Nama Puskesmas/Fasyankes/Pos

Kabupaten/Kota
Provinsi

No No. Registrasi Nama Penerima Vaksin

NIK

1 P-RMMWNVCZ 3513231809070002 MUHAMMAD RIZKI

2 P-RMWZJILX 3513230112070002 FAHMI

3 P-RMZYLHIG 3513230602080002 HAMZA ZAZULI

4 P-RN8GSV6Q 3513232204060002 ABDUL WAHAB

5 P-RNCEKX6O 3513230506080001 MUHAMMAD MUHDOR

6 P-RNEJDAE7 3515184804090001 REGINA KUSTINA

7 P-RNGUPGDT 3513235810030001 HIKMAH

8 P-RNJMENGU 3513231100700002 TEGUH JULY

9 P-RNUDTTCN 3513236506060002 SINTAWATI

10 P-RNW4VRRS 3513230204090002 MUHAMMAD ILHAM

11 P-RNXWWLDS 3513230808060003 ROFIQ ANDIKA

12 P-RO0I3VOL 3513234603090002 LAILY ZAHROTUL

13 P-RO36FFSN 3513234607080002 SAFIRA

14 P-RO5WKNCB 3513235005040002 SUTIANA

15 P-ROCUFDQC 3574044412810002 SUKESI

16 P-ROGUCHX6 3513234107890172 ELISA

17 P-ROISEZ4W 3513231103060002 DILLI EKA WIJAYA

18 P-ROKKLIMG 3513230704090003 AHMAD ABDUL QORIK

19 P-ROQDELS0 3513232805070004 SHOLEHUDIN

20 P-ROSFZZJU 3513236404080002 MAYANG PUTRI

21 P-ROTQZRD6 3513230308090002 M. NUR IKHWAN

22 P-ROVBOLOY 3513232110080002 M. TENGKU ZAKI

23 P-ROY4RNZO 3513230312080002 ZAENI

24 P-ROZUV8E0 3514212403090001 MUHIF LAUHI MAHFUD

25 NIK SALAH 3513230503070002 DIMAS YAHYA

26 USIA<12 3513235711090001 ELISA EKA

27 NIK SALAH 3578013006090002 AHDAFIL AMAN

28 P-PRH3MH 3513232709070003 SYAHRUL RAMADHANI

 FORMAT PENCATATAN PELAKSANA
TINGKAT PUSKESMAS/FASYANKES/P
9/9/2021

: Puskesmas Curahtulis
: Kabupaten Probolinggo
: Jawa Timur

Kepesertaan BPJS
'Ya' pada kolom y

Umur Kelomp
Jenis
Pekerjaan*(18-59 ok Alamat No. Hp BPJS
Kelamin
tahun) Umur PBI

L D 16 0 KRAJAN KIDUL KLAMPOK 08211897702

KRAJAN KIDUL
L D 16 0 08211897702
KLAMPOK
KRAJAN KIDUL
L D 15 0 08211897702
KLAMPOK
KRAJAN KIDUL
L D 17 0 08211897702
KLAMPOK
KRAJAN KIDUL
L D 17 0 081357926550
KLAMPOK
SUMURAN
P D 12 0 085855234581
TANJUNGREJO
KRAJAN KIDUL
P D 18 18-30 082141203533
KLAMPOK
 PILANGKACIR
L D 15 0 085806955322
TANJUNGREJO

P D 17 0 DARUNGAN PAMATAN 081231835086

KRAJAN LOR
L D 12 0 082334300506
KLAMPOK
KRAJAN LOR
L D 17 0 081233600577
KLAMPOK
PILANGKACIR
P D 12 0 082334300506
TANJUNGREJO
PILANGKACIR
P D 15 0 082228314298
TANJUNGREJO
SUMURAN
P D 18 18-30 085856639694
TANJUNGREJO
BULAK
P D 40 31-45 085856639694
TANJUNGREJO
KEDUNG BATANG
P D 15 0 085730928548
KLAMPOK
KRAJAN LOR
L D 17 0 082245812790
KLAMPOK
KRAJAN LOR
L D 12 0 081357928429
KLAMPOK
L D 14 0 SEMBON PAMATAN 081357928429

P D 13 0 SEMBON PAMATAN 082245895008

KRAJAN KIDUL
L D 12 0 08334601272
KLAMPOK
BULAK
L D 13 0 089510675593
TANJUNGREJO
PILANGKACIR
L D 13 0 083824423092
TANJUNGREJO
L D 12 0 KRAMAT NGULING 085852783914

L D 14 0 DAWUHAN KLAMPOK 082330599201

SUMURAN
P D 11 0 085749985766
TANJUNGREJO
BULAK
L D 12 0 082231203277
TANJUNGREJO
KRAJAN KIDUL
L D 14 0 082241319805
KLAMPOK
 PELAKSANAAN VAKSINASI COVID-19
ASYANKES/POS VAKSINASI
/2021

Kepesertaan BPJS (tulis

'Ya' pada kolom yang Dosis I Dosis 2
sesuai)
Tanggal
BPJS Merek Tanggal Tanggal Pember
Non Vaksin*** Screening No.
Non Pemberian No. Batch ian
Anggota Batch
PBI Vaksinasi Vaksina
si

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

Keteran
gan
(Ditund
a/Tidak
Diberik
an/Lanj
ut)

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT
LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT
Nama Puskesmas/Fasyankes/Pos
Kabupaten/Kota
Provinsi

No No. Registrasi NIK

1 Q-000MJLQ0 3513232906040003

2 Q-000MJLRB 3513235408080001

3 Q-000MIHL4 3513235202070001
4 Q-000MLVV7 3513236909080002

5 Q-000ML88V 3513235101080004

6 Q-000MKGEA 3513235610070007

7 Q-000MMORB 3513234912080001

8 Q-000MLVYF 3513234701090001

9 Q-000MLMCC 3513230310080002

10 Q-000MKAPT 3513231912070001

11 Q-000MJLQ1 351323208080003

12 Q-001MJLRB 3513235408080001
13 Q-000MIHL5 3513235202070001

14 Q-000MLVV8 3513236909080002

15 Q-000ML89V 3513235101080004

16 Q-001MKGEA 3513235610070007

17 Q-001MMORB 3513234912080001

18 Q-001MLVYF 3513234701090001

19 Q-001MLMCC 3513235408080001

20 Q-001MKAPT 3513235202070001

21 Q-000MLVV8 3513236909080002
22 Q-000ML89V 3513235101080004

23 Q-001MKGEA 3513235610070007

24 Q-001MMORB 3513234912080001

25 Q-001MLVYF 3513234701090001

26 Q-000MLVV8 3513230310080002

27 Q-000ML89V 3513231912070001

28 Q-001MKGEA 351323208080003

29 Q-001MMORB 3513235408080001

30 Q-001MLVYF 3513235202070001
31 Q-000MLVV8 3513236909080002

32 Q-000ML89V 3513235101080004

33 Q-001MKGEA 3513230310080002

34 Q-001MMORB 3513231912070001

35 Q-001MLVYF 351323208080003

36 Q-000MLVV8 3513235408080001

37 Q-000ML89V 3513235202070001

38 Q-001MKGEA 3513236909080002

39 Q-001MMORB 3513235101080004
40 Q-000MLVV8 3513236909080002

41 Q-000ML89V 3513235101080004

42 Q-001MKGEA 3513230310080002

43 Q-001MMORB 3513231912070001

44 Q-001MLVYF 351323208080003

45 Q-000MLVV8 3513235408080001

46 Q-000MLVV8 3513236909080002

47 Q-000ML89V 3513235101080004

48 Q-001MKGEA 3513230310080002
49 Q-001MMORB 3513231912070001

50 Q-001MLVYF 351323208080003

51 Q-000MLVV8 3513235408080001

52 Q-000MLVV8 3513236909080002

53 Q-000ML89V 3513235101080004

54 Q-001MKGEA 3513230310080002

55 Q-001MMORB 3513231912070001

56 Q-001MLVYF 351323208080003

57 Q-000MLVV8 3513235408080001
58 Q-000ML89V 3513235202070001

59 Q-001MKGEA 3513236909080002

60 Q-001MMORB 3513235101080004

61 Q-000MLVV8 3513236909080002

62 Q-000ML89V 3513235101080004

63 Q-001MKGEA 3513230310080002

64 Q-001MMORB 3513231912070001

65 Q-001MLVYF 351323208080003

66 Q-000MLVV8 3513235408080001
67 Q-000MLVV8 3513236909080002

68 Q-000ML89V 3513235101080004

69 Q-001MKGEA 3513230310080002

70 Q-001MMORB 3513231912070001

71 Q-001MLVYF 351323208080003

72 Q-000MLVV8 3513235408080001

73 Q-000MLVV8 3513236909080002

74 Q-000ML89V 3513235101080004

75 Q-001MKGEA 3513230310080002
76 Q-001MMORB 3513231912070001

77 Q-001MLVYF 351323208080003

78 Q-000MLVV8 3513235408080001

79 Q-000ML89V 3513235202070001

80 Q-001MKGEA 3513236909080002

81 Q-001MMORB 3513235101080004

82 Q-000MLVV8 3513236909080002

83 Q-000ML89V 3513235101080004

84 Q-001MKGEA 3513230310080002
85 Q-001MMORB 3513231912070001

86 Q-001MLVYF 351323208080003

87 Q-000MLVV8 3513235408080001

88 Q-000MLVV8 3513236909080002

89 Q-000ML89V 3513235101080004

90 Q-001MKGEA 3513230310080002

91 Q-001MMORB 3513231912070001

92 Q-001MLVYF 351323208080003

93 Q-000MLVV8 3513235408080001
94 Q-000MLVV8 3513236909080002

95 Q-000ML89V 3513235101080004

96 Q-001MKGEA 3513230310080002

97 Q-001MMORB 3513231912070001

98 Q-001MLVYF 351323208080003

99 Q-000MLVV8 3513235408080001

100 Q-000ML89V 3513235202070001

101 Q-001MKGEA 3513236909080002

102 Q-001MMORB 3513235101080004

103 Q-000MLVV8 3513236909080002

104 Q-000ML89V 3513235101080004

105 Q-001MKGEA 3513230310080002

106 Q-001MMORB 3513231912070001

107 Q-001MLVYF 351323208080003

108 Q-000MLVV8 3513235408080001

109 Q-000MLVV8 3513236909080002

110 Q-000ML89V 3513235101080004

111 Q-001MKGEA 3513230310080002

112 Q-001MMORB 3513231912070001

113 Q-001MLVYF 351323208080003

Keterangan
* Pekerjaan dikelompokkan menjadi:
A = Petugas Medis dan Non Medis di Fasilitas Pelay
B = Petugas pelayanan publik yang berhadapan langsung dengan masyarakat
C = Administrator Pemerintahan
D = Lainnya
E = Tidak Bekerja

Kelompok Umur:
18-30
31-45
46-59
Total
Pekerjaan:
A
B
C
D
E
Total
 FORMAT PENCAT
TINGKAT PUS

: Puskesmas Curahtulis
: Kabupaten Probolinggo
: Jawa Timur

Umur
Jenis Kelompok
Nama Penerima Vaksin Pekerjaan* (18-59
Kelamin Umur
tahun)

M ARDHIAN FERNANDO L D 17 0

NUR AIRIN P D 13 0

SITI HUMAIROH P D 14 0
REVALINA P D 15 0

NADIAH SALSABILA P D 13 0

NOVA NAZWA L D 14 0

NUR MAULANA L D 13 0

MAHIRA AYU P D 12 0

RIZAL MUHAIRI L D 13 0

ALI MUSA L D 14 0

SITI MARDIATUS P D 13 0

WARDATUS SOLEHA P D 14 0
CADRA WULAN P D 13 0

SAYYDAH FATIMAH P D 12 0

NOVITA MUNIKA P D 13 0

NOVI MAISAROH P D 14 0

NIKEN P D 13 0

RARA PRATIKA L D 12 0

RAHMATUL L D 13 0

ANNGGUN CARISSA P D 14 0

RAYSA MUTIARA P D 13 0
M DENIS L D 12 0

SALWA NOVIRA P D 13 0

NINA SALSABILA P D 14 0

NURUL MAULIDA P D 13 0

M HOFIS L D 12 0

FARIT FERDIANTO L D 13 0

PUTRI NUR P D 13 0

JESIKA P D 12 0

M. VALENTINO L D 13 0
SITI AISAH P D 13 0

TAUFIK HIDAYAT L D 13 0

FIRMANSYAH L D 12 0

NURI FINA P D 13 0

NURAENI P D 13 0

SEVY MAULIDA P D 12 0

DENILSON SINGKEGH L D 13 0

SEPTYA HADI L D 13 0

NAILA ZAHRA P D 12 0
FARANI GALLUH P D 13 0

ASYIFA CAMILIA P D 13 0

DAFA WILDANI L D 12 0

ISWAH AFISAH P D 13 0

HEDRA ADI L D 13 0

MAULIDINA NUR P D 12 0

ELISA P D 13 0

AULIATUL KAROMAH P D 13 0

THARISYA APRILIA P D 12 0
WINDY NUR P D 13 0

SARDA DEVI P D 13 0

OKY RIZKIAN L D 12 0

SYARIFUDIN L D 12 0

NADIA ULFA P D 13 0

NURYATI P D 13 0

ROSY FIRMANSYAH L D 12 0

EMERAL FITRIAH P D 13 0

TASYA P D 13 0
TINI ILLIYIN P D 12 0

YULIA CITRA P D 13 0

NUR KHOMARIA P D 13 0

ELISA FANTA P D 12 0

KEYSA ANGGUN P D 13 0

SRI WULANDARI P D 13 0

SIFATUL HIKMAH P D 12 0

FADITA AULIA P D 12 0

SYUKRON ABDILLAH L D 13 0
RINGGA TIRTA L D 13 0

ALVIN EKA L D 12 0

ANGGUN DELLA P D 13 0

MOCH LANGGENG L D 13 0

ANTONIO FAREL L D 12 0

FADILATUL AFIFAH P D 13 0

PARAMITA P D 13 0

YUSUF L D 12 0

SHERINA P D 13 0
USWATUN HASANAH P D 13 0

RISMA OKTAVIANI P D 12 0

ATA PRAYOGA L D 12 0

GALUH PRIBUMI L D 13 0

NUROHMATUL HIDAYAH P D 13 0

WARDA MEILIA P D 12 0

EKA ARISTA P D 13 0

MOCH FIRMANSYAH L D 13 0

FADLI L D 12 0
M AFRICA CRISTIAN L D 13 0

ELA PUTRI P D 13 0

JAINUDIN L D 12 0

HADI SAHRUL L D 13 0

ROZIDIN L D 13 0

RODIYAH P D 12 0

NIK AULIA P D 12 0

AZZAHRA NOVIANDRA P D 13 0

MUHAMMAD PANJI L D 13 0
RAMA DHIKA L D 12 0

ALAMULLAH WUJUD L D 13 0

M RIDWAN L D 13 0

MOH IDRIS NAWAWI L D 12 0

DIVA RISMA P D 13 0

MARIA ULFA P D 13 0

SITI HAWA P D 12 0

NURIL SALSABILA P D 13 0

RISTIA NINGRUM P D 13 0
M. ABDILLAH L D 12 0

MUHAMMAD NUR RIZKI L D 12 0

MISVI JUNIDA P D 13 0

IZA NUZULUL P D 13 0

LAILATUL QODRIYA P D 12 0

ANGGI YULIANI P D 13 0

SAFIRA AYU P D 13 0

FADILLA KAFKAH P D 12 0

AHMAD ADITYA L D 13 0
AURA PUTRI P D 13 0

GALIH PRASETYO D 12 0
 ***Merek Vaksin
A = Sinovac
B = Lainnya (Mohon disebutkan jenis vaksin yang diterima Puskesmas/Faskes)
apan langsung dengan masyarakat

Kelompok Umur: Kepesertaan BPJS

0 BPJS PBI 0
0 BPJS Non PBI 0
0 Non Anggota 0
0 Total 0
Pekerjaan: Pemberian Dosis
0 Dosis 1 112
0 Dosis 2 0
0 Total
0
0
0
RMAT PENCATATAN PELAKSANAAN VAKSINASI COVID-19
TINGKAT PUSKESMAS/FASYANKES/POS VAKSINASI
9/9/2021

Kepesertaan BPJS (tulis 'Ya'

pada kolom yang sesuai)

Alamat No. Hp
BPJS BPJS Non Non
PBI PBI Anggota

TANJUGREJO 085334677541

KLAMPOK 081230108480

KRATON 082330930918
TANJUNGREJO 085315073881

TANJUGREJO 082235798771

WATESTANI 082257649884

PAMATAN 082245580833

TAJINGREJO 082245432557

TANJUGREJO 081333176880

TANJUGREJO 082132035083

TANJUGREJO 085216002077

KLAMPOK 081232565708
KLAMPOK 085337296564

TANJUNGREJO 085233475189

TANJUGREJO 082334423531

TANJUGREJO 085730851786

KLAMPOK 082241589468

KLAMPOK 085375073881

KLAMPOK 081232565708

KLAMPOK 085337296564

KLAMPOK 085233475189
KLAMPOK 082334423531

KLAMPOK 085730851786

KLAMPOK 082241589468

KLAMPOK 081232565708

KLAMPOK 085337296564

TANJUNGREJO 085233475189

TANJUGREJO 082334423531

KLAMPOK 085730851786

KLAMPOK 082241589468
TANJUNGREJO 081232565708

TANJUGREJO 085337296564

KLAMPOK 085233475189

KLAMPOK 082334423531

TANJUNGREJO 085730851786

TANJUGREJO 082241589468

KLAMPOK 085233475189

KLAMPOK 082334423531

KLAMPOK 085730851786
TANJUNGREJO 081232565708

TANJUGREJO 085337296564

KLAMPOK 085233475189

KLAMPOK 082334423531

KLAMPOK 085730851786

TANJUNGREJO 082241589468

TANJUGREJO 081232565708

KLAMPOK 085337296564

KLAMPOK 085233475189
KLAMPOK 082334423531

TANJUNGREJO 085730851786

TANJUGREJO 082241589468

TANJUNGREJO 081232565708

TANJUGREJO 085337296564

KLAMPOK 085233475189

KLAMPOK 082334423531

TANJUNGREJO 085730851786

TANJUGREJO 082241589468
KLAMPOK 085233475189

KLAMPOK 082334423531

KLAMPOK 085730851786

TANJUNGREJO 081232565708

TANJUGREJO 085337296564

KLAMPOK 085233475189

KLAMPOK 082334423531

KLAMPOK 085730851786

TANJUNGREJO 082241589468
TANJUGREJO 081232565708

KLAMPOK 085337296564

KLAMPOK 085233475189

KLAMPOK 082334423531

TANJUNGREJO 085730851786

TANJUGREJO 082241589468

KLAMPOK 081232565708

KLAMPOK 085337296564

TANJUNGREJO 085233475189
TANJUGREJO 082334423531

KLAMPOK 085730851786

KLAMPOK 082241589468

KLAMPOK 085233475189

TANJUNGREJO 082334423531

TANJUGREJO 085730851786

KLAMPOK 081232565708

KLAMPOK 085337296564

KLAMPOK 085233475189
TANJUNGREJO 082334423531

TANJUGREJO 085730851786

KLAMPOK 082241589468

KLAMPOK 081232565708

TANJUNGREJO 085337296564

TANJUGREJO 085233475189

KLAMPOK 082334423531

KLAMPOK 085730851786

KLAMPOK 082241589468
TANJUNGREJO 082241589468

TANJUGREJO 085233475189

KLAMPOK 082334423531

KLAMPOK 085730851786

KLAMPOK 081232565708

TANJUNGREJO 085337296564

TANJUGREJO 085233475189

KLAMPOK 082334423531

KLAMPOK 085730851786
TANJUNGREJO 082241589468

TANJUGREJO 081232565708

KLAMPOK 085337296564

KLAMPOK 085233475189

KLAMPOK 082334423531

TANJUNGREJO 085730851786

TANJUGREJO 082241589468

KLAMPOK 082241589468

KLAMPOK 085233475189
KLAMPOK 082334423531

TANJUNGREJO 085730851786
 Pekerjaan
A 0
B 0
C 0
D 0
E 0
Total 0
ASI COVID-19
KSINASI

Dosis I Dosis 2

Tanggal
Merek Vaksin***
Screening
Tanggal Tanggal
Pemberian No. Batch Pemberian No. Batch
Vaksinasi Vaksinasi

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

SINOVAC 9/9/2021 9/9/2021 2021071321

 Keterangan
(Ditunda/Tidak
Diberikan/Lanjut)

LANJUT

LANJUT

LANJUT
LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT
LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT
LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT
LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT
LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT
LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT
LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT
LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT
LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT
LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT
LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT
LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT
LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT
LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT

LANJUT
LANJUT

LANJUT

LANJUT

LANJUT