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RUMAH SAKIT
JAKARTA PUSAT

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RS. TEBET Jln. Letjen MT. Haryono No. 8 c/p : Ibu Endah (Penagihan Rekening) ex 8012 RS. YADIKA KEBAYORAN Jl. Ciputat Raya No. 5 Kebayoran Lama Jakarta Selatan 12240 RS. PRIKASIH Jl. RS. Fatmawati No. 74 Pondok Labu Jakarta Selatan - 12450 c/p Bpk. Soleh JAKARTA TIMUR

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RS. MEDIROS Jl. Per.Kemerdekaan kav.149- Pulogadung c/p : Ibu Jenny Pelealu (Mark) RS. OMNI MEDICAL CENTER Jl. Pulo Mas Barat VI c/p : Ibu Sari (ARI) ex. 119

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NO
4 Jl. Tarum Barat - Kalimalang c/p : Bpk. Parno 5

RUMAH SAKIT
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RSIA. HERMINA JATINEGARA Jln. Raya Jatinegara Barat No. 126 Jakarta Timur 13320 RS. POLRI SUKANTO Jl. Raya Bogor - Kramat jati c/p : Ibu Sukirah (ARI) ex. 117 RS. HARAPAN BUNDA Jl. Raya Bogor Km. 22 No. 44 c/p : Ibu Titi / Ibu Ria (ARI) ex. 103 / 116 RS. MITRA INTERNATIONAL Jl. Raya Jatinegara Timur No. 85 - 87 c/p : Ibu Ida (Kasir RI) ex. 1002 RSIA. YADIKA Jln. Pahlawan Revolusi No. 47- Pd Bambu c/p : Ibu Tenti (Mark) / Ibu Ulli (Keu) RS HAJI JAKARTA Jl. Raya Pondok Gede

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RSAB. HARAPAN KITA Jl. Letjend. S. Parman No 87 c/p : Ibu Ros (ARI) ex. 5230 / Ibu Tina (Keu) RSIA. HERMINA DAAN MOGOT Jl. Kintamani Raya No. 2 Perum Daan Mogot Baru c/p : Ibu Sri (ARI) ex. 106 RS. PELNI PETAMBURAN Jln. Aip II K.S. Tubun No. 92 - 94 JAKARTA 11410 RS. SUMBER WARAS Jl. Kyai Tapa- Grogol c/p : Ibu Ana / Ibu Sri (Keu) JAKARTA UTARA

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RS. SUKMUL Jl. Tawes No. 18 - Tj.Priok c/p : Bpk. Yahyah (ARI) ex. 113 / 114 RSIA. HERMINA PODOMORO Jln. Danau Agung II Blok E.3 No. 28 - 30 c/p : Ibu Maya (ARI) ex. 171 - 174 RS. ISLAM JAKARTA SUKAPURA Jl. Tipar Cakung No. 5 - Sukapura c/p : Bpk. Riswan (0818131428) RS. MITRA KEL.KELAPA GADING Jl. Bukit Gading Raya Kav. 2 Kelapa Gading permai c/p : Ibu Anita / Ibu Ade ex. 2030 / 2033 / 1030 / 1031 RS. SATYA NEGARA ( RS. SUNTER AGUNG ) Jl. Agung Utara Raya Blok A No.1 Sunter c.p : Ibu Lia (ARI) ex. 127 RS. MITRA KELUARGA KEMAYORAN Jln. Landas Pacu Timur - Kemayoran c/p : Ibu Bramas / Ibu Ana (Keu. RI) ex. 3999 / 2999 / 2888 CIMANGGIS /DEPOK

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RS. TUGU IBU Jl. Raya Bogor Km. 29 Cimanggis c/p : Ibu Cucu (ARI) RS. BHAKTI YUDHA Jln. Raya Sawangan - Depok c/p : Bpk. Warnata (Keu) ex. 136 / Ibu Tarmi (CS) ext. 165 RS. SENTRA MEDIKA Jl. Raya Bogor Km. 33 -Cisalak Depok c/p : Ibu Fitri (ARI) ex. 115 / Ibu Rima (Humas) RSIA. HERMINA DEPOK Jl. Raya Siliwangi No. 50, Pancoran Mas Depok - 16436 RS. MITRA KELUARGA DEPOK Jl. Margonda Raya, Pancoranmas Depok BEKASI

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Page 2 of 10

NO
1

RUMAH SAKIT
RS. MITRA BEKASI BARAT Jl. Jend. A. Yani c/p :Windi / Ibu Resta (Keu) ex. 3960 / 3962 RS. MITRA BEKASI TIMUR Jl. Pengasinan Rawa Semut-Margahayu c/p : Menak / Ibu Novi (Keu) ex. 2065 / 2060 RSIA. HERMINA BEKASI Jln. Kemakmuran No. 39 Margajaya BEKASI - 17141 RS. SENTOSA Jln. Pahlawan No.60 - Duren Jaya c/p : Ibu Leni (Inf. RI) RSIA. BELLA Jln. Ir. H. Juanda No. 141 c/p : Ibu Ayi (ext. 39) Telp : 8853333 Fax : 8855000 / 8842550

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RS. BHAKTI KARTINI Jl. R.A. Kartini No. 11 - Margahayu c/p : Ibu Yani (ARI) ex. 24 RS. BUDI LESTARI Jln. K.H. Noer Alie No. 2 Depan Perumnas II - Bekasi 17144 c/p : RS. ANANDA Jl. Sultan Agung No. 173 - Bekasi Barat c/p : Wim/Ninda (MR)/Ibu Madonna (Pend) ex.131/Ibu Wieta (Mkr) RSB. AL - MUTAZAM Jl. Raya Perumahan Jatimulya No.1- Tambun c/p : Bpk. Asep / Ibu Ida (Pendaf. RJ) RS. RAWA LUMBU Jl. Dasa Darma Kav. 20 - 23 ( Jembatan 6 ) Rawa Lumbu - BEKASI c/p : Bpk. Johan (Mark) RS. GRAHA JUANDA Jl. Ir. H. Juanda No. 326 -Bekasi Timur c/p : Bpk. Wawan (Mark) ex. 107 RSIA. ANNA Jln. Pekayon Raya No.36 Bekasi Sel c/p : Bpk. Alim A. Irsal (Kabag. Umum) RS. KARTIKA HUSADA Jl. Raya Mangunjaya, Kp. Rukem Tambun c/p : RS. HOSANA MEDICA BEKASI Jl. Pramuka NO. 12, Sepanjang Jaya Rawa Lumbu, Bekasi CIKARANG

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RS HOSANA MEDICA LIPPO Ruko Thamrin C3 Lippo Cikarang c/p. Dr Heni RS MEDIROSA Jl.Industri Tegalgede.Cikarang Selatan c/p : Pak Rizal/Ibu Nita RS HARAPAN INTERNASIONAL Jl.Kasuari Raya Kav.1A & 1B Cikarang Baru c.p : Ibu Nunu Nurhayati,S.Sos RS. KARYA MEDIKA Jln. Raya Imam Bonjol 9 B-Cikarang Barat c/p : Widi ex. 145 /erry /Narti (ARI) ex. 162 / 140 / 102 RS. MEDIKA Jln. Raya Industri Pasirgombong, Jababeka Cikarang - Bekasi c/p :Titin (Kasir RI) / Rini (ARI) ex. 124 / Ubay (Mark) RS. SILOAM - CIKARANG Jln. MH. Thamrin Kav. 105 Lippo Cikarang - Bekasi c/p : Ibu Nurhayati (FO) / Ibu Tanti / Bpk. Vidi (ARI) ex. 3225 / 1041 RS. ANNISA Jl. Cikarang Baru No. 31- Lemah abang c/p : Mahyudin (Pendaf. UGD) ex. 115 / Bp Jukri / Ibu Eni (ARI) RS. AMANDA Jl. Raya Serang No. 83 Cikarang Selatan Bekasi 17330 c/p : Dr. Lastri BOGOR

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RS. PMI BOGOR Jl. Raya Pajajaran No. 80 c/p : Ibu Detha (Kasir) ext. 123, Bpk Yuda (Humas)

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NO
2

RUMAH SAKIT
BOGOR MEDICAL CENTER Jl. Pajajaran Indah 5 No. 97 BOGOR RSIA. HERMINA BOGOR Jl. Ring Road I - Kav. 23, 25, 27 Perum.Taman Yasmin Curug Mekar - Bogor c/p : Ibu Yanti (Keu) ex. 114 RS. KARYA BAKTI Jl. Dr. Semeru No 120 - Bogor c/p : Ibu Ida / Bpk. Doni (CS) Telp : 0251-390619 Fax :

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CIBUBUR 1 RSIA & KLINIK SPESIALIS PERMATA Jl. Alternatif Cibubur - Cileungsi No. 6 A Bekasi RS. MEILIA Jl. Alternatif Cibubur - Cileungsi Km. 1, Harjamukti Cimanggis Depok CIBINONG 1 RS. BINA HUSADA Jln. Mayor Oking Djaya Atmaja 101 Cibinong c/p : Dr. Tari ( Humas ) SERANG 1 Jl. K.H. Sohari No. 39 Serang 42118 TANGERANG 1 Jl. Kompleks Islamic Village Desa Kelapa Dua PO. Box. 492 Karawaci - Tangerang 15001 2 RS. INTERNASIONAL BINTARO Jl. MH. Thamrin Blok B3 No. 1 Sektor 7 Kawasan CBD Bintaro Jaya - Tangerang 15224 c/p : Ibu Endang / Ibu Sofi (ARI) ex. 1300 / 1001 / 1004 RS. USADA INSANI Jl. KH. Hasyim Ashari No. 24 Tangerang 15119 c/p : Ibu Merry (Humas) ext. 108 / Ibu Verna (Mark) PT. SILOAM HEALTHCARE TBK ( RS. SILOAM KARAWACI ) Jl. Siloam No. 6, Lippo Karawaci 1600, Tangerang 15811 c/p : Ibu Ratna / Ibu Dani (ARI) ex. 2605 / 2607 RS. SARI ASIH KARAWACI Jl. Imam Bonjol No. 38 Kota Tangerang - Banten 15113 c/p : Ibu Indri (MKT) RS. SARI ASIH CILEDUG Jl. HOS. Cokroaminoto No. 38 Ciledug Kota - Tanggerang c/p : Ibu Indri (MKT) MAYAPADA HOSPITAL Jl. Honoris Raya Kav. 6 Cikokol c/p : Bpk. Asep (Marketing) 8 ICHSAN MEDICAL CENTRE Jln. Raya Jombang No. 56 Bintaro Sektor IX - Tangerang RS. AMINAH Jl. HOS. Cokroaminoto No. 4 A Kreo Selatan - Larangan Tanngerang - 15156 10 RS. GLOBAL MEDIKA Jl. MH. Thamrin No. 3, Kebon Nanas Cikokol - Tangerang CILEGON 1 Jl. Semang Raya RS. KRAKATAU STEEL Telp : 0254 - 372087 / 398847 / 396333 ext. 6224 Fax : 0254 - 374010 / 391972 Page 4 of 10 800,000 600,000 500,000 385,000 275,000 175,000 135,000 75,000 RS. QADR Telp : 5464466 / 5463101 Fax : 5470775 800,000 600,000 230,000 140,000 70,000 RSIA. BUDIASIH Telp : (0254) 212484 Fax : (0254) 208583 450,000 300,000 200,000 135,000 Telp : 8751045 / 8758441 Fax : 8752463 500,000 475,000 375,000 325,000 300,000 225,000 165,000 110,000 60,000 Telp : 8458806 Fax : 84592146 990,000 790,000 625,000 375,000 255,000 99,000

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NO
Cilegon - Jawa Barat

RUMAH SAKIT

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SEMARANG 1 RS. TELOGOREDJO Jl. K.H.A. Dahlan c/p : Ibu Titik/Ibu Yustin (CPM) ex. 6666/6677, Ibu Wanti (Inf) ex. 2000 Ibu Nana Noviada (MKT OIC) RS. ISLAM SULTAN AGUNG Jln. Raya Kaligawe Km. 4 c/p : Ibu Ayi (Inf. Ass) ex. 109 RS. ROEMANI MUHAMMADIYAH Jln. Wonodri No. 22 c/p : Bpk. Agung (Pelay. Ass) ex. 1008 / 1018 RS. ST. ELISABETH Jln. Kawi No. 1 c/p : Ibu Diana (Adm. Keu) ext. 7200/7273 RS. PANTI WILASA CITARUM Jl. Citarum No. 98 Semarang 50121 c/p : St. Dwi Martanto/Humas RS. PANTI WILASA "Dr. CIPTO" Jl. Dr. Cipto No. 50 Semarang 50126 TEGAL 1 RS. ISLAM HARAPAN ANDA Jl. Ababil 42 Kel. Randugunting Kecamatan Tegal Selatan c /p : SURAKARTA 1 Perumahan Solo Baru Kabupaten Sukoharjo 2 Jln. Jend. A. Yani Pabelan - Surakarta 3 RS. ISLAM SURAKARTA 57161 Telp :0271-714578 Fax : 0271-717012 300,000 275,000 175,000 100,000 50,000 RS. OEN SOLO BARU Telp : 0271 - 620220 Fax : 0271 - 622555 750,000 450,000 320,000 245,000 175,000 130,000 110,000 65,000 Telp : 0283 - 358244 Fax : 0283 - 351263 425,000 350,000 300,000 100,000 175,000 150,000 80,000 70,000 100,000 60,000 50,000 75,000 Telp : 024 - 8446000 / 8446444 / 8412153 / 8317693 / 8448448 Fax : 024 - 8449660 / 8317410 675,000 550,000 450,000 310,000 275,000 200,000 110,000 65,000

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RSU. PKU. MUHAMMADIYAH Jln. K.H. Ahmad Dahlan No. 20 Yogjakarta 55122 c/p : Bpk. Yahya (Humas) / Bpk. Girman (Keu) ext. 176 RS. LUDIRA HUSADA TAMA Jln. Wiratama No. 4 Tegalrejo Jogjakarta - 55244 RS. HAPPY LAND JL. Ipda Tut Harsono No. 53 Timoho, Jogjakarta MAGELANG

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SURABAYA 1 RS. WILLIAM BOOTH Jln. Diponegoro No. 34 c/p : Bpk. Daniel (Keu) ext. 155 2 RSUD. HAJI SURABAYA Jln. Manyar Kertoadi c/p : Ibu Tanti Retno ex. 446 RS. DARMO Jln. Raya Darmo No. 90 Telp : 031 - 5678917 - 18 (sentral) / 5614615 (UGD) / 5614616 Fax : 031 - 5671380 / 5624868 550,000 350,000 150,000 130,000 50,000

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SIDOARJO 1 RS. DELTA SURYA Jln. Pahlawan Sidoarjo c/p : Ibu Wiwin / Ibu Anna (FO) RS. ISLAM SITI HAJAR Jln. Raden Patah 70 - 72 c/p : Ibu MALANG 1 RS. PANTI WALUYA SAWAHAN Jln. Nusakambangan No. 56 Po.Box 99 Malang - 65117 RS. LAVALETTE Jln. W.R. Supratman No. 10 c/p : Bpk. Yoyo, Ibu Yenny (Keu) RS. ISLAM AISYIYAH Jln. Sulawesi No. 16 c/p : Ibu Ani (Humas) / Bpk. Hari/Ibu Farida (Keu) RSIA. HERMINA TANGKUBANPRAHU Jl. Tangkubanprahu 33 Malang c/p : Ibu Ilham (Humas) KUDUS 1 MARDI RAHAYU Jl. AKBP.R.Agil Kusumadya No. 110 c/p : BANYUWANGI 1 Jl. Letkol Istiqlal No. 80 - 84 Banyuwangi 424671 MADIUN 1 Jln. Biliton No. 15 Madiun - 63122 JEMBER 1 RS. PERKEBUNAN (PTP X) Jl. Bedadung No. 2 - Jember 68118 c/p : BLITAR 1 Jln. Jend. A. Yani No. 18 c/p : Bpk. Joseph DENPASAR 1 RS. KASIH IBU Jln. Teuku Umar No. 120 Denpasar c/p : Ibu Nia (FO) / Ibu Komang (Kasir) ext. 401 RS. BHAKTI RAHAYU Jl. Gatot Subroto II/11 Denpasar c/p : Ibu Mayuni RS. MANUABA Jl. Raya Kuta - Tuban Denpasar - Bali 80116 c/p : Ibu Lode 4 RSU KASIH IBU KEDONGANAN Jl. Uluwatu No. 69 A Kedonganan Kuta Badung PALEMBANG 1 RSB. PERMATA BUNDA Jln. Demang Lebar Daun No. 70 c/p : Bpk. Pusar Syarief (SDM) Telp : 0711 - 312866 / 311866 Fax : 0711 - 355553 Page 7 of 10 520,000 240,000 310,000 125,000 60,000 Telp : 0361 - 223036 / 237016 Fax : 0361 - 238690 550,000 425,000 200,000 150,000 125000 RSK. BUDI RAHAYU Telp : 0342- 801066 / 802316 Fax : 03412- 806509 450,000 300,000 250,000 175,000 80,000 50,000 Telp : 0331-485912,487226,487104,486614 Fax : 0331 - 485912 600,000 375,000 290,000 185,000 135,000 67,500 RS. SANTA CLARA Telp : 0351 - 462688, 452770,462127 Fax : 0351 - 455780 400,000 250,000 150,000 85,000 50,000 RS. YASMIN Telp : 0333 - 421198, 424671 Fax : 0333 - 418219 275,000 198,000 143,000 125,000 88,000 55,000 Telp : 0291 - 434707 Fax : 0291 - 434711 350,000 325,000 300,000 175,000 150,000 150,000 100,000 70,000 70,000 45,000 15,000 Telp : 0341 - 362017 / 366033 / 361507 Fax : 0341 - 354068 525,000 475,000 400,000 325,000 250,000 200000 85,000 70,000 Telp : 031 - 8962531 / 8961271 - 72 / 8963120 Fax : 031 - 8961281 450,000 350,000 200,000 150,000 100,000 60,000

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RUMAH SAKIT
RS. ISLAM SITI KHADIJAH Jln. Lemang Lebar Daun c/p : Ibu Nalarofmini (Humas) RS. AK CHARITAS Jln. Jend. Sudirman No. 1054 c/p : Ibu Maria/ Bpk Agus (Ka. Adm) BENGKULU Telp : 0711 - 356008 / 311884 Fax : 0711 - 311884

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RS. UMUM MATERNA Jln. Teuku Umar No. 11 MEDAN - 20112 c/p : Ibu Nesli (Humas) / Ibu Buni (Keu) RS. ELISABETH MEDAN Jln. H. Misbah No. 7 c/p : Sr. Lucia Haloho, FSE

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RS MARTHA FRISKA Jl.KL.Yos Sudarso Km-6 No.91 P.Brayan - Medan cp : Ibu Ika (MKT) ext 8116/8117 RS ESTOMIHI Jl.SM.Raja No.235 c / p : Sri Suprihartini (MKT) ext 322 RS. VINA ESTETIKA Jl. Sultan Iskandar Muda 119 c/p : Bpk. Sinaga(Keu) PADANG

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JAMBI 1 Jl. Soekarno - Hatta Pal Merah c/p : Bpk. Indra PEKANBARU 1 RS. IBNU SINA ( YARSI ) RIAU Jln. Melati No. 60 Sukajadi Pekan Baru - Riau 28122 RS. LANCANG KUNING Jl. Ronggowarsito Ujung No. 5 A - Gobah Pekan Baru TANJUNG KARANG 1 RS. ADVENT Jln. Teuku Umar No. 48 - Kedaton Bandar Lampung - Lampung 35148 c/p : Bpk. Ellon (Humas) / Bpk. Batubara (Keu) BALIKPAPAN 1 RS. PERTAMINA BALIKPAPAN Page Telp : 0542 - 734020 / 21 / 24 / 421212 8 of 10 900,000 400,000 150,000 100,000 Telp : 0721 - 703459 Fax : 0721 - 786349 430,000 345,000 300,000 255,000 240,000 195,000 135,000 95,000 50,000 Telp : 0761 - 21256 / 24242 Fax : 0761 - 35698 425,000 270,000 240,000 220,000 160,000 200,000 165,000 135,000 100,000 RS. ASIA MEDIKA Telp : 0741 - 573333 Fax : 0741 - 573271 888,000 475,000 295,000 270,000 160,000 75,000

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BONTANG 1 Jln. Pangeran Diponegoro No. 22 Bontang - Kalimantan Timur c/p : Ibu Irma (Humas) BANJARMASIN 1 Jln. P. Irian Tarakan - Kalimantan Timur c/p : Bapak Yatman 2 RS. ISLAM BANJARMASIN Jln. Letjen S. Parman No. 88 Banjarmasin - 70115 c/p RS. SARI MULIA Jl. Pangeran Antasari 139 c/p : Ibu aida, Ibu Adit (Adm RI) SAMARINDA 1 RS. ISLAM SAMARINDA Jln. Gurami No. 18 SAMARINDA - 75115 c/p : Ibu Jum'ah (Sekretariat) PONTIANAK 1 RSU. ST. ANTONIUS Jl. K.H. Wahid Hasyim No. 249 Pontianak, Kalimantan Barat PANGKAL PINANG 1 RS. BAKTI TIMAH Jln. Bukit Baru Pangkal pinang - 33121 c/p : Bpk. Herry MANADO 1 RS. PANCARAN KASIH GMIM Jln. Sam Ratulangi XIII Titiwungen - Manado 95113 c/p : Dr. Jenny Kambey/Ibu Detje Wangko SE PALU 1 RSU. WOODWARD Jln. L.H. Woodward No.1 PALU 94112 Sulawesi - Tengah c/p ; MAKASSAR 1 RSU. LURAMAY Jln. AP. Pettarani Blok. E - 19 No. 11 Ujung Pandang c/p : Dr. M. Dianasanti RS. ISLAM FAISAL Jln. A. Pangeran Petiarani Ujung Pandang c/p : Abubakar Betan (Ka. Instalasi RI) / Ibu Lia (Pelay. RI) RS. STELLA MARIS Jln. Somba Opu No. 273 Ujung Pandang c/p : Ibu Dewi ( Mark ) 4 Jl. Yosef Latumahina No. 1 Makassar BATAM 1 RS.CASA MED.CENTRE BATAM Jln. Jend. A. Yani No . 8 Muka Kuning - Batam 29433 NTB 1 RSAD TK IV MATARAM Jl.HOS Cokroaminoto No.7 Mataram c/p : Bpk. Ketut / Adm ACEH 1 RS. TEUNGKU FAKINAH Jln. Jend. Sudirman No. 27 - 29 Banda Aceh Telp : 0651 - 41454 / 47646 Fax : 0651 - 49454 350,000 Page 9 of 10 300,000 275,000 200,000 175,000 75,000 100,000 Telp : 0370 - 640149 Fax : 175,500 104,500 80,000 50,000 Telp : 0778 - 371002 Fax : 0778 - 371001 280,000 150,000 80,000 75,000 55,000 RS. HIKMAH MAKASAR Telp : 0411 - 867581 / 867619 Fax : 0411 - 889564 550,000 385,000 260,000 185,000 85,000 Telp : 0451 - 421769 / 426361 Fax : 0451 - 423744 350,000 325,000 250,000 100,000 125000 65,000 Telp : 0431 - 865800, 867186, 863237 Fax : 0431 - 857628 472,500 346,500 204,750 178,500 177,250 63,000 Telp : 0717 - 421091 Fax : 0717 - 424212 600,000 500,000 350,000 275,000 200,000 100,000 Telp : 0561 - 732101 Fax : 0561 - 733623 917,200 624,000 511,900 399,800 260,800 330,300 189,800 114,900 Telp : 0541 - 741510 / 731857 / 205006 / 201038 Fax : 0541 - 731856 360,000 270,000 320,000 150,000 125,000 70,000 RSUD. TARAKAN Telp : 0551 - 21166 Fax : 0551 - 21720 275,000 255,000 200,000 180,000 75,000 40,000 RS. AMALIA Telp : 0548 - 25050 / 24000 Fax : 0548 - 25050 375,000 325,000 225,000 175,000 75,000

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NO
c/p : Ibu Nora/Humas

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BIREUN 1 RS. ISLAM Jl. Sultan Malikul Saleh - Simpang IV Bireun c/p : Bpk. Gunadi LHOKSEUMAWE 1 RS. SAKINAH Jl. Antara No. 30 Kampung Jawa Baru Kec. Banda Sakti Lhokseumawe c/p : Ibu Ida/ Bp. Badli RS. BUNDA Jl. Darussalam No. 16 Lhokseumawe Telp : 0645 - 45534, 42158 Fax : 250,000 150,000 125,000 100,000 75,000 Telp : 0644 - 21308

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c/p : Ibu Nona/ Yuyun 3 RS. KASIH IBU Jl. Merdeka No. 17 Lhokseumawe c/p : Ibu Moya/Melani MALUKU 1 Jln. Ahmad Yani - Ambon c/p : Bpk. Wilfran MANOKWARI 1 RSAL. MANOKWARI Jl. Serma Suwandi - Manokwari Irian Barat TERNATE 1 RS. MEDIKA HARIFLAM Jl. Zaenal Abidin Syah No. 25 Ternate IRIAN JAYA 1 RS. TNI AL Dr. R. GANDHI A.T. BIAK Jl. Komplek TNI - AL Sarido, Biak Propinsi Irian Jaya Barat Telp. : 0981 - 22979 Fax. : 0981 - 22009 175,000 110,000 70,000 40,000 Telp : 0921 - 326087 Fax : 0921 - 326197 600,000 500,000 400,000 350,000 300,000 250,000 150,000 Telp : 0986 - 211758 Fax : 0986 - 211758 300,000 200,000 150,000 75,000 BHAKTI RAHAYU Telp : 0911 - 342746 Fax : 0911 - 311741 350,000 300,000 200,000 150,000 Telp : 0645 - 42696 Fax : 0645 - 48713 200,000 150,000 125,000 85,000 75,000

8 Januari 2009

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