RSUD Muntilan Kab.Magelang
Jl Kartini No.13 Muntilan
Registrasi Data
NIK
Nama
Tempat Lahir
Tanggal Lahir
Jenis Kelamin
Jenis Kelamin ...
Pria
Wanita
Golongan Darah
Golongan Darah...
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A
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B
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AB
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O
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Belum Diketahui
Status Perkawinan
Pilih Status...
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Kawin
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Belum Kawin
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Cerai
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Janda/Duda
Agama
Pilih Agama...
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Islam
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Kristen
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Katholik
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Hindu
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Budha
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Konghucu
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Aliran
Pendidikan
Pilih Pendidikan...
TIDAK SEKOLAH
TK
SD
SLTP/SMP
SMA/SMK
DIPLOMA
UNIVERSITAS/S1
PASCA SARJANA/S2
DOKTORAL/S3
Suku Bangsa
Pilih Suku Bangsa...
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Jawa
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Sunda
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Melayu
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Batak
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Madura
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Betawi
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Minangkabau
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Bugis
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Tionghoa
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Banjar
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Bali
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Aceh
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Dayak
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Lombok
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Arab
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Makassar
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Lampung
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Manado
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Karo
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Nias
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Gorontalo
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Buton
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Atoni
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Toraja
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Kaili
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Manggarai
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Mandar
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Bima
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Sumba
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Dani
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Sangir
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Rejang
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Ambon
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Tolaki
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Luwu
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Sumbawa
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Komering
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Gayo
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Muna
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Auwye/Mee
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Mongondow
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Lamaholot
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Ngada
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Kutai
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Timor
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Flores
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Bajao
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Rote
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Duri
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Kei
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Anak dalam
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Alor
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Seram
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Lio
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Pamona
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Sawu
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Banggai
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Ngalik
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Mamasa
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Ternate
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Asmat
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Selayar
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Mbojo
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Buol
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India
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Tobelo
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Tanimbar
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Mamuju
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Galela
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Yapen
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Dauwa
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Alas
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Saluan
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Talaud
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Tomini
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Makian
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Saparua
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Tidore
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Sula
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Bawean
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Arfak
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Lauje
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Singkil
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Aneuk Jamee
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Mentawai
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Mukomuko
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Moni
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Dompu
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Devayan
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Petalangan
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Pakistani/Punjab
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Tidung
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Lubu
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Pekal
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Talang Mamak
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Duano
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Kluet
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Keturunan Jepang
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Keturunan Belanda- Portugis
Bahasa
Pilih Suku Bangsa...
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Indonesia
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Jawa
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Minangkabau
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Sunda
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Madura
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Bali
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Aceh
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Banjar
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Belanda
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Inggris
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Arab
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Sanskerta
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Tionghoa
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Portugis
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Tamil
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Parsi
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Hindi
Pekerjaan
Pilih Pekerjaan...
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BELUM BEKERJA
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TNI
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KARYAWAN
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PENSIUNAN
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PETANI
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PELAJAR/MAHASISWA
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BURUH
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GURU/DOSEN
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IBU RUMAH TANGGA
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PNS
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LAIN-LAIN
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PEGAWAI SWASTA
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TENAGA MEDIS
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WIRASWASTA
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SWASTA
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POLRI
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CPNS
Jenis Asuransi
Pilih Jaminan...
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UMUM
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BPJS Kesehatan / KIS
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BPJS Ketenega Kerja
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JAMKES LAINNYA
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JASA RAHARJA
Alamat
Provinsi
Kabupaten
Kecamatan
Kelurahan
Telphone
Handphone
Alamat e-mail
Nama Ibu Kandung
Simpan
Lihat Data
