LP Pelayanan Pasien 14 03 2023 075358

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#000000}</style></head><html><body><h4 align=center><font face=helvetica
size=3>Laporan pelayanan Pasien</font></h4><hr noshade color=#000000 size=5
width=130%><table border=0><tr><td><font face=helvetica size=2>Puskesmas </td><td>:
</font><font face=helvetica size=2 color=#3333FF>Lamper
Tengah</td><td></td></tr><tr><td><font face=helvetica size=2>Periode </td><td>:
</font><font face=helvetica size=2
color=#3333FF>26-January-2023</td><td></td></tr><tr><td><font face=helvetica
size=2>Sampai </td><td>: </font><font face=helvetica size=2 color=#3333FF>25-
February-2023</td><td> </td></tr><tr><td><font face=helvetica size=2>Kab/Kodya
</td><td>: </font><font face=helvetica size=2
color=#3333FF>Semarang</font></td><td></td><td> </td><td> </td></
tr><tr><td><font face=helvetica size=2>Propinsi </td><td>: </font><font
color=#3333FF face=helvetica size=2>Jawa
Tengah</font></td><td></td></tr></table><hr noshade color=#000000 size=5
width=130%><table bgcolor=#FFFFFF border=1 cellspacing=0 cellpadding=1><tr>
<th rowspan=2>no</th>
<th rowspan=2>Nama/ Nama KK</th>
<th rowspan=2>NO REG</th>
<th rowspan=2>Alamat</th>
<th rowspan=2>L/P</th>
<th rowspan=2>Umur</th>
<th colspan=2 scope=colgroup>Pasien</th>
<th rowspan=2>BB/TB</th>
<th rowspan=2>BMI/Status</th>
<th rowspan=2>TD</th>
<th rowspan=2>Diagnosa</th>
<th rowspan=2>Poli</th>
<th rowspan=2>Cara Bayar</th>
<th rowspan=2>Rujukan</th>
<th rowspan=2>Kelurahan</th>
</tr><tr>
<th style='padding: 0px' scope='col'>Baru</th>
<th style='padding: 0px' scope='col'>Lama</th>
</tr> <tr>
<td>1</td>
<td>LIANASARI BUDHISEDJATI / LIANASARI BUDHISEDJATI</td>
<td>00A98600</td>
<td>JL MANGGIS 3/11</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 153</td>
<td>23.9/NORMAL</td>
<td>158 / 92</td>
<td>I10</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2</td>
<td>SARINAH / SARINAH</td>
<td>0800119300</td>
<td>JL. PETERONGAN TIMUR 322</td>
<td>P</td>
<td>79 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 150</td>
<td>20/NORMAL</td>
<td>170 / 72</td>
<td>r50</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3</td>
<td>SARJITO / SARJITO</td>
<td>080000178600</td>
<td>JL. LAMPER TENGAH XV NO.8</td>
<td>L</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>27.3/BB LEBIH</td>
<td>140 / 85</td>
<td>z09.0</td>
<td>lansia</td>
<td>bpjs non pbi</td>
<td>tidak</td>
<td>Lamper Tengah</td>
</tr> <tr>
<td>4</td>
<td>SUROSO / SUROSO</td>
<td>00E059900</td>
<td>JL. PETERONGAN TENGAH</td>
<td>L</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 165</td>
<td>145 / 98</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>5</td>
<td>RUTH TRIMURNI (prolanis) / RUTH TRIMURNI</td>
<td>9090080303</td>
<td>JL. GAYAMSARI IV NO.52</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 148</td>
<td>26/BB LEBIH</td>
<td>120 / 70</td>
<td>E11.6</td>
<td>lansia</td>
<td>ya</td>
<td>Gemah</td>
</tr> <tr>
<td>6</td>
<td>ALFIANI NUR KHOLIFAH / ROICHAN</td>
<td>9090219403</td>
<td>JL. GAYAMSARI SELATAN</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>30 / 126</td>
<td>100 / 78</td>
<td>k12.1</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Sendangguwo</td>
</tr> <tr>
<td>7</td>
<td>MUHAMMAD TIRTA FITRI ADY / ADI DODI</td>
<td>90B42803</td>
<td>JL. KABA RAYA</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 125</td>
<td>120 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>8</td>
<td>MUHAMMAD FATHAN ALFARIZQI / HARY SULISTIYONO</td>
<td>00A75304</td>
<td>JL.JERUK VIII/14</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>14 / 104</td>
<td>12.9/KURUS</td>
<td>90 / 60</td>
<td>z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>9</td>
<td>LISA AMALIA PUSPITASARI / IMAM SUGIYANTO</td>
<td>0000194903</td>
<td>JL. LAMPER TENGAH X/13</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 152</td>
<td>128 / 81</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>10</td>
<td>MUHAMMAD RAKHA DHANA ADIARSO / ARIEF WIDJAYA</td>
<td>00A13402</td>
<td>JL.BANCAR ASRI TIMUR NO. 4</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 160</td>
<td>18/KURUS</td>
<td>120 / 80</td>
<td>C49.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>11</td>
<td>FEBRIYAN CAHYA PREHANANDA / DUANG SUBEKTI</td>
<td>90H010302</td>
<td>JL.GAYAMSARI SELATAN</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>22 / 131</td>
<td>12.8/KURUS</td>
<td>100 / 79</td>
<td>k00</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>12</td>
<td>NAUFAL VINO ALDIANTO / LASDI</td>
<td>90H004403</td>
<td>JL.BULUSARI KEL.PULOSAREN KEC.KEPIL KAB. WONOSOBO</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4475 / 54</td>
<td>15346.4/OBESITAS</td>
<td>90 / 60</td>
<td>z27</td>
<td>imunisasi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>13</td>
<td>DHANANJAYA DZIKRI SYA'BAN ALSYAKI / ZAENAL ALIKIN</td>
<td>90E036302</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 120</td>
<td>17.4/KURUS</td>
<td>100 / 60</td>
<td>l30</td>
<td>umum</td>
<td>umum</td>
<td>rujuk internal</td>
</tr> <tr>
<td>14</td>
<td>PURYADI / PURYADI</td>
<td>080000708600</td>
<td>JL. LAMPER TENGAH</td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 158</td>
<td>22/NORMAL</td>
<td>134 / 100</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>15</td>
<td>DHANANJAYA DZIKRI SYA'BAN ALSYAKI / ZAENAL ALIKIN</td>
<td>90E036302</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 120</td>
<td>17.4/KURUS</td>
<td>100 / 60</td>
<td>l30</td>
<td>gigi</td>
<td>umum</td>
</tr> <tr>
<td>16</td>
<td>SRI LESTARI / SRI HARTONO</td>
<td>080000430301</td>
<td>JL. PANDEAN LAMPER II/39</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 157</td>
<td>120 / 80</td>
<td>m17</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>17</td>
<td>QIANA AZAHRA ATIQAH / FERRY FERDIYANTO</td>
<td>0000473705</td>
<td>JL. RAMBUTAN BARAT NO. 6</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4500 / 55</td>
<td>14876/OBESITAS</td>
<td>89 / 45</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>18</td>
<td>MAWARDI / MAWARDI</td>
<td>080000605100</td>
<td>JL. LAMPER MIJEN</td>
<td>L</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 160</td>
<td>133 / 84</td>
<td>A09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>19</td>
<td>RUTINAH / ROHADI</td>
<td>0800J49301</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 147</td>
<td>130 / 80</td>
<td>R73.9</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>20</td>
<td>PARDJONO / PARDJONO</td>
<td>089090210100</td>
<td>JL. LEMBAYUNG</td>
<td>L</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 168</td>
<td>130 / 77</td>
<td>k30</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>21</td>
<td>MUHAMMAD SHOLEH / HENDRI NUR CAHYONO</td>
<td>00E067402</td>
<td>JL. KEDONDONG DALAM III/32</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>13 / 98</td>
<td>13.5/KURUS</td>
<td>89 / 56</td>
<td>j06</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>22</td>
<td>ANA SOLICHAH / IWAN SETIAWAN</td>
<td>00E041902</td>
<td>JL.LAMPER TENGAH GG.VIII NO.664-B</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 153</td>
<td>114 / 94</td>
<td>j02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>23</td>
<td>PATRICIO KAFI / JOKO RIYANTO</td>
<td>00A38505</td>
<td>PANDEAN LAMPER IV</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6500 / 63</td>
<td>90 / 60</td>
<td>z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>24</td>
<td>KAMINI / MARIMAN</td>
<td>90A17701</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>160 / 90</td>
<td>r03.0</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>25</td>
<td>GHANI ZAYDAN ARRAZKA / ANGGA DWI NUGRAHA</td>
<td>00E082202</td>
<td>JL. LAMPER TENGAH VII/662A</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.2 / 78</td>
<td>16.8/KURUS</td>
<td>89 / 54</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>26</td>
<td>MUHAMMAD ILYAS NUR SODIQ / SODIQ</td>
<td>00B58005</td>
<td>JL. LAMPER TENGAH 8</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.7 / 60</td>
<td>88 / 43</td>
<td>L30</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>27</td>
<td>KIKI SUDARSONO / KIKI SUDARSONO</td>
<td>9090354000</td>
<td>JL. BAYEM VIII NO.18</td>
<td>L</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 168</td>
<td>145 / 91</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>28</td>
<td>ANNA DYAH KUSUMASTUTI / SAKA APRILIADI PURWANTO</td>
<td>90G058801</td>
<td>JL.PANCURSARI</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 157</td>
<td>16.6/KURUS</td>
<td>112 / 67</td>
<td>Z27</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Jangli</td>
</tr> <tr>
<td>29</td>
<td>MUHAMMAD DZAKY AALHASSAN / SEPTIYANTO BAYU NUGROHO</td>
<td>00D035802</td>
<td>JL. KEDONDONG DALAM II/2</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.1 / 90</td>
<td>16.2/KURUS</td>
<td>90 / 60</td>
<td>z00</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>30</td>
<td>ASYIFA YUSFINA HANAN PRASETYA. / SATYA SANTOSA</td>
<td>00D010204</td>
<td>JL.CEMPEDAK UTARA 33C</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.5 / 61</td>
<td>17.5/KURUS</td>
<td>89 / 45</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>31</td>
<td>NAJWA AQILA QIRANI / DIDIT POERWADI</td>
<td>0090178705</td>
<td>JL.TANDANG SELATAN</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 113</td>
<td>13.3/KURUS</td>
<td>100 / 70</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>32</td>
<td>KHALISA FREYA PRADASTI / SEPTIAJI PRADANA</td>
<td>00E029901</td>
<td>JL. LAMPER TENGAH XV-C/34</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.5 / 72</td>
<td>18.3/KURUS</td>
<td>90 / 60</td>
<td>z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>33</td>
<td>E ARYANTI DYAH SUMIARSIH / YOHANES SUHERMAWAN</td>
<td>90H099301</td>
<td>JL. KINIBALU IV/22-A</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 155</td>
<td>138 / 85</td>
<td>k02</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>34</td>
<td>NATASYA DINA ELTIA / EKO SETYO WIBOWO</td>
<td>00BPJS0101</td>
<td>JL. LAMPER TENGAH XV-B</td>
<td>P</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 118</td>
<td>14.4/KURUS</td>
<td>100 / 80</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>35</td>
<td>SENTYA NUGRAHENI ARUM SASMITA / SENTYA NUGRAHENI ARUM SASMITA</td>
<td>90H080601</td>
<td>JL. MERPATI III PERUM MERPATI RESIDENCE KAV. N</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>92 / 168</td>
<td>100 / 70</td>
<td>T79</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Pedurungan Tengah</td>
</tr> <tr>
<td>36</td>
<td>YUSUF AL KAHFI / SARJITO</td>
<td>90H097203</td>
<td>DUSUN CURUT, KEL. CURUT, KEC. PENAWANGAN, KAB. GROBOGAN</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.5 / 75</td>
<td>13.3/KURUS</td>
<td>88 / 40</td>
<td>R50</td>
<td>mtbs</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>37</td>
<td>DEBY EKA PRATIWI / EKO PRANOTO / MUSLIM</td>
<td>060000335502</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>70.5 / 150</td>
<td>108 / 72</td>
<td>Z35</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>Peterongan</td>
</tr> <tr>
<td>38</td>
<td>060000335502</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>70.5 / 150</td>
<td>108 / 72</td>
<td>Z35</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>Peterongan</td>
</tr> <tr>
<td>39</td>
<td>MUHAMMAD ARSYAN SAPUTRA / GUNAWAN PRIANGGODO</td>
<td>00E031002</td>
<td>JL.LAMPERSARI NO. 79</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.3 / 74</td>
<td>17/KURUS</td>
<td>88 / 40</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Kidul</td>
</tr> <tr>
<td>40</td>
<td>GALIH KUSUMANINGSIH / AGUNG SANTOSO</td>
<td>90H099401</td>
<td>JL. KAPRI NO.50</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 160</td>
<td>114 / 89</td>
<td>k30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>41</td>
<td>ZANNA PUTRI AISYAH / CRISMANTO</td>
<td>080000903602</td>
<td>JL.CEMPEDAK UTARA II A</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.9 / 70</td>
<td>88 / 41</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>42</td>
<td>DESENSIA NATASYA SIFABELLA / BAGUS BACHTIAR</td>
<td>080J09304</td>
<td>JL. PETERONGAN TIMUR</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4135 / 54</td>
<td>90 / 60</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>43</td>
<td>BARIKHA / SUKRON</td>
<td>080000347990</td>
<td>JL.LAMPER MIJEN</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 149</td>
<td>157 / 81</td>
<td>R73.9</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>44</td>
<td>SHAKILA DESWITA AURELLIANI / AGUNG SURONO</td>
<td>90E029103</td>
<td>JL. LAMPER TENGAH GANG X NO.26</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.7 / 80.5</td>
<td>15/KURUS</td>
<td>88 / 42</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>45</td>
<td>RUKIYATI / PARJONO</td>
<td>089090210101</td>
<td>JL.LEMBAYUNG</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 150</td>
<td>160 / 94</td>
<td>E11</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>46</td>
<td>ANINDIRA MAHASWARI / ABANG</td>
<td>90F024502</td>
<td>DUSUN PANGANJUR KEL.KAPETAKAN KEC.KAPETAKAN KAB.CIREBON</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.1 / 76</td>
<td>15.8/KURUS</td>
<td>90 / 69</td>
<td>z00</td>
<td>imunisasi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>47</td>
<td>SARDJU / SARDJU</td>
<td>00E046500</td>
<td>JL.PANDEAN LAMPER IV</td>
<td>L</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 160</td>
<td>110 / 80</td>
<td>I64</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>48</td>
<td>060000335502</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 150</td>
<td>108 / 72</td>
<td>z35.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>49</td>
<td>AISYAH RISQIANA AZZAHRA / FAIZAL BAYU AJI</td>
<td>90H021602</td>
<td>JL.CINDE SELATAN</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6200 / 63</td>
<td>88 / 41</td>
<td>R50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>50</td>
<td>MAULANA AL'AZMI SAPUTRA / YUDI SAPUTRA</td>
<td>00C065902</td>
<td>JL. LAMPER TENGAH GG XII</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.2 / 85</td>
<td>15.5/KURUS</td>
<td>90 / 60</td>
<td>z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>51</td>
<td>POYEM / POYEM</td>
<td>0000190790</td>
<td>JL. DURIAN IV/26</td>
<td>P</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 150</td>
<td>17.3/KURUS</td>
<td>154 / 76</td>
<td>A16</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>52</td>
<td>JAENUN / JAENUN</td>
<td>080000416100</td>
<td>JL.CEMPEDAK SELATAN</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 156</td>
<td>126 / 65</td>
<td>L02</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>53</td>
<td>SYAQILLA KHAIRINA VIA MAHVEEN / M BARIK VIA RIZQI</td>
<td>90E012402</td>
<td>DK SAMBUNG </td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.4 / 83</td>
<td>16.5/KURUS</td>
<td>90 / 60</td>
<td>z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Rowosari</td>
</tr> <tr>
<td>54</td>
<td>LEGIYEM / BASUKO</td>
<td>00D005701</td>
<td>JL. JERUK VIII/8-A</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 158</td>
<td>115 / 73</td>
<td>J02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>55</td>
<td>SITI NURSHOLEKHAH / SARIMAN</td>
<td>080000326993</td>
<td>LAMPER TENGAH XII</td>
<td>P</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>90 / 160</td>
<td>122 / 83</td>
<td>k01.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>56</td>
<td>MOELYO WIDODO / MOELYO WIDODO</td>
<td>00E081800</td>
<td>JL. MANGGIS VII/34</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>153 / 94</td>
<td>R73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>57</td>
<td>ALVARO ABBIYA DHIAULHAQ / WAHYU RAGIL SUSILO</td>
<td>089090085491</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.7 / 67</td>
<td>17.2/KURUS</td>
<td>88 / 43</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>58</td>
<td>MUHAMMAD YUDHA SAKTI PUTRA / MUHAMMAD YUDHA SAKTI PUTRA</td>
<td>90H099500</td>
<td>JL. KRAJAN, CEPIRING, CEPIRING, KAB. KENDAL</td>
<td>L</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 170</td>
<td>94 / 70</td>
<td>a09</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>59</td>
<td>SUKATMI / SUKATMI</td>
<td>00D036100</td>
<td>CEMPEDAK SELATAN</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>33 / 150</td>
<td>14.7/KURUS</td>
<td>110 / 80</td>
<td>A15</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>60</td>
<td>SAJID SAKHIY / SEPTIAN ADI SURYO</td>
<td>0800003269101</td>
<td>JL. LAMPER TENGAH XII</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.3 / 87</td>
<td>13.6/KURUS</td>
<td>90 / 60</td>
<td>Z27</td>
<td>imunisasi</td>
<td>tidak</td>
</tr> <tr>
<td>61</td>
<td>ANINDITA KEISHA NISRINA PUTRI / DANAR SETIAWAN</td>
<td>00189002</td>
<td>JL. JERUK TIMUR II NO I B</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 125</td>
<td>13.4/KURUS</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>62</td>
<td>SULASTRI / SULASTRI</td>
<td>080J047700</td>
<td>JL. PISANG</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 141</td>
<td>129 / 69</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>63</td>
<td>FAZIA TRIEYA OKTAVIANA / SURATMAN</td>
<td>080000538804</td>
<td>JL.CEMPEDAK UTARA</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5300 / 60</td>
<td>90 / 60</td>
<td>z00</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>64</td>
<td>MUHAMMAD IBRAHIM ARIFANTO / MUHAMMAD FAJAR ALFIANTO</td>
<td>90H061402</td>
<td>JL. ASRAMA TNI AD MRICAN</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4700 / 57</td>
<td>88 / 42</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>65</td>
<td>IKA RINI INDRANINGRUM / SUTRIYONO</td>
<td>00BPJS0024</td>
<td>JL.JERUK VII/10A LAMPER LOR</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 155</td>
<td>150 / 90</td>
<td>e11.6</td>
<td>umum</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>66</td>
<td>MOHAMMAD ANDIKA PUTRA / DWI SULISTIYONO</td>
<td>00E080204</td>
<td>JL. RAMBUTAN BARAT IV/23A</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>17.2 / 106</td>
<td>15.3/KURUS</td>
<td>90 / 42</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>67</td>
<td>PARIYEM / PARIYEM</td>
<td>0000188606</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 145</td>
<td>158 / 90</td>
<td>l02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>68</td>
<td>rachelio ersya sanskara / NAUFAL ROCHMANDIKA</td>
<td>00C057003</td>
<td>JL.BADAK V KECIL NO.19</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6200 / 61</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Pandean Lamper</td>
</tr> <tr>
<td>69</td>
<td>ENDANG LESTARI / YONO UNGKORO</td>
<td>080000802701</td>
<td>JL. PANDEAN LAMPER III/1</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 143</td>
<td>120 / 79</td>
<td>h25</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>70</td>
<td>MUHAMMAD ALFARIZI PUTRA ADITIA / MUHAMMAD GUNTUR ADITYA</td>
<td>90H067102</td>
<td>JL.PETERONGAN SARI I/20</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3500 / 51</td>
<td>90 / 60</td>
<td>z27</td>
<td>imunisasi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>71</td>
<td>SRI MIJIARTININGSIH / AMAT SAIKIN</td>
<td>9090320001</td>
<td>JL.LAMPER TENGAH II</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>150 / 90</td>
<td>J00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>72</td>
<td>FADILLA NURUL ALIF / HENDRO WAHYUDI</td>
<td>000058403</td>
<td>JL. LAMPER LOR 1057-A</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 155</td>
<td>105 / 66</td>
<td>A09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>73</td>
<td>ALVARENDRAPUTRA PRADIPTA / ALBIAN PRADIPTA</td>
<td>090000368102</td>
<td>JL.DOLOG LOR RAYA III/33</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.4 / 73.5</td>
<td>17.4/KURUS</td>
<td>88 / 41</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Tlogosari Wetan</td>
</tr> <tr>
<td>74</td>
<td>DWI PUTRI FEBRIANI / ANGGORO BAYU DIWANTORO</td>
<td>9090320092</td>
<td>JL. LAMPER TENGAH II</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 135</td>
<td>13.7/KURUS</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>75</td>
<td>ZAKY FIRMANSYAH / ZAENAL ABIDIN</td>
<td>00445704</td>
<td>JL PETERONGAN TENGAH NO.14</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 130</td>
<td>90 / 60</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>76</td>
<td>PARAHETA APRILIA / ZAENAL ABIDIN</td>
<td>080000445792</td>
<td>JL. PETERONGAN TENGAH NO.14</td>
<td>P</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 149</td>
<td>129 / 91</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>77</td>
<td>CAHYA DEWI JANUARI PRATIWI / DARMAWAN</td>
<td>080000198203</td>
<td>JL.PETERONGAN KOBONG</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 160</td>
<td>16/KURUS</td>
<td>102 / 79</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>78</td>
<td>DIONISIUS OKKY SIYANA / DIONISIUS OKKY SIYANA</td>
<td>90F071802</td>
<td>JL.CERMAI RAYA</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 160</td>
<td>103 / 63</td>
<td>k30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>79</td>
<td>DINUK MARINI / MOCHAMAD TRI PRASETYO</td>
<td>00B91201</td>
<td>JL. PETERONGAN TENGAH II/316</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>77.5 / 162.2</td>
<td>96 / 64</td>
<td>z34</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>Peterongan</td>
</tr> <tr>
<td>80</td>
<td>ROPIK / KUSUWARTO</td>
<td>00C38201</td>
<td>JL. JERUK II/1631-B</td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 158</td>
<td>112 / 69</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>81</td>
<td>TIMBUL UJI EDI SANTOSO / TIMBUL UJI EDI SANTOSO</td>
<td>00D069400</td>
<td>JL. PANDEAN LAMPER II / 83</td>
<td>L</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 157</td>
<td>156 / 102</td>
<td>j02</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>82</td>
<td>DENISHA DWI NOVITASARI / DEDI AGUS SETIAWAN</td>
<td>00A32303</td>
<td>JL.BATURSARI V KEL.SAWAHBESAR KEC.GAYAMSARI</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.9 / 74.5</td>
<td>17.8/KURUS</td>
<td>70 / 50</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>83</td>
<td>WINARNO PURNO NUGROHO (PROLANIS) / WINARNO PURNO NUGROHO</td>
<td>90A76600</td>
<td>DURIAN III /19</td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 166</td>
<td>110 / 70</td>
<td>E11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>84</td>
<td>GIBRAN PANDU SAPUTRA / VITRA ADI GUNA SAPUTRA</td>
<td>00E006602</td>
<td>JL.LAMPER MIJEN NO.337</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.4 / 77.5</td>
<td>15.7/KURUS</td>
<td>71 / 52</td>
<td>Z27</td>
<td>imunisasi</td>
<td>tidak</td>
</tr> <tr>
<td>85</td>
<td>TITIZ SATRIA WIJAYA / NGATI ATI</td>
<td>00232903</td>
<td>JL.LAMPER TENGAH I/557</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>27 / 122</td>
<td>18.1/KURUS</td>
<td>111 / 85</td>
<td>k00</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>86</td>
<td>PETER SANJAYA / PETER SANJAYA</td>
<td>00C054500</td>
<td>JL.PANDEAN LAMPER II NO.83</td>
<td>L</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 163</td>
<td>18.4/KURUS</td>
<td>101 / 75</td>
<td>h81.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>87</td>
<td>ASYIFA PUTRI AURA ZASKIA / ERY SUTRISNO</td>
<td>90A59802</td>
<td>JL. KARANGLO</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.7 / 79</td>
<td>15.5/KURUS</td>
<td>91 / 52</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>88</td>
<td>DINUK MARINI / MOCHAMAD TRI PRASETYO</td>
<td>00B91201</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>77.5 / 162.2</td>
<td>96 / 64</td>
<td>z34</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>Peterongan</td>
</tr> <tr>
<td>89</td>
<td>SUWARDJO / SUWARDJO</td>
<td>0800J100200</td>
<td>JL. LAMPER TENGAH I/552-A</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 167</td>
<td>141 / 79</td>
<td>r05</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>90</td>
<td>SUROJO / SUROJO</td>
<td>0800071800</td>
<td>JL.CERME II</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 165</td>
<td>103 / 69</td>
<td>a09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>91</td>
<td>ODILIA DENADA GENDHIS / YOSUA</td>
<td>90D087102</td>
<td>JL. KP SIKLUWUNG ASRI</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4300 / 55.5</td>
<td>72 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>92</td>
<td>SITI KOMARIAH / SUTARNO</td>
<td>00B0801</td>
<td>JL.PETERONGAN SARI I/20B</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>89 / 168</td>
<td>155 / 99</td>
<td>k04.7</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>93</td>
<td>SHAZFA ASKHADINA APRILYA PUTRI / HARIYONO</td>
<td>0000BPJS005903</td>
<td>JL. LAMPER TENGAH IX/10</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.5 / 86.5</td>
<td>12.7/KURUS</td>
<td>90 / 60</td>
<td>K12</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>94</td>
<td>MOHAMAD ALGIVARY SULAIMAN / MUHAMAD ZAENAL</td>
<td>90H083603</td>
<td>JL. PEGANGSAAN DUA, PEGANGSAAN DUA, KELAPA GADING, JAKARTA UTAR</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>19 / 112</td>
<td>15.1/KURUS</td>
<td>80 / 50</td>
<td>a09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>95</td>
<td>DAEHAN AZRIEL IRAWAN / RUDI IRAWAN</td>
<td>00537402</td>
<td>JL. MANGGIS VIII NO 5</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.8 / 94</td>
<td>13.4/KURUS</td>
<td>88 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>96</td>
<td>FAYYOLA NAYSILLA PUTRI FATUR / FATUR FAJAR PRIYAMBUDI</td>
<td>000J53204</td>
<td>JL.KARANGROTO NANGENG</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5.9 / 63.3</td>
<td>14.7/KURUS</td>
<td>72 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Karangroto</td>
</tr> <tr>
<td>97</td>
<td> REINA CHAYRA AHMAD / AHMAD THOLIB</td>
<td>0000A44304</td>
<td>JALAN PETERONGAN KOBONG 48</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.7 / 85</td>
<td>14.8/KURUS</td>
<td>89 / 54</td>
<td>Z27</td>
<td>imunisasi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>98</td>
<td>SATRIYA ARMENDO DIFANA / SUROJO</td>
<td>0800J718002</td>
<td>KP. CERME II</td>
<td>L</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 141</td>
<td>99 / 75</td>
<td>J35.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>99</td>
<td>SHOLIHATUL AMALIA / RONI SETIAWAN</td>
<td>90A0905</td>
<td>DUSUN CALUK, DESA POJOK, KEC. PULOKULON, KAB. GROBOGAN</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 99</td>
<td>18.4/KURUS</td>
<td>80 / 50</td>
<td>Z03.0</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>100</td>
<td>BELVA ALFANIA GIVANNA PUTRI / ALFIAN IBNU HABIBIE</td>
<td>00D012002</td>
<td>JL.LAMPER MIJEN UTARA</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>12.3 / 72</td>
<td>72 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>101</td>
<td>EVANDRA PUTRA ALFAREZA / AGUS SUPRIYANTO</td>
<td>0800J93502</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6600 / 61</td>
<td>90 / 60</td>
<td>r50 </td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>102</td>
<td>HENI ISWATI / KRISYANTO</td>
<td>0800J94301</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 155</td>
<td>20/NORMAL</td>
<td>118 / 80</td>
<td>Z30</td>
<td>kia</td>
<td>tidak</td>
</tr> <tr>
<td>103</td>
<td>GYNAIKA KALANDRA AFRA / BAYU TRI W</td>
<td>00D041804</td>
<td>JL LAMPER TENGAH</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.2 / 72</td>
<td>72 / 50</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>104</td>
<td>SETIYO NUGRAHANI,SIP / SETIYO NUGRAHANI,SIP</td>
<td>90H099601</td>
<td>JL.KARANGGAWANG BARU</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 158</td>
<td>140 / 87</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>105</td>
<td>MUHAMMAD ARSYANENDRA ALBIRRUNI / WIWIN HEDAYANTO</td>
<td>080000384593</td>
<td>JL. LAMPER MIJEN </td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.6 / 72.5</td>
<td>16.4/KURUS</td>
<td>72 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>tidak</td>
</tr> <tr>
<td>106</td>
<td>PUTRI AYU HANDINI / DINO ROMADHAN</td>
<td>089090407906</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 160</td>
<td>119 / 74</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>107</td>
<td>AMELIA TRI HAFSARI / BUDI SUDRAJAT</td>
<td>00134405</td>
<td>JL. TAMAN DURIAN NO 16</td>
<td>P</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 156.5</td>
<td>110 / 70</td>
<td>h91.2</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>108</td>
<td>KEYRA SYAZA JENNAIRA / MAULANA ARIF PURWANTO</td>
<td>00000454491</td>
<td>JL PANDEAN LAMPER 4</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5000 / 60</td>
<td>72 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>109</td>
<td>BUDI WIDYASTUTI, SH / YATNO</td>
<td>00C066801</td>
<td>JALAN JERUK V/16</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 147</td>
<td>120 / 79</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>110</td>
<td>CHINTIA RIADINA MAHARANI / CHINTIA RIADINA MAHARANI</td>
<td>90F007202</td>
<td>BOROBUDUR TIMUR NO 32</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 156</td>
<td>23/NORMAL</td>
<td>114 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Kembangarum</td>
</tr> <tr>
<td>111</td>
<td>ARIS HARI WIBOWO / ARIS HARI PRABOWO</td>
<td>90D082700</td>
<td>JL.SAWI IA</td>
<td>L</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 156</td>
<td>128 / 85</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>112</td>
<td>QUINA RANIA SUGIYANTI / SUGIYANTO</td>
<td>079090237205</td>
<td>JL. SAWI</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.500 / 67</td>
<td>14.5/KURUS</td>
<td>90 / 60</td>
<td>z27 </td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>113</td>
<td>JOACHIM XANOKA CHRISDIYANTO / ANDREAS O.K.</td>
<td>00E082402</td>
<td>JL. MANGGIS II NO. 6</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>2300 / 46</td>
<td>89 / 52</td>
<td>Z00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>114</td>
<td>ANI YULIATI / ANI YULIATI</td>
<td>90H099701</td>
<td>DSN. KERJO I, KEL. GENJAHAN, KEC. PONJONG, KAB. GUNUNGKIDUL, DIY</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>58.7 / 155</td>
<td>173 / 99</td>
<td>Z27</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>115</td>
<td>ZAHRA AMEERA NUR RIZKY ARDHIANI / NUR ARIANTO</td>
<td>90A18505</td>
<td>JL. GEMAH TENGAH NO.14</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5200 / 55</td>
<td>90 / 60</td>
<td>z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>116</td>
<td>KEYLA PUTRI / KEYLA PUTRI</td>
<td>90H060600</td>
<td>JL. PONDOK BORO TRIMULYO</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>45.3 / 165</td>
<td>16.6/KURUS</td>
<td>92 / 61</td>
<td>z21</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Trimulyo</td>
</tr> <tr>
<td>117</td>
<td>DESI SUYANTININGSIH / NGATI ATI</td>
<td>00232901</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 150</td>
<td>134 / 76</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>118</td>
<td>ADZRIEL RAFIQ SYAHPUTRA / SARTIMAN</td>
<td>90A10404</td>
<td>JL. GEMAH RAYA II</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>15 / 95</td>
<td>16.6/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>119</td>
<td>ANDREAN REVALINO / BAYU ARYANTO</td>
<td>90B18402</td>
<td>JL.SENDANGGUWO</td>
<td>L</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 170</td>
<td>100 / 51</td>
<td>R22.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>120</td>
<td>DARENDRA DEVAN DEWANTARA / RISKI JUNIARDI</td>
<td>089090363694</td>
<td>JL. BAYEM VIII</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.6 / 72.5</td>
<td>16.4/KURUS</td>
<td>60 / 44</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>121</td>
<td>LIA ANGGRAINI / BAYU ARYANTO</td>
<td>90B18401</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 156</td>
<td>111 / 75</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>122</td>
<td>YEYET RITA WATI / BOMA PRIYA WIBAWA</td>
<td>00B96990</td>
<td>JL. PUCUNG II NO.36, BALEKAMBANG, KRAMAT JATI, JAKARTA TIMUR</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 150</td>
<td>112 / 82</td>
<td>r05</td>
<td>lansia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>123</td>
<td>SRI RAHAYU / SLAMET WIDODO</td>
<td>0800012801</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 155</td>
<td>139 / 87</td>
<td>M06.31</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>124</td>
<td>DIAH AYU PRATIWI / ADITYA BAGUS PRASETYO</td>
<td>90H099801</td>
<td>JL. GAYAMSARI SELATAN </td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>42.3 / 148</td>
<td>115 / 62</td>
<td>Z34</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>125</td>
<td>SUYATMI / SUYATMI</td>
<td>90C21000</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 143</td>
<td>140 / 90</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>126</td>
<td>MUNTI'AH / AGUS YATNO</td>
<td>0800003201</td>
<td>JL. PISANG</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 156</td>
<td>119 / 79</td>
<td>E11.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>127</td>
<td>SRI HARTATI / SRI HARTATI</td>
<td>080000384192</td>
<td>JL. LAMPER MIJEN 357-A</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 148</td>
<td>140 / 90</td>
<td>r50</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>128</td>
<td>IDA NOERSANTI / achmad budiyono</td>
<td>060000391301</td>
<td>PEDURUNGAN KIDUL</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 150</td>
<td>130 / 85</td>
<td>k05.1</td>
<td>gigi</td>
<td>tidak</td>
<td>Pedurungan Kidul</td>
</tr> <tr>
<td>129</td>
<td>LINA AYU LISTIANA / SUGIARTI</td>
<td>000J75802</td>
<td>LAMPER TENGAH</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 158</td>
<td>17.2/KURUS</td>
<td>115 / 85</td>
<td>a09</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>130</td>
<td>JUMIYATI (PROLANIS) / MOCHTAR SUTARJO</td>
<td>00A30001</td>
<td>CEMPEDAK SELATAN NO 4</td>
<td>L</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 151</td>
<td>120 / 80</td>
<td>e11.6</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>131</td>
<td>ARETHA ZAIBA / ANDRE FATKHUROHMAN</td>
<td>90E057602</td>
<td>JL HASANUDIN </td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>15 / 101</td>
<td>14.7/KURUS</td>
<td>110 / 70</td>
<td>a09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Bandarharjo</td>
</tr> <tr>
<td>132</td>
<td>KHESYA SALSABILA NUR R / NUR ARIANTO</td>
<td>90A18503</td>
<td>JL. GEMAH TENGAH NO.14</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>22 / 115</td>
<td>16.6/KURUS</td>
<td>90 / 60</td>
<td>h10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>133</td>
<td>AKIKO DELIA ROSA / BUDI SAROSA</td>
<td>0600002904</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 154</td>
<td>110 / 70</td>
<td>z09.0</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>134</td>
<td>LINAYATI / BUDI NOVIYANTO</td>
<td>90H099901</td>
<td>PERUM WAHYU ASRI IX/C-75</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 155</td>
<td>141 / 83</td>
<td>k30</td>
<td>umum</td>
<td>tidak</td>
<td>Tambakaji</td>
</tr> <tr>
<td>135</td>
<td>ARABELLE INDIRA PUTRI / ARLINDA EKA VIDIAWATI</td>
<td>080000222502</td>
<td>JL.LAMPER TENGAH I/552 A </td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.9 / 66.5</td>
<td>17.9/KURUS</td>
<td>72 / 51</td>
<td>A06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>136</td>
<td>SULISTIYANI / P HERI PRANAWA</td>
<td>00E038401</td>
<td>JL.MANGGIS II/1</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 150</td>
<td>128 / 85</td>
<td>R30.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>137</td>
<td>DIVA MEDIANA PUTRI / RISKI JUNIARDI</td>
<td>089090363605</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 120</td>
<td>14.6/KURUS</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>138</td>
<td>ANJAR SETIO PUTRI / ANJAR SETIO PUTRI</td>
<td>90G047600</td>
<td>JL. NGESREP TIMUR V/120</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 160</td>
<td>133 / 89</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Sumurboto</td>
</tr> <tr>
<td>139</td>
<td>ELVI DINA YUNIATI / HUNI YUNIATI</td>
<td>90H060302</td>
<td>JL. BARUSARI I/19</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>95 / 168</td>
<td>120 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Barusari</td>
</tr> <tr>
<td>140</td>
<td>TAWIN MUFLIHUN / TAWIN MUFLIHUN</td>
<td>90H095500</td>
<td>KP. JUWONO</td>
<td>L</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 160</td>
<td>120 / 78</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Mangunharjo</td>
</tr> <tr>
<td>141</td>
<td>SANTOS RAHAYU NINGRUM / DWI FITRIYANTO</td>
<td>90G089701</td>
<td>JL. SALAK 13 </td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 158</td>
<td>24/NORMAL</td>
<td>110 / 80</td>
<td>g44</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>142</td>
<td>KEYSHA WIJAYA / AGUS RIYADI</td>
<td>080000802005</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.3 / 73</td>
<td>72 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>143</td>
<td>MCH SURATI / MCH SURATI</td>
<td>90H100001</td>
<td>JL. BERUANG RAYA IX</td>
<td>P</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>28 / 140</td>
<td>14.3/KURUS</td>
<td>146 / 81</td>
<td>g44</td>
<td>lansia</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>144</td>
<td>TRI YAYUK / SRI WIYONO</td>
<td>089090366801</td>
<td>JL. SALAK RAYA NO. 117</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 160</td>
<td>108 / 77</td>
<td>l50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>145</td>
<td>NAWANG WULAN / AGUS YULI</td>
<td>90D020201</td>
<td>SOROGEDUG LOR, KEL. MADUREJO, KEC. PRAMBANAN, KAB. SLEMAN</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 150</td>
<td>110 / 70</td>
<td>T79.9</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>146</td>
<td>KEYSA NABILA PUTRI / TRIYUWONO / AGUSTIEN PURWANTINI</td>
<td>90B91002</td>
<td>JL. WONOSARI </td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>20.5 / 115</td>
<td>15.5/KURUS</td>
<td>72 / 51</td>
<td>J03</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonosari</td>
</tr> <tr>
<td>147</td>
<td>SITI CHORIYAH / MOCH SOLEH</td>
<td>089090358102</td>
<td>JL. GAYAMSARI IV</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 155</td>
<td>140 / 80</td>
<td>k30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>148</td>
<td>RAFFAEL NEVRIEL CAESARIO / IRAWAN SUGIANTO</td>
<td>080000430904</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>28 / 135</td>
<td>15.4/KURUS</td>
<td>128 / 99</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>149</td>
<td>LISA PUJIASTUTI / AGUS S</td>
<td>00bpjs003403</td>
<td>JL. PENUSUPAN,PENUSUPAN, RANDUDONGKAL, PEMALANG</td>
<td>P</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 173</td>
<td>15.7/KURUS</td>
<td>96 / 55</td>
<td>j02</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>150</td>
<td>TITIK SITI SHOLIKAH / WAHID AMINUDIN</td>
<td>060000226301</td>
<td>JL. DURIAN TIMUR NO.26</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 152</td>
<td>130 / 70</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>151</td>
<td>MISIYEM / TIGNYO WIDODO / MISIYEM</td>
<td>0000008601</td>
<td>JL. PISANG</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 155</td>
<td>118 / 77</td>
<td>r20.2</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>152</td>
<td>MAHMUDAH / DANURI</td>
<td>00B93301</td>
<td>JL.LAMPER TENGAH</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 165</td>
<td>115 / 75</td>
<td>r20.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>153</td>
<td>RESTI ANGGRAENI / SISWANTO ANGGORO</td>
<td>90I000202</td>
<td>RAWA SUBUR, KEL. PADANG CERMIN, KEC. PADANG CERMIN, KAB. PESAWARAN,
PROV. LAMPUNG</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 160</td>
<td>129 / 100</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>154</td>
<td>NOVRITA DIANA ANGGRAINI / MISROKAN</td>
<td>00E074901</td>
<td>JL. PETERONGAN TENGAH II</td>
<td>P</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 160</td>
<td>120 / 89</td>
<td>k30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>155</td>
<td>RACHMA NUGIYANTI / RACHMA NUGIYANTI</td>
<td>90I000101</td>
<td>DSN. KARANG MALANG, KEL. PILANGREJO, KEC, JUWANGI, KAB. BOYOLALI</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 156</td>
<td>114 / 73</td>
<td>N91</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>156</td>
<td>SUMINI / RUSTAK</td>
<td>0000132701</td>
<td>JL. MANGGIS VIII</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 140</td>
<td>119 / 84</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>157</td>
<td>'AA-ISYATA MUNAA / WACHIT AMINUDIN</td>
<td>0000226305</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 157</td>
<td>17.9/KURUS</td>
<td>90 / 60</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>158</td>
<td>AZKA PRADIPTA ADRIAN / ARIF INDRIANTO</td>
<td>0000802790</td>
<td>JL. PANDEAN LAMPER III NO.1 A</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>32 / 120</td>
<td>120 / 70</td>
<td>H60</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>159</td>
<td>HENDRY / HENDRY</td>
<td>0000319400</td>
<td>JL CERME RAYA NO.7-A</td>
<td>L</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 155</td>
<td>17.1/KURUS</td>
<td>120 / 70</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>160</td>
<td>MUSIMIN / MUSIMIN</td>
<td>00B89500</td>
<td>JL. CEMPEDAK UTARA II NO. 11</td>
<td>L</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 155</td>
<td>140 / 90</td>
<td>h25</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>161</td>
<td>IRA AYU KRISTANTI / JOKO SISWOYO</td>
<td>90G066605</td>
<td>JL. KOKOSAN RAYA</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 155</td>
<td>110 / 70</td>
<td>k30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>162</td>
<td>SYAKIRA YULIA PUTRI / KOSMAN</td>
<td>0000299906</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>19 / 79</td>
<td>80 / 50</td>
<td>r11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>163</td>
<td>DASI HERMANTO / DASI HERMANTO</td>
<td>00E054100</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 160</td>
<td>110 / 80</td>
<td>t79</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>164</td>
<td>AHMAD DZAULHAQ AZHAR / HARIYANTO</td>
<td>080000526703</td>
<td>JL. PISANG IV</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>29 / 136</td>
<td>15.7/KURUS</td>
<td>90 / 50</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>165</td>
<td>KATIJEM / KATIJEM</td>
<td>089090802001</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 160</td>
<td>119 / 79</td>
<td>n18</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>166</td>
<td>C. WINARNI / C. WINARNI</td>
<td>90H020701</td>
<td>KARANGGAWANG BARAT</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>90 / 157</td>
<td>119 / 79</td>
<td>j44</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Tembalang</td>
</tr> <tr>
<td>167</td>
<td>LUCKY ARDI NORJANTO KUSUMAH / LUCKY ARDI NORJANTO KUSUMAH</td>
<td>00A27203</td>
<td>JL.MANGGIS III/14-A</td>
<td>L</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 165</td>
<td>17.6/KURUS</td>
<td>120 / 70</td>
<td>a15</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>168</td>
<td>HERI ARDIHANSYAH / HERI ARDIHANSYAH</td>
<td>90B1300</td>
<td>L</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 162</td>
<td>132 / 94</td>
<td>j02</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>169</td>
<td>ELVINA JUSTINE SANTOSO / LUCKY ADI</td>
<td>00A27205</td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 150</td>
<td>120 / 70</td>
<td>z03.0</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>170</td>
<td>KARYONO (PROLANIS) / KARYONO</td>
<td>00BPJS0083</td>
<td>JL. TAMAN DURIAN</td>
<td>L</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 170</td>
<td>120 / 70</td>
<td>z02</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>171</td>
<td>WIDIATNA PUTRI / DWI SUSILO HERY Y</td>
<td>080000521802</td>
<td>JL. KEDONDONG DALAM III NO.30</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>37 / 149</td>
<td>16.7/KURUS</td>
<td>120 / 70</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>172</td>
<td>SUGIARTI pos ukk / SUHARDI</td>
<td>00A64500</td>
<td>JL.PETERONGAN TENGAH</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 150</td>
<td>120 / 80</td>
<td>R73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>173</td>
<td>TARIYAH pos ukk / MARYONO</td>
<td>00a869800002</td>
<td>JL. BLIMBING VII/21</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 165</td>
<td>120 / 89</td>
<td>r05</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>174</td>
<td>GEVARIEL KENNETH MAXMILLIAN / NOVA ADI PRATAMA</td>
<td>0000306304</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>12 / 78</td>
<td>60 / 44</td>
<td>r50</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>175</td>
<td>SARTINI pos ukk / SARTINI</td>
<td>90H091001</td>
<td>JL. LOBAK RAYA</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 143</td>
<td>100 / 80</td>
<td>r20.2</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>176</td>
<td>ARDIAN RAMADHANI / ARDIAN RAMADHANI</td>
<td>90E027900</td>
<td>PERUM TAMANSARI MAJAPAHIT GRAND AMARTA BLOK A-5 NO.10</td>
<td>L</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>108 / 179</td>
<td>126 / 81</td>
<td>e79.0</td>
<td>umum</td>
<td>tidak</td>
<td>Pedurungan Lor</td>
</tr> <tr>
<td>177</td>
<td>DWI SRI WAHYUNI pos ukk / NUR SUGONDO </td>
<td>0001006303</td>
<td>PETERONGAN SARI II NO.26</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 150</td>
<td>110 / 80</td>
<td>e78</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>178</td>
<td>FAIZAL CANDRA / SUTRIMO</td>
<td>00B20903</td>
<td>JL.PETERONGAN SARI RAYA NO.16</td>
<td>L</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 157</td>
<td>100 / 60</td>
<td>j98</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>179</td>
<td>ALSA PUTRA GUNAWAN / ALDI GUNAWAN</td>
<td>0000413603</td>
<td>JL.KP MARGOREJO TIMUR</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.6 / 76</td>
<td>14.9/KURUS</td>
<td>60 / 44</td>
<td>t79</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Kemijen</td>
</tr> <tr>
<td>180</td>
<td>SIHONO / SIHONO</td>
<td>0000192100</td>
<td>L</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>107 / 166</td>
<td>119 / 95</td>
<td>l30</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>181</td>
<td>RAKA BAHTIAR / RIDWAN</td>
<td>90I000302</td>
<td>JL. SENDANGGUWO SELATAN</td>
<td>L</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>100 / 170</td>
<td>120 / 80</td>
<td>T79.9</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>182</td>
<td>SUMINI / RASIDI</td>
<td>00C082201</td>
<td>P</td>
<td>82 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 150</td>
<td>145 / 75</td>
<td>h81.3</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>183</td>
<td>HADI PRANOTO / HADI PRANOTO</td>
<td>00A68900</td>
<td>JL. LAMPER MIJEN UTARA NO.25</td>
<td>L</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 158</td>
<td>163 / 96</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>184</td>
<td>HAMIZAN GHANIM PRASETYO / FENDI YUN PRASETYO</td>
<td>90C62302</td>
<td>PERUM GRAHA MULIA ASRI II NO.27</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9 / 70</td>
<td>18.4/KURUS</td>
<td>90 / 60</td>
<td>l50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Sendangmulyo</td>
</tr> <tr>
<td>185</td>
<td>LULU MAHARANI / ANTON DWI MARDANI</td>
<td>00C071000</td>
<td>JL. PANDEAN LAMPER IV NO 10</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>84 / 157</td>
<td>110 / 70</td>
<td>z02</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>186</td>
<td>MUHAMMAD RIFQI RAMDANI / SAPTO PRIYONO</td>
<td>00BPJS004502</td>
<td>JL.KEDONDONG DALAM I/425</td>
<td>L</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>101 / 71</td>
<td>A54.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>187</td>
<td>SITI NURAINI / WAHYUDI</td>
<td>90D070701</td>
<td>JL BADAK V NO.20</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 155</td>
<td>110 / 80</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>188</td>
<td>MARYATUN / SUWANTO</td>
<td>0600J009401</td>
<td>SOMPOK GG KESAMBI 02, PETERONGAN</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 158</td>
<td>178 / 91</td>
<td>i10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>189</td>
<td>E.SANTY HANDAYANI,SE / KUSTANDI</td>
<td>90I0004</td>
<td>JL.WONODRI BARU II/8</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 156</td>
<td>124 / 88</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>190</td>
<td>NAFESYA ALODYA KANSA BADORA / EGA WIDIA KRISDA</td>
<td>00D068790</td>
<td>JL.LAMPER TENGAH I/566-C</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 92</td>
<td>120 / 70</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>191</td>
<td>RINA / PRIYANTO</td>
<td>00B009201</td>
<td>JL. LAMPER TENGAH XIV</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 162</td>
<td>135 / 86</td>
<td>R60.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>192</td>
<td>EKO SUGENG PRAYITNO / EKO SUGENG PRAYITNO</td>
<td>00A13605</td>
<td>JL. PANDEAN LAMPER II/83C</td>
<td>L</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 168</td>
<td>145 / 80</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>193</td>
<td>NUR MAULIDATUL FADILLAH / ABDUL KHALIM</td>
<td>0800091006</td>
<td>JL. TAMAN DUKU NO.17</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 152</td>
<td>112 / 74</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>194</td>
<td>ANDREAS ADI NUGROHO / SUTOMO</td>
<td>0000043306</td>
<td>L</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 158</td>
<td>109 / 64</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>195</td>
<td>SONI AGIAN / SONI AGIAN</td>
<td>00221800</td>
<td>CERME II/20</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 165</td>
<td>22/NORMAL</td>
<td>111 / 72</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>196</td>
<td>DWI NURWIYANTI UKK / TIDAK TAHU</td>
<td>90I000801</td>
<td>JL. SRIBIT </td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>149 / 70</td>
<td>110 / 80</td>
<td>E78.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>197</td>
<td>ISTIJANI UKK / ISTIJANI</td>
<td>00C099100</td>
<td>JERUK I/8</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 158</td>
<td>22/NORMAL</td>
<td>120 / 70</td>
<td>Z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>198</td>
<td>YANI PERMATASARI / JONI AGUS RIYANTO</td>
<td>90C71503</td>
<td>ASRAMA KEBONPOLO</td>
<td>P</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 158</td>
<td>112 / 69</td>
<td>Z35</td>
<td>kia</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>199</td>
<td>ASIH WIDIARTI UKK / TIDAK TAHU</td>
<td>90I000901</td>
<td>JL. JOMBLANG PERBALAN 702</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>155 / 72</td>
<td>110 / 80</td>
<td>Z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>200</td>
<td>MUSYAROFAH UKK / TIDAK TAHU</td>
<td>90I001301</td>
<td>JL. BADAK I NO. 61</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 150</td>
<td>110 / 80</td>
<td>Z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>201</td>
<td>SRI MURTINI UKK / TIDAK TAHU</td>
<td>90I001601</td>
<td>JL. TEGALKANGKUNG I</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 147</td>
<td>110 / 80</td>
<td>Z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Kedungmundu</td>
</tr> <tr>
<td>202</td>
<td>WINDI WAHYU DEESTYA UKK / WAHYUDI</td>
<td>000409205</td>
<td>JL. CEMPEDAK UTARA 21</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 146</td>
<td>90 / 80</td>
<td>Z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>203</td>
<td>APRILYA LAILY HIDAYAH UKK / TIDAK TAHU</td>
<td>90I001801</td>
<td>KEBONAGUNG</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 147</td>
<td>110 / 80</td>
<td>Z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Bugangan</td>
</tr> <tr>
<td>204</td>
<td>PUDJI LASMIJATUN UKK / WAHYUDI</td>
<td>000409201</td>
<td>JL. CEMPEDAK UTARA</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 150</td>
<td>90 / 70</td>
<td>Z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>205</td>
<td>WINDA WAHYU DEESTYA UKK / WAHYUDI</td>
<td>000409204</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 146</td>
<td>90 / 80</td>
<td>Z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>206</td>
<td>WAHYUDI / WAHYUDI</td>
<td>00E082500</td>
<td>JL. CEMPEDAK UTARA 21 </td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 158</td>
<td>110 / 80</td>
<td>R73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>207</td>
<td>MUHAMAD ALVIN KRISYANTO / MUHAMAD ALVIN KRISYANTO</td>
<td>00C081402</td>
<td>JL. PANDEAN LAMPER IV</td>
<td>L</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 167</td>
<td>17.9/KURUS</td>
<td>131 / 75</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>208</td>
<td>SUGIYARTO UKK / SUGIYARTO</td>
<td>90I002000</td>
<td>PRIGI MRANGGEN</td>
<td>L</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 151</td>
<td>150 / 90</td>
<td>R03.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>209</td>
<td>SETIYO SAMIYONO / SETIYO SAMIYONO</td>
<td>089090312400</td>
<td>JL. WONODRI KOPEN</td>
<td>L</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 168</td>
<td>23/NORMAL</td>
<td>116 / 78</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>210</td>
<td>WASIMIN HERWANTO / WASIMIN HERWANTO</td>
<td>90I000600</td>
<td>GRAHA MULYA ASRI II/24</td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 162</td>
<td>128 / 75</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>211</td>
<td>SULASIH UKK / TIDAK TAHU</td>
<td>90I001901</td>
<td>JL. CANGKRINGAN</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>110 / 70</td>
<td>m62</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Mijen</td>
</tr> <tr>
<td>212</td>
<td>WAGINEM UKK / TIDAK TAHU</td>
<td>90I001501</td>
<td>JL. RAMBUTAN BARAT IV NO. 24</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>147 / 68</td>
<td>110 / 80</td>
<td>Z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>213</td>
<td>ANY KURNIAWATI UKK / TIDAK TAHU</td>
<td>90I001401</td>
<td>JL. BERUANG DALAM BARAT V/B12</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 152</td>
<td>19/NORMAL</td>
<td>100 / 80</td>
<td>g44</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>214</td>
<td>MULYATI UKK / TIDAK TAHU</td>
<td>90I001201</td>
<td>JL. GENUK KARANGLO</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 153</td>
<td>140 / 100</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Genuksari</td>
</tr> <tr>
<td>215</td>
<td>SUMIYATUN UKK / TIDAK TAHU</td>
<td>90I000501</td>
<td>JL. SALAK RAYA </td>
<td>P</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>155 / 62</td>
<td>120 / 70</td>
<td>e78.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>216</td>
<td>MUCH ROIS BACHRODI UKK / MUCH ROIS BACHRODI</td>
<td>90I001700</td>
<td>JL. BUKIT MAWAR III/215</td>
<td>L</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 160</td>
<td>110 / 80</td>
<td>r05</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>217</td>
<td>SUDARSONO UKK / SUDARSONO</td>
<td>90I000700</td>
<td>JL. SABRANGAN</td>
<td>L</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 155</td>
<td>120 / 80</td>
<td>z71</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Plalangan</td>
</tr> <tr>
<td>218</td>
<td>RUMINI UKK / TIDAK TAHU</td>
<td>90I001001</td>
<td>JL. CENDANA UTAMA III/75</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>170 / 110</td>
<td>r03.0</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>219</td>
<td>HJ. INDRINI UKK / TIDAK TAHU</td>
<td>90I001101</td>
<td>JL. KINIBALU</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 146</td>
<td>110 / 80</td>
<td>z71</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>220</td>
<td>080000178600</td>
<td>L</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>140 / 80</td>
<td>z09.0</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>221</td>
<td>ANGGUN DIANA S / PUJIANTO</td>
<td>080000548903</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 130</td>
<td>100 / 60</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>222</td>
<td>00BPJS0083</td>
<td>L</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 170</td>
<td>128 / 83</td>
<td>z01.7</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>223</td>
<td>NAFIYS ADITYA WIJAYA / ADI WIJAYANTO</td>
<td>089090282104</td>
<td>GAYAMSARI 1/1</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 170</td>
<td>100 / 70</td>
<td>j02</td>
<td>umum</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>224</td>
<td>SUCI PUSPORINI / BADWADI</td>
<td>089090323805</td>
<td>JL. SENDANGGUWO</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 155</td>
<td>120 / 70</td>
<td>E11.6</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>225</td>
<td>IRSA ARISSA PRATIWI / DARMAWAN</td>
<td>080000198205</td>
<td>JL. PETERONGAN KOBONG NO.57</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.7 / 75</td>
<td>13.7/KURUS</td>
<td>89 / 58</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>226</td>
<td>SALIMAH PROLANIS / RASMADI</td>
<td>0890113401</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 149</td>
<td>119 / 69</td>
<td>z71</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>227</td>
<td>RAJIMAN LEGOWO / RAJIMAN LEGOWO</td>
<td>0800019200</td>
<td>JL.JERUK VII NO.8</td>
<td>L</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>91 / 166</td>
<td>110 / 70</td>
<td>i50.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>228</td>
<td>YUSUP PARJIONO / YUSUP PARJIONO</td>
<td>080J012500</td>
<td>JL. PETERONGAN BUGEL NO. 56 </td>
<td>L</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 155</td>
<td>120 / 70</td>
<td>I24</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>229</td>
<td>SUNARDI / SUNARDI</td>
<td>00B21500</td>
<td>JL. PETERONGAN TENGAH NO 133</td>
<td>L</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 165</td>
<td>130 / 90</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>230</td>
<td>SRI PURWANTI / SIGIT HARTANTO</td>
<td>089090315301</td>
<td>JL. SALAK RAYA</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 152</td>
<td>117 / 70</td>
<td>j02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>231</td>
<td>RISWATI / MUCHLAS</td>
<td>080000526401</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 155</td>
<td>130 / 80</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>232</td>
<td>ATHA HAFIZH ALFAREZI / AFENDI</td>
<td>0000190404</td>
<td>JL. BANCAR ASRI</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>12.9 / 90</td>
<td>15.9/KURUS</td>
<td>87 / 56</td>
<td>J18</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>233</td>
<td>SUYATINAH / ATMO</td>
<td>0800047401</td>
<td>JL. PISANG</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>156 / 89</td>
<td>R03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>234</td>
<td>YENI ARIYANTI / PUNGKI SUGIANTO</td>
<td>0800091703</td>
<td>JL.LAMPER KRAJAN III</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 154</td>
<td>100 / 80</td>
<td>B02</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>235</td>
<td>RAHAYU INDAH LESTARI / ANDI SAPUTRO</td>
<td>90E008301</td>
<td>JL.BINTORO KECIL</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 165</td>
<td>120 / 80</td>
<td>l23</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>236</td>
<td>AINAYYA MAR'ATUS SHOLIHAH / AFENDI</td>
<td>00190403</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 112</td>
<td>15.9/KURUS</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>237</td>
<td>ARFA LUTHFI SYAFAWI / MUCHAMMAD DZULQARNAIN</td>
<td>90C67303</td>
<td>JL.DURIAN TIMURN NO.26</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.6 / 79.2</td>
<td>13.7/KURUS</td>
<td>89 / 54</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>238</td>
<td>THOMAS LIES ALFRISNO / PARDI</td>
<td>00106302</td>
<td>JL. LAMPER TENGAH III/617</td>
<td>L</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 165</td>
<td>100 / 80</td>
<td>T15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>239</td>
<td>SRI WURYANINGSIH / AG SRI DJIYANTO</td>
<td>0000194401</td>
<td>JL. NANGKA RAYA NO.28</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 158</td>
<td>120 / 80</td>
<td>I10</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>240</td>
<td>ILMA TAZKQIYA / MUHAMMAD ZULKARNAIN</td>
<td>90C67302</td>
<td>JL.DURIAN TIMUR NO.26</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.3 / 87</td>
<td>13.6/KURUS</td>
<td>89 / 56</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>241</td>
<td>PARWATI / MARYANTO</td>
<td>0800091701</td>
<td>JL. LAMPER KRAJAN III</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 160</td>
<td>130 / 80</td>
<td>k29</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>242</td>
<td>YULIATI / ANDI DAHSYAT</td>
<td>00B82101</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 154</td>
<td>140 / 80</td>
<td>B35.6</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>243</td>
<td>CHOIRUL ANISA DWI FALESTI / RANDANG YESHA</td>
<td>00E082701</td>
<td>JL. KEDONDONG DALAM 2 NO.379 A</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 159</td>
<td>138 / 82</td>
<td>a09</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>244</td>
<td>ERNAWATI / MUCHAMMAD DZULQARNAIN</td>
<td>90C67301</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 148</td>
<td>102 / 60</td>
<td>Z35</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>245</td>
<td>YUSTINA NUNUNG SULISTYANTI / SUDARWEDI</td>
<td>90H019401</td>
<td>JL.PURI GEDAWANG INDAH BLOK M-6</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 159</td>
<td>100 / 70</td>
<td>m62</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gedawang</td>
</tr> <tr>
<td>246</td>
<td>MUAWIYAH REZKY SATYA AD DAWIYAAH / MUAWIYAH REZKY SATYA AD
DAWIYAAH</td>
<td>90I002201</td>
<td>JL. TUPAI NO.119, MAMAJANG DALAM, MAMAJANG, KOTA MAKASSAR</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 157</td>
<td>130 / 80</td>
<td>r50</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>247</td>
<td>SAYYIDAH ALMAHYRA SETYONO / ARIEF TRI SETYONO</td>
<td>90I002102</td>
<td>JL. KP. KUKULU, PABUARAN, RANGKASBITUNG, KAB. LEBAK, PROV.
BANTEN</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.9 / 64</td>
<td>16.8/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>248</td>
<td>NAURA AUNI / WAWAN DARMAWAN</td>
<td>080000417504</td>
<td>JL. LAMPER TENGAH VIII 66 A-1</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>23 / 133</td>
<td>13/KURUS</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>249</td>
<td>00E082500</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 158</td>
<td>138 / 83</td>
<td>R73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>250</td>
<td>NAEYA SALSABILA / BUDIYANTO</td>
<td>000355702</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>16 / 102</td>
<td>15.4/KURUS</td>
<td>110 / 70</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>251</td>
<td>ARJUNA ALIENDRA SADAVIR / ALI SULISTIYO</td>
<td>00C067303</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.5 / 74</td>
<td>15.5/KURUS</td>
<td>89 / 53</td>
<td>A06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>252</td>
<td>SRI WAHYUNI / SRI WAHYUNI</td>
<td>080000428801</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 145</td>
<td>100 / 70</td>
<td>h10</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>253</td>
<td>GUNARDI / GUNARDI</td>
<td>90A51100</td>
<td>JL. BANTENG</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 160</td>
<td>130 / 78</td>
<td>z02</td>
<td>umum</td>
<td>tidak</td>
<td>Tembalang</td>
</tr> <tr>
<td>254</td>
<td>MUH ZAINI / MUH ZAINI</td>
<td>9090282300</td>
<td>L</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>140 / 80</td>
<td>m62</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>255</td>
<td>ALVIAN NAZRIL ABDUL AFRIYANTA / NISAR JULI</td>
<td>90D012402</td>
<td>JL. WONODRI KOPEN BARAT III/8</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 123</td>
<td>110 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>256</td>
<td>00A68900</td>
<td>L</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 158</td>
<td>149 / 98</td>
<td>l02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>257</td>
<td>SUNGATINI (PROLANIS) / SUNGATINI</td>
<td>0800024900</td>
<td>JL. BLIMBING III/24</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 152</td>
<td>120 / 70</td>
<td>E11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>258</td>
<td>00A13402</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 160</td>
<td>18/KURUS</td>
<td>110 / 70</td>
<td>C49.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>259</td>
<td>DEWI RATNANINGSIH / DEWI RATNANINGSIH</td>
<td>00E082801</td>
<td>JL.MANGGA I/4-A</td>
<td>L</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 148</td>
<td>109 / 83</td>
<td>n72</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>260</td>
<td>FAHRUNNISHA SAFITRI / ACHMAD ARDHIAN </td>
<td>00253000</td>
<td>LAMPER TENGAH VIII/61</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 158</td>
<td>114 / 64</td>
<td>k04.1</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>261</td>
<td>080000538804</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5300 / 60</td>
<td>89 / 54</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>262</td>
<td>EKA HANUM NUR ASTUTI / MUH ZAINI</td>
<td>9090282302</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 95</td>
<td>90 / 60</td>
<td>j03</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>263</td>
<td>ADI HARYANTO KURNIAWAN / ADI HARYANTO KURNIAWAN</td>
<td>00E082600</td>
<td>JL. NANGKA RAYA 28</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 167</td>
<td>110 / 80</td>
<td>z00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>264</td>
<td>FAAZ RAFAEYZA INOV / IRFAN TRI WIBOWO</td>
<td>00D021503</td>
<td>JL, LAMPER MIJEN RAYA NO. 304</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.5 / 62</td>
<td>86 / 56</td>
<td>J00</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>265</td>
<td>SUSI RUSYASTUTI / GUNARDI</td>
<td>90A51101</td>
<td>JL.BANTENG </td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 156</td>
<td>140 / 90</td>
<td>E11</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jangli</td>
</tr> <tr>
<td>266</td>
<td>ROIMAH / KUSYAWAN</td>
<td>90C1060901</td>
<td>JL. WONODRI GRAJEN</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 158</td>
<td>22/NORMAL</td>
<td>115 / 83</td>
<td>a18.2</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Wonodri</td>
</tr> <tr>
<td>267</td>
<td>SUYOTO / SUYOTO</td>
<td>0000145704</td>
<td>JL. CEMPEDAK UTARA 25-C</td>
<td>L</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 156</td>
<td>18.1/KURUS</td>
<td>129 / 47</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>268</td>
<td>NAJMA KAMILA AL MUGHNI / DIMAS FEBRIANTO</td>
<td>9090215903</td>
<td>SUMUR BATU NO.4A</td>
<td>P</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 120</td>
<td>12.5/KURUS</td>
<td>80 / 50</td>
<td>r11</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>269</td>
<td>INDRI SITI UTARI / MUH ZAINI</td>
<td>9090282303</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.6 / 76</td>
<td>16.6/KURUS</td>
<td>89 / 56</td>
<td>R50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>270</td>
<td>REIHAN BIRU MILANO / TRI HERU PRASETYO</td>
<td>90I002302</td>
<td>JL. WR SUPRATMAN</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>22 / 126</td>
<td>13.9/KURUS</td>
<td>100 / 70</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gisikdrono</td>
</tr> <tr>
<td>271</td>
<td>NGATMINI / NGATMINI</td>
<td>0001006600</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 150</td>
<td>117 / 70</td>
<td>R73.9</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>272</td>
<td>RAYYA MUTIA AZZAHRA / FERY JATMIKO</td>
<td>90H033302</td>
<td>JL. KABA TIMUR</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5.9 / 63</td>
<td>14.9/KURUS</td>
<td>80 / 60</td>
<td>r50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>273</td>
<td>ADELIA SALSABILLA SALMA / ANANG PRIHATMOKO / GUSTI ARYA P</td>
<td>0600003502</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 155</td>
<td>113 / 67</td>
<td>Z34</td>
<td>kia</td>
<td>tidak</td>
</tr> <tr>
<td>274</td>
<td>ABDULLAH JOO / SUJOKO</td>
<td>90C54102</td>
<td>JL.KEDUNGMUNDU</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>12 / 91.5</td>
<td>14.3/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>275</td>
<td>JAHWA JUNISYA CIKA PUTRI / JULAEKAH</td>
<td>089090237603</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 127</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>276</td>
<td>BRAMANTYA HARIS ARJUNA / GUNTUR HARI S</td>
<td>90H042102</td>
<td>JL. KABA UTARA IV</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5.9 / 64</td>
<td>14.4/KURUS</td>
<td>80 / 60</td>
<td>Z00</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>277</td>
<td>RIFDA KAMILA PUTRI / HERU WUDIMIN</td>
<td>00A38003</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 150</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>278</td>
<td>DESIANA TRI ANJARA / WARJITO</td>
<td>0800064904</td>
<td>MANGGIS IV</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.2 / 82</td>
<td>15.2/KURUS</td>
<td>90 / 60</td>
<td>l30</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>279</td>
<td>MILA MAILA HUSNA / MIKA ADE SAPUTRA</td>
<td>90I002402</td>
<td>JL. KABA UTARA</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8300 / 78</td>
<td>89 / 56</td>
<td>A16</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>Tandang</td>
</tr> <tr>
<td>280</td>
<td>SUGIARTO / SUGIARTO</td>
<td>00D001000</td>
<td>L</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>97 / 175</td>
<td>130 / 80</td>
<td>r05</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>281</td>
<td>90A76600</td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 167</td>
<td>122 / 78</td>
<td>z01.7</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>282</td>
<td>YULI YANTINA / BEN YAMIN CAHYONO</td>
<td>90B21001</td>
<td>JL. PANGGUNG PANGGUNG BARAT-MAGETAN</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 160</td>
<td>18.4/KURUS</td>
<td>103 / 69</td>
<td>h00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>283</td>
<td>SHAFA ALYA AZ ZAHRA / YOYOK WIJI</td>
<td>089090273502</td>
<td>JL. CERME II/12</td>
<td>P</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 147</td>
<td>112 / 62</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>284</td>
<td>YULLY KRISTI / ENY WIJANARKO</td>
<td>00C089001</td>
<td>JL. MANGGA VI/13</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 152</td>
<td>130 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>285</td>
<td>AGUS MACHMUD / AGUS MACHMUD</td>
<td>080000318800</td>
<td>JL. DURIAN NO.30</td>
<td>L</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 170</td>
<td>121 / 79</td>
<td>k05.2</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>286</td>
<td>DAFFAESTI FIRLI NUR FAJAR / ENDANG SUTISNA</td>
<td>00BPJS20304</td>
<td>JL. DURIAN IV NO.8</td>
<td>L</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 164</td>
<td>110 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>287</td>
<td>ALENA RIZQIA LATIF / YOGA LATIF WICAKSONO</td>
<td>001001002</td>
<td>JL. JANGLI GABENG</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.2 / 96</td>
<td>15.4/KURUS</td>
<td>87 / 54</td>
<td>A16</td>
<td>mtbs</td>
<td>tidak</td>
<td>Jangli</td>
</tr> <tr>
<td>288</td>
<td>AGNEMAYLYZABILLA AYUDYAMARTHA / RAGIL SAPUTRA</td>
<td>00E032901</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 164</td>
<td>107 / 80</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>289</td>
<td>ZUMROTUL CHASANAH / SUYITNO</td>
<td>080000533703</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 148</td>
<td>137 / 85</td>
<td>k04.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>290</td>
<td>SADIMAN / SADIMAN</td>
<td>0000250604</td>
<td>JL. LAMPER TENGAH III NO.609</td>
<td>L</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>147 / 93</td>
<td>h81.1</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>291</td>
<td>YULIATI / RACHMAT RAIS</td>
<td>0000145001</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 168</td>
<td>140 / 70</td>
<td>I24</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>292</td>
<td>ANIK / SRIYONO</td>
<td>00003651001</td>
<td>JL.TAMAN DUKU NO.8 LAMPER KIDUL</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>46.8 / 157</td>
<td>19/NORMAL</td>
<td>132 / 83</td>
<td>k05.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>293</td>
<td>JULAEKAH / JULAEKAH</td>
<td>069090237604</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 152</td>
<td>115 / 81</td>
<td>R73.9</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>294</td>
<td>SAMINAH / SAMINAH</td>
<td>90a60700</td>
<td>JL. DELIK REJO</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>111 / 77</td>
<td>n89.9</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>295</td>
<td>WAHYUNI / WIBOWO</td>
<td>080000446501</td>
<td>JL. BANCAR ASRI TIMUR NO.11</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 156</td>
<td>116 / 68</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>296</td>
<td>ARJUNA BINTANG PRAKOSO BAHRI / MUHAMMAD SAYIFUL BAHRI</td>
<td>90C014703</td>
<td>JL. JOGOKERTEN, TRIMULYO, SLEMAN, KAB.SLEMAN</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.7 / 73</td>
<td>16.3/KURUS</td>
<td>80 / 60</td>
<td>A02</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>297</td>
<td>FERY HERSUSANTO / GATOT HERUDORO</td>
<td>00B42102</td>
<td>JL. KEDONDONG DALAM I</td>
<td>L</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 169</td>
<td>122 / 89</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>298</td>
<td>CATONGGO SULISTIYONO / CATONGGO SULISTIYONO</td>
<td>90I002500</td>
<td>JL.PUNCANG GEDE III NO.23 KEL.BATURSARI KEC.MRANGGEN - DEMAK</td>
<td>L</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 173</td>
<td>121 / 77</td>
<td>z02</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>299</td>
<td>NUR NUSTIADHOH / EKO PURNOMO</td>
<td>0000205906</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 161</td>
<td>110 / 80</td>
<td>h81.3</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>300</td>
<td>ARVISKA VAFILYASARI / NUR HARYOKO</td>
<td>00B78303</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>65.9 / 157</td>
<td>126 / 86</td>
<td>Z35</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>301</td>
<td>ALFIAN WIJAYA PUTRA / PUJI WIJAYA</td>
<td>90B19302</td>
<td>JL. WONODRI KOPEN TIMUR</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 125</td>
<td>16/KURUS</td>
<td>120 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>302</td>
<td>SANDY ILHAM SUSILO / JOKO SUSILO</td>
<td>00C098803</td>
<td>JL. LAMPER TENGAH VIII/634</td>
<td>L</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 169</td>
<td>100 / 69</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>303</td>
<td>90I002402</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8300 / 78</td>
<td>89 / 56</td>
<td>A16</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>Tandang</td>
</tr> <tr>
<td>304</td>
<td>DIDIK SETIAWAN / SARWONO</td>
<td>0001005602</td>
<td>JL. LAMPER MIJEN UTARA</td>
<td>L</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 155</td>
<td>114 / 80</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>305</td>
<td>IMANNUEL JUNIOR ADITYA / BELLA ADITYA</td>
<td>90256903</td>
<td>JL. TANDANG</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>16 / 101</td>
<td>15.7/KURUS</td>
<td>110 / 70</td>
<td>j02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>306</td>
<td>WARDHIANTO / WARDHIANTO</td>
<td>00E073300</td>
<td>JL. MANGGIS VII/38-B</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 156</td>
<td>121 / 88</td>
<td>z09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>307</td>
<td>INTAN NUR HANIFAH / SUPRIYANTO</td>
<td>080000408103</td>
<td>JL. PETERONGAN TENGAH II NO.348</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 148</td>
<td>120 / 70</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>308</td>
<td>ELISABETH CICI KAHIYANG / ANDREAS</td>
<td>0000286904</td>
<td>JL. JOMBLANG TIMUR 811</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4900 / 56</td>
<td>80 / 60</td>
<td>Z00</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>309</td>
<td>WIEN OKTADATU SETYAWATI / DEDE KOMARUDIN</td>
<td>0000446201</td>
<td>JL.LAMPER TENGAH VIII/10</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 152</td>
<td>121 / 78</td>
<td>z02</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>310</td>
<td>ANDIN PUTRI AYYUNI / ANDON WIYONO</td>
<td>0800053304</td>
<td>JL. KEDONDONG DALAM I/400-B</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 154</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>311</td>
<td>WANDI / WANDI</td>
<td>0000473400</td>
<td>JL. MANGGIS VIII/13</td>
<td>L</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 160</td>
<td>113 / 100</td>
<td>t79</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>312</td>
<td>IZZA FADLILATUL MAULIDA / IZZA FADLILATUL MAULIDA</td>
<td>90I002601</td>
<td>JL. TEMUROSO, GUNTUR, KAB. DEMAK</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 165</td>
<td>123 / 78</td>
<td>a09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>313</td>
<td>APRINTO JOS SUGIHARTONO / APRINTO JOS SUGIHARTONO</td>
<td>00E082800</td>
<td>JL. DUWET NO.04 LAMPER TENGAH II</td>
<td>L</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 159</td>
<td>122 / 79</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>314</td>
<td>UTAMI IRAWATI / TARUNO</td>
<td>0800J06603</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 154</td>
<td>120 / 80</td>
<td>h81.3</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>315</td>
<td>RERI SAFITRI / DENY SURYADINATA</td>
<td>90B16301</td>
<td>JL. SENDANGGUWO </td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 154</td>
<td>123 / 85</td>
<td>k04.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>316</td>
<td>CLARISSA RENATA ADRIANA / ANDRIAS FRANS DITA</td>
<td>0000286902</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>23 / 122</td>
<td>15.5/KURUS</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>317</td>
<td>WIDIYANINGRUM / NUR ROFEK</td>
<td>90A75701</td>
<td>SENDANGGUWO SELATAN </td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 156</td>
<td>115 / 76</td>
<td>Z00</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>318</td>
<td>FADHIL AL AYYUBI / SUTRISNO</td>
<td>90C43602</td>
<td>JL.GENUKSARI</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 110</td>
<td>100 / 60</td>
<td>t79</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Genuksari</td>
</tr> <tr>
<td>319</td>
<td>IRA ISTIANTI / DARIYONO</td>
<td>00D087301</td>
<td>JL. BANCAR ASRI II/12</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 160</td>
<td>130 / 70</td>
<td>Z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>320</td>
<td>REVA ADHESTIRA MEYGI UTARI / 90G053700</td>
<td>90G053702</td>
<td>JL. WONODRI KRAJAN III/693-A</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 156</td>
<td>140 / 76</td>
<td>g44</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>321</td>
<td>ENDAH ANDIYATI / ENDAH ANDIYATI</td>
<td>90G053700</td>
<td>JL. WONODRI KRAJAN III/693-A</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 155</td>
<td>130 / 75</td>
<td>g44</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>322</td>
<td>KETI SUGIARTI / SLAMET SUPAADI</td>
<td>J044603</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 152</td>
<td>120 / 80</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>323</td>
<td>LILIN PUDJIASTUTI / SUGANDI AJI</td>
<td>90D096701</td>
<td>JL. WONODRI KRAJAN </td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>85 / 150</td>
<td>130 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>324</td>
<td>DINDA AYUDIA ASHIFA / ALI SODIKIN</td>
<td>00B54303</td>
<td>JL. PISANG RAYA I</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>12.3 / 87</td>
<td>16.3/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>325</td>
<td>SUWARTINI / SUWARTINI</td>
<td>90D057301</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 150</td>
<td>141 / 78</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>326</td>
<td>LIDYA PUJA BANGSA / PURNONO</td>
<td>90C37601</td>
<td>JL. SIWALAN I/729</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 155</td>
<td>115 / 70</td>
<td>t79</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Wonodri</td>
</tr> <tr>
<td>327</td>
<td>SRIYONO / SRIYONO</td>
<td>00D097300</td>
<td>L</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 175</td>
<td>120 / 80</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>328</td>
<td>ADILA RIZKY WIBOWO / DANI ARI WIBOWO</td>
<td>90A94303</td>
<td>JL. CINDE BARAT XI</td>
<td>L</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 165</td>
<td>110 / 70</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>329</td>
<td>90D070701</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 155</td>
<td>120 / 80</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>330</td>
<td>TRI GUSTORO ADI / AMINI</td>
<td>00C094903</td>
<td>JL. LAMPER KRAJAN 1622</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 176</td>
<td>110 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>331</td>
<td>WAHYU PRIYATI NINGSIH / KUSWAN ALHANI</td>
<td>90B58501</td>
<td>JL.WONODRI BARU 21</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 160</td>
<td>17.6/KURUS</td>
<td>106 / 59</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>332</td>
<td>RATIH DIAH AYU SAPUTRI / ROSID SAMIYONO</td>
<td>90I002703</td>
<td>KP. BANTENG</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 160</td>
<td>120 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jangli</td>
</tr> <tr>
<td>333</td>
<td>NINING SETYANINGSIH / NINING SETYANINGSIH</td>
<td>90D013500</td>
<td>GAYAMSARI SELATAN</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 149</td>
<td>136 / 82</td>
<td>h81.3</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>334</td>
<td>PIPIT APRILIA / ANANG SETYAWAN</td>
<td>90I002801</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 155</td>
<td>113 / 78</td>
<td>g44</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>335</td>
<td>SITI FATIMAH / YOYOK WIJI HANDOYO</td>
<td>089090273503</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 153</td>
<td>167 / 79</td>
<td>k04.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>336</td>
<td>ANNISA MUTIARA PRATIWI / SLAMET PRIYADI</td>
<td>080000504003</td>
<td>JL.GAYAMSARI</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 155</td>
<td>100 / 85</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>337</td>
<td>CANTIKA AZZAHRA PUTRI / SOSIAWAN HADI RAHARJO</td>
<td>00C075504</td>
<td>JL.PANDEAN LAMPER IV/37</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>16 / 108</td>
<td>13.7/KURUS</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>338</td>
<td>LISA NADIA SARI / ROHMATUN</td>
<td>0800063404</td>
<td>JL. PANDEAN LAMPER II NO.81 </td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 153</td>
<td>100 / 74</td>
<td>l30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>339</td>
<td>SHANDY FAHLESA / SYAWAL S</td>
<td>00JAN201368</td>
<td>L</td>
<td>14 Tahun</td>
<td></td>
<td></td>
<td>58 / 152</td>
<td>89 / 79</td>
<td>k04.0</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>340</td>
<td>ANASTASIA TITIK KURNIAWATI POS UKK / DARSONO</td>
<td>00C15301</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 150</td>
<td>123 / 71</td>
<td>S05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>341</td>
<td>VICA AMY SULISTIANY / YANIS ANDI DARMAWAN</td>
<td>080000503102</td>
<td>LAMPER MIJEN UTARA</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 158</td>
<td>117 / 80</td>
<td>Z00</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>342</td>
<td>SUGIARTO (PROLANIS) / SUGIARTO</td>
<td>080000460100</td>
<td>JL. MANGGIS VI/28,LAMPER LOR</td>
<td>L</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>121 / 175</td>
<td>120 / 70</td>
<td>i10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>343</td>
<td>OKTAVIANUS PAMUNGKAS / ILLIYAH ELI YULIASIH</td>
<td>90E052303</td>
<td>MEJAGONG KEL.MEJAGONG KEC.RANDUDONGKAL PEMALANG</td>
<td>L</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 165</td>
<td>134 / 86</td>
<td>k04.0</td>
<td>gigi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>344</td>
<td>ODDI SAPUTRA / DASWIR</td>
<td>90I002901</td>
<td>BALAI TAE JORONG NUSA INDAH, KEL. LUBUK JANTAN, KEC. LINTAU BUO
UTARA, KAB. TANAH DATAR, PROV. SUMATERA BARAT</td>
<td>L</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 162</td>
<td>122 / 83</td>
<td>k04.1</td>
<td>gigi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>345</td>
<td>AMELISA WULAN ANDINI / DARIANTO</td>
<td>90H078003</td>
<td>JL.MUGAS DALAM VII/17</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 155</td>
<td>119 / 74</td>
<td>k04.0</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Mugassari</td>
</tr> <tr>
<td>346</td>
<td>FEBY VIVIAN JOVANKA / JUNAEDI</td>
<td>90D00401</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>62.9 / 160</td>
<td>117 / 58</td>
<td>Z35</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>347</td>
<td>DINA NUR AMALIA / YANUAR ALAN MAULANA</td>
<td>080000607091</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>63.3 / 155</td>
<td>145 / 86</td>
<td>k61.1</td>
<td>kia</td>
</tr> <tr>
<td>348</td>
<td>SETYOWATI / SUPARMIN</td>
<td>089090085401</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 157</td>
<td>107 / 67</td>
<td>t30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>349</td>
<td>080000607091</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 155</td>
<td>145 / 86</td>
<td>i84</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>350</td>
<td>JULIO ALVARO / HENRY FEBRIAN A</td>
<td>00157205</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>14 / 100</td>
<td>14/KURUS</td>
<td>100 / 70</td>
<td>S82.2</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>351</td>
<td>00A68900</td>
<td>L</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 158</td>
<td>140 / 90</td>
<td>z09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>352</td>
<td>R.SRI HARTONO / R.SRI HARTONO</td>
<td>00D034000</td>
<td>L</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 160</td>
<td>133 / 70</td>
<td>l50</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>353</td>
<td>MASNGUT / MASNGUT</td>
<td>00B55500</td>
<td>JL. PANDEAN LAMPER 4</td>
<td>L</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 162</td>
<td>21/NORMAL</td>
<td>121 / 78</td>
<td>m79.1</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>354</td>
<td>KURNIAWAN AFRIANTO / KURNIAWAN AFRIANTO</td>
<td>00C32900</td>
<td>JL. JAMBU NO.415-A</td>
<td>L</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>126 / 177</td>
<td>120 / 70</td>
<td>i10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>355</td>
<td>ALFARIZQI BAGAS ARDIANSYAH / HERI ARDIHANSYAH</td>
<td>90B1304</td>
<td>JL. PEDURUNGAN KIDUL</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.6 / 64</td>
<td>16.1/KURUS</td>
<td>86 / 57</td>
<td>j06</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>356</td>
<td>NGATNO / NGATNO</td>
<td>00E020000</td>
<td>JL. MANGGIS VII NO 32B</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 170</td>
<td>148 / 89</td>
<td>h10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>357</td>
<td>MARGARETHA DIAN PUSPITA AJI / HADI SUYONO</td>
<td>00000303603</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>32 / 155</td>
<td>13.3/KURUS</td>
<td>126 / 81</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>358</td>
<td>RISCA PUTRI ARLIEZA / ADI WIJAYANTO</td>
<td>089090282192</td>
<td>GAYAMSARI</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 163</td>
<td>105 / 68</td>
<td>l50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>359</td>
<td>MIKHAYLA SEPTRYA SHANUUM / SEPTIYANTO</td>
<td>90262302</td>
<td>JL. DELIKREJO</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>16 / 92</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>360</td>
<td>DEA URINDANG NURFAHMI / JAINURI</td>
<td>90H076102</td>
<td>DSN. GATAK, NGRENDENG, GONDANG, KAB. TULUNGAGUNG</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 158</td>
<td>18/KURUS</td>
<td>114 / 77</td>
<td>k08.3</td>
<td>gigi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>361</td>
<td>ALFINO ANGGORO SYAHPUTRA / TAHRONI</td>
<td>0800j119791</td>
<td>JL. LAMPER KRAJAN NO.42</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.7 / 85</td>
<td>13.4/KURUS</td>
<td>89 / 74</td>
<td>a16</td>
<td>mtbs</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>362</td>
<td>YOSWANTO / YOSWANTO</td>
<td>0700034600</td>
<td>JL. PETERONGAN TENGAH 134</td>
<td>L</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 165</td>
<td>145 / 90</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>363</td>
<td>ANDARA CAFFAIZA PUTRI SAFARIYANTI / JOKO SUSILO</td>
<td>00C02602</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>81 / 163</td>
<td>111 / 85</td>
<td>h52</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>364</td>
<td>SUMIYATUN / SUMIYATUN</td>
<td>90F084601</td>
<td>JL.NGEMPLAK KEL.NGEMPLAK KEC.KANDANGAN KAB.TEMANGGUNG</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 155</td>
<td>130 / 90</td>
<td>z09</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>365</td>
<td>ELVIRA ARDIYA PUTRI / TOMI ARDIANTO</td>
<td>90G028402</td>
<td>JL.LAMPER TENGAH XII</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5200 / 54</td>
<td>89 / 56</td>
<td>z27</td>
<td>imunisasi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>366</td>
<td>SUNARTI / SUPIYAN</td>
<td>080000501201</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 150</td>
<td>115 / 69</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>367</td>
<td>DWI SHEMI WIJAYA CAHYANTI / GATOT BASUKI HUSODO</td>
<td>0000216401</td>
<td>JL.MANGGA VII/23</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 160</td>
<td>16.8/KURUS</td>
<td>120 / 70</td>
<td>G70</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>368</td>
<td>HIBBAN MUHAMMAD DZAFRAN / SOEHARWANTO</td>
<td>9090262704</td>
<td>JL. BAYEM VIII.NO.39</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 120</td>
<td>12.5/KURUS</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>369</td>
<td>DASTAN ABDURRAHMAN TSAQIF / SOEHARWANTO</td>
<td>9090262702</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 130</td>
<td>12.4/KURUS</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>370</td>
<td>ROHVITA YANIA / SOEHARWANTO</td>
<td>9090262701</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 152</td>
<td>102 / 68</td>
<td>l23</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>371</td>
<td>BAIHAQI GHAFFAR AL AZIS / AZIZ MULYONO</td>
<td>0000368303</td>
<td>JL. CEMPEDAK UTARA I NO.32 C</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.1 / 71</td>
<td>16.1/KURUS</td>
<td>89 / 54</td>
<td>j00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>372</td>
<td>SADJEM / MADIONO</td>
<td>000447303</td>
<td>P</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 152</td>
<td>146 / 86</td>
<td>e11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>373</td>
<td>WARIH SETIYARSIH / SUKRISWANTO</td>
<td>080J86300</td>
<td>JL. JERUK IV/26</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 155</td>
<td>120 / 70</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>374</td>
<td>SUKRISWANTO / SUKRISWANTO</td>
<td>000863.00</td>
<td>L</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 168</td>
<td>131 / 89</td>
<td>T79.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>375</td>
<td>ANJELY ROSA LUXVIA / FAUZAN LUXWI/ DIONISIUS OKY SIYANA</td>
<td>080000434004</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 156</td>
<td>110 / 70</td>
<td>l02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>376</td>
<td>RANY SURYANI / YUDHA HERMAWAN</td>
<td>00J103101</td>
<td>JL. CEMPEDAK SELATAN NO.7</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>118 / 74</td>
<td>T79.9</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>377</td>
<td>NINIK YUNIATI / WIDADI</td>
<td>080000528901</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 155</td>
<td>122 / 76</td>
<td>z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>378</td>
<td>HANIFAH CHOIRUN NISA / SUNARSAN</td>
<td>0890906012</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 155</td>
<td>131 / 77</td>
<td>k02</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>379</td>
<td>HANIN MUFIDA / WIDAGDO</td>
<td>00B2502</td>
<td>JL. JERUK VIII/7</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 160</td>
<td>110 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>380</td>
<td>IRVAN SURYA KURNIAWAN / SUDIYONO</td>
<td>0000356103</td>
<td>JL. SOMPOK 66 KESAMBI PT</td>
<td>L</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 160</td>
<td>88 / 64</td>
<td>k29</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>381</td>
<td>DJUMINI / DJUMINI</td>
<td>00A28201</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 150</td>
<td>148 / 84</td>
<td>k05.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>382</td>
<td>FEBRIANUS CAESAR BENE / HENDRI KUS BENNY</td>
<td>00A34303</td>
<td>PANDEAN LAMPER</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>25.4 / 113</td>
<td>87 / 57</td>
<td>h10</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>383</td>
<td>TRI LESTARI (PROLANIS) / TRI LESTARI</td>
<td>0800056800</td>
<td>LAMPER KRAJAN 1627C</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 155</td>
<td>120 / 70</td>
<td>i10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>384</td>
<td>SRI HARYATI / PAIMIN</td>
<td>00B26401</td>
<td>PANDEAN LAMPER IV 8</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 150</td>
<td>120 / 70</td>
<td>n18</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>385</td>
<td>AULIA RAMADHANI / SUTEDJO AL SUNARSAN</td>
<td>089090601203</td>
<td>JL. GAYAMSARI SENDANGGUWO</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 153</td>
<td>119 / 98</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>386</td>
<td>90H021602</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6100 / 65</td>
<td>89 / 56</td>
<td>r50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>387</td>
<td>JUNI PURIYAWATI / SUPRIYADI</td>
<td>080J09302</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 160</td>
<td>120 / 83</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>388</td>
<td>SUTINEM / TARNO</td>
<td>90A85501</td>
<td>JL. CINDE BARAT X/28 </td>
<td>P</td>
<td>77 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 146</td>
<td>152 / 74</td>
<td>k30</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>389</td>
<td>080000178600</td>
<td>L</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>140 / 90</td>
<td>z48.8</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>390</td>
<td>SUDIYONO / SUDIYONO</td>
<td>0000356100</td>
<td>JL.SOMPOK LAMA GG KESAMBI NO. 4</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 156</td>
<td>100 / 70</td>
<td>k29</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>391</td>
<td>TEGUH SANTOSA / TEGUH SANTOSA</td>
<td>90F002500</td>
<td>L</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 162</td>
<td>133 / 76</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>392</td>
<td>AHMAD ISMAIL KARUNIA / KUSMANI</td>
<td>90A4303</td>
<td>JL. DELIKSARI</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 111</td>
<td>90 / 60</td>
<td>J00</td>
<td>umum</td>
<td>tidak</td>
<td>Jangli</td>
</tr> <tr>
<td>393</td>
<td>STEFANY AYUNINDYA SALSABILA / SUPRIYADI</td>
<td>080J09303</td>
<td>JL.PETERONGAN TIMUR</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.8 / 83.7</td>
<td>16.8/KURUS</td>
<td>89 / 56</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>394</td>
<td>080000607091</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 155</td>
<td>131 / 82</td>
<td>I84</td>
<td>kia</td>
</tr> <tr>
<td>395</td>
<td>VICKY BARA ALAMSYAH / KHOLIPAH</td>
<td>00A65002`</td>
<td>DURIAN I NO 5</td>
<td>L</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>119 / 174</td>
<td>199 / 100</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>396</td>
<td>SETYORINI / TUTU HARTANTO</td>
<td>90I003001</td>
<td>JL. WONODRI KOPEN III/24</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 150</td>
<td>119 / 84</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>397</td>
<td>TRI GUSTORO ADI / AMINI</td>
<td>00C094903</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 176</td>
<td>110 / 70</td>
<td>Z01.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>398</td>
<td>IKA NOVITASARI / ABDUL ROHMAN</td>
<td>0800131701</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 158</td>
<td>101 / 77</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>399</td>
<td>NUNUK SUNARTI / YULIYANTO</td>
<td>080000344601</td>
<td>JL.PANDEAN LAMPER IV NO.57</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>110 / 80</td>
<td>h52</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>400</td>
<td>RIFKAH ROSALIA / ADITHYA SUMBANG</td>
<td>080000286802</td>
<td>JL. KP. JAGALAN</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 152</td>
<td>95 / 63</td>
<td>z71.8</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gunungpati</td>
</tr> <tr>
<td>401</td>
<td>LUDJI ESTINI / TASA RADINAYA P</td>
<td>0000542901</td>
<td>LAMPER TENGAH GANG VIII</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>102 / 74</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>402</td>
<td>PRADELLA FILDZA ASYIDA / SUNGKONO</td>
<td>90F073402</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 150</td>
<td>24/NORMAL</td>
<td>100 / 72</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>403</td>
<td>KARLA PRESTIANI / KARTONO RIYADI</td>
<td>90D069302</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 155</td>
<td>20/NORMAL</td>
<td>110 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>404</td>
<td>RAHMA WAHYUNINGSIH / MOCH BUSRONI</td>
<td>00136203</td>
<td>JL. CINDE DALAM NO.2</td>
<td>P</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 146</td>
<td>110 / 70</td>
<td>F25.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Jomblang</td>
</tr> <tr>
<td>405</td>
<td>DEWI SETYANINGSIH / WAHYU PAMBUDI</td>
<td>0000307001</td>
<td>JL. DURIAN I NO.30</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 160</td>
<td>104 / 88</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>406</td>
<td>FEODORA BETHANIA / TAN THIO KHOEN SAPTA AGUS</td>
<td>90H046202</td>
<td>JL.SALAK V/502</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5700 / 62</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>407</td>
<td>KALIMAH / KALIMAH</td>
<td>089090082000</td>
<td>P</td>
<td>79 Tahun</td>
<td>BARU</td>
<td></td>
<td>150 / 48</td>
<td>120 / 80</td>
<td>t10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>408</td>
<td>SUPARTI / ROCHMAT</td>
<td>089090607701</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 153</td>
<td>17.5/KURUS</td>
<td>110 / 80</td>
<td>a18.2</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Gemah</td>
</tr> <tr>
<td>409</td>
<td>FELYSIA INEZ GIANINA / RIYAN BAYU ADITYA</td>
<td>080000102303</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.8 / 78</td>
<td>16.1/KURUS</td>
<td>89 / 54</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>410</td>
<td>MUHAMMAD SOLIHIN / MUHAMMAD SOLIHIN</td>
<td>000030400</td>
<td>JL. LAMPER TENGAH IX</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 160</td>
<td>131 / 89</td>
<td>e11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>411</td>
<td>SUMIYATI / MUHAMMAD SOLIHIN</td>
<td>000030401</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>89 / 160</td>
<td>134 / 94</td>
<td>M77.37</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>412</td>
<td>ERNAWATI (PROLANIS) / SUKARMIN</td>
<td>080000394301</td>
<td>KEDUNGMUNDU 116</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 158</td>
<td>20/NORMAL</td>
<td>120 / 70</td>
<td>e11</td>
<td>umum</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>413</td>
<td>90H080601</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>92 / 168</td>
<td>126 / 88</td>
<td>Z48.8</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>414</td>
<td>DEWANDARU AZKA PUTRA RIYANTO / GURUH RIYANTO</td>
<td>00D061103</td>
<td>JL.LAMPER TENGAH III</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>15.2 / 105</td>
<td>13.8/KURUS</td>
<td>89 / 54</td>
<td>A09</td>
<td>mtbs</td>
</tr> <tr>
<td>415</td>
<td>080000607091</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 155</td>
<td>131 / 82</td>
<td>i84.1</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>416</td>
<td>ANNISA ANGGRAHENI / NENENG NURYATI</td>
<td>080000459902</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 156</td>
<td>109 / 71</td>
<td>k04.1</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>417</td>
<td>MUHAMMAD ALFA / UNTUNG TRIYONO</td>
<td>90H025203</td>
<td>JL.WONODRI KOPEN BARAT I</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>15 / 99.5</td>
<td>15.2/KURUS</td>
<td>89 / 56</td>
<td>A09</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>418</td>
<td>MARYATI / AGUS KUNCORO</td>
<td>90I003201</td>
<td>JL. KIMAR IV</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 145</td>
<td>19/NORMAL</td>
<td>130 / 80</td>
<td>M13</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>419</td>
<td>AGUS PURWANTO / AGUS PURWANTO</td>
<td>00D038702</td>
<td>JL. BLIMBING RAYA NO 31 </td>
<td>L</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 156</td>
<td>18.5/KURUS</td>
<td>90 / 60</td>
<td>J91</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>420</td>
<td>ARVIRZHA NAZRIL ARISANDI / HENDRA DWI AJI ARISANDI</td>
<td>90H002703</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.5 / 65</td>
<td>89 / 54</td>
<td>Z27</td>
<td>imunisasi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>421</td>
<td>EKO ARIWIBOWO / EKO ARIWIBOWO</td>
<td>00E071000</td>
<td>L</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 165</td>
<td>18/KURUS</td>
<td>108 / 68</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>422</td>
<td>DAFFANSA JABBAR RIZKY SYANDANA / RIYANTO</td>
<td>00B52202</td>
<td>JL. LAMPER TENGAH I/7</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>27.8 / 125</td>
<td>17.8/KURUS</td>
<td>100 / 80</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>423</td>
<td>VERA SEPTIANA PUTRI / FAJAR NUR HIDAYAT</td>
<td>080J017002</td>
<td>JL. CEMPEDAK UTARA I</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>35 / 155</td>
<td>14.6/KURUS</td>
<td>101 / 77</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>424</td>
<td>ERWIN DWI ASTUTI / MEI SORO ENDRO BASUKI</td>
<td>0000129102</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 155</td>
<td>100 / 70</td>
<td>l30</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>425</td>
<td>JUMIATUN / NGATEMIN</td>
<td>080000432701</td>
<td>JL.SOMPOK LAMA NO. 43-A</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>121 / 155</td>
<td>162 / 92</td>
<td>i10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>426</td>
<td>NOVIANI / ACHMAT WIDODO</td>
<td>0000010201</td>
<td>JL. PETERONGAN BUGEL</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>36 / 155</td>
<td>15/KURUS</td>
<td>106 / 71</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>427</td>
<td>WAHYUNINGSIH / AGUNG BASARI</td>
<td>00025301</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 149</td>
<td>123 / 83</td>
<td>R05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>Peterongan</td>
</tr> <tr>
<td>428</td>
<td>BY NY SITI HALIMAH / SUGENG HARIYADI</td>
<td>90D036503</td>
<td>JL. NGAGLIK, NYATNYONO, UNGARAN BARAT, KAB. SEMARANG</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3300 / 51</td>
<td>89 / 56</td>
<td>Z00</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>429</td>
<td>MUHAMMAD ABIL RAFAZA / UNTUNG TRIYONO</td>
<td>90H025202</td>
<td>JL.WONODRI KOPEN BARAT I</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>28 / 115</td>
<td>100 / 70</td>
<td>j02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>430</td>
<td>SULISTIYANAWATI / SULISTIYANAWATI</td>
<td>90D091900</td>
<td>JL. WONODRI KRAJAN GG BUNTU 715 A/43</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 150</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>431</td>
<td>KAFEEL HAWIZAN SYAHREZA ADITAMA / CANDRA MUSTOFA</td>
<td>90902634003</td>
<td>JL. KP BANTENG</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.2 / 74.5</td>
<td>16.6/KURUS</td>
<td>89 / 54</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>432</td>
<td>EUIS NURAENI / ANDI FAJAR NUGROHO</td>
<td>90I003301</td>
<td>JL. CEPLOK PIRING NO. 9, KEL. TONGGALA, KEC. KLATEN TENGAH, KAB.
KLATEN</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 153</td>
<td>120 / 74</td>
<td>M32</td>
<td>umum</td>
<td>ya</td>
<td>Luar Kota</td>
</tr> <tr>
<td>433</td>
<td>HAMDAN AJI SAPUTRA / NANDAR</td>
<td>90A81602</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.2 / 71</td>
<td>18.3/KURUS</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>434</td>
<td>SASKORO PUTRO PAMUNGKAS / KUNTORO</td>
<td>060000398604</td>
<td>JL.PETERONGAN TIMUR 320</td>
<td>L</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>127 / 78</td>
<td>H57.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>435</td>
<td>NENENG NURYANI / BAMBANG PRAJURITNO</td>
<td>080000035201</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 156</td>
<td>145 / 88</td>
<td>k04.0</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>436</td>
<td>SUPARTINI / SUPARTINI</td>
<td>90B12800</td>
<td>JL.WONODRI KOPEN II/1026</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 145</td>
<td>130 / 90</td>
<td>k30</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>437</td>
<td>FIDYA FITRIYANTI / PUTRA PRASETIO</td>
<td>90I003401</td>
<td>JL. NGABEAN</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>110 / 70</td>
<td>l30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gunungpati</td>
</tr> <tr>
<td>438</td>
<td>ARUM WIJAYATI / EKO ROHADI / EDI WAHYU PRAYOGO</td>
<td>080000403904</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>54.8 / 155</td>
<td>120 / 71</td>
<td>z30</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>439</td>
<td>HENI SULISTYORINI / RIYANTO</td>
<td>00B52203</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 155</td>
<td>125 / 77</td>
<td>H52.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>440</td>
<td>00025301</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 149</td>
<td>123 / 83</td>
<td>k01</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>Peterongan</td>
</tr> <tr>
<td>441</td>
<td>BILQIS AL BIRRUNI IQZA / MUHAMMAD IQBAL TAWAKKAL</td>
<td>00D091303</td>
<td>JL.MANGGIS IV/25-A</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4800 / 59.5</td>
<td>88 / 41</td>
<td>z27</td>
<td>imunisasi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>442</td>
<td>MEISYN DWI PURWANTI / KURNIAWAN</td>
<td>90H046703</td>
<td>JL. KSATRIA GG. DAHLIA NO. 69 B, KEL. KESAMBI, KOTA CIREBON</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 55</td>
<td>94 / 60</td>
<td>j00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>443</td>
<td>INA AGUSTAVIANA DASUKI / MUHAMMAD ROMADHAN</td>
<td>00C42101</td>
<td>PETERONGAN SARI NO.45</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 158</td>
<td>123 / 88</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>444</td>
<td>SOEPARNO / SOEPARNO</td>
<td>080000124700</td>
<td>JL. LAMPER TENGAH II/562</td>
<td>L</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 161</td>
<td>130 / 90</td>
<td>H44.5</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>445</td>
<td>LINA PUTRI ANDRIYANI / FAJAR BUWANA EKA PAKSI</td>
<td>00E067001</td>
<td>JL.BLIMBING II/345-B</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 162</td>
<td>106 / 76</td>
<td>Z34</td>
<td>kia</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>446</td>
<td>EKO UTOMO / EKO UTOMO</td>
<td>080000327600</td>
<td>JL. LAMPER TENGAH XV-B55</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>98 / 165</td>
<td>120 / 80</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>447</td>
<td>SAMIDI UNTUNG / SAMIDI UNTUNG</td>
<td>90C00700</td>
<td>JL. BANTENG</td>
<td>L</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 160</td>
<td>126 / 68</td>
<td>g44</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Pleburan</td>
</tr> <tr>
<td>448</td>
<td>KEVIN ANDIKA PAMUNGKAS / DURYANTO</td>
<td>0000550905</td>
<td>JL. PISANG</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.4 / 93</td>
<td>12/KURUS</td>
<td>89 / 54</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>449</td>
<td>RIZAL ARDHIANTO / RIZAL ARDHIANTO</td>
<td>90G044000</td>
<td>DK PLIRIAN KABUPATEN KENDAL</td>
<td>L</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>88 / 173</td>
<td>120 / 80</td>
<td>z02</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>450</td>
<td>MEI SURYA CIPTA A / FAHRIZAL NOVA RISSANDY</td>
<td>00C014703</td>
<td>JL.DURIAN IV NO.18</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 160</td>
<td>117 / 65</td>
<td>Z35</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>451</td>
<td>RIO ADITYA NUGROHO / RIO ADITYA NUGROHO</td>
<td>90G070100</td>
<td>TONGGALAN, KLATEN TENGAH, KAB. KLATEN</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>85 / 172</td>
<td>117 / 83</td>
<td>B02</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>452</td>
<td>NYALA JINAGA KERSANING BUMI / BAMBANG R</td>
<td>00E025202</td>
<td>JL. JAMBU RAYA NO. 18 </td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.6 / 72</td>
<td>88 / 45</td>
<td>j00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>453</td>
<td>ANDIKA RIZKI RAMADHAN / SUDARNO</td>
<td>080000411505</td>
<td>JL. PETERONGAN TENGAH NO. 23</td>
<td>L</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 170</td>
<td>120 / 74</td>
<td>J02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>454</td>
<td>SAFIRA RAHMA OKTAVIA / ROHMAD</td>
<td>080000524104</td>
<td>JL. PISANG</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5700 / 58.5</td>
<td>89 / 58</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>455</td>
<td>MUHAMMAD / JOKO PRIYONO</td>
<td>00C04907</td>
<td>JL.LAMPER TENGAH V</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>35 / 138</td>
<td>18.4/KURUS</td>
<td>100 / 70</td>
<td>B26</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>456</td>
<td>NANIK FIRNAWATI / KASSUDIYARTONO</td>
<td>00B31203</td>
<td>JL. SOMPOK LAMA 51</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 158</td>
<td>126 / 84</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>457</td>
<td>IZZAM FARID ATTALAH / WAHYUNI SULISTIJANINGSIH</td>
<td>00A80901</td>
<td>JL.LAMPER TENGAH III/606-B</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 114</td>
<td>13.9/KURUS</td>
<td>100 / 70</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>458</td>
<td>GRACIA PUTRI WIBOWO / YAMA MOCH WIBOWO</td>
<td>90B63104</td>
<td>JL. SIKLUWUNG ASRI</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5500 / 62.7</td>
<td>88 / 41</td>
<td>j06</td>
<td>mtbs</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>459</td>
<td>ANINDIRA MAHASWARI / ABANG</td>
<td>90F024502</td>
<td>DUSUN PANGANJUR KEL.KAPETAKAN KEC.KAPETAKAN KAB.CIREBON</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.1 / 76</td>
<td>15.8/KURUS</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>460</td>
<td>WAHYUNI SULISTIJANINGSIH / WAHYUNI SULISTIJANINGSIH</td>
<td>00A80900</td>
<td>JL.LAMPER TENGAH III/606</td>
<td>L</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 160</td>
<td>100 / 70</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>461</td>
<td>CHANSA NISRIN / M MUNIF</td>
<td>080000362703</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 155</td>
<td>100 / 70</td>
<td>H44.9</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>462</td>
<td>RUMSIYATUN / ONI SETIADI</td>
<td>080000467001</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 153</td>
<td>110 / 70</td>
<td>k30</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>463</td>
<td>PERWIRA ADI WIBOWO / WARTOYO</td>
<td>90I003602</td>
<td>WONOSARI, KEL. BRAGOLAN, KEC. PURWODADI. KAB. PURWOREJO</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 175</td>
<td>132 / 84</td>
<td>a09</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>464</td>
<td>DESI SETIYORINI / SRI YUNI SETYOWATI</td>
<td>00E082908</td>
<td>JL. LAMPER TENGAH IX/671-D</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 160</td>
<td>118 / 76</td>
<td>J31.2</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>465</td>
<td>DIANI / BENI NUGROHO</td>
<td>080000804701</td>
<td>JL.BANCAR ASRI TIMUR V</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 162</td>
<td>123 / 69</td>
<td>k01.1</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>466</td>
<td>DIYAH YUNITA SARI / HERU HERWANTO</td>
<td>00C066601</td>
<td>JL. KEDONDONG DALAM IX NO. 1B</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>66.5 / 150</td>
<td>93 / 64</td>
<td>Z35</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>467</td>
<td>VENIA AMALIA NUGRAHA / BENNY NUGROHO</td>
<td>080000804702</td>
<td>JL. BANCAR ASRI TIMUR V</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 155</td>
<td>87 / 60</td>
<td>l50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>468</td>
<td>SETYA DWI NUGROHO / SETYA DWI NUGROHO</td>
<td>0000240802</td>
<td>JL. LAMPER TENGAH III NO.611-C</td>
<td>L</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 172</td>
<td>128 / 80</td>
<td>T21.2</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>469</td>
<td>BAGUS IMAN ALFARIZHI / SUKIMAN</td>
<td>90I003102</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>83 / 176</td>
<td>123 / 77</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>470</td>
<td>FAKHRI ATALLAH HAIDAR / GARYONO</td>
<td>00240804</td>
<td>JL. LAMPER TENGAH XV</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>16.2 / 77</td>
<td>89 / 40</td>
<td>J06</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>471</td>
<td>ANISYA MAHARANI / SAMSURI</td>
<td>070000360202</td>
<td>JL. TAMAN DUKU</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 160</td>
<td>119 / 75</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>472</td>
<td>SRI HENI SUNTARI / SOEROTO</td>
<td>00B73701</td>
<td>JL. PETERONGAN 344-B</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 143</td>
<td>132 / 79</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>473</td>
<td>00A13402</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 160</td>
<td>18/KURUS</td>
<td>120 / 70</td>
<td>z09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>474</td>
<td>90D070701</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 153</td>
<td>110 / 70</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>475</td>
<td>RICKY YAKOBTINUS / RICKY YAKOBTINUS</td>
<td>90G049100</td>
<td>JL. LAWU NO. 30A, KETAPANG, KADEMANGAN, KOTA PROBOLINGGO</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 170</td>
<td>119 / 79</td>
<td>k12</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>476</td>
<td>AZZAHRA ZOYA NUGRAHA / SETYA DWI NUGROHO</td>
<td>0000240804</td>
<td>JL. LAMPER TENGAH III NO.611-C </td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.3 / 67</td>
<td>18.5/KURUS</td>
<td>89 / 40</td>
<td>J00</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>477</td>
<td>DEWANDARU AZKA PUTRA RIYANTO / GURUH RIYANTO</td>
<td>00D061103</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>15 / 105</td>
<td>13.6/KURUS</td>
<td>89 / 54</td>
<td>a09</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>478</td>
<td>SUWARTI / PONIJO</td>
<td>080000470901</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 148</td>
<td>120 / 70</td>
<td>e11.7</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>479</td>
<td>RAMA PUTRA ALFARIZQY / TRI MUJIONO</td>
<td>00002374004</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.5 / 80</td>
<td>14.8/KURUS</td>
<td>89 / 54</td>
<td>j06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>480</td>
<td>ANDRIYANI PUJI RAHAYU SANTOSO / TRI MUJIONO</td>
<td>00002374002</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>56.9 / 165</td>
<td>111 / 70</td>
<td>z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>481</td>
<td>JASMIN NOURA QAWIYA ROHMAN / FATCHURROHMAN</td>
<td>90H084702</td>
<td>JL. PINGIT LAWANG,PINGIT, PRINGSURAT, KAB. TEMANGGUNG</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>10 / 79</td>
<td>16/KURUS</td>
<td>89 / 56</td>
<td>a16</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>482</td>
<td>90E008301</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 165</td>
<td>114 / 72</td>
<td>K29</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>483</td>
<td>AULIA RIZTA SAPUTRI / RIZKY SETIAWAN</td>
<td>90I003802</td>
<td>JL. GAYAMSARI</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.2 / 86.5</td>
<td>15/KURUS</td>
<td>89 / 54</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>484</td>
<td>ATMA PUTRI SAFITRI / ANDI SAPUTRO</td>
<td>90E008302</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 156</td>
<td>90 / 60</td>
<td>h10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>485</td>
<td>IDA PUSPITASARI / SRI KASMIATOEN</td>
<td>0800127003</td>
<td>JL. PANDEAN LAMPER II/78, PETERONGAN</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 152</td>
<td>97 / 73</td>
<td>k29</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>486</td>
<td>SRI SUNARTI / MASNGUT</td>
<td>00E076701</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>120 / 70</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>487</td>
<td>SRI KASMIATOEN / SRI KASMIATOEN</td>
<td>0800127000</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 156</td>
<td>141 / 84</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>488</td>
<td>ATHA HAFIZH ALFAREZI / AFENDI</td>
<td>0000190404</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>12 / 91</td>
<td>14.5/KURUS</td>
<td>86 / 54</td>
<td>j18</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>489</td>
<td>DJUREMI / DJUREMI</td>
<td>0000259300</td>
<td>JL.LAMPER TENGAH 12/72</td>
<td>L</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>36 / 155</td>
<td>15/KURUS</td>
<td>130 / 70</td>
<td>a15</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>490</td>
<td>AGUSTIN KIKI HERMAWATI / SUROTO</td>
<td>0000255401</td>
<td>JL. PETERONGAN TIMUR 344 B</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 150</td>
<td>110 / 70</td>
<td>Z00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>491</td>
<td>ANNA RUSFIANTI / ANNA RUSFIANTI</td>
<td>00C072300</td>
<td>JL. NANAS NO.36</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 157</td>
<td>123 / 70</td>
<td>n76</td>
<td>umum</td>
<td>gratis</td>
</tr> <tr>
<td>492</td>
<td>IRNAWATI / BUDIAWAN</td>
<td>080000378001</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 152</td>
<td>131 / 80</td>
<td>k04.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>493</td>
<td>SUCI RAMADHANI / SUDARYANTO</td>
<td>9090278403</td>
<td>JL WONODRI BARU</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 149</td>
<td>99 / 68</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>494</td>
<td>SOLIKAH / NGATIPAN/AFENDIY</td>
<td>0000190401</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 160</td>
<td>120 / 79</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>495</td>
<td>AYUNINDYA GALUH PAMUJI / NUGAR PAMUJI</td>
<td>00A40103</td>
<td>JL.LAMPER TENGAH 4</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>12 / 81</td>
<td>18.3/KURUS</td>
<td>89 / 53</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>496</td>
<td>UMI KUSTITIYAH / UMI KUSTITIYAH</td>
<td>00A34901</td>
<td>P</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 143</td>
<td>173 / 92</td>
<td>i10</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>497</td>
<td>90H080601</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>92 / 168</td>
<td>120 / 81</td>
<td>z09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>498</td>
<td>NASYITA LUBNA IZZATUNNISA / HENDRY</td>
<td>080000450103</td>
<td>JL.CERME RAYA NO.7-A</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.9 / 78</td>
<td>16.3/KURUS</td>
<td>89 / 41</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>499</td>
<td>SUGITO / SUGITO</td>
<td>00E067700</td>
<td>L</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 165</td>
<td>123 / 72</td>
<td>a15</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>500</td>
<td>NAYARA AIZA HALWATUNNISA / HENDRY</td>
<td>080000450108</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6400 / 58.5</td>
<td>89 / 42</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>501</td>
<td>SUKAMDI HARNO SUMARTO / SUKAMDI</td>
<td>90G056800</td>
<td>TAMBAK</td>
<td>L</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 160</td>
<td>130 / 80</td>
<td>I25</td>
<td>lansia</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>502</td>
<td>00C072300</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 157</td>
<td>123 / 70</td>
<td>N72</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>503</td>
<td>RR SURJANTI / RR SURJANTI</td>
<td>080000806801</td>
<td>JL.JOMBLANG TIMUR 828-E</td>
<td>P</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 155</td>
<td>114 / 74</td>
<td>j00</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>504</td>
<td>HARYONO / HARYONO</td>
<td>00E083000</td>
<td>JL. CEMPEDAK UTARA I NO. 34</td>
<td>L</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 150</td>
<td>130 / 80</td>
<td>i64</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>505</td>
<td>AISYA YUMNA / AL AZIZ IDHAM KHOLIQ</td>
<td>00C14802</td>
<td>JL. MANGUNHARJO</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.6 / 69.5</td>
<td>89 / 56</td>
<td>Z00</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>Mangun harjo</td>
</tr> <tr>
<td>506</td>
<td>EVA MARTINI / NUGAR PAMUJI</td>
<td>00A40101</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 156</td>
<td>119 / 74</td>
<td>L50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>507</td>
<td>ATHALLA PUTRA OCTAVARO / SUTRISNO</td>
<td>00E053703</td>
<td>jl. cempedak utara </td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>27.2 / 130</td>
<td>16.1/KURUS</td>
<td>100 / 85</td>
<td>k04.7</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>508</td>
<td>LUWINARNI / NOOR KHOLIK</td>
<td>0000141503</td>
<td>CEMPEDAK UTARA I/26C</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 150</td>
<td>24/NORMAL</td>
<td>118 / 68</td>
<td>h10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>509</td>
<td>MUHAMMAD IRSYAD HANAFI / FAJAR WIDI ARSA</td>
<td>0000207705</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.6 / 76</td>
<td>14.9/KURUS</td>
<td>88 / 42</td>
<td>A06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>510</td>
<td>BUWANG / BUWANG</td>
<td>0800J122000</td>
<td>JL DURIAN IV</td>
<td>L</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 156</td>
<td>16.8/KURUS</td>
<td>142 / 76</td>
<td>S22</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>511</td>
<td>NGATEMI prolanis / NGATEMI</td>
<td>9090270701</td>
<td>SENDANGUWO</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 160</td>
<td>119 / 79</td>
<td>l27</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>512</td>
<td>SHAFURA ALYA MAJID / MOCHAMMAD ACHMADI</td>
<td>000149603</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>28 / 133</td>
<td>15.8/KURUS</td>
<td>96 / 77</td>
<td>k00</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>513</td>
<td>NAURA SYAKILA EL SHANUM / ABDUL RAHMAN</td>
<td>90C30203</td>
<td>JL.DURIAN I/30-B</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.2 / 76.1</td>
<td>12.4/KURUS</td>
<td>60 / 44</td>
<td>J18</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>514</td>
<td>NARENDRA RAFFASYA WARDANI / DENI SUWARDANI</td>
<td>00BPJS014103</td>
<td>JL. MANGGIS VII</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.9 / 90</td>
<td>14.7/KURUS</td>
<td>89 / 57</td>
<td>J06</td>
<td>mtbs</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>515</td>
<td>SLAMET BS / SLAMET BS</td>
<td>00BPJS005000</td>
<td>JL. WOLOGITO 1/85</td>
<td>L</td>
<td>82 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 167</td>
<td>108 / 63</td>
<td>e11</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>516</td>
<td>DANIEL WAHYU TRI A / DANIEL WAHYU TRI A</td>
<td>00D019600</td>
<td>JL. CEMPEDAK UTARA NO.13</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 175</td>
<td>120 / 80</td>
<td>e78</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>517</td>
<td>FATHARIAN NAUFAL JAZULI / ABDUL ROHMAN</td>
<td>90C30202</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>12.4 / 94</td>
<td>14/KURUS</td>
<td>60 / 44</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>518</td>
<td>90B21001</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 160</td>
<td>18.4/KURUS</td>
<td>129 / 83</td>
<td>k02</td>
<td>gigi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>519</td>
<td>SITI LESTARI / MARTONO</td>
<td>080000439301</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 152</td>
<td>120 / 70</td>
<td>I64</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>520</td>
<td>CLARA AURELIA CINTA ADAMMA / PAULUS SIGIT</td>
<td>0000217604</td>
<td>JL. MANGGIS IV/2-B</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 152</td>
<td>18.2/KURUS</td>
<td>120 / 70</td>
<td>Z34</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>521</td>
<td>SUMIYATI / SUKANI</td>
<td>080000412401</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 158</td>
<td>22/NORMAL</td>
<td>122 / 67</td>
<td>r73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>522</td>
<td>TRISURA MADANA PUTRA / HADI SUWIJAS</td>
<td>00C056304</td>
<td>JL.JOMBLANG TIMUR 828 E</td>
<td>L</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 169</td>
<td>17.5/KURUS</td>
<td>120 / 70</td>
<td>r05</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>523</td>
<td>WAHYUNI / ADI PURNOMO</td>
<td>080000410601</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 154</td>
<td>124 / 77</td>
<td>h62</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>524</td>
<td>DAFFA DWI HAFIZ / ARIESTA JOSAN</td>
<td>0000291103</td>
<td>JL. DUWET NO.4</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>19 / 114</td>
<td>14.6/KURUS</td>
<td>120 / 70</td>
<td>j06</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>525</td>
<td>SUHARNI / ARIESTA JOSAN</td>
<td>0000291101</td>
<td>JL. DUWET NO.4</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 155</td>
<td>106 / 66</td>
<td>j06</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>526</td>
<td>FERI SUSANTO / FERI SUSANTO</td>
<td>KIR20192609</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 158</td>
<td>120 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>527</td>
<td>RANU SIMA DENNY / DENI</td>
<td>00E057204</td>
<td>JL.MANGGIS VIII/13</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6500 / 64</td>
<td>60 / 44</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>528</td>
<td>ANDINI TRIYANI / PRI ANDRIYANTO</td>
<td>000388801</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 154</td>
<td>135 / 75</td>
<td>E78.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>529</td>
<td>WAGINAH / DARSONO</td>
<td>0000174301</td>
<td>JL. LAMPER MIJEN NO.315</td>
<td>P</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 158</td>
<td>182 / 103</td>
<td>k05.2</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>530</td>
<td>HERI ARDIHANSYAH / HERI ARDIHANSYAH</td>
<td>90B1300</td>
<td>L</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 162</td>
<td>110 / 70</td>
<td>R50</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>531</td>
<td>ADI SUTJIPTO / ADI SUTJIPTO</td>
<td>0000277900</td>
<td>LAMPER TENGAH I/545-A</td>
<td>L</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 157</td>
<td>109 / 75</td>
<td>j00</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>532</td>
<td>00J103101</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>120 / 74</td>
<td>A46</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>533</td>
<td>NANDA FADHILAH NURUL FAJRI / SURYA HARSONO</td>
<td>00E083104</td>
<td>JL. KEDUNGMUNDU NO. 28-A</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 158</td>
<td>24/NORMAL</td>
<td>105 / 71</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>534</td>
<td>NUNUNG SETIYANTI / AHMAD SUPRIHATIN</td>
<td>0000186201</td>
<td>JL. LAMPER TENGAH VII/661-D</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 152</td>
<td>150 / 90</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>535</td>
<td>SUYATMI / TUMANI</td>
<td>080000246601</td>
<td>JL.BLIMBING VII/37</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>90 / 153</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>536</td>
<td>INDARNI / ROHADI</td>
<td>080000273801</td>
<td>JL. KEDONDONG DALAM II</td>
<td>P</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 148</td>
<td>140 / 90</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>537</td>
<td>CHATARINA DWI MULIYATSIH / CHATARINA DWI MULIYATSIH</td>
<td>9090271901</td>
<td>JL. KLIPANG PERMAI H.261</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 155</td>
<td>120 / 80</td>
<td>m54.5</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>538</td>
<td>DEVITA PUTRI CAHAYA / NUR CAHYO</td>
<td>00J02902</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>14 / 98</td>
<td>14.6/KURUS</td>
<td>60 / 40</td>
<td>K29</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>539</td>
<td>00C065902</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.7 / 85</td>
<td>14.8/KURUS</td>
<td>89 / 45</td>
<td>A01</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>540</td>
<td>SUMINAH / SUMINAH</td>
<td>0800J31300</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 155</td>
<td>107 / 88</td>
<td>M06</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>541</td>
<td>QUINA RANIA SUGIYANTI / SUGIYANTO</td>
<td>079090237205</td>
<td>JL. SAWI</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.500 / 67</td>
<td>14.5/KURUS</td>
<td>60 / 44</td>
<td>Z00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>542</td>
<td>NIKEN OKTIANI / DWI NURYATNO</td>
<td>00D001801</td>
<td>JL. PETERONGAN SARI II/19</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 157</td>
<td>136 / 79</td>
<td>Z00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>543</td>
<td>SUROYO / SUROYO</td>
<td>90G098800</td>
<td>JL.DELIK REJO</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 165</td>
<td>18.4/KURUS</td>
<td>160 / 100</td>
<td>H25</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Tandang</td>
</tr> <tr>
<td>544</td>
<td>DIANI / BENI NUGROHO</td>
<td>080000804701</td>
<td>JL.BANCAR ASRI TIMUR V</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 162</td>
<td>103 / 70</td>
<td>e78.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>545</td>
<td>OKTAVIANI DYASTUTI / WAHYU CHANDRA AGUNG</td>
<td>00D011401</td>
<td>JL PANDEAN LAMPER III/7</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>95 / 155</td>
<td>123 / 85</td>
<td>z00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>546</td>
<td>KASIH MARYATI / YUNI HANDOKO</td>
<td>060000405401</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 157</td>
<td>154 / 100</td>
<td>N63</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>547</td>
<td>REKNO AMBAR WIYATI / REKNO AMBAR WIYATI </td>
<td>00C092100</td>
<td>JALAN PETERONGAN TIMUR NO.333</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 140</td>
<td>104 / 76</td>
<td>z00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>548</td>
<td>YASMIN GWYN FATAHILLAH / ANDY FATAHILLAH</td>
<td>00C059103</td>
<td>JL. LAMPER MIJEN NO. 319A</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.7 / 66</td>
<td>20/NORMAL</td>
<td>89 / 54</td>
<td>L30</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>549</td>
<td>MUDJI ASTUTI / EKO YULI SETIAWAN</td>
<td>00C093001</td>
<td>JL, KEDONDONG DALAM NO. 319</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 152</td>
<td>143 / 88</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>550</td>
<td>00C38201</td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 158</td>
<td>128 / 64</td>
<td>k04.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>551</td>
<td>KHAYLA DYRA HAFIZHA ALMAHYRA / DEDY AGUNG SETIAWAN</td>
<td>089090250809</td>
<td>JL. CERME RAYA NO.4</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.4 / 85.5</td>
<td>89 / 53</td>
<td>L30</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>552</td>
<td>MUHAMMAD ANDHAZ SAINTEKHA / DIDIK HENDRADI</td>
<td>90H036005</td>
<td>JL. PLEBURAN RAYA NO. 45</td>
<td>L</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 168</td>
<td>110 / 80</td>
<td>z00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Pleburan</td>
</tr> <tr>
<td>553</td>
<td>RENITA FATMAWATI / KASERI</td>
<td>90C31403</td>
<td>JL. WONODRI KRAJAN II</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 150</td>
<td>112 / 83</td>
<td>r11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>554</td>
<td>WAHYUNINGSIH / SAEFUDIN</td>
<td>08000199302</td>
<td>JL. JOMBLANG TIMUR NO.827</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 145</td>
<td>120 / 70</td>
<td>M17</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>555</td>
<td>MUHAMMAD AZKHA HIDAYATULOH / SARIFIN HIDAYATULOH</td>
<td>000201907</td>
<td>JL.PETERONGAN KOBONG NO.48</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>11 / 83</td>
<td>16/KURUS</td>
<td>89 / 53</td>
<td>L30</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>556</td>
<td>JAFFIN ADEAN PRATAMA / ARDAN FATHI ARSAYANA</td>
<td>060000363103</td>
<td>PETERONGAN BUGEL</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.6 / 91.5</td>
<td>13.9/KURUS</td>
<td>80 / 60</td>
<td>Z27</td>
<td>imunisasi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>557</td>
<td>SHAZFA ASKHADINA APRILYA PUTRI / HARIYONO</td>
<td>0000BPJS005903</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.5 / 86.5</td>
<td>12.7/KURUS</td>
<td>89 / 86</td>
<td>Z00</td>
<td>mtbs</td>
</tr> <tr>
<td>558</td>
<td>SABARDI / SABARDI</td>
<td>9090211100</td>
<td>L</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 165</td>
<td>16.2/KURUS</td>
<td>100 / 70</td>
<td>e11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>559</td>
<td>ANGELICA DEASY CHRISTIANTI / ANGELICA DEASY CHRISTIANTI</td>
<td>00E068001</td>
<td>JL. LAMPER KRAJAN NO. 1618</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 165</td>
<td>120 / 70</td>
<td>H44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>560</td>
<td>ERWIN ARDIANSYAH / EKO HADI P</td>
<td>0800J49502</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 162</td>
<td>100 / 60</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>561</td>
<td>MAULANA AL FATIH / CAHYONO BAYU SETIAJI</td>
<td>90B43203</td>
<td>JL. PISANG I</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.5 / 76</td>
<td>14.7/KURUS</td>
<td>80 / 60</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>562</td>
<td>TOTO SUPRATO / TOTO SUPRATO</td>
<td>080000528000</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 168</td>
<td>110 / 80</td>
<td>a09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>563</td>
<td>SRI SUKARYANTI / ACHMAD RONZAK</td>
<td>080000049901</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 152</td>
<td>179 / 84</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>564</td>
<td>ADIT KURNIAWAN / JULIN TRI WIYANTI</td>
<td>080000376304</td>
<td>JL. LAMPER TENGAH III</td>
<td>L</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>120 / 70</td>
<td>T79.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>565</td>
<td>NUR WAHKET / NUR WAHKET</td>
<td>90I004000</td>
<td>JL. BETAHWALANG, KEL. BETAHWALANG, KEC. BONANG, KAB. DEMAK</td>
<td>L</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 165</td>
<td>122 / 86</td>
<td>g44</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>566</td>
<td>AGUS SURONO / AGUS SURONO</td>
<td>060000392800</td>
<td>JL. RAMBUTAN I/30-A</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>98 / 160</td>
<td>140 / 90</td>
<td>j06</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>567</td>
<td>SUTIYO / SUTIYO</td>
<td>00E083200</td>
<td>JL. LAMPER TENGAH </td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 160</td>
<td>136 / 90</td>
<td>Z54</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>568</td>
<td>WITA ANGGRAINI / SUNDORO PRIYO WASESO</td>
<td>089090317802</td>
<td>JL.PERUM PGRI BLOK L 28</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 160</td>
<td>104 / 73</td>
<td>N91</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>569</td>
<td>WISNHU BAWONO PUTRA / WISNHU BAWONO PUTRA</td>
<td>00.003636.00</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 169</td>
<td>16.5/KURUS</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>570</td>
<td>AMARA PRARASDYA ALYKA / ALDY NIZAM</td>
<td>90H005501</td>
<td>JL. BANGETAYU KULON</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>52.4 / 145</td>
<td>104 / 70</td>
<td>Z34</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Genuksari</td>
</tr> <tr>
<td>571</td>
<td>CINDY AYU ANJANI / MUSTOFA</td>
<td>90F019202</td>
<td>JL. PENDEM KEL. TEGALSARI. KEC. KARANGGEDE. KAB. BOYOLALI</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3000 / 46.5</td>
<td>60 / 44</td>
<td>Z00</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>572</td>
<td>WIDIATNA PUTRI / DWI SUSILO HERY Y</td>
<td>080000521802</td>
<td>JL. KEDONDONG DALAM III NO.30</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>37 / 149</td>
<td>16.7/KURUS</td>
<td>100 / 61</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>573</td>
<td>KAMIYATI / SUNARNO</td>
<td>080000512701</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 150</td>
<td>140 / 80</td>
<td>h25</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>574</td>
<td>TITIZ SATRIA WIJAYA / NGATI ATI</td>
<td>00232903</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>27 / 122</td>
<td>18.1/KURUS</td>
<td>100 / 80</td>
<td>k12</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>575</td>
<td>P F MANTARI P ANDITI / GABRIEL SUHARTO</td>
<td>901004102</td>
<td>JL. MUCHRIM GG. P. JERON, KEL. MULIA BARU, KEC. DELTA PAWAN, KAB.
KETAPANG, PROV. KALIMANTRAN BARAT</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>46.4 / 158</td>
<td>139 / 89</td>
<td>k04.1</td>
<td>gigi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>576</td>
<td>SUPARNI / KUSAINI</td>
<td>089090323001</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 146</td>
<td>120 / 80</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>577</td>
<td>MAULANI APRILIANI / KUSAINI</td>
<td>089090323004</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 155</td>
<td>20/NORMAL</td>
<td>90 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>578</td>
<td>BEYZA ZAHRA AWALA / MOHAMAD HASIP EKO HANDOYO</td>
<td>00E058802</td>
<td>JL. CEPIRING, CEPIRING, CEPIRING, KAB. KENDAL</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6000 / 66</td>
<td>60 / 44</td>
<td>Z27</td>
<td>imunisasi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>579</td>
<td>ANNISA QURRATA A'YUN / HARIYANTO</td>
<td>90A19504</td>
<td>JL. SAWI VIII NO. 19</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 110</td>
<td>14.9/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>580</td>
<td>ALIFSYAH PANJI NEGARA / ALIFSYAH PANJI NEGARA</td>
<td>0000171302</td>
<td>L</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 170</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>581</td>
<td>ODDI SAPUTRA / DASWIR</td>
<td>90I002901</td>
<td>BALAI TAE JORONG NUSA INDAH, KEL. LUBUK JANTAN, KEC. LINTAU BUO
UTARA, KAB. TANAH DATAR, PROV. SUMATERA BARAT</td>
<td>L</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 162</td>
<td>131 / 76</td>
<td>k04.1</td>
<td>gigi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>582</td>
<td>MUHAMMAD HAYKAL ATTHARRAZKA / MOKHAMAD AGUS</td>
<td>0000139105</td>
<td>LAMPER TENGAH I/552 A </td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.3 / 78.2</td>
<td>13.6/KURUS</td>
<td>60 / 44</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>583</td>
<td>ERIKA PUTRI MELIANA / ALVIAN IBNU HABIBI</td>
<td>00D012001</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>39.5 / 145</td>
<td>115 / 78</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>584</td>
<td>90A4303</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 111</td>
<td>110 / 60</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
<td>Jangli</td>
</tr> <tr>
<td>585</td>
<td>IRSYAD KHALID MAFA ARRAFIF / JUMANTO</td>
<td>90B90502</td>
<td>JL. CERME RAYA NO 4</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.1 / 85.3</td>
<td>13.9/KURUS</td>
<td>60 / 44</td>
<td>J06</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>586</td>
<td>GINANJAR WISNU SAPUTRO / RAHMAT HADI PUTRANTO</td>
<td>90I004504</td>
<td>JL. PANDANSARI IX/489</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 165</td>
<td>120 / 80</td>
<td>a09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Pandansari</td>
</tr> <tr>
<td>587</td>
<td>JAELANI BEJO WIYONO / JAELANI BEJO WIYONO</td>
<td>90A92900</td>
<td>JL. SAWI III/39</td>
<td>L</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 162</td>
<td>140 / 90</td>
<td>g44</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>588</td>
<td>INDRA SWASONO H / HARI PRAMUGONO</td>
<td>00a74502</td>
<td>JL. JERUK V/23 LAMPER LOR</td>
<td>L</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 160</td>
<td>103 / 62</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>589</td>
<td>ALODIE KHAIRUNNISA LASHIRA / WALUYA</td>
<td>90A38304</td>
<td>JL. NGERANGAN, NGERANGAN, BAYAR, KAB. KLATEN </td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.1 / 83.5</td>
<td>14.5/KURUS</td>
<td>60 / 44</td>
<td>K12</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>590</td>
<td>AGUS SURYADI / AGUS SURYADI</td>
<td>00D009500</td>
<td>JL JAMBU II NO 9B</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 167</td>
<td>130 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>591</td>
<td>AULYA PUTRI PANGESTUTI / TIDAK TAHU</td>
<td>90I003702</td>
<td>PERUM KORPRI T.II/19</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 158</td>
<td>120 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>592</td>
<td>INDRIATI / SUPRIYANTO</td>
<td>080000510301</td>
<td>JL. CEMPEDAK UTARA 16A, LAMPER LOR</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 150</td>
<td>110 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>593</td>
<td>ARUM SEKARSARI / RINI PUDJIASTUTI</td>
<td>00B94202</td>
<td>JL. PETERONGAN TENGAH II/364A</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>37 / 129</td>
<td>100 / 60</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>594</td>
<td>RINI PUDJIASTUTI / RINI PUDJIASTUTI</td>
<td>00B94201</td>
<td>JL. PETERONGAN TENGAH II/346A</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 157</td>
<td>116 / 85</td>
<td>M79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>595</td>
<td>ARSAKHA VIRENDRA W / WALUYO</td>
<td>90A12103</td>
<td>JL. NGERANGAN, KEC. BAYAT, KAB. KLATEN</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 104</td>
<td>120 / 70</td>
<td>j02</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>596</td>
<td>NGADINO / NGADINO</td>
<td> 00C084200</td>
<td>L</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>90 / 162</td>
<td>186 / 101</td>
<td>r73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>597</td>
<td>RESTU MAULANA SAPUTRA / MULYONO</td>
<td>9090200503</td>
<td>JL. GAYAMSARI GEMAH</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 100</td>
<td>21/NORMAL</td>
<td>100 / 60</td>
<td>h10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>598</td>
<td>NURIYAH / MULYONO</td>
<td>90200501</td>
<td>JL.GAYAMSARI IV</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>127 / 80</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>599</td>
<td>CHRISTINA DEWI PRABANDARI / IGNATIUS SUNARYO</td>
<td>0000179104</td>
<td>JL.PISANG NO.3</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 152</td>
<td>16.4/KURUS</td>
<td>110 / 80</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>600</td>
<td>MUNIASIH / MUNIASIH</td>
<td>90A32500</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 153</td>
<td>138 / 97</td>
<td>h81.3</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>601</td>
<td>SULISTIYANI / P HERI PRANAWA</td>
<td>00E038401</td>
<td>JL.MANGGIS II/1</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 150</td>
<td>90 / 60</td>
<td>D26</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>602</td>
<td>MEI BUDI RACHMAWATI / SUPAMIN</td>
<td>080J084001</td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 150</td>
<td>148 / 96</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>603</td>
<td>AMINAH / JASMIN</td>
<td>BPJS011590</td>
<td>P</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 138</td>
<td>120 / 75</td>
<td>l30</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>604</td>
<td>M. FUAD AMIR / M. FUAD AMIR</td>
<td>90F088300</td>
<td>JL.GAYAMSARI I/II NO.4</td>
<td>L</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 160</td>
<td>158 / 95</td>
<td>I10</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>605</td>
<td>ARSYAN KINZA RAVINDRA / BAMBANG GUNAWAN</td>
<td>00bpjs011505</td>
<td>JL.GAYAMSARI 4</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.9 / 72</td>
<td>17.2/KURUS</td>
<td>60 / 44</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>606</td>
<td>SRI WIHARTATININGSIH / AGUNG TRIANTO</td>
<td>080000427001</td>
<td>JL. CEMPEDAK UTARA I/5B, LAMPER LOR</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 160</td>
<td>131 / 82</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>607</td>
<td>MUHAMMAD GAZA WIDI MAURO / BUDI KUSWORO</td>
<td>00C38402</td>
<td>L</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 170</td>
<td>120 / 70</td>
<td>Z00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>608</td>
<td>YUNI SETIANA / SUTIYO</td>
<td>90I003902</td>
<td>JL. WONODRI KRAJAN</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 159</td>
<td>130 / 90</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>609</td>
<td>VANI RISTIANA / PURNARIS</td>
<td>069090276204</td>
<td>JL. KOKOSAN III NO. 114/115</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 153</td>
<td>16.7/KURUS</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>610</td>
<td>ADAM KHAIRUL ANAM / EKO PURWANTORO</td>
<td>00E083302</td>
<td>JL JERUK VIII/18</td>
<td>L</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>81 / 173</td>
<td>112 / 77</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>611</td>
<td>AISJUN ISMAJANTI / AISJUN ISMAJANTI</td>
<td>00A70101</td>
<td>JL. DURIAN TIMURNO.1104-B</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 145</td>
<td>120 / 80</td>
<td>J00</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>612</td>
<td>PETER SANJAYA / PETER SANJAYA</td>
<td>00C054500</td>
<td>L</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 163</td>
<td>18.4/KURUS</td>
<td>120 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>613</td>
<td>RENY DWI KUSUMASTUTI / KAHONO</td>
<td>00C070503</td>
<td>JL.JERUK VIII NO.10</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 155</td>
<td>120 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>614</td>
<td>YOSEP KRISNA KUSUMA BUWANA / LIESTIJANI</td>
<td>00C092202</td>
<td>JALAN DURIAN II NO.19</td>
<td>L</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 166</td>
<td>110 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>615</td>
<td>REZA ERINDRATA / REZA ERINDRATA</td>
<td>00C089800</td>
<td>JL. MANGGA DALAM NO.6</td>
<td>L</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 172</td>
<td>123 / 77</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>616</td>
<td>SUHARTANA / SUHARTANA</td>
<td>080000437900</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 167</td>
<td>120 / 80</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>617</td>
<td>SUKATI / BAMBANG GUNAWAN</td>
<td>00bpjs011501</td>
<td>JL. GAYAMSARI 4</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>45.7 / 145</td>
<td>120 / 68</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>618</td>
<td>DHITA JATI SEPTIANA / EKO JATI PURNOMO</td>
<td>0000273903</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 158</td>
<td>120 / 80</td>
<td>J00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>619</td>
<td>BAGAS SATRIYO / LASTIYO </td>
<td>060000046702</td>
<td>L</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 149</td>
<td>138 / 56</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>620</td>
<td>MEDINA AISYAH HANA / HANA WAHYU TRIYANDI</td>
<td>080000603907</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.5 / 72.2</td>
<td>14.4/KURUS</td>
<td>60 / 44</td>
<td>Z00</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>621</td>
<td>AKHDAN ABRIANSYAM / PONIMAN</td>
<td>00A0603</td>
<td>JL. CEMPEDAK UTARA </td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>32 / 137</td>
<td>17/KURUS</td>
<td>100 / 70</td>
<td>k29</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>622</td>
<td>NUR'ALINA JIDNI / EDI ARIFIN</td>
<td>90H046504</td>
<td>KOMP. UJUNGBERUNG REGENCY BLOK B-5, KEL. PASIR JATI, KEC.
UJUNGBERUNG, KOTA BANDUNG</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 152</td>
<td>120 / 80</td>
<td>k30</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>623</td>
<td>PUTRI SILVIANA / KASNUR</td>
<td>0800134502</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 164</td>
<td>110 / 70</td>
<td>j06</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>624</td>
<td>AIDAN FEBRINO IRWANDA / IMAM IRAWAN</td>
<td>0800J049002</td>
<td>L</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 144</td>
<td>110 / 70</td>
<td>l24</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>625</td>
<td>SUYATMI / SUBUR PRIHANTORO</td>
<td>080000526101</td>
<td>JL. LAMPER TENGAH III / 607-C</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 155</td>
<td>151 / 95</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>626</td>
<td>YULIA SRI REJEKI / LI SUTRISNO</td>
<td>00B50102</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 160</td>
<td>150 / 90</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>627</td>
<td>NURLIKAH / SUATIMAH</td>
<td>90C77302</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 149</td>
<td>115 / 79</td>
<td>z34</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>Peterongan</td>
</tr> <tr>
<td>628</td>
<td>MULYONO / MULYONO</td>
<td>00E075900</td>
<td>L</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 162</td>
<td>24/NORMAL</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>629</td>
<td>SETYO PRAYETNO / SETYO PRAYETNO</td>
<td>0800052000</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 167</td>
<td>120 / 80</td>
<td>r73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>630</td>
<td>90C77302</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 149</td>
<td>115 / 79</td>
<td>z34</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>Peterongan</td>
</tr> <tr>
<td>631</td>
<td>SALWA SANTIKA KUSWANDEWI / JAYENG KUSWANTO</td>
<td>0800087502</td>
<td>JL.DUKUH GULINGAN KEL.TEMPUREJO KEC.BLORA KAB,BLORA</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 154</td>
<td>24/NORMAL</td>
<td>120 / 80</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>632</td>
<td>SUMIYATI / NGADINO</td>
<td>00C084201</td>
<td>JALAN PETERONGAN TENGAH</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 155</td>
<td>120 / 70</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>633</td>
<td>THOMAS LIES ALFRISNO / PARDI</td>
<td>00106302</td>
<td>L</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 165</td>
<td>120 / 80</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>634</td>
<td>00E073300</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 156</td>
<td>110 / 80</td>
<td>z09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>635</td>
<td>ESTY SUKSESI / ESTY SUKSESI</td>
<td>00E083601</td>
<td>JL. LAMPER TENGAH XI/20</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 159</td>
<td>125 / 65</td>
<td>z27</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>636</td>
<td>90C77302</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 149</td>
<td>115 / 79</td>
<td>z34.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>637</td>
<td>ARI INDRIYANI / SUTARNO</td>
<td>00B91903</td>
<td>LAMPER TENGAH </td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 158</td>
<td>120 / 80</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>638</td>
<td>WIWIN MARDYANINGRUM / EDI SUKARYANTO</td>
<td>90I083401</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 150</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>639</td>
<td>NUR CHOLIS / NUR CHOLIS</td>
<td>00B83700</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>89 / 170</td>
<td>140 / 90</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>640</td>
<td>DAMAR WULAN / AMIR</td>
<td>0000518804</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 110</td>
<td>100 / 60</td>
<td>H44.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>641</td>
<td>ERZA SHAFA SALSABILA MAULA / MUH. NUR AZIZ</td>
<td>90I004602</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 167</td>
<td>110 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>642</td>
<td>WAHYU WIDI SAYEKTI / RINTO HANDOYO</td>
<td>080000456601</td>
<td>JL. LAMPER TENGAH I 548-D</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 144</td>
<td>128 / 74</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>643</td>
<td>RAWI / RAWI</td>
<td>90I004300</td>
<td>JL. SAPUTAN BARAT 410</td>
<td>L</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 157</td>
<td>110 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>644</td>
<td>MUSIYAM / MUSIYAM</td>
<td>08000J66600</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>98 / 160</td>
<td>160 / 100</td>
<td>i10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>645</td>
<td>AMPI WARDANA / AMPI WARDANA</td>
<td>90I004400</td>
<td>JL. TANDANG NO. 11</td>
<td>L</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 173</td>
<td>100 / 70</td>
<td>z00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>646</td>
<td>FEBRIA RIDA VITRANTI / RAMELI</td>
<td>08000J46102</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 149</td>
<td>18/KURUS</td>
<td>104 / 68</td>
<td>H81</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>647</td>
<td>EMMY ARYANI / AGUS SETIYA BUDI</td>
<td>0000259801</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 156</td>
<td>150 / 105</td>
<td>R03</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>648</td>
<td>DANANG NUGROHO / DANANG NUGROHO</td>
<td>00C34300</td>
<td>JL. KEDONDONG RAYA I NO 423</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 165</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>649</td>
<td>MAYANG ICHA PUSPITA / ROHANI</td>
<td>08049204</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 156</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>650</td>
<td>ADELYA BUDI AMANDA / DESY DWI RIDHAWATI</td>
<td>00D058003</td>
<td>LAMPER LOR NO.1062</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 157</td>
<td>100 / 60</td>
<td>R07.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>651</td>
<td>SARYANTI / DARYONO</td>
<td>000241506</td>
<td>JL. PANDEAN LAMPER IV/2</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>120 / 80</td>
<td>a03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>652</td>
<td>DESTY SETIYANI / AGUS SETIYA BUDI</td>
<td>0000259803</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 155</td>
<td>142 / 72</td>
<td>k07</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>653</td>
<td>MEI KRISTIYANI / AGUNG PRIYADI</td>
<td>0800J089191</td>
<td>JL. GENUK KRAJAN VIII/30</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>37.3 / 150</td>
<td>16.6/KURUS</td>
<td>101 / 67</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tegalsari</td>
</tr> <tr>
<td>654</td>
<td>SALMAN / SALMAN</td>
<td>90A9700</td>
<td>JL. WONODRI KOPEN III</td>
<td>L</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 158</td>
<td>120 / 70</td>
<td>H35.2</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Wonodri</td>
</tr> <tr>
<td>655</td>
<td>PURWANTO / PURWANTO</td>
<td>00C087800</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 164</td>
<td>160 / 90</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>656</td>
<td>00C14802</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>14 / 70</td>
<td>89 / 56</td>
<td>J45</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>657</td>
<td>KUSNAWI / KUSNAWI</td>
<td>0000005099</td>
<td>JL. LAMPER TENGAH VII/662 A</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 167</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>658</td>
<td>ISMAISAROH / AHMAD MUSYAFAK</td>
<td>00C087101</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>88 / 148</td>
<td>110 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>659</td>
<td>90D070701</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 153</td>
<td>95 / 67</td>
<td>Z48.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>660</td>
<td>ROSITA FEBRIHANI / ROHTINAH</td>
<td>00E083502</td>
<td>JL. PETERONGAN TENGAH </td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>36 / 145</td>
<td>17.1/KURUS</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>661</td>
<td>HELSHA ASRI DEWI / ANTONIUS TRI</td>
<td>000J015101</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 156</td>
<td>23/NORMAL</td>
<td>90 / 60</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>662</td>
<td>SIFANIA SAFITRI / SADANA YULIARSO</td>
<td>000117603</td>
<td>JERUK II/1631</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 158</td>
<td>16.8/KURUS</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>663</td>
<td>YUDHA RAMADHAN SUTANTO / HERI SUTANTO</td>
<td>00D023703</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>28 / 125</td>
<td>17.9/KURUS</td>
<td>110 / 70</td>
<td>l02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>664</td>
<td>FARIDA AISIYAH / EDDY ALRI JANTO M</td>
<td>90D093501</td>
<td>JL. WONODRI KOPEN TIMUR</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>130 / 88</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>665</td>
<td>LESTARI / SODIKIN</td>
<td>00E083701</td>
<td>JL. MT HARYONO</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 155</td>
<td>120 / 70</td>
<td>T25.2</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>666</td>
<td>SUSANTI / IMAM YUSTJANDRA ANANTA</td>
<td>90A13701</td>
<td>JL. BLIMBING RAYA NO.24</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 154</td>
<td>175 / 84</td>
<td>r03</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>667</td>
<td>ADIK PRIYO UTOMO / ADIK PRIYO UTOMO</td>
<td>90B48800</td>
<td>JL. DEWI SARTIKA BARAT VII NO.12</td>
<td>L</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 167</td>
<td>112 / 77</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Sukorejo</td>
</tr> <tr>
<td>668</td>
<td>ANISA NUR'AINI WIJAYA / SUTAMTO/ALDI GUNAWAN</td>
<td>0000413602</td>
<td>JL. KP. MARGOREJO TIMUR</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 152</td>
<td>120 / 70</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Kemijen</td>
</tr> <tr>
<td>669</td>
<td>ANISTIA DEWI MUFLIKHAH / HERU GUSTARI</td>
<td>0800116102</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 150</td>
<td>90 / 70</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>670</td>
<td>MUHAMAD KURNIAWAN / MUHAMAD KURNIAWAN</td>
<td>90F027200</td>
<td>JL. WONODRI BARU NO.22</td>
<td>L</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 177</td>
<td>121 / 77</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>671</td>
<td>MUH NASI'HIN / MUH NASI'HIN</td>
<td>080000427934</td>
<td>L</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 163</td>
<td>120 / 89</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>672</td>
<td>UGUSTI ARTHA PANGESTU / UGUSTI ARTHA PANGESTU</td>
<td>90H008501</td>
<td>JL. PEMINTALAN NO.26, KEL. TAMBAKREJA, KEC. CILACAP SELATAN, KAB.
CILACAP, PROV. JATENG</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 158</td>
<td>112 / 79</td>
<td>n30</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>673</td>
<td>ADI PRAMBUDI / ADI PRAMBUDI</td>
<td>90I004700</td>
<td>JL. KP. KALILANGSE 197</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 155</td>
<td>136 / 93</td>
<td>z00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gajahmungkur</td>
</tr> <tr>
<td>674</td>
<td>FELICYA DEVANIA SALSABILLA / FANDI AVIANTO</td>
<td>90I004903</td>
<td>JL. TEGALSARI PERBALAN</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>12 / 97</td>
<td>12.8/KURUS</td>
<td>80 / 60</td>
<td>r50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonotingal</td>
</tr> <tr>
<td>675</td>
<td>SISKA DEWI TRI MUKTI / NOVAN HAMDHANSYAH KHIRIN</td>
<td>90I005001</td>
<td>JL. BANJARSARI, KRAGILAN, GEMOLONG, KAB. SRAGEN</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 152</td>
<td>114 / 72</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>676</td>
<td>SUMIDAH / KARMIN</td>
<td>0800098401</td>
<td>JL.LAMPER TENGAH I</td>
<td>P</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 150</td>
<td>146 / 83</td>
<td>k29</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>677</td>
<td>AHMAD FAHMI ASKHA PUTRA / SUGIARTI</td>
<td>00B37102</td>
<td>JL. CEMPEDAK UTARA 14-B</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>22 / 100</td>
<td>22/NORMAL</td>
<td>80 / 60</td>
<td>r50</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>678</td>
<td>DJUMIRAH / DJUMIRAH / ROHMAT</td>
<td>080J050501</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>148 / 81</td>
<td>I64</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>679</td>
<td>WILLIAM ALFIANO / TEGUH SUPRIYANTO</td>
<td>90C60003</td>
<td>JL.PAGEDANGAN LOR DUSUN PAGEDANGAN KEL.PAGEDANGAN KAC.AMBAL KAB.
KEBUMEN</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 94</td>
<td>80 / 60</td>
<td>J18</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>680</td>
<td>YOLANDA PRATIWI / DJOKO SUTRISNO</td>
<td>0000514206</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 155</td>
<td>20/NORMAL</td>
<td>104 / 70</td>
<td>a09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>681</td>
<td>FX SUHARTONO / FX SUHARTONO</td>
<td>080000605400</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 164</td>
<td>141 / 79</td>
<td>m17</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>682</td>
<td>WAHYU BRAHMONO AJI / WAHYU BRAHMONO AJI</td>
<td>00C39900</td>
<td>JL.KANGURU IV/10</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>120 / 90</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>683</td>
<td>KASIYEM / DIYAT</td>
<td>90I005101</td>
<td>JL. DUKUH PLOSOREJO, SRIGADING, NGAWEN, KAB. BLORA</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 150</td>
<td>159 / 98</td>
<td>z09.0</td>
<td>lansia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>684</td>
<td>JUA DWIJAYANTI / GIGIH HARISON</td>
<td>9090212201</td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 155</td>
<td>17.1/KURUS</td>
<td>117 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>685</td>
<td>RATNA AYU PURNAMASARI / RATNA AYU PURNAMASARI</td>
<td>90I004801</td>
<td>JL. WONODRI GRAJEN </td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>140 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>686</td>
<td>PARAMA JIHAN SYABILA / WAHYUDI</td>
<td>90D070702</td>
<td>JL. BADAK V NO.20</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 160</td>
<td>18.4/KURUS</td>
<td>110 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>687</td>
<td>DEWI SHANTI / HERU PRASETYAWAN</td>
<td>0800008605</td>
<td>JL.PETERONGAN TENGAH NO. 23</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 148</td>
<td>17.8/KURUS</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>688</td>
<td>ALVIONITA DEANDRA PRAMAYSHILLA / ALVIONITA DEANDRA PRAMAYSHILLA</td>
<td>90H035601</td>
<td>JL.WONOSARI III/167</td>
<td>L</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 154</td>
<td>16.4/KURUS</td>
<td>104 / 69</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Randusari</td>
</tr> <tr>
<td>689</td>
<td>GEOVANO FERDIYANTO / SUHARDIYANTI</td>
<td>0025196</td>
<td>L</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 167</td>
<td>19/NORMAL</td>
<td>120 / 70</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>690</td>
<td>RIZKI REGA S / TUMANI</td>
<td>080000246604</td>
<td>JL. BLIMBINGVII/37</td>
<td>L</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 160</td>
<td>120 / 70</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>691</td>
<td>ETO SUSRIYANTO / ETO SUSRIYANTO</td>
<td>90I004200</td>
<td>L</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 160</td>
<td>120 / 70</td>
<td>z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>692</td>
<td>CHANSA NISRIN / M MUNIF</td>
<td>080000362703</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>110 / 70</td>
<td>z71</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>693</td>
<td>YOWAN ALDY EKA / WIYONO</td>
<td>080000405904</td>
<td>L</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 165</td>
<td>120 / 80</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>694</td>
<td>ANISHA DICNA SETYAWATI / VERONICA DIAH SETYOWATI </td>
<td>00C30402</td>
<td>JL. PETERONGAN SARI IV/38</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 164</td>
<td>19/NORMAL</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>695</td>
<td>AXL PRADIPA ARDIANTO / DEG AJY ARDIANTO</td>
<td>90I005203</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4.8 / 56</td>
<td>15.3/KURUS</td>
<td>80 / 60</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>696</td>
<td>MAIYEL TRI PUTRAJAYA / PURWANI CANDRO WULAN</td>
<td>90H033404</td>
<td>L</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 167</td>
<td>17.9/KURUS</td>
<td>102 / 79</td>
<td>a09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>697</td>
<td>MONICA EDITA MICHAELIA / HERMAN YOSEP ARIS D</td>
<td>00E004602</td>
<td>JL.TAMAN MANGGA NO.1</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>115 / 84</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>698</td>
<td>CHANIAGO ANGGIL G / BAMBANG GUNAWAN</td>
<td>08000030003</td>
<td>JL. DURIAN I/16</td>
<td>L</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 163</td>
<td>131 / 91</td>
<td>j02</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>699</td>
<td>HAIDAR BAYU PUTRA HERLAMBANG / HAIDAR BAYU PUTRA HERLAMBANG</td>
<td>90I005300</td>
<td>JL. PEDURUGAN KIDUL V/17</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 165</td>
<td>154 / 84</td>
<td>W57</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>700</td>
<td>0000259300</td>
<td>L</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>36 / 155</td>
<td>15/KURUS</td>
<td>120 / 70</td>
<td>M17</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>701</td>
<td>HARYONO / HARYONO</td>
<td>00E083000</td>
<td>JL. CEMPEDAK UTARA I NO. 34</td>
<td>L</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 150</td>
<td>120 / 70</td>
<td>I63.9</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>702</td>
<td>TUGIRAH / TUGIRAH</td>
<td>0000193600</td>
<td>JL. LAMPER TENGAH I NO. 546</td>
<td>P</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 146</td>
<td>140 / 82</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>703</td>
<td>SRI PURWANTI / SIGIT HARTANTO</td>
<td>089090315301</td>
<td>JL. SALAK RAYA</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 152</td>
<td>100 / 74</td>
<td>J02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>704</td>
<td>CHYRA ARUMI NASHA RAZETA / GALUH EKA HARYANTO</td>
<td>0000225903</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>11 / 76</td>
<td>19/NORMAL</td>
<td>87 / 56</td>
<td>l30</td>
<td>mtbs</td>
<td>gratis</td>
</tr> <tr>
<td>705</td>
<td>RAMIJAN / RAMIJAN</td>
<td>00B50300</td>
<td>L</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 162</td>
<td>125 / 76</td>
<td>K40</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>706</td>
<td>NIZAM HASBI PERNAMA / ADE YUDHA</td>
<td>00BPJS014504</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 85</td>
<td>90 / 70</td>
<td>J00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>707</td>
<td>SUGIMAH / SUGIMAH</td>
<td>070000901600</td>
<td>JL.PETERONGAN TENGAH II/108</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 147</td>
<td>152 / 79</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>708</td>
<td>REGINA AISYAH OZORA NARAYANI / WITRIAN</td>
<td>00A88803</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 146</td>
<td>90 / 60</td>
<td>r05</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>709</td>
<td>CHYRA ARUMI NASHA RAZETA / GALUH EKA HARYANTO</td>
<td>0000225903</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>11 / 76</td>
<td>19/NORMAL</td>
<td>87 / 56</td>
<td>l20</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>710</td>
<td>AGUSTINUS BUDI PRASETYO / AGUSTINUS BUDI PRASETYO</td>
<td>90A16000</td>
<td>JL. CERMAI UTARA NO. 15 A</td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 165</td>
<td>16.5/KURUS</td>
<td>120 / 80</td>
<td>j02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>711</td>
<td>WAHIDA / DWI ISNANTO</td>
<td>90C18201</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 158</td>
<td>24/NORMAL</td>
<td>158 / 91</td>
<td>r03.0</td>
<td>umum</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>712</td>
<td>NOVITA RIYANTI / NORFANDI AHMAD</td>
<td>90H060701</td>
<td>KEL. CEPOGO, KEC. KEMBANG, KAB. JEPARA</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 150</td>
<td>20/NORMAL</td>
<td>105 / 650</td>
<td>r04.2</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>713</td>
<td>ARI PURWANINGTYAS / IMAM SUSANTO</td>
<td>080000338302</td>
<td>JLBANCAR ASRI TIMUR NO.10</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 147</td>
<td>110 / 87</td>
<td>O33</td>
<td>kia</td>
<td></td>
<td>ya</td>
</tr> <tr>
<td>714</td>
<td>FRIDANATA DEVI RATIKA / RIFAI HERMAN WALUYO</td>
<td>90F097103</td>
<td>JL.VETERAN NO.21 KEL.BENGLE KEC.BLORA KAB.BLORA</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 161</td>
<td>109 / 68</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>715</td>
<td>ANANDA VABIAN ALESHA / WIDYASTUTIK ARIE PRASETYA</td>
<td>00E049502</td>
<td>JL. JAMBU II/1</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 122</td>
<td>13.4/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>716</td>
<td>WIDYASTUTIK ARIE PRASETYA / WIDYASTUTIK ARIE PRASETYA</td>
<td>00E049501</td>
<td>JL. JAMBU II/1</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 160</td>
<td>120 / 80</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>717</td>
<td>GIVANO KHAIRUL N / SUGIYONO</td>
<td>0800J13190</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>26 / 125</td>
<td>16.6/KURUS</td>
<td>100 / 60</td>
<td>j02</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>718</td>
<td>OKIE AYU ARDIYAWATI / YOSEP BAGUS PURNOMO</td>
<td>90E099001</td>
<td>TARUPOLO TENGAH</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>110 / 70</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gisikdrono</td>
</tr> <tr>
<td>719</td>
<td>SLAMET RIYADI / SLAMET RIYADI</td>
<td>080000388293</td>
<td>DURIAN IV NO. 110</td>
<td>L</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 160</td>
<td>120 / 70</td>
<td>I64</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>720</td>
<td>ZAMRONI MUTAZAM / ZAMRONI MUTAZAM</td>
<td>070000325100</td>
<td>L</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>105 / 168</td>
<td>174 / 90</td>
<td>I10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>721</td>
<td>SUMADI / SUMADI</td>
<td>9090263300</td>
<td>L</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>106 / 68</td>
<td>E11</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>722</td>
<td>AIDA RISKI TALIA / SUPRIYATIN</td>
<td>0000A9302</td>
<td>JL.MANGGIS I NO 5A</td>
<td>P</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 111</td>
<td>14.6/KURUS</td>
<td>110 / 60</td>
<td>J02</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>723</td>
<td>OKTA PANCA WULANSARI / SUPRIYATIN</td>
<td>0000A9301</td>
<td>JL.MANGGIS I NO.5A</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 147</td>
<td>106 / 82</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>724</td>
<td>YENI ARIYANTI / PUNGKI SUGIANTO</td>
<td>0800091703</td>
<td>JL.LAMPER KRAJAN III</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 156</td>
<td>110 / 64</td>
<td>z00</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>725</td>
<td>SANY PUTRA FEBRIYANTO / AGUS RIYANTO</td>
<td>90B48003</td>
<td>JL. WONODRI SENDANG</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 122</td>
<td>110 / 70</td>
<td>J00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>726</td>
<td>AZWAR AJI DAMAREZA / DARMAWAN</td>
<td>080000198202</td>
<td>PETERONGAN KOBONG NO 57</td>
<td>L</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>38.4 / 153</td>
<td>16.4/KURUS</td>
<td>100 / 60</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>727</td>
<td>MIKAYLA NADA AZAHRA / AWAL FEBRIAWAN</td>
<td>90H032102</td>
<td>DSN. KAUMAN, KE. KEBONDOWO, KEC. BANYUBIRU, KAB. SEMARANG</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>18.5 / 109</td>
<td>15.6/KURUS</td>
<td>89 / 58</td>
<td>R50</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>728</td>
<td>ROCHAYATI / ROCHAYATI</td>
<td>00A014000</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 150</td>
<td>148 / 88</td>
<td>E11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>729</td>
<td>FEBRIANUS CAESAR BENE / HENDRI KUS BENNY</td>
<td>00A34303</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>26.5 / 114</td>
<td>89 / 57</td>
<td>j06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>730</td>
<td>MUCHAMAD ADIANSAH prolanis / MUCHAMAD ADIANSAH/NUR SALIM</td>
<td>00003882100</td>
<td>L</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>92 / 165</td>
<td>135 / 84</td>
<td>k02.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>731</td>
<td>SUKINAH / LASTIYO UTOMO</td>
<td>060000046701</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>137 / 77</td>
<td>h81</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>732</td>
<td>ROCHMAT / ROCHMAT</td>
<td>089090238600</td>
<td>JL.KOKOSAN I/83</td>
<td>L</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 155</td>
<td>110 / 70</td>
<td>m62</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>733</td>
<td>MARSINI / BUWANG</td>
<td>0800122001</td>
<td>JL. DURIAN IV</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 150</td>
<td>200 / 100</td>
<td>R03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>734</td>
<td>060000046702</td>
<td>L</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 149</td>
<td>105 / 64</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>735</td>
<td>DESI HERNIA SARI / SUGENG DJUMADI</td>
<td>00086803</td>
<td>JL.CERME II NO.74</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>45.1 / 154</td>
<td>19/NORMAL</td>
<td>108 / 69</td>
<td>N91</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>736</td>
<td>GYTA CINTA RASITIANI / RASIT</td>
<td>0000365902</td>
<td>JL.PETERONGAN TENGAH NO.346-B</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 158</td>
<td>114 / 62</td>
<td>J02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>737</td>
<td>FAIZARANI / TARMUJI,S.Ag</td>
<td>069090285006</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 156</td>
<td>18.5/KURUS</td>
<td>90 / 61</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>738</td>
<td>YUNITA SARI / SUTARMIYATI</td>
<td>0000J32903</td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 155</td>
<td>129 / 86</td>
<td>z02</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>739</td>
<td>SUMARDI / SUMARDI</td>
<td>90I005400</td>
<td>JL. DELIKREJO </td>
<td>L</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 170</td>
<td>121 / 81</td>
<td>Z00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>740</td>
<td>AYU WINDASARI / M. ABDULAZIZ</td>
<td>00E069501</td>
<td>JL. CEMPEDAK SELATAN NO. 11</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>88.8 / 152</td>
<td>122 / 86</td>
<td>Z34</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>741</td>
<td>ROBERTUS RAPE HURIT / ROBERTUS RAPE HURIT</td>
<td>90F094000</td>
<td>JL.LEWOTALA KEL.BANTALA KEC.LEWOLEMA KAB.FLORES TIMUR PROV NTT</td>
<td>L</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 171</td>
<td>18.1/KURUS</td>
<td>121 / 77</td>
<td>Z00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>742</td>
<td>EGA ARMADANI / EGA ARMADANI</td>
<td>90H088201</td>
<td>JL. DELIKREJO</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>90 / 160</td>
<td>120 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>743</td>
<td>WARDANI / WARDANI</td>
<td>00E056200</td>
<td>BANCAR ASRI TIMUR 3 NO. 52</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 158</td>
<td>120 / 77</td>
<td>K08.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>744</td>
<td>EKSAN BUDI SANTOSO / EKSAN BUDI SANTOSO</td>
<td>070000705100</td>
<td>JALAN CEMPEDAK SELATAN NO.14</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 167</td>
<td>111 / 77</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>745</td>
<td>EMMANUEL ELNATHAN KRISTIANTO / FITRIYANINGSIH</td>
<td>00C070990</td>
<td>TIDARMA UTAMA 2 JAKARTA</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.8 / 90</td>
<td>13.3/KURUS</td>
<td>72 / 51</td>
<td>J06</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>746</td>
<td>SUYATI / SUMADI</td>
<td>089090263301</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 155</td>
<td>130 / 70</td>
<td>E11</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>747</td>
<td>NGATINEM / SUDIYARNO</td>
<td>00B20801</td>
<td>PETERONGAN TIMUR</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 151</td>
<td>120 / 70</td>
<td>e11.7</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>748</td>
<td>MUHAMMAD AARAV ATHARRAZKA SETYAWAN / BUDI SETIYAWAN</td>
<td>90D073502</td>
<td>JL.KP SIKLUWUNG ASRI</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.7 / 82</td>
<td>14.4/KURUS</td>
<td>92 / 51</td>
<td>J18</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>749</td>
<td>90B21001</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 160</td>
<td>18.4/KURUS</td>
<td>124 / 82</td>
<td>k02</td>
<td>gigi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>750</td>
<td>SUHARTINI / TRI WALUYO</td>
<td>0800J004701</td>
<td>JL. LAMPER KRAJAN NO.18-A</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 159</td>
<td>140 / 80</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>751</td>
<td>SABRICHA UTAMASARI / CAHYA IMANIAWAN</td>
<td>90227001</td>
<td>JL. DEWI SARTIKA VIII/8</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 151</td>
<td>106 / 66</td>
<td>Z34</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Sukorejo</td>
</tr> <tr>
<td>752</td>
<td>RETNO YULIANTI / MUJIONO</td>
<td>080000525801</td>
<td>JL.LAMPER KRAJAN RAYA 12</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 157</td>
<td>112 / 78</td>
<td>i24</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>753</td>
<td>WARTINI / NUR WACHID</td>
<td>90D022990</td>
<td>JL.GAYAMSARI SELATAN DALAM I</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>90 / 155</td>
<td>150 / 90</td>
<td>i10</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>754</td>
<td>SIH WIDIARTI / SUHARTONO</td>
<td>90B15703</td>
<td>JL. WONODRI KOPEN II/1033</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>97 / 154</td>
<td>120 / 70</td>
<td>I11.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Wonodri</td>
</tr> <tr>
<td>755</td>
<td>ADINDA PUTRI MAY TANIA / ANDI SETIAWAN</td>
<td>080000513004</td>
<td>JL. LAMPER TENGAH NO. 30</td>
<td>P</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>36 / 125</td>
<td>23/NORMAL</td>
<td>101 / 60</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>756</td>
<td>RIZAN ASHEEF ALFARIZQI / ENRICO CARLOS</td>
<td>90G056402</td>
<td>JL. LEMBAYUNG </td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7 / 64</td>
<td>17.1/KURUS</td>
<td>72 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>757</td>
<td>KARTINI / SURATMAN</td>
<td>0800J043901</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 158</td>
<td>130 / 80</td>
<td>A09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>758</td>
<td>MASLACHAH / MASLACHAH</td>
<td>90F004400</td>
<td>JL. GAYAMSARI SELATAN III</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>112 / 78</td>
<td>h81</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>759</td>
<td>BAMBANG MULYADI / BAMBANG MULYADI</td>
<td>000210804</td>
<td>JL. LAMPER LOR</td>
<td>L</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 162</td>
<td>101 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>760</td>
<td>KENZIO DEWA REZQIANO / TEGAR NOOR CAHYO</td>
<td>060000380403</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5.4 / 63</td>
<td>13.6/KURUS</td>
<td>92 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
</tr> <tr>
<td>761</td>
<td>KASINI / KASINI</td>
<td>90I005501</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 145</td>
<td>168 / 100</td>
<td>l23</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>762</td>
<td>KENZIO DEWA REZQIANO / TEGAR NOOR CAHYO</td>
<td>060000380403</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5.4 / 63</td>
<td>13.6/KURUS</td>
<td>92 / 51</td>
<td>Z27</td>
<td>mtbs</td>
<td>gratis</td>
</tr> <tr>
<td>763</td>
<td>CHENDRAWATI / CHENDRAWATI</td>
<td>00E083801</td>
<td>P</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 140</td>
<td>120 / 80</td>
<td>H25</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>764</td>
<td>YULI WAHYU AGUNG SANTOSO / YULI WAHYU AGUNG SANTOSO</td>
<td>90A31600</td>
<td>JL.BATAN TIMUR III/8</td>
<td>L</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>96 / 160</td>
<td>120 / 70</td>
<td>e11.4</td>
<td>umum</td>
<td>ya</td>
<td>Miroto</td>
</tr> <tr>
<td>765</td>
<td>ATTHAR RAYYAN ALFARIZY / DANU ROHDIANTO</td>
<td>00A35703</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.5 / 95.5</td>
<td>14.8/KURUS</td>
<td>72 / 51</td>
<td>L30</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>766</td>
<td>EKOWATI (PROLANIS) / EKOWATI</td>
<td>089090340400</td>
<td>JL. GAYAMSARI SELATAN, SENDANGGUWO</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 155</td>
<td>120 / 70</td>
<td>E11.6</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>767</td>
<td>MUHAMMAD RAFA AL BUKHORI / BUKHORI MASRURI</td>
<td>90C40302</td>
<td>JL. CIAWITALI, REJODADI, CIMANGGU, KAB. CILACAP</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.2 / 92</td>
<td>15.6/KURUS</td>
<td>60 / 44</td>
<td>j06</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>768</td>
<td>SUWARTI / SUWARTO</td>
<td>089090265891</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 156</td>
<td>140 / 77</td>
<td>h25</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>769</td>
<td>MUHWAHID / NUR WACHID</td>
<td>90D022900</td>
<td>JL.GAYAMSARI SELATAN I NO.45</td>
<td>L</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 160</td>
<td>130 / 80</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>770</td>
<td>RIZKY KUSUMA NINGRUM / GUNDARSIH</td>
<td>90B77503</td>
<td>JL. SINGOSARI TIMUR K V</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 168</td>
<td>120 / 70</td>
<td>T79</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Wonodri</td>
</tr> <tr>
<td>771</td>
<td>NARENDRA YOGA PRADANA / PRIYANTO</td>
<td>00E083902</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 168</td>
<td>17.7/KURUS</td>
<td>111 / 77</td>
<td>B01</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>772</td>
<td>ZAHRA AULIA MARDIANA / ARIF HENDARMANTO</td>
<td>90I005604</td>
<td>JL. SENDANGGUWO III/13B</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 155</td>
<td>110 / 80</td>
<td>z00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>773</td>
<td>AMELINDA REZZA / ZAENAL FATONI</td>
<td>0000307303</td>
<td>PETERONGAN TENGAH NO. 346B</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 156</td>
<td>110 / 70</td>
<td>J00</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>774</td>
<td>SUHADI / SUHADI</td>
<td>0600011500</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 170</td>
<td>135 / 88</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>775</td>
<td>SUWARTINAH / SUWARTINAH</td>
<td>080000443400</td>
<td>JL. LAMPER TENGAH XIII</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 151</td>
<td>156 / 84</td>
<td>I10</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>776</td>
<td>ACHMAD ALFARIZI / HAJAR WIDIANTO</td>
<td>00A79002</td>
<td>JL. GEMPOLSARI 3</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>17.2 / 114.5</td>
<td>13.1/KURUS</td>
<td>60 / 44</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>777</td>
<td>ALBERT SYAUTA / ALBERT SYAUTA</td>
<td>90C66900</td>
<td>JL SENDANGGUWO</td>
<td>L</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>128 / 166</td>
<td>120 / 90</td>
<td>h66.3</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Gemah</td>
</tr> <tr>
<td>778</td>
<td>SUYITNO / SUYITNO</td>
<td>0000179201</td>
<td>L</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 157</td>
<td>18.3/KURUS</td>
<td>126 / 74</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>779</td>
<td>ANASTASYA MULYANI / SUDIRMAN</td>
<td>00C083901</td>
<td>JL. PANDEAN LAMPER NO.7</td>
<td>P</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 148</td>
<td>125 / 64</td>
<td>z02</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>780</td>
<td>TRIMANINGSIH / HARI SUPOYO</td>
<td>0600J05301</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 143</td>
<td>22/NORMAL</td>
<td>115 / 69</td>
<td>h25</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>781</td>
<td>SYIFA IRMAWANSYAH / IRWANTO</td>
<td>080000809604</td>
<td>P</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 147</td>
<td>17.6/KURUS</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>782</td>
<td>RATNA DEWI SULISTYAWATI / AGUNG FYDIANTANA</td>
<td>0000473901</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 150</td>
<td>190 / 100</td>
<td>z00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>783</td>
<td>NINIK SETIYANI / ROHADI</td>
<td>0000157901</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 150</td>
<td>128 / 83</td>
<td>m62</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>784</td>
<td>BIMA SATRIA AJI SAPUTRA / MUJIONO</td>
<td>080000525803</td>
<td>JL. LAMPER KRAJAN</td>
<td>L</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 171</td>
<td>15.7/KURUS</td>
<td>110 / 70</td>
<td>z00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>785</td>
<td>RIZKI PERMATA SARI / SYAHRUDIN</td>
<td>90BPJS010402</td>
<td>JL. PULOSARI RAYA NO.67</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 152</td>
<td>106 / 65</td>
<td>z00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Genuksari</td>
</tr> <tr>
<td>786</td>
<td>AGIK SUDARMANTO / AGIK SUDARMANTO</td>
<td>0000395300</td>
<td>L</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 169</td>
<td>120 / 80</td>
<td>z00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>787</td>
<td>90F084601</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 155</td>
<td>120 / 80</td>
<td>Z09</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>788</td>
<td>SYAFIRA NASHA YUMNA WIJAYA / DWI YULI JAROT SANTOSO</td>
<td>00A49704</td>
<td>JL. PISANG RAYA NO 09</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.2 / 79</td>
<td>14.7/KURUS</td>
<td>72 / 50</td>
<td>J00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>789</td>
<td>KUSMANTO / KUSMANTO</td>
<td>060000380400</td>
<td>JL. PETERONGAN</td>
<td>L</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>100 / 70</td>
<td>R05</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>790</td>
<td>AZZAM MAULANA / BASKORO HADIWIJAYA</td>
<td>90E026104</td>
<td>PURWOSARI NO 4 KEL REJOSARI SEMARANG</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 127</td>
<td>14.9/KURUS</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Rejosari</td>
</tr> <tr>
<td>791</td>
<td>HARRY NUGROHO / HARRY NUGROHO</td>
<td>00B87600</td>
<td>L</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 170</td>
<td>110 / 66</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>792</td>
<td>KAMILA SARAH / BASKORO HADIWIJAYA</td>
<td>90E026105</td>
<td>PURWOSARI NO 4 KEL REJOSARI SEMARANG</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>16 / 106</td>
<td>14.2/KURUS</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Rejosari</td>
</tr> <tr>
<td>793</td>
<td>NABILA TRI ANJANI / DASI HERMANTO</td>
<td>00E054104</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 168</td>
<td>110 / 80</td>
<td>j01</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>794</td>
<td>080000102301</td>
<td>LAMPER MIJEN, LAMPER TENGAH</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 155</td>
<td>12.9/KURUS</td>
<td>106 / 62</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>795</td>
<td>ALVINA PUTRI AMRIYANA S / SUGIYONO</td>
<td>000033290203</td>
<td>JL.LAMPER TENGAH NO.21-A</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 149</td>
<td>107 / 75</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>796</td>
<td>SEPTYA DINDA KRISTINA / RISKI EKO PRASETYO</td>
<td>00C03001</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 158</td>
<td>120 / 70</td>
<td>g44</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>797</td>
<td>DWI NOVITA PUTRI / YANTO</td>
<td>90283602</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 165</td>
<td>113 / 64</td>
<td>H44.9</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>798</td>
<td>BUDI RINI / SARBINI</td>
<td>00025501</td>
<td>JL. PETERONGAN SARI RAYA</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 148</td>
<td>145 / 76</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>799</td>
<td>KYARA EL SHANUM M. / MUSTAGHFIRIN</td>
<td>00D092103</td>
<td>JL. PONGANGAN</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7 / 64</td>
<td>17.1/KURUS</td>
<td>72 / 51</td>
<td>L30</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Gunungpati</td>
</tr> <tr>
<td>800</td>
<td>MUHAMMAD RAIHAN SYAHPUTRA / SURAJI</td>
<td>080000358506</td>
<td>JL. PISANG</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>17.1 / 101</td>
<td>16.8/KURUS</td>
<td>72 / 51</td>
<td>F80</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>801</td>
<td>WINARNI / WINARNI</td>
<td>90H043800</td>
<td>JL. WONODRI SENDANG 1</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 144</td>
<td>155 / 84</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>802</td>
<td>KHALISA AGHNIA LYSE HUMAIRA / OKPA HENY KRISTANTO</td>
<td>90B079203</td>
<td>WONODRI KOPEN III/20</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>9 / 78</td>
<td>14.8/KURUS</td>
<td>72 / 51</td>
<td>H10</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>803</td>
<td>SATRIA DEKSA BRILLIANT MAHARDIKA / dwi yuli jarot</td>
<td>00A49702</td>
<td>JL. PISANG RAYA NO.9</td>
<td>L</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 166</td>
<td>14.5/KURUS</td>
<td>100 / 60</td>
<td>k12</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>804</td>
<td>siti handayani / puput afrioko setiono</td>
<td>0000525301</td>
<td>rambutan dalam 76 lamper lor</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 150</td>
<td>120 / 78</td>
<td>A09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>805</td>
<td>XAVIER NIHAL GILBERT ALVARO / DWI YULI JAROT</td>
<td>00A49703</td>
<td>JL. PISANG RAYA NO.9</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 130</td>
<td>14.2/KURUS</td>
<td>100 / 70</td>
<td>j03</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>806</td>
<td>WISNUGROHO DWI UTOMO / WISNUGROHO DWI UTOMO</td>
<td>00C096000</td>
<td>JL. CERME RAYA 9 A</td>
<td>L</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 165</td>
<td>110 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>807</td>
<td>ZANNA PUTRI AISYAH / CRISMANTO</td>
<td>080000903602</td>
<td>JL.CEMPEDAK UTARA II A</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>10 / 80</td>
<td>15.6/KURUS</td>
<td>70 / 51</td>
<td>A09</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>808</td>
<td>MASINI / SURAJI</td>
<td>080000358501</td>
<td>JL. PISANG</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 160</td>
<td>134 / 66</td>
<td>k29.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>809</td>
<td>ENY KUSRINI / ENY KUSRINI</td>
<td>90C79300</td>
<td>PERUM WOLTER MONGINSIDI PERMAI NO.12</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 156</td>
<td>105 / 63</td>
<td>k02</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>810</td>
<td>EKOJATI PURNOMO / EKOJATI PURNOMO</td>
<td>080000273900</td>
<td>L</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>120 / 80</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>811</td>
<td>FALISA KURNIADI HARTATI / GHOZA YUMNAN AHYANA</td>
<td>90H096801</td>
<td>GG. TLOGO LILIN</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 150</td>
<td>140 / 90</td>
<td>Z27</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Banjardowo</td>
</tr> <tr>
<td>812</td>
<td>LISTYOWATI / ENDANG SUSILOWATI</td>
<td>089090312901</td>
<td>JL. GAYAMSARI IV/88</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 150</td>
<td>127 / 73</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>813</td>
<td>AKHIRIN / AKHIRIN</td>
<td>9090900900</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>121 / 67</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>814</td>
<td>RINTO CAHYO AGIL SAPUTRO / SUGIARTO</td>
<td>90F089505</td>
<td>JL.GAJAH BARAT IV NO.14</td>
<td>L</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 171</td>
<td>108 / 77</td>
<td>k01.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>815</td>
<td>KAKA ILYAS ZUFAR NARENDRA / MUSTAGHFIRIN</td>
<td>00D092102</td>
<td>JL. PONGANGAN</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>26 / 130</td>
<td>15.4/KURUS</td>
<td>90 / 60</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gunungpati</td>
</tr> <tr>
<td>816</td>
<td>DARYANTI / DARYANTI</td>
<td>00A67000</td>
<td>JL. LAMPER TENGAH VIII</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 152</td>
<td>17.3/KURUS</td>
<td>120 / 80</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>817</td>
<td>SARNI / SARNI</td>
<td>90D08501</td>
<td>JL. WONODRI SENDANG </td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 157</td>
<td>170 / 100</td>
<td>m54.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>818</td>
<td>TOPAN DEDIYANTO / AGUS SUYANTO</td>
<td>0800043802</td>
<td>L</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 168</td>
<td>110 / 80</td>
<td>z02</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>819</td>
<td>90A0905</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 99</td>
<td>18.4/KURUS</td>
<td>110 / 70</td>
<td>k30</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>820</td>
<td>HARSONO / HARSONO</td>
<td>0000543200</td>
<td>JL.PANDEAN LAMPER IV </td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 166</td>
<td>130 / 80</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>821</td>
<td>KHUSNUL AMALIYAH / MARUF HIDAYAT</td>
<td>90223201</td>
<td>JL SALAK RAYA NO.81</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 162</td>
<td>120 / 70</td>
<td>h10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>822</td>
<td>ULFAH NUR HIDAYAH / KRIS WYNALDA UTOMO</td>
<td>00B62503</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>55.4 / 147</td>
<td>110 / 72</td>
<td>Z34</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>823</td>
<td>SRI WIDARTI / PHOA DJING LIANG</td>
<td>00E042101</td>
<td>JL. DURIAN V/24</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 150</td>
<td>143 / 78</td>
<td>i10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>824</td>
<td>NI KOMANG NAOMI SAKURA DEW / NI KOMANG NAOMI SAKURA DEW</td>
<td>90I005801</td>
<td>JL. BR BILUKPOH, DESA TEGAL CANGKRING, MENDOYO, BALI</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 172</td>
<td>100 / 70</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>825</td>
<td>SYARIF'AINUN NAJIB / AHMAD AFANDI / TRI YULIANTO</td>
<td>90D058694</td>
<td>JL. KWARON I</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 168</td>
<td>110 / 60</td>
<td>a01</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Bangetayu Kulon</td>
</tr> <tr>
<td>826</td>
<td>SABAR / SABAR</td>
<td>00A8700</td>
<td>JERUK VIII NO.32</td>
<td>L</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 158</td>
<td>22/NORMAL</td>
<td>120 / 80</td>
<td>i25</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>827</td>
<td>0000286904</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5300 / 58</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>828</td>
<td>NGAPIYAH / PRAMUGO ETON</td>
<td>070J024001</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 146</td>
<td>140 / 90</td>
<td>g47.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>829</td>
<td>AHMAD SUHERI / AHMAD SUHERI</td>
<td>KIR20190303</td>
<td>JL. BLIMBING II/20</td>
<td>L</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 167</td>
<td>19/NORMAL</td>
<td>101 / 66</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>830</td>
<td>FITRIA MEISYA RAMADHANI / R.BINARSO </td>
<td>000220604</td>
<td>CERME </td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 100</td>
<td>24/NORMAL</td>
<td>89 / 54</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>831</td>
<td>YUSUP INDRA SAPUTRO / SRIYONO</td>
<td>90I005702</td>
<td>KP. DELIK REJO</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 162</td>
<td>120 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>832</td>
<td>MUHAMMAD FADHEL AT-THORIQ / AGUS SUSILO</td>
<td>080000403502</td>
<td>JL.JERUK VII NO.10-B</td>
<td>L</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 170</td>
<td>17.6/KURUS</td>
<td>102 / 61</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>833</td>
<td>SUNTARI / VERONICA DIAH SETYOWATI / SUNTARI</td>
<td>00C30405</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 158</td>
<td>164 / 72</td>
<td>m79.1</td>
<td>lansia</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>834</td>
<td>JULIA AYU LESTARI / FRANSISCO DYAS PUTRANTO</td>
<td>90E027801</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 150</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>835</td>
<td>BESTTA EKA PRATIWI / ARDIAN SUTEJO</td>
<td>0000210803</td>
<td>JL. KARANGANYAR GUNUNG 418-B</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 153</td>
<td>117 / 55</td>
<td>Z34</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Karanganyar Gunung</td>
</tr> <tr>
<td>836</td>
<td>TUMINEM / TRIYONO</td>
<td>90I005901</td>
<td>DS. KARANGWARU, KEL. DUREN, KEC. PAGEDONGAN, KAB. BANJARNEGARA</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 155</td>
<td>15.8/KURUS</td>
<td>100 / 70</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>837</td>
<td>NGADILAN / NGADILAN</td>
<td>089090503000</td>
<td>JL.KOKOSAN RAYA NO.11</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 157</td>
<td>118 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>838</td>
<td>SOEWITO / SOEWITO</td>
<td>00E062800</td>
<td>JL.PETERONGAN TENGAH 136-C</td>
<td>L</td>
<td>75 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 165</td>
<td>15.8/KURUS</td>
<td>110 / 70</td>
<td>z71</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>839</td>
<td>NURIYANI DITA HAPSARI / NURIYANI DITA HAPSARI</td>
<td>90I006001</td>
<td>JL. KETIENG INDAH BLOK O-50</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 159</td>
<td>122 / 79</td>
<td>z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>840</td>
<td>NATASYA VONNI WATTIMURRI / BOBBY WATTIMURRI</td>
<td>00B45702</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>98 / 155</td>
<td>131 / 89</td>
<td>R10.4</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>841</td>
<td>MENIK SETIANINGTYAS / DIMAS PAMUNGKAS KOILAN</td>
<td>00E084001</td>
<td>JL. CERME NO.8</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 152</td>
<td>110 / 70</td>
<td>z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>842</td>
<td>KARDJIN / KARDJIN</td>
<td>080000207600</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 165</td>
<td>159 / 95</td>
<td>k04.1</td>
<td>gigi</td>
<td>gratis</td>
</tr> <tr>
<td>843</td>
<td>080000207600</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 165</td>
<td>159 / 95</td>
<td>i10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>844</td>
<td>9090211100</td>
<td>L</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 165</td>
<td>16.2/KURUS</td>
<td>113 / 53</td>
<td>e11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>845</td>
<td>SUKMA INDRAWAN FATURRAHIM / DEJENI</td>
<td>0000230802</td>
<td>JL. BLIMBING I NO 366</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>81 / 165</td>
<td>110 / 80</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>846</td>
<td>DIMAS LINTANG ADI SAPUTRA / RIBUT SAPUTRO</td>
<td>00E084102</td>
<td>L</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 170</td>
<td>110 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>847</td>
<td>AKSASYAHGALAL AKALANKA / NANA SURYANA</td>
<td>00A38405</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.7 / 78</td>
<td>15.9/KURUS</td>
<td>80 / 60</td>
<td>J18</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>848</td>
<td>RAMINI / RAMINI</td>
<td>00D083500</td>
<td>JL RAMBUTAN I NO.30B</td>
<td>P</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 144</td>
<td>141 / 88</td>
<td>e11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>849</td>
<td>REUFA OKTA RAHMAPUTRI / TEGUH HARYANTO</td>
<td>00A74402</td>
<td>JL. CEMPEDAK UTARA NO.54A</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 152</td>
<td>120 / 80</td>
<td>a09</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>850</td>
<td>GALANG RESKY SETIAWAN / HERU SETIAWAN</td>
<td>0000305102</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>34 / 144</td>
<td>16.4/KURUS</td>
<td>100 / 70</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>851</td>
<td>FEDELLINA JESSSICA ERSA HERTANTI / ANTONIUS HENDRO ARY WARDOYO</td>
<td>00D047602</td>
<td>JL. LAMPER TENGAH XII NO 64</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 152</td>
<td>90 / 70</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>852</td>
<td>TRI PUTRANTI NOVITASARI / TUTUK TOTO CARITO</td>
<td>00E018401</td>
<td>JL. NANGKA I/21</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 158</td>
<td>110 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>853</td>
<td>90D070701</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 153</td>
<td>138 / 75</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>854</td>
<td>NADIA ANGELITA SABRINA / SUPRIYADI</td>
<td>0800104803</td>
<td>JL.PETERONGAN TENGAH NO.29</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 152</td>
<td>18.2/KURUS</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>855</td>
<td>00A68900</td>
<td>L</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 158</td>
<td>150 / 90</td>
<td>L98.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>856</td>
<td>YATIMAH / MARLIN CAHYONO</td>
<td>9090707401</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>93 / 148</td>
<td>153 / 85</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>857</td>
<td>00A13402</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 161</td>
<td>18.1/KURUS</td>
<td>116 / 65</td>
<td>z09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>858</td>
<td>ARABELLE INDIRA PUTRI / ARLINDA EKA VIDIAWATI</td>
<td>080000222502</td>
<td>JL.LAMPER TENGAH I/552 A </td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.1 / 66.5</td>
<td>18.3/KURUS</td>
<td>80 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>859</td>
<td>APRISYLIA DWI HAPSARI / SILVI</td>
<td>90G008402</td>
<td>JL.KERTANEGARA VI NO.H-39 </td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 157</td>
<td>125 / 78</td>
<td>z27</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Pleburan</td>
</tr> <tr>
<td>860</td>
<td>CALYA SALSABILA PUTRI / BATITUSTA BISMAR</td>
<td>0000177302</td>
<td>JL.LAMPER TENGAH I/552-A</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>29 / 122</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>861</td>
<td>RONALD CHARUNIAWAN / RONALD CHARUNIAWAN</td>
<td>90D092700</td>
<td>JL WONODRI KOPEN I/1043</td>
<td>L</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 173</td>
<td>146 / 83</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>862</td>
<td>ALEESHA ANNASYA EUNOIA ORLIN / SEPTIYAN ANTON HARTONO</td>
<td>089090705390</td>
<td>JL.LEREP KEL.LEREP KEC.UNGARAN BARAT</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>12 / 83</td>
<td>17.4/KURUS</td>
<td>89 / 43</td>
<td>r50</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>863</td>
<td>SITI ARIANTININGSIH / SEPTYAN ANTON HARTONO</td>
<td>90H064201</td>
<td>JL.LEREP KEL.LEREP KEC.UNGARAN BARAT</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 155</td>
<td>117 / 60</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>864</td>
<td>SAPTORINI / JOKO SUSANTO</td>
<td>080000332001</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 156</td>
<td>119 / 83</td>
<td>z71</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>865</td>
<td>MARLIN CAHYONO / MARLIN CAHYONO</td>
<td>9090707400</td>
<td>L</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>120 / 80</td>
<td>z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>866</td>
<td>VINA KARINA MAYARANI / VINA KARINA MAYARANI</td>
<td>90F048800</td>
<td>JL.CANDI INTAN V NO.1159 A</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 165</td>
<td>127 / 77</td>
<td>j06</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Kalipancur</td>
</tr> <tr>
<td>867</td>
<td>SLAMET / SLAMET</td>
<td>90C25700</td>
<td>JL. WONODRI KOPEN 3 </td>
<td>L</td>
<td>77 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 155</td>
<td>146 / 77</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>868</td>
<td>0800060001</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>155 / 86</td>
<td>e11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>869</td>
<td>RINA WIJAYANTI / MOCHAMAD RIDWAN GUNAWAN</td>
<td>90H070901</td>
<td>JL.KOMP.IPB CIKARAWANG KEL.CIKARAWANG KEC.DRAMAGA KAB.BOGOR</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 160</td>
<td>104 / 60</td>
<td>R10.4</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>870</td>
<td>GIYARTINI / SUBUR</td>
<td>080000397901</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 153</td>
<td>101 / 67</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>871</td>
<td>ADILA RATRI ABIWARDHANI / ADI RAHARJO</td>
<td>90E047602</td>
<td>JL. EROWATI VI NO.6-8</td>
<td>P</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 165</td>
<td>17.6/KURUS</td>
<td>95 / 76</td>
<td>K05.0</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Bulu Lor</td>
</tr> <tr>
<td>872</td>
<td>CARWATI / IMAM SUPINGI</td>
<td>080000003901</td>
<td>JL. BANCAR ASRI TIMUR N0.10</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 153</td>
<td>152 / 73</td>
<td>R22</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>873</td>
<td>NILA FESKARA SUGIANTORO / YP. WISMORO WIDIAWAN</td>
<td>90I006101</td>
<td>JL. PERUMAHAN KAMPOENG HARMONI N-23, BANDARJO, UNGARAN BARAT, KAB.
SEMARANG</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 157</td>
<td>122 / 71</td>
<td>z02</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>874</td>
<td>RUTINAH / ROHADI</td>
<td>0800J49301</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 147</td>
<td>137 / 91</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>875</td>
<td>BEJO ROHADI / BEJO ROHADI</td>
<td>000049300</td>
<td>L</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 164</td>
<td>120 / 70</td>
<td>j44</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>876</td>
<td>VALENTINO RUBEN ADITYA PRATAMA / ARITEUS AGUNG BASUKI</td>
<td>00C058402</td>
<td>JL. TAMAN DUKU NO 14.A</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 165</td>
<td>17.6/KURUS</td>
<td>110 / 80</td>
<td>H44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>877</td>
<td>0047000</td>
<td>LAMPER TENGAH IV NO.11</td>
<td>L</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 161</td>
<td>143 / 95</td>
<td>r73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>878</td>
<td>RIESPATI SEPTI ANDRIANI / SUKARNIYATI</td>
<td>00E084301</td>
<td>JL. LAMPER LOR NO.1057 A</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 165</td>
<td>110 / 80</td>
<td>A09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>879</td>
<td>EKA PRASTYOWATI / ARITEUS AGUNG BASUKI</td>
<td>00C058401</td>
<td>JL. TAMAN DUKU NO 14.A</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>120 / 80</td>
<td>h10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>880</td>
<td>ARYADI / ARYADI</td>
<td>0000293901</td>
<td>L</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 162</td>
<td>114 / 73</td>
<td>g44</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>881</td>
<td>SUKARNIYATI / SUKARNIYATI</td>
<td>00B51400</td>
<td>JL. LAMPER LOR NO. 1057A</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 155</td>
<td>170 / 89</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>882</td>
<td>MUHAMMAD AKBAR FADZILAH / TUGIYANTO</td>
<td>0000603301</td>
<td>JL.CEMPEDAK SELATAN NO.15</td>
<td>L</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>34 / 148</td>
<td>15.5/KURUS</td>
<td>100 / 70</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>883</td>
<td>ELEANORA CHIVA ACHIERA WIDYATMOKO / MAXIMILIANUS M.K WIDYATMOKO</td>
<td>00E084202</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3100 / 50</td>
<td>89 / 42</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>884</td>
<td>EVA ROMAWATI / SARINAH / TOTOK AGUS</td>
<td>00119312</td>
<td>JL.PETERONGAN TIMUR NO.322</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>88 / 153</td>
<td>133 / 79</td>
<td>j45</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>885</td>
<td>VICA AMY SULISTIANY / YANIS ANDI DARMAWAN</td>
<td>080000503102</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 158</td>
<td>116 / 67</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>886</td>
<td>ADINDA PUTRI MAY TANIA / ANDI SETIAWAN</td>
<td>080000513004</td>
<td>JL. LAMPER TENGAH NO. 30</td>
<td>P</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>36 / 125</td>
<td>23/NORMAL</td>
<td>100 / 60</td>
<td>J06</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>887</td>
<td>MEGA ALIFIA / SRI REJEKI</td>
<td>00bpjs000302</td>
<td>ASRAMA TNI AD MRICAN</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 150</td>
<td>100 / 70</td>
<td>J30.4</td>
<td>umum</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>888</td>
<td>0000240804</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8000 / 69</td>
<td>88 / 42</td>
<td>J06</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>889</td>
<td>HESTI YUNITA AGUSTIN / JEMARIN</td>
<td>90H080202</td>
<td>DUKUH SEPUNG, KEL. BEDOHO. KEC. SOOOKO, KAB. PONOROGO</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 151</td>
<td>18.4/KURUS</td>
<td>110 / 80</td>
<td>n30</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>890</td>
<td>FAUZAN ADZIMA / SAEFUDIN</td>
<td>90A41003</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11 / 82</td>
<td>16.4/KURUS</td>
<td>70 / 51</td>
<td>r50</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>891</td>
<td>DWI FITRIANI / DIMAS FEBRIANTO</td>
<td>90215901</td>
<td>JL SUMUR BATU NO. 4A, KEMAYORAN, JKT PUSAT</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 155</td>
<td>120 / 80</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>892</td>
<td>RIFDA KAMILA PUTRI / HERU WUDIMIN</td>
<td>00A38003</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 153</td>
<td>106 / 70</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>893</td>
<td>NAYYARA ALMAHIRA / DIMAS FEBRIANTO</td>
<td>90215902</td>
<td>JL SUMUR BATU NO. 4A, KEMAYORAN, JKT PUSAT</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>12 / 97</td>
<td>12.8/KURUS</td>
<td>72 / 50</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>894</td>
<td>STEVANUS ACHMADUN prolanis / STEVANUS ACHMADUN</td>
<td>00C00700</td>
<td>JERUK VIII/14</td>
<td>L</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 160</td>
<td>130 / 80</td>
<td>r20.2</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>895</td>
<td>0000514206</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 155</td>
<td>20/NORMAL</td>
<td>110 / 80</td>
<td>z00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>896</td>
<td>SISWANTI / SISWANTI</td>
<td>00E056601</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 148</td>
<td>150 / 80</td>
<td>R03</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>897</td>
<td>AYESHA ADARA JELITA / AGUNG PRASTIYO</td>
<td>90F080102</td>
<td>KP. BANTENG</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7 / 66</td>
<td>16.1/KURUS</td>
<td>70 / 51</td>
<td>J00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>898</td>
<td>CHARIS DIKA / IMAM WAHYUDI</td>
<td>00C33105</td>
<td>L</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 163</td>
<td>18.4/KURUS</td>
<td>110 / 70</td>
<td>J00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>899</td>
<td>90H080601</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>92 / 168</td>
<td>140 / 80</td>
<td>t79</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>900</td>
<td>ELIZABETH KUSTINI / ELIZABETH KUSTINI</td>
<td>00D052900</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 150</td>
<td>120 / 70</td>
<td>h11.3</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>901</td>
<td>00J103101</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>120 / 80</td>
<td>A46</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>902</td>
<td>MUHAMMAD HAIDAN KHOIRUL AKBAR / KOIRUL ANAM</td>
<td>90D024102</td>
<td>JL. TELUK KEL.TELUK KEC.KARANGAWEN KAB DEMAK</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.9 / 79</td>
<td>14.3/KURUS</td>
<td>90 / 60</td>
<td>f82</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Luar Kota</td>
</tr> <tr>
<td>903</td>
<td>FATIMAH SHAKILA / YOYOK WIJI HANDOYO</td>
<td>9090273503</td>
<td>CERME</td>
<td>P</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 120</td>
<td>13.9/KURUS</td>
<td>100 / 60</td>
<td>J00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>904</td>
<td>DWI TWULISTIANTO / AMAT YANTO</td>
<td>0000338905</td>
<td>L</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 169</td>
<td>118 / 82</td>
<td>J00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>905</td>
<td>NUR AFNI LAILA / ARIF RUSTIANA</td>
<td>90H032501</td>
<td>PERUM. PANORAMA HILLTOP KAV.19</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 152</td>
<td>103 / 70</td>
<td>L02.2</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Sambiroto</td>
</tr> <tr>
<td>906</td>
<td>RAHAYU NINGSIH / DENNY SATRIO UTOMO</td>
<td>90D065201</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>85 / 155</td>
<td>155 / 91</td>
<td>R03</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>907</td>
<td>EKO SUMIASTUTI / EKO SUMIASTUTI</td>
<td>0800085301</td>
<td>LAMPER TENGAH III/609C</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 151</td>
<td>129 / 80</td>
<td>K07.6</td>
<td>umum</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>908</td>
<td>AIDAH RIZANI FIRDAUSY / MUHAMAD RIZAL </td>
<td>000030491</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.3 / 67.5</td>
<td>16/KURUS</td>
<td>90 / 60</td>
<td>A09</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>909</td>
<td>RYAN HARTANTYO / RYAN HARTANTYO</td>
<td>00A38602</td>
<td>JL. PESONA II NO 537 BINAGRIOYA, PRINGREJO, PEKALONGAN BARAT</td>
<td>L</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>81 / 172</td>
<td>120 / 80</td>
<td>Z48.8</td>
<td>umum</td>
<td>ya</td>
<td>Luar Kota</td>
</tr> <tr>
<td>910</td>
<td>ANNISA PUTRI NUGRAHENI / EKO SUMIASTUTI</td>
<td>00C43902</td>
<td>JL. LAMPER TENGAH III/609-C</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 163</td>
<td>107 / 81</td>
<td>l30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>911</td>
<td>STEVANI AYU ANGGRAINI / SUHARTO/ MUHAMMAD RAUL DHANI</td>
<td>060000283390</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>77.9 / 157</td>
<td>114 / 63</td>
<td>z34</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>912</td>
<td>EKO SUMIASTUTI / EKO SUMIASTUTI</td>
<td>0800085301</td>
<td>LAMPER TENGAH III/609C</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 151</td>
<td>129 / 80</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>913</td>
<td>TRI ANA SARI / SUGENG BAKTI</td>
<td>90A55701</td>
<td>JL. CERME IV NO.8</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>87 / 157</td>
<td>125 / 71</td>
<td>Z34</td>
<td>kia</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>914</td>
<td>MUMUN MURNIASIH / RISTIONO</td>
<td>0800J64801</td>
<td>JL. PETERONGAN KOBONG</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>139 / 86</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>915</td>
<td>ENY SETIYAWATI / SUWARNO</td>
<td>0800J3801</td>
<td>JL. LAMPER TENGAH X</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 148</td>
<td>130 / 70</td>
<td>z00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>916</td>
<td>90A55701</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>87 / 157</td>
<td>125 / 71</td>
<td>Z34</td>
<td>gigi</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>917</td>
<td>ALISHBHA ZAKIYAH UMAIRAH / HERI SUSENO</td>
<td>00C079005</td>
<td>JL RAMBUTAN BARAT 4/23B</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.2 / 95</td>
<td>15.7/KURUS</td>
<td>90 / 60</td>
<td>a09</td>
<td>mtbs</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>918</td>
<td>KHOERON / KHOERON</td>
<td>00C27000</td>
<td>JALAN TENTARA PELAJAR 72A</td>
<td>L</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 160</td>
<td>150 / 91</td>
<td>h52.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>919</td>
<td>TATAG ADE PRASETYA / TATAG ADE PRASETYA</td>
<td>00C18202</td>
<td>JL. LAMPER LOR 1057</td>
<td>L</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 174</td>
<td>110 / 80</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>920</td>
<td>AYESHA SHEFARA / DWI SAPTANTO HARI BUDIONO</td>
<td>90C52704</td>
<td>JL.SAWI NO.5</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.5 / 65</td>
<td>70 / 52</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>921</td>
<td>90A55701</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>87 / 157</td>
<td>125 / 71</td>
<td>z34</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>922</td>
<td>RAVAELL ALLVINO SEPTA WIRATAMA / PURWANTO</td>
<td>080000804403</td>
<td>JL.LAMPER TENGAH XII/65</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.7 / 82.5</td>
<td>15.7/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>923</td>
<td>SHINTA CARMELITA / TATAG ADE</td>
<td>00C18201</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 150</td>
<td>132 / 100</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>924</td>
<td>SUTOMO / SUTOMO</td>
<td>90B71800</td>
<td>JL.WONODRI KOPEN TIMUR</td>
<td>L</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 165</td>
<td>140 / 80</td>
<td>i10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>925</td>
<td>VELISA FEBRI WIJAYANTI / JAROT KRISTIYANTO</td>
<td>080000346305</td>
<td>P</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>37 / 145</td>
<td>17.6/KURUS</td>
<td>100 / 70</td>
<td>J00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>926</td>
<td>RAMADANI / HERU WADIMIN</td>
<td>00A38006</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.9 / 59</td>
<td>70 / 51</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>927</td>
<td>MUHAMMAD MAHESA AL SAKI / EKO PRATOMO</td>
<td>90F041502</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.1 / 72</td>
<td>15.6/KURUS</td>
<td>89 / 42</td>
<td>r50</td>
<td>mtbs</td>
<td>gratis</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>928</td>
<td>ZAFIRA KAURIN / GALIH SANTORO</td>
<td>9090183200</td>
<td>P</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 110</td>
<td>16.5/KURUS</td>
<td>110 / 70</td>
<td>J45</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>929</td>
<td>MUHAMMAD FERDIAN RISKI ALFARIDZI / AGUS ARDIANTO</td>
<td>00B95702</td>
<td>JL.JOMBLANG TIMUR 810</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.4 / 78</td>
<td>22/NORMAL</td>
<td>90 / 60</td>
<td>r50</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>930</td>
<td>DELIMA KANISTHA PUTRI / OKKY INDRA PRATAMA</td>
<td>0000193106</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4700 / 52</td>
<td>88 / 40</td>
<td>l30</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>931</td>
<td>90H021602</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5.9 / 63</td>
<td>14.9/KURUS</td>
<td>71 / 52</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>932</td>
<td>RASTIYAH / SUYATNO</td>
<td>080000387801</td>
<td>JL. CEMPEDAK SELATAN 14</td>
<td>P</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>163 / 90</td>
<td>B35.4</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>933</td>
<td>SRIJATUN / M. BADRUZ ZAMAN</td>
<td>0000394391</td>
<td>JL. KEDUNGMUNDU NO.117</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>94 / 160</td>
<td>125 / 81</td>
<td>z30</td>
<td>kia</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>934</td>
<td>FRANCISCA RATNA KUSUMA DEWI / HENDY HIMAWAN</td>
<td>90C57701</td>
<td>JL.BINTORO I NO.54</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 157</td>
<td>125 / 80</td>
<td>L50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>935</td>
<td>KRISDIANA ANDRIANINGSIH / SARNO / FANDI ACHMAD</td>
<td>00.0386.06</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 153</td>
<td>126 / 76</td>
<td>Z34</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>936</td>
<td>SURYANTO / SURYANTO</td>
<td>00244000</td>
<td>JL.PETERONGAN TENGAH 16-A</td>
<td>L</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 176</td>
<td>120 / 80</td>
<td>n18</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>937</td>
<td>DAMIYATI / ABU BAKAR</td>
<td>00C058501</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 157</td>
<td>120 / 80</td>
<td>L97</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>938</td>
<td>PARINEM / SURAJI</td>
<td>0000214001</td>
<td>LAMPER TENGAH II /598</td>
<td>P</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 149</td>
<td>140 / 80</td>
<td>R03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>939</td>
<td>NARENDRA YOGA PRADANA / PRIYANTO</td>
<td>00E083902</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 168</td>
<td>17.7/KURUS</td>
<td>120 / 75</td>
<td>T78.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>940</td>
<td>NOAH ABIZAR SUGIANTO / PUNGKI SUGIANTO</td>
<td>00J091792</td>
<td>LAMPER KRAJAN III</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>15.6 / 102</td>
<td>15/KURUS</td>
<td>89 / 42</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>941</td>
<td>NASRUL WAHYUDI / NASRUL WAHYUDI</td>
<td>90E0010000</td>
<td>JL. PANDEAN LAPER IV / 66</td>
<td>L</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>89 / 169</td>
<td>130 / 75</td>
<td>i84</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>942</td>
<td>M. SARDI / M SARDI</td>
<td>00B48400</td>
<td>JL. PETERONGAN TIMUR NO.39</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>171 / 114</td>
<td>K04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>Peterongan</td>
</tr> <tr>
<td>943</td>
<td>GRIZELLE VANDA ARETHA / TATAG ADE PRASETYA</td>
<td>00C18205</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3400 / 50</td>
<td>70 / 51</td>
<td>Z00</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>944</td>
<td>SUYATNO / SUYATNO</td>
<td>00B66700</td>
<td>L</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 160</td>
<td>139 / 96</td>
<td>M62</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>945</td>
<td>ROMDANI SUSILOWATI / AGUS ARDIANTO</td>
<td>00B95701</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 160</td>
<td>122 / 84</td>
<td>n91</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>946</td>
<td>SEFARA NASA LATIFA / XENDRA</td>
<td>080J017090</td>
<td>JL.CEMPEDAK UTARA I</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.2 / 69</td>
<td>15.1/KURUS</td>
<td>60 / 44</td>
<td>j06</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>947</td>
<td>WIESKE UTAMI / MUHAMMAD KHOIRUDIN</td>
<td>060000377103</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 163</td>
<td>17.7/KURUS</td>
<td>134 / 95</td>
<td>Z35</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>948</td>
<td>IKE RINA AMBARWATI / SUGIARTO HADI PRAMONO</td>
<td>90I006201</td>
<td>JL. PANDA BARAT NO.21</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 158</td>
<td>128 / 90</td>
<td>H10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Palebon</td>
</tr> <tr>
<td>949</td>
<td>EDDY SUPRIYONO (PROLANIS) / EDDY SUPRIYONO</td>
<td>00B80300</td>
<td>L</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 160</td>
<td>123 / 79</td>
<td>R63.4</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>950</td>
<td>SOEMARTINI / NURHADI</td>
<td>00B7202</td>
<td>JL. DURIAN TIMUR 26</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 150</td>
<td>120 / 70</td>
<td>J00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>951</td>
<td>AGUS KURNIAWAN / AGUS KURNIAWAN</td>
<td>00E055100</td>
<td>JL. GRIYA NANAS ASRI NO.6</td>
<td>L</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 165</td>
<td>124 / 86</td>
<td>K02</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>952</td>
<td>ELY APRILIYA / MUCH SARJONO</td>
<td>90D093605</td>
<td>JL. WONODRI KOPEN III/1070</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 155</td>
<td>105 / 79</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>953</td>
<td>080000358506</td>
<td>JL. PISANG</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 101</td>
<td>16.7/KURUS</td>
<td>89 / 54</td>
<td>F80.9</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>954</td>
<td>SUHARTATIK / SUHARTATIK</td>
<td>00D083000</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 155</td>
<td>120 / 80</td>
<td>g20</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>955</td>
<td>V TRI PUJININGSIH / SUWANTO</td>
<td>080000431101</td>
<td>JL. LAMPER TENGAH GG-XV</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 153</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>956</td>
<td>REYNANDRA ERMANA PUTRA SUHEBAT / BUYUNG SUHEBAT</td>
<td>90G012705</td>
<td>JL. GAYAMSARI IV NO.4 </td>
<td>L</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 170</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>957</td>
<td>00B48400</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>160 / 90</td>
<td>R03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>958</td>
<td>DEBORA PUTRI KUSUMA SAMAPTA / HIZKIA TRI MULYADI</td>
<td>90H038504</td>
<td>JL. SAWI XI NO. 10</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 158</td>
<td>110 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>959</td>
<td>YESI APRISKA / YESI APRISKA</td>
<td>90I006301</td>
<td>JL. RAYA KARANG TENGAH, KARANGTENGAH, AMPELGADING</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 158</td>
<td>100 / 70</td>
<td>k05.3</td>
<td>gigi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>960</td>
<td>ARRIJAL QAIS HAFIZD KIRAN / SUGIYONO</td>
<td>000033290204</td>
<td>L</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>37 / 138</td>
<td>100 / 70</td>
<td>J03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>961</td>
<td>ADJI PRASETYO / SRI KASMIATOEN</td>
<td>0800127002</td>
<td>JL.PANDEAN LAMPER II/78</td>
<td>L</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 175</td>
<td>119 / 90</td>
<td>z21</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>962</td>
<td>ALIYA SEFIANA / TOPAN SIREGAR</td>
<td>90I006402</td>
<td>JL. KINIBALI GANG 4 NO.5</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 150</td>
<td>106 / 60</td>
<td>R50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>963</td>
<td>TUKUL / TUKUL</td>
<td>089090286600</td>
<td>L</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 158</td>
<td>116 / 71</td>
<td>r73.9</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>964</td>
<td>RAFFASYA PRATAMA KURNIAWAN / FEBRI KURNIAWAN</td>
<td>0000316402</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 100</td>
<td>100 / 60</td>
<td>J35.3</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>965</td>
<td>BAGUS MOCH NAUFAL NISMARA P / IWAN HERMAWAN</td>
<td>00E041702</td>
<td>JL. MANGGA V/1</td>
<td>L</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 164</td>
<td>17.1/KURUS</td>
<td>110 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>966</td>
<td>NAMIRA KHANZA ISTIQOMAH / KOKOK TRIYOKO</td>
<td>00B33402</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>14 / 102</td>
<td>13.5/KURUS</td>
<td>72 / 51</td>
<td>T79</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>967</td>
<td>RIDWAN SETYO TRISNANTORO / SUTRISNO</td>
<td>90D097402</td>
<td>JL. WONODRI KOPEN BARATNO.34</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>90 / 173</td>
<td>120 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>968</td>
<td>FELLYCIA SHAQUEENA CHRISTIE / MATAHARI</td>
<td>000337402</td>
<td>JL.BANCAR ASRI NO XI</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 97</td>
<td>18.1/KURUS</td>
<td>70 / 51</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>969</td>
<td>EVANDER DEWA XAVIER SONDAKH / SONNY SONDAKH</td>
<td>00A2406</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 112</td>
<td>16.7/KURUS</td>
<td>100 / 60</td>
<td>j98</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>970</td>
<td>SATRIO ARSHAKA PRATAMA / EDI ARDITIYA</td>
<td>90H073802</td>
<td>JL.GAYAMSARI SELATAN </td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6 / 57</td>
<td>18.5/KURUS</td>
<td>70 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>971</td>
<td>ALVIAN MAULANA PUTRA ARDIAN / ANIF ZULAEHA</td>
<td>9090A3005</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>15 / 64</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>972</td>
<td>M. SOEDIONO / M. SOEDIONO</td>
<td>000C083300</td>
<td>JL. TAMAN MANGGA 16</td>
<td>L</td>
<td>81 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 170</td>
<td>148 / 79</td>
<td>m17</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>973</td>
<td>LEA KRISTIANI / SLAMET ISKAK</td>
<td>08000108702</td>
<td>JL.JERUK 8 NO.10</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 152</td>
<td>100 / 55</td>
<td>z34</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>974</td>
<td>ZILVI DWI ANGELA / GIYONO</td>
<td>90C00203</td>
<td>JL. KEDUNGROWO, KAUMAN, KEMUSU, KAB. BOYOLALI</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 145</td>
<td>100 / 70</td>
<td>r50</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>975</td>
<td>SUPAMI / RUBINU</td>
<td>080000369601</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 162</td>
<td>130 / 80</td>
<td>r73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>976</td>
<td>NITA BUDI ASTINI / EKO SUMANTO</td>
<td>0000205302</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 151</td>
<td>129 / 71</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>977</td>
<td>ALFI FAUZIYYAH LARASATI / ALFIAT S</td>
<td>00E068502</td>
<td>JL.TAMAN DURIAN II/2</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 160</td>
<td>120 / 70</td>
<td>M51</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>978</td>
<td>SITI ZAHWA / SITI ZAHWA</td>
<td>90I006502</td>
<td>JL. TRUNTUM IX/30</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 145</td>
<td>100 / 70</td>
<td>r11</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tlogosari Kulon</td>
</tr> <tr>
<td>979</td>
<td>SELVIANA SETYO DAMAYANTI / SETYO PRAYITNO</td>
<td>0800052005</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 153</td>
<td>99 / 60</td>
<td>r10.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>980</td>
<td>AZKA PUTRA ABBIYAN / TRI WIYOGO SEPTIAWAN</td>
<td>00E084403</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3100 / 49</td>
<td>90 / 60</td>
<td>z00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>981</td>
<td>SUKIRAN / SUKIRAN</td>
<td>080000406200</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>130 / 80</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>982</td>
<td>SUWARDI / SUWARDI</td>
<td>00B55200</td>
<td>JL.CEMPEDAK SELATAN 39</td>
<td>L</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 170</td>
<td>120 / 80</td>
<td>C34</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>983</td>
<td>FILLIO NADHIF ALFARIZKY / HERU HARTONO</td>
<td>90G046704</td>
<td>JL. LEMPONGSARI I</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.4 / 95</td>
<td>14.8/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lempongsari</td>
</tr> <tr>
<td>984</td>
<td>RIKO MAULANA PUTRA ISKAHAR / UDIN ISKAHAR</td>
<td>00192403</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>17.9 / 102</td>
<td>17.2/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>985</td>
<td>ALFARIZKY KHAIRAN SHAQUILLE / HERU HARTONO</td>
<td>00B86602</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>19.9 / 107</td>
<td>17.4/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>986</td>
<td>JOKO PRASETYO / JOKO PRASETYO</td>
<td>080000540602</td>
<td>L</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 171</td>
<td>109 / 82</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>987</td>
<td>MUHAMMAD FAJAR NUR FATHURROHMAN / ANTON GUNAWAN</td>
<td>90B64007</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.8 / 80</td>
<td>15.3/KURUS</td>
<td>90 / 60</td>
<td>A16</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>988</td>
<td>FRISCILIA ATAPARY / -</td>
<td>90I006701</td>
<td>JL. RUMAHKAY, RUMAHKAY, AMALATU, KAB. SERAM BAGIAN BARATPROV.
MALUKU</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 150</td>
<td>105 / 64</td>
<td>R50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>989</td>
<td>JACQUELINE PETRUCCI / JOKO PRASETYO</td>
<td>080000540603</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.8 / 79</td>
<td>15.7/KURUS</td>
<td>90 / 60</td>
<td>z00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>990</td>
<td>AGUS SETYAWAN SUSIANTO / AGUS SETYAWAN S, SKM</td>
<td>080000321500</td>
<td>JL GAHARU TIMUR DLM NO.58</td>
<td>L</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 165</td>
<td>120 / 70</td>
<td>E11</td>
<td>umum</td>
<td>tidak</td>
<td>Srondol Wetan</td>
</tr> <tr>
<td>991</td>
<td>YULI MAGHFIROH NINGTYAS / ANTON GUNAWAN</td>
<td>90B64006</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>98 / 163</td>
<td>114 / 67</td>
<td>z03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>992</td>
<td>JOKO SURYANTO / JOKO SURYANTO</td>
<td>0000300600</td>
<td>L</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 164</td>
<td>110 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>993</td>
<td>PUJI TRI WAHYUNI / SUWANTO</td>
<td>90I006601</td>
<td>JL. MAYANG IIC AL IV/1, PONDOK KELAPA, DUREN SAWIT, JAKARTA
TIMUR</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 156</td>
<td>23/NORMAL</td>
<td>167 / 90</td>
<td>R07.4</td>
<td>lansia</td>
<td>ya</td>
<td>Luar Kota</td>
</tr> <tr>
<td>994</td>
<td>MELINDA NURAINI / achmad budiyono</td>
<td>0000391303</td>
<td>PEDURUNGAN KDL</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 162</td>
<td>120 / 70</td>
<td>l50</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>995</td>
<td>SRI RAHAYU (HAJI) / SUSWANTO</td>
<td>00B13803</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 148</td>
<td>110 / 74</td>
<td>H52.0</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>996</td>
<td>REIHAN MUHAMMAD DUTA / SUSWANTO</td>
<td>00B13805</td>
<td>L</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>88 / 166</td>
<td>136 / 73</td>
<td>j06</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>997</td>
<td>RUTIMAH / SUMEDI</td>
<td>0000526301</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 150</td>
<td>120 / 70</td>
<td>i10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>998</td>
<td>MARCELLINO REVANO PRATAMA / DIONISIUS OKY SIYANA</td>
<td>00E051102</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.800 / 63</td>
<td>17.1/KURUS</td>
<td>90 / 60</td>
<td>J00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>999</td>
<td>FEBRI RIDHO MAULANA / TRISMANTO</td>
<td>080000456403</td>
<td>JL.LAMPER MIJEN, LAMPER TENGAH</td>
<td>L</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 162</td>
<td>16.4/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1000</td>
<td>RAKHA DWI MAULANA / TRISMANTO AL LILIK</td>
<td>080000456490</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 127</td>
<td>14.9/KURUS</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1001</td>
<td>NOPIATIN / JUREMI</td>
<td>0000609406</td>
<td>JL.CEMPEDAK UTARA </td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 155</td>
<td>112 / 77</td>
<td>H52.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1002</td>
<td>SATIPAH / JUREMI</td>
<td>0800081301</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 157</td>
<td>137 / 82</td>
<td>H52.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1003</td>
<td>MAHARDIKA AZKA PRASETIYA / DODY PRASETIYA</td>
<td>0000201606</td>
<td>JL.RAMBUTAN BARAT NO.25</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 110</td>
<td>16.5/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1004</td>
<td>SALMAN / SALMAN</td>
<td>90A9700</td>
<td>JL. WONODRI KOPEN III</td>
<td>L</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 158</td>
<td>120 / 80</td>
<td>e11.6</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Wonodri</td>
</tr> <tr>
<td>1005</td>
<td>SURYANTI HALIMAH / MAINDRA</td>
<td>00091005</td>
<td>JL.TAMAN DUKU NO.17</td>
<td>P</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>68.6 / 150</td>
<td>120 / 84</td>
<td>z34</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1006</td>
<td>KENZO ALVARO / HARIS ATIQ MUHAMMAD AFIAN</td>
<td>00BPJS037803</td>
<td>JL.LAMPER TENGAH X-48A</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>35 / 125</td>
<td>95 / 76</td>
<td>K00</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>1007</td>
<td>SUGIYO / SUGIYO</td>
<td>00B66300</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 160</td>
<td>17.2/KURUS</td>
<td>192 / 85</td>
<td>e11.6</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1008</td>
<td>ELVINA JUSTINE SANTOSO / LUCKY ADI</td>
<td>00A27205</td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 150</td>
<td>114 / 66</td>
<td>Z03.0</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1009</td>
<td>ARINI TRI L / SLAMET SANTOSO</td>
<td>080000340702</td>
<td>JL. PISANG</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 151</td>
<td>117 / 70</td>
<td>z02</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1010</td>
<td>MIFTAH HABIBBUR ROHMAN / MUSLIKHAN</td>
<td>00A75404</td>
<td>JL. SERANGAN, KEC. BONANG, KAB. DEMAK</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11 / 87</td>
<td>14.5/KURUS</td>
<td>90 / 60</td>
<td>a09</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1011</td>
<td>GHANIA SHANUM ADENAYA / MUHAMMAD SHOLIKHIN</td>
<td>90C50602</td>
<td>KOMPLEK AKPOL BLOK M NO.09</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>22 / 109</td>
<td>60 / 44</td>
<td>H65</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1012</td>
<td>YOHANA YUSI NATA GLORIA / SIHONO</td>
<td>00192103</td>
<td>JL.LAMPER MIJEN </td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>11 / 90</td>
<td>13.6/KURUS</td>
<td>90 / 60</td>
<td>r10.4</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>1013</td>
<td>RATNA APRILIA DEWI / ANDIK MINTORO</td>
<td>90C04804</td>
<td>JL CANDI PAWON TIMUR 03/07</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 155</td>
<td>120 / 70</td>
<td>J02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Manyaran</td>
</tr> <tr>
<td>1014</td>
<td>ARJUNA ZAYN ALFARISQI MARDANI / ANTON DWI MARDANI</td>
<td>00C071002</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.6 / 63</td>
<td>90 / 60</td>
<td>r50</td>
<td>mtbs</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1015</td>
<td>KASIYEM / DIYAT</td>
<td>90I005101</td>
<td>JL. DUKUH PLOSOREJO, SRIGADING, NGAWEN, KAB. BLORA</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 150</td>
<td>143 / 81</td>
<td>Z09.0</td>
<td>lansia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1016</td>
<td>ARJUNA ZAYN ALFARISQI MARDANI / ANTON DWI MARDANI</td>
<td>00C071002</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.6 / 63</td>
<td>90 / 60</td>
<td>r50</td>
<td>gigi</td>
<td>Peterongan</td>
</tr> <tr>
<td>1017</td>
<td>HUSODO ARIEF RAHMAN IBRAHIM / MUHAMMAD BAHRUDIN</td>
<td>90I006802</td>
<td>DSN. BLOK BARAT, KEL. TEGALGIRANG, KEC. BANGODUA, KAB. INDRAMAYU</td>
<td>L</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 165</td>
<td>123 / 78</td>
<td>r05</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1018</td>
<td>IGNATIUS PUTHUT NUGROHO, DRS / IGNATIUS PUTHUT NUGROHO, DRS</td>
<td>00E084500</td>
<td>L</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 166</td>
<td>132 / 82</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1019</td>
<td>LOVEYRA CAROLINE / ONI SETIYADI</td>
<td>080000467002</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 145</td>
<td>103 / 66</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1020</td>
<td>GIBRAN RAMADHANI / ACHMAD SLAMET</td>
<td>080000522402</td>
<td>JL. JERUK, LAMPER LOR</td>
<td>L</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>34 / 156</td>
<td>14/KURUS</td>
<td>100 / 70</td>
<td>D21</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1021</td>
<td>PARNO / PARNO</td>
<td>00B32400</td>
<td>BANCAR ASRI TIMUR</td>
<td>L</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 175</td>
<td>16.7/KURUS</td>
<td>110 / 74</td>
<td>i64</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1022</td>
<td>MORENO NUGROHO / YUNIANTO AGUNG N</td>
<td>070000602802</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>95 / 172</td>
<td>120 / 70</td>
<td>j02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1023</td>
<td>ISHAK / ISHAK</td>
<td>90E059500</td>
<td>PERUM CIKEAS GARDENIA BLOK G KAB BOGOR</td>
<td>L</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 163</td>
<td>120 / 70</td>
<td>F20.5</td>
<td>umum</td>
<td>ya</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1024</td>
<td>DARTI / DARTI</td>
<td>00BPJS025690</td>
<td>JL.CERME II/74</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 150</td>
<td>150 / 90</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1025</td>
<td>SRI AGUSTINI / HERI/KHO TJHOWAN WIE</td>
<td>080005401</td>
<td>JL KEDONDONG DALAM II/376</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 160</td>
<td>110 / 80</td>
<td>z48.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1026</td>
<td>SAIFUL SYAFRI / SARJONO</td>
<td>080000461405</td>
<td>JL. NANAS NO. 49</td>
<td>P</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>30 / 135</td>
<td>16.5/KURUS</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1027</td>
<td>PRAPTI MULYANI / NGATIYEM</td>
<td>080000516402</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 150</td>
<td>120 / 80</td>
<td>n76</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1028</td>
<td>LILIK CAHYO NUGROHO / SUBAGIO</td>
<td>0000009200</td>
<td>JL. NANAS NO 38</td>
<td>L</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>102 / 155</td>
<td>121 / 81</td>
<td>j02</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1029</td>
<td>FAKHRI ATALLAH HAIDAR / GARYONO</td>
<td>00240804</td>
<td>JL. LAMPER TENGAH XV</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>15.9 / 100</td>
<td>15.9/KURUS</td>
<td>89 / 56</td>
<td>j06</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>1030</td>
<td>SARJONO prolanis / SARJONO</td>
<td>080000461400</td>
<td>JL.NANAS NO.49</td>
<td>L</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>81 / 160</td>
<td>120 / 80</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1031</td>
<td>MUNTIATUN / SUWARNO</td>
<td>00E080801</td>
<td>JL. LAMPER TENGAH GANG VIII</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 157</td>
<td>120 / 80</td>
<td>J00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1032</td>
<td>ANGGITA DEBBY SEPTARINDA / YOBEL LEONARD</td>
<td>90F023601</td>
<td>JL.SENDANGGUWO SLT 1</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>36.4 / 161</td>
<td>14/KURUS</td>
<td>85 / 60</td>
<td>Z30</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1033</td>
<td>SUNARTI / SUNARTI</td>
<td>080000529000</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 158</td>
<td>131 / 76</td>
<td>E11</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1034</td>
<td>SARA NUR SHAFARIANI / ARIANTO</td>
<td>0000122006</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 150</td>
<td>100 / 60</td>
<td>J00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1035</td>
<td>SUMARSIH / LESTIONO</td>
<td>0000137101</td>
<td>JL. PETERONGAN SARI RAYA NO.12</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 154</td>
<td>19/NORMAL</td>
<td>120 / 80</td>
<td>j98</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>1036</td>
<td>FAHRIL RIZKI SAPUTRA / SAPUTRA WHISNU WARDANA</td>
<td>0000135906</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.7 / 63</td>
<td>16.9/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1037</td>
<td>ROHADI / ROHADI</td>
<td>00B30000</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>140 / 80</td>
<td>h10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1038</td>
<td>SUPRIYATI / ROHADI</td>
<td>00B30006</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 155</td>
<td>104 / 69</td>
<td>m62</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1039</td>
<td>ROCHXY FRESHA ANANDA / ROCH MULYANTO</td>
<td>0800032601</td>
<td>JL. LAMPER KRAJAN RAYA NO. 18</td>
<td>P</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 155</td>
<td>100 / 60</td>
<td>l24</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1040</td>
<td>RASHIF TAQI SHAKIEL / MOHAMAD TRI ADI WIBOWO</td>
<td>00C065402</td>
<td>JL LAMPER TENGAH XIV/16</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.5 / 91</td>
<td>17.5/KURUS</td>
<td>89 / 56</td>
<td>T79</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1041</td>
<td>KELIK WIBOWO / KELIK WIBOWO</td>
<td>00A67800</td>
<td>L</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 167</td>
<td>121 / 67</td>
<td>Z00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1042</td>
<td>NURLAELA / IRWIN A</td>
<td>080000470701</td>
<td>JL PETERONGAN TENGAH </td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>66.6 / 154.5</td>
<td>128 / 81</td>
<td>z35</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1043</td>
<td>RIFAN ARIFIN / RIFAN ARIFIN</td>
<td>00E084600</td>
<td>JL. CERME I/16</td>
<td>L</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 160</td>
<td>190 / 100</td>
<td>I10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1044</td>
<td>ROBI / ROBI</td>
<td>0000188500</td>
<td>JL.PISANG I</td>
<td>L</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 152</td>
<td>119 / 79</td>
<td>M54.2</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1045</td>
<td>EZRA MELVIANO BYANTARA / ERICA ADITYA PRATAMA</td>
<td>00E065202</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.6 / 64</td>
<td>16.1/KURUS</td>
<td>89 / 57</td>
<td>R50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1046</td>
<td>RENI KRISTIANI / HENDRA DWI AJI ARISANDI</td>
<td>90H002701</td>
<td>JL TANDANG</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>79.6 / 157</td>
<td>116 / 83</td>
<td>z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>1047</td>
<td>ZAHRA APRILIA DWIYANTO / TUGIYANTO</td>
<td>0000603304</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 129</td>
<td>12.6/KURUS</td>
<td>100 / 70</td>
<td>l02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1048</td>
<td>PONISEM / SUMARSONO</td>
<td>00.0882.01</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 155</td>
<td>153 / 101</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1049</td>
<td>SOEMARSONO / SOEMARSONO</td>
<td>00.0882.00</td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 165</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1050</td>
<td>NATALIA PUTRI MANDAYANI / TRIYUDO MUSTOFA</td>
<td>0800J83402</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 155</td>
<td>16.2/KURUS</td>
<td>108 / 76</td>
<td>K02</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1051</td>
<td>SAAL AJI HARNADI / SAAL AJI HARNADI</td>
<td>00DO30000</td>
<td>L</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 170</td>
<td>117 / 75</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1052</td>
<td>ELCHAMPONO / ELCHAMPONO</td>
<td>90I006900</td>
<td>L</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 165</td>
<td>110 / 80</td>
<td>z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1053</td>
<td>MEGA AYU INDAH PERTIWI / DIKIYA SATRIYO PANJI</td>
<td>0800KR00333</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 158</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1054</td>
<td>SRI CICIK NANDASARI / SUKMA SUTISNA</td>
<td>90I007001</td>
<td>JL. PUCANG ARGO BARAT RAYA NO.15, BATURSARI, KAB. DEMAK</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 168</td>
<td>23/NORMAL</td>
<td>167 / 88</td>
<td>I10</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1055</td>
<td>ALMAHYRA NAILA SHAFANA / HERU SANTOSO</td>
<td>90B0902</td>
<td>GAYAMSARI </td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>22 / 120</td>
<td>15.3/KURUS</td>
<td>120 / 70</td>
<td>j03</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1056</td>
<td>MARINAH / MARINAH</td>
<td>00A35500</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 150</td>
<td>120 / 70</td>
<td>I25</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1057</td>
<td>FAHRUNNISHA SAFITRI / ACHMAD ARDHIAN </td>
<td>00253000</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 158</td>
<td>117 / 72</td>
<td>k04.0</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>1058</td>
<td>NGATINI / ASMUNI</td>
<td>080000375601</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 150</td>
<td>116 / 61</td>
<td>m79.1</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1059</td>
<td>SRI LESTARI / SLAMET</td>
<td>00C17401</td>
<td>JL. PETERONGAN SARI</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 152</td>
<td>120 / 70</td>
<td>H66.3</td>
<td>umum</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>1060</td>
<td>080000376304</td>
<td>L</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>120 / 80</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1061</td>
<td>00C065902</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.7 / 85</td>
<td>14.8/KURUS</td>
<td>89 / 54</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1062</td>
<td>ADI ALFIAN / ADI ALFIAN</td>
<td>00B46200</td>
<td>JL.LAMPER MIJEN 3398</td>
<td>L</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 165</td>
<td>122 / 77</td>
<td>J02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1063</td>
<td>ANIS SULISTIYANI / MAFFUR RIYANTO</td>
<td>90F074301</td>
<td>JL.KH AHMAD DAHLAN GG.15 NO.33 KEL.TIRTO KEC.PEKALONGAN BARAT KOTA
PEKALONGAN</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>55.8 / 156</td>
<td>122 / 70</td>
<td>Z34</td>
<td>kia</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1064</td>
<td>DAMIYATI / ABU BAKAR</td>
<td>00C058501</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 157</td>
<td>120 / 70</td>
<td>T79</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1065</td>
<td>MUHAMMAD MAULANA SAID / RETNO PAMUJI</td>
<td>00A83403</td>
<td>JL. PETERONGAN SARI II</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4900 / 60</td>
<td>90 / 60</td>
<td>z27</td>
<td>imunisasi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1066</td>
<td>MEUTIA SISKA AMIR / MEUTIA SISKA AMIR</td>
<td>90I007201</td>
<td>JL. PADI TENGAH IV/D 378</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 165</td>
<td>18.4/KURUS</td>
<td>120 / 80</td>
<td>r73.9</td>
<td>umum</td>
<td>ya</td>
<td>Gebangsari</td>
</tr> <tr>
<td>1067</td>
<td>REINHARD / REINHARD</td>
<td>9000464690</td>
<td>GRAHA WAHID CRISTAL SAMBIROTO TEMBALANG</td>
<td>L</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 155</td>
<td>110 / 80</td>
<td>E11</td>
<td>lansia</td>
<td>tidak</td>
<td>Sambiroto</td>
</tr> <tr>
<td>1068</td>
<td>JAGAD SATRIA ELRUMI / AHMAD SOLIHIN</td>
<td>0700003704</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6000 / 57.5</td>
<td>89 / 54</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1069</td>
<td>0800127003</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 152</td>
<td>110 / 80</td>
<td>R50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>1070</td>
<td>WIDAYATI / JONI PRIHANTO</td>
<td>90A419001</td>
<td>JL. GERGAJI BALEKAMBANG</td>
<td>P</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 155</td>
<td>111 / 77</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Mugassari</td>
</tr> <tr>
<td>1071</td>
<td>ZAHROH / SHOFWAN</td>
<td>089090185901</td>
<td>JL. GAYAMSARI SELATAN,SENDANGGUWO</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 158</td>
<td>120 / 70</td>
<td>h44</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>1072</td>
<td>SHOFWAN (PROLANIS) / SHOFWAN</td>
<td>089090185900</td>
<td>L</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 155</td>
<td>120 / 70</td>
<td>k30</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>1073</td>
<td>YUSTINA ROOSVI ENGGARJATI / YUSTINA ROOSVI ENGGARJATI</td>
<td>00546203</td>
<td>JL.LAMPER TENGAH IX NO.5</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 157</td>
<td>140 / 86</td>
<td>r05</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1074</td>
<td>MUHAMMAD IQBAL / ACHMAD SALEH</td>
<td>00A45303</td>
<td>JL.LAMPER TENGAH V/15</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.3 / 86</td>
<td>13.9/KURUS</td>
<td>89 / 54</td>
<td>Z00</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1075</td>
<td>E ARYANTI DYAH SUMIARSIH / YOHANES SUHERMAWAN</td>
<td>90H099301</td>
<td>JL. KINIBALU IV/22-A</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 155</td>
<td>144 / 86</td>
<td>K02</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>1076</td>
<td>INDRA SOFIA RANI / SUYANTO</td>
<td>0000410301</td>
<td>JL. CEMPEDAK RAYA 15-G</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 158</td>
<td>128 / 70</td>
<td>h81.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1077</td>
<td>00A23600</td>
<td>L</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 155</td>
<td>150 / 90</td>
<td>T79.9</td>
<td>lansia</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1078</td>
<td>ROCHAYATI prolanis / MAHARGIYO BASUKI</td>
<td>00bpjs00601</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 158</td>
<td>156 / 88</td>
<td>h93.1</td>
<td>umum</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1079</td>
<td>YUMNA NALADHIFA / SUNARDI</td>
<td>00A23602</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 120</td>
<td>12.5/KURUS</td>
<td>100 / 60</td>
<td>t79.9</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1080</td>
<td>MAHARGYO BASUKI POSBINDU / MAHARGYO BASUKI</td>
<td>00BPJS000600</td>
<td>JL. JERUK LAMPER LOR</td>
<td>L</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 160</td>
<td>146 / 92</td>
<td>r03.0</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1081</td>
<td>KENZO HIRO MAULANA / NUR CAHYO</td>
<td>00J02903</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.4 / 55</td>
<td>90 / 60</td>
<td>j00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1082</td>
<td>GLADIZA VERONICHA ANSANO / SARWONO</td>
<td>00001845014</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>30 / 121</td>
<td>100 / 80</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1083</td>
<td>ADITIYA IQBAL SETIYAWAN / INDRIANI SUSANTI</td>
<td>089000513304</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 153</td>
<td>110 / 70</td>
<td>l50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1084</td>
<td>MUSIMIN / MUSIMIN</td>
<td>00B89500</td>
<td>JL. CEMPEDAK UTARA II NO. 11</td>
<td>L</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 155</td>
<td>152 / 79</td>
<td>I10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1085</td>
<td>NOVA WAHYU PUTRANTO / ACHMAD SUNARTO</td>
<td>069090258704</td>
<td>L</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 169</td>
<td>17.5/KURUS</td>
<td>117 / 77</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1086</td>
<td>BILQIS ULYA KHOIRUNNISA / RUSMANI</td>
<td>00D020003</td>
<td>JL.KEL TROMPO KEL.TROMPO KEC.KENDAL KAB.KENDAL </td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.4 / 67.5</td>
<td>14/KURUS</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1087</td>
<td>KALILA RIFDA ARDIANT / YOGI ARDIANT CAHYA</td>
<td>00B51702</td>
<td>JL. PISANG NO.06</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.2 / 88</td>
<td>14.5/KURUS</td>
<td>90 / 60</td>
<td>J00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1088</td>
<td>HENY KURNIAWATI DEWI / SOEPRIHATINI</td>
<td>0000164404</td>
<td>JL. RAMBUTAN I NO 2</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 153</td>
<td>102 / 73</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1089</td>
<td>SATINEM / SUROTO</td>
<td>080111801</td>
<td>JL. PETERONGAN TIMUR 344-B</td>
<td>P</td>
<td>76 Tahun</td>
<td>BARU</td>
<td></td>
<td>34 / 134</td>
<td>130 / 70</td>
<td>h25</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1090</td>
<td>SAQILA PUTRI / EGA DWI OCVIANTO</td>
<td>90G063502</td>
<td>JL. SAMBIROTO I NO. 24</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>27 / 130</td>
<td>16/KURUS</td>
<td>110 / 80</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Sambiroto</td>
</tr> <tr>
<td>1091</td>
<td>089090265891</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 156</td>
<td>120 / 80</td>
<td>I63.9</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1092</td>
<td>NANDAR / NANDAR</td>
<td>90A81600</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>62.8 / 169</td>
<td>22/NORMAL</td>
<td>133 / 77</td>
<td>K02</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1093</td>
<td>JAUHTUL NARISAH / SUJIANTO</td>
<td>0000331101</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 150</td>
<td>167 / 102</td>
<td>b86</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1094</td>
<td>FIRNANDA TRISYANTI / SUJIYANTO</td>
<td>0000331102</td>
<td>MANGGIS VIII</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>14 / 95</td>
<td>15.5/KURUS</td>
<td>120 / 70</td>
<td>b86</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1095</td>
<td>DWI WINARNI KRISTIYANI / TRI YOYOK</td>
<td>00B24001</td>
<td>JL. LAMPER MIJEN 310 A</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>100 / 78</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1096</td>
<td>ADRIANTO LUKITO / NARI</td>
<td>JL. KAWI</td>
<td>L</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 160</td>
<td>140 / 92</td>
<td>r50</td>
<td>umum</td>
<td>tidak</td>
<td>Wonotingal</td>
</tr> <tr>
<td>1097</td>
<td>KASERI / KASERI</td>
<td>90C31400</td>
<td>JL. WONODRI KRAJAN II</td>
<td>L</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 155</td>
<td>130 / 80</td>
<td>E79</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>1098</td>
<td>ANIK SURYANI / SLAMET MUJIONO</td>
<td>089090334701</td>
<td>JL. KINIBALU BARAT</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 153</td>
<td>147 / 89</td>
<td>i10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>1099</td>
<td>ROCHMAH / SUBUR ROCHMAN</td>
<td>000324903</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 157</td>
<td>140 / 90</td>
<td>E11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1100</td>
<td>LISTIANA / LISTIANA</td>
<td>080000335800</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 165</td>
<td>120 / 70</td>
<td>i63</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1101</td>
<td>ALZAM FATTAH IBRAHIM / ACHMAD SYA'RONI</td>
<td>0000305903</td>
<td>JL. PETERONGAN BUGEL </td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 103</td>
<td>17/KURUS</td>
<td>110 / 70</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1102</td>
<td>RINDA RUSLIANA / JATMIKO</td>
<td>0000529502</td>
<td>PETERONGAN TIMUR 324</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 158</td>
<td>112 / 67</td>
<td>z34</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1103</td>
<td>MAHVEEN ASSYIFA MECCA / APRIYANTO DWI NUGROHO</td>
<td>080J044009</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>12 / 90</td>
<td>14.8/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>1104</td>
<td>SUMARWATI / HADI SULISTYO</td>
<td>00C20501</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 157</td>
<td>133 / 85</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1105</td>
<td>MUHAMMAD ARSYANENDRA ALBIRRUNI / WIWIN HEDAYANTO</td>
<td>080000384593</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.6 / 72.5</td>
<td>16.4/KURUS</td>
<td>91 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>1106</td>
<td>WARTIYAH / DASI HARMANTO</td>
<td>0800120401</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 163</td>
<td>110 / 70</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1107</td>
<td>ABID NAYAKA RAJENDRA / RHOBERTO</td>
<td>9I007402</td>
<td>JL GAYAMSARI SELATAN</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>19 / 121</td>
<td>13/KURUS</td>
<td>112 / 77</td>
<td>T79.9</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1108</td>
<td>RENI WINARTI / NURUL HUDA</td>
<td>00B26301</td>
<td>JL. KEDONDONG DALAM</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>45.2 / 158</td>
<td>18.1/KURUS</td>
<td>123 / 82</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1109</td>
<td>AKHFAT SOLEHATUN NURHASANAH / APRIANTO</td>
<td>080J044005</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>93 / 157</td>
<td>120 / 75</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1110</td>
<td>00E054100</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 160</td>
<td>120 / 70</td>
<td>r20.2</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1111</td>
<td>FATTAKHUL ALIM / FATTAKHUL ALIM</td>
<td>00B95900</td>
<td>JL.PETERONGAN KOBONG 35</td>
<td>L</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 165</td>
<td>110 / 70</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1112</td>
<td>RAFA ZAIN / RIYAN PRADANA</td>
<td>00E073602</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>35 / 140</td>
<td>17.9/KURUS</td>
<td>90 / 60</td>
<td>H11.3</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1113</td>
<td>WELLY YUSITO / WELLY YUSITO</td>
<td>080000335700</td>
<td>L</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 157</td>
<td>120 / 80</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1114</td>
<td>AMBARSARI / WELLY YUSITO</td>
<td>080000335702</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 152</td>
<td>181 / 93</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1115</td>
<td>MUHAMMAD RIDHO PUTRAJAYA / WAHYU NUGROHO</td>
<td>90A86102</td>
<td>JL. KINTELAN BARU NO.126</td>
<td>L</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 165</td>
<td>110 / 80</td>
<td>h11.3</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1116</td>
<td>YOGI PRATIWI / BARI</td>
<td>90I007502</td>
<td>DSN. DOPLANG, KEL. DOPLANG, KEC. JATI, KAB. BLORA</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 160</td>
<td>17.6/KURUS</td>
<td>110 / 60</td>
<td>k30</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1117</td>
<td>EKOJATI PURNOMO / EKOJATI PURNOMO</td>
<td>080000273900</td>
<td>L</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>110 / 68</td>
<td>h10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1118</td>
<td>FITRIYAH / RIYAN PRADANA</td>
<td>00E073601</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 165</td>
<td>108 / 72</td>
<td>z35</td>
<td>kia</td>
<td>tidak</td>
</tr> <tr>
<td>1119</td>
<td>TITIK LESTARI / EKO JATI</td>
<td>080000273901</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 160</td>
<td>130 / 80</td>
<td>g47.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1120</td>
<td>DINNY ANGGRAINI / DINNY ANGGRAINI</td>
<td>90G061001</td>
<td>JL. KEDUNGMUNDU</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 158</td>
<td>17.6/KURUS</td>
<td>110 / 70</td>
<td>j02</td>
<td>umum</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>1121</td>
<td>AGNES RINAWATI / ANTONIUS WICAKSONO</td>
<td>00D085501</td>
<td>JL. LAMPER KRAJAN 1619 A</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 155</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1122</td>
<td>90H033302</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5.9 / 63</td>
<td>14.9/KURUS</td>
<td>90 / 60</td>
<td>z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>1123</td>
<td>ATHAFARIZ BRYAN ALGHANI / GUNAWAN SAPTA WIBOWO</td>
<td>0001006902</td>
<td>JL. PETERONGAN SELATAN</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.8 / 99</td>
<td>15.1/KURUS</td>
<td>89 / 58</td>
<td>J18.0</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>Peterongan</td>
</tr> <tr>
<td>1124</td>
<td>ANITA MARDIARININGTYAS / ANITA MARDIARININGTYAS</td>
<td>90I007301</td>
<td>DSN MARGOREJO, KEL. POLAN, KEC, POLANHARJO, KAB. KLATEN</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>72.6 / 152</td>
<td>134 / 80</td>
<td>Z27</td>
<td>kia</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1125</td>
<td>90E099001</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>120 / 80</td>
<td>a01</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gisikdrono</td>
</tr> <tr>
<td>1126</td>
<td>SRI ASTUTIK / SRI ASTUTIK</td>
<td>90I007601</td>
<td>DSN. NGALURAN, KEL. TEGALARUM, KEC. MRANGGEN, KAB. DEMAK</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 154</td>
<td>104 / 65</td>
<td>r05</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1127</td>
<td>LAURA HERMIN COLLIN / SIGIT KURNIAWAN</td>
<td>000104703</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 153</td>
<td>112 / 62</td>
<td>Z30</td>
<td>kia</td>
<td>tidak</td>
</tr> <tr>
<td>1128</td>
<td>ATHAFARIZ BRYAN ALGHANI / GUNAWAN SAPTA WIBOWO</td>
<td>0001006902</td>
<td>JL. PETERONGAN SELATAN</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>15 / 99</td>
<td>15.3/KURUS</td>
<td>89 / 58</td>
<td>J98</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>1129</td>
<td>HERU SANTOSA / HERU SANTOSA</td>
<td>0000451200</td>
<td>JL. BANCAR ASRI III/2</td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 165</td>
<td>105 / 69</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1130</td>
<td>SRIYANI / WALUYO</td>
<td>90A38301</td>
<td>DSN. NGERANGAN, KEL NGERANGAN, KEC. BAYAT, KAB. KLATEN</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 156</td>
<td>120 / 60</td>
<td>z30</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1131</td>
<td>SITI KHOMAROH / PUDJIONO</td>
<td>00B8101</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 160</td>
<td>16.4/KURUS</td>
<td>113 / 66</td>
<td>h81.3</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1132</td>
<td>ZAENAL MUSTOFA / ZAENAL MUSTOFA</td>
<td>90C38200</td>
<td>EBONI NO 1083 </td>
<td>L</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 165</td>
<td>18.4/KURUS</td>
<td>110 / 70</td>
<td>k30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Plamongansari</td>
</tr> <tr>
<td>1133</td>
<td>DIMAS DWI KURNIA / DYAH MUKTI S</td>
<td>90H085203</td>
<td>KOMPUNAND BLOK D III-12 05, KEL. PADANG BESI, KEC. LUBUK KILANGAN,
KOTA PADANG, SUMATERA BARAT</td>
<td>L</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 159</td>
<td>116 / 83</td>
<td>K05</td>
<td>gigi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1134</td>
<td>SUWARSONO / SUWARSONO</td>
<td>90I007700</td>
<td>KP. SLAMET 155 SMG</td>
<td>L</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>98 / 150</td>
<td>120 / 79</td>
<td>z71</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Karangturi</td>
</tr> <tr>
<td>1135</td>
<td>MONICA CANDRA DEWI / MARINO</td>
<td>90H024201</td>
<td>JL. JOHO LOR, GIRI WONO, WONOGIRI, KAB. WONOGIRI</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 158</td>
<td>20/NORMAL</td>
<td>114 / 65</td>
<td>K02</td>
<td>gigi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1136</td>
<td>DESI NATALIASARI / NUR HAMID</td>
<td>080000060502</td>
<td>JL. LAMPER TENGAH XII/47</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 155</td>
<td>172 / 100</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1137</td>
<td>IQBAL GALANG SYAHPUTRA / NURKHAMID</td>
<td>080000060590</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 145</td>
<td>123 / 68</td>
<td>L02.3</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1138</td>
<td>FLADHELYA KHEYSIA NIQITA AS-SHOUQI / AGUS SUSILO</td>
<td>080000403503</td>
<td>JL. JERUK VII NO.10 B</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 150</td>
<td>108 / 83</td>
<td>h52.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1139</td>
<td>00E073300</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 156</td>
<td>127 / 74</td>
<td>T79.9</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1140</td>
<td>DZAKY LUQMAN ABDUR R / KARKONO</td>
<td>JL. PETERONGAN KOBONG no.43</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 134</td>
<td>90 / 60</td>
<td>h52.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>1141</td>
<td>AGATRA PUTRA PRATAMA / TUTIK DWI MULYANI</td>
<td>00J21203</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>28.5 / 111</td>
<td>89 / 56</td>
<td>R50</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1142</td>
<td>SUTRISNO / SUTRISNO</td>
<td>90E064000</td>
<td>L</td>
<td>80 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 160</td>
<td>120 / 67</td>
<td>j98</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1143</td>
<td>DEVANDRA PUTRA SETIAWAN / SOSIAWAN HADI RAHARJO</td>
<td>00C075502</td>
<td>L</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 164</td>
<td>18.2/KURUS</td>
<td>96 / 58</td>
<td>j02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1144</td>
<td>SUYATI / SURADI</td>
<td>080000403101A</td>
<td>JL. MANGGIS 8/9</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 155</td>
<td>99 / 61</td>
<td>j44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1145</td>
<td>KEVIN FERDIYANTO / SUHARDIYANTI</td>
<td>00J25197</td>
<td>L</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>36 / 135</td>
<td>82 / 66</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1146</td>
<td>SLAMET SUBAGIO / SLAMET SUBAGIO</td>
<td>0600J25100</td>
<td>L</td>
<td>75 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>125 / 62</td>
<td>e11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1147</td>
<td>DINIK ERNAWATI / TRI ADI UTOMO</td>
<td>00C02501</td>
<td>JL. PETEROGAN TENGAH 2</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 150</td>
<td>143 / 85</td>
<td>k08.3</td>
<td>gigi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1148</td>
<td>LATIF KUSUMA / SAHYUDI</td>
<td>00544503</td>
<td>LAMPER TENGAH 8</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 101</td>
<td>16.7/KURUS</td>
<td>90 / 60</td>
<td>h00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1149</td>
<td>ADAM WIJAYA / SUHYADI</td>
<td>080000544504</td>
<td>LAMPER TENGAH VIII</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>30 / 134</td>
<td>16.7/KURUS</td>
<td>90 / 60</td>
<td>W57.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1150</td>
<td>EKA SETIAWATI / SANTOSO</td>
<td>080000532601</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>97 / 61</td>
<td>H52.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1151</td>
<td>CHUSNUL KOTIMAH / MOCH ZAENAL ABIDIN</td>
<td>90D031601</td>
<td>JL.UNTA I NO 109-B</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 155</td>
<td>115 / 71</td>
<td>T78.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1152</td>
<td>FAZA NAHDA RAFANDA / YANIS A</td>
<td>0000503103</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 115</td>
<td>15.1/KURUS</td>
<td>80 / 50</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1153</td>
<td>JOKO SURYANTO / JOKO SURYANTO</td>
<td>0000300600</td>
<td>L</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 164</td>
<td>120 / 70</td>
<td>z01.8</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1154</td>
<td>JOKO PRASETYO / JOKO PRASETYO</td>
<td>080000540602</td>
<td>L</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 171</td>
<td>116 / 77</td>
<td>z01.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1155</td>
<td>SITI ZAKIJAH / TAYUDI</td>
<td>0000128801</td>
<td>JL. LAMPER TENGAH IV/641</td>
<td>P</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 150</td>
<td>179 / 67</td>
<td>z09.0</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>1156</td>
<td>BUDI YULIANTI / FAUZAN LUXWI</td>
<td>00004340011</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 155</td>
<td>117 / 80</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1157</td>
<td>ASTYA NAWA TAMA / SUTOMO</td>
<td>90C92703</td>
<td>JL. WONODRI JOHO NO.1012</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>10 / 85</td>
<td>13.8/KURUS</td>
<td>80 / 50</td>
<td>j00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>1158</td>
<td>GIBRAN FATHARI NASHIF / AGUNG KURNIAWAN</td>
<td>90D071602</td>
<td>PERUM KORPRI TUGU T - 27 NO.68</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>23 / 91</td>
<td>90 / 60</td>
<td>j00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Tugurejo</td>
</tr> <tr>
<td>1159</td>
<td>NADIRA VANNY SUWARDANI / DENI SUWARDANI</td>
<td>00BPJS014102</td>
<td>P</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>28 / 130</td>
<td>16.6/KURUS</td>
<td>90 / 50</td>
<td>r50</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1160</td>
<td>HARRY HARYONO / HARRY HARYONO</td>
<td>00E035800</td>
<td>L</td>
<td>77 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 165</td>
<td>120 / 70</td>
<td>z71</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1161</td>
<td>WALJANI / WALJANI</td>
<td>90A45700</td>
<td>JL GAYAMSARI SELATAN </td>
<td>L</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 160</td>
<td>186 / 100</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1162</td>
<td>SURTINI / TADIUS NONO KARSONO</td>
<td>00D078501</td>
<td>JL. NANGKA SELATAN 30A</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>120 / 70</td>
<td>H44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1163</td>
<td>GALANG JATI ABIANSYAH / AFANDI</td>
<td>0000193405</td>
<td>JL. MANGGIS III/1-A</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 123</td>
<td>13.9/KURUS</td>
<td>120 / 70</td>
<td>R22.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1164</td>
<td>00A88803</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 146</td>
<td>120 / 70</td>
<td>j06</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1165</td>
<td>MOCH SHOLEH / MOCH SHOLEH</td>
<td>089090358191</td>
<td>L</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 160</td>
<td>137 / 79</td>
<td>m54.5</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>1166</td>
<td>0800047401</td>
<td>JL. PISANG</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>127 / 63</td>
<td>m54.5</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1167</td>
<td>ERINKA PUTRI / SUDARMIN</td>
<td>90C04303</td>
<td>JL. DUSUN LINDUK KEL.LEBAK KEC.GROBOGAN KAB.GROBOGAN</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.2 / 77</td>
<td>15.5/KURUS</td>
<td>80 / 40</td>
<td>J00</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1168</td>
<td>ASFI HAPPY BERLIYANA / WAGINI</td>
<td>00B67103</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 163</td>
<td>103 / 70</td>
<td>a09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1169</td>
<td>ENY PUJIASTUTI / ROCHMAN</td>
<td>0000135801</td>
<td>JL. LAMPER TENGAH I</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 150</td>
<td>119 / 82</td>
<td>r73.9</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1170</td>
<td>ULIN NIHAYATI / AHMAD AFANDI / TRI YULIANTO</td>
<td>90D058691</td>
<td>JL. KWARON BARU NO. 18</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 150</td>
<td>150 / 70</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1171</td>
<td>TRI UTAMI / TRI UTAMI</td>
<td>080000420701</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 162</td>
<td>21/NORMAL</td>
<td>107 / 73</td>
<td>e11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1172</td>
<td>RENI JOHANA PUTRI / JONI PRIHANTO</td>
<td>90A41901</td>
<td>JL. GERGAJI, BALEKAMBANG</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 146</td>
<td>112 / 72</td>
<td>a09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Mugassari</td>
</tr> <tr>
<td>1173</td>
<td>HIZKIA DWI NOVIAN / FRANSISKA DIAN TRI MARINI</td>
<td>00E071603</td>
<td>JL.LAMPER KRAJAN NO.1621 B-1 </td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>26.5 / 107</td>
<td>89 / 43</td>
<td>J18</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1174</td>
<td>RUBIASIH / GUNTUR</td>
<td>0000313601</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 148</td>
<td>108 / 70</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1175</td>
<td>WINDI ARDIANINGSIH / ARDI MARKOSIN</td>
<td>080000526501</td>
<td>JL LAMPER MIJEN UTARA</td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 148</td>
<td>115 / 86</td>
<td>f20.3</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1176</td>
<td>FISA SASMAWATI WIBOWO / ARI PURNAWATI</td>
<td>90H096102</td>
<td>JL. BINTARAN TENGAH 9 YK, KEL. WIROGUNAN, KEC. MERGANGSAN, KOTA
YOGYAKARTA</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 142</td>
<td>107 / 66</td>
<td>H00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1177</td>
<td>NETANYA SHERILYN VIDIARSA / ROMAN ADI PANGARSA</td>
<td>90E034903</td>
<td>JL SIROTO</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.4 / 87</td>
<td>17.7/KURUS</td>
<td>72 / 51</td>
<td>Z00</td>
<td>mtbs</td>
<td>Pudakpayung</td>
</tr> <tr>
<td>1178</td>
<td>ADHITYA RIZQI / IWAN SUDRAJAT,IR </td>
<td>00C44402</td>
<td>JL. JAMBU RAYA NO.11 </td>
<td>L</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>88 / 157</td>
<td>120 / 80</td>
<td>L01</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>1179</td>
<td>TRI LESTARI / TRIMANTO</td>
<td>00BPJS030501</td>
<td>JL. LAMPER TENGAH GANG 15 NO.6</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 155</td>
<td>132 / 79</td>
<td>h52.0</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1180</td>
<td>NURUL HAYATI / DIAN SAPUTRO</td>
<td>0000A53601</td>
<td>JL LAMPER TENGAH XV</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>54.6 / 158</td>
<td>122 / 68</td>
<td>Z34</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1181</td>
<td>YULIANA / ALI ACHMADI</td>
<td>089090078100</td>
<td>JL. MAJAPAHIT NO.452</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 158</td>
<td>138 / 83</td>
<td>k05.2</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1182</td>
<td>NUR KHAYATI / ABDUL GHOFUR</td>
<td>00a36501</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 150</td>
<td>100 / 77</td>
<td>Z35</td>
<td>kia</td>
<td>gratis</td>
</tr> <tr>
<td>1183</td>
<td>SITI SUNDARSIH / SITI SUNDARSIH</td>
<td>080000535600</td>
<td>L</td>
<td>77 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 145</td>
<td>200 / 100</td>
<td>I64</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>1184</td>
<td>MUSLIKAH / HERU SARJONO</td>
<td>90E082801</td>
<td>JL. GEMPOLSARI</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 157</td>
<td>133 / 65</td>
<td>l02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1185</td>
<td>SUGIYANTO / SUGIYANTO</td>
<td>00018200</td>
<td>L</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 158</td>
<td>156 / 72</td>
<td>i10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1186</td>
<td>NETANYA SHERILYN VIDIARSA / ROMAN ADI PANGARSA</td>
<td>90E034903</td>
<td>JL SIROTO</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>13 / 87</td>
<td>17.2/KURUS</td>
<td>72 / 51</td>
<td>J03</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1187</td>
<td>RAYYANKA AARON NUGROHO / NUR AJI NUGROHO</td>
<td>00C068603</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5400 / 58</td>
<td>72 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1188</td>
<td>PONIRAH / WIDIARSO</td>
<td>080000425801</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 145</td>
<td>125 / 77</td>
<td>k01.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>1189</td>
<td>00E082500</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 158</td>
<td>146 / 89</td>
<td>r73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1190</td>
<td>TRI PUJI RAHAYU / TRI PUJI RAHAYU</td>
<td>90F075700</td>
<td>DESA BANGUNSARI KEL.BANGUNSARI KEC.PATEBON KAB KENDAL</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 154</td>
<td>138 / 89</td>
<td>t79.9</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1191</td>
<td>SUGIRI / SUGIRI</td>
<td>080000429600</td>
<td>L</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 170</td>
<td>162 / 72</td>
<td>H10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1192</td>
<td>00a36501</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 150</td>
<td>100 / 77</td>
<td>Z35</td>
<td>gigi</td>
<td>gratis</td>
</tr> <tr>
<td>1193</td>
<td>00C072300</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 157</td>
<td>119 / 74</td>
<td>Z00</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1194</td>
<td>SETYORINI / SETYORINI</td>
<td>0800035300</td>
<td>JL. LAMPER KRAJAN RAYA NO.16</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 150</td>
<td>111 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1195</td>
<td>SRI LESTARI / AGUS SUGIONO</td>
<td>9090334701</td>
<td>JL.KINIBALU BARAT</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 147</td>
<td>171 / 90</td>
<td>R03</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>1196</td>
<td>ALBA KEVIN BAGASKARA / KASWAN</td>
<td>0800011493</td>
<td>JL. KEMPLENG PEDUKUHAN XIV, KARANGSEWU, KAB. KULON PROGO</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8600 / 76</td>
<td>70 / 52</td>
<td>J18</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1197</td>
<td>00a36501</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 150</td>
<td>100 / 77</td>
<td>z34</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1198</td>
<td>DINO ANDI PRASTYO / AGUS SUGIYONO</td>
<td>90A33003</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 172</td>
<td>135 / 90</td>
<td>r03</td>
<td>umum</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>1199</td>
<td>ADELIA MAWARNI / SETYORINI</td>
<td>0800035303</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 160</td>
<td>96 / 74</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1200</td>
<td>HANIFA APRILIA RAMADHANI / TEGUH ARIFIN</td>
<td>90I008003</td>
<td>JL. SAWI</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.6 / 78</td>
<td>72 / 51</td>
<td>L30</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1201</td>
<td>RIDZKY ALAMSYAH / KURNIA</td>
<td>90G057704</td>
<td>JL.DUSUN KRAJAN II KEL.CIKALONG KEC.CILAMAYA WETAN KB.KARAWANG </td>
<td>L</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 176</td>
<td>17.4/KURUS</td>
<td>99 / 73</td>
<td>k29</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1202</td>
<td>RUBIYANTO AL KHATHIRI / ANI RIWAYATI</td>
<td>080000536802</td>
<td>SENDANGGUWO</td>
<td>L</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 150</td>
<td>90 / 50</td>
<td>J00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1203</td>
<td>00E071000</td>
<td>L</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 165</td>
<td>18/KURUS</td>
<td>93 / 69</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1204</td>
<td>BELLA DEWI ARIANTI / BELLA DEWI ARIANTI</td>
<td>90F049200</td>
<td>DSN WADANG, KEL. GANDEKAN, KEC. WONODADI, KAB. BLITAR</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>49.3 / 162</td>
<td>97 / 60</td>
<td>Z27</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1205</td>
<td>YUNI SETIANA / SUTIYO</td>
<td>90I003902</td>
<td>JL. WONODRI KRAJAN</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 159</td>
<td>120 / 90</td>
<td>j06</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>1206</td>
<td>HEPY MULYONO / HEPY MULYONO</td>
<td>00D086200</td>
<td>JL. LAMPER TENGAH RAYA 600</td>
<td>L</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 160</td>
<td>131 / 77</td>
<td>L28</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1207</td>
<td>AYUMNA AYU ADILA / ADI PRANATA</td>
<td>00A61004</td>
<td>JL.DUWET I</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.4 / 71</td>
<td>14.7/KURUS</td>
<td>72 / 51</td>
<td>J00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1208</td>
<td>AGNES PITALOKA / DJUMIKO SUWARNO</td>
<td>90F024101</td>
<td>JL. CINDE SELATAN I</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 155</td>
<td>112 / 81</td>
<td>a09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>1209</td>
<td>90H080601</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>92 / 168</td>
<td>155 / 100</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1210</td>
<td>LILIK PUDIYONO / LILIK PUDIYONO</td>
<td>0800023600</td>
<td>JL. DURIAN TIMUR NO 1141</td>
<td>L</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 161</td>
<td>128 / 86</td>
<td>j45</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1211</td>
<td>JOELIO ANDRE SETIAWAN / SRI WAHYUNI</td>
<td>00E085009</td>
<td>JL. PETERONGAN SARI NO. 45</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 168</td>
<td>17.4/KURUS</td>
<td>109 / 66</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1212</td>
<td>MUHAMMAD ZHIDAN APRILIO / SARSIDI</td>
<td>00C056503</td>
<td>JL. RAMBUTAN BARAT NO 33</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>19 / 118</td>
<td>13.6/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1213</td>
<td>NOVITASARI / HUDA M</td>
<td>90A31101</td>
<td>JL. GLONGGONG PATI, KEL. GLONGGONG, KEC. JAKENAN, KAB. PATI, PROV.
JATENG</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>68.9 / 168</td>
<td>117 / 64</td>
<td>Z34</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1214</td>
<td>WISNU SETIJARTO / WISNU SETIJARTO</td>
<td>00B41700</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 165</td>
<td>135 / 86</td>
<td>i64</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>1215</td>
<td>MUHAMMAD ABHIZAR ALBIRRU / RIDWAN</td>
<td>00E042603</td>
<td>JL. LAMPER KRAJAN NO.18 A</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5500 / 57</td>
<td>72 / 51</td>
<td>L30</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1216</td>
<td>SUDIYARTO / SUDIYARTO</td>
<td>9090248400</td>
<td>JL. PRASETYA ABDI BANGSA II/43</td>
<td>L</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>129 / 76</td>
<td>e11</td>
<td>lansia</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1217</td>
<td>NARENDRA RAFFASYA WARDANI / DENI SUWARDANI</td>
<td>00BPJS014103</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.8 / 90</td>
<td>14.6/KURUS</td>
<td>72 / 51</td>
<td>J00</td>
<td>mtbs</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1218</td>
<td>PARAMEYTA WAHYU ANGGRAENI / MULYADI</td>
<td>0000010190</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 158</td>
<td>16.8/KURUS</td>
<td>100 / 70</td>
<td>d24</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1219</td>
<td>ANI RIWAYATI / RUDI HARYANTO</td>
<td>0000536806</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>60.6 / 148</td>
<td>136 / 84</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1220</td>
<td>CHATARINA SUGIARTI / CHATARINA SUGIARTI</td>
<td>00B21300</td>
<td>P</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 115</td>
<td>127 / 56</td>
<td>m79.1</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1221</td>
<td>FARIN SRI REJEKI HANDAYANI / KRISTIYONO</td>
<td>90I008101</td>
<td>JL. GENDONG UTARA NO. 655</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 158</td>
<td>140 / 80</td>
<td>h81</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Sarirejo</td>
</tr> <tr>
<td>1222</td>
<td>ELFA HUDA WIJAYA / WIDODO</td>
<td>0800049703</td>
<td>JL. BANCAR ASRI RAYA NO.22-B</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>90 / 155</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1223</td>
<td>MARGONO SP / MARGONO SP</td>
<td>08000139400</td>
<td>L</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 163</td>
<td>137 / 63</td>
<td>k30</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>1224</td>
<td>AQILA ASSYIFA ZAHRA ZULKARNAEN / OLIVIA MUFTI HAFIDZAH</td>
<td>90F092702</td>
<td>JL.JERUK VI NO.18</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 115</td>
<td>15.1/KURUS</td>
<td>90 / 60</td>
<td>J00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1225</td>
<td>AULIA MISSYA SEPTIANA / NAUFAL RIZKY PRASETYO</td>
<td>00C060502</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9 / 52</td>
<td>72 / 51</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1226</td>
<td>NGATMINI / NGATMINI</td>
<td>0001006600</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 150</td>
<td>142 / 76</td>
<td>T79.9</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1227</td>
<td>IRENA JULIANANDA / ZAININDRA YULIANSYAH</td>
<td>00B13102</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>17.8 / 102</td>
<td>17.1/KURUS</td>
<td>72 / 51</td>
<td>J06</td>
<td>mtbs</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1228</td>
<td>90F084601</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 155</td>
<td>30/KURUS</td>
<td>156 / 80</td>
<td>T79.9</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1229</td>
<td>EKO SULISTYO / EKO SULISTYO</td>
<td>00A4900</td>
<td>L</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>111 / 77</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1230</td>
<td>T. YUDI SANYOTO / T. YUDI SANYOTO</td>
<td>00A34201</td>
<td>JL.LAMPER KRAJAN NO.1624</td>
<td>L</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>115 / 164</td>
<td>133 / 82</td>
<td>k05.2</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1231</td>
<td>NEVAN ADITYA KURNIAWAN / SANDI KURNIAWAN</td>
<td>90207402</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>23 / 121</td>
<td>15.7/KURUS</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1232</td>
<td>DWI LESTARI / SLAMET SUPRIADI R</td>
<td>00C51401</td>
<td>JL.CEMPEDAK UTARA I NO.18</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>55.7 / 149</td>
<td>162 / 103</td>
<td>Z39</td>
<td>kia</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1233</td>
<td>080000035201</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 156</td>
<td>147 / 87</td>
<td>k04.0</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>1234</td>
<td>T. YUDI SANYOTO / T. YUDI SANYOTO</td>
<td>00A34201</td>
<td>L</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>115 / 164</td>
<td>133 / 82</td>
<td>m17</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1235</td>
<td>SRIWATI / SRIWATI</td>
<td>0800J42402</td>
<td>JL. CEMPEDAK UTARA I NO.24-C</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 150</td>
<td>143 / 80</td>
<td>e11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1236</td>
<td>SRIYANI / WALUYO</td>
<td>90A38301</td>
<td>DSN. NGERANGAN, KEL NGERANGAN, KEC. BAYAT, KAB. KLATEN</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>60.8 / 156</td>
<td>131 / 88</td>
<td>Z30</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1237</td>
<td>080000533703</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 148</td>
<td>123 / 79</td>
<td>k04.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1238</td>
<td>ELVINA AYU SAMUDRO / JOKO SAMUDRO</td>
<td>90F050903</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9 / 73.5</td>
<td>16.7/KURUS</td>
<td>88 / 41</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1239</td>
<td>KELVIN HUSAIN HADI WIBOWO / AGUNG HADI WIBOWO</td>
<td>00BPJS011807</td>
<td>JL. SENDANG UTARA III</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>2200 / 46</td>
<td>70 / 51</td>
<td>Z00</td>
<td>mtbs</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1240</td>
<td>JANITRA ARUNI / ARDHUAN YUANANDA</td>
<td>00C12503</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6000 / 60</td>
<td>88 / 42</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1241</td>
<td>AFIF NUGROHO / AFIF NUGROHO</td>
<td>0000010000</td>
<td>JL LAMPER TENGAH III NO. 179</td>
<td>L</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 168</td>
<td>23/NORMAL</td>
<td>120 / 77</td>
<td>K08.1</td>
<td>gigi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1242</td>
<td>SUSILAWATI / RIANTO</td>
<td>00E037101</td>
<td>JL. JALAN BLIMBING I NO.368-A</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 158</td>
<td>164 / 89</td>
<td>J00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1243</td>
<td>RITA NURAINI RAMANSYAH / KEMIS RAMANSYA</td>
<td>90D092105</td>
<td>JL. WONODRI JOHO 1015-A</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 153</td>
<td>100 / 60</td>
<td>K30</td>
<td>umum</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>1244</td>
<td>FATHANSYAH BIL FAQIH / RIANTO</td>
<td>00E051004</td>
<td>JALAN BLIMBING I NO.368-A</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6015 / 63</td>
<td>60 / 44</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1245</td>
<td>CICA MAULANI / M. MUARIFIN / WARIYATNO</td>
<td>00B56301</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 143</td>
<td>101 / 58</td>
<td>Z35</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1246</td>
<td>SAMINI / SAMINI</td>
<td>080000415401</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 155</td>
<td>138 / 89</td>
<td>r10.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1247</td>
<td>MUHAMAT YUNUS / MUHAMAT YUNUS</td>
<td>90F049201</td>
<td>JL. PRIGI, KEL. MRANGGEN, KEC. MRANGGEN, KAB. DEMAK</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 171</td>
<td>138 / 77</td>
<td>Z00</td>
<td>kia</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1248</td>
<td>SHANESYA QIANZI AL FALSA / GILANG ALFARIZI</td>
<td>0800124903</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>12.1 / 86</td>
<td>16.4/KURUS</td>
<td>70 / 51</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1249</td>
<td>DZAKY AN BASITH / TRI MURDIANTO</td>
<td>9090003503</td>
<td>JL. GAYAMSARI II</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 107</td>
<td>14.8/KURUS</td>
<td>90 / 60</td>
<td>J00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>1250</td>
<td>SUPRIYADI / SUPRIYADI</td>
<td>0800009300</td>
<td>PETERONGAN TIMUR</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 165</td>
<td>121 / 78</td>
<td>Z09.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1251</td>
<td> RATNA DEWI SANTOSO / BUDI SANTOSO</td>
<td>080000246004</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>29 / 130</td>
<td>17.2/KURUS</td>
<td>110 / 70</td>
<td>z03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1252</td>
<td>NAJWA PRACAHYANTI / ROMADHON</td>
<td>080000545302</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 145</td>
<td>112 / 78</td>
<td>z03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1253</td>
<td>PARAMITA ADELINA / ROMADHON</td>
<td>0000545301</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 156</td>
<td>123 / 89</td>
<td>z03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1254</td>
<td>ARSYILA NAIRA MEHRUNISA / FATHONI ADIB PRITANTO</td>
<td>00226305</td>
<td>JL. DINAR MAS XVI NO.22</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5000 / 59</td>
<td>80 / 60</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Meteseh</td>
</tr> <tr>
<td>1255</td>
<td>EKA AJENG PRATIWI. / AJUNG RUBIANTO</td>
<td>90C55502</td>
<td>JL. GAYAMSARI V/05</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 158</td>
<td>120 / 80</td>
<td>z01.7</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1256</td>
<td>FARISSA AMALIA KUSUMASTUTI / FARISSA AMALIA KUSUMASTUTI</td>
<td>90I008201</td>
<td>JL. GAYAMSARI V DALAM</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 161</td>
<td>110 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1257</td>
<td>NUR HIDAYAH / WIDODO SLAMET</td>
<td>080000407601</td>
<td>JL. MANGGIS IV/3A</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 153</td>
<td>120 / 80</td>
<td>k07.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1258</td>
<td>SHAZIA AMELIA NUR PRASTIWI / HERU PRASETIYO</td>
<td>00D018205</td>
<td>JL. LAMPER TENGAH X NO 44</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 152</td>
<td>19/NORMAL</td>
<td>110 / 68</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1259</td>
<td>ALVINA PUTRI AMRIYANA S / SUGIYONO</td>
<td>000033290203</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 149</td>
<td>110 / 70</td>
<td>R50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1260</td>
<td>EGA WIDYA KRISDA / EKO EDIYARNO</td>
<td>00A88001</td>
<td>JL.LAMPER TENGAH II</td>
<td>P</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>88 / 160</td>
<td>125 / 80</td>
<td>z27</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1261</td>
<td>90D070701</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 153</td>
<td>112 / 77</td>
<td>Z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1262</td>
<td>SANYOTO / SANYOTO</td>
<td>080000806200</td>
<td>JL. PISANG</td>
<td>L</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 159</td>
<td>125 / 91</td>
<td>h62</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1263</td>
<td>MEINA ROSA SAFITRI / BASRI ARINI</td>
<td>0000472700</td>
<td>JL. MANGGIS VI/31-A</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>118 / 75</td>
<td>R51</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1264</td>
<td>SHELANI MAULINA / NUR SAELAN</td>
<td>90H092201</td>
<td>JL. DUSUN PAHING, KERTAWIRAMA, NUSAHERANG, KAB. KUNINGAN, JABAR</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 156</td>
<td>117 / 77</td>
<td>J02</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1265</td>
<td>00E075900</td>
<td>L</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 162</td>
<td>24/NORMAL</td>
<td>110 / 70</td>
<td>z01.7</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1266</td>
<td>ALIYA DEWI ANINDHYA / HARTANTO</td>
<td>90A75003</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>84 / 165</td>
<td>110 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1267</td>
<td>SUMINEM / SARIMAN</td>
<td>00A27501</td>
<td>BANCARASRI, LAMPER TENGAH</td>
<td>P</td>
<td>59 Tahun</td>
<td></td>
<td></td>
<td>63 / 154</td>
<td>120 / 70</td>
<td>e11.8</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>1268</td>
<td>JONATHAN KEVIN NORJANTO / LUCKY ADI</td>
<td>00A27202</td>
<td>JL. MANGGIS III/14</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>14 / 105</td>
<td>12.7/KURUS</td>
<td>120 / 70</td>
<td>A15</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1269</td>
<td>TA'ALI / TA'ALI</td>
<td>080000466300</td>
<td>JL. KEDONDONG DALAMI/428</td>
<td>L</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 170</td>
<td>158 / 82</td>
<td>T79</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1270</td>
<td>AURA JASMINE RETNO KASIH GUMILAR / KISWORO</td>
<td>90F094204</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 163</td>
<td>126 / 79</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1271</td>
<td>FITRIA HUSNA ALFATHUNISA / DONNY SETIAWAN</td>
<td>00C064503</td>
<td>JL.LAMPER TENGAH III NO.622</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.1 / 66</td>
<td>60 / 44</td>
<td>j18</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1272</td>
<td>SUGIYATI prolanis / SUYOTO</td>
<td>080J09901</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 150</td>
<td>20/NORMAL</td>
<td>120 / 60</td>
<td>L03.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1273</td>
<td>00E020000</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 170</td>
<td>153 / 95</td>
<td>h10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1274</td>
<td>AISHWA ALIYYA WAFDA / INDRA RIYANTO</td>
<td>00D007402</td>
<td>JL.LAMPER YTENGAH XII</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8 / 71</td>
<td>15.9/KURUS</td>
<td>72 / 51</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1275</td>
<td>ABERCIO DANIYAL AL BARRA / ALIAN DWI CAHYO</td>
<td>90H065202</td>
<td>JL.KRAJAN I KEL.TUMPANGKRASAK KEC.JATI KAB.KUDUS</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 110</td>
<td>14/KURUS</td>
<td>90 / 60</td>
<td>a09</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1276</td>
<td>HARTINI / PARTO YUWONO / RUDIYONO</td>
<td>060000116803</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>56.1 / 151</td>
<td>122 / 76</td>
<td>z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1277</td>
<td>SUSANTI / SLAMET RAHARJO</td>
<td>000247101</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 154</td>
<td>150 / 90</td>
<td>e11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1278</td>
<td>CATUR INDAH MASTUTI PROLANIS / CATUR INDAH MASTUTI</td>
<td>080000703103</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>95 / 155</td>
<td>120 / 70</td>
<td>E11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1279</td>
<td>RIFAN ARIFIN / RIFAN ARIFIN</td>
<td>00E084600</td>
<td>JL. CERME I/16</td>
<td>L</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 160</td>
<td>168 / 84</td>
<td>i10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1280</td>
<td>FAIZAH ALIYA AZIZA / MULYONO</td>
<td>080000802303</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 151</td>
<td>105 / 66</td>
<td>H44.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1281</td>
<td>TAUFIK ZUHRI / TAUFIK ZUHRI</td>
<td>080000538000</td>
<td>L</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 159</td>
<td>130 / 80</td>
<td>r05</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1282</td>
<td>080000504003</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 155</td>
<td>100 / 83</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>1283</td>
<td>JUMIYATI / SRIYANTO</td>
<td>90A59301</td>
<td>JL. JAGALAN TENGAH NO.588</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>61.8 / 154</td>
<td>130 / 85</td>
<td>z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gabahan</td>
</tr> <tr>
<td>1284</td>
<td>90B42803</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>37 / 125</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>1285</td>
<td>LYA WULANDARI / DHIAN RESTU</td>
<td>00A60002</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 154</td>
<td>110 / 70</td>
<td>H70.9</td>
<td>kia</td>
<td>tidak</td>
</tr> <tr>
<td>1286</td>
<td>SUSRI HARTINI / SUSRI HARTINI</td>
<td>00E030200</td>
<td>JL.KEDUNGMUNDU NO.8</td>
<td>P</td>
<td>83 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 150</td>
<td>20/NORMAL</td>
<td>138 / 71</td>
<td>z47.8</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>1287</td>
<td>FEODORA BETHANIA / TAN THIO KHOEN SAPTA AGUS</td>
<td>90H046202</td>
<td>JL.SALAK V/502</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5700 / 59</td>
<td>91 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1288</td>
<td>SULISTYANI / AGUS SUPRIJANTO</td>
<td>080000383801</td>
<td>JL. PETERONGAN TENGHAH II/315</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 151</td>
<td>120 / 70</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1289</td>
<td>MARYUNI / SUROTO</td>
<td>080000429901</td>
<td>JL. MANGGIS VIII-29</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 150</td>
<td>150 / 90</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1290</td>
<td>00000303603</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>32 / 155</td>
<td>13.3/KURUS</td>
<td>100 / 83</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1291</td>
<td>ERNAWATI / TUKIMIN</td>
<td>90E054201</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 155</td>
<td>121 / 78</td>
<td>Z00</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1292</td>
<td>0000190790</td>
<td>P</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 150</td>
<td>17.3/KURUS</td>
<td>150 / 70</td>
<td>a15</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1293</td>
<td>SUROTO / SUROTO</td>
<td>080000429900</td>
<td>JL. MANGGIS VIII - 29</td>
<td>L</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 153</td>
<td>120 / 70</td>
<td>z71</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1294</td>
<td>CHRISTINA NOVISARI / AGUSTINUS HADI PRAMUDYO</td>
<td>90I008301</td>
<td>JL. GERGAJI II NO.65</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 155</td>
<td>143 / 79</td>
<td>Z00</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Mugassari</td>
</tr> <tr>
<td>1295</td>
<td>VANESSA KURNIA PUTRI / SULARNO</td>
<td>00004203</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>26 / 136</td>
<td>14.1/KURUS</td>
<td>71 / 60</td>
<td>k00</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1296</td>
<td>MISTINI / SUMARNO</td>
<td>080000349291</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 144</td>
<td>160 / 81</td>
<td>r03.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1297</td>
<td>MARYANTO / MARYANTO</td>
<td>0800091700</td>
<td>L</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 165</td>
<td>155 / 98</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1298</td>
<td>NIKEN KARUNIAWATI / BAYU SEPDO SAPUTRO</td>
<td>90I007801</td>
<td>JL. GERGAJI TENGAH NO.1170</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 150</td>
<td>122 / 82</td>
<td>N72</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Mugassari</td>
</tr> <tr>
<td>1299</td>
<td>TITIK ARY RAHAYU / TITIK ARY RAHAYU</td>
<td>089090173601</td>
<td>JL. PEDURUNGAN KIDUL</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 149</td>
<td>114 / 78</td>
<td>e11</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1300</td>
<td>SULAMI / SUGIYOSO</td>
<td>089090035401</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 152</td>
<td>99 / 62</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1301</td>
<td>ELYA WAHYU NURAINI / IKHSAN FAJAR FIRMANSYAH</td>
<td>00C099804</td>
<td>JL.PETERONGAN TENGAH 318-B</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 160</td>
<td>98 / 64</td>
<td>Z00</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1302</td>
<td>ROSITA ILLMI SAYEKTI / TIRTA YANUAR PUTRA</td>
<td>90I008601</td>
<td>JL. SAMBIROTO XII</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 155</td>
<td>105 / 68</td>
<td>Z00</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Sambiroto</td>
</tr> <tr>
<td>1303</td>
<td>AN NUR CHASANAH / SRI YANTO</td>
<td>00E066301</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 153</td>
<td>119 / 71</td>
<td>Z34</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1304</td>
<td>00A13402</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 161</td>
<td>18.1/KURUS</td>
<td>120 / 80</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1305</td>
<td>DWI INDRAWATI / MULYONO</td>
<td>0800008023014</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 149</td>
<td>130 / 90</td>
<td>e11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1306</td>
<td>080000450103</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.5 / 79</td>
<td>16.8/KURUS</td>
<td>80 / 60</td>
<td>A16</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1307</td>
<td>080000605400</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 164</td>
<td>140 / 80</td>
<td>r73.9</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>1308</td>
<td>ILYASA JIBRIL / SAPUTRA WHISNU WARDANA</td>
<td>0000135902</td>
<td>JL. CEMPEDAK UTARA,LAMPER LOR</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 125</td>
<td>120 / 70</td>
<td>h65</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1309</td>
<td>SYAKIRA LABIBA ALTAFUNNISA / HENDRY</td>
<td>0000319402</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 115</td>
<td>15.1/KURUS</td>
<td>100 / 60</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1310</td>
<td>JULIANO RIZKY RAMADHAN / SAPUTRA WISNU WARDANA</td>
<td>0000135904</td>
<td>JL.CEMPEDAK UTARA NO.37</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>27 / 118</td>
<td>120 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1311</td>
<td>EVANO ALLATHIF / ARY KOERNIAWAN</td>
<td>000303503</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8 / 69</td>
<td>16.8/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1312</td>
<td>MIKA DIAH AYU PERWITASARI / IVAN DENY PERMANA</td>
<td>00B17301</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>59.7 / 151</td>
<td>122 / 77</td>
<td>Z34</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1313</td>
<td>90H080601</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>92 / 168</td>
<td>132 / 63</td>
<td>z09.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1314</td>
<td>DEWI SARTIKA SARI / HADI SUDARWANTO</td>
<td>00051390</td>
<td>P</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>85 / 155</td>
<td>117 / 81</td>
<td>N72</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1315</td>
<td>ARKA RADITYA PRATAMA / ARY KOERNIAWAN</td>
<td>0000303502</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>22 / 123</td>
<td>14.5/KURUS</td>
<td>90 / 60</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1316</td>
<td>ADRIANTO LUKITO / NARI</td>
<td>JL. KAWI</td>
<td>L</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 160</td>
<td>102 / 52</td>
<td>z71</td>
<td>umum</td>
<td>tidak</td>
<td>Wonotingal</td>
</tr> <tr>
<td>1317</td>
<td>MITA ANGGRAINI / ANDI RISTIYARKO</td>
<td>90I008501</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 163</td>
<td>123 / 84</td>
<td>N72</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Tegalsari</td>
</tr> <tr>
<td>1318</td>
<td>SUMARDJO / SUMARDJO</td>
<td>000453300</td>
<td>L</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 157</td>
<td>139 / 77</td>
<td>K02</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1319</td>
<td>UMAR / JOKO PRIYONO</td>
<td>00C04905</td>
<td>LAMPER TENGAH V</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 150</td>
<td>100 / 70</td>
<td>B35.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1320</td>
<td>ALIF BAGAS SATRIA / YOGI NUGRAHA</td>
<td>90C18702</td>
<td>JL.WONODRI KEBONDALEM NO.8</td>
<td>L</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 171</td>
<td>104 / 72</td>
<td>R50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>1321</td>
<td>SANTI RUSMINI / SUDARMADI</td>
<td>90I008401</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 150</td>
<td>167 / 107</td>
<td>Z00</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Tegalsari</td>
</tr> <tr>
<td>1322</td>
<td>090000368102</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.4 / 73.5</td>
<td>17.4/KURUS</td>
<td>80 / 60</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1323</td>
<td>ARBANI PUTRA FERREIRA / WISNU WIDI WIDAYAT</td>
<td>00A29704</td>
<td>JL. DURIAN I / 308</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.9 / 100</td>
<td>14.9/KURUS</td>
<td>90 / 60</td>
<td>j18</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1324</td>
<td>DESTIANA DWI INDRAYANI / DODY WICAKSONO</td>
<td>00B49403</td>
<td>P</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 160</td>
<td>119 / 82</td>
<td>Z00</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1325</td>
<td>DWI SUPARTINAH / SUTRISNO</td>
<td>080000366102</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 153</td>
<td>111 / 65</td>
<td>r51</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1326</td>
<td>NOOR FITRIANINGSIH / JOKO PRIYONO</td>
<td>00C074401</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>113 / 84</td>
<td>B35.6</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1327</td>
<td>NOVITA SRI SOEPRIHARTINI / TRI ATMO</td>
<td>000000596</td>
<td>DUWET NO.4</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 155</td>
<td>138 / 89</td>
<td>N72</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1328</td>
<td>IDA FATKURROCHMAH / SUHADI</td>
<td>00E085101</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>93 / 160</td>
<td>189 / 118</td>
<td>Z00</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1329</td>
<td>SUTRISNO R / SUTRISNO R</td>
<td>080000108100</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 155</td>
<td>130 / 80</td>
<td>e11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1330</td>
<td>0890906012</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 155</td>
<td>128 / 91</td>
<td>K02</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1331</td>
<td>MUHAMMAD RIZQI ARDIYANSYAH / SLAMET PRASI</td>
<td>080000542702</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 143</td>
<td>22/NORMAL</td>
<td>100 / 60</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1332</td>
<td>RAFASYA / ANDRI RUBOWO</td>
<td>90G045205</td>
<td>JL GAYAMSARI SELATAN III</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7800 / 68</td>
<td>90 / 60</td>
<td>l30 </td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1333</td>
<td>LISTYOWATI / ENDANG SUSILOWATI</td>
<td>089090312901</td>
<td>JL. GAYAMSARI IV/88</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 150</td>
<td>120 / 80</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1334</td>
<td>TITI BINTI MARTA / R. HARYBOWO BOEDIWIJTAKSONO</td>
<td>90I008801</td>
<td>JL. PLEBURAN VI</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 155</td>
<td>121 / 78</td>
<td>N72</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Pleburan</td>
</tr> <tr>
<td>1335</td>
<td>MIYATUN / BINARSO ARI</td>
<td>0000220601</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 147</td>
<td>110 / 80</td>
<td>n21</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1336</td>
<td>SRI YATINI / WAHYU PURBOWO</td>
<td>080J004002</td>
<td>JL. CEMPEDAK UTARA I/26C</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 156</td>
<td>130 / 80</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1337</td>
<td>MUHAMMAD ARSYA MARSAID / KOMAR</td>
<td>0000550404</td>
<td>JL. JERUK 8 NO.36</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 119</td>
<td>12.7/KURUS</td>
<td>90 / 60</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1338</td>
<td>ALZIO RAVINZA PRABANDARU / oktavian surya prabandaru</td>
<td>90G065002</td>
<td>JL. KWARON BARU</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.8 / 77</td>
<td>16.5/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1339</td>
<td>AZKA ZAINA ARDININGRUM / SARI NOVIANTI</td>
<td>90E030803</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>15.3 / 110</td>
<td>12.6/KURUS</td>
<td>89 / 42</td>
<td>R50</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1340</td>
<td>KASYATI (PROLANIS) / AHMAD SUKAMDUN</td>
<td>9090075501</td>
<td>JL. GAYAMSARI DALAM V</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 160</td>
<td>120 / 70</td>
<td>m79.1</td>
<td>lansia</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1341</td>
<td>MELISSA ARIF KRISTI / DARE NURCHISTI NANDUNG</td>
<td>00D035002</td>
<td>LAMPER KRAJAN NO 1613 H</td>
<td>P</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>26 / 132</td>
<td>14.9/KURUS</td>
<td>120 / 70</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1342</td>
<td>089090601203</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 153</td>
<td>127 / 68</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1343</td>
<td>KHUSNUL AMALIYAH / MARUF HIDAYAT</td>
<td>90223201</td>
<td>JL SALAK RAYA NO.81</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 162</td>
<td>117 / 75</td>
<td>H52.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1344</td>
<td>ZALEEKA RASTRI QIRANIA / TRI YULIANTO</td>
<td>90D058602</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.6 / 76</td>
<td>16.6/KURUS</td>
<td>88 / 45</td>
<td>R50</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>1345</td>
<td>RIYANTIKA DIAH RAHMAWATI / RIYANI BA'DI</td>
<td>0000362903</td>
<td>JL. PISANG NO.18</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 160</td>
<td>128 / 46</td>
<td>k04.7</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1346</td>
<td>ASYATUN TRISNAWATI / CIPTO WIDIASTONO</td>
<td>00E085201</td>
<td>JL. CERME II NO. 70</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>164 / 105</td>
<td>Z00</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1347</td>
<td>0000145704</td>
<td>L</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 156</td>
<td>18.1/KURUS</td>
<td>138 / 70</td>
<td>m79.1</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1348</td>
<td>DAFFA ADRIANSYAH / ANDRI RUBOWO</td>
<td>90G045202</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>37 / 130</td>
<td>100 / 70</td>
<td>J03</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1349</td>
<td>KRISTIANA YULIATI / -</td>
<td>00E084801</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 155</td>
<td>121 / 60</td>
<td>Z00</td>
<td>kia</td>
<td>tidak</td>
</tr> <tr>
<td>1350</td>
<td>NOVITA ANGGRAINI / MUH ASROFI</td>
<td>000082501</td>
<td>JL.RAMBUTAN RAYA NO.27-A</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 158</td>
<td>116 / 82</td>
<td>N72</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1351</td>
<td>SOFINIA MUNIFAH / AHMAD SUKAMDUN / KASYATI</td>
<td>089090075509</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>92 / 160</td>
<td>129 / 117</td>
<td>j02</td>
<td>umum</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1352</td>
<td>VERAWATI CHOIRUNISA / DHENNY ASEGHAF</td>
<td>00B55703</td>
<td>LAMPER LOR 1059</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 155</td>
<td>155 / 88</td>
<td>Z00</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1353</td>
<td>MUKHAYATUN / SABAR</td>
<td>08000109201</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 155</td>
<td>112 / 80</td>
<td>H62</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1354</td>
<td>SUGENG ARIEF (PROLANIS) / SUGENG ARIEF</td>
<td>080000537400</td>
<td>JL. MANGGIS VIII/5, LAMPER LOR</td>
<td>L</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 169</td>
<td>120 / 70</td>
<td>E11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1355</td>
<td>YOHANES TINGGAL PAMUJO / YOHANES TINGGAL PAMUJO</td>
<td>080000519400</td>
<td>JL. KOMPOL MAKSUM 195</td>
<td>L</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 165</td>
<td>156 / 104</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1356</td>
<td>AYDIN AZZAM PURBOWO / WAHYU PURBOWO</td>
<td>00040.03</td>
<td>JL.CEMPEDAK UTARA I / 26 C</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>22 / 123</td>
<td>14.5/KURUS</td>
<td>90 / 60</td>
<td>h10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1357</td>
<td>MADE AYU DESTIKA DEWI / HANDIKA</td>
<td>90A035701</td>
<td>PERUM CITRA 5 BLOK E-4 NO.6, PEGADUNGAN, KALIDERES, JAKARTA
BARAT</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 165</td>
<td>134 / 82</td>
<td>Z00</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1358</td>
<td>WAHYU PURBOWO / WAHYU PURBOWO</td>
<td>0D085200</td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 177</td>
<td>158 / 97</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1359</td>
<td>GHAFFAR FAZLE RABBI / NUR ABIDIN</td>
<td>0000373305</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 144</td>
<td>100 / 70</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1360</td>
<td>DIAN PUJI RAHAYUNINGTYAS / NUR ABIDIN</td>
<td>080000373301</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 160</td>
<td>93 / 61</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1361</td>
<td>MINARSIH / ROZIKAN</td>
<td>080J062501</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 149</td>
<td>120 / 82</td>
<td>e79</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1362</td>
<td>ANJAR YUNI YANTI / SUPRIYADI</td>
<td>00D012901</td>
<td>JL.KEDONDONG DALAM I/398</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 157</td>
<td>125 / 69</td>
<td>k04.1</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1363</td>
<td>DAFA ALMER JAMAL / EKO SUYANTO</td>
<td>90B19001</td>
<td>JL. TANDANG RAYA</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 141</td>
<td>90 / 60</td>
<td>j06</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>1364</td>
<td>00B56301</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 143</td>
<td>110 / 70</td>
<td>Z35</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>1365</td>
<td>MARVEL BAGUS FAHREZA / EKO INDRI SETYANINGRUM</td>
<td>000295902</td>
<td>CEMPEDAK RAYA</td>
<td>L</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 165</td>
<td>120 / 60</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1366</td>
<td>9I007402</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 121</td>
<td>13.7/KURUS</td>
<td>90 / 60</td>
<td>T79.9</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1367</td>
<td>SUHARTATIK / -</td>
<td>00E084901</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>42.6 / 148</td>
<td>121 / 75</td>
<td>Z00</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1368</td>
<td>ARSYILA ROMEESA GUNAWAN / ARI GUNAWAN</td>
<td>00J96402</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 107</td>
<td>15.7/KURUS</td>
<td>90 / 60</td>
<td>l30</td>
<td>mtbs</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1369</td>
<td>SUMIYEM / SUHARDI</td>
<td>00B55101</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 152</td>
<td>140 / 76</td>
<td>e79</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1370</td>
<td>SRI UTARI / SUMADI</td>
<td>080000440505</td>
<td>P</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>72.2 / 149</td>
<td>122 / 84</td>
<td>Z00</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1371</td>
<td>ALVARO RAFA OZORA / TEGUH SANTOSO</td>
<td>00E034903</td>
<td>JL. KEDONDONG DALAM IX/03</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 126</td>
<td>15.7/KURUS</td>
<td>90 / 60</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1372</td>
<td>WIDYA NURUL ULUM / NGALIYEM</td>
<td>00B61303</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 148</td>
<td>108 / 60</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1373</td>
<td>APRILIYA SETYONINGRUM / SUPRIYATUN</td>
<td>00B34506</td>
<td>JL. PANDEAN LAMPER IV </td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 158</td>
<td>114 / 86</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1374</td>
<td>SUHADI / SUHADI</td>
<td>0600011500</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 170</td>
<td>139 / 77</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1375</td>
<td>KADARINI / KADARINI</td>
<td>0800058902</td>
<td>JL. MANGGIS V</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 150</td>
<td>17.3/KURUS</td>
<td>137 / 72</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1376</td>
<td>DWI INDRAWATI / MULYONO</td>
<td>0800008023014</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 149</td>
<td>130 / 90</td>
<td>N72</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1377</td>
<td>KIRANA LINTANG PUTRI / ARI GUNAWAN</td>
<td>00J96403</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>26 / 128</td>
<td>15.9/KURUS</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1378</td>
<td>NURWANTINI / ARSYAD</td>
<td>90B83001</td>
<td>JL. NGLARANG KEL.SIDOARUM KEC.GODEAN KAB.SLEMAN, YOGYAKARTA</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 147</td>
<td>137 / 82</td>
<td>k30</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1379</td>
<td>RUMINI / DIDIK SUPRIYANTO</td>
<td>0000400101</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 155</td>
<td>158 / 93</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1380</td>
<td>DWIYASMARA SURYA PUTRA / RR SURJANTI</td>
<td>00C056302</td>
<td>JL. JOMBLANG TIMUR 828E</td>
<td>L</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 173</td>
<td>16.7/KURUS</td>
<td>100 / 70</td>
<td>A15</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1381</td>
<td>BAMBANG SETYO ADI PRABOWO / BAMBANG SETYO ADI PRABOWO</td>
<td>90H006300</td>
<td>JALAN SAWI XI NO.09</td>
<td>L</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>84 / 160</td>
<td>120 / 76</td>
<td>g44</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1382</td>
<td>JUSNI ALFIANI, SE / PALUN SABDARIFFA SURYAWAN, IR</td>
<td>00D030901</td>
<td>JL.JERUK IV/18</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 156</td>
<td>21/NORMAL</td>
<td>143 / 98</td>
<td>Z00</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1383</td>
<td>RA.DWI RAHAYUNINGSIH / -</td>
<td>00E084701</td>
<td>JL. LAMPER SARI NO.51</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>90 / 165</td>
<td>135 / 83</td>
<td>N72</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1384</td>
<td>HARIYANI / DARMIYANTO</td>
<td>00B33301</td>
<td>JL. MANGGIS IV/21-A</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 150</td>
<td>141 / 76</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1385</td>
<td>080000035201</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 156</td>
<td>130 / 90</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1386</td>
<td>SIDIK PURNOMO / TEMU</td>
<td>00J124102</td>
<td>JL.DUWET 524</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 165</td>
<td>116 / 82</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1387</td>
<td>ZACKLEE SATURA PUTRA ARDIAN / ANIF ZULAEHA</td>
<td>90A3003</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>35 / 136</td>
<td>100 / 60</td>
<td>k12</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1388</td>
<td>SRI MARYATI / KASMADI/NUR MUTAKIN</td>
<td>0800130791</td>
<td>JL. GAYAMSARI IV NO.48</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 154</td>
<td>120 / 70</td>
<td>Z47.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Gemah</td>
</tr> <tr>
<td>1389</td>
<td>YAYUK MELANI / MINARNO</td>
<td>080000185603</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>44.5 / 150</td>
<td>93 / 62</td>
<td>N91</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1390</td>
<td>VANIA SEFTIA PUTRI ARDIAN / ANIF ZULAEHA</td>
<td>9090A3003</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 119</td>
<td>16.9/KURUS</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1391</td>
<td>LESTARININGSIH / SRI MULYANI</td>
<td>080J103801</td>
<td>JL. BLIMBING III NO.1</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 156</td>
<td>23/NORMAL</td>
<td>140 / 100</td>
<td>B35.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1392</td>
<td>RAYHANUN FADILLA / DIDI PRABOWO</td>
<td>90I008901</td>
<td>DSN. BATU PENYEBRANG, KEL. TANJUNG LAY, KEC. NANGA PINOH, KAB.
MELAWI, KALIMANTAN BARAT</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>50.7 / 160</td>
<td>108 / 61</td>
<td>z27</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1393</td>
<td>SARIMAH / SARPAN</td>
<td>00010605</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 158</td>
<td>147 / 81</td>
<td>m17</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1394</td>
<td>DIDI PRABOWO / DIDI PRABOWO</td>
<td>90I008900</td>
<td>DSN. CICADAS, KEL. PESAHANGAN, KEC. CIMANGGU, KAB. CILACAP</td>
<td>L</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>71.5 / 176</td>
<td>115 / 71</td>
<td>Z00</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1395</td>
<td>NUR SOFIAN SETYOWATI / ARIYANTO</td>
<td>00B61801</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 158</td>
<td>139 / 78</td>
<td>Z39</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1396</td>
<td>ALVIAN MAULANA PUTRA ARDIAN / ANIF ZULAEHA</td>
<td>9090A3005</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>15 / 108</td>
<td>12.9/KURUS</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1397</td>
<td>TUNGGUL WISHNU WARDHANA / TUNGGUL WISHNU WARDHANA</td>
<td>00B34200</td>
<td>JL. LAMPER TENGAH III/617A</td>
<td>L</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 163</td>
<td>110 / 60</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1398</td>
<td>TATI SULASTRI / GIAN NUGROHO</td>
<td>90D091701</td>
<td>JL. SIWALAN I/725</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 161</td>
<td>18.1/KURUS</td>
<td>109 / 76</td>
<td>e78.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>1399</td>
<td>KHAIRATUN / NYAIMAN</td>
<td>08000J50201</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 159</td>
<td>120 / 60</td>
<td>r20.2</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1400</td>
<td>SAKINI / MINARNO</td>
<td>080000185601</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 147</td>
<td>140 / 100</td>
<td>I10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1401</td>
<td>ANINDYA VIONA PERMATA PUTRI / HERNY MARDININGSIH</td>
<td>00B69902</td>
<td>JL. RAMBUTAN 1/32</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 158</td>
<td>18/KURUS</td>
<td>110 / 60</td>
<td>L98</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1402</td>
<td>UMI KRISPRIANA SARI / UMI KRISPRIANA SARI</td>
<td>9090192200</td>
<td>JL.KINIBALU TIMUR NO.32</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 150</td>
<td>120 / 70</td>
<td>J45</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>1403</td>
<td>KEYANO ALFA AGDAMA WIBOWO / rully christa</td>
<td>00B59602</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>28 / 138</td>
<td>14.7/KURUS</td>
<td>90 / 60</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1404</td>
<td>YATINI / YATINI</td>
<td>90I009001</td>
<td>JL. TEUKU CIK DI TUNONG NO. 97, KEL. JAWA, KEC. LANGSA KOTA, KOTA
LANGSA, ACEH</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 150</td>
<td>113 / 77</td>
<td>a09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1405</td>
<td>IKA SEPTIANA CAHYANINGTYAS / NUHADI</td>
<td>90G048901</td>
<td>SEMBUNG, SENDANG, KEL. SENDANGTIRTO, BERBAH, KAB. SLEMAN</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 158</td>
<td>100 / 60</td>
<td>n91</td>
<td>kia</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1406</td>
<td>SITI SUBANDIYAH / SITI SUBANDIYAH</td>
<td>080000456801</td>
<td>JL.PETERONGAN SELATAN 381</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 156</td>
<td>110 / 80</td>
<td>h10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1407</td>
<td>RIZAL JATI PURWANTO / EKO JATI PURNOMO</td>
<td>080000273903</td>
<td>L</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 156</td>
<td>18.1/KURUS</td>
<td>106 / 77</td>
<td>r50</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1408</td>
<td>SUHARNI / SUHARNI</td>
<td>90a68900</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>120 / 70</td>
<td>z71</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>1409</td>
<td>TRIYANTI / MASHADI</td>
<td>0800093201</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 149</td>
<td>133 / 88</td>
<td>a09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1410</td>
<td>NADZIRUL MUBIN / SUWIT DAYANTO</td>
<td>00001728005</td>
<td>JL. LAMPER TENGAH VII/654</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 103</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1411</td>
<td>FLADHELYA KHEYSIA NIQITA AS-SHOUQI / AGUS SUSILO</td>
<td>080000403503</td>
<td>JL. JERUK VII NO.10 B</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 150</td>
<td>101 / 62</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1412</td>
<td>AATHIFAH NURUL MU'THI / SUWIT DAYANTO</td>
<td>00001728004</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>32 / 139</td>
<td>16.6/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1413</td>
<td>90D070701</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 153</td>
<td>104 / 78</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1414</td>
<td>KARTIKA PUTRI HERMAWAN / DANIEL HERMAWAN</td>
<td>90G043102</td>
<td>JL.SIKLUWUNG ASRI</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>27 / 132</td>
<td>15.5/KURUS</td>
<td>90 / 60</td>
<td>B08.2</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>1415</td>
<td>AGUS SURONO / AGUS SURONO</td>
<td>060000392800</td>
<td>JL. RAMBUTAN I/30-A</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>98 / 160</td>
<td>127 / 78</td>
<td>r05</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1416</td>
<td>NADIA DWI RAHMAWATI / SLAMET SUPAADI</td>
<td>0700044602</td>
<td>JL. LAMPER TENGAHXII</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 149</td>
<td>124 / 60</td>
<td>R50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1417</td>
<td>RUDIANTO / RUDIANTO</td>
<td>00E071300</td>
<td>JL.CERME RAYA NO. 1-A</td>
<td>L</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 171</td>
<td>151 / 76</td>
<td>R10.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1418</td>
<td>SARI AYU RISNAWATI / ANDI ECHO</td>
<td>00E044601</td>
<td>JL.MANGGA VI NO.21</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 158</td>
<td>100 / 70</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1419</td>
<td>SUTARNI / YUSUP PARJIONO</td>
<td>0800J12501</td>
<td>JL.PETERONGAN BUGEL</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 155</td>
<td>120 / 70</td>
<td>I24</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>1420</td>
<td>90E064000</td>
<td>L</td>
<td>80 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 160</td>
<td>118 / 61</td>
<td>r05</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1421</td>
<td>BACHTIAR PROLANIS / BACHTIAR</td>
<td>0800111010</td>
<td>JL. LAMPER KRAJAN III/ 18</td>
<td>L</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 160</td>
<td>120 / 70</td>
<td>i10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1422</td>
<td>LUTHFI WAHYU PRATAMA / DJOKO WALUYO</td>
<td>00BPJS023002</td>
<td>L</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 168</td>
<td>23/NORMAL</td>
<td>115 / 75</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1423</td>
<td>RAFFI DIMASZIQI / BUDI MULYONO</td>
<td>0000448504</td>
<td>L</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 160</td>
<td>17.2/KURUS</td>
<td>120 / 80</td>
<td>h52.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1424</td>
<td>00J091792</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.7 / 102</td>
<td>14.1/KURUS</td>
<td>72 / 51</td>
<td>J18</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1425</td>
<td>SUDARMI / WARIJO</td>
<td>080000386890</td>
<td>JL.NANAS NO.23-C</td>
<td>P</td>
<td>82 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 155</td>
<td>140 / 80</td>
<td>i10</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1426</td>
<td>SRI SUYATI / SUMADI</td>
<td>90H069400</td>
<td>JL.SAWI SENDANGGUWO</td>
<td>P</td>
<td>76 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 144</td>
<td>151 / 70</td>
<td>i10</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1427</td>
<td>SUYONO RAMELAN / SUYONO RAMELAN</td>
<td>00126400</td>
<td>JL. CEMPEDAK UTARA NO. 16-C</td>
<td>L</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 165</td>
<td>130 / 80</td>
<td>m62</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1428</td>
<td>GUSTIANA JATI / WARSITO</td>
<td>0800003296004</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>12.3 / 70</td>
<td>72 / 50</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1429</td>
<td>WARTINI / NUR WACHID</td>
<td>90D022990</td>
<td>JL.GAYAMSARI SELATAN DALAM I</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>90 / 155</td>
<td>150 / 90</td>
<td>i10</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1430</td>
<td>90E008301</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 165</td>
<td>116 / 76</td>
<td>T79.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1431</td>
<td>00BPJS005000</td>
<td>L</td>
<td>82 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 167</td>
<td>120 / 70</td>
<td>N40</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>1432</td>
<td>ATMA PUTRI SAFITRI / ANDI SAPUTRO</td>
<td>90E008302</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 157</td>
<td>18.3/KURUS</td>
<td>94 / 63</td>
<td>t79.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1433</td>
<td>SUKAMTI / SUGENG RIYADI</td>
<td>90H087301</td>
<td>DUSUN PULOREJO, KEL. DIMORO, KEC. TOROH, KAB. GROBOGAN</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>47.7 / 141</td>
<td>24/NORMAL</td>
<td>120 / 80</td>
<td>Z34</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1434</td>
<td>00A88803</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 146</td>
<td>120 / 70</td>
<td>j06</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1435</td>
<td>0890906012</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 155</td>
<td>117 / 88</td>
<td>k02</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1436</td>
<td>MUHAMMAD AL KHAIRI / WAWAN SUSANTO</td>
<td>00E063803</td>
<td>JL.PERUM KAYANA LAND 2 NO.2 KEL.BATURSARI KEC.MRANGGEN KAB.DEMAK</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9 / 78</td>
<td>14.8/KURUS</td>
<td>80 / 60</td>
<td>J06</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1437</td>
<td>SLAMET RIJADI / SLAMET RIJADI</td>
<td>00C24700</td>
<td>L</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 164</td>
<td>155 / 71</td>
<td>r03.0</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>1438</td>
<td>NIDYA RATNAWATI / HASTORO</td>
<td>080000505403</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 157</td>
<td>91 / 65</td>
<td>A09</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1439</td>
<td>MUHAMMAD FADIL RADITIYO / IWAN ARIS</td>
<td>00010103</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.8 / 88</td>
<td>15.2/KURUS</td>
<td>80 / 60</td>
<td>K29</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1440</td>
<td>ANGGUN OKTAVIANA DAMAYANTI / SUMADI</td>
<td>90B11002</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>23 / 114</td>
<td>17.7/KURUS</td>
<td>90 / 60</td>
<td>l02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1441</td>
<td>ABINAWA RAYANZA / ANGGA PRADITA</td>
<td>90E036104</td>
<td>JL.CANDI LOSMEN</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>10 / 71</td>
<td>90 / 60</td>
<td>j00</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Candi</td>
</tr> <tr>
<td>1442</td>
<td>SURATI (PROLANIS) / ACHMAD SETIAWAN</td>
<td>0000297602</td>
<td>JL.JERUK VII/1632</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 152</td>
<td>163 / 61</td>
<td>k05.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1443</td>
<td>SARINI / BANI</td>
<td>080000157502</td>
<td>JL. BANCAR ASRI TIMUR 7 NO. 20</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 158</td>
<td>96 / 63</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1444</td>
<td>YUNIATI / JOKO PURNOMO</td>
<td>080000362401</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 157</td>
<td>110 / 70</td>
<td>R22.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1445</td>
<td>90D022900</td>
<td>L</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 160</td>
<td>130 / 80</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1446</td>
<td>SOEKESI / SLAMET RIJADI</td>
<td>00C24701</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 156</td>
<td>145 / 71</td>
<td>e11</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>1447</td>
<td>90H080601</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>92 / 168</td>
<td>90 / 60</td>
<td>T79.9</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1448</td>
<td>EZRA MELVIANO BYANTARA / ERICA ADITYA PRATAMA</td>
<td>00E065202</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.7 / 64</td>
<td>16.4/KURUS</td>
<td>90 / 60</td>
<td>L30</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1449</td>
<td>AZIA HAYU P / DANANG PRASETYO</td>
<td>0003706</td>
<td>LAMPER MIJEN</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>17.5 / 108</td>
<td>15/KURUS</td>
<td>80 / 60</td>
<td>J00</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>1450</td>
<td>SRI LESTARI / SLAMET</td>
<td>00C17401</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 152</td>
<td>127 / 85</td>
<td>m79.1</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1451</td>
<td>PARYANTINI / EDI SUTRISNO</td>
<td>90C42502</td>
<td>JL. TANDANG SELATAN</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 155</td>
<td>17.9/KURUS</td>
<td>104 / 71</td>
<td>k12</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>Jomblang</td>
</tr> <tr>
<td>1452</td>
<td>RATNA FITRIANINGRUM / RATNA FITRIANINGRUM</td>
<td>90I009101</td>
<td>DSN. MLIWANG, KEL. KALIMARO, KEC. KEDUNGJATI, KAB. GROBOGAN</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>132 / 82</td>
<td>k04.1</td>
<td>gigi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1453</td>
<td>SUHENDRO / SUHENDRO</td>
<td>080000344407</td>
<td>L</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 156</td>
<td>154 / 97</td>
<td>g44</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1454</td>
<td>SRI LASI / TEGUH RAHAYU / SRI LASI</td>
<td>0600J13301</td>
<td>P</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 142</td>
<td>119 / 69</td>
<td>K13</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1455</td>
<td>RUTH BASRIYANTI / FILIPUS BASIR</td>
<td>00003046001</td>
<td>JL. MANGGIS VI/31 A</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 156</td>
<td>120 / 70</td>
<td>m89.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1456</td>
<td>DESSY IKA MAWARDANI / SUPRIYONO</td>
<td>00B43102</td>
<td>JL. CEMPEDAK UTARA II</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 150</td>
<td>119 / 66</td>
<td>R51</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1457</td>
<td>MUHAMMAD RAULDANI / SUHARTO / MUHAMMAD RAULDANI</td>
<td>080000283302</td>
<td>L</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 174</td>
<td>110 / 80</td>
<td>t79.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1458</td>
<td>SITI KOMARIYAH / DWI NUGROHO</td>
<td>080000541201</td>
<td>JL. LAMPER KRAJAN RAYA 36-A</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>42.5 / 154</td>
<td>17.9/KURUS</td>
<td>90 / 61</td>
<td>Z34</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1459</td>
<td>MARIA JANITRA SVASKTIKA / RISKA UNTARININGTYAS</td>
<td>90C73903</td>
<td>JL KRANGGAN DALAM</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.7 / 93</td>
<td>13.5/KURUS</td>
<td>90 / 60</td>
<td>A16</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Kranggan</td>
</tr> <tr>
<td>1460</td>
<td>YUSUF AGUNG CHRISTIAWAN / ELIZABETH KUSTINI</td>
<td>00D052902</td>
<td>L</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>120 / 70</td>
<td>Z96.6</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1461</td>
<td>SRI ARTI / MULYONO</td>
<td>070000165901</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 145</td>
<td>18.1/KURUS</td>
<td>120 / 70</td>
<td>c50</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>1462</td>
<td>NADHIRA NISA N / ISRO' BUDILEKSONO</td>
<td>90255904</td>
<td>JL. KOKOSAN NO.102</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8300 / 66</td>
<td>85 / 59</td>
<td>A09</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1463</td>
<td>MARYANI / WIRYANTO</td>
<td>00A63001</td>
<td>JL.PETERONGAN TIMUR</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 151</td>
<td>120 / 70</td>
<td>I50.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>1464</td>
<td>MENIK KUSTINI / JAWAWI</td>
<td>089090701101</td>
<td>JL. SENDANG UTARA</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 148</td>
<td>170 / 100</td>
<td>l50</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1465</td>
<td>GABRIEL AURELIUS ABISATYA / RISKA UNTARININGTYAS</td>
<td>90c73902</td>
<td>KRANGGAN DALAM 272 E</td>
<td>L</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 164</td>
<td>18.2/KURUS</td>
<td>120 / 70</td>
<td>l30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Kranggan</td>
</tr> <tr>
<td>1466</td>
<td>ANINDYA PUTRI KIRANA / BUDIYONO</td>
<td>00A89302</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.2 / 75</td>
<td>90 / 60</td>
<td>r50</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>1467</td>
<td>TASYA AULIA PUTRI / MOCH DWI CAHYONO</td>
<td>0800090104</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 151</td>
<td>100 / 70</td>
<td>b49</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1468</td>
<td>AMIN HARYONO / AMIN HARYONO</td>
<td>90E042600</td>
<td>LAMPER TENGAH VIII NO.664 D</td>
<td>L</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 156</td>
<td>107 / 68</td>
<td>I95</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1469</td>
<td>0600J13301</td>
<td>P</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 142</td>
<td>119 / 69</td>
<td>k04.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1470</td>
<td>90A55701</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>87 / 157</td>
<td>119 / 76</td>
<td>Z35</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1471</td>
<td>RULLY ADITRI PRAKOSO / SUHADI</td>
<td>0800011504</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 169</td>
<td>20/NORMAL</td>
<td>112 / 69</td>
<td>J00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1472</td>
<td>MARTHA YULIANTI / MARTHA YULIANTI</td>
<td>0800J75500</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 161</td>
<td>120 / 61</td>
<td>M62</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1473</td>
<td>ADE PUTRA / ADE PUTRA</td>
<td>90H047800</td>
<td>JL. KABA DALAM II</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>85 / 175</td>
<td>112 / 72</td>
<td>h65</td>
<td>umum</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>1474</td>
<td>MUHAMMAD AYYUB AUFAR / SUGENG BAKTI</td>
<td>90A55703</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 110</td>
<td>14/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1475</td>
<td>WIWIK SURYANA / MOCH.DWI CAHYONO</td>
<td>0000194701</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>66.3 / 155</td>
<td>108 / 67</td>
<td>z35</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1476</td>
<td>ANISYA PUTRI MARSAID / KOMAR</td>
<td>0000550403</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 136</td>
<td>16.8/KURUS</td>
<td>120 / 70</td>
<td>J00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1477</td>
<td>ABIDIN NURDIANSYAH / AGUS MULYANTO</td>
<td>00E031902</td>
<td>KP. BONGKOK, KEL. MEKARJAYA, KEC. CIKALONG WETAN, KAB. BANDUNG BARAT,
PROV. JABAR</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 119</td>
<td>90 / 60</td>
<td>T79.9</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1478</td>
<td>MURSALIM / KOMAR</td>
<td>0000550401</td>
<td>L</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 158</td>
<td>130 / 70</td>
<td>r51</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1479</td>
<td>0800053990</td>
<td>JLN BLIMBING III NO38A</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 165</td>
<td>18.4/KURUS</td>
<td>110 / 75</td>
<td>l02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1480</td>
<td>ARTA ARGA PRATAMA / ARI SETIAWAN</td>
<td>00B2204</td>
<td>JALAN KELAPA SAWIT VI/564</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 110</td>
<td>14.9/KURUS</td>
<td>89 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1481</td>
<td>KARMI / LAJIM</td>
<td>0800115101</td>
<td>JL. LAMPER MIJEN, LAMPER TENGAH</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 156</td>
<td>138 / 83</td>
<td>M13</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1482</td>
<td>ENDANG KISWARA,SE.MSI.AKT / ENDANG KISWARA,SE.MSI.AKT !</td>
<td>00E085301</td>
<td>JL. LAMPER TENGAH VII/564-A</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 171</td>
<td>133 / 84</td>
<td>H61.2</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1483</td>
<td>DWIBINA ARI MURTI / LESTIYONO</td>
<td>0000137103</td>
<td>JL.PETERONGAN SARI RAYA </td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 154</td>
<td>16.4/KURUS</td>
<td>98 / 70</td>
<td>J00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1484</td>
<td>SUKINAH / LASTIYO UTOMO</td>
<td>060000046701</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>116 / 76</td>
<td>h81.3</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1485</td>
<td>060000046702</td>
<td>L</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 167</td>
<td>105 / 69</td>
<td>r51</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1486</td>
<td>ELIS ERNAWATI / ASEP</td>
<td>90230102</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 155</td>
<td>90 / 60</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>1487</td>
<td>VERISTA IRWANTI / SIGIT ARYANTO</td>
<td>080000506601</td>
<td>JL. BANCAR ASRI RAYA NO.22</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 144</td>
<td>113 / 72</td>
<td>h10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1488</td>
<td>SUPRIYADI / SUPRIYADI</td>
<td>00D012900</td>
<td>JL. KEDONDONG DALAM I/398 </td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 157</td>
<td>120 / 70</td>
<td>E11.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1489</td>
<td>IRNAWATI / BUDIAWAN</td>
<td>080000378001</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 152</td>
<td>114 / 73</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1490</td>
<td>000030400</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 160</td>
<td>139 / 80</td>
<td>e11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1491</td>
<td>NAUFAL ATHA RAMADHAN / ROMADHON</td>
<td>0000545304</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>12.5 / 93</td>
<td>14.5/KURUS</td>
<td>89 / 60</td>
<td>a16</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1492</td>
<td>PRA FITRI ASTUTI ANTARLINA / SUARDIMAN</td>
<td>080000520701</td>
<td>JL. JERUK VII NO.20</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 151</td>
<td>126 / 84</td>
<td>k04.7</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1493</td>
<td>000030401</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>89 / 160</td>
<td>110 / 80</td>
<td>M77.3</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1494</td>
<td>NAOMI SHAFFA MALAIKA / HENDRI ARISAFRIADI</td>
<td>000188606</td>
<td>JL. LAMPER MIJEN UTARA </td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>23 / 89</td>
<td>120 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1495</td>
<td>NANIA DESI RAHMAWATI / MINARTO</td>
<td>080000543502</td>
<td>JL. CEMPEDAK UTARA NO. 47A</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>33 / 127</td>
<td>120 / 70</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1496</td>
<td>90C42502</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 155</td>
<td>17.9/KURUS</td>
<td>104 / 71</td>
<td>N72</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>1497</td>
<td>SITI KHOTIJAH / RISKI ADI PUTRA</td>
<td>90A45403</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 160</td>
<td>137 / 89</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1498</td>
<td>TENTREM / SLAMET RIMANTO</td>
<td>00J123501</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 158</td>
<td>147 / 72</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1499</td>
<td>00A28201</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 150</td>
<td>120 / 70</td>
<td>N20</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1500</td>
<td>HANIFA APRILIA RAMADHANI / TEGUH ARIFIN</td>
<td>90I008003</td>
<td>JL. SAWI</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.5 / 78</td>
<td>86 / 58</td>
<td>l30</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1501</td>
<td>SHAFIYYAH / ASQOLANI</td>
<td>080000270003</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 158</td>
<td>88 / 66</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1502</td>
<td>080000412401</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 158</td>
<td>22/NORMAL</td>
<td>172 / 102</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>1503</td>
<td>BUDI RINI / SARBINI</td>
<td>00025501</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 148</td>
<td>121 / 77</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1504</td>
<td>KHANSA RAFANI PUTRI / RISKI ADI PUTRA</td>
<td>90A45402</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 90</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1505</td>
<td>FABIANUS LIONEL PUTRA PRIMARIAN / SUPRIYONO</td>
<td>0000401305</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>27 / 101</td>
<td>72 / 61</td>
<td>k02</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1506</td>
<td>RUSMAN / RUSMAN</td>
<td>90E049700</td>
<td>JL.SAWI RAYA</td>
<td>L</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 168</td>
<td>133 / 76</td>
<td>m79.1</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>1507</td>
<td>ANDY HENDRO SUSETYO / ANDY HENDRO SUSETYO</td>
<td>080000360700</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>79.8 / 174</td>
<td>177 / 110</td>
<td>k08.3</td>
<td>gigi</td>
<td>gratis</td>
</tr> <tr>
<td>1508</td>
<td>ANTIN DARIYANTI / TOTOK SUGIYANTO</td>
<td>90C75001</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 155</td>
<td>140 / 80</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1509</td>
<td>JACQUELINE PETRUCCI / JOKO PRASETYO</td>
<td>080000540603</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.6 / 79</td>
<td>15.4/KURUS</td>
<td>89 / 56</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1510</td>
<td>080000412401</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 158</td>
<td>22/NORMAL</td>
<td>140 / 80</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1511</td>
<td>MUHAMMAD IBRAHIM FAUDZI / MASRANI</td>
<td>90H025102</td>
<td>JL. RANDUSARI POS IV NO. 1129</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7500 / 67</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Randusari</td>
</tr> <tr>
<td>1512</td>
<td>ANDY HENDRO SUSETYO / ANDY HENDRO SUSETYO</td>
<td>080000360700</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 174</td>
<td>170 / 100</td>
<td>i10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1513</td>
<td>HANANIAH / SARINAH</td>
<td>00119302</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 155</td>
<td>127 / 69</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1514</td>
<td>DJAHID / DJAHID</td>
<td>90H031700</td>
<td>JL. WONODRI JOHO 1012</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 155</td>
<td>152 / 81</td>
<td>r03.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>1515</td>
<td>MUHAMAMD AL BATTAR / DENY BAGUS PURWINTAR</td>
<td>9090364602</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11 / 83.5</td>
<td>15.8/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1516</td>
<td>PRESA DE DIOS / SUKMA HERSANGGORO</td>
<td>00E085401</td>
<td>JL. KEDONDONG DALAM I NO. 419</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3300 / 49.5</td>
<td>78 / 40</td>
<td>Z00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1517</td>
<td>NAURAFA NUGRAHA / TRI NUR AINI</td>
<td>089090282103</td>
<td>JL. GAYAMSARI I/1</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 140</td>
<td>23/NORMAL</td>
<td>120 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>1518</td>
<td>RAMADHAN SETYA SAPUTRA / WARDIYONO</td>
<td>00C18203</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>30 / 124</td>
<td>90 / 60</td>
<td>B01</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1519</td>
<td>DESENSIA NATASYA SIFABELLA / BAGUS BACHTIAR</td>
<td>080J09304</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4300 / 55</td>
<td>86 / 53</td>
<td>Z00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1520</td>
<td>MEYSA ANNABELLE KRISTIANI / ANDI KRISTANTO</td>
<td>90G056903</td>
<td>STASIUN GANG 1, DEMAK</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 160</td>
<td>16/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1521</td>
<td>ANANDA APRILIANI HARYANA / MULYONO</td>
<td>90G078004</td>
<td>BONDO JEPARA</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 155</td>
<td>92 / 68</td>
<td>j00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1522</td>
<td>SARDJIYEM / MARNO</td>
<td>000185801</td>
<td>JL.RAMBUTAN RAYA NO.3</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 160</td>
<td>120 / 80</td>
<td>I24</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1523</td>
<td>ARIS PRASETIYO / DJAHID</td>
<td>90H031705</td>
<td>L</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 160</td>
<td>100 / 70</td>
<td>F32.3</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Wonodri</td>
</tr> <tr>
<td>1524</td>
<td>JUNI PURIYAWATI / SUPRIYADI</td>
<td>080J09302</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 160</td>
<td>123 / 80</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1525</td>
<td>YUSTINA ROOSVI ENGGARJATI / YUSTINA ROOSVI ENGGARJATI</td>
<td>00546203</td>
<td>JL.LAMPER TENGAH IX NO.5</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 157</td>
<td>112 / 61</td>
<td>r05</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1526</td>
<td>NOOR HIDAYATININGSIH / YOGI R</td>
<td>00C087601</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 150</td>
<td>120 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1527</td>
<td>EDY SETYONO / EDY SETYONO</td>
<td>00D003800</td>
<td>JL.LAMPER KRAJAN 34</td>
<td>L</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 165</td>
<td>22/NORMAL</td>
<td>140 / 80</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1528</td>
<td>M BAYU EKSAN NUDIN / SARTIMAN</td>
<td>90A10406</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 158</td>
<td>121 / 74</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1529</td>
<td>JUWITA ARILISA / SUPRIYATNO</td>
<td>90B2001</td>
<td>P</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>60.5 / 157</td>
<td>115 / 67</td>
<td>N91</td>
<td>kia</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>1530</td>
<td>HARYANTO / HARYANTO</td>
<td>080000805500</td>
<td>JL. DURIAN III/24</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 160</td>
<td>18/KURUS</td>
<td>150 / 96</td>
<td>i50.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1531</td>
<td>BY NY FITRIA SULISTYAWATI / AHMAD IRFAN</td>
<td>00E074304</td>
<td>JL. LAMPER MIJEN HM 411</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6200 / 57</td>
<td>77 / 41</td>
<td>z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1532</td>
<td>JOKO SANTOSO / JOKO SANTOSO</td>
<td>00C45602</td>
<td>JL PETERONGAN TIMUR</td>
<td>L</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>87 / 168</td>
<td>120 / 80</td>
<td>E11.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>1533</td>
<td>SUKMA FINA A / MAULANA ARIF PURWANTO</td>
<td>080000454499</td>
<td>JL. PANDEAN LAMPER</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 156</td>
<td>106 / 69</td>
<td>j02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1534</td>
<td>DISTY MARSHA CARLINA / VINA KARINA MAYARANI</td>
<td>90F048801</td>
<td>JL.CANDI INTAN V NO.1159 A</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 158</td>
<td>17.2/KURUS</td>
<td>125 / 88</td>
<td>k01.1</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Kalipancur</td>
</tr> <tr>
<td>1535</td>
<td>YONA IRMA INDIANA / IRWAN M/MUHAMMAD HASNUR RIZKI</td>
<td>070000315602</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 155</td>
<td>110 / 70</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1536</td>
<td>NOVITA DWI ASTUTI / BRAMANTA WISNU ADI NUGRAHA</td>
<td>90C48401</td>
<td>JL KEDONDONG DALAM N0 359 A</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 153</td>
<td>114 / 69</td>
<td>Z35</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1537</td>
<td>ABDUL ROSIT ASHARI / ABDUL KODIR</td>
<td>90I009202</td>
<td>DSN LEBAK, KEL. JOKETRO, KEC. PARANG, KAB. MAGETAN</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 167</td>
<td>110 / 70</td>
<td>a09</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1538</td>
<td>SITI FATIMAH / SLAMET HARYANTO</td>
<td>080000533103</td>
<td>JL. MANGGIS V11/43 B</td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>39.5 / 148.5</td>
<td>17.9/KURUS</td>
<td>118 / 83</td>
<td>Z35</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1539</td>
<td>EMIWATI / EMIWATI</td>
<td>0700009999937</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 160</td>
<td>120 / 70</td>
<td>e11.6</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>1540</td>
<td>0800023600</td>
<td>L</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 161</td>
<td>130 / 87</td>
<td>J98</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1541</td>
<td>AYUK PRASETYOWATI / TATANG PARIPURNA</td>
<td>90A58301</td>
<td>PRINGGODANIN DALAM 17</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 150</td>
<td>120 / 70</td>
<td>l50</td>
<td>umum</td>
<td>gratis</td>
<td>Krobokan</td>
</tr> <tr>
<td>1542</td>
<td>AULIYA AYU RAHMADHANI / SLAMET RIYADI</td>
<td>00024506</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.7 / 90.5</td>
<td>17.9/KURUS</td>
<td>89 / 58</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1543</td>
<td>SUMARNI / HERU CAHYONO</td>
<td>080000186501</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>83 / 155</td>
<td>140 / 80</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1544</td>
<td>080000466300</td>
<td>L</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 170</td>
<td>156 / 85</td>
<td>z09.0</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1545</td>
<td>080000533103</td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>39.5 / 148.5</td>
<td>17.9/KURUS</td>
<td>118 / 83</td>
<td>Z35</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1546</td>
<td>ARKAN NEFIL PRASETIYA / HERI WIJIANTO</td>
<td>0000547007</td>
<td>JL. LAMPER TENGAH RAYA 650C</td>
<td>L</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 156</td>
<td>110 / 70</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1547</td>
<td>ELI ILMANAFI'AHSARI / DENY BAGUS PURWINTAR</td>
<td>9090364609</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>58.4 / 163</td>
<td>22/NORMAL</td>
<td>108 / 65</td>
<td>Z35</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1548</td>
<td>TIVA DWI PURNA PRASETIYA / TATANG PARIPURNA</td>
<td>00B90401</td>
<td>PRINGGODANI DALAM 17</td>
<td>P</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 135</td>
<td>17/KURUS</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Krobokan</td>
</tr> <tr>
<td>1549</td>
<td>DANENDRA ARYA K / RICKY RADITYO</td>
<td>90B28102</td>
<td>L</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 163</td>
<td>90 / 60</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>1550</td>
<td>STERLY INDAH SARI / RIZA</td>
<td>90F045701</td>
<td>JL SAWI III NO. 9</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>52.9 / 156</td>
<td>117 / 82</td>
<td>z35</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1551</td>
<td>080000533103</td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 149</td>
<td>18/KURUS</td>
<td>118 / 83</td>
<td>Z34</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1552</td>
<td>BASTIAN RAWA NOVA A / TATANG PARIPURNA</td>
<td>00B90402</td>
<td>JL.PRINGGODANI DALAM 17</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 130</td>
<td>14.8/KURUS</td>
<td>110 / 80</td>
<td>Z71</td>
<td>umum</td>
<td>gratis</td>
<td>Krobokan</td>
</tr> <tr>
<td>1553</td>
<td>DIAN PUSPITASARI / ANANG DWI LESTYONO</td>
<td>00A6501</td>
<td>P</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>90 / 160</td>
<td>110 / 80</td>
<td>N92.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1554</td>
<td>90A58301</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 150</td>
<td>120 / 70</td>
<td>l50</td>
<td>gigi</td>
<td>gratis</td>
<td>Krobokan</td>
</tr> <tr>
<td>1555</td>
<td>BASTIAN RAWA NOVA A / TATANG PARIPURNA</td>
<td>00B90402</td>
<td>JL.PRINGGODANI DALAM 17</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 130</td>
<td>14.8/KURUS</td>
<td>110 / 80</td>
<td>k00</td>
<td>gigi</td>
<td>gratis</td>
<td>Krobokan</td>
</tr> <tr>
<td>1556</td>
<td>MELANI DEWI KARTIKA / SARJONO</td>
<td>080000461404</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 157</td>
<td>110 / 80</td>
<td>a01</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1557</td>
<td>9090A3003</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>23 / 119</td>
<td>16.2/KURUS</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1558</td>
<td>ELVANO NOUFA PRATAMA / MOHAMAD NOOR</td>
<td>90D099602</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.5 / 87</td>
<td>15.2/KURUS</td>
<td>87 / 42</td>
<td>A01</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1559</td>
<td>ANIF ZULAEHA / ANIF ZULAEHA</td>
<td>90A3001</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>110 / 80</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1560</td>
<td>TRIYANI / AGUSTINUS EDY SUPRIYONO</td>
<td>9000346201</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 154</td>
<td>110 / 80</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1561</td>
<td>ENY WIDYANINGSIH / LISTIANA</td>
<td>080000335802</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 153</td>
<td>120 / 80</td>
<td>k74</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1562</td>
<td>HENDRA DWI SAPUTRA / HENDRI SUSILO</td>
<td>0000232402</td>
<td>JL.COMBONGAN KELCOMBONGAN KEC.SUKOHARJO KAB.SUKIHARJO</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 103</td>
<td>17/KURUS</td>
<td>110 / 70</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1563</td>
<td>NABILA ROFIFAH GHASSANI / EKO YULHANTORO</td>
<td>00D041704</td>
<td>JL TENTARA PELAJAR NO 24</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 164</td>
<td>110 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1564</td>
<td>RIZKY RADITYA NUGROHO / SUGI NUGROHO / SAKIMIN</td>
<td>0000904402</td>
<td>JL KEDONDONG DALAM III</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 114</td>
<td>13.1/KURUS</td>
<td>90 / 60</td>
<td>R10.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1565</td>
<td>SUKIRAN / SUKIRAN</td>
<td>080000406200</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>112 / 70</td>
<td>I61</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1566</td>
<td>AULIA ANGGI PRATAMA / PUGUH ADI</td>
<td>90I009303</td>
<td>JL. GEBANGSARI</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 160</td>
<td>16.8/KURUS</td>
<td>120 / 70</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gebangsari</td>
</tr> <tr>
<td>1567</td>
<td>ECHA CHAULUL ARSY / DIDIT HERDIANSYAH PANJAITAN</td>
<td>00A001105</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.4 / 88.5</td>
<td>14.6/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1568</td>
<td>080000403502</td>
<td>L</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 170</td>
<td>17.6/KURUS</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1569</td>
<td>MC. SARYATI / MC. SARYATI</td>
<td>00E029200</td>
<td>P</td>
<td>82 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 133</td>
<td>130 / 80</td>
<td>k30</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1570</td>
<td>YULIATI / RACHMAT RAIS</td>
<td>0000145001</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 168</td>
<td>154 / 75</td>
<td>K80</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1571</td>
<td>SUKATI / BAMBANG GUNAWAN</td>
<td>00bpjs011501</td>
<td>JL. GAYAMSARI 4</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 145</td>
<td>120 / 80</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1572</td>
<td>080009900</td>
<td>KEDONDONG DALAM II/386</td>
<td>L</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 156</td>
<td>21/NORMAL</td>
<td>120 / 80</td>
<td>I64</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1573</td>
<td>FITRIA AYU / DWI PURWANTO</td>
<td>OOF021402</td>
<td>JL BLIMBING I NO 366A</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 155</td>
<td>16.2/KURUS</td>
<td>101 / 69</td>
<td>a01</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1574</td>
<td>DJUMIYEM / PUJI SUWARTO</td>
<td>00A58601</td>
<td>JL. CEMPEDAK UTARA LAMPER LOR</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 148</td>
<td>110 / 80</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1575</td>
<td>HARTATI / DWI PURWANTO</td>
<td>00E024701</td>
<td>JL.BLIMBING I NO.366-A</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>60.2 / 150</td>
<td>115 / 75</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1576</td>
<td>SRI HANDAYANI / PUJI SUWARTO</td>
<td>08000014605</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 160</td>
<td>120 / 70</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1577</td>
<td>YANUAR ALAN MAULANA / YANUAR ALAN</td>
<td>080000607005</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 170</td>
<td>120 / 80</td>
<td>j02</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1578</td>
<td>00E073300</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 156</td>
<td>120 / 80</td>
<td>E11</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1579</td>
<td>HISYAM ARSHAKA MAULANA / YANUAR ALAN MAULANA</td>
<td>080000607093</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3165 / 48</td>
<td>60 / 44</td>
<td>Z00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1580</td>
<td>KEVIN FERNANDO SADEWA / SOSIAWAN HADI RAHARJO</td>
<td>00C075503</td>
<td>PANDAEN LAMPER IV/37</td>
<td>L</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>32 / 141</td>
<td>16.1/KURUS</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1581</td>
<td>REYHAN MAULANA FAHLEVI / HELMY FAHLEVI, SE</td>
<td>00E085502</td>
<td>JL. MANGGIS IV NO.1</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>30 / 138</td>
<td>15.8/KURUS</td>
<td>90 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1582</td>
<td>CANTIKA AZZAHRA PUTRI / SOSIAWAN HADI RAHARJO</td>
<td>00C075504</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>16 / 108</td>
<td>13.7/KURUS</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1583</td>
<td>AURELIA MAHARANI / AGUS WIDIYANTORO</td>
<td>0000195702</td>
<td>P</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>33 / 136</td>
<td>17.8/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1584</td>
<td>VIRONIKA SISKA WULANDARI / AGUS WIDIYANTORO</td>
<td>0000195701</td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 160</td>
<td>120 / 80</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1585</td>
<td>DEFFANAND SENZ RIFQI NUGROHO / AFIF NUGROHO</td>
<td>90A65401</td>
<td>JL.LAMPER TENGAH III 179</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 143</td>
<td>103 / 72</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1586</td>
<td>RIZKY ARDIANSYAH / SURANA</td>
<td>90B96902</td>
<td>JL. SAWI NO 54</td>
<td>L</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 167</td>
<td>120 / 70</td>
<td>j02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1587</td>
<td>MICHAEL RORY BALAPUTRA / RB MARIO BRAMANTYA B.</td>
<td>90I009402</td>
<td>ASRAMA KESDAM IV/DIP</td>
<td>L</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>105 / 174</td>
<td>146 / 84</td>
<td>l02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Barusari</td>
</tr> <tr>
<td>1588</td>
<td>080J050501</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>120 / 70</td>
<td>R10.4</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1589</td>
<td>SRI WAHYUNI / AAN YUSWANDI</td>
<td>0800087301</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 155</td>
<td>128 / 90</td>
<td>e79</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1590</td>
<td>WAHYUNI / SLAMET HARYANTO</td>
<td>00A8001</td>
<td>JL MANGGIS VIII</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 148</td>
<td>110 / 80</td>
<td>A09</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1591</td>
<td>SUTARMAH / SUTARMAH</td>
<td>0000434001</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 150</td>
<td>24/NORMAL</td>
<td>172 / 91</td>
<td>r03.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1592</td>
<td>ISLAMI AZZAHRA PUJIANTO / WAHYU PUJIANTO</td>
<td>00A14202</td>
<td>JL LAMPER KRAJAN</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 123</td>
<td>16.5/KURUS</td>
<td>110 / 80</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1593</td>
<td>MUHAMMAD ALMAS SAMSURYA / ACHMAD FAIRUS</td>
<td>00C070804</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 120</td>
<td>17.4/KURUS</td>
<td>110 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1594</td>
<td>AIDAN FEBRINO IRWANDA / IMAM IRAWAN</td>
<td>0800J049002</td>
<td>L</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 144</td>
<td>110 / 80</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1595</td>
<td>LASIYEM / SIAMAN</td>
<td>0600049001</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 150</td>
<td>140 / 80</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1596</td>
<td>CHARLES / CHARLES</td>
<td>000BPJS20001</td>
<td>JL. KEDONDONG TENGAH NO.20</td>
<td>L</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>102 / 170</td>
<td>164 / 77</td>
<td>i25</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1597</td>
<td>CAN LIANA / CHARLES</td>
<td>00BPJS020099</td>
<td>JL. KEDONDONG TENGAH</td>
<td>P</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>119 / 79</td>
<td>i25</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>1598</td>
<td>SELVIA ESTIKA SARI / MUHAMMAD NURZAKI UDIN</td>
<td>00E003501</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 142</td>
<td>110 / 80</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1599</td>
<td>DESIANA TRI ANJARA / WARJITO</td>
<td>0800064904</td>
<td>MANGGIS IV</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.1 / 93</td>
<td>11.7/KURUS</td>
<td>60 / 42</td>
<td>R50</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1600</td>
<td>HAFIZ AQILA IBRAHIM / SUNTI LISTIANA</td>
<td>00D00E007304</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>34 / 142</td>
<td>16.9/KURUS</td>
<td>90 / 60</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1601</td>
<td>0600J009401</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 158</td>
<td>140 / 80</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>Peterongan</td>
</tr> <tr>
<td>1602</td>
<td>RANIDYA NAISYA AMALINA / TENGKU HUSMARADIAH</td>
<td>00D90202</td>
<td>JL.NANGKA I NO.8 </td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 152</td>
<td>126 / 89</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1603</td>
<td>00B009201</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 162</td>
<td>150 / 80</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1604</td>
<td>0600J009401</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 158</td>
<td>140 / 80</td>
<td>r03.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>Peterongan</td>
</tr> <tr>
<td>1605</td>
<td>NANIK HANDAYANI / RIKO YUSNANTO</td>
<td>00B4103</td>
<td>JL. JAMBU NO 402</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 158</td>
<td>100 / 70</td>
<td>e79</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1606</td>
<td>90D070701</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 153</td>
<td>100 / 60</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1607</td>
<td>RATNAWATI / WARDANI</td>
<td>00E020101</td>
<td>JL. BANCAR ASRI TIMUT 3 NO 52 </td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 155</td>
<td>102 / 65</td>
<td>H66.3</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1608</td>
<td>NASYWA ALIYYAH FITRIANI / ENI INDRYAHSARI</td>
<td>90I009502</td>
<td>JL. DUSUN TAJEMSARI, TAJEMSARI, TEGOWANU, KAB. GROBOGAN </td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>95 / 62</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1609</td>
<td>ATIKA SILVIA MELYAWATI / ATIKA SILVIA MELYAWATI</td>
<td>90G060001</td>
<td>JL.KAMPUNG KEL.LALORAN KEC.KALORAM KAB.TEMANGGUNG</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 159</td>
<td>110 / 80</td>
<td>R10.4</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1610</td>
<td>JESLYN MEYDA ANJANIA / WALJANI</td>
<td>90A45703</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>30 / 120</td>
<td>90 / 60</td>
<td>j03</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1611</td>
<td>00A79002</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>17.2 / 114.5</td>
<td>13.1/KURUS</td>
<td>90 / 60</td>
<td>F80.9</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>1612</td>
<td>SULASTRI / SUWARSONO</td>
<td>060000000501</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 160</td>
<td>110 / 80</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1613</td>
<td>SULASIH / PARNO</td>
<td>00B32401</td>
<td>JL. BANCAR ASRI TIMUR</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 160</td>
<td>100 / 70</td>
<td>M06.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1614</td>
<td>SUYADI / SUYADI</td>
<td>0000250500</td>
<td>MANGGIS VII/34 LAMPER LOR </td>
<td>L</td>
<td>76 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 160</td>
<td>132 / 69</td>
<td>e11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1615</td>
<td>OZILLIO RASYA ARRASYIID / AHMAD RIFA'I</td>
<td>00D047004</td>
<td>JL. KEDUNG MUNDU</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 131</td>
<td>18.1/KURUS</td>
<td>110 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1616</td>
<td>DEWI AQILA SAVARA PUTRI / NOVAW DWI SAPUTRA</td>
<td>90I009602</td>
<td>JL. NGEMPLAK JL. SAPUTAN</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 141</td>
<td>15.6/KURUS</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>1617</td>
<td>IKA DIAN NINGRUM / SAPTOMO</td>
<td>080000525591</td>
<td>JL. PETERONGAN SARI 26</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 158</td>
<td>118 / 70</td>
<td>k01.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>1618</td>
<td>ALBA KEVIN BAGASKARA / KASWAN</td>
<td>0800011493</td>
<td>JL. KEMPLENG PEDUKUHAN XIV, KARANGSEWU, KAB. KULON PROGO</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.4 / 78</td>
<td>13.8/KURUS</td>
<td>89 / 56</td>
<td>R50</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1619</td>
<td>KASMINAH / IMAM SUGIJANTO</td>
<td>080000194901</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 154</td>
<td>159 / 96</td>
<td>k04.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1620</td>
<td>CUCUK KAMDANI / CUCUK KAMDANI</td>
<td>08909003590</td>
<td>JL SAWI RAYA</td>
<td>L</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 170</td>
<td>128 / 77</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1621</td>
<td>ALMAIRA SHAKILA ARTANTI / EKO WINANJAR</td>
<td>90H070203</td>
<td>JL.LEMAH PUTIH, KEL. PASINAN LEMAHPUTIH, KEC. WRINGINANOM, KAB.
GRESIK</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.1 / 69</td>
<td>17/KURUS</td>
<td>87 / 59</td>
<td>J06</td>
<td>mtbs</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1622</td>
<td>ANA YULIYANTI / ADITYA FEBRIANTO</td>
<td>00D071502</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 157</td>
<td>114 / 75</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1623</td>
<td>00B21500</td>
<td>L</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 165</td>
<td>120 / 80</td>
<td>I24</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>1624</td>
<td>00J103101</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>120 / 70</td>
<td>z71</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1625</td>
<td>ADITYA FEBRIANTO / ADITYA FEBRIANTO</td>
<td>00E085600</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 165</td>
<td>110 / 71</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1626</td>
<td>RISMA TRIANA DEWI / SLAMET SUBAGIO</td>
<td>90217402</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>10 / 80</td>
<td>15.6/KURUS</td>
<td>89 / 58</td>
<td>R50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1627</td>
<td>KUSMIYATUN / DARYONO</td>
<td>0000174704</td>
<td>JL.LAMPER KRAJAN RAYA 35-A</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 157</td>
<td>140 / 88</td>
<td>E11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1628</td>
<td>AYU TRIWIYANI / MUJIONO</td>
<td>90H087204</td>
<td>JL. SALAK RAYA 13</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 155</td>
<td>20/NORMAL</td>
<td>116 / 80</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1629</td>
<td>SUTIATI / UNTORO</td>
<td>080000392101</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 160</td>
<td>142 / 88</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1630</td>
<td>SUPRI HARTATI / SLAMET RIYADI</td>
<td>90A77203</td>
<td>JL.SENDANGGUWO SELATAN NO 44</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 156</td>
<td>118 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1631</td>
<td>080000428801</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 145</td>
<td>116 / 65</td>
<td>m06</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1632</td>
<td>DWI WINARSIH / SURATNO</td>
<td>00A90401</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 155</td>
<td>120 / 70</td>
<td>e11.6</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1633</td>
<td>SRI RAHAYU / DIDIN KURNIA UTAMA</td>
<td>00C084801</td>
<td>JL. BANCAR ASRI TIMUR 3 NO.26</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 156</td>
<td>122 / 85</td>
<td>k04.0</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>1634</td>
<td>ARSANY ISWANTININGSIH / SURONO</td>
<td>00B11202</td>
<td>LAMPER TENGAH XII NO 12</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 150</td>
<td>20/NORMAL</td>
<td>125 / 77</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1635</td>
<td>90F089500</td>
<td>JL.GAJAH BARAT IV NO.14</td>
<td>L</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 170</td>
<td>135 / 71</td>
<td>N39.8</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1636</td>
<td>ELRAMDAN PUTRA AZZAM / MUHAMMAD RIDWAN</td>
<td>00C34892</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>10 / 80</td>
<td>15.6/KURUS</td>
<td>80 / 60</td>
<td>Z27</td>
<td>imunisasi</td>
<td>tidak</td>
</tr> <tr>
<td>1637</td>
<td>YUDHA HERWANTO / YUDHA HERWANTO</td>
<td>080000513303</td>
<td>JL LAMPER TENGAH VIII/660</td>
<td>L</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 158</td>
<td>20/NORMAL</td>
<td>99 / 73</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1638</td>
<td>ERVINA ARDILLA LIES ASYIFA / PARDI</td>
<td>00106305</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 128</td>
<td>11/KURUS</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1639</td>
<td>VINO AGA LIES ARDI AL IDZAKI / PARDI</td>
<td>0800J106305</td>
<td>L</td>
<td>12 Tahun</td>
<td></td>
<td></td>
<td>28 / 130</td>
<td>16.6/KURUS</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1640</td>
<td>00003882100</td>
<td>L</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>92 / 165</td>
<td>124 / 84</td>
<td>K02</td>
<td>gigi</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>1641</td>
<td>RUSMAN / RUSMAN</td>
<td>90E049700</td>
<td>JL.SAWI RAYA</td>
<td>L</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 168</td>
<td>138 / 78</td>
<td>z01.7</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>1642</td>
<td>AGUNG ISWADI / AGUNG ISWADI</td>
<td>000J73800</td>
<td>JL WIDURI III GG SAYANG</td>
<td>L</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 165</td>
<td>22/NORMAL</td>
<td>120 / 70</td>
<td>e11.6</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>1643</td>
<td>RULLY RACHMAN / RULLY RACHMAN</td>
<td>90D00100</td>
<td>L</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>83 / 160</td>
<td>144 / 90</td>
<td>t79</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1644</td>
<td>ESTHI PURWATI (PROLANIS) / SOELISTIYADHI HARTOYO</td>
<td>0000177501</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 150</td>
<td>24/NORMAL</td>
<td>140 / 88</td>
<td>b49</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>1645</td>
<td>TEGUH SURYADI / TEGUH SURYADI</td>
<td>90B76800</td>
<td>JL. WONODRI KEBONDALEM</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>120 / 76</td>
<td>E11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>1646</td>
<td>ELLENA MAEZURRA ANKA / WAWAN ANDI P</td>
<td>00B57105</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4100 / 53.5</td>
<td>90 / 60</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1647</td>
<td>ARSYAN KINZA RAVINDRA / BAMBANG GUNAWAN</td>
<td>00bpjs011505</td>
<td>JL.GAYAMSARI 4</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.1 / 73</td>
<td>17.1/KURUS</td>
<td>89 / 58</td>
<td>A09</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1648</td>
<td>FATIKA SHAFA A / MUGI WAHYUDI</td>
<td>00E085702</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>34 / 145</td>
<td>16.2/KURUS</td>
<td>90 / 70</td>
<td>j06</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1649</td>
<td>TAHTA DARENA ARIEZTHYA / MUHAMMAD ARIF</td>
<td>0000191703</td>
<td>JL. KEDONDONG DALAM III</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>29 / 131</td>
<td>16.9/KURUS</td>
<td>89 / 75</td>
<td>k00</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1650</td>
<td>TUMINAH / SURYANTO</td>
<td>080000054501</td>
<td>JL. LAMPER TENGAH GANG XII</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 150</td>
<td>140 / 80</td>
<td>h81.1</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>1651</td>
<td>ANI ASTUTI / EDDY SUHARTANTO</td>
<td>0800076601</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 158</td>
<td>120 / 80</td>
<td>m13</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1652</td>
<td>ZHEA APRILYA RAMADHANI / RIZAL IKHSAN</td>
<td>90A10504</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6 / 59</td>
<td>17.2/KURUS</td>
<td>90 / 60</td>
<td>R50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1653</td>
<td>LINIS YUNITA / AHMAD RONI</td>
<td>90700904</td>
<td>GAYAMSARI IV</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 159</td>
<td>18.2/KURUS</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1654</td>
<td>AARA GITARJA RAHMA JAYAWARDHANA / PRIMA VANO NUGRAHA WARDHANA</td>
<td>00E066504</td>
<td>JL.PETERONGAN SARI 45</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.1 / 62</td>
<td>18.5/KURUS</td>
<td>72 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1655</td>
<td>NATHANIA CARRISSA FITRIA S / SULISTIYOWATI</td>
<td>00E036202</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>123 / 76</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1656</td>
<td>90B21001</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 160</td>
<td>18.4/KURUS</td>
<td>125 / 65</td>
<td>k04.0</td>
<td>gigi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1657</td>
<td>SETIAWAN GANDA PRASASTI / SULARTI</td>
<td>070000364303</td>
<td>CERME UTARA III</td>
<td>L</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 160</td>
<td>138 / 94</td>
<td>A09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1658</td>
<td>SUYATNO / SUYATNO</td>
<td>00B66700</td>
<td>L</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 160</td>
<td>133 / 85</td>
<td>m62</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1659</td>
<td>ZAVIER ZIANENDRA / HERMAN</td>
<td>00A83704</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.9 / 88</td>
<td>14.1/KURUS</td>
<td>70 / 51</td>
<td>H10</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>1660</td>
<td>JOVIAN GIB ZAYN / THOMAS GILDBERT</td>
<td>00D091702</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8790 / 76</td>
<td>89 / 58</td>
<td>A09</td>
<td>mtbs</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1661</td>
<td>00003882100</td>
<td>L</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>92 / 165</td>
<td>124 / 84</td>
<td>E11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1662</td>
<td>LUKMAN YULIYANTO / LUKMAN YULIYANTO</td>
<td>00B46500</td>
<td>L</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 170</td>
<td>121 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1663</td>
<td>0800J31300</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 155</td>
<td>155 / 98</td>
<td>h93.1</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1664</td>
<td>SUTIAH / ARIO</td>
<td>90A33301</td>
<td>JL.DSN RAMPAK KEL.SANA LOAK KEC.WARU KAB.PAMEKASAN JATIM</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 152</td>
<td>129 / 75</td>
<td>k29</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1665</td>
<td>NADIAH RINANDA PUTRI / SITI ROKHAYAH</td>
<td>90H051703</td>
<td>JL. KAUMAN SELATAN NO. 37, KEL. KADILANGU, KAB. DEMAK</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 162</td>
<td>111 / 77</td>
<td>j00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1666</td>
<td>BRAMANTYA HARIS ARJUNA / GUNTUR HARI S</td>
<td>90H042102</td>
<td>JL. KABA UTARA IV</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6200 / 64</td>
<td>86 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>1667</td>
<td>MOCH SUYONO / MOCH SUYONO</td>
<td>0000207800</td>
<td>JL. DURIAN II/7</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 159</td>
<td>17.8/KURUS</td>
<td>130 / 70</td>
<td>R06.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1668</td>
<td>DZULKULAIFAH WIDYA SAGITA REZKY ISNANTO / DWI ISNANTO</td>
<td>90C18202</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 164</td>
<td>121 / 82</td>
<td>k30</td>
<td>umum</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1669</td>
<td>RAFANIA ERSYA NAYARAPUTRI / HERI SUPARTONO</td>
<td>00BPJS038502</td>
<td>JL.KEDONDONG DALAM III</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>19.5 / 113</td>
<td>15.3/KURUS</td>
<td>89 / 59</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1670</td>
<td>RICA AYU SAPUTRI / BEJO</td>
<td>90B65503</td>
<td>JL. GEMAH</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 145</td>
<td>120 / 80</td>
<td>N39</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1671</td>
<td>EKO BUDHI LESTARI / HERMAN</td>
<td>00A83701</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>56.3 / 154</td>
<td>90 / 60</td>
<td>Z34</td>
<td>kia</td>
<td>tidak</td>
</tr> <tr>
<td>1672</td>
<td>00C38201</td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 158</td>
<td>111 / 76</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1673</td>
<td>YUNIARTI WIDIASTUTI / WINARNO PURNO NUGROHO</td>
<td>90A76601</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 155</td>
<td>128 / 80</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1674</td>
<td>9I007402</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 121</td>
<td>14.3/KURUS</td>
<td>100 / 60</td>
<td>z09.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1675</td>
<td>SRI SUGIARTI / SRI SUGIARTI</td>
<td>90A26303</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 154</td>
<td>126 / 75</td>
<td>e79</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Mugassari</td>
</tr> <tr>
<td>1676</td>
<td>NARAYA AISY ZAHRATUNNISA / HENDRY</td>
<td>080000450107</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3900 / 60</td>
<td>89 / 54</td>
<td>A17.0</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1677</td>
<td>SURANTI / SLAMET RIYADI</td>
<td>90F034601</td>
<td>JL. WONODRI KOPEN</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 156</td>
<td>123 / 78</td>
<td>h93.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Wonodri</td>
</tr> <tr>
<td>1678</td>
<td>IRSYAD NAFIS DAMAR PRAYOGA / WINARNO PURNO NUGROHO</td>
<td>90A76602</td>
<td>L</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 167</td>
<td>114 / 78</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1679</td>
<td>RUBIYATI / SUTARTO</td>
<td>00C14701</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 155</td>
<td>133 / 77</td>
<td>I24</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1680</td>
<td>NIKEISHA TSANA W / SLAMET SOEHARTO</td>
<td>90I009704</td>
<td>ASRAMA TNI AD MRICAN BLOK C NO.11</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 158</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>1681</td>
<td>DAEHAN AZRIEL IRAWAN / RUDI IRAWAN</td>
<td>00537402</td>
<td>JL. MANGGIS VIII NO 5</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.5 / 94</td>
<td>13/KURUS</td>
<td>89 / 57</td>
<td>j06</td>
<td>mtbs</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1682</td>
<td>DEWI NOVITA SARI / GUNAWAN</td>
<td>9090265812</td>
<td>JL.GANDU KEL.JOHO KEC.PRACIMANTOROR KAB.WONOGIRI</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 155</td>
<td>117 / 80</td>
<td>m79.1</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1683</td>
<td>SHAKEELA ALNAIRA SYIFA AZZAHRA / ARGA PRADIPTA</td>
<td>00D092802</td>
<td>JL.PETERONGAN TENGAH N0.33</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.9 / 68</td>
<td>17.1/KURUS</td>
<td>89 / 57</td>
<td>Z27</td>
<td>imunisasi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1684</td>
<td>SOEPARNO / SOEPARNO</td>
<td>080000124700</td>
<td>L</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 161</td>
<td>122 / 75</td>
<td>H66</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>1685</td>
<td>AGUS PRAYITNO / AGUS PRAYITNO</td>
<td>00B98600</td>
<td>JL. CEMPEDAK UTARA 54/A</td>
<td>L</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>153 / 89</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1686</td>
<td>SUPRIYANTI / DIDIK SUPRASTYO</td>
<td>00A14700</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 145</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1687</td>
<td>DITA AYU WIDYAWATI / NANDRA PUTRA ABDI KELANA</td>
<td>90F041001</td>
<td>JL.DURIAN V/38V</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 155</td>
<td>17.1/KURUS</td>
<td>131 / 83</td>
<td>j06</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1688</td>
<td>SUHARNI / SUHARNO</td>
<td>080006301</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 150</td>
<td>150 / 90</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1689</td>
<td>DAVIN PUTRA PRATAMA / GUNTUR</td>
<td>0000313602</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 118</td>
<td>14.4/KURUS</td>
<td>110 / 60</td>
<td>j06</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1690</td>
<td>9090A3003</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>23 / 119</td>
<td>16.2/KURUS</td>
<td>100 / 70</td>
<td>j06</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1691</td>
<td>ARYA ANNAFI AR RAHMAN / NANANG ROHMAN</td>
<td>00A99303</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>16 / 78</td>
<td>89 / 56</td>
<td>R50</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1692</td>
<td>FARIDAH / JAYA SUNJAYA</td>
<td>0000367101</td>
<td>JL. LAMPER SARI NO 6</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>67.4 / 156</td>
<td>124 / 78</td>
<td>z35</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1693</td>
<td>KINARA NAFECHIA JESLYN / NANDA PUTRA ABDI KELANA </td>
<td>90F041002</td>
<td>JL.DURIAN V/38</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.9 / 65</td>
<td>16.3/KURUS</td>
<td>80 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1694</td>
<td>SULASTRI / PRATEKNO</td>
<td>089090313201</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 152</td>
<td>170 / 100</td>
<td>Z71</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>1695</td>
<td>MEISYA FEBILIYANA / BAGAS</td>
<td>00D023101</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 158</td>
<td>119 / 89</td>
<td>Z00</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1696</td>
<td>LAURENSIA YATI T.RISAKAHOE / SUGIYONO</td>
<td>00A99001</td>
<td>JL. SOMPOK LAMA NO.48</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 160</td>
<td>138 / 78</td>
<td>H44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1697</td>
<td>MUHAMMAD ARSYA MARSAID / KOMAR</td>
<td>0000550404</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 119</td>
<td>12.7/KURUS</td>
<td>110 / 70</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1698</td>
<td>AISHWA ALIYYA WAFDA / INDRA RIYANTO</td>
<td>00D007402</td>
<td>JL.LAMPER YTENGAH XII</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.1 / 71</td>
<td>16.1/KURUS</td>
<td>80 / 60</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1699</td>
<td>WAKIDI / WAKIDI</td>
<td>0000551000</td>
<td>JL.LAMPER TENGAH VIII</td>
<td>L</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 171</td>
<td>153 / 90</td>
<td>A09</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>1700</td>
<td>SUMI / AGUS PRAYITNO</td>
<td>00B98601</td>
<td>JL. CEMPEDAK UTARA 54/A</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>200 / 111</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1701</td>
<td>NADIM RASENDRIYA ANDHANU / WAWAN ADI</td>
<td>00B34602</td>
<td>JL.LAMPER TENGAH IV</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.5 / 105</td>
<td>13.2/KURUS</td>
<td>89 / 59</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1702</td>
<td>ANANDA APRILIANI HARYANA / MULYONO</td>
<td>90G078004</td>
<td>BONDO JEPARA</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 155</td>
<td>108 / 81</td>
<td>r50</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1703</td>
<td>SUMARNI / SUTRISNO</td>
<td>080000108101</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 148</td>
<td>122 / 80</td>
<td>E11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1704</td>
<td>0000B88301</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 158</td>
<td>15.2/KURUS</td>
<td>183 / 88</td>
<td>e11.6</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1705</td>
<td>ENY KUSRINI / ENY KUSRINI</td>
<td>90C79300</td>
<td>PERUM WOLTER MONGINSIDI PERMAI NO.12</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 156</td>
<td>110 / 66</td>
<td>K02</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1706</td>
<td>GALUH AMBAR FEBRIYANTI / AHSAN SUBARI</td>
<td>90A82003</td>
<td>JL.SAPUTAN RAYA NO.56</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 157</td>
<td>17.9/KURUS</td>
<td>112 / 76</td>
<td>j98</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>1707</td>
<td>EKO ENDRI SWASTARINI / AHSAN SUBARI</td>
<td>90A82001</td>
<td>JL.SAPUTAN RAYA NO 56</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 146</td>
<td>99 / 65</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>1708</td>
<td>ELYSA NOVELITA SARI / MULYONO</td>
<td>080000807204</td>
<td>JL. LAMPER ENGAH</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>28 / 145</td>
<td>13.3/KURUS</td>
<td>120 / 70</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1709</td>
<td>00E042101</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 150</td>
<td>148 / 85</td>
<td>k05.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1710</td>
<td>IRFA APRIL PURNA IRAWAN / IRFA APRIL PURNA IRAWAN</td>
<td>90G072600</td>
<td>L</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 166</td>
<td>120 / 80</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1711</td>
<td>ADITYA RAHMAT ISMAIL / M. EKO SUSANTO</td>
<td>90I009802</td>
<td>KP. GANGIN TIMUR V</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 170</td>
<td>90 / 57</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Bangetayu Wetan</td>
</tr> <tr>
<td>1712</td>
<td>KISRINI / WARTONO</td>
<td>080000707501</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>103 / 144</td>
<td>140 / 90</td>
<td>g44</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1713</td>
<td>NABILA SALSABILA / ANTONIUS KRISTANTOMI </td>
<td>0000168905</td>
<td>JL.RAMBUTAN III NO.68</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 157</td>
<td>110 / 70</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1714</td>
<td>080000327600</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>98 / 165</td>
<td>120 / 80</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1715</td>
<td>MUHAMMAD ERZHAN ALVARO / RUDY HERMAWAN</td>
<td>0000801003</td>
<td>JL.LAMPER TENGAH VIII NO.08</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.7 / 75</td>
<td>17.2/KURUS</td>
<td>60 / 48</td>
<td>R50</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1716</td>
<td>HENI NINGSIH / INDARTO</td>
<td>080000517401</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>150 / 90</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1717</td>
<td>AYU ADITIARANI SENIWATI / SIHONO</td>
<td>080000192102</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>106 / 165</td>
<td>200 / 100</td>
<td>i10</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1718</td>
<td>ZUMRATUN FATHONAH / ZAENAL ABIDIN</td>
<td>90F082302</td>
<td>JL.PLAMONGAN SARI V</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 149</td>
<td>134 / 75</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1719</td>
<td>RUDY HERMAWAN / RUDY HERMAWAN </td>
<td>0000801000</td>
<td>lamper tengah</td>
<td>L</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>84 / 165</td>
<td>130 / 80</td>
<td>M54.38</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1720</td>
<td>RETNO WULAN / RUDY HERMAWAN</td>
<td>070000801007</td>
<td>JL.LAMPER TENGAH VIII NO.8</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 148</td>
<td>127 / 92</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1721</td>
<td>KASTAMAH PROLANIS / KASTAMAH</td>
<td>08000J116500</td>
<td>P</td>
<td>73 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 155</td>
<td>120 / 70</td>
<td>E11.6</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1722</td>
<td>REIGA HARDANIANSYA / RICKY HARDANI</td>
<td>00B41602</td>
<td>JL.LAMPER KRAJAN</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 120</td>
<td>13.9/KURUS</td>
<td>100 / 70</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1723</td>
<td>AGUS SUGIARTO / AGUS SUGIARTO</td>
<td>90B48200</td>
<td>JL. LAMPER TENGAH 12/11</td>
<td>L</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 165</td>
<td>178 / 78</td>
<td>i10</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1724</td>
<td>NGATINI / ASMUNI</td>
<td>080000375601</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 150</td>
<td>115 / 70</td>
<td>z71</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1725</td>
<td>DIAN RAHAYU PUJIANTI / EKO WIBOWO</td>
<td>9090179701</td>
<td>JL. TANDANG SELATAN </td>
<td>P</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 155</td>
<td>1222 / 82</td>
<td>j06</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>1726</td>
<td>NAYLA AISYAH APRILIANA / EKO WIBOWO</td>
<td>9090179703</td>
<td>JL. TANDANG SELATAN JOMBLANG CANDISARI</td>
<td>P</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 120</td>
<td>16.7/KURUS</td>
<td>120 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>1727</td>
<td>90E099001</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gisikdrono</td>
</tr> <tr>
<td>1728</td>
<td>BRAM WIRATMA / BRAM WIRATMA</td>
<td>90I009900</td>
<td>BERINGIN PUTIH KAV. BUMI INDAH LESTARI NO.24-25</td>
<td>L</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 175</td>
<td>18/KURUS</td>
<td>100 / 74</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Bringin</td>
</tr> <tr>
<td>1729</td>
<td>ZHAFRAN BAGUS ARDIANSYAH / YOSEP BAGUS PURNOMO</td>
<td>90E099002</td>
<td>TARUPOLO TENGAH </td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>13 / 88</td>
<td>16.8/KURUS</td>
<td>90 / 60</td>
<td>R05</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Gisikdrono</td>
</tr> <tr>
<td>1730</td>
<td>JOKO SUSANTORO / JOKO SUSANTORO</td>
<td>00165100</td>
<td>JL. MANGGIS IV/25B</td>
<td>L</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 150</td>
<td>109 / 72</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1731</td>
<td>SUPAMI / JUMADI</td>
<td>00C29301</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>90 / 155</td>
<td>140 / 81</td>
<td>R10.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1732</td>
<td>ANGELIKA PUTRI NUR AINI / ENDAH SULISTYO</td>
<td>00E085803</td>
<td>JL. JAMBU II NO 8 </td>
<td>P</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 160</td>
<td>17.6/KURUS</td>
<td>116 / 80</td>
<td>k30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1733</td>
<td>ROHANI / TUKIMIN</td>
<td>90F040901</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 160</td>
<td>107 / 59</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1734</td>
<td>RISMA YUDIANTO / RISMA</td>
<td>9090179100</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 160</td>
<td>110 / 70</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1735</td>
<td>GIBRAN HAMISH S / MEDI SUSILO</td>
<td>9090268403</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>15 / 115</td>
<td>11.3/KURUS</td>
<td>100 / 70</td>
<td>r50</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1736</td>
<td>PANDU HASAN AL AMIN / RO</td>
<td>0000170902</td>
<td>PETERONGAN TENGAH NO.369</td>
<td>L</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 162</td>
<td>110 / 64</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1737</td>
<td>CAHYO TRI UTOMO / SENTUN</td>
<td>90E044704</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 171</td>
<td>96 / 65</td>
<td>G44</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>1738</td>
<td>MOHAMAD TRI ADI WIBOWO / MOHAMAD TRI ADI WIBOWO</td>
<td>00C065400</td>
<td>JL. LAMPER TENGAH XIV/16</td>
<td>L</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 166</td>
<td>106 / 66</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1739</td>
<td>SULASTRI / KARKONO</td>
<td>BPJS019002</td>
<td>JL. PETERONGAN KOBONG NO. 43</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 157</td>
<td>107 / 70</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1740</td>
<td>ABDUL KHAMDI / ABDUL KHAMDI</td>
<td>089090013600</td>
<td>L</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 155</td>
<td>120 / 70</td>
<td>Z96.1</td>
<td>lansia</td>
<td>ya</td>
<td>Gemah</td>
</tr> <tr>
<td>1741</td>
<td>CHARLI WIMALARATNA / AGUNG PRIHATIN</td>
<td>00B52001</td>
<td>BANCAR ASRI II/18, LAMPER TENGAH</td>
<td>P</td>
<td>37 Tahun</td>
<td></td>
<td></td>
<td>60 / 160</td>
<td>124 / 77</td>
<td>k01.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1742</td>
<td>RAHAYU / RAHAYU</td>
<td>0800J119700</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 152</td>
<td>120 / 70</td>
<td>M65.44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1743</td>
<td>MELISSA ARIF KRISTI / DARE NURCHISTI NANDUNG</td>
<td>00D035002</td>
<td>LAMPER KRAJAN NO 1613 H</td>
<td>P</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>27 / 132</td>
<td>15.5/KURUS</td>
<td>120 / 70</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1744</td>
<td>FIRLY RISKI / SUWARNO</td>
<td>00E085904</td>
<td>JL. LAMPER TENGAH GG 8 NO.9C</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 165</td>
<td>120 / 70</td>
<td>T25.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1745</td>
<td>KASMINAH / SUWANTO</td>
<td>00C11701</td>
<td>LAMPER TENGAH I NO 575</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 158</td>
<td>24/NORMAL</td>
<td>132 / 76</td>
<td>h81.3</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1746</td>
<td>sumini / sarmi</td>
<td>0000165204</td>
<td>jl lamper tgh</td>
<td>P</td>
<td>48 Tahun</td>
<td></td>
<td></td>
<td>43 / 149</td>
<td>124 / 78</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1747</td>
<td>RATNO PRASETYO / RATNO PRASETYO</td>
<td>089090401000</td>
<td>L</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 168</td>
<td>133 / 83</td>
<td>T23.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1748</td>
<td>ZEFANYA GRACIA / ALBERT SYAUTA</td>
<td>90C66903</td>
<td>P</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>23 / 120</td>
<td>16/KURUS</td>
<td>120 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1749</td>
<td>ALYSA KHAIRA WILDA / DESI IRNAWATI</td>
<td>080000606903</td>
<td>JL.KEDONDONG DALAM II</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 130</td>
<td>12.4/KURUS</td>
<td>110 / 80</td>
<td>a15</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1750</td>
<td>NUR WIDODO / NUR WIDODO</td>
<td>90I010000</td>
<td>L</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 160</td>
<td>117 / 76</td>
<td>B76.9</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1751</td>
<td>00A4900</td>
<td>L</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>122 / 73</td>
<td>h81.3</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1752</td>
<td>UMI FATIMAH / UMI FATIMAH</td>
<td>0000403301</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>120 / 70</td>
<td>e11.6</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1753</td>
<td>AQILA STEVANI MAURIN / ADE SAM MAHENDRA</td>
<td>00E086002</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3160 / 48</td>
<td>80 / 60</td>
<td>l30</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1754</td>
<td>00D90202</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 152</td>
<td>120 / 80</td>
<td>h52.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1755</td>
<td>AZRIL RAHANDIKA AHMAD / AHMAD THOLIB</td>
<td>0000A44305</td>
<td>PETERONGAN KOBONG</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>17.2 / 71</td>
<td>80 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1756</td>
<td>JUMINEM / JUMINEM</td>
<td>080000505301</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 148</td>
<td>21/NORMAL</td>
<td>133 / 70</td>
<td>j02</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1757</td>
<td>INTAN RAHMADHANI PUTRI / SUDARTO</td>
<td>0001005302</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 142</td>
<td>100 / 70</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1758</td>
<td>90D070701</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 153</td>
<td>123 / 86</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1759</td>
<td>00A13402</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 161</td>
<td>18.1/KURUS</td>
<td>120 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1760</td>
<td>RAFID ARSENIO FARAYYAN / MOH ALFANSURI ERIYANA</td>
<td>00C22703</td>
<td>JL. MANGGIS VII NO.53</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 117</td>
<td>14.6/KURUS</td>
<td>120 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1761</td>
<td>YANIK / SUROSO</td>
<td>00C30201</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 154</td>
<td>130 / 80</td>
<td>z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1762</td>
<td>NGATIYEM / DWI PURNOMO</td>
<td>080000J4901</td>
<td>CEMPEDAK UTARA</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 150</td>
<td>150 / 80</td>
<td>z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1763</td>
<td>TENTREM / SLAMET RIMANTO</td>
<td>00J123501</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 158</td>
<td>120 / 70</td>
<td>h52.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1764</td>
<td>SITI ROFIAH / BUDI </td>
<td>080000510101</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 155</td>
<td>150 / 80</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1765</td>
<td>SUTINI / TIDAK TAHU</td>
<td>00E086101</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>120 / 80</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1766</td>
<td>SRI HANDAYANI / TIDAK TAHU</td>
<td>00E086201</td>
<td>JL. CEMPEDAK UTARA VII</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>120 / 70</td>
<td>z71</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1767</td>
<td>SURATMI / SUNGKONO</td>
<td>0800J96001</td>
<td>PISANG, LAMPER TENGAH</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 157</td>
<td>131 / 81</td>
<td>m79.1</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1768</td>
<td>DINING ARDIYANI / WAHYU PRASTYANTO</td>
<td>00C054901</td>
<td>JALAN LAMPER TENGAH II</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>37 / 148</td>
<td>16.9/KURUS</td>
<td>89 / 65</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1769</td>
<td>0800J100200</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 167</td>
<td>119 / 68</td>
<td>r05</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1770</td>
<td>00E059900</td>
<td>L</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 165</td>
<td>120 / 80</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1771</td>
<td>LINAWATI / SUTOYO</td>
<td>90D032701</td>
<td>JL.DUSUN NGABLAK KEL.NGRAJI KEC.PURWODADI KAB.GROBOGAN</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 144</td>
<td>111 / 78</td>
<td>Z30</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1772</td>
<td>AZZAHRA RAHMADHANI / RAHMANTO</td>
<td>00550303</td>
<td>JL. JERUK VI/18</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>26 / 120</td>
<td>18.1/KURUS</td>
<td>90 / 60</td>
<td>r50</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1773</td>
<td>ROCHAYATI / ROCHAYATI</td>
<td>00A014000</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 150</td>
<td>157 / 87</td>
<td>m06</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1774</td>
<td>AZZALEA AGISTA KHANSA / FERRY FERDIYANTO</td>
<td>00473704</td>
<td>JL RAMBUTAN BARAT NO 6</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.9 / 75</td>
<td>89 / 58</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1775</td>
<td>SUTRISNI / MUHLISIN</td>
<td>00A156001</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>100 / 74</td>
<td>W57</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1776</td>
<td>080000194901</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 154</td>
<td>163 / 93</td>
<td>k04.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1777</td>
<td>ALLEN FARESTA SANJAYA / ALFIN TRIARIES SANJAYA</td>
<td>90G043702</td>
<td>JL.CERME IV NO.75</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>9 / 69</td>
<td>72 / 51</td>
<td>r50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1778</td>
<td>NURMASHITA FAZILA P / FERRY FERDIYANTO</td>
<td>080000473702</td>
<td>JL. RAMBUTAN BARAT NO.6</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 149</td>
<td>23/NORMAL</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1779</td>
<td>QIANA AZAHRA ATIQAH / FERRY FERDIYANTO</td>
<td>0000473705</td>
<td>JL. RAMBUTAN BARAT NO. 6</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4700 / 55</td>
<td>89 / 58</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1780</td>
<td>JUMINI (PROLANIS) / BAMBANG SRI RAHARJO</td>
<td>00C14702</td>
<td>JL. DURIAN III NO.15</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 145</td>
<td>125 / 67</td>
<td>I10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1781</td>
<td>SUMARNI / ENDRO SULISTIANTO</td>
<td>00D028301</td>
<td>JL SOMPOK LAMA NO 66</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 158</td>
<td>144 / 105</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1782</td>
<td>DESEM NATALIA / YAMA MOCH WIBOWO</td>
<td>90B63102</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>101 / 157</td>
<td>120 / 80</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>1783</td>
<td>SLAMET SANTOSO / SLAMET SANTOSO</td>
<td>0025APRIL2015KIR</td>
<td>L</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 160</td>
<td>122 / 76</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1784</td>
<td>KEZIA PUTRI / HELENG SAPUTRA</td>
<td>0000308102</td>
<td>P</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 133</td>
<td>13.6/KURUS</td>
<td>92 / 56</td>
<td>r11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1785</td>
<td>0000307001</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 160</td>
<td>116 / 77</td>
<td>L98</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1786</td>
<td>MEISYA FEBILIYANA / BAGAS</td>
<td>00D023101</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>57.5 / 158</td>
<td>23/NORMAL</td>
<td>117 / 81</td>
<td>Z30.1</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1787</td>
<td>00E020000</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 170</td>
<td>160 / 100</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1788</td>
<td>MARYANTO / MARYANTO</td>
<td>0800091700</td>
<td>L</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 165</td>
<td>148 / 94</td>
<td>N39.4</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1789</td>
<td>SARMAWI / SARMAWI</td>
<td>00J047500</td>
<td>L</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 160</td>
<td>138 / 83</td>
<td>E11.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1790</td>
<td>SUGIARTI pos ukk / SUHARDI</td>
<td>00A64500</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 150</td>
<td>115 / 61</td>
<td>r73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1791</td>
<td>RIYANTI / RIYANTI</td>
<td>00D065001</td>
<td>RAMBUTAN VII/26</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 160</td>
<td>125 / 90</td>
<td>i64</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1792</td>
<td>0800023600</td>
<td>L</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 161</td>
<td>110 / 70</td>
<td>z71</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1793</td>
<td>00003882100</td>
<td>L</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>92 / 165</td>
<td>120 / 80</td>
<td>E11.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1794</td>
<td>RUMINAH / RUMINAH</td>
<td>0000252700</td>
<td>JL KANAL LAMPER LOR</td>
<td>P</td>
<td>76 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 146</td>
<td>210 / 83</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1795</td>
<td>ANIK ASNAWATI / ANIK ASNAWATI</td>
<td>080000502701</td>
<td>JL. BANCAR ASRI 3</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 158</td>
<td>95 / 64</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1796</td>
<td>ARIEF HIDAYAT / ARNO SOEWARNO</td>
<td>0800035405</td>
<td>DURIAN</td>
<td>L</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 170</td>
<td>18/KURUS</td>
<td>114 / 69</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1797</td>
<td>90H080601</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>92 / 168</td>
<td>130 / 90</td>
<td>T79</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1798</td>
<td>YUNITA KRISTIANA / RISKI SETIAWAN</td>
<td>0800023602</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 154</td>
<td>125 / 84</td>
<td>k04.0</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>1799</td>
<td>MEI SUDARSIH / MUSA</td>
<td>080000512001</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 149</td>
<td>110 / 70</td>
<td>H26.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>1800</td>
<td>EDAH JUBAEDAH / SUWARNO</td>
<td>0800J35401</td>
<td>JL DURIAN I/30-A</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 153</td>
<td>109 / 84</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1801</td>
<td>PARWATI / MARYANTO</td>
<td>0800091701</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 160</td>
<td>140 / 70</td>
<td>r51</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1802</td>
<td>HARI ISWANTO / HARI ISWANTO</td>
<td>00B29401</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 167</td>
<td>116 / 78</td>
<td>r05</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1803</td>
<td>CIKAL KURNIA / MUGINENGSIH</td>
<td>00E059003</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 163</td>
<td>16.9/KURUS</td>
<td>115 / 72</td>
<td>k13</td>
<td>umum</td>
<td>Peterongan</td>
</tr> <tr>
<td>1804</td>
<td>IMEL YULIANA / OKTA BUDIANTO</td>
<td>00AGUSTUS201413</td>
<td>LAMPER KRAJAN NO 29</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 155</td>
<td>113 / 69</td>
<td>Z35</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1805</td>
<td>LILY RATNAWATI SUWITO / LILY RATNAWATI SUWITO</td>
<td>00E003700</td>
<td>JL. PETERONGAN TIMUR 15-A2</td>
<td>P</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 157</td>
<td>120 / 80</td>
<td>z71</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1806</td>
<td>080J047800</td>
<td>JL.RAMBUTAN BARAT IV/23-A</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 158</td>
<td>24/NORMAL</td>
<td>138 / 79</td>
<td>m79.1</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1807</td>
<td>CIKAL KURNIA / MUGINENGSIH</td>
<td>00E059003</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 163</td>
<td>16.9/KURUS</td>
<td>115 / 72</td>
<td>k13</td>
<td>gigi</td>
<td>Peterongan</td>
</tr> <tr>
<td>1808</td>
<td>FANZA AHNUNG PRATAMA / AHMAD SUPRI</td>
<td>0000186202</td>
<td>JL. LAMPER TENGAH VII/661-D</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 145</td>
<td>119 / 82</td>
<td>a09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1809</td>
<td>PARNO / PARNO</td>
<td>00B32400</td>
<td>BANCAR ASRI TIMUR</td>
<td>L</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 175</td>
<td>16.7/KURUS</td>
<td>110 / 70</td>
<td>N40</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1810</td>
<td>KHEKHE HANDAYANI KURNIAWATI / SUHADI</td>
<td>0800011503</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 164</td>
<td>99 / 65</td>
<td>z00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1811</td>
<td>SRI SUNDARI / WAHYUDI</td>
<td>00E086401</td>
<td>JALAN PETERONGAN SARI NO.38</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 150</td>
<td>105 / 71</td>
<td>l27</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1812</td>
<td>NICHOLAS KEENAN KAVINDRA / EDUARDUS KRISNA KURNIAWAN</td>
<td>90G080802</td>
<td>JALAN MUJAHIR II NO.08 KEL.MINOMARTANI KEC.NGAGLIK KAB.SLEMAN</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5600 / 56</td>
<td>89 / 58</td>
<td>Z00</td>
<td>mtbs</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1813</td>
<td>WISNU YUNIARTO / WISNU YUNIARTO</td>
<td>080J36906</td>
<td>JL. LAMPER KRAJAN </td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 160</td>
<td>108 / 76</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1814</td>
<td>ASRI YULIANTI / ASRI YULIANTI</td>
<td>060000382402</td>
<td>JL. JERUK VIII NO.11A</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 152</td>
<td>120 / 70</td>
<td>F20.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1815</td>
<td>AMORA RAYA CINTA BIANCA / RULISSTIO DHANI HIDAYAT</td>
<td>00C064003</td>
<td>JLN BLIMBING III/3</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>33 / 138</td>
<td>17.3/KURUS</td>
<td>90 / 60</td>
<td>a09</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1816</td>
<td>DEA PUTRI WIDIANINGSIH / WIDODO</td>
<td>0000528502</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 165</td>
<td>102 / 66</td>
<td>H52.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1817</td>
<td>ABBYAN ALFATIH KURNIA / GALANG KURNIA</td>
<td>00E004402</td>
<td>JL. LAMPER TENGAH IX NO.18</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7800 / 68</td>
<td>89 / 56</td>
<td>R50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1818</td>
<td>ATUNG SOFIA EKA / ATUNG SOFIA EKA</td>
<td>9090236102</td>
<td>C MANDIRI X NO.4</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 157</td>
<td>137 / 76</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Mlatiharjo</td>
</tr> <tr>
<td>1819</td>
<td>90I002402</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8300 / 78</td>
<td>89 / 54</td>
<td>A16</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>1820</td>
<td>NUR RUBIAH / SULISTYO</td>
<td>080000068901</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 154</td>
<td>115 / 73</td>
<td>A09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1821</td>
<td>RASTIYAH / SUYATNO</td>
<td>080000387801</td>
<td>P</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>134 / 78</td>
<td>b35.9</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1822</td>
<td>UPIEK CHAMDANAH / AMUNDI</td>
<td>080001001601</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 159</td>
<td>17.4/KURUS</td>
<td>91 / 63</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1823</td>
<td>LIA NOVITA PUTRI / HUSEN BAHTIAR</td>
<td>069090052201</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>57.5 / 153</td>
<td>113 / 65</td>
<td>Z35</td>
<td>kia</td>
<td>tidak</td>
</tr> <tr>
<td>1824</td>
<td>HILMIY ILHAM SYAFIIQ / SURATMAN</td>
<td>00J043902</td>
<td>MANGGIS VIII</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 133</td>
<td>90 / 60</td>
<td>T79</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1825</td>
<td>AZKA PRATAMA HUDA / MUHAMAD NURUL HUDA</td>
<td>00E030202</td>
<td>L</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 145</td>
<td>100 / 70</td>
<td>H57.9</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1826</td>
<td>ARI PURWANINGTYAS / IMAM SUSANTO</td>
<td>080000338302</td>
<td>JLBANCAR ASRI TIMUR NO.10</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>56.8 / 147</td>
<td>127 / 85</td>
<td>Z39</td>
<td>kia</td>
<td></td>
<td>tidak</td>
</tr> <tr>
<td>1827</td>
<td>AZIA HAYU P / DANANG PRASETYO</td>
<td>0003706</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>17.5 / 108</td>
<td>15/KURUS</td>
<td>89 / 58</td>
<td>A01</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>1828</td>
<td>ROIHATUL JANAH / WAHYURI</td>
<td>90I010104</td>
<td>DESA JEMBAYAR , MARGASARI, KAB.TEGAL</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 153</td>
<td>128 / 80</td>
<td>m54.5</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1829</td>
<td>ARIEF BUDIONO YUSUF / ARIEF BUDIONO YUSUF</td>
<td>90I010100</td>
<td>JLN IMAM BONJOL GG 18 NO.19, TEGAL</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 163</td>
<td>18.4/KURUS</td>
<td>86 / 56</td>
<td>k30</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1830</td>
<td>WIDJI / WIDJI</td>
<td>90I010200</td>
<td>JALAN KOKOSAN RAYA 137</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>37 / 155</td>
<td>15.4/KURUS</td>
<td>130 / 70</td>
<td>r50</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1831</td>
<td>ZUFAR GARDAPATI ASTRIA / MOCH IQBAL TRISTIYONO</td>
<td>0000364903</td>
<td>JL. DURIAN</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.7 / 68</td>
<td>16.7/KURUS</td>
<td>90 / 60</td>
<td>H10</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1832</td>
<td>DICKY VIRGIAWAN SEPTIADI / ADI WINARNO</td>
<td>080000427505</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 160</td>
<td>18/KURUS</td>
<td>95 / 66</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1833</td>
<td>MUSRIAH / MUSRIAH</td>
<td>00B34700</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 149</td>
<td>158 / 57</td>
<td>l30</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1834</td>
<td>RAFANDRA ALFARIZQI / NUR FATIKIN</td>
<td>0001005204</td>
<td>JL MANGGIS VIII NO 23</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.8 / 78</td>
<td>89 / 56</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1835</td>
<td>FEBRILOA SANTIKA / bambang hermanto</td>
<td>0000259502</td>
<td>JLN CERME NO.04</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 151</td>
<td>119 / 78</td>
<td>R10.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1836</td>
<td>001001002</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.4 / 98</td>
<td>15/KURUS</td>
<td>89 / 57</td>
<td>A16</td>
<td>mtbs</td>
<td>tidak</td>
<td>Jangli</td>
</tr> <tr>
<td>1837</td>
<td>AKHMAD SAIFUL ALI / AKHMAD SAIFUL ALI</td>
<td>0890902144000</td>
<td>JL. KOKOSAN</td>
<td>L</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 167</td>
<td>111 / 77</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1838</td>
<td>INARA BERNICE RIZQIANA / SONY EKO K</td>
<td>00A61302</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>14 / 106</td>
<td>12.5/KURUS</td>
<td>100 / 70</td>
<td>j06</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1839</td>
<td>MUHAMAD KENZIE CHOERUL SAPUTRA / CHOERUL ANWAR</td>
<td>00240103</td>
<td>JL. CEMPEDAK UTARA NO. 42</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.6 / 98</td>
<td>14.2/KURUS</td>
<td>89 / 54</td>
<td>J00</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1840</td>
<td>AZRIL RAHANDIKA MAUZA / NUR FATIKHIN</td>
<td>001005202</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>16 / 104</td>
<td>14.8/KURUS</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1841</td>
<td>RATRI DWI KUSUMAWARDANI / RIYANTO</td>
<td>08062003</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 148</td>
<td>107 / 73</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1842</td>
<td>00A79002</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 114.5</td>
<td>13.7/KURUS</td>
<td>90 / 60</td>
<td>T79</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>1843</td>
<td>DHIAURRAHMAN ALFARIZI / MOCHAMAD ZAHIRA SETYARDI</td>
<td>90G045602</td>
<td>JL. PENJAWI NO.29 KP. RANDUKUNING, KEL. PATI LOR, KEC.PATI, KAB.
PATI</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.7 / 90</td>
<td>13.2/KURUS</td>
<td>89 / 57</td>
<td>J02</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1844</td>
<td>NIAWATI AISYAH / MOCH IQBAL TRISTIYONO</td>
<td>0000364901</td>
<td>JL. DURIAN</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 162</td>
<td>121 / 81</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1845</td>
<td>VIKA AUDIAN SALSABILA / DEDI HENDRA</td>
<td>0000608509</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 158</td>
<td>17.6/KURUS</td>
<td>110 / 80</td>
<td>K02</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1846</td>
<td>BARRA WIRASENA ALHAFIZ / GADING WAISA PRABOWO</td>
<td>00073003</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.1 / 62</td>
<td>15.9/KURUS</td>
<td>90 / 60</td>
<td>R50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1847</td>
<td>INTAN SETIAWATI / SUGENG RIYADI</td>
<td>0800047404</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 158</td>
<td>99 / 65</td>
<td>J02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1848</td>
<td>EL SHANNON TIRTA WIJAYA / DANIEL ARGA KUNCARA</td>
<td>00A27605</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 103</td>
<td>17/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1849</td>
<td>NUR HAYATI / ROHKMAD</td>
<td>0800047405</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 155</td>
<td>109 / 75</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1850</td>
<td>ASIH SAFITRI ANI / PONIDI</td>
<td>00A45003</td>
<td>JL.PETERONGAN SARI</td>
<td>L</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 158</td>
<td>115 / 75</td>
<td>h81.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1851</td>
<td>FAAZ RAFAEYZA INOV / IRFAN TRI WIBOWO</td>
<td>00D021503</td>
<td>JL, LAMPER MIJEN RAYA NO. 304</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.7 / 64</td>
<td>89 / 54</td>
<td>Z27</td>
<td>imunisasi</td>
<td>tidak</td>
</tr> <tr>
<td>1852</td>
<td>BAYI NYONYA SEPTIANA ERIKA HAPSARI / MUHAMMAD FACHRUDIN EFENDY</td>
<td>90E091604</td>
<td>JL TAMAN BERLIAN NO.07</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.4 / 69.5</td>
<td>15.3/KURUS</td>
<td>89 / 56</td>
<td>J18</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1853</td>
<td>0800J49502</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 162</td>
<td>102 / 59</td>
<td>a09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1854</td>
<td>WARJIYANTI / SUGIMIN</td>
<td>080000355101</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 150</td>
<td>129 / 86</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1855</td>
<td>D KASINDA P AGUNG / E Y M DINA RIGA</td>
<td>00D089605</td>
<td>JL. JERUK NO 7</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 159</td>
<td>100 / 60</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1856</td>
<td>NOFILIA PUTRI MAHARANI / SUGIMIN</td>
<td>080000355104</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 150</td>
<td>117 / 72</td>
<td>H52.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1857</td>
<td>SURADI / SURADI</td>
<td>0800106700</td>
<td>L</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 170</td>
<td>18.3/KURUS</td>
<td>110 / 70</td>
<td>i50.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1858</td>
<td>JODHY ATOP WIJAYA / SUBIYANTORO</td>
<td>90A39302</td>
<td>JL.GULANG KEL.GULANG KEC.MEJOBO KAB.KUDUS</td>
<td>L</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 142</td>
<td>112 / 65</td>
<td>j00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1859</td>
<td>SRI UTAMI / SRI UTAMI</td>
<td>9090237000</td>
<td>JL.KOKOSAN RAYA 6</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 158</td>
<td>141 / 84</td>
<td>r20.2</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>1860</td>
<td>ANDINI NUR AZZAHRA / ANDI YUNIARTO</td>
<td>00A46003</td>
<td>JALAN MEDOHO SELECTA</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.060 / 64.5</td>
<td>90 / 60</td>
<td>r50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Sambirejo</td>
</tr> <tr>
<td>1861</td>
<td>SRI SUKAMTI / SRI SUKAMTI</td>
<td>00C49000</td>
<td>P</td>
<td>75 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 148</td>
<td>110 / 80</td>
<td>j44</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1862</td>
<td>HASAN ALI NUR IBRAHIM / AHMAD ZAIN</td>
<td>9090809505</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>12.9 / 92</td>
<td>15.2/KURUS</td>
<td>90 / 60</td>
<td>j18</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1863</td>
<td>IFA OCTAVIA / SUGIYANTO</td>
<td>000455403</td>
<td>JL.LAMPER TENGAH III/605-A</td>
<td>P</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 122</td>
<td>16.1/KURUS</td>
<td>100 / 70</td>
<td>j06</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1864</td>
<td>ZELINE ZAKEYSHA / ACH JUNAIDI HM</td>
<td>90F022202</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.3 / 87</td>
<td>14.9/KURUS</td>
<td>90 / 60</td>
<td>R50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1865</td>
<td>MUHAMMAD FADLI / SAHYUDI</td>
<td>0000544513914</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 153</td>
<td>18.4/KURUS</td>
<td>103 / 75</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1866</td>
<td>YOHANES YUSI NATA RAHARJA / SIHONO</td>
<td>0000192102</td>
<td>L</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>94 / 153</td>
<td>100 / 70</td>
<td>l30</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1867</td>
<td>PATRA WIJAYANTI / SUMARGIONO</td>
<td>080000505802</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>90 / 155</td>
<td>140 / 96</td>
<td>l50</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1868</td>
<td>ALVINO WIRAWAN MARGIONO / SUMARGIONO</td>
<td>080000505803</td>
<td>L</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 145</td>
<td>111 / 91</td>
<td>H61.2</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1869</td>
<td>ALLEA SYAKILA PUTRI HARNAYYA / SISWADI</td>
<td>0000252305</td>
<td>JL PANDEAN LAMPER IV</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4200 / 52</td>
<td>90 / 60</td>
<td>Z00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1870</td>
<td>SUYAKA (prolanis) / SUYAKA</td>
<td>060000394100</td>
<td>PUCANG ASRI VIII/34</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 167</td>
<td>120 / 80</td>
<td>E11</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1871</td>
<td>LUTHFAH HIDAYANTI / MUH NASIHIN</td>
<td>00B81001</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 156</td>
<td>100 / 80</td>
<td>a09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1872</td>
<td>IBNU NAJIB HAMKA / IBNU ATTAUFIQ</td>
<td>00601004</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 151</td>
<td>117 / 78</td>
<td>R10.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1873</td>
<td>SRI LESTARI / SRI HARTONO</td>
<td>080000430301</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 157</td>
<td>120 / 70</td>
<td>h81.3</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1874</td>
<td>IRWANTO / IRWANTO</td>
<td>00a77200</td>
<td>JL. CEMPEDAK SELATAN</td>
<td>L</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 165</td>
<td>120 / 70</td>
<td>Z47.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1875</td>
<td>INDAH RUSVITASARI / AGUS WIDIANTORO</td>
<td>080000706001</td>
<td>JL. TLOGO INDAH, BATURSARI, MRANGGEN, KAB. DEMAK</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>47.8 / 165</td>
<td>17.6/KURUS</td>
<td>121 / 89</td>
<td>Z34</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1876</td>
<td>SYAHNAJI AHMAD JAUHARRACHMAN / RACHMAD PAMUDJI</td>
<td>90G053590</td>
<td>JL. BUKIT KENANGA II/357</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 155</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1877</td>
<td>NINIK HANDAYANI / BENNY HARYANTO</td>
<td>90B61803</td>
<td>JL.WONODRI JOHO 1018-D</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 156</td>
<td>120 / 70</td>
<td>e11.6</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Wonodri</td>
</tr> <tr>
<td>1878</td>
<td>ELSYA DAYNELLA NATAVIEN HARYANTO / DENNY HARYANTO</td>
<td>90F089602</td>
<td>JL.WONODRI JOHO 1018-D</td>
<td>P</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 158</td>
<td>100 / 70</td>
<td>j02</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>1879</td>
<td>00A13402</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 161</td>
<td>18.1/KURUS</td>
<td>122 / 70</td>
<td>z09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1880</td>
<td>BY NY ARNITA MARGOLANG / RIO ADITYA NUGROHO</td>
<td>90G070102</td>
<td>JL. CEMPAKA LK.VI, KEL. KERAMAT KUBAH, KEC. SEI TUALANG RASO, KOTA
TANJUNGBALAI, PROV. SUMATERA UTARA</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>2200 / 41</td>
<td>90 / 60</td>
<td>L30</td>
<td>mtbs</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1881</td>
<td>ERNAWATI / HARIYADI</td>
<td>90I010501</td>
<td>JL. DUSUN JATE DAJA, PADIKE, TALANGO, KAB. SUMENEP</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>55.6 / 150</td>
<td>100 / 66</td>
<td>Z34</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1882</td>
<td>MUCH ROIS BACHRODI UKK / MUCH ROIS BACHRODI</td>
<td>90I001700</td>
<td>JL. BUKIT MAWAR III/215</td>
<td>L</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 160</td>
<td>180 / 100</td>
<td>i10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1883</td>
<td>90I010501</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>55.6 / 150</td>
<td>100 / 66</td>
<td>Z34</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1884</td>
<td>90I010501</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 150</td>
<td>100 / 66</td>
<td>z34</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1885</td>
<td>90D070701</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 153</td>
<td>93 / 72</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1886</td>
<td>00D90202</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 153</td>
<td>130 / 84</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1887</td>
<td>SARMINAH UKK / TIDAK TAHU</td>
<td>90I010401</td>
<td>JL. KALICARI II</td>
<td>P</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 148</td>
<td>140 / 90</td>
<td>m79.1</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Palebon</td>
</tr> <tr>
<td>1888</td>
<td>080000535600</td>
<td>L</td>
<td>77 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 145</td>
<td>110 / 70</td>
<td>z71</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>1889</td>
<td>SUTOPO YUWONO UKK / SUTOPO YUWONO</td>
<td>90H091300</td>
<td>JL. PLEWAN III</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 165</td>
<td>107 / 65</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>1890</td>
<td>PUJININGSIH UKK / TIDAK TAHU</td>
<td>90I010301</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 149</td>
<td>170 / 100</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1891</td>
<td>SRI KUSMIARTI UKK / TIDAK TAHU</td>
<td>00E086301</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 153</td>
<td>150 / 90</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1892</td>
<td>0000128801</td>
<td>P</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 150</td>
<td>152 / 77</td>
<td>z09.0</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>1893</td>
<td>CATUR SETIA BUDI / AGUS RIYADI</td>
<td>0000175406</td>
<td>JL.MANGGIS VIII</td>
<td>L</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 163</td>
<td>16.9/KURUS</td>
<td>113 / 68</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1894</td>
<td>ENDANG WAHYUNINGSIH / LILIK PUDJIONO</td>
<td>0800023601</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 145</td>
<td>110 / 70</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1895</td>
<td>NABILA HUSNA UKK / TIDAK TAHU</td>
<td>90I010602</td>
<td>JL. ABDUL AMIN I/14</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 53</td>
<td>102 / 70</td>
<td>z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Mangunsari</td>
</tr> <tr>
<td>1896</td>
<td>MULYANI UKK / TIDAK TAHU</td>
<td>00E086501</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 150</td>
<td>179 / 98</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1897</td>
<td>TRYUSA RIO PRASETYO UTOMO UKK / TIDAK TAHU</td>
<td>90I010902</td>
<td>JL. SRIWULAN, SAYUNG</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>100 / 169</td>
<td>140 / 80</td>
<td>r03.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1898</td>
<td>NURHAINI UKK / MUSLIKH</td>
<td>00D013001</td>
<td>JERUK I/6</td>
<td>P</td>
<td>75 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 145</td>
<td>175 / 91</td>
<td>r03.0</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1899</td>
<td>FRANSISKA ROMANA DEWI RESIANTI UKK / TIDAK TAHU</td>
<td>90I010701</td>
<td>SEMARANG</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 155</td>
<td>149 / 84</td>
<td>r03.0</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1900</td>
<td>SITI AISJAH UKK / TIDAK TAHU</td>
<td>90I010801</td>
<td>JL. SIKLUWUNG ASRI NO. 16 </td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 147</td>
<td>154 / 92</td>
<td>r03.0</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>1901</td>
<td>RUMINI UKK / TIDAK TAHU</td>
<td>90I001001</td>
<td>JL. CENDANA UTAMA III/75</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>130 / 80</td>
<td>z71</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1902</td>
<td>SUNGKONO UKK / SUNGKONO</td>
<td>90I011000</td>
<td>JL. WONODRI JOHO III/ 1001-A</td>
<td>L</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 160</td>
<td>140 / 79</td>
<td>r03.0</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>1903</td>
<td>RUMSIYATUN / ONI SETIADI</td>
<td>080000467001</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 153</td>
<td>137 / 90</td>
<td>h81.3</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1904</td>
<td>SUMARNO / SUMARNO</td>
<td>00349200</td>
<td>L</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 160</td>
<td>144 / 83</td>
<td>i10</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1905</td>
<td>SETYO IRAWAN / NURYADI</td>
<td>90I011102</td>
<td>DSN. LEMBUJATI, KEL. BANARAN, KEC. GEMAWANG, KAB. TEMANGGUNG</td>
<td>L</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 162</td>
<td>103 / 68</td>
<td>j00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1906</td>
<td>KEY ALVIZA AZZAHRA / EKO ACHMAD WAHYONO</td>
<td>00C063404</td>
<td>JL. PETERONGAN TIMUR NO.35-E</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5000 / 54</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1907</td>
<td>MELLIA ARYA FIRANUR SUKMA / ASWIN BAHAR ALAMSYAH</td>
<td>080000524603</td>
<td>JL.LAMPER TENGAH II/562-A</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 164</td>
<td>107 / 72</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1908</td>
<td>DZAKY RIJAL WALID AL BARI / INDRA TEGUH</td>
<td>0000363202</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 123</td>
<td>13.2/KURUS</td>
<td>100 / 90</td>
<td>J35.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1909</td>
<td>CHINIRA ZHAFIRA INDRAYANA / INDRA TEGUH P</td>
<td>0000363203</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 153</td>
<td>100 / 70</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1910</td>
<td>SINDHU PANGESTU SAPUTRA / TASA</td>
<td>0000542902</td>
<td>JL. LAMPER TENGAH GANG VIII</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 160</td>
<td>17.6/KURUS</td>
<td>94 / 62</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1911</td>
<td>YEHEZKIEL KENDRICK ZEFANO / TOTOK AGUS SUDARYANTO</td>
<td>0000000J119303</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.6 / 79</td>
<td>15.4/KURUS</td>
<td>86 / 56</td>
<td>R50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1912</td>
<td>ADHIHARJA GUINANDRA ZAINI / AHMAD ZAINI</td>
<td>00D093302</td>
<td>JL. TAMAN DURIAN II/9</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.2 / 74</td>
<td>16.8/KURUS</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
</tr> <tr>
<td>1913</td>
<td>ADIB SHIDQI RABBANI / SHINDU</td>
<td>0000542904</td>
<td>JL.LAMPER TENGAH GANG VIII</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.4 / 68</td>
<td>13.8/KURUS</td>
<td>70 / 51</td>
<td>a09</td>
<td>mtbs</td>
<td>gratis</td>
</tr> <tr>
<td>1914</td>
<td>ULUL NUR SHOLIHAH / WAGIMIN</td>
<td>90I011302</td>
<td>DSN JAJAR, KEL. KARANGASEM, KEC. BULU, KAB. SUKOHARJO</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 168</td>
<td>97 / 82</td>
<td>a09</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1915</td>
<td>ADHIHARJA GUINANDRA ZAINI / AHMAD ZAINI</td>
<td>00D093302</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.2 / 74</td>
<td>16.8/KURUS</td>
<td>89 / 56</td>
<td>Z27</td>
<td>mtbs</td>
</tr> <tr>
<td>1916</td>
<td>ANGGA PRATAMA / IFTAH KOIRUDIN</td>
<td>080000444402</td>
<td>DUSUN KARANGKEPOH</td>
<td>L</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 145</td>
<td>115 / 76</td>
<td>j00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1917</td>
<td>00A88803</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 146</td>
<td>100 / 70</td>
<td>J20</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1918</td>
<td>ABBYAN ALFATIH KURNIA / GALANG KURNIA</td>
<td>00E004402</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7700 / 69</td>
<td>72 / 50</td>
<td>r50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1919</td>
<td>ARFAN GHAZZAL AL HUSAYN / MUH NUR SHOLEH</td>
<td>000384103</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.3 / 68</td>
<td>15.8/KURUS</td>
<td>89 / 57</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1920</td>
<td>ENTIN KARTINI / HADI SUHARJO</td>
<td>080000603801</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 153</td>
<td>140 / 90</td>
<td>R03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1921</td>
<td>SUPONO / SUPONO</td>
<td>90I011200</td>
<td>L</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 158</td>
<td>100 / 60</td>
<td>n39.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>1922</td>
<td>RASENDRIYA NARENDRA TAMA / BAYU DEWATOMO</td>
<td>00D004202</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7700 / 68</td>
<td>70 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1923</td>
<td>080000194901</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 154</td>
<td>143 / 87</td>
<td>R73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1924</td>
<td>AZRIEL RAFFARDHAN GALEN ATHALA / LELITTA YONANDA WICAHYANI</td>
<td>90C86203</td>
<td>JL. GAYAMSARI V DALAM</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>15.1 / 102</td>
<td>14.5/KURUS</td>
<td>89 / 56</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1925</td>
<td>MOELYO WIDODO / MOELYO WIDODO</td>
<td>00E081800</td>
<td>JL. MANGGIS VII/34</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>140 / 90</td>
<td>R73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1926</td>
<td>THEO MUHAMMAD R. / TEGUH KRISTIYANTO</td>
<td>00J128303</td>
<td>JL. DURIAN I NO. 30 B</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6445 / 63</td>
<td>70 / 51</td>
<td>Z00</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1927</td>
<td>90C42502</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 155</td>
<td>17.9/KURUS</td>
<td>112 / 78</td>
<td>f45</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>Jomblang</td>
</tr> <tr>
<td>1928</td>
<td>080000198205</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.3 / 75</td>
<td>13/KURUS</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1929</td>
<td>LUTHFI WINARNI A / LUTHFI WINARNI A</td>
<td>00D089801</td>
<td>JL. LAMPER LOR NO.1057</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>74.5 / 160</td>
<td>152 / 89</td>
<td>Z27</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1930</td>
<td>ARSYILA SAVINA HAFIZHAH / BAGUS SUGIHARTO</td>
<td>00B44405</td>
<td>JL. LAMPER TENGAH II NO.594-B</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4065 / 55</td>
<td>70 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1931</td>
<td>ALIKHA RANEYSHA PUTRI / ERNAS ADINOMO</td>
<td>90G092003</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.3 / 69</td>
<td>15.3/KURUS</td>
<td>89 / 57</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1932</td>
<td>00B48400</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>140 / 90</td>
<td>r03.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1933</td>
<td>ALISHA DIRANDRA SASMAYA / ERNAS ADINOMO</td>
<td>90G092002</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>12.9 / 91</td>
<td>15.6/KURUS</td>
<td>89 / 56</td>
<td>J18</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1934</td>
<td>DENI SETIAWAN / IS SUPRIYANTO</td>
<td>00B84002</td>
<td>L</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 169</td>
<td>126 / 73</td>
<td>l24</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1935</td>
<td>KHAYRA FAZILA FARHANA / REDA LAKSANA</td>
<td>90D08902</td>
<td>JL.TANDANG</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.7 / 74</td>
<td>15.9/KURUS</td>
<td>72 / 51</td>
<td>J06</td>
<td>imunisasi</td>
<td>gratis</td>
<td>Jomblang</td>
</tr> <tr>
<td>1936</td>
<td>NUR ANDRIANI / NUR ARIFIN</td>
<td>080000437201</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 155</td>
<td>117 / 77</td>
<td>g56.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>1937</td>
<td>SANEM / SUGIANTO</td>
<td>0800J18201</td>
<td>P</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 148</td>
<td>100 / 70</td>
<td>k30</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1938</td>
<td>KHAYRA FAZILA FARHANA / REDA LAKSANA</td>
<td>90D08902</td>
<td>JL.TANDANG</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.7 / 74</td>
<td>15.9/KURUS</td>
<td>72 / 51</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>Jomblang</td>
</tr> <tr>
<td>1939</td>
<td>JANEETA SYAKHIRA ALMAHYRA / SULISTIONO</td>
<td>0000274103</td>
<td>PANDEAN LAMPER IV </td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.4 / 73.5</td>
<td>72 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1940</td>
<td>WAHYUNINGSIH / WAHYUNINGSIH</td>
<td>00BPJS023091</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 164</td>
<td>131 / 77</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1941</td>
<td>90C42502</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 155</td>
<td>17.9/KURUS</td>
<td>112 / 78</td>
<td>F45</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>Jomblang</td>
</tr> <tr>
<td>1942</td>
<td>AZZALEA PRISA SUBAGIYA / AGUS SUBAGIYA</td>
<td>00B58204</td>
<td>JL.PETERONGAN BUGEL </td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8300 / 73</td>
<td>70 / 51</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1943</td>
<td>SUMARDJO / SUMARDJO</td>
<td>000453300</td>
<td>L</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 157</td>
<td>120 / 80</td>
<td>R22.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1944</td>
<td>UMI NUR HIDAYAH / WARIMIN</td>
<td>00B95301</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 158</td>
<td>141 / 99</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1945</td>
<td>WIWIK SURYANA / MOCH.DWI CAHYONO</td>
<td>0000194701</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>66.8 / 155</td>
<td>118 / 67</td>
<td>O36.5</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1946</td>
<td>SHAKILA KHANZA RAHMADINA / SLAMET RIYADI</td>
<td>0000B12403</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 120</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1947</td>
<td>IRVAN TRI WIBOWO / IRVAN TRI WIBOWO</td>
<td>00D021590</td>
<td>JL.JOMBLANG SARI</td>
<td>L</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 174</td>
<td>134 / 89</td>
<td>r05</td>
<td>umum</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>1948</td>
<td>SRI SUNARTI / JOKO BARONO</td>
<td>00C02101</td>
<td>JL. PETERONGAN 33</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 150</td>
<td>117 / 84</td>
<td>r05</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1949</td>
<td>SLAMET SUPAADI / SLAMET SUPAADI</td>
<td>00044600</td>
<td>L</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>120 / 80</td>
<td>i25</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1950</td>
<td>AGAM ABDILLAH PRATAMA / SUPRIYADI</td>
<td>00E051502</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>27 / 123</td>
<td>17.8/KURUS</td>
<td>100 / 70</td>
<td>r11</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1951</td>
<td>NILA ZAHROTUL FITRIYANI / DWI ANGGIT RIRISKI FEBRIANSYAH</td>
<td>90I011401</td>
<td>DSN KEMBANGAN, KEL. KEMBANGAN, KEC. BUKATEJA, KAB. PURBALINGGA</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>39.3 / 149.7</td>
<td>17.5/KURUS</td>
<td>109 / 83</td>
<td>Z34</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1952</td>
<td>COLIN EDWARD MARIUS / COLIN EDWARD MARIUS</td>
<td>00C18700</td>
<td>JL. MANGGIS II/8A </td>
<td>L</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 159</td>
<td>136 / 77</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1953</td>
<td>DINING ARDIYANI / WAHYU PRASTYANTO</td>
<td>00C054901</td>
<td>JALAN LAMPER TENGAH II</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>37 / 148</td>
<td>16.9/KURUS</td>
<td>86 / 61</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1954</td>
<td>MUHAMMAD ROYYAN PUTRA RARA / TUKIJAN / RANGGA ANDREAS PRATAMA</td>
<td>0800008690</td>
<td>JL. CEMPEDAK UTARA II NO. 17/1</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.2 / 76</td>
<td>15.9/KURUS</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1955</td>
<td>90A81600</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>62.8 / 169</td>
<td>22/NORMAL</td>
<td>116 / 69</td>
<td>k04.0</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1956</td>
<td>PONIDI / PONIDI</td>
<td>00A45000</td>
<td>JL. PETERONGAN SARI RAYA NO.9</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 170</td>
<td>120 / 70</td>
<td>e11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1957</td>
<td>SUMIYATI / SUMIYATI</td>
<td>080000459501</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 152</td>
<td>123 / 71</td>
<td>h81.3</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1958</td>
<td>RADITIYA DASILVA / AGUNG NUGROHO</td>
<td>90C042806</td>
<td>JL. CINDE SELATAN </td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 158</td>
<td>115 / 76</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>1959</td>
<td>080000520701</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 151</td>
<td>122 / 87</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1960</td>
<td>WARIMIN / WARIMIN</td>
<td>00B95300</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 169</td>
<td>166 / 89</td>
<td>h81.3</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1961</td>
<td>SRIYADI / SRIYADI</td>
<td>90B6000</td>
<td>JL.MANGGIS 8</td>
<td>L</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 160</td>
<td>118 / 74</td>
<td>n39.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1962</td>
<td>LEA KRISTIANI / SLAMET ISKAK</td>
<td>08000108702</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>58.5 / 152</td>
<td>100 / 54</td>
<td>O36.5</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1963</td>
<td>INTAN DESY ROFAIDA / INTAN DESY ROFAIDA</td>
<td>0000295402</td>
<td>JL. LAMPER KRAJAN RAYA</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 164</td>
<td>105 / 75</td>
<td>Z34</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1964</td>
<td>TITIN SUMARNI RKH / TITIN SUMARNI RKH</td>
<td>0800j61001</td>
<td>JL. LAMPER TENGAH II/570A</td>
<td>P</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 148</td>
<td>134 / 72</td>
<td>i64</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1965</td>
<td>NUR APRILIANI / SUPARMI</td>
<td>00C070402</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 155</td>
<td>116 / 96</td>
<td>N92.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1966</td>
<td>YUNI LESTARI / ADI WIJAYANTO</td>
<td>089090282198</td>
<td>JL. GAYAMSARI 1/1</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 150</td>
<td>120 / 70</td>
<td>j02</td>
<td>umum</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>1967</td>
<td>EMILY NIRANKARA ICHI RADEVA / ALEXANDER DEVANDA WISNU P.</td>
<td>00E086602</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3200 / 50</td>
<td>89 / 58</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1968</td>
<td>DEWI SUNARTI / WAHYUDI</td>
<td>00A43501</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 156</td>
<td>23/NORMAL</td>
<td>111 / 74</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1969</td>
<td>JAVIER AKTAM KHAIRULLAH / WAHYUDI</td>
<td>00A43502</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 98</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1970</td>
<td>SARNI / SARNI</td>
<td>90D08501</td>
<td>JL. WONODRI SENDANG </td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 157</td>
<td>170 / 95</td>
<td>m54.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Wonodri</td>
</tr> <tr>
<td>1971</td>
<td>LEON PRATAMA SETIAWAN / BERNARD AUGUSTA SETIAWAN</td>
<td>90I011602</td>
<td>JL. GAYAMSARI </td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.2 / 76</td>
<td>12.5/KURUS</td>
<td>98 / 56</td>
<td>K12</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>1972</td>
<td>SRI HARYATI / SRI HARYATI</td>
<td>00D081100</td>
<td>JL. LAMPER TENGAH I / 545.B</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 149</td>
<td>169 / 95</td>
<td>e11.6</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1973</td>
<td>CAKRA BAGUS KURNIAWAN / AMPOH</td>
<td>00D022802</td>
<td>L</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 170</td>
<td>112 / 77</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1974</td>
<td>ALESHA FALISHA DEA KIRANA / EKHA DEDI PERMADI</td>
<td>00B21490</td>
<td>KRAPYAK</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.8 / 72</td>
<td>89 / 54</td>
<td>Z27</td>
<td>imunisasi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1975</td>
<td>SUPRIYANTO / SUPRIYANTO</td>
<td>90B27200</td>
<td>JL. BANCAR ASRI II</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 169</td>
<td>125 / 76</td>
<td>K02</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1976</td>
<td>AZHAR FIRDAUS AL FATIH / ABDUL FATIH</td>
<td>90C62802</td>
<td>JL. WONODRI BARU VI-K/22</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>16.5 / 96</td>
<td>17.9/KURUS</td>
<td>80 / 60</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>1977</td>
<td>SHAFIYYAH / ASQOLANI</td>
<td>080000270003</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 158</td>
<td>82 / 62</td>
<td>R05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1978</td>
<td>MUKMINATUL AFIFAH / LASMIN</td>
<td>90D088702</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 161</td>
<td>102 / 72</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1979</td>
<td>ETHAN GAVRA SHANKARA / SEIKO WAHYU KUSDIANTO</td>
<td>00B93603</td>
<td>JL. LAMPER MIJEN RAYA NO.303-A</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4100 / 52.5</td>
<td>89 / 54</td>
<td>Z00</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1980</td>
<td>0000295402</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 164</td>
<td>105 / 75</td>
<td>Z34</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1981</td>
<td>EKA EFENDI / ALFIAN ADI PRASETYO</td>
<td>90I011501</td>
<td>DSN. KARAJAN. KEL. MEKARJAYA, KEC. PURWASARI, KAB. KARAWANG</td>
<td>P</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>67.3 / 156</td>
<td>97 / 84</td>
<td>z34</td>
<td>kia</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1982</td>
<td>0000295402</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 164</td>
<td>105 / 75</td>
<td>Z34</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1983</td>
<td>GRIZELLE VANDA ARETHA / TATAG ADE PRASETYA</td>
<td>00C18205</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3750 / 52</td>
<td>72 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1984</td>
<td>NABHAN RAFFASYA TRISTAN / SUTRIYONO</td>
<td>00B8803</td>
<td>JL.PISANG I</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>28 / 113</td>
<td>90 / 60</td>
<td>r11</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>1985</td>
<td>00D036100</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>33 / 150</td>
<td>14.7/KURUS</td>
<td>110 / 70</td>
<td>a15</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1986</td>
<td>080000522402</td>
<td>L</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>35 / 156</td>
<td>14.4/KURUS</td>
<td>120 / 70</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>1987</td>
<td>TUMINAH / SURYANTO</td>
<td>080000054501</td>
<td>JL. LAMPER TENGAH GANG XII</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 150</td>
<td>129 / 81</td>
<td>G44.0</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>1988</td>
<td>00025301</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 149</td>
<td>145 / 44</td>
<td>K02</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>1989</td>
<td>ML.SOEMARMI / MURTOPO</td>
<td>070000602001</td>
<td>JL. LAMPER TENGAH III NO 604</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 145</td>
<td>171 / 80</td>
<td>i10</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>1990</td>
<td>JUJUK AMBAR KENCONOSARI / BUDI MARGONO</td>
<td>069090301003</td>
<td>JL. SENDANGGUWO II</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 155</td>
<td>102 / 61</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1991</td>
<td>DESTIA AZZAHRA / MOCH HASAN</td>
<td>080000405102</td>
<td>JL. LAMPER TENGAH XV B</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 153</td>
<td>110 / 80</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1992</td>
<td>HARYANTO / HARYANTO</td>
<td>080000805500</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 160</td>
<td>18/KURUS</td>
<td>140 / 70</td>
<td>I50.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>1993</td>
<td>JUSTIN YUSUF HANIF / FATCHAN</td>
<td>909066</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>29 / 120</td>
<td>100 / 60</td>
<td>k12</td>
<td>umum</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>1994</td>
<td>SANTOSO / SANTOSO</td>
<td>90D076800</td>
<td>JL.CINDE DALAM I NO.28</td>
<td>L</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>158 / 95</td>
<td>n18</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Jomblang</td>
</tr> <tr>
<td>1995</td>
<td>FELLYCIA SHAQUEENA CHRISTIE / MATAHARI</td>
<td>000337402</td>
<td>JL.BANCAR ASRI NO XI</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>17.4 / 97.5</td>
<td>18.3/KURUS</td>
<td>72 / 51</td>
<td>j06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>1996</td>
<td>ASYIFA PUTRI AURA ZASKIA / ERY SUTRISNO</td>
<td>90A59802</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.7 / 80</td>
<td>15.2/KURUS</td>
<td>89 / 59</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>1997</td>
<td>REZA ACHMADDIAN / LENNY NOVIDIA</td>
<td>90H039702</td>
<td>SUMBER, KEL. SUMBER, KEC. BANJARSARI, KOTA SURAKARTA</td>
<td>L</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>110 / 70</td>
<td>j98</td>
<td>umum</td>
<td>ya</td>
<td>Luar Kota</td>
</tr> <tr>
<td>1998</td>
<td>YOVINA RISMAWATI / SUTARJO</td>
<td>90H022702</td>
<td>JL. KINI BALU </td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 160</td>
<td>97 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>1999</td>
<td>SUKMA FINA A / MAULANA ARIF PURWANTO</td>
<td>080000454499</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 156</td>
<td>119 / 97</td>
<td>j06</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2000</td>
<td>AURREL EKA SEPTYANA PUTRI / EDY SUGIHONO</td>
<td>00D081502</td>
<td>JL. CERME II NO.7</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 164</td>
<td>17.1/KURUS</td>
<td>110 / 70</td>
<td>l30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2001</td>
<td>SUCI NURJANAH / TRI ZANDOKO</td>
<td>90C66301</td>
<td>JL. LAMPER TENGAH 7 NO.41</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 153</td>
<td>128 / 71</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2002</td>
<td>JAFAR SHODIQ S / PAMUJIYONO</td>
<td>90I011704</td>
<td>SENDANG UTARA III GEMAH</td>
<td>L</td>
<td>10 Tahun</td>
<td></td>
<td></td>
<td>29 / 132</td>
<td>16.6/KURUS</td>
<td>120 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2003</td>
<td>YULIYANTI / ALI ANWAR</td>
<td>00A41601</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 157</td>
<td>139 / 84</td>
<td>K03.6</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2004</td>
<td>MALIKA NAOMI ANSHA / BAYU ERZAT NUGROHO</td>
<td>00A89803</td>
<td>JL PETERONGAN TGH NO.11</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>34 / 137</td>
<td>18.1/KURUS</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2005</td>
<td>ASHIRA MAHIRA CHANDRA / KRISTINA HAPSARI</td>
<td>90I011803</td>
<td>JL. BANTENG UTARA VI NO. 20</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 140</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2006</td>
<td>TRI NUR AINI / TRI NUR AINI</td>
<td>089090282101</td>
<td>JL.GAYAMSARI I/I NO..1</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 155</td>
<td>120 / 70</td>
<td>r11</td>
<td>umum</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>2007</td>
<td>ADINE GRIZELLE ZEFANYA / ANIF AN NA'AFI</td>
<td>90F092602</td>
<td>DSN. KAUMAN, KEL. KUWARON, KEC. GUBUG, KAB. GROBOGAN</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3800 / 55</td>
<td>89 / 58</td>
<td>Z27</td>
<td>imunisasi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2008</td>
<td>NALADHIPA MUHAMMAD ANWAR / ALI ANWAR</td>
<td>00A41603</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>15.1 / 82</td>
<td>71 / 50</td>
<td>k04.7</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2009</td>
<td>MEDINA AISYAH HANA / HANA WAHYU TRIYANDI</td>
<td>080000603907</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.5 / 70.5</td>
<td>15.1/KURUS</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2010</td>
<td>SIJAMINI / WANDONO</td>
<td>0800057301</td>
<td>JL LAMPER TENGAH I/530</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 159</td>
<td>110 / 80</td>
<td>R07.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2011</td>
<td>080000327600</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>98 / 165</td>
<td>120 / 80</td>
<td>f41.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2012</td>
<td>00E082402</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>2800 / 49</td>
<td>89 / 56</td>
<td>Z00</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2013</td>
<td>ANIK / SRIYONO</td>
<td>00003651001</td>
<td>JL.TAMAN DUKU NO.8 LAMPER KIDUL</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 157</td>
<td>127 / 80</td>
<td>r73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2014</td>
<td>RIZKY AJI A'RAAF PUTRA / ANANTA DWI HARTANTO</td>
<td>0800112402</td>
<td>L</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 156</td>
<td>90 / 60</td>
<td>k30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2015</td>
<td>KURNIAWAN GELUDUK S / TUMIJEM</td>
<td>000030005</td>
<td>L</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 163</td>
<td>17.7/KURUS</td>
<td>139 / 73</td>
<td>R51</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2016</td>
<td>080000035201</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 156</td>
<td>156 / 95</td>
<td>k04.1</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>2017</td>
<td>TAUREAN JAVAS SADIRA / BUDI SETYO PURNOMO</td>
<td>90I011903</td>
<td>JL. GAJAH TIMUR DALAM 2 NO. 8</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 169</td>
<td>100 / 70</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>2018</td>
<td>WIJIASIH / WAGIRAN</td>
<td>0800120801</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 158</td>
<td>120 / 70</td>
<td>i25</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2019</td>
<td>HILDA FUAD BARAJA / FIRDAUS ALI NAGIB</td>
<td>90I012001</td>
<td>JL. LANGENSARI BARAT, KEL. LANGENSARI, KEC. UNGARAN BARAT, KAB.
SEMARANG</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>88 / 164</td>
<td>131 / 89</td>
<td>z02</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2020</td>
<td>080000466300</td>
<td>L</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 170</td>
<td>156 / 92</td>
<td>z09.0</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2021</td>
<td>MUSTOFIAH / MUSTOFIAH</td>
<td>0890906067001</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 154</td>
<td>114 / 73</td>
<td>N39</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2022</td>
<td>PUTRI DELLA RIKAPUSPITA / DWI WINARNI</td>
<td>080000149204</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 152</td>
<td>120 / 70</td>
<td>G47.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2023</td>
<td>SRI MURYANTI / AGUS MARGIYANTO</td>
<td>00C073701</td>
<td>JL.MANGGIS III NO.25</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 160</td>
<td>163 / 90</td>
<td>I10</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2024</td>
<td>ATHARRAZKA AHMAD FATHAN / AHMAD IMRON</td>
<td>90F016604</td>
<td>PULOSARI KEL.SROYO KEC.JATEN KAB.KARANGANYAR</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5635 / 58.2</td>
<td>60 / 44</td>
<td>z27</td>
<td>imunisasi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2025</td>
<td>TASMIRAH / RISTONO</td>
<td>080J044001</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 165</td>
<td>153 / 88</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2026</td>
<td>ENDAH SUCI NOVIANTI / BASKORO HADIWIJAYA</td>
<td>90E026101</td>
<td>JL. PURWOSARI NO 4 KEL REJOSARI SEMARANG</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 156</td>
<td>98 / 66</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Rejosari</td>
</tr> <tr>
<td>2027</td>
<td>TUTUT LILIS VERONIKA / ADI ALFIAN</td>
<td>00B46202</td>
<td>JL. LAMPER MIJEN 339</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 150</td>
<td>106 / 71</td>
<td>Z00</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2028</td>
<td>HENDRY / HENDRY</td>
<td>0000319400</td>
<td>L</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 155</td>
<td>17.1/KURUS</td>
<td>120 / 70</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2029</td>
<td>RINI / EDDY PUNCKY EFENDI</td>
<td>90F045401</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>63.2 / 156</td>
<td>122 / 78</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2030</td>
<td>DZULKULAIFAH WIDYA SAGITA REZKY ISNANTO / DWI ISNANTO</td>
<td>90C18202</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 164</td>
<td>121 / 84</td>
<td>r50</td>
<td>umum</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2031</td>
<td>00A27203</td>
<td>L</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 165</td>
<td>17.6/KURUS</td>
<td>120 / 70</td>
<td>a15</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2032</td>
<td>080000538000</td>
<td>L</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 159</td>
<td>144 / 92</td>
<td>a15</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2033</td>
<td>NUR BUDHI PRASETYO / NUR BUDHI PRASETYO</td>
<td>00E055600</td>
<td>JL.LAMPER TENGAH II/596</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>137 / 69</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2034</td>
<td>EMIWATI / EMIWATI</td>
<td>0700009999937</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 160</td>
<td>120 / 70</td>
<td>I64</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>2035</td>
<td>EKO SUMIATUN / AMIR</td>
<td>080000518801</td>
<td>JL. LAMPER TENGAH I NO.548</td>
<td>P</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 159</td>
<td>114 / 76</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2036</td>
<td>HARLIANTI / NUR SUDHI PRASETYO</td>
<td>00E055601</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>136 / 75</td>
<td>z01.7</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2037</td>
<td>90A58301</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 150</td>
<td>116 / 75</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>Krobokan</td>
</tr> <tr>
<td>2038</td>
<td>EKA YULIANTINI / ALBA FORTUNATA</td>
<td>0800117643</td>
<td>JL. JERUK II/1631</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 159</td>
<td>133 / 70</td>
<td>j01</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2039</td>
<td>LISETYOWATI / YAKUBUS RAHMAD</td>
<td>0000305601</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 152</td>
<td>124 / 68</td>
<td>D24</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>2040</td>
<td>SHOKI LUTHFI S / SHOKI LUTHFI S</td>
<td>0000182905</td>
<td>L</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 167</td>
<td>133 / 71</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2041</td>
<td>90A58301</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 150</td>
<td>116 / 75</td>
<td>j00</td>
<td>gigi</td>
<td>gratis</td>
<td>Krobokan</td>
</tr> <tr>
<td>2042</td>
<td>KAMILA AZZAHRA PUTRI SANTOSO / LILIK SANTOSO</td>
<td>90G050202</td>
<td>JL. WR.SUPRATMAN II/222</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.4 / 78</td>
<td>60 / 44</td>
<td>Z27</td>
<td>imunisasi</td>
<td>tidak</td>
<td>Gisikdrono</td>
</tr> <tr>
<td>2043</td>
<td>00A4900</td>
<td>L</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>120 / 70</td>
<td>J44</td>
<td>umum</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>2044</td>
<td>SRI HANDAYANI / SUGENG B</td>
<td>003097</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 153</td>
<td>108 / 64</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2045</td>
<td>00E073300</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 156</td>
<td>131 / 74</td>
<td>z09.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2046</td>
<td>SEVILLA ERVINA KRISTANTIA / BUDI KRISTIONO</td>
<td>080000466902</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 157</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2047</td>
<td>MICHAEL WILNO JOSY TUHUMENA / LILIK SANTOSO/ JOHAN JANSEN</td>
<td>90G050295</td>
<td>ASRAMA YONIF 400/R</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>13 / 112</td>
<td>10.4/KURUS</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Srondol Kulon</td>
</tr> <tr>
<td>2048</td>
<td>ALLEA SYAKILA PUTRI HARNAYYA / SISWADI</td>
<td>0000252305</td>
<td>JL PANDEAN LAMPER IV</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4200 / 52</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2049</td>
<td>SUHARTINI / HERY SUSANTO</td>
<td>00C35301</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 156</td>
<td>124 / 73</td>
<td>m79.1</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2050</td>
<td>SYIFA ALMUNA / SYARIFAN</td>
<td>90H050502</td>
<td>DK. DUNGGAYAM, KEL. TULAKAN, KEC. DONOROJO, KAB. JEPARA</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 148</td>
<td>112 / 78</td>
<td>H52.5</td>
<td>umum</td>
<td>ya</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2051</td>
<td>RAJENDRA RAFFIF / DIDIK SUPRASTYO</td>
<td>00A14703</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>33 / 112</td>
<td>120 / 70</td>
<td>j03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2052</td>
<td>AMELINDA REZZA / ZAENAL FATONI</td>
<td>0000307303</td>
<td>PETERONGAN TENGAH NO. 346B</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 156</td>
<td>120 / 70</td>
<td>z01.7</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2053</td>
<td>RI SUKEKSI, DRA POKSILA / SLAMET SUPARDI</td>
<td>00E096701</td>
<td>JL. LAMPER LOR </td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>120 / 70</td>
<td>z01.7</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2054</td>
<td>HUSNI ARDIAN MAULANA / MULYADI / YANUAR ALAN MAULANA</td>
<td>080000607090</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.5 / 86</td>
<td>15.5/KURUS</td>
<td>89 / 68</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2055</td>
<td>AZIS ADI SETYAWAN / ACID</td>
<td>0800J044804</td>
<td>JL. PETERONGAN BUGEL NO 18</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 158</td>
<td>17.6/KURUS</td>
<td>102 / 60</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2056</td>
<td>MISYATI / NUR KHOLIS</td>
<td>90I012102</td>
<td>DSN. BULUGEDE, KEL. BULUGEDE, KEC. PATEBON, KAB. KENDAL</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 160</td>
<td>92 / 60</td>
<td>j00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2057</td>
<td>WAHYU IKA WIJAYANTI / ARIEF WIDJAYA</td>
<td>00A13401</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 153</td>
<td>177 / 105</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2058</td>
<td>00A13402</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 161</td>
<td>18.1/KURUS</td>
<td>110 / 70</td>
<td>C49.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2059</td>
<td>MOHAMMAD RUBI JANUAR / RUBIYANTO</td>
<td>0800002881</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 143</td>
<td>120 / 70</td>
<td>R51</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2060</td>
<td>DESY NATALIA HAPSARI / SUDARSONO</td>
<td>00D084202</td>
<td>JL. CERME I</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>107 / 86</td>
<td>H52.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2061</td>
<td>FELIX WILLIAM PRASETYO / BANGUN GINANJAR PRASETYO</td>
<td>00D091202</td>
<td>GEMPRONG, DESA KALIGARANG, KEC. KELING, KAB. JEPARA</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 122</td>
<td>11.4/KURUS</td>
<td>78 / 65</td>
<td>k00</td>
<td>gigi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2062</td>
<td>LATIFAH / HASAN BAIHAQI</td>
<td>90C98301</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 155</td>
<td>159 / 90</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2063</td>
<td>00B86602</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>19.5 / 107</td>
<td>17/KURUS</td>
<td>60 / 44</td>
<td>L30</td>
<td>mtbs</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>2064</td>
<td>00010605</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 158</td>
<td>143 / 75</td>
<td>m79.1</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2065</td>
<td>TITIK LESTARI / BUDIYANA</td>
<td>080J010601</td>
<td>JL. CEMPEDAK UTARA I NO.42</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 154</td>
<td>19/NORMAL</td>
<td>106 / 61</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2066</td>
<td>080000605400</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 164</td>
<td>120 / 70</td>
<td>E11</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>2067</td>
<td>080000535600</td>
<td>L</td>
<td>77 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 145</td>
<td>120 / 70</td>
<td>I63</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>2068</td>
<td>KHOLITA PUTRI ARIFIANA / KHOLITA PUTRI ARIFIANA / SUKARDI</td>
<td>90E042290</td>
<td>KP BOTON WALUYO BARAT MAGELANG</td>
<td>L</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 155</td>
<td>102 / 88</td>
<td>j00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2069</td>
<td>00B86602</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>19.5 / 107</td>
<td>17/KURUS</td>
<td>60 / 44</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>2070</td>
<td>MILLENIA LUH PRAMESTHI / AHMAD ROFIQ</td>
<td>90H079403</td>
<td>JL. PAMUJAN INDAH III/541, KEL. TELUK, KEC. PURWOKERTO SELATAN, KAB.
BANYUMAS</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>120 / 70</td>
<td>z71</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2071</td>
<td>YANIK / SUROSO</td>
<td>00C30201</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 154</td>
<td>110 / 70</td>
<td>Z00</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2072</td>
<td>RISKI ADI PUTRA / RISKI ADI PUTRA</td>
<td>080000439303</td>
<td>L</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 165</td>
<td>17.6/KURUS</td>
<td>107 / 88</td>
<td>Z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2073</td>
<td>NOORSIYAM / NOORSIYAM</td>
<td>90G094801</td>
<td>JL.PUNCANG ASRI VIII NO.34</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>120 / 70</td>
<td>H40</td>
<td>umum</td>
<td>ya</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2074</td>
<td>ESTI SETYOWATI PROLANIS / EKO SUSANTO</td>
<td>080000458101</td>
<td>JL.PANDEAN LAMPER IV/51-B, PETERONGAN</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 158</td>
<td>22/NORMAL</td>
<td>120 / 70</td>
<td>i10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2075</td>
<td>NGASMIN / NGASMIN</td>
<td>080000512900</td>
<td>L</td>
<td>73 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 160</td>
<td>101 / 77</td>
<td>i24</td>
<td>prolanis</td>
<td>tidak</td>
</tr> <tr>
<td>2076</td>
<td>NURITA (PROLANIS) / PRIYONO</td>
<td>060000376401</td>
<td>JL.LAMPER TENGAH VIII NO.661 A</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 145</td>
<td>120 / 70</td>
<td>I10</td>
<td>prolanis</td>
<td>tidak</td>
</tr> <tr>
<td>2077</td>
<td>90E064000</td>
<td>L</td>
<td>80 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 160</td>
<td>115 / 76</td>
<td>r05</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2078</td>
<td>SRI SIH RETNING prolanis / SARJITO</td>
<td>060000178601</td>
<td>JL. LAMPER TENGAH 15 NO.8</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 150</td>
<td>120 / 70</td>
<td>I10</td>
<td>prolanis</td>
<td>tidak</td>
</tr> <tr>
<td>2079</td>
<td>JUNIAR RAHMA IRNAWATI / MULYONO</td>
<td>080000802302</td>
<td>P</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 141</td>
<td>114 / 70</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2080</td>
<td>DJUMINI PROLANIS / JAELANI</td>
<td>080000376101</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 153</td>
<td>120 / 70</td>
<td>I10</td>
<td>prolanis</td>
<td>tidak</td>
</tr> <tr>
<td>2081</td>
<td>SELLY ANGGRAENI DESKANDAR / UJANG ISKANDAR</td>
<td>070000804303</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 150</td>
<td>111 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2082</td>
<td>AMINAH / MARYONO</td>
<td>00A30801</td>
<td>LAMPER TENGAH VII/622A</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 156</td>
<td>120 / 70</td>
<td>i10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2083</td>
<td>MAHVEEN ASSYIFA MECCA / APRIYANTO DWI NUGROHO</td>
<td>080J044009</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>13 / 90</td>
<td>16/KURUS</td>
<td>89 / 56</td>
<td>A09</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>2084</td>
<td>MAGDALENA SULASTRI prolanis / MAGDALENA SULASTRI</td>
<td>08000J5801</td>
<td>JL. SAWI </td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 142</td>
<td>120 / 70</td>
<td>i10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2085</td>
<td>PUJI LESTARI / DEDI IRAWAN</td>
<td>0800063101</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>59.5 / 147</td>
<td>112 / 87</td>
<td>Z30</td>
<td>kia</td>
<td>tidak</td>
</tr> <tr>
<td>2086</td>
<td>KEN MOZZA PUTRI SETUPIHARTO / EKO SUSANTO</td>
<td>080000458106</td>
<td>JL PANDEAN LAMPER IV/51-B</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>17.5 / 109.8</td>
<td>14.5/KURUS</td>
<td>72 / 51</td>
<td>A09</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2087</td>
<td>SUKIYAN PROLANIS / SUKIYAN</td>
<td>0000160300</td>
<td>L</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 165</td>
<td>119 / 79</td>
<td>i10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2088</td>
<td>PONIMAN / PONIMAN</td>
<td>90BPJS006100</td>
<td>JL.SINGA VI</td>
<td>L</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 155</td>
<td>123 / 81</td>
<td>r20.2</td>
<td>lansia</td>
<td>tidak</td>
<td>Kalicari</td>
</tr> <tr>
<td>2089</td>
<td>90C42502</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 155</td>
<td>18.3/KURUS</td>
<td>112 / 98</td>
<td>N72</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>2090</td>
<td>RITIAN SISWANTO / SABARDI</td>
<td>90A41102</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 160</td>
<td>100 / 71</td>
<td>a09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>2091</td>
<td>MURYANTO (PROLANIS) / MURYANTO</td>
<td>00001003300</td>
<td>L</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>81 / 165</td>
<td>120 / 70</td>
<td>i10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2092</td>
<td>0000297602</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 152</td>
<td>120 / 70</td>
<td>i10 </td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2093</td>
<td>JALU HANUNG HANINDHITA / DWI PRASETYO</td>
<td>9090264407</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 121</td>
<td>13.7/KURUS</td>
<td>90 / 50</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2094</td>
<td>SRI PILIH RETNO BUDIASIH / ACMAD ZAINI</td>
<td>080000390901</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 152</td>
<td>120 / 70</td>
<td>E11.6</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>2095</td>
<td>080000520701</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 151</td>
<td>120 / 70</td>
<td>I10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2096</td>
<td>SINAR KASIH KARUNIA / DWI PRASETYO</td>
<td>9090264403</td>
<td>JL.LAMPER TENGAH RAYA 614</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>16 / 113</td>
<td>12.5/KURUS</td>
<td>80 / 50</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2097</td>
<td>SUMARTO (PROLANIS) / SUMARTO</td>
<td>0001005500</td>
<td>JL LAMPER MIJEN</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 160</td>
<td>23/NORMAL</td>
<td>120 / 70</td>
<td>i10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2098</td>
<td>MUHAMMAD ALVARO PRADANIS / HERI PRANTOKO</td>
<td>00A62104</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.2 / 92</td>
<td>15.6/KURUS</td>
<td>89 / 56</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2099</td>
<td>DESI RATNANINGSIH / HENDRI</td>
<td>90I012201</td>
<td>JL. MEDOHO V/18</td>
<td>P</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 145</td>
<td>121 / 78</td>
<td>Z00</td>
<td>umum</td>
<td>tidak</td>
<td>Siwalan</td>
</tr> <tr>
<td>2100</td>
<td>SUKARTINI (PROLANIS) / WE KRISTIONO</td>
<td>089090080390</td>
<td>JL. GAYAMSARI IV-A/53</td>
<td>P</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 152</td>
<td>120 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2101</td>
<td>0000177501</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 150</td>
<td>24/NORMAL</td>
<td>120 / 70</td>
<td>G56.2</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>2102</td>
<td>BRIAN AL GHIFARI / SUGIHARTO</td>
<td>90I012302</td>
<td>JL PANDA TIMUR NO. 6</td>
<td>L</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>83 / 176</td>
<td>135 / 86</td>
<td>R03</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Palebon</td>
</tr> <tr>
<td>2103</td>
<td>RUMINI (PROLANIS) / LEGIMAN</td>
<td>0800J50001</td>
<td>JL LAMPER TGH IV/639A</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 148</td>
<td>120 / 70</td>
<td>I10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2104</td>
<td>RAFISQI FARHAN FIRMANSYAH / ISWANTO</td>
<td>90H004204</td>
<td>JL. GAYAMSARI SELATAN I</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5200 / 57</td>
<td>89 / 58</td>
<td>Z00</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2105</td>
<td>90H080601</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>92 / 168</td>
<td>140 / 88</td>
<td>T79.9</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2106</td>
<td>NGATMINAH / SUKARI</td>
<td>90B17802</td>
<td>JL.LAMPER MIJEN NO.339 A</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 150</td>
<td>120 / 70</td>
<td>I10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2107</td>
<td>SETYO DWI WINARSIH / SOEKARNO</td>
<td>00E008401</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 155</td>
<td>186 / 86</td>
<td>i10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2108</td>
<td>080000806801</td>
<td>P</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 155</td>
<td>103 / 65</td>
<td>k04.1</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>2109</td>
<td>RIDWAN FADILLAH TRIYADI / SUPRIYADI</td>
<td>90I012402</td>
<td>DUSUN SAMBIREJO, KEL. SAMBIREJO, KEC. WIROSARI, KAB. GROBOGAN</td>
<td>L</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 170</td>
<td>115 / 79</td>
<td>r11</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2110</td>
<td>EMI NILASARI / UNGGUL BUDI SRI NUGROHO</td>
<td>00D064301</td>
<td>JL.TEGAL KANGKUNG 9/83</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 156</td>
<td>110 / 70</td>
<td>A09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2111</td>
<td>SUYANTO / SUYANTO</td>
<td>00A78200</td>
<td>L</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 165</td>
<td>133 / 67</td>
<td>j00</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2112</td>
<td>00BPJS005000</td>
<td>L</td>
<td>82 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 167</td>
<td>100 / 60</td>
<td>e11</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>2113</td>
<td>00B46202</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>61.1 / 150</td>
<td>110 / 75</td>
<td>Z30.1</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2114</td>
<td>IMAM NUGROHO / IMAM NUGROHO</td>
<td>90B23600</td>
<td>SALAM TENGAH</td>
<td>L</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 169</td>
<td>21/NORMAL</td>
<td>122 / 86</td>
<td>k29</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2115</td>
<td>KASRIN / KASRIN</td>
<td>9090023300</td>
<td>JL. GAYAMSARI GEMAH</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 156</td>
<td>150 / 68</td>
<td>K05.2</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2116</td>
<td>SRI SETYANINGSIH / MARSONO</td>
<td>0000188901</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 152</td>
<td>120 / 70</td>
<td>I25</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2117</td>
<td>NILA KARTIKA / ISWANTO</td>
<td>90H004201</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 160</td>
<td>150 / 90</td>
<td>Z30.1</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2118</td>
<td>SUWANTI / SUWANTI</td>
<td>90C33200</td>
<td>JL. PATIUNUS I NO.4</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 157</td>
<td>152 / 89</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2119</td>
<td>ZAENATUN SOFIYATI / BUDI SUDRAJAT</td>
<td>0800134401</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 160</td>
<td>130 / 80</td>
<td>i20</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2120</td>
<td>AULIYA AYU RAHMADHANI / SLAMET RIYADI</td>
<td>00024506</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.4 / 102</td>
<td>13.8/KURUS</td>
<td>72 / 51</td>
<td>J18</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2121</td>
<td>ENDANG SUSILOWATI / SURYANI</td>
<td>0000526200</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>89 / 56</td>
<td>Z34</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2122</td>
<td>MUHAMMAD ZHAFRAN KHAIRY ANWAR / KHOIRUL ANWAR</td>
<td>00C099003</td>
<td>JL.RAMBUTAN I/43</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.4 / 74</td>
<td>15.3/KURUS</td>
<td>72 / 51</td>
<td>Z00</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2123</td>
<td>MULYATI / RACHMAD</td>
<td>00305605</td>
<td>JL.BANCAR ASRI</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 155</td>
<td>120 / 70</td>
<td>I51.7</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2124</td>
<td>HOO DJIOE LIAN / HOO DJIOE LIAN</td>
<td>00E086800</td>
<td>JL. MANGGIS </td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 160</td>
<td>175 / 89</td>
<td>r03.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2125</td>
<td>080000035201</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 156</td>
<td>144 / 100</td>
<td>k04.0</td>
<td>gigi</td>
<td>ya</td>
</tr> <tr>
<td>2126</td>
<td>IKA ENDANG SUKESI / MUSAFA</td>
<td>0700J52301</td>
<td>JL. LAMPER MIJEN NO. 339</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>33 / 150</td>
<td>14.7/KURUS</td>
<td>100 / 71</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2127</td>
<td>NIA ROHMAYATUN / NIA ROHMAYATUN / KUSFANTO</td>
<td>90F037706</td>
<td>BATU KEL BATU KEC.KARANG TENGAK KAB. DEMAK</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 155</td>
<td>129 / 77</td>
<td>h81</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2128</td>
<td>90D071602</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>22.4 / 97</td>
<td>70 / 51</td>
<td>J00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Tugurejo</td>
</tr> <tr>
<td>2129</td>
<td>00E082500</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 158</td>
<td>152 / 89</td>
<td>r73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2130</td>
<td>ALBIRRU SAGARA Z P / TOTOK SUPRIYANTO,SE</td>
<td>00B77905</td>
<td>JL. MANGGIS VIII NO 26 </td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.8 / 76</td>
<td>17/KURUS</td>
<td>89 / 59</td>
<td>A09</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2131</td>
<td>SUYATI / HERU PURWANTO</td>
<td>080000440601</td>
<td>JL. CERME UTARA NO.15</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 158</td>
<td>24/NORMAL</td>
<td>135 / 83</td>
<td>n39.0</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>2132</td>
<td>RI SUKEKSI, DRA POKSILA / SLAMET SUPARDI</td>
<td>00E096701</td>
<td>JL. LAMPER LOR </td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>116 / 86</td>
<td>e78</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2133</td>
<td>SUDARMINI / BUNADI</td>
<td>080J096501</td>
<td>LAMPER TENGAH II/591</td>
<td>P</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 155</td>
<td>120 / 68</td>
<td>i10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2134</td>
<td>FITRIYANTI / FITRIYANTI</td>
<td>00C072100</td>
<td>JL SOMPOK LAMA NO 45</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 155</td>
<td>98 / 70</td>
<td>R07.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>2135</td>
<td>GIBRAN REKSHA MANGGALA / WILLYS FIRGIAWAN</td>
<td>002526004</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.7 / 94.5</td>
<td>15.3/KURUS</td>
<td>60 / 44</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2136</td>
<td>0600049001</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 150</td>
<td>132 / 86</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2137</td>
<td>SOEMARTINI / NURHADI</td>
<td>00B7202</td>
<td>JL. DURIAN TIMUR 26</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 150</td>
<td>120 / 70</td>
<td>i10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2138</td>
<td>MARJIYATUN / MOCH ZAENURI</td>
<td>00A13001</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 152</td>
<td>120 / 70</td>
<td>i10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2139</td>
<td>SITI AMINAH / SUTIMAN</td>
<td>0800023101</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 158</td>
<td>22/NORMAL</td>
<td>156 / 79</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2140</td>
<td>HENGKY SETIAWAN / HENGKY SETIAWAN</td>
<td>00E035700</td>
<td>JL.KEDONDONG DALAM IV/23</td>
<td>L</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>120 / 80</td>
<td>i10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2141</td>
<td>YUNI SETIOWATI / WILLYS FIRGIAWAN</td>
<td>0000252601</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 159</td>
<td>103 / 64</td>
<td>l23</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2142</td>
<td>DEFANO KRISHNA BANDAWA / WILLYS VIRGIAWAN</td>
<td>0000252604</td>
<td>JL. MANGGIS LAMPER LOR</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>30 / 127</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2143</td>
<td>FARIHAN HASNA / SOLEHAN</td>
<td>90B96203</td>
<td>JL. MANGGIS 5 NO, 17 B1</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 127</td>
<td>12.4/KURUS</td>
<td>110 / 70</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2144</td>
<td>BAIHAQI GHAFFAR AL AZIS / AZIZ MULYONO</td>
<td>0000368303</td>
<td>JL. CEMPEDAK UTARA I NO.32 C</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.8 / 72</td>
<td>15/KURUS</td>
<td>60 / 40</td>
<td>A09</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2145</td>
<td>SUNINGSIH / BAMBANG HARYADI</td>
<td>90D020301</td>
<td>JAYENGAN DALAM 20</td>
<td>P</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 155</td>
<td>140 / 79</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Barusari</td>
</tr> <tr>
<td>2146</td>
<td>90D00100</td>
<td>L</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>83 / 160</td>
<td>128 / 79</td>
<td>T79.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2147</td>
<td>CH INSIACH HAJI / HENGKI</td>
<td>00C076501</td>
<td>JL. KEDONDONG DALAM IV/23</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 155</td>
<td>17.1/KURUS</td>
<td>143 / 89</td>
<td>i10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2148</td>
<td>NUNUK ISTIYAH / SUTARNO</td>
<td>00C06101</td>
<td>LAMPER TENGAH 587-A</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 155</td>
<td>143 / 87</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2149</td>
<td>SEAN IRSYAD ARCELIO / BILLY RODIVAN</td>
<td>00D090702</td>
<td>BSB GRAHA TAMAN BUNGA BLOK AA-14 NO.03</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.3 / 59</td>
<td>18.1/KURUS</td>
<td>60 / 48</td>
<td>z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Kedungpane</td>
</tr> <tr>
<td>2150</td>
<td>080000403101A</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 155</td>
<td>106 / 69</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2151</td>
<td>MASRI / ROPIAH</td>
<td>90I012502</td>
<td>BANGSRI, KAB. BREBES</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2152</td>
<td>ARKA PUTRA DARMANTO / DARMANTO</td>
<td>000187103</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>19 / 114</td>
<td>14.6/KURUS</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2153</td>
<td>YAMTINI / SUYAKA</td>
<td>060000394101</td>
<td>PUCANG ASRI VIII/34, MRANGGEN</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>120 / 80</td>
<td>I24</td>
<td>umum</td>
<td>ya</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2154</td>
<td>ENDANG LESTARI / YONO UNGKORO</td>
<td>080000802701</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 143</td>
<td>120 / 70</td>
<td>i10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2155</td>
<td>RAHMALASARI ARUM NUGRAHENI / ARDI BUDIANTO</td>
<td>0000261901</td>
<td>P</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 167</td>
<td>132 / 82</td>
<td>j02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2156</td>
<td>0000128801</td>
<td>P</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 150</td>
<td>134 / 70</td>
<td>z09.0</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>2157</td>
<td>VIRGINE RAHMANIA AJI PRATIWI / MUJIONO</td>
<td>080000525802</td>
<td>JL. LAMPER KRAJAN RAYA 12</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 160</td>
<td>121 / 68</td>
<td>A09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2158</td>
<td>RETNO YULIANTI / MUJIONO</td>
<td>080000525801</td>
<td>JL.LAMPER KRAJAN RAYA 12</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 157</td>
<td>135 / 62</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2159</td>
<td>ALI YAHYA ASHARI / ALI YAHYA ASHARI</td>
<td>90I012600</td>
<td>JL. SILADO, SILADO, SUMBANG, KAB. BANYUMAS</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 170</td>
<td>127 / 79</td>
<td>j02</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2160</td>
<td>OKTO YULIANTI / YUSUF</td>
<td>00C071605</td>
<td>PANDEAN LAMPER II / 39</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 158</td>
<td>115 / 57</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2161</td>
<td>NUSAIBAH YASMIN AZ-ZAHRA / NUSAIBAH YASMIN AZ-ZAHRA</td>
<td>90G006000</td>
<td>BLOK NAGRAK I KEL. PAREAN GIRING KEC. KADANGHAUR</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 155</td>
<td>17.5/KURUS</td>
<td>121 / 72</td>
<td>k30</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2162</td>
<td>00A17101</td>
<td>JL.RAMBUTAN BARAT 25</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 155</td>
<td>126 / 74</td>
<td>r03.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2163</td>
<td>SRI ERIATI / ABDULLAH KHARIS</td>
<td>9090506501</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>151 / 94</td>
<td>I10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2164</td>
<td>DIDIK HARJANTO / DIDIK HARJANTO</td>
<td>9090238300</td>
<td>L</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 165</td>
<td>22/NORMAL</td>
<td>126 / 83</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2165</td>
<td>ARI KURNIAWAN / SRIYANTO</td>
<td>00C071300</td>
<td>L</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>61.7 / 166</td>
<td>121 / 80</td>
<td>Z27</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2166</td>
<td>RACHMA NUGIYANTI / RACHMA NUGIYANTI</td>
<td>90I000101</td>
<td>DSN. KARANG MALANG, KEL. PILANGREJO, KEC, JUWANGI, KAB. BOYOLALI</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>60.9 / 156</td>
<td>115 / 80</td>
<td>z27 </td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2167</td>
<td>SUNARNO / SUNARNO</td>
<td>0000268500</td>
<td>JL.LAMPER TENGAH XII </td>
<td>L</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 165</td>
<td>147 / 87</td>
<td>S02.5</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2168</td>
<td>00D042600</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>87 / 158</td>
<td>120 / 70</td>
<td>I10</td>
<td>prolanis</td>
<td>tidak</td>
</tr> <tr>
<td>2169</td>
<td>PUTRI AMBARWATI / SLAMET R</td>
<td>08000123502</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 155</td>
<td>139 / 90</td>
<td>R10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2170</td>
<td>SRI KHATIDJAH / SRI KHATIDJAH</td>
<td>00E086900</td>
<td>JL. PETERONGAN KOBONG 58</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 157</td>
<td>146 / 86</td>
<td>r50</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2171</td>
<td>AZKA PUTRA ASHARI / RIAN ADI PUTRA</td>
<td>00E028702</td>
<td>JL. PETERONGAN RAYA NO.9</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.6 / 70</td>
<td>80 / 60</td>
<td>Z27</td>
<td>imunisasi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2172</td>
<td>JESICA BEN ONI / RIAN ADI PUTRA</td>
<td>00E028701</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 160</td>
<td>114 / 70</td>
<td>z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2173</td>
<td>FEBY VIVIAN JOVANKA / JUNAEDI</td>
<td>90D00401</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>64.1 / 160</td>
<td>117 / 72</td>
<td>Z35</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2174</td>
<td>SULASTRI / SURAHMAN</td>
<td>00B43601</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 150</td>
<td>17.8/KURUS</td>
<td>120 / 70</td>
<td>z71</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2175</td>
<td>MARCELLINO REVANO PRATAMA / DIONISIUS OKY SIYANA</td>
<td>00E051102</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.1 / 63</td>
<td>15.4/KURUS</td>
<td>80 / 60</td>
<td>J18</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2176</td>
<td>MUHAMAD RIZKI IRNANDA / PURWADI</td>
<td>00261702</td>
<td>L</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 174</td>
<td>135 / 71</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2177</td>
<td>ANJELY ROSA LUXVIA / FAUZAN LUXWI/ DIONISIUS OKY SIYANA</td>
<td>080000434004</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 156</td>
<td>111 / 72</td>
<td>l02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2178</td>
<td>SHYFA DWI ANGGRAENI / RUSTAK</td>
<td>0000132703</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 137</td>
<td>90 / 60</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2179</td>
<td>00A27202</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>14 / 105</td>
<td>12.7/KURUS</td>
<td>98 / 65</td>
<td>k00</td>
<td>gigi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2180</td>
<td>SRI RAHAYU NOPIANI / HERU SETIAWAN</td>
<td>00305101</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 165</td>
<td>150 / 92</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2181</td>
<td>KRISTIANTO,ST / KRISTIANTO,ST</td>
<td>00A68600</td>
<td>JL. MANGGIS VI/37</td>
<td>L</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 170</td>
<td>127 / 78</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2182</td>
<td>BUDI PANCAWATI SURYANINGRUM / SUTARMAH</td>
<td>070000361502</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 151</td>
<td>110 / 60</td>
<td>L50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2183</td>
<td>DIYONO SUWARNO / DIYONO SUWARNO</td>
<td>00E062100</td>
<td>JL.LAMPER TENGAH XV/35</td>
<td>L</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 155</td>
<td>176 / 90</td>
<td>I10</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2184</td>
<td>MUHAMMAD ZUHDAN ABDURRAHMAN RANENDRA / KRISTIANTO</td>
<td>00A68603</td>
<td>JL. MANGGIS VI/ 37 A</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>12.7 / 99</td>
<td>13/KURUS</td>
<td>88 / 42</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2185</td>
<td>PUJI RAHAYU / SUNARYO</td>
<td>90E022802</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 157</td>
<td>110 / 70</td>
<td>I10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2186</td>
<td>0000043306</td>
<td>L</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 158</td>
<td>118 / 71</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2187</td>
<td>00B009201</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 162</td>
<td>149 / 92</td>
<td>I11.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2188</td>
<td>NADINE ALFINA KURNIAWAN / NADINE ALFINA KURNIAWAN</td>
<td>90I012701</td>
<td>JL. KACA-KACA BUNTU NO.31-B, PASAR BARU, SAWAH BESAR, JAKARTA
PUSAT</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 160</td>
<td>118 / 77</td>
<td>R10.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2189</td>
<td>ROCHBIYANTI PROLANIS / ROCHBIYANTI</td>
<td>089090350901</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 157</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>tidak</td>
</tr> <tr>
<td>2190</td>
<td>JUMALI PROLANIS / JUMALI</td>
<td>060000359100</td>
<td>JL. BLIMBING I/366-C</td>
<td>L</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 171</td>
<td>120 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2191</td>
<td>080J09901</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 150</td>
<td>20/NORMAL</td>
<td>110 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2192</td>
<td>SUWADI prolanis / SUWADI</td>
<td>0000397300</td>
<td>L</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 160</td>
<td>23/NORMAL</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>tidak</td>
</tr> <tr>
<td>2193</td>
<td>PRIYO LEKSONO PROLANIS / PRIYO LEKSONO</td>
<td>00D006500</td>
<td>JL. LAMPER TENGAH X-B/23 C</td>
<td>L</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 165</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2194</td>
<td>0890113401</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 149</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2195</td>
<td>TRI SUMAINI (prolanis) / PARIYONO</td>
<td>089090338301</td>
<td>P</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 155</td>
<td>120 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2196</td>
<td>ALVIN RYAN PRATAMA / SUPRIYONO</td>
<td>0800089402</td>
<td>JL. SOMPOK LAMA GG KESAMBI 04</td>
<td>L</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 165</td>
<td>110 / 80</td>
<td>L98</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>2197</td>
<td>STEVANUS ACHMADUN prolanis / STEVANUS ACHMADUN</td>
<td>00C00700</td>
<td>L</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 160</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2198</td>
<td>080000703103</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>95 / 155</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2199</td>
<td>SOETARTI prolanis / SOETARTI</td>
<td>0800000001601</td>
<td>P</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 156</td>
<td>130 / 70</td>
<td>R05</td>
<td>prolanis</td>
<td>tidak</td>
</tr> <tr>
<td>2200</td>
<td>SIH UTAMI SENENG / SUSAN HAPSARIANTO</td>
<td>00D053001</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 157</td>
<td>143 / 94</td>
<td>k01.1</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2201</td>
<td>RUSIYANTO (PROLANIS) / RUSIYANTO</td>
<td>0800088800</td>
<td>JL. JERUK VIII/38-B</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 163</td>
<td>120 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2202</td>
<td>NAIDA MISHEL NOVIA / FAIZIN</td>
<td>080000424404</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 155</td>
<td>125 / 90</td>
<td>k04.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2203</td>
<td>MUHAMMAD ARRAYAN AL FAREZEL / WAHYU PUTRA ADHKESUMA</td>
<td>90I012802</td>
<td>JL. BEDUG. KALIWADER, BENER, KAB. PURWOREJO</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5.5 / 62</td>
<td>14.3/KURUS</td>
<td>89 / 56</td>
<td>J06</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2204</td>
<td>RIYANAH prolanis / RUSIYANTO</td>
<td>080J088801</td>
<td>JALAN JEKRUK 8</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 147</td>
<td>130 / 70</td>
<td>I10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2205</td>
<td>080000522402</td>
<td>L</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>35 / 156</td>
<td>14.4/KURUS</td>
<td>94 / 70</td>
<td>Z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2206</td>
<td>SUNIATUN (PROLANIS) / DARSONO</td>
<td>0000475100</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 150</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2207</td>
<td>MUKHAYATUN / SABAR</td>
<td>08000109201</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 155</td>
<td>120 / 70</td>
<td>I20</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2208</td>
<td>BEATRIX CRISTABELLA DEOLINDA / BONAVENTURA SENO HERVA</td>
<td>00A60507</td>
<td>JL.LAMPER TENGAH I NO.545</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 99</td>
<td>17.3/KURUS</td>
<td>88 / 42</td>
<td>r50</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2209</td>
<td>0800111010</td>
<td>L</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 160</td>
<td>120 / 70</td>
<td>I10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2210</td>
<td>080000178600</td>
<td>L</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>120 / 70</td>
<td>E11</td>
<td>prolanis</td>
<td>tidak</td>
</tr> <tr>
<td>2211</td>
<td>SUMARMI prolanis / SUGIYANTO</td>
<td>080000363101</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 138</td>
<td>120 / 70</td>
<td>E11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2212</td>
<td>080000384192</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 148</td>
<td>155 / 78</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2213</td>
<td>RESTINAH (PROLANIS) / RESTINAH</td>
<td>00C14600</td>
<td>JL. JERUK 8</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 155</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2214</td>
<td>00B34200</td>
<td>L</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 163</td>
<td>100 / 74</td>
<td>a09</td>
<td>umum</td>
<td>gratis</td>
</tr> <tr>
<td>2215</td>
<td>MM SUMARNI prolanis / KASTO</td>
<td>00A70001</td>
<td>P</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 155</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2216</td>
<td>JUMILAH (PROLANIS) / PENO</td>
<td>080000422801</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 158</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2217</td>
<td>NAIDA MISHEL NOVIA / FAIZIN</td>
<td>080000424404</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 155</td>
<td>100 / 70</td>
<td>J00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2218</td>
<td>080000504003</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 155</td>
<td>115 / 80</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>2219</td>
<td>TRI WINARSIH PROLANIS / PARYONO</td>
<td>080000311101</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 153</td>
<td>110 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2220</td>
<td>BUDI RAHAYU / YUDHI D</td>
<td>001006401</td>
<td>JL. JERUK IV/17 LAMPER LOR</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 155</td>
<td>130 / 70</td>
<td>M13</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2221</td>
<td>AZKA AZKYA NUGRAHA / ASEP SOPANDI / HADI PAMUNGKAS</td>
<td>90I013002</td>
<td>JL. KP. JANTAKE, PURWASARI, CISAYONG, KAB. TASIKMALAYA, JABAR</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 104</td>
<td>16.6/KURUS</td>
<td>89 / 56</td>
<td>J18</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2222</td>
<td>SRIPAH PROLANIS / MUJIONO</td>
<td>080000031101</td>
<td>P</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 149</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>tidak</td>
</tr> <tr>
<td>2223</td>
<td>RAKIMAH / RAKIMAH</td>
<td>000000502701</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 155</td>
<td>20/NORMAL</td>
<td>141 / 81</td>
<td>K29</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2224</td>
<td>MUNJIYAH (PROLANIS) / SUWARTO</td>
<td>080000031196</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 150</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2225</td>
<td>FALLAN ARKA RAFASSYA / aryono</td>
<td>00039303</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>16 / 120</td>
<td>11.1/KURUS</td>
<td>100 / 65</td>
<td>k00</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>2226</td>
<td>SRIWATI (PROLANIS) / SUMARSO</td>
<td>0000303903</td>
<td>JL.BLIMBING II NO.345 A</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 140</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2227</td>
<td>KASNIYAH / KASNIYAH</td>
<td>00D040101</td>
<td>JL. NANGKA I N0.7</td>
<td>P</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 152</td>
<td>138 / 78</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2228</td>
<td>ERNAWATI (PROLANIS) / SUKARMIN</td>
<td>080000394301</td>
<td>KEDUNGMUNDU 116</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 158</td>
<td>20/NORMAL</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>2229</td>
<td>HANIK LULUK ULFIATI / RONI SETIAWAN</td>
<td>90A0903</td>
<td>P</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 160</td>
<td>18.4/KURUS</td>
<td>103 / 64</td>
<td>A15</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2230</td>
<td>WAGINAH PROLANIS / WAGINAH</td>
<td>0800J48401</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 158</td>
<td>24/NORMAL</td>
<td>100 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2231</td>
<td>M.MELSANDI / M.MELSANDI</td>
<td>90I012900</td>
<td>JL. DSN REJOSARI, GEDANGAN, MOJOWARNO, KAB. JOMBANG, JATIM</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 171</td>
<td>122 / 79</td>
<td>i84.1</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2232</td>
<td>SUGIARTININGSIH prolanis / SUWIT DAYANTO</td>
<td>00001728001</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 147</td>
<td>110 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>tidak</td>
</tr> <tr>
<td>2233</td>
<td>TARMINAH (PROLANIS) / PASAOFA</td>
<td>080J068301</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 158</td>
<td>120 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2234</td>
<td>YUNIARKO BAYU NUGROHO / SUTARNO</td>
<td>90a53602</td>
<td>L</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 155</td>
<td>120 / 70</td>
<td>H26.0</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>2235</td>
<td>CHELIN SAQUILA / MAS'UT</td>
<td>90A24703</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>15 / 104</td>
<td>13.9/KURUS</td>
<td>120 / 70</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2236</td>
<td>SUWARNI (PROLANIS) / SUNGATINI</td>
<td>00A11101</td>
<td>JL. BLIMBING III/ 24</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 156</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2237</td>
<td>ALLANA NAYLA AL HAZMI / LUTHFAN AL HAZMI SUKARENA/ SUKARMIN</td>
<td>060000394390</td>
<td>JL. TLOGOMUKTI BARAT I/681</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.7 / 66.5</td>
<td>17.4/KURUS</td>
<td>89 / 54</td>
<td>Z00</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2238</td>
<td>ALLANA ZAYN AL HAZMI / LUTHFAN AL HAZMI SUKARENA</td>
<td>080000394399</td>
<td>JL TLOGOMUKTI BARAT I/681</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.3 / 96</td>
<td>15.5/KURUS</td>
<td>89 / 58</td>
<td>Z00</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2239</td>
<td>WAGINI / WAGINI</td>
<td>00A12301</td>
<td>JL. PETERONGANTENGAH</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 145</td>
<td>130 / 70</td>
<td>I10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2240</td>
<td>060000394100</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 167</td>
<td>120 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2241</td>
<td>ANIFAH / ANIFAH</td>
<td>00B0701</td>
<td>JL. CEMPEDAK RAYA NO.15 J</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>84 / 160</td>
<td>172 / 100</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2242</td>
<td>90A76600</td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 167</td>
<td>130 / 80</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2243</td>
<td>SUWARNI prolanis / GIMIN JATIMAN</td>
<td>000403501</td>
<td>JL. JERUK VII NO. 10.B</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 160</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2244</td>
<td>AZIEL SATRIA DANUARTA / MARDITYA DANUHUSADA</td>
<td>00529705</td>
<td>MANGGIS III/4-A</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.2 / 76</td>
<td>15.9/KURUS</td>
<td>90 / 60</td>
<td>h10</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2245</td>
<td>0000177501</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 150</td>
<td>24/NORMAL</td>
<td>120 / 70</td>
<td>I10</td>
<td>prolanis</td>
<td>tidak</td>
</tr> <tr>
<td>2246</td>
<td>080000538000</td>
<td>L</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 159</td>
<td>136 / 85</td>
<td>a15</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2247</td>
<td>SRI YANTI PROLANIS / KARTONO</td>
<td>JL. NGEMPLAK</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 155</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>2248</td>
<td>KAMSINI (PROLANIS) / ROHMAN</td>
<td>089090359701</td>
<td>JL.CINDE TIMUR, JOMBLANG</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>85 / 153</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>2249</td>
<td>SUNARTI (PROLANIS) / SUNARTI</td>
<td>JL. CERME III/8</td>
<td>P</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 149</td>
<td>130 / 70</td>
<td>I10</td>
<td>prolanis</td>
<td>tidak</td>
</tr> <tr>
<td>2250</td>
<td>GUNARTI / TRI MULYONO</td>
<td>90A72101</td>
<td>ROWOBAGUL</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 155</td>
<td>137 / 95</td>
<td>j02</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2251</td>
<td>ADJIE RAMADHANI / TIMUR PRASETYO</td>
<td>00E035601</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>78.2 / 170</td>
<td>124 / 74</td>
<td>z00</td>
<td>kia</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2252</td>
<td>00D052900</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 150</td>
<td>139 / 80</td>
<td>i10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2253</td>
<td>MUHAMMAD ALVIN ZIDAN SHAFIULLA ALI / MASRIPAH</td>
<td>00B5104</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>32.5 / 112</td>
<td>89 / 56</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2254</td>
<td>WAGINI / WAGINI</td>
<td>00B67100</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>95 / 160</td>
<td>180 / 92</td>
<td>r03</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2255</td>
<td>SUPRAPTI PROLANIS / NGATIMAN</td>
<td>0800050101</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 150</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2256</td>
<td>SUMINI / SUMINI</td>
<td>0800010602</td>
<td>MANGGIS VIII </td>
<td>P</td>
<td>77 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 149</td>
<td>160 / 74</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2257</td>
<td>SUMINI / SUKIRNO</td>
<td>080000904101</td>
<td>JL.PETERONGAN BUGEL</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>163 / 95</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2258</td>
<td>9090075501</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 160</td>
<td>120 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2259</td>
<td>089090601203</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 153</td>
<td>126 / 80</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2260</td>
<td>SUDJINAH / SUDJINAH</td>
<td>080000190101</td>
<td>P</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>37 / 141</td>
<td>135 / 69</td>
<td>i10</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2261</td>
<td>SUSILAH prolanis / SUSILAH</td>
<td>0000193301</td>
<td>JL. JERUK VII/28A</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 155</td>
<td>120 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2262</td>
<td>MUHAMMAD DZAKI / EDHI PURNIAWAN</td>
<td>0000021091</td>
<td>JL. LAMPER TENGAH X/25-D</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 135</td>
<td>90 / 60</td>
<td>J03</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2263</td>
<td>9090270701</td>
<td>SENDANGUWO</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 160</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2264</td>
<td>SUGENG ARIEF (PROLANIS) / SUGENG ARIEF</td>
<td>080000537400</td>
<td>JL. MANGGIS VIII/5, LAMPER LOR</td>
<td>L</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 169</td>
<td>120 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2265</td>
<td>0800047401</td>
<td>JL. PISANG</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>131 / 73</td>
<td>J00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2266</td>
<td>MULYANI / MULYANI</td>
<td>00C062400</td>
<td>L</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 164</td>
<td>148 / 80</td>
<td>k04.0</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2267</td>
<td>EDHI PURNIAWAN / EDHI PURNIAWAN</td>
<td>000021000</td>
<td>JL. LAMPER TENGAHX/25-D</td>
<td>L</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 155</td>
<td>126 / 72</td>
<td>Z00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2268</td>
<td>YENI FATMALA / HADI PAMUNGKAS</td>
<td>90I013001</td>
<td>JL. NAGRAK, JATISARI, CANGKUANG, KAB. BANDUNG</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>89.6 / 158</td>
<td>111 / 75</td>
<td>Z34</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2269</td>
<td>ZEVANYA GITA AULIA / ASEP SUYANTO</td>
<td>90B11704</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 148</td>
<td>100 / 70</td>
<td>J00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>2270</td>
<td>TRI LESTARI (PROLANIS) / TRI LESTARI</td>
<td>0800056800</td>
<td>LAMPER KRAJAN 1627C</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 155</td>
<td>130 / 70</td>
<td>I10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2271</td>
<td>00A88803</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 146</td>
<td>90 / 60</td>
<td>J20</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2272</td>
<td>SRI NURSAINI / HERU LISTIYO</td>
<td>00E029701</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 148</td>
<td>125 / 76</td>
<td>E11</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2273</td>
<td>SUKARTINI (PROLANIS) / WE KRISTIONO</td>
<td>089090080390</td>
<td>JL. GAYAMSARI IV-A/53</td>
<td>P</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 152</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2274</td>
<td>MUHAMMAD ARHAM TAUHID / NURSALIM</td>
<td>080000388203</td>
<td>JL. DURIAN ARAT NO.10</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 154</td>
<td>16.4/KURUS</td>
<td>97 / 64</td>
<td>J06</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2275</td>
<td>SRI SUNARNI (PROLANIS) / SARPANI</td>
<td>080J101001</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>85 / 148</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2276</td>
<td>RAHMA WATI / BAMBANG MARTULUS</td>
<td>9090218903</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>22 / 122</td>
<td>14.8/KURUS</td>
<td>100 / 60</td>
<td>J00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2277</td>
<td>SAMIRAH / SAMIRAH</td>
<td>0800097001</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 155</td>
<td>16.6/KURUS</td>
<td>130 / 70</td>
<td>I10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2278</td>
<td>080000520701</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 151</td>
<td>147 / 85</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2279</td>
<td>RISKI LUKMAN HAKIM / BAMBANG MARTULUS</td>
<td>08902188904</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>104 / 163</td>
<td>134 / 86</td>
<td>J00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>2280</td>
<td>ROCHIMATUN / ROCHIMATUN</td>
<td>00130790</td>
<td>JL.GAYAMSARI IV NO.48</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 150</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2281</td>
<td>WAHYU PURBOWO / WAHYU PURBOWO</td>
<td>0D085200</td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 177</td>
<td>120 / 70</td>
<td>i24</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2282</td>
<td>MOCHAMAD NORSAIFUDIN / MOCHAMAD TAUFIK</td>
<td>0000294602</td>
<td>JL. PISANG</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 160</td>
<td>115 / 87</td>
<td>H52.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2283</td>
<td>TRI HARTATIK / MOCHAMAD TAUFIK</td>
<td>0000294601</td>
<td>JL. PISANG</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 146</td>
<td>119 / 96</td>
<td>K29</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2284</td>
<td>DARLAN / DARLAN</td>
<td>080000406300</td>
<td>L</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>120 / 70</td>
<td>I63</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>2285</td>
<td>NITA BUDI ASTINI / EKO SUMANTO</td>
<td>0000205302</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 151</td>
<td>1230 / 67</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2286</td>
<td>SITI NOOR ARIYANI PROLANIS / NURSALIM</td>
<td>080000388201</td>
<td>JL. DURIAN BARAT NO 10</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 147</td>
<td>149 / 100</td>
<td>E11.6</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2287</td>
<td>00C24701</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 156</td>
<td>110 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>tidak</td>
</tr> <tr>
<td>2288</td>
<td>SULASMI PROLANIS / SULASMI</td>
<td>080000194800</td>
<td>P</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 160</td>
<td>120 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>tidak</td>
</tr> <tr>
<td>2289</td>
<td>RIKA HANDINI / MOHARI</td>
<td>080000466103</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 143</td>
<td>90 / 60</td>
<td>L60</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2290</td>
<td>HESTI WIJAYANTI / SUHARDIYONO</td>
<td>080000421302</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>71.1 / 147</td>
<td>127 / 73</td>
<td>z35</td>
<td>kia</td>
<td>ya</td>
</tr> <tr>
<td>2291</td>
<td>00C24700</td>
<td>L</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 164</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>tidak</td>
</tr> <tr>
<td>2292</td>
<td>00018200</td>
<td>L</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 158</td>
<td>132 / 76</td>
<td>I10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2293</td>
<td>00BPJS0083</td>
<td>L</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 170</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>tidak</td>
</tr> <tr>
<td>2294</td>
<td>RAMLAN / RAMLAN</td>
<td>089090261403</td>
<td>L</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 160</td>
<td>16.4/KURUS</td>
<td>120 / 73</td>
<td>K13</td>
<td>lansia</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>2295</td>
<td>DARA SEMBODRO FITRIASARI / RANGGA ANDRIAS</td>
<td>0800008607</td>
<td>JL. CEMPEDAK UTARA II NO.1</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 154</td>
<td>17.3/KURUS</td>
<td>90 / 60</td>
<td>K29</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2296</td>
<td>NGATINI (PROLANIS) / NGATINI</td>
<td>00B36100</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 155</td>
<td>130 / 70</td>
<td>I10</td>
<td>prolanis</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2297</td>
<td>YAMINAH (prolanis) / SOENARDI</td>
<td>0800J89005</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 158</td>
<td>18/KURUS</td>
<td>130 / 70</td>
<td>e11</td>
<td>prolanis</td>
<td>tidak</td>
</tr> <tr>
<td>2298</td>
<td>DAVID INDRA PRASETYA / DAVID INDRA PRASETYA</td>
<td>070000026602</td>
<td>L</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 167</td>
<td>118 / 79</td>
<td>m62</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2299</td>
<td>LOVIA ADZKIYA RIZKI / MUHAMMAD HASNUR RIZKI</td>
<td>070000315603</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.3 / 78</td>
<td>13.6/KURUS</td>
<td>90 / 60</td>
<td>l30</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2300</td>
<td>KOMAR / KOMAR</td>
<td>0000550402</td>
<td>L</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 167</td>
<td>83 / 50</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2301</td>
<td>RAMLAN / RAMLAN</td>
<td>089090261403</td>
<td>L</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 160</td>
<td>16.4/KURUS</td>
<td>120 / 73</td>
<td>K13</td>
<td>gigi</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>2302</td>
<td>BINGAR TITIAN MUKTI / EKO SUGENG PRAYITNO</td>
<td>00A13603</td>
<td>JL. PANDEAN LAMPER II/83 C</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>19 / 113</td>
<td>14.9/KURUS</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2303</td>
<td>ZOYA RAFANIA AINARU / AINUR RASYID</td>
<td>0000450804</td>
<td>JL BANCAR ASRI II/20</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.1 / 92</td>
<td>15.5/KURUS</td>
<td>70 / 51</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2304</td>
<td>DEALOVA WUEENZHA SYAHNAZ AQEELA / AMAT MUZAZIN</td>
<td>00E087003</td>
<td>P</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>19 / 112</td>
<td>15.1/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2305</td>
<td>SAMSUDIN / SAMSUDIN</td>
<td>089090348100</td>
<td>JL. GAYAMSARI SELATAN 7-A</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 160</td>
<td>144 / 85</td>
<td>k05.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2306</td>
<td>080000466300</td>
<td>L</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 170</td>
<td>163 / 87</td>
<td>r03</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2307</td>
<td>00B50102</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 160</td>
<td>178 / 100</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2308</td>
<td>ARKHAMA ARSYI SULISNA / MADJI</td>
<td>90F012802</td>
<td>JL. LAMPER TENGAH XV-B/08</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>54.6 / 157</td>
<td>117 / 93</td>
<td>z34</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2309</td>
<td>90A4303</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>32 / 111</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
<td>Jangli</td>
</tr> <tr>
<td>2310</td>
<td>NATALIA ERNI SETIYOWATI / WIBISONO</td>
<td>0000515305</td>
<td>JL. MANGGIS IV/29</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 150</td>
<td>136 / 86</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2311</td>
<td>ANNISA HUMAIRAH SALSABILA / YANUAR TEJA KUSUMA</td>
<td>00C066903</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>2400 / 46</td>
<td>70 / 51</td>
<td>Z00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2312</td>
<td>00E071000</td>
<td>L</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 165</td>
<td>90 / 60</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2313</td>
<td>RANDIKA BARRA JUANG / ITOK NURSETO</td>
<td>90G047403</td>
<td>KETILENG INDAH BLOK K NO.192</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>12 / 100</td>
<td>12/KURUS</td>
<td>90 / 60</td>
<td>l30 </td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2314</td>
<td>ABINAWA BALA PRADANA / SUYONO</td>
<td>080000442403</td>
<td>L</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>34 / 142</td>
<td>16.9/KURUS</td>
<td>100 / 78</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2315</td>
<td>MUHAMAD AHSANITAQWIN / SANTOSO</td>
<td>0890905703</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 105</td>
<td>15.4/KURUS</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2316</td>
<td>ARDIYANTI ARUM RAMADHANI / AINUR RASYID,S.Tr </td>
<td>0000450803</td>
<td>JL.BANCAR ASRI II/20</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 154</td>
<td>123 / 97</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2317</td>
<td>ZEANADA FATIMAH A / AINUN RASYID</td>
<td>0000450890</td>
<td>JL BANCAR ASRI II/20</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 109</td>
<td>15.2/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2318</td>
<td>SITI CHASANAH / M NUR HUDA</td>
<td>00A46701</td>
<td>JL. DURIAN I</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 154</td>
<td>141 / 81</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2319</td>
<td>NOVI NURUL MARHAMAH / NURHUDA</td>
<td>00A46703</td>
<td>JL.DURIAN I</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 150</td>
<td>81 / 63</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2320</td>
<td>NAILA ALTHAFUNNISA AZZAHRA / HERU CAHYONO</td>
<td>069090252204</td>
<td>JL. MEDOHO RAYA</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>13 / 90</td>
<td>16/KURUS</td>
<td>72 / 51</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Sambirejo</td>
</tr> <tr>
<td>2321</td>
<td>NAYLA RIZKY NUR ATHIFAH / SUHARTO</td>
<td>00004377002</td>
<td>BLIMBING III NO 39</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>19 / 114</td>
<td>14.6/KURUS</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2322</td>
<td>DEA DANAICA MEING / CAN BUDI WAHONO</td>
<td>00E075401</td>
<td>JL. LAMPER KRAJAN III/18</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>103 / 158</td>
<td>143 / 85</td>
<td>K10.2</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2323</td>
<td>00192103</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.2 / 92</td>
<td>13.2/KURUS</td>
<td>60 / 40</td>
<td>J00</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>2324</td>
<td>EKO SUMIATUN / AMIR</td>
<td>080000518801</td>
<td>P</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 159</td>
<td>133 / 81</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2325</td>
<td>SUCI PUSPORINI / BADWADI</td>
<td>089090323805</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 155</td>
<td>153 / 74</td>
<td>H36.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2326</td>
<td>AYU ADITIARANI SENIWATI / SIHONO</td>
<td>080000192102</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>106 / 165</td>
<td>162 / 98</td>
<td>i10</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2327</td>
<td>NUR HANDAYANI / HERU CAHYONO</td>
<td>069090252202</td>
<td>JL. MEDOHO RAYA</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 150</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Siwalan</td>
</tr> <tr>
<td>2328</td>
<td>9I007402</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 121</td>
<td>14.3/KURUS</td>
<td>100 / 60</td>
<td>z48.8</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2329</td>
<td>YOGI DWI PRASETYO / YOGI DWI PRASETYO</td>
<td>90I013100</td>
<td>JL. PERUM GRAHA WAHID BLOK G NO.6</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 166</td>
<td>116 / 77</td>
<td>z00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Sambiroto</td>
</tr> <tr>
<td>2330</td>
<td>FENDI FACHRURIZA / FENDI FACHRURIZA</td>
<td>90I013200</td>
<td>JL. SEMBUNGHARJO</td>
<td>L</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 174</td>
<td>131 / 92</td>
<td>k04.0</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Sembungharjo</td>
</tr> <tr>
<td>2331</td>
<td>INTAN BERLIANA AYUNINGSIH P. / NURHADI</td>
<td>080000470204</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 156</td>
<td>17.3/KURUS</td>
<td>102 / 64</td>
<td>h52.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2332</td>
<td>RANTINI TRI MURYATININGSIH (pusling) / PONIMAN</td>
<td>00E008101</td>
<td>Jl. TAMAN BLIMBING NO.2</td>
<td>P</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 149</td>
<td>150 / 90</td>
<td>I10</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2333</td>
<td>RADEYA JANU ALVARENDRA / NAUFAL MAULANA AKBAR</td>
<td>90A53704</td>
<td>JL.NANGKA III NO.04</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.5 / 81</td>
<td>16/KURUS</td>
<td>60 / 44</td>
<td>j00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2334</td>
<td>SHAQUEENA PUTRI ALZAHRA / SAPTOMO</td>
<td>080000525504</td>
<td>JL. PETERONGAN SARI 26</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.6 / 74</td>
<td>13.9/KURUS</td>
<td>60 / 44</td>
<td>j18</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2335</td>
<td>ACHMAD SUKRI / ACHMAD SUKRI</td>
<td>00C053200</td>
<td>L</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 163</td>
<td>105 / 85</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2336</td>
<td>SUSY HARJAYANTI / SUGIYONO</td>
<td>0800118000</td>
<td>JL. KABA DALAM</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 165</td>
<td>135 / 80</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>2337</td>
<td>SARDJO / SARDJO</td>
<td>0000513300</td>
<td>L</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>120 / 70</td>
<td>I63</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2338</td>
<td>FAHRIL RIZKI SAPUTRA / SAPUTRA WHISNU WARDANA</td>
<td>0000135906</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7 / 63</td>
<td>17.6/KURUS</td>
<td>88 / 42</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2339</td>
<td>MUHAMMAD KEVIN FAUSTI / SUHARYONO</td>
<td>00E047402</td>
<td>JL.CEMPEDAK UTARA NO 22-A</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 144</td>
<td>128 / 68</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2340</td>
<td>FELICIA PUTRI MAHARAHI / SAPUTRA WISNU WARDANA</td>
<td>0000135905</td>
<td>JL. CEMPEDAK UTARA NO 37</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.5 / 87</td>
<td>15.2/KURUS</td>
<td>88 / 41</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2341</td>
<td>MARSINI / BUWANG</td>
<td>0800122001</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 150</td>
<td>130 / 80</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2342</td>
<td>SUHARYONO / SUHARYONO</td>
<td>00E047400</td>
<td>JL.CEMPEDAK UTARA NO 22-A</td>
<td>L</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 165</td>
<td>148 / 91</td>
<td>r05</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2343</td>
<td>HARRY HARYONO / HARRY HARYONO</td>
<td>00E035800</td>
<td>L</td>
<td>77 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 165</td>
<td>120 / 70</td>
<td>m21.3</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2344</td>
<td>0800J49502</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 162</td>
<td>128 / 78</td>
<td>A09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2345</td>
<td>SITI ROMAWIYAH PROLANIS / SUHARDI SETYONO</td>
<td>08000J59901</td>
<td>JERUK VI/18, LAMPER LOR</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 150</td>
<td>130 / 71</td>
<td>E11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2346</td>
<td>HARTOKO / HARTOKO</td>
<td>90D087400</td>
<td>L</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 163</td>
<td>160 / 80</td>
<td>i10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2347</td>
<td>RINDA RUSLIANA / JATMIKO</td>
<td>0000529502</td>
<td>PETERONGAN TIMUR 324</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 158</td>
<td>105 / 62</td>
<td>Z34</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2348</td>
<td>VELIA CITRANAILA ROJAS / RUWIYADI</td>
<td>0000447203</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 133</td>
<td>22/NORMAL</td>
<td>116 / 75</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2349</td>
<td>SUGIHARNO / SUGIHARNO</td>
<td>00C01400</td>
<td>L</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 160</td>
<td>120 / 70</td>
<td>J44.1</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2350</td>
<td>AMAT SAIKIN / AMAT SAIKIN</td>
<td>9090320090</td>
<td>L</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 160</td>
<td>154 / 79</td>
<td>A09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2351</td>
<td>FITRIANA / ADY DODY</td>
<td>90B42801</td>
<td>KABA RAYA, TANDANG</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>55.5 / 150</td>
<td>117 / 75</td>
<td>N92</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>2352</td>
<td>AGESTY NOUREEN MIKAYLA / AGES TONY WIJAYA MALELA</td>
<td>9090219003</td>
<td>GAYAMSARI IV</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.6 / 91</td>
<td>16.4/KURUS</td>
<td>72 / 50</td>
<td>j06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2353</td>
<td>BALKIS BUNGAWALI / SAPUTRA WISNU W</td>
<td>0000135901</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 152</td>
<td>149 / 92</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2354</td>
<td>AZKIA PUTRI AQILLA CHANA / SLAMET GIYONO</td>
<td>00C073203</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>12.4 / 82</td>
<td>18.4/KURUS</td>
<td>88 / 40</td>
<td>R50</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2355</td>
<td>IMA IRIANTIE SE / DANANG NUGROHO</td>
<td>00C34301</td>
<td>JL. KEDONDONG RAYA I NO.423</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 154</td>
<td>125 / 85</td>
<td>K02</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2356</td>
<td>90H084702</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>10 / 80</td>
<td>15.6/KURUS</td>
<td>70 / 51</td>
<td>A16</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2357</td>
<td>0000259300</td>
<td>L</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>36 / 155</td>
<td>15/KURUS</td>
<td>130 / 70</td>
<td>a15</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2358</td>
<td>SYULI DAMAYANTI / SYULI DAMAYANTI</td>
<td>00B30100</td>
<td>JL.LAMPER TENGAH X/22</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 150</td>
<td>120 / 70</td>
<td>j98</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2359</td>
<td>YULLY KRISTI / ENY WIJANARKO</td>
<td>00C089001</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 152</td>
<td>129 / 80</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2360</td>
<td>SITI MURTINI / ARYADI</td>
<td>0000293900</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 167</td>
<td>122 / 77</td>
<td>k29</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2361</td>
<td>DELISHA ILYANA SAPUTRI / BERO RAHARJO / ILHAM TRI BONGGO SAPUTRO</td>
<td>080000129090</td>
<td>CERME IV/73</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.9 / 68</td>
<td>70 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2362</td>
<td>MARCELLO RICHI GUNAWAN / FERRY GUNAWAN</td>
<td>90G058003</td>
<td>JL.SELAPANJANG JAYA KEL.SELAPANG JAYA KEC.NEGLASARI KOTA
TANGGERANG</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.7 / 75</td>
<td>19/NORMAL</td>
<td>89 / 56</td>
<td>J06</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2363</td>
<td>TRI DEDY PRAMONO / TRI DEDY PRAMONO</td>
<td>00D029700</td>
<td>JL.TAMAN DUKU NO.17</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 157</td>
<td>110 / 80</td>
<td>J90</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2364</td>
<td>SALMA NAILA SEJAHTERA AZ-ZAHRA / SUYONO</td>
<td>90F098804</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>16.6 / 114.5</td>
<td>12.7/KURUS</td>
<td>98 / 65</td>
<td>k00</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2365</td>
<td>JIHAN AFSHIN MECCA / EDY WAHYU PRAYOGO</td>
<td>080000403990</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.1 / 78</td>
<td>16.6/KURUS</td>
<td>84 / 40</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2366</td>
<td>SRI PARTINI / WARSITO</td>
<td>0000317601</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 148</td>
<td>120 / 70</td>
<td>m10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2367</td>
<td>AFTA GENDIS PURBAWATI / WAHYU PURBOWO</td>
<td>00D085202</td>
<td>JL. CEMPEDAK UTARA I/26-C</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 157</td>
<td>18.3/KURUS</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2368</td>
<td>90B71800</td>
<td>JL.WONODRI KOPEN TIMUR</td>
<td>L</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 165</td>
<td>127 / 96</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>2369</td>
<td>FAATINA ARETA KHAYRA / BENY ISTYANTO</td>
<td>90I013602</td>
<td>JL. JATI, JANTIHARJO, KARANGANYAR, KAB. KARANGANYAR</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3000 / 49</td>
<td>89 / 56</td>
<td>Z00</td>
<td>mtbs</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2370</td>
<td>GISTA DIAN KARTIKA / SUGIHARNO</td>
<td>00C01406</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 148</td>
<td>121 / 83</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2371</td>
<td>RATNA WIDIASTUTI / RATNA WIDIASTUTI</td>
<td>00A031401</td>
<td>JL. SOMPOK LAMA 1601-B</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 160</td>
<td>120 / 80</td>
<td>Z34.8</td>
<td>umum</td>
<td>gratis</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2372</td>
<td>DJULIANTI / NOVI PRIANDOKO</td>
<td>089090240201</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 157</td>
<td>120 / 80</td>
<td>J00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2373</td>
<td>DELA TARSINTA MAHARANI / TARYANTO</td>
<td>00E015802</td>
<td>JL.TAMAN DURIAN I</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4700 / 55</td>
<td>70 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2374</td>
<td>ALVANO KAHFI PRAYOGA / CANDRA PRAYOGA</td>
<td>90C46002</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>15.5 / 100</td>
<td>15.5/KURUS</td>
<td>89 / 56</td>
<td>R50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2375</td>
<td>0600J13301</td>
<td>P</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 142</td>
<td>120 / 80</td>
<td>M54.5</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2376</td>
<td>080000108101</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 148</td>
<td>120 / 80</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2377</td>
<td>SRI RUMIYATI / WAGINO</td>
<td>080000252101</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 158</td>
<td>128 / 85</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2378</td>
<td>ALVIN SATRIA PUTRA MULYANA / MULYONO</td>
<td>00A75805</td>
<td>L</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 164</td>
<td>110 / 80</td>
<td>J00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2379</td>
<td>NESYA RAMANIA PRAMESWARI / WINARKO BUDI UTOMO</td>
<td>00E028802</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.1 / 64</td>
<td>14.9/KURUS</td>
<td>70 / 51</td>
<td>z27</td>
<td>imunisasi</td>
<td>tidak</td>
</tr> <tr>
<td>2380</td>
<td>KASTIMAH / NGADIMIN</td>
<td>00E077501</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>170 / 100</td>
<td>E11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2381</td>
<td>IRMA ISTIANTI / DANANG SETIAWAN </td>
<td>00E079801</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 155</td>
<td>124 / 86</td>
<td>Z34</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2382</td>
<td>DIFANI AMALIA / MULYONO</td>
<td>00A75803</td>
<td>L</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 124</td>
<td>108 / 72</td>
<td>J00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2383</td>
<td>LUWINARNI / NOOR KHOLIK</td>
<td>0000141503</td>
<td>CEMPEDAK UTARA I/26C</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 150</td>
<td>24/NORMAL</td>
<td>120 / 70</td>
<td>E11.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2384</td>
<td>WARTI / SUTRISNO</td>
<td>080000089501</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 150</td>
<td>123 / 77</td>
<td>M06</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2385</td>
<td>IKA SRI LESTARI / BAMBANG SUSILO</td>
<td>08900129901</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 155</td>
<td>139 / 97</td>
<td>E11</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2386</td>
<td>ADHIYAKSA PUTRA MAHARDIKA / SIGIT TRI KUMORO</td>
<td>00160002</td>
<td>JL.CEMPEDAK UTARA NO.7-A</td>
<td>L</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>23 / 135</td>
<td>12.6/KURUS</td>
<td>100 / 76</td>
<td>k04.0</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2387</td>
<td>0000307001</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>59.5 / 160</td>
<td>116 / 78</td>
<td>z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2388</td>
<td>RUMIYATI / LUDIRAN</td>
<td>0700J044701</td>
<td>JL.DURIAN II NO.05</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 155</td>
<td>127 / 77</td>
<td>J00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2389</td>
<td>DANIEL NUGRAHA PUTRA / DANIEL NUGRAHA PUTRA</td>
<td>00A96200</td>
<td>PETERONGAN TENGAH 318</td>
<td>L</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 163</td>
<td>127 / 86</td>
<td>k01.1</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2390</td>
<td>LUDIRAN / LUDIRAN</td>
<td>080004470400</td>
<td>JL.DURIAN II NO.05</td>
<td>L</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 158</td>
<td>110 / 80</td>
<td>J00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2391</td>
<td>SATRIO ARSHAKA PRATAMA / EDI ARDITIYA</td>
<td>90H073802</td>
<td>JL.GAYAMSARI SELATAN </td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6400 / 60</td>
<td>89 / 57</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2392</td>
<td>NADHIRA NISA N / ISRO' BUDILEKSONO</td>
<td>90255904</td>
<td>JL. KOKOSAN NO.102</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8300 / 66</td>
<td>70 / 51</td>
<td>J18</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2393</td>
<td>MARVEL AZHARI GONZA ATALLA / LUDIRAN</td>
<td>00044703</td>
<td>DURIAN II NO 05</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>34 / 135</td>
<td>90 / 50</td>
<td>m13</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2394</td>
<td>NANIK MANISEM / NANIK MANISEM</td>
<td>080J059001</td>
<td>JL. BLIMBING III/22, PETERONGAN</td>
<td>P</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 148</td>
<td>120 / 80</td>
<td>T79</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2395</td>
<td>ATTAR ALFARIZI RAMADHAN / KASERI / DIMAS EKO PRASETYO</td>
<td>90C31402</td>
<td>JL.BODEH KEL.KEDUNGMULYO KEC.KEMUSU KAB.BOYOLALI</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.4 / 73</td>
<td>15.8/KURUS</td>
<td>70 / 51</td>
<td>J06</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2396</td>
<td>90H080601</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>92 / 168</td>
<td>120 / 80</td>
<td>Z48.8</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2397</td>
<td>RATNA WIDIASTUTI / RATNA WIDIASTUTI</td>
<td>00A031401</td>
<td>JL. SOMPOK LAMA 1601-B</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>57.4 / 160</td>
<td>120 / 80</td>
<td>Z34</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2398</td>
<td>ARINDY PUTRI PRITA KUSUMA / ANDI BAGUS WARIH</td>
<td>00B30904</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>29 / 149</td>
<td>13.1/KURUS</td>
<td>96 / 61</td>
<td>A09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2399</td>
<td>DIAJENG SEKAR AYU / SETIAWAN KORPRIONO</td>
<td>00E027304</td>
<td>JL. JERUK VIII NO.20</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6300 / 61</td>
<td>88 / 41</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2400</td>
<td>CLARA ELOK REGINA / ANTONIUS PURWANTO</td>
<td>00D021904</td>
<td>JL MANGGIS VI/31-B</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>35.2 / 130</td>
<td>112 / 71</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2401</td>
<td>ELFI MU`TASHIMAH, S.AG / ABDUL AZIZ MUSTOFA</td>
<td>90D095801</td>
<td>KP BANTENG JANGLI</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 153</td>
<td>110 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jangli</td>
</tr> <tr>
<td>2402</td>
<td>DEWI CAHYA PUTRI / ENRICO CARLOS</td>
<td>90G056401</td>
<td>JL. IJEN</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>56.2 / 150</td>
<td>121 / 80</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>2403</td>
<td>0000286904</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5500 / 58</td>
<td>89 / 56</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2404</td>
<td>AQILA MISYA SHABIRA / SLAMET PRIHATIN</td>
<td>080000539804</td>
<td>JL.RAMBUTAN RAYA 27</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.4 / 71</td>
<td>14.7/KURUS</td>
<td>70 / 51</td>
<td>J00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2405</td>
<td>MUNDARSIH ROWATI / MUNDARSIH ROWATI</td>
<td>90I013501</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 157</td>
<td>150 / 90</td>
<td>I10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2406</td>
<td>M YUSUF ALI MUSTOFA / M YUSUF ALI MUSTOFA</td>
<td>00B55600</td>
<td>L</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 170</td>
<td>140 / 90</td>
<td>L98</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>2407</td>
<td>KOSMAN / KOSMAN</td>
<td>00E0871</td>
<td>JL. LAMPER TENGAH XII </td>
<td>L</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>169 / 93</td>
<td>r03.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2408</td>
<td>SUMARWATI / HADI SULISTYO</td>
<td>00C20501</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 157</td>
<td>166 / 100</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2409</td>
<td>KAIVAN ASKA BUDIYONO / ASEP BUDIYONO</td>
<td>90I013302</td>
<td>JL. BAJO MULYO, JUWANA KAB. PATI</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5000 / 60</td>
<td>72 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2410</td>
<td>TRY WAHYUNINGTYAS / NUGRAHA NING MULYO</td>
<td>90A69904</td>
<td>JL. LAMPER TENGAH 03/ 617-C</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 157</td>
<td>101 / 67</td>
<td>k29</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2411</td>
<td>DEVIA FEVTIANANDA / DEVIA FEVTIANANDA</td>
<td>90I0137</td>
<td>JL. MRAHU 11/2 MRAHU KARTOHARJO </td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>56.5 / 168</td>
<td>20/NORMAL</td>
<td>123 / 72</td>
<td>Z34</td>
<td>kia</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2412</td>
<td>GREYSIA ROSEANNE DAMAYANTI / ADI PRADANA W.SINGGIH</td>
<td>00E055702</td>
<td>JL.MATARAM NO.966-D</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4770 / 57</td>
<td>84 / 36</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2413</td>
<td>YULIAH / ROHADI</td>
<td>90H044201</td>
<td>JL.GAYAMSARI </td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 148</td>
<td>117 / 74</td>
<td>a05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>2414</td>
<td>KASDURI / KASDURI</td>
<td>90I013400</td>
<td>JL. IJEN DALAM NO.07</td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>160 / 115</td>
<td>I10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>2415</td>
<td>00B34700</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 149</td>
<td>152 / 88</td>
<td>m62</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2416</td>
<td>MUHAMMAD TAMMAM P / RAHMAT TRIARTO</td>
<td>00B56102</td>
<td>JL.DURIAN TIMUR NO.114</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5.7 / 61.3</td>
<td>15.2/KURUS</td>
<td>70 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2417</td>
<td>0800J100200</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 167</td>
<td>133 / 77</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2418</td>
<td>SUMIYATI / SULKANI</td>
<td>089090065601</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 145</td>
<td>117 / 66</td>
<td>h81</td>
<td>lansia</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2419</td>
<td>JUMINAH / WARTONO</td>
<td>080000707591</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 150</td>
<td>128 / 76</td>
<td>h81.3</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>2420</td>
<td>TRAPSILO BUDI NUGROHO AL DANU / SADIMAN</td>
<td>0000250600</td>
<td>LAMPER TENGAH III</td>
<td>L</td>
<td>37 Tahun</td>
<td></td>
<td></td>
<td>64 / 168</td>
<td>110 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2421</td>
<td>RAFAZKA PRATAMA PUTRA / MEISYA FEBILIYANA</td>
<td>00D023102</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.4 / 84</td>
<td>16.2/KURUS</td>
<td>89 / 56</td>
<td>H10</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2422</td>
<td>YULIATI / TRI PRASETYONO</td>
<td>00C099001</td>
<td>JL. RAMBUTAN I/43</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 156</td>
<td>139 / 90</td>
<td>k08.3</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2423</td>
<td>080000376304</td>
<td>L</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 157</td>
<td>120 / 80</td>
<td>z48.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2424</td>
<td>TRI IRIYANI / WALUYO</td>
<td>0000318803</td>
<td>JL. DURIAN III NO. 30</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 145</td>
<td>104 / 63</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2425</td>
<td>AYU LUTVIANI / NAUFAL REZA ALFIANDY</td>
<td>00C39304</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 151</td>
<td>110 / 80</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2426</td>
<td>ANUM NAJWA ZAHIRA / HERI WIJIANTO</td>
<td>0000547003</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5835 / 58</td>
<td>90 / 60</td>
<td>Z27</td>
<td>imunisasi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2427</td>
<td>DIDIK SATIYO / DIDIK SATIYO</td>
<td>00A2600</td>
<td>JL. MANGGIS III/18 - A</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>116 / 80</td>
<td>K59.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2428</td>
<td>TATIK HARIYATI / SUPRIYONO</td>
<td>00B43101</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 151</td>
<td>130 / 80</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2429</td>
<td>CALIA ARKADEWI / HARPAN</td>
<td>00157902</td>
<td>JL. MANGGIS 3 NO. 22-B</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 112</td>
<td>100 / 70</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2430</td>
<td>ROMELAH / SUGITO</td>
<td>000000395701</td>
<td>JL. PISANG I/581</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 150</td>
<td>101 / 70</td>
<td>k05.2</td>
<td>gigi</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>2431</td>
<td>SILVESTER STEVE NELSON P / G. SAMUEL AFNAN YUDI PRACOYO</td>
<td>00B27104</td>
<td>L</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 169</td>
<td>124 / 74</td>
<td>r10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2432</td>
<td>BUDIATI / SUMARDI</td>
<td>001004804</td>
<td>JL.MANGGIS V/12-A</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 156</td>
<td>155 / 98</td>
<td>I84</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2433</td>
<td>060000359100</td>
<td>L</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 171</td>
<td>120 / 70</td>
<td>i63</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>2434</td>
<td>AYSA PUTRI / AHMAD DEMIYATI</td>
<td>080J057604</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 145</td>
<td>90 / 60</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2435</td>
<td>SARIKIN / SARIKIN</td>
<td>0800J29691</td>
<td>L</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>90 / 176</td>
<td>115 / 85</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2436</td>
<td>SOELAMI / SOELAMI</td>
<td>90A63000</td>
<td>JL.KINI BALU TIMUR NO 32</td>
<td>P</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 150</td>
<td>136 / 68</td>
<td>A09</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>2437</td>
<td>LUQMAN AQIL SALAM / SLAMET PRIHATIN</td>
<td>0000539805</td>
<td>JL. RAMBUTAN RAYA</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 106</td>
<td>90 / 60</td>
<td>l21</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2438</td>
<td>RUSDIYANA / RUSDIYANA</td>
<td>0800009800</td>
<td>CERME II/76, LAMPER TENGAH</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 162</td>
<td>130 / 90</td>
<td>m54.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2439</td>
<td>ABIZAR BANYU BIRU / MULYADI</td>
<td>00543304</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>33.2 / 108</td>
<td>90 / 60</td>
<td>r50</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2440</td>
<td>SUNARMI / MOCH ZAELANI</td>
<td>080000454491</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 156</td>
<td>141 / 88</td>
<td>m79.1</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2441</td>
<td>AGIL DAFA NOVA ARYA / SUNGATNO</td>
<td>080000285803</td>
<td>JL. KOMPOL MAKSUM 292</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 164</td>
<td>18.2/KURUS</td>
<td>90 / 50</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2442</td>
<td>SUHENDRO / SUHENDRO</td>
<td>080000344407</td>
<td>L</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 156</td>
<td>140 / 80</td>
<td>r03</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2443</td>
<td>080000707501</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>103 / 144</td>
<td>120 / 80</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2444</td>
<td>ECHA NABILA ROCHMAWATI / MUCHLAS</td>
<td>080000526403</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 160</td>
<td>17.6/KURUS</td>
<td>100 / 60</td>
<td>k29</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2445</td>
<td>NENY ARISTA VANNY / IMAM S</td>
<td>00C057803</td>
<td>JL. CEMPEDAK UTARA NO 9 C</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 159</td>
<td>21/NORMAL</td>
<td>123 / 83</td>
<td>N92</td>
<td>kia</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2446</td>
<td>COLIN SILVY EUGENIE / SUDIYOKO</td>
<td>0800081491</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 150</td>
<td>17.8/KURUS</td>
<td>120 / 80</td>
<td>M21</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2447</td>
<td>FAYYOLA MAGNOLIA / LUTHFI ADI PRADANA</td>
<td>90H091803</td>
<td>JL. LILY GG. II NO. 1, KEC. SOKANANDI, KAB. BANJARNEGARA</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4500 / 54.5</td>
<td>90 / 60</td>
<td>Z27</td>
<td>imunisasi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2448</td>
<td>ROBY SULISTYO / ROBY SULISTYO</td>
<td>0000278300</td>
<td>JL. BLIMBING II/367.B</td>
<td>L</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 165</td>
<td>18.4/KURUS</td>
<td>140 / 90</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2449</td>
<td>SIDIK PURNOMO / TEMU</td>
<td>00J124102</td>
<td>JL.DUWET 524</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 165</td>
<td>120 / 80</td>
<td>n18</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2450</td>
<td>PURWANTO / PURWANTO</td>
<td>90B93400</td>
<td>L</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 176</td>
<td>120 / 70</td>
<td>E11.8</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Wonodri</td>
</tr> <tr>
<td>2451</td>
<td>IRVAN TRI WIBOWO / IRVAN TRI WIBOWO</td>
<td>00D021590</td>
<td>JL.JOMBLANG SARI</td>
<td>L</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 174</td>
<td>134 / 81</td>
<td>r05</td>
<td>umum</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>2452</td>
<td>TRI HARYADI POSBINDU / TRI HARYADI</td>
<td>00B99600</td>
<td>L</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 150</td>
<td>124 / 80</td>
<td>r73.9</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2453</td>
<td>PARINEM / SURAJI</td>
<td>0000214001</td>
<td>LAMPER TENGAH II /598</td>
<td>P</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 149</td>
<td>140 / 90</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2454</td>
<td>90H067102</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4300 / 57</td>
<td>90 / 60</td>
<td>z00</td>
<td>imunisasi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2455</td>
<td>WAWAN HERMAWAN / WAWAN HERMAWAN</td>
<td>90I0139</td>
<td>JL.CIJATI KEL.CIJATI KEC.CIMANGGU KAB.CILACAP</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 165</td>
<td>110 / 60</td>
<td>j00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2456</td>
<td>AGUNG HANDOYO / AGUNG HANDOYO</td>
<td>90I014200</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>38.5 / 167</td>
<td>13.8/KURUS</td>
<td>129 / 84</td>
<td>Z00</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2457</td>
<td>FERISHA AZKAYR MAHARDIKA / EKO RUSTANTO</td>
<td>90H093504</td>
<td>JL. KLIPANG PERMAI BLOK H NO. 237</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5800 / 60</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2458</td>
<td>DENDRA ARIA PUTRA / SARIKIN</td>
<td>0800029609</td>
<td>JL. CEMPEDAK UTARA II/59</td>
<td>L</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 165</td>
<td>122 / 77</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2459</td>
<td>THEO DAYUS SAPUTRA / YUSMAN</td>
<td>080J134603</td>
<td>JL.MANGGIS IV / 27A</td>
<td>L</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 154</td>
<td>90 / 60</td>
<td>N15.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2460</td>
<td>ANNEKE NONIK SANDHITHA PUTRI / RUSTONO</td>
<td>90I014002</td>
<td>JL. KIMAR II NO. 287</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 158</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2461</td>
<td>TRI SUSANTO / TRI SUSANTO</td>
<td>080000005100</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 165</td>
<td>130 / 88</td>
<td>k04.0</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2462</td>
<td>SUWIT DAYANTO / SUWIT DAYANTO</td>
<td>9090219600</td>
<td>L</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 165</td>
<td>140 / 90</td>
<td>i50.0</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>2463</td>
<td>00BPJS011807</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>2500 / 47</td>
<td>90 / 60</td>
<td>z00</td>
<td>mtbs</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2464</td>
<td>RANGGA SETIA HARDIKA / RUDIYANTO</td>
<td>90I0141</td>
<td>JL. BANJAREJO BANJAREJO KEC. BARAT KAB. MAGETAN</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 165</td>
<td>110 / 70</td>
<td>n49.2</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2465</td>
<td>SRI WAHYUNI / EKO ROHADI</td>
<td>080000403901</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 152</td>
<td>110 / 70</td>
<td>m06</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2466</td>
<td>RINI / URIP SANTOSO</td>
<td>080J023905</td>
<td>JL. LAMPER KRAJAN 1622 C</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 155</td>
<td>134 / 88</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2467</td>
<td>SALBIYAH / ABDUL HAMDI</td>
<td>0890013601</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 145</td>
<td>138 / 85</td>
<td>h65</td>
<td>umum</td>
<td>Gemah</td>
</tr> <tr>
<td>2468</td>
<td>ZAHY INSANI KAMIL / BINTARA ABADI ASSHAHADAD</td>
<td>00B14304</td>
<td>DURIAN IV</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>35 / 133</td>
<td>90 / 60</td>
<td>J00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2469</td>
<td>TITIK LESTARI / EKO JATI</td>
<td>080000273901</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 160</td>
<td>120 / 70</td>
<td>J44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2470</td>
<td>RICA MAYA SARI / SUDIYOKO</td>
<td>080J081404</td>
<td>JL. MANGGIS II/8-A</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>109 / 66</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2471</td>
<td>CEISYA ALMIRA PUTRI IRSANTO / ADAM IRSANTO</td>
<td>00A37303</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.9 / 70</td>
<td>18.2/KURUS</td>
<td>80 / 60</td>
<td>B02</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2472</td>
<td>080J044001</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 165</td>
<td>130 / 80</td>
<td>M13</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2473</td>
<td>QITIYAH / SUNARNO</td>
<td>90A72001</td>
<td>JL. CEMPEDAK UTARA NO.29 C</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 156</td>
<td>138 / 86</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2474</td>
<td>MUHAMMAD YANUAR / SUGENG SUTRISNO</td>
<td>0000127904</td>
<td>XEMPDAK SELATAN 35</td>
<td>L</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 170</td>
<td>15.6/KURUS</td>
<td>110 / 70</td>
<td>Z00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2475</td>
<td>ENDANG KISWARA,SE.MSI.AKT / ENDANG KISWARA,SE.MSI.AKT !</td>
<td>00E085301</td>
<td>JL. LAMPER TENGAH VII/564-A</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 171</td>
<td>128 / 67</td>
<td>H65</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2476</td>
<td>ELSI DERK LANTANG / ELSI DERK LANTANG</td>
<td>90I014201</td>
<td>JL. TLOGO ASRI PERMAI NO. 9, KEL. BATURSARI, KEC. MRANGGEN, KAB.
DEMAK</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>62.3 / 160</td>
<td>110 / 73</td>
<td>Z27</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2477</td>
<td>IBNU ATTAUFIQ / IBNU ATTAUFIQ</td>
<td>000601000</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 168</td>
<td>125 / 84</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2478</td>
<td>NANANG SULISTIJO / NANANG SULISTIJO</td>
<td>90H097700</td>
<td>JL. GISIK SARI II/5</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 172</td>
<td>23/NORMAL</td>
<td>120 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Barusari</td>
</tr> <tr>
<td>2479</td>
<td>NGATMI SURATMI / NGATMI</td>
<td>0000212901</td>
<td>P</td>
<td>88 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 144</td>
<td>159 / 71</td>
<td>I10</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2480</td>
<td>0000193106</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5100 / 55</td>
<td>60 / 44</td>
<td>A06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2481</td>
<td>PUSPITA DWI OKTAVIRA / DWI YONO</td>
<td>90I014402</td>
<td>JL. SENDANGGUWO UTARA I</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 156</td>
<td>127 / 83</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2482</td>
<td>ASYRAAF MUFAZZAL YEQO NURDAFFA / JALU YULISANDI / SUMARDI</td>
<td>00A68592</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 118</td>
<td>15.1/KURUS</td>
<td>100 / 87</td>
<td>k00</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2483</td>
<td>MALIKA RAFA KHAIRIYA / APRILIA RAHARJO</td>
<td>9000378896</td>
<td>JL. SENDANGGUWO SELATAN </td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>36 / 141</td>
<td>18.1/KURUS</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2484</td>
<td>APRILIA RAHARJO / APRILIA RAHARJO</td>
<td>080000378805</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 165</td>
<td>101 / 67</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2485</td>
<td>NASHITA KHAIRA AGATHA / HARTONO</td>
<td>0000321006</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>32 / 128</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2486</td>
<td>HERI SETIONO / HERI SETIONO</td>
<td>080000536100</td>
<td>KINIBALU BARAT</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 170</td>
<td>130 / 80</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>2487</td>
<td>MUHAMMAD ABDUL BASITS / WAHYONO</td>
<td>90I013805</td>
<td>JALAN KANGURU UTARA VIIB</td>
<td>L</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 171</td>
<td>126 / 78</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>2488</td>
<td>SALBIYAH / ABDUL HAMDI</td>
<td>0890013601</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 145</td>
<td>138 / 85</td>
<td>k08.3</td>
<td>gigi</td>
<td>Gemah</td>
</tr> <tr>
<td>2489</td>
<td>PILROTIL HIDAYATI / AGUS WIBOWO</td>
<td>08000J47502</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 160</td>
<td>166 / 97</td>
<td>r03</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2490</td>
<td>THOYIB / THOYIB</td>
<td>0800051100</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 165</td>
<td>18.4/KURUS</td>
<td>179 / 87</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2491</td>
<td>DIDIK PURNOMO / DIDIK PURNOMO</td>
<td>90I014300</td>
<td>JL.KALIKETING</td>
<td>L</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>87 / 168</td>
<td>120 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2492</td>
<td>SARDI / SARDI</td>
<td>00131100</td>
<td>L</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 160</td>
<td>120 / 80</td>
<td>n20.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2493</td>
<td>JIAN AZKADINA KEREI / ALI BINCAR NASUTION</td>
<td>00A67404</td>
<td>JL.LAMPER TENGAH I / 553</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>16 / 106</td>
<td>14.2/KURUS</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2494</td>
<td>SUWANTI / YUSUF</td>
<td>00C071601</td>
<td>JL. PANDEAN LAMPER II / 39</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>1 / 1</td>
<td>120 / 70</td>
<td>E11.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>2495</td>
<td>YUSTINA PRIMANDIKI / IGNATIUS SUNARYO</td>
<td>00A34502</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 160</td>
<td>139 / 94</td>
<td>a09</td>
<td>umum</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>2496</td>
<td>RIYAS ANJAYANI / ROBERTUS ISMOYO A</td>
<td>00B72501</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>79.5 / 160</td>
<td>111 / 63</td>
<td>z35</td>
<td>kia</td>
<td>gratis</td>
<td>Peterongan</td>
</tr> <tr>
<td>2497</td>
<td>CLARA YASINTA / HERMAN JOSEF SENO ADJI</td>
<td>00D093401</td>
<td>JL.CEMPEDAK RAYA I/15</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 150</td>
<td>129 / 74</td>
<td>r73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2498</td>
<td>PUJI LESTARI VCT / TIDAK TAHU</td>
<td>00E087401</td>
<td>JL. ASRI KADANG</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>120 / 70</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2499</td>
<td>RESMANTIKA VARMA VCT / TIDAK TAHU</td>
<td>00E087301</td>
<td>BLOK ALAMARAN </td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 155</td>
<td>120 / 88</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2500</td>
<td>SULIAH VCT / TIDAK TAHU</td>
<td>00E087501</td>
<td>BLOK A</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 156</td>
<td>23/NORMAL</td>
<td>120 / 70</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2501</td>
<td>IKA ARDINIATI VCT / SAMANI</td>
<td>00B40402</td>
<td>LAMPER MIJEN 349H</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 158</td>
<td>24/NORMAL</td>
<td>120 / 70</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2502</td>
<td>PUTRI PUJIASTUTIK / SUYITNO</td>
<td>0000203502</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>37 / 155</td>
<td>15.4/KURUS</td>
<td>110 / 70</td>
<td>f32</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2503</td>
<td>ULFA DWI SYAHARA VCT / TIDAK TAHU</td>
<td>90I014601</td>
<td>MAITAN, TAMBAKROMO</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 156</td>
<td>120 / 70</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2504</td>
<td>RUMIYATI VCT / SUPARNO</td>
<td>90B3001</td>
<td>DK REJOSARI BOYOLALI</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 150</td>
<td>120 / 70</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2505</td>
<td>SUTJIATI KUMALA DEWI, SPD / BUDI IRIANTO</td>
<td>90H027601</td>
<td>JL. KAKAP III/294</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 150</td>
<td>120 / 80</td>
<td>e11</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Kuningan</td>
</tr> <tr>
<td>2506</td>
<td>INKA PUSPITA RANI VCT / TIDAK TAHU</td>
<td>90I014701</td>
<td>JL. BANGETAYU WETAN</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 155</td>
<td>120 / 70</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Genuksari</td>
</tr> <tr>
<td>2507</td>
<td>SITI DEWI VCT / TIDAK TAHU</td>
<td>90I014801</td>
<td>KP. CILIMUS, PENYIDANGAN, SUKATONI</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 156</td>
<td>120 / 70</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2508</td>
<td>00B72501</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>79.5 / 160</td>
<td>111 / 63</td>
<td>z35</td>
<td>umum</td>
<td>gratis</td>
<td>Peterongan</td>
</tr> <tr>
<td>2509</td>
<td>ARDI SUSILO / ARDI SUSILO</td>
<td>00A42100</td>
<td>L</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 160</td>
<td>120 / 70</td>
<td>R10.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2510</td>
<td>FAJAR SOBIRIN PUTRA / FAJAR SOBIRIN PUTRA</td>
<td>90I0145</td>
<td>DERMASANDI</td>
<td>L</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 163</td>
<td>122 / 66</td>
<td>z02</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2511</td>
<td>MAESYAROH / SUWANDI</td>
<td>080000279801</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>140 / 90</td>
<td>i10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2512</td>
<td>KAYLA PUTRI SALSABILA / FENDI WITO CAHYONO</td>
<td>00E055004</td>
<td>JL. MANGGIS IV NO. 25-B</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>23 / 120</td>
<td>16/KURUS</td>
<td>90 / 70</td>
<td>Z01.9</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2513</td>
<td>00A34502</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 160</td>
<td>139 / 94</td>
<td>a09</td>
<td>gigi</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>2514</td>
<td>00B72501</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>79.5 / 160</td>
<td>111 / 63</td>
<td>z35</td>
<td>gigi</td>
<td>gratis</td>
<td>Peterongan</td>
</tr> <tr>
<td>2515</td>
<td>00A88803</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 146</td>
<td>102 / 69</td>
<td>j20</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2516</td>
<td>00E073300</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 156</td>
<td>130 / 60</td>
<td>e11</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2517</td>
<td>MUHAMAD RAFA BUDIMAN / EKO BUDIMAN</td>
<td>00C040403</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11 / 72.3</td>
<td>21/NORMAL</td>
<td>90 / 60</td>
<td>r50</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2518</td>
<td>ALDO PURBOYO / ALDO PURBOYO</td>
<td>00A57000</td>
<td>L</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 165</td>
<td>18.4/KURUS</td>
<td>144 / 90</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2519</td>
<td>JANNATUL MUSTAMIROH / AGUNG NUGROHO</td>
<td>080000452301</td>
<td>JL BLIMBING II /366 C</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 149</td>
<td>100 / 70</td>
<td>a09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2520</td>
<td>YOHANES ANTONI / SUGENG</td>
<td>00056008</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 164</td>
<td>138 / 73</td>
<td>l30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2521</td>
<td>SUGIYEM / SUGIYEM</td>
<td>0800J45801</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 146</td>
<td>120 / 80</td>
<td>E11.4</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>2522</td>
<td>ABRIZAN DEVAN REVANDRA / KUKUH LILIK PRASETIO</td>
<td>00B10503</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>17.9 / 103</td>
<td>16.9/KURUS</td>
<td>89 / 56</td>
<td>J02</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>2523</td>
<td>DWI ARIYANTO VCT / DWI ARIYANTO</td>
<td>00E087600</td>
<td>JL. SAWI I A NO. 5</td>
<td>L</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 170</td>
<td>120 / 80</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2524</td>
<td>ANANDA PUTRI AIRIN VCT / TIDAK TAHU</td>
<td>90I014902</td>
<td>JL. KALISARI BARU</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 160</td>
<td>110 / 70</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2525</td>
<td>MOHAMAD FARIZ BRILIANT / ACHMAD FAIRUS</td>
<td>00C070802</td>
<td>JL. MANGGIS IV/9-A</td>
<td>L</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 171</td>
<td>113 / 55</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2526</td>
<td>VIDA ANZHANY VCT / TIDAK TAHU</td>
<td>90I015001</td>
<td>KP. SALAM, PRINGKASAP, PABAURAN</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 158</td>
<td>120 / 70</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2527</td>
<td>ROSALINAWATI VCT / TIDAK TAHU</td>
<td>901015101</td>
<td>BLOK KIDUL</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 149</td>
<td>110 / 60</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tlogomulyo</td>
</tr> <tr>
<td>2528</td>
<td>RINA VCT / TIDAK TAHU</td>
<td>90I015202</td>
<td>KP. CIHUNI, SUKAMULYA, TEGALWARU, PURWAKARTA</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 150</td>
<td>20/NORMAL</td>
<td>110 / 60</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2529</td>
<td>NADYA PERMATASARI VCT / TIDAK TAHU</td>
<td>90I015302</td>
<td>BLOK C 83, JATILUHUR, KAB. PURWAKARTA</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>110 / 80</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2530</td>
<td>SITI KHODIJAH VCT / TIDAK TAHU</td>
<td>90I015402</td>
<td>BABAKAN LOA, MARGAMUKTI, SUMEDANG UTARA</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 165</td>
<td>110 / 70</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2531</td>
<td>RAWEN VCT / TIDAK TAHU</td>
<td>90I015502</td>
<td>SUKASARI</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 165</td>
<td>110 / 70</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2532</td>
<td>TUTI VCT / TUTI</td>
<td>90G076101</td>
<td>JL.BLOK CIKONDANG KEL.TEMIYANGSARI KEC.KROYA KAB.INDRAMAYU -
JABAR</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 165</td>
<td>110 / 70</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2533</td>
<td>EMA PURNAMASARI VCT / TIDAK TAHU</td>
<td>90I015602</td>
<td>KP. BARU, CITEKO PLEREO</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 165</td>
<td>110 / 70</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2534</td>
<td>YUYUN VCT / TIDAK TAHU</td>
<td>90I015702</td>
<td>KP SALAM, SUBANG</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 160</td>
<td>110 / 80</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2535</td>
<td>DESI WIDIARINI VCT / TIDAK TAHU</td>
<td>90I015802</td>
<td>DSN. BAULESANAN, KERTAJAUAN, GRABAG, PURWOREJO</td>
<td>P</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>110 / 70</td>
<td>Z11.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2536</td>
<td>SRI SUSANTI / AGUS SURYANTO</td>
<td>00C50101</td>
<td>JL. LAMPER TENGAH II/59-B</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 150</td>
<td>140 / 90</td>
<td>i25</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2537</td>
<td>SARI SUGIANTINI VCT / TIDAK TAHU</td>
<td>90I015902</td>
<td>KP. MALANG NENGAH</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 165</td>
<td>22/NORMAL</td>
<td>110 / 70</td>
<td>Z11.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2538</td>
<td>NOVIANA NUR RAHMA VCT / TIDAK TAHU</td>
<td>90I016002</td>
<td>KRAJAN KULON, SINE</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 160</td>
<td>17.6/KURUS</td>
<td>120 / 70</td>
<td>Z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2539</td>
<td>ELI SUSILAWATI VCT / TIDAK TAHU</td>
<td>90I016102</td>
<td>KP. CILIMUS, MEKARSARI, DARANGDOR</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 165</td>
<td>110 / 70</td>
<td>Z11.4</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2540</td>
<td>MELI PURNAMA VCT / TIDAK TAHU</td>
<td>90I016202</td>
<td>KP. MALANGNENGAH, SURATANI, KAB. PURWAKARTA</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 165</td>
<td>110 / 70</td>
<td>Z11.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2541</td>
<td>ZIKHA ADHESTIRA RESTI KIRANI / ENDAH ANDIYATI</td>
<td>90G053703</td>
<td>JL.WONODRI KRAJAN III/693-A</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 164</td>
<td>18.2/KURUS</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>2542</td>
<td>NURUL QOMARIYAH / KUKUH LILIK PRASETIO</td>
<td>00B10501</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>81 / 150</td>
<td>140 / 90</td>
<td>R03.0</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2543</td>
<td>ADI SUHARI / ADI SUHARI</td>
<td>90227600</td>
<td>BANTENG, JANGLI</td>
<td>L</td>
<td>28 Tahun</td>
<td></td>
<td></td>
<td>60 / 160</td>
<td>110 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jangli</td>
</tr> <tr>
<td>2544</td>
<td>ISDARYANTO / ISDARYANTO</td>
<td>00D056200</td>
<td>LAMPER MJEN</td>
<td>L</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>120 / 70</td>
<td>z71</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2545</td>
<td>00A13402</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 161</td>
<td>18.1/KURUS</td>
<td>125 / 74</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2546</td>
<td>MAHARGYO BASUKI POSBINDU / MAHARGYO BASUKI</td>
<td>00BPJS000600</td>
<td>JL. JERUK LAMPER LOR</td>
<td>L</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 160</td>
<td>120 / 71</td>
<td>z71</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2547</td>
<td>SUNARSIH,BBA,S.SOS POSBINDU / TDK TAHU</td>
<td>00E087701</td>
<td>JL. JERUK IV</td>
<td>P</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>120 / 90</td>
<td>z71</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2548</td>
<td>RATNA KUSUMAWATI / RATNA KUSUMAWATI</td>
<td>00C083104</td>
<td>klipang permai blok g 132</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 160</td>
<td>122 / 73</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2549</td>
<td>KAHONO POSBINDU / KAHONO</td>
<td>00C070500</td>
<td>L</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>120 / 80</td>
<td>z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2550</td>
<td>MUHAMMAD AL FATIH / JORDY SATRIA PRATAMA</td>
<td>00E006502</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 68</td>
<td>90 / 60</td>
<td>z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2551</td>
<td>EVITA DEWI KUMALA R Posyandu lansia / SETYO TRI HANDJONO</td>
<td>00BPJS013901</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 156</td>
<td>120 / 70</td>
<td>z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2552</td>
<td>TAUFIK UGIK AJI PANGESTU / SUGIYANTO</td>
<td>90G057802</td>
<td>JL.DUKUH KEL.JENAR KEC.JENAR KAB.SRAGEN</td>
<td>L</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 173</td>
<td>16.7/KURUS</td>
<td>120 / 70</td>
<td>z71</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2553</td>
<td>DINA NATALIA MAHARANI / TARYANTO</td>
<td>00E015801</td>
<td>JL.TAMAN DURIAN I</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 160</td>
<td>110 / 70</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2554</td>
<td>UTSMAN / JOKO PRIYONO</td>
<td>00C04906</td>
<td>L</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 131</td>
<td>120 / 80</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2555</td>
<td>AJI WISTIANTO / AJI WISTIANTO</td>
<td>00E087200</td>
<td>L</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 160</td>
<td>120 / 70</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2556</td>
<td>NUR SRIASIH / NUR SRIASIH</td>
<td>90H011501</td>
<td>JL.DASUN KEL.DASUN KEC.LASEM KAB.REMBANG</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>120 / 163</td>
<td>120 / 80</td>
<td>z71</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2557</td>
<td>CHANIAGO ANGGIL G / BAMBANG GUNAWAN</td>
<td>08000030003</td>
<td>L</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 163</td>
<td>126 / 71</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2558</td>
<td>AZKA PRADIPTA ADRIAN / ARIF INDRIANTO</td>
<td>0000802790</td>
<td>JL. PANDEAN LAMPER III NO.1 A</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>32 / 120</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2559</td>
<td>MAISAROH / DAMAMI</td>
<td>90A88501</td>
<td>JL. KOKOSAN</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 158</td>
<td>171 / 114</td>
<td>I10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2560</td>
<td>ROCHBIYANTI PROLANIS / ROCHBIYANTI</td>
<td>089090350901</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 157</td>
<td>120 / 70</td>
<td>E11</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>2561</td>
<td>08000J46102</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 149</td>
<td>18/KURUS</td>
<td>100 / 70</td>
<td>Z71</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2562</td>
<td>RUSIYANTO (PROLANIS) / RUSIYANTO</td>
<td>0800088800</td>
<td>JL. JERUK VIII/38-B</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 163</td>
<td>126 / 74</td>
<td>E11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2563</td>
<td>KEN MOZZA PUTRI SETUPIHARTO / EKO SUSANTO</td>
<td>080000458106</td>
<td>JL PANDEAN LAMPER IV/51-B</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>17.4 / 109.8</td>
<td>14.4/KURUS</td>
<td>86 / 58</td>
<td>a09</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2564</td>
<td>RIYANAH prolanis / RUSIYANTO</td>
<td>080J088801</td>
<td>JALAN JEKRUK 8</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 147</td>
<td>110 / 80</td>
<td>I10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2565</td>
<td>SLAMET HIDAYAT / SLAMET HIDAYAT</td>
<td>00464200</td>
<td>JL. PISANG</td>
<td>L</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 160</td>
<td>17.6/KURUS</td>
<td>120 / 80</td>
<td>J45</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2566</td>
<td>YUSTINA SRININGSIH / NOER CHASIS</td>
<td>080000277501</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 152</td>
<td>100 / 70</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2567</td>
<td>00D006500</td>
<td>L</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 165</td>
<td>120 / 70</td>
<td>n15.8</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2568</td>
<td>TRI LESTARI / TRIMANTO</td>
<td>00BPJS030501</td>
<td>JL. LAMPER TENGAH GANG 15 NO.6</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 155</td>
<td>120 / 70</td>
<td>c53.9</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>2569</td>
<td>WIDYA ASTUTI KISWONOGIRI / DURYANTO</td>
<td>0000550901</td>
<td>JL.PISANG</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>61.7 / 155</td>
<td>108 / 70</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2570</td>
<td>0000297602</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 152</td>
<td>157 / 89</td>
<td>K03.6</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2571</td>
<td>AMINAH / MARYONO</td>
<td>00A30801</td>
<td>LAMPER TENGAH VII/622A</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 156</td>
<td>130 / 60</td>
<td>r05</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2572</td>
<td>ANDRE RIZKY / MOCH DWI</td>
<td>00090103</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>35 / 120</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2573</td>
<td>DJULIANTI / NOVI PRIANDOKO</td>
<td>089090240201</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 157</td>
<td>133 / 89</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2574</td>
<td>OKI SUTOMO / OKI SUTOMO</td>
<td>00D091000</td>
<td>L</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>118 / 79</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2575</td>
<td>NEYSA YASMIN / TRI FUAD</td>
<td>90B60604</td>
<td>JL. KEDUNGDOWO, KEL. WATES, KEC. WATES, KAB. KULON PROGO, PROV.
DIY</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>2700 / 49.5</td>
<td>88 / 54</td>
<td>Z00</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2576</td>
<td>SRI LESTARI / ALI WIJAYA</td>
<td>0800039203</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>159 / 78</td>
<td>h10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2577</td>
<td>080000102303</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.9 / 78</td>
<td>16.3/KURUS</td>
<td>89 / 56</td>
<td>R50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2578</td>
<td>RESTINAH (PROLANIS) / RESTINAH</td>
<td>00C14600</td>
<td>JL. JERUK 8</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 155</td>
<td>120 / 80</td>
<td>E11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2579</td>
<td>00A28201</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 150</td>
<td>140 / 80</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2580</td>
<td>KALIMAH / KALIMAH</td>
<td>089090082000</td>
<td>P</td>
<td>79 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 150</td>
<td>120 / 70</td>
<td>S63.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2581</td>
<td>MUHAMMAD FALLAH ROBBIY FADLI / MUHAMMAD FALLAH ROBBIY FADLI</td>
<td>90H052800</td>
<td>JL. KALILEMBUTENGAH, KALILEMBU, KARANGDADAP, KAB. PEKALONGAN</td>
<td>L</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 165</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2582</td>
<td>0890113401</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 149</td>
<td>116 / 72</td>
<td>E11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2583</td>
<td>ALGEZZA JANE APRIANDA / MULIA ARIF</td>
<td>00C20603</td>
<td>JL. LAMPER TENGAH II / 570-A</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.3 / 63</td>
<td>15.9/KURUS</td>
<td>89 / 58</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2584</td>
<td>TUKIDJO / TUKIDJO</td>
<td>080000337600</td>
<td>JL. CERME UTARA</td>
<td>L</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 170</td>
<td>16.3/KURUS</td>
<td>128 / 70</td>
<td>m62</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>2585</td>
<td>DAIRAH / DAIRAH</td>
<td>089090273501</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 158</td>
<td>18/KURUS</td>
<td>120 / 70</td>
<td>z96.1</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2586</td>
<td>HAYKAL DENIA SYAHPUTRA / DEDE AHMAD ZARKASIH</td>
<td>0000326002</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>27 / 130</td>
<td>16/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2587</td>
<td>ADIBA SHAKILA MAHARANI / ADITYA FEBRIANTO</td>
<td>00D071501</td>
<td>JL.LAMPER KRAJAN RAYA NO.16</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.535 / 63</td>
<td>19/NORMAL</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2588</td>
<td>0800J31300</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 155</td>
<td>154 / 92</td>
<td>H93.1</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2589</td>
<td>DWI LESTARI / SLAMET SUPRIADI R</td>
<td>00C51401</td>
<td>JL.CEMPEDAK UTARA I NO.18</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>51.7 / 149</td>
<td>132 / 90</td>
<td>Z39</td>
<td>kia</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2590</td>
<td>SHAFURA ALYA MAJID / MOCHAMMAD ACHMADI</td>
<td>000149603</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>28 / 134</td>
<td>15.6/KURUS</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2591</td>
<td>DIAN AYU HAPSARI / MOCH YUSUF CHAIDAR</td>
<td>90F094703</td>
<td>JL.GAYAMSARI V DALAM</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.7 / 79</td>
<td>13.9/KURUS</td>
<td>90 / 60</td>
<td>l30</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2592</td>
<td>NAYARA AIZA HALWATUNNISA / HENDRY</td>
<td>080000450108</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.6 / 66</td>
<td>15.2/KURUS</td>
<td>89 / 57</td>
<td>Z27</td>
<td>imunisasi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2593</td>
<td>PONIMAN / PONIMAN</td>
<td>00A0600</td>
<td>L</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 170</td>
<td>114 / 76</td>
<td>m62</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2594</td>
<td>SAPTONING MUDJIASTUTI / SUPRIYANTO</td>
<td>00C063701</td>
<td>JL. BLIMBING V NO 1</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>139 / 82</td>
<td>k29</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2595</td>
<td>080000806801</td>
<td>P</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 155</td>
<td>104 / 61</td>
<td>H25</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>2596</td>
<td>SITI FATIMAH / YOYOK WIJI HANDOYO</td>
<td>089090273503</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 153</td>
<td>120 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2597</td>
<td>ROBERTUS ISMOYO ADIKUSUMA / ROBERTUS ISMOYO ADIKUSUMA</td>
<td>00B72500</td>
<td>L</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>85 / 175</td>
<td>116 / 83</td>
<td>k29</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2598</td>
<td>REINARD MAHDI HARMONIS / HARMONIS</td>
<td>080000051902</td>
<td>L</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>93 / 172</td>
<td>131 / 89</td>
<td>k29</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2599</td>
<td>MUDJIYANI / SUKENDRO</td>
<td>080000370801</td>
<td>CEMPEDAK UTARA,LAMPERV,LOR</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 156</td>
<td>120 / 70</td>
<td>z34</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2600</td>
<td>MARLIN CAHYONO / MARLIN CAHYONO</td>
<td>9090707400</td>
<td>L</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>123 / 70</td>
<td>A09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2601</td>
<td>PARAMEYTA WAHYU ANGGRAENI / MULYADI</td>
<td>0000010190</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 158</td>
<td>17.2/KURUS</td>
<td>123 / 80</td>
<td>D21</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2602</td>
<td>LESTARININGSIH / SRI MULYANI</td>
<td>080J103801</td>
<td>JL. BLIMBING III NO.1</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 156</td>
<td>154 / 97</td>
<td>B35.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2603</td>
<td>90D022900</td>
<td>L</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 160</td>
<td>155 / 76</td>
<td>M62</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2604</td>
<td>ARIA PAMUNGKAS / SATRIA PAMUNGKAS</td>
<td>0000197403</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 130</td>
<td>90 / 70</td>
<td>Z48.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2605</td>
<td> ALICIA AZIZAH TANJUNG / ALI BASAR SIKUMBANG</td>
<td>90E025903</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 153</td>
<td>127 / 78</td>
<td>N91</td>
<td>kia</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2606</td>
<td>MUCHAROMAH / IRWAN SETYAWAN</td>
<td>90B53401</td>
<td>JL. DSN KALIDUKUH</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 158</td>
<td>127 / 64</td>
<td>e79</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2607</td>
<td>SITI KUNASIROH / SAPTO WIDITOMO</td>
<td>90B57501</td>
<td>JL. WONODRI JOHO 1011-B</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 158</td>
<td>105 / 78</td>
<td>K29</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>2608</td>
<td>PARIYEM / PARIYEM</td>
<td>0800J20200</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 146</td>
<td>153 / 101</td>
<td>R03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2609</td>
<td>ADINA ROCHMAWATI / EDI KUSTIAWAN</td>
<td>0000BPJS0379</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>83 / 161</td>
<td>138 / 82</td>
<td>Z35.0</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2610</td>
<td>00D085202</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 148</td>
<td>100 / 70</td>
<td>R50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2611</td>
<td>089090265891</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 156</td>
<td>147 / 77</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2612</td>
<td>KINANTI BINTA ASSATRI / ANANTYO SATRIA ANUGRAHA</td>
<td>90H08272</td>
<td>JL. GEMAH JAYA I/2</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7 / 62.4</td>
<td>18/KURUS</td>
<td>70 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2613</td>
<td>SEVIA VONNY PRAVITASARI / SUGIYANTO</td>
<td>080000505402</td>
<td>JL. NANAS NO.34 B</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 164</td>
<td>105 / 72</td>
<td>k04.1</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>2614</td>
<td>SOEKARNO / SOEKARNO</td>
<td>00E008400</td>
<td>JL LAMPER MIJEN LAMPER TENGAH</td>
<td>L</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 157</td>
<td>123 / 70</td>
<td>j02</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2615</td>
<td>MUDJIYANI / SUKENDRO</td>
<td>080000370801</td>
<td>CEMPEDAK UTARA,LAMPERV,LOR</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 155</td>
<td>120 / 70</td>
<td>O20.9</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2616</td>
<td>ELI HARSIANI / MUJIONO</td>
<td>0000262001</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 148</td>
<td>143 / 100</td>
<td>m62</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2617</td>
<td>DILIA AURA NUR MALAIKA / DIDIK PURWANTO</td>
<td>90A75301</td>
<td>JL.MANISHARJO III/856 B</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 115</td>
<td>13.6/KURUS</td>
<td>100 / 60</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Rejomulyo</td>
</tr> <tr>
<td>2618</td>
<td>MUHALIM / SARBINI</td>
<td>00025505</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 169</td>
<td>20/NORMAL</td>
<td>111 / 65</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2619</td>
<td>JELITA DHARMA PINUJI / NGATIMAN</td>
<td>00010003</td>
<td>JL.MANGGIS 8</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 124</td>
<td>13.7/KURUS</td>
<td>110 / 60</td>
<td>J00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2620</td>
<td>DWI PRIHHASAHA MUKTIAWANI / ACHMAD MUSTAGFIR</td>
<td>00B53403</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 158</td>
<td>123 / 78</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2621</td>
<td>RIFKY RACHMAN / MUCHAMMAD ARIEF RACHMAN</td>
<td>90C16002</td>
<td>JL. WONODRI JOHO II</td>
<td>L</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 161</td>
<td>15.8/KURUS</td>
<td>100 / 70</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>2622</td>
<td>WHIKA SAFIRA MARTHADEWI / WINANTO NUGROHO</td>
<td>00E067701</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>67.6 / 158</td>
<td>111 / 73</td>
<td>z34</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2623</td>
<td>YULI NINING ANJARWATI / SURANTIO ADI</td>
<td>0800j47703</td>
<td>JL. PISANG</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 159</td>
<td>19/NORMAL</td>
<td>90 / 60</td>
<td>h00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2624</td>
<td>ENI SUDIJATMI / SULARDI</td>
<td>00C26701</td>
<td>JL. PETERONGANSARI II NO. 17C</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 141</td>
<td>120 / 70</td>
<td>E05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>2625</td>
<td>ACHMAD MUSTAGHFIR / ACHMAD MUSTAGHFIR</td>
<td>00B53400</td>
<td>L</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 169</td>
<td>111 / 80</td>
<td>I84</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2626</td>
<td>NICHOLAS KEENAN KAVINDRA / EDUARDUS KRISNA KURNIAWAN</td>
<td>90G080802</td>
<td>JALAN MUJAHIR II NO.08 KEL.MINOMARTANI KEC.NGAGLIK KAB.SLEMAN</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.3 / 57.5</td>
<td>72 / 50</td>
<td>z27</td>
<td>imunisasi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2627</td>
<td>SOELAMI / SOELAMI</td>
<td>90A63000</td>
<td>JL.KINI BALU TIMUR NO 32</td>
<td>P</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 150</td>
<td>129 / 65</td>
<td>e11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>2628</td>
<td>AFIKA DIAH SUCIATI / AFIKA DIAH SUCIATI</td>
<td>00A23200</td>
<td>RAMBUTAN RAYA 29B, LAMPER LOR</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 156</td>
<td>23/NORMAL</td>
<td>120 / 70</td>
<td>F41.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2629</td>
<td>ANITA WIDAYANTI / MARTONO</td>
<td>080000439302</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 149</td>
<td>135 / 90</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2630</td>
<td>SRI SUPRAPTI / JAELANI KASINO</td>
<td>90B79402</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 150</td>
<td>144 / 100</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2631</td>
<td>90D00100</td>
<td>L</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>83 / 160</td>
<td>140 / 90</td>
<td>z48.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2632</td>
<td>FIKRI LUQMAN PRATAMA / SLAMET WIDODO</td>
<td>079090407802</td>
<td>JL. GAYAMSARI I</td>
<td>L</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 168</td>
<td>111 / 77</td>
<td>T79.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>2633</td>
<td>00B29401</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 167</td>
<td>130 / 80</td>
<td>A15.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2634</td>
<td>WINA SAVTIARINA / TEGUH SANTOSO</td>
<td>90B8201</td>
<td>JL. KIMAR IV</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 160</td>
<td>115 / 78</td>
<td>k29</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>2635</td>
<td>ABHIZAR CAHYA ALBIRU / PARIYANTI</td>
<td>00D098104</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.3 / 74</td>
<td>17/KURUS</td>
<td>70 / 50</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
</tr> <tr>
<td>2636</td>
<td>00D098104</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.3 / 74</td>
<td>17/KURUS</td>
<td>70 / 50</td>
<td>Z27</td>
<td>mtbs</td>
<td>gratis</td>
</tr> <tr>
<td>2637</td>
<td>PAIMIN / PAIMIN</td>
<td>00B26400</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 160</td>
<td>128 / 89</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2638</td>
<td>RINI WULANDARI / AGUS GUGUM GINANJAR</td>
<td>00D036201</td>
<td>JL. CEMPEDAK UTARA II NO.28 B</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 147</td>
<td>139 / 89</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2639</td>
<td>HAIDAR YUDHA PRASETYO / HAIDAR YUDHA PRASETYO</td>
<td>90I016300</td>
<td>JL. MLATI NOROWITO, MLATI NOROWITO, KOTA KUDUS, KAB. KUDUS</td>
<td>L</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 173</td>
<td>137 / 62</td>
<td>r05</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2640</td>
<td>NGATINI / NGATINI</td>
<td>089090333901</td>
<td>JL. CINDE DALAM 3 NO. 12 JOMBLANG</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 140</td>
<td>140 / 80</td>
<td>W53.0</td>
<td>lansia</td>
<td>umum</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>2641</td>
<td>IBNU HAFIZ ARROFIQ / NUR ROFEK</td>
<td>90A75702</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>17.3 / 105</td>
<td>15.7/KURUS</td>
<td>70 / 51</td>
<td>J03</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2642</td>
<td>VINO ZHUBANELGENUBI / DEDI MUSTAF</td>
<td>00C12004</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>30 / 137</td>
<td>16/KURUS</td>
<td>110 / 60</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2643</td>
<td>WARYONAH / KARUDIN</td>
<td>90C11804</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 155</td>
<td>116 / 71</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2644</td>
<td>KEYLANA NADIVIA PUTRI KUSUMA / AFIKA DIAH SUCIATI</td>
<td>00A23203</td>
<td>JL. RAMBUTAN RAYA NO. 29-B</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>26 / 130</td>
<td>15.4/KURUS</td>
<td>100 / 60</td>
<td>j45</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2645</td>
<td>00C057803</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 159</td>
<td>21/NORMAL</td>
<td>109 / 76</td>
<td>N92</td>
<td>kia</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2646</td>
<td>089090085491</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.9 / 67.5</td>
<td>17.3/KURUS</td>
<td>89 / 57</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2647</td>
<td>SASTI AINUN SALSABILA / EDO SAPUTRA</td>
<td>069090300902</td>
<td>JL.TAMBRA DALAM XI</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>113 / 76</td>
<td>r11</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Kuningan</td>
</tr> <tr>
<td>2648</td>
<td>SRI SUPARTINI / HARIS SETYAWAN</td>
<td>90C06303</td>
<td>JL. ASRAMA TNI AD MRICAN</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 157</td>
<td>120 / 70</td>
<td>D34</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Jomblang</td>
</tr> <tr>
<td>2649</td>
<td>CITRA DEWI MUSTIKA / SARWO</td>
<td>90F080602</td>
<td>JL.BAJOMULYO KEL.BAJOMULYO KEC.JUWANA KAB.PATI</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 157</td>
<td>112 / 66</td>
<td>r50</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2650</td>
<td>GLADIEZ SHAQUEENA NAWACITA / WAHYUDI</td>
<td>90G091102</td>
<td>JL. PANCURSARI III</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.6 / 65</td>
<td>15.6/KURUS</td>
<td>89 / 58</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Jangli</td>
</tr> <tr>
<td>2651</td>
<td>SAMINAH / CATUR SUTRISNO</td>
<td>0000271504</td>
<td>P</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 150</td>
<td>20/NORMAL</td>
<td>90 / 60</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2652</td>
<td>IBRAHIM RAMA MAUZA / RULI TRI TEGUH PAMNGKAS</td>
<td>90B74306</td>
<td>JL. LAMPER TENGAH XV </td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>14 / 99</td>
<td>14.3/KURUS</td>
<td>70 / 51</td>
<td>L30</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2653</td>
<td>ALMEERA AZZAHRA ALTHAFUNNISA / FERRY BUDI SETYO NUGROHO</td>
<td>0000195001</td>
<td>JL. PISANG</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 110</td>
<td>100 / 78</td>
<td>k00</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2654</td>
<td>SUPRIYANTI / EKO NUGROHO</td>
<td>080000368101</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 160</td>
<td>140 / 80</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2655</td>
<td>FARAH OKTAVIA RAMADHANI / MUHAMMAD SHOLIHIN</td>
<td>00003943492</td>
<td>KOMPLEK AKPOL BLOK M NO.09</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 157</td>
<td>104 / 62</td>
<td>g44</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2656</td>
<td>EDDY KRISNADI / EDDY KRISNADI</td>
<td>00E067500</td>
<td>JL. JERUK V/7</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>120 / 80</td>
<td>l98</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2657</td>
<td>BULAN APRILIA / TRIMAKNO</td>
<td>0800130802</td>
<td>JL. MANGGIS III NO.16A</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 155</td>
<td>103 / 64</td>
<td>j06</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2658</td>
<td>DHEMAS YUDHA MALIK / HARI DUWI HARNANTO</td>
<td>00E025002</td>
<td>JL. DINAR ASRI BLOK L.17 NO. 5</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7 / 68</td>
<td>15.1/KURUS</td>
<td>89 / 58</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Tembalang</td>
</tr> <tr>
<td>2659</td>
<td>APRILIA SARI BUDIARTI / SUYITNO</td>
<td>90G049705</td>
<td>JL. PRINGSURAT KABUPATEN PEKALONGAN</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 152</td>
<td>99 / 69</td>
<td>t79.9</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2660</td>
<td>KHARISMA SANIA PUTRI / HERO CIPTA WICAKSANA SUDHIARTO</td>
<td>0800089706</td>
<td>JL. JOMBLANG PERBALAN 767</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>44.3 / 159</td>
<td>17.5/KURUS</td>
<td>89 / 60</td>
<td>Z34</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Candi</td>
</tr> <tr>
<td>2661</td>
<td>AMANDA KIRANA SETIANINGRUM / DJOKO PARJATNO</td>
<td>060000906203</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 150</td>
<td>17.3/KURUS</td>
<td>95 / 66</td>
<td>a09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2662</td>
<td>JUWITA MAYAPUJAWATI / PAIMIN</td>
<td>00B264006</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 155</td>
<td>88 / 64</td>
<td>r11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2663</td>
<td>KARYANTO / KARYANTO</td>
<td>00E087800</td>
<td>L</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 165</td>
<td>22/NORMAL</td>
<td>102 / 65</td>
<td>T79.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2664</td>
<td>UMU ROCHMANI (PROLANIS) / AFIF NUGROHO</td>
<td>90B89400</td>
<td>JL. BOBROHAN KIDUL NO. 104/VI KEL.KRANJI KEC.PURWOKERTO TIMUR KAB.
BANYUMAS</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 160</td>
<td>132 / 72</td>
<td>I10</td>
<td>lansia</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2665</td>
<td>ANNISA AULIA NUGRAHENTI / AMIR BIKI</td>
<td>90H006201</td>
<td>JL.PERUM MANGGEH KEL.LALUNG KEC.KARANGANYAR KAB.KARANGANYAR</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 157</td>
<td>115 / 77</td>
<td>Z34</td>
<td>kia</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2666</td>
<td>ADILA RIZKY WIBOWO / DANI ARI WIBOWO</td>
<td>90A94303</td>
<td>JL. CINDE BARAT XI</td>
<td>L</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 165</td>
<td>110 / 60</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>2667</td>
<td>ACHMAD DIMYATI / ACHMAD DIMYATI</td>
<td>0800057600</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 158</td>
<td>24/NORMAL</td>
<td>127 / 83</td>
<td>a09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2668</td>
<td>FATIMAH AZ ZAHROH / IRWAN MALINDA SUDARTO</td>
<td>00A6304</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>22 / 133</td>
<td>12.4/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2669</td>
<td>ATIK JULIASTANTI / SRI MULYADI</td>
<td>080000606091</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 160</td>
<td>122 / 86</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2670</td>
<td>SATRIYA PRATAMA / SOHO PRAYITNO</td>
<td>00C004802</td>
<td>JL. LAMPER TENGAH GG III</td>
<td>L</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>37 / 133</td>
<td>90 / 60</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2671</td>
<td>SARNO / SARNO</td>
<td>90902620001</td>
<td>L</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 163</td>
<td>100 / 70</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>2672</td>
<td>HANIF ABBAD PAMUNGKAS / SUNARDI</td>
<td>00D027502</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 124</td>
<td>13.7/KURUS</td>
<td>100 / 70</td>
<td>r50</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2673</td>
<td>FAUZAN LUXWI / FAUZAN LUXWI</td>
<td>0000434000</td>
<td>L</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>116 / 68</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2674</td>
<td>NUR ALISA / SUNARYO</td>
<td>90E022804</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 151</td>
<td>17.5/KURUS</td>
<td>100 / 70</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2675</td>
<td>SYULI DAMAYANTI / SYULI DAMAYANTI</td>
<td>00B30100</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 150</td>
<td>112 / 73</td>
<td>i10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2676</td>
<td>ADIBA CHELSEA SAPUTRI / BAGAS MEGA SAPUTRA</td>
<td>90I016402</td>
<td>JL. KALIWIRU I/528</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.5 / 75</td>
<td>13.3/KURUS</td>
<td>70 / 51</td>
<td>j00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Kaliwiru</td>
</tr> <tr>
<td>2677</td>
<td>DHEA RISA FITRI / HAFID REYHAN RAHTAMA</td>
<td>08000J59903</td>
<td>JL.JERUK VI/18</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>61.2 / 154</td>
<td>110 / 64</td>
<td>Z35</td>
<td>kia</td>
<td>gratis</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2678</td>
<td>IDA NUR ULFA / BAGAS MEGA SAPUTRA</td>
<td>90I016401</td>
<td>JL. KALIWIRU I/528</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 156</td>
<td>113 / 76</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Kaliwiru</td>
</tr> <tr>
<td>2679</td>
<td>08000J59903</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>61.2 / 154</td>
<td>110 / 64</td>
<td>Z35</td>
<td>gigi</td>
<td>gratis</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2680</td>
<td>08000J59903</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 154</td>
<td>110 / 64</td>
<td>z34</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2681</td>
<td>BAYU CAHYO PUTRANTO / BAYU CAHYO PUTRANTO</td>
<td>0000212200</td>
<td>JL. LAMPER MIJEN NO.340 A</td>
<td>L</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 163</td>
<td>106 / 72</td>
<td>g44</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2682</td>
<td>HERI YULIANTO ARDI NUGROHO / HERI YULIANTO ARDI NUGROHO</td>
<td>069090004000</td>
<td>JL. TAMAN DURIAN NO. 4</td>
<td>L</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>84 / 175</td>
<td>134 / 77</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2683</td>
<td>AFRIET FATKHUL JABAL / AFRIET FATKHUL JABAL</td>
<td>90F082700</td>
<td>DK PUJUT KAB.BATANG</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>97 / 170</td>
<td>143 / 83</td>
<td>k04.1</td>
<td>gigi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2684</td>
<td>TAYUDI / TAYUDI</td>
<td>0000128802</td>
<td>L</td>
<td>76 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 163</td>
<td>135 / 79</td>
<td>k30</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>2685</td>
<td>FAWAZ AFIQ HARNADI / SAAL AJI HARNADI</td>
<td>00B56502</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>32 / 105</td>
<td>80 / 50</td>
<td>a09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2686</td>
<td>SUPRAPTI PROLANIS / NGATIMAN</td>
<td>0800050101</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 150</td>
<td>120 / 70</td>
<td>i10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2687</td>
<td>ABDURRAHMAN SIDDIQ / DARMADI</td>
<td>90C32701</td>
<td>JL.KUDAN KIDUL</td>
<td>L</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 165</td>
<td>113 / 70</td>
<td>z02</td>
<td>umum</td>
<td>tidak</td>
<td>Tlogomulyo</td>
</tr> <tr>
<td>2688</td>
<td>00010605</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 158</td>
<td>130 / 67</td>
<td>m79.1</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2689</td>
<td>AMIN YASROH / AMIN YASROH</td>
<td>90I016500</td>
<td>JL. GUNUNG SARI </td>
<td>L</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>89 / 168</td>
<td>153 / 99</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>2690</td>
<td>ALOYSIUS GONZAGA ALFINO ARGATAMA / ALOYSIUS GONZAGA ALFINO
ARGATAMA</td>
<td>00D034900</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 162</td>
<td>112 / 60</td>
<td>a09</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2691</td>
<td>080000605400</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 164</td>
<td>147 / 82</td>
<td>R73.9</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>2692</td>
<td>KHANAFI / KHANAFI</td>
<td>0000155500</td>
<td>L</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 160</td>
<td>135 / 80</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2693</td>
<td>ATIKA KHUSNUL KHOTIMAH / ARFAN TIO FACHRUNISA</td>
<td>0000411502</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 171.5</td>
<td>129 / 77</td>
<td>O03</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2694</td>
<td>MUNIASIH / MUNIASIH</td>
<td>90A32500</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 153</td>
<td>116 / 72</td>
<td>g44</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2695</td>
<td>NOVITA RIYANTI / NORFANDI AHMAD</td>
<td>90H060701</td>
<td>KEL. CEPOGO, KEC. KEMBANG, KAB. JEPARA</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 150</td>
<td>20/NORMAL</td>
<td>102 / 71</td>
<td>h10</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2696</td>
<td>AZLAN ZEIN AL FAHRI / AMIR HIDAYAT</td>
<td>0000226403</td>
<td>MANGGIS 8/14</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>11 / 85</td>
<td>15.2/KURUS</td>
<td>70 / 51</td>
<td>j18</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2697</td>
<td>080J010601</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 154</td>
<td>19/NORMAL</td>
<td>105 / 67</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2698</td>
<td>HASNA DZAKIRA ANINDIRA / HASTORO</td>
<td>0000J00803</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.6 / 75</td>
<td>60 / 44</td>
<td>J02</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>2699</td>
<td>FIKRI ZAKARIA / FIKRI ZAKARIA</td>
<td>90I016700</td>
<td>JL.KP PEDES KEL.PATARUMAN KEC.TAROGONG KIDUL KAB.GARUT</td>
<td>L</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 169</td>
<td>128 / 67</td>
<td>r50</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2700</td>
<td>MUHAMMAD HUSEIN AR ROZZAAQ / HASTORO</td>
<td>0000J00804</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.6 / 82</td>
<td>60 / 44</td>
<td>J00</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>2701</td>
<td>AQILA ALFA RIZQIA / AMIR HIDAYAT</td>
<td>0000226402</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 119</td>
<td>14.1/KURUS</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2702</td>
<td>HILMAN FAZA DHIYA EL HAQ / HASTORO</td>
<td>00000J803</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>37 / 139</td>
<td>100 / 70</td>
<td>j06</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2703</td>
<td>ASKA SURYA ILHAM / ANGGA YUDHA BUDI PRATAMA</td>
<td>0800J051402</td>
<td>JL.LAMPER MIJEN NO 349 B</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 173</td>
<td>16.7/KURUS</td>
<td>97 / 59</td>
<td>a09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2704</td>
<td>PRATAMA IRGI SUBAGYO / KABUL SUBAGYO</td>
<td>90I016602</td>
<td>ASRAMA AL HADUD RAWA BADAK JAKARTA UTARA</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 136</td>
<td>16.8/KURUS</td>
<td>95 / 60</td>
<td>z02</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2705</td>
<td>WARYANTO / WARYANTO</td>
<td>0000451300</td>
<td>L</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 165</td>
<td>132 / 81</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2706</td>
<td>KAHIYANG KIRANA MAHESWARI / AGUNG YANUARDI</td>
<td>00C32403</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.3 / 65</td>
<td>22/NORMAL</td>
<td>90 / 60</td>
<td>l30</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2707</td>
<td>TRI NUR AINI / TRI NUR AINI</td>
<td>089090282101</td>
<td>JL.GAYAMSARI I/I NO..1</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 155</td>
<td>110 / 60</td>
<td>k30</td>
<td>umum</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>2708</td>
<td>KURNIAWAN GELUDUK S / TUMIJEM</td>
<td>000030005</td>
<td>L</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 163</td>
<td>17.7/KURUS</td>
<td>142 / 81</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2709</td>
<td>SULASTRI / KARKONO</td>
<td>BPJS019002</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 157</td>
<td>125 / 76</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2710</td>
<td>NAURA YULIA OKTAVIANI / ALI YULIANTO</td>
<td>00C23303</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 115</td>
<td>12.9/KURUS</td>
<td>90 / 60</td>
<td>k00.6</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2711</td>
<td>00A13402</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 161</td>
<td>18.1/KURUS</td>
<td>100 / 70</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2712</td>
<td>MUHAMMAD DENI AL HAFIDZ / SUPRIYADI</td>
<td>00C079704</td>
<td>JALAN JERUK IV NO.34</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>26 / 120</td>
<td>18.1/KURUS</td>
<td>100 / 85</td>
<td>k00</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2713</td>
<td>ARSENNIO ZAKI PRATAMA / YUS SUBIYANTO</td>
<td>00BPJS007103</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>29 / 107</td>
<td>80 / 50</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2714</td>
<td>SUSANTI / YUSSUBIANTO</td>
<td>080000418404</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 155</td>
<td>120 / 60</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2715</td>
<td>AFNAN ATMA PURNAMA / PURWOKO BUDI PRAMONO</td>
<td>90242706</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>15.9 / 104</td>
<td>14.7/KURUS</td>
<td>60 / 44</td>
<td>J00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2716</td>
<td>WINARNI / SURYONO</td>
<td>080000326990</td>
<td>LAMPER TENGAH X</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 148</td>
<td>120 / 70</td>
<td>l30</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2717</td>
<td>90D070701</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 153</td>
<td>120 / 80</td>
<td>K59.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2718</td>
<td>HEZEKIAH ETHAN / EKO SETIAJI</td>
<td>90C98802</td>
<td>JL.GRIYA BUDIMAN ASRI BLOK H-1/25 KEL.CIBALONGSARI KEC.KLARI-
KARAWANG</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.7 / 86</td>
<td>15.8/KURUS</td>
<td>60 / 44</td>
<td>z00</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2719</td>
<td>ABDIEL ARUNA HAFIS / EKO SUSANTO</td>
<td>080000458102</td>
<td>JL. PANDEAN LAMPER IV/51-B</td>
<td>L</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 159</td>
<td>123 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2720</td>
<td>RAFFI DIMASZIQI / BUDI MULYONO</td>
<td>0000448504</td>
<td>L</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 160</td>
<td>17.2/KURUS</td>
<td>110 / 80</td>
<td>Z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2721</td>
<td>AYU SAVITRI / SUPONO</td>
<td>00E087902</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>109 / 79</td>
<td>h52.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2722</td>
<td>BINTANG SURYA JANNATA / HULIL JANNATA</td>
<td>00A16703</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.2 / 61</td>
<td>16.7/KURUS</td>
<td>89 / 57</td>
<td>Z27</td>
<td>imunisasi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2723</td>
<td>00D006500</td>
<td>L</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 165</td>
<td>130 / 80</td>
<td>z71</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2724</td>
<td>WAGINAH PROLANIS / WAGINAH</td>
<td>0800J48401</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 158</td>
<td>24/NORMAL</td>
<td>118 / 70</td>
<td>E11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2725</td>
<td>ABDUL MALIK / ABDUL HADI</td>
<td>0000195103</td>
<td>JL. PISANG</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 160</td>
<td>117 / 72</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2726</td>
<td>080000703103</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>95 / 155</td>
<td>110 / 80</td>
<td>j98</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2727</td>
<td>NUR CHAMIDAH / AMAT UDIN</td>
<td>90C17602</td>
<td>JL. BAYEM III/16</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 156</td>
<td>18.5/KURUS</td>
<td>127 / 72</td>
<td>I84</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2728</td>
<td>90E064000</td>
<td>L</td>
<td>80 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 160</td>
<td>110 / 80</td>
<td>j06</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2729</td>
<td>THEO MUHAMMAD R. / TEGUH KRISTIYANTO</td>
<td>00J128303</td>
<td>JL. DURIAN I NO. 30 B</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6600 / 64.5</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2730</td>
<td>MUHAMMAD FAJAR NUR FATHURROHMAN / ANTON GUNAWAN</td>
<td>90B64007</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.7 / 81</td>
<td>14.8/KURUS</td>
<td>89 / 57</td>
<td>R50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2731</td>
<td>ATISA GHANIA RAMADANI / RETNO HIDAYAH</td>
<td>90E057604</td>
<td>JL. HASANUDIN </td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.5 / 75</td>
<td>15.1/KURUS</td>
<td>89 / 56</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2732</td>
<td>AGUS OEY PENG TOK / AGUS OEY PENG TOK</td>
<td>90I016800</td>
<td>JL. PLAMONGAN INDAH C-13/28</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>135 / 83</td>
<td>I10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2733</td>
<td>KHUSNUL KHOTIMAH / TUGIYANTO</td>
<td>0000603302</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>81 / 155</td>
<td>136 / 87</td>
<td>R03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2734</td>
<td>MAJA SADANA PUTRI ISMANTO / MUHAMMAD VIKY ISMANTO</td>
<td>00E052803</td>
<td>JL.LAMPER TENGAH GANG XV BC</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.5 / 64</td>
<td>15.9/KURUS</td>
<td>89 / 58</td>
<td>J00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2735</td>
<td>ARETHA ZAIBA / ANDRE FATKHUROHMAN</td>
<td>90E057602</td>
<td>JL HASANUDIN </td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>15 / 101</td>
<td>14.7/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2736</td>
<td>00D085202</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 148</td>
<td>100 / 70</td>
<td>R50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2737</td>
<td>RETNO HIDAYAH / ANDRE FATKHUROHMAN</td>
<td>90E057601</td>
<td>JL. HASANUDIN </td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 152</td>
<td>105 / 65</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2738</td>
<td>90C42502</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>43.7 / 155</td>
<td>18.2/KURUS</td>
<td>110 / 72</td>
<td>N72</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>2739</td>
<td>0000246100</td>
<td>L</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 157</td>
<td>130 / 79</td>
<td>E11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2740</td>
<td>PARAMITA ADELINA / ROMADHON</td>
<td>0000545301</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 156</td>
<td>126 / 83</td>
<td>z03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2741</td>
<td>IRENA SURYANI / NUR AJI NUGROHO</td>
<td>00C068601</td>
<td>PANFDEAN LAMPER IV</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>70.6 / 158</td>
<td>124 / 80</td>
<td>z30</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2742</td>
<td>SRI YATINI / WAHYU PURBOWO</td>
<td>080J004002</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 156</td>
<td>145 / 90</td>
<td>M10 </td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2743</td>
<td>TRIASROWIYAH / TRIASROWIYAH</td>
<td>00C49500</td>
<td>JL. JAMBU NO.406</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 150</td>
<td>180 / 90</td>
<td>M62</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2744</td>
<td>KAMINI / MARIMAN</td>
<td>90A17701</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>130 / 80</td>
<td>J00</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2745</td>
<td>060000377103</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>46.5 / 163</td>
<td>17.5/KURUS</td>
<td>122 / 82</td>
<td>Z35</td>
<td>kia</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>2746</td>
<td>ADZRIEL ALDIKO MISBAH / DIKO MUJIONO</td>
<td>90A28403</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>9 / 72</td>
<td>17.4/KURUS</td>
<td>70 / 51</td>
<td>a06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>2747</td>
<td>060000377103</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>46.5 / 163</td>
<td>17.5/KURUS</td>
<td>122 / 82</td>
<td>Z35</td>
<td>gigi</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>2748</td>
<td>0000551000</td>
<td>L</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 171</td>
<td>163 / 98</td>
<td>r03</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>2749</td>
<td>SARJONO prolanis / SARJONO</td>
<td>080000461400</td>
<td>L</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>81 / 160</td>
<td>110 / 80</td>
<td>I50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2750</td>
<td>MM SUMARNI prolanis / KASTO</td>
<td>00A70001</td>
<td>P</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 155</td>
<td>136 / 78</td>
<td>e11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2751</td>
<td>SUNARTI (PROLANIS) / SUNARTI</td>
<td>JL. CERME III/8</td>
<td>P</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 149</td>
<td>135 / 71</td>
<td>z96.1</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>2752</td>
<td>DEVRY AYU NUR AZIZAH / MULYANA / RESTU TAMBUNAN</td>
<td>00511704</td>
<td>JL.LAMPER TENGAH XV-C</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>56.8 / 151</td>
<td>114 / 82</td>
<td>Z34</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2753</td>
<td>SINAR KASIH KARUNIA / DWI PRASETYO</td>
<td>9090264403</td>
<td>JL.LAMPER TENGAH RAYA 614</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>16.2 / 113</td>
<td>12.7/KURUS</td>
<td>110 / 70</td>
<td>k04.7</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2754</td>
<td>ANGGI NURI RAMADHANI / MUHAMMAD ROMADHON</td>
<td>90B3901</td>
<td>P</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>22 / 122</td>
<td>14.8/KURUS</td>
<td>90 / 60</td>
<td>r11</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2755</td>
<td>PRILIA DWI NUR HIJRIYATI / NUR AJI NUGROHO</td>
<td>00C068604</td>
<td>JL. PANDEAN LAMPER IV </td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 150</td>
<td>20/NORMAL</td>
<td>120 / 80</td>
<td>d36</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>2756</td>
<td>CITRA DIAN NINGRUM / SUTARTO</td>
<td>0000216102</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 165</td>
<td>125 / 76</td>
<td>k01.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2757</td>
<td>MARIA JANITRA SVASKTIKA / RISKA UNTARININGTYAS</td>
<td>90C73903</td>
<td>JL KRANGGAN DALAM</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>12.3 / 93</td>
<td>14.2/KURUS</td>
<td>60 / 44</td>
<td>A16</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Kranggan</td>
</tr> <tr>
<td>2758</td>
<td>SAKTI ARFA RIZY / RAHMANTO</td>
<td>0000000550302</td>
<td>JL. JERUK VI/18</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>29 / 130</td>
<td>17.2/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2759</td>
<td>RIDWAN HARTONO / RIDWAN HARTONO</td>
<td>90A76700</td>
<td>JL. SAWAH BESAR XIII RUSUNAWA BLOK G2/20</td>
<td>L</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 165</td>
<td>22/NORMAL</td>
<td>110 / 80</td>
<td>g62.9</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Kaligawe</td>
</tr> <tr>
<td>2760</td>
<td>060000377103</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 163</td>
<td>17.7/KURUS</td>
<td>122 / 82</td>
<td>O99.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2761</td>
<td>90H080601</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>92 / 168</td>
<td>123 / 83</td>
<td>z48.8</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2762</td>
<td>SAMIRAH / SAMIRAH</td>
<td>0800097001</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 155</td>
<td>16.6/KURUS</td>
<td>145 / 90</td>
<td>i10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2763</td>
<td>0000274103</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.5 / 73.5</td>
<td>70 / 51</td>
<td>r50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2764</td>
<td>000030401</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>89 / 160</td>
<td>142 / 77</td>
<td>m62</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2765</td>
<td>MAFAZA SHADIYA / KUKUH LILIK PRASETIO</td>
<td>00B10502</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4580 / 55</td>
<td>60 / 44</td>
<td>Z27</td>
<td>imunisasi</td>
<td>tidak</td>
</tr> <tr>
<td>2766</td>
<td>SUPIJAH / SUPIJAH</td>
<td>00A2201</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 155</td>
<td>139 / 79</td>
<td>a03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2767</td>
<td>SARINI / BANI</td>
<td>080000157502</td>
<td>JL. BANCAR ASRI TIMUR 7 NO. 20</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 158</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2768</td>
<td>SURANTINI / MULYONO</td>
<td>00A18901</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>78.2 / 151</td>
<td>148 / 87</td>
<td>Z35</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>2769</td>
<td>DARTI / DARTI</td>
<td>00BPJS025690</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 150</td>
<td>130 / 80</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2770</td>
<td>00B46202</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 150</td>
<td>127 / 73</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2771</td>
<td>AZKA PUTRA DEWA / PRIHATIN</td>
<td>0000J38904</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>19.4 / 104</td>
<td>17.9/KURUS</td>
<td>98 / 70</td>
<td>K02</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2772</td>
<td>NGATIYEM / NGATIYEM</td>
<td>080000446101</td>
<td>JL CERME II NO 27</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 145</td>
<td>164 / 93</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2773</td>
<td>SUNIATUN (PROLANIS) / DARSONO</td>
<td>0000475100</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 150</td>
<td>110 / 80</td>
<td>e11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2774</td>
<td>080000358506</td>
<td>JL. PISANG</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 102</td>
<td>16.3/KURUS</td>
<td>89 / 56</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2775</td>
<td>BAYU WILLIAM IESTYNALEM / WILER UPIK</td>
<td>0000190602</td>
<td>JL. LAMPER TENGAH XI</td>
<td>L</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 168</td>
<td>120 / 80</td>
<td>l02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2776</td>
<td>KAYLA NADHIFA AZZAHRA / ANIS BUDIANTO</td>
<td>9090334791</td>
<td>JL. KINIBALU BARAT 3/14</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>21.9 / 110</td>
<td>18.1/KURUS</td>
<td>98 / 88</td>
<td>K02</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>2777</td>
<td>SUDAMA / SUDAMA</td>
<td>00B38400</td>
<td>JL. CEMPEDAK RAYA NO.15-H</td>
<td>L</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 170</td>
<td>175 / 114</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2778</td>
<td>BEYZA ZAHRA AWALA / MOHAMAD HASIP EKO HANDOYO</td>
<td>00E058802</td>
<td>JL. CEPIRING, CEPIRING, CEPIRING, KAB. KENDAL</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.5 / 66</td>
<td>14.9/KURUS</td>
<td>89 / 58</td>
<td>Z27</td>
<td>imunisasi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2779</td>
<td>000030400</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 160</td>
<td>130 / 78</td>
<td>e11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2780</td>
<td>FIFI SUKMAWATI KUSUMANINGRUM / DENI YULIYANTO</td>
<td>0000189302</td>
<td>JL. LAMPER TENGAH XII/ 77</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 154</td>
<td>100 / 70</td>
<td>k29</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2781</td>
<td>060000359100</td>
<td>L</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 171</td>
<td>120 / 80</td>
<td>E11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2782</td>
<td>WAHYUNINGSIH / SAEFUDIN</td>
<td>08000199302</td>
<td>JL. JOMBLANG TIMUR NO.827</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 145</td>
<td>120 / 70</td>
<td>M17</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>2783</td>
<td>NADIA SAFITRI / EDI PRIHARTONO</td>
<td>000J38906</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 157</td>
<td>111 / 75</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2784</td>
<td>JALU HANUNG HANINDHITA / DWI PRASETYO</td>
<td>9090264407</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 123</td>
<td>13.2/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2785</td>
<td>JUAN LANDUNG / HARY NUGROHO</td>
<td>00B87602</td>
<td>L</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 147</td>
<td>18/KURUS</td>
<td>113 / 59</td>
<td>R50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2786</td>
<td>BOK LAN / BOY ASHARI</td>
<td>00BPJS0082</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 158</td>
<td>120 / 80</td>
<td>E78.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2787</td>
<td>RIYANTI / TENDIK SUGIARTO</td>
<td>00E044401</td>
<td>JL. PISANG NO. 61</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 153</td>
<td>121 / 71</td>
<td>I84.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2788</td>
<td>AYUK KURNIYAWATI / AHMAD MANSUR</td>
<td>90D081301</td>
<td>JL. MANGGA IV NO.7</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 156</td>
<td>23/NORMAL</td>
<td>97 / 68</td>
<td>Z34</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2789</td>
<td>RANI AGUSTINA KHARISMA / RANI AGUSTINA KHARISMA</td>
<td>90G097801</td>
<td>JL. KALIGELIS NO.84, KEL. KUTOWINANGUN KIDUL, KEC. TINGKIR, KOTA
SALATIGA</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>65.4 / 162</td>
<td>102 / 84</td>
<td>Z34</td>
<td>kia</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2790</td>
<td>00192103</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.2 / 92</td>
<td>13.2/KURUS</td>
<td>89 / 56</td>
<td>H61.2</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>2791</td>
<td>SUDJONO / SUDJONO</td>
<td>00C062800</td>
<td>JL. CERME UTARA RAYA 558C</td>
<td>L</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 160</td>
<td>136 / 75</td>
<td>r54</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2792</td>
<td>ROCHMAN / ROCHMAN</td>
<td>00A2800</td>
<td>JL.LAMPER TENGAH I</td>
<td>L</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 160</td>
<td>124 / 78</td>
<td>k12</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2793</td>
<td>080J062501</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 149</td>
<td>120 / 70</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2794</td>
<td>MAHGHANI FAUZARINO / RAHINO PANDEGA WASESA</td>
<td>90B76103</td>
<td>JL. KEDUNG MUNDU NO. 38 B</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>19.7 / 100</td>
<td>70 / 51</td>
<td>J02</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2795</td>
<td>MIKAILA ARKAZKA NADEVA P / AFIKA DIAH SUCIATI</td>
<td>00A23202</td>
<td>JL. RAMBUTAN RAYA NO.29B</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 143</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2796</td>
<td>RIZKY PUTRA FEBRIAN / SLAMET SRIYONO</td>
<td>089090343102</td>
<td>L</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 160</td>
<td>130 / 80</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2797</td>
<td>KHALED MAULANA IHYA ARIEF R.H / MUROFIAH, DRA</td>
<td>00E082300</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 171</td>
<td>122 / 71</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2798</td>
<td>MUHAMMAD GIBRAN ARSAKA / SYAMSUL ARIFIN</td>
<td>0800004393093</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.2 / 71</td>
<td>16.3/KURUS</td>
<td>88 / 42</td>
<td>A09</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2799</td>
<td>PUDJI RAHAYUNINGSIH / AKHMADI</td>
<td>00BPJS030101</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>120 / 70</td>
<td>I61.9</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>2800</td>
<td>0600J009401</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 158</td>
<td>130 / 80</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>Peterongan</td>
</tr> <tr>
<td>2801</td>
<td>ANIK SURYANI / SLAMET MUJIONO</td>
<td>089090334701</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 153</td>
<td>140 / 85</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>2802</td>
<td>RATNO KURNIAWAN / RATNO KURNIAWAN</td>
<td>90I016900</td>
<td>DSN. JIPANG, KEL. JIPANG, KEC. CEPU, KAB. BLORA</td>
<td>L</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 162</td>
<td>90 / 70</td>
<td>z00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2803</td>
<td>SUKARTI / SARWOKO</td>
<td>080000286501</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 155</td>
<td>151 / 83</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2804</td>
<td>VIKA AUDIAN SALSABILA / DEDI HENDRA</td>
<td>0000608509</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 158</td>
<td>17.6/KURUS</td>
<td>107 / 69</td>
<td>k02</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2805</td>
<td>KARSUPI / ANTONIUS TRI HARTONO</td>
<td>9090805801</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>109 / 160</td>
<td>120 / 80</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2806</td>
<td>ARUNDATI KUMARA / SUNARTO/ TULUS SUJATMIKO</td>
<td>080000088391</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.5 / 64</td>
<td>18.3/KURUS</td>
<td>70 / 51</td>
<td>J00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2807</td>
<td>TUNEM prolanis / TUNEM</td>
<td>0800J99801</td>
<td>P</td>
<td>77 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>130 / 78</td>
<td>i10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2808</td>
<td>OKY JANUAR PITOYO / ANTONIUS TRI HARTANTO</td>
<td>9090805802</td>
<td>L</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 160</td>
<td>146 / 64</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2809</td>
<td>00B21300</td>
<td>P</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 115</td>
<td>115 / 52</td>
<td>e78.0</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2810</td>
<td>FADLY AKMAL IRHANANDA / IRWAN MALINDA</td>
<td>00A6303</td>
<td>L</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 165</td>
<td>14.3/KURUS</td>
<td>100 / 70</td>
<td>b00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2811</td>
<td>080000102301</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 155</td>
<td>12.9/KURUS</td>
<td>100 / 60</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2812</td>
<td>00E035601</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>76.8 / 170</td>
<td>112 / 74</td>
<td>z30</td>
<td>kia</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2813</td>
<td>PAINAH / PAINAH</td>
<td>00E047800</td>
<td>P</td>
<td>73 Tahun</td>
<td>BARU</td>
<td></td>
<td>37 / 155</td>
<td>15.4/KURUS</td>
<td>110 / 80</td>
<td>m79.1</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2814</td>
<td>0600J009401</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 158</td>
<td>130 / 80</td>
<td>r03.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>Peterongan</td>
</tr> <tr>
<td>2815</td>
<td>ZAHY INSANI KAMIL / BINTARA ABADI ASSHAHADAD</td>
<td>00B14304</td>
<td>DURIAN IV</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>35 / 133</td>
<td>90 / 50</td>
<td>a90</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2816</td>
<td>DEVI ERNANDA / ERNA PERDININGSIH</td>
<td>00D032604</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 160</td>
<td>113 / 74</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2817</td>
<td>RETNO INDRASWARI / SUBADI JUWARI</td>
<td>00C27501</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 155</td>
<td>140 / 90</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2818</td>
<td>SARWOKO / SARWOKO</td>
<td>050000286500</td>
<td>L</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 160</td>
<td>120 / 80</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2819</td>
<td>SARTINI / SARMAN</td>
<td>080000437801</td>
<td>JL. KEDONDONG DALAM </td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 152</td>
<td>140 / 90</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2820</td>
<td>TSAQIB TRI HERMAWAN / SARMAN</td>
<td>0000437803</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>27 / 125</td>
<td>17.3/KURUS</td>
<td>100 / 70</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2821</td>
<td>SHELLA AYU REVAREL / SUGIYANTO</td>
<td>909A26603</td>
<td>KP. KISIK SARI </td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 103</td>
<td>17/KURUS</td>
<td>90 / 60</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2822</td>
<td>ILKER MIRZA AMRULLOH / MUHLAS SETIAWAN</td>
<td>0000109505</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>26 / 105</td>
<td>90 / 60</td>
<td>j06</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2823</td>
<td>00B86602</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>19.5 / 107</td>
<td>17/KURUS</td>
<td>100 / 85</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2824</td>
<td>SRI MULYATI WIJIASTUTI / DEDY MUSTAF</td>
<td>00C11101</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 160</td>
<td>100 / 70</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2825</td>
<td>SUGENG RUBIYANTO / SUGENG RUBIYANTO</td>
<td>080J096300</td>
<td>SOMPOK LAMA NO 66</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 160</td>
<td>163 / 100</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2826</td>
<td>MING WARIYAN / SUGIYANTO</td>
<td>909A26601</td>
<td>KP. GISIKREJO</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 157</td>
<td>90 / 60</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2827</td>
<td>FARHAN AL FATIH / NANIK KURNIASIH</td>
<td>0000201406</td>
<td>JL. LAMPER MIJEN NO. 360 A </td>
<td>L</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 162</td>
<td>17.9/KURUS</td>
<td>100 / 80</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2828</td>
<td>SUPARTINI / SUPARTINI</td>
<td>080000109501</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>84 / 158</td>
<td>150 / 90</td>
<td>e11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2829</td>
<td>CAHAYA SALSABILA / MARTONO</td>
<td>0000439304</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>26 / 132</td>
<td>14.9/KURUS</td>
<td>90 / 60</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2830</td>
<td>FITRIYANAH R / KARUDIN</td>
<td>90C11806</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 155</td>
<td>100 / 70</td>
<td>a09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2831</td>
<td>VANESHA GITA SAFHIRA / JAYA SUNARDI</td>
<td>00905503</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.6 / 77</td>
<td>16.2/KURUS</td>
<td>60 / 40</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2832</td>
<td>DARYADI / DARYADI</td>
<td>00D052500</td>
<td>JL CEMPEDAK RAYA NO 15</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 165</td>
<td>107 / 69</td>
<td>H66</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2833</td>
<td>MUHAMAD MUSLIH / MUHAMAD MUSLIH</td>
<td>00C20900</td>
<td>JL. LEMAH GEMPAL 6B</td>
<td>L</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 163</td>
<td>147 / 90</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Barusari</td>
</tr> <tr>
<td>2834</td>
<td>NURUL LUKIDA WULANDARI / NURUL LUKIDA WULANDARI</td>
<td>90H072601</td>
<td>JL. PERUM NITI BUANA, BEJI, UNGARAN TIMUR, KAB. SEMARANG</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>120 / 70</td>
<td>z71</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2835</td>
<td>DIANITA IKA RETNO PUTRI / RASIMIN</td>
<td>90I017001</td>
<td>JL. MANGKANG KULON </td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 150</td>
<td>107 / 67</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Mangkang Kulon</td>
</tr> <tr>
<td>2836</td>
<td>00B34700</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 149</td>
<td>155 / 80</td>
<td>m54.5</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>2837</td>
<td>AZAM TRIANDA HUDA / MUHAMAD NURUL HUDA</td>
<td>00E030204</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>14 / 105</td>
<td>12.7/KURUS</td>
<td>90 / 60</td>
<td>l30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2838</td>
<td>DEDY AGUNG SETIAWAN / DEDY AGUNG SETIAWAN</td>
<td>089090250890</td>
<td>JL CERME RAYA NO 4</td>
<td>L</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 167</td>
<td>113 / 71</td>
<td>h81.3</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2839</td>
<td>MEI ANA NUR WIJAYANTI / BENU</td>
<td>080000413605</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>50.2 / 163</td>
<td>107 / 51</td>
<td>Z27</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2840</td>
<td>AZIS ADI SETYAWAN / ACID</td>
<td>0800J044804</td>
<td>JL. PETERONGAN BUGEL NO 18</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 158</td>
<td>17.6/KURUS</td>
<td>80 / 50</td>
<td>R10.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2841</td>
<td>HERMAN JOSEF SENO ADJI / HERMAN JOSEF SENO ADJI</td>
<td>00D093400</td>
<td>L</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>126 / 76</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2842</td>
<td> RATNA DEWI SANTOSO / BUDI SANTOSO</td>
<td>080000246004</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 130</td>
<td>18.3/KURUS</td>
<td>90 / 60</td>
<td>z03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2843</td>
<td>NAJWA PRACAHYANTI / ROMADHON</td>
<td>080000545302</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 145</td>
<td>90 / 60</td>
<td>Z03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2844</td>
<td>AYU WIDYASTUTI / AGUS PURWANTO</td>
<td>00B99703</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 145</td>
<td>100 / 62</td>
<td>R10.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>2845</td>
<td>00A83701</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>56.3 / 154</td>
<td>123 / 89</td>
<td>Z34</td>
<td>kia</td>
<td>tidak</td>
</tr> <tr>
<td>2846</td>
<td>OLGA NADIA / JUNIMAR</td>
<td>90B51206</td>
<td>JL.SIWALAN 1 NO.731</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 163</td>
<td>121 / 71</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>2847</td>
<td>HENDRY SOETEDJO / HENDRY SOETEDJO</td>
<td>90H040700</td>
<td>JL. TENES 2A, KEL. SISIR, KEC. BATU</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 170</td>
<td>19/NORMAL</td>
<td>108 / 60</td>
<td>c82.9</td>
<td>umum</td>
<td>umum</td>
<td>ya</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2848</td>
<td>9090211100</td>
<td>L</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 165</td>
<td>16.2/KURUS</td>
<td>90 / 50</td>
<td>e11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>2849</td>
<td>DIAN WAHYU WIBOWO / BUDI SURANTO</td>
<td>00D079802</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 166</td>
<td>16.7/KURUS</td>
<td>90 / 70</td>
<td>j02</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2850</td>
<td>SRI RAHAYU NOPIANI / HERU SETIAWAN</td>
<td>00305101</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 165</td>
<td>146 / 89</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2851</td>
<td>060000394100</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 167</td>
<td>120 / 80</td>
<td>G44</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2852</td>
<td>IDA NOERSANTI / achmad budiyono</td>
<td>060000391301</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 150</td>
<td>138 / 83</td>
<td>R07.4</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2853</td>
<td>00A13402</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 161</td>
<td>18.1/KURUS</td>
<td>112 / 64</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2854</td>
<td>90D070701</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 153</td>
<td>123 / 76</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2855</td>
<td>ELSA ANDRYANI ISWANDA / ISMAN</td>
<td>90I017103</td>
<td>JL.WONODRI KOPEN BARAT 3</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 161</td>
<td>18.1/KURUS</td>
<td>108 / 68</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>2856</td>
<td>080000520701</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 151</td>
<td>133 / 84</td>
<td>a09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2857</td>
<td>LIANASARI BUDHISEDJATI / LIANASARI BUDHISEDJATI</td>
<td>00A98600</td>
<td>JL MANGGIS 3/11</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 153</td>
<td>135 / 73</td>
<td>r03</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2858</td>
<td>AZZAHRA PUTRI RAHMATIKA / ANDI HERMAWAN</td>
<td>0800063904</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>34 / 141</td>
<td>17.1/KURUS</td>
<td>100 / 70</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2859</td>
<td>MUHAMMAD ARRAYAN AL FAREZEL / WAHYU PUTRA ADHKESUMA</td>
<td>90I012802</td>
<td>JL. BEDUG. KALIWADER, BENER, KAB. PURWOREJO</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5.7 / 62</td>
<td>14.8/KURUS</td>
<td>89 / 56</td>
<td>J00</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2860</td>
<td>ANGEL EVITA ADHA / HARYONO</td>
<td>000000171604</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>22 / 125</td>
<td>14.1/KURUS</td>
<td>100 / 60</td>
<td>j03</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2861</td>
<td>90D071602</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>22.4 / 97</td>
<td>89 / 56</td>
<td>K29</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Tugurejo</td>
</tr> <tr>
<td>2862</td>
<td>YOHANES TIWAN / YOHANES TIWAN</td>
<td>001141000</td>
<td>PETERONGAN TIMUR 339 B</td>
<td>L</td>
<td>78 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 162</td>
<td>123 / 77</td>
<td>e11</td>
<td>lansia</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2863</td>
<td>SUDARYANI LENIWATI (haji) / SUDARYANI LENIWATI</td>
<td>00C24400</td>
<td>LAMPER TENGAH X NO.7</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 148</td>
<td>160 / 80</td>
<td>i11</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2864</td>
<td>SUGITO / SUGITO</td>
<td>00E067700</td>
<td>L</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 165</td>
<td>118 / 65</td>
<td>a15</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2865</td>
<td>KEYZA PUTRI AS-ZAHRA / DIDIK ARDI KUSUMA</td>
<td>089090342903</td>
<td>GAYAMSARI SELATAN, SENDANGGUWO</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 137</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2866</td>
<td>VAIOLIA ATHENA ZULFAHMI / RIFQI ZULFAHMI</td>
<td>00A86503</td>
<td>JALAN WONODRI SENDANG</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>18.2 / 94</td>
<td>60 / 44</td>
<td>B01</td>
<td>mtbs</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>2867</td>
<td>TIROH / SURATMAN</td>
<td>080000544101</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 145</td>
<td>150 / 90</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2868</td>
<td>SRI KASMIATOEN / SRI KASMIATOEN</td>
<td>0800127000</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 156</td>
<td>137 / 77</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2869</td>
<td>SUYATI / HERU PURWANTO</td>
<td>080000440601</td>
<td>JL. CERME UTARA NO.15</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 158</td>
<td>24/NORMAL</td>
<td>127 / 72</td>
<td>n30</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>2870</td>
<td>PARYANI / AGUS SETIYA MAWARNI</td>
<td>00A51401</td>
<td>JL. CEMPEDAK UTARA I/35</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>93 / 155</td>
<td>148 / 91</td>
<td>N92.6</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2871</td>
<td>OKRIZAL ADITYA UTAMA / DJUMIJANTO</td>
<td>00C069703</td>
<td>PISANG </td>
<td>L</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 178</td>
<td>100 / 70</td>
<td>n30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2872</td>
<td>SENJA LANGIT ERLANGGA RIYANTO / CATUR RIYANTO</td>
<td>00D017502</td>
<td>JL. MANGGIS III NO.16-A</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>10 / 82</td>
<td>14.9/KURUS</td>
<td>60 / 44</td>
<td>R50</td>
<td>mtbs</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2873</td>
<td>FADHIL RAMADHAN / M INFARID</td>
<td>90D083304</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 125</td>
<td>11.5/KURUS</td>
<td>90 / 60</td>
<td>k00.6</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2874</td>
<td>SANTI AMALIA DHAMAYANTI / KUSNENDRO</td>
<td>90I017301</td>
<td>JL. SAMOSIR BARAT II NO.131 BOJONGBATA, BOJONGBATA, PEMALANG, KAB.
PEMALANG</td>
<td>P</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 160</td>
<td>154 / 95</td>
<td>T88.1</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2875</td>
<td>GISKA ALIKA SHAISTA / EKO NUGROHO</td>
<td>00A88602</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>15 / 111</td>
<td>12.2/KURUS</td>
<td>110 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2876</td>
<td>MUHAMMAD ELVIAN PRATAMA / MOCHAMMAD DIKI PAMUNGKAS</td>
<td>080000549392</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5.6 / 59</td>
<td>16.1/KURUS</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2877</td>
<td>WAHYU SETIAWAN / WAHYU SETIAWAN</td>
<td>00245900</td>
<td>JL. DURIAN III NO.5</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 160</td>
<td>104 / 75</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2878</td>
<td>JOKO CASYANTO / JOKO CASYANTO</td>
<td>90I017200</td>
<td>JL. DUKUHLO, BULAKAMBA, BREBES</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 165</td>
<td>154 / 89</td>
<td>A46</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2879</td>
<td>080J047700</td>
<td>JL. PISANG</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 141</td>
<td>146 / 88</td>
<td>R73.9</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2880</td>
<td>SARMI / SARMI</td>
<td>90H036500</td>
<td>SUKOYOSO, KEL. SUKOYOSO, KEC. SUKOHARJO, KAB. PRINGSEWU</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 148</td>
<td>156 / 93</td>
<td>e11</td>
<td>lansia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2881</td>
<td>WIDIYANINGSIH / ARI PRASETIYO</td>
<td>080000327001</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 150</td>
<td>100 / 70</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2882</td>
<td>PONIMAH / MUGIONO</td>
<td>0800113501</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 155</td>
<td>144 / 83</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2883</td>
<td>0000220601</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 147</td>
<td>125 / 86</td>
<td>k02</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2884</td>
<td>TRI KONDANG / HARYONO</td>
<td>00000171601</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 155</td>
<td>153 / 90</td>
<td>i10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2885</td>
<td>WAHYUNI SULISTIJANINGSIH / WAHYUNI SULISTIJANINGSIH</td>
<td>00A80900</td>
<td>L</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 160</td>
<td>143 / 71</td>
<td>r20.2</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2886</td>
<td>BARRA WIRASENA ALHAFIZ / GADING WAISA PRABOWO</td>
<td>00073003</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6 / 62</td>
<td>15.6/KURUS</td>
<td>89 / 57</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2887</td>
<td>SUCI RAMADHANI / SUDARYANTO</td>
<td>9090278403</td>
<td>JL WONODRI BARU</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 149</td>
<td>100 / 70</td>
<td>J00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>2888</td>
<td>EKO SURANTO / EKO SURANTO</td>
<td>00704400</td>
<td>JL.DURIAN IV NO. 10</td>
<td>L</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 165</td>
<td>120 / 80</td>
<td>e11.6</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2889</td>
<td>DHIO BAGUS WICAKSONO / WAHYUNI SULISTIJANINGSIH</td>
<td>00A80902</td>
<td>JL. LAMPER TENGAH III/606-B</td>
<td>L</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>88 / 171</td>
<td>113 / 74</td>
<td>m79</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2890</td>
<td>ADITIYA IQBAL SETIYAWAN / INDRIANI SUSANTI</td>
<td>089000513304</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 153</td>
<td>100 / 70</td>
<td>H52.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2891</td>
<td>FATHAN NAJIB FUADI / SIDNI NAFIAL</td>
<td>00A28306</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>15.5 / 101</td>
<td>15.2/KURUS</td>
<td>89 / 57</td>
<td>R50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2892</td>
<td>TATAQWA ABIATAR / SUDARMONO</td>
<td>00D078703</td>
<td>L</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 172</td>
<td>16.9/KURUS</td>
<td>100 / 70</td>
<td>t79.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>2893</td>
<td>080000538804</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5.5 / 63</td>
<td>13.9/KURUS</td>
<td>89 / 57</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2894</td>
<td>00C24700</td>
<td>L</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 164</td>
<td>143 / 78</td>
<td>e11</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>2895</td>
<td>00C24701</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 156</td>
<td>118 / 64</td>
<td>e11</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>2896</td>
<td>M.MELSANDI / M.MELSANDI</td>
<td>90I012900</td>
<td>JL. DSN REJOSARI, GEDANGAN, MOJOWARNO, KAB. JOMBANG, JATIM</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 171</td>
<td>121 / 66</td>
<td>i84.4</td>
<td>umum</td>
<td>ya</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2897</td>
<td>NUR SAMIYANTI / SARDI</td>
<td>089090318001</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 142</td>
<td>144 / 66</td>
<td>r05</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2898</td>
<td>IKE AGUSTINA / BUDI HARTOYO</td>
<td>90A61801</td>
<td>JL.SENDANG INDAH</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 156</td>
<td>99 / 69</td>
<td>h81.3</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Muktiharjo Lor</td>
</tr> <tr>
<td>2899</td>
<td>YANI SURYANI / DADANG</td>
<td>00002499011</td>
<td>JL.LAMPER TENGAH </td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 163</td>
<td>110 / 66</td>
<td>M62</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2900</td>
<td>MURNI / SLAMET MUJIONO</td>
<td>0800J66701</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 155</td>
<td>140 / 80</td>
<td>I61</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2901</td>
<td>080J044001</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 165</td>
<td>147 / 89</td>
<td>R07.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2902</td>
<td>NURRA RIZKI SEPTA P / DWI PRASETYO</td>
<td>90B43302</td>
<td>L</td>
<td>5 Tahun</td>
<td></td>
<td></td>
<td>15 / 120</td>
<td>10.4/KURUS</td>
<td>100 / 70</td>
<td>T79</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2903</td>
<td>SAKHO' ABU YAZID ALJAWIY / M MUNIF</td>
<td>0000362703</td>
<td>KH ABDUL ROSYID BUGEN</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>29.8 / 116</td>
<td>72 / 50</td>
<td>R50</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>2904</td>
<td>JOVAN ARDIKA PUTRA / CATUR WIJAYA</td>
<td>089090369903</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.1 / 73</td>
<td>70 / 51</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2905</td>
<td>GRACE DAYANA FITRI WIJAYA / YOLANDA SUKMA PATRIZIA</td>
<td>90G009402</td>
<td>PETERONGAN TENGAH NO.28 B</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5600 / 58</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2906</td>
<td>SUMIYONO / SUMIYONO</td>
<td>00B24100</td>
<td>JL. PETERONGAN TENGAH 318-B</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>85 / 156</td>
<td>110 / 70</td>
<td>E78.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2907</td>
<td>0000139105</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.3 / 78.2</td>
<td>13.6/KURUS</td>
<td>72 / 51</td>
<td>Z00</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2908</td>
<td>DYAH SATITI P / RIFQI ZULFAHMI</td>
<td>00A86502</td>
<td>WONODRI SENDANG GANG II NO 1</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>91 / 153</td>
<td>100 / 70</td>
<td>r73.9</td>
<td>umum</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>2909</td>
<td>ARKANA ZICO A / ARDILES OKY ARDIANSYAH</td>
<td>90G003503</td>
<td>JALAN TANDANG</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3900 / 50</td>
<td>89 / 56</td>
<td>z00</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>2910</td>
<td>DAWAM SUSANTO,SH / DAWAM SUSANTO,SH</td>
<td>00C51700</td>
<td>JALAN CERME RAYA UTARA NO.558-C</td>
<td>L</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 160</td>
<td>120 / 80</td>
<td>r73.9</td>
<td>lansia</td>
</tr> <tr>
<td>2911</td>
<td>TRI IRIYANI / WALUYO</td>
<td>0000318803</td>
<td>JL. DURIAN III NO. 30</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 145</td>
<td>115 / 85</td>
<td>K05</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2912</td>
<td>ILYAS AFFAN SUSILO / MEDI SUSILO</td>
<td>90268402</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.5 / 95</td>
<td>15/KURUS</td>
<td>89 / 57</td>
<td>Z47.0</td>
<td>mtbs</td>
<td>ya</td>
</tr> <tr>
<td>2913</td>
<td>SUTARNI / SADANA YULIARSO</td>
<td>0800117601</td>
<td>JL. JERUK II NO.1631B</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>177 / 91</td>
<td>j98</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2914</td>
<td>SITI MARIYAM / MUJIONO</td>
<td>00B70500</td>
<td>JL.BANCAR ASRI RAYA NO.20</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 150</td>
<td>132 / 82</td>
<td>I24</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2915</td>
<td>BARIKHA / SUKRON</td>
<td>080000347990</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 149</td>
<td>144 / 76</td>
<td>e11</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2916</td>
<td>0000274103</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.5 / 73.5</td>
<td>89 / 57</td>
<td>R50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2917</td>
<td>AYESHA SHEFARA / DWI SAPTANTO HARI BUDIONO</td>
<td>90C52704</td>
<td>JL.SAWI NO.5</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>9 / 67.5</td>
<td>70 / 52</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2918</td>
<td>MOCHAMAD NORSAIFUDIN / MOCHAMAD TAUFIK</td>
<td>0000294602</td>
<td>JL. PISANG</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 160</td>
<td>110 / 80</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2919</td>
<td>DAWAM SUSANTO,SH / DAWAM SUSANTO,SH</td>
<td>00C51700</td>
<td>JALAN CERME RAYA UTARA NO.558-C</td>
<td>L</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 160</td>
<td>120 / 80</td>
<td>r73.9</td>
<td>gigi</td>
</tr> <tr>
<td>2920</td>
<td>00E056601</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 148</td>
<td>119 / 86</td>
<td>i10</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>2921</td>
<td>DIDIK RACHMAD SETYAWAN / DIDIK RACHMAD SETYAWAN</td>
<td>00E048300</td>
<td>L</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 170</td>
<td>16.3/KURUS</td>
<td>92 / 60</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2922</td>
<td>FAISAL ALFIANTO WICAKSONO / IMAM</td>
<td>000194903</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 160</td>
<td>17.6/KURUS</td>
<td>126 / 81</td>
<td>k04.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2923</td>
<td>ALFIAN WIDYA UTAMA / ALFIAN WIDYA UTAMA</td>
<td>90I017400</td>
<td>DUSUN REJOSARI</td>
<td>L</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>138 / 83</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2924</td>
<td>POLIN / POLIN</td>
<td>00E088000</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 153</td>
<td>125 / 76</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2925</td>
<td>00A46703</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 150</td>
<td>85 / 47</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2926</td>
<td>DWI MARSETIANINGTYAS / ANGGORO BAYU DEWANTORO</td>
<td>089090320001</td>
<td>JL. Pisang</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>90 / 153</td>
<td>115 / 62</td>
<td>Z34</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2927</td>
<td>BY NY AISYA RETNO HARWANTI / MUHAMMAD FAHRUDIN PUTRA</td>
<td>00D047802</td>
<td>LAMPER MIJEN 319 I</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>2900 / 49</td>
<td>72 / 50</td>
<td>Z00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2928</td>
<td>DINO ARGA WAHYU JATI / SAPARDI</td>
<td>0000144006</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 161</td>
<td>138 / 81</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2929</td>
<td>NURUL KOMARINA / TULUS WIBOWO MUKTI</td>
<td>90B28501</td>
<td>SENDANGSARI UTARA</td>
<td>P</td>
<td>35 Tahun</td>
<td></td>
<td></td>
<td>54 / 157</td>
<td>100 / 90</td>
<td>k04.0</td>
<td>gigi</td>
<td>tidak</td>
<td>Kalicari</td>
</tr> <tr>
<td>2930</td>
<td>SRI WALGIYATI / SAPARDI</td>
<td>0000144002</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 150</td>
<td>121 / 83</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2931</td>
<td>DAVINA PUTRI WIBOWO / TULUS WIBOWO</td>
<td>90B28506</td>
<td>SENDANG SARI</td>
<td>P</td>
<td>8 Tahun</td>
<td></td>
<td></td>
<td>19 / 125</td>
<td>12.2/KURUS</td>
<td>100 / 85</td>
<td>K02</td>
<td>gigi</td>
<td>tidak</td>
<td>Kalicari</td>
</tr> <tr>
<td>2932</td>
<td>HENI SETIOWATI / ADITYA SANJAYA</td>
<td>90H023301</td>
<td>JL.PENGGARON KIDUL</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 153</td>
<td>117 / 78</td>
<td>Z35</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Penggaron Kidul</td>
</tr> <tr>
<td>2933</td>
<td>ALIFA ZAHRA FITRIANI / SOLEH</td>
<td>00B0104</td>
<td>JL.RAMBUTAN BARAT</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4535 / 56</td>
<td>90 / 60</td>
<td>z27</td>
<td>imunisasi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2934</td>
<td>VENTO KIA DWI SAPUTRA / WINDU SUMARTO</td>
<td>08000127903</td>
<td>L</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 166</td>
<td>109 / 69</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2935</td>
<td>HUSEN BAHTIAR / HUSEN BAHTIAR</td>
<td>90I017500</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 173</td>
<td>110 / 70</td>
<td>z01.7</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2936</td>
<td>SRI RAHAYU / TRI ARIYANTO </td>
<td>00A55101</td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>108.2 / 163</td>
<td>129 / 85</td>
<td>Z35</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2937</td>
<td>SUYATMI / SUNGKONO</td>
<td>00B46600</td>
<td>JL. LAMPER TENGAH XV-C/31</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 156</td>
<td>180 / 100</td>
<td>R73.9</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>2938</td>
<td>FIKRI LUQMAN PRATAMA / SLAMET WIDODO</td>
<td>079090407802</td>
<td>L</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 168</td>
<td>118 / 82</td>
<td>Z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>2939</td>
<td>SRI UTAMI / HERI PRAYOGO</td>
<td>0000455801</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 147</td>
<td>143 / 88</td>
<td>h81.3</td>
<td>umum</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>2940</td>
<td>90H033302</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.5 / 63</td>
<td>16.4/KURUS</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>2941</td>
<td>ANINDYA ALNAIRA PUTRI / HENDRO WIBOWO</td>
<td>0800126605</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4800 / 56</td>
<td>90 / 60</td>
<td>z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2942</td>
<td>ARIS DIANTORO / ARIS DIANTORO</td>
<td>00004300</td>
<td>JL.JERUK TIMUR</td>
<td>L</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>120 / 80</td>
<td>S82.10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2943</td>
<td>SRI UTAMI / HERI PRAYOGO</td>
<td>0000455801</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 147</td>
<td>143 / 88</td>
<td>Z30.4</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2944</td>
<td>APRELIA ATDE SELFANI / JOKO SUPRIATIN</td>
<td>0000474407</td>
<td>jl peterongan tengah</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 104</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2945</td>
<td>BINTANG ALIP RADITYA / SUPRIYADI</td>
<td>00D012990</td>
<td>JL. KEDONDONG DALAM I /398</td>
<td>L</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 162</td>
<td>100 / 70</td>
<td>B36.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2946</td>
<td>90A81600</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>62.8 / 169</td>
<td>22/NORMAL</td>
<td>120 / 72</td>
<td>k04.1</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2947</td>
<td>ANGGORO BAYU DIWANTORO / ANGGORO BAYU DIWANTORO</td>
<td>089090320000</td>
<td>L</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 163</td>
<td>132 / 71</td>
<td>l98</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2948</td>
<td>OLGA NADIA / JUNIMAR</td>
<td>90B51206</td>
<td>JL.SIWALAN 1 NO.731</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 163</td>
<td>115 / 77</td>
<td>k04.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>2949</td>
<td>SASTI AINUN SALSABILA / EDO SAPUTRA</td>
<td>069090300902</td>
<td>JL.TAMBRA DALAM XI</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>46.5 / 150</td>
<td>95 / 54</td>
<td>N91</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Kuningan</td>
</tr> <tr>
<td>2950</td>
<td>SENJA PUTRI RINJANI / SETYONO</td>
<td>90A74504</td>
<td>JL. PUCANG GEDE IV NO.6, BATURSARI, MRANGGEN, KAB.DEMAK</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4300 / 56</td>
<td>98 / 60</td>
<td>z00</td>
<td>imunisasi</td>
<td>umum</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2951</td>
<td>SENJA PUTRI RINJANI / SETYONO</td>
<td>90A74504</td>
<td>JL. PUCANG GEDE IV NO.6, BATURSARI, MRANGGEN, KAB.DEMAK</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4300 / 56</td>
<td>98 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>umum</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2952</td>
<td>RUSMININGSIH / AGUS SURYADI</td>
<td>00D009501</td>
<td>JALAN JAMBU II NO9B</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 155</td>
<td>135 / 81</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2953</td>
<td>FERA AYU PRATIWI / ANDI TRI WICAKSONO</td>
<td>00E045001</td>
<td>JL. CEMPEDAK UTARA 36A</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 158</td>
<td>119 / 77</td>
<td>Z34</td>
<td>kia</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2954</td>
<td>080000041001</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 150</td>
<td>132 / 79</td>
<td>r03.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2955</td>
<td>ANDI TRI WICAKSONO / SUTADI</td>
<td>00E045000</td>
<td>L</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 175</td>
<td>135 / 87</td>
<td>j06</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2956</td>
<td>NGAMINI / MUJIONO</td>
<td>0800057001</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 155</td>
<td>122 / 78</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2957</td>
<td>ADI SAPUTRA / ADI SAPUTRA</td>
<td>00C079600</td>
<td>JL.LAMPER TENGAH III NO.587 E</td>
<td>L</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 165</td>
<td>115 / 80</td>
<td>r50</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2958</td>
<td>KELVIN PUTRA PRATAMA / SARWIN</td>
<td>080000386202</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 164</td>
<td>120 / 80</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2959</td>
<td>LAFIERTA KENZA GOLDANA / AIP SARIFUDIN</td>
<td>00E088104</td>
<td>JALAN KEDONDONG RAYA 431</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 169</td>
<td>20/NORMAL</td>
<td>110 / 77</td>
<td>a09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2960</td>
<td>YOKO SLAMET RIYANTO / YOKO SLAMET RIYANTO</td>
<td>0001006100</td>
<td>L</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 165</td>
<td>120 / 70</td>
<td>I50.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2961</td>
<td>SAMINI / EKO DARMAWAN</td>
<td>060000357301</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 148</td>
<td>135 / 75</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2962</td>
<td>ZAINUN NISA DA FADILA / BUNYAMIN</td>
<td>9090192402</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 148</td>
<td>110 / 80</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2963</td>
<td>BUNYAMIN / BUNYAMIN</td>
<td>9090192400</td>
<td>LEMBAYUNG</td>
<td>L</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 159</td>
<td>110 / 65</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2964</td>
<td>SITI SUHARNIK / YULIONO PAMUNGKAS</td>
<td>90I017601</td>
<td>WARU</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 150</td>
<td>107 / 68</td>
<td>r51</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2965</td>
<td>ABDUL KHAMDI / ABDUL KHAMDI</td>
<td>089090013600</td>
<td>L</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 155</td>
<td>109 / 65</td>
<td>E11</td>
<td>lansia</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>2966</td>
<td>DZAKWAN NAUFAL / BAMBANG P</td>
<td>00E088202</td>
<td>JLN LAMPER TENGAH XI</td>
<td>L</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>59.1 / 170</td>
<td>128 / 75</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2967</td>
<td>0800111010</td>
<td>L</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 160</td>
<td>110 / 80</td>
<td>E11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2968</td>
<td>IMAM MAARIF / AHMAD DAWAMI</td>
<td>90I0178</td>
<td>JL.SUHADA TIMUR</td>
<td>L</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 161</td>
<td>106 / 77</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2969</td>
<td>FITRI SULISTIYANI / PARJIONO</td>
<td>0800605901</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 155</td>
<td>119 / 76</td>
<td>i25</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2970</td>
<td>DEVITA AFRYANI / achmadi</td>
<td>00C081804</td>
<td>JALAN PETERONGAN TENGAH 16</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 149</td>
<td>17.6/KURUS</td>
<td>80 / 64</td>
<td>A15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2971</td>
<td>GHAFFAR FAZLE RABBI / NUR ABIDIN</td>
<td>0000373305</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 144</td>
<td>90 / 60</td>
<td>L98</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2972</td>
<td>SITI ROHAYATUN / ARIS KRISTANTO</td>
<td>90I017801</td>
<td>JL. KARANGGENENG</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 145</td>
<td>126 / 86</td>
<td>h81.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gunungpati</td>
</tr> <tr>
<td>2973</td>
<td>AZKA PUTRA ASHARI / RIAN ADI PUTRA</td>
<td>00E028702</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>10 / 70</td>
<td>90 / 60</td>
<td>j00</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2974</td>
<td>RYZA NADZIFATUL HAIAH / SARWANTO</td>
<td>90I017900</td>
<td>DSN. CUBLIKAN, KEL. KOWANGAN, KEC. TEMANGGUNG, KAB. TEMANGGUNG</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 158</td>
<td>18.4/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2975</td>
<td>SUMIYATI / ROHDADI</td>
<td>00B39601</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 155</td>
<td>120 / 70</td>
<td>z96.1</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2976</td>
<td>00B95900</td>
<td>L</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 165</td>
<td>101 / 63</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2977</td>
<td>RAHANDIKA NARARYA M / ARIEF HADI</td>
<td>00A017505</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>23 / 101</td>
<td>96 / 78</td>
<td>k04.0</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2978</td>
<td>NASIRUDIN / NASIRUDIN</td>
<td>90H069700</td>
<td>JL.CISADANE I NO.137 KEL.NUSA JAYA KEC.KARAWACI KOTA TANGGERANG</td>
<td>L</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 162</td>
<td>130 / 83</td>
<td>r50</td>
<td>lansia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>2979</td>
<td>WIYONO / WIYONO</td>
<td>080000463400</td>
<td>JL. TEGAL KANGKUNG</td>
<td>L</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 166</td>
<td>123 / 88</td>
<td>N39</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2980</td>
<td>MEIRAVANYA AYU PRAMITHA / RATIH FIVIANI</td>
<td>00C03902</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 158</td>
<td>110 / 63</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2981</td>
<td>RAFAEL SENTANU ARUNA S. / YOHANES TOTOK</td>
<td>90I018003</td>
<td>JL. KETILENG RAYA BLOK I NO, 1B</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 175</td>
<td>120 / 50</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2982</td>
<td>TABITHA ATIKA PUTRI / RAFAEL DWI SLAMET BASUKI</td>
<td>90I018103</td>
<td>JL. SINGOTORO 3 NO. 9</td>
<td>P</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 158</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>2983</td>
<td>MESAKH RAYSASMONO / SASMONO AJI</td>
<td>90I018203</td>
<td>JL. BADER I </td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 170</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2984</td>
<td>PRIZANI ARUM SEKAR L / SUPRIYO</td>
<td>0000191202</td>
<td>P</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 154</td>
<td>16.4/KURUS</td>
<td>90 / 60</td>
<td>j45</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2985</td>
<td>ANJARINI NURCAHYANI POS UKK / TEGUH WIDAYANTO</td>
<td>000037930001</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 149</td>
<td>135 / 84</td>
<td>E78</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2986</td>
<td>RAMISAN / RAMISAN</td>
<td>080000389900</td>
<td>JL.LAMPER TENGAH III NO.611</td>
<td>L</td>
<td>73 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 158</td>
<td>156 / 100</td>
<td>I10</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2987</td>
<td>VINO ZHUBANELGENUBI / DEDI MUSTAF</td>
<td>00C12004</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>29 / 137</td>
<td>15.5/KURUS</td>
<td>90 / 60</td>
<td>j98</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>2988</td>
<td>CARISSA KHAIRA AZZAHRA / DIDIK S</td>
<td>00A14704</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 146</td>
<td>100 / 70</td>
<td>a01</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2989</td>
<td>AMIN YASROH / AMIN YASROH</td>
<td>90I016500</td>
<td>JL. GUNUNG SARI </td>
<td>L</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>89 / 168</td>
<td>130 / 80</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>2990</td>
<td>SUDJIATI / NURHIDAYAT</td>
<td>90C91890</td>
<td>JL.PERUM TULUS HARAPAN B 15/5</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 155</td>
<td>17.5/KURUS</td>
<td>148 / 80</td>
<td>h81.1</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>2991</td>
<td>00E073300</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 156</td>
<td>134 / 77</td>
<td>z09.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>2992</td>
<td>ANUGRAH RIZKI AKBAR / TUMANI</td>
<td>0000246602</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 120</td>
<td>16.7/KURUS</td>
<td>90 / 50</td>
<td>j03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>2993</td>
<td>REZKYA ALVINA SALSABILA / TRI MUJIONO</td>
<td>00002374003</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 135</td>
<td>90 / 50</td>
<td>R05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2994</td>
<td>ROCHATINAH POS UKK / TUSMUDI</td>
<td>080000804401</td>
<td>JL. LAMPER TENGAH XIb/45</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>120 / 70</td>
<td>E78</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>2995</td>
<td>SRI AMI POS UKK / NGADIMIN</td>
<td>080000021002</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 153</td>
<td>120 / 70</td>
<td>E78</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>2996</td>
<td>SURYONO POS UKK / MINTEN/SURYONO</td>
<td>080000326994</td>
<td>L</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 160</td>
<td>120 / 70</td>
<td>E78</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2997</td>
<td>90a68900</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>120 / 70</td>
<td>R19.0</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>2998</td>
<td>SUYATMI POS UKK / JUMANTO</td>
<td>080000515490</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 157</td>
<td>120 / 70</td>
<td>E78</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>2999</td>
<td>DJUWARSIH POS UKK / SANDI RIYANTO / DJUWARSIH</td>
<td>00A47204</td>
<td>LAMPER TENGAH </td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 150</td>
<td>120 / 70</td>
<td>E78</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3000</td>
<td>080000605400</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 164</td>
<td>140 / 70</td>
<td>M54.3</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>3001</td>
<td>PRIHATIN POS UKK / MOCH TAUFIK</td>
<td>060000374501</td>
<td>LAMPER TENGAH XII</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>120 / 70</td>
<td>E78</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3002</td>
<td>KASMILAH POS UKK / JONI D</td>
<td>080000025903</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 150</td>
<td>120 / 70</td>
<td>Z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3003</td>
<td>PARYATI / HENRI P</td>
<td>0000549101</td>
<td>BANCAR ASRI II, LAMPER TENGAH</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 160</td>
<td>130 / 70</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3004</td>
<td>KUSMINAH POS UKK / TIDAK TAHU</td>
<td>00E088401</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 158</td>
<td>120 / 80</td>
<td>Z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3005</td>
<td>FADL ABDUL AZIZ / MUH NUR SALIM</td>
<td>00C067902</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 132</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3006</td>
<td>ASIH WIDAYAT POS UKK / TIDAK TAHU</td>
<td>00E088301</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 151</td>
<td>120 / 90</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3007</td>
<td>MURSIAH, IR POS UKK / SUNARSO</td>
<td>00C072001</td>
<td>LAMPER TENGAH XI/10A</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 160</td>
<td>120 / 80</td>
<td>E78</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3008</td>
<td>00A13402</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 161</td>
<td>18.1/KURUS</td>
<td>100 / 60</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3009</td>
<td>ANASTASIA TITIK KURNIAWATI POS UKK / DARSONO</td>
<td>00C15301</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 150</td>
<td>130 / 80</td>
<td>E78</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3010</td>
<td>SUTARMAH / SUTARMAH</td>
<td>0000434001</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 150</td>
<td>24/NORMAL</td>
<td>146 / 93</td>
<td>I10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3011</td>
<td>SUWARSINI POS UKK / TIDAK TAHU</td>
<td>00E088501</td>
<td>P</td>
<td>73 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 158</td>
<td>130 / 90</td>
<td>E78</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3012</td>
<td>MEUTHIA ALMAHYRA RAMADHANI / ARIEF YUDHATAMA</td>
<td>90I018302</td>
<td>PERUM AYODYA CLUSTER BAMBU 51</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 110</td>
<td>14.9/KURUS</td>
<td>100 / 60</td>
<td>r05</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Sekaran</td>
</tr> <tr>
<td>3013</td>
<td>ALESHA BERLIANA FAWZIA / ARIEF YUDHATAMA</td>
<td>90I018303</td>
<td>PERUM AYODYA CLUSTER BAMBU 51</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>10 / 96</td>
<td>10.9/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Sekaran</td>
</tr> <tr>
<td>3014</td>
<td>WARTI / SUTOMO</td>
<td>0000043301</td>
<td>PANDEAN LAMPER PETERONGAN</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 150</td>
<td>170 / 88</td>
<td>I10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3015</td>
<td>90D070701</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 153</td>
<td>115 / 77</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3016</td>
<td>PAMELIA SUCIATI / YULIANTO</td>
<td>90G095701</td>
<td>DUSUN WONOREJO, KEL. KEDUNGJATI, KEC. KEDUNGJATI, KAB. GROBOGAN,
PROV. JATENG</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 160</td>
<td>119 / 74</td>
<td>N61</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3017</td>
<td>AHMED SYAH RIZAN / SOEYANTO</td>
<td>90I0184</td>
<td>MBABRIK, KEL. BATUSARI, KEC. MRANGGEN</td>
<td>L</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 168</td>
<td>129 / 84</td>
<td>z02</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3018</td>
<td>PAMELIA SUCIATI / YULIANTO</td>
<td>90G095701</td>
<td>DUSUN WONOREJO, KEL. KEDUNGJATI, KEC. KEDUNGJATI, KAB. GROBOGAN,
PROV. JATENG</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 160</td>
<td>119 / 74</td>
<td>z00</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3019</td>
<td>0000177501</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 150</td>
<td>24/NORMAL</td>
<td>125 / 79</td>
<td>I10</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>3020</td>
<td>0000503103</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 115</td>
<td>15.1/KURUS</td>
<td>100 / 70</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3021</td>
<td>AVIORI VIVIAN DANENDRA / KIS WINARTO</td>
<td>00A91102</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 141</td>
<td>90 / 60</td>
<td>z01.7</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3022</td>
<td>TIARA AYUNDA LOVEQUITA YANNING / FALERYAN KRISMANTORO</td>
<td>90B46004</td>
<td>JL.KAMPUNG KLIPANG</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 157</td>
<td>114 / 76</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3023</td>
<td>RENO JATINOVA / ANDIK MINTORO</td>
<td>90C04803</td>
<td>JL CANDI PAWON TIMUR 03/07</td>
<td>L</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 158</td>
<td>22/NORMAL</td>
<td>120 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Manyaran</td>
</tr> <tr>
<td>3024</td>
<td>DYINA NOVITASARI / SUNARTO</td>
<td>080000088302</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 158</td>
<td>16/KURUS</td>
<td>89 / 57</td>
<td>z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3025</td>
<td>SUGIYARTI / BAMBANG MARTULUS</td>
<td>9090218904</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 155</td>
<td>120 / 80</td>
<td>f20.3</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3026</td>
<td>ARJUNA ALIENDRA SADAVIR / ALI SULISTIYO</td>
<td>00C067303</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.6 / 74</td>
<td>15.7/KURUS</td>
<td>89 / 54</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3027</td>
<td>080J09901</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 150</td>
<td>20/NORMAL</td>
<td>110 / 72</td>
<td>f20.3</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3028</td>
<td>00A13402</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 161</td>
<td>18.1/KURUS</td>
<td>110 / 80</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3029</td>
<td>SUGENG GUNAWAN / SUGENG GUNAWAN</td>
<td>00B53900</td>
<td>L</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 163</td>
<td>133 / 91</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3030</td>
<td>00E020000</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 170</td>
<td>155 / 95</td>
<td>H44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3031</td>
<td>NGAMINI / MUJIONO</td>
<td>0800057001</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 155</td>
<td>149 / 85</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3032</td>
<td>KR.F.E ANDI WIDYANTARA / KR.F.E ANDI WIDYANTARA</td>
<td>00B17000</td>
<td>JL. MANGGA VI NO 49</td>
<td>L</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 172</td>
<td>120 / 70</td>
<td>f20.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3033</td>
<td>0000145704</td>
<td>L</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 156</td>
<td>18.1/KURUS</td>
<td>106 / 59</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3034</td>
<td>KHOLISATUN NAFIAH VCT / TIDAK TAHU</td>
<td>90I018500</td>
<td>DSN. CABEAN, KEL. CABEAN, KEC. DEMAK, KAB. DEMAK</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 165</td>
<td>120 / 70</td>
<td>z11.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3035</td>
<td>HASAN ASYADILI / HASAN ASYADILI</td>
<td>00223900</td>
<td>JL.CEMPEDAK UTARA NO.41</td>
<td>L</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 166</td>
<td>17.4/KURUS</td>
<td>120 / 70</td>
<td>e05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3036</td>
<td>DEWI APRILIANTI VCT / TIDAK TAHU</td>
<td>90I018600</td>
<td>DUKUH GANDULAN LOR, KEL. KALIJAMBE, KEC. SRAGI, KAB. PEKALONGAN</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 160</td>
<td>110 / 78</td>
<td>z11.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3037</td>
<td>SRI LESTARI / ALI WIJAYA</td>
<td>0800039203</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>150 / 74</td>
<td>h25</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3038</td>
<td>LIANA SARI PURWANI VCT / TIDAK TAHU</td>
<td>90I018700</td>
<td>PONCOL GG. NUSA INDAH PERMAI, KEL. PONCOL, KEC. PEKALONGAN TIMUR,
KOTA, PEKALONGAN</td>
<td>P</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>120 / 70</td>
<td>z11.4</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3039</td>
<td>AGUS SETIYAWAN / AGUS SETIYAWAN</td>
<td>000340900</td>
<td>JL. JOMBLANG TIMUR</td>
<td>L</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 170</td>
<td>152 / 87</td>
<td>e11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3040</td>
<td>YULIANA MAFIA / AGUS SUPRIYANOT</td>
<td>90H055301</td>
<td>JL. CINDE SELATAN DALAM</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>118 / 76</td>
<td>z30</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>3041</td>
<td>HARYANTI VCT / TIDAK TAHU</td>
<td>90I018800</td>
<td>DSN. WATES, KEL. WATES. KEC. KEDUNGJATI, KAB. GROBOGAN</td>
<td>P</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>120 / 70</td>
<td>z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3042</td>
<td>YUNITA KRISTIANA / RISKI SETIAWAN</td>
<td>0800023602</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 154</td>
<td>139 / 93</td>
<td>k04.0</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>3043</td>
<td>SETYA PRIHATIN PUJIASTUTI VCT / TIDAK TAHU</td>
<td>90I019001</td>
<td>JL. TANDANG IJEN</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>110 / 80</td>
<td>z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>3044</td>
<td>SRI SUMIATI VCT / ILHAM TRI JATMIKO</td>
<td>90G075501</td>
<td>JL KP.LAPANG KEL.MANDALAMUKTI KEC.CIKALONG WETAN KAB.BANDUNG
BARAT</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 156</td>
<td>110 / 78</td>
<td>z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3045</td>
<td>NOVI TRI SULISTYOWATI VCT / TIDAK TAHU</td>
<td>90I019101</td>
<td>JL. LAMONGAN BARAT</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>120 / 70</td>
<td>z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Sampangan</td>
</tr> <tr>
<td>3046</td>
<td>RIZKI BAROKAH VCT / TIDAK TAHU</td>
<td>90I019200</td>
<td>DSN. SAMPANG, KEC. KARANGTENGAH, KAB. DEMAK</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>120 / 70</td>
<td>z11.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3047</td>
<td>080000538000</td>
<td>L</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 159</td>
<td>127 / 78</td>
<td>A15</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3048</td>
<td>ADE PUTRA / ADE PUTRA</td>
<td>90H047800</td>
<td>JL. KABA DALAM II</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>85 / 175</td>
<td>120 / 85</td>
<td>h52.5</td>
<td>umum</td>
<td>ya</td>
<td>Tandang</td>
</tr> <tr>
<td>3049</td>
<td>SUWADI prolanis / SUWADI</td>
<td>0000397300</td>
<td>L</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 160</td>
<td>23/NORMAL</td>
<td>130 / 79</td>
<td>e11</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>3050</td>
<td>SUDIYONO / SUDIYONO</td>
<td>0000356100</td>
<td>JL.SOMPOK LAMA GG KESAMBI NO. 4</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 156</td>
<td>131 / 64</td>
<td>k29</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3051</td>
<td>00B56301</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 143</td>
<td>20/NORMAL</td>
<td>95 / 69</td>
<td>z35</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3052</td>
<td>PUTRI AYU KUMALASARI VCT / TIDAK TAHU</td>
<td>90I019402</td>
<td>JL. IJEN </td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>110 / 80</td>
<td>z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>3053</td>
<td>SHEILA PUTRI RIZQIANA / ALI IMRON</td>
<td>90B16004</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.6 / 76</td>
<td>14.9/KURUS</td>
<td>70 / 51</td>
<td>J00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3054</td>
<td>0000190790</td>
<td>P</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 150</td>
<td>17.3/KURUS</td>
<td>135 / 59</td>
<td>a15</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3055</td>
<td>ALIK WIJAYA SAMBORO / ALIK WIJAYA SAMBORO</td>
<td>080000039200</td>
<td>L</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>126 / 68</td>
<td>k04.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3056</td>
<td>ASYIFA YUSFINA HANAN PRASETYA. / SATYA SANTOSA</td>
<td>00D010204</td>
<td>JL.CEMPEDAK UTARA 33C</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.7 / 68</td>
<td>14.5/KURUS</td>
<td>70 / 51</td>
<td>r50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3057</td>
<td>JUHARI / JUHARI</td>
<td>90I019300</td>
<td>L</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>177 / 99</td>
<td>R07.4</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3058</td>
<td>9090075501</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 160</td>
<td>129 / 80</td>
<td>k05.0</td>
<td>gigi</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3059</td>
<td>NAILA MISHA RIZQIANA / ALI IMRON</td>
<td>90B16003</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 118</td>
<td>12.9/KURUS</td>
<td>120 / 70</td>
<td>j02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3060</td>
<td>WIJI RAHAYU / ALI IMRON</td>
<td>90B16001</td>
<td>L</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 158</td>
<td>24/NORMAL</td>
<td>106 / 61</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3061</td>
<td>DORA AFRIYANI VCT / TIDAK TAHU</td>
<td>90I019501</td>
<td>JL. SAMBIROTO V NO. 7</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 160</td>
<td>110 / 80</td>
<td>z11.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Sambiroto</td>
</tr> <tr>
<td>3062</td>
<td>FACHRI CIPTA PRAMANA / DEDY SUSANTO</td>
<td>00A87803</td>
<td>JL CEMPEDAK SELATAN NO.13</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>29 / 125</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3063</td>
<td>RATNA HADININGSIH YULIANI / RATNA HADININGSIH YULIANI</td>
<td>00E08860</td>
<td>JL. JAMBU NO. 13</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 150</td>
<td>20/NORMAL</td>
<td>138 / 74</td>
<td>i64</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3064</td>
<td>YAYUK RAHAYU NINGSIH / JAHRI</td>
<td>00B13901</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>64.1 / 159</td>
<td>123 / 81</td>
<td>Z30.1</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3065</td>
<td>YULI KRISMUNIARTI / KRISWANTO</td>
<td>00C13601</td>
<td>JL. PISANG 4</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>71.6 / 160</td>
<td>122 / 84</td>
<td>Z30.0</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3066</td>
<td>RIZKI APRIANTO / SUMANTO</td>
<td>080000805902</td>
<td>DESA SEMAYA KEL.SEMAYA KEC.RANDUDONGKAL KAB.PEMALANG</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 169</td>
<td>15.8/KURUS</td>
<td>121 / 77</td>
<td>n39.0</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3067</td>
<td>EDDY SUPRIYONO (PROLANIS) / EDDY SUPRIYONO</td>
<td>00B80300</td>
<td>L</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 160</td>
<td>119 / 75</td>
<td>i10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3068</td>
<td>AKMAL MUSYAFFA HADI / MASHADI</td>
<td>9090357304</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>32 / 120</td>
<td>100 / 78</td>
<td>k05.2</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>3069</td>
<td>KISMINARTI / FAJAR RIYADI</td>
<td>00A92102</td>
<td>JL.RAMBUTAN I NO. 49</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 160</td>
<td>115 / 79</td>
<td>h52.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3070</td>
<td>IMEL YULIANA / OKTA BUDIANTO</td>
<td>00AGUSTUS201413</td>
<td>LAMPER KRAJAN NO 29</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>59.6 / 155</td>
<td>123 / 77</td>
<td>z35</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3071</td>
<td>080000904500</td>
<td>L</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 162</td>
<td>144 / 86</td>
<td>E78.1</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3072</td>
<td>INDAH SUSILOWATI / DAVID IRAWAN</td>
<td>90B34003</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>57.5 / 155</td>
<td>108 / 69</td>
<td>z30</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3073</td>
<td>ANINDYA PUTRI KIRANA / BUDIYONO</td>
<td>00A89302</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.2 / 75</td>
<td>85 / 78</td>
<td>k04.0</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>3074</td>
<td>00A83701</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 154</td>
<td>24/NORMAL</td>
<td>87 / 52</td>
<td>Z35</td>
<td>kia</td>
<td>tidak</td>
</tr> <tr>
<td>3075</td>
<td>SARI APRILIYANI / GALANG ADI SETYA W</td>
<td>90C53801</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 153</td>
<td>107 / 70</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3076</td>
<td>HAMISH REINER SALDIN / GINANJAR SAPUTRA</td>
<td>00E022802</td>
<td>JL.MANGGIS IV/20</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.8 / 63</td>
<td>70 / 52</td>
<td>z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3077</td>
<td>NOR KHOTIMAH / SIGIT SANTOSO</td>
<td>90I019601</td>
<td>JL. PLEWAN I</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>171 / 95</td>
<td>z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>3078</td>
<td>GALUH NAWANG / INDAH PRIHATI</td>
<td>0800110403</td>
<td>JL. PLEWAN II</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 153</td>
<td>97 / 57</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Siwalan</td>
</tr> <tr>
<td>3079</td>
<td>FAJAR RIYADI / FAJAR RIYADI</td>
<td>00A92100</td>
<td>JL.RAMBUTAN I NO. 49</td>
<td>L</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 173</td>
<td>100 / 80</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3080</td>
<td>AZKIYA ZAIN NOVINDA / AHMAD ZAINI MUSTOFA</td>
<td>00E027902</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.3 / 86.5</td>
<td>15.1/KURUS</td>
<td>70 / 52</td>
<td>r50</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3081</td>
<td>0000514206</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>45.7 / 155</td>
<td>19/NORMAL</td>
<td>103 / 72</td>
<td>z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3082</td>
<td>ULFAH NUR HIDAYAH / KRIS WYNALDA UTOMO</td>
<td>00B62503</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 147</td>
<td>92 / 61</td>
<td>O33.9</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3083</td>
<td>00E082500</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 158</td>
<td>119 / 88</td>
<td>r73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3084</td>
<td>AZRA FATIKARANI CHAIRUNNISA / FARID CHERONE</td>
<td>00E088702</td>
<td>JL. KEDONDONG NO. 14</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 145</td>
<td>105 / 61</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3085</td>
<td>IDHA CHIRIYATI / ROKHMAT</td>
<td>90C65001</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 144</td>
<td>130 / 65</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3086</td>
<td>EVELYN VEREN NATHANIA / HADI KRISTYANBOWO,S.KOM</td>
<td>90F088403</td>
<td>JL.GAYAMSARI I GANG II</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5.6 / 54</td>
<td>70 / 51</td>
<td>z00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>3087</td>
<td>FAHRA NOOR MUFIDAH / SONY WIDIARTO</td>
<td>90E065103</td>
<td>JL. KINIBALU II NO3</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 150</td>
<td>97 / 59</td>
<td>l84</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3088</td>
<td>0000193106</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5100 / 55</td>
<td>70 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3089</td>
<td>SUWARNI (PROLANIS) / SUNGATINI</td>
<td>00A11101</td>
<td>JL. BLIMBING III/ 24</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 156</td>
<td>132 / 77</td>
<td>m54.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3090</td>
<td>DONNY SATRIYO NUGROHO / DONNY SATRIYO NUGROHO</td>
<td>00A15900</td>
<td>L</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>127 / 76</td>
<td>g44</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3091</td>
<td>KASMIAH / RIYADI</td>
<td>080000704101</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 160</td>
<td>80 / 60</td>
<td>i50.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3092</td>
<td>MUHAMMAD ABHIZAR ALBIRRU / RIDWAN</td>
<td>00E042603</td>
<td>JL. LAMPER KRAJAN NO.18 A</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6 / 58</td>
<td>17.8/KURUS</td>
<td>70 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3093</td>
<td>KRISDIANA ANDRIANINGSIH / SARNO / FANDI ACHMAD</td>
<td>00.0386.06</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>68.5 / 153</td>
<td>128 / 76</td>
<td>z34</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3094</td>
<td>MICHAEL GIOVANI SETIA PUTRA / EDI GUNAWAN TEGUH</td>
<td>0800544805</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 97</td>
<td>18.1/KURUS</td>
<td>90 / 60</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3095</td>
<td>RASIYEM / SLAMET RIYADI</td>
<td>080000904501</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 158</td>
<td>134 / 77</td>
<td>m10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3096</td>
<td>YULIA TRI UTAMI / AMIR HIDAYAT</td>
<td>0000226401</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 151</td>
<td>120 / 70</td>
<td>I50.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3097</td>
<td>ENI NURYATI / ANUGRAH S</td>
<td>080000405601</td>
<td>JL. CEMPEDAK SELATAN NO 9</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>69.2 / 160</td>
<td>118 / 87</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3098</td>
<td>ALVARO ARGI NARUNA / SARNO / FANDI ACHMAD</td>
<td>00.0386.07</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.8 / 73</td>
<td>89 / 57</td>
<td>z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3099</td>
<td>ENDANG PURWATI / SUYITNO</td>
<td>080000321901</td>
<td>JL. LAMPER TENGAH XI/21-A</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 156</td>
<td>23/NORMAL</td>
<td>135 / 86</td>
<td>m62</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3100</td>
<td>IRFAN SUTRISNO / IRFAN SUTRISNO</td>
<td>90F077200</td>
<td>JL.PARAKAN KEL.PARAKAN KEC.PURWANEGARA KAB.BANJARNEGARA</td>
<td>L</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>85 / 178</td>
<td>139 / 89</td>
<td>m79.1</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3101</td>
<td>SRI REJEKI / SUHARDI S.PD</td>
<td>00D007901</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 150</td>
<td>137 / 78</td>
<td>R07.3</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3102</td>
<td>ERMA NUR KHASANAH / SUGIYANTO</td>
<td>90B90904</td>
<td>JL. WONODRI BONDALEM</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>59.5 / 155</td>
<td>128 / 88</td>
<td>Z30</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>3103</td>
<td>MUMUN MURNIASIH / RISTIONO</td>
<td>0800J64801</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>129 / 88</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3104</td>
<td>PUTU SURIYANI / SUGENG ASIAN</td>
<td>00C069602</td>
<td>JL.TAMAN DURIAN I NO.3</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 158</td>
<td>128 / 81</td>
<td>z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3105</td>
<td>SUMARTINI / DELVI LAFU</td>
<td>00A26001</td>
<td>JL. RAMBUTAN I/2.C</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 160</td>
<td>108 / 62</td>
<td>k29</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3106</td>
<td>EKA SETYAWATI / OKKY INDRA PRATAMA</td>
<td>0000193105</td>
<td>JL. PETERONGAN KOBONG 56</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 160</td>
<td>136 / 75</td>
<td>b00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3107</td>
<td>ROCHIMATUN / ROCHIMATUN</td>
<td>00130790</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 150</td>
<td>117 / 75</td>
<td>i10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3108</td>
<td>SALIMAH / SALIMAH</td>
<td>90I019701</td>
<td>DSN. KEBONAGUNG, KEL. KEBONANGUNGM KEC. TEGOWANNU, KAB. GROBOGAN</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>87 / 63</td>
<td>k30</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3109</td>
<td>DEANDRA PUTRI AZZAHRA / SARIKIN</td>
<td>0000j29604</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>15 / 97</td>
<td>15.9/KURUS</td>
<td>70 / 51</td>
<td>R50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3110</td>
<td>00E035601</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 170</td>
<td>122 / 77</td>
<td>Z30.0</td>
<td>kia</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3111</td>
<td>SRI MURYATI / LEGOWO NITI SETO</td>
<td>0800100301</td>
<td>JL. MANGGIS VIII NO. 03</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 155</td>
<td>136 / 94</td>
<td>j02</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3112</td>
<td>PUDJI LASMIJATUN UKK / WAHYUDI</td>
<td>000409201</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 150</td>
<td>122 / 89</td>
<td>E78.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3113</td>
<td>DAVID ARYO PUTRA / TJAHYO HANDOYO</td>
<td>90G099203</td>
<td>JL.PURWOMUKTI DALAM IV/1-E</td>
<td>L</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>83 / 177</td>
<td>121 / 77</td>
<td>R10.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3114</td>
<td>KAY GURUH MAHESA / GURUH ADI PRABOYO </td>
<td>00E010302</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.7 / 70</td>
<td>15.7/KURUS</td>
<td>70 / 51</td>
<td>J00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3115</td>
<td>ACHMAD RIDWAN / ACHMAD RIDWAN</td>
<td>00E088800</td>
<td>JL. LAMPER KRAJAN RAYA 35-A</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 157</td>
<td>135 / 63</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3116</td>
<td>EKO SUMIYATI / ZAENAL ARIFIN</td>
<td>080J128102</td>
<td>JL. JERUK 8 NO. 14</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 148</td>
<td>133 / 81</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3117</td>
<td>DJOKO RAHARDJO, SH / DJOKO RAHARDJO, SH</td>
<td>080000112900</td>
<td>L</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 165</td>
<td>120 / 70</td>
<td>z96.1</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>3118</td>
<td>HERMAN SUTANTIYO / HERMAN SUTANTIYO</td>
<td>080000429602</td>
<td>L</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 170</td>
<td>120 / 70</td>
<td>j02</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3119</td>
<td>VANISSA MANUELLA CANTIKA ROSE ATMOJO / YOHANES SAPTO ATMOJO</td>
<td>0000329302</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 96</td>
<td>90 / 60</td>
<td>R10.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3120</td>
<td>0800051100</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 165</td>
<td>18.4/KURUS</td>
<td>174 / 81</td>
<td>g52</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3121</td>
<td>SAYEM / SAKIMIN</td>
<td>0800090401</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 160</td>
<td>120 / 70</td>
<td>I25</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3122</td>
<td>SARIKIN / SARIKIN</td>
<td>0800J29691</td>
<td>L</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>90 / 176</td>
<td>121 / 88</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3123</td>
<td>90F092702</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 115</td>
<td>15.1/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3124</td>
<td>VINA WULANSARI / LEONARDUS LEDU</td>
<td>0800067202</td>
<td>JL. BANCAR ASRI 3</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>37 / 155</td>
<td>15.4/KURUS</td>
<td>127 / 76</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3125</td>
<td>KINNAS ARTHAWIDYA / ZAENAL MUSTOFA</td>
<td>90C38203</td>
<td>EBONE 108</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>15 / 88</td>
<td>90 / 60</td>
<td>j00</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>3126</td>
<td>SABRYNA KHAIRUNNISA / SA RONI</td>
<td>90A79300</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 137</td>
<td>12.8/KURUS</td>
<td>120 / 70</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3127</td>
<td>0000B88301</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 158</td>
<td>15.2/KURUS</td>
<td>146 / 75</td>
<td>e11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3128</td>
<td>90D00100</td>
<td>L</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>83 / 160</td>
<td>130 / 81</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3129</td>
<td>DJUMINGIN / DJUMINGIN</td>
<td>00C38600</td>
<td>L</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 153</td>
<td>145 / 85</td>
<td>m79.1</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>3130</td>
<td>RUBI VERBIANA PUTRI / RUBIYANTO/SATRIO EKO PRAKOSO</td>
<td>080000288102</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 163</td>
<td>102 / 65</td>
<td>Z34</td>
<td>kia</td>
<td>tidak</td>
</tr> <tr>
<td>3131</td>
<td>WAHYUNI INDARWATI / SARLITO WIRAWAN</td>
<td>9090243504</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 131</td>
<td>90 / 60</td>
<td>H57.8</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3132</td>
<td>SUGIARTININGSIH prolanis / SUWIT DAYANTO</td>
<td>00001728001</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 147</td>
<td>120 / 70</td>
<td>E11</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3133</td>
<td>SRIWATI / SRIWATI</td>
<td>0800J42402</td>
<td>JL. CEMPEDAK UTARA I NO.24-C</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 150</td>
<td>132 / 83</td>
<td>e11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3134</td>
<td>PRASETYA WINDAYANI / EKO SUGENG PRAYITNO</td>
<td>00A13601</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>114 / 64</td>
<td>K30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3135</td>
<td>BINGAR TITIAN MUKTI / EKO SUGENG PRAYITNO</td>
<td>00A13603</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 113</td>
<td>15.7/KURUS</td>
<td>90 / 60</td>
<td>R05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3136</td>
<td>ALMA FREEZA WANNADA / MUHAMMAD GUNTUR ADITYA</td>
<td>90H067101</td>
<td>JL.PERUM BUMI SARASWATI KEL.GAUM KEC.TASIKMADU</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>47.5 / 154</td>
<td>20/NORMAL</td>
<td>108 / 70</td>
<td>Z34</td>
<td>kia</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3137</td>
<td>RAFAEL SENTANU ARUNA S. / YOHANES TOTOK</td>
<td>90I018003</td>
<td>JL. KETILENG RAYA BLOK I NO, 1B</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 175</td>
<td>133 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3138</td>
<td>BEJO / BEJO</td>
<td>0800J079800</td>
<td>JL. PETERONGAN KOBONG NO 38</td>
<td>L</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 159</td>
<td>127 / 78</td>
<td>r50</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3139</td>
<td>TRI WINARSIH PROLANIS / PARYONO</td>
<td>080000311101</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 153</td>
<td>120 / 80</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3140</td>
<td>MUHAMMAD ARHAM TAUHID / NURSALIM</td>
<td>080000388203</td>
<td>JL. DURIAN ARAT NO.10</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 154</td>
<td>17.3/KURUS</td>
<td>100 / 70</td>
<td>z01.7</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3141</td>
<td>INTAN NOVITA SARI / SUNARTO</td>
<td>90E001502</td>
<td>JL. WONODRI BARU</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 158</td>
<td>110 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>3142</td>
<td>MUHAMMAD RIZKY / FAUZAN LUXWI</td>
<td>00004340006</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 119</td>
<td>14.8/KURUS</td>
<td>110 / 70</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>3143</td>
<td>00004340011</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 155</td>
<td>125 / 83</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3144</td>
<td>FIRDAN NUR RAMADHAN / CHRISSIMON ALDY P</td>
<td>080J083802</td>
<td>JL.ROGOJEMBANGAN BARAT</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>13 / 100</td>
<td>13/KURUS</td>
<td>98 / 80</td>
<td>k04.0</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3145</td>
<td>080000318800</td>
<td>L</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 170</td>
<td>108 / 67</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>3146</td>
<td>REZA MAHESA / FAUZAN LUXWI</td>
<td>0000434004</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 150</td>
<td>16.9/KURUS</td>
<td>98 / 78</td>
<td>k04.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3147</td>
<td>MUHAMMAD RIZKY / FAUZAN LUXWI</td>
<td>00004340006</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 119</td>
<td>14.8/KURUS</td>
<td>110 / 70</td>
<td>k30</td>
<td>gigi</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>3148</td>
<td>SUTIKNO / SUTIKNO</td>
<td>080000392403</td>
<td>JL. LAMPER MIJEN NO.337-A</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>85 / 160</td>
<td>130 / 80</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3149</td>
<td>PUTRI SANIA PRATIWI / PUTRI SANIA PRATIWI</td>
<td>00E081501</td>
<td>JL. SIMPANG BARU NO.11</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 150</td>
<td>110 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Sekayu</td>
</tr> <tr>
<td>3150</td>
<td>NURIL MUCHAMAD SOBIRUN / WISMA DIONO</td>
<td>90I019802</td>
<td>L</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 171</td>
<td>127 / 78</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3151</td>
<td>080000318800</td>
<td>L</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 170</td>
<td>108 / 67</td>
<td>r50</td>
<td>gigi</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>3152</td>
<td>ANIK SUSILOWATI / HERY MARYANTO</td>
<td>90I019901</td>
<td>JL. KERTANEGARA SELATAN 12C</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 168</td>
<td>23/NORMAL</td>
<td>110 / 80</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Pleburan</td>
</tr> <tr>
<td>3153</td>
<td>SARIFA LAILA NURHANIFA / HERY MARYANTO</td>
<td>90I019902</td>
<td>JL. KERTANEGARA SELATAN 12C</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 128</td>
<td>12.8/KURUS</td>
<td>110 / 80</td>
<td>K30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Pleburan</td>
</tr> <tr>
<td>3154</td>
<td>DINDA INDIRA SUBAGIO / GATOT SUBAGYO</td>
<td>080000195903</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 157</td>
<td>138 / 82</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3155</td>
<td>KHOLIPAH / HERI K</td>
<td>0000228000</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 155</td>
<td>120 / 80</td>
<td>H11.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3156</td>
<td>080000207600</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 165</td>
<td>160 / 80</td>
<td>E11</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3157</td>
<td>YARAOTUL WARIDAH / SUPRIYONO</td>
<td>080000052101</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 161</td>
<td>109 / 65</td>
<td>r51</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3158</td>
<td>RR.APRIFIRA EKA NURINDRA / CHANDRA PURNAMA</td>
<td>0000360702</td>
<td>JL.CERME RAYA NO. 16</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 151</td>
<td>110 / 70</td>
<td>Z47.9</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>3159</td>
<td>00E084202</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3800 / 50</td>
<td>60 / 44</td>
<td>Z00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3160</td>
<td>IRENE SYEBATIA BUMI / ANIK ISMAYANTI</td>
<td>90I020002</td>
<td>JL. DESA CAMPUREJO KEL. CAMPUREJO KEC. BOJA</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 158</td>
<td>111 / 83</td>
<td>z02</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3161</td>
<td>90D070701</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 153</td>
<td>120 / 70</td>
<td>Z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3162</td>
<td>SITI RUFIAH / SURATMAN</td>
<td>000J115501</td>
<td>CEMPEDAK UTARA II / 16 D</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 155</td>
<td>120 / 70</td>
<td>E07</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3163</td>
<td>ASRIKAH / MOH HENARTO</td>
<td>0800010001001</td>
<td>LAMPER TENGAH III/609 A</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 150</td>
<td>18.2/KURUS</td>
<td>121 / 76</td>
<td>m79.1</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>3164</td>
<td>DESI NATALIASARI / NUR HAMID</td>
<td>080000060502</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 155</td>
<td>130 / 80</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3165</td>
<td>RITA NURAINI RAMANSYAH / KEMIS RAMANSYA</td>
<td>90D092105</td>
<td>JL. WONODRI JOHO 1015-A</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 153</td>
<td>110 / 70</td>
<td>k01.1</td>
<td>gigi</td>
<td>ya</td>
<td>Wonodri</td>
</tr> <tr>
<td>3166</td>
<td>AISYAH PUTRI SHOLEHAH / MOCHAMAD SOLEH</td>
<td>0000209206</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 110</td>
<td>17.4/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3167</td>
<td>SUNARYO / SUNARYO</td>
<td>000163200</td>
<td>RAMBUTAN </td>
<td>L</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 161</td>
<td>120 / 70</td>
<td>T15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3168</td>
<td>YAMINAH (prolanis) / SOENARDI</td>
<td>0800J89005</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 158</td>
<td>18/KURUS</td>
<td>120 / 70</td>
<td>E11</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>3169</td>
<td>PUDJI LESTARI / SUSWANTO</td>
<td>0800J55704</td>
<td>DK. SAMBONGAN, KEL. SATRIYAN, KEC. TERSONO, KAB. BATANG, PROV.
JATENG</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 151</td>
<td>126 / 87</td>
<td>j00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3170</td>
<td>90H084702</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.9 / 80</td>
<td>15.5/KURUS</td>
<td>60 / 44</td>
<td>S16</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3171</td>
<td>00D052900</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 150</td>
<td>120 / 80</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3172</td>
<td>SURTINI / TADIUS NONO KARSONO</td>
<td>00D078501</td>
<td>JL. NANGKA SELATAN 30A</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>134 / 92</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3173</td>
<td>ALMEERA JASINDA PUTRI RAMADHANI / DINNO ROMADHON</td>
<td>089090407908</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.6 / 83</td>
<td>12.5/KURUS</td>
<td>89 / 57</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3174</td>
<td>ACHMAD FIKRI / ABDUL HAMID</td>
<td>90C40102</td>
<td>JL. LAMPER TENGAH NO 8</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>23 / 125</td>
<td>14.7/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3175</td>
<td>ABINAWA BALA PRADANA / SUYONO</td>
<td>080000442403</td>
<td>L</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>34 / 142</td>
<td>16.9/KURUS</td>
<td>100 / 78</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3176</td>
<td>ECHA CHAULUL ARSY / DIDIT HERDIANSYAH PANJAITAN</td>
<td>00A001105</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.5 / 88</td>
<td>14.9/KURUS</td>
<td>91 / 58</td>
<td>J18</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3177</td>
<td>PARTINI / NGASMIN</td>
<td>070000900801</td>
<td>JL. CEMPEDAK UTARA 58-A</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 155</td>
<td>142 / 85</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3178</td>
<td>DJUWALMI / MARSIMIN</td>
<td>0800000201</td>
<td>L</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 149</td>
<td>109 / 84</td>
<td>K30</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3179</td>
<td>ALIF SUGENG RIYADI / SUKIRMAN</td>
<td>00B84702</td>
<td>JL. CEMPEDAK UTARA NO 37.D</td>
<td>L</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>35 / 155</td>
<td>14.6/KURUS</td>
<td>110 / 70</td>
<td>F32</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3180</td>
<td>SUKIRMAN / SUKIRMAN</td>
<td>00B84700</td>
<td>JL.CEMPEDAK UTARA NO.37-D</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 150</td>
<td>122 / 77</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3181</td>
<td>00E084202</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4020 / 54</td>
<td>70 / 52</td>
<td>a09</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3182</td>
<td>MEIKA WIDYASTUTI / MUNIF</td>
<td>080000362701</td>
<td>JL. KH ABDUL ROSYID BUGEN</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 155</td>
<td>118 / 76</td>
<td>Z34</td>
<td>kia</td>
<td>tidak</td>
</tr> <tr>
<td>3183</td>
<td>ADREENA ZUNAYRA MALIKA / HERKIM</td>
<td>0000159004</td>
<td>JL.CEMPEDAK UTARA NO.25-C</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.6 / 88</td>
<td>15/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3184</td>
<td>ASHEEQA HUMAIRA ZAIN / SAYFULLAH ZAIN</td>
<td>080000387706</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.9 / 78</td>
<td>14.6/KURUS</td>
<td>89 / 57</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3185</td>
<td>HAFIZHAN FAKHRI ANANTA / RUSMANTO</td>
<td>90G032102</td>
<td>JL. CEMPEDAK UTARA 19-A, LAMPER LOR, SEMARANG SELATAN</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5100 / 58</td>
<td>72 / 50</td>
<td>j18</td>
<td>mtbs</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3186</td>
<td>GHASSANI TAQIYAH PUTRI / SUGENG</td>
<td>00A14502</td>
<td>JL.DURIAN IV</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>30 / 120</td>
<td>100 / 70</td>
<td>a01</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3187</td>
<td>AZZAM KHALIF PUTRA ALFIAN / WAHYU ALFIAN</td>
<td>0000A33202</td>
<td>JL JERUK VIII</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.8 / 108</td>
<td>11.8/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3188</td>
<td>TUGIRAH / TUGIRAH</td>
<td>0000193600</td>
<td>JL. LAMPER TENGAH I NO. 546</td>
<td>P</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 146</td>
<td>151 / 86</td>
<td>I24</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3189</td>
<td>RENDI WIBOWO / RENDI WIBOWO</td>
<td>90C52800</td>
<td>JL. SENDANG ARJUNA NO. 1</td>
<td>L</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>74.9 / 165</td>
<td>120 / 87</td>
<td>z00</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3190</td>
<td>TRI WAHYUNINGSIH / WIYANTO</td>
<td>90C52801</td>
<td>CINDE SELATAN NO. 11 A</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>71.7 / 163</td>
<td>120 / 87</td>
<td>z27</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>3191</td>
<td>ISAAC SANADA ZULFAHMI / RIFQI ZULFAHMI</td>
<td>00A86504</td>
<td>JL. WONODRI SENDANG GANG III NO.1</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.8 / 80</td>
<td>18.4/KURUS</td>
<td>89 / 56</td>
<td>B01</td>
<td>mtbs</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>3192</td>
<td>IKA RANINGTYAS / DEDY WICAKSONO</td>
<td>080000549501</td>
<td>BLIMBING IV/22, PETERONGAN</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 161</td>
<td>132 / 69</td>
<td>k01.1</td>
<td>gigi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3193</td>
<td>00B29401</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 167</td>
<td>141 / 89</td>
<td>A15</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3194</td>
<td>TARMINAH (PROLANIS) / PASAOFA</td>
<td>080J068301</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 158</td>
<td>130 / 79</td>
<td>E11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3195</td>
<td>LARAS INDAH KURNIATI / SUTARMAJI</td>
<td>0800069503</td>
<td>JERUK VIII/26 LAMPER LOR</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 155</td>
<td>129 / 87</td>
<td>k04.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3196</td>
<td>SRI REJEKI / SLAMET RIYADI</td>
<td>0000024501</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>66.4 / 150</td>
<td>134 / 76</td>
<td>z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3197</td>
<td>080000450103</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.7 / 79</td>
<td>17.1/KURUS</td>
<td>90 / 60</td>
<td>A16</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3198</td>
<td>MARGARETHA IRMA SECANINGTYAS / SANTOSO R</td>
<td>00C35401</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>70.9 / 159</td>
<td>119 / 74</td>
<td>Z30</td>
<td>kia</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3199</td>
<td>90I019300</td>
<td>L</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>161 / 99</td>
<td>R07.4</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3200</td>
<td>EDY SUNARTO / EDY SUNARTO</td>
<td>90D077800</td>
<td>sendangguwo</td>
<td>L</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 150</td>
<td>123 / 77</td>
<td>E78</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3201</td>
<td>DESI AGUSTIANTI SULISTYO PUTRI / KURNIAWAN SIGIT WIBOWO</td>
<td>0800030304</td>
<td>JL. LAMPER MIJEN 339-H</td>
<td>P</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 155</td>
<td>134 / 82</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3202</td>
<td>HARSONO / STEVANUS ACHMADUN</td>
<td>00C00702</td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 153</td>
<td>110 / 68</td>
<td>R31</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3203</td>
<td>9090075501</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 160</td>
<td>134 / 83</td>
<td>k04.1</td>
<td>gigi</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3204</td>
<td>SOETARTI prolanis / SOETARTI</td>
<td>0800000001601</td>
<td>P</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 156</td>
<td>119 / 79</td>
<td>r05</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>3205</td>
<td>ALKAHFI KANEZKA ZUHDI EFHANDA / ZUHDI AL FAKIH</td>
<td>90F098103</td>
<td>JL. MEDOHO SERUNI</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.855 / 61</td>
<td>18.4/KURUS</td>
<td>90 / 60</td>
<td>z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Sambirejo</td>
</tr> <tr>
<td>3206</td>
<td>ALESHA RISQA KAMILLA / DENNY TEGUH EDDY NUGROHO</td>
<td>00D047703</td>
<td>JALAN LAMPER KRAJAN NO.1616C</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.5 / 61</td>
<td>17.5/KURUS</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3207</td>
<td>SRI REJEKI / IMAM S</td>
<td>00BPJS000301</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 156</td>
<td>114 / 77</td>
<td>k08.3</td>
<td>gigi</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>3208</td>
<td>DEWI SRI / KRISTANTO</td>
<td>080000519101</td>
<td>CEMPEDAK SELATAN NO.1 LAMPER KIDUL</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 152</td>
<td>112 / 78</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3209</td>
<td>RENDIKA PUTRA PAMBUDI / TEGUH M</td>
<td>0000521603</td>
<td>L</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>30 / 151</td>
<td>13.2/KURUS</td>
<td>90 / 60</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3210</td>
<td>MAHGHANI FAUZARINO / RAHINO PANDEGA WASESA</td>
<td>90B76103</td>
<td>JL. KEDUNG MUNDU NO. 38 B</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>19.1 / 100</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3211</td>
<td>NAFISHA SYAFA NARUFIAN / ANDRI PRATAMA</td>
<td>90F065203</td>
<td>JL. KESESI, KESESI, KESESI, KAB. PEKALONGAN </td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>16 / 121</td>
<td>10.9/KURUS</td>
<td>80 / 60</td>
<td>k04.7</td>
<td>gigi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3212</td>
<td>080000533703</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 148</td>
<td>139 / 84</td>
<td>L98</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3213</td>
<td>SUYANTO KARTANEGARA / SUYANTO KARTANEGARA</td>
<td>90B62400</td>
<td>JL. SLIPI, PAL MERAH, JKT BARAT/ LAMPER KRAJAN 4/2</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 165</td>
<td>145 / 90</td>
<td>j02</td>
<td>lansia</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3214</td>
<td>SRI ARDINA / SULISTYO</td>
<td>0600J030301</td>
<td>BLIMBING VII NO.23</td>
<td>P</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 156</td>
<td>141 / 87</td>
<td>H43.8</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>3215</td>
<td>M. AGUS SANTOSA / PONIMIN HADI SUWARNO</td>
<td>90F003403</td>
<td>WONODRI JOHO</td>
<td>L</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 162</td>
<td>21/NORMAL</td>
<td>106 / 68</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>3216</td>
<td>SEFARA NASA LATIFA / XENDRA</td>
<td>080J017090</td>
<td>JL.CEMPEDAK UTARA I</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.1 / 69</td>
<td>14.9/KURUS</td>
<td>70 / 51</td>
<td>J06</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3217</td>
<td>AZIEL SATRIA DANUARTA / MARDITYA DANUHUSADA</td>
<td>00529705</td>
<td>MANGGIS III/4-A</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.9 / 76</td>
<td>89 / 56</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3218</td>
<td>MUTIA NURUL HUSNA / MUHLISIN</td>
<td>00A15603</td>
<td>P</td>
<td>9 Tahun</td>
<td></td>
<td></td>
<td>27 / 126</td>
<td>17/KURUS</td>
<td>93 / 65</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3219</td>
<td>MUSTIMAH / WARSITO</td>
<td>00105501</td>
<td>JL. PETERONGAN TIMUR 347 A</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 158</td>
<td>120 / 80</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3220</td>
<td>NOVITA CAHYA DWI NANDA / DUANG SUBEKTI</td>
<td>90H010301</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>77.8 / 157</td>
<td>105 / 66</td>
<td>Z30</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3221</td>
<td>FATIMAH ZAHRAH / SUPONO</td>
<td>0000315903</td>
<td>JALAN TAMAN DUKU NO 07</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.3 / 83</td>
<td>15/KURUS</td>
<td>70 / 51</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3222</td>
<td>ALZAM NAZRIEL WIBOWO / KURNIAWAN SIGIT WIBOWO</td>
<td>080003030403</td>
<td>JL. LAMPER MIJEN 339-H</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.7 / 75</td>
<td>17.2/KURUS</td>
<td>70 / 51</td>
<td>z00</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3223</td>
<td>ABDUL LATIF STIYADI / FUAD STIYADI</td>
<td>0000036702</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 112</td>
<td>14.3/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3224</td>
<td>KURNIAWITI / ARIS SETYO WIYOTO</td>
<td>00A10608</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>63.7 / 158</td>
<td>123 / 87</td>
<td>Z00</td>
<td>kia</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3225</td>
<td>FATIH TIRTA PAMBUDI / TEGUH MESAKAT</td>
<td>0000521604</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>14 / 102</td>
<td>13.5/KURUS</td>
<td>90 / 60</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3226</td>
<td>TJAHJONO / CAHYONO / TJAHJONO</td>
<td>080000448400</td>
<td>L</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>120 / 70</td>
<td>I25</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3227</td>
<td>DARMA SATRIA PAMBUDI / TUKIJAN</td>
<td>0800008604</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>26 / 129</td>
<td>15.6/KURUS</td>
<td>82 / 50</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3228</td>
<td>MUHAMMAD SULTAN AL FATIH / ARIF AROZI</td>
<td>90I020402</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.5 / 100.5</td>
<td>13.4/KURUS</td>
<td>89 / 58</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3229</td>
<td>NADIRA AFRINA ANGGRAINI / HERKIM</td>
<td>0000159003</td>
<td>JL. CEMPEDAK UTARA 25 C</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>23 / 104</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3230</td>
<td>VEMILARISA KUSUMADEWI / FEBRIYANTO DWI LAKSONO</td>
<td>90H051001</td>
<td>JL. KEDEWAN, KEL. KEDEWAN, KEC. KEDEWAN. KAB. BOJONEGORO</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>42.7 / 155</td>
<td>17.8/KURUS</td>
<td>73 / 53</td>
<td>Z34</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3231</td>
<td>90H067102</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4800 / 57</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3232</td>
<td>ESTER PURWONINGSIH / KASWADI</td>
<td>0800108791</td>
<td>JL. JERUK VIII NO.10 </td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 155</td>
<td>126 / 75</td>
<td>K30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3233</td>
<td>RINA SARI / ERWIN OKTAVIANTO</td>
<td>000183403</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>76.2 / 152</td>
<td>123 / 80</td>
<td>Z35</td>
<td>kia</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>3234</td>
<td>NING RAHAYUNINGSIH / INDRIYANTO</td>
<td>90B67502</td>
<td>JL. SOMPOK GG KESAMBI </td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>45.7 / 155</td>
<td>19/NORMAL</td>
<td>121 / 82</td>
<td>Z35</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3235</td>
<td>00B48400</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>157 / 82</td>
<td>k30</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3236</td>
<td>00018200</td>
<td>L</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 158</td>
<td>140 / 65</td>
<td>I10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3237</td>
<td>STEVI ALFARA SHANDIKA PUTRI / SATRIA HUDA</td>
<td>00A3002</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 164</td>
<td>107 / 70</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3238</td>
<td>RAFIF ALVARO NUGROHO / TUMINO</td>
<td>0000547604</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 124</td>
<td>15.6/KURUS</td>
<td>100 / 70</td>
<td>J02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3239</td>
<td>FARIZKY GHASAN SAFAR / UNGGUL BUDI SRI NUGROHO</td>
<td>00D064302</td>
<td>PETERONGAN </td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 137</td>
<td>13.3/KURUS</td>
<td>96 / 58</td>
<td>j02</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3240</td>
<td>SATIMIN / SATIMIN</td>
<td>90I020300</td>
<td>L</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>109 / 69</td>
<td>j00</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3241</td>
<td>DENY ERIYANA / WAHYU ALFIAN</td>
<td>00A33201</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 155</td>
<td>120 / 80</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3242</td>
<td>RINA NOVITRI / NANDA AIF</td>
<td>00E064901</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>47.3 / 145</td>
<td>103 / 64</td>
<td>z35</td>
<td>kia</td>
<td>gratis</td>
</tr> <tr>
<td>3243</td>
<td>BEJO / BEJO</td>
<td>0800J079800</td>
<td>JL. PETERONGAN KOBONG NO 38</td>
<td>L</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 159</td>
<td>150 / 83</td>
<td>R07.4</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>3244</td>
<td>MARJATI / CAHYONO / TJAHJONO</td>
<td>080000448401</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 150</td>
<td>18.2/KURUS</td>
<td>130 / 62</td>
<td>k12</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3245</td>
<td>WASIDAH / SUPARYONO</td>
<td>00078102</td>
<td>JL. LAMPER TENGAH I/ 530</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 156</td>
<td>125 / 85</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3246</td>
<td>AGNI HAWA KINANTHI / RUDI HARYANTO</td>
<td>0000536808</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.3 / 92</td>
<td>15.7/KURUS</td>
<td>72 / 51</td>
<td>R50</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3247</td>
<td>SOELISTYADHI HARTOYO BBA / SOELISTYADHI HARTOYO BBA</td>
<td>080000177501</td>
<td>L</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 170</td>
<td>13.5/KURUS</td>
<td>108 / 66</td>
<td>k30</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>3248</td>
<td>00E064901</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>47.3 / 145</td>
<td>103 / 64</td>
<td>z35</td>
<td>gigi</td>
<td>gratis</td>
</tr> <tr>
<td>3249</td>
<td>000183403</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 152</td>
<td>123 / 80</td>
<td>z35</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3250</td>
<td>000183403</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>76.2 / 152</td>
<td>123 / 80</td>
<td>Z35</td>
<td>gigi</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>3251</td>
<td>SUPARNI / CHANIP</td>
<td>00C06401</td>
<td>P</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 149</td>
<td>139 / 71</td>
<td>l50</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3252</td>
<td>NURIMA PUJI RAHAYU / KALAM</td>
<td>080000516702</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 163</td>
<td>123 / 99</td>
<td>B35.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3253</td>
<td>RIKO MAULANA PUTRA ISKAHAR / UDIN ISKAHAR</td>
<td>00192403</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 102</td>
<td>17.3/KURUS</td>
<td>90 / 60</td>
<td>L98</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3254</td>
<td>HAMZA MADA RAKSAKA / WAHYU EKO UTOMO</td>
<td>00E011402</td>
<td>JL.PANDEAN LAMPER 4</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>9 / 66.7</td>
<td>70 / 52</td>
<td>A06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3255</td>
<td>KARINA QUEENSHA ULFAIRA / KALAM</td>
<td>0000516702</td>
<td>JL. KEDONGDONGT DALAM</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 95</td>
<td>100 / 90</td>
<td>l50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3256</td>
<td>SARTI / SUYATNO</td>
<td>90A55301</td>
<td>JL.PANCURSARI</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 154</td>
<td>165 / 90</td>
<td>I10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jangli</td>
</tr> <tr>
<td>3257</td>
<td>NABHILA MAHARANI / MOCHAMAD MUSTAQIM</td>
<td>00A18803</td>
<td>JL.PISANG</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>12 / 84</td>
<td>17/KURUS</td>
<td>89 / 74</td>
<td>k08.3</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3258</td>
<td>GIGIH KURNIANTO / BEJO SUKAMTO</td>
<td>080000328703</td>
<td>JL. MANGGISVII/30</td>
<td>L</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 171</td>
<td>120 / 70</td>
<td>I50.0</td>
<td>umum</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3259</td>
<td>00E064901</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 145</td>
<td>103 / 64</td>
<td>Z35</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3260</td>
<td>SUWARTI / YULIDAR</td>
<td>089090608591</td>
<td>JL. GAYAMSARI IV D</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 155</td>
<td>110 / 80</td>
<td>l30</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3261</td>
<td>LEA NURHAYATI PUJIAH / GEDE YOHANES</td>
<td>90I020101</td>
<td>JL. PERUM RANCAMANYAR BLOK B-3/05, WANCIMEKAR, KOTA BARU, KAB.
KARAWANG</td>
<td>P</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 168</td>
<td>23/NORMAL</td>
<td>110 / 80</td>
<td>N94.6</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3262</td>
<td>AUREL PUTRI ISKAHAR / UDIN ISKANDAR</td>
<td>0000192402</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>85 / 154</td>
<td>126 / 80</td>
<td>N94.6</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3263</td>
<td>SAPTONING MUDJIASTUTI / SUPRIYANTO</td>
<td>00C063701</td>
<td>JL. BLIMBING V NO 1</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>143 / 88</td>
<td>k30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3264</td>
<td>KESYA AULIA RACHMAWATI / ZAENUR RACHMAN</td>
<td>90B21902</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 151</td>
<td>113 / 81</td>
<td>k04.0</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>3265</td>
<td>DWIYASMARA SURYA PUTRA / RR SURJANTI</td>
<td>00C056302</td>
<td>JL. JOMBLANG TIMUR 828E</td>
<td>L</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 173</td>
<td>16.7/KURUS</td>
<td>107 / 77</td>
<td>a15</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3266</td>
<td>DASMINING / SURYANI</td>
<td>080000526201</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 158</td>
<td>140 / 80</td>
<td>g44</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3267</td>
<td>YOHANES SASMITO / YOHANES SASMITO</td>
<td>00E88900</td>
<td>L</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>160 / 80</td>
<td>r03.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3268</td>
<td>PUSPAWARNI / AGUNG PRASETYA</td>
<td>00C35701</td>
<td>JL. LAMPER KRAJAN 36-A</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 153</td>
<td>154 / 106</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3269</td>
<td>SUKARTI / ADY SUSILO</td>
<td>9090165401</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>123 / 76</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3270</td>
<td>SITI MARYATI,SE / TOTOK SUPRIYANTO</td>
<td>00B77901</td>
<td>JL. MANGGIS VIII NO.26</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>64.5 / 159</td>
<td>164 / 99</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3271</td>
<td>HANI / HANI</td>
<td>90F092200</td>
<td>L</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 167</td>
<td>130 / 80</td>
<td>l50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3272</td>
<td>KASMINI / PARNO</td>
<td>000J99503</td>
<td>P</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 152</td>
<td>120 / 80</td>
<td>T79</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>3273</td>
<td>FATIMAH AYU NAILA / EDI SAPUTRO</td>
<td>90H074902</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.2 / 61</td>
<td>16.7/KURUS</td>
<td>89 / 57</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3274</td>
<td>SUPARNI / SUPARNI</td>
<td>00B36200</td>
<td>JL. CERME IV/71</td>
<td>P</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 150</td>
<td>140 / 80</td>
<td>r03.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3275</td>
<td>ANI YULIATI / HENDRI ARISAFRIADI</td>
<td>0000188603</td>
<td>JL. LAMPER MIJEN UTARA </td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 158</td>
<td>86 / 56</td>
<td>A46</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3276</td>
<td>RUKMI / ROSYID</td>
<td>080000378890</td>
<td>P</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 157</td>
<td>120 / 80</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3277</td>
<td>HADZIQ ABDULLAH / KISWORO</td>
<td>080000430103</td>
<td>L</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 160</td>
<td>100 / 60</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3278</td>
<td>RUSDIANA / MARYANTO</td>
<td>0000318201</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 160</td>
<td>124 / 86</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3279</td>
<td>90B42803</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 125</td>
<td>110 / 60</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3280</td>
<td>ARGANTA WINDY DANANJAYA / SLAMET WIDODO</td>
<td>0000180903</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>18.2 / 101.5</td>
<td>17.7/KURUS</td>
<td>72 / 51</td>
<td>R50</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>3281</td>
<td>SUNDARI / SUNDARI</td>
<td>90I020201</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>125 / 92</td>
<td>k12</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3282</td>
<td>00E054100</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 160</td>
<td>156 / 84</td>
<td>R73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3283</td>
<td>0800009800</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 162</td>
<td>139 / 87</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3284</td>
<td>CARSITI / AHMAD ZAIN</td>
<td>9090809503</td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 155</td>
<td>30/NORMAL</td>
<td>120 / 80</td>
<td>n39.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3285</td>
<td>ATTALA ARGA PRATAMA / KUSMANTO</td>
<td>000231902</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>15 / 108</td>
<td>12.9/KURUS</td>
<td>100 / 60</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3286</td>
<td>DEANDRA PUTRI AZZAHRA / SARIKIN</td>
<td>0000j29604</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.4 / 99</td>
<td>14.7/KURUS</td>
<td>70 / 51</td>
<td>A01</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3287</td>
<td>SAHYUDI / SAHYUDI</td>
<td>00005445914</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 160</td>
<td>17.6/KURUS</td>
<td>140 / 80</td>
<td>I49</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3288</td>
<td>NISROFAH / HERMAN</td>
<td>08909003505</td>
<td>JL. GAYAMSARI II NO.33</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 154</td>
<td>102 / 73</td>
<td>M79</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>3289</td>
<td>SRI HANDAYANI / PUJI SUWARTO</td>
<td>08000014605</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 160</td>
<td>120 / 70</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3290</td>
<td>00043300</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 153</td>
<td>17.9/KURUS</td>
<td>140 / 72</td>
<td>m79</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3291</td>
<td>ESTIYAWATI / FUAD WINDIARTO</td>
<td>90I020701</td>
<td>DSN. LAMUK, KEL. KALIDESEL, KEC. WATUMALANG, KAB. WONOSOBO</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>50.8 / 156</td>
<td>114 / 69</td>
<td>N91</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3292</td>
<td>080J062501</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 149</td>
<td>120 / 80</td>
<td>r05</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3293</td>
<td>ALVINDRA FAIZ ZAIN / SAMSUDIN</td>
<td>089090348104</td>
<td>JL.GAYAMSARI SELATAN 7-A</td>
<td>L</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 170</td>
<td>114 / 69</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3294</td>
<td>EKO YULIANTO / EKO YULIANTO</td>
<td>00E063700</td>
<td>JL.PISANG GANG V NO.18</td>
<td>L</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 165</td>
<td>103 / 70</td>
<td>B35.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3295</td>
<td>YORI ALDI / SUPATINI</td>
<td>080000109590</td>
<td>L</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 169</td>
<td>120 / 79</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3296</td>
<td>ANI RIWAYATI / RUDI HARYANTO</td>
<td>0000536806</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 148</td>
<td>120 / 80</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3297</td>
<td>90B2001</td>
<td>P</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 157</td>
<td>90 / 60</td>
<td>Z34</td>
<td>kia</td>
<td>Wonodri</td>
</tr> <tr>
<td>3298</td>
<td>FAZA AKBAR RUFIYANTO / RUDI HARIYANTO</td>
<td>080000536803</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 145</td>
<td>110 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3299</td>
<td>AULIA NUR HIDAYATI / EKO SUPRIYATNO</td>
<td>90E072902</td>
<td>JL. KEDONDONG DALAM 360-B</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 158</td>
<td>120 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3300</td>
<td>MATTHEW GIBRAN REVALINDO / RULISSTIO DHANI HIDAYAT</td>
<td>00C064002</td>
<td>JL.BLIMBING III / 3</td>
<td>L</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 159</td>
<td>120 / 70</td>
<td>g44</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3301</td>
<td>DWI RETNO PAWINDRA / VERYANTO</td>
<td>90E045001</td>
<td>DUSUN CANGKRING KRAJAN KAB.KROBOGAN</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 165</td>
<td>126 / 71</td>
<td>h10</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3302</td>
<td>080000035201</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 156</td>
<td>141 / 90</td>
<td>r05</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3303</td>
<td>RADITYA RIZKY / HUDA M</td>
<td>90A31102</td>
<td>GLONGGONG PATI</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 120</td>
<td>14.6/KURUS</td>
<td>98 / 78</td>
<td>k00</td>
<td>gigi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3304</td>
<td>ALDIAN SATRIA PUTRA / TOTOK PRIYONO </td>
<td>00C088002</td>
<td>BLIMBING III NO.1</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>36 / 139</td>
<td>109 / 93</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3305</td>
<td>HANA RIZQIANA SHAFANA / NOVAN SANTOSO</td>
<td>0000131005</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>14 / 101</td>
<td>13.7/KURUS</td>
<td>110 / 70</td>
<td>j06</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3306</td>
<td>ALDAN FAEYZA ARZIKI / NOVAN SUSANTO</td>
<td>0000131002</td>
<td>JL.LAMPER KRAJAN</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 119</td>
<td>14.8/KURUS</td>
<td>110 / 70</td>
<td>j06</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3307</td>
<td>BUNGA RAHMA ASSYFA / SUPRIYANTO</td>
<td>00J136003</td>
<td>JL. DURIAN BARAT</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>33 / 135</td>
<td>18.1/KURUS</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3308</td>
<td>SARIANI / NOVAN SANTOSO</td>
<td>0000131003</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 156</td>
<td>23/NORMAL</td>
<td>120 / 70</td>
<td>A46</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3309</td>
<td>90B2001</td>
<td>P</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 157</td>
<td>90 / 60</td>
<td>Z34</td>
<td>gigi</td>
<td>Wonodri</td>
</tr> <tr>
<td>3310</td>
<td>SRI SUHARTI / BERO RAHARJO</td>
<td>080000129001</td>
<td>JL.CERME 4</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 152</td>
<td>150 / 90</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3311</td>
<td>SURYANTI / SURYANTI</td>
<td>00E012701</td>
<td>JL DURIAN BARAT LAMPER KIDUL</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 155</td>
<td>172 / 107</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3312</td>
<td>0000043306</td>
<td>L</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 158</td>
<td>104 / 66</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3313</td>
<td>ARIES SANDRA EKA SAPUTRI / ILHAM TRI BONGGO SAPUTRO</td>
<td>080000129002</td>
<td>JL. CERME IV/73</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 148</td>
<td>115 / 78</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3314</td>
<td>JOSHUA HASIAN TAMBUNAN / MANGARA ASIDO TAMBUNAN</td>
<td>00E089102</td>
<td>JL. NANGKA RAYA NO.28</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 134</td>
<td>13.9/KURUS</td>
<td>102 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3315</td>
<td>AANG MARDITYA / AGUS BUDIONO</td>
<td>90I020504</td>
<td>JL KALIDORO</td>
<td>L</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 165</td>
<td>22/NORMAL</td>
<td>110 / 70</td>
<td>K92.0</td>
<td>umum</td>
<td>ya</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3316</td>
<td>SABRYNA KHAIRUNNISA / SA RONI</td>
<td>90A79300</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 137</td>
<td>13.3/KURUS</td>
<td>90 / 60</td>
<td>z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3317</td>
<td>HUSNI ARDIAN MAULANA / MULYADI / YANUAR ALAN MAULANA</td>
<td>080000607090</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.5 / 86</td>
<td>15.5/KURUS</td>
<td>88 / 42</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3318</td>
<td>90B2001</td>
<td>P</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 157</td>
<td>90 / 60</td>
<td>z34</td>
<td>umum</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>3319</td>
<td>SUTARYO / SUTARYO</td>
<td>90H011100</td>
<td>JL.PANDANSARI VI</td>
<td>L</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 156</td>
<td>150 / 80</td>
<td>h25</td>
<td>lansia</td>
<td>ya</td>
<td>Sawah Besar</td>
</tr> <tr>
<td>3320</td>
<td>IBNU CHARIS BACTIAR / IBNU ATTAUFIQ</td>
<td>080000601003</td>
<td>L</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 163</td>
<td>115 / 81</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3321</td>
<td>AGUS TRIYANTO / AGUS TRIYANTO</td>
<td>0800J97706</td>
<td>JL. LAMPER KRAJAN </td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 170</td>
<td>121 / 89</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3322</td>
<td>SHEZA ALESHA ARYANTO / BUDI ARYANTO</td>
<td>000153604</td>
<td>LAMPER MIJEN 327</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 112</td>
<td>15.9/KURUS</td>
<td>110 / 80</td>
<td>a09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3323</td>
<td>BAGAS PRADIPTA WAHYU / NUR WAHYU ISWANTO</td>
<td>00E089202</td>
<td>JL. KEDONDONG DALAM NO. 21</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>26 / 136</td>
<td>14.1/KURUS</td>
<td>95 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3324</td>
<td>AVIORI VIVIAN DANENDRA / KIS WINARTO</td>
<td>00A91102</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 146</td>
<td>115 / 63</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3325</td>
<td>NAYLA DINDA PRASETYANI / WINARNO PURNO NUGROHO </td>
<td>90A76604</td>
<td>DURIAN III/19</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 130</td>
<td>14.2/KURUS</td>
<td>117 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3326</td>
<td>00A27202</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>14 / 105</td>
<td>12.7/KURUS</td>
<td>110 / 70</td>
<td>a15</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3327</td>
<td>KYRA ANINDYA BELLUCI / YOHANES DWI YUNIARTO</td>
<td>00E089302</td>
<td>JL. LAMPER TENGAH RAYA NO.600</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>35 / 150</td>
<td>15.6/KURUS</td>
<td>106 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3328</td>
<td>SHAFIRA AQILA PURICAHAYA / PURWADI</td>
<td>00E043803</td>
<td>JL. JERUK VI NO. 11-B</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 148</td>
<td>120 / 65</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3329</td>
<td>PURI AZKADINA INDIARSIH / MUHAMMAD RIZAL</td>
<td>90I020902</td>
<td>JL. SENDANGGUWO NO.77</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 147</td>
<td>112 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3330</td>
<td>WISHNUTAMA PUTRA DHARMAWAN / ROCHYANTO</td>
<td>90I021002</td>
<td>JL. TEGALSARI I NO.48</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>27 / 127</td>
<td>16.7/KURUS</td>
<td>114 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tegalsari</td>
</tr> <tr>
<td>3331</td>
<td>THALITA MOZHA LUCIA / SUPRIYANTO</td>
<td>00E089402</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>28 / 141</td>
<td>14.1/KURUS</td>
<td>95 / 63</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3332</td>
<td>LAVANYA PRISHA SAVRINADEYA / ABANG BAGINDA</td>
<td>90I021102</td>
<td>JL. GRAHA WAHID</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>32 / 144</td>
<td>15.4/KURUS</td>
<td>95 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3333</td>
<td>SITI MAHMUDAH / ROHMAD MAMUNTU</td>
<td>089090605901</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 155</td>
<td>100 / 68</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3334</td>
<td>HAIDAR ARKAN / KRISTIYONO PURNAWAN</td>
<td>000016040103</td>
<td>JL NANAS NO. 23</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>30 / 133</td>
<td>17/KURUS</td>
<td>115 / 84</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3335</td>
<td>RHEZA FATTAH MUCHAMAD AMIN / WIJI ASIH MOCHAMAD AMIN</td>
<td>90I021202</td>
<td>JL. PURI V NO.17</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>29 / 133</td>
<td>16.4/KURUS</td>
<td>96 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tawang Sari</td>
</tr> <tr>
<td>3336</td>
<td>KHURRIYA MAULIDA / ACHMAD FAHRUDI</td>
<td>90E034602</td>
<td>GENUKSARI</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 153</td>
<td>106 / 75</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Genuksari</td>
</tr> <tr>
<td>3337</td>
<td>NANIK KOERNIASIH / NANIK KOERNIASIH</td>
<td>0000201403</td>
<td>JL. LAMPER MIJEN NO. 360 A</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 165</td>
<td>120 / 80</td>
<td>b00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3338</td>
<td>DWI MURNIYATI / WARDI SANTOSO</td>
<td>90I020601</td>
<td>JL. ANGGREK V/16</td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 161</td>
<td>120 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Pekunden</td>
</tr> <tr>
<td>3339</td>
<td>SARAH HAKIM / HARDYAN WAHYU</td>
<td>00A82202</td>
<td>BLIMBING RAYA</td>
<td>P</td>
<td>9 Tahun</td>
<td></td>
<td></td>
<td>25 / 135</td>
<td>13.7/KURUS</td>
<td>98 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3340</td>
<td>CUCUK KAMDANI / CUCUK KAMDANI</td>
<td>08909003590</td>
<td>JL SAWI RAYA</td>
<td>L</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 170</td>
<td>120 / 80</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3341</td>
<td>DZAKY AN BASITH / TRI MURDIANTO</td>
<td>9090003503</td>
<td>JL. GAYAMSARI II</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 107</td>
<td>14.8/KURUS</td>
<td>110 / 70</td>
<td>r05</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>3342</td>
<td>RAHMA WAHYUNINGSIH / MOCH BUSRONI</td>
<td>00136203</td>
<td>JL. CINDE DALAM NO.2</td>
<td>P</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 143</td>
<td>22/NORMAL</td>
<td>112 / 72</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>3343</td>
<td>DAFA ALMER JAMAL / EKO SUYANTO</td>
<td>90B19001</td>
<td>JL. TANDANG RAYA</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 141</td>
<td>100 / 65</td>
<td>k12</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>3344</td>
<td>HERNANDES BAGUS SETIAWAN / HARTONO</td>
<td>00E089002</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>33 / 146</td>
<td>15.5/KURUS</td>
<td>102 / 62</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3345</td>
<td>0000437803</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>27 / 125</td>
<td>17.3/KURUS</td>
<td>110 / 70</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3346</td>
<td>SARTINI / SARMAN</td>
<td>080000437801</td>
<td>JL. KEDONDONG DALAM </td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 152</td>
<td>131 / 91</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3347</td>
<td>fitri darmayanti / JOKO</td>
<td>90I020801</td>
<td>JL. TLOGOMUKTI RAYA BLOK E 17</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 157</td>
<td>124 / 76</td>
<td>n89.8</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3348</td>
<td>ADAM MALIK WICAKSONO / HIMAWAN BUDI WICAKSONO</td>
<td>00E016202</td>
<td>JL. DURIAN NIII/29</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>27 / 144</td>
<td>13/KURUS</td>
<td>90 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3349</td>
<td>RATIH FIVIANY / RATIH FIVIANY</td>
<td>00C03900</td>
<td>JL.PETERONGAN TENGAH 377</td>
<td>P</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 159</td>
<td>21/NORMAL</td>
<td>120 / 70</td>
<td>H65</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3350</td>
<td>YUSUF BACHTIAR / RAHAYU PRIHATININGSIH</td>
<td>90G020800</td>
<td>JL.WONODRI KEBONDALEM 710-A</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 166</td>
<td>133 / 74</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>3351</td>
<td>SETYO PRAYETNO / SETYO PRAYETNO</td>
<td>0800052000</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 167</td>
<td>116 / 80</td>
<td>R73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3352</td>
<td>AGUS PURWANTO / AGUS PURWANTO</td>
<td>080000522200</td>
<td>JL.MANGGIS VIII/41</td>
<td>L</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>87 / 178</td>
<td>120 / 80</td>
<td>i64</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3353</td>
<td>DIDIK RACHMAD SETYAWAN / DIDIK RACHMAD SETYAWAN</td>
<td>00E048300</td>
<td>L</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 170</td>
<td>16.3/KURUS</td>
<td>110 / 80</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3354</td>
<td>FAUZI HERNANDO YUSUF / ENDAH SULISTYO</td>
<td>0000236804</td>
<td>JL. JAMBU II NO 8</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 119</td>
<td>14.8/KURUS</td>
<td>100 / 70</td>
<td>n39.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3355</td>
<td>HAFIZ DWI TIRTA / DASUKI</td>
<td>00C08603</td>
<td>JL. PETERONGAN TENGAH II NO. 108</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>34 / 137</td>
<td>18.1/KURUS</td>
<td>110 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3356</td>
<td>EDY SUMARSONO / EDY SUMARSONO</td>
<td>00A19200</td>
<td>JL. MANGGIS IV /22</td>
<td>L</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 165</td>
<td>159 / 97</td>
<td>r03.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3357</td>
<td>00E073300</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 156</td>
<td>120 / 80</td>
<td>T79.9</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3358</td>
<td>DAFFA IBNU HAFIZ / FIRDAUS</td>
<td>0000175303</td>
<td>JL.LAMPER TENGAH X NO.39</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 130</td>
<td>14.8/KURUS</td>
<td>90 / 60</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3359</td>
<td>ILHAM FAJAR MUSTOFA / SARDI</td>
<td>0000131103</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 142</td>
<td>100 / 80</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3360</td>
<td>AGVIA LIA SARI / GOGOT</td>
<td>90J123100</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>120 / 80</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3361</td>
<td>DEVINA PUTRI / BUDIANTO</td>
<td>080000355704</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>41 / 150</td>
<td>18.2/KURUS</td>
<td>110 / 70</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3362</td>
<td>MUHAMMAD TAUFIK HIDAYAT / SYARIEF HIDAYAT</td>
<td>90G037202</td>
<td>JL.SALAK II NO.7-B</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 171</td>
<td>17.4/KURUS</td>
<td>107 / 76</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3363</td>
<td>FATIYA NUR HIDAYAT / SYARIEF HIDAYAT</td>
<td>90G037204</td>
<td>JL. SALAK II NO. 7-B</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>29 / 130</td>
<td>17.2/KURUS</td>
<td>110 / 70</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3364</td>
<td>MUHAMMAD IRFAN HIDAYATULLAH / MUHAMMAD IRFAN HIDAYATULLAH</td>
<td>00B55400</td>
<td>JL.TAMAN DUMU NO.8</td>
<td>L</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 165</td>
<td>110 / 70</td>
<td>z71</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3365</td>
<td>NISITA RAHMI KARENNINDA / JOKO SANTOSO</td>
<td>90I020503</td>
<td>JL. TAMAN LEMBAYUNG NO.41</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 159</td>
<td>21/NORMAL</td>
<td>116 / 82</td>
<td>m54.5</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3366</td>
<td>90C91890</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 155</td>
<td>17.5/KURUS</td>
<td>140 / 80</td>
<td>h81.3</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3367</td>
<td>MUHAMMAD EZARD FAWAZZAKI ARISTYAWAN / KUSNAWI</td>
<td>00A57102</td>
<td>JL. LAMPER TENGAH VII</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>36 / 122</td>
<td>100 / 60</td>
<td>W57.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3368</td>
<td>HANUM RATNA MUFIDAH / FADLI RAIS</td>
<td>90I021301</td>
<td>JL. BUKIT KEMUNING VIII/470</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 155</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3369</td>
<td>RUMISIH / SUBIYANTO</td>
<td>90I021401</td>
<td>JL. SENDANGGUWO </td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 160</td>
<td>120 / 80</td>
<td>e79.0</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3370</td>
<td>00A13402</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 161</td>
<td>18.1/KURUS</td>
<td>110 / 70</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3371</td>
<td>00004340011</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 155</td>
<td>120 / 80</td>
<td>h81.3</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3372</td>
<td>FITRI NUR KHOLIMATUS / SUKAR</td>
<td>90C95301</td>
<td>JL.DS PAKIS KEL.PAKIS KEC.TAMBAKROMO KAB.PATI</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 164</td>
<td>17.8/KURUS</td>
<td>100 / 60</td>
<td>r50</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3373</td>
<td>RAKHA DWI MAULANA / TRISMANTO AL LILIK</td>
<td>080000456490</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>24.6 / 127</td>
<td>15.3/KURUS</td>
<td>90 / 82</td>
<td>k04.7</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3374</td>
<td>SHELANI MAULINA / NUR SAELAN</td>
<td>90H092201</td>
<td>JL. DUSUN PAHING, KERTAWIRAMA, NUSAHERANG, KAB. KUNINGAN, JABAR</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 156</td>
<td>112 / 75</td>
<td>j02</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3375</td>
<td>DEPO FARDIYANSAH / TEGUH NUGROHO</td>
<td> 90B3204</td>
<td>JL. TANDANG </td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>33 / 131</td>
<td>110 / 70</td>
<td>z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>3376</td>
<td>WAHYU SUSANTI / BUDI SUWARNO</td>
<td>90B52604</td>
<td>JL. KIMAR V</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 150</td>
<td>110 / 70</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3377</td>
<td>PIPIT LESTARI / SUPONO</td>
<td>0000315901</td>
<td>TAMAN DUKU NO.7</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 153</td>
<td>110 / 80</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3378</td>
<td>00B0801</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>89 / 168</td>
<td>110 / 80</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3379</td>
<td>SITI LESTARI / MARTONO</td>
<td>080000439301</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 152</td>
<td>110 / 80</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3380</td>
<td>ARDANA PUTRA PRATAMA / KASWADI</td>
<td>0800108790</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 163</td>
<td>16.2/KURUS</td>
<td>102 / 66</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3381</td>
<td>RIZKY GINANJAR UTOMO / RIZKY GINANJAR UTOMO</td>
<td>90A50902</td>
<td>jalan candi prambanan timur</td>
<td>L</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>84 / 173</td>
<td>110 / 70</td>
<td>z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Manyaran</td>
</tr> <tr>
<td>3382</td>
<td>08000J46102</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 149</td>
<td>18/KURUS</td>
<td>120 / 80</td>
<td>g93.6</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>3383</td>
<td>90E008301</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 165</td>
<td>120 / 80</td>
<td>l50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3384</td>
<td>ARVIN ZAKI DANENDRA / AJI SUPRIYANTO</td>
<td>0000148803</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 93</td>
<td>80 / 50</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3385</td>
<td>MUHAMMAD NUURUDDIN / MUHAMMAD NUURUDDIN</td>
<td>90H074700</td>
<td>JL.WONODRI GRAJEN II</td>
<td>L</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 165</td>
<td>121 / 75</td>
<td>k04.0</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>3386</td>
<td>DIDIK SATIYO / DIDIK SATIYO</td>
<td>00A2600</td>
<td>JL. MANGGIS III/18 - A</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>110 / 70</td>
<td>K59.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3387</td>
<td>ARROYAN YUSUF ARIFIN / PONCO RAHMAD YUSUF</td>
<td>90F025302</td>
<td>JALAN SAWI</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.5 / 68</td>
<td>16.2/KURUS</td>
<td>88 / 43</td>
<td>H10</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3388</td>
<td>ROFI FEBRIANI / SUGIMAN</td>
<td>90H093901</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>59.7 / 155</td>
<td>121 / 84</td>
<td>Z27</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3389</td>
<td>RUSMINAH / USMANTO</td>
<td>0800070501</td>
<td>JL. LAMPER TENGAH IV 03/ 07 </td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 158</td>
<td>24/NORMAL</td>
<td>155 / 81</td>
<td>h25</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3390</td>
<td>KHAYRA AULIA RAMADHANI / SIGID AHMAD DIYONO</td>
<td>00B92204</td>
<td>JL.PETERONGAN KOBONG NO.40 </td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>11 / 78</td>
<td>18.1/KURUS</td>
<td>70 / 52</td>
<td>K12</td>
<td>mtbs</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3391</td>
<td>NURLISNA / ABDUL MUTHOLIB</td>
<td>0800073791</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 157</td>
<td>200 / 110</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3392</td>
<td>MUCHARI / MUCHARI</td>
<td>080000466100</td>
<td>L</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 160</td>
<td>115 / 77</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3393</td>
<td>WAHIDA / DWI ISNANTO</td>
<td>90C18201</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 158</td>
<td>24/NORMAL</td>
<td>176 / 122</td>
<td>r03</td>
<td>umum</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3394</td>
<td>080000198205</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.6 / 75</td>
<td>13.5/KURUS</td>
<td>89 / 40</td>
<td>j06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3395</td>
<td>SULISTIYOWATI / MUCHAMMAD ADIANSAH</td>
<td>080000388290</td>
<td>JL. DURIAN IV NO. 1110</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 160</td>
<td>115 / 78</td>
<td>R51</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3396</td>
<td>NADYA PUTRI WANDASARI / DARWANTO</td>
<td>080000453503</td>
<td>JL. JERUK VII/1632</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 155</td>
<td>18.3/KURUS</td>
<td>120 / 80</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3397</td>
<td>0890113401</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 149</td>
<td>130 / 80</td>
<td>R54</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3398</td>
<td>AKBAR PUTRA MAULANA / MULYADI</td>
<td>080000606003</td>
<td>L</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 162</td>
<td>16.4/KURUS</td>
<td>102 / 61</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3399</td>
<td>HAFIZ DWI TIRTA / DASUKI</td>
<td>00C08603</td>
<td>JL. PETERONGAN TENGAH II NO. 108</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>34 / 137</td>
<td>18.1/KURUS</td>
<td>90 / 60</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3400</td>
<td>SHOLAHUDDIN BUDI AL GHANI / WAHYU BUDI UTOMO</td>
<td>90D032603</td>
<td>JL. GAYAMSARI SELATAN III NO.09</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>28 / 135</td>
<td>15.4/KURUS</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>3401</td>
<td>RETNO SETIYANI / AYUNG</td>
<td>90I021601</td>
<td>PERUM SUKODONO PERMAI BLOK R.9KAB.LUMAJANG</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>38.4 / 153</td>
<td>16.4/KURUS</td>
<td>86 / 63</td>
<td>Z30</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3402</td>
<td>080J050501</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>120 / 80</td>
<td>i63</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3403</td>
<td>GELEGAR BANGKIT WICAKSANA / S.RIYANTO</td>
<td>080000452704</td>
<td>LAMPER TENGAH III/21</td>
<td>L</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 144</td>
<td>100 / 78</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3404</td>
<td>NOVITASARI SRI ANGGUN / GALIH TEGAR WINANDI</td>
<td>90I021701</td>
<td>KEBON POLO 476 KOTA MAGELANG</td>
<td>P</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>57.1 / 146</td>
<td>130 / 74</td>
<td>Z00</td>
<td>kia</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3405</td>
<td>SITI NOOR ARIYANI PROLANIS / NURSALIM</td>
<td>080000388201</td>
<td>JL. DURIAN BARAT NO 10</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 147</td>
<td>130 / 80</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3406</td>
<td>SUHARTATIK / SUHARTATIK</td>
<td>0000194501</td>
<td>JL. LAMPER TENGAH 8/39</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 155</td>
<td>137 / 86</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3407</td>
<td>DEVI AFRELLIA KRESTIANA / EKO ARI WAHYUDI</td>
<td>0800534702</td>
<td>JL. DURIAN 04-19</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>54.8 / 146</td>
<td>119 / 79</td>
<td>Z30</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3408</td>
<td>SARIFATUL MUARIFAH / SLAMET MULYO</td>
<td>00B33603</td>
<td>P</td>
<td>27 Tahun</td>
<td></td>
<td></td>
<td>30 / 150</td>
<td>13.3/KURUS</td>
<td>110 / 67</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3409</td>
<td>00D088800</td>
<td>JERUK VI/21</td>
<td>L</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 168</td>
<td>166 / 97</td>
<td>m10</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3410</td>
<td>SLAMET MULYO / SLAMET MULYO</td>
<td>00B33600</td>
<td>L</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 158</td>
<td>142 / 66</td>
<td>r05</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3411</td>
<td>ZAKIA SALWA AZAHRA / MUHAMMAD SHOLIKIN</td>
<td>00D011903</td>
<td>BANCAR ASRI TIMUR NO.07 </td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.5 / 82</td>
<td>17.1/KURUS</td>
<td>70 / 51</td>
<td>K12</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3412</td>
<td>KUSRINI / SUGIARTO</td>
<td>00D088801</td>
<td>JERUK VI/21</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 157</td>
<td>152 / 90</td>
<td>i10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3413</td>
<td>GIYEM / LARTO</td>
<td>0800057201</td>
<td>DUWET,LAMPER TENGAH</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 143</td>
<td>120 / 80</td>
<td>M06</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3414</td>
<td>080000102303</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.8 / 79</td>
<td>15.7/KURUS</td>
<td>70 / 52</td>
<td>J00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3415</td>
<td>90E064000</td>
<td>L</td>
<td>80 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 160</td>
<td>100 / 60</td>
<td>r05</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3416</td>
<td>AZZAHRA SABRINA / NURYANTO</td>
<td>00A06704</td>
<td>MANGGIS III/20A</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 120</td>
<td>13.9/KURUS</td>
<td>100 / 70</td>
<td>J02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3417</td>
<td>RULI FARDIAH / DARSONO</td>
<td>90I021801</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 157</td>
<td>17.4/KURUS</td>
<td>110 / 70</td>
<td>k30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3418</td>
<td>SRI SAYEKTI / MUJIONO</td>
<td>080000516101</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 160</td>
<td>120 / 70</td>
<td>r11</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3419</td>
<td>BY NY LINDA APRILIANA / ARY SETIADI</td>
<td>000421205</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>2820 / 47.5</td>
<td>70 / 51</td>
<td>H10</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3420</td>
<td>REVALINA PRADIA DINATA / DARSONO</td>
<td>90I021804</td>
<td>P</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 121</td>
<td>16.4/KURUS</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3421</td>
<td>080000108101</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 148</td>
<td>127 / 79</td>
<td>I10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3422</td>
<td>NOFILIA PUTRI MAHARANI / SUGIMIN</td>
<td>080000355104</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 150</td>
<td>97 / 72</td>
<td>a09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3423</td>
<td>NAOMI ADREENA MECCA HIRYAWAN / ENDRA HERYAWAN</td>
<td>90B45902</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.2 / 85.6</td>
<td>13.9/KURUS</td>
<td>70 / 51</td>
<td>R50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3424</td>
<td>PURWATI / WIDYO NUGROHO</td>
<td>90C15501</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>61.6 / 162</td>
<td>133 / 85</td>
<td>Z30</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>3425</td>
<td>DJUMADI / DJUMADI</td>
<td>00C45900</td>
<td>L</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 155</td>
<td>120 / 80</td>
<td>i84</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>3426</td>
<td>PRISTIYANTINI / DEDI HENDRA</td>
<td>080000608501</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 152</td>
<td>139 / 93</td>
<td>k04.0</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3427</td>
<td>RUMIYATI / RUMIYATI</td>
<td>90A62402</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 155</td>
<td>148 / 84</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3428</td>
<td>FATIMAH / BOGINOVEL SUDIWAAN</td>
<td>0800064001</td>
<td>JL.PETERONGANSARI II/23</td>
<td>P</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 150</td>
<td>120 / 80</td>
<td>i50.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>3429</td>
<td>HAMIZ ABU DZAR AL-GHIFARI / HANA WAHYU TRIYANDI</td>
<td>080000603906</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.5 / 102.4</td>
<td>13.8/KURUS</td>
<td>72 / 51</td>
<td>J18</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3430</td>
<td>SULIYAH / SULIYAH</td>
<td>00E089502</td>
<td>P</td>
<td>80 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 142</td>
<td>170 / 86</td>
<td>i10</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3431</td>
<td>ISMIYATI / SUHARTO</td>
<td>080000283301</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 158</td>
<td>18/KURUS</td>
<td>136 / 80</td>
<td>m79.1</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3432</td>
<td>S. PONIMAN prolanis / S PONIMAN</td>
<td>00102700</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 161</td>
<td>22/NORMAL</td>
<td>120 / 80</td>
<td>z96.1</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3433</td>
<td>ABDILAH, SH / ABDILAH, SH</td>
<td>00D018800</td>
<td>LAMPER TENGAH GG VIII</td>
<td>L</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 156</td>
<td>120 / 80</td>
<td>m10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3434</td>
<td>00B50102</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 160</td>
<td>152 / 86</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3435</td>
<td>SUMARSIH / SUMARSIH</td>
<td>060000400200</td>
<td>JL.KEDONDONG DALAM II</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>119 / 76</td>
<td>j45</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3436</td>
<td>PUTRA WAHYU JATMIKO / EKO SUGENG PRAYITNO</td>
<td>00A13602</td>
<td>L</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 160</td>
<td>128 / 73</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3437</td>
<td>ROKHAYATI / MASRUP</td>
<td>080000441901</td>
<td>JL.PANDEAN LAMPER II/43</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 158</td>
<td>108 / 67</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3438</td>
<td>MUHAMMAD ABYAN ZULHAYR / M ZAENAL ARIFIN</td>
<td>90197003</td>
<td>GAYAMSARI SELATAN I NO.53</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.4 / 79</td>
<td>72 / 51</td>
<td>r50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3439</td>
<td>APUAS RUSDIANTO / APUAS RUSDIANTO</td>
<td>080000448900</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 158</td>
<td>120 / 80</td>
<td>z96.1</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>3440</td>
<td>MUHAMMAD FARHAN DHIAULHAQ / M ZAENAL ARIFIN</td>
<td>90E014803</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.9 / 64.5</td>
<td>16.6/KURUS</td>
<td>70 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3441</td>
<td>IMAN DIANDJAJA / HADI JAYA HIDAYAT</td>
<td>90D027502</td>
<td>KP PESING POGLAR</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>125 / 182</td>
<td>130 / 90</td>
<td>z00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3442</td>
<td>90I019300</td>
<td>L</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 157</td>
<td>190 / 103</td>
<td>i25</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3443</td>
<td>HAIKAL FATHU ROZAQ / MUH NUR</td>
<td>0800546803</td>
<td>JL. JERUK V/17-A</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 137</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3444</td>
<td>SUPRIYANTO / SUPRIYANTO</td>
<td>90B27200</td>
<td>JL. BANCAR ASRI II</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 169</td>
<td>123 / 81</td>
<td>K02</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3445</td>
<td>MISTIAH / MISTIAH</td>
<td>00C04701</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>151 / 75</td>
<td>m54.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3446</td>
<td>SUKAMTO / SUKAMTO</td>
<td>00089300</td>
<td>L</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 165</td>
<td>119 / 88</td>
<td>l02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3447</td>
<td>SUPRANTI / SUDARSONO</td>
<td>080J090102</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 155</td>
<td>145 / 78</td>
<td>E11.6</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3448</td>
<td>BAYU NOVIANTI / M AGUS SAPTO AJI</td>
<td>0000139101</td>
<td>LAMPER TENGAH I/552 A</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>64.5 / 159</td>
<td>126 / 81</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3449</td>
<td>JUNIA RAMADHANI ALNABIL / BAMBANG GUNAWAN</td>
<td>00BPJS011504</td>
<td>GAYAMSARI 4</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>13 / 98</td>
<td>13.5/KURUS</td>
<td>100 / 70</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3450</td>
<td>HARY PRAMONO / SUDARSONO</td>
<td>00000J90100</td>
<td>L</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 161</td>
<td>120 / 80</td>
<td>F20.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3451</td>
<td>MOHAMAD LATIF / QOMARUDIN</td>
<td>00B64702</td>
<td>JL KEDONDONG DALAM</td>
<td>L</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 164</td>
<td>120 / 70</td>
<td>f20.3</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3452</td>
<td>ANIK SUPRIYANAH / NURKAFI</td>
<td>089090019701</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 152</td>
<td>110 / 70</td>
<td>b49</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>3453</td>
<td>90I002402</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8400 / 78</td>
<td>70 / 51</td>
<td>A16</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3454</td>
<td>9090270701</td>
<td>SENDANGUWO</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 160</td>
<td>110 / 70</td>
<td>h25</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3455</td>
<td>RIFANDI SETYO NUGROHO / SUDIYONO</td>
<td>0000356104</td>
<td>JL SOMPOK GG KESAMBI NO 4</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>88 / 174</td>
<td>147 / 82</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3456</td>
<td>ANITYAWATI SRI WULAN / MUJIYANTO</td>
<td>00C065103</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>84 / 157</td>
<td>105 / 64</td>
<td>r05</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3457</td>
<td>JENNAIRA AFSHEENA PRANATA / HENDRIK DWI PRANATA</td>
<td>00B39390</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.2 / 60</td>
<td>60 / 44</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3458</td>
<td>ZACKLEE SATURA PUTRA ARDIAN / ANIF ZULAEHA</td>
<td>90A3003</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>34 / 135</td>
<td>104 / 70</td>
<td>k30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3459</td>
<td>FRANSISKA ERWIN IRAWANTI / MADIO</td>
<td>080000378302</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 155</td>
<td>144 / 77</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3460</td>
<td>ALDA MADYA IRAWANTI / MADIO</td>
<td>080000378303</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 160</td>
<td>23/NORMAL</td>
<td>112 / 70</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3461</td>
<td>SYAHIRA OKTARANI WIBOWO / HADI WIBOWO MUKTI</td>
<td>90C39804</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>22 / 135</td>
<td>12.1/KURUS</td>
<td>100 / 70</td>
<td>a09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3462</td>
<td>GRACIA PUTRI WIBOWO / YAMA MOCH WIBOWO</td>
<td>90B63104</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.1 / 62.7</td>
<td>15.5/KURUS</td>
<td>60 / 44</td>
<td>Z27</td>
<td>imunisasi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3463</td>
<td>DESY DWI RIDHAWATI / DESY DWI RIDHAWATI</td>
<td>00D058000</td>
<td>LAMPER LOR 1062</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 157</td>
<td>99 / 70</td>
<td>L30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3464</td>
<td>TUKUL / TUKUL</td>
<td>089090286600</td>
<td>L</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 158</td>
<td>116 / 67</td>
<td>m79.1</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3465</td>
<td>TRIYONO / TRIYONO</td>
<td>90H084800</td>
<td>JL. PAKIS, BOTO, WONOSARI, KAB. KLATEN</td>
<td>L</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 158</td>
<td>146 / 99</td>
<td>z02</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3466</td>
<td>ADI ALFIAN / ADI ALFIAN</td>
<td>00B46200</td>
<td>L</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 165</td>
<td>109 / 74</td>
<td>h10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3467</td>
<td>ODILIA DENADA GENDHIS / YOSUA</td>
<td>90D087102</td>
<td>JL. KP SIKLUWUNG ASRI</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4800 / 58</td>
<td>72 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3468</td>
<td>KASDI SETIANO PRASETIA / KASDI SETIANO PRASETIA</td>
<td>00B59200</td>
<td>JL. JALAN LAMPER MIJEN </td>
<td>L</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>122 / 79</td>
<td>H26</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>3469</td>
<td>RAFAEL MAHARDIKA / BUDI HARTONO</td>
<td>0000316602</td>
<td>JL. LAMPER TENGAH XV B</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>27 / 132</td>
<td>15.5/KURUS</td>
<td>100 / 70</td>
<td>r04.0</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3470</td>
<td>ANNISA ALAWIYAH / SAMANI</td>
<td>089090332102</td>
<td>GAYAMSARI IV/33</td>
<td>L</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>50.9 / 156</td>
<td>130 / 77</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3471</td>
<td>M. ILHAM HAMIZAN / AGUNG SUSANTO</td>
<td>90H027303</td>
<td>JL.SEGARAN II/14</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>15 / 81</td>
<td>60 / 40</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Tambakaji</td>
</tr> <tr>
<td>3472</td>
<td>DIYAH KURNIANINGTYAS / BUDI HARTONO</td>
<td>0000316601</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 155</td>
<td>135 / 77</td>
<td>g44</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3473</td>
<td>DEVITA AFRYANI / achmadi</td>
<td>00C081804</td>
<td>JALAN PETERONGAN TENGAH 16</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>39 / 149</td>
<td>17.6/KURUS</td>
<td>110 / 70</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3474</td>
<td>SAWONO / SAWONO</td>
<td>000J46700</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 160</td>
<td>162 / 93</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3475</td>
<td>ELLA NIRMALA / BUDI S</td>
<td>0015JULI201642</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 152</td>
<td>117 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3476</td>
<td>MUHAMAMD AL BATTAR / DENY BAGUS PURWINTAR</td>
<td>9090364602</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.3 / 89</td>
<td>14.3/KURUS</td>
<td>60 / 40</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3477</td>
<td>MUJIONO / MUJIONO</td>
<td>00C089500</td>
<td>L</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 170</td>
<td>141 / 88</td>
<td>M54.3</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3478</td>
<td>SUWARNI / SUBCHAN</td>
<td>90H029401</td>
<td>JL. TANDANG IJEN </td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 148</td>
<td>120 / 80</td>
<td>r05</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>3479</td>
<td>JULIUS / JULIUS</td>
<td>089090608500</td>
<td>L</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 158</td>
<td>112 / 75</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3480</td>
<td>SITI SALAMAH / PRAMONO</td>
<td>00294201</td>
<td>JL. DURIAN I/30B</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 150</td>
<td>150 / 90</td>
<td>R73.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3481</td>
<td>00B21300</td>
<td>P</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 115</td>
<td>155 / 77</td>
<td>K02</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3482</td>
<td>KOHARUDIN / KOHARUDIN</td>
<td>90D034000</td>
<td>PAMULIHAN KAB. BREBES</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 149</td>
<td>108 / 90</td>
<td>j00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3483</td>
<td>HADI KARMANTO / HADI KARMANTO</td>
<td>00B3500</td>
<td>L</td>
<td>82 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>130 / 79</td>
<td>I50.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>3484</td>
<td>MOHAMAD FIRDAUS / SUDARNO</td>
<td>080000411504</td>
<td>L</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 180</td>
<td>21/NORMAL</td>
<td>123 / 85</td>
<td>k30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3485</td>
<td>080000707501</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>103 / 144</td>
<td>132 / 88</td>
<td>j02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3486</td>
<td>ANINDITA ALYA ARDANTI / DWI ANDANG K</td>
<td>00E089701</td>
<td>JLN JERUK VIII/29</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>90 / 160</td>
<td>120 / 80</td>
<td>z71</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3487</td>
<td>RENANDHA GITA PRADINA / MUHAMMAD ABI AL ASH</td>
<td>90G037401</td>
<td>JL.DSN.CAWANG KEL.BULUREJO KEC.MERTOYUDAN KAB.MAGELANG</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>42.6 / 157</td>
<td>17.3/KURUS</td>
<td>127 / 90</td>
<td>z30</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3488</td>
<td>NAILUL ASKA DHARMAWAN / SUPRIYANTO</td>
<td>080000463904</td>
<td>JL. MANGGIS VII/43 B, LAMPER LOR</td>
<td>L</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 161</td>
<td>17/KURUS</td>
<td>100 / 60</td>
<td>l02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3489</td>
<td>080000378805</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 155</td>
<td>125 / 84</td>
<td>z02</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3490</td>
<td>060000359100</td>
<td>L</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 171</td>
<td>159 / 71</td>
<td>e11.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>3491</td>
<td>ASTUTIK / ASTUTIK</td>
<td>080000466501</td>
<td>JL.PISANG, LAMPER TENGAH</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 157</td>
<td>130 / 80</td>
<td>z71</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3492</td>
<td>089090085491</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.7 / 68</td>
<td>16.7/KURUS</td>
<td>89 / 56</td>
<td>H10</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3493</td>
<td>TUHU NINGSIH DRA / JUMALI</td>
<td>080000359101</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 154</td>
<td>120 / 80</td>
<td>h16.2</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>3494</td>
<td>LESTARI / BUDI SANTOSO</td>
<td>0800065801</td>
<td>JL.PANDEAN LAMPER III NO.17</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 149</td>
<td>126 / 90</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3495</td>
<td>RINA / SUPARNO</td>
<td>00A7801</td>
<td>CEMPEDAK UTARA 8B LAMPER LOR</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 157</td>
<td>120 / 70</td>
<td>I21.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3496</td>
<td>POLIN / POLIN</td>
<td>00E088000</td>
<td>P</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 153</td>
<td>113 / 79</td>
<td>r05</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3497</td>
<td>ELI ILMANAFI'AHSARI / DENY BAGUS PURWINTAR</td>
<td>9090364609</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>59.1 / 163</td>
<td>103 / 74</td>
<td>z35</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3498</td>
<td>NEVAN ADITYA KURNIAWAN / SANDI KURNIAWAN</td>
<td>90207402</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>22 / 123</td>
<td>14.5/KURUS</td>
<td>100 / 70</td>
<td>J03</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3499</td>
<td>HAIDAR RAFID IHSAN / WAWAN PURWO</td>
<td>00300205</td>
<td>L</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 170</td>
<td>16.3/KURUS</td>
<td>110 / 70</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3500</td>
<td>00D065001</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 160</td>
<td>179 / 100</td>
<td>E11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3501</td>
<td>DYAH ERSALINA PATIMALA PUTRI / RIFKI DAIVANI </td>
<td>90H034202</td>
<td>PERUM GRIYA SATRIA INDAH SUMAMPIR J. TOPAZ BLOK R NO. 9, KE.
SEMAMPIR, KEC. PURWOKERTO UTARA, KAB. BANYUMAS</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 153</td>
<td>109 / 72</td>
<td>j02</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3502</td>
<td>00A34502</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 160</td>
<td>135 / 77</td>
<td>k04.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3503</td>
<td>SURANTI / SUMARYO</td>
<td>080000413601</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 156</td>
<td>134 / 77</td>
<td>k04.0</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3504</td>
<td>CIKAL WHARMAN SAPUTRA / BAMBANG ISPUTRA</td>
<td>90I021902</td>
<td>DSDN BINANGUN, KEL. BINANGUN, KEC. LASEM, KAB. REMBANG</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 168</td>
<td>145 / 96</td>
<td>R10</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3505</td>
<td>0600049001</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 150</td>
<td>126 / 78</td>
<td>R07.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3506</td>
<td>KHAYLA DYRA HAFIZHA ALMAHYRA / DEDY AGUNG SETIAWAN</td>
<td>089090250809</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.3 / 85.5</td>
<td>88 / 44</td>
<td>R50</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>3507</td>
<td>IBNU CHARIS BACTIAR / IBNU ATTAUFIQ</td>
<td>080000601003</td>
<td>L</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 163</td>
<td>115 / 81</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3508</td>
<td>KUSMIYATI / WAHYU TRI W</td>
<td>089090241101</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 155</td>
<td>180 / 100</td>
<td>I10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3509</td>
<td>MUTHIA CHOIRUNNISA / MUTHIA CHOIRUNNISA</td>
<td>90G047901</td>
<td>PERUM KAMPOENG SEMAWIS D.02</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 172</td>
<td>120 / 70</td>
<td>j02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3510</td>
<td>LISA NADIA SARI / ROHMATUN</td>
<td>0800063404</td>
<td>JL. PANDEAN LAMPER II NO.81 </td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 153</td>
<td>101 / 68</td>
<td>L50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3511</td>
<td>KEVIN FERNANDO SADEWA / SOSIAWAN HADI RAHARJO</td>
<td>00C075503</td>
<td>PANDAEN LAMPER IV/37</td>
<td>L</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>33 / 145</td>
<td>15.7/KURUS</td>
<td>110 / 71</td>
<td>j03</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3512</td>
<td>080000390901</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 152</td>
<td>136 / 98</td>
<td>I84.1</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>3513</td>
<td>KARYANTO / KARYANTO</td>
<td>00E087800</td>
<td>L</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 165</td>
<td>22/NORMAL</td>
<td>120 / 70</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3514</td>
<td>00C14802</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.6 / 69.5</td>
<td>60 / 40</td>
<td>Z00</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3515</td>
<td>DUDIK CATUR SETYAWAN / DUDIK CATUR SETYAWAN</td>
<td>90H096900</td>
<td>JL. KEPUTRAN PASAR KECIL 3/2, EMBONG KALIASIN, GENTENG, KOTA
SURABAYA</td>
<td>L</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 168</td>
<td>116 / 70</td>
<td>r50</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3516</td>
<td>QUENSHA AULIA MEISHEL / TRI SULISTYONO</td>
<td>90F057902</td>
<td>JL.SENDANGGUWO SELATAN</td>
<td>P</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 147</td>
<td>100 / 82</td>
<td>k04.0</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3517</td>
<td>PONISEM / SUMARSONO</td>
<td>00.0882.01</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 155</td>
<td>165 / 100</td>
<td>I10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3518</td>
<td>RAFFASYA PRATAMA KURNIAWAN / FEBRI KURNIAWAN</td>
<td>0000316402</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 126</td>
<td>100 / 70</td>
<td>B08</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3519</td>
<td>EYM DINA RIGA / EYM DINA RIGA</td>
<td>90B56700</td>
<td>JL.JERUK NO.VII</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 155</td>
<td>123 / 72</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3520</td>
<td>ANGGITA PRASASTI / CAHYADI SETYO ADI</td>
<td>90I022002</td>
<td>DK. BIBIS, KEL. MARGOREJO, KEC ,ARGOREJO, KAB. PATI</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 157</td>
<td>120 / 75</td>
<td>l02</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3521</td>
<td>00A13402</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 161</td>
<td>18.1/KURUS</td>
<td>100 / 70</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3522</td>
<td>SITI KHOMAROH / PUDJIONO</td>
<td>00B8101</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 160</td>
<td>16.4/KURUS</td>
<td>111 / 73</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3523</td>
<td>NUGROHO PONCO / NUGROHO PONCO</td>
<td>9090A75003</td>
<td>L</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 165</td>
<td>120 / 70</td>
<td>N39</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3524</td>
<td>SUTIYEM / NUGROHO PONCO</td>
<td>90A7501</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 148</td>
<td>125 / 78</td>
<td>j02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3525</td>
<td>EKO CAHYO FATRISTANTO / EKO CAHYO FATRISTANTO</td>
<td>90E090000</td>
<td>SENDANGSARI III/28 </td>
<td>L</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>88 / 167</td>
<td>144 / 80</td>
<td>r51</td>
<td>umum</td>
<td>tidak</td>
<td>Kalicari</td>
</tr> <tr>
<td>3526</td>
<td>MILA LESTARI / BAMBANG WAHYUDI</td>
<td>089090337201</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 151</td>
<td>142 / 92</td>
<td>l02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3527</td>
<td>ANGGUN KHARISMA DEWI / ARDHUAN</td>
<td>00C12501</td>
<td>JL.LAMPER TENGAH II/570</td>
<td>P</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 161</td>
<td>137 / 87</td>
<td>M51.8</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>3528</td>
<td>REFAN ARIEL SETYAWAN / SUPARWANTO</td>
<td>0000427203</td>
<td>L</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>102 / 56</td>
<td>r05</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3529</td>
<td>ANISA AYU KHAIRANI / SUNARTI</td>
<td>080000529002</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 162</td>
<td>110 / 69</td>
<td>L23</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3530</td>
<td>YUNI SOELISTIONINGSIH / SUHENDRO</td>
<td>00E089501</td>
<td>LAMPER TENGAH VIII/NO.41</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 155</td>
<td>112 / 70</td>
<td>z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3531</td>
<td>YOGHA PUTRA HARYANTO / SLAMET HARYANTO</td>
<td>080000533102</td>
<td>L</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>19 / 123</td>
<td>12.6/KURUS</td>
<td>100 / 70</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3532</td>
<td>MUJIYANTO / MUJIYANTO</td>
<td>00C065100</td>
<td>L</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 149</td>
<td>176 / 100</td>
<td>h26</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>3533</td>
<td>0800J100200</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 167</td>
<td>117 / 70</td>
<td>l50</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3534</td>
<td>TONY HARYANTO / TONY HARYANTO</td>
<td>0800096600</td>
<td>L</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 162</td>
<td>144 / 89</td>
<td>i63</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3535</td>
<td>APRILIANA PUSPITA SARI / MUH NURSID</td>
<td>0000046403</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 150</td>
<td>114 / 60</td>
<td>n73</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3536</td>
<td>MUTIA NURUL HUSNA / MUHLISIN</td>
<td>00A15603</td>
<td>P</td>
<td>9 Tahun</td>
<td></td>
<td></td>
<td>27 / 126</td>
<td>17/KURUS</td>
<td>100 / 80</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3537</td>
<td>FAJAR KUSUMANINGRUM / ARI SAPTONO</td>
<td>00170602</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>35 / 152</td>
<td>15.1/KURUS</td>
<td>110 / 77</td>
<td>k01.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3538</td>
<td>MUHAMMAD HISYAM AL FATHI DHAFIR / ARI SAPTONO</td>
<td>00170604</td>
<td>CEMPEDAK SELATAN 33</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.5 / 71</td>
<td>70 / 51</td>
<td>J18</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3539</td>
<td> ALICIA AZIZAH TANJUNG / ALI BASAR SIKUMBANG</td>
<td>90E025903</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 153</td>
<td>121 / 76</td>
<td>n91</td>
<td>kia</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3540</td>
<td>ANITA APRIL LIANI / AJI PAMUNGKAS</td>
<td>00B45801</td>
<td>JL.KALICARI BARAT </td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 156</td>
<td>90 / 60</td>
<td>R10.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Kalicari</td>
</tr> <tr>
<td>3541</td>
<td>REYKI ARSENIO / DOBI KURNIAWAN</td>
<td>90E025902</td>
<td>JL.PETERONGAN TIMUR NO.13</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.3 / 67</td>
<td>87 / 56</td>
<td>j06</td>
<td>mtbs</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3542</td>
<td>PRADIPTA DESTA KURNIAWAN / YUDHA KURNIAWAN WIBISONO</td>
<td>90F052003</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.7 / 76</td>
<td>15.1/KURUS</td>
<td>70 / 52</td>
<td>J18</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3543</td>
<td>ULIN NIHAYATI / AHMAD AFANDI / TRI YULIANTO</td>
<td>90D058691</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 150</td>
<td>150 / 100</td>
<td>l50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3544</td>
<td>KHOIRUNISA NUR JANNAH / SUDARTO</td>
<td>90A35202</td>
<td>JL. GENENG,KENOKOREJO, POLOKARTO, KAB. SUKOHARJO</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>19 / 117</td>
<td>13.9/KURUS</td>
<td>100 / 60</td>
<td>h10</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3545</td>
<td>ANNISA PUTRI NUGRAHENI / EKO SUMIASTUTI</td>
<td>00C43902</td>
<td>JL. LAMPER TENGAH III/609-C</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 163</td>
<td>124 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3546</td>
<td>MELI RAHAYU / WARDAN</td>
<td>90I022104</td>
<td>DUSUN KANGKUNGAN KAB.GROBOGAN</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 158</td>
<td>96 / 61</td>
<td>z02</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3547</td>
<td>SUKARSIH / WINARTO</td>
<td>080000526590</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 155</td>
<td>120 / 80</td>
<td>f20.3</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>3548</td>
<td>ARYASATYA RADHITYA / HERI SULISTYO</td>
<td>90F045602</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>37 / 140</td>
<td>100 / 70</td>
<td>r05</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3549</td>
<td>SRI WAHYUNI / BUDIONO</td>
<td>07000000201</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 155</td>
<td>110 / 72</td>
<td>l50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3550</td>
<td>ERLANGGA RAFFA RADHITYA / HERI SULISTYO</td>
<td>90F045603</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 105</td>
<td>16.3/KURUS</td>
<td>90 / 60</td>
<td>r05</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3551</td>
<td>MUHAMMAD SYAIFUL BAHRI / MUHAMMAD SYAIFUL BAHRI</td>
<td>90C14700</td>
<td>JOGOKERTEN</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 160</td>
<td>110 / 70</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3552</td>
<td>SRI RAHAYU / SLAMET WIDODO</td>
<td>0800012801</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 155</td>
<td>118 / 78</td>
<td>r03.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3553</td>
<td>FAUZAN ADZIMA / SAEFUDIN</td>
<td>90A41003</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.8 / 82</td>
<td>17.5/KURUS</td>
<td>90 / 60</td>
<td>j18</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3554</td>
<td>WARSIH / WARSIH</td>
<td>90H051500</td>
<td>DUSUN MLOWO, DESA, MLOWOKARANGTALUN, KEC. PULOKULON, KAB.
GROBOGAN</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 157</td>
<td>158 / 90</td>
<td>H10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3555</td>
<td>ABDUL LATIF STIYADI / FUAD STIYADI</td>
<td>0000036702</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 109</td>
<td>14.3/KURUS</td>
<td>90 / 60</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3556</td>
<td>ARSYAD PUTRA ASYADILI / HASAN S</td>
<td>0000223906</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>16 / 109</td>
<td>13.5/KURUS</td>
<td>100 / 60</td>
<td>k29</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3557</td>
<td>PUTRI RIZKIANA / BANU PRASETYO</td>
<td>90G0612</td>
<td>DUKUH CENDONO LOR, TEKBOK, LIMPUNG, BATANG</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>61.6 / 155</td>
<td>132 / 94</td>
<td>Z30</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3558</td>
<td>SOEPINAH / SOEPINAH</td>
<td>00A89003</td>
<td>P</td>
<td>76 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 157</td>
<td>160 / 90</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3559</td>
<td>KISTARI / HERI SULISTYO</td>
<td>90F045601</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>57.4 / 156</td>
<td>118 / 77</td>
<td>z30</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3560</td>
<td>MEI BUDI RACHMAWATI / SUPAMIN</td>
<td>080J084001</td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 150</td>
<td>103 / 77</td>
<td>e11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3561</td>
<td>SRI AYUNINGSIH / SRI AYUNINGSIH</td>
<td>080000412901</td>
<td>JL. BLIMBING II/366-C</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 153</td>
<td>158 / 92</td>
<td>m62</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3562</td>
<td>ELOK SURYO UTAMI SPd. / SRIYADI</td>
<td>90I022301</td>
<td>JLN PUCANG SARI IV NO.21 KB.DEMAK</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 145</td>
<td>125 / 72</td>
<td>z02</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3563</td>
<td>FAJAR ARI SETYAWAN / SOEWARNO</td>
<td>0000201903</td>
<td>L</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 171</td>
<td>128 / 78</td>
<td>a09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3564</td>
<td>ANISA AYU KHAIRANI / SUNARTI</td>
<td>080000529002</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 162</td>
<td>100 / 70</td>
<td>l23 </td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3565</td>
<td>00B0801</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>89 / 168</td>
<td>140 / 80</td>
<td>i10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3566</td>
<td>MUHAMMAD NAFIAZKA AL FATTAH / ACHMAD SOLIH</td>
<td>00D022602</td>
<td>JALAN JERUK VIII NO.26</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>127 / 29</td>
<td>90 / 60</td>
<td>k00.6</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3567</td>
<td>MUHAMMAD DHANU ARDIANSACH / KUSNADI</td>
<td>90H063103</td>
<td>JL.SAWI</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>19 / 112</td>
<td>15.1/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3568</td>
<td>MOCH ZULFIKAR BACHRUDIN / MOCH ZULFIKAR BACHRUDIN</td>
<td>90C40900</td>
<td>JL.BANTENG</td>
<td>L</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>81 / 164</td>
<td>136 / 96</td>
<td>r73.9</td>
<td>umum</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3569</td>
<td>BILLY BRAMASTYA NUGRAHA / AGUNG PAMUJI</td>
<td>90A32702</td>
<td>JL. LAMPER TENGAH VI/648 B</td>
<td>L</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 114</td>
<td>15.4/KURUS</td>
<td>90 / 60</td>
<td>j03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3570</td>
<td>ARMANDO MAHESA / SUTARNO</td>
<td>00B0802</td>
<td>JL. PETERONGAN SARI I NO. 20</td>
<td>L</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 163</td>
<td>110 / 80</td>
<td>j06</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3571</td>
<td>MUHAMMAD ASFA FADLI AL JABBAR / ACHMAD SOLIH</td>
<td>00D022603</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.9 / 60.5</td>
<td>90 / 60</td>
<td>j00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3572</td>
<td>00D065001</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 160</td>
<td>120 / 70</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3573</td>
<td>ANGGER BAGAS WIGUNA / ANGGER BAGAS WIGUNA</td>
<td>060000539803</td>
<td>LAMPER MIJEN NO.IAT-A</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 170</td>
<td>125 / 84</td>
<td>k01.1</td>
<td>gigi</td>
<td>ya</td>
</tr> <tr>
<td>3574</td>
<td>WARIDI / WARIDI</td>
<td>90B26300</td>
<td>JL LAMPER TENGAH VI BLOK S</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 165</td>
<td>150 / 90</td>
<td>i10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3575</td>
<td>JOVIAN GIB ZAYN / THOMAS GILDBERT</td>
<td>00D091702</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8600 / 80</td>
<td>89 / 56</td>
<td>J06</td>
<td>mtbs</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3576</td>
<td>YEKTI UTAMI PRIYADININGRUM / SUPRIYADI</td>
<td>0800101804</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 158</td>
<td>20/NORMAL</td>
<td>116 / 73</td>
<td>k30</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3577</td>
<td>SYAHLIMAR / RUMARYONO</td>
<td>00D004901</td>
<td>JL. RAMBUTAN BARAT NO 31</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 150</td>
<td>160 / 90</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3578</td>
<td>SITI ROKANAH / DIDIK SETIADI</td>
<td>90H081101</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>130 / 82</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3579</td>
<td>SRI LISTYOWATI / AHMAD MUSHOLI</td>
<td>00A16801</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 155</td>
<td>143 / 73</td>
<td>h81.3</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3580</td>
<td>HAFAZ AQIL PASHA / ACHMAD MUSOLLY</td>
<td>00A16802</td>
<td>L</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 165</td>
<td>112 / 60</td>
<td>B86</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3581</td>
<td>ABDULLAH JOO / SUJOKO</td>
<td>90C54102</td>
<td>JL.KEDUNGMUNDU</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>12.1 / 91</td>
<td>14.6/KURUS</td>
<td>90 / 60</td>
<td>r50</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3582</td>
<td>089090401000</td>
<td>L</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 168</td>
<td>141 / 68</td>
<td>B86</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3583</td>
<td>ZHAQUEENA WAHYU RAMANETTA / RAGIL WAHYU</td>
<td>00267204</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>19 / 112</td>
<td>15.1/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3584</td>
<td>ENDAH SUCI NOVIANTI / BASKORO HADIWIJAYA</td>
<td>90E026101</td>
<td>JL. PURWOSARI NO 4 KEL REJOSARI SEMARANG</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 156</td>
<td>125 / 98</td>
<td>k08.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Rejosari</td>
</tr> <tr>
<td>3585</td>
<td>INDARWATI / INDARWATI</td>
<td>00A29800</td>
<td>JL.KEDONDONG DALAM LAMPER I/397</td>
<td>P</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>85 / 155</td>
<td>110 / 80</td>
<td>E11.6</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>3586</td>
<td>ELNINO PUTRA CHRISTIAN / ANDIKA</td>
<td>00A32102</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 112</td>
<td>13.6/KURUS</td>
<td>90 / 60</td>
<td>r50</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3587</td>
<td>ACHMAD MUSOLLY / ACHMAD MUSOLLY</td>
<td>00A16800</td>
<td>MANGGA VI/53</td>
<td>L</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 155</td>
<td>160 / 87</td>
<td>r05</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3588</td>
<td>00A45003</td>
<td>L</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>63.8 / 158</td>
<td>76 / 51</td>
<td>z00</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>Peterongan</td>
</tr> <tr>
<td>3589</td>
<td>080000378805</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 155</td>
<td>108 / 76</td>
<td>K08.1</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>3590</td>
<td>DITA AYU WIDYAWATI / NANDRA PUTRA ABDI KELANA</td>
<td>90F041001</td>
<td>JL.DURIAN V/38V</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>38.3 / 155</td>
<td>15.9/KURUS</td>
<td>115 / 67</td>
<td>Z30</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3591</td>
<td>ARJUNA RAYHAN DEWANTO / TIA PURWANTO</td>
<td>00A72603</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>15.9 / 99</td>
<td>16.2/KURUS</td>
<td>80 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3592</td>
<td>SRI LESTARI / SLAMET WAHYUDI</td>
<td>90G061501</td>
<td>JL.TANDANG </td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 142</td>
<td>164 / 94</td>
<td>T79.9</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>3593</td>
<td>MUHAMMAD RIZKY FAREZA / DENNY CAPELLA</td>
<td>9090505602</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.7 / 66</td>
<td>15.4/KURUS</td>
<td>70 / 51</td>
<td>J00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3594</td>
<td>ARKA PUTRA DARMANTO / DARMANTO</td>
<td>000187103</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>19 / 114</td>
<td>14.6/KURUS</td>
<td>90 / 60</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3595</td>
<td>M GILANG / PUTRA PRASETYO</td>
<td>90I003404</td>
<td>JL NGABEAN </td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>11 / 99</td>
<td>11.2/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Gunungpati</td>
</tr> <tr>
<td>3596</td>
<td>ALTAF RAMADHAN / HERI SUSENO</td>
<td>00C079004</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>28 / 118</td>
<td>90 / 50</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3597</td>
<td>ERMAWATI, SH / MARIYO</td>
<td>00C071501</td>
<td>WONODRI KRAJAN 3 NO. 702</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 163</td>
<td>108 / 81</td>
<td>Z01.2</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>3598</td>
<td>GUSTI AYU PUTU Z / DWI PURNOMO/IFA IMAWATI</td>
<td>0000J4905</td>
<td>murti maya </td>
<td>P</td>
<td>10 Tahun</td>
<td></td>
<td></td>
<td>56 / 152</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Muktiharjo Kidul</td>
</tr> <tr>
<td>3599</td>
<td>SHAFITRI ADELIA NUR PRASTIWI / HERU PRASETYO</td>
<td>00B87303</td>
<td>JALAN LAMPER ENGAH X/44</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 149</td>
<td>113 / 74</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3600</td>
<td>I KETUT ASTA WIJAYA / I KETUT ASTA WIJAYA</td>
<td>00D015900</td>
<td>JL.LAMPER TENGAH II/608-B</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>81 / 160</td>
<td>143 / 94</td>
<td>k30</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3601</td>
<td>fitri darmayanti / JOKO</td>
<td>90I020801</td>
<td>JL. TLOGOMUKTI RAYA BLOK E 17</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>51.6 / 146</td>
<td>120 / 84</td>
<td>N72</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3602</td>
<td>ABDULLAH UTSMAN AL FATIH / KUKUP ADI UTOMO</td>
<td>90F080702</td>
<td>JL. PUSPONJOLO SELATAN</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7565 / 70</td>
<td>90 / 60</td>
<td>z00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Bojong Salaman</td>
</tr> <tr>
<td>3603</td>
<td>ANI ROFIULLIA / GUNAWAN</td>
<td>0001006901</td>
<td>PETERONGAN</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 155</td>
<td>112 / 81</td>
<td>j02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3604</td>
<td>DARYANTI / DARYANTI</td>
<td>00A11901</td>
<td>JL. KANAL NO 3</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 155</td>
<td>180 / 100</td>
<td>i10</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3605</td>
<td>UMI SANGADAH / AGUS SUPRIYONO</td>
<td>90C54801</td>
<td>CEMPEDAK SELATAN KEC. SMG SELATAN</td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 155</td>
<td>15.8/KURUS</td>
<td>90 / 66</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3606</td>
<td>SADIMAN / SADIMAN</td>
<td>9090500800</td>
<td>JL.PANCURSARI III</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 164</td>
<td>120 / 70</td>
<td>J98</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Jangli</td>
</tr> <tr>
<td>3607</td>
<td>AQILAH ANNASYA SHAQUEENA / PAULLA ROSIE MANDALA</td>
<td>90H079605</td>
<td>JL. ANGGRAINI NO. 28</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.5 / 74</td>
<td>15.5/KURUS</td>
<td>90 / 60</td>
<td>a09</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Bulu Lor</td>
</tr> <tr>
<td>3608</td>
<td>TRI DEWI TRISNAWATI / TRI DEWI TRISNAWATI</td>
<td>00B78100</td>
<td>JL.RAMBUTAN I/28-A</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 160</td>
<td>120 / 70</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3609</td>
<td>AISYAH PUTRI NABILA / KHANIF NUR VALHALLA</td>
<td>0800055402</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.6 / 62</td>
<td>17.2/KURUS</td>
<td>70 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3610</td>
<td>IFFAH NUR ADZILLAH / IWAN NUGROHO</td>
<td>00A36301</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>70.9 / 162</td>
<td>169 / 100</td>
<td>k01.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3611</td>
<td>SITI KOMARIYAH / I KETUT ASTA WIJAYA</td>
<td>00D015901</td>
<td>JL.LAMPER TENGAH II/608 B</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 150</td>
<td>16.9/KURUS</td>
<td>129 / 77</td>
<td>r05</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3612</td>
<td>FANY OKTAVIYANTI / AGUS RIYADI</td>
<td>0000175408</td>
<td>P</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 141</td>
<td>100 / 70</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3613</td>
<td>DWI WAHYUNINGSIH / DWI WAHYUNINGSIH</td>
<td>00C35100</td>
<td>JL.LAMPER TENGAH NO.19</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 157</td>
<td>104 / 72</td>
<td>l30</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>3614</td>
<td>90H080601</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>92 / 168</td>
<td>146 / 89</td>
<td>t79.9</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3615</td>
<td>KRISNA KRISTAHNI SYAUTA / FAJAR SATYA PATRIA</td>
<td>90G048501</td>
<td>JL.ROGOJEMBANGAN DALAM RAYA NO.1 </td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>64.1 / 158</td>
<td>136 / 83</td>
<td>Z30</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3616</td>
<td>00A45003</td>
<td>L</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 158</td>
<td>140 / 80</td>
<td>r20.2</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3617</td>
<td>YUSTINA NUNUNG SULISTYANTI / SUDARWEDI</td>
<td>90H019401</td>
<td>JL.PURI GEDAWANG INDAH BLOK M-6</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 159</td>
<td>110 / 66</td>
<td>R51</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gedawang</td>
</tr> <tr>
<td>3618</td>
<td>SITI WAHYU KEZYA / BAMBANG GUNAWAN</td>
<td>JL. SAPUTAN BARAT 409</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>33,7 / 130</td>
<td>95 / 62</td>
<td>h00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3619</td>
<td>0000437803</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 125</td>
<td>16/KURUS</td>
<td>80 / 60</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3620</td>
<td>HARDIYANTO / HARDIYANTO</td>
<td>90I023100</td>
<td>DSN.COMBONGAN, KEL. COMBONGAN, KEC. SUKOHARJO, KAB. SUKOHARJO</td>
<td>L</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 171</td>
<td>107 / 91</td>
<td>A09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3621</td>
<td>HERU SETIAJI / BUDI PRIYONO / SUSITI</td>
<td>079090146103</td>
<td>JL. KOKOSAN RAYA NO.147</td>
<td>L</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 167</td>
<td>95 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3622</td>
<td>FEBRILOA SANTIKA / bambang hermanto</td>
<td>0000259502</td>
<td>JLN CERME NO.04</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 151</td>
<td>124 / 80</td>
<td>R10.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3623</td>
<td>ELISABETH WINARSIH / ELISABETH WINARSIH</td>
<td>0600J13001</td>
<td>P</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>98 / 165</td>
<td>130 / 70</td>
<td>L98</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3624</td>
<td>AHMAD ROFIQ / BILAL ROHMAT</td>
<td>90I023202</td>
<td>DSN. KALIERANG, KEL. KALIERANG, KEC. SELOMERTO, KAB. WONOSOBO</td>
<td>L</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 175</td>
<td>125 / 87</td>
<td>z02</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3625</td>
<td>KRISTIANA / SIGIT P</td>
<td>0000308001</td>
<td>JL. PETERONGAN RAYA 104</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 156</td>
<td>110 / 70</td>
<td>i84</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3626</td>
<td>PRATAMA ARI SETIYAWAN / TIDAK TAHU</td>
<td>90I022502</td>
<td>JL. KEMBANG</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>27 / 131</td>
<td>15.7/KURUS</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3627</td>
<td>ARFIAN ANANDA SAPUTRA / ENDANG KUSTIATI</td>
<td>00B48504</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>35 / 134</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3628</td>
<td>FAEEZAH QAIREEN AZZALEA ARAHA / TIDAK TAHU</td>
<td> 00E90002</td>
<td>JL. KEDONDONG DALAM VII/2</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>29 / 128</td>
<td>17.7/KURUS</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3629</td>
<td>ANDY DWI MARDIYANTO / TIDAK TAHU</td>
<td>90I022402</td>
<td>JL. GRIYA BATURSARI I NO. 25</td>
<td>L</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 166</td>
<td>138 / 72</td>
<td>z02</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3630</td>
<td>KHANZA NAYYARA AZARINE / DONNY SATRIYO NUGROHO</td>
<td>00A15903</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.2 / 89</td>
<td>14.1/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3631</td>
<td>KAYLA FEBRIANA SETYA DEWI / SETYO PAMBUDI</td>
<td>0000525905</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>29 / 129</td>
<td>17.4/KURUS</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3632</td>
<td>NAZILATUS SA'ADAH / NAZILATUS SA'ADAH</td>
<td>90F035901</td>
<td>KUDU </td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 151</td>
<td>105 / 79</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Kudu</td>
</tr> <tr>
<td>3633</td>
<td>NUR EVA TRY AGUSTINA / AMIN SARYOKO</td>
<td>90F037801</td>
<td>SURODADI KEL.SURODADI KEC.CANDIMULYO KAB.MAGELANG</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 161</td>
<td>112 / 74</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3634</td>
<td>ANUGRAH RIZKI AKBAR / TUMANI</td>
<td>0000246602</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 120</td>
<td>16.7/KURUS</td>
<td>90 / 60</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3635</td>
<td>BAGAS CATUR PAMUNGKAS / SUPRIYONO</td>
<td>90I023302</td>
<td>DSN. NGRUKI, KEL. CEMANI, KEC. GROGOL,KAB. SUKOHARJO</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 171</td>
<td>17.4/KURUS</td>
<td>99 / 60</td>
<td>r50</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3636</td>
<td>AGNI HAWA KINANTHI / RUDI HARYANTO</td>
<td>0000536808</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.4 / 92</td>
<td>15.8/KURUS</td>
<td>90 / 60</td>
<td>r50</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3637</td>
<td>SATRIYA ARMENDO DIFANA / SUROJO</td>
<td>0800J718002</td>
<td>KP. CERME II</td>
<td>L</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 141</td>
<td>90 / 60</td>
<td>J00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3638</td>
<td>CITRA KHARISMA PUSPA / ANANTA DWI HARTANTO</td>
<td>0800112403</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>34.2 / 138</td>
<td>18/KURUS</td>
<td>100 / 70</td>
<td>b01</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3639</td>
<td>MARIA MAGDALENA SUSANTI DIAN ARISTYA / MARIA MAGDALENA SUSANTI DIAN
ARISTYA</td>
<td>0000402300</td>
<td>PERUM KETILENG INDAH BLOK H-46 SENDANGMULYO TEMBALANG</td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 156</td>
<td>120 / 70</td>
<td>J30.3</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3640</td>
<td>IRMA ISTIANTI / DANANG SETIAWAN </td>
<td>00E079801</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>76.8 / 155</td>
<td>117 / 95</td>
<td>Z34</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3641</td>
<td>080000390901</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 152</td>
<td>119 / 75</td>
<td>I84.1</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>3642</td>
<td>HADI KARMANTO / HADI KARMANTO</td>
<td>00B3500</td>
<td>L</td>
<td>82 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>136 / 80</td>
<td>i24</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>3643</td>
<td>DANET ADI SURATNO / DANET ADI SURATNO</td>
<td>00E000200</td>
<td>L</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 158</td>
<td>120 / 80</td>
<td>b74</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>3644</td>
<td>ASHIRA MAHIRA CHANDRA KAYANA / TIDAK TAHU</td>
<td>90I022802</td>
<td>JL. BANTENG UTARA IV NO.20</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 141</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3645</td>
<td>ZIDAN AHMAD FIRDAUS DARMAPUTRA / TIDAK TAHU</td>
<td>90I022902</td>
<td>JL. ROBOJEMBANGAN I NO. 3</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>29 / 134</td>
<td>16.2/KURUS</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3646</td>
<td>MUHAMMAD SYAFIQ RIZQI ALIFINO / TIDAK TAHU</td>
<td>00E089902</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 134</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3647</td>
<td>WONGAJI SEJATI / TEGUH SUWITO</td>
<td>90A79904</td>
<td>PERUM KENDAL PERSADA ASRI</td>
<td>L</td>
<td>9 Tahun</td>
<td></td>
<td></td>
<td>25 / 130</td>
<td>14.8/KURUS</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3648</td>
<td>NADYA DWI PUTRI SYAHRANI / RAGIL SETIAWAN</td>
<td>080000534905</td>
<td>JL.LAMPER LOR 1057</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>27 / 127</td>
<td>16.7/KURUS</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3649</td>
<td>BENADI CAHYA ALAM / TIDAK TAHU</td>
<td>90I023002</td>
<td>JL. PARANG BARONG VII NO 30</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 136</td>
<td>16.8/KURUS</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3650</td>
<td>FADILLA PUTRI PUSPITASARI / NAUFAL ROCHMANDIKA</td>
<td>00C057002</td>
<td>JL.BADAK V KECIL NO.19</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>50.1 / 150</td>
<td>101 / 67</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3651</td>
<td>ZIDAN PUTRA PRATAMA / TIDAK TAHU</td>
<td>00E089802</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 131</td>
<td>14/KURUS</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3652</td>
<td>DINUK SILAWANTI / DANET ADI SURATNO</td>
<td>00C48501</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 151</td>
<td>120 / 80</td>
<td>m06.41</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>3653</td>
<td>CALYA SALSABILA PUTRI / BATITUSTA BISMAR</td>
<td>0000177302</td>
<td>JL.LAMPER TENGAH I/552-A</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>29 / 122</td>
<td>100 / 78</td>
<td>k08.3</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3654</td>
<td>JAFAR SHODIQ SAPUTRA / TIDAK TAHU</td>
<td>90I022702</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>28 / 133</td>
<td>15.8/KURUS</td>
<td>90 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3655</td>
<td>SRI SULARSIH / KASMUN</td>
<td>089090208501</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 162</td>
<td>118 / 73</td>
<td>E11</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>3656</td>
<td>ALIYA VASHIA AKENAKA / SUHARTO</td>
<td>00E090102</td>
<td>JL. LAMPER TENGAH III NO. 611</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 153</td>
<td>100 / 73</td>
<td>M54.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3657</td>
<td>SUBIJANTO / SUBIJANTO</td>
<td>00039100</td>
<td>JL. PANDEAN LAMPER PETERONGAN</td>
<td>L</td>
<td>86 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 161</td>
<td>135 / 94</td>
<td>I10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3658</td>
<td>KUS ARBIANI / KUS ARBIANI</td>
<td>90D059201</td>
<td>JL..GEMPOLSARI II</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 155</td>
<td>109 / 76</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3659</td>
<td>DINA WAHYU NOVIANI / TIDAK TAHU</td>
<td>90I0226</td>
<td>JL. KARANGTEMPEL PERBALAN NO. 541</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>23 / 127</td>
<td>14.3/KURUS</td>
<td>90 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Karangtempel</td>
</tr> <tr>
<td>3660</td>
<td>MUHAMMAD FA'IQ ABRAR / TIDAK TAHU</td>
<td>90I022302</td>
<td>JL. PALEBON</td>
<td>L</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>88 / 174</td>
<td>142 / 80</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3661</td>
<td>ANDRE ENGGAL ASA / NANIK HANDAYANI</td>
<td>90I023402</td>
<td>DSN. JAMUSAN, KEL. JAMUSAN, KEC. JUMO, KAB. TEMANGGUNG</td>
<td>L</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 168</td>
<td>110 / 78</td>
<td>r50</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3662</td>
<td>LILIK CAHYO NUGROHO / SUBAGIO</td>
<td>0000009200</td>
<td>JL. NANAS NO 38</td>
<td>L</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>102 / 155</td>
<td>119 / 70</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3663</td>
<td>nikita kusuma wijaya / TIDAK TAHU</td>
<td>00E089702</td>
<td>JL. BELIMBING VII/29A</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 135</td>
<td>13.7/KURUS</td>
<td>90 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3664</td>
<td>MALIKA NAOMI ANSHA / BAYU ERZAT NUGROHO</td>
<td>00A89803</td>
<td>JL PETERONGAN TGH NO.11</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>34 / 138</td>
<td>17.9/KURUS</td>
<td>90 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3665</td>
<td>ARLINDA EKA VIDIAWATI / BATISTUTA BISMAR A</td>
<td>080000222503</td>
<td>JL. LAMPER TENGAH I/552 A</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 157</td>
<td>15.4/KURUS</td>
<td>105 / 76</td>
<td>n89.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3666</td>
<td>BAMBANG GUNAWAN / BAMBANG GUNAWAN</td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 160</td>
<td>112 / 77</td>
<td>a09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3667</td>
<td>TAYUDI / TAYUDI</td>
<td>0000128802</td>
<td>L</td>
<td>76 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 163</td>
<td>150 / 78</td>
<td>I10</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>3668</td>
<td>AMBAR WINARSIH / BAYU ISPRANOTO</td>
<td>00J054901</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 160</td>
<td>126 / 90</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3669</td>
<td>ENY SUSIYANTI / YANTO</td>
<td>089090283601</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 157</td>
<td>134 / 79</td>
<td>M17</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>3670</td>
<td>RUKIMAH / RUKIMAH</td>
<td>90I023500</td>
<td>JL. GAYAMSARI V</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 150</td>
<td>156 / 91</td>
<td>E11</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3671</td>
<td>NAUFAL ATHA RAMADHAN / ROMADHON</td>
<td>0000545304</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>12.7 / 93</td>
<td>14.7/KURUS</td>
<td>60 / 40</td>
<td>A16</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3672</td>
<td>AKSASYAHGALAL AKALANKA / NANA SURYANA</td>
<td>00A38405</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>10 / 78</td>
<td>16.4/KURUS</td>
<td>87 / 56</td>
<td>j06</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3673</td>
<td>SUGIYO / SUGIYO</td>
<td>00B66300</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 160</td>
<td>17.2/KURUS</td>
<td>166 / 84</td>
<td>z71</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3674</td>
<td>90D070701</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 153</td>
<td>121 / 77</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3675</td>
<td>ALIMAH / MUJIONO</td>
<td>90B83101</td>
<td>P</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 150</td>
<td>17.8/KURUS</td>
<td>134 / 73</td>
<td>E11</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3676</td>
<td>PIPIT LESTARI / SUPONO</td>
<td>0000315901</td>
<td>TAMAN DUKU NO.7</td>
<td>P</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 153</td>
<td>100 / 60</td>
<td>b35.6</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3677</td>
<td>HAIDAR RAFID IHSAN / WAWAN PURWO</td>
<td>00300205</td>
<td>L</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 170</td>
<td>17.6/KURUS</td>
<td>105 / 64</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3678</td>
<td>00E042101</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 150</td>
<td>143 / 80</td>
<td>I10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3679</td>
<td>YULI SULISTYOWATI / NANA SURYANA</td>
<td>00A38401</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 153</td>
<td>100 / 70</td>
<td>D64.9</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3680</td>
<td>SURYATINI UKK / SURYATINI</td>
<td>00E079301</td>
<td>JL. PETERONGAN SARI I/7</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 153</td>
<td>130 / 80</td>
<td>m79.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3681</td>
<td>NINIK SUMARNI UKK / TIDAK TAHU</td>
<td>90I023801</td>
<td>JL. WONODRI GRAJEN II/418</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 158</td>
<td>160 / 100</td>
<td>I10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>3682</td>
<td>ISMUTIYAH UKK / TIDAK TAHU</td>
<td>90I023701</td>
<td>JL. SUKOREJO</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 152</td>
<td>120 / 80</td>
<td>E11</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gunungpati</td>
</tr> <tr>
<td>3683</td>
<td>BUDIYONO UKK / BUDIYONO</td>
<td>90I023600</td>
<td>JL. TANDANG </td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 165</td>
<td>117 / 77</td>
<td>l02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3684</td>
<td>00A13402</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 161</td>
<td>18.1/KURUS</td>
<td>107 / 66</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3685</td>
<td>HJ. INDRINI UKK / TIDAK TAHU</td>
<td>90I001101</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 146</td>
<td>120 / 80</td>
<td>E11</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3686</td>
<td>SITI MUSYAROFAH / RANDIMIN</td>
<td>089090506801</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 155</td>
<td>150 / 90</td>
<td>I10</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3687</td>
<td>WINARTO / ARDI MARKOSIN</td>
<td>0000526591</td>
<td>L</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 165</td>
<td>110 / 80</td>
<td>E11.6</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>3688</td>
<td>0000139105</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.4 / 78.2</td>
<td>13.7/KURUS</td>
<td>60 / 40</td>
<td>R50</td>
<td>mtbs</td>
<td>bpjs pbi</td>
</tr> <tr>
<td>3689</td>
<td>0000139105</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8 / 78</td>
<td>13.1/KURUS</td>
<td>70 / 50</td>
<td>A09</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3690</td>
<td>AZZAHRA RATU AURELIA / ISA AL MUTAQIN</td>
<td>90905205</td>
<td>WONODRI BARU</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>23.4 / 82</td>
<td>60 / 44</td>
<td>R50</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>3691</td>
<td>TRI SETYO KRISTIANI NINGRUM / EKO RIANTORO</td>
<td>00C28001</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>58.2 / 155</td>
<td>103 / 77</td>
<td>N91</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3692</td>
<td>LOVELY DHARA AULIA / HARMINI</td>
<td>080000503103</td>
<td>P</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 164</td>
<td>17.1/KURUS</td>
<td>100 / 70</td>
<td>B86</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3693</td>
<td>KHANSA ZAHRA HANIFA SA'DYYAH / SUGIARTO</td>
<td>00E090202</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 151</td>
<td>112 / 81</td>
<td>Z27</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3694</td>
<td>MUHAMMAD FIRDZDIAN / IKA APRILINA</td>
<td>90I023902</td>
<td>JL. BATU KAPAL, RANAI KOTA, BUNGURAN TIMUR, KAB. NATUNA, PROV
RIAU</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>24.3 / 110</td>
<td>98 / 83</td>
<td>k00</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3695</td>
<td>KASTIMAH / NGADIMIN</td>
<td>00E077501</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 157</td>
<td>160 / 96</td>
<td>E11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3696</td>
<td>ANDRIYANI PUJI RAHAYU SANTOSO / TRI MUJIONO</td>
<td>00002374002</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 165</td>
<td>118 / 72</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3697</td>
<td>CLARA YASINTA / HERMAN JOSEF SENO ADJI</td>
<td>00D093401</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 150</td>
<td>124 / 81</td>
<td>E11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3698</td>
<td>ALIMAH / MUJIONO</td>
<td>90B83101</td>
<td>P</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 150</td>
<td>17.8/KURUS</td>
<td>136 / 78</td>
<td>E11</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3699</td>
<td>00E059900</td>
<td>L</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 165</td>
<td>131 / 88</td>
<td>I10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3700</td>
<td>00J091792</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>15.8 / 102</td>
<td>15.2/KURUS</td>
<td>90 / 60</td>
<td>R11</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3701</td>
<td>R.SRI HARTONO / R.SRI HARTONO</td>
<td>00D034000</td>
<td>L</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 160</td>
<td>136 / 69</td>
<td>A09</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>3702</td>
<td>FAATINA ARETA KHAYRA / BENY ISTYANTO</td>
<td>90I013602</td>
<td>JL. JATI, JANTIHARJO, KARANGANYAR, KAB. KARANGANYAR</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3300 / 48</td>
<td>90 / 60</td>
<td>z27</td>
<td>imunisasi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3703</td>
<td>HADI DARSONO / HADI DARSONO</td>
<td>089090705900</td>
<td>CINDE UTARA VII/17</td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 159</td>
<td>129 / 83</td>
<td>R22.4</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>3704</td>
<td>SRI REJEKI / IMAM S</td>
<td>00BPJS000301</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 156</td>
<td>137 / 79</td>
<td>k08.3</td>
<td>gigi</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>3705</td>
<td>0000240804</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.4 / 71</td>
<td>16.7/KURUS</td>
<td>89 / 56</td>
<td>j00</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>3706</td>
<td>ZALEEKA RASTRI QIRANIA / TRI YULIANTO</td>
<td>90D058602</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.4 / 79.5</td>
<td>14.9/KURUS</td>
<td>98 / 60</td>
<td>z27</td>
<td>imunisasi</td>
<td>tidak</td>
</tr> <tr>
<td>3707</td>
<td>90I010104</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 153</td>
<td>121 / 82</td>
<td>Z34</td>
<td>kia</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3708</td>
<td>90I010104</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 153</td>
<td>121 / 82</td>
<td>Z34</td>
<td>gigi</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3709</td>
<td>NADYA PUTRI WANDASARI / DARWANTO</td>
<td>080000453503</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 154</td>
<td>19/NORMAL</td>
<td>113 / 75</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3710</td>
<td>90I010104</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 153</td>
<td>121 / 82</td>
<td>Z34</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3711</td>
<td>MUHAMMAD IQBAL MAULANA / ARIS SEFTRIYANTO</td>
<td>90H068202</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.5 / 71</td>
<td>16.9/KURUS</td>
<td>89 / 58</td>
<td>z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3712</td>
<td>DELISHA ANNIRA ELSHANUM / INGGIT GURITNO</td>
<td>90I024003</td>
<td>GAYAMSARI 1</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4.9 / 54</td>
<td>16.8/KURUS</td>
<td>89 / 57</td>
<td>z00</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>3713</td>
<td>FATIMAH SHAKILA / YOYOK WIJI HANDOYO</td>
<td>9090273503</td>
<td>CERME</td>
<td>P</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 120</td>
<td>13.9/KURUS</td>
<td>98 / 80</td>
<td>K02</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3714</td>
<td>syakila azalea arfiansyah / ARIYANTO</td>
<td>00B61804</td>
<td>JL PANDEAN LAMPER II/39</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4200 / 54</td>
<td>70 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3715</td>
<td>SITI YULIANTI / M ZAMRONI</td>
<td>90C28501</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 155</td>
<td>138 / 95</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3716</td>
<td>DHANIRA SYAKILA L / M HARIYANTO</td>
<td>90C28590</td>
<td>JALAN GAYAMSARI SELATAN</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>16 / 106</td>
<td>14.2/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>3717</td>
<td>ADIT / JARWADI</td>
<td>000308903</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 171</td>
<td>17.1/KURUS</td>
<td>96 / 58</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3718</td>
<td>ELVIRA PUTRI PRADANIS / HERI PRANTOKO</td>
<td>00A62105</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.5 / 71</td>
<td>16.9/KURUS</td>
<td>70 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3719</td>
<td>SEPTIAN ADE WICAKSONO / LIS SUTRISNO</td>
<td>00B50105</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 147</td>
<td>93 / 57</td>
<td>t79</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3720</td>
<td>SUTRISNO R / SUTRISNO R</td>
<td>080000108100</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 155</td>
<td>109 / 75</td>
<td>E11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3721</td>
<td>AHMAD HAIDZAR ATTOYYIBI / TOYIBIN</td>
<td>00C090903</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.5 / 83</td>
<td>12.3/KURUS</td>
<td>90 / 60</td>
<td>a06</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>3722</td>
<td>RAENA ISNAYLA PUTRI / ISWANTO</td>
<td>90H004202</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>19.5 / 119</td>
<td>13.8/KURUS</td>
<td>90 / 60</td>
<td>J00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3723</td>
<td>TOYIBIN / TOYIBIN</td>
<td>00C090900</td>
<td>JL.CEMPEDEK SELATAN NO.8</td>
<td>L</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 172</td>
<td>120 / 81</td>
<td>k04.1</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>3724</td>
<td>ERNAWATI / MUCHAMMAD DZULQARNAIN</td>
<td>90C67301</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 148</td>
<td>21/NORMAL</td>
<td>99 / 60</td>
<td>z34</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3725</td>
<td>PARMI / SUHARTO</td>
<td>089090603201</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 148</td>
<td>126 / 75</td>
<td>j00</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3726</td>
<td>STEVI ALFARA SHANDIKA PUTRI / SATRIA HUDA</td>
<td>00A3002</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 164</td>
<td>101 / 72</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3727</td>
<td>DETAVIONA SHIREEN ALESHAMECCA / TANGGUH WIRA P</td>
<td>00D018890</td>
<td>JLN GALAR 2/269</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4900 / 51</td>
<td>89 / 58</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Tembalang</td>
</tr> <tr>
<td>3728</td>
<td>JUNIAR RAHMA IRNAWATI / MULYONO</td>
<td>080000802302</td>
<td>P</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 141</td>
<td>99 / 77</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3729</td>
<td>RAFISQI FARHAN FIRMANSYAH / ISWANTO</td>
<td>90H004204</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5900 / 59</td>
<td>70 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3730</td>
<td>ZAHRA UL HASANAH / ADITYA RAFIF ARDANA</td>
<td>00E036601</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 150</td>
<td>103 / 58</td>
<td>k01.1</td>
<td>gigi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3731</td>
<td>KISMI DWIARTI / SATRIA HUDA P</td>
<td>00A3001</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>121 / 67</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3732</td>
<td>AURELIE RAHEL SABIYA / MUHAMMAD ZAINI </td>
<td>00346402</td>
<td>JL PISANG 1</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 111</td>
<td>17/KURUS</td>
<td>100 / 70</td>
<td>R50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3733</td>
<td>00E084202</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4200 / 54</td>
<td>70 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3734</td>
<td>00BPJS011807</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>2945 / 47.5</td>
<td>98 / 60</td>
<td>z27</td>
<td>imunisasi</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3735</td>
<td>KEVIN HASAN HADI WIBOWO / AGUNG HADI WIBOWO</td>
<td>00BPJS011808</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>2345 / 47</td>
<td>98 / 60</td>
<td>z27</td>
<td>imunisasi</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3736</td>
<td>JESSICA ELVARETA ALMADHEA / MAXIMILIANUS M.K WIDYATMOKO</td>
<td>00B15303</td>
<td>PETERONGAN TENGAH</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>43.8 / 165</td>
<td>16.1/KURUS</td>
<td>90 / 60</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3737</td>
<td>RAFANDRA IHSAN AZHARI / HASAN KURNIANTO</td>
<td>000362903</td>
<td>JALAN PISANG NO.18</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4700 / 56</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3738</td>
<td>NICHOLAS ANDRE AVELLINO / sulistiyono</td>
<td>00c39003</td>
<td>L</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 155</td>
<td>103 / 67</td>
<td>R22.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3739</td>
<td>SULISTIYONO / SULISTIYONO</td>
<td>00C39000</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 157</td>
<td>140 / 87</td>
<td>W57.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3740</td>
<td>KHAYLA ALMAIRA PUTRI / SETIADI</td>
<td>00A22903</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 85</td>
<td>90 / 50</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3741</td>
<td>IRIN FAILA SUFA / DHENNY SETIAWAN </td>
<td>00E057501</td>
<td>JL. LAMPER TENGAH IX NO. 35</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>73.9 / 146</td>
<td>138 / 91</td>
<td>z35</td>
<td>kia</td>
<td>tidak</td>
</tr> <tr>
<td>3742</td>
<td>HISYAM ARSHAKA MAULANA / YANUAR ALAN MAULANA</td>
<td>080000607093</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3165 / 48</td>
<td>90 / 60</td>
<td>z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3743</td>
<td>DEWI RAHMATIKASARI / AGUNG HADI WIBOWO</td>
<td>00BPJS011806</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>85 / 137</td>
<td>125 / 82</td>
<td>G44</td>
<td>umum</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3744</td>
<td>LIA NOVITA PUTRI / HUSEN BAHTIAR</td>
<td>069090052201</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>57.8 / 153</td>
<td>100 / 62</td>
<td>Z34</td>
<td>kia</td>
<td>tidak</td>
</tr> <tr>
<td>3745</td>
<td>ASTUTIK / ASTUTIK</td>
<td>080000466501</td>
<td>JL.PISANG, LAMPER TENGAH</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 157</td>
<td>131 / 66</td>
<td>i50.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3746</td>
<td>SALVI MOLLIVAH / YUSUF HARDI</td>
<td>0800J20905</td>
<td>JL. MANGGIS VI/33</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 150</td>
<td>111 / 77</td>
<td>h81.1</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3747</td>
<td>ZUMALA RISKI ANDINI / RIZAL IKHSAN</td>
<td>90A10501</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>39.9 / 150</td>
<td>17.7/KURUS</td>
<td>103 / 70</td>
<td>z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3748</td>
<td>IKA ISWATI / AGUNG KURNIAWAN</td>
<td>90D071601</td>
<td>P</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 156</td>
<td>180 / 100</td>
<td>I10</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tugurejo</td>
</tr> <tr>
<td>3749</td>
<td>ELZIO RAYYANZA ALFAREZEL / SETIADI</td>
<td>00A22902</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.2 / 67.5</td>
<td>15.8/KURUS</td>
<td>70 / 51</td>
<td>r50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3750</td>
<td>SHEZANAMIRA SYIFA AZZAHRA / HARJANTO</td>
<td>00E071102</td>
<td>JL. PETERONGAN TENGAH </td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3400 / 51</td>
<td>89 / 57</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3751</td>
<td>MUHAMMAD MIRZA RESATA / RESA JOSY PRATIDAR</td>
<td>00119397</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.2 / 78</td>
<td>16.8/KURUS</td>
<td>80 / 60</td>
<td>Z00</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3752</td>
<td>KEYRA AFSHEENA MEYSHA / IKHSAN FAJAR FIRMANSYAH</td>
<td>00C099802</td>
<td>JL.PETERONGAN TENGAH 318-B</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.7 / 65</td>
<td>15.9/KURUS</td>
<td>70 / 51</td>
<td>z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3753</td>
<td>MUHAMMAD ABDURAHMAN AS SALAFY / EKO NURUL LATIF</td>
<td>90D05303</td>
<td>JL. SURAKAN, KEL. SIDOREJO, KAB. MAGELANG</td>
<td>L</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>32 / 143</td>
<td>15.6/KURUS</td>
<td>100 / 60</td>
<td>R10.4</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3754</td>
<td>DEWI OKTAFIANTI / RESA JOSY PRATIDAR</td>
<td>00119396</td>
<td>JL. PETERONGAN</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 157</td>
<td>17.4/KURUS</td>
<td>115 / 73</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3755</td>
<td>MISTINI / SUMARNO</td>
<td>080000349291</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 144</td>
<td>134 / 80</td>
<td>I10</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3756</td>
<td>MUHAMMAD DWI ARSYA HIDAYAT / SLAMET HIDAYAT</td>
<td>00464203</td>
<td>JL. PISANG</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.6 / 85.5</td>
<td>15.9/KURUS</td>
<td>72 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>tidak</td>
</tr> <tr>
<td>3757</td>
<td>SLAMET ARYANTO / MUSLIH</td>
<td>90I024106</td>
<td>KUDAN TLOGOMULYO</td>
<td>L</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 171</td>
<td>141 / 81</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tlogomulyo</td>
</tr> <tr>
<td>3758</td>
<td>KAYLA FARIN NINDITYA / NGATMA FAJAR</td>
<td>0000204302</td>
<td>LAMPER TENGAH III</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.600 / 81.5</td>
<td>14.5/KURUS</td>
<td>90 / 60</td>
<td>Z27</td>
<td>imunisasi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3759</td>
<td>INDAH ASMIATI / SISWANTO</td>
<td>90A46902</td>
<td>JL. GUNUNG PAYUNG</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 150</td>
<td>117 / 72</td>
<td>m79</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Ngaliyan</td>
</tr> <tr>
<td>3760</td>
<td>ELNINO PUTRA CHRISTIAN / ANDIKA</td>
<td>00A32102</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 112</td>
<td>14.3/KURUS</td>
<td>90 / 60</td>
<td>r50</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3761</td>
<td>90902620001</td>
<td>L</td>
<td>54 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 163</td>
<td>99 / 63</td>
<td>g44</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>3762</td>
<td>00B95900</td>
<td>L</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 165</td>
<td>106 / 64</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3763</td>
<td>NUR HAYANI / WISNU YUNIARTO</td>
<td>0800003710001</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>111 / 68</td>
<td>N91</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3764</td>
<td>NOVAL ABDUL ARIS / KUSMONO</td>
<td>90E098102</td>
<td>JL.RANDUDONGKAL KEL.RANDUDONGKAL KEC.RANDUDONGKAL KAB.PEMALANG</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 165</td>
<td>130 / 83</td>
<td>a09</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3765</td>
<td>SUPARDI / SUPARDI</td>
<td>080000442500</td>
<td>L</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 161</td>
<td>155 / 110</td>
<td>E11.6</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3766</td>
<td>PUJI MURTI / ANDI HERMAWAN</td>
<td>0800063901</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 157</td>
<td>135 / 101</td>
<td>R22.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3767</td>
<td>NUGROHO JOKO S / NUGROHO JOKO S</td>
<td>080000418102</td>
<td>L</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 165</td>
<td>18.4/KURUS</td>
<td>116 / 70</td>
<td>j00</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3768</td>
<td>BELVA ALFANIA GIVANNA PUTRI / ALFIAN IBNU HABIBIE</td>
<td>00D012002</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>12.5 / 74</td>
<td>88 / 42</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3769</td>
<td>ARINI FITAQIYATUL / ARI SETIAWAN</td>
<td>080000299003</td>
<td>PETERONGAN TENGAH</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 133</td>
<td>14.1/KURUS</td>
<td>100 / 70</td>
<td>k30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3770</td>
<td>DAYVANA INGGITA DAHAYU / GEMPAR TRIRIDHNANDA PUTRA</td>
<td>90D077102</td>
<td>JL.WONODRI BARU V NO.4</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>9 / 71</td>
<td>17.9/KURUS</td>
<td>89 / 57</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>3771</td>
<td>9090A3003</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>23 / 119</td>
<td>16.2/KURUS</td>
<td>100 / 70</td>
<td>k30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3772</td>
<td>00E082402</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>3500 / 51</td>
<td>89 / 54</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3773</td>
<td>RADITYA CHRISTIANO ARAVAJORDAN / EKO KRISTIYANTO</td>
<td>90I024202</td>
<td>JL. BANTENG UTARA 10 NO. 9</td>
<td>L</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 165</td>
<td>103 / 66</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3774</td>
<td>BILQIS NUR SYABILA / RUKMI</td>
<td>080000378891</td>
<td>LAMPER TENGAH XII </td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 155</td>
<td>94 / 68</td>
<td>a09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3775</td>
<td>ENTIN KARTINI / HADI SUHARJO</td>
<td>080000603801</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 153</td>
<td>129 / 84</td>
<td>B35.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3776</td>
<td>HADI SUHARDJO / HADI SUHARDJO</td>
<td>080000000191</td>
<td>L</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>132 / 77</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3777</td>
<td>ARCELLO SAGA BATARA / CHRISTIANA VEGA SHEIRLITA</td>
<td>00E069202</td>
<td>JL.SOMPOK LAMA 66</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.4 / 98</td>
<td>9.8/KURUS</td>
<td>89 / 57</td>
<td>J18</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3778</td>
<td>VANESSA KURNIA PUTRI / SULARNO</td>
<td>00004203</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>27 / 136</td>
<td>14.6/KURUS</td>
<td>100 / 70</td>
<td>H65.9</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3779</td>
<td>ETHAN GAVRA SHANKARA / SEIKO WAHYU KUSDIANTO</td>
<td>00B93603</td>
<td>JL. LAMPER MIJEN RAYA NO.303-A</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4440 / 52.5</td>
<td>88 / 42</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3780</td>
<td>00A27203</td>
<td>L</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 165</td>
<td>17.6/KURUS</td>
<td>120 / 70</td>
<td>a15</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3781</td>
<td>CHRISTIANA VEGA SHEIRLITA / CHRISTIANA VEGA SHEIRLITA</td>
<td>00E069201</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 159</td>
<td>116 / 76</td>
<td>r11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3782</td>
<td>SANI BATARA JATI / SANI BATARA JATI</td>
<td>00D085700</td>
<td>JL.GRAHA MULYA ASRI I-B/47</td>
<td>L</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 174</td>
<td>108 / 79</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3783</td>
<td>WAHYU RAHMAWATI / TRI SUJARWO</td>
<td>90H025602</td>
<td>JL. SENTIAKI RAYA NO. 40</td>
<td>P</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 160</td>
<td>116 / 62</td>
<td>g44</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Bulu Lor</td>
</tr> <tr>
<td>3784</td>
<td>080000403101A</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 155</td>
<td>122 / 77</td>
<td>r11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3785</td>
<td>FITRIA MEISYA RAMADHANI / R.BINARSO </td>
<td>000220604</td>
<td>CERME </td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>24.9 / 100</td>
<td>70 / 66</td>
<td>j06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3786</td>
<td>'ALIYYA HANA KARTIKA / AGUS SURYANTO</td>
<td>90H070703</td>
<td>JL.KINIBALU BARAT NO.45</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 155</td>
<td>20/NORMAL</td>
<td>98 / 66</td>
<td>G44.2</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>3787</td>
<td>DAVENDRA PUTRA WINANJAYA / TRI HARUCI</td>
<td>90H078804</td>
<td>JL. KARANGANYAR LEGOK</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>4900 / 53</td>
<td>80 / 42</td>
<td>z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3788</td>
<td>ANINDA YULIAN PERTIWI / YULIYANTO</td>
<td>90B9704</td>
<td>JL.DUSUN JABUNG KEL.LATAK KEC.GODONG KB.GROBOGAN</td>
<td>P</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>13 / 100</td>
<td>13/KURUS</td>
<td>88 / 43</td>
<td>r50</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>3789</td>
<td>TUKIDJO / TUKIDJO</td>
<td>080000337600</td>
<td>JL. CERME UTARA</td>
<td>L</td>
<td>74 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 170</td>
<td>16.3/KURUS</td>
<td>124 / 68</td>
<td>m79.1</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>3790</td>
<td>NIMAS AYU TRI UTAMI / EDHI PURNIAWAN</td>
<td>080000021004</td>
<td>P</td>
<td>33 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 156</td>
<td>114 / 78</td>
<td>j02</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3791</td>
<td>0800047401</td>
<td>JL. PISANG</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 150</td>
<td>131 / 87</td>
<td>k30</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3792</td>
<td>0000220601</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 147</td>
<td>108 / 65</td>
<td>r20.2</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3793</td>
<td>00C065902</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>11.7 / 86</td>
<td>15.8/KURUS</td>
<td>89 / 58</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3794</td>
<td>NINING / ALDO PURBOYO</td>
<td>00A57001</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>71 / 154</td>
<td>29.9/KURUS</td>
<td>136 / 84</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3795</td>
<td>SRI WATI / RUKANI</td>
<td>90341505</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>58 / 150</td>
<td>103 / 69</td>
<td>L30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3796</td>
<td>0800051100</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 165</td>
<td>18.4/KURUS</td>
<td>189 / 90</td>
<td>z71</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3797</td>
<td>BARATHA PRAYOGA / SARWO WIDODO</td>
<td>080000370103</td>
<td>P</td>
<td>10 Tahun</td>
<td></td>
<td></td>
<td>26 / 131</td>
<td>15.2/KURUS</td>
<td>90 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3798</td>
<td>FIKA SETYAWATI / HADI PRANOTO</td>
<td>00a68902</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 155</td>
<td>138 / 80</td>
<td>j06</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3799</td>
<td>00BPJS0083</td>
<td>L</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 170</td>
<td>120 / 80</td>
<td>z71</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>3800</td>
<td>BAGAS NAUFAL PRATAMA / AGUNG BASARI</td>
<td>00.J025303</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>33 / 133</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3801</td>
<td>MAJA SADANA PUTRI ISMANTO / MUHAMMAD VIKY ISMANTO</td>
<td>00E052803</td>
<td>JL.LAMPER TENGAH GANG XV BC</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.6 / 65</td>
<td>15.6/KURUS</td>
<td>87 / 56</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3802</td>
<td>SUPARTI / SUBIYANTORO</td>
<td>90A39301</td>
<td>JL.GULANG KEL.GULANG KEC.MEJOBO KAB.KUDUS</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 160</td>
<td>116 / 77</td>
<td>N92.1</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3803</td>
<td>AIDAH RIZANI FIRDAUSY / MUHAMAD RIZAL </td>
<td>000030491</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.4 / 67.5</td>
<td>16.2/KURUS</td>
<td>89 / 56</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3804</td>
<td>MOHAMMAD ANDIKA PUTRA / DWI SULISTIYONO</td>
<td>00E080204</td>
<td>JL. RAMBUTAN BARAT IV/23A</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 106</td>
<td>16/KURUS</td>
<td>100 / 70</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3805</td>
<td>KUNIAWATI / MUHAMMAD SOLIHIN</td>
<td>000030490</td>
<td>JL.LAMPE TENGAH IX</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>43.6 / 148</td>
<td>123 / 76</td>
<td>Z30</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3806</td>
<td>IKA SEPTIANA CAHYANINGTYAS / NUHADI</td>
<td>90G048901</td>
<td>SEMBUNG, SENDANG, KEL. SENDANGTIRTO, BERBAH, KAB. SLEMAN</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 158</td>
<td>100 / 80</td>
<td>Z71</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3807</td>
<td>080J010601</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 154</td>
<td>19/NORMAL</td>
<td>96 / 55</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3808</td>
<td>MARETA TRIYANA / BUDIYANA</td>
<td>0800010603</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 145</td>
<td>18.1/KURUS</td>
<td>99 / 66</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3809</td>
<td>ERINA ANINDYA MAHESWARI / M YUSRI HAFIDLUL AZMI</td>
<td>90E047802</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>10 / 82</td>
<td>14.9/KURUS</td>
<td>70 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3810</td>
<td>00010605</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 158</td>
<td>151 / 84</td>
<td>m54.5</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3811</td>
<td>BANJAR SETYA NDALU / BUDIYANA</td>
<td>00010603</td>
<td>L</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 155</td>
<td>17.5/KURUS</td>
<td>108 / 62</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3812</td>
<td>DELLA PUTRI VITASARI / EKO WINANJAR</td>
<td>90H070204</td>
<td>JL.LEMAH PUTIH, KEL. PASINAN LEMAHPUTIH, KEC. WRINGINANOM, KAB.
GRESIK</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 150</td>
<td>104 / 62</td>
<td>H60</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3813</td>
<td>SILVESTER STEVE NELSON P / G. SAMUEL AFNAN YUDI PRACOYO</td>
<td>00B27104</td>
<td>L</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 169</td>
<td>110 / 76</td>
<td>a09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3814</td>
<td>OKKY SUSANTO / SRIYANTO</td>
<td>00B91302</td>
<td>L</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 170</td>
<td>17.6/KURUS</td>
<td>131 / 71</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3815</td>
<td>90E099001</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 155</td>
<td>110 / 70</td>
<td>z01.7</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gisikdrono</td>
</tr> <tr>
<td>3816</td>
<td>ARVISKA VAFILYASARI / NUR HARYOKO</td>
<td>00B78303</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 157</td>
<td>119 / 80</td>
<td>Z35</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3817</td>
<td>SYAKIRA LABIBA ALTAFUNNISA / HENDRY</td>
<td>0000319402</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 115</td>
<td>15.9/KURUS</td>
<td>90 / 50</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3818</td>
<td>EDHO ADHA PUTRA / BAGAS HERMAWAN</td>
<td>00E026905</td>
<td>L</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 172</td>
<td>17.9/KURUS</td>
<td>131 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3819</td>
<td>SARI AYU RISNAWATI / ANDI ECHO</td>
<td>00E044601</td>
<td>JL.MANGGA VI NO.21</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 158</td>
<td>127 / 68</td>
<td>m79.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3820</td>
<td>00A13402</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 161</td>
<td>18.1/KURUS</td>
<td>100 / 70</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3821</td>
<td>DIYONO SUWARNO / DIYONO SUWARNO</td>
<td>00E062100</td>
<td>JL.LAMPER TENGAH XV/35</td>
<td>L</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 155</td>
<td>148 / 109</td>
<td>i10</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3822</td>
<td>0000503103</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 115</td>
<td>15.1/KURUS</td>
<td>90 / 60</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3823</td>
<td>080000605400</td>
<td>L</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 164</td>
<td>120 / 70</td>
<td>m62</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>3824</td>
<td>JOHAN DWI PURNOMO / SARWIN</td>
<td>0800386209</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 140</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3825</td>
<td>ANUGRAH BIMA JHONATA / DARDIRI</td>
<td>0000473206</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>34 / 131</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3826</td>
<td>AS'AD RAKHEM AL-BUKHORI / MUHAMMAD RIFA'I</td>
<td>90E045404</td>
<td>JL.PUNDENARUM KEL.PUNDERARUM KEC.KARANGAWEN KAB.DEMAK</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>25 / 122</td>
<td>16.8/KURUS</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3827</td>
<td>ILHAM GHOLIB / DWI SURYANTO</td>
<td>0000531902</td>
<td>CEMPEDAK RAYA 15, LAMPER LOR</td>
<td>L</td>
<td>10 Tahun</td>
<td></td>
<td></td>
<td>31 / 141</td>
<td>15.6/KURUS</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3828</td>
<td>KINARA AYUDYA PUTRI / AGUS KRISTANTO</td>
<td>0000539602</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>28 / 135</td>
<td>15.4/KURUS</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3829</td>
<td>AFIZA AYUDIA RAHAYU / JOKO TENANG</td>
<td>00C06303</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>33 / 136</td>
<td>17.8/KURUS</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3830</td>
<td>ANGGUN DIVIA / HADI PRANOTO</td>
<td>00a68901</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>28 / 132</td>
<td>16.1/KURUS</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3831</td>
<td>NURI AMELIA PRASETIYO / ANTOK PRASETIYO</td>
<td>00005304</td>
<td>JL. CEMPEDAK UTARA NO.38-C</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>26 / 123</td>
<td>17.2/KURUS</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3832</td>
<td>KHYNANTY MUTIARA DEWI / MUGIONO</td>
<td>90I094303</td>
<td>JL.SENDANGGUWO RAYA</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 132</td>
<td>13.8/KURUS</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3833</td>
<td>ADILA NUR'AENI ZULFA / DWI SULISTIYONO</td>
<td>080000532403</td>
<td>JL. RAMBUTAN BARAT IV/23-A</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>31 / 134</td>
<td>17.3/KURUS</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3834</td>
<td>DWI FATMAWATI / DWI PURNOMO</td>
<td>0800004904</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>38 / 140</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3835</td>
<td>LEONA BRAVELINE / DODIK MUSTOFA</td>
<td>00E090302</td>
<td>P</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>44 / 146</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3836</td>
<td>NOORSIYAM / NOORSIYAM</td>
<td>90G094801</td>
<td>JL.PUNCANG ASRI VIII NO.34</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>140 / 90</td>
<td>i10</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3837</td>
<td>90C91890</td>
<td>P</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 155</td>
<td>17.5/KURUS</td>
<td>111 / 80</td>
<td>g52</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>3838</td>
<td>KINNAS ARTHAWIDYA / ZAENAL MUSTOFA</td>
<td>90C38203</td>
<td>EBONE 108</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>15 / 88</td>
<td>90 / 60</td>
<td>j00</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>3839</td>
<td>00A13402</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 161</td>
<td>18.1/KURUS</td>
<td>100 / 60</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3840</td>
<td>MULYANI / SUBAGYO</td>
<td>080000009201</td>
<td>JL. NANAS</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 146</td>
<td>130 / 65</td>
<td>H11.8</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3841</td>
<td>080000706001</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 165</td>
<td>18/KURUS</td>
<td>100 / 70</td>
<td>z34</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3842</td>
<td>Y SUDARNO / Y SUDARNO</td>
<td>00C05300</td>
<td>L</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>140 / 70</td>
<td>i25</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>3843</td>
<td>SUPARNO / SUPARNO</td>
<td>000290100</td>
<td>CEMPEDAK UTARA 8 B</td>
<td>L</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 165</td>
<td>120 / 70</td>
<td>L30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3844</td>
<td>ASA PUTRI ANGGINI / AMAT KUWAT</td>
<td>0000528602</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 161</td>
<td>113 / 73</td>
<td>L30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3845</td>
<td>WIWIK WIDIYASTUTI / MUHAMMAD ARIF ARDIANSYAH</td>
<td>90H030401</td>
<td>KABA TIMUR</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>71.5 / 155</td>
<td>128 / 74</td>
<td>N91</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3846</td>
<td>080000605100</td>
<td>L</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 160</td>
<td>142 / 85</td>
<td>J00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3847</td>
<td>YUSTINA ANI NURWATI / MAWARDI</td>
<td>080000605101</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>85 / 155</td>
<td>130 / 80</td>
<td>z09.0</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3848</td>
<td>STEFANO RAFI SANJAYA / RISKI ADI PUTRA</td>
<td>90A45405</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.4 / 69</td>
<td>86 / 56</td>
<td>A09</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3849</td>
<td>0000551000</td>
<td>L</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 171</td>
<td>143 / 80</td>
<td>T79</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>3850</td>
<td>WARTINI / BUDI SURANTO</td>
<td>00E090401</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 142</td>
<td>113 / 73</td>
<td>H52.5</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3851</td>
<td>SUYATMI / SUYETNO</td>
<td>0800096201</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>110 / 80</td>
<td>e11.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3852</td>
<td>SUPRIYONO / SUPRIYONO</td>
<td>00E009400</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 160</td>
<td>140 / 80</td>
<td>z71</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3853</td>
<td>BUDI SURANTO / BUDI SURANTO</td>
<td>00E090400</td>
<td>L</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>120 / 80</td>
<td>Z71</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3854</td>
<td>080000198205</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.6 / 75</td>
<td>13.5/KURUS</td>
<td>89 / 57</td>
<td>R50</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3855</td>
<td>SUMARTI / MUHAMMAD</td>
<td>9090012001</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 155</td>
<td>150 / 90</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3856</td>
<td>UMI KUSTITIYAH / UMI KUSTITIYAH</td>
<td>00A34901</td>
<td>P</td>
<td>71 Tahun</td>
<td>BARU</td>
<td></td>
<td>66 / 143</td>
<td>180 / 90</td>
<td>I10</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>3857</td>
<td>WILDAN BAHTIAR PUTRA PRATAMA / TITI HARYANTI</td>
<td>90F065204</td>
<td>JL.DUSUN KAUMAN KEL.KESESI KEC.KESESI KAB.</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.4 / 77</td>
<td>15.9/KURUS</td>
<td>88 / 54</td>
<td>A09</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3858</td>
<td>TRI UTAMI / TRI UTAMI</td>
<td>080000420701</td>
<td>P</td>
<td>49 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 162</td>
<td>21/NORMAL</td>
<td>144 / 79</td>
<td>E11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3859</td>
<td>AIS LAMIARSI / MOCH MUBAROK</td>
<td>90A53792</td>
<td>KELAPA SAWIT VI/AF-15</td>
<td>P</td>
<td>56 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 152</td>
<td>129 / 79</td>
<td>k05.2</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Meteseh</td>
</tr> <tr>
<td>3860</td>
<td>DHIMAS PERMADI / HADI SUWARDJO</td>
<td>00019102</td>
<td>LAMPER MIJEN 319-A</td>
<td>L</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 170</td>
<td>120 / 70</td>
<td>b01</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3861</td>
<td>00E082500</td>
<td>L</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>74 / 158</td>
<td>138 / 83</td>
<td>E11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3862</td>
<td>MOCH MUBAROK / MOCH MUBAROK</td>
<td>90A53791</td>
<td>KELAPA SAWIT VI/AF-15</td>
<td>L</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 162</td>
<td>150 / 86</td>
<td>K02</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Meteseh</td>
</tr> <tr>
<td>3863</td>
<td>ANISA DWI KHASANAH / SLAMET WIDODO</td>
<td>089090313091</td>
<td>PONGANGAN, KEL. SIDOMAKMUR, KEC. KALIWUNGU SELATAN, KAB. KENDAL</td>
<td>P</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 151</td>
<td>116 / 72</td>
<td>i84</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3864</td>
<td>AZKIA PUTRI AQILLA CHANA / SLAMET GIYONO</td>
<td>00C073203</td>
<td>P</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>12.4 / 82</td>
<td>18.4/KURUS</td>
<td>89 / 59</td>
<td>R50</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3865</td>
<td>ALVIN RYAN PRATAMA / SUPRIYONO</td>
<td>0800089402</td>
<td>JL. SOMPOK LAMA GG KESAMBI 04</td>
<td>L</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>55 / 165</td>
<td>110 / 80</td>
<td>Z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>3866</td>
<td>ZACHEO ZALFA / HASTADI</td>
<td>0000344504</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 145</td>
<td>90 / 60</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3867</td>
<td>RIANA / WILARSO</td>
<td>0000406503</td>
<td>P</td>
<td>55 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 155</td>
<td>156 / 81</td>
<td>k04.0</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3868</td>
<td>ANI MUDJIYATI / OEKI NURHARTANTO</td>
<td>3374074203890001</td>
<td>WONODRI KRAJAN </td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 157</td>
<td>120 / 77</td>
<td>h81.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>3869</td>
<td>ALVARO PUTERA ARJUNA / EDI KUSNANTO</td>
<td>90H062004</td>
<td>JL. ROGOJEMBANGAN</td>
<td>L</td>
<td>4 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.9 / 101</td>
<td>14.6/KURUS</td>
<td>90 / 58</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3870</td>
<td>SAKTI HERMALELA / HERRY NUGROHO</td>
<td>0000408007</td>
<td>JL KEDONDONG DALAM I/419</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>14 / 104</td>
<td>12.9/KURUS</td>
<td>90 / 60</td>
<td>R11</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3871</td>
<td>NURUL HAYATI / DIAN SAPUTRO</td>
<td>0000A53601</td>
<td>JL LAMPER TENGAH XV</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 158</td>
<td>113 / 83</td>
<td>Z34</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3872</td>
<td>NAFISHA SYAFA NARUFIAN / ANDRI PRATAMA</td>
<td>90F065203</td>
<td>JL. KESESI, KESESI, KESESI, KAB. PEKALONGAN </td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>16 / 121</td>
<td>10.9/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3873</td>
<td>DEWI ZULAECHAH / DIDIN JAEDIN</td>
<td>90BPJS037201</td>
<td>JL.GENUKSARI</td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>58.1 / 152</td>
<td>106 / 67</td>
<td>Z30</td>
<td>kia</td>
<td>tidak</td>
<td>Genuksari</td>
</tr> <tr>
<td>3874</td>
<td>PONIYEM / PONIYEM</td>
<td>0000179700</td>
<td>JL.MANGGIS VII/51 LAMPER LOR</td>
<td>P</td>
<td>65 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 155</td>
<td>100 / 70</td>
<td>I50.0</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3875</td>
<td>DAVIN PUTRA PRATAMA / GUNTUR</td>
<td>0000313602</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 118</td>
<td>14.4/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3876</td>
<td>WAGINO / WAGINO</td>
<td>90I024400</td>
<td>DSN. SIDOREJO, KEL. TEPISARI, KEC. POLOKARTO, KAB. SUKOHARJO</td>
<td>L</td>
<td>70 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 157</td>
<td>130 / 68</td>
<td>H61.2</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3877</td>
<td>RAHAYU / MOCH HASAN</td>
<td>080000405101</td>
<td>LAMPER TENGAH XV B</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 157</td>
<td>122 / 76</td>
<td>Z35</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3878</td>
<td>MICHELLE KRISTINA / SURYONO</td>
<td>080000358005</td>
<td>P</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 160</td>
<td>17.6/KURUS</td>
<td>107 / 73</td>
<td>H11.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3879</td>
<td>ALFARNA RAFALE IMANUEL / ARIF OKTAFIANTO</td>
<td>9090109806</td>
<td>JL. LAMPER TENAGH XII</td>
<td>L</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>17 / 105</td>
<td>15.4/KURUS</td>
<td>90 / 45</td>
<td>j06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3880</td>
<td>089090401000</td>
<td>L</td>
<td>44 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 168</td>
<td>120 / 70</td>
<td>L50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3881</td>
<td>SRI SUSANTI / HERY SETIYAWAN</td>
<td>90D078601</td>
<td>JL. KIJANG SELATAN III</td>
<td>P</td>
<td>39 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 165</td>
<td>127 / 82</td>
<td>Z30</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>3882</td>
<td>JOSHUA NUGRAHA ISDIANTO / EDI KUSNANTO</td>
<td>90H062003</td>
<td>JL. ROGOJEMBANGAN</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>21 / 140</td>
<td>10.7/KURUS</td>
<td>90 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3883</td>
<td>KRISNA KRISTAHNI SYAUTA / FAJAR SATYA PATRIA</td>
<td>90G048501</td>
<td>JL.ROGOJEMBANGAN DALAM RAYA NO.1 </td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>64.1 / 158</td>
<td>127 / 84</td>
<td>k08.3</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3884</td>
<td>0800127003</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 152</td>
<td>110 / 80</td>
<td>f20.1</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>3885</td>
<td>NADIA SAFITRI / EDI PRIHARTONO</td>
<td>000J38906</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 157</td>
<td>110 / 80</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3886</td>
<td>MAHAWIRA ELVANO PUTRA ARIEZTHYA / MUHAMMAD ARIF</td>
<td>0000191702</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>12.3 / 86</td>
<td>16.6/KURUS</td>
<td>89 / 57</td>
<td>R11</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3887</td>
<td>TRI PUJI LESTARI / DANANG RUSYANTO</td>
<td>00A43301</td>
<td>P</td>
<td>29 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 157</td>
<td>117 / 67</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3888</td>
<td>IIS ERVIANA / ISMAIL</td>
<td>90C83202</td>
<td>DAWUNG</td>
<td>P</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 154</td>
<td>121 / 84</td>
<td>Z34</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3889</td>
<td>HASTA YOELIARSO / HASTA YOELIARSO</td>
<td>00E090500</td>
<td>JLN DUWET NO.04</td>
<td>L</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 170</td>
<td>150 / 100</td>
<td>I10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3890</td>
<td>00E056601</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 148</td>
<td>133 / 77</td>
<td>I10</td>
<td>lansia</td>
<td>tidak</td>
</tr> <tr>
<td>3891</td>
<td>SUDARMINI / BUNADI</td>
<td>080J096501</td>
<td>LAMPER TENGAH II/591</td>
<td>P</td>
<td>69 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 155</td>
<td>138 / 71</td>
<td>m79.1</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3892</td>
<td>APRILIA WAHYUNINGTIAS / TRIYAWAN CAHYONO</td>
<td>00E076001</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>66.9 / 149</td>
<td>134 / 82</td>
<td>z35</td>
<td>kia</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3893</td>
<td>00C057803</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 159</td>
<td>21/NORMAL</td>
<td>100 / 60</td>
<td>T79</td>
<td>umum</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3894</td>
<td>DWI WAHYUNINGSIH / DWI SANTOSO</td>
<td>00C075201</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>65.5 / 155</td>
<td>139 / 83</td>
<td>k04.0</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3895</td>
<td>SAWONO / SAWONO</td>
<td>000J46700</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 160</td>
<td>127 / 66</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3896</td>
<td>MUHAMMAD KAISAR AL QOWIM / TRIAJI QOWIM MANSUR</td>
<td>90G059103</td>
<td>MARGOLUNYU LOR, KEL. JATILUHUR, KEC. ROWOKELE, KAB. KEBUMEN, PROV.
JATENG</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6.6 / 61.5</td>
<td>17.4/KURUS</td>
<td>89 / 42</td>
<td>Z27</td>
<td>imunisasi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3897</td>
<td>090000368102</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.6 / 73.5</td>
<td>17.8/KURUS</td>
<td>88 / 42</td>
<td>r50</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3898</td>
<td>ADITYA PERMANA / HADI SUHARJO</td>
<td>080000603802</td>
<td>JL.LAMPER MIJEN NO.319-A</td>
<td>L</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 173</td>
<td>20/NORMAL</td>
<td>120 / 67</td>
<td>T79</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3899</td>
<td>KHAYRA SALSABILA NADHIF / GALIH SANTOSO</td>
<td>9090183203</td>
<td>P</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.2 / 64</td>
<td>17.6/KURUS</td>
<td>72 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>3900</td>
<td>ANGGRILA SUCI RAMADHANI / ISTIONO</td>
<td>90A90803</td>
<td>JL.SAWI</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>64 / 156</td>
<td>143 / 107</td>
<td>l02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3901</td>
<td>AKIP AHZA AHLAMI / MARFUAD</td>
<td>080000336706</td>
<td>L</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 126</td>
<td>15.1/KURUS</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3902</td>
<td>DEVI ZERLINDA / ADI PRIYANTO</td>
<td>080000531702</td>
<td>P</td>
<td>14 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 151</td>
<td>90 / 60</td>
<td>r05</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3903</td>
<td>NOVAL ABDUL ARIS / KUSMONO</td>
<td>90E098102</td>
<td>JL.RANDUDONGKAL KEL.RANDUDONGKAL KEC.RANDUDONGKAL KAB.PEMALANG</td>
<td>L</td>
<td>28 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 165</td>
<td>136 / 80</td>
<td>r11</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3904</td>
<td>YOHANES ANTONI / SUGENG</td>
<td>00056008</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 164</td>
<td>122 / 82</td>
<td>b35.6</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3905</td>
<td>ANNISA QURRATA A'YUN / HARIYANTO</td>
<td>90A19504</td>
<td>JL. SAWI VIII NO. 19</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>19 / 109</td>
<td>16/KURUS</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3906</td>
<td>AQILLA SABIA NAZAFARIN / SATRIO EKO PRAKOSO</td>
<td>080000288106</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>15 / 102</td>
<td>14.4/KURUS</td>
<td>89 / 57</td>
<td>j02</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>3907</td>
<td>YARAOTUL WARIDAH / SUPRIYONO</td>
<td>080000052101</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 161</td>
<td>115 / 66</td>
<td>g44</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3908</td>
<td>90C77302</td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>57.9 / 149</td>
<td>110 / 70</td>
<td>Z34</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3909</td>
<td>9090A3003</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>23 / 119</td>
<td>16.2/KURUS</td>
<td>90 / 60</td>
<td>k30</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3910</td>
<td>YUNI KASITI / YUDANTORO</td>
<td>00BPJS001601</td>
<td>JL.CEMPEDAAK SELATAN 23</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>78 / 156</td>
<td>133 / 83</td>
<td>h81.3</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3911</td>
<td>PURWATI / WINARKO</td>
<td>00A41301</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 16</td>
<td>186 / 100</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3912</td>
<td>080000706001</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>48.9 / 165</td>
<td>18/KURUS</td>
<td>100 / 70</td>
<td>Z35</td>
<td>kia</td>
<td>umum</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3913</td>
<td>MARCELLUS GABRIAN ARSHA P / ROBERTUS ISMOYO A</td>
<td>00B72503</td>
<td>L</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>36 / 119</td>
<td>80 / 50</td>
<td>j02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3914</td>
<td>M YONO UNGKONO / M YONO UNGKONO</td>
<td>080000802700</td>
<td>L</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 167</td>
<td>125 / 70</td>
<td>l30</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3915</td>
<td>080000706001</td>
<td>P</td>
<td>35 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 165</td>
<td>18/KURUS</td>
<td>100 / 70</td>
<td>z34</td>
<td>gigi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3916</td>
<td>ALLEN FARESTA SANJAYA / ALFIN TRIARIES SANJAYA</td>
<td>90G043702</td>
<td>JL.CERME IV NO.75</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.4 / 71</td>
<td>90 / 60</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3917</td>
<td>MC. SARYATI / MC. SARYATI</td>
<td>00E029200</td>
<td>P</td>
<td>82 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 133</td>
<td>140 / 71</td>
<td>m79.1</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3918</td>
<td>080000403502</td>
<td>L</td>
<td>18 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 170</td>
<td>17.6/KURUS</td>
<td>104 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3919</td>
<td>RUBIYATI / RUBIANTO</td>
<td>080000288101</td>
<td>P</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>79 / 163</td>
<td>136 / 77</td>
<td>m79.1</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3920</td>
<td>AMBAR WINARSIH / BAYU ISPRANOTO</td>
<td>00J054901</td>
<td>P</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>89 / 160</td>
<td>131 / 84</td>
<td>Z00</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3921</td>
<td>SUYATI / DIDIT K</td>
<td>9090183400</td>
<td>P</td>
<td>64 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 145</td>
<td>151 / 71</td>
<td>T79.9</td>
<td>lansia</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3922</td>
<td>MARIA DWI RAHAYU / NOVAN CHRISWASTA</td>
<td>90I024501</td>
<td>JL. SUMBING NO. 2 B</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 163</td>
<td>100 / 60</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Bendungan</td>
</tr> <tr>
<td>3923</td>
<td>ANISAFITRI YEQO KESUMADEWI / JALU YULISANDI / SUMARDI</td>
<td>00A68590</td>
<td>P</td>
<td>30 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 160</td>
<td>102 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3924</td>
<td>ASYRAAF MUFAZZAL YEQO NURDAFFA / JALU YULISANDI / SUMARDI</td>
<td>00A68592</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>22 / 119</td>
<td>15.5/KURUS</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3925</td>
<td>WINARKO / WINARKO</td>
<td>00A41300</td>
<td>L</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>80 / 155</td>
<td>115 / 75</td>
<td>z71</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3926</td>
<td>SYAKIRA YULIA PUTRI / KOSMAN</td>
<td>0000299906</td>
<td>P</td>
<td>5 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 111</td>
<td>16.2/KURUS</td>
<td>100 / 70</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3927</td>
<td>RHINA YUNINGTYAS A, DRG / BENNET FEBRI, DRG</td>
<td>90D074001</td>
<td>JALAN KALICARI I NO.30</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 165</td>
<td>110 / 70</td>
<td>j02</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
<td>Kalicari</td>
</tr> <tr>
<td>3928</td>
<td>BESTARI PUTRI AL ASH / MUHAMMAD ABI AL ASH</td>
<td>90G037402</td>
<td>JL.DSN.CAWANG KEL.BULUREJO KEC.MERTOYUDAN KAB.MAGELANG</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>6155 / 63</td>
<td>90 / 60</td>
<td>Z27</td>
<td>imunisasi</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3929</td>
<td>AL RAFA TRIS PRIHARTININGSIH O / AL RAFA TRIS PRIHARTININGSIH O</td>
<td>90H052201</td>
<td>JL. PUCANG, PUCANG, BAWANG, KAB. BANJARNEGARA</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>73 / 155</td>
<td>138 / 92</td>
<td>r50</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3930</td>
<td>KIRANI AYUMI AZIZAH / KARDIMAN</td>
<td>070000340403</td>
<td>P</td>
<td>16 Tahun</td>
<td>BARU</td>
<td></td>
<td>40.8 / 160</td>
<td>15.9/KURUS</td>
<td>103 / 73</td>
<td>j02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3931</td>
<td>ADIB ADEN PRATAMA / ADIB ADEN PRATAMA</td>
<td>90I024600</td>
<td>JL.DUSUN KRAJAN KEL.MOJODESO KEC.KAPAS KAB.BOJONEGORO</td>
<td>L</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 165</td>
<td>112 / 64</td>
<td>R50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3932</td>
<td>ADELIA SALSABILLA SALMA / ANANG PRIHATMOKO / GUSTI ARYA P</td>
<td>0600003502</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>67.3 / 155</td>
<td>105 / 62</td>
<td>z34</td>
<td>kia</td>
<td>tidak</td>
</tr> <tr>
<td>3933</td>
<td>KARMI / LAJIM</td>
<td>0800115101</td>
<td>JL. LAMPER MIJEN, LAMPER TENGAH</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 156</td>
<td>126 / 75</td>
<td>m17</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3934</td>
<td>GHEA SYAHNITA BELZARA / KUNCORO AJI, SH</td>
<td>00D053903</td>
<td>JL.JERUK V, NO.28</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 165</td>
<td>113 / 81</td>
<td>N77.1</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3935</td>
<td>LUTHFI WAHYU PRATAMA / DJOKO WALUYO</td>
<td>00BPJS023002</td>
<td>L</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 168</td>
<td>23/NORMAL</td>
<td>120 / 80</td>
<td>H54.5</td>
<td>umum</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3936</td>
<td>BAMBANG SANTOSO / SARAH</td>
<td>90I024702</td>
<td>DSN. JEKETRO, KEL. JEKETRO, KEC. GUBUG, KAB. GROBOGAN</td>
<td>L</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 163</td>
<td>17.3/KURUS</td>
<td>124 / 72</td>
<td>r05</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3937</td>
<td>SAIFUL NUR KHOLIS / MUSALIM</td>
<td>00C082404</td>
<td>L</td>
<td>9 Tahun</td>
<td>BARU</td>
<td></td>
<td>28 / 129</td>
<td>16.8/KURUS</td>
<td>100 / 70</td>
<td>z02</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3938</td>
<td>TUFFATUL ARAFAH / ABDUL HAMID</td>
<td>90C40101</td>
<td>JL. LAMPER TENGAH NO 8</td>
<td>P</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 148</td>
<td>101 / 59</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3939</td>
<td>MUHAMMAD TAUFIK HIDAYAT / SYARIEF HIDAYAT</td>
<td>90G037202</td>
<td>JL.SALAK II NO.7-B</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 171</td>
<td>17.4/KURUS</td>
<td>111 / 70</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3940</td>
<td>GEVARIEL KENNETH MAXMILLIAN / NOVA ADI PRATAMA</td>
<td>0000306304</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>12.2 / 78</td>
<td>90 / 60</td>
<td>z00</td>
<td>imunisasi</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3941</td>
<td>HILDAN IBNU ROUDHOH AL BAIHAQI / HASAN</td>
<td>90C98302</td>
<td>JL.SENDANGGUWO SELATAN</td>
<td>L</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 163</td>
<td>121 / 70</td>
<td>H61.2</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3942</td>
<td>ARIF CAHYO SAPUTRO / ARIF CAHYO SAPUTRO</td>
<td>00E081000</td>
<td>L</td>
<td>32 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 168</td>
<td>23/NORMAL</td>
<td>115 / 68</td>
<td>r05</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3943</td>
<td>FATIYA NUR HIDAYAT / SYARIEF HIDAYAT</td>
<td>90G037204</td>
<td>JL. SALAK II NO. 7-B</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>28 / 130</td>
<td>16.6/KURUS</td>
<td>90 / 60</td>
<td>j06</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3944</td>
<td>00000303603</td>
<td>P</td>
<td>21 Tahun</td>
<td>BARU</td>
<td></td>
<td>32 / 155</td>
<td>13.3/KURUS</td>
<td>78 / 55</td>
<td>h66</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3945</td>
<td>SRI YANTI PROLANIS / KARTONO</td>
<td>P</td>
<td>66 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 155</td>
<td>119 / 79</td>
<td>z71</td>
<td>lansia</td>
<td>tidak</td>
<td>Tandang</td>
</tr> <tr>
<td>3946</td>
<td>SUJIATI / HARSONO</td>
<td>0000543201</td>
<td>pandean</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 157</td>
<td>112 / 68</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3947</td>
<td>90A0905</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 99</td>
<td>18.4/KURUS</td>
<td>90 / 60</td>
<td>z03.0</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3948</td>
<td>00B34200</td>
<td>L</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>86 / 163</td>
<td>130 / 80</td>
<td>i50.0</td>
<td>umum</td>
<td>gratis</td>
<td>ya</td>
</tr> <tr>
<td>3949</td>
<td>ABINAWA RAYANZA / ANGGA PRADITA</td>
<td>90E036104</td>
<td>JL.CANDI LOSMEN</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>10.5 / 72</td>
<td>70 / 55</td>
<td>J06</td>
<td>mtbs</td>
<td>umum</td>
<td>tidak</td>
<td>Candi</td>
</tr> <tr>
<td>3950</td>
<td>INTAN SURYANINGRUM / SURYANI</td>
<td>0000526202</td>
<td>P</td>
<td>12 Tahun</td>
<td>BARU</td>
<td></td>
<td>30 / 144</td>
<td>14.5/KURUS</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3951</td>
<td>MOHAMMAD JURI / MOHAMMAD JURI</td>
<td>00B26100</td>
<td>L</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 159</td>
<td>120 / 80</td>
<td>n35</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>3952</td>
<td>ANNISAH LULUK LATIFAH / SABAR</td>
<td>0800109203</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 155</td>
<td>132 / 80</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3953</td>
<td>ADAM WIJAYA / SUHYADI</td>
<td>080000544504</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>30 / 134</td>
<td>16.7/KURUS</td>
<td>100 / 70</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3954</td>
<td>BAMBANG MARTINUS / BAMBANG MARTINUS</td>
<td>9090218900</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>52 / 172</td>
<td>17.6/KURUS</td>
<td>151 / 85</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3955</td>
<td>CINDY KUMALA HAPSARI / HARSONO / BAGUS HENDRAWAN</td>
<td>0000543202</td>
<td>P</td>
<td>24 Tahun</td>
<td>BARU</td>
<td></td>
<td>51.6 / 153</td>
<td>22/NORMAL</td>
<td>97 / 64</td>
<td>Z34</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3956</td>
<td>SUMARMI prolanis / SUGIYANTO</td>
<td>080000363101</td>
<td>P</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 138</td>
<td>130 / 79</td>
<td>e11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3957</td>
<td>CHRISTIANA SUWARTI / THOMAS S</td>
<td>00BPJS9401</td>
<td>JL. JERUK IV / 13</td>
<td>P</td>
<td>72 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>152 / 60</td>
<td>i10</td>
<td>lansia</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3958</td>
<td>00E020000</td>
<td>L</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 170</td>
<td>170 / 100</td>
<td>r03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3959</td>
<td>FAIZAH ALIYA AZIZA / MULYONO</td>
<td>080000802303</td>
<td>P</td>
<td>10 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 151</td>
<td>100 / 70</td>
<td>j06</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3960</td>
<td>WIDIYATI HALIMAHTUS / TAUFIK HIDAYAT</td>
<td>90I024801</td>
<td>DSN. KEDUNGBOKOR, KEL. KEDUNGBOKOR, KEC. LARANGAN, KAB. BREBES</td>
<td>P</td>
<td>25 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 154</td>
<td>127 / 84</td>
<td>N91</td>
<td>kia</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3961</td>
<td>PUTRI AJENG MERDIANI / MAWARDI</td>
<td>080000605104</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 151</td>
<td>108 / 82</td>
<td>j06</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3962</td>
<td>SIH WIDIARTI / SUHARTONO</td>
<td>90B15703</td>
<td>JL. WONODRI KOPEN II/1033</td>
<td>P</td>
<td>51 Tahun</td>
<td>BARU</td>
<td></td>
<td>97 / 154</td>
<td>110 / 80</td>
<td>L98</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Wonodri</td>
</tr> <tr>
<td>3963</td>
<td>ROCHMAH / SUBUR ROCHMAN</td>
<td>000324903</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 157</td>
<td>117 / 84</td>
<td>m79.1</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3964</td>
<td>080000605100</td>
<td>L</td>
<td>43 Tahun</td>
<td>BARU</td>
<td></td>
<td>54 / 160</td>
<td>135 / 92</td>
<td>J00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3965</td>
<td>MUHAMMAD HAIQHAL BARA SAPUTRA / NAZAR WAHYU PUTRA</td>
<td>90A54090</td>
<td>JL. SAWI</td>
<td>L</td>
<td>2 Tahun</td>
<td>BARU</td>
<td></td>
<td>12.2 / 75</td>
<td>89 / 58</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3966</td>
<td>080J047800</td>
<td>JL.RAMBUTAN BARAT IV/23-A</td>
<td>L</td>
<td>63 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 158</td>
<td>24/NORMAL</td>
<td>143 / 74</td>
<td>J00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3967</td>
<td>SUPARDJO / SUPARDJO</td>
<td>0800j82900</td>
<td>L</td>
<td>68 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 160</td>
<td>120 / 70</td>
<td>G30</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>3968</td>
<td>DAVID SETIAWAN / SUBUR ROCHMAN</td>
<td>0000140903</td>
<td>L</td>
<td>8 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 117</td>
<td>14.6/KURUS</td>
<td>110 / 60</td>
<td>r50</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3969</td>
<td>SLAMET SUBAGIO / SLAMET SUBAGIO</td>
<td>0600J25100</td>
<td>L</td>
<td>75 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>135 / 80</td>
<td>E11</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3970</td>
<td>SUHARDIYANTI / SUHARDIYANTI</td>
<td>00025190</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>40 / 148</td>
<td>18.3/KURUS</td>
<td>112 / 75</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3971</td>
<td>SUMIYATI / SUPARDJO</td>
<td>08000J82901</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>63 / 150</td>
<td>138 / 71</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3972</td>
<td>ZASKIA WULANDARI / CATUR SUBAGYO</td>
<td>0000136306</td>
<td>JL LAMPER TENGAH I/549-A</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 153</td>
<td>17.9/KURUS</td>
<td>110 / 70</td>
<td>L27</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3973</td>
<td>ISABELLE ALYSSA PRAMESWARI / ALOYSIUS GONZAGA ALFINO ARGATAMA </td>
<td>00D034902</td>
<td>JL. LAMPER MIJEN 357 A </td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8 / 70</td>
<td>16.3/KURUS</td>
<td>87 / 56</td>
<td>r50</td>
<td>mtbs</td>
<td>tidak</td>
</tr> <tr>
<td>3974</td>
<td>00A13402</td>
<td>L</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>47 / 161</td>
<td>18.1/KURUS</td>
<td>129 / 63</td>
<td>z09.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3975</td>
<td>JUMIATUN / NGATEMIN</td>
<td>080000432701</td>
<td>JL.SOMPOK LAMA NO. 43-A</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>121 / 155</td>
<td>140 / 80</td>
<td>J00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3976</td>
<td>00A45003</td>
<td>L</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>63.4 / 158</td>
<td>123 / 81</td>
<td>Z30</td>
<td>kia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>3977</td>
<td>HENY KURNIAWATI DEWI / SOEPRIHATINI</td>
<td>0000164404</td>
<td>JL. RAMBUTAN I NO 2</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 153</td>
<td>120 / 70</td>
<td>G62.9</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3978</td>
<td>001001002</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>14.6 / 98</td>
<td>15.2/KURUS</td>
<td>89 / 54</td>
<td>a16</td>
<td>mtbs</td>
<td>Jangli</td>
</tr> <tr>
<td>3979</td>
<td>ABDUL MUSTAQIM / TONGGO FAJARIYANTO</td>
<td>90C87703</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>18 / 119</td>
<td>12.7/KURUS</td>
<td>100 / 60</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3980</td>
<td>PETRUS DEDY HERTANTO / PETRUS DEDY HERTANTO</td>
<td>L</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>136 / 101</td>
<td>r03</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3981</td>
<td>LUWIRAWATI / ZAINI</td>
<td>0084401</td>
<td>JL.CEMPEDAK UTARA 1/ 35</td>
<td>P</td>
<td>53 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 150</td>
<td>20/NORMAL</td>
<td>126 / 86</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3982</td>
<td>SURAEDAH NUR HASANAH / HARTANTO</td>
<td>00C093101</td>
<td>JL. KEDONDONG DALAM 319</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>50.9 / 151.5</td>
<td>131 / 81</td>
<td>k05.1</td>
<td>gigi</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3983</td>
<td>YULI FITRI LESTARI / FERY SETIAWAN</td>
<td>90B20905</td>
<td>JL. SAWI III</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 152</td>
<td>110 / 71</td>
<td>h81.3</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>3984</td>
<td>ARDIKA IKHSAN SAPUTRA / SARDIONO</td>
<td>90D032003</td>
<td>JL. GUNUNGSARI</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 148</td>
<td>110 / 60</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Jomblang</td>
</tr> <tr>
<td>3985</td>
<td>00A83701</td>
<td>P</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>57 / 154</td>
<td>24/NORMAL</td>
<td>88 / 48</td>
<td>Z34</td>
<td>kia</td>
<td>tidak</td>
</tr> <tr>
<td>3986</td>
<td>90F092702</td>
<td>P</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>20 / 115</td>
<td>15.1/KURUS</td>
<td>110 / 80</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3987</td>
<td>BIANCA NATHALIE CANDRA / NICOLAS ADI</td>
<td>00C078702</td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>5320 / 57</td>
<td>70 / 51</td>
<td>Z27</td>
<td>imunisasi</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>3988</td>
<td>SUMARYATININGSIH / HENDRO WAHYUDI</td>
<td>0800J58401</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 150</td>
<td>115 / 73</td>
<td>k04.0</td>
<td>gigi</td>
<td>tidak</td>
</tr> <tr>
<td>3989</td>
<td>TRI ISMIYATI NINGSIH / AGUS MULYANTO</td>
<td>00E031901</td>
<td>KP. BONGKOK, KEL. MEKARJAYA, KEC. CIKALONG WETAN, KAB. BANDUNG BARAT,
PROV. JABAR</td>
<td>P</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 155</td>
<td>114 / 77</td>
<td>K29</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>3990</td>
<td>SUKATMI / SUGITO</td>
<td>00D054001</td>
<td>JERUK V NO 21</td>
<td>P</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 160</td>
<td>171 / 95</td>
<td>R03</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3991</td>
<td>WINNER ARVINO / DARSONO</td>
<td>00C15302</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>29 / 142</td>
<td>14.4/KURUS</td>
<td>111 / 66</td>
<td>j06</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3992</td>
<td>MARIO RIZKY SAPUTRA / HARI SUPOYO</td>
<td>080005302</td>
<td>JL. CEMPEDAK UTARA 34C</td>
<td>L</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 162</td>
<td>110 / 67</td>
<td>k12</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3993</td>
<td>DIAN AYU HAPSARI / MOCH YUSUF CHAIDAR</td>
<td>90F094703</td>
<td>JL.GAYAMSARI V DALAM</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>8.7 / 79</td>
<td>13.9/KURUS</td>
<td>89 / 56</td>
<td>H65</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>3994</td>
<td>RUTH BASRIYANTI / FILIPUS BASIR</td>
<td>00003046001</td>
<td>JL. MANGGIS VI/31 A</td>
<td>P</td>
<td>48 Tahun</td>
<td>BARU</td>
<td></td>
<td>77 / 156</td>
<td>132 / 89</td>
<td>i10</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>3995</td>
<td>RAISA BULAN KHOTIJAH / RUDI HARYANTO</td>
<td>0000536804</td>
<td>P</td>
<td>7 Tahun</td>
<td>BARU</td>
<td></td>
<td>24 / 109</td>
<td>100 / 60</td>
<td>r50</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3996</td>
<td>NOVA SEPTININGSIH / GIYANTO</td>
<td>08000089103</td>
<td>CEMPEDAK SELATAN NO 7</td>
<td>P</td>
<td>19 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 157</td>
<td>98 / 79</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3997</td>
<td>EDI SISWANTO / EDI SISWANTO</td>
<td>90E017100</td>
<td>JL. WONODRI JOHO 1018B</td>
<td>L</td>
<td>46 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 165</td>
<td>144 / 88</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Wonodri</td>
</tr> <tr>
<td>3998</td>
<td>WAHYU NINGSIH / INDRA NUR LAKSANA</td>
<td>080000366801</td>
<td>P</td>
<td>59 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 150</td>
<td>155 / 83</td>
<td>L02.8</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>3999</td>
<td>MARIO RIZKY SAPUTRA / HARI SUPOYO</td>
<td>080005302</td>
<td>JL. CEMPEDAK UTARA 34C</td>
<td>L</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>49 / 162</td>
<td>110 / 67</td>
<td>k12</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>4000</td>
<td>001001002</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>15 / 98</td>
<td>15.6/KURUS</td>
<td>89 / 54</td>
<td>a15</td>
<td>umum</td>
<td>tidak</td>
<td>Jangli</td>
</tr> <tr>
<td>4001</td>
<td>00D036100</td>
<td>P</td>
<td>60 Tahun</td>
<td>BARU</td>
<td></td>
<td>33 / 150</td>
<td>14.7/KURUS</td>
<td>110 / 70</td>
<td>a15</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>4002</td>
<td>FREDERICK NATANAEL SETIAWAN / WAHYU SETIAWAN</td>
<td>0000245902</td>
<td>jl. DURIAN III NO. 5</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>23 / 123</td>
<td>15.2/KURUS</td>
<td>80 / 50</td>
<td>j02</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>4003</td>
<td>GITA SURYANING PUTRI / PRIYO SANTOSO</td>
<td>00E090604</td>
<td>JL. KEDONDONG DALAM</td>
<td>P</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 150</td>
<td>20/NORMAL</td>
<td>110 / 70</td>
<td>h52.5</td>
<td>umum</td>
<td>ya</td>
</tr> <tr>
<td>4004</td>
<td>TULASTRI / TULASTRI</td>
<td>9090155903</td>
<td>PERUM TAMAN BUKIT HIJAU A1</td>
<td>P</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 155</td>
<td>96 / 68</td>
<td>r05</td>
<td>umum</td>
<td>tidak</td>
<td>Sadeng</td>
</tr> <tr>
<td>4005</td>
<td>9090270701</td>
<td>SENDANGUWO</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>67 / 160</td>
<td>120 / 80</td>
<td>j00</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>4006</td>
<td>NOVITA ARIANA SUGIARTO / RIO ISMANDANA</td>
<td>90900811100</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>68 / 148</td>
<td>120 / 84</td>
<td>e11</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>4007</td>
<td>DWI MARIYATI / HARI ISWANTO</td>
<td>00B29403</td>
<td>P</td>
<td>41 Tahun</td>
<td>BARU</td>
<td></td>
<td>75 / 160</td>
<td>130 / 80</td>
<td>r03</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>4008</td>
<td>NURUL KOMARINA / TULUS WIBOWO MUKTI</td>
<td>90B28501</td>
<td>SENDANGSARI UTARA</td>
<td>P</td>
<td>35 Tahun</td>
<td></td>
<td></td>
<td>54 / 157</td>
<td>122 / 77</td>
<td>k04.0</td>
<td>gigi</td>
<td>tidak</td>
<td>Kalicari</td>
</tr> <tr>
<td>4009</td>
<td>00A46703</td>
<td>P</td>
<td>23 Tahun</td>
<td>BARU</td>
<td></td>
<td>48 / 150</td>
<td>99 / 71</td>
<td>i84</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>4010</td>
<td>SITI CHASANAH / M NUR HUDA</td>
<td>00A46701</td>
<td>JL. DURIAN I</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 154</td>
<td>111 / 79</td>
<td>m17</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>4011</td>
<td>ALTAF RAMADHAN / HERI SUSENO</td>
<td>00C079004</td>
<td>L</td>
<td>6 Tahun</td>
<td>BARU</td>
<td></td>
<td>28 / 118</td>
<td>90 / 60</td>
<td>a01</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>4012</td>
<td>SUMARLIK / TUKIJO</td>
<td>0800J62801</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 153</td>
<td>119 / 73</td>
<td>j00</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>4013</td>
<td>SRI AYUNINGSIH / SRI AYUNINGSIH</td>
<td>080000412901</td>
<td>JL. BLIMBING II/366-C</td>
<td>P</td>
<td>52 Tahun</td>
<td>BARU</td>
<td></td>
<td>53 / 153</td>
<td>125 / 79</td>
<td>m62</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>4014</td>
<td>00D098104</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.3 / 75</td>
<td>16.5/KURUS</td>
<td>89 / 56</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
</tr> <tr>
<td>4015</td>
<td>RAMA ADITIYA AL FAHREZI / AGUNG BUDI</td>
<td>00B52803</td>
<td>JL. LAMPER TENGAH VII</td>
<td>L</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 168</td>
<td>110 / 70</td>
<td>L84</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>4016</td>
<td>HERMAWAN BUDY SANTOSO / BUDI SUDRAJAT</td>
<td>0000134402</td>
<td>L</td>
<td>31 Tahun</td>
<td>BARU</td>
<td></td>
<td>29 / 138</td>
<td>15.2/KURUS</td>
<td>122 / 84</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>4017</td>
<td>ATHAR FAIZI WIBOWO / HADI WIBOWO</td>
<td>90C39803</td>
<td>JL. GAYAMSARI IV NO 18</td>
<td>P</td>
<td>3 Tahun</td>
<td>BARU</td>
<td></td>
<td>13.6 / 84</td>
<td>89 / 56</td>
<td>J06</td>
<td>mtbs</td>
<td>gratis</td>
<td>tidak</td>
<td>Gemah</td>
</tr> <tr>
<td>4018</td>
<td>ANGELICA DEASY CHRISTIANTI / ANGELICA DEASY CHRISTIANTI</td>
<td>00E068001</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 165</td>
<td>130 / 92</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>4019</td>
<td>MUHAMMAD AMIRUL FATA / M THOHIRIN</td>
<td>080000542202</td>
<td>JL. MANGGIS</td>
<td>L</td>
<td>11 Tahun</td>
<td>BARU</td>
<td></td>
<td>36 / 131</td>
<td>21/NORMAL</td>
<td>110 / 70</td>
<td>l70</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>4020</td>
<td>SRIYANTI / SURYONO</td>
<td>080000358001</td>
<td>JL. BANCAR SARI 3 NO.29</td>
<td>P</td>
<td>62 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 150</td>
<td>140 / 100</td>
<td>r03</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>4021</td>
<td>DINDO ARDINATA / SAJURI</td>
<td>90B014903</td>
<td>L</td>
<td>20 Tahun</td>
<td>BARU</td>
<td></td>
<td>62 / 177</td>
<td>123 / 74</td>
<td>R22.4</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>4022</td>
<td>SUSANA JARIAH / RUSDIYANA</td>
<td>0800009801</td>
<td>P</td>
<td>42 Tahun</td>
<td>BARU</td>
<td></td>
<td>70 / 150</td>
<td>143 / 82</td>
<td>k01.1</td>
<td>gigi</td>
<td>bpjs pbi</td>
<td>ya</td>
</tr> <tr>
<td>4023</td>
<td>ENI SUDIJATMI / SULARDI</td>
<td>00C26701</td>
<td>JL. PETERONGANSARI II NO. 17C</td>
<td>P</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 141</td>
<td>145 / 62</td>
<td>t79</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Peterongan</td>
</tr> <tr>
<td>4024</td>
<td>0800009800</td>
<td>L</td>
<td>57 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 162</td>
<td>120 / 70</td>
<td>R68.2</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>4025</td>
<td>LISNA ANINDITA CAHYANI / SENEN SUNANTO</td>
<td>90C36302</td>
<td>JL. PANCURSARI</td>
<td>P</td>
<td>15 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 155</td>
<td>110 / 70</td>
<td>l30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Jangli</td>
</tr> <tr>
<td>4026</td>
<td>00E071000</td>
<td>L</td>
<td>36 Tahun</td>
<td>BARU</td>
<td></td>
<td>51 / 165</td>
<td>100 / 64</td>
<td>a15</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>4027</td>
<td>CHATARINA DWI MULIYATSIH / CHATARINA DWI MULIYATSIH</td>
<td>9090271901</td>
<td>JL. KLIPANG PERMAI H.261</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>76 / 155</td>
<td>120 / 70</td>
<td>M51.9</td>
<td>lansia</td>
<td>ya</td>
</tr> <tr>
<td>4028</td>
<td>DITA LISTIANINGRUM / SUYATINAH</td>
<td>080000313309</td>
<td>P</td>
<td>13 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 153</td>
<td>110 / 70</td>
<td>L03.0</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>4029</td>
<td>SYAQIR AZKA EFFENDI / MUHAMAD EFFENDI</td>
<td>00C090504</td>
<td>JL. CEMPEDAK UTARA NO.38 </td>
<td>L</td>
<td>0 Tahun</td>
<td>BARU</td>
<td></td>
<td>7.7 / 80</td>
<td>12/KURUS</td>
<td>89 / 58</td>
<td>Z27</td>
<td>imunisasi</td>
<td>gratis</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>4030</td>
<td>SRI MARYATI / ISMIYADI</td>
<td>00069302</td>
<td>JL. RAMBUTAN DALAM VI NO.43 A</td>
<td>P</td>
<td>67 Tahun</td>
<td>BARU</td>
<td></td>
<td>61 / 157</td>
<td>140 / 80</td>
<td>l50</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>4031</td>
<td>GIGIH KURNIANTO / BEJO SUKAMTO</td>
<td>080000328703</td>
<td>JL. MANGGISVII/30</td>
<td>L</td>
<td>38 Tahun</td>
<td>BARU</td>
<td></td>
<td>72 / 171</td>
<td>146 / 79</td>
<td>J90</td>
<td>umum</td>
<td>ya</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>4032</td>
<td>DWI ERWINTA WICAKSONO / DWI ERWINTA WICAKSONO</td>
<td>90G059900</td>
<td>JL.WONOSARI NO.31</td>
<td>L</td>
<td>34 Tahun</td>
<td>BARU</td>
<td></td>
<td>65 / 171</td>
<td>110 / 80</td>
<td>a09</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Plalangan</td>
</tr> <tr>
<td>4033</td>
<td>LUKMAN HAKIM / HARYO SUSATYO</td>
<td>070013102</td>
<td>L</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>59 / 158</td>
<td>120 / 80</td>
<td>z02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>4034</td>
<td>GIYARTINI / SUBUR</td>
<td>080000397901</td>
<td>P</td>
<td>47 Tahun</td>
<td>BARU</td>
<td></td>
<td>50 / 153</td>
<td>115 / 72</td>
<td>j00</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>4035</td>
<td>SOEWITO / SOEWITO</td>
<td>00E062800</td>
<td>JL.PETERONGAN TENGAH 136-C</td>
<td>L</td>
<td>75 Tahun</td>
<td>BARU</td>
<td></td>
<td>43 / 165</td>
<td>15.8/KURUS</td>
<td>130 / 70</td>
<td>i25</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Peterongan</td>
</tr> <tr>
<td>4036</td>
<td>ARCELLO SAGA BATARA / CHRISTIANA VEGA SHEIRLITA</td>
<td>00E069202</td>
<td>JL.SOMPOK LAMA 66</td>
<td>L</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.4 / 98</td>
<td>9.8/KURUS</td>
<td>86 / 55</td>
<td>J06</td>
<td>mtbs</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>4037</td>
<td>SRI MIRANTI / SUMARDI</td>
<td>90B28591</td>
<td>JL. SENDANGSARI UTARA 2</td>
<td>P</td>
<td>58 Tahun</td>
<td>BARU</td>
<td></td>
<td>46 / 148</td>
<td>21/NORMAL</td>
<td>120 / 90</td>
<td>e11</td>
<td>umum</td>
<td>gratis</td>
<td>tidak</td>
<td>Kalicari</td>
</tr> <tr>
<td>4038</td>
<td>SUYATI / SUYATI</td>
<td>90I024901</td>
<td>DSN BENDO, KEL.GETASREJO, KAB. GROBOGAN</td>
<td>P</td>
<td>45 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 160</td>
<td>102 / 77</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>4039</td>
<td>DEBI FRANSISCA HAPSARI / DWI PRIYANTO</td>
<td>90B47904</td>
<td>DSN BENDO, GROBOGAN</td>
<td>P</td>
<td>17 Tahun</td>
<td>BARU</td>
<td></td>
<td>42 / 153</td>
<td>17.9/KURUS</td>
<td>117 / 74</td>
<td>l30</td>
<td>umum</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>4040</td>
<td>YUNI SOLEKAH / SADIMAN</td>
<td>9090500802</td>
<td>JL PANCURSARI III</td>
<td>P</td>
<td>61 Tahun</td>
<td>BARU</td>
<td></td>
<td>56 / 150</td>
<td>130 / 70</td>
<td>e10.6</td>
<td>lansia</td>
<td>bpjs pbi</td>
<td>ya</td>
<td>Jangli</td>
</tr> <tr>
<td>4041</td>
<td>TEGUH RIAWAN / SUNGKONO</td>
<td>00096004</td>
<td>PISANG</td>
<td>L</td>
<td>37 Tahun</td>
<td>BARU</td>
<td></td>
<td>45 / 155</td>
<td>108 / 62</td>
<td>j02</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
</tr> <tr>
<td>4042</td>
<td>ADI WIJAYANTO / ADI WIJAYANTO</td>
<td>089090282197</td>
<td>GAYAMSARI 1/1, GAYAMSARI</td>
<td>L</td>
<td>40 Tahun</td>
<td>BARU</td>
<td></td>
<td>69 / 160</td>
<td>120 / 70</td>
<td>e78</td>
<td>umum</td>
<td>tidak</td>
<td>Gayamsari</td>
</tr> <tr>
<td>4043</td>
<td>DINDA RIZKY PUTRI ANDARI / AHMAD ZAINI</td>
<td>00D093301</td>
<td>P</td>
<td>22 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 158</td>
<td>24/NORMAL</td>
<td>89 / 65</td>
<td>R10.4</td>
<td>umum</td>
<td>tidak</td>
</tr> <tr>
<td>4044</td>
<td>VELISHA GHANIA ANNUR / M. YUSUP</td>
<td>90G034303</td>
<td>PERUM VIP JL. CHERRY I BLOK VZ IE NO.12, KEL. CIBINONG, KEC.
CIBINONG, KAB. BOGOR, PROV. JAWA BARAT</td>
<td>P</td>
<td>1 Tahun</td>
<td>BARU</td>
<td></td>
<td>9.7 / 80</td>
<td>15.2/KURUS</td>
<td>87 / 54</td>
<td>Z00</td>
<td>mtbs</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>4045</td>
<td>RISA TRI UMAMI / SUSWADI</td>
<td>90C67403</td>
<td>DUSUN I </td>
<td>P</td>
<td>26 Tahun</td>
<td>BARU</td>
<td></td>
<td>48.1 / 150</td>
<td>120 / 70</td>
<td>z71</td>
<td>umum</td>
<td>tidak</td>
<td>Luar Kota</td>
</tr> <tr>
<td>4046</td>
<td>CHRISTIANA VEGA SHEIRLITA / CHRISTIANA VEGA SHEIRLITA</td>
<td>00E069201</td>
<td>P</td>
<td>27 Tahun</td>
<td>BARU</td>
<td></td>
<td>60 / 159</td>
<td>96 / 70</td>
<td>k30</td>
<td>umum</td>
<td>bpjs pbi</td>
<td>tidak</td>
<td>Lamper Lor</td>
</tr> <tr>
<td>4047</td>
<td>SUMARYATININGSIH / HENDRO WAHYUDI</td>
<td>0800J58401</td>
<td>P</td>
<td>50 Tahun</td>
<td>BARU</td>
<td></td>
<td>82 / 150</td>
<td>115 / 73</td>
<td>k04.0</td>
<td>umum</td>
<td>tidak</td>
</tr><tr><tr></table><table bgcolor=#FFFFFF border=1 cellspacing=0
cellpadding=1><tr>
<th align='left'>Keterangan Jumlah</th>
<th></th>
</tr><tr>
<td>umum</td>
<td>2340</td>
</tr><tr>
<td>gigi</td>
<td>262</td>
</tr><tr>
<td>kia</td>
<td>268</td>
</tr><tr>
<td>mtbs</td>
<td>415</td>
</tr><tr>
<td>imunisasi</td>
<td>174</td>
</tr><tr>
<td>lansia</td>
<td>514</td>
</tr><tr>
<td>prolanis</td>
<td>74</td>
</tr><tr>
<th align='left'>Kelurahan</th>
<th></th>
</tr><tr>
<td>Pandansari</td>
<td>1</td>
</tr><tr>
<td>Kranggan</td>
<td>3</td>
</tr><tr>
<td>Sekayu</td>
<td>1</td>
</tr><tr>
<td>Miroto</td>
<td>1</td>
</tr><tr>
<td>7</td>
</tr><tr>
<td>Tlogomulyo</td>
<td>3</td>
</tr><tr>
<td>Palebon</td>
<td>3</td>
</tr><tr>
<td>16</td>
</tr><tr>
<td>2</td>
</tr><tr>
<td>6</td>
</tr><tr>
<td>6</td>
</tr><tr>
<td>Penggaron Kidul</td>
<td>1</td>
</tr><tr>
<td>11</td>
</tr><tr>
<td>Tandang</td>
<td>79</td>
</tr><tr>
<td>Jangli</td>
<td>17</td>
</tr><tr>
<td>288</td>
</tr><tr>
<td>19</td>
</tr><tr>
<td>Sambiroto</td>
<td>6</td>
</tr><tr>
<td>2</td>
</tr><tr>
<td>Rowosari</td>
<td>1</td>
</tr><tr>
<td>Meteseh</td>
<td>3</td>
</tr><tr>
<td>Tembalang</td>
<td>4</td>
</tr><tr>
<td>Sumurboto</td>
<td>1</td>
</tr><tr>
<td>Srondol Kulon</td>
<td>1</td>
</tr><tr>
<td>Srondol Wetan</td>
<td>1</td>
</tr><tr>
<td>2</td>
</tr><tr>
<td>Gabahan</td>
<td>1</td>
</tr><tr>
<td>Gedawang</td>
<td>2</td>
</tr><tr>
<td>Gunungpati</td>
<td>7</td>
</tr><tr>
<td>Plalangan</td>
<td>2</td>
</tr><tr>
<td>Mangunsari</td>
<td>1</td>
</tr><tr>
<td>Sadeng</td>
<td>1</td>
</tr><tr>
<td>Sekaran</td>
<td>2</td>
</tr><tr>
<td>Sukorejo</td>
<td>2</td>
</tr><tr>
<td>Mijen</td>
<td>1</td>
</tr><tr>
<td>Kedungpane</td>
<td>1</td>
</tr><tr>
<td>Pekunden</td>
<td>1</td>
</tr><tr>
<td>7</td>
</tr><tr>
<td>Tambakaji</td>
<td>2</td>
</tr><tr>
<td>Wonosari</td>
<td>1</td>
</tr><tr>
<td>Kalipancur</td>
<td>2</td>
</tr><tr>
<td>Ngaliyan</td>
<td>1</td>
</tr><tr>
<td>Bringin</td>
<td>1</td>
</tr><tr>
<td>Mangkang Kulon</td>
<td>1</td>
</tr><tr>
<td>3</td>
</tr><tr>
<td>Tugurejo</td>
<td>4</td>
</tr><tr>
<td>Kuningan</td>
<td>3</td>
</tr><tr>
<td>Bulu Lor</td>
<td>3</td>
</tr><tr>
<td>Karangtempel</td>
<td>1</td>
</tr><tr>
<td>Karangturi</td>
<td>1</td>
</tr><tr>
<td>Rejosari</td>
<td>4</td>
</tr><tr>
<td>Sarirejo</td>
<td>1</td>
</tr><tr>
<td>Bugangan</td>
<td>1</td>
</tr><tr>
<td>Mlatiharjo</td>
<td>1</td>
</tr><tr>
<td>Rejomulyo</td>
<td>1</td>
</tr><tr>
<td>Kemijen</td>
<td>2</td>
</tr><tr>
<td>Barusari</td>
<td>5</td>
</tr><tr>
<td>Pleburan</td>
<td>6</td>
</tr><tr>
<td>Wonodri</td>
<td>79</td>
</tr><tr>
<td>Mugassari</td>
<td>6</td>
</tr><tr>
<td>Randusari</td>
<td>2</td>
</tr><tr>
<td>1448</td>
</tr><tr>
<td>252</td>
</tr><tr>
<td>Lamper Lor</td>
<td>547</td>
</tr><tr>
<td>Peterongan</td>
<td>502</td>
</tr><tr>
<td>Bojong Salaman</td>
<td>1</td>
</tr><tr>
<td>Gisikdrono</td>
<td>7</td>
</tr><tr>
<td>Manyaran</td>
<td>3</td>
</tr><tr>
<td>4</td>
</tr><tr>
<td>Krobokan</td>
<td>7</td>
</tr><tr>
<td>Tawang Sari</td>
<td>1</td>
</tr><tr>
<td>Gayamsari</td>
<td>45</td>
</tr><tr>
<td>Siwalan</td>
<td>3</td>
</tr><tr>
<td>Kaligawe</td>
<td>1</td>
</tr><tr>
<td>Sawah Besar</td>
<td>1</td>
</tr><tr>
<td>Sambirejo</td>
<td>3</td>
</tr><tr>
<td>37</td>
</tr><tr>
<td>2</td>
</tr><tr>
<td>Jomblang</td>
<td>66</td>
</tr><tr>
<td>Wonotingal</td>
<td>3</td>
</tr><tr>
<td>Candi</td>
<td>3</td>
</tr><tr>
<td>Kaliwiru</td>
<td>2</td>
</tr><tr>
<td>Tegalsari</td>
<td>4</td>
</tr><tr>
<td>Sampangan</td>
<td>1</td>
</tr><tr>
<td>4</td>
</tr><tr>
<td>5</td>
</tr><tr>
<td>Bendungan</td>
<td>1</td>
</tr><tr>
<td>Genuksari</td>
<td>7</td>
</tr><tr>
<td>Banjardowo</td>
<td>1</td>
</tr><tr>
<td>Trimulyo</td>
<td>1</td>
</tr><tr>
<td>Muktiharjo Lor</td>
<td>1</td>
</tr><tr>
<td>Gebangsari</td>
<td>2</td>
</tr><tr>
<td>7</td>
</tr><tr>
<td>Bangetayu Wetan</td>
<td>1</td>
</tr><tr>
<td>Sembungharjo</td>
<td>1</td>
</tr><tr>
<td>Kudu</td>
<td>1</td>
</tr><tr>
<td>Karangroto</td>
<td>1</td>
</tr><tr>
<td>6</td>
</tr><tr>
<td>Gemah</td>
<td>99</td>
</tr><tr>
<td>Kalicari</td>
<td>8</td>
</tr><tr>
<td>Muktiharjo Kidul</td>
<td>1</td>
</tr><tr>
<td>Luar Kota</td>
<td>313</td>
</tr><tr>
<th align='left'>Menurut Jenis Kelamin</th>
<th></th>
</tr><tr>
<td align='left'>Laki-laki</td>
<td>1545</td>
</tr>
<tr>
<td align='left'>Perempuan</td>
<td>2502</td>
</tr><tr>
<th align='left'>Menurut Cara Bayar</th>
<th></th>
</tr><tr>
<td>umum</td>
<td>210</td>
</tr><tr>
<td>gratis</td>
<td>1320</td>
</tr><tr>
<td>bpjs pbi</td>
<td>1907</td>
</tr><tr>
<td>610</td>
</tr></table></body></html>

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