Data BPJS Desa Sampe Cita

HUBKEL
1=P
No KK NIK/KITAS/KITAP Nama Lengkap
2=S
3=I 4
=A 5
=T
1 2 3 4 5
1 1207040306160002 1207046406580001 Bersih Br Ginting 2

2 1207040306160002 1207044110830001 Susilawati Br Tarigan 4
3 1207041409094402 1207041211630001 Kliwon 2
4 1207041409094402 1207047103650001 Peti Br Karo 3
5 1207041409094402 1207042805850001 Adi Putra Ginting 4
6 1207041409094402 1207040107940001 Imanta 4
7 1207041409094402 1207045109960002 Murni Yati 4
8 1207042808150006 1207045112620003 Sumiati 3
9 1207042808150006 1207042404980003 Amirudin 4
10 1207042808150006 1207042012940001 Tepu Sitepu 4
11 1207041010140002 1207040303810001 Rudi Sinulingga 2
12 1207041010140002 1207044112840001 Marni Br Sembiring 3
13 1207041010140002 1207046109120001 Angel Izhura Salsalina Br Siulingga 4
14 1207041409094485 1207041210720001 Jaya Ginting 2
15 1207041409094485 1207045112750008 Risma Wati Br Sitepu 3
16 1207041409094485 1207045008950002 Sari Mona Br Ginting Munthe 4
17 1207041409094485 1207045802980001 Roni Br Ginting 4
18 1207041409094485 1207045607020001 Erianta Br Ginting 4
19 1207041409094485 1207040106070003 Irfan Ginting 4
20 1207041409094629 1207040106730002 Budiman Tarigan 2
21 1207041409094629 1207044201750001 Dewi Br Sitepu 3
22 1207041409094629 1207046511980001 Nova Emi Ninta 4
23 1207041409094629 1207044909020001 Elsa Riminda Br Tarigan 4
24 1207041409094629 1207047112030001 Dea Anggun Kinanti Br Tarigan 4
25 1207041409094629 1207042106080001 Ekel Syahputra Tarigan 4
26 1207040604160006 1205211212910001 Mirwan 2
27 1207040604160006 1207047001880001 Wartini 3
28 1207040604160006 1207046404040001 Renisah Br Sembiring 4
29 1207040604160006 1207041312160002 Egi Primsa Sembiring 4
30 1207041409094689 1207042406700001 Toni Sinulingga 2
31 1207041409094689 1207044604740001 Ngapuli Br Ginting 3
32 1207041409094689 1207042406940003 Simta Sinulingga 4
33 1207042712100002 1207041807810001 Teng-Teng 2
34 1207042712100002 1207045807760002 Damenta Br Tarigan 3
35 1207042712100002 1207045807090001 Nesa Br Ginting 4
36 1207042712100002 1207044207110003 Aurelia Br Ginting 4
37 1207041311150002 1207041409930002 Sukardi Surbakti 2
38 1207041311150002 1207040405010003 Sopianta Surbakti 5
39 1207042202170005 1207041009570001 Robet Barus 2
40 1207042202170005 1207046511790005 Binaria Br Tarigan 3
41 1207042202170005 1207043008110001 Jepri Barus 4
42 1207041409094598 1207041707720003 Mustar Tarigan 2
43 1207041409094598 1207044202790001 Misniawati 3
44 1207041409094598 1207041305030002 Bastanta Tarigan 4
45 1207041409094598 1207047001050001 Uli Rutinisa Br Tarigan 4
46 1207041409094598 1207046011070002 Silpy Fitria Br Tarigan 4
47 1207041409094358 1207041112560001 Timan Ginting 2
48 1207041409094358 1207046112690001 Rela Br Sinulingga 3
49 1207041409094358 1207047006840001 Sri Ulina 4
50 1207040311170001 1207041310900002 Esron Sembiring 2
51 1207040311170001 1205045704880002 Maria Franciska 3
52 1207042704170018 1207044304870002 Masnita Br Sembiring 3
53 1207043003120005 1207040908650001 Adlisyah 2
54 1207043003120005 1104124107710050 Pitriani 3
55 1207043003120005 1207045212110001 Desliana Fita 4
56 1207043003120005 1207046211160001 Dhia Syarafana 4
57 1207042005130008 1207043005760002 Zahiruddin 2
58 1207042005130008 1207045712770003 Desi Maya Sari 3
59 1207042005130008 1207041604000001 Muhammad Alfi Akbar 4
60 1207042005130008 1207046904030001 Nadia Zaila Putri 4
61 1207042005130008 1207042308040001 M. Zaki Cakra 4
62 1207042108180002 1207231207760012 Syahrial 2
63 1207042108180002 1207235011770011 Ernita Br Nadek 3
64 1207042108180002 1207231203020007 Syafril 4
65 1207042108180002 1207235208080008 Syahrifa 4
66 1207042108180002 1207040603110001 M.Syah Pulloh Khammalludin 4
67 1207042108180002 1207045111160003 Putri Dewi Portuna 4
68 1207040807130003 1207042312810002 Chirsian Siregar 2
69 1207040807130003 1207045107860002 Yusnani 3
70 1207040807130003 1207044705060001 Salsabila Siregar 4
71 1207040807130003 1207043009080002 Muhammad Krisna Siregar 4
72 1207040807130003 1207042403130002 Rangga Aditya Siregar 4
73 1207041703150004 1207041501860001 Perdana Ginting 2
74 1207041703150004 1207046406890001 Eli Supiyani 3
75 1207041703150004 1207040812110002 Fais Aldyano Ginting 4
76 1207041703150004 1207041107150001 Fadil Aditya Ginting 4
77 1207040507100005 1207040308810001 Sentosa Ginting 2
78 1207040507100005 1207044105840002 Hemayanti Sitepu 3
79 1207040507100005 1207044503100001 Anisa Perbina Br Ginting 4
80 1207040507100005 1207041802140001 Armada Ginting 4
81 1207040507100005 1207044801160001 Ana Zaskia Br Ginting 4
82 1207041409094131 1207040308710001 Tuahta Sinulingga 2
83 1207041409094131 1207046508690001 Ridau Br Tarigan 3
84 1207041409094131 1207045312950001 Desi Yanti Br Sinulingga 4
85 1207041409094131 1207042311960001 Nopanda Karli 4
86 1207041409094131 1206020207950001 Karmel gurusinga 5
87 1207041409094738 1207042910780002 Malem Katana Sitepu 2
88 1207041409094738 1207045307760001 Erni Sion Br Sembiring 3
89 1207041409094738 1207045002020001 Ella Treshya Br Sitepu 4
90 1207041409094738 1207041808030002 Luis Agustinus Brema Sitepu 4
91 1207041409094738 1207045706100001 Ellieser Trian Br Sitepu 4
92 1207041409094407 1207042810770001 Sanggup Surbakti 2
93 1207041409094407 1207045004840002 Hilda Br Bangun 3
94 1207041409094407 1207044710030001 Helma Selpia Br Surbakti 4
95 1207041409094407 1207046602070001 Nia Novita Br Surbakti 4
96 1207041409094407 1207040307170001 Julius Ekel Abrenta Surbakti 4
97 1207041409094459 1207046010450001 Ranggi Br Sembiring 3
98 1207041409094459 1207041006850001 Irwansyah Tarigan 4
99 1207041409093996 1207042301440001 Rapen Ginting 2
100 1207041409093996 1207046311450001 Katar Br Surbakti 3
101 1207041409093996 1207045404790001 Rosmida Br Ginting 4
102 1207040308160005 1207040106910003 Ricky Fernando 2
103 1207040308160005 1206044306870005 Litna Br Sembiring 3
104 1207040308160005 1207046911140001 Ellora Donita 4
105 1207040308160005 1206044112100001 Siva Br Tarigan 5
106 1207040805150002 1206042202850003 Dwi Prasetyo Sitepu 2
107 1207040805150002 1207045811890001 Eldaria Naptali Ginting 3
108 1207041409094187 1207047112510005 Tipan Br Ginting 2
109 1207041409094187 1207040505950004 Lukas Baik 4
110 1207041907130003 1207040711860001 Indra Anugerah 2
111 1207041907130003 1207045504880001 Dina Mariana.S 3
112 1207041907130003 1207040603100003 Vadly Jesreel Purba 4
113 1207041907130003 1207045709140003 Eyrinca Revacy Lania Purba 4
114 1207041409094416 1207046812620001 Ganu Br Karo 3
115 1207041409094416 1207041606940003 Miko Ginting 4
116 1207041409094502 1207041408770001 Gidion 2
117 1207041409094502 1207046804800001 Erni Br Sembiring 3
118 1207041409094502 1207042805010002 Efraim Mahreza 4
119 1207041409094502 1207041712030002 Nikita Rasbina 4
120 1207041409094502 1207040608070002 Arga Egisixlus 4
121 1207041409094502 1207044709080001 Keysabelia 4
122 1207041409094502 1207041111110007 Rafael Jodeta 4
123 1207041409094502 1207042608170001 Aldan Nio Dirga 4
124 1207040704170002 1207041001920001 Indra Bukit 2
125 1207040704170002 1207044903920002 Milda Yanti 3
126 1207040704170002 1207040202170001 Aiden Ma Aqiaro Bukit 4
127 1207042203170002 1207040608910001 Andreas Ginting 2
128 1207042203170002 1207046602930001 Nur Febriyanti.S 3
129 1207041211150001 1207242507760003 Sugiarto 2
130 1207041211150001 1207246003820001 Irmawati 3
131 1207041211150001 1207244402090003 Latifah Hanum 4
132 1207041211150001 1207240808110002 Muhammad Ridwan 4
133 1207042312140001 1207040709850004 Misnan 2
134 1207042312140001 1207045004880001 Sulasmi Nasution 3
135 1207042312140001 1207040704120002 M. Rehan Lbs 4
136 1207041409094555 1207040106580001 Arifin Nasution 2
137 1207041409094555 1207047112570024 Warsem 3
138 1207041409094555 1207046007780001 Nuraisyah Nasution 4
139 1207041409094555 1207041407040003 Rendi Nst 4
140 1207040410110004 1207043112520012 Rajin Sembiring 2
141 1207040410110004 1207047112530034 Rantelet Br. Surbakti 3
142 1207040410110004 1207045112760002 Dewi Br Sembiring 4
143 1207040604170003 1271211205840001 Hendra Gunawan 2
144 1207040604170003 1207044903930001 Reni Susanty Br Keliat 3
145 1207040604170003 1207046401150001 Fawnia Br Surbakti 4
146 1207041703150005 1207041606900001 Gidion Ginting 2
147 1207041703150005 1207045810920001 Surya Risme Tarigan 3
148 1207041703150005 1207041105130001 Michael ginting 4
149 1207040106150005 1207042609930001 Andoko 2
150 1207040106150005 1207044606940003 Nina Ninta Br Ginting 3
151 1207040106150005 1207044308150001 Aura Natanza Inara 4
152 1207042802180001 1209243112880007 Herman 2
153 1207042802180001 1271115107950002 Dani Apriani 3
154 1207042802180001 1207041306150003 Wira Pratama 4
155 1207041409094380 1207044011600001 Sri Hartati Siregar 3
156 1207041412180001 1271152110620002 Syahrial 2
157 1207041412180001 1207077006760001 Misnawati 3
158 1207041412180001 1207040407090003 Wahyu Pratama Situmorang 4
159 1207041409094418 1207041304650001 Mariam Ginting 2
160 1207041409094418 1207044605630001 Reh Malem Br Surbakti 3
161 1207041409094418 1207040602980001 Irwansyah Ade Putra 4
162 1207041409094418 1207042702000002 Irwandi 4
163 1207042704170017 1207227112600012 Yusmiati 3
164 1207042704170017 1207222904900001 Bayu Aji Syahputra 4
165 1207042704170017 1207222611940002 Indra Sukma Waskito 4
166 1207041409094431 1207041804600001 Tetap Sinulingga 2
167 1207041409094431 1207047112650023 Raskita Br Sembiring 3
168 1207041409094431 1207040910880002 Daulat 4
169 0201031000143 0201037112500038 Kadirah 2
170 1207041409094413 1207047112700011 Tiara Br Sembiring 3
171 1207041409094413 1207045106990001 Teti Herawati 4
172 1207041409093735 1207040105870001 Romi Sinulingga 2
173 1207041409093735 1207048705830001 Melani Juwita 3
174 1207041409093735 1207040301130001 Azarya Melandri Sinulingga 4
175 1207041409094464 1207041007650001 Mansyur Surbakti 2
176 1207041409094464 1207047112650001 Rosmita Br Sembiring 3
177 1207041409094464 1207044704990001 Siska Ariyanti 4
178 1207041409094464 1207042202030001 Ardi Ansah 4
179 1207041409094162 1207040706480001 M.Yunus 2
180 1207041409094162 1207047112520017 Saliah 3
181 1207041409094162 1207042006780002 Sunarko 4
182 1207041409094774 1207041803850001 Suparji 2
183 1207041409094774 1207045211860001 Maya Ariani 3
184 1207041409094774 1207040301070001 Ryan Safari 4
185 1207041409094774 1207045011100002 Fazira Putri 4
186 1207041409094334 1207040107660002 Ruslan Nasution 2
187 1207041409094334 1207044106670001 Nurhalifah Hasibuan 3
188 1207041409094334 1207044910900001 Rosliana Nasution 4
189 1207041409094334 1207046607960002 Robbiah Nasution 4
190 1207041409094334 1207046912000002 Nurlan Fitriani Nasution 4
191 1207041409094334 1207046506070001 Frida Nurliana Nst 4
192 1207041705160001 1207040701800004 Pirman Sinulingga 2
193 1207041705160001 1207046707760003 Sarnik Br Ginting 3
194 1207041705160001 1207042901050007 Eben Nezer 4
195 1207041705160001 1207046509060001 Indah Sari 4
196 1207041409094781 1207045611690001 Inartina Br Ginting 2
197 1207041409094781 1207040504960001 Agus Handoko 4
198 1207041409094781 1207040209990003 Ridho Efendi 4
DAFTAR USULAN PESERTA KARTU
Jenis
Tgl Lahir Kelamin
Status Kawin
1 = BK Kode
2=K Alamat Tempat Tinggal RT RW
Pos
L = 1 P 3 = CH
Tempat Lahir dd/mm/yyyy = 2 4 = CM
5 = TDK
TAU
6 7 8 9 10 11 12 13
Belimbingan 24-06-1958 2 2 Belimbingan 20354

Rimbun Baru 12-11-1963 1 2 Belimbingan 20354
Gunung Tinggi 01-07-1994 1 1 Belimbingan 20354
Berdikari 11-12-1952 2 5 Belimbingan 20354
Medan 21-09-2012 1 1 Belimbingan 20354
Barung 11-12-1975 2 2 Belimbingan 20354
Diski 02-01-1975 2 2 Belimbingan 20354
Berdikari 13-12-2015 1 1 Belimbingan 20354
Polo Mulo 05-04-1974 2 2 Belimbingan 20354
Barung 18-07-1981 1 2 Belimbingan 20354
Perpanden 18-07-2009 2 1 Belimbingan 20354
Perpanden 02-07-2011 2 1 Belimbingan 20354
Kabanjahe 10-09-1957 1 2 Belimbingan 20354
P.Siantar 02-02-1979 2 2 Belimbingan 20354
Berastagi 13-05-2003 1 1 Belimbingan 20354
Rambung 11-12-1958 2 2 Belimbingan 20354
Rambung 30-06-1984 2 1 Belimbingan 20354
Bencirem 17-04-1988 2 2 Belimbingan 20354
Belimbingan 03-04-1987 2 2 Perum PBTS Blok P No 55 20354
Lima Puluh 09-08-1965 1 2 Perum PBTS Blok B No 132 20354
Blang Gele 01-07-1971 2 2 Perum PBTS Blok B No 132 20354
Sampe Cita 12-12-2011 2 1 Perum PBTS Blok B No 132 20354
Medan 22-11-2016 2 1 Perum PBTS Blok B No 132 20354
Batang Serangan 30-05-1975 1 2 Perum PBTS Blok O No 192 20354
Jakarta 17-12-1977 2 2 Perum PBTS Blok O No 192 20354
Batang Serangan 16-04-2000 1 1 Perum PBTS Blok O No 192 20354
Medan 29-04-2003 2 1 Perum PBTS Blok O No 192 20354
Medan 23-08-2004 1 1 Perum PBTS Blok O No 192 20354
Tg.Gusta 12-07-1976 1 2 Perum PBTS Blok A 20354
Medan 10-11-1977 2 2 Perum PBTS Blok A 20354
Tg.Gusta 12-03-2002 1 1 Perum PBTS Blok A 20354
Riau 06-03-2011 1 1 Perum PBTS Blok A 20354
Lau Bekri 11-11-2016 2 1 Perum PBTS Blok A 20354
P.Berandan 23-12-1981 1 2 Perum PBTS Blok A 20354
Sampe Cita 07-05-2006 2 1 Perum PBTS Blok A 20354
Sampe Cita 30-09-2008 1 1 Perum PBTS Blok A 20354
Rambung 15-01-1986 1 2 Rambung 20354
Gunung Tinggi 24-06-1989 2 2 Rambung 20354
Rambung 03-08-1981 1 2 Rambung 20354
Medan 01-05-1984 2 2 Rambung 20354
Medan 18-02-2014 1 1 Rambung 20354
Medan 08-01-2015 2 1 Rambung 20354
Sampe Cita 03-08-1971 1 2 Dusun I 20354
Namo Rindang 25-08-1969 2 2 Dusun I 20354
Gunung Tinggi 13-12-1995 2 1 Dusun I 20354
Gurusinga 02-07-1995 1 1 Dusun I 20354
Lau Buluh 28-10-1978 1 2 Rimbun Baru 20354
Belawan 13-07-1975 2 2 Rimbun Baru 20354
Sampe Cita 17-05-2010 2 1 Rimbun Baru 20354
Tanjung Selamat 28-10-1977 1 2 Belimbingan 20354
Buluh Nipis 23-01-1944 1 2 Dusun III Buluh Nipes 20354
Barung 23-11-1945 2 2 Dusun III Buluh Nipes 20354
Barung 14-04-1979 2 1 Dusun III Buluh Nipes 20354
Sampe Cita 01-05-1991 1 2 Dusun II Rimbun Baru 20354
Barus Jahe 03-06-1987 2 2 Dusun II Rimbun Baru 20354
Medan 19-11-2014 2 1 Dusun II Rimbun Baru 20354
Kabanjahe 01-12-2010 2 1 Dusun II Rimbun Baru 20354
Kabanjahe 22-02-1985 1 2 Dusun VI No.136 Blok O 20354
Tanjung Beringin 18-11-1989 2 2 Dusun VI No.136 Blok O 20354
Rimbun Baru 31-12-1951 2 4 Dusun II Rimbun Baru 20354
Lau Bekri 05-05-1995 1 1 Dusun II Rimbun Baru 20354
Namo Merbo 15-04-1988 2 2 Dusun II Rimbun Baru 20354
Gunung Tinggi 06-03-2010 1 1 Dusun II Rimbun Baru 20354
Lau Timah 26-12-1962 2 4 Dusun II Rimbun Baru 20354
Lau Bekeri 14-08-1977 1 2 Dusun II Rimbun Baru 20354
Pancur Batu 28-04-1980 2 2 Dusun II Rimbun Baru 20354
Sampe Cita 11-11-2011 1 1 Dusun II Rimbun Baru 20354
Lau Bekeri 26-08-2017 1 1 Dusun II Rimbun Baru 20354
Pertampilan 10-01-1992 1 2 Dusun I 20354
Binjai 02-02-2017 1 1 Dusun I 20354
Lau Bekeri 06-08-1991 1 2 Dusun I Sampe Cita 20354
Gunung Tinggi 26-02-1993 2 2 Dusun I Sampe Cita 20354
Glugur Rimbun 25-07-1976 1 2 Dusun I Sampe Cita 20354
Klumpang 20-03-1982 2 2 Dusun I Sampe Cita 20354
Klambir Lima 04-02-2009 2 1 Dusun I Sampe Cita 20354
Klumpang 09-06-2011 1 1 Dusun I Sampe Cita 20354
Namo Terasi 07-09-1985 1 2 Dusun I Sampe Cita 20354
Sampe Cita 10-04-1988 2 2 Dusun I Sampe Cita 20354
Dsn I Sampe Cita 01-08-1958 1 2 Dusun I Sampe Cita 20354
Jateng 31-12-1957 2 2 Dusun I Sampe Cita 20354
Kampung baru 20-07-1978 2 1 Dusun I Sampe Cita 20354
Dalam rimbun 31-12-1953 2 2 Dusun I Sampe Cita 20354
Pulau Kijang 12-05-1984 1 2 Dusun I Sampe Cita 20354
Berdikari 16-06-1990 1 2 Dusun V Rambung 20354
Kp.Toba 18-10-1992 2 2 Dusun V Rambung 20354
Deli Serdang 11-05-2013 1 1 Dusun V Rambung 20354
Jakarta 06-06-1994 2 2 Dusun I Sampe Cita 20354
Medan 03-08-2015 2 1 Dusun I Sampe Cita 20354
Sei Nangka 31-12-1988 1 2 Dusun VI Blok O 20354
Medan 11-07-1995 2 2 Dusun VI Blok O 20354
Medan 13-06-2015 1 1 Dusun VI Blok O 20354
Kisaran 09-11-1953 2 4 Dsn VI Perum PBTS Blok B.107 20354
Medan 21-10-1962 1 2 Dusun VI 20354
Candi Rejo 30-06-1976 2 2 Dusun VI 20354
Sampe Cita 04-07-2009 1 1 Dusun VI 20354
Pancur Batu 13-04-1965 1 2 Dsn VI Perum PBTS Blok P.77 20354
Binjai 06-05-1963 2 2 Dsn VI Perum PBTS Blok P.77 20354
Silanggang 31-12-1960 2 4 Dsn VII Perum PBTS Blok R.12 20354
Sikambing 29-04-1990 1 1 Dsn VII Perum PBTS Blok R.12 20354
KP.Lalang 26-11-1994 1 1 Dsn VII Perum PBTS Blok R.12 20354
Namo Buaya 18-04-1960 1 2 Dusun IV Belimbingan 20354
Belimbingan 31-12-1965 2 2 Dusun IV Belimbingan 20354
Jawa 31-12-1950 2 4 Prum KBBT Blok Y.91 20354
Gunung Tinggi 11-06-1999 2 1 Dusun IV Belimbingan 20354
Kutalimbaru 01-05-1987 1 2 Dsn VII Perum BTS Blok Y 20354
Bandung 27-05-1983 2 2 Dsn VII Perum BTS Blok Y 20354
Pasar X 03-01-2013 1 1 Dsn VII Perum BTS Blok Y 20354
Pancur Batu 10-07-1965 1 2 Dusun I Sampe Cita 20354
Medan 07-06-1948 1 2 Dsn VII Perum BTS Blok S.43 20354
Galang 31-12-1952 2 2 Dsn VII Perum BTS Blok S.43 20354
Medan 20-06-1978 1 1 Dsn VII Perum BTS Blok S.43 20354
Aceh 18-03-1985 1 2 Dsn VII Blok 113 S.Cita 20354
Sampe Cita 12-11-1986 2 2 Dsn VII Blok 113 S.Cita 20354
Padang Sidempuan 01-07-1966 1 2 Dusun VI Perum Blok O.129 20354
Sipogu 01-06-1967 2 2 Dusun VI Perum Blok O.129 20354
Medan 09-10-1990 2 1 Dusun VI Perum Blok O.129 20354
Medan 26-07-1996 2 1 Dusun VI Perum Blok O.129 20354
Sampe Cita 29-12-2000 2 1 Dusun VI Perum Blok O.129 20354
Sampe Cita 25-06-2007 2 1 Dusun VI Perum Blok O.129 20354
Glugur 07-01-1980 1 2 Dusun IV Belimbingan 20354
Gunung Pamela 16-11-1969 2 4 Dusun I Sampe Cita 20354
ESERTA KARTU KIS DI WILAYAH KERJA PUSKESMAS KUTALIMBARU
TAHUN 2018
Kode
Kode Kode Faskes Faskes
Nama Kecamatan Kode Desa Nama Desa Nama Faskes Tk.I
Kecamatan Tk.I Dokter
Gigi
14 15 16 17 18 19 20
Kutalimbaru Sampe Cita

TALIMBARU
Status Kelas Rawat
Nama
Nomor Gaji Pokok +
Faskes TMT Kerja
Telepon Email NPP Jabatan 1=Tetap Tunj.Tetap
Dokter 2=Kontrak 1=Kelas I, (Kary.Aktif)
Peserta (Kary.Aktif)
Gigi 3=Paruh waktu 2=Kelas II,
4=Penerima 3=Kelas III
pensiun
21 22 23 24 25 26 27 28 29
Kewarga
Negaraan
Asuransi Lainnya
No. No
NPWP Passport
1=WNI, No. Polis
Nama
2=WNA Asuransi
30 31 32 33 34
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1 1207040306160002 1207046406580001 Bersih Br Ginting 2

Belimbingan 24-06-1958 2 2 Belimbingan 20354

Kutalimbaru Sampe Cita

Status Kelas Rawat

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