4. Pengendalian Penyakit Tidak Meular (HT dan DM).xlsx

	A	B	C	D	E	F	G	H	I	J	K	L	M	N	O	P	Q	R	S	T	U
1	No	Nama	Alamat	Kota	Kecamatan	Kelurahan	NIK	Umur	Tanggal Lahir	JK	Pendidikan	Pekerjaan	Type Pasien	No Kartu	Kode ICD X	ICD X	Berat Badan	Tinggi Badan	Tensi Atas	Tensi Bawah	Ket.
2	1	ADI IRAWAN PUTRA	TAMBAK MAYOR 3A	SURABAYA	ASEMROWO	ASEMROWO	3506242403900001	35	24-03-1990	L	UNSPECIFIED	UNSPECIFIED	BPJS-Jamkesmas	0000676626445	I10	Essential (primary) hypertension	110	168	157	99
3	2	A S N A D I	JL. ASEM MULYA II/21	SURABAYA	ASEMROWO	ASEMROWO	3578282907570002	67	29-07-1957	L	SLTA/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0001393542819	I10	Essential (primary) hypertension	45	160	168	81
4	3	A. MADJID MASSIARA,IR.	MASJID 1 B	SURABAYA	ASEMROWO	ASEMROWO	3578281102530001	72	11-02-1953	L	Diploma IV/Strata I	WIRASWASTA	BPJS-Jamkesmas	0000098910202	I10	Essential (primary) hypertension	71	171	148	77
5	4	ABD. FADHAL	TAMBAK PRING TIMUR 6-A/8-A	SURABAYA	ASEMROWO	ASEMROWO	3527123012720001	52	30-12-1972	L	SLTP/Sederajat	WIRASWASTA	BPJS-Jamkesmas	0002294468954	I10	Essential (primary) hypertension	73	150	130	80
6	5	ABD. HALIM	JL. ASEMROWO KALI NO. 65 B	SURABAYA	ASEMROWO	ASEMROWO	3578130503780003	46	05-03-1978	L	SLTA/Sederajat	WIRASWASTA	BPJS-Jamkesmas	0001855179303	I10	Essential (primary) hypertension	74,9	165	154	94
7	6	ABD. HARIS	JL. TAMBAK MAYOR UTARA NO.31	SURABAYA	ASEMROWO	ASEMROWO	3578150404840001	40	04-04-1984	L	Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0002998241122	I10	Essential (primary) hypertension	75	160	156	90
8	7	ABD. KODIR	TAMBAK DALAM BARU 4/26	SURABAYA	ASEMROWO	ASEMROWO	3578131112840003	40	11-12-1984	L	SLTP/Sederajat	KARYAWAN SWASTA	Umum Surabaya Gratis	0001469918248	I10	Essential (primary) hypertension	65	156	141	86
9	8	ABD. MANAN	TAMBAK MAYOR 4/1-C	SURABAYA	ASEMROWO	ASEMROWO	3578282006780001	46	20-06-1978	L	Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0001787284708	I10	Essential (primary) hypertension	92	160	180	100
10	9	ABD. RASID	TB.MAYOR BARU TIMUR II/63-E	SURABAYA	ASEMROWO	ASEMROWO	3578283005750003	49	30-05-1975	L	Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0002683823815	I10	Essential (primary) hypertension	65	165	129	74
11	10	ABD.DJAMIL	TAMBAK MAYOR UTARA NO. 1	SURABAYA	ASEMROWO	ASEMROWO	3578283006600034	64	30-06-1960	L	Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0002164796054	I10	Essential (primary) hypertension	55	153	156	87
12	11	ABDUL BAKI	TAMBAK DALAM BARU III NO. 19	SURABAYA	ASEMROWO	ASEMROWO	3578281708640001	60	17-08-1964	L	Belum Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0001404608613	I10	Essential (primary) hypertension	67	151	148	96
13	12	ABDUL HAYI	TAMBAK MAYOR BARAT I-A NO.1-A	SURABAYA	ASEMROWO	ASEMROWO	3578280506730001	51	05-06-1973	L	Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0002998152977	I10	Essential (primary) hypertension	73	165	147	97
14	13	ABDUL KAFI	TAMBAK MAYOR MADYA III/14	SURABAYA	ASEMROWO	ASEMROWO	3578282304530001	71	23-04-1953	L	Tamat SD/Sederajat	WIRASWASTA	BPJS-Jamkesmas	0002814882489	I10	Essential (primary) hypertension	41,1	159	130	80
15	14	ABDUL MAJID NASYIR MALIK	ASEM V NO.36	SURABAYA	ASEMROWO	ASEMROWO	3527062712650001	59	27-12-1965	L	UNSPECIFIED	KARYAWAN SWASTA	BPJS-Jamkesmas	0003502357896	I11.9	Hypertensive heart disease without (congestive) heart failure	55	150	127	69
16	15	ABDUL RACHMAN	TAMBAK PRING BRT GG.LEBAR 53	SURABAYA	ASEMROWO	ASEMROWO	3578281506440001	80	15-06-1944	L	SLTA/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0001440533597	I10	Essential (primary) hypertension	69	168	142	79
17	16	ABDUL WAHID	ASEMROWO 3 / 40	SURABAYA	ASEMROWO	ASEMROWO	3578060209670004	57	02-09-1967	L	SLTA/Sederajat	KARYAWAN SWASTA	Umum Surabaya Gratis	0002082527875	I10	Essential (primary) hypertension	78	166	149	100
18	17	ABDULRASID	TAMBAK MAYOR 7 NO. 8	SURABAYA	ASEMROWO	ASEMROWO	3578282807980002	26	28-07-1998	L	Tidak/Belum Sekolah	BELUM/TIDAK BEKERJA	BPJS-Jamkesmas	0002998157692	I10	Essential (primary) hypertension	85	165	140	90
19	18	ABDUR ROHIM	ASEMROWO MULYA IB / 18	SURABAYA	ASEMROWO	ASEMROWO	3526030401860003	39	04-01-1986	L	SLTA/Sederajat	WIRASWASTA	Umum Surabaya Gratis	0000766476167	I10	Essential (primary) hypertension	70	161	143	70
20	19	ABU BAKAR	TAMBAK MAYOR SELATAN II/03	SURABAYA	ASEMROWO	ASEMROWO	3578283006530005	71	30-06-1953	L	SLTA/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0002161201904	I10	Essential (primary) hypertension	60	159	167	79
21	20	ADE RUHIAT SULAEMAN	ASEMROWO 4/29	SURABAYA	ASEMROWO	ASEMROWO	3578280102550001	70	01-02-1955	L	SLTP/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0001393538117	I11.0	Hypertensive heart disease with (congestive) heart failure	54	155	169	68
22	21	ADI ESMANTO	TAMBAK MAYOR MADYA I/79	SURABAYA	ASEMROWO	ASEMROWO	3578280810850001	39	08-10-1985	L	SLTA/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0002164799643	I10	Essential (primary) hypertension	94	168	151	100
23	22	ADI PRASTIONO	ASEM RAYA 3C	SURABAYA	ASEMROWO	ASEMROWO	3578282207880001	36	22-07-1988	L	Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Mandiri	0001428701973	I10	Essential (primary) hypertension	71	165	152	100
24	23	AGUS SAYUDI, DRS	JL. ASEM 4 BLOK B NO.10	SURABAYA	ASEMROWO	ASEMROWO	3578131210680004	56	12-10-1968	L	Diploma IV/Strata I	KARYAWAN SWASTA	BPJS-Mandiri	0001458958847	I10	Essential (primary) hypertension	68	167	160	80
25	24	AGUS SUPRIYANDONO	ASEM MULYA 1/60	SURABAYA	ASEMROWO	ASEMROWO	3578281402580001	21	14-02-1958	L	Diploma I/II	WIRASWASTA	BPJS-Jamkesmas	0000102102311	I10	Essential (primary) hypertension	80	165	130	80
26	25	AGUS SUPRIYANTO	ASEM MULYA 6 NO. 23	SURABAYA	ASEMROWO	ASEMROWO	3578282009810001	43	20-09-1981	L	SLTP/Sederajat	PELAJAR/MAHASISWA	BPJS-Jamkesmas	0002164802938	I10	Essential (primary) hypertension	85	161	151	94
27	26	AH. EFFENDI OETOMO / HARJONO	ASEMRWO V NO. 42	SURABAYA	ASEMROWO	ASEMROWO	3578282208570001	67	22-08-1957	L	SLTA/Sederajat	BELUM/TIDAK BEKERJA	BPJS-Jamkesmas	0001704954475	I10	Essential (primary) hypertension	90	166	144	82
28	27	AHMAD FAUZI	TAMBAK MAYOR BARAT III NO.18	SURABAYA	ASEMROWO	ASEMROWO	3507192002680002	57	20-02-1968	L	UNSPECIFIED	UNSPECIFIED	BPJS-Jamkesmas	0003000308253	I10	Essential (primary) hypertension	72	171	110	70
29	28	AKHMAD FAUJI NUR ROHMAN	ASEM MULYA VII/8	SURABAYA	ASEMROWO	ASEMROWO	3578281410010001	23	14-10-2001	L	SLTA/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0002998160392	I10	Essential (primary) hypertension	100	171	149	102
30	29	ALI	TAMBAK MAYOR BARU 2/72	SURABAYA	ASEMROWO	ASEMROWO	3578283006610027	62	30-12-1962	L	UNSPECIFIED	UNSPECIFIED	BPJS-Jamkesmas	0001825632336	I10	Essential (primary) hypertension	76	168	174	89
31	30	AMIN	TAMBAK MAYOR VII/12	SURABAYA	ASEMROWO	ASEMROWO	3578281808650001	59	15-08-1965	L	Diploma IV/Strata I	GURU	BPJS-Jamkesmas	0001050308638	I10	Essential (primary) hypertension	58	160	160	100
32	31	ANDI MARIYO PUTRA	JL. TAMBAK V NO. 5	SURABAYA	ASEMROWO	ASEMROWO	3527031709760002	48	17-09-1976	L	Diploma IV/Strata I	KARYAWAN SWASTA	BPJS-Jamkesmas	0000166837678	I11.9	Hypertensive heart disease without (congestive) heart failure	60	161	163	90
33	32	ARIS SUSANTO	JL. TAMBAK MAYOR II/26	SURABAYA	ASEMROWO	ASEMROWO	3578283003820001	42	30-03-1982	L	SLTA/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0001288069018	I11.0	Hypertensive heart disease with (congestive) heart failure	68	168	130	85
34	33	ASKAN	tambak pring timur 6/5	SURABAYA	ASEMROWO	ASEMROWO	3578282006620001	62	20-06-1962	L	SLTP/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0002319130181	I10	Essential (primary) hypertension	55	165	106	76
35	34	ASLAN ALEX	TAMBAK PRING BARAT RAYA NO.18	SURABAYA	ASEMROWO	ASEMROWO	3516081201720004	53	12-01-1972	L	UNSPECIFIED	UNSPECIFIED	Umum Surabaya Gratis	0003220112452	E11.8	Non-insulin-dependent diabetes mellitus with unspecified complications	53	159	110	70
36	35	ASMAKI	TAMBAK MAYOR BARAT II-B NO. 65	SURABAYA	ASEMROWO	ASEMROWO	3578280509650001	59	05-09-1965	L	Tamat SD/Sederajat	WIRASWASTA	UNSPECIFIED	0001705579007	I10	Essential (primary) hypertension	70	170	157	86
37	36	AZINAR ISMAIL, SH	JL. SEKOLAHAN NO. 5	SURABAYA	ASEMROWO	ASEMROWO	3578282309410001	83	23-09-1941	L	Diploma IV/Strata I	PEGAWAI NEGERI SIPIL	BPJS-Peserta Askes	0000024011199	I11.0	Hypertensive heart disease with (congestive) heart failure	75	175	123	73
38	37	B A R U N O	TAMBAK PRING TIMUR 5/28	SURABAYA	ASEMROWO	ASEMROWO	3578281606570001	68	16-06-1957	L	SLTA/Sederajat	PEGAWAI NEGERI SIPIL	BPJS-Jamkesmas	0002041515268	I10	Essential (primary) hypertension	62	160	165	72
39	38	BADRI	TAMBAK MAYOR UTARA NO. 32	SURABAYA	ASEMROWO	ASEMROWO	3578280211540001	70	02-11-1954	L	Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Mandiri	0001476234854	I11.0	Hypertensive heart disease with (congestive) heart failure	50	160	128	52
40	39	BAMBANG ER NYOTO	ASEM 4/20	SURABAYA	ASEMROWO	ASEMROWO	3578283010660001	58	30-10-1966	L	UNSPECIFIED	INDUSTRI	BPJS-Jamkesmas	0002158617115	I10	Essential (primary) hypertension	45	157	147	88
41	40	BEDJO SUMARGONO	TAMBAK MAYOR GG BUNTU 29	SURABAYA	ASEMROWO	ASEMROWO	3578281607430001	81	16-07-1943	L	UNSPECIFIED	KARYAWAN SWASTA	BPJS-Jamkesmas	0000101431326	I10	Essential (primary) hypertension	55	162	140	76
42	41	BHIMA YUDHA SAKSANA. ST	JL. ASEM MULYA V NO. 59	SURABAYA	ASEMROWO	ASEMROWO	3578280409720002	52	04-09-1972	L	Diploma IV/Strata I	KARYAWAN SWASTA	BPJS-Mandiri	0001140853465	I10	Essential (primary) hypertension	69	170	150	91
43	42	BJ. EDDY PURWANTO	ASEM MULYA 3/3	SURABAYA	ASEMROWO	ASEMROWO	3578281604530003	72	16-04-1953	L	UNSPECIFIED	UNSPECIFIED	BPJS-Mandiri	0003640487422	I10	Essential (primary) hypertension	47	158	130	70
44	43	BOYADIANTO	TAMBAK MAYOR UTARA NO. 85	SURABAYA	ASEMROWO	ASEMROWO	3578280608710002	53	06-08-1971	L	SLTA/Sederajat	WIRASWASTA	BPJS-Mandiri	0001819700324	I10	Essential (primary) hypertension	83	188	123	76
45	44	BUDI KRISTANTO	TAMBAK PRING TIMUR I NO. 60	SURABAYA	ASEMROWO	ASEMROWO	3578280404930001	32	01-04-1993	L	SLTP/Sederajat	PELAJAR/MAHASISWA	Umum Surabaya Gratis	0001050309371	I10	Essential (primary) hypertension	79	166	149	97
46	45	BUDI UTOMO	TAMBAK PRING BARAT NO.7	SURABAYA	ASEMROWO	ASEMROWO	3578282310840002	40	23-10-1984	L	SLTA/Sederajat	KARYAWAN SWASTA	BPJS-Mandiri	0001793034764	I10	Essential (primary) hypertension	80	165	171	98
47	46	BUNANGWAR	TAMBAK DALAM BARU IA / 36	SURABAYA	ASEMROWO	ASEMROWO	3578280505770006	47	05-05-1977	L	Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0002683833175	I10	Essential (primary) hypertension	65	167	120	80
48	47	CANDRA SADEWA	ASEMROWO 4/42-A	SURABAYA	ASEMROWO	ASEMROWO	3578280904860001	39	09-04-1986	L	Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0001393544687	I10	Essential (primary) hypertension	65	167	120	80
49	48	CATUR PRASETYO	Jl tambak lumpang selatan gang 4 no 16	SURABAYA	ASEMROWO	ASEMROWO	3506211011900003	34	10-11-1990	L	UNSPECIFIED	UNSPECIFIED	BPJS-Jamkesmas	0002415427031	I10	Essential (primary) hypertension	65	155	142	89
50	49	DEDY PRAYOGO	ASEMROWO SENTRAL NO.6	SURABAYA	ASEMROWO	ASEMROWO	3578280912850002	39	09-12-1985	L	UNSPECIFIED	UNSPECIFIED	BPJS-Jamkesmas	0001430784257	E11.8	Non-insulin-dependent diabetes mellitus with unspecified complications	33	156	110	70
51	50	DIDIK KUSWOYO	TAMBAK PRING BARAT 34	SURABAYA	ASEMROWO	ASEMROWO	3578281502800001	45	15-02-1980	L	SLTP/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0002163012208	I10	Essential (primary) hypertension	70	156	142	93
52	51	DIDIK SUPRAPTO	JL.ASEMROWO GG.MULYA NO. 36	SURABAYA	ASEMROWO	ASEMROWO	3578280805730003	51	08-05-1973	L	SLTA/Sederajat	UNSPECIFIED	BPJS-Jamkesmas	0002250059894	I10	Essential (primary) hypertension	50	162	160	91
53	52	DIMAS FIRMANSYAH	TAMBAK PRING TIMUR 1A/70	SURABAYA	ASEMROWO	ASEMROWO	3578281703980001	26	17-03-1998	L	Belum Tamat SD/Sederajat	PELAJAR/MAHASISWA	BPJS-Jamkesmas	0001702794598	I10	Essential (primary) hypertension	85	162	162	99
54	53	DJAERI	ASEM 4 A/26	SURABAYA	ASEMROWO	ASEMROWO	3578283006570010	67	30-06-1957	L	SLTP/Sederajat	KARYAWAN SWASTA	BPJS-Mandiri	0001294302475	I10	Essential (primary) hypertension	81	171	147	86
55	54	DJOKO SUPRIYADI	TAMBAK PRING TIMUR 1/63-A	SURABAYA	ASEMROWO	ASEMROWO	3578282501620001	63	25-01-1962	L	Belum Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0000791045109	I10	Essential (primary) hypertension	87	167	157	98
56	55	DJUHARI	TAMBAK MAYOR SELATAN II NO. 41	SURABAYA	ASEMROWO	ASEMROWO	3578282601620001	62	26-01-1962	L	Belum Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0002231273968	I10	Essential (primary) hypertension	68	170	135	73
57	56	DJUMALI	JL. ASEM 4 BLOK A NO. 22	SURABAYA	ASEMROWO	ASEMROWO	3578283006580061	66	30-06-1958	L	Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0000791094543	I10	Essential (primary) hypertension	68	170	159	90
58	57	EKOSUTIKNO	JL. ASEMROWO V NO. 30	SURABAYA	ASEMROWO	ASEMROWO	3578282611770002	47	26-11-1977	L	SLTA/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0001393533617	I10	Essential (primary) hypertension	50	155	144	110
59	58	FADELAN	JL. ASEM III-B NO. 25	SURABAYA	ASEMROWO	ASEMROWO	3578283006580007	66	30-06-1958	L	SLTP/Sederajat	WIRASWASTA	BPJS-Jamkesmas	0001471636293	I10	Essential (primary) hypertension	63	169	134	81
60	59	FADHOLI	TAMBAK DALAM BARU 1A/95	SURABAYA	ASEMROWO	ASEMROWO	3578280103780001	47	01-03-1978	L	UNSPECIFIED	UNSPECIFIED	BPJS-Jamkesmas	0002163028599	I11.9	Hypertensive heart disease without (congestive) heart failure	65	155	200	100
61	60	FAIZIN M	TAMBAK MAYOR MADYA III / 74	SURABAYA	ASEMROWO	ASEMROWO	3578280912690001	55	09-12-1969	L	SLTA/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0001132476309	I10	Essential (primary) hypertension	50	156	147	90
62	61	FATCHI ZUBAIDI	JL. ASEMROWO VI NO. 26	SURABAYA	ASEMROWO	ASEMROWO	3578281803670001	57	18-03-1967	L	Diploma IV/Strata I	KARYAWAN SWASTA	BPJS-Jamkesmas	0001481318728	I11.0	Hypertensive heart disease with (congestive) heart failure	65	170	136	116
63	62	FATCHUR	JL. ASEM 5/2	SURABAYA	ASEMROWO	ASEMROWO	3578282012510001	73	20-12-1951	L	SLTP/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0001701181721	I10	Essential (primary) hypertension	50	157	186	99
64	63	FATCHUR RACHMAN	JL. ASEMROWO III NO. 48	SURABAYA	ASEMROWO	ASEMROWO	3578280406550001	69	04-06-1955	L	SLTA/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0000790567852	I10	Essential (primary) hypertension	55	154	143	86
65	64	FATHUR	TAMBAK MAYOR GG.3 NO.29	SURABAYA	ASEMROWO	ASEMROWO	3578280508770002	47	05-08-1977	L	SLTA/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0001271788391	I10	Essential (primary) hypertension	68	158	140	65
66	65	FATKUR RAHMAN	JL. ASEMROWO VI NO. 2-B	SURABAYA	ASEMROWO	ASEMROWO	3578280102900001	34	01-02-1990	L	SLTA/Sederajat	PELAJAR/MAHASISWA	Umum Surabaya Gratis	0001850205879Peserta tidak aktif : KELUAR KEMAUAN SENDIRI	I10	Essential (primary) hypertension	74	160	163	100
67	66	FERDIAN YULIANSYAH	TAMBAK PRING BARAT 14	SURABAYA	ASEMROWO	ASEMROWO	3578281007850001	39	10-07-1985	L	UNSPECIFIED	KARYAWAN SWASTA	BPJS-Mandiri	0001600860284	I11.9	Hypertensive heart disease without (congestive) heart failure	55	163	125	88
68	67	GANIS	TAMBAK DALAM BARU IA / 12	SURABAYA	ASEMROWO	ASEMROWO	3578280905720003	53	09-05-1972	L	Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0002163020815	I10	Essential (primary) hypertension	70	170	201	112
69	68	GATOT SUWIKO	ASEMROWO I/35 - 27	SURABAYA	ASEMROWO	ASEMROWO	3578282308550001	69	23-08-1955	L	Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0001393536148	I10	Essential (primary) hypertension	80	158	159	87
70	69	H. ABDUL AZIS	JL.ASEMROWO GG.MULYA NO. 7	SURABAYA	ASEMROWO	ASEMROWO	3578282811710001	53	28-11-1971	L	Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0002683820046	I10	Essential (primary) hypertension	67	155	139	91
71	70	H. HAMDAN ASRORI	TAMBAK DALAM BARU 2/46	SURABAYA	ASEMROWO	ASEMROWO	3578280804600001	64	08-04-1960	L	Tamat SD/Sederajat	WIRASWASTA	BPJS-Jamkesmas	0001438974865	I10	Essential (primary) hypertension	84	164	158	72
72	71	H. HANAFI	TAMBAK PRING UTAMA I / 66	SURABAYA	ASEMROWO	ASEMROWO	3578283006550061	69	30-06-1955	L	SLTP/Sederajat	PEDAGANG	BPJS-Mandiri	0001732124891	I10	Essential (primary) hypertension	45	153	155	84
73	72	H. KUSNAN	TAMBAK PRING TIMUR V NO. 27	SURABAYA	ASEMROWO	ASEMROWO	3578281008610002	63	10-08-1961	L	SLTA/Sederajat	KARYAWAN SWASTA	BPJS-Mandiri	0002264176899	I10	Essential (primary) hypertension	60	170	145	83
74	73	H. MOCH. AGUS TORIK, SE	JL. MASJID NO. 20	SURABAYA	ASEMROWO	ASEMROWO	3578280108710001	53	01-08-1971	L	UNSPECIFIED	KARYAWAN SWASTA	BPJS-Jamkesmas	0002998144899	I10	Essential (primary) hypertension	69	169	148	85
75	74	H. SJAMSUDDIN DATUIDING SH,M.HUM	JL. ROWO V NO. 1	SURABAYA	ASEMROWO	ASEMROWO	3578282108450001	79	21-08-1945	L	Strata II	PENSIUNAN	BPJS-Askes	0000135863289	I11.0	Hypertensive heart disease with (congestive) heart failure	84	157	120	78
76	75	H.ABDUS SALAM	tambak pring barat raya	SURABAYA	ASEMROWO	ASEMROWO	3578150101660004	59	01-01-1966	L	UNSPECIFIED	UNSPECIFIED	BPJS-Jamkesmas	0002162210984	I11.0	Hypertensive heart disease with (congestive) heart failure	50	155	130	80
77	76	H.ARSAWI	TAMBAK MAYOR UTARA NO. 27	SURABAYA	ASEMROWO	ASEMROWO	3578281512560001	68	15-12-1956	L	Tamat SD/Sederajat	UNSPECIFIED	BPJS-Jamkesmas	0002998157229	I11.9	Hypertensive heart disease without (congestive) heart failure	65	162	89	55
78	77	H.BUIN	TAMBAK PRING TIMUR V/22	SURABAYA	ASEMROWO	ASEMROWO	3578280509610001	63	05-09-1961	L	Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0001701174633	I10	Essential (primary) hypertension	65	163	140	77
79	78	H.MAS`UDI	TAMBAK MAYOR MADYA III NO.58	SURABAYA	ASEMROWO	ASEMROWO	3578282204660001	58	22-04-1966	L	Tamat SD/Sederajat	WIRASWASTA	BPJS-Jamkesmas	0002998158895	I10	Essential (primary) hypertension	80	164	142	80
80	79	HADI SUYANTO	ASEM MULYA 1/22	SURABAYA	ASEMROWO	ASEMROWO	3578282901780001	47	21-01-1978	L	UNSPECIFIED	UNSPECIFIED	Umum		E11.5	Non-insulin-dependent diabetes mellitus with peripheral circulatory complications	60	160	96	60
81	80	HANAFI	TAMBAK MAYOR MADYA 3/52	SURABAYA	ASEMROWO	ASEMROWO	3578273006660044	58	30-06-1966	L	UNSPECIFIED	BELUM/TIDAK BEKERJA	BPJS-Jamkesmas	0002163027576	I10	Essential (primary) hypertension	70	165	94	62
82	81	HANDOKO	TAMBAK PRING BARAT BLOK D NO. 28	SURABAYA	ASEMROWO	ASEMROWO	3578282009860002	38	20-09-1986	L	SLTA/Sederajat	KARYAWAN SWASTA	BPJS-Mandiri	0002157550018	I10	Essential (primary) hypertension	72	170	130	84
83	82	HARIYANTO	TAMBAK PRING TIMUR VI NO.20	SURABAYA	ASEMROWO	ASEMROWO	3578280112600001	64	01-12-1960	L	Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0001704159876	I11.0	Hypertensive heart disease with (congestive) heart failure	56	155	110	72
84	83	HARUN RASID	JL. ASEMROWO VI NO. 12-B	SURABAYA	ASEMROWO	ASEMROWO	3578282706710001	53	27-06-1971	L	SLTA/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0002313510816	E11.5	Non-insulin-dependent diabetes mellitus with peripheral circulatory complications	80	170	125	68
85	84	HASAN	TAMBAK MAYOR GG.3-A/18	SURABAYA	ASEMROWO	ASEMROWO	3526140308810001	43	03-08-1981	L	Tamat SD/Sederajat	WIRASWASTA	BPJS-Jamkesmas	0002164802894	E11.9	Non-insulin-dependent diabetes mellitus without complications	62	160	120	77
86	85	HASIM	TAMBAK MAYOR MADYA III NO. 10	SURABAYA	ASEMROWO	ASEMROWO	3578281511690001	55	15-11-1969	L	SLTA/Sederajat	WIRASWASTA	BPJS-Mandiri	0001733255392	I10	Essential (primary) hypertension	70	168	140	82
87	86	HENDRIK TEDJO SUSANTO	ASEMROWO VI NO. 14B	SURABAYA	ASEMROWO	ASEMROWO	3578110707990001	25	07-07-1999	L	Belum Tamat SD/Sederajat	PELAJAR/MAHASISWA	Umum Surabaya Gratis	0002876789529	I10	Essential (primary) hypertension	70	170	140	90
88	87	HIDUP SUBAGIO	JL. ASEM RAYA NO. 3-H	SURABAYA	ASEMROWO	ASEMROWO	3578280110600002	64	01-10-1960	L	SLTP/Sederajat	PERDAGANGAN	BPJS-Jamkesmas	0000789556342	I10	Essential (primary) hypertension	75	183	190	150
89	88	HODLI SANTOSO	TAMBAK MAYOR UTARA NO. 52	SURABAYA	ASEMROWO	ASEMROWO	3578281012600001	64	10-12-1960	L	SLTA/Sederajat	WIRASWASTA	BPJS-Jamkesmas	0001970591387	I10	Essential (primary) hypertension	84	165	122	97
90	89	HUDAN FAHNINI IZANIANTO	JL. ASEMROWO V NO. 20	SURABAYA	ASEMROWO	ASEMROWO	3578283007730001	51	30-07-1973	L	SLTA/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0002163010296	I10	Essential (primary) hypertension	65	160	180	100
91	90	IHSAN	TAMBAK PRING BRT GG.MASJID 4	SURABAYA	ASEMROWO	ASEMROWO	3578281505630001	61	15-05-1963	L	Tamat SD/Sederajat	WIRASWASTA	BPJS-Jamkesmas	0002163030884	I10	Essential (primary) hypertension	68	165	175	114
92	91	IMAM ROZI	TAMBAK MAYOR I/41	SURABAYA	ASEMROWO	ASEMROWO	3578280203640001	61	02-03-1964	L	Tamat SD/Sederajat	WIRASWASTA	BPJS-Jamkesmas	0001393536172	I10	Essential (primary) hypertension	66	164	138	79
93	92	IMANIRA SYATHAR	TAMBAK PRING TIMUR V NO. 27	SURABAYA	ASEMROWO	ASEMROWO	3578193101950002	30	31-01-1995	L	Diploma IV/Strata I	PELAJAR/MAHASISWA	BPJS-Mandiri	0000102299139	I10	Essential (primary) hypertension	75	177	145	87
94	93	ISMAIL	TAMBAK MAYOR BARU IV / 58	SURABAYA	ASEMROWO	ASEMROWO	3578283006800034	44	30-06-1980	L	Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0002163021625	I10	Essential (primary) hypertension	74	168	150	90
95	94	ISROIL RACHI	ASEM RAYA 3G	SURABAYA	ASEMROWO	ASEMROWO	3578283005580003	66	30-05-1958	L	Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Jamkesmas	0000789182739	I10	Essential (primary) hypertension	70	165	152	93
96	95	IWAN MAULANA	JL. ASEM III-B NO. 14	SURABAYA	ASEMROWO	ASEMROWO	3578282010900001	34	20-10-1990	L	SLTA/Sederajat	PELAJAR/MAHASISWA	BPJS-Jamkesmas	1701207213	I10	Essential (primary) hypertension	86	170	173	113
97	96	JAMIN	ASEM 5/35	SURABAYA	ASEMROWO	ASEMROWO	3520030601610002	64	06-01-1961	L	UNSPECIFIED	UNSPECIFIED	BPJS-Jamkesmas	0002889528186	I10	Essential (primary) hypertension	70	155	140	110
98	97	JONI WINARNO	TAMBAK MAYOR 8/32	SURABAYA	ASEMROWO	ASEMROWO	3578281906770001	48	19-06-1977	L	SLTP/Sederajat	KARYAWAN SWASTA	Umum Surabaya Gratis	0001701179122	I10	Essential (primary) hypertension	69	165	163	101
99	98	JUMIRAN	JL. ASEMROWO SENTRAL NO.11	SURABAYA	ASEMROWO	ASEMROWO	3578282310640001	60	23-10-1964	L	SLTA/Sederajat	WIRASWASTA	BPJS-Jamkesmas	0001268093182	I10	Essential (primary) hypertension	70	169	117	69
100	99	KAMBALI	TAMBAK MAYOR BARAT II-A NO.14	SURABAYA	ASEMROWO	ASEMROWO	3578283006520043	72	30-06-1952	L	Tamat SD/Sederajat	KARYAWAN SWASTA	BPJS-Mandiri	0000790772084	I10	Essential (primary) hypertension	62	172	139	63