DAFTAR PEMBERIAN VAKSIN

Nama Puskesmas : Puskesmas Purnama

Kabupaten/Kota : Pontianak
Provinsi : Kalimantan Barat
IDENTITAS VAKSIN

No. TANGGAL STATUS TINGGI BERAT BADAN TENSI

JAM BAD AN
NO TIKET NIK NAMA LENGKAP TANGGAL LAHIR JENIS TENAGA ALAMAT RUMAH NO HP
PEMBERIAN

1 22-Mar-21 S-5D2DB443 6171014807640008 SA'ADIAH 7/8/1964 GURU GG. PURANAM BARU NO. 29 085750147317 8:26 VAKSIN DIBERIKAN 152 60.3 140/80

2 22-Mar-21 S-C12110B8 6171036607610001 SUHADA 7/26/1961 GURU JL. HUSIN HAMZAH GG. HASANAH 05 081218838434 9:28 VAKSIN DIBERIKAN 161 61.5 130/80

PERUM. SUMATRA IND AH N O. 8 JL.

3 22-Mar-21 S-OB4F5DB3 6171015111610005 LIS WARTIA R 11/11/1961 GURU 081345098861 8:30 VAKSIN DIBERIKAN 152 52.5 140/80
M.SOHOR

4 22-Mar-21 S-C2C8EOB1 6171015509620011 PAINAH 9/15/1962 GURU JL. KARNA SOSIAL NO.20A 082152260342 8:34 VAKSIN DIBERIKAN 155.5 69.8 130/80

5 22-Mar-21 P-EYHMAMVM 6171034209940015 HASANAH 9/2/1994 GURU JL. KOYASO GG. SADPRAJA NO. 76 089674562709 8.36 VAKSIN DIBERIKAN 147.7 59.7 120/80

6 22-Mar-21 S-DD79808C 6171017011620003 YUSEPA 11/30/1962 GURU GG. PERINTIS IV NO. 4 085245865755 8:40 VAKSIN DIBERIKAN 148 63.4 140/90

7 22-Mar-21 P-EYT4T2SM 6112036705790003 ASIAN 5/27/1979 GURU GG. KARYA TANI 085448332848 8:45 VAKSIN DIBERIKAN 151 56.2 90/60

8 22-Mar-21 S-3F27DE2F 6101045005980008 NUR ASNIAH 5/10/1998 GURU JL. KARYA BARU GG. K. BARU 9 0895702499017 8:50 VAKSIN DIBERIKAN 145 91.4 120/80

9 22-Mar-21 S-EOB3DA8D 6171014901820022 IKA PUSPA M.D 1/9/1982 GURU GG. GARUDA II NO. 15B IMBON 089694010133 9:00 VAKSIN DIBERIKAN 157.5 101.6 130/90

10 22-Mar-21 S-913FAGAC 6171014905830010 RATNA SARI 5/9/1983 GURU KOMP. KARET INDAH AB B.30 089660163839 8:53 VAKSIN DIBERIKAN 147.2 52 110/80

11 22-Mar-21 S-CC63B157 6171016411700008 SRI NURBAITI 11/24/1970 GURU PARIS II GG. MANDALA INDAH NO. 26 081345328131 8:55 VAKSIN DIBERIKAN 149.8 68.7 130/80

12 22-Mar-21 S-DDFD09F1 6171014311720007 PLASIDA 11/3/1972 GURU GG. PURNAMA INDAH IV 085386929520 9:13 VAKSIN DIBERIKAN 157 60 140/80

13 22-Mar-21 P-F05G41JB 6171015109660004 MELPINA SIANTURI 11/9/1966 GURU JL. KESEHATAN PERUM GURU NO. C3 081352007236 9:22 VAKSIN DIBERIKAN 140 49.5 130/80

DR WAHIDIN GG. BATAS PAN DANG

14 22-Mar-21 S-DB305387 6171015202630009 HJ. KHOIRUL BARIYAH 2/12/1963 GURU 082156894245 8:26 VAKSIN DIBERIKAN 148 59 135
JALUR 5NO. 14

15 22-Mar-21 S-A3889ED5 6171016707630008 DARMAWATY 7/27/1963 GURU JL SEPAKAT 2 GG. PADAKARANG AYANI 1 08125750455 9'26 VAKSIN DIBERIKAN 153 63 140/90

16 22-Mar-21 S-4AD71F4F 6105011101930002 YANUAR TAUFUR R 1/1/1993 GURU JL. PELITA IV RASAU JAYA 081352352330 9:30 VAKSIN DIBERIKAN 165 51 90/60

17 22-Mar-21 S-CBCE02D9 6171011706900004 PUDI 6/17/1990 GURU JL.BINA JAYA GG. DAMAI 3 085386093534 TUNDA SISTEM 169 49 120/80

18 22-Mar-21 S-D7024737 6171014208690004 SYARIFAH ALIYAH 8/2/1969 GURU BALI AGUNG I B-19 082149388512 MENOLAK 150 56 140/90

19 22-Mar-21 S-D9E214A9 6108015007970004 ARNITSHA VAN ABAS 7/10/1997 GURU SERDAM KOMP. HOSANA GRACIA BLOK 085845168821 9:48 VAKSIN DIBERIKAN 165 68 120/80
AA NO. 3

20 22-Mar-21 P-F4580RIE 6171034207750005 UMI JULIANTI 7/2/1975 GURU KESEHATAN KOMP. SEHAT SEJAHTERA 081256726389 9:51 VAKSIN DIBERIKAN 154 48 120/80

21 22-Mar-21 S-923E7FC4 6171032611900002 ELIS SUMANTRI 62/11/90 GURU JL. KARET GG. EKA SAPTA 081254144359 9:55 VAKSIN DIBERIKAN 157 52 90/70

22 22-Mar-21 S-8CE3C4FA 6171054811960010 RIMA ANDRIYANI 11/8/1996 GURU JL. SUKA MULYA GG. SUKMA 17 NO. 3 089693479064 9:58 VAKSIN DIBERIKAN 155 48 100/80

23 22-Mar-21 P-F5GQOIAQ 6171034812950009 DEWI PUTRI ANGGRAINI 12/8/1995 GURU HUSEIN HAMZAH GG. PENDIDIKAN NO, 12A 081520927792 10:00 VAKSIN DIBERIKAN 159 73 100/80

24 22-Mar-21 S-9609AB7D 6171015203930005 AMBARSARI 3/12/1993 GURU JL. PERDANA 08985209956 9:56 VAKSIN DIBERIKAN 142 35 90/60

25 22-Mar-21 S-12BA6FC2 6102185207970002 NUR AZIZAH 7/19/1997 GURU JL. RAYA PARIT BANJAR MEMPAWAH 086995432159 10:01 VAKSIN DIBERIKAN 165 83 110/80

DSN GAN GGONG DS PENYALIMAU

26 22-Mar-21 S-B14A1493 6103015806940004 CITRA AYU NINGTYAS 6/18/1994 GURU 089693930473 10:04 VAKSIN DIBERIKAN 145 42 110/80
SANGGAU

27 22-Mar-21 S-52775C13 6101121112940002 HARUN 12/11/1996 GURU JL. PARIT DEMANG I NO. 1 089694648411 10:12 VAKSIN DIBERIKAN 171 57 120/80

28 22-Mar-21 P-F6HIKUKI 6171015107850502 DEVI JULIANTI 7/11/1985 GURU GG,KESEHATAN NO. C2 082148835910 10:20 VAKSIN DIBERIKAN 154 58 90/70

29 22-Mar-21 S-DC18C4A8 6112095802960007 FITRIANA 2/18/1996 GURU JL. PRAMUKA GG. SATRIA 082149909687 10:22 VAKSIN DIBERIKAN 150 55 90/70

30 22-Mar-21 S-C60585C7 6108014602970003 MELISA 2/6/1997 GURU DUSUN TEBING TINGGI PAL VII 085754592097 10:25 VAKSIN DIBERIKAN 155 55 90/60

31 22-Mar-21 S-6D8OBD30 6171010212850011 HERWANSYAH 12/2/1985 GURU IMBON GG. GARUDA I NO. 88 0895701181819 10:27 VAKSIN DIBERIKAN 149 57 120/80

32 22-Mar-21 S-5D5FCEDE 6112011609640001 MUJIANTO 9/16/1964 GURU JL. ADISUCIPTO GG. PURING 0897122597 10:31 VAKSIN DIBERIKAN 167 73 120/80

33 22-Mar-21 S-2D228601 6106015310850001 YOVITA ANDAP 10/13/1985 GURU JL. ADISUCIPTO GG. HAKARAYA NO.2 081257705067 10:36 VAKSIN DIBERIKAN 154 46 90/70

34 22-Mar-21 P-F86HL82F 6112016311970007 NURUL RIMA RIZKI 11/23/1997 GURU AYANI II KOMP. DUTA BANDARA 089674957931 10:34 VAKSIN DIBERIKAN 159 48 110/70

35 22-Mar-21 S-OOAFD9FE 6171055009670006 AQSARNI 9/10/1967 GURU DANAU SENTARUM GG. NURHADI 089602657073 TUNDA SISTEM 157 80 16/110

36 22-Mar-21 S-B54FDB6E 6171015310750002 YOHANA 10/13/1975 GURU GG. PURNAMA INDAH II NO. 45 08998184160 10:41 VAKSIN DIBERIKAN 148 64 100/80

37 22-Mar-21 S-C5765BAB 6171014508800022 KRISTINA MAUDIANA 8/5/1980 GURU JL. KARA BAKTI 2 NO. 32 085650903807 TUNDA SISTEM 138 47 110/70

38 22-Mar-21 S-1692EF8E 6171062007900001 MUHAMMAD JUNAIDI 7/20/1990 GURU JL. KARANGAN BLOK B NO. 12 UNTAN 085750866651 10:45 VAKSIN DIBERIKAN 178 95 130/90

39 22-Mar-21 S-41CC408C 6171064608750001 ISRI ARISANTY 8/6/1975 GURU PARIS II GG. ASOKA NO.25 081318858374 10:46 VAKSIN DIBERIKAN 150 58 120/80

40 22-Mar-21 S-70C1359F 6171015509620010 IDANIAR 9/15/1962 GURU JL. KESEHATAN GG, SINAR BERSAMA 085753382177 10:40 VAKSIN DIBERIKAN 153 62 110/80
NO. 51

41 22-Mar-21 S-BO327923 6171014403670007 RAFIDA 3/4/1965 GURU GG. USAHA BERSAMA I 085348411757 10:42 VAKSIN DIBERIKAN 149 61 170/90

42 22-Mar-21 S-FC74A89E 6171010106670008 ADRIANI 6/1/1967 GURU PARIT DEMANG DALAM I 081345216174 10:47 VAKSIN DIBERIKAN 157 61 120/80

43 22-Mar-21 S-EC21B172 6171055709590003 MULYANI 9/17/1959 GURU JL. SUTAN SYAHRIL GG. RAWASARI I NO. 41 082357383693 10:30 VAKSIN DIBERIKAN 148 49 140/90

44 22-Mar-21 S-OC30D893 6171015606660010 ARMANI 6/16/1966 GURU JL. PARIT DEMANG NO. 10 081256806763 10:54 VAKSIN DIBERIKAN 147 60 100/80

45 22-Mar-21 S-50E0249E 6171010108940006 SLAMET HIDAYAT 8/1/1994 GURU PERINTIS NO. 1 08994376697 11:00 VAKSIN DIBERIKAN 166 66.6 110/80

46 22-Mar-21 S-97A4C7F 6171045901910002 ELA MAYA SARI 1/19/1991 GURU PURNAMA PERMAI I NO. B17 085391080208 11:04 VAKSIN DIBERIKAN 155.5 53.6 100/70

47 22-Mar-21 S-F03FOD02 6171012412670009 AGUS PRIADI 12/24/1967 GURU JL. PURNAMA GG. DINASTI 089694001323 11:03 VAKSIN DIBERIKAN 164 66 130/80

48 22-Mar-21 P-FBMUOE7V 6171041001940013 LEDDY SARTONO 1/10/1994 GURU 28 OKTOBER GG. BIMA SAKTI II .0895341685707 11:06 VAKSIN DIBERIKAN 170 72 110/70

49 22-Mar-21 P-FBVR9PWJ 6106170408940001 AGUSTINUS DAILANG 8/4/1994 GURU DANSEN KOMP, SEJAHR-TERA 3 NO. 32 085822633112 11:08 VAKSIN DIBERIKAN 153 55 100/80

50 22-Mar-21 P-FCBX041C 6112064106990004 EKA PUTRI ANJARWATI 6/1/1999 GURU DSN KEBUN JERUK RASAU JAYA 085845585289 11:10 VAKSIN DIBERIKAN 157 55 120/70

51 22-Mar-21 S-ODO72C37 6171015010610006 ESTER MOLINAWATI 10/10/1961 GURU PURNAMA INDAH 3 NO. 52 085714637072 11:30 VAKSIN DIBERIKAN 144 66 100/70

52 22-Mar-21 S-A75DEF6C 6171016203620002 NORHAYATI 3/22/1962 GURU PURNAMA INDAH 6 NO. 18 089518523394 11:32 VAKSIN DIBERIKAN 148 68 130/90

53 22-Mar-21 P-FCMZRQF 6102016802980002 PUTRI WAHYU NINGSIH 2/28/1998 GURU TANJUNG RAYA 2 GG. BUNGA TANJUNG I 089694378439 11:34 VAKSIN DIBERIKAN 154 69 140/90

54 22-Mar-21 P-FCKT1UUI 6112055901950004 INTAN PURNAMA SARI 1/19/1995 GURU KOMYOS SUDARSO GG. RAMBUTAN 0896690445156 11:35 VAKSIN DIBERIKAN 140 36 90/70

55 22-Mar-21 S-3A57FA83 6112015611750006 EVALINA SIAHAAN 11/16/1975 GURU KOMP. PAWAN PERMAI MAS III BLOK N 081345660077 11:39 VAKSIN DIBERIKAN 157 69 110/80
NO. 11

56 22-Mar-21 S-D536AA81 6171066111680001 ROSMIATI 11/21/1998 GURU JL. KARANGAN BLOK B,10 UNTAN 085752750768 TUNDA SISTEM 148 54 130/80

57 22-Mar-21 S-22E7699D 6171014909690009 SRI YULIANI 9/9/1969 GURU GG. PURNAMA NO. 8A 082251001968 11:45 VAKSIN DIBERIKAN 146 64 100/70

58 22-Mar-21 P-FCRIMUY3 6102086002970002 AISYAH SAFITRI 2/20/1997 GURU TANJUNG RAYA 2 JL. BUNGA TANJUNG 0895702075241 11:42 VAKSIN DIBERIKAN 151 50 120/80

59 22-Mar-21 S-049DA9EB 6171014305960008 MUTIA ULFA 5/3/1996 GURU PURNAMA AGUNG 2 089669479561 11:40 VAKSIN DIBERIKAN 151 54 90/70

60 22-Mar-21 P-FHJHGBIZ 6171014711940006 CHANISA 11/7/1994 GURU JL.A.R. SALEH GG. PANORAMA NO. 1 085348566157 13:04 VAKSIN DIBERIKAN 151 69 120/80

61 22-Mar-21 S-D73DB4EF 6171065312940001 MONICA RISYA ALFRIDA 12/13/1994 GURU MITRA INDA UTAMA 6 BLOK B12 089693219341 13:07 VAKSIN DIBERIKAN 156 51 100/80

62 22-Mar-21 S-16593150 6171014108860010 EKA MILASARI 8/1/1986 GURU JL. AR. SALEH KOMP. BLK NO. D5 08993796086 13:11 VAKSIN DIBERIKAN 149 62 110/80

63 22-Mar-21 S-CA7A6152 6171055607870004 MARINA 7/16/1987 GURU JL. KESEHATAN KOMP. GURU NO. B7 085393861966 13:13 VAKSIN DIBERIKAN 149 55 110/80

64 22-Mar-21 P-FHTI9LXL 6171044704950013 NURUL HIDAYATIE 4/7/1995 GURU JL. BUDI UTOMO GG. PURNAJAYA I NO. 45 083125690741 13:16 VAKSIN DIBERIKAN 153 65 120/70

65 22-Mar-21 P-FI2OPEJ6 6171016305990009 VERENIA ALDERO WONG 5/23/1999 GURU JL. KETAPANG NO. 27 081297069323 4:33 VAKSIN DIBERIKAN 176 80 120/80

66 22-Mar-21 P-FIFTG6D7 6109062906960003 JOHN PAPILAYA 6/29/1996 GURU SERDAM KOMP. FAJAR ASRI 6 NO; 32A 085652293724 13:35 VAKSIN DIBERIKAN 164 61 110/80

67 22-Mar-21 P-FUBV02B 3373016401860001 UKY PUSPASARI SIDUPA 1/24/1986 GURU GUSTI HAMZAH GG. NUR 2 NO. 48 085828384343 13:39 VAKSIN DIBERIKAN 150 39 110/70

68 22-Mar-21 P-FIFGFSI3R 6171024501940005 JOICE ARDILA 1/5/1994 GURU PANGLIMA AIM PERUM 4 089678625825 13:40 VAKSIN DIBERIKAN 148 64 130/90

69 22-Mar-21 P-FIKI889L 6107204607920003 JULIANA 7/6/1992 GURU JL. PURNAMA AGUNG 7 NO.C-10 085822593179 13:41 VAKSIN DIBERIKAN 149 59 110/70

70 22-Mar-21 S-C19D44BE 6171056606680002 SAMINEM 6/26/1968 GURU JL. K.H.A.RAHMAN GG. 0857877961896 MENOLAK 158 69 120/80
MARGOD ADIREJO II NO. D16

71 22-Mar-21 S-3A22A4CF 6112011710920005 YUSMADI SUANDRA 10/17/1992 GURU TANJUNG RAYA II GG. H.M. YUSUF 085752089305 13:43 VAKSIN DIBERIKAN 166 73 100/70

72 22-Mar-21 P-FHOXEFJL 6171057012960001 INTAN FARAHIYAH 12/30/1996 GURU GG. BAUDURI JL. K.H.W. HASYIM 089520462211 MENOLAK 156 66 120/80

J L. UJUNG PAND ANG KOMP. VILLA

73 22-Mar-21 S-446E1DF3 6171034202930009 TRI SUCI FEBRIANTI 2/2/1993 GURU 089504947972 13:50 VAKSIN DIBERIKAN 156 44 140/90
BRAT A INDAH NO, D14

74 22-Mar-21 S-1E80FO3A 6171021505610004 AMINUDDIN 5/15/1961 GURU TJ RAYA II GG. SEDERHANA 081248784814 PJP MENOLAK 150 64 120/80

75 22-Mar-21 S-8E519307 6171014510640004 ROHANA 10/5/1964 GURU PARIS I GG. SUKSES 085654803131 TUNDA SISTEM 147 60 150/80

76 22-Mar-21 S-B23640A2 6171056607840003 YULI SUDARYANTI 7/26/1984 GURU JL. DR WAHIDIN GG. SEPAKAT 6 085650837783 13:45 VAKSIN DIBERIKAN 167 64 120/80

77 22-Mar-21 S-IFI662DC 6112015306640002 JAMILON EDRUS 6/13/1964 GURU JL. ADISUCIPTO GG. 822 08125613013 13:48 VAKSIN DIBERIKAN 156 79 130/90

78 22-Mar-21 P-FIV53ISN 6171015606770009 NORIDA 6/16/1977 GURU GG. PURNAMA INDAH 4 NO. 8 081354454076 13:52 VAKSIN DIBERIKAN 161 64.5 110/70

79 22-Mar-21 S-FEBF9B57 6171031408550002 DRS. ALKANY AMIN 8/14/1955 GURU SMK ABDIWACANA 081345061463 MENOLAK 162 75 160/120

80 22-Mar-21 P-FHOJBQVX 6171046804760005 JAMILAH 4/28/1976 GURU JL. IMBON GG. BANSIR 1 089518522623 MENOLAK 152 61 110/80

81 22-Mar-21 S-7B3C885F 6171015407880009 DINI ARASYTIE 7/14/1988 GURU PROF.M.YAMIN GG. BATAS KOTA 0085650897862 TUNDA SISTEM 155 67 110/80

82 22-Mar-21 P-FJENEDNN 6108072706870004 ARI SABAT YUNIPAR 6/27/1987 GURU JL. MARTADINATA GG. PALA 3 NO. 16 089647391113 14:10 VAKSIN DIBERIKAN 160 60 120/70

83 22-Mar-21 S-2C61264C 6171012202720002 ELWIN SAMOSIR 2/22/1972 GURU JL. A.YANI NO. 52 F 082153709536 14:13 VAKSIN DIBERIKAN 170 82 140/80

84 22-Mar-21 S-1E688D69 6171014104670005 LUSIA SAMARAI 4/1/1967 GURU JL. AYANI NO. 52F 081257979608 14:15 VAKSIN DIBERIKAN 153 61 110/80

85 22-Mar-21 S-80BFBE07 6171010509550006 ISMAIL 9/5/1955 GURU TANJUNG PURA GG. SUEZ 081649444021 14:16 VAKSIN DIBERIKAN 151 48 140/90

86 22-Mar-21 S-CE0F9A71 6171010306670009 IRENIUS KADEM 6/3/1967 GURU JL. AYANI NO. 52F 081345390568 14:17 VAKSIN DIBERIKAN 163 81 130/80

87 22-Mar-21 S-A75FEFDC 6171034207710009 MARGARETA 7/2/1971 GURU JL. KARET GG NUANSA ALAM B7 085346516647 TUNDA SISTEM 160 72 160/11

88 22-Mar-21 S-72676A1D 6171016702650008 HILYAH 2/27/1965 GURU ADISUCIPTO GG.H. AMAN NO. 6 085727699020 MENOLAK 154 71 140/110

P.NATAKUSUMA GG. KARANG ANYAR

89 22-Mar-21 S-6A827AOC 6171052803910005 EKO SETIAWAN 3/28/1991 GURU 085252330983 TUNDA SISTEM 168 131 150/110
NO. 23

90 22-Mar-21 S-D8708E2C 6171011003650004 YULIUS JOKO 3/10/1965 GURU KARYA BHAKTI NO. 7C 085252353972 TUNDA SISTEM 167 73 140/90

91 22-Mar-21 S-154FOA33 6171052203670003 JUANDA SARAGIH 3/22/1967 GURU JL. ALIANYANG ASR. GURU 081352347740 14:31 VAKSIN DIBERIKAN 163 56 110/70

92 22-Mar-21 S-51DA5C35 6171055603680013 MISYANI 3/16/1968 GURU ALIANYANG ASR. HIDAYAT NO. H26 085252019038 TUNDA SISTEM 152 54 110/70

PANGERAN NAT AKUSUM A GG KARANG

93 22-Mar-21 S-E118911B 6171057012620009 IJAH 12/30/1962 GURU 081256705940 TUNDA SISTEM 169 61 130/80
ANYER NO. 20

94 22-Mar-21 S-85F692F2 6171054906680008 ANDIWATI 6/9/1968 GURU DR SUTOMO GG SADAR NO. 69 081345362976 TUNDA SISTEM 153 58 140/80

95 22-Mar-21 S-27FB7669 6171035611610005 SUWARNI 11/16/1961 GURU MARTADINATA GG. PURING 085705345752 TUNDA SISTEM 148 82 160/90

96 22-Mar-21 S-78507375 6112094411710003 KRISTIANA SALIN 11/4/1971 GURU BALI ASRI 2 PAL 9 085245614580 TUNDA SISTEM 156 88 180/110

97 22-Mar-21 S-18BF7AAC 6171020208920004 ANGGA DARWANTO 8/2/1992 GURU TANJUNG RAAYA II GG. M.TAUFIQ 089612000005 MENOLAK 161 71 110/80

98 22-Mar-21 S-3EB74EBA 6110064811940001 KHOWATUNNIDA 11/8/1994 GURU JL. PERINTIS 085845846604 TUNDA SISTEM 160 81 120/80

99 22-Mar-21 S-677AOOEA 6103016606690003 ROBIATY 6/26/1969 GURU ANUGRAH PERDANA PERMAI D1 081256552780 TUNDA SISTEM 154 63 100/80

100 22-Mar-21 W-D77BE020 6171056311920005 TIARA SAGITA S 11/23/1992 NAKES DR WAHIDIN KOM. MITRA UTAMA IV 085251664646 14:52 VAKSIN DIBERIKAN 159 70 100/80
BLOK A NO. 4

101 22-Mar-21 D-FKHH07W5 6171016104010003 ANDINI DARA NABILA 4/21/2001 NAKES JL. NIRBAYA GG. MENTARI NO. 9 089673107759 14:59 VAKSIN DIBERIKAN 159 55 100/70

102 22-Mar-21 6102121107010001 DANDY KHAIRUL ANWAR 7/11/2000 NAKES JL. IMBON 081256062202 15:00 VAKSIN DIBERIKAN 155 61 120/70

103 22-Mar-21 S-FCIA0310 6112015606630011 KRISTA YAYANG 6/16/1963 GURU SERDAM KOMP. GRIYA HUSADA NO. A44 08152222683 TUNDA SISTEM 134 48 120/80

104 22-Mar-21 S-OF6380D9 6171015306650004 AISYAH USMAN 6/13/1965 GURU PERDANA KOMP. BALI AGUNG III NO. Q36 085388996288 TUNDA SISTEM 140 68 170/90

105 22-Mar-21 S-9CBEB60T 6171014205690013 MARGARETA ELLY 5/2/1969 GURU JL. KARNA SOSIALNO. 46 085345007129 TUNDA SISTEM 145 51 160/110

106 22-Mar-21 S-CEF70B81 6171054203640003 TAL'AH 3/2/1964 GURU JL AMPERA GG. MANDIRI BARU NO. 1 0895338601060 TUNDA SISTEM 141 41 180/100

107 22-Mar-21 S-62FBE9C1 6171016305640008 TIMARLINA 5/25/1964 GURU M. YAMIN GG. TELADAN 085252341854 MENOLAK 158 54 120/70

108 22-Mar-21 S-AB8CO686 6171016009630001 FARHANAH 9/20/1963 GURU PARIS I GG. HIJRAH NO. 8A 081345326242 MENOLAK 151 65 130/80