FORMULIR DETEKSI DINI CORONAVIRUS DISEASE (COVID-19) PELABUHAN WAIPIRIT

Tanggal : Jumat, 30 Oktober 2020

KMP : TERUBUK
Halaman :I

RIWAYAT PERJALANAN
NO NAMA UMUR Isikan Jika NO HP PETUGAS
SUHU ≥ 38°C
ALAMAT KTP TUJUAN

1 Milan 24 Osem Piru 36 082248396020 Grup 5

2 Noli 24 Skip Piru 36.1 082199284774
3 Charlie 21 Nuruwe Nuruwe 36 085244165417
4 Edwin 43 Passo Eti 36.1 081343434344
5 Tomi 26 Passo Piru 36 -
6 Samsuli 39 Waimital Waimital 36 082129393639
7 Fagito 36 Waimeteng Waisarisa 36 082398548462
8 Mario 22 Waimital Waimital 36 081225869854
9 Celo 21 Taniwel Piru 36 081240906141
10 Sulfina 47 Loki Taniwel 36 085340649809
11 Harisna 47 Piru Loki 36.2 08121162349
12 Putri 19 Taniwel Taniwel 36.1 082198419781
13 Petrus 33 Piru Piru 36 081344361254
14 Rio 37 Piru Piru 36.1 085247587943
15 Broli 33 Piru Piru 36.2 081344562840
16 Mustufa 28 Hatu Latu 36.1 082397842827
17 Kabutu 57 Waimital Waimital 36.2 085243275800
18 Ongen 42 Piru Piru 36.1 082199992994
19 Angki 49 Kamal Kamal 36.6 082239024708
20 Marlin 31 Waisarisa Waisarisa 36.3 081240336761
21 Erlin 42 Piru Piru 36.3 -
22 Indrit 32 Piru Piru 36.3 081247764288
23 Ipus 56 Piru Piru 36.3 082321232806
24 Enca 27 Hatusua Hatusua 36.1 082198333635
25 Wiwi 29 Kamal Kamal 36.4 085255044486
26 Nu Cia 23 Lisabata Lisabata 36.2 082198435106
27 Ateng 46 Mornateng Mornateng 36 -
28 Ona 39 Mornateng Mornateng 36.5 082187527177
29 La Hasan 44 Waiheru Taniwel 36.3 081247747464
30 Ayun 24 Taniwel Taniwel 36.1 085244348937
31 Jessi 18 Waipirit Waipirit 36.3 085244348937
32 Abnon 17 Waipirit Waipirit 36.3 085244348937
33 Fanyari 17 Waipirit Waipirit 36.1 085244348937
34 Marisa 17 Waipirit Waipirit 36.4 085244348937
35 Elna 39 Ambon Kamal 36.2 085343021649
36 Groyen 11 Ambon Kamal 36 -
37 Sion 19 Sohue Sohue 36.5 082199890184
38 Eta 56 Ambon Taniwel 36.3 081316259631
39 Dalen 58 Bere - Bere Taniwel 36.3 085343098562
40 Ningsih 49 Batu Gajah Taniwel 36.1 085256392596
41 Andri 25 Waisarisa Waisarisa 36.4 081240134358
FORMULIR DETEKSI DINI CORONAVIRUS DISEASE (COVID-19) PELABUHAN WAIPIRIT

Tanggal : Jumat, 30 Oktober 2020

KMP : SARDINELA
Halaman : II

RIWAYAT PERJALANAN
Isikan Jika
NO NAMA UMUR SUHU ≥ NO HP
ALAMAT KTP TUJUAN 38°C

1 Apia 40 Ambon Latu 36 082111200661

2 Ulan 28 Ambon Latu 36.1 08238503405
3 Tio 48 Waimital Waimital 36 081343218642
4 Rei 23 Wayame Kaibobo 36.1 085254304658
5 Ivan 20 Wayame Kaibobo 36 081244594435
6 Doli Latue 26 Buria Buria 36 081248591651
7 Yuni 24 Waimital Waimital 36 081240469517
8 Esterlina 45 Buria Buria 36 -
9 ivan 22 Taniwel Taniwel 36 081344791167
10 Kelvin 48 Taniwel Taniwel 36 -
11 Sin 36 Taniwel Taniwel 36.2 081240756075
12 Oke 34 Kamal Kamal 36.1 081247489643
13 Sarman 43 Waimital Waimital 36 -
14 Suit 24 Kamal Kamal 36.1 081294637403
15 Aldo 18 Taniwel Taniwel 36.2 081240277648
16 Frangki 28 Piru Piru 36.1 081248714552
17 Herman 27 Taniwel Piru 36.2 081344820964
18 Niko 21 Batu Meja Taniwel 36.1 -
19 Santo 23 Pulau Osi Pulau osi 36.6 085240802866
20 Retelia 20 Piru Piru 36.3 081240473342
21 Dian 21 Tala Piru 36.3 082190854846
22 Nova 17 Tala Piru 36.3 -
23 Edi 56 Tala Piru 36.3 -
UHAN WAIPIRIT

PETUGAS

Grup 5
FORMULIR DETEKSI DINI CORONAVIRUS DISEASE (COVID-19) PELABUHAN WAIPIRIT

Tanggal : Jumat,30 Oktober 2020

KMP : INELIKA
Halaman : III

RIWAYAT PERJALANAN
Isikan Jika
NO NAMA UMUR SUHU ≥ NO HP
ALAMAT KTP TUJUAN 38°C

1 Wilam 28 Piru Pitu 36 082398231184

2 Marlen 24 Kaibobo Kaibobo 36.1 082399048732
3 Muhamad 25 Waimital Waimital 36 081225656949
4 Mul 43 Kamal Kamal 36.1 085271345905
5 Rohim 49 Kamal Kamal 36.2 085211434006
6 Aldri 21 Waisamu Waisamu 36.1 081240518306
7 Marsel 28 Kamarian Kamarian 36.1 081384722435
8 Jumiari 25 Kotania Kotania 36.2 081248104841
9 Priyatin 28 Piru Piru 36.1 082198928334
10 Nursin 32 Piru Piru 36.2 085244686533
11 Risna 29 Piru Piru 36.1 085244685181
12 Olando 20 Loki Loki 36.6 081247007861
13 Poli 26 Piru Piru 36.3 081247632095
14 Takalla 55 Waisarisa Waisarisa 36.2 -
15 Ani 40 Waimital Waimital 36.1 085254381779
16 Ana 40 Suli Hatusua 36.2 081234393099
17 Jokani 45 Kamal Kamal 36.1 -
18 Rikardo 32 Lateri Kamal 36.6 -
19 Fitri 20 Kamal Piru 36.3 -
20 Resa 40 Piru Piru 36.3 -
21 Marsela 18 Kotania Kotania 36.1 081343912000
22 Yuliana 23 Kairatu Kairatu 36.6 081240300282
23 Giofani 18 Kairatu Kairatu 36.3 -
24 Jondri 26 Halong Piru 36.2 -
25 Delfin 26 Nania Piru 36.1 081284943767
26 Farel 18 Talake Piru 36.2 -
27 Acelo 17 Batu Gantung Piru 36.1 -
28 Ridov 20 Eti Eti 36.6 081273446625
29 Fendi 27 Eti Eti 36.3 081247672029
30 Rut 35 Ambon Piru 36.1 08133010605
31 Ani 30 Ambon Piru 36.6 08124709841
32 Rusdi 51 Kamal Kamal 36.3 082221297662
33 Fransina 19 Lateri Kaibobo 36.2 -
34 Bambang 20 Passo Waisarisa 36.1 -
35 Nelva 48 Waimital Waimital 36.2 081284836346
36 Nel 19 Waimital Waimital 36.1 081220476946
UHAN WAIPIRIT

PETUGAS

Grup 5
FORMULIR DETEKSI DINI CORONAVIRUS DISEASE (COVID-19) PELABUHAN WAIPIRIT

Tanggal : Jumat,30 Oktober 2020

KMP : TANJUNG KOAKO
Halaman : IV

RIWAYAT PERJALANAN
Isikan Jika
NO NAMA UMUR SUHU ≥ NO HP
ALAMAT KTP TUJUAN 38°C

1 Iskandar 30 Masohi Latu 36 081344557557

2 Dewi 33 Latu Latu 36.1 081240883935
3 Ardi 28 Waimital Waimital 36 082238728786
4 Naida 57 Waimital Waimital 36.1 -
5 Hopri 34 Limboru Piru 36 085244937880
6 Amanda 24 Waisamu Waisamu 36 081241960577
7 Lindia 34 Ambon Piru 36 085243333381
8 Siti 44 Waihatu Piru 36 085243003480
9 Kelvin 20 Waisamu Waisamu 36 081240907029
10 Henna 21 Piru Piru 36 081343055225
11 Dewi 43 Ambon Piru 36.2 082147697999
12 Andra Seipala 33 Hatusua Hatusua 36.1 082194664407
13 Wina Seipala 31 Hatusua Hatusua 36.1 082194664407
14 Marsel Seipala 18 Hatusua Hatusua 36.2 082194664407
15 Wili Akollo 26 Tulehu Waimital 36.1 081344068218
16 Yudi Noya 31 Ambon Taniwel 36.2 081247245456
17 Defi L. 42 Saumlaki Kamal 36.1 085341497893
18 Dewi 40 Piru Piru 36.6 082199889269
19 Cika 10 Piru Piru 36.3 -
20 Dea 19 Piru Piru 36.1 -
21 Irma 18 Piru Piru 36.2 081248288402
22 Gladis 28 Eti Eti 36.1 082398398612
23 Magdalena 54 Eti Eti 36.2 085244067125
24 Arsya 49 Kawa Kawa 36.1 -
UHAN WAIPIRIT

PETUGAS

Grup 5
FORMULIR DETEKSI DINI CORONAVIRUS DISEASE (COVID-19) PELABUHAN WAIPIRIT

Tanggal : Jumat,30 Oktober 2020

KMP : TERUBUK
Halaman :V

RIWAYAT PERJALANAN
Isikan Jika
NO NAMA UMUR SUHU ≥ NO HP
ALAMAT KTP TUJUAN 38°C

1 Gauda 56 Waisala Waisala 36 081240190051

2 Reno 31 Ambon Waipirit 36.1 081243981926
3 Tino m. 30 Kamal Kamal 36 081310368359
4 Alfina L. 27 Waimital Waimital 36.1 -
5 Deni Matatula 40 Batu Gajah Waipirit 36 -
6 Armin 28 Kamal Kamal 36 082334004506
7 Wida 24 Kamal Kamal 36 08534437533
8 Datit 42 Bandung Waimital 36 081392199514
9 Irwan 41 Bandung Waimital 36 -
10 Rizal 41 Batu Merah Waimital 36 082111505508
11 Umi Lussy 34 Halong Waimital 36.2 -
12 Gabriel 18 Piru Piru 36.1 081221688601
13 Trien 34 Kamal Kamal 36.1 082199404040
14 Hans 46 Skip Piru 36.2 082199457926
15 Delan 24 Waimital Waimital 36.1 085230873080
16 Pitalia 20 Poka Waimital 36.2 081344109512
17 Lisda 23 Waimital Waimital 36.1 081344978303
18 Marsel 29 Waimital Waimital 36.6 082197629488
19 Deni 20 Bacan Niniyani 36.3 082211842264
20 Wilyam 42 Piru Piru 36.3 082190658230
21 Risal 28 Ambon Waisarisa 36.6 081242693969
22 Lusy 50 Sulawesi Piru 36.3 08534454477
23 Linda 23 Piru Piru 36.3 081345410726
24 Mina 52 Skip Waisamu 36.5 -
UHAN WAIPIRIT

PETUGAS

Grup 5