2a26dce
7171104 C 3 CP 2 17/10/2019 17/10/2019 05/04/1948 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 JOPPY PINONTOAN 052571 71 26127
DR.MELISA RATAG,SPM 0309R0191019V002949 0002484880773 3;JKN
Boni04; 5.3.9.201904290125 4 83424 1#0##0#0#0.0#2019-10-31
09:58:46#0#00:00:00#00:00:00#00:00:00 1 a3ff4e6226f8848892813d4947d96549
7171104 C 3 CP 2 17/10/2019 17/10/2019 02/01/1938 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 JULIANA MARIA NONTJE PAENDONG 004456 81
29873 DR DYANA T.WATANIA,SPM 0309R0191019V002883 0000138189385 3;JKN
Boni04; 5.3.9.201904290125 4 83426 1#0##0#0#0.0#2019-10-31
10:00:32#0#00:00:00#00:00:00#00:00:00 1 b4bd3f348be24a44475b450c9cbfc2d1
7171104 C 3 CP 2 17/10/2019 17/10/2019 04/03/1957 0 2
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 STIENTJE LENGKONG 052090 62 22872 DR
DYANA T.WATANIA,SPM 0309R0191019V002795 0002177574906 3;JKN Boni04;
5.3.9.201904290125 4 83427 1#0##0#0#0.0#2019-10-31
10:01:56#0#00:00:00#00:00:00#00:00:00 1 5f62d915aa4c2ad87c6a196f359e8ddf
7171104 C 3 CP 2 17/10/2019 17/10/2019 03/04/1957 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 HENNY PALIT 031393 62 22842 DR. DENNY
WALANDOW, SPM 0309R0191019V002805 0001433979009 3;JKN Boni04;
5.3.9.201904290125 4 83429 1#0##0#0#0.0#2019-10-31
10:03:48#0#00:00:00#00:00:00#00:00:00 1 7502f7bfaa5dadc7f0c5c1fd334dc403
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/11/1948 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 HERMAN PAATH 037653 70 25917 DR.
DENNY WALANDOW, SPM 0309R0191019V002855 0000909308924 3;JKN Boni04;
5.3.9.201904290125 4 83430 1#0##0#0#0.0#2019-10-31
10:04:43#0#00:00:00#00:00:00#00:00:00 1 12363d6668758b8f89bc226b692202aa
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/03/1963 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 LINTJE WAJONGKERE 052577 56 20684 DR.
DENNY WALANDOW, SPM 0309R0191019V002958 0000904847152 3;JKN Boni04;
5.3.9.201904290125 4 83432 1#0##0#0#0.0#2019-10-31
10:05:58#0#00:00:00#00:00:00#00:00:00 1 6cbcfcd49e76342413ae3d8c3e3cdf4b
7171104 C 3 CP 2 17/10/2019 17/10/2019 03/04/1948 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 FOLNEY LOMBONE 052331 71 26129
DR.FELLY A. TOAD,S.PM 0309R0191019V002765 0002063119689 3;JKN
Boni04; 5.3.9.201904290125 4 83434 1#0##0#0#0.0#2019-10-31
10:15:53#0#00:00:00#00:00:00#00:00:00 1 a7756e8c0560ee39827cb4221f7a43ea
7171104 C 3 CP 2 17/10/2019 17/10/2019 16/09/1960 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 SISKA KOMIMBIN 052543 59 21580
DR.FELLY A. TOAD,S.PM 0309R0191019V002783 0002776814436 3;JKN
Boni04; 5.3.9.201904290125 4 83442 1#0##0#0#0.0#2019-10-31
10:16:47#0#00:00:00#00:00:00#00:00:00 1 7aff600fccfa1873ddc96d00966bd981
7171104 C 3 CP 2 17/10/2019 17/10/2019 27/07/1941 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 ANA MARIA TENE 052548 78 28571
DR.FELLY A. TOAD,S.PM 0309R0191019V002776 0000137026506 3;JKN
Boni04; 5.3.9.201904290125 4 83445 1#0##0#0#0.0#2019-10-31
10:18:27#0#00:00:00#00:00:00#00:00:00 1 35040443f6f8ba1634018f980c191e48
7171104 C 2 CP 1 16/10/2019 17/10/2019 25/11/1950 0 2
1 H43.3 14.74;13.90 - - YY09 None None None H-1-30-I None
None YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
7812300 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 14322500 7179000 0 2 0 0 0 WELMINTJE KANSIL
051559 68 25162 DR SALAM SURBAKTI,SPM 0309R0191019V002530
0000138696322 3;JKN eka06; 5.3.9.201904290125 4 83441
1#0##0#0#0.0#2019-10-31 10:18:35#0#00:00:00#00:00:00#00:00:00 1
7e627ee89fcd8ed4c9bc377c21722527
7171104 C 2 CP 1 16/10/2019 17/10/2019 22/02/1950 0 2
1 H43.3 14.74 - - YY09 None None None H-1-30-I None None
YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
7812300 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 14322500 7179000 0 2 0 0 0 HALIMA RAUF 051338
69 25438 DR SALAM SURBAKTI,SPM 0309R0191019V002601 0001829240469
3;JKN eka06; 5.3.9.201904290125 4 83446 1#0##0#0#0.0#2019-10-31
10:19:52#0#00:00:00#00:00:00#00:00:00 1 53661f3621beaf5eba63325f221acbd0
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/10/1952 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 PILTON KANARANG
052366 67 24487 DR SAUL RAPAR,SPM 0309R0191019V002906
0000907479549 3;JKN Boni04; 5.3.9.201904290125 4 83450
1#0##0#0#0.0#2019-10-31 10:20:59#0#00:00:00#00:00:00#00:00:00 1
9a34fa2e399b9be4464d42876fa71fe0
7171104 C 2 CP 1 16/10/2019 17/10/2019 23/03/1965 0 2
1 H33.0 14.74 - - YY09 None None None H-1-30-I None None
YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
7812300 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 14322500 7179000 0 2 0 0 0 MONA KARONGKONG
051474 54 19930 DR SALAM SURBAKTI,SPM 0309R0191019V002633
0002318502205 3;JKN eka06; 5.3.9.201904290125 4 83449
1#0##0#0#0.0#2019-10-31 10:21:36#0#00:00:00#00:00:00#00:00:00 1
74ae570e4638d80a19e517d2853e09fc
7171104 C 3 CP 2 17/10/2019 17/10/2019 24/07/1950 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ANDRIE HERRY
NAJOAN 052402 69 25287 DR SAUL RAPAR,SPM 0309R0191019V002822
0000121648353 3;JKN Boni04; 5.3.9.201904290125 4 83451
1#0##0#0#0.0#2019-10-31 10:21:45#0#00:00:00#00:00:00#00:00:00 1
7603b31269374b940f67521f6f788c69
7171104 C 3 CP 2 17/10/2019 17/10/2019 16/12/1947 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NI NYOMAN MURNIATI
052052 71 26238 DR SAUL RAPAR,SPM 0309R0191019V002888
0000142982605 3;JKN Boni04; 5.3.9.201904290125 4 83453
1#0##0#0#0.0#2019-10-31 10:22:45#0#00:00:00#00:00:00#00:00:00 2
e40339cad59e9a376cb3146a4a8e1b27
7171104 C 2 CP 1 16/10/2019 17/10/2019 20/05/1969 0 1
1 H33.0;T85.3 14.74 - - YY09 None None None H-1-30-I None
None YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
7812300 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 14322500 7179000 0 2 0 0 0 POLTJE NONG 035718
50 18411 DR SALAM SURBAKTI,SPM 0309R0191019V002575 0000137916022
3;JKN eka06; 5.3.9.201904290125 4 83452 1#0##0#0#0.0#2019-10-31
10:22:56#0#00:00:00#00:00:00#00:00:00 1 a2b0fcd8e9357cecd134cd2545197031
7171104 C 3 CP 2 17/10/2019 17/10/2019 07/11/1967 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JULIEN DAULAR
052369 51 18972 DR SAUL RAPAR,SPM 0309R0191019V002894
0001604406047 3;JKN Boni04; 5.3.9.201904290125 4 83455
1#0##0#0#0.0#2019-10-31 10:23:54#0#00:00:00#00:00:00#00:00:00 1
f96579665ec3cbdd87027ac62a9f5fac
7171104 C 2 CP 1 16/10/2019 17/10/2019 30/05/1949 0 2
1 T85.3 14.74 - - YY09 None None None H-1-30-I None None
YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
7812300 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 14322500 7179000 0 2 0 0 0 SALMA KORUA 018467
70 25706 DR SALAM SURBAKTI,SPM 0309R0191019V002723 0001850199704
3;JKN eka06; 5.3.9.201904290125 4 83454 1#0##0#0#0.0#2019-10-31
10:24:53#0#00:00:00#00:00:00#00:00:00 1 42aa8754d776d9f2d810fcb53616b966
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/03/1957 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ADRIANA RENTANDATU
052362 62 22875 DR SAUL RAPAR,SPM 0309R0191019V002904
0000908095149 3;JKN Boni04; 5.3.9.201904290125 4 83456
1#0##0#0#0.0#2019-10-31 10:24:57#0#00:00:00#00:00:00#00:00:00 1
dd74a967b8665398e3cb0f63e3bbf6ef
7171104 C 3 CP 2 17/10/2019 17/10/2019 14/08/1938 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MELKI WILSON
TOMBILING 052189 81 29649 DR SAUL RAPAR,SPM 0309R0191019V002825
0001283635877 3;JKN Boni04; 5.3.9.201904290125 4 83458
1#0##0#0#0.0#2019-10-31 10:26:06#0#00:00:00#00:00:00#00:00:00 1
e91a71683832fb872c03f0914a022699
7171104 C 3 CP 2 17/10/2019 17/10/2019 13/02/1955 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FERDINAND LEOPOLD
PANGKEY 052570 64 23622 DR MARIA E.D.S ORATMANGUN,SPM
0309R0191019V002941 0000138518223 3;JKN Boni04; 5.3.9.201904290125
4 83459 1#0##0#0#0.0#2019-10-31 10:28:53#0#00:00:00#00:00:00#00:00:00
1 07371a94bd5c8f4a29cc0652de6cf4fa
7171104 C 1 CP 1 16/10/2019 17/10/2019 27/06/1962 0 2
1 Z96.1;H35.2;H33.4 14.74 - - YY09 None None None H-1-30-I
None None YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER
(RINGAN) 9114300 0 0 VITRECTOMY 6510200 - 0 - 0
- 0 15624500 7179000 0 2 0 0 0 RETNY HAMLAN
050648 57 20930 DR DYANA T.WATANIA,SPM 0309R0191019V002512
0000136624678 3;JKN eka06; 5.3.9.201904290125 4 83457
1#0##0#0#0.0#2019-10-31 10:30:31#0#00:00:00#00:00:00#00:00:00 1
9aba5171543b25809380e836e756815f
7171104 C 2 CP 1 16/10/2019 17/10/2019 20/05/1968 0 2
1 Z96.1;H33.0 14.74 - - YY09 None None None H-1-30-I None
None YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
7812300 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 14322500 7179000 0 2 0 0 0 DEBBY WALELENG
041745 51 18776 DR DYANA T.WATANIA,SPM 0309R0191019V002734
0002463326076 3;JKN eka06; 5.3.9.201904290125 4 83460
1#0##0#0#0.0#2019-10-31 10:32:59#0#00:00:00#00:00:00#00:00:00 1
f95e536d2428657154dc225656e2f8f0
7171104 C 1 CP 1 16/10/2019 17/10/2019 24/06/1957 0 2
1 H33.0;H35.2 14.74 - - YY09 None None None H-1-30-I None
None YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
9114300 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 15624500 7179000 0 2 0 0 0 JETTY PAULUS
048418 62 22759 DR DYANA T.WATANIA,SPM 0309R0191019V002517
0000139232395 3;JKN eka06; 5.3.9.201904290125 4 83462
1#0##0#0#0.0#2019-10-31 10:34:04#0#00:00:00#00:00:00#00:00:00 1
5ea50c1481bb4ec2e25eb758b56ec048
7171104 C 3 CP 1 16/10/2019 17/10/2019 26/11/1964 0 2
1 H35.2;H33.4;H43.1 14.74 - - YY09 None None None H-1-30-II
None None YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER
(SEDANG) 8088300 0 0 VITRECTOMY 6510200 - 0 - 0
- 0 14598500 7179000 0 2 0 0 0 ASTIN LAPASI
051209 54 20047 DR DYANA T.WATANIA,SPM 0309R0191019V002728
0001236746788 3;JKN eka06; 5.3.9.201904290125 4 83464
1#0##0#0#0.0#2019-10-31 10:35:23#0#00:00:00#00:00:00#00:00:00 1
a9a38014af0f7d465193f299def00315
7171104 C 3 CP 2 17/10/2019 17/10/2019 08/11/1955 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NELTJE LUISA TUUK
052569 63 23354 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002939
0000138518212 3;JKN Boni04; 5.3.9.201904290125 4 83479
1#0##0#0#0.0#2019-10-31 11:19:49#0#00:00:00#00:00:00#00:00:00 1
135344a1722970b86606c0320d716fd7
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/07/1963 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YUL MALUMBEKE
052117 56 20562 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002931
0000907843871 3;JKN Boni04; 5.3.9.201904290125 4 83525
1#0##0#0#0.0#2019-10-31 13:01:56#0#00:00:00#00:00:00#00:00:00 1
44de852238da058b730ac6e0485c0d7c
7171104 C 3 CP 2 17/10/2019 17/10/2019 22/03/1961 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARTHEN SENGKA
052020 58 21393 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002786
0002258105286 3;JKN Boni04; 5.3.9.201904290125 4 83526
1#0##0#0#0.0#2019-10-31 13:03:11#0#00:00:00#00:00:00#00:00:00 1
247d8cc7b8c44cff4c1dfcda0fb3d105
7171104 C 3 CP 2 17/10/2019 17/10/2019 08/08/1948 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NICOLAS MESAK
RUMIMPUNU 051949 71 26002 DR MARIA E.D.S ORATMANGUN,SPM
0309R0191019V002794 0002884073951 3;JKN Boni04; 5.3.9.201904290125
4 83527 1#0##0#0#0.0#2019-10-31 13:10:57#0#00:00:00#00:00:00#00:00:00
1 1de4229451a3b4d3211b1bae65045cf0
7171104 C 3 CP 2 17/10/2019 17/10/2019 15/09/1962 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HUSNA UMAR 052267
57 20851 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002838
0001318419279 3;JKN Boni04; 5.3.9.201904290125 4 83528
1#0##0#0#0.0#2019-10-31 13:12:03#0#00:00:00#00:00:00#00:00:00 1
b259cc64dd4e71f55db6648fc8815058
7171104 C 3 CP 2 17/10/2019 17/10/2019 22/03/1941 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MIEKE MANOPPO OROH
NY 051529 78 28698 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002843
0000137141908 3;JKN Boni04; 5.3.9.201904290125 4 83529
1#0##0#0#0.0#2019-10-31 13:14:22#0#00:00:00#00:00:00#00:00:00 1
b3dc369264b172e8c32e20793dc5cd61
7171104 C 3 CP 2 17/10/2019 17/10/2019 02/09/1933 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ESTEFINA KUMAUNANG
052074 86 31456 DR PAULA M V LUMUNON,SPM 0309R0191019V002940
0001305233559 3;JKN Boni04; 5.3.9.201904290125 4 84029
1#0##0#0#0.0#2019-11-04 11:31:21#0#00:00:00#00:00:00#00:00:00 1
59b0ccbeec931702eff68f52e2be43a1
7171104 C 3 CP 2 17/10/2019 17/10/2019 27/10/1941 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 KUIFA NENDER
050655 77 28479 DR PAULA M V LUMUNON,SPM 0309R0191019V002946
0001569356144 3;JKN Boni04; 5.3.9.201904290125 4 84030
1#0##0#0#0.0#2019-11-04 11:32:15#0#00:00:00#00:00:00#00:00:00 1
8f4a85c40b8aba00fac5be3aabf95141
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/03/1942 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NELLY ANTE 052573
77 28354 DR PAULA M V LUMUNON,SPM 0309R0191019V002945
0001066986033 3;JKN Boni04; 5.3.9.201904290125 4 84031
1#0##0#0#0.0#2019-11-04 11:34:30#0#00:00:00#00:00:00#00:00:00 1
a84c5fd7a7652c428bfbb8136c52ab1a
7171104 C 3 CP 2 17/10/2019 17/10/2019 28/02/1942 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FREDRIKA WOYONGAN
052647 77 28355 DR PAULA M V LUMUNON,SPM 0309R0191019V002932
0002260661501 3;JKN Boni04; 5.3.9.201904290125 4 84032
1#0##0#0#0.0#2019-11-04 11:35:37#0#00:00:00#00:00:00#00:00:00 1
7e9ca076685d366adf4f26c1d3dc25bf
7171104 C 3 CP 2 17/10/2019 17/10/2019 28/01/1966 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JANTJE OLENG
052191 53 19620 DR PAULA M V LUMUNON,SPM 0309R0191019V002923
0001827406675 3;JKN Boni04; 5.3.9.201904290125 4 84033
1#0##0#0#0.0#2019-11-04 11:37:04#0#00:00:00#00:00:00#00:00:00 1
4f3dcdbb002ea82c12f5835771de8c24
7171104 C 3 CP 2 17/10/2019 17/10/2019 05/10/1989 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 STEVIE FREDY
MONGKARENG 033227 30 10969 DR PAULA M V LUMUNON,SPM
0309R0191019V002943 0001296660126 3;JKN Boni04; 5.3.9.201904290125
4 84034 1#0##0#0#0.0#2019-11-04 11:37:56#0#00:00:00#00:00:00#00:00:00
1 ea76f1758d9934f6f47df18d9dbe94ca
7171104 C 3 CP 2 17/10/2019 17/10/2019 06/06/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JENNY A.MAMESAH
013663 67 24604 DR PAULA M V LUMUNON,SPM 0309R0191019V002856
0000138268585 3;JKN Boni04; 5.3.9.201904290125 4 84035
1#0##0#0#0.0#2019-11-04 11:38:46#0#00:00:00#00:00:00#00:00:00 1
119d83ae207512a54e6cfe85f6174df0
7171104 C 3 CP 2 17/10/2019 17/10/2019 21/01/1950 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JANSJE JEANET
MUMEKH 016945 69 25471 DR PAULA M V LUMUNON,SPM
0309R0191019V002864 0000138319165 3;JKN Boni04; 5.3.9.201904290125
4 84036 1#0##0#0#0.0#2019-11-04 11:39:35#0#00:00:00#00:00:00#00:00:00
1 c0f4bdd5224af8a20c49a97266a76423
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/10/1946 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JEPSAN TAMARA
052364 73 26679 DR PAULA M V LUMUNON,SPM 0309R0191019V002920
0000907479189 3;JKN Boni04; 5.3.9.201904290125 4 84037
1#0##0#0#0.0#2019-11-04 11:40:21#0#00:00:00#00:00:00#00:00:00 1
b148bea71c1c431ee020f6d40bf1dc03
7171104 C 3 CP 2 17/10/2019 17/10/2019 16/08/1980 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ZEM LAHEBA 052368
39 14306 DR PAULA M V LUMUNON,SPM 0309R0191019V002926
0000908153504 3;JKN Boni04; 5.3.9.201904290125 4 84038
1#0##0#0#0.0#2019-11-04 11:43:13#0#00:00:00#00:00:00#00:00:00 1
da532b4d175fc6cc94064489986d2ede
7171104 C 3 CP 2 17/10/2019 17/10/2019 19/02/1990 0 2
1 H00.1 08.21 - - None None None None H-2-23-0 None None
None None None None PROSEDUR KECIL PADA MATA EKSTERNAL 509800 0
0 - 0 - 0 - 0 - 0 509800 3825400
0 1 0 0 0 FAUTY FALENTINE KAUNANG 051613 29 10832
DR YULIANA HARTONO,SPM 0309R0191019V002889 0002255470705 3;JKN
Boni04; 5.3.9.201904290125 4 84039 1#0##0#0#0.0#2019-11-04
11:45:40#0#00:00:00#00:00:00#00:00:00 1 300c12a8155a1901596e59abe9a2188c
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/11/1954 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DINTJE MATHIAS
007545 64 23726 DR YULIANA HARTONO,SPM 0309R0191019V002886
0001432540866 3;JKN Boni04; 5.3.9.201904290125 4 84040
1#0##0#0#0.0#2019-11-04 11:46:17#0#00:00:00#00:00:00#00:00:00 1
d858c6bcd5cc07657e55cc494cb13f5c
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/01/1957 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 RUSLI ABDULSALAM
051662 62 22934 DR YULIANA HARTONO,SPM 0309R0191019V002911
0000906662924 3;JKN Boni04; 5.3.9.201904290125 4 84041
1#0##0#0#0.0#2019-11-04 11:48:15#0#00:00:00#00:00:00#00:00:00 1
a2493d899295b544af53c410714573d3
7171104 C 3 CP 2 17/10/2019 17/10/2019 20/01/1958 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARYAM ROLEH
052307 61 22550 DR YULIANA HARTONO,SPM 0309R0191019V002933
0002391662283 3;JKN Boni04; 5.3.9.201904290125 4 84042
1#0##0#0#0.0#2019-11-04 11:48:53#0#00:00:00#00:00:00#00:00:00 1
95096a7833b505d9ffbe080f6d04b859
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/02/1970 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 VENNI WOWOR 052255
49 18155 DR YULIANA HARTONO,SPM 0309R0191019V002942 0000905904336
3;JKN Boni04; 5.3.9.201904290125 4 84043 1#0##0#0#0.0#2019-11-04
11:49:49#0#00:00:00#00:00:00#00:00:00 1 d30166033d5da670f94b397e023b12b3
7171104 C 3 CP 2 17/10/2019 17/10/2019 12/11/1952 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ROBERT RATAG
052407 66 24445 DR YULIANA HARTONO,SPM 0309R0191019V002803
0001066815527 3;JKN Boni04; 5.3.9.201904290125 4 84044
1#0##0#0#0.0#2019-11-04 11:53:03#0#00:00:00#00:00:00#00:00:00 1
70fb3bba58c01ac5fe9c3bb97d06cefb
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/02/1944 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 CORIE ROSANG
052429 75 27652 DR YULIANA HARTONO,SPM 0309R0191019V002815
0001851095068 3;JKN Boni04; 5.3.9.201904290125 4 84045
1#0##0#0#0.0#2019-11-04 11:53:50#0#00:00:00#00:00:00#00:00:00 1
120e62fa28e990efa809d50b6bc99eb3
7171104 C 3 CP 2 17/10/2019 17/10/2019 01/01/1945 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NELTJE MANGALA
052235 74 27317 DR YULIANA HARTONO,SPM 0309R0191019V002818
0001574557334 3;JKN Boni04; 5.3.9.201904290125 4 84046
1#0##0#0#0.0#2019-11-04 11:54:46#0#00:00:00#00:00:00#00:00:00 1
e98eed0f1afc46a4eed00f1fca93070b
7171104 C 3 CP 2 17/10/2019 17/10/2019 06/06/1950 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JULIANA MOKEY
WAROUW 052510 69 25335 DR YULIANA HARTONO,SPM 0309R0191019V002799
0001266832113 3;JKN Boni04; 5.3.9.201904290125 4 84047
1#0##0#0#0.0#2019-11-04 11:55:31#0#00:00:00#00:00:00#00:00:00 1
009354ad3ea7541c6823b6c1dc2ecb17
7171104 C 3 CP 2 17/10/2019 17/10/2019 17/09/1957 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NONTJE PELLE
052406 62 22675 DR YULIANA HARTONO,SPM 0309R0191019V002844
0000137281307 3;JKN Boni04; 5.3.9.201904290125 4 84048
1#0##0#0#0.0#2019-11-04 12:05:46#0#00:00:00#00:00:00#00:00:00 1
78184da38291cabc06907f4070f51ce1
7171104 C 3 CP 2 17/10/2019 17/10/2019 10/02/1947 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SAFINA SANUSI
005310 72 26547 DR YULIANA HARTONO,SPM 0309R0191019V002868
0002216023705 3;JKN Boni04; 5.3.9.201904290125 4 84049
1#0##0#0#0.0#2019-11-04 12:06:28#0#00:00:00#00:00:00#00:00:00 1
de5f170cc7c6e415abc3e0974ca4ce57
7171104 C 3 CP 2 17/10/2019 17/10/2019 06/06/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YULIANA MANALIP
052055 67 24604 DR YULIANA HARTONO,SPM 0309R0191019V002885
0002239388109 3;JKN Boni04; 5.3.9.201904290125 4 84050
1#0##0#0#0.0#2019-11-04 12:07:30#0#00:00:00#00:00:00#00:00:00 1
23774966ec73f106fcbcf7210ae4c05c
7171104 C 3 CP 2 17/10/2019 17/10/2019 15/09/1959 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YOUKE MATANO
052304 60 21947 DR YULIANA HARTONO,SPM 0309R0191019V002881
0001386411737 3;JKN Boni04; 5.3.9.201904290125 4 84051
1#0##0#0#0.0#2019-11-04 12:08:10#0#00:00:00#00:00:00#00:00:00 1
a230e6f806929f806b8165d96cb03b5d
7171104 C 3 CP 2 17/10/2019 17/10/2019 03/04/2008 0 1
1 Z09.8;H53.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GERALD ANTONIO 052423 11 4214
DR.FELLY A. TOAD,S.PM 0309R0191019V002819 0001639644985 3;JKN
Patrick K.; 5.3.9.201904290125 4 81868 1#0##0#0#0.0#2019-11-05
13:02:07#0#00:00:00#00:00:00#00:00:00 1 c5759eec3b826039f11f054ad11182b1
7171104 C 3 CP 2 17/10/2019 17/10/2019 06/10/1956 0 2
1 H43.3 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELIZABETH HOTMA IDA HUTAGALUNG 052547 63
23021 DR RALF PANGALILA,SPM 0309R0191019V002778 0001317552355 3;JKN
Patrick K.; 5.3.9.201904290125 4 81737 1#0##0#0#0.0#2019-11-06
15:50:06#0#00:00:00#00:00:00#00:00:00 1 689503110662ed8a412eccbc5ddb3149
7171104 C 3 CP 2 17/10/2019 17/10/2019 21/02/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FEMY LANGKAY L 011724 70 25805 DR DYANA
T.WATANIA,SPM 0309R0191019V002963 0000138140807 3;JKN Patrick K.;
5.3.9.201904290125 4 84558 1#0##0#0#0.0#2019-11-06
15:53:04#0#00:00:00#00:00:00#00:00:00 1 004fb3fbeed1039011fe8614b8e2a191
7171104 C 3 CP 2 17/10/2019 17/10/2019 13/11/1960 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NOLIN TANGKA 052489 58 21522
DR.FELLY A. TOAD,S.PM 0309R0191019V002867 0001569814784 3;JKN
Patrick K.; 5.3.9.201904290125 4 81830 1#0##0#0#0.0#2019-11-07
09:25:28#0#00:00:00#00:00:00#00:00:00 2 68535c42cf7dab3bbb970a411ab6cb43
7171104 C 3 CP 2 17/10/2019 17/10/2019 12/10/1969 0 2
1 H52.2;H52.4;R51 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARGARETHA HARINDAH 052582 50 18267
DR. DENNY WALANDOW, SPM 0309R0191019V002968 0002737069457 3;JKN
Vian02; 5.3.9.201904290125 4 81659 1#0##0#0#0.0#2019-11-07
13:04:03#0#00:00:00#00:00:00#00:00:00 1 d723dfef587434240982acc90a440152
7171104 C 3 CP 2 18/10/2019 18/10/2019 30/11/1962 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONTJE MANIKOME 050523 56 20776 DR
SALAM SURBAKTI,SPM 0309R0191019V003042 0002745925762 3;JKN Vian02;
5.3.9.201904290125 4 81647 1#0##0#0#0.0#2019-10-19
09:27:15#0#00:00:00#00:00:00#00:00:00 1 95016eab2df1b5a329e6e5de54ce3376
7171104 C 3 CP 2 18/10/2019 18/10/2019 17/09/1957 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONTJE PELLE 052406 62 22676 DR
YULIANA HARTONO,SPM 0309R0191019V003070 0000137281307 3;JKN Vian02;
5.3.9.201904290125 4 81726 1#0##0#0#0.0#2019-10-21
08:16:11#0#00:00:00#00:00:00#00:00:00 1 a08f31bf58f775b9b967a01811e4bda6
7171104 C 3 CP 2 18/10/2019 18/10/2019 11/01/1959 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NELLY MANTIRI 051881 60 22195 DR YULIANA
HARTONO,SPM 0309R0191019V003071 0002388309737 3;JKN Vian02;
5.3.9.201904290125 4 81727 1#0##0#0#0.0#2019-10-21
10:43:23#0#00:00:00#00:00:00#00:00:00 1 c4149564a2e97dfdbcf3326d04c8afc7
7171104 C 3 CP 2 18/10/2019 18/10/2019 15/09/1962 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HUSNA UMAR 052267 57 20852 DR YULIANA
HARTONO,SPM 0309R0191019V003072 0001318419279 3;JKN Vian02;
5.3.9.201904290125 4 81747 1#0##0#0#0.0#2019-10-21
11:13:37#0#00:00:00#00:00:00#00:00:00 1 0e2f4b2f90522497151063c315bf2653
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/07/1964 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TOMI SIBOSO 052601 55 20197 DR SALAM
SURBAKTI,SPM 0309R0191019V003073 0000973707276 3;JKN Vian02;
5.3.9.201904290125 4 81748 1#0##0#0#0.0#2019-10-21
11:14:42#0#00:00:00#00:00:00#00:00:00 1 bf61d97be70b8181555bc2fe8d040e8f
7171104 C 3 CP 2 18/10/2019 18/10/2019 23/12/2011 0 2
1 Z09.8;H11.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MIRAKHEL LENDJI PANGEMANAN 051459 7
2856 DR SAUL RAPAR,SPM 0309R0191019V003074 0002501179064 3;JKN
Vian02; 5.3.9.201904290125 4 81749 1#0##0#0#0.0#2019-10-21
11:15:47#0#00:00:00#00:00:00#00:00:00 1 574da3e7376608f5aa2af89af7b62eae
7171104 C 3 CP 2 18/10/2019 18/10/2019 11/08/1965 0 2
1 Z09.8;H52.4;H52.2;H52.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANEKE CHEYMI SUMUAL 051938 54 19791
DR SAUL RAPAR,SPM 0309R0191019V003076 0002246768662 3;JKN Vian02;
5.3.9.201904290125 4 81751 1#0##0#0#0.0#2019-10-21
11:16:55#0#00:00:00#00:00:00#00:00:00 1 f9ab0f2b70f90eee8c1aa1093eb42334
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/07/1963 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUL MALUMBEKE 052117 56 20563 DR
YULIANA HARTONO,SPM 0309R0191019V003077 0000907843871 3;JKN Vian02;
5.3.9.201904290125 4 81752 1#0##0#0#0.0#2019-10-21
11:17:48#0#00:00:00#00:00:00#00:00:00 1 dcc53e2ab07bc9934b9e5df329af81c9
7171104 C 3 CP 2 18/10/2019 18/10/2019 22/03/1941 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MIEKE MANOPPO OROH NY 051529 78 28699
DR YULIANA HARTONO,SPM 0309R0191019V003078 0000137141908 3;JKN
Vian02; 5.3.9.201904290125 4 81753 1#0##0#0#0.0#2019-10-21
11:18:50#0#00:00:00#00:00:00#00:00:00 1 8480ae445a7e40de74921721c2ebd073
7171104 C 3 CP 2 18/10/2019 18/10/2019 18/03/1954 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NAOMI OPING 052602 65 23955 DR PAULA M V
LUMUNON,SPM 0309R0191019V003079 0002257747931 3;JKN Vian02;
5.3.9.201904290125 4 81754 1#0##0#0#0.0#2019-10-21
11:19:58#0#00:00:00#00:00:00#00:00:00 1 5a0f0ae97e74f94448603bac9590d0e8
7171104 C 3 CP 2 18/10/2019 18/10/2019 28/01/1966 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JANTJE OLENG 052191 53 19621 DR PAULA M V
LUMUNON,SPM 0309R0191019V003080 0001827406675 3;JKN Vian02;
5.3.9.201904290125 4 81755 1#0##0#0#0.0#2019-10-21
11:20:50#0#00:00:00#00:00:00#00:00:00 1 5f7222800e77557c0340273f46a3b657
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/01/1957 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RUSLI ABDULSALAM 051662 62 22935 DR YULIANA
HARTONO,SPM 0309R0191019V003083 0000906662924 3;JKN Vian02;
5.3.9.201904290125 4 81756 1#0##0#0#0.0#2019-10-21
11:21:58#0#00:00:00#00:00:00#00:00:00 1 26a5d589b84ae8a294e98195504229ae
7171104 C 3 CP 2 18/10/2019 18/10/2019 02/09/1933 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ESTEFINA KUMAUNANG 052074 86 31457 DR
PAULA M V LUMUNON,SPM 0309R0191019V003084 0001305233559 3;JKN Vian02;
5.3.9.201904290125 4 81757 1#0##0#0#0.0#2019-10-21
12:30:56#0#00:00:00#00:00:00#00:00:00 1 b9eca48b14bdc1b0a0877475d9c2eec2
7171104 C 3 CP 2 18/10/2019 18/10/2019 16/08/1957 0 1
1 H25.0;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NICOLAAS ALTIN SAHIU 052604 62 22708
DR PAULA M V LUMUNON,SPM 0309R0191019V003085 0001570956017 3;JKN
Vian02; 5.3.9.201904290125 4 81768 1#0##0#0#0.0#2019-10-21
12:38:58#0#00:00:00#00:00:00#00:00:00 1 31bac67fa89b31b0582a82b68d08dd7e
7171104 C 3 CP 2 18/10/2019 18/10/2019 05/10/1989 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 STEVIE FREDY MONGKARENG 033227 30 10970 DR
PAULA M V LUMUNON,SPM 0309R0191019V003086 0001296660126 3;JKN Vian02;
5.3.9.201904290125 4 81769 1#0##0#0#0.0#2019-10-21
12:40:10#0#00:00:00#00:00:00#00:00:00 1 8bea712490d9cd14ff63637cdef10d64
7171104 C 3 CP 2 18/10/2019 18/10/2019 06/08/1957 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JACOB KABUHUNG 051345 62 22718 DR SALAM
SURBAKTI,SPM 0309R0191019V003087 0000139086009 3;JKN Vian02;
5.3.9.201904290125 4 81770 1#0##0#0#0.0#2019-10-21
12:42:06#0#00:00:00#00:00:00#00:00:00 1 c5c83e36441369f9e07a8cc020130941
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/02/1944 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CORIE ROSANG 052429 75 27653 DR YULIANA
HARTONO,SPM 0309R0191019V003088 0001851095068 3;JKN Vian02;
5.3.9.201904290125 4 81771 1#0##0#0#0.0#2019-10-21
12:46:36#0#00:00:00#00:00:00#00:00:00 1 34988670ab8487f6176c8ace61813f56
7171104 C 3 CP 2 18/10/2019 18/10/2019 24/02/1956 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TAKANAUMANG STIENTJE 052131 63 23247 DR
YULIANA HARTONO,SPM 0309R0191019V003089 0000139085998 3;JKN Vian02;
5.3.9.201904290125 4 81772 1#0##0#0#0.0#2019-10-21
12:47:53#0#00:00:00#00:00:00#00:00:00 1 3d2b27904657c7486adec87898badd42
7171104 C 3 CP 2 18/10/2019 18/10/2019 02/10/1958 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOUTJE O. GOSAL 039454 61 22296 DR
YULIANA HARTONO,SPM 0309R0191019V003090 0000137799055 3;JKN Vian02;
5.3.9.201904290125 4 81773 1#0##0#0#0.0#2019-10-21
12:49:13#0#00:00:00#00:00:00#00:00:00 1 aa4df64b28f2430f520474331b317112
7171104 C 3 CP 2 18/10/2019 18/10/2019 06/06/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YULIANA MANALIP 052055 67 24605 DR YULIANA
HARTONO,SPM 0309R0191019V003091 0002239388109 3;JKN Vian02;
5.3.9.201904290125 4 81774 1#0##0#0#0.0#2019-10-21
12:49:56#0#00:00:00#00:00:00#00:00:00 1 fe8ddcc0c649eb5b6acb2c47ff32728b
7171104 C 3 CP 2 18/10/2019 18/10/2019 17/10/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 EMMA KAPOYOS 051298 72 26299 DR SALAM
SURBAKTI,SPM 0309R0191019V003092 0000137125798 3;JKN Vian02;
5.3.9.201904290125 4 81775 1#0##0#0#0.0#2019-10-21
12:51:01#0#00:00:00#00:00:00#00:00:00 1 bc291bbdd79e0b5c27d3e7daf2cd5048
7171104 C 3 CP 2 18/10/2019 18/10/2019 09/01/1983 0 1
1 Z09.8;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUDOLF YONATHAN WEHANTOUW 046116 36
13431 DR SALAM SURBAKTI,SPM 0309R0191019V003093 0002744894283 3;JKN
Vian02; 5.3.9.201904290125 4 81776 1#0##0#0#0.0#2019-10-21
12:51:55#0#00:00:00#00:00:00#00:00:00 1 1efa7f8fbf7b9cce113cafa6188cd50b
7171104 C 3 CP 2 18/10/2019 18/10/2019 27/10/1941 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KUIFA NENDER 050655 77 28480 DR PAULA M V
LUMUNON,SPM 0309R0191019V003095 0001569356144 3;JKN Vian02;
5.3.9.201904290125 4 81777 1#0##0#0#0.0#2019-10-21
12:53:37#0#00:00:00#00:00:00#00:00:00 1 20483ef2e76691b9e922e8e1b42e7a4a
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/03/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NELLY ANTE 052573 77 28355 DR PAULA M V
LUMUNON,SPM 0309R0191019V003096 0001066986033 3;JKN Vian02;
5.3.9.201904290125 4 81781 1#0##0#0#0.0#2019-10-21
12:59:29#0#00:00:00#00:00:00#00:00:00 1 2512b27a0b5b3a3da69b41fad8849c56
7171104 C 3 CP 2 18/10/2019 18/10/2019 12/03/1943 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ESTER GAGHIWU 052605 76 27979 DR PAULA M V
LUMUNON,SPM 0309R0191019V003098 0002391530534 3;JKN Vian02;
5.3.9.201904290125 4 81782 1#0##0#0#0.0#2019-10-21
13:00:45#0#00:00:00#00:00:00#00:00:00 1 a369333c4613c834d8b2ffc10c660dee
7171104 C 3 CP 2 18/10/2019 18/10/2019 20/01/1958 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARYAM ROLEH 052307 61 22551 DR YULIANA
HARTONO,SPM 0309R0191019V003099 0002391662283 3;JKN Vian02;
5.3.9.201904290125 4 81783 1#0##0#0#0.0#2019-10-21
13:04:53#0#00:00:00#00:00:00#00:00:00 1 89829e645b818a40f350465e26713852
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/02/1970 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VENNI WOWOR 052255 49 18156 DR YULIANA
HARTONO,SPM 0309R0191019V003100 0000905904336 3;JKN Vian02;
5.3.9.201904290125 4 81784 1#0##0#0#0.0#2019-10-21
13:05:39#0#00:00:00#00:00:00#00:00:00 1 c14146d7bf4f42fba9b78bde908d911c
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/04/1955 0 2
1 H52.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NOORLANY TJIUTRA 052606 64 23576 DR
SAUL RAPAR,SPM 0309R0191019V003102 0000138103536 3;JKN Vian02;
5.3.9.201904290125 4 81785 1#0##0#0#0.0#2019-10-21
13:06:39#0#00:00:00#00:00:00#00:00:00 1 54b3af1766dda9e885774576b3add04d
7171104 C 3 CP 2 18/10/2019 18/10/2019 02/06/1982 0 2
1 H52.2;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 INGGRID SAMODARA 052607 37 13652 DR
SAUL RAPAR,SPM 0309R0191019V003103 0002223083597 3;JKN Vian02;
5.3.9.201904290125 4 81786 1#0##0#0#0.0#2019-10-21
13:14:06#0#00:00:00#00:00:00#00:00:00 1 2e04a2cad23340b421f2604d67bca772
7171104 C 3 CP 2 18/10/2019 18/10/2019 03/04/1978 0 1
1 H52.4;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DONALD CH. A. JACOB 052608 41 15173
DR SAUL RAPAR,SPM 0309R0191019V003104 0002225053258 3;JKN Vian02;
5.3.9.201904290125 4 81788 1#0##0#0#0.0#2019-10-21
13:15:04#0#00:00:00#00:00:00#00:00:00 1 62d91ed05013796c606746a0d1f8b7c2
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/08/1938 0 2
1 Z96.1;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANA WONGKAR 005817 81 29663 DR SAUL
RAPAR,SPM 0309R0191019V003105 0000906603423 3;JKN Vian02;
5.3.9.201904290125 4 81789 1#0##0#0#0.0#2019-10-21
13:16:04#0#00:00:00#00:00:00#00:00:00 1 d98b3e116ae201989b04413b6287cd1c
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/01/1964 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SYANE EGETEN 010157 55 20379 DR SALAM
SURBAKTI,SPM 0309R0191019V003106 0000908532325 3;JKN Vian02;
5.3.9.201904290125 4 81790 1#0##0#0#0.0#2019-10-21
13:17:06#0#00:00:00#00:00:00#00:00:00 1 21da69f9c8b459b3bbdaf7831fdf9f85
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/05/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HUSEN SUMAILA 017972 70 25737 DR SALAM
SURBAKTI,SPM 0309R0191019V003108 0001066991466 3;JKN Vian02;
5.3.9.201904290125 4 81791 1#0##0#0#0.0#2019-10-21
13:17:54#0#00:00:00#00:00:00#00:00:00 1 47aebd9b7782c951e4f419709316fed4
7171104 C 3 CP 2 18/10/2019 18/10/2019 17/05/1969 0 1
1 Z09.8;H44.2;H40.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SEMUEL SULANGI 045273 50 18416 DR
SALAM SURBAKTI,SPM 0309R0191019V003109 0001567161369 3;JKN Vian02;
5.3.9.201904290125 4 81792 1#0##0#0#0.0#2019-10-21
13:18:45#0#00:00:00#00:00:00#00:00:00 1 549d5b3f18a6c7e8410aa28a1504122b
7171104 C 3 CP 2 18/10/2019 18/10/2019 25/02/1956 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUSUF HUSA 052446 63 23246 DR PAULA M V
LUMUNON,SPM 0309R0191019V003111 0001573971726 3;JKN Vian02;
5.3.9.201904290125 4 81793 1#0##0#0#0.0#2019-10-21
13:19:33#0#00:00:00#00:00:00#00:00:00 1 f2fc9218a7a940edacf0156d4a303ad4
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/01/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NELTJE MANGALA 052235 74 27318 DR YULIANA
HARTONO,SPM 0309R0191019V003112 0001574557334 3;JKN Vian02;
5.3.9.201904290125 4 81796 1#0##0#0#0.0#2019-10-21
13:21:36#0#00:00:00#00:00:00#00:00:00 1 ad71fa699a5cfb0036358eaa93d2920a
7171104 C 3 CP 2 18/10/2019 18/10/2019 14/08/1967 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AGNITJE LUSJE SIBY 050878 52 19058 DR
SALAM SURBAKTI,SPM 0309R0191019V003068 0001877667546 3;JKN Patrick K.;
5.3.9.201904290125 4 81870 1#0##0#0#0.0#2019-10-21
17:13:01#0#00:00:00#00:00:00#00:00:00 1 c0411b2aec3c6f86cd0257c88ab3db23
7171104 C 3 CP 2 18/10/2019 18/10/2019 11/04/1944 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 EDUARD MUSAK 046174 75 27583 DR YULIANA
HARTONO,SPM 0309R0191019V003067 0000138064781 3;JKN Patrick K.;
5.3.9.201904290125 4 81871 1#0##0#0#0.0#2019-10-21
17:13:43#0#00:00:00#00:00:00#00:00:00 1 8471b49241431c009f143eebf47fa744
7171104 C 3 CP 2 18/10/2019 18/10/2019 18/11/1968 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NOVA FONNY HERMAN 052600 50 18596 DR
SALAM SURBAKTI,SPM 0309R0191019V003065 0001314789838 3;JKN Patrick K.;
5.3.9.201904290125 4 81872 1#0##0#0#0.0#2019-10-21
17:15:03#0#00:00:00#00:00:00#00:00:00 1 c1b302f00ef985ffe5efc4ab609b3f91
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/10/1946 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEPSAN TAMARA 052364 73 26680 DR
PAULA M V LUMUNON,SPM 0309R0191019V003062 0000907479189 3;JKN Patrick K.;
5.3.9.201904290125 4 81874 1#0##0#0#0.0#2019-10-21
17:17:44#0#00:00:00#00:00:00#00:00:00 2 c77151a9b397b741d847b1c10eee521e
7171104 C 3 CP 2 18/10/2019 18/10/2019 06/05/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FIENTJE M. PALAR 051965 71 26097 DR SALAM
SURBAKTI,SPM 0309R0191019V003060 0000138278766 3;JKN Patrick K.;
5.3.9.201904290125 4 81875 1#0##0#0#0.0#2019-10-21
17:18:23#0#00:00:00#00:00:00#00:00:00 1 07a5c1a6678fdab38734b74bc7c91eb9
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/01/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNA MARIE PALIT 051908 64 23666 DR SAUL
RAPAR,SPM 0309R0191019V003059 0000907851982 3;JKN Patrick K.;
5.3.9.201904290125 4 81876 1#0##0#0#0.0#2019-10-21
17:19:31#0#00:00:00#00:00:00#00:00:00 1 f92a1c032fc8479a7aa81a3ab3b6cd6c
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/10/1952 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PILTON KANARANG 052366 67 24488 DR
SAUL RAPAR,SPM 0309R0191019V003058 0000907479549 3;JKN Patrick K.;
5.3.9.201904290125 4 81877 1#0##0#0#0.0#2019-10-21
17:20:14#0#00:00:00#00:00:00#00:00:00 1 2516412c745b4761098a73ecc2dfc763
7171104 C 3 CP 2 18/10/2019 18/10/2019 08/12/1984 0 1
1 Z09.8;D31.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 REAGI THOSAL 052586 34 12732 DR
YULIANA HARTONO,SPM 0309R0191019V003057 0002067923316 3;JKN Patrick K.;
5.3.9.201904290125 4 81878 81#0##0#0#0.0#2019-10-21
17:21:53#0#00:00:00#00:00:00#00:00:00 1 6b735ed0ea9f21db2faca6094b7c688f
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/02/1973 0 1
1 Z09.8;H10.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AHMAD MATO 052295 46 17060 DR YULIANA
HARTONO,SPM 0309R0191019V003055 0000909627535 3;JKN Patrick K.;
5.3.9.201904290125 4 81879 1#0##0#0#0.0#2019-10-21
17:22:52#0#00:00:00#00:00:00#00:00:00 1 abaa5318c641951a330e37d4808fad71
7171104 C 3 CP 2 18/10/2019 18/10/2019 18/06/1959 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JAHYA PAPARANG 052599 60 22037 DR YULIANA
HARTONO,SPM 0309R0191019V003054 0001436297567 3;JKN Patrick K.;
5.3.9.201904290125 4 81873 1#0##0#0#0.0#2019-10-21
17:23:56#0#00:00:00#00:00:00#00:00:00 1 357f9e2aa9efb551a2bac03110ad2690
7171104 C 3 CP 2 18/10/2019 18/10/2019 13/02/1955 0 1
1 Z09.0;H26.9;Z96.1;H40.0;H25.0 95.02 - - None None None None
H-3-12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA
213700 0 0 - 0 - 0 - 0 - 0 213700
160600 0 1 0 0 0 FERDINAND LEOPOLD PANGKEY 052570
64 23623 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003053
0000138518223 3;JKN Patrick K.; 5.3.9.201904290125 4 81880
1#0##0#0#0.0#2019-10-21 17:26:20#0#00:00:00#00:00:00#00:00:00 2
873b66c4187d451e8d31eafd9b0a83b6
7171104 C 3 CP 2 18/10/2019 18/10/2019 22/01/1955 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KARDINA TUNA 029997 64 23645 DR
SALAM SURBAKTI,SPM 0309R0191019V003052 0001421998503 3;JKN Patrick K.;
5.3.9.201904290125 4 81881 1#0##0#0#0.0#2019-10-21
17:27:24#0#00:00:00#00:00:00#00:00:00 1 50f167896e7f750282c83a49ed060fe2
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/08/1954 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STIN WURANGIAN 052358 65 23819 DR
SAUL RAPAR,SPM 0309R0191019V003050 0000909525633 3;JKN Patrick K.;
5.3.9.201904290125 4 81882 1#0##0#0#0.0#2019-10-21
17:28:19#0#00:00:00#00:00:00#00:00:00 1 bac05c3cf3023f1a75c542b3df75ef78
7171104 C 3 CP 2 18/10/2019 18/10/2019 23/06/1985 0 2
1 H11.3 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YUBLINA PESIK 052595 34 12535 DR YULIANA
HARTONO,SPM 0309R0191019V003049 0001313571407 3;JKN Patrick K.;
5.3.9.201904290125 4 81883 1#0##0#0#0.0#2019-10-21
17:29:51#0#00:00:00#00:00:00#00:00:00 1 985e3ce1b8dadccd2729d9bf210fb2b3
7171104 C 3 CP 2 18/10/2019 18/10/2019 19/03/1965 0 1
1 H52.4;H52.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BAMBANG MAXI DJONO 052598 54 19936
DR YULIANA HARTONO,SPM 0309R0191019V003048 0000196937469 3;JKN
Patrick K.; 5.3.9.201904290125 4 81884 1#0##0#0#0.0#2019-10-21
17:30:46#0#00:00:00#00:00:00#00:00:00 1 dfefeaf352f7b45a2ecadbc6721e4852
7171104 C 3 CP 2 18/10/2019 18/10/2019 23/08/1954 0 2
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONTJE AGUSTINI KEMBUAN 032764 65 23797
DR PAULA M V LUMUNON,SPM 0309R0191019V003047 0001267028493 3;JKN
Patrick K.; 5.3.9.201904290125 4 81885 1#0##0#0#0.0#2019-10-21
17:31:37#0#00:00:00#00:00:00#00:00:00 1 ebeb947e3151c7885ceaa6be3b87b947
7171104 C 3 CP 2 18/10/2019 18/10/2019 08/11/1955 0 2
1 Z09.0;H26.9;Z96.1;H25.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NELTJE LUISA TUUK 052569 63 23355 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003045 0000138518212 3;JKN
Patrick K.; 5.3.9.201904290125 4 81886 1#0##0#0#0.0#2019-10-21
17:33:21#0#00:00:00#00:00:00#00:00:00 1 84924707e58f3864a85b73c6b95f70e3
7171104 C 3 CP 2 18/10/2019 18/10/2019 04/01/1984 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YENI ADI SUJIYANTO 032595 35 13071
DR SALAM SURBAKTI,SPM 0309R0191019V003044 0001079155078 3;JKN
Patrick K.; 5.3.9.201904290125 4 81887 1#0##0#0#0.0#2019-10-21
17:34:07#0#00:00:00#00:00:00#00:00:00 1 0e96af7e9f156973abb17fea93f8ef13
7171104 C 3 CP 2 18/10/2019 18/10/2019 15/09/1959 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOUKE MATANO 052304 60 21948 DR
YULIANA HARTONO,SPM 0309R0191019V003043 0001386411737 3;JKN Patrick K.;
5.3.9.201904290125 4 81888 1#0##0#0#0.0#2019-10-21
17:35:15#0#00:00:00#00:00:00#00:00:00 1 0bdac5bb9517fe3e99ee7383a93c2edb
7171104 C 3 CP 2 18/10/2019 18/10/2019 02/02/1942 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONTJE IROTH 051308 77 28382 DR
SALAM SURBAKTI,SPM 0309R0191019V003041 0000136281194 3;JKN Patrick K.;
5.3.9.201904290125 4 81889 1#0##0#0#0.0#2019-10-21
17:36:08#0#00:00:00#00:00:00#00:00:00 1 1b302b4d17eaaef559032227b83ca758
7171104 C 3 CP 2 18/10/2019 18/10/2019 21/01/1950 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANSJE JEANET MUMEKH 016945 69 25472
DR PAULA M V LUMUNON,SPM 0309R0191019V003039 0000138319165 3;JKN
Patrick K.; 5.3.9.201904290125 4 81890 1#0##0#0#0.0#2019-10-21
17:37:29#0#00:00:00#00:00:00#00:00:00 1 5424efae545dda73e559bfbcbe4a3588
7171104 C 3 CP 2 18/10/2019 18/10/2019 14/06/1953 0 2
1 Z09.8;H52.2;H52.4;Z96.1 96.18 - - None None None None W-3-
12-0 None None None None None None PROSEDUR KECIL GINEKOLOGI 278700
0 0 - 0 - 0 - 0 - 0 278700 160600
0 1 0 0 0 SERLI ARUPERES 028652 66 24232 DR
SAUL RAPAR,SPM 0309R0191019V003038 0001567825402 3;JKN Patrick K.;
5.3.9.201904290125 4 81891 1#0##0#0#0.0#2019-10-21
17:38:30#0#00:00:00#00:00:00#00:00:00 1 2e39eca355a0cbc8865695b17783db28
7171104 C 3 CP 2 18/10/2019 18/10/2019 13/05/1965 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEEYKE FONI RENGKUNG 052597 54 19881
DR SAUL RAPAR,SPM 0309R0191019V003037 0000138360453 3;JKN Patrick K.;
5.3.9.201904290125 4 81892 1#0##0#0#0.0#2019-10-21
17:39:50#0#00:00:00#00:00:00#00:00:00 1 0a4c51d227ba73086a6f0953898e2154
7171104 C 3 CP 2 18/10/2019 18/10/2019 16/08/1980 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZEM LAHEBA 052368 39 14307 DR PAULA M V
LUMUNON,SPM 0309R0191019V003036 0000908153504 3;JKN Patrick K.;
5.3.9.201904290125 4 81893 1#0##0#0#0.0#2019-10-21
17:40:52#0#00:00:00#00:00:00#00:00:00 1 c3c23d1ebadd0ac7146988f31a7f8a96
7171104 C 3 CP 2 18/10/2019 18/10/2019 09/05/1970 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MEITY GESSOH 052596 49 18059 DR PAULA M V
LUMUNON,SPM 0309R0191019V003034 0000042148102 3;JKN Patrick K.;
5.3.9.201904290125 4 81894 1#0##0#0#0.0#2019-10-21
17:43:34#0#00:00:00#00:00:00#00:00:00 1 ccedd3db5ee4f9312f82987f62e14a98
7171104 C 3 CP 2 18/10/2019 18/10/2019 07/11/1967 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIEN DAULAR 052369 51 18973 DR
SAUL RAPAR,SPM 0309R0191019V003033 0001604406047 3;JKN Patrick K.;
5.3.9.201904290125 4 81895 1#0##0#0#0.0#2019-10-21
17:44:43#0#00:00:00#00:00:00#00:00:00 1 c452bfdc178b8e3925407e6a520adec4
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/06/1961 0 1
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JHONNY SUMAMPOUW 052594 58 21323 DR YULIANA
HARTONO,SPM 0309R0191019V003032 0000138360464 3;JKN Patrick K.;
5.3.9.201904290125 4 81896 1#0##0#0#0.0#2019-10-21
17:45:53#0#00:00:00#00:00:00#00:00:00 1 438176d8a9b6f846bb35396f19861b2f
7171104 C 3 CP 2 18/10/2019 18/10/2019 03/07/1936 0 2
1 Z96.1;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WIHELMINA WALANGITAN 036556 83 30422
DR SALAM SURBAKTI,SPM 0309R0191019V003030 0000138194177 3;JKN
Patrick K.; 5.3.9.201904290125 4 81897 1#0##0#0#0.0#2019-10-21
17:48:01#0#00:00:00#00:00:00#00:00:00 2 8899d3207dd604fb2bdefd8beac2d84e
7171104 C 3 CP 2 18/10/2019 18/10/2019 31/08/1958 0 2
1 Z96.1;H27.0;H40.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANTJE MALONDA 002754 61 22328 DR
PAULA M V LUMUNON,SPM 0309R0191019V003028 0001842349972 3;JKN Patrick K.;
5.3.9.201904290125 4 81898 1#0##0#0#0.0#2019-10-21
17:48:52#0#00:00:00#00:00:00#00:00:00 1 1995521865b881e4dbc497f47a5f937e
7171104 C 3 CP 2 18/10/2019 18/10/2019 07/07/1965 0 2
1 Z09.8;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RATNA ARUNDAA 052048 54 19826 DR
SALAM SURBAKTI,SPM 0309R0191019V003027 0002390784333 3;JKN Patrick K.;
5.3.9.201904290125 4 81899 1#0##0#0#0.0#2019-10-21
17:49:48#0#00:00:00#00:00:00#00:00:00 1 8ccebe81c5897e368fd0d8e6dbe31254
7171104 C 3 CP 2 18/10/2019 18/10/2019 28/09/1991 0 2
1 Z09.8;H50.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STEPHANIE ESTER PINANGKAAN 052091 28
10247 DR SALAM SURBAKTI,SPM 0309R0191019V003026 0000137175017 3;JKN
Patrick K.; 5.3.9.201904290125 4 81900 1#0##0#0#0.0#2019-10-21
17:51:16#0#00:00:00#00:00:00#00:00:00 1 ee15676b736ec71406b65415922ac417
7171104 C 3 CP 2 18/10/2019 18/10/2019 28/05/1963 0 2
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 F C TARUMAMPEN 025225 56 20597 DR
PAULA M V LUMUNON,SPM 0309R0191019V003025 0000137391333 3;JKN Patrick K.;
5.3.9.201904290125 4 81901 1#0##0#0#0.0#2019-10-21
17:52:10#0#00:00:00#00:00:00#00:00:00 1 c6db49042425d1a9b6488c9f71b21eca
7171104 C 3 CP 2 18/10/2019 18/10/2019 25/03/1957 0 1
1 Z09.8;H18.9;H11.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTHEN LENGKEY 006805 62 22852 DR
PAULA M V LUMUNON,SPM 0309R0191019V003024 0002763277154 3;JKN Patrick K.;
5.3.9.201904290125 4 81902 1#0##0#0#0.0#2019-10-21
17:53:32#0#00:00:00#00:00:00#00:00:00 1 bc9a58cefb0541220b65948d16164827
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/03/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KATOTJE KAWULUSAN 050870 66 24337 DR SALAM
SURBAKTI,SPM 0309R0191019V003022 0000906248981 3;JKN Patrick K.;
5.3.9.201904290125 4 81903 1#0##0#0#0.0#2019-10-21
17:54:41#0#00:00:00#00:00:00#00:00:00 1 9b3efe34881af0863a0810a53d3260a5
7171104 C 3 CP 2 18/10/2019 18/10/2019 23/07/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIANA JOSEFINA CORNELIA RUMENGAN 029600 66
24193 DR YULIANA HARTONO,SPM 0309R0191019V003021 0000138426366 3;JKN
linda03; 5.3.9.201904290125 4 81904 1#0##0#0#0.0#2019-10-22
06:59:22#0#00:00:00#00:00:00#00:00:00 1 c7be0c3e4bd2595d6c4cbdb64b11c8c8
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/02/1942 0 2
1 Z09.8;H27.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRIDA RUMONDOR 024928 77 28383 DR
YULIANA HARTONO,SPM 0309R0191019V003020 0000907620636 3;JKN linda03;
5.3.9.201904290125 4 81905 1#0##0#0#0.0#2019-10-22
07:01:12#0#00:00:00#00:00:00#00:00:00 1 0fbee9ece74aafff8b9e61af769599f5
7171104 C 3 CP 2 18/10/2019 18/10/2019 14/08/1938 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MELKI WILSON TOMBILING 052189 81 29650 DR
SAUL RAPAR,SPM 0309R0191019V003019 0001283635877 3;JKN linda03;
5.3.9.201904290125 4 81906 1#0##0#0#0.0#2019-10-22
07:03:16#0#00:00:00#00:00:00#00:00:00 1 43a356398fce9f5e94449e5000022c72
7171104 C 3 CP 2 18/10/2019 18/10/2019 16/08/1978 0 1
1 Z09.8;H34.2;H44.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEDDY ARNOLD DONSU 024224 41 15038
DR PAULA M V LUMUNON,SPM 0309R0191019V003018 0002217362084 3;JKN
linda03; 5.3.9.201904290125 4 81907 1#0##0#0#0.0#2019-10-22
07:04:04#0#00:00:00#00:00:00#00:00:00 1 6037a8d8a3b119c8c575234fcaec933c
7171104 C 3 CP 2 18/10/2019 18/10/2019 02/04/1967 0 1
1 Z09.8;H35.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALFREDS HERMANUS SIDAMO 052120 52 19192
DR SALAM SURBAKTI,SPM 0309R0191019V003017 0001812370228 3;JKN
linda03; 5.3.9.201904290125 4 81908 44#0##0#0#0.0#2019-10-22
07:07:07#0#00:00:00#00:00:00#00:00:00 1 ff5d1a9a5cfa2b4bab88bfaa81df51cc
7171104 C 3 CP 2 18/10/2019 18/10/2019 18/11/1966 0 2
1 Z09.8;H35.2;H40.9 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HELENA LORANGASAL 052123 52 19327 DR
SALAM SURBAKTI,SPM 0309R0191019V003015 0001164143024 3;JKN linda03;
5.3.9.201904290125 4 81909 1#0##0#0#0.0#2019-10-22
07:08:25#0#00:00:00#00:00:00#00:00:00 1 81f50334c6f3c6e9d25d48bf13015f64
7171104 C 3 CP 2 18/10/2019 18/10/2019 12/07/1989 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SALMON BIRE 052593 30 11055 DR SALAM
SURBAKTI,SPM 0309R0191019V003014 0000449427295 3;JKN linda03;
5.3.9.201904290125 4 81910 1#0##0#0#0.0#2019-10-22
07:09:26#0#00:00:00#00:00:00#00:00:00 1 0cf00d11db1b6fad77f381ddf919571d
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/11/1989 0 1
1 Z09.8;B30.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WOLTER PENESE 052553 29 10943 DR
SALAM SURBAKTI,SPM 0309R0191019V003013 0000907541515 3;JKN linda03;
5.3.9.201904290125 4 81911 1#0##0#0#0.0#2019-10-22
07:16:50#0#00:00:00#00:00:00#00:00:00 1 89e67d6331786ee606ebf7b05d36c9d1
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/10/1979 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 OLINDA SOLUNG 052591 40 14627 DR YULIANA
HARTONO,SPM 0309R0191019V003011 0000905015992 3;JKN linda03;
5.3.9.201904290125 4 81912 1#0##0#0#0.0#2019-10-22
07:20:37#0#00:00:00#00:00:00#00:00:00 1 a601d9886ced8f9c50fe1848fb31a222
7171104 C 3 CP 2 18/10/2019 18/10/2019 27/03/1945 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CHRISTOFEL ROBY MEWOH 052592 74 27233 DR
SAUL RAPAR,SPM 0309R0191019V003010 0002206284423 3;JKN linda03;
5.3.9.201904290125 4 81913 37#0##0#0#0.0#2019-10-22
07:21:22#0#00:00:00#00:00:00#00:00:00 1 cbf3ad133951849520d5f4f5732d4e51
7171104 C 3 CP 2 18/10/2019 18/10/2019 12/01/1949 0 2
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENNY ADELEIDE ELVIE PANGKEY 048274 70
25846 DR YULIANA HARTONO,SPM 0309R0191019V003009 0000138860954 3;JKN
linda03; 5.3.9.201904290125 4 81914 1#0##0#0#0.0#2019-10-22
07:28:04#0#00:00:00#00:00:00#00:00:00 1 7b93005b3d99c64da8b6dbe3d4ad542d
7171104 C 3 CP 2 18/10/2019 18/10/2019 07/09/1959 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SANDRA WAWORGA 017873 60 21956 DR SALAM
SURBAKTI,SPM 0309R0191019V003008 0000139120806 3;JKN linda03;
5.3.9.201904290125 4 81915 1#0##0#0#0.0#2019-10-22
07:29:39#0#00:00:00#00:00:00#00:00:00 1 782820ffb2c245c1675f1ca40e98185f
7171104 C 3 CP 2 18/10/2019 18/10/2019 30/08/1943 0 2
1 Z96.1;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUNTJE WURANGIAN 051569 76 27808 DR
SALAM SURBAKTI,SPM 0309R0191019V003007 0001834338723 3;JKN linda03;
5.3.9.201904290125 4 81916 1#0##0#0#0.0#2019-10-22
07:30:22#0#00:00:00#00:00:00#00:00:00 1 99365652db90cb6bf61bde61d2a000fb
7171104 C 3 CP 2 18/10/2019 18/10/2019 23/09/1963 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SENNY G. E. KAWULUSAN 050581 56 20479 DR
SALAM SURBAKTI,SPM 0309R0191019V003006 0001888628444 3;JKN linda03;
5.3.9.201904290125 4 81917 1#0##0#0#0.0#2019-10-22
07:31:27#0#00:00:00#00:00:00#00:00:00 1 a55b6274a782c64d290300df698277ea
7171104 C 3 CP 2 18/10/2019 18/10/2019 16/12/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NI NYOMAN MURNIATI 052052 71 26239 DR
SAUL RAPAR,SPM 0309R0191019V003005 0000142982605 3;JKN linda03;
5.3.9.201904290125 4 81918 1#0##0#0#0.0#2019-10-22
07:34:30#0#00:00:00#00:00:00#00:00:00 1 dd5715d033f7e7efba0c63fcf2fb26d5
7171104 C 3 CP 2 18/10/2019 18/10/2019 29/09/2015 0 1
1 Z09.8;H05.2;H11.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DANTE GLADWIN TUMILANTOUW 052340 4
1480 DR YULIANA HARTONO,SPM 0309R0191019V003004 0002389229728 3;JKN
linda03; 5.3.9.201904290125 4 81919 1#0##0#0#0.0#2019-10-22
07:36:25#0#00:00:00#00:00:00#00:00:00 1 9668ac9c4eb695a88144acb732182dd1
7171104 C 3 CP 2 18/10/2019 18/10/2019 16/10/1964 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ESTER S. RORI 005949 55 20090 DR
PAULA M V LUMUNON,SPM 0309R0191019V003003 0000137791923 3;JKN linda03;
5.3.9.201904290125 4 81920 30#0##0#0#0.0#2019-10-22
07:47:23#0#00:00:00#00:00:00#00:00:00 1 f79b91b86d8369a4c810c913c1459876
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/11/1954 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DINTJE MATHIAS 007545 64 23727 DR
YULIANA HARTONO,SPM 0309R0191019V003000 0001432540866 3;JKN linda03;
5.3.9.201904290125 4 81921 1#0##0#0#0.0#2019-10-22
07:52:28#0#00:00:00#00:00:00#00:00:00 1 6352b79bb133cf2307dd188a9eaf3fd7
7171104 C 3 CP 2 18/10/2019 18/10/2019 25/04/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NOORTJE WAHA 008426 70 25743 DR SALAM
SURBAKTI,SPM 0309R0191019V002999 0000138241822 3;JKN linda03;
5.3.9.201904290125 4 81922 1#0##0#0#0.0#2019-10-22
07:53:41#0#00:00:00#00:00:00#00:00:00 1 a9283b5de83262f62bb76fd2a310ca95
7171104 C 3 CP 2 18/10/2019 18/10/2019 02/09/1975 0 2
1 Z09.8;H35.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUPINA KARIM 033613 44 16117 DR
SALAM SURBAKTI,SPM 0309R0191019V002998 0001302461548 3;JKN linda03;
5.3.9.201904290125 4 81923 1#0##0#0#0.0#2019-10-22
08:10:46#0#00:00:00#00:00:00#00:00:00 1 44598f22046bbdf4d5effc458bf767b0
7171104 C 3 CP 2 18/10/2019 18/10/2019 04/02/1976 0 2
1 Z09.8;H33.0;H57.8 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FERA MARDALENY 051607 43 15962 DR
SALAM SURBAKTI,SPM 0309R0191019V002997 0000197031778 3;JKN linda03;
5.3.9.201904290125 4 81924 1#0##0#0#0.0#2019-10-22
08:13:08#0#00:00:00#00:00:00#00:00:00 1 b2f3257c3806e5e3a7ac9dad44a67b7e
7171104 C 3 CP 2 18/10/2019 18/10/2019 10/02/1947 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SAFINA SANUSI 005310 72 26548 DR
YULIANA HARTONO,SPM 0309R0191019V002996 0002216023705 3;JKN linda03;
5.3.9.201904290125 4 81925 1#0##0#0#0.0#2019-10-22
08:13:45#0#00:00:00#00:00:00#00:00:00 1 559ac07944230170b221de40d3fba867
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/06/1992 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 INDRA REWA 046140 27 10000 DR YULIANA
HARTONO,SPM 0309R0191019V002995 0001243674393 3;JKN linda03;
5.3.9.201904290125 4 81926 1#0##0#0#0.0#2019-10-22
08:14:46#0#00:00:00#00:00:00#00:00:00 1 848e00a3581aa37acca5b6a26025e8c1
7171104 C 3 CP 2 18/10/2019 18/10/2019 29/03/1943 0 2
1 Z09.8;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FEMMI MASSIE 052194 76 27962 DR
SAUL RAPAR,SPM 0309R0191019V002994 0001568007483 3;JKN linda03;
5.3.9.201904290125 4 81927 1#0##0#0#0.0#2019-10-22
08:15:30#0#00:00:00#00:00:00#00:00:00 1 02c17589df7e427682b6d509f45c223f
7171104 C 3 CP 2 18/10/2019 18/10/2019 05/02/1967 0 1
1 Z09.8;H47.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CORNELES FILIPUS ESSING 042501 52 19248
DR SALAM SURBAKTI,SPM 0309R0191019V002993 0002298115157 3;JKN
linda03; 5.3.9.201904290125 4 81928 1#0##0#0#0.0#2019-10-22
08:16:10#0#00:00:00#00:00:00#00:00:00 1 170ad91487799a37c3c8ae35edb9a016
7171104 C 3 CP 2 18/10/2019 18/10/2019 06/01/1975 0 2
1 Z09.8;H44.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NURLIANI W. FREIDAH 022395 44 16356
DR SALAM SURBAKTI,SPM 0309R0191019V002992 0001194138819 3;JKN
linda03; 5.3.9.201904290125 4 81931 1#0##0#0#0.0#2019-10-22
08:28:04#0#00:00:00#00:00:00#00:00:00 1 d0dfece401e49b21297b324d070c8616
7171104 C 3 CP 2 18/10/2019 18/10/2019 09/03/1947 0 1
1 Z09.8;H46 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTHEN F. WUWUNGAN 007002 72 26521
DR YULIANA HARTONO,SPM 0309R0191019V002991 0000138231551 3;JKN
linda03; 5.3.9.201904290125 4 81932 1#0##0#0#0.0#2019-10-22
08:29:06#0#00:00:00#00:00:00#00:00:00 1 ea4fa66c5bdcd7402ff0aabd352890b6
7171104 C 3 CP 2 18/10/2019 18/10/2019 07/07/1973 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YESSY WONGKAR 051243 46 16904 DR YULIANA
HARTONO,SPM 0309R0191019V002988 0001667174049 3;JKN linda03;
5.3.9.201904290125 4 81936 1#0##0#0#0.0#2019-10-22
08:31:33#0#00:00:00#00:00:00#00:00:00 1 9948edf641cef5ab8d2f44b7ba8d8b0c
7171104 C 3 CP 2 18/10/2019 18/10/2019 06/06/1952 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JENNY A.MAMESAH 013663 67 24605 DR
PAULA M V LUMUNON,SPM 0309R0191019V002987 0000138268585 3;JKN linda03;
5.3.9.201904290125 4 81937 1#0##0#0#0.0#2019-10-22
08:35:02#0#00:00:00#00:00:00#00:00:00 1 d01e8ffd002b89e0f6de88be854e970b
7171104 C 3 CP 2 18/10/2019 18/10/2019 29/05/1956 0 1
1 Z09.8;H43.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YER BUANGSAMPUHI 052292 63 23152 DR
SALAM SURBAKTI,SPM 0309R0191019V002986 0002445973773 3;JKN linda03;
5.3.9.201904290125 4 81938 1#0##0#0#0.0#2019-10-22
08:35:54#0#00:00:00#00:00:00#00:00:00 1 d79fb365aaf57bad17384839ee224c11
7171104 C 3 CP 2 18/10/2019 18/10/2019 24/07/1950 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANDRIE HERRY NAJOAN 052402 69 25288
DR SAUL RAPAR,SPM 0309R0191019V002985 0000121648353 3;JKN linda03;
5.3.9.201904290125 4 81939 1#0##0#0#0.0#2019-10-22
08:36:32#0#00:00:00#00:00:00#00:00:00 1 0d63125199501ac8e1425e4d7116e246
7171104 C 3 CP 2 18/10/2019 18/10/2019 12/11/1952 0 1
1 Z09.0;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROBERT RATAG 052407 66 24446 DR
YULIANA HARTONO,SPM 0309R0191019V002984 0001066815527 3;JKN linda03;
5.3.9.201904290125 4 81940 1#0##0#0#0.0#2019-10-22
08:37:46#0#00:00:00#00:00:00#00:00:00 1 4e6b0e4f764dacf80f95c28899d756a9
7171104 C 3 CP 2 18/10/2019 18/10/2019 06/06/1950 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIANA MOKEY WAROUW 052510 69 25336
DR YULIANA HARTONO,SPM 0309R0191019V002981 0001266832113 3;JKN
linda03; 5.3.9.201904290125 4 81942 8#0##0#0#0.0#2019-10-22
08:38:24#0#00:00:00#00:00:00#00:00:00 1 477e3d6b96227fbde3fadb74469674b5
7171104 C 3 CP 2 18/10/2019 18/10/2019 28/02/1942 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FREDRIKA WOYONGAN 052647 77 28356 DR
PAULA M V LUMUNON,SPM 0309R0191019V002989 0002260661501 3;JKN linda03;
5.3.9.201904290125 4 81935 1#0##0#0#0.0#2019-10-23
08:04:18#0#00:00:00#00:00:00#00:00:00 1 071c4b8a4108806e7995d0d20a2e341d
7171104 C 3 CP 2 18/10/2019 18/10/2019 08/08/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NICOLAS MESAK RUMIMPUNU 051949 71 26003 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002983 0002884073951 3;JKN
linda03; 5.3.9.201904290125 4 82891 1#0##0#0#0.0#2019-10-26
11:08:04#0#00:00:00#00:00:00#00:00:00 1 3962bd09997ec2fd68b588142c133f13
7171104 C 3 CP 2 18/10/2019 18/10/2019 22/03/1961 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTHEN SENGKA 052020 58 21394 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V002982 0002258105286 3;JKN linda03;
5.3.9.201904290125 4 82893 1#0##0#0#0.0#2019-10-26
11:09:14#0#00:00:00#00:00:00#00:00:00 1 cddd25404f41860235a0b0f2da6a2a1a
7171104 C 3 CP 1 17/10/2019 18/10/2019 01/07/1966 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 JEINY KUMAYAS 052303 53
19466 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002879 0000905480043
3;JKN eka06; 5.3.9.201904290125 4 83085 1#0##0#0#0.0#2019-10-29
13:28:53#0#00:00:00#00:00:00#00:00:00 1 692625379d92f8a687b3bd42218d39e4
7171104 C 1 CP 1 17/10/2019 18/10/2019 19/10/1961 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5989900
0 0 - 0 - 0 - 0 - 0 5989900
9807400 0 2 0 0 0 HONEKE MOKALU 003100 57
21182 DR YULIANA HARTONO,SPM 0309R0191019V002837 0000137043178 3;JKN
eka06; 5.3.9.201904290125 4 83086 1#0##0#0#0.0#2019-10-30
08:31:37#0#00:00:00#00:00:00#00:00:00 1 4c0c9c00f85b3364a7943280f69c0d5f
7171104 C 1 CP 1 17/10/2019 18/10/2019 16/05/1958 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5989900
0 0 - 0 - 0 - 0 - 0 5989900
9807400 0 2 0 0 0 YOHANI PORMARA 052522 61
22434 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V002935 0000138200275
3;JKN eka06; 5.3.9.201904290125 4 83142 1#0##0#0#0.0#2019-10-30
08:33:06#0#00:00:00#00:00:00#00:00:00 1 6b6c39f09b595f6f18b6ace40ece16ee
7171104 C 2 CP 1 17/10/2019 18/10/2019 22/12/1959 0 2
1 H40.9 12.64 - - None None None None H-1-30-I None None
None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN) 7812300
0 0 - 0 - 0 - 0 - 0 7812300
1073900 0 2 0 0 0 ELFIE ROMPAS 009834 59
21849 DR PAULA M V LUMUNON,SPM 0309R0191019V002948 0000137352813
3;JKN eka06; 5.3.9.201904290125 4 83143 1#0##0#0#0.0#2019-10-30
08:36:44#0#00:00:00#00:00:00#00:00:00 1 766503e6b1df0c5a78fa0814644c50bd
7171104 C 2 CP 1 17/10/2019 18/10/2019 10/01/1956 0 1
1 H40.9 12.64 - - None None None None H-1-30-I None None
None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN) 7812300
0 0 - 0 - 0 - 0 - 0 7812300
1073900 0 2 0 0 0 FRANS BULAMBAE 039519 63
23291 DR PAULA M V LUMUNON,SPM 0309R0191019V002944 0000137474414
3;JKN eka06; 5.3.9.201904290125 4 83433 1#0##0#0#0.0#2019-10-31
10:06:44#0#00:00:00#00:00:00#00:00:00 1 e0b645b7a92ff5561c2eb416e753dd1f
7171104 C 3 CP 1 17/10/2019 18/10/2019 01/12/1959 0 2
1 H26.9 13.59;13.71 - - None None None None H-1-30-I None
None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6510200 0 0 - 0 - 0 - 0 - 0
6510200 3825400 0 2 0 0 0 JARWATI HARJA 052568
59 21870 DR YULIANA HARTONO,SPM 0309R0191019V002979 0000909508476
3;JKN eka06; 5.3.9.201904290125 4 83438 1#0##0#0#0.0#2019-10-31
10:14:58#0#00:00:00#00:00:00#00:00:00 1 0812e1fa6769db5c9fe6283759036532
7171104 C 3 CP 1 17/10/2019 18/10/2019 01/02/1964 0 2
1 H26.9 13.59;13.71 - - None None None None H-1-30-I None
None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6510200 0 0 - 0 - 0 - 0 - 0
6510200 3825400 0 2 0 0 0 NI MA SENEN 052142
55 20347 DR YULIANA HARTONO,SPM 0309R0191019V002980 0000908133366
3;JKN eka06; 5.3.9.201904290125 4 83440 1#0##0#0#0.0#2019-10-31
10:15:59#0#00:00:00#00:00:00#00:00:00 1 abbf9bb51d8c574433672ce22a985641
7171104 C 3 CP 2 18/10/2019 18/10/2019 19/08/1943 0 1
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 ABSALOM SUMIHI 031384 76 27819 DR SALAM
SURBAKTI,SPM 0309R0191019V003001 0001844323817 3;JKN Boni04;
5.3.9.201904290125 4 84052 1#0##0#0#0.0#2019-11-04
12:18:18#0#00:00:00#00:00:00#00:00:00 1 729155f1628ad975b4e26b529aefa01c
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/01/1961 0 1
1 H35.2;H43.1 14.24 - - None None None None H-3-10-0 None
None None None None None PROSEDUR LASER SEDANG PADA MATA 476900
0 0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 MIDUN NIATI 032286 58 21474 DR SALAM
SURBAKTI,SPM 0309R0191019V002990 0002209145444 3;JKN Boni04;
5.3.9.201904290125 4 84053 1#0##0#0#0.0#2019-11-04
12:19:23#0#00:00:00#00:00:00#00:00:00 1 33b841d663c07e8b6cc40d7be739fae8
7171104 C 3 CP 2 18/10/2019 18/10/2019 17/07/1958 0 2
1 H34.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 KADRIA MOKODOMPIT 052590 61 22373 DR
SALAM SURBAKTI,SPM 0309R0191019V003002 0000139203483 3;JKN Boni04;
5.3.9.201904290125 4 84054 1#0##0#0#0.0#2019-11-04
12:22:46#0#00:00:00#00:00:00#00:00:00 1 8450583f65d0f3ca9942d51feac630fa
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/12/1943 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ELIESER HARINDAH
052583 75 27715 DR. SAMUEL MALINGKAS,SPM 0309R0191019V003063
0000908275588 3;JKN Boni04; 5.3.9.201904290125 4 84055
1#0##0#0#0.0#2019-11-04 12:24:28#0#00:00:00#00:00:00#00:00:00 1
8e79806214aff9809130965733727a92
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/04/1958 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 CHRISTOFORUS
BERMALAM 052584 61 22480 DR. SAMUEL MALINGKAS,SPM
0309R0191019V003066 0000907972266 3;JKN Boni04; 5.3.9.201904290125
4 84056 1#0##0#0#0.0#2019-11-04 12:26:35#0#00:00:00#00:00:00#00:00:00
1 2a1b0a7940ab79ea022c53c0ad335320
7171104 C 3 CP 2 18/10/2019 18/10/2019 05/04/1962 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MIEKE RINE A.TIWOW
051836 57 21015 DR. SAMUEL MALINGKAS,SPM 0309R0191019V003075
0000138565012 3;JKN Boni04; 5.3.9.201904290125 4 84057
1#0##0#0#0.0#2019-11-04 12:27:32#0#00:00:00#00:00:00#00:00:00 1
3e2e76f68a8f9edf0d9480cfc324687c
7171104 C 3 CP 2 18/10/2019 18/10/2019 20/08/1940 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 AGUSTINE LEGOH
052114 79 28913 DR. SAMUEL MALINGKAS,SPM 0309R0191019V003097
0001433952742 3;JKN Boni04; 5.3.9.201904290125 4 84058
1#0##0#0#0.0#2019-11-04 12:28:21#0#00:00:00#00:00:00#00:00:00 1
64209c807910842147aafe9239115b69
7171104 C 3 CP 2 18/10/2019 18/10/2019 22/12/1959 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 CHRISTIAN RONALD
DIEN 052566 59 21850 DR. SAMUEL MALINGKAS,SPM 0309R0191019V003101
0000138533038 3;JKN Boni04; 5.3.9.201904290125 4 84059
1#0##0#0#0.0#2019-11-04 12:29:20#0#00:00:00#00:00:00#00:00:00 1
915dab28fd173ba4576cb507c2bf8a0b
7171104 C 3 CP 2 18/10/2019 18/10/2019 03/08/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NY. WELHELMINA L
PULU 017584 71 26008 DR. SAMUEL MALINGKAS,SPM 0309R0191019V003107
0000138192028 3;JKN Boni04; 5.3.9.201904290125 4 84060
1#0##0#0#0.0#2019-11-04 12:42:55#0#00:00:00#00:00:00#00:00:00 1
70bb2702f6c23e8883dd22347a0bc571
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/05/1946 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MAXII MILIAM
PUDIHANG 052333 73 26833 DR. SAMUEL MALINGKAS,SPM
0309R0191019V003016 0000909572141 3;JKN Boni04; 5.3.9.201904290125
4 84061 1#0##0#0#0.0#2019-11-04 12:44:09#0#00:00:00#00:00:00#00:00:00
1 3524f1827aeb6be18931ee8670d2b43e
7171104 C 3 CP 2 18/10/2019 18/10/2019 16/11/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JULIEN MADONSA
052092 66 24442 DR. SAMUEL MALINGKAS,SPM 0309R0191019V003051
0000138338133 3;JKN Boni04; 5.3.9.201904290125 4 84062
1#0##0#0#0.0#2019-11-04 12:45:12#0#00:00:00#00:00:00#00:00:00 1
b608537dbe0b91b751ba13ced1c09ac0
7171104 C 3 CP 2 18/10/2019 18/10/2019 19/07/1968 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 EMI KORDI APITA
052546 51 18718 DR. SAMUEL MALINGKAS,SPM 0309R0191019V003035
0000908309564 3;JKN Boni04; 5.3.9.201904290125 4 84063
1#0##0#0#0.0#2019-11-04 12:46:01#0#00:00:00#00:00:00#00:00:00 1
52ded82770a2de404a86e77cbfe7b06f
7171104 C 3 CP 2 18/10/2019 18/10/2019 05/04/1957 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HASAN RAHMOLA
050594 62 22841 DR. DENNY WALANDOW, SPM 0309R0191019V003110
0002259897603 3;JKN Boni04; 5.3.9.201904290125 4 84064
1#0##0#0#0.0#2019-11-04 12:49:26#0#00:00:00#00:00:00#00:00:00 1
13447bc8db75322c58c0d43704c78a0e
7171104 C 3 CP 2 18/10/2019 18/10/2019 01/01/1972 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YAN TONDOK 051993
47 17457 DR. DENNY WALANDOW, SPM 0309R0191019V003094 0000138586048
3;JKN Boni04; 5.3.9.201904290125 4 84065 1#0##0#0#0.0#2019-11-04
12:50:15#0#00:00:00#00:00:00#00:00:00 1 0f05b05002bf1f6ea809fba218acdf9c
7171104 C 3 CP 2 18/10/2019 18/10/2019 16/09/1960 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SISKA KOMIMBIN
052543 59 21581 DR. DENNY WALANDOW, SPM 0309R0191019V003069
0002776814436 3;JKN Boni04; 5.3.9.201904290125 4 84066
1#0##0#0#0.0#2019-11-04 12:52:00#0#00:00:00#00:00:00#00:00:00 1
32819fc5350fda7fb99357f319d02577
7171104 C 3 CP 2 18/10/2019 18/10/2019 08/04/1950 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YOSEPHIN YAURI
052542 69 25395 DR. DENNY WALANDOW, SPM 0309R0191019V003040
0002068594874 3;JKN Boni04; 5.3.9.201904290125 4 84067
1#0##0#0#0.0#2019-11-04 12:52:39#0#00:00:00#00:00:00#00:00:00 1
f8977c46c946b6d1f487027c3a239a45
7171104 C 3 CP 2 18/10/2019 18/10/2019 12/02/1955 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 BURTJE MURSIH
052544 64 23624 DR. DENNY WALANDOW, SPM 0309R0191019V003061
0001604379868 3;JKN Boni04; 5.3.9.201904290125 4 84068
1#0##0#0#0.0#2019-11-04 12:53:37#0#00:00:00#00:00:00#00:00:00 1
b36bb9ff441a834ea21f9c0cd4cc14d0
7171104 C 3 CP 2 18/10/2019 18/10/2019 07/08/1953 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YOKO KAREPOAN
052587 66 24178 DR. DENNY WALANDOW, SPM 0309R0191019V003031
0001800766618 3;JKN Boni04; 5.3.9.201904290125 4 84069
1#0##0#0#0.0#2019-11-04 12:55:03#0#00:00:00#00:00:00#00:00:00 1
07877cae7faccda2a07f98912cd7d062
7171104 C 3 CP 2 18/10/2019 18/10/2019 14/09/1959 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 GABRIEL TUMANKEN
038526 60 21949 DR. DENNY WALANDOW, SPM 0309R0191019V003012
0000137960357 3;JKN Boni04; 5.3.9.201904290125 4 84070
1#0##0#0#0.0#2019-11-04 12:56:01#0#00:00:00#00:00:00#00:00:00 1
9f9ac6f4554d11616aaf34c199f41d26
7171104 C 3 CP 2 18/10/2019 18/10/2019 03/05/1954 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MAXMEILIAN POSUMAH
052342 65 23909 DR. DENNY WALANDOW, SPM 0309R0191019V003082
0000138501628 3;JKN Boni04; 5.3.9.201904290125 4 84071
1#0##0#0#0.0#2019-11-04 12:57:16#0#00:00:00#00:00:00#00:00:00 1
9edb8bcb7da2a4c402a08183965c67b4
7171104 C 3 CP 2 18/10/2019 18/10/2019 15/07/1949 0 1
1 H27.0 13.72 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 BEATRIIX KAIRUPAN 049959 70 25662 DR. DENNY
WALANDOW, SPM 0309R0191019V003056 0002466899245 3;JKN Boni04;
5.3.9.201904290125 4 84072 1#0##0#0#0.0#2019-11-04
12:58:18#0#00:00:00#00:00:00#00:00:00 1 9d8ff8ddf090aa9c8303a58836a523f6
7171104 C 3 CP 2 18/10/2019 18/10/2019 12/03/1948 0 1
1 Z96.1;H27.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELVIANUS WURANGIAN 006655 71 26152
DR PAULA M V LUMUNON,SPM 0309R0191019V003064 0001261678195 3;JKN
Patrick K.; 5.3.9.201904290125 4 84233 1#0##0#0#0.0#2019-11-05
13:18:21#0#00:00:00#00:00:00#00:00:00 1 24ccc1a4570b890967cb461f8caa46e2
7171104 C 3 CP 2 19/10/2019 19/10/2019 27/12/1993 0 1
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROGERI TONGGENGBIO 052151 25 9427
DR SALAM SURBAKTI,SPM 0309R0191019V003181 0002215133684 3;JKN
Vian02; 5.3.9.201904290125 4 81799 1#0##0#0#0.0#2019-10-21
13:29:38#0#00:00:00#00:00:00#00:00:00 1 2cda4b602ecc056a2418e5de89421faf
7171104 C 3 CP 2 19/10/2019 19/10/2019 03/08/2002 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JEFFERSON ALBERTHINI MAUTANG 052630 17 6286
DR.MELISA RATAG,SPM 0309R0191019V003182 0001726977025 3;JKN
Vian02; 5.3.9.201904290125 4 81800 1#0##0#0#0.0#2019-10-21
13:30:39#0#00:00:00#00:00:00#00:00:00 1 188c50b19538d8ce3614721f9d18e2d9
7171104 C 3 CP 2 19/10/2019 19/10/2019 23/10/1979 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEYLANI HES 007426 39 14606 DR SALAM
SURBAKTI,SPM 0309R0191019V003184 0001873582277 3;JKN Vian02;
5.3.9.201904290125 4 81801 1#0##0#0#0.0#2019-10-21
13:32:58#0#00:00:00#00:00:00#00:00:00 1 6581356250c7c72ac7750ac4bd624c25
7171104 C 3 CP 2 19/10/2019 19/10/2019 01/04/1951 0 2
1 H01.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANTJE LUMI 007431 68 25038 DR SALAM
SURBAKTI,SPM 0309R0191019V003185 0001866649487 3;JKN Vian02;
5.3.9.201904290125 4 81802 1#0##0#0#0.0#2019-10-21
13:33:54#0#00:00:00#00:00:00#00:00:00 1 8557f60590a9402a06c183275f0f56d3
7171104 C 3 CP 2 19/10/2019 19/10/2019 03/04/1952 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MASTAMAH MANGUN 037484 67 24670 DR.MELISA
RATAG,SPM 0309R0191019V003190 0000138182905 3;JKN Vian02;
5.3.9.201904290125 4 81803 1#0##0#0#0.0#2019-10-21
13:36:18#0#00:00:00#00:00:00#00:00:00 1 681154b0b1cd5f8c5887eb424eef85ec
7171104 C 3 CP 2 19/10/2019 19/10/2019 01/02/1994 0 1
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 GERALDY GIMAN 022742 25 9391 DR.MELISA
RATAG,SPM 0309R0191019V003186 0000910914669 3;JKN Vian02;
5.3.9.201904290125 4 81804 1#0##0#0#0.0#2019-10-21
13:37:27#0#00:00:00#00:00:00#00:00:00 1 bd1c83cf69cb33fc3c7950e94e43e6e1
7171104 C 3 CP 2 19/10/2019 19/10/2019 01/03/1958 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TETI LOMBAN 001977 61 22512 DR SALAM
SURBAKTI,SPM 0309R0191019V003188 0001066999667 3;JKN Vian02;
5.3.9.201904290125 4 81805 1#0##0#0#0.0#2019-10-21
13:38:12#0#00:00:00#00:00:00#00:00:00 1 734846c6515f1b29c1f3f6ac94ca4606
7171104 C 3 CP 2 19/10/2019 19/10/2019 17/07/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DOROTHEA UMBOH 008307 73 26757 DR SALAM
SURBAKTI,SPM 0309R0191019V003189 0000138055847 3;JKN Vian02;
5.3.9.201904290125 4 81806 1#0##0#0#0.0#2019-10-21
13:39:29#0#00:00:00#00:00:00#00:00:00 1 478a55590e54498c3a7033f6596f8a56
7171104 C 3 CP 2 19/10/2019 19/10/2019 13/01/1958 0 1
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARNOLDUS K. J. FREDERIK 051039 61 22559
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003191 0000139010523 3;JKN
Vian02; 5.3.9.201904290125 4 81807 1#0##0#0#0.0#2019-10-21
13:41:58#0#00:00:00#00:00:00#00:00:00 1 da1a002e3b262d15ca593d9ac4ea097d
7171104 C 3 CP 2 19/10/2019 19/10/2019 30/07/1985 0 1
1 Z09.8;H35.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FERDINAND RONALD BILLY LELENG 001970 34
12499 DR SALAM SURBAKTI,SPM 0309R0191019V003192 0002036607276 3;JKN
Vian02; 5.3.9.201904290125 4 81808 1#0##0#0#0.0#2019-10-21
13:46:09#0#00:00:00#00:00:00#00:00:00 1 0c91c79a9a35d4aa9320ec48cf0a3e6f
7171104 C 3 CP 2 19/10/2019 19/10/2019 23/05/1947 0 2
1 Z96.1;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MIN SUMALATA 036238 72 26447
DR.MELISA RATAG,SPM 0309R0191019V003194 0001822295079 3;JKN
Vian02; 5.3.9.201904290125 4 81810 1#0##0#0#0.0#2019-10-21
13:48:13#0#00:00:00#00:00:00#00:00:00 1 67038073490795cdc61ab5446b8fd46e
7171104 C 3 CP 2 19/10/2019 19/10/2019 18/07/1990 0 2
1 H00.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULTRIINA PANGALO 052452 29 10685 DR.MELISA
RATAG,SPM 0309R0191019V003195 0002039919502 3;JKN Vian02;
5.3.9.201904290125 4 81811 1#0##0#0#0.0#2019-10-21
13:49:34#0#00:00:00#00:00:00#00:00:00 1 78c1b7d57551e066de8e6235721e702b
7171104 C 3 CP 2 19/10/2019 19/10/2019 18/05/1940 0 2
1 Z96.1;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 IMELDA RUMAMPUK 007873 79 29008 DR
SALAM SURBAKTI,SPM 0309R0191019V003196 0000138226689 3;JKN Vian02;
5.3.9.201904290125 4 81812 1#0##0#0#0.0#2019-10-21
13:50:18#0#00:00:00#00:00:00#00:00:00 1 5934ba3e717cac76225d621050378e67
7171104 C 3 CP 2 19/10/2019 19/10/2019 06/01/1983 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MERLIN WINDA WAWOH 052632 36 13435 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003197 0002205012104 3;JKN
Vian02; 5.3.9.201904290125 4 81813 1#0##0#0#0.0#2019-10-21
13:51:20#0#00:00:00#00:00:00#00:00:00 1 334fe2beb25379ec4031b69070917439
7171104 C 3 CP 2 19/10/2019 19/10/2019 24/05/2013 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CHRISTIAN MATTHEW DANZEL MONIAGA 052633 6
2339 DR.MELISA RATAG,SPM 0309R0191019V003198 0002205019664 3;JKN
Vian02; 5.3.9.201904290125 4 81929 1#0##0#0#0.0#2019-10-22
08:19:39#0#00:00:00#00:00:00#00:00:00 1 8fca38e3ab5cf4e2e040f0df036f2c07
7171104 C 3 CP 2 19/10/2019 19/10/2019 07/12/1969 0 1
1 Z09.8;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DJEMMY DANIEL TUBONGKASI 050732 49
18213 DR SALAM SURBAKTI,SPM 0309R0191019V003199 0000911775598 3;JKN
Vian02; 5.3.9.201904290125 4 81930 1#0##0#0#0.0#2019-10-22
08:20:45#0#00:00:00#00:00:00#00:00:00 1 8b39067ecad81d6c8671528825594de9
7171104 C 3 CP 2 19/10/2019 19/10/2019 01/11/1973 0 1
1 H11.3 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROMMY NOVY SENDOW 052634 45 16788 DR.MELISA
RATAG,SPM 0309R0191019V003200 0001718260784 3;JKN Vian02;
5.3.9.201904290125 4 81933 1#0##0#0#0.0#2019-10-22
08:29:27#0#00:00:00#00:00:00#00:00:00 1 4e5f7d4b47bc4a705b84f212030ae030
7171104 C 3 CP 2 19/10/2019 19/10/2019 24/08/1982 0 2
1 H35.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 INGRID S. ASSA 052635 37 13570 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003201 0002255098735 3;JKN Vian02;
5.3.9.201904290125 4 81934 1#0##0#0#0.0#2019-10-22
08:30:50#0#00:00:00#00:00:00#00:00:00 1 fce4d3ea4cef317a489b320432d3a473
7171104 C 3 CP 2 19/10/2019 19/10/2019 02/08/1953 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NONI NETY NAJOAN 052636 66 24184 DR SALAM
SURBAKTI,SPM 0309R0191019V003202 0002073384371 3;JKN Vian02;
5.3.9.201904290125 4 81941 1#0##0#0#0.0#2019-10-22
08:38:05#0#00:00:00#00:00:00#00:00:00 1 bcb102cbf4433ced9b2ea65929be02ea
7171104 C 3 CP 2 19/10/2019 19/10/2019 06/09/1964 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SEPMING SUMENDA 030125 55 20131
DR.MELISA RATAG,SPM 0309R0191019V003203 0001250247442 3;JKN
Vian02; 5.3.9.201904290125 4 81943 1#0##0#0#0.0#2019-10-22
08:38:44#0#00:00:00#00:00:00#00:00:00 1 2b52534c9fd8eeabec7ff692792825ac
7171104 C 3 CP 2 19/10/2019 19/10/2019 01/03/1972 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOKTIN MINGGU 052638 47 17398 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003205 0000907266341 3;JKN Vian02;
5.3.9.201904290125 4 81944 1#0##0#0#0.0#2019-10-22
08:39:49#0#00:00:00#00:00:00#00:00:00 1 3c8ffd243480fa8cafc95e9253e47a13
7171104 C 3 CP 2 19/10/2019 19/10/2019 05/04/1944 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NINIK ENDAH SOELISTIYANI 052641 75 27590
DR.MELISA RATAG,SPM 0309R0191019V003207 0002274176496 3;JKN
Vian02; 5.3.9.201904290125 4 81945 1#0##0#0#0.0#2019-10-22
08:40:52#0#00:00:00#00:00:00#00:00:00 1 17380be06e8f09718a1b9d06e66bd000
7171104 C 3 CP 2 19/10/2019 19/10/2019 31/07/1970 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOLA FERA SATTU 038275 49 17977 DR
SALAM SURBAKTI,SPM 0309R0191019V003208 0000137724827 3;JKN Vian02;
5.3.9.201904290125 4 81946 1#0##0#0#0.0#2019-10-22
08:54:43#0#00:00:00#00:00:00#00:00:00 1 2125083d9a90371c4fcd4f419ad686e1
7171104 C 3 CP 2 19/10/2019 19/10/2019 13/06/1986 0 2
1 Z09.8;H43.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VERONICA TATUKUDE 039003 33 12181 DR
SALAM SURBAKTI,SPM 0309R0191019V003209 0001843485748 3;JKN Vian02;
5.3.9.201904290125 4 81947 1#0##0#0#0.0#2019-10-22
08:56:10#0#00:00:00#00:00:00#00:00:00 1 fb66326e4b9e0c7c3959e4264b575675
7171104 C 3 CP 2 19/10/2019 19/10/2019 31/01/1961 0 1
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SAMUEL JANTJE NARAY 028625 58 21445
DR SALAM SURBAKTI,SPM 0309R0191019V003211 0000136979831 3;JKN
Vian02; 5.3.9.201904290125 4 81948 1#0##0#0#0.0#2019-10-22
09:00:40#0#00:00:00#00:00:00#00:00:00 1 2ee025e0c22711baf856414dd85a1aa7
7171104 C 3 CP 2 19/10/2019 19/10/2019 01/03/2000 0 1
1 Z09.8;H18.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SIMON NELWAN 052506 19 7171
DR.MELISA RATAG,SPM 0309R0191019V003210 0000906491428 3;JKN
Vian02; 5.3.9.201904290125 4 81950 1#0##0#0#0.0#2019-10-22
09:04:37#0#00:00:00#00:00:00#00:00:00 1 5488628739537d922df6140e5474dcc3
7171104 C 3 CP 2 19/10/2019 19/10/2019 22/07/1943 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SYLVIA TANNOD 036780 76 27848 DR SALAM
SURBAKTI,SPM 0309R0191019V003147 0002322380046 3;JKN linda03;
5.3.9.201904290125 4 81951 1#0##0#0#0.0#2019-10-22
09:22:50#0#00:00:00#00:00:00#00:00:00 1 64afcc5e0b05de6b465f6da2cea8b7d5
7171104 C 3 CP 2 19/10/2019 19/10/2019 03/05/1954 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAXMEILIAN POSUMAH 052342 65 23910
DR. DENNY WALANDOW, SPM 0309R0191019V003146 0000138501628 3;JKN
linda03; 5.3.9.201904290125 4 81952 1#0##0#0#0.0#2019-10-22
09:23:31#0#00:00:00#00:00:00#00:00:00 1 7970e8fb79b41eb534470fca5159f297
7171104 C 3 CP 2 19/10/2019 19/10/2019 15/04/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VONNY LORETA KALIGIS 024038 70 25754
DR.MELISA RATAG,SPM 0309R0191019V003145 0001301599899 3;JKN
linda03; 5.3.9.201904290125 4 81953 1#0##0#0#0.0#2019-10-22
09:24:08#0#00:00:00#00:00:00#00:00:00 1 6965a34d709778f4a68e3afd5ea8bd29
7171104 C 3 CP 2 19/10/2019 19/10/2019 12/01/1962 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ERLITNA,S.PD 001206 57 21099 DR
SALAM SURBAKTI,SPM 0309R0191019V003144 0000138721421 3;JKN linda03;
5.3.9.201904290125 4 81954 1#0##0#0#0.0#2019-10-22
09:25:01#0#00:00:00#00:00:00#00:00:00 1 d33ec183140c908bda78e27ce24b72de
7171104 C 3 CP 2 19/10/2019 19/10/2019 01/01/1972 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YAN TONDOK 051993 47 17458 DR. DENNY
WALANDOW, SPM 0309R0191019V003142 0000138586048 3;JKN linda03;
5.3.9.201904290125 4 81955 1#0##0#0#0.0#2019-10-22
09:25:34#0#00:00:00#00:00:00#00:00:00 1 3024abdd8cbb2e4facafca3e27a71d13
7171104 C 3 CP 2 19/10/2019 19/10/2019 01/12/1943 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELIESER HARINDAH 052583 75 27716 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V003140 0000908275588 3;JKN linda03;
5.3.9.201904290125 4 81957 1#0##0#0#0.0#2019-10-22
09:31:30#0#00:00:00#00:00:00#00:00:00 1 56250b9db0460d885db4bc6e98e2c6c2
7171104 C 3 CP 2 19/10/2019 19/10/2019 02/05/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MASYE LENDONGAN 024405 69 25372 DR SALAM
SURBAKTI,SPM 0309R0191019V003138 0000138854338 3;JKN linda03;
5.3.9.201904290125 4 81958 1#0##0#0#0.0#2019-10-22
09:32:18#0#00:00:00#00:00:00#00:00:00 1 0c75069a08a043ecdb02388ec9e6db9f
7171104 C 3 CP 2 19/10/2019 19/10/2019 20/08/1940 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINE LEGOH 052114 79 28914 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V003137 0001433952742 3;JKN linda03;
5.3.9.201904290125 4 81959 1#0##0#0#0.0#2019-10-22
09:33:34#0#00:00:00#00:00:00#00:00:00 1 1a3e584299893bfd803605d9530b5ed1
7171104 C 3 CP 2 19/10/2019 19/10/2019 04/10/1974 0 1
1 Z09.8;H33.0;H57.8 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OKTAVIANUS TAMBUN 033527 45 16451 DR
SALAM SURBAKTI,SPM 0309R0191019V003136 0001863435879 3;JKN linda03;
5.3.9.201904290125 4 81960 25#0##0#0#0.0#2019-10-22
09:34:18#0#00:00:00#00:00:00#00:00:00 1 0889a92003cf3033c5974121f62b449d
7171104 C 3 CP 2 19/10/2019 19/10/2019 22/12/1959 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHRISTIAN RONALD DIEN 052566 59 21851
DR. SAMUEL MALINGKAS,SPM 0309R0191019V003135 0000138533038 3;JKN
linda03; 5.3.9.201904290125 4 81961 1#0##0#0#0.0#2019-10-22
09:36:52#0#00:00:00#00:00:00#00:00:00 1 2a01a0821f738d07a6cbb0a4120ddb31
7171104 C 3 CP 2 19/10/2019 19/10/2019 01/11/1965 0 1
1 Z09.8;H35.2;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BENNY KENAP 052196 53 19710 DR SALAM
SURBAKTI,SPM 0309R0191019V003212 0000907469425 3;JKN Vian02;
5.3.9.201904290125 4 81962 1#0##0#0#0.0#2019-10-22
09:37:21#0#00:00:00#00:00:00#00:00:00 1 792e6ea2c0d9fab90daa0ff82700ce17
7171104 C 3 CP 2 19/10/2019 19/10/2019 25/10/1968 0 2
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLVY H REMBET 051918 50 18621
DR.MELISA RATAG,SPM 0309R0191019V003134 0002213115647 3;JKN
linda03; 5.3.9.201904290125 4 81963 1#0##0#0#0.0#2019-10-22
09:37:27#0#00:00:00#00:00:00#00:00:00 1 bdbd6bbf05fee53a1d11cbd5025142a5
7171104 C 3 CP 2 19/10/2019 19/10/2019 29/03/1952 0 1
1 Z96.1;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PIET HEIN MISA 006388 67 24675 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003133 0000137594125 3;JKN
linda03; 5.3.9.201904290125 4 81964 1#0##0#0#0.0#2019-10-22
09:38:02#0#00:00:00#00:00:00#00:00:00 1 ba15025232bc112d628b2d8fd7542d1f
7171104 C 3 CP 2 19/10/2019 19/10/2019 04/06/1950 0 2
1 Z96.1;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MUJIATY 008711 69 25339 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003213 0001289961707 3;JKN Vian02;
5.3.9.201904290125 4 81965 1#0##0#0#0.0#2019-10-22
09:38:13#0#00:00:00#00:00:00#00:00:00 1 9bf07f1d15a0ff81cbba010259128b06
7171104 C 3 CP 2 19/10/2019 19/10/2019 02/10/1962 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MOHAMAD ZAINUDDIN 051525 57 20836 DR SALAM
SURBAKTI,SPM 0309R0191019V003132 0001096408304 3;JKN linda03;
5.3.9.201904290125 4 81966 1#0##0#0#0.0#2019-10-22
09:44:59#0#00:00:00#00:00:00#00:00:00 1 253823ba736e46b4e01bc08793aa39e6
7171104 C 3 CP 2 19/10/2019 19/10/2019 21/11/1953 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONTJE MARAMIS 052000 65 24073
DR.MELISA RATAG,SPM 0309R0191019V003130 0000139095652 3;JKN
linda03; 5.3.9.201904290125 4 81967 1#0##0#0#0.0#2019-10-22
09:45:45#0#00:00:00#00:00:00#00:00:00 1 0c8514b1bdd71fa510abe75cd60351eb
7171104 C 3 CP 2 19/10/2019 19/10/2019 01/06/1951 0 1
1 Z09.8;H44.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAXSIMUS PARAPAGA 052400 68 24977
DR.MELISA RATAG,SPM 0309R0191019V003129 0000906227335 3;JKN
linda03; 5.3.9.201904290125 4 81968 1#0##0#0#0.0#2019-10-22
09:46:47#0#00:00:00#00:00:00#00:00:00 1 1cb6bad1da8bea9bf24c80a5aa6d59a6
7171104 C 3 CP 2 19/10/2019 19/10/2019 16/11/1952 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIEN MADONSA 052092 66 24443 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V003128 0000138338133 3;JKN linda03;
5.3.9.201904290125 4 81969 1#0##0#0#0.0#2019-10-22
09:47:35#0#00:00:00#00:00:00#00:00:00 1 f938572ad7ba981fafc8f172de456b0e
7171104 C 3 CP 2 19/10/2019 19/10/2019 25/05/1951 0 2
1 Z96.1;H40.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AMELIA RUNTUWAROW 006352 68 24984 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003127 0000137130478 3;JKN
linda03; 5.3.9.201904290125 4 81971 1#0##0#0#0.0#2019-10-22
09:52:44#0#00:00:00#00:00:00#00:00:00 1 e892a2c498282e1454dd6d2c76a23c2e
7171104 C 3 CP 2 19/10/2019 19/10/2019 12/02/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BURTJE MURSIH 052544 64 23625 DR. DENNY
WALANDOW, SPM 0309R0191019V003124 0001604379868 3;JKN linda03;
5.3.9.201904290125 4 81972 1#0##0#0#0.0#2019-10-22
09:53:22#0#00:00:00#00:00:00#00:00:00 1 beb951c7e329f69db5aedb0efdc52d2b
7171104 C 3 CP 2 19/10/2019 19/10/2019 08/04/1950 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOSEPHIN YAURI 052542 69 25396 DR.
DENNY WALANDOW, SPM 0309R0191019V003123 0002068594874 3;JKN linda03;
5.3.9.201904290125 4 81973 1#0##0#0#0.0#2019-10-22
09:54:00#0#00:00:00#00:00:00#00:00:00 1 04eba24ecb5c956f2eb347d8f294bdf3
7171104 C 3 CP 2 19/10/2019 19/10/2019 19/07/1968 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 EMI KORDI APITA 052546 51 18719 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V003121 0000908309564 3;JKN linda03;
5.3.9.201904290125 4 81975 1#0##0#0#0.0#2019-10-22
10:08:31#0#00:00:00#00:00:00#00:00:00 1 f600de001a7a7606de176f395a4563a9
7171104 C 3 CP 2 19/10/2019 19/10/2019 23/10/1975 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEKROLI LARENAUNG 052169 43 16067
DR.MELISA RATAG,SPM 0309R0191019V003120 0002084638882 3;JKN
linda03; 5.3.9.201904290125 4 81976 1#0##0#0#0.0#2019-10-22
10:09:20#0#00:00:00#00:00:00#00:00:00 1 5c9ac4383bb88feaf3f2eed8b76e9244
7171104 C 3 CP 2 19/10/2019 19/10/2019 22/02/1964 0 1
1 Z96.1;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KOROMPIS UTU SOLUNG 047034 55 20328
DR SALAM SURBAKTI,SPM 0309R0191019V003119 0000139029748 3;JKN
linda03; 5.3.9.201904290125 4 81977 1#0##0#0#0.0#2019-10-22
10:19:07#0#00:00:00#00:00:00#00:00:00 1 a872b5e99d6e2744712384d3c4f83fe3
7171104 C 3 CP 2 19/10/2019 19/10/2019 01/05/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAXII MILIAM PUDIHANG 052333 73 26834 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V003118 0000909572141 3;JKN linda03;
5.3.9.201904290125 4 81978 1#0##0#0#0.0#2019-10-22
10:20:29#0#00:00:00#00:00:00#00:00:00 1 895968bd2e5a7f41f164d3854dd5648a
7171104 C 3 CP 2 19/10/2019 19/10/2019 16/09/1960 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SISKA KOMIMBIN 052543 59 21582 DR. DENNY
WALANDOW, SPM 0309R0191019V003117 0002776814436 3;JKN linda03;
5.3.9.201904290125 4 81979 1#0##0#0#0.0#2019-10-22
10:32:30#0#00:00:00#00:00:00#00:00:00 1 62654b348512b0c036d401fb4881e3d5
7171104 C 3 CP 2 19/10/2019 19/10/2019 12/10/1962 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUTI MARTHA LINGKAN 052082 57 20826
DR SALAM SURBAKTI,SPM 0309R0191019V003116 0001860692207 3;JKN
linda03; 5.3.9.201904290125 4 81980 1#0##0#0#0.0#2019-10-22
10:35:12#0#00:00:00#00:00:00#00:00:00 1 ebcb93c86afd3eaf5cb46a466f044c0d
7171104 C 3 CP 2 19/10/2019 19/10/2019 07/08/1953 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOKO KAREPOAN 052587 66 24179 DR.
DENNY WALANDOW, SPM 0309R0191019V003115 0001800766618 3;JKN linda03;
5.3.9.201904290125 4 81981 1#0##0#0#0.0#2019-10-22
10:36:44#0#00:00:00#00:00:00#00:00:00 1 4a25848ea8fc410920fa40c10423db99
7171104 C 3 CP 2 19/10/2019 19/10/2019 03/08/1948 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NY. WELHELMINA L PULU 017584 71 26009
DR.MELISA RATAG,SPM 0309R0191019V003143 0000138192028 3;JKN
linda03; 5.3.9.201904290125 4 81994 1#0##0#0#0.0#2019-10-22
11:16:00#0#00:00:00#00:00:00#00:00:00 1 b2cb46dbb68e1bc78043924ad20b6fce
7171104 C 3 CP 2 19/10/2019 19/10/2019 26/09/1938 0 1
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZIANET HAMEL 052649 81 29608
DR.MELISA RATAG,SPM 0309R0191019V003125 0002062861659 3;JKN
linda03; 5.3.9.201904290125 4 81970 1#0##0#0#0.0#2019-10-23
08:02:51#0#00:00:00#00:00:00#00:00:00 1 aba3fbc49b25b275167e59c7b154d26c
7171104 C 3 CP 2 19/10/2019 19/10/2019 17/05/1969 0 2
1 Z09.8;H33.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEITIE M. MAWUNTU 043728 50 18417 DR
SALAM SURBAKTI,SPM 0309R0191019V003180 0001296201699 3;JKN Patrick K.;
5.3.9.201904290125 4 82318 1#0##0#0#0.0#2019-10-23
14:04:38#0#00:00:00#00:00:00#00:00:00 1 70b12c6507d46c18fd87b11bcf851e55
7171104 C 3 CP 2 19/10/2019 19/10/2019 28/09/1969 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MUKHLIS ESTEPANUS 052499 50 18283 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003179 0000907755311 3;JKN
Patrick K.; 5.3.9.201904290125 4 82321 1#0##0#0#0.0#2019-10-23
14:06:45#0#00:00:00#00:00:00#00:00:00 1 e4b1887e125f27219df08f124edf13d5
7171104 C 3 CP 2 19/10/2019 19/10/2019 12/01/1978 0 2
1 H16.0;H20.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RESTALENA NANONO 052629 41 15255
DR.MELISA RATAG,SPM 0309R0191019V003178 0002391570821 3;JKN
Patrick K.; 5.3.9.201904290125 4 82323 1#0##0#0#0.0#2019-10-23
14:08:40#0#00:00:00#00:00:00#00:00:00 1 1ff22f795394a5cbf0f3d2263e66946f
7171104 C 3 CP 2 19/10/2019 19/10/2019 29/08/1968 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HANA TAMBUN 052628 51 18678 DR MARIA E.D.S
ORATMANGUN,SPM 0309R0191019V003177 0001384582915 3;JKN Patrick K.;
5.3.9.201904290125 4 82324 1#0##0#0#0.0#2019-10-23
14:09:40#0#00:00:00#00:00:00#00:00:00 1 12dc5181a7867c0912fded992e58c37b
7171104 C 3 CP 2 19/10/2019 19/10/2019 05/06/1983 0 2
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARLIZA HES 007427 36 13285 DR.MELISA
RATAG,SPM 0309R0191019V003176 0001856217227 3;JKN Patrick K.;
5.3.9.201904290125 4 82325 1#0##0#0#0.0#2019-10-23
14:10:35#0#00:00:00#00:00:00#00:00:00 1 e2c42e3af17e093787d6fdf911c11257
7171104 C 3 CP 2 19/10/2019 19/10/2019 26/10/1992 0 1
1 Z09.8;H31.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANDRO ABETNEJU LUTHER WUISAN 044452 26
9854 DR SALAM SURBAKTI,SPM 0309R0191019V003174 0002203556073 3;JKN
Patrick K.; 5.3.9.201904290125 4 82326 1#0##0#0#0.0#2019-10-23
14:11:27#0#00:00:00#00:00:00#00:00:00 1 41681ad604a0950d56f1566c95cb1c48
7171104 C 3 CP 2 19/10/2019 19/10/2019 01/09/1997 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CINDY MANGARE 052627 22 8083 DR SALAM
SURBAKTI,SPM 0309R0191019V003173 0001066863317 3;JKN Patrick K.;
5.3.9.201904290125 4 82327 1#0##0#0#0.0#2019-10-23
14:12:31#0#00:00:00#00:00:00#00:00:00 1 fa1c91488399f4ae108a2cab97bc8fce
7171104 C 3 CP 2 19/10/2019 19/10/2019 07/08/1952 0 2
1 Z09.8;H40.2;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINA WOROTITJAN 050827 67 24544
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003172 0001301521781 3;JKN
Patrick K.; 5.3.9.201904290125 4 82328 1#0##0#0#0.0#2019-10-23
14:13:29#0#00:00:00#00:00:00#00:00:00 1 e4e4f265be54bbca3efa6c044d8d789c
7171104 C 3 CP 2 19/10/2019 19/10/2019 05/07/2003 0 2
1 H52.1;H40.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIA ELISABETH RONDONUWU 052626 16
5950 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003171 0000167562066
3;JKN Patrick K.; 5.3.9.201904290125 4 82329 1#0##0#0#0.0#2019-10-23
14:14:50#0#00:00:00#00:00:00#00:00:00 1 8f3b19c7f94747f634c55cf7f32de9ab
7171104 C 3 CP 2 19/10/2019 19/10/2019 09/09/1970 0 1
1 H34.8 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 STYVI SEM WATUPONGOH 052625 49 17937 DR
SALAM SURBAKTI,SPM 0309R0191019V003170 0000137807627 3;JKN Patrick K.;
5.3.9.201904290125 4 82330 1#0##0#0#0.0#2019-10-23
14:16:44#0#00:00:00#00:00:00#00:00:00 1 5011ddacccb7f7e8e96c100a89b08bef
7171104 C 3 CP 2 19/10/2019 19/10/2019 05/04/1957 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HASAN RAHMOLA 050594 62 22842 DR.
DENNY WALANDOW, SPM 0309R0191019V003169 0002259897603 3;JKN Patrick K.;
5.3.9.201904290125 4 82331 1#0##0#0#0.0#2019-10-23
14:18:00#0#00:00:00#00:00:00#00:00:00 1 564dc13e7adb3121ee31cc013c69bb26
7171104 C 3 CP 2 19/10/2019 19/10/2019 12/01/1948 0 1
1 Z96.1;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KARIM KAUSAHA 052078 71 26213
DR.MELISA RATAG,SPM 0309R0191019V003168 0000138270238 3;JKN
Patrick K.; 5.3.9.201904290125 4 82332 1#0##0#0#0.0#2019-10-23
14:18:54#0#00:00:00#00:00:00#00:00:00 1 3afd4829b0b5abad9cabc0f20d3685f0
7171104 C 3 CP 2 19/10/2019 19/10/2019 12/03/1976 0 2
1 Z09.8;H57.1;H04.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FEBIOLA MELIANE NAJOAN 047947 43 15926
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003167 0000167561842 3;JKN
Patrick K.; 5.3.9.201904290125 4 82333 1#0##0#0#0.0#2019-10-23
14:19:53#0#00:00:00#00:00:00#00:00:00 1 7279878e901bfec11ecf4d188d6b16a9
7171104 C 3 CP 2 19/10/2019 19/10/2019 01/11/1973 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NICE PUNUHSINGON 052624 45 16788 DR SALAM
SURBAKTI,SPM 0309R0191019V003166 0000908364881 3;JKN Patrick K.;
5.3.9.201904290125 4 82334 1#0##0#0#0.0#2019-10-23
14:21:02#0#00:00:00#00:00:00#00:00:00 1 2ad478773d09fe8b2edb7c54c401f1e1
7171104 C 3 CP 2 19/10/2019 19/10/2019 05/04/1962 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MIEKE RINE A.TIWOW 051836 57 21016
DR. SAMUEL MALINGKAS,SPM 0309R0191019V003164 0000138565012 3;JKN
Patrick K.; 5.3.9.201904290125 4 82336 1#0##0#0#0.0#2019-10-23
14:22:01#0#00:00:00#00:00:00#00:00:00 1 2dbf29add3c5a47ee4b9576a23ef36da
7171104 C 3 CP 2 19/10/2019 19/10/2019 07/02/1961 0 1
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SOLEMAN JOHAN FRANCLIN BAHIU 052623 58 21438
DR.MELISA RATAG,SPM 0309R0191019V003163 0000158110863 3;JKN
Patrick K.; 5.3.9.201904290125 4 82337 1#0##0#0#0.0#2019-10-23
14:23:02#0#00:00:00#00:00:00#00:00:00 1 7b47977576296ed1bee258862f672194
7171104 C 3 CP 2 19/10/2019 19/10/2019 06/10/1977 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RIKO MOSII 052622 42 15353 DR.MELISA
RATAG,SPM 0309R0191019V003162 0000197534711 3;JKN Patrick K.;
5.3.9.201904290125 4 82338 1#0##0#0#0.0#2019-10-23
14:23:53#0#00:00:00#00:00:00#00:00:00 1 fd1f2bf3015efa01b6cde79cf98c105d
7171104 C 3 CP 2 19/10/2019 19/10/2019 28/02/1949 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANTJE MANOPPO 044586 70 25800
DR.MELISA RATAG,SPM 0309R0191019V003159 0000138166683 3;JKN
Patrick K.; 5.3.9.201904290125 4 82340 1#0##0#0#0.0#2019-10-23
14:25:37#0#00:00:00#00:00:00#00:00:00 1 f05c43b085720ba28b450e499994cdec
7171104 C 3 CP 2 19/10/2019 19/10/2019 23/11/1943 0 1
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOPPIE PHILIP KENTEY 024323 75 27724
DR.MELISA RATAG,SPM 0309R0191019V003160 0000137131503 3;JKN
Patrick K.; 5.3.9.201904290125 4 82341 1#0##0#0#0.0#2019-10-23
14:26:24#0#00:00:00#00:00:00#00:00:00 1 2ef92bf978714219dd61d40eaf1936fd
7171104 C 3 CP 2 19/10/2019 19/10/2019 15/10/1962 0 1
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FREDRIK SUMAMPOUW 052621 57 20823 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003158 0002033853827 3;JKN
Patrick K.; 5.3.9.201904290125 4 82342 1#0##0#0#0.0#2019-10-23
14:27:24#0#00:00:00#00:00:00#00:00:00 1 c365601f7e9d886dca69060c0e7f19ee
7171104 C 3 CP 2 19/10/2019 19/10/2019 05/05/1967 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADJIS YUNUS 052619 52 19160 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003157 0000137941187 3;JKN Patrick K.;
5.3.9.201904290125 4 82343 1#0##0#0#0.0#2019-10-23
14:28:45#0#00:00:00#00:00:00#00:00:00 1 5a8b8a894d305efc86ff6499603bf6eb
7171104 C 3 CP 2 19/10/2019 19/10/2019 08/05/1958 0 1
1 Z09.8;T85.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAX J SORONGAN 044041 61 22444 DR
SALAM SURBAKTI,SPM 0309R0191019V003153 0000203966482 3;JKN Patrick K.;
5.3.9.201904290125 4 82347 1#0##0#0#0.0#2019-10-23
14:31:15#0#00:00:00#00:00:00#00:00:00 1 ddcf648fa660bd266db21a0a51c9a78d
7171104 C 3 CP 2 19/10/2019 19/10/2019 28/07/1968 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNA PANGKEY 052616 51 18710 DR SALAM
SURBAKTI,SPM 0309R0191019V003152 0002256303644 3;JKN Patrick K.;
5.3.9.201904290125 4 82348 1#0##0#0#0.0#2019-10-23
14:32:12#0#00:00:00#00:00:00#00:00:00 1 19cef231a1e4df2d63b20b12a7366fd2
7171104 C 3 CP 2 19/10/2019 19/10/2019 30/01/1977 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HENDRA FUJAYA 052615 42 15602 DR.MELISA
RATAG,SPM 0309R0191019V003151 0001639680579 3;JKN Patrick K.;
5.3.9.201904290125 4 82349 1#0##0#0#0.0#2019-10-23
14:33:14#0#00:00:00#00:00:00#00:00:00 1 2dd12a765b91c94e78080d3269a1f1e9
7171104 C 3 CP 2 19/10/2019 19/10/2019 10/08/1953 0 2
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANATJE BAWINTIL 052308 66 24176 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003149 0002390979003 3;JKN
Patrick K.; 5.3.9.201904290125 4 82351 1#0##0#0#0.0#2019-10-23
14:35:59#0#00:00:00#00:00:00#00:00:00 1 ecc0a4a5f376d41713091e7dbcb197a3
7171104 C 3 CP 2 19/10/2019 19/10/2019 16/08/1938 0 1
1 Z96.1;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENDRIK E. RONDONUWU 052843 81 29649
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003193 0002069372035 3;JKN
Vian02; 5.3.9.201904290125 4 81809 1#0##0#0#0.0#2019-10-25
10:13:33#0#00:00:00#00:00:00#00:00:00 1 e36fa6e2805e5c90766c9d9ecec95982
7171104 C 3 CP 2 19/10/2019 19/10/2019 12/04/1974 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DINA PASKITAWATI 015203 45 16626 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003204 0001270002227 3;JKN Vian02;
5.3.9.201904290125 4 81949 1#0##0#0#0.0#2019-10-28
09:11:45#0#00:00:00#00:00:00#00:00:00 1 809d7b58363c02fe2da0613651c45f67
7171104 C 3 CP 1 18/10/2019 19/10/2019 07/03/1962 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 RUSTAM LAKORO 051451 57
21044 DR.FELLY A. TOAD,S.PM 0309R0191019V003046 0000907832632 3;JKN
eka06; 5.3.9.201904290125 4 83084 1#0##0#0#0.0#2019-10-29
13:28:04#0#00:00:00#00:00:00#00:00:00 1 10b4f98d7e56c35f6bc29d15fbc07f70
7171104 C 3 CP 2 19/10/2019 19/10/2019 19/06/1979 0 1
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEMMY PESIK 052974 40 14732 DR SALAM
SURBAKTI,SPM 0309R0191019V003165 0001835344798 3;JKN Patrick K.;
5.3.9.201904290125 4 82335 1#0##0#0#0.0#2019-10-30
13:34:38#0#00:00:00#00:00:00#00:00:00 1 802ab3dc91429fa713ac2a01bdf66a08
7171104 C 3 CP 2 19/10/2019 19/10/2019 19/09/1955 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NUR.K.PRABOWO 015953 64 23406 DR.MELISA
RATAG,SPM 0309R0191019V003161 0000138247615 3;JKN Patrick K.;
5.3.9.201904290125 4 82339 1#0##0#0#0.0#2019-10-30
13:37:08#0#00:00:00#00:00:00#00:00:00 1 fe6d3364cad0891ce89b87644bfdceb3
7171104 C 1 CP 1 18/10/2019 19/10/2019 18/05/1955 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5989900
0 0 - 0 - 0 - 0 - 0 5989900
9807400 0 2 0 0 0 MEIDY LIOGU 051669 64 23529
DR.FELLY A. TOAD,S.PM 0309R0191019V003029 0000137263375 3;JKN eka06;
5.3.9.201904290125 4 83144 1#0##0#0#0.0#2019-10-31
10:12:59#0#00:00:00#00:00:00#00:00:00 1 7152c0890a9e128621555b43e7b7c485
7171104 C 3 CP 2 19/10/2019 19/10/2019 01/04/1958 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CHRISTOFORUS BERMALAM 052584 61 22481 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V003141 0000907972266 3;JKN linda03;
5.3.9.201904290125 4 81956 1#0##0#0#0.0#2019-10-31
12:46:59#0#00:00:00#00:00:00#00:00:00 1 a36c8bbc97d19bef92c25c442a02d433
7171104 C 3 CP 2 19/10/2019 19/10/2019 11/09/1940 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NAOMI WUWUNG 052845 79 28892 DR
SALAM SURBAKTI,SPM 0309R0191019V003122 0001328644192 3;JKN linda03;
5.3.9.201904290125 4 81974 1#0##0#0#0.0#2019-10-31
12:48:54#0#00:00:00#00:00:00#00:00:00 1 cb3c414c9b74fe9829dbb508d71609ab
7171104 C 1 CP 1 18/10/2019 19/10/2019 30/08/1953 0 1
1 H40.8;H35.2;Z96.1 12.64 - - None None None None H-1-30-I
None None None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
9114300 0 0 - 0 - 0 - 0 - 0
9114300 1073900 0 2 0 0 0 SULEMAN ALI 023775
66 24155 DR.FELLY A. TOAD,S.PM 0309R0191019V003081 0000137889202
3;JKN eka06; 5.3.9.201904290125 4 83730 1#0##0#0#0.0#2019-11-01
13:22:24#0#00:00:00#00:00:00#00:00:00 1 cb3a005cf4e891349fdc89bccc172020
7171104 C 3 CP 2 19/10/2019 19/10/2019 26/02/1963 0 2
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 WELLI LAWO PEIBE TARLELUAN 049036 56
20689 DR SALAM SURBAKTI,SPM 0309R0191019V003175 0000136947418 3;JKN
Boni04; 5.3.9.201904290125 4 84073 1#0##0#0#0.0#2019-11-04
13:01:21#0#00:00:00#00:00:00#00:00:00 1 68dc2ef7304114bb80e3a8be9e2e1883
7171104 C 3 CP 2 19/10/2019 19/10/2019 20/12/1944 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 PETRUS NOWIN 035799 74 27331 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003126 0001271828182 3;JKN
Boni04; 5.3.9.201904290125 4 84074 1#0##0#0#0.0#2019-11-04
13:02:35#0#00:00:00#00:00:00#00:00:00 1 9815f729e56019bd4a8ca8c7a6654f78
7171104 C 3 CP 2 19/10/2019 19/10/2019 01/09/1951 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 KAMARIA LEMBO 034384 68 24885 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003131 0000911234024 3;JKN
Boni04; 5.3.9.201904290125 4 84075 1#0##0#0#0.0#2019-11-04
13:03:13#0#00:00:00#00:00:00#00:00:00 1 e486999dbf465b9d1e9729abb92af7e9
7171104 C 3 CP 2 19/10/2019 19/10/2019 01/07/1952 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 YULICE SASENGA 024060 67 24581 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003183 0000905863781 3;JKN
Boni04; 5.3.9.201904290125 4 84076 1#0##0#0#0.0#2019-11-04
13:04:17#0#00:00:00#00:00:00#00:00:00 1 aff655aa33794d4c79f7ae2a28b1c5cc
7171104 C 3 CP 2 19/10/2019 19/10/2019 15/07/1949 0 1
1 Z09.0;H27.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BEATRIIX KAIRUPAN 049959 70 25663 DR.
DENNY WALANDOW, SPM 0309R0191019V003150 0002466899245 3;JKN Patrick K.;
5.3.9.201904290125 4 82350 1#0##0#0#0.0#2019-11-05
12:58:27#0#00:00:00#00:00:00#00:00:00 2 bf2fc851817b1a75c0c8f58f48d88c53
7171104 C 3 CP 2 19/10/2019 19/10/2019 14/09/1959 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GABRIEL TUMANKEN 038526 60 21950 DR.
DENNY WALANDOW, SPM 0309R0191019V003148 0000137960357 3;JKN Patrick K.;
5.3.9.201904290125 4 84237 1#0##0#0#0.0#2019-11-05
13:20:46#0#00:00:00#00:00:00#00:00:00 1 25882dd620d023898212c21cb9239c24
7171104 C 3 CP 2 19/10/2019 19/10/2019 23/04/1978 0 1
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NOFRY RUSDY AGU 033548 41 15154 DR SALAM
SURBAKTI,SPM 0309R0191019V003156 0001085888586 3;JKN Patrick K.;
5.3.9.201904290125 4 82344 1#0##0#0#0.0#2019-11-05
16:27:11#0#00:00:00#00:00:00#00:00:00 1 d0d6affb4d7d176f4cf7af094729479e
7171104 C 3 CP 2 19/10/2019 19/10/2019 25/07/2004 0 2
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 GLORIA PRESENTIA MANOPO 052617 15 5564 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003154 0002486223674 3;JKN
Patrick K.; 5.3.9.201904290125 4 82346 1#0##0#0#0.0#2019-11-05
16:29:36#0#00:00:00#00:00:00#00:00:00 2 81bafc547d0875eb3aacd2894e8b249f
7171104 C 3 CP 2 19/10/2019 19/10/2019 09/01/2007 0 2
1 H52.2;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PINGKAN KOYOH ROMPAS 052618 12 4666
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003155 0001176316593 3;JKN
Patrick K.; 5.3.9.201904290125 4 82345 1#0##0#0#0.0#2019-11-05
16:30:44#0#00:00:00#00:00:00#00:00:00 1 ab16d284c6fb8a869d944d90705a1f0d
7171104 C 3 CP 2 19/10/2019 19/10/2019 01/03/1981 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RESTIVIN MAMAHI 052639 38 14111 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003206 0000907281832 3;JKN
Vian02; 5.3.9.201904290125 4 84793 1#0##0#0#0.0#2019-11-07
13:01:54#0#00:00:00#00:00:00#00:00:00 1 114a15bd95784f8e8524b9f2d53114d2
7171104 C 2 CP 1 19/10/2019 20/10/2019 07/08/1974 0 2
1 H44.0 99.21 - - None None None None H-4-10-I None None
None None None None INFEKSI MATA AKUT MAYOR (RINGAN) 3079400 0
0 - 0 - 0 - 0 - 0 3079400 1492600
0 2 0 0 0 LILI MAMBO 052613 45 16509 DR DYANA
T.WATANIA,SPM 0309R0191019V003187 0002322883787 3;JKN eka06;
5.3.9.201904290125 4 83751 1#0##0#0#0.0#2019-11-01
13:31:06#0#00:00:00#00:00:00#00:00:00 1 2c70bae8f8a39e6d585ab625711749e3
7171104 C 3 CP 2 21/10/2019 21/10/2019 21/09/1971 0 2
1 Z09.8;H49.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LIDYA SERVIANTY KANDOU 052467 48 17562
DR RALF PANGALILA,SPM 0309R0191019V003219 0001787042597 3;JKN
linda03; 5.3.9.201904290125 4 82000 1#0##0#0#0.0#2019-10-22
12:00:20#0#00:00:00#00:00:00#00:00:00 1 8902d6a3b27efa59972387b952b3ce37
7171104 C 3 CP 2 21/10/2019 21/10/2019 26/05/1948 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MELLY TAMBARIKI 052662 71 26080 DR SAUL
RAPAR,SPM 0309R0191019V003283 0002455833688 3;JKN linda03;
5.3.9.201904290125 4 82001 1#0##0#0#0.0#2019-10-22
12:01:28#0#00:00:00#00:00:00#00:00:00 1 3b10052c252b7a33333c1674a3feca2c
7171104 C 3 CP 2 21/10/2019 21/10/2019 29/09/1958 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SEMI SOLEMAN 052050 61 22302 DR SAUL
RAPAR,SPM 0309R0191019V003356 0000908443236 3;JKN Vian02;
5.3.9.201904290125 4 82002 138#0##0#0#0.0#2019-10-22
12:04:08#0#00:00:00#00:00:00#00:00:00 1 69beeaf7f41ccc3cfbf5f816396ea689
7171104 C 3 CP 2 21/10/2019 21/10/2019 11/02/1994 0 1
1 Z09.8;H16.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANDREW FEKARIANTO DOODOH 050035 25
9383 DR PAULA M V LUMUNON,SPM 0309R0191019V003279 0001482525821
3;JKN linda03; 5.3.9.201904290125 4 82003 1#0##0#0#0.0#2019-10-22
12:13:15#0#00:00:00#00:00:00#00:00:00 1 fc1d0b4aa26707a133b94df6a336ed63
7171104 C 3 CP 2 21/10/2019 21/10/2019 06/05/1969 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEITA MOUDY MUSSU 052243 50 18430 DR
SALAM SURBAKTI,SPM 0309R0191019V003277 0001865326443 3;JKN linda03;
5.3.9.201904290125 4 82004 1#0##0#0#0.0#2019-10-22
12:14:06#0#00:00:00#00:00:00#00:00:00 1 e4d16c488267ff229d3638fd3ff28688
7171104 C 3 CP 2 21/10/2019 21/10/2019 11/04/2012 0 2
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 APRILYA AMELIA PANGKEY 041438 7 2749
DR SAUL RAPAR,SPM 0309R0191019V003275 0002769324197 3;JKN linda03;
5.3.9.201904290125 4 82005 1#0##0#0#0.0#2019-10-22
12:15:20#0#00:00:00#00:00:00#00:00:00 1 2dc729d875d58e2130a3c59a257bc526
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/09/1941 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JAHJA DJODJOBO, DRS.MED 030299 78 28539 DR
SALAM SURBAKTI,SPM 0309R0191019V003272 0000137179563 3;JKN linda03;
5.3.9.201904290125 4 82006 1#0##0#0#0.0#2019-10-22
12:16:31#0#00:00:00#00:00:00#00:00:00 1 08087d9a4c62621352ffed950fc7790f
7171104 C 3 CP 2 21/10/2019 21/10/2019 25/11/1950 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WELMINTJE KANSIL 051559 68 25167 DR
SALAM SURBAKTI,SPM 0309R0191019V003271 0000138696322 3;JKN linda03;
5.3.9.201904290125 4 82007 1#0##0#0#0.0#2019-10-22
12:17:14#0#00:00:00#00:00:00#00:00:00 1 d37e4e493eb06de6d2237fca047a734e
7171104 C 3 CP 2 21/10/2019 21/10/2019 23/03/1965 0 2
1 Z09.8;H33.0;H57.8 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MONA KARONGKONG 051474 54 19935 DR
SALAM SURBAKTI,SPM 0309R0191019V003270 0002318502205 3;JKN linda03;
5.3.9.201904290125 4 82008 1#0##0#0#0.0#2019-10-22
12:18:02#0#00:00:00#00:00:00#00:00:00 1 959d044d8635559762534a3785c4d35a
7171104 C 3 CP 2 21/10/2019 21/10/2019 20/12/1942 0 2
1 Z09.8;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MATRDNA RUATA 051350 76 28064 DR
RALF PANGALILA,SPM 0309R0191019V003269 0002388396442 3;JKN linda03;
5.3.9.201904290125 4 82009 1#0##0#0#0.0#2019-10-22
12:19:09#0#00:00:00#00:00:00#00:00:00 1 ce578b3f670320aeffba032e29c6b46f
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/06/1961 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUNUS SASIKOME 052099 58 21326 DR
SAUL RAPAR,SPM 0309R0191019V003267 0000908040622 3;JKN linda03;
5.3.9.201904290125 4 82011 1#0##0#0#0.0#2019-10-22
12:19:51#0#00:00:00#00:00:00#00:00:00 1 64ec5e4b20e2c7f9c27d823f9b880436
7171104 C 3 CP 2 21/10/2019 21/10/2019 07/05/1980 0 2
1 H18.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ECE K. SAPPE 052684 39 14411 DR SALAM
SURBAKTI,SPM 0309R0191019V003357 0001067155749 3;JKN Vian02;
5.3.9.201904290125 4 82010 1#0##0#0#0.0#2019-10-22
12:20:02#0#00:00:00#00:00:00#00:00:00 1 50c54718800109463cae431fc56df44b
7171104 C 3 CP 2 21/10/2019 21/10/2019 11/11/1937 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANATJE KATIE RATON 052127 81 29929
DR SAUL RAPAR,SPM 0309R0191019V003266 0001890413436 3;JKN linda03;
5.3.9.201904290125 4 82012 1#0##0#0#0.0#2019-10-22
12:21:12#0#00:00:00#00:00:00#00:00:00 1 f9fe3d02a22dd133a23578b94ea0b058
7171104 C 3 CP 2 21/10/2019 21/10/2019 10/09/1952 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AALTJE DOORTJE MAPALIEY 038624 67 24512
DR SALAM SURBAKTI,SPM 0309R0191019V003358 0000138167739 3;JKN
Vian02; 5.3.9.201904290125 4 82013 1#0##0#0#0.0#2019-10-22
12:21:18#0#00:00:00#00:00:00#00:00:00 1 4e9e96f2bae9da7743977be515f683a8
7171104 C 3 CP 2 21/10/2019 21/10/2019 22/02/1950 0 2
1 Z09.8;H33.0;H27.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HALIMA RAUF 051338 69 25443 DR SALAM
SURBAKTI,SPM 0309R0191019V003265 0001829240469 3;JKN linda03;
5.3.9.201904290125 4 82014 1#0##0#0#0.0#2019-10-22
12:21:53#0#00:00:00#00:00:00#00:00:00 1 126ec1ffcbd259099be40d7c2de7ab5c
7171104 C 3 CP 2 21/10/2019 21/10/2019 22/05/2017 0 2
1 Z09.8;H50.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KHUMAIRA AZZAHRA THOMAS 052197 2 882
DR SAUL RAPAR,SPM 0309R0191019V003359 0002264421104 3;JKN Vian02;
5.3.9.201904290125 4 82015 1#0##0#0#0.0#2019-10-22
12:22:13#0#00:00:00#00:00:00#00:00:00 1 c85c0b83e9f44c9552fbf09c32315360
7171104 C 3 CP 2 21/10/2019 21/10/2019 03/04/1964 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANETJE MANDAKE 052176 55 20289 DR
SALAM SURBAKTI,SPM 0309R0191019V003263 0001385278119 3;JKN linda03;
5.3.9.201904290125 4 82016 1#0##0#0#0.0#2019-10-22
12:22:36#0#00:00:00#00:00:00#00:00:00 1 177f4df89ad683c0394495ba846ba378
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/11/1956 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALFRETS SAM RUMONDA 052028 62 22999 DR
SAUL RAPAR,SPM 0309R0191019V003262 0001604367663 3;JKN linda03;
5.3.9.201904290125 4 82017 1#0##0#0#0.0#2019-10-22
12:29:37#0#00:00:00#00:00:00#00:00:00 1 15b677c4eb798523dbb9e8709d89fd8a
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/10/1947 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 OSKAR LIUW 052656 72 26318 DR SALAM
SURBAKTI,SPM 0309R0191019V003261 0000911720057 3;JKN linda03;
5.3.9.201904290125 4 82018 48#0##0#0#0.0#2019-10-22
12:32:41#0#00:00:00#00:00:00#00:00:00 1 217fbbd3e836cc3344341790df310cc2
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/04/1943 0 2
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JENNY RUMAGIT 040374 76 27962 DR
SALAM SURBAKTI,SPM 0309R0191019V003260 0000909683065 3;JKN linda03;
5.3.9.201904290125 4 82019 1#0##0#0#0.0#2019-10-22
12:33:34#0#00:00:00#00:00:00#00:00:00 1 96302b60cd84caf20aa1fbff67b36c5f
7171104 C 3 CP 2 21/10/2019 21/10/2019 16/06/1939 0 2
1 H10.9;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIANA GONI 052655 80 29347 DR
RALF PANGALILA,SPM 0309R0191019V003259 0001565073055 3;JKN linda03;
5.3.9.201904290125 4 82020 1#0##0#0#0.0#2019-10-22
12:34:38#0#00:00:00#00:00:00#00:00:00 1 56a06fe92e5e2b5b0035b19e35a00933
7171104 C 3 CP 2 21/10/2019 21/10/2019 28/01/1966 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JANTJE OLENG 052191 53 19624 DR PAULA M V
LUMUNON,SPM 0309R0191019V003258 0001827406675 3;JKN linda03;
5.3.9.201904290125 4 82021 1#0##0#0#0.0#2019-10-22
12:37:11#0#00:00:00#00:00:00#00:00:00 1 81d1f784df8bd4aea6982381a4e2952e
7171104 C 3 CP 2 21/10/2019 21/10/2019 20/11/1971 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SARKONO NUNGAN 052651 47 17502 DR RALF
PANGALILA,SPM 0309R0191019V003257 0001568126575 3;JKN linda03;
5.3.9.201904290125 4 82022 1#0##0#0#0.0#2019-10-22
12:41:09#0#00:00:00#00:00:00#00:00:00 1 aa5aa802ee4168ff54615bb859ad8db3
7171104 C 3 CP 2 21/10/2019 21/10/2019 08/08/1965 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SONNI SINGAL 052034 54 19797 DR
SAUL RAPAR,SPM 0309R0191019V003256 0000139053194 3;JKN linda03;
5.3.9.201904290125 4 82023 1#0##0#0#0.0#2019-10-22
12:44:54#0#00:00:00#00:00:00#00:00:00 1 441693936ee001a35db0f28c68ba2abf
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/06/1947 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HANS CORNELIS TANGKAU 052650 72 26440 DR
PAULA M V LUMUNON,SPM 0309R0191019V003255 0000138544626 3;JKN linda03;
5.3.9.201904290125 4 82024 1#0##0#0#0.0#2019-10-22
12:45:42#0#00:00:00#00:00:00#00:00:00 1 bce411ccb70a298d8ff59de28a06a328
7171104 C 3 CP 2 21/10/2019 21/10/2019 03/10/1946 0 1
1 Z09.8;H43.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OTNIEL PONTOH 051379 73 26681 DR
SALAM SURBAKTI,SPM 0309R0191019V003254 0000138667206 3;JKN linda03;
5.3.9.201904290125 4 82025 1#0##0#0#0.0#2019-10-22
12:46:24#0#00:00:00#00:00:00#00:00:00 1 433dd1d773f7cb01c77c3817f13df73a
7171104 C 3 CP 2 21/10/2019 21/10/2019 08/10/1943 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 EDUARD R. SANGER 011167 76 27772 DR RALF
PANGALILA,SPM 0309R0191019V003253 0000138245106 3;JKN linda03;
5.3.9.201904290125 4 82026 1#0##0#0#0.0#2019-10-22
13:34:38#0#00:00:00#00:00:00#00:00:00 1 30be95af85e15664ab4112a77bcb78b9
7171104 C 3 CP 2 21/10/2019 21/10/2019 22/08/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JEANY KAWATU 007460 72 26358 DR SALAM
SURBAKTI,SPM 0309R0191019V003360 0000909779872 3;JKN Vian02;
5.3.9.201904290125 4 82027 1#0##0#0#0.0#2019-10-22
13:34:46#0#00:00:00#00:00:00#00:00:00 1 b49863cc8480eca760ee89c6c926a05f
7171104 C 3 CP 2 21/10/2019 21/10/2019 04/10/1930 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA TANIA 007407 89 32524 DR PAULA M V
LUMUNON,SPM 0309R0191019V003252 0000137027698 3;JKN linda03;
5.3.9.201904290125 4 82029 1#0##0#0#0.0#2019-10-22
13:36:40#0#00:00:00#00:00:00#00:00:00 1 35e92269d91de6a8a958862022f7f6d8
7171104 C 3 CP 2 21/10/2019 21/10/2019 10/08/1944 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KAREL DICKY MARCUS 052682 75 27465 DR
SAUL RAPAR,SPM 0309R0191019V003361 0002430132862 3;JKN Vian02;
5.3.9.201904290125 4 82028 1#0##0#0#0.0#2019-10-22
13:36:41#0#00:00:00#00:00:00#00:00:00 1 77e963114c03ad156356595d5359e3e7
7171104 C 3 CP 2 21/10/2019 21/10/2019 06/05/1956 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MASTIN DEREK 051793 63 23178 DR PAULA M V
LUMUNON,SPM 0309R0191019V003251 0002486234632 3;JKN linda03;
5.3.9.201904290125 4 82030 1#0##0#0#0.0#2019-10-22
13:37:29#0#00:00:00#00:00:00#00:00:00 1 a364b4c128c6303af4d029dece933751
7171104 C 3 CP 2 21/10/2019 21/10/2019 31/01/1956 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANDRIAS MONINGKA 051630 63 23274 DR SAUL
RAPAR,SPM 0309R0191019V003250 0000909541989 3;JKN linda03;
5.3.9.201904290125 4 82031 1#0##0#0#0.0#2019-10-22
13:38:15#0#00:00:00#00:00:00#00:00:00 1 e5feb79e825c80ad49f90b9cd28f21e4
7171104 C 3 CP 2 21/10/2019 21/10/2019 29/06/1958 0 1
1 Z96.1;H40.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RAPAR JOHNI 012608 61 22394 DR PAULA M V
LUMUNON,SPM 0309R0191019V003249 0001103930875 3;JKN linda03;
5.3.9.201904290125 4 82032 1#0##0#0#0.0#2019-10-22
13:39:09#0#00:00:00#00:00:00#00:00:00 1 44c26288f9e556244be540184fca80dd
7171104 C 3 CP 2 21/10/2019 21/10/2019 15/06/1945 0 2
1 Z09.8;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIEN TUMIMOMOR 052441 74 27156 DR
RALF PANGALILA,SPM 0309R0191019V003247 0002610778228 3;JKN linda03;
5.3.9.201904290125 4 82033 1#0##0#0#0.0#2019-10-22
13:39:48#0#00:00:00#00:00:00#00:00:00 1 564edd8418efee2d3eb01b8c1971ad69
7171104 C 3 CP 2 21/10/2019 21/10/2019 10/07/1952 0 2
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARGARETHA MANDAGI 015195 67 24574
DR PAULA M V LUMUNON,SPM 0309R0191019V003246 0002057299716 3;JKN
linda03; 5.3.9.201904290125 4 82034 1#0##0#0#0.0#2019-10-22
13:40:37#0#00:00:00#00:00:00#00:00:00 1 cbf971a0dc9f7af6975152c5f937d103
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/04/1984 0 2
1 Z09.8;H53.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MENY MANANGGUNG 052466 35 12986 DR
RALF PANGALILA,SPM 0309R0191019V003245 0000908309621 3;JKN linda03;
5.3.9.201904290125 4 82035 1#0##0#0#0.0#2019-10-22
13:41:16#0#00:00:00#00:00:00#00:00:00 1 cd8159341ac2a8ce29421d72182b52f4
7171104 C 3 CP 2 21/10/2019 21/10/2019 04/11/1964 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YUSNO YUSUF 051950 54 20074 DR RALF
PANGALILA,SPM 0309R0191019V003244 0001326213009 3;JKN linda03;
5.3.9.201904290125 4 82037 1#0##0#0#0.0#2019-10-22
13:42:02#0#00:00:00#00:00:00#00:00:00 1 0cc581b6adaf933637aa2ea11fbe2f5e
7171104 C 3 CP 2 21/10/2019 21/10/2019 22/09/1949 0 2
1 Z09.8;H18.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JETJE H. ROTINSULU 026740 70 25596
DR RALF PANGALILA,SPM 0309R0191019V003362 0000138052721 3;JKN
Vian02; 5.3.9.201904290125 4 82036 1#0##0#0#0.0#2019-10-22
13:42:23#0#00:00:00#00:00:00#00:00:00 1 180c9393607720a47c8fa4611594287b
7171104 C 3 CP 2 21/10/2019 21/10/2019 10/01/1953 0 1
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SAMMY TATALI 0102360 66 24390 DR
PAULA M V LUMUNON,SPM 0309R0191019V003243 0001381188789 3;JKN linda03;
5.3.9.201904290125 4 82038 1#0##0#0#0.0#2019-10-22
13:42:37#0#00:00:00#00:00:00#00:00:00 1 c4176d338cd0d2740e218c4e289a85e3
7171104 C 3 CP 2 21/10/2019 21/10/2019 05/06/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PREDRIKA PATTA 051386 64 23514 DR RALF
PANGALILA,SPM 0309R0191019V003241 0002278024738 3;JKN linda03;
5.3.9.201904290125 4 82040 1#0##0#0#0.0#2019-10-22
13:43:16#0#00:00:00#00:00:00#00:00:00 1 fdeda87ddd13a776dce9b4794f60645a
7171104 C 3 CP 2 21/10/2019 21/10/2019 22/08/1949 0 2
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 D. SONDAKH LUMINTANG 002251 70 25627
DR SAUL RAPAR,SPM 0309R0191019V003365 0000138277697 3;JKN Vian02;
5.3.9.201904290125 4 82039 1#0##0#0#0.0#2019-10-22
13:43:35#0#00:00:00#00:00:00#00:00:00 1 ee8bdabdb6638d30a80cbff7ee77a795
7171104 C 3 CP 2 21/10/2019 21/10/2019 10/10/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA WENAS 018156 77 28135 DR SAUL RAPAR,SPM
0309R0191019V003240 0001308673574 3;JKN linda03; 5.3.9.201904290125
4 82041 1#0##0#0#0.0#2019-10-22 13:43:57#0#00:00:00#00:00:00#00:00:00
1 172618c950ccbd77de084e04a226647d
7171104 C 3 CP 2 21/10/2019 21/10/2019 11/11/1951 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NONA DAREA 039660 67 24816 DR PAULA M V
LUMUNON,SPM 0309R0191019V003239 0001290806897 3;JKN linda03;
5.3.9.201904290125 4 82042 1#0##0#0#0.0#2019-10-22
13:44:43#0#00:00:00#00:00:00#00:00:00 1 5eb8e9c4689999706de322d5afa19928
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/07/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HENNY JACOBUS 052026 74 27140 DR SAUL
RAPAR,SPM 0309R0191019V003238 0000908308078 3;JKN linda03;
5.3.9.201904290125 4 82043 1#0##0#0#0.0#2019-10-22
13:45:59#0#00:00:00#00:00:00#00:00:00 1 a9abca8c7f7b00f6882a52d543fd71aa
7171104 C 3 CP 2 21/10/2019 21/10/2019 28/07/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIE JULIANA KOJONGIAN 052029 74 27113 DR
SAUL RAPAR,SPM 0309R0191019V003237 0000139071025 3;JKN linda03;
5.3.9.201904290125 4 82044 1#0##0#0#0.0#2019-10-22
13:46:34#0#00:00:00#00:00:00#00:00:00 1 1586dc82d0d9acb4f9abbbcaa512ffb5
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/09/1987 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SELVI UDUNG 052100 32 11738 DR SAUL
RAPAR,SPM 0309R0191019V003235 0000907977104 3;JKN linda03;
5.3.9.201904290125 4 82045 1#0##0#0#0.0#2019-10-22
13:47:40#0#00:00:00#00:00:00#00:00:00 1 ef9102116f92885513468e7de7e5ac90
7171104 C 3 CP 2 21/10/2019 21/10/2019 24/12/1970 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEVI YOVI ROMPIS 051948 48 17833 DR SAUL
RAPAR,SPM 0309R0191019V003234 0001448801548 3;JKN linda03;
5.3.9.201904290125 4 82046 1#0##0#0#0.0#2019-10-22
13:48:23#0#00:00:00#00:00:00#00:00:00 1 670a7b70f8c1940da8cf0092a1b64852
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/10/1969 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FAUJIA HINGO 051115 50 18282 DR
RALF PANGALILA,SPM 0309R0191019V003233 0000908030744 3;JKN linda03;
5.3.9.201904290125 4 82047 1#0##0#0#0.0#2019-10-22
13:49:13#0#00:00:00#00:00:00#00:00:00 1 6e39419e5748dfbb6d0a1ebd1932e723
7171104 C 3 CP 2 21/10/2019 21/10/2019 27/04/1955 0 2
1 Z96.1;H47.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LINDAWATI SARAPUNG 007482 64 23553
DR RALF PANGALILA,SPM 0309R0191019V003366 0001383979059 3;JKN
Vian02; 5.3.9.201904290125 4 82048 1#0##0#0#0.0#2019-10-22
13:49:34#0#00:00:00#00:00:00#00:00:00 1 19266ee848fd37672863df51d56b7bc6
7171104 C 3 CP 2 21/10/2019 21/10/2019 12/03/1960 0 2
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TRUITJE LOUISE K. REGOH 051034 59 21772
DR SAUL RAPAR,SPM 0309R0191019V003367 0000139635843 3;JKN Vian02;
5.3.9.201904290125 4 82049 1#0##0#0#0.0#2019-10-22
13:50:50#0#00:00:00#00:00:00#00:00:00 1 bf5f73096b3f224bb51f64d58ceb6493
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/07/1950 0 1
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BENEDIKTUS ROTULUNG 049018 69 25314
DR SALAM SURBAKTI,SPM 0309R0191019V003232 0000905119413 3;JKN
linda03; 5.3.9.201904290125 4 82053 1#0##0#0#0.0#2019-10-22
13:53:00#0#00:00:00#00:00:00#00:00:00 1 bd2a5f336f1186ce38abfebf8878f9b7
7171104 C 3 CP 2 21/10/2019 21/10/2019 30/07/1959 0 1
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TESMAN LONDO 052377 60 21998 DR
RALF PANGALILA,SPM 0309R0191019V003231 0001572604479 3;JKN linda03;
5.3.9.201904290125 4 82054 1#0##0#0#0.0#2019-10-22
13:54:09#0#00:00:00#00:00:00#00:00:00 1 651e7d1cdf16b3f6be7494819f0c7f63
7171104 C 3 CP 2 21/10/2019 21/10/2019 10/09/1959 0 2
1 Z09.8;H10.9;Z96.1;H52.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SERLI PIPE FENNIE RINDENGAN 029976 60
21956 DR SAUL RAPAR,SPM 0309R0191019V003368 0001335206485 3;JKN
Vian02; 5.3.9.201904290125 4 82051 1#0##0#0#0.0#2019-10-22
13:57:22#0#00:00:00#00:00:00#00:00:00 1 78b7005910fb7df328743c05b2e4e2e8
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/02/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PAULINA MAKAHEMING 052447 64 23638 DR
RALF PANGALILA,SPM 0309R0191019V003369 0000907171042 3;JKN Vian02;
5.3.9.201904290125 4 82058 1#0##0#0#0.0#2019-10-22
13:58:20#0#00:00:00#00:00:00#00:00:00 1 bb7d52de3b7374a57a42d42ebf3d38db
7171104 C 3 CP 2 21/10/2019 21/10/2019 03/10/1975 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLGA K. PELENGKAHU 030759 44 16089
DR SALAM SURBAKTI,SPM 0309R0191019V003370 0000138471131 3;JKN
Vian02; 5.3.9.201904290125 4 82064 1#0##0#0#0.0#2019-10-22
14:05:36#0#00:00:00#00:00:00#00:00:00 1 7618ca5d35cc1174d53f9d7dc6083165
7171104 C 3 CP 2 21/10/2019 21/10/2019 12/07/1994 0 1
1 Z09.8;H18.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROBERTO RINALDO SONDAK 050419 25 9232
DR SAUL RAPAR,SPM 0309R0191019V003372 0002073962248 3;JKN Vian02;
5.3.9.201904290125 4 82065 1#0##0#0#0.0#2019-10-22
14:06:34#0#00:00:00#00:00:00#00:00:00 1 308f2b289b0f08b033fffd56be612292
7171104 C 3 CP 2 21/10/2019 21/10/2019 16/03/1961 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTJE SUPIT 008290 58 21403 DR SALAM
SURBAKTI,SPM 0309R0191019V003373 0001966474697 3;JKN Vian02;
5.3.9.201904290125 4 82067 1#0##0#0#0.0#2019-10-22
14:07:48#0#00:00:00#00:00:00#00:00:00 1 d2bf29490a3546f9b1dc0938bbecfd8e
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/05/1944 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA MAGDALENA WOWOR 051742 75 27566
DR SAUL RAPAR,SPM 0309R0191019V003374 0000907236562 3;JKN Vian02;
5.3.9.201904290125 4 82068 1#0##0#0#0.0#2019-10-22
14:09:00#0#00:00:00#00:00:00#00:00:00 1 0a7aa812b0ef29577cec50b388341c92
7171104 C 3 CP 2 21/10/2019 21/10/2019 29/04/1979 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FINTJE RUTH MERY MARAMIS 052688 40 14785
DR RALF PANGALILA,SPM 0309R0191019V003375 0001869268713 3;JKN
Vian02; 5.3.9.201904290125 4 82069 156#0##0#0#0.0#2019-10-22
14:10:07#0#00:00:00#00:00:00#00:00:00 1 778135caf65b9b300c24fb667cf1de9f
7171104 C 3 CP 2 21/10/2019 21/10/2019 12/04/1977 0 1
1 Z09.8;H44.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARTHUR HENGKY ASSA 045381 42 15532
DR SALAM SURBAKTI,SPM 0309R0191019V003376 0001312977486 3;JKN
Vian02; 5.3.9.201904290125 4 82070 1#0##0#0#0.0#2019-10-22
14:10:51#0#00:00:00#00:00:00#00:00:00 1 d3625ea8377e10131e5239f665553dbf
7171104 C 3 CP 2 21/10/2019 21/10/2019 25/01/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADRIANA KABENARAN 049267 73 26932 DR SALAM
SURBAKTI,SPM 0309R0191019V003377 0001568733208 3;JKN Vian02;
5.3.9.201904290125 4 82071 1#0##0#0#0.0#2019-10-22
14:11:47#0#00:00:00#00:00:00#00:00:00 1 1347e8270be29b1849644107f5f81981
7171104 C 3 CP 2 21/10/2019 21/10/2019 12/06/1945 0 1
1 H25.0;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHN ASSA RUNTUWENE 052449 74 27159
DR SALAM SURBAKTI,SPM 0309R0191019V003379 0000138164681 3;JKN
Vian02; 5.3.9.201904290125 4 82072 1#0##0#0#0.0#2019-10-22
14:13:27#0#00:00:00#00:00:00#00:00:00 1 64eff0c69329bd3f2714f6f86d5fe7d7
7171104 C 3 CP 2 21/10/2019 21/10/2019 28/02/1942 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FREDRIKA WOYONGAN 052647 77 28359 DR
PAULA M V LUMUNON,SPM 0309R0191019V003230 0002260661501 3;JKN linda03;
5.3.9.201904290125 4 82087 17#0##0#0#0.0#2019-10-23
07:15:04#0#00:00:00#00:00:00#00:00:00 1 5674bcf08d40c6e21208680c8fc3625c
7171104 C 3 CP 2 21/10/2019 21/10/2019 19/01/1960 0 1
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANS LODIWIJK PALIT 052174 59 21825
DR SAUL RAPAR,SPM 0309R0191019V003228 0000137948602 3;JKN linda03;
5.3.9.201904290125 4 82088 1#0##0#0#0.0#2019-10-23
07:15:59#0#00:00:00#00:00:00#00:00:00 1 ef45f7723be2a829d2801ae3142732ff
7171104 C 3 CP 2 21/10/2019 21/10/2019 26/06/1933 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIANA ANTE 031388 86 31528 DR RALF
PANGALILA,SPM 0309R0191019V003227 0002281896393 3;JKN linda03;
5.3.9.201904290125 4 82089 1#0##0#0#0.0#2019-10-23
07:16:40#0#00:00:00#00:00:00#00:00:00 1 e1f3818219f9131e77dc6c960309ef60
7171104 C 3 CP 2 21/10/2019 21/10/2019 18/05/1967 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SAARTJE MEITY KINDANGEN, S.TH 038985 52 19149
DR SALAM SURBAKTI,SPM 0309R0191019V003226 0001565425517 3;JKN
linda03; 5.3.9.201904290125 4 82090 1#0##0#0#0.0#2019-10-23
07:17:30#0#00:00:00#00:00:00#00:00:00 1 c769cabe9e56f82a353d955b5277dd4b
7171104 C 3 CP 2 21/10/2019 21/10/2019 28/09/1959 0 1
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LEXI BERTJE KAPOH 052545 60 21938 DR
RALF PANGALILA,SPM 0309R0191019V003225 0001820880764 3;JKN linda03;
5.3.9.201904290125 4 82091 1#0##0#0#0.0#2019-10-23
07:18:17#0#00:00:00#00:00:00#00:00:00 1 5ddac49b4b210f42eb8068b1c509457b
7171104 C 3 CP 2 21/10/2019 21/10/2019 20/03/1955 0 2
1 H43.3 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTJE PETRONELLA RUMENGAN 029403 64 23591
DR SALAM SURBAKTI,SPM 0309R0191019V003224 0001966571921 3;JKN
linda03; 5.3.9.201904290125 4 82092 1#0##0#0#0.0#2019-10-23
07:19:59#0#00:00:00#00:00:00#00:00:00 1 7139ed2abaf05225156060be1abf8117
7171104 C 3 CP 2 21/10/2019 21/10/2019 17/03/1953 0 2
1 Z96.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NANS H. SOPUTAN 050284 66 24324 DR
SAUL RAPAR,SPM 0309R0191019V003223 0001280802172 3;JKN linda03;
5.3.9.201904290125 4 82093 1#0##0#0#0.0#2019-10-23
07:20:49#0#00:00:00#00:00:00#00:00:00 1 9c7b6a4e538ba98b6f87ab9b24de7ba9
7171104 C 3 CP 2 21/10/2019 21/10/2019 26/09/1938 0 1
1 Z96.1;H10.9;H40.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZIANET HAMEL 052649 81 29610 DR
SAUL RAPAR,SPM 0309R0191019V003222 0002062861659 3;JKN linda03;
5.3.9.201904290125 4 82094 1#0##0#0#0.0#2019-10-23
07:22:31#0#00:00:00#00:00:00#00:00:00 1 d480a8a240850a8b1a6471516bca1d65
7171104 C 3 CP 2 21/10/2019 21/10/2019 22/10/1940 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 POLIEN PIRI 051085 78 28853 DR SAUL
RAPAR,SPM 0309R0191019V003218 0001566235383 3;JKN linda03;
5.3.9.201904290125 4 82095 1#0##0#0#0.0#2019-10-23
07:23:10#0#00:00:00#00:00:00#00:00:00 1 45ed422b70dc39f7c989d689302ce726
7171104 C 3 CP 2 21/10/2019 21/10/2019 20/05/1959 0 2
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SYULTJE PAENDONG 036123 60 22069 DR
PAULA M V LUMUNON,SPM 0309R0191019V003215 0001857362409 3;JKN linda03;
5.3.9.201904290125 4 82096 1#0##0#0#0.0#2019-10-23
07:23:47#0#00:00:00#00:00:00#00:00:00 1 44c85a747aef1aa313f0f41cc59d724f
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/06/1972 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MEITI RAMBING 052689 47 17308 DR RALF
PANGALILA,SPM 0309R0191019V003381 0000905318291 3;JKN Vian02;
5.3.9.201904290125 4 82098 1#0##0#0#0.0#2019-10-23
07:56:27#0#00:00:00#00:00:00#00:00:00 1 9e0ba1e21493dc747d799c248969e58e
7171104 C 3 CP 2 21/10/2019 21/10/2019 22/10/1935 0 2
1 Z09.8;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 J. KOLINUG BA 012931 83 30680 DR
RALF PANGALILA,SPM 0309R0191019V003382 0000138267933 3;JKN Vian02;
5.3.9.201904290125 4 82105 1#0##0#0#0.0#2019-10-23
07:57:38#0#00:00:00#00:00:00#00:00:00 1 87af2ab3a986a4fb97057d7356ca3099
7171104 C 3 CP 2 21/10/2019 21/10/2019 22/03/1969 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TELLY LOWING 040556 50 18475 DR
SALAM SURBAKTI,SPM 0309R0191019V003383 0002466189325 3;JKN Vian02;
5.3.9.201904290125 4 82106 1#0##0#0#0.0#2019-10-23
07:59:06#0#00:00:00#00:00:00#00:00:00 1 c760a117ae905ca30ee31d29df7b5fa7
7171104 C 3 CP 2 21/10/2019 21/10/2019 09/06/1943 0 1
1 Z96.1;H27.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUN RUMUAT 051730 76 27893 DR SAUL
RAPAR,SPM 0309R0191019V003385 0000905500798 3;JKN Vian02;
5.3.9.201904290125 4 82108 1#0##0#0#0.0#2019-10-23
08:00:00#0#00:00:00#00:00:00#00:00:00 1 248c158d4d7f5139f7c94fafc6e62cb3
7171104 C 3 CP 2 21/10/2019 21/10/2019 02/11/1977 0 2
1 H10.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NOVA MALINGGATO 052690 41 15328 DR SAUL
RAPAR,SPM 0309R0191019V003387 0002453987406 3;JKN Vian02;
5.3.9.201904290125 4 82110 1#0##0#0#0.0#2019-10-23
08:01:54#0#00:00:00#00:00:00#00:00:00 1 578d0b91a2becbde92485fae9db82a52
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/02/1958 0 1
1 Z09.8;H59.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADAM BIKI 018846 61 22542 DR SAUL
RAPAR,SPM 0309R0191019V003388 0000910578879 3;JKN Vian02;
5.3.9.201904290125 4 82111 1#0##0#0#0.0#2019-10-23
08:02:40#0#00:00:00#00:00:00#00:00:00 1 3e7c211b7d5d46adbdfaff54260d1235
7171104 C 3 CP 2 21/10/2019 21/10/2019 30/10/1943 0 2
1 Z09.8;H04.1;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEANE WUYSANG 048816 75 27750 DR
RALF PANGALILA,SPM 0309R0191019V003389 0001831554369 3;JKN Vian02;
5.3.9.201904290125 4 82112 1#0##0#0#0.0#2019-10-23
08:03:53#0#00:00:00#00:00:00#00:00:00 1 85ea7328875bf5497226f0ea446b8811
7171104 C 3 CP 2 21/10/2019 21/10/2019 21/08/1969 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALTJE TUNTU 052035 50 18323 DR SAUL
RAPAR,SPM 0309R0191019V003390 0001604390837 3;JKN Vian02;
5.3.9.201904290125 4 82113 1#0##0#0#0.0#2019-10-23
08:04:38#0#00:00:00#00:00:00#00:00:00 1 edb3ffb7a5ec2994f6f0fc8be555fa8f
7171104 C 3 CP 2 21/10/2019 21/10/2019 29/07/1968 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIANA LANGINGI 052519 51 18711 DR RALF
PANGALILA,SPM 0309R0191019V003391 0002195839091 3;JKN Vian02;
5.3.9.201904290125 4 82114 1#0##0#0#0.0#2019-10-23
08:05:32#0#00:00:00#00:00:00#00:00:00 1 28472520df803fb0c915b8ca65700f93
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/03/1965 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA SIGARLAKI 052692 54 19957 DR RALF
PANGALILA,SPM 0309R0191019V003392 0000907876269 3;JKN Vian02;
5.3.9.201904290125 4 82115 1#0##0#0#0.0#2019-10-23
08:06:36#0#00:00:00#00:00:00#00:00:00 1 0b3d216bc12cbc92a056861afde086e0
7171104 C 3 CP 2 21/10/2019 21/10/2019 11/07/1979 0 1
1 T15.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LUCKY S. SARAY 052691 40 14712 DR SALAM
SURBAKTI,SPM 0309R0191019V003393 0000906698079 3;JKN Vian02;
5.3.9.201904290125 4 82117 1#0##0#0#0.0#2019-10-23
08:07:43#0#00:00:00#00:00:00#00:00:00 1 f84159484d63651a2a4ed33818c4df9f
7171104 C 3 CP 2 21/10/2019 21/10/2019 11/05/1970 0 2
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SELVIE MIKE ELLEN PRATASIS 052532 49
18060 DR RALF PANGALILA,SPM 0309R0191019V003394 0001565431446 3;JKN
Vian02; 5.3.9.201904290125 4 82118 1#0##0#0#0.0#2019-10-23
08:09:47#0#00:00:00#00:00:00#00:00:00 1 e0f7489f995b38e61d6855e7fdb0dc0a
7171104 C 3 CP 2 21/10/2019 21/10/2019 15/09/1962 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HUSNA UMAR 052267 57 20855 DR SAUL
RAPAR,SPM 0309R0191019V003395 0001318419279 3;JKN Vian02;
5.3.9.201904290125 4 82119 1#0##0#0#0.0#2019-10-23
08:10:31#0#00:00:00#00:00:00#00:00:00 1 fe140ae85421fd0d7650e56520148ffe
7171104 C 3 CP 2 21/10/2019 21/10/2019 05/07/1964 0 1
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ISKANDAR ANTAENG 052693 55 20196 DR RALF
PANGALILA,SPM 0309R0191019V003397 0000910753536 3;JKN Vian02;
5.3.9.201904290125 4 82120 1#0##0#0#0.0#2019-10-23
08:11:26#0#00:00:00#00:00:00#00:00:00 1 f0ecb8c770925b928d466a66ea017db3
7171104 C 3 CP 2 21/10/2019 21/10/2019 19/10/1950 0 2
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 POMICE TULIS 023317 69 25204 DR
SAUL RAPAR,SPM 0309R0191019V003398 0001239184732 3;JKN Vian02;
5.3.9.201904290125 4 82121 1#0##0#0#0.0#2019-10-23
08:12:13#0#00:00:00#00:00:00#00:00:00 1 25be0e6dcd965fa84c47d30e61c1da27
7171104 C 3 CP 2 21/10/2019 21/10/2019 31/12/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MASJE M SONDAKH 050477 69 25496 DR SAUL
RAPAR,SPM 0309R0191019V003399 0001199795962 3;JKN Vian02;
5.3.9.201904290125 4 82122 1#0##0#0#0.0#2019-10-23
08:13:04#0#00:00:00#00:00:00#00:00:00 1 c9c6467f312a75f704a507df5cc55f58
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/11/1963 0 2
1 Z09.8;H20.9;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KATRINTJE ALANG 051846 55 20443 DR
RALF PANGALILA,SPM 0309R0191019V003401 0000908174147 3;JKN Vian02;
5.3.9.201904290125 4 82123 1#0##0#0#0.0#2019-10-23
08:14:01#0#00:00:00#00:00:00#00:00:00 1 b8bf12cf16940cd9820812263929ab3c
7171104 C 3 CP 2 21/10/2019 21/10/2019 03/03/2010 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELIA HANDRICH ISHIYAMA ROMPIS 052694 9 3519
DR SAUL RAPAR,SPM 0309R0191019V003402 0002281353669 3;JKN Vian02;
5.3.9.201904290125 4 82124 1#0##0#0#0.0#2019-10-23
08:15:01#0#00:00:00#00:00:00#00:00:00 1 c1df5b43b1d2a1824109604558f29018
7171104 C 3 CP 2 21/10/2019 21/10/2019 11/02/1972 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FEROLITA LAPIAN 052695 47 17419 DR
RALF PANGALILA,SPM 0309R0191019V003403 0002281353614 3;JKN Vian02;
5.3.9.201904290125 4 82125 1#0##0#0#0.0#2019-10-23
08:15:55#0#00:00:00#00:00:00#00:00:00 1 fb223ea9878ffc669d85a0fbf0dfbafc
7171104 C 3 CP 2 21/10/2019 21/10/2019 12/01/1949 0 2
1 Z09.8;H52.4;H52.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENNY ADELEIDE ELVIE PANGKEY 048274 70
25849 DR SAUL RAPAR,SPM 0309R0191019V003404 0000138860954 3;JKN
Vian02; 5.3.9.201904290125 4 82126 1#0##0#0#0.0#2019-10-23
08:17:02#0#00:00:00#00:00:00#00:00:00 1 c23b83b7285b974909dcdf56eef8d2ff
7171104 C 3 CP 2 21/10/2019 21/10/2019 15/02/1940 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PETRUS WONGKAR 032153 79 29103 DR
SALAM SURBAKTI,SPM 0309R0191019V003405 0001604397216 3;JKN Vian02;
5.3.9.201904290125 4 82127 1#0##0#0#0.0#2019-10-23
08:17:57#0#00:00:00#00:00:00#00:00:00 1 77666bf3f9ee35e7e071f0b02b3abc6b
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/04/2004 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TAKESHI J. J. ROMPIS 052696 15 5681 DR
SAUL RAPAR,SPM 0309R0191019V003406 0002281353636 3;JKN Vian02;
5.3.9.201904290125 4 82128 1#0##0#0#0.0#2019-10-23
08:18:44#0#00:00:00#00:00:00#00:00:00 1 5fbf97b0911b8800239bc4a83be8e48a
7171104 C 3 CP 2 21/10/2019 21/10/2019 17/05/1970 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAGDALENA ANDRIANI KASIRAN 052219 49
18054 DR SAUL RAPAR,SPM 0309R0191019V003407 0001476365883 3;JKN
Vian02; 5.3.9.201904290125 4 82129 1#0##0#0#0.0#2019-10-23
08:19:46#0#00:00:00#00:00:00#00:00:00 1 b8c7a8eae47bd5bb16305153196ce934
7171104 C 3 CP 2 21/10/2019 21/10/2019 18/05/1994 0 1
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RUBI SETIAWAN 052697 25 9287 DR RALF
PANGALILA,SPM 0309R0191019V003408 0001004932394 3;JKN Vian02;
5.3.9.201904290125 4 82130 1#0##0#0#0.0#2019-10-23
08:26:44#0#00:00:00#00:00:00#00:00:00 1 1ee83fa3051792990e116d0f89a46c8e
7171104 C 3 CP 2 21/10/2019 21/10/2019 19/05/1953 0 1
1 Z09.8;H18.1;H27.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUNAIDY SANGKOP 051853 66 24261 DR
RALF PANGALILA,SPM 0309R0191019V003409 0002893813929 3;JKN Vian02;
5.3.9.201904290125 4 82131 1#0##0#0#0.0#2019-10-23
08:30:24#0#00:00:00#00:00:00#00:00:00 1 eea6541e1c6940b676fe2497b0ed90cf
7171104 C 3 CP 2 21/10/2019 21/10/2019 26/05/1986 0 2
1 H10.9;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LINDA YUNUS USMAN 052698 33 12201 DR
SAUL RAPAR,SPM 0309R0191019V003410 0000210307353 3;JKN Vian02;
5.3.9.201904290125 4 82132 1#0##0#0#0.0#2019-10-23
08:31:33#0#00:00:00#00:00:00#00:00:00 1 f07867caf9c68a8c6451d032f3a31826
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/09/1970 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SYANE KOLOMPOY 052700 49 17947 DR
RALF PANGALILA,SPM 0309R0191019V003411 0000911059266 3;JKN Vian02;
5.3.9.201904290125 4 82133 1#0##0#0#0.0#2019-10-23
08:32:38#0#00:00:00#00:00:00#00:00:00 1 fa2255e27b36215751a94e2b59937207
7171104 C 3 CP 2 21/10/2019 21/10/2019 17/02/1966 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WASTI DOMITS 052701 53 19604 DR SALAM
SURBAKTI,SPM 0309R0191019V003412 0000910587148 3;JKN Vian02;
5.3.9.201904290125 4 82134 1#0##0#0#0.0#2019-10-23
08:33:34#0#00:00:00#00:00:00#00:00:00 1 35ae4812e814e9e1feba10c428feb07f
7171104 C 3 CP 2 21/10/2019 21/10/2019 08/09/1961 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALEX TUILAN 036459 58 21227 DR SALAM
SURBAKTI,SPM 0309R0191019V003413 0000138389422 3;JKN Vian02;
5.3.9.201904290125 4 82135 1#0##0#0#0.0#2019-10-23
08:35:36#0#00:00:00#00:00:00#00:00:00 1 03821a18a0bee6a42e8bb3494b873680
7171104 C 3 CP 2 21/10/2019 21/10/2019 27/04/1978 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELLEN RINNY SAROINSONG 027857 41 15152 DR
SALAM SURBAKTI,SPM 0309R0191019V003414 0001311243974 3;JKN Vian02;
5.3.9.201904290125 4 82136 1#0##0#0#0.0#2019-10-23
08:36:46#0#00:00:00#00:00:00#00:00:00 1 6005c6cb546da744414d3b56e0f9e646
7171104 C 3 CP 2 21/10/2019 21/10/2019 22/08/1979 0 1
1 Z09.8;H44.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RACHMAN SOAMOLE 052286 40 14670 DR
IVONNE RAMENUSA,SPM 0309R0191019V003415 0002890966105 3;JKN Vian02;
5.3.9.201904290125 4 82137 1#0##0#0#0.0#2019-10-23
08:37:33#0#00:00:00#00:00:00#00:00:00 1 be6409a0145feeaaa21547d435844d45
7171104 C 3 CP 2 21/10/2019 21/10/2019 02/06/1946 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RUTJE PATONGGIGHILE 052683 73 26804 DR
SALAM SURBAKTI,SPM 0309R0191019V003355 0001327230224 3;JKN Patrick K.;
5.3.9.201904290125 4 82352 1#0##0#0#0.0#2019-10-23
14:40:23#0#00:00:00#00:00:00#00:00:00 1 4cac433680466c25a23cce45d330c8a2
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/04/1964 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADOLVINA DALOPE 052681 55 20291 DR
SAUL RAPAR,SPM 0309R0191019V003354 0000908444136 3;JKN Patrick K.;
5.3.9.201904290125 4 82353 1#0##0#0#0.0#2019-10-23
14:42:08#0#00:00:00#00:00:00#00:00:00 1 d82259150d58abdadc247c6fe3da044a
7171104 C 3 CP 2 21/10/2019 21/10/2019 11/12/1961 0 2
1 Z09.8;H26.9;H35.3 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SYANE HARUN 052183 57 21133 DR SALAM
SURBAKTI,SPM 0309R0191019V003353 0001809712585 3;JKN Patrick K.;
5.3.9.201904290125 4 82354 1#0##0#0#0.0#2019-10-23
14:42:54#0#00:00:00#00:00:00#00:00:00 1 c94d4df5d367e863c9ce280d7ddd682a
7171104 C 3 CP 2 21/10/2019 21/10/2019 12/01/1978 0 2
1 Z09.8;H16.0;H20.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RESTALENA NANONO 052629 41 15257 DR
RALF PANGALILA,SPM 0309R0191019V003351 0002391570821 3;JKN Patrick K.;
5.3.9.201904290125 4 82355 1#0##0#0#0.0#2019-10-23
14:44:06#0#00:00:00#00:00:00#00:00:00 1 bf13e8f3a2fc8a3aee63dc213a4f590f
7171104 C 3 CP 2 21/10/2019 21/10/2019 13/12/1954 0 2
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DETSY L MONTORORING 018356 64 23688
DR PAULA M V LUMUNON,SPM 0309R0191019V003350 0000155769669 3;JKN
Patrick K.; 5.3.9.201904290125 4 82356 1#0##0#0#0.0#2019-10-23
14:45:08#0#00:00:00#00:00:00#00:00:00 1 e8a6296e7241a6aa4fb66162036b59db
7171104 C 3 CP 2 21/10/2019 21/10/2019 22/05/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEBORA LONDA 052484 70 25719 DR RALF
PANGALILA,SPM 0309R0191019V003349 0000137215405 3;JKN Patrick K.;
5.3.9.201904290125 4 82357 1#0##0#0#0.0#2019-10-23
14:45:54#0#00:00:00#00:00:00#00:00:00 1 1f2ecafcfc03514078c0663bd7b10971
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/09/1954 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JEMMY LANGI 013416 65 23791 DR PAULA M V
LUMUNON,SPM 0309R0191019V003348 0000910751916 3;JKN Patrick K.;
5.3.9.201904290125 4 82358 1#0##0#0#0.0#2019-10-23
14:47:02#0#00:00:00#00:00:00#00:00:00 1 c8bdd3e1720df8fb3ada067603c6777c
7171104 C 3 CP 2 21/10/2019 21/10/2019 07/01/1962 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHANA WEHANTOUW 052085 57 21106 DR
RALF PANGALILA,SPM 0309R0191019V003347 0000137883317 3;JKN Patrick K.;
5.3.9.201904290125 4 82359 1#0##0#0#0.0#2019-10-23
14:47:49#0#00:00:00#00:00:00#00:00:00 1 86aafe0375bf8e0fab2ffc8a66f9ac10
7171104 C 3 CP 2 21/10/2019 21/10/2019 12/11/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HENRY A RUMOKOY 031803 65 24084 DR SAUL
RAPAR,SPM 0309R0191019V003346 0000137236149 3;JKN Patrick K.;
5.3.9.201904290125 4 82360 1#0##0#0#0.0#2019-10-23
14:48:37#0#00:00:00#00:00:00#00:00:00 1 2370b21be88bc392ebb5e10dfc3195e1
7171104 C 3 CP 2 21/10/2019 21/10/2019 07/03/1953 0 2
1 Z09.8;H52.1;H52.2;H52.4 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SARIFA MELA 003423 66 24334 DR SAUL
RAPAR,SPM 0309R0191019V003345 0000910253553 3;JKN Patrick K.;
5.3.9.201904290125 4 82361 1#0##0#0#0.0#2019-10-23
14:49:31#0#00:00:00#00:00:00#00:00:00 1 63c85e08c5af0a39595971625dd1bd82
7171104 C 3 CP 2 21/10/2019 21/10/2019 09/09/1966 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZUS AGUSTINA RATULANGI 018373 53 19400
DR PAULA M V LUMUNON,SPM 0309R0191019V003344 0002317507165 3;JKN
Patrick K.; 5.3.9.201904290125 4 82362 1#0##0#0#0.0#2019-10-23
14:50:33#0#00:00:00#00:00:00#00:00:00 1 619bce217f195b18b7c51f1ded279372
7171104 C 3 CP 2 21/10/2019 21/10/2019 10/05/1949 0 2
1 Z09.8;H44.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BARNETJE ROTTIE 050301 70 25731 DR
SALAM SURBAKTI,SPM 0309R0191019V003342 0000137211311 3;JKN Patrick K.;
5.3.9.201904290125 4 82363 1#0##0#0#0.0#2019-10-23
14:51:28#0#00:00:00#00:00:00#00:00:00 1 cd3b9d0b378ebe328c41dd12a6c3575e
7171104 C 3 CP 2 21/10/2019 21/10/2019 05/03/1952 0 1
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUDIN LASALE 011758 67 24701 DR
SALAM SURBAKTI,SPM 0309R0191019V003341 0000910253182 3;JKN Patrick K.;
5.3.9.201904290125 4 82364 1#0##0#0#0.0#2019-10-23
14:52:23#0#00:00:00#00:00:00#00:00:00 1 33ed6dbd70f99864f8909a733ac7088d
7171104 C 3 CP 2 21/10/2019 21/10/2019 27/07/1961 0 1
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JHONY PAAT 032763 58 21270 DR SAUL
RAPAR,SPM 0309R0191019V003339 0000137263252 3;JKN Patrick K.;
5.3.9.201904290125 4 82365 1#0##0#0#0.0#2019-10-23
14:54:09#0#00:00:00#00:00:00#00:00:00 2 9d0783fc13d6ce4583eaf4fcbb1b2f88
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/02/1950 0 2
1 Z09.8;H43.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SALMA IBRAHIM 051954 69 25464 DR
SALAM SURBAKTI,SPM 0309R0191019V003337 0000908960591 3;JKN Patrick K.;
5.3.9.201904290125 4 82366 1#0##0#0#0.0#2019-10-23
14:54:42#0#00:00:00#00:00:00#00:00:00 1 796c2366a8e9bc5fc84402ec8461a7fd
7171104 C 3 CP 2 21/10/2019 21/10/2019 05/03/1964 0 1
1 H43.3 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HOTMATUA SITOMPUL 052679 55 20318 DR SALAM
SURBAKTI,SPM 0309R0191019V003336 0001327836227 3;JKN Patrick K.;
5.3.9.201904290125 4 82367 1#0##0#0#0.0#2019-10-23
14:55:49#0#00:00:00#00:00:00#00:00:00 1 fe8e20b0d45b81d8fe2a849a9798e746
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/11/1942 0 2
1 Z09.8;H11.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNECE SALINDEHO 052389 76 28113 DR
SAUL RAPAR,SPM 0309R0191019V003334 0000908601063 3;JKN Patrick K.;
5.3.9.201904290125 4 82368 1#0##0#0#0.0#2019-10-23
14:56:38#0#00:00:00#00:00:00#00:00:00 1 842511989bd52fd68ccdafdece734984
7171104 C 3 CP 2 21/10/2019 21/10/2019 11/01/2016 0 1
1 Z09.8;H16.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUNIOR YEHESKIEL KASILINSINA 052431 3
1379 DR SAUL RAPAR,SPM 0309R0191019V003331 0002388012153 3;JKN
Patrick K.; 5.3.9.201904290125 4 82369 1#0##0#0#0.0#2019-10-23
14:59:52#0#00:00:00#00:00:00#00:00:00 1 a421366e330684c4bee21a6a0dc9124c
7171104 C 3 CP 2 21/10/2019 21/10/2019 03/03/1937 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WEMPIE WAGEY 020732 82 30182 DR
PAULA M V LUMUNON,SPM 0309R0191019V003329 0001479978999 3;JKN Patrick K.;
5.3.9.201904290125 4 82370 1#0##0#0#0.0#2019-10-23
15:00:44#0#00:00:00#00:00:00#00:00:00 1 a60b2fa34bcb30dd727ce5ab9bfba868
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/03/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NELLY ANTE 052573 77 28358 DR RALF
PANGALILA,SPM 0309R0191019V003328 0001066986033 3;JKN Patrick K.;
5.3.9.201904290125 4 82371 1#0##0#0#0.0#2019-10-23
15:01:35#0#00:00:00#00:00:00#00:00:00 1 8467f6f17bafa4bfcb828eb2e3a211c2
7171104 C 3 CP 2 21/10/2019 21/10/2019 27/10/1941 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KUIFA NENDER 050655 77 28483 DR SAUL
RAPAR,SPM 0309R0191019V003327 0001569356144 3;JKN Patrick K.;
5.3.9.201904290125 4 82372 1#0##0#0#0.0#2019-10-23
15:02:21#0#00:00:00#00:00:00#00:00:00 1 893c3480087379d89b92f8befbf1e2cd
7171104 C 3 CP 2 21/10/2019 21/10/2019 28/04/1944 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEITJE RORING 052680 75 27569 DR PAULA M V
LUMUNON,SPM 0309R0191019V003326 0001479978786 3;JKN Patrick K.;
5.3.9.201904290125 4 82373 1#0##0#0#0.0#2019-10-23
15:03:32#0#00:00:00#00:00:00#00:00:00 1 5ec8c05deda208ac59e774bf6f9ccf70
7171104 C 3 CP 2 21/10/2019 21/10/2019 06/08/1971 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SISKA LUAS 052394 48 17608 DR SAUL RAPAR,SPM
0309R0191019V003325 0002891040614 3;JKN Patrick K.; 5.3.9.201904290125
4 82374 1#0##0#0#0.0#2019-10-23 15:04:13#0#00:00:00#00:00:00#00:00:00
1 6f9475806d947877e83c676d7793537b
7171104 C 3 CP 2 21/10/2019 21/10/2019 22/08/1985 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RINA ANGELINA TAMBARIKI 052678 34 12478 DR
RALF PANGALILA,SPM 0309R0191019V003324 0001474580013 3;JKN Patrick K.;
5.3.9.201904290125 4 82375 1#0##0#0#0.0#2019-10-23
15:05:07#0#00:00:00#00:00:00#00:00:00 1 e0a2f87071f1e82bca746d79f7efde01
7171104 C 3 CP 2 21/10/2019 21/10/2019 28/02/1942 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FERDINAND KALALO NAY 050656 77 28359 DR
SALAM SURBAKTI,SPM 0309R0191019V003323 0001569356133 3;JKN Patrick K.;
5.3.9.201904290125 4 82376 1#0##0#0#0.0#2019-10-23
15:05:51#0#00:00:00#00:00:00#00:00:00 1 663f3d6d2e403cb9505dbb6a027496f1
7171104 C 3 CP 2 21/10/2019 21/10/2019 23/03/1975 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARLINCE K TENGKUE 052289 44 16283 DR
PAULA M V LUMUNON,SPM 0309R0191019V003322 0002043227261 3;JKN Patrick K.;
5.3.9.201904290125 4 82377 1#0##0#0#0.0#2019-10-23
15:06:39#0#00:00:00#00:00:00#00:00:00 1 0732f4b99bf5f65e05da723245fbda8b
7171104 C 3 CP 2 21/10/2019 21/10/2019 19/12/1952 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MEISKE RORING 052677 66 24412 DR PAULA M V
LUMUNON,SPM 0309R0191019V003321 0001468455208 3;JKN Patrick K.;
5.3.9.201904290125 4 82378 1#0##0#0#0.0#2019-10-23
15:07:56#0#00:00:00#00:00:00#00:00:00 1 de213130a7c97ead2a5da61d849be8ce
7171104 C 3 CP 2 21/10/2019 21/10/2019 08/02/1951 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 M. D. NELWAN 051800 68 25092 DR
RALF PANGALILA,SPM 0309R0191019V003320 0000205797734 3;JKN Patrick K.;
5.3.9.201904290125 4 82379 1#0##0#0#0.0#2019-10-23
15:08:50#0#00:00:00#00:00:00#00:00:00 1 f3fe4059330ffa99c7619a9a1ecfe293
7171104 C 3 CP 2 21/10/2019 21/10/2019 07/11/1952 0 1
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUDI RORONG 036130 66 24454 DR PAULA M V
LUMUNON,SPM 0309R0191019V003318 0002260136261 3;JKN Patrick K.;
5.3.9.201904290125 4 82381 1#0##0#0#0.0#2019-10-23
15:14:20#0#00:00:00#00:00:00#00:00:00 1 8abd7fc498a97ff91b7497d2cf777d71
7171104 C 3 CP 2 21/10/2019 21/10/2019 22/06/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FREDRIK LUMEMPOUW 050809 73 26784 DR SALAM
SURBAKTI,SPM 0309R0191019V003317 0001569906628 3;JKN Patrick K.;
5.3.9.201904290125 4 82382 1#0##0#0#0.0#2019-10-23
15:15:02#0#00:00:00#00:00:00#00:00:00 1 e38aafe7b23198b180d5850f6caad1de
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/01/1947 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BERNAD GINGGIRAN 052145 72 26591 DR RALF
PANGALILA,SPM 0309R0191019V003316 0000906800354 3;JKN Patrick K.;
5.3.9.201904290125 4 82383 1#0##0#0#0.0#2019-10-23
15:16:13#0#00:00:00#00:00:00#00:00:00 1 82af6de785b4c8eb7be7040a46086a4f
7171104 C 3 CP 2 21/10/2019 21/10/2019 04/03/1996 0 2
1 Z09.8;H16.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NAJLA SALSABILA NISRINA 050741 23 8631
DR SALAM SURBAKTI,SPM 0309R0191019V003315 0001551884591 3;JKN
Patrick K.; 5.3.9.201904290125 4 82384 1#0##0#0#0.0#2019-10-23
15:18:08#0#00:00:00#00:00:00#00:00:00 1 0f47f13551e91ac6fd380bed88477437
7171104 C 3 CP 2 21/10/2019 21/10/2019 11/06/1998 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FAZRIL AMIRULLAH CANON 052675 21 7802 DR
PAULA M V LUMUNON,SPM 0309R0191019V003313 0001853019055 3;JKN Patrick K.;
5.3.9.201904290125 4 82385 1#0##0#0#0.0#2019-10-23
15:19:15#0#00:00:00#00:00:00#00:00:00 1 c570fa3296cd22d3191d9828a5b5218f
7171104 C 3 CP 2 21/10/2019 21/10/2019 12/01/1964 0 2
1 H52.2;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SARKIA SAMU 052674 55 20371 DR SAUL
RAPAR,SPM 0309R0191019V003312 0001853018019 3;JKN Patrick K.;
5.3.9.201904290125 4 82386 1#0##0#0#0.0#2019-10-23
15:20:17#0#00:00:00#00:00:00#00:00:00 1 eb3da049e25c74e668cd77f0c610c4a3
7171104 C 3 CP 2 21/10/2019 21/10/2019 06/07/1966 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SONITA J. KUMENTAS 052673 53 19465
DR SALAM SURBAKTI,SPM 0309R0191019V003311 0000199545647 3;JKN
Patrick K.; 5.3.9.201904290125 4 82387 1#0##0#0#0.0#2019-10-23
15:21:10#0#00:00:00#00:00:00#00:00:00 1 a4714f722aaacc6c6b2a69a41f632d18
7171104 C 3 CP 2 21/10/2019 21/10/2019 28/09/1956 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FRETS S BUJUNG 010385 63 23033 DR SAUL
RAPAR,SPM 0309R0191019V003310 0000139014459 3;JKN Patrick K.;
5.3.9.201904290125 4 82388 1#0##0#0#0.0#2019-10-23
15:22:01#0#00:00:00#00:00:00#00:00:00 1 1e468ed43a3ea5bdc073b1ac00671c30
7171104 C 3 CP 2 21/10/2019 21/10/2019 24/08/1975 0 1
1 Z09.8;H47.2;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROMI MAIGHEL LONDAH 043820 44 16129
DR SALAM SURBAKTI,SPM 0309R0191019V003308 0001569930322 3;JKN
Patrick K.; 5.3.9.201904290125 4 82389 1#0##0#0#0.0#2019-10-23
15:22:47#0#00:00:00#00:00:00#00:00:00 1 c6e7cdfc16fb8fff9431878c1c74a83e
7171104 C 3 CP 2 21/10/2019 21/10/2019 22/01/1966 0 1
1 Z09.8;H33.0;H43.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROBBIE PANGKEREGO 031911 53 19630 DR
SALAM SURBAKTI,SPM 0309R0191019V003306 0000040142733 3;JKN Patrick K.;
5.3.9.201904290125 4 82390 1#0##0#0#0.0#2019-10-23
15:23:53#0#00:00:00#00:00:00#00:00:00 1 bf61b586f3eb9bb0c7f2246e51cdd90d
7171104 C 3 CP 2 21/10/2019 21/10/2019 27/11/1947 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LEXI RUNTUWAROW 052440 71 26261 DR SAUL
RAPAR,SPM 0309R0191019V003304 0001300312168 3;JKN Patrick K.;
5.3.9.201904290125 4 82392 1#0##0#0#0.0#2019-10-23
15:28:57#0#00:00:00#00:00:00#00:00:00 1 202a5869c54c42ee1cb649b9c813ba87
7171104 C 3 CP 2 21/10/2019 21/10/2019 10/10/1959 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JURA OLII 051566 60 21926 DR SAUL RAPAR,SPM
0309R0191019V003301 0002312297008 3;JKN Patrick K.; 5.3.9.201904290125
4 82393 1#0##0#0#0.0#2019-10-23 15:29:31#0#00:00:00#00:00:00#00:00:00
1 4bc3d2513ed9b6639c902d3dcd44710e
7171104 C 3 CP 2 21/10/2019 21/10/2019 09/09/1974 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 STEVI BERHANDUS 052669 45 16478 DR SALAM
SURBAKTI,SPM 0309R0191019V003299 0002388366246 3;JKN Patrick K.;
5.3.9.201904290125 4 82394 1#0##0#0#0.0#2019-10-23
15:30:30#0#00:00:00#00:00:00#00:00:00 1 c331df69b7a5195644239af43cf338ce
7171104 C 3 CP 2 21/10/2019 21/10/2019 25/07/1966 0 2
1 H47.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIANA TAMPI 052670 53 19446 DR SALAM
SURBAKTI,SPM 0309R0191019V003298 0001066842472 3;JKN Patrick K.;
5.3.9.201904290125 4 82395 1#0##0#0#0.0#2019-10-23
15:31:37#0#00:00:00#00:00:00#00:00:00 1 3db46e03c522eded953c828887d49a40
7171104 C 3 CP 2 21/10/2019 21/10/2019 05/10/1955 0 1
1 Z09.8;H40.1;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SAKEO ADITIRTA 000081 64 23392 DR
PAULA M V LUMUNON,SPM 0309R0191019V003297 0001290837161 3;JKN Patrick K.;
5.3.9.201904290125 4 82396 1#0##0#0#0.0#2019-10-23
15:32:38#0#00:00:00#00:00:00#00:00:00 2 99b89389b85fd223afdead48212f1549
7171104 C 3 CP 2 21/10/2019 21/10/2019 27/02/1952 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 THEOPILUS PAREDA 052668 67 24708 DR RALF
PANGALILA,SPM 0309R0191019V003296 0002286534868 3;JKN Patrick K.;
5.3.9.201904290125 4 82397 1#0##0#0#0.0#2019-10-23
15:33:32#0#00:00:00#00:00:00#00:00:00 1 169773b83e9ac42122c99ebe5f3b9cf7
7171104 C 3 CP 2 21/10/2019 21/10/2019 11/12/1971 0 2
1 H52.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PAULINA MAGDALENA PELEALU 052667 47
17481 DR SAUL RAPAR,SPM 0309R0191019V003293 0002388778852 3;JKN
Patrick K.; 5.3.9.201904290125 4 82398 1#0##0#0#0.0#2019-10-23
15:34:40#0#00:00:00#00:00:00#00:00:00 1 ebbe70c9becadedbbb6a010663583240
7171104 C 3 CP 2 21/10/2019 21/10/2019 12/08/1949 0 1
1 Z09.8;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUSTUS M.KAWATU 048546 70 25637 DR
PAULA M V LUMUNON,SPM 0309R0191019V003292 0000137835437 3;JKN Patrick K.;
5.3.9.201904290125 4 82399 1#0##0#0#0.0#2019-10-23
15:35:59#0#00:00:00#00:00:00#00:00:00 1 2dc5c90b5f7658f6115d0066549eb46c
7171104 C 3 CP 2 21/10/2019 21/10/2019 03/11/1966 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ERIKA HUTABARAT 052666 52 19345 DR
PAULA M V LUMUNON,SPM 0309R0191019V003291 0000137742568 3;JKN Patrick K.;
5.3.9.201904290125 4 82400 1#0##0#0#0.0#2019-10-23
15:37:04#0#00:00:00#00:00:00#00:00:00 1 b04eb27c402ae09623dd0e0d5312582b
7171104 C 3 CP 2 21/10/2019 21/10/2019 10/02/1967 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROSA LARINTI 052665 52 19246 DR
RALF PANGALILA,SPM 0309R0191019V003289 0000148727968 3;JKN Patrick K.;
5.3.9.201904290125 4 82401 1#0##0#0#0.0#2019-10-23
15:38:11#0#00:00:00#00:00:00#00:00:00 1 dd4525cc32f95312952e48cd96bef451
7171104 C 3 CP 2 21/10/2019 21/10/2019 29/09/1951 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIANA KALANGI 052648 68 24859 DR SAUL
RAPAR,SPM 0309R0191019V003288 0000137247816 3;JKN Patrick K.;
5.3.9.201904290125 4 82402 1#0##0#0#0.0#2019-10-23
15:39:13#0#00:00:00#00:00:00#00:00:00 1 6294c66457d499cbafae63c73182ab1c
7171104 C 3 CP 2 21/10/2019 21/10/2019 03/02/1945 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RONNY F. KARWUR 052664 74 27288 DR SAUL
RAPAR,SPM 0309R0191019V003286 0000908147711 3;JKN Patrick K.;
5.3.9.201904290125 4 82403 1#0##0#0#0.0#2019-10-23
15:40:16#0#00:00:00#00:00:00#00:00:00 1 4fa5a7993aaf32434f47c5870c2b148d
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/05/1948 0 2
1 Z09.8;H25.1;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NURSIA PAULUS 051987 71 26105 DR
SAUL RAPAR,SPM 0309R0191019V003285 0000911619955 3;JKN Patrick K.;
5.3.9.201904290125 4 82404 1#0##0#0#0.0#2019-10-23
15:40:58#0#00:00:00#00:00:00#00:00:00 1 475115e27ece96be61743892593b5880
7171104 C 3 CP 2 21/10/2019 21/10/2019 11/04/1966 0 1
1 H40.2;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HOSEA MANASE MANUHO 052663 53 19551
DR PAULA M V LUMUNON,SPM 0309R0191019V003284 0000037632846 3;JKN
Patrick K.; 5.3.9.201904290125 4 82405 1#0##0#0#0.0#2019-10-23
15:42:02#0#00:00:00#00:00:00#00:00:00 1 422c8aaccc43a9fd49d8a9fefdb2d276
7171104 C 3 CP 2 21/10/2019 21/10/2019 24/03/1974 0 1
1 T15.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RELLY PANGKEY 052686 45 16647 DR RALF
PANGALILA,SPM 0309R0191019V003380 0002467202185 3;JKN Vian02;
5.3.9.201904290125 4 82097 1#0##0#0#0.0#2019-10-25
10:03:38#0#00:00:00#00:00:00#00:00:00 1 76a08cc4b3c182be7bf343cb3cd7dfb3
7171104 C 3 CP 2 21/10/2019 21/10/2019 18/10/1971 0 2
1 H04.3 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FATMA RADJAK 052676 48 17535 DR SAUL
RAPAR,SPM 0309R0191019V003305 0002203561438 3;JKN Patrick K.;
5.3.9.201904290125 4 82391 1#0##0#0#0.0#2019-10-30
13:54:46#0#00:00:00#00:00:00#00:00:00 1 87a09f3ad04dcf9788df36e1c9ed5bee
7171104 C 3 CP 2 21/10/2019 21/10/2019 10/02/1935 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 FRANSIN WALALANGI 035977 84 30934
DR PAULA M V LUMUNON,SPM 0309R0191019V003302 0000137988055 3;JKN
Boni04; 5.3.9.201904290125 4 84077 1#0##0#0#0.0#2019-11-04
14:15:29#0#00:00:00#00:00:00#00:00:00 1 b9cbf0f3a2c6019c27c67c82c55d19be
7171104 C 3 CP 2 21/10/2019 21/10/2019 05/04/1948 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 JOPPY PINONTOAN 052571 71 26131 DR
PAULA M V LUMUNON,SPM 0309R0191019V003300 0002484880773 3;JKN Boni04;
5.3.9.201904290125 4 84078 1#0##0#0#0.0#2019-11-04
14:17:04#0#00:00:00#00:00:00#00:00:00 1 10913c69c23a01fb00c67116e47973c4
7171104 C 3 CP 2 21/10/2019 21/10/2019 07/02/1942 0 1
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 ARNOLD KAUNANG 025182 77 28380 DR RALF
PANGALILA,SPM 0309R0191019V003363 0001389841222 3;JKN Boni04;
5.3.9.201904290125 4 84079 1#0##0#0#0.0#2019-11-04
14:18:14#0#00:00:00#00:00:00#00:00:00 1 c9c56ed12a2710e6bd3945c1fd6aa603
7171104 C 3 CP 2 21/10/2019 21/10/2019 10/03/1945 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 MARIA RUNTUWAROUW 017220 74 27253 DR RALF
PANGALILA,SPM 0309R0191019V003371 0000138194381 3;JKN Boni04;
5.3.9.201904290125 4 84080 1#0##0#0#0.0#2019-11-04
14:20:32#0#00:00:00#00:00:00#00:00:00 1 a2ae79f238e7c6cb1e3c713db210db50
7171104 C 3 CP 2 21/10/2019 21/10/2019 08/12/1952 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 HENNY SUMIGAR 052687 66 24423 DR SALAM
SURBAKTI,SPM 0309R0191019V003384 0002612822916 3;JKN Boni04;
5.3.9.201904290125 4 84081 1#0##0#0#0.0#2019-11-04
14:21:43#0#00:00:00#00:00:00#00:00:00 1 a9f5d8012b37cd20da1a1a329ade3273
7171104 C 3 CP 2 21/10/2019 21/10/2019 08/04/1955 0 2
1 H35.2 14.34 - - None None None None H-2-37-0 None None
None None None None PROSEDUR PHOTOKOAGULASI DAN KRIOTHERAPI PADA RETINA
775400 0 0 - 0 - 0 - 0 - 0 775400
370400 0 1 0 0 0 LENTJI MAGDALENA LONTOH P NY 024230
64 23572 DR SALAM SURBAKTI,SPM 0309R0191019V003236 0000138356223
3;JKN Boni04; 5.3.9.201904290125 4 84082 1#0##0#0#0.0#2019-11-04
14:23:04#0#00:00:00#00:00:00#00:00:00 1 849c047156aa56a707193647c901589d
7171104 C 3 CP 2 21/10/2019 21/10/2019 13/11/1957 0 2
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 VERA NELLY ROMPAS 051782 61 22622 DR
SALAM SURBAKTI,SPM 0309R0191019V003386 0001787799407 3;JKN Boni04;
5.3.9.201904290125 4 84083 1#0##0#0#0.0#2019-11-04
14:29:34#0#00:00:00#00:00:00#00:00:00 1 5ee5279453466e4b8bcebc246aed1931
7171104 C 3 CP 2 21/10/2019 21/10/2019 16/03/1961 0 2
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 MARIE ROMPAS 021013 58 21403 DR
SALAM SURBAKTI,SPM 0309R0191019V003220 0002215022095 3;JKN Boni04;
5.3.9.201904290125 4 84084 1#0##0#0#0.0#2019-11-04
14:30:52#0#00:00:00#00:00:00#00:00:00 1 634dde2b8b32116ae8a530c0ee73f0d3
7171104 C 3 CP 2 21/10/2019 21/10/2019 24/02/1975 0 2
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 STEPHANI VERONICA MARLINA TAROREH 045414
44 16310 DR SALAM SURBAKTI,SPM 0309R0191019V003396 0000169379943
3;JKN Boni04; 5.3.9.201904290125 4 84085 1#0##0#0#0.0#2019-11-04
14:32:21#0#00:00:00#00:00:00#00:00:00 1 b6f6692e68fc9ea6cdec9ef40551776b
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/06/1948 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FATIMUS YUDAS
052233 71 26074 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003274
0000908226606 3;JKN Boni04; 5.3.9.201904290125 4 84086
1#0##0#0#0.0#2019-11-04 14:36:30#0#00:00:00#00:00:00#00:00:00 1
0ff08c7c741e8c2aeed0d33bbfb9df6d
7171104 C 3 CP 2 21/10/2019 21/10/2019 10/08/1953 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ANATJE BAWINTIL
052308 66 24178 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003287
0002390979003 3;JKN Boni04; 5.3.9.201904290125 4 84087
1#0##0#0#0.0#2019-11-04 14:37:29#0#00:00:00#00:00:00#00:00:00 1
ad12ced5ba3961b65c22b3a62b40dd2c
7171104 C 3 CP 2 21/10/2019 21/10/2019 11/06/1950 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHAN SANGGELORANG
051708 69 25334 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003248
0001604411076 3;JKN Boni04; 5.3.9.201904290125 4 84088
1#0##0#0#0.0#2019-11-04 14:39:39#0#00:00:00#00:00:00#00:00:00 1
8e3b7cde65b11c26e999f039818ad4e4
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/10/1966 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FREDY RUATA 052270
53 19378 DR.MELISA RATAG,SPM 0309R0191019V003294 0000908136641
3;JKN Boni04; 5.3.9.201904290125 4 84089 1#0##0#0#0.0#2019-11-04
14:41:33#0#00:00:00#00:00:00#00:00:00 1 d0710d04d3a1b8bfc344ab2bed5fe107
7171104 C 3 CP 2 21/10/2019 21/10/2019 06/09/1964 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SEPMING SUMENDA
030125 55 20133 DR.MELISA RATAG,SPM 0309R0191019V003352
0001250247442 3;JKN Boni04; 5.3.9.201904290125 4 84090
1#0##0#0#0.0#2019-11-04 14:44:06#0#00:00:00#00:00:00#00:00:00 1
da6486a8ef18e52f6bc1b17a173ef5b2
7171104 C 3 CP 2 21/10/2019 21/10/2019 05/11/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LITJE E.
SAMBENTHIRO 048668 66 24456 DR.MELISA RATAG,SPM 0309R0191019V003400
0000137078965 3;JKN Boni04; 5.3.9.201904290125 4 84091
1#0##0#0#0.0#2019-11-04 14:44:45#0#00:00:00#00:00:00#00:00:00 1
b57c901f741154321f82f892369e1a5e
7171104 C 3 CP 2 21/10/2019 21/10/2019 06/06/1961 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LEXI WENAS 052507
58 21321 DR.MELISA RATAG,SPM 0309R0191019V003216 0002896185249
3;JKN Boni04; 5.3.9.201904290125 4 84092 1#0##0#0#0.0#2019-11-04
14:47:47#0#00:00:00#00:00:00#00:00:00 1 122ad1d35002b70f6d2bf2285a306386
7171104 C 3 CP 2 21/10/2019 21/10/2019 06/03/1950 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 AMELIA TANGKOME
052225 69 25431 DR.MELISA RATAG,SPM 0309R0191019V003229
0001831553043 3;JKN Boni04; 5.3.9.201904290125 4 84093
1#0##0#0#0.0#2019-11-04 14:49:42#0#00:00:00#00:00:00#00:00:00 1
e2486d5906ece93798e4412083c68c93
7171104 C 3 CP 2 21/10/2019 21/10/2019 23/07/1971 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SITI HALIMA 052560
48 17622 DR.MELISA RATAG,SPM 0309R0191019V003221 0002389303001
3;JKN Boni04; 5.3.9.201904290125 4 84094 1#0##0#0#0.0#2019-11-04
14:51:28#0#00:00:00#00:00:00#00:00:00 1 17f3e439029ebe2739eb40e71f8bee41
7171104 C 3 CP 2 21/10/2019 21/10/2019 04/03/1958 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JERNIS MAABUAT
052182 61 22511 DR.MELISA RATAG,SPM 0309R0191019V003242
0000159480742 3;JKN Boni04; 5.3.9.201904290125 4 84095
1#0##0#0#0.0#2019-11-04 14:52:22#0#00:00:00#00:00:00#00:00:00 1
55323a39a38c3f9c1acebb7043d89818
7171104 C 3 CP 2 21/10/2019 21/10/2019 25/06/1960 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JUSTIEN KARUNGU
052011 59 21667 DR.MELISA RATAG,SPM 0309R0191019V003295
0001791034749 3;JKN Boni04; 5.3.9.201904290125 4 84096
1#0##0#0#0.0#2019-11-04 14:53:41#0#00:00:00#00:00:00#00:00:00 1
54f34225116d91d95dc1f82ea318c6ce
7171104 C 3 CP 2 21/10/2019 21/10/2019 20/03/1958 0 1
1 H27.1;Z96.1 13.72 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 DRS. CORNELES MULUWERE 052557 61 22495
DR DYANA T.WATANIA,SPM 0309R0191019V003268 0000024263651 3;JKN
Boni04; 5.3.9.201904290125 4 84097 1#0##0#0#0.0#2019-11-04
14:57:23#0#00:00:00#00:00:00#00:00:00 1 be6386e90edc2721abfe70fde0123776
7171104 C 3 CP 2 21/10/2019 21/10/2019 17/08/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 RAM MONOARFA
052525 67 24536 DR DYANA T.WATANIA,SPM 0309R0191019V003307
0002321490251 3;JKN Boni04; 5.3.9.201904290125 4 84098
1#0##0#0#0.0#2019-11-04 14:58:06#0#00:00:00#00:00:00#00:00:00 1
402c8b177121c6105c546e897ab84b74
7171104 C 3 CP 2 21/10/2019 21/10/2019 15/02/2000 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 RIVALDO EFRAIM
UHING 041360 19 7188 DR DYANA T.WATANIA,SPM 0309R0191019V003217
0001968496492 3;JKN Boni04; 5.3.9.201904290125 4 84099
1#0##0#0#0.0#2019-11-04 14:59:06#0#00:00:00#00:00:00#00:00:00 1
1e32e82edd0f6466afbc7dd8cbe7d040
7171104 C 3 CP 2 21/10/2019 21/10/2019 14/09/1964 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SIANE KAWENGIAN
033982 55 20125 DR DYANA T.WATANIA,SPM 0309R0191019V003264
0000139224036 3;JKN Boni04; 5.3.9.201904290125 4 84100
1#0##0#0#0.0#2019-11-04 15:00:01#0#00:00:00#00:00:00#00:00:00 1
dea3f72dca01178d57e21d6a312a5d20
7171104 C 3 CP 2 21/10/2019 21/10/2019 27/09/1950 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HOPNY TORAR 029404
69 25226 DR DYANA T.WATANIA,SPM 0309R0191019V003273 0001966570683
3;JKN Boni04; 5.3.9.201904290125 4 84101 1#0##0#0#0.0#2019-11-04
15:00:39#0#00:00:00#00:00:00#00:00:00 1 519cda049173a434cdad6a3d66c1334a
7171104 C 3 CP 2 21/10/2019 21/10/2019 29/04/1944 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LAURINA B. MARAMIS
052572 75 27568 DR DYANA T.WATANIA,SPM 0309R0191019V003309
0001826618286 3;JKN Boni04; 5.3.9.201904290125 4 84102
1#0##0#0#0.0#2019-11-04 15:01:21#0#00:00:00#00:00:00#00:00:00 1
c5879465c03ec4e09a7befa6cb86be1f
7171104 C 3 CP 2 21/10/2019 21/10/2019 18/07/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HELLY H. LENGKONG
052659 71 26027 DR YULIANA HARTONO,SPM 0309R0191019V003280
0001794885816 3;JKN Boni04; 5.3.9.201904290125 4 84103
1#0##0#0#0.0#2019-11-04 15:02:36#0#00:00:00#00:00:00#00:00:00 1
d232415145b9f2d11945db3bde4c1ed7
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/01/1957 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 BERNI TATUNDUGE
052660 62 22938 DR YULIANA HARTONO,SPM 0309R0191019V003281
0000909315088 3;JKN Boni04; 5.3.9.201904290125 4 84104
1#0##0#0#0.0#2019-11-04 15:05:35#0#00:00:00#00:00:00#00:00:00 1
342861fd60c546767170c72da79df63b
7171104 C 3 CP 2 21/10/2019 21/10/2019 19/07/1956 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHNY TUMEWAN
052646 63 23104 DR YULIANA HARTONO,SPM 0309R0191019V003214
0000137748791 3;JKN Boni04; 5.3.9.201904290125 4 84105
1#0##0#0#0.0#2019-11-04 15:09:39#0#00:00:00#00:00:00#00:00:00 1
06f8264abc0960cdd18b2359d77fc288
7171104 C 3 CP 2 21/10/2019 21/10/2019 30/10/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ENGELIN RONDONUWU
052657 66 24462 DR YULIANA HARTONO,SPM 0309R0191019V003276
0001793525354 3;JKN Boni04; 5.3.9.201904290125 4 84133
1#0##0#0#0.0#2019-11-05 09:47:15#0#00:00:00#00:00:00#00:00:00 1
d739b9cdb321c78f7957aa7c77f4af4f
7171104 C 3 CP 2 21/10/2019 21/10/2019 27/02/1952 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOUKE JOHAN
LANTANG 052658 67 24708 DR YULIANA HARTONO,SPM 0309R0191019V003278
0001793524814 3;JKN Boni04; 5.3.9.201904290125 4 84132
1#0##0#0#0.0#2019-11-05 09:47:56#0#00:00:00#00:00:00#00:00:00 1
ab45d2d38fd538843e7e48bcdd81bdf4
7171104 C 3 CP 2 21/10/2019 21/10/2019 01/10/1979 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 OLINDA SOLUNG
052591 40 14630 DR YULIANA HARTONO,SPM 0309R0191019V003335
0000905015992 3;JKN Boni04; 5.3.9.201904290125 4 84135
1#0##0#0#0.0#2019-11-05 09:49:00#0#00:00:00#00:00:00#00:00:00 1
b1f68efe03af2e5018deb5f7c964becf
7171104 C 3 CP 2 21/10/2019 21/10/2019 02/10/1958 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOUTJE O. GOSAL
039454 61 22299 DR YULIANA HARTONO,SPM 0309R0191019V003330
0000137799055 3;JKN Boni04; 5.3.9.201904290125 4 84136
1#0##0#0#0.0#2019-11-05 09:49:40#0#00:00:00#00:00:00#00:00:00 1
c184eea867495b58bfe941431a2b1b5d
7171104 C 3 CP 2 21/10/2019 21/10/2019 20/03/1937 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 WILHELMINA MAMAHIT
MOKAT 052288 82 30165 DR YULIANA HARTONO,SPM 0309R0191019V003333
0000138850817 3;JKN Boni04; 5.3.9.201904290125 4 84138
1#0##0#0#0.0#2019-11-05 09:50:36#0#00:00:00#00:00:00#00:00:00 1
6fea84eea418bf446d62395be3b4583e
7171104 C 3 CP 2 21/10/2019 21/10/2019 14/03/1953 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FERDY HERMAN
ROMBOT 034018 66 24327 DR YULIANA HARTONO,SPM 0309R0191019V003332
0001278757754 3;JKN Boni04; 5.3.9.201904290125 4 84139
1#0##0#0#0.0#2019-11-05 09:51:18#0#00:00:00#00:00:00#00:00:00 1
a031fa211d980d88d2476a0d26259ce6
7171104 C 3 CP 2 21/10/2019 21/10/2019 05/08/1946 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 IRENE KARUNDENG
012058 73 26740 DR YULIANA HARTONO,SPM 0309R0191019V003338
0000138036306 3;JKN Boni04; 5.3.9.201904290125 4 84141
1#0##0#0#0.0#2019-11-05 09:52:10#0#00:00:00#00:00:00#00:00:00 1
ae83c82bc08b7ed3d64a2877de14f454
7171104 C 3 CP 2 21/10/2019 21/10/2019 08/12/1984 0 1
1 D31.9 08.22 - - None None None None H-2-23-0 None None
None None None None PROSEDUR KECIL PADA MATA EKSTERNAL 509800 0
0 - 0 - 0 - 0 - 0 509800 3825400
0 1 0 0 0 REAGI THOSAL 052586 34 12735 DR
YULIANA HARTONO,SPM 0309R0191019V003340 0002067923316 3;JKN Boni04;
5.3.9.201904290125 4 84142 1#0##0#0#0.0#2019-11-05
09:58:48#0#00:00:00#00:00:00#00:00:00 1 ed605c4c1af98dd3ba9359c9059a0000
7171104 C 3 CP 2 21/10/2019 21/10/2019 29/03/1968 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YULIANA TAMARA 051673 51 18833 DR RALF
PANGALILA,SPM 0309R0191019V003319 0001567891146 3;JKN Patrick K.;
5.3.9.201904290125 4 82380 1#0##0#0#0.0#2019-11-05
16:10:10#0#00:00:00#00:00:00#00:00:00 2 ba784637a7dbb903708b3437111ddd3e
7171104 C 3 CP 2 22/10/2019 22/10/2019 14/06/1953 0 2
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RINNE FIECE LASUT 047358 66 24236 DR
RALF PANGALILA,SPM 0309R0191019V003615 0000977187598 3;JKN Vian02;
5.3.9.201904290125 4 82174 1#0##0#0#0.0#2019-10-23
11:06:21#0#00:00:00#00:00:00#00:00:00 1 7f23968400a568b239f71adbf6d95c83
7171104 C 3 CP 2 22/10/2019 22/10/2019 23/03/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SERVI SENDUK 051262 69 25415 DR RALF
PANGALILA,SPM 0309R0191019V003616 0002044797164 3;JKN Vian02;
5.3.9.201904290125 4 82175 1#0##0#0#0.0#2019-10-23
11:08:03#0#00:00:00#00:00:00#00:00:00 1 0890a5afdc6075d5d727999d31bad5db
7171104 C 3 CP 2 22/10/2019 22/10/2019 19/02/1990 0 2
1 Z09.8;D23.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FAUTY FALENTINE KAUNANG 051613 29 10837
DR YULIANA HARTONO,SPM 0309R0191019V003617 0002255470705 3;JKN
Vian02; 5.3.9.201904290125 4 82176 1#0##0#0#0.0#2019-10-23
11:13:53#0#00:00:00#00:00:00#00:00:00 1 303da2d68aa5c0b9a658b6f1fa8751a4
7171104 C 3 CP 2 22/10/2019 22/10/2019 07/08/1974 0 2
1 Z09.0;H44.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LILI MAMBO 052613 45 16512 DR DYANA
T.WATANIA,SPM 0309R0191019V003618 0002322883787 3;JKN Vian02;
5.3.9.201904290125 4 82177 1#0##0#0#0.0#2019-10-23
11:16:00#0#00:00:00#00:00:00#00:00:00 1 debf156e9d6e950fad129143b576588c
7171104 C 3 CP 2 22/10/2019 22/10/2019 26/05/1934 0 2
1 H40.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTEN SIMBAWA 052246 85 31195 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003620 0001250447286 3;JKN Vian02;
5.3.9.201904290125 4 82178 1#0##0#0#0.0#2019-10-23
11:17:21#0#00:00:00#00:00:00#00:00:00 1 dc4a7644305a90069293dcdea60f2986
7171104 C 3 CP 2 22/10/2019 22/10/2019 16/05/1961 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DANIEL MAKAPELE 041181 58 21343
DR.MELISA RATAG,SPM 0309R0191019V003621 0002376375197 3;JKN
Vian02; 5.3.9.201904290125 4 82179 1#0##0#0#0.0#2019-10-23
11:18:17#0#00:00:00#00:00:00#00:00:00 1 d87b06ffbcb8b584b5378d1c273ff6ae
7171104 C 3 CP 2 22/10/2019 22/10/2019 11/09/1969 0 1
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LESLY MAMANGKEY 052736 50 18303 DR YULIANA
HARTONO,SPM 0309R0191019V003622 0001727587236 3;JKN Vian02;
5.3.9.201904290125 4 82180 1#0##0#0#0.0#2019-10-23
11:20:37#0#00:00:00#00:00:00#00:00:00 1 9b310972a2638ffeab4909c9a332e464
7171104 C 3 CP 2 22/10/2019 22/10/2019 18/07/1990 0 2
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULTRIINA PANGALO 052452 29 10688 DR
YULIANA HARTONO,SPM 0309R0191019V003623 0002039919502 3;JKN Vian02;
5.3.9.201904290125 4 82181 1#0##0#0#0.0#2019-10-23
11:24:48#0#00:00:00#00:00:00#00:00:00 1 b38558046ef0c179acd80bf8d2d52e53
7171104 C 3 CP 2 22/10/2019 22/10/2019 29/04/1940 0 1
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALBERT REPI 047239 79 29030 DR RALF
PANGALILA,SPM 0309R0191019V003625 0000138103839 3;JKN Vian02;
5.3.9.201904290125 4 82182 1#0##0#0#0.0#2019-10-23
11:26:03#0#00:00:00#00:00:00#00:00:00 1 4a119cd21d9d9ca0408d1f7c7c999e00
7171104 C 3 CP 2 22/10/2019 22/10/2019 07/03/1956 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LISYE BORANG 049135 63 23239 DR DYANA
T.WATANIA,SPM 0309R0191019V003627 0002197410107 3;JKN Vian02;
5.3.9.201904290125 4 82183 1#0##0#0#0.0#2019-10-23
11:26:48#0#00:00:00#00:00:00#00:00:00 1 5e59c6d3a2de511059347540ba4a52d5
7171104 C 3 CP 2 22/10/2019 22/10/2019 05/03/1953 0 1
1 Z09.8;H25.0;H25.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HASAN KAIRUPAN 052502 66 24337 DR
DYANA T.WATANIA,SPM 0309R0191019V003628 0002043985667 3;JKN Vian02;
5.3.9.201904290125 4 82184 1#0##0#0#0.0#2019-10-23
11:28:15#0#00:00:00#00:00:00#00:00:00 1 3064c31fddca1eb0b0f9dbbf68cfec38
7171104 C 3 CP 2 22/10/2019 22/10/2019 29/04/1974 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROSANA KUMAUNANG 052734 45 16612 DR
RALF PANGALILA,SPM 0309R0191019V003629 0001727587247 3;JKN Vian02;
5.3.9.201904290125 4 82185 1#0##0#0#0.0#2019-10-23
11:29:28#0#00:00:00#00:00:00#00:00:00 1 ab2f20f2013e6dde757e8d7b4787a246
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/09/1957 0 2
1 H52.0;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIEN TINEKE SUMENDAP 052741 62 22696
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003631 0001819476066 3;JKN
Vian02; 5.3.9.201904290125 4 82186 1#0##0#0#0.0#2019-10-23
11:30:35#0#00:00:00#00:00:00#00:00:00 1 ab13436365cbda66462d3d08b19f9b76
7171104 C 3 CP 2 22/10/2019 22/10/2019 13/04/1968 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADEL SARCE FIENTJE ROPA 052735 51 18819
DR RALF PANGALILA,SPM 0309R0191019V003632 0001650744257 3;JKN
Vian02; 5.3.9.201904290125 4 82188 1#0##0#0#0.0#2019-10-23
11:32:40#0#00:00:00#00:00:00#00:00:00 1 6630938744e7ce3689c626d692868818
7171104 C 3 CP 2 22/10/2019 22/10/2019 06/06/1963 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SIENY HARDIYANTI LIMAN 052740 56 20592
DR DYANA T.WATANIA,SPM 0309R0191019V003633 0001468257221 3;JKN
Vian02; 5.3.9.201904290125 4 82189 1#0##0#0#0.0#2019-10-23
11:46:29#0#00:00:00#00:00:00#00:00:00 1 9f80878222a046ae6f44f57b5bca7892
7171104 C 3 CP 2 22/10/2019 22/10/2019 29/12/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANDRIAN DAVID 012348 63 23308 DR YULIANA
HARTONO,SPM 0309R0191019V003634 0001439930136 3;JKN Vian02;
5.3.9.201904290125 4 82190 1#0##0#0#0.0#2019-10-23
11:47:43#0#00:00:00#00:00:00#00:00:00 1 e9e949a74527bf487487a901049b43e6
7171104 C 3 CP 2 22/10/2019 22/10/2019 25/09/1988 0 2
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 IRMAYANTI KASADI 036739 31 11349
DR.MELISA RATAG,SPM 0309R0191019V003635 0001831935633 3;JKN
Vian02; 5.3.9.201904290125 4 82191 1#0##0#0#0.0#2019-10-23
11:48:40#0#00:00:00#00:00:00#00:00:00 1 302c5f7e932619f0da18c01dcb79ddbc
7171104 C 3 CP 2 22/10/2019 22/10/2019 22/05/1956 0 1
1 Z09.8;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TENEH MAXI W 051389 63 23163 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003636 0000137000957 3;JKN
Vian02; 5.3.9.201904290125 4 82192 1#0##0#0#0.0#2019-10-23
11:55:43#0#00:00:00#00:00:00#00:00:00 1 0890aff447c330b6be3cd3e751eec800
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/05/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MEITJE MAINDOKA 050816 66 24280 DR YULIANA
HARTONO,SPM 0309R0191019V003637 0000909411996 3;JKN Vian02;
5.3.9.201904290125 4 82193 1#0##0#0#0.0#2019-10-23
11:56:27#0#00:00:00#00:00:00#00:00:00 1 76a9f7ce5ff21d2b217302db24d693a0
7171104 C 3 CP 2 22/10/2019 22/10/2019 08/07/1934 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SOENYSON ROEDOLF THE 051901 85 31152
DR.MELISA RATAG,SPM 0309R0191019V003639 0001890906017 3;JKN
Vian02; 5.3.9.201904290125 4 82194 1#0##0#0#0.0#2019-10-23
12:04:48#0#00:00:00#00:00:00#00:00:00 1 cfc4453399b6840538287440358fade2
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/11/1959 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SAHADIA DOMUTAN 019987 59 21905 DR RALF
PANGALILA,SPM 0309R0191019V003640 0000909334462 3;JKN Vian02;
5.3.9.201904290125 4 82195 1#0##0#0#0.0#2019-10-23
12:05:36#0#00:00:00#00:00:00#00:00:00 1 31b75364c9ee7054c5f386adc4b6d186
7171104 C 3 CP 2 22/10/2019 22/10/2019 10/09/1965 0 1
1 Z09.8;H27.0;H33.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOSEPH KAMBEY 032914 54 19765 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003641 0001387385008 3;JKN
Vian02; 5.3.9.201904290125 4 82196 1#0##0#0#0.0#2019-10-23
12:06:56#0#00:00:00#00:00:00#00:00:00 1 e30f0f0da68c6abad57750f5cf103b6e
7171104 C 3 CP 2 22/10/2019 22/10/2019 04/06/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TRYFJE ROOSJE YEANETE VONNEKE KUMAAT 051697
65 23881 DR DYANA T.WATANIA,SPM 0309R0191019V003642 0000138419289
3;JKN Vian02; 5.3.9.201904290125 4 82197 1#0##0#0#0.0#2019-10-23
12:07:58#0#00:00:00#00:00:00#00:00:00 1 d0deef3657c53e852b06e8c3560931a2
7171104 C 3 CP 2 22/10/2019 22/10/2019 06/11/1988 0 1
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NINDI PUA 050979 30 11307 DR DYANA
T.WATANIA,SPM 0309R0191019V003643 0001574696777 3;JKN Vian02;
5.3.9.201904290125 4 82198 1#0##0#0#0.0#2019-10-23
12:08:47#0#00:00:00#00:00:00#00:00:00 1 7e161380a18364b0d41896114f11af48
7171104 C 3 CP 2 22/10/2019 22/10/2019 16/05/1958 0 2
1 Z09.8;H11.0;Z09.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOHANI PORMARA 052522 61 22439 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003644 0000138200275 3;JKN
Vian02; 5.3.9.201904290125 4 82199 1#0##0#0#0.0#2019-10-23
12:09:43#0#00:00:00#00:00:00#00:00:00 1 f8ca679adc0c0583379dbcdc72d0ae1f
7171104 C 3 CP 2 22/10/2019 22/10/2019 19/06/1949 0 1
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SELWIN TADETE 032871 70 25692 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003645 0001246188846 3;JKN
Vian02; 5.3.9.201904290125 4 82200 1#0##0#0#0.0#2019-10-23
12:13:17#0#00:00:00#00:00:00#00:00:00 1 f51399f93366ec610f32d9060b02ca7d
7171104 C 3 CP 2 22/10/2019 22/10/2019 13/11/1994 0 2
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SWANLY GLORIA KOJONGIAN 029471 24 9109
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003646 0002322487473 3;JKN
Vian02; 5.3.9.201904290125 4 82202 1#0##0#0#0.0#2019-10-23
12:17:01#0#00:00:00#00:00:00#00:00:00 1 d8f85cae987dceccd0fbd0461f08c5c2
7171104 C 3 CP 2 22/10/2019 22/10/2019 07/12/1958 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANEKE TAMPOMALU 048159 60 22234 DR.MELISA
RATAG,SPM 0309R0191019V003647 0000136955103 3;JKN Vian02;
5.3.9.201904290125 4 82205 1#0##0#0#0.0#2019-10-23
12:19:54#0#00:00:00#00:00:00#00:00:00 1 1f3885e552bade5428d6630668a2a144
7171104 C 3 CP 2 22/10/2019 22/10/2019 11/08/1963 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SALEH MUSA 050633 56 20526 DR YULIANA
HARTONO,SPM 0309R0191019V003648 0002236775422 3;JKN Vian02;
5.3.9.201904290125 4 82206 1#0##0#0#0.0#2019-10-23
12:20:42#0#00:00:00#00:00:00#00:00:00 1 f6a5192925bff3fea0b9e1a645584558
7171104 C 3 CP 2 22/10/2019 22/10/2019 27/09/1950 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HOPNY TORAR 029404 69 25227 DR DYANA
T.WATANIA,SPM 0309R0191019V003512 0001966570683 3;JKN linda03;
5.3.9.201904290125 4 82208 1#0##0#0#0.0#2019-10-23
12:30:38#0#00:00:00#00:00:00#00:00:00 1 0d161aba33c309e491e60188c4c7caa3
7171104 C 3 CP 2 22/10/2019 22/10/2019 19/01/1990 0 2
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YANI MAHMUD 052462 29 10868 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003511 0002241635332 3;JKN linda03;
5.3.9.201904290125 4 82213 97#0##0#0#0.0#2019-10-23
12:31:44#0#00:00:00#00:00:00#00:00:00 1 1bc8aca82adfc914f021b6e675462044
7171104 C 3 CP 2 22/10/2019 22/10/2019 27/02/1952 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOUKE JOHAN LANTANG 052658 67 24709
DR YULIANA HARTONO,SPM 0309R0191019V003510 0001793524814 3;JKN
linda03; 5.3.9.201904290125 4 82221 1#0##0#0#0.0#2019-10-23
12:41:49#0#00:00:00#00:00:00#00:00:00 1 3db76b37767b5290c2b3a71ee26cb99d
7171104 C 3 CP 2 22/10/2019 22/10/2019 30/04/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FATMA KANTOHE 051385 69 25377 DR YULIANA
HARTONO,SPM 0309R0191019V003509 0002090159098 3;JKN linda03;
5.3.9.201904290125 4 82223 1#0##0#0#0.0#2019-10-23
12:44:30#0#00:00:00#00:00:00#00:00:00 1 6633b9238092190a95525bb9eaf7c2d3
7171104 C 3 CP 2 22/10/2019 22/10/2019 30/10/1952 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ENGELIN RONDONUWU 052657 66 24463 DR
YULIANA HARTONO,SPM 0309R0191019V003508 0001793525354 3;JKN linda03;
5.3.9.201904290125 4 82224 1#0##0#0#0.0#2019-10-23
12:45:23#0#00:00:00#00:00:00#00:00:00 1 ca7ab4f95864e8994b5ad9af43446f9c
7171104 C 3 CP 2 22/10/2019 22/10/2019 10/05/1948 0 2
1 Z96.1;H59.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARIANTJE KAPOH 023615 71 26097 DR
DYANA T.WATANIA,SPM 0309R0191019V003506 0000138946342 3;JKN linda03;
5.3.9.201904290125 4 82226 1#0##0#0#0.0#2019-10-23
12:46:09#0#00:00:00#00:00:00#00:00:00 1 c41afce9498266d467f87e1fcf7f2fa8
7171104 C 3 CP 2 22/10/2019 22/10/2019 07/10/1949 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LANTANG E KOWAL 052712 70 25582 DR RALF
PANGALILA,SPM 0309R0191019V003505 0000138865364 3;JKN linda03;
5.3.9.201904290125 4 82227 1#0##0#0#0.0#2019-10-23
12:47:33#0#00:00:00#00:00:00#00:00:00 1 8a60ca7f43c90c64ca46c5025ea8d8e7
7171104 C 3 CP 2 22/10/2019 22/10/2019 17/05/1950 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIEKE PANGEMANAN 046290 69 25360
DR.MELISA RATAG,SPM 0309R0191019V003504 0001250394974 3;JKN
linda03; 5.3.9.201904290125 4 82228 1#0##0#0#0.0#2019-10-23
12:48:16#0#00:00:00#00:00:00#00:00:00 1 39373d88f09230ed6685747b3f2c2b3f
7171104 C 3 CP 2 22/10/2019 22/10/2019 18/04/1939 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DJULA DJULI MANABUNG 007822 80 29407
DR.MELISA RATAG,SPM 0309R0191019V003503 0000137997538 3;JKN
linda03; 5.3.9.201904290125 4 82230 1#0##0#0#0.0#2019-10-23
12:50:03#0#00:00:00#00:00:00#00:00:00 1 727c0f7108b0e7b581e182d5839d2ddd
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/07/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULTJE SANTI 025887 67 24584 DR DYANA
T.WATANIA,SPM 0309R0191019V003502 0000910256769 3;JKN linda03;
5.3.9.201904290125 4 82232 1#0##0#0#0.0#2019-10-23
12:50:39#0#00:00:00#00:00:00#00:00:00 1 1df3a0cc69ae6714558a0e35c1002485
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/10/1954 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HOLCE PUNGUS 052711 65 23762 DR YULIANA
HARTONO,SPM 0309R0191019V003500 0000908512402 3;JKN linda03;
5.3.9.201904290125 4 82236 1#0##0#0#0.0#2019-10-23
12:53:08#0#00:00:00#00:00:00#00:00:00 1 4e6537cf8a21a29b572e674babf5b69c
7171104 C 3 CP 2 22/10/2019 22/10/2019 06/03/1968 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LELY WAHYUNINGTYAS 051118 51 18857
DR.MELISA RATAG,SPM 0309R0191019V003497 0001100223022 3;JKN
linda03; 5.3.9.201904290125 4 82238 1#0##0#0#0.0#2019-10-23
12:54:06#0#00:00:00#00:00:00#00:00:00 1 a33f09e40dabae71d0573a7a2bf75a65
7171104 C 3 CP 2 22/10/2019 22/10/2019 17/02/2003 0 1
1 H00.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FEROLA G SUMAMPOUW 052710 16 6091
DR.MELISA RATAG,SPM 0309R0191019V003496 0001856806705 3;JKN
linda03; 5.3.9.201904290125 4 82240 1#0##0#0#0.0#2019-10-23
12:54:55#0#00:00:00#00:00:00#00:00:00 1 34682633e8506a97220394472238126d
7171104 C 3 CP 2 22/10/2019 22/10/2019 13/01/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAGDALENA HUMAMPING 050774 66 24388 DR
RALF PANGALILA,SPM 0309R0191019V003649 0001897545701 3;JKN Vian02;
5.3.9.201904290125 4 82207 1#0##0#0#0.0#2019-10-23
12:55:06#0#00:00:00#00:00:00#00:00:00 1 37c04dd5b6cdcf5d8a55930e8aced25d
7171104 C 3 CP 2 22/10/2019 22/10/2019 16/05/1957 0 2
1 Z09.8;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADOLFINA LENGKONG 052186 62 22804 DR
YULIANA HARTONO,SPM 0309R0191019V003650 0000157940144 3;JKN Vian02;
5.3.9.201904290125 4 82244 1#0##0#0#0.0#2019-10-23
12:56:33#0#00:00:00#00:00:00#00:00:00 1 48921c1475cd4ea3f2540042b1ded678
7171104 C 3 CP 2 22/10/2019 22/10/2019 20/12/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DOLIMA LAUSO 051153 61 22586 DR DYANA
T.WATANIA,SPM 0309R0191019V003495 0002444912425 3;JKN linda03;
5.3.9.201904290125 4 82242 1#0##0#0#0.0#2019-10-23
12:56:45#0#00:00:00#00:00:00#00:00:00 1 5909459e872cb254fe2049cadd0bac32
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/06/1948 0 1
1 Z09.0;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FATIMUS YUDAS 052233 71 26075 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003493 0000908226606 3;JKN
linda03; 5.3.9.201904290125 4 82246 1#0##0#0#0.0#2019-10-23
12:57:23#0#00:00:00#00:00:00#00:00:00 1 5071e8c9164665602aac53ea3e7c0903
7171104 C 3 CP 2 22/10/2019 22/10/2019 18/08/1947 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WELLEM PUNUH 052187 72 26363 DR
YULIANA HARTONO,SPM 0309R0191019V003651 0002072265401 3;JKN Vian02;
5.3.9.201904290125 4 82247 1#0##0#0#0.0#2019-10-23
12:57:35#0#00:00:00#00:00:00#00:00:00 1 bef03ffe60e65145dfe1010c8ce39e5a
7171104 C 3 CP 2 22/10/2019 22/10/2019 20/03/1958 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DRS. CORNELES MULUWERE 052557 61 22496
DR DYANA T.WATANIA,SPM 0309R0191019V003492 0000024263651 3;JKN
linda03; 5.3.9.201904290125 4 82249 1#0##0#0#0.0#2019-10-23
12:58:23#0#00:00:00#00:00:00#00:00:00 1 10e0185de3d9548b0b3ddb486dbbc01f
7171104 C 3 CP 2 22/10/2019 22/10/2019 24/11/1976 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NORMA MAGDA PONGOH 052743 42 15672
DR.MELISA RATAG,SPM 0309R0191019V003652 0002893394338 3;JKN
Vian02; 5.3.9.201904290125 4 82250 1#0##0#0#0.0#2019-10-23
12:58:33#0#00:00:00#00:00:00#00:00:00 1 0b4b1f44fdc25e2094c524d679a750b0
7171104 C 3 CP 2 22/10/2019 22/10/2019 13/08/1966 0 1
1 Z96.1;H40.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINUS MANUMPIL 022054 53 19428
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003491 0000204445168 3;JKN
linda03; 5.3.9.201904290125 4 82251 1#0##0#0#0.0#2019-10-23
13:04:10#0#00:00:00#00:00:00#00:00:00 1 67a92d9fb77bdd88224215ba8e43d2e8
7171104 C 3 CP 2 22/10/2019 22/10/2019 04/02/1948 0 2
1 Z96.1;H40.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FREDERIKA L ANGGINALOY 014662 71 26193
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003490 0000138865353 3;JKN
linda03; 5.3.9.201904290125 4 82253 1#0##0#0#0.0#2019-10-23
13:05:12#0#00:00:00#00:00:00#00:00:00 1 2d10164edea3b97c7a477a8d0c90a096
7171104 C 3 CP 2 22/10/2019 22/10/2019 06/03/1950 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AMELIA TANGKOME 052225 69 25432
DR.MELISA RATAG,SPM 0309R0191019V003489 0001831553043 3;JKN
linda03; 5.3.9.201904290125 4 82255 1#0##0#0#0.0#2019-10-23
13:07:37#0#00:00:00#00:00:00#00:00:00 1 758f39cbb291f0b22a086668038ae53f
7171104 C 3 CP 2 22/10/2019 22/10/2019 04/09/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DINTJE PANGEMANAN 046809 71 25980 DR.MELISA
RATAG,SPM 0309R0191019V003487 0000907687822 3;JKN linda03;
5.3.9.201904290125 4 82256 74#0##0#0#0.0#2019-10-23
13:09:03#0#00:00:00#00:00:00#00:00:00 1 974ff6dab2a89fdb11e69d21648653f9
7171104 C 3 CP 2 22/10/2019 22/10/2019 16/09/1996 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BRHENDA CHINTIA LUEDHIA MAWEI 052745 23 8436
DR RALF PANGALILA,SPM 0309R0191019V003653 0002388944564 3;JKN
Vian02; 5.3.9.201904290125 4 82252 1#0##0#0#0.0#2019-10-23
13:10:04#0#00:00:00#00:00:00#00:00:00 1 b6a9019df2600e991f4ea068cef92216
7171104 C 3 CP 2 22/10/2019 22/10/2019 14/10/1968 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WILLY MAWEI 052744 51 18635 DR.MELISA
RATAG,SPM 0309R0191019V003654 0002388944553 3;JKN Vian02;
5.3.9.201904290125 4 82260 1#0##0#0#0.0#2019-10-23
13:10:55#0#00:00:00#00:00:00#00:00:00 1 f5d002e3e1b1f0f259695a29f15484a9
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/02/1979 0 2
1 H18.9;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FEBRINA TARANDE 052746 40 14873 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003655 0000907969421 3;JKN
Vian02; 5.3.9.201904290125 4 82262 1#0##0#0#0.0#2019-10-23
13:12:16#0#00:00:00#00:00:00#00:00:00 1 e9e30d90479947e4aaca5ccb933aaa8f
7171104 C 3 CP 2 22/10/2019 22/10/2019 16/07/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIANA DOLANG 048362 65 23839 DR RALF
PANGALILA,SPM 0309R0191019V003657 0001848023278 3;JKN Vian02;
5.3.9.201904290125 4 82265 1#0##0#0#0.0#2019-10-23
13:13:18#0#00:00:00#00:00:00#00:00:00 1 0be96f114db561f2824fa14ed57630f3
7171104 C 3 CP 2 22/10/2019 22/10/2019 12/07/1959 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HANNY BOHANG 051804 60 22017 DR DYANA
T.WATANIA,SPM 0309R0191019V003485 0001886601486 3;JKN linda03;
5.3.9.201904290125 4 82268 1#0##0#0#0.0#2019-10-23
13:14:33#0#00:00:00#00:00:00#00:00:00 1 e784ea2b87623fb93f5d516499da256f
7171104 C 3 CP 2 22/10/2019 22/10/2019 10/09/1958 0 2
1 H52.0;H52.4;H40.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 POSUMAH EVA STIEN FRANSISCA 052747 61
22322 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003658 0000137729834
3;JKN Vian02; 5.3.9.201904290125 4 82267 1#0##0#0#0.0#2019-10-23
13:14:36#0#00:00:00#00:00:00#00:00:00 1 63b268bf47c130e1871e12a114afaf49
7171104 C 3 CP 2 22/10/2019 22/10/2019 02/10/1958 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHNY KAMARURUNG 052748 61 22300
DR.MELISA RATAG,SPM 0309R0191019V003659 0000137972002 3;JKN
Vian02; 5.3.9.201904290125 4 82270 1#0##0#0#0.0#2019-10-23
13:15:43#0#00:00:00#00:00:00#00:00:00 1 9212a9e629228020359a41cf8a5eaee3
7171104 C 3 CP 2 22/10/2019 22/10/2019 03/01/1962 0 1
1 Z96.1;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZAKIR LAKODI 052223 57 21111 DR
YULIANA HARTONO,SPM 0309R0191019V003484 0001093549206 3;JKN linda03;
5.3.9.201904290125 4 82272 1#0##0#0#0.0#2019-10-23
13:15:52#0#00:00:00#00:00:00#00:00:00 1 876f4d8ce8d57bd31be4ddf9a50fb99d
7171104 C 3 CP 2 22/10/2019 22/10/2019 18/07/1948 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HELLY H. LENGKONG 052659 71 26028 DR
YULIANA HARTONO,SPM 0309R0191019V003483 0001794885816 3;JKN linda03;
5.3.9.201904290125 4 82273 1#0##0#0#0.0#2019-10-23
13:16:39#0#00:00:00#00:00:00#00:00:00 1 c8f458ab745fa0fbfd0456565cb4fc0a
7171104 C 3 CP 2 22/10/2019 22/10/2019 08/07/1936 0 2
1 Z96.1;H02.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERTA SALINSIHI 051748 83 30421 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003482 0002776666847 3;JKN
linda03; 5.3.9.201904290125 4 82275 1#0##0#0#0.0#2019-10-23
13:17:23#0#00:00:00#00:00:00#00:00:00 1 711fb2da1453eff3ae7fcff71fed6231
7171104 C 3 CP 2 22/10/2019 22/10/2019 20/05/1968 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEBBY WALELENG 041745 51 18782 DR
DYANA T.WATANIA,SPM 0309R0191019V003660 0002463326076 3;JKN Vian02;
5.3.9.201904290125 4 82277 1#0##0#0#0.0#2019-10-23
13:18:08#0#00:00:00#00:00:00#00:00:00 1 439826d2da5d184018af0ffc55a05bac
7171104 C 3 CP 2 22/10/2019 22/10/2019 22/06/1958 0 1
1 H52.0;H52.4;H52.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ABNER KAKUNSI 030984 61 22402 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003662 0001812344163 3;JKN
Vian02; 5.3.9.201904290125 4 82280 232#0##0#0#0.0#2019-10-23
13:19:46#0#00:00:00#00:00:00#00:00:00 1 4444a541b1675cdf273342365db4817d
7171104 C 3 CP 2 22/10/2019 22/10/2019 06/11/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PATRAS ARNOLD HM 032981 66 24456 DR YULIANA
HARTONO,SPM 0309R0191019V003481 0000138195639 3;JKN linda03;
5.3.9.201904290125 4 82279 1#0##0#0#0.0#2019-10-23
13:20:25#0#00:00:00#00:00:00#00:00:00 1 fd50d51d22e8f0240b9c582d6df53c68
7171104 C 3 CP 2 22/10/2019 22/10/2019 22/07/1968 0 2
1 H52.0;H52.4;H52.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUSTISYE D. L. RAHASIA 030985 51 18719
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003663 0001812345131 3;JKN
Vian02; 5.3.9.201904290125 4 82283 1#0##0#0#0.0#2019-10-23
13:21:01#0#00:00:00#00:00:00#00:00:00 1 51597105d0e0536b03e07990b1f2dfdb
7171104 C 3 CP 2 22/10/2019 22/10/2019 09/04/1968 0 1
1 Z96.1;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADRY ABRI KOTANGON 013465 51 18823
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003664 0000137764653 3;JKN
Vian02; 5.3.9.201904290125 4 82287 1#0##0#0#0.0#2019-10-23
13:21:54#0#00:00:00#00:00:00#00:00:00 1 cb1ab9d8d6a17f17b505f1414c972853
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/01/1987 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HARIS SULEMAN 025186 32 11982 DR.MELISA
RATAG,SPM 0309R0191019V003665 0000908360065 3;JKN Vian02;
5.3.9.201904290125 4 82288 1#0##0#0#0.0#2019-10-23
13:22:56#0#00:00:00#00:00:00#00:00:00 1 f39915daded31ab3b7c13a1ba127ea91
7171104 C 3 CP 2 22/10/2019 22/10/2019 31/08/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SANONANG LAWITAN 051858 74 27080 DR YULIANA
HARTONO,SPM 0309R0191019V003479 0001604386607 3;JKN linda03;
5.3.9.201904290125 4 82285 1#0##0#0#0.0#2019-10-23
13:23:09#0#00:00:00#00:00:00#00:00:00 1 adbd1a70ced1fa4943c9eb72a11dd92b
7171104 C 3 CP 2 22/10/2019 22/10/2019 16/01/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOHANIS KATUUK 051983 66 24385 DR YULIANA
HARTONO,SPM 0309R0191019V003477 0001066870124 3;JKN linda03;
5.3.9.201904290125 4 82292 1#0##0#0#0.0#2019-10-23
13:23:55#0#00:00:00#00:00:00#00:00:00 1 6f0c7bcb222eb023643b7d2862d148e1
7171104 C 3 CP 2 22/10/2019 22/10/2019 19/09/1945 0 1
1 Z09.8;H52.1;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SONNY S NELWAN 035044 74 27061
DR.MELISA RATAG,SPM 0309R0191019V003666 0002223200698 3;JKN
Vian02; 5.3.9.201904290125 4 82291 1#0##0#0#0.0#2019-10-23
13:24:06#0#00:00:00#00:00:00#00:00:00 1 333ac28fdfa825d948aba5f0fcdf6859
7171104 C 3 CP 2 22/10/2019 22/10/2019 21/08/1951 0 1
1 H18.9;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALFONTUS KOSEGERAN 052749 68 24899
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003667 0002293164404 3;JKN
Vian02; 5.3.9.201904290125 4 82295 1#0##0#0#0.0#2019-10-23
13:25:48#0#00:00:00#00:00:00#00:00:00 1 93b55556bc46879ef9857e43eb6becd4
7171104 C 3 CP 2 22/10/2019 22/10/2019 13/02/1954 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LIENTJE MANOPPO 050527 65 23992 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003476 0001447858348 3;JKN
linda03; 5.3.9.201904290125 4 82296 1#0##0#0#0.0#2019-10-23
13:25:57#0#00:00:00#00:00:00#00:00:00 1 b2d087f12cef2461da16e5a95afcc3f5
7171104 C 3 CP 2 22/10/2019 22/10/2019 03/04/1940 0 2
1 Z96.1;H18.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALTJE LINTJEWAS 052750 79 29056 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003668 0001290316241 3;JKN
Vian02; 5.3.9.201904290125 4 82297 1#0##0#0#0.0#2019-10-23
13:26:40#0#00:00:00#00:00:00#00:00:00 1 61667b9ab070b955d987034f7118d779
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/07/1948 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LINCE BOAS 052709 71 26045 DR.MELISA
RATAG,SPM 0309R0191019V003474 0002390814292 3;JKN linda03;
5.3.9.201904290125 4 82298 1#0##0#0#0.0#2019-10-23
13:27:08#0#00:00:00#00:00:00#00:00:00 1 498ac0195fe0d8e4bd60adb1ec7957f7
7171104 C 3 CP 2 22/10/2019 22/10/2019 08/03/1950 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SIGARLAKI PANTOW 052404 69 25430 DR
YULIANA HARTONO,SPM 0309R0191019V003669 0000137738103 3;JKN Vian02;
5.3.9.201904290125 4 82299 1#0##0#0#0.0#2019-10-23
13:27:29#0#00:00:00#00:00:00#00:00:00 1 30a42d7653c2bb688af7cd30a1e12074
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/10/1979 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLINDA SOLUNG 052591 40 14631 DR
YULIANA HARTONO,SPM 0309R0191019V003472 0000905015992 3;JKN linda03;
5.3.9.201904290125 4 82300 1#0##0#0#0.0#2019-10-23
13:28:02#0#00:00:00#00:00:00#00:00:00 1 5215bff8f0c741e56124d49f5e050817
7171104 C 3 CP 2 22/10/2019 22/10/2019 15/11/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YULIANA TANGKERE 051980 71 26274 DR YULIANA
HARTONO,SPM 0309R0191019V003670 0002444274145 3;JKN Vian02;
5.3.9.201904290125 4 82301 1#0##0#0#0.0#2019-10-23
13:28:32#0#00:00:00#00:00:00#00:00:00 1 cc20107072ad82328d8d3ed6cb2f7457
7171104 C 3 CP 2 22/10/2019 22/10/2019 10/08/1953 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANATJE BAWINTIL 052308 66 24179 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003471 0002390979003 3;JKN
linda03; 5.3.9.201904290125 4 82302 1#0##0#0#0.0#2019-10-23
13:28:50#0#00:00:00#00:00:00#00:00:00 1 a5f352ee271c0dfe3b8a57640bac0c2a
7171104 C 3 CP 2 22/10/2019 22/10/2019 23/02/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA YOSEFIN KATUUK 051984 70 25808 DR
YULIANA HARTONO,SPM 0309R0191019V003671 0002034873641 3;JKN Vian02;
5.3.9.201904290125 4 82303 1#0##0#0#0.0#2019-10-23
13:29:11#0#00:00:00#00:00:00#00:00:00 1 2bbe0cef967a6d867f3fa46dd4281630
7171104 C 3 CP 2 22/10/2019 22/10/2019 05/08/1946 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 IRENE KARUNDENG 012058 73 26741 DR
YULIANA HARTONO,SPM 0309R0191019V003469 0000138036306 3;JKN linda03;
5.3.9.201904290125 4 82304 1#0##0#0#0.0#2019-10-23
13:35:00#0#00:00:00#00:00:00#00:00:00 1 499304913c3c732a8dede2735786774e
7171104 C 3 CP 2 22/10/2019 22/10/2019 14/03/1953 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FERDY HERMAN ROMBOT 034018 66 24328
DR YULIANA HARTONO,SPM 0309R0191019V003466 0001278757754 3;JKN
linda03; 5.3.9.201904290125 4 82306 1#0##0#0#0.0#2019-10-23
13:35:44#0#00:00:00#00:00:00#00:00:00 1 896f8f6528042fe9d6b7ed83fa954e8f
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/01/1978 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VEINNY YQVINA TEMBESI 052706 41 15269 DR
RALF PANGALILA,SPM 0309R0191019V003465 0000905861867 3;JKN linda03;
5.3.9.201904290125 4 82317 1#0##0#0#0.0#2019-10-23
14:03:14#0#00:00:00#00:00:00#00:00:00 1 ccb2de344bbb956ba84748dbdf839248
7171104 C 3 CP 2 22/10/2019 22/10/2019 05/09/1955 0 1
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JACOB THOMAS 052468 64 23423
DR.MELISA RATAG,SPM 0309R0191019V003464 0001477593437 3;JKN
linda03; 5.3.9.201904290125 4 82319 1#0##0#0#0.0#2019-10-23
14:05:17#0#00:00:00#00:00:00#00:00:00 1 bfdf20eccb5707b92cbd651ddab63135
7171104 C 3 CP 2 22/10/2019 22/10/2019 03/03/1965 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAARTJE PANAMBUNAN 047584 54 19956 DR
YULIANA HARTONO,SPM 0309R0191019V003462 0000139011478 3;JKN linda03;
5.3.9.201904290125 4 82320 1#0##0#0#0.0#2019-10-23
14:05:59#0#00:00:00#00:00:00#00:00:00 1 bb81885725b4122a58be7377d2782a45
7171104 C 3 CP 2 22/10/2019 22/10/2019 16/08/1950 0 2
1 Z96.1;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINA JACOB 051595 69 25269 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003461 0000137098225 3;JKN
linda03; 5.3.9.201904290125 4 82322 1#0##0#0#0.0#2019-10-23
14:06:51#0#00:00:00#00:00:00#00:00:00 1 b2f0afcc318a727bbaac81a2bb873574
7171104 C 3 CP 2 22/10/2019 22/10/2019 11/06/1953 0 1
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULI SAMPEPOLAN 040866 66 24239 DR
RALF PANGALILA,SPM 0309R0191019V003460 0000138604533 3;JKN linda03;
5.3.9.201904290125 4 82406 1#0##0#0#0.0#2019-10-24
06:48:55#0#00:00:00#00:00:00#00:00:00 1 2f08df6b74f981a917adebea260eeb4f
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/06/1951 0 1
1 Z09.8;H44.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAXSIMUS PARAPAGA 052400 68 24980
DR.MELISA RATAG,SPM 0309R0191019V003459 0000906227335 3;JKN
linda03; 5.3.9.201904290125 4 82407 1#0##0#0#0.0#2019-10-24
07:01:16#0#00:00:00#00:00:00#00:00:00 1 9b83d5b1ffbb1779a6a2a2b4e46bb539
7171104 C 3 CP 2 22/10/2019 22/10/2019 10/10/1956 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NURDIN KOSU 052121 63 23022 DR YULIANA
HARTONO,SPM 0309R0191019V003458 0002053609007 3;JKN linda03;
5.3.9.201904290125 4 82408 1#0##0#0#0.0#2019-10-24
07:07:17#0#00:00:00#00:00:00#00:00:00 1 a17d6ddf142388d5031fc3f51d362d08
7171104 C 3 CP 2 22/10/2019 22/10/2019 28/07/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WEMPI PANDEY 018571 73 26749 DR YULIANA
HARTONO,SPM 0309R0191019V003457 0000138945385 3;JKN linda03;
5.3.9.201904290125 4 82409 1#0##0#0#0.0#2019-10-24
07:08:06#0#00:00:00#00:00:00#00:00:00 1 d6fab307b0ba0c893f7ad14c7c8a9fd8
7171104 C 3 CP 2 22/10/2019 22/10/2019 15/02/2000 0 1
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RIVALDO EFRAIM UHING 041360 19 7189
DR DYANA T.WATANIA,SPM 0309R0191019V003455 0001968496492 3;JKN
linda03; 5.3.9.201904290125 4 82410 1#0##0#0#0.0#2019-10-24
07:14:49#0#00:00:00#00:00:00#00:00:00 1 bdb9cf387f19a1af7b36a417205e1495
7171104 C 3 CP 2 22/10/2019 22/10/2019 19/01/1957 0 1
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANTJE MONIGIR 024310 62 22921
DR.MELISA RATAG,SPM 0309R0191019V003452 0000139131797 3;JKN
linda03; 5.3.9.201904290125 4 82411 1#0##0#0#0.0#2019-10-24
07:15:25#0#00:00:00#00:00:00#00:00:00 1 376605d980162ff86f5240ee6f6a4142
7171104 C 3 CP 2 22/10/2019 22/10/2019 11/04/1938 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 OBED MANDAK 025449 81 29779 DR YULIANA
HARTONO,SPM 0309R0191019V003451 0002234238478 3;JKN linda03;
5.3.9.201904290125 4 82412 1#0##0#0#0.0#2019-10-24
07:16:08#0#00:00:00#00:00:00#00:00:00 1 3e51cc5ce74fe1cdd8046a595688f275
7171104 C 3 CP 2 22/10/2019 22/10/2019 20/09/1946 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BERNHARD W. SEKE 052704 73 26695 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003450 0000138243802 3;JKN linda03;
5.3.9.201904290125 4 82413 1#0##0#0#0.0#2019-10-24
07:17:16#0#00:00:00#00:00:00#00:00:00 1 3aaf893c9071ecddacf407cb0d973b01
7171104 C 3 CP 2 22/10/2019 22/10/2019 28/02/1954 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARNOLD JANTJE PINANGKAAN 051636 65
23977 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003449 0000138049975
3;JKN linda03; 5.3.9.201904290125 4 82414 1#0##0#0#0.0#2019-10-24
07:18:18#0#00:00:00#00:00:00#00:00:00 1 0512fa06ded1f2b6129d640146bcefad
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/10/1966 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FREDY RUATA 052270 53 19379 DR.MELISA
RATAG,SPM 0309R0191019V003448 0000908136641 3;JKN linda03;
5.3.9.201904290125 4 82415 1#0##0#0#0.0#2019-10-24
07:19:05#0#00:00:00#00:00:00#00:00:00 1 00afa8e3f565604460dfb3e1f3a036ee
7171104 C 3 CP 2 22/10/2019 22/10/2019 13/10/1941 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MIENTJE SEPANG 013814 78 28498
DR.MELISA RATAG,SPM 0309R0191019V003447 0001439197784 3;JKN
linda03; 5.3.9.201904290125 4 82416 1#0##0#0#0.0#2019-10-24
07:20:01#0#00:00:00#00:00:00#00:00:00 1 86db2b9e7bc48b0c830659642ff4f405
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/09/1936 0 1
1 H25.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JIMA ADAM 052702 83 30366 DR YULIANA
HARTONO,SPM 0309R0191019V003445 0000910991046 3;JKN linda03;
5.3.9.201904290125 4 82417 1#0##0#0#0.0#2019-10-24
07:21:02#0#00:00:00#00:00:00#00:00:00 1 9e4168dfeb64c30e5a14e17cb16e2262
7171104 C 3 CP 2 22/10/2019 22/10/2019 24/12/1959 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHANIS MASEHI TAIDI 025721 59 21852
DR.MELISA RATAG,SPM 0309R0191019V003444 0002220161793 3;JKN
linda03; 5.3.9.201904290125 4 82418 1#0##0#0#0.0#2019-10-24
07:25:12#0#00:00:00#00:00:00#00:00:00 1 838ca9b639a2fba81f3b26adbb7888a5
7171104 C 3 CP 2 22/10/2019 22/10/2019 23/07/1971 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SITI HALIMA 052560 48 17623 DR.MELISA
RATAG,SPM 0309R0191019V003443 0002389303001 3;JKN linda03;
5.3.9.201904290125 4 82419 1#0##0#0#0.0#2019-10-24
07:28:21#0#00:00:00#00:00:00#00:00:00 1 e4da1a47b46a732d242507c8650fe460
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/01/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NUSIA MOKODOMPIS 051175 77 28418 DR YULIANA
HARTONO,SPM 0309R0191019V003442 0000905445696 3;JKN linda03;
5.3.9.201904290125 4 82420 1#0##0#0#0.0#2019-10-24
07:29:51#0#00:00:00#00:00:00#00:00:00 1 dd9221676a8ece59ab93f29123c58a7a
7171104 C 3 CP 2 22/10/2019 22/10/2019 12/09/1962 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ASNA UGUI 039935 57 20859 DR.MELISA
RATAG,SPM 0309R0191019V003614 0001570669154 3;JKN Patrick K.;
5.3.9.201904290125 4 82421 1#0##0#0#0.0#2019-10-24
07:30:46#0#00:00:00#00:00:00#00:00:00 1 cbd94a829ad6029c7c942ea989af34a2
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/12/1958 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADELIN RENGKUNG 052228 60 22240
DR.MELISA RATAG,SPM 0309R0191019V003441 0000905227244 3;JKN
linda03; 5.3.9.201904290125 4 82422 1#0##0#0#0.0#2019-10-24
07:35:02#0#00:00:00#00:00:00#00:00:00 1 cb32b919fbc4c34939344d81d03fe98b
7171104 C 3 CP 2 22/10/2019 22/10/2019 12/09/1952 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JURIA UGUY 018462 67 24511 DR.MELISA
RATAG,SPM 0309R0191019V003612 0002062567991 3;JKN Patrick K.;
5.3.9.201904290125 4 82423 1#0##0#0#0.0#2019-10-24
07:38:20#0#00:00:00#00:00:00#00:00:00 2 8e99706619850c73126d04718690cb4a
7171104 C 3 CP 2 22/10/2019 22/10/2019 06/07/1969 0 2
1 Z09.8;H26.9;H20.9 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OWAN TOWADI 049854 50 18370 DR DYANA
T.WATANIA,SPM 0309R0191019V003611 0002239782592 3;JKN Patrick K.;
5.3.9.201904290125 4 82425 1#0##0#0#0.0#2019-10-24
07:44:49#0#00:00:00#00:00:00#00:00:00 1 c967d949b38bf699d6205e73a0c524c1
7171104 C 3 CP 2 22/10/2019 22/10/2019 02/12/1951 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHNY LEMBONG 051013 67 24796 DR
DYANA T.WATANIA,SPM 0309R0191019V003609 0000138178776 3;JKN Patrick K.;
5.3.9.201904290125 4 82427 1#0##0#0#0.0#2019-10-24
07:47:54#0#00:00:00#00:00:00#00:00:00 1 33086b1161da9d961a773471372af2ed
7171104 C 3 CP 2 22/10/2019 22/10/2019 03/08/1946 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KALIOPAS LALELORANG 052729 73 26743 DR
YULIANA HARTONO,SPM 0309R0191019V003608 0002460448754 3;JKN Patrick K.;
5.3.9.201904290125 4 82428 1#0##0#0#0.0#2019-10-24
07:49:09#0#00:00:00#00:00:00#00:00:00 1 d974cb59b7867f70cf10e25b3397cbab
7171104 C 3 CP 2 22/10/2019 22/10/2019 26/08/1945 0 2
1 H25.0;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADRIANA TUERAH NY 052732 74 27085 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003607 0000138276674 3;JKN
Patrick K.; 5.3.9.201904290125 4 82429 1#0##0#0#0.0#2019-10-24
07:50:02#0#00:00:00#00:00:00#00:00:00 1 351d33e6058629dc7468773e8ba338e9
7171104 C 3 CP 2 22/10/2019 22/10/2019 22/04/1955 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LEFINA MOKOSANDI 012926 64 23559 DR
RALF PANGALILA,SPM 0309R0191019V003605 0000138467992 3;JKN Patrick K.;
5.3.9.201904290125 4 82430 1#0##0#0#0.0#2019-10-24
07:51:32#0#00:00:00#00:00:00#00:00:00 1 87dc0cbf799cdaf9fd91d04129603e3c
7171104 C 3 CP 2 22/10/2019 22/10/2019 19/02/1945 0 1
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARIE ADOLF TAWAS 047267 74 27273 DR
RALF PANGALILA,SPM 0309R0191019V003604 0000138245051 3;JKN Patrick K.;
5.3.9.201904290125 4 82431 1#0##0#0#0.0#2019-10-24
07:52:16#0#00:00:00#00:00:00#00:00:00 1 5a68aef24370697cfd70e1d2e24f63af
7171104 C 3 CP 2 22/10/2019 22/10/2019 08/12/1953 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEBESTRIDA MAITULUNG 052731 65 24059 DR
RALF PANGALILA,SPM 0309R0191019V003603 0000136915222 3;JKN Patrick K.;
5.3.9.201904290125 4 82432 1#0##0#0#0.0#2019-10-24
07:53:11#0#00:00:00#00:00:00#00:00:00 1 6e3b3cf4e88803cbc07d9f8c6b1ba52e
7171104 C 3 CP 2 22/10/2019 22/10/2019 27/07/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JUUL WATUSEKE 051665 72 26385 DR RALF
PANGALILA,SPM 0309R0191019V003600 0002610518084 3;JKN Patrick K.;
5.3.9.201904290125 4 82433 1#0##0#0#0.0#2019-10-24
07:54:09#0#00:00:00#00:00:00#00:00:00 1 8496ffa3d3e68314cb65b4d11f4157c9
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/05/1960 0 1
1 Z09.8;H35.2;H33.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HANTJE TATIMU 052475 59 21723 DR
DYANA T.WATANIA,SPM 0309R0191019V003598 0002199258505 3;JKN Patrick K.;
5.3.9.201904290125 4 82434 1#0##0#0#0.0#2019-10-24
07:54:59#0#00:00:00#00:00:00#00:00:00 1 97d7190116d604fdfcbda46399acd6b4
7171104 C 3 CP 2 22/10/2019 22/10/2019 20/12/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JETTY TINTINGON 051976 64 23682 DR YULIANA
HARTONO,SPM 0309R0191019V003597 0001604482863 3;JKN Patrick K.;
5.3.9.201904290125 4 82435 1#0##0#0#0.0#2019-10-24
07:56:08#0#00:00:00#00:00:00#00:00:00 1 7df4a60b0efe72381cddef7ecbe0ddf7
7171104 C 3 CP 2 22/10/2019 22/10/2019 15/09/1958 0 2
1 Z09.8;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUZAN DENGAH 050975 61 22317
DR.MELISA RATAG,SPM 0309R0191019V003439 0001867704996 3;JKN
linda03; 5.3.9.201904290125 4 82424 1#0##0#0#0.0#2019-10-24
07:56:34#0#00:00:00#00:00:00#00:00:00 1 7403c1221c2bde9258641bb1f0875d00
7171104 C 3 CP 2 22/10/2019 22/10/2019 29/07/1952 0 2
1 Z09.8;H02.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIN KAENG 052485 67 24556 DR RALF
PANGALILA,SPM 0309R0191019V003596 0001243680805 3;JKN Patrick K.;
5.3.9.201904290125 4 82436 1#0##0#0#0.0#2019-10-24
07:56:48#0#00:00:00#00:00:00#00:00:00 1 0c0ee803fcd507b603aca07c6fa00765
7171104 C 3 CP 2 22/10/2019 22/10/2019 22/03/1941 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MIEKE MANOPPO OROH NY 051529 78 28703
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003595 0000137141908 3;JKN
Patrick K.; 5.3.9.201904290125 4 82437 1#0##0#0#0.0#2019-10-24
07:57:52#0#00:00:00#00:00:00#00:00:00 1 c92b4d4da8b5936d3f48db1f6103c0b5
7171104 C 3 CP 2 22/10/2019 22/10/2019 10/04/1951 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MANUEL RANTUNG 020681 68 25032 DR YULIANA
HARTONO,SPM 0309R0191019V003438 0001813079417 3;JKN linda03;
5.3.9.201904290125 4 82438 1#0##0#0#0.0#2019-10-24
07:59:25#0#00:00:00#00:00:00#00:00:00 1 1076be70ef28e254fe67f020e7e60013
7171104 C 3 CP 2 22/10/2019 22/10/2019 28/12/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DIANA U. TAROREH 052521 65 24039 DR DYANA
T.WATANIA,SPM 0309R0191019V003594 0002261403922 3;JKN Patrick K.;
5.3.9.201904290125 4 82439 1#0##0#0#0.0#2019-10-24
08:00:08#0#00:00:00#00:00:00#00:00:00 1 78020b442d7ef0fa574a0c189e881793
7171104 C 3 CP 2 22/10/2019 22/10/2019 05/01/1957 0 2
1 Z96.1;H52.0;E11.3 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANI SAKUL 017768 62 22935 DR DYANA
T.WATANIA,SPM 0309R0191019V003437 0001813080969 3;JKN linda03;
5.3.9.201904290125 4 82440 1#0##0#0#0.0#2019-10-24
08:00:25#0#00:00:00#00:00:00#00:00:00 1 0a25dfba3cd86c50ef670822ca87a09c
7171104 C 3 CP 2 22/10/2019 22/10/2019 26/03/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEETJE.GELDA. WERUNG LIANDO NY 052501 74
27238 DR DYANA T.WATANIA,SPM 0309R0191019V003593 0000138264423 3;JKN
Patrick K.; 5.3.9.201904290125 4 82441 1#0##0#0#0.0#2019-10-24
08:00:56#0#00:00:00#00:00:00#00:00:00 1 128e51d21d87e756fa872d32b6831151
7171104 C 3 CP 2 22/10/2019 22/10/2019 16/07/1966 0 2
1 Z09.8;H35.2;H33.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MIKE WIDJAJATI 052374 53 19456 DR
DYANA T.WATANIA,SPM 0309R0191019V003436 0000138730105 3;JKN linda03;
5.3.9.201904290125 4 82442 1#0##0#0#0.0#2019-10-24
08:01:59#0#00:00:00#00:00:00#00:00:00 1 58df522daa03f31dced07d811d273f8b
7171104 C 3 CP 2 22/10/2019 22/10/2019 14/11/1963 0 1
1 Z09.8;H40.0;H02.8 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FERRY SETIONO 052261 55 20431 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003592 0001466590105 3;JKN
Patrick K.; 5.3.9.201904290125 4 82443 1#0##0#0#0.0#2019-10-24
08:02:38#0#00:00:00#00:00:00#00:00:00 2 0206a8b45167256fab8bee8ab329188d
7171104 C 3 CP 2 22/10/2019 22/10/2019 11/05/1955 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENDRO LAUTAN LAUW 041226 64 23540
DR DYANA T.WATANIA,SPM 0309R0191019V003435 0002464653194 3;JKN
linda03; 5.3.9.201904290125 4 82444 1#0##0#0#0.0#2019-10-24
08:02:42#0#00:00:00#00:00:00#00:00:00 1 c71ef162604a98a6f539708847fe7d3b
7171104 C 3 CP 2 22/10/2019 22/10/2019 10/10/1949 0 1
1 Z96.1;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BASTIAN ADAM 027493 70 25579 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003591 0000138238626 3;JKN
Patrick K.; 5.3.9.201904290125 4 82445 1#0##0#0#0.0#2019-10-24
08:03:38#0#00:00:00#00:00:00#00:00:00 1 0cd4385b297256d42a3158f6ee3ecea5
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/03/1946 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 INO MA'RUF 002615 73 26898 DR.MELISA
RATAG,SPM 0309R0191019V003434 0001067014629 3;JKN linda03;
5.3.9.201904290125 4 82446 1#0##0#0#0.0#2019-10-24
08:03:59#0#00:00:00#00:00:00#00:00:00 1 eccc8e491417a4f54b4c5f3d15b655ce
7171104 C 3 CP 2 22/10/2019 22/10/2019 12/07/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LUSYE TINTINGON 051969 72 26400 DR YULIANA
HARTONO,SPM 0309R0191019V003672 0001250406527 3;JKN Vian02;
5.3.9.201904290125 4 82426 1#0##0#0#0.0#2019-10-24
08:04:40#0#00:00:00#00:00:00#00:00:00 1 9a45a266b68a6ac3f4e947a677c6110f
7171104 C 3 CP 2 22/10/2019 22/10/2019 03/11/1959 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SUROTO 052728 59 21903 DR YULIANA
HARTONO,SPM 0309R0191019V003589 0002228979521 3;JKN Patrick K.;
5.3.9.201904290125 4 82447 1#0##0#0#0.0#2019-10-24
08:04:50#0#00:00:00#00:00:00#00:00:00 1 3cafc401a1d4492a0ae9b4a584e38f57
7171104 C 3 CP 2 22/10/2019 22/10/2019 25/06/1977 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YUNITHA MENTANG 052727 42 15459 DR.MELISA
RATAG,SPM 0309R0191019V003588 0000137765384 3;JKN Patrick K.;
5.3.9.201904290125 4 82450 1#0##0#0#0.0#2019-10-24
08:06:04#0#00:00:00#00:00:00#00:00:00 1 e8027709e3b1f8207abadb0aa9cd7e10
7171104 C 3 CP 2 22/10/2019 22/10/2019 20/06/1952 0 1
1 Z96.1;H04.1;H26.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUSTAM RAUF 018357 67 24595 DR RALF
PANGALILA,SPM 0309R0191019V003432 0002236109523 3;JKN linda03;
5.3.9.201904290125 4 82451 1#0##0#0#0.0#2019-10-24
08:06:09#0#00:00:00#00:00:00#00:00:00 1 ef2fcc6a6b71569bd2e5a3a9b3a1505b
7171104 C 3 CP 2 22/10/2019 22/10/2019 24/05/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 EDDY RENGKUNG 051978 71 26083 DR YULIANA
HARTONO,SPM 0309R0191019V003587 0000206941599 3;JKN Patrick K.;
5.3.9.201904290125 4 82452 1#0##0#0#0.0#2019-10-24
08:06:51#0#00:00:00#00:00:00#00:00:00 1 c685487183111c71958f58225ce39aa5
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/07/1965 0 1
1 Z09.8;H40.2;H44.5;H25.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DIKSON PINANGGE 052537 54 19836 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003586 0001066769381 3;JKN
Patrick K.; 5.3.9.201904290125 4 82453 1#0##0#0#0.0#2019-10-24
08:08:16#0#00:00:00#00:00:00#00:00:00 1 d152380888457849bc135fd5c1383ee2
7171104 C 3 CP 2 22/10/2019 22/10/2019 14/03/1946 0 2
1 Z09.8;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARSELINA TANGKABIRINGAN 028988 73
26885 DR YULIANA HARTONO,SPM 0309R0191019V003585 0000137192927 3;JKN
Patrick K.; 5.3.9.201904290125 4 82454 1#0##0#0#0.0#2019-10-24
08:08:59#0#00:00:00#00:00:00#00:00:00 1 82945e246f40a4644e86d5909ceeac34
7171104 C 3 CP 2 22/10/2019 22/10/2019 15/12/1954 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LEKSI KAWUWUNG 051999 64 23687 DR YULIANA
HARTONO,SPM 0309R0191019V003582 0000136962325 3;JKN Patrick K.;
5.3.9.201904290125 4 82456 1#0##0#0#0.0#2019-10-24
08:09:50#0#00:00:00#00:00:00#00:00:00 1 ba0c2a78e8640315f11037d036f7aae7
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/07/1957 0 2
1 H25.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA TAMUNTUAN 052751 62 22758 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003673 0000905738703 3;JKN
Vian02; 5.3.9.201904290125 4 82455 1#0##0#0#0.0#2019-10-24
08:10:07#0#00:00:00#00:00:00#00:00:00 1 b7c32a51203cf47ff94cd9e420b0f56b
7171104 C 3 CP 2 22/10/2019 22/10/2019 02/04/1940 0 2
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LIENA LEENTJE TICOALU 005437 79 29057
DR RALF PANGALILA,SPM 0309R0191019V003581 0000138280612 3;JKN
Patrick K.; 5.3.9.201904290125 4 82457 1#0##0#0#0.0#2019-10-24
08:10:30#0#00:00:00#00:00:00#00:00:00 1 0b7734fddd9c5489a47f0abb4230b82f
7171104 C 3 CP 2 22/10/2019 22/10/2019 22/05/1938 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HENKIE RUMENGAN 049645 81 29738 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003431 0001568323293 3;JKN linda03;
5.3.9.201904290125 4 82459 1#0##0#0#0.0#2019-10-24
08:12:09#0#00:00:00#00:00:00#00:00:00 1 af2048ca44d6c20dfe3944506a61cded
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/06/1941 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HESMIN MANUMPIL 051176 78 28632 DR YULIANA
HARTONO,SPM 0309R0191019V003429 0000905445099 3;JKN linda03;
5.3.9.201904290125 4 82461 1#0##0#0#0.0#2019-10-24
08:13:03#0#00:00:00#00:00:00#00:00:00 1 3194065c4f206482624e77cd1606fb83
7171104 C 3 CP 2 22/10/2019 22/10/2019 02/06/2011 0 1
1 Z09.8;H43.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OTHNIEL A MAKALEW 049128 8 3064 DR
YULIANA HARTONO,SPM 0309R0191019V003580 0002218790081 3;JKN Patrick K.;
5.3.9.201904290125 4 82460 1#0##0#0#0.0#2019-10-24
08:14:02#0#00:00:00#00:00:00#00:00:00 1 ca73ac4aa90e5d75113a5e9ba6d67ff3
7171104 C 3 CP 2 22/10/2019 22/10/2019 24/06/1957 0 2
1 Z09.8;H44.5;H26.9;H33.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JETTY PAULUS 048418 62 22765 DR
DYANA T.WATANIA,SPM 0309R0191019V003428 0000139232395 3;JKN linda03;
5.3.9.201904290125 4 82462 16#0##0#0#0.0#2019-10-24
08:14:14#0#00:00:00#00:00:00#00:00:00 1 e4ebd6c7613b10c1321a4bb7674eb321
7171104 C 3 CP 2 22/10/2019 22/10/2019 26/08/1956 0 2
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ESTELIN PIAY 043343 63 23067 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003579 0001297144664 3;JKN
Patrick K.; 5.3.9.201904290125 4 82463 1#0##0#0#0.0#2019-10-24
08:14:51#0#00:00:00#00:00:00#00:00:00 1 a57ac673b0d3b33ef93e843ac120a3f1
7171104 C 3 CP 2 22/10/2019 22/10/2019 26/08/1954 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTIEN RARANTA 052726 65 23798 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003578 0002253040018 3;JKN
Patrick K.; 5.3.9.201904290125 4 82464 1#0##0#0#0.0#2019-10-24
08:16:26#0#00:00:00#00:00:00#00:00:00 1 d1c762e4d000742532b8a928959f0fc9
7171104 C 3 CP 2 22/10/2019 22/10/2019 17/08/1969 0 1
1 Z09.8;H44.5;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTIN MANGERO 033975 50 18328 DR
DYANA T.WATANIA,SPM 0309R0191019V003577 0000136916651 3;JKN Patrick K.;
5.3.9.201904290125 4 82465 1#0##0#0#0.0#2019-10-24
08:17:27#0#00:00:00#00:00:00#00:00:00 1 8489d0e29cdf4163be90c662d35f5693
7171104 C 3 CP 2 22/10/2019 22/10/2019 24/07/1939 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANEN THEO DORUS 015890 80 29310 DR DYANA
T.WATANIA,SPM 0309R0191019V003427 0001904484609 3;JKN linda03;
5.3.9.201904290125 4 82466 1#0##0#0#0.0#2019-10-24
08:18:10#0#00:00:00#00:00:00#00:00:00 1 a3b87623fa6d7b6ef78e7f16151cd9bf
7171104 C 3 CP 2 22/10/2019 22/10/2019 08/01/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LOUISA DOMPAS 051814 62 22932 DR DYANA
T.WATANIA,SPM 0309R0191019V003576 0001838921984 3;JKN Patrick K.;
5.3.9.201904290125 4 82467 1#0##0#0#0.0#2019-10-24
08:18:36#0#00:00:00#00:00:00#00:00:00 1 469706eb4b0caf14de0f097e435a21b9
7171104 C 3 CP 2 22/10/2019 22/10/2019 13/04/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NY ALTJE OPIT RAMPENGAN 052139 70 25759
DR YULIANA HARTONO,SPM 0309R0191019V003574 0000137273668 3;JKN
Patrick K.; 5.3.9.201904290125 4 82469 1#0##0#0#0.0#2019-10-24
08:19:27#0#00:00:00#00:00:00#00:00:00 1 858863e5e14ca3514a7b9060426ca819
7171104 C 3 CP 2 22/10/2019 22/10/2019 09/09/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SUSANA SELVIE PANDELEKE 050858 66 24149 DR
YULIANA HARTONO,SPM 0309R0191019V003573 0002225508603 3;JKN Patrick K.;
5.3.9.201904290125 4 82470 1#0##0#0#0.0#2019-10-24
08:20:26#0#00:00:00#00:00:00#00:00:00 1 31f3bc2aa52903cdda1f74ed27cff113
7171104 C 3 CP 2 22/10/2019 22/10/2019 31/01/1939 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STIEN WELAN 051863 80 29484 DR YULIANA
HARTONO,SPM 0309R0191019V003572 0000137184502 3;JKN Patrick K.;
5.3.9.201904290125 4 82471 1#0##0#0#0.0#2019-10-24
08:21:21#0#00:00:00#00:00:00#00:00:00 1 267744eb8e6e70c5754e6a2456afa74e
7171104 C 3 CP 2 22/10/2019 22/10/2019 07/01/1951 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JANJTE JOHANIS PANGEMANAN 041670 68 25125
DR YULIANA HARTONO,SPM 0309R0191019V003571 0002038746082 3;JKN
Patrick K.; 5.3.9.201904290125 4 82472 1#0##0#0#0.0#2019-10-24
08:22:10#0#00:00:00#00:00:00#00:00:00 1 1251465f1a961686211558d4bf723f44
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/02/1973 0 2
1 H25.0;H52.7 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FINTJE PAMIKIRAN 052752 46 17064 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003674 0000908895161 3;JKN
Vian02; 5.3.9.201904290125 4 82458 1#0##0#0#0.0#2019-10-24
08:22:34#0#00:00:00#00:00:00#00:00:00 1 38ed64656716e0c2fd8564ec58e00fc2
7171104 C 3 CP 2 22/10/2019 22/10/2019 18/12/1967 0 1
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MOHAMAD BIKI 051008 51 18936 DR
DYANA T.WATANIA,SPM 0309R0191019V003675 0002136210805 3;JKN Vian02;
5.3.9.201904290125 4 82474 1#0##0#0#0.0#2019-10-24
08:23:21#0#00:00:00#00:00:00#00:00:00 1 46d699688201a33959dadabd7ef5e920
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/09/1957 0 1
1 Z09.8;H34.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WELSON H LANGKUN 016149 62 22696 DR
DYANA T.WATANIA,SPM 0309R0191019V003570 0000906226839 3;JKN Patrick K.;
5.3.9.201904290125 4 82473 1#0##0#0#0.0#2019-10-24
08:24:54#0#00:00:00#00:00:00#00:00:00 1 9290ba19bada49126b0fbe7fa120f85d
7171104 C 3 CP 2 22/10/2019 22/10/2019 02/06/1934 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAX U KOLANUS 014542 85 31188 DR YULIANA
HARTONO,SPM 0309R0191019V003676 0000138177281 3;JKN Vian02;
5.3.9.201904290125 4 82475 1#0##0#0#0.0#2019-10-24
08:25:17#0#00:00:00#00:00:00#00:00:00 1 f2bf5cb37d646ca178e6a98783718203
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/07/1957 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LANTJE WONGKAR 052753 62 22758 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003677 0002034235607 3;JKN Vian02;
5.3.9.201904290125 4 82477 1#0##0#0#0.0#2019-10-24
08:26:17#0#00:00:00#00:00:00#00:00:00 1 6c7833a497eabbea892a16ee15cf41ac
7171104 C 3 CP 2 22/10/2019 22/10/2019 29/04/1973 0 2
1 H04.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLVIE MK MERUNTU 052708 46 16977
DR.MELISA RATAG,SPM 0309R0191019V003470 0000166261792 3;JKN
Patrick K.; 5.3.9.201904290125 4 82476 1#0##0#0#0.0#2019-10-24
08:26:25#0#00:00:00#00:00:00#00:00:00 1 8042c0c81f612c7ebbea5dbe83e5f948
7171104 C 3 CP 2 22/10/2019 22/10/2019 03/03/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SULEMAN GEORGE 051384 70 25800 DR YULIANA
HARTONO,SPM 0309R0191019V003569 0001243637482 3;JKN Patrick K.;
5.3.9.201904290125 4 82478 1#0##0#0#0.0#2019-10-24
08:27:13#0#00:00:00#00:00:00#00:00:00 1 b8a3ded23e95132745ed030101c894a9
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/02/1941 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HARTIN PARESE 051792 78 28752 DR
YULIANA HARTONO,SPM 0309R0191019V003567 0000906374248 3;JKN Patrick K.;
5.3.9.201904290125 4 82479 1#0##0#0#0.0#2019-10-24
08:28:01#0#00:00:00#00:00:00#00:00:00 1 dc2cb581c38ba1135f705353ee075a37
7171104 C 3 CP 2 22/10/2019 22/10/2019 17/06/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JUSTINUS GUSTAF TAMBAJONG 052392 70 25694
DR YULIANA HARTONO,SPM 0309R0191019V003566 0000138170316 3;JKN
Patrick K.; 5.3.9.201904290125 4 82480 1#0##0#0#0.0#2019-10-24
08:28:53#0#00:00:00#00:00:00#00:00:00 1 5c1fbb76c2b0e83d1bc21044223b008c
7171104 C 3 CP 2 22/10/2019 22/10/2019 25/12/1965 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SURYATI NAFAI 050422 53 19659 DR DYANA
T.WATANIA,SPM 0309R0191019V003565 0000138995605 3;JKN Patrick K.;
5.3.9.201904290125 4 82481 1#0##0#0#0.0#2019-10-24
08:29:51#0#00:00:00#00:00:00#00:00:00 1 8aa5b6de010084886191b1e5d59bf71a
7171104 C 3 CP 2 22/10/2019 22/10/2019 20/02/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YANTJE LANO 051620 66 24350 DR YULIANA
HARTONO,SPM 0309R0191019V003564 0002435165199 3;JKN Patrick K.;
5.3.9.201904290125 4 82482 1#0##0#0#0.0#2019-10-24
08:30:47#0#00:00:00#00:00:00#00:00:00 1 17989c9f9a8cab944679265cf5722be9
7171104 C 3 CP 2 22/10/2019 22/10/2019 24/01/1947 0 2
1 Z96.1;L30.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAGDALENA KALENGKONGAN 051597 72 26569
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003426 0002434738792 3;JKN
linda03; 5.3.9.201904290125 4 82468 1#0##0#0#0.0#2019-10-24
08:31:39#0#00:00:00#00:00:00#00:00:00 1 0823c8a2723bfdf1b97c2dd71ab78852
7171104 C 3 CP 2 22/10/2019 22/10/2019 08/06/1956 0 2
1 Z96.1;H25.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNITJE KAHIMPONG 052002 63 23146
DR DYANA T.WATANIA,SPM 0309R0191019V003425 0000137544761 3;JKN
linda03; 5.3.9.201904290125 4 82484 1#0##0#0#0.0#2019-10-24
08:32:46#0#00:00:00#00:00:00#00:00:00 1 a12f8ad8ea9365cc07c1faa9b7e17e44
7171104 C 3 CP 2 22/10/2019 22/10/2019 27/06/1962 0 2
1 Z96.1;Z09.0;H35.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RETNY HAMLAN 050648 57 20936 DR
DYANA T.WATANIA,SPM 0309R0191019V003424 0000136624678 3;JKN linda03;
5.3.9.201904290125 4 82485 1#0##0#0#0.0#2019-10-24
08:33:35#0#00:00:00#00:00:00#00:00:00 1 6cb6162ad1c5b803f832ade6912399fc
7171104 C 3 CP 2 22/10/2019 22/10/2019 15/05/1941 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 APOLONIA MANOPPO 051610 78 28649 DR YULIANA
HARTONO,SPM 0309R0191019V003560 0002442454301 3;JKN Patrick K.;
5.3.9.201904290125 4 82486 1#0##0#0#0.0#2019-10-24
08:33:50#0#00:00:00#00:00:00#00:00:00 1 47aa190a6c45226684908d4d6621e705
7171104 C 3 CP 2 22/10/2019 22/10/2019 11/12/1955 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHNY F WOWILING 032841 63 23326
DR.MELISA RATAG,SPM 0309R0191019V003422 0000138429595 3;JKN
linda03; 5.3.9.201904290125 4 82487 1#0##0#0#0.0#2019-10-24
08:34:29#0#00:00:00#00:00:00#00:00:00 1 9b3e84dea9a703878e578f2039da6278
7171104 C 3 CP 2 22/10/2019 22/10/2019 08/07/1965 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHNLY ONIBALA 051871 54 19829 DR YULIANA
HARTONO,SPM 0309R0191019V003558 0001447138956 3;JKN Patrick K.;
5.3.9.201904290125 4 82488 1#0##0#0#0.0#2019-10-24
08:34:43#0#00:00:00#00:00:00#00:00:00 1 c237a6b924eb9bffba4a750785e7174a
7171104 C 3 CP 2 22/10/2019 22/10/2019 27/12/1967 0 2
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIANA ABUNO 052718 51 18927 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003557 0001422373511 3;JKN Patrick K.;
5.3.9.201904290125 4 82490 1#0##0#0#0.0#2019-10-24
08:37:02#0#00:00:00#00:00:00#00:00:00 1 42211e92a555ace183f8223b2ab8439e
7171104 C 3 CP 2 22/10/2019 22/10/2019 04/03/1958 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JERNIS MAABUAT 052182 61 22512
DR.MELISA RATAG,SPM 0309R0191019V003420 0000159480742 3;JKN
linda03; 5.3.9.201904290125 4 82491 1#0##0#0#0.0#2019-10-24
08:38:07#0#00:00:00#00:00:00#00:00:00 1 3b698178067deaa53ef73a6899ed230b
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/07/1971 0 1
1 Z09.8;H35.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOPPY NAY 041827 48 17645 DR DYANA
T.WATANIA,SPM 0309R0191019V003562 0000907550245 3;JKN Patrick K.;
5.3.9.201904290125 4 82492 1#0##0#0#0.0#2019-10-24
08:40:13#0#00:00:00#00:00:00#00:00:00 1 d46abf9cc30a9e11d850883c52c47d2a
7171104 C 3 CP 2 22/10/2019 22/10/2019 14/01/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CHATRIEN GREYSJE SEKOH 036402 77 28405 DR
DYANA T.WATANIA,SPM 0309R0191019V003556 0000138277451 3;JKN Patrick K.;
5.3.9.201904290125 4 82494 1#0##0#0#0.0#2019-10-24
08:41:03#0#00:00:00#00:00:00#00:00:00 1 d060bc05c8075a87ea2a8615790e4f7b
7171104 C 3 CP 2 22/10/2019 22/10/2019 26/10/1973 0 2
1 H52.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WIESYE IMELDA OTVIA MANUS 025348 45
16797 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003553 0002048791454
3;JKN Patrick K.; 5.3.9.201904290125 4 82496 1#0##0#0#0.0#2019-10-24
08:43:06#0#00:00:00#00:00:00#00:00:00 1 f764afae12d5e3ce6ceea062e1009f7b
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/05/1968 0 1
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 IDRIS PANSARIANG 052722 51 18801 DR
RALF PANGALILA,SPM 0309R0191019V003551 0000908787396 3;JKN Patrick K.;
5.3.9.201904290125 4 82497 1#0##0#0#0.0#2019-10-24
08:44:25#0#00:00:00#00:00:00#00:00:00 1 a4f2393b7e5e198e87aa7d7cc6964c52
7171104 C 3 CP 2 22/10/2019 22/10/2019 24/04/1950 0 1
1 Z96.1;H47.2;H40.8 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHRISTOFFEL AMRY BANDIL 030109 69 25383
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003543 0002253039851 3;JKN
Patrick K.; 5.3.9.201904290125 4 82498 1#0##0#0#0.0#2019-10-24
08:45:40#0#00:00:00#00:00:00#00:00:00 1 507a0847b87aba1a0542b8d83c32d2c4
7171104 C 3 CP 2 22/10/2019 22/10/2019 11/01/1965 0 1
1 Z09.8;H52.0;H52.4;H11.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LESLY MAMBU 011605 54 20007 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003419 0000137467776 3;JKN linda03;
5.3.9.201904290125 4 82493 1#0##0#0#0.0#2019-10-24
08:47:17#0#00:00:00#00:00:00#00:00:00 1 ca06208c12f8852031dcc11eea604072
7171104 C 3 CP 2 22/10/2019 22/10/2019 08/07/1982 0 2
1 Z09.8;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LAILA MUSTAFA 052480 37 13620
DR.MELISA RATAG,SPM 0309R0191019V003548 0001738404955 3;JKN
Patrick K.; 5.3.9.201904290125 4 82499 1#0##0#0#0.0#2019-10-24
08:47:30#0#00:00:00#00:00:00#00:00:00 1 41a2cb9ded7c1471d3ceaf4c118725ea
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/03/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOTJE LUMENTA 050783 64 23611 DR YULIANA
HARTONO,SPM 0309R0191019V003418 0001604491863 3;JKN linda03;
5.3.9.201904290125 4 82500 1#0##0#0#0.0#2019-10-24
08:48:22#0#00:00:00#00:00:00#00:00:00 1 1f97a72ed5625595d725c26d8dd53792
7171104 C 3 CP 2 22/10/2019 22/10/2019 05/04/1960 0 2
1 Z09.8;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LENTJI MANDAGI 023053 59 21749 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003546 0000907829313 3;JKN
Patrick K.; 5.3.9.201904290125 4 82501 1#0##0#0#0.0#2019-10-24
08:48:28#0#00:00:00#00:00:00#00:00:00 1 ba5e0b01bdbbd3b13b3da70226a4ec60
7171104 C 3 CP 2 22/10/2019 22/10/2019 29/10/1976 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALTJE KOROPIT 050304 42 15698 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003678 0002603691584 3;JKN
Vian02; 5.3.9.201904290125 4 82502 1#0##0#0#0.0#2019-10-24
08:49:06#0#00:00:00#00:00:00#00:00:00 1 7ebcbc77c400ba8abec8137d0173c9fa
7171104 C 3 CP 2 22/10/2019 22/10/2019 23/03/2003 0 1
1 Z09.8;H53.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARCHVILIO THEO TANGKERE 051191 16
6057 DR YULIANA HARTONO,SPM 0309R0191019V003417 0001283720229 3;JKN
linda03; 5.3.9.201904290125 4 82503 1#0##0#0#0.0#2019-10-24
08:49:18#0#00:00:00#00:00:00#00:00:00 1 cd12b398254a7ccfdd87fb18d5174b7c
7171104 C 3 CP 2 22/10/2019 22/10/2019 04/03/1954 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WEMPY PUNGUS 052754 65 23973 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003680 0001829026629 3;JKN Vian02;
5.3.9.201904290125 4 82505 1#0##0#0#0.0#2019-10-24
08:50:01#0#00:00:00#00:00:00#00:00:00 1 2aa690d65c02663c5a62aec9f0172926
7171104 C 3 CP 2 22/10/2019 22/10/2019 06/06/1961 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LEXI WENAS 052507 58 21322 DR.MELISA
RATAG,SPM 0309R0191019V003416 0002896185249 3;JKN linda03;
5.3.9.201904290125 4 82506 1#0##0#0#0.0#2019-10-24
08:50:12#0#00:00:00#00:00:00#00:00:00 1 8ce010a8fe18c442cf7a13b79dcd5e32
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/01/1957 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNI TATUNDUGE 052660 62 22939 DR
YULIANA HARTONO,SPM 0309R0191019V003544 0000909315088 3;JKN Patrick K.;
5.3.9.201904290125 4 82504 1#0##0#0#0.0#2019-10-24
08:50:36#0#00:00:00#00:00:00#00:00:00 2 38bed42e8cf57ead9788f68433fb7117
7171104 C 3 CP 2 22/10/2019 22/10/2019 14/03/1952 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTJE TOMBILING 052755 67 24693 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003681 0001829027744 3;JKN Vian02;
5.3.9.201904290125 4 82507 1#0##0#0#0.0#2019-10-24
08:51:01#0#00:00:00#00:00:00#00:00:00 1 d2fdf1f0807d485a9a109f31f95201a1
7171104 C 3 CP 2 22/10/2019 22/10/2019 16/06/1987 0 2
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CINDY PRISILIA WAWOH 052723 32 11816
DR.MELISA RATAG,SPM 0309R0191019V003552 0001925476795 3;JKN
Patrick K.; 5.3.9.201904290125 4 82508 1#0##0#0#0.0#2019-10-24
08:51:47#0#00:00:00#00:00:00#00:00:00 1 1dde319a557c09f4c4bfe7a780866e6b
7171104 C 3 CP 2 22/10/2019 22/10/2019 18/10/1939 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RUDI EDI SOEDJARTO 052756 80 29224 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003682 0002196479597 3;JKN
Vian02; 5.3.9.201904290125 4 82509 1#0##0#0#0.0#2019-10-24
08:51:54#0#00:00:00#00:00:00#00:00:00 1 0f7263697017f746d048eaf00e70d2f5
7171104 C 3 CP 2 22/10/2019 22/10/2019 17/08/1945 0 2
1 H52.2;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NELYANA ZEN 052757 74 27094 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003683 0002196479733 3;JKN Vian02;
5.3.9.201904290125 4 82510 1#0##0#0#0.0#2019-10-24
08:52:39#0#00:00:00#00:00:00#00:00:00 1 ab2dae58629a1398ceb10e17ca6e7db4
7171104 C 3 CP 2 22/10/2019 22/10/2019 09/09/1950 0 1
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NAO PHOE KHOEN 034668 69 25245 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003549 0001447657288 3;JKN
Patrick K.; 5.3.9.201904290125 4 82511 1#0##0#0#0.0#2019-10-24
08:52:55#0#00:00:00#00:00:00#00:00:00 1 d56bb59a13b44b16e54979b95a8eaeef
7171104 C 3 CP 2 22/10/2019 22/10/2019 16/12/1984 0 1
1 Z09.8;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DANNI DONAL CHRISTIAN RANTUNG 042212 34
12728 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003684 0001853807951
3;JKN Vian02; 5.3.9.201904290125 4 82512 1#0##0#0#0.0#2019-10-24
08:53:28#0#00:00:00#00:00:00#00:00:00 1 78421485aedeef5d484cc23b34a0b134
7171104 C 3 CP 2 22/10/2019 22/10/2019 02/05/1948 0 2
1 Z09.8;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YESTINA BANDIL 051813 71 26105 DR
DYANA T.WATANIA,SPM 0309R0191019V003541 0001323390508 3;JKN Patrick K.;
5.3.9.201904290125 4 82513 1#0##0#0#0.0#2019-10-24
08:54:23#0#00:00:00#00:00:00#00:00:00 1 491f551046757c763ae77493be5eeae9
7171104 C 3 CP 2 22/10/2019 22/10/2019 17/08/1962 0 2
1 H10.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ENGGELINA KARTINI POLUAN 016927 57 20885
DR.MELISA RATAG,SPM 0309R0191019V003685 0000207523168 3;JKN
Vian02; 5.3.9.201904290125 4 82514 1#0##0#0#0.0#2019-10-24
08:56:03#0#00:00:00#00:00:00#00:00:00 1 a09191023b9c24fc64a2cf1e6b5588bb
7171104 C 3 CP 2 22/10/2019 22/10/2019 20/07/1967 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TUKIMIN 051734 52 19087 DR YULIANA
HARTONO,SPM 0309R0191019V003538 0002887258566 3;JKN Patrick K.;
5.3.9.201904290125 4 82515 1#0##0#0#0.0#2019-10-24
08:56:17#0#00:00:00#00:00:00#00:00:00 1 1a023f5f81c44be610077d77f43f7b95
7171104 C 3 CP 2 22/10/2019 22/10/2019 31/08/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HENNY TEWUH 051031 69 25254 DR MARIA E.D.S
ORATMANGUN,SPM 0309R0191019V003689 0000138686938 3;JKN Vian02;
5.3.9.201904290125 4 82516 1#0##0#0#0.0#2019-10-24
08:57:48#0#00:00:00#00:00:00#00:00:00 1 8c103b143674548e1ca89e7a9bd3b4ef
7171104 C 3 CP 2 22/10/2019 22/10/2019 16/03/1939 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KAROLIN SUPIT 050826 80 29440
DR.MELISA RATAG,SPM 0309R0191019V003690 0000211328324 3;JKN
Vian02; 5.3.9.201904290125 4 82518 1#0##0#0#0.0#2019-10-24
08:58:47#0#00:00:00#00:00:00#00:00:00 1 e1f7895544d7ce6057116906fdab94a0
7171104 C 3 CP 2 22/10/2019 22/10/2019 19/07/1956 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHNY TUMEWAN 052646 63 23105 DR
YULIANA HARTONO,SPM 0309R0191019V003536 0000137748791 3;JKN Patrick K.;
5.3.9.201904290125 4 82517 1#0##0#0#0.0#2019-10-24
08:58:58#0#00:00:00#00:00:00#00:00:00 1 9e594b0831968b96e64a3bb4f64e69dc
7171104 C 3 CP 2 22/10/2019 22/10/2019 09/09/1957 0 2
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SHERLY PANGAU 049389 62 22688 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003691 0002235091252 3;JKN
Vian02; 5.3.9.201904290125 4 82519 1#0##0#0#0.0#2019-10-24
08:59:40#0#00:00:00#00:00:00#00:00:00 1 b4c99389b02b4fd6b416a9f35da18613
7171104 C 3 CP 2 22/10/2019 22/10/2019 21/07/1977 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIANA KARLADINANTI TAROREH 052721 42 15433
DR.MELISA RATAG,SPM 0309R0191019V003534 0000201375573 3;JKN
Patrick K.; 5.3.9.201904290125 4 82520 1#0##0#0#0.0#2019-10-24
09:00:48#0#00:00:00#00:00:00#00:00:00 1 c3de94a71ee43e6061c578cdfac88548
7171104 C 3 CP 2 22/10/2019 22/10/2019 07/07/1961 0 2
1 H52.2;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIA JANE KUSUMA 052759 58 21291 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003692 0002257336664 3;JKN
Vian02; 5.3.9.201904290125 4 82521 1#0##0#0#0.0#2019-10-24
09:00:49#0#00:00:00#00:00:00#00:00:00 1 a14147c3124eb0c8dc679070210f0afb
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/10/1931 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LEFRAND SASUANG 052758 88 32163 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003693 0000910237601 3;JKN
Vian02; 5.3.9.201904290125 4 82523 1#0##0#0#0.0#2019-10-24
09:01:43#0#00:00:00#00:00:00#00:00:00 1 d5f4efcf2068f6eef588d9eeca831e1c
7171104 C 3 CP 2 22/10/2019 22/10/2019 10/10/1973 0 1
1 Z09.8;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HEINCE NGANTUNG KINDANGEN 007660 46
16813 DR DYANA T.WATANIA,SPM 0309R0191019V003694 0001800500207 3;JKN
Vian02; 5.3.9.201904290125 4 82524 1#0##0#0#0.0#2019-10-24
09:02:29#0#00:00:00#00:00:00#00:00:00 1 4d58693994e76d94763c30a624799bfc
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/10/1972 0 2
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LILLY OLVA SINTA TUMEMBOUW 052720 47 17187
DR RALF PANGALILA,SPM 0309R0191019V003532 0000905349328 3;JKN
Patrick K.; 5.3.9.201904290125 4 82525 1#0##0#0#0.0#2019-10-24
09:03:24#0#00:00:00#00:00:00#00:00:00 1 2c565b42a11bdd2aa10b875f53e0e3ec
7171104 C 3 CP 2 22/10/2019 22/10/2019 02/09/1954 0 1
1 Z96.1;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SEBEDEUS GARING 024278 65 23791 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003696 0002085776706 3;JKN
Vian02; 5.3.9.201904290125 4 82526 1#0##0#0#0.0#2019-10-24
09:03:59#0#00:00:00#00:00:00#00:00:00 1 bdc6b269d50a9021275779de30f3cfa0
7171104 C 3 CP 2 22/10/2019 22/10/2019 25/06/1960 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUSTIEN KARUNGU 052011 59 21668
DR.MELISA RATAG,SPM 0309R0191019V003527 0001791034749 3;JKN
Patrick K.; 5.3.9.201904290125 4 82527 1#0##0#0#0.0#2019-10-24
09:04:25#0#00:00:00#00:00:00#00:00:00 1 c11b85e539e05c9bd4c2196b3ae2719b
7171104 C 3 CP 2 22/10/2019 22/10/2019 09/02/1980 0 2
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SELVI VIVI LOMBOTE 052761 39 14500 DR
RALF PANGALILA,SPM 0309R0191019V003697 0001302751359 3;JKN Vian02;
5.3.9.201904290125 4 82528 1#0##0#0#0.0#2019-10-24
09:04:43#0#00:00:00#00:00:00#00:00:00 1 2da4a933da52fd7b5fc6903671bc6d25
7171104 C 3 CP 2 22/10/2019 22/10/2019 29/04/1944 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LAURINA B. MARAMIS 052572 75 27569
DR DYANA T.WATANIA,SPM 0309R0191019V003526 0001826618286 3;JKN
Patrick K.; 5.3.9.201904290125 4 82529 1#0##0#0#0.0#2019-10-24
09:05:36#0#00:00:00#00:00:00#00:00:00 2 7e3beceb4db16a21585f2bc30ba8e506
7171104 C 3 CP 2 22/10/2019 22/10/2019 12/12/1959 0 2
1 H52.0;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEITJE RAMPEN 052763 59 21864 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003698 0001568002893 3;JKN
Vian02; 5.3.9.201904290125 4 82530 1#0##0#0#0.0#2019-10-24
09:05:50#0#00:00:00#00:00:00#00:00:00 1 b1ea86b2959c5b6428931720754a81e0
7171104 C 3 CP 2 22/10/2019 22/10/2019 06/12/1956 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KALARTJE RAPITAN 051746 62 22965
DR.MELISA RATAG,SPM 0309R0191019V003524 0000136872832 3;JKN
Patrick K.; 5.3.9.201904290125 4 82531 1#0##0#0#0.0#2019-10-24
09:06:41#0#00:00:00#00:00:00#00:00:00 1 7c3ed7925f736f2508ed3c00ea4c29e3
7171104 C 3 CP 2 22/10/2019 22/10/2019 11/06/1950 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHAN SANGGELORANG 051708 69 25335
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003523 0001604411076 3;JKN
Patrick K.; 5.3.9.201904290125 4 82532 1#0##0#0#0.0#2019-10-24
09:07:49#0#00:00:00#00:00:00#00:00:00 1 9de1122f7faf62c844ba91f4739cfc87
7171104 C 3 CP 2 22/10/2019 22/10/2019 17/08/1952 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RAM MONOARFA 052525 67 24537 DR
DYANA T.WATANIA,SPM 0309R0191019V003521 0002321490251 3;JKN Patrick K.;
5.3.9.201904290125 4 82533 1#0##0#0#0.0#2019-10-24
09:08:57#0#00:00:00#00:00:00#00:00:00 1 54b00f9ed499d931ee6ff32fd395815e
7171104 C 3 CP 2 22/10/2019 22/10/2019 06/09/1964 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SEPMING SUMENDA 030125 55 20134
DR.MELISA RATAG,SPM 0309R0191019V003520 0001250247442 3;JKN
Patrick K.; 5.3.9.201904290125 4 82534 1#0##0#0#0.0#2019-10-24
09:09:54#0#00:00:00#00:00:00#00:00:00 1 7a0da766849fb9712c82c509d8633dd7
7171104 C 3 CP 2 22/10/2019 22/10/2019 05/11/1952 0 2
1 Z09.0;H26.9;Z96.1;H25.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LITJE E. SAMBENTHIRO 048668 66 24457
DR.MELISA RATAG,SPM 0309R0191019V003519 0000137078965 3;JKN
Patrick K.; 5.3.9.201904290125 4 82535 1#0##0#0#0.0#2019-10-24
09:10:53#0#00:00:00#00:00:00#00:00:00 1 538bd1d608d3cbaaf7d05033dba28f8b
7171104 C 3 CP 2 22/10/2019 22/10/2019 02/10/1958 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOUTJE O. GOSAL 039454 61 22300 DR
YULIANA HARTONO,SPM 0309R0191019V003518 0000137799055 3;JKN Patrick K.;
5.3.9.201904290125 4 82536 1#0##0#0#0.0#2019-10-24
09:11:55#0#00:00:00#00:00:00#00:00:00 1 46dcae64dc23d26eb7a2a5f7a9ceb9b4
7171104 C 3 CP 2 22/10/2019 22/10/2019 17/08/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOOST JUSTUS SUAK 052056 71 25998 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003515 0001903421654 3;JKN Patrick K.;
5.3.9.201904290125 4 82537 1#0##0#0#0.0#2019-10-24
09:12:47#0#00:00:00#00:00:00#00:00:00 1 7b84b7b1cd893275a6bcd68d0431799c
7171104 C 3 CP 2 22/10/2019 22/10/2019 20/03/1937 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WILHELMINA MAMAHIT MOKAT 052288 82
30166 DR YULIANA HARTONO,SPM 0309R0191019V003514 0000138850817 3;JKN
Patrick K.; 5.3.9.201904290125 4 82538 1#0##0#0#0.0#2019-10-24
09:13:47#0#00:00:00#00:00:00#00:00:00 1 5b7b09f7f8a8bc484ffef0b75fe67da1
7171104 C 3 CP 2 22/10/2019 22/10/2019 08/10/1954 0 1
1 H25.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 EDY WENTONG 052703 65 23755 DR DYANA
T.WATANIA,SPM 0309R0191019V003533 0002225078875 3;JKN Patrick K.;
5.3.9.201904290125 4 82522 1#0##0#0#0.0#2019-10-24
09:21:41#0#00:00:00#00:00:00#00:00:00 2 10b1c9a6f9101bd5e3b319905b81250f
7171104 C 3 CP 2 22/10/2019 22/10/2019 22/12/1959 0 2
1 Z09.8;H40.2;H44.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELFIE ROMPAS 009834 59 21854 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003559 0000137352813 3;JKN
Patrick K.; 5.3.9.201904290125 4 82489 1#0##0#0#0.0#2019-10-24
09:22:33#0#00:00:00#00:00:00#00:00:00 2 ed1651f576a9584f6e0d8b0d45b18b9f
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/07/1968 0 2
1 Z09.8;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIATI RIYADI 051808 51 18740 DR
DYANA T.WATANIA,SPM 0309R0191019V003554 0002062016515 3;JKN Patrick K.;
5.3.9.201904290125 4 82495 1#0##0#0#0.0#2019-10-24
09:23:12#0#00:00:00#00:00:00#00:00:00 2 16dd7fd3dc47ef78f5d209d387b1fd32
7171104 C 3 CP 2 22/10/2019 22/10/2019 08/03/1970 0 1
1 Z09.8;H33.4;H35.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JITRON KALASE 048186 49 18125 DR
DYANA T.WATANIA,SPM 0309R0191019V003480 0002299810094 3;JKN Patrick K.;
5.3.9.201904290125 4 82875 1#0##0#0#0.0#2019-10-26
09:59:17#0#00:00:00#00:00:00#00:00:00 1 7fa9e960b96e763b0797163571c7748a
7171104 C 1 CP 1 21/10/2019 22/10/2019 01/06/1961 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5989900
0 0 - 0 - 0 - 0 - 0 5989900
9807400 0 2 0 0 0 JHONNY SUMAMPOUW 052594 58
21326 DR YULIANA HARTONO,SPM 0309R0191019V003343 0000138360464 3;JKN
eka06; 5.3.9.201904290125 4 83075 1#0##0#0#0.0#2019-10-29
13:11:29#0#00:00:00#00:00:00#00:00:00 1 fccc893b287467869bc6fd6b0ccb102d
7171104 C 3 CP 1 21/10/2019 22/10/2019 16/08/1938 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 HENDRIK E. RONDONUWU 052843
81 29651 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003290
0002069372035 3;JKN eka06; 5.3.9.201904290125 4 83076
1#0##0#0#0.0#2019-10-29 13:12:28#0#00:00:00#00:00:00#00:00:00 1
7214c69666c90d39d1b3ae96f4ea92e5
7171104 C 3 CP 1 21/10/2019 22/10/2019 24/11/1957 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 DORCI KUTIKA 050974 61
22611 DR.MELISA RATAG,SPM 0309R0191019V003303 0001248442312 3;JKN
eka06; 5.3.9.201904290125 4 83077 1#0##0#0#0.0#2019-10-29
13:13:31#0#00:00:00#00:00:00#00:00:00 1 2daded913a84387743dca8b231f4e696
7171104 C 3 CP 2 22/10/2019 22/10/2019 25/07/1940 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RUSDIANA SOLEMAN 013538 79 28943 DR YULIANA
HARTONO,SPM 0309R0191019V003433 0000139044442 3;JKN linda03;
5.3.9.201904290125 4 82449 21#0##0#0#0.0#2019-10-31
13:11:45#0#00:00:00#00:00:00#00:00:00 1 d2a3971099c381a65dc35f12301f52d6
7171104 C 3 CP 1 21/10/2019 22/10/2019 25/03/1957 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 MARTHEN LENGKEY 006805 62
22855 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003314 0002763277154
3;JKN eka06; 5.3.9.201904290125 4 83740 1#0##0#0#0.0#2019-11-01
13:25:46#0#00:00:00#00:00:00#00:00:00 1 ddee3436d69e8450064b1f2d1f2758b4
7171104 C 3 CP 2 22/10/2019 22/10/2019 08/12/1944 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ALBERT PINONTOAN
052715 74 27346 DR PAULA M V LUMUNON,SPM 0309R0191019V003547
0001271344149 3;JKN Boni04; 5.3.9.201904290125 4 84150
1#0##0#0#0.0#2019-11-05 10:04:10#0#00:00:00#00:00:00#00:00:00 1
6b96b46155351c3441aea1cb3a807f4a
7171104 C 3 CP 2 22/10/2019 22/10/2019 16/03/1960 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 REGINA JULIN AKAY
033751 59 21769 DR PAULA M V LUMUNON,SPM 0309R0191019V003468
0000137196426 3;JKN Boni04; 5.3.9.201904290125 4 84151
1#0##0#0#0.0#2019-11-05 10:06:01#0#00:00:00#00:00:00#00:00:00 1
8e7e131eae35ccfeaa280ef2febc00d1
7171104 C 3 CP 2 22/10/2019 22/10/2019 29/09/1951 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JULIANA KALANGI
052648 68 24860 DR PAULA M V LUMUNON,SPM 0309R0191019V003475
0000137247816 3;JKN Boni04; 5.3.9.201904290125 4 84154
1#0##0#0#0.0#2019-11-05 10:06:55#0#00:00:00#00:00:00#00:00:00 1
150080d816037ca0f0742ca510ce982a
7171104 C 3 CP 2 22/10/2019 22/10/2019 16/08/1957 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NICOLAAS ALTIN
SAHIU 052604 62 22712 DR PAULA M V LUMUNON,SPM 0309R0191019V003486
0001570956017 3;JKN Boni04; 5.3.9.201904290125 4 84155
1#0##0#0#0.0#2019-11-05 10:07:40#0#00:00:00#00:00:00#00:00:00 1
227e506964bb45b323e85a26d6c12d83
7171104 C 3 CP 2 22/10/2019 22/10/2019 12/03/1943 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ESTER GAGHIWU
052605 76 27983 DR PAULA M V LUMUNON,SPM 0309R0191019V003507
0002391530534 3;JKN Boni04; 5.3.9.201904290125 4 84156
1#0##0#0#0.0#2019-11-05 10:09:02#0#00:00:00#00:00:00#00:00:00 1
b37bec089d6ad999fcc6b87b239d48ca
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/06/1947 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HANS CORNELIS
TANGKAU 052650 72 26441 DR PAULA M V LUMUNON,SPM
0309R0191019V003522 0000138544626 3;JKN Boni04; 5.3.9.201904290125
4 84158 1#0##0#0#0.0#2019-11-05 10:09:53#0#00:00:00#00:00:00#00:00:00
1 1b69e442c23fcae4246e9b7e2766d683
7171104 C 3 CP 2 22/10/2019 22/10/2019 07/01/1946 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JANTJE NGANTUNG
052245 73 26951 DR IVONNE RAMENUSA,SPM 0309R0191019V003545
0000138835462 3;JKN Boni04; 5.3.9.201904290125 4 84161
1#0##0#0#0.0#2019-11-05 10:11:20#0#00:00:00#00:00:00#00:00:00 1
3f2a68d656a83e28b96a1feb8b0dec86
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/04/1943 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NY ANNA M GOSAL
TUERAH BA 052713 76 27963 DR IVONNE RAMENUSA,SPM 0309R0191019V003528
0000138847432 3;JKN Boni04; 5.3.9.201904290125 4 84162
1#0##0#0#0.0#2019-11-05 10:13:22#0#00:00:00#00:00:00#00:00:00 1
beba7f1f5360b2cf3cdaff423553020b
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/02/1947 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FIN MANOPO 052717
72 26561 DR IVONNE RAMENUSA,SPM 0309R0191019V003540 0000909026482
3;JKN Boni04; 5.3.9.201904290125 4 84163 1#0##0#0#0.0#2019-11-05
10:14:35#0#00:00:00#00:00:00#00:00:00 1 c931d6a3b0fbaa186cac396d7aec9094
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/07/1943 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YULIANA
TAMPINONGKOL 052716 76 27872 DR IVONNE RAMENUSA,SPM
0309R0191019V003537 0000908162684 3;JKN Boni04; 5.3.9.201904290125
4 84164 1#0##0#0#0.0#2019-11-05 10:15:48#0#00:00:00#00:00:00#00:00:00
1 3a13edbc5964f1def3cfeea98db3e094
7171104 C 3 CP 2 22/10/2019 22/10/2019 13/01/1947 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ALSYE SHOPIA
KAWULUSAN 052471 72 26580 DR IVONNE RAMENUSA,SPM 0309R0191019V003535
0000138871067 3;JKN Boni04; 5.3.9.201904290125 4 84165
1#0##0#0#0.0#2019-11-05 10:16:30#0#00:00:00#00:00:00#00:00:00 1
b607faf84492a5e2b3768c631d433277
7171104 C 3 CP 2 22/10/2019 22/10/2019 18/11/1949 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NONTJE MARAMIS
050039 69 25540 DR IVONNE RAMENUSA,SPM 0309R0191019V003494
0001449860084 3;JKN Boni04; 5.3.9.201904290125 4 84166
1#0##0#0#0.0#2019-11-05 10:17:45#0#00:00:00#00:00:00#00:00:00 1
54508a07684e198af5d222186b9a1f75
7171104 C 3 CP 2 22/10/2019 22/10/2019 17/04/1970 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LENA TONGKOTOW
052714 49 18085 DR IVONNE RAMENUSA,SPM 0309R0191019V003529
0002018640475 3;JKN Boni04; 5.3.9.201904290125 4 84167
1#0##0#0#0.0#2019-11-05 10:18:26#0#00:00:00#00:00:00#00:00:00 1
a99028e723d532e38e56c3304b20fa1e
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/01/1941 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JULUIS KOUNTUR
052472 78 28783 DR IVONNE RAMENUSA,SPM 0309R0191019V003530
0001567964777 3;JKN Boni04; 5.3.9.201904290125 4 84168
114#0##0#0#0.0#2019-11-05 10:19:12#0#00:00:00#00:00:00#00:00:00 1
9cedd913d57bac685ade26d1cd76dcd0
7171104 C 3 CP 2 22/10/2019 22/10/2019 20/01/1939 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 RIMBA KAROLINA
MAKALEW 026224 80 29495 DR SAUL RAPAR,SPM 0309R0191019V003488
0000137175221 3;JKN Boni04; 5.3.9.201904290125 4 84169
1#0##0#0#0.0#2019-11-05 10:20:07#0#00:00:00#00:00:00#00:00:00 1
5c9229fb4d6864f80f61156abf8506f2
7171104 C 3 CP 2 22/10/2019 22/10/2019 15/06/1942 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 RABAIA BANGKI
MOKODONGAN 052512 77 28253 DR SAUL RAPAR,SPM 0309R0191019V003453
0000138046825 3;JKN Boni04; 5.3.9.201904290125 4 84171
41#0##0#0#0.0#2019-11-05 10:21:50#0#00:00:00#00:00:00#00:00:00 1
57115339c5bbe6e1327b653c6e8ab352
7171104 C 3 CP 2 22/10/2019 22/10/2019 02/12/1960 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MASYE TUNTU 025948
58 21508 DR SAUL RAPAR,SPM 0309R0191019V003575 0000139014764 3;JKN
Boni04; 5.3.9.201904290125 4 84173 1#0##0#0#0.0#2019-11-05
10:22:49#0#00:00:00#00:00:00#00:00:00 1 bf1379914627172de89b452838119cf4
7171104 C 3 CP 2 22/10/2019 22/10/2019 27/03/1945 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 CHRISTOFEL ROBY
MEWOH 052592 74 27237 DR SAUL RAPAR,SPM 0309R0191019V003423
0002206284423 3;JKN Boni04; 5.3.9.201904290125 4 84175
11#0##0#0#0.0#2019-11-05 10:23:37#0#00:00:00#00:00:00#00:00:00 1
8d72beba54786e43e07fc834916a50d2
7171104 C 3 CP 2 22/10/2019 22/10/2019 26/05/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MELLY TAMBARIKI
052662 71 26081 DR SAUL RAPAR,SPM 0309R0191019V003473
0002455833688 3;JKN Boni04; 5.3.9.201904290125 4 84176
60#0##0#0#0.0#2019-11-05 10:24:25#0#00:00:00#00:00:00#00:00:00 1
8189b18585a5040cb7bfcea0816ab0e5
7171104 C 3 CP 2 22/10/2019 22/10/2019 03/02/1945 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 RONNY F. KARWUR
052664 74 27289 DR SAUL RAPAR,SPM 0309R0191019V003454
0000908147711 3;JKN Boni04; 5.3.9.201904290125 4 84178
42#0##0#0#0.0#2019-11-05 10:25:13#0#00:00:00#00:00:00#00:00:00 1
9cb88fad5412f30bb6c82e0170f63e8e
7171104 C 3 CP 2 22/10/2019 22/10/2019 02/06/1953 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JEANETTE TALANGI
052445 66 24248 DR SAUL RAPAR,SPM 0309R0191019V003463
0000138437739 3;JKN Boni04; 5.3.9.201904290125 4 84179
1#0##0#0#0.0#2019-11-05 10:26:07#0#00:00:00#00:00:00#00:00:00 1
fa356d03ce5f183fade1b9f0773220cf
7171104 C 3 CP 2 22/10/2019 22/10/2019 29/03/1943 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FEMMI MASSIE
052194 76 27966 DR SAUL RAPAR,SPM 0309R0191019V003498
0001568007483 3;JKN Boni04; 5.3.9.201904290125 4 84181
85#0##0#0#0.0#2019-11-05 10:26:49#0#00:00:00#00:00:00#00:00:00 1
4147b7c69e22dc61f782bc52a461fea3
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/09/1957 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ADRI RORONG 013936
62 22696 DR SAUL RAPAR,SPM 0309R0191019V003517 0001434836553 3;JKN
Boni04; 5.3.9.201904290125 4 84185 1#0##0#0#0.0#2019-11-05
10:34:18#0#00:00:00#00:00:00#00:00:00 1 146d4e2642ac5fdf84acabb38cdb0e78
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/05/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NURSIA PAULUS
051987 71 26106 DR SAUL RAPAR,SPM 0309R0191019V003501
0000911619955 3;JKN Boni04; 5.3.9.201904290125 4 84186
1#0##0#0#0.0#2019-11-05 10:34:57#0#00:00:00#00:00:00#00:00:00 1
f8603d44a9ad870347f95b0ee7a01960
7171104 C 3 CP 2 22/10/2019 22/10/2019 10/08/1944 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 KAREL DICKY MARCUS
052682 75 27466 DR SAUL RAPAR,SPM 0309R0191019V003516
0002430132862 3;JKN Boni04; 5.3.9.201904290125 4 84187
1#0##0#0#0.0#2019-11-05 10:35:51#0#00:00:00#00:00:00#00:00:00 1
7f93dd74b327de57c0b74af23741bfd6
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/03/1971 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARTHEN MATAPULANG
052737 48 17767 DR SALAM SURBAKTI,SPM 0309R0191019V003624
0000908839271 3;JKN Boni04; 5.3.9.201904290125 4 84188
1#0##0#0#0.0#2019-11-05 10:38:16#0#00:00:00#00:00:00#00:00:00 1
37f1bdfa41d950114092d542718527e4
7171104 C 3 CP 2 22/10/2019 22/10/2019 08/04/1958 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JANE ADELINE
SIGARLAKI 052730 61 22477 DR SALAM SURBAKTI,SPM 0309R0191019V003610
0002038594803 3;JKN Boni04; 5.3.9.201904290125 4 84189
1#0##0#0#0.0#2019-11-05 10:39:01#0#00:00:00#00:00:00#00:00:00 1
290e78ee9fae32c9d58fa614002a5ec7
7171104 C 3 CP 2 22/10/2019 22/10/2019 28/01/1953 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOSEFITA FIECE
SUMARAUW 052733 66 24373 DR SALAM SURBAKTI,SPM 0309R0191019V003602
0001339312241 3;JKN Boni04; 5.3.9.201904290125 4 84190
1#0##0#0#0.0#2019-11-05 10:39:51#0#00:00:00#00:00:00#00:00:00 1
f550cd4f92440b03fabecf06311628de
7171104 C 3 CP 2 22/10/2019 22/10/2019 27/10/1947 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DANIEL WUISAN
052490 71 26293 DR SALAM SURBAKTI,SPM 0309R0191019V003656
0001604474471 3;JKN Boni04; 5.3.9.201904290125 4 84191
1#0##0#0#0.0#2019-11-05 10:41:40#0#00:00:00#00:00:00#00:00:00 1
40172efe6199a8ebbebbc148c42e1f6d
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/06/1941 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ROSYE RONDONUWU
052739 78 28632 DR SALAM SURBAKTI,SPM 0309R0191019V003630
0000908889456 3;JKN Boni04; 5.3.9.201904290125 4 84192
1#0##0#0#0.0#2019-11-05 10:42:57#0#00:00:00#00:00:00#00:00:00 1
0fbc4dc58161025aa14269020e99d0c4
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/03/1949 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LENY IROTH 052738
70 25802 DR SALAM SURBAKTI,SPM 0309R0191019V003626 0000907586831
3;JKN Boni04; 5.3.9.201904290125 4 84193 1#0##0#0#0.0#2019-11-05
10:45:33#0#00:00:00#00:00:00#00:00:00 1 d95802236b0f56726ea4f9eb005ff562
7171104 C 3 CP 2 22/10/2019 22/10/2019 05/07/1972 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FAJAR SISWANTO
052831 47 17275 DR SALAM SURBAKTI,SPM 0309R0191019V003446
0001103079971 3;JKN Boni04; 5.3.9.201904290125 4 84194
1#0##0#0#0.0#2019-11-05 10:46:50#0#00:00:00#00:00:00#00:00:00 1
138b0c50378869ccafb055d273a02766
7171104 C 3 CP 2 22/10/2019 22/10/2019 12/07/1989 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SALMON BIRE 052593
30 11059 DR SALAM SURBAKTI,SPM 0309R0191019V003430 0000449427295
3;JKN Boni04; 5.3.9.201904290125 4 84195 1#0##0#0#0.0#2019-11-05
10:47:33#0#00:00:00#00:00:00#00:00:00 1 46b3d1930f1a2ec64818f9f0a5373f12
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/07/1964 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 TOMI SIBOSO 052601
55 20201 DR SALAM SURBAKTI,SPM 0309R0191019V003440 0000973707276
3;JKN Boni04; 5.3.9.201904290125 4 84196 1#0##0#0#0.0#2019-11-05
10:48:30#0#00:00:00#00:00:00#00:00:00 1 bd4f180ea2774539bade6786f2f96a52
7171104 C 3 CP 2 22/10/2019 22/10/2019 31/07/1970 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOLA FERA SATTU
038275 49 17980 DR SALAM SURBAKTI,SPM 0309R0191019V003478
0000137724827 3;JKN Boni04; 5.3.9.201904290125 4 84197
1#0##0#0#0.0#2019-11-05 10:49:16#0#00:00:00#00:00:00#00:00:00 1
643979fd8e27a639343e3c1cbbb6e84a
7171104 C 3 CP 2 22/10/2019 22/10/2019 13/11/1960 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NOLIN TANGKA
052489 58 21527 DR SALAM SURBAKTI,SPM 0309R0191019V003456
0001569814784 3;JKN Boni04; 5.3.9.201904290125 4 84198
1#0##0#0#0.0#2019-11-05 10:50:17#0#00:00:00#00:00:00#00:00:00 1
4b087c0e6273d9a409fab180db37a7a0
7171104 C 3 CP 2 22/10/2019 22/10/2019 02/08/1953 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NONI NETY NAJOAN
052636 66 24187 DR SALAM SURBAKTI,SPM 0309R0191019V003542
0002073384371 3;JKN Boni04; 5.3.9.201904290125 4 84199
1#0##0#0#0.0#2019-11-05 10:50:54#0#00:00:00#00:00:00#00:00:00 1
75d270c8d0143848a8c9bbd0b3245e67
7171104 C 3 CP 2 22/10/2019 22/10/2019 22/01/1955 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 KARDINA TUNA
029997 64 23649 DR SALAM SURBAKTI,SPM 0309R0191019V003568
0001421998503 3;JKN Boni04; 5.3.9.201904290125 4 84200
1#0##0#0#0.0#2019-11-05 10:59:53#0#00:00:00#00:00:00#00:00:00 1
70adbf893ae4373c90d794bebe980f20
7171104 C 3 CP 2 22/10/2019 22/10/2019 14/09/1964 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SIANE KAWENGIAN 033982 55 20126 DR
DYANA T.WATANIA,SPM 0309R0191019V003550 0000139224036 3;JKN Patrick K.;
5.3.9.201904290125 4 84289 1#0##0#0#0.0#2019-11-05
16:05:06#0#00:00:00#00:00:00#00:00:00 1 4a867d6d9d4c62e346d85593dba0fccf
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/12/1951 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MINTJE TANGKA 051884 67 24797 DR.MELISA
RATAG,SPM 0309R0191019V003613 0000907815159 3;JKN Patrick K.;
5.3.9.201904290125 4 84594 1#0##0#0#0.0#2019-11-07
07:29:07#0#00:00:00#00:00:00#00:00:00 1 b7d6822a7fbc71bd91a3d5714e56f860
7171104 C 3 CP 2 22/10/2019 22/10/2019 30/06/1973 0 1
1 H05.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RIDWAN DIEN 052724 46 16915 DR.MELISA
RATAG,SPM 0309R0191019V003561 0002251898572 3;JKN Patrick K.;
5.3.9.201904290125 4 82483 1#0##0#0#0.0#2019-11-07
07:30:28#0#00:00:00#00:00:00#00:00:00 2 1d68026033dc37a3af0e4175352567bf
7171104 C 3 CP 2 22/10/2019 22/10/2019 05/02/1944 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 WILLY DOORTJE BAGINDA 037800 75 27653
DR YULIANA HARTONO,SPM 0309R0191019V003599 0000138069977 3;JKN
Boni04; 5.3.9.201904290125 4 84752 1#0##0#0#0.0#2019-11-07
10:51:01#0#00:00:00#00:00:00#00:00:00 1 aaf33e21f7d4c035c64562eb36a52931
7171104 C 3 CP 2 22/10/2019 22/10/2019 07/04/1949 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 ENNY AWUY 025588 70 25765 DR YULIANA
HARTONO,SPM 0309R0191019V003686 0001308474909 3;JKN Boni04;
5.3.9.201904290125 4 84753 1#0##0#0#0.0#2019-11-07
10:51:40#0#00:00:00#00:00:00#00:00:00 1 2bb24a9d5a00111831d6992c9eb62888
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/08/1943 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 DANNY MANTIK 034678 76 27841 DR
YULIANA HARTONO,SPM 0309R0191019V003679 0002089121005 3;JKN Boni04;
5.3.9.201904290125 4 84754 1#0##0#0#0.0#2019-11-07
10:52:18#0#00:00:00#00:00:00#00:00:00 1 27749fb93a4b3bc686e4e8f37260d790
7171104 C 3 CP 2 22/10/2019 22/10/2019 22/06/1950 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 GERTJE LOING 035688 69 25324 DR
YULIANA HARTONO,SPM 0309R0191019V003688 0000138420865 3;JKN Boni04;
5.3.9.201904290125 4 84756 1#0##0#0#0.0#2019-11-07
10:53:03#0#00:00:00#00:00:00#00:00:00 1 7f3839d75912abd6affb0c77a375c2db
7171104 C 3 CP 2 22/10/2019 22/10/2019 17/04/1953 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 AISYAH SYAUS 029108 66 24294 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003499 0001452113482 3;JKN
Boni04; 5.3.9.201904290125 4 84758 1#0##0#0#0.0#2019-11-07
10:54:21#0#00:00:00#00:00:00#00:00:00 1 f3e04ba320e12c053c2f013273213712
7171104 C 3 CP 2 22/10/2019 22/10/2019 01/07/1952 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 YULICE SASENGA 024060 67 24584 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003513 0000905863781 3;JKN
Boni04; 5.3.9.201904290125 4 84760 1#0##0#0#0.0#2019-11-07
10:55:18#0#00:00:00#00:00:00#00:00:00 1 7636058addd56aae0450e2acbf39a7d8
7171104 C 3 CP 2 22/10/2019 22/10/2019 12/06/1948 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 MARIA D.LASUT 006816 71 26064 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003583 0000137178775 3;JKN
Boni04; 5.3.9.201904290125 4 84762 1#0##0#0#0.0#2019-11-07
10:56:03#0#00:00:00#00:00:00#00:00:00 1 e0fd04127b8a636908283a8e2cd7d869
7171104 C 3 CP 2 22/10/2019 22/10/2019 11/11/1953 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 NACE MANTIRI 052439 65 24086 DR RALF
PANGALILA,SPM 0309R0191019V003525 0002236164355 3;JKN Boni04;
5.3.9.201904290125 4 84764 1#0##0#0#0.0#2019-11-07
10:57:33#0#00:00:00#00:00:00#00:00:00 1 58ae75fd12ba500b38588e0a8ccf82a1
7171104 C 3 CP 2 22/10/2019 22/10/2019 02/09/1959 0 1
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 VENTJE LODEWYK WOLLAH 032524 60 21965 DR
RALF PANGALILA,SPM 0309R0191019V003563 0000137798673 3;JKN Boni04;
5.3.9.201904290125 4 84766 1#0##0#0#0.0#2019-11-07
10:58:09#0#00:00:00#00:00:00#00:00:00 1 15493bdd26f58f7420a77f75bb21ed60
7171104 C 3 CP 2 22/10/2019 22/10/2019 20/06/1951 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 WILLEM ROMPIES 052719 68 24961 DR
DYANA T.WATANIA,SPM 0309R0191019V003531 0000155478273 3;JKN Boni04;
5.3.9.201904290125 4 84767 1#0##0#0#0.0#2019-11-07
10:59:29#0#00:00:00#00:00:00#00:00:00 1 4ea90764091f17ff55c5868f8ec73566
7171104 C 3 CP 2 22/10/2019 22/10/2019 05/11/1953 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 CAROLUS BOROMEUS RUMENGAN 052707 65
24092 DR DYANA T.WATANIA,SPM 0309R0191019V003467 0001725245357 3;JKN
Boni04; 5.3.9.201904290125 4 84768 1#0##0#0#0.0#2019-11-07
11:00:11#0#00:00:00#00:00:00#00:00:00 1 91727c988e33347b8083efe6bc09df2f
7171104 C 3 CP 2 22/10/2019 22/10/2019 24/02/1955 0 1
1 Z96.1;H26.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BENYAMIN SARENDATU 021162 64 23616
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003695 0001873940038 3;JKN
Vian02; 5.3.9.201904290125 4 84792 1#0##0#0#0.0#2019-11-07
12:59:38#0#00:00:00#00:00:00#00:00:00 1 86a223333f49467b6070d8543ec8af44
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/09/1951 0 2
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KAMARIA LEMBO 034384 68 24889 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003838 0000911234024 3;JKN
Patrick K.; 5.3.9.201904290125 4 82539 1#0##0#0#0.0#2019-10-24
09:24:49#0#00:00:00#00:00:00#00:00:00 1 27d0efc322db3592ee058ba0897659dd
7171104 C 3 CP 2 23/10/2019 23/10/2019 23/02/1991 0 2
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FRIANE MAKANGIRAS 052774 28 10469 DR SAUL
RAPAR,SPM 0309R0191019V003836 0001631168864 3;JKN Patrick K.;
5.3.9.201904290125 4 82541 1#0##0#0#0.0#2019-10-24
09:27:03#0#00:00:00#00:00:00#00:00:00 1 aa01eb394a85eb48d4c17ddcc4372cd6
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/01/1957 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUSLI ABDULSALAM 051662 62 22940 DR
YULIANA HARTONO,SPM 0309R0191019V003835 0000906662924 3;JKN Patrick K.;
5.3.9.201904290125 4 82542 1#0##0#0#0.0#2019-10-24
09:28:45#0#00:00:00#00:00:00#00:00:00 1 35f0d1cfaa3213b6fd6575b4dd7a2ba2
7171104 C 3 CP 2 23/10/2019 23/10/2019 27/10/1947 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DANIEL WUISAN 052490 71 26294 DR
YULIANA HARTONO,SPM 0309R0191019V003833 0001604474471 3;JKN Patrick K.;
5.3.9.201904290125 4 82543 1#0##0#0#0.0#2019-10-24
09:31:45#0#00:00:00#00:00:00#00:00:00 2 cc39e1353de58d2074069d6dc160149e
7171104 C 3 CP 2 23/10/2019 23/10/2019 15/08/1954 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STIENTJE MONONEGE 051420 65 23810 DR
YULIANA HARTONO,SPM 0309R0191019V003832 0002465377457 3;JKN Patrick K.;
5.3.9.201904290125 4 82544 1#0##0#0#0.0#2019-10-24
09:32:40#0#00:00:00#00:00:00#00:00:00 2 6deea81df76d88a31710aac58e875bc3
7171104 C 3 CP 2 23/10/2019 23/10/2019 14/06/1956 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHNY KAWINDAH 016528 63 23141 DR PAULA M V
LUMUNON,SPM 0309R0191019V003831 0001261985229 3;JKN Patrick K.;
5.3.9.201904290125 4 82545 1#0##0#0#0.0#2019-10-24
09:33:25#0#00:00:00#00:00:00#00:00:00 1 2e08507106cf7b1712a08ac2b054c2d5
7171104 C 3 CP 2 23/10/2019 23/10/2019 26/05/1948 0 2
1 Z09.0;H26.9;Z96.1;H25.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MELLY TAMBARIKI 052662 71 26082 DR
SAUL RAPAR,SPM 0309R0191019V003830 0002455833688 3;JKN Patrick K.;
5.3.9.201904290125 4 82546 1#0##0#0#0.0#2019-10-24
09:34:11#0#00:00:00#00:00:00#00:00:00 1 3c9adb2dc8a623336040646d1508e0dc
7171104 C 3 CP 2 23/10/2019 23/10/2019 24/05/2013 0 1
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHRISTIAN MATTHEW DANZEL MONIAGA 052633
6 2343 DR SAUL RAPAR,SPM 0309R0191019V003829 0002205019664 3;JKN
Patrick K.; 5.3.9.201904290125 4 82547 1#0##0#0#0.0#2019-10-24
09:35:07#0#00:00:00#00:00:00#00:00:00 1 e3fa954451ff83593096d38db83ce461
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/09/1957 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADRI RORONG 013936 62 22697 DR SAUL
RAPAR,SPM 0309R0191019V003828 0001434836553 3;JKN Patrick K.;
5.3.9.201904290125 4 82548 1#0##0#0#0.0#2019-10-24
09:36:03#0#00:00:00#00:00:00#00:00:00 1 97ab423eedd05a11a31e2b675869acff
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/05/1948 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NURSIA PAULUS 051987 71 26107 DR
SAUL RAPAR,SPM 0309R0191019V003827 0000911619955 3;JKN Patrick K.;
5.3.9.201904290125 4 82549 1#0##0#0#0.0#2019-10-24
09:36:46#0#00:00:00#00:00:00#00:00:00 1 3c7dda10b38cab3d10d85249077be5b6
7171104 C 3 CP 2 23/10/2019 23/10/2019 11/02/1979 0 1
1 Z09.8;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GUNTHER FARRY PIETER, SIP 051866 40
14864 DR YULIANA HARTONO,SPM 0309R0191019V003826 0000137033638 3;JKN
Patrick K.; 5.3.9.201904290125 4 82550 1#0##0#0#0.0#2019-10-24
09:37:45#0#00:00:00#00:00:00#00:00:00 1 877a4e55b5f4354b2b69ecebae1b43b9
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/01/1943 0 1
1 Z96.1;H26.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANTJE KASEGER 052777 76 28054 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003839 0000165818777 3;JKN
Vian02; 5.3.9.201904290125 4 82551 1#0##0#0#0.0#2019-10-24
09:38:31#0#00:00:00#00:00:00#00:00:00 1 550252f1b6cc7768d19fefaf1bab4852
7171104 C 3 CP 2 23/10/2019 23/10/2019 29/03/1942 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA MARTHA GONI 051761 77 28332 DR SAUL
RAPAR,SPM 0309R0191019V003825 0001842839368 3;JKN Patrick K.;
5.3.9.201904290125 4 82552 1#0##0#0#0.0#2019-10-24
09:39:00#0#00:00:00#00:00:00#00:00:00 1 c16a73533fed4fec8e659aef5fbd74d9
7171104 C 3 CP 2 23/10/2019 23/10/2019 14/04/1942 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HERMAN PAULUS PURUKAN 052071 77 28316
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003840 0002489552684 3;JKN
Vian02; 5.3.9.201904290125 4 82553 1#0##0#0#0.0#2019-10-24
09:39:28#0#00:00:00#00:00:00#00:00:00 1 83a642f077997208770715d4099661bf
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/08/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADELEIDE RONDONUWU 051893 71 26015 DR
SAUL RAPAR,SPM 0309R0191019V003824 0000904633029 3;JKN Patrick K.;
5.3.9.201904290125 4 82554 1#0##0#0#0.0#2019-10-24
09:40:01#0#00:00:00#00:00:00#00:00:00 1 f25d1e1912c76cfd4b21107009abe0dd
7171104 C 3 CP 2 23/10/2019 23/10/2019 05/10/1989 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 STEVIE FREDY MONGKARENG 033227 30 10975 DR
PAULA M V LUMUNON,SPM 0309R0191019V003841 0001296660126 3;JKN Vian02;
5.3.9.201904290125 4 82555 1#0##0#0#0.0#2019-10-24
09:40:30#0#00:00:00#00:00:00#00:00:00 1 ac2b45dacfc74f929ea9d8c66d6ea24b
7171104 C 3 CP 2 23/10/2019 23/10/2019 13/08/1951 0 1
1 Z09.8;H25.0;H40.1;Z96.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAWAROY J SELAINDONG 049115 68 24908
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003823 0000138325318 3;JKN
Patrick K.; 5.3.9.201904290125 4 82556 1#0##0#0#0.0#2019-10-24
09:41:40#0#00:00:00#00:00:00#00:00:00 1 f33a154b0cdbcb520a7ede0cc8dfbd7d
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/10/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PILTON KANARANG 052366 67 24493 DR SAUL
RAPAR,SPM 0309R0191019V003821 0000907479549 3;JKN Patrick K.;
5.3.9.201904290125 4 82558 1#0##0#0#0.0#2019-10-24
09:42:44#0#00:00:00#00:00:00#00:00:00 1 ec04eae7284efebd0f3c6cf68ec52c8b
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/11/1961 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PILET WENTUK 051970 57 21175 DR YULIANA
HARTONO,SPM 0309R0191019V003820 0000908288392 3;JKN Patrick K.;
5.3.9.201904290125 4 82559 1#0##0#0#0.0#2019-10-24
09:43:26#0#00:00:00#00:00:00#00:00:00 1 df254ae191a01b2faacf4e19b5b16448
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/03/1945 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARRI WAWOLANGI 050847 74 27264 DR
YULIANA HARTONO,SPM 0309R0191019V003843 0000908404075 3;JKN Vian02;
5.3.9.201904290125 4 82560 1#0##0#0#0.0#2019-10-24
09:43:53#0#00:00:00#00:00:00#00:00:00 1 07080b56af75b496a176196e487caef3
7171104 C 3 CP 2 23/10/2019 23/10/2019 20/01/1939 0 2
1 Z09.0;H26.9;Z96.1;H25.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RIMBA KAROLINA MAKALEW 026224 80 29496
DR SAUL RAPAR,SPM 0309R0191019V003819 0000137175221 3;JKN Patrick K.;
5.3.9.201904290125 4 82561 1#0##0#0#0.0#2019-10-24
09:44:38#0#00:00:00#00:00:00#00:00:00 1 99f22864637be30650d0696ab7df3fa9
7171104 C 3 CP 2 23/10/2019 23/10/2019 29/04/1943 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SARTJE TUMUNDO 051693 76 27936 DR YULIANA
HARTONO,SPM 0309R0191019V003818 0001341872583 3;JKN Patrick K.;
5.3.9.201904290125 4 82562 1#0##0#0#0.0#2019-10-24
09:45:16#0#00:00:00#00:00:00#00:00:00 1 8ab7a12a94952af681bf1ff321ec684a
7171104 C 3 CP 2 23/10/2019 23/10/2019 11/11/1962 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NOVELIN RISMAULI BR AROEAN 043261 56
20800 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003844 0001126405618
3;JKN Vian02; 5.3.9.201904290125 4 82563 1#0##0#0#0.0#2019-10-24
09:45:31#0#00:00:00#00:00:00#00:00:00 1 cad036dbf36f265d902fa67877f924e5
7171104 C 3 CP 2 23/10/2019 23/10/2019 22/05/1975 0 1
1 Z09.8;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NARYO 052533 44 16225 DR MARIA E.D.S
ORATMANGUN,SPM 0309R0191019V003845 0002259961481 3;JKN Vian02;
5.3.9.201904290125 4 82565 1#0##0#0#0.0#2019-10-24
09:46:13#0#00:00:00#00:00:00#00:00:00 1 fbfd974b8ca88bbc921056ec4a857692
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/03/1949 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LENY IROTH 052738 70 25803 DR YULIANA
HARTONO,SPM 0309R0191019V003817 0000907586831 3;JKN Patrick K.;
5.3.9.201904290125 4 82564 115#0##0#0#0.0#2019-10-24
09:47:04#0#00:00:00#00:00:00#00:00:00 1 2f69755e73a8cd7a7af79b3c83f31b07
7171104 C 3 CP 2 23/10/2019 23/10/2019 03/01/1955 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 E JACOBA KUMAJAS 024789 64 23669 DR
SAUL RAPAR,SPM 0309R0191019V003846 0000137221031 3;JKN Vian02;
5.3.9.201904290125 4 82566 1#0##0#0#0.0#2019-10-24
09:47:25#0#00:00:00#00:00:00#00:00:00 1 162168286bb0d7653de5a1174a443366
7171104 C 3 CP 2 23/10/2019 23/10/2019 16/04/1981 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LENDA MEILANI MAKAUSI 052780 38 14069 DR
PAULA M V LUMUNON,SPM 0309R0191019V003848 0001389426131 3;JKN Vian02;
5.3.9.201904290125 4 82568 1#0##0#0#0.0#2019-10-24
09:48:18#0#00:00:00#00:00:00#00:00:00 1 b81d30620fc0d4599db52dc96fc6c076
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/03/1957 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADRIANA RENTANDATU 052362 62 22881
DR SAUL RAPAR,SPM 0309R0191019V003816 0000908095149 3;JKN Patrick K.;
5.3.9.201904290125 4 82567 1#0##0#0#0.0#2019-10-24
09:48:27#0#00:00:00#00:00:00#00:00:00 1 b365f3aaf9436b4366aa904852a71017
7171104 C 3 CP 2 23/10/2019 23/10/2019 14/06/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JACOBA PANGKEREGO 051686 73 26794 DR YULIANA
HARTONO,SPM 0309R0191019V003815 0001569893624 3;JKN Patrick K.;
5.3.9.201904290125 4 82569 1#0##0#0#0.0#2019-10-24
09:49:14#0#00:00:00#00:00:00#00:00:00 1 4480c5cbc130916fff60beaa562884fb
7171104 C 3 CP 2 23/10/2019 23/10/2019 07/11/1967 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIEN DAULAR 052369 51 18978 DR SAUL
RAPAR,SPM 0309R0191019V003814 0001604406047 3;JKN Patrick K.;
5.3.9.201904290125 4 82572 1#0##0#0#0.0#2019-10-24
09:49:53#0#00:00:00#00:00:00#00:00:00 1 013776c8402795891da8eb83b0e8b228
7171104 C 3 CP 2 23/10/2019 23/10/2019 12/03/1943 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ESTER GAGHIWU 052605 76 27984 DR
PAULA M V LUMUNON,SPM 0309R0191019V003771 0002391530534 3;JKN linda03;
5.3.9.201904290125 4 82573 1#0##0#0#0.0#2019-10-24
09:50:22#0#00:00:00#00:00:00#00:00:00 1 7876aa44b0dfe473e7365b81d276af04
7171104 C 3 CP 2 23/10/2019 23/10/2019 02/09/1933 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ESTEFINA KUMAUNANG 052074 86 31462 DR
PAULA M V LUMUNON,SPM 0309R0191019V003769 0001305233559 3;JKN linda03;
5.3.9.201904290125 4 82575 1#0##0#0#0.0#2019-10-24
09:51:03#0#00:00:00#00:00:00#00:00:00 1 b991ba90ecdae36a274829c08ccd5c0e
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/06/1941 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROSYE RONDONUWU 052739 78 28633 DR
YULIANA HARTONO,SPM 0309R0191019V003813 0000908889456 3;JKN Patrick K.;
5.3.9.201904290125 4 82574 111#0##0#0#0.0#2019-10-24
09:51:28#0#00:00:00#00:00:00#00:00:00 1 259b291d4d7a0acad5b285bf0d8ac82e
7171104 C 3 CP 2 23/10/2019 23/10/2019 02/12/1960 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MASYE TUNTU 025948 58 21509 DR SAUL
RAPAR,SPM 0309R0191019V003768 0000139014764 3;JKN linda03;
5.3.9.201904290125 4 82576 1#0##0#0#0.0#2019-10-24
09:51:57#0#00:00:00#00:00:00#00:00:00 1 d227c09fc6fe5ce83abd3eb1f5d50f19
7171104 C 3 CP 2 23/10/2019 23/10/2019 14/05/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WELMENTJI KATUUK 051680 73 26825 DR YULIANA
HARTONO,SPM 0309R0191019V003812 0000907814621 3;JKN Patrick K.;
5.3.9.201904290125 4 82577 1#0##0#0#0.0#2019-10-24
09:52:08#0#00:00:00#00:00:00#00:00:00 1 e18e542f00a19e10c622eab6a3ebb2b1
7171104 C 3 CP 2 23/10/2019 23/10/2019 15/09/1959 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOUKE MATANO 052304 60 21953 DR YULIANA
HARTONO,SPM 0309R0191019V003767 0001386411737 3;JKN linda03;
5.3.9.201904290125 4 82578 1#0##0#0#0.0#2019-10-24
09:52:49#0#00:00:00#00:00:00#00:00:00 1 20c6afe582b2c5a98a20644d31efc52a
7171104 C 3 CP 2 23/10/2019 23/10/2019 08/11/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DOORTJE PANTOW 051687 63 23360 DR YULIANA
HARTONO,SPM 0309R0191019V003810 0000139100409 3;JKN Patrick K.;
5.3.9.201904290125 4 82579 1#0##0#0#0.0#2019-10-24
09:52:56#0#00:00:00#00:00:00#00:00:00 1 f68de1a9040210586e0e1e6df5b8c04b
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/02/1947 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FIN MANOPO 052717 72 26562 DR IVONNE
RAMENUSA,SPM 0309R0191019V003766 0000909026482 3;JKN linda03;
5.3.9.201904290125 4 82580 1#0##0#0#0.0#2019-10-24
09:53:44#0#00:00:00#00:00:00#00:00:00 1 3546c9de82237d96753d5f4e26438ef2
7171104 C 3 CP 2 23/10/2019 23/10/2019 30/08/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOSEPHIEN A DENGAH 051688 69 25256 DR
YULIANA HARTONO,SPM 0309R0191019V003809 0000139067684 3;JKN Patrick K.;
5.3.9.201904290125 4 82581 1#0##0#0#0.0#2019-10-24
09:53:46#0#00:00:00#00:00:00#00:00:00 1 6465eda641696c92c2258886570212bd
7171104 C 3 CP 2 23/10/2019 23/10/2019 07/01/1946 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANTJE NGANTUNG 052245 73 26952 DR
IVONNE RAMENUSA,SPM 0309R0191019V003808 0000138835462 3;JKN Patrick K.;
5.3.9.201904290125 4 82582 1#0##0#0#0.0#2019-10-24
09:55:03#0#00:00:00#00:00:00#00:00:00 1 1b29a788e11dba41c7caa236ca1c106f
7171104 C 3 CP 2 23/10/2019 23/10/2019 17/02/2017 0 1
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KAYLEEN BELICIA CHRISTEL PONGAI 052437
2 978 DR SAUL RAPAR,SPM 0309R0191019V003765 0002237817701 3;JKN
linda03; 5.3.9.201904290125 4 82583 1#0##0#0#0.0#2019-10-24
09:55:14#0#00:00:00#00:00:00#00:00:00 1 4be4814961abab2f8a23b74ed94f9ceb
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/11/1972 0 2
1 H11.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NOVA LOMBOK 052778 46 17157 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003849 0000907459907 3;JKN Vian02;
5.3.9.201904290125 4 82570 1#0##0#0#0.0#2019-10-24
09:56:10#0#00:00:00#00:00:00#00:00:00 1 00784285af621ab09abc2bea1faa116c
7171104 C 3 CP 2 23/10/2019 23/10/2019 17/10/1996 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELLISABET ESTER KUMAMBOW 052770 23 8406
DR PAULA M V LUMUNON,SPM 0309R0191019V003807 0000040098756 3;JKN
Patrick K.; 5.3.9.201904290125 4 82584 1#0##0#0#0.0#2019-10-24
09:56:11#0#00:00:00#00:00:00#00:00:00 1 9cd2a956c57c35be81053c674d56a494
7171104 C 3 CP 2 23/10/2019 23/10/2019 17/12/1948 0 1
1 Z09.8;H40.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DANIEL JOCIAS JACOBUS 031782 70 25877
DR PAULA M V LUMUNON,SPM 0309R0191019V003764 0000137390679 3;JKN
linda03; 5.3.9.201904290125 4 82585 1#0##0#0#0.0#2019-10-24
09:56:24#0#00:00:00#00:00:00#00:00:00 1 5401c5b887364c5661572fde69142215
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/07/1943 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIANA TAMPINONGKOL 052716 76 27873
DR IVONNE RAMENUSA,SPM 0309R0191019V003763 0000908162684 3;JKN
linda03; 5.3.9.201904290125 4 82587 1#0##0#0#0.0#2019-10-24
09:57:27#0#00:00:00#00:00:00#00:00:00 1 110a43f239422c559eb23f7ecab7c9c6
7171104 C 3 CP 2 23/10/2019 23/10/2019 22/03/1961 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTJE MARGARITHA TONGKOTOW 052540 58 21399
DR YULIANA HARTONO,SPM 0309R0191019V003803 0000138351172 3;JKN
Patrick K.; 5.3.9.201904290125 4 82588 1#0##0#0#0.0#2019-10-24
09:57:40#0#00:00:00#00:00:00#00:00:00 1 3fa4c4d73c52022c88468337ab8da4a4
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/01/1958 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PONGOH JULIANA 051973 61 22575 DR PAULA M V
LUMUNON,SPM 0309R0191019V003761 0000138570524 3;JKN linda03;
5.3.9.201904290125 4 82589 1#0##0#0#0.0#2019-10-24
09:58:07#0#00:00:00#00:00:00#00:00:00 1 9420594ea1073abdd97cc6474aac3e1e
7171104 C 3 CP 2 23/10/2019 23/10/2019 30/07/1950 0 2
1 Z09.8;H53.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SITI ROSLINA BAWOLE 032113 69 25287
DR YULIANA HARTONO,SPM 0309R0191019V003802 0000210572965 3;JKN
Patrick K.; 5.3.9.201904290125 4 82590 1#0##0#0#0.0#2019-10-24
09:58:35#0#00:00:00#00:00:00#00:00:00 1 ff088e00bc7b072a3c1cb87f54b4e47a
7171104 C 3 CP 2 23/10/2019 23/10/2019 25/10/1934 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANTJE ROSALIEN MAKALEW 051692 84 31044 DR
YULIANA HARTONO,SPM 0309R0191019V003801 0001767474066 3;JKN Patrick K.;
5.3.9.201904290125 4 82592 1#0##0#0#0.0#2019-10-24
09:59:48#0#00:00:00#00:00:00#00:00:00 1 eae601b03bcac58d3ceb420f98800ae3
7171104 C 3 CP 2 23/10/2019 23/10/2019 15/02/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANEKE SOLAR 051691 69 25452 DR YULIANA
HARTONO,SPM 0309R0191019V003800 0001892639856 3;JKN Patrick K.;
5.3.9.201904290125 4 82593 1#0##0#0#0.0#2019-10-24
10:00:29#0#00:00:00#00:00:00#00:00:00 1 c9ff05f73896ff420976573d6dd62466
7171104 C 3 CP 2 23/10/2019 23/10/2019 07/07/1956 0 2
1 Z09.8;H44.5;H25.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NURAIN BOGAR 050831 63 23118 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003799 0001243640799 3;JKN
Patrick K.; 5.3.9.201904290125 4 82594 1#0##0#0#0.0#2019-10-24
10:01:22#0#00:00:00#00:00:00#00:00:00 1 79fa7ddb02a56d05e205bce3b2422dd7
7171104 C 3 CP 2 23/10/2019 23/10/2019 08/01/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NONTJE RONDONUWU 051694 71 26221 DR YULIANA
HARTONO,SPM 0309R0191019V003798 0001341872087 3;JKN Patrick K.;
5.3.9.201904290125 4 82595 1#0##0#0#0.0#2019-10-24
10:02:11#0#00:00:00#00:00:00#00:00:00 1 a8c94982947ba57fb708c9da1ddf46a8
7171104 C 3 CP 2 23/10/2019 23/10/2019 04/11/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELSYE MAKAL 051972 61 22633 DR YULIANA
HARTONO,SPM 0309R0191019V003797 0001604482165 3;JKN Patrick K.;
5.3.9.201904290125 4 82596 1#0##0#0#0.0#2019-10-24
10:03:07#0#00:00:00#00:00:00#00:00:00 1 9a6cbec18fa8a5688839d4cc081ebec9
7171104 C 3 CP 2 23/10/2019 23/10/2019 29/09/1951 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIANA KALANGI 052648 68 24861 DR
PAULA M V LUMUNON,SPM 0309R0191019V003796 0000137247816 3;JKN Patrick K.;
5.3.9.201904290125 4 82598 1#0##0#0#0.0#2019-10-24
10:03:56#0#00:00:00#00:00:00#00:00:00 1 a1ef41a90c0bd61d59806987f3999fb8
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/05/1951 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WELMINA KATUUK 051683 68 25012 DR YULIANA
HARTONO,SPM 0309R0191019V003795 0000907927435 3;JKN Patrick K.;
5.3.9.201904290125 4 82599 1#0##0#0#0.0#2019-10-24
10:04:38#0#00:00:00#00:00:00#00:00:00 1 7ced6525a352c76b6480ff96ce0cc419
7171104 C 3 CP 2 23/10/2019 23/10/2019 21/04/1956 0 2
1 Z96.1;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KARTINI SIWU 048526 63 23195 DR
PAULA M V LUMUNON,SPM 0309R0191019V003760 0002316167537 3;JKN linda03;
5.3.9.201904290125 4 82591 1#0##0#0#0.0#2019-10-24
10:08:08#0#00:00:00#00:00:00#00:00:00 1 25b4ea94fbbc348b3020be2ec449b664
7171104 C 3 CP 2 23/10/2019 23/10/2019 09/10/1973 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RAHEL TARU RANTE 052767 46 16815 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003759 0001568313832 3;JKN
linda03; 5.3.9.201904290125 4 82600 1#0##0#0#0.0#2019-10-24
10:12:45#0#00:00:00#00:00:00#00:00:00 1 1dbb19475b2f2c047a93a24b6ad42dc3
7171104 C 3 CP 2 23/10/2019 23/10/2019 22/08/1957 0 2
1 Z09.8;H40.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEINY CAMELIA MONINGKA 052263 62 22707
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003757 0001971344777 3;JKN
linda03; 5.3.9.201904290125 4 82601 1#0##0#0#0.0#2019-10-24
10:13:43#0#00:00:00#00:00:00#00:00:00 1 b2795d63736135c4fcf13d0ce96d3bd3
7171104 C 3 CP 2 23/10/2019 23/10/2019 23/02/1957 0 2
1 Z96.1;Z09.0;H35.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FEMMY MAMANGKEY 006398 62 22887 DR
YULIANA HARTONO,SPM 0309R0191019V003756 0001889167127 3;JKN linda03;
5.3.9.201904290125 4 82602 1#0##0#0#0.0#2019-10-24
10:14:47#0#00:00:00#00:00:00#00:00:00 1 8376f07cb6880738b979228111e3431f
7171104 C 3 CP 2 23/10/2019 23/10/2019 20/12/1955 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONJE TATIMU 051196 63 23318 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003850 0001790321883 3;JKN
Vian02; 5.3.9.201904290125 4 82597 1#0##0#0#0.0#2019-10-24
10:15:30#0#00:00:00#00:00:00#00:00:00 1 59b668f13ccd1cc47287f4bd42505144
7171104 C 3 CP 2 23/10/2019 23/10/2019 29/03/1943 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FEMMI MASSIE 052194 76 27967 DR
SAUL RAPAR,SPM 0309R0191019V003754 0001568007483 3;JKN linda03;
5.3.9.201904290125 4 82603 1#0##0#0#0.0#2019-10-24
10:15:40#0#00:00:00#00:00:00#00:00:00 1 dc59ffd4f536dbfb0b75089e9cb96a00
7171104 C 3 CP 2 23/10/2019 23/10/2019 03/09/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA TH. NGANTUNG S 051975 72 26348 DR
YULIANA HARTONO,SPM 0309R0191019V003753 0000137168673 3;JKN linda03;
5.3.9.201904290125 4 82605 1#0##0#0#0.0#2019-10-24
10:16:22#0#00:00:00#00:00:00#00:00:00 1 c92d280c64a6292dfea0216bd295fe8e
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/02/1944 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CORIE ROSANG 052429 75 27658 DR YULIANA
HARTONO,SPM 0309R0191019V003752 0001851095068 3;JKN linda03;
5.3.9.201904290125 4 82606 1#0##0#0#0.0#2019-10-24
10:17:00#0#00:00:00#00:00:00#00:00:00 1 b305f6c19370aad93ae82a60c251ad8c
7171104 C 3 CP 2 23/10/2019 23/10/2019 08/12/1944 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALBERT PINONTOAN 052715 74 27347 DR
PAULA M V LUMUNON,SPM 0309R0191019V003751 0001271344149 3;JKN linda03;
5.3.9.201904290125 4 82608 1#0##0#0#0.0#2019-10-24
10:17:46#0#00:00:00#00:00:00#00:00:00 1 b3eb71684cceb8e41dba3ece15f7b93e
7171104 C 3 CP 2 23/10/2019 23/10/2019 08/12/1959 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTINA KUDAMPA 052765 59 21869 DR PAULA M V
LUMUNON,SPM 0309R0191019V003750 0002046522666 3;JKN linda03;
5.3.9.201904290125 4 82609 1#0##0#0#0.0#2019-10-24
10:18:42#0#00:00:00#00:00:00#00:00:00 1 a7b59bc8b8fc0c5caeb7b0bb239fdbf3
7171104 C 3 CP 2 23/10/2019 23/10/2019 12/12/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JENZS THEOHYLUS RINDORINDO 015731 69 25517
DR YULIANA HARTONO,SPM 0309R0191019V003749 0001316042122 3;JKN
linda03; 5.3.9.201904290125 4 82610 1#0##0#0#0.0#2019-10-24
10:19:57#0#00:00:00#00:00:00#00:00:00 1 a7bdac3583c4ead745057968e5cebec7
7171104 C 3 CP 2 23/10/2019 23/10/2019 16/08/1957 0 1
1 Z09.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NICOLAAS ALTIN SAHIU 052604 62 22713 DR
PAULA M V LUMUNON,SPM 0309R0191019V003748 0001570956017 3;JKN linda03;
5.3.9.201904290125 4 82611 1#0##0#0#0.0#2019-10-24
10:21:12#0#00:00:00#00:00:00#00:00:00 1 ffe97a5b3f1ef5fae13bf2ed8dd26ae4
7171104 C 3 CP 2 23/10/2019 23/10/2019 20/01/1958 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARYAM ROLEH 052307 61 22556 DR
YULIANA HARTONO,SPM 0309R0191019V003853 0002391662283 3;JKN Vian02;
5.3.9.201904290125 4 82607 1#0##0#0#0.0#2019-10-24
10:22:04#0#00:00:00#00:00:00#00:00:00 1 f7dbdfaa8b037ee1dd36db236142fc50
7171104 C 3 CP 2 23/10/2019 23/10/2019 29/03/1955 0 2
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARGOTJE MAWUNTU 052764 64 23584 DR PAULA M V
LUMUNON,SPM 0309R0191019V003747 0001566253405 3;JKN linda03;
5.3.9.201904290125 4 82612 1#0##0#0#0.0#2019-10-24
10:22:14#0#00:00:00#00:00:00#00:00:00 1 082e54bd2dceaae4d0e3cf3deef4920d
7171104 C 3 CP 2 23/10/2019 23/10/2019 15/06/1942 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RABAIA BANGKI MOKODONGAN 052512 77
28254 DR SAUL RAPAR,SPM 0309R0191019V003793 0000138046825 3;JKN
Patrick K.; 5.3.9.201904290125 4 82614 1#0##0#0#0.0#2019-10-24
10:32:41#0#00:00:00#00:00:00#00:00:00 1 a4a00b98dbd82750a4a03f6034ab9dd6
7171104 C 3 CP 2 23/10/2019 23/10/2019 18/11/1949 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONTJE MARAMIS 050039 69 25541 DR
IVONNE RAMENUSA,SPM 0309R0191019V003792 0001449860084 3;JKN Patrick K.;
5.3.9.201904290125 4 82615 1#0##0#0#0.0#2019-10-24
10:33:30#0#00:00:00#00:00:00#00:00:00 1 e67443dcac1321ee33695a0500ea7cc5
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/06/1950 0 2
1 Z09.0;H11.0;H52.0;H52.4 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DORCE KANO 052103 69 25346 DR SAUL
RAPAR,SPM 0309R0191019V003791 0000908470719 3;JKN Patrick K.;
5.3.9.201904290125 4 82616 1#0##0#0#0.0#2019-10-24
10:34:32#0#00:00:00#00:00:00#00:00:00 1 6abb596b357c19cabc4b60ef2794e173
7171104 C 3 CP 2 23/10/2019 23/10/2019 02/06/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CRESTINA MANDAGI 051679 71 26075 DR YULIANA
HARTONO,SPM 0309R0191019V003790 0001341871615 3;JKN Patrick K.;
5.3.9.201904290125 4 82617 1#0##0#0#0.0#2019-10-24
10:35:22#0#00:00:00#00:00:00#00:00:00 1 5b3febe547e2b356436c283f498e7103
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/08/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KARLINA CAMBEY 051689 65 23824 DR YULIANA
HARTONO,SPM 0309R0191019V003789 0000139100174 3;JKN Patrick K.;
5.3.9.201904290125 4 82618 1#0##0#0#0.0#2019-10-24
10:36:12#0#00:00:00#00:00:00#00:00:00 1 e5a58cfa0d7f86ecb2363e9268acc5a0
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/04/1943 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NY ANNA M GOSAL TUERAH BA 052713 76
27964 DR IVONNE RAMENUSA,SPM 0309R0191019V003788 0000138847432 3;JKN
Patrick K.; 5.3.9.201904290125 4 82619 1#0##0#0#0.0#2019-10-24
10:37:26#0#00:00:00#00:00:00#00:00:00 1 27cb7fdbd813a027b4a3f003781d1d0f
7171104 C 3 CP 2 23/10/2019 23/10/2019 25/12/1976 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NATANEL BAGO 052771 42 15642 DR YULIANA
HARTONO,SPM 0309R0191019V003787 0001626987701 3;JKN Patrick K.;
5.3.9.201904290125 4 82620 1#0##0#0#0.0#2019-10-24
10:39:02#0#00:00:00#00:00:00#00:00:00 1 9ec5a8ac5f6d251d60f270de9d575651
7171104 C 3 CP 2 23/10/2019 23/10/2019 06/01/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ABRAM A PONGOH 051684 67 24762 DR YULIANA
HARTONO,SPM 0309R0191019V003785 0000139100152 3;JKN Patrick K.;
5.3.9.201904290125 4 82621 1#0##0#0#0.0#2019-10-24
10:39:44#0#00:00:00#00:00:00#00:00:00 1 f6525c338f5aa9df6c4d3496bd6f1245
7171104 C 3 CP 2 23/10/2019 23/10/2019 22/03/1949 0 2
1 Z09.8;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLGA TELLY LANGI 011983 70 25782 DR
YULIANA HARTONO,SPM 0309R0191019V003784 0001383996126 3;JKN Patrick K.;
5.3.9.201904290125 4 82622 1#0##0#0#0.0#2019-10-24
10:40:32#0#00:00:00#00:00:00#00:00:00 1 2e259160f656c193048118e7baa7a38e
7171104 C 3 CP 2 23/10/2019 23/10/2019 08/04/1958 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANE ADELINE SIGARLAKI 052730 61 22478
DR YULIANA HARTONO,SPM 0309R0191019V003782 0002038594803 3;JKN
Patrick K.; 5.3.9.201904290125 4 82623 1#0##0#0#0.0#2019-10-24
10:41:39#0#00:00:00#00:00:00#00:00:00 1 1914030bb6a7b4e1b29f7c34a279dd51
7171104 C 3 CP 2 23/10/2019 23/10/2019 18/05/1957 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TINEKE HEYTI LALUAN 052769 62 22803 DR
SAUL RAPAR,SPM 0309R0191019V003781 0000211427324 3;JKN Patrick K.;
5.3.9.201904290125 4 82624 1#0##0#0#0.0#2019-10-24
10:44:38#0#00:00:00#00:00:00#00:00:00 2 1ef5b90b3e9fb7d1366f3de136d2b7ee
7171104 C 3 CP 2 23/10/2019 23/10/2019 02/11/1961 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NENI SANDA 005357 57 21174 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003780 0000137909428 3;JKN Patrick K.;
5.3.9.201904290125 4 82625 1#0##0#0#0.0#2019-10-24
10:45:30#0#00:00:00#00:00:00#00:00:00 2 61bc4543faddde3794f45055723b309f
7171104 C 3 CP 2 23/10/2019 23/10/2019 19/10/1961 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HONEKE MOKALU 003100 58 21188 DR
YULIANA HARTONO,SPM 0309R0191019V003779 0000137043178 3;JKN Patrick K.;
5.3.9.201904290125 4 82626 1#0##0#0#0.0#2019-10-24
10:46:01#0#00:00:00#00:00:00#00:00:00 1 4c2eeab20424ef79c2b767a05e5d6fdb
7171104 C 3 CP 2 23/10/2019 23/10/2019 08/12/1944 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 C. WONDAL PALAR 024128 74 27347 DR SAUL
RAPAR,SPM 0309R0191019V003778 0000138264153 3;JKN Patrick K.;
5.3.9.201904290125 4 82627 1#0##0#0#0.0#2019-10-24
10:46:54#0#00:00:00#00:00:00#00:00:00 1 f7b3ad150640b913763030d598a0ff9a
7171104 C 3 CP 2 23/10/2019 23/10/2019 28/01/1953 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOSEFITA FIECE SUMARAUW 052733 66 24374
DR YULIANA HARTONO,SPM 0309R0191019V003776 0001339312241 3;JKN
Patrick K.; 5.3.9.201904290125 4 82628 1#0##0#0#0.0#2019-10-24
10:47:57#0#00:00:00#00:00:00#00:00:00 1 3c2b3d050ae6c4e97c60192d0dd20e60
7171104 C 3 CP 2 23/10/2019 23/10/2019 11/05/1977 0 1
1 H52.2;H52.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STEWARD ANDRYAS BOYOH 052768 42 15505
DR SAUL RAPAR,SPM 0309R0191019V003775 0001651606266 3;JKN Patrick K.;
5.3.9.201904290125 4 82629 1#0##0#0#0.0#2019-10-24
10:48:59#0#00:00:00#00:00:00#00:00:00 1 3cec9ae7fddbed5d5d7a01189727ff86
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/10/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALMINTJE LEGESANG 052102 73 26685 DR SAUL
RAPAR,SPM 0309R0191019V003774 0000908447951 3;JKN Patrick K.;
5.3.9.201904290125 4 82630 1#0##0#0#0.0#2019-10-24
10:49:57#0#00:00:00#00:00:00#00:00:00 1 2c13034de4111490e38e95e36929694a
7171104 C 3 CP 2 23/10/2019 23/10/2019 10/01/1956 0 1
1 Z09.0;H40.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRANS BULAMBAE 039519 63 23297 DR
PAULA M V LUMUNON,SPM 0309R0191019V003773 0000137474414 3;JKN Patrick K.;
5.3.9.201904290125 4 82631 1#0##0#0#0.0#2019-10-24
10:50:43#0#00:00:00#00:00:00#00:00:00 1 8e3d6ca9951abeadca1750370acd9557
7171104 C 3 CP 2 23/10/2019 23/10/2019 06/12/1951 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DIN LUSYA WEKU 052115 67 24793 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003746 0000908666122 3;JKN linda03;
5.3.9.201904290125 4 82613 1#0##0#0#0.0#2019-10-24
10:58:49#0#00:00:00#00:00:00#00:00:00 1 6364b4585d9eaef507a0313b353c2461
7171104 C 3 CP 2 23/10/2019 23/10/2019 12/07/1989 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SALMON BIRE 052593 30 11060 DR SAUL
RAPAR,SPM 0309R0191019V003743 0000449427295 3;JKN linda03;
5.3.9.201904290125 4 82632 1#0##0#0#0.0#2019-10-24
11:12:42#0#00:00:00#00:00:00#00:00:00 1 e1f5519cd3a0a1956ea1dac55bc7959f
7171104 C 3 CP 2 23/10/2019 23/10/2019 06/06/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YULIANA MANALIP 052055 67 24610 DR YULIANA
HARTONO,SPM 0309R0191019V003742 0002239388109 3;JKN linda03;
5.3.9.201904290125 4 82633 1#0##0#0#0.0#2019-10-24
11:14:01#0#00:00:00#00:00:00#00:00:00 1 2993e8ebd65d86dc1f86f647468e0961
7171104 C 3 CP 2 23/10/2019 23/10/2019 30/04/1951 0 1
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENDRIK H LEWU 007060 68 25013 DR
YULIANA HARTONO,SPM 0309R0191019V003740 0000137332168 3;JKN linda03;
5.3.9.201904290125 4 82634 1#0##0#0#0.0#2019-10-24
11:15:45#0#00:00:00#00:00:00#00:00:00 1 d5a8fe0638e05be36fd0dd0ff5b8626d
7171104 C 3 CP 2 23/10/2019 23/10/2019 13/07/1953 0 1
1 Z96.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SOMPOTAN BOLANG 050938 66 24208 DR
SAUL RAPAR,SPM 0309R0191019V003854 0001341366895 3;JKN Vian02;
5.3.9.201904290125 4 82636 1#0##0#0#0.0#2019-10-24
11:42:29#0#00:00:00#00:00:00#00:00:00 1 3dec5d15c5d579efaf352d847c32fb04
7171104 C 3 CP 2 23/10/2019 23/10/2019 26/04/1957 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KASBRAWI BAWON 000688 62 22825 DR
YULIANA HARTONO,SPM 0309R0191019V003855 0000138079383 3;JKN Vian02;
5.3.9.201904290125 4 82637 1#0##0#0#0.0#2019-10-24
11:43:23#0#00:00:00#00:00:00#00:00:00 1 176fab796d64618c13a574a898664abe
7171104 C 3 CP 2 23/10/2019 23/10/2019 19/12/1958 0 2
1 Z09.8;H18.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FATMA LANAU 025255 60 22223 DR PAULA M V
LUMUNON,SPM 0309R0191019V003856 0000908447916 3;JKN Vian02;
5.3.9.201904290125 4 82638 1#0##0#0#0.0#2019-10-24
11:45:07#0#00:00:00#00:00:00#00:00:00 1 eb1d3f9ef1bfd3012557330686b3317d
7171104 C 3 CP 2 23/10/2019 23/10/2019 08/08/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RASIMA KAKILO 035426 71 26008 DR YULIANA
HARTONO,SPM 0309R0191019V003859 0000138070822 3;JKN Vian02;
5.3.9.201904290125 4 82640 1#0##0#0#0.0#2019-10-24
11:47:03#0#00:00:00#00:00:00#00:00:00 1 350eedbe6f724a2382f961b45373f94e
7171104 C 3 CP 2 23/10/2019 23/10/2019 06/05/1960 0 1
1 Z96.1;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JONI SANDAG 024130 59 21719 DR SAUL
RAPAR,SPM 0309R0191019V003860 0001250425539 3;JKN Vian02;
5.3.9.201904290125 4 82641 1#0##0#0#0.0#2019-10-24
11:47:42#0#00:00:00#00:00:00#00:00:00 1 88aafe4bd5963e0c098a2a9d107c2e52
7171104 C 3 CP 2 23/10/2019 23/10/2019 11/04/1944 0 1
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EDUARD MUSAK 046174 75 27588 DR
SAUL RAPAR,SPM 0309R0191019V003861 0000138064781 3;JKN Vian02;
5.3.9.201904290125 4 82642 1#0##0#0#0.0#2019-10-24
11:48:38#0#00:00:00#00:00:00#00:00:00 1 7eefa8271a8974524ede3a0cf8fdab19
7171104 C 3 CP 2 23/10/2019 23/10/2019 16/10/1974 0 1
1 Z09.8;H40.1;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALEXANDER MONDE SIGARLAKI 051810 45
16443 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003862 0001564965865
3;JKN Vian02; 5.3.9.201904290125 4 82643 1#0##0#0#0.0#2019-10-24
11:49:25#0#00:00:00#00:00:00#00:00:00 1 099e8839f50eccf0cbe70522f97bcff7
7171104 C 3 CP 2 23/10/2019 23/10/2019 25/12/1944 0 1
1 Z09.0;H11.0;H18.0;H25.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRANS MORAY,BA 003050 74 27330 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003739 0000138142607 3;JKN
linda03; 5.3.9.201904290125 4 82635 41#0##0#0#0.0#2019-10-24
11:49:38#0#00:00:00#00:00:00#00:00:00 1 87de42bf239845d0249ea279970a72e8
7171104 C 3 CP 2 23/10/2019 23/10/2019 27/11/1951 0 2
1 Z96.1;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NORTJE RUMOPA 030854 67 24802 DR
PAULA M V LUMUNON,SPM 0309R0191019V003863 0002208590594 3;JKN Vian02;
5.3.9.201904290125 4 82644 1#0##0#0#0.0#2019-10-24
11:50:18#0#00:00:00#00:00:00#00:00:00 1 6f5e3dbdab88deb73c166a0a08099083
7171104 C 3 CP 2 23/10/2019 23/10/2019 10/04/1954 0 1
1 Z96.1;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BRUCE MAKAWIMBANG 007029 65 23937 DR
YULIANA HARTONO,SPM 0309R0191019V003865 0001838096638 3;JKN Vian02;
5.3.9.201904290125 4 82645 1#0##0#0#0.0#2019-10-24
11:52:52#0#00:00:00#00:00:00#00:00:00 1 82bcc5c9c939f16de0321d7b4191c483
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/03/1957 0 1
1 Z09.0;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JHONY SUMAMPOUW 051159 62 22881 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003866 0001066652177 3;JKN
Vian02; 5.3.9.201904290125 4 82646 1#0##0#0#0.0#2019-10-24
12:02:26#0#00:00:00#00:00:00#00:00:00 1 5ca35bf010eb1c321567036f20c8a4a6
7171104 C 3 CP 2 23/10/2019 23/10/2019 24/07/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANDRIE HERRY NAJOAN 052402 69 25293 DR
SAUL RAPAR,SPM 0309R0191019V003868 0000121648353 3;JKN Vian02;
5.3.9.201904290125 4 82647 1#0##0#0#0.0#2019-10-24
12:03:02#0#00:00:00#00:00:00#00:00:00 1 6ae883c5dfa5daed964f26037c46e684
7171104 C 3 CP 2 23/10/2019 23/10/2019 08/06/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FEMMY JULIANA TAMBUWUN 052200 72 26435 DR
PAULA M V LUMUNON,SPM 0309R0191019V003869 0002744777507 3;JKN Vian02;
5.3.9.201904290125 4 82648 1#0##0#0#0.0#2019-10-24
12:04:52#0#00:00:00#00:00:00#00:00:00 1 9f380b769a903eef77256869f3f05c6f
7171104 C 3 CP 2 23/10/2019 23/10/2019 27/09/1953 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LAURINA JANSEN 052782 66 24132 DR YULIANA
HARTONO,SPM 0309R0191019V003871 0001872776305 3;JKN Vian02;
5.3.9.201904290125 4 82649 1#0##0#0#0.0#2019-10-24
12:05:36#0#00:00:00#00:00:00#00:00:00 1 b0b0be5d96cf533d34026e386f0ec03f
7171104 C 3 CP 2 23/10/2019 23/10/2019 04/05/1948 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DRS. WILHELMUS MAIT 051653 71 26104
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003873 0000137178865 3;JKN
Vian02; 5.3.9.201904290125 4 82650 1#0##0#0#0.0#2019-10-24
12:06:29#0#00:00:00#00:00:00#00:00:00 1 5879235dbbdc21e80b4339f178cade86
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/09/1939 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEITJE MEA 052783 80 29272 DR PAULA M V
LUMUNON,SPM 0309R0191019V003874 0000905679112 3;JKN Vian02;
5.3.9.201904290125 4 82651 1#0##0#0#0.0#2019-10-24
12:07:38#0#00:00:00#00:00:00#00:00:00 1 1cc97c5feedd959df55d09d7994a6a4e
7171104 C 3 CP 2 23/10/2019 23/10/2019 17/09/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NONTJE PELLE 052406 62 22681 DR YULIANA
HARTONO,SPM 0309R0191019V003875 0000137281307 3;JKN Vian02;
5.3.9.201904290125 4 82652 1#0##0#0#0.0#2019-10-24
12:08:20#0#00:00:00#00:00:00#00:00:00 1 2f91f6bf549f3c230fbdbfa69bd987cb
7171104 C 3 CP 2 23/10/2019 23/10/2019 07/01/1953 0 1
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JAN JOSEPH RATULANGI 024276 66 24395
DR YULIANA HARTONO,SPM 0309R0191019V003876 0002196230117 3;JKN
Vian02; 5.3.9.201904290125 4 82653 1#0##0#0#0.0#2019-10-24
12:09:16#0#00:00:00#00:00:00#00:00:00 1 5d781f0b554d6fbfef8bebbb3d5ed807
7171104 C 3 CP 2 23/10/2019 23/10/2019 04/02/1951 0 2
1 H52.0;H52.4;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FIENTJE SUMENDAP 024275 68 25098 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003877 0002196230951 3;JKN
Vian02; 5.3.9.201904290125 4 82654 1#0##0#0#0.0#2019-10-24
12:10:14#0#00:00:00#00:00:00#00:00:00 1 6377ee04aab3f4f889fcb6206c40b219
7171104 C 3 CP 2 23/10/2019 23/10/2019 06/04/1940 0 2
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHARLOTA DALAPIS 032394 79 29054 DR
YULIANA HARTONO,SPM 0309R0191019V003878 0001569375336 3;JKN Vian02;
5.3.9.201904290125 4 82655 1#0##0#0#0.0#2019-10-24
12:11:03#0#00:00:00#00:00:00#00:00:00 1 aac22a48205263255b6de12611cbc047
7171104 C 3 CP 2 23/10/2019 23/10/2019 06/04/1962 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SATRIA ABAS 000338 57 21019 DR PAULA M V
LUMUNON,SPM 0309R0191019V003879 0001789201664 3;JKN Vian02;
5.3.9.201904290125 4 82656 1#0##0#0#0.0#2019-10-24
12:12:06#0#00:00:00#00:00:00#00:00:00 1 5a0b7033b1a1c718558cac0ec52c8143
7171104 C 3 CP 2 23/10/2019 23/10/2019 28/01/1966 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SURJANI DANO 052785 53 19626 DR
SAUL RAPAR,SPM 0309R0191019V003880 0001100648193 3;JKN Vian02;
5.3.9.201904290125 4 82657 1#0##0#0#0.0#2019-10-24
12:13:07#0#00:00:00#00:00:00#00:00:00 1 e490673928f2922c4ec895e0d7c07768
7171104 C 3 CP 2 23/10/2019 23/10/2019 19/11/1963 0 2
1 H16.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA MAGDALENA SUUD 052786 55 20427 DR
PAULA M V LUMUNON,SPM 0309R0191019V003882 0002390770989 3;JKN Vian02;
5.3.9.201904290125 4 82659 1#0##0#0#0.0#2019-10-24
12:14:53#0#00:00:00#00:00:00#00:00:00 1 916f9da4ac62c652f0ff1752f829f690
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/12/1959 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JARWATI HARJA 052568 59 21876 DR YULIANA
HARTONO,SPM 0309R0191019V003883 0000909508476 3;JKN Vian02;
5.3.9.201904290125 4 82660 1#0##0#0#0.0#2019-10-24
12:15:58#0#00:00:00#00:00:00#00:00:00 1 afd44e69e0ed16964696ea5f1bb2466b
7171104 C 3 CP 2 23/10/2019 23/10/2019 17/08/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FANNY ANEKE RUMAGIT 032674 71 25999 DR
PAULA M V LUMUNON,SPM 0309R0191019V003884 0000138125485 3;JKN Vian02;
5.3.9.201904290125 4 82661 1#0##0#0#0.0#2019-10-24
12:16:35#0#00:00:00#00:00:00#00:00:00 1 be6122ebc46f964c7a48b2d328202396
7171104 C 3 CP 2 23/10/2019 23/10/2019 13/03/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALTJE UMPEL 005487 67 24695 DR PAULA M V
LUMUNON,SPM 0309R0191019V003887 0001323598994 3;JKN Vian02;
5.3.9.201904290125 4 82662 1#0##0#0#0.0#2019-10-24
12:17:24#0#00:00:00#00:00:00#00:00:00 1 56dd2ad97a73b7b5120276638c22aeb0
7171104 C 3 CP 2 23/10/2019 23/10/2019 04/02/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FINTJE TUMURANG 030609 73 26924 DR PAULA M V
LUMUNON,SPM 0309R0191019V003889 0001565032454 3;JKN Vian02;
5.3.9.201904290125 4 82663 1#0##0#0#0.0#2019-10-24
12:21:28#0#00:00:00#00:00:00#00:00:00 1 7671cdf9b24fb56df3973835e624472b
7171104 C 3 CP 2 23/10/2019 23/10/2019 30/08/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNA MANDAGI 051411 65 23795 DR YULIANA
HARTONO,SPM 0309R0191019V003890 0001341870186 3;JKN Vian02;
5.3.9.201904290125 4 82665 1#0##0#0#0.0#2019-10-24
12:22:11#0#00:00:00#00:00:00#00:00:00 1 68b7b19bb8b35f535c2fc6c03409170e
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/03/1964 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HES PANDENSOLANG 051842 55 20324 DR
YULIANA HARTONO,SPM 0309R0191019V003891 0000907768776 3;JKN Vian02;
5.3.9.201904290125 4 82666 1#0##0#0#0.0#2019-10-24
12:23:08#0#00:00:00#00:00:00#00:00:00 1 7ab90341b5c5238bd8f9764bb201df7f
7171104 C 3 CP 2 23/10/2019 23/10/2019 03/03/1939 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTJE TENGKO 044861 80 29454 DR YULIANA
HARTONO,SPM 0309R0191019V003892 0001573067316 3;JKN Vian02;
5.3.9.201904290125 4 82667 1#0##0#0#0.0#2019-10-24
12:24:02#0#00:00:00#00:00:00#00:00:00 1 4108bf189add3672c7d8e5725c610c68
7171104 C 3 CP 2 23/10/2019 23/10/2019 25/10/1944 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DORKAS HATIBAE 051658 74 27391 DR SAUL
RAPAR,SPM 0309R0191019V003895 0001790374173 3;JKN Vian02;
5.3.9.201904290125 4 82668 1#0##0#0#0.0#2019-10-24
12:24:55#0#00:00:00#00:00:00#00:00:00 1 85394882eb417a5207b5cff2d6146e4e
7171104 C 3 CP 2 23/10/2019 23/10/2019 03/11/1944 0 2
1 Z96.1;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTENSI TATANGINDATU 051003 74 27382
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003896 0002040693895 3;JKN
Vian02; 5.3.9.201904290125 4 82669 1#0##0#0#0.0#2019-10-24
12:25:33#0#00:00:00#00:00:00#00:00:00 1 d756380d10d71696534d8afa52232da2
7171104 C 3 CP 2 23/10/2019 23/10/2019 27/11/1969 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MUTIARA TAWERA 015735 49 18227 DR
SAUL RAPAR,SPM 0309R0191019V003897 0002048032754 3;JKN Vian02;
5.3.9.201904290125 4 82671 1#0##0#0#0.0#2019-10-24
12:26:36#0#00:00:00#00:00:00#00:00:00 1 c837c9dddb2687e8a21a762eb41d0163
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/07/1963 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YUL MALUMBEKE 052117 56 20568 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003737 0000907843871 3;JKN linda03;
5.3.9.201904290125 4 82672 1#0##0#0#0.0#2019-10-24
12:26:44#0#00:00:00#00:00:00#00:00:00 1 24d59562b591797094220526b0e78dfa
7171104 C 3 CP 2 23/10/2019 23/10/2019 29/09/1969 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUSTINUS SIDETE 052788 50 18286 DR
YULIANA HARTONO,SPM 0309R0191019V003899 0001094718137 3;JKN Vian02;
5.3.9.201904290125 4 82674 1#0##0#0#0.0#2019-10-24
12:27:50#0#00:00:00#00:00:00#00:00:00 1 7e286cabdd662524f9682441caef0ddf
7171104 C 3 CP 2 23/10/2019 23/10/2019 06/12/1955 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CORRIE ERNA KAWULUR 010285 63 23332
DR YULIANA HARTONO,SPM 0309R0191019V003900 0000138499402 3;JKN
Vian02; 5.3.9.201904290125 4 82675 1#0##0#0#0.0#2019-10-24
12:28:44#0#00:00:00#00:00:00#00:00:00 1 cc801077e1a286f944d05074228b6e71
7171104 C 3 CP 2 23/10/2019 23/10/2019 03/07/1976 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VOISYE MANUEKE 052789 43 15817 DR
PAULA M V LUMUNON,SPM 0309R0191019V003901 0002044759623 3;JKN Vian02;
5.3.9.201904290125 4 82678 1#0##0#0#0.0#2019-10-24
12:29:50#0#00:00:00#00:00:00#00:00:00 1 8686659f9e96b61f94969c56a288f4ad
7171104 C 3 CP 2 23/10/2019 23/10/2019 08/12/1984 0 1
1 Z09.8;D31.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 REAGI THOSAL 052586 34 12737 DR
YULIANA HARTONO,SPM 0309R0191019V003904 0002067923316 3;JKN Vian02;
5.3.9.201904290125 4 82679 194#0##0#0#0.0#2019-10-24
12:32:16#0#00:00:00#00:00:00#00:00:00 1 a3c4ed9c35bfd2e00e6f08a9d412e121
7171104 C 3 CP 2 23/10/2019 23/10/2019 07/02/1958 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MINTJE LAUSAN 050689 61 22538 DR
YULIANA HARTONO,SPM 0309R0191019V003907 0002484311657 3;JKN Vian02;
5.3.9.201904290125 4 82681 1#0##0#0#0.0#2019-10-24
12:32:54#0#00:00:00#00:00:00#00:00:00 1 9745c034f09d1986336e942691028dee
7171104 C 3 CP 2 23/10/2019 23/10/2019 19/12/1939 0 2
1 Z09.8;H04.1;H52.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NY THERESIA M A SAUD L 035443 79 29163
DR SAUL RAPAR,SPM 0309R0191019V003736 0000138851245 3;JKN linda03;
5.3.9.201904290125 4 82676 1#0##0#0#0.0#2019-10-24
12:33:16#0#00:00:00#00:00:00#00:00:00 1 2b56a9e2aede50ab3c954c82a1dcc661
7171104 C 3 CP 2 23/10/2019 23/10/2019 13/02/1963 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VERA ELLEN RORONG 021779 56 20706 DR
YULIANA HARTONO,SPM 0309R0191019V003909 0000137727011 3;JKN Vian02;
5.3.9.201904290125 4 82682 1#0##0#0#0.0#2019-10-24
12:33:49#0#00:00:00#00:00:00#00:00:00 1 77a9cbb9692c9b8fadb34a44a4235765
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/07/1964 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TOMI SIBOSO 052601 55 20202 DR SALAM
SURBAKTI,SPM 0309R0191019V003735 0000973707276 3;JKN linda03;
5.3.9.201904290125 4 82683 1#0##0#0#0.0#2019-10-24
12:34:39#0#00:00:00#00:00:00#00:00:00 1 ac090c674c10ad86a0d8b13b9e1291aa
7171104 C 3 CP 2 23/10/2019 23/10/2019 19/12/1969 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NURHAJATI POLI 052791 49 18205 DR SAUL
RAPAR,SPM 0309R0191019V003910 0000138489039 3;JKN Vian02;
5.3.9.201904290125 4 82684 1#0##0#0#0.0#2019-10-24
12:34:40#0#00:00:00#00:00:00#00:00:00 1 ab96c868fc4b18f39c4c70c7c5a32afb
7171104 C 3 CP 2 23/10/2019 23/10/2019 20/05/1940 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEETJE WEKU 052792 79 29010 DR YULIANA
HARTONO,SPM 0309R0191019V003911 0000137107146 3;JKN Vian02;
5.3.9.201904290125 4 82686 1#0##0#0#0.0#2019-10-24
12:35:46#0#00:00:00#00:00:00#00:00:00 1 b771b187160a121d3ad71ff3c95a7496
7171104 C 3 CP 2 23/10/2019 23/10/2019 24/02/1954 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DRS. FERRY SUPIT 046332 65 23982 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V003912 0000211667589 3;JKN Vian02;
5.3.9.201904290125 4 82687 1#0##0#0#0.0#2019-10-24
12:36:25#0#00:00:00#00:00:00#00:00:00 1 3613086c618e05bac23177cda452fe56
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/11/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DINTJE MATHIAS 007545 64 23732 DR YULIANA
HARTONO,SPM 0309R0191019V003733 0001432540866 3;JKN linda03;
5.3.9.201904290125 4 82689 1#0##0#0#0.0#2019-10-24
12:37:15#0#00:00:00#00:00:00#00:00:00 1 6bd851e768214359baf89920e90c47f0
7171104 C 3 CP 2 23/10/2019 23/10/2019 15/02/1975 0 1
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FERI PALINGU 052793 44 16321 DR YULIANA
HARTONO,SPM 0309R0191019V003913 0000166539407 3;JKN Vian02;
5.3.9.201904290125 4 82690 1#0##0#0#0.0#2019-10-24
12:37:36#0#00:00:00#00:00:00#00:00:00 1 49897670ea583ea4ea56768351497949
7171104 C 3 CP 2 23/10/2019 23/10/2019 22/06/2011 0 1
1 H52.7 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JEREMY EZEKIEL WUNER 052794 8 3045 DR
SAUL RAPAR,SPM 0309R0191019V003914 0001080599321 3;JKN Vian02;
5.3.9.201904290125 4 82691 1#0##0#0#0.0#2019-10-24
12:38:34#0#00:00:00#00:00:00#00:00:00 1 9421d013d3321572f32d193c4e0c0976
7171104 C 3 CP 2 23/10/2019 23/10/2019 10/08/1944 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KAREL DICKY MARCUS 052682 75 27467
DR SAUL RAPAR,SPM 0309R0191019V003731 0002430132862 3;JKN linda03;
5.3.9.201904290125 4 82693 1#0##0#0#0.0#2019-10-24
12:48:23#0#00:00:00#00:00:00#00:00:00 1 937989f0413e04dc9436c1d10c3ea3b3
7171104 C 3 CP 2 23/10/2019 23/10/2019 24/08/1948 0 1
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARNOLD R MAMAHIT 011491 71 25992 DR
YULIANA HARTONO,SPM 0309R0191019V003730 0001293534797 3;JKN linda03;
5.3.9.201904290125 4 82694 1#0##0#0#0.0#2019-10-24
12:49:32#0#00:00:00#00:00:00#00:00:00 1 93ba5d89b934bda05c6b09e32e62df27
7171104 C 3 CP 2 23/10/2019 23/10/2019 21/01/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JANSJE JEANET MUMEKH 016945 69 25477 DR
PAULA M V LUMUNON,SPM 0309R0191019V003727 0000138319165 3;JKN linda03;
5.3.9.201904290125 4 82696 1#0##0#0#0.0#2019-10-24
12:51:50#0#00:00:00#00:00:00#00:00:00 1 56ce82a74c2196e83bcdd804c811725d
7171104 C 3 CP 2 23/10/2019 23/10/2019 10/06/1949 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RUTH JUL MANANGKOT 052779 70 25702 DR
SAUL RAPAR,SPM 0309R0191019V003851 0000138234936 3;JKN Vian02;
5.3.9.201904290125 4 82604 1#0##0#0#0.0#2019-10-25
10:17:35#0#00:00:00#00:00:00#00:00:00 1 7a425de76ab4646c3a8c221c365ce3bb
7171104 C 3 CP 2 23/10/2019 23/10/2019 18/03/1943 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 STIEN CONTRA 052784 76 27978 DR PAULA M V
LUMUNON,SPM 0309R0191019V003857 0001851039527 3;JKN Vian02;
5.3.9.201904290125 4 82639 1#0##0#0#0.0#2019-10-25
10:19:38#0#00:00:00#00:00:00#00:00:00 1 843ee55e43a10c28a6c1b0b5974417f5
7171104 C 3 CP 2 23/10/2019 23/10/2019 13/08/1961 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YUNUS SUMAMPOUW 052787 58 21255 DR YULIANA
HARTONO,SPM 0309R0191019V003881 0001604483436 3;JKN Vian02;
5.3.9.201904290125 4 82658 1#0##0#0#0.0#2019-10-25
10:20:44#0#00:00:00#00:00:00#00:00:00 1 a99c7f23a32e1c7dac3effbc620df393
7171104 C 3 CP 2 23/10/2019 23/10/2019 22/01/1955 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KARDINA TUNA 029997 64 23650 DR
SALAM SURBAKTI,SPM 0309R0191019V003726 0001421998503 3;JKN linda03;
5.3.9.201904290125 4 82844 1#0##0#0#0.0#2019-10-26
07:59:46#0#00:00:00#00:00:00#00:00:00 1 e2cbedb82282c649bcb10a7844b2f127
7171104 C 3 CP 2 23/10/2019 23/10/2019 19/05/1956 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GRACE VONNEKE WASTHI SONDAKH 052013 63
23167 DR YULIANA HARTONO,SPM 0309R0191019V003725 0001185419957 3;JKN
linda03; 5.3.9.201904290125 4 82847 1#0##0#0#0.0#2019-10-26
08:01:06#0#00:00:00#00:00:00#00:00:00 1 28bfb986f5ba8e434bc4c2c2d3c70f6e
7171104 C 3 CP 2 23/10/2019 23/10/2019 11/04/1962 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BUDIRAHARDJA HADI SANTOSA 037387 57 21014
DR PAULA M V LUMUNON,SPM 0309R0191019V003724 0002040813944 3;JKN
linda03; 5.3.9.201904290125 4 82850 1#0##0#0#0.0#2019-10-26
08:02:47#0#00:00:00#00:00:00#00:00:00 1 8767e4dbb5cd32e9e55dc04ee3dae8d9
7171104 C 3 CP 2 23/10/2019 23/10/2019 02/08/1953 0 2
1 Z09.0;H26.9;H35.3 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONI NETY NAJOAN 052636 66 24188 DR
SALAM SURBAKTI,SPM 0309R0191019V003723 0002073384371 3;JKN linda03;
5.3.9.201904290125 4 82852 1#0##0#0#0.0#2019-10-26
08:03:35#0#00:00:00#00:00:00#00:00:00 1 6f99409be0ddc19804a72b696d4439e0
7171104 C 3 CP 2 23/10/2019 23/10/2019 17/10/1945 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DANNIE GUSJE RURU 050651 74 27034 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003722 0001810524352 3;JKN
linda03; 5.3.9.201904290125 4 82854 1#0##0#0#0.0#2019-10-26
08:04:12#0#00:00:00#00:00:00#00:00:00 1 ef5b299f72425e3108545ccbe8353f6c
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/06/1947 0 1
1 Z09.0;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HANS CORNELIS TANGKAU 052650 72 26442
DR PAULA M V LUMUNON,SPM 0309R0191019V003720 0000138544626 3;JKN
linda03; 5.3.9.201904290125 4 82856 1#0##0#0#0.0#2019-10-26
08:04:51#0#00:00:00#00:00:00#00:00:00 1 9882f9cfdb1c417c1a08d248b6a2f098
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/07/1966 0 2
1 Z09.8;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEINY KUMAYAS 052303 53 19472 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003719 0000905480043 3;JKN
linda03; 5.3.9.201904290125 4 82862 1#0##0#0#0.0#2019-10-26
08:15:04#0#00:00:00#00:00:00#00:00:00 1 476883b6444b763a652eb1c571ebf4e7
7171104 C 3 CP 2 23/10/2019 23/10/2019 10/02/1947 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SAFINA SANUSI 005310 72 26553 DR
YULIANA HARTONO,SPM 0309R0191019V003718 0002216023705 3;JKN linda03;
5.3.9.201904290125 4 82863 1#0##0#0#0.0#2019-10-26
08:15:53#0#00:00:00#00:00:00#00:00:00 1 7337a735f5a5ed07308bbbf78f066653
7171104 C 3 CP 2 23/10/2019 23/10/2019 16/12/1947 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NI NYOMAN MURNIATI 052052 71 26244
DR SAUL RAPAR,SPM 0309R0191019V003716 0000142982605 3;JKN linda03;
5.3.9.201904290125 4 82864 1#0##0#0#0.0#2019-10-26
08:30:32#0#00:00:00#00:00:00#00:00:00 1 5e03be7938fa8fbd5d37585f584cd46c
7171104 C 3 CP 2 23/10/2019 23/10/2019 13/11/1960 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NOLIN TANGKA 052489 58 21528 DR
SALAM SURBAKTI,SPM 0309R0191019V003713 0001569814784 3;JKN linda03;
5.3.9.201904290125 4 82865 1#0##0#0#0.0#2019-10-26
08:41:05#0#00:00:00#00:00:00#00:00:00 1 90cc6da1a69b0881ebf86c3b58a2566a
7171104 C 3 CP 2 23/10/2019 23/10/2019 06/10/1949 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RITJE SIWU 052134 70 25584 DR SALAM
SURBAKTI,SPM 0309R0191019V003712 0001565944828 3;JKN linda03;
5.3.9.201904290125 4 82866 1#0##0#0#0.0#2019-10-26
08:41:55#0#00:00:00#00:00:00#00:00:00 1 ee86b5ce368cec2946f5738ac057969e
7171104 C 3 CP 2 23/10/2019 23/10/2019 13/01/1947 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALSYE SHOPIA KAWULUSAN 052471 72 26581
DR IVONNE RAMENUSA,SPM 0309R0191019V003711 0000138871067 3;JKN
linda03; 5.3.9.201904290125 4 82867 1#0##0#0#0.0#2019-10-26
08:42:33#0#00:00:00#00:00:00#00:00:00 1 736c16584bcef4ebbcd23d45674a16bc
7171104 C 3 CP 2 23/10/2019 23/10/2019 06/06/1950 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIANA MOKEY WAROUW 052510 69 25341
DR YULIANA HARTONO,SPM 0309R0191019V003710 0001266832113 3;JKN
linda03; 5.3.9.201904290125 4 82868 1#0##0#0#0.0#2019-10-26
08:43:24#0#00:00:00#00:00:00#00:00:00 1 b4bce293923e20aea95f0e47df58c61b
7171104 C 3 CP 2 23/10/2019 23/10/2019 17/04/1970 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LENA TONGKOTOW 052714 49 18086 DR
IVONNE RAMENUSA,SPM 0309R0191019V003709 0002018640475 3;JKN linda03;
5.3.9.201904290125 4 82869 1#0##0#0#0.0#2019-10-26
08:44:20#0#00:00:00#00:00:00#00:00:00 1 b614cd4a209ca8e1cf3bea36957c58a1
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/06/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FATMA NGAU 052101 62 22789 DR SAUL RAPAR,SPM
0309R0191019V003708 0000908698195 3;JKN linda03; 5.3.9.201904290125
4 82870 1#0##0#0#0.0#2019-10-26 08:44:58#0#00:00:00#00:00:00#00:00:00
1 e719e38a8c2d80fa4e32e90bdda79922
7171104 C 3 CP 2 23/10/2019 23/10/2019 07/04/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NELTJE KESEK 051862 70 25766 DR YULIANA
HARTONO,SPM 0309R0191019V003707 0001564816509 3;JKN linda03;
5.3.9.201904290125 4 82871 1#0##0#0#0.0#2019-10-26
08:54:39#0#00:00:00#00:00:00#00:00:00 1 43ddf15c375d72bc647faf261d7c2917
7171104 C 3 CP 2 23/10/2019 23/10/2019 13/12/2005 0 2
1 Z09.8;H52.2;H53.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 IRENE N. ANDARIA 052645 13 5062 DR
SAUL RAPAR,SPM 0309R0191019V003706 0002389220065 3;JKN linda03;
5.3.9.201904290125 4 82872 1#0##0#0#0.0#2019-10-26
09:01:04#0#00:00:00#00:00:00#00:00:00 1 c34a87810c3ec3fb94c9be1358fb27c2
7171104 C 3 CP 2 23/10/2019 23/10/2019 08/11/1960 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHERLY ELAINE KOMBAITAN 031141 58 21533
DR IVONNE RAMENUSA,SPM 0309R0191019V003705 0002079822892 3;JKN
linda03; 5.3.9.201904290125 4 82873 1#0##0#0#0.0#2019-10-26
09:24:55#0#00:00:00#00:00:00#00:00:00 1 5e91e0c84a02cb5f302a09fc8c41065e
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/01/1941 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULUIS KOUNTUR 052472 78 28784 DR
IVONNE RAMENUSA,SPM 0309R0191019V003704 0001567964777 3;JKN linda03;
5.3.9.201904290125 4 82874 9#0##0#0#0.0#2019-10-26
09:41:50#0#00:00:00#00:00:00#00:00:00 1 e52a47e495eec80f9f869d1091806a81
7171104 C 3 CP 2 23/10/2019 23/10/2019 03/02/1945 0 1
1 Z09.0;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RONNY F. KARWUR 052664 74 27290 DR
SAUL RAPAR,SPM 0309R0191019V003703 0000908147711 3;JKN linda03;
5.3.9.201904290125 4 82878 1#0##0#0#0.0#2019-10-26
10:51:06#0#00:00:00#00:00:00#00:00:00 1 c6f1872998be41264316d0435bfed5ef
7171104 C 3 CP 2 23/10/2019 23/10/2019 02/06/1953 0 2
1 Z09.0;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEANETTE TALANGI 052445 66 24249 DR
SAUL RAPAR,SPM 0309R0191019V003702 0000138437739 3;JKN linda03;
5.3.9.201904290125 4 82884 1#0##0#0#0.0#2019-10-26
11:02:22#0#00:00:00#00:00:00#00:00:00 1 18bfddfa3aead84728ea9ccb14cdee2d
7171104 C 3 CP 2 23/10/2019 23/10/2019 31/07/1970 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOLA FERA SATTU 038275 49 17981 DR
SALAM SURBAKTI,SPM 0309R0191019V003701 0000137724827 3;JKN linda03;
5.3.9.201904290125 4 82885 1#0##0#0#0.0#2019-10-26
11:02:58#0#00:00:00#00:00:00#00:00:00 1 ac88f2a65797b384d29ccd0003c89bef
7171104 C 3 CP 2 23/10/2019 23/10/2019 27/03/1945 0 1
1 Z09.0;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHRISTOFEL ROBY MEWOH 052592 74 27238
DR SAUL RAPAR,SPM 0309R0191019V003700 0002206284423 3;JKN linda03;
5.3.9.201904290125 4 82886 1#0##0#0#0.0#2019-10-26
11:03:36#0#00:00:00#00:00:00#00:00:00 1 4f68f4411508c22fc3d3cd0585ac439d
7171104 C 3 CP 2 23/10/2019 23/10/2019 16/03/1960 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 REGINA JULIN AKAY 033751 59 21770 DR
PAULA M V LUMUNON,SPM 0309R0191019V003699 0000137196426 3;JKN linda03;
5.3.9.201904290125 4 82888 1#0##0#0#0.0#2019-10-26
11:05:10#0#00:00:00#00:00:00#00:00:00 1 9fe14c71bd6d5ed9e58663d4c294f736
7171104 C 3 CP 1 22/10/2019 23/10/2019 06/10/1978 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 YUNITA SEKOH 052476 41
14991 DR IVONNE RAMENUSA,SPM 0309R0191019V003584 0002388528178 3;JKN
eka06; 5.3.9.201904290125 4 82999 1#0##0#0#0.0#2019-10-28
11:03:16#0#00:00:00#00:00:00#00:00:00 1 fbcc8c9c70aa300861a3791f98d77258
7171104 C 2 CP 1 22/10/2019 23/10/2019 09/09/1966 0 2
1 H40.9 12.64 - - None None None None H-1-30-I None None
None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN) 7812300
0 0 - 0 - 0 - 0 - 0 7812300
1073900 0 2 0 0 0 ZUS AGUSTINA RATULANGI 018373
53 19401 DR PAULA M V LUMUNON,SPM 0309R0191019V003661
0002317507165 3;JKN eka06; 5.3.9.201904290125 4 83048
1#0##0#0#0.0#2019-10-29 09:46:58#0#00:00:00#00:00:00#00:00:00 1
a68e80cc04c4f84cb33d9357ff37eff4
7171104 C 3 CP 2 23/10/2019 23/10/2019 05/07/1972 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FAJAR SISWANTO 052831 47 17276 DR
SALAM SURBAKTI,SPM 0309R0191019V003728 0001103079971 3;JKN linda03;
5.3.9.201904290125 4 82695 1#0##0#0#0.0#2019-10-31
13:09:05#0#00:00:00#00:00:00#00:00:00 1 f57574e0a830f2a26f58c405eb3f4acc
7171104 C 3 CP 1 22/10/2019 23/10/2019 01/11/1942 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 BERNECE SALINDEHO 052389 76
28114 DR SAUL RAPAR,SPM 0309R0191019V003555 0000908601063 3;JKN eka06;
5.3.9.201904290125 4 83745 1#0##0#0#0.0#2019-11-01
13:27:26#0#00:00:00#00:00:00#00:00:00 1 b3dd95184571ff2ad9215a4afb378185
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/11/1965 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NITA ANGELINA POSSUMAH 016067 53 19714
DR YULIANA HARTONO,SPM 0309R0191019V003772 0000908459965 3;JKN
linda03; 5.3.9.201904290125 4 82571 1#0##0#0#0.0#2019-11-04
14:14:31#0#00:00:00#00:00:00#00:00:00 1 c097560daa173b4ce2a153d01d0e543b
7171104 C 3 CP 2 23/10/2019 23/10/2019 08/07/1940 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 LEMBANG LISA 001878 79 28961 DR
PAULA M V LUMUNON,SPM 0309R0191019V003783 0000138050199 3;JKN Boni04;
5.3.9.201904290125 4 84202 1#0##0#0#0.0#2019-11-05
11:07:18#0#00:00:00#00:00:00#00:00:00 1 7625e8da1a066b3b8b539144156e6730
7171104 C 3 CP 2 23/10/2019 23/10/2019 28/09/1948 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 STANS W. MARINGKA 032988 71 25957 DR
YULIANA HARTONO,SPM 0309R0191019V003758 0002240254056 3;JKN Boni04;
5.3.9.201904290125 4 84204 1#0##0#0#0.0#2019-11-05
11:14:43#0#00:00:00#00:00:00#00:00:00 1 70fbdc6e47fc0e87a031a4e72901a3eb
7171104 C 3 CP 2 23/10/2019 23/10/2019 24/02/1955 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 BENYAMIN SARENDATU 021162 64 23617
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003770 0001873940038 3;JKN
Boni04; 5.3.9.201904290125 4 84205 1#0##0#0#0.0#2019-11-05
11:16:15#0#00:00:00#00:00:00#00:00:00 1 b7fe40b6a93c90a746ffb16bbe23b01c
7171104 C 3 CP 2 23/10/2019 23/10/2019 20/12/1944 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 PETRUS NOWIN 035799 74 27335 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003794 0001271828182 3;JKN
Boni04; 5.3.9.201904290125 4 84206 1#0##0#0#0.0#2019-11-05
11:17:02#0#00:00:00#00:00:00#00:00:00 1 16d06b46be0cd036ed24441fad3d16cf
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/01/1953 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SARAWINA KAKONDO
052205 66 24401 DR.MELISA RATAG,SPM 0309R0191019V003893
0000907758786 3;JKN Boni04; 5.3.9.201904290125 4 84207
1#0##0#0#0.0#2019-11-05 11:19:58#0#00:00:00#00:00:00#00:00:00 1
7f07690d591ebd6443c5c8fa11aa9e1b
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/07/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LINCE BOAS 052709
71 26046 DR.MELISA RATAG,SPM 0309R0191019V003804 0002390814292
3;JKN Boni04; 5.3.9.201904290125 4 84208 1#0##0#0#0.0#2019-11-05
11:20:50#0#00:00:00#00:00:00#00:00:00 1 b855a7059eeb077c6612e464867c3acf
7171104 C 3 CP 2 23/10/2019 23/10/2019 31/08/1951 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HERMINA MAKAHINDA
052206 68 24890 DR.MELISA RATAG,SPM 0309R0191019V003734
0002237359781 3;JKN Boni04; 5.3.9.201904290125 4 84209
1#0##0#0#0.0#2019-11-05 11:35:40#0#00:00:00#00:00:00#00:00:00 1
7e7f3dc617608ace09aabdd7fae68f1c
7171104 C 3 CP 2 23/10/2019 23/10/2019 27/05/1970 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 WAHIDA SELLE
052272 49 18046 DR.MELISA RATAG,SPM 0309R0191019V003777
0000905407233 3;JKN Boni04; 5.3.9.201904290125 4 84210
1#0##0#0#0.0#2019-11-05 11:36:53#0#00:00:00#00:00:00#00:00:00 1
c37da24da1eb4370b211ce8c1623f236
7171104 C 3 CP 2 23/10/2019 23/10/2019 17/07/1940 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YULIN SUMANTI
052561 79 28952 DR.MELISA RATAG,SPM 0309R0191019V003852
0002388050943 3;JKN Boni04; 5.3.9.201904290125 4 84241
1#0##0#0#0.0#2019-11-05 13:39:23#0#00:00:00#00:00:00#00:00:00 1
f3e2a843db498306bc2266426bc0d029
7171104 C 3 CP 2 23/10/2019 23/10/2019 31/03/1941 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ITHA MANDOME
052482 78 28695 DR.MELISA RATAG,SPM 0309R0191019V003872
0002389341306 3;JKN Boni04; 5.3.9.201904290125 4 84244
1#0##0#0#0.0#2019-11-05 13:40:57#0#00:00:00#00:00:00#00:00:00 1
e62fe386b81dd27e97a59294e6814fce
7171104 C 3 CP 2 23/10/2019 23/10/2019 07/10/1949 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LANTANG E KOWAL
052712 70 25583 DR RALF PANGALILA,SPM 0309R0191019V003822
0000138865364 3;JKN Boni04; 5.3.9.201904290125 4 84246
1#0##0#0#0.0#2019-11-05 13:42:56#0#00:00:00#00:00:00#00:00:00 2
e702ceff7e9a59dc59ff442c36de944c
7171104 C 3 CP 2 23/10/2019 23/10/2019 11/06/1953 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JULI SAMPEPOLAN
040866 66 24240 DR RALF PANGALILA,SPM 0309R0191019V003811
0000138604533 3;JKN Boni04; 5.3.9.201904290125 4 84248
1#0##0#0#0.0#2019-11-05 13:44:44#0#00:00:00#00:00:00#00:00:00 1
8ecc883f246ffda8fce0a2f9896b4a5e
7171104 C 3 CP 2 23/10/2019 23/10/2019 07/01/1962 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHANA WEHANTOUW
052085 57 21108 DR RALF PANGALILA,SPM 0309R0191019V003834
0000137883317 3;JKN Boni04; 5.3.9.201904290125 4 84250
1#0##0#0#0.0#2019-11-05 13:45:32#0#00:00:00#00:00:00#00:00:00 1
4f466e92372ab9603882b47acd03d95a
7171104 C 3 CP 2 23/10/2019 23/10/2019 15/06/1945 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JULIEN TUMIMOMOR
052441 74 27158 DR RALF PANGALILA,SPM 0309R0191019V003729
0002610778228 3;JKN Boni04; 5.3.9.201904290125 4 84252
1#0##0#0#0.0#2019-11-05 13:46:28#0#00:00:00#00:00:00#00:00:00 1
c070848e7401f0c102d52cb3156664cf
7171104 C 3 CP 2 23/10/2019 23/10/2019 20/11/1971 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SARKONO NUNGAN
052651 47 17504 DR RALF PANGALILA,SPM 0309R0191019V003717
0001568126575 3;JKN Boni04; 5.3.9.201904290125 4 84254
1#0##0#0#0.0#2019-11-05 13:47:31#0#00:00:00#00:00:00#00:00:00 1
744366f490c899531deafde5a9666914
7171104 C 3 CP 2 23/10/2019 23/10/2019 27/02/1952 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 THEOPILUS PAREDA
052668 67 24710 DR RALF PANGALILA,SPM 0309R0191019V003755
0002286534868 3;JKN Boni04; 5.3.9.201904290125 4 84255
1#0##0#0#0.0#2019-11-05 13:48:35#0#00:00:00#00:00:00#00:00:00 1
8da6fc805b01f1fac53abf3bb50886cb
7171104 C 3 CP 2 23/10/2019 23/10/2019 08/12/1953 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DEBESTRIDA
MAITULUNG 052731 65 24060 DR RALF PANGALILA,SPM 0309R0191019V003867
0000136915222 3;JKN Boni04; 5.3.9.201904290125 4 84257
1#0##0#0#0.0#2019-11-05 13:49:37#0#00:00:00#00:00:00#00:00:00 1
0bc5bd674c16d58a1e52ea78cd093427
7171104 C 3 CP 2 23/10/2019 23/10/2019 27/06/1941 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 JENNY SUMAKUD 018286 78 28607 DR
YULIANA HARTONO,SPM 0309R0191019V003744 0002070787599 3;JKN Boni04;
5.3.9.201904290125 4 84203 1#0##0#0#0.0#2019-11-05
13:51:07#0#00:00:00#00:00:00#00:00:00 1 6ba0432b777c40955cdb6a8603501ca7
7171104 C 3 CP 2 23/10/2019 23/10/2019 05/01/1943 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LIEN KRISTAUNG
052562 76 28050 DR RALF PANGALILA,SPM 0309R0191019V003885
0000138111445 3;JKN Boni04; 5.3.9.201904290125 4 84259
1#0##0#0#0.0#2019-11-05 13:52:27#0#00:00:00#00:00:00#00:00:00 1
3595763b693a147326ade99774b66a8e
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/06/1972 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MEITI RAMBING
052689 47 17310 DR RALF PANGALILA,SPM 0309R0191019V003847
0000905318291 3;JKN Boni04; 5.3.9.201904290125 4 84260
1#0##0#0#0.0#2019-11-05 13:53:12#0#00:00:00#00:00:00#00:00:00 1
2907ec845a9d9ac2ec505f7cdac14bfe
7171104 C 3 CP 2 23/10/2019 23/10/2019 08/06/1956 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 BERNITJE KAHIMPONG
052002 63 23147 DR DYANA T.WATANIA,SPM 0309R0191019V003714
0000137544761 3;JKN Boni04; 5.3.9.201904290125 4 84261
1#0##0#0#0.0#2019-11-05 13:54:19#0#00:00:00#00:00:00#00:00:00 1
735e565c034150a6baa120bf56bec925
7171104 C 3 CP 2 23/10/2019 23/10/2019 05/11/1953 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 CAROLUS BOROMEUS
RUMENGAN 052707 65 24093 DR DYANA T.WATANIA,SPM 0309R0191019V003715
0001725245357 3;JKN Boni04; 5.3.9.201904290125 4 84264
1#0##0#0#0.0#2019-11-05 13:56:17#0#00:00:00#00:00:00#00:00:00 1
67b03f68ef2eeba54129608f02aeb3a6
7171104 C 3 CP 2 23/10/2019 23/10/2019 05/03/1953 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HASAN KAIRUPAN
052502 66 24338 DR DYANA T.WATANIA,SPM 0309R0191019V003762
0002043985667 3;JKN Boni04; 5.3.9.201904290125 4 84266
1#0##0#0#0.0#2019-11-05 13:58:12#0#00:00:00#00:00:00#00:00:00 1
c4b18cadf1baf5879af0d2be90434ceb
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/07/1968 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YULIATI RIYADI
051808 51 18741 DR DYANA T.WATANIA,SPM 0309R0191019V003864
0002062016515 3;JKN Boni04; 5.3.9.201904290125 4 84268
1#0##0#0#0.0#2019-11-05 13:58:54#0#00:00:00#00:00:00#00:00:00 1
37aedf04723c31dd052f1baf5cfd41ee
7171104 C 3 CP 2 23/10/2019 23/10/2019 08/10/1954 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 EDY WENTONG 052703
65 23756 DR DYANA T.WATANIA,SPM 0309R0191019V003888 0002225078875
3;JKN Boni04; 5.3.9.201904290125 4 84270 1#0##0#0#0.0#2019-11-05
13:59:49#0#00:00:00#00:00:00#00:00:00 1 77e9cbd79116bb296e96400f35fea0f6
7171104 C 3 CP 2 23/10/2019 23/10/2019 11/05/1955 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HENDRO LAUTAN LAUW
041226 64 23541 DR DYANA T.WATANIA,SPM 0309R0191019V003905
0002464653194 3;JKN Boni04; 5.3.9.201904290125 4 84271
1#0##0#0#0.0#2019-11-05 14:01:12#0#00:00:00#00:00:00#00:00:00 1
c0be8fe7aa4d543db9dfaba8ff67efa2
7171104 C 3 CP 2 23/10/2019 23/10/2019 02/12/1951 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHNY LEMBONG
051013 67 24797 DR DYANA T.WATANIA,SPM 0309R0191019V003908
0000138178776 3;JKN Boni04; 5.3.9.201904290125 4 84272
1#0##0#0#0.0#2019-11-05 14:02:16#0#00:00:00#00:00:00#00:00:00 1
6f1e9bd4754342c83247d7ff0fe4125d
7171104 C 3 CP 2 23/10/2019 23/10/2019 01/03/1971 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTHEN MATAPULANG 052737 48 17768
DR YULIANA HARTONO,SPM 0309R0191019V003806 0000908839271 3;JKN
Patrick K.; 5.3.9.201904290125 4 82586 1#0##0#0#0.0#2019-11-05
16:11:09#0#00:00:00#00:00:00#00:00:00 1 62f00d75e8987ca601e81c6e22f08a6d
7171104 C 3 CP 2 23/10/2019 23/10/2019 17/04/1963 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 THERESIA NGUTRA 052775 56 20643 DR
YULIANA HARTONO,SPM 0309R0191019V003837 0002388395079 3;JKN Patrick K.;
5.3.9.201904290125 4 82540 1#0##0#0#0.0#2019-11-07
09:55:26#0#00:00:00#00:00:00#00:00:00 2 a0338e225cda0dce019d1d56799502b6
7171104 C 3 CP 2 23/10/2019 23/10/2019 03/02/1949 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NONTJE MARAMIS,SPD 052776 70 25829 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V003842 0000138455919 3;JKN
Vian02; 5.3.9.201904290125 4 82557 1#0##0#0#0.0#2019-11-07
10:01:36#0#00:00:00#00:00:00#00:00:00 1 48f9636afb4c2ed5e37b7ac39e79ba4f
7171104 C 3 CP 2 24/10/2019 24/10/2019 27/02/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 THEOPILUS PAREDA 052668 67 24711 DR RALF
PANGALILA,SPM 0309R0191019V004079 0002286534868 3;JKN Patrick K.;
5.3.9.201904290125 4 82736 1#0##0#0#0.0#2019-10-25
11:00:57#0#00:00:00#00:00:00#00:00:00 1 c921c77ceb2e6e006c1047e40a04aa7a
7171104 C 3 CP 2 24/10/2019 24/10/2019 08/12/1991 0 2
1 H20.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEISY MEITA SANGARI 052818 27 10182 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V004078 0002240687338 3;JKN Patrick K.;
5.3.9.201904290125 4 82737 1#0##0#0#0.0#2019-10-25
11:05:18#0#00:00:00#00:00:00#00:00:00 1 31f0a3db6c6308857a7ae468448c550c
7171104 C 3 CP 2 24/10/2019 24/10/2019 10/03/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA RUNTUWAROUW 017220 74 27256 DR RALF
PANGALILA,SPM 0309R0191019V004076 0000138194381 3;JKN Patrick K.;
5.3.9.201904290125 4 82738 1#0##0#0#0.0#2019-10-25
11:07:33#0#00:00:00#00:00:00#00:00:00 1 5f82927f0476b95bd6fcdd179bda9efb
7171104 C 3 CP 2 24/10/2019 24/10/2019 02/02/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALTJIE KALENDI 049106 64 23640 DR.MELISA
RATAG,SPM 0309R0191019V004075 0002236438348 3;JKN Patrick K.;
5.3.9.201904290125 4 82739 1#0##0#0#0.0#2019-10-25
11:08:15#0#00:00:00#00:00:00#00:00:00 1 8bfc7c69bc382c8cf8acb122aaa292e2
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/04/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTJE KIRIMAN 052209 66 24312 DR.MELISA
RATAG,SPM 0309R0191019V004074 0000908784854 3;JKN Patrick K.;
5.3.9.201904290125 4 82740 1#0##0#0#0.0#2019-10-25
11:09:37#0#00:00:00#00:00:00#00:00:00 1 e1817d92c4763007b5f78f2f078a7ec2
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/07/1944 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CELCIUS SILANGEN 052213 75 27508
DR.MELISA RATAG,SPM 0309R0191019V004073 0000908067418 3;JKN
Patrick K.; 5.3.9.201904290125 4 82741 1#0##0#0#0.0#2019-10-25
11:31:08#0#00:00:00#00:00:00#00:00:00 1 8d3d9d276732322624de1f6eab99a124
7171104 C 3 CP 2 24/10/2019 24/10/2019 27/03/1969 0 1
1 Z96.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOSEPH ARIE TURUN 028466 50 18473 DR.
DENNY WALANDOW, SPM 0309R0191019V004072 0000138678232 3;JKN Patrick K.;
5.3.9.201904290125 4 82742 1#0##0#0#0.0#2019-10-25
11:51:37#0#00:00:00#00:00:00#00:00:00 1 9808509b863f4cb7e49de34567a75c35
7171104 C 3 CP 2 24/10/2019 24/10/2019 18/05/1955 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEIDY LIOGU 051669 64 23535 DR.FELLY A.
TOAD,S.PM 0309R0191019V004069 0000137263375 3;JKN Patrick K.;
5.3.9.201904290125 4 82744 1#0##0#0#0.0#2019-10-25
11:59:45#0#00:00:00#00:00:00#00:00:00 1 34c13a28e85889ebfc5029d64a730109
7171104 C 3 CP 2 24/10/2019 24/10/2019 14/09/1959 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 GABRIEL TUMANKEN 038526 60 21955 DR. DENNY
WALANDOW, SPM 0309R0191019V004067 0000137960357 3;JKN Patrick K.;
5.3.9.201904290125 4 82745 1#0##0#0#0.0#2019-10-25
12:02:08#0#00:00:00#00:00:00#00:00:00 1 3e06800eb7a84b967c364578c4a5a412
7171104 C 3 CP 2 24/10/2019 24/10/2019 26/08/1978 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NELCIE RESIMANUK 027077 41 15034 DR. DENNY
WALANDOW, SPM 0309R0191019V004063 0002232358468 3;JKN Patrick K.;
5.3.9.201904290125 4 82747 1#0##0#0#0.0#2019-10-25
12:04:02#0#00:00:00#00:00:00#00:00:00 1 dc72b0606e7036394c8d208ba4397fd4
7171104 C 3 CP 2 24/10/2019 24/10/2019 11/06/1950 0 2
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA WOI 007533 69 25337 DR. DENNY
WALANDOW, SPM 0309R0191019V004060 0002045663076 3;JKN Patrick K.;
5.3.9.201904290125 4 82748 1#0##0#0#0.0#2019-10-25
12:11:47#0#00:00:00#00:00:00#00:00:00 1 6a5db0b096b1bf4671acdde105de1e7a
7171104 C 3 CP 2 24/10/2019 24/10/2019 22/05/1956 0 1
1 Z09.8;H40.5;E11.3 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TENEH MAXI W 051389 63 23165
DR.FELLY A. TOAD,S.PM 0309R0191019V004056 0000137000957 3;JKN
Patrick K.; 5.3.9.201904290125 4 82750 1#0##0#0#0.0#2019-10-25
12:17:18#0#00:00:00#00:00:00#00:00:00 1 ffb8ae4e1ea8bafb012b589a324d37c3
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/03/1965 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA SIGARLAKI 052692 54 19960 DR RALF
PANGALILA,SPM 0309R0191019V004054 0000907876269 3;JKN Patrick K.;
5.3.9.201904290125 4 82751 1#0##0#0#0.0#2019-10-25
12:18:02#0#00:00:00#00:00:00#00:00:00 1 ceb0d30c7d18032d7d68370331585ccb
7171104 C 3 CP 2 24/10/2019 24/10/2019 29/11/1967 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADELMINCE SAHEN TUMBAGE 051738 51 18957 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V004053 0002778840189 3;JKN Patrick K.;
5.3.9.201904290125 4 82752 1#0##0#0#0.0#2019-10-25
12:18:59#0#00:00:00#00:00:00#00:00:00 1 965ce1872f27434f3db7b532fbba4067
7171104 C 3 CP 2 24/10/2019 24/10/2019 26/07/1962 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TAMSIL YAHYA 052815 57 20909 DR.MELISA
RATAG,SPM 0309R0191019V004051 0001809782921 3;JKN Patrick K.;
5.3.9.201904290125 4 82753 1#0##0#0#0.0#2019-10-25
12:20:36#0#00:00:00#00:00:00#00:00:00 1 3513de7b78e15cbb79554e88af39567f
7171104 C 3 CP 2 24/10/2019 24/10/2019 19/09/1963 0 2
1 Z09.8;H40.8;H44.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STIEN RINGKUANGAN 027750 56 20489
DR.FELLY A. TOAD,S.PM 0309R0191019V004050 0002209911096 3;JKN
Patrick K.; 5.3.9.201904290125 4 82754 1#0##0#0#0.0#2019-10-25
12:21:31#0#00:00:00#00:00:00#00:00:00 1 6f5bb308a862d8f0fa25ec8e98f5f82f
7171104 C 3 CP 2 24/10/2019 24/10/2019 30/10/1957 0 1
1 Z09.8;H40.1;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLD MESAK 050144 61 22639 DR.FELLY A.
TOAD,S.PM 0309R0191019V004045 0002257390833 3;JKN Patrick K.;
5.3.9.201904290125 4 82755 1#0##0#0#0.0#2019-10-25
12:22:46#0#00:00:00#00:00:00#00:00:00 1 ad5fffa0af096e10de886dcce50da84b
7171104 C 3 CP 2 24/10/2019 24/10/2019 25/09/2009 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FRANSISKUS C. J. OROH 052812 10 3681
DR.MELISA RATAG,SPM 0309R0191019V004044 0001899761703 3;JKN
Patrick K.; 5.3.9.201904290125 4 82756 1#0##0#0#0.0#2019-10-25
12:24:04#0#00:00:00#00:00:00#00:00:00 1 36caff1048a32b3cc4728668a7ddbe2c
7171104 C 3 CP 2 24/10/2019 24/10/2019 11/08/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 EMMY S. RUNTUWENE 048627 72 26372 DR.MELISA
RATAG,SPM 0309R0191019V004116 0000137181868 3;JKN Vian02;
5.3.9.201904290125 4 82757 1#0##0#0#0.0#2019-10-25
12:25:01#0#00:00:00#00:00:00#00:00:00 1 c22c76a55e4e147fc670157bdbd2d3be
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/08/1974 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTINA LINTONG 052811 45 16520 DR.MELISA
RATAG,SPM 0309R0191019V004039 0000908456049 3;JKN Patrick K.;
5.3.9.201904290125 4 82758 1#0##0#0#0.0#2019-10-25
12:25:02#0#00:00:00#00:00:00#00:00:00 1 b8250737fbfb7a78991dbdc02be67601
7171104 C 3 CP 2 24/10/2019 24/10/2019 10/08/1979 0 1
1 Z09.8;H40.1;H52.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HAMAN KASENDA FREDERIK PALANDUNG 050515
40 14685 DR.FELLY A. TOAD,S.PM 0309R0191019V004037 0000162758428
3;JKN Patrick K.; 5.3.9.201904290125 4 82759 1#0##0#0#0.0#2019-10-25
12:26:13#0#00:00:00#00:00:00#00:00:00 1 97858c1995d801cf1b5bee163fbd0639
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/10/1969 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROYKE MOHEDE 029091 50 18285
DR.MELISA RATAG,SPM 0309R0191019V004036 0000907267961 3;JKN
Patrick K.; 5.3.9.201904290125 4 82760 1#0##0#0#0.0#2019-10-25
12:27:30#0#00:00:00#00:00:00#00:00:00 1 a171891684b3d1032d804230cc6bf31c
7171104 C 3 CP 2 24/10/2019 24/10/2019 11/04/1948 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GRETJE KAWULUSAN 052809 71 26128 DR
DYANA T.WATANIA,SPM 0309R0191019V004034 0002234761457 3;JKN Patrick K.;
5.3.9.201904290125 4 82761 1#0##0#0#0.0#2019-10-25
12:28:43#0#00:00:00#00:00:00#00:00:00 1 66ab7de3c5eabb6fdbc5d6734b87e56a
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/04/1958 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHRISTOFORUS BERMALAM 052584 61 22486
DR SALAM SURBAKTI,SPM 0309R0191019V004117 0000907972266 3;JKN
Vian02; 5.3.9.201904290125 4 82762 1#0##0#0#0.0#2019-10-25
12:29:48#0#00:00:00#00:00:00#00:00:00 1 4a5271c6bcab414c48dc5795081d72a8
7171104 C 3 CP 2 24/10/2019 24/10/2019 12/01/1954 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHN WENNY KAPOH 052807 65 24026 DR. DENNY
WALANDOW, SPM 0309R0191019V004032 0001574616756 3;JKN Patrick K.;
5.3.9.201904290125 4 82763 1#0##0#0#0.0#2019-10-25
12:30:00#0#00:00:00#00:00:00#00:00:00 1 f793964c2d12d6ff131abc1c99257908
7171104 C 3 CP 2 24/10/2019 24/10/2019 05/03/1958 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTHEN INARAY 051928 61 22513 DR.MELISA
RATAG,SPM 0309R0191019V004031 0001574607609 3;JKN Patrick K.;
5.3.9.201904290125 4 82765 1#0##0#0#0.0#2019-10-25
12:32:45#0#00:00:00#00:00:00#00:00:00 1 ec80ae164f7fb751e641c7b64f0463fb
7171104 C 3 CP 2 24/10/2019 24/10/2019 26/01/1957 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MENI RUMAMBI 025155 62 22916 DR.
DENNY WALANDOW, SPM 0309R0191019V004030 0000137193028 3;JKN Patrick K.;
5.3.9.201904290125 4 82766 1#0##0#0#0.0#2019-10-25
12:33:43#0#00:00:00#00:00:00#00:00:00 1 0c002eecd200d8f917edb3268413fb22
7171104 C 3 CP 2 24/10/2019 24/10/2019 10/08/1947 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KAPOH R. MARIE 052808 72 26373 DR. DENNY
WALANDOW, SPM 0309R0191019V004029 0000137162024 3;JKN Patrick K.;
5.3.9.201904290125 4 82767 1#0##0#0#0.0#2019-10-25
12:34:41#0#00:00:00#00:00:00#00:00:00 1 9b980698d5b245784ba853747d7a1c26
7171104 C 3 CP 2 24/10/2019 24/10/2019 07/08/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOKO KAREPOAN 052587 66 24184 DR. DENNY
WALANDOW, SPM 0309R0191019V004118 0001800766618 3;JKN Vian02;
5.3.9.201904290125 4 82764 1#0##0#0#0.0#2019-10-25
12:35:17#0#00:00:00#00:00:00#00:00:00 1 cf924b3fa0f865f6be373cbfb73dddc6
7171104 C 3 CP 2 24/10/2019 24/10/2019 28/10/1965 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULTJE HAIWOELAN AMANGA 052805 53 19719
DR. DENNY WALANDOW, SPM 0309R0191019V004028 0001890322018 3;JKN
Patrick K.; 5.3.9.201904290125 4 82768 1#0##0#0#0.0#2019-10-25
12:35:44#0#00:00:00#00:00:00#00:00:00 1 56b69dc0b166f5333aed145168c9c9f6
7171104 C 3 CP 2 24/10/2019 24/10/2019 05/03/1953 0 1
1 Z09.0;H26.9;Z96.1;H44.5 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HASAN KAIRUPAN 052502 66 24339 DR
DYANA T.WATANIA,SPM 0309R0191019V004026 0002043985667 3;JKN Patrick K.;
5.3.9.201904290125 4 82769 1#0##0#0#0.0#2019-10-25
12:36:57#0#00:00:00#00:00:00#00:00:00 1 4429a0cbb9775831e71f2df6bbb2a5cf
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/01/1972 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YAN TONDOK 051993 47 17463 DR. DENNY
WALANDOW, SPM 0309R0191019V004119 0000138586048 3;JKN Vian02;
5.3.9.201904290125 4 82770 1#0##0#0#0.0#2019-10-25
12:37:00#0#00:00:00#00:00:00#00:00:00 1 8ae4bf1b4707022e50e89ba963d1f939
7171104 C 3 CP 2 24/10/2019 24/10/2019 03/06/1974 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KORNELIA VONNY RANSUN 028725 45 16579 DR
DYANA T.WATANIA,SPM 0309R0191019V004120 0002039069878 3;JKN Vian02;
5.3.9.201904290125 4 82772 1#0##0#0#0.0#2019-10-25
12:38:33#0#00:00:00#00:00:00#00:00:00 1 f8a5aec772132a8cb1af879c2d651b84
7171104 C 3 CP 2 24/10/2019 24/10/2019 25/04/1953 0 2
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANNA ELISABETH AOMO 007361 66 24288
DR DYANA T.WATANIA,SPM 0309R0191019V004025 0000138323722 3;JKN
Patrick K.; 5.3.9.201904290125 4 82771 1#0##0#0#0.0#2019-10-25
12:38:41#0#00:00:00#00:00:00#00:00:00 2 a60c9c474dfea7a0bdf6a862d30056e6
7171104 C 3 CP 2 24/10/2019 24/10/2019 05/04/1962 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MIEKE RINE A.TIWOW 051836 57 21021
DR. SAMUEL MALINGKAS,SPM 0309R0191019V004024 0000138565012 3;JKN
Patrick K.; 5.3.9.201904290125 4 82773 1#0##0#0#0.0#2019-10-25
12:39:08#0#00:00:00#00:00:00#00:00:00 1 88e60401f93752ec1c1f81ecca4d3ab0
7171104 C 3 CP 2 24/10/2019 24/10/2019 31/03/1941 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ITHA MANDOME 052482 78 28696
DR.MELISA RATAG,SPM 0309R0191019V004023 0002389341306 3;JKN
Patrick K.; 5.3.9.201904290125 4 82775 1#0##0#0#0.0#2019-10-25
12:39:57#0#00:00:00#00:00:00#00:00:00 1 4cebfb9ae33de4d06126f7a17ec0799f
7171104 C 3 CP 2 24/10/2019 24/10/2019 20/08/1940 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AGUSTINE LEGOH 052114 79 28919 DR SALAM
SURBAKTI,SPM 0309R0191019V004121 0001433952742 3;JKN Vian02;
5.3.9.201904290125 4 82774 1#0##0#0#0.0#2019-10-25
12:40:54#0#00:00:00#00:00:00#00:00:00 1 c6d824d20c17bf4fabca9d64521ab1bf
7171104 C 3 CP 2 24/10/2019 24/10/2019 29/10/1951 0 2
1 Z96.1;H25.1;H20.9 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIEN PAPUAS 052806 67 24832 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V004022 0001451366021 3;JKN Patrick K.;
5.3.9.201904290125 4 82776 1#0##0#0#0.0#2019-10-25
12:42:16#0#00:00:00#00:00:00#00:00:00 1 f29baf22ea34f49e33fcfa5c9a5b49d6
7171104 C 3 CP 2 24/10/2019 24/10/2019 03/06/1974 0 1
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ISMAIL AL. HASNI 049315 45 16579 DR
DYANA T.WATANIA,SPM 0309R0191019V004021 0000910677925 3;JKN Patrick K.;
5.3.9.201904290125 4 82777 1#0##0#0#0.0#2019-10-25
12:43:12#0#00:00:00#00:00:00#00:00:00 1 ab016613696159e61667c4fbfa6c9f99
7171104 C 3 CP 2 24/10/2019 24/10/2019 28/07/1948 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KATOCE KATIHO 052804 71 26020 DR DYANA
T.WATANIA,SPM 0309R0191019V004020 0001571219728 3;JKN Patrick K.;
5.3.9.201904290125 4 82778 1#0##0#0#0.0#2019-10-25
12:44:28#0#00:00:00#00:00:00#00:00:00 1 ca73af6cf4c3b52ddfa7d5745c231ef0
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/05/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAGRICE SALINDEHO 023803 72 26474 DR. DENNY
WALANDOW, SPM 0309R0191019V004018 0000904375089 3;JKN Patrick K.;
5.3.9.201904290125 4 82779 1#0##0#0#0.0#2019-10-25
12:45:32#0#00:00:00#00:00:00#00:00:00 1 6b56ce0ed935089663a4b79cbe67db6e
7171104 C 3 CP 2 24/10/2019 24/10/2019 05/09/1961 0 1
1 Z09.8;H40.2;Z96.1;H25.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANNY ARNOLD WAROUW 046145 58 21233
DR.FELLY A. TOAD,S.PM 0309R0191019V004016 0000137379374 3;JKN
Patrick K.; 5.3.9.201904290125 4 82780 1#0##0#0#0.0#2019-10-25
12:46:42#0#00:00:00#00:00:00#00:00:00 1 f59cffe61041f73a1db55008d258f3c8
7171104 C 3 CP 2 24/10/2019 24/10/2019 16/07/1942 0 2
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NURLELI GONI 052179 77 28224 DR.
DENNY WALANDOW, SPM 0309R0191019V004014 0000138812332 3;JKN Patrick K.;
5.3.9.201904290125 4 82781 1#0##0#0#0.0#2019-10-25
12:50:04#0#00:00:00#00:00:00#00:00:00 2 53882e7390f49f4f70668d708db3e16b
7171104 C 3 CP 2 24/10/2019 24/10/2019 26/02/1976 0 2
1 Z09.8;H01.0;H52.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FLORENSI MANDAKI 052810 43 15946 DR
RALF PANGALILA,SPM 0309R0191019V004013 0002488144926 3;JKN Patrick K.;
5.3.9.201904290125 4 82782 1#0##0#0#0.0#2019-10-25
12:53:20#0#00:00:00#00:00:00#00:00:00 2 73f421bc1c728dc9522ff216a29b8c16
7171104 C 3 CP 2 24/10/2019 24/10/2019 03/08/1955 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CORRY JACOBUS 051690 64 23458 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V004012 0002279105684 3;JKN Patrick K.;
5.3.9.201904290125 4 82783 1#0##0#0#0.0#2019-10-25
12:55:26#0#00:00:00#00:00:00#00:00:00 2 d11e0a4783e9fa158a53329e687ea4a4
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/07/1968 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIATI RIYADI 051808 51 18742 DR
DYANA T.WATANIA,SPM 0309R0191019V004011 0002062016515 3;JKN Patrick K.;
5.3.9.201904290125 4 82784 1#0##0#0#0.0#2019-10-25
12:57:53#0#00:00:00#00:00:00#00:00:00 1 d445445f951a6ffc646e26ef8a151983
7171104 C 3 CP 2 24/10/2019 24/10/2019 30/08/1953 0 1
1 Z09.8;H40.5;H35.2;Z96.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SULEMAN ALI 023775 66 24161 DR.FELLY A.
TOAD,S.PM 0309R0191019V004010 0000137889202 3;JKN Patrick K.;
5.3.9.201904290125 4 82785 1#0##0#0#0.0#2019-10-25
12:59:09#0#00:00:00#00:00:00#00:00:00 1 4d42514e03e37ed5ce54c01f70ad20d4
7171104 C 3 CP 2 24/10/2019 24/10/2019 21/12/1957 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DINNEKE GRITA ROOS SAJOW 052781 61
22587 DR.MELISA RATAG,SPM 0309R0191019V004009 0000138480557 3;JKN
Patrick K.; 5.3.9.201904290125 4 82786 1#0##0#0#0.0#2019-10-25
13:00:30#0#00:00:00#00:00:00#00:00:00 1 af3ad489225745c51f372a1a79d37437
7171104 C 3 CP 2 24/10/2019 24/10/2019 10/08/1979 0 1
1 Z09.8;H40.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AUGUST ADRIANUS UMBOH 051671 40 14685
DR.FELLY A. TOAD,S.PM 0309R0191019V004008 0001846900146 3;JKN
Patrick K.; 5.3.9.201904290125 4 82787 1#0##0#0#0.0#2019-10-25
13:01:33#0#00:00:00#00:00:00#00:00:00 1 dadc15ee732e951f7f01ce510dc42755
7171104 C 3 CP 2 24/10/2019 24/10/2019 27/07/1962 0 2
1 Z09.8;H35.2;H40.5;E11.3;Z96.1;H11.0 95.02 - - None None None
None H-3-12-0 None None None None None None PROSEDUR LAIN-LAIN PADA
MATA 213700 0 0 - 0 - 0 - 0 - 0 213700
160600 0 1 0 0 0 DRA. TESLY J. PUNUH,MSI 045617
57 20908 DR.FELLY A. TOAD,S.PM 0309R0191019V004007 0000138731894
3;JKN Patrick K.; 5.3.9.201904290125 4 82788 1#0##0#0#0.0#2019-10-25
13:03:30#0#00:00:00#00:00:00#00:00:00 1 7fc06a9e0bca6223c4ae304c7f086522
7171104 C 3 CP 2 24/10/2019 24/10/2019 22/12/1964 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HUSEN MALANGI 052185 54 20029
DR.FELLY A. TOAD,S.PM 0309R0191019V004006 0002212662194 3;JKN
Patrick K.; 5.3.9.201904290125 4 82789 1#0##0#0#0.0#2019-10-25
13:04:45#0#00:00:00#00:00:00#00:00:00 1 5630751cb03584fa1402ee6fed3dc6b7
7171104 C 3 CP 2 24/10/2019 24/10/2019 05/05/1935 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MELDA PANTOW 051466 84 30853 DR.MELISA
RATAG,SPM 0309R0191019V004005 0001824422128 3;JKN Patrick K.;
5.3.9.201904290125 4 82790 1#0##0#0#0.0#2019-10-25
13:06:53#0#00:00:00#00:00:00#00:00:00 1 f0dbb79f3c7b647f069dfc97c60ed8ad
7171104 C 3 CP 2 24/10/2019 24/10/2019 19/01/1952 0 2
1 Z96.1;H35.2;H43.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIETJE PANGKEY 052015 67 24750 DR
DYANA T.WATANIA,SPM 0309R0191019V004004 0000169372473 3;JKN Patrick K.;
5.3.9.201904290125 4 82791 1#0##0#0#0.0#2019-10-25
13:10:17#0#00:00:00#00:00:00#00:00:00 1 8acccdd1fe44f8f5901b555eacdf9d76
7171104 C 3 CP 2 24/10/2019 24/10/2019 16/11/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 16060 0 1
0 0 0 JULIEN MADONSA 052092 66 24448 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V004002 0000138338133 3;JKN Patrick K.;
5.3.9.201904290125 4 82792 1#0##0#0#0.0#2019-10-25
13:11:28#0#00:00:00#00:00:00#00:00:00 1 a20d936a928c113bf1199c67dbe445c4
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/01/1953 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SARAWINA KAKONDO 052205 66 24402
DR.MELISA RATAG,SPM 0309R0191019V004001 0000907758786 3;JKN
Patrick K.; 5.3.9.201904290125 4 82793 1#0##0#0#0.0#2019-10-25
13:12:33#0#00:00:00#00:00:00#00:00:00 1 207fad92fef35b2cb1bcecc09f6be0bb
7171104 C 3 CP 2 24/10/2019 24/10/2019 22/12/1959 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHRISTIAN RONALD DIEN 052566 59 21856
DR. SAMUEL MALINGKAS,SPM 0309R0191019V004000 0000138533038 3;JKN
Patrick K.; 5.3.9.201904290125 4 82794 1#0##0#0#0.0#2019-10-25
13:13:30#0#00:00:00#00:00:00#00:00:00 1 c18088624cda8839712c7daa6c94f96a
7171104 C 3 CP 2 24/10/2019 24/10/2019 12/06/1953 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ASNI HASAN 052802 66 24240 DR RALF
PANGALILA,SPM 0309R0191019V003999 0002232665065 3;JKN Patrick K.;
5.3.9.201904290125 4 82795 1#0##0#0#0.0#2019-10-25
13:14:52#0#00:00:00#00:00:00#00:00:00 1 2287fa78bd5e34cbf675d189591d94ef
7171104 C 3 CP 2 24/10/2019 24/10/2019 18/11/1940 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SARTJE NAOMI KINDANGEN 051570 78 28829 DR
RALF PANGALILA,SPM 0309R0191019V003998 0000138834854 3;JKN Patrick K.;
5.3.9.201904290125 4 82796 1#0##0#0#0.0#2019-10-25
13:15:38#0#00:00:00#00:00:00#00:00:00 1 d7135f85fa424f0cc8e04b80fe0b2a05
7171104 C 3 CP 2 24/10/2019 24/10/2019 12/01/1978 0 2
1 Z09.8;H44.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RESTALENA NANONO 052629 41 15260 DR
SALAM SURBAKTI,SPM 0309R0191019V003997 0002391570821 3;JKN Patrick K.;
5.3.9.201904290125 4 82797 1#0##0#0#0.0#2019-10-25
13:17:13#0#00:00:00#00:00:00#00:00:00 2 11c5d099affc41105b95d580b8ab45b9
7171104 C 3 CP 2 24/10/2019 24/10/2019 25/07/1948 0 2
1 Z09.8;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUSANA DIEN 000925 71 26023 DR.MELISA
RATAG,SPM 0309R0191019V003996 0000138253869 3;JKN Patrick K.;
5.3.9.201904290125 4 82798 1#0##0#0#0.0#2019-10-25
13:18:04#0#00:00:00#00:00:00#00:00:00 1 2369b2f2d10121ab2bbdbb6610f703e9
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/08/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NAOMI TINTE 052211 72 26382 DR.MELISA
RATAG,SPM 0309R0191019V004077 0000907844275 3;JKN Patrick K.;
5.3.9.201904290125 4 82800 1#0##0#0#0.0#2019-10-25
13:53:27#0#00:00:00#00:00:00#00:00:00 1 09b606e1791c3b8e027fe2d70a63cea4
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/06/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RIBKA KAEMPE 052212 67 24616 DR.MELISA
RATAG,SPM 0309R0191019V004070 0001243668971 3;JKN Patrick K.;
5.3.9.201904290125 4 82743 1#0##0#0#0.0#2019-10-25
13:54:32#0#00:00:00#00:00:00#00:00:00 1 2cc588beb0242103fe467acbf5e52e02
7171104 C 3 CP 2 24/10/2019 24/10/2019 27/09/1953 0 1
1 Z96.1;H44.5;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HANTJE PIETER 045150 66 24133
DR.FELLY A. TOAD,S.PM 0309R0191019V004064 0000137232235 3;JKN
Patrick K.; 5.3.9.201904290125 4 82746 1#0##0#0#0.0#2019-10-25
13:55:37#0#00:00:00#00:00:00#00:00:00 1 54e23be00fe1a7740f61dbf02c596305
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/06/2001 0 2
1 Z09.8;H47.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YINRIANY VIRGIN HUSULA 042233 18 6719
DR.FELLY A. TOAD,S.PM 0309R0191019V004042 0000910221344 3;JKN
Patrick K.; 5.3.9.201904290125 4 82801 1#0##0#0#0.0#2019-10-25
13:56:33#0#00:00:00#00:00:00#00:00:00 1 1e96d361f1f4777b26daa2c6dcb8a375
7171104 C 3 CP 2 24/10/2019 24/10/2019 19/09/1955 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NUR.K.PRABOWO 015953 64 23411 DR
SALAM SURBAKTI,SPM 0309R0191019V004122 0000138247615 3;JKN Vian02;
5.3.9.201904290125 4 82802 1#0##0#0#0.0#2019-10-25
14:33:32#0#00:00:00#00:00:00#00:00:00 1 854d9a319a83bee28d5f810d79f983af
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/03/1954 0 1
1 H35.3;H34.2 95.16;95.11;95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RASUL KARAENG 052825 65 23978
DR.MELISA RATAG,SPM 0309R0191019V004124 0000911274928 3;JKN
Vian02; 5.3.9.201904290125 4 82803 1#0##0#0#0.0#2019-10-25
14:39:01#0#00:00:00#00:00:00#00:00:00 1 ec95c92e797e1103ea8492de2964394b
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/11/1949 0 1
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZET SION 052367 69 25559 DR. DENNY
WALANDOW, SPM 0309R0191019V004125 0000907975293 3;JKN Vian02;
5.3.9.201904290125 4 82804 1#0##0#0#0.0#2019-10-25
14:39:54#0#00:00:00#00:00:00#00:00:00 1 34e7ec04bc9b86ad63fdbfca8cf798a7
7171104 C 3 CP 2 24/10/2019 24/10/2019 06/02/1971 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUMIATY SALUGANI 034031 48 17792 DR
RALF PANGALILA,SPM 0309R0191019V004126 0000910639956 3;JKN Vian02;
5.3.9.201904290125 4 82805 1#0##0#0#0.0#2019-10-25
14:40:44#0#00:00:00#00:00:00#00:00:00 1 9b294496e5c99277c48f4968224054ae
7171104 C 3 CP 2 24/10/2019 24/10/2019 03/04/1950 0 1
1 Z96.1;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EDDY BERTY ROBERT WAWORUNTU 045997 69
25406 DR.FELLY A. TOAD,S.PM 0309R0191019V004127 0001811731015 3;JKN
Vian02; 5.3.9.201904290125 4 82806 1#0##0#0#0.0#2019-10-25
14:41:33#0#00:00:00#00:00:00#00:00:00 1 74e61c0d2efd1305391ba8aec6a184cc
7171104 C 3 CP 2 24/10/2019 24/10/2019 23/02/1964 0 1
1 H25.0;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEFRY MAILANGKAY 052824 55 20332 DR
DYANA T.WATANIA,SPM 0309R0191019V004128 0000138637855 3;JKN Vian02;
5.3.9.201904290125 4 82807 1#0##0#0#0.0#2019-10-25
14:42:28#0#00:00:00#00:00:00#00:00:00 1 945caa0dfa95e76987d7efaf0868df63
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/02/1954 0 2
1 Z96.1;Z09.0;H11.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EFRIN MONGKOL 050542 65 24006
DR.FELLY A. TOAD,S.PM 0309R0191019V004129 0001066602824 3;JKN
Vian02; 5.3.9.201904290125 4 82808 1#0##0#0#0.0#2019-10-25
14:43:20#0#00:00:00#00:00:00#00:00:00 1 83c1230791657995e50a63cad83e2f4e
7171104 C 3 CP 2 24/10/2019 24/10/2019 13/09/1951 0 2
1 Z96.1;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 THEREISYE WALANGITAN 045174 68 24878
DR DYANA T.WATANIA,SPM 0309R0191019V004131 0001604483021 3;JKN
Vian02; 5.3.9.201904290125 4 82809 1#0##0#0#0.0#2019-10-25
14:43:57#0#00:00:00#00:00:00#00:00:00 1 590991cb55b738e33777a22a712a855a
7171104 C 3 CP 2 24/10/2019 24/10/2019 06/01/1961 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TOKSEN LUMIKIS 047681 58 21475 DR. DENNY
WALANDOW, SPM 0309R0191019V004132 0000194639365 3;JKN Vian02;
5.3.9.201904290125 4 82810 1#0##0#0#0.0#2019-10-25
14:45:23#0#00:00:00#00:00:00#00:00:00 1 5534b4ba524aa74e2e33bbd6187eab7b
7171104 C 3 CP 2 24/10/2019 24/10/2019 14/05/1967 0 1
1 H18.4;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHARLES R ALANG 052826 52 19156 DR
DYANA T.WATANIA,SPM 0309R0191019V004133 0002063993106 3;JKN Vian02;
5.3.9.201904290125 4 82811 1#0##0#0#0.0#2019-10-25
14:46:54#0#00:00:00#00:00:00#00:00:00 1 1eb4cf4f0bb33fd80340233846cf3b6f
7171104 C 3 CP 2 24/10/2019 24/10/2019 05/04/1979 0 2
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TREESYE KATOCE MAMUAJA 052827 40 14812 DR
DYANA T.WATANIA,SPM 0309R0191019V004134 0000173315531 3;JKN Vian02;
5.3.9.201904290125 4 82812 1#0##0#0#0.0#2019-10-25
14:48:26#0#00:00:00#00:00:00#00:00:00 1 332a7ae43055f9c7e768f833d724c31a
7171104 C 3 CP 2 24/10/2019 24/10/2019 27/08/1978 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AGUSTINE KAUNANG 031665 41 15033 DR RALF
PANGALILA,SPM 0309R0191019V004135 0002088768284 3;JKN Vian02;
5.3.9.201904290125 4 82813 1#0##0#0#0.0#2019-10-25
14:49:12#0#00:00:00#00:00:00#00:00:00 1 ea6de9cf534ae2a165670b8a0299aca9
7171104 C 3 CP 2 24/10/2019 24/10/2019 16/12/1981 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIANA EKKAWATI 049197 37 13826
DR.MELISA RATAG,SPM 0309R0191019V004136 0001792949152 3;JKN
Vian02; 5.3.9.201904290125 4 82814 1#0##0#0#0.0#2019-10-25
14:49:57#0#00:00:00#00:00:00#00:00:00 1 983bf186a76a807f7522e5e9bf4ee638
7171104 C 3 CP 2 24/10/2019 24/10/2019 13/04/1956 0 2
1 H53.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ASSA ANSJE Y 052828 63 23204 DR.
DENNY WALANDOW, SPM 0309R0191019V004137 0000138508064 3;JKN Vian02;
5.3.9.201904290125 4 82815 1#0##0#0#0.0#2019-10-25
14:50:54#0#00:00:00#00:00:00#00:00:00 1 c77f1d4844edea17e082057e8f53d42e
7171104 C 3 CP 2 24/10/2019 24/10/2019 26/05/1953 0 2
1 Z09.8;H04.1;H20.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRIDA H. KEMUR 052453 66 24257 DR
SALAM SURBAKTI,SPM 0309R0191019V004138 0000138712825 3;JKN Vian02;
5.3.9.201904290125 4 82816 1#0##0#0#0.0#2019-10-25
14:58:12#0#00:00:00#00:00:00#00:00:00 1 4bbddc2a07638fb5b4eebb15ff4a793c
7171104 C 3 CP 2 24/10/2019 24/10/2019 08/06/1960 0 1
1 Z96.1;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RAMLAN SCHU 051624 59 21687 DR DYANA
T.WATANIA,SPM 0309R0191019V004139 0001261578688 3;JKN Vian02;
5.3.9.201904290125 4 82817 1#0##0#0#0.0#2019-10-25
14:59:01#0#00:00:00#00:00:00#00:00:00 1 ac06bc878d1b03b3be0a422042ccf19b
7171104 C 3 CP 2 24/10/2019 24/10/2019 02/03/1956 0 1
1 H52.0;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ABDUL AZIZ LABANTU 013418 63 23246
DR RALF PANGALILA,SPM 0309R0191019V004140 0001887739659 3;JKN
Vian02; 5.3.9.201904290125 4 82818 1#0##0#0#0.0#2019-10-25
15:03:57#0#00:00:00#00:00:00#00:00:00 1 23bc0cc88cec1e6eca6942f28d2841be
7171104 C 3 CP 2 24/10/2019 24/10/2019 15/07/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BEATRIIX KAIRUPAN 049959 70 25668 DR. DENNY
WALANDOW, SPM 0309R0191019V004141 0002466899245 3;JKN Vian02;
5.3.9.201904290125 4 82819 1#0##0#0#0.0#2019-10-25
15:04:33#0#00:00:00#00:00:00#00:00:00 1 e8e824447d51b2ff7a250800996f0d6f
7171104 C 3 CP 2 24/10/2019 24/10/2019 25/06/1988 0 2
1 Z09.8;H44.5;H53.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUNITA PINGKAN PANGKENI 051672 31 11443
DR.FELLY A. TOAD,S.PM 0309R0191019V004144 0001835007208 3;JKN
Vian02; 5.3.9.201904290125 4 82820 1#0##0#0#0.0#2019-10-25
15:05:29#0#00:00:00#00:00:00#00:00:00 1 b306e04a48e0da0a16327096d7ac0683
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/09/2001 0 2
1 Z09.8;H16.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WINDY WEOL 052555 18 6627 DR RALF
PANGALILA,SPM 0309R0191019V004145 0000907399078 3;JKN Vian02;
5.3.9.201904290125 4 82821 1#0##0#0#0.0#2019-10-25
15:06:18#0#00:00:00#00:00:00#00:00:00 1 e15e034475af6ce7b818879c62e23f40
7171104 C 3 CP 2 24/10/2019 24/10/2019 11/07/1950 0 2
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELLEN RUNTUWAROW 045471 69 25307 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V004146 0002327325917 3;JKN Vian02;
5.3.9.201904290125 4 82822 1#0##0#0#0.0#2019-10-25
15:07:35#0#00:00:00#00:00:00#00:00:00 1 4e9a7197b6a42fdb0d6a0ada8d6d29e3
7171104 C 3 CP 2 24/10/2019 24/10/2019 13/08/1963 0 1
1 Z09.8;H40.2;H59.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ACHMAD ANWAR 048122 56 20526
DR.FELLY A. TOAD,S.PM 0309R0191019V004147 0001317233518 3;JKN
Vian02; 5.3.9.201904290125 4 82823 1#0##0#0#0.0#2019-10-25
15:08:13#0#00:00:00#00:00:00#00:00:00 1 05f9136b9a0ff4201481a4e35460d4c6
7171104 C 3 CP 2 24/10/2019 24/10/2019 21/08/1968 0 1
1 Z96.1;H40.0;H40.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AUDY LEPA 008333 51 18691 DR.FELLY A.
TOAD,S.PM 0309R0191019V004148 0000911079314 3;JKN Vian02;
5.3.9.201904290125 4 82824 1#0##0#0#0.0#2019-10-25
15:09:22#0#00:00:00#00:00:00#00:00:00 1 e7d5f944d9b2c2967d524e178ceedf77
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/12/1943 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELIESER HARINDAH 052583 75 27721 DR
SALAM SURBAKTI,SPM 0309R0191019V004115 0000908275588 3;JKN Vian02;
5.3.9.201904290125 4 82825 1#0##0#0#0.0#2019-10-25
15:11:39#0#00:00:00#00:00:00#00:00:00 1 3e6977bb4de2dc95cc900785ab87f2af
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/04/1974 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HETMINA ROMPAH 052210 45 16642 DR.MELISA
RATAG,SPM 0309R0191019V004080 0000907729097 3;JKN Vian02;
5.3.9.201904290125 4 82826 1#0##0#0#0.0#2019-10-26
07:28:50#0#00:00:00#00:00:00#00:00:00 1 e07eda84331a38b9ea3064814d339730
7171104 C 3 CP 2 24/10/2019 24/10/2019 20/05/1951 0 1
1 Z09.8;H40.5;Z96.1;H50.0;H25.0 95.02 - - None None None None
H-3-12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA
213700 0 0 - 0 - 0 - 0 - 0 213700
160600 0 1 0 0 0 SIMON AIPIPIDELY 000352 68
24994 DR.FELLY A. TOAD,S.PM 0309R0191019V004081 0000138274749 3;JKN
Vian02; 5.3.9.201904290125 4 82827 1#0##0#0#0.0#2019-10-26
07:37:27#0#00:00:00#00:00:00#00:00:00 1 0a0a47e52e3dd943216dec35fcdc8061
7171104 C 3 CP 2 24/10/2019 24/10/2019 08/08/1944 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JHON TOWOLIU 052215 75 27470 DR.MELISA
RATAG,SPM 0309R0191019V004083 0001066883501 3;JKN Vian02;
5.3.9.201904290125 4 82828 1#0##0#0#0.0#2019-10-26
07:41:45#0#00:00:00#00:00:00#00:00:00 1 53fec22c52dbacae763323aa50031b3c
7171104 C 3 CP 2 24/10/2019 24/10/2019 05/07/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIANA MAGRITHA PONTO 051603 70 25678 DR
DYANA T.WATANIA,SPM 0309R0191019V004084 0002228635361 3;JKN Vian02;
5.3.9.201904290125 4 82829 1#0##0#0#0.0#2019-10-26
07:43:00#0#00:00:00#00:00:00#00:00:00 1 0d68c4e6b7eb2a63ade8ca0edd281517
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/02/1960 0 2
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RINTJE KAMPONG 045576 59 21815 DR
DYANA T.WATANIA,SPM 0309R0191019V004085 0000905669188 3;JKN Vian02;
5.3.9.201904290125 4 82830 1#0##0#0#0.0#2019-10-26
07:43:50#0#00:00:00#00:00:00#00:00:00 1 73ad4f0fb9f1afd4fb7908d7457d28ce
7171104 C 3 CP 2 24/10/2019 24/10/2019 16/08/1978 0 1
1 Z09.8;H34.2;H44.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEDDY ARNOLD DONSU 024224 41 15044
DR.FELLY A. TOAD,S.PM 0309R0191019V004086 0002217362084 3;JKN
Vian02; 5.3.9.201904290125 4 82831 1#0##0#0#0.0#2019-10-26
07:45:32#0#00:00:00#00:00:00#00:00:00 1 7e55728322339eb91a0cbbf1d3e80426
7171104 C 3 CP 2 24/10/2019 24/10/2019 24/04/1951 0 1
1 Z09.8;H35.2;H25.0;H44.5;Z96.1 95.02 - - None None None None
H-3-12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA
213700 0 0 - 0 - 0 - 0 - 0 213700
160600 0 1 0 0 0 BAHARUDDIN PANRELLI 010300
68 25020 DR.FELLY A. TOAD,S.PM 0309R0191019V004087 0000158153049
3;JKN Vian02; 5.3.9.201904290125 4 82832 1#0##0#0#0.0#2019-10-26
07:46:52#0#00:00:00#00:00:00#00:00:00 1 b24248844ee1a8ca29d0834aa01359f4
7171104 C 3 CP 2 24/10/2019 24/10/2019 28/11/1958 0 2
1 Z09.0;H40.1;H44.5;H25.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONI BERDAME 041111 60 22245
DR.FELLY A. TOAD,S.PM 0309R0191019V004089 0001479204584 3;JKN
Vian02; 5.3.9.201904290125 4 82833 1#0##0#0#0.0#2019-10-26
07:47:56#0#00:00:00#00:00:00#00:00:00 1 3773bf7a5269381502e61794155a4c5b
7171104 C 3 CP 2 24/10/2019 24/10/2019 23/02/1953 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FREDIKA BEATRIK MANOPPO 052819 66 24349
DR.MELISA RATAG,SPM 0309R0191019V004091 0000137230075 3;JKN
Vian02; 5.3.9.201904290125 4 82834 1#0##0#0#0.0#2019-10-26
07:48:45#0#00:00:00#00:00:00#00:00:00 1 89652971aed5107c404f7c5de70f6e9c
7171104 C 3 CP 2 24/10/2019 24/10/2019 10/10/1934 0 2
1 Z09.8;H44.5;Z96.1;H40.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LIEM GIOK ENG NIO 025621 85 31060
DR.FELLY A. TOAD,S.PM 0309R0191019V004092 0002214711011 3;JKN
Vian02; 5.3.9.201904290125 4 82835 1#0##0#0#0.0#2019-10-26
07:50:04#0#00:00:00#00:00:00#00:00:00 1 1b65700361e4641054c67926762095d9
7171104 C 3 CP 2 24/10/2019 24/10/2019 26/10/2002 0 2
1 Z09.8;H18.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LUSIA MARIA KALANGI 002373 16 6207
DR. SAMUEL MALINGKAS,SPM 0309R0191019V004093 0001099787646 3;JKN
Vian02; 5.3.9.201904290125 4 82836 1#0##0#0#0.0#2019-10-26
07:51:11#0#00:00:00#00:00:00#00:00:00 1 4c15fc811936ebd34d9169bd3ffa9f14
7171104 C 3 CP 2 24/10/2019 24/10/2019 13/10/1955 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AMELDA SAMBOW 042524 64 23387
DR.MELISA RATAG,SPM 0309R0191019V004094 0002059110235 3;JKN
Vian02; 5.3.9.201904290125 4 82837 1#0##0#0#0.0#2019-10-26
07:52:05#0#00:00:00#00:00:00#00:00:00 1 a2b0e6a749b0340807a15b95642e7c18
7171104 C 3 CP 2 24/10/2019 24/10/2019 07/10/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LANTANG E KOWAL 052712 70 25584 DR RALF
PANGALILA,SPM 0309R0191019V004095 0000138865364 3;JKN Vian02;
5.3.9.201904290125 4 82838 1#0##0#0#0.0#2019-10-26
07:52:47#0#00:00:00#00:00:00#00:00:00 1 4ea5c20d96e6b771a6a548f35ecfd93c
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/09/1997 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARCO ANDRE LAE 052820 22 8088 DR RALF
PANGALILA,SPM 0309R0191019V004096 0000909991304 3;JKN Vian02;
5.3.9.201904290125 4 82839 1#0##0#0#0.0#2019-10-26
07:53:51#0#00:00:00#00:00:00#00:00:00 1 38f3e921c00e55cfe5415d87992a9d99
7171104 C 3 CP 2 24/10/2019 24/10/2019 13/03/1965 0 1
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MATHEUS LINSADA 043119 54 19948 DR.
DENNY WALANDOW, SPM 0309R0191019V004097 0000138460094 3;JKN Vian02;
5.3.9.201904290125 4 82840 1#0##0#0#0.0#2019-10-26
07:54:47#0#00:00:00#00:00:00#00:00:00 1 4c9d89573746c08940adf42105c2b855
7171104 C 3 CP 2 24/10/2019 24/10/2019 31/07/1945 0 2
1 Z09.8;H35.2;H44.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIEN .M. SUMADI 048756 74 27113
DR.FELLY A. TOAD,S.PM 0309R0191019V004098 0001869717778 3;JKN
Vian02; 5.3.9.201904290125 4 82841 1#0##0#0#0.0#2019-10-26
07:55:49#0#00:00:00#00:00:00#00:00:00 1 f2f7e4382f9722cb494679acfaba2d01
7171104 C 3 CP 2 24/10/2019 24/10/2019 28/06/1971 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DJENRIF DAUD SAMOLA 052320 48 17650 DR
RALF PANGALILA,SPM 0309R0191019V004099 0002388492257 3;JKN Vian02;
5.3.9.201904290125 4 82842 1#0##0#0#0.0#2019-10-26
07:57:02#0#00:00:00#00:00:00#00:00:00 1 5ca006f9a2466ac6ba6b2dfe61cade5f
7171104 C 3 CP 2 24/10/2019 24/10/2019 13/07/1992 0 1
1 Z09.8;H11.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RAULIS JEFRY UNDAP LUMANSIK 035177 27
9964 DR SALAM SURBAKTI,SPM 0309R0191019V004100 0000137058603 3;JKN
Vian02; 5.3.9.201904290125 4 82843 1#0##0#0#0.0#2019-10-26
07:58:16#0#00:00:00#00:00:00#00:00:00 1 9f3acd11ecafbd951be0c28de8df8d5f
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/04/1955 0 1
1 H11.3 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANIS RUMENGAN 052821 64 23582 DR SALAM
SURBAKTI,SPM 0309R0191019V004101 0000910206966 3;JKN Vian02;
5.3.9.201904290125 4 82845 1#0##0#0#0.0#2019-10-26
07:59:37#0#00:00:00#00:00:00#00:00:00 1 308f9aea486a26d4a3131ea868b8a1e2
7171104 C 3 CP 2 24/10/2019 24/10/2019 03/05/1954 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAXMEILIAN POSUMAH 052342 65 23915 DR.
DENNY WALANDOW, SPM 0309R0191019V004102 0000138501628 3;JKN Vian02;
5.3.9.201904290125 4 82846 1#0##0#0#0.0#2019-10-26
08:00:16#0#00:00:00#00:00:00#00:00:00 1 ef590d5737fd490bedf5b283bab15805
7171104 C 3 CP 2 24/10/2019 24/10/2019 24/02/1957 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VENTJE SAMOLA 052395 62 22887 DR
DYANA T.WATANIA,SPM 0309R0191019V004103 0001431620177 3;JKN Vian02;
5.3.9.201904290125 4 82848 1#0##0#0#0.0#2019-10-26
08:01:22#0#00:00:00#00:00:00#00:00:00 1 bf0efaadde92526693a9a23dc03108a8
7171104 C 3 CP 2 24/10/2019 24/10/2019 05/04/1957 0 1
1 Z09.8;H40.2;H25.0;Z96.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HASAN RAHMOLA 050594 62 22847
DR.FELLY A. TOAD,S.PM 0309R0191019V004104 0002259897603 3;JKN
Vian02; 5.3.9.201904290125 4 82849 1#0##0#0#0.0#2019-10-26
08:02:14#0#00:00:00#00:00:00#00:00:00 1 2976034faaa5bf027aa99b88fd325d51
7171104 C 3 CP 2 24/10/2019 24/10/2019 28/09/1969 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MUKHLIS ESTEPANUS 052499 50 18288 DR
RALF PANGALILA,SPM 0309R0191019V004105 0000907755311 3;JKN Vian02;
5.3.9.201904290125 4 82851 1#0##0#0#0.0#2019-10-26
08:03:00#0#00:00:00#00:00:00#00:00:00 1 87e5b3102afd5751d77e670a9f00de5f
7171104 C 3 CP 2 24/10/2019 24/10/2019 25/01/1964 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RONNI WAWORUNTU 052354 55 20361 DR. DENNY
WALANDOW, SPM 0309R0191019V004106 0002389581088 3;JKN Vian02;
5.3.9.201904290125 4 82853 1#0##0#0#0.0#2019-10-26
08:03:46#0#00:00:00#00:00:00#00:00:00 1 b24b9496aeeb03f5b99628ae1219e185
7171104 C 3 CP 2 24/10/2019 24/10/2019 12/10/1969 0 2
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARGARETHA HARINDAH 052582 50 18274
DR. DENNY WALANDOW, SPM 0309R0191019V004107 0002737069457 3;JKN
Vian02; 5.3.9.201904290125 4 82855 1#0##0#0#0.0#2019-10-26
08:05:09#0#00:00:00#00:00:00#00:00:00 1 7c5322817e64018a23f3a00cbe803996
7171104 C 3 CP 2 24/10/2019 24/10/2019 11/02/1951 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MERRY MAMUAJA 052822 68 25092 DR
DYANA T.WATANIA,SPM 0309R0191019V004108 0000137141706 3;JKN Vian02;
5.3.9.201904290125 4 82857 1#0##0#0#0.0#2019-10-26
08:07:12#0#00:00:00#00:00:00#00:00:00 1 354c831d3196c1ba201f312db2bb0885
7171104 C 3 CP 2 24/10/2019 24/10/2019 31/07/1964 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TELLY RURUGALA 051903 55 20173 DR.MELISA
RATAG,SPM 0309R0191019V004109 0002060480643 3;JKN Vian02;
5.3.9.201904290125 4 82858 1#0##0#0#0.0#2019-10-26
08:08:47#0#00:00:00#00:00:00#00:00:00 1 d340c62ffaf287ed3b86fad9c38cff3b
7171104 C 3 CP 2 24/10/2019 24/10/2019 10/04/1955 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PIET TAMPOMURI 044059 64 23573
DR.MELISA RATAG,SPM 0309R0191019V004111 0001479364828 3;JKN
Vian02; 5.3.9.201904290125 4 82859 1#0##0#0#0.0#2019-10-26
08:09:27#0#00:00:00#00:00:00#00:00:00 1 2f3ebff81ae8766fe1f47123099ec0f4
7171104 C 3 CP 2 24/10/2019 24/10/2019 28/04/1957 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ERKE WOSAL 051490 62 22824 DR.FELLY A.
TOAD,S.PM 0309R0191019V004112 0001570561154 3;JKN Vian02;
5.3.9.201904290125 4 82860 1#0##0#0#0.0#2019-10-26
08:10:25#0#00:00:00#00:00:00#00:00:00 1 dbbc0955a4093ea8cf0276265a3bd0a8
7171104 C 3 CP 2 24/10/2019 24/10/2019 04/02/1969 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VENITJE PONGAJOUW 051885 50 18524
DR.MELISA RATAG,SPM 0309R0191019V004113 0001569813175 3;JKN
Vian02; 5.3.9.201904290125 4 82861 1#0##0#0#0.0#2019-10-26
08:11:07#0#00:00:00#00:00:00#00:00:00 1 117b3590ab1812725a95f1411bee60ff
7171104 C 1 CP 1 23/10/2019 24/10/2019 06/05/1958 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5989900
0 0 - 0 - 0 - 0 - 0 5989900
9807400 0 2 0 0 0 VENTJE DUMAT 052558 61
22450 DR RALF PANGALILA,SPM 0309R0191019V003745 0000167174695 3;JKN
eka06; 5.3.9.201904290125 4 83000 1#0##0#0#0.0#2019-10-28
11:04:41#0#00:00:00#00:00:00#00:00:00 1 cab032c148582ae9779bcccf49738a39
7171104 C 3 CP 2 24/10/2019 24/10/2019 19/11/1942 0 2
1 Z09.8;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CORNELIA SARAPI 006694 76 28098 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V003995 0000138659095 3;JKN linda03;
5.3.9.201904290125 4 83033 1#0##0#0#0.0#2019-10-29
07:39:14#0#00:00:00#00:00:00#00:00:00 1 1f24ef9b27ceb836772d2bacad133df8
7171104 C 3 CP 2 24/10/2019 24/10/2019 09/01/1983 0 1
1 Z96.1;H40.5;H33.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUDOLF YONATHAN WEHANTOUW 046116 36
13437 DR.FELLY A. TOAD,S.PM 0309R0191019V003994 0002744894283 3;JKN
linda03; 5.3.9.201904290125 4 83034 1#0##0#0#0.0#2019-10-29
07:56:36#0#00:00:00#00:00:00#00:00:00 1 85cb3aa9bdf5fc5f5acd793520f564cc
7171104 C 3 CP 2 24/10/2019 24/10/2019 07/05/1980 0 2
1 Z09.8;H17.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ECE K. SAPPE 052684 39 14414 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V003993 0001067155749 3;JKN linda03;
5.3.9.201904290125 4 83035 1#0##0#0#0.0#2019-10-29
07:57:44#0#00:00:00#00:00:00#00:00:00 1 6a6e4b6c3ab785cdddac59f406381b1c
7171104 C 3 CP 2 24/10/2019 24/10/2019 26/12/1975 0 1
1 Z09.8;H40.0;H44.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHRISTIAN DEDY TAMBURIAN 051238 43
16008 DR.FELLY A. TOAD,S.PM 0309R0191019V003991 0001565148857 3;JKN
linda03; 5.3.9.201904290125 4 83036 1#0##0#0#0.0#2019-10-29
07:58:39#0#00:00:00#00:00:00#00:00:00 1 b41c05f08603ac5047c25999d2a55bac
7171104 C 3 CP 2 24/10/2019 24/10/2019 16/07/1986 0 2
1 H52.2;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MERRYEL STEVONY TUUK 052800 33 12153
DR DYANA T.WATANIA,SPM 0309R0191019V003990 0001382655701 3;JKN
linda03; 5.3.9.201904290125 4 83037 1#0##0#0#0.0#2019-10-29
08:01:41#0#00:00:00#00:00:00#00:00:00 1 2f0edad86fb2effb487864f478f286fc
7171104 C 3 CP 2 24/10/2019 24/10/2019 11/06/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULI SAMPEPOLAN 040866 66 24241 DR RALF
PANGALILA,SPM 0309R0191019V003987 0000138604533 3;JKN linda03;
5.3.9.201904290125 4 83038 1#0##0#0#0.0#2019-10-29
08:08:30#0#00:00:00#00:00:00#00:00:00 1 31af422b15963e2c81a5b42979ffcb0a
7171104 C 3 CP 2 24/10/2019 24/10/2019 08/02/1951 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 M. D. NELWAN 051800 68 25095 DR
RALF PANGALILA,SPM 0309R0191019V003986 0000205797734 3;JKN linda03;
5.3.9.201904290125 4 83039 1#0##0#0#0.0#2019-10-29
08:09:26#0#00:00:00#00:00:00#00:00:00 1 96d4767dbe7a6b5516608f6992c18234
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/03/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTA DANES 027392 65 23978 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V003984 0000907831833 3;JKN linda03;
5.3.9.201904290125 4 83041 1#0##0#0#0.0#2019-10-29
08:12:38#0#00:00:00#00:00:00#00:00:00 1 6e7edc8fd9737669102765553dbff46e
7171104 C 3 CP 2 24/10/2019 24/10/2019 08/12/1963 0 1
1 Z09.8;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BUSLAR SANGER 051376 55 20409 DR
PAULA M V LUMUNON,SPM 0309R0191019V003982 0000138446897 3;JKN linda03;
5.3.9.201904290125 4 83042 1#0##0#0#0.0#2019-10-29
08:14:33#0#00:00:00#00:00:00#00:00:00 1 813dddc7405d79db467c81bafb9b737f
7171104 C 3 CP 2 24/10/2019 24/10/2019 27/07/1941 0 2
1 Z96.1;H26.4;H44.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANA MARIA TENE 052548 78 28578
DR.FELLY A. TOAD,S.PM 0309R0191019V003979 0000137026506 3;JKN
linda03; 5.3.9.201904290125 4 83043 1#0##0#0#0.0#2019-10-29
08:23:14#0#00:00:00#00:00:00#00:00:00 1 a545c855babd5be7bce728c98eb12842
7171104 C 3 CP 2 24/10/2019 24/10/2019 07/02/1942 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ARNOLD KAUNANG 025182 77 28383 DR RALF
PANGALILA,SPM 0309R0191019V003977 0001389841222 3;JKN linda03;
5.3.9.201904290125 4 83044 1#0##0#0#0.0#2019-10-29
08:27:13#0#00:00:00#00:00:00#00:00:00 1 cb39c7a901de0c06731e7afc69719087
7171104 C 3 CP 2 24/10/2019 24/10/2019 12/02/1955 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BURTJE MURSIH 052544 64 23630 DR.
DENNY WALANDOW, SPM 0309R0191019V003976 0001604379868 3;JKN linda03;
5.3.9.201904290125 4 83045 1#0##0#0#0.0#2019-10-29
08:28:04#0#00:00:00#00:00:00#00:00:00 1 f9a70b489ac47a6421f193dcc8299dd4
7171104 C 3 CP 2 24/10/2019 24/10/2019 10/10/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SIEN SASELA 012800 74 27042 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V003975 0001812813805 3;JKN linda03;
5.3.9.201904290125 4 83046 1#0##0#0#0.0#2019-10-29
08:29:23#0#00:00:00#00:00:00#00:00:00 1 a2e1cc804616fabe705fbc95745521f2
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/03/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KATOTJE KAWULUSAN 050870 66 24343 DR. DENNY
WALANDOW, SPM 0309R0191019V003974 0000906248981 3;JKN linda03;
5.3.9.201904290125 4 83047 60#0##0#0#0.0#2019-10-29
08:31:27#0#00:00:00#00:00:00#00:00:00 1 1fc569985ddc6b6c6fe88b31e543d05e
7171104 C 3 CP 1 23/10/2019 24/10/2019 05/07/1964 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 ISKANDAR ANTAENG 052693 55
20198 DR RALF PANGALILA,SPM 0309R0191019V003886 0000910753536 3;JKN
eka06; 5.3.9.201904290125 4 83001 1#0##0#0#0.0#2019-10-29
09:45:06#0#00:00:00#00:00:00#00:00:00 1 37c0af6383c08bbe2ec1a107fb3f3f5c
7171104 C 1 CP 1 23/10/2019 24/10/2019 29/05/1956 0 1
1 H33.0;H43.3 14.74 - - YY09 None None None H-1-30-I None
None YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
9114300 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 15624500 7179000 0 2 0 0 0 YER BUANGSAMPUHI
052292 63 23157 DR SALAM SURBAKTI,SPM 0309R0191019V003738
0002445973773 3;JKN eka06; 5.3.9.201904290125 4 83050
1#0##0#0#0.0#2019-10-29 09:49:49#0#00:00:00#00:00:00#00:00:00 1
fa9fc38aac83306acbb02836ce6cea7b
7171104 C 3 CP 1 23/10/2019 24/10/2019 01/10/1972 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 LILLY OLVA SINTA TUMEMBOUW 052720
47 17188 DR RALF PANGALILA,SPM 0309R0191019V003858 0000905349328
3;JKN eka06; 5.3.9.201904290125 4 83051 1#0##0#0#0.0#2019-10-29
09:53:37#0#00:00:00#00:00:00#00:00:00 1 6356c0a7e9498c1af0125805788bd7a6
7171104 C 3 CP 1 23/10/2019 24/10/2019 27/12/1970 0 1
1 H33.0 14.74 - - YY09 None None None H-1-30-I None None
YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6510200 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 13020400 7179000 0 2 0 0 0 HENRDIK LETUNGGAMU
052122 48 17832 DR SALAM SURBAKTI,SPM 0309R0191019V003721
0001248466206 3;JKN eka06; 5.3.9.201904290125 4 83052
1#0##0#0#0.0#2019-10-29 09:55:32#0#00:00:00#00:00:00#00:00:00 1
c2be3ded2d77ba25d26cc0bded0df72f
7171104 C 3 CP 2 24/10/2019 24/10/2019 26/04/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JEFRY EDUARD GEORGE KEMBUAN 052088 64 23557
DR. DENNY WALANDOW, SPM 0309R0191019V003973 0002389216476 3;JKN
INACBG;123123123123 5.3.9.201904290125 4 83060
59#0##0#0#0.0#2019-10-29 11:50:20#0#00:00:00#00:00:00#00:00:00 1
5d7a034ecb9fc5722d409f428e762764
7171104 C 3 CP 2 24/10/2019 24/10/2019 12/10/1962 0 2
1 H25.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUTI MARTHA LINGKAN 052082 57 20831
DR. DENNY WALANDOW, SPM 0309R0191019V003971 0001860692207 3;JKN
linda03; 5.3.9.201904290125 4 83062 1#0##0#0#0.0#2019-10-29
11:56:43#0#00:00:00#00:00:00#00:00:00 1 ee14e9379639496b20ae6cacdba47c18
7171104 C 3 CP 2 24/10/2019 24/10/2019 23/08/1965 0 2
1 H26.9;H52.2;H52.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANATJE DAMALANG 006973 54 19785 DR.
DENNY WALANDOW, SPM 0309R0191019V003972 0002284789105 3;JKN linda03;
5.3.9.201904290125 4 83061 1#0##0#0#0.0#2019-10-29
11:57:49#0#00:00:00#00:00:00#00:00:00 2 cb8ac480d6c0998bac0200d58f7a3fa2
7171104 C 3 CP 2 24/10/2019 24/10/2019 21/11/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANATJE F LASUT SARAUN 008706 69 25539 DR.
DENNY WALANDOW, SPM 0309R0191019V003969 0000137186379 3;JKN linda03;
5.3.9.201904290125 4 83063 1#0##0#0#0.0#2019-10-29
11:58:41#0#00:00:00#00:00:00#00:00:00 1 9510378b4571dea1d3b89a98a9d483fe
7171104 C 3 CP 2 24/10/2019 24/10/2019 07/03/1962 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUSTAM LAKORO 051451 57 21050
DR.FELLY A. TOAD,S.PM 0309R0191019V003967 0000907832632 3;JKN
linda03; 5.3.9.201904290125 4 83064 1#0##0#0#0.0#2019-10-29
12:07:59#0#00:00:00#00:00:00#00:00:00 1 3d47bffbc5bebb3278fee54de9492050
7171104 C 3 CP 2 24/10/2019 24/10/2019 21/08/1959 0 2
1 Z09.8;H40.0;H40.8;H44.5 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FLORENTJE PUASA 032670 60 21979
DR.FELLY A. TOAD,S.PM 0309R0191019V003966 0002283208648 3;JKN
linda03; 5.3.9.201904290125 4 83065 1#0##0#0#0.0#2019-10-29
12:09:15#0#00:00:00#00:00:00#00:00:00 1 b64e37ecbe6c00c03379f81b0f9598df
7171104 C 3 CP 2 24/10/2019 24/10/2019 08/06/1956 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNITJE KAHIMPONG 052002 63 23148
DR DYANA T.WATANIA,SPM 0309R0191019V003965 0000137544761 3;JKN
linda03; 5.3.9.201904290125 4 83067 1#0##0#0#0.0#2019-10-29
12:10:06#0#00:00:00#00:00:00#00:00:00 1 0d7dc38d7c456dd953d48c9d91478d26
7171104 C 3 CP 2 24/10/2019 24/10/2019 14/12/1947 0 1
1 Z09.8;H40.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DICKY L LINTONG,DRS 025467 71 26247
DR.FELLY A. TOAD,S.PM 0309R0191019V003964 0000138264827 3;JKN
linda03; 5.3.9.201904290125 4 83068 1#0##0#0#0.0#2019-10-29
12:23:16#0#00:00:00#00:00:00#00:00:00 1 faa1bb9e8188afdd1b03739020362edc
7171104 C 3 CP 2 24/10/2019 24/10/2019 08/12/1953 0 2
1 Z09.0;H26.9;D23.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEBESTRIDA MAITULUNG 052731 65 24061
DR RALF PANGALILA,SPM 0309R0191019V003962 0000136915222 3;JKN
linda03; 5.3.9.201904290125 4 83069 1#0##0#0#0.0#2019-10-29
12:24:18#0#00:00:00#00:00:00#00:00:00 1 22ea3d753baf3415e6b6789173106150
7171104 C 3 CP 2 24/10/2019 24/10/2019 11/11/1942 0 2
1 H52.2;H52.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTINA RAWIS 020532 76 28106 DR.
DENNY WALANDOW, SPM 0309R0191019V003961 0000138255232 3;JKN linda03;
5.3.9.201904290125 4 83070 1#0##0#0#0.0#2019-10-29
12:26:20#0#00:00:00#00:00:00#00:00:00 1 17d92472a8b23762c6498e0013490ab2
7171104 C 3 CP 2 24/10/2019 24/10/2019 05/02/1967 0 1
1 Z09.8;H47.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CORNELES FILIPUS ESSING 042501 52 19254
DR DYANA T.WATANIA,SPM 0309R0191019V003960 0002298115157 3;JKN
linda03; 5.3.9.201904290125 4 83071 1#0##0#0#0.0#2019-10-29
12:28:07#0#00:00:00#00:00:00#00:00:00 1 16ce337eb7f6a6b4a39976ece83ead1f
7171104 C 3 CP 2 24/10/2019 24/10/2019 12/01/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KARIM KAUSAHA 052078 71 26218 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V003958 0000138270238 3;JKN linda03;
5.3.9.201904290125 4 83072 1#0##0#0#0.0#2019-10-29
12:29:03#0#00:00:00#00:00:00#00:00:00 1 4682a5eef887b5751d27209f4f8419a6
7171104 C 3 CP 1 23/10/2019 24/10/2019 13/08/1972 0 2
1 H33.0 14.74 - - YY09 None None None H-1-30-I None None
YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6510200 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 13020400 7179000 0 2 0 0 0 AGUSTINA MAARUA
051894 47 17237 DR SALAM SURBAKTI,SPM 0309R0191019V003786
0000906980815 3;JKN eka06; 5.3.9.201904290125 4 83056
1#0##0#0#0.0#2019-10-29 13:05:48#0#00:00:00#00:00:00#00:00:00 1
fdcdd670b4527354039e902ea66344e2
7171104 C 3 CP 1 23/10/2019 24/10/2019 01/10/1962 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 RONI NARANDE 052214 57
20841 DR.MELISA RATAG,SPM 0309R0191019V003906 0000907863805 3;JKN
eka06; 5.3.9.201904290125 4 83074 1#0##0#0#0.0#2019-10-29
13:07:27#0#00:00:00#00:00:00#00:00:00 1 788daf18e8392ec391d7abdb3e5b34ed
7171104 C 3 CP 1 23/10/2019 24/10/2019 13/01/1965 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 ALTJE JENY KEWAS 046561 54
20006 DR.MELISA RATAG,SPM 0309R0191019V003894 0001569863092 3;JKN
eka06; 5.3.9.201904290125 4 83078 1#0##0#0#0.0#2019-10-29
13:15:09#0#00:00:00#00:00:00#00:00:00 1 61edfb3d49dc59cdc5c5fd03604d7bdb
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/07/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YULICE SASENGA 024060 67 24586 DR. DENNY
WALANDOW, SPM 0309R0191019V003957 0000905863781 3;JKN linda03;
5.3.9.201904290125 4 83073 1#0##0#0#0.0#2019-10-29
13:32:22#0#00:00:00#00:00:00#00:00:00 1 473066134d9c41dd526f4ad51c5b9199
7171104 C 3 CP 2 24/10/2019 24/10/2019 16/09/1960 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SISKA KOMIMBIN 052543 59 21587 DR. DENNY
WALANDOW, SPM 0309R0191019V003952 0002776814436 3;JKN linda03;
5.3.9.201904290125 4 83087 1#0##0#0#0.0#2019-10-29
13:33:50#0#00:00:00#00:00:00#00:00:00 1 97dd96e2885ea88ba35f74f5e575de9d
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/06/1951 0 1
1 Z09.8;H44.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAXSIMUS PARAPAGA 052400 68 24982 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V003951 0000906227335 3;JKN linda03;
5.3.9.201904290125 4 83088 1#0##0#0#0.0#2019-10-29
13:35:25#0#00:00:00#00:00:00#00:00:00 1 c8171d087f6bffa7d1b0e4b8016f0bc2
7171104 C 3 CP 2 24/10/2019 24/10/2019 28/09/1959 0 1
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LEXI BERTJE KAPOH 052545 60 21941 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V003950 0001820880764 3;JKN linda03;
5.3.9.201904290125 4 83089 1#0##0#0#0.0#2019-10-29
13:36:35#0#00:00:00#00:00:00#00:00:00 1 6dbcca24bc018ba71f6e996d359de545
7171104 C 3 CP 2 24/10/2019 24/10/2019 19/07/1968 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EMI KORDI APITA 052546 51 18724 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V003948 0000908309564 3;JKN linda03;
5.3.9.201904290125 4 83090 1#0##0#0#0.0#2019-10-29
13:37:31#0#00:00:00#00:00:00#00:00:00 1 e6c5ae3e669a9e9a94c61f41578c9a3d
7171104 C 3 CP 2 24/10/2019 24/10/2019 16/07/1966 0 2
1 Z09.8;H35.2;H33.4;E11.3 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MIKE WIDJAJATI 052374 53 19458 DR
DYANA T.WATANIA,SPM 0309R0191019V003946 0000138730105 3;JKN linda03;
5.3.9.201904290125 4 83091 1#0##0#0#0.0#2019-10-29
13:40:46#0#00:00:00#00:00:00#00:00:00 1 27e039acaf41ff1f4acfafc9d489f12f
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/05/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAXII MILIAM PUDIHANG 052333 73 26839 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V003945 0000909572141 3;JKN linda03;
5.3.9.201904290125 4 83092 1#0##0#0#0.0#2019-10-29
13:41:30#0#00:00:00#00:00:00#00:00:00 1 13bd71a3e5143715b63ac9e7d19754f2
7171104 C 3 CP 2 24/10/2019 24/10/2019 18/03/1963 0 2
1 Z96.1;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HASNAH ASSAGAF 045881 56 20674
DR.FELLY A. TOAD,S.PM 0309R0191019V003944 0002062060481 3;JKN
linda03; 5.3.9.201904290125 4 83093 1#0##0#0#0.0#2019-10-29
13:42:51#0#00:00:00#00:00:00#00:00:00 1 cb752a6ed02f908362705cd915441431
7171104 C 3 CP 2 24/10/2019 24/10/2019 08/04/1950 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOSEPHIN YAURI 052542 69 25401 DR.
DENNY WALANDOW, SPM 0309R0191019V003943 0002068594874 3;JKN linda03;
5.3.9.201904290125 4 83094 1#0##0#0#0.0#2019-10-29
13:45:10#0#00:00:00#00:00:00#00:00:00 1 de9b8eba13189d965c2758efbf58a55d
7171104 C 3 CP 2 24/10/2019 24/10/2019 10/11/1939 0 2
1 Z09.8;Q11.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ESTER LERAH 011976 79 29203 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V003942 0002238310372 3;JKN linda03;
5.3.9.201904290125 4 83095 1#0##0#0#0.0#2019-10-29
13:46:00#0#00:00:00#00:00:00#00:00:00 1 68d0a99310e6e964bb7b1bc345c4d588
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/07/1965 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YULITA WENUR 025631 54 19838 DR.MELISA
RATAG,SPM 0309R0191019V003940 0000910247141 3;JKN linda03;
5.3.9.201904290125 4 83096 1#0##0#0#0.0#2019-10-29
13:48:27#0#00:00:00#00:00:00#00:00:00 1 44c770e669517679cf7ce782b08f0627
7171104 C 3 CP 2 24/10/2019 24/10/2019 15/02/1949 0 1
1 Z09.8;H40.8;H25.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TATEHEWOBA LAHAMENDU 050724 70 25818
DR.FELLY A. TOAD,S.PM 0309R0191019V003939 0000137502527 3;JKN
linda03; 5.3.9.201904290125 4 83097 1#0##0#0#0.0#2019-10-29
13:49:13#0#00:00:00#00:00:00#00:00:00 1 1c7abbd33763191782ff1c65a998cb2f
7171104 C 3 CP 2 24/10/2019 24/10/2019 08/10/1954 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EDY WENTONG 052703 65 23757 DR DYANA
T.WATANIA,SPM 0309R0191019V003937 0002225078875 3;JKN linda03;
5.3.9.201904290125 4 83098 1#0##0#0#0.0#2019-10-29
13:49:55#0#00:00:00#00:00:00#00:00:00 1 a393686272219654fb8af2be077d1e40
7171104 C 3 CP 2 24/10/2019 24/10/2019 10/03/1946 0 2
1 Z96.1;H04.1;H10.9 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DRA DEETJE LASUT 002041 73 26891 DR
RALF PANGALILA,SPM 0309R0191019V003936 0000139058875 3;JKN linda03;
5.3.9.201904290125 4 83099 1#0##0#0#0.0#2019-10-29
13:51:41#0#00:00:00#00:00:00#00:00:00 1 fd69bba366c0c84f22cd6878d7c10e6a
7171104 C 3 CP 2 24/10/2019 24/10/2019 07/01/1962 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHANA WEHANTOUW 052085 57 21109 DR
RALF PANGALILA,SPM 0309R0191019V003935 0000137883317 3;JKN linda03;
5.3.9.201904290125 4 83100 1#0##0#0#0.0#2019-10-29
13:52:28#0#00:00:00#00:00:00#00:00:00 1 c158244bbe77bbba2dc68873eaf24dcb
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/05/1948 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TELMA PAPENDANG 052332 71 26108 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V003934 0000909572635 3;JKN linda03;
5.3.9.201904290125 4 83101 1#0##0#0#0.0#2019-10-29
13:53:20#0#00:00:00#00:00:00#00:00:00 1 7d72f8faf53cd371f1d96d849107ec9b
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/03/1938 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TRESNA NAMONTI 051997 81 29822 DR RALF
PANGALILA,SPM 0309R0191019V003933 0000906367397 3;JKN linda03;
5.3.9.201904290125 4 83102 1#0##0#0#0.0#2019-10-29
13:54:16#0#00:00:00#00:00:00#00:00:00 1 4c81fd14c567e73311f91b60153b7d92
7171104 C 3 CP 2 24/10/2019 24/10/2019 11/05/1955 0 1
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENDRO LAUTAN LAUW 041226 64 23542
DR DYANA T.WATANIA,SPM 0309R0191019V003932 0002464653194 3;JKN
linda03; 5.3.9.201904290125 4 83103 1#0##0#0#0.0#2019-10-29
13:55:07#0#00:00:00#00:00:00#00:00:00 1 96ee4b9fc6469b019724903ec13d136b
7171104 C 3 CP 2 24/10/2019 24/10/2019 27/05/1970 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WAHIDA SELLE 052272 49 18047
DR.MELISA RATAG,SPM 0309R0191019V003931 0000905407233 3;JKN
linda03; 5.3.9.201904290125 4 83104 1#0##0#0#0.0#2019-10-29
13:56:42#0#00:00:00#00:00:00#00:00:00 1 a70a01134f6c6dc473b3e1546ba81856
7171104 C 3 CP 2 24/10/2019 24/10/2019 25/07/1942 0 1
1 Z09.8;H11.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAX DAVID LOMPOLIUW 052581 77 28215
DR. SAMUEL MALINGKAS,SPM 0309R0191019V003941 0000138281152 3;JKN
linda03; 5.3.9.201904290125 4 83111 1#0##0#0#0.0#2019-10-30
07:44:52#0#00:00:00#00:00:00#00:00:00 1 ae74f6be2efc178ab228c247cc6fe4fe
7171104 C 3 CP 2 24/10/2019 24/10/2019 07/07/1973 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YESSY WONGKAR 051243 46 16910 DR RALF
PANGALILA,SPM 0309R0191019V003930 0001667174049 3;JKN linda03;
5.3.9.201904290125 4 83112 26#0##0#0#0.0#2019-10-30
07:45:41#0#00:00:00#00:00:00#00:00:00 1 f0a6e24200a2cac6125930643588540a
7171104 C 3 CP 2 24/10/2019 24/10/2019 20/11/1971 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SARKONO NUNGAN 052651 47 17505 DR
RALF PANGALILA,SPM 0309R0191019V003929 0001568126575 3;JKN linda03;
5.3.9.201904290125 4 83113 1#0##0#0#0.0#2019-10-30
07:48:22#0#00:00:00#00:00:00#00:00:00 1 f35eb0b432ee4bc60e3109049833616f
7171104 C 3 CP 2 24/10/2019 24/10/2019 03/11/1951 0 2
1 Z96.1;H45.8;H26.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 THERESIA MIJKE LIEN MANGKEY 002583 67
24827 DR.FELLY A. TOAD,S.PM 0309R0191019V003928 0000138316713 3;JKN
linda03; 5.3.9.201904290125 4 83114 1#0##0#0#0.0#2019-10-30
07:49:11#0#00:00:00#00:00:00#00:00:00 1 984781e3849946cab9947434b2bb63a8
7171104 C 3 CP 2 24/10/2019 24/10/2019 31/08/1951 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HERMINA MAKAHINDA 052206 68 24891
DR.MELISA RATAG,SPM 0309R0191019V003926 0002237359781 3;JKN
linda03; 5.3.9.201904290125 4 83116 1#0##0#0#0.0#2019-10-30
07:50:06#0#00:00:00#00:00:00#00:00:00 1 ea8e363443a3624a3903e9d01675988a
7171104 C 3 CP 2 24/10/2019 24/10/2019 06/01/1942 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANTONIUS ADRIANUS GERARDUS TURANG 011260
77 28415 DR.MELISA RATAG,SPM 0309R0191019V003925 0000138316724
3;JKN linda03; 5.3.9.201904290125 4 83119 1#0##0#0#0.0#2019-10-30
07:52:49#0#00:00:00#00:00:00#00:00:00 1 046fe5db3b1d9a6bb4cbe17986dc2dc5
7171104 C 3 CP 2 24/10/2019 24/10/2019 29/10/1967 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 IRMA ISMAIL 052796 51 18988 DR.MELISA
RATAG,SPM 0309R0191019V003924 0001174383393 3;JKN linda03;
5.3.9.201904290125 4 83121 1#0##0#0#0.0#2019-10-30
07:54:10#0#00:00:00#00:00:00#00:00:00 1 42f5aab58dbf1718ed2d95e5dcd954cc
7171104 C 3 CP 2 24/10/2019 24/10/2019 17/07/1940 0 2
1 Z09.0;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIN SUMANTI 052561 79 28953
DR.MELISA RATAG,SPM 0309R0191019V003923 0002388050943 3;JKN
linda03; 5.3.9.201904290125 4 83128 1#0##0#0#0.0#2019-10-30
08:05:47#0#00:00:00#00:00:00#00:00:00 1 82795cc763756bb1d0cecbecace4fc31
7171104 C 3 CP 2 24/10/2019 24/10/2019 22/08/1981 0 1
1 Z09.8;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RINES ALFONSUS TEROK 049076 38 13942
DR.FELLY A. TOAD,S.PM 0309R0191019V003922 0001424078008 3;JKN
linda03; 5.3.9.201904290125 4 83129 19#0##0#0#0.0#2019-10-30
08:06:31#0#00:00:00#00:00:00#00:00:00 1 e29f7f07c69949c4669ab1dc31c349b6
7171104 C 3 CP 2 24/10/2019 24/10/2019 15/06/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIEN TUMIMOMOR 052441 74 27159 DR RALF
PANGALILA,SPM 0309R0191019V003921 0002610778228 3;JKN linda03;
5.3.9.201904290125 4 83131 1#0##0#0#0.0#2019-10-30
08:07:12#0#00:00:00#00:00:00#00:00:00 1 6be6c1e5b79a218f755a42dc53ac0466
7171104 C 3 CP 2 24/10/2019 24/10/2019 29/09/1949 0 2
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HAJJA SUPINA PALAMANI 044499 70 25592
DR.MELISA RATAG,SPM 0309R0191019V003920 0000004437988 3;JKN
linda03; 5.3.9.201904290125 4 83132 1#0##0#0#0.0#2019-10-30
08:08:54#0#00:00:00#00:00:00#00:00:00 1 83c303a0f0b75d4c26db4ba3d7d0d7ad
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/07/1948 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LINCE BOAS 052709 71 26047 DR.MELISA
RATAG,SPM 0309R0191019V003919 0002390814292 3;JKN linda03;
5.3.9.201904290125 4 83133 1#0##0#0#0.0#2019-10-30
08:09:35#0#00:00:00#00:00:00#00:00:00 1 d76af55a745d2f866b701e52934a60fa
7171104 C 3 CP 2 24/10/2019 24/10/2019 10/10/1953 0 2
1 Z09.8;H52.0;H52.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROHANI PALAMANI 043683 66 24120 DR
RALF PANGALILA,SPM 0309R0191019V003918 0001453245581 3;JKN linda03;
5.3.9.201904290125 4 83134 1#0##0#0#0.0#2019-10-30
08:10:20#0#00:00:00#00:00:00#00:00:00 1 34c687538b29bb5dc68a396e5fa62911
7171104 C 3 CP 2 24/10/2019 24/10/2019 02/01/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KARTINA PALAMANI 037847 71 26228 DR RALF
PANGALILA,SPM 0309R0191019V003917 0001474447948 3;JKN linda03;
5.3.9.201904290125 4 83135 1#0##0#0#0.0#2019-10-30
08:11:19#0#00:00:00#00:00:00#00:00:00 1 e1316a35251cc0bb7da2611f9222a4b4
7171104 C 3 CP 2 24/10/2019 24/10/2019 05/11/1953 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CAROLUS BOROMEUS RUMENGAN 052707 65
24094 DR DYANA T.WATANIA,SPM 0309R0191019V003916 0001725245357 3;JKN
linda03; 5.3.9.201904290125 4 83136 1#0##0#0#0.0#2019-10-30
08:12:09#0#00:00:00#00:00:00#00:00:00 1 e567a4b23190980b1b00ef5bf6d7569d
7171104 C 3 CP 1 23/10/2019 24/10/2019 22/11/1966 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 MASAAT BIN BAHAR 052208 52
19328 DR.MELISA RATAG,SPM 0309R0191019V003898 0001568720575 3;JKN
eka06; 5.3.9.201904290125 4 83742 1#0##0#0#0.0#2019-11-01
13:26:35#0#00:00:00#00:00:00#00:00:00 1 4090d84a0806e24c28c670f7f05ea772
7171104 C 3 CP 1 23/10/2019 24/10/2019 05/01/1937 0 1
1 T85.3 14.74 - - YY09 None None None H-1-30-I None None
YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6510200 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 13020400 7179000 0 2 0 0 0 JOSIS TONGKOTOW
047184 82 30241 DR SALAM SURBAKTI,SPM 0309R0191019V003903
0001570640231 3;JKN eka06; 5.3.9.201904290125 4 83748
1#0##0#0#0.0#2019-11-01 13:28:24#0#00:00:00#00:00:00#00:00:00 1
d33d2b956c889263576dd8cd746ae24a
7171104 C 2 CP 1 23/10/2019 24/10/2019 07/08/1974 0 2
1 H44.0;H33.2 14.74;99.21 - - YY09 None None None H-1-30-I
None None YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER
(RINGAN) 7812300 0 0 VITRECTOMY 6510200 - 0 - 0
- 0 14322500 7179000 0 2 0 0 0 LILI MAMBO
052613 45 16513 DR DYANA T.WATANIA,SPM 0309R0191019V003915
0002322883787 3;JKN eka06; 5.3.9.201904290125 4 83753
1#0##0#0#0.0#2019-11-01 13:34:23#0#00:00:00#00:00:00#00:00:00 1
d05ee2da77afe3ef0a2e5d1525df0924
7171104 C 2 CP 1 23/10/2019 24/10/2019 28/04/1954 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5134200
0 0 - 0 - 0 - 0 - 0 5134200
9807400 0 2 0 0 0 FEMMY MONIAGA 012691 65
23919 DR RALF PANGALILA,SPM 0309R0191019V003902 0001283668918 3;JKN
eka06; 5.3.9.201904290125 4 83737 1#0##0#0#0.0#2019-11-01
13:55:14#0#00:00:00#00:00:00#00:00:00 1 7007f2ad8d59d782758adacc99c3eb63
7171104 C 3 CP 2 24/10/2019 24/10/2019 02/11/1952 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 GEERTJE JEETJE KAAWOAN 052799 66 24462 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V003985 0000138356526 3;JKN linda03;
5.3.9.201904290125 4 83040 1#0##0#0#0.0#2019-11-04
09:05:52#0#00:00:00#00:00:00#00:00:00 1 76366de02c2bd85da1d90f89ea463a37
7171104 C 3 CP 2 24/10/2019 24/10/2019 11/11/1937 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ANATJE KATIE RATON
052127 81 29932 DR SAUL RAPAR,SPM 0309R0191019V004066
0001890413436 3;JKN Boni04; 5.3.9.201904290125 4 84274
1#0##0#0#0.0#2019-11-05 14:09:08#0#00:00:00#00:00:00#00:00:00 1
23f5e82d3ef7b0a35184d8a162b4bb3e
7171104 C 3 CP 2 24/10/2019 24/10/2019 15/11/1959 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 IKBAL SOLEMAN
052072 59 21893 DR SAUL RAPAR,SPM 0309R0191019V003947
0000140162444 3;JKN Boni04; 5.3.9.201904290125 4 84276
1#0##0#0#0.0#2019-11-05 14:10:33#0#00:00:00#00:00:00#00:00:00 1
4d872a46efbbeb5f42d31c656d372cde
7171104 C 3 CP 2 24/10/2019 24/10/2019 18/05/1957 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 TINEKE HEYTI
LALUAN 052769 62 22804 DR SAUL RAPAR,SPM 0309R0191019V003978
0000211427324 3;JKN Boni04; 5.3.9.201904290125 4 84277
1#0##0#0#0.0#2019-11-05 14:11:16#0#00:00:00#00:00:00#00:00:00 1
abe14c55c8ab6c8f750a76768e3f7f86
7171104 C 3 CP 2 24/10/2019 24/10/2019 10/06/1949 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 RUTH JUL MANANGKOT
052779 70 25703 DR SAUL RAPAR,SPM 0309R0191019V004046
0000138234936 3;JKN Boni04; 5.3.9.201904290125 4 84279
1#0##0#0#0.0#2019-11-05 14:12:17#0#00:00:00#00:00:00#00:00:00 1
1518699ea4158123b1ef155b76e3287a
7171104 C 3 CP 2 24/10/2019 24/10/2019 25/12/1947 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARIETJE SIMBOH
052803 71 26236 DR SAUL RAPAR,SPM 0309R0191019V004015
0000170167375 3;JKN Boni04; 5.3.9.201904290125 4 84281
1#0##0#0#0.0#2019-11-05 14:14:18#0#00:00:00#00:00:00#00:00:00 1
4c87f9e69c7b1469c68380c785550171
7171104 C 3 CP 2 24/10/2019 24/10/2019 26/11/1955 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 KONSTANSI KANALUNG
052816 63 23343 DR PAULA M V LUMUNON,SPM 0309R0191019V004065
0002391480033 3;JKN Boni04; 5.3.9.201904290125 4 84283
1#0##0#0#0.0#2019-11-05 14:16:13#0#00:00:00#00:00:00#00:00:00 1
6c279c8cfb499e9e4d5c15fab593499b
7171104 C 3 CP 2 24/10/2019 24/10/2019 19/12/1955 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 IR. FRANKIE PH. F.
RORING 052611 63 23320 DR PAULA M V LUMUNON,SPM
0309R0191019V004142 0000138573876 3;JKN Boni04; 5.3.9.201904290125
4 84284 1#0##0#0#0.0#2019-11-05 14:17:32#0#00:00:00#00:00:00#00:00:00
1 3907f806d34975ecf2e9e4d0944f4525
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/04/1967 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PIN ALUSINGSING 052817 52 19199 DR.
DENNY WALANDOW, SPM 0309R0191019V004068 0000906506908 3;JKN Patrick K.;
5.3.9.201904290125 4 84290 1#0##0#0#0.0#2019-11-05
16:14:50#0#00:00:00#00:00:00#00:00:00 1 a70f02aedfc13c0d15d44ac89dd971ac
7171104 C 3 CP 2 24/10/2019 24/10/2019 17/06/1959 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NURHAYATI KILAPONG 052087 60 22044 DR.
DENNY WALANDOW, SPM 0309R0191019V004033 0002388838792 3;JKN Patrick K.;
5.3.9.201904290125 4 84291 1#0##0#0#0.0#2019-11-05
16:15:38#0#00:00:00#00:00:00#00:00:00 1 03022893b6e60b612c6512c06e81a4ef
7171104 C 3 CP 2 24/10/2019 24/10/2019 19/11/1963 0 2
1 Z09.8;H11.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA MAGDALENA SUUD 052786 55 20428
DR. SAMUEL MALINGKAS,SPM 0309R0191019V004062 0002390770989 3;JKN
Patrick K.; 5.3.9.201904290125 4 82799 1#0##0#0#0.0#2019-11-05
16:19:24#0#00:00:00#00:00:00#00:00:00 2 42636dd52be66b7616c2f9006a0c35d1
7171104 C 3 CP 2 24/10/2019 24/10/2019 17/03/1967 0 2
1 H44.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BEMPA MOKOAGOW 052671 52 19214 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V004057 0001565391655 3;JKN Patrick K.;
5.3.9.201904290125 4 82749 1#0##0#0#0.0#2019-11-05
16:21:39#0#00:00:00#00:00:00#00:00:00 1 8159c7a2b5072be06aba991573c2db41
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/09/1939 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DEITJE MEA 052783
80 29273 DR PAULA M V LUMUNON,SPM 0309R0191019V004082
0000905679112 3;JKN Boni04; 5.3.9.201904290125 4 84286
1#0##0#0#0.0#2019-11-06 11:59:24#0#00:00:00#00:00:00#00:00:00 1
239d58de67b46e444e896ad2f08ded9c
7171104 C 3 CP 2 24/10/2019 24/10/2019 13/01/1947 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MINTJE RUMAGIT
041502 72 26582 DR PAULA M V LUMUNON,SPM 0309R0191019V004130
0001326867669 3;JKN Boni04; 5.3.9.201904290125 4 84389
1#0##0#0#0.0#2019-11-06 12:01:15#0#00:00:00#00:00:00#00:00:00 1
091d48ee58e16a9918598e144ff6a913
7171104 C 3 CP 2 24/10/2019 24/10/2019 04/04/1951 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SJULTJE ANTE
052541 68 25040 DR PAULA M V LUMUNON,SPM 0309R0191019V003988
0000138257289 3;JKN Boni04; 5.3.9.201904290125 4 84391
1#0##0#0#0.0#2019-11-06 12:06:09#0#00:00:00#00:00:00#00:00:00 1
be4aa0f9e8467407a48c53b13658404b
7171104 C 3 CP 2 24/10/2019 24/10/2019 06/06/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JENNY A.MAMESAH
013663 67 24611 DR PAULA M V LUMUNON,SPM 0309R0191019V003953
0000138268585 3;JKN Boni04; 5.3.9.201904290125 4 84393
1#0##0#0#0.0#2019-11-06 12:07:12#0#00:00:00#00:00:00#00:00:00 1
8e97c8458ee76c635ae2a059a1605365
7171104 C 3 CP 2 24/10/2019 24/10/2019 03/03/1937 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 WEMPIE WAGEY
020732 82 30185 DR PAULA M V LUMUNON,SPM 0309R0191019V004061
0001479978999 3;JKN Boni04; 5.3.9.201904290125 4 84396
1#0##0#0#0.0#2019-11-06 12:08:05#0#00:00:00#00:00:00#00:00:00 1
f43a30776a09ca6a9db724e59cc7abef
7171104 C 3 CP 2 24/10/2019 24/10/2019 08/03/1950 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SIGARLAKI PANTOW
052404 69 25432 DR YULIANA HARTONO,SPM 0309R0191019V004110
0000137738103 3;JKN Boni04; 5.3.9.201904290125 4 84399
1#0##0#0#0.0#2019-11-06 12:11:39#0#00:00:00#00:00:00#00:00:00 1
a7997c9fdc84a00c354649a50de9c8e2
7171104 C 3 CP 2 24/10/2019 24/10/2019 29/01/1955 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHANA ELISABETH
KAUNANG 052814 64 23644 DR YULIANA HARTONO,SPM 0309R0191019V004048
0000139047366 3;JKN Boni04; 5.3.9.201904290125 4 84402
1#0##0#0#0.0#2019-11-06 12:15:14#0#00:00:00#00:00:00#00:00:00 1
b4dbaace41781d5ac9a2793f94dc87e4
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/02/1941 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HARTIN PARESE
051792 78 28754 DR YULIANA HARTONO,SPM 0309R0191019V004059
0000906374248 3;JKN Boni04; 5.3.9.201904290125 4 84405
1#0##0#0#0.0#2019-11-06 12:16:02#0#00:00:00#00:00:00#00:00:00 1
26703f574df34829ecf989121374f944
7171104 C 3 CP 2 24/10/2019 24/10/2019 21/10/1950 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 THERESIA M.KAUNANG
052813 69 25205 DR YULIANA HARTONO,SPM 0309R0191019V004047
0000138210996 3;JKN Boni04; 5.3.9.201904290125 4 84407
1#0##0#0#0.0#2019-11-06 12:17:06#0#00:00:00#00:00:00#00:00:00 1
e9ad2e2194a5b02b6c75200be067f321
7171104 C 3 CP 2 24/10/2019 24/10/2019 20/01/1958 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARYAM ROLEH
052307 61 22557 DR YULIANA HARTONO,SPM 0309R0191019V004058
0002391662283 3;JKN Boni04; 5.3.9.201904290125 4 84410
1#0##0#0#0.0#2019-11-06 12:18:32#0#00:00:00#00:00:00#00:00:00 1
c063759386ef53f846bd21a6b57a0fb1
7171104 C 3 CP 2 24/10/2019 24/10/2019 13/09/1955 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SELVIA F KARWUR
052797 64 23417 DR YULIANA HARTONO,SPM 0309R0191019V003956
0001270341988 3;JKN Boni04; 5.3.9.201904290125 4 84413
1#0##0#0#0.0#2019-11-06 12:19:35#0#00:00:00#00:00:00#00:00:00 1
3cf83128dc4713d889fdd7e0df78a6dc
7171104 C 3 CP 2 24/10/2019 24/10/2019 18/08/1947 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 WELLEM PUNUH
052187 72 26365 DR YULIANA HARTONO,SPM 0309R0191019V004090
0002072265401 3;JKN Boni04; 5.3.9.201904290125 4 84415
1#0##0#0#0.0#2019-11-06 12:23:01#0#00:00:00#00:00:00#00:00:00 1
a29c536d4b31ec73891770b7ba0fd5c1
7171104 C 3 CP 2 24/10/2019 24/10/2019 25/12/1976 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NATANEL BAGO
052771 42 15643 DR YULIANA HARTONO,SPM 0309R0191019V004041
0001626987701 3;JKN Boni04; 5.3.9.201904290125 4 84418
1#0##0#0#0.0#2019-11-06 12:25:43#0#00:00:00#00:00:00#00:00:00 1
4de62303227ddccc639f083bfd426951
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/03/1945 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARRI WAWOLANGI
050847 74 27265 DR YULIANA HARTONO,SPM 0309R0191019V004055
0000908404075 3;JKN Boni04; 5.3.9.201904290125 4 84422
1#0##0#0#0.0#2019-11-06 12:26:28#0#00:00:00#00:00:00#00:00:00 1
6c7dd5192807d36d9ad0634c6084e8f4
7171104 C 3 CP 2 24/10/2019 24/10/2019 03/11/1959 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SUROTO 052728
59 21905 DR YULIANA HARTONO,SPM 0309R0191019V004019 0002228979521
3;JKN Boni04; 5.3.9.201904290125 4 84425 1#0##0#0#0.0#2019-11-06
12:30:26#0#00:00:00#00:00:00#00:00:00 1 8ecfe6fced8cb89a4415d0a6914e2b72
7171104 C 3 CP 2 24/10/2019 24/10/2019 10/02/1947 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SAFINA SANUSI
005310 72 26554 DR YULIANA HARTONO,SPM 0309R0191019V004027
0002216023705 3;JKN Boni04; 5.3.9.201904290125 4 84427
1#0##0#0#0.0#2019-11-06 12:31:14#0#00:00:00#00:00:00#00:00:00 1
0ff093dc2b8b8a8f7273dc422b9b2a9d
7171104 C 3 CP 2 24/10/2019 24/10/2019 03/08/1946 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 KALIOPAS
LALELORANG 052729 73 26745 DR YULIANA HARTONO,SPM 0309R0191019V003959
0002460448754 3;JKN Boni04; 5.3.9.201904290125 4 84429
1#0##0#0#0.0#2019-11-06 12:35:56#0#00:00:00#00:00:00#00:00:00 1
0ea5a803d77cda9b992bc2b6c079ec10
7171104 C 3 CP 2 24/10/2019 24/10/2019 06/06/1950 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JULIANA MOKEY
WAROUW 052510 69 25342 DR YULIANA HARTONO,SPM 0309R0191019V003970
0001266832113 3;JKN Boni04; 5.3.9.201904290125 4 84433
1#0##0#0#0.0#2019-11-06 12:36:35#0#00:00:00#00:00:00#00:00:00 1
1b21cb542c2e45a8918e41659db2091f
7171104 C 3 CP 2 24/10/2019 24/10/2019 31/01/1939 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 STIEN WELAN 051863
80 29486 DR YULIANA HARTONO,SPM 0309R0191019V003968 0000137184502
3;JKN Boni04; 5.3.9.201904290125 4 84436 1#0##0#0#0.0#2019-11-06
12:38:00#0#00:00:00#00:00:00#00:00:00 1 a2bd1dde701661017d87919e91fe7aa7
7171104 C 3 CP 2 24/10/2019 24/10/2019 02/10/1958 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOUTJE O. GOSAL
039454 61 22302 DR YULIANA HARTONO,SPM 0309R0191019V003980
0000137799055 3;JKN Boni04; 5.3.9.201904290125 4 84438
1#0##0#0#0.0#2019-11-06 12:38:51#0#00:00:00#00:00:00#00:00:00 1
4299d59e5f8e76c71c2b2e087e0251fe
7171104 C 3 CP 2 24/10/2019 24/10/2019 19/02/1990 0 2
1 D23.1 08.22 - - None None None None H-2-23-0 None None
None None None None PROSEDUR KECIL PADA MATA EKSTERNAL 509800 0
0 - 0 - 0 - 0 - 0 509800 3825400
0 1 0 0 0 FAUTY FALENTINE KAUNANG 051613 29 10839
DR YULIANA HARTONO,SPM 0309R0191019V004043 0002255470705 3;JKN
Boni04; 5.3.9.201904290125 4 84440 1#0##0#0#0.0#2019-11-06
12:42:48#0#00:00:00#00:00:00#00:00:00 1 4c2ee25b76a77f9d8355b332cd25f5f1
7171104 C 3 CP 2 24/10/2019 24/10/2019 17/02/2003 0 1
1 D23.1 08.22 - - None None None None H-2-23-0 None None
None None None None PROSEDUR KECIL PADA MATA EKSTERNAL 509800 0
0 - 0 - 0 - 0 - 0 509800 3825400
0 1 0 0 0 FEROLA G SUMAMPOUW 052710 16 6093
DR YULIANA HARTONO,SPM 0309R0191019V003992 0001856806705 3;JKN
Boni04; 5.3.9.201904290125 4 84443 1#0##0#0#0.0#2019-11-06
12:43:44#0#00:00:00#00:00:00#00:00:00 1 1bdc5f5c56972124b5ba202f9bf2b5ac
7171104 C 3 CP 2 24/10/2019 24/10/2019 29/07/1952 0 2
1 H02.1 08.49 - - None None None None H-2-23-0 None None
None None None None PROSEDUR KECIL PADA MATA EKSTERNAL 509800 0
0 - 0 - 0 - 0 - 0 509800 370400
0 1 0 0 0 YULIN KAENG 052485 67 24558 DR YULIANA
HARTONO,SPM 0309R0191019V004052 0001243680805 3;JKN Boni04;
5.3.9.201904290125 4 84445 1#0##0#0#0.0#2019-11-06
12:46:01#0#00:00:00#00:00:00#00:00:00 1 b58edff1eee417447803cdb194fdfe30
7171104 C 3 CP 2 24/10/2019 24/10/2019 04/03/1957 0 2
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 STIENTJE LENGKONG 052090 62 22879 DR
DYANA T.WATANIA,SPM 0309R0191019V004040 0002177574906 3;JKN Boni04;
5.3.9.201904290125 4 84733 1#0##0#0#0.0#2019-11-07
10:40:06#0#00:00:00#00:00:00#00:00:00 1 849f24122ffab3e8149fca3facd96ede
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/12/1929 0 1
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 DONESIUS KAKOMBA 052798 89 32834 DR RALF
PANGALILA,SPM 0309R0191019V003955 0001066711724 3;JKN Boni04;
5.3.9.201904290125 4 84739 1#0##0#0#0.0#2019-11-07
10:41:44#0#00:00:00#00:00:00#00:00:00 1 5c28ff91fb9e75293f4dc932dfa9cbfa
7171104 C 3 CP 2 24/10/2019 24/10/2019 26/12/1940 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 STEVANUS PALIT 016135 78 28791 DR.
DENNY WALANDOW, SPM 0309R0191019V003954 0000138900644 3;JKN Boni04;
5.3.9.201904290125 4 84740 1#0##0#0#0.0#2019-11-07
10:42:21#0#00:00:00#00:00:00#00:00:00 1 4990ee7d5b22e487762f93c17ff096ae
7171104 C 3 CP 2 24/10/2019 24/10/2019 28/08/1950 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 J. J. SARAJAR, BA 005339 69 25259 DR.
DENNY WALANDOW, SPM 0309R0191019V003989 0000138687658 3;JKN Boni04;
5.3.9.201904290125 4 84742 1#0##0#0#0.0#2019-11-07
10:43:38#0#00:00:00#00:00:00#00:00:00 1 18ef45b64c15181d886f9b9752e3f5b1
7171104 C 3 CP 2 24/10/2019 24/10/2019 19/04/1950 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 DIENTJE MANENGAL 027369 69 25390
DR.FELLY A. TOAD,S.PM 0309R0191019V003983 0001328432422 3;JKN
Boni04; 5.3.9.201904290125 4 84744 1#0##0#0#0.0#2019-11-07
10:45:17#0#00:00:00#00:00:00#00:00:00 1 2169b5c58c7660676d303a03d46d5bb3
7171104 C 3 CP 2 24/10/2019 24/10/2019 23/05/1951 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 MEIDIE EIFERDIEN ITEM 018652 68 24991
DR.FELLY A. TOAD,S.PM 0309R0191019V004114 0001564964954 3;JKN
Boni04; 5.3.9.201904290125 4 84747 1#0##0#0#0.0#2019-11-07
10:46:26#0#00:00:00#00:00:00#00:00:00 1 db372699caa9495caa8a4a2eb5c50e13
7171104 C 3 CP 2 24/10/2019 24/10/2019 01/04/1964 0 2
1 H40.2 12.12 - - None None None None H-2-33-0 None None
None None None None PROSEDUR KECIL PADA SEGMEN ANTERIOR MATA 258400
0 0 - 0 - 0 - 0 - 0 258400 370400
0 1 0 0 0 ELVI SAROINSONG 024582 55 20294
DR.FELLY A. TOAD,S.PM 0309R0191019V003963 0000904748084 3;JKN
Boni04; 5.3.9.201904290125 4 84749 1#0##0#0#0.0#2019-11-07
10:47:32#0#00:00:00#00:00:00#00:00:00 1 77eb8ce254cc9a82d38b82b8bf619ddc
7171104 C 3 CP 2 25/10/2019 25/10/2019 30/10/1979 0 2
1 H52.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WISSE K. PADE, S.PD 052844 39 14605
DR SAUL RAPAR,SPM 0309R0191019V004210 0000137479781 3;JKN Patrick K.;
5.3.9.201904290125 4 82876 1#0##0#0#0.0#2019-10-26
10:25:44#0#00:00:00#00:00:00#00:00:00 1 de69feed8a89cbb761223b969989d634
7171104 C 3 CP 2 25/10/2019 25/10/2019 10/09/1959 0 2
1 Z09.8;H52.2;H52.4;Z96.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SERLI PIPE FENNIE RINDENGAN 029976 60
21960 DR SAUL RAPAR,SPM 0309R0191019V004208 0001335206485 3;JKN
Patrick K.; 5.3.9.201904290125 4 82877 1#0##0#0#0.0#2019-10-26
10:31:14#0#00:00:00#00:00:00#00:00:00 1 85787ea081865cea41475a8893170118
7171104 C 3 CP 2 25/10/2019 25/10/2019 25/09/2009 0 1
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRANSISKUS C. J. OROH 052812 10 3682
DR SAUL RAPAR,SPM 0309R0191019V004207 0001899761703 3;JKN Patrick K.;
5.3.9.201904290125 4 82879 1#0##0#0#0.0#2019-10-26
10:55:07#0#00:00:00#00:00:00#00:00:00 1 39c71ef9c667928f792d618560aa2000
7171104 C 3 CP 2 25/10/2019 25/10/2019 19/12/1955 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 IR. FRANKIE PH. F. RORING 052611 63
23321 DR PAULA M V LUMUNON,SPM 0309R0191019V004205 0000138573876
3;JKN Patrick K.; 5.3.9.201904290125 4 82880 1#0##0#0#0.0#2019-10-26
10:57:19#0#00:00:00#00:00:00#00:00:00 1 793bfbea2d5c8ba422e1dede74d417b2
7171104 C 3 CP 2 25/10/2019 25/10/2019 16/08/1938 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENDRIK E. RONDONUWU 052843 81 29655
DR SAUL RAPAR,SPM 0309R0191019V004204 0002069372035 3;JKN Patrick K.;
5.3.9.201904290125 4 82881 1#0##0#0#0.0#2019-10-26
10:58:32#0#00:00:00#00:00:00#00:00:00 1 ee5cb1f66c17cc5bb32a032bf80772d5
7171104 C 3 CP 2 25/10/2019 25/10/2019 13/01/1947 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MINTJE RUMAGIT 041502 72 26583 DR
PAULA M V LUMUNON,SPM 0309R0191019V004203 0001326867669 3;JKN Patrick K.;
5.3.9.201904290125 4 82882 1#0##0#0#0.0#2019-10-26
10:59:27#0#00:00:00#00:00:00#00:00:00 1 44f490f41ff8329a8f4c8ca3ad38e6f3
7171104 C 3 CP 2 25/10/2019 25/10/2019 01/06/1962 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIANA RUMAGIT 026678 57 20965 DR SAUL
RAPAR,SPM 0309R0191019V004202 0000907552787 3;JKN Patrick K.;
5.3.9.201904290125 4 82883 1#0##0#0#0.0#2019-10-26
11:03:09#0#00:00:00#00:00:00#00:00:00 1 cc9dff19cdbae5119a9871695ad507c9
7171104 C 3 CP 2 25/10/2019 25/10/2019 21/02/1969 0 1
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROLY ROSEVELT HUGU TAPOSA BENTAL 042781
50 18508 DR PAULA M V LUMUNON,SPM 0309R0191019V004200
0002463514334 3;JKN Patrick K.; 5.3.9.201904290125 4 82887
1#0##0#0#0.0#2019-10-26 11:04:31#0#00:00:00#00:00:00#00:00:00 1
9ae29c2794cdfed4ce745aaf451d9ed6
7171104 C 3 CP 2 25/10/2019 25/10/2019 08/12/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEBESTRIDA MAITULUNG 052731 65 24062 DR
PAULA M V LUMUNON,SPM 0309R0191019V004198 0000136915222 3;JKN Patrick K.;
5.3.9.201904290125 4 82889 1#0##0#0#0.0#2019-10-26
11:06:22#0#00:00:00#00:00:00#00:00:00 1 439c21ca4238aedbc59b85c80aa75b1f
7171104 C 3 CP 2 25/10/2019 25/10/2019 07/08/1961 0 2
1 Z96.1;H35.2;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LENNY MANGEMBULUDE 051674 58 21263
DR SAUL RAPAR,SPM 0309R0191019V004195 0002388311932 3;JKN Patrick K.;
5.3.9.201904290125 4 82890 1#0##0#0#0.0#2019-10-26
11:07:41#0#00:00:00#00:00:00#00:00:00 1 bf9de2e993ded64f6e5daebcb1fb9fa9
7171104 C 3 CP 2 25/10/2019 25/10/2019 19/09/1962 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUDIR BANGKIANG 048954 57 20855 DR
SAUL RAPAR,SPM 0309R0191019V004194 0001799119809 3;JKN Patrick K.;
5.3.9.201904290125 4 82892 1#0##0#0#0.0#2019-10-26
11:08:49#0#00:00:00#00:00:00#00:00:00 1 03f6d0a20557fd79706d4fb3db8622ce
7171104 C 3 CP 2 25/10/2019 25/10/2019 08/08/1984 0 2
1 Z09.8;H16.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZUSANTY SODANDING 012341 35 12861 DR
SAUL RAPAR,SPM 0309R0191019V004192 0001427465856 3;JKN Patrick K.;
5.3.9.201904290125 4 82894 1#0##0#0#0.0#2019-10-26
11:09:52#0#00:00:00#00:00:00#00:00:00 1 d60b72de687c9980769e7804886b8614
7171104 C 3 CP 2 25/10/2019 25/10/2019 18/10/1971 0 2
1 Z09.8;H04.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FATMA RADJAK 052676 48 17539 DR
SAUL RAPAR,SPM 0309R0191019V004191 0002203561438 3;JKN Patrick K.;
5.3.9.201904290125 4 82895 1#0##0#0#0.0#2019-10-26
11:15:37#0#00:00:00#00:00:00#00:00:00 1 5183560bc440504a40da281f71482dcd
7171104 C 3 CP 2 25/10/2019 25/10/2019 16/08/1980 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ZEM LAHEBA 052368 39 14314 DR PAULA M V
LUMUNON,SPM 0309R0191019V004190 0000908153504 3;JKN Patrick K.;
5.3.9.201904290125 4 82897 1#0##0#0#0.0#2019-10-26
11:16:34#0#00:00:00#00:00:00#00:00:00 1 ca4103a85c466f9e9c9f6cead391b9d1
7171104 C 3 CP 2 25/10/2019 25/10/2019 25/12/1947 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIETJE SIMBOH 052803 71 26237 DR
SAUL RAPAR,SPM 0309R0191019V004189 0000170167375 3;JKN Patrick K.;
5.3.9.201904290125 4 82898 1#0##0#0#0.0#2019-10-26
11:19:49#0#00:00:00#00:00:00#00:00:00 1 6e00c7790e65a2834d859481f8688d92
7171104 C 3 CP 2 25/10/2019 25/10/2019 28/02/1966 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PIEN ARUNDE 052841 53 19597 DR PAULA M V
LUMUNON,SPM 0309R0191019V004188 0000136930948 3;JKN Patrick K.;
5.3.9.201904290125 4 82899 1#0##0#0#0.0#2019-10-26
11:22:16#0#00:00:00#00:00:00#00:00:00 1 925530f90f8e63ea6849abbfaebcacd1
7171104 C 3 CP 2 25/10/2019 25/10/2019 28/03/1957 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TAMPANGUMA ARIE MARTHEN 033900 62 22856 DR
SAUL RAPAR,SPM 0309R0191019V004187 0000137889909 3;JKN Patrick K.;
5.3.9.201904290125 4 82900 1#0##0#0#0.0#2019-10-26
11:24:16#0#00:00:00#00:00:00#00:00:00 1 fd192ee8ee5acee4b4710f5c092d3898
7171104 C 3 CP 2 25/10/2019 25/10/2019 01/10/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JEPSAN TAMARA 052364 73 26687 DR PAULA M V
LUMUNON,SPM 0309R0191019V004186 0000907479189 3;JKN Patrick K.;
5.3.9.201904290125 4 82901 1#0##0#0#0.0#2019-10-26
11:25:15#0#00:00:00#00:00:00#00:00:00 1 13e7ddcd96a2a02b483fb4912019a61e
7171104 C 3 CP 2 25/10/2019 25/10/2019 10/10/1964 0 1
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EDIKSON MASIHOR 052838 55 20103 DR
PAULA M V LUMUNON,SPM 0309R0191019V004174 0002284788789 3;JKN linda03;
5.3.9.201904290125 4 82896 1#0##0#0#0.0#2019-10-26
11:26:13#0#00:00:00#00:00:00#00:00:00 1 0bf91e7ff60daa3c08029bd397dbbbe4
7171104 C 3 CP 2 25/10/2019 25/10/2019 20/05/1953 0 2
1 Z09.8;H40.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHANA LAETITIA PINONTOAN 004388 66
24264 DR PAULA M V LUMUNON,SPM 0309R0191019V004184 0000138094626
3;JKN Patrick K.; 5.3.9.201904290125 4 82902 1#0##0#0#0.0#2019-10-26
11:26:24#0#00:00:00#00:00:00#00:00:00 1 5aa89d2abd0efc47be1fa414e06be0bb
7171104 C 3 CP 2 25/10/2019 25/10/2019 11/08/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BERNATJE GUMENGGILUNG 048503 64 23451 DR
PAULA M V LUMUNON,SPM 0309R0191019V004183 0001726499788 3;JKN Patrick K.;
5.3.9.201904290125 4 82904 1#0##0#0#0.0#2019-10-26
11:27:32#0#00:00:00#00:00:00#00:00:00 1 063b3054c3d89f590ed5edf23f10206a
7171104 C 3 CP 2 25/10/2019 25/10/2019 29/12/1959 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ISMAIL PALINTO 052837 59 21850 DR SAUL
RAPAR,SPM 0309R0191019V004173 0000137899721 3;JKN linda03;
5.3.9.201904290125 4 82903 1#0##0#0#0.0#2019-10-26
11:27:34#0#00:00:00#00:00:00#00:00:00 1 99d68ffe6fefdf48f1b5779dde5e1de8
7171104 C 3 CP 2 25/10/2019 25/10/2019 29/08/1950 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FIEKE MONNA TEKLA LUISA SIBY 051535 69
25259 DR PAULA M V LUMUNON,SPM 0309R0191019V004182 0001889300542
3;JKN Patrick K.; 5.3.9.201904290125 4 82905 1#0##0#0#0.0#2019-10-26
11:28:25#0#00:00:00#00:00:00#00:00:00 1 7352d5f43db838e7429ebf9feb337707
7171104 C 3 CP 2 25/10/2019 25/10/2019 18/10/1951 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROMPIS ROTTY 052836 68 24844 DR PAULA M V
LUMUNON,SPM 0309R0191019V004172 0000138746619 3;JKN linda03;
5.3.9.201904290125 4 82906 1#0##0#0#0.0#2019-10-26
11:28:46#0#00:00:00#00:00:00#00:00:00 1 7ce4d03acadd64975321b0e6646503fa
7171104 C 3 CP 2 25/10/2019 25/10/2019 09/01/1959 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NIKE HUSO 052840 60 22204 DR SAUL RAPAR,SPM
0309R0191019V004181 0002587364111 3;JKN Patrick K.; 5.3.9.201904290125
4 82907 1#0##0#0#0.0#2019-10-26 11:29:26#0#00:00:00#00:00:00#00:00:00
1 14936d82c398d8be486b29f9846a9446
7171104 C 3 CP 2 25/10/2019 25/10/2019 10/04/1950 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HERDA ANGKOUW 052835 69 25400 DR PAULA M V
LUMUNON,SPM 0309R0191019V004171 0000138746608 3;JKN linda03;
5.3.9.201904290125 4 82908 1#0##0#0#0.0#2019-10-26
11:29:48#0#00:00:00#00:00:00#00:00:00 1 2e247cc968ea08d1bc833831214b9147
7171104 C 3 CP 2 25/10/2019 25/10/2019 07/09/1965 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MISKE SEANE LAURA WELANG 052051 54 19771
DR SAUL RAPAR,SPM 0309R0191019V004180 0002231249128 3;JKN Patrick K.;
5.3.9.201904290125 4 82909 1#0##0#0#0.0#2019-10-26
11:30:40#0#00:00:00#00:00:00#00:00:00 1 815c26e4e4af9c6c59e1ce96a33d57db
7171104 C 3 CP 2 25/10/2019 25/10/2019 04/02/1948 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FIENTJE LEGOH 037256 71 26196 DR
PAULA M V LUMUNON,SPM 0309R0191019V004170 0000138141472 3;JKN linda03;
5.3.9.201904290125 4 82910 1#0##0#0#0.0#2019-10-26
11:30:59#0#00:00:00#00:00:00#00:00:00 1 ecee4ccad74acfb8d3e0a90d8fad1677
7171104 C 3 CP 2 25/10/2019 25/10/2019 05/01/1954 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADOLVIN POSUMAH 052488 65 24034 DR
SAUL RAPAR,SPM 0309R0191019V004179 0002883980351 3;JKN Patrick K.;
5.3.9.201904290125 4 82911 1#0##0#0#0.0#2019-10-26
11:31:47#0#00:00:00#00:00:00#00:00:00 1 901ff2f91a6bb2fa17793b73282e9bed
7171104 C 3 CP 2 25/10/2019 25/10/2019 08/03/1970 0 1
1 Z09.8;H33.4;H35.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JITRON KALASE 048186 49 18128 DR
PAULA M V LUMUNON,SPM 0309R0191019V004169 0002299810094 3;JKN linda03;
5.3.9.201904290125 4 82912 1#0##0#0#0.0#2019-10-26
11:32:26#0#00:00:00#00:00:00#00:00:00 1 c380028ba9fdc261cdfbd34ab2ec78fc
7171104 C 3 CP 2 25/10/2019 25/10/2019 28/07/1965 0 2
1 Z96.1;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RITTA DAMALANG 045207 54 19812 DR
SAUL RAPAR,SPM 0309R0191019V004178 0002388990791 3;JKN Patrick K.;
5.3.9.201904290125 4 82913 1#0##0#0#0.0#2019-10-26
11:33:17#0#00:00:00#00:00:00#00:00:00 1 51303142c2b437b96f89c8797d8cc3dd
7171104 C 3 CP 2 25/10/2019 25/10/2019 06/06/1952 0 2
1 Z09.8;H44.5;H25.1;H52.2 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JENNY A.MAMESAH 013663 67 24612 DR
PAULA M V LUMUNON,SPM 0309R0191019V004168 0000138268585 3;JKN linda03;
5.3.9.201904290125 4 82914 1#0##0#0#0.0#2019-10-26
11:34:01#0#00:00:00#00:00:00#00:00:00 1 eb046e05d86473e25c65cb8f6bffaafc
7171104 C 3 CP 2 25/10/2019 25/10/2019 01/05/1966 0 1
1 Z96.1;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VENTJE MANAMBE 044662 53 19535 DR
SAUL RAPAR,SPM 0309R0191019V004176 0002462676873 3;JKN Patrick K.;
5.3.9.201904290125 4 82915 1#0##0#0#0.0#2019-10-26
11:34:04#0#00:00:00#00:00:00#00:00:00 1 c69e2ae652a06c897645436c7dbc8d12
7171104 C 3 CP 2 25/10/2019 25/10/2019 01/03/1979 0 2
1 Z09.8;H44.5;H25.1;H52.2 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ERNY NAPU 039040 40 14848 DR PAULA M V
LUMUNON,SPM 0309R0191019V004167 0000906465914 3;JKN linda03;
5.3.9.201904290125 4 82916 1#0##0#0#0.0#2019-10-26
11:38:07#0#00:00:00#00:00:00#00:00:00 1 26d77631629e87bd0289af43c70b0878
7171104 C 3 CP 2 25/10/2019 25/10/2019 13/12/1962 0 2
1 Z09.8;H10.9;H52.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DELLY LEPAR 002181 56 20770 DR SAUL
RAPAR,SPM 0309R0191019V004166 0000138353455 3;JKN linda03;
5.3.9.201904290125 4 82917 1#0##0#0#0.0#2019-10-26
11:39:02#0#00:00:00#00:00:00#00:00:00 1 03072f71affb4abbea1f183651eead94
7171104 C 3 CP 2 25/10/2019 25/10/2019 15/11/1959 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 IKBAL SOLEMAN 052072 59 21894 DR SAUL
RAPAR,SPM 0309R0191019V004165 0000140162444 3;JKN linda03;
5.3.9.201904290125 4 82919 1#0##0#0#0.0#2019-10-26
11:39:56#0#00:00:00#00:00:00#00:00:00 1 ea324db6741729a2f8ebb8e9c85da778
7171104 C 3 CP 2 25/10/2019 25/10/2019 23/08/1948 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINA LANTU 052834 71 25995 DR
SAUL RAPAR,SPM 0309R0191019V004164 0001287647548 3;JKN linda03;
5.3.9.201904290125 4 82921 1#0##0#0#0.0#2019-10-26
11:41:28#0#00:00:00#00:00:00#00:00:00 1 710bc7974fc0175ac14ac64dccbe6432
7171104 C 3 CP 2 25/10/2019 25/10/2019 04/04/1951 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SJULTJE ANTE 052541 68 25041 DR
PAULA M V LUMUNON,SPM 0309R0191019V004163 0000138257289 3;JKN linda03;
5.3.9.201904290125 4 82922 1#0##0#0#0.0#2019-10-26
11:42:52#0#00:00:00#00:00:00#00:00:00 1 56c1dcf6a60962285bda1797a46e6ab6
7171104 C 3 CP 2 25/10/2019 25/10/2019 18/05/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TINEKE HEYTI LALUAN 052769 62 22805 DR
SAUL RAPAR,SPM 0309R0191019V004162 0000211427324 3;JKN linda03;
5.3.9.201904290125 4 82923 1#0##0#0#0.0#2019-10-26
11:43:27#0#00:00:00#00:00:00#00:00:00 1 d6d27a310e68d4ee9e9f18078336f933
7171104 C 3 CP 2 25/10/2019 25/10/2019 17/05/1960 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALTJE MEIKE TUUK 051826 59 21710 DR PAULA M V
LUMUNON,SPM 0309R0191019V004161 0001569816336 3;JKN linda03;
5.3.9.201904290125 4 82924 1#0##0#0#0.0#2019-10-26
11:44:49#0#00:00:00#00:00:00#00:00:00 1 83b4267223491b2a13adc0b8bdbea2a1
7171104 C 3 CP 2 25/10/2019 25/10/2019 08/12/1959 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTINA KUDAMPA 052765 59 21871 DR
PAULA M V LUMUNON,SPM 0309R0191019V004160 0002046522666 3;JKN linda03;
5.3.9.201904290125 4 82925 1#0##0#0#0.0#2019-10-26
11:45:29#0#00:00:00#00:00:00#00:00:00 1 12cd01449f273b8aa3a25f26d46ad88f
7171104 C 3 CP 2 25/10/2019 25/10/2019 17/09/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AKNES TINUNGKI 016318 70 25605 DR SAUL
RAPAR,SPM 0309R0191019V004159 0000137523464 3;JKN linda03;
5.3.9.201904290125 4 82926 1#0##0#0#0.0#2019-10-26
11:57:21#0#00:00:00#00:00:00#00:00:00 1 83f8ed336803397890345d2dda38a63a
7171104 C 3 CP 2 25/10/2019 25/10/2019 25/08/1951 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHAN RUDOLF TUMIWA 050557 68 24898 DR
PAULA M V LUMUNON,SPM 0309R0191019V004158 0000138873025 3;JKN linda03;
5.3.9.201904290125 4 82927 1#0##0#0#0.0#2019-10-26
11:58:18#0#00:00:00#00:00:00#00:00:00 1 4175e3df1e7c2fef94a3e1c399bb6658
7171104 C 3 CP 2 25/10/2019 25/10/2019 09/09/1958 0 2
1 H16.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SINAWITJE TAUMOLOBA 016584 61 22326 DR
PAULA M V LUMUNON,SPM 0309R0191019V004157 0000136933255 3;JKN linda03;
5.3.9.201904290125 4 82928 1#0##0#0#0.0#2019-10-26
11:59:24#0#00:00:00#00:00:00#00:00:00 1 5d5d5c4976f6853e76336e69b75a4db6
7171104 C 3 CP 2 25/10/2019 25/10/2019 06/02/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FRIDA SANTIAGO 023800 67 24733 DR SAUL
RAPAR,SPM 0309R0191019V004156 0001261659969 3;JKN linda03;
5.3.9.201904290125 4 82929 1#0##0#0#0.0#2019-10-26
12:00:38#0#00:00:00#00:00:00#00:00:00 1 7c535b9441c3e731c8aec85b04ab26b7
7171104 C 3 CP 2 25/10/2019 25/10/2019 27/10/1970 0 2
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLEIVE SUPIT 036312 48 17895 DR
PAULA M V LUMUNON,SPM 0309R0191019V004155 0001906092461 3;JKN linda03;
5.3.9.201904290125 4 82930 1#0##0#0#0.0#2019-10-26
12:01:23#0#00:00:00#00:00:00#00:00:00 1 54fbc976696ed52b2f2f46c82967b178
7171104 C 3 CP 2 25/10/2019 25/10/2019 07/02/1965 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FELTJE TUMEWU 052832 54 19983 DR
SAUL RAPAR,SPM 0309R0191019V004154 0001311159047 3;JKN linda03;
5.3.9.201904290125 4 82931 1#0##0#0#0.0#2019-10-26
12:02:14#0#00:00:00#00:00:00#00:00:00 1 6b1746a5dd1c8fdaaa8fc615b5bb890f
7171104 C 3 CP 2 25/10/2019 25/10/2019 20/05/2010 0 1
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ARDIYANTA ANAGA 052833 9 3445 DR SAUL
RAPAR,SPM 0309R0191019V004153 0001567252056 3;JKN linda03;
5.3.9.201904290125 4 82932 1#0##0#0#0.0#2019-10-26
12:03:44#0#00:00:00#00:00:00#00:00:00 1 83e628c87e8c44134b1a57d66c69fc09
7171104 C 3 CP 2 25/10/2019 25/10/2019 10/11/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LENTJI RUMENDEK 051825 66 24455 DR SAUL
RAPAR,SPM 0309R0191019V004152 0001604466235 3;JKN linda03;
5.3.9.201904290125 4 82934 1#0##0#0#0.0#2019-10-26
12:04:26#0#00:00:00#00:00:00#00:00:00 1 1ca0b9acd5312ac5df34b027d91bd009
7171104 C 3 CP 2 25/10/2019 25/10/2019 01/08/1980 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RAMLI MUSTAPA 051827 39 14329 DR PAULA M V
LUMUNON,SPM 0309R0191019V004151 0001066868673 3;JKN linda03;
5.3.9.201904290125 4 82936 1#0##0#0#0.0#2019-10-26
12:05:58#0#00:00:00#00:00:00#00:00:00 1 fa0a39a0c3c396fa8ae071f195619c89
7171104 C 3 CP 2 25/10/2019 25/10/2019 10/06/1949 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUTH JUL MANANGKOT 052779 70 25704
DR SAUL RAPAR,SPM 0309R0191019V004149 0000138234936 3;JKN linda03;
5.3.9.201904290125 4 82937 1#0##0#0#0.0#2019-10-26
12:06:39#0#00:00:00#00:00:00#00:00:00 1 ba12ba7a37854be20c9d11686ec944f5
7171104 C 3 CP 2 25/10/2019 25/10/2019 28/10/1960 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALFRETS M KUMENAP 051706 58 21546 DR SAUL
RAPAR,SPM 0309R0191019V004150 0001325274232 3;JKN linda03;
5.3.9.201904290125 4 82938 1#0##0#0#0.0#2019-10-26
12:11:22#0#00:00:00#00:00:00#00:00:00 1 9bf657fbe9f6d57a2043e5747615ca63
7171104 C 3 CP 2 25/10/2019 25/10/2019 03/03/1937 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WEMPIE WAGEY 020732 82 30186 DR PAULA M V
LUMUNON,SPM 0309R0191019V004213 0001479978999 3;JKN Vian02;
5.3.9.201904290125 4 82940 1#0##0#0#0.0#2019-10-28
07:42:38#0#00:00:00#00:00:00#00:00:00 1 15a6a8ae5c2938da13626003c8975abe
7171104 C 3 CP 2 25/10/2019 25/10/2019 09/05/1964 0 1
1 Z96.1;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FEIDY R. MAMAHIT 040845 55 20257 DR
SAUL RAPAR,SPM 0309R0191019V004212 0001261908944 3;JKN Vian02;
5.3.9.201904290125 4 82941 1#0##0#0#0.0#2019-10-28
07:48:00#0#00:00:00#00:00:00#00:00:00 1 9e2feea92db2d2b6cad1dba238057c7a
7171104 C 3 CP 2 25/10/2019 25/10/2019 04/10/1947 0 2
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROOSINA KAMBEY 051841 72 26319 DR
SAUL RAPAR,SPM 0309R0191019V004215 0000139076796 3;JKN Vian02;
5.3.9.201904290125 4 82942 1#0##0#0#0.0#2019-10-28
07:49:02#0#00:00:00#00:00:00#00:00:00 1 57fd2c64d326c2d01934b6fc093bf385
7171104 C 3 CP 2 25/10/2019 25/10/2019 11/11/1937 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANATJE KATIE RATON 052127 81 29933 DR
SAUL RAPAR,SPM 0309R0191019V004218 0001890413436 3;JKN Vian02;
5.3.9.201904290125 4 82943 1#0##0#0#0.0#2019-10-28
07:49:55#0#00:00:00#00:00:00#00:00:00 1 7d67e578f00fc3fc7da6d7a6a1dc7a33
7171104 C 3 CP 2 25/10/2019 25/10/2019 22/06/2011 0 1
1 Z09.8;H52.2;H52.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEREMY EZEKIEL WUNER 052794 8 3047
DR SAUL RAPAR,SPM 0309R0191019V004219 0001080599321 3;JKN Vian02;
5.3.9.201904290125 4 82944 1#0##0#0#0.0#2019-10-28
07:50:53#0#00:00:00#00:00:00#00:00:00 1 9a256a5b543552258f0762ec0e0c4c14
7171104 C 3 CP 2 25/10/2019 25/10/2019 01/01/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NELTJE MANGALA 052235 74 27325 DR SAUL
RAPAR,SPM 0309R0191019V004222 0001574557334 3;JKN Vian02;
5.3.9.201904290125 4 82945 1#0##0#0#0.0#2019-10-28
07:53:10#0#00:00:00#00:00:00#00:00:00 1 626dc0a5b624cb986d2960fadb9057da
7171104 C 3 CP 2 25/10/2019 25/10/2019 01/09/1939 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEITJE MEA 052783 80 29274 DR PAULA M V
LUMUNON,SPM 0309R0191019V004223 0000905679112 3;JKN Vian02;
5.3.9.201904290125 4 82946 1#0##0#0#0.0#2019-10-28
07:54:12#0#00:00:00#00:00:00#00:00:00 1 fb6cc132e22f65b449fcb65f3da28957
7171104 C 3 CP 2 25/10/2019 25/10/2019 06/07/1959 0 2
1 Z09.0;H40.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIANI LUKAS 029003 60 22026 DR
PAULA M V LUMUNON,SPM 0309R0191019V004226 0002219945591 3;JKN Vian02;
5.3.9.201904290125 4 82947 1#0##0#0#0.0#2019-10-28
07:54:54#0#00:00:00#00:00:00#00:00:00 1 5c2f8f6950050d6dd42fab6b8a3c51a0
7171104 C 3 CP 2 25/10/2019 25/10/2019 02/10/1951 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNA PAULIN PITOY 050726 68 24860 DR PAULA M V
LUMUNON,SPM 0309R0191019V004227 0000138736293 3;JKN Vian02;
5.3.9.201904290125 4 82948 1#0##0#0#0.0#2019-10-28
07:55:42#0#00:00:00#00:00:00#00:00:00 1 8456a1dd8652df41f822862d2f5db737
7171104 C 3 CP 2 25/10/2019 25/10/2019 26/11/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KONSTANSI KANALUNG 052816 63 23344 DR
PAULA M V LUMUNON,SPM 0309R0191019V004228 0002391480033 3;JKN Vian02;
5.3.9.201904290125 4 82949 1#0##0#0#0.0#2019-10-28
07:57:12#0#00:00:00#00:00:00#00:00:00 1 3202f9fd086dd505f43b2f5bf706c498
7171104 C 3 CP 2 25/10/2019 25/10/2019 05/10/1945 0 1
1 Z96.1;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DJAFAR TANE PANEO 046920 74 27048
DR.MELISA RATAG,SPM 0309R0191019V004229 0001840612509 3;JKN
Vian02; 5.3.9.201904290125 4 82950 1#0##0#0#0.0#2019-10-28
07:57:53#0#00:00:00#00:00:00#00:00:00 1 8bbc04bdb70687a6ca5b741c36326470
7171104 C 3 CP 2 25/10/2019 25/10/2019 20/09/1967 0 1
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENDRI SUSIYANTO 052848 52 19028 DR
SAUL RAPAR,SPM 0309R0191019V004231 0001226655415 3;JKN Vian02;
5.3.9.201904290125 4 82951 1#0##0#0#0.0#2019-10-28
07:59:56#0#00:00:00#00:00:00#00:00:00 1 3374112063f917b56c6a4dba1651d146
7171104 C 3 CP 2 25/10/2019 25/10/2019 26/05/1957 0 2
1 Z09.8;H35.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EVIE KARAUAN 049278 62 22797 DR
SALAM SURBAKTI,SPM 0309R0191019V004232 0000045832004 3;JKN Vian02;
5.3.9.201904290125 4 82952 1#0##0#0#0.0#2019-10-28
08:04:46#0#00:00:00#00:00:00#00:00:00 1 43cdc731ddee908ff64d6094f7d1ca52
7171104 C 3 CP 2 25/10/2019 25/10/2019 26/11/1973 0 1
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENRI HENCE PALIT 029326 45 16769 DR
SALAM SURBAKTI,SPM 0309R0191019V004233 0001823287195 3;JKN Vian02;
5.3.9.201904290125 4 82953 1#0##0#0#0.0#2019-10-28
08:05:27#0#00:00:00#00:00:00#00:00:00 1 5083ff56e1745fda222069b1151fcd92
7171104 C 3 CP 2 25/10/2019 25/10/2019 09/05/1968 0 1
1 H33.0;H44.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUDI 052849 51 18796 DR PAULA M V
LUMUNON,SPM 0309R0191019V004234 0000138678096 3;JKN Vian02;
5.3.9.201904290125 4 82954 1#0##0#0#0.0#2019-10-28
08:07:19#0#00:00:00#00:00:00#00:00:00 1 23196540ef83d229f2df52172ba5b158
7171104 C 3 CP 2 25/10/2019 25/10/2019 18/10/1971 0 2
1 H10.9;Z96.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ERIKA NABABAN 003724 48 17539 DR
SAUL RAPAR,SPM 0309R0191019V004235 0001789949687 3;JKN Vian02;
5.3.9.201904290125 4 82955 1#0##0#0#0.0#2019-10-28
08:08:20#0#00:00:00#00:00:00#00:00:00 1 16f6249b79cec217e7509785b651e2b7
7171104 C 3 CP 2 25/10/2019 25/10/2019 01/08/1974 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALSERKI AWULLE 027004 45 16521 DR
PAULA M V LUMUNON,SPM 0309R0191019V004236 0000905443626 3;JKN Vian02;
5.3.9.201904290125 4 82956 1#0##0#0#0.0#2019-10-28
08:09:43#0#00:00:00#00:00:00#00:00:00 1 502cd023081f6499b930d1b5347b17c1
7171104 C 3 CP 2 25/10/2019 25/10/2019 28/01/1978 0 2
1 H52.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 QUIRY JENITA RAMBING 052850 41 15245
DR PAULA M V LUMUNON,SPM 0309R0191019V004237 0000164606624 3;JKN
Vian02; 5.3.9.201904290125 4 82957 1#0##0#0#0.0#2019-10-28
08:10:33#0#00:00:00#00:00:00#00:00:00 1 eef5c10cb6a6ebe584d32cad930b5427
7171104 C 3 CP 2 25/10/2019 25/10/2019 02/04/1969 0 2
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROSALI ENGKENG 045833 50 18468 DR
PAULA M V LUMUNON,SPM 0309R0191019V004238 0000909377469 3;JKN Vian02;
5.3.9.201904290125 4 82958 1#0##0#0#0.0#2019-10-28
08:16:26#0#00:00:00#00:00:00#00:00:00 1 6a42b1941a1bbfc54dc1182afde06c41
7171104 C 3 CP 2 25/10/2019 25/10/2019 01/01/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNA MARIE PALIT 051908 64 23673 DR SAUL
RAPAR,SPM 0309R0191019V004239 0000907851982 3;JKN Vian02;
5.3.9.201904290125 4 82959 1#0##0#0#0.0#2019-10-28
08:17:08#0#00:00:00#00:00:00#00:00:00 1 fb3fd847c9e6ee79d3a9cf8194157b04
7171104 C 3 CP 2 25/10/2019 25/10/2019 17/07/1952 0 1
1 Z09.8;H52.2;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHANNES WUISAN 031495 67 24571 DR
SAUL RAPAR,SPM 0309R0191019V004240 0001567826965 3;JKN Vian02;
5.3.9.201904290125 4 82960 1#0##0#0#0.0#2019-10-28
08:18:41#0#00:00:00#00:00:00#00:00:00 1 3032d7603e300ff35cb36a3d28fb55cd
7171104 C 3 CP 2 25/10/2019 25/10/2019 15/12/1952 0 1
1 Z96.1;H47.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ENGELBERT POLUAN 021525 66 24420 DR
PAULA M V LUMUNON,SPM 0309R0191019V004241 0000138278553 3;JKN Vian02;
5.3.9.201904290125 4 82961 1#0##0#0#0.0#2019-10-28
08:21:00#0#00:00:00#00:00:00#00:00:00 1 d39e16ffe80f7617c8e4cfcb761c095e
7171104 C 3 CP 2 25/10/2019 25/10/2019 01/03/1975 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LAURA ERVINA MARAMIS 052851 44 16309
DR PAULA M V LUMUNON,SPM 0309R0191019V004242 0001066994537 3;JKN
Vian02; 5.3.9.201904290125 4 82962 1#0##0#0#0.0#2019-10-28
08:21:48#0#00:00:00#00:00:00#00:00:00 1 89aa621259d70ca8e672e9fe3a924765
7171104 C 3 CP 2 25/10/2019 25/10/2019 14/06/1958 0 2
1 Z09.8;H04.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SJANNE TAMBUWUN MENTANG 037184 61 22413
DR SAUL RAPAR,SPM 0309R0191019V004243 0000137287427 3;JKN Vian02;
5.3.9.201904290125 4 82963 1#0##0#0#0.0#2019-10-28
08:23:13#0#00:00:00#00:00:00#00:00:00 1 df8fd99be09808432ce83ef6488b4c7d
7171104 C 3 CP 2 25/10/2019 25/10/2019 19/09/1960 0 2
1 Z09.0;Z96.1;H40.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FEMMY LEFHIA RAMBING 043379 59 21585
DR PAULA M V LUMUNON,SPM 0309R0191019V004244 0001566995343 3;JKN
Vian02; 5.3.9.201904290125 4 82964 1#0##0#0#0.0#2019-10-28
08:28:15#0#00:00:00#00:00:00#00:00:00 1 d9f45a701c6ef1e6daee9bdcc5d6084a
7171104 C 3 CP 2 25/10/2019 25/10/2019 13/03/1980 0 2
1 Z09.8;H52.1;H52.2;H52.4 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARITJE MAGDALENA PANTOUW 032160 39
14470 DR SAUL RAPAR,SPM 0309R0191019V004245 0000137753482 3;JKN
Vian02; 5.3.9.201904290125 4 82965 1#0##0#0#0.0#2019-10-28
08:31:29#0#00:00:00#00:00:00#00:00:00 1 98996c0625a9c0eafe85227af9e6fe1f
7171104 C 3 CP 2 25/10/2019 25/10/2019 18/10/2004 0 2
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OKNESA MOKOAGOW 036995 15 5485 DR
PAULA M V LUMUNON,SPM 0309R0191019V004246 0002318507065 3;JKN Vian02;
5.3.9.201904290125 4 82966 1#0##0#0#0.0#2019-10-28
08:36:51#0#00:00:00#00:00:00#00:00:00 1 b4e8371168bdcee3cb86d476580779c1
7171104 C 3 CP 1 24/10/2019 25/10/2019 29/03/1955 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 MARGOTJE MAWUNTU 052764 64
23585 DR PAULA M V LUMUNON,SPM 0309R0191019V003938 0001566253405
3;JKN eka06; 5.3.9.201904290125 4 83079 1#0##0#0#0.0#2019-10-29
13:17:50#0#00:00:00#00:00:00#00:00:00 1 682fde9c01c7cb8e397c74ffeb3ffba7
7171104 C 2 CP 1 24/10/2019 25/10/2019 27/03/1963 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5134200
0 0 - 0 - 0 - 0 - 0 5134200
9807400 0 2 0 0 0 HASTON PETRUS RAMPEN 028934
56 20665 DR PAULA M V LUMUNON,SPM 0309R0191019V004143
0000138972969 3;JKN eka06; 5.3.9.201904290125 4 83080
1#0##0#0#0.0#2019-10-29 13:18:56#0#00:00:00#00:00:00#00:00:00 1
99c7da6420887b410465cde7d60f116d
7171104 C 1 CP 1 24/10/2019 25/10/2019 11/04/1966 0 1
1 H40.9 12.64 - - None None None None H-1-30-I None None
None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN) 9114300
0 0 - 0 - 0 - 0 - 0 9114300
1073900 0 2 0 0 0 HOSEA MANASE MANUHO 052663
53 19554 DR PAULA M V LUMUNON,SPM 0309R0191019V004035
0000037632846 3;JKN eka06; 5.3.9.201904290125 4 83081
1#0##0#0#0.0#2019-10-29 13:20:06#0#00:00:00#00:00:00#00:00:00 1
8f457ea4db786cdacde97f232738ff18
7171104 C 1 CP 1 24/10/2019 25/10/2019 16/05/1957 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5989900
0 0 - 0 - 0 - 0 - 0 5989900
9807400 0 2 0 0 0 ADOLFINA LENGKONG 052186 62
22806 DR YULIANA HARTONO,SPM 0309R0191019V004088 0000157940144 3;JKN
eka06; 5.3.9.201904290125 4 83082 1#0##0#0#0.0#2019-10-29
13:21:22#0#00:00:00#00:00:00#00:00:00 1 869ea716064ee7e9db8ed37cd9913e7f
7171104 C 3 CP 1 24/10/2019 25/10/2019 01/09/1936 0 1
1 H26.9 13.59 - - None None None None H-1-30-I None None
None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN) 6510200
0 0 - 0 - 0 - 0 - 0 6510200
3825400 0 2 0 0 0 JIMA ADAM 052702 83 30368
DR YULIANA HARTONO,SPM 0309R0191019V004003 0000910991046 3;JKN eka06;
5.3.9.201904290125 4 83083 1#0##0#0#0.0#2019-10-29
13:23:11#0#00:00:00#00:00:00#00:00:00 1 4dc76ae3de77e3615a53109ba382a8b8
7171104 C 3 CP 2 25/10/2019 25/10/2019 28/11/1958 0 2
1 H40.1 12.79 - - None None None None H-2-31-0 None None
None None None None PROSEDUR BESAR PADA SEGMEN ANTERIOR MATA 1990100
0 0 - 0 - 0 - 0 - 0 1990100 370400
0 1 0 0 0 NONI BERDAME 041111 60 22246
DR.FELLY A. TOAD,S.PM 0309R0191019V004230 0001479204584 3;JKN
Boni04; 5.3.9.201904290125 4 84451 1#0##0#0#0.0#2019-11-06
12:54:20#0#00:00:00#00:00:00#00:00:00 1 9b685b17b4ac180f5e542d4a216d6b64
7171104 C 3 CP 2 25/10/2019 25/10/2019 16/10/1933 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ARI KOMALING
052823 86 31420 DR RALF PANGALILA,SPM 0309R0191019V004211
0001852794955 3;JKN Boni04; 5.3.9.201904290125 4 84453
1#0##0#0#0.0#2019-11-06 12:56:20#0#00:00:00#00:00:00#00:00:00 1
7a185da9573377e1773fdde1dadd31a8
7171104 C 3 CP 2 25/10/2019 25/10/2019 28/09/1969 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MUKHLIS ESTEPANUS
052499 50 18289 DR RALF PANGALILA,SPM 0309R0191019V004221
0000907755311 3;JKN Boni04; 5.3.9.201904290125 4 84457
1#0##0#0#0.0#2019-11-06 13:02:46#0#00:00:00#00:00:00#00:00:00 1
5b2bf1494574b0cde36ef9bc749ba569
7171104 C 3 CP 2 25/10/2019 25/10/2019 12/06/1953 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ASNI HASAN 052802
66 24241 DR RALF PANGALILA,SPM 0309R0191019V004206 0002232665065
3;JKN Boni04; 5.3.9.201904290125 4 84461 1#0##0#0#0.0#2019-11-06
13:03:33#0#00:00:00#00:00:00#00:00:00 1 b0681ba17d8ca85ef33be2fe45183ed9
7171104 C 3 CP 2 25/10/2019 25/10/2019 10/08/1947 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 KAPOH R. MARIE
052808 72 26374 DR. DENNY WALANDOW, SPM 0309R0191019V004193
0000137162024 3;JKN Boni04; 5.3.9.201904290125 4 84464
1#0##0#0#0.0#2019-11-06 13:04:49#0#00:00:00#00:00:00#00:00:00 1
ffe1028d667b89f7bdec761ee2d542ca
7171104 C 3 CP 2 25/10/2019 25/10/2019 12/01/1954 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHN WENNY KAPOH
052807 65 24027 DR. DENNY WALANDOW, SPM 0309R0191019V004197
0001574616756 3;JKN Boni04; 5.3.9.201904290125 4 84466
1#0##0#0#0.0#2019-11-06 13:05:57#0#00:00:00#00:00:00#00:00:00 1
da3f430fc93bed64569e31a11d9f1a37
7171104 C 3 CP 2 25/10/2019 25/10/2019 12/02/1955 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 BURTJE MURSIH
052544 64 23631 DR. DENNY WALANDOW, SPM 0309R0191019V004177
0001604379868 3;JKN Boni04; 5.3.9.201904290125 4 84468
1#0##0#0#0.0#2019-11-06 13:06:36#0#00:00:00#00:00:00#00:00:00 1
1e5bef86881d783435fe4bd8d9ad63a0
7171104 C 3 CP 2 25/10/2019 25/10/2019 08/06/1949 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MAX MAKALEW 051676
70 25706 DR. DENNY WALANDOW, SPM 0309R0191019V004225 0001287756516
3;JKN Boni04; 5.3.9.201904290125 4 84470 1#0##0#0#0.0#2019-11-06
13:09:14#0#00:00:00#00:00:00#00:00:00 1 2a70f55fe2007f4dda7fbfa7acdaa11e
7171104 C 3 CP 2 25/10/2019 25/10/2019 08/04/1950 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YOSEPHIN YAURI
052542 69 25402 DR. DENNY WALANDOW, SPM 0309R0191019V004224
0002068594874 3;JKN Boni04; 5.3.9.201904290125 4 84471
1#0##0#0#0.0#2019-11-06 13:09:55#0#00:00:00#00:00:00#00:00:00 1
9dfcbf519db0bc96e475482bccd7e985
7171104 C 3 CP 2 25/10/2019 25/10/2019 02/11/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 GEERTJE JEETJE
KAAWOAN 052799 66 24463 DR. SAMUEL MALINGKAS,SPM
0309R0191019V004220 0000138356526 3;JKN Boni04; 5.3.9.201904290125
4 84472 1#0##0#0#0.0#2019-11-06 13:15:59#0#00:00:00#00:00:00#00:00:00
1 aa93a7f1f5ea696f5fee2d2ea47193ba
7171104 C 3 CP 2 25/10/2019 25/10/2019 05/04/1962 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MIEKE RINE A.TIWOW
051836 57 21022 DR. SAMUEL MALINGKAS,SPM 0309R0191019V004217
0000138565012 3;JKN Boni04; 5.3.9.201904290125 4 84477
1#0##0#0#0.0#2019-11-06 13:17:33#0#00:00:00#00:00:00#00:00:00 1
5e10a2b88ec988f73143d26a3372a3a9
7171104 C 3 CP 2 25/10/2019 25/10/2019 22/12/1959 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 CHRISTIAN RONALD
DIEN 052566 59 21857 DR. SAMUEL MALINGKAS,SPM 0309R0191019V004216
0000138533038 3;JKN Boni04; 5.3.9.201904290125 4 84478
1#0##0#0#0.0#2019-11-06 13:18:49#0#00:00:00#00:00:00#00:00:00 1
15a3fc750f9b9fb6793999b0f6171f39
7171104 C 3 CP 2 25/10/2019 25/10/2019 01/01/1957 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ANWAR USULU 052350
62 22942 DR. SAMUEL MALINGKAS,SPM 0309R0191019V004214
0002251158254 3;JKN Boni04; 5.3.9.201904290125 4 84479
1#0##0#0#0.0#2019-11-06 13:19:33#0#00:00:00#00:00:00#00:00:00 1
a089d005fa59a7311f09306a7792d47d
7171104 C 3 CP 2 25/10/2019 25/10/2019 19/07/1968 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 EMI KORDI APITA
052546 51 18725 DR. SAMUEL MALINGKAS,SPM 0309R0191019V004185
0000908309564 3;JKN Boni04; 5.3.9.201904290125 4 84480
1#0##0#0#0.0#2019-11-06 13:21:11#0#00:00:00#00:00:00#00:00:00 1
0d5d34602f8e6b2fd7257f8acb97f14f
7171104 C 3 CP 2 25/10/2019 25/10/2019 03/08/1955 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 CORRY JACOBUS
051690 64 23459 DR. SAMUEL MALINGKAS,SPM 0309R0191019V004196
0002279105684 3;JKN Boni04; 5.3.9.201904290125 4 84481
1#0##0#0#0.0#2019-11-06 13:22:10#0#00:00:00#00:00:00#00:00:00 1
97941950ecf4cd1b92feab84512b2e04
7171104 C 3 CP 2 25/10/2019 25/10/2019 01/05/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 TELMA PAPENDANG
052332 71 26109 DR. SAMUEL MALINGKAS,SPM 0309R0191019V004175
0000909572635 3;JKN Boni04; 5.3.9.201904290125 4 84482
1#0##0#0#0.0#2019-11-06 13:22:48#0#00:00:00#00:00:00#00:00:00 1
ad69eaf906c358375f50074a0be6b0cb
7171104 C 3 CP 2 25/10/2019 25/10/2019 20/12/1954 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 RAIMON ARNOLD
DJAJUS ROGAHANG 012350 64 23685 DR. SAMUEL MALINGKAS,SPM
0309R0191019V004201 0000137758937 3;JKN Boni04; 5.3.9.201904290125
4 84483 1#0##0#0#0.0#2019-11-06 13:23:45#0#00:00:00#00:00:00#00:00:00
1 db8a32dd4ff334614bc8c56d5a546e6e
7171104 C 3 CP 2 26/10/2019 26/10/2019 05/04/1962 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MIEKE RINE A.TIWOW 051836 57 21023
DR. SAMUEL MALINGKAS,SPM 0309R0191019V004306 0000138565012 3;JKN
Patrick K.; 5.3.9.201904290125 4 82968 1#0##0#0#0.0#2019-10-28
09:32:32#0#00:00:00#00:00:00#00:00:00 1 1f843215372649db657f723c9332e1b7
7171104 C 3 CP 2 26/10/2019 26/10/2019 22/09/1963 0 2
1 Z09.8;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NURHAYATI RIUNG 052427 56 20488 DR
SALAM SURBAKTI,SPM 0309R0191019V004302 0001570060383 3;JKN Patrick K.;
5.3.9.201904290125 4 82969 1#0##0#0#0.0#2019-10-28
09:35:13#0#00:00:00#00:00:00#00:00:00 1 3ede7341102263cc1dedff8a88859922
7171104 C 3 CP 2 26/10/2019 26/10/2019 25/04/1971 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANASTASIA PAULA RANSUN 052865 48 17716
DR SALAM SURBAKTI,SPM 0309R0191019V004305 0002388383111 3;JKN
Patrick K.; 5.3.9.201904290125 4 82970 1#0##0#0#0.0#2019-10-28
09:36:15#0#00:00:00#00:00:00#00:00:00 1 039db8c6c0080c1c3f38ef955a664131
7171104 C 3 CP 2 26/10/2019 26/10/2019 13/04/1967 0 1
1 Z09.8;H33.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALFRETS LALONTJA TATUWO 033019 52 19189
DR SALAM SURBAKTI,SPM 0309R0191019V004304 0001096046458 3;JKN
Patrick K.; 5.3.9.201904290125 4 82971 1#0##0#0#0.0#2019-10-28
09:39:49#0#00:00:00#00:00:00#00:00:00 1 7a8c549a935b8be48176af3e76eb6e20
7171104 C 3 CP 2 26/10/2019 26/10/2019 02/11/1964 0 1
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LUTHER PUDI 004294 54 20081 DR SALAM
SURBAKTI,SPM 0309R0191019V004303 0000138468284 3;JKN Patrick K.;
5.3.9.201904290125 4 82972 1#0##0#0#0.0#2019-10-28
09:42:15#0#00:00:00#00:00:00#00:00:00 1 4cc8595fc8905f13d632fb39611c1c84
7171104 C 3 CP 2 26/10/2019 26/10/2019 05/09/1961 0 1
1 Z09.8;H26.9;H40.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANNY ARNOLD WAROUW 046145 58 21235
DR SALAM SURBAKTI,SPM 0309R0191019V004301 0000137379374 3;JKN
Patrick K.; 5.3.9.201904290125 4 82973 1#0##0#0#0.0#2019-10-28
09:43:22#0#00:00:00#00:00:00#00:00:00 1 5e972d42f4211f611f19e24a3b8f925d
7171104 C 3 CP 2 26/10/2019 26/10/2019 13/02/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FERDINAND LEOPOLD PANGKEY 052570 64 23631
DR SALAM SURBAKTI,SPM 0309R0191019V004300 0000138518223 3;JKN
Patrick K.; 5.3.9.201904290125 4 82974 1#0##0#0#0.0#2019-10-28
09:47:20#0#00:00:00#00:00:00#00:00:00 1 d5210abc74d65ee08b34a01abb068a17
7171104 C 3 CP 2 26/10/2019 26/10/2019 08/11/1955 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NELTJE LUISA TUUK 052569 63 23363
DR.MELISA RATAG,SPM 0309R0191019V004299 0000138518212 3;JKN
Patrick K.; 5.3.9.201904290125 4 82975 1#0##0#0#0.0#2019-10-28
09:48:07#0#00:00:00#00:00:00#00:00:00 1 47e283010c16ee08aa9822fc9e063e61
7171104 C 3 CP 2 26/10/2019 26/10/2019 11/08/2013 0 1
1 Z09.8;H15.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUDHISTIRA SATRIA WIRAYUDA YEHOSUA 052236
6 2267 DR.MELISA RATAG,SPM 0309R0191019V004298 0001082528875
3;JKN Patrick K.; 5.3.9.201904290125 4 82976 1#0##0#0#0.0#2019-10-28
09:55:10#0#00:00:00#00:00:00#00:00:00 1 538d99c32d0ef3e43f4c97bf1b8a9eff
7171104 C 3 CP 2 26/10/2019 26/10/2019 01/09/2007 0 2
1 Z09.8;H53.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHYNTIA D. POLUAN 051131 12 4438 DR
SALAM SURBAKTI,SPM 0309R0191019V004297 0000907828143 3;JKN Patrick K.;
5.3.9.201904290125 4 82977 1#0##0#0#0.0#2019-10-28
09:55:53#0#00:00:00#00:00:00#00:00:00 1 d3d81e46af5af80c460a03a456399a4c
7171104 C 3 CP 2 26/10/2019 26/10/2019 01/06/1968 0 1
1 Z09.8;H33.0;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIANUS PONTOH 045505 51 18774 DR
SALAM SURBAKTI,SPM 0309R0191019V004296 0000905034699 3;JKN Patrick K.;
5.3.9.201904290125 4 82978 1#0##0#0#0.0#2019-10-28
09:56:55#0#00:00:00#00:00:00#00:00:00 1 96b020a13f742069d4d6f7f1b564ada0
7171104 C 3 CP 2 26/10/2019 26/10/2019 19/05/1951 0 2
1 Z09.8;H02.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JENNY MAGDALENA MEISKE MIRAH 002667 68
24997 DR.MELISA RATAG,SPM 0309R0191019V004295 0001284411363 3;JKN
Patrick K.; 5.3.9.201904290125 4 82979 1#0##0#0#0.0#2019-10-28
09:58:07#0#00:00:00#00:00:00#00:00:00 1 7c1efb206da390bf3223a4907e7d6fd5
7171104 C 3 CP 2 26/10/2019 26/10/2019 22/01/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KARDINA TUNA 029997 64 23653 DR SALAM
SURBAKTI,SPM 0309R0191019V004294 0001421998503 3;JKN Patrick K.;
5.3.9.201904290125 4 82980 1#0##0#0#0.0#2019-10-28
09:59:31#0#00:00:00#00:00:00#00:00:00 1 ba218f010eff076dfa42aa314987d9e0
7171104 C 3 CP 2 26/10/2019 26/10/2019 23/12/2005 0 1
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RIDHO KAVKA BASALAMAH 044986 13 5055
DR.MELISA RATAG,SPM 0309R0191019V004293 0001736848236 3;JKN
Patrick K.; 5.3.9.201904290125 4 82981 1#0##0#0#0.0#2019-10-28
10:00:23#0#00:00:00#00:00:00#00:00:00 1 a40b031dd90d29da38442fd264499f25
7171104 C 3 CP 2 26/10/2019 26/10/2019 04/03/1958 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JERNIS MAABUAT 052182 61 22516 DR.MELISA
RATAG,SPM 0309R0191019V004292 0000159480742 3;JKN Patrick K.;
5.3.9.201904290125 4 82982 1#0##0#0#0.0#2019-10-28
10:01:09#0#00:00:00#00:00:00#00:00:00 1 d12361399e1ac8380d77e31dea33428d
7171104 C 3 CP 2 26/10/2019 26/10/2019 09/04/1986 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ARVINE SADRINA YUNITA GARING 052864 33 12253
DR SALAM SURBAKTI,SPM 0309R0191019V004291 0002301747647 3;JKN
Patrick K.; 5.3.9.201904290125 4 82983 1#0##0#0#0.0#2019-10-28
10:02:00#0#00:00:00#00:00:00#00:00:00 1 b19fe1b4ea1a5ccb8e0355eb64347aab
7171104 C 3 CP 2 26/10/2019 26/10/2019 10/08/1947 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KAPOH R. MARIE 052808 72 26375 DR.
DENNY WALANDOW, SPM 0309R0191019V004290 0000137162024 3;JKN Patrick K.;
5.3.9.201904290125 4 82984 1#0##0#0#0.0#2019-10-28
10:02:49#0#00:00:00#00:00:00#00:00:00 1 68780ed758244f27f0590af7628b0875
7171104 C 3 CP 2 26/10/2019 26/10/2019 06/07/1947 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SAMIRAN 052863 72 26410 DR.MELISA
RATAG,SPM 0309R0191019V004289 0000138068853 3;JKN Patrick K.;
5.3.9.201904290125 4 82985 1#0##0#0#0.0#2019-10-28
10:04:10#0#00:00:00#00:00:00#00:00:00 1 a88f85e79d3e6bd4f3e369c8a9f3be9d
7171104 C 3 CP 2 26/10/2019 26/10/2019 12/01/1954 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHN WENNY KAPOH 052807 65 24028 DR.
DENNY WALANDOW, SPM 0309R0191019V004288 0001574616756 3;JKN Patrick K.;
5.3.9.201904290125 4 82986 1#0##0#0#0.0#2019-10-28
10:05:14#0#00:00:00#00:00:00#00:00:00 1 e1aa9e83a71fbbec7deb2878bfbb9b21
7171104 C 3 CP 2 26/10/2019 26/10/2019 01/06/1941 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROSYE RONDONUWU 052739 78 28636 DR SALAM
SURBAKTI,SPM 0309R0191019V004287 0000908889456 3;JKN Patrick K.;
5.3.9.201904290125 4 82987 39#0##0#0#0.0#2019-10-28
10:05:54#0#00:00:00#00:00:00#00:00:00 1 a565479f841e44bd51d0440af6d14462
7171104 C 3 CP 2 26/10/2019 26/10/2019 31/03/1941 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ITHA MANDOME 052482 78 28698 DR.MELISA
RATAG,SPM 0309R0191019V004286 0002389341306 3;JKN Patrick K.;
5.3.9.201904290125 4 82988 1#0##0#0#0.0#2019-10-28
10:06:28#0#00:00:00#00:00:00#00:00:00 1 c9958443a5373dccf8165f294a1e64b0
7171104 C 3 CP 2 26/10/2019 26/10/2019 05/07/2003 0 2
1 Z09.8;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIA ELISABETH RONDONUWU 052626 16
5957 DR SALAM SURBAKTI,SPM 0309R0191019V004285 0000167562066 3;JKN
Patrick K.; 5.3.9.201904290125 4 82989 1#0##0#0#0.0#2019-10-28
10:12:24#0#00:00:00#00:00:00#00:00:00 2 d905fca2ce79d51af0e8ba448cd2bc4a
7171104 C 3 CP 2 26/10/2019 26/10/2019 01/03/1953 0 1
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARKUS SANGKONG 050888 66 24345 DR
SALAM SURBAKTI,SPM 0309R0191019V004284 0000906418135 3;JKN Patrick K.;
5.3.9.201904290125 4 82990 1#0##0#0#0.0#2019-10-28
10:14:31#0#00:00:00#00:00:00#00:00:00 1 4849b39c47d355e6ca3dbb2ae050e3a6
7171104 C 3 CP 2 26/10/2019 26/10/2019 01/01/1957 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANWAR USULU 052350 62 22943 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V004283 0002251158254 3;JKN Patrick K.;
5.3.9.201904290125 4 82991 1#0##0#0#0.0#2019-10-28
10:15:13#0#00:00:00#00:00:00#00:00:00 1 fb9056851dc55866d412d5da84f49f78
7171104 C 3 CP 2 26/10/2019 26/10/2019 06/09/1964 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SEPMING SUMENDA 030125 55 20138 DR.MELISA
RATAG,SPM 0309R0191019V004280 0001250247442 3;JKN Patrick K.;
5.3.9.201904290125 4 82994 1#0##0#0#0.0#2019-10-28
10:20:27#0#00:00:00#00:00:00#00:00:00 1 a8fcfaf237efab43d72672a7d83ab57e
7171104 C 3 CP 2 26/10/2019 26/10/2019 16/01/1978 0 1
1 Z09.8;H35.7 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RONI BAWEKES 051905 41 15258 DR
SALAM SURBAKTI,SPM 0309R0191019V004279 0001184482293 3;JKN Patrick K.;
5.3.9.201904290125 4 82993 1#0##0#0#0.0#2019-10-28
10:21:45#0#00:00:00#00:00:00#00:00:00 1 5485214bc61b0c8a3be6a194e600244c
7171104 C 3 CP 2 26/10/2019 26/10/2019 04/06/1976 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FANTI JUNITHA HUMOKOR 052860 43 15849 DR
SALAM SURBAKTI,SPM 0309R0191019V004278 0001564923475 3;JKN Patrick K.;
5.3.9.201904290125 4 82995 1#0##0#0#0.0#2019-10-28
10:22:51#0#00:00:00#00:00:00#00:00:00 1 8800fe5aa0e41a819aed1bcb56bd4adf
7171104 C 3 CP 2 26/10/2019 26/10/2019 02/04/1967 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HARTO ALEXANDER AMBAT 052859 52 19200
DR.MELISA RATAG,SPM 0309R0191019V004277 0001570499109 3;JKN
Patrick K.; 5.3.9.201904290125 4 82996 1#0##0#0#0.0#2019-10-28
10:51:48#0#00:00:00#00:00:00#00:00:00 1 a80539d817f92e86cf5109ed7db96986
7171104 C 3 CP 2 26/10/2019 26/10/2019 10/09/1992 0 2
1 H16.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YASINTA FRANSINA WATRATAN 052742 27 9907
DR.MELISA RATAG,SPM 0309R0191019V004276 0002215950164 3;JKN
Patrick K.; 5.3.9.201904290125 4 82997 1#0##0#0#0.0#2019-10-28
10:58:31#0#00:00:00#00:00:00#00:00:00 1 630418bc69fd8b9cf22ac3a1cdff7ca6
7171104 C 3 CP 2 26/10/2019 26/10/2019 18/02/1952 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROHANI ASIGARI 051534 67 24722 DR
SALAM SURBAKTI,SPM 0309R0191019V004275 0000004437178 3;JKN Patrick K.;
5.3.9.201904290125 4 82998 1#0##0#0#0.0#2019-10-28
10:59:18#0#00:00:00#00:00:00#00:00:00 1 699ba75eb0b64a936d6d7e43c97886d8
7171104 C 3 CP 2 26/10/2019 26/10/2019 08/04/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOSEPHIN YAURI 052542 69 25403 DR. DENNY
WALANDOW, SPM 0309R0191019V004307 0002068594874 3;JKN Vian02;
5.3.9.201904290125 4 83002 1#0##0#0#0.0#2019-10-28
11:28:46#0#00:00:00#00:00:00#00:00:00 1 02936c9085c104685e044526c9c65d0d
7171104 C 3 CP 2 26/10/2019 26/10/2019 26/04/1965 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHRISTIANAMARIA MPANDI 022736 54 19906
DR SALAM SURBAKTI,SPM 0309R0191019V004308 0001164125913 3;JKN
Vian02; 5.3.9.201904290125 4 83003 1#0##0#0#0.0#2019-10-28
11:29:40#0#00:00:00#00:00:00#00:00:00 1 cfdf06d3db6189e5085437029262dd11
7171104 C 3 CP 2 26/10/2019 26/10/2019 28/09/1969 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MUKHLIS ESTEPANUS 052499 50 18290 DR RALF
PANGALILA,SPM 0309R0191019V004309 0000907755311 3;JKN Vian02;
5.3.9.201904290125 4 83004 1#0##0#0#0.0#2019-10-28
11:32:03#0#00:00:00#00:00:00#00:00:00 1 107cf136af679b09ea9cefe8cf700c76
7171104 C 3 CP 2 26/10/2019 26/10/2019 24/05/1965 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 IWANOV MANDAK PAULUS SUMAKUD 022744 54
19878 DR.MELISA RATAG,SPM 0309R0191019V004310 0001130610137 3;JKN
Vian02; 5.3.9.201904290125 4 83005 1#0##0#0#0.0#2019-10-28
11:33:18#0#00:00:00#00:00:00#00:00:00 1 14cc56cbd2c366e32467ddf2e98de6b0
7171104 C 3 CP 2 26/10/2019 26/10/2019 26/04/1996 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FRANDY JUAN REVEL RUMENGAN 052866 23 8583
DR.MELISA RATAG,SPM 0309R0191019V004311 0000138487059 3;JKN
Vian02; 5.3.9.201904290125 4 83006 1#0##0#0#0.0#2019-10-28
11:34:10#0#00:00:00#00:00:00#00:00:00 1 bdba8bb95480772ca0ad798807a2d5b6
7171104 C 3 CP 2 26/10/2019 26/10/2019 08/06/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAX MAKALEW 051676 70 25707 DR. DENNY
WALANDOW, SPM 0309R0191019V004312 0001287756516 3;JKN Vian02;
5.3.9.201904290125 4 83007 1#0##0#0#0.0#2019-10-28
12:02:02#0#00:00:00#00:00:00#00:00:00 1 f23d977f047f8147591b0782565de438
7171104 C 3 CP 2 26/10/2019 26/10/2019 10/10/1952 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JONATHAN SASAKO 052867 67 24487 DR.MELISA
RATAG,SPM 0309R0191019V004313 0002304236283 3;JKN Vian02;
5.3.9.201904290125 4 83008 1#0##0#0#0.0#2019-10-28
12:02:56#0#00:00:00#00:00:00#00:00:00 1 300cc8faf548fe66f022fb98ae6c6282
7171104 C 3 CP 2 26/10/2019 26/10/2019 01/08/1970 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NUR ROOS 046723 49 17983 DR SALAM
SURBAKTI,SPM 0309R0191019V004314 0001066826845 3;JKN Vian02;
5.3.9.201904290125 4 83009 1#0##0#0#0.0#2019-10-28
12:03:50#0#00:00:00#00:00:00#00:00:00 1 ec47c54bd7126320c0d67a61f4ab3af7
7171104 C 3 CP 2 26/10/2019 26/10/2019 08/09/1949 0 2
1 Z09.8;H26.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STIENTJE ROGAHANG 004774 70 25615 DR
SALAM SURBAKTI,SPM 0309R0191019V004316 0000138871596 3;JKN Vian02;
5.3.9.201904290125 4 83010 1#0##0#0#0.0#2019-10-28
12:09:15#0#00:00:00#00:00:00#00:00:00 1 5e517e2216fa4f3cbf0655a022805cef
7171104 C 3 CP 2 26/10/2019 26/10/2019 05/11/1965 0 1
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEFRY BUKASILI MAMOEKO 040386 53 19713
DR SALAM SURBAKTI,SPM 0309R0191019V004317 0000137870122 3;JKN
Vian02; 5.3.9.201904290125 4 83011 1#0##0#0#0.0#2019-10-28
12:10:29#0#00:00:00#00:00:00#00:00:00 1 b8501268fba7916adf429e935a56c12e
7171104 C 3 CP 2 26/10/2019 26/10/2019 15/06/1955 0 1
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SALIHU MAHADING 038493 64 23509 DR
SALAM SURBAKTI,SPM 0309R0191019V004319 0001287341515 3;JKN Vian02;
5.3.9.201904290125 4 83012 1#0##0#0#0.0#2019-10-28
12:11:56#0#00:00:00#00:00:00#00:00:00 1 e94f00a20106b756fb762faaa2a9961e
7171104 C 3 CP 2 26/10/2019 26/10/2019 12/05/1959 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 THIO HELENA KAUNANG 052868 60 22082
DR SALAM SURBAKTI,SPM 0309R0191019V004320 0000137092094 3;JKN
Vian02; 5.3.9.201904290125 4 83013 1#0##0#0#0.0#2019-10-28
12:12:53#0#00:00:00#00:00:00#00:00:00 1 d9c103eb617b22d44e29c3687ad91fac
7171104 C 3 CP 2 26/10/2019 26/10/2019 26/06/1946 0 1
1 Z96.1;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUWIRMAN TANJUNG 022814 73 26785 DR
SALAM SURBAKTI,SPM 0309R0191019V004318 0001803708922 3;JKN Vian02;
5.3.9.201904290125 4 83014 1#0##0#0#0.0#2019-10-28
12:13:46#0#00:00:00#00:00:00#00:00:00 1 16ed0e31c9d7592bca99311f8027a5b4
7171104 C 3 CP 2 26/10/2019 26/10/2019 11/11/1966 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NOVA SJARAN SAMBOUW 016792 52 19342
DR.MELISA RATAG,SPM 0309R0191019V004321 0000138487026 3;JKN
Vian02; 5.3.9.201904290125 4 83015 1#0##0#0#0.0#2019-10-28
12:14:55#0#00:00:00#00:00:00#00:00:00 1 e36d98ee88869f2ffdf3f73dfa0a4046
7171104 C 3 CP 2 26/10/2019 26/10/2019 05/03/1964 0 1
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HOTMATUA SITOMPUL 052679 55 20323 DR
SALAM SURBAKTI,SPM 0309R0191019V004322 0001327836227 3;JKN Vian02;
5.3.9.201904290125 4 83016 1#0##0#0#0.0#2019-10-28
12:15:35#0#00:00:00#00:00:00#00:00:00 1 312d1c55c2152748b8ec6e677adf3889
7171104 C 3 CP 2 26/10/2019 26/10/2019 17/06/1968 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HERYANA REMPE PALUMEAN 052869 51 18758 DR
SALAM SURBAKTI,SPM 0309R0191019V004323 0001484531357 3;JKN Vian02;
5.3.9.201904290125 4 83017 1#0##0#0#0.0#2019-10-28
12:16:46#0#00:00:00#00:00:00#00:00:00 1 9890bcdfb513d7f2877b50f85733c036
7171104 C 3 CP 2 26/10/2019 26/10/2019 24/12/1958 0 2
1 Z09.8;H40.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADELIN ANDILAN 046134 60 22221
DR.MELISA RATAG,SPM 0309R0191019V004325 0001250391879 3;JKN
Vian02; 5.3.9.201904290125 4 83018 1#0##0#0#0.0#2019-10-28
12:17:28#0#00:00:00#00:00:00#00:00:00 1 7d3915f04208c31793ce9e720924f36d
7171104 C 3 CP 2 26/10/2019 26/10/2019 23/06/1968 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUMIATY FRIDA TAMBUN 042958 51 18752
DR.MELISA RATAG,SPM 0309R0191019V004326 0000138805446 3;JKN
Vian02; 5.3.9.201904290125 4 83019 1#0##0#0#0.0#2019-10-28
12:18:22#0#00:00:00#00:00:00#00:00:00 1 3bb09b4aa420d738fdd6b9dfd18cde82
7171104 C 3 CP 2 26/10/2019 26/10/2019 24/08/1968 0 1
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARNOLD REIBY LUMEMPOW 042957 51 18690
DR.MELISA RATAG,SPM 0309R0191019V004327 0000137080451 3;JKN
Vian02; 5.3.9.201904290125 4 83020 1#0##0#0#0.0#2019-10-28
12:26:15#0#00:00:00#00:00:00#00:00:00 1 70fde8d8b10001a7397c1e5c1384248b
7171104 C 3 CP 2 26/10/2019 26/10/2019 03/04/1952 0 2
1 Z09.8;H01.0;H25.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MASTAMAH MANGUN 037484 67 24677
DR.MELISA RATAG,SPM 0309R0191019V004328 0000138182905 3;JKN
Vian02; 5.3.9.201904290125 4 83021 1#0##0#0#0.0#2019-10-28
12:29:33#0#00:00:00#00:00:00#00:00:00 1 a6d9ea39d05abd64d20efcf3d1aa9d63
7171104 C 3 CP 2 26/10/2019 26/10/2019 18/12/1930 0 1
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROBERT LUMEMPOWI 052870 88 32454 DR.MELISA
RATAG,SPM 0309R0191019V004329 0001295655197 3;JKN Vian02;
5.3.9.201904290125 4 83022 1#0##0#0#0.0#2019-10-28
12:30:27#0#00:00:00#00:00:00#00:00:00 1 baaf2f5abf547777ab496fe4d2055dc0
7171104 C 3 CP 2 26/10/2019 26/10/2019 20/05/1969 0 1
1 Z09.8;H33.0;H40.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 POLTJE NONG 035718 50 18421 DR SALAM
SURBAKTI,SPM 0309R0191019V004330 0000137916022 3;JKN Vian02;
5.3.9.201904290125 4 83023 1#0##0#0#0.0#2019-10-28
12:31:42#0#00:00:00#00:00:00#00:00:00 1 7bf29c417813af3dff874f683aed6448
7171104 C 3 CP 2 26/10/2019 26/10/2019 29/01/1976 0 2
1 Z09.8;H52.5;H04.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YANTI SILVIA LANY DAUHAN 028795 43
15976 DR.MELISA RATAG,SPM 0309R0191019V004331 0000200733243 3;JKN
Vian02; 5.3.9.201904290125 4 83024 1#0##0#0#0.0#2019-10-28
12:32:34#0#00:00:00#00:00:00#00:00:00 1 31baae494a3f51a0f86cc417eac37cb7
7171104 C 3 CP 2 26/10/2019 26/10/2019 30/07/1985 0 1
1 Z09.8;H35.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FERDINAND RONALD BILLY LELENG 001970 34
12506 DR SALAM SURBAKTI,SPM 0309R0191019V004332 0002036607276 3;JKN
Vian02; 5.3.9.201904290125 4 83025 1#0##0#0#0.0#2019-10-28
12:33:24#0#00:00:00#00:00:00#00:00:00 1 17cffaf8fcfb92281ee1cfa84335b549
7171104 C 3 CP 2 26/10/2019 26/10/2019 30/05/1949 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SALMA KORUA 018467 70 25716 DR SALAM
SURBAKTI,SPM 0309R0191019V004333 0001850199704 3;JKN Vian02;
5.3.9.201904290125 4 83026 1#0##0#0#0.0#2019-10-28
12:34:00#0#00:00:00#00:00:00#00:00:00 1 efe7746f1cfb2e8da8eeaf56dff82316
7171104 C 3 CP 2 26/10/2019 26/10/2019 09/11/1946 0 2
1 Z96.1;H59.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STINTJE LAOTONGAN 010681 72 26649 DR
SALAM SURBAKTI,SPM 0309R0191019V004334 0000138257447 3;JKN Vian02;
5.3.9.201904290125 4 83027 1#0##0#0#0.0#2019-10-28
12:37:54#0#00:00:00#00:00:00#00:00:00 1 3cd82b88f97acd4c9999ac5da492d1c8
7171104 C 3 CP 2 26/10/2019 26/10/2019 07/08/2005 0 2
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LEA MIRACLE MARUSONI KORUA 040732 14
5193 DR.MELISA RATAG,SPM 0309R0191019V004335 0000203581787 3;JKN
Vian02; 5.3.9.201904290125 4 83028 1#0##0#0#0.0#2019-10-28
12:38:46#0#00:00:00#00:00:00#00:00:00 1 3adc38c83493912a6de95e1c05c98f36
7171104 C 3 CP 2 26/10/2019 26/10/2019 13/03/1977 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DR. YOULA MERCY DEY RINDENGAN 035309 42
15567 DR.MELISA RATAG,SPM 0309R0191019V004336 0000203581552 3;JKN
Vian02; 5.3.9.201904290125 4 83029 1#0##0#0#0.0#2019-10-28
12:39:37#0#00:00:00#00:00:00#00:00:00 1 c29ac5c8d9edbff54c5bdb9706a60345
7171104 C 3 CP 2 26/10/2019 26/10/2019 15/11/1943 0 2
1 Z96.1;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANIETHA M.MASSIE 052939 75 27739
DR.MELISA RATAG,SPM 0309R0191019V004337 0000138282794 3;JKN
Vian02; 5.3.9.201904290125 4 83030 87#0##0#0#0.0#2019-10-28
12:40:31#0#00:00:00#00:00:00#00:00:00 1 ab02d216ba8a416bf82181ca62f6e838
7171104 C 3 CP 2 26/10/2019 26/10/2019 01/03/2000 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SIMON NELWAN 052506 19 7178
DR.MELISA RATAG,SPM 0309R0191019V004338 0000906491428 3;JKN
Vian02; 5.3.9.201904290125 4 83031 1#0##0#0#0.0#2019-10-28
12:41:16#0#00:00:00#00:00:00#00:00:00 1 9d3614932ebded1087c092756b942bdf
7171104 C 3 CP 2 26/10/2019 26/10/2019 23/11/1943 0 1
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOPPIE PHILIP KENTEY 024323 75 27731
DR.MELISA RATAG,SPM 0309R0191019V004339 0000137131503 3;JKN
Vian02; 5.3.9.201904290125 4 83032 1#0##0#0#0.0#2019-10-28
12:42:09#0#00:00:00#00:00:00#00:00:00 1 10aececa5d4dd927adb1b17fee77955e
7171104 C 3 CP 2 26/10/2019 26/10/2019 11/07/1950 0 2
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELLEN RUNTUWAROW 045471 69 25309
DR.MELISA RATAG,SPM 0309R0191019V004267 0002327325917 3;JKN
linda03; 5.3.9.201904290125 4 83146 1#0##0#0#0.0#2019-10-30
09:13:21#0#00:00:00#00:00:00#00:00:00 1 5b0cbfab5afc8c23b11adca1057a5dbc
7171104 C 3 CP 2 26/10/2019 26/10/2019 04/01/1984 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YENI ADI SUJIYANTO 032595 35 13079
DR SALAM SURBAKTI,SPM 0309R0191019V004274 0001079155078 3;JKN
linda03; 5.3.9.201904290125 4 83152 1#0##0#0#0.0#2019-10-30
10:10:52#0#00:00:00#00:00:00#00:00:00 1 8485802231d84d092d49af2dcbaf991d
7171104 C 3 CP 2 26/10/2019 26/10/2019 29/11/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TOLOLIU FRANS LIKE RAMBING 045322 66 24437
DR SALAM SURBAKTI,SPM 0309R0191019V004271 0001456977317 3;JKN
linda03; 5.3.9.201904290125 4 83173 1#0##0#0#0.0#2019-10-30
10:58:03#0#00:00:00#00:00:00#00:00:00 1 9e8e1adf4daf9fae6eb0aa143b35d6a5
7171104 C 3 CP 2 26/10/2019 26/10/2019 27/11/1967 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EMMA WILHELMINA MOZES 051843 51 18961
DR.MELISA RATAG,SPM 0309R0191019V004270 0000910659227 3;JKN
linda03; 5.3.9.201904290125 4 83175 1#0##0#0#0.0#2019-10-30
11:02:22#0#00:00:00#00:00:00#00:00:00 1 ac85e7a79761b08d7b7bdd643d3f97f8
7171104 C 3 CP 2 26/10/2019 26/10/2019 14/10/1959 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ARNOL MANGINSELA 051720 60 21927 DR.MELISA
RATAG,SPM 0309R0191019V004268 0002462623648 3;JKN linda03;
5.3.9.201904290125 4 83184 23#0##0#0#0.0#2019-10-30
11:10:01#0#00:00:00#00:00:00#00:00:00 1 9e97e3839e00aa059d2760b9393d472b
7171104 C 3 CP 2 26/10/2019 26/10/2019 11/11/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BOYKE MOKODOMPIS 051934 68 25186 DR.MELISA
RATAG,SPM 0309R0191019V004266 0002094763149 3;JKN linda03;
5.3.9.201904290125 4 83197 1#0##0#0#0.0#2019-10-30
11:22:35#0#00:00:00#00:00:00#00:00:00 1 a5f67edf0d02afc5c97071ac2aa9da94
7171104 C 3 CP 2 26/10/2019 26/10/2019 03/08/1955 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CORRY JACOBUS 051690 64 23460 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V004265 0002279105684 3;JKN linda03;
5.3.9.201904290125 4 83213 1#0##0#0#0.0#2019-10-30
11:38:47#0#00:00:00#00:00:00#00:00:00 1 30387d5c88db9cd37a9d1c924cee0061
7171104 C 3 CP 2 26/10/2019 26/10/2019 31/08/1951 0 2
1 Z09.8;H43.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HERMINA MAKAHINDA 052206 68 24893
DR.MELISA RATAG,SPM 0309R0191019V004264 0002237359781 3;JKN
linda03; 5.3.9.201904290125 4 83215 1#0##0#0#0.0#2019-10-30
11:39:54#0#00:00:00#00:00:00#00:00:00 1 da4dccc43998a8e59345e2d0633f5825
7171104 C 3 CP 2 26/10/2019 26/10/2019 10/04/1967 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALMARENTJE HARIMU 052198 52 19192
DR.MELISA RATAG,SPM 0309R0191019V004263 0001570499122 3;JKN
linda03; 5.3.9.201904290125 4 83216 1#0##0#0#0.0#2019-10-30
11:45:00#0#00:00:00#00:00:00#00:00:00 1 406226bccf938fd35729e09d4ea63672
7171104 C 3 CP 2 26/10/2019 26/10/2019 01/07/1948 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LINCE BOAS 052709 71 26049 DR.MELISA
RATAG,SPM 0309R0191019V004262 0002390814292 3;JKN linda03;
5.3.9.201904290125 4 83219 1#0##0#0#0.0#2019-10-30
11:49:47#0#00:00:00#00:00:00#00:00:00 1 799a07e6f76d191f5a433d9884f07293
7171104 C 3 CP 2 26/10/2019 26/10/2019 12/06/1953 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ASNI HASAN 052802 66 24242 DR RALF
PANGALILA,SPM 0309R0191019V004261 0002232665065 3;JKN linda03;
5.3.9.201904290125 4 83223 1#0##0#0#0.0#2019-10-30
11:51:21#0#00:00:00#00:00:00#00:00:00 1 35ee1a45aaaf1d58a90ff5265e62cd23
7171104 C 3 CP 2 26/10/2019 26/10/2019 23/07/1971 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SITI HALIMA 052560 48 17627 DR.MELISA
RATAG,SPM 0309R0191019V004260 0002389303001 3;JKN linda03;
5.3.9.201904290125 4 83224 1#0##0#0#0.0#2019-10-30
11:54:08#0#00:00:00#00:00:00#00:00:00 2 2484365a7ba6e58cbf058fab1cf0cf25
7171104 C 3 CP 2 26/10/2019 26/10/2019 17/06/1962 0 2
1 Z09.8;H04.1;H59.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TRINEKE BINGKU 034579 57 20950
DR.MELISA RATAG,SPM 0309R0191019V004259 0001327283831 3;JKN
linda03; 5.3.9.201904290125 4 83228 1#0##0#0#0.0#2019-10-30
11:55:03#0#00:00:00#00:00:00#00:00:00 1 54cc81d231fecced74e2198de9078622
7171104 C 3 CP 2 26/10/2019 26/10/2019 20/12/1954 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RAIMON ARNOLD DJAJUS ROGAHANG 012350 64
23686 DR. SAMUEL MALINGKAS,SPM 0309R0191019V004258 0000137758937
3;JKN linda03; 5.3.9.201904290125 4 83233 1#0##0#0#0.0#2019-10-30
12:01:04#0#00:00:00#00:00:00#00:00:00 1 8fb02800492c72ff361c042b68764a96
7171104 C 3 CP 2 26/10/2019 26/10/2019 23/08/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BERNARD LODEWYK TULUNG 015970 73 26727
DR.MELISA RATAG,SPM 0309R0191019V004257 0000138271476 3;JKN
linda03; 5.3.9.201904290125 4 83238 1#0##0#0#0.0#2019-10-30
12:11:11#0#00:00:00#00:00:00#00:00:00 1 fe2bf9367657f4d588351c269dfd8fe1
7171104 C 3 CP 2 26/10/2019 26/10/2019 26/02/1999 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BILLY MAMANGKEY 052858 20 7547 DR.MELISA
RATAG,SPM 0309R0191019V004256 0001727587258 3;JKN linda03;
5.3.9.201904290125 4 83239 1#0##0#0#0.0#2019-10-30
12:13:11#0#00:00:00#00:00:00#00:00:00 1 e79291e7598aecc4b143d0d6cafb3b1c
7171104 C 3 CP 2 26/10/2019 26/10/2019 01/05/1960 0 2
1 Z09.8;H33.0;H35.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULTJE LINOGHI 043438 59 21727 DR
SALAM SURBAKTI,SPM 0309R0191019V004255 0002085815968 3;JKN linda03;
5.3.9.201904290125 4 83240 1#0##0#0#0.0#2019-10-30
12:14:09#0#00:00:00#00:00:00#00:00:00 1 fbc524e0f5e0200bc53f492dd4730de7
7171104 C 3 CP 2 26/10/2019 26/10/2019 22/03/1961 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTHEN SENGKA 052020 58 21402 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V004254 0002258105286 3;JKN linda03;
5.3.9.201904290125 4 83241 1#0##0#0#0.0#2019-10-30
12:15:22#0#00:00:00#00:00:00#00:00:00 1 f9b516e7a3149e2d078e2e9f53851e23
7171104 C 3 CP 2 26/10/2019 26/10/2019 19/07/1968 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EMI KORDI APITA 052546 51 18726 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V004253 0000908309564 3;JKN linda03;
5.3.9.201904290125 4 83242 1#0##0#0#0.0#2019-10-30
12:16:35#0#00:00:00#00:00:00#00:00:00 1 80df5e51f35fcda91e30d6729314315d
7171104 C 3 CP 2 26/10/2019 26/10/2019 03/07/1936 0 2
1 Z96.1;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WIHELMINA WALANGITAN 036556 83 30430
DR SALAM SURBAKTI,SPM 0309R0191019V004252 0000138194177 3;JKN
linda03; 5.3.9.201904290125 4 83243 1#0##0#0#0.0#2019-10-30
12:17:25#0#00:00:00#00:00:00#00:00:00 1 130e4b3a22366ef4bf26629a162fa765
7171104 C 3 CP 2 26/10/2019 26/10/2019 01/05/1948 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TELMA PAPENDANG 052332 71 26110 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V004251 0000909572635 3;JKN linda03;
5.3.9.201904290125 4 83244 1#0##0#0#0.0#2019-10-30
12:18:43#0#00:00:00#00:00:00#00:00:00 1 607a4a7da3c33f4c914a70737b6d6274
7171104 C 3 CP 2 26/10/2019 26/10/2019 08/08/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NICOLAS MESAK RUMIMPUNU 051949 71 26011 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004250 0002884073951 3;JKN
linda03; 5.3.9.201904290125 4 83247 1#0##0#0#0.0#2019-10-30
12:23:05#0#00:00:00#00:00:00#00:00:00 1 dc3f050c71ad34dabe14d0f022e21c19
7171104 C 3 CP 2 26/10/2019 26/10/2019 11/12/1955 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHNY F WOWILING 032841 63 23330
DR.MELISA RATAG,SPM 0309R0191019V004249 0000138429595 3;JKN
linda03; 5.3.9.201904290125 4 83248 1#0##0#0#0.0#2019-10-30
12:24:08#0#00:00:00#00:00:00#00:00:00 1 e6477e819597f23625f1b16285807ee0
7171104 C 3 CP 2 26/10/2019 26/10/2019 12/02/1955 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BURTJE MURSIH 052544 64 23632 DR.
DENNY WALANDOW, SPM 0309R0191019V004248 0001604379868 3;JKN linda03;
5.3.9.201904290125 4 83249 1#0##0#0#0.0#2019-10-30
12:24:57#0#00:00:00#00:00:00#00:00:00 1 22fe7292442f4e34bfede159659cb3b8
7171104 C 3 CP 2 26/10/2019 26/10/2019 16/10/1933 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARI KOMALING 052823 86 31421 DR
RALF PANGALILA,SPM 0309R0191019V004247 0001852794955 3;JKN linda03;
5.3.9.201904290125 4 83250 1#0##0#0#0.0#2019-10-30
12:26:06#0#00:00:00#00:00:00#00:00:00 1 efa937825c5c89068d5472c3e8074eeb
7171104 C 2 CP 1 25/10/2019 26/10/2019 15/02/1949 0 1
1 H40.9 12.64 - - None None None None H-1-30-I None None
None None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN) 7812300
0 0 - 0 - 0 - 0 - 0 7812300
1073900 0 2 0 0 0 TATEHEWOBA LAHAMENDU 050724
70 25819 DR.FELLY A. TOAD,S.PM 0309R0191019V004209 0000137502527
3;JKN eka06; 5.3.9.201904290125 4 83411 1#0##0#0#0.0#2019-10-31
09:46:19#0#00:00:00#00:00:00#00:00:00 1 3204c08533f9c1d8a23dfb36c8a3c016
7171104 C 3 CP 2 26/10/2019 26/10/2019 02/11/1952 0 2
1 Z09.0;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GEERTJE JEETJE KAAWOAN 052799 66 24464
DR. SAMUEL MALINGKAS,SPM 0309R0191019V004272 0000138356526 3;JKN
linda03; 5.3.9.201904290125 4 83159 1#0##0#0#0.0#2019-11-04
09:46:46#0#00:00:00#00:00:00#00:00:00 1 4d59be011eabc56eba78244203e484c0
7171104 C 3 CP 2 26/10/2019 26/10/2019 13/02/1954 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 FLORTJE UADA 018595 65 23996
DR.MELISA RATAG,SPM 0309R0191019V004273 0000136923928 3;JKN
Boni04; 5.3.9.201904290125 4 84484 1#0##0#0#0.0#2019-11-06
13:27:13#0#00:00:00#00:00:00#00:00:00 1 624a4af3eb8a4a7d99d59ffd6c609682
7171104 C 3 CP 2 26/10/2019 26/10/2019 21/11/1960 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 NONCE A. DIRENO 042413 58 21523 DR SALAM
SURBAKTI,SPM 0309R0191019V004269 0000136907932 3;JKN Boni04;
5.3.9.201904290125 4 84485 1#0##0#0#0.0#2019-11-06
13:28:18#0#00:00:00#00:00:00#00:00:00 1 430c03a29b8bc9c85080a7351f9aed29
7171104 C 3 CP 2 26/10/2019 26/10/2019 02/10/1969 0 1
1 H35.2;H43.1 14.24 - - None None None None H-3-10-0 None
None None None None None PROSEDUR LASER SEDANG PADA MATA 476900
0 0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 COLLINS SANDERS ROMEO RORING 052861 50
18286 DR SALAM SURBAKTI,SPM 0309R0191019V004282 0001130648771 3;JKN
Boni04; 5.3.9.201904290125 4 84486 1#0##0#0#0.0#2019-11-06
13:29:12#0#00:00:00#00:00:00#00:00:00 1 aa03a823d733a603fea7b8a133662082
7171104 C 3 CP 2 26/10/2019 26/10/2019 06/12/1958 0 1
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 C SAMPEKALO 051609 60 22239 DR SALAM
SURBAKTI,SPM 0309R0191019V004324 0001327737047 3;JKN Boni04;
5.3.9.201904290125 4 84487 1#0##0#0#0.0#2019-11-06
13:30:28#0#00:00:00#00:00:00#00:00:00 1 61c922687b43c3153259d29152a83e9a
7171104 C 3 CP 2 26/10/2019 26/10/2019 09/09/1970 0 1
1 H34.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 STYVI SEM WATUPONGOH 052625 49 17944
DR SALAM SURBAKTI,SPM 0309R0191019V004315 0000137807627 3;JKN
Boni04; 5.3.9.201904290125 4 84488 1#0##0#0#0.0#2019-11-06
13:31:41#0#00:00:00#00:00:00#00:00:00 1 723588818b92f9498d1de3daf832f52d
7171104 C 3 CP 2 26/10/2019 26/10/2019 22/12/1959 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHRISTIAN RONALD DIEN 052566 59 21858
DR.MELISA RATAG,SPM 0309R0191019V004281 0000138533038 3;JKN
Patrick K.; 5.3.9.201904290125 4 82992 1#0##0#0#0.0#2019-11-07
07:02:33#0#00:00:00#00:00:00#00:00:00 2 f67900ccf22301543aed6d02bd4628c7
7171104 C 3 CP 2 28/10/2019 28/10/2019 22/08/1963 0 1
1 H43.3 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 IWAN KURNIAWAN 051943 56 20521 DR SALAM
SURBAKTI,SPM 0309R0191019V004490 0001651178215 3;JKN Vian02;
5.3.9.201904290125 4 83057 1#0##0#0#0.0#2019-10-29
11:28:59#0#00:00:00#00:00:00#00:00:00 1 92002dfdec59fbb259ae5d20bb54d6ea
7171104 C 3 CP 2 28/10/2019 28/10/2019 29/07/1999 0 1
1 Z09.8;H44.5;H47.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIUS RUDOLOP SUPIT 051357 20 7396
DR IVONNE RAMENUSA,SPM 0309R0191019V004492 0002035307384 3;JKN
Vian02; 5.3.9.201904290125 4 83058 1#0##0#0#0.0#2019-10-29
11:29:45#0#00:00:00#00:00:00#00:00:00 1 37b56359d20984d94977de42b3974a60
7171104 C 3 CP 2 28/10/2019 28/10/2019 07/09/2015 0 1
1 H02.8 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RIZZARD FORD SIWY 023859 4 1512 DR SAUL
RAPAR,SPM 0309R0191019V004494 0002282372638 3;JKN Vian02;
5.3.9.201904290125 4 83059 1#0##0#0#0.0#2019-10-29
11:50:46#0#00:00:00#00:00:00#00:00:00 1 42a35b9676069075bec8777c563497ab
7171104 C 3 CP 2 28/10/2019 28/10/2019 27/04/1955 0 2
1 Z96.1;H47.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LINDAWATI SARAPUNG 007482 64 23560
DR RALF PANGALILA,SPM 0309R0191019V004495 0001383979059 3;JKN
Vian02; 5.3.9.201904290125 4 83066 1#0##0#0#0.0#2019-10-30
07:10:25#0#00:00:00#00:00:00#00:00:00 1 a5745e8333f81dbce1603f210993628b
7171104 C 3 CP 2 28/10/2019 28/10/2019 08/08/1984 0 2
1 Z09.8;H16.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZUSANTY SODANDING 012341 35 12864 DR
IVONNE RAMENUSA,SPM 0309R0191019V004496 0001427465856 3;JKN Vian02;
5.3.9.201904290125 4 83105 1#0##0#0#0.0#2019-10-30
07:11:31#0#00:00:00#00:00:00#00:00:00 1 85c372b2dc64f61cbb07e206d104e49a
7171104 C 3 CP 2 28/10/2019 28/10/2019 28/08/2011 0 2
1 Z09.8;H52.2;H53.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KHOIRUNISA SAFITRI DAUD 037529 8 2983
DR SAUL RAPAR,SPM 0309R0191019V004497 0001877579919 3;JKN Vian02;
5.3.9.201904290125 4 83106 1#0##0#0#0.0#2019-10-30
07:31:36#0#00:00:00#00:00:00#00:00:00 1 3009bb442c2b432d046b3ccf21b807a6
7171104 C 3 CP 2 28/10/2019 28/10/2019 29/03/1968 0 2
1 Z96.1;H18.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIANA TAMARA 051673 51 18840 DR
RALF PANGALILA,SPM 0309R0191019V004499 0001567891146 3;JKN Vian02;
5.3.9.201904290125 4 83107 1#0##0#0#0.0#2019-10-30
07:32:43#0#00:00:00#00:00:00#00:00:00 1 7ab39f0e55110d6052d6376e9a902388
7171104 C 3 CP 2 28/10/2019 28/10/2019 23/03/1965 0 2
1 Z09.8;H33.0;H35.3 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MONA KARONGKONG 051474 54 19942 DR
SALAM SURBAKTI,SPM 0309R0191019V004500 0002318502205 3;JKN Vian02;
5.3.9.201904290125 4 83108 1#0##0#0#0.0#2019-10-30
07:34:33#0#00:00:00#00:00:00#00:00:00 1 2f1ba4ed346643be196a62d193756953
7171104 C 3 CP 2 28/10/2019 28/10/2019 21/08/1939 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUKMINI PULUKADANG 006567 80 29288
DR RALF PANGALILA,SPM 0309R0191019V004502 0000138202828 3;JKN
Vian02; 5.3.9.201904290125 4 83109 1#0##0#0#0.0#2019-10-30
07:35:33#0#00:00:00#00:00:00#00:00:00 1 42b7cb9d9c2092926973fd0b806fee89
7171104 C 3 CP 2 28/10/2019 28/10/2019 26/05/1957 0 2
1 Z09.8;H35.8;H34.8 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EVIE KARAUAN 049278 62 22800 DR
SALAM SURBAKTI,SPM 0309R0191019V004503 0000045832004 3;JKN Vian02;
5.3.9.201904290125 4 83110 1#0##0#0#0.0#2019-10-30
07:36:29#0#00:00:00#00:00:00#00:00:00 1 85493f47f076313e2559c7343c9be21a
7171104 C 3 CP 2 28/10/2019 28/10/2019 19/11/1963 0 2
1 Z09.8;H16.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA MAGDALENA SUUD 052786 55 20432
DR RALF PANGALILA,SPM 0309R0191019V004504 0002390770989 3;JKN
Vian02; 5.3.9.201904290125 4 83115 1#0##0#0#0.0#2019-10-30
07:49:58#0#00:00:00#00:00:00#00:00:00 1 cb7be22dbcf0fd663ddc86579f47645f
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/03/1960 0 2
1 Z09.8;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOKEBET TAMBULANGGO 036684 59 21790
DR SALAM SURBAKTI,SPM 0309R0191019V004506 0000907692647 3;JKN
Vian02; 5.3.9.201904290125 4 83117 1#0##0#0#0.0#2019-10-30
07:50:43#0#00:00:00#00:00:00#00:00:00 1 b03fb71cff6559875e9c08608dc828de
7171104 C 3 CP 2 28/10/2019 28/10/2019 26/10/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NEELY MANDOLANG 017693 77 28126 DR RALF
PANGALILA,SPM 0309R0191019V004508 0000138191602 3;JKN Vian02;
5.3.9.201904290125 4 83118 1#0##0#0#0.0#2019-10-30
07:51:41#0#00:00:00#00:00:00#00:00:00 1 8f68c6069d2388f905ac0157d85de029
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/05/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HUSEN SUMAILA 017972 70 25747 DR SALAM
SURBAKTI,SPM 0309R0191019V004510 0001066991466 3;JKN Vian02;
5.3.9.201904290125 4 83120 1#0##0#0#0.0#2019-10-30
07:53:12#0#00:00:00#00:00:00#00:00:00 1 b3409b7bd78a34db2ab49dd1fdc1630a
7171104 C 3 CP 2 28/10/2019 28/10/2019 17/07/1993 0 1
1 Z09.8;H16.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MICHAEL JULNIUS CHRISTHOPHER SIAHAYA 052891
26 9599 DR IVONNE RAMENUSA,SPM 0309R0191019V004511 0000137923299
3;JKN Vian02; 5.3.9.201904290125 4 83122 1#0##0#0#0.0#2019-10-30
07:54:30#0#00:00:00#00:00:00#00:00:00 1 21d85aaebe48e392e8de669d0f0d0100
7171104 C 3 CP 2 28/10/2019 28/10/2019 27/10/1941 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KUIFA NENDER 050655 78 28490 DR SAUL
RAPAR,SPM 0309R0191019V004512 0001569356144 3;JKN Vian02;
5.3.9.201904290125 4 83123 1#0##0#0#0.0#2019-10-30
07:55:09#0#00:00:00#00:00:00#00:00:00 1 27208123975158e6043967a6988931c8
7171104 C 3 CP 2 28/10/2019 28/10/2019 11/11/2001 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DENIKS GERY ANTOU 030093 17 6560 DR SAUL
RAPAR,SPM 0309R0191019V004513 0002034836335 3;JKN Vian02;
5.3.9.201904290125 4 83124 1#0##0#0#0.0#2019-10-30
07:58:12#0#00:00:00#00:00:00#00:00:00 1 9bb05fd9c8649cab2c55c191d38ffc1f
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/03/1942 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NELLY ANTE 052573 77 28365 DR RALF
PANGALILA,SPM 0309R0191019V004514 0001066986033 3;JKN Vian02;
5.3.9.201904290125 4 83125 1#0##0#0#0.0#2019-10-30
07:58:55#0#00:00:00#00:00:00#00:00:00 1 2b336f0917309acb61259a3bc6307999
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/05/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NURSIA PAULUS 051987 71 26112 DR SAUL
RAPAR,SPM 0309R0191019V004515 0000911619955 3;JKN Vian02;
5.3.9.201904290125 4 83126 1#0##0#0#0.0#2019-10-30
07:59:46#0#00:00:00#00:00:00#00:00:00 1 6b0cef6a3f3b577c31e8f0edaaf8c453
7171104 C 3 CP 2 28/10/2019 28/10/2019 27/11/1947 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LEXI RUNTUWAROW 052440 71 26268 DR SAUL
RAPAR,SPM 0309R0191019V004516 0001300312168 3;JKN Vian02;
5.3.9.201904290125 4 83127 1#0##0#0#0.0#2019-10-30
08:00:24#0#00:00:00#00:00:00#00:00:00 1 2dc9516e6b806ea19787e97c4ac045fb
7171104 C 3 CP 2 28/10/2019 28/10/2019 16/04/1977 0 1
1 H44.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RULAND SERETA 052885 42 15535 DR SAUL
RAPAR,SPM 0309R0191019V004517 0001967894482 3;JKN Vian02;
5.3.9.201904290125 4 83130 1#0##0#0#0.0#2019-10-30
08:15:22#0#00:00:00#00:00:00#00:00:00 1 ac92829bef2d8ef9ac7475b4c9e21678
7171104 C 3 CP 2 28/10/2019 28/10/2019 17/05/1970 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAGDALENA ANDRIANI KASIRAN 052219 49
18061 DR IVONNE RAMENUSA,SPM 0309R0191019V004518 0001476365883 3;JKN
Vian02; 5.3.9.201904290125 4 83137 1#0##0#0#0.0#2019-10-30
08:16:04#0#00:00:00#00:00:00#00:00:00 1 75f6bb297438ad0e4fa47fa1e6cec65c
7171104 C 3 CP 2 28/10/2019 28/10/2019 31/12/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MASJE M SONDAKH 050477 69 25503 DR SAUL
RAPAR,SPM 0309R0191019V004519 0001199795962 3;JKN Vian02;
5.3.9.201904290125 4 83138 1#0##0#0#0.0#2019-10-30
08:26:45#0#00:00:00#00:00:00#00:00:00 1 c7b8179cdebae0994a1e5e4d6bba87f8
7171104 C 3 CP 2 28/10/2019 28/10/2019 23/05/1985 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MEYKE TUU 052886 34 12576 DR RALF
PANGALILA,SPM 0309R0191019V004520 0002388776253 3;JKN Vian02;
5.3.9.201904290125 4 83139 1#0##0#0#0.0#2019-10-30
08:28:16#0#00:00:00#00:00:00#00:00:00 1 84528a4acff40193059b26c6b37af806
7171104 C 3 CP 2 28/10/2019 28/10/2019 23/04/1966 0 2
1 Z09.8;H35.2;H43.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SIENTJE AGNES SAMPEL 052347 53 19546
DR SALAM SURBAKTI,SPM 0309R0191019V004521 0000905077473 3;JKN
Vian02; 5.3.9.201904290125 4 83140 1#0##0#0#0.0#2019-10-30
08:29:05#0#00:00:00#00:00:00#00:00:00 1 4d341be4e7aa7ae8aa89e4ae9c151e46
7171104 C 3 CP 2 28/10/2019 28/10/2019 26/12/1974 0 2
1 H52.1;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 IQNATA BANDASO 052892 44 16377 DR
SAUL RAPAR,SPM 0309R0191019V004522 0001102566407 3;JKN Vian02;
5.3.9.201904290125 4 83141 1#0##0#0#0.0#2019-10-30
08:33:00#0#00:00:00#00:00:00#00:00:00 1 1e5940ecd897987478fca92ec8e7e68a
7171104 C 3 CP 2 28/10/2019 28/10/2019 20/11/1941 0 1
1 H10.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MOBILLIU ABAS 052893 77 28466 DR SAUL
RAPAR,SPM 0309R0191019V004523 0002388996718 3;JKN Vian02;
5.3.9.201904290125 4 83145 1#0##0#0#0.0#2019-10-30
09:25:37#0#00:00:00#00:00:00#00:00:00 1 1986f5be73bcaef9b3548f5f1e7872f6
7171104 C 3 CP 2 28/10/2019 28/10/2019 18/05/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TINEKE HEYTI LALUAN 052769 62 22808 DR
SAUL RAPAR,SPM 0309R0191019V004524 0000211427324 3;JKN Vian02;
5.3.9.201904290125 4 83147 1#0##0#0#0.0#2019-10-30
09:26:19#0#00:00:00#00:00:00#00:00:00 1 37f163233f5324445e05c980e0b5c432
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/04/1962 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LINTJE MARTJE SINGON 051834 57 21029 DR
RALF PANGALILA,SPM 0309R0191019V004525 0001066832829 3;JKN Vian02;
5.3.9.201904290125 4 83148 1#0##0#0#0.0#2019-10-30
09:27:08#0#00:00:00#00:00:00#00:00:00 1 b134a352ecb4024279d78951668e9b6c
7171104 C 3 CP 2 28/10/2019 28/10/2019 28/09/1956 0 1
1 Z96.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRETS S BUJUNG 010385 63 23040 DR
SAUL RAPAR,SPM 0309R0191019V004527 0000139014459 3;JKN Vian02;
5.3.9.201904290125 4 83149 1#0##0#0#0.0#2019-10-30
09:28:03#0#00:00:00#00:00:00#00:00:00 1 87b1cf0e3a43d4acc645abc774945cf8
7171104 C 3 CP 2 28/10/2019 28/10/2019 11/06/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHAN SANGGELORANG 051708 69 25341 DR
SAUL RAPAR,SPM 0309R0191019V004529 0001604411076 3;JKN Vian02;
5.3.9.201904290125 4 83150 1#0##0#0#0.0#2019-10-30
09:28:58#0#00:00:00#00:00:00#00:00:00 1 be43b6bc4bee17899754e5cfb2252f2c
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/10/1963 0 2
1 Z96.1;H33.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NENENG GONI 050133 56 20481 DR SALAM
SURBAKTI,SPM 0309R0191019V004530 0000908645051 3;JKN Vian02;
5.3.9.201904290125 4 83151 150#0##0#0#0.0#2019-10-30
09:31:17#0#00:00:00#00:00:00#00:00:00 1 de010ec49c45bd64e7890e81ed3665c1
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/02/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PIKA LAHAMENDU 002459 71 26202 DR SALAM
SURBAKTI,SPM 0309R0191019V004531 0000909629515 3;JKN Vian02;
5.3.9.201904290125 4 83153 1#0##0#0#0.0#2019-10-30
10:20:26#0#00:00:00#00:00:00#00:00:00 1 95f92fa2051dfc0c9b832cb20ffefaf5
7171104 C 3 CP 2 28/10/2019 28/10/2019 05/01/1943 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LIEN KRISTAUNG 052562 76 28055 DR RALF
PANGALILA,SPM 0309R0191019V004532 0000138111445 3;JKN Vian02;
5.3.9.201904290125 4 83154 1#0##0#0#0.0#2019-10-30
10:21:06#0#00:00:00#00:00:00#00:00:00 1 26935364a332a5875352d353bd530d2b
7171104 C 3 CP 2 28/10/2019 28/10/2019 12/07/1994 0 1
1 Z09.8;H00.0;H18.9 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROBERTO RINALDO SONDAK 050419 25 9239
DR IVONNE RAMENUSA,SPM 0309R0191019V004533 0002073962248 3;JKN
Vian02; 5.3.9.201904290125 4 83155 1#0##0#0#0.0#2019-10-30
10:22:37#0#00:00:00#00:00:00#00:00:00 1 34a56f86a8872cd5b73a195f7618b892
7171104 C 3 CP 2 28/10/2019 28/10/2019 28/04/1954 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FEMMY MONIAGA 012691 65 23924 DR
RALF PANGALILA,SPM 0309R0191019V004534 0001283668918 3;JKN Vian02;
5.3.9.201904290125 4 83156 1#0##0#0#0.0#2019-10-30
10:23:25#0#00:00:00#00:00:00#00:00:00 1 3ea2e8d5418b40594063f1e1e669f733
7171104 C 3 CP 2 28/10/2019 28/10/2019 18/07/1956 0 1
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WELLY KOTAMBUNAN 029288 63 23112 DR
SAUL RAPAR,SPM 0309R0191019V004535 0001066973815 3;JKN Vian02;
5.3.9.201904290125 4 83157 1#0##0#0#0.0#2019-10-30
10:28:15#0#00:00:00#00:00:00#00:00:00 1 e87f17b7e563bb49480d57301f9de2d4
7171104 C 3 CP 2 28/10/2019 28/10/2019 18/09/1995 0 2
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUSANA C A SANGANDE 040527 24 8806
DR RALF PANGALILA,SPM 0309R0191019V004536 0001280104773 3;JKN
Vian02; 5.3.9.201904290125 4 83158 1#0##0#0#0.0#2019-10-30
10:30:07#0#00:00:00#00:00:00#00:00:00 1 7b30e811267f03a20ccd903d9b9063e8
7171104 C 3 CP 2 28/10/2019 28/10/2019 31/07/1970 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOLA FERA SATTU 038275 49 17986 DR SALAM
SURBAKTI,SPM 0309R0191019V004537 0000137724827 3;JKN Vian02;
5.3.9.201904290125 4 83160 1#0##0#0#0.0#2019-10-30
10:39:36#0#00:00:00#00:00:00#00:00:00 1 c557ce4275d4cd12b86d2d1df5575f6f
7171104 C 3 CP 2 28/10/2019 28/10/2019 18/05/1945 0 2
1 Z96.1;H27.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLGA ADIL 050473 74 27191 DR SALAM
SURBAKTI,SPM 0309R0191019V004538 0001439013666 3;JKN Vian02;
5.3.9.201904290125 4 83161 1#0##0#0#0.0#2019-10-30
10:41:00#0#00:00:00#00:00:00#00:00:00 1 17c79223556ff024a216afe2e642d18a
7171104 C 3 CP 2 28/10/2019 28/10/2019 05/02/1940 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAKO BAGULIA 052888 79 29120 DR IVONNE
RAMENUSA,SPM 0309R0191019V004539 0000908715071 3;JKN Vian02;
5.3.9.201904290125 4 83162 1#0##0#0#0.0#2019-10-30
10:41:45#0#00:00:00#00:00:00#00:00:00 1 6fb65cecd537ed0a38867819b9010803
7171104 C 3 CP 2 28/10/2019 28/10/2019 28/10/1949 0 1
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PETRUS ASSAH 015435 69 25567 DR
SAUL RAPAR,SPM 0309R0191019V004540 0000137178145 3;JKN Vian02;
5.3.9.201904290125 4 83163 1#0##0#0#0.0#2019-10-30
10:42:57#0#00:00:00#00:00:00#00:00:00 1 1f45b9f6b29fb2e1046845b801af7c89
7171104 C 3 CP 2 28/10/2019 28/10/2019 17/12/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARGARETHA WATUNA 051833 66 24421 DR SAUL
RAPAR,SPM 0309R0191019V004541 0000139127139 3;JKN Vian02;
5.3.9.201904290125 4 83164 1#0##0#0#0.0#2019-10-30
10:43:53#0#00:00:00#00:00:00#00:00:00 1 3f1442a08c3378a57701956092cf47a3
7171104 C 3 CP 2 28/10/2019 28/10/2019 17/04/1966 0 1
1 Z09.8;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RAMLI RANTUNG 050762 53 19552 DR
SALAM SURBAKTI,SPM 0309R0191019V004542 0002767132236 3;JKN Vian02;
5.3.9.201904290125 4 83165 1#0##0#0#0.0#2019-10-30
10:48:39#0#00:00:00#00:00:00#00:00:00 1 6cb2e4aa3b85686f9569b3daaec62cf6
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/03/1957 0 1
1 Z09.8;H11.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAX LOMBOGIA 050286 62 22886 DR
RALF PANGALILA,SPM 0309R0191019V004543 0000904165514 3;JKN Vian02;
5.3.9.201904290125 4 83166 1#0##0#0#0.0#2019-10-30
10:49:33#0#00:00:00#00:00:00#00:00:00 1 0152fd74351e54e695b9cc5219fcf915
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/11/2002 0 1
1 Z09.8;H44.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RIO MARCELINO KATUUK 021343 16 6205
DR SALAM SURBAKTI,SPM 0309R0191019V004545 0000907818445 3;JKN
Vian02; 5.3.9.201904290125 4 83167 1#0##0#0#0.0#2019-10-30
10:52:58#0#00:00:00#00:00:00#00:00:00 1 e3a934e8a72f1a39f091828a5b3b34de
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/11/1990 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NOFRY FRANGKI KATUUK 052894 28 10588 DR
RALF PANGALILA,SPM 0309R0191019V004546 0000908286243 3;JKN Vian02;
5.3.9.201904290125 4 83168 1#0##0#0#0.0#2019-10-30
10:54:03#0#00:00:00#00:00:00#00:00:00 1 2d27ec09d86458e15cca8be143f01f7b
7171104 C 3 CP 2 28/10/2019 28/10/2019 27/10/1947 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 16600 0 1
0 0 0 DANIEL WUISAN 052490 72 26299 DR SALAM
SURBAKTI,SPM 0309R0191019V004547 0001604474471 3;JKN Vian02;
5.3.9.201904290125 4 83169 1#0##0#0#0.0#2019-10-30
10:56:04#0#00:00:00#00:00:00#00:00:00 1 dd3b9af55a1bd21ec0c8aff6bb2fc465
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/09/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SINCE SENDOH 013269 73 26720 DR SALAM
SURBAKTI,SPM 0309R0191019V004489 0000909255082 3;JKN Patrick K.;
5.3.9.201904290125 4 83170 1#0##0#0#0.0#2019-10-30
10:56:43#0#00:00:00#00:00:00#00:00:00 1 53a9bb94efe05de39cf8b6667e75eaa9
7171104 C 3 CP 2 28/10/2019 28/10/2019 17/09/2002 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CHIENGYEE VESJIYA FREDERIK 052895 17 6250
DR SAUL RAPAR,SPM 0309R0191019V004548 0002461346403 3;JKN Vian02;
5.3.9.201904290125 4 83171 1#0##0#0#0.0#2019-10-30
10:57:34#0#00:00:00#00:00:00#00:00:00 1 39718fae96d09b01170b0492895157e2
7171104 C 3 CP 2 28/10/2019 28/10/2019 12/03/1973 0 2
1 H52.2;H47.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEISKE MARGARETHA TUMIWA 052896 46
17031 DR RALF PANGALILA,SPM 0309R0191019V004549 0002220910209 3;JKN
Vian02; 5.3.9.201904290125 4 83174 1#0##0#0#0.0#2019-10-30
10:58:34#0#00:00:00#00:00:00#00:00:00 1 d081da2b06f06f93bdadce3b6f71e3e2
7171104 C 3 CP 2 28/10/2019 28/10/2019 18/05/1994 0 1
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUBI SETIAWAN 052697 25 9294 DR
RALF PANGALILA,SPM 0309R0191019V004550 0001004932394 3;JKN Vian02;
5.3.9.201904290125 4 83177 1#0##0#0#0.0#2019-10-30
10:59:26#0#00:00:00#00:00:00#00:00:00 1 62d994d916eec3a7306c4e015bb36336
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/06/1966 0 1
1 Z09.8;H17.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JHONNI TUMBELAKA 051478 53 19507 DR
IVONNE RAMENUSA,SPM 0309R0191019V004487 0000907441975 3;JKN Patrick K.;
5.3.9.201904290125 4 83176 1#0##0#0#0.0#2019-10-30
10:59:31#0#00:00:00#00:00:00#00:00:00 1 fe4b25cc2d21f9324d8bef32dfe1bf7d
7171104 C 3 CP 2 28/10/2019 28/10/2019 05/06/1963 0 2
1 H40.8 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WARNI POLAMOLO 052884 56 20599 DR RALF
PANGALILA,SPM 0309R0191019V004486 0000139399615 3;JKN Patrick K.;
5.3.9.201904290125 4 83178 1#0##0#0#0.0#2019-10-30
11:05:01#0#00:00:00#00:00:00#00:00:00 1 09094c86e3bafb3eb8153e6278e05007
7171104 C 3 CP 2 28/10/2019 28/10/2019 27/02/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 THEOPILUS PAREDA 052668 67 24715 DR RALF
PANGALILA,SPM 0309R0191019V004484 0002286534868 3;JKN Patrick K.;
5.3.9.201904290125 4 83179 1#0##0#0#0.0#2019-10-30
11:05:44#0#00:00:00#00:00:00#00:00:00 1 1e37a2f8ae0d406322a0c69a4b99b87d
7171104 C 3 CP 2 28/10/2019 28/10/2019 05/10/1960 0 2
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FIENTJE MIENTJE TOKAH 034086 59 21572
DR SALAM SURBAKTI,SPM 0309R0191019V004482 0000139003558 3;JKN
Patrick K.; 5.3.9.201904290125 4 83180 1#0##0#0#0.0#2019-10-30
11:07:00#0#00:00:00#00:00:00#00:00:00 1 088a66a5c355b0f73166b99dc26945a9
7171104 C 3 CP 2 28/10/2019 28/10/2019 17/08/1939 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ARIE LUMINGAS 011840 80 29292 DR SAUL
RAPAR,SPM 0309R0191019V004481 0000138821837 3;JKN Patrick K.;
5.3.9.201904290125 4 83181 1#0##0#0#0.0#2019-10-30
11:07:57#0#00:00:00#00:00:00#00:00:00 1 352adbe857fc3a2a2075b6bba88738a7
7171104 C 3 CP 2 28/10/2019 28/10/2019 11/08/2013 0 1
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUDHISTIRA SATRIA WIRAYUDA YEHOSUA 052236
6 2269 DR IVONNE RAMENUSA,SPM 0309R0191019V004479 0001082528875
3;JKN Patrick K.; 5.3.9.201904290125 4 83182 1#0##0#0#0.0#2019-10-30
11:08:57#0#00:00:00#00:00:00#00:00:00 1 5d901574ee6a5e3b3012d98060852f7b
7171104 C 3 CP 2 28/10/2019 28/10/2019 02/12/1960 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MASYE TUNTU 025948 58 21514 DR SAUL RAPAR,SPM
0309R0191019V004477 0000139014764 3;JKN Patrick K.; 5.3.9.201904290125
4 83183 1#0##0#0#0.0#2019-10-30 11:09:58#0#00:00:00#00:00:00#00:00:00
1 8011db96effd0c97eb441f392c93d083
7171104 C 3 CP 2 28/10/2019 28/10/2019 28/09/1959 0 1
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LEXI BERTJE KAPOH 052545 60 21945 DR
RALF PANGALILA,SPM 0309R0191019V004475 0001820880764 3;JKN Patrick K.;
5.3.9.201904290125 4 83185 1#0##0#0#0.0#2019-10-30
11:11:00#0#00:00:00#00:00:00#00:00:00 1 7b16fa006b3bdf6bcf778397d88d2c04
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/11/1956 0 1
1 Z96.1;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALFRETS SAM RUMONDA 052028 62 23006
DR SAUL RAPAR,SPM 0309R0191019V004474 0001604367663 3;JKN Patrick K.;
5.3.9.201904290125 4 83186 1#0##0#0#0.0#2019-10-30
11:12:30#0#00:00:00#00:00:00#00:00:00 1 5e2f093f3023abb5288b84053224d9ae
7171104 C 3 CP 2 28/10/2019 28/10/2019 13/04/1967 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 APRIANI MANSAUDA 028706 52 19191 DR
RALF PANGALILA,SPM 0309R0191019V004473 0000138459688 3;JKN Patrick K.;
5.3.9.201904290125 4 83187 1#0##0#0#0.0#2019-10-30
11:15:32#0#00:00:00#00:00:00#00:00:00 1 6cb3b5f998035e2cafe04488dd1b5508
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/01/1947 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BERNAD GINGGIRAN 052145 72 26598 DR RALF
PANGALILA,SPM 0309R0191019V004472 0000906800354 3;JKN Patrick K.;
5.3.9.201904290125 4 83188 1#0##0#0#0.0#2019-10-30
11:16:35#0#00:00:00#00:00:00#00:00:00 1 b21a3bac316cc8db43baabf93dd96b26
7171104 C 3 CP 2 28/10/2019 28/10/2019 28/01/1971 0 1
1 Z09.8;H17.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JERIKO ALEX WANTAH 050137 48 17805
DR IVONNE RAMENUSA,SPM 0309R0191019V004471 0001833835948 3;JKN
Patrick K.; 5.3.9.201904290125 4 83189 1#0##0#0#0.0#2019-10-30
11:17:35#0#00:00:00#00:00:00#00:00:00 1 ea76c5f514838381698a317bfbd65096
7171104 C 3 CP 2 28/10/2019 28/10/2019 03/06/1964 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARTEMIS MULAKI 052897 55 20235 DR
SAUL RAPAR,SPM 0309R0191019V004551 0002461101412 3;JKN Vian02;
5.3.9.201904290125 4 83190 1#0##0#0#0.0#2019-10-30
11:18:29#0#00:00:00#00:00:00#00:00:00 1 3aa407fb3e41e9c61d5cb4e94fb6fc93
7171104 C 3 CP 2 28/10/2019 28/10/2019 08/04/1958 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANE ADELINE SIGARLAKI 052730 61 22483
DR SALAM SURBAKTI,SPM 0309R0191019V004469 0002038594803 3;JKN
Patrick K.; 5.3.9.201904290125 4 83192 1#0##0#0#0.0#2019-10-30
11:19:05#0#00:00:00#00:00:00#00:00:00 1 e7c0455d6b38fa55025b61f8be6d1fed
7171104 C 3 CP 2 28/10/2019 28/10/2019 28/06/1957 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JACKSON MARTHIN SOPUTAN 052898 62 22767 DR
IVONNE RAMENUSA,SPM 0309R0191019V004552 0000138491829 3;JKN Vian02;
5.3.9.201904290125 4 83194 1#0##0#0#0.0#2019-10-30
11:20:14#0#00:00:00#00:00:00#00:00:00 1 eceadd56c8c2cb0e8c34e073374b9a22
7171104 C 3 CP 2 28/10/2019 28/10/2019 23/07/1965 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PINCE MAKASALA 052880 54 19820 DR SALAM
SURBAKTI,SPM 0309R0191019V004468 0002391513917 3;JKN Patrick K.;
5.3.9.201904290125 4 83193 1#0##0#0#0.0#2019-10-30
11:20:19#0#00:00:00#00:00:00#00:00:00 1 04d7ad48646bc3a20e0ae220f6076198
7171104 C 3 CP 2 28/10/2019 28/10/2019 28/01/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOSEFITA FIECE SUMARAUW 052733 66 24379 DR
SALAM SURBAKTI,SPM 0309R0191019V004467 0001339312241 3;JKN Patrick K.;
5.3.9.201904290125 4 83195 1#0##0#0#0.0#2019-10-30
11:21:32#0#00:00:00#00:00:00#00:00:00 2 c10b31805ebd22aa5b85cac406a42fe1
7171104 C 3 CP 2 28/10/2019 28/10/2019 27/08/1982 0 2
1 H43.3 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WILFIA GRACE WALANGITAN 052899 37 13576 DR
SALAM SURBAKTI,SPM 0309R0191019V004553 0002747048117 3;JKN Vian02;
5.3.9.201904290125 4 83196 1#0##0#0#0.0#2019-10-30
11:22:49#0#00:00:00#00:00:00#00:00:00 1 08eb2dd47351ed1c72268ee1f53afc24
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/12/1929 0 1
1 H52.2;H47.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DONESIUS KAKOMBA 052798 89 32838 DR
RALF PANGALILA,SPM 0309R0191019V004465 0001066711724 3;JKN Patrick K.;
5.3.9.201904290125 4 83198 1#0##0#0#0.0#2019-10-30
11:23:10#0#00:00:00#00:00:00#00:00:00 1 33a45e49f0cd054567d0b706fb6da54b
7171104 C 3 CP 2 28/10/2019 28/10/2019 07/06/1961 0 2
1 Z09.8;H35.2;H43.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LISJE TAMPI 044449 58 21327 DR SALAM
SURBAKTI,SPM 0309R0191019V004464 0002313729999 3;JKN Patrick K.;
5.3.9.201904290125 4 83199 1#0##0#0#0.0#2019-10-30
11:24:04#0#00:00:00#00:00:00#00:00:00 1 459795c95975210d1b01bf65ba2a7cac
7171104 C 3 CP 2 28/10/2019 28/10/2019 30/01/1937 0 1
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNHARD ISRAEL MONGDONG 006242 82
30221 DR SALAM SURBAKTI,SPM 0309R0191019V004554 0001894907406 3;JKN
Vian02; 5.3.9.201904290125 4 83201 1#0##0#0#0.0#2019-10-30
11:29:11#0#00:00:00#00:00:00#00:00:00 1 f02ecc22be5beaaa5ba09fea89f2e5b4
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/08/1946 0 2
1 Z09.8;T85.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NY AGUSTIEN MAMBU 049478 73 26751 DR
SALAM SURBAKTI,SPM 0309R0191019V004461 0000138938859 3;JKN Patrick K.;
5.3.9.201904290125 4 83200 1#0##0#0#0.0#2019-10-30
11:29:54#0#00:00:00#00:00:00#00:00:00 1 89c318cb8fd9a9a28adddf2682843a9f
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/06/1948 0 1
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FATIMUS YUDAS 052233 71 26081 DR
SAUL RAPAR,SPM 0309R0191019V004556 0000908226606 3;JKN Vian02;
5.3.9.201904290125 4 83202 1#0##0#0#0.0#2019-10-30
11:30:09#0#00:00:00#00:00:00#00:00:00 1 ff37779173f85ca2f3c033cb10acb9f8
7171104 C 3 CP 2 28/10/2019 28/10/2019 06/12/1935 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TERSIA SASUBE 050222 83 30642 DR SAUL
RAPAR,SPM 0309R0191019V004460 0002390879823 3;JKN Patrick K.;
5.3.9.201904290125 4 83203 1#0##0#0#0.0#2019-10-30
11:30:44#0#00:00:00#00:00:00#00:00:00 1 8e28f1df8981b485182e53f0bb7aa165
7171104 C 3 CP 2 28/10/2019 28/10/2019 25/09/2002 0 2
1 H52.1;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 INTAN S MONGKAREN 052900 17 6242 DR
RALF PANGALILA,SPM 0309R0191019V004557 0002389304395 3;JKN Vian02;
5.3.9.201904290125 4 83204 1#0##0#0#0.0#2019-10-30
11:31:19#0#00:00:00#00:00:00#00:00:00 1 f18915660c66478c9d213b3bf0a1759b
7171104 C 3 CP 2 28/10/2019 28/10/2019 28/04/1958 0 1
1 Z09.8;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALFRETS PONTOLOSANG 052280 61 22463
DR IVONNE RAMENUSA,SPM 0309R0191019V004459 0001243635265 3;JKN
Patrick K.; 5.3.9.201904290125 4 83205 1#0##0#0#0.0#2019-10-30
11:31:50#0#00:00:00#00:00:00#00:00:00 1 3f562bf81a2e828d6c8b991073c54349
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/11/1942 0 2
1 Z09.0;H11.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNECE SALINDEHO 052389 76 28120 DR
SAUL RAPAR,SPM 0309R0191019V004458 0000908601063 3;JKN Patrick K.;
5.3.9.201904290125 4 83207 1#0##0#0#0.0#2019-10-30
11:32:48#0#00:00:00#00:00:00#00:00:00 1 4fcfe1adf495db354e9893601063b649
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/02/1970 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FERKE MARINA LUMI 052901 49 18166 DR RALF
PANGALILA,SPM 0309R0191019V004558 0002389304362 3;JKN Vian02;
5.3.9.201904290125 4 83206 1#0##0#0#0.0#2019-10-30
11:32:52#0#00:00:00#00:00:00#00:00:00 1 315c8513507556a730e2a8e9948661e8
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/07/1964 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TOMI SIBOSO 052601 55 20207 DR SALAM
SURBAKTI,SPM 0309R0191019V004457 0000973707276 3;JKN Patrick K.;
5.3.9.201904290125 4 83208 1#0##0#0#0.0#2019-10-30
11:34:00#0#00:00:00#00:00:00#00:00:00 1 686c70df705719d0a32d144920a83a0e
7171104 C 3 CP 2 28/10/2019 28/10/2019 19/12/1958 0 2
1 Z09.8;H18.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FATMA LANAU 025255 60 22228 DR RALF
PANGALILA,SPM 0309R0191019V004559 0000908447916 3;JKN Vian02;
5.3.9.201904290125 4 83209 1#0##0#0#0.0#2019-10-30
11:34:21#0#00:00:00#00:00:00#00:00:00 1 68064b55e8d8d7c01d6c4e72703b4480
7171104 C 3 CP 2 28/10/2019 28/10/2019 12/11/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HENRY A RUMOKOY 031803 65 24091 DR SAUL
RAPAR,SPM 0309R0191019V004456 0000137236149 3;JKN Patrick K.;
5.3.9.201904290125 4 83210 1#0##0#0#0.0#2019-10-30
11:34:55#0#00:00:00#00:00:00#00:00:00 1 585121939b302a3b0237a7b3b64605cf
7171104 C 3 CP 2 28/10/2019 28/10/2019 31/05/1977 0 1
1 Z09.8;H35.8;H34.9 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DAME ISKART JUNA PANDIA 051119 42 15490
DR SALAM SURBAKTI,SPM 0309R0191019V004454 0001718081043 3;JKN
Patrick K.; 5.3.9.201904290125 4 83211 1#0##0#0#0.0#2019-10-30
11:37:28#0#00:00:00#00:00:00#00:00:00 2 7b53a4ebaab2a571152156104ddc2f24
7171104 C 3 CP 2 28/10/2019 28/10/2019 07/01/1951 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JANJTE JOHANIS PANGEMANAN 041670 68 25131
DR RALF PANGALILA,SPM 0309R0191019V004453 0002038746082 3;JKN
Patrick K.; 5.3.9.201904290125 4 83212 1#0##0#0#0.0#2019-10-30
11:38:32#0#00:00:00#00:00:00#00:00:00 1 c079a2c153c514de47fffa5c17310e6e
7171104 C 3 CP 2 28/10/2019 28/10/2019 08/12/1953 0 2
1 Z96.1;D22.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEBESTRIDA MAITULUNG 052731 65 24065
DR RALF PANGALILA,SPM 0309R0191019V004451 0000136915222 3;JKN
Patrick K.; 5.3.9.201904290125 4 83214 1#0##0#0#0.0#2019-10-30
11:46:39#0#00:00:00#00:00:00#00:00:00 1 f670a8590f90f6dbe922d6089056a69b
7171104 C 3 CP 2 28/10/2019 28/10/2019 11/06/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULI SAMPEPOLAN 040866 66 24245 DR RALF
PANGALILA,SPM 0309R0191019V004450 0000138604533 3;JKN Patrick K.;
5.3.9.201904290125 4 83217 1#0##0#0#0.0#2019-10-30
11:47:27#0#00:00:00#00:00:00#00:00:00 1 71e1f258371835eb64ebcdfc93223cd7
7171104 C 3 CP 2 28/10/2019 28/10/2019 25/02/1964 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NAHU YUSUF 043977 55 20334 DR SAUL RAPAR,SPM
0309R0191019V004449 0000139092963 3;JKN Patrick K.; 5.3.9.201904290125
4 83220 1#0##0#0#0.0#2019-10-30 11:48:42#0#00:00:00#00:00:00#00:00:00
1 ceb1dc0fe44f25f35ded78f9dfde5e55
7171104 C 3 CP 2 28/10/2019 28/10/2019 18/06/1998 0 1
1 Z09.8;H18.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RIVALDI LASAHIA 050742 21 7802 DR
IVONNE RAMENUSA,SPM 0309R0191019V004447 0001164216958 3;JKN Patrick K.;
5.3.9.201904290125 4 83221 1#0##0#0#0.0#2019-10-30
11:50:04#0#00:00:00#00:00:00#00:00:00 1 56e9180c25c955a38ae7f76b90279c88
7171104 C 3 CP 2 28/10/2019 28/10/2019 14/04/1951 0 2
1 Z09.8;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 K.G. PATTYLIMA-FRANS NY. 025342 68
25034 DR SALAM SURBAKTI,SPM 0309R0191019V004446 0000138336737 3;JKN
Patrick K.; 5.3.9.201904290125 4 83222 1#0##0#0#0.0#2019-10-30
11:50:55#0#00:00:00#00:00:00#00:00:00 1 03ca3115cdb5e371e13435deeb0fb3f0
7171104 C 3 CP 2 28/10/2019 28/10/2019 20/12/1942 0 2
1 Z09.8;H16.0;H26.9 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MATRDNA RUATA 051350 76 28071 DR
IVONNE RAMENUSA,SPM 0309R0191019V004445 0002388396442 3;JKN Patrick K.;
5.3.9.201904290125 4 83225 1#0##0#0#0.0#2019-10-30
11:53:23#0#00:00:00#00:00:00#00:00:00 1 e255660938e2883ff3aa381be6a2ae0f
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/09/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SYULTJE WOWOR 012150 64 23433 DR RALF
PANGALILA,SPM 0309R0191019V004444 0001066781452 3;JKN Patrick K.;
5.3.9.201904290125 4 83227 1#0##0#0#0.0#2019-10-30
11:54:24#0#00:00:00#00:00:00#00:00:00 1 7f36f08de6d96b0318c8704e98e08607
7171104 C 3 CP 2 28/10/2019 28/10/2019 30/08/1980 0 1
1 Z96.1;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AMBROSIUS MARKUS LOHO 051541 39 14303
DR SAUL RAPAR,SPM 0309R0191019V004443 0001280693204 3;JKN Patrick K.;
5.3.9.201904290125 4 83230 1#0##0#0#0.0#2019-10-30
11:56:13#0#00:00:00#00:00:00#00:00:00 2 b87cbf32e6b02420dfc03aede596ecd8
7171104 C 3 CP 2 28/10/2019 28/10/2019 31/08/1956 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADELEIDA LIDYA KALIGIS 052882 63 23068 DR
RALF PANGALILA,SPM 0309R0191019V004441 0002079246014 3;JKN Patrick K.;
5.3.9.201904290125 4 83232 1#0##0#0#0.0#2019-10-30
11:58:06#0#00:00:00#00:00:00#00:00:00 1 503e3b7413d88752f3c620072c73bbcb
7171104 C 3 CP 2 28/10/2019 28/10/2019 07/01/1962 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHANA WEHANTOUW 052085 57 21113 DR RALF
PANGALILA,SPM 0309R0191019V004440 0000137883317 3;JKN Patrick K.;
5.3.9.201904290125 4 83234 1#0##0#0#0.0#2019-10-30
11:58:50#0#00:00:00#00:00:00#00:00:00 1 3c63c74d0ad146498818932d62403b92
7171104 C 3 CP 2 28/10/2019 28/10/2019 25/05/1941 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANEKE TUMIWA 052438 78 28645 DR SALAM
SURBAKTI,SPM 0309R0191019V004437 0002041072222 3;JKN Patrick K.;
5.3.9.201904290125 4 83235 1#0##0#0#0.0#2019-10-30
11:59:46#0#00:00:00#00:00:00#00:00:00 1 c1f2514d5b2fc2d18cba39dee1f6a900
7171104 C 3 CP 2 28/10/2019 28/10/2019 17/09/1960 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RACHMAWATI 042983 59 21590 DR SALAM
SURBAKTI,SPM 0309R0191019V004436 0002195530841 3;JKN Patrick K.;
5.3.9.201904290125 4 83236 1#0##0#0#0.0#2019-10-30
12:01:22#0#00:00:00#00:00:00#00:00:00 1 fedffec71c68b66d1ec8027dc3145f2e
7171104 C 3 CP 2 28/10/2019 28/10/2019 25/04/1987 0 2
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 16600 0 1
0 0 0 SARLOTA PAREHO 052877 32 11874 DR SAUL RAPAR,SPM
0309R0191019V004435 0001564792356 3;JKN Patrick K.; 5.3.9.201904290125
4 83237 1#0##0#0#0.0#2019-10-30 12:02:47#0#00:00:00#00:00:00#00:00:00
1 549072bae8ce76bacbc67ef5ab98f665
7171104 C 3 CP 2 28/10/2019 28/10/2019 08/11/1960 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NONTJE VICTORINA OGOTAN 052879 58 21538 DR
RALF PANGALILA,SPM 0309R0191019V004434 0001785079743 3;JKN Patrick K.;
5.3.9.201904290125 4 83254 1#0##0#0#0.0#2019-10-30
12:30:48#0#00:00:00#00:00:00#00:00:00 1 1fd0777988273a85db67cd77da207a93
7171104 C 3 CP 2 28/10/2019 28/10/2019 13/08/1972 0 2
1 Z09.8;T85.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINA MAARUA 051894 47 17242 DR
SALAM SURBAKTI,SPM 0309R0191019V004433 0000906980815 3;JKN Patrick K.;
5.3.9.201904290125 4 83255 1#0##0#0#0.0#2019-10-30
12:31:35#0#00:00:00#00:00:00#00:00:00 1 07150f6bf31a8347d16bea837b89808b
7171104 C 3 CP 2 28/10/2019 28/10/2019 04/10/1953 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROSALI EMOR 009482 66 24130 DR SALAM
SURBAKTI,SPM 0309R0191019V004430 0000137303943 3;JKN Patrick K.;
5.3.9.201904290125 4 83256 1#0##0#0#0.0#2019-10-30
12:32:38#0#00:00:00#00:00:00#00:00:00 1 0204fbe3f9b94574d942653304a60ab8
7171104 C 3 CP 2 28/10/2019 28/10/2019 03/06/1974 0 1
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ISMAIL AL. HASNI 049315 45 16583 DR
SALAM SURBAKTI,SPM 0309R0191019V004429 0000910677925 3;JKN Patrick K.;
5.3.9.201904290125 4 83257 1#0##0#0#0.0#2019-10-30
12:33:38#0#00:00:00#00:00:00#00:00:00 1 0339a8bad70cae69e7e32f6f02b0cacf
7171104 C 3 CP 2 28/10/2019 28/10/2019 05/07/1972 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FAJAR SISWANTO 052831 47 17281 DR SALAM
SURBAKTI,SPM 0309R0191019V004428 0001103079971 3;JKN Patrick K.;
5.3.9.201904290125 4 83259 1#0##0#0#0.0#2019-10-30
12:34:33#0#00:00:00#00:00:00#00:00:00 1 2a585cf5c850698394718e94c48fc94b
7171104 C 3 CP 2 28/10/2019 28/10/2019 14/01/1933 0 2
1 Z09.8;H18.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIANA M KAWUWUNG 019415 86 31698
DR IVONNE RAMENUSA,SPM 0309R0191019V004427 0000138070923 3;JKN
Patrick K.; 5.3.9.201904290125 4 83261 1#0##0#0#0.0#2019-10-30
12:35:35#0#00:00:00#00:00:00#00:00:00 1 26e5ec83cb93ff1835eacb1194b8e2a1
7171104 C 3 CP 2 28/10/2019 28/10/2019 20/01/1976 0 1
1 Z09.8;H35.2;H43.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YANI LEMBONG 009317 43 15987 DR
SALAM SURBAKTI,SPM 0309R0191019V004424 0001717373013 3;JKN Patrick K.;
5.3.9.201904290125 4 83263 1#0##0#0#0.0#2019-10-30
12:36:47#0#00:00:00#00:00:00#00:00:00 1 5b7358abedb95d63ad46bc292f6bcbbc
7171104 C 3 CP 2 28/10/2019 28/10/2019 10/08/1944 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KAREL DICKY MARCUS 052682 75 27472 DR
SAUL RAPAR,SPM 0309R0191019V004423 0002430132862 3;JKN Patrick K.;
5.3.9.201904290125 4 83265 1#0##0#0#0.0#2019-10-30
12:37:53#0#00:00:00#00:00:00#00:00:00 1 69fce994031839d04e5a17bdfcab063e
7171104 C 3 CP 2 28/10/2019 28/10/2019 16/05/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TESINA T.PUA 047391 70 25732 DR SALAM
SURBAKTI,SPM 0309R0191019V004422 0000138241192 3;JKN Patrick K.;
5.3.9.201904290125 4 83266 1#0##0#0#0.0#2019-10-30
12:38:37#0#00:00:00#00:00:00#00:00:00 1 4ad84c093f36316c8bb6bfc479c22ddb
7171104 C 3 CP 2 28/10/2019 28/10/2019 31/05/1949 0 1
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DANIEL KILIS 048878 70 25717 DR
RALF PANGALILA,SPM 0309R0191019V004421 0002472227526 3;JKN Patrick K.;
5.3.9.201904290125 4 83268 1#0##0#0#0.0#2019-10-30
12:39:36#0#00:00:00#00:00:00#00:00:00 1 40fb97ce4979ae306790338cedc6d722
7171104 C 3 CP 2 28/10/2019 28/10/2019 06/08/1960 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DORNA HARIAWANG 052875 59 21632 DR
SALAM SURBAKTI,SPM 0309R0191019V004420 0001892451115 3;JKN Patrick K.;
5.3.9.201904290125 4 83270 1#0##0#0#0.0#2019-10-30
12:40:26#0#00:00:00#00:00:00#00:00:00 1 05d473622dbcb8e0bb710b3c45676094
7171104 C 3 CP 2 28/10/2019 28/10/2019 05/12/1946 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NICOLAS PATRAS 052874 72 26625 DR SAUL
RAPAR,SPM 0309R0191019V004419 0000138281534 3;JKN Patrick K.;
5.3.9.201904290125 4 83272 1#0##0#0#0.0#2019-10-30
12:41:18#0#00:00:00#00:00:00#00:00:00 1 d1930afdf5282f2fccb61504affa65cd
7171104 C 3 CP 2 28/10/2019 28/10/2019 28/03/1974 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SULTJE LOLENG 052873 45 16650 DR
SALAM SURBAKTI,SPM 0309R0191019V004418 0000138097719 3;JKN Patrick K.;
5.3.9.201904290125 4 83274 1#0##0#0#0.0#2019-10-30
12:42:34#0#00:00:00#00:00:00#00:00:00 1 5a0396ba3b6fd21b12509530dd397848
7171104 C 3 CP 2 28/10/2019 28/10/2019 19/12/1967 0 1
1 H04.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BENJAMIN NATIBAE 001447 51 18941 DR RALF
PANGALILA,SPM 0309R0191019V004417 0000138097271 3;JKN Patrick K.;
5.3.9.201904290125 4 83276 1#0##0#0#0.0#2019-10-30
12:44:01#0#00:00:00#00:00:00#00:00:00 1 921aef08d259bd615de9b0dfce07d978
7171104 C 3 CP 2 28/10/2019 28/10/2019 28/09/1980 0 2
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SENTHA SISILIA RONDONUWU 007177 39
14274 DR SALAM SURBAKTI,SPM 0309R0191019V004415 0001813323565 3;JKN
Patrick K.; 5.3.9.201904290125 4 83279 1#0##0#0#0.0#2019-10-30
12:44:54#0#00:00:00#00:00:00#00:00:00 1 fb1233422902248e9ec68c6505b9f254
7171104 C 3 CP 2 28/10/2019 28/10/2019 04/10/1942 0 2
1 Z96.1;H31.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KONDA MALINDIM PALENEWEN 051521 77
28148 DR SALAM SURBAKTI,SPM 0309R0191019V004414 0002243157063 3;JKN
Patrick K.; 5.3.9.201904290125 4 83281 1#0##0#0#0.0#2019-10-30
12:45:48#0#00:00:00#00:00:00#00:00:00 1 5dd9104dce81ee2050f1913c967f461f
7171104 C 3 CP 2 28/10/2019 28/10/2019 02/06/1953 0 2
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEANETTE TALANGI 052445 66 24254 DR
SAUL RAPAR,SPM 0309R0191019V004413 0000138437739 3;JKN Patrick K.;
5.3.9.201904290125 4 83283 1#0##0#0#0.0#2019-10-30
12:47:25#0#00:00:00#00:00:00#00:00:00 1 8899f2171919a49cdc2d8bb5340e8969
7171104 C 3 CP 2 28/10/2019 28/10/2019 15/11/1959 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 IKBAL SOLEMAN 052072 59 21897 DR SAUL
RAPAR,SPM 0309R0191019V004412 0000140162444 3;JKN linda03;
5.3.9.201904290125 4 83285 1#0##0#0#0.0#2019-10-30
12:49:29#0#00:00:00#00:00:00#00:00:00 1 35db0e718e9dae5f3974562c17d91511
7171104 C 3 CP 2 28/10/2019 28/10/2019 08/11/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JAHJA SIGARLAKI 051821 68 25191 DR SALAM
SURBAKTI,SPM 0309R0191019V004409 0000139065557 3;JKN linda03;
5.3.9.201904290125 4 83287 1#0##0#0#0.0#2019-10-30
12:50:17#0#00:00:00#00:00:00#00:00:00 1 6b6946baaf0fae1b846a65516809557f
7171104 C 3 CP 2 28/10/2019 28/10/2019 20/01/1939 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RIMBA KAROLINA MAKALEW 026224 80 29501
DR SAUL RAPAR,SPM 0309R0191019V004407 0000137175221 3;JKN linda03;
5.3.9.201904290125 4 83288 1#0##0#0#0.0#2019-10-30
12:52:09#0#00:00:00#00:00:00#00:00:00 1 8276a98b6b68e7d93fa5e058e0fa0564
7171104 C 3 CP 2 28/10/2019 28/10/2019 11/01/2016 0 1
1 Z09.8;H10.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUNIOR YEHESKIEL KASILINSINA 052431 3
1386 DR SAUL RAPAR,SPM 0309R0191019V004406 0002388012153 3;JKN
linda03; 5.3.9.201904290125 4 83291 1#0##0#0#0.0#2019-10-30
12:54:11#0#00:00:00#00:00:00#00:00:00 1 653a65938024ef8f55033f1d38d66e1f
7171104 C 3 CP 2 28/10/2019 28/10/2019 14/02/1958 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LILY SURYANI PANGAYOW 051288 61 22536 DR
SALAM SURBAKTI,SPM 0309R0191019V004405 0000138087628 3;JKN linda03;
5.3.9.201904290125 4 83293 1#0##0#0#0.0#2019-10-30
12:54:54#0#00:00:00#00:00:00#00:00:00 1 565f695bd5268080672b4b8695437a8c
7171104 C 3 CP 2 28/10/2019 28/10/2019 27/05/1965 0 1
1 Z09.0;H40.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HAIRUDIN RUMESI 040197 54 19877 DR
SAUL RAPAR,SPM 0309R0191019V004404 0002446074843 3;JKN linda03;
5.3.9.201904290125 4 83295 1#0##0#0#0.0#2019-10-30
12:56:12#0#00:00:00#00:00:00#00:00:00 1 8e68f91101cc4d00c9e050f5e96df404
7171104 C 3 CP 2 28/10/2019 28/10/2019 26/07/1971 0 2
1 Z09.8;H40.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JENNY KAWUWUNG 024298 48 17626 DR
RALF PANGALILA,SPM 0309R0191019V004403 0000169392082 3;JKN linda03;
5.3.9.201904290125 4 83296 1#0##0#0#0.0#2019-10-30
12:57:04#0#00:00:00#00:00:00#00:00:00 1 0f2cd61edad9dbd7e03906ffc30c4ab3
7171104 C 3 CP 2 28/10/2019 28/10/2019 09/09/1958 0 2
1 Z09.8;H16.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SINAWITJE TAUMOLOBA 016584 61 22329
DR IVONNE RAMENUSA,SPM 0309R0191019V004402 0000136933255 3;JKN
linda03; 5.3.9.201904290125 4 83298 1#0##0#0#0.0#2019-10-30
12:58:09#0#00:00:00#00:00:00#00:00:00 1 c1aedbd02653b295a6fb5eb585a5d8a0
7171104 C 3 CP 2 28/10/2019 28/10/2019 02/11/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAGGIE WOWOR 051829 65 24101 DR SALAM
SURBAKTI,SPM 0309R0191019V004401 0002308738307 3;JKN linda03;
5.3.9.201904290125 4 83299 1#0##0#0#0.0#2019-10-30
13:00:02#0#00:00:00#00:00:00#00:00:00 1 1b240ac93d8f42d38a16179a03bb713f
7171104 C 3 CP 2 28/10/2019 28/10/2019 27/12/1970 0 1
1 Z09.8;H33.0;H57.8 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENRDIK LETUNGGAMU 052122 48 17837
DR SALAM SURBAKTI,SPM 0309R0191019V004400 0001248466206 3;JKN
linda03; 5.3.9.201904290125 4 83302 1#0##0#0#0.0#2019-10-30
13:01:32#0#00:00:00#00:00:00#00:00:00 1 54b20121127706c8594a853eb4e653b3
7171104 C 3 CP 2 28/10/2019 28/10/2019 08/12/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HENNY SUMIGAR 052687 66 24430 DR SALAM
SURBAKTI,SPM 0309R0191019V004425 0002612822916 3;JKN Patrick K.;
5.3.9.201904290125 4 83262 1#0##0#0#0.0#2019-10-30
13:01:43#0#00:00:00#00:00:00#00:00:00 1 861e4dc229bbdad8d28309523ca9723b
7171104 C 3 CP 2 28/10/2019 28/10/2019 06/05/1958 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VENTJE DUMAT 052558 61 22455 DR
RALF PANGALILA,SPM 0309R0191019V004399 0000167174695 3;JKN linda03;
5.3.9.201904290125 4 83304 1#0##0#0#0.0#2019-10-30
13:02:21#0#00:00:00#00:00:00#00:00:00 1 979e608e364100ce6db4890685a7e467
7171104 C 3 CP 2 28/10/2019 28/10/2019 10/10/1953 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 OLGA SAHELANGI 048743 66 24124 DR RALF
PANGALILA,SPM 0309R0191019V004398 0002217868108 3;JKN linda03;
5.3.9.201904290125 4 83305 1#0##0#0#0.0#2019-10-30
13:03:09#0#00:00:00#00:00:00#00:00:00 1 fd6d11df59443fca235b92e406c38135
7171104 C 3 CP 2 28/10/2019 28/10/2019 16/10/1933 0 1
1 Z09.8;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARI KOMALING 052823 86 31423 DR
RALF PANGALILA,SPM 0309R0191019V004396 0001852794955 3;JKN linda03;
5.3.9.201904290125 4 83306 1#0##0#0#0.0#2019-10-30
13:04:01#0#00:00:00#00:00:00#00:00:00 1 56b83a4db432ebed96871a1a2f433c15
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/03/1949 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LENY IROTH 052738 70 25808 DR SALAM
SURBAKTI,SPM 0309R0191019V004488 0000907586831 3;JKN Patrick K.;
5.3.9.201904290125 4 83172 1#0##0#0#0.0#2019-10-30
13:08:20#0#00:00:00#00:00:00#00:00:00 2 205cb370cfb8a50d3bbacd44e10fb164
7171104 C 3 CP 2 28/10/2019 28/10/2019 05/07/1964 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ISKANDAR ANTAENG 052693 55 20203 DR
RALF PANGALILA,SPM 0309R0191019V004394 0000910753536 3;JKN linda03;
5.3.9.201904290125 4 83310 1#0##0#0#0.0#2019-10-30
13:08:53#0#00:00:00#00:00:00#00:00:00 1 dc683ecf291e0ddb99c456c014c2f9dd
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/03/1971 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 1606300 0
1 0 0 0 MARTHEN MATAPULANG 052737 48 17773 DR
SALAM SURBAKTI,SPM 0309R0191019V004470 0000908839271 3;JKN Patrick K.;
5.3.9.201904290125 4 83191 1#0##0#0#0.0#2019-10-30
13:12:06#0#00:00:00#00:00:00#00:00:00 1 afaaf9084609259546b5ae754ab9bd1f
7171104 C 3 CP 2 28/10/2019 28/10/2019 23/08/1971 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PEGGY AGUSTINA PONGARANG 021635 48
17598 DR RALF PANGALILA,SPM 0309R0191019V004393 0000137880854 3;JKN
linda03; 5.3.9.201904290125 4 83323 1#0##0#0#0.0#2019-10-30
13:27:11#0#00:00:00#00:00:00#00:00:00 1 808d495f5f0e6b8a45751ae4d6fec2cf
7171104 C 3 CP 2 28/10/2019 28/10/2019 07/02/1965 0 1
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NOLDI RONNY PELEALU 021637 54 19986
DR RALF PANGALILA,SPM 0309R0191019V004391 0000137880843 3;JKN
linda03; 5.3.9.201904290125 4 83324 44#0##0#0#0.0#2019-10-30
13:34:07#0#00:00:00#00:00:00#00:00:00 1 20d7cba97393316a9f691de7a6d3d0af
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/07/1945 0 2
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENNY JACOBUS 052026 74 27147 DR
SAUL RAPAR,SPM 0309R0191019V004389 0000908308078 3;JKN linda03;
5.3.9.201904290125 4 83325 1#0##0#0#0.0#2019-10-30
13:37:02#0#00:00:00#00:00:00#00:00:00 1 7248253608a9ad2853a94a2024001d1d
7171104 C 3 CP 2 28/10/2019 28/10/2019 28/07/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIE JULIANA KOJONGIAN 052029 74 27120 DR
SAUL RAPAR,SPM 0309R0191019V004388 0000139071025 3;JKN linda03;
5.3.9.201904290125 4 83326 1#0##0#0#0.0#2019-10-30
13:39:21#0#00:00:00#00:00:00#00:00:00 1 988c11aecaa87e117be87081b2c3bff3
7171104 C 3 CP 2 28/10/2019 28/10/2019 10/10/1942 0 2
1 Z96.1;H25.1;H52.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA WENAS 018156 77 28142 DR SAUL
RAPAR,SPM 0309R0191019V004387 0001308673574 3;JKN linda03;
5.3.9.201904290125 4 83327 1#0##0#0#0.0#2019-10-30
13:40:44#0#00:00:00#00:00:00#00:00:00 1 85831266805bc5e0814b5fd2590e2e34
7171104 C 3 CP 2 28/10/2019 28/10/2019 26/10/1973 0 2
1 Z09.8;H52.1;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WIESYE IMELDA OTVIA MANUS 025348 46
16803 DR SAUL RAPAR,SPM 0309R0191019V004386 0002048791454 3;JKN
linda03; 5.3.9.201904290125 4 83328 1#0##0#0#0.0#2019-10-30
13:41:29#0#00:00:00#00:00:00#00:00:00 1 aed3f9f6b6896ddbf2c061219beb9cea
7171104 C 3 CP 2 28/10/2019 28/10/2019 08/08/1965 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SONNI SINGAL 052034 54 19804 DR
SAUL RAPAR,SPM 0309R0191019V004385 0000139053194 3;JKN linda03;
5.3.9.201904290125 4 83329 1#0##0#0#0.0#2019-10-30
13:42:13#0#00:00:00#00:00:00#00:00:00 1 5da98619de16f8f787de2adccee39e3c
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/10/1972 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LILLY OLVA SINTA TUMEMBOUW 052720 47
17193 DR RALF PANGALILA,SPM 0309R0191019V004384 0000905349328 3;JKN
linda03; 5.3.9.201904290125 4 83330 1#0##0#0#0.0#2019-10-31
07:19:49#0#00:00:00#00:00:00#00:00:00 1 45865e1a86130d0108429ad0c255c811
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/09/1987 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SELVI UDUNG 052100 32 11745 DR SAUL
RAPAR,SPM 0309R0191019V004382 0000907977104 3;JKN linda03;
5.3.9.201904290125 4 83331 1#0##0#0#0.0#2019-10-31
07:20:38#0#00:00:00#00:00:00#00:00:00 1 ef53fff85fbbd3142b9d0617315d07dd
7171104 C 3 CP 2 28/10/2019 28/10/2019 17/04/1990 0 2
1 Z09.8;H33.0;H57.8 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHARLA MARIA BORANG 049919 29 10786
DR SALAM SURBAKTI,SPM 0309R0191019V004381 0001604443678 3;JKN
linda03; 5.3.9.201904290125 4 83332 1#0##0#0#0.0#2019-10-31
07:24:09#0#00:00:00#00:00:00#00:00:00 1 fa032e2154dbf12ecb195a9df3cca63e
7171104 C 3 CP 2 28/10/2019 28/10/2019 18/11/1969 0 1
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NOLDY WENSEN 051568 49 18241 DR
IVONNE RAMENUSA,SPM 0309R0191019V004380 0002779020009 3;JKN linda03;
5.3.9.201904290125 4 83341 1#0##0#0#0.0#2019-10-31
07:35:23#0#00:00:00#00:00:00#00:00:00 1 e928bdffd358da366f1ad6f80a581699
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/09/1936 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WELIANA KAHUMBAHU 051772 83 30372 DR IVONNE
RAMENUSA,SPM 0309R0191019V004379 0000907969577 3;JKN linda03;
5.3.9.201904290125 4 83343 1#0##0#0#0.0#2019-10-31
07:39:12#0#00:00:00#00:00:00#00:00:00 1 9e25f6b0d63df5945a00a59c38b30da6
7171104 C 3 CP 2 28/10/2019 28/10/2019 19/05/1953 0 1
1 Z09.8;H18.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUNAIDY SANGKOP 051853 66 24268 DR
IVONNE RAMENUSA,SPM 0309R0191019V004377 0002893813929 3;JKN linda03;
5.3.9.201904290125 4 83344 1#0##0#0#0.0#2019-10-31
07:40:18#0#00:00:00#00:00:00#00:00:00 1 7084f94af0fc553ada2a41987cfd264e
7171104 C 3 CP 2 28/10/2019 28/10/2019 31/01/1956 0 1
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANDRIAS MONINGKA 051630 63 23281 DR
SAUL RAPAR,SPM 0309R0191019V004376 0000909541989 3;JKN linda03;
5.3.9.201904290125 4 83347 1#0##0#0#0.0#2019-10-31
07:43:21#0#00:00:00#00:00:00#00:00:00 1 a3cb07120f895066c421dbcd1f1ced62
7171104 C 3 CP 2 28/10/2019 28/10/2019 15/06/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIEN TUMIMOMOR 052441 74 27163 DR RALF
PANGALILA,SPM 0309R0191019V004375 0002610778228 3;JKN linda03;
5.3.9.201904290125 4 83349 1#0##0#0#0.0#2019-10-31
07:44:26#0#00:00:00#00:00:00#00:00:00 1 02c869dc5e1811d59f3f8e0b31c8b5a9
7171104 C 3 CP 2 28/10/2019 28/10/2019 24/12/1970 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEVI YOVI ROMPIS 051948 48 17840 DR SAUL
RAPAR,SPM 0309R0191019V004374 0001448801548 3;JKN linda03;
5.3.9.201904290125 4 83350 1#0##0#0#0.0#2019-10-31
07:50:04#0#00:00:00#00:00:00#00:00:00 1 e8a34ffe06cea51a51cd59730f208a41
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/08/1972 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LEONITHA SOETEKAD 018017 47 17254 DR RALF
PANGALILA,SPM 0309R0191019V004373 0000907877259 3;JKN linda03;
5.3.9.201904290125 4 83351 1#0##0#0#0.0#2019-10-31
07:52:22#0#00:00:00#00:00:00#00:00:00 1 908d6a384c90e90a3ca236718d56f683
7171104 C 3 CP 2 28/10/2019 28/10/2019 15/06/1942 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RABAIA BANGKI MOKODONGAN 052512 77
28259 DR SAUL RAPAR,SPM 0309R0191019V004369 0000138046825 3;JKN
linda03; 5.3.9.201904290125 4 83352 1#0##0#0#0.0#2019-10-31
07:54:09#0#00:00:00#00:00:00#00:00:00 1 0f45c4db8ac1f3693e7d3f6eadd85e56
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/06/1961 0 1
1 Z09.0;H11.0;H52.2;H52.4 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUNUS SASIKOME 052099 58 21333 DR
SAUL RAPAR,SPM 0309R0191019V004368 0000908040622 3;JKN linda03;
5.3.9.201904290125 4 83353 1#0##0#0#0.0#2019-10-31
07:58:19#0#00:00:00#00:00:00#00:00:00 1 832768419efa22c58b819cde316d4a4e
7171104 C 3 CP 2 28/10/2019 28/10/2019 30/07/1959 0 1
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TESMAN LONDO 052377 60 22005 DR
IVONNE RAMENUSA,SPM 0309R0191019V004367 0001572604479 3;JKN linda03;
5.3.9.201904290125 4 83355 1#0##0#0#0.0#2019-10-31
07:59:22#0#00:00:00#00:00:00#00:00:00 1 3ec3732846d55fd033a349fe7c9a55d8
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/03/1975 0 2
1 Z09.8;H35.3;E11.3 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLVANY R. USSU 052229 44 16312 DR
SALAM SURBAKTI,SPM 0309R0191019V004366 0000910248186 3;JKN linda03;
5.3.9.201904290125 4 83356 1#0##0#0#0.0#2019-10-31
08:00:22#0#00:00:00#00:00:00#00:00:00 1 401351f6bfd3598480c528f2a360e630
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/03/1962 0 1
1 Z09.8;H33.0;H57.8 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARNES DOMINSILI 051239 57 21060 DR
DYANA T.WATANIA,SPM 0309R0191019V004365 0000911365773 3;JKN linda03;
5.3.9.201904290125 4 83366 1#0##0#0#0.0#2019-10-31
08:17:14#0#00:00:00#00:00:00#00:00:00 1 c5db51c3411119f80ce2d85ca95db3ce
7171104 C 3 CP 2 28/10/2019 28/10/2019 03/01/1948 0 1
1 Z09.8;T85.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YAKOB PUNUINDOONG 047768 71 26231 DR
SALAM SURBAKTI,SPM 0309R0191019V004364 0002252556854 3;JKN linda03;
5.3.9.201904290125 4 83368 1#0##0#0#0.0#2019-10-31
08:38:52#0#00:00:00#00:00:00#00:00:00 2 17bb0e1740c39fb9c3290024b1240eab
7171104 C 3 CP 2 28/10/2019 28/10/2019 29/09/1958 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SEMI SOLEMAN 052050 61 22309 DR SAUL
RAPAR,SPM 0309R0191019V004363 0000908443236 3;JKN linda03;
5.3.9.201904290125 4 83372 1#0##0#0#0.0#2019-10-31
09:03:47#0#00:00:00#00:00:00#00:00:00 1 9677a05f2ac7f831addcf50cbfc5b5ef
7171104 C 3 CP 2 28/10/2019 28/10/2019 13/11/1960 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NOLIN TANGKA 052489 58 21533 DR
SALAM SURBAKTI,SPM 0309R0191019V004362 0001569814784 3;JKN linda03;
5.3.9.201904290125 4 83374 1#0##0#0#0.0#2019-10-31
09:04:35#0#00:00:00#00:00:00#00:00:00 1 890c3305eb602bde0ee41c07e844dd91
7171104 C 3 CP 2 28/10/2019 28/10/2019 16/06/1939 0 2
1 Z09.8;H43.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIANA GONI 052655 80 29354 DR
RALF PANGALILA,SPM 0309R0191019V004359 0001565073055 3;JKN linda03;
5.3.9.201904290125 4 83375 1#0##0#0#0.0#2019-10-31
09:09:32#0#00:00:00#00:00:00#00:00:00 1 2ebf548af02141a293187e934d3bb30f
7171104 C 3 CP 2 28/10/2019 28/10/2019 08/03/1970 0 1
1 Z09.8;H26.9;H33.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JITRON KALASE 048186 49 18131 DR
SALAM SURBAKTI,SPM 0309R0191019V004358 0002299810094 3;JKN linda03;
5.3.9.201904290125 4 83378 1#0##0#0#0.0#2019-10-31
09:10:49#0#00:00:00#00:00:00#00:00:00 1 2b951f7fd0fbb06f413cf854776fbf8e
7171104 C 3 CP 2 28/10/2019 28/10/2019 22/02/1964 0 1
1 Z09.8;H43.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KOROMPIS UTU SOLUNG 047034 55 20337
DR SALAM SURBAKTI,SPM 0309R0191019V004357 0000139029748 3;JKN
linda03; 5.3.9.201904290125 4 83380 1#0##0#0#0.0#2019-10-31
09:13:27#0#00:00:00#00:00:00#00:00:00 1 15ad9601f524fc0508f5123df674f775
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/12/2005 0 1
1 H52.2;H53.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NATALNIEL PANAMBUNAN 018022 13 5079
DR SAUL RAPAR,SPM 0309R0191019V004356 0000907879678 3;JKN linda03;
5.3.9.201904290125 4 83382 1#0##0#0#0.0#2019-10-31
09:27:07#0#00:00:00#00:00:00#00:00:00 1 4a7d1bf6457bf3b23e4704eb95ef017d
7171104 C 3 CP 2 28/10/2019 28/10/2019 24/12/1959 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHANIS MASEHI TAIDI 025721 59 21858 DR
SALAM SURBAKTI,SPM 0309R0191019V004355 0002220161793 3;JKN linda03;
5.3.9.201904290125 4 83388 1#0##0#0#0.0#2019-10-31
09:32:01#0#00:00:00#00:00:00#00:00:00 1 180b0ae9ce12b43899340b276f063138
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/10/1969 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FAUJIA HINGO 051115 50 18289 DR
IVONNE RAMENUSA,SPM 0309R0191019V004354 0000908030744 3;JKN linda03;
5.3.9.201904290125 4 83394 1#0##0#0#0.0#2019-10-31
09:33:01#0#00:00:00#00:00:00#00:00:00 1 7eaf9a7e70aef9dab1b89f19875aedb6
7171104 C 3 CP 2 28/10/2019 28/10/2019 26/09/1938 0 1
1 Z09.8;H04.1;H10.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZIANET HAMEL 052649 81 29617 DR
IVONNE RAMENUSA,SPM 0309R0191019V004353 0002062861659 3;JKN linda03;
5.3.9.201904290125 4 83396 1#0##0#0#0.0#2019-10-31
09:35:54#0#00:00:00#00:00:00#00:00:00 1 bee760ba80cc0558bd30d3e08f64fe87
7171104 C 3 CP 2 28/10/2019 28/10/2019 23/12/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MATHILDA ANTAMENG 000105 71 26242 DR RALF
PANGALILA,SPM 0309R0191019V004352 0000137543826 3;JKN linda03;
5.3.9.201904290125 4 83399 1#0##0#0#0.0#2019-10-31
09:38:01#0#00:00:00#00:00:00#00:00:00 1 34e62d9f525d8528f15eae0eb4ba7208
7171104 C 3 CP 2 28/10/2019 28/10/2019 24/07/1985 0 1
1 Z09.8;H18.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RAHMAN PAKAYA 040310 34 12514 DR
IVONNE RAMENUSA,SPM 0309R0191019V004351 0001568109543 3;JKN linda03;
5.3.9.201904290125 4 83403 1#0##0#0#0.0#2019-10-31
09:39:08#0#00:00:00#00:00:00#00:00:00 1 a209f8905a3f44c6f073e894f36b59da
7171104 C 3 CP 2 28/10/2019 28/10/2019 02/08/1953 0 2
1 Z96.1;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONI NETY NAJOAN 052636 66 24193 DR
SALAM SURBAKTI,SPM 0309R0191019V004350 0002073384371 3;JKN linda03;
5.3.9.201904290125 4 83405 1#0##0#0#0.0#2019-10-31
09:40:11#0#00:00:00#00:00:00#00:00:00 1 4462aa05ca78b047c34f1f4b7440a4b0
7171104 C 3 CP 2 28/10/2019 28/10/2019 29/03/1943 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FEMMI MASSIE 052194 76 27972 DR SAUL
RAPAR,SPM 0309R0191019V004349 0001568007483 3;JKN linda03;
5.3.9.201904290125 4 83406 1#0##0#0#0.0#2019-10-31
09:40:56#0#00:00:00#00:00:00#00:00:00 1 209633a4ccf48bd2f4d6c406d4adc3a5
7171104 C 3 CP 2 28/10/2019 28/10/2019 17/08/1985 0 1
1 Z09.8;H43.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AGUSTINUS O.SINUNDENG 048589 34 12490
DR SALAM SURBAKTI,SPM 0309R0191019V004348 0000195425054 3;JKN
linda03; 5.3.9.201904290125 4 83407 1#0##0#0#0.0#2019-10-31
09:42:16#0#00:00:00#00:00:00#00:00:00 1 c8d671f11d048b951a4091ceea4a6103
7171104 C 3 CP 2 28/10/2019 28/10/2019 20/04/1960 0 1
1 Z09.8;H33.0;H57.8 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ASSA ADRIE 043656 59 21740 DR SALAM
SURBAKTI,SPM 0309R0191019V004346 0000137302604 3;JKN linda03;
5.3.9.201904290125 4 83409 1#0##0#0#0.0#2019-10-31
09:43:49#0#00:00:00#00:00:00#00:00:00 1 504759ded9ed4e3ba21d00382aa74ac4
7171104 C 3 CP 2 28/10/2019 28/10/2019 20/11/1971 0 2
1 Z96.1;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SARKONO NUNGAN 052651 47 17509 DR
RALF PANGALILA,SPM 0309R0191019V004345 0001568126575 3;JKN linda03;
5.3.9.201904290125 4 83410 1#0##0#0#0.0#2019-10-31
09:44:36#0#00:00:00#00:00:00#00:00:00 1 3f65cb62197469b6518cb78cc8263d90
7171104 C 3 CP 2 28/10/2019 28/10/2019 16/09/1957 0 1
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HAMZA DUHE 052124 62 22687 DR SALAM
SURBAKTI,SPM 0309R0191019V004344 0000908157789 3;JKN linda03;
5.3.9.201904290125 4 83412 1#0##0#0#0.0#2019-10-31
09:46:14#0#00:00:00#00:00:00#00:00:00 1 b9bae9ac122aec6826c96cc23dba25d9
7171104 C 3 CP 2 28/10/2019 28/10/2019 06/10/1978 0 2
1 Z09.8;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUNITA SEKOH 052476 41 14997 DR
IVONNE RAMENUSA,SPM 0309R0191019V004343 0002388528178 3;JKN linda03;
5.3.9.201904290125 4 83414 1#0##0#0#0.0#2019-10-31
09:47:32#0#00:00:00#00:00:00#00:00:00 1 213b789bf188e602679e2263511c2cc3
7171104 C 3 CP 2 28/10/2019 28/10/2019 19/10/1944 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KARSUM A HARUN 046939 75 27402 DR IVONNE
RAMENUSA,SPM 0309R0191019V004342 0000139068797 3;JKN linda03;
5.3.9.201904290125 4 83416 1#0##0#0#0.0#2019-10-31
09:48:19#0#00:00:00#00:00:00#00:00:00 1 3174165911458de10d21cf77c422c433
7171104 C 3 CP 2 28/10/2019 28/10/2019 16/12/1969 0 1
1 Z09.8;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LIONEL PATRAS 052443 49 18213 DR
SALAM SURBAKTI,SPM 0309R0191019V004340 0002319492925 3;JKN linda03;
5.3.9.201904290125 4 83417 1#0##0#0#0.0#2019-10-31
09:50:49#0#00:00:00#00:00:00#00:00:00 1 92c9faad215cd51487d4dc236a923d84
7171104 C 3 CP 2 28/10/2019 28/10/2019 19/07/1961 0 2
1 Z96.1;H35.2;H33.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JENY FRIDA SINGON 034102 58 21285 DR
SALAM SURBAKTI,SPM 0309R0191019V004370 0001789984269 3;JKN linda03;
5.3.9.201904290125 4 83425 1#0##0#0#0.0#2019-10-31
09:59:43#0#00:00:00#00:00:00#00:00:00 1 1ef201f19914d823ac6ef57fce49baa3
7171104 C 3 CP 2 28/10/2019 28/10/2019 21/03/1998 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MERSY SUMANGKUT 052871 21 7891 DR SAUL
RAPAR,SPM 0309R0191019V004347 0001813206262 3;JKN linda03;
5.3.9.201904290125 4 83408 1#0##0#0#0.0#2019-11-04
13:53:45#0#00:00:00#00:00:00#00:00:00 1 0053eac7c767e6f044d6a221fb58eb59
7171104 C 3 CP 2 28/10/2019 28/10/2019 06/02/1943 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 SOFITJE RAINTUNG 024959 76 28023 DR RALF
PANGALILA,SPM 0309R0191019V004341 0001830650837 3;JKN Boni04;
5.3.9.201904290125 4 84495 1#0##0#0#0.0#2019-11-06
13:48:00#0#00:00:00#00:00:00#00:00:00 1 9b2e4f83dae384256c29646509c223fa
7171104 C 3 CP 2 28/10/2019 28/10/2019 12/01/1946 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 G. SUMENDAP 005355 73 26952 DR RALF
PANGALILA,SPM 0309R0191019V004392 0000138157277 3;JKN Boni04;
5.3.9.201904290125 4 84496 1#0##0#0#0.0#2019-11-06
13:48:55#0#00:00:00#00:00:00#00:00:00 1 d00b2eb07fa9cb2f34c5b3c0997857fe
7171104 C 3 CP 2 28/10/2019 28/10/2019 02/09/1959 0 1
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 VENTJE LODEWYK WOLLAH 032524 60 21971 DR
RALF PANGALILA,SPM 0309R0191019V004442 0000137798673 3;JKN Boni04;
5.3.9.201904290125 4 84497 1#0##0#0#0.0#2019-11-06
13:50:14#0#00:00:00#00:00:00#00:00:00 1 c982fa2981fd01dd856ca2f4aff1e27c
7171104 C 3 CP 2 28/10/2019 28/10/2019 21/10/1966 0 2
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 SANDRA H LENGKONG 047899 53 19365 DR
SALAM SURBAKTI,SPM 0309R0191019V004462 0001431405819 3;JKN Boni04;
5.3.9.201904290125 4 84498 1#0##0#0#0.0#2019-11-06
13:51:46#0#00:00:00#00:00:00#00:00:00 1 ddf0a0af1cf3ad6ead06cc49916b860c
7171104 C 3 CP 2 28/10/2019 28/10/2019 22/09/1963 0 2
1 H35.2 14.24 - - None None None None H-3-10-0 None None
None None None None PROSEDUR LASER SEDANG PADA MATA 476900 0
0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 NURHAYATI RIUNG 052427 56 20490 DR
SALAM SURBAKTI,SPM 0309R0191019V004466 0001570060383 3;JKN Boni04;
5.3.9.201904290125 4 84499 1#0##0#0#0.0#2019-11-06
13:52:47#0#00:00:00#00:00:00#00:00:00 1 4a2c745ee6feef55a895ff9fea1c6484
7171104 C 3 CP 2 28/10/2019 28/10/2019 09/01/1983 0 1
1 H35.4 14.34 - - None None None None H-2-37-0 None None
None None None None PROSEDUR PHOTOKOAGULASI DAN KRIOTHERAPI PADA RETINA
775400 0 0 - 0 - 0 - 0 - 0 775400
370400 0 1 0 0 0 RUDOLF YONATHAN WEHANTOUW 046116
36 13441 DR SALAM SURBAKTI,SPM 0309R0191019V004408 0002744894283
3;JKN Boni04; 5.3.9.201904290125 4 84500 1#0##0#0#0.0#2019-11-06
13:54:42#0#00:00:00#00:00:00#00:00:00 1 e859694c401f4c9e5b5e2d64bab38716
7171104 C 3 CP 2 28/10/2019 28/10/2019 18/01/1947 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 DOORTYE Y. KEPEL 050560 72 26581 DR SALAM
SURBAKTI,SPM 0309R0191019V004371 0002039844655 3;JKN Boni04;
5.3.9.201904290125 4 84501 1#0##0#0#0.0#2019-11-06
13:56:04#0#00:00:00#00:00:00#00:00:00 1 eceb2d04bf1e1137c11d1dc235d732d3
7171104 C 3 CP 2 28/10/2019 28/10/2019 20/02/1940 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 LIS SUMARAUW 052876 79 29105 DR SALAM
SURBAKTI,SPM 0309R0191019V004395 0001278469528 3;JKN Boni04;
5.3.9.201904290125 4 84502 1#0##0#0#0.0#2019-11-06
13:57:19#0#00:00:00#00:00:00#00:00:00 1 f5fffe1350132db8acc16d0c2b558ac4
7171104 C 3 CP 2 28/10/2019 28/10/2019 03/04/1940 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 ALTJE LINTJEWAS 052750 79 29062 DR SALAM
SURBAKTI,SPM 0309R0191019V004426 0001290316241 3;JKN Boni04;
5.3.9.201904290125 4 84503 1#0##0#0#0.0#2019-11-06
13:58:18#0#00:00:00#00:00:00#00:00:00 1 c2991c45e731ecfd8ee6afe4c81e8640
7171104 C 3 CP 2 28/10/2019 28/10/2019 24/02/1957 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 VENTJE SAMOLA
052395 62 22891 DR DYANA T.WATANIA,SPM 0309R0191019V004455
0001431620177 3;JKN Boni04; 5.3.9.201904290125 4 84504
1#0##0#0#0.0#2019-11-06 14:00:34#0#00:00:00#00:00:00#00:00:00 1
126d2ae74633a3a96e1749f725c63b32
7171104 C 3 CP 2 28/10/2019 28/10/2019 11/02/1951 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MERRY MAMUAJA
052822 68 25096 DR DYANA T.WATANIA,SPM 0309R0191019V004528
0000137141706 3;JKN Boni04; 5.3.9.201904290125 4 84505
1#0##0#0#0.0#2019-11-06 14:01:16#0#00:00:00#00:00:00#00:00:00 1
8c5ce069bb0b6eb966a1c60b412e8460
7171104 C 3 CP 2 28/10/2019 28/10/2019 28/07/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 KATOCE KATIHO
052804 71 26024 DR DYANA T.WATANIA,SPM 0309R0191019V004555
0001571219728 3;JKN Boni04; 5.3.9.201904290125 4 84506
1#0##0#0#0.0#2019-11-06 14:02:11#0#00:00:00#00:00:00#00:00:00 1
bb15c198aaf1892ded36f46c5653eb84
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/07/1957 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARIA TAMUNTUAN
052751 62 22764 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004360
0000905738703 3;JKN Boni04; 5.3.9.201904290125 4 84507
1#0##0#0#0.0#2019-11-06 14:03:39#0#00:00:00#00:00:00#00:00:00 1
3e940a3c76ed44e9d9df9bb355fcfd51
7171104 C 3 CP 2 28/10/2019 28/10/2019 18/10/1939 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 RUDI EDI SOEDJARTO
052756 80 29230 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004431
0002196479597 3;JKN Boni04; 5.3.9.201904290125 4 84508
1#0##0#0#0.0#2019-11-06 14:04:20#0#00:00:00#00:00:00#00:00:00 1
6a7ffd96351e6a1a720b7898e3981a48
7171104 C 3 CP 2 28/10/2019 28/10/2019 20/09/1946 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 BERNHARD W. SEKE
052704 73 26701 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004378
0000138243802 3;JKN Boni04; 5.3.9.201904290125 4 84511
1#0##0#0#0.0#2019-11-06 14:08:20#0#00:00:00#00:00:00#00:00:00 1
0f4595e155445c6d102be8429776b076
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/01/1957 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 RUSLI ABDULSALAM
051662 62 22945 DR YULIANA HARTONO,SPM 0309R0191019V004505
0000906662924 3;JKN Boni04; 5.3.9.201904290125 4 84513
1#0##0#0#0.0#2019-11-06 14:10:03#0#00:00:00#00:00:00#00:00:00 1
045f8e10211ebf7bc9393753c9583816
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/01/1957 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 BERNI TATUNDUGE
052660 62 22945 DR YULIANA HARTONO,SPM 0309R0191019V004507
0000909315088 3;JKN Boni04; 5.3.9.201904290125 4 84514
1#0##0#0#0.0#2019-11-06 14:10:44#0#00:00:00#00:00:00#00:00:00 1
a2b109a70220ea9094cb6ab60a13cbc1
7171104 C 3 CP 2 28/10/2019 28/10/2019 27/02/1952 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOUKE JOHAN
LANTANG 052658 67 24715 DR YULIANA HARTONO,SPM 0309R0191019V004493
0001793524814 3;JKN Boni04; 5.3.9.201904290125 4 84515
1#0##0#0#0.0#2019-11-06 14:11:37#0#00:00:00#00:00:00#00:00:00 1
b0518f941a2f7ebe8c0de85201834c09
7171104 C 3 CP 2 28/10/2019 28/10/2019 15/08/1954 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 STIENTJE MONONEGE
051420 65 23815 DR YULIANA HARTONO,SPM 0309R0191019V004501
0002465377457 3;JKN Boni04; 5.3.9.201904290125 4 84516
1#0##0#0#0.0#2019-11-06 14:12:24#0#00:00:00#00:00:00#00:00:00 1
3dac43974bf7ea472be8898073ac7bf2
7171104 C 3 CP 2 28/10/2019 28/10/2019 13/08/1961 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YUNUS SUMAMPOUW
052787 58 21260 DR YULIANA HARTONO,SPM 0309R0191019V004498
0001604483436 3;JKN Boni04; 5.3.9.201904290125 4 84517
1#0##0#0#0.0#2019-11-06 14:13:09#0#00:00:00#00:00:00#00:00:00 1
79cd1148c81eff08dff4b4eed071ed53
7171104 C 3 CP 2 28/10/2019 28/10/2019 27/09/1953 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LAURINA JANSEN
052782 66 24137 DR YULIANA HARTONO,SPM 0309R0191019V004509
0001872776305 3;JKN Boni04; 5.3.9.201904290125 4 84519
1#0##0#0#0.0#2019-11-06 14:20:24#0#00:00:00#00:00:00#00:00:00 1
c5b08b472e8bdfac0536c855fde0b768
7171104 C 3 CP 2 28/10/2019 28/10/2019 30/10/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ENGELIN RONDONUWU
052657 66 24469 DR YULIANA HARTONO,SPM 0309R0191019V004483
0001793525354 3;JKN Boni04; 5.3.9.201904290125 4 84522
1#0##0#0#0.0#2019-11-06 14:22:57#0#00:00:00#00:00:00#00:00:00 1
94059c88750e6c054bd31efa9b3c17c2
7171104 C 3 CP 2 28/10/2019 28/10/2019 18/07/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HELLY H. LENGKONG
052659 71 26034 DR YULIANA HARTONO,SPM 0309R0191019V004480
0001794885816 3;JKN Boni04; 5.3.9.201904290125 4 84525
1#0##0#0#0.0#2019-11-06 14:23:45#0#00:00:00#00:00:00#00:00:00 1
b1a05e6667b22c20d9e67be5d476e764
7171104 C 3 CP 2 28/10/2019 28/10/2019 19/07/1956 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHNY TUMEWAN
052646 63 23111 DR YULIANA HARTONO,SPM 0309R0191019V004478
0000137748791 3;JKN Boni04; 5.3.9.201904290125 4 84527
1#0##0#0#0.0#2019-11-06 14:24:28#0#00:00:00#00:00:00#00:00:00 1
2064ced275930e38733c99cc7351fa0c
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/07/1944 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 CELCIUS SILANGEN
052213 75 27512 DR.MELISA RATAG,SPM 0309R0191019V004452
0000908067418 3;JKN Boni04; 5.3.9.201904290125 4 84528
1#0##0#0#0.0#2019-11-06 14:26:00#0#00:00:00#00:00:00#00:00:00 1
70f271441b47abbbeef25d8176211075
7171104 C 3 CP 2 28/10/2019 28/10/2019 19/01/1963 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HALIM HARI BOHAM
052278 56 20736 DR.MELISA RATAG,SPM 0309R0191019V004361
0002641327839 3;JKN Boni04; 5.3.9.201904290125 4 84532
1#0##0#0#0.0#2019-11-06 14:29:33#0#00:00:00#00:00:00#00:00:00 1
b388911493c5b5cf0a20690e784942d4
7171104 C 3 CP 2 28/10/2019 28/10/2019 17/07/1940 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YULIN SUMANTI
052561 79 28957 DR.MELISA RATAG,SPM 0309R0191019V004438
0002388050943 3;JKN Boni04; 5.3.9.201904290125 4 84533
1#0##0#0#0.0#2019-11-06 14:30:07#0#00:00:00#00:00:00#00:00:00 1
b50914cfe256c860ae020c2ccb45b82f
7171104 C 3 CP 2 28/10/2019 28/10/2019 25/06/1960 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JUSTIEN KARUNGU
052011 59 21674 DR.MELISA RATAG,SPM 0309R0191019V004463
0001791034749 3;JKN Boni04; 5.3.9.201904290125 4 84534
1#0##0#0#0.0#2019-11-06 14:30:52#0#00:00:00#00:00:00#00:00:00 1
7914801dfa576d718c982f05f8d5dbe7
7171104 C 3 CP 2 28/10/2019 28/10/2019 10/10/1952 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JONATHAN SASAKO
052867 67 24489 DR.MELISA RATAG,SPM 0309R0191019V004439
0002304236283 3;JKN Boni04; 5.3.9.201904290125 4 84535
1#0##0#0#0.0#2019-11-06 14:31:37#0#00:00:00#00:00:00#00:00:00 1
5de757a40dffe93afb96e33cd38c78f0
7171104 C 3 CP 2 28/10/2019 28/10/2019 23/02/1953 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FREDIKA BEATRIK
MANOPPO 052819 66 24353 DR.MELISA RATAG,SPM 0309R0191019V004372
0000137230075 3;JKN Boni04; 5.3.9.201904290125 4 84536
1#0##0#0#0.0#2019-11-06 14:32:32#0#00:00:00#00:00:00#00:00:00 1
65a0f723310346847e3faf20ad02c66f
7171104 C 3 CP 2 28/10/2019 28/10/2019 23/07/1971 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SITI HALIMA 052560
48 17629 DR.MELISA RATAG,SPM 0309R0191019V004383 0002389303001
3;JKN Boni04; 5.3.9.201904290125 4 84537 1#0##0#0#0.0#2019-11-06
14:33:23#0#00:00:00#00:00:00#00:00:00 1 251c02b97ea47bd173034b8abc861dfa
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/10/1954 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HOLCE PUNGUS
052711 65 23768 DR.MELISA RATAG,SPM 0309R0191019V004416
0000908512402 3;JKN Boni04; 5.3.9.201904290125 4 84540
1#0##0#0#0.0#2019-11-06 14:34:55#0#00:00:00#00:00:00#00:00:00 1
01307f6823722549300d137e6537abd9
7171104 C 3 CP 2 28/10/2019 28/10/2019 06/07/1947 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SAMIRAN 052863
72 26412 DR.MELISA RATAG,SPM 0309R0191019V004410 0000138068853
3;JKN Boni04; 5.3.9.201904290125 4 84541 1#0##0#0#0.0#2019-11-06
14:35:44#0#00:00:00#00:00:00#00:00:00 1 76ca77cbbca340a149daebb066cc9ada
7171104 C 3 CP 2 28/10/2019 28/10/2019 18/12/1930 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ROBERT LUMEMPOWI
052870 88 32456 DR.MELISA RATAG,SPM 0309R0191019V004411
0001295655197 3;JKN Boni04; 5.3.9.201904290125 4 84543
1#0##0#0#0.0#2019-11-06 14:36:54#0#00:00:00#00:00:00#00:00:00 1
91f3cb9974168246226b995a7e5c9d15
7171104 C 3 CP 2 28/10/2019 28/10/2019 01/12/1958 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ADELIN RENGKUNG
052228 60 22246 DR.MELISA RATAG,SPM 0309R0191019V004397
0000905227244 3;JKN Boni04; 5.3.9.201904290125 4 84545
1#0##0#0#0.0#2019-11-06 14:37:47#0#00:00:00#00:00:00#00:00:00 1
011ce3724381195e332801ea927e0223
7171104 C 3 CP 2 28/10/2019 28/10/2019 23/08/1957 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YETTI TOMBOKAN 051011 62 22711 DR
YULIANA HARTONO,SPM 0309R0191019V004485 0001898402793 3;JKN Patrick K.;
5.3.9.201904290125 4 84599 1#0##0#0#0.0#2019-11-08
09:35:08#0#00:00:00#00:00:00#00:00:00 1 a0c1b103d2aca37bcecda04a4fe7d535
7171104 C 3 CP 2 29/10/2019 29/10/2019 15/10/1959 0 2
1 H40.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOKIBET NILAHI 052931 60 21929 DR YULIANA
HARTONO,SPM 0309R0191019V004762 0000911339223 3;JKN Vian02;
5.3.9.201904290125 4 83218 1#0##0#0#0.0#2019-10-30
11:53:23#0#00:00:00#00:00:00#00:00:00 1 48e52697d19629bbd7f6bb3cca24a6e8
7171104 C 3 CP 2 29/10/2019 29/10/2019 08/08/1951 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALTJE MARIA RAMBI 052932 68 24919 DR.MELISA
RATAG,SPM 0309R0191019V004763 0000138116722 3;JKN Vian02;
5.3.9.201904290125 4 83226 1#0##0#0#0.0#2019-10-30
11:54:20#0#00:00:00#00:00:00#00:00:00 1 320fb5305576bd201647079ce0c9826c
7171104 C 3 CP 2 29/10/2019 29/10/2019 27/06/1950 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIANA MENCI ENGKOL 015757 69 25326
DR.MELISA RATAG,SPM 0309R0191019V004764 0002049084652 3;JKN
Vian02; 5.3.9.201904290125 4 83229 1#0##0#0#0.0#2019-10-30
12:20:10#0#00:00:00#00:00:00#00:00:00 1 bcee0178680d8194f6ea02ba59f2d065
7171104 C 3 CP 2 29/10/2019 29/10/2019 15/02/2000 0 1
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RIVALDO EFRAIM UHING 041360 19 7196
DR DYANA T.WATANIA,SPM 0309R0191019V004765 0001968496492 3;JKN
Vian02; 5.3.9.201904290125 4 83245 1#0##0#0#0.0#2019-10-30
12:20:56#0#00:00:00#00:00:00#00:00:00 1 3857526f6657f034428c4c3924a55695
7171104 C 3 CP 2 29/10/2019 29/10/2019 15/09/1962 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HUSNA UMAR 052267 57 20863 DR YULIANA
HARTONO,SPM 0309R0191019V004766 0001318419279 3;JKN Vian02;
5.3.9.201904290125 4 83246 1#0##0#0#0.0#2019-10-30
12:21:41#0#00:00:00#00:00:00#00:00:00 1 1c0e9b0c65f257cd0b008961b627126e
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/05/1963 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PIRANG DERAK 051886 56 20635
DR.MELISA RATAG,SPM 0309R0191019V004767 0000907813348 3;JKN
Vian02; 5.3.9.201904290125 4 83251 1#0##0#0#0.0#2019-10-30
12:26:33#0#00:00:00#00:00:00#00:00:00 1 e1986ab6d4f0c0d93307506d533c087d
7171104 C 3 CP 2 29/10/2019 29/10/2019 07/04/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ENNY AWUY 025588 70 25772 DR YULIANA
HARTONO,SPM 0309R0191019V004768 0001308474909 3;JKN Vian02;
5.3.9.201904290125 4 83252 1#0##0#0#0.0#2019-10-30
12:27:29#0#00:00:00#00:00:00#00:00:00 1 e3eb1807a380d9668977047546aa1cd8
7171104 C 3 CP 2 29/10/2019 29/10/2019 14/06/1958 0 2
1 Z96.1;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JENNY MANOPO 003639 61 22417 DR
DYANA T.WATANIA,SPM 0309R0191019V004769 0000139736518 3;JKN Vian02;
5.3.9.201904290125 4 83253 1#0##0#0#0.0#2019-10-30
12:28:37#0#00:00:00#00:00:00#00:00:00 1 16541c6a547af32c060a890be014ddee
7171104 C 3 CP 2 29/10/2019 29/10/2019 24/05/1960 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MEIKE RATTU 044092 59 21707 DR DYANA
T.WATANIA,SPM 0309R0191019V004770 0002388049277 3;JKN Vian02;
5.3.9.201904290125 4 83258 1#0##0#0#0.0#2019-10-30
12:34:01#0#00:00:00#00:00:00#00:00:00 1 3e068aad0380c085740d8cec582d8675
7171104 C 3 CP 2 29/10/2019 29/10/2019 08/02/1942 0 1
1 Z09.8;H52.1;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ABUBAKAR MADIU 016417 77 28387
DR.MELISA RATAG,SPM 0309R0191019V004771 0002058469389 3;JKN
Vian02; 5.3.9.201904290125 4 83260 1#0##0#0#0.0#2019-10-30
12:35:17#0#00:00:00#00:00:00#00:00:00 1 eabc165c8afa0e226d2e06d7af163fd1
7171104 C 3 CP 2 29/10/2019 29/10/2019 23/02/1964 0 1
1 Z09.8;H52.2;H11.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JEFRY MAILANGKAY 052824 55 20337 DR
DYANA T.WATANIA,SPM 0309R0191019V004772 0000138637855 3;JKN Vian02;
5.3.9.201904290125 4 83264 1#0##0#0#0.0#2019-10-30
12:37:51#0#00:00:00#00:00:00#00:00:00 1 41ce815308922a8206852132e100faa7
7171104 C 3 CP 2 29/10/2019 29/10/2019 24/12/1948 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YELTJE PANTOW 052929 70 25876 DR DYANA
T.WATANIA,SPM 0309R0191019V004773 0002223990562 3;JKN Vian02;
5.3.9.201904290125 4 83267 1#0##0#0#0.0#2019-10-30
12:38:50#0#00:00:00#00:00:00#00:00:00 1 fcf23cbda75833830a592297ed58a5d8
7171104 C 3 CP 2 29/10/2019 29/10/2019 13/01/1965 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALTJE JENY KEWAS 046561 54 20012
DR.MELISA RATAG,SPM 0309R0191019V004775 0001569863092 3;JKN
Vian02; 5.3.9.201904290125 4 83269 1#0##0#0#0.0#2019-10-30
12:40:07#0#00:00:00#00:00:00#00:00:00 1 6ffa0b2d8f4fae5c9ad06acc2bad0c22
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/12/1959 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JARWATI HARJA 052568 59 21882 DR YULIANA
HARTONO,SPM 0309R0191019V004776 0000909508476 3;JKN Vian02;
5.3.9.201904290125 4 83271 1#0##0#0#0.0#2019-10-30
12:41:01#0#00:00:00#00:00:00#00:00:00 1 ce115fa305c85961ba7962100478cdba
7171104 C 3 CP 2 29/10/2019 29/10/2019 16/05/1958 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YOHANI PORMARA 052522 61 22446
DR.MELISA RATAG,SPM 0309R0191019V004777 0000138200275 3;JKN
Vian02; 5.3.9.201904290125 4 83273 1#0##0#0#0.0#2019-10-30
12:41:57#0#00:00:00#00:00:00#00:00:00 1 cb156cf2965fca2d0f3bab505d94c738
7171104 C 3 CP 2 29/10/2019 29/10/2019 14/09/1964 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SIANE KAWENGIAN 033982 55 20133 DR.MELISA
RATAG,SPM 0309R0191019V004778 0000139224036 3;JKN Vian02;
5.3.9.201904290125 4 83275 1#0##0#0#0.0#2019-10-30
12:42:56#0#00:00:00#00:00:00#00:00:00 1 ef2ff690c42282bc8d39e6a85c8ba268
7171104 C 3 CP 2 29/10/2019 29/10/2019 22/06/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 GERTJE LOING 035688 69 25331 DR YULIANA
HARTONO,SPM 0309R0191019V004779 0000138420865 3;JKN Vian02;
5.3.9.201904290125 4 83277 1#0##0#0#0.0#2019-10-30
12:43:38#0#00:00:00#00:00:00#00:00:00 1 bf6c0da60b493a3cd917b8f9d11846a5
7171104 C 3 CP 2 29/10/2019 29/10/2019 10/03/1957 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ESTHER PONGOH 004237 62 22878
DR.MELISA RATAG,SPM 0309R0191019V004780 0000137797378 3;JKN
Vian02; 5.3.9.201904290125 4 83278 1#0##0#0#0.0#2019-10-30
12:44:33#0#00:00:00#00:00:00#00:00:00 1 1d247ff73ead0c7641d1f8d1a641aa62
7171104 C 3 CP 2 29/10/2019 29/10/2019 09/06/1943 0 1
1 Z09.8;H43.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUN RUMUAT 051730 76 27901 DR.MELISA
RATAG,SPM 0309R0191019V004781 0000905500798 3;JKN Vian02;
5.3.9.201904290125 4 83280 1#0##0#0#0.0#2019-10-30
12:45:33#0#00:00:00#00:00:00#00:00:00 1 5e087ce4b37089080fbc27ba9a5f3577
7171104 C 3 CP 2 29/10/2019 29/10/2019 23/11/1972 0 2
1 H52.7 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SHERLY NORMA KALENGKONGAN 052933 46 17141
DR.MELISA RATAG,SPM 0309R0191019V004782 0001298872269 3;JKN
Vian02; 5.3.9.201904290125 4 83282 1#0##0#0#0.0#2019-10-30
12:46:44#0#00:00:00#00:00:00#00:00:00 1 862dcabc0d6d5f3fc8ae4dac24346d7a
7171104 C 3 CP 2 29/10/2019 29/10/2019 03/02/1963 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RATNA ROEL 046686 56 20722 DR.MELISA
RATAG,SPM 0309R0191019V004783 0001450537233 3;JKN Vian02;
5.3.9.201904290125 4 83284 1#0##0#0#0.0#2019-10-30
12:48:14#0#00:00:00#00:00:00#00:00:00 1 b3268ce62e985de44c4e57ca4230274d
7171104 C 3 CP 2 29/10/2019 29/10/2019 24/07/1956 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MEIKE JENNY WULLUR 029799 63 23107
DR.MELISA RATAG,SPM 0309R0191019V004784 0001459762176 3;JKN
Vian02; 5.3.9.201904290125 4 83286 1#0##0#0#0.0#2019-10-30
12:50:27#0#00:00:00#00:00:00#00:00:00 1 60196cc899257399f189f647a0353f64
7171104 C 3 CP 2 29/10/2019 29/10/2019 13/05/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LEONARD LASUT 029834 73 26832 DR YULIANA
HARTONO,SPM 0309R0191019V004785 0001459761726 3;JKN Vian02;
5.3.9.201904290125 4 83289 1#0##0#0#0.0#2019-10-30
12:52:39#0#00:00:00#00:00:00#00:00:00 1 53a528ee4856f4f914db480d7f1b242a
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/09/1971 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EVA TELLY MORAY 049238 48 17590
DR.MELISA RATAG,SPM 0309R0191019V004787 0000138502708 3;JKN
Vian02; 5.3.9.201904290125 4 83290 1#0##0#0#0.0#2019-10-30
12:53:46#0#00:00:00#00:00:00#00:00:00 1 158109d0554f44bd9f4960d8b7d41909
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/09/1962 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EMILIA BUDIMAN 052935 57 20877 DR
YULIANA HARTONO,SPM 0309R0191019V004788 0000910276615 3;JKN Vian02;
5.3.9.201904290125 4 83292 1#0##0#0#0.0#2019-10-30
12:55:07#0#00:00:00#00:00:00#00:00:00 1 163fc160f3b70ce60ce4d7d57875a364
7171104 C 3 CP 2 29/10/2019 29/10/2019 15/05/1949 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALMA SALENDA 017014 70 25734
DR.MELISA RATAG,SPM 0309R0191019V004789 0000139068336 3;JKN
Vian02; 5.3.9.201904290125 4 83294 1#0##0#0#0.0#2019-10-30
12:56:07#0#00:00:00#00:00:00#00:00:00 1 e311118f7ad6ae7668db33db11872807
7171104 C 3 CP 2 29/10/2019 29/10/2019 17/06/1974 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VATIMAH ABURERA 052936 45 16570 DR.MELISA
RATAG,SPM 0309R0191019V004790 0002389395857 3;JKN Vian02;
5.3.9.201904290125 4 83297 1#0##0#0#0.0#2019-10-30
12:57:31#0#00:00:00#00:00:00#00:00:00 1 483ad7cfcbb62b62999dd9df2a807805
7171104 C 3 CP 2 29/10/2019 29/10/2019 20/01/1958 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARYAM ROLEH 052307 61 22562 DR YULIANA
HARTONO,SPM 0309R0191019V004791 0002391662283 3;JKN Vian02;
5.3.9.201904290125 4 83300 1#0##0#0#0.0#2019-10-30
12:59:38#0#00:00:00#00:00:00#00:00:00 1 b14a34a19aeef998253f006c31275d1d
7171104 C 3 CP 2 29/10/2019 29/10/2019 08/09/1989 0 1
1 Z09.8;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADRIE MAWIKERE 043791 30 11008
DR.MELISA RATAG,SPM 0309R0191019V004792 0001565227517 3;JKN
Vian02; 5.3.9.201904290125 4 83301 1#0##0#0#0.0#2019-10-30
13:00:39#0#00:00:00#00:00:00#00:00:00 1 841d39206e51bc02141e15260ea18b84
7171104 C 3 CP 2 29/10/2019 29/10/2019 10/06/1969 0 2
1 H52.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DIANA MEISKE PANGUMPIA 052938 50 18403
DR.MELISA RATAG,SPM 0309R0191019V004793 0001604410277 3;JKN
Vian02; 5.3.9.201904290125 4 83303 1#0##0#0#0.0#2019-10-30
13:01:49#0#00:00:00#00:00:00#00:00:00 1 724a878abccd09c8a10462803f1cdd6f
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/02/1973 0 2
1 Z09.8;H52.7 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FINTJE PAMIKIRAN 052752 46 17071 DR
DYANA T.WATANIA,SPM 0309R0191019V004746 0000908895161 3;JKN Vian02;
5.3.9.201904290125 4 83308 1#0##0#0#0.0#2019-10-30
13:07:33#0#00:00:00#00:00:00#00:00:00 1 d6917b8856542d7a2f315f624cefb448
7171104 C 3 CP 2 29/10/2019 29/10/2019 22/09/1942 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STIN LENDONGAN 051181 77 28161
DR.MELISA RATAG,SPM 0309R0191019V004747 0001821599245 3;JKN
Vian02; 5.3.9.201904290125 4 83309 1#0##0#0#0.0#2019-10-30
13:08:37#0#00:00:00#00:00:00#00:00:00 1 01d218b69bc158dcc898b1bb02baa180
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/08/1943 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DANNY MANTIK 034678 76 27848 DR YULIANA
HARTONO,SPM 0309R0191019V004748 0002089121005 3;JKN Vian02;
5.3.9.201904290125 4 83311 1#0##0#0#0.0#2019-10-30
13:10:02#0#00:00:00#00:00:00#00:00:00 1 9bb3eb3ca9fd18acae5c8c36d15cfb9b
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/10/1966 0 1
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FREDY RUATA 052270 53 19386 DR.MELISA
RATAG,SPM 0309R0191019V004749 0000908136641 3;JKN Vian02;
5.3.9.201904290125 4 83312 1#0##0#0#0.0#2019-10-30
13:10:43#0#00:00:00#00:00:00#00:00:00 1 8967b66819ed06c6dd77bbae0b90d9c0
7171104 C 3 CP 2 29/10/2019 29/10/2019 08/03/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SIGARLAKI PANTOW 052404 69 25437 DR YULIANA
HARTONO,SPM 0309R0191019V004750 0000137738103 3;JKN Vian02;
5.3.9.201904290125 4 83313 1#0##0#0#0.0#2019-10-30
13:11:44#0#00:00:00#00:00:00#00:00:00 1 49580f4b19ce010e1d12336b237abae0
7171104 C 3 CP 2 29/10/2019 29/10/2019 22/11/1966 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MASAAT BIN BAHAR 052208 52 19334 DR.MELISA
RATAG,SPM 0309R0191019V004751 0001568720575 3;JKN Vian02;
5.3.9.201904290125 4 83314 1#0##0#0#0.0#2019-10-30
13:12:28#0#00:00:00#00:00:00#00:00:00 1 875d1e31878476e8620f19c257d3c1e6
7171104 C 3 CP 2 29/10/2019 29/10/2019 18/03/1974 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SPRIN PAREDA 029956 45 16661 DR
YULIANA HARTONO,SPM 0309R0191019V004752 0001137129849 3;JKN Vian02;
5.3.9.201904290125 4 83315 1#0##0#0#0.0#2019-10-30
13:13:48#0#00:00:00#00:00:00#00:00:00 1 0e99b10f98a33c492e69d9b605ab1e5c
7171104 C 3 CP 2 29/10/2019 29/10/2019 08/11/1955 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NELTJE LUISA TUUK 052569 63 23366 DR.MELISA
RATAG,SPM 0309R0191019V004753 0000138518212 3;JKN Vian02;
5.3.9.201904290125 4 83316 1#0##0#0#0.0#2019-10-30
13:14:49#0#00:00:00#00:00:00#00:00:00 1 c7ce37cbbf2c77951a882c1859350b5f
7171104 C 3 CP 2 29/10/2019 29/10/2019 04/04/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELISABETH KANDOU 051663 65 23949 DR YULIANA
HARTONO,SPM 0309R0191019V004754 0001424729463 3;JKN Vian02;
5.3.9.201904290125 4 83317 1#0##0#0#0.0#2019-10-30
13:16:35#0#00:00:00#00:00:00#00:00:00 1 9c7f07b3f7d3d831bd9232409e4551ee
7171104 C 3 CP 2 29/10/2019 29/10/2019 22/02/1939 0 1
1 Z09.8;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BELTAZAR PONTOH 051493 80 29469
DR.MELISA RATAG,SPM 0309R0191019V004755 0002253997405 3;JKN
Vian02; 5.3.9.201904290125 4 83318 1#0##0#0#0.0#2019-10-30
13:20:30#0#00:00:00#00:00:00#00:00:00 1 f56bbf6c80d2430056b58d24d7d1e289
7171104 C 3 CP 2 29/10/2019 29/10/2019 29/12/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANDRIAN DAVID 012348 63 23315 DR YULIANA
HARTONO,SPM 0309R0191019V004756 0001439930136 3;JKN Vian02;
5.3.9.201904290125 4 83319 1#0##0#0#0.0#2019-10-30
13:21:07#0#00:00:00#00:00:00#00:00:00 1 15955e4242bfba63a521f5bf05a17ff9
7171104 C 3 CP 2 29/10/2019 29/10/2019 29/04/1940 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALBERT REPI 047239 79 29037 DR YULIANA
HARTONO,SPM 0309R0191019V004757 0000138103839 3;JKN Vian02;
5.3.9.201904290125 4 83320 1#0##0#0#0.0#2019-10-30
13:21:58#0#00:00:00#00:00:00#00:00:00 1 54bb08de6bfb8919e5d2be8a2c5b2c49
7171104 C 3 CP 2 29/10/2019 29/10/2019 16/03/1961 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTJE SUPIT 008290 58 21411 DR DYANA
T.WATANIA,SPM 0309R0191019V004758 0001966474697 3;JKN Vian02;
5.3.9.201904290125 4 83321 1#0##0#0#0.0#2019-10-30
13:22:34#0#00:00:00#00:00:00#00:00:00 1 2605d0e82623b93e5a9f2d9f2a5ea978
7171104 C 3 CP 2 29/10/2019 29/10/2019 05/11/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LITJE E. SAMBENTHIRO 048668 66 24464
DR.MELISA RATAG,SPM 0309R0191019V004759 0000137078965 3;JKN
Vian02; 5.3.9.201904290125 4 83322 1#0##0#0#0.0#2019-10-30
13:23:14#0#00:00:00#00:00:00#00:00:00 1 3c594c5156e45dd47346bef4e3b7a0eb
7171104 C 3 CP 2 29/10/2019 29/10/2019 10/04/1954 0 1
1 Z96.1;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BRUCE MAKAWIMBANG 007029 65 23943 DR
YULIANA HARTONO,SPM 0309R0191019V004760 0001838096638 3;JKN Vian02;
5.3.9.201904290125 4 83307 1#0##0#0#0.0#2019-10-30
13:23:57#0#00:00:00#00:00:00#00:00:00 1 53ee522469cac4bdf8b1786ef15ab594
7171104 C 3 CP 2 29/10/2019 29/10/2019 11/10/1956 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZACHRIAS OLGA 036708 63 23028 DR
YULIANA HARTONO,SPM 0309R0191019V004728 0000157171048 3;JKN Vian02;
5.3.9.201904290125 4 83370 1#0##0#0#0.0#2019-10-31
08:54:42#0#00:00:00#00:00:00#00:00:00 1 8ffe51d29a7a1957d34c797077b67472
7171104 C 3 CP 2 29/10/2019 29/10/2019 23/02/1944 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FENTI KAWAHE 024157 75 27642
DR.MELISA RATAG,SPM 0309R0191019V004729 0000138140864 3;JKN
Vian02; 5.3.9.201904290125 4 83371 1#0##0#0#0.0#2019-10-31
08:56:23#0#00:00:00#00:00:00#00:00:00 1 04e953b11221594d437aa0579bf48624
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/09/1957 0 1
1 Z09.8;H02.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AMBROSIUS KINDANGEN 043735 62 22703
DR.MELISA RATAG,SPM 0309R0191019V004730 0000910970741 3;JKN
Vian02; 5.3.9.201904290125 4 83373 1#0##0#0#0.0#2019-10-31
09:04:31#0#00:00:00#00:00:00#00:00:00 1 4b83662f53753f44d32f4506649dbb0a
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/01/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SARAWINA KAKONDO 052205 66 24407 DR.MELISA
RATAG,SPM 0309R0191019V004731 0000907758786 3;JKN Vian02;
5.3.9.201904290125 4 83376 1#0##0#0#0.0#2019-10-31
09:08:15#0#00:00:00#00:00:00#00:00:00 1 0914f75eb6a720905100bff91742c30c
7171104 C 3 CP 2 29/10/2019 29/10/2019 04/10/1954 0 2
1 H10.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LINDAN BENE WAWOINTANA 052926 65 23766
DR.MELISA RATAG,SPM 0309R0191019V004732 0001820260877 3;JKN
Vian02; 5.3.9.201904290125 4 83377 1#0##0#0#0.0#2019-10-31
09:09:37#0#00:00:00#00:00:00#00:00:00 1 bdc4ec1a84f6c096c4c72ecc0b37d9a5
7171104 C 3 CP 2 29/10/2019 29/10/2019 20/03/1937 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WILHELMINA MAMAHIT MOKAT 052288 82 30173
DR YULIANA HARTONO,SPM 0309R0191019V004733 0000138850817 3;JKN
Vian02; 5.3.9.201904290125 4 83379 1#0##0#0#0.0#2019-10-31
09:10:41#0#00:00:00#00:00:00#00:00:00 1 c445d13d2058ad54d78201aeec9f83e1
7171104 C 3 CP 2 29/10/2019 29/10/2019 07/07/1965 0 2
1 Z09.8;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RATNA ARUNDAA 052048 54 19837
DR.MELISA RATAG,SPM 0309R0191019V004734 0002390784333 3;JKN
Vian02; 5.3.9.201904290125 4 83381 1#0##0#0#0.0#2019-10-31
09:19:04#0#00:00:00#00:00:00#00:00:00 1 b69c75e590bda05db7ed81600b14418c
7171104 C 3 CP 2 29/10/2019 29/10/2019 19/10/1950 0 2
1 Z09.8;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 POMICE TULIS 023317 69 25212
DR.MELISA RATAG,SPM 0309R0191019V004735 0001239184732 3;JKN
Vian02; 5.3.9.201904290125 4 83383 1#0##0#0#0.0#2019-10-31
09:21:01#0#00:00:00#00:00:00#00:00:00 1 668557f7446f5b19ec9384cfca65a44a
7171104 C 3 CP 2 29/10/2019 29/10/2019 03/08/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NY. WELHELMINA L PULU 017584 71 26019
DR.MELISA RATAG,SPM 0309R0191019V004736 0000138192028 3;JKN
Vian02; 5.3.9.201904290125 4 83384 1#0##0#0#0.0#2019-10-31
09:22:08#0#00:00:00#00:00:00#00:00:00 1 faddbe2196295dd8b89f364c58801d3d
7171104 C 3 CP 2 29/10/2019 29/10/2019 28/10/1961 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NELLY SALAWATI 023848 58 21185 DR YULIANA
HARTONO,SPM 0309R0191019V004737 0001448495853 3;JKN Vian02;
5.3.9.201904290125 4 83385 1#0##0#0#0.0#2019-10-31
09:24:38#0#00:00:00#00:00:00#00:00:00 1 bf829f19415979b573e434836a540fb1
7171104 C 3 CP 2 29/10/2019 29/10/2019 31/12/1963 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 EDDY NICOLAAS 051319 55 20391 DR DYANA
T.WATANIA,SPM 0309R0191019V004738 0000137731228 3;JKN Vian02;
5.3.9.201904290125 4 83386 1#0##0#0#0.0#2019-10-31
09:26:45#0#00:00:00#00:00:00#00:00:00 1 c4966d48f8995f129ef567ece3737d70
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/04/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SARCE SAMBIRAN 052500 74 27239 DR YULIANA
HARTONO,SPM 0309R0191019V004739 0000907823665 3;JKN Vian02;
5.3.9.201904290125 4 83387 1#0##0#0#0.0#2019-10-31
09:28:26#0#00:00:00#00:00:00#00:00:00 1 1a690c0da37a6ac94f2c970cb2a9bbd8
7171104 C 3 CP 2 29/10/2019 29/10/2019 19/09/1964 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LENDA SEROY 052927 55 20128 DR.MELISA
RATAG,SPM 0309R0191019V004740 0001855804329 3;JKN Vian02;
5.3.9.201904290125 4 83389 1#0##0#0#0.0#2019-10-31
09:30:04#0#00:00:00#00:00:00#00:00:00 1 ddd2a6a04c12d906914e1850fd7ba0b2
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/03/1961 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARITJE PONGOH 051967 58 21426 DR YULIANA
HARTONO,SPM 0309R0191019V004741 0000907846209 3;JKN Vian02;
5.3.9.201904290125 4 83401 1#0##0#0#0.0#2019-10-31
09:37:49#0#00:00:00#00:00:00#00:00:00 1 944830ff827f564436af941eea396db4
7171104 C 1 CP 1 28/10/2019 29/10/2019 25/10/1986 0 2
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5989900
0 0 - 0 - 0 - 0 - 0 5989900
9807400 0 2 0 0 0 OCTAVIA E. MONGKAU 052890
33 12056 DR DYANA T.WATANIA,SPM 0309R0191019V004544 0001420976812
3;JKN eka06; 5.3.9.201904290125 4 83413 1#0##0#0#0.0#2019-10-31
09:50:57#0#00:00:00#00:00:00#00:00:00 1 2bebadd600b5e45aba997f993151bb5a
7171104 C 1 CP 1 28/10/2019 29/10/2019 03/01/1962 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5989900
0 0 - 0 - 0 - 0 - 0 5989900
9807400 0 2 0 0 0 ZAKIR LAKODI 052223 57
21117 DR YULIANA HARTONO,SPM 0309R0191019V004526 0001093549206 3;JKN
eka06; 5.3.9.201904290125 4 83419 1#0##0#0#0.0#2019-10-31
09:55:30#0#00:00:00#00:00:00#00:00:00 1 8c70a106534aa5cb0e954c683ce02ace
7171104 C 2 CP 1 28/10/2019 29/10/2019 28/02/1954 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5134200
0 0 - 0 - 0 - 0 - 0 5134200
9807400 0 2 0 0 0 ARNOLD JANTJE PINANGKAAN 051636
65 23983 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004390
0000138049975 3;JKN eka06; 5.3.9.201904290125 4 83422
1#0##0#0#0.0#2019-10-31 10:02:34#0#00:00:00#00:00:00#00:00:00 1
5900060a88f9ab541408939ffc71284b
7171104 C 3 CP 1 28/10/2019 29/10/2019 22/05/1975 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 4278500
0 0 - 0 - 0 - 0 - 0 4278500
9807400 0 2 0 0 0 NARYO 052533 44 16230 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004432 0002259961481 3;JKN eka06;
5.3.9.201904290125 4 83428 1#0##0#0#0.0#2019-10-31
10:04:29#0#00:00:00#00:00:00#00:00:00 1 a66f39e70ac42462b612d1cd2d4cce29
7171104 C 2 CP 1 28/10/2019 29/10/2019 01/05/1982 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5134200
0 0 - 0 - 0 - 0 - 0 5134200
9807400 0 2 0 0 0 RINTO PIRING 052883 37
13694 DR YULIANA HARTONO,SPM 0309R0191019V004476 0002068763231 3;JKN
eka06; 5.3.9.201904290125 4 83431 1#0##0#0#0.0#2019-10-31
10:05:37#0#00:00:00#00:00:00#00:00:00 1 1c9932efa9cc6fe391ab9754d5c69d5c
7171104 C 3 CP 2 29/10/2019 29/10/2019 12/06/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA D.LASUT 006816 71 26071 DR DYANA
T.WATANIA,SPM 0309R0191019V004648 0000137178775 3;JKN linda03;
5.3.9.201904290125 4 83435 1#0##0#0#0.0#2019-10-31
10:11:13#0#00:00:00#00:00:00#00:00:00 1 3497b9b3bf07e935dd5bad1ce6de7c47
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/07/1957 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA TAMUNTUAN 052751 62 22765
DR.MELISA RATAG,SPM 0309R0191019V004647 0000905738703 3;JKN
linda03; 5.3.9.201904290125 4 83436 1#0##0#0#0.0#2019-10-31
10:12:28#0#00:00:00#00:00:00#00:00:00 1 f32d215451c93020e98ce6d003d82f73
7171104 C 3 CP 2 29/10/2019 29/10/2019 23/02/1953 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FREDIKA BEATRIK MANOPPO 052819 66 24354
DR.MELISA RATAG,SPM 0309R0191019V004644 0000137230075 3;JKN
linda03; 5.3.9.201904290125 4 83437 1#0##0#0#0.0#2019-10-31
10:13:29#0#00:00:00#00:00:00#00:00:00 1 4c4d82268b6d9774b34cea1d589634cc
7171104 C 3 CP 2 29/10/2019 29/10/2019 10/08/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANATJE BAWINTIL 052308 66 24186 DR DYANA
T.WATANIA,SPM 0309R0191019V004643 0002390979003 3;JKN linda03;
5.3.9.201904290125 4 83439 1#0##0#0#0.0#2019-10-31
10:14:44#0#00:00:00#00:00:00#00:00:00 1 bd37aa60c4970eeca4fc1d4f934c632f
7171104 C 3 CP 2 29/10/2019 29/10/2019 15/11/1958 0 2
1 Z96.1;Z09.0;H33.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SARLOTA RUBEN 028878 60 22263 DR
DYANA T.WATANIA,SPM 0309R0191019V004642 0002259557807 3;JKN linda03;
5.3.9.201904290125 4 83443 1#0##0#0#0.0#2019-10-31
10:17:01#0#00:00:00#00:00:00#00:00:00 1 34559e922e0e2016cf4326ab2be9789d
7171104 C 3 CP 2 29/10/2019 29/10/2019 14/05/1967 0 1
1 Z09.8;H17.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHARLES R ALANG 052826 52 19161 DR
DYANA T.WATANIA,SPM 0309R0191019V004639 0002063993106 3;JKN linda03;
5.3.9.201904290125 4 83444 1#0##0#0#0.0#2019-10-31
10:18:34#0#00:00:00#00:00:00#00:00:00 1 5e122279b1dc96abf54ee89195f90ef1
7171104 C 3 CP 2 29/10/2019 29/10/2019 17/08/1945 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NELYANA ZEN 052757 74 27101 DR.MELISA
RATAG,SPM 0309R0191019V004638 0002196479733 3;JKN linda03;
5.3.9.201904290125 4 83447 1#0##0#0#0.0#2019-10-31
10:19:26#0#00:00:00#00:00:00#00:00:00 1 3c9dfeb2356c992f6d468b798012ae10
7171104 C 3 CP 2 29/10/2019 29/10/2019 13/08/1961 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUNUS SUMAMPOUW 052787 58 21261 DR
YULIANA HARTONO,SPM 0309R0191019V004637 0001604483436 3;JKN linda03;
5.3.9.201904290125 4 83448 1#0##0#0#0.0#2019-10-31
10:31:55#0#00:00:00#00:00:00#00:00:00 1 3adfd3c68d29081bc8e6605cc944e8ff
7171104 C 3 CP 2 29/10/2019 29/10/2019 05/04/1979 0 2
1 Z09.8;H52.1;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TREESYE KATOCE MAMUAJA 052827 40 14817
DR DYANA T.WATANIA,SPM 0309R0191019V004635 0000173315531 3;JKN
linda03; 5.3.9.201904290125 4 83461 1#0##0#0#0.0#2019-10-31
10:32:51#0#00:00:00#00:00:00#00:00:00 1 90c8b25ea0eddc245a7052f425a2772d
7171104 C 3 CP 2 29/10/2019 29/10/2019 29/04/1944 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LAURINA B. MARAMIS 052572 75 27576 DR
DYANA T.WATANIA,SPM 0309R0191019V004632 0001826618286 3;JKN linda03;
5.3.9.201904290125 4 83463 1#0##0#0#0.0#2019-10-31
10:34:10#0#00:00:00#00:00:00#00:00:00 1 99891bac8e20f81476b579a87d429856
7171104 C 3 CP 2 29/10/2019 29/10/2019 30/10/1952 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ENGELIN RONDONUWU 052657 66 24470 DR
YULIANA HARTONO,SPM 0309R0191019V004631 0001793525354 3;JKN linda03;
5.3.9.201904290125 4 83465 1#0##0#0#0.0#2019-10-31
10:35:00#0#00:00:00#00:00:00#00:00:00 1 289696c2edead6be63e5e772f5f76806
7171104 C 3 CP 2 29/10/2019 29/10/2019 19/02/1945 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARIE ADOLF TAWAS 047267 74 27280 DR
YULIANA HARTONO,SPM 0309R0191019V004630 0000138245051 3;JKN linda03;
5.3.9.201904290125 4 83466 1#0##0#0#0.0#2019-10-31
10:35:47#0#00:00:00#00:00:00#00:00:00 1 ecd93ee33baf56ea0916daf91cd8b16d
7171104 C 3 CP 2 29/10/2019 29/10/2019 21/06/1960 0 2
1 Z09.8;H40.9;H25.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANI DORTJE KAUNANG 030162 59 21679
DR DYANA T.WATANIA,SPM 0309R0191019V004629 0001834427193 3;JKN
linda03; 5.3.9.201904290125 4 83467 1#0##0#0#0.0#2019-10-31
10:36:50#0#00:00:00#00:00:00#00:00:00 1 40cd795efd8e7a2dac35adf118aa0adb
7171104 C 3 CP 2 29/10/2019 29/10/2019 14/11/1963 0 1
1 Z09.8;H40.0;H04.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FERRY SETIONO 052261 55 20438
DR.MELISA RATAG,SPM 0309R0191019V004628 0001466590105 3;JKN
linda03; 5.3.9.201904290125 4 83468 1#0##0#0#0.0#2019-10-31
10:38:06#0#00:00:00#00:00:00#00:00:00 1 ebc4d2dc54bb932009c41590a740c2cc
7171104 C 3 CP 2 29/10/2019 29/10/2019 03/08/1946 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KALIOPAS LALELORANG 052729 73 26750
DR YULIANA HARTONO,SPM 0309R0191019V004627 0002460448754 3;JKN
linda03; 5.3.9.201904290125 4 83469 1#0##0#0#0.0#2019-10-31
10:38:53#0#00:00:00#00:00:00#00:00:00 1 ecc3e88ec1a15e5483c062672f132947
7171104 C 3 CP 2 29/10/2019 29/10/2019 27/02/1952 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOUKE JOHAN LANTANG 052658 67 24716
DR YULIANA HARTONO,SPM 0309R0191019V004626 0001793524814 3;JKN
linda03; 5.3.9.201904290125 4 83470 1#0##0#0#0.0#2019-10-31
10:39:40#0#00:00:00#00:00:00#00:00:00 1 ed4ed963c980fb73a6836730f75fc5b6
7171104 C 3 CP 2 29/10/2019 29/10/2019 13/02/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LIENTJE MANOPPO 050527 65 23999 DR.MELISA
RATAG,SPM 0309R0191019V004625 0001447858348 3;JKN linda03;
5.3.9.201904290125 4 83471 1#0##0#0#0.0#2019-10-31
10:41:15#0#00:00:00#00:00:00#00:00:00 1 1f14950d7a94638aec8a440bda53c4da
7171104 C 3 CP 2 29/10/2019 29/10/2019 17/02/2003 0 1
1 Z09.0;D21.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FEROLA G SUMAMPOUW 052710 16 6098
DR YULIANA HARTONO,SPM 0309R0191019V004624 0001856806705 3;JKN
linda03; 5.3.9.201904290125 4 83472 1#0##0#0#0.0#2019-10-31
10:43:13#0#00:00:00#00:00:00#00:00:00 1 0a6fbc223c96037fb2202e885883fd30
7171104 C 3 CP 2 29/10/2019 29/10/2019 27/09/1953 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LAURINA JANSEN 052782 66 24138 DR
YULIANA HARTONO,SPM 0309R0191019V004623 0001872776305 3;JKN linda03;
5.3.9.201904290125 4 83473 1#0##0#0#0.0#2019-10-31
10:44:07#0#00:00:00#00:00:00#00:00:00 1 c7f17a581a02174685caa36bf3673af4
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/11/1963 0 2
1 H25.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELISNA YURA 052909 55 20451 DR.MELISA
RATAG,SPM 0309R0191019V004621 0000905775028 3;JKN linda03;
5.3.9.201904290125 4 83474 1#0##0#0#0.0#2019-10-31
10:45:22#0#00:00:00#00:00:00#00:00:00 1 a0a81ba7e72568d5ee3de89e59dfdc3f
7171104 C 3 CP 2 29/10/2019 29/10/2019 08/04/1939 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KAREL LEGI 014360 80 29424 DR.MELISA
RATAG,SPM 0309R0191019V004620 0000197616835 3;JKN linda03;
5.3.9.201904290125 4 83475 50#0##0#0#0.0#2019-10-31
10:46:17#0#00:00:00#00:00:00#00:00:00 1 b1ebae72169c4bddc0dcd367b94b7082
7171104 C 3 CP 2 29/10/2019 29/10/2019 18/10/1939 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUDI EDI SOEDJARTO 052756 80 29231
DR.MELISA RATAG,SPM 0309R0191019V004619 0002196479597 3;JKN
linda03; 5.3.9.201904290125 4 83476 1#0##0#0#0.0#2019-10-31
11:10:14#0#00:00:00#00:00:00#00:00:00 1 0ed6d7541b8eb3ad4a8374971756d9e4
7171104 C 3 CP 2 29/10/2019 29/10/2019 15/08/1954 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STIENTJE MONONEGE 051420 65 23816 DR
YULIANA HARTONO,SPM 0309R0191019V004617 0002465377457 3;JKN linda03;
5.3.9.201904290125 4 83477 1#0##0#0#0.0#2019-10-31
11:17:25#0#00:00:00#00:00:00#00:00:00 1 f34aba8a2b3550dbaedd597cd286704d
7171104 C 3 CP 2 29/10/2019 29/10/2019 03/11/1959 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUROTO 052728 59 21910 DR YULIANA
HARTONO,SPM 0309R0191019V004616 0002228979521 3;JKN linda03;
5.3.9.201904290125 4 83478 1#0##0#0#0.0#2019-10-31
11:20:32#0#00:00:00#00:00:00#00:00:00 1 899dc9213cc3faa0636ca5851e1276e5
7171104 C 3 CP 2 29/10/2019 29/10/2019 16/06/1942 0 1
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 GERSON SALAA 052907 77 28259 DR YULIANA
HARTONO,SPM 0309R0191019V004615 0002081822545 3;JKN linda03;
5.3.9.201904290125 4 83480 1#0##0#0#0.0#2019-10-31
11:21:47#0#00:00:00#00:00:00#00:00:00 1 34281fe08f3d598f3e779ee56d9c9e79
7171104 C 3 CP 2 29/10/2019 29/10/2019 07/08/1974 0 2
1 Z09.8;H26.9;H33.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LILI MAMBO 052613 45 16519 DR DYANA
T.WATANIA,SPM 0309R0191019V004613 0002322883787 3;JKN linda03;
5.3.9.201904290125 4 83481 1#0##0#0#0.0#2019-10-31
11:23:29#0#00:00:00#00:00:00#00:00:00 1 148dff1d142d20b02b55824be2643e00
7171104 C 3 CP 2 29/10/2019 29/10/2019 06/07/1947 0 1
1 Z09.0;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SAMIRAN 052863 72 26413 DR.MELISA
RATAG,SPM 0309R0191019V004612 0000138068853 3;JKN linda03;
5.3.9.201904290125 4 83482 1#0##0#0#0.0#2019-10-31
11:24:23#0#00:00:00#00:00:00#00:00:00 1 585fb53881fc73c00caf71bf57783d57
7171104 C 3 CP 2 29/10/2019 29/10/2019 06/04/1959 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ARETINIUS JOVIANUS LAHINDA 052906 60
22121 DR YULIANA HARTONO,SPM 0309R0191019V004611 0002216619461 3;JKN
linda03; 5.3.9.201904290125 4 83483 1#0##0#0#0.0#2019-10-31
11:25:33#0#00:00:00#00:00:00#00:00:00 1 1e673e2bb12d1b7170159c1ede92d650
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/03/1973 0 1
1 H26.9;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTIN SALAA 052910 46 17043 DR
DYANA T.WATANIA,SPM 0309R0191019V004610 0000905775221 3;JKN linda03;
5.3.9.201904290125 4 83484 1#0##0#0#0.0#2019-10-31
11:26:58#0#00:00:00#00:00:00#00:00:00 1 5b88e809b22ea54c19d196f453f2603b
7171104 C 3 CP 2 29/10/2019 29/10/2019 25/01/1956 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PELEALU JOHAN BERNARD 051193 63 23288
DR.MELISA RATAG,SPM 0309R0191019V004608 0000137955464 3;JKN
linda03; 5.3.9.201904290125 4 83485 1#0##0#0#0.0#2019-10-31
11:28:09#0#00:00:00#00:00:00#00:00:00 1 376787e51b6da1197fe7ac21403c9c65
7171104 C 3 CP 2 29/10/2019 29/10/2019 11/02/1951 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MERRY MAMUAJA 052822 68 25097 DR
DYANA T.WATANIA,SPM 0309R0191019V004607 0000137141706 3;JKN linda03;
5.3.9.201904290125 4 83486 1#0##0#0#0.0#2019-10-31
11:29:05#0#00:00:00#00:00:00#00:00:00 1 2f63acd745333a156e388b2e1ba879bb
7171104 C 3 CP 2 29/10/2019 29/10/2019 20/09/1946 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNHARD W. SEKE 052704 73 26702
DR.MELISA RATAG,SPM 0309R0191019V004603 0000138243802 3;JKN
linda03; 5.3.9.201904290125 4 83487 1#0##0#0#0.0#2019-10-31
11:30:08#0#00:00:00#00:00:00#00:00:00 1 a00c2c05954b039e7722dbd687bfca7f
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/02/1941 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HARTIN PARESE 051792 78 28759 DR YULIANA
HARTONO,SPM 0309R0191019V004602 0000906374248 3;JKN linda03;
5.3.9.201904290125 4 83488 1#0##0#0#0.0#2019-10-31
11:37:34#0#00:00:00#00:00:00#00:00:00 1 0478822730eb56969721c942ffcb25d9
7171104 C 3 CP 2 29/10/2019 29/10/2019 29/01/1955 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHANA ELISABETH KAUNANG 052814 64
23649 DR YULIANA HARTONO,SPM 0309R0191019V004600 0000139047366 3;JKN
linda03; 5.3.9.201904290125 4 83489 1#0##0#0#0.0#2019-10-31
11:38:32#0#00:00:00#00:00:00#00:00:00 1 3679fb896af4da968af27a71c681ee67
7171104 C 3 CP 2 29/10/2019 29/10/2019 04/09/1955 0 2
1 H26.9;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADELEIDA SENDUK 052905 64 23431 DR
DYANA T.WATANIA,SPM 0309R0191019V004601 0001461547809 3;JKN linda03;
5.3.9.201904290125 4 83490 1#0##0#0#0.0#2019-10-31
11:39:33#0#00:00:00#00:00:00#00:00:00 1 140fdfc495f6c324dfac2aa5b494008d
7171104 C 3 CP 2 29/10/2019 29/10/2019 15/08/1946 0 1
1 Z09.8;H10.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SINYO POLI 004135 73 26738 DR.MELISA
RATAG,SPM 0309R0191019V004598 0001311319719 3;JKN linda03;
5.3.9.201904290125 4 83491 1#0##0#0#0.0#2019-10-31
11:42:51#0#00:00:00#00:00:00#00:00:00 1 d5901f251d6e2d2cd1e2674e4d35b130
7171104 C 3 CP 2 29/10/2019 29/10/2019 02/11/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DORKAS IRIANTO TUMBELAKA 016808 65 24102
DR.MELISA RATAG,SPM 0309R0191019V004596 0001310993627 3;JKN
linda03; 5.3.9.201904290125 4 83493 1#0##0#0#0.0#2019-10-31
11:45:04#0#00:00:00#00:00:00#00:00:00 1 c67e07805e923f2b23bd46838c748d10
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/09/1951 0 1
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MUL LENGKONG 052231 68 24895 DR
YULIANA HARTONO,SPM 0309R0191019V004595 0000905144411 3;JKN linda03;
5.3.9.201904290125 4 83494 1#0##0#0#0.0#2019-10-31
11:46:01#0#00:00:00#00:00:00#00:00:00 1 62c3ba7c92d5ed641556b311c73c833a
7171104 C 3 CP 2 29/10/2019 29/10/2019 31/12/1977 0 1
1 H52.4;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALLAIN ROBERTO ROGI 017766 41 15277
DR YULIANA HARTONO,SPM 0309R0191019V004594 0001875342508 3;JKN
linda03; 5.3.9.201904290125 4 83495 1#0##0#0#0.0#2019-10-31
11:47:30#0#00:00:00#00:00:00#00:00:00 1 f959c53eb0f92865e07584da1fad646c
7171104 C 3 CP 2 29/10/2019 29/10/2019 18/07/1948 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HELLY H. LENGKONG 052659 71 26035 DR
YULIANA HARTONO,SPM 0309R0191019V004592 0001794885816 3;JKN linda03;
5.3.9.201904290125 4 83496 1#0##0#0#0.0#2019-10-31
11:50:28#0#00:00:00#00:00:00#00:00:00 1 9695492494fc78cbad7f0c8df09561d2
7171104 C 3 CP 2 29/10/2019 29/10/2019 29/06/1959 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SIMON PETRUS ZACHARIAS POLII 011149 60 22037
DR YULIANA HARTONO,SPM 0309R0191019V004742 0000138351115 3;JKN
Vian02; 5.3.9.201904290125 4 83497 1#0##0#0#0.0#2019-10-31
11:51:37#0#00:00:00#00:00:00#00:00:00 1 62eed6d675db830fa7f4be7f99e803be
7171104 C 3 CP 2 29/10/2019 29/10/2019 18/08/1947 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WELLEM PUNUH 052187 72 26370 DR YULIANA
HARTONO,SPM 0309R0191019V004743 0002072265401 3;JKN Vian02;
5.3.9.201904290125 4 83499 1#0##0#0#0.0#2019-10-31
11:52:22#0#00:00:00#00:00:00#00:00:00 1 e4eba9e258ceaa21c815974c0f9c493b
7171104 C 3 CP 2 29/10/2019 29/10/2019 09/02/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHAN W. MANTIRI 051646 69 25464 DR YULIANA
HARTONO,SPM 0309R0191019V004591 0001565051062 3;JKN linda03;
5.3.9.201904290125 4 83498 1#0##0#0#0.0#2019-10-31
11:52:47#0#00:00:00#00:00:00#00:00:00 1 21ad940b8ca3d51aef48b252b6900a35
7171104 C 3 CP 2 29/10/2019 29/10/2019 04/06/1950 0 2
1 Z09.8;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MUJIATY 008711 69 25349 DR YULIANA
HARTONO,SPM 0309R0191019V004744 0001289961707 3;JKN Vian02;
5.3.9.201904290125 4 83501 1#0##0#0#0.0#2019-10-31
11:53:39#0#00:00:00#00:00:00#00:00:00 1 31118e95e57c0068353971a55e36f2a9
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/07/1944 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CELCIUS SILANGEN 052213 75 27513
DR.MELISA RATAG,SPM 0309R0191019V004590 0000908067418 3;JKN
linda03; 5.3.9.201904290125 4 83500 1#0##0#0#0.0#2019-10-31
11:53:42#0#00:00:00#00:00:00#00:00:00 1 3aacfc53bc660077856ac90ce529ff2b
7171104 C 3 CP 2 29/10/2019 29/10/2019 04/05/1949 0 2
1 H04.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALEIDA FRANSINA KAPITA 052928 70 25745 DR
YULIANA HARTONO,SPM 0309R0191019V004745 0000909337419 3;JKN Vian02;
5.3.9.201904290125 4 83354 1#0##0#0#0.0#2019-10-31
11:54:40#0#00:00:00#00:00:00#00:00:00 1 3104303048e2d2b8b6070c22d2f33cd5
7171104 C 3 CP 2 29/10/2019 29/10/2019 06/03/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AMELIA TANGKOME 052225 69 25439 DR.MELISA
RATAG,SPM 0309R0191019V004589 0001831553043 3;JKN linda03;
5.3.9.201904290125 4 83502 1#0##0#0#0.0#2019-10-31
11:54:44#0#00:00:00#00:00:00#00:00:00 1 e54e06a8ddc9ae323e41664e2908f3dd
7171104 C 3 CP 2 29/10/2019 29/10/2019 14/03/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FERDY HERMAN ROMBOT 034018 66 24335 DR
YULIANA HARTONO,SPM 0309R0191019V004588 0001278757754 3;JKN linda03;
5.3.9.201904290125 4 83503 1#0##0#0#0.0#2019-10-31
11:55:47#0#00:00:00#00:00:00#00:00:00 1 a9279d74127d9e93f9a6830cf28f2d8d
7171104 C 3 CP 2 29/10/2019 29/10/2019 29/01/1969 0 1
1 Z09.8;H44.2;H25.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JIMMY TALUMEWO 018391 50 18535 DR
DYANA T.WATANIA,SPM 0309R0191019V004585 0001439887667 3;JKN linda03;
5.3.9.201904290125 4 83504 1#0##0#0#0.0#2019-10-31
12:00:33#0#00:00:00#00:00:00#00:00:00 1 8df54a224ff489166760d322f23e4f3c
7171104 C 3 CP 2 29/10/2019 29/10/2019 17/07/1940 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIN SUMANTI 052561 79 28958
DR.MELISA RATAG,SPM 0309R0191019V004584 0002388050943 3;JKN
linda03; 5.3.9.201904290125 4 83505 1#0##0#0#0.0#2019-10-31
12:02:04#0#00:00:00#00:00:00#00:00:00 1 1918601e5389f6a874190c66e246c3d3
7171104 C 3 CP 2 29/10/2019 29/10/2019 13/06/1943 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROOSYE WOWOR 052904 76 27897 DR
YULIANA HARTONO,SPM 0309R0191019V004583 0001566254485 3;JKN linda03;
5.3.9.201904290125 4 83506 1#0##0#0#0.0#2019-10-31
12:05:30#0#00:00:00#00:00:00#00:00:00 1 23e3a69f5b82c6fe0420ed9cb1bb27ba
7171104 C 3 CP 2 29/10/2019 29/10/2019 06/11/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PATRAS ARNOLD HM 032981 66 24463 DR YULIANA
HARTONO,SPM 0309R0191019V004582 0000138195639 3;JKN linda03;
5.3.9.201904290125 4 83507 1#0##0#0#0.0#2019-10-31
12:06:18#0#00:00:00#00:00:00#00:00:00 1 b072a80d59dcb69a4c7477b10215f0dd
7171104 C 3 CP 2 29/10/2019 29/10/2019 28/07/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WEMPI PANDEY 018571 73 26756 DR YULIANA
HARTONO,SPM 0309R0191019V004581 0000138945385 3;JKN linda03;
5.3.9.201904290125 4 83508 1#0##0#0#0.0#2019-10-31
12:07:11#0#00:00:00#00:00:00#00:00:00 1 2dd519e14ac203129517d69d09c7134f
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/09/1936 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JIMA ADAM 052702 83 30373 DR YULIANA
HARTONO,SPM 0309R0191019V004580 0000910991046 3;JKN linda03;
5.3.9.201904290125 4 83509 1#0##0#0#0.0#2019-10-31
12:08:13#0#00:00:00#00:00:00#00:00:00 1 177d3f9f2aee822d7f424e507a4e3bed
7171104 C 3 CP 2 29/10/2019 29/10/2019 06/06/1950 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIANA MOKEY WAROUW 052510 69 25347
DR YULIANA HARTONO,SPM 0309R0191019V004579 0001266832113 3;JKN
linda03; 5.3.9.201904290125 4 83510 1#0##0#0#0.0#2019-10-31
12:09:22#0#00:00:00#00:00:00#00:00:00 1 9cf6de472b4892bfed1c3ba4a3837a9f
7171104 C 3 CP 2 29/10/2019 29/10/2019 05/08/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 IRENE KARUNDENG 012058 73 26748 DR YULIANA
HARTONO,SPM 0309R0191019V004577 0000138036306 3;JKN linda03;
5.3.9.201904290125 4 83511 1#0##0#0#0.0#2019-10-31
12:10:24#0#00:00:00#00:00:00#00:00:00 1 c646b39998c4b84d0e7621e57ab6b515
7171104 C 3 CP 2 29/10/2019 29/10/2019 12/11/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROBERT RATAG 052407 66 24457 DR YULIANA
HARTONO,SPM 0309R0191019V004575 0001066815527 3;JKN linda03;
5.3.9.201904290125 4 83512 1#0##0#0#0.0#2019-10-31
12:11:35#0#00:00:00#00:00:00#00:00:00 1 c7a9e9394976e81c60352f2b40d6e3d7
7171104 C 3 CP 2 29/10/2019 29/10/2019 23/07/1971 0 2
1 Z09.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SITI HALIMA 052560 48 17630 DR.MELISA
RATAG,SPM 0309R0191019V004574 0002389303001 3;JKN linda03;
5.3.9.201904290125 4 83513 1#0##0#0#0.0#2019-10-31
12:12:55#0#00:00:00#00:00:00#00:00:00 1 62ccfd219316eaef2955ab741fb12baa
7171104 C 3 CP 2 29/10/2019 29/10/2019 21/12/1963 0 1
1 H25.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TOMMY WONGKAR 052903 55 20401 DR
YULIANA HARTONO,SPM 0309R0191019V004572 0001565433775 3;JKN linda03;
5.3.9.201904290125 4 83514 1#0##0#0#0.0#2019-10-31
12:14:31#0#00:00:00#00:00:00#00:00:00 1 45cbd1cdde282a33e39a4ce30c745431
7171104 C 3 CP 2 29/10/2019 29/10/2019 11/09/1969 0 1
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LESLY MAMANGKEY 052736 50 18310 DR
YULIANA HARTONO,SPM 0309R0191019V004571 0001727587236 3;JKN linda03;
5.3.9.201904290125 4 83515 1#0##0#0#0.0#2019-10-31
12:18:56#0#00:00:00#00:00:00#00:00:00 1 683da3b83a4b9a3cab1087a6a0a57ef9
7171104 C 3 CP 2 29/10/2019 29/10/2019 15/09/1958 0 2
1 Z09.8;H10.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUZAN DENGAH 050975 61 22324
DR.MELISA RATAG,SPM 0309R0191019V004567 0001867704996 3;JKN
linda03; 5.3.9.201904290125 4 83516 1#0##0#0#0.0#2019-10-31
12:20:07#0#00:00:00#00:00:00#00:00:00 1 33a11de44ed2b35bafc21a4cb8cf8321
7171104 C 3 CP 2 29/10/2019 29/10/2019 25/06/1974 0 1
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENRY HEMBILD PONGKORUNG 031708 45
16562 DR YULIANA HARTONO,SPM 0309R0191019V004566 0000148659941 3;JKN
linda03; 5.3.9.201904290125 4 83517 1#0##0#0#0.0#2019-10-31
12:21:56#0#00:00:00#00:00:00#00:00:00 1 45d55ff93a20f745e621e53c865f194e
7171104 C 3 CP 2 29/10/2019 29/10/2019 07/01/1975 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JEIN TAMAHIWU 037075 44 16366 DR YULIANA
HARTONO,SPM 0309R0191019V004568 0001292638814 3;JKN linda03;
5.3.9.201904290125 4 83518 1#0##0#0#0.0#2019-10-31
12:33:26#0#00:00:00#00:00:00#00:00:00 1 738400e5509e452df18e1ddf65d86088
7171104 C 3 CP 2 29/10/2019 29/10/2019 18/12/1930 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROBERT LUMEMPOWI 052870 88 32457
DR.MELISA RATAG,SPM 0309R0191019V004565 0001295655197 3;JKN
linda03; 5.3.9.201904290125 4 83519 1#0##0#0#0.0#2019-10-31
12:34:36#0#00:00:00#00:00:00#00:00:00 1 1466023b836638d077744b333da419e6
7171104 C 3 CP 2 29/10/2019 29/10/2019 08/09/1961 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALEX TUILAN 036459 58 21235 DR.MELISA
RATAG,SPM 0309R0191019V004564 0000138389422 3;JKN linda03;
5.3.9.201904290125 4 83520 1#0##0#0#0.0#2019-10-31
12:35:56#0#00:00:00#00:00:00#00:00:00 1 222dfe416571d23f2da55647ed652d7d
7171104 C 3 CP 2 29/10/2019 29/10/2019 31/07/1959 0 2
1 Z96.1;H44.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALTJE POSUMAH 051586 60 22005
DR.MELISA RATAG,SPM 0309R0191019V004563 0001567777239 3;JKN
linda03; 5.3.9.201904290125 4 83521 1#0##0#0#0.0#2019-10-31
12:36:51#0#00:00:00#00:00:00#00:00:00 1 bdc9dd02159f872bf2caef74566c113c
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/12/1958 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADELIN RENGKUNG 052228 60 22247
DR.MELISA RATAG,SPM 0309R0191019V004562 0000905227244 3;JKN
linda03; 5.3.9.201904290125 4 83522 1#0##0#0#0.0#2019-10-31
12:37:37#0#00:00:00#00:00:00#00:00:00 1 f007b98f7f879653bfc7f3cfed6825df
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/03/1975 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NOFRINE MALONDA 021012 44 16313 DR YULIANA
HARTONO,SPM 0309R0191019V004561 0000910084487 3;JKN linda03;
5.3.9.201904290125 4 83523 1#0##0#0#0.0#2019-10-31
12:38:22#0#00:00:00#00:00:00#00:00:00 1 cac87db0e7fcfc05721d79a1eb83e85f
7171104 C 3 CP 2 29/10/2019 29/10/2019 19/07/1956 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHNY TUMEWAN 052646 63 23112 DR
YULIANA HARTONO,SPM 0309R0191019V004560 0000137748791 3;JKN linda03;
5.3.9.201904290125 4 83524 1#0##0#0#0.0#2019-10-31
12:39:18#0#00:00:00#00:00:00#00:00:00 1 d0243b31d0440702f48677b818f4dc1b
7171104 C 3 CP 2 29/10/2019 29/10/2019 09/09/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SUSANA SELVIE PANDELEKE 050858 66 24156 DR
YULIANA HARTONO,SPM 0309R0191019V004726 0002225508603 3;JKN Patrick K.;
5.3.9.201904290125 4 83369 1#0##0#0#0.0#2019-11-01
07:45:56#0#00:00:00#00:00:00#00:00:00 1 1e2b4e78c8c83fd81f8f53ffbb0e1643
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/05/1960 0 1
1 Z09.8;H35.2;H33.4;H43.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HANTJE TATIMU 052475 59 21730 DR
DYANA T.WATANIA,SPM 0309R0191019V004725 0002199258505 3;JKN Patrick K.;
5.3.9.201904290125 4 83530 1#0##0#0#0.0#2019-11-01
07:55:13#0#00:00:00#00:00:00#00:00:00 1 e332626a30b9ccdb33e726ce33803dc3
7171104 C 3 CP 2 29/10/2019 29/10/2019 25/02/1948 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZADRAKH LERUH 023946 71 26179
DR.MELISA RATAG,SPM 0309R0191019V004724 0001243671333 3;JKN
Patrick K.; 5.3.9.201904290125 4 83531 1#0##0#0#0.0#2019-11-01
07:57:00#0#00:00:00#00:00:00#00:00:00 1 28b383c456eaa00b4a54384467367c46
7171104 C 3 CP 2 29/10/2019 29/10/2019 05/03/1948 0 1
1 Z96.1;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUDOLOF NEGHE 050814 71 26170 DR
DYANA T.WATANIA,SPM 0309R0191019V004723 0000908155833 3;JKN Patrick K.;
5.3.9.201904290125 4 83532 1#0##0#0#0.0#2019-11-01
08:02:45#0#00:00:00#00:00:00#00:00:00 1 549f661d795b297911d8ef14e6b6a39c
7171104 C 3 CP 2 29/10/2019 29/10/2019 13/10/2003 0 2
1 Z09.8;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUCI SUPU 036021 16 5860 DR YULIANA
HARTONO,SPM 0309R0191019V004722 0001568006976 3;JKN Patrick K.;
5.3.9.201904290125 4 83533 1#0##0#0#0.0#2019-11-01
08:03:32#0#00:00:00#00:00:00#00:00:00 1 6a728ac79036d3175490cd4932f7ee82
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/03/1945 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARRI WAWOLANGI 050847 74 27270 DR
YULIANA HARTONO,SPM 0309R0191019V004721 0000908404075 3;JKN Patrick K.;
5.3.9.201904290125 4 83534 1#0##0#0#0.0#2019-11-01
08:04:47#0#00:00:00#00:00:00#00:00:00 1 dee712dc026d57302c89a2fd0c0f7d56
7171104 C 3 CP 2 29/10/2019 29/10/2019 22/05/1956 0 1
1 Z09.8;H40.5;H35.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TENEH MAXI W 051389 63 23170
DR.MELISA RATAG,SPM 0309R0191019V004720 0000137000957 3;JKN
Patrick K.; 5.3.9.201904290125 4 83535 1#0##0#0#0.0#2019-11-01
08:07:32#0#00:00:00#00:00:00#00:00:00 1 053788aec3593693f6ffb304fd5fc749
7171104 C 3 CP 2 29/10/2019 29/10/2019 16/03/1950 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PEMINA KATUUK 052925 69 25429 DR DYANA
T.WATANIA,SPM 0309R0191019V004719 0000138109083 3;JKN Patrick K.;
5.3.9.201904290125 4 83536 1#0##0#0#0.0#2019-11-01
08:08:52#0#00:00:00#00:00:00#00:00:00 1 44939c4000fd9ccef8885d9027aa4bc7
7171104 C 3 CP 2 29/10/2019 29/10/2019 04/03/1958 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JERNIS MAABUAT 052182 61 22519 DR.MELISA
RATAG,SPM 0309R0191019V004718 0000159480742 3;JKN Patrick K.;
5.3.9.201904290125 4 83537 1#0##0#0#0.0#2019-11-01
08:14:15#0#00:00:00#00:00:00#00:00:00 1 6166d918422fbbbe13c538144382a2e0
7171104 C 3 CP 2 29/10/2019 29/10/2019 18/10/1971 0 2
1 Z09.8;H04.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FATMA RADJAK 052676 48 17543
DR.MELISA RATAG,SPM 0309R0191019V004717 0002203561438 3;JKN
Patrick K.; 5.3.9.201904290125 4 83538 1#0##0#0#0.0#2019-11-01
08:15:51#0#00:00:00#00:00:00#00:00:00 1 cb22f9ad1d2a1e6e93f4a6a12de552f6
7171104 C 3 CP 2 29/10/2019 29/10/2019 19/04/1939 0 1
1 Z09.8;H10.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAX HENDRIK TANGKILISAN 008631 80 29413
DR.MELISA RATAG,SPM 0309R0191019V004716 0001300001589 3;JKN
Patrick K.; 5.3.9.201904290125 4 83539 1#0##0#0#0.0#2019-11-01
08:16:56#0#00:00:00#00:00:00#00:00:00 1 03a2c25e316bef0e5db2c6d64bf76591
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/10/1974 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RUTH PONGOH 051974 45 16464 DR YULIANA
HARTONO,SPM 0309R0191019V004715 0001066870337 3;JKN Patrick K.;
5.3.9.201904290125 4 83540 1#0##0#0#0.0#2019-11-01
08:17:45#0#00:00:00#00:00:00#00:00:00 1 30a24b10bf2e677d1ed3e5a30fdcaca1
7171104 C 3 CP 2 29/10/2019 29/10/2019 03/01/1950 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JAN PIET TANI 052924 69 25501
DR.MELISA RATAG,SPM 0309R0191019V004714 0000137198125 3;JKN
Patrick K.; 5.3.9.201904290125 4 83541 1#0##0#0#0.0#2019-11-01
08:18:57#0#00:00:00#00:00:00#00:00:00 1 c27ccede3907a9510775b47404938eb8
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/05/1986 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BOBBY GERUNGAN 052188 33 12234 DR
YULIANA HARTONO,SPM 0309R0191019V004712 0001640115415 3;JKN Patrick K.;
5.3.9.201904290125 4 83542 1#0##0#0#0.0#2019-11-01
08:19:54#0#00:00:00#00:00:00#00:00:00 1 491a13330d1caea9a483e0192c7715d2
7171104 C 3 CP 2 29/10/2019 29/10/2019 20/03/1958 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DRS. CORNELES MULUWERE 052557 61 22503 DR
DYANA T.WATANIA,SPM 0309R0191019V004711 0000024263651 3;JKN Patrick K.;
5.3.9.201904290125 4 83543 1#0##0#0#0.0#2019-11-01
08:22:07#0#00:00:00#00:00:00#00:00:00 1 cd961baede27be0923389c74027c79b9
7171104 C 3 CP 2 29/10/2019 29/10/2019 16/05/1957 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADOLFINA LENGKONG 052186 62 22811 DR
YULIANA HARTONO,SPM 0309R0191019V004710 0000157940144 3;JKN Patrick K.;
5.3.9.201904290125 4 83544 1#0##0#0#0.0#2019-11-01
08:22:55#0#00:00:00#00:00:00#00:00:00 1 1e34c28c2d492938ce250e10f7d5d7f5
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/02/1949 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA IMELDA LENGKONG 052923 70 25837 DR
DYANA T.WATANIA,SPM 0309R0191019V004708 0001066661651 3;JKN Patrick K.;
5.3.9.201904290125 4 83545 1#0##0#0#0.0#2019-11-01
08:29:14#0#00:00:00#00:00:00#00:00:00 1 33104359c20fd000a2c76a3ddd592a16
7171104 C 3 CP 2 29/10/2019 29/10/2019 08/12/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEBESTRIDA MAITULUNG 052731 65 24066 DR
YULIANA HARTONO,SPM 0309R0191019V004707 0000136915222 3;JKN Patrick K.;
5.3.9.201904290125 4 83546 1#0##0#0#0.0#2019-11-01
08:31:59#0#00:00:00#00:00:00#00:00:00 1 f8b98151f729ce4011647e897154b48e
7171104 C 3 CP 2 29/10/2019 29/10/2019 19/07/1953 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LAURINA TUMUNDO 052922 66 24208 DR.MELISA
RATAG,SPM 0309R0191019V004706 0000138342205 3;JKN Patrick K.;
5.3.9.201904290125 4 83547 1#0##0#0#0.0#2019-11-01
08:33:49#0#00:00:00#00:00:00#00:00:00 1 19b075a34baa2f85396cde5ce5522851
7171104 C 3 CP 2 29/10/2019 29/10/2019 25/03/1957 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTHEN LENGKEY 006805 62 22863
DR.MELISA RATAG,SPM 0309R0191019V004705 0002763277154 3;JKN
Patrick K.; 5.3.9.201904290125 4 83548 1#0##0#0#0.0#2019-11-01
08:34:48#0#00:00:00#00:00:00#00:00:00 1 d9e3bd886dbfcbbe4dc00db6446786d8
7171104 C 3 CP 2 29/10/2019 29/10/2019 02/10/1958 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOUTJE O. GOSAL 039454 61 22307 DR
YULIANA HARTONO,SPM 0309R0191019V004704 0000137799055 3;JKN Patrick K.;
5.3.9.201904290125 4 83549 1#0##0#0#0.0#2019-11-01
08:36:23#0#00:00:00#00:00:00#00:00:00 1 9918339e017bacb8c8fe0e8f17cd688d
7171104 C 3 CP 2 29/10/2019 29/10/2019 25/06/1959 0 2
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MILDA KAKALANG 017124 60 22041
DR.MELISA RATAG,SPM 0309R0191019V004703 0001323548954 3;JKN
Patrick K.; 5.3.9.201904290125 4 83550 1#0##0#0#0.0#2019-11-01
08:39:05#0#00:00:00#00:00:00#00:00:00 1 a979890a20bd9c6cdb53382e6149ded9
7171104 C 3 CP 2 29/10/2019 29/10/2019 20/03/1948 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIE JULIANA MAMANGKEY 030954 71 26155 DR
YULIANA HARTONO,SPM 0309R0191019V004702 0002217539812 3;JKN Patrick K.;
5.3.9.201904290125 4 83551 1#0##0#0#0.0#2019-11-01
08:41:34#0#00:00:00#00:00:00#00:00:00 1 d8fa120635d0c74a2819b60a78bf1b29
7171104 C 3 CP 2 29/10/2019 29/10/2019 13/09/1955 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SELVIA F KARWUR 052797 64 23422 DR
YULIANA HARTONO,SPM 0309R0191019V004701 0001270341988 3;JKN Patrick K.;
5.3.9.201904290125 4 83552 1#0##0#0#0.0#2019-11-01
08:43:17#0#00:00:00#00:00:00#00:00:00 1 9c58411f63d11be88a3e4ab129a472dd
7171104 C 3 CP 2 29/10/2019 29/10/2019 20/06/1951 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WILLEM ROMPIES 052719 68 24968 DR DYANA
T.WATANIA,SPM 0309R0191019V004700 0000155478273 3;JKN Patrick K.;
5.3.9.201904290125 4 83553 1#0##0#0#0.0#2019-11-01
08:45:43#0#00:00:00#00:00:00#00:00:00 1 192cf5f951424c699225beae3359a619
7171104 C 3 CP 2 29/10/2019 29/10/2019 25/06/1960 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUSTIEN KARUNGU 052011 59 21675
DR.MELISA RATAG,SPM 0309R0191019V004699 0001791034749 3;JKN
Patrick K.; 5.3.9.201904290125 4 83554 1#0##0#0#0.0#2019-11-01
08:48:17#0#00:00:00#00:00:00#00:00:00 1 0cab487810b84ea4c3b835069f212315
7171104 C 3 CP 2 29/10/2019 29/10/2019 17/04/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AISYAH SYAUS 029108 66 24301 DR YULIANA
HARTONO,SPM 0309R0191019V004698 0001452113482 3;JKN Patrick K.;
5.3.9.201904290125 4 83555 1#0##0#0#0.0#2019-11-01
08:49:23#0#00:00:00#00:00:00#00:00:00 1 f8f2e2e771141967d08559162e8cc800
7171104 C 3 CP 2 29/10/2019 29/10/2019 21/11/1962 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HOLMINTJE BELENGAN 000620 56 20796
DR.MELISA RATAG,SPM 0309R0191019V004697 0000137948106 3;JKN
Patrick K.; 5.3.9.201904290125 4 83556 1#0##0#0#0.0#2019-11-01
08:52:04#0#00:00:00#00:00:00#00:00:00 1 99547394237552d4e7498ad0f6d9de63
7171104 C 3 CP 2 29/10/2019 29/10/2019 29/07/1952 0 2
1 Z09.8;H02.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIN KAENG 052485 67 24563 DR YULIANA
HARTONO,SPM 0309R0191019V004696 0001243680805 3;JKN Patrick K.;
5.3.9.201904290125 4 83557 1#0##0#0#0.0#2019-11-01
08:53:06#0#00:00:00#00:00:00#00:00:00 1 6b3bd29c057217c20c0eefc596137d4c
7171104 C 3 CP 2 29/10/2019 29/10/2019 27/06/1961 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARKUS ANG 051865 58 21308 DR YULIANA
HARTONO,SPM 0309R0191019V004695 0002756860648 3;JKN Patrick K.;
5.3.9.201904290125 4 83558 1#0##0#0#0.0#2019-11-01
08:54:06#0#00:00:00#00:00:00#00:00:00 1 832fd771ae803ef6d8ad7c2222330064
7171104 C 3 CP 2 29/10/2019 29/10/2019 25/05/1938 0 1
1 Z09.8;H40.5;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JAN KUSLER 042245 81 29742 DR DYANA
T.WATANIA,SPM 0309R0191019V004694 0001381811927 3;JKN Patrick K.;
5.3.9.201904290125 4 83559 1#0##0#0#0.0#2019-11-01
08:56:01#0#00:00:00#00:00:00#00:00:00 1 e982aaed4a8fd52deae962c8984637ce
7171104 C 3 CP 2 29/10/2019 29/10/2019 27/10/1972 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLHA TUMUNDO 052920 47 17168 DR
YULIANA HARTONO,SPM 0309R0191019V004693 0001341870232 3;JKN Patrick K.;
5.3.9.201904290125 4 83560 1#0##0#0#0.0#2019-11-01
08:57:00#0#00:00:00#00:00:00#00:00:00 1 27d6b8dc48a860a69a18fb5cb2c4bc3b
7171104 C 3 CP 2 29/10/2019 29/10/2019 17/08/1952 0 2
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RAM MONOARFA 052525 67 24544 DR
DYANA T.WATANIA,SPM 0309R0191019V004692 0002321490251 3;JKN Patrick K.;
5.3.9.201904290125 4 83561 1#0##0#0#0.0#2019-11-01
08:58:52#0#00:00:00#00:00:00#00:00:00 1 360fce29fa0875466c2953cf877b886d
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/01/1957 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUSLI ABDULSALAM 051662 62 22946 DR
YULIANA HARTONO,SPM 0309R0191019V004691 0000906662924 3;JKN Patrick K.;
5.3.9.201904290125 4 83562 1#0##0#0#0.0#2019-11-01
08:59:43#0#00:00:00#00:00:00#00:00:00 1 802572ec7de9e6ac3550cc1290a927c3
7171104 C 3 CP 2 29/10/2019 29/10/2019 22/05/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEBORA LONDA 052484 70 25727 DR.MELISA
RATAG,SPM 0309R0191019V004690 0000137215405 3;JKN Patrick K.;
5.3.9.201904290125 4 83563 1#0##0#0#0.0#2019-11-01
09:00:59#0#00:00:00#00:00:00#00:00:00 1 537525cad3b5330fff424614a74bd046
7171104 C 3 CP 2 29/10/2019 29/10/2019 27/09/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HOPNY TORAR 029404 69 25234 DR DYANA
T.WATANIA,SPM 0309R0191019V004689 0001966570683 3;JKN Patrick K.;
5.3.9.201904290125 4 83564 1#0##0#0#0.0#2019-11-01
09:03:36#0#00:00:00#00:00:00#00:00:00 1 3723f748bd336923d001f30046035633
7171104 C 3 CP 2 29/10/2019 29/10/2019 15/08/1947 0 2
1 Z96.1;H35.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARITJE KORAAG 048855 72 26373 DR
DYANA T.WATANIA,SPM 0309R0191019V004688 0002085314499 3;JKN Patrick K.;
5.3.9.201904290125 4 83565 1#0##0#0#0.0#2019-11-01
09:05:19#0#00:00:00#00:00:00#00:00:00 1 0819413375418970f720fe25ddbb17bb
7171104 C 3 CP 2 29/10/2019 29/10/2019 26/11/1953 0 1
1 Z09.8;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHNNY H PALOON 020020 65 24078 DR
DYANA T.WATANIA,SPM 0309R0191019V004686 0000137249425 3;JKN Patrick K.;
5.3.9.201904290125 4 83566 1#0##0#0#0.0#2019-11-01
09:06:14#0#00:00:00#00:00:00#00:00:00 1 a75af3923334b6cc0d3901979cdf60dc
7171104 C 3 CP 2 29/10/2019 29/10/2019 21/10/1950 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 THERESIA M.KAUNANG 052813 69 25210
DR YULIANA HARTONO,SPM 0309R0191019V004684 0000138210996 3;JKN
Patrick K.; 5.3.9.201904290125 4 83567 1#0##0#0#0.0#2019-11-01
09:08:34#0#00:00:00#00:00:00#00:00:00 1 5444a4fa9e2b64cece36e9c11696e2f2
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/06/1961 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JHONNY SUMAMPOUW 052594 58 21334 DR
YULIANA HARTONO,SPM 0309R0191019V004683 0000138360464 3;JKN Patrick K.;
5.3.9.201904290125 4 83568 1#0##0#0#0.0#2019-11-01
09:09:17#0#00:00:00#00:00:00#00:00:00 1 89be1c84e1f2d74d854a4f9b1aaf2bb7
7171104 C 3 CP 2 29/10/2019 29/10/2019 19/08/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HANNI ANDRIES NAJOAN 003711 67 24542 DR
YULIANA HARTONO,SPM 0309R0191019V004682 0000137241641 3;JKN Patrick K.;
5.3.9.201904290125 4 83569 1#0##0#0#0.0#2019-11-01
09:10:26#0#00:00:00#00:00:00#00:00:00 1 d113af872b9bcc6bd89c413037af1a6f
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/09/1960 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SINTJE PETRUS 046526 59 21607 DR YULIANA
HARTONO,SPM 0309R0191019V004681 0001066983761 3;JKN Patrick K.;
5.3.9.201904290125 4 83570 1#0##0#0#0.0#2019-11-01
09:11:48#0#00:00:00#00:00:00#00:00:00 1 b3e238eb11b94b3f6b3fa1c045c38ecc
7171104 C 3 CP 2 29/10/2019 29/10/2019 07/10/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LANTANG E KOWAL 052712 70 25589 DR.MELISA
RATAG,SPM 0309R0191019V004680 0000138865364 3;JKN Patrick K.;
5.3.9.201904290125 4 83571 1#0##0#0#0.0#2019-11-01
09:12:36#0#00:00:00#00:00:00#00:00:00 1 acbbcaa5084fb1818f4f486c1b7d07b4
7171104 C 3 CP 2 29/10/2019 29/10/2019 17/06/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JUSTINUS GUSTAF TAMBAJONG 052392 70 25701
DR YULIANA HARTONO,SPM 0309R0191019V004677 0000138170316 3;JKN
Patrick K.; 5.3.9.201904290125 4 83572 1#0##0#0#0.0#2019-11-01
09:13:37#0#00:00:00#00:00:00#00:00:00 1 2e7544c5c9a35b920a555e8ff7bfe5e7
7171104 C 3 CP 2 29/10/2019 29/10/2019 06/11/1945 0 2
1 Z09.8;H02.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FEMMY MICHICO JACOB 030607 73 27020
DR.MELISA RATAG,SPM 0309R0191019V004676 0000137992239 3;JKN
Patrick K.; 5.3.9.201904290125 4 83573 1#0##0#0#0.0#2019-11-01
09:14:24#0#00:00:00#00:00:00#00:00:00 1 aefb9189fe1b80e94a6db444235660a4
7171104 C 3 CP 2 29/10/2019 29/10/2019 21/02/1975 0 1
1 T15.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ARNEL PANESE 052919 44 16321 DR.MELISA
RATAG,SPM 0309R0191019V004675 0001249630086 3;JKN Patrick K.;
5.3.9.201904290125 4 83574 1#0##0#0#0.0#2019-11-01
09:16:20#0#00:00:00#00:00:00#00:00:00 1 214d48139e00df1c86a763c4b6fd851a
7171104 C 3 CP 2 29/10/2019 29/10/2019 06/10/1975 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FITRIATY LIAN MAKALUASE 052916 44 16094 DR
YULIANA HARTONO,SPM 0309R0191019V004674 0000136889774 3;JKN Patrick K.;
5.3.9.201904290125 4 83576 1#0##0#0#0.0#2019-11-01
09:20:03#0#00:00:00#00:00:00#00:00:00 1 256c3909883037e3e8e5d1e0dd6f5b6f
7171104 C 3 CP 2 29/10/2019 29/10/2019 05/07/1990 0 2
1 Z09.8;H40.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ASTRI TUMENGGUNG 049752 29 10708
DR.MELISA RATAG,SPM 0309R0191019V004673 0001386888491 3;JKN
Patrick K.; 5.3.9.201904290125 4 83577 1#0##0#0#0.0#2019-11-01
09:21:38#0#00:00:00#00:00:00#00:00:00 1 7c32ca18b5d9c73535c1a8c809bd5b29
7171104 C 3 CP 2 29/10/2019 29/10/2019 19/02/1990 0 2
1 Z09.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FAUTY FALENTINE KAUNANG 051613 29 10844 DR
YULIANA HARTONO,SPM 0309R0191019V004672 0002255470705 3;JKN Patrick K.;
5.3.9.201904290125 4 83578 85#0##0#0#0.0#2019-11-01
09:22:50#0#00:00:00#00:00:00#00:00:00 1 2cc0a15c562cc8c95e71fb0e417ba719
7171104 C 3 CP 2 29/10/2019 29/10/2019 14/10/1961 0 2
1 Z09.8;H26.9;Z96.1;H35.3 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TRESYE KUMAUNANG 051375 58 21199 DR
DYANA T.WATANIA,SPM 0309R0191019V004671 0000138505926 3;JKN Patrick K.;
5.3.9.201904290125 4 83579 1#0##0#0#0.0#2019-11-01
09:24:15#0#00:00:00#00:00:00#00:00:00 1 c04d6c7d577fc8ed43777ce89e8fcdb4
7171104 C 3 CP 2 29/10/2019 29/10/2019 07/12/1965 0 2
1 Z96.1;H35.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELLEN TINEKE SOMBAH 049417 53 19684
DR.MELISA RATAG,SPM 0309R0191019V004668 0000139012749 3;JKN
Patrick K.; 5.3.9.201904290125 4 83580 1#0##0#0#0.0#2019-11-01
09:25:57#0#00:00:00#00:00:00#00:00:00 1 21a53f67f7c1536886192533cfcfaa63
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/05/1961 0 1
1 Z09.8;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YANCE WANGOL 007205 58 21365 DR
YULIANA HARTONO,SPM 0309R0191019V004667 0001077782095 3;JKN Patrick K.;
5.3.9.201904290125 4 83581 1#0##0#0#0.0#2019-11-01
09:26:58#0#00:00:00#00:00:00#00:00:00 1 4336566dcd44c796de590175f7d0e501
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/01/1957 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BERNI TATUNDUGE 052660 62 22946 DR
YULIANA HARTONO,SPM 0309R0191019V004666 0000909315088 3;JKN Patrick K.;
5.3.9.201904290125 4 83582 1#0##0#0#0.0#2019-11-01
09:28:16#0#00:00:00#00:00:00#00:00:00 1 694a7a2338a50200114cb70845b09f74
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/10/1953 0 1
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MATIUS ANDES 052918 66 24134 DR YULIANA
HARTONO,SPM 0309R0191019V004664 0000137877614 3;JKN Patrick K.;
5.3.9.201904290125 4 83583 1#0##0#0#0.0#2019-11-01
09:29:25#0#00:00:00#00:00:00#00:00:00 1 be44359adf1dec6784167571ca8d45ba
7171104 C 3 CP 2 29/10/2019 29/10/2019 28/08/1974 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADOLPINA MAENGGA 052915 45 16498 DR DYANA
T.WATANIA,SPM 0309R0191019V004663 0000136886804 3;JKN Patrick K.;
5.3.9.201904290125 4 83584 79#0##0#0#0.0#2019-11-01
09:30:35#0#00:00:00#00:00:00#00:00:00 1 465f94597fedc8e1928065a3d256e1fe
7171104 C 3 CP 2 29/10/2019 29/10/2019 20/01/1944 0 1
1 H11.0;Z96.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHN L SURENTU 015727 75 27676 DR
YULIANA HARTONO,SPM 0309R0191019V004658 0002051102531 3;JKN Patrick K.;
5.3.9.201904290125 4 83585 1#0##0#0#0.0#2019-11-01
09:34:57#0#00:00:00#00:00:00#00:00:00 1 ebf4b9e8a6921faa33ad49dbb4fba4e8
7171104 C 3 CP 2 29/10/2019 29/10/2019 24/11/1957 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DORCI KUTIKA 050974 61 22619
DR.MELISA RATAG,SPM 0309R0191019V004657 0001248442312 3;JKN
Patrick K.; 5.3.9.201904290125 4 83586 1#0##0#0#0.0#2019-11-01
09:36:29#0#00:00:00#00:00:00#00:00:00 1 25d73dd42b58b8879d3b980214637969
7171104 C 3 CP 2 29/10/2019 29/10/2019 28/07/1948 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KATOCE KATIHO 052804 71 26025 DR
DYANA T.WATANIA,SPM 0309R0191019V004656 0001571219728 3;JKN Patrick K.;
5.3.9.201904290125 4 83587 1#0##0#0#0.0#2019-11-01
09:37:35#0#00:00:00#00:00:00#00:00:00 1 4d176e2719695e4a197f07fc59a5e299
7171104 C 3 CP 2 29/10/2019 29/10/2019 31/01/1939 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STIEN WELAN 051863 80 29491 DR YULIANA
HARTONO,SPM 0309R0191019V004655 0000137184502 3;JKN Patrick K.;
5.3.9.201904290125 4 83588 1#0##0#0#0.0#2019-11-01
09:43:24#0#00:00:00#00:00:00#00:00:00 2 d5eb0a549d44246c8a7bcac9fb2ad6a6
7171104 C 3 CP 2 29/10/2019 29/10/2019 10/02/1947 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SAFINA SANUSI 005310 72 26559 DR
YULIANA HARTONO,SPM 0309R0191019V004654 0002216023705 3;JKN Patrick K.;
5.3.9.201904290125 4 83590 1#0##0#0#0.0#2019-11-01
09:44:56#0#00:00:00#00:00:00#00:00:00 1 327dcd25ebed5e6fde3678e245f98b5e
7171104 C 3 CP 2 29/10/2019 29/10/2019 24/02/1957 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 VENTJE SAMOLA 052395 62 22892 DR
DYANA T.WATANIA,SPM 0309R0191019V004652 0001431620177 3;JKN Patrick K.;
5.3.9.201904290125 4 83591 1#0##0#0#0.0#2019-11-01
09:46:47#0#00:00:00#00:00:00#00:00:00 1 d9d4db3a1dbcc4ae214f42c2e657360c
7171104 C 3 CP 2 29/10/2019 29/10/2019 04/12/2013 0 1
1 Z09.8;H40.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANGEL VOICE WINOKAN 039751 5 2155
DR DYANA T.WATANIA,SPM 0309R0191019V004650 0001437599046 3;JKN
Patrick K.; 5.3.9.201904290125 4 83594 1#0##0#0#0.0#2019-11-01
09:47:55#0#00:00:00#00:00:00#00:00:00 1 95629737459d2e30565558ee1f74a0e7
7171104 C 3 CP 2 29/10/2019 29/10/2019 10/10/1952 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JONATHAN SASAKO 052867 67 24490
DR.MELISA RATAG,SPM 0309R0191019V004649 0002304236283 3;JKN
Patrick K.; 5.3.9.201904290125 4 83597 1#0##0#0#0.0#2019-11-01
09:49:33#0#00:00:00#00:00:00#00:00:00 1 96937ccca6a2c96dd9a99ee7e36d7057
7171104 C 3 CP 2 29/10/2019 29/10/2019 09/04/1968 0 1
1 H35.2;H43.1 14.24 - - None None None None H-3-10-0 None
None None None None None PROSEDUR LASER SEDANG PADA MATA 476900
0 0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 ADRY ABRI KOTANGON 013465 51 18830
DR DYANA T.WATANIA,SPM 0309R0191019V004573 0000137764653 3;JKN
Boni04; 5.3.9.201904290125 4 84548 1#0##0#0#0.0#2019-11-06
15:01:01#0#00:00:00#00:00:00#00:00:00 1 cc98be8e0a6b7fd4dd77e9f6a28e8e24
7171104 C 3 CP 2 29/10/2019 29/10/2019 13/02/1954 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 FLORTJE UADA 018595 65 23999
DR.MELISA RATAG,SPM 0309R0191019V004685 0000136923928 3;JKN
Boni04; 5.3.9.201904290125 4 84549 1#0##0#0#0.0#2019-11-06
15:01:47#0#00:00:00#00:00:00#00:00:00 1 a2bd00c3e652a33712abba5c364beb40
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/10/1956 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 ELSYE LULY 032978 63 23038 DR.MELISA
RATAG,SPM 0309R0191019V004713 0000911050301 3;JKN Boni04;
5.3.9.201904290125 4 84550 1#0##0#0#0.0#2019-11-06
15:03:00#0#00:00:00#00:00:00#00:00:00 1 f777bb6c12232b25d890f61013b7ce25
7171104 C 3 CP 2 29/10/2019 29/10/2019 05/02/1944 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 WILLY DOORTJE BAGINDA 037800 75 27660
DR YULIANA HARTONO,SPM 0309R0191019V004634 0000138069977 3;JKN
Boni04; 5.3.9.201904290125 4 84551 1#0##0#0#0.0#2019-11-06
15:04:12#0#00:00:00#00:00:00#00:00:00 1 596eecb787ff9083fa32fc8bfb859d40
7171104 C 3 CP 2 29/10/2019 29/10/2019 27/06/1941 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 JENNY SUMAKUD 018286 78 28613 DR
YULIANA HARTONO,SPM 0309R0191019V004679 0002070787599 3;JKN Boni04;
5.3.9.201904290125 4 84552 1#0##0#0#0.0#2019-11-06
15:05:07#0#00:00:00#00:00:00#00:00:00 1 dfb395e534e931fa78134b241a25e6df
7171104 C 3 CP 2 29/10/2019 29/10/2019 04/02/1948 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 FREDERIKA L ANGGINALOY 014662 71 26200
DR YULIANA HARTONO,SPM 0309R0191019V004678 0000138865353 3;JKN
Boni04; 5.3.9.201904290125 4 84493 1#0##0#0#0.0#2019-11-06
15:05:48#0#00:00:00#00:00:00#00:00:00 1 9ab8bcfa2b6c6237dc696c2a87f7a37b
7171104 C 3 CP 2 29/10/2019 29/10/2019 15/06/1942 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 RABAIA BANGKI
MOKODONGAN 052512 77 28260 DR SAUL RAPAR,SPM 0309R0191019V004597
0000138046825 3;JKN Boni04; 5.3.9.201904290125 4 84553
1#0##0#0#0.0#2019-11-06 15:07:20#0#00:00:00#00:00:00#00:00:00 1
ef9d9c3fc18b7709540cfc918409c5d0
7171104 C 3 CP 2 29/10/2019 29/10/2019 05/12/1946 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NICOLAS PATRAS
052874 72 26626 DR SAUL RAPAR,SPM 0309R0191019V004599
0000138281534 3;JKN Boni04; 5.3.9.201904290125 4 84554
1#0##0#0#0.0#2019-11-06 15:07:58#0#00:00:00#00:00:00#00:00:00 1
916fbaef0f4c0696b6560e485ae6a5b7
7171104 C 3 CP 2 29/10/2019 29/10/2019 28/03/1957 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 TAMPANGUMA ARIE
MARTHEN 033900 62 22860 DR SAUL RAPAR,SPM 0309R0191019V004609
0000137889909 3;JKN Boni04; 5.3.9.201904290125 4 84555
1#0##0#0#0.0#2019-11-06 15:09:47#0#00:00:00#00:00:00#00:00:00 1
6672be3a32dedb3ac8a7478eefe2283b
7171104 C 3 CP 2 29/10/2019 29/10/2019 26/05/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MELLY TAMBARIKI
052662 71 26088 DR SAUL RAPAR,SPM 0309R0191019V004640
0002455833688 3;JKN Boni04; 5.3.9.201904290125 4 84556
1#0##0#0#0.0#2019-11-06 15:10:27#0#00:00:00#00:00:00#00:00:00 1
6307afbce1739687f2fa62ac6895ce7f
7171104 C 3 CP 2 29/10/2019 29/10/2019 22/10/1940 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 POLIEN PIRI 051085
79 28861 DR SAUL RAPAR,SPM 0309R0191019V004645 0001566235383 3;JKN
Boni04; 5.3.9.201904290125 4 84557 1#0##0#0#0.0#2019-11-06
15:11:13#0#00:00:00#00:00:00#00:00:00 1 0ee444e0a84e066da28b1fe86fd6b31d
7171104 C 3 CP 2 29/10/2019 29/10/2019 07/03/1958 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MAGRITHA MANDJI
052479 61 22516 DR SAUL RAPAR,SPM 0309R0191019V004651
0000138427389 3;JKN Boni04; 5.3.9.201904290125 4 84559
1#0##0#0#0.0#2019-11-06 16:25:57#0#00:00:00#00:00:00#00:00:00 1
9f11290404e43efbde47d617e53fa8b0
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/05/1944 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARIA MAGDALENA
WOWOR 051742 75 27574 DR SAUL RAPAR,SPM 0309R0191019V004709
0000907236562 3;JKN Boni04; 5.3.9.201904290125 4 84560
1#0##0#0#0.0#2019-11-06 16:27:35#0#00:00:00#00:00:00#00:00:00 1
ffd67f0e155d07e0df857cccb6c15cef
7171104 C 3 CP 2 29/10/2019 29/10/2019 27/03/1945 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 CHRISTOFEL ROBY
MEWOH 052592 74 27244 DR SAUL RAPAR,SPM 0309R0191019V004570
0002206284423 3;JKN Boni04; 5.3.9.201904290125 4 84561
1#0##0#0#0.0#2019-11-06 16:28:21#0#00:00:00#00:00:00#00:00:00 1
22964f7cbdbdbd88f67a1391a767b666
7171104 C 3 CP 2 29/10/2019 29/10/2019 23/08/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 AGUSTINA LANTU
052834 71 25999 DR SAUL RAPAR,SPM 0309R0191019V004576
0001287647548 3;JKN Boni04; 5.3.9.201904290125 4 84562
1#0##0#0#0.0#2019-11-06 16:29:30#0#00:00:00#00:00:00#00:00:00 1
1f107a3fb33466732c028878a8b17765
7171104 C 3 CP 2 29/10/2019 29/10/2019 16/12/1947 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NI NYOMAN MURNIATI
052052 71 26250 DR SAUL RAPAR,SPM 0309R0191019V004586
0000142982605 3;JKN Boni04; 5.3.9.201904290125 4 84563
1#0##0#0#0.0#2019-11-06 16:32:40#0#00:00:00#00:00:00#00:00:00 1
7a67979b8bf88b05e1f283e225d2f538
7171104 C 3 CP 2 29/10/2019 29/10/2019 08/02/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NICOLIN NAUNG
052908 71 26196 DR IVONNE RAMENUSA,SPM 0309R0191019V004605
0002081822591 3;JKN Boni04; 5.3.9.201904290125 4 84564
1#0##0#0#0.0#2019-11-06 16:33:34#0#00:00:00#00:00:00#00:00:00 1
be479e3675e2c922f481d7333d15b568
7171104 C 3 CP 2 29/10/2019 29/10/2019 10/06/1963 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FERRY SIMON
WAWOINTANA 052914 56 20595 DR IVONNE RAMENUSA,SPM 0309R0191019V004662
0000137226971 3;JKN Boni04; 5.3.9.201904290125 4 84565
1#0##0#0#0.0#2019-11-06 16:35:16#0#00:00:00#00:00:00#00:00:00 1
8656686145e83d8138ba33c64b729742
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/01/1936 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NAOMI ARIKALANG
052912 83 30617 DR IVONNE RAMENUSA,SPM 0309R0191019V004659
0000909053774 3;JKN Boni04; 5.3.9.201904290125 4 84600
1#0##0#0#0.0#2019-11-07 08:13:30#0#00:00:00#00:00:00#00:00:00 1
d1b6bdcf29904d97e06b7f2f6b5d9c6a
7171104 C 3 CP 2 29/10/2019 29/10/2019 22/12/1943 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ROBERT TAMUNTUAN
052930 75 27705 DR IVONNE RAMENUSA,SPM 0309R0191019V004761
0000909369527 3;JKN Boni04; 5.3.9.201904290125 4 84601
1#0##0#0#0.0#2019-11-07 08:17:03#0#00:00:00#00:00:00#00:00:00 1
80197e6bff2f2ff717fab34b4335bcae
7171104 C 3 CP 2 29/10/2019 29/10/2019 21/08/1951 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ALFONTUS KOSEGERAN
052749 68 24906 DR IVONNE RAMENUSA,SPM 0309R0191019V004622
0002293164404 3;JKN Boni04; 5.3.9.201904290125 4 84602
1#0##0#0#0.0#2019-11-07 08:22:14#0#00:00:00#00:00:00#00:00:00 1
2646ad73127d63428616a778ca99823c
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/07/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LINCE BOAS 052709
71 26052 DR IVONNE RAMENUSA,SPM 0309R0191019V004593 0002390814292
3;JKN Boni04; 5.3.9.201904290125 4 84603 1#0##0#0#0.0#2019-11-07
08:28:05#0#00:00:00#00:00:00#00:00:00 1 67f99a4d3990b5366a80e2c9ebbeef04
7171104 C 3 CP 2 29/10/2019 29/10/2019 24/01/1950 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 BOY JONAS TUBO
052913 69 25480 DR IVONNE RAMENUSA,SPM 0309R0191019V004660
0001820259538 3;JKN Boni04; 5.3.9.201904290125 4 84604
1#0##0#0#0.0#2019-11-07 08:28:50#0#00:00:00#00:00:00#00:00:00 1
34a89013408451dd8a05b7fcb69f63b1
7171104 C 3 CP 2 29/10/2019 29/10/2019 07/12/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 GEERTJE FIETJE
SUMENDOT MOKOBIMBING 052911 66 24432 DR IVONNE RAMENUSA,SPM
0309R0191019V004727 0000137198114 3;JKN Boni04; 5.3.9.201904290125
4 84605 1#0##0#0#0.0#2019-11-07 08:29:55#0#00:00:00#00:00:00#00:00:00
1 7b24e02116a2f463aec3fbf9848228d1
7171104 C 3 CP 2 29/10/2019 29/10/2019 11/12/1961 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SYANE HARUN 052183
57 21141 DR SALAM SURBAKTI,SPM 0309R0191019V004665 0001809712585
3;JKN Boni04; 5.3.9.201904290125 4 84606 1#0##0#0#0.0#2019-11-07
08:33:54#0#00:00:00#00:00:00#00:00:00 1 8a039eb49677a6617c4dd60c053853ee
7171104 C 3 CP 2 29/10/2019 29/10/2019 29/08/1950 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 FIEKE MONNA TEKLA
LUISA SIBY 051535 69 25263 DR SALAM SURBAKTI,SPM 0309R0191019V004636
0001889300542 3;JKN Boni04; 5.3.9.201904290125 4 84607
1#0##0#0#0.0#2019-11-07 08:38:23#0#00:00:00#00:00:00#00:00:00 1
90664d2c720ce20fc7ce3e138552cec9
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/08/1970 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NUR ROOS 046723
49 17986 DR SALAM SURBAKTI,SPM 0309R0191019V004687 0001066826845
3;JKN Boni04; 5.3.9.201904290125 4 84608 1#0##0#0#0.0#2019-11-07
08:39:15#0#00:00:00#00:00:00#00:00:00 1 6b237400d09f93541fd89f30cf9568af
7171104 C 3 CP 2 29/10/2019 29/10/2019 11/12/1955 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHNY F WOWILING
032841 63 23333 DR SALAM SURBAKTI,SPM 0309R0191019V004569
0000138429595 3;JKN Boni04; 5.3.9.201904290125 4 84609
1#0##0#0#0.0#2019-11-07 08:40:30#0#00:00:00#00:00:00#00:00:00 1
01b9edda50ad990b79ceba965727a87b
7171104 C 3 CP 2 29/10/2019 29/10/2019 02/06/1946 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 RUTJE
PATONGGIGHILE 052683 73 26812 DR SALAM SURBAKTI,SPM
0309R0191019V004614 0001327230224 3;JKN Boni04; 5.3.9.201904290125
4 84610 1#0##0#0#0.0#2019-11-07 08:42:45#0#00:00:00#00:00:00#00:00:00
1 4650778fca59d9c0830c212eb420de61
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/07/1964 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 TOMI SIBOSO 052601
55 20208 DR SALAM SURBAKTI,SPM 0309R0191019V004618 0000973707276
3;JKN Boni04; 5.3.9.201904290125 4 84611 1#0##0#0#0.0#2019-11-07
08:43:28#0#00:00:00#00:00:00#00:00:00 1 88137fd1b4dfbdd4ba10b0d6a88f2471
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/10/1947 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 OSKAR LIUW 052656
72 26326 DR SALAM SURBAKTI,SPM 0309R0191019V004604 0000911720057
3;JKN Boni04; 5.3.9.201904290125 4 84612 1#0##0#0#0.0#2019-11-07
08:45:24#0#00:00:00#00:00:00#00:00:00 1 1ca772b4200b5d7e91a25028d1c5c4c4
7171104 C 3 CP 2 29/10/2019 29/10/2019 08/04/1958 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JANE ADELINE
SIGARLAKI 052730 61 22484 DR SALAM SURBAKTI,SPM 0309R0191019V004641
0002038594803 3;JKN Boni04; 5.3.9.201904290125 4 84613
1#0##0#0#0.0#2019-11-07 08:55:00#0#00:00:00#00:00:00#00:00:00 1
70661a120698a5eabd8bd897f12d1c8a
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/11/1973 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NICE PUNUHSINGON
052624 45 16798 DR SALAM SURBAKTI,SPM 0309R0191019V004653
0000908364881 3;JKN Boni04; 5.3.9.201904290125 4 84617
1#0##0#0#0.0#2019-11-07 08:56:14#0#00:00:00#00:00:00#00:00:00 1
94b2c152a9240d3fb2157bc819867c50
7171104 C 3 CP 2 29/10/2019 29/10/2019 01/03/1949 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 LENY IROTH 052738
70 25809 DR SALAM SURBAKTI,SPM 0309R0191019V004646 0000907586831
3;JKN Boni04; 5.3.9.201904290125 4 84619 1#0##0#0#0.0#2019-11-07
08:57:41#0#00:00:00#00:00:00#00:00:00 1 2c36fda65eeeb03a546ca61863e2dff6
7171104 C 3 CP 2 29/10/2019 29/10/2019 04/10/1947 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ROOSINA KAMBEY
051841 72 26323 DR SALAM SURBAKTI,SPM 0309R0191019V004661
0000139076796 3;JKN Boni04; 5.3.9.201904290125 4 84620
1#0##0#0#0.0#2019-11-07 08:58:25#0#00:00:00#00:00:00#00:00:00 1
ca21b7d88500fc8e74f6196231affa5b
7171104 C 3 CP 2 29/10/2019 29/10/2019 08/03/1970 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JITRON KALASE
048186 49 18132 DR SALAM SURBAKTI,SPM 0309R0191019V004606
0002299810094 3;JKN Boni04; 5.3.9.201904290125 4 84622
1#0##0#0#0.0#2019-11-07 08:59:40#0#00:00:00#00:00:00#00:00:00 1
fb0297ed8a0e0bcc9716e343e430631a
7171104 C 3 CP 2 29/10/2019 29/10/2019 13/11/1960 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 NOLIN TANGKA
052489 58 21534 DR SALAM SURBAKTI,SPM 0309R0191019V004578
0001569814784 3;JKN Boni04; 5.3.9.201904290125 4 84623
1#0##0#0#0.0#2019-11-07 09:01:10#0#00:00:00#00:00:00#00:00:00 1
54dfa67cd60d987d9f29419ddb3c2e0f
7171104 C 3 CP 2 29/10/2019 29/10/2019 23/07/1965 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 PINCE MAKASALA
052880 54 19821 DR SALAM SURBAKTI,SPM 0309R0191019V004587
0002391513917 3;JKN Boni04; 5.3.9.201904290125 4 84624
1#0##0#0#0.0#2019-11-07 09:01:59#0#00:00:00#00:00:00#00:00:00 1
8ed26a3a0082547ddb09f1d68aa5c7ba
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/09/1967 0 1
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RIZAL PAPUTUNGAN 051737 52 19052 DR
YULIANA HARTONO,SPM 0309R0191019V004927 0000912127577 3;JKN Vian02;
5.3.9.201904290125 4 83575 1#0##0#0#0.0#2019-11-01
09:17:57#0#00:00:00#00:00:00#00:00:00 1 58aead9c0d18a0b3fb3efd1bbdf1acfa
7171104 C 3 CP 2 30/10/2019 30/10/2019 28/08/1960 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AGUSTINUS NGALA 051839 59 21612 DR PAULA M V
LUMUNON,SPM 0309R0191019V004928 0001802329299 3;JKN Vian02;
5.3.9.201904290125 4 83589 1#0##0#0#0.0#2019-11-01
09:44:45#0#00:00:00#00:00:00#00:00:00 1 d3b71bea98c62cf2fa335ab838ca21d8
7171104 C 3 CP 2 30/10/2019 30/10/2019 05/04/1948 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOPPY PINONTOAN 052571 71 26140 DR PAULA M V
LUMUNON,SPM 0309R0191019V004929 0002484880773 3;JKN Vian02;
5.3.9.201904290125 4 83592 1#0##0#0#0.0#2019-11-01
09:47:23#0#00:00:00#00:00:00#00:00:00 1 d36c228a3492870e9383f5891e6431bb
7171104 C 3 CP 2 30/10/2019 30/10/2019 11/12/1961 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SYANE HARUN 052183 57 21142 DR YULIANA
HARTONO,SPM 0309R0191019V004862 0001809712585 3;JKN linda03;
5.3.9.201904290125 4 83593 1#0##0#0#0.0#2019-11-01
09:47:38#0#00:00:00#00:00:00#00:00:00 1 c7c9985809629e4cf2e33630ef17a842
7171104 C 3 CP 2 30/10/2019 30/10/2019 25/10/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AGUSTINA LENGKONG 001988 70 25572 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V004861 0000137205022 3;JKN linda03;
5.3.9.201904290125 4 83595 1#0##0#0#0.0#2019-11-01
09:48:24#0#00:00:00#00:00:00#00:00:00 1 1489ddbd554fdcd9815737a5dcde7bef
7171104 C 3 CP 2 30/10/2019 30/10/2019 12/04/1960 0 2
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NUR AIN SUMAGA 033706 59 21750 DR YULIANA
HARTONO,SPM 0309R0191019V004930 0002296523305 3;JKN Vian02;
5.3.9.201904290125 4 83596 1#0##0#0#0.0#2019-11-01
09:48:49#0#00:00:00#00:00:00#00:00:00 1 f98fb47914fa32b8c5c475897540666e
7171104 C 3 CP 2 30/10/2019 30/10/2019 19/12/1955 0 1
1 Z09.8;H40.5;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 IR. FRANKIE PH. F. RORING 052611 63
23326 DR PAULA M V LUMUNON,SPM 0309R0191019V004931 0000138573876
3;JKN Vian02; 5.3.9.201904290125 4 83598 1#0##0#0#0.0#2019-11-01
09:50:04#0#00:00:00#00:00:00#00:00:00 1 a5e27d4b2224c30331c23a90ae3f80c9
7171104 C 3 CP 2 30/10/2019 30/10/2019 11/11/1962 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JENNI LUAWO 052956 56 20807 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V004933 0001567915896 3;JKN Vian02;
5.3.9.201904290125 4 83600 1#0##0#0#0.0#2019-11-01
09:53:08#0#00:00:00#00:00:00#00:00:00 1 551f13c85205dce8abf66a6c6bbd5b73
7171104 C 3 CP 2 30/10/2019 30/10/2019 02/09/1933 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ESTEFINA KUMAUNANG 052074 86 31469 DR
PAULA M V LUMUNON,SPM 0309R0191019V004934 0001305233559 3;JKN Vian02;
5.3.9.201904290125 4 83601 1#0##0#0#0.0#2019-11-01
09:54:07#0#00:00:00#00:00:00#00:00:00 1 102fe66530efa02f716ae082c8e3aac0
7171104 C 3 CP 2 30/10/2019 30/10/2019 10/05/1954 0 1
1 Z09.8;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRANS MANGUNDAP 051799 65 23914 DR
YULIANA HARTONO,SPM 0309R0191019V004860 0002291032102 3;JKN linda03;
5.3.9.201904290125 4 83599 1#0##0#0#0.0#2019-11-01
09:54:11#0#00:00:00#00:00:00#00:00:00 1 3ed31699e5788c34e680e8c2df9ac03a
7171104 C 3 CP 2 30/10/2019 30/10/2019 02/06/1944 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHN FRANS KAUNANG 051778 75 27543 DR
PAULA M V LUMUNON,SPM 0309R0191019V004926 0000138253691 3;JKN Patrick K.;
5.3.9.201904290125 4 83602 1#0##0#0#0.0#2019-11-01
09:54:56#0#00:00:00#00:00:00#00:00:00 1 ea2331d89ac138369852ddc8e417e6c8
7171104 C 3 CP 2 30/10/2019 30/10/2019 16/12/1981 0 2
1 Z09.8;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIANA EKKAWATI 049197 37 13832 DR
PAULA M V LUMUNON,SPM 0309R0191019V004935 0001792949152 3;JKN Vian02;
5.3.9.201904290125 4 83603 1#0##0#0#0.0#2019-11-01
09:55:28#0#00:00:00#00:00:00#00:00:00 1 82abd9734131316d120ed9ff38117517
7171104 C 3 CP 2 30/10/2019 30/10/2019 21/12/1951 0 1
1 Z96.1;H40.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHN KUSSOY 040933 67 24785 DR PAULA M V
LUMUNON,SPM 0309R0191019V004925 0001276357713 3;JKN Patrick K.;
5.3.9.201904290125 4 83604 1#0##0#0#0.0#2019-11-01
09:55:50#0#00:00:00#00:00:00#00:00:00 1 57c7600677ec56bf15c5a3165ed30678
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/11/1959 0 2
1 Z09.8;H52.2;H52.0;H52.4;Z96.1 95.02 - - None None None None
H-3-12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA
213700 0 0 - 0 - 0 - 0 - 0 213700
160600 0 1 0 0 0 SAHADIA DOMUTAN 019987 59
21913 DR SAUL RAPAR,SPM 0309R0191019V004924 0000909334462 3;JKN
Patrick K.; 5.3.9.201904290125 4 83605 1#0##0#0#0.0#2019-11-01
09:57:40#0#00:00:00#00:00:00#00:00:00 1 a71178e87c77dcd2748d76c49b0fcfb0
7171104 C 3 CP 2 30/10/2019 30/10/2019 11/01/1959 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NELLY MANTIRI 051881 60 22207 DR YULIANA
HARTONO,SPM 0309R0191019V004923 0002388309737 3;JKN Patrick K.;
5.3.9.201904290125 4 83606 1#0##0#0#0.0#2019-11-01
09:58:51#0#00:00:00#00:00:00#00:00:00 1 d4545469f895c163d3f60657bb74bc56
7171104 C 3 CP 2 30/10/2019 30/10/2019 27/09/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SINTJE SUMENDAP 050623 62 22678 DR YULIANA
HARTONO,SPM 0309R0191019V004936 0001247580009 3;JKN Vian02;
5.3.9.201904290125 4 83607 1#0##0#0#0.0#2019-11-01
09:59:18#0#00:00:00#00:00:00#00:00:00 1 68c4d27238472c37cc4d7b87053bce0a
7171104 C 3 CP 2 30/10/2019 30/10/2019 13/10/1955 0 2
1 Z09.8;H53.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 AMELDA SAMBOW 042524 64 23393 DR
YULIANA HARTONO,SPM 0309R0191019V004922 0002059110235 3;JKN Patrick K.;
5.3.9.201904290125 4 83608 1#0##0#0#0.0#2019-11-01
09:59:52#0#00:00:00#00:00:00#00:00:00 1 fecd2b9917165ecf3721756b8d529992
7171104 C 3 CP 2 30/10/2019 30/10/2019 21/01/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JANSJE JEANET MUMEKH 016945 69 25484 DR
PAULA M V LUMUNON,SPM 0309R0191019V004859 0000138319165 3;JKN linda03;
5.3.9.201904290125 4 83609 1#0##0#0#0.0#2019-11-01
10:00:38#0#00:00:00#00:00:00#00:00:00 1 3759e185441827e74ba31f5f5f4025d3
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/02/1951 0 1
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HANS BINEY 052104 68 25108 DR SAUL
RAPAR,SPM 0309R0191019V004937 0000907512715 3;JKN Vian02;
5.3.9.201904290125 4 83610 1#0##0#0#0.0#2019-11-01
10:01:15#0#00:00:00#00:00:00#00:00:00 1 74a6b633b4787fe164673a5be05110d9
7171104 C 3 CP 2 30/10/2019 30/10/2019 14/03/1952 0 2
1 Z09.8;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTJE TOMBILING 052755 67 24701 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004921 0001829027744 3;JKN
Patrick K.; 5.3.9.201904290125 4 83611 1#0##0#0#0.0#2019-11-01
10:01:16#0#00:00:00#00:00:00#00:00:00 1 71e9630f85d042d76b18ff59d491da93
7171104 C 3 CP 2 30/10/2019 30/10/2019 11/04/1966 0 1
1 Z09.0;H40.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HOSEA MANASE MANUHO 052663 53 19560
DR PAULA M V LUMUNON,SPM 0309R0191019V004938 0000037632846 3;JKN
Vian02; 5.3.9.201904290125 4 83613 1#0##0#0#0.0#2019-11-01
10:02:56#0#00:00:00#00:00:00#00:00:00 1 80afb40171d3367e60a571174912a6a6
7171104 C 3 CP 2 30/10/2019 30/10/2019 04/03/1954 0 1
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WEMPY PUNGUS 052754 65 23981 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004920 0001829026629 3;JKN
Patrick K.; 5.3.9.201904290125 4 83612 1#0##0#0#0.0#2019-11-01
10:03:28#0#00:00:00#00:00:00#00:00:00 2 516bd607a918b122dd7414daa8c07a6b
7171104 C 3 CP 2 30/10/2019 30/10/2019 24/07/1938 0 2
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CORRY WANTALANGI 015663 81 29683 DR
YULIANA HARTONO,SPM 0309R0191019V004858 0001066691709 3;JKN linda03;
5.3.9.201904290125 4 83614 1#0##0#0#0.0#2019-11-01
10:03:39#0#00:00:00#00:00:00#00:00:00 1 6a753c23d632bd880523289c492a4670
7171104 C 3 CP 2 30/10/2019 30/10/2019 05/09/1972 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LAURENSI BUNGKAES 052957 47 17221 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004940 0002390896416 3;JKN
Vian02; 5.3.9.201904290125 4 83615 1#0##0#0#0.0#2019-11-01
10:04:07#0#00:00:00#00:00:00#00:00:00 1 b249f43716abcac6a07a6088dfdc5384
7171104 C 3 CP 2 30/10/2019 30/10/2019 08/12/1991 0 2
1 Z09.8;H20.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEISY MEITA SANGARI 052818 27 10188
DR YULIANA HARTONO,SPM 0309R0191019V004919 0002240687338 3;JKN
Patrick K.; 5.3.9.201904290125 4 83616 1#0##0#0#0.0#2019-11-01
10:04:25#0#00:00:00#00:00:00#00:00:00 1 dab16a5b7180d00590653f4fea390c61
7171104 C 3 CP 2 30/10/2019 30/10/2019 28/02/1968 0 2
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FEMMY MANTIRI 052958 51 18872 DR YULIANA
HARTONO,SPM 0309R0191019V004941 0001483334706 3;JKN Vian02;
5.3.9.201904290125 4 83617 1#0##0#0#0.0#2019-11-01
10:05:20#0#00:00:00#00:00:00#00:00:00 1 a620115800a482519eda41271498f084
7171104 C 3 CP 2 30/10/2019 30/10/2019 28/09/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LOUISJE PONDAAG 052017 65 23773 DR PAULA M V
LUMUNON,SPM 0309R0191019V004918 0000137202017 3;JKN Patrick K.;
5.3.9.201904290125 4 83618 1#0##0#0#0.0#2019-11-01
10:05:30#0#00:00:00#00:00:00#00:00:00 1 19cd3ad0a0c04bff1f750b0d9a49d3d7
7171104 C 3 CP 2 30/10/2019 30/10/2019 15/05/1940 0 2
1 Z09.8;H01.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIANA PIRI 026563 79 29022 DR
YULIANA HARTONO,SPM 0309R0191019V004942 0001840356742 3;JKN Vian02;
5.3.9.201904290125 4 83619 1#0##0#0#0.0#2019-11-01
10:06:24#0#00:00:00#00:00:00#00:00:00 1 b97acc9a720428d237e7d48f0ec72748
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/02/1997 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VEISY MARGHARETA WALANGITAN 052955 22 8306
DR SAUL RAPAR,SPM 0309R0191019V004917 0001727299124 3;JKN Patrick K.;
5.3.9.201904290125 4 83620 1#0##0#0#0.0#2019-11-01
10:07:08#0#00:00:00#00:00:00#00:00:00 1 577bb025f8457b1331b40488ffaf8df7
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/10/1958 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SELFI LAHEBA 045635 61 22309 DR
PAULA M V LUMUNON,SPM 0309R0191019V004857 0000908138531 3;JKN linda03;
5.3.9.201904290125 4 83621 1#0##0#0#0.0#2019-11-01
10:07:42#0#00:00:00#00:00:00#00:00:00 1 94378edc220b962ad558e1d542c64297
7171104 C 3 CP 2 30/10/2019 30/10/2019 04/07/1974 0 1
1 Z09.8;H16.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FANI A. P. WALANGITAN 046099 45 16554
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004943 0001724886123 3;JKN
Vian02; 5.3.9.201904290125 4 83622 1#0##0#0#0.0#2019-11-01
10:07:43#0#00:00:00#00:00:00#00:00:00 1 7e8ad5ee327339ce8880fbd3806d9be5
7171104 C 3 CP 2 30/10/2019 30/10/2019 13/09/1973 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SERLIE MANTIRI 052954 46 16848 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004916 0000137307429 3;JKN
Patrick K.; 5.3.9.201904290125 4 83623 1#0##0#0#0.0#2019-11-01
10:08:39#0#00:00:00#00:00:00#00:00:00 1 b708402fd1a384e907319782833b65d7
7171104 C 3 CP 2 30/10/2019 30/10/2019 03/03/1937 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WEMPIE WAGEY 020732 82 30191 DR PAULA M V
LUMUNON,SPM 0309R0191019V004915 0001479978999 3;JKN Patrick K.;
5.3.9.201904290125 4 83624 1#0##0#0#0.0#2019-11-01
10:10:29#0#00:00:00#00:00:00#00:00:00 1 3cdd6975360377d7801484b61c0779f3
7171104 C 3 CP 2 30/10/2019 30/10/2019 19/10/1972 0 1
1 H52.4;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HARRY MARAGAU 052953 47 17177 DR
YULIANA HARTONO,SPM 0309R0191019V004914 0001133509961 3;JKN Patrick K.;
5.3.9.201904290125 4 83625 1#0##0#0#0.0#2019-11-01
10:11:58#0#00:00:00#00:00:00#00:00:00 1 f4b8cb46c5b443c619f4a274fc68a374
7171104 C 3 CP 2 30/10/2019 30/10/2019 20/12/1944 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PETRUS NOWIN 035799 74 27342 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V004856 0001271828182 3;JKN linda03;
5.3.9.201904290125 4 83627 1#0##0#0#0.0#2019-11-01
10:13:32#0#00:00:00#00:00:00#00:00:00 1 7212ae080f90b667535a9d8384e24d8f
7171104 C 3 CP 2 30/10/2019 30/10/2019 12/05/1996 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 INDRI BRIGITA MICHEL MARAMIS 052952 23 8571
DR PAULA M V LUMUNON,SPM 0309R0191019V004913 0001274345829 3;JKN
Patrick K.; 5.3.9.201904290125 4 83626 1#0##0#0#0.0#2019-11-01
10:13:33#0#00:00:00#00:00:00#00:00:00 1 79ed2dbc6204efb45075de10cd696a61
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/02/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SAARTJE LUMEMPOW 051835 70 25838 DR PAULA M V
LUMUNON,SPM 0309R0191019V004944 0001066839592 3;JKN Vian02;
5.3.9.201904290125 4 83628 1#0##0#0#0.0#2019-11-01
10:14:34#0#00:00:00#00:00:00#00:00:00 1 00f62cd7e451e767545e80854534eabd
7171104 C 3 CP 2 30/10/2019 30/10/2019 25/10/1944 0 2
1 Z96.1;H52.2;H52.0;H52.4 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DORKAS HATIBAE 051658 75 27398 DR
SAUL RAPAR,SPM 0309R0191019V004855 0001790374173 3;JKN linda03;
5.3.9.201904290125 4 83630 1#0##0#0#0.0#2019-11-01
10:15:11#0#00:00:00#00:00:00#00:00:00 1 f81d5ec908af89037f260fbdc22ba69e
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/09/1957 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADRI RORONG 013936 62 22704 DR SAUL RAPAR,SPM
0309R0191019V004945 0001434836553 3;JKN Vian02; 5.3.9.201904290125
4 83631 1#0##0#0#0.0#2019-11-01 10:15:42#0#00:00:00#00:00:00#00:00:00
1 4fc9f17e04673fba8c1dfe2d24c54c01
7171104 C 3 CP 2 30/10/2019 30/10/2019 08/02/1936 0 2
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JUDIA CHANDRA SUNARWAN 048383 83 30580
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004854 0002389277935 3;JKN
linda03; 5.3.9.201904290125 4 83632 1#0##0#0#0.0#2019-11-01
10:16:54#0#00:00:00#00:00:00#00:00:00 1 00aa61e8030c1a2b2a4cf27a508473cf
7171104 C 3 CP 2 30/10/2019 30/10/2019 13/04/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NY ALTJE OPIT RAMPENGAN 052139 70 25767
DR YULIANA HARTONO,SPM 0309R0191019V004946 0000137273668 3;JKN
Vian02; 5.3.9.201904290125 4 83633 1#0##0#0#0.0#2019-11-01
10:17:13#0#00:00:00#00:00:00#00:00:00 1 c74c439bdeceb878f7729ba8d4f5860f
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/05/1956 0 1
1 Z96.1;H40.5;H25.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MUSA LEMBONG 046794 63 23192 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004910 0000909284679 3;JKN
Patrick K.; 5.3.9.201904290125 4 83629 1#0##0#0#0.0#2019-11-01
10:17:19#0#00:00:00#00:00:00#00:00:00 1 c02a1abe399cdaf8ea382c11c8ab8cf7
7171104 C 3 CP 2 30/10/2019 30/10/2019 15/04/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 GETROIDA TAKALELUMAN 013366 69 25400 DR
YULIANA HARTONO,SPM 0309R0191019V004852 0001876699574 3;JKN linda03;
5.3.9.201904290125 4 83634 1#0##0#0#0.0#2019-11-01
10:17:42#0#00:00:00#00:00:00#00:00:00 1 0dc36a6d5c9a30c6daa172d9a2af4653
7171104 C 3 CP 2 30/10/2019 30/10/2019 25/08/1978 0 2
1 H52.4 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AGUSTIN A. KARUNDENG 052959 41 15041 DR
SAUL RAPAR,SPM 0309R0191019V004947 0001900058679 3;JKN Vian02;
5.3.9.201904290125 4 83635 1#0##0#0#0.0#2019-11-01
10:18:16#0#00:00:00#00:00:00#00:00:00 1 0edcfa0ab13904f5a47b0e88eb03fb3e
7171104 C 3 CP 2 30/10/2019 30/10/2019 10/01/1956 0 1
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRANS BULAMBAE 039519 63 23304 DR
PAULA M V LUMUNON,SPM 0309R0191019V004909 0000137474414 3;JKN Patrick K.;
5.3.9.201904290125 4 83636 1#0##0#0#0.0#2019-11-01
10:18:19#0#00:00:00#00:00:00#00:00:00 1 f3433730165c1b1bbe985a5571c44bb9
7171104 C 3 CP 2 30/10/2019 30/10/2019 22/03/1961 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTJE MARGARITHA TONGKOTOW 052540 58 21406
DR YULIANA HARTONO,SPM 0309R0191019V004851 0000138351172 3;JKN
linda03; 5.3.9.201904290125 4 83637 1#0##0#0#0.0#2019-11-01
10:18:33#0#00:00:00#00:00:00#00:00:00 1 a5e1d7106a68ef6de639b88ecd2dd010
7171104 C 3 CP 2 30/10/2019 30/10/2019 29/03/1942 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA MARTHA GONI 051761 77 28339 DR SAUL
RAPAR,SPM 0309R0191019V004850 0001842839368 3;JKN linda03;
5.3.9.201904290125 4 83638 1#0##0#0#0.0#2019-11-01
10:19:43#0#00:00:00#00:00:00#00:00:00 1 9effbacb41d5747d088fe7d338928a8d
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/04/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANNI S KARINDA 052483 62 22857 DR SAUL
RAPAR,SPM 0309R0191019V004908 0000910416587 3;JKN Patrick K.;
5.3.9.201904290125 4 83640 1#0##0#0#0.0#2019-11-01
10:19:47#0#00:00:00#00:00:00#00:00:00 1 e71bb01d0b666f4295b8848bd618ebb7
7171104 C 3 CP 2 30/10/2019 30/10/2019 07/11/1988 0 2
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WAHYUNI DARISE 052961 30 11314 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V004948 0001629690388 3;JKN Vian02;
5.3.9.201904290125 4 83639 1#0##0#0#0.0#2019-11-01
10:20:22#0#00:00:00#00:00:00#00:00:00 1 44d423eb2054d4dfc17987edd16696ef
7171104 C 3 CP 2 30/10/2019 30/10/2019 19/07/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TANGIAN YULIANA NELY 019122 66 24209 DR
IVONNE RAMENUSA,SPM 0309R0191019V004849 0000138768715 3;JKN linda03;
5.3.9.201904290125 4 83641 1#0##0#0#0.0#2019-11-01
10:20:40#0#00:00:00#00:00:00#00:00:00 1 b12311efabffad04365352c9f339663d
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/06/1955 0 1
1 H11.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHNY RUNTU 052951 64 23527 DR YULIANA
HARTONO,SPM 0309R0191019V004907 0000906326921 3;JKN Patrick K.;
5.3.9.201904290125 4 83642 1#0##0#0#0.0#2019-11-01
10:21:19#0#00:00:00#00:00:00#00:00:00 1 3c87cfc8bdaaccebaa441875da676177
7171104 C 3 CP 2 30/10/2019 30/10/2019 26/03/1976 0 2
1 H52.1;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SANDRA RAKIAN 052960 43 15923 DR
SAUL RAPAR,SPM 0309R0191019V004949 0001897942803 3;JKN Vian02;
5.3.9.201904290125 4 83643 1#0##0#0#0.0#2019-11-01
10:21:29#0#00:00:00#00:00:00#00:00:00 1 9dad9fe54ac7d5df493ed0bfa64f67ec
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/09/1947 0 2
1 Z96.1;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LODEWYK LUNTUNGAN 013805 72 26357 DR
PAULA M V LUMUNON,SPM 0309R0191019V004848 0001067051035 3;JKN linda03;
5.3.9.201904290125 4 83644 1#0##0#0#0.0#2019-11-01
10:21:35#0#00:00:00#00:00:00#00:00:00 1 d809f6c66e976b3b7c8fdb50241b4ccb
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/10/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALMINTJE LEGESANG 052102 73 26692 DR SAUL
RAPAR,SPM 0309R0191019V004906 0000908447951 3;JKN Patrick K.;
5.3.9.201904290125 4 83645 1#0##0#0#0.0#2019-11-01
10:22:08#0#00:00:00#00:00:00#00:00:00 1 731f27cfd9526d0118f8b6059950ea6d
7171104 C 3 CP 2 30/10/2019 30/10/2019 27/08/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARWAN KALENDESANG 001766 67 24535 DR
PAULA M V LUMUNON,SPM 0309R0191019V004847 0001390452445 3;JKN linda03;
5.3.9.201904290125 4 83646 1#0##0#0#0.0#2019-11-01
10:22:33#0#00:00:00#00:00:00#00:00:00 1 a2bf6b336e0808a1a179becb0927c3a2
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/12/1962 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEITJE CATRIEN OLEY 052950 56 20787
DR SAUL RAPAR,SPM 0309R0191019V004905 0000906327009 3;JKN Patrick K.;
5.3.9.201904290125 4 83647 1#0##0#0#0.0#2019-11-01
10:23:58#0#00:00:00#00:00:00#00:00:00 1 9ced4a1879708e7fe25449f781919d62
7171104 C 3 CP 2 30/10/2019 30/10/2019 30/11/1970 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LENTJI RORY 041765 48 17866 DR YULIANA
HARTONO,SPM 0309R0191019V004903 0000138333879 3;JKN Patrick K.;
5.3.9.201904290125 4 83648 1#0##0#0#0.0#2019-11-01
10:25:02#0#00:00:00#00:00:00#00:00:00 1 025c85c5d8e5e3b5585738203f8ec8a9
7171104 C 3 CP 2 30/10/2019 30/10/2019 24/11/1955 0 1
1 Z09.8;H40.0;H40.5;Z96.1 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FX BUDI SETIAWAN 015973 63 23351 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004902 0000138516513 3;JKN
Patrick K.; 5.3.9.201904290125 4 83649 1#0##0#0#0.0#2019-11-01
10:26:24#0#00:00:00#00:00:00#00:00:00 1 9f2d373770eeebca79466bea538f805e
7171104 C 3 CP 2 30/10/2019 30/10/2019 15/12/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KAENG JOSEP 033352 63 23330 DR MARIA E.D.S
ORATMANGUN,SPM 0309R0191019V004901 0000137318501 3;JKN Patrick K.;
5.3.9.201904290125 4 83650 1#0##0#0#0.0#2019-11-01
10:27:27#0#00:00:00#00:00:00#00:00:00 1 d774d6d95e78c54154aee63a549ed09f
7171104 C 3 CP 2 30/10/2019 30/10/2019 08/04/1958 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANE ADELINE SIGARLAKI 052730 61 22485
DR SALAM SURBAKTI,SPM 0309R0191019V004846 0002038594803 3;JKN
linda03; 5.3.9.201904290125 4 83651 1#0##0#0#0.0#2019-11-01
10:27:42#0#00:00:00#00:00:00#00:00:00 1 5623b6693442d0428b3df7d03a7828ca
7171104 C 3 CP 2 30/10/2019 30/10/2019 13/01/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MINTJE RUMAGIT 041502 72 26588 DR PAULA M V
LUMUNON,SPM 0309R0191019V004900 0001326867669 3;JKN Patrick K.;
5.3.9.201904290125 4 83652 1#0##0#0#0.0#2019-11-01
10:28:31#0#00:00:00#00:00:00#00:00:00 1 cbad452a48174a3dd8e49c67ce189eca
7171104 C 3 CP 2 30/10/2019 30/10/2019 11/11/1937 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANATJE KATIE RATON 052127 81 29938 DR
SAUL RAPAR,SPM 0309R0191019V004899 0001890413436 3;JKN Patrick K.;
5.3.9.201904290125 4 83653 1#0##0#0#0.0#2019-11-01
10:29:26#0#00:00:00#00:00:00#00:00:00 1 a7a614a86abbb5f791e1aa48fc827aa7
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/10/1954 0 1
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HOLCE PUNGUS 052711 65 23770 DR
SAUL RAPAR,SPM 0309R0191019V004898 0000908512402 3;JKN Patrick K.;
5.3.9.201904290125 4 83654 1#0##0#0#0.0#2019-11-01
10:30:16#0#00:00:00#00:00:00#00:00:00 1 b77993844dd9033cab2decce9a2a18ef
7171104 C 3 CP 2 30/10/2019 30/10/2019 07/11/1967 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULIEN DAULAR 052369 51 18985 DR SAUL
RAPAR,SPM 0309R0191019V004897 0001604406047 3;JKN Patrick K.;
5.3.9.201904290125 4 83655 1#0##0#0#0.0#2019-11-01
10:32:53#0#00:00:00#00:00:00#00:00:00 1 6659ac5fddad771c7e5ca8533d4561b0
7171104 C 3 CP 2 30/10/2019 30/10/2019 14/03/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FINTJE M. R. WAWOINTANA 052470 73 26893 DR
PAULA M V LUMUNON,SPM 0309R0191019V004894 0000138871416 3;JKN Patrick K.;
5.3.9.201904290125 4 83657 1#0##0#0#0.0#2019-11-01
10:35:07#0#00:00:00#00:00:00#00:00:00 1 e724db3240a30bffbd07bc674bcf603a
7171104 C 3 CP 2 30/10/2019 30/10/2019 20/08/1998 0 2
1 Z09.8;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JENNY ADOLFIN VILIANI RATURANDANG 009852
21 7741 DR YULIANA HARTONO,SPM 0309R0191019V004845 0001314901809
3;JKN linda03; 5.3.9.201904290125 4 83658 1#0##0#0#0.0#2019-11-01
10:35:57#0#00:00:00#00:00:00#00:00:00 1 e4b049b02eb8141eca52786f1f808bfa
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/11/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DINTJE MATHIAS 007545 64 23739 DR YULIANA
HARTONO,SPM 0309R0191019V004892 0001432540866 3;JKN Patrick K.;
5.3.9.201904290125 4 83659 1#0##0#0#0.0#2019-11-01
10:35:59#0#00:00:00#00:00:00#00:00:00 1 3e27d00cb70a1e4afe88f0c3dab2ac9f
7171104 C 3 CP 2 30/10/2019 30/10/2019 08/06/1956 0 2
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIANA RATUNUMAN 052948 63 23154 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004890 0002389461603 3;JKN
Patrick K.; 5.3.9.201904290125 4 83660 1#0##0#0#0.0#2019-11-01
10:37:08#0#00:00:00#00:00:00#00:00:00 1 8176b03df0c1e4ba8e67cb43560cdb25
7171104 C 3 CP 2 30/10/2019 30/10/2019 27/03/1963 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HASTON PETRUS RAMPEN 028934 56 20671
DR PAULA M V LUMUNON,SPM 0309R0191019V004844 0000138972969 3;JKN
linda03; 5.3.9.201904290125 4 83661 1#0##0#0#0.0#2019-11-01
10:37:12#0#00:00:00#00:00:00#00:00:00 1 d96a89932cc1c1fd87071b4b75177141
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/07/1977 0 2
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOLANDA MEDEA 052947 42 15461 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V004888 0000910333282 3;JKN Patrick K.;
5.3.9.201904290125 4 83663 1#0##0#0#0.0#2019-11-01
10:38:28#0#00:00:00#00:00:00#00:00:00 1 995f4363216d91bb75d62a129047fff9
7171104 C 3 CP 2 30/10/2019 30/10/2019 26/05/1948 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MELLY TAMBARIKI 052662 71 26089 DR
SAUL RAPAR,SPM 0309R0191019V004887 0002455833688 3;JKN Patrick K.;
5.3.9.201904290125 4 83664 1#0##0#0#0.0#2019-11-01
10:39:20#0#00:00:00#00:00:00#00:00:00 1 1acbf570b667f7d542f33f66515ed3f9
7171104 C 3 CP 2 30/10/2019 30/10/2019 28/11/1957 0 2
1 Z96.1;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NURJANA TIMBALO 051055 61 22616 DR
PAULA M V LUMUNON,SPM 0309R0191019V004843 0002067963063 3;JKN linda03;
5.3.9.201904290125 4 83662 1#0##0#0#0.0#2019-11-01
10:40:09#0#00:00:00#00:00:00#00:00:00 1 aa907d78d14cefbf63a7f3efc6f1d1e8
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/10/1952 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 PILTON KANARANG 052366 67 24500 DR SAUL
RAPAR,SPM 0309R0191019V004886 0000907479549 3;JKN Patrick K.;
5.3.9.201904290125 4 83665 1#0##0#0#0.0#2019-11-01
10:41:00#0#00:00:00#00:00:00#00:00:00 1 098942e00429c9d4f601bc96782bd6af
7171104 C 3 CP 2 30/10/2019 30/10/2019 20/10/1955 0 2
1 H25.1;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BETSIE J MAKALEW 052942 64 23386 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004842 0001850055737 3;JKN
linda03; 5.3.9.201904290125 4 83667 1#0##0#0#0.0#2019-11-01
10:42:30#0#00:00:00#00:00:00#00:00:00 1 b89279ce151480fd15ea74b0d2944f0b
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/07/1964 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RENI PIRI 035741 55 20209 DR PAULA M V
LUMUNON,SPM 0309R0191019V004841 0000907142589 3;JKN linda03;
5.3.9.201904290125 4 83669 1#0##0#0#0.0#2019-11-01
10:43:44#0#00:00:00#00:00:00#00:00:00 1 46f13fd75a2915b91739f7e43fcee764
7171104 C 3 CP 2 30/10/2019 30/10/2019 13/06/1965 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YENNY ROSMAILE YATTY TICOALU 021346 54 19862
DR PAULA M V LUMUNON,SPM 0309R0191019V004839 0002312109911 3;JKN
linda03; 5.3.9.201904290125 4 83670 1#0##0#0#0.0#2019-11-01
10:44:58#0#00:00:00#00:00:00#00:00:00 1 5f867803c6308685552dc29a4b193e8e
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/10/1947 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OSKAR LIUW 052656 72 26327 DR YULIANA
HARTONO,SPM 0309R0191019V004885 0000911720057 3;JKN Patrick K.;
5.3.9.201904290125 4 83666 1#0##0#0#0.0#2019-11-01
10:46:35#0#00:00:00#00:00:00#00:00:00 2 3f16258935a8ca68d48540d6d589ef04
7171104 C 3 CP 2 30/10/2019 30/10/2019 03/01/1944 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JETJE MOMONGAN 007158 75 27694 DR PAULA M V
LUMUNON,SPM 0309R0191019V004884 0000138253814 3;JKN Patrick K.;
5.3.9.201904290125 4 83668 1#0##0#0#0.0#2019-11-01
10:47:31#0#00:00:00#00:00:00#00:00:00 2 619ed2900fdc6d21f9d802812668420f
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/10/1967 0 1
1 Z09.8;H40.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NAZAR LABADJO 049918 52 19022 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004883 0000909737122 3;JKN
Patrick K.; 5.3.9.201904290125 4 83671 1#0##0#0#0.0#2019-11-01
10:48:13#0#00:00:00#00:00:00#00:00:00 1 f78aa813fe1adcfc059a3fe5d88b74ed
7171104 C 3 CP 2 30/10/2019 30/10/2019 30/08/1953 0 1
1 Z96.1;H40.8;H35.2;H44.5 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SULEMAN ALI 023775 66 24167 DR.FELLY A.
TOAD,S.PM 0309R0191019V004838 0000137889202 3;JKN linda03;
5.3.9.201904290125 4 83673 1#0##0#0#0.0#2019-11-01
10:50:33#0#00:00:00#00:00:00#00:00:00 1 a1b713e7d20eeb94d368ac4188ecb26d
7171104 C 3 CP 2 30/10/2019 30/10/2019 23/07/1965 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 PINCE MAKASALA 052880 54 19822 DR
SALAM SURBAKTI,SPM 0309R0191019V004837 0002391513917 3;JKN linda03;
5.3.9.201904290125 4 83674 1#0##0#0#0.0#2019-11-01
10:51:38#0#00:00:00#00:00:00#00:00:00 1 5744fcb139df9609f0e5ad5fc6cedc7a
7171104 C 3 CP 2 30/10/2019 30/10/2019 07/03/1958 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAGRITHA MANDJI 052479 61 22517 DR
SAUL RAPAR,SPM 0309R0191019V004882 0000138427389 3;JKN Patrick K.;
5.3.9.201904290125 4 83672 1#0##0#0#0.0#2019-11-01
10:52:27#0#00:00:00#00:00:00#00:00:00 3 12414493c9ed70d4da65d270c68d539b
7171104 C 3 CP 2 30/10/2019 30/10/2019 10/02/1935 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FRANSIN WALALANGI 035977 84 30943 DR
PAULA M V LUMUNON,SPM 0309R0191019V004836 0000137988055 3;JKN linda03;
5.3.9.201904290125 4 83675 1#0##0#0#0.0#2019-11-01
10:52:31#0#00:00:00#00:00:00#00:00:00 1 d56683c2faba1f9d37a3d92995144637
7171104 C 3 CP 2 30/10/2019 30/10/2019 17/05/1954 0 2
1 Z96.1;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ASMIN MACHMUD 008157 65 23907 DR
PAULA M V LUMUNON,SPM 0309R0191019V004881 0000137993916 3;JKN Patrick K.;
5.3.9.201904290125 4 83676 1#0##0#0#0.0#2019-11-01
10:53:29#0#00:00:00#00:00:00#00:00:00 1 514fb2e32eb1718d65f51962db0d1ea6
7171104 C 3 CP 2 30/10/2019 30/10/2019 16/03/1960 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 REGINA JULIN AKAY 033751 59 21777 DR PAULA M V
LUMUNON,SPM 0309R0191019V004835 0000137196426 3;JKN linda03;
5.3.9.201904290125 4 83677 1#0##0#0#0.0#2019-11-01
10:54:15#0#00:00:00#00:00:00#00:00:00 1 03c146aeb0af227f479350a10ddf3e74
7171104 C 3 CP 2 30/10/2019 30/10/2019 11/12/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 EDDY VENTJE OWAY 051856 72 26621 DR PAULA M V
LUMUNON,SPM 0309R0191019V004834 0000137144608 3;JKN linda03;
5.3.9.201904290125 4 83679 1#0##0#0#0.0#2019-11-01
10:55:24#0#00:00:00#00:00:00#00:00:00 1 450d2182c2754077c7984d7c00ba812e
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/04/1943 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NY ANNA M GOSAL TUERAH BA 052713 76 27971
DR YULIANA HARTONO,SPM 0309R0191019V004833 0000138847432 3;JKN
linda03; 5.3.9.201904290125 4 83680 1#0##0#0#0.0#2019-11-01
10:56:32#0#00:00:00#00:00:00#00:00:00 1 c44abd5e156d128dd96f2b1687bcd414
7171104 C 3 CP 2 30/10/2019 30/10/2019 12/01/1974 0 2
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YANNIE SUSANA PINONTOAN 050570 45 16727
DR PAULA M V LUMUNON,SPM 0309R0191019V004880 0002768519619 3;JKN
Patrick K.; 5.3.9.201904290125 4 83678 1#0##0#0#0.0#2019-11-01
10:56:54#0#00:00:00#00:00:00#00:00:00 1 6d6f3c296b1e4f0627f97815d422f63a
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/03/1956 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOSEP RARUN 051637 63 23253 DR YULIANA
HARTONO,SPM 0309R0191019V004832 0000905067213 3;JKN linda03;
5.3.9.201904290125 4 83681 1#0##0#0#0.0#2019-11-01
10:57:33#0#00:00:00#00:00:00#00:00:00 1 1ce9c2dc68e54d992af8c11e4f009853
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/08/1970 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NUR ROOS 046723 49 17987 DR SALAM
SURBAKTI,SPM 0309R0191019V004831 0001066826845 3;JKN linda03;
5.3.9.201904290125 4 83682 1#0##0#0#0.0#2019-11-01
10:58:22#0#00:00:00#00:00:00#00:00:00 1 891b40af4db3dedfc48488c7a716f63c
7171104 C 3 CP 2 30/10/2019 30/10/2019 24/07/1950 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANDRIE HERRY NAJOAN 052402 69 25300 DR
SAUL RAPAR,SPM 0309R0191019V004879 0000121648353 3;JKN Patrick K.;
5.3.9.201904290125 4 83683 1#0##0#0#0.0#2019-11-01
10:58:48#0#00:00:00#00:00:00#00:00:00 1 25786f7f2a7de43cdce3c1b4d0b5c96c
7171104 C 3 CP 2 30/10/2019 30/10/2019 28/10/1949 0 1
1 Z09.8;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DARSO DJUMA 051594 70 25569 DR PAULA M V
LUMUNON,SPM 0309R0191019V004829 0000138264546 3;JKN linda03;
5.3.9.201904290125 4 83684 1#0##0#0#0.0#2019-11-01
10:59:11#0#00:00:00#00:00:00#00:00:00 1 a08e97e3b0bcc5ddad1a646ffc615039
7171104 C 3 CP 2 30/10/2019 30/10/2019 16/12/1947 0 2
1 Z09.0;H26.9;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NI NYOMAN MURNIATI 052052 71 26251
DR SAUL RAPAR,SPM 0309R0191019V004878 0000142982605 3;JKN Patrick K.;
5.3.9.201904290125 4 83685 1#0##0#0#0.0#2019-11-01
10:59:50#0#00:00:00#00:00:00#00:00:00 1 c2df47e2273738ccf2f7f9e4dbbda32f
7171104 C 3 CP 2 30/10/2019 30/10/2019 07/01/2012 0 1
1 Z09.8;H11.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KENNARD KEYLO FITZ'ENMER KARTAWIJAYA 051714
7 2853 DR SAUL RAPAR,SPM 0309R0191019V004877 0001186379447 3;JKN
Patrick K.; 5.3.9.201904290125 4 83686 1#0##0#0#0.0#2019-11-01
11:01:18#0#00:00:00#00:00:00#00:00:00 1 27c7526364486ba3c969547d75b651d0
7171104 C 3 CP 2 30/10/2019 30/10/2019 09/06/1981 0 2
1 H10.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DORKAS SINADIA 052941 38 14022 DR SAUL
RAPAR,SPM 0309R0191019V004827 0002040452717 3;JKN linda03;
5.3.9.201904290125 4 83687 1#0##0#0#0.0#2019-11-01
11:01:59#0#00:00:00#00:00:00#00:00:00 1 e3048ab621457b0104eb078f0c533b43
7171104 C 3 CP 2 30/10/2019 30/10/2019 06/06/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YULIANA MANALIP 052055 67 24617 DR YULIANA
HARTONO,SPM 0309R0191019V004876 0002239388109 3;JKN Patrick K.;
5.3.9.201904290125 4 83688 1#0##0#0#0.0#2019-11-01
11:02:17#0#00:00:00#00:00:00#00:00:00 1 1e94a42944528ceaee8550fff0c8f592
7171104 C 3 CP 2 30/10/2019 30/10/2019 08/07/1940 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LEMBANG LISA 001878 79 28968 DR PAULA M V
LUMUNON,SPM 0309R0191019V004875 0000138050199 3;JKN Patrick K.;
5.3.9.201904290125 4 83689 1#0##0#0#0.0#2019-11-01
11:03:20#0#00:00:00#00:00:00#00:00:00 1 dac1ccd78eb36aee14b04066821d00f8
7171104 C 3 CP 2 30/10/2019 30/10/2019 28/03/1957 0 1
1 Z09.0;H26.9;Z96.1;H25.0 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TAMPANGUMA ARIE MARTHEN 033900 62 22861
DR SAUL RAPAR,SPM 0309R0191019V004873 0000137889909 3;JKN Patrick K.;
5.3.9.201904290125 4 83691 1#0##0#0#0.0#2019-11-01
11:04:28#0#00:00:00#00:00:00#00:00:00 1 89669afc95691cee9fc36aa47a3e2528
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/02/1942 0 2
1 Z96.1;H27.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRIDA RUMONDOR 024928 77 28395 DR
YULIANA HARTONO,SPM 0309R0191019V004872 0000907620636 3;JKN Patrick K.;
5.3.9.201904290125 4 83692 1#0##0#0#0.0#2019-11-01
11:06:41#0#00:00:00#00:00:00#00:00:00 2 80a05c2c090e8ca0546b206da0f5200e
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/02/1944 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CORIE ROSANG 052429 75 27665 DR YULIANA
HARTONO,SPM 0309R0191019V004871 0001851095068 3;JKN Patrick K.;
5.3.9.201904290125 4 83693 1#0##0#0#0.0#2019-11-01
11:08:09#0#00:00:00#00:00:00#00:00:00 1 c5aa4ee6ca87b765e7f0a1eda1fbd633
7171104 C 3 CP 2 30/10/2019 30/10/2019 11/11/1970 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BOYKE P.R. LOING 051606 48 17885 DR SAUL
RAPAR,SPM 0309R0191019V004870 0001452389174 3;JKN Patrick K.;
5.3.9.201904290125 4 83694 1#0##0#0#0.0#2019-11-01
11:09:29#0#00:00:00#00:00:00#00:00:00 1 dd68dbe6b74a7441f86f19a158b977f1
7171104 C 3 CP 2 30/10/2019 30/10/2019 15/09/1959 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOUKE MATANO 052304 60 21960 DR YULIANA
HARTONO,SPM 0309R0191019V004869 0001386411737 3;JKN Patrick K.;
5.3.9.201904290125 4 83695 1#0##0#0#0.0#2019-11-01
11:10:19#0#00:00:00#00:00:00#00:00:00 1 736cd0a1a3f2f15b5fcbdf6a37620800
7171104 C 3 CP 2 30/10/2019 30/10/2019 10/06/1949 0 2
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUTH JUL MANANGKOT 052779 70 25709
DR SAUL RAPAR,SPM 0309R0191019V004868 0000138234936 3;JKN Patrick K.;
5.3.9.201904290125 4 83696 1#0##0#0#0.0#2019-11-01
11:11:17#0#00:00:00#00:00:00#00:00:00 1 63ef522904e8412838cf91a34524783e
7171104 C 3 CP 2 30/10/2019 30/10/2019 30/09/1996 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SENDY A PONTONUWU 052945 23 8430 DR YULIANA
HARTONO,SPM 0309R0191019V004867 0002067242084 3;JKN Patrick K.;
5.3.9.201904290125 4 83697 1#0##0#0#0.0#2019-11-01
11:14:10#0#00:00:00#00:00:00#00:00:00 1 f660ddb593361d1a023d33a78ada4c73
7171104 C 3 CP 2 30/10/2019 30/10/2019 29/03/1955 0 2
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARGOTJE MAWUNTU 052764 64 23591 DR
PAULA M V LUMUNON,SPM 0309R0191019V004866 0001566253405 3;JKN Patrick K.;
5.3.9.201904290125 4 83698 1#0##0#0#0.0#2019-11-01
11:16:18#0#00:00:00#00:00:00#00:00:00 1 53e6a48e533539738571b60629423ea1
7171104 C 3 CP 2 30/10/2019 30/10/2019 02/06/1946 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUTJE PATONGGIGHILE 052683 73 26813
DR YULIANA HARTONO,SPM 0309R0191019V004865 0001327230224 3;JKN
Patrick K.; 5.3.9.201904290125 4 83699 1#0##0#0#0.0#2019-11-01
11:17:16#0#00:00:00#00:00:00#00:00:00 1 9b2615896a8bfeb7e0d64033361b4bb1
7171104 C 3 CP 2 30/10/2019 30/10/2019 06/06/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JENNY A.MAMESAH 013663 67 24617 DR PAULA M V
LUMUNON,SPM 0309R0191019V004826 0000138268585 3;JKN linda03;
5.3.9.201904290125 4 83700 1#0##0#0#0.0#2019-11-01
11:18:00#0#00:00:00#00:00:00#00:00:00 1 208c31d6a589f1c799c346098fa86889
7171104 C 3 CP 2 30/10/2019 30/10/2019 29/02/1956 0 2
1 Z09.8;H52.2;H52.0;H52.4 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GRIETJE LOTULUNG 039206 63 23254 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004864 0000138993052 3;JKN
Patrick K.; 5.3.9.201904290125 4 83701 1#0##0#0#0.0#2019-11-01
11:18:47#0#00:00:00#00:00:00#00:00:00 1 d29fb8ce30d17ef42e7521624af89e39
7171104 C 3 CP 2 30/10/2019 30/10/2019 04/07/1949 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANI REPI 052943 70 25685 DR PAULA M V
LUMUNON,SPM 0309R0191019V004863 0001968112135 3;JKN Patrick K.;
5.3.9.201904290125 4 83702 1#0##0#0#0.0#2019-11-01
11:19:59#0#00:00:00#00:00:00#00:00:00 1 4eb2a80db5f1f55f85dea17423fcbb02
7171104 C 3 CP 2 30/10/2019 30/10/2019 20/08/1949 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 OLDEN TANGKILISAN 052940 70 25638 DR
SAUL RAPAR,SPM 0309R0191019V004825 0000909357028 3;JKN linda03;
5.3.9.201904290125 4 83703 1#0##0#0#0.0#2019-11-01
12:37:26#0#00:00:00#00:00:00#00:00:00 1 8d0e85bedbf3125a85e7cbffef647ce1
7171104 C 3 CP 2 30/10/2019 30/10/2019 08/12/1955 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WUISAN SANGIAN 051837 63 23337 DR PAULA M V
LUMUNON,SPM 0309R0191019V004950 0002068776448 3;JKN Vian02;
5.3.9.201904290125 4 83707 1#0##0#0#0.0#2019-11-01
12:53:23#0#00:00:00#00:00:00#00:00:00 1 819ad42b8efe0eacd3bb777d49d90d94
7171104 C 3 CP 2 30/10/2019 30/10/2019 24/12/1958 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADELIN ANDILAN 046134 60 22225 DR PAULA M V
LUMUNON,SPM 0309R0191019V004951 0001250391879 3;JKN Vian02;
5.3.9.201904290125 4 83709 1#0##0#0#0.0#2019-11-01
13:01:58#0#00:00:00#00:00:00#00:00:00 1 041d2fab876a20d895802ea1197b0af3
7171104 C 3 CP 2 30/10/2019 30/10/2019 19/12/1983 0 2
1 H53.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SUMIATI LUMANADE 052962 35 13099 DR SAUL
RAPAR,SPM 0309R0191019V004952 0001978759067 3;JKN Vian02;
5.3.9.201904290125 4 83713 1#0##0#0#0.0#2019-11-01
13:03:45#0#00:00:00#00:00:00#00:00:00 1 4bde48f016905b4930b32ab3c32b9728
7171104 C 3 CP 2 30/10/2019 30/10/2019 10/09/1958 0 2
1 Z09.8;H40.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 POSUMAH EVA STIEN FRANSISCA 052747 61
22330 DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004954 0000137729834
3;JKN Vian02; 5.3.9.201904290125 4 83714 1#0##0#0#0.0#2019-11-01
13:05:07#0#00:00:00#00:00:00#00:00:00 1 e11dcbd71d1312007291b27c28f62a5d
7171104 C 3 CP 2 30/10/2019 30/10/2019 08/03/1970 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JITRON KALASE 048186 49 18133 DR
SALAM SURBAKTI,SPM 0309R0191019V004821 0002299810094 3;JKN linda03;
5.3.9.201904290125 4 83715 1#0##0#0#0.0#2019-11-01
13:05:43#0#00:00:00#00:00:00#00:00:00 1 286653d26de22694c6520eee99161423
7171104 C 3 CP 2 30/10/2019 30/10/2019 08/02/1948 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NICOLIN NAUNG 052908 71 26197 DR
IVONNE RAMENUSA,SPM 0309R0191019V004819 0002081822591 3;JKN linda03;
5.3.9.201904290125 4 83717 1#0##0#0#0.0#2019-11-01
13:08:11#0#00:00:00#00:00:00#00:00:00 1 3dcc1a71373500a82c270bb4a165b1a8
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/11/1973 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NICE PUNUHSINGON 052624 45 16799 DR
SALAM SURBAKTI,SPM 0309R0191019V004817 0000908364881 3;JKN linda03;
5.3.9.201904290125 4 83718 1#0##0#0#0.0#2019-11-01
13:09:22#0#00:00:00#00:00:00#00:00:00 1 3c8ac46fb9cffda91618682053bd6f1d
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/02/1970 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 VENNI WOWOR 052255 49 18168 DR YULIANA
HARTONO,SPM 0309R0191019V004955 0000905904336 3;JKN Vian02;
5.3.9.201904290125 4 83716 1#0##0#0#0.0#2019-11-01
13:09:59#0#00:00:00#00:00:00#00:00:00 1 7ea2adbd0b6ca050862643bea54a3eef
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/07/1964 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TOMI SIBOSO 052601 55 20209 DR SALAM
SURBAKTI,SPM 0309R0191019V004816 0000973707276 3;JKN linda03;
5.3.9.201904290125 4 83719 1#0##0#0#0.0#2019-11-01
13:10:21#0#00:00:00#00:00:00#00:00:00 1 bda83afc0c49cc2fa8e97b9093803dcc
7171104 C 3 CP 2 30/10/2019 30/10/2019 22/12/1943 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ROBERT TAMUNTUAN 052930 75 27706 DR
IVONNE RAMENUSA,SPM 0309R0191019V004813 0000909369527 3;JKN linda03;
5.3.9.201904290125 4 83721 1#0##0#0#0.0#2019-11-01
13:12:51#0#00:00:00#00:00:00#00:00:00 1 e093be47809c96028d159a63b4783611
7171104 C 3 CP 2 30/10/2019 30/10/2019 11/12/1955 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHNY F WOWILING 032841 63 23334 DR
SALAM SURBAKTI,SPM 0309R0191019V004811 0000138429595 3;JKN linda03;
5.3.9.201904290125 4 83722 1#0##0#0#0.0#2019-11-01
13:14:08#0#00:00:00#00:00:00#00:00:00 1 57584b8a1f65e51a6e56014c11c76924
7171104 C 3 CP 2 30/10/2019 30/10/2019 12/03/2013 0 1
1 H15.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 GLEN VINCENTIUS TAHULENDING 052963 6 2423
DR SAUL RAPAR,SPM 0309R0191019V004956 0002388007653 3;JKN Vian02;
5.3.9.201904290125 4 83720 1#0##0#0#0.0#2019-11-01
13:15:01#0#00:00:00#00:00:00#00:00:00 1 9a0905eb116abd6d18ece3bae538e188
7171104 C 3 CP 2 30/10/2019 30/10/2019 29/08/1950 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FIEKE MONNA TEKLA LUISA SIBY 051535 69
25264 DR SALAM SURBAKTI,SPM 0309R0191019V004810 0001889300542 3;JKN
linda03; 5.3.9.201904290125 4 83723 1#0##0#0#0.0#2019-11-01
13:15:13#0#00:00:00#00:00:00#00:00:00 1 a7002a676a1ec9b863c47629a2d38895
7171104 C 3 CP 2 30/10/2019 30/10/2019 24/01/1950 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BOY JONAS TUBO 052913 69 25481 DR
IVONNE RAMENUSA,SPM 0309R0191019V004809 0001820259538 3;JKN linda03;
5.3.9.201904290125 4 83724 1#0##0#0#0.0#2019-11-01
13:16:12#0#00:00:00#00:00:00#00:00:00 1 8d1baee5173e8b8ae11f2470a54228d8
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/01/1936 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NAOMI ARIKALANG 052912 83 30618 DR
IVONNE RAMENUSA,SPM 0309R0191019V004807 0000909053774 3;JKN linda03;
5.3.9.201904290125 4 83726 1#0##0#0#0.0#2019-11-01
13:17:53#0#00:00:00#00:00:00#00:00:00 1 bffffb4386fa2e2066daed1eb429f359
7171104 C 3 CP 2 30/10/2019 30/10/2019 23/08/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 AGUSTINA LANTU 052834 71 26000 DR SAUL
RAPAR,SPM 0309R0191019V004806 0001287647548 3;JKN linda03;
5.3.9.201904290125 4 83727 1#0##0#0#0.0#2019-11-01
13:18:40#0#00:00:00#00:00:00#00:00:00 1 323944a8789bcc97c1020da340c46bbe
7171104 C 3 CP 2 30/10/2019 30/10/2019 15/06/1942 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RABAIA BANGKI MOKODONGAN 052512 77
28261 DR SAUL RAPAR,SPM 0309R0191019V004828 0000138046825 3;JKN
linda03; 5.3.9.201904290125 4 83728 1#0##0#0#0.0#2019-11-01
13:19:33#0#00:00:00#00:00:00#00:00:00 1 35fe710e38646fbaf00a6e063e5d26c9
7171104 C 3 CP 2 30/10/2019 30/10/2019 04/10/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ROOSINA KAMBEY 051841 72 26324 DR SALAM
SURBAKTI,SPM 0309R0191019V004805 0000139076796 3;JKN linda03;
5.3.9.201904290125 4 83729 1#0##0#0#0.0#2019-11-01
13:20:26#0#00:00:00#00:00:00#00:00:00 1 86336acf7ad885df69caa184b31d486b
7171104 C 3 CP 2 30/10/2019 30/10/2019 07/12/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 GEERTJE FIETJE SUMENDOT MOKOBIMBING 052911 66
24433 DR IVONNE RAMENUSA,SPM 0309R0191019V004803 0000137198114 3;JKN
linda03; 5.3.9.201904290125 4 83731 1#0##0#0#0.0#2019-11-01
13:21:21#0#00:00:00#00:00:00#00:00:00 1 6317be0f617c455de134a008f290a11e
7171104 C 3 CP 2 30/10/2019 30/10/2019 22/10/1940 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 POLIEN PIRI 051085 79 28862 DR SAUL RAPAR,SPM
0309R0191019V004802 0001566235383 3;JKN linda03; 5.3.9.201904290125
4 83732 1#0##0#0#0.0#2019-11-01 13:22:06#0#00:00:00#00:00:00#00:00:00
1 786c164e553b0f48e72b21362a418e8b
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/06/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FATMA NGAU 052101 62 22796 DR SAUL RAPAR,SPM
0309R0191019V004801 0000908698195 3;JKN linda03; 5.3.9.201904290125
4 83733 1#0##0#0#0.0#2019-11-01 13:22:43#0#00:00:00#00:00:00#00:00:00
1 6561637b4264a3444477e035c838948f
7171104 C 3 CP 2 30/10/2019 30/10/2019 05/12/1946 0 1
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NICOLAS PATRAS 052874 72 26627 DR
SAUL RAPAR,SPM 0309R0191019V004800 0000138281534 3;JKN linda03;
5.3.9.201904290125 4 83736 1#0##0#0#0.0#2019-11-01
13:23:32#0#00:00:00#00:00:00#00:00:00 1 ce31184d4c2c24f4e37172515c666713
7171104 C 3 CP 2 30/10/2019 30/10/2019 09/04/1953 0 2
1 Z96.1;H52.2;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALTJI BATTO 009848 66 24310 DR SAUL
RAPAR,SPM 0309R0191019V004799 0001966792072 3;JKN linda03;
5.3.9.201904290125 4 83738 1#0##0#0#0.0#2019-11-01
13:24:24#0#00:00:00#00:00:00#00:00:00 1 e9368151741b09182ac7479b49ef74a3
7171104 C 3 CP 2 30/10/2019 30/10/2019 21/08/1951 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ALFONTUS KOSEGERAN 052749 68 24907
DR IVONNE RAMENUSA,SPM 0309R0191019V004798 0002293164404 3;JKN
linda03; 5.3.9.201904290125 4 83739 1#0##0#0#0.0#2019-11-01
13:25:08#0#00:00:00#00:00:00#00:00:00 1 c55477bf6d503c15178584775caf4b9e
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/05/1944 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA MAGDALENA WOWOR 051742 75 27575 DR
SAUL RAPAR,SPM 0309R0191019V004797 0000907236562 3;JKN linda03;
5.3.9.201904290125 4 83741 1#0##0#0#0.0#2019-11-01
13:25:57#0#00:00:00#00:00:00#00:00:00 1 749b29f398d03f6ec7fa4719c53d3afb
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/07/1948 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LINCE BOAS 052709 71 26053 DR IVONNE
RAMENUSA,SPM 0309R0191019V004796 0002390814292 3;JKN linda03;
5.3.9.201904290125 4 83743 1#0##0#0#0.0#2019-11-01
13:26:38#0#00:00:00#00:00:00#00:00:00 1 8753ddd4b91d374654752568004dd2e3
7171104 C 3 CP 2 30/10/2019 30/10/2019 13/11/1960 0 2
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NOLIN TANGKA 052489 58 21535 DR
SALAM SURBAKTI,SPM 0309R0191019V004795 0001569814784 3;JKN linda03;
5.3.9.201904290125 4 83746 1#0##0#0#0.0#2019-11-01
13:27:26#0#00:00:00#00:00:00#00:00:00 1 c3e04bcf7bf331dfa634a4642cb75af0
7171104 C 3 CP 2 30/10/2019 30/10/2019 27/03/1945 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHRISTOFEL ROBY MEWOH 052592 74 27245
DR SAUL RAPAR,SPM 0309R0191019V004794 0002206284423 3;JKN linda03;
5.3.9.201904290125 4 83749 1#0##0#0#0.0#2019-11-01
13:28:12#0#00:00:00#00:00:00#00:00:00 1 cfc39f0a961254f82e3852fa87ea2e2b
7171104 C 3 CP 2 30/10/2019 30/10/2019 07/08/1953 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHANIS MANTIRI 052964 66 24190 DR SAUL
RAPAR,SPM 0309R0191019V004957 0002462653743 3;JKN Vian02;
5.3.9.201904290125 4 83752 1#0##0#0#0.0#2019-11-01
13:32:26#0#00:00:00#00:00:00#00:00:00 1 91ec028708b50141564453f76507b2d2
7171104 C 3 CP 2 30/10/2019 30/10/2019 02/02/1952 0 2
1 Z96.1;H44.5;H00.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RATNI MARATADE 050474 67 24742 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004959 0000908774561 3;JKN
Vian02; 5.3.9.201904290125 4 83756 1#0##0#0#0.0#2019-11-01
13:37:17#0#00:00:00#00:00:00#00:00:00 1 f8b5c2ff56e21d19797b5a744854389b
7171104 C 3 CP 2 30/10/2019 30/10/2019 06/10/1962 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARGARETHA MARLYN KARINDA 052135 57 20843
DR YULIANA HARTONO,SPM 0309R0191019V004960 0001173703735 3;JKN
Vian02; 5.3.9.201904290125 4 83758 1#0##0#0#0.0#2019-11-01
13:38:03#0#00:00:00#00:00:00#00:00:00 1 42fc8ab196273363cfaf0442058b1c6f
7171104 C 3 CP 2 30/10/2019 30/10/2019 04/07/1960 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WESLY RORINTULUS 047770 59 21667 DR YULIANA
HARTONO,SPM 0309R0191019V004962 0001446784659 3;JKN Vian02;
5.3.9.201904290125 4 83762 1#0##0#0#0.0#2019-11-01
13:43:03#0#00:00:00#00:00:00#00:00:00 1 2fac1de82c27788323544f7904610f19
7171104 C 3 CP 2 30/10/2019 30/10/2019 13/04/1941 0 1
1 Z96.1;H04.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DRS ATHU SOMPE 005393 78 28689 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004963 0000137108878 3;JKN
Vian02; 5.3.9.201904290125 4 83766 1#0##0#0#0.0#2019-11-01
13:44:34#0#00:00:00#00:00:00#00:00:00 1 1934dc73f08a249c71e048a773e64132
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/01/1941 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JULUIS KOUNTUR 052472 78 28791 DR SAUL
RAPAR,SPM 0309R0191019V004964 0001567964777 3;JKN Vian02;
5.3.9.201904290125 4 83775 1#0##0#0#0.0#2019-11-01
13:50:32#0#00:00:00#00:00:00#00:00:00 1 dc5c4f0cddec4306d47449f45c1b1157
7171104 C 3 CP 2 30/10/2019 30/10/2019 18/10/1969 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 REYNE LUSIA WAROUW 051872 50 18274 DR
YULIANA HARTONO,SPM 0309R0191019V004965 0001225895049 3;JKN Vian02;
5.3.9.201904290125 4 83777 1#0##0#0#0.0#2019-11-01
13:51:18#0#00:00:00#00:00:00#00:00:00 1 26a0339e2de69855332f05dff48e433c
7171104 C 3 CP 2 30/10/2019 30/10/2019 15/06/1935 0 1
1 H01.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ELIAS SALINDEHO 052965 84 30818 DR YULIANA
HARTONO,SPM 0309R0191019V004966 0000138684464 3;JKN Vian02;
5.3.9.201904290125 4 83827 1#0##0#0#0.0#2019-11-01
14:43:00#0#00:00:00#00:00:00#00:00:00 1 589083e06df62206062637f13e308f3a
7171104 C 3 CP 2 30/10/2019 30/10/2019 28/02/1967 0 2
1 H10.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 DEISY N.E.SAROINSONG 052967 52 19237 DR
YULIANA HARTONO,SPM 0309R0191019V004967 0000137419198 3;JKN Vian02;
5.3.9.201904290125 4 83828 1#0##0#0#0.0#2019-11-01
14:49:23#0#00:00:00#00:00:00#00:00:00 1 c3e76ec435ade90c895be38c06655ccd
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/03/1949 0 2
1 Z09.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LENY IROTH 052738 70 25810 DR YULIANA
HARTONO,SPM 0309R0191019V004968 0000907586831 3;JKN Vian02;
5.3.9.201904290125 4 83829 1#0##0#0#0.0#2019-11-01
14:50:06#0#00:00:00#00:00:00#00:00:00 1 36692a4da8f4dbb488060c9f97730c86
7171104 C 3 CP 2 30/10/2019 30/10/2019 22/10/1942 0 1
1 Z09.8;H35.3;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YANTJE KORENGKENG 044460 77 28132 DR
MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004969 0001080560081 3;JKN
Vian02; 5.3.9.201904290125 4 83830 1#0##0#0#0.0#2019-11-01
14:51:02#0#00:00:00#00:00:00#00:00:00 1 c5e87205bd09a226e9d8fe74aaf5dd56
7171104 C 3 CP 2 30/10/2019 30/10/2019 16/08/1938 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENDRIK E. RONDONUWU 052843 81 29660
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004970 0002069372035 3;JKN
Vian02; 5.3.9.201904290125 4 83831 1#0##0#0#0.0#2019-11-01
15:04:21#0#00:00:00#00:00:00#00:00:00 1 6a3c088ae54d1e43fa4916796ac8a003
7171104 C 3 CP 2 30/10/2019 30/10/2019 12/10/1955 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CORNELIA WEKU 052968 64 23394 DR PAULA M V
LUMUNON,SPM 0309R0191019V004971 0001250397731 3;JKN Vian02;
5.3.9.201904290125 4 83832 1#0##0#0#0.0#2019-11-01
15:32:38#0#00:00:00#00:00:00#00:00:00 1 26128aa17fb7e808e3f36a98b6b77d33
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/08/1938 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANA WONGKAR 005817 81 29675 DR SAUL RAPAR,SPM
0309R0191019V004972 0000906603423 3;JKN Vian02; 5.3.9.201904290125
4 83833 1#0##0#0#0.0#2019-11-01 15:35:07#0#00:00:00#00:00:00#00:00:00
1 789a700c47e738c27caba0ec52ca5df9
7171104 C 3 CP 2 30/10/2019 30/10/2019 09/09/1966 0 2
1 Z09.0;H40.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ZUS AGUSTINA RATULANGI 018373 53 19409
DR PAULA M V LUMUNON,SPM 0309R0191019V004973 0002317507165 3;JKN
Vian02; 5.3.9.201904290125 4 83834 1#0##0#0#0.0#2019-11-01
16:06:05#0#00:00:00#00:00:00#00:00:00 1 1e80807039ce45a24694da126792b2de
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/07/1987 0 2
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GLEDIS KARONGKONG 037390 32 11809 DR
PAULA M V LUMUNON,SPM 0309R0191019V004974 0000905388401 3;JKN Vian02;
5.3.9.201904290125 4 83835 1#0##0#0#0.0#2019-11-01
16:28:00#0#00:00:00#00:00:00#00:00:00 1 163e1f04e1f75a2d7d6691258368a645
7171104 C 3 CP 2 30/10/2019 30/10/2019 24/08/1997 0 1
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BRIAND D. KALALO 052969 22 8102 DR SAUL
RAPAR,SPM 0309R0191019V004975 0000910705869 3;JKN Vian02;
5.3.9.201904290125 4 83836 1#0##0#0#0.0#2019-11-02
06:56:53#0#00:00:00#00:00:00#00:00:00 1 d2c0dcace257228f51d507a4df301603
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/07/1975 0 2
1 H11.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SYANE SINAULAN 052971 44 16192 DR MARIA
E.D.S ORATMANGUN,SPM 0309R0191019V004976 0001066791936 3;JKN Vian02;
5.3.9.201904290125 4 83837 1#0##0#0#0.0#2019-11-02
06:58:22#0#00:00:00#00:00:00#00:00:00 1 04f3ea1e6e970da85c9cc5b23c6b06ef
7171104 C 3 CP 2 30/10/2019 30/10/2019 12/06/1950 0 2
1 Z09.8;Q11.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MILANINGSIH 020103 69 25342 DR YULIANA
HARTONO,SPM 0309R0191019V004977 0001453439169 3;JKN Vian02;
5.3.9.201904290125 4 83838 1#0##0#0#0.0#2019-11-02
07:01:13#0#00:00:00#00:00:00#00:00:00 1 19166e0cafe799d29da50f0e6375be9f
7171104 C 3 CP 2 30/10/2019 30/10/2019 25/07/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SUSANA DIEN 000925 71 26029 DR PAULA M V
LUMUNON,SPM 0309R0191019V004978 0000138253869 3;JKN Vian02;
5.3.9.201904290125 4 83839 1#0##0#0#0.0#2019-11-02
07:02:51#0#00:00:00#00:00:00#00:00:00 1 d119ad3e427c49b3b7c6392b987da9ea
7171104 C 3 CP 2 30/10/2019 30/10/2019 27/08/1993 0 2
1 H53.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YESSIE DWIRO SUSAN PANJAITAN 052972 26 9560
DR YULIANA HARTONO,SPM 0309R0191019V004979 0002263449126 3;JKN
Vian02; 5.3.9.201904290125 4 83840 1#0##0#0#0.0#2019-11-02
07:04:39#0#00:00:00#00:00:00#00:00:00 1 79696922c98410307c472934f79dcca3
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/08/1954 0 2
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 STIN WURANGIAN 052358 65 23831 DR
SAUL RAPAR,SPM 0309R0191019V004980 0000909525633 3;JKN Vian02;
5.3.9.201904290125 4 83841 1#0##0#0#0.0#2019-11-02
07:06:04#0#00:00:00#00:00:00#00:00:00 1 a811728d64756b062ea29f99dbb825b0
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/02/1954 0 2
1 Z09.8;H27.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUPIA SURANG 051776 65 24012 DR
PAULA M V LUMUNON,SPM 0309R0191019V004981 0000908236541 3;JKN Vian02;
5.3.9.201904290125 4 83842 1#0##0#0#0.0#2019-11-02
07:06:57#0#00:00:00#00:00:00#00:00:00 1 90d20cd3970e8991593ab967704fb27a
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/04/1943 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MOH MOLDJO 052973 76 27971 DR PAULA M V
LUMUNON,SPM 0309R0191019V004982 0000908217944 3;JKN Vian02;
5.3.9.201904290125 4 83843 1#0##0#0#0.0#2019-11-02
07:08:02#0#00:00:00#00:00:00#00:00:00 1 89a032c948b55c7d5f8747ca315feba8
7171104 C 3 CP 2 30/10/2019 30/10/2019 26/04/1955 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADONJA KATUUK 015421 64 23563 DR
YULIANA HARTONO,SPM 0309R0191019V004984 0001810153247 3;JKN Vian02;
5.3.9.201904290125 4 83844 1#0##0#0#0.0#2019-11-02
07:09:25#0#00:00:00#00:00:00#00:00:00 1 467d49496d2c0daaf23cf7563102a62d
7171104 C 3 CP 2 30/10/2019 30/10/2019 22/12/1959 0 2
1 Z09.8;H40.2;H44.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELFIE ROMPAS 009834 59 21862 DR
PAULA M V LUMUNON,SPM 0309R0191019V004985 0000137352813 3;JKN Vian02;
5.3.9.201904290125 4 83845 1#0##0#0#0.0#2019-11-02
07:11:18#0#00:00:00#00:00:00#00:00:00 1 f3e224f4b1a66838e4c519f24aec4268
7171104 C 3 CP 2 30/10/2019 30/10/2019 09/09/1949 0 1
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHN GERKE WAROUW 009139 70 25618 DR
PAULA M V LUMUNON,SPM 0309R0191019V004986 0001257600071 3;JKN Vian02;
5.3.9.201904290125 4 83846 1#0##0#0#0.0#2019-11-02
07:13:37#0#00:00:00#00:00:00#00:00:00 1 874b91bd28128fc38d9a63e26fe095f0
7171104 C 3 CP 2 30/10/2019 30/10/2019 21/04/1987 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ETIK RATNA SARI 052975 32 11880 DR SAUL
RAPAR,SPM 0309R0191019V004989 0001828263093 3;JKN Vian02;
5.3.9.201904290125 4 83847 1#0##0#0#0.0#2019-11-02
07:15:24#0#00:00:00#00:00:00#00:00:00 1 cdc732ee614999fb44a7fd1f885c97e9
7171104 C 3 CP 2 30/10/2019 30/10/2019 09/11/1951 0 2
1 Z09.8;H33.0;H44.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SYENI YULIA SUMUAL 016850 67 24827
DR SAUL RAPAR,SPM 0309R0191019V004990 0001281099148 3;JKN Vian02;
5.3.9.201904290125 4 83848 1#0##0#0#0.0#2019-11-02
07:17:02#0#00:00:00#00:00:00#00:00:00 1 66ce0dfefd43bc17833b14e1cc3c7cf4
7171104 C 3 CP 2 30/10/2019 30/10/2019 15/02/1970 0 1
1 Z09.8;H16.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 THEODORE VANNY LUMINGKEWAS 048251 49
18154 DR SAUL RAPAR,SPM 0309R0191019V004991 0000139013796 3;JKN
Vian02; 5.3.9.201904290125 4 83849 1#0##0#0#0.0#2019-11-02
07:18:32#0#00:00:00#00:00:00#00:00:00 1 7085c9ff9130a17e51b0e889840f0358
7171104 C 3 CP 2 30/10/2019 30/10/2019 07/01/1967 0 1
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DJEFRI LIHAWA 052976 52 19289 DR
SAUL RAPAR,SPM 0309R0191019V004992 0001096328327 3;JKN Vian02;
5.3.9.201904290125 4 83850 1#0##0#0#0.0#2019-11-02
07:20:29#0#00:00:00#00:00:00#00:00:00 1 172f7b94f3a9850d6cad5c18b3795872
7171104 C 3 CP 2 30/10/2019 30/10/2019 10/06/1963 0 1
1 Z09.0;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FERRY SIMON WAWOINTANA 052914 56 20596
DR IVONNE RAMENUSA,SPM 0309R0191019V004808 0000137226971 3;JKN
linda03; 5.3.9.201904290125 4 83725 1#0##0#0#0.0#2019-11-04
13:44:38#0#00:00:00#00:00:00#00:00:00 1 a97a818363cc88a9e707df6fb9f5e3f4
7171104 C 3 CP 2 30/10/2019 30/10/2019 10/09/1992 0 2
1 Z09.8;H16.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YASINTA FRANSINA WATRATAN 052742 27
9911 DR SAUL RAPAR,SPM 0309R0191019V004874 0002215950164 3;JKN
Patrick K.; 5.3.9.201904290125 4 83690 1#0##0#0#0.0#2019-11-05
14:53:11#0#00:00:00#00:00:00#00:00:00 1 e2614de141cbd2670e4915ab23df7dfe
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/03/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADRIANA RENTANDATU 052362 62 22888 DR
SAUL RAPAR,SPM 0309R0191019V004889 0000908095149 3;JKN Patrick K.;
5.3.9.201904290125 4 84287 1#0##0#0#0.0#2019-11-05
14:54:40#0#00:00:00#00:00:00#00:00:00 1 ddbe1cfe3194f4eec7ebb9017bfdb6e9
7171104 C 3 CP 2 30/10/2019 30/10/2019 07/01/1946 0 1
1 Z96.1;H27.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JANTJE NGANTUNG 052245 73 26959 DR
PAULA M V LUMUNON,SPM 0309R0191019V004895 0000138835462 3;JKN Patrick K.;
5.3.9.201904290125 4 83656 1#0##0#0#0.0#2019-11-05
14:57:10#0#00:00:00#00:00:00#00:00:00 3 c8a383ec4fc19c07abf81667783fa6bf
7171104 C 3 CP 2 30/10/2019 30/10/2019 24/02/1955 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 BENYAMIN SARENDATU 021162 64 23624
DR MARIA E.D.S ORATMANGUN,SPM 0309R0191019V004958 0001873940038 3;JKN
Boni04; 5.3.9.201904290125 4 84639 1#0##0#0#0.0#2019-11-07
09:24:29#0#00:00:00#00:00:00#00:00:00 1 391715a80fc61e93a069cecebaef47b4
7171104 C 3 CP 2 30/10/2019 30/10/2019 14/07/1956 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 JULTJE LENNY KARASERAN 015672 63 23118
DR PAULA M V LUMUNON,SPM 0309R0191019V004853 0002237052475 3;JKN
Boni04; 5.3.9.201904290125 4 84642 1#0##0#0#0.0#2019-11-07
09:25:29#0#00:00:00#00:00:00#00:00:00 1 9e726add626718f9a7e05a74d967d1c4
7171104 C 3 CP 2 30/10/2019 30/10/2019 17/07/1961 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 SYULTJE TULANGI 043327 58 21289 DR
PAULA M V LUMUNON,SPM 0309R0191019V004891 0001867348596 3;JKN Boni04;
5.3.9.201904290125 4 84643 1#0##0#0#0.0#2019-11-07
09:28:08#0#00:00:00#00:00:00#00:00:00 1 fdcfcc00610ff2aa2e18ca56238b02a1
7171104 C 3 CP 2 30/10/2019 30/10/2019 03/04/1943 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 ANNIE M. WAWORUNTU,SH 015313 76 27969
DR YULIANA HARTONO,SPM 0309R0191019V004911 0000138245242 3;JKN
Boni04; 5.3.9.201904290125 4 84648 1#0##0#0#0.0#2019-11-07
09:32:01#0#00:00:00#00:00:00#00:00:00 1 a6201797953063900939d0cfb2920779
7171104 C 3 CP 2 30/10/2019 30/10/2019 20/06/1952 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 MAS ROITJE SASUE 029958 67 24603 DR
YULIANA HARTONO,SPM 0309R0191019V004904 0002205513437 3;JKN Boni04;
5.3.9.201904290125 4 84651 1#0##0#0#0.0#2019-11-07
09:32:49#0#00:00:00#00:00:00#00:00:00 1 f0edeac8d466872de17555879b834604
7171104 C 3 CP 2 30/10/2019 30/10/2019 05/07/1948 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 MUHAMMAD YUSUF TARANTJAH 008846 71
26049 DR YULIANA HARTONO,SPM 0309R0191019V004896 0000138281332 3;JKN
Boni04; 5.3.9.201904290125 4 84653 1#0##0#0#0.0#2019-11-07
09:33:29#0#00:00:00#00:00:00#00:00:00 1 6e38da2397149b4e25c87a81845ac9b8
7171104 C 3 CP 2 30/10/2019 30/10/2019 31/08/1956 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ADELEIDA LIDYA
KALIGIS 052882 63 23070 DR RALF PANGALILA,SPM 0309R0191019V004815
0002079246014 3;JKN Boni04; 5.3.9.201904290125 4 84654
1#0##0#0#0.0#2019-11-07 09:34:44#0#00:00:00#00:00:00#00:00:00 1
bb78d8e24eaf54f447cb80077f22818c
7171104 C 3 CP 2 30/10/2019 30/10/2019 14/05/1967 0 1
1 H17.9 12.97 - - None None None None H-2-33-0 None None
None None None None PROSEDUR KECIL PADA SEGMEN ANTERIOR MATA 258400
0 0 - 0 - 0 - 0 - 0 258400
3825400 0 1 0 0 0 CHARLES R ALANG 052826 52
19162 DR DYANA T.WATANIA,SPM 0309R0191019V004912 0002063993106 3;JKN
Boni04; 5.3.9.201904290125 4 84656 1#0##0#0#0.0#2019-11-07
09:38:45#0#00:00:00#00:00:00#00:00:00 1 eeecec3be2803985dd667a0e1f6ab807
7171104 C 3 CP 2 30/10/2019 30/10/2019 17/08/1952 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 RAM MONOARFA
052525 67 24545 DR DYANA T.WATANIA,SPM 0309R0191019V004987
0002321490251 3;JKN Boni04; 5.3.9.201904290125 4 84659
1#0##0#0#0.0#2019-11-07 09:41:32#0#00:00:00#00:00:00#00:00:00 1
eab6f0a4489805939a45faf7531da086
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/09/1971 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 EVA TELLY MORAY
049238 48 17591 DR DYANA T.WATANIA,SPM 0309R0191019V004893
0000138502708 3;JKN Boni04; 5.3.9.201904290125 4 84660
1#0##0#0#0.0#2019-11-07 09:42:22#0#00:00:00#00:00:00#00:00:00 1
08f284dfdba7929e7c5329e240872a08
7171104 C 3 CP 2 30/10/2019 30/10/2019 24/12/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 YELTJE PANTOW
052929 70 25877 DR DYANA T.WATANIA,SPM 0309R0191019V004983
0002223990562 3;JKN Boni04; 5.3.9.201904290125 4 84661
1#0##0#0#0.0#2019-11-07 09:43:44#0#00:00:00#00:00:00#00:00:00 1
ec76c4298c95bd6c7984995ca691f963
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/03/1973 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARTIN SALAA
052910 46 17044 DR DYANA T.WATANIA,SPM 0309R0191019V004818
0000905775221 3;JKN Boni04; 5.3.9.201904290125 4 84662
1#0##0#0#0.0#2019-11-07 09:44:33#0#00:00:00#00:00:00#00:00:00 1
597f0a8af9a2c0eb0d7e179028a044c1
7171104 C 3 CP 2 30/10/2019 30/10/2019 01/02/1949 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARIA IMELDA
LENGKONG 052923 70 25838 DR DYANA T.WATANIA,SPM 0309R0191019V004939
0001066661651 3;JKN Boni04; 5.3.9.201904290125 4 84663
1#0##0#0#0.0#2019-11-07 09:45:21#0#00:00:00#00:00:00#00:00:00 1
56e684b3d5bcb194f2096781771b7702
7171104 C 3 CP 1 30/10/2019 31/10/2019 01/03/1963 0 1
1 T85.3 14.74 - - YY09 None None None H-1-30-I None None
YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6510200 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 13020400 7179000 0 2 0 0 0 ELLY TUMENGKOL
046493 56 20697 DR SALAM SURBAKTI,SPM 0309R0191019V004812
0001066866287 3;JKN eka06; 5.3.9.201904290125 4 83704
1#0##0#0#0.0#2019-11-01 12:50:18#0#00:00:00#00:00:00#00:00:00 1
1ae44c0174ec425e2e457fd0d3d63042
7171104 C 1 CP 1 30/10/2019 31/10/2019 16/07/1966 0 2
1 H35.2;H33.4;H43.1 14.74 - - YY09 None None None H-1-30-II
None None YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER
(SEDANG) 11323700 0 0 VITRECTOMY 6510200 - 0 - 0
- 0 17833900 7179000 0 2 0 0 0 MIKE
WIDJAJATI 052374 53 19464 DR DYANA T.WATANIA,SPM 0309R0191019V004814
0000138730105 3;JKN eka06; 5.3.9.201904290125 4 83705
1#0##0#0#0.0#2019-11-01 12:51:30#0#00:00:00#00:00:00#00:00:00 1
0840b327fc2e44301a4834b17e50ddd0
7171104 C 3 CP 1 30/10/2019 31/10/2019 06/04/1953 0 1
1 H43.1 14.74 - - YY09 None None None H-1-30-I None None
YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
6510200 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 13020400 7179000 0 2 0 0 0 CELESTINUS KAUNANG
052241 66 24313 DR DYANA T.WATANIA,SPM 0309R0191019V004824
0002743497178 3;JKN eka06; 5.3.9.201904290125 4 83706
1#0##0#0#0.0#2019-11-01 12:53:22#0#00:00:00#00:00:00#00:00:00 1
47a57a7c21853f306273f1c85e8f2fcf
7171104 C 2 CP 1 30/10/2019 31/10/2019 31/05/1968 0 1
1 H11.0 11.32 - - None None None None H-1-20-I None None
None None None None PROSEDUR EKSTRAOKULER DAN ORBITA (RINGAN) 5134200
0 0 - 0 - 0 - 0 - 0 5134200
9807400 0 2 0 0 0 TEXI REYNALD TUMEWU 052661
51 18779 DR DYANA T.WATANIA,SPM 0309R0191019V004988 0001788717273
3;JKN eka06; 5.3.9.201904290125 4 83708 1#0##0#0#0.0#2019-11-01
12:54:43#0#00:00:00#00:00:00#00:00:00 1 382a6015b26b8f101a3850b6c1207f8b
7171104 C 2 CP 1 30/10/2019 31/10/2019 01/05/1960 0 1
1 H35.2;H43.1;H33.4 14.74 - - YY09 None None None H-1-30-II
None None YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER
(SEDANG) 9706000 0 0 VITRECTOMY 6510200 - 0 - 0
- 0 16216200 7179000 0 2 0 0 0 HANTJE
TATIMU 052475 59 21731 DR DYANA T.WATANIA,SPM 0309R0191019V004823
0002199258505 3;JKN eka06; 5.3.9.201904290125 4 83710
1#0##0#0#0.0#2019-11-01 12:56:06#0#00:00:00#00:00:00#00:00:00 1
70fb9b8f9cb930b42e1c60eb229ed0ab
7171104 C 1 CP 1 30/10/2019 31/10/2019 06/05/1969 0 2
1 H33.0 14.74 - - YY09 None None None H-1-30-I None None
YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (RINGAN)
9114300 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 15624500 7179000 0 2 0 0 0 MEITA MOUDY MUSSU
052243 50 18439 DR SALAM SURBAKTI,SPM 0309R0191019V004822
0001865326443 3;JKN eka06; 5.3.9.201904290125 4 83711
1#0##0#0#0.0#2019-11-01 12:57:14#0#00:00:00#00:00:00#00:00:00 1
65352684fa14bbf9d122020aacc98949
7171104 C 2 CP 1 30/10/2019 31/10/2019 02/10/1969 0 1
1 H35.2;H43.1 14.74 - - YY09 None None None H-1-30-II None
None YY-09-III None None None PROSEDUR LENSA DAN INTRA OKULER (SEDANG)
9706000 0 0 VITRECTOMY 6510200 - 0 - 0 -
0 16216200 7179000 0 2 0 0 0 COLLINS SANDERS
ROMEO RORING 052861 50 18290 DR SALAM SURBAKTI,SPM
0309R0191019V004830 0001130648771 3;JKN eka06; 5.3.9.201904290125
4 83712 1#0##0#0#0.0#2019-11-01 13:19:43#0#00:00:00#00:00:00#00:00:00
1 e1463ebcab54b5819f2a4a87533000e6
7171104 C 3 CP 2 31/10/2019 31/10/2019 27/11/1957 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 WISYE POLII 052990 61 22618 DR DYANA
T.WATANIA,SPM 0309R0191019V005094 0002389460995 3;JKN Patrick K.;
5.3.9.201904290125 4 83744 1#0##0#0#0.0#2019-11-01
13:32:18#0#00:00:00#00:00:00#00:00:00 2 0fe3df61d373902a77794a83f2b5e0af
7171104 C 3 CP 2 31/10/2019 31/10/2019 29/04/2004 0 1
1 H10.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ALEXSANDRO TAMPANGOEMA 052992 15 5663 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V005093 0001164156287 3;JKN Patrick K.;
5.3.9.201904290125 4 83747 1#0##0#0#0.0#2019-11-01
13:32:57#0#00:00:00#00:00:00#00:00:00 2 d3d0d61b3a0d351d4f08032ed2126c77
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/09/2003 0 2
1 H16.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 LEONY EZRA PAKASI 052991 16 5904 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V005092 0000910047712 3;JKN Patrick K.;
5.3.9.201904290125 4 83750 1#0##0#0#0.0#2019-11-01
13:34:01#0#00:00:00#00:00:00#00:00:00 1 c07da6cbff4415efd0edb7a4c3b0ff89
7171104 C 3 CP 2 31/10/2019 31/10/2019 24/03/1948 0 1
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BENNY WILIANTO 007724 71 26153 DR.
DENNY WALANDOW, SPM 0309R0191019V005091 0001564790927 3;JKN Patrick K.;
5.3.9.201904290125 4 83754 1#0##0#0#0.0#2019-11-01
13:35:23#0#00:00:00#00:00:00#00:00:00 1 f8cf71e4d5635925731764cb2cf80da3
7171104 C 3 CP 2 31/10/2019 31/10/2019 05/09/1956 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MOLLY TANSIL 006945 63 23066 DR. DENNY
WALANDOW, SPM 0309R0191019V005090 0001564790938 3;JKN Patrick K.;
5.3.9.201904290125 4 83755 1#0##0#0#0.0#2019-11-01
13:36:37#0#00:00:00#00:00:00#00:00:00 1 7377bca4cf9af5ae31260d6f88664f01
7171104 C 3 CP 2 31/10/2019 31/10/2019 15/08/2012 0 1
1 H53.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 FAKHRI Z.R. MADIU 052980 7 2633 DR RALF
PANGALILA,SPM 0309R0191019V005039 0001316667374 3;JKN linda03;
5.3.9.201904290125 4 83759 1#0##0#0#0.0#2019-11-01
13:39:13#0#00:00:00#00:00:00#00:00:00 1 fc0ff3037b947c30f21e02a26c7111c6
7171104 C 3 CP 2 31/10/2019 31/10/2019 27/04/1970 0 2
1 Z09.8;H52.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KAROLIN TANGKERE 038204 49 18084 DR
RALF PANGALILA,SPM 0309R0191019V005038 0002268504775 3;JKN linda03;
5.3.9.201904290125 4 83760 1#0##0#0#0.0#2019-11-01
13:40:57#0#00:00:00#00:00:00#00:00:00 1 163a8eb6e37d9504db91db9f90467c6c
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/04/1955 0 1
1 Z09.8;H11.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ANIS RUMENGAN 052821 64 23589 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V005037 0000910206966 3;JKN linda03;
5.3.9.201904290125 4 83761 1#0##0#0#0.0#2019-11-01
13:41:58#0#00:00:00#00:00:00#00:00:00 1 e95521265bb8f5dcf8a5094ff4df659d
7171104 C 3 CP 2 31/10/2019 31/10/2019 11/05/1955 0 1
1 Z96.1;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENDRO LAUTAN LAUW 041226 64 23549
DR DYANA T.WATANIA,SPM 0309R0191019V005036 0002464653194 3;JKN
linda03; 5.3.9.201904290125 4 83763 1#0##0#0#0.0#2019-11-01
13:42:50#0#00:00:00#00:00:00#00:00:00 1 57276b854aaa4c27f961e27c8a141ad4
7171104 C 3 CP 2 31/10/2019 31/10/2019 19/05/2012 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CHELSEA QUENNA DIERA TUMBOL 052989 7 2721
DR. DENNY WALANDOW, SPM 0309R0191019V005088 0001285725655 3;JKN
Patrick K.; 5.3.9.201904290125 4 83757 1#0##0#0#0.0#2019-11-01
13:43:06#0#00:00:00#00:00:00#00:00:00 1 e597701d1785e56f39cb59be75ee7d8a
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/01/1947 0 2
1 H26.9;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HERTJE SUWU 052979 72 26601 DR DYANA
T.WATANIA,SPM 0309R0191019V005035 0000907852353 3;JKN linda03;
5.3.9.201904290125 4 83764 1#0##0#0#0.0#2019-11-01
13:43:57#0#00:00:00#00:00:00#00:00:00 1 34b07a8a30409418a986b3f6ea04e084
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/02/1969 0 2
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SITI MARIANI 007365 50 18534 DR
RALF PANGALILA,SPM 0309R0191019V005084 0000910680096 3;JKN Patrick K.;
5.3.9.201904290125 4 83765 1#0##0#0#0.0#2019-11-01
13:44:22#0#00:00:00#00:00:00#00:00:00 1 b772ae47db8bd7ea4b8b0cf1c2642632
7171104 C 3 CP 2 31/10/2019 31/10/2019 29/10/1951 0 2
1 Z09.8;H20.9;H40.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JULIEN PAPUAS 052806 68 24839 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V005082 0001451366021 3;JKN Patrick K.;
5.3.9.201904290125 4 83767 1#0##0#0#0.0#2019-11-01
13:45:12#0#00:00:00#00:00:00#00:00:00 1 6a93ad82fef48e646a67297687912f5a
7171104 C 3 CP 2 31/10/2019 31/10/2019 20/12/1954 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RAIMON ARNOLD DJAJUS ROGAHANG 012350 64 23691
DR. SAMUEL MALINGKAS,SPM 0309R0191019V005034 0000137758937 3;JKN
linda03; 5.3.9.201904290125 4 83768 1#0##0#0#0.0#2019-11-01
13:45:53#0#00:00:00#00:00:00#00:00:00 1 6d59b65d5470dc4c093d90be79554fcd
7171104 C 3 CP 2 31/10/2019 31/10/2019 21/02/1950 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOSEFIEN MAMONDOL 013775 69 25454 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V005080 0000157994954 3;JKN Patrick K.;
5.3.9.201904290125 4 83769 1#0##0#0#0.0#2019-11-01
13:46:18#0#00:00:00#00:00:00#00:00:00 1 87540464ffa0b0b9299e71665c0b53e2
7171104 C 3 CP 2 31/10/2019 31/10/2019 07/03/1956 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LISYE BORANG 049135 63 23248 DR
DYANA T.WATANIA,SPM 0309R0191019V005079 0002197410107 3;JKN Patrick K.;
5.3.9.201904290125 4 83771 1#0##0#0#0.0#2019-11-01
13:47:13#0#00:00:00#00:00:00#00:00:00 1 b49b37f8db5dcfbf3282fa2acfc1d581
7171104 C 3 CP 2 31/10/2019 31/10/2019 31/08/1956 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ADELEIDA LIDYA KALIGIS 052882 63 23071 DR.
DENNY WALANDOW, SPM 0309R0191019V005032 0002079246014 3;JKN linda03;
5.3.9.201904290125 4 83770 1#0##0#0#0.0#2019-11-01
13:47:17#0#00:00:00#00:00:00#00:00:00 1 86e837a93d4aaf4727e22f8a379cb619
7171104 C 3 CP 2 31/10/2019 31/10/2019 09/05/1975 0 2
1 H11.0;H52.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MERRY MONDORINGIN 052988 44 16246 DR
RALF PANGALILA,SPM 0309R0191019V005078 0001862476097 3;JKN Patrick K.;
5.3.9.201904290125 4 83772 1#0##0#0#0.0#2019-11-01
13:48:36#0#00:00:00#00:00:00#00:00:00 1 23b0e87c5373e621a5eb677e8a50338c
7171104 C 3 CP 2 31/10/2019 31/10/2019 12/02/1955 0 1
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 BURTJE MURSIH 052544 64 23637 DR
RALF PANGALILA,SPM 0309R0191019V005031 0001604379868 3;JKN linda03;
5.3.9.201904290125 4 83773 1#0##0#0#0.0#2019-11-01
13:49:19#0#00:00:00#00:00:00#00:00:00 1 adac8999a2b300cccc801572d752187a
7171104 C 3 CP 2 31/10/2019 31/10/2019 15/09/1983 0 1
1 H52.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 STENLY NENDER 052986 36 13195 DR. DENNY
WALANDOW, SPM 0309R0191019V005077 0001272582854 3;JKN Patrick K.;
5.3.9.201904290125 4 83774 1#0##0#0#0.0#2019-11-01
13:50:18#0#00:00:00#00:00:00#00:00:00 1 537ba0f033c8d4958c383d41f038da7a
7171104 C 3 CP 2 31/10/2019 31/10/2019 17/08/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RAM MONOARFA 052525 67 24546 DR DYANA
T.WATANIA,SPM 0309R0191019V005026 0002321490251 3;JKN linda03;
5.3.9.201904290125 4 83776 1#0##0#0#0.0#2019-11-01
13:50:43#0#00:00:00#00:00:00#00:00:00 1 621f8060f5361a385166a449c06f4656
7171104 C 3 CP 2 31/10/2019 31/10/2019 05/06/1963 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WARNI POLAMOLO 052884 56 20602 DR. DENNY
WALANDOW, SPM 0309R0191019V005075 0000139399615 3;JKN Patrick K.;
5.3.9.201904290125 4 83778 1#0##0#0#0.0#2019-11-01
13:51:53#0#00:00:00#00:00:00#00:00:00 1 fe1a3ad7eb0c5f280c00a3b7fe239ac7
7171104 C 3 CP 2 31/10/2019 31/10/2019 17/09/1957 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NONTJE PELLE 052406 62 22689 DR RALF
PANGALILA,SPM 0309R0191019V005025 0000137281307 3;JKN linda03;
5.3.9.201904290125 4 83779 1#0##0#0#0.0#2019-11-01
13:52:26#0#00:00:00#00:00:00#00:00:00 1 c993da6e22b6690756d347ef685f77d8
7171104 C 3 CP 2 31/10/2019 31/10/2019 08/06/1956 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BERNITJE KAHIMPONG 052002 63 23155 DR
DYANA T.WATANIA,SPM 0309R0191019V005024 0000137544761 3;JKN linda03;
5.3.9.201904290125 4 83781 1#0##0#0#0.0#2019-11-01
13:53:14#0#00:00:00#00:00:00#00:00:00 1 41c8f00f4dab6b9aa475035e1c2927b9
7171104 C 3 CP 2 31/10/2019 31/10/2019 20/10/1958 0 2
1 Z09.8;H52.0;H52.4 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KATRIN SOLANG 020323 61 22291 DR
RALF PANGALILA,SPM 0309R0191019V005074 0001155192579 3;JKN Patrick K.;
5.3.9.201904290125 4 83780 1#0##0#0#0.0#2019-11-01
13:53:17#0#00:00:00#00:00:00#00:00:00 1 a4e6d90bfbc6da22ceddf49cf54e2c63
7171104 C 3 CP 2 31/10/2019 31/10/2019 14/05/1967 0 1
1 Z09.0;H11.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHARLES R ALANG 052826 52 19163 DR
DYANA T.WATANIA,SPM 0309R0191019V005023 0002063993106 3;JKN linda03;
5.3.9.201904290125 4 83782 1#0##0#0#0.0#2019-11-01
13:54:08#0#00:00:00#00:00:00#00:00:00 1 45fbd139e21b910a103d99edbd0c8bda
7171104 C 3 CP 2 31/10/2019 31/10/2019 05/03/1953 0 1
1 Z96.1;H26.9;H40.5 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HASAN KAIRUPAN 052502 66 24346 DR
DYANA T.WATANIA,SPM 0309R0191019V005072 0002043985667 3;JKN Patrick K.;
5.3.9.201904290125 4 83783 1#0##0#0#0.0#2019-11-01
13:54:16#0#00:00:00#00:00:00#00:00:00 1 f286e1ef8a35800060eb3322550ea6e0
7171104 C 3 CP 2 31/10/2019 31/10/2019 27/05/1970 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WAHIDA SELLE 052272 49 18054 DR RALF
PANGALILA,SPM 0309R0191019V005021 0000905407233 3;JKN linda03;
5.3.9.201904290125 4 83784 1#0##0#0#0.0#2019-11-01
13:55:04#0#00:00:00#00:00:00#00:00:00 1 7db81166510a909fbc282feea388949b
7171104 C 3 CP 2 31/10/2019 31/10/2019 29/08/1964 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KAREL EFRAIM LASUT 049381 55 20151 DR
DYANA T.WATANIA,SPM 0309R0191019V005066 0001094204169 3;JKN Patrick K.;
5.3.9.201904290125 4 83786 1#0##0#0#0.0#2019-11-01
13:55:51#0#00:00:00#00:00:00#00:00:00 1 848898fcf74df8d08d5d3e82e1552943
7171104 C 3 CP 2 31/10/2019 31/10/2019 21/09/1971 0 2
1 Z09.8;H49.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LIDYA SERVIANTY KANDOU 052467 48 17572
DR RALF PANGALILA,SPM 0309R0191019V005020 0001787042597 3;JKN
linda03; 5.3.9.201904290125 4 83787 1#0##0#0#0.0#2019-11-01
13:56:04#0#00:00:00#00:00:00#00:00:00 1 8f1f46a138115dfa146603f89bbccd60
7171104 C 3 CP 2 31/10/2019 31/10/2019 28/09/1959 0 1
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LEXI BERTJE KAPOH 052545 60 21948 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V005065 0001820880764 3;JKN Patrick K.;
5.3.9.201904290125 4 83788 1#0##0#0#0.0#2019-11-01
13:56:50#0#00:00:00#00:00:00#00:00:00 1 8bf258454b012d33cabf2160b4e5ca3e
7171104 C 3 CP 2 31/10/2019 31/10/2019 08/12/1991 0 2
1 Z09.8;H30.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEISY MEITA SANGARI 052818 27 10189
DR. SAMUEL MALINGKAS,SPM 0309R0191019V005019 0002240687338 3;JKN
linda03; 5.3.9.201904290125 4 83789 1#0##0#0#0.0#2019-11-01
13:56:56#0#00:00:00#00:00:00#00:00:00 1 228471ce239bf06cc52fd2d8d0d954ef
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/03/1973 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARTIN SALAA 052910 46 17045 DR
DYANA T.WATANIA,SPM 0309R0191019V005018 0000905775221 3;JKN linda03;
5.3.9.201904290125 4 83790 1#0##0#0#0.0#2019-11-01
13:57:41#0#00:00:00#00:00:00#00:00:00 1 fd2d88eea50e637c489e87022c44c319
7171104 C 3 CP 2 31/10/2019 31/10/2019 18/11/1966 0 2
1 Z09.8;H40.5;E11.3 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HELENA LORANGASAL 052123 52 19340 DR
DYANA T.WATANIA,SPM 0309R0191019V005064 0001164143024 3;JKN Patrick K.;
5.3.9.201904290125 4 83791 1#0##0#0#0.0#2019-11-01
13:57:55#0#00:00:00#00:00:00#00:00:00 1 80a847453acc751ae6882a47e6325588
7171104 C 3 CP 2 31/10/2019 31/10/2019 19/07/1968 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 EMI KORDI APITA 052546 51 18731 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V005017 0000908309564 3;JKN linda03;
5.3.9.201904290125 4 83792 1#0##0#0#0.0#2019-11-01
13:58:32#0#00:00:00#00:00:00#00:00:00 1 501bb700255e3c038944f7ad562bd040
7171104 C 3 CP 2 31/10/2019 31/10/2019 05/04/1962 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MIEKE RINE A.TIWOW 051836 57 21028 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V005061 0000138565012 3;JKN Patrick K.;
5.3.9.201904290125 4 83793 1#0##0#0#0.0#2019-11-01
13:59:11#0#00:00:00#00:00:00#00:00:00 1 4d9f86c2b37433d9d5e68fd21cdb7f33
7171104 C 3 CP 2 31/10/2019 31/10/2019 28/03/1948 0 1
1 Z96.1;H18.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUDY FTREDY CHEN 033293 71 26149 DR
RALF PANGALILA,SPM 0309R0191019V005016 0001480995628 3;JKN linda03;
5.3.9.201904290125 4 83794 1#0##0#0#0.0#2019-11-01
13:59:37#0#00:00:00#00:00:00#00:00:00 1 6f7d11c422f871c93722d25237064637
7171104 C 3 CP 2 31/10/2019 31/10/2019 11/10/1966 0 1
1 H52.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 EVERZON ELMING 052985 53 19378 DR RALF
PANGALILA,SPM 0309R0191019V005060 0001877632716 3;JKN Patrick K.;
5.3.9.201904290125 4 83795 1#0##0#0#0.0#2019-11-01
14:00:04#0#00:00:00#00:00:00#00:00:00 1 5349acef70ec7e11c7aedec4c788aef5
7171104 C 3 CP 2 31/10/2019 31/10/2019 08/10/1954 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 EDY WENTONG 052703 65 23764 DR DYANA
T.WATANIA,SPM 0309R0191019V005015 0002225078875 3;JKN linda03;
5.3.9.201904290125 4 83796 1#0##0#0#0.0#2019-11-01
14:00:45#0#00:00:00#00:00:00#00:00:00 1 c02b9b7336d489473821a2aba378be58
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/09/1936 0 1
1 H26.9;Z96.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ADOLOF HERMAN RUNGKAT 052984 83 30375
DR DYANA T.WATANIA,SPM 0309R0191019V005059 0001568128184 3;JKN
Patrick K.; 5.3.9.201904290125 4 83797 1#0##0#0#0.0#2019-11-01
14:01:18#0#00:00:00#00:00:00#00:00:00 1 429e61373ecd04f3f86c02a12eb1707a
7171104 C 3 CP 2 31/10/2019 31/10/2019 29/09/1935 0 1
1 Z96.1;H18.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SOLEMAN TUDUS, BA 008735 84 30713 DR
RALF PANGALILA,SPM 0309R0191019V005014 0000138947433 3;JKN linda03;
5.3.9.201904290125 4 83798 1#0##0#0#0.0#2019-11-01
14:01:43#0#00:00:00#00:00:00#00:00:00 1 1b7b0691faac17f648e10e105064b517
7171104 C 3 CP 2 31/10/2019 31/10/2019 09/01/1983 0 1
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 RUDOLF YONATHAN WEHANTOUW 046116 36
13444 DR DYANA T.WATANIA,SPM 0309R0191019V005012 0002744894283 3;JKN
linda03; 5.3.9.201904290125 4 83800 1#0##0#0#0.0#2019-11-01
14:02:29#0#00:00:00#00:00:00#00:00:00 1 78402bb734119bfe40692cb37415faa4
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/01/1960 0 2
1 Z09.8;H52.2;H52.0;H52.4 95.02 - - None None None None H-3-
12-0 None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SUDIA CHUNG 027538 59 21853 DR. DENNY
WALANDOW, SPM 0309R0191019V005057 0000908403041 3;JKN Patrick K.;
5.3.9.201904290125 4 83799 1#0##0#0#0.0#2019-11-01
14:03:14#0#00:00:00#00:00:00#00:00:00 2 7235495da87c429db50f58a4b4c39cfe
7171104 C 3 CP 2 31/10/2019 31/10/2019 02/06/1949 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 BLANDINA LUMANSIK 001874 70 25718 DR. DENNY
WALANDOW, SPM 0309R0191019V005010 0000137104198 3;JKN linda03;
5.3.9.201904290125 4 83802 1#0##0#0#0.0#2019-11-01
14:03:57#0#00:00:00#00:00:00#00:00:00 1 19c6c24f2287ee3a6b0a41a6fb65f133
7171104 C 3 CP 2 31/10/2019 31/10/2019 08/01/1974 0 2
1 Z09.8;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CARLA BOTU 000593 45 16732 DR. DENNY
WALANDOW, SPM 0309R0191019V005056 0001250391521 3;JKN Patrick K.;
5.3.9.201904290125 4 83804 1#0##0#0#0.0#2019-11-01
14:05:09#0#00:00:00#00:00:00#00:00:00 1 ba2ef479c1646b652d2892991371acff
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/05/1946 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAXII MILIAM PUDIHANG 052333 73 26846 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V005008 0000909572141 3;JKN linda03;
5.3.9.201904290125 4 83805 1#0##0#0#0.0#2019-11-01
14:05:53#0#00:00:00#00:00:00#00:00:00 1 18acddd4daa2387a21d0970bb6022507
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/01/1957 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANWAR USULU 052350 62 22948 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V005055 0002251158254 3;JKN Patrick K.;
5.3.9.201904290125 4 83806 1#0##0#0#0.0#2019-11-01
14:06:10#0#00:00:00#00:00:00#00:00:00 1 6617b8051aeb4a57eda271bbcec82759
7171104 C 3 CP 2 31/10/2019 31/10/2019 24/06/1960 0 1
1 Z09.8;H33.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DJONY TULANDI 052977 59 21678 DR
DYANA T.WATANIA,SPM 0309R0191019V005007 0000158061284 3;JKN linda03;
5.3.9.201904290125 4 83807 1#0##0#0#0.0#2019-11-01
14:06:52#0#00:00:00#00:00:00#00:00:00 1 ae113534924eb723d54e45afa2d8366d
7171104 C 3 CP 2 31/10/2019 31/10/2019 10/02/1950 0 1
1 Z96.1;H52.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KUSMA DJAFAR 049850 69 25465 DR.
DENNY WALANDOW, SPM 0309R0191019V005005 0000138204674 3;JKN linda03;
5.3.9.201904290125 4 83809 1#0##0#0#0.0#2019-11-01
14:07:38#0#00:00:00#00:00:00#00:00:00 1 305a7a8303770220e75f443b7b5fbb6c
7171104 C 3 CP 2 31/10/2019 31/10/2019 09/08/1947 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAGDALENA TOGAS 025280 72 26381 DR.
DENNY WALANDOW, SPM 0309R0191019V005054 0002070525969 3;JKN Patrick K.;
5.3.9.201904290125 4 83808 1#0##0#0#0.0#2019-11-01
14:08:26#0#00:00:00#00:00:00#00:00:00 2 e8c0b730d38b076edabcb2fe69223013
7171104 C 3 CP 2 31/10/2019 31/10/2019 26/05/1953 0 2
1 Z09.8;H04.1;H30.2 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 FRIDA H. KEMUR 052453 66 24264 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V005004 0000138712825 3;JKN linda03;
5.3.9.201904290125 4 83810 1#0##0#0#0.0#2019-11-01
14:08:40#0#00:00:00#00:00:00#00:00:00 1 8b07f3de4fd885f2172c84f26b01b256
7171104 C 3 CP 2 31/10/2019 31/10/2019 21/10/1950 0 2
1 H40.5 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TINTJE MAKAPUNAS 052982 69 25212 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V005051 0001889744837 3;JKN Patrick K.;
5.3.9.201904290125 4 83811 1#0##0#0#0.0#2019-11-01
14:09:32#0#00:00:00#00:00:00#00:00:00 1 1d042eddca3796d25a86fcbd9057c490
7171104 C 3 CP 2 31/10/2019 31/10/2019 10/10/1945 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 SIEN SASELA 012800 74 27049 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V005003 0001812813805 3;JKN linda03;
5.3.9.201904290125 4 83812 1#0##0#0#0.0#2019-11-01
14:10:28#0#00:00:00#00:00:00#00:00:00 1 e11e01ad2535bd6a4016e2d0ea1fa582
7171104 C 3 CP 2 31/10/2019 31/10/2019 16/09/1987 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 STEFANIE EMILIA, S.PD 001145 32 11733 DR
RALF PANGALILA,SPM 0309R0191019V005002 0000202450252 3;JKN linda03;
5.3.9.201904290125 4 83814 1#0##0#0#0.0#2019-11-01
14:11:22#0#00:00:00#00:00:00#00:00:00 1 ec303355ffb2cece2c034b70203cec92
7171104 C 3 CP 2 31/10/2019 31/10/2019 23/10/1950 0 2
1 Z09.8;H02.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MAGREITJE SULU 006490 69 25210 DR
RALF PANGALILA,SPM 0309R0191019V005050 0000137188269 3;JKN Patrick K.;
5.3.9.201904290125 4 83813 1#0##0#0#0.0#2019-11-01
14:11:40#0#00:00:00#00:00:00#00:00:00 2 b583683d320e06e5b845ffc02cc92abd
7171104 C 3 CP 2 31/10/2019 31/10/2019 12/01/1946 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 G. SUMENDAP 005355 73 26955 DR RALF
PANGALILA,SPM 0309R0191019V004998 0000138157277 3;JKN linda03;
5.3.9.201904290125 4 83815 1#0##0#0#0.0#2019-11-01
14:12:42#0#00:00:00#00:00:00#00:00:00 1 200933c9db7bca7efff1b292fc618051
7171104 C 3 CP 2 31/10/2019 31/10/2019 25/12/1997 0 1
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CHRISTIAN IMANUEL RUMAGIT 052981 21 7980
DR DYANA T.WATANIA,SPM 0309R0191019V005049 0000137776781 3;JKN
Patrick K.; 5.3.9.201904290125 4 83816 1#0##0#0#0.0#2019-11-01
14:13:28#0#00:00:00#00:00:00#00:00:00 1 e563b10a83fee03c94f7fb05f1e635b9
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/02/1949 0 2
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA IMELDA LENGKONG 052923 70 25839
DR DYANA T.WATANIA,SPM 0309R0191019V004997 0001066661651 3;JKN
linda03; 5.3.9.201904290125 4 83817 1#0##0#0#0.0#2019-11-01
14:13:38#0#00:00:00#00:00:00#00:00:00 1 957666b7522a9cd8d4b99615cd0af95e
7171104 C 3 CP 2 31/10/2019 31/10/2019 22/12/1959 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CHRISTIAN RONALD DIEN 052566 59 21863 DR.
DENNY WALANDOW, SPM 0309R0191019V005048 0000138533038 3;JKN Patrick K.;
5.3.9.201904290125 4 83818 1#0##0#0#0.0#2019-11-01
14:14:20#0#00:00:00#00:00:00#00:00:00 1 d3402e6e39aab5a896fdf2acefce6d05
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/05/1948 0 2
1 Z09.8;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 TELMA PAPENDANG 052332 71 26115 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V004996 0000909572635 3;JKN linda03;
5.3.9.201904290125 4 83819 1#0##0#0#0.0#2019-11-01
14:15:06#0#00:00:00#00:00:00#00:00:00 1 06a9c32924fe924408f9d95021a621ea
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/03/1954 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARTA DANES 027392 65 23985 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V005047 0000907831833 3;JKN Patrick K.;
5.3.9.201904290125 4 83820 1#0##0#0#0.0#2019-11-01
14:15:08#0#00:00:00#00:00:00#00:00:00 1 40f93b72889f4ac817eb3028224f54d6
7171104 C 3 CP 2 31/10/2019 31/10/2019 12/10/1962 0 2
1 Z09.8;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YUTI MARTHA LINGKAN 052082 57 20838
DR. DENNY WALANDOW, SPM 0309R0191019V005044 0001860692207 3;JKN
Patrick K.; 5.3.9.201904290125 4 83822 1#0##0#0#0.0#2019-11-01
14:16:04#0#00:00:00#00:00:00#00:00:00 1 dcef5a4081ae462a3d1c7045eb21fa40
7171104 C 3 CP 2 31/10/2019 31/10/2019 06/10/1956 0 2
1 Z09.8;H43.3 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELIZABETH HOTMA IDA HUTAGALUNG 052547
63 23035 DR RALF PANGALILA,SPM 0309R0191019V004993 0001317552355
3;JKN linda03; 5.3.9.201904290125 4 83821 1#0##0#0#0.0#2019-11-01
14:16:11#0#00:00:00#00:00:00#00:00:00 1 4b1aacb513fc57c5a3281e4efdc98248
7171104 C 3 CP 2 31/10/2019 31/10/2019 05/11/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 CAROLUS BOROMEUS RUMENGAN 052707 65 24101
DR DYANA T.WATANIA,SPM 0309R0191019V005042 0001725245357 3;JKN
Patrick K.; 5.3.9.201904290125 4 83823 1#0##0#0#0.0#2019-11-01
14:16:55#0#00:00:00#00:00:00#00:00:00 1 64e1d8dd93b6b69ab48b0e548f6a38cb
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/03/1953 0 1
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARKUS SANGKONG 050888 66 24350 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V005041 0000906418135 3;JKN Patrick K.;
5.3.9.201904290125 4 83824 1#0##0#0#0.0#2019-11-01
14:17:46#0#00:00:00#00:00:00#00:00:00 1 d24d353697b78d39e927110dac8c0093
7171104 C 3 CP 2 31/10/2019 31/10/2019 14/12/1947 0 1
1 Z09.8;H44.5 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DICKY L LINTONG,DRS 025467 71 26254
DR. SAMUEL MALINGKAS,SPM 0309R0191019V005040 0000138264827 3;JKN
Patrick K.; 5.3.9.201904290125 4 83825 1#0##0#0#0.0#2019-11-01
14:18:52#0#00:00:00#00:00:00#00:00:00 1 027c94d3141546e4870816c25dd372ee
7171104 C 3 CP 2 31/10/2019 31/10/2019 12/06/1953 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ASNI HASAN 052802 66 24247 DR RALF
PANGALILA,SPM 0309R0191019V005028 0002232665065 3;JKN linda03;
5.3.9.201904290125 4 83826 1#0##0#0#0.0#2019-11-01
14:24:32#0#00:00:00#00:00:00#00:00:00 1 a6e2cb95dd13bed5b85e73125e715584
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/07/1968 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YULIATI RIYADI 051808 51 18749 DR DYANA
T.WATANIA,SPM 0309R0191019V005095 0002062016515 3;JKN Vian02;
5.3.9.201904290125 4 83851 1#0##0#0#0.0#2019-11-02
07:36:49#0#00:00:00#00:00:00#00:00:00 1 2816df1781eb102e949f3ef75b69e001
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/01/1972 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YAN TONDOK 051993 47 17470 DR. DENNY
WALANDOW, SPM 0309R0191019V005096 0000138586048 3;JKN Vian02;
5.3.9.201904290125 4 83852 1#0##0#0#0.0#2019-11-02
07:37:37#0#00:00:00#00:00:00#00:00:00 1 88e7d3ddb4154cfe7e3a04d4fe379d66
7171104 C 3 CP 2 31/10/2019 31/10/2019 05/05/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 WESTEPIN MAALUA 051989 71 26111 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V005097 0000136914243 3;JKN Vian02;
5.3.9.201904290125 4 83853 1#0##0#0#0.0#2019-11-02
07:44:29#0#00:00:00#00:00:00#00:00:00 1 13f8bf14a96587a3196b61f79ac0eea2
7171104 C 3 CP 2 31/10/2019 31/10/2019 25/01/1964 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RONNI WAWORUNTU 052354 55 20368 DR. DENNY
WALANDOW, SPM 0309R0191019V005098 0002389581088 3;JKN Vian02;
5.3.9.201904290125 4 83854 1#0##0#0#0.0#2019-11-02
07:45:07#0#00:00:00#00:00:00#00:00:00 1 887873e6bbf5f52f68b330e7ab490a3a
7171104 C 3 CP 2 31/10/2019 31/10/2019 09/02/1997 0 2
1 H52.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 TITI SAPITRI BUGIS 052993 22 8299 DR
RALF PANGALILA,SPM 0309R0191019V005100 0002665877951 3;JKN Vian02;
5.3.9.201904290125 4 83855 1#0##0#0#0.0#2019-11-02
07:46:47#0#00:00:00#00:00:00#00:00:00 1 741661f87d6674ed729674cf3853341c
7171104 C 3 CP 2 31/10/2019 31/10/2019 28/09/1969 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MUKHLIS ESTEPANUS 052499 50 18295 DR RALF
PANGALILA,SPM 0309R0191019V005101 0000907755311 3;JKN Vian02;
5.3.9.201904290125 4 83856 1#0##0#0#0.0#2019-11-02
07:49:21#0#00:00:00#00:00:00#00:00:00 1 1effd48444bf34dd888cbc100129e271
7171104 C 3 CP 2 31/10/2019 31/10/2019 10/05/1947 0 2
1 H52.2;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MASJE MEISKE ANTE 052995 72 26472 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V005102 0000138079798 3;JKN Vian02;
5.3.9.201904290125 4 83857 1#0##0#0#0.0#2019-11-02
07:51:22#0#00:00:00#00:00:00#00:00:00 1 3c81e6985968efba8f1700f51dcf5b71
7171104 C 3 CP 2 31/10/2019 31/10/2019 07/04/2015 0 1
1 H16.2 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NICHOLAS MCLER ONIBALA 052994 4 1668 DR
DYANA T.WATANIA,SPM 0309R0191019V005103 0001850229494 3;JKN Vian02;
5.3.9.201904290125 4 83858 1#0##0#0#0.0#2019-11-02
07:53:45#0#00:00:00#00:00:00#00:00:00 1 f3081882f213a6d65c70109ce7e35117
7171104 C 3 CP 2 31/10/2019 31/10/2019 19/11/1963 0 2
1 Z09.8;H16.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MARIA MAGDALENA SUUD 052786 55 20435
DR. SAMUEL MALINGKAS,SPM 0309R0191019V005104 0002390770989 3;JKN
Vian02; 5.3.9.201904290125 4 83859 1#0##0#0#0.0#2019-11-02
07:54:48#0#00:00:00#00:00:00#00:00:00 1 37b31d97321a76a0d076f862ab77c1de
7171104 C 3 CP 2 31/10/2019 31/10/2019 24/12/1948 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YELTJE PANTOW 052929 70 25878 DR DYANA
T.WATANIA,SPM 0309R0191019V005106 0002223990562 3;JKN Vian02;
5.3.9.201904290125 4 83860 1#0##0#0#0.0#2019-11-02
07:55:37#0#00:00:00#00:00:00#00:00:00 1 945fbdb52e0d662efc24c1d924194291
7171104 C 3 CP 2 31/10/2019 31/10/2019 29/03/1968 0 2
1 Z09.8;H52.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 YULIANA TAMARA 051673 51 18843 DR
RALF PANGALILA,SPM 0309R0191019V005107 0001567891146 3;JKN Vian02;
5.3.9.201904290125 4 83861 1#0##0#0#0.0#2019-11-02
07:57:02#0#00:00:00#00:00:00#00:00:00 1 e37e4e1b4a6400a7110bced7e5264355
7171104 C 3 CP 2 31/10/2019 31/10/2019 08/06/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MAX MAKALEW 051676 70 25712 DR. DENNY
WALANDOW, SPM 0309R0191019V005108 0001287756516 3;JKN Vian02;
5.3.9.201904290125 4 83862 1#0##0#0#0.0#2019-11-02
07:57:52#0#00:00:00#00:00:00#00:00:00 1 bf38624a866ff6e692c7c4c9776c5c2f
7171104 C 3 CP 2 31/10/2019 31/10/2019 03/08/1948 0 2
1 Z09.8;H25.0;Z96.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NY. WELHELMINA L PULU 017584 71 26021
DR. SAMUEL MALINGKAS,SPM 0309R0191019V005109 0000138192028 3;JKN
Vian02; 5.3.9.201904290125 4 83863 1#0##0#0#0.0#2019-11-02
07:59:00#0#00:00:00#00:00:00#00:00:00 1 76261d22b97f4fcc2a8a413b3e9ed09f
7171104 C 3 CP 2 31/10/2019 31/10/2019 31/01/1952 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 OLLY MAKALEW BUNOCH 051675 67 24745 DR.
DENNY WALANDOW, SPM 0309R0191019V005110 0001287757394 3;JKN Vian02;
5.3.9.201904290125 4 83864 1#0##0#0#0.0#2019-11-02
07:59:40#0#00:00:00#00:00:00#00:00:00 1 5a4578d1aef606619cf852b4281191d6
7171104 C 3 CP 2 31/10/2019 31/10/2019 14/06/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NURMI ALOWON 050519 66 24245 DR. DENNY
WALANDOW, SPM 0309R0191019V005112 0002243999733 3;JKN Vian02;
5.3.9.201904290125 4 83865 1#0##0#0#0.0#2019-11-02
08:00:57#0#00:00:00#00:00:00#00:00:00 1 708eb0838c216a518d8cc296494b7955
7171104 C 3 CP 2 31/10/2019 31/10/2019 30/09/1965 0 2
1 Z09.8;H44.7 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 KARLIN SELVIE TORAR 014748 54 19754
DR RALF PANGALILA,SPM 0309R0191019V005113 0000138458665 3;JKN
Vian02; 5.3.9.201904290125 4 83866 1#0##0#0#0.0#2019-11-02
08:02:12#0#00:00:00#00:00:00#00:00:00 1 673308ccac7626d8322bb02877f73d3e
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/08/1950 0 1
1 Z09.8;H25.0;H40.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 LODEWYK WUWUNG 048340 69 25293 DR
RALF PANGALILA,SPM 0309R0191019V005114 0000904744056 3;JKN Vian02;
5.3.9.201904290125 4 83867 1#0##0#0#0.0#2019-11-02
08:03:34#0#00:00:00#00:00:00#00:00:00 1 8606aa4955f41797606933f8803985f3
7171104 C 3 CP 2 31/10/2019 31/10/2019 17/07/1993 0 1
1 Z09.8;H16.8 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 MICHAEL JULNIUS CHRISTHOPHER SIAHAYA 052891
26 9602 DR. SAMUEL MALINGKAS,SPM 0309R0191019V005115
0000137923299 3;JKN Vian02; 5.3.9.201904290125 4 83868
1#0##0#0#0.0#2019-11-02 08:05:38#0#00:00:00#00:00:00#00:00:00 1
6fd8fba543b46d6cbcf3f632f0659482
7171104 C 3 CP 2 31/10/2019 31/10/2019 23/10/1952 0 2
1 Z96.1;H25.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HADIDJAH BUNSAL,SMH.SPD 033437 67 24479
DR RALF PANGALILA,SPM 0309R0191019V005116 0000138147197 3;JKN
Vian02; 5.3.9.201904290125 4 83869 1#0##0#0#0.0#2019-11-02
08:07:47#0#00:00:00#00:00:00#00:00:00 1 30bfc6f0fb9c32ea57f26e5501487bfb
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/09/1953 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ANASTASIA MARAMIS 051047 66 24166 DR. DENNY
WALANDOW, SPM 0309R0191019V005117 0000904744192 3;JKN Vian02;
5.3.9.201904290125 4 83870 1#0##0#0#0.0#2019-11-02
08:08:55#0#00:00:00#00:00:00#00:00:00 1 d70e5c59ad699e39a09fa8c9f4cfaa62
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/12/1963 0 2
1 H52.0;H52.4 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 DEITJE F. E. LOWAY 052996 55 20423
DR. DENNY WALANDOW, SPM 0309R0191019V005118 0000905440318 3;JKN
Vian02; 5.3.9.201904290125 4 83871 1#0##0#0#0.0#2019-11-02
08:10:06#0#00:00:00#00:00:00#00:00:00 1 ff4ca2c92ec65b301e6d3ddbc4890b82
7171104 C 3 CP 2 31/10/2019 31/10/2019 04/07/1998 0 2
1 Z09.8;H15.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 CHELSY GLORIA LOWAY 041945 21 7789
DR. SAMUEL MALINGKAS,SPM 0309R0191019V005119 0002388388296 3;JKN
Vian02; 5.3.9.201904290125 4 83872 1#0##0#0#0.0#2019-11-02
08:12:08#0#00:00:00#00:00:00#00:00:00 1 ac2dd28a6c497d51426ee39cfd03df7e
7171104 C 3 CP 2 31/10/2019 31/10/2019 16/12/1940 0 1
1 Z96.1;H40.1;Z09.0 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 HENKIE SAKUL 049804 78 28808 DR
RALF PANGALILA,SPM 0309R0191019V005121 0000173049153 3;JKN Vian02;
5.3.9.201904290125 4 83873 1#0##0#0#0.0#2019-11-02
08:13:44#0#00:00:00#00:00:00#00:00:00 1 4e7b05edc24a64fd6fea4c026077579a
7171104 C 3 CP 2 31/10/2019 31/10/2019 30/11/1961 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NAFTALI PARASALA 052998 57 21154 DR RALF
PANGALILA,SPM 0309R0191019V005122 0002390896901 3;JKN Vian02;
5.3.9.201904290125 4 83874 1#0##0#0#0.0#2019-11-02
08:14:59#0#00:00:00#00:00:00#00:00:00 1 7524adfb4c1809c226685c36db40537f
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/06/1972 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MEITI RAMBING 052689 47 17318 DR RALF
PANGALILA,SPM 0309R0191019V005123 0000905318291 3;JKN Vian02;
5.3.9.201904290125 4 83875 1#0##0#0#0.0#2019-11-02
08:15:48#0#00:00:00#00:00:00#00:00:00 1 b9ebb04e5109d482c0d20b25852ba83b
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/10/1957 0 2
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 MARIA BAWIAS 052999 62 22675 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V005124 0000905435537 3;JKN Vian02;
5.3.9.201904290125 4 83876 1#0##0#0#0.0#2019-11-02
08:17:02#0#00:00:00#00:00:00#00:00:00 1 2ab261c4e9d8b1bbfb70137f5006bdd7
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/04/1944 0 1
1 H25.0 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 JOHANIS ALUSINSING 053000 75 27606 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V005125 0000905435109 3;JKN Vian02;
5.3.9.201904290125 4 83877 1#0##0#0#0.0#2019-11-02
08:18:29#0#00:00:00#00:00:00#00:00:00 1 3c8217eef9e0cdf35e4393fe6e114583
7171104 C 3 CP 2 31/10/2019 31/10/2019 11/07/1950 0 2
1 Z09.8;H16.0 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 ELLEN RUNTUWAROW 045471 69 25314 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V005126 0002327325917 3;JKN Vian02;
5.3.9.201904290125 4 83878 1#0##0#0#0.0#2019-11-02
08:19:20#0#00:00:00#00:00:00#00:00:00 1 f7955f9167153c555c17ed6d1513f299
7171104 C 3 CP 2 31/10/2019 31/10/2019 07/08/1953 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 YOKO KAREPOAN 052587 66 24191 DR. DENNY
WALANDOW, SPM 0309R0191019V005127 0001800766618 3;JKN Vian02;
5.3.9.201904290125 4 83879 1#0##0#0#0.0#2019-11-02
08:24:46#0#00:00:00#00:00:00#00:00:00 1 897a63247bcb2569656a5837c79fd46e
7171104 C 3 CP 2 31/10/2019 31/10/2019 12/01/1954 0 1
1 Z96.1;H26.9 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 JOHN WENNY KAPOH 052807 65 24033 DR.
DENNY WALANDOW, SPM 0309R0191019V005128 0001574616756 3;JKN Vian02;
5.3.9.201904290125 4 83880 1#0##0#0#0.0#2019-11-02
08:35:52#0#00:00:00#00:00:00#00:00:00 1 5c096898cd566c67ced01d9c6dd6338e
7171104 C 3 CP 2 31/10/2019 31/10/2019 09/05/1968 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 RUDI 052849 51 18802 DR. DENNY WALANDOW, SPM
0309R0191019V005129 0000138678096 3;JKN Vian02; 5.3.9.201904290125
4 83881 1#0##0#0#0.0#2019-11-02 08:37:03#0#00:00:00#00:00:00#00:00:00
1 2a909ef8474aefac53946b04ff6f338d
7171104 C 3 CP 2 31/10/2019 31/10/2019 10/04/1943 0 2
1 Z09.8;H18.1;H04.1 95.02 - - None None None None H-3-12-0
None None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700
0 0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 NONTJE OPING 024320 76 27963 DR.
SAMUEL MALINGKAS,SPM 0309R0191019V005130 0001892948207 3;JKN Vian02;
5.3.9.201904290125 4 83882 1#0##0#0#0.0#2019-11-02
08:42:30#0#00:00:00#00:00:00#00:00:00 1 b33436fe3796f67c37b0c6ee59e9712b
7171104 C 3 CP 2 31/10/2019 31/10/2019 10/08/1947 0 2
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 KAPOH R. MARIE 052808 72 26380 DR. DENNY
WALANDOW, SPM 0309R0191019V005131 0000137162024 3;JKN Vian02;
5.3.9.201904290125 4 83884 1#0##0#0#0.0#2019-11-02
08:43:16#0#00:00:00#00:00:00#00:00:00 1 87853c937c75f56dd4c9d27957b1d3e7
7171104 C 3 CP 2 31/10/2019 31/10/2019 17/05/1969 0 1
1 Z09.8;H44.2 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 SEMUEL SULANGI 045273 50 18429 DR.
DENNY WALANDOW, SPM 0309R0191019V005132 0001567161369 3;JKN Vian02;
5.3.9.201904290125 4 83886 1#0##0#0#0.0#2019-11-02
08:44:24#0#00:00:00#00:00:00#00:00:00 1 3e1b1fc7ab5bdb74a39b7aa778cb8e39
7171104 C 3 CP 2 31/10/2019 31/10/2019 31/05/1982 0 1
1 H44.7 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 NOVRI MALFI PUNGUS 053001 37 13667 DR.
DENNY WALANDOW, SPM 0309R0191019V005133 0002059011044 3;JKN Vian02;
5.3.9.201904290125 4 83887 1#0##0#0#0.0#2019-11-02
08:45:31#0#00:00:00#00:00:00#00:00:00 1 4242e5044b83e6b58be3669190820e85
7171104 C 3 CP 2 31/10/2019 31/10/2019 02/11/1952 0 2
1 Z96.1;H25.1 95.02 - - None None None None H-3-12-0 None
None None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0
0 - 0 - 0 - 0 - 0 213700 160600
0 1 0 0 0 GEERTJE JEETJE KAAWOAN 052799 66 24469
DR. SAMUEL MALINGKAS,SPM 0309R0191019V005011 0000138356526 3;JKN
linda03; 5.3.9.201904290125 4 83801 1#0##0#0#0.0#2019-11-04
09:44:15#0#00:00:00#00:00:00#00:00:00 1 a7f364dac4d4cd8908975e6f1f2fe45f
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/11/1949 0 1
1 Z96.1 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 ZET SION 052367 69 25566 DR. DENNY
WALANDOW, SPM 0309R0191019V005070 0000907975293 3;JKN Patrick K.;
5.3.9.201904290125 4 83785 1#0##0#0#0.0#2019-11-05
14:51:16#0#00:00:00#00:00:00#00:00:00 1 33cea8aae7ff43dd75e14f6c799b553d
7171104 C 3 CP 2 31/10/2019 31/10/2019 08/06/1941 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 ESTHER A.MAMAHIT ROTINSULU 052983 78 28634
DR. SAMUEL MALINGKAS,SPM 0309R0191019V005053 0000138139244 3;JKN
Boni04; 5.3.9.201904290125 4 84666 1#0##0#0#0.0#2019-11-07
09:51:14#0#00:00:00#00:00:00#00:00:00 1 fb1c43ae77f1cecc7e718b12d363ecf2
7171104 C 3 CP 2 31/10/2019 31/10/2019 12/09/1952 0 2
1 H26.4 13.64 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 3825400 0
1 0 0 0 JURIA UGUY 018462 67 24520 DR. SAMUEL
MALINGKAS,SPM 0309R0191019V005087 0002062567991 3;JKN Boni04;
5.3.9.201904290125 4 84668 1#0##0#0#0.0#2019-11-07
09:52:41#0#00:00:00#00:00:00#00:00:00 1 f5003969c0a3ae7691dabb4a854347e1
7171104 C 3 CP 2 31/10/2019 31/10/2019 22/03/1945 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 MARGOTJE POYOH 013837 74 27251 DR
RALF PANGALILA,SPM 0309R0191019V005120 0001300279904 3;JKN Boni04;
5.3.9.201904290125 4 84669 1#0##0#0#0.0#2019-11-07
09:54:24#0#00:00:00#00:00:00#00:00:00 1 cc97802d0a550cc6aac5f87178956c9b
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/06/1952 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 JUN JONAS REMBET 032870 67 24623 DR.
DENNY WALANDOW, SPM 0309R0191019V005022 0000633526885 3;JKN Boni04;
5.3.9.201904290125 4 84670 1#0##0#0#0.0#2019-11-07
09:56:00#0#00:00:00#00:00:00#00:00:00 1 67583b08f4d68243a69e7091f992b93d
7171104 C 3 CP 2 31/10/2019 31/10/2019 06/06/1964 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 ATIN MARTINI 041085 55 20235 DR.
DENNY WALANDOW, SPM 0309R0191019V005000 0002438865516 3;JKN Boni04;
5.3.9.201904290125 4 84671 1#0##0#0#0.0#2019-11-07
09:56:47#0#00:00:00#00:00:00#00:00:00 1 e8def65defc32d55b046162da18a64d1
7171104 C 3 CP 2 31/10/2019 31/10/2019 26/12/1940 0 1
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 STEVANUS PALIT 016135 78 28798 DR.
DENNY WALANDOW, SPM 0309R0191019V005033 0000138900644 3;JKN Boni04;
5.3.9.201904290125 4 84672 1#0##0#0#0.0#2019-11-07
09:57:57#0#00:00:00#00:00:00#00:00:00 1 75a1a4c6225df23d6dd13688167cd81f
7171104 C 3 CP 2 31/10/2019 31/10/2019 06/02/1943 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 SOFITJE RAINTUNG 024959 76 28026 DR.
DENNY WALANDOW, SPM 0309R0191019V004995 0001830650837 3;JKN Boni04;
5.3.9.201904290125 4 84673 1#0##0#0#0.0#2019-11-07
09:58:46#0#00:00:00#00:00:00#00:00:00 1 31470120b278458f94835f26a09e4603
7171104 C 3 CP 2 31/10/2019 31/10/2019 16/08/1978 0 1
1 H34.2;H35.2 14.24 - - None None None None H-3-10-0 None
None None None None None PROSEDUR LASER SEDANG PADA MATA 476900
0 0 - 0 - 0 - 0 - 0 476900 370400
0 1 0 0 0 DEDDY ARNOLD DONSU 024224 41 15051
DR DYANA T.WATANIA,SPM 0309R0191019V005030 0002217362084 3;JKN
Boni04; 5.3.9.201904290125 4 84674 1#0##0#0#0.0#2019-11-07
10:00:15#0#00:00:00#00:00:00#00:00:00 1 853c0f08b82a5f3778a3e36db3686137
7171104 C 3 CP 2 31/10/2019 31/10/2019 25/09/1950 0 2
1 H26.4;Z96.1 13.64 - - None None None None H-2-36-0 None
None None None None None PROSEDUR OPERASI KATARAK 3506600 0
0 - 0 - 0 - 0 - 0 3506600 3825400
0 1 0 0 0 RUKMIN NTAU 003825 69 25238 DR DYANA
T.WATANIA,SPM 0309R0191019V005029 0002253520877 3;JKN Boni04;
5.3.9.201904290125 4 84675 1#0##0#0#0.0#2019-11-07
10:02:19#0#00:00:00#00:00:00#00:00:00 1 beb48672d12af63f41e08739bef8e6ac
7171104 C 3 CP 2 31/10/2019 31/10/2019 04/05/1960 0 2
1 H26.4;Z96.1 13.64;95.16 - - None None None None H-2-36-0
None None None None None None PROSEDUR OPERASI KATARAK 3506600
0 0 - 0 - 0 - 0 - 0 3506600
3825400 0 1 0 0 0 ERMAWATI 036005 59 21729
DR DYANA T.WATANIA,SPM 0309R0191019V004994 0001566916727 3;JKN
Boni04; 5.3.9.201904290125 4 84676 1#0##0#0#0.0#2019-11-07
10:03:10#0#00:00:00#00:00:00#00:00:00 1 06ee21e5d39883ce63e0e700ca4a7e12
7171104 C 3 CP 2 31/10/2019 31/10/2019 28/08/1958 0 1
1 H26.4;Z96.1 13.64;95.16 - - None None None None H-2-36-0
None None None None None None PROSEDUR OPERASI KATARAK 3506600
0 0 - 0 - 0 - 0 - 0 3506600
3825400 0 1 0 0 0 JOHANA LOLORIE 011566 61
22344 DR DYANA T.WATANIA,SPM 0309R0191019V005105 0000172600367 3;JKN
Boni04; 5.3.9.201904290125 4 84677 1#0##0#0#0.0#2019-11-07
10:04:10#0#00:00:00#00:00:00#00:00:00 1 e4690ac72c0e2f2c899a7fea5e64830c
7171104 C 3 CP 2 31/10/2019 31/10/2019 13/06/1943 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ROOSYE WOWOR
052904 76 27899 DR YULIANA HARTONO,SPM 0309R0191019V005013
0001566254485 3;JKN Boni04; 5.3.9.201904290125 4 84680
1#0##0#0#0.0#2019-11-07 10:05:32#0#00:00:00#00:00:00#00:00:00 1
12a9368713a5a00694bf7db7e50460b1
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/10/1953 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MATIUS ANDES
052918 66 24136 DR YULIANA HARTONO,SPM 0309R0191019V005043
0000137877614 3;JKN Boni04; 5.3.9.201904290125 4 84682
1#0##0#0#0.0#2019-11-07 10:06:08#0#00:00:00#00:00:00#00:00:00 1
ae43ad4136c515430bc6aa2cffd29a1e
7171104 C 3 CP 2 31/10/2019 31/10/2019 03/08/1946 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 KALIOPAS
LALELORANG 052729 73 26752 DR YULIANA HARTONO,SPM 0309R0191019V005052
0002460448754 3;JKN Boni04; 5.3.9.201904290125 4 84684
1#0##0#0#0.0#2019-11-07 10:06:54#0#00:00:00#00:00:00#00:00:00 1
c028313d7e62f1a86f73f9d902b5780f
7171104 C 3 CP 2 31/10/2019 31/10/2019 29/01/1955 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JOHANA ELISABETH
KAUNANG 052814 64 23651 DR YULIANA HARTONO,SPM 0309R0191019V005076
0000139047366 3;JKN Boni04; 5.3.9.201904290125 4 84685
1#0##0#0#0.0#2019-11-07 10:07:41#0#00:00:00#00:00:00#00:00:00 1
a0c41330202a3a2dc485e4f0d842d426
7171104 C 3 CP 2 31/10/2019 31/10/2019 03/11/1959 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SUROTO 052728
59 21912 DR YULIANA HARTONO,SPM 0309R0191019V005067 0002228979521
3;JKN Boni04; 5.3.9.201904290125 4 84687 1#0##0#0#0.0#2019-11-07
10:08:31#0#00:00:00#00:00:00#00:00:00 1 bc9cfd42ec76128f2f4611c254703641
7171104 C 3 CP 2 31/10/2019 31/10/2019 20/03/1948 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARIE JULIANA
MAMANGKEY 030954 71 26157 DR YULIANA HARTONO,SPM 0309R0191019V005006
0002217539812 3;JKN Boni04; 5.3.9.201904290125 4 84689
1#0##0#0#0.0#2019-11-07 10:09:07#0#00:00:00#00:00:00#00:00:00 1
52d27c56cfefff31a710554c553dbb02
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/09/1951 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MUL LENGKONG
052231 68 24897 DR YULIANA HARTONO,SPM 0309R0191019V005068
0000905144411 3;JKN Boni04; 5.3.9.201904290125 4 84691
1#0##0#0#0.0#2019-11-07 10:10:08#0#00:00:00#00:00:00#00:00:00 1
7abdedcb1a708d7d85d7303955f2cb53
7171104 C 3 CP 2 31/10/2019 31/10/2019 13/09/1955 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SELVIA F KARWUR
052797 64 23424 DR YULIANA HARTONO,SPM 0309R0191019V005081
0001270341988 3;JKN Boni04; 5.3.9.201904290125 4 84692
1#0##0#0#0.0#2019-11-07 10:10:41#0#00:00:00#00:00:00#00:00:00 1
6ebadf53ed5de79a3fef08f3df347029
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/02/1970 0 2
1 Z96.1 13.90 - - None None None None H-2-33-0 None None
None None None None PROSEDUR KECIL PADA SEGMEN ANTERIOR MATA 258400
0 0 - 0 - 0 - 0 - 0 258400
3825400 0 1 0 0 0 VENNI WOWOR 052255 49 18169
DR YULIANA HARTONO,SPM 0309R0191019V005099 0000905904336 3;JKN
Boni04; 5.3.9.201904290125 4 84693 1#0##0#0#0.0#2019-11-07
10:13:54#0#00:00:00#00:00:00#00:00:00 1 abc42e7dc9a07772485afaaf24afa5ae
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/06/1947 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HANS CORNELIS
TANGKAU 052650 72 26450 DR PAULA M V LUMUNON,SPM
0309R0191019V004999 0000138544626 3;JKN Boni04; 5.3.9.201904290125
4 84697 1#0##0#0#0.0#2019-11-07 10:19:16#0#00:00:00#00:00:00#00:00:00
1 3acf7ffdb685d564f41c4b719c2830a3
7171104 C 3 CP 2 31/10/2019 31/10/2019 04/04/1951 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 SJULTJE ANTE
052541 68 25047 DR PAULA M V LUMUNON,SPM 0309R0191019V005027
0000138257289 3;JKN Boni04; 5.3.9.201904290125 4 84705
1#0##0#0#0.0#2019-11-07 10:24:12#0#00:00:00#00:00:00#00:00:00 1
dafd8ec394fc4d83c2a533df848b46dc
7171104 C 3 CP 2 31/10/2019 31/10/2019 04/07/1949 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ANI REPI 052943
70 25686 DR PAULA M V LUMUNON,SPM 0309R0191019V005069
0001968112135 3;JKN Boni04; 5.3.9.201904290125 4 84706
1#0##0#0#0.0#2019-11-07 10:24:55#0#00:00:00#00:00:00#00:00:00 1
0ac6d490ab1eef98cf29e1896659c415
7171104 C 3 CP 2 31/10/2019 31/10/2019 08/12/1959 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 MARTINA KUDAMPA
052765 59 21877 DR PAULA M V LUMUNON,SPM 0309R0191019V005046
0002046522666 3;JKN Boni04; 5.3.9.201904290125 4 84708
1#0##0#0#0.0#2019-11-07 10:25:41#0#00:00:00#00:00:00#00:00:00 1
9697e84d21e64a3705cd055a71fac8fb
7171104 C 3 CP 2 31/10/2019 31/10/2019 29/09/1951 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 JULIANA KALANGI
052648 68 24869 DR PAULA M V LUMUNON,SPM 0309R0191019V005062
0000137247816 3;JKN Boni04; 5.3.9.201904290125 4 84709
1#0##0#0#0.0#2019-11-07 10:26:24#0#00:00:00#00:00:00#00:00:00 1
d9e6cbaee7a6bcbb4941af7a0ced33b0
7171104 C 3 CP 2 31/10/2019 31/10/2019 10/04/1950 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 HERDA ANGKOUW
052835 69 25406 DR PAULA M V LUMUNON,SPM 0309R0191019V005071
0000138746608 3;JKN Boni04; 5.3.9.201904290125 4 84710
1#0##0#0#0.0#2019-11-07 10:27:18#0#00:00:00#00:00:00#00:00:00 1
428d18c19e0695a6562edf0656ed91d3
7171104 C 3 CP 2 31/10/2019 31/10/2019 18/10/1951 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ROMPIS ROTTY
052836 68 24850 DR PAULA M V LUMUNON,SPM 0309R0191019V005073
0000138746619 3;JKN Boni04; 5.3.9.201904290125 4 84711
1#0##0#0#0.0#2019-11-07 10:27:51#0#00:00:00#00:00:00#00:00:00 1
761700cab80a77ae7f6114df392c4ee6
7171104 C 3 CP 2 31/10/2019 31/10/2019 01/09/1939 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 DEITJE MEA 052783
80 29280 DR PAULA M V LUMUNON,SPM 0309R0191019V005089
0000905679112 3;JKN Boni04; 5.3.9.201904290125 4 84712
1#0##0#0#0.0#2019-11-07 10:29:02#0#00:00:00#00:00:00#00:00:00 1
b0ccfc19041171b1337c2f3f456d5fa8
7171104 C 3 CP 2 31/10/2019 31/10/2019 12/03/1943 0 2
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ESTER GAGHIWU
052605 76 27992 DR PAULA M V LUMUNON,SPM 0309R0191019V005085
0002391530534 3;JKN Boni04; 5.3.9.201904290125 4 84713
1#0##0#0#0.0#2019-11-07 10:29:41#0#00:00:00#00:00:00#00:00:00 1
11cad4a3d9090cccd5f69a14cc5ecf11
7171104 C 3 CP 2 31/10/2019 31/10/2019 08/12/1944 0 1
1 H26.9 13.41;13.71 - - YY10 None None None H-2-36-0 None
None YY-10-III None None None PROSEDUR OPERASI KATARAK 3506600
0 0 PHACOEMULSIFICATION 3506600 - 0 - 0 -
0 7013200 7478600 0 1 0 0 0 ALBERT PINONTOAN
052715 74 27355 DR PAULA M V LUMUNON,SPM 0309R0191019V005086
0001271344149 3;JKN Boni04; 5.3.9.201904290125 4 84714
1#0##0#0#0.0#2019-11-07 10:30:30#0#00:00:00#00:00:00#00:00:00 1
5278ac56331d0ac052a216b952051063
7171104 C 3 CP 2 31/10/2019 31/10/2019 02/09/1933 0 2
1 Z96.1 13.3 - - None None None None H-2-36-0 None None
None None None None PROSEDUR OPERASI KATARAK 3506600 0 0
- 0 - 0 - 0 - 0 3506600 150400 0
1 0 0 0 ESTEFINA KUMAUNANG 052074 86 31470 DR
PAULA M V LUMUNON,SPM 0309R0191019V005111 0001305233559 3;JKN Boni04;
5.3.9.201904290125 4 84715 1#0##0#0#0.0#2019-11-07
10:34:04#0#00:00:00#00:00:00#00:00:00 2 3b4a083c5b33e9502c83a7370cc5a709
7171104 C 3 CP 2 31/10/2019 31/10/2019 14/01/1954 0 2
1 H26.9 95.02 - - None None None None H-3-12-0 None None
None None None None PROSEDUR LAIN-LAIN PADA MATA 213700 0 0
- 0 - 0 - 0 - 0 213700 160600 0
1 0 0 0 HENNY MAGDA UMBOH 052978 65 24031 DR. DENNY
WALANDOW, SPM 0309R0191019V005009 0002055565179 3;JKN linda03;
5.3.9.201904290125 4 83803 1#0##0#0#0.0#2019-11-08
11:13:35#0#00:00:00#00:00:00#00:00:00 1 be459b261c8cd9cf1a99f049f46a1cb1

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