FORMAT PENCATATAN PELAKSANAAN VAKSINASI COVID-19

TINGKAT PUSKESMAS/FASYANKES/POS VAKSINASI

Nama Puskesmas/Fasyankes/Pos : UPT.Puskesmas Uluan

Kabupaten/Kota : Toba
Provinsi : Sumatera Utara

Kepesertaan BPJS (tulis 'Ya'

Dosis I Dosis 2
pada kolom yang sesuai)
Umur Keterangan
Jenis Nama/Jenis/Merek
No No. Tiket NIK Nama Penerima Vaksin Pekerjaan* (18-59 Kelompok Umur Alamat No. Hp Tanggal Screening (Ditunda/Tidak
Kelamin Vaksin*** Tanggal Tanggal
tahun) BPJS BPJS Non Diberikan/Lanjut)
Pemberian No. Batch No. Serial Pemberian No. Batch No. Serial
PBI Non PBI Anggota
Vaksinasi Vaksinasi

1 P-0LID62AY 1212102209940001 JAYA SUTRISNO MANURUNG L D 26 18-30 DOLOK SARIBU 081298150682 18/08/2021 CoronaVac 18/08/2021 24202321 1626656657112 LANJUT

2 P-0PVBT0LY 1212102002030001 XAVERIUS SITORUS L D 18 18-30 LUMBAN NABOL082252624926 18/08/2022 CoronaVac 18/08/2022 24202322 16264887330884 LANJUT

3 P-0TFH7Z16 1208111305710002 DUAMAN DOLOKSARIBU L D 50 46-59 DOLOK SARIBU 082163752319 18/08/2023 CoronaVac 18/08/2023 24202323 16266566651164 LANJUT

4 P-0UIFC4GX 1208114702770000 LAMRIA HUTASOIT P D 44 31-45 PEMATANG SIA 082163752319 18/08/2024 CoronaVac 18/08/2024 24202324 16266566651184 LANJUT

5 P-0WMIHEXF 121210120920001 PATIAR DOLOKSARIBU L D 28 18-30 DOLOK SARIBU 08527795847 18/08/2025 CoronaVac 18/08/2025 24202325 16266566571112 LANJUT

6 P-0XMFV52T 121210450477001 HATI NURHANA SIRINGORINGO P D 43 31-45 DOLOK SARIBU 082283150445 18/08/2026 CoronaVac 18/08/2026 24202326 16266566651184 LANJUT

7 P-11O4B9QX 1212101604730000 BONA DOLOKSARIBU L D 48 46-59 DOLOK SARIBU 081360270949 18/08/2027 CoronaVac 18/08/2027 24202327 16264887335252 LANJUT

8 P-13SMQMRY 3216065002890037 LUSI ELIANA SITORUS P D 32 31-45 LUMBAN NABOL082298777520 18/08/2028 CoronaVac 18/08/2028 24202328 16264887335252 LANJUT

9 P-163LVWG8 1212105301990001 LONI MIRANDA DOLOKSARIBU D 22 18-30 DOLOK SARIBU 082268444581 18/08/2029 CoronaVac 18/08/2029 24202329 16264887335252 LANJUT

10 P-17LNECOC 1212102311890001 ROM SITORUS L D 31 31-45 LUMBAN NABOL081362862396 18/08/2030 CoronaVac 18/08/2030 24202330 16264887124652 LANJUT

11 P-194M4UIG 1212101410890001 HOTLEN TONY DOLOKSARIBU L D 31 31-45 DOLOK SARIBU 082370875970 18/08/2031 CoronaVac 18/08/2031 24202331 16264887335252 LANJUT

12 P-1ADNVOG2 1212075304910000 SARTIKA DOLOKSARIBU P D 30 18-30 DOLOK SARIBU 081260437890 18/08/2032 CoronaVac 18/08/2032 24202332 16264887335252 LANJUT

13 P-1BBZS34M 1212104407000001 REIZA HANDAYATI SIRAIT P D 21 18-30 LUMBAN NABOL081996601334 18/08/2033 CoronaVac 18/08/2033 24202333 16266585587088 LANJUT

14 P-1BEZBUXN 1375011206990003 ELFRAN SUSANTO DOLOKSARIBU L D 22 18-30 DOLOK SARIBU 082235463226 18/08/2034 CoronaVac 18/08/2034 24202334 16264887335252 LANJUT

15 P-1CE7ZO8J 1212106404030001 KRONIKA TRIA S. DOLOKSARIBU P D 18 18-30 DOLOK SARIBU 082287706310 18/08/2035 CoronaVac 18/08/2035 24202335 16264887124652 LANJUT

16 P-1DVKOELT 1212104911020003 MASNI R. DOLOKSARIBU P D 18

18-30 DOLOK SARIBU 081376912908 18/08/2036 CoronaVac 18/08/2036 24202336 1626657757112 LANJUT

17 P-1F0ZS3QW 1271030612660002 SAUT DOLOKSARIBU L D 54 46-59 DOLOK SARIBU 081264706682 18/08/2037 CoronaVac 18/08/2037 24202337 16266566641184 LANJUT

18 P-1FRVNV90 1212101206790002 PANGIBULAN BUTARBUTAR L D 42 31-45 DOLOK SARIBU 082258972976 18/08/2038 CoronaVac 18/08/2038 24202338 1626656651184 LANJUT

19 P-1IOBB6BI 1212106603990001 MARINI SIRAIT P B 22 18-30 LUMBAN HOLBU082274588420 18/08/2039 CoronaVac 18/08/2039 24202339 16262557124652 LANJUT

20 P-1J4OYR25 3517094406740003 MARIA J NAPITUPULU P D 47 46-59 LUMBAN NABOL081370684446 18/08/2040 CoronaVac 18/08/2040 24202340 16266585587088 LANJUT

21 P-1KIJXQET 3517091211020005 PETRUS CARLOS SITORUS L D 19 18-30 LUMBAN NABOL082274764008 18/08/2041 CoronaVac 18/08/2041 24202341 16264887330884 LANJUT

22 P-1L7K7AQO 1212101105910001 ERWIN SIRAIT L D 30 18-30 PASAR BARU 0895414521025 18/08/2042 CoronaVac 18/08/2042 24202342 1626488714652 LANJUT

23 P-1LREENVC 1212106808740002 LISBET NAINGGOLAN P D 46 46-59 DOLOK NAGODA085306320219 18/08/2043 CoronaVac 18/08/2043 24202343 16264887330884 LANJUT

24 P-1RT5T9RW 1212102302920001 PRIMACON VALENTINO SINAGA L D 29 18-30 LUMBAN NABOL082275092016 18/08/2044 CoronaVac 18/08/2044 24202344 16264887330884 LANJUT

25 P-20XGSODF 1212106312840002 NORAINI SITORUS P D 36 31-45 LUMBAN NABOL081262875804 18/08/2045 CoronaVac 18/08/2045 24202345 16264887330884 LANJUT

26 P-22YAW0DS 1212100110870001 HENDRA SITORUS L D 33 31-45 LUMBAN NABOL081385847899 18/08/2046 CoronaVac 18/08/2046 24202346 16266585378513 LANJUT

27 P-231V6MQR 1212105302930001 MEGAWATI SIRAIT P D 28 18-30 LUMBAN NABOL081263548201 18/08/2047 CoronaVac 18/08/2047 24202347 16264887330884 LANJUT

28 P-24ORGMQE 1212104203570001 MANGARIBUN NAINGGOLAN L D 64 ≥ 60 LUMBAN NABOL081265070399 18/08/2048 CoronaVac 18/08/2048 24202348 162648871211688 LANJUT

29 P-25GQQUCV 1212071208660001 MAXWELL SIMANJUNTAK L D 55 46-59 KOMPLEK TPL T082165302367 18/08/2049 CoronaVac 18/08/2049 24202349 16266585378516 LANJUT

30 P-26OXAC66 1212105207610001 NORMAN SITORUS P D 60 ≥ 60 LUMBAN NABOL081265070399 18/08/2050 CoronaVac 18/08/2050 24202350 16266585378516 LANJUT

31 P-2A8CZQ3U 1212104512890001 DESTIANA SARI P D 31 31-45 085296016678 18/08/2051 CoronaVac 18/08/2051 24202351 16266585378516 LANJUT

32 P-2CIFNAQY 3275022004990023 YUSUF NAPITUPULU L D 22 18-30 PARMAKSIAN 081265130408 18/08/2052 CoronaVac 18/08/2052 24202352 162648871211688 LANJUT

33 P-2E734F5S 1212106504630001 ARTA MALAU P D 58 46-59 SOSOR BINANGA082149568564 18/08/2053 CoronaVac 18/08/2053 24202353 16266585378516 LANJUT

34 P-2GERNMER 1212101212680001 TUNGGUL SITORUS L D 52 31-45 DOLOK NAGODA08216457008 18/08/2054 CoronaVac 18/08/2054 24202354 1626658378516 LANJUT

35 P-2JLO510C 1212106012700001 ROSPITA LUMBAN BATU P D 48 18-30 LUMBAN NABOL082370246907 18/08/2055 CoronaVac 18/08/2055 24202355 16266585378516 LANJUT

36 P-2JRDG5V6 1212071112970001 FAIZAL HORAS CHRISTIAN L D 23 18-30 KOMPLEK TPL T081320567689 18/08/2056 CoronaVac 18/08/2056 24202356 16264887123092 LANJUT

37 P-2LIN0MUZ 3275022108910023 MARIO NAPITUPULU L D 29 18-30 PARMAKSIAN 089671394389 18/08/2057 CoronaVac 18/08/2057 24202357 16266585378516 LANJUT

38 P-2OGTPUSR 1212104308030001 SANTA MARISAH MANURUNG P D 18 18-30 DOLOK NAGODA082252981331 18/08/2058 CoronaVac 18/08/2058 24202358 16266585587088 LANJUT

39 P-2P6PHKFB 1212105310750001 DONNA SITORUS P D 45 31-45 LUMBAN HOLBU08126442584 18/08/2059 CoronaVac 18/08/2059 24202359 162648871211688 LANJUT

40 P-2Q9L5DIT 1212100205610001 RUSTOM SITORUS P D 60 ≥ 60 LUMBAN NABOL081264997675 18/08/2060 CoronaVac 18/08/2060 24202360 16266585377580 LANJUT

41 P-2T1EO8I3 3214014505790023 ROMA NURBATI MANURUNG P D 42 31-45 LUMBAN BINAN08128501761 18/08/2061 CoronaVac 18/08/2061 24202361 162648871211688 LANJUT

42 P-2UJZOZV0 12121006038760001 ABED NEGO SIMBOLON L D 25 18-30 LUMBAN NABOL082272139532 18/08/2062 CoronaVac 18/08/2062 24202362 162648871211688 LANJUT

43 P-2VN2GMOT 2171041809700003 RIANTO SITORUS L D 33 31-45 LUMBAN BUTTU081260826632 18/08/2063 CoronaVac 18/08/2063 24202363 1626658587088 LANJUT

44 P-2W56LZJO 1212104607670002 RUSLI T. MANURUNG P D 54 46-59 LUMBAN BINAN082280306367 18/08/2064 CoronaVac 18/08/2064 24202364 16266585377580 LANJUT

45 P-2WA382LH 12121042077600001 TIASAMI GULTOM P D 45 31-45 PATANE IV 082168851424 18/08/2065 CoronaVac 18/08/2065 24202365 16264887123092 LANJUT

46 P-2Y6Z9WB5 1212102804020001 ASMARA JATA ITORUS P D 19 18-30 DOLOK NAGODA081264105741 18/08/2066 CoronaVac 18/08/2066 24202366 16266585357580 LANJUT

47 P-2ZXD21OJ 1212055608860001 MANGAPUL SIAGIAN L D 35 31-45 LUMBAN NABOL082361398686 18/08/2067 CoronaVac 18/08/2067 24202367 16266585377580 LANJUT
48 P-31LYH4JM 1272081508810001 CHARLES MANURUNG L D 40 31-45 DOLOK NAGODN082267699323 18/08/2068 CoronaVac 18/08/2068 24202368 1626658537758 LANJUT

49 P-33MH96XY 12121060127500010001 ANITA MANURUNG P D 45 31-45 DOLOK NAGODA081260774443 18/08/2069 CoronaVac 18/08/2069 24202369 16264887123092 LANJUT

50 P-33TBY8S6 2171105704839010 ANITA PAKPAHAN P D 38 31-45 LUMBAN NABOL082381029183 18/08/2070 CoronaVac 18/08/2070 24202370 16266585377580 LANJUT

51 P-352OS79F 1212101006010001 ANGGIAT SITUMORANG L D 20 18-30 LUMBAN NABOL082213270942 18/08/2071 CoronaVac 18/08/2071 24202371 16264887123092 LANJUT

52 P-3671WH71 1212101406810001 ANWA J,SITORUS L D 39 31-45 LUMBAN NABOL082124022545 18/08/2072 CoronaVac 18/08/2072 24202372 16266585377580 LANJUT

53 P-36HGH2VK 1212100708030005 HARLIN JONATAN L D 18 18-30 PATANE IV 082213420699 18/08/2073 CoronaVac 18/08/2073 24202373 16264887123092 LANJUT

54 P-3951BPV9 6472032606810008 TIMBUL NAINGGOLAN L D 40 31-45 LUMBAN NABOL081263501923 18/08/2074 CoronaVac 18/08/2074 24202374 16266585585684 LANJUT

55 P-39E2R4VH 1212105403030001 DEWI ANASTASYA DAMANIK P D 20 18-30 LUMBAN NABOL082246362557 18/08/2075 CoronaVac 18/08/2075 24202375 16264887123092 LANJUT

56 P-3B3DDBAE 1212076003980002 MASDA SRI DEDI SIREGAR P D 23 18-30 HUTA BATU 082369626031 18/08/2076 CoronaVac 18/08/2076 24202376 16264887123092 LANJUT

57 P-3DGX58VH 1212071810650002 AMAR PANDAPOTAN SIREGAR L D 55 46-59 HUTA BATU 082369626031 18/08/2077 CoronaVac 18/08/2077 24202377 16264887123042 LANJUT

58 P-3H1WNN3B 1212101701710001 MANGATUR P.DOLOKSARIBU L D 42 31-45 LUMBAN NABOL082124686128 18/08/2078 CoronaVac 18/08/2078 24202378 16266586687688 LANJUT

59 P-3JX8DG74 1212105009990003 LOPIAN NURAINI NAPITUPULU L D 21 18-30 LUMBAN NABOL081262430249 18/08/2079 CoronaVac 18/08/2079 24202379 16264887125432 LANJUT

60 P-3LC4OSGP 1212105505750002 DIANA PANJAITAN P D 46 46-59 LUMBAN BINAN082294111079 18/08/2080 CoronaVac 18/08/2080 24202380 162648887125432 LANJUT

61 P-3LUQKBIW 1212101501730002 ERLING SINURAT L D 48 46-59 LUMBAN NABOL 85370619726 18/08/2081 CoronaVac 18/08/2081 24202381 16266585597852 LANJUT

62 P-3N59OMME 1212074708830001 RISMA SITOURS P D 38 31-45 JL.SM RAJA 081263548188 18/08/2082 CoronaVac 18/08/2082 24202382 16264887125432 LANJUT

63 P-3NK45P8K 1212071103020001 DANIEL MANGATUR SIREGAR L D 19 18-30 HUTA BATU 082369626031 18/08/2083 CoronaVac 18/08/2083 24202383 16266585585684 LANJUT

64 P-3OCT4WC7 1212101707790001 PABER SITORUS L D 42 31-45 DOLOK NAGODA081362236967 18/08/2084 CoronaVac 18/08/2084 24202384 16264887125432 LANJUT

65 P-3QH5ZECX 3277024409840013 HARIATI LUMBAN BATU P D 36 31-45 LUMBAN NABOL081565259337 18/08/2085 CoronaVac 18/08/2085 24202385 16264887125432 LANJUT

66 P-3RSU35NH 2171025009810004 POSMA SIHOMBING P D 33 31-45 LUMBAN NABOL081265366480 18/08/2086 CoronaVac 18/08/2086 24202386 16264887125432 LANJUT

67 P-3TU7GET9 1212100307720002 LUKMAN SINAGA L D 49 46-59 LUMBAN BINAN082165168322 18/08/2087 CoronaVac 18/08/2087 24202387 16264887125432 LANJUT

68 P-3UF8RXQ9 2171114503890002 VERONIKA SITORUS P D 32 18-30 LUMBAN NABOL081275104304 18/08/2088 CoronaVac 18/08/2088 24202388 16266585592080 LANJUT

69 P-3VQB1CPA 1212101808980001 PANDI DAMANIK L D 23 18-30 LUMBAN NABOL085263691239 18/08/2089 CoronaVac 18/08/2089 24202389 16264887125432 LANJUT

70 P-3WQVCV12 1212104808650000 MARISI SINURAT D 56 46-59 081268745512 18/08/2090 CoronaVac 18/08/2090 24202390 16264887125432 LANJUT

71 P-3X5BFYPE 2171111608900008 ANTON SAFRI HUTAGAOL L D 31 31-45 LUMBAN NABOL081263500354 18/08/2091 CoronaVac 18/08/2091 24202391 16264887125432 LANJUT

72 P-3YHFIZZ1 1217046606920003 HELENTINA MANIK P D 29 18-30 LUMBAN NABOL082166224822 18/08/2092 CoronaVac 18/08/2092 24202392 16264887125432 LANJUT

73 P-401GFRYF 1212102603780001 HENRY SITORUS L D 43 31-45 LUMBAN NABOL081275931671 18/08/2093 CoronaVac 18/08/2093 24202393 16264887123560 LANJUT

74 P-43BTZ8CM 122202961790003 SACNA SITORUS L D 40 31-45 LUMBAN NABOL082360923655 18/08/2094 CoronaVac 18/08/2094 24202394 16264887123560 LANJUT

75 P-43OOYVAT 3216094704790023 RISDA SITORUS P D 42 31-45 LUMBAN NABOL081398580061 18/08/2095 CoronaVac 18/08/2095 24202395 '16266585592080 LANJUT

76 P-465BUSHV 1212101112690002 DORTAN DOLOK SARIBU L D 51 46-59 DOLOKSARIBU 082167901027 18/08/2096 CoronaVac 18/08/2096 24202396 16266585592860 LANJUT

77 P-4798BV28 1212104410020001 DONNA SITORUS P D 18 31-45 LUMBAN NABOL081262247780 18/08/2097 CoronaVac 18/08/2097 24202397 16264887123560 LANJUT

78 P-49GANOIV 2171021912860006 BINSAR SITORUS L D 34 31-45 LUMBAN NABOL082340525959 18/08/2098 CoronaVac 18/08/2098 24202398 16264887123560 LANJUT

79 P-4B4RWARN 1212102705850002 ARNOT SITORUS L D 36 31-45 LUMBAN NABOL081377088130 18/08/2099 CoronaVac 18/08/2099 24202399 16264887123560 LANJUT

80 P-4BZG9JIF 1217020506010001 SANDY SIMBOLON L D 20 18-30 SAMPUK TOBA 081265854718 18/08/2100 CoronaVac 18/08/2100 24202400 1626658592860 LANJUT

81 P-4EDMRHI5 1212010308000004 JOSUA N. SIHOMBING L D 21 18-30 JL.PELAJAR SO 082169775045 18/08/2101 CoronaVac 18/08/2101 24202401 16266585592860 LANJUT

82 P-4LGIZ9XS 1212105011690001 LASMARIA SITORUS P D 51 46-59 LUMBAN HOLBU082294098641 18/08/2102 CoronaVac 18/08/2102 24202402 16266585591300 LANJUT

83 P-4YMUBAPL 1212104311650001 SURYA SIRAIT P D 56 46-59 LUMBAN NABOL081376462515 18/08/2103 CoronaVac 18/08/2103 24202403 16264887119348 LANJUT

84 P-4ZTLSQ56 1212105904860001 NERIWANI BUTARBUTAR P D 35 31-45 LUMBAN NABOL082166950180 18/08/2104 CoronaVac 18/08/2104 24202404 '16264887124340 LANJUT

85 P-50G30C8T 1212101601840001 HOTLAN JHON FAWER MANURUNG P D 37 31-45 DOLOK SARIBU 082166291771 18/08/2105 CoronaVac 18/08/2105 24202405 16266566649780 LANJUT

86 P-50R3ZVCY 1401061112810005 PARNINGOTAN SITORUS L D 39 31-45 SOSOR BINANGA081365031880 18/08/2106 CoronaVac 18/08/2106 24202406 16266585587088 LANJUT

87 P-51Q8EWXM 1212102807760001 HERBIN MAJU MANURUNG L D 45 31-45 PATANE IV 082168851424 18/08/2107 CoronaVac 18/08/2107 24202407 16264887124340 LANJUT

88 P-52ZMDB1H 1212102601850003 JIFSON SAKKAN SITORUS L D 36 31-45 LUMBAN NABOL082166950180 18/08/2108 CoronaVac 18/08/2108 24202408 162624887124340 LANJUT

89 P-53LACWPN 1471064510780002 YOSI MAGDALENA P D 42 31-45 LUMBAN NABOL085261052127 18/08/2109 CoronaVac 18/08/2109 24202409 16266566649780 LANJUT

90 P-53OGWFYD 3272012303840003 TOIDAS HASIBUAN L D 37 31-45 LUMBAN NABOL082166196509 18/08/2110 CoronaVac 18/08/2110 24202410 16266585587088 LANJUT

91 P-557YPDLN '1212105406940001 IRMA YANTI SIRAIT P D 27 18-30 AMBORGANG 085213916450 18/08/2111 CoronaVac 18/08/2111 24202411 16266566649780 LANJUT

92 P-56TM2MW3 1212106706920001 SRI JUNIATI SILALAHI P D 29 18-30 SUNGAI PASIR 081277164472 18/08/2112 CoronaVac 18/08/2112 24202412 16266566649780 LANJUT

93 P-57L4855R 1212072310910001 ROY JUNIANTO SIMBOLON L D 30 18-30 PORSEA 081279317607 18/08/2113 CoronaVac 18/08/2113 24202413 16264887124340 LANJUT

94 P-58YG0I1V 121201912100001 PAUL DOLOKSARIBU L D 29 18-30 LUMBAN NABOL085211251356 18/08/2114 CoronaVac 18/08/2114 24202414 16266566649780 LANJUT

95 P-59QB8Y0J 3671096809760004 ROTUA R MARBUN P D 44 31-45 OMPU RAJA HUTA

082166796661 18/08/2115 CoronaVac 18/08/2115 24202415 16264887124340 LANJUT

96 P-5A7OAT4Q 1212101204640001 HASUDUNGAN SITORUS L D 57 46-59 LUMBAN NABOL081375519213 18/08/2116 CoronaVac 18/08/2116 24202416 1626058587088 LANJUT

97 P-5AGYMWIR 1212102705790001 FERNANDO DOLOKSARIBU L D 42 31-45 DOLOK SARIBU 082370246907 18/08/2117 CoronaVac 18/08/2117 24202417 16266566649780 LANJUT

98 P-5BDQYT74 1212104610760001 REDYANA MANURUNG L D 44 31-45 DOLOK SARIBU 0822722755487 18/08/2118 CoronaVac 18/08/2118 24202418 1626656649780 LANJUT

99 P-5CCN05PE 1212102408850002 MARTAHAN ERLANDO DOLOKSARIBU L D 35 31-45 LUMBAN NABOL082167202387 18/08/2119 CoronaVac 18/08/2119 24202419 16264887124340 LANJUT

100 P-5CKO7SJJ 1212106906030001 FRANCISKA MANURUNG P D 18 18-30 088262053165 18/08/2120 CoronaVac 18/08/2120 24202420 16264887124340 LANJUT

101 P-5DFA8DRT 1212104205990001 ELSE ROSE SIRAIT P D 22 18-30 PAEBAGASAN 082368752887 18/08/2121 CoronaVac 18/08/2121 24202421 16266566649780 LANJUT

102 P-5ETK5FLB 1212102103950001 FRENGKI DOLOKSARIBU L D 26 18-30 DOLOK SARIBU 082164479379 18/08/2122 CoronaVac 18/08/2122 24202422 16264887334004 LANJUT

103 P-5GHH3TUT 1212102212030001 DIVA D. DOLOKSARIBU L D 18 18-30 DOLOK SARIBU 081385525338 18/08/2123 CoronaVac 18/08/2123 24202423 16264887334004 LANJUT

104 P-5H0BAFST 1212071507990001 GUNAWAN MANURUNG L D 22 18-30 LUMBAN HUALA081373984840 18/08/2124 CoronaVac 18/08/2124 24202424 162648871211688 LANJUT

105 P-5HBRFHCS 1212102112020001 DONRI ASEP SUPRIADI DOLOKSARIBU L D 18 18-30 DOLOK SARIBU 082237127036 18/08/2125 CoronaVac 18/08/2125 24202425 16264887334004 LANJUT

106 P-5IEQVMCF 121210070800001 DEDI DOLOKSARIBU L D 21 18-30 DOLOK SARIBU 082283150445 18/08/2126 CoronaVac 18/08/2126 24202426 16264887334004 LANJUT

107 P-5JXSLFOV 1212100308730001 PARDAMEAN RUMAHORBO L D 48 46-59 DOLOK SARIBU 082168001243 18/08/2127 CoronaVac 18/08/2127 24202427 16264887334004 LANJUT

108 P-5KBHPIJ4 1405024508860005 LENAWATY MANURUNG P D 35 31-45 088210725052 18/08/2128 CoronaVac 18/08/2128 24202428 162648871211688 LANJUT

109 P-5LSTG4VU 1212106906030001 FRANSISKUS PIOMA HASIBUAN L D 41 31-45 SIMPANG TIGA. 082275129043 18/08/2129 CoronaVac 18/08/2129 24202429 1626656649780 LANJUT

110 P-5M3BIKVQ 1212107010620001 RENATA SIANTURI P D 58 46-59 DOLOK SARIBU 082162965696 18/08/2130 CoronaVac 18/08/2130 24202430 16264887334004 LANJUT

111 P-5QDXOQCS 1212101010940001 DANIEL JURIANTO MANURUNG L D 26 18-30 PARHABISSARAN

082316368363 18/08/2131 CoronaVac 18/08/2131 24202431 16266585598788 LANJUT

112 P-5RSQLRRY 1212102804870001 HORAS SIRAIT L D 34 31-45 LUMBAN HOLBU082161225351 18/08/2132 CoronaVac 18/08/2132 24202432 16266585592860 LANJUT

113 P-5UZ91LJI 1212103012740001 RISTON MANURUNG L D 46 46-59 LUMBAN NABOL082166864168 18/08/2133 CoronaVac 18/08/2133 24202433 1626658598788 LANJUT

114 P-5YEDAPBL 2171041202719001 GOMGOM SITORUS L D 50 46-59 LUMBAN NABOL081262209015 18/08/2134 CoronaVac 18/08/2134 24202434 1626658378516 LANJUT

115 P-66TY4VEL 1212101204930001 HOTNER SIRAIT L D 28 18-30 LUMBAN HOLBU082380730978 18/08/2135 CoronaVac 18/08/2135 24202435 16264887124652 LANJUT
116 P-68KXEL8I 1212100508960001 ALBERT MANGATUR SITORUS L D 25 18-30 LUMBAN NABOL082272755520 18/08/2136 CoronaVac 18/08/2136 24202436 16264887124652 LANJUT

117 P-6FD90RE0 1212104209790001 ELIDA BARIMBING P D 41 31-45 HUTA BATU 082369626031 18/08/2137 CoronaVac 18/08/2137 24202437 16266585585684 LANJUT

118 P-6FXESCQR 1212102901750001 JEPRI SITORUS L D 39 31-45 LUMBAN NABOL081320567736 18/08/2138 CoronaVac 18/08/2138 24202438 16266585597852 LANJUT

119 P-6GSLBAIU 1212075901010001 RIRIS ESTIA JUNEISI SIRAIT P D 20 18-30 LUMBAN NABOL081264163062 18/08/2139 CoronaVac 18/08/2139 24202439 16264887124652 LANJUT

120 P-6HMZ8FNU 1212101006890001 SUPRIADI SITORUS L D 32 31-45 LUMBAN NABOL081286514673 18/08/2140 CoronaVac 18/08/2140 24202440 16266585597852 LANJUT

121 P-6IE3OYL1 2171036706850009 JUNITA MANURUNG P D 36 31-45 LUMBAN NABOL081377088130 18/08/2141 CoronaVac 18/08/2141 24202441 16266585597852 LANJUT

122 P-6IHME3I8 1212101802940001 CHANDRA RICARDO SITORUS L D 27 18-30 LUMBAN NABOL081261519663 18/08/2142 CoronaVac 18/08/2142 24202442 16260585585684 LANJUT

123 P-6J4LFD7H 1212100208900002 INDRA BUTARBUTAR L D 31 31-45 LUMBAN NABOL082166224822 18/08/2143 CoronaVac 18/08/2143 24202443 16266585585684 LANJUT

124 P-6LBQCBQ5 1212100405910001 FERNANDO NAINGGOLAN L D 30 18-30 LUMBAN NABOL082244500113 18/08/2144 CoronaVac 18/08/2144 24202444 16266585585684 LANJUT

125 P-6M7YU4VF 1212105705020002 YANTI LESTARI SAMOSIR P D 19 18-30 LUMBAN HOLBU082272734964 18/08/2145 CoronaVac 18/08/2145 24202445 16266585585684 LANJUT

126 P-6OJH4Q5I 1212074504620002 ALFRIDA PAKPAHAN L D 59 46-59 HUTA BATU, LU 082360626031 18/08/2146 CoronaVac 18/08/2146 24202446 16264887119348 LANJUT

127 P-76SB0VAE 121210231270002 DATAR SITORUS L D 50 46-59 LUMBAN HOLBU081260968154 18/08/2147 CoronaVac 18/08/2147 24202447 16264887123560 LANJUT

128 P-78QSUS7J 1212101106910001 RICO SITOURS L D 30 18-30 LUMBAN NABOL081265394161 18/08/2148 CoronaVac 18/08/2148 24202448 16264887124652 LANJUT

129 P-78XEG0JO 3276013003740006 SAPTO PUTRO BAYU AJI L D 47 46-59 LUMBAN HOLBU085216618037 18/08/2149 CoronaVac 18/08/2149 24202449 16266585591300 LANJUT

130 P-79SHLN2Y 3201072709960005 ANTONIUS L D 52 46-59 LUMBAN HOLBU085359991324 18/08/2150 CoronaVac 18/08/2150 24202450 16264887123560 LANJUT

131 P-7BK2ERR9 1212100406850002 DAHLAN RUDYANTO SITORUS L D 36 31-45 LUMBAN NABOL081260316985 18/08/2151 CoronaVac 18/08/2151 24202451 16264887119348 LANJUT

132 P-7CUMGVX3 1212071504940003 TISAR MANURUNG L D 27 18-30 PASAR SIPINGG 082258969836 18/08/2152 CoronaVac 18/08/2152 24202452 16264887119348 LANJUT

133 P-7DL62O0H 1212104607630001 LENA SITORUS P D 58 46-59 LUMBAN NABOL081398580061 18/08/2153 CoronaVac 18/08/2153 24202453 162665855918788 LANJUT

134 P-7EA4SBOB 1212106910030001 PUTRI INDRIANY MANURUNG P D 18 18-30 SIBUNTUON 081370924736 18/08/2154 CoronaVac 18/08/2154 24202454 16266585598788 LANJUT

135 P-7F3HZ3AQ 2171102510749006 TAMBUN HALOMOAN MANURUNG L D 46 46-59 LUMBAN NABOL082282975196 18/08/2155 CoronaVac 18/08/2155 24202455 16266585598788 LANJUT

136 P-7FZCU9AU 3276014109800004 RUTH EVI N. SITORUS P D 40 31-45 LUMBAN HOLBU081380116481 18/08/2156 CoronaVac 18/08/2156 24202456 16266585598788 LANJUT

137 P-7GPOHKOV 1212102606980002 NEKAR CANRO MARNAEK BUTARBUTAL D 23 18-30 LUMBAN HOLBU081260790868 18/08/2157 CoronaVac 18/08/2157 24202457 16266585598788 LANJUT

138 P-7HNJCNLJ 1212103110970001 JOSEP TARINUS MANURUNG L D 23 18-30 LUMBAN BINAN082219679873 18/08/2158 CoronaVac 18/08/2158 24202458 16266585589896 LANJUT

139 P-7LGZF43V 1212100306830001 ROBERT SITORUS L D 28 18-30 LUMBAN BINAN088263882330 18/08/2159 CoronaVac 18/08/2159 24202459 16266585589896 LANJUT

140 P-7MIAUG8Q 1211012708820002 BARTER SITORUS L D 39 31-45 LUMBAN NABOL085267113580 18/08/2160 CoronaVac 18/08/2160 24202460 16266585589896 LANJUT

141 P-7N6IBNW0 2171121509810005 JHONSON SITORUS L D 39 31-45 LUMBAN NABOL081262918485 18/08/2161 CoronaVac 18/08/2161 24202461 1626658559896 LANJUT

142 P-7NYV25SD 1212101706660001 BESLI MARULITUA BUTARBUTAR L D 55 46-59 DOLOK SARIBU 081264448369 18/08/2162 CoronaVac 18/08/2162 24202462 16266585589896 LANJUT

143 P-7P7550Y1 1209296004790002 ROSMAULI DOLOKSARIBU P D 41 31-45 DOLOK SARIBU 081264448369 18/08/2163 CoronaVac 18/08/2163 24202463 16266585589896 LANJUT

144 P-7PRP5Y7S 1212105806030002 JUNITA SITORUS P D 18 18-30 LUMBAN HOLBU082235428478 18/08/2164 CoronaVac 18/08/2164 24202464 16266585589896 LANJUT

145 P-7QBZTEGV 1212104703740001 RISMA MANURUNG P D 47 46-59 LUMBAN NABOL081268745332 18/08/2165 CoronaVac 18/08/2165 24202465 16266585589896 LANJUT

146 P-7R0ZEIC8 3671092004770003 ERIANTO NADAPDAP L D 44 31-45 KEC. LAGUBOTI 082166796661 18/08/2166 CoronaVac 18/08/2166 24202466 16266585589896 LANJUT

147 P-7UCTA3OE 1212102310730001 BISTOK B. SITORUS L D 47 46-59 LUMBAN NABOL085361817006 18/08/2167 CoronaVac 18/08/2167 24202467 16264887124340 LANJUT

148 P-80DHM6UF 1212105012850001 RISDE NADEAK P D 35 31-45 LUMBAN NABOL082111499359 18/08/2168 CoronaVac 18/08/2168 24202468 16264887119348 LANJUT

149 P-813WAO8X 2171112501890002 MARUBA LUMBAN TORUAN L D 32 31-45 LUMBAN NABOL085283953040 18/08/2169 CoronaVac 18/08/2169 24202469 16266585591300 LANJUT

150 P-81XI7FA3 1212102001690001 HERBERT SITORUS L D 52 46-59 LUMBAN NABOL081375800289 18/08/2170 CoronaVac 18/08/2170 24202470 16266585591300 LANJUT

151 P-82VDCVOF 1212104109010002 CENDI MAGDALENA h. SITUMORANG P D 20 18-30 LUMBAN NABOL081268745512 18/08/2171 CoronaVac 18/08/2171 24202471 16266585591300 LANJUT

152 P-84V7IRC6 1211013403840000 PESTA DAME SITINJAK P D 37 31-45 LUMBAN NABOL085267113580 18/08/2172 CoronaVac 18/08/2172 24202472 16264887119348 LANJUT

153 P-85TRYIEE 1212105204660001 RUSLY SITORUS P D 55 46-59 LUMBAN GINJA 082370246907 18/08/2173 CoronaVac 18/08/2173 24202473 16266585591300 LANJUT

154 P-86LLR8G4 1216050508010002 SANFAIR AGUSKINUS MANURUNG L D 20 18-30 JANGGA TORUA 081362367236 18/08/2174 CoronaVac 18/08/2174 24202474 16266585591300 LANJUT

155 P-894B3GT5 1212011202020000 SAMUEL T.M SIHOMBING L D 19 18-30 JALAN PELAJAR 081268745829 18/08/2175 CoronaVac 18/08/2175 24202475 16266585591300 LANJUT

156 P-89NTET1L 1222026109800005 DEWY EVA N P D 39 31-45 LUMBAN NABOL081263285615 18/08/2176 CoronaVac 18/08/2176 24202476 16266585592860 LANJUT

157 P-8A94YN6A 3517035708690002 RUMINDA SITORUS P D 52 46-59 JL. SAMARINDA,081260773036 18/08/2177 CoronaVac 18/08/2177 24202477 16266585592860 LANJUT

158 P-8BETDLGI 1212100205780003 JHON VERRY SITORUS L D 43 31-45 LUMBAN NABOL081269126617 18/08/2178 CoronaVac 18/08/2178 24202478 16264887123560 LANJUT

159 P-8BQLDELM 121809640930008 ROSIANA SIHOMBING P D 28 18-30 TEBING TINGGI 081264847972 18/08/2179 CoronaVac 18/08/2179 24202479 16264887123560 LANJUT

160 P-8DPCVL0N 3201074910730000 KRISTIANA. S P D 47 46-59 LUMBAN HOLBU085359991324 18/08/2180 CoronaVac 18/08/2180 24202480 ,16266585597852 LANJUT

161 P-8E49KDJL 2171030406851000 ERIK SIAGIAN L D 36 31-45 LUMBAN NABOL082166459366 18/08/2181 CoronaVac 18/08/2181 24202481 ,16266585592080 LANJUT

162 P-8EIJUE9G 121210070270001 ARON JEFRI SITORUS L D 43 31-45 LUMBAN NABOL082160904483 18/08/2182 CoronaVac 18/08/2182 24202482 16266585597852 LANJUT

163 P-8ESIXF2G 1212106107030001 SISKA SITUNGKIR P D 18 18-30 LUMBAN NABOL081376819301 18/08/2183 CoronaVac 18/08/2183 24202483 16266585597852 LANJUT

164 P-8F78ZYUL 3603285811820004 MASTA VERAWATI SITORUS P D 38 31-45 LUMBAN NABOL082165398034 18/08/2184 CoronaVac 18/08/2184 24202484 16266585591350 LANJUT

165 P-8FJCUAP9 121210660300001 MELY SIRAIT P D 21 18-30 LUMBAN HOLBU082294098641 18/08/2185 CoronaVac 18/08/2185 24202485 16264887119348 LANJUT

166 P-8GK7HRKJ 1212100208890001 FRENGKI SILABAN L D 32 31-45 LUMBAN NABOL082235824099 18/08/2186 CoronaVac 18/08/2186 24202486 16266585092080 LANJUT

167 P-8GZU8CRN 1218094704960006 RENOVA SIHOMBING P D 25 18-30 TEBING TINGGI 081265366480 18/08/2187 CoronaVac 18/08/2187 24202487 16266585592080 LANJUT

168 P-8HD102K8 1212101104840002 FERI DOLOKSARIBU L D 37 31-45 DOLOK SARIBU 082272755487 18/08/2188 CoronaVac 18/08/2188 24202488 1626656657112 LANJUT

169 P-8HK5FHBZ 1212100505010001 PANDU H. E DOLOKSARIBU L D 20 18-30 DOLOK SARIBU 081360270949 18/08/2189 CoronaVac 18/08/2189 24202489 16266566651184 LANJUT

170 P-8HUIVFCA 1212101501780002 PAHOTAN DOLOKSARIBU L D 43 31-45 DOLOK SARIBU 081263500390 18/08/2190 CoronaVac 18/08/2190 24202490 16266566651184 LANJUT

171 P-8I232VBE 121210905820001 HENRY TONGGO DOLOKSARIBU L D 39 31-45 DOLOK SARIBU 082163379336 18/08/2191 CoronaVac 18/08/2191 24202491 1626656657112 LANJUT

172 P-8IB6NXRH 1212104205760001 RITA PANJAITAN P D 45 31-45 DOLOK SARIBU 082273473150 18/08/2192 CoronaVac 18/08/2192 24202492 16266566651184 LANJUT

173 P-8IH6RDST 1219010206970004 YUDIANTO P. SIRAIT L D 24 18-30 DOLOK SARIBU 081263698022 18/08/2193 CoronaVac 18/08/2193 24202493 1626656657112 LANJUT

174 P-8IPABLF3 327505230990010 ENRICO BAKTIAR MANURUNG L D 30 18-30 LUMBAN NABOL082324479609 18/08/2194 CoronaVac 18/08/2194 24202494 1626656657112 LANJUT

175 P-8J3GDGMV 1272026812620002 LENTERIA DOLOKSARIBU P D 58 46-59 DOLOK SARIBU 082160411028 18/08/2195 CoronaVac 18/08/2195 24202495 1626656651184 LANJUT

176 P-8JDBI6WK 1212101704770001 JAINUR DOLOKSARIBU L D 44 31-45 DOLOK SARIBU 082272755487 18/08/2196 CoronaVac 18/08/2196 24202496 16266566651184 LANJUT

177 P-8JLWM0HX 1212197006830001 HERNAWATI SITORUS P D 38 31-45 DOLOK SARIBU 082272755487 18/08/2197 CoronaVac 18/08/2197 24202497 16226656657112 LANJUT

178 P-V8IMAHYF 1212104212890001 DESSI CATERINA SIANIPAR P D 31 31-45 ONAN GULTOM, 082370049610 18/08/2198 CoronaVac 18/08/2198 24202498 16264887124340 LANJUT

179 S-018F4B2E 1212102907790001 Henri Ganda Doloksaribu L B 42 31-45 DOLOK SARIBU 085270864334 18/08/2199 CoronaVac 18/08/2199 24202499 16264887335252 LANJUT

180 S-04238374 3674050607530003 P BERLIN BUTAR BUTAR L D 68 ≥ 60 LUMBAN NABOL- 18/08/2200 CoronaVac 18/08/2200 24202500 16264887119348 LANJUT

181 S-0477FEC7 1212105511740002 TUMIUR SAMOSIR P D 46 46-59 16266585378516 085358779943 18/08/2201 CoronaVac 18/08/2201 24202501 16264887124340 LANJUT

182 S-0B06365B 1212106010820002 LENNY M. SITORUS P D 38 31-45 LUMBAN NABOL085320131362 18/08/2202 CoronaVac 18/08/2202 24202502 16266585592860 LANJUT

183 S-0EDCCC1B 1212105311780001 RUMIRIS SIMANJUNTAK P B 42 31-45 LUMBAN NABOL082261518398 18/08/2203 CoronaVac 18/08/2203 24202503 16264887330884 LANJUT
 184 S-1829CF4C 1212106812810001 RISBEYANTI BAGARIANG P D 39 31-45 LUMBAN NABOL081362156618 18/08/2204 CoronaVac 18/08/2204 24202504 16266585589896 LANJUT

185 S-1C6FCD99 121210450560002 FARIDA SITORUS P D 61 ≥ 60 DOLOK SARIBU 081376912908 18/08/2205 CoronaVac 18/08/2205 24202505 1626656657112 LANJUT

186 S-288E3824 1212102506430001 ROBINSON SITORUS L D 78 ≥ 60 LUMBAN NABOL085218355218 18/08/2206 CoronaVac 18/08/2206 24202506 16266585592080 LANJUT

187 S-2A34047F 1212104707760001 MASTIO DAMANIK P D 45 31-45 LUMBAN NABOL081336358122 18/08/2207 CoronaVac 18/08/2207 24202507 16266585597852 LANJUT

188 S-2DAF6A17 1212107112600003 RESTA DOLOKSARIBU P D 60 ≥ 60 DOLOK SARIBU 082167389797 18/08/2208 CoronaVac 18/08/2208 24202508 16264997335252 LANJUT

189 S-33BD1FD2 1212106607810001 DERMAWAN DOLOKSARIBU P D 40 31-45 LUMBAN NABOL082362218536 18/08/2209 CoronaVac 18/08/2209 24202509 16266585592860 LANJUT

190 S-3629437C 1209204905820001 RADOT SIAHAAN P D 39 31-45 LUMBAN NABOL082267927192 18/08/2210 CoronaVac 18/08/2210 24202510 16266585585684 LANJUT

191 S-379F0220 1212105404720000 Farida Manurung P D 49 46-59 DOLOK SARIBU 085372554357 18/08/2211 CoronaVac 18/08/2211 24202511 16264887124652 LANJUT

192 S-39922D67 1212101008520001 ABDUL SITORUS L D 69 ≥ 60 LUMBAN NABOL081265644292 18/08/2212 CoronaVac 18/08/2212 24202512 16266585597852 LANJUT

193 S-3C810366 1212106507830002 Merli Lilis Dolok Saribu P D 38 31-45 DOLOK SARIBU 085260194184 18/08/2213 CoronaVac 18/08/2213 24202513 16264887334004 LANJUT

194 S-3FC51E19 1212104408490001 NURMALA DOLOKSARIBU P D 72 ≥ 60 LUMBAN NABOL081271947297 18/08/2214 CoronaVac 18/08/2214 24202514 16264887330884 LANJUT

195 S-45E3D317 1212104805810001 SELPINA NABABAN P D 40 31-45 LUMBAN NABOL082163318687 18/08/2215 CoronaVac 18/08/2215 24202515 16266585597852 LANJUT

196 S-48B923ED 1212101311600001 TUA SITORUS P D 60 ≥ 60 LUMBAN BUNTU082165287706 18/08/2216 CoronaVac 18/08/2216 24202516 16264887123092 LANJUT

197 S-5058FE6B 1212102912710001 BERESMAN SITORUS L D 49 46-59 LUMBAN NABOL081370047927 18/08/2217 CoronaVac 18/08/2217 24202517 16266585587088 LANJUT

198 S-6439DD87 1212104205530001 SELLI SINAGA P D 68 ≥ 60 LUMBAN NABOL08139858006 18/08/2218 CoronaVac 18/08/2218 24202518 16266585598788 LANJUT

199 S-6A8DF36E 1212104309670002 BENTELINA SITORUS P D 53 46-59 LUMBAN NABOL081260630909 18/08/2219 CoronaVac 18/08/2219 24202519 16266585377580 LANJUT

200 S-6CE849E4 1212100704730001 HASUDUNGAN SITORUS L B 48 46-59 LUMBAN NABOL081370287726 18/08/2220 CoronaVac 18/08/2220 24202520 16264887330884 LANJUT

201 S-6EA3A03C 1212101207710001 MANGATUR SITORUS L D 50 46-59 LUMBAN NABOL082272353038 18/08/2221 CoronaVac 18/08/2221 24202521 162648871211688 LANJUT

202 S-71F42A0B 1212100305810001 BOAS M SITORUS P D 40 31-45 LUMBAN NABOL082372246907 18/08/2222 CoronaVac 18/08/2222 24202522 16266585377580 LANJUT

203 S-7511DA83 1212104109710001 DUMARIA MANURUNG P B 49 46-59 LUMBAN NABOL082272742780 18/08/2223 CoronaVac 18/08/2223 24202523 16266585587088 LANJUT

204 S-75E820F4 1212105002520001 SONDANG MANURUNG P D 69 ≥ 60 LUMBAN NABOL- 18/08/2224 CoronaVac 18/08/2224 24202524 16266585598788 LANJUT

205 S-7F591175 1212104901750001 Diery Novira Lumban Tobing L D 46 46-59 DOLOK SARIBU 081360270949 18/08/2225 CoronaVac 18/08/2225 24202525 16264887335252 LANJUT

206 S-9129B874 1212105605810001 DELTA SIAGIAN P D 41 31-45 LUMBAN NABOL081290579902 18/08/2226 CoronaVac 18/08/2226 24202526 16264887123560 LANJUT

207 S-924A2050 121210610790002 Rotua Sirait P D 31 31-45 DOLOK SARIBU 085377021977 18/08/2227 CoronaVac 18/08/2227 24202527 1626656657112 LANJUT

208 S-956BBCC1 1212105003890001 LINI MANURUNG P D 32 31-45 LUMBAN NABOL081265306975 18/08/2228 CoronaVac 18/08/2228 24202528 16266585378516 LANJUT

209 S-9F0B8602 1212106509890001 Marta Lia ButarButar P D 31 31-45 LUMBAN NABOL081397330264 18/08/2229 CoronaVac 18/08/2229 24202529 16264887334004 LANJUT

210 S-B7023502 1212106308810001 ROSMINA SITORUS P D 39 31-45 LUMBAN NABOL081376462515 18/08/2230 CoronaVac 18/08/2230 24202530 16264887124340 LANJUT

211 S-BC2A509A 1212100308580003 HOTLANDO SIANIPAR L D 63 ≥ 60 LUMBAN NABOL081396472732 18/08/2231 CoronaVac 18/08/2231 24202531 16266585592860 LANJUT

212 S-BFAE726A 1212105205810001 Lusi loeki Sirait P D 40 31-45 DOLOK SARIBU 081320585167 18/08/2232 CoronaVac 18/08/2232 24202532 16264887334004 LANJUT

213 S-CFAB4D8C 1212104404590001 RUGUN BUTARBUTAR P D 62 ≥ 60 LUMBAN NABOL081260352533 18/08/2233 CoronaVac 18/08/2233 24202533 16264887330884 LANJUT

214 S-D642E1A7 1212106006790000 Nana Trisna BR. Surbakti P B 42 31-45 LUMBAN NABOL081397806466 18/08/2234 CoronaVac 18/08/2234 24202534 16266585592080 LANJUT

215 S-D9660BF8 2171034912891001 ROYAN SITOHANG P D 31 31-45 LUMBAN NABOL082166459366 18/08/2235 CoronaVac 18/08/2235 24202535 16264887119348 LANJUT

216 S-DBD48D07 1212106604770001 Sofianna Manurung P D 44 31-45 DOLOK SARIBU 082217551622 18/08/2236 CoronaVac 18/08/2236 24202536 16262=4887124652 LANJUT

217 S-DC56878A 1212100908490001 MARUBA SIMBOLON L D 72 ≥ 60 LUMBAN NABOL082370246907 18/08/2237 CoronaVac 18/08/2237 24202537 16264887123092 LANJUT

218 S-E010F34F 1212100905920003 KRISTIAN SITORUS L D 29 18-30 LUMBAN NABOL082165397726 18/08/2238 CoronaVac 18/08/2238 24202538 16266585585684 LANJUT

219 S-E75D21D8 1212106704460001 REMI MANURUNG P D 75 ≥ 60 LUMBAN NABOL085218355218 18/08/2239 CoronaVac 18/08/2239 24202539 16266585591300 LANJUT

220 S-F4F68581 1212100403590001 PATUAN SITORUS L D 62 ≥ 60 LUMBAN NABOL081365031880 18/08/2240 CoronaVac 18/08/2240 24202540 16266585587088 LANJUT

221 S-F56BAF6A 1212102508420002 VICTOR SITORUS L D 78 ≥ 60 LUMBAN NABOL082274787260 18/08/2241 CoronaVac 18/08/2241 24202541 16266585592080 LANJUT

222 S-F56EAB04 1212101605850003 HENRI SITORUS L D 36 31-45 LUMBAN NABOL082283806010 18/08/2242 CoronaVac 18/08/2242 24202542 16266585592080 LANJUT

223 S-F57DBA24 1212104204390001 MESIANNA NAPITUPULU p D 82 ≥ 60 LUMBAN NABOL081262637507 18/08/2243 CoronaVac 18/08/2243 24202543 16264887335252 LANJUT

224 S-F7B6DD8C 1212106801870002 MISNA TOGATOROP P D 34 31-45 LUMBAN NABOL082283806010 18/08/2244 CoronaVac 18/08/2244 24202544 16264887119548 LANJUT

225 Y-000009QH 1212100301870001 Robin Sitorus L D 43 31-45 LUMBAN HOLBU081260968154 18/08/2245 CoronaVac 18/08/2245 24202545 16266585585684 LANJUT

226 Y-000009RN 1212146002940002 NILA MAWAR SARI MARPAUNG P D 27 18-30 LUMBAN NABOL082160312817 18/08/2246 CoronaVac 18/08/2246 24202546 16266585598788 LANJUT

227 Y-012Z7G1A 1271214211700002 JOJOR RISMA SITORUS P D 50 46-59 LUMBAN NABOL081396975200 18/08/2247 CoronaVac 18/08/2247 24202547 16266585592860 LANJUT

228 Y-012ZD63G 1212072510960001 WELLY MIKHHA SIMANJUNTAK L D 24 18-30 KOMPLEK TPL T082276959545 18/08/2248 CoronaVac 18/08/2248 24202548 16266585378516 LANJUT

229 Y-0135E8ZL 1212106202870002 Gunawan Susyanti Doloksaribu L D 34 31-45 DOLOK SARIBU 081361541330 18/08/2249 CoronaVac 18/08/2249 24202549 16266566649780 LANJUT

Keterangan ***Merek Vaksin

* Pekerjaan dikelompokkan menjadi: A = Sinovac

A = Petugas Medis dan Non Medis di Fasilitas Pelayanan B = Lainnya (Mohon disebutkan jenis vaksin yang diterima Puskesmas/Faskes)

B = Petugas pelayanan publik yang berhadapan langsung dengan masyarakat

C = Administrator Pemerintahan

D = Lainnya

E = Tidak Bekerja

Kelompok Umur: Kepesertaan BPJS Pekerjaan

18-30 70 BPJS PBI 0 A 0

31-45 96 BPJS Non PBI 0 B 6
46-59 44 Non Anggota 0 C 0
≥ 60 19 Total 0 D 223
Total 229 E 0
Pekerjaan: Pemberian Dosis Total 229
 A 0 Dosis 1 229
B 6 Dosis 2 0
C 0 Total
D 223
E 0
Total 229