ABSENSI PESERTA VAKSIN COVID -19

VAKSIN 1 : 2 Februari 2021

VAKSIN 2 :

JENIS
TIKET USI KELAMI
NO NIK NAMA VAKSIN PROFESI A TGL LAHIR N NO HP VAKSIN 1
351605690486000 N- 628564620005
DENOK MIRINA Perawat (Non Ners) 34 1986-04-29 P
1 1 27106CC7 5
351609421093000 IKA KRISNA N- 628125212458
Perawat (Non Ners) 27 1993-10-02 P
2 1 PRATIWI, A.Md.Kep 92C57F76 7
351607610278000 N- 628135748664
KUSTINING Perawat (Non Ners) 42 1978-02-21 P
3 3 9EF08CC4 8
351719241193000 RIZAL DARMAWAN,
4 1 S. Kep. Ns.
351607140378000 SIDDIIKUL WAFA, N- 628133154444
Perawat (Non Ners) 42 1978-03-14 L
5 3 AMd.Kep B1CB77EC 1
ENNYTA
351610660673000 N- 628133154725
LISTYORINI, Ners 47 1973-06-26 P
1 96724948 3
6 S.Kep.Ns
351805100885000 AGUS IMAM N- 628122255178
Keuangan 35 1985-08-10 L
7 4 SUDARMONO 87AD6B42 5
351507270893000 AHMAD ALI N-
Perawat (Non Ners) 27 1993-08-27 L 628986469678
8 2 ROHMATULLOH BE681AE0
Tenaga Umum
351608111091000 N- 628951946903
Ahmad Faris Lainnya yang belum 29 1991-11-10 L
5 9D498853 0
9 tercantum
 350911190890000 HENDRA PERNAMA N- 628225755629
Ners 30 1990-08-27 L
10 6 PUTRA. S.Kep.Ners C4EF1C84 2
351608140484000 HENDRAWAN N- 628564814807
Perawat (Non Ners) 36 1984-04-14 L
11 3 PRIYO S., AMd.Kep 34673AEA 8
351502460583000 N- 628574840377
HENI PURWATI Perawat (Non Ners) 37 1983-05-06 P
12 3 E6C926F8 7
351610310588000 N- 628574964231
Hermanto Keamanan 32 1988-05-31 L
13 1 0F8A1526 0
Dokter Spesialis
351611090970000 N-
HERU RUSTIADI Neorologi/Saraf 50 1970-09-09 L 628123518792
5 E1B12608
14 (Sp.S)
Tenaga Umum
351608230483000 628560678398
HERU SUSANTO N-CF5FC20E Lainnya yang belum 37 1983-04-23 L
4 3
15 tercantum
350905411297000 N- Perekam Medis dan 628570772271
ICHA AYU KUSUMA 23 1997-12-01 P
16 1 1A10805D Informasi Kesehatan 1
351605441092000 ICHA FRANSISKA N- 628573287224
Apoteker 28 1992-10-04 P
17 1 PUTRI LAIMAN 417D9F7C 4
Tenaga Umum
351606061085000 N- 628564518399
SIGIT HARIYANTO Lainnya yang belum 35 1985-10-06 L
2 3F4F9D0D 8
18 tercantum
351511520696000 N- Ahli Madya Farmasi 628133174853
SILVIA DEVI NURINI 24 1996-06-12 P
19 1 3D7C4247 (Asisten Apoteker) 5
351609440677000 SITI AMINAH, N- 628585323113
Perawat (Non Ners) 43 1977-06-04 P
20 2 AMd.Kep B19ED7C5 0
351610520978000 SITI KHAULAH, N- 628585319129
Perawat (Non Ners) 42 1978-09-12 P
21 4 AMd.Kep 682EAFEC 9
 351606490894000 SITI MARIYA ULFA, N- 628585562945
Perawat (Non Ners) 26 1994-08-09 P
22 1 A.Md.Kep 070BAB7E 5
351607540394000 N- 628145619495
SITI NUR FITRIYAH Perawat (Non Ners) 26 1994-03-14 P
23 4 AD2698B7 5
Dokter Spesialis
357803130771000 N-
SRI HARNOWO.DR Kedokteran Fisik Dan 49 1971-07-13 L 628123111648
1 E3D54897
24 Rehabilitasi (Sp.KFR)
350402430282000 N- Ahli Madya Farmasi 628314296816
SRI WIGATI 38 1982-02-03 P
25 5 0E80046C (Asisten Apoteker) 5
351606681277000 N- 628225757846
SRIWATI, A.Md Keb Bidan Klinis 43 1977-12-28 P
26 1 A704EC49 5
351608200671000 N- 628813547861
SUBIYANTORO Keamanan 49 1971-06-20 L
27 1 AB3F8B4A 3
351608230776000 N- 628523040123
SUDARMUN Juru Mudi 44 1976-07-23 L
28 1 EBF4BFB0 6
351501630980000 628585085896
SULIS DWI UTAMI N-494F3811 Perawat (Non Ners) 40 1980-09-23 P
29 2 0
Tenaga Umum
351608310584000 N- 628161522625
SULISTIONO Lainnya yang belum 36 1984-05-31 L
2 35CFD5F7 9
30 tercantum
351611480581000 SULISTIOWATI, N- 628575514739
Perawat (Non Ners) 39 1981-05-08 P
31 1 AMd.Kep 0A42B959 0
351610561181000 SULISWIDAYANTI, N- Ahli Madya Farmasi 628573166736
39 1981-11-16 P
32 1 A.Md. Farm 5BF70D17 (Asisten Apoteker) 6
327306421289000 N- 628224553520
Sumita Indayanah Perawat (Non Ners) 31 1989-12-02 P
33 6 D58C7C0E 2
 351606030664000 628573060454
SUTRISNO N-1FF6CA5F Keamanan 56 1964-06-03 L
34 1 3
352508020582000 SUWANDI ADI N- Ahli Madya Farmasi 628565522611
38 1982-05-02 L
35 2 SANJAYA, Amd 458CE030 (Asisten Apoteker) 1
351606110478000 N- 628585351800
SUYITNO Ners 42 1978-04-11 L
36 1 B8390353 5
351605490286000 SYAH LAILI N- 628133287820
Perawat (Non Ners) 34 1986-02-09 P
37 1 HIDAYAJIB 51E7581C 0
Tenaga Umum
351602020888000 SYAIFUDDIN ALI N- 628123228808
Lainnya yang belum 32 1988-08-02 L
3 MUSTAGHFIRI 0B0B8B65 8
38 tercantum
357602170187000 TRI YOHAN MUKTI, N- 628214320558
Ners 33 1987-01-17 L
39 1 S.Kep.Ns ECC321E2 8
Tenaga Umum
351611610277000 TUTIK HARIYATI, 628573197848
N-11EF46F9 Lainnya yang belum 43 1977-02-21 P
3 S.Kep. Ners 8
40 tercantum
Tenaga Umum
351607630188000 TUTIK N- 628523167185
Lainnya yang belum 32 1988-01-23 P
2 INDARTININGRUM 0CC84C66 3
41 tercantum
357203600680000 ULFATUL ZAKIYAH, N- 628560605272
Bidan Klinis 40 1980-06-20 P
42 5 A.Md Keb CF4840AA 7
357602430782000 UMI HANIK, N- 628565522207
Perawat (Non Ners) 38 1982-07-03 P
43 7 AMd.Kep E869D567 3
VENTI KUSUMA IKA
351608590991000 N- 628574659225
WULANDARI, A.Md Perawat (Non Ners) 29 1991-09-19 P
1 FB69D3CF 5
44 Kep
 351608590589000 VIKA CRISTYA N- 628121626313
Bidan Klinis 31 1989-05-19 P
45 2 NINGSIH,Amd.Keb F9DB239B 1
VIVI ERVINA
351615570796000 N- Perekam Medis dan 628573377077
YULIAWATI, 24 1966-07-29 P
2 748015DD Informasi Kesehatan 1
46 A.Md.Kes
Tenaga Umum
351607560791000 WAHYU INDRA N- 628573007484
Lainnya yang belum 29 1991-07-16 P
2 KRISNAWATI 7E9FCDD7 3
47 tercantum
351605030386000 WAHYUDI EKO N- 628573204687
Perawat (Non Ners) 34 1986-03-03 L
48 1 PURNOMO B3437ED4 8
357602051166000 N- 628233306729
WASTIYO Juru Mudi 54 1966-11-05 L
49 3 1973BAC9 2
352404130194000 RADIKTYA GALIH N- 628573153400
Ners 26 1994-01-13 L
50 4 PRIWANTOKO BA7F028F 5
351608580987000 RANI NOVITASARI, N- 628533111720
Ners 33 1987-09-18 P
51 1 S.Kep.Ners A8ADB8D0 0
Dokter Spesialis
357601151169000 N- 628135747555
RASYID SALIM Psikiatri - Kedokteran 51 1969-11-15 L
1 2860B06B 0
52 Jiwa (Sp.KJ)
351502120281000 N- 628133023382
PENDIK IRAWAN Sanitasi Lingkungan 39 1981-02-12 L
53 6 2D94E3B4 8
Tenaga Umum
351607260899000 N- 628133474615
Prasetyo Nugroho Lainnya yang belum 21 1999-08-26 L
2 6CDE3D91 9
54 tercantum
611201460283000 N- 628538730522
PRIHMAWATI, SKM Keuangan 37 1983-02-06 P
55 2 DE3D8C80 5
 351803550985000 PUJI RUSMIATIK, N- 628121656018
Bidan Klinis 35 1985-09-15 P
56 2 A.Md.Keb. 16B2B13A 5
Tenaga Umum
351606130797000 N- 628574616204
puji subekti Lainnya yang belum 23 1997-07-13 L
2 F73ADC9E 6
57 tercantum
Tenaga Umum
351602550587000 PUNDI FARIDHA 628233178263
N-7E588F97 Lainnya yang belum 33 1987-05-15 P
1 SANTI 1
58 tercantum
Anastasha
317505660695000 N- 628773409644
Puspagita Dokter Umum 25 1995-06-26 P
3 21ECAE5B 8
59 Herasmoro
351606610865000 ANDIYA WAHYU 628564961426
N-421024F5 Sanitasi Lingkungan 55 1965-08-21 P
60 2 LESTARI, ST 7
351606560167000 ANITA TRISNA, N- 628383290009
Ners 53 1967-01-16 P
61 1 S.Kep.Ns 7775AB1A 0
351512420491000 N- 628129446224
ARI SETYO RINI Dokter Umum 29 1991-04-02 P
62 1 D86C7059 2
Azril Okta
357809061080000 N-
Ardiansyah., dr., Bedah onkologi 40 1980-10-06 L 628883584739
2 8E095BAA
63 Sp.B
Tenaga Umum
350625250293000 N- 628581257562
BAYU PRAYOGA Lainnya yang belum 27 1993-02-25 L
1 712A8034 4
64 tercantum
351616110493000 DANI ACHMAD N- 628774327255
Perawat (Non Ners) 27 1993-04-11 L
65 3 FAROSI C41AB0B0 3
351705241193000 N-
DANTO WALUYO Ners 27 1993-11-24 L 628883101417
66 2 90C07992
 351608051175000 BUDI SETYA N- 628969493688
Radiografer 45 1975-11-05 L
67 1 NUGRAHA, A.Md.R 789390D4 1
DENNIAR
350625711094000 N- 628573632102
SURYATIKA, Ners 26 1994-10-31 L
2 C2E8B72E 1
68 S.Kep.Ns
351717601295000 DESINTIA ARUM N- 628581107896
Ners 25 1995-12-20 P
69 1 WIJAYANTI FDB2D443 5
351608411281000 DESSI RAHMAWATI, N- 628133040891
Kepala Subbagian 39 1981-12-01 P
70 2 S.Kom 86704E98 7
351606521294000 N- Ahli Madya Farmasi 628564941889
DESSY PUSPITASARI 26 1994-12-12 P
71 2 A41A0198 (Asisten Apoteker) 7
351618431294000 DEVI LAILAWATI, N- 628565555811
Perawat (Non Ners) 26 1994-12-03 P
72 1 A.Md.Kep. 20034B28 2
357602650594000 DEWI MEINDASARI, N- 628316406201
Ners 26 1994-05-25 L
73 2 S.Kep.Ns D33C815C 8
DEWI
351610510395000 N- 628588901755
WAHYUNINGSIH, Perawat (Non Ners) 25 1995-03-11 P
2 C1415FE6 3
74 A.Md.Kep
351608510285000 N- 628564830836
DIAN NUR SOFYATI Keuangan 35 1985-02-11 P
75 2 2BCAC4C4 8
351618590392000 DIANA N- 628585918942
Perawat (Non Ners) 28 1992-03-19 P
76 1 RETNOWULAN 18190D15 6
351608041275000 N- 628564847448
DIDIT ANDI K. J. Juru Mudi 45 1975-12-04 L
77 1 A037251E 6
 DINASTI PUTRI APRI
351816620496000 N- 628135730920
NUR CAHYANI, Ners 24 1996-04-22 L
1 FDE66784 3
78 S.Kep.Ns
352009171294000 DITA SETIAWAN, N- 628225735646
Ners 26 1994-12-17 L
79 1 S.Kep.Ners 895A714D 3
Dokter Spesialis
Obstetri &
357503241061000 Dr. ANDARYONO, N- 628224460842
Ginekologi - 59 1961-10-24 L
3 Sp.OG 4B1D98B0 8
Kebidanan &
80 Kandungan (Sp.OG)
Dr. ANTONIUS
357801260171000 N- Dokter Spesialis 628965313309
BENY SETIAWAN, 49 1971-01-26 L
2 F36488AD Anastesiologi (Sp.An) 6
81 Sp.An
357810121186000 DR. ARDHITO N- Dokter Spesialis
34 1986-11-12 L 628563013338
82 1 RACHMAN B147E5D9 Urologi (Sp.U)
dr. RIO
Dokter Spesialis Ilmu
357824010688000 AURICKNAGA N-
Kesehatan THT Kl 32 1988-06-01 L 628121784867
1 KINTONO, Sp.THT- 1BD12F77
(Sp.THT-KL)
83 KL
357804460572000 Dr. SOFIA N- Dokter Spesialis Anak 628223095780
48 1972-05-06 P
84 6 WARDANI, Sp.A 8FE8B84A (Sp.A) 8
351513490372000 Dr. SRI REJEKI N- Dokter Spesialis Paru 628133125210
48 1972-03-09 P
85 4 ANDAYANI, Sp P AEE5DBA5 - Pulmonologi (Sp.P) 9
351013050876000 Drg. BAGUS N- 628133127173
Dokter Gigi 44 1976-08-05 L
86 6 PRIAMBODO 0AA88749 7
351608410485000 EKA SRI RAHAYU, N- 628564809430
Perawat (Non Ners) 35 1985-04-01 P
87 1 A.Md.Kep. E2F26BD2 2
 Tenaga Umum
351608650568000 628133062359
EKA WINARTI N-09EE4F3E Lainnya yang belum 52 1968-05-25 P
5 7
88 tercantum
331409460681000 ELLY RAKHMAWATI N- 628132877197
Apoteker 39 1981-06-06 P
89 8 RATNANINGRUM 409B61E7 1
351608540787000 ELVIRA ROSSELINA N- 628565550044
Keuangan 33 1987-07-14 P
90 2 ANGGRAINI, SE E73BA8A8 4
357816620590000 EMIE TRI WAHYUNI. 628585245053
N-0FBE7F38 Ners 30 1990-05-22 P
91 2 S.Kep.Ners 8
351512450297000 ENDAH NUR N- 628574903669
Farmasi 23 1997-02-05 P
92 2 HAMIDAH 0EE08C7D 5
351606470775000 ENDAH YULIATIN, N- 628564910475
Pengelola Data 45 1975-07-07 P
93 1 S.Sos 22643EAA 0
351712710587000 ESTHI RAHAYU N- 628573337147
Keuangan 33 1987-05-31 P
94 1 LINUWIH, A.Md 8B58556A 9
351501480696000 ETIK RETNOWATI, N- 628581617959
Ners 24 1996-06-08 L
95 1 S.Kep.Ns 062E9F9B 0
331409460681000 ELLY RAKHMAWATI N- 628132877197
Apoteker 39 1981-06-06 P
96 8 RATNANINGRUM 409B61E7 1
351608540787000 ELVIRA ROSSELINA N- 628565550044
Keuangan 33 1987-07-14 P
97 2 ANGGRAINI, SE E73BA8A8 4
357816620590000 EMIE TRI WAHYUNI. 628585245053
N-0FBE7F38 Ners 30 1990-05-22 P
98 2 S.Kep.Ners 8
351512450297000 ENDAH NUR N- 628574903669
Farmasi 23 1997-02-05 P
99 2 HAMIDAH 0EE08C7D 5
351901190795000 FARID N- Ners 25 1995-07-19 L 628223007192
10
 FATKHURROJI,
2 288B8B5C 6
0 S.Kep.Ns