ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMANAOAPAQARASATAUAVAWAXAYAZBABBBCBDBEBFBGBHBIBJBKBLBMBNBOBPBQBRBSBTBUBVBWBXBYBZCACBCCCDCECFCGCHCICJCKCLCMCNCOCPCQCRCSCTCUCV
1
TANGGAL KUNJUNGANTANGGAL KUNJUNGAN ULANGNO KOHORTNO RMNAMA IBUNAMA SUAMIALAMAT KTPALAMAT DOMISILIRTRWWILAYAH DOMISILINO HPNIKNO BPJSTANGGAL LAHIRUMURGRAVIDAHPHTTPUSIA KEHAMILANTRIMESTER KEK1 MURNIK1 AKSESK4K6ANAMNESISBB (KG)TINGGI BADAN (CM)IMTKategori IMTTD (MMHG)TFU (CM)LILA (CM)STATUS GIZI (M/N)REFLEK PATELA (+/-)DJJ (X/MNT)KEPALA THDP PAP (M/BM)TBJ (GR)JUMLAH JANIN (T/G)PRESENTASISTATUS TDINJEKSI TTFE (TAB/BOTOL)KONSELING KIAKONSELING KBVAKSIN COVIDKELAS IBU ( Kasih tanda K1-K6)MENDAPATKAN BUKU KIA (BK/BS)JARAK KEHAMILAN KURANG 2 TAHUN GOLDARHB (GR/DL)PROTEIN URINE (+/-)GULA DARAH SEWAKTUGDPGD2PPSIFILIS (+/-)HBSAG (+/-)ASAM URATUREUMKREATININSGOTSGPTIBU HAMIL DATANG DENGAN HIV (+)IBU HAMIL DITAWARKAN TESIBU HAMIL DITES HIVHASIL TES HIV (+/-)RUJUK POLI SAHABATIBU HAMIL MENDAPAT ARVTANGGALSWAB KUNJUNGAN 1(HASIL)TANGGAL SWAB TM 3(HASIL)TANGGAL SWAB ULANG TM 3(HASIL)RAPID TESTKOMPLIKASI KEHAMILANRUJUK RSTGL PERSALINANJENIS PERSALINAN (SPT/SC)TEMPAT PERSALINANJENIS KELAMIN BAYIBB (GRAM)/PB BAYI (CM)IMDNAMA BAYITANGGALKF1/KN1TANGGALKF2/KN2TANGGALKF3/KN3TANGGAL KF4PASCA SALINMETODE KONTRASEPSIKOLOM KB
4
103/01/202330110739MELYNDA SULFIANAJEFRI SELISTIOJL CIPINANG ASEM NO.51 RT 12/9 KEL KEBON PALA KEC.MAKASARJL CIPINANG ASEM NO.51 RT 12/9 KEL KEBON PALA KEC.MAKASAR129LW08778467156331750858038800030000207294366 18-03-198834G1P0A004/11/202211/8/20238 MGG 4 HR1JANMUAL, MUNTAH79.9165110/80BT33NPOSBTBTT4VIT SENDIRIYAYA14/01/202128/01/2021SINOVAC13/8/2021MODERNAK1BKA12.6NEG97NEGNEGNEGYAYANRKARYAWAN SUDIN
5
23/1/202340117069RIA CHRISTINAPRIYONO DWI UTOMOJL BIDURI BULAN IV RT 5 RW 6 SUMUR BATU KEMAYORANJL BIDURI BULAN IV RT 5 RW 6 SUMUR BATU KEMAYORAN56LW08111918318317202480186000600012264325648/1/198636G4P2A114-11-202221-8-20237MG 1HR1JANMUAL79.9165110/80BT29NPOSBTBTT5VIT SENDIRIYATDK14/1/202128/1/2021SINOVAC27/8/2021MODERNAK1BSA13NEG129NEGNEGNEGYAYANRKARYAWAN PKC SETIABUDIHEP B +RSUD CEMPUT
11
5/1/2023100117127INNE NATASYA SANJAYAYUDI EKO PUTRACEMPAKA PUTIH TENGAH XXII A NO 45 RT 14 RW 4 JL KEBON KELAPA TUNGGAL 3 NO 24 G RT 5 RW 9 59LW08956001648983172036512961003000143592633925-12-199626G1P0A026-6-20222-4-202327MG 4HR2JANTAK61.1149100/602327NPOS137BM1550TKEPT530YAYA15/6/20217/9/2021AZ1/4/2022AZK1BSB12.2NEG88NEGNEGNEGYAYANR2/1/2023 NEGATIF
15
5/1/2023140096237NINDI AYU WULANDARISANDI DARMAWANJL MESJID NO 1 G RT 6 RW 4 KAYUPUTIH PULOGADUNGJL MESJID NO 1 G RT 6 RW 4 KAYUPUTIH PULOGADUNG64LW089698772446317502490296000500016454745119-2-199626G3P2A019/11/202226-8-20236MG 5HR1JANMUAL47162100/80BT25NPOSBTBTBTT530YAYAK1BKA12.4NEG82NEGNEGNEGYAYANR3/1/2023 NEGATIFBSC 2X
18
6/1/2023170002698SUMAYYAHMU'ADZ NASRULLAHJL MARDANI RAYA GG S NO 4 RT 13 RW 5JL MARDANI RAYA GG S NO 4 RT 13 RW 5 JOHAR BARU135LW0896364609643171085302950001000037287191213-2-199527G4P2A128-11-20224-9-20235MG 4HR1JANPERUT PEGEL48.9157100/70BT23.5NPOSBTBTBTT2YAYATIDAK PERNAH VAKSIN COVK1BKO13.2NEG95NEGNEGNEGYAYANR3/1/2023 NEGATIF
19
6/1/2023180092430KARTIKASUH ANWARJL H.TEN 2 NO.32 RT 04/01 KEL.RAWAMANGUN KEC.P.GADUNGJL H.TEN 2 NO.32 RT 04/01 KEL.RAWAMANGUN KEC.P.GADUNG41LW08581985702831750267048600140001795192931 27-04-198636G3P2A025-11-202201-09-20236 MGG1JANMUAL56155110/60BT27NPOSBTBTBTT5YAYA06/05/202129/7/2021SINOVAC16/3/2022MODERNAK1BKO11.9NEG87NEGNEGNEGYAYANR04/01/2023 NEGATIF
23
09/01/2023220116358AGIS GISELLA TJIPTAUNTUNG RAHMAT HIDAYATJL. SISINGAMANGARAJA GG PETEK NO. 183 RT 004/001 PANJUNAN , LEMAHWUNGKUK CIREBBONJL. PERINTIS KEMERDEKAAN NO. 23 RT 16 ( APARTEMEN TIFFOLIA KELAPA GADING )016LW0812704729213274025404950003000144636127714/4/199527G4P3A027/10/20223/8/202310 MGG 4 HR 1JANMUAL55.6159.5110/602 JAS25NPOSBTBTT2AF 30YAYA19/6/202116/7/2021SINOVAC15/2/2022ASTRAZENECAK1BKB13.1NEG95NEGNEGNEGYAYANR10/12/2022 NEGATIFABORTUS 3 KALI
25
09/01/2023240064320IRMA ISNAWATI DEWIKUSHERDIYANSYAHJL. CEMPAKA PUTIH BARAT NO. 17 RT 005 / 005 , CPB KP. BAHARI UJUNG GANG I RT 6 / 9 TANJUNG PRIOK69LW0838923785873217136508980002000248905719925/7/199824G2P1A08/11/202215/8/20238 MGG 6 HR 1JANMUAL, PUSING , KRANAN KANAN BAWAH SAMPAI PAHA52.414280/602 JAS27.5NPOSBTBTT5AF 30 YAYA15/7/202114/8/2021SINOVACBELUM VAKSIN K1BKO12.3NEG100NEGNEGNEGYAYANR27/12/2022 NEGATIFTB 142 CM
30
11/1/2023290117285JENIPER OKTAPIANY SIAGIANRICHSON LAMRON PANGIHUTANKP. PISANGAN RT 003/011 PENGGILINGAN, CAKUNG METLAND UNJUNG MENTENG L2/14 RT 7 / RW 11, CAKUNG JAKARTA TIMUR711LW08128785118114711053109400030002358819742 - Klinik Cempaka PutihPEKANBARU, 13/10/199428G1P0A011/10/202218/8/20238 MGG 5 HR 1JANMUAL , HIPERSALIVA72.4154100/601 JAS 29NPOSBTBTT530YAYA19/4/202117/5/2021SINOVAC31/1/2022ASTRAZENECAK1BKB14.7NEG82NEGNEGNEGYAYANR9/1/2023 NEGATIF
33
12/1/2022320093126MEILITA AYU LESTARI RIKI RAMDANIJL. CEMPAKA PUTIH TENGAH XXVI D NO. 47 RT 020 / 004 , CEMPAKA PUTIH TIMURJL. PONCOL 2 RT 6 / 7 PONDOK BAMBU , KEC. DUREN SAWIT67LW08154855570033750148058700080002052133615 - Kec. Cempaka PutihPEKALONGAN, 8/5/198735G2P1A06/12/202212/9/20235 MGG 1 HR 1JANKLIENGAN , PAYUDARA NYERI, GATAL66.6156.5120/80BT32NPOSBTBTT330YAYA25/6/202110/11/2021ASTRAZENECA23/3/2022PFIZERK1BKO13.6NEG83NEGNEGNEGYAYANR10/1/2023 NEGATIF MIOPI 5.5
34
12/1/2022330096002PUTRI NOVIANYRAMAS ANDI SETIADIKP BARU RT 8 RW 7 , KAYUPUTIH PULOGADUNGKP BARU NO 4 RT 8 RW 7 KAYUPUTIH PULOGADUNG 87LW0856911540913171046411980004000162396901124-11-199824G2P1A01-10-20228-7-202314MG 5HR2JAN
NYERI PINGGANG
57.416490/604JAS25NPOS140BALTT330YAYA30/7/202127/8/2021SINOVACK1BKA10.1NEG71NEGNEGNEGYAYANR5/1/2023 NEGATIFBSC, RIW EKLAMPSI
36
12/1/2022350117335RATNA SEKARWANGIRICKY FIRNANDO OCTIANJL PAGUYUBAN NO 67 RT 4 RW 5 KEL CAKUNG TIMUR KEC CAKUNG JL PAGUYUBAN NO 67 RT 4 RW 5 KEL CAKUNG TIMUR KEC CAKUNG 45LW08953598087643175065008000012000125774048210-8-200023G2P1A06-7-202212-4-202327MG 1HR3JANTAK60.2164120/802325.5NPOS147BM1550TKEPT530YAYA4/6/202127-8-2021AZ2/4/2022AZK1BSB11.4NEG101NEGNEGNEGYAYANR5/1/2022 NEGATIF
37
12/1/2022360061675NOVI PRASASTI PUTRI SEPNOTIANJL. GALUR SARI RT 009 / 007 KEL. UTAN KAYU UTARA , KEC. MATRAMAN , JAKARTA TIMURJL. GALUR SARI RT 009 / 007 KEL. UTAN KAYU UTARA , KEC. MATRAMAN , JAKARTA TIMUR97LW08577771836031710547119300010001205904227 - Kec. Cempaka PutihJAKARTA, 7/11/199329G2P1A030/11/20226/9/20236 MGG 1 HR 1JANTAK56.2156.5110/701 JAS26.5NPOSBT T530YAYA25/6/202122/7/2021SINOVAC28/3/2022PFIZERK1BKA11.9NEG87NEGNEGNEGYAYANR11/1/2023 NEGATIF BSC 1 KALI
38
13/1/2023370117375RUHYAT WULAN SARIAHMAD HARIANTOJL. RAWASARI TIMUR NO. 39 RT 016 / 002 , CEMPAKA PUTIH TIMUR KP. MERAK RT 11/001 DESA MERAK KEC. SUKAMULYA BANTEN111LW0856999195136032742069200010002772667304 - KLINIK MONHAL PERSADATANGERANG , 02/06/199230G1P0A016/10/202223/7/202312 MGG 5 HR2JANKRAM PERUT BAWAH, TIDAK ADA FLEK80.2160120/702 JAS33NPOS127BALT T530YAYA25/10/20218/4/2021SINOVAC15/8/2022PFIZERK1BSB12.1NEG89NEGNEGNEGYAYANR12/1/2023 NEGATIF
45
17/1/2023440049627MARNIAJIE EKO PRATOMO
JLN. CEMPAKA III RT 007 / 002 , CEMPAKA PUTIH BARAT
JL. DERMAGA RAYA RT 14 / RW 11, KLENDER, DUREN SAWIT
1411LW08389292241131710546069800060001641596973JAKARTA, 6/6/199824G2P1A0 17/11/202224/8/20238 MGG 5 HR 1JAN
MUAL, PUSING , LELAH
41.4153.590/60BT23KEKPOSBTBTT530YAYA31/1/20222/3/2022SINOVAC
BELUM VAKSIN
K1BSO13.5NEG76NEGNEGNEGYAYANRONSITEBSC 1 KALI, JARAK ANAK 7 BULAN
46
18/1/2023450044950YUNIA RUNTANIM. ZIDANJL. CEMPAKA PUITIH BARAT RT 014 / 001 , CPBJL. JOHAR BARU UTARA V RT 17/3, JOHAR BARU 173LW08151155819531710545060310010001205936831 - Kel. Cempaka Putih Barat IIJAKARTA, 5/6/200319G1P0A013/10/202220/7/202313 MGG 6 HR 2JANMUAL, MUNTAH 46.4160.590/602 JAS27NPOS143BALT T430YAYA1/5/2022MODERNABELUM VAKSINK1BKA RH +12.8NEG79NEGNEGNEGYAYANRONSITE
49
19/1/2023480043597DIANA MARDIAHAHMAD FAJRIKP BARU RT 012 / 006 KAYU PUTIH, PULO GADUNG KP. BARU NO. 45 RT 12 / 06 , KAYU PUTIH , PULO GADUNG 126LW08957261721774431750343109100060000369563038 - Kec. Cempaka PutihJAKARTA, 3/10/199131G3P2A09/12/202215/9/20235 MGG 5 HR 1JANMUAL78.9159110/70BT30NPOSBTBTT530YAYA30/7/20212/9/2021SINOVACk1BKO11.9NEG86NEGNEGNEGYAYANRONSITE
53
20/1/2023520117570FITRIA SETYANINGSIHBILLY ANDIKAJL PULO BESAR I RT 01/11 KEL.SUNTER JAYA KEC. T.PRIOKJL PULO BESAR I RT 01/11 NO.12 KEL.PULO BESAR I KEC. T.PRIOK111LW0895640317728/08212417147231710354010000010002468881012 - KEL. SUNTER JAYA II (SEDANG PROSES PENGAKTIFAN)SUKOHARJO, 14-01-200023G1P0A029-07-202205-05-202325 MGG2JANTAK67.9158110/802027NPOS145BM1085TBALTT5VIT SENDIRIYAYALUPAK1BSB13.3NEG80NEGNEGNEGYAYANRONSITE
56
20/1/2023550058873SINTA AMELIAANGGA KHARISMAJATIPULORT 6 RW 9 PALMERAH JAKBARJL KEBON KELAPA RT 1 RW 9 UTAN KAYU SELATAN , MATRAMAN19LW08595935810231730748059200040000041596468 - Kec. Cempaka PutihJAKARTA 8-5-199230G3P2A027-11-20223-9-20237MG 5HR1JANTAK71.9157.590/60BT30.5NPOSBTBTT4YAYALUPA HP GA BAWAK1BKA13.3NEG81NEGNEGNEGYAYANRONSITEBSC
58
24/01/2023570117641SRI RIZDI LISTIANIYOGA WANDA PRATAMAJL KP.PANEUNGTEUNG RT 01/011 KEL. CIHANJUANG RAHAYU KEC.PARONGPONGJL. JOHAR BARU GANG JAMBU RT 01/04 NO.39 KEL.JOHAR BARU KEC. JOHAR BARU14LW08127842434332170255079200070000053092822 - Kec. Cempaka PutihBANDUNG, 15-07-199231G2P0A112-09-202219-6-202319 MGG 1 HR2JANTAK68.7146.5140/802 JBP33.7NPOS132BMTBALTT530YAYA09/03/202123/3/2021SINOVAC3/2/2022PFIZERK1BSA11.7NEG83NEGNEGNEGYAYANRONSITE
61
25/01/2023600005524FIRDA PUTRI LESTARIVICO ALVIANTO BAHRAINJL RAWA TENGAH NO 6 RT 8 RW 5 GALUR JOHAR BARUJL RAWA TENGAH NO 6 RT 8 RW 5 GALUR JOHAR BARU85LW08778244298931710565020010010001205860948 - Kec. Cempaka PutihJAKARTA , 25-2-200022G2P0A127-6-202203-04-202330MG 2HR3JANEUNGAP67.1146100/602628NPOS148BM2015TKEPT530YAYA23/10/20217/3/2022PFIZER11/8/2022PFIZERK1BSO10NEG106NEGNEGNEGYAYANRONSITE
62
25/01/2023610107638YOSEA SEPIYA ANDRIANIBANON WIDI ANDRIANIJL CEMPAKA WARNA NO.20 RT 16/4 KEL. CPTJL TIRTA RAHARJA 3 KOMPLEK PAM RT 06/10 BLOK F NO. 236 KEL.JATI KRAMAT KEC.JATI ASIH 610LW08788939356132750959098700070001863819977 - Kel. RawasariJAKARTA, 19-09-198735G1P0A005-09-202212-06-202320 MGG 2 HR2JANNYERI BAGIAN BAWAH, PUSING SESEKALI119.4157.5150/100SEPUSAT36.5OBESPOS144TBALTT530YAYA01/09/202124/11/2021AZTRA25/03/2022MODERNAK1BKO10.8NEG98NEGNEG3.9180.7`129NEGYAYANRONSITEOBESITAS >100 KG
63
25/01/2023620110402DIAR DWI OKTASARISUHERYRSB JATI RAWASARI RT 15 RW 5 CPBMENARA SAMAWA 624 RT 2 RW 15 PONDOK KELAPA DUREN SAWIT215LW085775276269 / '082367608784 (SUAMI)31710548109100010000038129038 - Kec. Cempaka PutihJAKARTA 8-10-199131G1P0A017-12-202224-09-20235MG 4HR1JANTAK92.3167100/80BT32NPOSBTBTT4YAYA06/04/20214/5/2021SINOVACK1BKB12.7NEG95NEGNEGNEGYAYANRONSITE
64
26/01/2023630025789MAGODANG STEFFI SABATTINIVEGA ADJIBUSONOJL. PEMUDA III NOMOR 38 A RT 011 / 002 , RAWAMANGUN PULOGADUNG JL. PEMUDA III NOMOR 38 A RT 011 / 002 , RAWAMANGUN PULOGADUNG 112LW0898921429531750217059710020002233002148 - Kec. Cempaka PutihJAKARTA, 5/4/199329G2P1A012/10/202219/7/202315 MGG 1 HR 2JANTENGGOROKAN SERET, SUARAGA AGAK BINDENG82.6158.5120/703 JARI ATAS SIMFISIS31NPOS150TBALTT430YAYA11/6/20213/9/2021ASTRAZENECA4/3/2022MODERNAK1BSAB12.4NEG78NEGNEGNEGYAYANRONSITEABORTUS 1 KALI
68
26/01/2023670079071DENASTIYA GUNAWANFIRMAN HAMDANIJL RAWAMANGUN GG B NO 25 RT 1 RW 2 RAWASARI CEMPAKA PUTIHUTAN KAYU JL MANGGA 4 NO 13 B RT 4 RW 6 MATRAMAN46LW08577903240931750162129300030002265500362 - Kec. Cempaka PutihJAKARTA 22-12-199329G2P1A015-12-202222-09-20236MG1JANPERUT KRAM MUAL 60.916090/60BT26.5NPOSBTBTT5YAYA17/09/20218/10/2021PFIZER16/7/2022PFIZERK1BKO12.4NEG95NEGNEGNEGYAYANRONSITE
72
30/01/2023710117429DESTY RAHMA DANTIMAWARDIJL. RAWASARI BARAT VIII RT 009 / 001 , CPT JL. CEMPAKA BARU RT / RW LW08954137581253171055112001001 0001208705455 - Kec. Cempaka PutihTG PANDAN , 11-12-200022G1P0A027/5/20223/3/202335 MGG 3 HR 3JANNYERI PERUT BAWAH93.6144.5120/702834NPOS139BM2325TKEPT530YAYA2/8/202130/8/2021SINOVACK1BKO10.4NEG74NEGNEGNEGYAYANEG
75
31/1/2023740089496LENY MULYANI HUTABARATMUHAMMAD IKHSAN, SEJL. RAWAMANGUN TEGALAN RT 005 / 001 , RAWAMANGUN , PULOGADUNGPESONA KAHURIPAN , KELAPA NUNGGAL , BLOK O8 , NOMOR 012 , CILEUNGSI LW0815135711453175026804900007
0001826787159 - Kec. Cempaka Putih
JAKARTA, 28 / 4 / 199032G2P1A0 25/10/20221/9/202314 MGG2JANPUSING, MUAL, MUNTAH 55.6157.590/603 JAS26.5NPOS140TBALT T530YAYA 25/10/20221/8/2023ASTRAZENECAK1BSA12.6NEG81NEGNEGNEGYAYANRBSC 1 KALI
77
31/1/2023760116729MAILIA PUTRI UTAMI IRPAN PAHRUDIN JL. KH AGUS SALIM GG PENDAWA I RT 002 / 006 PEGAGAN , PALIMANAN CIREBONJL. PERCETAKAN NEGARA IV GG JORDAN RT 02/03, SALEMBA JAKARTA PUSTA 23LW08224634050132091757059700020000976336986 - KLINIK AZIZAH MEDICAL CENTREJAKARTA, 17/05/199725G1P0A0 25/10/20221/8/202314 MGG 2JANRADA SESAK SAAT TIDUR , MUAL, DAN MUNTAH 53.8158.590/603 JAS26NPOS144TBALT T530YAYA20/9/202116/10/2021SINOVAC14/4/2022ASTRAZENECAK1BKA8.9NEG92NEGNEGNEGYAYANRANEMIA BEAT
78
31/1/2023770052904SITI SAARAHMUHAMMAD RAZAK SAPUTRAJL. PAPANGGO I GG. KELAPA RT 011 / 002 , PAPANGGO , TANJUNG PRIOK JL. PAPANGGO I GG. KELAPA RT 011 / 002 , PAPANGGO, NO. 25 , TANJUNG PRIOK 112LW08131689061631720241017800190001209232822 - Kec. Cempaka PutihJAKARTA, 01/01/197845G5P4A003/10/202210/7/202317 MGG 1 HR 2JANPEGAL-PEGAL, MUAL, MUNTAH TIDKA ADA68.8154110/804 JAS32.5NPOS130TBALTT530YAYA25/6/202117/9/2021ASTRAZENECA28/3/2022ASTRAZENECAK1BSB12.8NEG119NEGNEGNEGYAYANRGRANDE MULTIPARA, RIWAYAT SIFILIS
82
01/02/2023810115894DEVIA SUNDARI RINO ANDRIANSYAH P JL. SUMUR BATU RT 014 / 003 , SUMUR BATU , KEMAYORANJL. SUMUR BATU RT 014 / 003 , SUMUR BATU , KEMAYORAN143LW0898679245832020653069600020001157245942 - Kel. Cempaka Putih Barat IISUKABUMI , 13/6/199626G1P0A0 31/8/20227/6/202322 MGG2JANOS MENGATAKAN SEMPAT BASAH DI CD SEJAK 2 HARI YANG LALU 45.914380/601 JBP 22.5KEKPOS140BALT T530YAYA1/7/202129/7/2021SINOVAC K1 BKAB11.4NEG 88NEGNEGNEGYAYANR
89
2/2/2023880117941PUTRI INDAH MAYASUHENDRP WICAKSONO JL PLUIT DALAM RT 17 RW 08JL PLUIT DALAM RT 17 RW 08178LW08212572010132750855058600670001081868703 - Kec. Cempaka PutihJAKARTA, 15/5/198636G2P1A018/5/202222/2/202337 MGG 1 HR 3FEBTAK, IBU INGIN MINTA RUJUKAN74.7162120/803228NPOS150TKEPT5VITAMIN MASIH ADA YAYAIBU LUPA DAN APLIKASI PEDULI LLINDUNGI ERORK1BSO10.9NEG105NEGNEGNEGYAYANEGBSC 1 KALI RS PERTAMINA JAYA
92
3/2/2023910117985METTY NURHAYATIKUSPRIYADIJL. BIDURI BULAN NO. 33 RT 015 / 003 SUMUR BATU, KEMAYORANJL. BIDURI BULAN NO. 33 RT 015 / 003 SUMUR BATU, KEMAYORAN153LW081311170820'3171034501840006
0001208226969 - Kec. Cempaka Putih
JAKARTA, 5/1/198439G1P0A0 4/12/202211/9/20238 MGG 5 HR 1FEBTA55.8158120/80BT24.5NPOSBTBTT3AF 30 YAYA13/7/202110/8/2021SINOVAC16/8/2022PFIZERK1BKO12.8NEG81NEGNEGNEGYAYANEG
97
6/2/2023960007615DEWINTA DAMAYANTIARIF RAHMANRUSUN PINUS ELOK BLOK B3 RT 20 / RW 009 , PENGGILINGAN CAKUNG , JAKARTA TIMUR RUSUN PINUS ELOK BLOK B3 RT 20 / RW 009 , PENGGILINGAN CAKUNG , JAKARTA TIMUR 209LW0888808912031710569129300020001207834661 - Kec. Cempaka PutihJAKARTA, 29/12/199329G4P2A125/12/20221/10/20236 MGG 1 HR 1FEBTAK67152100/60BT 30NPOSBTBTT330YAYA9/8/20216/9/2021SINOVAC28/7/2022PFIZERK1O13.8NEG121NEG NEG NEG YAYANEG ABORTUS 1 KALI
98
6/2/2023970086848NENNY SIRAIT RANTO EFRAJIM APRIANTOKAMPUNG BARU RT 013 / 06 , KAYU PUTIH, PULO GADUNG KAMPUNG BARU RT 013 / 06 , KAYU PUTIH, PULO GADUNG 136LW081319621788/08129795905531750252127800150002322569709 - Kec. Cempaka PutihJAKARTA, 12/12/197844G2P1A022/12/202229/9/20236 MGG 4 HR 1FEBMUAL, MUNTAH, SERING PUSING 68.8152120/80BT31.5NPOSBTBTT530YAYA5/5/202128/7/2021ASTRAZENECAK1O13.7NEG101NEG NEG NEG YAYANEG BSC 1 KALI
103
7/2/20231020118101SRI DARWATIGUNTUR PRAJADIPUTRAJL. KAWI-KAWI SAWAG RT 015 / 007 , JOHAR BARU JL. KAWI-KAWI SAWAG RT 015 / 007 , JOHAR BARU 157LW08229709325131720248088900110002098346567 - Kec. Cempaka PutihJAKARTA, 8/8/198934G2P0A131/8/20227/6/202322MGG 6 HR 2FEBTAK54.515890/601824NPOS146BALT T430YAYA18/6/202113/9/2021ASTRAZENECA11/3/2022ASTRAZENECAK1AB11.2NEG83NEGNEGNEG YAYANEG ABORTUS 1 KALI
113
9/2/20231120114970ELIS NURLESTIANIANDHIKA BUDIMANJL. JOHAR BARU V NO. 4 RT 004 / RT 011, JOHAR BARU JL. JOHAR BARU V NO. 4 RT 004 / RT 011, JOHAR BARU 411LW08212661913132093451039200010002375334786 - Kel. RawasariCIREBON , 11/3/199230G4P2A117/7/202223/4/202329 MGG 5 HR 3FEBTAK86.3164OBESE120/802631.5NPOS143BM2015TOBLIQUET330YAYA19/10/202121/12/2021SINOVAC9/1/2023PFIZERK1BSA9.3NEG83NEGNEGNEG YAYANEG ABORTUS 1 KALI
114
9/2/20231130018082SELLA PRAMUNIREPPY MAULANAJL. CEMPAKA PUTIH BARAT RT 003 / 009 , CPBJL. KAMPUNG JATI UUNG NOMOR 41 RT 4 / RW 10 , KOTA TANGERANG 46LW08128386304431710555119400010002082295732 - KLINIK KIMIA FARMA PERIUKJAKARTA, 15/11/199428G3P2A021/11/202228/8/202311 MGG 4 HR 1FEBKADANG KRAM PERUT 82164OBESE120/802 JAS 28NPOSBTBTT330YAYA7/9/20216/10/2021MODERNA20/7/2022MODERNAK1BSO10.8NEG92NEGNEGNEG YAYANEG SERVIKS INKOMPETEN, RIWAYAT ABORTUS 1 KALI RSUD CEMPAKA PUTIH
117
13/2/20231160079176ELIKA HERLIANAZAINAL ABIDINJL TANAH TINGGI IV/42 RT 04/03 KEL TANAH TINGGI KEC.JOHAR BARUJL GG M.ALI NO.11 RT 09/03 KEL TANAH TINGGI KEC. JOHAR BARU 93LW0858030505723171055310930001 0001206002441 - Kec. Cempaka PutihJAKARTA, 13-10-199329G2P1A008-11-202215-08-202313 MGG 6 HR2FEBTAK52.5159120/803 JAS25NPOSBALTTBALTT5VIT SENDIRIYAYA06/08/202103/09/2021SINOVACQ12/5/2022MODERNAK1BKYAO13NEG94NEGNEGNEGYAYANRBSC, MATA MINUS 3.5
121
14/2/20231200073608ASTERI SULAIMAHLUCKY CHANDRA ANGRIAWANJL. RAWA SELATAN RT 017 / 004 , KAMPUNG RAWA JOHAR BARU KP. RAWA TENGAH NO. 22 RT 004 / 004 , RAWA TENGAH JOHAR BARU , 44LW08588861838831710863059610020001207459427 - Kec. Cempaka PutihJAKARTA, 23/5/199626G2P0A15/1/202312/10/20235 MGG 5 HR1FEBPERUT KRAM, PUSING, MUAL66.6152.5120/80BT31.5NPOSBTBTT5AF 30 YAYA11/5/202111/8/2021ASTRAZENECA1/3/2022PFIZERK1YAA12.4NEG83NEGNEGNEGYAYANRABORTUS 1 KALI
122
14/2/20231210052984OKTAVIANI MEGAMUHAMAD SARIFUL ANAMJL. RAWASARI SELATAN RT 014 / 009 , RAWASARIJL. KRAMAT BARU 2 RT 3 / 2 NO. 29 A, JOHAR BARU 32LW08211090458831710568109900010000976820501 - Kec. Cempaka PutihJAKARTA, 28/10/199923G1P0A031/12/20227/10/20236 MGG 3 HR1FEBTAK49.6145.0100/701 JAS26.5NPOSBTBTT5AF 30YAYA16/7/202116/8/2021SINOVAC21/4/2022ASTRAZENECAK1BKA13.8NEG77NEGNEGNEGYAYANR
130
16/2/20231290016788ANGGIT PANGESTU WENOIILHAM MAULANAJL. KARET PASAR BARU BARAT II RT 008 / 005 , KARET TENGSIN , TANAH ABANGJL. KEBON KOSONG NO. 27/30 RT 8 / 9 , KEMAYORAN89LW089502992713/ 0899075207631710767078900070002062548281 - Kec. Cempaka PutihJAKARTA, 27/7/198933G2P1A003-09-202210-06-202323 MGG 5 HR 2FEBTAK, IBU BELUM PERNAH USG 53159110/7014 CM , 3 JBP23KEKPOS144TBALTT330YAYASUDHA PERNAH VAKSIN 1 KALI, IBU LUPAK1BKO12.4NEG83NEGNEG2270.81512NEGYAYANRRIWAYAT HT HAMIL ANAK PERTAMA
132
17/2/20231310044773IKE PRASETYAWATIRUDI DARMAWANKP. PEDONGKELAN RT 004 / 015 , KAYU PUTIH PULO GADUNG KP. PEDONGKELAN RT 004 / 015 , KAYU PUTIH PULO GADUNG 415LW08571908103531750260109000020001217547606 - Kec. Cempaka PutihJAKARTA, 20/10/199032G3P2A025-12-202201-10-20237 MGG 5 HR 1FEBMUAL, MUNTAH 74157OBESE110/70BT32OBESEPOSBTBTT5AF30YAYA13/8/2021ASTRAZENECAK1BKB14.3NEG82NEGNEGNEGYAYANRBSC 2 KALI, ASMA AKTIF
135
20/02/20231340082345NUR SYLVI OKTAVIANIFADLYJL H JIAN RT 03/03 KEL CIPETE UTARA KEC KEBAYORAN BARUJL SALEMBA BLUNTAS RT 14/05 NO. B90 KEL PASEBAN KEC SENEN145LW0812809837743171046910910004 0001648629156 - CILODONGJAKARTA, 29-10-199131G2P1A018-07-202224-04-202331 MGG3FEBTAK60166110/702622KEKPOS150BM2015TKEPT5VIT SENDIRIYAYA16/6/202114/9/2021AZTRA01/04/2022PFIZERK1BSO10NEG79NEGNEGNEGYAYANRBSC 1X, PENGENTALAN DARAH
136
20/02/20231350032721CHRISTIN VERONICA PAKPAHANDEDEN HERMANTOJL PELITA II NO.11 RT 10/9 KEL KAYU PUTIH KEC.PISANGAN TIMUR KEC. P.GADUNGJL GADING RAYA GG III RT 04/04 KEL.PISANGAN TIMUR KEC. P.GADUNG44LW08569295627631750264019800070000371898707 - Kec. Cempaka PutihJAKARTA, 24-01-199825G1P0A001-01-202308-10-20237 MGG 1 HR1FEBGATAL DIDAERAH TANGAN, PERUT, DAN LEHER88160120/80BT36NPOSBTBTT5AFYAYA8/8/20218/11/2021SINOVACK1BKB13.7NEG127NEGNEGNEGYAYANR
137
20/02/20231360113673PUTRI SUWARDINARAINER BURHANJL RAWA TENGAH NO.18 RT 02/04 KEL GALUR KEC JOHAR BARUJL RAWA TENGAH NO.18 RT 02/04 KEL GALUR KEC JOHAR BARU24LW08775556129831750264019800070000371898707 - Kec. Cempaka PutihJAKARTA, 28-08-199626G1P0A022-10-202229-07-202317 MGG 2 HR2FEBPEGAL-PEGAL70160OBESE120/801 JBP31NPOS150TBALTT530YAYA12/12/202216/01/2022SINOVACK1BSO13.7NEG89NEGNEGNEGYAYANR
142
21/2/20231410067913NURFITRIANAMUHAMMAD YUSUF JL. KP . RAWA SAWAH RT 004 / 002 , JOHAR BARU JL. KP . RAWA SAWAH RT 004 / 002 , JOHAR BARU 42LW08129236778831710849029700010001208909305 - Kec. Cempaka PutihJAKARTA, 09/02/199726G4P3A005-10-202212-07-202319 MGG 6 HR 2FEBTAK59.8152110/802127.5NPOS1441240TBTT530YAYA2021ASTRAZENECAK1BKB11.3NEG94NEGNEGNEGYAYANRBELUMBSC 2 KALI
145
22/2/20231440118527FITRIASANDI PURNOMOJL. KRAMAT PULO GUNDUL NO. K15 RT 6 / 13 JL. KRAMAT PULO GUNDUL NO. K15 RT 6 / 13 613LW08589222998531710863039300050001208907617 - Kec. Cempaka PutihJAKARTA, 23/3/199330G2P1A025-11-202201-09-202312 MGG 3 HR 2FEBKEMARIN KELUAR FLEK 54.4150100/704 JAS29.5NPOS130BALT T430YAYA27/3/202124/4/2021SINOVAC2/2/2022ASTRAZENECAK1O14.9NEG113NEGNEGNEGYAYANRBESOK
154
27/2/20231530018822MARSHELLA SUGESTIDWI NANDU ADITYOKP. KALI BARU RT 001 / 001 , TRIDAYA SAKTI TAMBUN SELATAN KP. KALI BARU RT 001 / 001 , TRIDAYA SAKTI TAMBUN SELATAN 11LW08128967050531710551030200040001206533046 - Kec. Cempaka PutihJAKARTA, 11/3/200220G1P0A009-09-202216-06-202324 MGG 3 HR 2FEBTAK67.2149.5110/701631NPOS146465TBALTT530YAYA10/6/20212/9/2021ASTRAZENECAK1BSO12.2NEG106NEGNEGNEGYAYANR
155
27/2/20231540118671YENI TRI UTAMIDEDI SUWITNYOJL. CEMPAKA PUTIH BARAT 21 NO. 2 KOMPLEK JATOP RT 009 / 008 , CPBPERUM GRAHA CIPTA 5 RT 6 RW 17 NOMOR E2, 68 KEL. JEJALEN JAYA , TAMBUN UTARA617LW08128871869135010347089300040003310589013 - Kec. Cempaka PutihPACITAN, 07/08/199329G1P0A014-07-202220-04-202332 MGG 4 HR 3FEBKAKI BENGKAK63.3151100/802827NPOS147BM2325TSUNGSANGT530YAYA11/7/20218/8/2021SINOVAC25/3/2022ASTRAZENECAK1BSB13.9NEG105NEGNEGNEGYAYANR
157
27/2/20231560118692SUMINIMUKSINJL. PUALAM 2 NOMOR 103 RT 16 / 2 , SUMUR BATU . KEMAYORAN JL. PUALAM 2 NOMOR 103 RT 16 / 2 , SUMUR BATU . KEMAYORAN 162LW08521172710131720252048110010003293617498 - Kec. Cempaka Putih12/4/198141G2P1A027-06-202203-04-202335 MGG 3FEBPUSING SEDIKIT50.314190/603021NPOS1472635TSUNGSANGT530YAYA13/8/202112/11/2021ASTRAZENECAK1BKB11.3NEG92NEGNEGNEGYAYANRUSIA 41 TAHUN
162
1/3/20231610002371NINA KARTINAACHMAD AFANDIJL. CEMPAKA WARNA RT 19 / 04 , CPT JL. SANDONG RT 03 / 05 KEL PONDOK PUCUNG KEC. KARANG TENGAH KOTA TANGERANG35LW08581759181431710559048900030001657786173 - Kec. Cempaka PutihJAKARTA, 19/4/198933G4P3A001-10-202208-07-202321 MGG 4 HR 2FEBTAK59.21.502.2526.3130.00NORMAL110/80SEPUSAT29.523.5NPOS140TBALT T530YAYAIBU BELUM PERNAH VAKSIN K1BKB11.6NEG106NEGNEGNEGYAYANRBELUM BSC 1 KALI
165
1/3/20231640047241YULINAR EKA AFRILIARUSENO EKA AFRILIAJL KRAMAT PULO GG XXI NO.E8 B RT 09/08 KEL. KRAMAT KEC SENENJL SWADAYA 10 RT 4/6 NO.E11B KEL MAJA KEC MAJA KAB LEBAK BANTEN46LW08228888068631710446049710010000998587304 - Kec. Cempaka PutihJAKARTA, 06-04-199725G2P1A021-10-202328-07-202318 MGG 5 HR2FEBLAPAR58.91.542.3724.8430.00NORMAL80/601 JBP2823.5NPOS147TBALTT530YAYAIBU SUDAH VAKSIN NAMUN LUPA TANGGALSINOVAC18/07/2022PFIZERK1BKYAO10.1NEG109NEGNEGNEGYAYANRSUDAHBSC 1X
167
2/3/20231660118804FILMI AFRIDA YANISUPRIYANTO KURNIASANDIKP KAYU MAS RT 007 / 004 PULO GADUNG KP KAYU MAS RT 007 / 004 PULO GADUNG 74LW08777631241431750252049600100001770135017 - Kec. Cempaka PutihJAKARTA, 12/4/199626G2P1A023-12-202223-09-20239 MGG 6 HR 1FEBMUAL, MUNTAH, NAFSU MAKAN MENURUN 73.21.562.4230.2730.00OBESE100/701 JAS3123.5NPOSBTBTT530YAYA6/4/20214/5/2021SINOVAC1/4/0202PFIZERK1BKYAB14NEG100NEGNEGNEGYAYANR
168
2/3/20231670007771DWI PAWITRA WULANGUSTI GEVAERT GONDEWA PUTRAJL. BARANANG SIANG INDAH B3 / 10 RT 07 / 05 , BOGOR TIMUR JL. BARANANG SIANG INDAH B3 / 10 RT 07 / 05 , BOGOR TIMUR 75LW08381128048932710260068400070000195690317 - Kec. Cempaka PutihTANGERANG, 20/6/198438G4P3A023-01-202330-10-20235 MGG 3HR 1MARETMUAL, MUNTAH53.201.612.5920.5230.00NORMAL120/70BT2523.5NPOSBTBTT530YAYA2/3/202116/3/2021SINOVAC23/9/202129/7/2022PFIZERK1BKO12,1NEG94NEGNEGNEGYAYANRBELUMBSC 1 KALI, USIA 38 TAHUN 28/3/2023CURETASERS BOGORABORTUS
169
2/3/20231680041030SITI JUWAROH IING GUSTI MUBAROKJL. RS ANCOL SELATAN RT 001 / 001 SUNTER AGUNG JL. MATRAMAN DALAM 2 NOMOR 28 RT 19 / 08 , PEGANGSAAN MENTENG 198LW083808868983 / 08380886898433280260129600050001647574143 - Kec. Cempaka PutihTEGAL , 20/12/199626G2P1A008-12-202214-09-202312 MGG ? 1MARETMUAL, MUNTAH, PUSING 41.801.542.3617.7430.00NORMAL100/60BT 2123.5KEKPOSBTBTT430YATIDAK22/6/202114/9/2021ASTRAZENECA16/3/2022ASTRAZENECAK1BKB11,3NEG138NEGNEGNEGYAYANRBELUMBSC 1 KALI , RIWAYAT TBC sebelumnya
170
2/3/20231690091815ROSALIA YESSICAFAIZAL MAULANA MUHAMAD JL. KR KWITANG I . J NO. 104 RT 008 / 008 , KWITANG SENENG JL. KP RAWA II NO. 55 D RT 010 / 03 , KEBON JERUK 103LW08778519106031710444079400020001207780121 - Kec. Cempaka PutihJAKARTA, 4/7/199428G1P0A021-09-202228-06-202323 MGG 1 HR 2MARETTAK, GERAK JANIN AKTIF 85.501.592.5333.8230.00OBESE130/9019 CM 3223.5NPOS134TBALT T530YAYA11/6/20213/9/2021ASTRAZENECA10/6/2022MODERNAK1BSB13,8NEG124NEGNEGNEGYAYANRMIOPI 9
172
3/3/20231710069002NURJAYANTIARNO TRI PRAMUDITOJL SAMBILOTO RAYA NO 2 D RT 7 RW 6JL SAMBILOTO RAYA NO 2 D RT 7 RW 6, KAYUPUTIH, PULOGADUNG76LW08121224043831750246019100050001647574143 - Kec. Cempaka PutihJAKARTA, 6-1-199132G2P1A003-01-202310-10-20238MG 3HR1MARETMUAL MUNTAH KEPUTIHAN JARANG67.001.572.4527.3630.00NORMAL100/70BT 3123.5NPOSBTBTT4AF 30YAYA30/6/202128/7/2021SINOVAC6/4/2022AZK1BSB14,8NEG120NEGNEGNEGYAYANRBELUM
174
3/3/20231730118339RIMA APRI LUSIANAYUSKHA RAHMATULLAH GRIYA PERMATA ASRI , JL ANGGREK IV NO. 6 BLOK RT 005 / 006 , DALUNG CIPOCOK JAYA JL. SAMBILOTO 3 RT 11 RW 6 KAYU PUTIH, PULO GADUNG 116LW085211391060 / 0812229907891809046704960003 0000355591631 - KLINIK UWEN YUHENIPADANG MANIS, 27/4/199626G3P0A225-09-202202-07-202322 MGG 5 HR 2MARET KEPUTIHAN62.21.532.3426.5730.00NORMAL110/70162723.5NPOS140TBALT T430YAYA13/9/202111/10/2021SINOVAC9/4/2022ASTRAZENECAK1BSYAAB12NEG94NEGNEGNEGYAYANRABORTUS 2 KALI
201
13/3/20232000046928ANI SEPTIANAFERY FERDINAN HARDIANTONOJL KP BARU I NO.13 RT 09/09 KEL KELAPA DUA WETAN KEC.CIRACASJL KP BARU I NO.13 RT 09/09 KEL KELAPA DUA WETAN KEC.CIRACAS99LW089506945879/08951335606731710558098600060001438325627 - Kec. Cempaka PutihJAKARTA, 18-09-198936G1P0A016-07-202222-04-202334 MGG 2 HR1MARETTAK109.701.662.7440.0530.00OBESE100/70293423.5NPOS138BM2480TKEPT530YAYA3/8/202131/8/2021SINOVACK1BSO10,5NEG98NEGNEGNEGYAYANEGINFERTIL 6 TH,RS PRIMAYA EVASARI A.N INFERTIL
205
13/3/20232040003530CITRA NURHASANAHEKA KURNIAWANJL. SAMBILOTO IV NOMOR 4 RT 011 / RW 06 , KAYU PUTIH , PULO GADUNG JL. SAMBILOTO IV NOMOR 4 RT 011 / RW 06 , KAYU PUTIH , PULO GADUNG 116LW08121264888431750247098400040001766870177 - Kec. Cempaka PutihJAKARTA, 7/9/198438G2P1A0 26-01-202302-11-20236 MGG 4 HR 1MARET MUAL72.61.542.3730.6130.00OBESE120/70BT32.523.5NPOSBTBTT5AF 30 YAYA8/6/20216/9/2021ASTRRAZENECA16/8/2022PFIZERK1BKO11,9NEG97NEGNEGNEGYAYANEGBELUM RIWAYAT KISTA
208
14/3/20232070002758SRI LESTARI MARSONY JL. PORSELEN IV NO. 14 RT 013 C/ 003, KAYU PUTIH PULO GADUNG JL. PORSELEN IV NO. 14 RT 013 C/ 003, KAYU PUTIH PULO GADUNG 133LW085773538300 / 0813996510813175024108890007 0001190754213 - Kec. Cempaka PutihJAKARTA, 1/8/198934G4P3A005-09-202212-06-202327 MGG 1 HR 2MARET KEPUTIHAN TIDAK BERBAU 62.201.602.5624.3030.00NORMAL110/80232723.5NPOS144BM1550TKEPT530YAYA31/7/202128/8/2021SINOVACK1BKO10,9NEG99NEGNEGNEGYAYANEGBELUM USG BSC 1 KALI
210
15/3/20232090025477IMANDA ANGGRAINIIWAN FITRIANSYAHJL. MULTI KARYA II NOMOR 19 , RT 009 / RW 009 , UTAN KAYU UTARA , MATRAMANJL. MULTI KARYA II NOMOR 19 , RT 009 / RW 009 , UTAN KAYU UTARA , MATRAMAN99LW089601810521 / 08111301381031710362080000030001207901946 - Kec. Cempaka PutihJAKARTA, 22/8/200022G2P1A023-01-202330-10-20237 MGG 2 HR 1MARET TAK75.601.552.4031.4730.00OBESE100/80BT3323.5NPOSBT BTT5AF 30 YAYA13/7/202113/8/2021SINOVACK1BKYAO13NEG107NEGNEGNEGYAYANEGBELUM USG
211
15/3/20232100037067JUNITACHAIRULIJL. PERCETAKAN NEGARA GG MUHIRIN II / 38 RT 002 / 006 , CPBJL. JOHAR BARU NOMOR 15 RT 09 / RW 05 , JOHAR BARU 95LW08588982622131710457069000040000197323694 - Kec. Cempaka PutihJAKARTA, 17/6/199032G3P1A105-01-202312-10-20239 MGG 6 HR 1MARET PUSING 119.101.482.1854.7430.00OBESE110/80BT4323.5NPOSBT BT T5AF 30 YAYA23/7/202120/8/2021SINOVACK1BKB14,1POS131NEGNEGNEGYAYANEGBELUM USG OBSESITAS , BSC 1 KALI
217
15/3/20232160115290BERLIANA AGBIN PUTRI UTAMIANGGA SUBIRDAKEBAK RT 008 / 004 , KEBAK KRAMAT , KABUPATEN KARANGANYARJL. CIPINANG BARU BUNDER NO. 23 RT 003 / 013 , CIPINANG PULO GADUNG 313LW08575293722033131457089700030000571111211 - KebakkramatKARANGANYAR, 17/8/199725G1P0A020-01-202327-10-20237 MGG 5 HR 1MARET MUAL, MUNTAH , BADAN PEGAL 65.7 1.602.5425.8330.00NORMAL110/70BT 2923.5NPOSBT BT T5AF30YAYA21/1/20214/2/2021SINOVAC 27/8/2021SINOVACK1BKA14NEG112NEGNEGNEGYAYANEG
220
16/3/20232190047494LISA OKTAVIANI AHMAD NURROFAIJL. CEMPAKA PUTIH BARAT RT 013 / RW 002 , CPB BTR II , JL, KOLIDRI 3 BLOK Q 3 NOMOR 2 RT 1 / 10 BEKASI TIMUR 110LW08952649660031710568100200030001208385369 - Klinik Sirandy MedikaJAKARTA, 28/10/200220G1P0A017-12-202223-09-202312 MGG 5 HR 2MARET KRAM PERUT BAWAH 38.101.552.4015.8630.00NORMAL120/703 JAS19.523.5KEKPOS147BALT T530YAYA5/7/20212/8/2021SINOVAC16/2/2022PFIZERK1BKB11,7NEG117NEGNEGNEGYAYANEG
222
17/3/20232210080949DHEA NATASHIASIGIT PRAYITNOJL. PERCETAKAN NEGARA I , KAWI-KAWI ATAS NO. 20 RT 007 / RW 007 , JOHAR BARU JL. PERCETAKAN NEGARA I , KAWI-KAWI ATAS NO. 20 RT 007 / RW 007 , JOHAR BARU 77LW0811113068931710853068900020001205626735 - Kec. Cempaka PutihJAKARTA, 13/6/198933G5P2A209-01-202316-10-20239 MGG 4 HR 1MARET MUAL, MUNTAH 46.901.502.2420.9830.00NORMAL110/701 JAS2423.5NPOSBT BT T4AF 30 YAYA7/9/20218/11/2021ASTRAZENECA19/2/20222MODERNAK1BKO12NEG78NEGNEG2120.74018NEGYAYANEGBSC 2 KALI , BAD OBSTETRI HISTORYRS EVASARI
223
17/3/20232220119293TRISIYA WULANDARIAHMAD HAFIDALLAHJL. METRO JAYA I NOMOR 28 RT 007 / 007 , KAYU PUTIH, PULO GADUNG JL. METRO JAYA I NOMOR 28 RT 007 / 007 , KAYU PUTIH, PULO GADUNG 77LW08774148432231750260099700010000370901215 - Kec. Cempaka PutihJAKARTA, 20/9/199725G1P0A015-10-202323-07-202321 MGG 5 HR 2MARET TAK79.901.562.4233.0430.00OBESE110/602 JBP 3423.5NPOS149TBALT T430YAYA11/6/2021ASTRAZENECAK1BKO11,6NEG113NEGNEGNEGYAYANEG
224
17/3/20232230119178SEFANYA WOWOR LODEWYKE HABEL JL. MUSI RAYA BLOK F - 756 RT 006 / RW 007 , JAKA MULYA BEKASI SELATANJL. MUSI RAYA BLOK F - 756 RT 006 / RW 007 , JAKA MULYA BEKASI SELATAN67LW08211222007232750450049600230002903727159 - Kec. Cempaka PutihJAKARTA, 10/4/199626G1P0A0 29-11-202205-09-202315 MGG 3HR 2MARET TAK70.901.632.6626.6930.00NORMAL120/703 JAS3023.5NPOS143TBALT T530YAYA25/5/202120/8/2021ASTRAZENECAK1BSO12,4NEG118NEGNEGNEGYAYANEG
225
17/3/20232240119300APRILIA RAHMADHANISULAIMAN SURYA JL. KEBON KELAPA RT 013 / RW 013 , UTAN KAYU SELATAN MATRAMANJL. KEBON KELAPA RT 013 / RW 013 , UTAN KAYU SELATAN MATRAMAN1313LW081298417669 / 08129841766331750142049200040000040843629 - Kel. RawasariJAKARTA, 2/4/199230G3P1A112-08-202219-05-202331 MGG 3MARET SETIAP MALAM DAN PAGI KONTRAKSI PALSU 72.901.542.3730.7430.00OBESE90/60233023.5NPOS145BM1550TKEP T430YAYA30/7/202127/8/2021SINOVAC 25/6/2022PFIZERK1BSYAB12,1NEG78NEGNEGNEGYAYANEG
235
21/03/20232340119417RAHMA BOOYASRI LESILAWANGDESA WAETEBA KEL WAETEBA KEC WAESAMAJL PEMUDA III A RT 01/02 KEL RAWAMANGUN KEC.P.GADUNG12LW0821134443108109026506900001 0002369313832 - WAMSISIWAETEBA, 17-05-199527G1P0A018-08-202225-05-202330 MGG 5 HR3MARETTAK53.001.522.3122.9430.00NORMAL100/60232323.5KEKPOS144BM1550TKEPT330YAYA2/9/202125/1/2022SINOVAC13/9/2022PFIZERK1BSO11,7NEG109NEGNEGNEGYAYANRBELUMSUSP PJTRSUD CP
236
21/03/20232350119421NURJANAHWIRANDAJL RAWASARI TIMUR RT 18/2 KEL CPTJL. PANCAWARGA 2 RT 12/02 NO.32 KEL CIPINANG BESAR SELATAN KEC. JATINEGARA122LW089906001983175036501910004 0001606300683 - Kec. JatinegaraJAKARTA, 25-01-199132G1P0A003-02-202310-11-20236 MGG 4 HR1MARETBANGUN TIDUR PAYUDARA TERASA NYERI/PERUT41.601.532.3317.8930.00NORMAL90/60BT2123.5KEKPOSBTBTT2YAYABELUM VAKSINK1BKB12,4NEG110NEGNEGNEGYAYA NRBELUM USG
238
24/03/20232370055709AGUS TRIYANAIWAN SETIAWANJL CPB RT 08/09 KEL CPBJL JOHAR BARU RT 01/04 NO 30 KEL JOHAR BARU KEC J.BARU14LW08380825820531710541088900010000372499604 - Kec. Cempaka PutihJAKARTA, 01-08-198933G3P1A114-02-202321-11-20235 MGG 3 HR1MARETTAK57.301.552.4023.8530.00NORMAL110/70BT26.523.5NPOSBTBTT5YAYA25/7/20217/9/2021SINOVAC15/10/2022PFIZERK1BKA12,8NEG104NEGNEGNEGYAYANRBELUM USG
239
24/03/20232380111857YUSNITAAHMADIJL CEMPAKA WARNA NO 37 RT 6 RW 4 CPTJL DUKUH 3 NO 7 RT 2 RW 2 KEL. DUKUH, KEC KRAMAT JATI 22LW0895375800720/08190188177431710548088300050001207714476 - Kec. Cempaka PutihJAKARTA 8-6-198339G2P0A107-01-202314-10-202310MG 6HR1MARETTAK47.701.512.2721.0630.00NORMAL100/702JAS2323.5KEKPOS145BALTT330YAYA30/8/202129/12/2021AZ12/7/202216/2/2023PFIZERK1BKB11,9NEG97NEGNEGNEGYAYANRBELUM USGUSIA 39TH , PRIMITUA
243
27/03/20232420082922SITI AISYAHM. ACHYAR FIRMANSYAHJL PULOMAS SEL KP BARU RT 13/7 KEL KAYU PUTIH KEC P.GADUNGJL PULOMAS SEL KP BARU RT 13/7 KEL KAYU PUTIH KEC P.GADUNG137LW08127100996431720245059300040001607868674 - Kec. Cempaka PutihJAKARTA, 05-05-199329G2P1A027-02-202304-12-20234 MGG1MARETTAK48.801.512.2821.4030.00NORMAL100/70BT2423.5NPOSBTBTT3YAYA5/1/20216/11/2021SINOVACK1BKAB12,4NEG97NEGNEGNEGYAYANRBELUM USG
245
27/3/20232440118388DIAN NOVITA SARIADHY MUHAMMAD PRABOWOJL KAPEH PANJI JORONG KAPEH PANJI RT -/- KEL TALUAK IV SUKU KEC.BANUHAMPUJL M SAARI NO.17 RT 11/9 KEL SUNTER JAYA KEC. TJ PRIOK119LW08228347553913060648069300010002220404927 - Kec. Cempaka PutihBUKIT TINGGI, 08-06-199329G1P0A018-02-202325-11-20235 MGG 2 HR1MARETSERING BERKEMIH44.101.562.4318.1230.00NORMAL110/70BT2223.5KEKPOSBTBTT5YAYA30/3/202127/4/2021SINOVAC20/8/2021MODERNAPFIZERK1BKB13,7NEG104NEGNEGNEGYAYANRBELUM USG
246
28/3/20232450119627LILY WAHYUNI RISWANDIKP CIKADAKA RT 03/07 KEL SUKASIRNA KEC CIBADAKJL. H. TEN RAYA RT 04 / 06 , KAYU PUTIH , PULO GADUNG 46LW0897638399236740552079300070002363711771 - PUSKESMAS PISANGANTANGERANG, 12-07-199329G1P0A024-01-202331-10-20239 MGG1MARETMUAL DENGAN OBESITAS124.601.532.3353.5830.00OBESE120/80BT45.523.5NPOSBTBTT5YAYA4/5/20214/8/2021SINOVACK1BKO14,1NEG179NEGNEGNEGYAYANRBELUM USGOBESITAS
249
28/3/20232480060515ASH SHOHWATUN NIDA FIKRY BUDI APRIHARTONOJL RAWAMANGUN TEGALAN RT 12/01 KEL RAWAMANGUN KEC P.GADUNGJL. RAWAMANGUN TEGALAN RT 012 / 001 , RAWAMANGUN PULO GADUNG121LW08138138474631750356119100030001879261413 - Kec. Cempaka PutihJAKARTA, 16/11/199131G3P1A101-12-202307-09-202316 MGG 5 HR2MARETTAK53.701.502.2523.8730.00NORMAL100/703 JBP2523.5NPOS140TBALTT430YAYA26/1/20219/2/2021SINOVAC13/8/2021PFIZERK1BKYAO12,2NEG101NEGNEGNEGYAYANEGBSC 1X
254
29/3/20232530015317SANDRA EVANTRIANTIMARTIN ADI PURWANTOJL. KETAPANG BARU III RT 012 / 003 , KEBON KOSONG , KEMAYORAN JL. TRAMPIL II / 38 RT 4 / 2 , KELAPA GADING , JAKARTA UTARA42LW08128651003031720666109000030001287696993 - Kec. Cempaka PutihBEKASI, 26/10/199032G2P1A002-02-202309-11-20237 MGG 6 HR 1MARET RIWAYAT HIDRONEFROSIS, MUAL77.701.622.6129.7930.00NORMAL120/80BT 31.523.5NPOSBTBT T4YAYABELUM VAKSIN COVID K1BKO14NEG125NEGNEGNEGYAYANEGBSC 1 KALI, HIDRONEFROSIS, POST DJ STENT , POST LAPAROSKOPI , ADHESIOLYSISRS ISLAM
262
31/03/20232610102753ARANI NADHIRAALFIAN KUSUMA PUTRAJL JOHAR BARU V NO.6 RT 6/11 KEL JOHAR BARU KEC J. BARUJL JOHAR BARU V NO.6 RT 6/11 KEL JOHAR BARU KEC J. BARU611LW08122494871731710845129000020001207639438 - Kec. Cempaka PutihJAKARTA, 05-12-199032G1P0A003-11-202210-08-202321 MGG 1 HR2MARETTAK50.201.502.2522.3130.00NORMAL100/601825.523.5NPOS138BM775TBALTT530YAYASDH VAKSIN 4 X TAPI GA BS BUKA APSK1BKO10,7NEG154NEGNEGNEGYAYANEGRIW OP PNEUMOTORAKS, ASMA, TBC ON OATRSUD CP
263
31/03/20232620119433YUNITA SUHANADARJATJL KP SAWAH RT 04/02 KEL KAMPUNG RAWA KEC. J.BARUJL KP RAWA RT 04/02 KEL KP RAWA KEC. J.BARU42LW08783200478231710850068300060001167746714 - Kec. Cempaka PutihJAKARTA, 10-06-198339G3P2A015-09-202222-06-202328 MGG 1 HR3MARETNYERI PINGGANG84.401.612.5932.5630.00OBESE110/80283423.5NPOS135BM2325TKEPT530YAYA11/5/20213/8/2021AZTRA8/7/2022PFIZERK1BKA10,9NEG123NEGNEGNEGYAYANEGBELUM USGRESTI USIA >35 TH,
274
06/04/20232730016151SILMY ATQIYAHM.NAJIB SIRAJJL KRAMAT ASEM NO.37 RT 07/05 KEL UTAN KAYU SELATAN KEC MATRAMANJL ALFALAH 2 NO.117 RT 4/6 KEL JATIRANGON KEC JATISAMPURNA, BEKASI46LW0878019779183175017006990002UMUMJAKARTA, 30-06-199923G1P0A001-01-202308-10-202313 MGG 4 HR2APRILMUAL, MUNTAH55.91.622.6221.3030.00NORMAL90/702 JAS24.523.5NPOS149TBALTT1VIT SENDIRIYAYA8/9/202129/9/2021PFIZERK1BKO12,1NEG92NEGNEGNEGYAYANEG
275
06/04/20232740119924ELLY NOOR ROHMAWATIYOGA PRI RESKHA PUTRAJL MENGKER RT 06/03 KEL SIRNAGALIH KEC JONGGOLJL JOHAR BARU V RT 04/11 KEL JOHAR BARU 411LW0821222294343201066003960001 0002510724216 - Kel. Cempaka Putih Barat IIBOGOR, 20-03-199627G1P0A001-01-202308-10-202313 MGG 4 HR2APRILMUAL GATAL DI SELURUH BADAN57.61.612.5922.2230.00NORMAL90/604 JAS2723.5NPOS140TBALTT530YAYA4/6/202127/8/2021AZTRA1/4/2022PFIZERK1BKO11,8NEG97NEGNEGNEGYAYANEGRIW OP MIOMA 2019
282
11/4/20232810059695DINA EKAYANTIFARIZ BUDI PRASETYAJL. TAMAN ANGGREK BULAN F1 / II RT 002 / RW 014 , JAKASETIA , BEKASI SELATAN JL. PISANGAN BARU 1 NOMOR 17 , RT 006 / 08 , PISANGAN BARU , KEC. MATRAMAN68LW08533793333951710448079200010001438120923 - Kec. Cempaka PutihDENPASAR, 8/7/199231G2P1A010-01-202322-10-202312 MGG 2 HR 2APRIL MUAL84.71.562.4334.8030.00OBESE110/702 JAS3523.5NPOS140TBALT T530YAYA13/7/20215/10/2021ASTRAZENECA K1BSO11,5NEG121NEGNEGNEGYAYANEGBSC 1 KALI
287
12/4/20232860049928RONA RIZKY AMIRAH SIAGIANFIRMAN NUR IKHWANKP. RAWA SAWAH II NO. 32 RT 11 / RW 01 , KAMPUNG RAWA, JOHAR BARU KP. RAWA SAWAH II NO. 32 RT 11 / RW 01 , KAMPUNG RAWA, JOHAR BARU 111LW089643381301/ 08131833584031710862019700040001458148184 - Kec. Cempaka PutihJAKARTA, 22/1/199726G1P0A030-01-202306-11-202310 MGG 2 HR 1APRIL MUAL, ADA MAAG65.61.5652.4526.7830.00NORMAL100/601 JAS2823.5NPOSBTBTT5AF 30 YAYAIBU SUDAH VAKSIN NAMUN LUPA TANGGALK1BKB12,7NEG120NEGNEGNEGYAYANEG
290
13/4/20232890010616TASSYA ALYAROSSA KHAERANI ANDYKA KRISTIANTO JL. CIPINANG KEBEMBEM NO. 34 RT 006 / 013 , PISANGAN TIMUR , JL. MAWAR MERAH VII GG RT 001 / RW 007 , MALAKA JAYA , DUREN SAWIT17LW08951250391931710568030110010001209269158 - Kec. Cempaka PutihJAKARTA, 28/3/200122G2P1A0 02-03-202309-12-20236 MGG 1APRILBEGAL, ENEG-ENEG BAU 72.01.602.5628.1330.00NORMAL110/70BT3423.5NPOSBTBTT4AF30 YAYA21/8/202115/11/2021ASTRAZENECAK1BKB13,3NEG99NEGNEGNEGYAYANEG
293
14/4/2023292'0120178SITI KHODIJAHRHISMANBLOK TELAGA RT 011 / RW 003 , KAPLONGAN LOR KARANGAMPEL JL. RAWAMANGUN MUKA SELATAN I RT 08 / RW 13 NOMOR 26 , RAWAMANGUN PULO GADUNG 813LW08139511601132121054079600030001189784665 - Kec. Cempaka PutihINDRAMAYU, 14/7/199626G1P0A018-10-202225-07-202325 MGG 3 HR 2APRIL TAK82.21.582.5032.9330.00OBESE120/80163423.5NPOS130465TBTT430YAYA23/9/202114/1/2021PFIZER14/10/2022MODERNAK1BKO8,8NEG125NEGNEGNEGYAYANEGANEMIA
295
14/4/20232940120183OKTAVIYANAHERWANAJL. RAWA SELATAN RT 003 / 004 , KAMPUNG RAWA, JOHAR BARU JL. RAWA SELATAN RT 003 / 004 , KAMPUNG RAWA, JOHAR BARU 34LW08314918861031710864108600050002068658695 - Kel. Kampung RawaJAKARTA, 24/10/198636G5P4A023-01-202330-10-202311 MGG 4 HR 1APRIL LEMES, PUSING 51.81.5352.3621.9830.00NORMAL110/70BT2523.5NPOSBTBTT5AF 30 YAYA30/9/2021SINOVACK1BKB13,2NEG136NEGNEGNEGYAYANEGGRANDE MULTI PARA, BSC 2 KALI
297
15/4/20232960120253RIA RISTI HEDIYANTIAHMAD FAUZIKP. JAWA RAWASARI RT 010 / 009 NO. 8 , RAWASARI CEMPAKA PUTIH METLAND TRANSYOGI , CLUSTER SHERWOOD , BLOK RM 35 , NO. 12 , LW085888811436 / 08097308096236011568079900010002769540118 - Kec. Cempaka PutihPANDEGLANG, 18/7/199924G1P0A0 16-08-202223-05-202334 MGG 6 HR 3APRIL TAK 61.81.5752.4824.9130.00NORMAL100/60282723.5NPOS134BM2325TKEPT430YAYA1/8/2021ASTRAZENECAK1BSB11NEG96NEGNEGNEGYAYANEG
299
18/04/20232980028500HUSNUL KHATIMAHRIZKI NUGRAHA SUKAMTOJL CPB II G/26 B RT 06/03 KEL CPBJL SEMPURNA GG SWADAYA NO.53 RT 03/20 KEL. KAMPUNG KELAPA, BOJONG GEDE320LW08118902093/08229850442331710542099300040001207378449 - Kec. Cempaka PutihJAKARTA, 02-09-199330G2P1A016-01-202323-10-202313 MGG 1 HR2APRILTAK82.91.5652.4533.8530.00OBESE110/603 JAS3323.5NPOS131TBALTT530YAYA22/5/202114/8/2021AZTRA18/3/2022MODERNAK1BSB12,9NEG97NEGNEGNEGYAYANEGBSC 1X, ALERGI KEPITING
300
18/4/20232990009870RANI YUDI PRAMESWARIREZA CIPTA ABADIJL BIDURI NO.15 RT 02/03 KEL GALUR KEC. JOHAR BARUJL RAWAMANGUN MUKA TIMUR NO.22 RT 02/12 KEL RAWAMANGUN KEC P.GADUNG212LW088102510676731750245018800090002068752194 - Kec. Cempaka PutihJAKARTA, 05-01-198835G2P1A006-03-202312-12-20236 MGG 1 HR1APRILTAK70.91.5752.4828.5830.00NORMAL110/70BT30.523.5NPOSBTTBTT5YAYA18/8/202101/10/2021SINOVAC14/8/2022PFIZERK1BKO12,9NEG87NEGNEGNEGYAYANEGBELUMBSC 1X
301
18/4/20233000038640NADIAH ZAHKIAMUHAMMAD MUKHLISINJL. PEMUDA I NO. 09 RT 002 / RW 002 , RAWAMANGUN, PULO GADUNGJL. PEMUDA I NO. 09 RT 002 / RW 002 , RAWAMANGUN, PULO GADUNG22LW08951684915231750264129310010000370699918 - Kec. Cempaka PutihJAKARTA, 24/12/199330G2P1A0 12-02-202319-11-20239 MGG 2 HR 1APRIL TAK60.61.482.1927.6730.00NORMAL60.6BT2723.5NPOSBT BT T5AF 30 YAYA7/8/20217/9/2021SINOVAC K1BKB12,2NEG129NEGNEGNEGYAYANEGBSC 1 KALI
302
27-4-20233010120424TRISNA EKAWATIJULIAN F LOYD SIMANJUNTAKJL RAWA BOLA NO 66 RT 02/07 KEL KELAPA DUA WETAN KEC. CIRACASJL RAWA BOLA NO 66 RT 02/07 KEL KELAPA DUA WETAN KEC. CIRACAS27LW0899914319932760150018900070001297742905 - Klinik Pratama Setia RumandaDEPOK, 10-01-198934G1P0A012-12-202218-09-202319 MGG 3 HR2APRILAGAK PUSING55.21.582.5022.1130.00NORMAL90/60182623.5NPOS130TBALTT330YAYA26/6/202117/7/2021SINOVAC28-01-2022AZTRAK1BSB11,4NEG92NEGNEGNEGYAYANEGMIOMA UTERIRS PERTAMINA JAYA
304
27-4-20233030002325ELLYEZER INDAHGACOV FERDINANJL. CEMPAKA WARNA RT 10 / 04 , CPT JL. VILLA MAKMUR I BLOK B 12 NOMOR 12 , TAMBUN SELATANLW08577907235931710546030010020001207865092 - Kec. Cempaka PutihJAKARTA, 6/3/200023G1P0A019-01-202326-10-202314 MGG 2APRIL TAK51.71.492.2223.2930.00NORMAL110/70/3 JAS2523.5NPOS147BALT T430YAYA29/4/202118/8/2021SINOVAC25/3/2022MODERNAK1BSAB11,2NEG95NEGNEGNEGYAYANEG
308
28/4/20233070110903GINA SONIADERY DERMAWANKP PULO GUNDUL K 63 RT 006 / 009 , TANAH TINGGI JOHAR BARU KP PULO GUNDUL K 63 RT 006 / 009 , TANAH TINGGI JOHAR BARU 69LW08211371885331710865049700040001206277119 - Kec. Cempaka PutihJAKARTA, 25/4/199726G2P1A0 10-02-022317-11-202311 MGG 1APRIL MUAL, MUNTAH JARANG 45.31.4752.1820.8230.00NORMAL110/602 JAS2723.5NPOSBT BTT430YAYASUDAH VAKSIN K1BK A11,4NEG112NEGNEGNEGYAYANEG
309
28/4/20233080074953KRISDIANA SEPTAHERLINABERANTAS HUTAURUK PERUM GRAHA PERSADA SENTOSA BLOK A 5 / 15 RT 010 / RW 011 , KALIABANG TENGAH , BEKASI UTARA JL. TUPAREV NOMOR 13 A RT 01 / RW 09 , KAYU PUTIH, PULO GADUNG 19LW08121322448232160248099000160001256245828 - Kec. Cempaka PutihJAKARTA, 08/09/199032G2P1A004-02-202311-11-202311 MGG 6 HR 1APRIL ALERGI 65.41.612.5925.2330.00NORMAL110/703 JAS2623.5NPOS148BALT T430YAYASUDAH VAKSIN, TAPI HANDPHONE MATI SINOVACK1BKYAB12NEG146NEGNEGNEGYAYANEG
310
2/5/20233090047586MIFTAHUR RASYIDAHSADRI SAPUTRAKP. BARU NOMOR 36 RT 009 / 006 , KAYU PUTIH , PULO GADUNG KP. BARU NOMOR 36 RT 009 / 006 , KAYU PUTIH , PULO GADUNG 96LW088221953431 / 08963790595031750253079500080001218059122 - Kec. Cempaka PutihJAKARTA, 13/7/199528G2P1A017-03-202322-12-20236 MGG 4 HR 1MEIMUAL, PUSING, MAKAN MASIH BISA43.4150#DIV/0!31.00#DIV/0!100/60BT2223.5KEKPOSBTBTT5AF 30 YAYA7/7/20216/8/2021SINOVAC7/3/2023PFIZERK1BKO12.5NEG103NEGNEGNEGYAYANEG
311
2/5/20233100088037KATRUN NADAM. RIDHO FADHILLAH JL. KEAMANAN NO. 63 A RT 001 / 007 , KEAGUNGAN , TAMAN SARI , JAKARTA BARATJL. KEAMANAN NO. 63 A RT 001 / 007 , KEAGUNGAN , TAMAN SARI , JAKARTA BARAT17LW081286963301 08211283084531730349118600010001144676079 - Kec. Cempaka PutihJAKARTA, 9/11/198637G4P2A101-03-202306-12-20238 MGG 6 HR 1MEIPILEK TIDAK SERING 53.81.5552.4222.2532.00NORMAL110/70BT23.523.5NPOSBTBTT5AF 30 YAYA14/6/20216/9/2021ASTRAZENECA26/3/2022MODERNAK1BSAB10.1NEG107NEGNEGNEGYAYANEGUSIA 37 TAHUN
313
2/5/20233120083107FITRI WULANDARI FADLI SABILILLAHJKP. TANAH KOJA RT 002 / 002 JATINEGARA KAUM , PULO GADUNG APT CER TWR ARJUNA RT 001 / 013 , B LT. 02 NO. 15 , DUREN SAWIT PONDOK BAMBU 113LW081296903932 / 08121921529931720371019800090001218732355 - Kec. Cempaka PutihJAKARTA, 31/1/199825G2P1A023-03-202330-12-20235 MGG 5 HR 1MEIPUSING, MUAL 56.21.5552.4223.2434.00NORMAL100/60BT26.523.5NPOSBTBTT5AF30YAYA17/7/20218/9/2021SINOVACK1BKO13.1NEG100NEGNEGNEGYAYANEGBSC 1 KALI10-05-2023CURETASERS
315
2/5/20233140120578THASYA RAIHANYKEVIN MAXMILLIAN EDSONPERUM CAHAYA GARUDA PERMAI NO. 45 RT 011 / 009, PASIR PUTIH , SAWANGAN DEPOKPERUM CAHAYA GARUDA PERMAI NO. 45 RT 011 / 009, PASIR PUTIH , SAWANGAN DEPOK119LW08190889831631750165129900020001229387321 - Kec. Cempaka PutihJAKARTA, 25/12/199923G1P0A0 06-04-202328-12-20235 MGG 5 HR 1MEIMUAL, MUNTAH, , TIDAK NAFSU MAKAN60.61.532.3425.8936.00NORMAL90/60BT3123.5NPOSBTBTT5AF30YAYASUDAH VAKSIN, TAPI LUPAK1BKO11.5NEG98NEGNEGNEGYAYANEGENDOMETRIOSISRS EVASARI