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PRINT DATE<br />
<strong>31</strong>/01/<strong>2012</strong><br />
NB PENDING APPLICATION in i-quBE as of <strong>31</strong> <strong>JANUARI</strong> <strong>2012</strong><br />
NO PROP_NO POLICY_NO BRANCH_NAME BRANCH_NO INSURED_NAME AGT_NAME UW REMARKS_NB REMARKS_UW SUBMISSION_DATE PROP_DATE TAT NOTES<br />
1 Q002881 3000327730 ACEH 10727 ANGELIA MAGDALENA KARTINI S AMBAR 28-Des-11 19-Des-11 33<br />
2 Q002882 3000328257 ACEH 10727 CINDY MAGDALENA KARTINI S AMBAR 28-Des-11 19-Des-11 33<br />
3 Q013542 3000395852 BATIK 10833 STEVANUS DWINUGRAHA IWAN SAPUTERA THERESIA SUKMASIH DEWI No.1 SPA ini Decline krn TTG :Autis. 27-Jan-12 21-Jan-12 4<br />
4 Q001300 3000292535 BDGGIANT2 10668 MARIA SETIAWAN ERLINAWATI No.1 Dari hasil medical yang diterima:SPA 21-Des-11 02-Des-11 40<br />
5 Q001302 3000238012 BDGGIANT2 10668 MEILINAH GUNAWAN NATALIA CHRISTIANTY CHOLIDI 07-Des-11 06-Des-11 54<br />
6 Q001459 3000342338 BDGGIANT2 10668 SRI SETIAWATI LUKANTA JULIANI No.1 TTG medical C:Ra 590680000 usia 09-Jan-12 21-Des-11 22<br />
7 Q001576 3000280857 BDGGIANT2 10668 NINGSIH MERWIN, SE CHOLIDI 19-Des-11 19-Des-11 42<br />
8 Q001581 3000368241 BDGGIANT2 10668 NATHANIEL SERGIO DIMITRI DINATA MERWIN, SE 19-Jan-12 19-Jan-12 12<br />
9 Q0<strong>31</strong>912 3000360578 BDGGIANT2 10668 CHENDYA ANGELIQUE RIANTI SALMAN MERWIN, SE 17-Jan-12 16-Jan-12 14<br />
10 Q0<strong>31</strong>914 3000388140 BDGGIANT2 10668 AGUSTINUS SRI WINARTO MERWIN, SE 25-Jan-12 25-Jan-12 6<br />
11 Q032019 3000389049 BDGGIANT2 10668 ANTONIUS SURYA WIBOWO EDUARDUS KURNIAWAN 25-Jan-12 25-Jan-12 6<br />
12 Q032424 30003965<strong>31</strong> BDGGIANT2 10668 HENGLI BUDIMAN INDAH KOMALINGSIH 27-Jan-12 25-Jan-12 4<br />
13 Q044793 3000350371 BDGGIANT2 10668 ROBBY WIBOWO SANTOSO MERWIN, SE CHOLIDI 13-Jan-12 10-Jan-12 18<br />
14 Q052547 3000353094 BDGGIANT2 10668 YENDRA WIHARJA, SH, MH EDUARDUS KURNIAWAN No.1 TTG medical D:Ra 744724000 usia 13-Jan-12 02-Des-11 18<br />
15 Q063041 3000388409 BDGGIANT2 10668 LELA NURLAELA AGUSTINIUS HERNANDO 25-Jan-12 20-Jan-12 6<br />
16 Q001501 3000208607 BDGGIANT3 10781 BAGUS NUR PURNAMA UDIYONO 22-Nop-11 22-Nop-11 69<br />
17 Q001549 3000366671 BDGGIANT3 10781 YOYO SUTARYO TIARA NUR ELDY R No.1 Lampirkan surat kuasa pembayaran. 19-Jan-12 18-Jan-12 12<br />
18 Q001799 3000389007 BDGGIANT3 10781 DEA JOVITA HENDRA LIVIA ANABEL H No.1 Sbg agen; PP harus menutup dirinya 25-Jan-12 25-Jan-12 6<br />
19 Q001846 300039<strong>31</strong>27 BDGGIANT3 10781 HENDRANATA HARTANTO, SE SINTICHE EIODIA MARANATHA 26-Jan-12 26-Jan-12 5<br />
20 Q0<strong>31</strong>282 3000304833 BDGGIANT3 10781 SUHERMAN TATANG ARIEF LEO DINATA T No.1 Ada riw DM; Mohon medis 21-Des-11 21-Des-11 40<br />
21 Q0<strong>31</strong>287 3000393062 BDGGIANT3 10781 RICHELLE THEODORE HARTANTO SINTICHE EIODIA MARANATHA 26-Jan-12 26-Jan-12 5<br />
22 Q0<strong>31</strong>435 3000378058 BDGGIANT3 10781 ENI SURJANI LIVIA ANABEL H No.1 Ahli waris harus kel inti;jika keponakan 20-Jan-12 19-Jan-12 11<br />
23 Q032032 3000388069 BDGGIANT3 10781 BOENTARA LIOES TIARA NUR ELDY R 25-Jan-12 24-Jan-12 6<br />
24 Q032038 3000360748 BDGGIANT3 10781 MARDI LILY R.MUSLICH MOESTOPO No.1 Form Extra premi terlampir. 17-Jan-12 17-Jan-12 14<br />
25 Q032500 3000399589 BDGGIANT3 10781 STEPHANIE A J, DRA LIVIA ANABEL H 30-Jan-12 30-Jan-12 0<br />
26 Q034187 3000371577 BDGGIANT3 10781 HARRY SENJAYA JONAS SEBASTIAN No.1 TTD ttg tdk sm dgn ID. 20-Jan-12 18-Jan-12 11<br />
27 Q034189 3000371810 BDGGIANT3 10781 OEY TJOENG TJEN ANTHONY WIJAYA No.1 Lampirkan ilustrasi. 20-Jan-12 19-Jan-12 11<br />
28 Q044551 3000389706 BDGGIANT3 10781 YULIA MANDASARI SIRAIT YOHANA No.1 Lampirkan surat kuasa pembayaran. 25-Jan-12 25-Jan-12 6<br />
29 Q044565 3000393460 BDGGIANT3 10781 EVA FERA YOVITA MARIA FRANSISKA 26-Jan-12 26-Jan-12 5<br />
30 Q044572 3000393907 BDGGIANT3 10781 DHENY WIJAYA SIANTY WIDJAJA 26-Jan-12 26-Jan-12 5<br />
<strong>31</strong> Q001367 3000360594 BDGGIANT4 10821 SHELVIA SAGITA PUTRI ARI KUSJARIYATI No.1 Jelaskan pekerjaan PP sehari hari dan 17-Jan-12 17-Jan-12 14<br />
32 Q001838 3000263980 BDGGIANT4 10821 AGUS S Y DAMANIK JANG TJIN FANG No.1 riw sesak napas dan jantung; mohon 15-Des-11 15-Des-11 46<br />
33 Q0<strong>31</strong>437 3000294812 BDGGIANT4 10821 SUSINA TJASA SUBANDI SARIATI HASUMONA NO PAYMENT No.1 Riw minum obat gula; Med 21-Des-11 14-Des-11 40<br />
34 Q0<strong>31</strong>881 3000396612 BDGGIANT4 10821 JO YOSUA YOSWARA URSULA ANITA KAMINA 27-Jan-12 27-Jan-12 4<br />
35 Q0<strong>31</strong>883 3000283449 BDGGIANT4 10821 RUDI SUPRIYADI URSULA ANITA KAMINA NO PAYMENT No.1 Total RA Rp 500 404 500; Med 20-Des-11 12-Des-11 41<br />
36 Q0<strong>31</strong>896 3000226588 BDGGIANT4 10821 ROMI SURYA NEFISA DRS ARMIN EDI 02-Des-11 02-Des-11 59<br />
37 Q0<strong>31</strong>972 3000380053 BDGGIANT4 10821 VIERRY HERMAWAN LENY No.1 Plan beda di SPA dan proposal. 20-Jan-12 20-Jan-12 11<br />
38 Q032009 3000396599 BDGGIANT4 10821 AGUS JULIMAN TERY FOSA FERAWATY 27-Jan-12 27-Jan-12 4<br />
39 Q032010 3000280815 BDGGIANT4 10821 AGUS JULIMAN TERY FOSA FERAWATY EDI NO PAYMENT 19-Des-11 17-Des-11 42<br />
40 Q032014 3000306186 BDGGIANT4 10821 CHRISTINE WIDYANINGRUM CHRISTINE W EDI No.1 Surat kuasa bayar bulanan. 21-Des-11 20-Des-11 40<br />
41 Q032368 3000393020 BDGGIANT4 10821 GABRIELA ANINDYA LARASATI URSULA ANITA KAMINA 26-Jan-12 24-Jan-12 5<br />
42 Q032378 3000381871 BDGGIANT4 10821 SUMEDHAYANTHI GUNAWAN DHARMA PUTRI PRIYANGGORO No.1 Total RA PP Rp 421 464 000;47 th; med 21-Jan-12 21-Jan-12 10<br />
43 Q032433 3000389120 BDGGIANT4 10821 CHELSEA SANI ADDISON LINDA SUDJARWO 25-Jan-12 22-Jan-12 6<br />
44 Q044560 3000380419 BDGGIANT4 10821 DJONI SUPRAPTO TERY FOSA FERAWATY No.1 Hasil med kurang : Urine 1x; USG 20-Jan-12 20-Jan-12 11<br />
45 Q044776 3000371933 BDGGIANT4 10821 H DJOKO PRIAMBODO K SANDI RADIANSYAH EDI 20-Jan-12 17-Jan-12 11<br />
46 Q044777 3000372036 BDGGIANT4 10821 HJ YETTI SUHAYATI SANDI RADIANSYAH No.1 Tanda tangan TTG tdk ada di ID. No.2 20-Jan-12 17-Jan-12 11<br />
47 Q052516 3000359799 BDGGIANT4 10821 OLIVIA WANJAYA SARIATI HASUMONA NO ID TTG,PENGHASILAN PP?? No.1 Tanda tangan PP beda di ID dan SPA. 17-Jan-12 28-Nop-11 14<br />
48 Q062830 3000399945 BDGGIANT4 10821 LIM KIM SENG TIMOTHY SARIATI HASUMONA 30-Jan-12 28-Jan-12 0<br />
49 Q034454 BDL 2 USEP SUARNA uw ok 13-Jan-12 18<br />
50 Q034461 3000350533 BDL 10053 CAHYADI GUNAWAN LILY MULYANI No.1 Plan di SPA;proposal;Sistem UN1A:buat 13-Jan-12 13-Jan-12 18<br />
51 Q034528 3000398884 BDL 10053 SANDI SULAIMAN LILY MULYANI 30-Jan-12 30-Jan-12 0<br />
52 Q034554 3000262748 BDL 10053 YUSUF WIBISONO LAY LIE TJOE CHOLIDI No.1 Form ekstra premi. 15-Des-11 15-Des-11 46<br />
53 Q011709 3000400069 BDL3 10646 RUDDIYANTO SUGIHONO TJETJEP JOHN SHAHLIE 30-Jan-12 30-Jan-12 0<br />
54 Q026590 3000287011 BDL3 10646 NEYSA VALERIA TRI ARYANI BANDRINAH K. HIDAYAT EDI NO PAYMENT 20-Des-11 19-Des-11 41<br />
55 Q0<strong>31</strong>171 3000398745 BDL3 10646 JAUW HWEI LING TAN YUNIARTI T 30-Jan-12 29-Jan-12 0<br />
56 Q034466 3000398800 BDL3 10646 HERMAN ISKANDAR NIAGAYANI 30-Jan-12 29-Jan-12 0<br />
57 Q061927 BDL3 14 SHINTA SAMALI Uw ok 25-Jan-12 6<br />
58 Q034401 3000387916 BDL4 10755 RIAN ERDIANA, S KOM MOS ANE YULIANTINE No.1 SK pembayaran. No.2 TB BB TT. 25-Jan-12 20-Jan-12 6<br />
59 Q022072 3000343300 BDM2 10049 AZALIA FATHIMAH DINAH ANIEK H. HAROEN No.1 Form lampiran khusus. 09-Jan-12 09-Jan-12 22<br />
60 Q022096 3000203364 BDM2 10049 RATU LUSIANTY PURNOMO HENDRYANTO TEDJO S CHOLIDI 22-Nop-11 22-Nop-11 69<br />
61 Q022139 3000<strong>31</strong>7<strong>31</strong>3 BDM2 10049 NANA HARDIYANA HAROEN TITIEK H. HAROEN CHOLIDI 27-Des-11 26-Des-11 34<br />
62 Q022166 3000372395 BDM2 10049 MATTHEW THOMAS EFFENDI CLAUDINE WULLUR CHOLIDI 20-Jan-12 16-Jan-12 11<br />
63 Q058262 3000250874 BDM2 10049 ANASTASIA ASPHIANI LIES MUKTI CHOLIDI No.1 Sehubungan dengan th 1995 angkat 12-Des-11 12-Des-11 49<br />
64 Q058272 3000292925 BDM2 10049 HENNI VERANITA CHOLIDI 21-Des-11 20-Des-11 40<br />
65 Q058285 3000384609 BDM2 10049 BUDI DRAJAT BUDIMAN SUZI DINI HARTATI No.1 Sehubungan Hipertensi;TTG 24-Jan-12 24-Jan-12 7<br />
66 Q058288 3000385875 BDM2 10049 ROMANANG ALI JAYA, ST ANIEK H. HAROEN No.1 Jelaskan tugas dan pekerjaan sehari 24-Jan-12 24-Jan-12 7<br />
67 Q074268 3000375482 BDM2 10049 TITIEK H HAROEN TITIEK H. HAROEN CHOLIDI 20-Jan-12 20-Jan-12 11<br />
68 Q028801 3000400166 BDN2 10084 JEANNY GANDASASMITA MIRA KARTAWIDJAJA 30-Jan-12 30-Jan-12 0<br />
69 Q028802 3000145586 BDN2 10084 LOUIS FERNANDO TITIN CHRISTIANA 27-Okt-11 17-Okt-11 94<br />
70 Q028812 3000302679 BDN2 10084 JEFFREY TITIN CHRISTIANA NO PAYMENT No.1 Jelaskan jwbn VIII 5 b; alasan ct 21-Des-11 21-Des-11 40<br />
71 Q028814 3000400564 BDN2 10084 JAMES FILIPUS YULIA HERIANTO 30-Jan-12 30-Jan-12 0<br />
72 Q028849 3000399830 BDN2 10084 TONO GUNAWAN TITIN CHRISTIANA 30-Jan-12 27-Jan-12 0<br />
73 Q028850 3000400085 BDN2 10084 TEDI MULYANA TITIN CHRISTIANA 30-Jan-12 27-Jan-12 0<br />
74 Q028863 3000394880 BDN2 10084 ANDY KURNIAWAN SAPUTRA PAMELA TANIA 27-Jan-12 26-Jan-12 4<br />
75 Q022290 3000239173 BDN3 10810 ALVIN STEVEN SHANTI PUSPA DEWI AMBAR No.1 Prop yg dilengkapi ttd agent & PP. No.2 07-Des-11 07-Des-11 54<br />
76 Q022296 3000264106 BDN3 10810 ALBERT FEBRYANTO N ERWIN INTAN AMBAR No.1 Proposal lengkap. No.2 Lengkapi no 15-Des-11 14-Des-11 46<br />
77 Q057905 3000396214 BDN3 10810 SAEBANI ERWIN INTAN 27-Jan-12 26-Jan-12 4<br />
78 Q057908 3000361346 BDN3 10810 WENY ROSWENY ERWIN INTAN AMBAR 17-Jan-12 16-Jan-12 14<br />
79 Q057909 3000361443 BDN3 10810 KIKI JASA RAHARJA ERWIN INTAN AMBAR 17-Jan-12 16-Jan-12 14<br />
80 Q057910 3000361388 BDN3 10810 ARI SURYADI, BA ERWIN INTAN AMBAR 17-Jan-12 16-Jan-12 14<br />
81 Q057911 3000361485 BDN3 10810 TITA WERAWATI, SE ERWIN INTAN AMBAR 17-Jan-12 16-Jan-12 14<br />
82 Q057912 3000396133 BDN3 10810 SUYANTO ERWIN INTAN 27-Jan-12 26-Jan-12 4<br />
83 Q057927 3000361702 BDN3 10810 HASAN FAOZIE ERWIN INTAN AMBAR 17-Jan-12 16-Jan-12 14<br />
84 Q057928 3000361728 BDN3 10810 AGUS WAHYU ERWIN INTAN AMBAR 17-Jan-12 16-Jan-12 14<br />
85 Q057929 3000361906 BDN3 10810 A WAHNYOTO KURNIAWAN ERWIN INTAN AMBAR 17-Jan-12 16-Jan-12 14<br />
86 Q057930 3000361948 BDN3 10810 CHRISTIANTO HENDRAWAN ERWIN INTAN No.1 Pinjam dok perawatan berdiagnosa 17-Jan-12 16-Jan-12 14<br />
87 Q0579<strong>31</strong> 3000362067 BDN3 10810 DEASY ANGGRAINI HERMAWAN ERWIN INTAN No.1 Riw hati bengkak: LPK Urine Tes 17-Jan-12 16-Jan-12 14<br />
88 Q057933 3000362148 BDN3 10810 EVELYN TEJA ERWIN INTAN AMBAR 17-Jan-12 16-Jan-12 14<br />
89 Q057934 3000362295 BDN3 10810 RD MOEHARAM, IR ERWIN INTAN AMBAR 17-Jan-12 16-Jan-12 14<br />
90 Q057935 3000362457 BDN3 10810 ISTI VIERA WAHYUNI ERWIN INTAN AMBAR 17-Jan-12 16-Jan-12 14<br />
91 Q057936 3000362473 BDN3 10810 NANANG YUNAN TOHA ERWIN INTAN AMBAR 17-Jan-12 16-Jan-12 14<br />
92 Q057937 3000362415 BDN3 10810 STEFFANUS RAYNALD NATHANIEL ERWIN INTAN AMBAR 17-Jan-12 16-Jan-12 14<br />
93 Q057945 3000400302 BDN3 10810 TJIA KIM HOA NIO WILLIAM FERNANDO S 30-Jan-12 27-Jan-12 0<br />
94 Q057949 3000396256 BDN3 10810 MOHAMAD SOFYAN ERWIN INTAN 27-Jan-12 26-Jan-12 4<br />
95 Q057950 3000396078 BDN3 10810 JAENAL MA'RUF ERWIN INTAN 27-Jan-12 26-Jan-12 4<br />
96 Q057970 3000376438 BDN3 10810 IVAN GENESIUS ELISA ANGELINA AMBAR 20-Jan-12 19-Jan-12 11<br />
97 Q057975 3000<strong>31</strong>7478 BDN3 10810 FREDDY TANUWIJAYA ERWIN INTAN AMBAR NO PAYMENT No.1 Medis kurang EKG. 27-Des-11 24-Des-11 34<br />
98 Q058254 3000340661 BDN3 10810 ALEXANDER JONATAN ELISA ANGELINA NO PAYMENT No.1 Proposal lengkap. No.2 Pinjam hasil 06-Jan-12 05-Jan-12 25<br />
99 Q042278 BDS 24 ARI LIANDANI On Process 27-Jan-12 4<br />
100 Q000573 3000335723 BDS2 10048 IRWAN KURNIAWAN, DRS JONG NYUK LIEN No.1 Med Lpk Urine , Treadmill.. No.2 Med: 03-Jan-12 12-Des-11 28<br />
101 Q000618 3000261378 BDS2 10048 MADELYNNE AURELYNELLE LAY ELEN ALEXANDRA BIMO No.1 Med LPK Anak. 15-Des-11 05-Des-11 46<br />
102 Q003661 3000393208 BDS2 10048 JAYSON EDMUND SALEH JULIANA KUSUMO 26-Jan-12 26-Jan-12 5<br />
103 Q003691 3000397773 BDS2 10048 HERLINA THERESA SUJATI 30-Jan-12 28-Jan-12 0<br />
104 Q032178 3000308544 BDS2 10048 KAYLEE RICH WIRAWAN SWIE LIE BIMO NO PAYMENT 22-Des-11 20-Des-11 39<br />
105 Q032182 3000395349 BDS2 10048 GIFALDY AZKA FARDHAN ISKWARTUTI 27-Jan-12 25-Jan-12 4<br />
106 Q032184 3000395323 BDS2 10048 SILVY ALIA PUTRI ISKWARTUTI 27-Jan-12 27-Jan-12 4<br />
107 Q032194 3000218993 BDS2 10048 KRISNASYAH FALACHI ALVA REZA BIMO 28-Nop-11 25-Nop-11 63<br />
108 Q042144 3000400823 BDS2 10048 WONG SIAN YONG EDDY HARTANTO <strong>31</strong>-Jan-12 30-Jan-12 0<br />
109 Q042279 3000394929 BDS2 10048 NIGEL GERARD LIM HALIM MUSLIANSEN 27-Jan-12 26-Jan-12 4<br />
110 Q042280 3000394864 BDS2 10048 NICLYN GISELLE LIM YULI 27-Jan-12 26-Jan-12 4<br />
111 Q042282 3000398436 BDS2 10048 SAMUEL ANKAAMESARA RACHMAT JULIANA KUSUMO 30-Jan-12 29-Jan-12 0<br />
112 Q042326 3000401633 BDS2 10048 REKA JERAMIEL CHRISTIAN IR. DEDDY KARYANTO <strong>31</strong>-Jan-12 <strong>31</strong>-Jan-12 0<br />
113 Q042425 3000402053 BDS2 10048 NOVEN SUGIHARTO IR. DEDDY KARYANTO <strong>31</strong>-Jan-12 <strong>31</strong>-Jan-12 0<br />
114 Q042445 3000383865 BDS2 10048 ADRIAN SJAMSUL QAMAR KIKI WIBOWO No.1 menunggu EP. No.2 Mohon lampirkan 24-Jan-12 18-Jan-12 7<br />
115 Q042452 3000401358 BDS2 10048 DIANI MAULANI IR. DEDDY KARYANTO <strong>31</strong>-Jan-12 <strong>31</strong>-Jan-12 0<br />
116 Q042464 3000393389 BDS2 10048 SANDY JUSAK KHUANA IR. DEDDY KARYANTO 26-Jan-12 20-Jan-12 5<br />
117 Q042468 3000393240 BDS2 10048 MADELYNNE AURELYNELLE LAY IR. DEDDY KARYANTO 26-Jan-12 20-Jan-12 5<br />
118 Q42425 3000401617 BDS2 10048 NOVEN SUGIHARTO IR. DEDDY KARYANTO <strong>31</strong>-Jan-12 <strong>31</strong>-Jan-12 0<br />
119 Q003015 3000322984 BKS 10654 RUMENTA SITOHANG BERNARDINE BUDHI M NINA No.1 sehub asma dan bronchitis need med 27-Des-11 27-Des-11 34<br />
120 Q025026 3000<strong>31</strong>7541 BKS 10654 HARYATI NOVIE NURWACHYUNI NINA NPK DI SPA # SISTEM No.1 menunggu setuju EP. 27-Des-11 12-Des-11 34<br />
121 Q029523 3000226033 BKS 10654 RR TITIN DWI ASMARAWATININGSIH SRI WINARNI NINA No.1 menunggu setuju EP. No.2 lampirkan ID 01-Des-11 01-Des-11 60<br />
122 Q037509 3000371129 BKS 10654 NIA YUNIAWATI MELANI HAPSARI No.1 menunggu setuju EP. 19-Jan-12 18-Jan-12 12<br />
123 Q037554 3000397430 BKS 10654 MAGDALENA PATRICIA TANGKUDUNG MELANI HAPSARI 28-Jan-12 27-Jan-12 3<br />
124 Q043734 3000305295 BKS 10654 ERSI SARYUPI ERSI SARYUDI NINA GENDER AW? 21-Des-11 19-Des-11 40<br />
125 Q051879 3000351068 BKS 10654 SRI WIDIASTUTI ANNA RESSAWATI No.1 menunggu Kues Hipertensi(TTG dan 13-Jan-12 19-Des-11 18<br />
126 Q051881 3000351042 BKS 10654 ANITA KUSNIA RAMADHANI JAJANG RUHIMAT No.1 sehub TTG blm membuat akte lahir 13-Jan-12 06-Des-11 18<br />
127 Q070673 3000305122 BKS 10654 KIKIN SUKINAH IR MUARA PELAWI NINA 21-Des-11 20-Des-11 40<br />
128 Q070674 3000396557 BKS 10654 ADIEL NAURAH JANNAH ARDHANI ALEXANDER HANUNG H 27-Jan-12 27-Jan-12 4<br />
129 Q070675 3000305350 BKS 10654 PETRUS PETRUS NINA 21-Des-11 19-Des-11 40<br />
130 Q003024 3000240203 BKS2 10777 ARIF SUBARZAH EVA FALSAPAH BIMO 07-Des-11 06-Des-11 54<br />
1<strong>31</strong> Q007374 3000364174 BKS2 10777 AZRIEL PRATAMA ISKANDAR JOSEP CHRISTIANTO No.1 menunggu EP. 18-Jan-12 16-Jan-12 13<br />
132 Q007376 3000240180 BKS2 10777 H SUPRATMAN, SE EVA FALSAPAH BIMO 07-Des-11 07-Des-11 54<br />
133 Q007379 3000233478 BKS2 10777 HJ.NANI KURNIASIH, SH EVA FALSAPAH BIMO 05-Des-11 03-Des-11 56<br />
134 Q007390 3000240229 BKS2 10777 HJ INDAH RUSDINIARTI EVA FALSAPAH BIMO 07-Des-11 06-Des-11 54<br />
135 Q007425 3000274191 BKS2 10777 SUGENG MULYONO EVA FALSAPAH BIMO 19-Des-11 19-Des-11 42<br />
136 Q023582 3000373935 BKS2 10777 YADI AHMAD SYAHRUDIN BIMO 20-Jan-12 19-Jan-12 11<br />
137 Q025057 3000237197 BKS2 10777 TATI NURBAITI EVA FALSAPAH BIMO No.1 menunggu EP . 06-Des-11 05-Des-11 55<br />
138 Q027266 300030<strong>31</strong>88 BKS2 10777 WAJAR SEPRIYANTO KUSYANTO B TARJUKI BIMO 21-Des-11 21-Des-11 40<br />
139 Q027296 3000359472 BKS2 10777 YENNI SINAGA RIZKY TRIA S BIMO 16-Jan-12 16-Jan-12 15<br />
140 Q027445 3000304118 BKS2 10777 JOSEPH MARTIN RIANDY ADMOJO RUYSTIADI FAJAR MULYONO BIMO 21-Des-11 21-Des-11 40<br />
141 Q027446 3000306283 BKS2 10777 ELIZABETH QUEEN MARIA PUSPITA DEWI FAJAR R MULYONO BIMO 22-Des-11 21-Des-11 39<br />
142 Q027447 3000304011 BKS2 10777 BARTOLOMEUS RUYSTIADI, SE FAJAR MULYONO BIMO 21-Des-11 21-Des-11 40<br />
143 Q027448 3000306348 BKS2 10777 BENEDICTUS MARIO ARY DARMAWAN RFAJAR MULYONO BIMO 22-Des-11 21-Des-11 39<br />
144 Q027449 3000306306 BKS2 10777 R.A.MARIA BERNARDA C.C.W, SH FAJAR MULYONO BIMO 22-Des-11 21-Des-11 39<br />
145 Q027450 3000390292 BKS2 10777 ABDUL RAHMAN ZULI INDRA No.1 menunggu excl. 25-Jan-12 25-Jan-12 6<br />
146 Q027472 3000<strong>31</strong>2232 BKS2 10777 SRI LESTARI AHMAD SYAHRUDIN BIMO 22-Des-11 22-Des-11 39<br />
147 Q029001 3000259501 BKS2 10777 SALSA BILA ASSYIFA EVA FALSAPAH BIMO NAMA SESUAI ID 14-Des-11 14-Des-11 47<br />
148 Q033895 3000<strong>31</strong>2127 BKS2 10777 ADE SYAHRIAL RIZKY TRIA S BIMO No.1 lampirkan ID. 22-Des-11 22-Des-11 39<br />
149 Q034161 3000290892 BKS2 10777 YATIM BIN JAMA ROHANAH BINTI LACIM BIMO 20-Des-11 20-Des-11 41<br />
150 Q037559 3000347613 BKS2 10777 AGUS HARYA SETYAKI, LLM HANISAH PRAMSISKA No.1 POSTPONE . 12-Jan-12 11-Jan-12 19<br />
151 Q052713 3000352153 BKS2 10777 DANIELLA BERTHA RIA NITA FAJAR MULYONO 13-Jan-12 18-Nop-11 18<br />
152 Q069113 3000373993 BKS2 10777 GATOT KRISTIANTO FAJAR MULYONO No.1 terkait dirawat: Kapan? lama sakit? 20-Jan-12 16-Jan-12 11<br />
153 Q069114 3000348643 BKS2 10777 HASANUDIN, DRS FAJAR MULYONO No.1 med : Lpk Urine, Darah Lengkap dan 12-Jan-12 12-Jan-12 19
154 Q070666 3000330448 BKS2 10777 SUCI MELATI PUSPITASARI RIZKY TRIA S BIMO 29-Des-11 28-Des-11 32<br />
155 Q074164 3000361087 BKS2 10777 AKDAN FADILA M.RESIANNA MANALU No.1 lampirkan ID TTG. 17-Jan-12 17-Jan-12 14<br />
156 Q074172 3000386106 BKS2 10777 YUSUF KURNIADI RAHMAT MARKUS No.1 lampirkan ID TTG. No.2 Alamat koresp 24-Jan-12 24-Jan-12 7<br />
157 Q074173 3000364132 BKS2 10777 SUYANTO JOSEP CHRISTIANTO No.1 menunggu EP. 18-Jan-12 16-Jan-12 13<br />
158 B216774 30003054<strong>31</strong> BKS3 10822 RIA KURNIATI RULI ARIANI CHOLIDI 21-Des-11 21-Des-11 40<br />
159 B356419 3000305415 BKS3 10822 BUDIYANTO PERI EL SUNARSIH CHOLIDI 21-Des-11 21-Des-11 40<br />
160 Q025030 3000217612 BKS3 10822 SUSANTI SANTI DAMAYANTI CHOLIDI NO PROPOSAL INPUR UP & RIDER SESUAI SPA 28-Nop-11 28-Nop-11 63<br />
161 Q052541 3000355177 BKS3 10822 HANDONO SWANDARI TM CHOLIDI 13-Jan-12 21-Des-11 18<br />
162 B396136 3000391141 BKS3KRWG 10859 ELINEL INDRA LUKMAN No.1 lengkapi scoring F.PASS. No.2 lengkapi 26-Jan-12 26-Jan-12 5<br />
163 B396137 3000391167 BKS3KRWG 10859 ERLINDA INDRA LUKMAN 26-Jan-12 25-Jan-12 5<br />
164 B445665 3000382843 BKS3KRWG 10859 KARTONO WIWOHO MARWATI SIMON 24-Jan-12 20-Jan-12 7<br />
165 Q006720 3000343415 BKS3KRWG 10859 ROBBIE KURNIA SYABAN TEGUH PRASETYO No.1 menunggu setuju EP. 10-Jan-12 10-Jan-12 21<br />
166 Q009398 3000382550 BKS3KRWG 10859 ERLINDA INDRA LUKMAN No.1 jlskan alamat koresp alamat siapa. 24-Jan-12 20-Jan-12 7<br />
167 Q013393 3000251113 BKS3KRWG 10859 AMELIA AZHARACHRISNANDI ROBERT HALIM NINA 13-Des-11 05-Des-11 48<br />
168 Q013397 3000251171 BKS3KRWG 10859 SYAIRA ANANDACRYSNANDI ROBERT HALIM NINA 13-Des-11 05-Des-11 48<br />
169 Q013400 3000336355 BKS3KRWG 10859 YANTI YULIANTI ROBERT HALIM NINA 04-Jan-12 28-Des-11 27<br />
170 Q027<strong>31</strong>2 3000382534 BKS3KRWG 10859 HATTA FERDIAN GONDO YUT DJIANISIWI 24-Jan-12 20-Jan-12 7<br />
171 Q027<strong>31</strong>3 3000386368 BKS3KRWG 10859 FEBBY AVELAWATI SURYO IMAM TURYO No.1 lengkapi SPA I no 7 dan 8. 24-Jan-12 23-Jan-12 7<br />
172 Q027<strong>31</strong>4 3000386449 BKS3KRWG 10859 NOVY PRASETYO NOVY PRASETYO 24-Jan-12 23-Jan-12 7<br />
173 Q037543 3000383386 BKS3KRWG 10859 GURMINDA BAHARI GURMINDA BAHARI AW NO.1 TIDAK JELAS No.1 kode plan di sistem:UN1A;Proposal: 24-Jan-12 20-Jan-12 7<br />
174 Q037567 3000376098 BKS3KRWG 10859 ABDUL MANAN ARIANNOVANDA 20-Jan-12 20-Jan-12 11<br />
175 Q037568 3000376014 BKS3KRWG 10859 NURIAN SAIDI GONDO YUT DJIANISIWI 20-Jan-12 20-Jan-12 11<br />
176 Q041678 3000386300 BKS3KRWG 10859 WIWIN WININGSIH ISMAIL AHSAN 24-Jan-12 23-Jan-12 7<br />
177 Q041680 3000386342 BKS3KRWG 10859 WISAM NUGRAHA PRATOMO IMAM TURYO No.1 PP;supervisor bag apa;jlskn detail 24-Jan-12 23-Jan-12 7<br />
178 Q041737 3000383328 BKS3KRWG 10859 RIESKA INDAH SARI GILANG MUHARAM 24-Jan-12 24-Jan-12 7<br />
179 Q041738 3000372175 BKS3KRWG 10859 GILANG MUHARAM GILANG MUHARAM 20-Jan-12 20-Jan-12 11<br />
180 Q041739 3000382380 BKS3KRWG 10859 RIANITA UTAMI NINGSIH RIANITA UTAMI N No.1 propo blm di TTD agen dan TTG. No.2 24-Jan-12 20-Jan-12 7<br />
181 Q041756 3000323964 BKS3KRWG 10859 KWE AWANG LINDA SURYATI NINA No.1 sehb tiroid:sdh ops/blm;jk ia lampirkn 28-Des-11 25-Des-11 33<br />
182 Q041763 3000379664 BKS3KRWG 10859 JOKO SUNARTO ACHMAD DARWIN 20-Jan-12 20-Jan-12 11<br />
183 Q041772 3000232723 BKS3KRWG 10859 AKBAR AULIA EDDY WITONO SIMON NINA 05-Des-11 05-Des-11 56<br />
184 Q041773 3000232626 BKS3KRWG 10859 MUHAMMAD AULIA EDDY WITONO SIMON NINA PERBAIKI AW SESUAI FORM B 05-Des-11 05-Des-11 56<br />
185 Q041774 3000232684 BKS3KRWG 10859 SRI TANJUNG LIASARI, SE MM EDDY WITONO SIMON NINA 05-Des-11 05-Des-11 56<br />
186 Q041775 3000232587 BKS3KRWG 10859 DENNI JOKO P, DR SP B MM EDDY WITONO SIMON NINA 05-Des-11 05-Des-11 56<br />
187 Q051898 3000353<strong>31</strong>1 BKS3KRWG 10859 MUHAMMAD MAULANA RAMADHAN NOVY PRASETYO No.1 menunggu APS. 13-Jan-12 16-Des-11 18<br />
188 Q070<strong>31</strong>9 3000382869 BKS3KRWG 10859 YANUAR HADI PRANATA MARWATI SIMON TP & STU PD SPA KOSONG,SMOKING INDICATOR? 24-Jan-12 20-Jan-12 7<br />
189 Q070380 3000360926 BKS3KRWG 10859 LIZA YULIANTI NINA 17-Jan-12 17-Jan-12 14<br />
190 Q070397 3000339337 BKS3KRWG 10859 SUTE JAYA SRI KUMALA NINA 06-Jan-12 06-Jan-12 25<br />
191 Q070868 3000378032 BKS3KRWG 10859 MAHAYANA GAVIN JOVICO SUSANTI WULANDARI NO FORM B, SK AD (COPY) No.1 klarfikasi NO SPAJ hal 1-4 yg bnr. No.2 20-Jan-12 18-Jan-12 11<br />
192 Q051941 3000381130 BKSDEPOK 10720 IMAM SURYONO, SE RAKSA RAGANA,SE No.1 Need : LPK, Urine, Lab. Darah Rutin. 20-Jan-12 20-Jan-12 11<br />
193 Q051942 3000392<strong>31</strong>7 BKSDEPOK 10720 RAKSA RAGANA, SE ASMODIWATI 26-Jan-12 24-Jan-12 5<br />
194 Q051943 3000392618 BKSDEPOK 10720 ASMODIWATI, SE ASMODIWATI DOB NO.3? 04 ATAU 09 ? 26-Jan-12 24-Jan-12 5<br />
195 Q052026 3000333519 BKSDEPOK 10720 ANDRODIA LAZULDA ASMODIWATI NINA NO FORM B, ID TTG TIDAK JELAS No.1 lampirkan ID TTG yg jelas. 29-Des-11 21-Des-11 32<br />
196 Q002940 3000248447 BKSI5LTNOS 10863 MARDIAH, DRA RUDY GUNAWAN GOUW MAYA 12-Des-11 12-Des-11 49<br />
197 Q00<strong>31</strong>15 3000358612 BKSI5LTNOS 10863 CHRISTIANA YUNIAR ISWAHYUNING CHRISNA EDIE D. No.1 Ttd di proposal hal 4 dan 5 beda dgn 16-Jan-12 16-Jan-12 15<br />
198 Q011656 3000396905 BKSI5LTNOS 10863 STEPHANIE JONATHAN ENDRO 27-Jan-12 27-Jan-12 4<br />
199 Q011674 3000298214 BKSI5LTNOS 10863 LAURA VITA CATHERINE NAIBAHO LORENSIA FILY MAYA No.1 Hal 1 II no 2 beda dgn Akte. 21-Des-11 19-Des-11 40<br />
200 Q011675 3000298620 BKSI5LTNOS 10863 RICARDO TUMPAL NAIBAHO LORENSIA FILY MAYA 21-Des-11 19-Des-11 40<br />
201 Q011770 3000396866 BKSI5LTNOS 10863 HANNY YUNIVITA ALI SOLIHIN 27-Jan-12 25-Jan-12 4<br />
202 Q025032 3000370351 BKSI5LTNOS 10863 JERICHO POHAN HENNY TRIANI POHAN No.1 Lampirkan prop baru hal 2, krn nilai tunai 19-Jan-12 13-Jan-12 12<br />
203 Q042927 3000350452 BKSI5LTNOS 10863 HJ.NURHAMAH RUDY GUNAWAN GOUW No.1 Hal 2 IIIa no.7 Ttl premi lbh dr 20% jml 13-Jan-12 13-Jan-12 18<br />
204 Q042930 3000395072 BKSI5LTNOS 10863 KEIZHA OLIVIA WIDJAYA RUDY GUNAWAN GOUW 27-Jan-12 27-Jan-12 4<br />
205 Q043058 3000390404 BKSI5LTNOS 10863 JONSENS WIBOWO JONSENS WIBOWO 25-Jan-12 24-Jan-12 6<br />
206 Q043075 3000362669 BKSI5LTNOS 10863 KUNCAHYO KAMAL ARIFIN, DR ARLINIA DEWI FUND DI SP # PROP DAN SYATEM, INVESTASI No.1 Lengkapi NPK agen di hal 6. No.2 18-Jan-12 16-Jan-12 13<br />
207 Q051905 3000355591 BKSI5LTNOS 10863 ELLIANA LORENSIA FILY No.1 Hasil APS: Postponed, mohon info 13-Jan-12 14-Nop-11 18<br />
208 Q051934 3000376632 BKSI5LTNOS 10863 DONA DJON ZAIN ROHAYATI RECC BCA COPY,RIDER PD SP # PROP No.1 Hal 2 V rider no.1 di SPA beda dgn 20-Jan-12 16-Jan-12 11<br />
209 Q0520<strong>31</strong> 3000362619 BKSI5LTNOS 10863 KUNCAHYO KAMAL ARIFIN, DR ARLINIA DEWI No.1 Ttl RA Rp. 1 milyar, Medis D: LPK sd 18-Jan-12 16-Jan-12 13<br />
210 Q052054 3000362570 BKSI5LTNOS 10863 ARLINA DEWI, DR M KES ARLINIA DEWI No.1 Ttg: Medis B: LPK sd EKG. No.2 Hal 3 18-Jan-12 16-Jan-12 13<br />
211 Q052058 3000390462 BKSI5LTNOS 10863 ROSALINA ENDANG J LORENSIA FILY No.1 Hal 6 IX no.1a jelaskan. 25-Jan-12 20-Jan-12 6<br />
212 Q052059 3000390365 BKSI5LTNOS 10863 BUDI PANCA PRASETYO LORENSIA FILY 25-Jan-12 20-Jan-12 6<br />
213 Q052067 3000376030 BKSI5LTNOS 10863 DONA DJON ZAIN ROHAYATI No.1 Sehub dgn rawat Des 2010, lampirkan 20-Jan-12 19-Jan-12 11<br />
214 Q024370 3000335155 BLP 10608 HJ AMIRA NANDA BAHDIANA No.1 menunggu EP. 03-Jan-12 28-Des-11 28<br />
215 Q032693 BTM3 378 ANDRIANI uw ok 19-Jan-12 12<br />
216 Q072266 BTM3 384 THORIQ FAJAR ARFIYAN Lampirkan akte lahir TTG 24-Jan-12 7<br />
217 Q030761 3000400865 CBRMTS2 10684 DEVY ANDRIANA GINA <strong>31</strong>-Jan-12 28-Jan-12 0<br />
218 Q030823 3000396052 CBRMTS2 10684 WULAN SARI SUSAN LIE 27-Jan-12 27-Jan-12 4<br />
219 Q033766 3000396117 CBRMTS2 10684 GABRIELLA KWIK EARLY THIO GOAT LIE 27-Jan-12 25-Jan-12 4<br />
220 Q033774 3000394440 CBRMTS2 10684 YUDI MINTORO SUMALI THIO GOAT LIE 27-Jan-12 26-Jan-12 4<br />
221 Q009776 3000291539 CELEBRITY 10157 KEVIN SURYA ATMADJA GINA ROESTAM SARWO 20-Des-11 20-Des-11 41<br />
222 Q009857 3000291458 CELEBRITY 10157 GINA ROESTAM GINA ROESTAM SARWO 20-Des-11 20-Des-11 41<br />
223 Q009873 3000334476 CELEBRITY 10157 NURYATI SAMIN MONICA ASTRID S. No.1 TT Med A. No.2 DM mohon medis Gula 02-Jan-12 29-Des-11 29<br />
224 Q038251 3000285564 CELEBRITY 10157 AUCKY HINTING, DR DEBY ASWARIE CLIFFORD No.1 TT Med F. No.2 Lengkapi kekurangan 20-Des-11 19-Des-11 41<br />
225 Q038255 3000338933 CELEBRITY 10157 OLIVIA FAYE TJIPUTRA GINA ROESTAM 05-Jan-12 02-Jan-12 26<br />
226 Q052553 3000354799 CELEBRITY 10157 AMELIA MULALINDA SURYA SANJAYA No.1 Dari SPA sebelumnya TT mohon medis 13-Jan-12 20-Des-11 18<br />
227 Q052554 3000351351 CELEBRITY 10157 M. ANSILLA F EKA MUTTY, DRG ANDRAWITA I No.1 Mohon medis Echocardiography. 13-Jan-12 25-Nop-11 18<br />
228 Q052573 30003523<strong>31</strong> CELEBRITY 10157 RACHEL MERCYANNE KARASERAN SURYA SANJAYA No.1 PP mengikuti keputusan SPA Q009861 13-Jan-12 20-Des-11 18<br />
229 Q052574 3000352454 CELEBRITY 10157 MARK JOVERSON KARASERAN SURYA SANJAYA No.1 No.1 PP mengikuti keputusan SPA 13-Jan-12 19-Des-11 18<br />
230 Q015303 3000388988 CRB 10054 MARLIYANTI KRISTY LINAWATI 25-Jan-12 25-Jan-12 6<br />
2<strong>31</strong> Q016111 3000232927 CRB 10054 L.SUBIYANTO SELVIA MEYLANI SARWO 05-Des-11 05-Des-11 56<br />
232 Q0161<strong>31</strong> 3000302093 CRB 10054 LILIANA LOEIS MELISANI SIE SARWO No.1 Riw Claim, TT Med B. 21-Des-11 21-Des-11 40<br />
233 Q016138 3000388946 CRB 10054 KRISTIAN JULIANTO LINAWATI 25-Jan-12 25-Jan-12 6<br />
234 Q016145 3000377222 CRB 10054 H.SARKAM MELISANI SIE No.1 SPA ini Postpone hingga diagnosa pasti 20-Jan-12 20-Jan-12 11<br />
235 Q071897 30003333<strong>31</strong> CRB 10054 SUHARTI SELVIA MEYLANI WAHYU 29-Des-11 28-Des-11 32<br />
236 Q071982 3000391573 CRB 10054 BENNY ALI LINAWATI 26-Jan-12 26-Jan-12 5<br />
237 Q044285 3000362025 CRBKING 10751 SAKUR, SE LAY HA LIN/HELEN Y. SARWO 17-Jan-12 16-Jan-12 14<br />
238 Q044290 3000385639 CRBKING 10751 THIO WOE SANG LAY HA LIN/HELEN Y. SARWO 24-Jan-12 20-Jan-12 7<br />
239 Q044309 3000394084 CRBKING 10751 ANG TJING SIK LAY HA LIN/HELEN Y. 26-Jan-12 25-Jan-12 5<br />
240 Q044<strong>31</strong>0 3000394068 CRBKING 10751 AGUS SOESANTO LAY HA LIN/HELEN Y. 26-Jan-12 25-Jan-12 5<br />
241 Q013517 3000275105 DNP1 10070 I WAYAN NAYA SURA IG.A MILANA PUTRI SE SARWO 19-Des-11 07-Des-11 42<br />
242 Q022953 3000247297 DNP1 10070 I WAYAN SUARDANA DWI ARSINI SARWO 12-Des-11 09-Des-11 49<br />
243 Q02<strong>31</strong>05 3000392286 DNP1 10070 AGUS WIJAYA DINI ISTIBANA LUKAS 26-Jan-12 24-Jan-12 5<br />
244 Q02<strong>31</strong>12 3000288740 DNP1 10070 NI MADE LILI SURIANI IG.A MILANA PUTRI SE SARWO 20-Des-11 01-Des-11 41<br />
245 Q030505 3000391484 DNP1 10070 PUTU AYU SRI ASTUTI ANIS ROSANTI 26-Jan-12 26-Jan-12 5<br />
246 Q030556 3000391125 DNP1 10070 KADEK INDI VAYA MELL'YANTI NI PUTU TRISNA A. 26-Jan-12 26-Jan-12 5<br />
247 Q030597 3000392757 DNP1 10070 BINTANG FADLILLAH NOOR ANIS ROSANTI 26-Jan-12 26-Jan-12 5<br />
248 Q030610 3000395705 DNP1 10070 DIMAS MAULANA JOKO SANTOSO 27-Jan-12 27-Jan-12 4<br />
249 Q030618 3000389382 DNP1 10070 NI PUTU SRI DARMAYANTI NI PUTU TRISNA A. 25-Jan-12 25-Jan-12 6<br />
250 Q044032 3000291911 DNP1 10070 I MADE PRABHU ARYA MAHESWARA KOMANG YULI ARIANI SARWO 21-Des-11 20-Des-11 40<br />
251 Q044033 3000291995 DNP1 10070 I WAYAN MAHATMA ELANG SHADANA KOMANG YULI ARIANI WAHYU 21-Des-11 20-Des-11 40<br />
252 Q044141 3000362596 DNP1 10070 NI WAYAN SULASTRI I MADE SURYANA No.1 TT Med D. 18-Jan-12 16-Jan-12 13<br />
253 Q044146 3000388483 DNP1 10070 I PUTU SANGKA I KETUT MADANA N 25-Jan-12 20-Jan-12 6<br />
254 Q044191 3000270626 DNP1 10070 RACHEL CANDINI SOEGIARTO ANGELICA MERRY UTAMI SARWO 17-Des-11 17-Des-11 44<br />
255 Q073773 3000389358 DNP1 10070 MADE RISMARINI NI PUTU TRISNA A. 25-Jan-12 24-Jan-12 6<br />
256 Q073774 3000389293 DNP1 10070 DEWI MULYANINGSIH NI PUTU TRISNA A. 25-Jan-12 24-Jan-12 6<br />
257 Q073785 3000387306 DNP1 10070 MORRIN CECILIA ORAH DINI ISTIBANA LUKAS No.1 SK pembayaran. 25-Jan-12 24-Jan-12 6<br />
258 Q073807 3000391060 DNP1 10070 PUTU FANINA MELL'YANTI NI PUTU TRISNA A. 26-Jan-12 26-Jan-12 5<br />
259 Q073839 3000392228 DNP1 10070 NI PUTU SRI DARMAYANTI NI PUTU TRISNA A. 26-Jan-12 25-Jan-12 5<br />
260 Q073843 3000394212 DNP1 10070 TANTY NOVIE YANTI TANTY NOVIE YANTI 27-Jan-12 26-Jan-12 4<br />
261 Q073850 3000395624 DNP1 10070 PUTU AYU CARLA PETRINA HENDIAN FERDY PANDELAKI 27-Jan-12 27-Jan-12 4<br />
262 Q0<strong>31</strong>688 3000325770 DNP2 10078 I WAYAN RUMANTIK NI NENGAH ASTITI S. No.1 Riw klaim batu ureter th 2007: Medis 28-Des-11 27-Des-11 33<br />
263 Q0<strong>31</strong>699 3000357365 DNP2 10078 BIMA DARMAWAN G.A.K KOMALASARI, SH No.1 RA PP Rp 626.646.000 Med Tipe C: 16-Jan-12 04-Jan-12 15<br />
264 Q0<strong>31</strong>701 3000357323 DNP2 10078 DIAN NARA HATI G.A.K KOMALASARI, SH No.1 PP RA Rp 626.646.000 Med tipe C: 16-Jan-12 04-Jan-12 15<br />
265 Q0<strong>31</strong>719 3000393444 DNP2 10078 MADE PON MEDIANI, SE NI PUTU SURYANI 26-Jan-12 26-Jan-12 5<br />
266 Q050986 3000395226 DNP2 10078 SANGJOKO WIDJANARKO NYOMAN YUDI SANJAYA 27-Jan-12 26-Jan-12 4<br />
267 Q051978 3000354773 DNP2 10078 I DEWA NYOMAN ALIT ADIYA PUTRA, SENI PUTU SURYANI No.1 Menunggu persetujuan EP. No.2 Utk 13-Jan-12 20-Des-11 18<br />
268 Q015669 3000387526 DNP3 10605 FREDERICK FERRY FERNANDO ACH.JAZULI, SH 25-Jan-12 25-Jan-12 6<br />
269 Q015679 3000368097 DNP3 10605 ARIES NUR SETIATI, AMD ATOK TRIARYA UMBAWA No.1 Sehubungan hasil PA untuk operasi 19-Jan-12 13-Jan-12 12<br />
270 Q026641 3000234393 DNP3 10605 I KETUT KANDIAWAN DEWA NYOMAN SUARSA CHOLIDI No.1 Form ektra premi dan lampiran khusus. 06-Des-11 06-Des-11 55<br />
271 Q039842 3000374012 DNP3 10605 HANIF AGUS DWI CAHYONO HERI BASUKI No.1 Form ekstra premi. 20-Jan-12 20-Jan-12 11<br />
272 Q039858 3000395022 DNP3 10605 I GUSTI AGUS SURYA KUSYANTA IDA A MD SRI ARIANI 27-Jan-12 27-Jan-12 4<br />
273 Q039904 3000391557 DNP3 10605 NI KOMANG SUARTINI DEWA NYOMAN SUARSA 26-Jan-12 26-Jan-12 5<br />
274 Q052558 3000351377 DNP3 10605 NOFAN ARDIANTO HERY HERMAWAN No.1 Dari hasil medical yg diterima;TTG 13-Jan-12 22-Nop-11 18<br />
275 Q000646 3000391329 DNP4 10691 EDY SUGIANTO THONG DJIUW MIE 26-Jan-12 26-Jan-12 5<br />
276 Q000696 3000391248 DNP4 10691 RAHMAWATY, SS MERIANI, SH 26-Jan-12 25-Jan-12 5<br />
277 Q016464 3000390860 DNP4 10691 TAN ING KHING KUMALA INDAH S 26-Jan-12 25-Jan-12 5<br />
278 Q016502 3000390925 DNP4 10691 HERNI YUWATI PRASODJO KUMALA INDAH S 26-Jan-12 25-Jan-12 5<br />
279 Q016519 3000387843 DNP4 10691 MARYANI TJAHYADI YUDIWAN 25-Jan-12 25-Jan-12 6<br />
280 Q016535 3000391280 DNP4 10691 JINNALI DEWI THONG DJIUW MIE 26-Jan-12 26-Jan-12 5<br />
281 Q047526 3000390802 DNP4 10691 WINDIE IRAWAN SUHARTATI 26-Jan-12 05-Jan-12 5<br />
282 Q047565 3000<strong>31</strong>4365 DNP4 10691 I WAYAN BUDI UTAMA, DRS MSI SUPARIYANI,SH NINA 22-Des-11 21-Nop-11 39<br />
283 Q047586 3000395420 DNP4 10691 YOGI WAHYU PANGKASIDHI VELYANA PANGESTU 27-Jan-12 27-Jan-12 4<br />
284 Q047641 3000373838 DNP4 10691 I GUSTI AGUNG DEWI SUKRAYANI NI PUTU PANCA H 20-Jan-12 19-Jan-12 11<br />
285 Q047651 3000258555 DNP4 10691 WIDYAWATI SUTIKNO TONNY NINA No.1 dr hsl medis:need kues DM (TTG dan 14-Des-11 05-Des-11 47<br />
286 Q047652 3000395446 DNP4 10691 NOVIKA KUSUMAWARDHANI VELYANA PANGESTU 27-Jan-12 27-Jan-12 4<br />
287 Q047654 3000387788 DNP4 10691 KUROIWA MIYABI YUDIWAN 25-Jan-12 25-Jan-12 6<br />
288 Q050987 3000395268 DNP4 10691 HERY WIDIJANTO LIMAN SONYA PUSPA DEWI L 27-Jan-12 26-Jan-12 4<br />
289 Q050988 3000395284 DNP4 10691 DJENNY SONYA PUSPA DEWI L 27-Jan-12 26-Jan-12 4<br />
290 Q050998 3000392472 DNP4 10691 IDA AYU MADE OKA IDA AYU PT MARIYATHI 26-Jan-12 26-Jan-12 5<br />
291 Q050999 3000393981 DNP4 10691 IDA BAGUS GEDE MAHATMANANDA IDA AYU PT MARIYATHI TB N BB TIDAK DI ISI D SPAJ No.1 lengkapi data kesehatan PP SPA VIII no 26-Jan-12 26-Jan-12 5<br />
292 Q051000 3000394026 DNP4 10691 IDA BAGUS KETUT SUYOGA, SH IDA AYU PT MARIYATHI 26-Jan-12 26-Jan-12 5<br />
293 Q070518 3000393266 DNP4 10691 DIAN ROSMAWAR DIAN ROSMAWAR 26-Jan-12 25-Jan-12 5<br />
294 Q070519 3000393224 DNP4 10691 ITAB DATUL MUSTIFA DIAN ROSMAWAR 26-Jan-12 26-Jan-12 5<br />
295 Q070520 3000397171 DNP4 10691 NI PUTU YULIANA DEWI LIANA WIJAYA 28-Jan-12 26-Jan-12 3<br />
296 Q070522 3000329407 DNP4 10691 MARVEL NICHOLAS THE MERIANI, SH SEPTI 28-Des-11 28-Des-11 33<br />
297 Q070937 3000390763 DNP4 10691 ANAK AGUNG AYU ADNYANI COK GEDE PUNIA ARTA 26-Jan-12 20-Jan-12 5<br />
298 Q070938 3000384586 DNP4 10691 NI NYOMAN MAHASWARI DEVI NI MADE SUARTINI 24-Jan-12 21-Jan-12 7<br />
299 Q071042 3000393664 DNP4 10691 NI WAYAN SUDARMI NYOMAN MEIDINAWATI 26-Jan-12 26-Jan-12 5<br />
300 Q071043 3000392498 DNP4 10691 LUH SURYANINGSIH NYOMAN MEIDINAWATI 26-Jan-12 25-Jan-12 5<br />
301 Q071060 3000384641 DNP4 10691 YAKUB DEWA AYU PUTU YUSI 24-Jan-12 17-Jan-12 7<br />
302 Q071067 3000369611 DNP4 10691 I KADEK EKA WIDIANTARA YONI WIDIASTUTI S NINA 19-Jan-12 16-Jan-12 12<br />
303 Q071089 3000373715 DNP4 10691 I NENGAH SUKA NI PUTU PANCA H 20-Jan-12 19-Jan-12 11<br />
304 Q071093 3000392189 DNP4 10691 AGUNG NOVIANTHO ANSELMUS EDA 26-Jan-12 22-Des-11 5<br />
305 Q071109 3000329449 DNP4 10691 MALVIN JONATHAN THE MERIANI, SH EDI 28-Des-11 28-Des-11 33<br />
306 Q071117 3000390789 DNP4 10691 ANAK AGUNG AYU ADNYANI COK GEDE PUNIA ARTA 26-Jan-12 20-Jan-12 5<br />
307 Q071136 3000387801 DNP4 10691 ARIF BUDIMAN YUDIWAN 25-Jan-12 25-Jan-12 6<br />
308 Q071139 3000396191 DNP4 10691 HENDRA SANTOSA YUDIWAN 27-Jan-12 27-Jan-12 4<br />
309 Q071140 3000397197 DNP4 10691 I NYOMAN KABAR ANDRY KRISTY ADY 28-Jan-12 26-Jan-12 3<br />
<strong>31</strong>0 Q071154 3000393965 DNP4 10691 PANDE KETUT ARIASIH, DRA NI PUTU PANCA H 26-Jan-12 26-Jan-12 5<br />
<strong>31</strong>1 Q071157 3000393800 DNP4 10691 ROSALIA ANGELINA DONNA G NI PUTU PANCA H 26-Jan-12 26-Jan-12 5<br />
<strong>31</strong>2 Q071158 3000381512 DNP4 10691 NI KETUT ASMINI NI PUTU PANCA H No.1 sehub riw extra premi di polis lama krn 21-Jan-12 20-Jan-12 10<br />
<strong>31</strong>3 Q071159 3000393703 DNP4 10691 THERESIA FLORENTINA ONNIK G NI PUTU PANCA H 26-Jan-12 26-Jan-12 5<br />
<strong>31</strong>4 Q071163 3000373676 DNP4 10691 I NENGAH SUKA NI PUTU PANCA H 20-Jan-12 19-Jan-12 11
<strong>31</strong>5 Q071164 3000391361 DNP4 10691 INDRIANA CHANDRANATA SUHARTATI 26-Jan-12 25-Jan-12 5<br />
<strong>31</strong>6 Q071165 3000392595 DNP4 10691 TJAN IN LOEI SUHARTATI 26-Jan-12 25-Jan-12 5<br />
<strong>31</strong>7 Q071168 3000386685 DNP4 10691 RITA HARTONO SUHARTATI No.1 TTl rider Hlth lebih dari 2 juta. No.2 25-Jan-12 18-Jan-12 6<br />
<strong>31</strong>8 Q071170 3000392634 DNP4 10691 BIMA APRIANTO SIONO SUHARTATI 26-Jan-12 25-Jan-12 5<br />
<strong>31</strong>9 Q027091 3000392862 DNP5 10850 CHRISTIAN ALEXANDER RUBEEN LENY MARIA, SE 26-Jan-12 26-Jan-12 5<br />
320 Q027092 3000397618 DNP5 10850 KALEB YUDIANTO RAYMOND YANUAR 30-Jan-12 24-Jan-12 0<br />
321 Q027093 3000392773 DNP5 10850 HELENA EVELYN ZAEN LENY MARIA, SE 26-Jan-12 26-Jan-12 5<br />
322 Q029527 3000384227 DNP5 10850 I KADEK SUKRANADA LENY MARIA, SE CHOLIDI 24-Jan-12 21-Jan-12 7<br />
323 Q029601 3000238800 DNP5 10850 GUNAWAN, IR LENY MARIA, SE CHOLIDI 07-Des-11 06-Des-11 54<br />
324 Q029609 3000397155 DNP5 10850 ANDRIANUS TEGUH BASKORO AGUS GUNAWAN 28-Jan-12 24-Jan-12 3<br />
325 Q029610 3000397113 DNP5 10850 ALI MANSUR AGUS GUNAWAN 28-Jan-12 24-Jan-12 3<br />
326 Q029617 3000384366 DNP5 10850 BEARTRIK OKTAVIANI LENY MARIA, SE No.1 SK pembayaran. 24-Jan-12 21-Jan-12 7<br />
327 Q029642 3000341243 DNP5 10850 KOERNIA WINATA LENY MARIA, SE No.1 Form lampiran khusus dan form ekstra 07-Jan-12 05-Jan-12 24<br />
328 Q029643 3000384405 DNP5 10850 YUSAK HERMANTO YUSAK HERMANTO No.1 Form ekstra premi. No.2 Jenis investasi 24-Jan-12 24-Jan-12 7<br />
329 Q029644 3000395917 DNP5 10850 I GUSTI NGURAH RAI WIJAYA I GUSTI AGUNG AYU AW 27-Jan-12 27-Jan-12 4<br />
330 Q029646 3000395959 DNP5 10850 I GUSTI NGURAH ARYA WIJAYA I GUSTI AGUNG AYU AW 27-Jan-12 27-Jan-12 4<br />
3<strong>31</strong> Q029647 3000395975 DNP5 10850 RUDY PURWANTO KAMBOMBU I GUSTI AGUNG AYU AW 27-Jan-12 27-Jan-12 4<br />
332 Q029685 3000198937 DNP5 10850 STANLEY AGUSTINO MULIA YUSAK HERMANTO CHOLIDI 21-Nop-11 19-Nop-11 70<br />
333 Q029686 3000233096 DNP5 10850 DAVID MULJAWAN YUSAK HERMANTO CHOLIDI 05-Des-11 02-Des-11 56<br />
334 Q029688 3000397090 DNP5 10850 HARI SUSANTO AGUS GUNAWAN 28-Jan-12 24-Jan-12 3<br />
335 Q029724 3000230242 DNP5 10850 ALIVIA PRISCA HUTARYA LENY MARIA, SE CHOLIDI 05-Des-11 30-Nop-11 56<br />
336 Q029755 3000218757 DNP5 10850 I GUSTI AGUNG AYU KARISMA DEWI I GST BGS SIDIKARYA CHOLIDI 28-Nop-11 26-Nop-11 63<br />
337 Q029772 3000397634 DNP5 10850 DANANG ENDRO NUGROHO CAHYONORAYMOND YANUAR 30-Jan-12 20-Jan-12 0<br />
338 Q050588 3000355876 DNP5 10850 SUNARYO KAMTO SUMI RAHAJU WIRYANI No.1 Form ekstra premi. 13-Jan-12 22-Des-11 18<br />
339 Q022961 3000392082 DNP7 10893 I NYOMAN PARTANA IG.A MILANA PUTRI SE 26-Jan-12 25-Jan-12 5<br />
340 Q023052 3000362643 DNP7 10893 GUSTI MADE SUASTIKA GUSTI AYU OKTAVIYANA YANTI 18-Jan-12 16-Jan-12 13<br />
341 Q030491 3000389447 DNP7 10893 I GST AG AYU MIRAH MAHENDRAWATI I GST AG AYU MIRAH M 25-Jan-12 24-Jan-12 6<br />
342 Q030493 3000394424 DNP7 10893 INES PUTRI TJIPTADI INES PUTRI TJIPTADI 27-Jan-12 26-Jan-12 4<br />
343 Q030496 3000392650 DNP7 10893 KADEK CANDRA KRISNA DEWI IGA MADE SRI PARTINI 26-Jan-12 26-Jan-12 5<br />
344 Q030497 3000392202 DNP7 10893 I WAYAN ARDANA NI NENGAH SRI LABANTARI, IR 26-Jan-12 26-Jan-12 5<br />
345 Q044113 3000350981 DNP7 10893 A A SAGUNG ISTRI AGUNG AA SAGUNG ISTRI A. 13-Jan-12 10-Jan-12 18<br />
346 Q044196 3000389560 DNP7 10893 ERICA MELIALA AA SAGUNG ISTRI A. 25-Jan-12 12-Jan-12 6<br />
347 Q073761 3000393583 DNP7 10893 I NYOMAN SUDARMA NI NYOMAN RADIANTINI 26-Jan-12 24-Jan-12 5<br />
348 Q073762 3000389510 DNP7 10893 MADOKA HORIKO DEWA AYU SRI M. SE. 25-Jan-12 19-Jan-12 6<br />
349 Q073818 3000392066 DNP7 10893 I NYOMAN PARTANA IG.A MILANA PUTRI SE 26-Jan-12 25-Jan-12 5<br />
350 Q030377 3000386766 DNP8 10894 ANAK AGUNG GEDE EKA PUTRA NI LUH MY WIDIASTUTI 25-Jan-12 11-Jan-12 6<br />
351 Q030553 3000389780 DNP8 10894 I KOMANG BAGUS VIDHI WIRAWAN NI LUH MY WIDIASTUTI 25-Jan-12 24-Jan-12 6<br />
352 Q030554 3000389748 DNP8 10894 I MADE BAGUS VIANO WIRAWAN NI LUH MY WIDIASTUTI 25-Jan-12 24-Jan-12 6<br />
353 Q044174 3000386782 DNP8 10894 A A NGR AGUNG WIKAN ADYAKSA NI LUH MY WIDIASTUTI No.1 Tidak ada SK --> monthly. No.2 25-Jan-12 11-Jan-12 6<br />
354 Q073986 3000386643 DNP8 10894 GEDE BAGUS RUCIRAGATHA ANANDA PUTRA KADEK NOVIARINI 25-Jan-12 21-Jan-12 6<br />
355 Q009912 FIT TEAM2 460 LAURA SUMIATI uw ok 22-Des-11 39<br />
356 Q000357 FIT TEAM8 1 SUHARYADI Lengkapi form kecelakaan 04-Jan-12 27<br />
357 Q000169 3000329287 FIT6PKB 10866 TAN TJOAN LENG YASINTA CHAN WAHYU NO FORM B, SK AD ATAU RECC TIDAK ADA No.1 TT Med A. No.2 SK pembayaran. No.3 28-Des-11 27-Des-11 33<br />
358 Q0007<strong>31</strong> 3000329342 FIT6PKB 10866 GOUW AY CHIUN OKIM SUWARNO SARWO No.1 SK pembayaran. 28-Des-11 27-Des-11 33<br />
359 Q000733 3000377824 FIT6PKB 10866 WAN WAN CERAHWATY No.1 TT Med G AFP APS. No.2 Lampirkan 20-Jan-12 19-Jan-12 11<br />
360 Q000734 3000378448 FIT6PKB 10866 VERAWATY OCTAVIA GUNAWAN CERAHWATY No.1 TT Med G AFP APS. No.2 Lampirkan 20-Jan-12 19-Jan-12 11<br />
361 Q022341 3000374185 FIT6PKB 10866 CHRISTINE BONG DAISY No.1 Klarifikasi pd FB kr plan UN1A tdk 20-Jan-12 18-Jan-12 11<br />
362 Q022344 3000309859 FIT6PKB 10866 AISYAH AQILLA MAY LOREN CHOLIDI No.1 Lengkapi jenis kelamin AW dan cek hub 22-Des-11 05-Des-11 39<br />
363 Q022369 3000309906 FIT6PKB 10866 AURA ANNISA MAY LOREN CHOLIDI No.1 DOB PP pd SPA beda dg ID. No.2 22-Des-11 05-Des-11 39<br />
364 Q022374 3000364695 FIT6PKB 10866 CHRYSTINE ULI ISIN WAHYU 18-Jan-12 25-Des-11 13<br />
365 Q022379 3000344306 FIT6PKB 10866 JENNIFER STAPHENIE FERNANDO CAPOLLO No.1 LEngkapi SPA I no 7. 10-Jan-12 27-Des-11 21<br />
366 Q025417 3000328922 FIT6PKB 10866 TJHIN TJIN KHIUN CERAHWATY SARWO No.1 Jelaskan sumber penghasilan lainnya 28-Des-11 28-Des-11 33<br />
367 Q028383 3000328809 FIT6PKB 10866 CERAHWATY CERAHWATY SARWO No.1 Klarifikasi sumber penghasilan lainnya 28-Des-11 28-Des-11 33<br />
368 Q052577 3000352739 FIT6PKB 10866 RONI INDRA MARIA ADINA P No.1 Mohon medis LPK, Urine, Tes Fungsi 13-Jan-12 28-Des-11 18<br />
369 Q052578 3000355054 FIT6PKB 10866 KEYSA ANGELIA JULIUS No.1 PP menunggu SPA Q057815 13-Jan-12 28-Des-11 18<br />
370 Q052579 3000355096 FIT6PKB 10866 JIHAN CLARISSA PUTRI HENDRA No.1 PP menunggu SPA Q057815 13-Jan-12 28-Des-11 18<br />
371 Q057757 3000382178 FIT6PKB 10866 ELLIANY FEBRI CAPPOLO No.1 lengkapi SPA VIII no 11b. 21-Jan-12 19-Jan-12 10<br />
372 Q057759 3000384154 FIT6PKB 10866 JOHAN EFFENDI FERNANDO CAPOLLO No.1 Jelaskan SPA VIII no 8a n 9a. 24-Jan-12 17-Jan-12 7<br />
373 Q057775 3000374070 FIT6PKB 10866 BRES FITRI NAOMI SIANIPAR BRES FITRI NAOMI S No.1 Jelaskan detail tugas n pekerjaan TT. 20-Jan-12 20-Des-11 11<br />
374 Q057792 3000329300 FIT6PKB 10866 YOSIANE IMMANUEL DION RACHMAT SARWO No.1 SK pembayaran. 28-Des-11 27-Des-11 33<br />
375 Q057803 3000398787 FIT6PKB 10866 EDI SUWITO MERINA 30-Jan-12 20-Jan-12 0<br />
376 Q057810 3000336135 FIT6PKB 10866 ANNISA PUTRI JOKO SUSILO No.1 Menunggu surat Ekstra Mortality. 03-Jan-12 03-Jan-12 28<br />
377 Q057811 3000364776 FIT6PKB 10866 BONG DAISY BONG DAISY AHLI WARIS DI SP ADALAH TT No.1 CEK DATA TT n PP pd SPA yg benar. 18-Jan-12 17-Jan-12 13<br />
378 Q057822 3000374779 FIT6PKB 10866 LIANG BUNG BONG DAISY SARWO 20-Jan-12 20-Jan-12 11<br />
379 Q057839 3000359587 FIT6PKB 10866 WILLIAM GAUTAMA KESUMAWATY No.1 SK pembayaran. No.2 Lengkapi SPA 16-Jan-12 16-Jan-12 15<br />
380 Q009988 3000400140 FIT7PLB 10876 RUWIA PURNAMA ADIE MARGARET YUNITA A 30-Jan-12 27-Jan-12 0<br />
381 Q009992 3000398135 FIT7PLB 10876 JUNI UMBU TEDY RIRI HAGA 30-Jan-12 16-Jan-12 0<br />
382 Q009995 3000371739 FIT7PLB 10876 NURJADI NGIMUN UMBU TEDY RIRI HAGA No.1 Tanda tangan TTG blm ada di LPK. 20-Jan-12 11-Jan-12 11<br />
383 Q009996 3000395721 FIT7PLB 10876 YANTI TRISNA UMBU TEDY RIRI HAGA 27-Jan-12 20-Jan-12 4<br />
384 Q010612 3000372078 FIT7PLB 10876 CHUA SUY KING UMBU TEDY RIRI HAGA No.1 Tanda tangan TTG blm ada di LPK. 20-Jan-12 11-Jan-12 11<br />
385 Q025203 3000397943 FIT7PLB 10876 RUDI MEYLINA CAROLINA 30-Jan-12 24-Jan-12 0<br />
386 Q025207 3000395488 FIT7PLB 10876 KHO MIN LIE MEYLINA CAROLINA KEL. PADA ID TDK SAMA DGN DI SPAJ 27-Jan-12 26-Jan-12 4<br />
387 Q025208 3000375385 FIT7PLB 10876 KHO MIN LIE MEYLINA CAROLINA No.1 TTG med LPK;Urine. 20-Jan-12 18-Jan-12 11<br />
388 Q025212 3000397977 FIT7PLB 10876 LENNY KUSUMA MEYLINA CAROLINA 30-Jan-12 26-Jan-12 0<br />
389 Q025225 3000398193 FIT7PLB 10876 EMILIA CH PRASETYANTI, DRG UMBU TEDY RIRI HAGA 30-Jan-12 26-Jan-12 0<br />
390 Q025249 3000395608 FIT7PLB 10876 ROSDIANA MP HUTAHAEAN UMBU TEDY RIRI HAGA 27-Jan-12 20-Jan-12 4<br />
391 Q026377 3000359325 FIT7PLB 10876 MIKHA WILIM MIKHA WILIM EDI 16-Jan-12 07-Jan-12 15<br />
392 Q034<strong>31</strong>1 3000396272 FIT7PLB 10876 DODY TANDIARI LENI ARIANI 27-Jan-12 25-Jan-12 4<br />
393 Q009935 3000234806 FITTEAM1 10602 RIANTO RIANTO BIMO 06-Des-11 01-Des-11 55<br />
394 Q010470 3000348871 FITTEAM1 10602 YULIA EDI SUMANTRI No.1 terkait myom: apakah sudah dioperasi? 12-Jan-12 06-Jan-12 19<br />
395 Q026292 3000357129 FITTEAM1 10602 RICKY GUNAWAN DANNY SOESANTO No.1 Med: Lpk Urine dan Lemak darah. No.2 16-Jan-12 10-Jan-12 15<br />
396 Q026296 3000397715 FITTEAM1 10602 CLAUDINE TJANDRA DANNY SOESANTO 30-Jan-12 26-Jan-12 0<br />
397 Q028126 3000357080 FITTEAM1 10602 MERY KAMILAH KAWI ALI VEBBYANA BONG HUB AW KOSONG No.1 Hub AW dilengkapi. No.2 Nama di SP 16-Jan-12 21-Des-11 15<br />
398 Q028190 3000266695 FITTEAM1 10602 SILVANI FORTUNATA JENNY SANTOSO BIMO No.1 DECLINE karena Epilepsy dan 16-Des-11 10-Des-11 45<br />
399 Q028303 3000<strong>31</strong>6595 FITTEAM1 10602 RAYNE XANDER TAWARIS RITA RISYANI BIMO No.1 PP Med Type A. 27-Des-11 22-Des-11 34<br />
400 Q028336 3000307108 FITTEAM1 10602 BUN BENNY BUNARTO BUN BENNY BUNARTO BIMO 22-Des-11 20-Des-11 39<br />
401 Q0<strong>31</strong>807 3000347003 FITTEAM1 10602 MARIANE SURYADI MARIATIN No.1 menunggu EP. 11-Jan-12 05-Jan-12 20<br />
402 Q0324<strong>31</strong> 3000343952 FITTEAM1 10602 YOHANA MUAYANAH MASHOEDY ANG KIM NIO BIMO 10-Jan-12 27-Des-11 21<br />
403 Q034253 3000247336 FITTEAM1 10602 JONI JONI BIMO No.1 med Lpk Urine. 12-Des-11 29-Nop-11 49<br />
404 Q034297 3000398363 FITTEAM1 10602 TJONG BIE MIN AL SUSANTO YULIA YUMIATI 30-Jan-12 27-Jan-12 0<br />
405 Q034338 3000343994 FITTEAM1 10602 JOSHUA SOENKI CHAN ANG KIM NIO BIMO 10-Jan-12 27-Des-11 21<br />
406 Q036095 3000386821 FITTEAM1 10602 GOUW MARKUS WIYAJA GOUW MARKUS W. No.1 Mohon konfirmasi tgl claim yg benar. 25-Jan-12 09-Des-11 6<br />
407 Q036113 3000357543 FITTEAM1 10602 BENNY TOHAN CHRISTYANDY AGUNG No.1 Med Type A. 16-Jan-12 20-Des-11 15<br />
408 Q036121 3000237511 FITTEAM1 10602 MERRY KUSTINA BUNTARAN ABIGAIL LORETTA BIMO 07-Des-11 05-Des-11 54<br />
409 Q038127 3000<strong>31</strong>1587 FITTEAM1 10602 MILLIANA VEBBYANA BONG BIMO No.1 Med Urine Ulang 2x pd hari berbeda. 22-Des-11 21-Des-11 39<br />
410 Q038225 3000299294 FITTEAM1 10602 HENDRA WIDJAYA MARIATIN BIMO 21-Des-11 20-Des-11 40<br />
411 Q0382<strong>31</strong> 3000293044 FITTEAM1 10602 FIRDA WIJAYA MARIATIN BIMO 21-Des-11 20-Des-11 40<br />
412 Q052594 3000351571 FITTEAM1 10602 TIRTA ARUM JONI No.1 Nama dan alamat Dokter yg merawat, 13-Jan-12 28-Nop-11 18<br />
413 Q052595 3000354016 FITTEAM1 10602 YUKI RATNAMAYA HUB TTG DGN PP DI SPA??,RIDER PD SPA # PROP 13-Jan-12 16-Des-11 18<br />
414 Q052597 3000352658 FITTEAM1 10602 OKTAVIANA YANINDRA CHRISTYANDY AGUNG No.1 Med Lpk urine. 13-Jan-12 06-Des-11 18<br />
415 Q060380 3000398054 FITTEAM1 10602 CITRA NURJANAH FERRY HARTOLO 30-Jan-12 20-Jan-12 0<br />
416 Q060383 3000398096 FITTEAM1 10602 REZA AGUSTIONO FERRY HARTOLO 30-Jan-12 28-Jan-12 0<br />
417 Q060475 3000397838 FITTEAM1 10602 KEZIA YOHANES ANG KIM NIO 30-Jan-12 26-Jan-12 0<br />
418 Q060501 3000397896 FITTEAM1 10602 SHEILLA PRISKILLA ANG KIM NIO 30-Jan-12 26-Jan-12 0<br />
419 Q062171 3000380<strong>31</strong>2 FITTEAM1 10602 EDY FAN DANNY SOESANTO No.1 Med Type A. No.2 Med GDP, HbA1C. 20-Jan-12 19-Jan-12 11<br />
420 Q062181 300036<strong>31</strong>10 FITTEAM1 10602 YULIANA DARWIN HARTANTO BIMO 18-Jan-12 16-Jan-12 13<br />
421 Q062363 3000344178 FITTEAM1 10602 FRANS GUNAWAN ABIGAIL LORETTA BIMO 10-Jan-12 19-Des-11 21<br />
422 Q062397 3000335595 FITTEAM1 10602 PUI ANDRI LIBRASANI W BUN FUI SIAN No.1 TTD ttg di hal 5 tdk ada. No.2 jenis 03-Jan-12 02-Jan-12 28<br />
423 Q073879 3000372379 FITTEAM1 10602 LEONARDO MARIATIN No.1 Med Lpk Urine, GDP, HbA1c. 20-Jan-12 18-Jan-12 11<br />
424 Q073971 3000399521 FITTEAM1 10602 WILLY CHANDRA VEBBYANA BONG 30-Jan-12 27-Jan-12 0<br />
425 Q073972 3000399369 FITTEAM1 10602 MICHAEL HILID VEBBYANA BONG 30-Jan-12 27-Jan-12 0<br />
426 Q025185 3000247027 FITTEAM10 10901 RISTYA EMILIA SRI REJEKI SAMOSIR BIMO 12-Des-11 14-Nop-11 49<br />
427 Q025399 3000387623 FITTEAM10 10901 TAUFAT LINA HERAWATI H No.1 TGL DI HAL. 6 YG BENAR. No.2 SK 25-Jan-12 04-Jan-12 6<br />
428 Q026301 3000378896 FITTEAM10 10901 TRIS SUPERTO ABIGAIL LORETTA No.1 TGL KEJADIAN KECELAKAAN YG 20-Jan-12 19-Jan-12 11<br />
429 Q028160 3000363437 FITTEAM10 10901 HARYANTO CHRISTYANDY AGUNG No.1 Plan seharusnya UN1B, mengisi Form B 18-Jan-12 21-Des-11 13<br />
430 Q028164 3000378228 FITTEAM10 10901 JAMES MANGALO CHRISTYANDY AGUNG No.1 TTG MED. TIPE A. No.2 DATA PP DI 20-Jan-12 19-Jan-12 11<br />
4<strong>31</strong> Q028172 3000377971 FITTEAM10 10901 MEDALINE YOVITA CHRISTYANDY AGUNG No.1 TGL TTD DI HAL. 6 YG BENAR. 20-Jan-12 19-Jan-12 11<br />
432 Q028304 3000399424 FITTEAM10 10901 HERRY PHITERSON ANITA TERESIA 30-Jan-12 27-Jan-12 0<br />
433 Q028345 3000387542 FITTEAM10 10901 DAVID FRAMEL SOPAKUA LINA HERAWATI H No.1 Ukur ulang TB tertanggung. No.2 PP 25-Jan-12 03-Jan-12 6<br />
434 Q028349 3000387267 FITTEAM10 10901 CHERY TJANDRA LINA HERAWATI H No.1 TGL DI HAL. 6 YG BENAR. 25-Jan-12 21-Jan-12 6<br />
435 Q036134 3000367041 FITTEAM10 10901 IRGY RERENA HIZKIA AGRAHA No.1 Form Extra Premi terlampir. No.2 Hal. 4 19-Jan-12 18-Jan-12 12<br />
436 Q062391 300036<strong>31</strong>78 FITTEAM10 10901 DARMADI DARWIN HARTANTO No.1 Need : LPK, Urine, RO", LFT, Echo, 18-Jan-12 16-Jan-12 13<br />
437 Q073946 3000391002 FITTEAM10 10901 RATIH HARUM SARI ANITA TERESIA 26-Jan-12 20-Jan-12 5<br />
438 Q012488 3000386724 FITTEAM11 10902 JESSICA CAROL PRASETYO SULPISIUS APRI HERYANTO SEPTI 25-Jan-12 24-Jan-12 6<br />
439 Q028183 3000366540 FITTEAM11 10902 SUMIATI WIRIATMADJA FLORA 19-Jan-12 16-Jan-12 12<br />
440 Q0<strong>31</strong>796 3000376755 FITTEAM11 10902 ZASKIA NAMIRA ANINDYA PRIYATNA LILIE NO FORM B, ADA SK RECC (ASLI) No.1 Jelaskan mengenai jabatan & jobdesc 20-Jan-12 20-Jan-12 11<br />
441 Q036014 3000338763 FITTEAM11 10902 H ZAINUDDIN BIN H MASHUD MUSLIMIN DAUD HAS SH No.1 Data sumber dana (SP hal 2) kosong, 05-Jan-12 05-Jan-12 26<br />
442 Q036154 3000387657 FITTEAM11 10902 LUKAS HANANTO PRASETYO SULPISIUS APRI HERYANTO 25-Jan-12 24-Jan-12 6<br />
443 Q036155 3000387047 FITTEAM11 10902 DAVID GOGO MARADONA SIAGIAN SULPISIUS APRI HERYANTO No.1 Form Extra Premi terlampir. 25-Jan-12 23-Jan-12 6<br />
444 Q060455 3000375123 FITTEAM11 10902 CRISTIAN GUNAWIJAYA HANA SHELIA No.1 PASS BLM DIISI. No.2 TGL TTD DI 20-Jan-12 20-Jan-12 11<br />
445 Q073955 3000375872 FITTEAM11 10902 JOSEPH TJANDRA FLORA 20-Jan-12 20-Jan-12 11<br />
446 Q000839 30002<strong>31</strong>230 FITTEAM2 10750 HARYATI SANDY SISWOYO, SH CHOLIDI No.1 KTP TTG expired. No.2 SK 05-Des-11 01-Des-11 56<br />
447 Q000844 3000347710 FITTEAM2 10750 MOCHAMAD NAVY SUHARTO YUYUN SITI N No.1 SK Pembayaran. 12-Jan-12 11-Jan-12 19<br />
448 Q000845 3000347778 FITTEAM2 10750 REZKI SETIA WICAKSONO YUYUN SITI N No.1 Plan di SPA;Sistem tidak sama dengan 12-Jan-12 06-Jan-12 19<br />
449 Q025596 3000391303 FITTEAM2 10750 DHEVINIA YUSTIKARANI, DR JOANA VANDA FELICIA 26-Jan-12 25-Jan-12 5<br />
450 Q025598 3000297454 FITTEAM2 10750 IB. RAI DWIJA JULIARTA, MSI SUCI NOOR RAHMASARI CHOLIDI 21-Des-11 16-Des-11 40<br />
451 Q025600 3000299032 FITTEAM2 10750 I B GDE YUDHA TRIGUNA, PROF DR SUCI NOOR RAHMASARI CHOLIDI 21-Des-11 16-Des-11 40<br />
452 Q0263<strong>31</strong> 3000394505 FITTEAM2 10750 MOCHAMAD NAVI SUHARTO YUYUN SITI N 27-Jan-12 26-Jan-12 4<br />
453 Q026332 3000394563 FITTEAM2 10750 REZKI SETIA WICAKSONO YUYUN SITI N 27-Jan-12 26-Jan-12 4<br />
454 Q026335 3000395098 FITTEAM2 10750 IDA WIDJAJA TONI WIDJAJA 27-Jan-12 27-Jan-12 4<br />
455 Q028352 3000342061 FITTEAM2 10750 SUKIANTO TEDDY A EVI ARISANDY No.1 Form ekstra premi. 09-Jan-12 04-Nop-11 22<br />
456 Q036165 3000379973 FITTEAM2 10750 PUTRI ANGGRAENI YANUARITA FITRI ANDASWARA No.1 SK pembayaran. No.2 SPA hal3 VIII no2 20-Jan-12 19-Jan-12 11<br />
457 Q038175 3000387021 FITTEAM2 10750 SEHAT NAINGGOLAN ELLEN SIHOMBING NO.FB, DOB AW KOSONG No.1 DOB ahli waris. 25-Jan-12 17-Jan-12 6<br />
458 Q052548 3000355258 FITTEAM2 10750 KATHRYN SURYONO SIENNY No.1 SPA hal4 VIII no13 atas alasan atau 13-Jan-12 25-Nop-11 18<br />
459 Q052549 3000351270 FITTEAM2 10750 RINI ANGGRAINI DESFIV SANDY PURBA No.1 Agent tidak boleh tutup agent . 13-Jan-12 17-Des-11 18<br />
460 Q052550 3000352632 FITTEAM2 10750 LIM BIE ING EVI ARISANDY No.1 SPA Decline:karena riwayat 13-Jan-12 19-Des-11 18<br />
461 Q062155 3000392579 FITTEAM2 10750 ERNI ASNI NABABAN ELLEN SIHOMBING 26-Jan-12 21-Jan-12 5<br />
462 Q062415 3000391719 FITTEAM2 10750 GO HANNY GUNAWAN SUCI NOOR RAHMASARI NAMA AHLI WARIS NO.3?? 26-Jan-12 21-Jan-12 5<br />
463 Q062418 3000335359 FITTEAM2 10750 IVAN RONALD PELEALU SUCI NOOR RAHMASARI No.1 Plan di SPA;Proposal;Sistem 03-Jan-12 24-Des-11 28<br />
464 Q062423 3000359309 FITTEAM2 10750 NAYYARA PUTRI DICKY ARIEF PERMANA CHOLIDI 16-Jan-12 12-Jan-12 15<br />
465 Q025276 3000398177 FITTEAM3 10746 ENCIH HENDRA 30-Jan-12 27-Jan-12 0<br />
466 Q025354 3000343774 FITTEAM3 10746 AUW JONG FOEK FONG WIYONO GITO SUSANTO No.1 Akan dikirimkan Form EP. 10-Jan-12 09-Jan-12 21<br />
467 Q028159 3000<strong>31</strong>1464 FITTEAM3 10746 SARI SUSI UNTAR SARI SUSI UNTAR MAYA 22-Des-11 21-Des-11 39<br />
468 Q028206 3000344746 FITTEAM3 10746 PRISANDA JUNIAR SUTANTO LIM SIAU LIM No.1 Ttg: lampirkan Baby Book. 10-Jan-12 27-Des-11 21<br />
469 Q036082 30003977<strong>31</strong> FITTEAM3 10746 STEFANUS ANDRIANO AGUSTRI SUSILO W 30-Jan-12 26-Jan-12 0<br />
470 Q036086 3000346625 FITTEAM3 10746 YAYAH PRATNA AGUSTRI SUSILO W No.1 Menunggu persetujuan EP. No.2 Ada 11-Jan-12 05-Jan-12 20<br />
471 Q038155 3000380370 FITTEAM3 10746 WIDYANTI AGUSTIN LIM SIAU LIM MAYA 20-Jan-12 27-Des-11 11<br />
472 Q038156 3000379266 FITTEAM3 10746 NATHAN WIDJAJA LIM SIAU LIM No.1 Hal 1 I no.1 beda dgn KTP. No.2 Hal 1 II 20-Jan-12 27-Des-11 11<br />
473 Q051913 3000355672 FITTEAM3 10746 FU IN JAUW LIM SIAU LIM No.1 Sehub ubah UP, Medis C: LPK sd Ro, 13-Jan-12 06-Des-11 18<br />
474 Q060597 3000397414 FITTEAM3 10746 JOHAN VERONICA SHERLY CK 28-Jan-12 24-Jan-12 3<br />
475 Q025171 3000395543 FITTEAM4 10765 WILLY HERYANTO OLIVIA OLSYE SINUBU 27-Jan-12 26-Jan-12 4
476 Q025284 3000387186 FITTEAM4 10765 JOEZELLE GRAYSIA ANGELIQUE RENDY BAYU T No.1 P polis bekerja di bagian apa;jelaskan 25-Jan-12 23-Jan-12 6<br />
477 Q028326 3000372735 FITTEAM4 10765 SUSANA WIDYA CAROLINE CHOLIDI DATA ANNUAL INCOME TTG TDK ADA 20-Jan-12 19-Jan-12 11<br />
478 Q028330 3000366621 FITTEAM4 10765 PUSPA WIDYA CAROLINE No.1 TTG medical A:Ra 146259953 usia 19-Jan-12 16-Jan-12 12<br />
479 Q060468 3000397799 FITTEAM4 10765 RENDY BAYU TRILAKSONO RENDY BAYU T 30-Jan-12 28-Jan-12 0<br />
480 Q060563 3000397692 FITTEAM4 10765 INCE RUSNAWATY 30-Jan-12 27-Jan-12 0<br />
481 Q062176 3000396719 FITTEAM4 10765 YOLANDA SULING OLIVIA OLSYE SINUBU 27-Jan-12 26-Jan-12 4<br />
482 Q062327 3000391109 FITTEAM4 10765 AMELIA LEONARDI SODIKIN 26-Jan-12 24-Jan-12 5<br />
483 Q073970 3000399911 FITTEAM4 10765 IE SIAUW ING NESIA OCTAVIANTI W 30-Jan-12 27-Jan-12 0<br />
484 Q006682 3000289615 FITTEAM5 10776 TAN YENNY KARTIKA LINDA SEPTIARINI SARWO NO PROPOSAL, NO ID,JOB DESK, GENDER AW No.1 Lampirkan proposal. No.2 Lenkgapi 20-Des-11 15-Des-11 41<br />
485 Q047735 3000396947 FITTEAM5 10776 ZEFANYA ANDARESTA WIBISONO YAYUK KURNIASARI 28-Jan-12 27-Jan-12 3<br />
486 Q038137 3000<strong>31</strong>3296 FITTEAM8 10875 NURANI ARYON, S S STIVANI NINA No.1 lampirkan F.LPR. 22-Des-11 12-Des-11 39<br />
487 Q000788 3000346641 FITTEAM9 10898 ARCHIE SJAFEI RANDY No.1 Usia masuk P polis minimal 18th. No.2 11-Jan-12 10-Jan-12 20<br />
488 Q025425 3000391751 FITTEAM9 10898 YOSEFINE PUSPA TIRTANINGRUM FIOLA No.1 SPA hal4 VIII no11b lengkapi. No.2 26-Jan-12 25-Jan-12 5<br />
489 Q018146 3000<strong>31</strong>4501 FSA 10775 SYDNEY CHARLIN HONG RAYMOND ARNOLIUS N EDI No.1 Lengkapi : ID TTG dan PP. No.2 22-Des-11 20-Des-11 39<br />
490 Q018237 3000<strong>31</strong>4462 FSA 10775 I PUTU OKA SUTRISNA PIZA ANDRIAN EDI TDK ADA COPY ID, DOB AW NO.2 KOSONG No.1 Lengkapi : III a 1 sd 9. No.2 Perjelas : 22-Des-11 22-Des-11 39<br />
491 Q010749 GABI 3 ABHIPRAYA BANANAKA, SIM med LPK dan Test HIV; Lengkapi masa 18-Jan-12 13<br />
492 Q010792 3000249053 GABIJKT 10300 THOMAS HARRY ADOE, DR SPA WELNY KASPARIN TULAK EDI 12-Des-11 11-Des-11 49<br />
493 Q048306 3000351911 GABIJKT 10300 NURUL BARIAH YANI PURWATI HARYANI No.1 Lengkapi : form asma yg diisi TTG dan 13-Jan-12 12-Jan-12 18<br />
494 Q048353 3000351898 GABIJKT 10300 MAGDA ANDRIANI YANI PURWATI HARYANI No.1 Dari LPK ada riw hipertensi : isi 13-Jan-12 10-Jan-12 18<br />
495 Q048360 3000345700 GABIJKT 10300 BAMBANG TRIWIBOWO NUMLIAH No.1 SPA Postpone krn riw rawat inap krn 11-Jan-12 04-Jan-12 20<br />
496 Q048367 3000378163 GABIJKT 10300 NINA FITRIANA NUNUN WINDIANI MAULI EDI 20-Jan-12 19-Jan-12 11<br />
497 Q048755 3000345742 GABIJKT 10300 MELLY NATALIA DACHY HERMANTO TJIOMASDI No.1 Lengkapi pertanyaan asma diisi TTG 11-Jan-12 10-Jan-12 20<br />
498 Q052015 3000354854 GABIJKT 10300 TEGUH IRAWAN ROSKLINE, SH No.1 Isi pertanyaan diabetes yg diisi TTG dan 13-Jan-12 21-Nop-11 18<br />
499 Q015002 3000243471 GABUJKT 10301 DARIAN RAFI RIZQULLAH HENDRIYATI NINA 08-Des-11 28-Nop-11 53<br />
500 Q015046 3000245619 GABUJKT 10301 DEBORA GABRIELA WOODCOCK DWI UTAMI LAKSANAWAT NINA No.1 lampirkan ID TTG. 09-Des-11 06-Des-11 52<br />
501 Q015049 3000357909 GABUJKT 10301 HASANUDDIN BUDI S DESSY RACHMAYANTHI No.1 Med E dan Kues DM (TTG dan dokter). 16-Jan-12 16-Jan-12 15<br />
502 Q015965 300038<strong>31</strong>82 GABUJKT 10301 DHANIAL HERLI HARTONO NEVY HANDAYANI No.1 menunggu perubahan STU di sistem. 24-Jan-12 20-Jan-12 7<br />
503 Q015966 3000383027 GABUJKT 10301 MONA YAKANITA NEVY HANDAYANI AW. NO.1 THN LAHIR SESUAI SPAJ Q015965 SBG No.1 menunggu perubahan STU di sistem. 24-Jan-12 20-Jan-12 7<br />
504 Q034468 3000384269 GABUJKT 10301 TJONG TEJA CAHYADI M.H HENDRAWATI TIRTO No.1 sehub Hipertensi:med A dan kues 24-Jan-12 20-Jan-12 7<br />
505 Q045127 3000339272 GABUJKT 10301 NIKEN SISWANDANI FIFI AGUSTINI No.1 menunggu setuju EP. 05-Jan-12 04-Jan-12 26<br />
506 Q045136 3000357967 GABUJKT 10301 MOHAMMAD AFKAR HARYO SASONGKOFIFI AGUSTINI NINA 16-Jan-12 12-Jan-12 15<br />
507 Q045137 3000357925 GABUJKT 10301 MOHAMMAD FAWAZ HARYO SASONGKOFIFI AGUSTINI NINA 16-Jan-12 10-Jan-12 15<br />
508 Q045138 3000358060 GABUJKT 10301 TETA ASMARA FIFI AGUSTINI NINA 16-Jan-12 10-Jan-12 15<br />
509 Q045143 3000384421 GABUJKT 10301 DEANDO DIPAWANGSA GINTING DEVIANTI DJORGHI NINA 24-Jan-12 24-Jan-12 7<br />
510 Q045176 3000376933 GABUJKT 10301 IGNATIUS KRISTANTO HS PRILLIA HERAWATI No.1 lampirkan SK. 20-Jan-12 20-Jan-12 11<br />
511 Q045199 3000386944 GABUJKT 10301 SHANY PRABOWO SEPTI SUSANTI NAMA AW DISAMBUNG ATAU ADA SPASI? 25-Jan-12 22-Jan-12 6<br />
512 Q045295 3000348465 GABUJKT 10301 RM HARLIN ERLIANTO RAHARDJO SEPTI SUSANTI MAYA 12-Jan-12 12-Jan-12 19<br />
513 Q045298 3000383221 GABUJKT 10301 KAYLA AURELIA MECCA SEPTI SUSANTI NINA 24-Jan-12 21-Jan-12 7<br />
514 Q045302 3000401798 GABUJKT 10301 WIWIT SANTOSO BONDAN KELONOJATI ALAMAT PENAGIHAN TIDAK JELAS. <strong>31</strong>-Jan-12 30-Jan-12 0<br />
515 Q001188 3000373870 GAJBDG2 10156 SATRIA BAMBANG YAAFI KASMAWATI No.1 Lampirkan Akte Lahir TTG. No.2 Riw 20-Jan-12 20-Jan-12 11<br />
516 Q001201 3000394903 GAJBDG2 10156 RICHELLE CALLISTA MULYONO MELANIE SUTANDI 27-Jan-12 27-Jan-12 4<br />
517 Q001211 3000356775 GAJBDG2 10156 FIRMAN FIRDAUS LIESYE HERLYNA AMBAR 16-Jan-12 16-Jan-12 15<br />
518 Q001214 3000366948 GAJBDG2 10156 SIANTIJ LIESYE HERLYNA AMBAR 19-Jan-12 19-Jan-12 12<br />
519 Q005304 3000372612 GAJDAANM 10616 SANGDYAH BIANDA IRMA SOERJADI 20-Jan-12 20-Jan-12 11<br />
520 Q005351 3000275422 GAJDAANM 10616 ANG AI TJU LUMEN SEPTI No.1 POSTPONE minimal 6 bln krn TB lama; 19-Des-11 15-Des-11 42<br />
521 Q050580 3000353719 GAJDAANM 10616 JENDERAL DIANA FHADLIE DATA PP YG BARU??,PEK PP?TB/BB PP?ALMT No.1 Total RA PP Rp 643 969 000; medis 13-Jan-12 13-Des-11 18<br />
522 Q002108 3000344055 GAJGADING2 10899 DANIEL ABRAHAM SANTOSO JACOB SEPTI 10-Jan-12 11-Des-11 21<br />
523 Q002364 3000368403 GAJGADING2 10899 HO YOHANES HO YOHANES No.1 Surat kuasa bayar bulanan. 19-Jan-12 19-Jan-12 12<br />
524 Q002001 3000396696 GAJGDGSRPG 10663 KWEE HUA PHONG CINDY OWADA 27-Jan-12 27-Jan-12 4<br />
525 Q052008 3000355795 GAJGDGSRPG 10663 TJHANG DJOEN LIE SENIHENTI No.1 Mohon TTG med tambahan : Gula Drh 13-Jan-12 07-Nop-11 18<br />
526 Q052011 3000355850 GAJGDGSRPG 10663 ISTIQOMAH AHMAD FALAH PUJIYONO CINDY OWADA No.1 Laporan keuangan. No.2 Umur TTG yg 13-Jan-12 03-Nop-11 18<br />
527 Q05<strong>2012</strong> 3000355892 GAJGDGSRPG 10663 ADIB AHMAD FALAH P CINDY OWADA No.1 Laporan keuangan. No.2 Hasil med PP 13-Jan-12 03-Nop-11 18<br />
528 Q052013 3000355517 GAJGDGSRPG 10663 PUJIYONO CINDY OWADA No.1 Laporan keuangan. No.2 Lengkapi : VIII 13-Jan-12 03-Nop-11 18<br />
529 Q066776 3000348407 GAJGDGSRPG 10663 GEORGE CLINTON OWADA SENIHENTI No.1 Lengkapi : Akte lahir TTG. 12-Jan-12 12-Jan-12 19<br />
530 Q066777 3000348350 GAJGDGSRPG 10663 WENNY OWADA THE SENIHENTI NAMA A WARIS DI SP = TT DI SP BLM DI INPUT No.1 TTG tdk dpt sebagai ahli waris. 12-Jan-12 12-Jan-12 19<br />
5<strong>31</strong> Q000219 3000369116 GAJGRI 10613 SHOBA KAMAL KUMAR NIKITA No.1 Total RA Rp 1,115 milyar;Med tipe F 19-Jan-12 16-Jan-12 12<br />
532 Q000221 3000377769 GAJGRI 10613 ABHISHEK HANESH VASWANI NIKITA No.1 Rider beda di SPA dan prop;mana yg 20-Jan-12 18-Jan-12 11<br />
533 Q000222 3000377604 GAJGRI 10613 ABHISHEK HANESH VASWANI NIKITA No.1 Perbaiki rider yg benar di SPA Q000221 20-Jan-12 18-Jan-12 11<br />
534 Q000223 3000368827 GAJGRI 10613 HASEENA BHARATA MAHEK M NIKITA AGAMA??,NM TTG PS SP#ID,INCOME?? No.1 Total RA Rp 600jt;41 th;Med tipe B. 19-Jan-12 15-Jan-12 12<br />
535 Q000233 3000297836 GAJGRI 10613 FUAD CHOMIS LUCKY AFRIANTY R BIMO ANUAL INCOME, JENIS USAHA, AHLI WARIS , DI SP No.1 med type B. No.2 lengkapi AW. 21-Des-11 21-Des-11 40<br />
536 Q000269 3000<strong>31</strong>7842 GAJGRI 10613 HENDRANATA KUSUMA HENNY WIDJAJA EDI 27-Des-11 23-Des-11 34<br />
537 Q005132 3000327578 GAJGRI 10613 K KIKI HERMAWAN NIKITA No.1 Surat ekstra premi krn epilepsi. 28-Des-11 28-Des-11 33<br />
538 Q005189 3000228108 GAJGRI 10613 MOHAMMAD KURNIAWAN, DR AGUS SITINJAK BIMO 02-Des-11 01-Des-11 59<br />
539 Q005192 3000384007 GAJGRI 10613 MYRESHKA AGUS SITINJAK AW NO.2 TDK JELAS No.1 AW no 2 tidak jelas. No.2 AW harus 24-Jan-12 19-Jan-12 7<br />
540 Q005221 3000259404 GAJGRI 10613 LATIF IBRAHIM LUCKY AFRIANTY R BIMO STU ??? 14-Des-11 14-Des-11 47<br />
541 Q005249 3000391426 GAJGRI 10613 FUJI ISWANTO HAIYANA FUND # DISP No.1 fund pada SP berbeda dg Proposal. 26-Jan-12 25-Jan-12 5<br />
542 Q005259 3000376404 GAJGRI 10613 DEEP MALA NIKITA EDI 20-Jan-12 19-Jan-12 11<br />
543 Q005264 3000374208 GAJGRI 10613 JOSEPH WIJAYA STEPHANUS BINTARYA N EDI 20-Jan-12 20-Jan-12 11<br />
544 Q005265 3000374240 GAJGRI 10613 JOHAN WIJAYA STEPHANUS BINTARYA N EDI 20-Jan-12 20-Jan-12 11<br />
545 Q005<strong>31</strong>1 3000376878 GAJGRI 10613 LORENSIA IRWANTI KUSUMO KUSTRIADI ALAMAT PENAGIHAN?? No.1 lampirkan form LPR dan lengkapi SP hal 20-Jan-12 20-Jan-12 11<br />
546 Q005528 3000346235 GAJGRI 10613 ARKAN KANAHAYA HADI RAY CHRISTIAN S No.1 Lampirkan ID TTG yg lain krn ttd di KTP 11-Jan-12 04-Jan-12 20<br />
547 Q005533 3000346251 GAJGRI 10613 LENIJATI SUTEDJA RAY CHRISTIAN S No.1 Mohon medical tambahan : Ulang urine 11-Jan-12 02-Jan-12 20<br />
548 Q005584 3000369182 GAJGRI 10613 SHOBA KAMAL KUMAR NIKITA No.1 Total RA Rp 1,115milyar;med tipe F dan 19-Jan-12 16-Jan-12 12<br />
549 Q005585 3000368908 GAJGRI 10613 HASEENA BHARATA MAHEK M NIKITA No.1 Total RA Rp 600jt;41 th;Med tipe B. 19-Jan-12 15-Jan-12 12<br />
550 Q005590 3000376894 GAJGRI 10613 HALIDAH NIKITA No.1 Sehub dg brt badan TTG;Med 20-Jan-12 19-Jan-12 11<br />
551 Q005592 3000369221 GAJGRI 10613 DALPATRAI PITOOMAL NIKITA No.1 Sehub overweight;mnm alkohol; pernah 19-Jan-12 18-Jan-12 12<br />
552 Q005593 3000369255 GAJGRI 10613 JANKAYBAI D MULANI NIKITA No.1 Lengkapi : VIII 11 b. 19-Jan-12 18-Jan-12 12<br />
553 Q005594 3000365219 GAJGRI 10613 NIKITA NARAINS BHARATA NIKITA INCOME?? No.1 Total RA Rp 600 jt;47 th;Med tipe B. 18-Jan-12 18-Jan-12 13<br />
554 Q005595 3000365243 GAJGRI 10613 NIKITA NARAINS BHARATA NIKITA INCOME??,DATA AW=DATA TTG PD SPA Q000233 No.1 Total RA Rp 600 jt;47 th;Med tipe B. 18-Jan-12 18-Jan-12 13<br />
555 Q035822 3000399547 GAJGRI 10613 DAVID LARUMUNDE HANDRIANTO KURNIAWAN 30-Jan-12 30-Jan-12 0<br />
556 Q035985 3000342134 GAJGRI 10613 CARLA LOWING WILLY L. TANGKILISAN JENI KEL.AW KOSONG, PILIHAN KORESPONDEN ? No.1 terkait kista : Lampirkan doc diagnosa. 09-Jan-12 06-Jan-12 22<br />
557 Q043303 3000344039 GAJGRI 10613 IWAN HANDOJO IWAN HANDOJO No.1 pekerjaan ttg dilengkapi. No.2 plan 10-Jan-12 09-Jan-12 21<br />
558 Q043393 3000252151 GAJGRI 10613 HARYONO KUNCORO LUCKY AFRIANTY R BIMO 13-Des-11 13-Des-11 48<br />
559 Q052020 300035<strong>31</strong>59 GAJGRI 10613 JO YANTI SISWOYO IRENE TITI SUMARNI NM TTG PD SPA # ID, NPK HLM 1 # HLM 5&6,RIDER PD No.1 Menunggu surat APS. 13-Jan-12 15-Des-11 18<br />
560 Q052022 3000353353 GAJGRI 10613 BAMBANG SUTIKNO HENNY WIDJAJA No.1 TTG med LPK;Urine. 13-Jan-12 21-Des-11 18<br />
561 Q052023 3000353214 GAJGRI 10613 ELIS RATNA ELISABETANI NO FB No.1 Kapan TTG menderita demam 13-Jan-12 11-Des-11 18<br />
562 Q052535 3000354391 GAJGRI 10613 TAN PAK WAH ELIS No.1 Surat kuasa bayar bulanan. 13-Jan-12 19-Des-11 18<br />
563 Q052538 3000354715 GAJGRI 10613 DJAJANG BUNTORO DJAJANG BUNTORO No.1 Surat ekstra premi krn overweight. 13-Jan-12 16-Des-11 18<br />
564 Q052714 3000351678 GAJGRI 10613 LIE LIONG SITI HAMDAH BIMO 13-Jan-12 29-Des-11 18<br />
565 Q052715 3000353638 GAJGRI 10613 EMAN B SANGKET LUCKY AFRIANTY R No.1 Lampirkan akte kelahiran. 13-Jan-12 12-Des-11 18<br />
566 Q052716 3000353450 GAJGRI 10613 FAIZA MAGHFIRA KURNIATI LUCKY AFRIANTY R 13-Jan-12 18-Nop-11 18<br />
567 Q068426 3000366362 GAJGRI 10613 DIONISIUS MARCELLINO RINA HANDOJO BIMO 19-Jan-12 19-Jan-12 12<br />
568 Q068451 3000394393 GAJGRI 10613 SARI RAHMAWANI, SE FARIDA PLAN UF1C 27-Jan-12 04-Jan-12 4<br />
569 Q068452 3000394296 GAJGRI 10613 ALMUFID, ST MT FARIDA 27-Jan-12 26-Jan-12 4<br />
570 Q068453 3000394254 GAJGRI 10613 HESTY ERVIANI ZULAECHA, SE M AK FARIDA No.1 Hal 4 no 11B dilengkapi. 27-Jan-12 26-Jan-12 4<br />
571 Q068454 3000394351 GAJGRI 10613 RAHMATILLAH AMIN FARIDA 27-Jan-12 26-Jan-12 4<br />
572 Q068455 3000394<strong>31</strong>9 GAJGRI 10613 ADY TRISANTOSO FARIDA MPP DI SPA#PROPOSAL No.1 MPP SP berbeda dg Proposal. 27-Jan-12 26-Jan-12 4<br />
573 Q068462 3000391442 GAJGRI 10613 ROMEI NINIK HASTUTI HAIYANA No.1 Fund pada SP berbeda dg proposal. 26-Jan-12 25-Jan-12 5<br />
574 Q070906 3000332513 GAJGRI 10613 H RIYATNO ARDIN HERPRAMONO BIMO DOB AW NO.2 DISP KOSONG No.1 Med : RFT dan USG Saluran Kemih. 29-Des-11 29-Des-11 32<br />
575 Q037956 3000372599 GAJKBM 10858 NURDJAMAN SITI ROHYATI FUND DISPAJ # PROPOSAL INPUT SESUAI PROPOSAL No.1 koreksi ilustrasi baru yg diterima jenis 20-Jan-12 19-Jan-12 11<br />
576 Q052564 3000353696 GAJPALU 10677 HI KARNATANG NYOMAN SUPARTA No.1 TT Med A. 13-Jan-12 07-Des-11 18<br />
577 Q000130 3000392147 GAJYAPS 10757 HEBRET TARIGAN FLORENTINA No.1 SK bayar bulanan. 26-Jan-12 24-Jan-12 5<br />
578 Q000132 3000393088 GAJYAPS 10757 M.RENDI FAISAL HERMIN ASRI No.1 SK bayar bulanan. No.2 Ttd PP di SP 26-Jan-12 26-Jan-12 5<br />
579 Q000140 3000364035 GAJYAPS 10757 RENO YOVIAL, DR HERMIN ASRI No.1 Medis Tipe B: LPK URINE EKG. No.2 18-Jan-12 17-Jan-12 13<br />
580 Q002447 3000357878 GAJYAPS 10757 MARCELLA RIZKIANA SYLVIA FLORENTINA No.1 PP Usia 51th: Medis Tipe A LPK Urine. 16-Jan-12 20-Des-11 15<br />
581 Q007080 3000363869 GAJYAPS 10757 HARYANTO ROSMAWATI BR GINTING No.1 Lengkapi alamat korespondensi: No 18-Jan-12 17-Jan-12 13<br />
582 Q007097 3000392163 GAJYAPS 10757 SENTOSA BR SITEPU FLORENTINA No.1 Medis LPK Urine. No.2 Sebutkan alamat 26-Jan-12 24-Jan-12 5<br />
583 Q04<strong>31</strong>45 3000363990 GAJYAPS 10757 MUHAMMAD RAAFI HERMIN ASRI No.1 PP Medis Tipe B: LPK Urine EKG. No.2 18-Jan-12 17-Jan-12 13<br />
584 Q04<strong>31</strong>47 3000363940 GAJYAPS 10757 MANTHASYAA LATHIIFAH HERMIN ASRI No.1 PP Medis Tipe B: LPK Urine EKG. 18-Jan-12 17-Jan-12 13<br />
585 Q04<strong>31</strong>49 3000350054 GAJYAPS 10757 LANTIANA YOSEPHINE ARAIDNE DOB A WARIS DI SP KOSONG JDN DE DIINPUT 0101<strong>2012</strong> No.1 Glukosa di urine: Med Gula Darah 13-Jan-12 12-Jan-12 18<br />
586 Q04<strong>31</strong>68 3000363908 GAJYAPS 10757 EVI SANTI BR GINTING ROSMAWATI BR GINTING No.1 Form PASS ditandatangani oleh PP. 18-Jan-12 17-Jan-12 13<br />
587 Q055805 3000399149 GAJYAPS 10757 MILASARI WAHYU LESTYADEWI SYLVIA FLORENTINA 30-Jan-12 29-Jan-12 0<br />
588 Q006843 3000200976 GAJYAPS2 10767 HERMINI ERICK BOEDIHARTO K BIMO 22-Nop-11 22-Nop-11 69<br />
589 B370306 3000296115 GAJYOG1 10857 UNTUNG SAMIAJI, ATP F PANCA SUSILA M SEPTI No.1 Medis tipe A. 21-Des-11 16-Des-11 40<br />
590 Q053613 3000393729 GALEMBONG 10879 ALEXIUS RASU LEMBONG ALEXIUS LEMBONG 26-Jan-12 29-Des-11 5<br />
591 Q053614 3000394149 GALEMBONG 10879 RAHEL PE KAWENGIAN MARCO C LEMBONG 26-Jan-12 28-Des-11 5<br />
592 Q053615 3000393622 GALEMBONG 10879 MARCO C LEMBONG MARCO C LEMBONG 26-Jan-12 29-Des-11 5<br />
593 Q053616 3000394165 GALEMBONG 10879 NATHANIA ARDELIA TICOALU MARCO C LEMBONG 26-Jan-12 27-Des-11 5<br />
594 Q0174<strong>31</strong> 3000272026 GALINDA 10719 TIO LINDAWATI TIO LINDAWATI CLIFFORD No.1 TT Med B, kurang EKG. No.2 SK 19-Des-11 06-Des-11 42<br />
595 Q015239 3000259624 GALINDA2 10722 SAYID ANWAR, IR FIFIMELIA CLIFFORD No.1 TT Med A. No.2 Klarifikasi apakah ikut 14-Des-11 14-Des-11 47<br />
596 Q015240 3000295038 GALINDA2 10722 CHANDRA HERRY THAMRIN WAHYU 21-Des-11 21-Des-11 40<br />
597 Q017427 3000327659 GALINDA2 10722 SOHRA SABARA FIFIMELIA SARWO No.1 Menunggu surat Ekstra Mortality. 28-Des-11 28-Des-11 33<br />
598 Q017434 3000382966 GALINDA2 10722 BASUKI, SE AMRAN NUGRAHA NO ID,AW NO.3 PAKAI SPASI ATAU TDK?? No.1 Klarifikasi pemeriksaan Med / Non Med 24-Jan-12 19-Jan-12 7<br />
599 Q017443 3000394181 GALINDA2 10722 ELLYTA WIRAWAN AMRAN NUGRAHA No.1 Dari hsl LPK klarifikasi bekas operasi 26-Jan-12 24-Jan-12 5<br />
600 Q017453 3000345530 GALINDA2 10722 CHARISMA ARYO BIMO H RENDY IWAN No.1 Lengkapi SPA II no 7. No.2 SK 11-Jan-12 05-Jan-12 20<br />
601 Q017454 3000347469 GALINDA2 10722 JASMINE LAREND SHINTA AYUNINGTYASH RENDY IWAN No.1 Lengkapi SPA II no 7. No.2 SK 11-Jan-12 05-Jan-12 20<br />
602 Q019745 300039<strong>31</strong>85 HWP1 10003 ARMAND YOSHUA HARTATI MIHARDJA No.1 jelaskan job desc TTG. No.2 Klar: 26-Jan-12 23-Jan-12 5<br />
603 Q049217 3000376323 HWP1 10003 NADINE SACHIKO HARTATI MIHARDJA No.1 lampirkan ID TTG. 20-Jan-12 19-Jan-12 11<br />
604 Q049357 3000259705 HWP1 10003 CORRY LUCIA NAULI BIMO No.1 lampirkan doc perawatan terkait 14-Des-11 14-Des-11 47<br />
605 Q049358 3000386067 HWP1 10003 ROCKY RAINS SUMITOMO LUCIA NAULI No.1 lampirkan Quest Hipertensi (DR-TTG). 24-Jan-12 20-Jan-12 7<br />
606 Q049579 3000389918 HWP1 10003 ALLISON NATASHA ALI LILIJANI 25-Jan-12 25-Jan-12 6<br />
607 Q057694 3000401536 HWP1 10003 SUPRIATIN LILY SEPTIANI <strong>31</strong>-Jan-12 27-Jan-12 0<br />
608 Q060626 3000394979 HWP1 10003 MELISSA NILAWATI LIMAN LILY SEPTIANI 27-Jan-12 21-Jan-12 4<br />
609 Q060724 3000364946 HWP1 10003 HANDHY MULIA HARTATI MIHARDJA No.1 Med : Lpk Urine, Tes Fungsi Hati, 18-Jan-12 17-Jan-12 13<br />
610 Q003945 3000399602 JKM 10027 TAN HOWARD SELAMATAN GUNAWAN DHALIMARTA 30-Jan-12 30-Jan-12 0<br />
611 Q008142 3000<strong>31</strong>3610 JKM 10027 CHANDRA MARTINA H. GUNAWAN AMBAR No.1 Menunggu persetujuan EP. 22-Des-11 22-Des-11 39<br />
612 Q008144 3000227500 JKM 10027 FX PUTU SAMUDRA BAKTINADI MARTINA H. GUNAWAN AMBAR 02-Des-11 01-Des-11 59<br />
613 Q008228 3000264295 JKM 10027 DADANG ROSWANDI DEDY KUSNADI, IR AMBAR No.1 Med Tipe A: LPK Urine. No.2 SK bayar 15-Des-11 15-Des-11 46<br />
614 Q008229 3000365578 JKM 10027 NATASYA PAULINA SATIVA SINAGA MARIA RAHAYUNINGSIH No.1 Menunggu persetujuan EP. 18-Jan-12 09-Jan-12 13<br />
615 Q008232 3000399042 JKM 10027 EDWIN SETIAWAN TJANDRA STEVIANI TJANDRA 30-Jan-12 29-Jan-12 0<br />
616 Q021510 3000286976 JKM 10027 ERWINASWATI, IR MARIA RAHAYUNINGSIH AMBAR DATA AHLI WARIS BLM DIINPUT KRN DOB KOSONG 20-Des-11 12-Des-11 41<br />
617 Q021517 30002<strong>31</strong>581 JKM 10027 CIAM GLORIA FITRIANADEWI SUWITO ANDI WIJAYA AMBAR No.1 Wasir: Sejak kpn,sdh 05-Des-11 27-Nop-11 56<br />
618 Q021519 3000227445 JKM 10027 MICHAEL SUWITO ANDI WIJAYA AMBAR ID TT TDK ADA, DATA AW NO.1 TDK JELAS No.1 Ttd ortu TTg di SP hal 5: Asli akan 02-Des-11 27-Nop-11 59<br />
619 Q021694 3000376276 JKM 10027 PINGKAN JANE T SITOROES FRANSISCA FORTUNATA NAMA SESUAI ID No.1 Melakukan USG Abdomen: Keluhannya 20-Jan-12 20-Jan-12 11<br />
620 Q021702 3000<strong>31</strong>4234 JKM 10027 SEAN REYNOLD SAPUTRO MARTINA H. GUNAWAN AMBAR No.1 Lampirkan prop dgn ttd agen & PP. 22-Des-11 22-Des-11 39<br />
621 Q030557 3000390349 JKM 10027 BAMBANG BARNABAS RUSTANDAR YULIANA KAAWOAN No.1 Sebutkan ukuran kacamata kanan dan 25-Jan-12 19-Jan-12 6<br />
622 Q057009 JOG 27 SANLIANA On Process 30-Jan-12 0<br />
623 Q010940 3000333056 JYK2 10083 MOH ARIFINANDA TRIHUTOMO MOH.ARIFINANDA T CLIFFORD No.1 SK pembayaran. No.2 TP STU pd SPA 29-Des-11 20-Des-11 32<br />
624 Q011133 3000224112 JYK2 10083 AMAL WAHYUDI NONI SALVIA TANDRA SARWO 30-Nop-11 20-Nop-11 60<br />
625 Q011148 3000379347 JYK2 10083 YANKE WS GERRY WANGSA S No.1 Lampirkan dokumen perawatan 20-Jan-12 18-Jan-12 11<br />
626 Q016745 3000377400 JYK2 10083 HARYADI ONG LIE LING No.1 TT Med A. No.2 Jelaskan detail tugas n 20-Jan-12 11-Jan-12 11<br />
627 Q017653 3000236298 JYK2 10083 CHELSIA ANGELIN TAN RONAL ANDREAS SARWO No.1 Pol lama riw EM n Claim, TT Med D. 06-Des-11 01-Des-11 55<br />
628 Q017809 3000382762 JYK2 10083 NG NYUK DJAP AGUS MASJOKO SARWO 24-Jan-12 16-Jan-12 7<br />
629 Q018030 3000399301 JYK2 10083 FERDIAN WIBOWO JEFFRI DHARMAWAN 30-Jan-12 29-Jan-12 0<br />
630 Q019710 3000366207 JYK2 10083 HARIS GUNAWAN DIAN PUSPITA No.1 Lampirkan dok perawatan berdiagnosa 19-Jan-12 04-Jan-12 12<br />
6<strong>31</strong> Q019711 3000256113 JYK2 10083 SETIAWAN SURYA BENARDI PAULUS S SARWO 14-Des-11 10-Des-11 47<br />
632 Q019734 3000333690 JYK2 10083 ALIZA NOVI RIZKINA YENNY SRI WARDANI CLIFFORD No.1 Ttd PP pd proposal. 30-Des-11 29-Des-11 30<br />
633 Q034058 3000400433 JYK2 10083 PERSHOTAM HASHUMAL KESWANI RONAL ANDREAS 30-Jan-12 20-Jan-12 0<br />
634 Q034067 3000294498 JYK2 10083 LEONARD YOHANES LANA DIANELLA SARWO AW DISP KOSONG No.1 AW kosong. 21-Des-11 20-Des-11 40<br />
635 Q034070 3000398460 JYK2 10083 RICHARD TAN DIAN PUSPITA 30-Jan-12 30-Jan-12 0<br />
636 Q034071 3000333739 JYK2 10083 KHALIESAH AZALIA YENNY SRI WARDANI WAHYU 30-Des-11 28-Des-11 30
637 Q034073 3000333674 JYK2 10083 CHANDRA PUTRA YENNY SRI WARDANI SARWO No.1 DOB TT pd SPA beda dg ID. No.2 30-Des-11 28-Des-11 30<br />
638 Q049221 3000393347 JYK2 10083 HERLINA MILIANA CHANDRA 26-Jan-12 25-Jan-12 5<br />
639 Q049288 3000232749 JYK2 10083 EDDY KUSPONCO WIBOWO HERY CAHYADI WIRIJA SARWO DI SPAJ TDK ADA RIDER 05-Des-11 02-Des-11 56<br />
640 Q0493<strong>31</strong> 3000288279 JYK2 10083 SYLVIA DWIPUTRA HERLIN ITAMURTI T. SARWO NO FORM B, ANNUAL INCOME KOSONG No.1 Menunggu surat exclussion. 20-Des-11 20-Des-11 41<br />
641 Q049375 3000307069 JYK2 10083 HANDY LIMANOU DIANELLA SARWO TGL LHR AW TDK ADA No.1 TT Med A. No.2 DOB AW. No.3 Fund 22-Des-11 21-Des-11 39<br />
642 Q049451 3000345823 JYK2 10083 MARIA TAN HERY CAHYADI WIRIJA SARWO 11-Jan-12 09-Jan-12 20<br />
643 Q049588 3000396450 JYK2 10083 ROS JATIFAH, BSC ANGELA 27-Jan-12 19-Jan-12 4<br />
644 Q049654 3000274735 JYK2 10083 SUARJANTO RONAL ANDREAS SARWO UP SISP # PROP, USIA TT 63 RIDER AR TIDAK BISA No.1 Mohon medis tambahan 2x urine pd hari 19-Des-11 17-Des-11 42<br />
645 Q049666 3000366469 JYK2 10083 AMELIA M MATINDAS THERESIA V No.1 Sehubungan pekerjaan lampirkan F 19-Jan-12 10-Jan-12 12<br />
646 Q049683 3000267277 JYK2 10083 SILVIANA PURNAMA HERY CAHYADI WIRIJA SARWO NAMA A WARIS 1 TDK JELAS 16-Des-11 16-Des-11 45<br />
647 Q052555 3000354553 JYK2 10083 HERY LINOGI RONAL ANDREAS No.1 Menunggu surat Ekstra Mortality. 13-Jan-12 30-Nop-11 18<br />
648 Q052562 3000352852 JYK2 10083 DIMAS BAYU HARSO WAROTO YENNY SRI WARDANI FUND??, JENIS KELAMIN AW?? No.1 Menunggu surat Ekstra Mortality. 13-Jan-12 21-Des-11 18<br />
649 Q052563 3000354252 JYK2 10083 NOVITA HADIPURNAMA MAYCHELL HARYANTO No.1 Mohon medis tambahan Treadmill. 13-Jan-12 28-Des-11 18<br />
650 Q057683 3000400483 JYK2 10083 EDGINA LIVIA KUSNADI EDGINA LIVIA KUSNADI 30-Jan-12 30-Jan-12 0<br />
651 Q057701 3000399288 JYK2 10083 LIAU SUN DJAN JEFFRI DHARMAWAN 30-Jan-12 28-Jan-12 0<br />
652 Q060728 3000366485 JYK2 10083 LENNY JULIA DENNY CHRISBIANTO RIDER INPUT SESUAI PROP 19-Jan-12 17-Jan-12 12<br />
653 Q060734 3000399262 JYK2 10083 ANDRI YULIA CHRISTIE 30-Jan-12 27-Jan-12 0<br />
654 Q017865 3000368681 JYK3 10779 TEMMY HALIM, SE TEMMY HALIM No.1 TT Med B. 19-Jan-12 19-Jan-12 12<br />
655 Q049333 3000392430 JYK3 10779 DOMINGGUS MASPAITELLA EFA SARTIKA S 26-Jan-12 17-Jan-12 5<br />
656 Q052556 3000355818 JYK3 10779 SITI NAHRIAH SITI NAHRIAH No.1 SK pembayaran. No.2 Menunggu APS. 13-Jan-12 21-Des-11 18<br />
657 Q057745 3000383491 JYK3 10779 EKA WULANDARI TOGU PUKKA HASUDUNGAN No.1 Klarifikasi kesulitan melahirkan dg 24-Jan-12 20-Jan-12 7<br />
658 Q016057 3000<strong>31</strong>1927 JYKISKAN 10647 PRIYO MUJIHAD, DRS HILDA ARIADNI K. MAYA NO FORM B 22-Des-11 22-Des-11 39<br />
659 Q023760 3000389667 JYKISKAN 10647 LENI KARTIKA BR PANJAITAN SITI KARTIKAWATI DATA ASURANSI SP KOSONG INPUT = PROPOSAL 25-Jan-12 25-Jan-12 6<br />
660 Q028633 3000271656 JYKISKAN 10647 MIRNA HERAWATI THOMAS SUYATNO NINA 19-Des-11 19-Des-11 42<br />
661 Q028638 3000321899 JYKISKAN 10647 JESSICA EVLYN RAMADHANI TOMMY GUNAWAN NINA 27-Des-11 27-Des-11 34<br />
662 Q028648 3000271711 JYKISKAN 10647 SARAH ANDRIANA THOMAS SUYATNO NINA NO FORM B, SK AD ATAU RECC TIDAK ADA 19-Des-11 19-Des-11 42<br />
663 Q028650 3000322015 JYKISKAN 10647 JOHAN TUMBELAKA THOMAS SUYATNO NINA No.1 lamprkan SK. No.2 lengkapi TB BB 27-Des-11 27-Des-11 34<br />
664 Q028744 3000271753 JYKISKAN 10647 YOSUA RAMA MADA KRISNA PURNAMATHOMAS SUYATNO NINA 19-Des-11 19-Des-11 42<br />
665 Q032806 3000271800 JYKISKAN 10647 THOMAS SUYATNO THOMAS SUYATNO NINA No.1 MED. TIPE B. No.2 SK BLM ADA. No.3 19-Des-11 19-Des-11 42<br />
666 Q041495 3000384861 JYKISKAN 10647 ISHAK DJOHAR, IR EKO WIBISONO NINA 24-Jan-12 24-Jan-12 7<br />
667 Q041526 3000230909 JYKISKAN 10647 SYAHREZA THAIB PASARIBU REIZKI IQBALSYAH NINA No.1 koreksi nama tidak sesuai dgn ID. No.2 05-Des-11 02-Des-11 56<br />
668 Q061901 3000366118 JYKISKAN 10647 BONITA S LATUMAHINA BONITA S LATUMAHINA No.1 lengkapi komposisi premi yang benar di 19-Jan-12 18-Jan-12 12<br />
669 Q061923 3000370733 JYKISKAN 10647 SITI ALFIAH RUSWITA No.1 Minta hasil PA ops myoma uteri tahun 19-Jan-12 18-Jan-12 12<br />
670 Q061925 3000361029 JYKISKAN 10647 NAWIYAH RUSWITA No.1 koreksi max premi :20%total 17-Jan-12 16-Jan-12 14<br />
671 Q062054 3000394270 JYKISKAN 10647 IVO YOHANA MEINIDA 27-Jan-12 26-Jan-12 4<br />
672 Q062063 3000389586 JYKISKAN 10647 MC YANTI LESTARI YUSWANTO IRENE OKTAVIANI 25-Jan-12 25-Jan-12 6<br />
673 Q062092 3000309401 JYKISKAN 10647 HILDA ARIADNI KATARINA S HILDA ARIADNI K. NINA No.1 sehub DBD, kpn bulan dan tahun . 22-Des-11 21-Des-11 39<br />
674 Q062096 3000292551 JYKISKAN 10647 SHALMAN IMANSYAH WIRATNO SITI KARTIKAWATI NINA No.1 lampirkan SK. No.2 lenkapi TB BB TTG 21-Des-11 19-Des-11 40<br />
675 Q062299 3000401510 JYKISKAN 10647 IRENE OKTAVIANI IRENE OKTAVIANI <strong>31</strong>-Jan-12 <strong>31</strong>-Jan-12 0<br />
676 Q023753 JYKISKAND 18 HARIYANTO NUGERAHA On Process 27-Jan-12 4<br />
677 Q003872 3000381091 KBY 10006 MARGARETHA ENDANG DA MARGARETHA ENDANG DA No.1 Riwayat SPA 20-Jan-12 20-Jan-12 11<br />
678 Q008159 3000395569 KBY 10006 GORGE OSTIN SIREGAR ANDRI HALIM No.1 SPA hal1 no6 U TTG lengkapi dan 27-Jan-12 19-Jan-12 4<br />
679 Q018112 3000349869 KBY 10006 CELINE LIANI No.1 P polis medical B:Rap 588534500 usia 13-Jan-12 11-Jan-12 18<br />
680 Q021468 3000384667 KBY 10006 S MARIANIE ISMAYANTO YOHANA A LANIWATI No.1 TTG hipertensi th 2001:TTG 24-Jan-12 20-Jan-12 7<br />
681 Q021764 3000401879 KBY 10006 LISA DARMAYANTI LISA DARMAYANTI <strong>31</strong>-Jan-12 <strong>31</strong>-Jan-12 0<br />
682 Q049263 3000396329 KBY 10006 RONY OCTANTO SIMON No.1 TTG medical C:Ra 1235279000 usia 27-Jan-12 26-Jan-12 4<br />
683 Q007549 3000397359 LPG 10011 YUNITA KURNIATI EDY SUHENDAR 28-Jan-12 28-Jan-12 3<br />
684 Q011858 3000397456 LPG 10011 FACHRUDIN LUBIS HENDRI 28-Jan-12 28-Jan-12 3<br />
685 Q016406 3000391507 LPG 10011 TONI KHUSNAINI 26-Jan-12 26-Jan-12 5<br />
686 Q016436 3000382673 LPG 10011 ARFINSYAH ISWAN YUS 24-Jan-12 16-Jan-12 7<br />
687 Q016439 3000356686 LPG 10011 LIE SHAN MEUW NJO MAN PHIN No.1 Mohon lampirkan F Hipertensi TT n 14-Jan-12 12-Jan-12 17<br />
688 Q016441 3000356115 LPG 10011 DEWI PURNAMA NJO MAN PHIN No.1 SPA ini Postpone 1 tahun kr riw kanker 14-Jan-12 12-Jan-12 17<br />
689 Q016706 3000289241 LPG 10011 MUHAMMAD FAJRI SETIAWAN EKO SETIAWAN WAHYU 20-Des-11 20-Des-11 41<br />
690 Q016712 3000281950 LPG 10011 ESTRI RAHAYU NINGSIH HENDRI SARWO 20-Des-11 19-Des-11 41<br />
691 Q024475 3000396400 LPG 10011 HARDI CHANDRA YULIANA EVIANTI 27-Jan-12 27-Jan-12 4<br />
692 Q024477 3000347697 LPG 10011 JOHHALI LANIYATI YOGINTORO SARWO 12-Jan-12 03-Jan-12 19<br />
693 Q024484 3000328493 LPG 10011 TANG TJUN FA-THERESIA SUJANI WAHYU No.1 Pinjam PA n dok berdiagnosa riw op 28-Des-11 28-Des-11 33<br />
694 Q024489 3000392537 LPG 10011 FELLIX STEVANUS LANIYATI YOGINTORO 26-Jan-12 25-Jan-12 5<br />
695 Q024490 3000369297 LPG 10011 HERLINA IRIANI LANIYATI YOGINTORO No.1 TT Med E. 19-Jan-12 19-Jan-12 12<br />
696 Q014952 3000356830 MASTERLLG 10841 HELEN STEPHANI HELEN STEPHANI 16-Jan-12 07-Jan-12 15<br />
697 Q000894 3000396036 MATAHARI12 10904 NISA QONITA AZKA MULYANAH,IR. 27-Jan-12 27-Jan-12 4<br />
698 Q0<strong>31</strong>629 3000395747 MATAHARI12 10904 THOMAS SUPRAPTO WIBOWO YUDIKA SIAHAAN No.1 Menunggu Excl. 27-Jan-12 26-Jan-12 4<br />
699 Q038740 3000392676 MATAHARI12 10904 SUGIMAN HARTANTO AN DHIAN 26-Jan-12 26-Jan-12 5<br />
700 Q025690 3000383645 MATAHARI15 10905 WILLIM DARMAWAN LILI CHANDRA DEWI No.1 SK bayar bulanan. No.2 Jelaskan 24-Jan-12 20-Jan-12 7<br />
701 Q056928 3000383823 MATAHARI15 10905 ANDI WINATA CHRISTIAN DARMAWAN No.1 SK bayar bulanan. 24-Jan-12 18-Jan-12 7<br />
702 Q056953 3000372858 MATAHARI15 10905 H AHMAD SOPIYAN AGUS GUNAWAN AMBAR 20-Jan-12 16-Jan-12 11<br />
703 Q056957 3000383962 MATAHARI15 10905 MICHELLE SUFIAN RICO MINTARJA AMBAR 24-Jan-12 21-Jan-12 7<br />
704 Q061061 3000397375 MATAHARI15 10905 CHRISTIAN LIEL AGUS GUNAWAN HUB AHLI WARIS? No.1 Akte Lahir Tertanggung. No.2 Lengkapi: 28-Jan-12 27-Jan-12 3<br />
705 Q061106 3000383522 MATAHARI15 10905 TAN BUN PIN CHRISTIAN DARMAWAN No.1 Lengkapi: VIII No 9a. No.2 Jelaskan 24-Jan-12 23-Jan-12 7<br />
706 Q050600 3000360099 MDN1 10015 LIE MAN KIAW SUI CIN No.1 DECLINE karena DM dan Fatty Liver. 17-Jan-12 25-Des-11 14<br />
707 Q069903 3000322293 MDN1 10015 SUDARMONO KUSUMO CHRISTINE TJOA BIMO No.1 Mohon medis tambahan : Gula darah 27-Des-11 27-Des-11 34<br />
708 Q074984 3000392846 MDN1 10015 ADRIADHY YAPARDI SUI CIN 26-Jan-12 26-Jan-12 5<br />
709 Q075000 3000392927 MDN1 10015 JOAQUIN SEBASTIAN LEE SUKARDI NYOTO RIDER PBDD2 BLM DIINPUT 26-Jan-12 26-Jan-12 5<br />
710 Q034740 MDN11 294 YANTI uw ok 27-Des-11 34<br />
711 Q050509 MDN18 37 STELLA KEYNE On Process 30-Jan-12 0<br />
712 Q032079 30002567<strong>31</strong> MDN19 10836 DONI TANJUNG YANTI SARWO SK AUTO DEB / REC TDK DILAMPIRKAN No.1 SK pembayaran. 14-Des-11 12-Des-11 47<br />
713 Q035220 3000237618 MDN19 10836 FEBRIANI YANTI SARWO SK AUTO DEB / REC TDK DILAMPIRKAN No.1 SK pembayaran. 07-Des-11 06-Des-11 54<br />
714 Q050594 3000354676 MDN19 10836 DAVE OWEN PANUSUNAN SAMIN No.1 Lampirkan ID TT. No.2 Sk pembayaran. 13-Jan-12 21-Nop-11 18<br />
715 Q050595 3000354951 MDN19 10836 HO MEI LIEN YANTI NAMA AW NO.4 TIDAK JELAS No.1 Lamprkan dok diagnosa panyumbatan 13-Jan-12 20-Des-11 18<br />
716 Q050596 3000355012 MDN19 10836 OSMAN LR TAMPUBOLON, SE MBA MINAR SORMIR No.1 TT Med A. 13-Jan-12 22-Nop-11 18<br />
717 Q060444 3000395585 MDN2 10014 KHO TOH MOI ALS MAIMUNAH SANDY 27-Jan-12 27-Jan-12 4<br />
718 Q014846 3000397016 MDN3 10019 SHI YOHANES SUANDY NGODIRO P AUTO DEB ADA TP BLM DIINPUT 28-Jan-12 27-Jan-12 3<br />
719 Q028072 3000387445 MDN3 10019 CALVIN MELYWATI 25-Jan-12 25-Jan-12 6<br />
720 Q035036 3000364475 MDN3 10019 RICHARD LEONARDO FERYANTO HALIM No.1 PP: Medis D: LPK sd Darah Rutin. 18-Jan-12 18-Jan-12 13<br />
721 Q035068 3000341861 MDN3 10019 YANNY TANALI JONO AUTO DEB ADA TP BLM DIINPUT No.1 Menunggu persetujuan EP. 09-Jan-12 07-Jan-12 22<br />
722 Q042536 3000376975 MDN3 10019 SURYA WIJAYA YULIANA 20-Jan-12 20-Jan-12 11<br />
723 Q042680 3000361265 MDN3 10019 MAWAR AGUSTINA ELYNDA DR. MAYA 17-Jan-12 17-Jan-12 14<br />
724 Q042733 3000391222 MDN3 10019 BENNY SULUNG, IR SANITY 26-Jan-12 26-Jan-12 5<br />
725 Q042750 3000397032 MDN3 10019 BIELI SUANDY NGODIRO P REC ADA TP BLM DIINPUT 28-Jan-12 27-Jan-12 3<br />
726 Q044662 3000396515 MDN3 10019 MATTHEW AMBUTAN EDDY CHANDRA 27-Jan-12 27-Jan-12 4<br />
727 Q051903 3000355478 MDN3 10019 GURDI RUSMINI RUSTAN No.1 Menunggu persetujuan EP. 13-Jan-12 21-Nop-11 18<br />
728 Q051904 3000354618 MDN3 10019 IHSANUL SURYA IVANDY No.1 Menunggu persetujuan EP. 13-Jan-12 30-Nop-11 18<br />
729 Q059371 3000368843 MDN3 10019 KELVIN WIRAWAN ELLIE,SE,SPD MAYA 19-Jan-12 19-Jan-12 12<br />
730 Q060006 3000396361 MDN3 10019 FARIDA SEM SAN 27-Jan-12 27-Jan-12 4<br />
7<strong>31</strong> Q060009 3000396094 MDN3 10019 WANDA GUSLIN AGUS 27-Jan-12 27-Jan-12 4<br />
732 Q060277 3000392553 MDN3 10019 SUSANTO AGUS 26-Jan-12 26-Jan-12 5<br />
733 Q060278 3000392511 MDN3 10019 MARIANA AGUS 26-Jan-12 26-Jan-12 5<br />
734 Q069985 3000341829 MDN3 10019 YUNI LUTIE AGUS No.1 Sehub riw operasi Maret 2011, 09-Jan-12 08-Jan-12 22<br />
735 Q069986 3000341780 MDN3 10019 YUNI LUTIE AGUS No.1 Sehub dgn riw operasi Maret 2011, 09-Jan-12 08-Jan-12 22<br />
736 Q071401 3000394547 MDN3 10019 AUGUSTINA JELLY COKRO 27-Jan-12 26-Jan-12 4<br />
737 Q074929 3000368788 MDN3 10019 ANDY PUTRA EMELIA AUTO DEB ADA TP BLM DIINPUT No.1 Hal 1 I no.7 jelaskan tugas pekerjaan 19-Jan-12 19-Jan-12 12<br />
738 Q0749<strong>31</strong> 3000394709 MDN3 10019 TANTY HERLINA JONO 27-Jan-12 25-Jan-12 4<br />
739 Q042622 MDN3 701 SUPRIADI KTP Ttg kadaluarsa> 3 bln 27-Des-11 34<br />
740 Q041826 MDN3 709 RAJA DAME PANDAPO TAN H kadaluarsa>3 bln 3. MOP salah 4. Mulai 27-Des-11 34<br />
741 Q000467 30003472<strong>31</strong> MDN5 10023 SARINAH RUSDY YANTO No.1 dari hasil EKG need Treadmill Test. 11-Jan-12 11-Jan-12 20<br />
742 Q000473 3000390608 MDN5 10023 BAK SENG ALIAS SARMIN TAN WAN LIE 26-Jan-12 26-Jan-12 5<br />
743 Q027875 3000362740 MDN5 10023 EDDY PALURIAN MANURUNG AUTO DEB ADA TP BLM DIINPUT No.1 medis B. 18-Jan-12 12-Jan-12 13<br />
744 Q027876 3000347<strong>31</strong>2 MDN5 10023 BELLY PARLINDUNGAN SITOMPUL SUMINI SK AUTO DEB / REC TDK DILAMPIRKAN No.1 lampirkan SK. No.2 lampirkan ID yang 11-Jan-12 20-Des-11 20<br />
745 Q028056 3000241144 MDN5 10023 MUZAKKIR AA MOI CHOEY YIN NINA 08-Des-11 07-Des-11 53<br />
746 Q029027 3000397333 MDN5 10023 EDY ANTO EDY ANTO 28-Jan-12 26-Jan-12 3<br />
747 Q029<strong>31</strong>5 3000396824 MDN5 10023 MARTIN YAPTO MARTIN YAPTO 27-Jan-12 26-Jan-12 4<br />
748 Q035046 3000285132 MDN5 10023 MEI JAN MEI CHUI EDI 20-Des-11 20-Des-11 41<br />
749 Q042611 3000390624 MDN5 10023 BILIHAR PANE JULI BR SITORUS PANE 26-Jan-12 26-Jan-12 5<br />
750 Q042618 3000390666 MDN5 10023 JOHAN PAMUNGKAS PANE JULI BR SITORUS PANE 26-Jan-12 26-Jan-12 5<br />
751 Q059325 3000347273 MDN5 10023 FENNY LENG SUMINI NINA 11-Jan-12 11-Jan-12 20<br />
752 Q059333 3000369970 MDN5 10023 ONG BING CAI MEI MEI No.1 menunggu setuju exclude. 19-Jan-12 19-Jan-12 12<br />
753 Q069680 3000374339 MDN5 10023 ALICE SURYA RUSDY YANTO 20-Jan-12 20-Jan-12 11<br />
754 Q069681 3000390705 MDN5 10023 DELIANA DELIANA SK AUTO DEB / REC TDK DILAMPIRKAN 26-Jan-12 20-Jan-12 5<br />
755 Q069687 3000392260 MDN5 10023 DELIANA DELIANA 26-Jan-12 26-Jan-12 5<br />
756 Q069689 3000392391 MDN5 10023 JEFFRY ANDREAN RUSDY YANTO REC ADA TP BLM DIINPUT 26-Jan-12 26-Jan-12 5<br />
757 Q069690 3000392359 MDN5 10023 CALVIN ANDREAN RUSDY YANTO REC ADA TP BLM DIINPUT 26-Jan-12 26-Jan-12 5<br />
758 Q071390 3000393868 MDN5 10023 FELIX JAYADI MEI MEI SK AUTO DEB / REC TDK DILAMPIRKAN 26-Jan-12 26-Jan-12 5<br />
759 Q071391 3000393826 MDN5 10023 RANDY MULIAWAN MEI MEI SK AUTO DEB / REC TDK DILAMPIRKAN 26-Jan-12 26-Jan-12 5<br />
760 Q071416 3000393761 MDN5 10023 MUZIR EFFENDI MEI MEI 26-Jan-12 26-Jan-12 5<br />
761 Q028066 3000369687 MDN6 10604 IMELDA SALIM IRWANTO CHANDRA AUTO DEB ADA TP BLM DIINPUT No.1 TTG sdg hamil need form hamil. 19-Jan-12 19-Jan-12 12<br />
762 Q029361 3000333276 MDN6 10604 LINA S ALIAS NG IN I CHRISTIAN KOHANDA AUTO DEB ADA TP BLM DIINPUT No.1 usia 55 :need med A. No.2 dri hsl 29-Des-11 29-Des-11 32<br />
763 Q032113 3000374119 MDN6 10604 ZULKIFLI SIREGAR ERLINA BR TARIGAN No.1 menungu setuju EP. 20-Jan-12 20-Jan-12 11<br />
764 Q041836 3000377264 MDN6 10604 GEK SIOK LIANG SING AUTO DEB ADA TP BLM DIINPUT,PREMI PADA SPAJ # No.1 Ttl RA:1.5<strong>31</strong>.450.000 need med G. 20-Jan-12 17-Jan-12 11<br />
765 Q051878 3000355737 MDN6 10604 JESSICA EDELINE WIJAYA IRWANTO CHANDRA No.1 menunggu setuju EP 13-Jan-12 07-Des-11 18<br />
766 Q059353 3000340873 MDN6 10604 ALWY ANG IK MING AUTO DEB ADA TP BLM DIINPUT No.1 menunggu APS. 06-Jan-12 06-Jan-12 25<br />
767 Q059356 3000396492 MDN6 10604 DJODI BUDIMAN YULIANI AUTO DEB ADA TP BLM DIINPUT 27-Jan-12 27-Jan-12 4<br />
768 Q069675 3000358117 MDN6 10604 SUK HIANG ALIAS ERIANA ERVINA AUTO DEB ADA TP BLM DIINPUT 16-Jan-12 06-Jan-12 15<br />
769 Q074950 3000340912 MDN6 10604 HENDRO IRWANTO CHANDRA REC ADA TP BLM DIINPUT No.1 menunggu setuju EP. 06-Jan-12 06-Jan-12 25<br />
770 Q032099 3000<strong>31</strong>0612 MDN9 10648 VENECIA CALISTA SUMIATI RIDER SQPBR2 BLM DIINPUT No.1 PP1 menunggu keputusan Q032207. 22-Des-11 22-Des-11 39<br />
771 Q032207 3000349194 MDN9 10648 LIE SIAUW WAN SUMIATI REC ADA TP BLM DIINPUT No.1 RA 691.695.800, TT Med D. 12-Jan-12 12-Jan-12 19<br />
772 Q032826 30003408<strong>31</strong> MDN9 10648 GIN LAN NOI/YENNY JONNY MARTALIMINATA No.1 TT Med A. 06-Jan-12 06-Jan-12 25<br />
773 Q032828 3000377426 MDN9 10648 YULIANA CHIN CHIANG No.1 PP Med A. 20-Jan-12 20-Jan-12 11<br />
774 Q069833 3000343457 MDN9 10648 VINSON CASSIDY SUMIATI ID TTG TDK DILAMPIRKAN No.1 PP1 menunggu keputusan Q032207. 10-Jan-12 09-Jan-12 21<br />
775 Q069848 3000377955 MDN9 10648 ANGGRAINI CHIN CHIANG TB & BB PD SP TDK DIISI No.1 TT Med A. No.2 Lengkapi SPA VIII no 20-Jan-12 20-Jan-12 11<br />
776 Q069897 3000300871 MDN9 10648 DOLLY TANADI PAULUS IRWAN WAHYU SK AUTO DEB / REC TDK DILAMPIRKAN No.1 SK pembayaran. 21-Des-11 21-Des-11 40<br />
777 Q032153 3000337301 MDNDIAMD 10792 LIM GUAT HONG YAN PHIN ID PEMEGANG POLIS TDK ADA No.1 Medis tipe A. No.2 Hal 2; III a no 7 total 04-Jan-12 26-Des-11 27<br />
778 Q014822 3000388548 MEDAN12 10704 BAN KIM CHOE KIM HIOK REC ADA TP BLM DIINPUT No.1 RA:1.<strong>31</strong>8.120.000 need Med F. 25-Jan-12 24-Jan-12 6<br />
779 Q017789 3000389609 MEDAN12 10704 EVA ROSMARNI 25-Jan-12 24-Jan-12 6<br />
780 Q020450 3000329708 MEDAN12 10704 YULINA YULINA NINA 28-Des-11 28-Des-11 33<br />
781 Q035297 3000303756 MEDAN12 10704 HOTLIN SIMBOLON, IR RUSTI SIMBOLON NINA TB & BB PD SP TDK DIISI, SK AUTO DEB / REC TDK No.1 med A. No.2 lamprikan SK. 21-Des-11 21-Des-11 40<br />
782 Q051335 3000325738 MEDAN12 10704 SAIMAN WAGIMIN CHOE KIM HIOK NINA No.1 Dr hsl dok diagnosa SPA di Decline krn 28-Des-11 28-Des-11 33<br />
783 Q051337 3000328451 MEDAN12 10704 DJUMARNI WETAN MERRY AUTO DEB ADA TP BLM DIINPUT No.1 sehb di LPK:riw ops kista ovarium;klrfksi 28-Des-11 28-Des-11 33<br />
784 Q069679 3000301592 MEDAN12 10704 AZIZ SANTOSO AZIZ SANTOSO NINA No.1 RA:630.817.185 need med C. 21-Des-11 21-Des-11 40<br />
785 Q069956 3000388506 MEDAN12 10704 VERONICA CHOE KIM HIOK REC ADA TP BLM DIINPUT No.1 RA :1.336.030.000 need med F. 25-Jan-12 24-Jan-12 6<br />
786 Q020404 3000246225 MSTBTM2 10873 SUPENDI CLARISSA SANDRINA EDI 10-Des-11 10-Des-11 51<br />
787 Q014140 3000390886 MSTDNP1 10143 ANAK AGUNG PUTRA ARBAWA ANAK AGUNG MIRA P. 26-Jan-12 26-Jan-12 5<br />
788 Q046820 3000388108 MSTDNP1 10143 PUTU FERLYNE GRACE EVANGELINE WARDANA DWI ASTUTIK 25-Jan-12 25-Jan-12 6<br />
789 Q052708 3000354236 MSTDNP1 10143 LUH SRIASIH DESAK PUTU SEKARNADI No.1 urine ulang 2x pd hari berbeda dan 13-Jan-12 16-Des-11 18<br />
790 Q052711 3000352399 MSTDNP1 10143 I MADE ADI DWIGUNA NI KMG AYU SUARTINI BIMO 13-Jan-12 13-Jan-12 18<br />
791 Q067366 3000391523 MSTDNP1 10143 ALFIAN FARIZKAN HAQ NI KT ASIH KARMAWATI 26-Jan-12 26-Jan-12 5<br />
792 Q007328 3000363275 MSTDNP10 10694 NI NYOMAN SAFTIKA DEWI I GEDE GARGITA No.1 umur seharusnya 43, perbaiki SP dan 18-Jan-12 17-Jan-12 13<br />
793 Q014366 3000269059 MSTDNP10 10694 NI LUH SUKERTIASIH RISMA DIYAN SAPUTRI BIMO 16-Des-11 16-Des-11 45<br />
794 Q027026 3000375408 MSTDNP10 10694 PUTU NGURAH SUARTANA LUH SERIWASIH BIMO 20-Jan-12 17-Jan-12 11<br />
795 Q027048 3000395111 MSTDNP10 10694 I MADE SUKADANA, SSOS KADEK ASRINI 27-Jan-12 26-Jan-12 4<br />
796 Q027074 3000325966 MSTDNP10 10694 L P A SAVITRI CH KUSUMA NI LUH PT SWANDEWI CLIFFORD 28-Des-11 27-Des-11 33<br />
797 Q043660 3000303007 MSTDNP10 10694 I NYOMAN SUWITA I NYOMAN SUARTANA BIMO 21-Des-11 20-Des-11 40
798 Q043662 3000363380 MSTDNP10 10694 NI NYOMAN ASMINI NI KADEK SRI LESTARI BIMO 18-Jan-12 13-Jan-12 13<br />
799 Q043663 3000363411 MSTDNP10 10694 NI NYOMAN SRI KARYANI I MADE ADHIYASA BIMO 18-Jan-12 13-Jan-12 13<br />
800 Q043672 3000298060 MSTDNP10 10694 TRI WULANDARI, BSC I MADE DARMA WIJAYA BIMO No.1 Med Type A. 21-Des-11 08-Des-11 40<br />
801 Q067284 3000388726 MSTDNP10 10694 GEDE PRIMANDANA I GEDE PRIMANDANA 25-Jan-12 25-Jan-12 6<br />
802 Q067291 3000364530 MSTDNP10 10694 KETUT SUDARMA I MADE ARTASA No.1 Med Type A. 18-Jan-12 17-Jan-12 13<br />
803 Q013827 3000388687 MSTDNP11 10718 I KADEK ARI WANGSA I MADE REMBA ASTAWA 25-Jan-12 21-Jan-12 6<br />
804 Q067226 3000367025 MSTDNP11 10718 IDA BAGUS KETUT PRADNYANA A.A. ISTRI DIAH A.D No.1 Nonor SP di Form B salah. 19-Jan-12 18-Jan-12 12<br />
805 Q067235 3000391971 MSTDNP11 10718 PUTU ARI KUSUMA SANJAYA IDA A. KETUT SARWINI 26-Jan-12 24-Jan-12 5<br />
806 Q067236 3000391939 MSTDNP11 10718 I G M KRISNA DWI PUTRA IDA A. KETUT SARWINI 26-Jan-12 24-Jan-12 5<br />
807 Q067459 3000384057 MSTDNP11 10718 NI WAYAN SENIWATI I KETUT SUTEJA No.1 Ahliwaris harus keluarga inti TTG. 24-Jan-12 24-Jan-12 7<br />
808 Q067462 3000391913 MSTDNP11 10718 I PUTU PIRGIANTARA PUTRA MADE GEDE SUKADANA 26-Jan-12 26-Jan-12 5<br />
809 Q007293 3000192478 MSTDNP12 10721 MARSELINA OEMATAN I NYOMAN WIDANA A BIMO 18-Nop-11 15-Nop-11 73<br />
810 Q044476 3000201752 MSTDNP12 10721 I DEWA AYU KUSUMA DEWI I MADE KERTA BIMO 22-Nop-11 21-Nop-11 69<br />
811 Q044487 3000364572 MSTDNP12 10721 RIVANDY RASYID ITA IDAYANTI No.1 PP med type C. 18-Jan-12 18-Jan-12 13<br />
812 Q046258 3000<strong>31</strong>4747 MSTDNP12 10721 IGN ADI WIRAGUNA SANJAYA, SE IGN ADI WIRAGUNA SANJAYA, SE BIMO 23-Des-11 22-Des-11 38<br />
813 Q046594 3000364611 MSTDNP12 10721 RIZALDY RASYID ITA IDAYANTI No.1 PP med Type C. 18-Jan-12 18-Jan-12 13<br />
814 Q052598 3000359935 MSTDNP12 10721 I WAYAN SANDI YASA NI NYOMAN RUSMIATI, SE No.1 Med type B. 17-Jan-12 15-Des-11 14<br />
815 Q067413 3000391028 MSTDNP12 10721 NIRA EKAWATI NI NYOMAN MARIANI 26-Jan-12 26-Jan-12 5<br />
816 Q067415 3000391468 MSTDNP12 10721 ERIC HARYANTO NI NYOMAN MARIANI 26-Jan-12 26-Jan-12 5<br />
817 Q070481 3000391044 MSTDNP12 10721 I MADE SANJAYA ARY GAPAR NI MADE WIDIASIH 26-Jan-12 18-Jan-12 5<br />
818 Q070484 3000388289 MSTDNP12 10721 IDA BAGUS YUDYA DHARMA IDA BAGUS YUDYA D 25-Jan-12 18-Jan-12 6<br />
819 Q006673 3000376551 MSTDNP14 10769 IKHLASUL AMAL BHAYANGKARA NELLINDA 20-Jan-12 18-Jan-12 11<br />
820 Q013896 3000302792 MSTDNP14 10769 GUSTI BAGUS ARYA WEDANTA KUSUMADESAK PUTU SURYA S NORIKAS No.1 Menunggu persetujuan EP. 21-Des-11 21-Des-11 40<br />
821 Q043543 3000390137 MSTDNP14 10769 LILIK INDININGSIH, SPD NI LUH GEDE SUARI 25-Jan-12 25-Jan-12 6<br />
822 Q043544 3000377939 MSTDNP14 10769 NI KADEK ANIK DIANTARI NI LUH GEDE SUARI 20-Jan-12 20-Jan-12 11<br />
823 Q043545 3000377840 MSTDNP14 10769 IDA BAGUS GEDE DHARMIKA I MADE SUDIBIA 20-Jan-12 17-Jan-12 11<br />
824 Q043546 3000377785 MSTDNP14 10769 I MADE SUDIBIA, SE I MADE SUDIBIA 20-Jan-12 20-Jan-12 11<br />
825 Q043550 3000377727 MSTDNP14 10769 I WAYAN SUASTIKA, SE NI LUH GEDE SUARI 20-Jan-12 20-Jan-12 11<br />
826 Q043613 3000376496 MSTDNP14 10769 IAN SURYA PUTRA NELLINDA 20-Jan-12 20-Jan-12 11<br />
827 Q046379 3000386669 MSTDNP14 10769 NI MADE ASTINI NI LUH GEDE SUARI 25-Jan-12 20-Jan-12 6<br />
828 Q046381 3000350143 MSTDNP14 10769 I GST NYM SUDANA, SE NI LUH GEDE SUARI No.1 Koreksi penghasilan: Minimum harus Rp 13-Jan-12 13-Jan-12 18<br />
829 Q046407 3000290038 MSTDNP14 10769 USMAN GUMANTY NI LUH GEDE SUARI AMBAR 20-Des-11 20-Des-11 41<br />
830 Q046408 3000289932 MSTDNP14 10769 AFIDAH NI LUH GEDE SUARI AMBAR 20-Des-11 20-Des-11 41<br />
8<strong>31</strong> Q046417 3000301893 MSTDNP14 10769 I NYOMAN MUSTIKA NI LUH GEDE SUARI AMBAR 21-Des-11 20-Des-11 40<br />
832 Q046421 3000302035 MSTDNP14 10769 I KOMANG SUASTIKA NI LUH GEDE SUARI AMBAR 21-Des-11 20-Des-11 40<br />
833 Q046637 3000302718 MSTDNP14 10769 I GUSTI BAGUS ANANDA ADI PUTRAWANDESAK PUTU SURYA S AMBAR No.1 Ukur ulang TB TTG dgn akurat. 21-Des-11 15-Des-11 40<br />
834 Q051985 3000352616 MSTDNP14 10769 NI KETUT SIRAM NI LUH GEDE SUARI No.1 Medis: LPK Urine. 13-Jan-12 18-Nop-11 18<br />
835 Q067205 3000388205 MSTDNP14 10769 GUSTI MADE ARYA NI LUH GEDE SUARI 25-Jan-12 22-Jan-12 6<br />
836 Q067209 3000382322 MSTDNP14 10769 R R YULI AYU RAHMAWATI NI LUH GEDE SUARI 24-Jan-12 20-Jan-12 7<br />
837 Q067211 3000382348 MSTDNP14 10769 R A BAMBANG SUTRISNO NI LUH GEDE SUARI 24-Jan-12 20-Jan-12 7<br />
838 Q014110 3000372476 MSTDNP15 10824 I GST AYU ARI ASTITI I DEWA NYO WIDNYANA No.1 klarifikasi aktivitas TT sehari-hari. No.2 20-Jan-12 15-Jan-12 11<br />
839 Q014118 3000269091 MSTDNP15 10824 I NYOMAN SUARDANA I DEWA NYO WIDNYANA SARWO 16-Des-11 12-Des-11 45<br />
840 Q026943 3000391670 MSTDNP16 10823 SONY ATAYA SUROSO SUROSO 26-Jan-12 26-Jan-12 5<br />
841 Q026944 3000391654 MSTDNP16 10823 SUROSO SUROSO 26-Jan-12 26-Jan-12 5<br />
842 Q026945 3000391696 MSTDNP16 10823 EVAN MANDALA SUROSO SUROSO 26-Jan-12 26-Jan-12 5<br />
843 Q026946 3000391735 MSTDNP16 10823 NI KADEK AYU ARIDIANTI, ST SUROSO 26-Jan-12 26-Jan-12 5<br />
844 Q052001 3000352771 MSTDNP16 10823 I GUSTI NGURAH DARMAWANGSA, DRSNI WAYAN ELLYANI SK AD BCA COPY No.1 Dr hsl med mohon med tambahan Gula 13-Jan-12 03-Nop-11 18<br />
845 Q052003 30003559<strong>31</strong> MSTDNP16 10823 LOUIS PO HUN WAH NI WAYAN ELLYANI No.1 Mohon med tambahan Gula Darah 13-Jan-12 18-Nop-11 18<br />
846 Q007153 3000383849 MSTDNP17 10864 I DEWA GEDE WAHYU GAUTAMA I PUTU YUNIARTHA 24-Jan-12 20-Jan-12 7<br />
847 Q007154 3000383807 MSTDNP17 10864 I PUTU ARI SAPUTRA I MADE SUARNAYA 24-Jan-12 21-Jan-12 7<br />
848 Q026990 300038<strong>31</strong>66 MSTDNP17 10864 I GST BAGUS ARYA WARDANA I GST BAGUS ARYA W 24-Jan-12 21-Jan-12 7<br />
849 Q026992 3000383768 MSTDNP17 10864 NI MADE NGR SRI ARYANI, SE I WAYAN SUDA ADNYANA No.1 Medis Tipe B: LPK Urine EKG. 24-Jan-12 21-Jan-12 7<br />
850 Q026993 3000383742 MSTDNP17 10864 GUSTI AGUNG AYU CINTA KASIH MAHADEWI I GST AG KRISH K No.1 Ukur ulang dengan akurat TINGGI 24-Jan-12 21-Jan-12 7<br />
851 Q0436<strong>31</strong> 300038<strong>31</strong>24 MSTDNP17 10864 NI WAYAN NIWIRAGA I GST AG KRISH K No.1 No SP di SK Autodebet BCA salah. 24-Jan-12 21-Jan-12 7<br />
852 Q043637 3000383344 MSTDNP17 10864 I GST AYU AGUNG ANDARI WIDYASTUTI G B AG ANDIRA EKA PRADANA 24-Jan-12 21-Jan-12 7<br />
853 Q043642 3000383360 MSTDNP17 10864 I GUSTI BAGUS AGUNG ANDRYA KUSUMA I G B AG ANDIRA EKA PRADANA 24-Jan-12 21-Jan-12 7<br />
854 Q046795 3000383946 MSTDNP17 10864 I NENGAH WISNAJAYA NI LUH KM. SRI W. 24-Jan-12 24-Jan-12 7<br />
855 Q046797 3000383881 MSTDNP17 10864 I MADE PUTRA ARNATA KOMANG AYU STYADEWI 24-Jan-12 21-Jan-12 7<br />
856 Q051992 3000354634 MSTDNP17 10864 LUH GEDE DAMA BELINDA PARAMITA NI LUH KM. SRI W. No.1 Pinjam hasil PA Opr tumor jinak lengan 13-Jan-12 19-Des-11 18<br />
857 Q051993 3000354919 MSTDNP17 10864 CESSYA ALEXANDRA WIDYAPURNA LUH GEDE WAHYUNI No.1 Menunggu hasil APS. 13-Jan-12 14-Nop-11 18<br />
858 Q051994 3000353573 MSTDNP17 10864 NI MADE SUDARNI LUH GEDE WAHYUNI No.1 LPK: Kacamata baca; Sebutkan ukuran 13-Jan-12 14-Des-11 18<br />
859 Q051995 3000353418 MSTDNP17 10864 PUTU RIKA MARYANTI NI LUH PT SRIWIDANI HUB TTG DGN PP D SPA?? NPK HLM 5 TDK JLS No.1 Laporan Agen belum diisi. No.2 NPK hal 13-Jan-12 27-Des-11 18<br />
860 Q051996 3000355232 MSTDNP17 10864 I KOMANG SUDHARTA ADIWIGUNA LUH PUTU ARITIANA K No.1 Hipertensi: Isi Form Hipertensi oleh TTG 13-Jan-12 17-Des-11 18<br />
861 Q051997 3000355151 MSTDNP17 10864 I PUTU YOGI ARTHA ANUGRAHA PRATAMA LUH PUTU ARITIANA K No.1 Hipertensi: Isi Form Hipertensi oleh TTG 13-Jan-12 17-Des-11 18<br />
862 Q051998 3000355355 MSTDNP17 10864 NI MADE GITA GAYATRI DHARMAYANI LUH PUTU ARITIANA K No.1 Ukur ulang TB TTG. No.2 Hipertensi: Isi 13-Jan-12 17-Des-11 18<br />
863 Q067084 3000383263 MSTDNP17 10864 I G B AG ANDIRA EKA PRADANA I G B AG ANDIRA EKA PRADANA 24-Jan-12 21-Jan-12 7<br />
864 Q074850 3000371909 MSTDNP17 10864 I KADEK PRATISTHA ADITYA DEVA WAYAN SUMANTI No.1 Ukur ulang dgn akurat Tinggi Badan 20-Jan-12 18-Jan-12 11<br />
865 Q043577 3000344526 MSTDNP18 10865 ANAK AGUNG MADE WAHYU WARDANAA.A NGURAH BAGUS TS No.1 P polis medical D:Rap 854496000 usia 10-Jan-12 07-Jan-12 21<br />
866 Q043578 3000344607 MSTDNP18 10865 NI WAYAN NARIANI LYDIA ARI KRISTIANTI No.1 TTG medical D:ra 854496000 usia 45th. 10-Jan-12 07-Jan-12 21<br />
867 Q043579 3000344542 MSTDNP18 10865 NI WAYAN NARIANI A.A NGURAH BAGUS TS No.1 TTG medical D:Ra 854496000 usia 10-Jan-12 07-Jan-12 21<br />
868 Q043580 3000344461 MSTDNP18 10865 I GUSTI KETUT OKA WARDANA A.A NGURAH BAGUS TS No.1 TTG medical kurang:EKG;Rontgen. 10-Jan-12 07-Jan-12 21<br />
869 Q043587 3000390941 MSTDNP18 10865 I WAYAN WERKA AYU RAKA PADMI, SE 26-Jan-12 20-Jan-12 5<br />
870 Q046347 3000344584 MSTDNP18 10865 ANAK AGUNG AYU WIDYA SRIKANDI A.A NGURAH BAGUS TS No.1 P polis medical kurang:EKG;Rontgen. 10-Jan-12 07-Jan-12 21<br />
871 Q046349 3000344487 MSTDNP18 10865 I GUSTI KETUT OKA WARDANA A.A NGURAH BAGUS TS No.1 TTG medical kurang:EKG;Rontgen. 10-Jan-12 07-Jan-12 21<br />
872 Q046350 3000344623 MSTDNP18 10865 ANAK AGUNG AYU MAS UDAYANI LYDIA ARI KRISTIANTI No.1 P polis medical D:rap 854496000 usia 10-Jan-12 06-Jan-12 21<br />
873 Q052544 3000355119 MSTDNP18 10865 I NENGAH KASIM I WAYAN BUDIASA No.1 TTG medical D:Ra 800jt usia 47th. 13-Jan-12 17-Des-11 18<br />
874 Q067324 3000372418 MSTDNP3 10145 AISYAH SILUH MADE PUTRI A 20-Jan-12 20-Jan-12 11<br />
875 Q014291 3000260704 MSTDNP4 10146 GST A PUTU SRI PUSPAWATI I WAYAN MARAYANA SEPTI 15-Des-11 15-Des-11 46<br />
876 Q046436 3000363819 MSTDNP4 10146 I WAYAN TAMIANA NI MADE SRIGATI No.1 Masa pemb premi di SPA cek kembali. 18-Jan-12 16-Jan-12 13<br />
877 Q046449 3000396769 MSTDNP4 10146 I GEDE ERLAND YESA PRATAMA I GD AGUS HARIANTHA 27-Jan-12 27-Jan-12 4<br />
878 Q046450 3000396785 MSTDNP4 10146 NI KADEK FIONA NAUMI PUTRI I GD AGUS HARIANTHA 27-Jan-12 27-Jan-12 4<br />
879 Q054104 3000396808 MSTDNP4 10146 PUTU MUKTI SARI NI WAYAN SUARTINI 27-Jan-12 27-Jan-12 4<br />
880 Q054116 3000392121 MSTDNP4 10146 NI WAYAN SRI KARTINI I WAYAN MARAYANA 26-Jan-12 26-Jan-12 5<br />
881 Q020268 3000392333 MSTJAMBI2 10828 EDI NATA PRAWIRA EDI NATA PRAWIRA 26-Jan-12 26-Jan-12 5<br />
882 Q026799 3000337783 MSTJKT12 10729 LING LING ANNI AUTO DEB ADA TP BLM DIINPUT, AHLI WARIS TDK No.1 TTG medical B:Ra 383603000 usia 04-Jan-12 02-Jan-12 27<br />
883 Q053394 3000377743 MSTJKT12 10729 SUWITO LILI REC ADA TP BLM DIINPUT No.1 TTG bekerja dibagian apa;jelaskan 20-Jan-12 20-Jan-12 11<br />
884 Q002259 3000360332 MSTJKT18 10852 YUSMANI RINI ARIYANI No.1 Dari hasil medical yg diterima;TTG 17-Jan-12 16-Jan-12 14<br />
885 Q059220 3000376250 MSTJKT18 10852 ERIK CRISMANTO ERIK CRISMANTO No.1 SK pembayaran. No.2 Nama TTG di 20-Jan-12 20-Jan-12 11<br />
886 Q000055 3000332254 MSTJKT20 10854 MARISA DUMA SILALAHI ELISABET SIMARMATA No.1 SK bayar bulanan. No.2 Menunggu 29-Des-11 28-Des-11 32<br />
887 Q000056 3000332335 MSTJKT20 10854 MARISA DUMA SILALAHI ELISABET SIMARMATA No.1 Riw keguguran: Kpn,brp kali 29-Des-11 28-Des-11 32<br />
888 Q059203 3000398119 MSTJKT20 10854 ETTY PURNAMAWATI, MSC JUMIAH 30-Jan-12 27-Jan-12 0<br />
889 Q059210 3000357763 MSTJKT20 10854 EDGAR RHOMADO ASAPUTRA JUMIAH NAMA AHLI WARIS KE 2 KURANG JELAS 16-Jan-12 14-Jan-12 15<br />
890 Q006570 MSTJKT20 1 ETTY PURNAMAWATI uw ok 12-Jan-12 19<br />
891 Q043232 MSTJKT20 6 JOESLIN NASUTION uw ok 19-Jan-12 12<br />
892 Q051806 3000401895 MSTJKT21 10855 NEYSA TANIA FELICIA, S KOM NESYA TANIA FELICIA, S KOM INVESTASI BEDA <strong>31</strong>-Jan-12 <strong>31</strong>-Jan-12 0<br />
893 Q051807 3000401934 MSTJKT21 10855 MARLY PHILBERTA F, S KOM NESYA TANIA FELICIA, S KOM <strong>31</strong>-Jan-12 <strong>31</strong>-Jan-12 0<br />
894 Q051809 3000402037 MSTJKT21 10855 TINNEKE AGNES FELICIA, SE NESYA TANIA FELICIA, S KOM <strong>31</strong>-Jan-12 <strong>31</strong>-Jan-12 0<br />
895 Q051811 3000401853 MSTJKT21 10855 HENKY SUSANTO, SKOM NESYA TANIA FELICIA, S KOM <strong>31</strong>-Jan-12 <strong>31</strong>-Jan-12 0<br />
896 Q052002 3000352755 MSTJKT21 10855 SURYADI SABARMAN JULIANTI HENDRAWAN No.1 Agen penutup harus TTG sendiri. 13-Jan-12 01-Des-11 18<br />
897 Q021<strong>31</strong>2 3000336232 MSTLPG1 10152 MOH MUCHLASIN FATIMAH SARWO 03-Jan-12 03-Jan-12 28<br />
898 Q021443 3000346463 MSTLPG1 10152 LINA YANTI S No.1 menunggu setuju exclud. 11-Jan-12 11-Jan-12 20<br />
899 Q032521 3000361401 MSTLPG1 10152 WULAN INDAH SARI FATIMAH No.1 TTD dikolom ortu SPA hl 5 hrs oleh Ortu 17-Jan-12 17-Jan-12 14<br />
900 Q032529 3000264944 MSTLPG1 10152 MORISMAN, IR YANTO NINA 15-Des-11 15-Des-11 46<br />
901 Q032530 3000264960 MSTLPG1 10152 NUR ROMADHONA YANTO NINA No.1 menunggu setuju EP. 15-Des-11 15-Des-11 46<br />
902 Q032546 3000356440 MSTLPG1 10152 PUJIASTUTI RAHMAN DARMAWAN No.1 koreksi nama TTG di SPA tdk sama 14-Jan-12 14-Jan-12 17<br />
903 Q032547 3000390226 MSTLPG1 10152 ARYO RAHMAN DARMAWAN 25-Jan-12 24-Jan-12 6<br />
904 Q032707 3000369580 MSTLPG1 10152 NIRWAN WIJAYA YANTO No.1 ttl RA:506.040.000 need med C. 19-Jan-12 18-Jan-12 12<br />
905 Q032709 3000250939 MSTLPG1 10152 ELLINA RUSLI YANTO NINA COPY ID TDK ADA . NO.ID DISP KOSONG No.1 RA :392.432.500 need med C. No.2 12-Des-11 12-Des-11 49<br />
906 Q032724 3000361320 MSTLPG1 10152 AHSANU AMALA FATIMAH No.1 lengkapi VIII no 13. No.2 koreksi TB BB 17-Jan-12 17-Jan-12 14<br />
907 Q045797 3000377361 MSTLPG1 10152 AMBAR WULANDARI DEWA AYU DWIYATI No.1 lengkapi alamat koresp. No.2 koreksi tgl 20-Jan-12 19-Jan-12 11<br />
908 Q045876 3000389277 MSTLPG1 10152 EDWARD HERRYAWAN DJAYA DEWI 25-Jan-12 25-Jan-12 6<br />
909 Q045900 3000250955 MSTLPG1 10152 SHERLY YANTO NINA COPY ID TDK ADA, INPUT DG.DATA MAINTAIN YG ADA No.1 dari LPK :menunggu APS. 12-Des-11 12-Des-11 49<br />
910 Q051876 3000355397 MSTLPG1 10152 MARILAH EMIYATI No.1 lengkapi VIII no 13; need med A. 13-Jan-12 16-Des-11 18<br />
911 Q054246 3000361304 MSTLPG1 10152 HJ ROSIDATUL MUNAWAROH WAGIMAN No.1 lengkapi SPA VIII no 10 :PP. No.2 17-Jan-12 16-Jan-12 14<br />
912 Q074543 3000369556 MSTLPG1 10152 KHO ENG NIO YANTO No.1 lampirkan ID TTG. 19-Jan-12 18-Jan-12 12<br />
913 Q011290 3000246194 MSTLPG3 10814 RISA ANDRIANA SELVIANA SARWO 10-Des-11 04-Des-11 51<br />
914 Q032509 3000339395 MSTLPG3 10814 ERIKA NOVALIA SANI MAHMUDI NO FORM B No.1 TT Med E. No.2 Lampirkan medis yg 06-Jan-12 05-Jan-12 25<br />
915 Q046229 3000297412 MSTLPG3 10814 BEAUTY MAHMUDI WAHYU TB & BB TTG KOSONG, NO ID TTG No.1 TT Med LPK anak Urine. No.2 Premi 21-Des-11 21-Des-11 40<br />
916 Q046249 3000304079 MSTLPG3 10814 ERIKA NOVALIA SANI MAHMUDI WAHYU DISP RIDER KOSONG DAN INPUT RIDER SESUAI PROP No.1 Menunggu surat EM. 21-Des-11 20-Des-11 40<br />
917 Q074528 3000397210 MSTLPG3 10814 ENDAH PERMATASARI SELVIANA RIDER SP # PROPOSAL INPUT = PROPOSAL 28-Jan-12 28-Jan-12 3<br />
918 Q052458 3000370458 MSTMDN12 10713 KATHERINE OLIVIA MANIHURUK LUS DIANA SARAGIH AUTO DEB ADA TP BLM DIINPUT No.1 Hal 3 VIII no.7a TB Ttg bekas dikoreksi. 19-Jan-12 19-Jan-12 12<br />
919 Q052609 3000393606 MSTMDN12 10713 EFENDI INDRA EFENDI INDRA SK AUTO DEB / REC TDK DILAMPIRKAN 26-Jan-12 26-Jan-12 5<br />
920 Q053358 3000347168 MSTMDN12 10713 DONNY HERY SUSANTO No.1 Ttl RA Rp792.640.250 Medis C: LPK sd 11-Jan-12 09-Jan-12 20<br />
921 Q053492 3000397472 MSTMDN12 10713 DEWI PUSPITA FRENCY ALEXXANDER PROPOSAL DATE DI SP BEDA DGN SYSTEM 28-Jan-12 28-Jan-12 3<br />
922 Q043923 3000224984 MSTMDN19 10736 JOVITA CITRA ONG ERVY No.1 SPA Postpone karena riwayat kanker 01-Des-11 19-Nop-11 60<br />
923 Q046977 3000370911 MSTMDN19 10736 FELLY, SE DAHLIA No.1 TTG medical C:Ra 549153000 usia 19-Jan-12 18-Jan-12 12<br />
924 Q047003 3000367457 MSTMDN19 10736 LINA ROSNA LIM CHOLIDI AUTO DEB ADA TP BLM DIINPUT 19-Jan-12 16-Jan-12 12<br />
925 Q047063 3000273682 MSTMDN19 10736 ARTALINA BR SILALAHI DEWI EFRILAWATI G CHOLIDI No.1 Dari hasil medical yg diterima;TTG 19-Des-11 16-Des-11 42<br />
926 Q052540 3000352690 MSTMDN19 10736 KUSLAN LIE SUAT SAN No.1 Lampirkan form kecelakaan yang baru. 13-Jan-12 16-Des-11 18<br />
927 Q058452 30003<strong>31</strong>559 MSTMDN19 10736 ISKANDAR DAHLIA CHOLIDI 29-Des-11 29-Des-11 32<br />
928 Q058462 30003<strong>31</strong>177 MSTMDN19 10736 D ABDUL GANIE DAHLIA CHOLIDI 29-Des-11 28-Des-11 32<br />
929 Q058471 3000367473 MSTMDN19 10736 TANDI JAMIR, SH DAHLIA No.1 TTG medical D:Ra 600jt usia 52th. 19-Jan-12 17-Jan-12 12<br />
930 Q058516 3000254991 MSTMDN19 10736 SUKARDI ERVY CHOLIDI 13-Des-11 09-Des-11 48<br />
9<strong>31</strong> Q058695 3000253204 MSTMDN19 10736 TAN SURIANI DAHLIA No.1 Berikan data bank u refund premi. No.2 13-Des-11 12-Des-11 48<br />
932 Q058739 3000302336 MSTMDN19 10736 LO SIN PIN FENNY CHOLIDI SK AUTO DEB / REC TDK DILAMPIRKAN No.1 TTG medical kurang:LPK. No.2 SK 21-Des-11 21-Des-11 40<br />
933 Q058749 30003<strong>31</strong>216 MSTMDN19 10736 ISKANDAR DAHLIA CHOLIDI 29-Des-11 28-Des-11 32<br />
934 Q053387 MSTMDN19 5 YUMIN 51th)/Agent tidak boleh tutup agent/Cek usia 24-Jan-12 7<br />
935 Q043341 3000258733 MSTMDN2 10113 SOFIANY GUIK PHING SARWO 14-Des-11 14-Des-11 47<br />
936 Q050290 3000397058 MSTMDN2 10113 HUT PHO GUIK PHING 28-Jan-12 26-Jan-12 3<br />
937 Q050591 3000352470 MSTMDN2 10113 WAHIDUN EDDY No.1 ID KTP expired. No.2 Nama TT pd SPA 13-Jan-12 02-Nop-11 18<br />
938 Q058302 3000391793 MSTMDN2 10113 A GUE EDDY 26-Jan-12 26-Jan-12 5<br />
939 Q058589 3000361184 MSTMDN2 10113 REINHARD HARVE INA SARI MENDA SARWO AUTO DEB ADA TP BLM DIINPUT 17-Jan-12 16-Jan-12 14<br />
940 Q026825 3000395682 MSTMDN24 10744 YENNY SUMINI 27-Jan-12 22-Jan-12 4<br />
941 Q045456 3000395640 MSTMDN24 10744 DENNY SUWANTO SUMINI 27-Jan-12 22-Jan-12 4<br />
942 Q045459 3000<strong>31</strong>8979 MSTMDN24 10744 JAESON NATHANIEL WIJAYA SUMINI EDI SK AUTO DEB / REC TDK DILAMPIRKAN ,TP & STU PD No.1 TP; STU; Cara bayar beda di SPA dan 27-Des-11 27-Des-11 34<br />
943 Q058309 3000337602 MSTMDN24 10744 SANIA YUNDHA RINTIA DEWI AUTO DEB ADA TP BLM DIINPUT No.1 Yg diberikan bukan hasil PA melainkan 04-Jan-12 04-Jan-12 27<br />
944 Q058399 3000308861 MSTMDN24 10744 LIANNA, SE EMMY CHOLIDI No.1 TTG med LPK;Urine;EKG. 22-Des-11 21-Des-11 39<br />
945 Q058667 3000<strong>31</strong>0028 MSTMDN24 10744 INDAWATY EMMY CHOLIDI 22-Des-11 13-Des-11 39<br />
946 Q053397 3000367423 MSTMDN3 10138 SONNY SONNY 19-Jan-12 18-Jan-12 12<br />
947 Q058402 MSTMDN3 2 DESC DERRICK uw ok 12-Jan-12 19<br />
948 Q020491 3000395527 MSTMDN5 10104 ANDY SURYA DJOHAN NGADIMIN 27-Jan-12 27-Jan-12 4<br />
949 Q043344 3000359642 MSTMDN5 10104 LAIJ RITA ANGELA SUMANTO No.1 TTG med tipe G; AFP; APS. No.2 Lapk 17-Jan-12 12-Jan-12 14<br />
950 Q017110 3000222330 MSTMDN6 10149 MULIA ANTO NONI PAIMIN CHOLIDI 30-Nop-11 29-Nop-11 60<br />
951 Q022552 3000300368 MSTMDN6 10149 TAN MEN PENG EDDY CHUWARDI CHOLIDI No.1 TTG medical A:Ra 330446000 usia 21-Des-11 21-Des-11 40<br />
952 Q022555 3000347142 MSTMDN6 10149 FRANKY MAILY CHOLIDI 11-Jan-12 10-Jan-12 20<br />
953 Q045363 3000232189 MSTMDN6 10149 TONI REGINA CHANDRA No.1 Dari hasil medical yg diterima;SPA 05-Des-11 02-Des-11 56<br />
954 Q047074 3000293874 MSTMDN6 10149 LUIZ ALVARO DIEGO ALAM ONGSONO CHOLIDI 21-Des-11 07-Des-11 40<br />
955 Q047080 3000232383 MSTMDN6 10149 ANDREA WAHYU DAISY FABRINA CHOLIDI 05-Des-11 02-Des-11 56<br />
956 Q047087 3000247085 MSTMDN6 10149 JON FERIX CHANDERSON ALAM ONGSONO CHOLIDI 12-Des-11 08-Des-11 49<br />
957 Q052426 3000395878 MSTMDN6 10149 ANDY PANGARIA KITTY MARINA P. 27-Jan-12 26-Jan-12 4<br />
958 Q052427 3000395836 MSTMDN6 10149 JOLIN SORENSTAM KITTY MARINA P. 27-Jan-12 26-Jan-12 4
959 Q058143 3000335<strong>31</strong>7 MSTMDN6 10149 DEDDY RAJA PRAWIJAYA DAISY FABRINA CHOLIDI SK AUTO DEB / REC TDK DILAMPIRKAN 03-Jan-12 02-Jan-12 28<br />
960 Q058148 3000361883 MSTMDN6 10149 HILLARY SORENSTAM KITTY MARINA P. No.1 TTG medical:LPK,urine:Ra 1700000000 17-Jan-12 16-Jan-12 14<br />
961 Q058346 3000375937 MSTMDN6 10149 LIE FONG HWANG TEDDY TJANDRA CHOLIDI AUTO DEB ADA TP BLM DIINPUT 20-Jan-12 05-Jan-12 11<br />
962 Q058356 3000293638 MSTMDN6 10149 JOLYN ANG JOLYN ANG CHOLIDI 21-Des-11 20-Des-11 40<br />
963 Q0584<strong>31</strong> 3000350494 MSTMDN6 10149 NOVIE CRISTIANY DAISY FABRINA CHOLIDI 13-Jan-12 13-Jan-12 18<br />
964 Q058507 3000303934 MSTMDN6 10149 TJAN TJENG PIN DAISY FABRINA CHOLIDI 21-Des-11 19-Des-11 40<br />
965 Q058595 3000293696 MSTMDN6 10149 SO SO JOLYN ANG CHOLIDI 21-Des-11 20-Des-11 40<br />
966 Q058345 MSTMDN6 1 ROGIMAN ERWIN Usia maximal TTG u plan Accident 59th 05-Jan-12 26<br />
967 Q058420 MSTMDN6 379 YUMIN 51th) 29-Des-11 32<br />
968 Q026735 3000381669 MSTMDN7 10150 REGINA SIM ROBIN HALIM MAYA 21-Jan-12 20-Jan-12 10<br />
969 Q047172 3000378650 MSTMDN7 10150 STEVE TEAGAN HARDI MUSTAFA OSCAR No.1 KTP PP expired;lampirkan ID baru. No.2 20-Jan-12 19-Jan-12 11<br />
970 Q058455 3000381782 MSTMDN7 10150 TJOA BENG TEK ROBIN HALIM No.1 neraca laba rugi 3 thn terakhir. No.2 dr 21-Jan-12 20-Jan-12 10<br />
971 Q026811 3000379371 MSTMDN8 10151 ARIFIN WONG TJUI HONG 20-Jan-12 15-Jan-12 11<br />
972 Q026813 3000284542 MSTMDN8 10151 KRISTIAMAN LASE WONG TJUI HONG AMBAR 20-Des-11 16-Des-11 41<br />
973 Q045474 3000294579 MSTMDN8 10151 NG TEK SENG WIDODO AMBAR SK AUTO DEB /REC TDK DILAMPIRKAN No.1 SK bayar bulanan. 21-Des-11 14-Des-11 40<br />
974 Q0469<strong>31</strong> 3000<strong>31</strong>3335 MSTMDN8 10151 CHLOE CELINSA WILIAN ALWI JOHAN No.1 RA PP Rp 1.7M Medis Tipe G. No.2 22-Des-11 16-Des-11 39<br />
975 Q047053 3000300245 MSTMDN8 10151 HARYO PRAYOGO SE YANTO WIJAYA AMBAR No.1 Menunggu persetujuan EP. No.2 Utk 21-Des-11 21-Des-11 40<br />
976 Q047120 3000297519 MSTMDN8 10151 LINAWATY KARTONO WIDODO AMBAR SK AUTO DEB / REC TDK DILAMPIRKAN No.1 SK bayar bulanan. 21-Des-11 21-Des-11 40<br />
977 Q050286 3000395797 MSTMDN8 10151 NOTO SUJITO ISABELLA KOSASIH 27-Jan-12 20-Jan-12 4<br />
978 Q050294 3000398402 MSTMDN8 10151 ERWIN ISABELLA KOSASIH 30-Jan-12 28-Jan-12 0<br />
979 Q050295 3000398389 MSTMDN8 10151 INDRA ISABELLA KOSASIH 30-Jan-12 28-Jan-12 0<br />
980 Q051989 3000354472 MSTMDN8 10151 WISANTO VERAWATY No.1 Menunggu persetujuan EP. 13-Jan-12 20-Nop-11 18<br />
981 Q051991 3000355494 MSTMDN8 10151 SURYA ALWI JOHAN No.1 Medis kurang Fungsi Ginjal. No.2 Gula 13-Jan-12 08-Des-11 18<br />
982 Q052446 3000381821 MSTMDN8 10151 SUI KIANG YANTO WIJAYA No.1 Rwt inap Demam: Pinjam dokumen 21-Jan-12 20-Jan-12 10<br />
983 Q052495 3000395810 MSTMDN8 10151 SAMSAIMUN YANTO WIJAYA 27-Jan-12 26-Jan-12 4<br />
984 Q052497 3000367295 MSTMDN8 10151 CLAUDIE ENNY No.1 Maag: Sejak kpn;Frekuensi 19-Jan-12 17-Jan-12 12<br />
985 Q052616 3000375979 MSTMDN8 10151 CARINE POPY LIM YANTO WIJAYA AMBAR 20-Jan-12 19-Jan-12 11<br />
986 Q058427 3000<strong>31</strong>0060 MSTMDN8 10151 MEGAWATI KARTONO WIDODO AMBAR SK AUTO DEB / REC TDK DILAMPIRKAN No.1 SK bayar bulanan. No.2 Pinjam hasil PA 22-Des-11 21-Des-11 39<br />
987 Q058675 3000308722 MSTMDN8 10151 HASAN RIDWAN WIDODO NORIKAS SK AUTO DEB / REC TDK DILAMPIRKAN No.1 Riw klaim pol 0800027122: Med Tipe C 22-Des-11 16-Des-11 39<br />
988 Q007608 3000357836 MSTMTR 10735 I KOMANG MARTA ARYANA, IR I WAYAN SUDANA No.1 Jelaskan tipex pd SPA VIII no 2, 3 n 4. 16-Jan-12 14-Jan-12 15<br />
989 Q007686 3000357852 MSTMTR 10735 GUSTI MADE RESI GUSTI AYU PUTU S No.1 Lengkapi SPA VIII no 10. No.2 Jelaskan 16-Jan-12 16-Jan-12 15<br />
990 Q007689 3000394686 MSTMTR 10735 ALDI FERNANDA GEDE SARBAWA, IR 27-Jan-12 26-Jan-12 4<br />
991 Q007699 3000372434 MSTMTR 10735 LAREN ANGGOLA PRATAMA I A KT YUNITA ARIANI DATA AW NO.2 ?? No.1 SK pembayaran. No.2 Cek data AW no 20-Jan-12 20-Jan-12 11<br />
992 Q007700 3000384780 MSTMTR 10735 AGUS INDRA KURNIAWAN ANDI INDRA GUNAWAN 24-Jan-12 21-Jan-12 7<br />
993 Q007701 3000362708 MSTMTR 10735 DESAK MADE RIKA SELVIANA A GUSTI AYU PUTU S No.1 Jelaskan detail tugas n pekerjaan TT. 18-Jan-12 17-Jan-12 13<br />
994 Q007708 3000397139 MSTMTR 10735 HANAFI HAMIDY HAM OKTRIANI WIJAYANTI AW ADA TIP-EX 28-Jan-12 27-Jan-12 3<br />
995 Q007709 3000396230 MSTMTR 10735 AGUS INDRA KURNIAWAN ANDI INDRA GUNAWAN 27-Jan-12 27-Jan-12 4<br />
996 Q014863 3000384764 MSTMTR 10735 ANDI INDRA GUNAWAN ANDI INDRA GUNAWAN 24-Jan-12 21-Jan-12 7<br />
997 Q020153 3000384243 MSTPLB1 10801 MUHAMMAD NOVERIAN ADITYA PUTRAJAMIE LIMARDI No.1 TTG med LPK;Urine. No.2 PP med 24-Jan-12 17-Jan-12 7<br />
998 Q020154 3000384463 MSTPLB1 10801 M IRZA SYAHIANDRA JAMIE LIMARDI No.1 TTG mengisi form kecelakaan. No.2 24-Jan-12 17-Jan-12 7<br />
999 Q020164 3000384382 MSTPLB1 10801 NADHIRA MILHA ADDIBA JAMIE LIMARDI EDI 24-Jan-12 17-Jan-12 7<br />
1000 Q020165 3000384340 MSTPLB1 10801 M ISFAN DERIANDRA JAMIE LIMARDI No.1 Total RA TTG Rp 698 180 000;15 th; 24-Jan-12 17-Jan-12 7<br />
1001 Q021226 3000285962 MSTPLB1 10801 INDRAWAN JAMIE LIMARDI EDI 20-Des-11 20-Des-11 41<br />
1002 Q02<strong>31</strong>69 3000397391 MSTPLB2 10829 WINA AYU PARAMITA MARNAH 28-Jan-12 22-Jan-12 3<br />
1003 Q020259 3000370898 MSTPLB4 10803 RUSTAM YULIANA KOHAR No.1 Rider pd proposal revisi beda dg SPA. 19-Jan-12 19-Jan-12 12<br />
1004 Q021208 3000277521 MSTPLB4 10803 ELIS YULIANA E TITIEK SETIAWATY SARWO RIDER SPA # PROP (INPUT = PROP) 19-Des-11 19-Des-11 42<br />
1005 Q021212 3000367978 MSTPLB4 10803 RUSTAM ROZALI MULIA WAHYU 19-Jan-12 17-Jan-12 12<br />
1006 Q021233 3000370335 MSTPLB4 10803 M RAFFASYA AKBAR DEDI MUNARDI No.1 Menunggu surat Ekstra Mortality yg 19-Jan-12 19-Jan-12 12<br />
1007 Q002521 3000360803 MSTSBY1 10197 SUSIWATI ANGGRAINI INDAH WAHYUNI No.1 Lampirkan Quest Hipertensi (dr-Ttg). 17-Jan-12 09-Jan-12 14<br />
1008 Q002523 3000360829 MSTSBY1 10197 HENNY CHRISTIANA YANTI, SE INDAH WAHYUNI No.1 lampirkan doc diagnosa. 17-Jan-12 09-Jan-12 14<br />
1009 Q003614 3000334298 MSTSBY1 10197 ADI SUPRIONO, IR LINDA SULISTIAWATI No.1 menunggu EP. No.2 TTD TTG pd hal 5 02-Jan-12 30-Des-11 29<br />
1010 Q010346 3000253521 MSTSBY1 10197 SUJARWO PUTRA BUDIARJO RONNY SETIAWAN BIMO 13-Des-11 13-Des-11 48<br />
1011 Q018295 3000400849 MSTSBY1 10197 ERLINA ANDAYANI ANDRIONO <strong>31</strong>-Jan-12 18-Jan-12 0<br />
1012 Q018407 3000344194 MSTSBY1 10197 YULIANA ONG GIOK KIEM No.1 menunggu APS. 10-Jan-12 10-Jan-12 21<br />
1013 Q038820 3000368055 MSTSBY1 10197 BUDIMAN EFFENDI, SE ALBERT CHRISTIAN E No.1 Quest Hipertensi (DR-TTG). 19-Jan-12 19-Jan-12 12<br />
1014 Q039102 3000368526 MSTSBY1 10197 TITI NUR VIDYARINI YOHANES BENYAMIN No.1 Med: Lpk urine, Darah Rutin, 19-Jan-12 13-Jan-12 12<br />
1015 Q039117 3000323605 MSTSBY1 10197 TJIONG BIO JUNG ONG GIOK KIEM BIMO No.1 med type A. No.2 Lampirkan doc 28-Des-11 27-Des-11 33<br />
1016 Q052589 3000353256 MSTSBY1 10197 MARYANI SURYADI LYDIA KURNIASIH R No.1 Urine ulang 2x pada hari berbeda. 13-Jan-12 22-Nop-11 18<br />
1017 Q052590 3000351814 MSTSBY1 10197 STEVANUS RICKY BUDIANTO JUWIANTO DJOJOATMOJO No.1 med Lpk Urine. 13-Jan-12 06-Des-11 18<br />
1018 Q052725 3000352030 MSTSBY1 10197 KRIS HARIYANTO JUWIANTO DJOJOATMOJO DOB AW KOSONG 13-Jan-12 16-Nop-11 18<br />
1019 Q003308 3000299943 MSTSBY10 10696 MEILINA ANDANI PRADJAJA THERESIA S. BIMO No.1 Med Type A. 21-Des-11 18-Des-11 40<br />
1020 Q018345 3000300041 MSTSBY10 10696 BAMBANG HARIYANTONO DEWI MILANDARI BIMO 21-Des-11 19-Des-11 40<br />
1021 Q039330 3000396476 MSTSBY10 10696 TONY MASFERDIAN WIRAWAN SUPRIANTO HUB PP/TTG INPUT DR HUB TTG/A.WARIS 27-Jan-12 21-Jan-12 4<br />
1022 Q072801 3000396387 MSTSBY10 10696 ELISABET SRI WAHYUNI WIRAWAN SUPRIANTO 27-Jan-12 13-Jan-12 4<br />
1023 Q072816 3000380689 MSTSBY10 10696 ELFRIDA NUR AZIGHAH SASRA SUBAGYA TB BB PP KOSONG INPUT SESUAI PARTY LAMA No.1 sehubungan Muntaber: kapan?lama 20-Jan-12 19-Jan-12 11<br />
1024 Q072828 3000380786 MSTSBY10 10696 ITA NENI NURWAHYUNI SASRA SUBAGYA AHLI WARIS NO.3 TGL LAHIR KOSONG INPUT SESUKA No.1 DOB AW no 3 dilengkapi. 20-Jan-12 19-Jan-12 11<br />
1025 B398441 3000307263 MSTSBY12 10734 NATHANIEL NOVANDRY DJOKO PONIMAN SARWO 22-Des-11 16-Des-11 39<br />
1026 B398442 3000306623 MSTSBY12 10734 JUSTINE ETHELBERT GO DJOKO PONIMAN WAHYU 22-Des-11 16-Des-11 39<br />
1027 B398443 3000306966 MSTSBY12 10734 MARGARET CLEODORA ADABELLE GO DJOKO PONIMAN SARWO 22-Des-11 16-Des-11 39<br />
1028 Q039046 3000344500 MSTSBY12 10734 HERLINA VERIANTY MASTUR No.1 Sk pembayaran. 10-Jan-12 01-Jan-12 21<br />
1029 Q039047 3000257151 MSTSBY12 10734 RETHA MARGANING SAVITRI FEBRINA MULTI K SARWO INCOME DI SPA KOSONG No.1 Lenkapi SPA IIIA no 7. No.2 SK 14-Des-11 10-Des-11 47<br />
1030 Q050598 3000355038 MSTSBY12 10734 MU'UL MUFID NURUL HUDA No.1 TT Med B. No.2 Gejala maag klarifikasi 13-Jan-12 29-Nop-11 18<br />
10<strong>31</strong> Q002729 3000390967 MSTSBY15 10790 ARKAN GUNAWAN RAHAYU SETIOMULIONO BAGIAN (%) PADA DATA AHLI WARIS KOSONG, INPUT 26-Jan-12 25-Jan-12 5<br />
1032 Q002738 3000397236 MSTSBY15 10790 IRWAN GONDO SISWANTO IRWAN GONDO SISWANTO 28-Jan-12 27-Jan-12 3<br />
1033 Q002750 3000346196 MSTSBY2 10107 CICILIA CYNTIA VERONICA ROOSLINA No.1 Lampirkan SK bayar dengan No SP yg 11-Jan-12 09-Jan-12 20<br />
1034 Q018464 3000241479 MSTSBY2 10107 SITI UNDARI CHERRY V. KRESNA AMBAR 08-Des-11 05-Des-11 53<br />
1035 Q038908 3000298230 MSTSBY2 10107 HEVANT DWI ARIANTO CHERRY V. KRESNA AMBAR 21-Des-11 19-Des-11 40<br />
1036 Q039173 3000299511 MSTSBY2 10107 SUWITO HONGGO PRAYITNO CHERRY V. KRESNA AMBAR 21-Des-11 20-Des-11 40<br />
1037 Q039185 3000378812 MSTSBY2 10107 ERNAWATI TANUDJAJA SANDRA AMBAR 20-Jan-12 19-Jan-12 11<br />
1038 Q051988 3000355290 MSTSBY2 10107 TAN SUSANNA TRISNAWATI ELLY K No.1 Med tambahan: Ulang urine 2x hari 13-Jan-12 04-Nop-11 18<br />
1039 Q065751 3000360780 MSTSBY2 10107 FENTI HARSETYO NINGSIH SANDRA No.1 Ttd PP di prop beda dengan KTP. 17-Jan-12 03-Jan-12 14<br />
1040 Q065759 3000387762 MSTSBY2 10107 JEREMY CHRISTIAN VERLITA YUNIKAFARI No.1 SK bayar bulanan. 25-Jan-12 06-Jan-12 6<br />
1041 Q065952 3000342087 MSTSBY2 10107 MATHIEU GUARDIA MARINDRA JOICE AMBAR 09-Jan-12 06-Jan-12 22<br />
1042 Q065953 3000380150 MSTSBY2 10107 NOVIASARI CHERRY V. KRESNA AMBAR 20-Jan-12 19-Jan-12 11<br />
1043 Q065957 3000377167 MSTSBY2 10107 ALYSA MECCA FADHILAH CHERRY V. KRESNA AMBAR 20-Jan-12 19-Jan-12 11<br />
1044 Q065996 3000391387 MSTSBY2 10107 KEYZA RAMADHAN AL HALIM ARRODIYATUS SAMAWATI BAGIAN (%) PADA DATA AHLI WARIS KOSONG, INPUT 26-Jan-12 26-Jan-12 5<br />
1045 Q002569 3000278860 MSTSBY4 10114 IPUK NIMPUNO BUDIHARTO FAJAR M SEPTI 19-Des-11 12-Des-11 42<br />
1046 Q003381 3000332694 MSTSBY4 10114 HERRY HIDAYAT LINDA SUANGGRAENI No.1 Kurang pemeriksaan EKG dan 29-Des-11 29-Des-11 32<br />
1047 Q018252 30002694<strong>31</strong> MSTSBY4 10114 TAN DJUI TAN DJUI SEPTI DATA AW =FORM B 16-Des-11 13-Des-11 45<br />
1048 Q018253 3000387102 MSTSBY4 10114 ELISABETH GRACE SISWORO RIZKA LUTFITA NOVALISTIA 25-Jan-12 20-Jan-12 6<br />
1049 Q018262 3000269512 MSTSBY4 10114 FRANSISKA CLODYA HARTANTO ALI WICAKSONO SEPTI 16-Des-11 13-Des-11 45<br />
1050 Q030044 3000361100 MSTSBY4 10114 LEONARDI BINARTO SUWANDI TANUWIJAYA SEPTI 17-Jan-12 17-Jan-12 14<br />
1051 Q030059 3000373456 MSTSBY4 10114 TAN BOE BOE TJOA GUNTUR CAHYONO No.1 Lengkapi jenis kelamin ahli waris. No.2 20-Jan-12 19-Jan-12 11<br />
1052 Q030071 3000373333 MSTSBY4 10114 DINDA KARLINA WIEDA CHRISTANTY No.1 Lampirkan surat kuasa pembayaran. 20-Jan-12 20-Jan-12 11<br />
1053 Q039214 3000373<strong>31</strong>7 MSTSBY4 10114 MAFISA FAHMA HENNY TITIEK P DI SISTEM TDK BISA RIDER DI SPA SQHC1.5, INPUT No.1 TTD PP di ilustrasi tdk sm dgn ID. 20-Jan-12 20-Jan-12 11<br />
1054 Q040051 3000238486 MSTSBY4 10114 DONA SILVANA HEHAKAYA, SH TJOA GUNTUR CAHYONO SEPTI 07-Des-11 30-Nop-11 54<br />
1055 Q040086 3000361126 MSTSBY4 10114 RAYMOND BINARTO SUWANDI TANUWIJAYA SEPTI 17-Jan-12 17-Jan-12 14<br />
1056 Q050578 3000353612 MSTSBY4 10114 GANENDRA DARUVEDA RASENDRIYA HENNY TITIEK P No.1 TTG Riw infeksi sal kemih; mohon 13-Jan-12 06-Des-11 18<br />
1057 Q065801 3000269334 MSTSBY4 10114 ELISABETH NOVIANITA MULYONO TAN DJUI SEPTI NPK PADA HAL 1BEDA DGN HAL 5 DAN 6 16-Des-11 13-Des-11 45<br />
1058 Q040085 MSTSBY4 254 IRMA PURWANTI K uw ok 02-Jan-12 29<br />
1059 Q030229 3000369726 MSTSBY6 10172 NOVIYANTI PRASETYO SATA KUMARI G NJOMAN 19-Jan-12 17-Jan-12 12<br />
1060 Q030265 3000336517 MSTSBY6 10172 AYU PRATIWI SUBHAN LESTALUHU No.1 lampirkan ID dgn data2 yg jelas. 04-Jan-12 10-Des-11 27<br />
1061 Q030267 3000387160 MSTSBY6 10172 RIZKY PRATAMA JUNAIDY SUBHAN LESTALUHU 25-Jan-12 10-Jan-12 6<br />
1062 Q030268 3000387348 MSTSBY6 10172 ZAHRA FEBRIYANTI P SUBHAN LESTALUHU No.1 jlskn detail kerja PP;jenis kapal;kpl 25-Jan-12 10-Jan-12 6<br />
1063 Q030271 3000336533 MSTSBY6 10172 IRIANTI SUBHAN LESTALUHU No.1 lampirkan form Hamil. No.2 lengkapi SP 04-Jan-12 10-Des-11 27<br />
1064 Q030272 3000336575 MSTSBY6 10172 MUHAMMAD HAIKAL SUBHAN LESTALUHU No.1 lengkapi IIIa no rekening. 04-Jan-12 05-Des-11 27<br />
1065 Q039014 3000387958 MSTSBY6 10172 DIAS DAMALIA TAWAINELLA DIAS DAMALIA T 25-Jan-12 06-Jan-12 6<br />
1066 Q039017 3000387932 MSTSBY6 10172 AULIA TAWAINELLA DIAS DAMALIA T 25-Jan-12 06-Jan-12 6<br />
1067 Q039274 3000338488 MSTSBY6 10172 SALMA LESTALUHU NUR AYNI LARAT No.1 menunggu setuju EP. 05-Jan-12 10-Des-11 26<br />
1068 Q039277 3000387225 MSTSBY6 10172 ALIFIA RIMAWANTI YAU SUBHAN LESTALUHU 25-Jan-12 13-Jan-12 6<br />
1069 Q039278 3000384887 MSTSBY6 10172 IRIANTO TOYIB IRIANTO TOYIB 24-Jan-12 14-Jan-12 7<br />
1070 Q039280 3000387885 MSTSBY6 10172 DJAD MARTHIN APONNO NUR AYNI LARAT 25-Jan-12 13-Jan-12 6<br />
1071 Q039283 3000388019 MSTSBY6 10172 FARDAN OHORELLA ASRUL SANY OHORELLA 25-Jan-12 11-Jan-12 6<br />
1072 Q051894 3000353379 MSTSBY6 10172 JEEN C MONIAGA MERCY TALAHATU No.1 sehub ops kista diluar rahim need USG 13-Jan-12 19-Nop-11 18<br />
1073 Q066038 3000388700 MSTSBY6 10172 NUR BAIDA LARAT ELISABETH SARA KAIBA 25-Jan-12 14-Jan-12 6<br />
1074 Q066039 3000388768 MSTSBY6 10172 ADINDA NAZWA RAACEH ELISABETH SARA KAIBA 25-Jan-12 14-Jan-12 6<br />
1075 Q066144 3000387990 MSTSBY6 10172 JOE EDDY SANTOSO JOE EDDY SANTOSO 25-Jan-12 15-Jan-12 6<br />
1076 Q066145 3000387429 MSTSBY6 10172 RAFINKA MAHIRA ATI HARKATI No.1 lengkapi SPA I no 9. No.2 lengkapi 25-Jan-12 16-Jan-12 6<br />
1077 Q072817 3000367198 MSTSBY6 10172 BENEDIKTA JULIA PUTRI AJIRA FRANSISKUS TETUKO A No.1 lampirkan SK. 19-Jan-12 18-Jan-12 12<br />
1078 Q003427 3000370115 MSTSBY7 10171 LIVI YOELIATY WENNY No.1 VP Agen di SP hal 6 blm TTD. 19-Jan-12 06-Jan-12 12<br />
1079 Q030145 3000348782 MSTSBY7 10171 PUTU VERYAN RADITYA DAVID SANTOSO No.1 need medis C mengikuti SPA Q039308. 12-Jan-12 12-Jan-12 19<br />
1080 Q030167 3000293379 MSTSBY7 10171 SHERLY HONGDIYANTO,SE,MM TJIU SHANTI NINA 21-Des-11 17-Des-11 40<br />
1081 Q030213 3000346112 MSTSBY7 10171 EDWIN WIRJADI ELHAN JOHARI No.1 medis kurang HBA1C. 11-Jan-12 10-Jan-12 20<br />
1082 Q032942 3000368940 MSTSBY7 10171 OEI JIMMY LUSI ANGGRIANI NINA 19-Jan-12 18-Jan-12 12<br />
1083 Q032949 3000378341 MSTSBY7 10171 VINCENT SETIAWAN LUSI ANGGRIANI No.1 TTD di kolom ortu SPA hal 5 hrs oleh 20-Jan-12 20-Jan-12 11<br />
1084 Q038781 3000339379 MSTSBY7 10171 RENDY STEVANO SAPUTRA A.SAPTO BOEDI OETOMO ONCOME SPA KOSONG INPUT RP.1 No.1 lengkapi SPA IX lap agen :PP. No.2 06-Jan-12 06-Jan-12 25<br />
1085 Q038946 3000368746 MSTSBY7 10171 VERA SIMON DAVID SANTOSO No.1 lngkapi tgl TTD FPASS. No.2 medis 19-Jan-12 19-Jan-12 12<br />
1086 Q039051 3000227681 MSTSBY7 10171 EDI ASSANTO WENNY NINA JABATAN DI SPA KOSONG No.1 jlskan detail kerja;jabatan;tgs lapangn 02-Des-11 30-Nop-11 59<br />
1087 Q039308 3000380948 MSTSBY7 10171 PUTU VERYAN RADITYA DAVID SANTOSO No.1 ttl RA :739.2<strong>31</strong>.000 need med C. 20-Jan-12 20-Jan-12 11<br />
1088 Q039<strong>31</strong>9 3000373503 MSTSBY7 10171 DOSSY ISKANDAR PRASETYO, SH MHUM ERIS DRPRASETYO<br />
NINA 20-Jan-12 20-Jan-12 11<br />
1089 Q051896 3000355339 MSTSBY7 10171 TAN MARIA ZILVANA SYLVIA D WENNY No.1 sehub. Riw klaim di polis sebelumny 13-Jan-12 29-Nop-11 18<br />
1090 Q051897 3000351212 MSTSBY7 10171 SUGIARTO JULIUS SUGIARTO No.1 klarifikasi lokasi tepat psg pen. No.2 13-Jan-12 17-Nop-11 18<br />
1091 Q066067 3000346073 MSTSBY7 10171 EDWIN WIRJADI ELHAN JOHARI No.1 medis kurang HBA1C. 11-Jan-12 10-Jan-12 20<br />
1092 Q066178 3000333250 MSTSBY7 10171 WIDIANTO JUDIANTO AL JEFFRY POERNOMO No.1 koreksi TTD di SPA tdk sama dgn ID. 29-Des-11 29-Des-11 32<br />
1093 Q066179 3000333<strong>31</strong>5 MSTSBY7 10171 ROSSI HARTONO AL JEFFRY POERNOMO SEPTI 29-Des-11 29-Des-11 32<br />
1094 Q066191 3000398703 MSTSBY7 10171 FERDINAND HALIM BRIGITTA NUKE S. 30-Jan-12 27-Jan-12 0<br />
1095 Q066194 3000387500 MSTSBY7 10171 JOSSE EMMANUEL WIJONO HENDARTO WIJONO TB BB TERTANGGUNG KOSONG No.1 TTG :lengkapi SPA VIII no 7b. 25-Jan-12 16-Jan-12 6<br />
1096 Q066199 3000358751 MSTSBY7 10171 IVAN SETIAWAN HALIM BUDI KURNIAWAN H No.1 lengkapi TGL TTD di FPASS. No.2 16-Jan-12 16-Jan-12 15<br />
1097 Q072746 3000387584 MSTSBY7 10171 AGUS MARGIYANTO HADI PRAJITNO LOVE LORENTA HADI P No.1 koreksi nama TTG tdk sesuai ID. No.2 25-Jan-12 25-Jan-12 6<br />
1098 Q072763 3000379452 MSTSBY7 10171 VERA SIMON DAVID SANTOSO FORM B KOSONG No.1 lngkpi tgl TTD di FPASS. No.2 Leader 20-Jan-12 20-Jan-12 11<br />
1099 Q040210 3000292399 MSTSBY8 10683 V. SUSANTO KAMELIA KIMAWATI W AMBAR 21-Des-11 16-Des-11 40<br />
1100 Q018<strong>31</strong>6 30002961<strong>31</strong> MSTSBY9 10170 SIAUW KURNIAWAN SENJAYA ANNEKE INDRAWATI AMBAR 21-Des-11 20-Des-11 40<br />
1101 Q030294 3000326881 MSTSBY9 10170 CYNTHIA CHUA MA IMANUEL SAGITA No.1 Pinjam dok perawatan kaki pendek 28-Des-11 28-Des-11 33<br />
1102 Q030297 3000326865 MSTSBY9 10170 STEVEN CHUA MA IMANUEL SAGITA No.1 Pinjam dok perawatan Opr Jantung & 28-Des-11 28-Des-11 33<br />
1103 Q030300 3000<strong>31</strong>4179 MSTSBY9 10170 JOY ADONAISA LEONEL YOGIE WIJONO AMBAR No.1 TB dan BB TTG. 22-Des-11 22-Des-11 39<br />
1104 Q032983 3000278412 MSTSBY9 10170 DJOKO AGOENG JULIANTY AMBAR No.1 Glukosa positif di urine: Med Gula darah 19-Des-11 12-Des-11 42<br />
1105 Q038969 30002<strong>31</strong>133 MSTSBY9 10170 NICOLAAS STEPHANUS JOZEF BRIAN SANDY N AMBAR KOLOM TINGGI & BERAT BADAN TT DI SPA KOSONG, No.1 Lengkapi TB dan BB TTG. No.2 05-Des-11 28-Nop-11 56<br />
1106 Q051983 3000355753 MSTSBY9 10170 SANTOSO UNTUNG MA IMANUEL SAGITA No.1 Menunggu persetujuan EP karena 13-Jan-12 01-Des-11 18<br />
1107 Q051984 3000353939 MSTSBY9 10170 KRISTIN ANGKA JIMMY LITANTO ALMT KORESPONDENSI TDK LNGKP No.1 PP medis kurang Ro. 13-Jan-12 05-Des-11 18<br />
1108 Q065884 3000<strong>31</strong>4250 MSTSBY9 10170 WAHYUDI KUSUMA ANNEKE INDRAWATI NORIKAS 22-Des-11 22-Des-11 39<br />
1109 Q065886 3000375602 MSTSBY9 10170 PIETER ANDINATA SUGIHARTO NINA TRENSVIANA SEPTI BAGIAN (%) DI DATA AHLI WARIS KOSONG, INPUT 100% 20-Jan-12 18-Jan-12 11<br />
1110 Q065887 3000375466 MSTSBY9 10170 ROY ANDINATA NINA TRENSVIANA SEPTI 20-Jan-12 18-Jan-12 11<br />
1111 Q065893 3000379410 MSTSBY9 10170 RUDDY DERMAWAN SITIHARDJO AMBAR 20-Jan-12 12-Jan-12 11<br />
1112 Q066151 3000360887 MSTSBY9 10170 HANAPI SILVI ROLIETA No.1 Riw Diabetes: Gula darah puasa dan 17-Jan-12 13-Jan-12 14<br />
1113 Q066245 MSTSBY9 429 NATHANIA THEORA Lengkapi TB dan BB TTG 27-Des-11 34<br />
1114 Q066246 MSTSBY9 430 GRACIELA ANNETTE uw ok 27-Des-11 34<br />
1115 Q066225 MSTSBY9 449 TAN SIOK TJIEN Menunggu persetujuan EP 16-Jan-12 15<br />
1116 Q018265 3000235195 MSTSMG 10878 ANRA MULIASIH SAHBAKTI HASIBUAN NUR CHAQIM SEPTI No.1 TTG mohon medis Lpk dan urine di 06-Des-11 06-Des-11 55<br />
1117 Q050576 3000353599 MSTSMG 10878 SLAMET GALINDRA ROSA ST No.1 Mohon lampirkan hasil interpretasi 13-Jan-12 19-Des-11 18<br />
1118 Q065823 3000348936 MSTSMG 10878 AGUNG PRIHANTO, IR NUR CHAQIM No.1 Medis Tipe A. No.2 Lengkapi kuesioner 12-Jan-12 11-Jan-12 19<br />
1119 Q017254 3000220817 MTS 10005 TEKUN WINASIS GUNAWAN DARMAWAN EDI 29-Nop-11 24-Nop-11 62
1120 Q017260 3000385817 MTS 10005 IKE YOHANNA BUTAR BUTAR R. SAMUEL GUNAWAN T. 24-Jan-12 21-Jan-12 7<br />
1121 Q017265 3000391612 MTS 10005 ALBERT CHAZANAH JOE YENNY No.1 Total RA Rp 621 464 000;47 th;Med tipe 26-Jan-12 25-Jan-12 5<br />
1122 Q017274 3000249192 MTS 10005 NJO FUK LIANG LIE FONNY LIANAWATI EDI 12-Des-11 08-Des-11 49<br />
1123 Q017333 3000249299 MTS 10005 HUSEN SAPUTRA, DRS DANIEL SURYA EDI No.1 Mohon med LPK;Urine;Darah Rutin krn 12-Des-11 11-Des-11 49<br />
1124 Q024163 3000284267 MTS 10005 JOHN KATAPI SISWADI SOSRO HARSONO EDI No.1 Riw penyempitan th 2010;Pinjam dok 20-Des-11 19-Des-11 41<br />
1125 Q024290 3000385794 MTS 10005 FREDY HARTONO R. SAMUEL GUNAWAN T. 24-Jan-12 21-Jan-12 7<br />
1126 Q033826 3000343481 MTS 10005 SOPHIA SOESENO SOPHIA SOESENO 10-Jan-12 04-Jan-12 21<br />
1127 Q057515 3000391638 MTS 10005 THEOPHILIA DARA PETRA SOSRO HARSONO EDI 26-Jan-12 25-Jan-12 5<br />
1128 Q0575<strong>31</strong> 3000369360 MTS 10005 JOHANNES FRANKY TJUTO P H SONWELL SANTOSO EDI 19-Jan-12 18-Jan-12 12<br />
1129 Q057536 3000398012 MTS 10005 NITA CHRISTINE SUHARTO JOE YENNY 30-Jan-12 25-Jan-12 0<br />
1130 Q057574 3000395056 MTS 10005 KELVIN JONG SRI RIMBA, DR NAMA AW ADA CORETAN, INCOME KOSONG 27-Jan-12 27-Jan-12 4<br />
11<strong>31</strong> Q057580 3000394466 MTS 10005 LIANAWATI SOPHIA SOESENO 27-Jan-12 25-Jan-12 4<br />
1132 Q057624 3000396010 MTS 10005 ELIA JULIE NATHANIA TJIE 27-Jan-12 27-Jan-12 4<br />
1133 Q068701 3000382720 MTS 10005 SOPHIA SOESENO SOPHIA SOESENO No.1 Dari LPK : TTG op kista th 94 dibagian 24-Jan-12 20-Jan-12 7<br />
1134 Q0<strong>31</strong>357 PDG2 8 BANU UTOMO uw ok 20-Jan-12 11<br />
1135 Q018870 3000357789 PHXTGL 10753 NICHOLAS EZEKIEL SETHIO JUSAK TJANDRA W No.1 PP:hipertensi :need LPK;urine dan kues 16-Jan-12 16-Jan-12 15<br />
1136 Q051891 300035<strong>31</strong>33 PHXTGL 10753 SAMUEL WINSTON DARMAWAN MULJADI HARTANTO No.1 menunggu APS. 13-Jan-12 01-Okt-11 18<br />
1137 Q006203 3000215694 PIONEER 108<strong>31</strong> MARDANI SRI UTAMI BIMO TIDAK ADA SURAT KUASA 25-Nop-11 25-Nop-11 66<br />
1138 Q006208 3000377086 PIONEER 108<strong>31</strong> RATNA DEWI MUTIA PURNAMASARI No.1 Med Type A. 20-Jan-12 16-Jan-12 11<br />
1139 Q048042 3000368322 PIONEER 108<strong>31</strong> LIDWINA MARIA GUATINI K JOSEF MARIA BIANTO K BIMO 19-Jan-12 19-Jan-12 12<br />
1140 Q048049 3000388849 PIONEER 108<strong>31</strong> ANTON MARDIKA HENDARTO WIDYASTUTI PURNOMO 25-Jan-12 24-Jan-12 6<br />
1141 Q052721 3000351238 PIONEER 108<strong>31</strong> H KRISBANDARI, SH CAHYO HENDRO H. SH. 13-Jan-12 08-Nop-11 18<br />
1142 Q052723 3000354456 PIONEER 108<strong>31</strong> HJ.FATIMAH SUTARTO DENI FATRIA No.1 Urine ulang 2x pada hari berbeda. 13-Jan-12 20-Des-11 18<br />
1143 Q057813 PKB 81 MIKE 1.Lampirkan ID TT; 2.Cek MOP yg benar. 02-Jan-12 29<br />
1144 Q006744 3000391874 PLB2 10017 CLARISSA LIVIA SETIAWAN JULENNA No.1 SPA hal3 VIII no3 lengkapi;jika 26-Jan-12 25-Jan-12 5<br />
1145 Q006868 3000367936 PLB2 10017 SUTO TAN YIEK TJHING No.1 Dari hasil medical yang 19-Jan-12 06-Jan-12 12<br />
1146 Q0106<strong>31</strong> 3000397854 PLB2 10017 MUZAMIL YANASARI 30-Jan-12 26-Jan-12 0<br />
1147 Q010655 3000336339 PLB2 10017 ZAHRA AULIA MISNAWATI TAHUN LAHIR AW TDK JELAS No.1 Form ekstra premi. No.2 Ahli waris 04-Jan-12 19-Des-11 27<br />
1148 Q010658 3000300952 PLB2 10017 SUHARTO SUTRISNO RYAN FARMUNZIRIN CHOLIDI AHLI WARIS 1 ATAU 2 ? NAMA AW SUTRISNO/ No.1 Jelaskan tugas dan pekerjaan TTG 21-Des-11 20-Des-11 40<br />
1149 Q030635 3000394660 PLB2 10017 DENNY FANRIUS TAN YIEK TJHING 27-Jan-12 21-Jan-12 4<br />
1150 Q030684 3000398949 PLB2 10017 TJOA HUIJ HOA-SUSILAWATI TJAHYA JULENNA TT MENHJADI AHLI WARIS 30-Jan-12 29-Jan-12 0<br />
1151 Q030733 3000301136 PLB2 10017 RINIA ARIANY ADELEINA CHOLIDI 21-Des-11 13-Des-11 40<br />
1152 Q030740 3000257216 PLB2 10017 BAKRI MUKSIN JULENNA No.1 SPA Decline karena Riwayat 14-Des-11 12-Des-11 47<br />
1153 Q033580 3000399440 PLB2 10017 BENNY FAHRIZAL, SE FRANSISKA IDA S T 30-Jan-12 20-Jan-12 0<br />
1154 Q033587 3000336<strong>31</strong>3 PLB2 10017 CHRIS SUNARDI ADELEINA No.1 Plan di SPA;proposal;Sistem UN1A:buat 04-Jan-12 29-Des-11 27<br />
1155 Q033605 3000374591 PLB2 10017 HERRY ANWARY BIN H USMAN WILLIEM EFFENDI No.1 SK pembayaran. 20-Jan-12 19-Jan-12 11<br />
1156 Q033614 3000399505 PLB2 10017 SUDIANTO INTAN YANASARI 30-Jan-12 30-Jan-12 0<br />
1157 Q033717 3000397870 PLB2 10017 DIAN ELFREDA TAN YIEK TJHING 30-Jan-12 27-Jan-12 0<br />
1158 Q033718 3000345459 PLB2 10017 M ABHINAYA GUNAWAN RYAN FARMUNZIRIN No.1 Jenis kelamin TTG di SPA;surat 11-Jan-12 10-Jan-12 20<br />
1159 Q033721 3000348279 PLB2 10017 MUHAMMAD FAIZ FATURAHMAN HUBERTUS HARRY P No.1 SK pembayaran. 12-Jan-12 07-Jan-12 19<br />
1160 Q050589 3000352357 PLB2 10017 MONIKEWATI RUDY No.1 Lampirkan form hipertensi TTG dan Dr. 13-Jan-12 03-Des-11 18<br />
1161 Q050590 3000352519 PLB2 10017 MERY CHRISTINA EKA PEBRIANI No.1 Form ekstra premi. 13-Jan-12 20-Nop-11 18<br />
1162 Q030653 PLB2 10 JEFRI YULIUS uw ok 18-Jan-12 13<br />
1163 Q030747 PLB2 368 SE uw ok 22-Des-11 39<br />
1164 Q030676 PLB2 369 AFFAN FIRMANSYAH uw ok 22-Des-11 39<br />
1165 Q030750 PLB2 370 MOSHE DAYAN BARUS uw ok 22-Des-11 39<br />
1166 Q011550 3000280572 PLT 10074 ALYA MEDINA ADZANY KANTO SUYANTO D EDI No.1 Nama ayah kandung TTG beda di akte 19-Des-11 29-Nop-11 42<br />
1167 Q011601 3000280459 PLT 10074 ZHAFIRA MEDIANA TEJASUKMANA KANTO SUYANTO D EDI NO FORM B No.1 Sehub riw kejang th 2002; mohon TTG 19-Des-11 29-Nop-11 42<br />
1168 Q011602 3000279303 PLT 10074 KYNAIRA MEDINA TEJASUKMANA KANTO SUYANTO D EDI 19-Des-11 29-Nop-11 42<br />
1169 Q011603 3000262560 PLT 10074 DIANA WIDIASTUTI KANTO SUYANTO D EDI No.1 Riw nyeri tulang blkg; mohon nama dan 15-Des-11 13-Nop-11 46<br />
1170 Q017545 3000393282 PLT 10074 NATASYA YOHANES TANUWIRIA 26-Jan-12 25-Jan-12 5<br />
1171 Q017546 3000393305 PLT 10074 STEFEN YOHANES TANUWIRIA 26-Jan-12 25-Jan-12 5<br />
1172 Q017603 3000304532 PLT 10074 NUNING SRI AYU WIDIARTI FLORIAN ARIZONA EDI 21-Des-11 21-Des-11 40<br />
1173 Q018959 3000281617 PLT 10074 ELROY FAREL JONATHAN YANTI BAYONO EDI 20-Des-11 12-Des-11 41<br />
1174 Q018980 3000278721 PLT 10074 YASIN TEJASUKMANA KANTO SUYANTO D EDI 19-Des-11 28-Nop-11 42<br />
1175 Q034935 3000398907 PLT 10074 GERALDY AMADEUS ANGGAS KENNY 30-Jan-12 28-Jan-12 0<br />
1176 Q034936 3000398761 PLT 10074 URSULA MERVEILLE VIRINESCIA KENNY ID TT DAN PP TIDAK ADA 30-Jan-12 28-Jan-12 0<br />
1177 Q034943 3000261938 PLT 10074 DJASMIN, DRS JONG KEM TJHONG EDI 15-Des-11 12-Des-11 46<br />
1178 Q034945 3000262057 PLT 10074 WONG SUT MOY AL MARY JONG KEM TJHONG EDI 15-Des-11 12-Des-11 46<br />
1179 Q040384 3000300342 PLT 10074 TINNA HANDOKO YANTI BAYONO EDI No.1 Lengkapi : Data ahli waris. No.2 21-Des-11 21-Des-11 40<br />
1180 Q040448 3000396638 PLT 10074 YANTI TEJASUKMANA KANTO SUYANTO D 27-Jan-12 27-Jan-12 4<br />
1181 Q040487 3000322358 PLT 10074 KENT EXCELL IRAWAN JONG KEM TJHONG EDI 27-Des-11 22-Des-11 34<br />
1182 Q040499 3000298159 PLT 10074 WAGIMAN MUSTIKA YANTI BAYONO EDI 21-Des-11 12-Des-11 40<br />
1183 Q040506 3000236557 PLT 10074 ZAHRA AYU PERTIWI EKO RAHARJO EDI ID TERTANGGUNG KOSONG No.1 Surat ekstra premi krn risk pekerjaan 06-Des-11 24-Nop-11 55<br />
1184 Q040512 3000205528 PLT 10074 SETIYO MULYONO ANDI SYARIFUDDIN EDI 22-Nop-11 13-Nop-11 69<br />
1185 Q040557 3000396573 PLT 10074 KANTO SUYANTO DARMONO KANTO SUYANTO D 27-Jan-12 27-Jan-12 4<br />
1186 Q040558 3000395242 PLT 10074 INDRAWATI TEJA SUKMANA KANTO SUYANTO D 27-Jan-12 19-Jan-12 4<br />
1187 Q064416 3000394806 PLT 10074 ABDUL MADJID RESTIANA AW KOSONG No.1 Lengkapi : Data ahli waris. 27-Jan-12 26-Jan-12 4<br />
1188 Q064436 3000394042 PLT 10074 ROSALYN ORLANDA MARNI No.1 Ukur ulang dg akurat TB dan BB TTG. 26-Jan-12 26-Jan-12 5<br />
1189 Q070541 3000394107 PLT 10074 ABDUL RASYID JONG KEM TJHONG 26-Jan-12 20-Jan-12 5<br />
1190 Q070542 3000394123 PLT 10074 MUHAMMAD ALFIN ABDI JONG KEM TJHONG NAMA AHLI WARIS NO.2 TDK SAMA DGN COPY AKTE 26-Jan-12 20-Jan-12 5<br />
1191 Q070547 3000378464 PLT 10074 SIDHARTA UNTUNG JONG KEM TJHONG EDI 20-Jan-12 19-Jan-12 11<br />
1192 Q070982 3000398923 PLT 10074 JONY WONG MARNI 30-Jan-12 30-Jan-12 0<br />
1193 Q008908 3000357268 PLT1GS 10811 WIJAYA NURHALIM MOHAMAD MAHMUDI No.1 Riw polis terdahulu;TTG med tipe D 16-Jan-12 11-Jan-12 15<br />
1194 Q008911 3000356589 PLT1GS 10811 REZA FAHLEVI LAELY BINMASARI NO.FOM B, ADA SK AD (ASLI) No.1 Isi pertanyaan asma TTG yg diisi oleh 14-Jan-12 11-Jan-12 17<br />
1195 Q026148 3000381596 PLT1GS 10811 SAHAD SIALLAGAN MOHAMAD MAHMUDI No.1 Total RA Rp 445 613 025;42 th;Med tipe 21-Jan-12 20-Jan-12 10<br />
1196 Q066709 3000381619 PLT1GS 10811 RUSMITA HASIHOLAN SITORUS RUSMITA HASIHOLAN SITORUS No.1 Nama TTG harus sesuai ID. No.2 21-Jan-12 20-Jan-12 10<br />
1197 Q064397 3000399408 PLT3 10786 LIM KHWE TJENG KONG RITA TH LAHIR AW NO.4 ? 30-Jan-12 29-Jan-12 0<br />
1198 Q070533 3000393949 PLT3 10786 ANDI HARJOKO EKA ANGGRENI K 26-Jan-12 26-Jan-12 5<br />
1199 Q070979 3000382233 PLT3 10786 RIZKI AMELIA, S KOM HERIE No.1 Lampirkan kuisioner asma oleh TT n 21-Jan-12 21-Jan-12 10<br />
1200 Q035460 3000401196 POBATAM 10789 GLADNESS KEZIA TANDIAN SIANTURI HARNEDY <strong>31</strong>-Jan-12 25-Jan-12 0<br />
1201 Q035461 3000402396 POBATAM 10789 SAHAT AMAN SIANTURI, STH HARNEDY <strong>31</strong>-Jan-12 25-Jan-12 0<br />
1202 Q021980 3000349136 POTJP 10844 BURHANUDDIN SASRAWATI No.1 Surat kuasa bayar bulanan. No.2 Surat 12-Jan-12 10-Jan-12 19<br />
1203 Q021984 3000392040 POTJP 10844 NURBAINI NURBAINI 26-Jan-12 20-Jan-12 5<br />
1204 Q021987 3000392016 POTJP 10844 NURBAINI NURBAINI NAMA AHLI WARIS TIDAK JELAS 26-Jan-12 20-Jan-12 5<br />
1205 Q022044 3000336923 POTJP 10844 RAMANIKA APRIYANI RIA YULIANTI No.1 Nama dan tgl lahir TTG beda di ID dan 04-Jan-12 03-Jan-12 27<br />
1206 Q035422 3000336949 POTJP 10844 DJUREMI DJUITA No.1 Jelaskan pekerjaan TTG sehari 04-Jan-12 28-Des-11 27<br />
1207 Q035417 3000402370 POTJPBTM 10846 YULASMI DEDDY <strong>31</strong>-Jan-12 24-Jan-12 0<br />
1208 Q003971 3000242823 PPL2 10007 TJIU KEN GUNAWAN SANTOSO AMBAR No.1 Riw Diabetes: Med LPK Urine Gula 08-Des-11 08-Des-11 53<br />
1209 Q004005 3000365455 PPL2 10007 ANNISA PUTRI AYUDYA ENI PURWININGSIH No.1 Menunggu persetujuan EP. No.2 18-Jan-12 17-Jan-12 13<br />
1210 Q004025 3000280417 PPL2 10007 DIAH KUMALAWATI ENI PURWININGSIH NM TTG PD SP # ID, FORM B (AHLI WARIS) 19-Des-11 14-Des-11 42<br />
1211 Q004026 3000365405 PPL2 10007 SILVIA RATNA CANDRA W ENI PURWININGSIH No.1 RA Rp 640.693.000 Medis Tipe B. No.2 18-Jan-12 09-Jan-12 13<br />
1212 Q004028 3000365382 PPL2 10007 SILVIA RATNA CANDRA W ENI PURWININGSIH No.1 Medis Tipe B: LPK Urine EKG. No.2 SK 18-Jan-12 09-Jan-12 13<br />
1213 Q004049 3000274272 PPL2 10007 THE TJIU LAN FATIMAH SALIM AMBAR No.1 Med: LPK Urine EKG Tes Fungsi 19-Des-11 19-Des-11 42<br />
1214 Q004075 3000392105 PPL2 10007 POPPY WUGGU HERMAN KURNIAWAN AMBAR 26-Jan-12 26-Jan-12 5<br />
1215 Q020929 3000371080 PPL2 10007 LIM KURNIADI PRANATA IRMA PURWANTI RAHAYU No.1 Menunggu persetujuan pengecualian. 19-Jan-12 16-Jan-12 12<br />
1216 Q020960 3000393363 PPL2 10007 BRANDON KENZIRO TANIK YULYANTI No.1 Lengkapi: VIII No 5 abc. No.2 Koreksi 26-Jan-12 18-Jan-12 5<br />
1217 Q020996 3000369645 PPL2 10007 HUTRINI HUTRINI No.1 AW setidaknya harus ada pasangan 19-Jan-12 19-Jan-12 12<br />
1218 Q021378 3000370759 PPL2 10007 FIRMAN CAHYADI ISJE S. SELAMET No.1 SP Postpone karena peningkatan fungsi 19-Jan-12 19-Jan-12 12<br />
1219 Q021619 3000233795 PPL2 10007 YULYANTI YULYANTI AMBAR No.1 Lampirkan Form B utk pernyataan 05-Des-11 05-Des-11 56<br />
1220 Q021828 3000234555 PPL2 10007 PINCE VERAWATY IRMA PURWANTI RAHAYU AMBAR No.1 Jelaskan jawaban YA: VIII No 5c. No.2 06-Des-11 05-Des-11 55<br />
1221 Q009598 3000401439 PUMA 10667 ESTER SETRADIHARJA HARRIS SANTOSO <strong>31</strong>-Jan-12 30-Jan-12 0<br />
1222 Q019406 3000369271 PUMA 10667 SUGIANTO TANUWIJAYA YANTHI No.1 TT Med E. No.2 Lampirkan F Hipertensi 19-Jan-12 <strong>31</strong>-Des-11 12<br />
1223 Q019487 3000375204 PUMA 10667 KWOK LIANAWATI RUSTI DEWI K BERNARD CHRISTIAN P WAHYU 20-Jan-12 19-Jan-12 11<br />
1224 Q019508 3000395365 PUMA 10667 AXEL ENGELBERT LIE STENLEY SUNG BINTORO 27-Jan-12 25-Jan-12 4<br />
1225 Q070154 3000371349 PUMA 10667 BENY CANDRA YEREMIA KRISTANTO SARWO 20-Jan-12 18-Jan-12 11<br />
1226 Q070165 3000395404 PUMA 10667 RINA CHANDRA, SE KANG LUSIANA T PROD PEB <strong>2012</strong> 27-Jan-12 25-Jan-12 4<br />
1227 Q001913 3000285459 PUMA2 10856 KWIK KRISNANTA BUDIANTO EDDY SANTOSO, DJIE SARWO 20-Des-11 17-Des-11 41<br />
1228 Q014599 3000295193 PWK 10064 LINAWATI HERNY SUSANTI EDI 21-Des-11 19-Des-11 40<br />
1229 Q052005 3000353298 PWK 10064 DHANI PRASETYO LIEM AY LIN NAMA AW NO.3 KRG JLS No.1 Total RA Rp 800 jt; med tipe D 13-Jan-12 12-Des-11 18<br />
1230 Q009052 3000394995 ROYALUPD1 10162 HERMIN NURAENI BASO 27-Jan-12 27-Jan-12 4<br />
12<strong>31</strong> Q009071 3000395145 ROYALUPD1 10162 H MOH ROEM, SH MSI ANDI SRIWANA 27-Jan-12 27-Jan-12 4<br />
1232 Q009080 3000396743 ROYALUPD1 10162 MUHAMMAD IHSAN, SAG MAG NURAENI BASO 27-Jan-12 27-Jan-12 4<br />
1233 Q044886 3000351084 ROYALUPD1 10162 NI LUH NYOMAN CYNTHIA DEVINA A HENDARTO No.1 Mohon ukur ulang TB dan BB ttg. No.2 13-Jan-12 12-Jan-12 18<br />
1234 Q044894 3000350761 ROYALUPD1 10162 MUH FAJAR HIDAYAT FLORENTINA L E No.1 Lampirkan ID PP. No.2 Hal 3 VIII no 4 13-Jan-12 12-Jan-12 18<br />
1235 Q044895 3000350698 ROYALUPD1 10162 MUH. KHADAFI KASIM FLORENTINA L E BLN LAHIR A WARIS TDK JELAS No.1 Mohon konfirmasi tgl lahir ahli waris . 13-Jan-12 12-Jan-12 18<br />
1236 Q044897 3000351199 ROYALUPD1 10162 H ANDI MUH YAGKIN PADJALANGI A, DRSSYLVIA WOENARSO No.1 Nama TTG tdk sama dgn ID. 13-Jan-12 12-Jan-12 18<br />
1237 Q044898 3000350436 ROYALUPD1 10162 ATUN ASSYIFA, SIP TRISYANDI, SP. No.1 TTG mohon medis tipe A; krn 13-Jan-12 11-Jan-12 18<br />
1238 Q044936 30003814<strong>31</strong> ROYALUPD1 10162 JEMMY LIADI SHAK NURAENI BASO SEPTI 21-Jan-12 20-Jan-12 10<br />
1239 Q044937 3000395200 ROYALUPD1 10162 SITI AISYAH NURUL QALBY ADNAN ANDI SRIWANA 27-Jan-12 27-Jan-12 4<br />
1240 Q044938 3000395161 ROYALUPD1 10162 EDWIN ADNAN, SE ANDI SRIWANA DOB AW KOSONG JADI AW BLM DIIPUT 27-Jan-12 27-Jan-12 4<br />
1241 Q023987 3000387283 SAM 10079 LAUDI ADIM ELISA BAGASKARA No.1 lampirkan SK pembayaran. 25-Jan-12 22-Jan-12 6<br />
1242 Q036355 3000387209 SAM 10079 MUHAMMAD ADAM FIRDAUS BETI DAMAYANTI 25-Jan-12 24-Jan-12 6<br />
1243 Q051895 3000351296 SAM 10079 HEFNY IRAWAN JONNY GUNAWAN No.1 menunggu APS. 13-Jan-12 19-Des-11 18<br />
1244 Q054023 3000391997 SAM 10079 ANANG AHMAD FAHRUDIN BETI DAMAYANTI 26-Jan-12 26-Jan-12 5<br />
1245 Q054024 3000387144 SAM 10079 MUHAMMAD AFFAN AFANDI BETI DAMAYANTI 25-Jan-12 24-Jan-12 6<br />
1246 Q068779 SAM 818 21 LIDIA uw ok 19-Jan-12 12<br />
1247 Q068778 SAM 818 23 EMMI tgl melahirkannya? 2. Premi msh salah, yg 19-Jan-12 12<br />
1248 Q053976 SAM 903 8 KEVIN HARLY DARMAWAN On Process 30-Jan-12 0<br />
1249 Q036383 3000397650 SAM10 10900 ELPIN LUMEWAN ELPIN LUMEWAN 30-Jan-12 28-Jan-12 0<br />
1250 Q054028 3000356856 SAM10 10900 CHARENS SUSANTO PRISCA No.1 Mohon lengkapi pertanyaan pd SP Hal 4 16-Jan-12 10-Jan-12 15<br />
1251 Q054273 3000376674 SAM10 10900 AGUSTINUS ALBERTUS LUNG CYNTHIA PARAMITA JOHAN No.1 Form Extra Premi terlampir. 20-Jan-12 09-Jan-12 11<br />
1252 Q036303 3000338357 SAM3 10671 JUNIRIA YUSUF LILIANA INDRIANI A. 05-Jan-12 28-Des-11 26<br />
1253 Q036499 3000349013 SAM3 10671 YENNY LIANG VENNY No.1 Menunggu persetujuan EP. 12-Jan-12 07-Jan-12 19<br />
1254 Q036819 3000339442 SAM3 10671 ROSITA ROESLIM ANDRE CHANDRA No.1 Medis: Type F + Tes Fungsi Thyroid 06-Jan-12 02-Jan-12 25<br />
1255 Q052565 3000353777 SAM4 10747 BAMBANG WAHYUDI YULIASTUTI TONY No.1 SK pembayaran. 13-Jan-12 27-Nop-11 18<br />
1256 Q036470 3000364920 SAM5 10770 HENNY COKROSANTOSO VANNY LAUWRINA No.1 Cek data ahli waris. 18-Jan-12 18-Jan-12 13<br />
1257 Q046181 3000397676 SAM6 10816 RUSDIN HELLINA NANGOY 30-Jan-12 25-Jan-12 0<br />
1258 Q054011 3000390721 SAM6 10816 YEMIMA HEFZIBA PUTRI ACIU ACIU NAMA AW NO.2 MERENG/MERANE ? 26-Jan-12 25-Jan-12 5<br />
1259 Q068755 3000390682 SAM6 10816 SUWARNI NORHAYATI 26-Jan-12 24-Jan-12 5<br />
1260 Q004720 3000387241 SAM7 10817 WENDI FRIHINDARWAN KHAIRU ALIYA EL D 25-Jan-12 20-Jan-12 6<br />
1261 Q006244 3000295999 SAM7 10817 SHERNA MUSALIM ANTON KURNIAWAN SARWO AGEN NUTUP AGEN No.1 Tdk diperkenankan agen ditutup agen 21-Des-11 20-Des-11 40<br />
1262 Q023354 3000295876 SAM7 10817 DHARMARYA WIJAYA ANTON KURNIAWAN WAHYU 21-Des-11 20-Des-11 40<br />
1263 Q036428 3000371462 SAM7 10817 SLAMET POEDJO BASOEKI ANTON KURNIAWAN No.1 Lampirkan semua dok berdiagnosa 20-Jan-12 18-Jan-12 11<br />
1264 Q036429 3000371365 SAM7 10817 HENRY HARYONO ANTON KURNIAWAN WAHYU 20-Jan-12 18-Jan-12 11<br />
1265 Q036807 3000307522 SAM7 10817 MAULIDA FERDIANTO CAHYADI WAHYU NAMA AW SESUAI DG.NAMA DIAKTE ANAK 22-Des-11 20-Des-11 39<br />
1266 Q040303 3000368607 SAM7 10817 DJUNAIDI LIMBONG MELINDA S NO FORM B No.1 TT Med D. 19-Jan-12 14-Jan-12 12<br />
1267 Q040324 3000368542 SAM7 10817 ENY SISWATI SINDUNATA MELINDA S NO FORM B, ALAMAT TEMPAT TINGGAL SAMA DENGAN No.1 PP Med D. No.2 Riw kanker payudara 19-Jan-12 14-Jan-12 12<br />
1268 Q045657 3000307043 SAM7 10817 WIRANATA KWANRICO FERDIANTO CAHYADI SARWO No.1 Mohon medis LPK Urie Tes Lemak 22-Des-11 19-Des-11 39<br />
1269 Q045674 3000307441 SAM7 10817 CAHAYA HIRANI FERDIANTO CAHYADI WAHYU 22-Des-11 20-Des-11 39<br />
1270 Q052585 3000353735 SAM7 10817 GO SIOK ING ANTON KURNIAWAN No.1 Menunggu surat Ekstra Mortality. 13-Jan-12 17-Des-11 18<br />
1271 Q033023 3000371488 SAM8 10818 ZAINAB JUNAIDAH No.1 Hal 2 IV penulisan nama ahliwaris no.2 20-Jan-12 02-Jan-12 11<br />
1272 Q033024 3000357640 SAM8 10818 SYARIFAH AHLA LU'LU JUNAIDAH No.1 Sehub hsl medis, lengkapi Kues DM dr 16-Jan-12 01-Jan-12 15<br />
1273 Q054252 3000377581 SAM8 10818 ALVARO SHEVA YULIANTO DEVIANA YULIANTO NO FORM B No.1 Ukur ulang TB Ttg. No.2 Pd proposal 20-Jan-12 18-Jan-12 11<br />
1274 Q068670 3000394589 SAM8 10818 PATRICIA LINTANG KINASIH ANASTASIA WIDJI 27-Jan-12 26-Jan-12 4<br />
1275 Q068673 3000395501 SAM8 10818 SADARIAH UMI FITRIA 27-Jan-12 26-Jan-12 4<br />
1276 Q068674 3000395187 SAM8 10818 FERRY KURNIAWAN UMI FITRIA 27-Jan-12 26-Jan-12 4<br />
1277 Q068762 3000390640 SAM8 10818 ANITA WULANDARI ANITA WULANDARI 26-Jan-12 20-Jan-12 5<br />
1278 Q068784 3000385126 SAM8 10818 YOPI SUHARNIK RINI ALDILA 24-Jan-12 24-Jan-12 7<br />
1279 Q024019 3000394521 SAM9 10903 LIEM SOEI MIN ANGGRAENI 27-Jan-12 04-Jan-12 4<br />
1280 Q053082 3000389879 SAM9 10903 AURELIA LAKEISHA OSLAN ANGGRAENI 25-Jan-12 19-Jan-12 6
1281 Q054033 3000350965 SAM9 10903 EDI PURWANTO HARTONO DARMAWAN No.1 Koreksi Plan menjadi UN1B sesuai 13-Jan-12 03-Jan-12 18<br />
1282 Q016607 3000372890 SBY1 10043 SINDHUNATA GOZAL SETIOWATI NJOTO No.1 Menunggu surat Ekstra Mortality. 20-Jan-12 20-Jan-12 11<br />
1283 Q016643 3000274638 SBY1 10043 SELWYN HORYANTO RESLY WAHYU DATA DR PARTY LAMA No.1 Klarifikasi alamat koresponden alamat 19-Des-11 07-Nop-11 42<br />
1284 Q029206 3000397252 SBY1 10043 VIANY URJEL ANG NELLY ANGGRAENI 28-Jan-12 27-Jan-12 3<br />
1285 Q0<strong>31</strong>309 3000385532 SBY1 10043 BO FOENG MEI HANNY LIMANTORO No.1 TT Med G AFP APS. No.2 Lampirkan 24-Jan-12 24-Jan-12 7<br />
1286 Q044507 3000363592 SBY1 10043 TJAHYAWAN TJOKROBUWONO A. HAWANI D. SARWO DATA DR PARTY LAMA 18-Jan-12 13-Jan-12 13<br />
1287 Q044714 3000274670 SBY1 10043 ONG, THEOFILUS SOESANTO RESLY WAHYU UP RIDER DIINPUT SESUAI PROPOSAL No.1 Jelaskan SPA VIII no 5b n 5c. No.2 19-Des-11 12-Des-11 42<br />
1288 Q044724 30003<strong>31</strong>135 SBY1 10043 ALFIAN EFFENDI NG OEI SIOE KIEM No.1 Lampirkan dokumen perawatan 29-Des-11 15-Des-11 32<br />
1289 Q044755 3000241411 SBY1 10043 HANNY GONDOWIJOYO RHONALD TAMAKA SARWO 08-Des-11 06-Des-11 53<br />
1290 Q044802 3000380760 SBY1 10043 LINDA TJAHJANI RHONALD TAMAKA 20-Jan-12 20-Jan-12 11<br />
1291 Q044815 3000396345 SBY1 10043 JOHAN SETIOWATI NJOTO 27-Jan-12 27-Jan-12 4<br />
1292 Q052567 3000351953 SBY1 10043 LINA INDRAWATI, DRA TING SIOE DJING No.1 Menunggu surat Sub Standar. 13-Jan-12 12-Des-11 18<br />
1293 Q016591 SBY1 45 GYNETHIA LORAINE TAMPI uw ok 24-Jan-12 7<br />
1294 Q050579 3000353557 SBY10 10743 GUNAWAN HADIWIDJAYA SANDRA ROSYNAWATI NO FB No.1 Karena ada riw extra premi :Mohon 13-Jan-12 21-Des-11 18<br />
1295 Q050583 3000354595 SBY10 10743 HENDRA WIBOWO SANDRA ROSYNAWATI No.1 Mohon lampirkan hasil gastroscopy dan 13-Jan-12 09-Des-11 18<br />
1296 Q003489 300034<strong>31</strong>72 SBY11 10759 ARINI DIAH KUSUMAWATI CHRISE HIDAYAT No.1 Lampirkan hasil PA operasi benjolan pd 09-Jan-12 09-Jan-12 22<br />
1297 Q028979 3000388881 SBY11 10759 NOVIE ADIYANTO, ST HENNY (HIU SHIAN) 25-Jan-12 25-Jan-12 6<br />
1298 Q045024 3000358280 SBY11 10759 MADE KATTY CHRISTIANTORO SOEJIANNI SOETIKNO INVESTASI DI SPAJ LANGSUNG, DI INIT TDK LANGSUNG No.1 TT Med B. 16-Jan-12 14-Jan-12 15<br />
1299 Q045025 3000368568 SBY11 10759 JIAN DHING SOEJIANNI SOETIKNO No.1 RA 1.2M TT Med F. No.2 Lampirkan F 19-Jan-12 14-Jan-12 12<br />
1300 Q047335 3000374290 SBY11 10759 YULIA SAPUTRO SOEJIANNI SOETIKNO No.1 SPA ini Postpone kr penigkatan Laju 20-Jan-12 14-Jan-12 11<br />
1301 Q047342 3000392969 SBY11 10759 SAIFUL BAHRI ANDREAS GAUTAMA PROD PEB <strong>2012</strong> 26-Jan-12 26-Jan-12 5<br />
1302 Q054085 3000387699 SBY11 10759 HWE, PAO TIO BERNARD ANURAGA L DATA DR PARTY LAMA, PENULISAN NAMA TT PP 25-Jan-12 25-Jan-12 6<br />
1303 Q016264 3000358963 SBY14 10892 HUI WAI KING STANISLAUS TANNEX No.1 Klarifikasi apakah Fibroid di Kandungan 16-Jan-12 02-Jan-12 15<br />
1304 Q016271 3000351610 SBY14 10892 SHERLYNN AURELIA SETIANTO STANISLAUS TANNEX No.1 Lampirkan dok perwatan berdiagnosa 13-Jan-12 09-Jan-12 18<br />
1305 Q016288 3000390420 SBY14 10892 TAN IRAWAN HARTANTO ANIRA, DRA EC. 25-Jan-12 25-Jan-12 6<br />
1306 Q016588 3000359896 SBY14 10892 DANIEL ADI SOETJIPTO JOKO GUNAWAN No.1 Medical Type E. 17-Jan-12 16-Jan-12 14<br />
1307 Q016589 3000359951 SBY14 10892 DAVID ADI SOETJIPTO JOKO GUNAWAN No.1 PP, medical type E. 17-Jan-12 16-Jan-12 14<br />
1308 Q016590 3000359773 SBY14 10892 TEGUH IRAWAN JOKO GUNAWAN No.1 Medical Type E. 17-Jan-12 16-Jan-12 14<br />
1309 Q016592 3000396997 SBY14 10892 CALVIN GORDON JOKO GUNAWAN 28-Jan-12 24-Jan-12 3<br />
1<strong>31</strong>0 Q016646 3000393486 SBY14 10892 FELICE VIJJA OSMOND KHO PEI CIEN 26-Jan-12 24-Jan-12 5<br />
1<strong>31</strong>1 Q017305 3000385061 SBY14 10892 ELIM RAHMAWATI NANDANG SUBEKTI K. SEPTI 24-Jan-12 24-Jan-12 7<br />
1<strong>31</strong>2 Q024078 3000361582 SBY14 10892 YOHANES MULJONO, IR THE SUSAN T No.1 Med A. 17-Jan-12 10-Jan-12 14<br />
1<strong>31</strong>3 Q0<strong>31</strong>322 3000349356 SBY14 10892 KWAN, IRWAN BUDIARDJO JOKO GUNAWAN 12-Jan-12 08-Jan-12 19<br />
1<strong>31</strong>4 Q044701 3000352137 SBY14 10892 SUPIATI LENY MARIANA No.1 Need hasil PA terkait bedah kelenjar 13-Jan-12 23-Des-11 18<br />
1<strong>31</strong>5 Q044717 3000352111 SBY14 10892 SULIANTO TEDY PURNAMA LENY MARIANA No.1 SPA Postpone 6 bln krn riw pasang ring 13-Jan-12 23-Des-11 18<br />
1<strong>31</strong>6 Q044808 3000393525 SBY14 10892 SHERLY WIDIA SANTI LENY MARIANA No.1 AW harus keluarga inti . No.2 Atau, 26-Jan-12 24-Jan-12 5<br />
1<strong>31</strong>7 Q044818 3000390056 SBY14 10892 WONG MOY SIU/MERI SINTA SULFIDA CHANDRA 25-Jan-12 25-Jan-12 6<br />
1<strong>31</strong>8 Q052568 3000352195 SBY14 10892 ANDY STEVEN LIEM, ST KHO PEI CIEN No.1 Menunggu surat Ekstra Mortality. 13-Jan-12 24-Nop-11 18<br />
1<strong>31</strong>9 Q052569 3000355834 SBY14 10892 OKTAVIA TERESA SARAH MALO KATHARINA FITRI N.P 13-Jan-12 01-Des-11 18<br />
1320 Q052570 3000354838 SBY14 10892 ONG, THEOFILUS SOESANTO RESLY No.1 TT Med D. 13-Jan-12 12-Des-11 18<br />
1321 Q024592 3000291775 SBY2 10041 DAMAYANTI LIEM NGIK LAN CHOLIDI No.1 Form ekstra premi. 20-Des-11 16-Des-11 41<br />
1322 Q024799 3000255913 SBY2 10041 ENNYWATI WIDYA NINGSIH S. CHOLIDI 14-Des-11 11-Des-11 47<br />
1323 Q024881 3000360722 SBY2 10041 FERDY TANNUS OLIVIA LAURENS No.1 TTG medical:LPK;urine;test fungsi 17-Jan-12 11-Jan-12 14<br />
1324 Q048201 3000394822 SBY2 10041 LISA DISTIN YUYUN LINUWIH DATA DARI PARTY 27-Jan-12 20-Jan-12 4<br />
1325 Q048207 3000393541 SBY2 10041 SIU ERNI TANNUS OLIVIA LAURENS 26-Jan-12 20-Jan-12 5<br />
1326 Q048237 3000392985 SBY2 10041 WHINDA OLIVIA LAURENS 26-Jan-12 20-Jan-12 5<br />
1327 Q048238 3000392715 SBY2 10041 BRYAN MATHEUW LAURENS OLIVIA LAURENS 26-Jan-12 20-Jan-12 5<br />
1328 Q048239 30003927<strong>31</strong> SBY2 10041 EDWARD TIMOTHY LAURENS OLIVIA LAURENS 26-Jan-12 20-Jan-12 5<br />
1329 Q048257 3000365918 SBY2 10041 YAYUK IRAWATI KRISSIANY CHOLIDI 18-Jan-12 16-Jan-12 13<br />
1330 Q048588 3000368885 SBY2 10041 SUSAN MULIANI PANGESTU LIEM NGIK LAN No.1 TTG medical G dan APS standart:Ra 19-Jan-12 17-Jan-12 12<br />
13<strong>31</strong> Q048686 3000307815 SBY2 10041 MICHELLE APRILIA SUWAJI WIDYA NINGSIH S. CHOLIDI 22-Des-11 21-Des-11 39<br />
1332 Q048720 3000307700 SBY2 10041 SUGIANTO ANITA TJUATJA CHOLIDI No.1 TTG Medical A:Ra 50jt usia 54th. No.2 22-Des-11 12-Des-11 39<br />
1333 Q016866 3000389<strong>31</strong>6 SBY3 10073 TAN GIOK LAN TENG SHUI SIEN 25-Jan-12 25-Jan-12 6<br />
1334 Q027605 3000239416 SBY3 10073 EKO PRASETYO TANTO TENG SHUI SIEN EDI No.1 Surat ekstra premi riw asma; merokok 07-Des-11 07-Des-11 54<br />
1335 Q027651 3000324156 SBY3 10073 PRINZE NATHANAEL HARLY RONY HARLY CHOLIDI No.1 Akte lahir TTG blm ada. 28-Des-11 26-Des-11 33<br />
1336 Q027655 3000350949 SBY3 10073 STEPHANIE TIPAWAEL PHILIP RICSON No.1 Surat ekstra premi krn sel darah merah 13-Jan-12 09-Jan-12 18<br />
1337 Q027663 3000391400 SBY3 10073 PATRIK PERMANA PUTRA WIJAYA ONG ARIFFIN RAHARJA 26-Jan-12 25-Jan-12 5<br />
1338 Q027677 3000390543 SBY3 10073 JONNY JAURY VERAWATI YAURI PLAN DI SPAJ TIDAK SAMA DENGAN SISTEM No.1 Total RA Rp 675jt;51 th;Med tipe D. 26-Jan-12 25-Jan-12 5<br />
1339 Q027680 3000391345 SBY3 10073 INNEKE TANIA WAIJAYA ONG ARIFFIN RAHARJA EDI 26-Jan-12 25-Jan-12 5<br />
1340 Q027681 3000361621 SBY3 10073 MICHAEL HARTANTO BAYUATMOJO TENG SHUI SIEN No.1 Total RA Rp 950jt;23 th;Med tipe D. 17-Jan-12 17-Jan-12 14<br />
1341 Q027689 3000395666 SBY3 10073 EDWIN JAURY VERAWATI YAURI 27-Jan-12 25-Jan-12 4<br />
1342 Q027815 3000336070 SBY3 10073 KARTIKA HALIM KHONG ANTONIUS K EDI 03-Jan-12 02-Jan-12 28<br />
1343 Q028924 3000157743 SBY3 10073 LIVIA ARCELIA WIJAYA TENG SHUI SIEN EDI 03-Nop-11 03-Nop-11 88<br />
1344 Q045040 3000243332 SBY3 10073 DELLUIZ ABRAHAM CAROLINE A No.1 Riw kejang demam th 2009 dan 2011; 08-Des-11 08-Des-11 53<br />
1345 Q054081 3000384544 SBY3 10073 HANDAYANI PHILIP RICSON No.1 TTG med LPK;Urine. 20-Jan-12 20-Jan-12 11<br />
1346 Q003512 SBY3 274 HERRY WIJAYA Lengkap;Treadmill 20-Des-11 41<br />
1347 Q00<strong>31</strong>42 3000399979 SBY4 10044 LU, ALEXANDER ARIF, SH ERWIN 30-Jan-12 30-Jan-12 0<br />
1348 Q008001 3000301754 SBY4 10044 DENNIOR GRIFFIN LIM CHRISTINA LELAONA CHOLIDI 21-Des-11 21-Des-11 40<br />
1349 Q008002 3000301851 SBY4 10044 DEANDRE GRIFFIN LIM CHRISTINA LELAONA CHOLIDI 21-Des-11 21-Des-11 40<br />
1350 Q008003 3000301673 SBY4 10044 DARRIEN GRIFFIN LIM CHRISTINA LELAONA CHOLIDI 21-Des-11 21-Des-11 40<br />
1351 Q008004 3000301738 SBY4 10044 ALLYCIA GRIFFIN CHRISTINA LELAONA CHOLIDI 21-Des-11 21-Des-11 40<br />
1352 Q008005 3000300651 SBY4 10044 AILEEN CAROLINE GRIFFIN LIEM CHRISTINA LELAONA CHOLIDI 21-Des-11 21-Des-11 40<br />
1353 Q008102 3000400019 SBY4 10044 NOVITA TANDJAJA DIANA 30-Jan-12 29-Jan-12 0<br />
1354 Q010123 3000264067 SBY4 10044 FATMAWATI SUSAN WIYANTI CHOLIDI No.1 TTG medical C:Ra 400jt usia 55th. No.2 15-Des-11 12-Des-11 46<br />
1355 Q027520 3000277076 SBY4 10044 HJ.MUKAROMAH, S FARM APT LANNIE MULIAWATI CHOLIDI 19-Des-11 19-Des-11 42<br />
1356 Q042872 3000322691 SBY4 10044 ANDREAS MULIAWAN KUSUMA ANDREAS MULIAWAN K. CHOLIDI 27-Des-11 27-Des-11 34<br />
1357 Q042915 3000399246 SBY4 10044 VALENT MAULANA RAMADHAN ELCE MARETA 30-Jan-12 30-Jan-12 0<br />
1358 Q042922 3000374575 SBY4 10044 MURJITO, S.PSI ERWIN No.1 Sehubungan Diabetes:TTG 20-Jan-12 19-Jan-12 11<br />
1359 Q042962 3000374614 SBY4 10044 EUGENE CHIANG TAN TJE SING CHOLIDI 20-Jan-12 13-Jan-12 11<br />
1360 Q026196 3000380964 SBY8 10607 DEBBY GUNAWAN ELISA SARI DEWI AHLI WARIS ADALAH TERTANGGUNG ??? No.1 Total RA Rp 434 590 590; medis C. 20-Jan-12 20-Jan-12 11<br />
1361 Q026200 3000372785 SBY8 10607 ANG ANGSUR WIJONO ELISA SARI DEWI No.1 Medis tipe B. 20-Jan-12 19-Jan-12 11<br />
1362 Q026201 3000380273 SBY8 10607 OEIJ ALVY WIJAYA ELISA SARI DEWI No.1 Lampirkan surat kuasa pembayaran. 20-Jan-12 20-Jan-12 11<br />
1363 Q036673 SDM 492 DONALD TIRUKAN Menunggu persetujuan EP 21-Des-11 40<br />
1364 Q004135 3000375165 SDM 10080 MUHAMAD AVEROES ASI ROHANA TOBING No.1 SK bayar bulanan. No.2 Buat IC utk 20-Jan-12 19-Jan-12 11<br />
1365 Q004136 3000375440 SDM 10080 VAZA SHABRINA ASI ROHANA TOBING CARA BAYAR No.1 Jika Bulanan, lampirkan SK bayar 20-Jan-12 19-Jan-12 11<br />
1366 Q004138 30003749<strong>31</strong> SDM 10080 YULIEANTY NURHASANAH ASI ROHANA TOBING No.1 SK bayar bulanan. 20-Jan-12 19-Jan-12 11<br />
1367 Q008493 3000401594 SDM 10080 SYARIF ENCUN NURHAIDAH <strong>31</strong>-Jan-12 29-Jan-12 0<br />
1368 Q008499 3000303447 SDM 10080 RATNA LINAWATI HERLINA SUTJIONO AMBAR NO FORM B No.1 Lengkapi Form Hipertensi oleh TTG & 21-Des-11 21-Des-11 40<br />
1369 Q036550 3000340996 SDM 10080 BARNABAS IE STEPHANIE GISELA MOP DI SP KOSONG No.1 Usia 51thn : Medis LPK Urine. No.2 SK 06-Jan-12 05-Jan-12 25<br />
1370 Q036632 3000242077 SDM 10080 HARRY AMELIA K AMBAR DOB TDK SAMA ID, SK NO No.1 DOB harus sesuai KTP. No.2 08-Des-11 08-Des-11 53<br />
1371 Q036657 3000<strong>31</strong>3597 SDM 10080 INA MARIZA HERLINA SUTJIONO AMBAR No.1 Lengkapi: I No 9 Sumber dana. 22-Des-11 21-Des-11 39<br />
1372 Q036674 3000400603 SDM 10080 IRENE R MARBUN KESIA BANJARNAHOR 30-Jan-12 20-Jan-12 0<br />
1373 Q036685 3000379680 SDM 10080 STEFANY AMADEA JAYA LIDYA SUSANTO 20-Jan-12 20-Jan-12 11<br />
1374 Q036688 3000360293 SDM 10080 KIM HOA SARI SHELLY SANTI WAHYU AMBAR 17-Jan-12 09-Jan-12 14<br />
1375 Q053928 3000402215 SDM 10080 CATHERINE HALIM STEPHANIE GISELA <strong>31</strong>-Jan-12 14-Jan-12 0<br />
1376 Q058998 3000398070 SDM 10080 MUHAMMAD MALIKA MAJEED HJ. RD RR SITI RADARWATI, SE 30-Jan-12 20-Jan-12 0<br />
1377 Q069394 3000398151 SDM 10080 CHELSEA SRI WAHYUNI 30-Jan-12 20-Jan-12 0<br />
1378 Q069501 300039<strong>31</strong>43 SDM 10080 RUTH LYDIA CITRA DHARMA LISTYA K No.1 Maag: Sejak kpn;Frekuensi 26-Jan-12 25-Jan-12 5<br />
1379 Q069505 3000399872 SDM 10080 DAVIN MATTHEW W LIDYA SUSANTO 30-Jan-12 20-Jan-12 0<br />
1380 Q069507 3000399775 SDM 10080 CRISELLA LIDYA SUSANTO 30-Jan-12 20-Jan-12 0<br />
1381 Q069603 3000386465 SDM 10080 LYANAWATI LYANAWATI No.1 Medis LPK Urine EKG. 24-Jan-12 20-Jan-12 7<br />
1382 Q069616 3000399026 SDM 10080 YUHENDRA KASMIR STEPHANIE GISELA 30-Jan-12 20-Jan-12 0<br />
1383 Q069618 3000374038 SDM 10080 DENY HARTONO OEKUANG HANDAJANTO No.1 Lengkapi alamat domisili di Singapore. 20-Jan-12 20-Jan-12 11<br />
1384 Q0042<strong>31</strong> 300037<strong>31</strong>71 SDM3 10761 FUTRICIA MEYANTI RATNA SELAWATI P. DATA ANNUAL INCOME TTG TDK ADA, RIDER SPA # 20-Jan-12 01-Jan-12 11<br />
1385 Q004273 3000361003 SDM3 10761 TEDI ARIFIN THERESIA NINGSIH 17-Jan-12 17-Jan-12 14<br />
1386 Q004334 3000373252 SDM3 10761 JONATHAN FERNANDES WIDJAYA WIGUNA TJANDRA DESRYIRIANA No.1 Lampirkan ilustrasi. 20-Jan-12 16-Jan-12 11<br />
1387 Q033239 3000401065 SDM3 10761 AGUS KADRIANTO HUSIN SUMARDI <strong>31</strong>-Jan-12 30-Jan-12 0<br />
1388 Q033263 3000371103 SDM3 10761 ATHIYA NAZHIFA ERNAWATI No.1 Lampirkan surat kuasa pembayaran. 19-Jan-12 25-Des-11 12<br />
1389 Q033271 3000366710 SDM3 10761 TJHIE SU KIAN ERNAWATI No.1 Lampirkan surat kuasa pembayaran. 19-Jan-12 28-Des-11 12<br />
1390 Q033274 3000369140 SDM3 10761 MARIANAWATI MARIANAWATI PLAN SPA & PROPOSAL # SISTEM No.1 Hal 4 no 13 dilengkapi. 19-Jan-12 30-Des-11 12<br />
1391 Q033302 3000401390 SDM3 10761 JOANDA I DJAMIAN, IR HUSIN SUMARDI <strong>31</strong>-Jan-12 <strong>31</strong>-Jan-12 0<br />
1392 Q033305 3000401578 SDM3 10761 TJANG MIE KIE JOHN SON <strong>31</strong>-Jan-12 <strong>31</strong>-Jan-12 0<br />
1393 Q033355 3000379606 SDM3 10761 HELMI SALIM HUSIN SUMARDI NO FORM B, ADA SK RECC (COPY), NAMA AW NO.1 TDK No.1 Hal 1 Bag I no 7 dan 8 dilengkapi. No.2 20-Jan-12 18-Jan-12 11<br />
1394 Q033376 3000374096 SDM3 10761 HARLY VALENTINA BASTIAANS YULIYANTI S. DRA. No.1 Hal 3 IX no 7 b dilengkapi. No.2 Hal 2 III 20-Jan-12 20-Jan-12 11<br />
1395 Q033377 3000382275 SDM3 10761 SUSI MARYANTI, SH MOY FA No.1 Hal 1 Bag I no 8 dilengkapi. No.2 Hal 2 24-Jan-12 20-Jan-12 7<br />
1396 Q033390 3000401489 SDM3 10761 HERLINA ISKANDAR, DRG HUSIN SUMARDI NAMA AW TIDAK JELAS <strong>31</strong>-Jan-12 <strong>31</strong>-Jan-12 0<br />
1397 Q033391 3000401154 SDM3 10761 TIMOTIUS ANDI KADRIANTO HUSIN SUMARDI <strong>31</strong>-Jan-12 30-Jan-12 0<br />
1398 Q033392 3000401332 SDM3 10761 INDAH SETIOWATI HUSIN SUMARDI NAMA AHLI WARIS TIDAK JELAS <strong>31</strong>-Jan-12 30-Jan-12 0<br />
1399 Q050581 3000354537 SDM3 10761 PHINAWATI SUKANDA PHINAWATI SUKANDA No.1 Riw klaim hypertensi; Mohon medis Lpk 13-Jan-12 21-Des-11 18<br />
1400 Q012540 3000389065 SDM3A 10762 ARIEF MUHAMAD SIGIT ARIEF MUHAMAD SIGIT 25-Jan-12 10-Jan-12 6<br />
1401 Q012541 3000389950 SDM3A 10762 YANTI IRAWATI IRWAN YUSUF LAMUDA No.1 DOB AW no 3 harap dikoreksi. No.2 25-Jan-12 20-Jan-12 6<br />
1402 Q012551 3000259860 SDM3A 10762 DERRICK JUVENAL SOEDIBJO NURNANINGSIH SUTANTO BIMO 14-Des-11 12-Des-11 47<br />
1403 Q012573 3000358638 SDM3A 10762 HERU HANDOKO SUGIHARTO, SE JOHNY MELIANGAN, SE No.1 med type A. 16-Jan-12 12-Jan-12 15<br />
1404 Q012643 3000381075 SDM3A 10762 ADAM RIFKI MARIA RARAS N No.1 Surat ket Lahir tdk ada nama TTG. 20-Jan-12 20-Jan-12 11<br />
1405 Q045932 3000396175 SDM3A 10762 LIDIA NATALINA SIRAIT DAVID RICHARD 27-Jan-12 20-Jan-12 4<br />
1406 Q045935 3000389162 SDM3A 10762 YANY MOTTO JOHNY MELIANGAN, SE 25-Jan-12 15-Jan-12 6<br />
1407 Q045936 3000358028 SDM3A 10762 FANNY ROSALI JOHNY MELIANGAN, SE No.1 med type F dan APS. 16-Jan-12 10-Jan-12 15<br />
1408 Q047244 3000368487 SDM3A 10762 LUSIANA LESTARI ERNA BIMO 19-Jan-12 19-Jan-12 12<br />
1409 Q047245 3000402150 SDM3A 10762 FEN TJE ERNA <strong>31</strong>-Jan-12 <strong>31</strong>-Jan-12 0<br />
1410 Q047286 3000345124 SDM3A 10762 YONG CITRAWATI NURNANINGSIH SUTANTO BIMO 10-Jan-12 10-Jan-12 21<br />
1411 Q047454 3000392804 SDM3A 10762 VIVIENNE LAY INDAHYATI 26-Jan-12 20-Jan-12 5<br />
1412 Q047467 3000388792 SDM3A 10762 HERMAN TANZIL LILY KOSASIH 25-Jan-12 20-Jan-12 6<br />
1413 Q047468 3000379305 SDM3A 10762 TONY MULIA BISA MULIA No.1 med type A. 20-Jan-12 20-Jan-12 11<br />
1414 Q052718 3000353858 SDM3A 10762 OEN FEN THO OEI HENDRIK No.1 Med Type A. 13-Jan-12 09-Des-11 18<br />
1415 Q0<strong>31</strong>642 3000346358 SDM5 10764 RHACEL MOURINNE CHANDRA RICKY No.1 Insurable interest tidak ada: Ganti PP. 11-Jan-12 11-Jan-12 20<br />
1416 Q045960 3000395381 SDM5 10764 NOVA ANGELY SONATA SITUMORANG JHONTRYI SITUMORANG No.1 Nomor rumah lengkapi. 27-Jan-12 20-Jan-12 4<br />
1417 Q045963 3000338195 SDM5 10764 ALEXANDER KATHERINA THERESIA ID TTG TIDAK ADA, DATA AW BLM DI INPUT. SPA INI 05-Jan-12 03-Jan-12 26<br />
1418 Q047248 3000387869 SDM5 10764 REBECCA PAULINA AURELIA S AGRIYANI SIANTURI No.1 Pinjam hasil PA klaim Jun 2011 polis 25-Jan-12 20-Jan-12 6<br />
1419 B200453 3000295753 SDM68 10799 HARYADI SOEBIANTORO LANYWATI WIDJAJA MAYA No.1 Sehub riw DM dan jantung;tambah GDP 21-Des-11 20-Des-11 40<br />
1420 B445148 3000279183 SDM68 10799 TAN TIHARTATI ANDRY TEJASUKMANA MAYA No.1 Sehub riw rawat 7 thn yll;lampirkan dok 19-Des-11 16-Des-11 42<br />
1421 B445173 3000295818 SDM68 10799 SALMA NUR ASY SYIFA DICKY RUBI R MAYA No.1 SPA Postpone 1 thn krn buta ke2 mata 21-Des-11 19-Des-11 40<br />
1422 Q026604 3000332678 SDM68 10799 LIAM WIE MIN LANVIN LUKITO No.1 Menunggu persetujuan EP. 29-Des-11 21-Des-11 32<br />
1423 Q027382 3000396840 SDM68 10799 LILY MARGARETH S WIWI SURYA 27-Jan-12 20-Jan-12 4<br />
1424 Q027383 3000396882 SDM68 10799 WIWI SURYA, DRA WIWI SURYA 27-Jan-12 20-Jan-12 4<br />
1425 Q051911 3000353515 SDM68 10799 HERMAN WIDJAJA HANNI WIBOWO No.1 Menunggu persetujuan EP dan 13-Jan-12 01-Des-11 18<br />
1426 Q006128 3000388857 SEV3N 10895 SRI WAHYUNI, SH HARIS DJOKO WARSITO JUWONO 25-Jan-12 24-Jan-12 6<br />
1427 Q006142 3000369158 SEV3N 10895 DARSISI KENAYU RAHMAWATI DARSISI KENAYU R No.1 SEHUB. MAAG, JELASKAN FREK. 19-Jan-12 19-Jan-12 12<br />
1428 Q021092 3000396434 SEV3N 10895 SUKIMIN MARLINA ERLYANTI 27-Jan-12 25-Jan-12 4<br />
1429 Q021118 3000388865 SEV3N 10895 HABEL SELY NUGRAHA DEDDY BUDIAWAN 25-Jan-12 24-Jan-12 6<br />
1430 Q023539 3000370092 SEV3N 10895 CHOIRUL BARIYAH MARLINA ERLYANTI No.1 Sehubungan dgn rawat inap pd sept 19-Jan-12 18-Jan-12 12<br />
14<strong>31</strong> Q047838 3000388899 SEV3N 10895 KESIA FANI PANCARANINGTYAS DEDDY BUDIAWAN 25-Jan-12 24-Jan-12 6<br />
1432 Q047842 3000372769 SEV3N 10895 SERLY TREISNAWATI D DANNY ROBBY T 20-Jan-12 19-Jan-12 11<br />
1433 Q047899 3000395030 SEV3N 10895 LIDYA FEBY ANTONY MARLINA ERLYANTI 27-Jan-12 25-Jan-12 4<br />
1434 Q047936 3000388904 SEV3N 10895 BELA ARGA NUGRAHA DEDDY BUDIAWAN WAHYU 25-Jan-12 24-Jan-12 6<br />
1435 Q048055 3000395006 SEV3N 10895 RICHARDO NOVELLY MARLINA ERLYANTI 27-Jan-12 25-Jan-12 4<br />
1436 Q048091 3000390200 SEV3N 10895 YUEKE SHINTA DEWI MARLINA ERLYANTI 25-Jan-12 25-Jan-12 6<br />
1437 Q052720 3000350842 SEV3N 10895 EDY SANTOSO HARIS DJOKO WARSITO JUWONO No.1 Med: RFT, Urine Ulang 2x pd hari 13-Jan-12 27-Des-11 18<br />
1438 Q0717<strong>31</strong> SMG STAR 28 ARIS WIBOWO On Process <strong>31</strong>-Jan-12 0<br />
1439 Q071721 SMG STAR 29 BAMBANG PAMUNGKAS On Process <strong>31</strong>-Jan-12 0<br />
1440 Q071730 SMG STAR 30 EKO SOEPRIJANTO On Process <strong>31</strong>-Jan-12 0<br />
1441 Q071729 SMG STAR <strong>31</strong> ROSEV YEHEZKIEAL OCTAVIANUS On Process <strong>31</strong>-Jan-12 0
1442 Q006257 3000<strong>31</strong>0159 SMG1 10060 ARIEF KRISTIANTO VALENTINE NIKE L.S NINA 22-Des-11 20-Des-11 39<br />
1443 Q016893 3000369001 SMG1 10060 ILMI HIDAYAT ELISABETH ARYATI NINA 19-Jan-12 07-Jan-12 12<br />
1444 Q03<strong>31</strong>14 3000285784 SMG1 10060 YENNY AGUSTINE SANTOSO THERESIA MARCELA NINA 20-Des-11 19-Des-11 41<br />
1445 Q041564 3000279426 SMG1 10060 LUIS WIDARYANTI MASRIYATI NINA 19-Des-11 16-Des-11 42<br />
1446 Q041585 3000285823 SMG1 10060 RITA TAKWARIF, BA VALENTINE NIKE L.S NINA 20-Des-11 14-Des-11 41<br />
1447 Q041613 3000196511 SMG1 10060 STANLEY ROBIN MONTONG LINDA MARGARETHA NINA 21-Nop-11 21-Nop-11 70<br />
1448 Q041626 3000368013 SMG1 10060 MUHAMAD LUTFI RAFA PRIBADI DYAH WARTI A No.1 koreksi DOB PP dan AW no 1 di SPA 19-Jan-12 18-Jan-12 12<br />
1449 Q041627 3000367994 SMG1 10060 NADIA ZAHRA PRIBADI DYAH WARTI A No.1 koreksi DOB AW no 1 tdk sama dgn 19-Jan-12 18-Jan-12 12<br />
1450 Q041662 3000287207 SMG1 10060 EKO ETIKA NOOR, DRA MPD DYAH WARTI A NINA 20-Des-11 17-Des-11 41<br />
1451 Q042199 3000358599 SMG1 10060 AJI NOVIANSAPUTRO ANGGRAINI PUJI K No.1 TTG: jlskn di form kec:psg pen di 16-Jan-12 16-Jan-12 15<br />
1452 Q042237 3000376179 SMG1 10060 TSALITSA HANIFATUN NI'MAH AMALIATUL HAMDANAH No.1 koreksi nama PP tdk sesuai ID. 20-Jan-12 19-Jan-12 11<br />
1453 Q042238 3000376111 SMG1 10060 PRATHISTA AMALIATUL HAMDANAH No.1 koreksi nama PP dan tdk sama dgn 20-Jan-12 19-Jan-12 11<br />
1454 Q042239 3000376056 SMG1 10060 NALENDRA AMALIATUL HAMDANAH No.1 koreksi nama PP dan AW di SPA tdk 20-Jan-12 19-Jan-12 11<br />
1455 Q042272 3000359498 SMG1 10060 PUGUH TRIATMOJO IRA HENDRIYANI No.1 TTG adlh agen;SPA hrs ditutup oleh 16-Jan-12 16-Jan-12 15<br />
1456 Q051885 3000351173 SMG1 10060 CHRISTOPHORA PUSPITA ANGGRAINI GADIS PUSPITA S No.1 shub Asma:lampirkan kues Asma :TTG 13-Jan-12 14-Des-11 18<br />
1457 Q071529 3000369849 SMG1 10060 ALVINO HERJUNO AHMAD SUKIDIN NOVERANA SEKAR S No.1 lampirkan ID PP dgn TTD PP yg jelas. 19-Jan-12 19-Jan-12 12<br />
1458 Q071538 3000387364 SMG1 10060 REGINA ANDHIRA KIRANA DONA WIDHASMARA P No.1 TT dan PP :Jlskan VIII no 2 ya;anggota 25-Jan-12 19-Jan-12 6<br />
1459 Q071545 3000382039 SMG1 10060 MUHAMMAD FATIH ADZ DZAKIR NOVERANA SEKAR S No.1 koreksi TB BB TT yg bnr krn ditipex. 21-Jan-12 21-Jan-12 10<br />
1460 Q071739 3000357527 SMG1 10060 PAIYEM PRITA ANGGARINI No.1 koreksi NY di KTP TTG;apakah gelar 16-Jan-12 11-Jan-12 15<br />
1461 Q071741 3000357454 SMG1 10060 KURNIA VALENTINO ALTRI PUTRA PRITA ANGGARINI No.1 koreksi nama PP di SPA sesuai ID. 16-Jan-12 14-Jan-12 15<br />
1462 Q071872 3000387380 SMG1 10060 RAJENDRA NABIL HUTOMO DONA WIDHASMARA P 25-Jan-12 24-Jan-12 6<br />
1463 Q024226 SMG1 AJIH RIDWAN hub AW dgn TTG yg bnr; 3.lengkapi status 17-Jan-12 14<br />
1464 B411270 3000341421 SMG2 10061 HESTINING TRI PANULUH WIEKE SITI KOMAWATI No.1 Ganti ke SP baru dengan no seri Q. 07-Jan-12 07-Jan-12 24<br />
1465 Q009<strong>31</strong>2 3000400506 SMG2 10061 LILI HERAWATI WULANDARI SUKENDRO 30-Jan-12 30-Jan-12 0<br />
1466 Q009<strong>31</strong>9 3000381237 SMG2 10061 SIEK, STEFANUS HENDRA WIJAYA SOFIA NUR ANJANI No.1 Lengkapi: VIII No 9a utk PP. No.2 Tinjau 20-Jan-12 20-Jan-12 11<br />
1467 Q009320 3000381253 SMG2 10061 MICHAEL ENRICO WIJAYA SOFIA NUR ANJANI No.1 Ukur ulang dgn akurat BB TTG. 20-Jan-12 20-Jan-12 11<br />
1468 Q009323 3000381279 SMG2 10061 IGNATIUS FELIX WIJAYA SOFIA NUR ANJANI No.1 Ukur ulang BB TTG secara akurat. 20-Jan-12 20-Jan-12 11<br />
1469 Q009334 3000362392 SMG2 10061 WAHYU SUCI UTAMI YUNANTI No.1 Lengkapi: I No 8 dan 9. No.2 Lengkapi: 17-Jan-12 17-Jan-12 14<br />
1470 Q009342 3000349429 SMG2 10061 HENDRA PRASETYO, ST SRI INDAHYANI No.1 Hasil Rontgen abnormal: Medis 12-Jan-12 12-Jan-12 19<br />
1471 Q041820 300035<strong>31</strong>17 SMG2 10061 KHANZA NEDIVA FAUSTINE JAFAR ENDAH TRI HASTUTI No.1 Klarifikasi di Form B: Penyakit yg 13-Jan-12 26-Des-11 18<br />
1472 Q043515 3000353874 SMG2 10061 LAZUARDI RIFKI MUSLIM AMANTU BILLAH ALMT PENAGIHAN?? No.1 LPK: Hipertensi; Isi Form Hipertensi 13-Jan-12 28-Des-11 18<br />
1473 Q048876 3000334191 SMG2 10061 KASMINI ENDAH TRI HASTUTI No.1 Med LPK Urine Gula darah puasa <strong>31</strong>-Des-11 <strong>31</strong>-Des-11 30<br />
1474 Q048881 3000345297 SMG2 10061 LISA KRISTIANA HALIM SUTANTO No.1 Menunggu persetujuan EP. 10-Jan-12 10-Jan-12 21<br />
1475 Q048899 3000381<strong>31</strong>8 SMG2 10061 STEFANUS FEBRI SULISTIANTO ADE IRMA ROSYANTI No.1 Menunggu persetujuan EP. 20-Jan-12 20-Jan-12 11<br />
1476 Q048906 3000390501 SMG2 10061 ALFARANIA ARLIN AQILAQANITA DWI LAKSMI A No.1 Jelaskan detail pekerjaan PP sehari2; 25-Jan-12 25-Jan-12 6<br />
1477 Q048917 3000389934 SMG2 10061 I LIES ISMAWATI HANDAYANI F.L FENNY LINAWATI No.1 Menunggu persetujuan EP. 25-Jan-12 25-Jan-12 6<br />
1478 Q048942 3000370597 SMG2 10061 KWIK HERRY PRAWIRO WULANDARI SUKENDRO No.1 Prop UN1; SP UN1B; Lamp Form B dgn 19-Jan-12 19-Jan-12 12<br />
1479 Q048949 3000349487 SMG2 10061 YENNY WIJAYA, LIE MARIA THERESIA E No.1 Plan akan diubah ke UN1B: Buat 12-Jan-12 12-Jan-12 19<br />
1480 Q048994 3000371268 SMG2 10061 KUSMEDI WISNU SUDARNO YUNANTI No.1 Menunggu persetujuan EP. 19-Jan-12 19-Jan-12 12<br />
1481 Q048995 3000371226 SMG2 10061 CAHYO SETYOBUDI YUNANTI No.1 Menunggu persetujuan EP. 19-Jan-12 19-Jan-12 12<br />
1482 Q049010 3000378692 SMG2 10061 MAXI IROTH RETNO PUJI ASTUTI NAMA AW NO.2 TIDAK JELAS, V ATAU U No.1 Jelaskan detail pekerjaan sehari2 dan 20-Jan-12 20-Jan-12 11<br />
1483 Q049023 3000397511 SMG2 10061 HARWINI TITIN AGUSTINA 28-Jan-12 28-Jan-12 3<br />
1484 Q049029 3000381334 SMG2 10061 YOSINTA ALFIANTO LINA TRI ASTUTI No.1 Riw minum alkohol: Jenisnya; Brp 20-Jan-12 20-Jan-12 11<br />
1485 Q049132 3000336258 SMG2 10061 TRISNO SANTOSO MARIA THERESIA E No.1 Peningkatan gula darah: Medis HbA1c 03-Jan-12 03-Jan-12 28<br />
1486 Q051999 3000354197 SMG2 10061 ADE KURNIAWAN ADE IRMA ROSYANTI No.1 Riw opr di leher; Karena penyakit apa?. 13-Jan-12 19-Des-11 18<br />
1487 Q052501 3000354375 SMG2 10061 HERMANTO WIBOWO TERTA ANDARWATI GUNAWAN No.1 Riw Maag:Sejak kpn;Pernah rwt;Frek 13-Jan-12 27-Des-11 18<br />
1488 Q052502 3000355711 SMG2 10061 AGUS SANTOSO ANDARWATI GUNAWAN No.1 Isi Form B utk pernyataan setuju dgn 13-Jan-12 27-Des-11 18<br />
1489 Q052504 3000355698 SMG2 10061 MARDIANA BEVI OLLYVIA No.1 Glukosa positif di urine: Med Gula darah 13-Jan-12 26-Des-11 18<br />
1490 Q058819 3000397537 SMG2 10061 FAHD PERMATA RIZAL BUDI WIJAYANTI 28-Jan-12 28-Jan-12 3<br />
1491 Q058823 3000400580 SMG2 10061 TANTI AISIAWATI LILY WINATA 30-Jan-12 30-Jan-12 0<br />
1492 Q0588<strong>31</strong> 3000393745 SMG2 10061 SUSANTI DEWI KURNIAWAN MAYA HARTONO 26-Jan-12 26-Jan-12 5<br />
1493 Q058842 3000397498 SMG2 10061 RENI ATRIA DWITA IDRIYA 28-Jan-12 28-Jan-12 3<br />
1494 Q058870 3000397595 SMG2 10061 DOMYOJI NAYOTTAMA ENY NURFATMAYANTI 28-Jan-12 28-Jan-12 3<br />
1495 Q058871 3000390446 SMG2 10061 JENDRA KINASIH INDRANANTHA PRADINA IRAWATI No.1 Form PASS belum dijawab. 25-Jan-12 25-Jan-12 6<br />
1496 Q058873 3000393842 SMG2 10061 ANGGUN HELEN KOMALASARI LINA TRI ASTUTI 26-Jan-12 26-Jan-12 5<br />
1497 Q058979 3000397553 SMG2 10061 WIRYANTO SUKENDRO WULANDARI SUKENDRO 28-Jan-12 28-Jan-12 3<br />
1498 Q058980 3000397579 SMG2 10061 ANTON HERMAN WULANDARI SUKENDRO 28-Jan-12 28-Jan-12 3<br />
1499 Q070239 3000381198 SMG2 10061 ALTAMIS RAFIF WIBOWO NOVY PUSPITALANI P No.1 Ukur ulang TB TTG dengan akurat. 20-Jan-12 20-Jan-12 11<br />
1500 Q070242 3000386627 SMG2 10061 ANTONIUS HENDY WIBOWO ETY DINIYATI No.1 Lengkapi: VIII No 13. 24-Jan-12 24-Jan-12 7<br />
1501 Q070255 3000361524 SMG2 10061 JAUHARAH LOHITA ANDYASAKHI TRI MARDHIKA A M No.1 SP Postpone karena Penyakit Jantung 17-Jan-12 17-Jan-12 14<br />
1502 Q070274 3000370830 SMG2 10061 VIVI ERNAWATI ENY NURFATMAYANTI No.1 Form Hamil. 19-Jan-12 19-Jan-12 12<br />
1503 Q070417 3000394000 SMG2 10061 DWI KOVALIANA DWI KOVALIANA 26-Jan-12 26-Jan-12 5<br />
1504 Q070454 3000386504 SMG2 10061 ANDANG INDARIYONO SISKA DAMAYANTI, SE No.1 Sebutkan alamat domisili di Papua. 24-Jan-12 24-Jan-12 7<br />
1505 Q070456 3000339175 SMG2 10061 RAHAYU MARGIYANI SUTANTO No.1 Pinjam dok perawatan berdiagnosa Sep 05-Jan-12 05-Jan-12 26<br />
1506 Q010846 3000266522 SMG4 10658 OLIVIA DEWI HANDAYANI ARIF ABRAHAM AMBAR No.1 TTG Olivia medis G;AFP;Lap 16-Des-11 16-Des-11 45<br />
1507 Q010847 3000266580 SMG4 10658 DAVID GUNAWAN ARIF ABRAHAM AMBAR No.1 TTG medis G; AFP; APS; Lap 16-Des-11 16-Des-11 45<br />
1508 Q011152 3000397<strong>31</strong>7 SMG4 10658 CHRISTIANI DWI SUTRISTYAWATI 28-Jan-12 24-Jan-12 3<br />
1509 Q047740 3000375042 SMG4 10658 DANNY BRATASUSILA DWIANA SARI No.1 Nama cabang di System beda dgn 20-Jan-12 12-Jan-12 11<br />
1510 Q047757 3000398664 SMG4 10658 SULISTIYO BAYU AJI, ST DIAH KUSUMAWATI 30-Jan-12 30-Jan-12 0<br />
1511 Q033093 3000375644 SMGSTAR 10896 RUDY PRASETYA THE HWIE ING No.1 LPK BLM ADA. No.2 SEDANG PINJAM 20-Jan-12 20-Jan-12 11<br />
1512 Q041637 3000373951 SMGSTAR 10896 SARI BUDIYUWANTI YUDI AGUSTIAWAN No.1 FORM LPR BLM ADA. No.2 UP LPR DI 20-Jan-12 16-Jan-12 11<br />
1513 Q051883 3000354359 SMGSTAR 10896 AGUSTINI TJOA GIN NIO No.1 dr hsl medis Rontgen need 13-Jan-12 15-Des-11 18<br />
1514 Q051884 3000350923 SMGSTAR 10896 DJAJADI SUSANTO, IR CECILIA RATNAWATI No.1 Riw Extr premi di polis sblumny; RA mjd 13-Jan-12 05-Des-11 18<br />
1515 Q051886 3000354294 SMGSTAR 10896 TAN JAN JAN AL HAM IE HOA NELLY WARDOYO No.1 menunggu keptsan SPA Q048940 (cab 13-Jan-12 26-Des-11 18<br />
1516 Q071526 3000398965 SMGSTAR 10896 OKTARAINA HANDAYANI TJOA GIN NIO 30-Jan-12 26-Jan-12 0<br />
1517 Q071533 3000387322 SMGSTAR 10896 SAFIRA WIDYA CHRISTY ABERDINA PRAMARINI H 25-Jan-12 24-Jan-12 6<br />
1518 Q071534 3000387128 SMGSTAR 10896 MATTHEW VIDO CARLO VERONICA INDRA DEWI TP+STU BEDA (LSG) 25-Jan-12 21-Jan-12 6<br />
1519 Q071660 3000367512 SMGSTAR 10896 WONG SOEK JING THERESIA MARCELA No.1 Data Sumber Dana (SP hal. 2) kosong. 19-Jan-12 16-Jan-12 12<br />
1520 Q071677 3000367740 SMGSTAR 10896 GRACE SELINA CRISTY SUDARMONO MARRA KURNIA EDNAWATI 19-Jan-12 13-Jan-12 12<br />
1521 Q071678 3000367790 SMGSTAR 10896 JESSICA OVTAVIA CRISTY SUDARMONOHENNY SUCIATI SEPTI 19-Jan-12 13-Jan-12 12<br />
1522 Q071698 3000369954 SMGSTAR 10896 BUDHI SANTOSO SETIA VALENTINE NIKE L.S No.1 Medical Type A. 19-Jan-12 17-Jan-12 12<br />
1523 Q071699 3000370610 SMGSTAR 10896 VALENTINE NIKE LIENITA SANTOSO VALENTINE NIKE L.S No.1 sehub riw claim di polis sblmnya minta 19-Jan-12 18-Jan-12 12<br />
1524 Q071711 3000372670 SMGSTAR 10896 FEBBY CLARISSA ALVITASARI HANNI THERESIA MARCELA 20-Jan-12 17-Jan-12 11<br />
1525 Q071733 3000362855 SMGSTAR 10896 IRENNE ELLY MEINAR SITOMPUL RHESA ADRIANTO W No.1 PREMI PERTHN LEBIH BESAR DARI 18-Jan-12 14-Jan-12 13<br />
1526 Q071738 3000398216 SMGSTAR 10896 INEKE WIBAWA NELLY WARDOYO 30-Jan-12 27-Jan-12 0<br />
1527 Q071749 3000375563 SMGSTAR 10896 SRI RAHAYU FIA DA SILVA No.1 TTD DI HAL. 5 DAN 6 SPA YG BENAR. 20-Jan-12 19-Jan-12 11<br />
1528 Q006186 3000348384 SOL 10090 RICHY WAHYU IMAM SAPUTRA ANJASMORO BUDI S CHOLIDI 12-Jan-12 11-Jan-12 19<br />
1529 Q008892 3000395307 SOL 10090 JEFFREY ARDI SANTOSO LINDA HARYANTI 27-Jan-12 26-Jan-12 4<br />
1530 Q009353 3000349518 SOL 10090 DEDDY IRAWAN HENDRAWATI GUNAWAN No.1 Dari medical yg diterima:SPA 12-Jan-12 11-Jan-12 19<br />
15<strong>31</strong> Q021019 3000381758 SOL 10090 ANTON BUDI HERMAWAN, DR ANTON BUDI HERMAWAN No.1 Penghasilan lengkapi. No.2 Jenis 21-Jan-12 10-Jan-12 10<br />
1532 Q021020 3000284047 SOL 10090 YULIANA MONITA SURYANTI ELFI SETYA B. CHOLIDI 20-Des-11 12-Des-11 41<br />
1533 Q021024 3000395129 SOL 10090 DEBORA AGUSTIN SETYANINGSIH TEDDY IMANUEL 27-Jan-12 26-Jan-12 4<br />
1534 Q021164 3000339345 SOL 10090 YULIAN TAMARA T RICA PUJAWATI No.1 Dari hasil medical yang 06-Jan-12 05-Jan-12 25<br />
1535 Q022735 3000181851 SOL 10090 ALESSANDRO OKTAVANIO ROY KAMBEYANDRE PUTRO SETIONO CHOLIDI 15-Nop-11 15-Nop-11 76<br />
1536 Q022749 3000389196 SOL 10090 RATNO PRIBADI, SPD IR. ANDANG PRIYANTO 25-Jan-12 24-Jan-12 6<br />
1537 Q022757 3000397951 SOL 10090 VICTOR JONATHAN HARIANTO AGUSTIN KUSUMA DEWI TAMTOMO 30-Jan-12 27-Jan-12 0<br />
1538 Q023729 3000339353 SOL 10090 NUNUK NOVIANI IRAWAN RICA PUJAWATI CHOLIDI NO FORM B, INPUT TP DAN STU SETELAH PERUBAHAN 06-Jan-12 05-Jan-12 25<br />
1539 Q047807 3000392024 SOL 10090 DEUIS RINA MARLINA SUROTO 26-Jan-12 26-Jan-12 5<br />
1540 Q047809 3000381766 SOL 10090 YUNIA WAHDIYATI, DR ANTON BUDI HERMAWAN No.1 Penghasilan TTG lengkapi. No.2 Jenis 21-Jan-12 10-Jan-12 10<br />
1541 Q047904 3000396303 SOL 10090 KURNIADI LINANTO LIDWINA APRILLIANI SK COPY 27-Jan-12 27-Jan-12 4<br />
1542 Q047968 3000382479 SOL 10090 NATHANAEL ALVIN SKYLER ELFI SETYA B. CHOLIDI 24-Jan-12 20-Jan-12 7<br />
1543 Q048007 3000372507 SOL 10090 KHLOE MANNUE TAN RICA PUJAWATI No.1 P polis medical G:Ra 1559340000 usia 20-Jan-12 18-Jan-12 11<br />
1544 Q047782 3000267772 SOLJDM 10843 KAREL BONAR NATHANAEL DINA MOHANDAS SARWO 16-Des-11 16-Des-11 45<br />
1545 Q047783 3000244354 SOLJDM 10843 PAULUS MULYADI DINA MOHANDAS SARWO 09-Des-11 09-Des-11 52<br />
1546 Q047784 3000326768 SOLJDM 10843 ATHALLAH DARREL AMRU CHRISTINA K CLIFFORD 28-Des-11 28-Des-11 33<br />
1547 Q047966 3000320322 SOLJDM 10843 DANIEL HENDRO WIBOWO DINA MOHANDAS CHOLIDI No.1 TT Med E kr riw EM pd polis lama. 27-Des-11 24-Des-11 34<br />
1548 Q049878 3000383409 SOLJDM 10843 AY AFIE QWARTIANNA AY AFIE QWARTIANNA No.1 Sk pembayaran. No.2 Rider pd SPA 24-Jan-12 23-Jan-12 7<br />
1549 Q049882 3000236133 SOLJDM 10843 HARJO PRANANTIO SUSANTO WILLY GUNAWAN SEPTI No.1 Lampirkan F Hipertensi oleh TT n dokter 06-Des-11 05-Des-11 55<br />
1550 Q049884 3000236214 SOLJDM 10843 HARJO PRANANTIO SUSANTO WILLY GUNAWAN SEPTI No.1 Cek TP STU SPA BEDA dg Proposal 06-Des-11 05-Des-11 55<br />
1551 Q049889 3000367122 SOLJDM 10843 MUTIARA PUTRI ERLAN MUHAMAD IWAN NO FORM B, SK RECC ATAU AD TIDAK ADA, ID TTG No.1 SK pembayaran. No.2 ID TT. No.3 19-Jan-12 18-Jan-12 12<br />
1552 Q002251 3000390323 SQL 101 HUGO SALIM SEQUIS LIFE CHOLIDI 25-Jan-12 20-Jan-12 6<br />
1553 Q052526 3000353052 SQL 101 WENNY, SE SEQUIS LIFE No.1 Cek kode plan untuk karyawan. No.2 13-Jan-12 13-Des-11 18<br />
1554 Q011108 3000326491 STARBTM3 10783 TAN A TJAU YULIANI CHOLIDI ALAMAT PENAGIHAN?? No.1 Sehubungan dari LPK ditemukan ada 28-Des-11 28-Des-11 33<br />
1555 Q032690 3000396298 STARBTM3 10783 SUNAN NABAWI ERWIMO PRIYO NUGROHO 27-Jan-12 13-Jan-12 4<br />
1556 Q032692 3000361922 STARBTM3 10783 MARDI MARKAN MARDI MARKAN CHOLIDI 17-Jan-12 14-Jan-12 14<br />
1557 Q032700 3000370937 STARBTM3 10783 DEMI DAMAYANTI ERWIMO PRIYO NUGROHO No.1 NPK SPA hal1 tidak sama dengan SPA 19-Jan-12 12-Jan-12 12<br />
1558 Q032783 3000278250 STARBTM3 10783 SYUHAILA SARI FITRIYANI, S SOS MARDI MARKAN CHOLIDI No.1 SK pembayaran. 19-Des-11 17-Des-11 42<br />
1559 Q039603 3000344649 STARBTM3 10783 DORLAN HUTABARAT SUTEJO 10-Jan-12 10-Jan-12 21<br />
1560 Q039610 3000388962 STARBTM3 10783 AZIS MAULANA GEORGE STEFANUS YAN PREMI DASAR DAN STU# JUMLAH PREMI BULANAN TDK 25-Jan-12 15-Jan-12 6<br />
1561 Q039646 3000341201 STARBTM3 10783 ELLY ERWIMO PRIYO NUGROHO No.1 TTG medical F:Ra 1324540000 usia 07-Jan-12 06-Jan-12 24<br />
1562 Q039647 3000389235 STARBTM3 10783 ANDREAS WINSTON ARYAGUNA ERWIMO PRIYO NUGROHO 25-Jan-12 08-Jan-12 6<br />
1563 Q039650 3000342192 STARBTM3 10783 TINAWATI ERWIMO PRIYO NUGROHO DOB AW NO.5 KOSONG, No.1 Sehubungan TTG melampirkan hasil 09-Jan-12 07-Jan-12 22<br />
1564 Q039718 3000371048 STARBTM3 10783 TALIS, SAG NAZARUDIN AMBAR 19-Jan-12 19-Jan-12 12<br />
1565 Q052560 3000351830 STARBTM3 10783 SE KHIM YULIANI NAMA AW NO.1 TDK JELAS No.1 Sehubungan hasil PA tidak ada;TTG 13-Jan-12 22-Nop-11 18<br />
1566 Q072448 3000385362 STARBTM3 10783 PARSAULIAN GULTOM IRABELLA LATIO No.1 TTG medical A:Ra 50jt usia 56th. 24-Jan-12 20-Jan-12 7<br />
1567 Q072449 3000370987 STARBTM3 10783 AMMAR JASMADI WAHYUDI NUGROHO NO FORM B, SK AD (COPY), NAMA PP TIDAK JELAS No.1 Ukur ulang TB BB TTG. 19-Jan-12 18-Jan-12 12<br />
1568 Q004826 3000385477 STARBTM4 10825 BALQIS KHANSA NAURAH YETTI WIDYANINGRUM No.1 Koreksi penghasilan tahunan yg benar: 24-Jan-12 21-Jan-12 7<br />
1569 Q004987 3000371022 STARBTM4 10825 ANDY ANANTO MUHAMMAD MARIANTININGRUM NO FORM B, ADA SK RECC (COPY). NAMA AW NO.3 No.1 Lengkapi: VIII No 7b utk PP. No.2 NPK 19-Jan-12 19-Jan-12 12<br />
1570 Q051976 3000354139 STARBTM4 10825 ANDY ANANTO MUHAMMAD MARIANTININGRUM No.1 Hasil urine abnormal: Med Ulang urine 13-Jan-12 22-Nop-11 18<br />
1571 Q072439 3000385590 STARBTM4 10825 ENCUP N KRISTIANA RAHAYU No.1 SK bayar bulanan. No.2 Form PASS 24-Jan-12 21-Jan-12 7<br />
1572 Q072441 3000385613 STARBTM4 10825 VIERNA ANGELI SIMATUPANG KRISTIANA RAHAYU No.1 SK bayar bulanan. No.2 Lengkapi: IIIa 24-Jan-12 21-Jan-12 7<br />
1573 Q015798 3000334379 STARBTM8 10848 YOHANA SANY FRANSISKA LIMBONG MELVA EF GIRSANG 02-Jan-12 30-Des-11 29<br />
1574 Q015812 3000392244 STARBTM8 10848 LILI HENDRAYANI HELIYANTI 26-Jan-12 21-Jan-12 5<br />
1575 Q015930 3000268427 STARBTM8 10848 ASNAH ERNAWATI EDI PENGHASILAN?? 16-Des-11 16-Des-11 45<br />
1576 Q0159<strong>31</strong> 3000376234 STARBTM8 10848 INDRIYATI INDRIYATI No.1 Dari hasil med;SPA POSTPONE krn 20-Jan-12 20-Jan-12 11<br />
1577 Q032653 3000380299 STARBTMSQ9 10870 WARREN MASJHUDULHAK No.1 PP MED. TIPE B. 20-Jan-12 12-Jan-12 11<br />
1578 Q034632 3000349178 STARBTMSQ9 10870 WENDY JULIANI AUTO DEB ADA TP BLM DIINPUT No.1 Plan pada SP UN1A, lampirkan form B. 12-Jan-12 12-Jan-12 19<br />
1579 Q072492 3000381685 STARBTMSQ9 10870 MELISA LEE MASJHUDULHAK No.1 PP : Riw Kes No. 2, kosong (klarifikasi). 21-Jan-12 19-Jan-12 10<br />
1580 Q072497 3000380354 STARBTMSQ9 10870 KARIYANI MASJHUDULHAK No.1 TGL LAHIR AW YG BENAR. No.2 TTG 20-Jan-12 12-Jan-12 11<br />
1581 Q072498 3000380493 STARBTMSQ9 10870 HENRY PANDANA MASJHUDULHAK 20-Jan-12 12-Jan-12 11<br />
1582 Q00<strong>31</strong>93 3000358515 STARJKT1 10758 SARINUS JAMBI JIWANDY TAHUN LAHIR AW NO.2? 16-Jan-12 15-Jan-12 15<br />
1583 Q003200 3000324774 STARJKT1 10758 JONAH EDBERT SUBEKTI SUDIAWATI CHOLIDI No.1 TTG:Sehubungan cacat sejak lahir;TTG 28-Des-11 26-Des-11 33<br />
1584 Q019812 3000199496 STARJKT1 10758 PUTRI HENXI MOSES WITONO,SE CHOLIDI 21-Nop-11 21-Nop-11 70<br />
1585 Q019827 3000364255 STARJKT1 10758 VIONI VIRANDA CONG BUI LANG No.1 Lampirkan hasil riw. USG. 18-Jan-12 16-Jan-12 13<br />
1586 Q019841 3000213016 STARJKT1 10758 SITI ELMIAH YUFI RISKA CHOLIDI 24-Nop-11 23-Nop-11 67<br />
1587 Q019850 3000265681 STARJKT1 10758 HARTONO WIJAYA, OEY HARTONO WIJAYA, OEY CHOLIDI No.1 Form ekstra premi. 16-Des-11 16-Des-11 45<br />
1588 Q019878 3000392375 STARJKT1 10758 LUKAS SUHARDIMAN LIM CHIN HIN 26-Jan-12 25-Jan-12 5<br />
1589 Q019898 3000358492 STARJKT1 10758 THIO SUZANA MARTHA THIO HILDA THEODORA No.1 Medical Type B. 16-Jan-12 15-Jan-12 15<br />
1590 Q0525<strong>31</strong> 3000355614 STARJKT1 10758 HENDRAWAN SUWANDI BUDIANTO No.1 Dari hasil medical yg diterima;TTG 13-Jan-12 27-Des-11 18<br />
1591 Q064507 3000383603 STARJKT1 10758 FELICIA GRETA TANJAYA SAMUDERA CHOLIDI 24-Jan-12 23-Jan-12 7<br />
1592 Q011207 3000385859 STARKRC 10849 RACHEL GWENDA GANDA ITPS 24-Jan-12 16-Jan-12 7<br />
1593 Q011218 3000385710 STARKRC 10849 NASIR SAUR ULIASI PURBA 24-Jan-12 16-Jan-12 7<br />
1594 Q022401 3000385671 STARKRC 10849 HODDY P SAGALA KORNEL DAMANIK No.1 Form extra premi profesi terlampir. 24-Jan-12 16-Jan-12 7<br />
1595 Q022406 3000385914 STARKRC 10849 RICHARD GWEN GANDA ITPS 24-Jan-12 16-Jan-12 7<br />
1596 Q022408 3000385833 STARKRC 10849 RICHNES VANIA GANDA ITPS 24-Jan-12 16-Jan-12 7<br />
1597 Q022409 3000389188 STARKRC 10849 DEDY MARLIYADI SAUR ULIASI PURBA 25-Jan-12 17-Jan-12 6<br />
1598 Q022413 3000386229 STARKRC 10849 SRILAWATI PURBA, SPD KORNEL DAMANIK No.1 TTG guru mata pelajaran apa. No.2 24-Jan-12 15-Jan-12 7<br />
1599 Q022416 3000386423 STARKRC 10849 RIDWAN SAUR ULIASI PURBA 24-Jan-12 16-Jan-12 7<br />
1600 Q022417 3000389081 STARKRC 10849 DAMAWANTHA GINTING SAUR ULIASI PURBA 25-Jan-12 16-Jan-12 6<br />
1601 Q022418 3000389146 STARKRC 10849 DENDI DUTA PRADELPIN SAUR ULIASI PURBA 25-Jan-12 17-Jan-12 6<br />
1602 Q034650 3000252614 STARMDN11 10697 UNNI BAYANI BUCHARI SUWANTO EDI 13-Des-11 23-Nop-11 48
1603 Q034677 3000296076 STARMDN11 10697 SURYA LIM BUNG SURYA LIM BUNG EDI 21-Des-11 21-Des-11 40<br />
1604 Q034730 3000306403 STARMDN11 10697 MUHAMMAD RUSDA, DR HARTATI SUTRISNO EDI 22-Des-11 20-Des-11 39<br />
1605 Q034734 3000327879 STARMDN11 10697 SUN HUI KING HANDOKO No.1 Perbaiki proposal dg jenis kelamin yg 28-Des-11 23-Des-11 33<br />
1606 Q034813 3000296262 STARMDN11 10697 EDWIN SALIM EDWIN SALIM EDI 21-Des-11 21-Des-11 40<br />
1607 Q034816 3000378757 STARMDN11 10697 DARMAWAN HANDOKO No.1 Total RA Rp 600jt;58 th;Med tipe C. 20-Jan-12 20-Jan-12 11<br />
1608 Q034817 3000379478 STARMDN11 10697 JIMMY TIO HANDOKO EDI 20-Jan-12 20-Jan-12 11<br />
1609 Q039933 3000304095 STARMDN11 10697 ANDY HANDOKO CHOLIDI 21-Des-11 21-Des-11 40<br />
1610 Q039971 3000302019 STARMDN11 10697 JIMMY ELIANTO EDI DATA AHLI WARIS BELUM DIINPUT No.1 Tgl lahir ahli waris. 21-Des-11 20-Des-11 40<br />
1611 Q041255 3000373812 STARMDN11 10697 TJOE LIAN IM ANTHONI CHOUNARDO No.1 NPK dan nama agen beda di SPA dan 20-Jan-12 20-Jan-12 11<br />
1612 Q041267 3000303976 STARMDN11 10697 YANTI EDWIN SALIM EDI 21-Des-11 21-Des-11 40<br />
1613 Q041374 3000380176 STARMDN11 10697 LEVIS JADE SUWIYANTO SK AUTO DEB / REC TDK DILAMPIRKAN, ID TTG TDK No.1 Rider beda di SPA dan proposal. No.2 20-Jan-12 15-Jan-12 11<br />
1614 Q041375 3000375791 STARMDN11 10697 STEVEN HANDOKO MAKMUR SK AUTO DEB / REC TDK DILAMPIRKAN No.1 Surat kuasa bayar bulanan. 20-Jan-12 20-Jan-12 11<br />
1615 Q050476 3000390098 STARMDN11 10697 YOICE HENRY SUSANTO AUTO DEB ADA TP BLM DIINPUT 25-Jan-12 23-Jan-12 6<br />
1616 Q050477 3000389463 STARMDN11 10697 ASWANSYAH NOERDIN YULIA MUCHITA SARI AUTO DEB ADA TP BLM DIINPUT 25-Jan-12 22-Jan-12 6<br />
1617 Q050484 3000389332 STARMDN11 10697 MHD TAUFIQ REGIA ARNAZ YULIA MUCHITA SARI AUTO DEB ADA TP BLM DIINPUT No.1 nama TTG di SPA hrs sesuai ID. 25-Jan-12 23-Jan-12 6<br />
1618 Q050508 3000394377 STARMDN11 10697 NOVIRA SULFIANTY HARTATI SUTRISNO REC ADA TP BLM DIINPUT 27-Jan-12 25-Jan-12 4<br />
1619 Q050511 300039<strong>31</strong>69 STARMDN11 10697 SRI KURNIATI HARTATI SUTRISNO REC ADA TP BLM DIINPUT 26-Jan-12 25-Jan-12 5<br />
1620 Q050519 3000394335 STARMDN11 10697 LAKSONO BAGUS SASMITO HARTATI SUTRISNO AUTO DEB ADA TP BLM DIINPUT 27-Jan-12 25-Jan-12 4<br />
1621 Q051102 3000389421 STARMDN11 10697 NUCKY VERA ARNAZ YULIA MUCHITA SARI AUTO DEB ADA TP BLM DIINPUT 25-Jan-12 22-Jan-12 6<br />
1622 Q051121 3000390111 STARMDN11 10697 RINA WATI BR SITEPU HENRY SUSANTO AUTO DEB ADA TP BLM DIINPUT 25-Jan-12 22-Jan-12 6<br />
1623 Q051149 3000365104 STARMDN11 10697 YENNI SOFYAN AUTO DEB ADA TP BLM DIINPUT No.1 Pinjam hasil PA operasi kista ovarium th 18-Jan-12 18-Jan-12 13<br />
1624 Q034671 3000392820 STARMDN18 10745 JONNY TETY YENNI 26-Jan-12 26-Jan-12 5<br />
1625 Q039951 3000290216 STARMDN18 10745 GANDHI D TAMBUNAN, DRS MSI HOTMA BR. TOBING BIMO 20-Des-11 13-Des-11 41<br />
1626 Q039958 3000237359 STARMDN18 10745 KEVIN FELICIA ANJANI AUTO DEB ADA TP BLM DIINPUT No.1 Lampirkan Hasil CT Scan oct 2011 07-Des-11 06-Des-11 54<br />
1627 Q039974 3000373854 STARMDN18 10745 SOFIAN TANKAS LIONG LILY No.1 operasi hernia bagian mana?. 20-Jan-12 18-Jan-12 11<br />
1628 Q041363 3000393004 STARMDN18 10745 SRI WAHYUNI SRI KEMALA DEWI 26-Jan-12 26-Jan-12 5<br />
1629 Q041423 3000378676 STARMDN18 10745 SUYOTO HARTONO APRILIASTA PURBA, DR BIMO 20-Jan-12 20-Jan-12 11<br />
1630 Q041425 3000378595 STARMDN18 10745 SUSI JUNIARTI HARTONO APRILIASTA PURBA, DR BIMO 20-Jan-12 20-Jan-12 11<br />
16<strong>31</strong> Q050451 3000392888 STARMDN18 10745 KUNARI SRI KEMALA DEWI 26-Jan-12 26-Jan-12 5<br />
1632 Q050452 3000392943 STARMDN18 10745 TANDI SUWITO SRI KEMALA DEWI 26-Jan-12 26-Jan-12 5<br />
1633 Q050457 3000392901 STARMDN18 10745 MERY JONATHAN SRI KEMALA DEWI 26-Jan-12 26-Jan-12 5<br />
1634 Q050458 3000394725 STARMDN18 10745 NATHAN GODWYN HUANG HENNY 27-Jan-12 27-Jan-12 4<br />
1635 Q050468 3000394953 STARMDN18 10745 EDY SUTRISNO SRI KEMALA DEWI 27-Jan-12 27-Jan-12 4<br />
1636 Q050521 3000391086 STARMDN18 10745 TIMOTHY HENNY 26-Jan-12 26-Jan-12 5<br />
1637 Q051966 3000348669 STARMDN18 10745 T SELAMAT SRI KEMALA DEWI BIMO 12-Jan-12 11-Jan-12 19<br />
1638 Q041383 3000379800 STARMDN4 10021 WASTON SAMOSIR SUSI YUNITA NASUTION SK AUTO DEB / REC TDK DILAMPIRKAN No.1 SK pembayaran. 20-Jan-12 20-Jan-12 11<br />
1639 Q050448 3000396963 STARMDN4 10021 SAHAT TUA SIRAIT MARUASAS HUTASOIT AUTO DEB ADA TP BLM DIINPUT 28-Jan-12 28-Jan-12 3<br />
1640 Q050513 3000395462 STARMDN4 10021 LUMAWAN SUNARLI MULIADY 27-Jan-12 27-Jan-12 4<br />
1641 Q019832 3000391777 STARPDG1 10018 EKA IMMAWATY YETTI SIETIAWAN 26-Jan-12 26-Jan-12 5<br />
1642 Q019833 3000391816 STARPDG1 10018 DARMAWAN ANGKASA YETTI SIETIAWAN 26-Jan-12 26-Jan-12 5<br />
1643 Q0<strong>31</strong>351 3000394767 STARPDG1 10018 JULITA YETTI SIETIAWAN 27-Jan-12 27-Jan-12 4<br />
1644 Q0<strong>31</strong>365 3000393923 STARPDG1 10018 TJEN JEN LIE YETTI SIETIAWAN 26-Jan-12 26-Jan-12 5<br />
1645 Q0<strong>31</strong>373 3000391832 STARPDG1 10018 RIDWAN GUNAWAN YETTI SIETIAWAN 26-Jan-12 26-Jan-12 5<br />
1646 Q014480 3000368136 STARPDG2 10839 NOFRIDA DORIS APRIZONA No.1 Hal 2 Bag III a no 7 dilengkapi. No.2 19-Jan-12 18-Jan-12 12<br />
1647 Q014483 3000387827 STARPDG2 10839 FAIZ FARISI DESI ELVIANI 25-Jan-12 15-Des-11 6<br />
1648 Q018912 3000367588 STARPDG2 10839 MELONG HASAN No.1 Penulisan nama sesuai ID adalah Me 19-Jan-12 13-Jan-12 12<br />
1649 Q018930 3000367724 STARPDG2 10839 MAUREEN TANSIA HASAN NO FORM B, SK AD (COPY), PERBAIKI NAMA PP SESUAI No.1 Penulisan nama harus sesuai ID yaitu 19-Jan-12 13-Jan-12 12<br />
1650 Q0<strong>31</strong>356 3000367910 STARPDG2 10839 JASMANIDAR EKA MAI SAPUTRA No.1 Lampirkan surat kuasa pembayaran. 19-Jan-12 18-Jan-12 12<br />
1651 Q0<strong>31</strong>358 3000367952 STARPDG2 10839 ZAHARA B, SH EKA MAI SAPUTRA No.1 Lampirkan surat kuasa pembayaran. 19-Jan-12 18-Jan-12 12<br />
1652 Q0<strong>31</strong>524 3000367839 STARPDG2 10839 ROHANI HASAN NO FORM B, ADA SK AD (COPY), PERBAIKI NAMA PP No.1 Penulisan nama ttg harus sesuai KTP 19-Jan-12 13-Jan-12 12<br />
1653 Q032234 3000368500 STARPDG2 10839 MULYATI SUHARTI No.1 Nama agen di system Suharti tdk sm 19-Jan-12 10-Jan-12 12<br />
1654 Q006521 3000351474 STARPTK1 10032 DERANI HARTADINATA IMAM FERIZA No.1 Form Extra Premi terlampir. 13-Jan-12 13-Jan-12 18<br />
1655 Q049098 3000368649 STARPTK1 10032 LIU SOK TJU HERY No.1 TP pd SPA tdk sesuai dg MOP. No.2 19-Jan-12 16-Des-11 12<br />
1656 Q049179 3000394741 STARPTK1 10032 MARKUS YAN SUN MICHAEL 27-Jan-12 24-Jan-12 4<br />
1657 Q051730 3000390153 STARPTK1 10032 AGUNG MULYADI IMAM FERIZA 25-Jan-12 25-Jan-12 6<br />
1658 B327265 3000277995 STARRJW1 10034 HERI SUSANTO NAYAN BIMO 19-Des-11 01-Des-11 42<br />
1659 Q012302 3000229887 STARRJW1 10034 BAHASAN SARDI RUDYANTO BIMO 03-Des-11 03-Des-11 58<br />
1660 Q028546 3000368152 STARRJW1 10034 GRACELYN PRAJNA RUDYANTO NO FORM B, ADA SK AD (COPY) No.1 POSTPONE 1 thn karena Underweight 19-Jan-12 14-Jan-12 12<br />
1661 Q029829 3000356628 STARRJW1 10034 SIOE PO RUDYANTO No.1 med type A. 14-Jan-12 08-Jan-12 17<br />
1662 Q029911 3000278373 STARRJW1 10034 JOHAN RUDYANTO BIMO No.1 Med type E . 19-Des-11 15-Des-11 42<br />
1663 Q029912 3000256684 STARRJW1 10034 NURMAWANI RUDYANTO BIMO 14-Des-11 14-Des-11 47<br />
1664 Q029917 3000346170 STARRJW1 10034 GERY ANANTA SALMAN BIMO 11-Jan-12 02-Jan-12 20<br />
1665 Q052704 3000354058 STARRJW1 10034 MARZUKI AGI SUGIANTO No.1 Lpk Urine, GDP, HbA1c, Quest 13-Jan-12 01-Des-11 18<br />
1666 Q057788 3000356660 STARRJW1 10034 AJU SALMAN No.1 menungu APS. 14-Jan-12 10-Jan-12 17<br />
1667 Q052702 3000352218 STARRJW2 10798 ROY ANDY WILLIAM WIJAYA No.1 med Lpk Urine. 13-Jan-12 19-Des-11 18<br />
1668 Q052703 3000352292 STARRJW8 10872 I GEDE NHATA DHARMA UTAMA BETTY UTAMI No.1 lampirkan ID ttg. 13-Jan-12 13-Jan-12 18<br />
1669 Q049159 3000266564 STARSKW1 10877 HANDOKO SURYADI APRIYANI TAN No.1 SPA POSTPONE krn peningkatan 16-Des-11 15-Des-11 45<br />
1670 Q049193 3000386863 STARSKW1 10877 DEVANELA REDITHA U TELLY YANTI SRI R No.1 Surat ekstra premi riw operasi kista 25-Jan-12 11-Jan-12 6<br />
1671 Q049194 3000386889 STARSKW1 10877 LUTHFIYYAH TAMIMA U TELLY YANTI SRI R EDI 25-Jan-12 11-Jan-12 6<br />
1672 Q049195 3000386902 STARSKW1 10877 MUCHLISA U TELLY YANTI SRI R No.1 Dari LPK TTG pakai kaca mata; berapa 25-Jan-12 11-Jan-12 6<br />
1673 Q022015 3000360968 STARTJP1 100<strong>31</strong> LUVI TJOA SUSY BIMO NO FORM B, ALAMAT SESUAI KETERANGAN 17-Jan-12 16-Jan-12 14<br />
1674 Q022023 3000336868 STARTJP1 100<strong>31</strong> ANGELYNA ROSNAISAH 04-Jan-12 22-Des-11 27<br />
1675 Q018888 3000356482 TGLKINGS 10059 SOEDJOKO HERLAMBANG HENNY WIDYASTUTI No.1 TTG DM:need 14-Jan-12 13-Jan-12 17<br />
1676 Q005700 3000390828 TGR 10026 LORA SWANDANA DIDI SUPANDI 26-Jan-12 25-Jan-12 5<br />
1677 Q005725 3000138939 TGR 10026 HERMAN RAHARDJA HERMAN RAHARDJA CHOLIDI 24-Okt-11 21-Okt-11 97<br />
1678 Q006011 3000321386 TGR 10026 ARDY CANDRA SUTANDI EDI WIJONO CHOLIDI No.1 Sehubungan Diabetes TTG 27-Des-11 23-Des-11 34<br />
1679 Q038340 3000301534 TGR 10026 VANIA PRISCILIA RAMA WIDJAJA CHOLIDI No.1 Ukur ulang TB BB TTG. No.2 Lengkapi 21-Des-11 21-Des-11 40<br />
1680 Q038341 3000300774 TGR 10026 FRANSISKA NATALIA RAMA WIDJAJA CHOLIDI No.1 TB BB P polis tidak sama dengan di 21-Des-11 21-Des-11 40<br />
1681 Q038393 3000299595 TGR 10026 HALIMI SUPANDI NORIKO ELIZABETH CHOLIDI No.1 SPA hal4 no10 dan 13 lengkapi. 21-Des-11 20-Des-11 40<br />
1682 Q038413 3000364336 TGR 10026 MELVIN IVANDER CHAN NORIKO ELIZABETH No.1 SPA Postpone:karena riwayat kejang 18-Jan-12 28-Des-11 13<br />
1683 Q038418 3000400700 TGR 10026 SUN KIE RAMA WIDJAJA 30-Jan-12 28-Jan-12 0<br />
1684 Q038440 3000351597 TGR 10026 DONNY SH DAMANIK GUNARTO WIJAYA No.1 Total premi maximal 20% dari 13-Jan-12 11-Jan-12 18<br />
1685 Q038556 3000400645 TGR 10026 MERY GUNAWAN SURYAANDRIANNI 30-Jan-12 30-Jan-12 0<br />
1686 Q038571 3000400687 TGR 10026 VERONICA NORI LINA NOVITA BOEDI 30-Jan-12 29-Jan-12 0<br />
1687 Q038572 3000400661 TGR 10026 MONICA SUTANTO LINA NOVITA BOEDI 30-Jan-12 29-Jan-12 0<br />
1688 Q038573 3000400726 TGR 10026 LOE MEGAWANI SURYAANDRIANNI 30-Jan-12 28-Jan-12 0<br />
1689 Q038600 3000400629 TGR 10026 LINDA HERAWATI MARLINA 30-Jan-12 30-Jan-12 0<br />
1690 Q038604 3000363013 TGR 10026 BUDI WARMAN GUNARTO WIJAYA No.1 Sehubungan TB BB TTG;maka TTG 18-Jan-12 13-Jan-12 13<br />
1691 Q038607 3000390276 TGR 10026 PAULUS F FRAN WIGUNA LINA NOVITA BOEDI 25-Jan-12 25-Jan-12 6<br />
1692 Q038608 3000400742 TGR 10026 RATNA HARIS LINA NOVITA BOEDI 30-Jan-12 29-Jan-12 0<br />
1693 Q038611 3000390747 TGR 10026 DAVID RISAKOTTA DAVID RISAKOTTA 26-Jan-12 25-Jan-12 5<br />
1694 Q038612 3000384706 TGR 10026 NICHOLAS TRISTAN MULYOPUTRA SUSANTI LIHAP EDI 24-Jan-12 19-Jan-12 7<br />
1695 Q038658 3000225972 TGR 10026 SOFIAWATI WIDJAJA LINA NOVITA BOEDI CHOLIDI 01-Des-11 01-Des-11 60<br />
1696 Q071565 3000399385 TGR 10026 YAU SOO WAH SURYAANDRIANNI 30-Jan-12 26-Jan-12 0<br />
1697 Q071590 3000333797 TGR 10026 ANTHONIUS ADNAN HENDRIAS CLIFFORD No. ID / ID tidak ada No.1 SPA hal1 no7 lengkapi. No.2 ID TTG. 30-Des-11 29-Des-11 30<br />
1698 Q071592 3000384803 TGR 10026 HENDRIAS SURYAANDRIANTI No.1 Plan UN1A di SPA;proposal dan 24-Jan-12 20-Jan-12 7<br />
1699 Q071625 3000358573 TGR 10026 JESSYCA OCTAVIANI ANDREAS HARI S No.1 Form ekstra premi u P polis 16-Jan-12 13-Jan-12 15<br />
1700 Q074923 3000358476 TGR 10026 HENDRA RAHARJA LIE ANDREAS HARI S No.1 MPP di SPA kosong. No.2 SK 16-Jan-12 13-Jan-12 15<br />
1701 Q038344 TGR1 624 HENY DIANWATI uw ok 29-Des-11 32<br />
1702 Q000870 3000261996 TGR2 10010 MOH SIDIK MOH SIDIK BIMO 15-Des-11 14-Des-11 46<br />
1703 Q000960 3000244257 TGR2 10010 VERONIKA HERLINA SRI HARUM HIRAWAN BIMO No.1 Urine ulang 2x pd hari berbeda. 09-Des-11 08-Des-11 52<br />
1704 Q000964 3000334769 TGR2 10010 SUKMAJANTI SRI HARUM HIRAWAN BIMO 02-Jan-12 28-Des-11 29<br />
1705 Q001087 3000<strong>31</strong>2020 TGR2 10010 BOBBY PARDEDE YUDIKA SIAHAAN BIMO 22-Des-11 21-Des-11 39<br />
1706 Q005843 3000224243 TGR2 10010 ENNY RACHMAWATI, SH UAS WASNIETIE BIMO 30-Nop-11 30-Nop-11 60<br />
1707 Q0<strong>31</strong>468 3000385388 TGR2 10010 IWAN TUNGGAL, IR IRMA SURYANA AW KOSONG, PROPOSAL 1LBR No.1 lampirkan proposal. No.2 med type A. 24-Jan-12 20-Jan-12 7<br />
1708 Q0<strong>31</strong>570 3000269211 TGR2 10010 AW GWEK HONG AW GWEK HONG BIMO 16-Des-11 16-Des-11 45<br />
1709 Q0<strong>31</strong>634 3000390983 TGR2 10010 THE RISMIATI LENNY No.1 Tidak ada proposal, mohon lampirkan. 26-Jan-12 26-Jan-12 5<br />
1710 Q0<strong>31</strong>650 3000370301 TGR2 10010 PATRICIA LIYANTI TJOE LOEI NIO No.1 PP med type A. 19-Jan-12 19-Jan-12 12<br />
1711 Q038743 300034<strong>31</strong>14 TGR2 10010 SAKHIWATI WIDJAJA JELLY GUNAWAN No.1 med type A. 09-Jan-12 07-Jan-12 22<br />
1712 Q038744 300034<strong>31</strong>30 TGR2 10010 HERMANTO SETIAWAN JELLY GUNAWAN No.1 DECLINE krn Riwayat Stroke dan DM. 09-Jan-12 07-Jan-12 22<br />
1713 Q038746 3000341528 TGR2 10010 ASNAH GEA BUDI ADIANTO BIMO 09-Jan-12 30-Des-11 22<br />
1714 Q005840 TGR2 8 RATIH AYUDIA ZUARDI uw ok 20-Jan-12 11<br />
1715 Q004382 3000239513 TGR2KOTA 10706 ULFA KUSUMASTUTI SUGIHIANTO AMBAR DATA AW NO.2 TIDAK ADA No.1 Lampirkan copy KTP yg terlihat dan 07-Des-11 07-Des-11 54<br />
1716 Q004417 3000388247 TGR2KOTA 10706 TJIN LIE/LINARDI PONY CHRISTIANI No.1 Riw klaim Jantung koroner: Pinjam dok 25-Jan-12 16-Jan-12 6<br />
1717 Q004435 3000383475 TGR2KOTA 10706 BURHAN IRFAN YOHANDRI S AMBAR 24-Jan-12 21-Jan-12 7<br />
1718 Q004473 3000299016 TGR2KOTA 10706 NITA PUSPITA DEWI SAPUTRI ROMMY SEPTI NO FORM B 21-Des-11 21-Des-11 40<br />
1719 Q025704 3000341015 TGR2KOTA 10706 REINHART PRAGNACIO WIJAYA NALYAN No.1 Menunggu jawaban APS. 06-Jan-12 06-Jan-12 25<br />
1720 Q025718 3000399759 TGR2KOTA 10706 AGUS CICILIA KRISTIYANI 30-Jan-12 20-Jan-12 0<br />
1721 Q025906 3000330480 TGR2KOTA 10706 RIBKA HELDYANTI SUSANTO EDY JUNAIDI AMBAR 29-Des-11 27-Des-11 32<br />
1722 Q052510 3000355274 TGR2KOTA 10706 SEKLIH KURNIAWAN ERNI TARISNA WIJAYA No.1 Riw klaim previous pol: RA Rp 13-Jan-12 27-Des-11 18<br />
1723 Q056917 3000280556 TGR2KOTA 10706 MUHAMMAD ZIDANE BINTANG RAMDHAN INDAH JUNIYATI AMBAR No.1 Jenis kelamin PP koreksi. 19-Des-11 19-Des-11 42<br />
1724 Q056919 3000286489 TGR2KOTA 10706 NAZWA AMANDA PUTRI INDAH JUNIYATI AMBAR NO FORM B, PROPOSAL TIDAK ADA (INPUT UP DAN No.1 Proposal lengkap. No.2 Lampirkan KTP 20-Des-11 19-Des-11 41<br />
1725 Q056929 3000357404 TGR2KOTA 10706 G MICHAEL DJOJOPRANOTO RICO MINTARJA AMBAR 16-Jan-12 06-Jan-12 15<br />
1726 Q056945 3000382364 TGR2KOTA 10706 ERICK PRIBADI ERNI TARISNA WIJAYA No.1 Menunggu persetujuan EP. 24-Jan-12 21-Jan-12 7<br />
1727 Q056970 300037<strong>31</strong>55 TGR2KOTA 10706 MARSA BELLA JENIYUS HARYATI No.1 Riw rwt inap th 2006:Pinjam dok rwt 20-Jan-12 17-Jan-12 11<br />
1728 Q056993 3000378993 TGR2KOTA 10706 KANAYA YESA ACTERENDRA TJAJAWATI EDIWIDJAYA No.1 SK bayar bulanan. 20-Jan-12 19-Jan-12 11<br />
1729 Q061199 3000360764 TGR2KOTA 10706 ALARIC FARREL ADAM SUGIHIANTO No.1 PP Lengkapi Form Hamil. 17-Jan-12 17-Jan-12 14<br />
1730 Q005956 3000283570 TGR2SRPG 10705 YOSEPH LAGADONI HERIN, S SOS INDAH LESTARININGSIH MAYA 20-Des-11 10-Des-11 41<br />
17<strong>31</strong> Q021900 3000293735 TGR2SRPG 10705 HEPRIANDI ASEP WIJAYA MAYA No.1 Menunggu persetujuan EP. 21-Des-11 20-Des-11 40<br />
1732 Q03<strong>31</strong>50 3000293793 TGR2SRPG 10705 CRISTELLA DHEMA ROSNA TIOPAT S. MAYA 21-Des-11 20-Des-11 40<br />
1733 Q033983 3000307899 TGR2SRPG 10705 BILLY KIRANA EUNIKE SWIANY MAYA 22-Des-11 20-Des-11 39<br />
1734 Q034050 3000265542 TGR2SRPG 10705 SITI ULFAH DAISY,DRA MAYA 16-Des-11 12-Des-11 45<br />
1735 Q056926 3000<strong>31</strong>1985 TGR2SRPG 10705 DANIO ANI MAYA 22-Des-11 20-Des-11 39<br />
1736 Q057380 3000337547 TGR2SRPG 10705 YOSEF RONI ASEP WIJAYA MAYA 04-Jan-12 02-Jan-12 27<br />
1737 Q057381 3000337521 TGR2SRPG 10705 FIEBE VIRGINIA ASEP WIJAYA MAYA NO FORM B, ADA SK AD COPY 04-Jan-12 02-Jan-12 27<br />
1738 Q057417 300028<strong>31</strong>48 TGR2SRPG 10705 AGUSTINUS HODEHALA DE DIOS BEDING INDAH LESTARININGSIH MAYA NO FORM B 20-Des-11 20-Des-11 41<br />
1739 Q057427 3000344788 TGR2SRPG 10705 DEDEN SULIANA, DRS ANI MAYA 10-Jan-12 07-Jan-12 21<br />
1740 Q057433 3000348708 TGR2SRPG 10705 SULI ROSADI, S.SOS ANI No.1 Cara bayar bulanan, lampirkan SK 12-Jan-12 09-Jan-12 19<br />
1741 Q057450 3000367009 TGR2SRPG 10705 EJA PURNAMA IR BUDI WIDJAJA No.1 Hal 1 I no.7 jelaskan tugas pekerjaan, 19-Jan-12 14-Jan-12 12<br />
1742 Q058781 3000366833 TGR2SRPG 10705 AMOS SUSILO IR BUDI WIDJAJA No.1 Lengkapi hal 1 I no.4 Tgl lahir, sesuai tgl 19-Jan-12 18-Jan-12 12<br />
1743 Q058784 3000382908 TGR2SRPG 10705 IBFNU HIDJRIANSYAH SAIDA TAMPUBOLON No.1 Menunggu persetujuan EP. 24-Jan-12 20-Jan-12 7<br />
1744 Q005635 3000396921 TGR3 10708 ANDRE ADITYA HIU ANDERI GAZALI No.1 Medis Tipe D: LPK Urine EKG Ro 27-Jan-12 27-Jan-12 4<br />
1745 Q005719 3000<strong>31</strong>1090 TGR3 10708 SRI RAHAYU SHANTI ROSSYA AMBAR No.1 Lengkapi: IIIa. No.2 Lengkapi: VIII No 22-Des-11 12-Des-11 39<br />
1746 Q005984 3000393648 TGR3 10708 NISRINA NURBAITY SUPANGAT ABDURRAFI No.1 Form Asma oleh PP. 26-Jan-12 25-Jan-12 5<br />
1747 Q005985 3000373472 TGR3 10708 IVAN IRMAWAN IVAN IRMAWAN No.1 SK bayar bulanan. No.2 Cabang dan 20-Jan-12 09-Jan-12 11<br />
1748 Q006023 3000329025 TGR3 10708 UNTUNG HARJONO NETTIE AMBAR No.1 Menunggu persetujuan EP. 28-Des-11 22-Des-11 33<br />
1749 Q038357 3000321645 TGR3 10708 HENNY CLAUDYA ALIAS HEN FAH LISYE LISTIAWATI AMBAR 27-Des-11 04-Des-11 34<br />
1750 Q038360 3000294<strong>31</strong>7 TGR3 10708 RIYAN AGATHA ALIAS KWET FI LISYE LISTIAWATI NORIKAS No.1 Isi Laporan Keuangan. No.2 Lengkapi: 21-Des-11 20-Des-11 40<br />
1751 Q038406 3000342710 TGR3 10708 JAP MUK NIE RIYANTO HALIM No.1 Tandatangan TTG di SP beda dgn 09-Jan-12 09-Jan-12 22<br />
1752 Q038490 3000386164 TGR3 10708 RICO SUGIARTO NURTINAH S. No.1 SK bayar bulanan. 24-Jan-12 21-Jan-12 7<br />
1753 Q052511 3000353913 TGR3 10708 LISA WIRA UTAMA SATYAWAN No.1 Menunggu persetujuan EP. 13-Jan-12 16-Nop-11 18<br />
1754 Q071598 3000385752 TGR3 10708 HADI WIJAYA, IR IR. HADI WIJAYA 24-Jan-12 24-Jan-12 7<br />
1755 Q071615 3000386122 TGR3 10708 DAHERA RUSTAM, IR DRA. NANI SUKARSO No.1 Proposal lengkap. No.2 Sebutkan 24-Jan-12 24-Jan-12 7<br />
1756 Q071634 3000386407 TGR3 10708 ELLEN JOVITA ZAMAN NURTINAH S. 24-Jan-12 22-Jan-12 7<br />
1757 Q071646 3000393509 TGR3 10708 HENNY CLAUDYA / HEN FAH LISYE LISTIAWATI AMBAR 26-Jan-12 26-Jan-12 5<br />
1758 Q071559 TGR3 6 SENY SALEK uw ok 17-Jan-12 14<br />
1759 Q038374 TGR3 7 SUSANNA uw ok 17-Jan-12 14<br />
1760 Q071632 3000389625 TGRMCD 10807 SINTA FEBISYAH KIANG JIN 25-Jan-12 25-Jan-12 6<br />
1761 Q071633 3000389497 TGRMCD 10807 MARTIN FEBISYAH KIANG JIN No.1 Ukur ulang TB BB TTG. 25-Jan-12 25-Jan-12 6<br />
1762 Q015737 3000<strong>31</strong>0175 TSK 10052 NIKO SOLERASIO GULTOM SIHAR SOLERASIO SEPTI BB DAN TB PEMEGANG POLIS TDK ADA No.1 Agen tdk boleh ditutup oleh agen lain; 22-Des-11 21-Des-11 39<br />
1763 Q015743 3000340695 TSK 10052 HARRY SUSANTO MIMING SAPUTRA GUNAWAN, SSOS No.1 Medis tipe A. 06-Jan-12 04-Jan-12 25
1764 Q019194 3000389895 TSK 10052 YENNY NG FENNY HASTUTI No.1 Hal 3 VIII no 4 dilengkapi. No.2 Hal 3 25-Jan-12 24-Jan-12 6<br />
1765 Q037172 3000356602 TSK 10052 LANI HARYANTI NY.ALIAWATI No.1 Jabatan dan tugas pekerjaan ttg 14-Jan-12 13-Jan-12 17<br />
1766 Q037180 3000365471 TSK 10052 STEFANUS RYAN HERYANTO ISHAK SELOMI M No.1 Hal 5 lengkapi ttd orang tua kandung 18-Jan-12 16-Jan-12 13<br />
1767 Q037195 3000356547 TSK 10052 USUP SUPRIATNA YENNI HENDRIYANI SEPTI 14-Jan-12 12-Jan-12 17<br />
1768 Q037220 3000382128 TSK 10052 DARMAWAN ANGGA WIJAYA LYDIA ISKANDAR No.1 Agama dan data bank dan NPWP 21-Jan-12 20-Jan-12 10<br />
1769 Q037226 3000370288 TSK 10052 LYDIA FRANSISCA ISMIATI PURWANTI Y A DANIEL No.1 Hal 4 no 9 a dilengkapi. No.2 Hal 4 no 19-Jan-12 18-Jan-12 12<br />
1770 Q037227 3000382144 TSK 10052 DEDI ISWADI LUCY No.1 Medis tipe A. 21-Jan-12 21-Jan-12 10<br />
1771 Q0372<strong>31</strong> 3000390030 TSK 10052 TAUWFIC CHRISTANTO SRIMINAWATI 25-Jan-12 25-Jan-12 6<br />
1772 Q050586 3000352894 TSK 10052 LUKITO SUTEJO MIMING SAPUTRA GUNAWAN, SSOS ALMT TMPT TINGGAL PADA ID # SPA (ID TDK JLS) No.1 Form extra premi terlampir. 13-Jan-12 17-Des-11 18<br />
1773 Q006084 3000229293 V3 10819 HARDIANUS JOKO WIBOWO DEDDY BUDIAWAN BIMO 03-Des-11 23-Nop-11 58<br />
1774 Q006149 3000369629 V3 10819 LENY EKAWATI RIKA HARMASTUTI W. BIMO 19-Jan-12 18-Jan-12 12<br />
1775 Q019367 3000281390 V3 10819 SYLVIA SUTANTO GRACE SUTANTO BIMO No.1 Med Type A . 20-Des-11 18-Des-11 41<br />
1776 Q021053 3000272246 V3 10819 YUANA BUDI PUTRA SURYASTUTI BIMO No.1 menunggu excl. 19-Des-11 17-Des-11 42<br />
1777 Q021097 3000277597 V3 10819 SURYASTUTI SURYASTUTI BIMO NO FORM B No.1 pada LPK blm ada TTD nasabah, harap 19-Des-11 17-Des-11 42<br />
1778 Q021101 3000277<strong>31</strong>9 V3 10819 LETICIA KATHLEEN HARTONO GRACE SUTANTO BIMO 19-Des-11 18-Des-11 42<br />
1779 Q021103 3000320071 V3 10819 GO ARIYANI, SE GRACE SUTANTO BIMO 27-Des-11 27-Des-11 34<br />
1780 Q023538 3000268778 V3 10819 NANY KARMILA MARLINA ERLYANTI BIMO No.1 med type A. 16-Des-11 15-Des-11 45<br />
1781 Q047963 3000285378 V3 10819 BOEDI SANTOSO BOEDI SANTOSO BIMO 20-Des-11 20-Des-11 41<br />
1782 Q052719 3000354812 V3 10819 ERNI SETYAWATI RIKA HARMASTUTI W. No.1 Lpk Urine , GDP, HbA1c, Lemak Darah 13-Jan-12 16-Des-11 18<br />
1783 Q010765 3000390844 YOG 10095 NATALIA NIKOLAEVNA BOIKO LANY KRISTIANA DEWI 26-Jan-12 18-Des-11 5<br />
1784 Q010803 3000289005 YOG 10095 GRACIA MONICA PATRICIA HIMAWAN SRI LESTARI MAYA 20-Des-11 02-Des-11 41<br />
1785 Q010804 3000288889 YOG 10095 EDWARD WIRAYUDHA HIMAWAN SRI LESTARI MAYA 20-Des-11 19-Des-11 41<br />
1786 Q010817 3000344704 YOG 10095 AURELIA NUANSA DAMAI RETNANINGSIH ENI No.1 Ttg: lengkapi hal 4 VIII no.11 a dan b. 10-Jan-12 10-Jan-12 21<br />
1787 Q010829 3000341269 YOG 10095 ROBERT LANNY HERAWATI No.1 Plan UN1A produksi Januari, koreksi FB 07-Jan-12 01-Jan-12 24<br />
1788 Q010953 3000385655 YOG 10095 YOHANA FRANSISCA ENI SULASTRI SRI LESTARI 24-Jan-12 23-Jan-12 7<br />
1789 Q010982 3000366794 YOG 10095 NERISSA ALVIANA YENNY CHRISTIANA S 19-Jan-12 18-Jan-12 12<br />
1790 Q011003 3000343237 YOG 10095 ARNI MARHENI VINCENCIA YANED D. No.1 Hal 6 IX no.1a jelaskan. 09-Jan-12 07-Jan-12 22<br />
1791 Q011020 3000322455 YOG 10095 TAN, IRENE KUSUMA INAVIANI DEWI S. WAHYU 27-Des-11 25-Des-11 34<br />
1792 Q011038 3000341324 YOG 10095 TRIFINA LESTARI SUWITO LANNY HERAWATI No.1 Cek kembali hal 2 V UP atau premi rider 07-Jan-12 22-Des-11 24<br />
1793 Q051907 3000352810 YOG 10095 TAN ALBERTUS AGUNG INAVIANI DEWI S. No.1 Hasil Medis kurang Treadmill. 13-Jan-12 18-Des-11 18<br />
1794 Q057002 3000376218 YOG 10095 AGUNG PRADJOKO, S.PD SRI LESTARI NO FORM B No.1 Menunggu persetujuan EP. 20-Jan-12 04-Jan-12 11<br />
1795 Q057006 3000364<strong>31</strong>0 YOG 10095 RAYMUNDA RATNAWATI RETNANINGSIH ENI No.1 Sehub riw op,Medis LPK Urine,Tes 18-Jan-12 16-Jan-12 13<br />
1796 Q057007 3000338894 YOG 10095 R. SONNY ADITYA SANTOSA S YENNY CHRISTIANA S No.1 Hal 6 IX no.1 a dan b, jelaskan. 05-Jan-12 05-Jan-12 26<br />
1797 Q057011 3000393884 YOG 10095 ENDANG SOEWARNI SRI LESTARI 26-Jan-12 25-Jan-12 5<br />
1798 Q057128 3000388043 YOG 10095 FENDY ANDREAN SOEGIONO LANNY HERAWATI 25-Jan-12 24-Jan-12 6<br />
1799 Q057137 3000385778 YOG 10095 GAN ARJUNANTO YENNY CHRISTIANA S No.1 Sehub riw rawat Jan 2011, refer Medis 24-Jan-12 21-Jan-12 7<br />
1800 Q057144 3000361980 YOG 10095 JULIANTO LANNY HERAWATI No.1 Plan dasar di SPA dan system beda 17-Jan-12 16-Jan-12 14<br />
1801 Q057145 3000388085 YOG 10095 FELICITA ANJANI SOEGIONO LANNY HERAWATI No.1 Alamat tempat tinggal Ttg di Tangerang 25-Jan-12 20-Jan-12 6<br />
1802 Q057184 3000393787 YOG 10095 BERNARD DHARMAWAN HARYANTO INAVIANI DEWI S. MAYA 26-Jan-12 26-Jan-12 5<br />
1803 Q057187 3000343287 YOG 10095 PRASTIKA BAGASKORO F. TETY SOESANA No.1 Lengkapi hal 1 II no.8 alamat sekolah 09-Jan-12 09-Jan-12 22<br />
1804 Q057188 3000366778 YOG 10095 BERNARD DHARMAWAN HARYANTO INAVIANI DEWI S. No.1 Kode plan dasar di SPA beda dgn prop 19-Jan-12 08-Jan-12 12<br />
1805 Q057191 3000332393 YOG 10095 LYDIA INAWATI TANUWIJAYA INAVIANI DEWI S. No.1 Lengkapi hal 1 I no.9. No.2 UN1A 29-Des-11 29-Des-11 32<br />
1806 Q057192 3000332416 YOG 10095 LUCIANA HARYATI TANUWIJAYA INAVIANI DEWI S. No.1 Lengkapi hal 1 I no.9. No.2 UN1A 29-Des-11 29-Des-11 32<br />
1807 Q057193 3000332432 YOG 10095 LUCRETYA YENIWATI TANUWIJAYA INAVIANI DEWI S. No.1 UN1A produksi Januari, lampirkan 29-Des-11 29-Des-11 32<br />
1808 Q057194 3000341285 YOG 10095 ROBERT LANNY HERAWATI NORIKAS 07-Jan-12 01-Jan-12 24<br />
1809 Q010992 3000363348 YOG4 10832 PURWANTI RETNO WIDIASTUTI No.1 Hal 2 V rider di SPA beda dgn proposal, 18-Jan-12 13-Jan-12 13<br />
1810 Q011016 3000350<strong>31</strong>3 YOG4 10832 LE ARO JAGAD JIWO NARA RR ERA NURIDA No.1 Rider di SP tdk sama dgn di Proposal. 13-Jan-12 11-Jan-12 18<br />
1811 Q011041 3000378309 YOG4 10832 SUIN RINA DEWI , S.SI. APT RR ERA NURIDA No.1 Plan dasar di SPA beda dgn proposal, 20-Jan-12 20-Jan-12 11<br />
1812 Q011043 3000289186 YOG4 10832 RISWANTO RR ERA NURIDA MAYA No.1 Cara bayar bulanan; lampirkan SK 20-Des-11 20-Des-11 41<br />
1813 Q011045 3000378244 YOG4 10832 TEGUH UJI SUNGKOWO, S.SI, APT RR ERA NURIDA No.1 Hal 2 IV penulisan nama ahliwaris no.1 20-Jan-12 20-Jan-12 11<br />
1814 Q051908 3000352878 YOG4 10832 CEPI KOMARA RETNO WIDIASTUTI No.1 KTP Kadaluarsa lebih 3 bln. No.2 13-Jan-12 19-Des-11 18<br />
1815 Q057147 3000376810 YOG4 10832 IG JOKO PITOYO SASONGKO KATRISNOADI No.1 Hal 3 VIII no.7b jelaskan penyebabnya. 20-Jan-12 20-Jan-12 11
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