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<html><head><link href="file2.css" rel="stylesheet" type="text/css" /></head><body><table width='100%' border='0' align='center' cellpadding='3px' cellspacing='0' class='tbl_form'><tr class='isi2'><td valign='top' align='center'><font size='4' face='Tahoma'>RS SIMRS KHANZA</font><br>GUWOSARI, Pajangan, Bantul<br>Hp: 08562675039, 085296559963, E-mail : khanzasoftmedia@gmail.com<br><br><font size='2' face='Tahoma'>REKAP PEMBAYARAN RAWAT JALAN PERIODE 17-03-2001 s.d. 17-03-2023<br><br></font></td></tr></table><table width='100%' border='0' align='center' cellpadding='3px' cellspacing='0' class='tbl_form'><tr class='isi'><td valign='middle' bgcolor='#FFFAF8' align='center'><b>No.</b></td><td valign='middle' bgcolor='#FFFAF8' align='center'><b>Lama</b></td><td valign='middle' bgcolor='#FFFAF8' align='center'><b>Baru</b></td><td valign='middle' bgcolor='#FFFAF8' align='center'><b>Nama Pasien</b></td><td valign='middle' bgcolor='#FFFAF8' align='center'><b>L</b></td><td valign='middle' bgcolor='#FFFAF8' align='center'><b>P</b></td><td valign='middle' bgcolor='#FFFAF8' align='center'><b>Alamat</b></td><td valign='middle' bgcolor='#FFFAF8' align='center'><b>Kode</b></td><td valign='middle' bgcolor='#FFFAF8' align='center'><b>Diagnosa</b></td><td valign='middle' bgcolor='#FFFAF8' align='center'><b>Dokter Jaga</b></td></tr><tr class='isi'><td valign='top'>1</td><td valign='top' align='center'></td><td valign='top' align='center'>000004</td><td valign='top'>DEPIYANTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>2</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>1 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>3</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>4</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>5</td><td valign='top' align='center'>000004</td><td valign='top' align='center'></td><td valign='top'>DEPIYANTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>6</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Aisyah</td></tr><tr class='isi'><td valign='top'>7</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'>I50.1</td><td valign='top'>Left ventricular failure</td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>8</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'>A01.0</td><td valign='top'>Typhoid fever</td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>9</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>3 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>10</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>11</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>12</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>13</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Aisyah</td></tr><tr class='isi'><td valign='top'>14</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>1 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'>K30</td><td valign='top'>Dyspepsia</td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>15</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>16</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>17</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>18</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>1 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>19</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>20</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>2 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'>I50</td><td valign='top'>Heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>21</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>22</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>23</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>24</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>2 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>25</td><td valign='top' align='center'>000004</td><td valign='top' align='center'></td><td valign='top'>DEPIYANTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>26</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>27</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>28</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>2 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>29</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>30</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>31</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>2 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>32</td><td valign='top' align='center'>000004</td><td valign='top' align='center'></td><td valign='top'>DEPIYANTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>33</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'>D032</td><td valign='top'>Melanoma in situ of ear and external auricular canal</td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>34</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>35</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>36</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>37</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>38</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>39</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>40</td><td valign='top' align='center'>000004</td><td valign='top' align='center'></td><td valign='top'>DEPIYANTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>41</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>42</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>43</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Aisyah</td></tr><tr class='isi'><td valign='top'>44</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>45</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>46</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>47</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>48</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'>K30</td><td valign='top'>Dyspepsia</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>49</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>50</td><td valign='top' align='center'>000004</td><td valign='top' align='center'></td><td valign='top'>DEPIYANTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>51</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>3 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>52</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>53</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>54</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>55</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>56</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>57</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>58</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>59</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>60</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>61</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>3 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>62</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>63</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>64</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>65</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>66</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>67</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>68</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>69</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>70</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>71</td><td valign='top' align='center'>000004</td><td valign='top' align='center'></td><td valign='top'>DEPIYANTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>72</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>4 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>73</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>74</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>75</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>76</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>77</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>4 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>78</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>4 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>79</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>80</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>81</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>4 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>82</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>83</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>84</td><td valign='top' align='center'>000004</td><td valign='top' align='center'></td><td valign='top'>DEPIYANTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>85</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>4 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>86</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>87</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>88</td><td valign='top' align='center'>000006</td><td valign='top' align='center'></td><td valign='top'>SAKHA HAMIZAN AQILA</td><td valign='top' align='center'>5 Th</td><td valign='top' align='center'></td><td valign='top'>PAJANGAN BANTUL, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>89</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>5 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Aisyah</td></tr><tr class='isi'><td valign='top'>90</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>91</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>92</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>93</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>5 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>94</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>95</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>96</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>97</td><td valign='top' align='center'>000004</td><td valign='top' align='center'></td><td valign='top'>DEPIYANTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>98</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>5 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>99</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>100</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>5 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>101</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'>K00.1</td><td valign='top'>Supernumerary teeth</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>102</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>5 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>103</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>104</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>105</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>106</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>107</td><td valign='top' align='center'>000004</td><td valign='top' align='center'></td><td valign='top'>DEPIYANTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>108</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>109</td><td valign='top' align='center'>000004</td><td valign='top' align='center'></td><td valign='top'>DEPIYANTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>110</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>5 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>111</td><td valign='top' align='center'>000004</td><td valign='top' align='center'></td><td valign='top'>DEPIYANTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>112</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>6 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>113</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>114</td><td valign='top' align='center'></td><td valign='top' align='center'>000009</td><td valign='top'>WAHYUDI KURNIAWAN</td><td valign='top' align='center'>32 Th</td><td valign='top' align='center'></td><td valign='top'>PEKALONGAN, -, -, -</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>115</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>116</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Qotrunnada</td></tr><tr class='isi'><td valign='top'>117</td><td valign='top' align='center'>000009</td><td valign='top' align='center'></td><td valign='top'>WAHYUDI KURNIAWAN</td><td valign='top' align='center'>32 Th</td><td valign='top' align='center'></td><td valign='top'>PEKALONGAN, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>118</td><td valign='top' align='center'>000009</td><td valign='top' align='center'></td><td valign='top'>WAHYUDI KURNIAWAN</td><td valign='top' align='center'>33 Th</td><td valign='top' align='center'></td><td valign='top'>PEKALONGAN, -, -, -</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>119</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>120</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>121</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>6 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>122</td><td valign='top' align='center'></td><td valign='top' align='center'>000011</td><td valign='top'>SETIYAWAN KRISTANTO</td><td valign='top' align='center'>32 Th</td><td valign='top' align='center'></td><td valign='top'>JL. DOKTER CIPTI RT 01/RW01, BEDALI, LAWANG, KABUPATEN MALANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>123</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>124</td><td valign='top' align='center'></td><td valign='top' align='center'>1303</td><td valign='top'>WIWIK LESTARI</td><td valign='top' align='center'>40 Th</td><td valign='top' align='center'></td><td valign='top'>RT 01 RW 01, NGIPAK, KARANGMOJO, KABUPATEN GUNUNG KIDUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>125</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>34 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'>I50.1</td><td valign='top'>Left ventricular failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>126</td><td valign='top' align='center'>000004</td><td valign='top' align='center'></td><td valign='top'>DEPIYANTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>127</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>7 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>128</td><td valign='top' align='center'>000010</td><td valign='top' align='center'></td><td valign='top'>GATOT SATRIYO</td><td valign='top' align='center'>33 Th</td><td valign='top' align='center'></td><td valign='top'>PEKALONGAN, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>129</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>130</td><td valign='top' align='center'>1303</td><td valign='top' align='center'></td><td valign='top'>WIWIK LESTARI</td><td valign='top' align='center'>40 Th</td><td valign='top' align='center'></td><td valign='top'>RT 01 RW 01, NGIPAK, KARANGMOJO, KABUPATEN GUNUNG KIDUL</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>131</td><td valign='top' align='center'>000011</td><td valign='top' align='center'></td><td valign='top'>SETIYAWAN KRISTANTO</td><td valign='top' align='center'>32 Th</td><td valign='top' align='center'></td><td valign='top'>JL. DOKTER CIPTI RT 01/RW01, BEDALI, LAWANG, KABUPATEN MALANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>132</td><td valign='top' align='center'>000009</td><td valign='top' align='center'></td><td valign='top'>WAHYUDI KURNIAWAN</td><td valign='top' align='center'>33 Th</td><td valign='top' align='center'></td><td valign='top'>PEKALONGAN, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>133</td><td valign='top' align='center'>000011</td><td valign='top' align='center'></td><td valign='top'>SETIYAWAN KRISTANTO</td><td valign='top' align='center'>32 Th</td><td valign='top' align='center'></td><td valign='top'>JL. DOKTER CIPTI RT 01/RW01, BEDALI, LAWANG, KABUPATEN MALANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>134</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>7 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>135</td><td valign='top' align='center'>1303</td><td valign='top' align='center'></td><td valign='top'>WIWIK LESTARI</td><td valign='top' align='center'>40 Th</td><td valign='top' align='center'></td><td valign='top'>RT 01 RW 01, NGIPAK, KARANGMOJO, KABUPATEN GUNUNG KIDUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>136</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>137</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>138</td><td valign='top' align='center'>000004</td><td valign='top' align='center'></td><td valign='top'>DEPIYANTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>139</td><td valign='top' align='center'>000004</td><td valign='top' align='center'></td><td valign='top'>DEPIYANTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>140</td><td valign='top' align='center'>1303</td><td valign='top' align='center'></td><td valign='top'>WIWIK LESTARI</td><td valign='top' align='center'>40 Th</td><td valign='top' align='center'></td><td valign='top'>RT 01 RW 01, NGIPAK, KARANGMOJO, KABUPATEN GUNUNG KIDUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>141</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>8 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>142</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>143</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>144</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>145</td><td valign='top' align='center'>1303</td><td valign='top' align='center'></td><td valign='top'>WIWIK LESTARI</td><td valign='top' align='center'>40 Th</td><td valign='top' align='center'></td><td valign='top'>RT 01 RW 01, NGIPAK, KARANGMOJO, KABUPATEN GUNUNG KIDUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>146</td><td valign='top' align='center'>1402</td><td valign='top' align='center'></td><td valign='top'>WINDIARTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>123, GUWOSARI, PAJANGAN, KABUPATEN BANTUL</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>147</td><td valign='top' align='center'>000004</td><td valign='top' align='center'></td><td valign='top'>DEPIYANTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>148</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>8 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>149</td><td valign='top' align='center'>000011</td><td valign='top' align='center'></td><td valign='top'>SETIYAWAN KRISTANTO</td><td valign='top' align='center'>33 Th</td><td valign='top' align='center'></td><td valign='top'>JL. DOKTER CIPTI RT 01/RW01, BEDALI, LAWANG, KABUPATEN MALANG</td><td valign='top' align='center'>I50.1</td><td valign='top'>Left ventricular failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>150</td><td valign='top' align='center'>000004</td><td valign='top' align='center'></td><td valign='top'>DEPIYANTO</td><td valign='top' align='center'>35 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, -, -, -</td><td valign='top' align='center'>I50.0</td><td valign='top'>Congestive heart failure</td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>151</td><td valign='top' align='center'>000005</td><td valign='top' align='center'></td><td valign='top'>ROBY ALAMSYAH</td><td valign='top' align='center'>36 Th</td><td valign='top' align='center'></td><td valign='top'>ALAMAT, KROGOWANAN, SAWANGAN, KABUPATEN MAGELANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>152</td><td valign='top' align='center'>000009</td><td valign='top' align='center'></td><td valign='top'>WAHYUDI KURNIAWAN</td><td valign='top' align='center'>33 Th</td><td valign='top' align='center'></td><td valign='top'>PEKALONGAN, -, -, -</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>153</td><td valign='top' align='center'>000011</td><td valign='top' align='center'></td><td valign='top'>SETIYAWAN KRISTANTO</td><td valign='top' align='center'>33 Th</td><td valign='top' align='center'></td><td valign='top'>JL. DOKTER CIPTI RT 01/RW01, BEDALI, LAWANG, KABUPATEN MALANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>154</td><td valign='top' align='center'>000011</td><td valign='top' align='center'></td><td valign='top'>SETIYAWAN KRISTANTO</td><td valign='top' align='center'>33 Th</td><td valign='top' align='center'></td><td valign='top'>JL. DOKTER CIPTI RT 01/RW01, BEDALI, LAWANG, KABUPATEN MALANG</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>155</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>8 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>156</td><td valign='top' align='center'>000003</td><td valign='top' align='center'></td><td valign='top'>HAFIZ HARIYADI</td><td valign='top' align='center'>25 Th</td><td valign='top' align='center'></td><td valign='top'>-, SAMBILAWANG, TRANGKIL, - PATI</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>157</td><td valign='top' align='center'>000002</td><td valign='top' align='center'></td><td valign='top'>DEWI EKAWATI</td><td valign='top' align='center'></td><td valign='top' align='center'>8 Bl</td><td valign='top'>ALAMAT, TUNGGULREJO, GRABAG, KABUPATEN PURWOREJO</td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'>dr. Hilyatul Nadia</td></tr><tr class='isi'><td valign='top'>>></td><td valign='top' align='center'>153</td><td valign='top' align='center'>4</td><td valign='top'></td><td valign='top' align='center'>128</td><td valign='top' align='center'>29</td><td valign='top'></td><td valign='top' align='center'></td><td valign='top'></td><td valign='top'></td></tr></table></body></html>