ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMANAOAPAQARASATAUAVAWAXAYAZBABBBCBDBEBFBGBHBIBJBKBLBMBNBOBPBQBRBSBTBUBVBWBXBYBZCACBCCCDCECFCGCHCICJCKCLCMCNCOCPCQCRCSCTCUCV
1
NAMA LANSIARMLAHIRURTRWNIKBPJSBULAN : JANUARI 2026BULAN : 7 FEBRUARI 2026BULAN : 6 MARET 2026BULAN : APRIL 2026BULAN : 10 MEI 2026BULAN : 6 JUNI 2026BULAN : JULI 2026
2
SISDIANBBTBIMTLPLILAGDAKOLKELUHANDXTERAPISISDIANBBTBIMTLPLILAGDAKOLKELUHANDXTERAPISISDIANBBTBIMTLPLILAGDAKOLKELUHANDXTERAPISISDIANBBTBIMTLPLILAGDAKOLKELUHANDXTERAPISISDIANBBTBIMTLPLILAGDAKOLKELUHANDXTERAPISISDIANBBTBIMTLPLILAGDAKOLKELUHANDXTERAPISISDIANBBTBIMTLPLILAGDAKOLKELUHANDX
3
1NUR SODERI89577127
CEPOKO
3518030912570002
193110806015923,76823KANAN GRINGGINGENKALK, B12173106705915923,39033SEHATBC
4
2HJ. JUWARIYAH2112/31/193888CEPOKO14
3518037112380043
0001863753096
5
3MARDIYAH2358112/31/193987
CEPOKO
12
3518037112390075
umum171848038,514219,18427DENGKUL KEMENGB12, ASNEF15382703814218,88427121KEMENG DENGKULASNEF, B1
6
4MARLIK490547/5/194086CEPOKO22
3518034507400005
0002158949553
7
5SUPIYAN475173/2/195076
CEPOKO
24
3518030203500008
0002684184478
173967046,5156,519,07625SEHATBC136877044,2156,518,07525SEHATVC154918044,3156,518,07525
ADEM PANAS BATUK
PCT, GG, VC
8
6MUSTINGAH8414512/31/194482CEPOKO12
3518037112440007
0000732380073
122708027,4138,714,26620181BAPILNASINTUNAL125687028,3138,714,36720SEHATBC107667027,9138,714,56720PUSINGPCT, BC132737029,5138,715,56820SEHATKALK130678031138,716,16820109SEHATSUSU PROTEIN, BC 6
9
7MARDIYAH3745912/30/194581CEPOKO24133827045,714023,38027263SEHATZINC138758045,314023,18027PEGEL LINUBC, ASNEF
10
8INSIYAH192812/31/194779CEPOKO13
3518037112470014
0003363161894
11
9YASIRAN116945/17/194878CEPOKO14
3518031705480001
0000733538856
ASNEF, KALK179988038,515516,06923SEHATBC1601018037,815515,76923135PUNGGUNG KEMENGASNEF 6, KALK 5131748037,815515,76923PUNGGUNG KEMENGASMEF5, BC5
12
10SURATI648195/15/195076CEPOKO24
3518035505500001
NONAKTIF140917076,515432,39735148KEMENGKALK142838075,615431,99734BETIS KEMENGPCT, B1150878075,615431,99734DENGKUL KEMENGKALK, B115584707315430,89634DENGKUL KEMENG BANGETASMEF5, KALK5
13
11UMI MAESAROH8414110/20/195076CEPOKO14
3518036010500001
0001044518455
168677040,613821,37726105SEHATZINC117628040,513821,37726ADEM ANGETPCT, BC110657039,513820,77726SEHATVC119867037,613819,77620SEHATASMEF5, KALK6
14
12SUMINI 01 028415512/31/195175CEPOKO12
3518037112510011
0000733547079
185948051,713329,29431215SEHATKALK196998052,713329,89431PUSINGB12199928052,113329,59431SEHATBC179897051,113328,99331TUNGKAK SAKITASNEF, KALK1851028051,313329,09331170SEHATKALK 6188978051,113328,99331SEHATBC5
15
13SITI MUDRIKAH118646/30/195274CEPOKO34
3518037006520023
0000732137016
16
14SUMINI 04 028458512/31/195274CEPOKO42
3518037112520123
0003363174213
1751038042,614719,78427133SEHATZINC1841038043,3147208427SEHATB12165948042,214719,48427MUAL SAAT SAHURB61611027043,514720,58427SEHATKALK14390708414719,88427SEHATBC5
17
15MARFUAH2640212/31/195373CEPOKO12
3518037112530055
0000733451927
18
16LAMIRAH7981912/31/195472CEPOKO22
3518037112540112
NONAKTIF148778058,415125,68928127SEHATKALK156798058,515125,78928SEHATBC140787057,115125,08928SEHATBC146737056,915025,38827SEHATBC148777058,215025,98827122SEHATBC 6150708058,115025,88827SEHATKALK5
19
17KOSTOYO6354310/25/195571CEPOKO
3518032510550002
0002158948811
136817038,1156,115,66825100GATALSALAP2-4121927038,1156,115,66825SAKIT GIGIASNEF, KALK134897038,3156,115,76825104KERINGAT DINGIN, SEBAHANTASIDA 8, B6 6138918038,3156,115,76825KEMENGASMEF5, BC5
20
18KHAMSIAH7783112/23/195571CEPOKO32
3518032312550002
0001044519142
150777034,713419,37623123GATALKALK, CTM161728034,2134197623PUSINGASNEF, B12146697033,613418,77623KEMENG HABIS JATUHASNEF, BC148698035,513419,87723PUSINGASNEF, B1142697035,413419,77723137JARI KEMENG-KEMENGKALK5, ASNEF5142637034,613419,37725PUNGGUNG TANGAN KEMENGASMEF5, BC5
21
19
CHOIRUN NI'AM NURUN NASIHAH
13185/5/195670CEPOKO35
3516084505560003
0002438903024
133728044,615219,37525309KEMENGASNEF, B12, KALK167808044,615219,37525KAKU TANGANASNEF, B12136778043,615218,97425SEHATB6133828044,415219,27526SEHATVC154857044,615219,37526145SEHATBC 6, KALK 6
22
20IMAM AHMAD236253/12/195868CEPOKO22
3518031203580001
0000732935002
136837046,4156,618,97625118BATUKKALK155947048,1156,619,67726BATUKSIRUP127847047,8156,619,57726127708046,8156,619,17726GATALSALEP 2 4
23
21MUJAYIN3107412/31/195868CEPOKO22
3518033112580011
0002684183231
136738053,415621,98026BATUK PILEKINTUNAL, GG, VC 159868055,415622,8802697BAPILNASNOVA7, VC6
24
22AHMAD MASRUR2747712/30/195967
CEPOKO
24
3518033012590020
0002633168733
25
23SURATNO2344512/31/195967CEPOKO12
3518033112590015
0000733111301
26
24CHOMARIYAH842402/28/196066CEPOKO12
3518036802600001
UMUM115687077,714437,510335SEHATZINC118717075,714436,59934BATUKGG111608076,414436,49934GATALBETAMETHASHON, VC126698077,414437,49934228GATALBETAMETHASON krim1
27
25SUYATI840555/11/196066CEPOKO32
3518035105600001
0003363174167
154837046,3140,523,57528135SEHATKALK156818047,5140,524,17729KEMENGASNEF, B12169927045,8140,523,27628KEMENGASNEF, ZINC159848046,6140,523,67728ALERGI DINGINVC 10156837046,3140,523,57728124ADEM ANGETPCT 8, VC 6
28
26NURRAHMAH117426/1/196066CEPOKO23
3518034106600002
0000732390131
130708044,114321,68025226BATUKGG10132698043,914321,58025KEMENGASNEF, B12119607042,814320,98025PUSINGB1, PCT 124657043,814321,48126DENGKUL KEMENGKALK, ASNEF117667044,314321,78126110BOKONG KEMENGASMEF5, KALK5
29
27MUNFAIDAH278077/2/196066CEPOKO14
3518034207600001
0002633165278
30
28SITI SHOLIKATIN 921312/30/196066CEPOKO34
3518037012600026
0000109548472
113667055,5146,525,98629SEHATBC120767055,3146,525,98629SEHATVC
31
29MUKAROM 842412/2/196165CEPOKO12
3518030202610001
0002633168169
1921118068,4161,526,28932130SEHATKALK, B121931008068,6161,526,38932KADANG PUSINGASNEF, B121781018068,6161,526,38932SEHATVC 1821038069,8161,526,88932SEHATKALK1821097068161,526,18932134SEHATKALK5
32
30BINTI MUASHOMAH236247/21/196165CEPOKO12
3518036107610001
0000732935237
155807063,514530,29134219GREGESB12, PCT170857063,114530,09134GATALCTM, B12172898062,914529,99134SEHATZINC133607060,714528,99234259DENGKUL KEMENGASNEF 5, B1 6
33
31IMROAH235613/1/196264CEPOKO12
3518034103580001
NONAKTIF124757042,914121,67826BAPILNASINTUNAL, VC 141687043,514121,97826140ADEM ANGET, PILEKPCT 6, GG 6
34
32
SRI ROZAKI YEKTI HANDA
405303/7/196264CEPOKO34
3518034703620002
0000109354713
99588065,315826,29428SEHATBC 98577064,215825,79328129SEHATVC 116657064,215825,79328SEHATBC111627061,615824,79228KEMENG, MUALPCT 6, ANTAS 10, B6 5128698062,815825,29228SEHATBC5, KALK4
35
33HANI'ATUN8415412/31/196264CEPOKO13
3518027112620092
UMUM122797063,814132,18831145DENGKUL LINUASNEF, KALK158878066,514133,49132DENGKUL KEMENGASNEF, B12157768065,514133,59132DENGKUL KEMENGPCT, B1166817066,114133,29132BELIKAT SAKITASNEF, B1173908065,514132,99132135KEMENGKALK 5, ASNEF 5155807065,814133,19132KEMENGBC5, KALK4
36
34SUWARIYATUN4518112/31/196264CEPOKO23
3518037112620119
0003363174257
1741118057,5146,526,88731160MERIANGPCT1691108058,2146,527,18731SEHATBC1611178057,1146,526,68731DENGKUL KEMENGASNEF, ZINC1781118057,5146,526,88731KAKI KEMENGASNEF, KALK1761057056,6146,526,48731KEMENGASMEF5, KALK5
37
35M. ABU NAIM849965/26/196462
CEPOKO
12
3518032605640001
0002809469935
38
36SUNARLIK8684212/30/196462CEPOKO13
3518037012640037
UMUM123727042,2150,418,77324124SEHATKALK121637043,1150,419,17425SEHATBC152838042,1150,418,67325PUSINGPCT, B1136838042,4150,418,67325SEHATBC139847043,8150,419,47325SEHATKALK5
39
37MAEMUNAH2351112/31/196462CEPOKO12
3518037112640012
0000733148471
134798049,414822,68528SEHATZINC165887049,214822,58528SEHATZINC134757049,214822,58528SEHATVC1931028047,914821,98428192PUNGGUNG KEMENGASNEF6, KALK6159947047,214821,58428KEMENGKALK5
40
38KAMIRAH MENINGGAL841491/30/196561CEPOKO12
3518037001650001
0000733159934
41
39UMI KOMISAH116966/20/196561CEPOKO14
3518036006650003
0000733539611
128778047,114921,37626132KAKI KAKUKALK, B12124778047,414921,47626KEMENGASNEF139808046,214920,87526GRINGGINGENB1147787046,914921,17526BATUK PILEKINTUNAL, VC130697046,314920,97526123GATALKALK 5, CTM 6133768047,114921,27526KEMENGASMEF5, B65
42
40NAFI'ATUN7942210/22/196561
CEPOKO
16699804114419,86624126SEHATPROTEN , B6 6169887040,414419,56624PILEK PUSINGNOVA6,VC5
43
41DEWI MUFLIKATIN284112/31/196561CEPOKO22
3518037112650130
0000733521227
44
42MUTMAINAH4190812/31/196561CEPOKO32
3518037112650164
0002134050568
120698034,813519,17123BATUKGG, VC144878034,813519,17123BATUKGG8, VC6
45
43BINTI SUHANDARI505874/8/196660CEPOKO34
3518034804660000
0001044518692
14497804514322,07425121SEHATBC155987044,314321,77425PUSINGVC, ASNEF 145907043,914321,57324BATUK PILEKINTUNAL, VC147967043,114321,17324KEMENGKALK 6, ASNEF 5
46
44SAMSUNI239412/26/196660CEPOKO13
3518032612660001
0000733200524
47
45SAMSIYAH8418612/31/196660CEPOKO13
3518037112660012
0000732926823
135828059,115624,39128PINGGANG KEMENGASNEF, B12158888057,515623,68928KEMENG, PUSINGPCT, B6 123748058,815624,29029PERUT PERIHANTAS, B6140957058,915624,29029BADAN KEMENGASMEF5, BC5
48
46SUDARSIH8424212/31/196660CEPOKO32
3518037112660004
0000733453244
140798073,3160,228,69534133PUNGGUNG KEMENGASNEF, BC157887071,4160,227,99233SEHATB1141788072,6160,228,69433MAAGHANTASIS, B6158868073,1160,228,59433SEHATKALK5, BC5
49
47AMINATUN1194312/31/196759CEPOKO13
3518037112670024
0000733462435
111807032,314914,56824113MAAGH, PUSINGANTAS, B6, PCT 14384703414915,36924KEMENG BADAN
PROTEN, ASNEF 5, KALK 5
136697034,114915,46924KEMENG PUSINGASMEF5, CTM5
50
48SUWARNI238112/31/196759CEPOKO32
0000732386114
166917066,314531,310034145BATUKGG, CTM178938065,914531,310034PUSINGB12, ASNEF17386706614531,410034PUSINGPCT, B1210998067,814532,210034PUSINGASNEF, KALK205987067,414532,210034PUSINGASMEF5, BC5
51
49RIANA12721/14/196858CEPOKO22
3518035402680001
NONAKTIF130838083,8165,330,711036153KEMENGKALK126938083,9165,330,711036DENGKUL KEMENGB12, ASNEF137847082,4165,330,211036PUSINGZINC, ASNEF140937082,4165,330,211036KAKI KEMENGASNEF, KALK, B1162998083,2165,330,411036PUSINGASNEF 5, B1 5145928083,2163,331,211036KEMENG ASMEF5, KALK5
52
50SITI KOTIJAH32356/10/196858CEPOKO14
3518035006680008
UMUM128657058,315524,3832992PUSING, KEMENGASNEF, BC
53
51UMI MUNASAROH369186/30/196858CEPOKO14
3518037006680073
UMUM150957049,9
148,9
22,57531SEHATKALK126837049,3148,922,27531SEHATZINC1501017051,7
148,9
23,37531105SEHATB6 6126817052,1148,923,57531SEHATBC5
54
52SITI MARIYAM3725312/30/196858CEPOKO12
3518037012580016
0002684178898
201907035,313120,67227140KEMENGKALK, ASNEF2111028035,513120,77227DENGKUL KEMENGKALK, B12194938035,213120,57227DENGKUL KEMENGASNEF, B12261018035,213120,57227DENGKUL KEMENGASNEF, KALK195887035,413120,6722795SEHATB1 6197948035,213120,57227KEMENGASMEF5, KALK5
55
53ISMIYATUN148312/31/196858CEPOKO22
3518037112680102
0002684183242
175988046,614422,58125112SAKIT GIGIKALK, PCT, AMOX172958046,114422,28125PUSINGASNEF, BC 1731008045,314421,88025BAPILNASNOVATUSIN167907046,914422,68125NYERI IGAASNEF, KALK1981058048,114423,28125126SEHATKALK5
56
54SITI ROFIAH119295/19/196957CEPOKO24
3518035905690003
0000733146287
190938070,514334,510437KEMENGKALK, ASNEF161767068,914333,710336KEMENGASNEF, BC 171867069,314333,910336PUNGGUNG KEMENGASNEF, ZINC174818070,614334,510336BATUK PILEKINTUNAL 1019885707014334,210336KEMENGKALK 5, ASNEF 5 16578707114334,710436KEMENGKALK4, ASMEF5
57
55MUHARWIN23856/3/196957CEPOKO32
3518034306740013
0002633168507
164978053,514425,88929102
KEMBUNG, PUSING
PCT, ANTAS154708054,514426,38929MUAL, PUSINGANTAS, PCT138877053,214425,78929BAPILNASNOVATUSIN174937053,114425,68929161PUSING, KEMENG, MUAL
ASNEF 5, ANTAS 10, B6 5
58
56TITIK HIDAYATI242916/4/196957CEPOKO12
3518034406690001
0001101028768
150897060,715425,6912826213582706015425,39128GRINGGINGENB1213681705915424,99128130857060,415425,59229SAKIT GIGIASNEF, KALK126877060,215425,49229191BAPILNASNOVATUSIN 10133847061,41549229KEMENGKALK6
59
57NURHAYATI842398/20/196957CEPOKO24
3518036008690006
0000733548868
128658046,614522,67927150SEHATZINC135728046,414522,17927PUSINGASNEF, BC144758046,114521,97927PUSINGASNEF, ZINC129667047,214522,47928GRINGGINGENKALK, B1135748047,514522,68028110PUNGGUNG KEMENG
PROTEN, KALK 6, ASNEF 5
138697046,314522,08026SEHATBC5
60
58MUHARWIYATI2760412/30/196957
CEPOKO
32
3518037012670011
umum137807049,3
144,5
23,67629169PUSING, MUALANTAS B6, PCT128738049,4144,523,77629SAKIT GIGI KIRI ATASASNEF, AMOX126657048,5144,523,27629
KEPALA, GIGI, LEHER KIRI SAKIT
ASNEF, B12161947050,1
144,5
24,07830124PUNGGUNG KEMENGASNEF 5, B1 6147827050,2144,524,07830PUNGGUNG KEMENGKALK5, ASMEF6
61
59MARTINI739733/12/197056
CEPOKO
23
3518035203700002
0001044518297
62
60BINTI SULASMINAH451826/30/197056CEPOKO23
3518037006700087
0003364148182
129748069,515130,59631262GATALCTM, KALK
63
61SITI JUWARIYAH7623612/31/197056CEPOKO13
0000733200671
64
62WAHYU SETIAWAN8003610/16/197155CEPOKO31
3518031610710001
65
63TUMINI237992/3/197254CEPOKO13
3518034302720001
0002281549612
123767077,816428,99336113
66
64FATIMATUL IPA RUSIDA13365/28/197353CEPOKO31
3518036805730001
0003364149396
67
65NUR AiNI MASRUROH349877/12/197353
CEPOKO
12
3518035207730004
0002633168362
145968057,7151,525,78627124SEHATZINC138877058,6151,525,58727SEHATB12146957057,2151,524,98727SEHATZINC
68
66FATMAWATI207798/10/197353CEPOKO22
3518035008730006
0002809467977
69
67BIBIT NUR KASIFAH299012/31/197452CEPOKO12
3518037112740005
0003363168666
130857057,814926,08627SEHATB121681058059,314926,78828BAPILNASBC, INTUNAL133848056,614925,58627KEMENGASNEF, B1152877058,414926,38927SEHATKALK13186705914926,68927SEHATKALK6
70
68
ZUMAROTUL KHOLISHOH
35821/7/197551CEPOKO12
3518034701750001
NONAKTIF120707085,115037,89833KEMENGASNEF, BC14693708615038,29833106PINGGANG KEMENGASNEF, BC 152918085,515038,29833DENGKUL KEMENGASNEF, KALK150938085,715038,19833KEMENG DENGKULASNEF 5, KALK 5
71
69RASMI1168912/31/197748CEPOKO32
3518037112770031
0000733532668
1981098045,914222,88227PUSINGINTUNAL2021098044,714222,28227BAPILGG, VC2151128045,714222,28227SEHATKALK5
72
70BINTI NIKMATUL AMIN433022/12/198046CEPOKO34
3518035202800001
0002134208417
126727043,814321,4752889121767044,914322,07528PCT124817045,114322,17528PUSINGASNEF125788044,414321,57428113727045,214322,1742886122797045,514322,37428KEMENGASMEF5, KALK5
73
71SITI FATIMAH7112/31/198144CEPOKO13
3518037112810001
0002134208261
14576704414520,97726120MUALANTASID158717043,414520,67726BATUKGG, VC 133747042,814520,47726BATUKGG, VC 155888044,214521,07826KAKI, PAHA KEMENGASNEF5, KALK5159868044,114521,07826KAKI KEMENGASMEF5, KALK5
74
72DAMINI1172512/31/197254CEPOKO32
3518037112720066
0000733100848
208998059,514329,18832SEHATB12204978058,514328,68832BAPILGG, VC1961018060,414329,48933SEHATKALK2161038061,614330,18933BADAN KEMENGKALK5, ASMEF5
75
73MASHURI404051/6/196858CEPOKO22
3518030106680002
NONAKTIF138817063,716324,07730
DENGKUL KEMENG
KALK 135847061,916323,37629SEHATB6140837063,816324,07730SEHATPROTEN, BC 5
76
74MUHTAR BAIHAQI7623812/31/196066CEPOKO32
0000733452311
155827062,8164,223,39029PUNGGUNG SAKITASNEF, B12176997062,2164,223,39029PINGGANG SAKITASNEF, KALK160958060,5164,222,48429PINGGANG KEMENGASMEF5, KALK5
77
75KIPTIYANI381911/2/196858CEPOKO13
3518034211680002
0002684183409
78
76AMINAH2353512/31/197353CEPOKO12
3518037112730045
0000733166537
79
77NUR UTAMI2/15/197947SALAM11
3518037112790007
0000732088528
80
78YULI NUR AZIZAH763107/16/197254CEPOKO34
3518035607720003
125768067,315727,39330SEHATKALK 135768066,215726,99330MUAL, PERIHANTAS119747066,215726,99330MUALANTAS, B6 129768066,215726,59330SEHATKALK126837065,115726,49330SEHATVC 6
81
79BISRI MUSTOFA369164/1/193987CEPOKO34
3518030104390001
0000109633149
186778070,5154,529,59931SEHATKALK 156697070,6154,529,69931SEHATBC149737069,6154,529,29830SEHATZINC150707071,1154,529,89931SEHATKALK152677069,7154,529,29831168PUNGGUNG KEMENGKALK 5, ASNEF 5
82
80JUPRI1175912/31/194581154878063162,823,89029SUSAH TIDURCTM, B12162818063162,823,89029181NGANTUK TERUSBC169868063,4162,823,99029213SUSAH TIDURKALK 5, CTM 61771008062,9162,823,79029BATUKGG8, VC5
83
81SITI ASRIPAH152306/3/196759CEPOKO24
3518034306670005
144858069,515230,59530152
DENGKUL KEMENG
KALK 142837068,815229,99430BATUK, GATAL, PUSINGCTM, PCT, GG151918067,715229,19330BATUK BERDAHAKGG, VC, PCT134878066,915229,19330DENGKUL KEMENGKALK, ASNEF156897067,515229,29330111KEMENGKALK 6, ASNEF 5
84
82RUMSIAH874574/5/197254
3518034105720001
136897069,315030,89532116TANGAN KAKUB12150938067,715030,79432GRINGGINGEN, KAKUB11681018066,715029,69331SEHATBC161927065,315029,09331KEMENGKALK 6, ASNEF 5
85
83ENDAH ERYANTI215204/5/197254
86
84PUGUH SUPRAPTO747583/5/196561.33150685115748066,7169,78427218mualANTAS B6136758066,6169,723,18427TENGGOROKAN SAKITAMOX, ASNEF123847064,9169,722,5832798TENGGOROKAN SAKITASNEF, VC 141847065,3169,722,78428SEHATVC124757065,9169,722,98428SEHATPROTEIN, B1 5128798064,8169,722,58428MUMETASMEF5, BC5
87
85PARDI393721/1/1950156768044,2158,517,66823130SEHATZINC
88
86ROHAYATI
144
977074,916328,2893193KEMENGASNEF 5, KALK 5
89
87IMAM BUCHORI3723925/11/1955139727062,1165,522,7883089PINGGANG KEMENGKALK5, ASMEF5
90
88
91
89
92
93
94
95
96
97
98
99
100