File Covid 19-1

Lampiran 1.
Formulir Notifikasi Penemuan Kasus Pada Pelaku Perjalanan
Pelabuhan : Tanjung Buton

Hari / Tanggal : 25 Januari 2021
Nama Kapal : KMP. Lintas kepri
Alamat
No NAMA NIK No. HP L/P Lokasi
Tinggal (lengkap)
1 Nessy.Y 082284159067 L Cening

2 Sri Wahyuni 2104015306810001 081270603006 P Daik
3 Akhmad.S 2104010106840001 081277656192 L Cening
4 Nurhayati 2104025011600001 081372301634 P Kp.Tanda
5 Kamiliya 2104024705870001 081365692520 P Kp.Tanda
6 Syarwani 2104040909810001 082387173617 L Centeng
7 Fitria Lingga 2104027007000001 085763908798 P Sawin
8 Gung Putro .B 337205250350008 085345228660 L Istana Robat
9 Jalal 210402224700001 085264485734 L Kp.Padang
10 Rustam 2104030301800001 082390611456 L Sei Tenam
11 Novita 082390611456 P Sei Tenam
12 Iman.A 2104012509740001 081277490536 L LP
13 Zulkarnain 2104021312630001 082386074426 L Kp.Tanda
14 M.Yusuf 082170635583 L Pekaka
15 Ahmad Syukari 2104021008810001 081366497382 L Kp.Tembaga
16 Alfin Delon 0812389979184 L Kp.Cina
17 Siaw Wan 2104034404700001 082388323534 P Kp.Cina
18 Nengsi Yunarti 2104025801710001 081273397319 P Kadur
19 Arman Nesa 081273397319 L Kadur
20 Lean Janumar 2104043101990002 082285113507 L Centeng
21 Junaidah 2104024306790001 081378712325 L Kp.Tanda
22 Galvin Delon 210402111200001 082173155919 L Kp.Cina
23 Buhari 2104020107350019 L Kudung
24 Sucipto 210402140287002 08127509990 L Sertih
25 Hermansyah 190503041190001 081371614792 L Pancur
26 Yola 085312057770 P Sawin
27 Ardi Ahmad 2104010311710001 081270807929 L Kp.Bugis
28 Zahara 081261483042 P Kp.Tanda
29 Aji Panda 6408042610870006 081328244119 L Cening
30 Juniarti 21004025506750002 081355776733 P Gelam
31 Yamar 2104011001860001 085263289069 L Mepar
32 Apridas 2104044304830001 081276799254 L Kp.Tanda
33 Sari 2104024402960001 P Kp.Tanda
34 Halinah 2104026404720001 P Kp.Tanda
35 Sono 2104022007530002 L SP 1
36 Waiyen 2104025506590001 P SP 1
37 Dian 085763117317 P Cening
38 Adeliana 082169246484 P Cening
39 Karin 082169246484 P Cening
40 Hana 082169246484 P Cening
41
42 ABK BELUM DIKETIK
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
MENGETAHUI :
KEPALA PUSKESMAS DAIK
dr. RONI
NIP. 19810604 201001 1 013
Status
Berangkat dari Suhu Ket
(diisi suspek/kontak)
Dabo - 36.3 -
Dabo - 36.4 -
Dabo - 36.1 -
Dabo - 36.2 -
Dabo - 36.3 -
Dabo - 36.2 -
Dabo - 36.4 -
Dabo - 36.3 -
Dabo - 36.3 -
Dabo - 36.3 -
Dabo - 36.3 -
Dabo - 36.4 -
Dabo - 36.3 -
Dabo - 36.3 -
Dabo - 36.3 -
Dabo - 36.4 -
Dabo - 36.4 -
Tg.Pinang - 36.4 -
Tg.Pinang - 36.3 -
Tg.Pinang - 36.3 -
Dabo - 36.3 -
Dabo - 36.4 -
Tg.Pinang - 36.4 -
Dabo - 36.4 -
Dabo - 36.5 -
Dabo - 36.4 -
Dabo - 36.5 -
Batam - 36.3 -
Dabo - 36.2 -
Batam - 36.4 -
Dabo - 36.3 -
Dabo - 36.5 -
Dabo - 36.5 -
Dabo - 36.3 -
Pulon - 36.3 -
Pulon - 36.3 -
Dabo - 36.5 -
Dabo - 36.5 -
Dabo - 36.2 -
Dabo 36.4
36.5
36.2
36.5
36.2
36.4
36.2
36.4
36.5
36.3
36.2
36.3
- - -
- - -
- - -
DAIK, 24 JANUARI 2021

PETUGAS PELAKSANA :
1. SUSIANTI, A.Md.Keb ……………….

NIP. 19760114 200312 2 003
2. SRI NOVIA ARYANI, Amd.Farm

NIP. 19821109 200604 2 016
3. ROTUA RESMIA OMPUSUNGGU. AMKL

NIP. 19770301 201001 2 007
4. WAODE SITI SYARIFAH, SKM

33.7.0608382
Lampiran 1. Formulir Notifikasi Penemuan Kasus Pada Pelaku Perjalanan

Nama Kapal : Oceana Dragon
Alamat
Tinggal (lengkap)
1 Wiwik Jurianti 2104015105830001 081364559291 P Cening

2 Farendra 140305201086009 08126829878 L Merawang
3 Satya Candra 930609150033 081215640721 L Kp.Cina
4 Morin Afriantika 2104026806990001 081275953026 P Kp.Pasar
5 Sarlin 081284349460 P Kp.Pasar
6 M.Hamka 5371042712960006 081371948656 L Sawin
7 Endra.Dwi.S 1572021104900001 085228491090 L Cening
8 Marini 2104024905860001 085263461631 P Tanda
9 M.Rasyid 085263461631 L Tanda
10 M.Adib 085263461631 L Tanda
11 Sarhan 2104022012770001 085263461631 L Tanda
12 Hanati 2104022012770001 081385541937 P Linau
13 Al.Tariq 2104010203960002 081385541937 L Linau
14 Marwiah 081385541937 P Linau
15 Azka 081385541937 L Linau
16 Ibrahim Yulius 2104021905580001 081273840603 L Cening
17 Ardes 217109211276008 082173023965 L Anugerah
18 Siswandi 210402251189002 082392114234 L Kp.Gelam
19 Lisdyanti 210406712760001 082386402769 P Cening
20 M.Ripais 2172021309910001 081363024517 L LP
21 Badiul.H 2172020507770004 081278485037 L Sawin
22 Umi Balqis 081278485037 P Sawin
23 A. adlan 081278485037 L Sawin
24 A.Akmal 081278485037 L Sawin
25 A.Akhsan 081278485037 L Sawin
26 Rasyid 081278485037 L Sawin
27 Saadi.A 2101152804030001 082268080988 L Daik
28 Fikky.M 2171095703909005 082143693000 P Sawin
29 Yuliana 2104025412000001 081218754189 P Pg, Laut
30 Indra Jaya 082384097840 L Pg. Darat
31 Puji Rahayu 210402301870001 081277332366 P Gelam
32 Abdul Jamal 082387110610 L Musai
33 Fajar.S 3207191710890003 08127787749 L Sawin
34 Rapiah 2104014107590065 081275053456 P Kp. Bugis
35 Samsuli 2104021406780001 081372301762 L Pg.Laut
36 Nurbaiti 2104025803720000 P Pelanduk
37 Indra Asmara 2104021207800002 085288969181 L Cening
38 Linggawati 081364066160 P Sawin
39 Selamat 081277894949 L Cening
40 Joko.W 2104022707740001 082137800826 L Sepincan
41 Nensi 082137800826 P Sepincan
42 Yopan 082137800826 L Sepincan
43 Salina 081268295939 P Melukap
44 Jovinda 210402290870001 081276617784 L Melukap
45 Jajun Saputra 210405281810001 081364414717 L Gelam
46 Raibah 081264624255 P Pg.Darat
47 Saskia.M 081264624255 P Pg.Darat
48 Zulfi 081264624255 L Pg.Darat
49 Supindawati 2104056108920001 081364414824 P Daik
50 Bimas.S 081364414824 L Daik
51 Kelfin 081364414824 L Daik
52
53
54
55
56
57
58
59
60
61
MENGETAHUI :
dr. RONI
NIP. 19810604 201001 1 013
Status
Dabo - 36.3 -
Dabo - 36.3 -
Dabo - 36.3 -
Dabo - 36.3 -
Dabo - 36.1 -
Dabo - 36.2 -
Dabo - 36.3 -
Dabo - 36.4 -
Dabo - 36.4 -
Dabo - 36.2 -
Dabo - 36.4 -
Dabo - 36.1 -
Dabo - 36.5 -
Dabo - 36.3 -
Dabo - 36.2 -
Penuba - 36.3 -
Batam - 36.5 -
Batam - 36.3 -
Tg.Pinang - 36.4 -
Dabo - 36.4 -
Batam - 36.5 -
Batam - 36.3 -
Batam - 36.2 -
Batam - 36.5 -
Batam - 36.2 -
Batam - 36.3 -
Tg.Pinang - 36.3 -
Batam - 36.3 -
Benan - 36.4 -
Dabo - 36.2 -
Dabo - 36.5 -
Dabo - 36.4 -
Tg.Pinang - 36.4 -
Dabo - 36.3 -
Dabo - 36.5 -
Dabo - 36.5 -
Batam - 36.4 -
Dabo - 36.5 -
Dabo - 36.3 -
Dabo 36.4
Dabo 36.5
Dabo 36.2
Dabo 36.5
Dabo 36.2
Dabo 36.4
Dabo 36.2
Dabo 36.4
Dabo 36.5
Dabo 36.3
Dabo 36.2
Dabo 36.3
- - -
- - -
- - -

PETUGAS PELAKSANA :

NIP. 19760114 200312 2 003

NIP. 19821109 200604 2 016

NIP. 19770301 201001 2 007

33.7.0608382
Pelabuhan : Sungai Tenam

Nama Kapal : Oceana Dragon
Alamat
Tinggal (lengkap)
1 Arif Maulana 2104042506880001 081378082230 L Sepincan

2 Rony Pariawan 21720426180001 0813655237124 L Sawin
3 Syaiful Madras 2172020305630001 082387113189 L Jl.Istana Robat
4 Theodorus 217204252770001 082383894476 L Jl.Masjid Sultan
5 Desi Sumanti 2172026801790001 081277432189 P Musai
6 Khirullah 210402190490001 081268956230 L Kp. Darat
7 Rinawati 2101045206740001 081991645592 P Kp. Darat
8 Ferinka - 083161372364 P Kp. Darat
9 Melati Agustiati - 083179932216 P Kp. Darat
10 Nur Azam - 0811779019 L Pancur
11 Muslim 2104022909610001 081364701444 L Daik
12 Fery Syahputra 1205071204960008 081212323531 L Mentengah
13 Meihia 2104024107990015 081212323531 P Mentengah
14 Alfero Putra - - L Daik
15 Jumat 2172021708720004 081372820364 L Daik
16 Aisah 217204407440084 - P Daik
17 Raina 217106450621001 - P Musai
18 Ridho Aulia.R 130703031920001 085274111313 L Daik
19 Efendi 2104022310660001 081277655398 L Kp. Pahang
20 Zulkifli.Y 2172012403700003 08121769576 L Sawin
21 Dean 2104930202860001 085266541396 L Tanda
22 Yuliana Silanda - - P Tanda
23 Sifa - - P Tanda
24 Awan - - L Tanda
25 Diah - - P Tanda
26 M.Titoha 2104041205840001 081338712328 L Pancur
27 Rudi Supriadi 2172011210730004 085272121650 L Pancur
28 Heriyanto 1905102102870003 082386792626 L Tukul
29 Malinda. D 2104045705670001 085265881808 P Ceneng
30 Valencio - - L Ceneng
31 Meriya Ulfa 2104036802860001 0822385934068 P Centeng
32 Ahvi 2104024107740011 081365173873 P Mentengah
33 Rumadi 2104020107720015 - L Mentengah
34 Tri Kadarisman 2104022107930001 081249800062 - Kp. Pahang
35 Juniansyah 2172031106850001 085264665344 - Kp. Siak
36 M. Sabran 2104023103960001 085221849084 - Seranggong
37 Sujarno 2172020212830007 085364993599 - Pancur
38 Muslimah 2104034210680001 081277235790 - Pasar
39 M. Hermansyah 2172042512970001 08127774323 - Mading
40 Kiki Asbaroza 2104041403870002 081268840684 - Centeng
41 Marian Suban - 082173199508 - Daik
42 Dante - 081365173837 - Mentengah
MENGETAHUI :
dr. RONI
NIP. 19810604 201001 1 013
Status
Benan - 36.4 -
Tanjung Pinang - 36.2 -
Benan - 36.8 -
Benan - 36.1 -
Benan - 36.2 -
Benan - 36.4 -
Benan - 36.2 -
Rejai - 36.5 -
Tanjung Pinang - - -
Benan - - -
Rejai - - -
Batam - - -

PETUGAS PELAKSANA :

NIP. 19760114 200312 2 003

NIP. 19821109 200604 2 016
3. EKO PREMA SUNGKONO, S.Farm, Apt

NIP. 19900827 201503 1 003

33.7.0608382

Nama Kapal : Istiqomah
Alamat
Tinggal (lengkap)
1 Alek Sandra 2104032010930001 081370502754 L Melukap

2 Iskandar 217104067859002 081364199985 L Sawin
3 Jamhur 2104030101900002 08226724986 L Sawin
4 Hui Siang 2104046606730001 082288296556 P Pancur
5 Yesi Daryanti 2172015712870002 082173267747 P Centeng
6 Jumian 210403204760001 081364208114 L Sawin
7 Eti 081222112573 P Pancur
8 Ismail.H.Jalil 1108140106720001 081375763009 L LP
9 M.Yusup 2104022109540001 082174335252 L Musai
10 Rafa'i 2104022811860001 085272087662 L Merawang
11 Herman 2171060710799015 082132226665 L SP2
12 Yurazmi 2104040411830001 082392016837 L Pancur
13 Nety P Senayang
14 Sandera Hadiputra 217202070691004 082371326238 L Sawin
15 Rahmad Ariyadi 2171060706860001 081365203051 L Kp.Bugis
16 Hamidi 210403231287001 0822833591212 L Sawin
17 Rinta Yuliana 2104024107930001 08227151819 P Tanda
18 La Ode Muhamad.T 210104021286002 082170472701 L Senayang
19 Bujang 2104040107790011 081378884746 L Centeng

Nama Kapal :Marina
1 Farida 2104034410690001 0813631610661 P Centeng
2 Sudarsono 2104030612650001 L Centeng
3 Johari 2172022003710002 081363888250 L Kp.Pahang
4 M.Pardan 2104030512670001 081277273484 L Mading
5 Mazlan 2104032304750001 082385775333 L Daik
6 Indra 2172021201870002 082384786327 L Pancur
7 Dedi Ardika 2171121112869003 082285575704 L Resun
8 Akiang L Pancur
9 Yusrizal 2103070110671001 0813722287225 L Kantor Bupati
10 Yaspansari 2172040902730002 085668446559 L Pancur
11 Tjok Kui 081277131771 L Pancur
12 A .Ghai 2104040902970001 085271170984 L Pancur
13 La Hudi 2104030603660001 0822833520007 L Tg.Kelit
Nama Kapal : Lintas Kepri
1 Jaya Karna 210402200670002 0822884466363 L centeng
2 Hardinayyah '2104022011810001 081313112211 L Tande
3 Jeki. A 2104040302850001 08223321985 L Cening
4 Joko 2104030908910001 081277661180 L Resun
5 Sartika Sairin 2104044311610001 081364266691 P Sawin
6 H.Idris 081364266691 L Sawin
7 Makmur.H 2104021104660001 081365307397 L Pg. Darat
8 Junaedi.S.hutasoit 17571061312790001 085323808080 L BPN
9 Rusli 210404020270001 081276734776 L Resun
10 Nazaruddin 2104041512780003 082287177187 L Teluk
11 Arul 082287177187 L Teluk
12 Naufal 082287177187 L Teluk
13 Kharmonis 21040459800003 082287177187 P Teluk
14 Surahman 2104020101760001 082170174852 L SP 1
15 Anis Riyanto 3501042907810001 085265315485 L BPN
16 M.Fauzul Qadir 2104021503940003 081261781291 L Pg.Laut
17 Nova Andika 081266695172 P Kp.Bugis
18 Chandra 081266695172 L Kp.Bugis
19 Asifa 081266695172 P Kp.Bugis
20 Arka 081266695172 L Kp.Bugis
21 Sumartin 210404480880003 082283309966 P SP III
22 Zaki ahmad 082283309966 L: SP III
23 Zakia Talita 082283309966 P SP III
MENGETAHUI :
dr. RONI
NIP. 19810604 201001 1 013
Status
Tajur Biru - 36.3 -

Batam - 36.2 -
Tajur Biru - 36.2 -
Batam - 36.3 -
Tg. Uban - 36.4 -
Tajur Biru - 36.3 -
Rejai - 36.4 -
Batam - 36.3 -
Batam - 36.3 -
Batam - 36.2 -
Batam - 36.4 -
Batam - 36.3 -
Batam - 36.3 ABK
Tajur Biru - 36.2 -
Batam - 36.5 -
Tajur Biru - 36.4 -
Jakarta - 36.4 -
Batam - 36.1 -
Batam - 36.4 -
Tg.Pinang - 36.3 -
Tg.Pinang - 36.3 -
Tg.Pinang - 36.1 -
Tajur Biru - 36.4 -
Tg.Pinang - 36.3 -
Tg.Pinang - 36.3 -
Tg.Pinang - 36.3 -
Tg.Pinang - 36.3 -
Tg.Pinang - 36.1 -
Tg.Pinang - 36.2 -
Tg.Pinang - 36.2 -
Tg.Pinang - 36.2 -
Batam 36.3
Tg.Pinang - 36.2 -
Tg.Pinang - 36.2 -
Tg.Pinang - 36.1 -
Benan 36.1
Tg.Pinang 36.2
Tg.Pinang - 36.3 -
Rejai - 36.1 -
Tg.Pinang - 36.3 -
Tg.Pinang - 36.2 -
Tg.Pinang - 36.2 -
Tg.Pinang - 36.4 -
Tg.Pinang - 36.3 -
Tg.Pinang - 36.2 -
Tg.Pinang 36.3
Tg.Pinang 36.3
Tg.Pinang 36.2
Tg.Pinang 36.4
Tg.Pinang 36.2
Tg.Pinang 36.5
Tg.Pinang 36.3
Tg.Pinang 36.2
Tg.Pinang 36.3
Tg.Pinang 36.2
DAIK, 21JANUARI 2021

PETUGAS PELAKSANA :

NIP. 19760114 200312 2 003

NIP. 19821109 200604 2 016
3. EKO PREMA SUNGKONO, S.Farm, Apt

NIP. 19900827 201503 1 003

33.7.0608382

Nama Kapal : Lintas Kepri
Berangkat
dari
Tinggal
1 Rahmah 081372308454 P Seranggung Dabo
2 Pais L Seranggung Dabo
3 Muslim 2104020306760001 081372761840 L Cening Dabo
4 Taufik Hidayat 2104011906890000 81371932580 L Keton Dabo
5 Wiwik Jurianti 2104011906890003 081364539296 P Cening Dabo
6 Catur S 3201122294820002 08138884953 L Hotel Dabo
7 Suparman 081290541795 L Musai Dabo
8 Fauzan R 2101151005850001 081276977373 L Cening Dabo
9 Rasya L Cening Dabo
10 Desmaleny 2101065512880003 081372152359 P Cening Dabo
11 Deva 081372152359 P Cening Dabo
12 Munandar 2104020708850002 081277081090 L Sei Pinang Batam
13 E. Kasumarida L Daik Dabo
14 Murdi 2104020405980004 082285795349 L Kp. Pahang Dabo
15 Asa L Seranggung Rejai
16 Harpiansyah 2104010906810001 085264111178 L Daik Dabo
17 Fitriani 2104055505910001 081365536373 P Kp. Putus Dabo
18 Hasibah 2104054504750001 081365536373 P Kp. Putus Dabo
19 Tino Albar 2104010804900002 081365536373 L Kp. Putus Dabo
20 Zaimah 2104024107730002 082288674599 P Tg. Buton TPI
21 Adila 2104024107730002 082288674599 P Tg. Buton TPI
22 Siti P Sawin Dabo
23 Sanusi L Sawin Dabo
24 Fadil L Sawin Dabo
25 Iin L Cening Dabo
26 Faar L Cening Dabo
27 Jihan 081229922300 P Cening Dabo
28 Amran 2104020201750001 081371197962 L Sepincan Penuba
29 Rendi 2172020702980001 085264240824 L Keton TPI
30 Boy A 2104011705890002 081261961606 L Sawin Dabo
31 Roswandi 2103073003770001 082285183316 L Tanda Dabo
32 S. farman 082289862240 L Cening TPI
33 Mazlan 2104021210720001 081274976136 L Nerekeh Dabo
34 Arishty Octa 2101101510010001 081280291592 L Cening Dabo
35 Ijo Tjim 3173033112560016 085264688598 L Seranggung Batam
36 M. Arsyad 2104021111620001 L Tande Penuba
37 Mairah P Tande Penuba
38 Sundusiah 2104016408870002 P jl. robat Dabo
39 Fezi 2104021803770001 L jl. robat Dabo
40 Ernie 2100402551070001 082148671213 P Jl. Tembaga Batam
41 Zainudin 2104020107670002 081268997335 L Tg. Buton TPI
42 Fazirah 2104035305020002 082283109996 P Cenot Dabo
43 Sartika 0813642469691 P Sawin Dabo
44 Jihan 1442030212000084 081393619998 P Sepincan Dabo
45 Slamet 2104012905800003 0812778945 L Cening Dabo
46 Sardewi 2104026306970001 081378352456 P Seranggung Batam
47 Edi Efendi 2104020107530034 081261958700 L Kp. Putus Batam
48 Arbiyah 2101104704820001 082169248733 P Cening TPI
49 Rabiah 085274845116 P Melukap Penuba
50 Hilda Harovi 2104026904980001 82169304839 P Melukap Penuba
51 Siti Zauyah P Melukap Penuba
52 Amran 2104020503890001 085363291099 L Sawin Mentuda
53 Iswandi 2104010503890001 082387175450 L jl. Salak Batam
54 Suryati 2104014110700001 081277280102 P Pancur Dabo
55 A. Kian 2104044107660013 P Pancur Dabo
56 Aminah 2104025212800001 081268035356 P Tg. Buton TPI
57 Nabia Utami P Tg. Buton TPI
58 Yasir L Tg. Buton TPI
59 Neng P Tg. Buton TPI
60
61
62
63
64
65
66
67
68
69
70
71
MENGETAHUI :
dr. RONI
NIP. 19810604 201001 1 013
33.7.0608382
(diisi Suhu Ket
suspek/k
- 36.3 -
- 36.4 -
- 36.3 -
- 36.3 -
- 36.1 -
- 36.2 -
- 36.3 -
- 36.4 -
- 36.4 -
- 36.2 -
- 36.4 -
- 36.1 -
- 36.5 -
- 36.3 -
- 36.2 -
- 36.3 -
- 36.5 -
- 36.3 -
- 36.4 -
- 36.4 -
- 36.5 -
- 36.3 -
- 36.2 -
- 36.5 -
- 36.2 -
- 36.3 -
- 36.3 -
- 36.3 -
- 36.4 -
- 36.2 -
- 36.5 -
- 36.4 -
- 36.4 -
- 36.3 -
- 36.5 -
- 36.5 -
- 36.4 -
- 36.5 -
- 36.3 -
36.4
36.5
36.2
36.5
36.2
36.4
36.2
36.4
36.5
36.3
36.2
36.3
36.3
36,4
36,1
36,1
36,2
36,2
36,3
- 36,3 -
- - -
- - -

PETUGAS PELAKSANA :
1. SUSIANTI, A.Md ……………….

NIP. 19760114 200312 2 003

NIP. 19821109 200604 2 016

NIP. 19770301 201001 2 007

33.7.0608382

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Lampiran 1.

Formulir Notifikasi Penemuan Kasus Pada Pelaku Perjalanan

Pelabuhan : Tanjung Buton

1 Nessy.Y 082284159067 L Cening

DAIK, 24 JANUARI 2021

1. SUSIANTI, A.Md.Keb ……………….

2. SRI NOVIA ARYANI, Amd.Farm

3. ROTUA RESMIA OMPUSUNGGU. AMKL

4. WAODE SITI SYARIFAH, SKM

Pelabuhan : Tanjung Buton

1 Wiwik Jurianti 2104015105830001 081364559291 P Cening

DAIK, 24 JANUARI 2021

1. SUSIANTI, A.Md.Keb ……………….

2. SRI NOVIA ARYANI, Amd.Farm

3. ROTUA RESMIA OMPUSUNGGU. AMKL

4. WAODE SITI SYARIFAH, SKM

Pelabuhan : Sungai Tenam

1 Arif Maulana 2104042506880001 081378082230 L Sepincan

DAIK, 18 JANUARI 2021

1. SUSIANTI, A.Md.Keb ……………….

2. SRI NOVIA ARYANI, Amd.Farm

3. EKO PREMA SUNGKONO, S.Farm, Apt

4. WAODE SITI SYARIFAH, SKM

Pelabuhan : Sungai Tenam

1 Alek Sandra 2104032010930001 081370502754 L Melukap

Pelabuhan : Sungai Tenam

Tajur Biru - 36.3 -

DAIK, 21JANUARI 2021

1. SUSIANTI, A.Md.Keb ……………….

2. SRI NOVIA ARYANI, Amd.Farm

3. EKO PREMA SUNGKONO, S.Farm, Apt

4. WAODE SITI SYARIFAH, SKM

Pelabuhan : Tanjung Buton

DAIK, 24 JANUARI 2021

1. SUSIANTI, A.Md ……………….

2. SRI NOVIA ARYANI, Amd.Farm

3. ROTUA RESMIA OMPUSUNGGU. AMKL

4. WAODE SITI SYARIFAH, SKM

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