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DATA CALON JAMAAH HAJI REGULER 1444/2023
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PUSKESMAS SIDODADI
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NO NAMA NO PORSI USIA TLP ALAMAT PK 1PK 2DX VAKSINASI KET STATUS
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COVID 1COVID 2COVID 3COVID 4MENINGITIS INFLUENZA
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1KUSWANAH 1300529019580815-1175-9364DURUNGWETAN RT 4 RW 1 DURUNGBANJAR 23/02/2023 RISTI 11/3/2023 ISTITOAH PENDAMPINGAN (OBAT) HHD, ANEMIA44335443644501745059ULANG LAB 1 BULAN LAGI LUNAS TUNDA 2020
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2SULAIMAN 1300529017720815-1175-9364DURUNGWETAN RT 4 RW 1 DURUNGBANJAR 23/02/2023 RISTI 01/04/2023 ISTITOAH DENGAN PENDAMPINGAN OBAT HT44310444384464804/DES/2021BLM ENTRY MENINGITIS LUNAS TUNDA 2020
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3CHODJIN 1300539230720851-0469-5588KEDUNGKENDO RT 18 RW 6 CANDI 23/2/2023 RISTI 04/04/2023 ISTITOAH HAJI DISLIPID44310442494464845058LUNAS TUNDA 2020
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4NURSALI 1300546715510851-0198-3207SAMBIROTO RT 11 RW 3 KARANGTANJUNG = SDA 23/02/2023 RISTI 1/2/2023 ISTITOAH DENGAN PENDAMPINGAN DM, DISLIPID, PJK 44230442714458845058SANOFI (12/5/2023)LUNAS TUNDA 2020
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5THOLIK'AH 1300546714450851-0198-3207SAMBIROTO RT 11 RW 3 KARANGTANJUNG = SDA 4498001/3/2023 ISTITOAH HAJI DISLIPID, HIPERURICEMIA 44334443634458845058SANOFI (12/5/2023)LUNAS TUNDA 2020
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6IR. ISKANDAR MASRUR 1300523568690895-7018-10400PURI INDAH CT-5 RT 14 RW 5 SIDODADI CANDI 23/02/2023 RISTI28/2/2023 ISTITOAH PENDAMPINGAN OBAT HT 4428544414446164498645058SANOFI (12/5/2023)LUNAS TUNDA 2020
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7SITI ALIFAH 1300539076620812-1625-717SAMBIROTO RT 10 RW 3 KARANGTANJUNG 23/02/2023 RISTI 27/02/2023 ISTITOAH PENDAMPINGAN OBAT DISLIPID, HT, S.CKD 44412443694489745059SANOFI (13/5/2023)PERBARUHI SISKOHAT DIAGNOSA LUNAS TUNDA 2020
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8ALI, SH1300539078660812-1625-717SAMBIROTO RT 10 RW 3 KARANGTANJUNG 23/02/2023 RISTI 27/2/2023 ISTITOAH PENDAMPINGAN OBAT HHD. OA, DISLIPID, OBESITAS 44381443644468345059SANOFI (13/5/2023)LUNAS TUNDA 2020
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9MEIDYAWATI 1301018694480812-6744-484NATURA RESIDENCE A1/14 RT 10 RW 3 SIWALAN PANJI BUDURAN 4498228/02/2023 ISTITOAH HAJI 4427044284449574496345031SANOFI (13/5/2023)CEK ULANG GDP 1 BLN : HASIL 96 MG/DL (7/3/2023) LUNAS TUNDA 2020
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10ASNAWI 1300539237520812-3551-1724PERUM PONDOK JATI 3 BLOK CA-19 RT 34 RW 9 JATI 449846/3/2023 ISTITOAH HAJI 44320443614465345058SANOFI (12/5/2023)LUNAS TUNDA 2020
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11TRI ASIH RUMHARSASI 1300539229560817-0362-6224PERUM PONDOK JATI 3 BLOK CA-19 RT 34 RW 9 JATI 449846/3/2023 ISTITOAH HAJI 44320443614465345058SANOFI (12/5/2023)LUNAS TUNDA 2020
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12RUSDI ZAKI 1300541316630813-3037-3720DUSUN KRAJAN RT 12 RW 4 SEPANDE CANDI 27/02/2023 RISTI28/02/2023 ISTITOAH PENDAMPINGAN OBAT DERMATITIS, DISLIPID, OA 44254442824464845059BIOFARMA (13/5/2023)CEK LAB 1 BULAN LG LUNAS TUNDA 2020
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13EDI PURWANTO 1301113070510822-3234-2036PERUM BUMI MULYO PERMAI D-09, KARANG TANJUNG 4498209/03/2023 ISTITOAH HAJI 44474444214489845059LUNAS TUNDA 2020
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14WAKIDI 1300547041470858-1583-5358KAUMAN RT 1 RW 1 SEPANDE CANDI 449816/3/20230 ISTITOAH DISLIPID 44341445794494645058BIOFARMA (12/5/2023)LUNAS TUNDA 2020
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15SITI MAISAROH 1300547000390858-1583-5358KAUMAN RT 1 RW 1 SEPANDE CANDI 449816/3/20230 ISTITOAH 44341445794494645058BIOFARMA (12/5/2023)LUNAS TUNDA 2020
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16SUGIANTO1300555315580812-3062-5600TANJUNGSARI RT 7 RW 2 KARANGTANJUNG 449841/3/2023 ISTITOAH PENDAMPINGAN OBAT PJK44293443614465345028SANOFI (12/5/2023)LUNAS
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17LULUK AINI NADHIRO 1300555314530813-3243-5976TANJUNGSARI RT 7 RW 2 KARANGTANJUNG 449841/3/2023 ISTITOAH HT44293443614467345028SANOFI (12/5/2023)LUNAS
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18SUNARIYAH 1300550282470812-3829-0089KARANGTANJUNG RT 4 RW 1 4498428/2/2023 ISTITOAH DISLIPID 4436344396446144479545028SANOFI (12/5/2023)
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19SRI SUHARTI 1300542446600838-3266-5616KARANGTANJUNG RT 5 RW 2 4498401/03/2023 ISTITOAH PENDAMPINGAN OBAT DM, DISLIPID, OA 44335443644464845058SANOFI (12/5/2023)LUNAS TUNDA 2020
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20M. NAJIB 1300542448634498401/03/2023 ISTITOAH PENDAMPINGAN OBAT DISLIPID, HIPERURICEMIA 44285444754501345058SANOFI (12/5/2023)LUNAS TUNDA 2020
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21ABDUL MUJIB 130055468068SUBHAN DURUNGBEDUG RT 5 RW 1 449842/3/2023 ISTITOAH PENDAMPINGAN OBAT GT, AZOTOMIA, DISLIPID 442694453644946TIDAK BERANGKAT (IKUT ISTRI)
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22SU'UD 1300549807660895-6221-53164DURUNGBEDUG RT 28 RW 1 449848/3/2023 ISTITOAH DENGAN PENDAMPINGAN OBAT HIPERURICEMIA, DISLIPIDEMIA, HT 44461444964495845034SANOFI (24/5/2023)
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23MUNTAHA 1300559357610812-3033-8990DURUNGBEDUG RT 28 RW 1 44984ISTITOAH 44461444794494945031
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24SITI KHOYUMI 13005593655744461444904494545031BIOFARMA (24/5/2023)
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25SYAMSUDIN 1300549812520857-3279-6250DURUNGBEDUG BARU RT 24 RW 5 449852/3/2023 ISTITOAH HIPERTG, HIPERURICEMIA 44438449454506645033
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26ROUDLOTUL JANNAH 1300541315530812-1739-5361DUSUN KRAJAN RT 12 RW 4 SEPANDE CANDI 449852/3/2023 ISTITOAH ISK, DISLIPID, HT 44230442724477645059BIOFARMA (13/5/2023)LUNAS TUNDA 2020
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27AMRIZAL 130054215662082139992734/081233903755PERUM TNI AL C 10/11 RT 25 RW 8 KEDUNGKENDO CANDI 44985ISTITOAH PENDAMPINGAN OBAT DM, HT 44392444264428345059LUNAS TUNDA 2020
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28OEMARDI 1300537650660821-4300-1345KEDUNGKENDO RT 14 RW 5 449857/3/2023 ISTITOAH HT 44285444144460745059SANOFI (13/5/2023)LUNAS TUNDA 2020
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29ANIK 1300550726620815-5323-2279AGAL=AGIL RT 9 RW 2 DURUNGBANJAR 449856/3/2023 ISTITOAH PENDAMPINGAN OBAT HT, DISLIPID 44488445374462845031
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30NUR IMAMAH 130055646546NYAMPLUNG RT 24 RW 6 SUMOKALI 449853//3/2023 ISTITOAH PENDAMPINGAN HT 44387444204467545028
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31NUR HADI 130055645449449858/3/2023 ISTITOAH DENGAN PENDAMPINGAN OBAT HIPERTG, HIPERURICEMIA, HT 44285443574467145028
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32MAHFUD130055519553085930094193DSN. SIDOMULYO RT 12 RW 5 JAMBANGAN CANDI 449867/3/2023 ISTITOAH PENDAMPINGAN OBAT DM, DISLIPID 443824493945031BIOFARMA (13/5/2023)
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33MASLACHAH 130055519763HT, KARDIOMEGALI 03-Jul-21445684494345031BIOFARMA (24/5/2023)
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34MAHPUT1300551320650857-3279-6250DURUNGBEDUG RT 24 RW 5 449866/3/2023 ISTITOAH PENDAMPINGAN OBAT DISLIPID 44491444614465045033
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35ILMIYATUS SA'DIYAH 1300549804400895-1875-7720DURUNGBEDUG RT 28 RW 1 449827/3/2023 ISTITOAH HT, DISLIPID 44581446094472245059
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36NUR HALIMAH 130055468140ISTRI PAK SUBHAN DURUNGBEDUG 5/1 449823/3/2023 ISTITOAH PENDAMPINGAN OBAT HT, DISLIPID 44287443574494545028
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37RIASEH 1300537645560821-4300-1345KEDUNGKENDO 14/5 449863/3/2023 ISTITOAH PENDAMPINGAN OBAT HT, DISLIPID 44336443644460745059SUDAH TCM HASIL -, SUDAH CEK ULANG HASIL PARU TAA LUNAS TUNDA 2020
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38MADENUR 1300525107710889-8959-9526AGAL=AGIL RT 10 RW 2 DURUNGBANJAR 449877/3/2023 ISTITOAH OBAT I10, E7844335443644464145058LUNAS TUNDA 2020
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39BUSRO 1300550660680822-3260-2272KARANGTANJUNG 6/2 449866/3/2023 ISTITOAH DISLIPID 44487445214500245031SANOFI (12/5/2023)
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40TRI SULISTYOWATI 1300546165460813-3518-3929SIDOKARE ASRI BLOK BD NO 4 449867/3/2023 ISTITOAHHT, DISLIPID 44334443654498645058LUNAS TUNDA 2020
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41SUBHAN 1300554711540851-0048-8629DURUNGBEDUG 5/1 449863/3/2023 ISTITOAH PENDAMPINGAN OBAT HT, HIPERTG, HIPERURICEMIA, CARDIOMEGALI 44576446064458145031SANOFI (25/5/2023)
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42IMAM ROIS 1300550946700812-3015-1420AGAL AGIL 10/2 DURUNGBANJAR 4498744991DM, HHD, OMI 4446044215449424498645034
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43IDA TISRINA 1300552173480813-3134-1582GADINGFAJAR II BLOK DX I NO 2 RT 41 RW 10 SEPANDE 449877/3/2023 ISTITOAH DISLIPID, HT 4429844368445994499345059
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44EFFENDY PURNOMO 1300552176484498844998DM. DISLIPID 44412444544463145059
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45IIN INDAWATI 1300551882430856-4817-6223SEPANDE RT 14 RW 5 4499110/03/2023 ISTITOAH 4425744271446084478945028BIOFARMA (12/5/2023)
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46SUGITO1300551888540856-4817-622311/3/2023 ISTITOAH 44287443794465145031BIOFARMA (12/5/2023)
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47TRI TJAHJA ATMAJA 1300546167640812-3569-765SIDOKARE ASRI BA-8 SEPANDE 4499218/3/2023 ISTITOAH 44285443554428545058LUNAS TUNDA 2020
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48SEGER 1300539355540812-3382-5143DSN. JETIS RT 9 RW 4 SIDODADI CANDI 4499311/3/2023 ISTITOAH HT 4433744365445894497945059SANOFI (13/5/2023)LUNAS TUNDA 2020
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49RUMINI 130053935645HT, KARDIOMEGALY4434944379445894497945059SANOFI (13/5/2023)LUNAS TUNDA 2020
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50TOMY KURNIAWAN 1300549810270856-1042-221DURUNGBEDUG BARU RT 24 RW 5 4499314/3/2023 ISTITOAH PENDAMPINGAN OBAT DM, DISLIPID, HT 44461444964500645033
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51AGUS RIANTO 130054445652SUAMI BU MEIDYAWATI NATURA RESIDENCE A1/14 RT 30 RW 7 SIWALAN PANJI BUDURAN 4499624/3/2023 ISTITOAH DISLIPID 4427044284445924498045043LUNAS TUNDA 2020 (-candi)
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52SRI MINATUN 1300555283520815-5469-4244KEDUNGKENDO BLOK F1/14 RT 23 RW 7 4499921/03/2023 ISTITOAH HIPERURICEMIA44291445434497345028SANOFI (13/5/2023)
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53MUHAMMAD IMAM MUARIF 130555279550815-5433-4489HT 44462445014497345028SANOFI (13/5/2023)
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54ASIH SURTIASIH 1300501434530821-4374-1305GADING FAJAR 2B 11/27 RT 34 RW 9 SEPANDE CANDI 4500018/3/2023 ISTITOAH HT44438444684477145028
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55RADIAS PRATAMA 1300501433280822-5816-98564500328/3/2023 ISTITOAH PENDAMPINGAN OBAT DISLIPID, BRADIKARDI 44380444264464245028
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56MOH. SODIQ 1300550899580822-6008-0928JL. TENGGOR JOYO RT 4 RW 2 KEDUNGKENDO CANDI 4500325/3/2023 ISTITOAH PENDAMPINGAN OBAT DISLIPID, PJK 44380444084459245028SANOFI (13/5/2023)KONSUL SP.JP TGL: 18/4/2023 NORMAL (RESPONSE INSCHEMIC NEGATIVE, FIT UNTUK HAJI
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57NANIK KASTININGSIH 130055056550081-230-554516DISLIPID 44380444084459245028SANOFI (13/5/2023)
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58DARYATI LAELA MASROH1300562451630813-3133-5450TENGGULUNAN MEGA ASRI B-16 RT 20 RW 8 CANDI 450063/4/2023 ISTITOAH PENDAMPINGAN OBAT DM, HHD, HIPERURICEMIA, OA GENU4429244362445864498145031BIOFARMA (12/5/2023)CADANGAN 2023 = LUNAS
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59CAHYO PURNOMO SIDI 1300562758660857-3328-2364PONDOK SIDOKARE ASRI AC 15 RT 30 RW 8 CANDI 450125/4/2023 TIDAK ISTITOAH HAJI CKD GR 5, DISLIPID, ANEMIA CADANGAN 2023
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60IKA LESTARI RAHAYU 1300562773645/4/2023 ISTITOAH PENDAMPINGAN OBAT HT, DISLIPID 44233443624458345058CADANGAN 2023
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61SALAMAH 1300518458340896-7626-8035DURUNGBEDUG RT 13 RW 3 CANDI 450208/4/2023 ISTITOAH HAJI HIPERURICEMIA 44415444924467245033BIOFARMA (13/5/2023)
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62AINUN CHILMI 1300554615490812-3118-5446KEDUNGKENDO RT 18 RW 6 CANDI 450195/4/2023 ISTITOAH DISLIPIDNO HP HANGUS NO HP HANGUS 4459645033BIOFARMA (12/5/2023)
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63ZAINUR ROKHIM 1300554618560812-3118-544645019HT, HIPERURICEMIA44299443714477145033BIOFARMA (12/5/2023)
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64SLAMET 1300562120630896-4568-3651KAYEN RT 12 RW 4 KEDUNGKENDO CANDI 450284446244501CADANGAN 2023
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65BAMBANG MIULJAWAN 1300564760630877-0195-0778PERUM TNI AL BLOK C10/23 RT 27 RW 8 KEDUNGKENDO CANDI 4503118/4/2023 ISTITOAH HAJI E78.5 44358444684464545034CADANGAN 2023
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66DWI ARINI PUJIASTUTI 13005647605918/4/2023 ISTITOAH PENDAMPINGAN HHD + E78.5 + DM 44230442444460845034CADANGAN 2023
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67MOH. RIDWAN 1300562735520896-1274-9239DUSUN KAUMAN RT 6 RW 2 SEPANNDE 450343/5/2023 ISTITOAH I10+E78.5442914435144638CADANGAN 2023 (LUNAS)
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68QOYYUM 1300562739513/5/2023 ISTITOAH E78.5 44427445174470345059BIOFARMA (13/5/2023)CADANGAN 2023 (LUNAS)
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69ROSA HERLINA 1300556408550852-3141-4856PERUM TNI AL C2 NO 24 RT 28 RW 8 CANDI 4504303/05/2023 ISTITOAH E11.944426444554467145059BIOFARMA (13/5/2023)
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70ZEIN ALFARI 13005564095502/05/2023 ISTITOAH I10+E78.544271442854466245059BIOFARMA (13/5/2023)
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71NURUL MUNTASYIROH 3144130021500812-3088-3333PERM. SIDOKARE ASRI A1 7-8 RT 27 RW 7 SEPANDE-CANDI 4504905/05/2023 ISTITOAH E78.5 4426044274446094497845059SANOFI (13/5/2023)PETUGAS HAJI DAERAH
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72DRA. JAJOEK INDARTIK 1300563010560821-4725-0250SIDOKARE ASRI TT-19 RT 29 RW 8 SEPANDE - CANDI 4505008/05/2022 ISTITOAH 44463445054475345058SANOFI (12/5/2023)CADANGAN
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73DRS. SUGENG 130056299558450508/5/2023 ISTITOAH E78.5 44391444204465245058SANOFI (12/5/2023)CADANGAN
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74MUTTOMIMAH 1300554648570856-3460-197DURUNGBEDUG RT 4 RW 1 4506623/5/2023 ISTITOAH PENDAMPINGAN E78.5 + I10 + OMI 44581446094472245069BIOFARMA (23/5/2023)
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75MAITA SULISTYOWATI 1300568509480812-3015-8556SUMOKALI RT 11 RW 3 4506623/5/2023 ISTITOAH PENDAMPINGAN E78.5 + E79 4422644243444184482845066BIOFARMA (20/5/2023)CADANGAN
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76TOTOK SULISTIONO 1300568508554506623/5/2023 ISTITOAH PENDAMPINGAN E11.9+ E78.544287443554466045068BIOFARMA (22/5/2023)CADANGAN
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77MAHBULLOH1300721957430852-0373-8939KARANG TANJUNG RT 3 RW 1 CANDI SIDOARJO 4509645097CARDIOMEGALY + E78.5 + E79.0444504448044662CADANGAN
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78RIA NILASARI 1300721959400852-0373-8929KARANG TANJUNG RT 3 RW 1 CANDI SIDOARJO 4509645097I10444504448044662CADANGAN
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79NUR HAYATI 1300721963600821-4356-6738KARANG TANJUNG RT 3 RW 1 CANDI SIDOARJO 4509445097
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80NUR KALAM 130072196161KARANG TANJUNG RT 3 RW 1 CANDI SIDOARJO 45097E11.9 + I10
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