PCARE APRIL 2016.xls

8/16/2019 PCARE APRIL 2016.xls

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LAPORAN PELAYANAN KUNJUNGAN SEHAT

RAWAT JALAN TINGKAT PERTAMA (RJTP)

BULAN APRIL TAHUN 2016

Nama Faskes : PUSKESMAS NGASEM

Alamat : NGASEM KAB. KEDIRI

NO TANGGAL NAMA PESERTA NO TANGGAL

1 4/5/2016 209600368 AMOS CAHYO SETYADI 948 4/22/2016 676229534

2 4/7/2016 108266207 HARI SUBAGYO 949 4/22/2016 676233573

3 4/12/2016 675712462 MARWI INDRAWATI 950 4/22/2016 6762334944 4/12/2016 675711573 MONAH 951 4/22/2016 676234034

5 4/12/2016 675711944 ABIB U 952 4/22/2016 676234776

6 4/12/2016 675713777 NUR ANINGSIH 953 4/22/2016 676232188

7 4/12/2016 675712506 ENGGA 954 4/22/2016 676234697

8 4/12/2016 675713351 NUR AL!AT 955 4/22/2016 676245047

9 4/12/2016 675717456 LAILATUL SADIYAH 956 4/22/2016 676241278

10 4/12/2016 675713981 NUR ANISA 957 4/22/2016 676243045

11 4/12/2016 675717254 NUR ULLAYLIYAH 958 4/22/2016 676245745

12 4/12/2016 675714532 MARCELLA 959 4/22/2016 676240468

13 4/12/2016 675716602 ASTINI 960 4/22/2016 676250717

14 4/12/2016 675718997 MASRUIN 961 4/22/2016 676242641

15 4/12/2016 675715331 SUWARNO 962 4/22/2016 676243787

16 4/12/2016 675718301 PARNADI 963 4/22/2016 676244946

17 4/12/2016 675718391 SULASTRI 964 4/22/2016 676242099

18 4/12/2016 675722316 AHMAD R 965 4/22/2016 676246274

19 4/12/2016 675722406 ASINI 966 4/22/2016 676246566

20 4/12/2016 675721484 NIA !ITA 967 4/22/2016 676249446

21 4/12/2016 675721113 SUD"ONO 968 4/22/2016 676244979

22 4/12/2016 675723688 MU"IATIN 969 4/22/2016 676251213

23 4/12/2016 675723161 TAMINI 970 4/22/2016 676250425

24 4/12/2016 675723622 AMINI 971 4/22/2016 676249795

25 4/12/2016 675725005 NO#IA WULANSARI 972 4/22/2016 676252113

26 4/12/2016 675725624 SAMIDI 973 4/22/2016 676252899

27 4/12/2016 675724522 ARISUDIN 974 4/22/2016 676248917

28 4/12/2016 675724465 WAHYU !A"ARWANTO 975 4/22/2016 676256927

29 4/12/2016 675723385 SAMINEM 976 4/22/2016 676253081

30 4/12/2016 675728019 SRI UTAMI 977 4/22/2016 676253316

31 4/12/2016 675727547 M YUSU! 978 4/22/2016 676257131

32 4/12/2016 675726513 NUNU SUPRAPTI 979 4/22/2016 676256264

33 4/12/2016 675726941 CHUSNUL OTARIASANI 980 4/22/2016 676253621

34 4/12/2016 675731182 SATINI 981 4/22/2016 676254655

35 4/12/2016 675730157 RENIWATI 982 4/22/2016 676256332

36 4/12/2016 675729821 SRI RAHAYU 983 4/22/2016 676253935

37 4/12/2016 675733004 SLAMET 984 4/22/2016 676258075

38 4/12/2016 675727468 USNA MELINIA NUR!ITA SARI 985 4/22/2016 676253529

39 4/12/2016 675730686 EDI YULIANTO 986 4/22/2016 676260371

40 4/12/2016 675728098 RIA AYU 987 4/22/2016 676260257

41 4/12/2016 675730269 YULIO ! 988 4/22/2016 67625630842 4/12/2016 675729617 SUWARNO 989 4/22/2016 676259807

43 4/12/2016 675730203 DWI GAYATRI 990 4/22/2016 676256512

44 4/12/2016 675732047 SUMINI 991 4/22/2016 676258334

45 4/12/2016 675737302 SUGENG 992 4/22/2016 676264195

46 4/12/2016 675730225 ARIS NUR 993 4/22/2016 676258975

47 4/12/2016 675737493 ANIPAH 994 4/22/2016 676260865

48 4/12/2016 675736413 ARINI 995 4/22/2016 676263609

49 4/12/2016 675734703 SUMARO"I 996 4/22/2016 676260639

50 4/12/2016 675738617 DINA A 997 4/22/2016 676260955

51 4/12/2016 675734321 SULASTRI 998 4/22/2016 676264307

52 4/12/2016 675736828 !ABIAN A 999 4/22/2016 676258795

53 4/12/2016 675739675 TUIBAH 1000 4/22/2016 676261462

54 4/12/2016 675740079 LISMI 1001 4/22/2016 67626512855 4/12/2016 675741982 AGUNG YULIANTO 1002 4/23/2016 676265038

56 4/12/2016 675741251 NANANG RIATIANTO 1003 4/23/2016 676263284

NO ARTUPESERTA

NO ARTUPESERTA


2/92

67 4/12/2016 675745986 SUGENG 1014 4/23/2016 676269213

68 4/12/2016 675748102 M MAHBUB 1015 4/23/2016 676270157

69 4/13/2016 675743951 SUGIANTO 1016 4/23/2016 676271485

70 4/13/2016 675742465 $AENAB 1017 4/23/2016 676267773

71 4/13/2016 675745942 WAGIYEM 1018 4/23/2016 676267885

72 4/13/2016 675747562 NICY AUDREA TRI P 1019 4/23/2016 676270945

73 4/13/2016 675748629 !ATI ASMANIAH 1020 4/23/2016 676271867

74 4/13/2016 675751443 RESTI SINTA !ATOMAH 1021 4/23/2016 676271092

75 4/13/2016 675750341 MOH !ADIL ADHIM 1022 4/23/2016 676269099

76 4/13/2016 675745042 ASRIAH 1023 4/23/2016 676271057

77 4/13/2016 675750756 SUTOMO 1024 4/23/2016 67627201478 4/13/2016 675747281 DWI ASTITIN 1025 4/23/2016 676271632

79 4/13/2016 675747191 UNTARI 1026 4/23/2016 676273184

80 4/13/2016 675747832 MASRUHIN 1027 4/23/2016 676272519

81 4/13/2016 675752444 SUTOMO 1028 4/23/2016 676272802

82 4/13/2016 675751779 TRI ARTIO SUROMOLO 1029 4/23/2016 676272172

83 4/13/2016 675753254 ULI D"ORIYAH 1030 4/23/2016 676276806

84 4/13/2016 675751667 RESTU SURYO UTOMO 1031 4/23/2016 676272148

85 4/13/2016 675753941 ARIYATI 1032 4/23/2016 676273522

86 4/13/2016 675751274 DITYE UTAMI 1033 4/23/2016 676274951

87 4/13/2016 675755638 DA!!A DWI PUTRA 1034 4/23/2016 676272947

88 4/13/2016 675756685 AR"O WARDI 1035 4/23/2016 676276018

89 4/13/2016 675760318 SUMIATI 1036 4/23/2016 676277515

90 4/13/2016 675755662 EDY SUNARYO 1037 4/23/2016 676275322

91 4/13/2016 675757146 SUYONO 1038 4/23/2016 676314461

92 4/13/2016 675754222 SULASTRI 1039 4/23/2016 676312132

93 4/13/2016 675754525 ANANG PRASETYO 1040 4/23/2016 676313987

94 4/13/2016 675754042 "AINUL ARI!IN 1041 4/23/2016 676312154

95 4/13/2016 675756944 SRIANAH 1042 4/23/2016 676312492

96 4/13/2016 675756009 TITI PURWANINGSIH 1043 4/23/2016 676313403

97 4/13/2016 675760601 ANIS S 1044 4/23/2016 676318961

98 4/13/2016 675761332 DENI SUMADI 1045 4/23/2016 676318116

99 4/13/2016 675757372 SUWARNI 1046 4/23/2016 676317802

100 4/13/2016 675763266 ANGGI 1047 4/23/2016 676316968

101 4/13/2016 675758428 IBNU SUMARNO 1048 4/23/2016 676312053

102 4/13/2016 675756494 TEDDY HAR!AAS%AD 1049 4/23/2016 676322076103 4/13/2016 675758338 SUPREYETNO 1050 4/23/2016 676314742

104 4/13/2016 675762772 ARMANI 1051 4/23/2016 676319681

105 4/13/2016 675760915 YULIANA 1052 4/23/2016 676322199

106 4/13/2016 675756786 SARDI 1053 4/23/2016 676320838

107 4/13/2016 675761837 MI$$LELHYDEN 1054 4/23/2016 676321211

108 4/13/2016 675766618 ARDIAT 1055 4/23/2016 676322368

109 4/13/2016 675762399 LIWON 1056 4/23/2016 676324304

110 4/13/2016 675767553 RINI 1057 4/23/2016 676323134

111 4/13/2016 675763121 SRI HANDAYANI 1058 4/23/2016 676327825

112 4/13/2016 675766506 AGUS D 1059 4/23/2016 676325283

113 4/13/2016 675763558 WAGIYEM 1060 4/23/2016 676324719

114 4/13/2016 675767496 TUIMAH 1061 4/23/2016 676327443

115 4/13/2016 675768328 MOHAMMAD A 1062 4/23/2016 676326947

116 4/13/2016 675766361 "UMIASIH 1063 4/23/2016 676324438

117 4/13/2016 675766304 SUTINO 1064 4/23/2016 676329355

118 4/13/2016 675768892 MOHAMMAD R 1065 4/23/2016 676326982

119 4/13/2016 675769217 SU"ONO 1066 4/23/2016 676326058

120 4/13/2016 675769252 SRI ARUMI 1067 4/23/2016 676326227

121 4/13/2016 675769961 BUDI 1068 4/23/2016 676331651

122 4/13/2016 675769184 AURA SIL#IA M 1069 4/23/2016 676331469

123 4/13/2016 675770624 TUMIDI 1070 4/23/2016 676332999

124 4/13/2016 675770747 "ANI 1071 4/23/2016 676329423

125 4/13/2016 675774944 SUPARMI 1072 4/23/2016 676331212

126 4/13/2016 675770163 DA!ID 1073 4/23/2016 676331403

127 4/13/2016 675773774 BAGUS S 1074 4/23/2016 676334575128 4/13/2016 675771355 NURIAH 1075 4/23/2016 676335058

129 4/13/2016 675774909 NURHASAN 1076 4/23/2016 676339648


3/92

142 4/13/2016 675777813 PUTRI AMANDA ! S 1089 4/23/2016 676343755

143 4/13/2016 675776586 AMSINAH 1090 4/23/2016 676344385

144 4/13/2016 675781075 A$WA R 1091 4/23/2016 676342179

145 4/13/2016 675780322 A!RILLIA ANNA!SI 1092 4/23/2016 676345307

146 4/13/2016 675780862 TATI NUR 1093 4/23/2016 676348536

147 4/13/2016 675779117 SUPRIATIN BASUI 1094 4/23/2016 676349122

148 4/13/2016 675785878 ARSETYO CHOIRUN 1095 4/23/2016 676342416

149 4/13/2016 675781029 !ITRIA ! 1096 4/23/2016 676342236

150 4/13/2016 675779782 SONAWATI 1097 4/23/2016 676345735

151 4/13/2016 675785665 TITI RUSMIATI 1098 4/23/2016 676341639

152 4/13/2016 675785979 PASHA NUR A$I$A 1099 4/23/2016 676349796153 4/13/2016 675786194 TUI"AN 1100 4/23/2016 676344071

154 4/13/2016 675777982 SUPINAH 1101 4/23/2016 676345904

155 4/13/2016 675782076 MU"IANTI 1102 4/23/2016 676348345

156 4/13/2016 675785136 RIO H 1103 4/23/2016 676354498

157 4/13/2016 675788815 SWEEETA S 1104 4/23/2016 676354544

158 4/13/2016 675784629 RENI 1105 4/23/2016 676353014

159 4/13/2016 675782188 SODI 1106 4/23/2016 676351124

160 4/13/2016 675785913 NUNGI ARSTO RINI 1107 4/23/2016 676354353

161 4/13/2016 675790165 SRIAYAH 1108 4/23/2016 676352575

162 4/13/2016 675788027 RADITYA RENANDRE 1109 4/23/2016 676357806

163 4/13/2016 675788646 MUSI"AN 1110 4/23/2016 676354566

164 4/13/2016 675791019 ANWAR 1111 4/23/2016 676357356

165 4/13/2016 675783685 DARMAWAN 1112 4/23/2016 676355916

166 4/13/2016 675791717 AGUS PRAYITNO 1113 4/23/2016 676351629

167 4/13/2016 675785215 UDOYO 1114 4/23/2016 676357064

168 4/13/2016 675787307 SURATI NINGSIH 1115 4/23/2016 676355163

169 4/13/2016 675791875 BIAN ARDI R 1116 4/23/2016 676358919

170 4/13/2016 675788771 ELI P 1117 4/23/2016 676356039

171 4/13/2016 675786508 MOC ISWANTO 1118 4/23/2016 676361586

172 4/13/2016 675790378 DARMO M 1119 4/23/2016 676365254

173 4/13/2016 675791954 "UPRI PUSPITO 1120 4/23/2016 676362644

174 4/13/2016 675793179 AGUNG PRAYOGI 1121 4/23/2016 676365647

175 4/13/2016 675793124 SIMPEN 1122 4/23/2016 676365355

176 4/13/2016 675791054 HUSNUL !ARIDA 1123 4/23/2016 676367032

177 4/13/2016 675796634 PI AH 1124 4/23/2016 676366547178 4/13/2016 675795183 BONIYEM 1125 4/23/2016 676367357

179 4/13/2016 675797962 AUTHI MARTI"UNG 1126 4/23/2016 676365726

180 4/13/2016 675797703 ULAN ARTIA 1127 4/23/2016 676365467

181 4/13/2016 675797848 AMSIYEM 1128 4/23/2016 676368652

182 4/13/2016 675795519 RUSMADI 1129 4/23/2016 676367471

183 4/13/2016 675798592 !ETRI AMANAH 1130 4/23/2016 676367436

184 4/13/2016 675802754 NA$UA 1131 4/23/2016 676366817

185 4/13/2016 675800932 ARIATIN 1132 4/23/2016 676366839

186 4/13/2016 675799097 MARIYAM 1133 4/23/2016 676371374

187 4/13/2016 675799929 AMINAH 1134 4/23/2016 676371519

188 4/13/2016 675803698 !EBRIANTO 1135 4/23/2016 676370889

189 4/13/2016 675802833 "ARI 1136 4/23/2016 676365928

190 4/13/2016 675802945 SRIANI 1137 4/23/2016 676375402

191 4/13/2016 675807783 DIA"ENG ARIMBI B MAAHARANI 1138 4/23/2016 676371159

192 4/13/2016 675800763 SLAMET 1139 4/23/2016 676369225

193 4/13/2016 675807129 ARY WAHYU TRI B IRAWAN 1140 4/23/2016 676373163

194 4/13/2016 675801191 SURYOO 1141 4/23/2016 676371892

195 4/13/2016 675805689 TITI ARIANSI 1142 4/23/2016 676369168

196 4/13/2016 675802618 ENDANG D 1143 4/23/2016 676367008

197 4/13/2016 675804159 NANI SUNARTI 1144 4/23/2016 676368371

198 4/13/2016 675804475 ANDINI 1145 4/23/2016 676366659

199 4/13/2016 675807197 IRINE B PANCA OTA#IA 1146 4/23/2016 676366119

200 4/13/2016 675804115 SUBAN"AR 1147 4/23/2016 676367414

201 4/13/2016 675804418 ANDI WI"AYANTI 1148 4/23/2016 676370823

202 4/13/2016 675809008 MUNTIAH 1149 4/23/2016 676368437203 4/13/2016 675804857 IR BUDIANTO 1150 4/23/2016 676370531

204 4/13/2016 675807748 ADINDA ANARA MB PERMATA 1151 4/23/2016 676367572


4/92

217 4/13/2016 675816884 SUPIYAH 1164 4/23/2016 676375874

218 4/13/2016 675811754 AILA 1165 4/23/2016 676375659

219 4/13/2016 675816838 SURA"I 1166 4/23/2016 676378282

220 4/13/2016 675814263 DWI M 1167 4/23/2016 676370496

221 4/13/2016 675815141 SINDY IRMAWATI 1168 4/23/2016 676376875

222 4/13/2016 675819459 MUDAIR 1169 4/23/2016 676374759

223 4/13/2016 675822519 AGUSTIANI 1170 4/23/2016 676378258

224 4/13/2016 675827291 YUDANTO PRAOSO 1171 4/23/2016 676377909

225 4/13/2016 675820102 M HOIRUL 1172 4/23/2016 676377538

226 4/13/2016 675821788 HOLI!ATUS S 1173 4/23/2016 676379002

227 4/13/2016 675819955 M HOLIL 1174 4/23/2016 676378574228 4/13/2016 675825423 DARIYANTO 1175 4/23/2016 676380339

229 4/13/2016 675823443 ANTONIUS !IRNANDO 1176 4/23/2016 676378631

230 4/13/2016 675823465 WAGE 1177 4/23/2016 676380306

231 4/13/2016 675830417 TIAH 1178 4/23/2016 676380172

232 4/13/2016 675826299 !ENDI SAN"AYA 1179 4/23/2016 676382949

233 4/13/2016 675830362 NGATEMIN 1180 4/23/2016 676376897

234 4/13/2016 675825715 BINTI HORIYAH 1181 4/23/2016 676384367

235 4/13/2016 675825039 ATINI 1182 4/23/2016 676380115

236 4/13/2016 675829124 SUPARMAN 1183 4/23/2016 676380205

237 4/13/2016 675824602 ASMINI 1184 4/23/2016 676379755

238 4/13/2016 675827379 ARSIYAH 1185 4/23/2016 676382657

239 4/13/2016 675824905 NURUL SISWANTORO 1186 4/23/2016 676381252

240 4/13/2016 675829833 HOIRUL HUDA 1187 4/23/2016 676378394

241 4/13/2016 675831666 "O#AN PAMUNGAS PRATAMA 1188 4/23/2016 676378811

242 4/13/2016 675833297 HENGI 1189 4/23/2016 676377257

243 4/13/2016 675830529 #IA DEWI AGUSTINA 1190 4/23/2016 676384896

244 4/13/2016 675833207 "UMINTEN 1191 4/23/2016 676381443

245 4/13/2016 675832858 SUPARNO 1192 4/23/2016 676378833

246 4/13/2016 675832792 ATUM 1193 4/23/2016 676384356

247 4/13/2016 675835659 "AMI 1194 4/23/2016 676383377

248 4/13/2016 675831148 WELAS ASIH 1195 4/23/2016 676387091

249 4/13/2016 675833657 MU AMANAH 1196 4/23/2016 676387866

250 4/13/2016 675829315 MU%ASOMAH 1197 4/23/2016 676388013

251 4/13/2016 675830338 E!AN NURCHOLIS 1198 4/23/2016 676384874

252 4/13/2016 675832026 "UWARI 1199 4/23/2016 676382859253 4/13/2016 675836302 HARMOO 1200 4/23/2016 676385739

254 4/13/2016 675833714 YAYAS 1201 4/23/2016 676382804

255 4/13/2016 675835457 TOHA 1202 4/23/2016 676386281

256 4/13/2016 675841138 BAGAS TRI CAHYONO 1203 4/23/2016 676382512

257 4/13/2016 675839889 SULASTRI 1204 4/23/2016 676386358

258 4/13/2016 675834309 M ADIPTA AL!ARO 1205 4/23/2016 676391736

259 4/13/2016 675838596 LASEMI 1206 4/23/2016 676385774

260 4/13/2016 675838899 BUDIONO 1207 4/23/2016 676389936

261 4/13/2016 675839248 HARIONO 1208 4/23/2016 676390713

262 4/13/2016 675838563 SULASTRI 1209 4/23/2016 676391016

263 4/13/2016 675842499 ARI! DWI LESTARI 1210 4/23/2016 676390511

264 4/13/2016 675837268 DI#A HANCE PUTRA # 1211 4/23/2016 676386483

265 4/13/2016 675839957 MULUD MULYONO 1212 4/23/2016 676386843

266 4/13/2016 675843243 DENY 1213 4/23/2016 676389137

267 4/13/2016 675847372 SABIIS 1214 4/23/2016 676392658

268 4/13/2016 675845842 M BAYU SETYAWAN 1215 4/23/2016 676389429

269 4/13/2016 675842231 TEGUH PRASO"O 1216 4/23/2016 676389374

270 4/13/2016 675844975 MAYA WIDIA PIANTIA 1217 4/23/2016 676387179

271 4/13/2016 675844086 MU"AMAH 1218 4/23/2016 676392636

272 4/13/2016 675842646 ENI SUSANTI 1219 4/23/2016 676386009

273 4/13/2016 675847157 BERLIANA EA !EBRIANTI 1220 4/23/2016 676386189

274 4/13/2016 675843726 WIDIONO 1221 4/23/2016 676391455

275 4/13/2016 675947531 MOH HA$$I$IL 1222 4/23/2016 676390408

276 4/13/2016 675844345 SUYANTI 1223 4/23/2016 676387822

277 4/13/2016 675844143 WIDAYAT 1224 4/23/2016 676392884278 4/13/2016 675947428 MOH ARI!UDDIN 1225 4/23/2016 676393457

279 4/13/2016 675950005 MOH ILYAS 1226 4/23/2016 676389857


5/92

292 4/13/2016 675953155 "AITUN 1239 4/23/2016 676395099

293 4/13/2016 675953774 SAIMIN 1240 4/23/2016 676393683

294 4/13/2016 675953482 SUTARTI 1241 4/23/2016 676391387

295 4/13/2016 675951581 !ELU INDRIWATI 1242 4/23/2016 676390138

296 4/13/2016 675952468 NGAROPAH 1243 4/23/2016 676396181

297 4/13/2016 675951445 UNTARI 1244 4/23/2016 676396179

298 4/13/2016 675952132 SUNGONO 1245 4/23/2016 676395933

299 4/13/2016 675953537 MARTIN 1246 4/23/2016 676395459

300 4/13/2016 675953109 SAHRUL M 1247 4/23/2016 676394436

301 4/13/2016 675955721 A$IMAH 1248 4/23/2016 676395944

302 4/13/2016 675960377 #ITA 1249 4/23/2016 676396258303 4/13/2016 675958476 RIRIN OIRUNISA 1250 4/23/2016 676399083

304 4/13/2016 675954235 TUI"AH 1251 4/23/2016 676398025

305 4/13/2016 675954674 HOIRIYAH 1252 4/23/2016 676396271

306 4/13/2016 675961817 AGI! AHMAD SU!YAN 1253 4/23/2016 676397395

307 4/13/2016 675959016 RENA SETIAWAN 1254 4/23/2016 676399048

308 4/13/2016 675956834 MOHAMAD ABDUL R M 1255 4/23/2016 676397823

309 4/14/2016 675958915 BAGUS SETYAWAN 1256 4/23/2016 676399026

310 4/14/2016 675958555 RIYO SAPUTRA 1257 4/23/2016 676398723

311 4/14/2016 675964236 SULASTRI 1258 4/23/2016 676402312

312 4/14/2016 675959477 PU"I P 1259 4/23/2016 676402841

313 4/14/2016 675961277 PONI"AN 1260 4/23/2016 676398003

314 4/14/2016 675961751 MUT MAINAH 1261 4/23/2016 676400523

315 4/14/2016 675963382 SUPRIADI 1262 4/23/2016 676397744

316 4/14/2016 675963808 MSYAI!UDIN $UHRI 1263 4/23/2016 676399094

317 4/14/2016 675964596 ANANTA NUR A ! 1264 4/23/2016 676399612

318 4/14/2016 675965316 SUPRIONO 1265 4/23/2016 676398633

319 4/14/2016 675965542 IMAM MULLISIN 1266 4/23/2016 676403177

320 4/14/2016 675995624 DINA MAULANA 1267 4/23/2016 676396653

321 4/14/2016 675993745 GIONO 1268 4/23/2016 676401941

322 4/20/2016 1038019241 IIN HIDAYATUL LAILI 1269 4/23/2016 676397608

323 4/21/2016 675998223 MUSTAMIN 1270 4/23/2016 676399217

324 4/21/2016 675998976 UNTARI ADI 1271 4/23/2016 676401726

325 4/21/2016 675994241 IDA PUSPITA 1272 4/23/2016 676398352

326 4/21/2016 676001373 IMAM ! 1273 4/23/2016 676406654

327 4/21/2016 676007594 DELLA SEPTIA PUTRI 1274 4/23/2016 676402176328 4/21/2016 676003588 SUNARIYATI 1275 4/23/2016 676403987

329 4/21/2016 676006907 SUPRAYITNO 1276 4/23/2016 676403324

330 4/21/2016 676003375 GUNAWAN 1277 4/23/2016 676401693

331 4/21/2016 676004769 MARLI RAHAYU 1278 4/23/2016 676402929

332 4/21/2016 676008516 !ERDI RAGIL S 1279 4/23/2016 676403987

333 4/21/2016 676006042 SULIH DAMARATI 1280 4/23/2016 676407194

334 4/21/2016 676003994 SANDIO !EBRIAN PUTRA 1281 4/23/2016 676403392

335 4/21/2016 676009271 SRI MULYATI 1282 4/23/2016 676402806

336 4/21/2016 676006929 NINUNG RAHAYU 1283 4/23/2016 676403649

337 4/21/2016 676007111 ARISMA GUMILANG Y 1284 4/23/2016 676404022

338 4/21/2016 676007807 SAMSURI 1285 4/23/2016 676405539

339 4/21/2016 676008235 !RIDA EA S 1286 4/23/2016 676402143

340 4/21/2016 676008145 TRI WIDARYATI 1287 4/23/2016 676402413

341 4/21/2016 676009067 SURATMAN 1288 4/23/2016 676400051

342 4/21/2016 676009304 MOH "AMALUDIN 1289 4/23/2016 676408533

343 4/21/2016 676033457 SUNARTI 1290 4/23/2016 676404584

344 4/21/2016 676038611 "AINI 1291 4/23/2016 676401761

345 4/21/2016 676036203 SITI SANAWIYAH 1292 4/23/2016 676401513

346 4/21/2016 676034796 "UMALI 1293 4/23/2016 676401197

347 4/21/2016 676035538 IMAM ROMADAN 1294 4/23/2016 676406788

348 4/21/2016 676033424 "AWAWI 1295 4/23/2016 676406968

349 4/21/2016 676035505 SU"ANI 1296 4/23/2016 676403954

350 4/21/2016 676038194 DUROTUN NASIAH 1297 4/23/2016 676404112

351 4/21/2016 676039127 ROBIAH 1298 4/23/2016 676405438

352 4/21/2016 676036473 MULYONO 1299 4/23/2016 676409038353 4/21/2016 676038159 MOH NURWAHID H 1300 4/23/2016 676405236

354 4/21/2016 676040264 SITI SIYAMI 1301 4/23/2016 676400984


6/92

367 4/21/2016 676041164 RANGGA SATRIYA D 1314 4/25/2016 676406542

368 4/21/2016 676046349 SITI AMINI 1315 4/25/2016 676406417

369 4/21/2016 676047058 ERNAWATI 1316 4/25/2016 676408026

370 4/21/2016 676041355 RAGIL SATRIO D 1317 4/25/2016 676406812

371 4/21/2016 676047227 SUPRIONO 1318 4/25/2016 676408217

372 4/21/2016 676046665 SUMARWAN 1319 4/25/2016 676407508

373 4/21/2016 676045765 SUMARTO 1320 4/25/2016 676407543

374 4/21/2016 676050265 DEBORA "AETUN 1321 4/25/2016 676407339

375 4/21/2016 676048329 SITI RISNIANI 1322 4/25/2016 676408151

376 4/21/2016 676049758 RUMIATUN 1323 4/25/2016 676408173

377 4/21/2016 676052842 SADIEM 1324 4/25/2016 676410985378 4/21/2016 676052245 BONIYEM 1325 4/25/2016 676408724

379 4/21/2016 676051492 ERI PRASETYO 1326 4/25/2016 676409128

380 4/21/2016 676050614 #ICTOR ANDI 1327 4/25/2016 676412785

381 4/21/2016 676047723 M NUR ALIM 1328 4/25/2016 676411176

382 4/21/2016 676053911 MARDIANTO 1329 4/25/2016 676410131

383 4/21/2016 676051301 PU"I ERNANTO 1330 4/25/2016 676411558

384 4/21/2016 676050682 LINDA PU"I R 1331 4/25/2016 676408961

385 4/21/2016 676055169 MOH ARIE HUSEN 1332 4/25/2016 676410017

386 4/21/2016 676053336 M O$IN 1333 4/25/2016 676411244

387 4/21/2016 676052919 RUINEM 1334 4/25/2016 676409275

388 4/21/2016 676052155 SUMARLIN 1335 4/25/2016 676412324

389 4/21/2016 676050895 SONGEB 1336 4/25/2016 676411839

390 4/21/2016 676051863 "OO IRWANTO 1337 4/25/2016 676413224

391 4/21/2016 676052324 SULAIMAN 1338 4/25/2016 676408476

392 4/21/2016 676055935 "UMIATI 1339 4/25/2016 676409139

393 4/21/2016 676056701 !ITRI LESTARI 1340 4/25/2016 676410715

394 4/21/2016 676054956 UMIANAH 1341 4/25/2016 676409848

395 4/21/2016 676057228 YUNIATI 1342 4/25/2016 676409793

396 4/21/2016 676060468 ALIMAH 1343 4/25/2016 676410221

397 4/21/2016 676055384 MOH SOLEH ADI PUTRA 1344 4/25/2016 676410592

398 4/21/2016 676057702 TRI NUGROHO EDI N 1345 4/25/2016 676411953

399 4/21/2016 676059952 $ENI EASARI 1346 4/25/2016 676413325

400 4/21/2016 676058714 BINTANG ABAR A 1347 4/25/2016 676412054

401 4/21/2016 676059669 SUPARTINI 1348 4/25/2016 676412526

402 4/21/2016 676060659 PAIDI 1349 4/25/2016 676411626403 4/21/2016 676058027 YUNANI 1350 4/25/2016 676412155

404 4/21/2016 676063462 AHMAD M 1351 4/25/2016 676412482

405 4/21/2016 676063888 RISTA NUR IMA S 1352 4/25/2016 676412504

406 4/21/2016 676058578 DI#A CHOIRUNNISA 1353 4/25/2016 676410636

407 4/21/2016 676065317 D"ONO 1354 4/25/2016 676412864

408 4/21/2016 676065352 SITI MASIYAH 1355 4/25/2016 676413268

409 4/21/2016 676065475 YUNANI 1356 4/25/2016 676416306

410 4/21/2016 676062112 $AENAL A 1357 4/25/2016 676414912

411 4/21/2016 676070414 SITIN WARDHMAH 1358 4/25/2016 676417555

412 4/21/2016 676066419 ST SUMINI 1359 4/25/2016 676414506

413 4/21/2016 676066263 MOHAMAD ALI 1360 4/25/2016 676414732

414 4/21/2016 676068636 SUMARSANTO 1361 4/25/2016 676415968

415 4/21/2016 676063034 MISRIANI 1362 4/25/2016 676414359

416 4/21/2016 676061166 NASIYAH 1363 4/25/2016 676415632

417 4/21/2016 676066724 MOH !A"AR 1364 4/25/2016 676414675

418 4/21/2016 676064619 AHMAD ANDRIONO 1365 4/25/2016 676413898

419 4/21/2016 676070368 !ADLI !ATIN OIRIYAH 1366 4/25/2016 676414214

420 4/21/2016 676065126 AHMAD RENDI A 1367 4/25/2016 676417408

421 4/21/2016 676068669 SULISTYOWATI 1368 4/25/2016 676415518

422 4/21/2016 676068783 SAMIRAH 1369 4/25/2016 676416003

423 4/21/2016 676071292 SUHARIATI 1370 4/25/2016 676416609

424 4/21/2016 676070616 BAEAH 1371 4/25/2016 676414236

425 4/21/2016 676068963 AHOIRUL 1372 4/25/2016 676416881

426 4/21/2016 676068581 SRI WILU"ENG 1373 4/25/2016 676417454

427 4/21/2016 676071911 MUNAWAR 1374 4/25/2016 676413584428 4/21/2016 676069885 WAGIYEM 1375 4/25/2016 676414304

429 4/21/2016 676074069 PANDU SETIYONO 1376 4/25/2016 676416846


7/92

442 4/21/2016 676078031 ANGGIA PRIMUTIANI 1389 4/25/2016 676419862

443 4/21/2016 676077535 MU"IATI 1390 4/25/2016 676417904

444 4/21/2016 676082518 MU"IATI 1391 4/25/2016 676423045

445 4/21/2016 676080033 DIMAS YUSBUDI 1392 4/25/2016 676420582

446 4/21/2016 676080393 MU"I WIYONO 1393 4/25/2016 676415889

447 4/21/2016 676082957 SULASTRI 1394 4/25/2016 676421662

448 4/21/2016 676075803 ANDINI SURYAWATI 1395 4/25/2016 676417331

449 4/21/2016 676076646 SUGENG PRIANTO 1396 4/25/2016 676415171

450 4/21/2016 676079346 SYAMSI 1397 4/25/2016 676415496

451 4/21/2016 676079864 SURATIN 1398 4/25/2016 676419254

452 4/21/2016 676078266 AN"ELINA P 1399 4/25/2016 676419366453 4/21/2016 676082755 RISTI APRILIA 1400 4/25/2016 676419614

454 4/21/2016 676084015 MUALIM 1401 4/25/2016 676420086

455 4/21/2016 676079109 ARTIO A"I IBLAT P 1402 4/25/2016 676420154

456 4/21/2016 676083835 BAYU PRASETYO 1403 4/25/2016 676420255

457 4/21/2016 676082338 WARIS 1404 4/25/2016 676419996

458 4/21/2016 676084713 HOMSATUN 1405 4/25/2016 676422584

459 4/21/2016 676088054 SETYOO 1406 4/25/2016 676421965

460 4/21/2016 676080549 ANDREAS PUTRO W 1407 4/25/2016 676422404

461 4/21/2016 676081462 WARSI 1408 4/25/2016 676421447

462 4/21/2016 676084072 ROPIAH 1409 4/25/2016 676421583

463 4/21/2016 676082305 DARSONO 1410 4/25/2016 676425611

464 4/21/2016 676086884 ABDUL GHO!AR 1411 4/25/2016 676421774

465 4/21/2016 676084533 MOCHSIN 1412 4/25/2016 676425723

466 4/21/2016 676088526 RISA AYU S 1413 4/25/2016 676424709

467 4/21/2016 676088638 WENDA RISMA S 1414 4/25/2016 676422459

468 4/21/2016 676093004 IRIA NO#I A 1415 4/25/2016 676425903

469 4/21/2016 676086636 SITI S 1416 4/25/2016 676423844

470 4/21/2016 676087479 SUIRAH 1417 4/25/2016 676423179

471 4/21/2016 676085769 SITI G 1418 4/25/2016 676425587

472 4/21/2016 676088774 ADITIA BAGUS S 1419 4/25/2016 676425756

473 4/21/2016 676090225 NISAUL ULYA 1420 4/25/2016 676429626

474 4/21/2016 676090607 A!RIDA LUT!IANI 1421 4/25/2016 676426667

475 4/21/2016 676090934 SAIRUN 1422 4/25/2016 676427815

476 4/21/2016 676093645 SUMIATI 1423 4/25/2016 676427466

477 4/21/2016 676090179 M $AINAL ABIDIN 1424 4/25/2016 676426454478 4/21/2016 676088324 ITA SUGIYANTI 1425 4/25/2016 676428873

479 4/21/2016 676096389 GIYANTO 1426 4/25/2016 676428726

480 4/21/2016 676090135 WARSITO 1427 4/25/2016 676427038

481 4/21/2016 676099438 DEWI 1428 4/25/2016 676428568

482 4/21/2016 676095794 SOLIAH 1429 4/25/2016 676430886

483 4/21/2016 676098415 "INTEN 1430 4/25/2016 676428129

484 4/21/2016 676091496 MUITUN 1431 4/25/2016 676428142

485 4/21/2016 676096648 D"UMAIYAH 1432 4/25/2016 676429694

486 4/21/2016 676093239 SUMARDIO 1433 4/25/2016 676431641

487 4/21/2016 676095838 ABDULR 1434 4/25/2016 676428974

488 4/21/2016 676093263 SAMIRAH 1435 4/25/2016 676431011

489 4/21/2016 676096953 SUGENG ANTONO 1436 4/25/2016 676427635

490 4/21/2016 676093432 SUD"ONO 1437 4/25/2016 676429007

491 4/21/2016 676091542 BUDI $ATMIO 1438 4/25/2016 676431606

492 4/21/2016 676097807 WAWAN BIMA SAPUTRA 1439 4/25/2016 676426509

493 4/21/2016 676095276 TITUS SAPUTRA 1440 4/25/2016 676431472

494 4/21/2016 676093061 "ESICA ADELIA RI!A 1441 4/25/2016 676429187

495 4/21/2016 676102735 SUMARSIH 1442 4/25/2016 676427602

496 4/21/2016 676099001 ASWIANTO 1443 4/25/2016 676432012

497 4/21/2016 676099023 HARYOO 1444 4/25/2016 676431213

498 4/21/2016 676105479 RASTIA P 1445 4/25/2016 676428456

499 4/21/2016 676105108 ANTON WI"AYA 1446 4/25/2016 676433158

500 4/21/2016 676099574 BRIYAN MARTINO 1447 4/25/2016 676428658

501 4/21/2016 676099574 BRIYAN MARTINO 1448 4/25/2016 676430201

502 4/21/2016 676107123 DWIA AUGSTIAN N 1449 4/25/2016 676428489503 4/21/2016 676103117 U$UN ROMIASIH 1450 4/25/2016 676435285

504 4/21/2016 676102026 MAT "AENURI 1451 4/25/2016 676431731


8/92

517 4/21/2016 676107516 TUIYEM 1464 4/25/2016 676432438

518 4/21/2016 676110227 SUTINAH 1465 4/25/2016 676433485

519 4/21/2016 676106831 DIO ALI! UTAMA 1466 4/25/2016 676430032

520 4/21/2016 676110082 "AETON 1467 4/25/2016 676432664

521 4/21/2016 676109709 HARIS HARDIANTO 1468 4/25/2016 676435937

522 4/21/2016 676106278 INDASAH 1469 4/25/2016 676431099

523 4/21/2016 676108697 SRI WAHYUNI 1470 4/25/2016 676437805

524 4/21/2016 676108506 MURIYAH 1471 4/25/2016 676436128

525 4/21/2016 676112433 SHANTI RAHAYU 1472 4/25/2016 676435983

526 4/21/2016 676115684 TUNI S 1473 4/25/2016 676439684

527 4/21/2016 676110069 SAMSINI 1474 4/25/2016 676436894528 4/21/2016 676113568 DINA AMARTA PUTRI 1475 4/25/2016 676437647

529 4/21/2016 676114367 RI$I ADI SAPUTRA 1476 4/25/2016 676438907

530 4/21/2016 676111048 YULI ASTUTI 1477 4/25/2016 676434431

531 4/21/2016 676110161 SUGIONO 1478 4/25/2016 676432618

532 4/21/2016 676113085 SURATI 1479 4/25/2016 676436782

533 4/21/2016 676114211 "UWANAH 1480 4/25/2016 676436523

534 4/21/2016 676112894 SHID&I 1481 4/25/2016 676436411

535 4/21/2016 676116009 DERIS ARISANDI 1482 4/25/2016 676434363

536 4/21/2016 676115829 A!ITRIANI 1483 4/25/2016 676442766

537 4/21/2016 676112826 HA!ID$ HARISI 1484 4/25/2016 676436016

538 4/21/2016 676115561 OCTA MI!TAUL USNA 1485 4/25/2016 676441304

539 4/21/2016 676118992 WARTINI 1486 4/25/2016 676438288

540 4/21/2016 676111724 WINARTO 1487 4/25/2016 676440325

541 4/21/2016 676111386 NO#A NANDES 1488 4/25/2016 676443993

542 4/21/2016 676112962 SHOLEH 1489 4/25/2016 676443699

543 4/21/2016 676113175 !REDI SURYA LISDIANTO 1490 4/25/2016 676441697

544 4/21/2016 676116055 RI$AL RIO S 1491 4/25/2016 676438593

545 4/21/2016 676111599 PITRIA ANDRIANI 1492 4/25/2016 676438031

546 4/21/2016 676113816 SUAMTO 1493 4/25/2016 676445095

547 4/21/2016 676115627 SAMPURNO 1494 4/25/2016 676442169

548 4/21/2016 676119565 WAHYU SUGENG A 1495 4/25/2016 676440347

549 4/21/2016 676121488 SUARI 1496 4/25/2016 676444318

550 4/21/2016 676116134 DEBORA NISA SIL#ANA 1497 4/25/2016 676445141

551 4/21/2016 676118147 DEWI I 1498 4/25/2016 676442823

552 4/21/2016 676121995 SUESI 1499 4/25/2016 676437941553 4/21/2016 676114569 TUWIN PRAWESTI 1500 4/25/2016 676448403

554 4/21/2016 676116246 SANAWI 1501 4/25/2016 676445883

555 4/21/2016 676121286 SUTRISNO 1502 4/25/2016 676439919

556 4/21/2016 676118878 SUPARDI 1503 4/25/2016 676442035

557 4/21/2016 676124886 SUWARD"I 1504 4/25/2016 676442452

558 4/21/2016 676123075 "AENAH 1505 4/25/2016 676439111

559 4/21/2016 676123323 SOLIIN 1506 4/25/2016 676444814

560 4/21/2016 676123558 DOMIRAN 1507 4/25/2016 676445591

561 4/21/2016 676125033 MOH SOIM 1508 4/25/2016 676441269

562 4/21/2016 676122131 ENDI PRASETIO 1509 4/25/2016 676448853

563 4/21/2016 676122783 DANI !ITRIYANTO 1510 4/25/2016 676440865

564 4/21/2016 676124831 PARTIYAH 1511 4/25/2016 676446647

565 4/21/2016 676124965 SITI AMINAH 1512 4/25/2016 676441956

566 4/21/2016 676125178 M YA$ID 1513 4/25/2016 676446524

567 4/21/2016 676126833 ADI WIYONO 1514 4/25/2016 676445207

568 4/21/2016 676125832 MU"AYANAH 1515 4/25/2016 676442619

569 4/21/2016 676128688 MARTIANA ERNAWATI 1516 4/25/2016 676446434

570 4/21/2016 676130714 MU"IONO 1517 4/25/2016 676448717

571 4/21/2016 676131041 M SULUR 1518 4/25/2016 676450451

572 4/21/2016 676128622 ALE CANDRA ADITYA 1519 4/25/2016 676449279

573 4/21/2016 676126146 M ANGGIT MU$AI 1520 4/25/2016 676444421

574 4/21/2016 676128712 ANIS B 1521 4/25/2016 676451035

575 4/21/2016 676128598 NO#ITA DELLA ROSY 1522 4/25/2016 676448076

576 4/21/2016 676128058 YAYU W 1523 4/25/2016 676448302

577 4/21/2016 676132132 DARMIATI 1524 4/25/2016 676450798578 4/21/2016 676130051 ELANDA ANANDA 1525 4/25/2016 676449821

579 4/21/2016 676130084 NO#A RIADI 1526 4/25/2016 676449707


9/92

592 4/21/2016 676136035 AL#I NURLAILATUL ! 1539 4/25/2016 676451564

593 4/21/2016 676132277 M NURHOLIS 1540 4/25/2016 676454589

594 4/21/2016 676139286 RAHAYU WI"AYANTI 1541 4/25/2016 676449865

595 4/21/2016 676134066 PURNOMO 1542 4/25/2016 676454049

596 4/21/2016 676135989 BAGUS RUDIANTO 1543 4/25/2016 676453667

597 4/21/2016 676136981 SUPRIYANTO 1544 4/25/2016 676452183

598 4/21/2016 676136979 HOIRUL ANAM 1545 4/25/2016 676456683

599 4/21/2016 676138048 RISTIA 1546 4/25/2016 676456626

600 4/21/2016 676135776 MUNSIYAH 1547 4/25/2016 676451722

601 4/21/2016 676138814 "OO E!ENDI 1548 4/25/2016 676456593

602 4/21/2016 676136171 WARSINAH 1549 4/25/2016 676453105603 4/21/2016 676138926 I#A WINARTI 1550 4/25/2016 676457436

604 4/21/2016 676138094 DARIMAH 1551 4/25/2016 676454117

605 4/21/2016 676144664 GILAND MULANA P 1552 4/25/2016 676460204

606 4/21/2016 676137339 SITI HOLI!AH 1553 4/25/2016 676454499

607 4/21/2016 676137813 LANI NO#IANTI 1554 4/25/2016 676456031

608 4/21/2016 676137892 LENI PU"I LESTARI 1555 4/25/2016 676452633

609 4/21/2016 676140366 RUSMINI 1556 4/25/2016 676452881

610 4/21/2016 676141885 SUDARSUIH 1557 4/25/2016 676456424

611 4/21/2016 676138533 RI$AL AAWALUDIN 1558 4/25/2016 676458786

612 4/21/2016 676138702 SUMINAH 1559 4/25/2016 676454782

613 4/21/2016 676137892 LENI PU"I LESTARI 1560 4/25/2016 676457155

614 4/21/2016 676138735 SAI!UL ANAM 1561 4/25/2016 676457921

615 4/21/2016 676138533 RI$AL AAWALUDIN 1562 4/25/2016 676459181

616 4/21/2016 676144844 MOH YUSU! 1563 4/25/2016 676455761

617 4/21/2016 676148444 TOIB 1564 4/25/2016 676457122

618 4/21/2016 676139927 LEGISRI 1565 4/25/2016 676457267

619 4/21/2016 676141637 YUSU! 1566 4/25/2016 676455985

620 4/21/2016 676140129 OSTYA CHRISDIYANTY 1567 4/25/2016 676459348

621 4/21/2016 676140265 $ENI AHMAD 1568 4/25/2016 676459539

622 4/21/2016 676139499 BAGUS !ATHUROY 1569 4/25/2016 676461126

623 4/21/2016 676146082 RATNAWATI 1570 4/25/2016 676461442

624 4/21/2016 676141727 SUARMAN 1571 4/25/2016 676458235

625 4/21/2016 676143077 SAMIRAN 1572 4/25/2016 676460507

626 4/21/2016 676139398 DHEA A$$HROTUS ST 1573 4/25/2016 676460395

627 4/21/2016 676139859 ABIDIN 1574 4/25/2016 676464996628 4/21/2016 676142447 SUYANTO 1575 4/25/2016 676457109

629 4/21/2016 676147318 SITI MALIAH 1576 4/25/2016 676463466

630 4/21/2016 676145621 HUSNUL HOTIMAH 1577 4/25/2016 676457785

631 4/21/2016 676142212 ERNI 1578 4/25/2016 676457379

632 4/21/2016 676142864 M AGUNG "ANUAR 1579 4/25/2016 676458742

633 4/21/2016 676143437 MURSINAH 1580 4/25/2016 676459001

634 4/21/2016 676147094 PURWANINGSIH 1581 4/25/2016 676461971

635 4/21/2016 676142662 ERNA 1582 4/25/2016 676465762

636 4/21/2016 676144135 SARINAH 1583 4/25/2016 676462397

637 4/21/2016 676144056 MOH YUNUS 1584 4/25/2016 676461881

638 4/21/2016 676143731 SUGENG SANTOSO 1585 4/25/2016 676464827

639 4/21/2016 676145114 SUGITO 1586 4/25/2016 676463668

640 4/21/2016 676144912 SHOLEHAN 1587 4/25/2016 676462138

641 4/21/2016 676148804 SULAIMAN 1588 4/25/2016 676460261

642 4/21/2016 676143775 RUMINI 1589 4/25/2016 676463771

643 4/21/2016 676147511 DEWI MU!IDAH 1590 4/25/2016 676466155

644 4/21/2016 676146486 SULIYAH 1591 4/25/2016 676462015

645 4/21/2016 676146058 AMELIA NUR A 1592 4/25/2016 676464669

646 4/21/2016 676151471 !ITRIA NO#IANA 1593 4/25/2016 676463376

647 4/21/2016 676151098 IPIT SUDOMO 1594 4/25/2016 676469226

648 4/21/2016 676146137 SABARUDIN 1595 4/25/2016 676465558

649 4/21/2016 676149794 M MULASIN 1596 4/25/2016 676471994

650 4/21/2016 676149107 MARD"UI 1597 4/25/2016 676466054

651 4/21/2016 676147689 PURWANINGRUM 1598 4/25/2016 676471847

652 4/21/2016 676146519 A"I ABDUL A$IS 1599 4/25/2016 676469665653 4/21/2016 676148512 WI"I 1600 4/25/2016 676472894

654 4/21/2016 676145248 MU"IRAH 1601 4/25/2016 676477247


10/92

667 4/21/2016 676152358 WIDALBO 1614 4/25/2016 676479925

668 4/21/2016 676149849 SUDARTO 1615 4/25/2016 676479374

669 4/21/2016 676153888 MU"I SLAMET 1616 4/25/2016 676482197

670 4/21/2016 676155868 DIDI PURWANTO 1617 4/25/2016 676479036

671 4/21/2016 676149524 ANSORI 1618 4/25/2016 676480419

672 4/21/2016 676148242 ARI!IN 1619 4/25/2016 676481501

673 4/21/2016 676151763 RISA AYU Y N 1620 4/25/2016 676479115

674 4/21/2016 676154766 AGUS PRASETIO 1621 4/25/2016 676482647

675 4/21/2016 676150547 AHMAD WI"AYA 1622 4/25/2016 676479328

676 4/21/2016 676147959 RISO BAGUS 1623 4/25/2016 676481501

677 4/21/2016 676150942 AGUS SUSILO 1624 4/25/2016 676481027678 4/21/2016 676151032 SUMINI 1625 4/25/2016 676478496

679 4/21/2016 676155429 ORMEN 1626 4/25/2016 676479778

680 4/21/2016 676151965 MULYONO 1627 4/25/2016 676485876

681 4/21/2016 676152011 YAYU SUMIATI 1628 4/25/2016 676480386

682 4/21/2016 676156689 $AENAL ARI!IN 1629 4/25/2016 676479701

683 4/21/2016 676152538 YATI 1630 4/25/2016 676481376

684 4/21/2016 676155576 SURTINI 1631 4/25/2016 676481455

685 4/21/2016 676159367 SAMIATIN 1632 4/25/2016 676483762

686 4/21/2016 676154305 HOTIMAH 1633 4/25/2016 676484177

687 4/21/2016 676152303 DARMI 1634 4/25/2016 676485426

688 4/21/2016 676156342 ELLY SUDARSONO 1635 4/25/2016 676482164

689 4/21/2016 676151368 DWI YULIANASARI 1636 4/25/2016 676483795

690 4/21/2016 676159479 NIEN ARTIA DEWI 1637 4/25/2016 676487002

691 4/21/2016 676158704 !IR"ATULLOH NUR M 1638 4/25/2016 676487979

692 4/21/2016 676156871 ARSI 1639 4/25/2016 676488385

693 4/21/2016 676156803 NANI PU"I RAHAYU 1640 4/25/2016 676484019

694 4/21/2016 676154542 ENDAH SARI 1641 4/25/2016 676483479

695 4/21/2016 676157602 MARIYAM 1642 4/25/2016 676484302

696 4/21/2016 676154046 TEGUH SANTOSO 1643 4/25/2016 676480746

697 4/21/2016 676157354 SUDARMI 1644 4/25/2016 676484324

698 4/21/2016 676157376 D"UWITO 1645 4/25/2016 676486293

699 4/21/2016 676158311 MARIATUL ISRO 1646 4/25/2016 676483154

700 4/21/2016 676156555 HADINDA AYU !ARIS&I 1647 4/25/2016 676486596

701 4/21/2016 676158131 AGUS MALI 1648 4/25/2016 676488666

702 4/21/2016 676161944 MOH ALI 1649 4/25/2016 676481646703 4/21/2016 676158636 SRI EO PURNAMI 1650 4/25/2016 676486844

704 4/21/2016 676156037 DINDA AYU AMELIA 1651 4/25/2016 676487327

705 4/21/2016 676162462 SUMIATI 1652 4/25/2016 676488701

706 4/21/2016 676156408 RUM HAYATI NINGSIH 1653 4/25/2016 676487889

707 4/21/2016 676156961 MU"IATUN 1654 4/25/2016 676483863

708 4/21/2016 676160706 ISA 1655 4/25/2016 676491557

709 4/21/2016 676162067 TEGUH BASUI 1656 4/25/2016 676490433

710 4/21/2016 676156645 SUTIYAR 1657 4/25/2016 676492727

711 4/21/2016 676159852 BINTI NUR LIAWATI 1658 4/25/2016 676489105

712 4/21/2016 676165026 MOHAMAD ANWAR 1659 4/25/2016 676492637

713 4/21/2016 676162539 ARMA A 1660 4/25/2016 676486877

714 4/21/2016 676159391 RUSEMI 1661 4/25/2016 676488982

715 4/21/2016 676167028 YAMINI 1662 4/25/2016 676493605

716 4/21/2016 676156577 ASARI 1663 4/25/2016 676492244

717 4/21/2016 676161617 CATUR UDUATALIA 1664 4/25/2016 676491445

718 4/21/2016 676161404 MAMI PRASETYO 1665 4/25/2016 676490332

719 4/21/2016 676158581 ABDUL GHO!UR 1666 4/25/2016 676494437

720 4/21/2016 676160796 DWI ASTUTI 1667 4/25/2016 676494865

721 4/21/2016 676163902 NUR"ANAH 1668 4/25/2016 676494639

722 4/21/2016 676157995 UMI MARDIYAH 1669 4/25/2016 676492299

723 4/21/2016 676165151 SUWEDI WALUYO 1670 4/25/2016 676494369

724 4/21/2016 676161516 TRI UNIC SANTOSO 1671 4/25/2016 676495124

725 4/21/2016 676164868 SUDARMAN 1672 4/25/2016 676495541

726 4/21/2016 676165239 SUARTI 1673 4/25/2016 676495991

727 4/21/2016 676160111 AHMAD NUR SAED 1674 4/25/2016 676497868728 4/21/2016 676169482 ANGGAYUDA RI$I 1675 4/25/2016 676495271

729 4/21/2016 676168119 MOH $AINAL A 1676 4/25/2016 676495359


11/92

742 4/21/2016 676165746 SULISTIYO WATI 1689 4/29/2016 676499297

743 4/21/2016 676168187 TUMINI 1690 4/29/2016 676501018

744 4/21/2016 676168457 SUGENG PU"IANTO 1691 4/29/2016 676500535

745 4/21/2016 676168097 SO!YAN T 1692 4/29/2016 676503189

746 4/21/2016 676169425 SUPRAPTI 1693 4/29/2016 676501863

747 4/21/2016 676170549 SUTIO 1694 4/29/2016 676501413

748 4/21/2016 676168424 ITA PURNAMA SARI M 1695 4/29/2016 676503437

749 4/21/2016 676168659 BASUI 1696 4/29/2016 676501446

750 4/21/2016 676171629 SU"ITO 1697 4/29/2016 676501839

751 4/21/2016 676170821 RUBIATI 1698 4/29/2016 676500941

752 4/21/2016 676175038 M !ARID H 1699 4/29/2016 676502021753 4/21/2016 676171776 ISTIANAH 1700 4/29/2016 676503843

754 4/21/2016 676170347 SUGITO 1701 4/29/2016 676503933

755 4/21/2016 676169561 ANGGA YUDA RI$I 1702 4/29/2016 676502561

756 4/21/2016 676172621 MOH LUT!I SHAHNARULIA 1703 4/29/2016 676504675

757 4/21/2016 676171541 AL!IANA LUT!IA A$ATUL 1704 4/29/2016 676506183

758 4/21/2016 676169649 NURDATIN 1705 4/29/2016 676506497

759 4/21/2016 676173238 DE#ITA AINUR ROHMA 1706 4/29/2016 676506565

760 4/21/2016 676171012 MOH TIYUL NUGRAHA 1707 4/29/2016 676505463

761 4/21/2016 676173824 DIDI LESONO 1708 4/29/2016 676506363

762 4/21/2016 676166905 SIRIN 1709 4/29/2016 676505114

763 4/21/2016 676173543 LIWON 1710 4/29/2016 676506982

764 4/21/2016 676174713 M !ADEL "ULWIYAN 1711 4/29/2016 676506306

765 4/21/2016 676175837 MAMI 1712 4/29/2016 676504732

766 4/21/2016 676171833 ANDIHERI ARTONO 1713 4/29/2016 676504833

767 4/21/2016 676172957 TUTI YULIANTI 1714 4/29/2016 676509783

768 4/21/2016 676170461 MISIYAH 1715 4/29/2016 676507432

769 4/21/2016 676174689 HARIANI 1716 4/29/2016 676508668

770 4/21/2016 676172935 SUBIARNO 1717 4/29/2016 676509658

771 4/21/2016 676170516 SUNARSIH 1718 4/29/2016 676507926

772 4/21/2016 676178493 CHUSNUL 1719 4/29/2016 676513811

773 4/21/2016 676174184 MOH MURSALIM 1720 4/29/2016 676509298

774 4/21/2016 676172068 NIO DWI P 1721 4/29/2016 676508973

775 4/21/2016 676173756 AHMAD SUTRISNO 1722 4/29/2016 676508027

776 4/21/2016 676171978 HANI!AH MANDA I"ATI 1723 4/29/2016 676513372

777 4/21/2016 676179371 SUMANI 1724 4/29/2016 676511829778 4/21/2016 676176772 SRI NURHAYATI 1725 4/29/2016 676517128

779 4/21/2016 676172733 MOH MAULANA WA!I& 1726 4/29/2016 676512213

780 4/21/2016 676180203 HALIYAH 1727 4/29/2016 676514564

781 4/21/2016 676172575 SHE#IRA !ITRIA D 1728 4/29/2016 676513258

782 4/21/2016 676174511 MISWANTO 1729 4/29/2016 676512044

783 4/21/2016 676180269 MOH MU"I 1730 4/29/2016 676513146

784 4/22/2016 108266207 HARI SUBAGYO 1731 4/29/2016 676516072

785 4/22/2016 676172351 LISTIANA 1732 4/29/2016 676512876

786 4/22/2016 676174792 NANI YUIATUL A 1733 4/29/2016 676514193

787 4/22/2016 676173789 SINI 1734 4/29/2016 676517433

788 4/22/2016 676178223 SUWONO 1735 4/29/2016 676519031

789 4/22/2016 676175321 SUNARTI 1736 4/29/2016 676514283

790 4/22/2016 676176557 AGUS ABAR 1737 4/29/2016 676514406

791 4/22/2016 676178278 SITI 1738 4/29/2016 676523564

792 4/22/2016 676178414 SUNARSIH 1739 4/29/2016 676515183

793 4/22/2016 676174959 NIEN AYU A 1740 4/29/2016 676517152

794 4/22/2016 676178741 PAIMAN 1741 4/29/2016 676523125

795 4/22/2016 676177839 MULYANI 1742 4/29/2016 676514463

796 4/22/2016 676179448 NURHALIMAH 1743 4/29/2016 676518726

797 4/22/2016 676179213 !ITRI PU"I 1744 4/29/2016 676523968

798 4/22/2016 676177863 !ATEUR ROIM 1745 4/29/2016 676524767

799 4/22/2016 676178695 NURIL NISA HOIRINA 1746 4/29/2016 676521336

800 4/22/2016 676175984 DANIEL E!ENDI 1747 4/29/2016 676525487

801 4/22/2016 676177222 "OO SUSILO 1748 4/29/2016 676522361

802 4/22/2016 676177929 SUGI PRISAWANTI 1749 4/29/2016 676527581803 4/22/2016 676179595 INTAN SARI 1750 4/29/2016 676524712

804 4/22/2016 676179797 TRI SUYATMI 1751 4/29/2016 676522168


12/92

817 4/22/2016 676182205 MINI 1764 4/30/2016 676525331

818 4/22/2016 676182914 MAROTIN 1765 4/30/2016 676524442

819 4/22/2016 676184501 MOCH ALI MUCHSIN 1766 4/30/2016 676525768

820 4/22/2016 676181575 !ALENTINO DWI CAHYO 1767 4/30/2016 676525836

821 4/22/2016 676189181 IMAM WAHYUDI 1768 4/30/2016 676525509

822 4/22/2016 676184466 USNANTI 1769 4/30/2016 676526354

823 4/22/2016 676184815 USHARTINI 1770 4/30/2016 676527546

824 4/22/2016 676183533 SAMINGAN 1771 4/30/2016 676528367

825 4/22/2016 676183836 LAILI HANDIYAH 1772 4/30/2016 676527974

826 4/22/2016 676185906 "UMINTEN 1773 4/30/2016 676532553

827 4/22/2016 676187199 RUMINAH 1774 4/30/2016 676528233828 4/22/2016 676188753 ASTUTI 1775 4/30/2016 676527941

829 4/22/2016 676186198 M IR!AN ABIDIN 1776 4/30/2016 676531574

830 4/22/2016 676189956 DIMYATI 1777 4/30/2016 676528108

831 4/22/2016 676187458 DIDO NUGROHO 1778 4/30/2016 676529166

832 4/22/2016 676184771 USHARTINA 1779 4/30/2016 676528571

833 4/22/2016 676189708 IMAM BUHORI 1780 4/30/2016 676532068

834 4/22/2016 676187908 ERWIGATI NATALENA 1781 4/30/2016 676532518

835 4/22/2016 676190327 SUPARTI 1782 4/30/2016 676533587

836 4/22/2016 676192015 BIBIT 1783 4/30/2016 676526949

837 4/22/2016 676190766 PU"I ASTUTI 1784 4/30/2016 676527311

838 4/22/2016 676191374 SALAMAH 1785 4/30/2016 676531012

839 4/22/2016 676190428 SAMIRIN 1786 4/30/2016 676533071

840 4/22/2016 676192274 MU"IAMAN 1787 4/30/2016 676529447

841 4/22/2016 676191576 ANDOO 1788 4/30/2016 676533712

842 4/22/2016 676194355 ATINI 1789 4/30/2016 676533317

843 4/22/2016 676191622 MAHMUD A!ANDI 1790 4/30/2016 676533352

844 4/22/2016 676193826 RENDI AHMAT GILI 1791 4/30/2016 676534329

845 4/22/2016 676193308 !EBRI ROSADI 1792 4/30/2016 676534397

846 4/22/2016 676192781 SUMINI 1793 4/30/2016 676534015

847 4/22/2016 676195953 RAUL DIAS 1794 4/30/2016 676537683

848 4/22/2016 676195773 SUARNI 1795 4/30/2016 676536614

849 4/22/2016 676194963 HELIRIYATIN 1796 4/30/2016 676536658

850 4/22/2016 676195042 SRI UTAMI 1797 4/30/2016 676540258

851 4/22/2016 676193951 NIHAYATUL NIMAH 1798 4/30/2016 676536041

852 4/22/2016 676191835 ARGO WI"AYA 1799 4/30/2016 676535332853 4/22/2016 676196379 SUESY 1800 4/30/2016 676537154

854 4/22/2016 676194917 OMSATUN 1801 4/30/2016 676534915

855 4/22/2016 676198978 SITI ASANAH 1802 4/30/2016 676537738

856 4/22/2016 676193264 "UMITA ROSADI 1803 4/30/2016 676539123

857 4/22/2016 676195784 DIYEM 1804 4/30/2016 676535411

858 4/22/2016 676193703 SITI ASLIAN 1805 4/30/2016 676539742

859 4/22/2016 676199698 AHMAT !AI$ EA S 1806 4/30/2016 676540045

860 4/22/2016 676195222 HERLIN EA SA!ITRI 1807 4/30/2016 676544545

861 4/22/2016 676193883 SAHER 1808 4/30/2016 676537378

862 4/22/2016 676194074 "UMAIDI 1809 4/30/2016 676538065

863 4/22/2016 676192678 M ILHAM YUSU! 1810 4/30/2016 676537672

864 4/22/2016 676193466 M MASTUR 1811 4/30/2016 676537964

865 4/22/2016 676201803 DELLA !ITA CAHYANTI 1812 4/30/2016 676540348

866 4/22/2016 676197786 ROIS 1813 4/30/2016 676540078

867 4/22/2016 676199024 MOH ALI SODI 1814 4/30/2016 676544545

868 4/22/2016 676194906 NAILA NUR AINI CRISNIMI 1815 4/30/2016 676543792

869 4/22/2016 676197134 ROMLAH 1816 4/30/2016 676543882

870 4/22/2016 676198102 NIMATUL ASANAH 1817 4/30/2016 676544185

871 4/22/2016 676197066 MU%INI 1818 4/30/2016 676543138

872 4/22/2016 676198923 MOCH NUR $AINI 1819 4/30/2016 676544488

873 4/22/2016 676200431 YULIANTO 1820 4/30/2016 676542947

874 4/22/2016 676203311 MASI"AN 1821 4/30/2016 676542609

875 4/22/2016 676202229 SUDARNO 1822 4/30/2016 676541248

876 4/22/2016 676202861 SRIGATI 1823 4/30/2016 676545322

877 4/22/2016 676200058 SUMARNI 1824 4/30/2016 676544411878 4/22/2016 676200003 D"UMADI 1825 4/30/2016 676541867

879 4/22/2016 676203827 LASMINI 1826 4/30/2016 676543397


13/92

892 4/22/2016 676206628 PARNI 1839 4/30/2016 676566549

893 4/22/2016 676208024 MAT TOHA 1840 4/30/2016 676566573

894 4/22/2016 676204626 ESIYANA DWI YATIM 1841 4/30/2016 676566753

895 4/22/2016 676207945 PU"I WALUYO 1842 4/30/2016 676571681

896 4/22/2016 676205458 RIADI 1843 4/30/2016 676576001

897 4/22/2016 676207113 RUBIAH 1844 4/30/2016 676573672

898 4/22/2016 676208891 SRI WINARSIH 1845 4/30/2016 676576023

899 4/22/2016 676208946 ERNA DWI SRI LESTARI 1846 4/30/2016 676571073

900 4/22/2016 676211411 RA$ITA ISMAIL 1847 4/30/2016 676579522

901 4/22/2016 676209058 CANTIA PUTRI RI$I W 1848 4/30/2016 676577204

902 4/22/2016 676209846 RUTBAN ALIYAH 1849 4/30/2016 676577597903 4/22/2016 676211646 PU"I LESTARI 1850 4/30/2016 676580859

904 4/22/2016 676214807 M DAI 1851 4/30/2016 676579105

905 4/22/2016 676212761 TOTO LIWON 1852 4/30/2016 676578655

906 4/22/2016 676213435 SUPTEMI 1853 4/30/2016 676580139

907 4/22/2016 676213018 MASRII 1854 4/30/2016 676578137

908 4/22/2016 676215483 SITI ASMINAH 1855 4/30/2016 676585822

909 4/22/2016 676218339 M MAWASAN IROM 1856 4/30/2016 676583932

910 4/22/2016 676219149 SUPINAH 1857 4/30/2016 676583212

911 4/22/2016 676214166 TRIO HARTONO 1858 4/30/2016 676585798

912 4/22/2016 676216451 LINA LILI ERNAWATI 1859 4/30/2016 676583976

913 4/22/2016 676211095 SONY ANDRIANTO 1860 4/30/2016 676584213

914 4/22/2016 676215371 NUR IMA APRILIA 1861 4/30/2016 676579601

915 4/22/2016 676214289 "A!A NAPASA 1862 4/30/2016 676590232

916 4/22/2016 676212074 SUARDI 1863 4/30/2016 676581164

917 4/22/2016 676215988 AHMAD SYAI!UDIN 1864 4/30/2016 676585045

918 4/22/2016 676217158 TRI NINGSIH 1865 4/30/2016 676588509

919 4/22/2016 676221671 !IRDAUS DWI HARDIANSYAH 1866 4/30/2016 676586878

920 4/22/2016 676221849 SENEN 1867 4/30/2016 676587126

921 4/22/2016 676218723 ROHMAD 1868 4/30/2016 676584742

922 4/22/2016 676215696 TUGIATI 1869 4/30/2016 676583289

923 4/22/2016 676219803 RISAWATI 1870 4/30/2016 676589635

924 4/22/2016 676220073 YULIONO 1871 4/30/2016 676586643

925 4/22/2016 676219206 AGUS RIADI 1872 4/30/2016 676591053

926 4/22/2016 676220466 SUNARMI 1873 4/30/2016 676590333

927 4/22/2016 676221974 SAMI 1874 4/30/2016 676589973

928 4/22/2016 676221265 A!I CANDAR ADITYA 1875 4/30/2016 676588948

929 4/22/2016 676217542 NINA HERMAWATI 1876 4/30/2016 676588408

930 4/22/2016 676222604 SUDIARTO 1877 4/30/2016 676588555

931 4/22/2016 676219645 SUPRIADI 1878 4/30/2016 676592289

932 4/22/2016 676222244 SRI ANTI ASIH 1879 4/30/2016 676596846

933 4/22/2016 676223638 M BAGUS PRASETYO 1880 4/30/2016 676598545

934 4/22/2016 676225034 WIWIN WIYONO 1881 4/30/2016 676593674

935 4/22/2016 676228105 SITI !ATIMAH 1882 4/30/2016 676594967

936 4/22/2016 676225811 DINING MINARTI 1883 4/30/2016 676596892

937 4/22/2016 676228421 MELINDA AGUSTINA 1884 4/30/2016 676597015

938 4/22/2016 676232651 SITI ASIYAH 1885 4/30/2016 676593854

939 4/22/2016 676232717 ABDULLAH MABRUR 1886 4/30/2016 676596115

940 4/22/2016 676228645 ADIONO 1887 4/30/2016 676597768941 4/22/2016 676230186 PUTRIINDARWATI 1888 4/30/2016 676603012

942 4/22/2016 676230985 IIS SULISTYOWATI 1889 4/30/2016 676598398

943 4/22/2016 676233167 M NUR MA!ID 1890 4/30/2016 676600119

944 4/22/2016 676228184 NIA AGUSTIN 1891 4/30/2016 676602325

945 4/22/2016 676234653 DE#I MARTI PUTRI 1892 4/30/2016 676600029

946 4/22/2016 676228059 PARWOTO 1893 4/30/2016 676600154

947 4/22/2016 676231323 MURTINI 1894 4/30/2016 676599052

1895 4/30/2016 676602415

1896 4/30/2016 676604248

1897 4/30/2016 676602887

"UMLAH UN"UNGAN SEHAT BP"S 1897 '()*) UPT


14/92


15/92


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17/92


18/92


19/92


20/92


21/92


22/92


23/92


24/92


25/92


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28/92


29/92


30/92

NAMA PESERTA

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31/92

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"ONI

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34/92

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MISDI

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ILHAM DIAN

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38/92

TOSIM

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39/92

RI$AD

HELLEN MARSANDA

MARIANI

MUGIONO

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ASHARI

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40/92

SITI MARIYAM

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NANI LESTARI

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41/92

MOHAMAD SOLIIN

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M TEGAR

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42/92

AAN ADE R

SULAIMAN

SITI MUAYAH

DASUI

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AGUS SUWARTO

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43/92


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LAPORAN PELAYANAN KUNJUNGAN SAKIT

RAWAT JALAN TINGKAT PERTAMA (RJTP)

BULAN APRIL TAHUN 2016

Nama Faskes : PUSKESMAS NGASEM

Alamat : NGASEM KAB. KEDIRI

NO TANGGAL NAMA PESERTA DIAGNOSA

1 4/1/2016 108139904 SUMARNISPD M)*) '(*),. :'), +,(';


60/92

104 4/4/2016 676495214 "IEN A**':; ;); =':.), =+' .')*,

105 4/4/2016 676501839 #INICA AL#IO NITA A;+' +((': :',(:):@ '; +,(';<

106 4/4/2016 676502188 SITI !ATIMAH H')=);?'

107 4/4/2016 676503393 LAILATUL RE$EI N+..+*): =':.),

108 4/4/2016 676704947 PONIYEM $,': ';'(?)*,

109 4/4/2016 676705713 !EBRIANA WULANDARI A;+' *):@(?):@,

110 4/4/2016 676750105 SUPARTI M@)*)

111 4/4/2016 676819653 PRAMIDI ALANSYAH G:)= .)* ,'+:', +,(';

116 4/4/2016 676948972 !AI$AH AMATULLOH A;+' +((': :',(:):@ '; +,(';<

117 4/4/2016 676966206 ATIRAN E,,')* (:.):@F ?@(':',

118 4/4/2016 676989832 SUPIYAH M@)*)

119 4/4/2016 677014773 SIH PANGESTU M@)*)

120 4/4/2016 677047061 BINTI MUNA!IRO O?': ;:);'(' .))'.'

121 4/4/2016 677097145 #INDA RATNA SARI A;+' +((': :',(:):@ '; +,(';<

122 4/4/2016 677097145 #INDA RATNA SARI E;',,' )= :'J+' .',:+) >? :

123 4/4/2016 677195201 SALBIYAH H')=);?'

124 4/4/2016 677195695 MASTUR P):)= ,;?(?:')

125 4/4/2016 677195695 MASTUR S;?(?:') +,(';


61/92

215 4/5/2016 677441114 ARLINA CAHYA S D'(,, );;:', ''?

216 4/5/2016 677466336 MURTINI E,,')* (:.):@F ?@(':',

217 4/5/2016 677552488 SUPARTI G'':)* ;+,'** )= )=;' ;:);'

218 4/5/2016 677582043 ARMI"AH E,,')* (:.):@F ?@(':',

219 4/5/2016 677721554 SUGIRAN A;+' ),(?):@, ;.. ;*=

220 4/5/2016 677893151 NANI SRIWILU"ENG A;+' ),(?):@, ;.. ;*=

221 4/5/2016 677994579 THOHA H')=);?'

222 4/5/2016 678017417 RUBINGATUN A;+' ),(?):@, ;.. ;*=

223 4/5/2016 678032616 SITI MUNTOYAH D@,('(,)

224 4/5/2016 678032954 E#A NUR ANGGARINI H')=);?' 225 4/5/2016 678096718 SUARTI A;+' *):@(?):@,

226 4/5/2016 678175402 TUGIYO M@)*)

227 4/5/2016 1038030456 SLAMET A;+' ),(?):@, ;.. ;*=

228 4/5/2016 1038030759 TUINI A;+' ),(?):@, ;.. ;*=

229 4/5/2016 1038035946 PAINAH D@,('(,)

230 4/5/2016 1261582266 EO SUHENDRA S;?(?:') +,(';


62/92

326 4/7/2016 676766981 ARTIN H')=);?'

327 4/7/2016 676776565 SITI WATI U:')* :;?.),,

328 4/7/2016 676844414 RUBINI A;+' +((': :',(:):@ '; +,(';<

329 4/7/2016 676895646 HADI SUPANGAT B:;?, ,(';?+ ,+,

331 4/7/2016 677300062 SULAMI E,,')* (:.):@F ?@(':',

332 4/7/2016 677302582 MU"IATI S+(':, :.)* ?+ ,+,

339 4/7/2016 677558136 PONIRAH E,,')* (:.):@F ?@(':',

340 4/7/2016 677601865 M GALIH EO A;+' ),(?):@, ;.. ;*=

341 4/7/2016 677724006 SAMINI O?': );+' ),:,

342 4/7/2016 677880404 "ANI P:'=.)*@ )**':; ),?.)

343 4/7/2016 678021478 TINAH A**':; ;); =':.), +,(';

359 4/7/2016 1325133641 IMAM BASRI P:'=.)*@ )**':; ),?.)

360 4/7/2016 1390490616 ERIA DWI HERAWATI G'':)* .'=;)* ').) 361 4/7/2016 1787935555 BAHRUDDIN P+*(,

362 4/7/2016 1815983616 MULYONO E,,')* (:.):@F ?@(':',

363 4/7/2016 1815991255 MU"INAH M@)*)

364 4/7/2016 1816852454 PIRNATUN N,+*='('=' =)'', .'**+, >

365 4/7/2016 1839038387 PADANG SATRIA GENDIS WISESA A;+' ),(?):@, ;.. ;*=

366 4/7/2016 1851052138 MUHAMMAD HASAN %ATHAAILLAH BA #:)* ('+.) +,(';


63/92

437 4/9/2016 676628302 ISTI&OMAH A;+' +((': :',(:):@ '; +,(';<

438 4/9/2016 676890876 ARTINAH H'().')*@ >? ,(*'.')*@ '*,'

439 4/9/2016 677127306 SUTINO $,': ';'(?)*,

440 4/9/2016 677127881 SUHARTINI $,': ';'(?)*,

441 4/9/2016 677127925 !INAIRA YANG CRETANTI $,': ';'(?)*,

442 4/9/2016 677186471 SUTINI E,,')* (:.):@F ?@(':',

443 4/9/2016 677498005 SULI SETYORINI H')=);?'

444 4/9/2016 677498319 DINDA CHAOLINA A;+' ),(?):@, ;.. ;*=

445 4/9/2016 677546897 RIATI A;+' +((': :',(:):@ '; +,(';<

446 4/9/2016 677547696 !ERIS ANDA A;+' +((': :',(:):@ '; +,(';<447 4/9/2016 677572525 "UPRIYANTO S:-' ,(';

487 4/11/2016 676801157 M SALIM A;+' *):@(?):@,

488 4/11/2016 676832343 ATI"AN E,,')* (:.):@F ?@(':',

489 4/11/2016 676835605 SOLIIN H')=);?'

490 4/11/2016 676892979 TUTI ASMIATI H')=);?'

491 4/11/2016 676901103 MUSTIANAH A;+' ),(?):@, ;.. ;*=

492 4/11/2016 676911148 MU"IANI E,,')* (:.):@F ?@(':',

493 4/11/2016 676911936 LITA DWI A A**':; +:;):)

494 4/11/2016 676925076 SUHARTI S:-' ,(';


64/92

548 4/11/2016 1538030237 OLI#IA PUTRI RAMADHANI A**':; ;); =':.), =+' .')*,

549 4/11/2016 1605817697 USMIATI M@)*)

550 4/11/2016 1702206044 DIAN ARIS SETYORINI N';:,, (+*(

551 4/11/2016 1702206055 EDWIN DARMAYUDHA HAYAM WURU D)::?') )= ),:'':, (:',+.'=

552 4/11/2016 1810714375 MUSLIMAH E,,')* (:.):@F ?@(':',

553 4/11/2016 1820792349 SUIYAH E,,')* (:.):@F ?@(':',

554 4/11/2016 1832570695 CITRA IRANA PUTRI ALKAURA SHALS A;+' ),(?):@, ;.. ;*=

555 4/11/2016 1841406524 SUPARMI M@)*)

556 4/11/2016 1864900282 PURWONINGSIH D'('=';' :')* =)*@,,

557 4/11/2016 1867211504 SUYOSO A;+' :),.+:)* .@;):=)* ):; 558 4/11/2016 1867212369 GOOD MINARMININGSIH H')=);?'

559 4/11/2016 1958727655 SULTHON AL AMIN P+*(,

560 4/12/2016 108894846 SUTARSI P:'=.)*@ )**':; ),?.)

561 4/12/2016 108967792 MU"ATNO N,+*='('=' =)'', .'**+, >

562 4/12/2016 108967792 MU"ATNO N,+*='('=' =)'', .'**+, >

563 4/12/2016 109005333 SUYATMI E,,')* (:.):@F ?@(':',

564 4/12/2016 109030871 SAOER E,,')* (:.):@F ?@(':',

565 4/12/2016 169914611 ISMIATI A;+' +((': :',(:):@ '; +,(';<

566 4/12/2016 204261355 SLAMET ADI PURNOMO A;+' ),(?):@, ;.. ;*=

567 4/12/2016 675584807 YATEMI E,,')* (:.):@F ?@(':',

568 4/12/2016 675598263 HARTIWI E,,')* (:.):@F ?@(':',

569 4/12/2016 675674673 SANTOSO P:'=.)*@ )**':; ),?.)

570 4/12/2016 675687374 MULIS HARTI A;+' ?)'.::?); ),:,

571 4/12/2016 675847372 SABIIS C':':)* ):; +,(';

580 4/12/2016 676947633 IPSIYAH A;+' +((': :',(:):@ '; +,(';<

581 4/12/2016 676950693 "URI E,,')* (:.):@F ?@(':',

582 4/12/2016 676950906 ARTINI E,,')* (:.):@F ?@(':', 583 4/12/2016 676970706 MUINI A;+' +((': :',(:):@ '; +,(';<

584 4/12/2016 676978648 HARTINI D'(,, );;:', ''?

585 4/12/2016 677015605 !EBRIANTO A;+' +((': :',(:):@ '; +,(';<

586 4/12/2016 677195087 WIBOWO M@)*)

587 4/12/2016 677231842 UMI ASIH H')=);?'

588 4/12/2016 677283636 ASTIMAH E,,')* (:.):@F ?@(':',

589 4/12/2016 677284345 MELSA ASTRIANI A**':; ;); =':.), =+' .')*,

590 4/12/2016 677304246 SUMARTI A;+' ),(?):@, ;.. ;*=

591 4/12/2016 677327758 ELIS SUNARSIH G'':)* ;+,'** )= )=;' ;:);'

592 4/12/2016 677327758 ELIS SUNARSIH M@)*)

593 4/12/2016 677393605 MURTINI S+(':, :.)* ? ;?**,

596 4/12/2016 677497858 RI$A ! !'': >? ;?**,

597 4/12/2016 677498319 DINDA CHAOLINA A;+' ),(?):@, ;.. ;*=

598 4/12/2016 677533105 BUNASIH H')=);?'

599 4/12/2016 677801351 LENIA WATI S+(':, :.)*


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659 4/13/2016 677646257 RIRIN A;+' *):@(?):@,

660 4/13/2016 677650307 CATUR WULAN H')=);?'

661 4/13/2016 677660332 OMSIATUN E;',,' )= :'J+' .',:+) >? :

662 4/13/2016 677768117 ARIS SETIAWAN A**':; +:;):)

663 4/13/2016 677818732 MISILAH D@,('(,)

664 4/13/2016 677943134 TATIAN "A#A D,+:);', ? ':+(

665 4/13/2016 677999981 "ASIR N,+*='('=' =)'', .'**+, >

666 4/13/2016 678071305 SUMARMI H')=);?'

667 4/13/2016 1038016506 ARBI C?:; )(;)* (':=,

668 4/13/2016 1038016517 ATIAH M@)*) 669 4/13/2016 1038023662 SUMARNI H')=);?'

670 4/13/2016 1038024911 TIWI L T?@:;,, +,(';,

683 4/13/2016 1819309983 SITI AMANAH M@)*)

684 4/13/2016 2032276814 YOGI PRIYO PURWANTO S;?(?:') +,(';

688 4/14/2016 108112847 SUHARTILAH M@)*)

689 4/14/2016 108113984 ELLY ASTUTININGSIH E,,')* (:.):@F ?@(':',

690 4/14/2016 108113995 SUARDI I,+*='('=' =)'', .'**+, >? ;

691 4/14/2016 108133874 SUATMI N,+*='('=' =)'', .'**+, >

692 4/14/2016 108224043 #ERONICA LUCY RETNOSARI D'(,, );;:', ''?

693 4/14/2016 108688285 AGUNG ISNARTO MARDIONO M@)*) 694 4/14/2016 171505383 SAGITA DELLA SARI E(*'(,@ +,(';


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770 4/15/2016 678058841 ST AMINAH E,,')* (:.):@F ?@(':',

771 4/15/2016 1038026564 MONAH E,,')* (:.):@F ?@(':',

772 4/15/2016 1038026722 A SAIHUL ISLAM A;+' ),(?):@, ;.. ;*=

773 4/15/2016 1038030456 SLAMET A;+' *):@(?):@,

774 4/15/2016 1038032853 M $AENI D@,('(,)

775 4/15/2016 1038039851 HOTEMI B:=':*' *'(:.)+, *'(:,@

776 4/15/2016 1262097066 MISBAH A;+' ?)'.::?); ),:,

777 4/15/2016 1311553978 SUHERMAN R M@)*)

778 4/15/2016 1383516955 SRIBIYANTI P):)= ,;?(?:')

779 4/15/2016 1397728923 SUTIYANI S+(':, :.)*


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881 4/18/2016 1082904985 SANNI D@,('(,)

882 4/18/2016 1124584301 SRI DENO LINA LIANA WATI I.();'= ''?

883 4/18/2016 1129965298 MOHAMAD MOSIN A;+' *):@(?):@,

884 4/18/2016 1255947017 SITI YULAIAH D@,('(,)

885 4/18/2016 1276341985 SU"ONO I,+*='('=' =)'', .'**+, >? '

886 4/18/2016 1298075804 SRI SUHARTINI A**':; ;); =':.), =+' .')*,

887 4/18/2016 1445157202 AL MAHIRA SYAHI MA!A$A MOSIN A;+' ),(?):@, ;.. ;*=

888 4/18/2016 1472528709 TRI YUNIARTI O?': (*): )';' =,:=':,

889 4/18/2016 1803686894 SRI NURASIH N+..+*): =':.),

890 4/18/2016 1803690022 SUARSIH N+..+*): =':.), 891 4/18/2016 1820792349 SUIYAH M@)*)

892 4/18/2016 1831368418 MU"IRAH T+':;+*,, *+ ;

895 4/18/2016 2048846128 BIMBI UUH AGIANTO PERDANA A;+' *):@(?):@,

896 4/19/2016 102724795 SUANDRI S:-' ,(';

931 4/19/2016 678090745 MURTINI E,,')* (:.):@F ?@(':',

932 4/19/2016 678175402 TUGIYO M@)*)

933 4/19/2016 1038022029 ADI CANDRA BUDI AD A;+' *):@(?):@,

934 4/19/2016 1038023662 SUMARNI N,+*='('=' =)'', .'**+, >

935 4/19/2016 1038024898 NA!SIAH A;+' +((': :',(:):@ '; +,(';<

936 4/19/2016 1038028173 ELO $AINATIN N D@,('(,)

937 4/19/2016 1038035799 MEGA WATI A**':; ;); =':.), =+' .')*,

938 4/19/2016 1038035801 "O#ANA MEGA N A;+' *):@(?):@,

939 4/19/2016 1038036969 ILMA MU!IDA A;+' +((': :',(:):@ '; +,(';<

940 4/19/2016 1038039131 MUSRIAH E,,')* (:.):@F ?@(':',

941 4/19/2016 1082499748 $UYUN TRI WULANDARI A;+' *):@(?):@,

942 4/19/2016 1260981639 SUPRAPTO M@)*)


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992 4/20/2016 1038032785 MUSERIN A;+' ),(?):@, ;.. ;*=

993 4/20/2016 1038035913 SUWARTO H')=);?'

994 4/20/2016 1287501928 SUGIYEM I,+*='('=' =)'', .'**+, >? '

995 4/20/2016 1792771288 SUYATI A;+' ),(?):@, ;.. ;*=

996 4/20/2016 1807401611 SUMARTI H')=);?'

997 4/20/2016 1888978836 ATINAH M@)*)

998 4/20/2016 1968124408 MUARWIATI H')=);?'

999 4/20/2016 2048205767 SUMI"AN C)*;+*+, +:'?:)

1000 4/20/2016 2048846128 BIMBI UUH AGIANTO PERDANA A;+' ),(?):@, ;.. ;*=

1001 4/21/2016 108063336 SITI MUDRIAH P+*(, 1002 4/21/2016 108113984 ELLY ASTUTININGSIH O?': );+' ),:,

1003 4/21/2016 108301869 ABDUL A$I$ E,,')* (:.):@F ?@(':',

1004 4/21/2016 108340536 SUSANTA D,:=': :':); +,(';?+ ,+,

1025 4/21/2016 677097145 #INDA RATNA SARI A;+' ),(?):@, ;.. ;*=

1026 4/21/2016 677111163 MU"IATI A;+' +((': :',(:):@ '; +,(';<1027 4/21/2016 677113762 SUYONO A;+' +((': :',(:):@ '; +,(';<

1028 4/21/2016 677150403 MUINI R?'+.),. +,(';

1031 4/21/2016 677171867 ERISA !ITRIA R O?': );+' ),:,

1032 4/21/2016 677282376 SUTIYEM D@,('(,)

1033 4/21/2016 677505442 TUMINI H')=);?'

1034 4/21/2016 677534488 SAMPUNAH H')=);?'

1035 4/21/2016 677541339 ALE ARDIANSAYAH P R';+::' :)* )(??)'

1036 4/21/2016 678072835 RIA S+(':, :.)*


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1103 4/23/2016 676912781 SITI ROBIAH N,+*='('=' =)'', .'**+, >

1104 4/23/2016 676962832 YULIATIN A;+' *):@(?):@,

1105 4/23/2016 677031895 SITI HOMARIYAH D@,('(,)

1106 4/23/2016 677101094 SUGIARTI U:')* :;?.

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PCARE APRIL 2016.xls