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PEMERINTAH KOTA BOGOR
DINAS SOSIAL
Jalan Merdeka No. 142 Telp. (0251) 8332315 Fax (0251) 8378332
Bogor – 16114
BUKTI PENDAFTARAN BERKAS SECARA ONLINE
BPJS KESEHATAN PENERIMA BANTUAN IURAN
Nomor :
No KK :
Kepala Keluarga :
No. Telp/HP :
Jenis Pelayanan :
Lokasi Domisili :
Status Layanan :
Daftar Anggota yang didaftarkan
NIK Nama Tempat/Tgl Lahir Pekerjaan Hub Keluarga Keanggotaan
BPJS
3271012108660
007
WAWAN
SETIAWAN
BOGOR/1966-
08-21
Buruh Harian
Lepas
Kepala
Keluarga
Tidak Terdaftar
3271016802700
006
II HALIMAH BOGOR/1970-
02-28
Mengurus
Rumah Tangga
Istri Tidak Terdaftar
3271010101040
004
MUHAMAD
BURUANA
DARMAWAN
BOGOR/2004-
01-01
Pelajar/Mahasis
wa
Anak Tidak Terdaftar
Bogor, 18 Agustus 2021
Keterangan :
BCD61E
3271010601070289
WAWAN SETIAWAN
08317428331
Permohonan BPJS PBI APBD - MIGRASI
KP.MEKAR WANGI, RT 1, RW 13, RANGGAMEKAR, BOGOR SELATAN
Proses
1. Tanda terima ini bukan merupakan tanda kepesertaan BPJS Kesehatan
2. Pihak Kelurahan akan memverifikasi dan validasi terlebih dahulu sesuai data lapangan.

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BPJSKS] Judul singkat untuk dokumen BPJS Kesehatan

  • 1. PEMERINTAH KOTA BOGOR DINAS SOSIAL Jalan Merdeka No. 142 Telp. (0251) 8332315 Fax (0251) 8378332 Bogor – 16114 BUKTI PENDAFTARAN BERKAS SECARA ONLINE BPJS KESEHATAN PENERIMA BANTUAN IURAN Nomor : No KK : Kepala Keluarga : No. Telp/HP : Jenis Pelayanan : Lokasi Domisili : Status Layanan : Daftar Anggota yang didaftarkan NIK Nama Tempat/Tgl Lahir Pekerjaan Hub Keluarga Keanggotaan BPJS 3271012108660 007 WAWAN SETIAWAN BOGOR/1966- 08-21 Buruh Harian Lepas Kepala Keluarga Tidak Terdaftar 3271016802700 006 II HALIMAH BOGOR/1970- 02-28 Mengurus Rumah Tangga Istri Tidak Terdaftar 3271010101040 004 MUHAMAD BURUANA DARMAWAN BOGOR/2004- 01-01 Pelajar/Mahasis wa Anak Tidak Terdaftar Bogor, 18 Agustus 2021 Keterangan : BCD61E 3271010601070289 WAWAN SETIAWAN 08317428331 Permohonan BPJS PBI APBD - MIGRASI KP.MEKAR WANGI, RT 1, RW 13, RANGGAMEKAR, BOGOR SELATAN Proses
  • 2. 1. Tanda terima ini bukan merupakan tanda kepesertaan BPJS Kesehatan 2. Pihak Kelurahan akan memverifikasi dan validasi terlebih dahulu sesuai data lapangan.