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DAFTAR CALON JEMAAH HAJI PULOKULON TAHUN 2018

NO NAMA ALAMAT L/P UMUR TANDA TANGAN


1 Kusmiah binti sapari kardi Kembangan 03/07 P 45 1.
2 Mashuri bin munawar marto markam Kembangan 03/07 L 56 2.
3 Rumtiah binti rochmas ramin Wuniareng 04/04 P 65 3.
4 Siti Alfiah binti muhsin bukhari Gangin 01/06 P 52 4.
5 Sumarsih binti sunardi samidi Krajan 01/02 P 45 5.
6 Alfiyatur rohmaniyah binti syamsul basyir Krajan 01/02 P 22 6.
7 Syamsul basyir bin kasdi Krajan 01/02 L 46 7.
8 Sukarno bin sarno parjan Jl.Menur No.23 02/01 L 60 8.
9 Harti binti lapin sugiarto Dadabong 04/04 P 73 9.
10 Suwarto bin partorejo suradin Kedungwungu 01/06 L 68 10.
11 Nur Indah binti soedarso Kedungwungu 01/06 P 55 11.
12 Parmi binti Parmin maridin Ngrandu 02/05 P 62 12.
13 Siti Nurhayati binti masrukin Gangin 03/06 P 40 13.
14 Milhan Bahroni bin mustaqim Gangin 03/06 L 42 14.
15 Suwarni binti joyo sapiyo Kedungwungu 07/06 P 71 15.
16 Supriyanto bin ramin suro Kedungwungu 07/06 L 55 16.
17 Sunti puryanti binti edi siswanto Kedungwungu 07/06 P 51 17.
18 Setyo budi purwanto bin djas slamet Krajan lor 2/2 L 45 18.
19 Dwi Puji Lestari binti Samin Krajan lor 2/2 P 37 19.
20 Samin bin todipuro tompo Krajan lor 2/2 L 66 20.
21 Karminem binti Sadimin surorejo Krajan lor 2/2 P 59 21.
22 Djaslamet bin Sumarto sastro Krajan lor 5/1 L 74 22.
23 Dasi binti domo rokerto Krajan lor 5/1 P 62 23.
24 Rasiyo bin sayo doto Baru 1/8 L 49 24
25 Haryati binti jasmo pagi Baru 1/8 P 39 25
26 Rubiyati binti sastro sadimin Mangsulan 2/4 P 59 26
27 Siti Muslikah binti Hadi mulyono Krajan 1/2 P 50 27
28 Pujiono bin Bari Krajan L 55 28
29 Suwondo bin Soetadi sastro sutiman soko 7/1 L 56 29
30 Badriyatul Wahidah binti Fatchur roji soko 7/1 P 53 30
31 Lasiyati binti Kardono besar Sendang 4/8 P 61 31
32 Suparno Suryo ismanput bin isman Sendang 4/8 L 66 32
33 Aris Hidayanto bin sardi Sugihan 5/14 L 45 33
34 Endang Sri Widayati binti Subari Sugihan 5/14 P 36 34
35 Ngadinah binti mangil mojoyo Sidorejo 5/2 P 66 35
36 Juari bin Abdullah ahmad joso Karangtalun 2/3 L 50 36
37 Winarni bin Padi Dipoharjo Karangtalun 2/3 P 42 37
38 Sugiyo bin hardjo parmin Krajan 2/1 L 59 38
39 Rustini binti Towarsono resopawiro Krajan 2/1 P 55 39
40 Arihandoyo bin Ramin sumo Kembangan 8/8 L 49 40
41 Taufikur Rohman bin Chumaidi Tawang 3/8 L 36 41
42 Siti Hurhayati binti Abdul Chanan Tawang 3/8 P 68 42
43 Siti Aisah binti Radiman Legundi 1/5 P 60 43
44 Marsidi bin sono matusup Legundi 1/5 L 56 44
45 Sulastri binti sumarto noyodrono Glinggang 1/6 P 71 45
46 Wasiyo bin Markasan songeb Kembangan 6/8 L 59 46
47 Sulastri binti Djojo Darso Kembangan 6/8 P 55 47
48 Yatmin bin Ronoredjo nadi Klinden 4/7 L 64 48
49 Suparti binti Matmo sodiryo Klinden 4/7 P 56 49
50 Muhamat munasir bin sulaiman Jetak 5/4 L 52 50
51 Sri Wahyuningsih binti Subari Jetak 5/4 P 45 51
52 Manan bin Subadi noyo Tawang 3/8 L 74 52
53 Siti Asiyah binti Suwadi Tawang 3/8 P 56 53
54 Pujiyanto bin Dardjo Wirorejo Krajan 4/1 L 65 54
55 Sulastri binti Djaparin somoastro Krajan 4/1 P 54 55
56 Redi bin Saliyo sadimejo Coran 2/9 L 61 56
57 Supi binti Somo Redjo Coran 2/9 P 55 57
DAFTAR CALON JEMAAH HAJI PULOKULON I TAHUN 2018

NO NAMA ALAMAT L/P UMUR TANDA TANGAN


1 Suwarto bin partorejo suradin Kedungwungu 01/06 L 68 1.
2 Nur Indah binti soedarso Kedungwungu 01/06 P 55 2.
3 Parmi binti Parmin maridin Ngrandu 02/05 P 62 3.
4 Suwarni binti joyo sapiyo Kedungwungu 07/06 P 71 4.
5 Supriyanto bin ramin suro Kedungwungu 07/06 L 55 5.
6 Sunti puryanti binti edi siswanto Kedungwungu 07/06 P 51 6.
7 Setyo budi purwanto bin djas slamet Krajan lor 2/2 L 45 7.
8 Dwi Puji Lestari binti Samin Krajan lor 2/2 P 37 8.
9 Samin bin todipuro tompo Krajan lor 2/2 L 66 9.
10 Karminem binti Sadimin surorejo Krajan lor 2/2 P 59 10.
11 Djaslamet bin Sumarto sastro Krajan lor 5/1 L 74 11.
12 Dasi binti domo rokerto Krajan lor 5/1 P 62 12.
13 Rasiyo bin sayo doto Baru 1/8 L 49 13.
14 Haryati binti jasmo pagi Baru 1/8 P 39 14.
15 Suwondo bin Soetadi sastro sutiman soko 7/1 L 56 15.
16 Badriyatul Wahidah binti Fatchur roji soko 7/1 P 53 16.
17 Lasiyati binti Kardono besar Sendang 4/8 P 61 17.
18 Suparno Suryo ismanput bin isman Sendang 4/8 L 66 18.
19 Aris Hidayanto bin sardi Sugihan 5/14 L 45 19.
20 Endang Sri Widayati binti Subari Sugihan 5/14 P 36 20.
21 Ngadinah binti mangil mojoyo Sidorejo 5/2 P 66 21.
22 Juari bin Abdullah ahmad joso Karangtalun 2/3 L 50 22.
23 Winarni bin Padi Dipoharjo Karangtalun 2/3 P 42 23.
24 Sulastri binti sumarto noyodrono Glinggang 1/6 P 71 24.
25 Yatmin bin Ronoredjo nadi Klinden 4/7 L 64 25.
26 Suparti binti Matmo sodiryo Klinden 4/7 P 56 26.
27 Redi bin Saliyo sadimejo Coran 2/9 L 61 27.
28 Supi binti Somo Redjo Coran 2/9 P 55 28.
29 Harti binti lapin sugiarto Dadabong 04/04 P 73 29.
PEMERIKSAAN LABORAT HAJI 2018 TAH

NO NAMA ALAMAT L/P UMUR


1 Suwarto bin partorejo suradin Kedungwungu 01/06 L 68
2 Nur Indah binti soedarso Kedungwungu 01/06 P 55
3 Parmi binti Parmin maridin Ngrandu 02/05 P 62
4 Suwarni binti joyo sapiyo Kedungwungu 07/06 P 71
5 Supriyanto bin ramin suro Kedungwungu 07/06 L 55
6 Sunti puryanti binti edi siswanto Kedungwungu 07/06 P 51
7 Setyo budi purwanto bin djas slamet Krajan lor 2/2 L 45
8 Dwi Puji Lestari binti Samin Krajan lor 2/2 P 37
9 Samin bin todipuro tompo Krajan lor 2/2 L 66
10 Karminem binti Sadimin surorejo Krajan lor 2/2 P 59
11 Djaslamet bin Sumarto sastro Krajan lor 5/1 L 74
12 Dasi binti domo rokerto Krajan lor 5/1 P 62
13 Rasiyo bin sayo doto Baru 1/8 L 49
14 Haryati binti jasmo pagi Baru 1/8 P 39
15 Suwondo bin Soetadi sastro sutiman soko 7/1 L 56
16 Badriyatul Wahidah binti Fatchur roji soko 7/1 P 53
17 Lasiyati binti Kardono besar Sendang 4/8 P 61
18 Suparno Suryo ismanput bin isman Sendang 4/8 L 66
19 Aris Hidayanto bin sardi Sugihan 5/14 L 45
20 Endang Sri Widayati binti Subari Sugihan 5/14 P 36
21 Ngadinah binti mangil mojoyo Sidorejo 5/2 P 66
22 Juari bin Abdullah ahmad joso Karangtalun 2/3 L 50
23 Winarni bin Padi Dipoharjo Karangtalun 2/3 P 42
24 Sulastri binti sumarto noyodrono Glinggang 1/6 P 71
25 Yatmin bin Ronoredjo nadi Klinden 4/7 L 64
26 Suparti binti Matmo sodiryo Klinden 4/7 P 56
27 Redi bin Saliyo sadimejo Coran 2/9 L 61
28 Supi binti Somo Redjo Coran 2/9 P 55
29 Harti binti lapin sugiarto Dadabong 04/04 P 73
N LABORAT HAJI 2018 TAHAP I

LABORAT
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
Hb,Jenis+Σ LEU,GOL dar,TROM,GDS,CHLST,Kreatinin,SGOT,SGPT,AS URAT,urin lengkap
PEMERIKSAAN LABORAT HAJI 2018 TAHAP II

NO NAMA ALAMAT L/P UMUR LABORAT BIAYA BIAYA TANDA


LABORAT AKOMODASI TOTAL BIAYA TANGAN
1 Suwarto bin partorejo suradin Kedungwungu 01/06 L 68 GDP,GDPP,CHLST HDL,LDL,Ureum,TG 140,000 44,000 184,000 1
2 Nur Indah binti soedarso Kedungwungu 01/06 P 55 GDP,GDPP,CHLST HDL,LDL,Ureum,AS URAT,TG,PP TEST 173,000 44,000 217,000 2
3 Parmi binti Parmin maridin Ngrandu 02/05 P 62 GDP,GDPP,CHLST HDL,LDL,Ureum,TG 140,000 44,000 184,000 3
4 Suwarni binti joyo sapiyo Kedungwungu 07/06 P 71 GDP,GDPP,CHLST HDL,LDL,Ureum,TG 140,000 44,000 184,000 4
5 Supriyanto bin ramin suro Kedungwungu 07/06 L 55 GDP,GDPP,CHLST HDL,LDL,Ureum,TG 140,000 44,000 184,000 5
6 Sunti puryanti binti edi siswanto Kedungwungu 07/06 P 51 GDP,GDPP,CHLST HDL,LDL,Ureum,TG,SEDIMEN URIN,PP TEST 173,000 44,000 217,000 6
7 Setyo budi purwanto bin djas slamet Krajan lor 2/2 L 45 GDP,GDPP,CHLST HDL,LDL,Ureum,TG,SEDIMEN URIN 162,000 44,000 206,000 7
8 Dwi Puji Lestari binti Samin Krajan lor 2/2 P 37 GDP,GDPP,CHLST HDL,LDL,Ureum,TG,SEDIMEN URIN,PP TEST 173,000 44,000 217,000 8
9 Samin bin todipuro tompo Krajan lor 2/2 L 66 GDP,GDPP,CHLST HDL,LDL,Ureum,TG 140,000 44,000 184,000 9
10 Karminem binti Sadimin surorejo Krajan lor 2/2 P 59 GDP,GDPP,CHLST HDL,LDL,Ureum,TG 140,000 44,000 184,000 10
11 Djaslamet bin Sumarto sastro Krajan lor 5/1 L 74 GDP,GDPP,CHLST HDL,LDL,Ureum,TG,SEDIMEN URIN 162,000 44,000 206,000 11
12 Dasi binti domo rokerto Krajan lor 5/1 P 62 GDP,GDPP,CHLST HDL,LDL,Ureum,TG,SEDIMEN URIN 162,000 44,000 206,000 12
13 Rasiyo bin sayo doto Baru 1/8 L 49 GDP,GDPP,CHLST HDL,LDL,Ureum,TG,SEDIMEN URIN 162,000 44,000 206,000 13
14 Haryati binti jasmo pagi Baru 1/8 P 39 GDP,GDPP,CHLST HDL,LDL,Ureum,TG,PROTEINURIA,PP TEST 158,000 44,000 202,000 14
15 Suwondo bin Soetadi sastro sutiman soko 7/1 L 56 GDP,GDPP,CHLST HDL,LDL,Ureum,TG,REDUKSI URN 147,500 44,000 191,500 15
16 Badriyatul Wahidah binti Fatchur roji soko 7/1 P 53 GDP,GDPP,CHLST HDL,LDL,Ureum,TG,PP TEST 151,000 44,000 195,000 16
17 Lasiyati binti Kardono besar Sendang 4/8 P 61 GDP,GDPP,CHLST HDL,LDL,Ureum,TG 140,000 44,000 184,000 17
18 Suparno Suryo ismanput bin isman Sendang 4/8 L 66 GDP,GDPP,CHLST HDL,LDL,Ureum,AS URAT,TG 162,000 44,000 206,000 18
19 Aris Hidayanto bin sardi Sugihan 5/14 L 45 GDP,GDPP,CHLST HDL,LDL,Ureum,AS URAT,TG 162,000 44,000 206,000 19
20 Endang Sri Widayati binti Subari Sugihan 5/14 P 36 GDP,GDPP,CHLST HDL,LDL,Ureum,TG,PP TEST 151,000 44,000 195,000 20
21 Ngadinah binti mangil mojoyo Sidorejo 5/2 P 66 Σ LEU,GDP,GDPP,CHLST HDL,LDL,Ureum,TG,SEDIMEN URIN 192,000 44,000 236,000 21
22 Juari bin Abdullah ahmad joso Karangtalun 2/3 L 50 GDP,GDPP,CHLST HDL,LDL,Ureum,AS URAT,TG 192,000 44,000 236,000 22
23 Winarni bin Padi Dipoharjo Karangtalun 2/3 P 42 Σ LEU,GDP,GDPP,CHLST HDL,LDL,Ureum,TG,PP TEST 181,000 44,000 225,000 23
24 Sulastri binti sumarto noyodrono Glinggang 1/6 P 71 GDP,GDPP,CHLST HDL,LDL,Ureum,TG 140,000 44,000 184,000 24
25 Yatmin bin Ronoredjo nadi Klinden 4/7 L 64 Σ LEU,GDP,GDPP,CHLST HDL,LDL,Ureum,TG 170,000 44,000 214,000 25
26 Suparti binti Matmo sodiryo Klinden 4/7 P 56 GDP,GDPP,CHLST HDL,LDL,Ureum,SGOT,TG,PP TEST 173,000 44,000 217,000 26
27 Redi bin Saliyo sadimejo Coran 2/9 L 61 GDP,GDPP,CHLST HDL,LDL,Ureum,TG 140,000 44,000 184,000 27
28 Supi binti Somo Redjo Coran 2/9 P 55 GDP,GDPP,CHLST HDL,LDL,Ureum,TG,PP TEST 151,000 44,000 195,000 28
29 Harti binti lapin sugiarto Dadabong 04/04 P 73 GDP,GDPP,CHLST HDL,LDL,Ureum,AS URAT,TG 162,000 44,000 206,000 29
Mengetahui
A/N Kepala UPTD Puskesmas Pulokulon I
(KaSuBag TU)

NANIK TRI MINTAWATI


NIP. 196603241987032010
DAFTAR CALON JEMAAH HAJI PULOKULON I KATEGORI RESTI

NO NAMA ALAMAT L/P UMUR


1 Harti binti lapin sugiarto Dadabong 04/04 P 73
2 Suwarto bin partorejo suradin Kedungwungu 01/06 L 68
3 Parmi binti Parmin maridin Ngrandu 02/05 P 62
4 Suwarni binti joyo sapiyo Kedungwungu 07/06 P 71
5 Samin bin todipuro tompo Krajan lor 2/2 L 66
6 Djaslamet bin Sumarto sastro Krajan lor 5/1 L 74
7 Dasi binti domo rokerto Krajan lor 5/1 P 62
8 Lasiyati binti Kardono besar Sendang 4/8 P 61
9 Suparno Suryo ismanput bin isman Sendang 4/8 L 66
10 Ngadinah binti mangil mojoyo Sidorejo 5/2 P 66
11 Sulastri binti sumarto noyodrono Glinggang 1/6 P 71
12 Yatmin bin Ronoredjo nadi Klinden 4/7 L 64
13 Redi bin Saliyo sadimejo Coran 2/9 L 61
ON I KATEGORI RESTI

ALASAN RESTI
DAFTAR CALON JEMAAH HAJI PULOKULON I TAHUN 2018

NO NAMA ALAMAT L/P UMUR TB BB


1 Suwarto bin partorejo suradin Kedungwungu 01/06 L 68 177 70
2 Nur Indah binti soedarso Kedungwungu 01/06 P 55 158 62
3 Parmi binti Parmin maridin Ngrandu 02/05 P 62 151 50
4 Suwarni binti joyo sapiyo Kedungwungu 07/06 P 71 150 50
5 Supriyanto bin ramin suro Kedungwungu 07/06 L 55 163 62
6 Sunti puryanti binti edi siswanto Kedungwungu 07/06 P 51 148 53
7 Setyo budi purwanto bin djas slamet Krajan lor 2/2 L 45 165 90
8 Dwi Puji Lestari binti Samin Krajan lor 2/2 P 37 154 55
9 Samin bin todipuro tompo Krajan lor 2/2 L 66 153 80
10 Karminem binti Sadimin surorejo Krajan lor 2/2 P 59 152 70
11 Djaslamet bin Sumarto sastro Krajan lor 5/1 L 74 167 65
12 Dasi binti domo rokerto Krajan lor 5/1 P 62 144 65
13 Rasiyo bin sayo doto Baru 1/8 L 49 163 60
14 Haryati binti jasmo pagi Baru 1/8 P 39 159 75
15 Suwondo bin Soetadi sastro sutiman soko 7/1 L 56 165 70
16 Badriyatul Wahidah binti Fatchur roji soko 7/1 P 53 158 45
17 Lasiyati binti Kardono besar Sendang 4/8 P 61 153 43
18 Suparno Suryo ismanput bin isman Sendang 4/8 L 66 157 48
19 Aris Hidayanto bin sardi Sugihan 5/14 L 45 170 65
20 Endang Sri Widayati binti Subari Sugihan 5/14 P 36 155 62
21 Ngadinah binti mangil mojoyo Sidorejo 5/2 P 66 147 55
22 Juari bin Abdullah ahmad joso Karangtalun 2/3 L 50 172 75
23 Winarni bin Padi Dipoharjo Karangtalun 2/3 P 42 151 80
24 Sulastri binti sumarto noyodrono Glinggang 1/6 P 71 157 64
25 Yatmin bin Ronoredjo nadi Klinden 4/7 L 64 157 73
26 Suparti binti Matmo sodiryo Klinden 4/7 P 56 155 65
27 Redi bin Saliyo sadimejo Coran 2/9 L 61 182 60
28 Supi binti Somo Redjo Coran 2/9 P 55 148 50
29 Harti binti lapin sugiarto Dadabong 04/04 P 73 154 54
DAFTAR CALON JEMAAH HAJI RESIKO TINGGI PULOKULON I TAHUN 2018

NO NAMA ALAMAT L/P UMUR KETERANGAN


1 Suwarto bin partorejo suradin Kedungwungu 01/06 L 68 senility
2 Nur Indah binti soedarso Kedungwungu 01/06 P 55 post SGB
3 Parmi binti Parmin maridin Ngrandu 02/05 P 62 senility,hipertensi dan bronchitis
4 Suwarni binti joyo sapiyo Kedungwungu 07/06 P 71 senility,cardiomegali dan bronchopneumonia
5 Supriyanto bin ramin suro Kedungwungu 07/06 L 55 -
6 Sunti puryanti binti edi siswanto Kedungwungu 07/06 P 51 bronchitis,cardiomegali
7 Setyo budi purwanto bin djas slamet Krajan lor 2/2 L 45 hipertensi
8 Dwi Puji Lestari binti Samin Krajan lor 2/2 P 37 -
9 Samin bin todipuro tompo Krajan lor 2/2 L 66 senility,tbc,efusi pleura dextra
10 Karminem binti Sadimin surorejo Krajan lor 2/2 P 59 hipertensi,bronchopneumonia dan cardiomegali
11 Djaslamet bin Sumarto sastro Krajan lor 5/1 L 74 senility,hipertensi,cardiomegali,bronchopneumonia
12 Dasi binti domo rokerto Krajan lor 5/1 P 62 senility, cardiomegali,bronchopneumonia
13 Rasiyo bin sayo doto Baru 1/8 L 49 bronchopneumonia
14 Haryati binti jasmo pagi Baru 1/8 P 39 bronchopneumonia
15 Suwondo bin Soetadi sastro sutiman soko 7/1 L 56 hipertensi
16 Badriyatul Wahidah binti Fatchur roji soko 7/1 P 53 cardiomegali,bronchitis
17 Lasiyati binti Kardono besar Sendang 4/8 P 61 senility,bronchitis
18 Suparno Suryo ismanput bin isman Sendang 4/8 L 66 senility
19 Aris Hidayanto bin sardi Sugihan 5/14 L 45 hipertensi
20 Endang Sri Widayati binti Subari Sugihan 5/14 P 36 -
21 Ngadinah binti mangil mojoyo Sidorejo 5/2 P 66 senility,hipertensi,bronchitis
22 Juari bin Abdullah ahmad joso Karangtalun 2/3 L 50 hipertensi dan gout
23 Winarni bin Padi Dipoharjo Karangtalun 2/3 P 42 hipertensi,bronchitis
24 Sulastri binti sumarto noyodrono Glinggang 1/6 P 71 senility,cardiomegali dan bronchitis
25 Yatmin bin Ronoredjo nadi Klinden 4/7 L 64 senility,cardiomegali,bronchopneumonia
26 Suparti binti Matmo sodiryo Klinden 4/7 P 56 cardiomegali,bronchitis
27 Redi bin Saliyo sadimejo Coran 2/9 L 61 senility
28 Supi binti Somo Redjo Coran 2/9 P 55 cardiomegali,bronchitis
29 Harti binti lapin sugiarto Dadabong 04/04 P 73 senility,bronchitis
DAFTAR WUS CALON JAMAAH HAJI 2018

NO NAMA ALAMAT L/P UMUR


1 Nur Indah binti soedarso Kedungwungu 01/06 P 55
2 Sunti puryanti binti edi siswanto Kedungwungu 07/06 P 51
3 Dwi Puji Lestari binti Samin Krajan lor 2/2 P 37
4 Haryati binti jasmo pagi Baru 1/8 P 39
5 Endang Sri Widayati binti Subari Sugihan 5/14 P 36
6 Winarni bin Padi Dipoharjo Karangtalun 2/3 P 42
7 Supi binti Somo Redjo Coran 2/9 P 55
8 Badriyatul Wahidah binti Fatchur roji soko 7/1 P 53
9 Suparti binti Matmo sodiryo Klinden 4/7 P 56

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