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

Tanggal : Kamis, 17 September 2020

KMP : TERUBUK
Halaman :I

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

1 Ita 24 Waihatu Waihatu 36 082197922440

2 Alfra Patiasina 18 Hatusua Hatusua 36.1 082198235866
3 Rosmelita 42 Ambon Kamal 36 081240745393
4 Ruslan 50 Tial Piru 36.1 081356522901
5 Arsad 29 Buano Buano 36 082248134792
6 Abel Putuhena 51 Ambon Piru 36 081343014492
7 Novita 41 Ambon Piru 36 081343217755
8 Asim 48 Namlea Piru 36 -
9 Abi 22 Masohi Waimital 36 081298727287
10 Frajaya Ranto 55 Halong Wael 36 082199639043
11 Soraya 32 Waiheru Wael 36.2 082199639043
12 Rushelan S. 39 Waiheru Wael 36.1 082199639043
13 Agustina R.S 43 Halong Wael 36.1 082199639043
14 Aldi 30 Kairatu Kairatu 36.2 082239234825
15 Rahmawati 54 Ambon Piru 36.1 -
16 Doni Manusamal 43 Waisarisa Waisarisa 36.2 -
17 Roy 44 Hative Kecil Piru 36.1 082199828368
18 Yuni Huamase 48 Batu Gajah Taniwel 36.6 085344062720
19 Roni 39 Kairatu Rambatu 36.3 081316397731
20 Ronald L. 38 Ambon Waimital 36.3 085342209345
21 Wendy W. 37 Ambon Waimital 36.3 085242209345
22 Lely 45 Ambon Waipirit 36.3 085345667812
23 Nani P. 52 Ambon Hatusua 36.1 082198235866
24 Sarah Selan 60 Ahuru Piru 36.4 -
25 Siti Nurjana 47 Waihatu Waihatu 36.2 081221618889
26 Ice 53 Ambon Piru 36 085243435354
27 Ayuda 53 Waiheru Piru 36.5 082198948268
28 Nana 18 Waihatu Waihatu 36.3 081244694243
29 Arnold 34 Wael Wael 36.1 -
30 Mukhtar 36 Batu Merah Piru 36.2 081344007573
31 Risna W. 35 Batu Merah Piru 36.4 082393337718
32 La Olo 32 Piru Piru 36 -
FORMULIR DETEKSI DINI CORONAVIRUS DISEASE (COVID-19) PELABUHAN WAIPIRIT

Tanggal : Kamis, 17 September 2020

KMP : INELIKA
Halaman : II

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

1 Marsel 34 Ambon Piru 36 -

2 Zubaidah H. 34 Ambon Piru 36.1 081241741536
3 Al Adan 18 Kawa Kawa 36 081340984108
4 Alan 17 Kawa Kawa 36.1 082198449627
5 Ajo 17 Kawa Kawa 36 082194415806
6 Jesika 22 Hatiwe Kecil Piru 36 081247084398
7 Elisabeth 53 Hatiwe Kecil Piru 36 082199033510
8 Yakobus 49 Ambon Kawa 36 08524312991
9 Dani 16 Waihatu Waihatu 36 081245466798
10 Bety 51 Kamal Kamal 36 081247265950
11 Zabidin 23 Loki Loki 36.2 082398684636
12 Darman 34 Ambon Piru 36.1 08134462608
13 Salsa 33 Liang Waimital 36.1 082199532258
14 Difta 4 Liang Waimital 36.2 082199532258
15 Geby 28 Waipirit Waipirit 36.1 082239087045
16 Ina Nuraini 21 Kawa Taniwel 36.2 085732441543
17 Juneth 29 Waipirit Waipirit 36.1 082162434617
18 Maichel 29 Nania Piru 36.6 085213371654
19 Benja 63 Waisamu Waisamu 36.3 082138347713
20 Irene P. 52 Tihulale Tihulale 36.3 081283397468
21 Vebina 56 Lumapelu Lumapelu 36.3 -
22 Jefri 71 Lumapelu Lumapelu 36.3 -
23 Risma 24 Kamal Kamal 36.1 081343457917
24 Dortje 49 Kamal Kamal 36.4 081248604397
25 Fandly 42 Ambon Piru 36.2 -
26 Nina Saban 54 Ambon Piru 36 -
27 Elo 26 Ambon Waimital 36.5 082239813538
28 Bace 33 Piru Piru 36.3 081248781039
29 Nia 29 Waisarisa Waisarisa 36.1 081247903365
30 Jefri S. 44 Ambon Piru 36.2 08223824192
31 Iyan 47 Mangga Dua Rumahkai 36.4 081240292172
32 Robert S. 27 Rumahkai Rumahkai 36 08124070431
33 Lena 27 Bentas Waimital 36.3 081289117047
34 Elsya 54 Bentas Waimital 36.3 081289117047
35 Stelma 54 Ambon Taniwel 36.1 081248141416
36 Selvi 21 Ambon Taniwel 36.4 -
37 Marta 29 Piru Piru 36.2 081295968081
38 Elvina 47 Halong Taniwel 36 08124071666
39 Kelvin 25 Ambon Piru 36.5 081240261620
40 Santi 28 Piru Piru 36.3 082238500452
41 Gladis K. 32 Piru Piru 36.1 082210480552
42 Alexander 35 Latuhalat Waimital 36.2 085243723751
43 Rudi 41 Kamal Kamal 36.4 082271654649
44 Asdan 17 Kawa Kawa 36 081344724397
45 Harold U. 55 Batu Gajah Piru 36 081248567380
46 Edwin K. 41 Waal Piru 36.5 081248567380
47 Melisa 39 Waal Piru 36.3 081248567380
48 Andre 54 Waal Piru 36.3 081248567380
49 Helena 55 Piru Piru 36.1 082197805700
50 Hermis 33 Piru Piru 36.4 082197805700
51 Hartini 49 Waipirit Waipirit 36.2 082199963846
52 Yelin 25 Waipirit Waipirit 36 082199963846
53 Mus Mualin 43 Ambon Piru 36.5 08127013912
54 Serwan 48 Ambon Piru 36.3 081248804067
55 Asril 33 Air Salobar Taniwel 36.1 082193891841
56 Cliff 44 Passo Taniwel 36.2 082239112288
57 Risard 49 Wayame Taniwel 36.4 085243002302
58 Stiven 43 Mangga Dua Taniwel 36 082115129444
59 Ajid 56 Wayame Taniwel 36 082198473576
60 Wahyu 25 Ngalipar Taniwel 36.5 082199096828
61 Sendi 33 Lapangan Ling III Taniwel 36.3 081254751655
62 Hanah 21 Mekarjati Taniwel 36.3 081243262580
63 Joab 53 Hatiwe Kecil Taniwel 36.1 081243262580
64 Siti 42 Waihatu Waihatu 36.4 -
65 Febriani 21 Waihatu Waihatu 36.2 081248655965
66 Lepinus 55 Lumapelu Taniwel 36 085243149725
67 Eris 22 Ambon Piru 36.5 085243033402
68 Bakti 62 Ambon Piru 36.3 085243033402
UHAN WAIPIRIT

PETUGAS