REKAPAN VAKSINASI

Tempat: Desa Karangbungur Dosis 1: 14 September 2021 Dosis 2: ……………………………..

JENIS
NO TANGGAL NIK NAMA USIA ALAMAT KEL/DESA KATEGORI
KELAMIN

1 9/14/2021 3211105208700002 AAT ROHAETI P 51 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

2 9/14/2021 3211105308600003 ACIH P 65 PASIRIPIS KARANGBUNGUR LANSIA

3 9/14/2021 3211100502920002 L 29 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

4 9/14/2021 3211101306410001 AHYADI L 88 PASIRIPIS KARANGBUNGUR LANSIA

5 9/14/2021 3211101509690001 AJAM SETIAWAN P 52 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

6 9/14/2021 3211102509450002 ANDI S L 86 PASIRIPIS KARANGBUNGUR LANSIA

7 9/14/2021 3204280311890005 ANGGA PRATAMA GUMILAR L 32 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

8 9/14/2021 3211104208700009 ANIH P 51 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

9 9/14/2021 3211185502670005 APONG P 54 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

10 9/14/2021 3211100901000004 ARI PURNAMA L 21 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

11 9/14/2021 3202290703920007 ASEP BURHANUDIN L 29 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

12 9/14/2021 3211102307030002 ASEP YOGI L 18 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

13 9/14/2021 3211107003600003 ATIN SURYATIN P 61 PASIRIPIS KARANGBUNGUR LANSIA

14 9/14/2021 3211104708830011 AWANG NAWANGSIH P 38 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

15 9/14/2021 3211105202900006 CUCU MULYATI P 30 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

16 9/14/2021 3211101011460003 DANA L 87 PASIRIPIS KARANGBUNGUR LANSIA

17 9/14/2021 3211101712450001 DANTA L 63 PASIRIPIS KARANGBUNGUR LANSIA

18 9/14/2021 3211101009580004 DANTA L 66 PASIRIPIS KARANGBUNGUR LANSIA

19 9/14/2021 3211104903580008 DARTI P 63 PASIRIPIS KARANGBUNGUR LANSIA

20 9/14/2021 3211101405700004 DATAM L 51 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

21 9/14/2021 3211106512060001 DEALOVA NATALI PUTRI HERMAWAN P 14 PASIRIPIS KARANGBUNGUR REMAJA

22 9/14/2021 3217022312830003 DENI L 37 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

23 9/14/2021 3211104102020003 DETI ROSITA P 19 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

24 9/14/2021 3211100906020003 DICKY PERDIAN DARMAWAN L 19 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

25 9/14/2021 3211102107790001 DUDI SUGIANTO L 42 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

26 9/14/2021 3211104810750002 EDE L 46 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

27 9/14/2021 3211104307550012 EDOY P 66 PASIRIPIS KARANGBUNGUR LANSIA

28 9/14/2021 3211104604720002 EEN L 49 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

29 9/14/2021 3211106101840004 ELIS P 41 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

30 9/14/2021 3211104708710005 EMI P 49 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

31 9/14/2021 3211104107710057 EMUNIRAH P 50 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

32 9/14/2021 3211100603050001 ENDANG TARYANA L 16 PASIRIPIS KARANGBUNGUR REMAJA

33 9/14/2021 3211104201880004 ENGKOY P 33 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

34 9/14/2021 3211105602600004 ENTAR p 61 PASIRIPIS KARANGBUNGUR LANSIA

35 9/14/2021 3211105906810001 ENTIN P 40 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

36 9/14/2021 3211105508920002 EUIS P 29 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

37 9/14/2021 3211106310060001 FITRIA NURAINI P 15 PASIRIPIS KARANGBUNGUR REMAJA

38 9/14/2021 3211102106840002 HAMIM L 37 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

39 9/14/2021 3211103004890006 HENDI SUHENDI L 32 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

40 9/14/2021 3211101404940003 IDI L 27 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

41 9/14/2021 3211102911790002 IDING L 41 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

42 9/14/2021 3211104111900006 IIS RUKMINI P 31 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

43 9/14/2021 3204116705820005 ISAR ROHAETI P 39 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

44 9/14/2021 3211101002820010 JAJA L 39 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

45 9/14/2021 3211100907900004 JEJEN NAYUDIN L 25 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

46 9/14/2021 3211101709980001 JUJUN HIDAYATULOH L 23 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

47 9/14/2021 3211104511740001 KANAH P 47 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

48 9/14/2021 3211100502040001 KEVIN SANJAYA L 17 PASIRIPIS KARANGBUNGUR REMAJA

 REKAPAN VAKSINASI

Tempat: Desa Karangbungur Dosis 1: 14 September 2021 Dosis 2: ……………………………..

JENIS
NO TANGGAL NIK NAMA USIA ALAMAT KEL/DESA KATEGORI
KELAMIN

49 9/14/2021 3211104109930007 KIKI RATNASARI P 28 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

50 9/14/2021 32111045108 0006 LILIS TRISNAWATI P 36 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

51 9/14/2021 3211103112500023 NANA L 70 PASIRIPIS KARANGBUNGUR LANSIA

52 9/14/2021 3211102706080002 NANANG L 13 PASIRIPIS KARANGBUNGUR REMAJA

53 9/14/2021 3211104703010002 NITA PRATIWI P 20 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

54 9/14/2021 3211100310570002 NONO L 64 PASIRIPIS KARANGBUNGUR LANSIA

55 9/14/2021 3211096505720001 RALEM P 49 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

56 9/14/2021 3211101910620001 RASDIN L 59 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

57 9/14/2021 3211102311540002 RASKI L 66 PASIRIPIS KARANGBUNGUR LANSIA

58 9/14/2021 3211106205510001 RUHIAT L 75 PASIRIPIS KARANGBUNGUR LANSIA

59 9/14/2021 3211100607470004 RUKANDA L 74 PASIRIPIS KARANGBUNGUR LANSIA

60 9/14/2021 3601065211970002 SANIMAH P 23 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

61 9/14/2021 3211105210940006 SITI NURYANI P 27 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

62 9/14/2021 3211214808060003 SUCI P 21 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

63 9/14/2021 3211105306070002 TANTI HERLINA P 14 PASIRIPIS KARANGBUNGUR REMAJA

64 9/14/2021 3211211508640005 TATANG L 59 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

65 9/14/2021 3211102002440002 UJU L 89 PASIRIPIS KARANGBUNGUR LANSIA

66 9/14/2021 3211100802720002 UMIR L 49 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

67 9/14/2021 3211101704890002 UUS ROHIMAT L 32 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

68 9/14/2021 3211101304910004 WANDI L 30 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

69 9/14/2021 3211105011600002 WANTI P 61 PASIRIPIS KARANGBUNGUR LANSIA

70 9/14/2021 3211104704680002 WARTINI P 53 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

71 9/14/2021 3211101111000005 WAWAN HIDAYAT L 20 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

72 9/14/2021 3211035011650010 WIWI P 56 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

73 9/14/2021 3211105604640004 YAYAH RUKAYAH P 57 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

74 9/14/2021 3211104509660001 YAYAT L 55 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

75 9/14/2021 3211100308760002 YUSUP L 45 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

76 9/14/2021 3211100603910004 ENDANG TARYANA L 30 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

77 9/14/2021 3204286203070004 ANDINI NUR'AINA EKA PUTRI P 48 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

78 9/14/2021 3211171202940004 RISA HAMDANI L 27 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

79 9/14/2021 3211100102920008 GILANG FEBRYANSYAH L 29 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

80 9/14/2021 3211104802880001 INA YULIANA P 33 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

81 9/14/2021 3211101208020004 RIAN ANDRIANSYAH L 19 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

82 9/14/2021 3211100103530001 MAMAT RAHMAT L 68 PASIRIPIS KARANGBUNGUR LANSIA

83 9/14/2021 3211100410040002 CAHYA MALENDRA S L 17 PASIRIPIS KARANGBUNGUR REMAJA

84 9/14/2021 3211100803870001 AHMAD MALIS L 34 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

85 9/14/2021 3211105401620002 TINAH MARTINI P 59 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

86 9/14/2021 3211101606720001 H. KAROMAT L 49 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

87 9/14/2021 3211105205620003 DETI P 59 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

88 9/14/2021 3202296606680002 HJ. IMAS ASMIATI P 53 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

89 9/14/2021 3211104806790001 CICIH P 42 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

90 9/14/2021 3211105107590001 NERSIH P 52 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

91 9/14/2021 3204280908850001 JAJANG NURJAMAN L 36 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

92 9/14/2021 3211101605480004 ATOT DIRANTA L 86 PASIRIPIS KARANGBUNGUR LANSIA

93 9/14/2021 3211100408770005 TASMIN L 44 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

94 9/14/2021 3211101503020004 DIMAN WAHYUDIN L 19 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

95 9/14/2021 3211104106500010 AYAH P 71 PASIRIPIS KARANGBUNGUR LANSIA

96 9/14/2021 321110708080002 RIZKY FERDIAN L 13 PASIRIPIS KARANGBUNGUR REMAJA

 REKAPAN VAKSINASI

Tempat: Desa Karangbungur Dosis 1: 14 September 2021 Dosis 2: ……………………………..

JENIS
NO TANGGAL NIK NAMA USIA ALAMAT KEL/DESA KATEGORI
KELAMIN

97 9/14/2021 3213030607860001 AGUS HASANUDIN L 35 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

98 9/14/2021 3211104809310001 ISOH P 90 PASIRIPIS KARANGBUNGUR LANSIA

99 9/14/2021 3211105103550004 YOYOH P 66 PASIRIPIS KARANGBUNGUR LANSIA

100 9/14/2021 3211100201480001 takif L 73 PASIRIPIS KARANGBUNGUR LANSIA

101 9/14/2021 3211090507600003 SAHRA L 61 PASIRIPIS KARANGBUNGUR LANSIA

102 9/14/2021 3211100401600001 TARSA L 61 PASIRIPIS KARANGBUNGUR LANSIA

103 9/14/2021 321303520465002 EHAT P 56 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

104 9/14/2021 3211104405590002 ICIH P 62 PASIRIPIS KARANGBUNGUR LANSIA

105 9/14/2021 3211102710040001 MUHAMAD RAMDAN L 17 PASIRIPIS KARANGBUNGUR REMAJA

106 9/14/2021 3211102009530002 WAWAN L 57 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

107 9/14/2021 3211103108090002 RIFAN RAMDANI L 12 PASIRIPIS KARANGBUNGUR REMAJA

108 9/14/2021 3211101008090001 ANDRE ADITIA L 12 PASIRIPIS KARANGBUNGUR REMAJA

109 9/14/2021 3211101508360002 JUSA L 85 PASIRIPIS KARANGBUNGUR LANSIA

110 9/14/2021 3211104510550014 EDAH P 66 PASIRIPIS KARANGBUNGUR LANSIA

111 9/14/2021 3213174309620001 YATI P 59 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

112 9/14/2021 3213032710860001 FIRMANSAH L 35 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

113 9/14/2021 3204112610790001 EKO YULIANTO L 42 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

114 9/14/2021 3211104102710002 EROS P 50 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

115 9/14/2021 3211106610960001 TRISANTIKA P 24 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

116 9/14/2021 3211104209490001 AYUM P 72 PASIRIPIS KARANGBUNGUR LANSIA

117 9/14/2021 3211101206720003 RUSTANI L 49 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

118 9/14/2021 3211105101500006 KARTI P 71 PASIRIPIS KARANGBUNGUR LANSIA

119 9/14/2021 3211104907770004 TATI ROHAETI P 44 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

120 9/14/2021 3211102808970003 AGUS HENDRIK SOPIAN L 24 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

121 9/14/2021 3211101604020001 GILANG HERLAMBANG L 19 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

122 9/14/2021 3211101010950009 IKI OKTA PIANWAR L 26 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

123 9/14/2021 3211100405890006 INA UGASWARA L 32 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

124 9/14/2021 3211101605080001 MUHAMAD ILHAM L 13 KARANGBUNGUR KARANGBUNGUR REMAJA

125 9/14/2021 3211101610190004 DADAN SUHENDAR P 14 KARANGBUNGUR KARANGBUNGUR REMAJA

126 9/14/2021 3211100507610004 ABU L 60 KARANGBUNGUR KARANGBUNGUR LANSIA

127 9/14/2021 3211100604700004 ADE L 51 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

128 9/14/2021 3211102304030002 AGUNG SAEFULOH L 18 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

129 9/14/2021 3211101907920001 AGUS SURYANA L 29 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

130 9/14/2021 3211101902890002 AJAT GUNAJAT L 32 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

131 9/14/2021 3211101012720004 AJAT SURYANA L 48 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

132 9/14/2021 3211100107480062 AKUM L 73 KARANGBUNGUR KARANGBUNGUR LANSIA

133 9/14/2021 3276024408830002 ANA SATRIANA L 38 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

134 9/14/2021 3211105306990008 ANGGI KURNIAWAN L 26 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

135 9/14/2021 3211105611830003 ANI ROHAYATI P 37 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

136 9/14/2021 3211100208450004 ASIKIN L 76 KARANGBUNGUR KARANGBUNGUR LANSIA

137 9/14/2021 3211105010700005 ATIH P 51 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

138 9/14/2021 3211105106710001 AWEN P 49 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

139 9/14/2021 3211101201580005 CECE L 63 KARANGBUNGUR KARANGBUNGUR LANSIA

140 9/14/2021 3211264407690005 CICIH P 52 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

141 9/14/2021 3211105503670004 CUCU P 56 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

142 9/14/2021 3211105803620004 DASTI P 69 KARANGBUNGUR KARANGBUNGUR LANSIA

143 9/14/2021 3211182611840011 DEDE SURYADI L 36 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

144 9/14/2021 3211105205000002 DEVI AMELIA P 21 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

 REKAPAN VAKSINASI

Tempat: Desa Karangbungur Dosis 1: 14 September 2021 Dosis 2: ……………………………..

JENIS
NO TANGGAL NIK NAMA USIA ALAMAT KEL/DESA KATEGORI
KELAMIN

145 9/14/2021 3211106011710002 EHA P 49 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

146 9/14/2021 3211265108060001 ELIS WARTINI P 13 KARANGBUNGUR KARANGBUNGUR REMAJA

147 9/14/2021 3211104408840007 EMPAR SUPARSIH P 37 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

148 9/14/2021 3211104602530002 ENGKAR P 68 KARANGBUNGUR KARANGBUNGUR LANSIA

149 9/14/2021 3211104405700007 ENGKES P 51 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

150 9/14/2021 3211104701590002 ENTIN P 62 KARANGBUNGUR KARANGBUNGUR LANSIA

151 9/14/2021 3211104509620002 EPONG L 59 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

152 9/14/2021 3211105702940004 FITRI MIRNA DEWI P 27 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

153 9/14/2021 3211100807700004 HASANUDIN L 51 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

154 9/14/2021 3211104207300001 HJ. ATIK P 91 KARANGBUNGUR KARANGBUNGUR LANSIA

155 9/14/2021 3211104503590001 HJ.IKAH P 62 KARANGBUNGUR KARANGBUNGUR LANSIA

156 9/14/2021 3206234101940001 IKA RISKAWATI P 31 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

157 9/14/2021 3211101003800001 IWAN L 41 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

158 9/14/2021 3211101508560002 JUPRI L 65 KARANGBUNGUR KARANGBUNGUR LANSIA

159 9/14/2021 3211102007640003 KADIN L 57 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

160 9/14/2021 3211100409520004 KARJA L 69 KARANGBUNGUR KARANGBUNGUR LANSIA

161 9/14/2021 3211104501530001 KARTI P 68 KARANGBUNGUR KARANGBUNGUR LANSIA

162 9/14/2021 3211102704570004 KAYAT 64 KARANGBUNGUR KARANGBUNGUR LANSIA

163 9/14/2021 3211214907620002 MAMAH P 59 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

164 9/14/2021 3211101204760003 MAMAN L 45 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

165 9/14/2021 3211104812600003 MARYATI P 60 KARANGBUNGUR KARANGBUNGUR LANSIA

166 9/14/2021 3211105007790001 MIMIN SUMIATI 42 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

167 9/14/2021 3211102210600002 NANA L 50 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

168 9/14/2021 3211100107430097 NOJI L 88 KARANGBUNGUR KARANGBUNGUR LANSIA

169 9/14/2021 3211284109980001 NOVI YANTI P 23 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

170 9/14/2021 3211105208660004 NURHALIMAH P 55 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

171 9/14/2021 3211101203520003 OJO L 69 KARANGBUNGUR KARANGBUNGUR LANSIA

172 9/14/2021 3211100209980001 OLIH SOLIHIN 23 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

173 9/14/2021 3211104107610054 OMIN P 60 KARANGBUNGUR KARANGBUNGUR LANSIA

174 9/14/2021 3211102808750003 RASMIN L 52 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

175 9/14/2021 3211102001980002 RONI GINANJAR L 23 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

176 9/14/2021 3211101002850005 RUHYAT L 36 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

177 9/14/2021 3211105902600001 RUKIMAH P 61 KARANGBUNGUR KARANGBUNGUR LANSIA

178 9/14/2021 3211104405620006 SALNI P 59 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

179 9/14/2021 3211104709970003 SELLIA MARSELINA P 24 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

180 9/14/2021 3211106701910005 SITI AMINAH P 30 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

181 9/14/2021 3211105508650003 SUNANGSIH P 57 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

182 9/14/2021 3211104704910004 SUSILAWATI P 30 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

183 9/14/2021 3211100606850001 SUTARNO L 39 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

184 9/14/2021 3211104309080001 TANTRI RAMADHANNI P 13 KARANGBUNGUR KARANGBUNGUR REMAJA

185 9/14/2021 3211102006730004 TARMA L 48 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

186 9/14/2021 3211100205720005 TARMIN L 49 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

187 9/14/2021 3211104402690001 TOTI P 52 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

188 9/14/2021 3211101705780005 TOTO L 43 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

189 9/14/2021 3211100706600004 U. JUHARI L 61 KARANGBUNGUR KARANGBUNGUR LANSIA

190 9/14/2021 3211211205640003 UCUP L 57 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

191 9/14/2021 3211104207600001 UKA L 61 KARANGBUNGUR KARANGBUNGUR LANSIA

192 9/14/2021 3211100304500005 UNIB L 71 KARANGBUNGUR KARANGBUNGUR LANSIA

 REKAPAN VAKSINASI

Tempat: Desa Karangbungur Dosis 1: 14 September 2021 Dosis 2: ……………………………..

JENIS
NO TANGGAL NIK NAMA USIA ALAMAT KEL/DESA KATEGORI
KELAMIN

193 9/14/2021 3211106009830003 UYET P 38 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

194 9/14/2021 3211106004690005 WACIH P 52 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

195 9/14/2021 3211105107610007 WARSAH P 60 KARANGBUNGUR KARANGBUNGUR LANSIA

196 9/14/2021 3211100106520007 WARTA L 69 KARANGBUNGUR KARANGBUNGUR LANSIA

197 9/14/2021 3211134606010006 WIDA NENGSIH P 20 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

198 9/14/2021 3211105412020004 WIDIA EKAWATI P 18 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

199 9/14/2021 3211100602840004 WIWIN RAHWINTA P 37 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

200 9/14/2021 3211105806630004 YANA P 58 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

201 9/14/2021 3211100405920004 TARSIM L 29 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

202 9/14/2021 '3211101807840001 SUMARDI WIRAHADI K L 37 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

203 9/14/2021 317206412961001 DESY TRITASARI P 24 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

204 9/14/2021 3211106003990004 AI WIDIA P 22 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

205 9/14/2021 3211100211530005 SUKATMA L 68 KARANGBUNGUR KARANGBUNGUR LANSIA

206 9/14/2021 3211104508910001 RUMIANTI P 30 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

207 9/14/2021 3211036012450002 CICIH P 76 KARANGBUNGUR KARANGBUNGUR LANSIA

208 9/14/2021 3211104409680006 NECIH P 53 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

209 9/14/2021 '3211026609000004 PARTI P 21 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

210 9/14/2021 '3211071205000005 DADAN ROHMAT L 21 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

211 9/14/2021 3211102110070002 ASEP KURNIA L 14 KARANGBUNGUR KARANGBUNGUR REMAJA

212 9/14/2021 3211106006280001 URWI P 93 KARANGBUNGUR KARANGBUNGUR LANSIA

213 9/14/2021 3211102102080001 GANJAR LAKSANA L 13 KARANGBUNGUR KARANGBUNGUR REMAJA

214 9/14/2021 3205104201860006 SUMARTINI P 35 KARANGBUNGUR KARANGBUNGUR IBU HAMIL

215 9/14/2021 3211102309040000 HARIS ROHMANSYAH L 17 KARANGBUNGUR KARANGBUNGUR REMAJA

216 9/14/2021 3211101502620002 TARDI L 59 KARANGBUNGUR KARANGBUNGUR MASYARAKAT UMUM

217 9/14/2021 3211105611330004 RUMSIJAH P 88 CITUNGGUL MEKARMUKTI LANSIA

218 9/14/2021 3211104210700004 WARTINI P 51 CITUNGGUL MEKARMUKTI MASYARAKAT UMUM

219 9/14/2021 3211105110670007 ISOH P 54 CITUNGGUL MEKARMUKTI MASYARAKAT UMUM

220 9/14/2021 3211106506310001 USMI P 90 CITUNGGUL MEKARMUKTI LANSIA

221 9/14/2021 3211105409500002 SALMI P 72 CITUNGGUL MEKARMUKTI LANSIA

222 9/14/2021 3211156510450001 E.RUSMINI P 76 CITUNGGUL MEKARMUKTI LANSIA

223 9/14/2021 3211102202700003 AWIN L 51 CILIANG MEKARMUKTI MASYARAKAT UMUM

224 9/14/2021 3211100807790004 YAYAT MUHAYAT L 42 CITUNGGUL MEKARMUKTI MASYARAKAT UMUM

225 9/14/2021 3211100206040004 TONI IBRAHIM L 17 CILIANG MEKARMUKTI REMAJA

226 9/14/2021 3211104107970020 LINDA FITRIANI P 24 CITUNGGUL MEKARMUKTI MASYARAKAT UMUM

227 9/14/2021 3211107112650004 WASIH P 56 Citunggul 14/04 MEKARMUKTI MASYARAKAT UMUM

228 9/14/2021 3211105103600002 CARNASIH P 61 Citunggul 15/04 MEKARMUKTI LANSIA

229 9/14/2021 3211103112900006 ADANG SUPRIATNA l 29 DSN CITUNGGUL RT 15 RW 04 MEKARMUKTI MASYARAKAT UMUM

230 9/14/2021 3211100409720002 SISWANTO l 49 Ciliang 9/2 MEKARMUKTI MASYARAKAT UMUM

231 9/14/2021 3211051012980001 NUR MUHAMAD HIDAYATULLOH l 23 citunggul 04/04 MEKARMUKTI MASYARAKAT UMUM

232 9/14/2021 3211100610270003 SARNAWI l 94 DSN CITUNGGUL RT 15/ RW 04 MEKARMUKTI LANSIA

233 9/14/2021 3211100709760004 AJID PITRIADI l 45 Ciliang 12/03 MEKARMUKTI MASYARAKAT UMUM

234 9/14/2021 3210171403780101 ASEP CUCU BUDIANA l 17 DSN CITUNGGUL RT 14/ RW 04 MEKARMUKTI REMAJA

235 9/14/2021 3211105312830001 NANI ROHAYANI  ### Citunggul MEKARMUKTI #VALUE!

236 9/14/2021 3211105501880007 RINI PUSPITAWATI ### DSN CITUNGGUL RT 03/ RW 05 MEKARMUKTI #VALUE!

237 9/14/2021 3211101608520004 A. SUTISNA L 69 PASIRIPIS KARANGBUNGUR LANSIA

238 9/14/2021 3211101005650007 ABAS 56 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

239 9/14/2021 3211100803650002 ADE L 56 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

240 9/14/2021 3211101908640002 ADI L 69 PASIRIPIS KARANGBUNGUR LANSIA

 REKAPAN VAKSINASI

Tempat: Desa Karangbungur Dosis 1: 14 September 2021 Dosis 2: ……………………………..

JENIS
NO TANGGAL NIK NAMA USIA ALAMAT KEL/DESA KATEGORI
KELAMIN

241 9/14/2021 3211100607580004 ADING 65 PASIRIPIS KARANGBUNGUR LANSIA

242 9/14/2021 3211100809670002 ADUNG L 54 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

243 9/14/2021 3211101708880001 AGUS GUNAWAN L 33 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

244 9/14/2021 3211102208070001 AGUS GUNAWAN 14 PASIRIPIS KARANGBUNGUR REMAJA

245 9/14/2021 1806131708880005 AGUS SUPRIANTO 33 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

246 9/14/2021 3211100803430005 AHYA SASMITA L 87 PASIRIPIS KARANGBUNGUR LANSIA

247 9/14/2021 3211094309080001 AI ANGGRAENI P 13 PASIRIPIS KARANGBUNGUR REMAJA

248 9/14/2021 3211104606810001 AI SUKAESIH 40 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

249 9/14/2021 3211106211010002 AI SUMYATI P 19 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

250 9/14/2021 3211100601530004 AMAN AR 68 PASIRIPIS KARANGBUNGUR LANSIA

251 9/14/2021 3211105502040001 AMEL KOMELASARI 17 PASIRIPIS KARANGBUNGUR REMAJA

252 9/14/2021 3211090207800001 AMID 41 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

253 9/14/2021 3211105110530003 AMIH P 73 PASIRIPIS KARANGBUNGUR LANSIA

254 9/14/2021 3211101302540003 AMOT L 67 PASIRIPIS KARANGBUNGUR LANSIA

255 9/14/2021 3211102503530003 AMOT L 68 PASIRIPIS KARANGBUNGUR LANSIA

256 9/14/2021 3211101703470004 AMOT NURMAYUDIN L 87 PASIRIPIS KARANGBUNGUR LANSIA

257 9/14/2021 3211105206660007 ANAH P 55 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

258 9/14/2021 3201010505050021 ANDIKA PUTRA FADILAH L 16 PASIRIPIS KARANGBUNGUR REMAJA

259 9/14/2021 3211104205300006 ARUM P 91 PASIRIPIS KARANGBUNGUR LANSIA

260 9/14/2021 3211100507510005 ASIM 62 PASIRIPIS KARANGBUNGUR LANSIA

261 9/14/2021 3211100202670004 ATANG TARYONO L 59 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

262 9/14/2021 3211105911750004 ATI 45 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

263 9/14/2021 3211104505550005 ATIK KARYATI P 66 PASIRIPIS KARANGBUNGUR LANSIA

264 9/14/2021 3211104408810006 ATIKAH 40 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

265 9/14/2021 3211106101540002 ATIKAH P 61 PASIRIPIS KARANGBUNGUR LANSIA

266 9/14/2021 3211101211520002 ATOK L 69 PASIRIPIS KARANGBUNGUR LANSIA

267 9/14/2021 3211100611470001 ATUN L 74 PASIRIPIS KARANGBUNGUR LANSIA

268 9/14/2021 3211100112600002 AWA L 60 PASIRIPIS KARANGBUNGUR LANSIA

269 9/14/2021 3211106510700002 AYAT SURYATI P 51 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

270 9/14/2021 3211101611730001 CAHYA L 48 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

271 9/14/2021 3211025505730002 CARMI P 48 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

272 9/14/2021 3211101001560001 CAWING 65 PASIRIPIS KARANGBUNGUR LANSIA

273 9/14/2021 3211102601830002 CECE SUPRIATNA L 38 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

274 9/14/2021 3211101511620002 CECE SUPRIATNA L 59 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

275 9/14/2021 3211105009020001 CICA AKBAR P 19 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

276 9/14/2021 3211104210600006 CICIH P 61 PASIRIPIS KARANGBUNGUR LANSIA

277 9/14/2021 3211104802960006 CINTIA PEBRIANI 25 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

9/14/2021 3211106607930001 CUCUN NURJANAH 27 PASIRIPIS KARANGBUNGUR IBU HAMIL

278

279 9/14/2021 3211101503490001 DANA L 72 PASIRIPIS KARANGBUNGUR LANSIA

280 9/14/2021 3211106206620002 DEDEH P 59 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

281 9/14/2021 3211107012790001 DEDEH 41 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

282 9/14/2021 3211102201550002 DEDI 66 PASIRIPIS KARANGBUNGUR LANSIA

283 9/14/2021 3211100310810004 DEDI SUPRIADI 40 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

284 9/14/2021 3211106808990005 DEWI PERMATA SARI 22 PASIRIPIS KARANGBUNGUR IBU HAMIL

285 9/14/2021 3211107008820001 DEWI SRI HARYATI 39 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

286 9/14/2021 3211100403620002 DIATMA L 59 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

287 9/14/2021 3211101002550004 DIDI L 66 PASIRIPIS KARANGBUNGUR LANSIA

 REKAPAN VAKSINASI

Tempat: Desa Karangbungur Dosis 1: 14 September 2021 Dosis 2: ……………………………..

JENIS
NO TANGGAL NIK NAMA USIA ALAMAT KEL/DESA KATEGORI
KELAMIN

288 9/14/2021 3211100908930007 DIDIN DINTA PRIATNA L 28 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

289 9/14/2021 3211104711050002 DINI ROSMALAWATI 16 PASIRIPIS KARANGBUNGUR REMAJA

290 9/14/2021 3211104904580002 DOYEH 63 PASIRIPIS KARANGBUNGUR LANSIA

291 9/14/2021 3211101002720006 DURIN 49 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

292 9/14/2021 3211104206650004 E. KARTINI 56 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

293 9/14/2021 3211105210500001 EEN SUHAENAH 71 PASIRIPIS KARANGBUNGUR LANSIA

294 9/14/2021 3211100103980003 EGIP ANTONI 23 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

295 9/14/2021 3211104301950001 EKA NURAENI P 26 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

296 9/14/2021 3211102204780006 EMAN P 43 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

297 9/14/2021 3211104307680006 EMPAT P 53 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

298 9/14/2021 3211100104930006 ENA SUPRIATNA P 28 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

299 9/14/2021 3211104804770010 ENAR. S P 44 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

300 9/14/2021 3211106612740001 ENAY P 46 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

301 9/14/2021 3211104208550003 ENCAS P 56 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

302 9/14/2021 3211105010590004 ENCUM L 55 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

303 9/14/2021 3211101001600002 ENCUP L 61 PASIRIPIS KARANGBUNGUR LANSIA

304 9/14/2021 03211106512620000 ENEH P 58 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

305 9/14/2021 3211095806920004 ENENG NURPITA P 29 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

306 9/14/2021 3211104405650010 ENGKAR P 57 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

307 9/14/2021 3211106803740001 ENGKAR 47 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

308 9/14/2021 3211105603510001 ENGKAR 70 PASIRIPIS KARANGBUNGUR LANSIA

309 9/14/2021 3211100202720004 ENGKUS L 49 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

310 9/14/2021 3211100704750001 ENGKUS KUSMAYADI 46 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

311 9/14/2021 3211104207760004 ENIH P 45 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

312 9/14/2021 3211104410830001 ENTIN P 38 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

313 9/14/2021 3211106012880001 ERIS PURWANTI P 32 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

314 9/14/2021 3211104212810001 ETI ROHAETI P 39 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

315 9/14/2021 3211010404950001 FAJAR APRIADI L 26 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

316 9/14/2021 3211105503050001 FIRA YULIANTI 16 PASIRIPIS KARANGBUNGUR REMAJA

317 9/14/2021 3213050505620005 HADI L 59 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

318 9/14/2021 3211104402010006 HANI PITRIYANI 20 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

319 9/14/2021 3211102701880001 HENDRA 33 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

320 9/14/2021 3211090709700001 IBRO SUHADA 51 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

321 9/14/2021 3211104408780005 ICAH ANDARWATI P 43 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

322 9/14/2021 3211105207700008 IKAH P 51 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

323 9/14/2021 3211101604960002 INDANG TAOFIK L 25 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

324 9/14/2021 3211101206540002 INDAYA P 67 PASIRIPIS KARANGBUNGUR LANSIA

325 9/14/2021 3211104307530007 IPAH P 68 PASIRIPIS KARANGBUNGUR LANSIA

326 9/14/2021 3211102611970005 IPAY SURYANA 23 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

327 9/14/2021 3211105203620005 ITI 59 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

328 9/14/2021 3211104702620001 ITOH 59 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

329 9/14/2021 3211102701940004 JAKA KODAM WS L 27 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

330 9/14/2021 3217111403820010 JALALUDIN 39 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

331 9/14/2021 3211101411060001 JIMMY MAHENRA 14 PASIRIPIS KARANGBUNGUR REMAJA

332 9/14/2021 3211101708680003 JOJO 53 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

333 9/14/2021 3211100205550003 JUHANDA L 66 PASIRIPIS KARANGBUNGUR LANSIA

334 9/14/2021 3211102701870004 JUHENDI 34 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

335 9/14/2021 3211102106770003 JUJU 44 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

 REKAPAN VAKSINASI

Tempat: Desa Karangbungur Dosis 1: 14 September 2021 Dosis 2: ……………………………..

JENIS
NO TANGGAL NIK NAMA USIA ALAMAT KEL/DESA KATEGORI
KELAMIN

336 9/14/2021 3211101002650002 JUJU JUWINTA L 57 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

337 9/14/2021 3211102003560006 JUMTA 64 PASIRIPIS KARANGBUNGUR LANSIA

338 9/14/2021 3211101810630003 KACIM 58 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

339 9/14/2021 3211100504450001 KAHDI L 86 PASIRIPIS KARANGBUNGUR LANSIA

340 9/14/2021 3211101203460006 KAHDI 87 PASIRIPIS KARANGBUNGUR LANSIA

341 9/14/2021 3211104701580004 KANAH 63 PASIRIPIS KARANGBUNGUR LANSIA

342 9/14/2021 3211100801800007 KARNA 41 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

343 9/14/2021 3211105103580005 KARTIA P 63 PASIRIPIS KARANGBUNGUR LANSIA

344 9/14/2021 3211105508700001 KASMI P 51 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

345 9/14/2021 3211104105050001 KENDI WINATA 16 PASIRIPIS KARANGBUNGUR REMAJA

346 9/14/2021 3211070607000002 KEPIN YUDIANSAH L 21 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

347 9/14/2021 3211100105050001 KINDI MELINDA P 16 PASIRIPIS KARANGBUNGUR REMAJA

348 9/14/2021 3211106605660001 KOKOM ] 55 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

349 9/14/2021 3211106009910006 KOMALASARI P 30 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

350 9/14/2021 3211102212800003 KOMOD 40 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

351 9/14/2021 3211104108040002 KRISDIANTI P 17 PASIRIPIS KARANGBUNGUR REMAJA

352 9/14/2021 3211101910750002 KURNAIM L 36 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

353 9/14/2021 3211104701800002 KURNIASIH P 41 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

354 9/14/2021 3211101604900010 KUSNANDAR 31 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

355 9/14/2021 3211104607970004 LALA MELAWATI P 27 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

356 9/14/2021 3211106006760004 LILIS 45 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

357 9/14/2021 3211106002830007 LIYAH P 38 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

358 9/14/2021 3211105501540002 MAMAH 67 PASIRIPIS KARANGBUNGUR LANSIA

359 9/14/2021 3211100403520002 MAMAN 69 PASIRIPIS KARANGBUNGUR LANSIA

360 9/14/2021 3212250904720001 MAMAN 45 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

361 9/14/2021 3211101302520006 MAMAN 69 PASIRIPIS KARANGBUNGUR LANSIA

362 9/14/2021 3211102102340002 MARDI 82 PASIRIPIS KARANGBUNGUR LANSIA

363 9/14/2021 3211104901880001 MAS PUJIYANI P 33 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

364 9/14/2021 3211101307660002 MASKUR RINEA L 55 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

365 9/14/2021 3211102512560003 MULYANA L 64 PASIRIPIS KARANGBUNGUR LANSIA

366 9/14/2021 3211101210450001 MUSKA L 76 PASIRIPIS KARANGBUNGUR LANSIA

367 9/14/2021 3211101207810010 NANA PERMANA 36 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

368 9/14/2021 3211101506050002 NANA PERMANA 16 PASIRIPIS KARANGBUNGUR REMAJA

369 9/14/2021 3211104804760002 NANI 45 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

370 9/14/2021 3211105403350001 NEMAH P 86 PASIRIPIS KARANGBUNGUR LANSIA

371 9/14/2021 3211106003690002 NENGSIH P 55 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

372 9/14/2021 3211106711730002 NENI P 48 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

373 9/14/2021 3211104204840004 NIA DELIANA P 37 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

374 9/14/2021 3211102211630002 NONO 56 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

375 9/14/2021 3211096509900001 NOPI ASTRIANI P 31 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

376 9/14/2021 3211104706620002 OCIH P 59 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

377 9/14/2021 3211104607700002 ODAH P 51 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

378 9/14/2021 3211105608590002 ODAH P 55 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

379 9/14/2021 3211106910900003 ODEH DIANINGSIH 31 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

380 9/14/2021 3211101902490002 OJIL L 80 PASIRIPIS KARANGBUNGUR LANSIA

381 9/14/2021 3211105012750001 OKAY 45 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

382 9/14/2021 3211105806750001 ONAY 46 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

383 9/14/2021 3211105502530004 ONOH 69 PASIRIPIS KARANGBUNGUR LANSIA

 REKAPAN VAKSINASI

Tempat: Desa Karangbungur Dosis 1: 14 September 2021 Dosis 2: ……………………………..

JENIS
NO TANGGAL NIK NAMA USIA ALAMAT KEL/DESA KATEGORI
KELAMIN

384 9/14/2021 3211106507780005 OYAT NURTETI 43 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

385 9/14/2021 3211105003700001 PATIMAH P 51 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

386 9/14/2021 3211102601620002 RAHMAT 59 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

387 9/14/2021 3211102505680001 RAHMAT HIDAYAT L 53 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

388 9/14/2021 3211102110030001 RAMDAN 18 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

389 9/14/2021 3211100811540004 RASCA 61 PASIRIPIS KARANGBUNGUR LANSIA

390 9/14/2021 3211105001600006 RATNASIH P 61 PASIRIPIS KARANGBUNGUR LANSIA

391 9/14/2021 3211106301560001 RATWI 65 PASIRIPIS KARANGBUNGUR LANSIA

392 9/14/2021 3211100202050001 RENDI FAHLEVI 16 PASIRIPIS KARANGBUNGUR REMAJA

393 9/14/2021 3211104106940003 RENI ROHAYATI P 25 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

394 9/14/2021 3211101910050001 REVAN RAMDHAN SETIAWAN L 16 PASIRIPIS KARANGBUNGUR REMAJA

395 9/14/2021 3211104110010004 RINDI ASTUTI P 20 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

396 9/14/2021 3201012510020018 RIZKY FADILAH 19 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

397 9/14/2021 3211106906920002 ROSITA P 29 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

398 9/14/2021 3211100706650002 RUHI 53 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

399 9/14/2021 3211104104590002 RUKASIH P 63 PASIRIPIS KARANGBUNGUR LANSIA

400 9/14/2021 3211104303750003 RUKMINI P 46 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

401 9/14/2021 3211105211650002 RUNAMAH P 56 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

402 9/14/2021 3211100909850003 RUSIP PERMANA 36 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

403 9/14/2021 3211100601700004 SACA HIDAYAT L 51 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

404 9/14/2021 3211102112800002 SAHRI 43 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

405 9/14/2021 3211101005590003 SALDI L 58 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

406 9/14/2021 3211102002500001 SAP'AN L 71 PASIRIPIS KARANGBUNGUR LANSIA

407 9/14/2021 3211100509550002 SIDAH L 66 PASIRIPIS KARANGBUNGUR LANSIA

408 9/14/2021 3211106902040001 SITI NURAENI 17 PASIRIPIS KARANGBUNGUR REMAJA

409 9/14/2021 3211104911800002 SITI WASITOH 41 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

410 9/14/2021 3211100707870002 SUGIRI 34 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

411 9/14/2021 3211200407700002 SUHA L 51 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

412 9/14/2021 3211104408670003 SUHATI P 54 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

413 9/14/2021 3211100710550003 SUMANTA 66 PASIRIPIS KARANGBUNGUR LANSIA

414 9/14/2021 3211104512850002 SUMYATI 35 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

415 9/14/2021 3211100904910004 SUN SUN SUNTIAWAN L 30 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

416 9/14/2021 3211101502560001 SUNAR L 65 PASIRIPIS KARANGBUNGUR LANSIA

417 9/14/2021 3211090506540004 SUNARYA L 67 PASIRIPIS KARANGBUNGUR LANSIA

418 9/14/2021 3211100608640004 SURANTA L 57 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

419 9/14/2021 3211100403600002 SURYA 58 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

420 9/14/2021 3204264101720013 SYARIPATUSSAEBAH 49 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

421 9/14/2021 3211101203750002 TAHRI 46 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

422 9/14/2021 3211100603630009 TAMIN 58 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

423 9/14/2021 3211102010770004 TARDI 44 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

424 9/14/2021 3211102812650002 TARNA P 55 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

425 9/14/2021 3211105603690009 TARSIH P 52 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

426 9/14/2021 3211100302750005 TASDIK 46 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

427 9/14/2021 3211101302550004 TATA L 66 PASIRIPIS KARANGBUNGUR LANSIA

428 9/14/2021 3211100207630001 TATANG 58 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

429 9/14/2021 3211104403700001 TATIH L 51 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

430 9/14/2021 3211105806760001 TETI P 45 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

431 9/14/2021 3211105508930002 TETI KURNIA P 28 PASIRIPIS KARANGBUNGUR IBU HAMIL

 REKAPAN VAKSINASI

Tempat: Desa Karangbungur Dosis 1: 14 September 2021 Dosis 2: ……………………………..

JENIS
NO TANGGAL NIK NAMA USIA ALAMAT KEL/DESA KATEGORI
KELAMIN

432 9/14/2021 3211104505860006 TIKA APRIYANTI P 35 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

433 9/14/2021 3211105004970002 TITIN KARTINI P 24 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

434 9/14/2021 3211102801640002 TOTO 57 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

435 9/14/2021 3211101407630001 TOTO K 58 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

436 9/14/2021 3211104812050001 TRIANDINI 15 PASIRIPIS KARANGBUNGUR IBU HAMIL

437 9/14/2021 3211104610620008 UCIH 61 PASIRIPIS KARANGBUNGUR LANSIA

438 9/14/2021 3211104110570002 JUJU 64 PASIRIPIS KARANGBUNGUR LANSIA

439 9/14/2021 3211105202500005 UKAY P 67 PASIRIPIS KARANGBUNGUR LANSIA

440 9/14/2021 3211104107600104 UKI 61 PASIRIPIS KARANGBUNGUR LANSIA

441 9/14/2021 3211101510560001 UNANG L 65 PASIRIPIS KARANGBUNGUR LANSIA

442 9/14/2021 3211104612550002 UNAY P 65 PASIRIPIS KARANGBUNGUR LANSIA

443 9/14/2021 3211104605660002 UPCIH 55 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

444 9/14/2021 3211105607700001 UPIT P 51 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

445 9/14/2021 3211105609530002 UUM P 69 PASIRIPIS KARANGBUNGUR LANSIA

446 9/14/2021 3211104707770010 UWAS WARLIYAH 44 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

447 9/14/2021 3211100705510005 WANA L 87 PASIRIPIS KARANGBUNGUR LANSIA

448 9/14/2021 3211105102550007 WARNASIH P 87 PASIRIPIS KARANGBUNGUR LANSIA

449 9/14/2021 3211105101430001 WASNI P 78 PASIRIPIS KARANGBUNGUR LANSIA

450 9/14/2021 3211107001670002 WATI P 58 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

451 9/14/2021 3211106109580002 WATNAH P 63 PASIRIPIS KARANGBUNGUR LANSIA

452 9/14/2021 3211100408750004 WAWAN WAHYUDIN JAE 46 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

453 9/14/2021 3211105803050003 WINDI WIDIAWATI 16 PASIRIPIS KARANGBUNGUR REMAJA

454 9/14/2021 3211105110580004 WIWI P 63 PASIRIPIS KARANGBUNGUR LANSIA

455 9/14/2021 3211106308690004 WIWI 52 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

456 9/14/2021 3211105608830001 WIWIN 38 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

457 9/14/2021 3211104205720008 YANTI P 49 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

458 9/14/2021 3211103110910001 YANTO L 30 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

459 9/14/2021 3211091711870003 YOGI ISKANDAR L 33 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

460 9/14/2021 3211255906890001 YOYOH APRILIANI 32 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

461 9/14/2021 3211104504950003 RINDA P 26 PASIRIPIS KARANGBUNGUR IBU HAMIL

462 9/14/2021 3211106502900001 SUSI WULANDINI 31 PASIRIPIS KARANGBUNGUR IBU HAMIL

463 9/14/2021 3211102404000006 FAJAR APRIANA L 21 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

464 9/14/2021 3201014709720012 CACIH KOMALA SARI 49 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

465 9/14/2021 3211100707090002 ANGGA TRIANA L 12 PASIRIPIS KARANGBUNGUR REMAJA

466 9/14/2021 3211106808720005 LILIS 49 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

467 9/14/2021 3211102911700002 ACA L 50 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

468 9/14/2021 3211105203600008 TITI 61 PASIRIPIS KARANGBUNGUR LANSIA

469 9/14/2021 3211104411600004 RATNASIH P 61 PASIRIPIS KARANGBUNGUR LANSIA

470 9/14/2021 3211104610630002 KAESIH P 58 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

471 9/14/2021 3211104502040001 SISKA SRI RAHAYU 17 PASIRIPIS KARANGBUNGUR REMAJA

472 9/14/2021 3211105004060001 SALWA MAULIDIA PUTRI P 15 PASIRIPIS KARANGBUNGUR REMAJA

473 9/14/2021 3213170511880001 HERMAN L 33 PASIRIPIS KARANGBUNGUR MASYARAKAT UMUM

474 9/14/2021 3211104101370002 WARSIH P 61 PASIRIPIS KARANGBUNGUR LANSIA

475 9/14/2021 3211104205890000 NURYATI P 32 PASIRIPIS KALER 3/2 KARANGBUNGUR MASYARAKAT UMUM

476 9/14/2021 3674064305860006 NOVY NURHAYANI P 35 PASIRIPIS 3/2 KARANGBUNGUR MASYARAKAT UMUM

477 9/14/2021 3211104406750000 SARTIKA P 46 PASIRIPIS 2/1 KARANGBUNGUR MASYARAKAT UMUM

478 9/14/2021 3211104312620002 OTIH P 66 PASIRIPIS KIDUL 5/1 KARANGBUNGUR LANSIA

479 9/14/2021 3211101205930002 RD SATRIA SUKMA L 23 PASIRIPIS KIDUL 5/1 KARANGBUNGUR MASYARAKAT UMUM
 REKAPAN VAKSINASI

Tempat: Desa Karangbungur Dosis 1: 14 September 2021 Dosis 2: ……………………………..

JENIS
NO TANGGAL NIK NAMA USIA ALAMAT KEL/DESA KATEGORI
KELAMIN

480 9/14/2021 3211100101710005 E KUSNADI L 50 PASIRIPIS KIDUL 2/1 KARANGBUNGUR MASYARAKAT UMUM

481 9/14/2021 3211100604000005 DEDE ASEP SAEPUDIN L 21 PASIRIPIS KALER 6/2 KARANGBUNGUR MASYARAKAT UMUM

482 9/14/2021 3211101203660001 SOMA L 73 DSN PASIR IPIS KALER RT 03/ RW 0KARANGBUNGUR LANSIA

483 9/14/2021 3211100107650072 KANA L 61 DUSUN PASIR IPIS KIDUL 1/1 KARANGBUNGUR LANSIA

484 9/14/2021 3211105701720002 ASIH 49 DUSUN PASIR IPIS KIDUL 1/1 KARANGBUNGUR MASYARAKAT UMUM

485 9/14/2021 3211100607700002 DAHYA 51 DUSUN PASIR IPIS RT.01/01 KARANGBUNGUR MASYARAKAT UMUM

486 9/14/2021 3211096007770002 OYAT NURHAYATI P 44 Pasir ipis Kidul 01/01 KARANGBUNGUR MASYARAKAT UMUM

487 9/14/2021 3211104304010005 ICA FITRIANI P 20 DUSUN PASIR IPIS KIDUL 5/1 KARANGBUNGUR MASYARAKAT UMUM

488 9/14/2021 3211104905470001 ONIH P 86 DUSUN PASIR IPIS RT 04/01 KARANGBUNGUR LANSIA

489 9/14/2021 3211100608930002 TATANG RODIANA 28 Pasiripis kidul 02/01 KARANGBUNGUR MASYARAKAT UMUM

490 9/14/2021 3211105510640006 AAN 66 DUSUN PASIR IPIS RT.02/02 KARANGBUNGUR LANSIA

491 9/14/2021 3211104202520001 ARNAH P 86 DUSUN PASIR IPIS 2/2 KARANGBUNGUR LANSIA

492 9/14/2021 3213034110030000 OKEU M BELLA P 18 PASIR IPIS 5/1 KARANGBUNGUR MASYARAKAT UMUM

493 9/14/2021 3211106812680005 CIOH P 52 DUSUN PASIR IPIS RT.07/01 KARANGBUNGUR MASYARAKAT UMUM

494 9/14/2021 3211101806740004 SUTISNA 47 DSN PASIR IPIS RT 01/ RW 02 KARANGBUNGUR MASYARAKAT UMUM

495 9/14/2021 3211102111600002 DEDI 60 DUSUN PASIR IPIS kidul 6/1 KARANGBUNGUR LANSIA

496 9/14/2021 3175100709640008 KARDI L 57 DSN PASIR IPIS RT 04/ RW 02 KARANGBUNGUR MASYARAKAT UMUM

497 9/14/2021 3211104103530004 RUMSAH P 71 DUSUN PASIR IPIS KIDUL 8/1 KARANGBUNGUR LANSIA

498 9/14/2021 3211102707050002 NANDANG 16 PASIR IPIS KARANGBUNGUR REMAJA

499 9/14/2021 3211220101910009 DENI SUPARMAN 30 DUSUN PASIR IPIS 1/1 KARANGBUNGUR MASYARAKAT UMUM

500 9/14/2021 3211101409300001 AJOT L 91 DSN PASIR IPIS KALER RT 04/ RW 0KARANGBUNGUR LANSIA
 VAKSINASI NO E-TIKET

DOSIS 1 DOSIS 2 DOSIS 1 DOSIS 2 TTL No. HP NO BATCH NO. BATCH

9/14/2021 10/12/2021 P-MQDXRTQE Q-000XRI21 8/12/1970 082237839370 202161821 24006321

9/14/2021 10/12/2021 S-8D90F0B7 Z-000ARAMM 7/16/1956 081296470415 202161821 24006821

9/14/2021 10/12/2021 P-P48MANRG Q-000XUF1T 2/5/1992 085221573379 202161821 24006321

9/14/2021 S-4147B1A2 6/13/1933 081315613202 202161821

9/14/2021 10/12/2021 P-NSF364WH Q-000XSK2P 9/15/1969 082152206751 202161821 24006321

9/14/2021 10/12/2021 S-D45D5C18 Z-000AT00H 4/25/1935 085221573379 202161821 24006321

9/14/2021 11/3/1989 081222254828 202161821

9/14/2021 P-P7IGKOE0 8/2/1970 083130487063 202161821

9/14/2021 10/12/2021 P-OOCYU13B Q-000XU44N 2/15/1967 082316277584 202161821 24006321

9/14/2021 1/9/2000 081298566154 202161821

9/14/2021 J-0003RQ71 7/3/1992 081214661996 202161821

9/14/2021 P-HGLKHJQW 7/23/2003 082116922452 202161821

9/14/2021 10/12/2021 S-5BB93D1B Z-000ARRKX 10/1/1960 085320363458 202161821 24006321

9/14/2021 P-MTY7ZWNR 8/7/1983 085258595604 202161821

9/14/2021 10/12/2021 P-P4WPJG8T Q-000XUIEN 2/12/1991 085221208203 202161821 24006321

9/14/2021 S-C7BEBBD7 11/10/1934 085220489747 202161821

9/14/2021 S-68967497 7/1/1958 082385996340 202161821

9/14/2021 S-412C701F 7/20/1955 085351121047 202161821

9/14/2021 10/12/2021 S-5C029727 Z-000ARZ1P 9/28/1958 085221573397 202161821 24006321

9/14/2021 10/12/2021 P-NK4QR1BD Q-000XSQPF 5/14/1970 082319390241 202161821 24006321

9/14/2021 10/12/2021 P-LWPMGVO5 Q-000XQ9C2 12/25/2006 081223988213 202161821 24006321

9/14/2021 10/12/2021 P-P9CH4YHP Q-000XUMGG 12/23/1983 082316700083 202161821 24006821

9/14/2021 10/12/2021 P-MBRS038W Q-000XQYS5 2/1/2002 081214458380 202161821 24006321

9/14/2021 10/12/2021 P-JOSEH2GZ Q-000XNAZ3 6/9/2002 085810642451 202161821 24006321

9/14/2021 P-NKS4FIBI 7/21/1979 082218559152 202161821

9/14/2021 10/12/2021 P-JYRGEBRX Q-000XNROT 10/8/1975 085389998931 202161821 24006321

9/14/2021 10/12/2021 S-767E2083 Z-000ARZ1J 7/3/1955 085220489747 202161821 24006821

9/14/2021 P-MZ1YIA3G 4/6/1972 085352597838 202161821

9/14/2021 P-OTFDUS6O 3/2/1980 082126896695 202161821

9/14/2021 P-MRYMZ3F9 12/4/1971 082114533859 202161821

9/14/2021 P-P58HSIFJ 7/1/1971 081315613202 202161821

9/14/2021 P-OQ2BHW3Y 3/6/2005 081221579897 202161821

9/14/2021 P-PAMB6ZR5 1/2/1988 085624545261 202161821

9/14/2021 10/12/2021 S-7CE7FA1A Z-000ARL40 2/16/1960 082190527131 202161821 24006821

9/14/2021 6/19/1981 081315613202 202161821

9/14/2021 P-P52DUH4O 8/15/1992 085950832413 202161821

9/14/2021 P-NLMOV4LZ 10/23/2006 081214176564 202161821

9/14/2021 10/12/2021 P-MOPERGCQ Q-000XRFO3 6/23/1984 085217708635 202161821 24006321

9/14/2021 10/12/2021 P-MQPVXLUP Q-000XRRIZ 9/5/1989 083194160191 202161821 24006321

9/14/2021 10/12/2021 P-LUQ4QQT6 Q-000XPPJS 4/14/1994 081224837177 202161821 24006321

9/14/2021 10/12/2021 P-P6DEI5KR Q-000XUH47 11/29/1979 081213888970 202161821 24006321

9/14/2021 P-NNJ5GLO 11/1/1990 085318624455 202161821

9/14/2021 10/12/2021 P-NPOKFKR2 Q-000XSPW9 5/27/1982 083820003762 202161821 24006321

9/14/2021 10/12/2021 P-PA1GD1KX Q-000XULKQ 2/10/1982 085221573379 202161821 24006321

9/14/2021 P-OQBMFGM6 6/12/1996 085255265212 202161821

9/14/2021 P-E0ONI38B 9/17/1998 081804066256 202161821

9/14/2021 P-NIBNFTDH 11/5/1974 085294248952 202161821

9/14/2021 P-LNGHCSHG 2/5/2004 081224990429 202161821

 VAKSINASI NO E-TIKET

DOSIS 1 DOSIS 2 DOSIS 1 DOSIS 2 TTL No. HP NO BATCH NO. BATCH

9/14/2021 P-NTAF5B63 9/1/1993 081214311050 202161821

9/14/2021 P-MT4QIO92 10/5/1985 081395318499 202161821

9/14/2021 10/12/2021 S-5615F9D4 Z-000ASGEL 12/31/1950 08130487063 202161821 24006321

9/14/2021 10/12/2021 P-LWCL26VK Q-000XQ98E 6/27/2008 082122383150 202161821 24006321

9/14/2021 3/7/2001 081218906723 202161821

9/14/2021 S-2D9A8620 10/3/1957 085216903248 202161821

9/14/2021 10/12/2021 P-7912G9SK Q-000XISMI 6/25/1972 081299013001 202161821 24006821

9/14/2021 10/12/2021 P-P9XHY75S Q-000XULIJ 10/19/1962 081318689224 202161821 24006321

9/14/2021 S-DE391863 11/23/1954 085220489747 202161821

9/14/2021 10/12/2021 S-93E14A38 Z-000ASB8Y 5/22/1946 081218906723 202161821 24006321

9/14/2021 10/12/2021 S-65950F07 Z-000AR7GR 7/6/1947 081290527131 202161821 24006821

9/14/2021 10/12/2021 P-JPXPNGYM Q-000XNAR4 11/12/1997 085220489747 202161821 24006321

9/14/2021 10/12/1994 083183891467 202161821

9/14/2021 10/12/2021 P-P8UGG5MF Q-000XUM6O 6/8/2000 08130487063 202161821 24006321

9/14/2021 10/12/2021 P-P3QWU4NI Q-000XUFDD 6/13/2007 085316366892 202161821 24006321

9/14/2021 10/12/2021 P-P99GWMGG Q-000XUMD7 7/1/1962 082320723243 202161821 24006321

9/14/2021 S-69AC481B 2/20/1932 082318109320 202161821

9/14/2021 P-P6W39DHF 2/8/1972 081214480250 202161821

9/14/2021 10/12/2021 P-JH6EFA5N q-000xmpi8 4/17/1989 082116597645 202161821 24006321

9/14/2021 P-NTH1NA7T 4/13/1991 085222022070 202161821

9/14/2021 10/12/2021 S-333006E9 Z-000AR9H8 7/4/1960 082116171249 202161821 24006821

9/14/2021 P-NOID8WLJ 4/7/1968 083130487063 202161821

9/14/2021 10/12/2021 J-00006MIK K-0001B791 11/11/2000 081219496640 202161821 24006321

9/14/2021 P-M18IUI8S 11/10/1965 081395304332 202161821

9/14/2021 P-LJ3BSDNB 4/16/1964 082319916928 202161821

9/14/2021 10/12/2021 P-FF9F4BVY Q-000XI3W2 9/5/1966 082218417644 202161821 24006821

9/14/2021 10/12/2021 P-13XT5AR7 Q-000XHG4Z 8/3/1976 081221761932 202161821 24006321

9/14/2021 P-OO03FDUV 06/03/1991 085321727181 202161821

9/14/2021 P-IVGU65GG 01/07/1973 081222254828 202161821

9/14/2021 P-K0XXVLY4 2/12/1994 085268031202 202161821

9/14/2021 P-L6F0EA3V 2/1/1992 087824056947 202161821

9/14/2021 12/5/1987 082316217488 202161821

9/14/2021 10/12/2021 P-NCKL7PSY Q-000XSB96 8/12/2002 083101801645 202161821 24006321

9/14/2021 S-3996CCBE 3/1/1953 083130487063 202161821

9/14/2021 10/12/2021 P-NLMGSGDM Q-000XST6Y 10/4/2004 081224143872 202161821 24006321

9/14/2021 10/12/2021 P-NMSEMFED Q-000XSMNU 3/8/1987 085314905643 202161821 24006321

9/14/2021 10/12/2021 P-NML05XG9 Q-000XSMLD 1/14/1962 085211911031 202161821 24006321

9/14/2021 10/12/2021 P-NNVP254B Q-000XSPG4 6/16/1972 085295295245 202161821 24006321

9/14/2021 10/12/2021 P-NOEPERGO Q-000XSOLG 5/10/1962 085315656784 202161821 24006321

9/14/2021 P-NWYOGEN8 6/26/1968 085281224595 202161821

9/14/2021 P-NVJBYF29 6/8/1979 081315613202 202161821

9/14/2021 10/12/2021 S-4F54FBAD Z-000ASL95 7/11/1969 081224462388 202161821 24006321

9/14/2021 10/12/2021 P-OC3UQ3JG Q-000XTPWR 8/9/1985 081312883815 202161821 24006321

9/14/2021 10/12/2021 S-D27C9D5A Z-000ASOCI 5/16/1935 085221207985 202161821 24006321

9/14/2021 P-DELX5JQ7 8/4/1977 083130487063 202161821

9/14/2021 P-OFLJIQAJ 3/15/2002 081212419128 202161821

9/14/2021 10/12/2021 S-E2AA9544 Z-000ASOCO 6/1/1950 083130487063 202161821 24006321

9/14/2021 8/7/2008 083878422769 202161821

 VAKSINASI NO E-TIKET

DOSIS 1 DOSIS 2 DOSIS 1 DOSIS 2 TTL No. HP NO BATCH NO. BATCH

9/14/2021 10/12/2021 MANUAL 7/6/1986 083172232796 202161821 24006321\

9/14/2021 10/12/2021 S-3F9F3403 Z-000ASQN1 9/8/1931 081312854781 202161821 24006821

9/14/2021 10/12/2021 S-OF3EB36F Z-000ASQNF 3/11/1955 085221573379 202161821 24006321

9/14/2021 1/2/1948 083130487063 202161821

9/14/2021 7/5/1960 083130487063 202161821

9/14/2021 10/12/2021 S-9910EAA1 Z-000ASS1M 1/4/1960 085221573379 202161821 24006321

9/14/2021 P-OTRHX0Z5 4/12/1965 081290527131 202161821

9/14/2021 10/12/2021 S-B89211EE Z-000ASSRE 5/4/1959 083130487063 202161821 24006321

9/14/2021 10/27/2004 081317244851 202161821

9/14/2021 10/12/2021 P-P1GHNN6F Q-000XUNPX 7/1/1964 085221573379 202161821 24006321

9/14/2021 P-P2WXSXOS 8/31/2009 08130487063 202161821

9/14/2021 8/10/2009 085351121047 202161821

9/14/2021 10/12/2021 S-0AF807C5 Z-000ASXCO 8/15/1936 082354363629 202161821 24006821

9/14/2021 S-D75DA7B7 10/5/1955 085220244578 202161821

9/14/2021 P-P5YJFFBG 9/3/1962 085351121047 202161821

9/14/2021 10/12/2021 S-CF5E10DF Z-000ASZ5S 10/27/1986 081383604885 202161821 24006321

9/14/2021 10/12/2021 P-P91GHC3Q Q-000XUM9L 10/26/1979 082321191862 202161821 24006321

9/14/2021 10/12/2021 P-P9JEECMW Q-000XUMIR 2/1/1971 085351121047 202161821 24006321

9/14/2021 10/12/2021 P-PA96RPLQ Q-000XUM1S 8/30/1997 083820461224 202161821 24006321

9/14/2021 10/12/2021 S-16400071 Z-000ATOPD 9/2/1949 081315613202 202161821 24006821

9/14/2021 10/12/2021 P-PBDBV37K Q-000XUERR 6/12/1972 083130487063 202161821 24006321

9/14/2021 10/12/2021 S-98F42102 Z-000AT160 1/11/1950 085220489747 202161821 24006821

9/14/2021 P-PCL9K9WQ 7/9/1977 085624545261 202161821

9/14/2021 28/08/1997 082252145132 202161821

9/14/2021 16/04/2002 085693527656 202161821

9/14/2021 10/10/1995 081273152730 202161821

9/14/2021 04/05/1989 081224130041 202161821

9/14/2021 16/05/2008 082216885174 202161821

9/14/2021 1/18/2007 082216885174 202161821

9/14/2021 P-FTOWDA0N 05/07/1961 082310625272 202161821

9/14/2021 P-IR9PU5PS 06/04/1970 085324167091 202161821

9/14/2021 P-JAQUC2U5 23/04/2003 085659859048 202161821

9/14/2021 P-J4DTDEC1 19/07/1992 085311621469 202161821

9/14/2021 P-IVXG77BU 19/01/1989 082114380540 202161821

9/14/2021 P-JG7QY7TR 10/12/1972 085342432909 202161821

9/14/2021 S-E538EB8D 01/07/1948 082216885174 202161821

9/14/2021 P-IU10SBFH 04/08/1983 082127631983 202161821

9/14/2021 P-JSFFEEUV 13/06/1995 085318624466 202161821

9/14/2021 P-HMPYZWU8 16/11/1983 082216885174 202161821

9/14/2021 S-96941668 02/08/1945 082216885174 202161821

9/14/2021 P-FNFKMXFV 10/10/1970 082310625272 202161821

9/14/2021 P-FDFRF02I 11/06/1972 082216885174 202161821

9/14/2021 S-EBE66720 12/01/1958 082216885174 202161821

9/14/2021 P-IEUU7IWD 04/07/1969 085860429188 202161821

9/14/2021 P-CW3D4W5D 30/03/1965 082216885174 202161821

9/14/2021 S-03DEG34B 18/03/1952 082216885174 202161821

9/14/2021 P-JY2HSL7Q 26/11/1984 081316789961 202161821

9/14/2021 P-EFNFF6BP 12/05/2000 082126897943 202161821

 VAKSINASI NO E-TIKET

DOSIS 1 DOSIS 2 DOSIS 1 DOSIS 2 TTL No. HP NO BATCH NO. BATCH

9/14/2021 P-G-193MPQC 21/11/1971 082216885174 202161821

9/14/2021 P-IKY558UR 11/08/2008 0858604229188 202161821

9/14/2021 P-ID0USLH7 04/08/1984 082216885174 202161821

S-2CA56E21 06/02/1953 082216885174 202161821

P-IJBZNS4Z 04/05/1970 081223820858 202161821

9/14/2021 S-BBC9BCC3 07/01/1959 085860429188 202161821

9/14/2021 P-K0VHBTCS 03/09/1962 082216885174 202161821

9/14/2021 P-HL20LRER 17/02/1994 081223990628 202161821

9/14/2021 P-JL2OOWH9 08/07/1970 082216885174 202161821

9/14/2021 S-D80F91D1 02/07/1930 082216885174 202161821

9/14/2021 S-805A01E3 05/03/1959 085320399263 202161821

P-IOEAAYM4 04/02/1990 082353158695 202161821

9/14/2021 P-F3XWIFSU 10/03/1980 082216885174 202161821

9/14/2021 S-4C8D72B9 15/08/1956 082216885174 202161821

9/14/2021 P-FDHCRYCX 20/07/1964 082216885174 202161821

9/14/2021 S-1E1D7513 04/09/1952 082216885174 202161821

9/14/2021 S-893D22CE 05/01/1953 082216885174 202161821

9/14/2021 S-10F6D94D 11/02/1957 081214393443 202161821

9/14/2021 P-90BKB4A2 09/07/1962 082353158695 202161821

9/14/2021 P-J2LFVJAY 12/04/1976 082216885174 202161821

9/14/2021 S-465ADFED 08/12/1960 082216885174 202161821

9/14/2021 P-J6VQR2BH 10/07/1979 082125696930 202161821

9/14/2021 P-IU10SBFH 08/02/1971 082127631983 202161821

9/14/2021 S-78CDEF4C 01/05/1933 082216885174 202161821

9/14/2021 P-ITPMZQXJ 01/09/1998 085724104604 202161821

9/14/2021 P-HOUVJ0S0 12/08/1966 082216885174 202161821

9/14/2021 S-7GSDGD01 12/03/1952 082216885174 202161821

9/14/2021 P-JKQWXC4X 02/09/1998 081297077308 202161821

9/14/2021 P-GMX65YCD 15/06/1961 082216885174 202161821

9/14/2021 P-SNAKGCIK 28/08/1969 083320428036 202161821

9/14/2021 P-JIZQQU7 19/01/1998 081214393443 202161821

9/14/2021 P-BCZTPDN 10/02/1985 082125690920 202161821

9/14/2021 S-B4D2B95A 19/02/1960 082216885174 202161821

9/14/2021 P-AEY3VEFI 04/06/1962 082319376091 202161821

9/14/2021 P-C3447YQH 07/09/1997 08128070953 202161821

9/14/2021 P-C8180LKZ 27/01/1991 082254819197 202161821

9/14/2021 P-IMS3ZYAO 01/09/1964 082216885174 202161821

9/14/2021 P-DNJ5AXEC 07/04/1991 082125690920 202161821

9/14/2021 P-JMFOGIAC 06/06/1982 081221202529 202161821

9/14/2021 P-IVN1DTVR 03/09/2008 081220476493 202161821

9/14/2021 P-IR3T03PK 20/06/1973 082321289100 202161821

9/14/2021 P-HXZUNA1R 02/05/1972 081223820858 202161821

9/14/2021 P-18DE21Y7 04/02/1969 085294694352 202161821

9/14/2021 P-IMSFDE1F 17/05/1978 082125036998 202161821

9/14/2021 S-B537652F 07/06/1960 082216885174 202161821

9/14/2021 P-G7KIHCCX 12/05/1964 082216885174 202161821

9/14/2021 P-JC59GH5T 07/07/1960 082216885174 202161821

9/14/2021 S-F92BEA4D 03/04/1950 085320967734 202161821

 VAKSINASI NO E-TIKET

DOSIS 1 DOSIS 2 DOSIS 1 DOSIS 2 TTL No. HP NO BATCH NO. BATCH

9/14/2021 P-4811WMAX 20/09/1983 082318298639 202161821

9/14/2021 P-2964L80N 20/04/1969 082216885174 202161821

9/14/2021 P-GPMS8QBJ 11/07/1961 082216885174 202161821

9/14/2021 S-D5179B81 01/06/1952 085320399263 202161821

9/14/2021 P-HZ1PBK8L 6/6/2001 0822522145132 202161821

9/14/2021 P-65LZ6RXG 14/12/2002 0885864569835 202161821

9/14/2021 P-K35INYAF 06/02/1984 082127631983 202161821

9/14/2021 P-HRLP4U5P 18/06/1963 082216885174 202161821

9/14/2021 P-EN2MPHIU 5/4/1992 082216885174 202161821

2/16/1984 PP-FJAEVKYH 2/16/1984 082216885174 202161821

9/14/2021 Y-0130OAVA 12/16/1996 082110877192 202161821

9/14/2021 P-39LPQYXE 3/20/1999 082115470084 202161821

9/14/2021 S-050A5389 11/2/1953 0858864569835 202161821

9/14/2021 P-7RWZ9GYMY 8/5/1991 081223986718 202161821

9/14/2021 S-9C0348DA 4/17/1945 085295045322 202161821

9/14/2021 P-B177P142 9/4/1968 085351562795 202161821

9/14/2021 P-I5FA0UJ7 9/26/2000 082216885174 202161821

9/14/2021 P-J6VQR2BH 5/12/2000 081224360589 202161821

9/14/2021 P-JDVIVU75 10/21/2007 082217941270 202161821

9/14/2019 S-22FFEF08 6/20/1928 082216885174 202161821

9/14/2021 P-IG5JTQW1 2/21/2008 081223820858 202161821

9/14/2021 P-I7IZIQQM 1/2/1986 081320777250 202161821

9/14/2021 P-J7OCPT7G 9/23/2004 081223987314 202161821

9/14/2021 P-JHZU6BWD 2/15/1962 085323065995 202161821

9/14/2021 S-B9277492 11/16/1933 082320757655 202161821

9/14/2021 P-P72MR4RK 10/2/1970 082320757655 202161821

9/14/2021 P-P7DB42B1 10/11/1967 081322313674 202161821

9/14/2021 P-P7F52VEP 6/26/1931 082320757655 202161821

9/14/2021 S-A7C33D97 1/1/1949 082320757655 202161821

9/14/2021 S-A7C33D97 10/25/1945 082320757655 202161821

9/14/2021 P-PA0VALNJ 2/22/1970 087805776111 202161821

9/14/2021 P-PA87XVKO 7/8/1979 082320757655 202161821

9/14/2021 P-MFCEVP65 6/2/2004 085864135943 202161821

9/14/2021 P-PARH8BSJ 2/10/1997 085314896148 202161821

14-09-2021 P-P6UJBKUT 11/9/1965 082320757655 202161821

14-09-2021 S-599FACEF 11/3/1960 085624547751 202161821

14-09-2021 P-P85MAHK1 8/7/1992 085624547751 202161821

14-09-2021 P-P87HQIQO 4/9/1972 08780577611 202161821

14-09-2021 P-P9EEKU2Q 10/12/1998 08775858011 202161821

14-09-2021 S-D34FFF7B 6/10/1927 085624547751 202161821

14-09-2021 P-PA3L33R4 9/7/1976 085794954879 202161821

14-09-2021 P-PAORI0BM 1/14/2004 085624547751 202161821

14-09-2021 P-POPJQVHA 13-12-1983 085323466170 202161821

14-09-2021 P-PB2SGK98 15-01-1988 081649586520 202161821

9/14/2021 10/12/2021 S-33985D9E Z-000ARYZV 8/16/1952 081395318499 202161821 24006321

9/14/2021 P-JWQOPJGV 5/10/1965 083187720286 202161821

9/14/2021 10/12/2021 P-K2KD58FC Q-000XNSC2 3/8/1965 082320471787 202161821 24006321

9/14/2021 10/12/2021 S-E81FFE53 Z-000ASK09 8/6/1952 085351121047 202161821 24006321

 VAKSINASI NO E-TIKET

DOSIS 1 DOSIS 2 DOSIS 1 DOSIS 2 TTL No. HP NO BATCH NO. BATCH

9/14/2021 Y-00001Y1C 4/3/1956 082318488790 202161821

9/14/2021 10/12/2021 P-IMCKDUHN Q-000XL17O 9/8/1967 081317313526 202161821 24006321

9/14/2021 10/12/2021 P-LTHEL5FK Q-000XPSIZ 8/12/1988 082122590200 202161821 24006321

9/14/2021 P-JXSS4RKE 8/22/2007 083865991686 202161821

9/14/2021 P-GFNRAVOV 8/17/1988 0813116990588 202161821

9/14/2021 10/12/2021 S-0DF403CC Z-000ARFWZ 3/8/1934 082240215680 202161821 24006321

9/14/2021 10/12/2021 P-CT2D3I1U Q-000XHYZW 9/3/2008 083159250981 202161821 24006821

9/14/2021 P-KXVMWUCO 6/6/1981 081290527131 202161821

9/14/2021 10/12/2021 P-JH6AQ5AA Q-000XMPHX 11/21/2001 082116597645 202161821 24006321

9/14/2021 Y-00001Y1A 1/6/1953 085320363458 202161821

9/14/2021 P-LWM7E44I 2/15/2004 085216903245 202161821

9/14/2021 P-G27LDGQB 7/2/1980 085351121047 202161821

9/14/2021 10/12/2021 S-BAF85F27 Z-000ARC3R 10/11/1948 08531121047 202161821 24006821

9/14/2021 10/12/2021 S-255708AB Z-000ARRJR 2/13/1954 087802403883 202161821 24006321

9/14/2021 10/12/2021 S-1034FBE1 Z-000ARFXO 3/25/1953 085220489747 202161821 24006321

9/14/2021 10/12/2021 S-CB7E9DE1 Z-000ARASF 8/17/1934 081283501709 202161821 24006821

9/14/2021 10/12/2021 P-I30ROUST Q-000ZXJK1C 6/12/1966 083116658503 202161821 24006321

9/14/2021 10/12/2021 p-ikhvoodf Q-000XL1YW 5/5/2005 083841862754 202161821 24006821

9/14/2021 10/12/2021 S-14B23FD9 Z-000ARRJ6 5/2/1930 081214470677 202161821 24006321

9/14/2021 S-A1636D74 12/30/1958 081222849804 202161821

9/14/2021 10/12/2021 P-IMKTMFT4 Q-000XL22G 2/2/1962 08235963110 202161821 24006321

9/14/2021 P-I0JW7TFV 11/19/1975 08122903001 202161821

9/14/2021 10/12/2021 S-6652AA42 Z-000ARANL 5/5/1955 082316279416 202161821 24006321

9/14/2021 P-NQ5PAHS2 8/4/1981 081224082299 202161821

9/14/2021 10/12/2021 S-174A872E Z-000ARVTE 4/15/1960 082114705544 202161821 24006321

9/14/2021 10/12/2021 S-D76DB685 Z-000ARFZ6 11/12/1952 081214489250 202161821 24006321

9/14/2021 10/12/2021 S-CE29F6FA Z-000ARMNP 11/6/1947 083115447669 202161821 24006821

9/14/2021 10/12/2021 S-2CBBF78C Z-000AZZXS 12/1/1960 085211911031 202161821 24006321

9/14/2021 10/12/2021 P-4XBRNZKE Q-000XHJC1 10/25/1970 085220860006 202161821 24006821

9/14/2021 10/12/2021 P-CBC3VD1Y Q-000XI7M8 11/16/1973 081223372495 202161821 24006321

9/14/2021 10/12/2021 P-IZDGWZB0 Q-000XLW8I 5/15/1973 082310524394 202161821 24006321

9/14/2021 S-1798BF29 1/10/1956 081312854781 202161821

9/14/2021 10/12/2021 P-HJHJTXLG Q-000XGQAL 1/26/1983 082119843982 202161821 24006321

9/14/2021 10/12/2021 P-JJGZR1WJ Q-000XMTW2 11/15/1962 082111454690 202161821 24006821

9/14/2021 10/12/2021 P-LKBVQZIR Q-000XPTZ3 9/10/2002 087764766201 202161821 2400321

9/14/2021 10/12/2021 S-54CE55C8 Z-000ARVQ6 8/12/1960 082320070311 202161821 24006321

9/14/2021 P-MP65IRHP 2/8/1996 083841472312 202161821

9/14/2021 7/26/1994 082120965411 202161821

P-GXKOMDC5
9/14/2021 10/12/2021 S-527B897E Z-000ARRDB 3/15/1949 083116658503 202161821 24006321

9/14/2021 10/12/2021 P-IOGE7L7T Q-00XKWIL 6/22/1962 085351121047 202161821 24006321

9/14/2021 P-IEFWPRW9 12/30/1979 0812122606643 202161821

9/14/2021 S-BB34C99F 1/22/1955 081224902080 202161821

9/14/2021 P-L1APM9VB 10/3/1981 083899632299 202161821

9/14/2021 P-CW9WU2CZ 8/28/1999 085392201356 202161821

9/14/2021 P-MNLQ5QXM 8/30/1982 085223096531 202161821

9/14/2021 10/12/2021 P-MMEQRWV1 Q-000ZJVXA 3/4/1962 081220537228 202161821 24006321

9/14/2021 10/12/2021 S-08D6908B Z-000AR6BM 3/5/1955 085315624093 202161821 24006821

 VAKSINASI NO E-TIKET

DOSIS 1 DOSIS 2 DOSIS 1 DOSIS 2 TTL No. HP NO BATCH NO. BATCH

9/14/2021 10/12/2021 P-INZ85JG4 Q-000XL3KM 8/9/1993 085374909776 202161821 24006821

9/14/2021 p-mpm8mzma 11/7/2005 083894442523 202161821

9/14/2021 S-78932913 4/9/1958 082217680065 202161821

9/14/2021 P-NT1CGG04 2/10/1972 085221573379 202161821

9/14/2021 P-KZITE5JX 6/2/1965 082116171249 202161821

9/14/2021 S-D4CEBED2 10/12/1950 082317281064 202161821

9/14/2021 P-B8L7MOO3 3/1/1998 081387907482 202161821

9/14/2021 10/12/2021 P-I5TVPFRK Q-000XJQFT 1/3/1995 085315643288 202161821 24006821

9/14/2021 10/12/2021 P-J0KBBA1F Q-000XLMTS 4/22/1978 081286483995 202161821 24006321

9/14/2021 10/12/2021 P-5YSIVW9P Q-000XHNGX 7/3/1968 083116658503 202161821 24006821

9/14/2021 10/12/2021 P-N7VRIWOD Q-000XS59P 4/1/1993 082112650351 202161821 24006321

9/14/2021 10/12/2021 P-M3WIMJMZ Q-000XQJIB 4/8/1977 081285500199 202161821 24006321

9/14/2021 10/12/2021 P-1NQF23GR Q-000XHGZC 12/26/1974 082354363629 202161821 24006821

9/14/2021 10/12/2021 S-01EA07E8 Z-000ARR58 8/2/1965 082258024527 202161821 24006321

9/14/2021 10/12/2021 P-KZ9UHKV5 Q-000XOWUG 10/10/1966 083130487063 202161821 24006321

9/14/2021 10/12/2021 S-5067995F Z-000ARFY4 1/10/1960 083130487063 202161821 24006321

9/14/2021 10/12/2021 P-MABU1EI3 Q-000XQ9EW 12/25/1962 083812184336 202161821 24006321

9/14/2021 10/12/2021 P-8QN2Q6YR Q-000XIKZF 6/18/1992 081299013001 202161821 24006821

9/14/2021 10/12/2021 P-H6GT3SSM Q-000XHC6 10/12/1964 081318689224 202161821 24006821

9/14/2021 10/12/2021 P-K61KDGMW Q-000KNVY2 3/28/1974 081223372565 202161821 24006321

9/14/2021 S-A9998315 3/16/1951 082354363629 202161821

9/14/2021 10/12/2021 P-F8XDOF54 Q-000XGD83 2/2/1972 08311658503 202161821 24006821

9/14/2021 P-MMHNN6AM 4/7/1975 085315483536 202161821

9/14/2021 10/12/2021 P-MLMNVMMP Q-000XQZKM 7/2/1976 085351121047 202161821 24006321

9/14/2021 10/12/2021 P-MY5GDAH6 Q-000XRNCC 10/22/1983 085220489747 202161821 24006321

9/14/2021 10/12/2021 P-I4STSZ5W Q-000XJOUD 12/20/1988 082218417644 202161821 24006321

9/14/2021 10/12/2021 P-36HBZNDS Q-000XHLG2 12/2/1981 082127670478 202161821 24006821

9/14/2021 10/12/2021 P-MJTEQ5O2 Q-000XROLO 4/4/1995 083174786195 202161821 24006321

9/14/2021 P-JCHL1HXO 7/23/2005 083116978438 202161821

9/14/2021 10/12/2021 P-MX24ERCY Q-000XROX8 5/5/1962 085221573379 202161821

9/14/2021 P-JLD5MESF 2/4/2001 083115447669 202161821

9/14/2021 P-J3PRE66U 1/27/1988 081281071529 202161821

9/14/2021 P-E1HRTHBI 9/7/1970 082126149124 202161821

9/14/2021 10/12/2021 P-IASKH5C8 Q-000XKB43 8/4/1978 082122606643 202161821 24006321

9/14/2021 10/12/2021 P-M36CJ1RB Q-000XQEWH 7/12/1970 082318481530 202161821 24006321

9/14/2021 10/12/2021 P-HRCB9CZK Q-000XIZHP 4/16/1996 087736217080 202161821 24006321

9/14/2021 10/12/2021 S-8E718463 Z-000AR7HE 8/12/1954 082116171249 202161821 24006321

9/14/2021 10/12/2021 S-94D9C719 Z-000ARRI1 7/3/1953 085220489747 202161821 24006321

9/14/2021 P-N7I99UCI 11/26/1997 081298570819 202161821

9/14/2021 P-M6HLJ5PK 3/12/1962 083894442523 202161821

9/14/2021 P-NTWLASUV 2/7/1962 085222022070 202161821

9/14/2021 10/12/2021 P-LPI6RFB5 Q-000XQ09S 1/27/1994 082122383150 202161821 24006321

9/14/2021 P-N738YHDT 3/14/1982 081322193718 202161821

9/14/2021 P-NUQLS1PY 11/14/2006 085221573379 202161821

9/14/2021 P-I1OSGE01 8/17/1968 082126367427 202161821

9/14/2021 10/12/2021 S-6EDBAA22 Z-000AS27X 5/2/1955 82217680065 202161821 24006821

9/14/2021 P-NJ3BSTO0 1/27/1987 081219496640 202161821

9/14/2021 P-KOFIEYI6 6/21/1977 081290527131 202161821

 VAKSINASI NO E-TIKET

DOSIS 1 DOSIS 2 DOSIS 1 DOSIS 2 TTL No. HP NO BATCH NO. BATCH

9/14/2021 10/12/2021 P-J2T8OWRV Q-000XLTDX 7/14/1964 085294486818 202161821 24006321

9/14/2021 S-B11FB4AE 9/7/1957 081318689224 202161821

9/14/2021 P-NM3N04MD 10/18/1963 085215768505 202161821

9/14/2021 10/12/2021 S-AB8B9466 Z-000ARVN1 4/5/1935 082240007542 202161821 24006321

9/14/2021 S-C895DAD8 3/12/1934 085220489747 202161821

9/14/2021 S-167506FA 1/7/1958 082318107986 202161821

9/14/2021 P-N3PU7WWP 1/8/1980 082262387245 202161821

9/14/2021 10/12/2021 S-0A1F9EB7 Z-000AR6BK 3/11/1958 081312854781 202161821 24006821

9/14/2021 10/12/2021 P-KX9D7ALL Q-000XOOVV 8/15/1970 083130487063 202161821 24006321

9/14/2021 P-NOTY2CCU 5/1/2005 083841472312 202161821

9/14/2021 10/12/2021 P-M1UQBDFP Q-000XQGLM 6/10/2000 085830701030 202161821 24006321

9/14/2021 10/12/2021 P-LYHN51XA Q-000XQIRZ 5/1/2005 082112198822 202161821 24006321

9/14/2021 P-KR3D63GX 7/1/1966 082129971941 202161821

9/14/2021 10/12/2021 P-L4Z8GJDF Q-000XPFTK 9/20/1991 081222024176 202161821 24006321

9/14/2021 P-N3SE4UVF 12/4/1980 085221573379 202161821

9/14/2021 10/12/2021 P-EMQRVGQT Q-000XGUF 8/1/2004 081222923699 202161821 24006821

9/14/2021 10/12/2021 P-GVL4JO7E Q-000XIQS1 10/19/1985 083187720286 202161821 24006321

9/14/2021 10/12/2021 P-J976BRFS Q-000XLZE8 3/2/1980 08598640508 202161821 24006321

9/14/2021 P-L1BIGABQ 4/16/1990 08529527791 202161821

9/14/2021 10/12/2021 P-JAAASIK2 Q-000XMSF4 5/20/1994 081289173764 202161821 24006321

9/14/2021 P-JWO0ZMX 6/20/1976 083865991686 202161821

9/14/2021 10/12/2021 P-L364ZUZQ Q-000XOTJU 2/20/1983 083899632298 202161821 24006321

9/14/2021 S-34A5776F 1/15/1954 081318667223 202161821

9/14/2021 S-114D34B0 3/4/1952 081394722060 202161821

9/14/2021 P-AINRQSMV 5/10/1976 082315983501 202161821

9/14/2021 10/12/2021 S-13EE99B2 Z-000ARVSG 2/13/1952 085351121047 202161821 24006321

9/14/2021 S-CFB82EFF 6/14/1939 085351121047 202161821

9/14/2021 10/12/2021 P-JOBG33I3 Q-000XNB1M 1/9/1988 083101094357 202161821 24006821

9/14/2021 10/12/2021 P-93VQ3GTK Q-000XIASF 7/13/1966 085353443918 202161821 24006821

9/14/2021 10/12/2021 S-EA80845A Z-000AR7MZ 12/25/1956 081321854781 202161821 24006321

9/14/2021 10/12/2021 S-15E8AA24 Z-000ARVSJ 10/12/1945 082135963110 202161821 24006321

9/14/2021 P-NJQOITR2 5/12/1985 085220468549 202161821

9/14/2021 P-NUS4JEU7 6/15/2005 085221573379 202161821

9/14/2021 P-KBQ4R7PK 4/8/1976 081394722060 202161821

9/14/2021 10/12/2021 S-8D2FF814 Z-000ARL4Y 3/14/1935 082123029669 202161821 24006321

9/14/2021 10/12/2021 P-JGPCMBWT Q-000XMOZD 8/8/1966 082116597645 202161821 24006321

9/14/2021 10/12/2021 P-J37R06SL Q-000XLPBL 11/27/1972 085294486818 202161821 24006321

9/14/2021 10/12/2021 P-ISK11EFA Q-000XKVGN 4/2/1984 0822114465912 202161821 24006321

9/14/2021 P-EADP0VUI 1/13/1965 082316397806 202161821

9/14/2021 10/12/2021 P-L4MTYOAP Q-000XPGBB 9/25/1990 081298555384 202161821 24006321

9/14/2021 10/12/2021 P-J5J11BSR Q-000XLQT2 6/7/1962 082123029669 202161821 24006321

9/14/2021 10/12/2021 P-KGHN2VPY Q-000XO59N 7/6/1970 083183891467 202161821 24006321

9/14/2021 10/12/2021 P-IQLEHTMZ Q-000XL4LP 7/1/1966 082114465912 202161821 24006321

9/14/2021 P-MD0ZAORO 10/29/1990 085220238998 202161821

9/14/2021 10/12/2021 S-0B5BCB64 Z-000ARO73 11/2/1941 085221573379 202161821 24006321

9/14/2021 P-N00D3LG1 12/10/1975 081317313526 202161821

9/14/2021 P-M8E08ZTF 6/18/1975 083191146027 202161821

9/14/2021 S-B73CEF56 4/16/1952 085221573379 202161821

 VAKSINASI NO E-TIKET

DOSIS 1 DOSIS 2 DOSIS 1 DOSIS 2 TTL No. HP NO BATCH NO. BATCH

9/14/2021 P-DKMANJUB 7/25/1978 085220489747 202161821

9/14/2021 10/12/2021 P-MUW3KMNT Q-000XRQHC 3/10/1970 081218906723 202161821 24006321

P-OFOYD21A 1/26/1962 083130487063 202161821

9/14/2021 10/12/2021 P-KA0HJ2HV Q-000XNWEJ 5/25/1968 081312854781 202161821 24006321

9/14/2021 P-LHEIP4UD 10/21/2003 082126899923 202161821

9/14/2021 S-AF3245AE 7/4/1960 081318689224 202161821

9/14/2021 10/12/2021 S-81C21A8F Z-000ASM45 11/4/1960 085220244578 202161821 24006321

9/14/2021 S-C853F171 1/23/1956 083130487063 202161821

9/14/2021 P-LD48K3VZ 2/2/2005 083116658503 202161821

9/14/2021 10/12/2021 P-N0M3DV0P Q-000XSE9L 6/1/1996 085224860006 202161821 24006321

9/14/2021 10/12/2021 P-LRH7P8AE Q-000XPXXG 10/19/2005 082113540109 202161821 24006321

9/14/2021 10/12/2021 P-M58YRA5S Q-000XQK0N 10/1/2001 081223994714 202161821 24006321

9/14/2021 P-IJ9Q0CP2 10/25/2002 083841862754 202161821

9/14/2021 10/12/2021 J-0003RQ6H K-0001B2IT 6/29/1992 081224462388 202161821 24006321

9/14/2021 P-N35487LN 11/5/1968 085221573379 202161821

9/14/2021 10/12/2021 S-4F601A26 Z-000AZZX8 4/1/1958 085315297388 202161821 24006321

9/14/2021 10/12/2021 P-JN1HE6AO Q-000XN9SE 3/3/1975 081389756047 202161821 24006321

9/14/2021 10/12/2021 P-LRCATZ7F Q-0COCPWJX 11/12/1965 082316994877 202161821 24006321

9/14/2021 10/12/2021 P-BCW10YKW Q-000XI8K4 9/9/1985 082127661680 202161821 24006821

9/14/2021 10/12/2021 P-HSSZSU65 Q-000XJ34F 1/6/1970 083187720286 202161821 24006321

9/14/2021 P-N2EQ38VC 1/12/1978 08522242518 202161821

9/14/2021 10/12/2021 P-IV57PM64 Q-000XLY8F 7/1/1963 083116658503 202161821 24006321

9/14/2021 10/12/2021 S-984A4DB4 Z-000ASS1K 2/20/1950 085221573379 202161821 24006321

9/14/2021 10/12/2021 S-732B7C68 Z-000ARC39 9/5/1955 082310524394 202161821 24006321

9/14/2021 P-ITCMPBA2 2/29/2004 083826702041 202161821

9/14/2021 P-NIE7JAIX 11/9/1980 082321737616 202161821

9/14/2021 P-MY3IPTM7 7/7/1987 083825294874 202161821

9/14/2021 10/12/2021 P-JRLSY823 Q-000XNBLB 7/4/1970 082315195905 202161821 24006321

9/14/2021 10/12/2021 S-F2BC84DC Z-000ARFZ4 8/4/1967 08214489193 202161821 24006321

9/14/2021 S-BAB4C123 10/7/1955 085351121047 202161821

9/14/2021 P-M7IZSBNS 12/5/1985 085220468549 202161821

9/14/2021 10/12/2021 P-IWNI0DQ1 Q-000XM3N3 4/9/1991 083820461224 202161821 24006321

9/14/2021 10/12/2021 S-649F5E50 Z-000ARO94 2/15/1956 082316279361 202161821 24006321

9/14/2021 10/12/2021 S-815746C3 Z-000AS24T 6/5/1954 082316994877 202161821 24006321

9/14/2021 10/12/2021 P-ET3LTFUH Q-000XGCD 8/6/1964 082316039278 202161821 24006821

9/14/2021 P-N4WSRR3I 7/1/1963 V 202161821

9/14/2021 P-KPNZJILM 1/1/1972 082155206751 202161821

9/14/2021 P-NOAPYOQ0 3/12/1975 083130487063 202161821

9/14/2021 P-LMD7BHWQ 3/6/1963 082354363529 202161821

9/14/2021 P-N1JF6K4W 10/29/1977 081384749832 202161821

9/14/2021 10/12/2021 P-IQN56X76 Q-000XL4NH 4/3/1966 085220023291 202161821 214006321

9/14/2021 10/12/2021 P-HJBUBJGU Q-000XGQ8K 3/16/1969 085215768505 202161821 24006821

9/14/2021 P-MVV0KFOJ 2/3/1975 081221511386 202161821

9/14/2021 10/12/2021 S-D27F4D02 Z-000AZZSF 2/13/1955 082123029669 202161821 24006321

9/14/2021 P-ND9L2PV8 7/2/1963 081286895476 202161821

9/14/2021 10/12/2021 P-KTWTDMFV Q-000XOPXT 3/4/1970 085211920749 202161821 24006321

9/14/2021 10/12/2021 P-HXYEIHNM Q-000XISO6 6/18/1976 083831099448 202161821 24006321

9/14/2021 10/12/2021 P-CBCAKOSP Q-000XG2NH 8/15/1993 0813212878562 202161821 24006821

 VAKSINASI NO E-TIKET

DOSIS 1 DOSIS 2 DOSIS 1 DOSIS 2 TTL No. HP NO BATCH NO. BATCH

9/14/2021 10/12/2021 P-J9PJEYJF Q-000XMS6C 5/5/1986 085315623955 202161821 24006321

9/14/2021 10/12/2021 P-M92ENQUF Q-000XQ9W5 4/10/1997 082320739128 202161821 24006321

9/14/2021 P-LNX56MPN 1/28/1964 081312854781 202161821

9/14/2021 10/12/2021 P-I8STVUEH Q-OOOXK5U8 7/14/1963 083116658503 202161821 24006821

9/14/2021 P-NULBWPIU 12/8/2005 0831030487063 202161821

9/14/2021 S-3DD8733D 10/6/1960 081312854781 202161821

9/14/2021 S-DE5ED2A8 10/1/1957 083130487063 202161821

9/14/2021 10/12/2021 S-258088F9 Z-000ARDMD 10/15/1954 085315297388 202161821 24006821

9/14/2021 S-FEF7DE61 7/1/1960 082385996340 202161821

9/14/2021 10/12/2021 S-23EF8CDF Z-000AR7G8 10/15/1956 08339508886 202161821 24006321

9/14/2021 10/12/2021 S-80467CE3 Z-000ARVUJ 12/6/1955 085211920749 202161821 24006321

9/14/2021 P-IB7NDE96 5/6/1966 081318689224 202161821

9/14/2021 10/12/2021 P-JF8HZ1LX Q-000XMK6J 7/16/1970 085220489747 202161821 24006321

9/14/2021 10/12/2021 S-2175527E Z-000AR7G5 9/16/1952 085351121047 202161821 24006321

9/14/2021 P-MXECC75T 7/7/1977 081214656944 202161821

9/14/2021 10/12/2021 S-2566E0D2 Z-000ARAOCI 3/4/1934 085351121047 202161821 24006821

9/14/2021 10/12/2021 S-E242A287 Z-000AR9EX 2/8/1934 085315297388 202161821 24006821

9/14/2021 10/12/2021 S-7DC96FDB Z-000ARRGV 1/11/1943 082318109320 202161821 24006321

9/14/2021 10/12/2021 P-IKQRRPGQ Q-000XL6NL 3/9/1963 085220023291 202161821 24006321

9/14/2021 10/12/2021 S-62962FBA Z-000AR4YL 1/17/1958 081312854781 202161821 24006821

9/14/2021 P-MZZ7I86Q 8/4/1975 082319917047 202161821

9/14/2021 P-MPPAFC9I 3/18/2005 081313812651 202161821

9/14/2021 10/12/2021 S-BA243721 Z-000ARNRG 10/11/1958 085316344061 202161821 24006821

9/14/2021 P-NR6KAHKJ 8/23/1969 083130487063 202161821

9/14/2021 P-KRHAUADB 8/16/1983 085224010011 202161821

9/14/2021 10/12/2021 P-6DDQOAL0 Q-000XIBRW 5/2/1972 081223372495 202161821 24006821

9/14/2021 10/12/2021 P-NNFQKEWF Q-000XST2C 10/31/1991 081224839395 202161821 24006321

9/14/2021 10/12/2021 P-MV3GKPR0 Q-000XRREH 11/17/1987 082117642232 202161821 24006321

9/14/2021 P-K5XQLPH2 6/19/1989 082321894345 202161821

9/14/2021 10/12/2021 P-CB2PJFDF Q-000XG2N9 4/5/1995 081910133552 202161821 24006821

9/14/2021 P-CM5J00YQ 2/25/1990 082249176711 202161821

9/14/2021 10/12/2021 Y-0136992W Z-000ARAPB 4/24/2000 085156568081 202161821 24006821

9/14/2021 P-AEFREHAB 9/7/1972 085315297388 202161821

9/14/2021 10/12/2021 P-DHZHBTPL Q-000XI7XL 7/7/2009 083865388961 202161821 24006821

9/14/2021 P-FC5HSAGT 8/28/1972 082118008525 202161821

9/14/2021 10/12/2021 P-IYLV87HX Q-000XLVPE 11/29/1970 085294887825 202161821 24006321

9/14/2021 S-3C8A69C0 3/12/1960 082354363629 202161821

9/14/2021 10/12/2021 S-2DA06E9A Z-000ARRIP 1/10/1960 082321894345 202161821

9/14/2021 10/12/2021 P-K9N30LPN Q-000XNTP8 10/6/1963 081222175020 202161821 24006321

9/14/2021 10/12/2021 P-LIT33PDP Q-000XPTU 2/5/2004 083866133369 202161821 24006321

9/14/2021 10/12/2021 P-LKR7X30R Q-000XPUN3 4/10/2006 081218908764 202161821 24006321

9/14/2021 10/12/2021 P-LEJB9TEV Q-000XPCOZ 7/5/1988 085351121047 202161821 24006321

9/14/2021 10/12/2021 S-A29F668F Z-000AS29B 3/9/1960 081224902080 202161821 24006321

9/14/2021 10/12/2021 P-MSO8WV8R Q-000XRKSK 5/2/1989 081214437220 202161821 24006321

9/14/2021 10/12/2021 P-MXQDTODB Q-000XROFI 5/3/1986 082126881330 202161821 24006321

9/14/2021 10/12/2021 P-MZA6UQBH Q-000XSDHJ 6/4/1975 085221573379 202161821 24006321

9/14/2021 10/12/2021 S-AE9B8EC4 Z-000ASEUW 4/2/1955 082354363629 202161821 24006321

9/14/2021 10/12/2021 P-N5SBMPA5 Q-000XS4NV 6/12/1998 081223897393 202161821 24006321

 VAKSINASI NO E-TIKET

DOSIS 1 DOSIS 2 DOSIS 1 DOSIS 2 TTL No. HP NO BATCH NO. BATCH

9/14/2021 10/12/2021 P-N182WKZ6 Q-000XS2PW 1/1/1971 081318506145 202161821 24006321

9/14/2021 J-00015IVB 4/6/2000 081292764614 202161821

9/14/2021 10/12/2021 Y-00001Y1F Z-000ASGFS 8/12/1948 082354363629 202161821 24006321

9/14/2021 10/12/2021 S-6B9843A8 Z-000ASGEY 1/1/1960 081224362543 202161821 24006321

9/14/2021 P-NLL7GCXO 1/17/1972 081315060960 202161821

9/14/2021 P-NLSPCAXY 7/6/1970 081315060960 202161821

9/14/2021 10/12/2021 P-NMGOSF2K Q-000XSM72 7/20/1977 085320057362 202161821 24006321

9/14/2021 10/12/2021 P-NNVT9QHP Q-000XSP5A 4/3/2001 083116980707 202161821 24006321

9/14/2021 10/12/2021 S-27E2C5A9 Z-000ASIMR 5/9/1935 083116658503 202161821 24006821

9/14/2021 P-NOOSY1VZ 10/6/1993 083841472313 202161821

9/14/2021 S-F7A715A9 8/7/1955 081383720667 202161821

9/14/2021 10/12/2021 S-8607239A Z-000ASL9H 1/2/1935 081383720667 202161821 24006321

9/14/2021 P-O8TMZPWY 10/1/2003 087779805047 202161821

9/14/2021 10/12/2021 P-O6AF09SH Q-000XTAAK 12/28/1968 083130487063 202161821 24006321

9/14/2021 P-OGW0DRAR 6/18/1974 085221573379 202161821

9/14/2021 S-4443263C 11/21/1960 083130487063 202161821

9/14/2021 10/12/2021 P-ON6FV0RQ Q-000XTKNA 9/7/1964 085221573379 202161821 24006321

9/14/2021 10/12/2021 S-FC11A6AF Z-000ASS0V 3/1/1950 081315613202 202161821 24006821

9/14/2021 P-5I3YR7EB 7/27/2005 083866133016 202161821

9/14/2021 P-OW7ZTCY2 1/1/1991 081280814250 202161821

9/14/2021 10/12/2021 S-8106FA17 Z-000ASU83 9/14/1930 085351121047 202161821 24006321