Nama Puskesmas/Fasyankes/Pos : PAITON

Kabupaten/Kota : PROBOLINGGO
Provinsi : JATIM

Umur
Jenis Kelompok
No No. Registrasi NIK Nama Penerima Vaksin Pekerjaan* (18-59 Alamat
Kelamin Umur
tahun)

1 S-D8C0BC35 351317060273000'3 PRAYOGI SOESANTO L 2 48 46-59 KRAJAN 4/4 KEDUNG SARI MARON
 KRAJAN 2/3 LANGKAP BESUKI
2 P-C15LBZDM 351202100295000'2 MUHAMMAD NUR FADHOL L 2 26 18-30
SITUBONDO

PANDI 2/1 BANYUANYAR TENGAH

3 S-DBC2CBC0 351306190573000'2 MUDHOWI L 2 48 46-59
BANYUANYAR

KP UTARA 2/5 MOJOSARI

4 P-BW42K9I2 350921240592000'3 MOH.NAWAFIL L 2 29 18-30
ASEMBAGUS SITUBONDO

TANJUNG LOR 5/3 KARANGANYAR

5 S-1B255E9E 351312101090000'7 MIFTAHUL ARIFIN L 2 31 31-45
PAITON

6 S-6AD1FF7F 357402150565000'7 ABDUL BASIT L 2 56 46-59 SUNAN KUDUS 4/3 WONOASIH

7 P-CRRE6OID 351318210690000'1 A.JAZIM L 2 31 31-45 KRAJAN 2/1 BRABE MARON

8 P-DGQ2KIXA 351312231288000'3 ZAINAL MUNIR L 2 35 31-45 KRAJAN 12/8 PAITON

9 S-4A83BCA0 351312220791000'1 UMAR FALAS L 2 30 18-30 PATUKANGAN 10/3 PAITON

10 S-67E3B946 351314130780000'2 MUHAMMAD NAIM L 2 41 31-45 PATOKAN JL.A.YANI 1/1 KRAKSAAN

SIDODADI ALAS MALANG 17/4

11 S-329B283A 351310190591000'1 MUH.TAUFIQ HIDAYAT L 2 30 18-30
PAITON

12 S-93348F8D 351312220797000'5 ACH.SHOLEHUDDIN L 2 24 18-30 TANJUNG LOR 3/2 KARANGANYAR P

13 S-2BAB5E2D 351312180395000'5 MUHAMMAD ZUHRI L 2 26 18-30 PATUKANGAN 10/3 RANDU TATAH

14 S-AA4A6248 351318090380000'2 MAHMUD ARIS WIBOWO L 2 41 31-45 RONDO KUNING 5/3

15 S-ECC93414 351312140994000'4 MUHAMMAD SYARQOWI L 2 27 18-30 KARANGANYAR 3/2 PAITON

KP KRAJAN 1/3 MLANDINGAN

16 S-BF07B741 351204040793000'1 MATHLUB MUTASHIM K L 2 28 18-30
SITUBONDO

17 S-C216FB2B 351202050572000'7 BUTRO L 2 49 46-59 GHUMOK 3/2 WIDORO KREJENGAN

ALAS SUMUR KULON 4/5

18 S-2342E6CC 351202090488000'3 AHMAD FAISOL L 2 33 31-45
KRAKSAAN

19 S-E2DC3470 351310260689000'1 MUSHAFFA L 2 32 31-45 SUMBER KEMBAR 2/2 PAKUNIRAN

JL.MERPATI LINGK SEMENGGU 2/4

20 S-9D761DE3 352907210489000'3 SADDAM HUSIEN L 2 32 31-45
BINTORO PATRANG

BLADO KULON TEGALSIWALAN

21 S-5AE9E493 351320060982000'2 FATHOR RASYID L 2 39 31-45
10/2

22 P-GNNTAV6D 351312250801000'5 FIRMANSYAH MAULANA AL-FURQANI L 5 19 18-30 KARANGANYAR 8/4 TANJUNG LOR

TANJUNG LOR 8/4 KARANGANYAR

23 P-GT3WWJGY 351312280400000'3 M.FAISAL AFIF Z L 5 21 18-30
PAITON

JL.MAYJEN SUTOYO 102 2/3

24 S-367ABCF8 351312161290000'3 DWI CANDRA WIBAWA L 2 21 18-30
PATOKAN KRAKSAAN

DSN PESISIR 1/1 MLATEN

25 P-HLG5YFW8 351421080887000'2 AHMAD KHOISOL L 2 34 31-45
NGULING
26 S-EE7A29A2 351312060767000'5 SUHAIRI L 2 54 46-59 TAMAN 6/3 PANDEAN PAITON

TANJUNG LOR 5/3 KARANGANYAR

27 S-D7A2E3FA 351312120874000'3 ADIYATNO L 2 47 46-59
PAITON

28 P-IBEKTIAY 351312180985000'5 JUWAENI L 2 36 31-45 KRAJAN 15/7 KARANGANYAR

29 P-IAEJ1R0U 351314230985000'1 AHMAD SAHIDAH L 2 36 31-45 SIDODADI KEBUN 23/5

ALSEMKANDANG 4/2 ASEMBAGUS

30 S-8D441339 351314230985000'1 ABD.RAHMAN SOLEH L 2 36 31-45
4/2 KRAKSAAN

31 S-E360E412 351312291072000'2 SYAMSURI L 2 49 46-59 KRAJAN 1/1 SUMBEREJO PAITON

32 S-EB34922D 351103200884000'2 MAKRUF L 2 37 31-45 KRAJAN 17/8 KARANGANYAR

33 P-JC99VLD6 351312070883000'5 MOH.FURQON L 2 38 31-45 KEBUN 23/5 SIDODADI PAITON

34 P-J8DHZDOR 351105070790000'4 SAIFUR RIZAL L 2 21 18-30 KRAJAN RANDU CANGKRING

35 P-JDBXY3RZ 357404020784000'2 SUHERMANTO L 5 37 31-45 LEKOK 1/3 PASURUAN

36 S-49246A98 351312220383000'2 MIFTAHUL HUDA L 2 38 31-45 SIDODADI 23/5 KEBUN

37 P-JDNGQVSQ 351312020487000'7 MUHAMMAD KHOLIL L 2 34 31-45 TANJUNG LOR 7/4 KARANGANYAR

 PETUNG CURAH DAMI 11/4
38 S-C1D89762 3511073007810000'2 AHMAD HUDRI L 2 39 31-45
BONDOWOSO

39 P-JEB9VK9Y 351312050590000'3 MISBAHUL HUDA L 2 21 18-30 KEBUN 22/5 SIDODADI

PENGADENGAN 1/3 KEBUN AGUNG

40 S-2D4AC9F9 352517030781001'7 AINUL YAKIN L 2 39 31-45
KRAKSAAN

WARANGERING KEDUNG PRING

41 P-JEMXLEGK 352409080190000'1 NUR HAMID L 2 21 18-30
LAMONGAN

TANA POTE TABUNGAN GALIS

42 S-33E5B3A3 352803100491000'1 BURHANUDDIN L 2 30 18-30
PAMEKASAN

TANJUNG LOR 8/4 KARANGANYAR

43 S-9C1FD86E 351312280363000'1 LUKMAN AL HAKIM L 2 58 46-59
PAITON

KP CEMPAKA KAYU PUTIH 2/5

44 P-JE6MND7U 352922050597000'2 MUHAMMAD ALI WAFA L 2 24 18-30
PANJI

45 S-4A8CE7FB 352922120188000'8 DIDIYANTO L 2 33 31-45 SOKORAME 3/8 JATIGONO

46 S-F796DA86 351313301079000'1 ABD.HAMID L 2 42 31-45 CANGAK 4/1 SINDETLAMI BESUK

47 S-C6C236E4 351312020883000'1 QOMARUDIN L 2 38 31-45 SIDODADI 23/5 PAITON

48 P-JGQH0WOV 351202140786000'2 ALFIAN WAHIDANTO L 2 35 31-45 JL.G.KAWI NO 71 BESUKI

KYAI YOSUWINGAUN 6/1

49 P-JH4IK6OU 351101150595000'6 MUHAMMAD ADI L 2 26 18-30
LUMAJANG
50 P-JHLSBIBI 351312130395000'4 MUJIBUL KHOIR L 2 26 18-30 KRAJAN 14/7 KARANGANYAR

51 P-JHKBWUGQ 351312020897000'1 JUNAIDI L 2 24 18-30 GILIN 4/2 RANDU TATAH PAITON

TANJUNG LOR 5/3 KARANGANYAR

52 P-JI7V7QWO 351312040878000'2 AHMAD SAILI L 2 43 31-45
PAITON

53 S-2D81C9E8 351323160388000'5 M.LUTFI FAUZI L 2 33 31-45 GERDU 3/1 TAMBAK REJO TONGAS

54 S-4834CE58 352801210390000'3 UMARUL FARUK L 2 21 18-30 DAUH 7/3 ALAS TENGAH BESUK

55 S-5AE6CCE1 351312100575000'5 MISBAHUL MUNIR L 2 46 46-59 TANJUNG LOR 1/2 KARANGANYAR

56 S-6AFD7A0B 351312250570000'3 FONI YUSANDA L 2 51 46-59 KRAJAN 14/7 KARANGANYAR

57 P-JJ1NDZQT 351312270168000'2 LUTFI HARIJI L 2 53 46-59 TANJUNG LOR 2/3 KR.ANYAR

58 P-JJ25VK5O 351312300468000'1 FATHUL MUNIR L 2 53 46-59 SEKAR 9/3 SUMBERANYAR

MUNGGING 9/3 ALAS PANDAN

59 S-DD8ECA29 351310121082000'2 ALIMUDDIN L 2 39 31-45
PAKUNIRAN

60 S-DF213037 351312040591000'4 AINUL MUSTAFID L 2 30 18-30 TANJUNG LOR 8/4 KR.ANYAR

KIDUNG BRINGIN 2/2 SENTONG

61 S-D5EEAF9D 351309110779000'2 AHMAD ISMAIL L 2 42 31-45
KREJENGAN
62 S-5E537A4A 351312270180000'3 AMSUN L 2 41 31-45 SEKAR 16/5 SUMBERANYAR

63 P-JKEMFOH3 35131221076000'1 M.SYAFIIH L 2 55 46-59 KRAJAN 17/8 KR.ANYAR

64 S-D792D5E0 351312180478000'3 MUSTAFA L 2 43 31-45 KEBUN 23/5 SIDODADI PAITON

MASANGAN BARAT BUNGAH

65 S-0D985AFD 352512100879000'1 AHMAD AGUS FANANI L 2 42 31-45
GRESIK 10/5

66 P-JKVDJCE8 351312061079000'4 NAHRAWI L 2 42 31-45 KRAJAN 16/8 KR.ANYAR

67 P-JKZ1YZNI 351108240396000'2 MUHAMMAD NUR WAHYUDI L 2 25 18-30 BATAAN 16/5 BONDOWOSO

68 P-JLFDGYKZ 351018170386000'6 AHMAD FRIFQI L 2 35 31-45 KRAJAN 17/8 KR.ANYAR

69 S-57EFFF7C 351319220984000'1 HARIS FIRDAUS L 2 37 31-45 RANDU PUTIH 2/1 DRINGU

70 P-JLOC5GJM 351309210886000'3 SYAIFUL ANAM L 2 35 31-45 DSN GESENGAN 10/4 DANDANG

71 P-JLHCUW5Y 351513020980000'4 FIRMA TASMARA L 2 41 31-45 ASROL WAGE 11B/09 SIDOARJO

PADASAN 12/5 PUGER

72 S-C397864E 351104040490000'1 MUHAMMAD ZUHRI L 2 30 18-30
BONDOWOSO

73 S-B04F7487 351202080680000'1 ABDUL MANAF L 2 41 31-45 JLN.MAWAR 2B 2/1 BESUKI

74 P-JNIF4ZEH 351312220270000'3 AHMAD HUDAWIAS L 2 51 46-59 TANJUNG LOR 4/2 KR.ANYAR

DSN KANAL 8/3 TALKANDANG

75 P-JOBP4KVD 351311210383000'2 SUHER L 2 38 31-45
KOTAANYAR

76 P-JOXQ69AT 351311250881000'2 ABDULLAH AL ANIS L 2 40 31-45 DSN KRAJAN 8/3 SAMBIRAMPAK

77 S-46BBA03B 351312240877000'1 NUR HALIM L 2 44 31-45 KRAJAN 2/1 KR.ANYAR

78 S-01ED193B 351314540385000'4 NUR HALIMA P 2 36 31-45 TANJUNG LOR 2/1 KR.ANYAR

DUSUN KEBUN 22/5 SIDODADO,

79 S-8B0DCD5B 3528010805890000 ABDUR ROSYID L 2 32 31-45
PAITON

TEPOS, BANYUGLUGUR 2/3

80 P-JFPVOQWU 3512072901930002 TITO ROY ZAKKI MUBAROK L 2 28 18-30
SITUBONDO

TANJUNGLOR 2/4 KARANGANYAR,

81 S-128C5F1F 3513120404720006 MUSTHAFA SYUKUR L 2 49 46-59
PAITON

TANJUNGLOR 3/2 KARANGANYAR,

82 S-FEC97763 3513180808780002 MOCH. TOHET L 2 43 31-45
PAITON

83 P-AIJ4TIJI 3513125006790000 UMMI KULSUM P 2 42 31-45 KARANGANYAR PAITON

KARANGANYAR - KARANGANOM
84 S-9A633B0F 3513126006850000 SURYATI ADELIA P 2 36 31-45
9/5

GRIYA PERMAI KEBUN 23/5

85 S-E0B13EBA 3513124708750000 ALFIYAH P 2 46 46-59
SIDODADI
86 P-BAUDYJKD 3513125109670000 RUMYATI P 2 54 46-59 KARANGANYAR PAITON

87 P-BIS1GOY6 3510186005970000 NURUL FATIMAH P 2 24 18-30 ALAS TENGAH PAITON

88 P-B2BKF3PG 3513126012900000 HALIMATUS SUHAILAH P 2 31 31-45 KARANGANYAR PAITON

89 P-C12R389D 3513125202870010 MARIA ULFA P 2 34 31-45 KARANGANYAR PAITON

90 P-BOPY4FVC 3513125606940000 ANIQ SYAHRIATUL MAGHFIROH P 2 27 18-30 KARANGANYAR PAITON

91 P-CCLQZUKE 3513124508940000 ROMZATUL WIDAD P 2 27 18-30 KARANGANYAR PAITON

92 S-C5D94763 3529086009860000 RAWASIYAH P 2 35 31-45 SUMENEP MADURA

KARANGANYAR - TANJUNG LOR

93 S-0FFO554E 3513125606810000 SULISTIAWATI P 2 40 31-45
8/4

KARANGANYAR - TANJUNG LOR

94 S-8991C75F 3513125302740000 FITRIYAH P 2 47 46-59
3/2

95 P-CTTQCDUD 3513126504820000 MELATI SECANINGRUM P 2 39 31-45 PAITON - MASJID 2/1

KARANGANYAR - TANJUNG LOR

96 S-9176BF04 3513125010780000 ULFATUL HALIMAH P 2 43 31-45
3/2

97 S-92CFCFE6 35131004711810000 USWATUN HASANAH P 2 40 31-45 GLAGAH PAKUNIRAN

98 S-942325A0 3513125110870000 ZAKIYAH B. Z P 2 34 31-45 PERUM RAFLESIA SIDODADI

99 P-DJCIH5WX 3513146007840000 ENDANG LESTARI P 2 37 31-45 KEBONAGUNG KRAKSAAN

100 S-EF1403D8 3513126404770000 IMROATUL KHUSNAH P 2 44 31-45 KARANGANYAR PAITON

101 S-036FA39D 3513116001790000 TITIN YUNIARTI P 2 42 31-45 TAMAN - KRAJAN 3/1

102 S-B61AE466 3513125706700000 HUKMIYAH P 2 51 46-59 KARANGANYAR PAITON

103 P-DXX5A2UH 3513125305840000 DIYAN MAYASARI P 2 37 31-45 SUMBERREJO - KRAJAN 10/4

KARANGANYAR - TANJUNG LOR

104 S-5179E920 3513124209830000 FAIRUS P 2 38 31-45
7/4

KARANGANYAR - TANJUNG LOR

105 S-13931224 3513124609900000 SITI FATIMAH P 2 31 31-45
5/3

106 P-G3IXQ0N8 3512024908970000 ZUYYIMATUR ROIZAH P 2 24 18-30 JL. KRAKATAU BESUKI

107 P-H8QN9T3E 3513125605870000 IZZATUS ZAINIYAH P 2 34 31-45 KARANGANYAR PAITON

108 S-866A3655 3513125105690000 ERNAWATI SALIHAH P 2 52 46-59 PERUM RAFLESIA SIDODADI

109 P-GGKOUC7Q 3513126806720000 WASILATUL BARIROH P 2 49 46-59 KARANGANYAR - TANJUNG LOR 84

110 S-28B27383 3513125805880000 FITROTUL FAIZAH P 2 33 31-45 SIDODADI - KEBUN

111 S-7294F347 3509236108900000 ZAKIYATUS SHOLIHAH P 2 31 31-45 ASEMBAKOR KRAKSAAN

SULING KULON - KRAJAN UTAMA

112 P-IXGLP4M3 3511156505940000 ROBI'ATUS SHOLIHAH P 2 27 18-30
3/1 CERMEE BONDOWOSO

JENGGRONG RANUYOSO
113 P-JEFQRDR9 3508205903980000 ANIS FITRIA P 2 23 18-30
LUMAJANG

BR. DINAS MUNDUKUNCI

114 P-JFD5JNGY 5108056511990000 ZAHROTUL AINI P 5 22 18-30
TEGALINGGAK SUKASADA BALI

PERUM D'TAR GG. SAKURA D.10

115 P-JG3QBNXA 3511155611910000 AFIFAH TUNNAJA P 2 30 18-30
KARANGANYAR

116 P-JGGHSUF0 3528035408980000 LIA QURROTA AINI P 2 23 18-30 GALIS PAMEKASAN MADURA

117 P-JGQT344T 3510105208910000 SITI NUR HAKIKI P 2 30 18-30 SIDODADI - KEBUN

CURAH JERU 1/11 PANJI

118 P-JH0J4GY3 3512085611000000 LATIFATUL FAIZAH P 5 21 18-30
SITUBONDO

119 S-5CA7BF8B 3578156306780000 ANIS YUSROTUN NADHIROH P 2 43 31-45 PERUM RAFLESIA A3 SIDODADI

120 P-JIBVEBJS 3511014505990000 NUR SILFIATUN HASANAH P 5 22 18-30 MAESAN BONDOWOSO

PENGASTULAN SERIRIT
121 P-JIMQEMZB 5108025103990000 KARTIKA RAHMANIA PUTRI P 5 22 18-30
SINGARAJA BALI
122 S-852D07AF 3513126802910000 FERISKA LISTRIANTI P 2 30 18-30 KRAMPILAN BESUK

PERUM D'TAR GG. BOUGENVILE

123 N-I3C0F3E0 5103017112900010 TOLAK ANI S. P 1 31 31-45
B6 KARANGANYAR

REJOAGUNG SUMBER WRINGIN

124 S-D2E8BADB 3511186203920000 SITI AISAH P 2 29 18-30
BONDOWOSO

TANJUNG KAMAL MANGARAN

125 P-JK3UMXLW 3512095501980000 SEVIA DIANA SAFITRI P 5 23 18-30
SITUBONDO

PENGASTULAN SERIRIT
126 P-JKHKSYBP 5108065603000000 HAJAR ROSDIANA P 5 21 18-30
SINGARAJA BALI

127 S-A9C11D6A 3513126501790000 MUTAMMIMAH P 2 42 31-45 KARANGANYAR - TANJUNG LOR

128 P-JKR6R660 3513116411930000 NUR QOMARIYAH P 2 28 18-30 SAMBIRAMPAK KIDUL KOTAANYAR

DESAKRAI SENTONO 6/1

129 P-JL4OFTJ3 3508075910950000 ALFIAH P 2 26 18-30
YOSOWILANGUN LUMAJANG

130 P-JLJQNVQK 3574024908990000 LAILATUS ZUHRO P 5 22 18-30 SUMBER TAMAN PROBOLINGGO

CURAHPOH 2/1 CURAHDAMI

131 P-JLXESFRU 3511075906980000 SRI WAHYUNI P 5 23 18-30
BONDOWOSO

KETAH KULON DEMUNG BESUKI

132 P-JM8BJUKL 3512026802010000 NOVITA DWI YANTI P 5 20 18-30
SITUBONDO

133 P-JMK49LIF 3513124306020000 AFAF MERYSCA FIRDAUS P 5 19 18-30 SIDODADI PAITON

 SUMBER KEMUNING TAMANAN
134 P-JMVC01FV 3511026012990000 SAIDAH FITHRIYAH ALAYDA P 5 22 18-30
BONDOWOSO

135 P-JN3YTKPJ 3511117110010000 RIMA OCTAVIANI P 5 20 18-30 BADEAN BONDOWOSO

136 P-JNBD1LHE 3512016707020000 SITI NURAINI MAKSUM P 5 19 18-30 KP. TEGAL TENGAH

137 S-EBFD3A1A 3513125809840000 KUNI BADRIYAH P 2 37 31-45 SIDODADI PAITON

PASANGGAR PEGANTENAN
138 P-JNLRNPHO 3528075001990000 RUSNASARI P 5 22 18-30
PAMEKASAN

139 P-JNZ83KL1 3513076403010000 SITI AISYAH P 5 20 18-30 SEGARAN TIRIS

140 P-JO7UPAKV 3511035610010000 AULIA OKTARISA P 5 22 18-30 TLOGOSARI BONDOWOSO

141 P-JOIF4OKH 3512085704010000 TAHTA ANNISA P 5 20 18-30 PANJI SITUBONDO

142 P-JOPLQRVK 3511065705990000 UMSATUS SHOLIHAH P 5 22 18-30 GRUJUGAN BONDOWOSO

143 P-JP0G8QHW 3512154109010000 ULFATUR RAHMAH P 5 20 18-30 SUMBERMALANG SITUBONDO

144 P-JPCOSJWE 3513176004000000 NAILIS SA'ADAH ALI P 5 21 18-30 MARON PROBOLINGGO

145 P-JPKKAJJN 3513104909990000 SITI AISYAH P 5 22 18-30 BIMO PAKUNIRAN

 TUNJUNG RANDUAGUNG KRAJAN
146 P-JPSXDGE5 9102015611000000 DWI ANGGRAINI NOVITASARI P 5 21 18-30
1 1/1 LUMAJANG

PADDEGAN RAMBAN KULON

147 P-JQ45BMOR 3511154904020000 WARDAH AFIFAH P 5 19 18-30
CERMEE BONDOWOSO

148 P-JQGSZ75L 3512045904990000 NADA FITRIA P 5 22 18-30 MLANDINGAN SITUBONDO

149 P-JQQTQ8RU 3513116101000000 PUTRI NURIL MUFIDAH P 5 21 18-30 SAMBIRAMPAK KIDUL KOTAANYAR

150 P-JQV4QBLJ 3512155607990000 JAMILATUNNISA' BASHORI P 5 22 18-30 SUMBERMALANG SITUBONDO

151 P-JQZZXK3X 3511055906990000 DZURROTUL MUNIROH AHDANI P 5 22 18-30 ALASSUMUR PUJER BONDOWOSO

152 P-JR50GQD6 3513067101020000 PUTRI AMALIA WULANDARI P 5 19 18-30 LIPRAK KULON BANYUANYAR

153 P-JRBEFPUO 3512016608010000 SITI KHOIRIYAH P 5 20 18-30 JATIBANTENG SITUBONDO

SELOWOGO BUNGATAN
154 P-JRM2B8NW 3512176212990000 NUR AZIZAH P 5 22 18-30
SITUBONDO

TANGSIL KULON TENGGARANG

155 P-JRKJR1K1 3511085107010000 LINDAYATI P 5 20 18-30
BONDOWOSO

KARANGANYAR - TANJUNG LOR

156 S-FFE493CD 3513124806860000 DIANTIKA AYUNINGRUM P 2 35 31-45
2/1

TREBUNGAN MANGARAN
157 P-JS4TEU05 3512095109020000 NADIRA RUSDIAH P 5 19 18-30
SITUBONDO
158 P-JSBIC83R 3509026509000000 PUTRI MAR'ATU SHOLEHAH P 5 21 18-30 KENCONG JEMBER

159 P-JSGSLK1I 3513125101880000 EMA FAUZIATIN P 2 33 31-45 SIDODADI PAITON

160 P-JSJTRENQ 3513096806970000 HUSWATUN HASANAH P 5 24 18-30 CONDONG GADING

161 P-JSMNRVO0 3511094102000000 HANA NUR ILMIAH P 5 21 18-30 WONOSARI BONDOWOSO

162 P-JSRDIUA0 3513055208990000 DIAH MUSTIKA TRI AGUSTIN P 5 22 18-30 LECES PROBOLINGGO

163 P-JSTZZD6O 3511106205990000 THORIQOTUL FAIZAH P 5 22 18-30 JATIAN 33/11 TAPEN BONDOWOSO

ALASSUMUR KULON JUJUK 4/5

164 P-JT7ON34E 3513146109900000 HALIMATUS SAKDIYAH P 2 31 31-45
KRAKSAAN

165 P-JTBSYEE1 3512114106010000 RINA TRI SUMIYATI P 5 20 18-30 ARJASA SITUBONDO

166 P-JTKAIA2D 3512127011010000 HELMIYATUL MUKARROMAH AZ P 5 20 18-30 JANGKAR SITUBONDO

GUNUNG ANYAR TAPEN

167 P-JTNMTA93 3511105806010000 NUR DIANA KHOLIDAH P 5 20 18-30
BONDOWOSO

168 P-JTQTXGEM 3511096108980000 SHELA AGUSTIN P 5 23 18-30 WONOSARI BONDOWOSO

SULING KULON - KRAJAN UTAMA

169 P-JTT05LEI 3511154908010000 ROSYIDATUL BADI'AH P 5 20 18-30
1/1 CERMEE BONDOWOSO
170 P-JTWIS3VA 3512166110020000 ARIN FIRDAUSIYAH P 5 19 18-30 KALIANGET BANYUGLUGUR

171 P-JTZVLRI8 3513174202000000 NUR LAILIYA FITRIANA P 5 21 18-30 SUMBERPOH MARON

172 P-JUB3U3RZ 5103015207980000 ITAWATI P 5 24 18-30 BARAT SAWAH RA'AS

DAJA SONGAI BILAPORA TIMUR

173 P-JUK1OU61 3529106102990000 DINI HANIFIYAH P 2 22 18-30
GANDING SUMENEP

JL SAMUDRA 66 DUSUN KRAJAN

174 S-1B76DAB1 3513126709860001 SITI INNA MUSYAWAROH P 2 25 18-30
3/2 PONOK KELOR

DSN TANJUNG KIDUL 22/11 -

175 P-DGVGLUC4 3513126209700001 SUHAMI P 5 24 18-30
KARANG ANYAR

176 P-E31O9ROQ 3513124801830002 TOYATI P 5 38 31-45 DSN GASAL 1/1 SUMBERANYAR

177 P-EO8RGUMA 3513126504010002 ARINDA SALSABILA DWI PRAVIT P 5 20 18-30 DSN KRAJAN - PAITON

178 P-D4DTMJVG 3513121509650001 SUHARTO L 2 56 46-59 DSN KOTA - 14/6 SUKODADI

179 P-CHP9LB4F 3513125608710001 SUMARNI P 2 50 46-59 DSN KOTA - 14/6 SUKODADI

180 P-EV60KD0Z 3513105606740001 MUSRIFA P 5 47 46-59 DSN KRAJAN 1/1 PONDOK KELOR

181 P-GIZUTEIT 3513142612020001 M. ROJIL MISAS L 5 19 18-30 KP OLEAN KRAJAN 2/3 SITUBONDO
182 P-CVX5JMI4 3513124503720001 TUSIATI P 5 49 46-59 DSN PASAR 8/3 - SUKODADI

DSN KAMPUNG BARU 17/8 -

183 P-FZGNSJUH 3513125911700002 NUR KHASANAH P 5 51 46-59
SUKODADI PAITON

JL PEMUDA KAFFA 6/1 TANJUNG -

184 P-FQXXYFGE 3526036705980001 LAILATUL IZZAH P 5 23 18-30
BURNEH

DESA PANJI KIDUL 1/2 -

185 P-I0ZP6JAQ 3512086607990005 FITA ROHANSA P 5 22 18-30
SITUBONDO

DSN MANDARAN 10/10 - PONDOK

186 P-HA0XUDCO 3513126512000001 MIFTAHUL JANNAH P 5 21 18-30
KELOR - PAITON

POH SANGIT KIDUL - KOTA

187 P-HNYKSII6 3574014611990003 NOVITA RISKA ANGGRAINI P 5 22 18-30
PROBOLINGGO

DSN KRAJAN II 4/2 RANGKANG -

188 P-EZMDCXMF 3514180210870003 MUCHAMAD JUNAIDI P 2 34 31-45
KRAKSAAN

DSN CENDIL 11/3 ALAS TENGAH -

189 P-GWMTRFN0 3506115806900001 BINTI ISTIQOMAH P 2 31 31-45
PAITON

JL INDRA GIRI (MASTRIP) 1/4 -

190 P-NB4W15J9 3574044211990001 MONIKA NOVITA SARI P 5 22 18-30
JREBENG WETAN KEDOPOK

191 P-NALSUD5L 3513060102010002 FEBRIAN AS SHELLA Y P 5 20 18-30 DSN PENDIL 11/3 - BANYUANYAR

192 P-NBJYLS0X 3513125708930004 ROMLA AGUSTIN P 5 28 18-30 DSN KRAJAN - KARANG ANYAR

193 P-NAIYBKZ5 3513135210000002 RIKE NUR SAFITRI P 5 21 18-30 RABASAN 3/1 BESUK
 JL NUSA INDAH BARU NO.21 5/6
194 P-NC5CG0UK 3513235409000002 SRI WAHYUNINGSIH P 5 21 18-30
PROBOLINGGO

DS SUMBERWATU - KALIACAR -
195 P-N6WDM4UR 3513094202000004 INTAN MAULIDAH P 5 21 18-30
GADING

196 P-NC5YZKFL 3511154708000001 NOFILATIN MABRURO P 5 21 18-30 DS CERME 5/1 BONDOWOSO

197 P-NCJ6I5VF 3529205802000003 ZAITUN MUSTAQIMAH P 5 21 18-30 SEPUDI - SUMENEP

198 P-NBWYXZVM 3512174803000001 FINA ZAINANA PUTRI P 5 21 18-30 KP POLAY 18/7 - SUMBERTENGAH

DSN TANJUNG KIDUL 19/9 -

199 P-NBN7MUCY 3513125406910005 SUMIATI P 5 30 18-30
KARANG ANYAR

DSN KAMPUNG BARU 17/8 -

200 S-100AA5EF 3513125506590002 SURATI P 5 62 1
SUKODADI PAITON

KP PESISIR 2/4 BANYUGLUGUR -

201 P-NDJQRAQC 3512166502020002 NOVI DEWI ISMI RAHMAWATI P 5 19 18-30
SITUBONDO

202 P-NDSMFWAH 3513125006000001 TUTIK NURJANNAH P 5 21 18-30 JL TAMAN 9/3 PAITON

203 P-NDBMSXBI 3513124107670007 SAFIYA P 5 54 46-59 KARANG ANYAR 15/7 PAITON

DS TANJUNG KIDUL 18/9 KARANG

204 P-NCTD6DSK 3513125704750005 MISNAWATI P 5 46 46-59
ANYAR - PAITON

205 P-NEJSE1IK 3513111211960003 DEDE SETYAWAN YUHANA L 5 25 18-30 TRIWUNGAN 5/3 - KOTA ANYAR
206 P-NEFMD7KF 3513102204000001 FAUZAN ABDUL LATIF L 5 21 18-30 DS TAMPARAN 14/4 PAKUNIRAN

SUMBER KATIMOHO 7/2

207 P-NCA7DZDN 3513154710820006 NUR HAMIDAH P 5 21 18-30
KREJENGAN

208 P-NEA14C5R 3529112008600004 MOH SURYADI L 5 22 18-30 PRAGAAN LAOK 1/2 - MADURA

DSN TLUSREJO II 9/3 REMPAH LOR

209 P-NDQ9X377 3508005440300006 NAHDIA FIKI MAGHFIROH P 5 21 18-30
- TEMPEH LUMAJANG

210 P-NDCV7M8C 640109670300001 NORI WASILATUL MUNAWAROH P 5 21 18-30 PAKEM 6/3 BONDOWAOSO

KP TANJUNG GEGER 1/2 -

211 P-NDVJ32IP 3512095401000001 MELINIA AKHIRUL FITRI P 5 21 18-30 TANJUNG PECINAN - MANGARAN -
SITUBONDO
DS PESANGGRAHAN 2/3
212 P-NE2Z4JLW 3512125005010001 SITI ZAINAB P 5 20 18-30
SITUBONDO

DSN KRAJAN 17/8 KARANG ANYAR

213 P-NDWAF0XJ 3513124107850118 SRIWAHYUNI P 5 36 31-45
- PAITON

214 P-NGA919Y 3529206201020003 NUR AINI P 5 19 18-30 GAYAM - SUMENEP

215 P-NFQRTT0V 3513122606990003 ABDUL GHOFUR L 5 22 18-30 PONDOK KELOR 2/1

216 P-NG2UART3 3513165807010001 INAYATUL MAULA P 5 20 18-30 SUKOMULYO 1/2 PAJARAKAN

217 P-NFS1WSCX 3510185606000002 AYYUL FARIQOINI P 5 21 18-30 BENGKAK 3/2 WONGSOREJO

218 P-NFMBT9LN 3513105701020003 YULIA DEWI SUSANTI P 5 19 18-30 BUCOR KULON 4/1 - PAKUNIRAN

DS TOKO SUMUR DALAM 10/3 -

219 P-NF57VCV2 3513134207010004 NELY PUTRI AYU P 5 20 18-30
BESUK

220 P-NEX25ETO 3512176506020001 YUNITA IRANI P 5 19 18-30 BUNGATAN 4/6 SITUBONDO

DSN MATIKAN 29/10 SUMBERREJO

221 P-NGXJYSO7 3513126302020003 CAHYA WAHYUNI PUTRI P 5 19 18-30
- PAITON

222 P-NHSI1JDU 3512051102820003 SUBAIRI L 2 39 31-45 KARANG ANYAR 20/10 PAITON

SUMBER TENGAH - BUNGATAN -

223 P-NHZH3EHR 3512174407020001 EKA HANDAYANI P 5 19 18-30
SITUBONDO

224 P-NI6NJVUN 3513121110790005 MUSTAQIM L 2 42 31-45 KARANG ANYAR 15/7 PAITON

225 P-NHVDZYMR 3513045010990003 SUFIATI P 5 22 18-30 DSN KRAJAN 6/2 KARANG ANYAR

226 S-A2D34970 3513124808580002 SALATI P 5 63 1 DSN TANJUNG LOR 5/2

227 P-NIRVKFUS 3511156211020002 ADELYA SALSABILAH NURRAMA P 5 19 18-30 KLADI 3/3

JL VETERAN - KAMPUNG
228 P-NIZW8CMZ 5108065610020007 AYU JASMIN KUSUMA PUTRI P 5 19 18-30
SINGASARI - BALI

DSN KLOMPANGAN 1/1 -

229 3513115007020002 SALSABILA FIRDAUSIYAH P 5 19 18-30
SAMBIRAMPAK LOR - KOTA ANYAR
 KAFDUNGDOWO - ARJASA -
230 P-NJH1PBGW 3512115312010001 MAYSANO P 5 20 18-30
SITUBONDO

231 P-NIL8ACQF 35131630500002 UUD HULSIYATUL MUNAWAROH P 5 21 18-30 JAMBANGAN 2/5 BESUK

JL. KH AGUS SALIM -

232 P-NJMIOQ6U 3511114801020002 EKA WAHYU FITRI NINGTIAS P 5 19 18-30
BLANDONGAN

233 P-NJJTI0EJ 3513136809990001 SILVIANA QOMARIYAH P 5 22 18-30 ALAS TENGAH 2/2 BESUK

234 P-NH5I9LJA 3513127108020003 NURLINDA HIDAYATUL JANNAH P 5 19 18-30 DSN KRAJAN 16/6 PANDEAN

DSN CITRA 1/3 DAWUHAN -

235 P-NIVDMHDB 3513156510980004 VIDIA KHAIRUN NISAK P 5 23 18-30
KREJENGAN
JL IKAN TENGGIRI NO.67
236 P-NGL6LQGQ 3574035505990003 SULISTYNA P 5 22 18-30 MANGUNHARJO 4/8 MAYANGAN -
KOTA PROBOLINGGO
BANJAR BARAT - GAPURA -
237 P-NJDAIIHB 35259194305030003 SOFIYATUL PUTRIYANA P 5 18 18-30
SUMENEP

DSN TANJUNG LOR 5/2 KARANG

238 P-NKEIPDIG 3513124812770001 HASANAH P 5 44 31-45
ANYAR

239 P-NK9HIW3W 3513104503030002 NURUL MUSCAFIDZAH P 5 18 18-30 KEERONEGORO - PAKUNIRAN

240 P-NJUX6GFL 5108016509020001 NURDIANA KHOLIDAH ARIANI H P 5 20 18-30 BULELENG - SINGARAJA - BALI

241 P-NK417WJ8 3513105603020002 AVITA BULGHOIS HUMAIRO P 5 19 18-30 SOGAAN - PAKUNIRAN

242 P-BQSWXDMK 3513125003870009 IRFAIYAH P 5 34 31-45 ALAS TENGAH - KENDAL 15/4

243 P-AJN5V0BV 3513124801030002 ROFIATUL LAILIYAH P 5 18 18-30 PONDOK KELOR - CEMPAKA 11/6

KARANGANYAR - TANJUNG KIDUL

244 S-200A9236 3513125705600001 MURTIATI P 5 61 1
22/11

KARANGANYAR - TANJUNG KIDUL

245 P-DHRVM7FU 3513125202700001 MISYATI P 5 51 46-59
22/11

KARANGANYAR - TANJUNG KIDUL

246 P-F35O102R 3513125108630001 SUNARTI P 5 58 46-59
22/11

247 P-E63CFJVI 3513121202790004 ABDUR ROZAQ L 4 42 31-45 PONDOK KELOR - MANDARAN 18/9

248 P-EPKSS32E 3513125605810002 BUYANTI P 5 40 31-45 PONDOK KELOR - MANDARAN 18/9

249 P-FCZAORL0 3513125612790002 INDAH WATI P 5 42 31-45 PAITON - KRAJAN 8/3

250 P-FUY9GSQ7 3513127112650002 NUR AINI P 5 56 46-59 KRAJAN 14/7

251 P-GQSWEIXK 3513142204020001 RIFTAHUL HUDA L 5 19 18-30 PATOKAN KRAKSAAN 1/6

252 P-GP1MCMC 5108016409000002 SEPTI NUR BADRIAH P 5 21 18-30 PEMUTERAN SINGARAJA BALI

253 P-GTHBCZY0 3513171707990007 AINUR ROFIQ L 5 22 18-30 BRABE MARON KRAJAN 3/1
254 P-II4ZV5IX 3574035808990008 NISA'UL KARIMAH P 5 22 18-30 JL. CEMPAKA 3/3

255 P-I0OJ2IXR 3174055604991002 PUTRI INNI KHOZAIMAH P 5 22 18-30 KEB. LAMA UTARA JAKARTA

256 P-HP5UGEXB 3574015611990001 CHOIRUN NISAK P 5 22 18-30 TERIWUNG KIDUL KRAJAN 5/1 PRO

257 P-HBUH8HMD 3513105602990001 SUMIATI P 5 22 18-30 GUNGGAN KIDUL KRAJAN 3/1

258 P-FJSPAHMC 3513141203000002 ACHMAD SHOFIYUDDIN AL FARI L 5 21 18-30 BLOK LAOK LEKE 4/4 SIDOPEKSO

259 P-FKZ0EIWG 3513130810990002 FERDI HASAN SARMADA L 5 22 18-30 KEMBANG 1/6 JAMBANGAN BESUK

BATU AMPAR 1/1 SELOWOGO

260 P-IJIINQFO 3513174208000001 NUR LAILIA P 5 21 18-30
BUNGATAN SITUBONDO

261 P-NAZ09SCX 3508040612000001 AHMAD JAZULI L 5 21 18-30 LUMAJANG 5/2

262 P-NAUVFWK2 3513130508980001 MOCH. SHOLEHUDIN TUFFA L 5 23 18-30 SINDET LAMI CAYAK 5/1 BESUK

ALAS PANDAN KRAJAN 2/1

263 P-NAS2OPS0 3513104110000002 WINDY AYU OKTAVIL M. P 5 21 18-30
PAKUNIRAN

PONDOK DALEM SEMBORO

264 P-NAL3MPOT 3509074906010002 ELY HASIM P 5 20 18-30
JEMBER

265 P-N5REKURJ 3513196703010001 DEWI MARTININGSIH P 5 20 18-30 SEKARKARE DRINGU

266 P-NBVMOJ8U 3513125307860004 LILIS MAIMUNA P 5 35 31-45 KRAJAN 17/8

SUMBERARGO KRAJAN 1/1

267 P-NC6ZJKDJ 3512156007000002 INNANI KHOLIDATUL JANNAH P 5 21 18-30
SUMBERMALANG SITUBONDO

KARANGANYAR - TANJUNG KIDUL

268 P-NBY2H5JU 3513125611930002 ZAINAB P 5 28 18-30
20/10

269 P-NCVP1AHW 3509175405000004 PUTRI NUR MALASARI P 5 21 18-30 CURAH KATES AJUNG JEMBER

270 P-NBOC57AL 3508055705000004 RAUDATUL JANNAH P 5 21 18-30 KALIWINGU TEMPEH LUMAJANG

KARANGANYAR - TANJUNG KIDUL

271 S-B82888EC 3513124107500201 NATI JATIMA P 5 71 1
19/9

KAJUJILA SANA LAOK

272 P-NBG9L08V 3528101609950001 ABD. ROHMAN L 5 20 18-30
WARUMADURA

273 P-NAWQR0R4 3513102505000003 ABDURROHIM L 5 20 18-30 GONDOSULI 1/1 PAKUNIRAN

274 P-NDAGFFIU 3513122201820003 MOH. JAYUS L 5 39 31-45 JABUNG CANDI KRAJAN 1/1

275 P-NED6UTTC 3513125411000002 NUR KHOLIMAH N. P 5 21 18-30 BINOR 9/5

KARANGANYAR - TANJUNG KIDUL

276 P-NDJAOBXT 3513124205860009 SITI AISYAH P 5 35 31-45
18/9

277 P-ND1F262J 3513124104870003 MASFIN L 4 54 46-59 KARANGANYAR 15/7

278 S-104C76CD 3513124107380037 ARJUHA AL BIRYO L 4 83 1 PANDEAN KRAJAN 16/6

279 P-NCLLTWXP 3513127001720002 SUPYANI P 4 49 46-59 KARANGANYAR 14/7

CURAH COTTOK 2/1 KAPANGAN

280 P-NED7VXJ0 3512107110990001 HERAWATI P 5 22 18-30
SITUBONDO

281 P-NF5QA1FT 3512092205000001 ZAINUL HASAN L 5 21 18-30 MANGARAN 2/8 SITUBONDO

SEMAMBUNG JATIBANTENG 1/2

282 P-NE4EZWDD 3512012003010002 M. ROFIQ L 5 20 18-30
SITUBONDO

283 P-NCPW2KBF 3513125804010003 FENIATIN NABILA P 5 20 18-30 RANDU MERAK 6/3

284 S-5E27BB89 3513114107590016 ALIYA P 4 62 1 KOLORAN 22/6 KOTAANYAR

285 P-NFXBSDGG 3513124107770102 SULAIHA P 5 44 31-45 KARANGANYAR KRAJAN 14/7

286 P-NEINL7RC 3513125909980003 MANISAH SALMA P 5 23 18-30 JLN. PRIMADONA BINOR 10/5

DAWUHAN 12/3 ALASSUMURLOR

287 P-NG9FX9RR 3513134605010001 KHUSNUL KHOTIMAH P 5 20 18-30
BESUK

288 P-NGU8RQ6S 3513181105730001 TIRMIDI L 2 48 46-59 GRIYA PERMAI E4 SIDODADI

289 P-NFUSHTWP 3513236009000002 NOVITA P 5 21 18-30 JARINGAN 12/3 BAYEMAN TONGAS

290 P-NGHZ1Q6V 3513105708020001 NURUL WASILATUL LAILI P 5 19 18-30 PAKUNIRAN 24/7

PIALANGAN SUMBER MALANG

291 P-NFIPD4V4 3512155707020001 FITRI ANI ARIFAH P 5 19 18-30
SITUBONDO

292 P-NF9V2HPH 35131213011920001 FAHRUDIN L 2 29 18-30 KALIKAJAR KULON 4/1

293 P-NHEUUGKX 3513120905000001 M. FAWAIDUR RIZKI L 5 21 18-30 JABUNG WETAN KRAMAT 2/1

SUMBER WRINGIN 27/6

294 P-NHLFX8IT 3511184702030003 ZAKIYAH PUTRI KIRANA P 5 18 18-30
BONDOWOSO

295 P-NHKCKC5W 3509306605000001 RIFDATUL QOMARIAH P 5 21 18-30 SILO SEMPOLUN 1/3 JEMBER

296 P-NHDY0TBZ 3513124703010002 SINTA DEWI P 5 20 18-30 JABUNG SISIR 8/1

297 P-NI2GKJTP 3513124712020003 SHOLEHATUL AMALIYA P 5 19 18-30 SUMBERREJO KEJAWAN 21/7

JEBUNG KIDUL TLOGOSARI

298 P-NHC50RZJ 3511036701020001 SULIS CAHYA ANDINI P 5 19 18-30
BONDOWOSO

299 P-NIGHJJM55 3513124107850113 JUMA'ATI P 5 36 31-45 KARANGANYAR TANJUNG LOR 5/2

300 P-NIW4E7AM 3512075909020001 NAYYIRATUT TADZKIROH P 5 19 18-30 PANJI ANOM SITUBONDO

301 P-NILUXQWC 3512025705000001 NOER HAYATI P 5 21 18-30 WIDOROPAYUNG 3/1 BESUKI

302 P-NJEWPAPH 3512176609020001 LAILATUR ROFIQAH P 5 19 18-30 BUNGATAN SITUBONDO

303 P-NJJ8207U 3512174512010004 MAWADDATUL HASANA P 5 20 18-30 BUNGATAN SITUBONDO

304 P-NIL9UKOO 3513116009010004 PUPUT DIFIA VITRIANI P 5 20 18-30 TALKANDANG 6/2

305 P-NGVJ0K2H 3512166508000001 DIAFARA YUNINGSIH P 5 21 18-30 KP. KARANG MALANG 3/2

306 P-NGR6AIM3 3513144201020004 FITWATUL KHOIRIYAH P 5 19 18-30 KREGENAN 1/2 KRAKSAAN

307 S-27EFE088 3513125402570003 MU'INI P 5 64 1 KARANGANYAR 14/7

308 P-NKI4OBXW 3513115810010002 AISYATUR RODIAH P 5 20 18-30 TALKANDANG KANAL 10/3

309 P-NKF7DO1I 3511086405980001 ICHA MONICA AMALIA P 5 23 18-30 TENGGARANG - 11/4

KP RAMPET 1/9 GEBANGAN

310 P-NK0OJW1T 3512105105020001 RISKA SAHNIYATI P 5 19 18-30
KAPONGAN SITUBONDO

311 P-NJY2SP7B 3513122907000003 ABDUL KARIM L 5 21 18-30 KAWITAN 3/1 KALIKAJAR KULON

SILOMUKTI MLANDINGAN
312 P-NJSZPSWK 3512046508020001 ANISA NUR LAILI P 5 19 18-30
SITUBONDO

BHABA 3/14 PALASA TALANGO

313 P-NJR571IL 3529045508020001 DIANA AGUSTINA P 5 19 18-30
SUMENEP
314 S-0DDE3722 3513120408840011 MOH. JURI ANDROPO L 5 37 31-45 KARANGANYAR TANJUNG LOR 4/2

315 P-NEOKIES0 3513184107020008 SITI AISYAH P 5 21 18-30 BANYUANYAR LOR GENDING

316 P-NLXGA00O 3513136704010001 IMANIA RIZKI UTAMI P 5 20 18-30 RANDU JALAK 3/3 BESUK

317 P-NLBPFT3O 3513125004020005 AULIA FIRDAUSIYAH P 5 19 18-30 KARANGANYAR 2/1

318 P-NM1Y33K1 3513076008000007 HILALAH TAMAMI NABILA SARI P 5 21 18-30 RANUAGUNG 3/1 TIRIS

319 P-NLNPKFAO 3513157107010003 EMELYA YULIANA SUGIANTO P 5 20 18-30 WIDORO SUKUN 4/2 KREJENGAN

320 P-NMBBOAN8 3513136710010001 FINA ANGGRAENI DEWI P 5 20 18-30 PONDOK KELOR MANDARAN 17/9

321 P-NMMAYRGA 3513125608010005 CHOLIFATURROHMAH P 5 20 18-30 KARANGANYAR 3/2

TALANGO AENG 1/12 BRAKAS

322 P-NMAFVWWC 3529224107020069 SASRIAWATI P 5 21 18-30
RAAS SUMENEP

323 P-NMNMJA8R 3513065306990001 IRMA FAULANDIA P 5 22 18-30 PENDIL BANYUANYAR

324 P-NMV8FY20 3513120808820001 ABD. RAHMAN L 2 39 31-45 KARANGANYAR TANJUNG LOR 4/2

325 P-NN0UDYIT 3512042503020001 MUHAMMAD ALI A.S L 5 19 18-30 MLANDINGAN KULON SITUBONDO
326 P-NN6CHF2H 3508056906020001 DWI LAILA ROSA P 5 19 18-30 TEMPEH KIDUL 2/5 LUMAJANG

JL. KH. MOH HASAN GG KYAI

327 P-NND6LTQ1 3574044303000005 SHERDYANTI SUHARTININGSIH P 5 21 18-30
JAWIS PROBOLINGGO

328 P-NME83G6L 3513124101990004 DESY AYU INDRIANI P 5 22 18-30 SUMBERREJO 11/4

KARANGANYAR TANJUNG KIDUL

329 P-NMMNF70M 3513126808880008 SITRIYANI P 5 33 31-45
24/12

330 P-NMK6ZAOF 3512012802020002 AHMAD MUHAIMIN L 5 21 18-30 JATIBANTENG SITUBONDO

331 P-NMEZGJTU 3529224605010003 PUTRI AYU WULANDARI P 5 20 18-30 KETUPAT - TENGAH RAAS

KARANGANYAR TANJUNG KIDUL

332 P-NLETE8FL 3513124107890071 SITI AMINA NINGSIH P 5 32 31-45
25/12

333 P-NM6HU77N 3512150604010002 MUHAMMAD HAFID YASULI L 5 20 18-30 SUMBERMALANG 6/1 SITUBONDO

GUNGGAN KIDUL KRAJAN 3/6

334 P-NNI8AMAH 3513100311980001 MOCH EWIM NUR AVIAN L 5 23 18-30
PAKUNIRAN

PANDAN SARI SENDURO

335 P-NNQXG23F 3508125202000004 NUR HOVIFATUL HASANAH P 5 21 18-30
LUMAJANG

336 P-NO48YT8H 3513095804000001 MELANIE CAHYA NINGROOM P 5 21 18-30 JURANG JERO GADING

JUMPONG WONOSARI
337 P-NO8HQ4PB 3511096104030002 SITI KOMARIYAH P 5 18 18-30
BONDOWOSO
 KOKAPAN 1/6 ROJO POLO
338 P-NKTN2AIW 3508170112010001 MUHAMMAD FAHIM R. L 5 20 18-30
JATIROTO LUMAJANG

JL. LETJEND SUPRAPTO GG V NO

339 P-NKSTJYCR 3511114810000002 UMMUL BANIN HADDAR P 5 21 18-30
1 10/2 DABASAH BONDOWOSO

340 P-NOHI6JYM 3529222408010002 KHAIRUL UMAM L 5 20 18-30 ALASMALANG RA'AS SUMENEP

341 P-NLMI0QTZ 3511020708000006 AHMAD AL FARIQI L 5 21 18-30 TAMANAN 20/7 BONDOWOSO

342 P-NLH4EAPN 3513094908020003 VENY DWI ANGGAYNI A. P 5 19 18-30 SUMBERWATU KALIACAR GADING

343 P-NL2PEN6K 3513104103000001 HASTUTIK HAIRIN P 5 21 18-30 PAKUNIRAN 7/2

344 P-NOJQX37Y 3510064510020009 ULFA NAILA AZIZAH P 5 19 18-30 SRATEN DURING BANYUWANGI

345 P-NOMZ3W45 3510061108990001 AHMAD LABIB UMAM M. L 5 22 18-30 BANYUWANGI

346 P-NODPTIDE 3514226009020003 ARIKA AZIZAH P 5 19 18-30 LEKOK PASURUAN

347 P-NOH6C8SO 3513111205010002 SAIFUL BAHAR L 5 20 18-30 TALKANDANG KANAL 6/2

348 P-NLTO8R0W 3512004403020001 RUKAIYAH BAHJATUL I. P 5 19 18-30 MIMBAAN SITUBONDO

349 P-NORZPFUE 3512165204020001 ARINI AFIFATUL FAIZAH P 5 19 18-30 JL. RAYA KALIANGET
350 P-NNP254V5 3512056107010001 INAYATUL KARIMAH P 5 20 18-30 KENDIT 2/1 SITUBONDO

351 P-NNJ1NVXR 3512154801000002 SA'ADATUL FITRIA P 5 21 18-30 TAMANSARI SITUBONDO

MLANDINGAN KULON KRAJAN 4/3

352 P-NMFWKZNH 3512046207010001 INAYA WULANDARI P 5 20 18-30
SITUBONDO

353 P-NMJQGGNM 5103015805980001 ISTI'ANA P 5 23 18-30 TUBAN BALI

354 P-NMRQQMHL 3513214906010001 PAGITA PUTRI MUTIARA P 5 20 18-30 SUMBERASIH

355 P-NO07LHXJ 3508156306000002 IRMA DAMAYANTI P 5 21 18-30 SUKODONO LUMAJANG

356 P-NOLMI9AO 3511184809010001 DIAN SINDI A. P 5 20 18-30 SUMBER WRINGIN BONDOWOSO

357 P-NNG3J5VU 3512121008010003 NAJIH AFANDI L 5 20 18-30 JANGKAR KRAJAN 5/2 SITUBONDO

358 P-NO4BAELL 3513116505000003 ZULIKA QISMIATUL K. P 5 21 18-30 TALKANDANG 6/2

359 S-8DDD1D36 3513121603850008 IMRON HAMZAH K. L 5 36 31-45 RANDU TATAH KRAMAT 2/1

RETOK MEMEPERIGANG 2/7

360 P-NLXBV75L 6112025503000002 RIZKIYEH P 5 21 18-30
KUALA MANDOR KUBU RAYA

CURAH KETING KARANGSONO 2/1

361 P-NMD8AJFK 3509095808020001 ANANDA NURISTIGFARIN P 5 19 18-30
JEMBER
362 P-NN7KR3U3 3513136001020001 RAUDHAH LAILATUL M. P 5 19 18-30 ALASNYIUR MASJID 7/2

363 P-NN3DU2DE 3513127108010001 DWI ALDA AGUSTINI P 5 20 18-30 SUMBERREJO KRAJAN 7/3

364 P-NNDHGNVW 3512114808020002 DAFIYATIL H. P 5 19 18-30 ARJASA SITUBONDO

365 P-NMZWTRQY 3513125301010004 FIRDAUSA WIDIASARI P 5 20 18-30 SUKODADI 6/2

366 P-NNHAOCEQ 3513061501020002 RAFSANJUI AKBAR RONALDO L 5 19 18-30 BATU 1/1 BANYUANYAR

367 P-NOQD1JP1 3512024103020007 SITI ZULFIANA S. P 5 19 18-30 KP BLORO TIMUR 7/3

368 P-NN0FLTZF 5108054304000004 WINDA MARDIANA P 5 21 18-30 BANJARDINAS BULELENG

JL. GARUDA III BLOK 7B NO 14

369 P-NPTHAFYY 6371011505020004 MOH. MAULANA RIZALDI L 5 19 18-30
KALIMANTAN SELATAN

370 P-NNYWOFW9 3513112702000004 EKO BUDIAWAN L 5 21 18-30 TALKANDANG 6/2

371 P-NQ45M4PQ 3574025206980001 NURUL LAILY P 5 23 18-30 JL. KH ZAINAL ALIM 4/6

372 S-E1215DD7 3513126705830003 VERA SUSANTI P 2 38 31-45 DS RANDUTATAH 1/1

373 P-N9GHPLIK 3512114107000168 UMIYATI P 5 20 18-30 K. JATI SARI 1/3 SITUBONDO

374 P-MD31PMUK 3513115705010005 MIFTAHUL JENNAH P 5 20 18-30 TLAKANDANG 30/9 KOTA ANYAR

375 P-MWVXDM7G 3512024312000002 HOLISATUS SIAMI P 5 21 18-30 KP. BITING 1/1 - SITUBONDO

376 P-NAX2XXNK 351312142201010001 RAGIL BUDIARSO P 5 20 18-30 BANYUPITIH - SITUBONDO

377 P-NNLCL306 3529215904010001 SILATUL QAIMAH P 5 20 18-30 SAPUDI MADURA 1/1

378 P-NN8MP339 3513090604990002 MOHAMMAD ALFIAN FAISOL L 5 22 18-30 DESA WANGKAL 26/10

379 P-NN9V9430 3513132405940001 MOH RIZKI FATHOLLAH L 5 27 18-30 DESA KECIK 5/2 BESUK

380 P-NNNQWAF6 3512175105020001 ASTITIN P 5 19 18-30 BUNGATAN 9/3 SITUBONDO

381 P-NNSGHEC5 3511085705000004 RAUDATUL JANNAH P 5 21 18-30 BONDOWOSO

CURAHGUNO 10/3 LUBAWANG -

382 P-NNPODZMN 3512165904010001 NURUL QOMARIYAH P 5 20 18-30
BANYUGLUGUR

PATEMON 9/3 BUNGATAN -

383 P-NNVJWRNC 3512174205000001 NAILATUL MUNAWWARAH P 5 21 18-30
SITUBONDO

DSN PINGGIR PAS SIDOWANGI -

384 P-NKPX0MLW 3510181002020005 AGENG FEBRIYAN L 5 19 18-30
WONGSOREJO

385 P-NKKPPGPE 3513104412020002 GINA PUTRI SARIFA P 5 19 18-30 KARANG ASEM 17/4 SUKOREJO
386 P-NOBOE1F0 3509190101010009 AGIL WIDAD A.F L 5 20 18-30 TEGAL BESAL KALIWATES JEMBER

387 P-NOE7WZ2Q 35131716070200001 UMARUL FARUA P 5 19 18-30 MARON KIDUL - MARON

388 P-NO3F0VOT 3529225403010006 DINIA SILVI P 5 20 18-30 RAAS - SUMENEP

389 P-NNLYEQG5 3575030912010001 MIFTAHUL HUDA L 5 20 18-30 JL. IMAM BONJOL 5/3

JL KARYA MAKMUR GG MAKUH -

390 P-NNOGIMKZF 5171045906010005 ANIS MUSEWA P 5 20 18-30
UBUNG KAJA - DENPASAR

391 P-NN57O0XU 3511035212990003 DESI NOVITASARI P 5 22 18-30 DS SULEK KEC. TLOGOSARI

392 P-NONRZEB7 3512134210010006 LINDA QOMARIAH P 5 20 18-30 ASEMBAGUS - SITUBONDO

393 P-NN0FMQBO 3512055303000001 FIA MUSRIFATUL JANNAH P 5 21 18-30 KP KRAJAN UTARA 3/2 KENDIT

394 P-NMF005NR 3513126409990003 DIYAH AYU RIKE PRASETYO P 5 22 18-30 BINOR 7/4 PAITON

395 P-NMAJAVAP 3513107007010001 YULIA SETIAWATI P 5 20 18-30 DS TAMPARAN 14/4 PAKUNIRAN

TEGAL MULYO 6/3 PASAREJO -

396 P-NLITRIR4 3511096511000003 FATILAH P 5 21 18-30
WONOSARI

GAMBIRONO 2/3 BONGSOL SARI -

397 P-NDJBSDZV 3509006509020007 IIN MUTMAINAH P 5 19 18-30
JEMBER
 DSN PANDE 19/9 TRIEUNGAN -
398 P-NO77HDU6 351311540181000 TITIN SULAIHA P 2 40 31-45
KOTA ANYAR

KRAJAN 4/2 TRIEUNGAN - KOTA

399 P-NOAKXTE8 3513116806790002 SUNIATI P 2 42 31-45
ANYAR

JL RAYA NYALARAN - PAMEKASAN

400 P-NOIK30DR 3528044311990001 MUFIDATUL HIJRIYAH P 2 22 18-30
MADURA

DSN KRAJAN 1/1 KARANGGEGER -

401 P-NOD55LET 3513164907010004 MESRI AYU NINGSIH P 5 21 18-30
PAJARAKAN

DS PETUNG 2/1 CURAHDAMI -

402 P-NOFT4TYN 3511075911980002 JAMILATUL WARDAH P 5 23 18-30
BONDOWOSO

PAGUAN - TAMAN KROCOK

403 P-NOIZDPUD 351121`4409010003 ILZA SULSILATUL MARROH P 5 20 18-30
BONDOWOWSO

KRAJAN 7/2 SUMBER WARU -

404 P-NM92D5D6 3511204101000008 FADILATUS SIRIAH P 5 21 18-30
BINAKAL

405 P-NMTYGVW6 3529225311970003 SUMIYATI P 5 24 18-30 RAAS - SUMENEP

406 P-NP5KYWUK 3512114610980001 SRI HANDIRA WULANDARI P 5 23 18-30 KAYUMAS ARJASA - SITUBONDO

407 P-NL6ME6WF 3512170101010004 CHOLIFATUR RAHMAN L 5 20 18-30 SITUBONDO

408 S-20CE0097 3513120605900002 SHONHAJI L 5 31 31-45 JL DR. HAMKA 5/1

409 S-D339577C 3513126601840002 AAN ANGRAINI P 2 37 31-45 KARANG ANYAR 9/5 PAITON
410 P-NLTSWAPM 3529246305000002 SITI QOMARIYAH ULFA P 5 21 18-30 PASAR 6/1 PANDEAN - ARASA

411 P-NOYFREYL 3511096404020001 ADILA QUTRUNNADA P 5 19 18-30 PASAREJO 11/2 WONOSARI

412 P-NNV7G6VY 3512126909010001 AULYA SEPTIARINI P 5 20 18-30 JANGKAR - SITUBONDO

413 P-NPOTAXTR 3509032411020003 CIPTA FRANDY PANGESTU P 5 18 18-30 GUNUNG GAMBIR 1/16

414 P-NPUSLD4H 3513135708010003 ILMI AGUSTIN P 5 20 18-30 DSN SAWUHAN 12/3 ALASSUMUR

SULING WETAN CERME -

415 P-NMRGHZ4 3511165303010001 ROFIATUL HUSNAH P 5 20 18-30
BONDOWOSO

416 2021400272 SEPTIA ANIS KHOIRIYAH P 5 20 18-30 ALASNYIUR 8/2 BESUK

417 P-NPI9DK6F 3513106607990002 LAILATUL BADRIYAH P 5 20 18-30 BLIMBING PAKUNIRAN

418 P-LLK4SMGT 3511120901010001 IRSI HAJAR AFLAHAH P 5 20 18-30 WRINGIN BONDOWOSO 2/1

MADUREJO BANJARMASIN KALSEL

419 P-LSQGKF4H 6303166112010001 HELMAWATI P 5 20 18-30
1/2

420 P-LJF7D4WX 3512054502000004 SOFIL WIDAD P 5 21 18-30 BALUNG KENDIT SITUBONDO 2/1

421 P-LI7Y4S4W 3528134512990002 NURUL HASANAH P 5 22 18-30 JURANG DALAM

 KP. SELATAN LEDENG 2/1
422 P-NAICJFVZ 351204160700001 MUH. KAMARUZZAMAN L 5 21 18-30
MLANDINGAN SITUBONDO

423 P-NLP9ROA9 3513126701020002 NAFISATUL JANNAH P 5 19 18-30 SUKODADI 5/2

424 S-C5557AF3 3513121510460001 RUSLAN DJUNAIDI L 5 75 1 DSN KOTA

 #REF!
Keterangan ***Merek Vaksin
* Pekerjaan dikelompokkan menjadi: A = Sinovac
s Medis dan Non Medis di Fasilitas Pelayanan Kesehatan B = Lainnya (Mohon disebutkan jenis vaksin yang diterima Puskesmas/Faskes)
ayanan publik yang berhadapan langsung dengan masyarakat
C = Administrator Pemerintahan
D = Lainnya
E = Tidak Bekerja

Kelompok Umur: Kepesertaan BPJS

18-30 287 BPJS PBI 36
31-45 95 BPJS Non P 187
46-59 34 Non Anggot 201
>59 8
Total 424 Total 424
Pekerjaan: Pemberian Dosis
A 1 Dosis 1 424
B 139 Dosis 2 0
C 0 Total 424
D 5
E 279
Total 424
 FORMAT PENCATATAN PELAKSANAAN VAKSINASI COVID-19
PUSKESMAS PAITON

Kepesertaan BPJS (tulis 'Ya' pada kolom yang

sesuai)

Instansi No. Hp Merek Vaksin*** Tanggal Screening

BPJS PBI BPJS Non PBI Non Anggota

MA NURUL JADID 085235693716 YA B (ASTRAZENECA) 27/5/2021

MTS NJ 085322213009 YA B (ASTRAZENECA) 27/5/2021

MAN NJ 085338408021 YA B (ASTRAZENECA) 27/5/2021

MAN NJ 082328231985 YA B (ASTRAZENECA) 27/5/2021

MAN NJ 085232784958 YA B (ASTRAZENECA) 27/5/2021

MI NURUL MUN'IM 085236172002 YA B (ASTRAZENECA) 27/5/2021

SMP NJ 082302338863 YA B (ASTRAZENECA) 27/5/2021

DOSEN NJ 085258306128 YA B (ASTRAZENECA) 27/5/2021

MI NURUL MUN'IM 085231641093 YA B (ASTRAZENECA) 27/5/2021

MAN NJ 085230515978 YA B (ASTRAZENECA) 27/5/2021

SMP NJ 085257350373 YA B (ASTRAZENECA) 27/5/2021

MI NURUL MUN'IM 082330992910 YA B (ASTRAZENECA) 27/5/2021

MI NURUL MUN'IM 085257337721 YA B (ASTRAZENECA) 27/5/2021

MTS NJ 088230820704 YA B (ASTRAZENECA) 27/5/2021

MI NURUL MUN'IM 082359358331 YA B (ASTRAZENECA) 27/5/2021

SMP NJ 082330394357 YA B (ASTRAZENECA) 27/5/2021

SMP NJ 08124947374 YA B (ASTRAZENECA) 27/5/2021

SMP NJ 082245725848 YA B (ASTRAZENECA) 27/5/2021

MAN NJ 082302406449 YA B (ASTRAZENECA) 27/5/2021

MA NJ 085232144284 YA B (ASTRAZENECA) 27/5/2021

MA NJ 081332078754 YA B (ASTRAZENECA) 27/5/2021

MAHASISWA 082331713613 YA B (ASTRAZENECA) 27/5/2021

MAHASISWA 08887117466 YA B (ASTRAZENECA) 27/5/2021

MAN NJ 082301867641 YA B (ASTRAZENECA) 27/5/2021

MA NJ 082137237987 YA B (ASTRAZENECA) 27/5/2021

MA NJ 085330168566 YA B (ASTRAZENECA) 27/5/2021

MA NJ 082141124017 YA B (ASTRAZENECA) 27/5/2021

SMA NJ 085234635340 YA B (ASTRAZENECA) 27/5/2021

DOSEN NJ 085294511228 YA B (ASTRAZENECA) 27/5/2021

SMA NJ 082330513514 YA B (ASTRAZENECA) 27/5/2021

DOSEN NJ 085230825033 YA B (ASTRAZENECA) 27/5/2021

SMA NJ 085258398490 YA B (ASTRAZENECA) 27/5/2021

DOSEN NJ 085230521556 YA B (ASTRAZENECA) 27/5/2021

MA NJ 085236740374 YA B (ASTRAZENECA) 27/5/2021

MAHASISWA 085259006846 YA B (ASTRAZENECA) 27/5/2021

SMA NJ 085258931483 YA B (ASTRAZENECA) 27/5/2021

SMA NJ 082302155334 YA B (ASTRAZENECA) 27/5/2021

MA NJ 85230515949 YA B (ASTRAZENECA) 27/5/2021

SMA NJ 085331238840 YA B (ASTRAZENECA) 27/5/2021

DOSEN NJ 08523968622 YA B (ASTRAZENECA) 27/5/2021

DOSEN NJ 085776711387 YA B (ASTRAZENECA) 27/5/2021

SMA NJ 082237571632 YA B (ASTRAZENECA) 27/5/2021

MA NJ 082335150736 YA B (ASTRAZENECA) 27/5/2021

SMP NJ 081914756818 YA B (ASTRAZENECA) 27/5/2021

SMP NJ 085380342994 YA B (ASTRAZENECA) 27/5/2021

MA NJ 085258800137 YA B (ASTRAZENECA) 27/5/2021

SMA NJ 085331270457 YA B (ASTRAZENECA) 27/5/2021

PONDOK NJ 085292544419 YA B (ASTRAZENECA) 27/5/2021

PONDOK NJ 085204540419 YA B (ASTRAZENECA) 27/5/2021

PONDOK NJ 089654790122 YA B (ASTRAZENECA) 27/5/2021

SMP NJ 082264518905 YA B (ASTRAZENECA) 27/5/2021

MA NJ 085234315860 YA B (ASTRAZENECA) 27/5/2021

MA NJ 082376623280 YA B (ASTRAZENECA) 27/5/2021

SMP NJ 085231034110 YA B (ASTRAZENECA) 27/5/2021

SMA NJ 082334405759 YA B (ASTRAZENECA) 27/5/2021

SMA NJ 082338872194 YA B (ASTRAZENECA) 27/5/2021

DOSEN NJ 085330366561 YA B (ASTRAZENECA) 27/5/2021

DOSEN NJ 085235543210 YA B (ASTRAZENECA) 27/5/2021

SMP NJ 082299589228 YA B (ASTRAZENECA) 27/5/2021

SMK NJ 085258880634 YA B (ASTRAZENECA) 27/5/2021

SMP NJ 082177452783 YA B (ASTRAZENECA) 27/5/2021

SMA NJ 085232097780 YA B (ASTRAZENECA) 27/5/2021

DOSEN NJ 081358770049 YA B (ASTRAZENECA) 27/5/2021

SMA NJ 082330200860 YA B (ASTRAZENECA) 27/5/2021

SMA NJ 08113588756 YA B (ASTRAZENECA) 27/5/2021

DOSEN NJ 085258830273 YA B (ASTRAZENECA) 27/5/2021

DOSEN NJ 082323412831 YA B (ASTRAZENECA) 27/5/2021

DOSEN NJ 082234873076 YA B (ASTRAZENECA) 27/5/2021

SMK NJ 081336810741 YA B (ASTRAZENECA) 27/5/2021

BIRO PENGEMBANGAN 081358521022 YA B (ASTRAZENECA) 27/5/2021

BIDANG USAHA 082230548874 YA B (ASTRAZENECA) 27/5/2021

SMK NJ 081331618009 YA B (ASTRAZENECA) 27/5/2021

SMK NJ 085230516009 YA B (ASTRAZENECA) 27/5/2021

DOSEN NJ 081331949299 YA B (ASTRAZENECA) 27/5/2021

DOSEN NJ 085258601945 YA B (ASTRAZENECA) 27/5/2021

DOSEN NJ 085230315709 YA B (ASTRAZENECA) 27/5/2021

MTSN 1 PROB 085257306861 YA B (ASTRAZENECA) 27/5/2021

SMP NJ 085230393422 YA B (ASTRAZENECA) 27/5/2021

SMP NURUL JADID 082336176064 YA B (ASTRAZENECA) 27/5/2021

SMP NURUL JADID 082330294396 YA B (ASTRAZENECA) 27/5/2021

DOSEN UNUJA 082330604476 YA B (ASTRAZENECA) 27/5/2021

DOSEN UNUJA 085230515876 YA B (ASTRAZENECA) 27/5/2021

TK BINA ANAPRASA 81336677016 YA B ( ASTRAZENECA ) 5/27/2021

TK CERIA 82336693481 YA B ( ASTRAZENECA ) 5/27/2021

TK BINA ANAPRASA 85259695834 YA B ( ASTRAZENECA ) 5/27/2021

TK BINA ANAPRASA 85204570349 YA B ( ASTRAZENECA ) 5/27/2021

TK BINA ANAPRASA 82132431241 YA B ( ASTRAZENECA ) 5/27/2021

TK BINA ANAPRASA 8999197736 YA B ( ASTRAZENECA ) 5/27/2021

SMP NURUL JADID 81336733033 YA B ( ASTRAZENECA ) 5/27/2021

TK BINA ANAPRASA 895411005913 YA B ( ASTRAZENECA ) 5/27/2021

UNUJA 82234420284 YA B ( ASTRAZENECA ) 5/27/2021

SMP NURUL JADID 85257772851 YA B ( ASTRAZENECA ) 5/27/2021

SMP NURUL JADID 85259590120 YA B ( ASTRAZENECA ) 5/27/2021

TK BINA ANAPRASA 85214001222 YA B ( ASTRAZENECA ) 5/27/2021

SMP NURUL JADID 81358312456 YA B ( ASTRAZENECA ) 5/27/2021

MI NURUL MUN'IM 85235679652 YA B ( ASTRAZENECA ) 5/27/2021

MTSN 1 PROBOLINGGO 85335114950 YA B ( ASTRAZENECA ) 5/27/2021

UNUJA 81334391755 YA B ( ASTRAZENECA ) 5/27/2021

SMP NURUL JADID 85258795335 YA B ( ASTRAZENECA ) 5/27/2021

MI NURUL MUN'IM 82335930627 YA B ( ASTRAZENECA ) 5/27/2021

SMP NURUL JADID 85258837640 YA B ( ASTRAZENECA ) 5/27/2021

SMP NURUL JADID 85231340138 YA B ( ASTRAZENECA ) 5/27/2021

SMP NURUL JADID 85234666700 YA B ( ASTRAZENECA ) 5/27/2021

MI NURUL MUN'IM 85904372396 YA B ( ASTRAZENECA ) 5/27/2021

MTSN 1 PROBOLINGGO 85231990121 YA B ( ASTRAZENECA ) 5/27/2021

MI NURUL MUN'IM 85257726406 YA B ( ASTRAZENECA ) 5/27/2021

SMA NURUL JADID 85365829003 YA B ( ASTRAZENECA ) 5/27/2021

PAUD TP ANAK SHALIH 85330761834 YA B ( ASTRAZENECA ) 5/27/2021

PP. NURUL JADID 85259009037 YA B ( ASTRAZENECA ) 5/27/2021

SMA NURUL JADID 85338560900 YA B ( ASTRAZENECA ) 5/27/2021

SMA NURUL JADID 85330780784 YA B ( ASTRAZENECA ) 5/27/2021

SMP NURUL JADID 85223242679 YA B ( ASTRAZENECA ) 5/27/2021

UNUJA 85257309388 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA 82147252962 YA B ( ASTRAZENECA ) 5/27/2021

PAUD TP ANAK SHALIH 85258800279 YA B ( ASTRAZENECA ) 5/27/2021

MI NURUL MUN'IM 85234466668 YA B ( ASTRAZENECA ) 5/27/2021

SMA NURUL JADID 85282724270 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA 85231609143 YA B ( ASTRAZENECA ) 5/27/2021

UNUJA 85201766969 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA 853342162000 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA 81339665081 YA B ( ASTRAZENECA ) 5/27/2021

UNUJA 85233205280 YA B ( ASTRAZENECA ) 5/27/2021

KLINIK AZZAINIYAH 82143320262 YA B ( ASTRAZENECA ) 5/27/2021

MI NURUL MUN'IM 85213575463 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA 82319295729 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA 82247435756 YA B ( ASTRAZENECA ) 5/27/2021

SMA NURUL JADID 82334145723 YA B ( ASTRAZENECA ) 5/27/2021

SMP NURUL JADID 82143647740 YA B ( ASTRAZENECA ) 5/27/2021

MADIN NURUL JADID 82228605037 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA 85257621969 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA 82245544900 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 82234097015 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85228555426 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 82330443156 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85258866858 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85334806197 YA B ( ASTRAZENECA ) 5/27/2021

SMA NURUL JADID 82237636483 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85335001357 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 82235918228 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85233427169 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 87874394279 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85339318029 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85606373102 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 8124915025 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85230420874 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85231304391 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 81357534127 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS DA 82325608242 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 82334803179 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85234833603 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS DA 82330502159 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85236703180 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85257726640 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 82334123611 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85236561230 YA B ( ASTRAZENECA ) 5/27/2021

SMA NURUL JADID 81235239517 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85130323230 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS DA 81335946207 YA B ( ASTRAZENECA ) 5/27/2021

UNUJA 85230521557 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 82334429391 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85236014566 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85231645552 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS DA 85236909050 YA B ( ASTRAZENECA ) 5/27/2021

UNUJA 899997597779 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85204239232 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85230589791 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 82244957067 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS DA 82139220521 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 81233430076 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85235977510 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 85335079651 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS GA 87753351957 YA B ( ASTRAZENECA ) 5/27/2021

MAHASISWA ( PENGURUS D 81933071477 YA B ( ASTRAZENECA ) 5/27/2021

SMP ISLAM PAITON 082315022503 YA B (ASTRAZENECA) 4/6/2021

MASYARAKAT 081358038475 YA B (ASTRAZENECA) 4/6/2021

MASYARAKAT 085204852250 YA B (ASTRAZENECA) 4/6/2021

MASYARAKAT 082228808143 YA B (ASTRAZENECA) 4/6/2021

PEDAGANG 082333911002 YA B (ASTRAZENECA) 4/6/2021

PEDAGANG 082216339195 YA B (ASTRAZENECA) 4/6/2021

PENSIUNAN TNI 085330771148 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085336358020 YA B (ASTRAZENECA) 4/6/2021

MASYARAKAT 082332821432 YA B (ASTRAZENECA) 4/6/2021

MASYARAKAT 085216518276 YA B (ASTRAZENECA) 4/6/2021

MASYARAKAT 085335462587 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082257187540 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082235232624 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082257099413 YA B (ASTRAZENECA) 4/6/2021

PTYOGI TAMA 082331029714 YA B (ASTRAZENECA) 4/6/2021

UNIVERSITAS NURUL
085204973390 YA B (ASTRAZENECA) 4/6/2021
JADID

MAHASISWA 089685558200 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 081333820769 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085748415625 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 081235491450 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 0882009879719 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082334071935 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 081339795260 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 081252710088 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 081237286253 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 08232240337 YA B (ASTRAZENECA) 4/6/2021

MASYARAKAT 085257336083 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 08155628807 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 083856787505 YA B (ASTRAZENECA) 4/6/2021

MASYARAKAT 082330435223 YA B (ASTRAZENECA) 4/6/2021

MASYARAKAT 085233790447 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082338750654 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082338621395 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 081252842790 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 081913705439 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 82310992772 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085770075117 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082139450774 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082301273240 YA B (ASTRAZENECA) 4/6/2021

MASYARAKAT 082331834780 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 081338919117 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082299589257 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082245812260 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082257037492 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085231991163 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085232141109 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082330835149 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 081232480040 YA B (ASTRAZENECA) 4/6/2021

STAF KASUBAG
081333927755 YA B (ASTRAZENECA) 4/6/2021
KEMAHASISWAAN

MAHASISWA 085256782618 YA B (ASTRAZENECA) 4/6/2021

KARYAWAN SWASTA 085693093911 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082140040460 YA B (ASTRAZENECA) 4/6/2021

MASYARAKAT 085336996064 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082228154172 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 08873369591 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082143254943 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085236955541 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 083851119654 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 083853940450 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085748576352 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082334803171 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 08233669897 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 08980458046 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085213546001 YA B (ASTRAZENECA) 4/6/2021

MASYARAKAT 085232683043 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082334541920 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085205225452 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085258234242 YA B (ASTRAZENECA) 4/6/2021

- 082335351391 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085259124046 YA B ( ASTRAZENECA ) 6/4/2021

- 082330435223 YA B ( ASTRAZENECA ) 6/4/2021

- 085257792708 YA B ( ASTRAZENECA ) 6/4/2021

- 085257792708 YA B ( ASTRAZENECA ) 6/4/2021

PETANI 085231340631 YA B ( ASTRAZENECA ) 6/4/2021

- 082331420381 YA B ( ASTRAZENECA ) 6/4/2021

- 082334046670 YA B ( ASTRAZENECA ) 6/4/2021

- 082330435223 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085258891161 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 0881026781386 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085772558970 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 08970553841 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082146163943 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 08113621011 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 081212768902 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085248567863 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 081232999720 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082233456551 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082335829408 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085648435011 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082232195899 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085204866659 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 081717323204 YA B ( ASTRAZENECA ) 6/4/2021

- 08819710048 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 081232871689 YA B ( ASTRAZENECA ) 6/4/2021

- 082330528512 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082140469038 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 081236709576 YA B ( ASTRAZENECA ) 6/4/2021

- 082281412536 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082338981969 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085259254448 YA B ( ASTRAZENECA ) 6/4/2021

- 082331835462 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082228614928 YA B ( ASTRAZENECA ) 6/4/2021

- 082335499952 YA B ( ASTRAZENECA ) 6/4/2021

PETANI 085234316470 YA B ( ASTRAZENECA ) 6/4/2021

PETANI 085331431781 YA B ( ASTRAZENECA ) 6/4/2021

PETANI 085234316470 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 087704792348 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085339084781 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 081233883019 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085964277981 YA B ( ASTRAZENECA ) 6/4/2021

PETANI 082330615607 YA B ( ASTRAZENECA ) 6/4/2021

- 082330435223 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 087750717380 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085368401769 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 081336371726 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082334146889 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085335081140 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082330102995 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085244133132 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085330471529 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082230032445 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 081259940819 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085648821311 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085895180334 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082336815962 YA B ( ASTRAZENECA ) 6/4/2021

- 085336996064 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082332601488 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082121299261 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085236314680 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 08816021793 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 083112140283 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085607792251 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 081294711959 YA B ( ASTRAZENECA ) 6/4/2021

- 085643093911 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085230529383 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 081336548060 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085643309134 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 087745723816 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082330104266 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 087872051202 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082334370735 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 081233908992 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085745468446 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085348692020 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085748767765 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082245220373 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085236965974 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 083853582556 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082301642549 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082335036515 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085259737854 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085232406817 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085204922779 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 081331065679 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082236587075 YA B ( ASTRAZENECA ) 6/4/2021

- 085346998630 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082335669929 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 087766922971 YA B ( ASTRAZENECA ) 6/4/2021

- 085230475971 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085216417853 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082233115639 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085859931999 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082221038881 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085712380765 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 081252167037 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085331658588 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 081913840568 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085336446992 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085748261910 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082336696052 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085330663932 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 081238376102 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085236125749 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082331060137 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085204222323 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085707765418 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085334007870 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082313234695 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085236985702 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 081918170073 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085335117517 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085236226034 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 081216430279 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082230996592 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 081385164324 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085258551343 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 081336812135 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085204568308 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085230416313 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085648612889 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082234673989 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 087898740097 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082228114498 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 0895339128460 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA - YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 082150907708 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085204584558 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085204587125 YA B ( ASTRAZENECA ) 6/4/2021

PNS 085258213310 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085762456055 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082211619112 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085236569751 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085216907465 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085217949957 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085231098278 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085335728270 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085232392310 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085353411742 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 088234277347 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082332833303 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 087806129462 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082334773963 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 081335170976 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085330587172 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 081992024280 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082143089619 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 081808003025 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085258182212 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085233279390 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085288794292 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085334634941 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085397984348 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082232471242 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085288799773 YA B (ASTRAZENECA) 4/6/2021

TK PGRI SUMBERANYAR 085329622722 YA B (ASTRAZENECA) 4/6/2021

TK PGRI SUMBERANYAR 085204923711 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 08193939328 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082228329563 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085336113950 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085843866442 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 081338905815 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082146761601 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082145143323 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082133496483 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082335804549 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 085330209055 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 081252141903 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082318026867 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 081336144014 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 081335074728 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082228010107 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 082320563964 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 087810916203 YA B (ASTRAZENECA) 4/6/2021

MAHASISWA 081242514015 YA B (ASTRAZENECA) 4/6/2021

UNUJA 081333559085 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085732782325 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085235777785 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 087759949770 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 085335159399 YA B ( ASTRAZENECA ) 6/4/2021

UNUJA 087754784908 YA B ( ASTRAZENECA ) 6/4/2021

LANSIA 85232652282 YA B ( ASTRAZENECA ) 6/5/2021

 Pekerjaan
A 1
B 139
C 0

D 5
E 279
Total 424
VID-19

Dosis I Dosis 2

Keterangan
(Ditunda/Tidak
Diberikan/Lanjut)
Tanggal Pemberian Tanggal Pemberian
No. Batch No. Batch
Vaksinasi Vaksinasi

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