$$\       $$$$$$\   $$$$$$\  $$$$$$$$\ $$$$$$$\  
$$ |     $$  __$$\ $$  __$$\ $$  _____|$$  __$$\ 
$$ |     $$ /  $$ |$$ /  \__|$$ |      $$ |  $$ |
$$ |     $$ |  $$ |\$$$$$$\  $$$$$\    $$$$$$$  |
$$ |     $$ |  $$ | \____$$\ $$  __|   $$  __$$< 
$$ |     $$ |  $$ |$$\   $$ |$$ |      $$ |  $$ |
$$$$$$$$\ $$$$$$  |\$$$$$$  |$$$$$$$$\ $$ |  $$ |
\________|\______/  \______/ \________|\__|  \__|
                                                 
                                                 
                                                
FAMILY:
NIK : 3603280503710002
NAME : TOMMY WELLY
Cellphone : 6282246099844, 6281290485946
GENDER : MALE
BIRTH PLACE : BANDUNG
BIRTH DATE : 05-03-1971
ADDRESS : JL. KELAPA SAWIT XIV BLOCK BG 13/23 RT 8 RW 13
PROVINCE : BANTEN
REGENCY : TANGERANG
DISTRICT : KELAPA DUA
VILLAGE : PAKULONAN BARAT
CURRENT JOB : -

NIK : 3603285405780001
NAME : NYOMAN RAI TRISANDIANA

NIK : 3603280110020003
NAME : IKER EVANGELISTA WELLY

NIK : 3603286108090003
NAME : INEZ ANGELINA WELLY

BPJS:
Card No. : 0003528837854
NIK : 3603280503710002
Participant Name : TOMMY WELLY
Date of Birth : 1971-03-05
Gender : M
Number of Dependents : 4
Telephone No. :
Current Age : 53 years, 9 months, 18 days
Age at the Time of Service : 53 years, 9 months, 18 days
Participation Type : INDEPENDENT WORKER - [14]
Class Rights : CLASS I - [1]
Health Facility Code 1 : 0221B229
Health Facility Name 1 : SILOAM CLINIC GADING SERPONG
Card Print Date : 2023-06-15
TAT Date : 2050-12-31
TMT Date : 2023-06-15

HIS DISCORD: 4g2f