Oktober 21

FORMAT PENCATATAN PELAKSANAAN VAKSINASI COVID-19
TINGKAT PUSKESMAS/FASYANKES/POS VAKSINASI
Nama Puskesmas/Fasyankes/Pos : PUSKESMAS TALANG RATU

Kabupaten/Kota : PALEMBANG
Provinsi SUMATERA SELATAN
Hari, Tanggal : 08 OKTOBER 2021
Dosis I Dosis 2 Dosis 3
Jenis Kategori Umur

No No. Tiket NIK Nama Penerima Vaksin Kelompok Umur Alamat No. Hp
Kelamin Sasaran (18 sd ≥ 60 tahun)
Tanggal Tanggal Tanggal
Pemberian Merek Vaksin Pemberian Merek Vaksin Pemberian Merek Vaksin
Vaksinasi Vaksinasi Vaksinasi
1 L 46-59 9/10/2021 MODERNA 8-Oct-21 MODERNA

Q-000VX7AR 1671062603730006 MUHAMMAD TOMY C 48 JL ST SYAHRIR 08127845550

Q-000VX9O9 1671060509030001 MUHAMMAD SULTAN GHAZANFAR SIDDIQ C 18 JL ST SYAHRIR 08124414440

Z-000AK1LS 1671065105780006 SHERLY IMELIA C 43 JL ST SYAHRIR 085106088799

Q-000VXGT7 1671072502820003 AKBAR YUDISHTIRA C 39 PERUM OPI JLN RIAU 082265915333

Q-000VXKLH 1671071909760010 MUHAMMAD FAHRUDDIN C 45 JL SOSIAL RT 11 081278468004

Q-000VXGTL 1671075702800007 HERNA LIDYA C 41 JL SOSIAL RT 11 081379077753

Z-000AK4XI 1671070908840003 RIFAN AGUNG C 37 KOMP SUKARAMI 0811712605

Q-000VXD13 1671070603710002 ALBAIHAKI C 50 JL TRISUKSES 085383941233

Q-000VYFQS 1671076903770009 MERI ASTUTI C 44 JL KELAPA SAWIT 081367424241

Q-000VX9O4 1671042905740002 IRWAN C 47 JL LET MUROD 081271439318

Q-000VXD5C 1671044202710005 LENNY MARLINA C 50 JL LET MUROD 081373909444

Q-000T9TYM 1671074303990013 SABRINA ALIFIA ZAHRA C 22 JL PRAJURIT KEMAS ALI 08127305524

Q-000W11RF 1671052509700002 ABDUL MUTHOLIB PUBLIK 51 JALAN LETNAN MUROD LRNG KEMIRI NO 375 082183775668

U-0000X36G 1671075810910003 LARA AYUSALINDA PUBLIK 30 JL SUKABHAKTI 085788995935
15 46-59 9/10/2021 MODERNA 8-Oct-21 MODERNA

P-ORGEWNFO 1671096308750007 ERNALIA P B 46 JALAN SUPER SEMAR LRNG SEPAKAT JAYA II NO 1403 085367314399
16 L 12-17 9/10/2021 Coronavac 8-Oct-21 Coronavac

Q-000VFORD 1671062102070002 M FAIZ MUZAFFAR REMAJA 14 JL ST SYAHRIR 085109384000

Q-000VXPQH 1607114107700072 ROHALES TINA C 51 DUSUN I SEMUNTUL 08982154228
18 L ≥60 10/8/2021 Coronavac

S-9DA8F50C 1671055306480002 MURYATI LANSIA 73 JL KASNARIANSYAH 081267982934

K-00010TTO 1610016808940002 PITRI YULYANI C 27 DESA KASAH 081373633557

Q-000T4Q8Q 1608155011940005 SITI ZULAIKHAH C 27 KARANG MENJANGAN 082176408835

Q-000Q1DTB 1671050510970004 yoga oktariansyah C 24 JL KASNARIANSYAH 08989628906

Q-000W44TT 1671041308990002 EGI RIZKAN TAMARA C 22 JL SEI TALO 0895618789717

Q-000W2ZWI 1671075102960016 PUTRI INDAH LESTARI C 25 JL LETKOL ANDRIANS 0895410700500

Q-000CUN24 1671050910840010 MUHAMMAD ANNAS C 37 JL ARIODILLAH 0811781911
Q-000CV5KO 1671055911840007 DIANTIKA PALMA SARI C 37 JL DEMANG LEBAR DAUN 0811787288

Q-000W2LTE 1671155508700001 RUSTIATI C 51 JL LETKOL ANDRIANS 081221426473

Q-000W2ZGX 1671152101730001 SUHAIRI C 48 JL LETKOL ANDRIANS 081221426473
28 L ≥60 10/8/2021 Coronavac

S-F8BA7A90 1608024104520001 SOLASIH LANSIA 69 JL LETKOL ANDRIANS 0895410700500

Q-000W378B 1671156107020001 ADHE CHACHA MONICA C 19 JL LETKOL ANDRIANS 0895410700500

Q-000OBLBS 1606062202030002 ILHAM RIZKY SAPUTRA C 18 DESA TOMAN 085366731044

Q-000Q14HS 1671054505720005 NURSIYAH C 49 JL KASNARIANSYAH 081274743492

Q-000VGBTE 1671054212920008 DESI AFRIANTI C 29 JL ARIODILLAH III 083830118383

Q-000SKSKK 1671051804650001 MULYA ASAFIK PASAWARSA PRA-LANSIA 56 JL RADIO 085609622653

Q-000UF8T2 1671056407990008 OCHI ZUL JULITA SARI C 22 JL ARIODILLAH 085609494585

Q-000VEA84 1671056901890004 ZILKA MESKA NANDA C 32 JL SEI BETUNG 083160847750

Q-000VEKCK 1671040104810020 RUSAIDI C 40 JL SEI BETUNG 081366639420

Q-0009MWYC 1671056710910005 MONIKA OKTORA C 30 JL INSP MARZUKI 085789056079
38 L 0 9/10/2021 Coronavac 8-Oct-21 Coronavac

Q-000UY588 1671072108040006 MUHAMMAD DZARIF FAKHRI C 8 PERUMNAS TALANG KELAPA 0895621612932

Q-000U2G2E 1671056206070001 MUTHIAH SALSABILA AZ-ZAHRA REMAJA 14 JL LET MUROD 081261953095

Q-000UMHY3 1305065605890002 WILDA EKA PUTERI C 32 TOBOH KURANJI 085377246121

Q-000VSEWW 1671094507740005 DEWI MIARTI SUTANTO C 47 JL AKBP H UMAR 081804154873

K-00016G7A 1671055410710003 SALMAH C 50 JL KASNARIANSYAH 087801377007

Q-000VGMG8 1671054211940003 ADE LARASATI C 27 JL KASNARIANSYAH 089668934922
44 L 18-30 10/8/2021 Coronavac

Y-0131KG91 3172025412940009 DEVY KIKHYASNA C 27 JL JEND SUDIRMAN 082182409818
45 L ≥60 9/10/2021 Coronavac 8-Oct-21 Coronavac

Z-000ADC9W 1671047108480002 HJ. MARDIAH LANSIA 73 JL MACAN KUMBANG 082181591707
46 L 18-30 10/8/2021 Coronavac

P-AQUH6SMS 1271036601010006 FITRI ANDA C 20 JL AMPERA I GG SEDAR NO 20 083186440848
47 L 31-45 10/8/2021 Coronavac

P-CVQNUDFT 1606026210900003 NURYANA C 31 JL LET MUROD 082182766363
48 L 18-30 10/8/2021 Coronavac

P-KZMZM3SM 1674050402010001 FIRMANSYAH ABDUL HOLIL C 20 JL KRISNA NO 079 089504241795
49 L 46-59 10/8/2021 Coronavac

P-0D5MHICQ 1671051507670004 DRS SAIPUDIN PRA-LANSIA 54 JL LET MUROD 081367469351
50 L 46-59 10/8/2021 Coronavac

P-31S5FBZB 1610086106690001 YUNIHAR C 52 DUSUN III TEBING GERINTING SELATAN 081278171152
51 L 18-30 10/8/2021 Coronavac

P-A76CMRZC 1671054105910003 SISKA ANGGRAINI C 30 LR HIKMAH NO 23 083161816768
52 L 31-45 10/8/2021 Coronavac

P-BMQ7Z1L1 1671055706860012 HASNAWATI C 35 JL KASNARIANSYAH 085269198183
53 L 31-45 10/8/2021 Coronavac

P-CEJM3IDF 1671054507780005 ASNAH C 43 JL KASNARIANSYAH 082387384757
54 L 46-59 10/8/2021 Coronavac

P-CZPXLGBA 1671055008720006 SOLEHA C 49 LR HIKMAH NO 23 083191214129
55 L 46-59 10/8/2021 Coronavac

P-FQNBC9TW 1671075801690004 SAHATI C 52 JL LET MUROD 083184034115
56 L 31-45 10/8/2021 Coronavac

P-I0XFARKU 1671136909850008 RADIA HASTUTI C 36 JL ARIO KEMUNING 08980708243
57 L 31-45 10/8/2021 Coronavac

P-IMCGAC6E 1671094709820009 ENDANG SUYATNI C 39 JL JEND SUDIRMAN 089690624848
58 L 31-45 10/8/2021 Coronavac

P-K5FB3HTP 1671105312780009 SANIARTI C 43 JL PASUNDAN 089508245256
59 L 18-30 10/8/2021 Coronavac
P-KR4TCWL6 1671100303030006 AFRIZAL C 18 JL PASUNDAN 089508245256
60 L 18-30 10/8/2021 Coronavac

P-L89AFDIJ 1671054911950007 NIA PRIYANTI C 26 LR LEBAK PAKIS 085956296138
61 L 18-30 10/8/2021 Coronavac

P-LA0JFXPI 1671055006010001 RESTI YENYANDINI C 20 LR LEBAK PAKIS 085956296138
62 L 31-45 10/8/2021 Coronavac

P-LAUDUCJC 1610120901880002 HENDRA C 34 DUSUN III TALANG DUKUN 085956296138
63 L 46-59 10/8/2021 Coronavac

P-LC2UYDIW 1671075606650005 TAIBAH Z PRA-LANSIA 56 KOMP GAPU III 082373385021
64 L 18-30 10/8/2021 Coronavac

P-EHLU3OPK 7313071111910004 HERIYADI C 30 JL JEND SUDIRMAN 081274777959
65 L 31-45 10/8/2021 Coronavac

P-LJBICNF6 1671072909810007 FRANCE C 40 JL HARAPAN 082194419629
66 L 31-45 10/8/2021 Coronavac

P-LJXX2HD3 1671075012830015 MUSDALIFAH C 38 JL HARAPAN 085368421629
67 L 31-45 10/8/2021 Coronavac

P-LKTNWQ3Q 1671075102840008 JUMIASIH. M C 37 JL KOL SULAIMAN AMIN 089653569695
68 L 12-17 10/8/2021 Coronavac

P-LUZ50LC4 1671071508040007 M. ALIP GUSNUL SUJUANZAH MAQRUF REMAJA 17 JL KOL SULAIMAN AMIN 089625342587
69 L 18-30 10/8/2021 Coronavac

J-0005DNV2 1871052607970002 ADI PRATAMA C 24 TAMAN GRAHA 081804968225
70 37 31-45 10/8/2021 Coronavac

S-9E374CB2 1671040609840012 UJANG ALNEMA C JL LETKOL ANDRIANZ 081379611984
Petunjuk Pengisian :
* Kategori Sasaran dikelompokkan menjadi:
A = SDM KESEHATAN
B = PETUGAS PUBLIK
C = MASYARAKAT UMUM DAN MASYARAKAT RENTAN
* Kelompok Umur (diwarnai kuning) merupakan kolom dengan formula yang tidak perlu diisi/dihapus
* Alamat : Dapat diisi hanya dengan asal kota sasaran maupun alamat lengkap
* Merek Vaksin : Dituliskan merek vaksin yang digunakan (Coronavac, AstraZeneca, Moderna, dll)
Kelompok Umur:
12-17 3
18-30 23
31-45 21
46-59 18
≥ 60 tahun 3
Total 62
Kategori Sasaran
A 0
B 1
C 57
Total 58
FORMAT REKAPITULASI HARIAN PELAKSANAAN VAKSINASI COVID-19
TINGKAT KABUPATEN/KOTA
Nama
Puskesmas : TALANG RATU
/Fasyankes/Pos
Provinsi : SUMATERA SELATAN
Penerima Vaksin Dosis 1 Penerima Vaksin Dosis 2 Penerima Vaksin Dosis 3 Indeks Pemakaian Vaksin Berdasarkan Merek
Tahap 1 Tahap 2 Tahap 3 Total Dosis Tahap 1 Tahap 2 Total Tahap 1 Tahap 2 Tahap 3
Total Dosis I
2 Dosis 3
(Semua Vaksin Covid 19
Masyarakat (Semua Masyarakat (Semua SDM Masyarak
Astra Zeneca Moderna Lain-lain
Tahapan) SDM Pelayan SDM Pelayan
Lansia Umum dan Remaja Tahapan) Lansia Umum dan Remaja Tahapan) Kesehata Lansia Pelayan at Umum Remaja Biofarma
Tanggal Kesehatan Publik Kesehatan Publik Publik dan
NO Pelaksanaan
Total Sasaran Rentan Rentan n Rentan
Jmlh
Jmlh Jmlh Jmlh Jmlh Jmlh
Jmlh Vial Jmlh Vial
# % # % # % # % # % # % # % # % # % # % # % # % # % # % # % # % # % # % Terpakai Diimunisasi
IP Vial Diimuni IP Vial Diimuni IP
Terpaka
Diimuni IP
Terpakai sasi Terpakai sasi sasi
i
1 01 10 21 86 14 16.28 0 0.00 1 1.16 4 4.65 7 8.1395 2 2.33 72 83.72 0 0.00 1 1.16 5 5.81 54 62.79 12 14 0 0 0 0 0 0 0 0 0 0 0 0 43 86 ### 0 0 ### 0 0 ### 0 0 ###
2 02 10 21 95 63 66.32 0 0.00 1 1.05 0 0.00 51 53.684 11 11.6 32 33.68 0 0.00 3 3.16 7 7.37 16 16.84 6 6.32 0 0 0 0 0 0 0 0 0 0 0 0 42 95 ### 0 0 ### 1 12 12.00 0 0 ###
3 04 10 21 58 22 37.93 0 0.00 1 1.72 5 8.62 13 22.414 3 5.17 36 62.07 0 0.00 4 6.90 18 31.03 11 18.97 3 5.17 0 0 0 0 0 0 0 0 0 0 0 0 6 58 ### 0 0 ### 0 0 ### 0 0 ###
4 05 10 21 92 15 16.30 0 0.00 1 1.09 0 0.00 14 15.217 0 0 77 83.70 0 0.00 6 6.52 0 0.00 59 64.13 12 13 0 0 0 0 0 0 0 0 0 0 0 0 46 92 ### 0 0 ### 0 0 ### 0 0 ###
5 06 10 21 240 79 32.92 0 0.00 3 1.25 14 5.83 37 15.417 25 10.4 161 67.08 0 0.00 3 1.25 3 1.25 33 13.75 122 50.8 0 0 0 0 0 0 0 0 0 0 0 0 120 240 ### 0 0 ### 0 0 ### 0 0 ###
6 07 10 21 46 1 2.17 0 0.00 1 2.17 0 0.00 0 0 0 0 45 97.83 0 0.00 2 4.35 2 4.35 37 80.43 4 8.7 0 0 0 0 0 0 0 0 0 0 0 0 23 46 ### 0 0 ### 0 0 ### 0 0 ###
7 08 10 21 70 28 40.00 0 0.00 2 2.86 0 0.00 25 35.714 1 1.43 42 60.00 0 0.00 1 1.43 5 7.14 34 48.57 2 2.86 0 0 0 0 0 0 0 0 0 0 0 0 28 55 ### 0 0 ### 1 15 15.00 0 0 ###
8 0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 ### 0 ### 0 ### 0 ### 0 ### 0 #DIV/0! 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 0 ### 0 0 ### 0 0 ### 0 0 ###
9 0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 ### 0 ### 0 ### 0 ### 0 ### 0 #DIV/0! 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 0 ### 0 0 ### 0 0 ### 0 0 ###
10 0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 ### 0 ### 0 ### 0 ### 0 ### 0 #DIV/0! 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 0 ### 0 0 ### 0 0 ### 0 0 ###
11 0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 ### 0 ### 0 ### 0 ### 0 ### 0 #DIV/0! 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 0 ### 0 0 ### 0 0 ### 0 0 ###
12 0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 ### 0 ### 0 ### 0 ### 0 ### 0 #DIV/0! 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 0 ### 0 0 ### 0 0 ### 0 0 ###
13 0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 ### 0 ### 0 ### 0 ### 0 ### 0 #DIV/0! 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 0 ### 0 0 ### 0 0 ### 0 0 ###
14 0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0 ### 0 ### 0 ### 0 ### 0 ### 0 #DIV/0! 0 #DIV/0! 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 ### 0 0 ### 0 0 ### 0 0 ### 0 0 ###
TOTAL 687 222 32.31 0 0.00 10 1.46 23 3.35 147 21.397 42 6.11 465 67.69 0 0.00 20 2.91 40 5.82 244 35.52 161 23.4 0 0 0 0 0 0.00 0 0.00 0 0 0 0 308 672 ### 0 0 ### 2 27 13.50 0 0 ###

Hari, Tanggal : SEPTEMBER 2021
Jenis Kategori Umur

1 0 Coronavac
2 0 Coronavac
3 0 Coronavac
4 0 Coronavac
5 0 Coronavac
6 0 Coronavac
7 0 Coronavac
8 0 Coronavac
9 0 Coronavac
10 0 Coronavac
11 0 Coronavac
12 0 Coronavac
13 0 Coronavac
14 0 Coronavac
15 0 Coronavac
16 0 Coronavac
17 0 Coronavac
18 0 Coronavac
19 0 Coronavac
20 0 Coronavac
21 0 Coronavac
22 0 Coronavac
23 0 Coronavac
24 0 Coronavac
25 0 Coronavac
26 0 Coronavac
27 0 Coronavac
28 0 Coronavac
29 0 Coronavac
30 0 Coronavac
31 0 Coronavac
32 0 Coronavac
33 0 Coronavac
34 0 Coronavac
35 0 Coronavac
36 0 Coronavac
37 0 Coronavac
38 0 Coronavac
39 0 Coronavac
40 0 Coronavac
41 0 Coronavac
42 0 Coronavac
43 0 Coronavac
44 0 Coronavac
45 0 Coronavac
46 0 Coronavac
47 0 Coronavac
48 0 Coronavac
49 0 Coronavac
50 0 Coronavac
51 0 Coronavac
52 0 Coronavac
53 0 Coronavac
54 0 Coronavac
A = SDM KESEHATAN
B = PETUGAS PUBLIK
Kelompok Umur:
12-17 0
18-30 0
31-45 0
46-59 0
≥ 60 tahun 0
Total 0
Kategori Sasaran
A 0
B 0
C 0
Total 0

Jenis Kategori Umur

1 P-0XVFTOAD 1602087103750001 MULYANA P C 46 46-59 JL DEMANG LEBAR DAUN 087749256077 9-Sep-21 Coronavac 07 10 21 Coronavac
2 Q-000VDZGM '1671046305780009 DIANA EKAWATI P C 43 31-45 JL DEMANG LEBAR DAUN '089627217622 9-Sep-21 Coronavac 07 10 21 Coronavac
3 Q-000VDOEF 1671067008770006 MASKINAH P C 44 31-45 SEI BENDUNG VETERAN 085841005207 9-Sep-21 Coronavac 07 10 21 Coronavac
4 Q-000VDUV2 '1671095802740003 IMILDA P C 47 46-59 JL NASKAH II 085380847865 9-Sep-21 Coronavac 07 10 21 Coronavac
5 Q-000VDRHI 1671071506750014 HASBI L C 46 46-59 JL SMA 13 NO2767 '082176111033 9-Sep-21 Coronavac 07 10 21 Coronavac
6 Q-000VDV5S '1671045504760011 KOMALASARI P C 45 31-45 JL SEI TALO 081398243544 9-Sep-21 Coronavac 07 10 21 Coronavac
7 Q-000VDZHI 1671052201770002 DEDI ISWANTO L C 44 31-45 JL KASNARIANSYAH '082279681788 9-Sep-21 Coronavac 07 10 21 Coronavac
8 Q-000VDZHR 1671050112640001 ADAM L C 57 46-59 JL LET MUROD '089508187108 9-Sep-21 Coronavac 07 10 21 Coronavac
9 : Q-000VE4OV 1671056806000002 RISHA DEVINA P C 21 18-30 PERUM RAKYAT TALANG RATU 085609620599 9-Sep-21 Coronavac 07 10 21 Coronavac
10 Q-000VEKBV 1601136008960002 PUTRI WARDHANI AGUSTIN P C 25 18-30 JL MAWAR LR KAPAS 082279092233 9-Sep-21 Coronavac 07 10 21 Coronavac
11 K-00016AS2 1671156511740002 WALIYAH P C 47 46-59 KOMP PEMDA KM 7 081368694891 9-Sep-21 Coronavac 07 10 21 Coronavac
12 Q-000VEJ8I 1671152204010001 FRANS NICO APRIANSYAH L C 20 18-30 JL LET MUROD 081958556584 9-Sep-21 Coronavac 07 10 21 Coronavac
13 Q-000VEJ8H 1671155010700002 KORINA P C 51 46-59 JL LET MUROD 085268125752 9-Sep-21 Coronavac 07 10 21 Coronavac
14 Q-000VEK07 1671056105840008 MESRI TRISNAWATI P C 37 31-45 JL KASNARIANSYAH 082294014748 9-Sep-21 Coronavac 07 10 21 Coronavac
15 Q-000VEK7B '1603140601960002 GATOT ARIS MUNANDAR L C 25 18-30 DUSUN II AUR 083176099427 9-Sep-21 Coronavac 07 10 21 Coronavac
16 Q-000VEQSC 1671050812780008 ENDRO SETYA BUDI L C 43 31-45 JL LET MUROD 083157419747 9-Sep-21 Coronavac 07 10 21 Coronavac
17 Z-000AHR7V 1671056609710002 ASMALAILI P C 50 46-59 JL ARIODILLAH 081271571661 9-Sep-21 Coronavac 07 10 21 Coronavac
18 Q-000VEKH7 1603145911820004 MULATI NINGRUM P C 39 31-45 JL LET MUROD 085367187902 9-Sep-21 Coronavac 07 10 21 Coronavac
19 P-GMWGXFMZ '1671074902960008 GENIS ARISKA P C 25 18-30 JL S PARMAN 089669990091 9-Sep-21 Coronavac 07 10 21 Coronavac
20 Q-000VFCPM 1671021611910005 MUHAMMAD FAKHRIZAL L C 30 18-30 JL MAY ZEN LEBAK JAYA 082180054050 9-Sep-21 Coronavac 07 10 21 Coronavac
21 Q-000VFCOU '1571076001920061 MAYA KURNIATI P C 29 18-30 JL IR H JUANDA 085216739947 9-Sep-21 Coronavac 07 10 21 Coronavac
22 Q-000VFQEW 1671104306900005 RINDI ANTIKA P C 31 31-45 JL MAY ZEN LEBAK JAYA III 085391302946 9-Sep-21 Coronavac 07 10 21 Coronavac
23 K-00016EGL 1671056809930005 DESI NOVITA SARI P C 28 18-30 JL LET MUROD 08978734398 9-Sep-21 Coronavac 07 10 21 Coronavac
24 Q-000VG05H 1671051011640005 SYAMSU RAHMAN L C 57 46-59 JL KASNARIANSYAH 081367513126 9-Sep-21 Coronavac 07 10 21 Coronavac
25 Q-000VG060 1671050102970004 AZIZ TIRTA PRASTIANSYAH L C 24 18-30 JL KASNARIANSYAH 083164740230 9-Sep-21 Coronavac 07 10 21 Coronavac
26 Q-000VFYSS 1603144708930003 YUYUN TETRA WAHYUNI P C 28 18-30 DUSUN II AUR 085841431915 9-Sep-21 Coronavac 07 10 21 Coronavac
27 K-00016FGB 6302061509930008 NUR ROZI P C 28 18-30 RUWIT WEDUNG 0811118221 9-Sep-21 Coronavac 07 10 21 Coronavac
28 P-HSPX7BGS 1671055907890006 YULI SUSANTI P C 32 31-45 JL ARIODILLAH 085788562141 9-Sep-21 Coronavac 07 10 21 Coronavac
29 P-JJCD986L 1671054212920008 DESI AFRIANTI P C 29 18-30 JL ARIODILLAH 083830118383 9-Sep-21 Coronavac 07 10 21 Coronavac
30 P-KFLBPML0 1671054211940003 ADE LARASATI P C 27 18-30 JL KASNARIANSYAH 089668934922 9-Sep-21 Coronavac 07 10 21 Coronavac
31 J-0000DI05 1671055410710003 SALMAH P C 50 46-59 JL KASNARIANSYAH 087801377007 9-Sep-21 Coronavac 07 10 21 Coronavac
32 Q-000MH6ZJ 1671074602680006 SUHARMI P C 53 46-59 JL GOTONG ROYONG 082269281942 17-Aug-21 Coronavac 07 10 21 Coronavac
33 W-0000C5TY 1276025905890001 DIAN ELITA P B 32 31-45 KOMP GRIYA HERO ABADI 085296485902 18-Aug-21 Coronavac 07 10 21 Coronavac
34 Q-000C1GCZ 1116062206880005 RAHMAD L B 33 31-45 KOMP GRIYA HERO ABADI 082167167203 18-Aug-21 Coronavac 07 10 21 Coronavac
35 Q-0008PCRP 1671081101850004 THOMAS C L C 36 31-45 JL KASNARIANSYAH 083842653025 18-Aug-21 Coronavac 07 10 21 Coronavac
36 P-P8A7CLX5 1606066006020004 DIAN PRATIWI P C 19 18-30 DUSUN I SUNGAI ANGIT 081389061428 9-Sep-21 Coronavac 07 10 21 Coronavac
37 Q-000MH0NE 1604174303910001 JUARIAH P C 30 18-30 GEDUNG AGUNG 082377715216 18-Aug-21 Coronavac 07 10 21 Coronavac
38 Q-000MH6ZM 1671075604920008 WINDA NUR FITRIA P C 29 18-30 KOMP SUKARAMI 08117190716 18-Aug-21 Coronavac 07 10 21 Coronavac
39 Q-000MH0NJ 1671072108910010 MUHAMMAD HAFIZ L C 30 18-30 KOMP SUKARAMI 08117211013 18-Aug-21 Coronavac 07 10 21 Coronavac
40 P-7HP4MFRJ '1602086504990003 WINI APRILIANI P C 22 18-30 JAKABARING 085813279969 9-Sep-21 Coronavac 07 10 21 Coronavac
41 P-RPQB8TWU 1671115103010003 ANNADA MARFITASARI P C 20 18-30 JL FAQIH JALALUDDIN 085758604458 9-Sep-21 Coronavac 07 10 21 Coronavac
42 Q-000VE4YA 1671116103710004 IR EVI MARDIASTARI P C 50 46-59 JL FAQIH JALALUDDIN 082179504431 9-Sep-21 Coronavac 07 10 21 Coronavac
43 P-RPT42EFC 1671094507740005 DEWI MIARTI SUTANTO P C 47 46-59 JL AKBP H UMAR 081804154873 9-Sep-21 Coronavac 07 10 21 Coronavac
44 Q-000VSEWH 1671074209920004 TRI WAHYUNI P C 29 18-30 JL TALANG KEPUH 082376003355 9-Sep-21 Coronavac 07 10 21 Coronavac
45 Z-000AFLZV 1671083001530000 ALIYUDDIN ROZIE L LANSIA 68 ≥60 JL. MUSI BLOK J17 085838210010 08 09 21 Coronavac 07 10 21 Coronavac
46 Q-000UX3HT 1671040203000000 SULTHONI AJIE SAHIDIN L C 21 18-30 JL. SYUHADA 081271813144 08 09 21 Coronavac 07 10 21 Coronavac
A = SDM KESEHATAN
B = PETUGAS PUBLIK
C = C DAN MASYARAKAT RENTAN
Kelompok Umur:
12-17 0
18-30 21
31-45 12
46-59 12
≥ 60 tahun 1
Total 46
Kategori Sasaran
A 0
B 2
C 43
Total 45

Jenis Kategori Umur

1 K-00013B5W 1671086906080000 AMANDA RIZKY KHAIRUNISA P REMAJA 13 12-17 L MAYOR RUSLAN 081366387512 04 09 21 Coronavac 06 10 21 Coronavac
2 P-0TQ18PDD : 1671092607070002 DICKY SETAWAN L REMAJA 14 12-17 JLN RAWA JAYA 085379361278 06 10 21 Coronavac
3 P-1GTUFHXF 1671054404860010 SULIKA P C 35 31-45 JL LET MUROD 081282017372 06 10 21 Coronavac
4 P-1I42SZ2N 1671052402030002 FEBRIANTO SYAPUTRA L C 18 18-30 JL. MAWAR 083176575105 06 10 21 Coronavac
5 P-1NXFABYM : 1671051705850008 EKO SETIAWAN L C 36 31-45 JL ARIODILLAH 0895605288375 06 10 21 Coronavac
6 P-1QHJNF5K 1671056501640004 SUKMAWATI P LANSIA 62 ≥60 JL. KENANGA 085267152062 06 10 21 Coronavac
7 P-247G6V6Z 1671055208760004 NISMI P C 45 31-45 JL ARIODILLAH 081275001575 06 10 21 Coronavac
8 P-29Z7EHEH 1671055603010002 MARYANI SYAFITRI P C 20 18-30 JL. MAWAR 088274250414 06 10 21 Coronavac
9 P-2QJ03ISH 1609056811760001 AZIZA P C 44 31-45 JL. BUGIN CAMPAK 081271533590 06 10 21 Coronavac
10 P-2S2N1IMU 1671056006880003 ISMI WATI P C 33 31-45 JL. RIMBA KEMUNING 0895636552928 06 10 21 Coronavac
11 P-4ATLVVIF 1671025304680006 NYIMAS FATIMAH P C 53 46-59 JL. RADIO 083185678998 06 10 21 Coronavac
12 P-4HKCHIW6 1671075412950010 DEFI SRI UTAMI P C 25 18-30 JL. SIANG RATEJO 089633308304 06 10 21 Coronavac
13 P-4OSCKZI1 1671074305820010 NURASIH P C 39 31-45 JL. TALANG JAMBE 082371449568 06 10 21 Coronavac
14 P-5GSHXIEQ 1671056308820005 LISMA YENI P C 39 31-45 JL. KENANGA 085378310088 06 10 21 Coronavac
15 P-61MUSJEF 1671092212840003 LINGGA WIJAYA L C 36 31-45 JL. RIMBA KEMUNING 085368013361 06 10 21 Coronavac
16 P-6W2P7VW2 1671052811030002 RAHMAD HIDAYATULLAH L REMAJA 17 12-17 JL. KASNARIANSYAH 083803608027 06 10 21 Coronavac
17 P-7ZGPU9KE 3209091904000003 EKA FAJAR KURNIA L C 21 18-30 JL. DEAS KARANG 082117687883 06 10 21 Coronavac
18 P-91REKDG5 1671096606710005 ERMANONI P C 50 46-59 JL. JENDRAL SUDIRMAN 085314951662 06 10 21 Coronavac
19 P-9BWDJ0M7 1671096907960005 SEPTI AMELIA PUTRI P C 26 18-30 JL. JENDRAL SUDIRMAN 081271707229 06 10 21 Coronavac
20 P-9T8LGEMM 1671072710610001 JAUHARI L C 59 46-59 JL. SWADAYA 085384983141 06 10 21 Coronavac
21 P-AAMWVASB 1671057105650006 SURYA DINATA P C 58 46-59 KOMPLEK BUMI MAJINAH 085383976112 06 10 21 Coronavac
22 P-AKT4OQX3 1671052510000004 ISRA DWI ARYA P C 20 18-30 JL ARIODILLAH 085156480425 06 10 21 Coronavac
23 P-AV09N6HE 1671116712030001 DESMARINDA P REMAJA 17 12-17 JL. PIPA 088286019282 06 10 21 Coronavac
24 P-BGP7CMKD 1671092106080002 M. RAAFI SANTANA L REMAJA 13 12-17 JL. LETNAN MUROD 08983328849 06 10 21 Coronavac
25 P-BPMCSOKR 1606011512070006 FAKHRI AR RASYID L REMAJA 13 12-17 JL LET MUROD 089630330380 06 10 21 Coronavac
26 P-DDNAA65J 1671055908030004 DEWI PERMATASARI P C 18 18-30 JL. KASNARIANSYAH 0895410777839 06 10 21 Coronavac
27 P-DJQD87EV 3209092411960003 JAELANI L C 24 18-30 DESA KARANG UNIE 083177290680 06 10 21 Coronavac
28 P-DLRZWDPS 1671090712060000 FIQIH ARIANSYAH PUTRA L REMAJA 14 12-17 JL ISMAIL MARZUKI NO 247 082193720707 06 10 21 Coronavac
29 P-DOIYHBO5 1607054101770004 RENI SURYANI P C 44 31-45 JL. LETNAN MUROD 083167926355 06 10 21 Coronavac
30 P-DOTHJ1UV 1671095909090000 RINDI ANI DWI RAMADHANI P REMAJA 12 12-17 JLN LEBAK MULYO RT 3 RW 1 089681554908 06 10 21 Coronavac
31 P-DQNXYQOL : 1472027003830003 SRI HAYATI P C 38 31-45 JL. MADANG 0895637014011 06 10 21 Coronavac
32 P-DTCGVNOT : 1671095306090001 SYIFA AZ ZAHRA P REMAJA 12 12-17 JL. ORDE BARU 081377544776 06 10 21 Coronavac
33 P-E19ILJLE 1671091403070000 ZAKY AL FARUQI HARAHAP P REMAJA 14 12-17 JL SIMANJUNTAK 081381860266 06 10 21 Coronavac
34 P-E3QSBS7H 1671094203070000 SITI RAHMA AL QODRIAH P REMAJA 14 12-17 JL SERSAN SANI 083193693427 06 10 21 Coronavac
35 P-E5DFQ71H : 1671094410050001 SINDY ANTIKA RAMADANI P REMAJA 16 12-17 SEKIP UJUNG 083172216346 06 10 21 Coronavac
36 P-E6CSMQ4M 1671064110050000 PUTRI AISYAH P REMAJA 16 12-17 PRINTIS 083809898389 06 10 21 Coronavac
37 P-E78D2MCL : 1671095704080002 FIRA RELESIA P REMAJA 13 12-17 BASUKI RAHMAT 089531713479 06 10 21 Coronavac
38 P-EBUITCAG : 1671096709090002 SEVA ADELIA P REMAJA 12 12-17 BASUKI RAHMAT 082281564327 06 10 21 Coronavac
39 P-ECIXNKVJ 1671096407080000 P REMAJA 13 12-17 RAWA JAYA 083178972342 06 10 21 Coronavac

SILVIA WULANDARI
40 P-EE5B0ROQ 1671091405710000 P B 50 46-59 TOMBAK 081278793367 06 10 21 Coronavac

ENDANG SAPUTRA
41 P-EEJJ8CIE P B 41 ≥60 085273030444 06 10 21 Coronavac

LINANG ANGGRAINI
42 P-EGFZ6KXI L B 26 ≥60 088277560102 06 10 21 Coronavac

MUHAMMAD ROMLI
43 P-EH33XAT3 P REMAJA 13 ≥60 085874094175 06 10 21 Coronavac

MELANI BATUBARA
44 P-EHQBGQPF P C 40 ≥60 085269787306 06 10 21 Coronavac

HERLINA
45 P-EI5Q77A8 L B 39 ≥60 085269787306 06 10 21 Coronavac

SUPRIYANTO
46 P-EJ7SQENS P B 43 ≥60 081373031626 06 10 21 Coronavac

SUSETYAWATI
47 P-EJPH8F52 L REMAJA 13 ≥60 081271202345 06 10 21 Coronavac

FAISAL RIDHO NURSYAH
48 P-ELD48RCX P REMAJA 14 ≥60 081278793367 06 10 21 Coronavac

NANDA AYU SAFITRI
49 P-ELRSHDD1 P C 35 ≥60 081278793367 06 10 21 Coronavac

NURMALA SARI
50 P-EMJROZQ3 P C 38 ≥60 081994964522 06 10 21 Coronavac

YUNIS BANIAH
51 P-EMXVSM3G P C 33 ≥60 081219774383 06 10 21 Coronavac

NURLIA SARI
52 P-EOMGTW7X L REMAJA 14 ≥60 08973169361 06 10 21 Coronavac

RANDHI JULI PRASEPTIO
53 P-EP7L2BA4 P REMAJA 12 ≥60 088287109952 06 10 21 Coronavac

FITRI RIZKY AMALIA
54 P-EPMYIYFS P REMAJA 13 ≥60 085764041744 06 10 21 Coronavac

NABILA NURDIANA
55 P-EQH25V84 P REMAJA 13 ≥60 081274955520 06 10 21 Coronavac

DAANIA JILAN QURANIQUE
56 P-EQYAVFPE L REMAJA 12 ≥60 083173764948 06 10 21 Coronavac

RAKHA GHALY SADEWA
57 P-ERIGZM38 L B 50 ≥60 081272778461 06 10 21 Coronavac

M. ROIB ADHA
58 P-ERYZ3T02 L C 50 ≥60 081373345505 06 10 21 Coronavac

MARDARITA
59 P-ESK5QXOF P REMAJA 12 ≥60 081367000998 06 10 21 Coronavac
FITRA JUNIOR HOLIDI
60 P-ET7R5QTW P C 36 ≥60 085268142989 06 10 21 Coronavac

MITHA HEPPYLIANI
61 P-ETXMTYJX P REMAJA 12 ≥60 082195550078 06 10 21 Coronavac

AMIRAH SAKINAH NASYWAH
62 P-EUIMCMPK L B 43 ≥60 081368103510 06 10 21 Coronavac

HENDRA
63 P-EWL7G4MX L B 46 ≥60 0899192803 06 10 21 Coronavac

HARSONO
64 P-EXCL5SHS L B 41 ≥60 085377991163 06 10 21 Coronavac

ASMADI
65 P-EXSN1VNI P C 46 ≥60 089627273042 06 10 21 Coronavac

SUSRI PANJARINI
66 P-EZTYYFQD P C 42 ≥60 081367255366 06 10 21 Coronavac

FERA SUKMAWATI
67 P-F0NUCX5T P C 49 ≥60 081368155358 06 10 21 Coronavac

SUWARNI
68 P-F1F35GE8 L B 43 ≥60 081367101693 06 10 21 Coronavac

SOLFI IVALDI
69 P-F22CFPIM P C 36 ≥60 081368941821 06 10 21 Coronavac

INDRIYATI
70 P-F2S1ADJM P B 30 ≥60 081373233893 06 10 21 Coronavac

YULIANA
71 P-F3FWCAN1 P C 40 ≥60 089682097875 06 10 21 Coronavac

NILA KAMELIA WATI
72 P-F418XAOS L B 42 ≥60 081279861782 06 10 21 Coronavac

INDRA TIRTA MULYA
73 P-IN5O69AC L REMAJA 13 ≥60 085377991163 06 10 21 Coronavac

M. FAHRUL FAHROZI
74 P-S0MBUVJD 167105450900002 P C 31 ≥60 JL ARIODILLAH 082176194786 06 10 21 Coronavac

CHESY SRIPRATIWI
75 Q-000RX7AP 16711118119600004 L C 24 ≥60 JL KARTINI 089631590849 04 09 21 Coronavac 06 10 21 Coronavac

ZUHDI YUSANDI PRATAMA
76 Q-000S63EM P C 14 ≥60 085381772318 04 09 21 Coronavac 06 10 21 Coronavac

SAVIRA NABILA
77 Q-000S8UE4 1671011202940004 L C 27 ≥60 JL SAWAH 0895605560860 04 09 21 Coronavac 06 10 21 Coronavac

TOMI RIYANSA
78 Q-000T3MGV 1671110711810001 L C 39 ≥60 JL. NASKAH 082180010233 04 09 21 Coronavac 06 10 21 Coronavac

NOVAL ADI NUGROHO
79 Q-000T4U19 1671156701710001 P C 50 ≥60 KOMPLEK KEHUTANAN II 081373082871 04 09 21 Coronavac 06 10 21 Coronavac

IDA ELIYANA
80 Q-000TYNTF P REMAJA 12 ≥60 082175235257 04 09 21 Coronavac 06 10 21 Coronavac

KANIA HAYUWANDINI
81 Q-000TYUKF L REMAJA 12 ≥60 088286346250 04 09 21 Coronavac 06 10 21 Coronavac

MUHAMAD DEVIN ABDILAH
82 Q-000TYXOQ P REMAJA 12 ≥60 081271371447 04 09 21 Coronavac 06 10 21 Coronavac

AISYAH AR RAUDHO PUTRI BUANA
83 Q-000TZ32W P REMAJA 12 ≥60 081379646450 04 09 21 Coronavac 06 10 21 Coronavac

NASYA FLORENTHA
84 Q-000TZ3DE L REMAJA 12 ≥60 081271670512 04 09 21 Coronavac 06 10 21 Coronavac

MUHAMMAD RIFQIE AL-QARNI
85 Q-000TZ3FI P REMAJA 12 ≥60 087819408465 04 09 21 Coronavac 06 10 21 Coronavac

SABRINA HELENA PUTRI
86 Q-000TZ9J4 P REMAJA 12 ≥60 082181319474 04 09 21 Coronavac 06 10 21 Coronavac

SYIFA SALSABILILLAH
87 Q-000TZ9PK P REMAJA 12 ≥60 0895604276842 04 09 21 Coronavac 06 10 21 Coronavac

FITRIA MAHARANI
88 Q-000TZAED L REMAJA 12 ≥60 08117894559 04 09 21 Coronavac 06 10 21 Coronavac

EFRANDO DANARES PUTRA
89 Q-000TZAN7 L REMAJA 12 ≥60 081278492288 04 09 21 Coronavac 06 10 21 Coronavac

AGUNG CHOIRUL HAKIM
90 Q-000TZHNK P REMAJA 12 ≥60 085609259334 04 09 21 Coronavac 06 10 21 Coronavac

ARTIA JUNITA
91 Q-000TZOT2 L REMAJA 12 ≥60 0895802810401 04 09 21 Coronavac 06 10 21 Coronavac

M. FAUZAN FIRJATULLAH
92 Q-000TZOT9 P REMAJA 12 ≥60 089526922970 04 09 21 Coronavac 06 10 21 Coronavac

DINDA MARESA. W
93 Q-000TZOTU L REMAJA 12 ≥60 081271180985 04 09 21 Coronavac 06 10 21 Coronavac
DAFFA DENI DWIPURNOMO
94 Q-000TZPMN P REMAJA 12 ≥60 082180797154 04 09 21 Coronavac 06 10 21 Coronavac

ADZKANIA ZHAFIRAH
95 Q-000TZPUA P REMAJA 12 ≥60 082184181022 04 09 21 Coronavac 06 10 21 Coronavac

M. RIZKO FIRMANJAYA PUTRA
96 Q-000U02XJ P REMAJA 12 ≥60 083809134563 04 09 21 Coronavac 06 10 21 Coronavac

ZAKIYAH PUTRI ARIANTI
97 Q-000U02YY P REMAJA 12 ≥60 089687426700 04 09 21 Coronavac 06 10 21 Coronavac

ANISA ZIZIE TARADIPTA
98 Q-000U02ZU P REMAJA 12 ≥60 089620265545 04 09 21 Coronavac 06 10 21 Coronavac

KEYRA KHAMILATUN ASDAH
99 Q-000U030H P REMAJA 12 ≥60 081227238556 04 09 21 Coronavac 06 10 21 Coronavac

KHAIRUNNISA SYAHWITRI
100 Q-000U031N L REMAJA 12 ≥60 082280043794 04 09 21 Coronavac 06 10 21 Coronavac

BILLY SATRIA UTAMA
101 Q-000U045T P REMAJA 12 ≥60 088706889104 04 09 21 Coronavac 06 10 21 Coronavac

ALYA SYIFA LUBIS
102 Q-000U04DN L REMAJA 12 ≥60 08994487883 04 09 21 Coronavac 06 10 21 Coronavac

A. FARIID KURNIAWAN
103 Q-000U04EM P REMAJA 12 ≥60 081274982968 04 09 21 Coronavac 06 10 21 Coronavac

AINAYA FETI ALDINA SARI
104 Q-000U0LQN P REMAJA 12 ≥60 088267063933 04 09 21 Coronavac 06 10 21 Coronavac

SRI RAHAYU
105 Q-000U0LT8 P REMAJA 12 ≥60 089680171789 04 09 21 Coronavac 06 10 21 Coronavac

ZALFA ZAHIRAH
106 Q-000U0LV6 L REMAJA 12 ≥60 085269351952 04 09 21 Coronavac 06 10 21 Coronavac

SAKTIAWAN PANDAWA
107 Q-000U0M0X P REMAJA 13 ≥60 081377534627 04 09 21 Coronavac 06 10 21 Coronavac

DWI NAILAH
108 Q-000U0MDB P REMAJA 13 ≥60 085839220810 04 09 21 Coronavac 06 10 21 Coronavac

OZHA RABBANI
109 Q-000U0WHO P REMAJA 13 ≥60 081271897080 04 09 21 Coronavac 06 10 21 Coronavac

ALYSSHA REZEKI MAHNETA
110 Q-000U0WKG L REMAJA 13 ≥60 087898882680 04 09 21 Coronavac 06 10 21 Coronavac

LUKMAN RIZQY ZULKARNAIN
111 Q-000U0WL8 P REMAJA 13 ≥60 081273472377 04 09 21 Coronavac 06 10 21 Coronavac

CHELSEA KHIRANIA PUTRI RAMADH
112 Q-000U1G15 L REMAJA 12 ≥60 089502602426 04 09 21 Coronavac 06 10 21 Coronavac

JEFFRI RIZKY FADILLAH
113 Q-000U1TLI P REMAJA 13 ≥60 0895604146342 04 09 21 Coronavac 06 10 21 Coronavac

RAISYA CHINTYA PUTRI
114 Q-000U1TMV P REMAJA 13 ≥60 085378819192 04 09 21 Coronavac 06 10 21 Coronavac

KHUMAIROH NURSYIFA
115 Q-000U227O P REMAJA 13 ≥60 081991239004 04 09 21 Coronavac 06 10 21 Coronavac

ADELIANI ALYSIA YUNIARNI
116 Q-000U23A3 P REMAJA 13 ≥60 082311716400 04 09 21 Coronavac 06 10 21 Coronavac

ADELIA NURSYIFA
117 Q-000U23AU P REMAJA 12 ≥60 088268154237 04 09 21 Coronavac 06 10 21 Coronavac

ELITA ANGGRAINI
118 Q-000U23B9 P REMAJA 13 ≥60 089646341106 04 09 21 Coronavac 06 10 21 Coronavac

KARLA RESITA
119 Q-000U2G2V P REMAJA 12 ≥60 081369811916 04 09 21 Coronavac 06 10 21 Coronavac

KEYSIA DEFINA SHABHI
120 Q-000U331P P REMAJA 13 ≥60 089650503487 04 09 21 Coronavac 06 10 21 Coronavac

RAISA AFIFAH

MOZA OKTARINA
122 Q-000U37N3 L REMAJA 12 ≥60 085367809000 04 09 21 Coronavac 06 10 21 Coronavac

M. DAVA EDITIYA PUTRAH
123 Q-000U37TO L REMAJA 13 ≥60 082373652861 04 09 21 Coronavac 06 10 21 Coronavac

M ARMA PRATAMA
124 Q-000U43K6 L REMAJA 14 ≥60 081272737572 04 09 21 Coronavac 06 10 21 Coronavac

RAKA ADITYA

ANGGUN MAULIA PUTRIANINGSIH
126 Q-000U45JE P REMAJA 13 ≥60 087898760330 04 09 21 Coronavac 06 10 21 Coronavac

MAISAH NUR PERMATA
127 Q-000U45TU L REMAJA 12 ≥60 082379900393 04 09 21 Coronavac 06 10 21 Coronavac
OKAN HIDAYATULLAH
128 Q-000U4B5U P REMAJA 14 ≥60 081250640083 04 09 21 Coronavac 06 10 21 Coronavac

WAHYUNI DIAH UTAMI
129 Q-000U4CGB P REMAJA 12 ≥60 081283653284 04 09 21 Coronavac 06 10 21 Coronavac

KHEIZA SILVIRA CHANIA
130 Q-000U4OUK P REMAJA 13 ≥60 0895636810560 04 09 21 Coronavac 06 10 21 Coronavac

WAFINDA KAREN
131 Q-000U4OW7 P REMAJA 13 ≥60 0895621168535 04 09 21 Coronavac 06 10 21 Coronavac

TRI NURFADILLAH
132 Q-000U55SV L REMAJA 13 ≥60 081271522626 04 09 21 Coronavac 06 10 21 Coronavac

M. RAFFA CAESARIO
133 Q-000U56NK P REMAJA 13 ≥60 083175669833 04 09 21 Coronavac 06 10 21 Coronavac

KIKI RIADY
134 Q-000U57AH L REMAJA 13 ≥60 08972278232 04 09 21 Coronavac 06 10 21 Coronavac

MUHAMMAD KHOLID NAJIB NASUT
135 Q-000U57DJ L REMAJA 12 ≥60 085380000479 04 09 21 Coronavac 06 10 21 Coronavac

M. ZHAKY DWI ALRAIS
136 Q-000U5NXN L REMAJA 13 ≥60 082178888286 04 09 21 Coronavac 06 10 21 Coronavac

ARKAN AL AZMI
137 Q-000U5NYH P REMAJA 12 ≥60 085161646446 04 09 21 Coronavac 06 10 21 Coronavac

NADYA ZAFIRA
138 Q-000U5OBP L REMAJA 12 ≥60 081367002012 04 09 21 Coronavac 06 10 21 Coronavac

MUHAMMAD ALFI SYAHRI
139 Q-000U5URP P REMAJA 12 ≥60 087796954474 04 09 21 Coronavac 06 10 21 Coronavac

RIZKI AMELIA
140 Q-000U64FF P REMAJA 14 ≥60 08121876908 04 09 21 Coronavac 06 10 21 Coronavac

SELLA APRILIA
141 Q-000U64LI L REMAJA 14 ≥60 082372081999 04 09 21 Coronavac 06 10 21 Coronavac

RAFLIANSAH SAPUTRA
142 Q-000U65XJ L REMAJA 14 ≥60 085367755189 04 09 21 Coronavac 06 10 21 Coronavac

RANGGA WIJAYA
143 Q-000U65ZZ L REMAJA 13 ≥60 087734352593 04 09 21 Coronavac 06 10 21 Coronavac

M. RIFQI AI'SY VANKA
144 Q-000U66EG L REMAJA 13 ≥60 083148973715 04 09 21 Coronavac 06 10 21 Coronavac

RIDHO PANGESTU
145 Q-000U6DEQ L REMAJA 13 ≥60 083180532700 04 09 21 Coronavac 06 10 21 Coronavac

ZAHRA GHITA RAMADHANI AFDAL
146 Q-000U6DIW P REMAJA 14 ≥60 081369811907 04 09 21 Coronavac 06 10 21 Coronavac

NAZLA DEFINA SYAKIRAH
147 Q-000U6DOF P REMAJA 14 ≥60 08992013854 04 09 21 Coronavac 06 10 21 Coronavac

INTAN FRANSISCA
148 Q-000U6QV9 L REMAJA 14 ≥60 0821774680004 04 09 21 Coronavac 06 10 21 Coronavac

ACHMAD HAFISTA SETYANTO
149 Q-000U6XCY P REMAJA 14 ≥60 082183460302 04 09 21 Coronavac 06 10 21 Coronavac

NADINE RAHMA AYUDYA
150 Q-000U6Y2L L REMAJA 14 ≥60 089651019571 04 09 21 Coronavac 06 10 21 Coronavac

M DEWA PIRANSYAH JAYA
151 Q-000U6YBI P REMAJA 13 ≥60 082179423030 04 09 21 Coronavac 06 10 21 Coronavac

NATASYA SYAHIRAH PUTRI
152 Q-000U6Z18 P REMAJA 14 ≥60 089508281405 04 09 21 Coronavac 06 10 21 Coronavac

MARSELLA RAMADHANI
153 Q-000U7K5H L REMAJA 14 ≥60 0895621392645 04 09 21 Coronavac 06 10 21 Coronavac

M. FARUL AUFARUA PUTRA
154 Q-000U7K5S L REMAJA 12 ≥60 085809177199 04 09 21 Coronavac 06 10 21 Coronavac

M. IQBAL RAHMATULLAH
155 Q-000U7K6E P REMAJA 13 ≥60 085382457851 04 09 21 Coronavac 06 10 21 Coronavac

ANNISSA FAJRIANI
156 Q-000U7K6T P REMAJA 14 ≥60 089510717283 04 09 21 Coronavac 06 10 21 Coronavac

ZAHIRAH TRI SILAH
157 Q-000U7RSW L REMAJA 14 ≥60 082371529763 04 09 21 Coronavac 06 10 21 Coronavac

M ZAKI ALFATHDLI
158 Q-000U7RW8 P REMAJA 15 ≥60 085758792797 04 09 21 Coronavac 06 10 21 Coronavac

CARISSA SUCI AMELIA
159 Q-000U87E0 P REMAJA 14 ≥60 0895621669395 04 09 21 Coronavac 06 10 21 Coronavac

FADILLAH NURAINI
160 Q-000U87GK L REMAJA 14 ≥60 082280585603 04 09 21 Coronavac 06 10 21 Coronavac

MUHAMMAD DAFFA TRIHARDI
161 Q-000U8D62 L REMAJA 14 ≥60 081272489081 04 09 21 Coronavac 06 10 21 Coronavac
MUHAMMAD ARIANSYAH
162 Q-000U8QCK L REMAJA 15 ≥60 0895621002506 04 09 21 Coronavac 06 10 21 Coronavac

PANJI TAUFIQURRAHMAN
163 Q-000U8VPS P REMAJA 14 ≥60 081958062266 04 09 21 Coronavac 06 10 21 Coronavac

AMANDA ARABELLA A WIJAYA
164 Q-000U8W43 P REMAJA 12 ≥60 082377016036 04 09 21 Coronavac 06 10 21 Coronavac

NUR KHAYYIRA APSHAH
165 Q-000U8W5W L REMAJA 13 ≥60 082376425212 04 09 21 Coronavac 06 10 21 Coronavac

MUHAMMAD PRATAMA PUTRA HAR
166 Q-000U90PM P REMAJA 14 ≥60 089626159815 04 09 21 Coronavac 06 10 21 Coronavac

AMANDA AMARISA
167 Q-000U90Y0 P REMAJA 14 ≥60 081373654111 04 09 21 Coronavac 06 10 21 Coronavac

DAFFA RIZKULLAH FARIANDRA
168 Q-000U90Y9 L REMAJA 13 ≥60 081279913526 04 09 21 Coronavac 06 10 21 Coronavac

BEVRIANDO CHABIRA AL -QHATANY
169 Q-000U90YS P REMAJA 14 ≥60 089502427395 04 09 21 Coronavac 06 10 21 Coronavac

DELVIRA MONICA APRILIANI

KHAIRA NAIMATUNISA RAHENO
171 Q-000U954Y P REMAJA 13 ≥60 083801153842 04 09 21 Coronavac 06 10 21 Coronavac

LEICA PINKKAN.AB
172 Q-000U95AD P REMAJA 14 ≥60 0895410693281 04 09 21 Coronavac 06 10 21 Coronavac

KHALISHA GHASANI
173 Q-000U95AG L REMAJA 13 ≥60 085789642113 04 09 21 Coronavac 06 10 21 Coronavac

ADITYA
174 Q-000U95DJ L REMAJA 14 ≥60 089625347893 04 09 21 Coronavac 06 10 21 Coronavac

ATTARIQ DWIDIKA SAPUTRA
175 Q-000U99D3 P REMAJA 15 ≥60 085764953944 04 09 21 Coronavac 06 10 21 Coronavac

RIZKI AMELIA PUTRI
176 Q-000U99FR P REMAJA 14 ≥60 081532925518 04 09 21 Coronavac 06 10 21 Coronavac

ARZETI MEISYA PUTRI
177 Q-000U99JS L REMAJA 14 ≥60 08989343093 04 09 21 Coronavac 06 10 21 Coronavac

MUHAMAD DAFFA
178 Q-000U9GAE L REMAJA 13 ≥60 087780135833 04 09 21 Coronavac 06 10 21 Coronavac

M. JOVAN HAZTRI
179 Q-000U9GC0 P REMAJA 14 ≥60 0895622089901 04 09 21 Coronavac 06 10 21 Coronavac

AGENG SAKAR
180 Q-000U9GCP L REMAJA 14 ≥60 082176139090 04 09 21 Coronavac 06 10 21 Coronavac

M AFIQ ASATHIN AZFA
181 Q-000U9JYX P REMAJA 13 ≥60 085357456462 04 09 21 Coronavac 06 10 21 Coronavac

VINA RAHMADHANI
182 Q-000U9RH4 P REMAJA 14 ≥60 089654849834 04 09 21 Coronavac 06 10 21 Coronavac

ADITYA RIZKY RAMADHAN
183 Q-000U9RNX P REMAJA 14 ≥60 0895635055379 04 09 21 Coronavac 06 10 21 Coronavac

TRIYA HARTINI
184 Q-000U9WP9 P REMAJA 13 ≥60 082379927373 04 09 21 Coronavac 06 10 21 Coronavac

PUTRI MAYAZA
185 Q-000UA6VE P REMAJA 21 ≥60 08127298057 04 09 21 Coronavac 06 10 21 Coronavac

RANA LISTA
186 Q-000UA6WA P REMAJA 21 ≥60 081271921168 04 09 21 Coronavac 06 10 21 Coronavac

DEVI SERINA
187 Q-000UA6XH L REMAJA 14 ≥60 081274759728 04 09 21 Coronavac 06 10 21 Coronavac

M. FARIS MAQIL ALAMAR
188 Q-000UA7JB P REMAJA 17 ≥60 085809177199 04 09 21 Coronavac 06 10 21 Coronavac

NABILAH KHOIRUNNISA
189 Q-000UA7JW L C 21 ≥60 082177455971 04 09 21 Coronavac 06 10 21 Coronavac

BUDI ARSIH AMELIA
190 Q-000UA7LD : 1903040304990004 L C 22 ≥60 SUNGAI NAYU 081274531087 04 09 21 Coronavac 06 10 21 Coronavac

ANDRI NANDA
191 Q-000UAB0X : 1671064512070002 P REMAJA 13 ≥60 GERSIK 081278250772 04 09 21 Coronavac 06 10 21 Coronavac

INTAN NURAINI LESTARI
192 Q-000UABE1 1671074207000000 P C 21 ≥60 INSP MARZUKI 083173410831 04 09 21 Coronavac 06 10 21 Coronavac

ATHIRAH ZAHRAH
193 Q-000UAKKW : 1671074210000004 P C 21 ≥60 PRUMNAS TALANG KELAPA 082372376024 04 09 21 Coronavac 06 10 21 Coronavac
RIZKY SHAFAHARANI
194 Q-000UAKML 1610024202000000 P C 21 ≥60 SERI BANDUNG 081367453442 04 09 21 Coronavac 06 10 21 Coronavac

MELLY ANJARIKA
195 Q-000UFDZD 1671073112680094 L C 52 ≥60 JL. GRIYA MUTAIARA INDAH 08127880340 04 09 21 Coronavac 06 10 21 Coronavac
WALUYO SUPENO
196 Q-000UHXO8 1671035211620005 P C 58 ≥60 JL. PEDATUAT LAUT 089615268800 04 09 21 Coronavac 06 10 21 Coronavac
MALEHA
197 Q-000ULJKL 3204056608060004 P REMAJA 15 ≥60 JL. S SUPARMAN 082214286076 04 09 21 Coronavac 06 10 21 Coronavac
KAYRA AGNESTIA PUTRI
198 Q-000UMJBZ 1671071207790006 L C 42 ≥60 JL. KOL H BURLIAN 087708257069 04 09 21 Coronavac 06 10 21 Coronavac
MUHAMMAD YUSUF
199 Q-000UWAJ2 167110907900004 L C 31 ≥60 OPI JAKABARING 085273626601 04 09 21 Coronavac 06 10 21 Coronavac

M BHAKTIAWAN SOETRISNO
200 Q-000UWDAA '1671057008780010 P C 43 ≥60 JL LET MUROD 081279936657 04 09 21 Coronavac 06 10 21 Coronavac

YENI ASMIARINI
201 Q-000UWG2S 1671071310750002 P C 45 ≥60 089626740564 04 09 21 Coronavac 06 10 21 Coronavac

YUHERMAN
202 Q-000UWG2T 1671050504850005 L C 36 ≥60 JL. KASNARIANSYAH 081278981066 04 09 21 Coronavac 06 10 21 Coronavac

HERLIN EKO PUTRA
203 Q-000UWG5L : 1671057105650006 P C 56 ≥60 JL. LETNAN MUROD 085268253183 04 09 21 Coronavac 06 10 21 Coronavac
HASANAH
204 Q-000UWJ09 1671045709740009 P C 47 ≥60 JL BALAP SEPEDA 085367884269 04 09 21 Coronavac 06 10 21 Coronavac

PIPIN SUMANTI
205 Q-000UWJ1K : 1671080511000004 L C 20 ≥60 JL TUNAS MUDA 08973061249 04 09 21 Coronavac 06 10 21 Coronavac

RIZKI PRATAMA
206 Q-000UWLY6 1601092406000002 L C 21 ≥60 BINDU 082281333015 04 09 21 Coronavac 06 10 21 Coronavac

RANDI NOPRIYANSAH
207 Q-000UWLZL 1671054306650010 P C 56 ≥60 JL. KASNARIANSYAH 085267592922 04 09 21 Coronavac 06 10 21 Coronavac

KARTILA WATI
208 Q-000UWM0P 1671045002790007 P C 42 ≥60 JL. KASNARIANSYAH 082177978031 04 09 21 Coronavac 06 10 21 Coronavac

MUSILA ROSALINA
209 Q-000UWM19 1671040806000004 L C 21 ≥60 JL. KALI MUSI 089524600001 04 09 21 Coronavac 06 10 21 Coronavac
M. RICKY PRATAMA AGUSTIAN
210 Q-000UWRGD 1671054507820010 P C 39 ≥60 JL. KASNARIANSYAH 081368160609 04 09 21 Coronavac 06 10 21 Coronavac

LAMYA KUSUMAWATI
211 Q-000UWUUF 3208212707870002 L C 34 ≥60 JL. MAWAR 082281542721 04 09 21 Coronavac 06 10 21 Coronavac

TOTO KUSRATO
212 Q-000UXCTM : 1606106006740002 P C 47 ≥60 DUSUN II 085208081959 04 09 21 Coronavac 06 10 21 Coronavac

NADIROH
213 Q-000UXD66 1607106505940004 P C 27 ≥60 TANAH MAS 08980923717 04 09 21 Coronavac 06 10 21 Coronavac

MELISA BAITI
214 Q-000UXK7W 1671147108910003 P C 30 ≥60 LR ABADI 0895410785083 04 09 21 Coronavac 06 10 21 Coronavac

DEFRITA AGUSTINA
215 Q-000UXKAQ 1671056807070001 P REMAJA 14 ≥60 M TAUFIK HIDAYAT 089527209571 04 09 21 Coronavac 06 10 21 Coronavac
NURUL PUTRI SAHARA
216 Q-000UXPUM 1671056507720004 P C 49 ≥60 JL. KASNARIANSYAH 085268155438 04 09 21 Coronavac 06 10 21 Coronavac

NUR HAYATI
217 Q-000UXQ29 1671051908980005 L C 23 ≥60 JL KASNARIANSYAH 081915959453 04 09 21 Coronavac 06 10 21 Coronavac

M TAUFIK HIDAYAT
218 Q-000UY57E 1671052105030003 L C 18 ≥60 JL LET MUROD 085268634780 04 09 21 Coronavac 06 10 21 Coronavac

MOHAMMAD BAYU DWI SAPUTRA
219 Q-000UY5QJ 1671024709730007 P C 48 ≥60 JL LET MUROD 087713872162 04 09 21 Coronavac 06 10 21 Coronavac

SUSI ARYANI
220 Q-000UYMH0 1671055705880003 P C 33 ≥60 JL ARIODILLAH 085211100117 04 09 21 Coronavac 06 10 21 Coronavac

CITRA PRIMALA
221 Q-000UYMIR 1671053105790004 L C 42 31-45 JL. ARIODILAH 08992323179 04 09 21 Coronavac 06 10 21 Coronavac

ANTONIYUS. R
222 Q-000UYMSX 1608046912970001 P C 23 18-30 PEMATANG BARU 082281497236 04 09 21 Coronavac 06 10 21 Coronavac

RISA PATRINIYASASARI
223 Q-000UYNFS : 1671056705020003 P C 19 18-30 JL ARIODILLAH 089670171448 04 09 21 Coronavac 06 10 21 Coronavac

NIKEN AYU AMELIA
224 Q-000UYWAC '1671096312710010 P C 35 31-45 JL. PALM VIEW 081278849552 04 09 21 Coronavac 06 10 21 Coronavac
SUPRAPTI
225 Q-000UZMSO 1671052201080002 L REMAJA 14 12-17 JL LET MUROD 0895800889700 04 09 21 Coronavac 06 10 21 Coronavac
DINO PANDIANI
226 Q-000V0IBT 1671150806030005 L C 18 18-30 PRUMNAS TALANG KELAPA 085609031135 04 09 21 Coronavac 06 10 21 Coronavac
M. SANDI SAPUTRA
227 Q-000V182U 1671056105670003 P C 54 46-59 JL. LETNAN MUROD 089508187108 04 09 21 Coronavac 06 10 21 Coronavac
MAIMUN
228 Q-000V2PBM : 1671096312710010 P C 49 46-59 KOMPL PALM VIEW 082373691170 04 09 21 Coronavac 06 10 21 Coronavac
NURBAITI
229 Q-000V3BJS '1671074510050003 P C 16 12-17 KOL SULAIAMAN 085368572021 04 09 21 Coronavac 06 10 21 Coronavac
USFA DINUL KOIMAH
230 S-0B277E76 1671050101520010 P C 69 ≥60 JL. KENANGA 089626787522 06 10 21 Coronavac

CEK NATO
231 S-691920CC 1671091402380000 L C 83 ≥60 MAY SABARA 081367912717 06 10 21 Coronavac

HASAN HAMID
232 S-AC7E03EE 1671052105850004 L C 36 ≥60 JL LET MUROD 08126011124 06 10 21 Coronavac

HENDRAWAN
233 S-ADCA4823 : 1671091810690010 L C 51 ≥60 JL GOTONG ROYONG 085369309166 06 10 21 Coronavac

JANG SUBHARI
234 S-D04866A6 : 1671044403820001 P C 39 31-45 JL SOFYAN 081368810325 06 10 21 Coronavac

RIZKI MULYANI
235 S-D3742659 : 1671095706820008 P C 39 31-45 JL SERSAN SANI 085268781308 06 10 21 Coronavac

TRI WAHYUNINGSIH
236 Z-000AC6F7 : 1671060801650001 L C 56 46-59 KETIMUN 081333233390 04 09 21 Coronavac 06 10 21 Coronavac

ISKANDAR
237 Z-000AFE0B 1671056807070001 P C 70 ≥60 JL. LET KASNARIANSYAH 081373896450 04 09 21 Coronavac 06 10 21 Coronavac
HJ. SUHAILAH
238 Z-000AFE0O 1671052311740006 P C 46 46-59 JL LET MUROD 081373896450 04 09 21 Coronavac 06 10 21 Coronavac

SUGITA HARYADI
239 Z-000AFF8U 1671054808590002 P C 62 ≥60 JL. KASNARIANSYAH 085208081959 04 09 21 Coronavac 06 10 21 Coronavac

ASTINA THOHA
240 Z-000AFX4T 1671054202590002 P C 62 ≥60 JL. LETNAN MUROD 082177711447 04 09 21 Coronavac 06 10 21 Coronavac
YENNY ERIES
A = SDM KESEHATAN
B = PETUGAS PUBLIK
C = C DAN MASYARAKAT RENTAN
Kelompok Umur:
12-17 18
18-30 11
31-45 14
46-59 9
≥ 60 tahun 188
Total 240
Kategori Sasaran
A 0
B 12
C 87
Total 99

Jenis Kategori Umur

1 P-DDK1Z0AE 1674032803990001 MARHENDI L 18-30 JL KAMBOJA 081411036947 10/2/2021 Coronavac

C 22
2 P-DKULOPL8 1673074305990003 AYU RAHAYU CANTAMALA P 18-30 LR KELUARGA II 081632300343 10/2/2021 Coronavac
C 22
3 P-DTK39IT7 1671075003810012 FERA MARLENI P 31-45 JL KOL H BURLIAN 082175690704 10/2/2021 Coronavac
C 40
4 P-E4OCVOXV 1671150311960002 M. AGUNG DIAN NUGRAHA L 18-30 TALANG KELAPA 082186871210 10/2/2021 Coronavac
C 25
5 P-FT0BA46C 1607106605070002 ZASKIA AMEYLIA P 12-17 GRIYA SEJAHTERA 08977433425 10/2/2021 Coronavac
C 14
6 P-G5PBRMVV 1671016311720004 DIAN INDRIANI P 18-30 KOMP MEGAHASRI 081368979008 10/2/2021 Coronavac
C 24
7 P-HAFO4LJV 1671075712720011 ENDANG P 46-59 JL SUKARNO HATTA 081278678308 10/2/2021 Coronavac
C 49
8 P-HF46Y3C0 1671155005080001 MADINA AULIA P 12-17 TALANG KELAPA 081273020745 10/2/2021 Coronavac
C 13
9 P-HO2SWFGN 1671156611710001 WASIYAH P 46-59 JL SUKARNO HATTA 089502337882 10/2/2021 Coronavac
C 50
10 P-I42OXTY7 1671075501030006 DESMA PERMATA P 18-30 JL PADAT KARYA 08972386059 10/2/2021 Coronavac
C 18
11 P-IDBQ1J0U 1671076904070008 NUR AZIZA TASYARI P 12-17 SUKAWINATAN 085273702898 10/2/2021 Coronavac
C 14
12 P-IM966D8E 1671071306010013 AGUNG PELANDRI L 18-30 JL SUKARNO HATTA 08993391967 10/2/2021 Coronavac
C 20
13 P-IWVBQ31S 1671070505740025 MUSI PELANDRI P 46-59 JL SUKARNO HATTA 081367488898 10/2/2021 Coronavac
C 47
14 P-NZ7AWZWK 1671072606080002 BIMA PELANDRI P 12-17 JL SUKARNO HATTA 089630790450 10/2/2021 Coronavac
C 13
15 P-JJ8KXYZZ 3374045911750001 ERNAWATI P 46-59 JL RA ABUSAMAH 08996661448 10/2/2021 Coronavac
C 46
16 P-19Q7FOT1 1671076703770005 SRI PUJI ASTUTI P 31-45 JL SUKARNO HATTA 081377727240 10/2/2021 Coronavac
C 44
17 P-0YAEKB1N 1606061111890006 ALEK PANDER L 31-45 TALANG JAMBE 081311278921 10/2/2021 Coronavac
C 32
18 P-2BTUHGC8 1671061903970010 M IKBAL L 18-30 JL KH AZHARI 08981107297 10/2/2021 Coronavac

C 24
19 P-2ZSRV1E9 1671070802940004 BAGUS FEBRIANSYAH L 18-30 JL TPA SUKAWINATAN 081278532182 10/2/2021 Coronavac
C 27
20 P-4SZTCLE5 1671040112960013 SUMARDI P 18-30 JL MACAN LINDUNGAN 083169186077 10/2/2021 Coronavac
C 25
21 S-F9C73FAA [1671026512550003 NGATINEM P ≥60 JL AIPTU A WAHAB 081369559475 10/2/2021 Coronavac
C 66
22 P-8DJMFNHS 1671074109020005 VIRDYANI GULANTURI P 18-30 JL S SUPARMAN 089507778454 10/2/2021 Coronavac
C 19
23 P-CSPXP6FX 1671074611080008 NOVELIA P 31-45 JL S SUPARMAN 089565292097 10/2/2021 Coronavac

C 13
24 P-BR5SM66K 1671075407780005 UMIYATI P 46-59 JL SUKAKARYA 081377223521 10/2/2021 Coronavac
C 43
25 P-GNHQPTTW 1671074410870010 RINA SARI P 46-59 JL SUKAKARYA 081368298382 10/2/2021 Coronavac
C 34
26 P-EHQ1VD2K 1671100410710006 WAHDI SUWANDI P 46-59 JL MAYZEN SUNGAI LAIS 082289643611 10/2/2021 Coronavac
C 50
27 P-H5UTJ3HS 1671096803830007 ROSMIR RIZKY P 18-30 LR SUKADARMA 085366871712 10/2/2021 Coronavac
C 38
28 P-INW9PFRH 1671075502750010 WITRI ANGRAINI P 31-45 KOMP BUKIT NUSA INDAH 085355400517 10/2/2021 Coronavac
C 46
29 P-JNEDL8RG 1671074907820009 JULIANA P 18-30 PULOGADUNG 08179957145 10/2/2021 Coronavac
C 39
30 P-JRQ5CZ5E 1671097107080002 JULIA ANANTA NURLAILA P 12-17 LR SUKADARMA 083809745793 10/2/2021 Coronavac
C 13
31 P-K5BRZFIH 1671074803900012 MURDIAN SARI P 31-45 JL SULTAN HASANUDIN 082280654405 10/2/2021 Coronavac
C 31
32 P-KDQNI3TB 1671074104830012 SITI KOMARIAH P 31-45 JL H SANUSI 081373742708 10/2/2021 Coronavac
C 38
33 P-KHJZUC6L 1607105609840001 DAHLIA P ≥60 JL TANJUNG API-API 082374219584 10/2/2021 Coronavac
C 37
34 P-KUN8BU4Z 1607104107020084 ANIS SEPTIANI P 31-45 DUSUN II GASING 083112500165 10/2/2021 Coronavac
C 20
35 P-L3OKSF66 1671086704720003 MUNAWAROH P ≥60 JL KARYA MUDA 08128061358 10/2/2021 Coronavac
C 54
36 P-LG20SO1M 1671046810890007 ARINA P 46-59 JL MUSI RAYA 082184088934 10/2/2021 Coronavac
C 32
37 P-LC1CQJ2G 1671082305630004 SUSILO L 46-59 JL KARYA MUDA 082177612230 10/2/2021 Coronavac

C 58
38 P-MJAQBPJ3 1671046912810003 ROKIA P 18-30 KOMP WAYHITAM 082175574684 10/2/2021 Coronavac
C 40
39 P-MUKKFR7U 1671074606730011 MARHUYAH P 46-59 GRIYA HERO ABADI 085368911708 10/2/2021 Coronavac
C 48
40 P-NISDA35R 1610116108910002 PERISKA P 18-30 JL LUBUK KAWAH 081379645448 10/2/2021 Coronavac
C 30
41 P-O0S7IRCB 1610044107770041 ERMAWATI P 12-17 TANJUNG GELAM 082268941317 10/2/2021 Coronavac
C 44
42 P-OSO3EXD0 3315030608720003 SUKAMTO L 31-45 DS WOLO GROBOGAN 081271777576 10/2/2021 Coronavac

C 49
43 P-OVWD7F1F 1671051808850007 BOBY AGUS YUSMIONO L 18-30 JL TAQWA MATA MERAH 085326732348 10/2/2021 Coronavac
C 36
44 P-P6XULPKB 1603180206020001 ANDRI SULVAH L 12-17 TEMPIRAI UTARA 085763311349 10/2/2021 Coronavac
C 19
45 P-Q9PC2HBJ 1671054709890002 SRI HARTATY P 12-17 JL M ALWI SOEKARNO HATTA 081271173110 10/2/2021 Coronavac
C 32
46 P-QDDEMFCK 1671031602900009 MUHAMMAD DAMIRI L 12-17 JL KH AZHARI 082282219164 10/2/2021 Coronavac

C 31
47 P-QL7P82MG 1671035308030002 KERIN P 18-30 LORONG AMAL SETIA 081273054506 10/2/2021 Coronavac
C 18
48 P-QSNECAO5 1671022011640008 M AZHARI CH P 12-17 JL KH WAHID HASYIM 081324505555 10/2/2021 Coronavac
C 57
49 P-R0CLV6HF 1671076303730010 WARNIDA P 18-30 TALANG KELAPA 085367981920 10/2/2021 Coronavac
C 48
50 P-S3UQISND 1671042601050001 M NAUFAL FADHIL RAHMAN L 18-30 JL ALAMSYAH RPN 085384479381 10/2/2021 Coronavac
C 16
51 P-30IHMZ3E 1606071509750007 SAMSURI L 12-17 PALEMBANG 081368301402 10/2/2021 Coronavac
C 46
52 P-SHQ48K0T 1671065107730012 DWY SHINTA JULIANA SE P 31-45 JL HBR MOTIK 085279044654 10/2/2021 Coronavac
C 48
53 Z-000A81IZ L ≥60 4-Sep-21 MODERNA 2-Oct-21 MODERNA
1671031504580001 T DENARSYAH B 63 JL PRAJURIT KMS ALI 081271887878
54 Q-000T9RRT P 18-30 4-Sep-21 MODERNA 2-Oct-21 MODERNA

1671071701030010 GHINA ATHIYA B 18 JL PRAJURIT KMS ALI 082183933098
55 Q-000T9X20 P 46-59 4-Sep-21 MODERNA 2-Oct-21 MODERNA

1671074501660002 FARIDA YANUARITA B 55 JL PRAJURIT KMS ALI 081278783869
56 Q-000T9ZN6 P 18-30 4-Sep-21 MODERNA 2-Oct-21 MODERNA

1671016611000006 DINAH NURKHALISHA C 21 JL ST M MANSYUR 081336813023
57 Z-000A822T L 31-45 4-Sep-21 MODERNA 2-Oct-21 MODERNA

1671070105790009 DR ANDRIES LIONARDO, S.IP B 42 JL KEBUN BUNGAN KM 9 081233436512
58 Q-000T9ZHT P 31-45 4-Sep-21 MODERNA 2-Oct-21 MODERNA

1671076105800010 IVANA, SP, M.SI B 41 JL KEBUN BUNGAN KM 9 081278638787
59 Z-000A8416 P 31-45 4-Sep-21 MODERNA 2-Oct-21 MODERNA
1671074307890009 ITA YULIANA B 32 JL KH WAHID HASYIM 082184856873
60 Q-000TARZ9 L 18-30 4-Sep-21 MODERNA 2-Oct-21 MODERNA

1671060604990008 MUHAMMAD ABDEL HAFIZ C 22 JL YAYASAN I 082378856554
61 Q-000TBH1Y L 46-59 4-Sep-21 MODERNA 2-Oct-21 MODERNA

1671061605690003 AKHMAD ADRIAN SH C 52 JL YAYASAN I 081271146606
62 W-0000E0RR P 31-45 4-Sep-21 MODERNA 2-Oct-21 MODERNA

1671074205480005 RITA PUSPITA B 37 JL SWADAYA 081373319055
63 Q-000TC2XO P 18-30 4-Sep-21 MODERNA 2-Oct-21 MODERNA

1671075802030003 ADIRA NASYA PUTRI C 18 JL SWADAYA 081221312003
64 P-5MSHGWYL L 2-Oct-21 MODERNA

1671070109010005 M RAFA DANI UTAMA C 20 JL SWADAYA 082184790178
65 Q-000TC7X2 L 12-17 4-Sep-21 Coronavac 2-Oct-21 Coronavac

1671071105070005 AHMAD GALI AL FAIZI REMAJA 14 JL SWADAYA 081221312003
66 Q-000TAFM3 P 31-45 4-Sep-21 Coronavac 2-Oct-21 Coronavac

1671055208850003 LENAWATI C 36 JL LET MUROD 089620151522
67 Q-000TAA0P L 12-17 4-Sep-21 Coronavac 2-Oct-21 Coronavac

1671052108090001 DANENDRA RAIHAN REMAJA 12 LORONG AL FIRQON 08122764241
68 Q-000TAIMZ P 18-30 4-Sep-21 Coronavac 2-Oct-21 Coronavac

1671056304020002 WAHUYNI APRIYANTI C 19 JL KASNARIANSYAH 0898609284718
69 Q-000TAIMQ L 31-45 4-Sep-21 Coronavac 2-Oct-21 Coronavac

1671050301780001 KAMALOGI C 43 JL LETMUROD 081379823434
70 Q-000TAIKU L 18-30 4-Sep-21 Coronavac 2-Oct-21 Coronavac

15710829109800021 AHMAD HADY VIQRAN C 23 PERUM OPI REGENCY 085268747747
71 Q-000TAIL8 P 18-30 4-Sep-21 Coronavac 2-Oct-21 Coronavac

1671055310030002 NADIA AMANDA C 18 JL LET MUROD 089666980649
72 Q-000TANVE L 18-30 4-Sep-21 Coronavac 2-Oct-21 Coronavac

1610030611010004 AMRI SAPITRA C 20 JL PONDOK TELADAN 081368146397
73 Q-000TANV7 P 31-45 4-Sep-21 Coronavac 2-Oct-21 Coronavac

1671054804850004 MELITA C 36 JL LET MUROD 082269030989
74 Q-000TARXQ L 31-45 4-Sep-21 Coronavac 2-Oct-21 Coronavac

1671015810780002 DEDE NURAENI C 43 JL ST MANSYUR 081321770833
75 Q-000TAYLY P 12-17 4-Sep-21 Coronavac 2-Oct-21 Coronavac

1606045805040003 CLARISA ADILIA REMAJA 17 JL LET MUROD 082351826886
76 Q-000TBG72 P 31-45 4-Sep-21 Coronavac 2-Oct-21 Coronavac

1671086108770002 ARI SUSANTI C 44 JL CENGKEH 081273052108
77 Q-000TBMG2 L 46-59 4-Sep-21 Coronavac 2-Oct-21 Coronavac

1671051509720006 YOSEF HARYANTO C 49 JL LET MUROD 081367492146
78 Q-000TF8AL P 12-17 4-Sep-21 Coronavac 2-Oct-21 Coronavac

1671104310070002 ELLE FUFE KALYCA REMAJA 14 KOMP PASUNDAN PERMAI 081296486361
79 Q-000TGGXD L ≥60 4-Sep-21 Coronavac 2-Oct-21 Coronavac

1671042910610003 TANSILIR AGUSTING B 60 PERUM BUKIT SEJAHTERA 087769330604
80 Q-000TGTBO P 18-30 4-Sep-21 Coronavac 2-Oct-21 Coronavac

1671076502020019 KABITA FIRLIANDA C 19 JLKOL H BURLIAN 085161796577
81 Q-000TJ1KH P 12-17 4-Sep-21 Coronavac 2-Oct-21 Coronavac

1671095111070004 NOVELIA REMAJA 14 JL LET MUROD 081273980004
82 Q-000TJ8JB P 12-17 4-Sep-21 Coronavac 2-Oct-21 Coronavac

1671094408050001 AMELIA REMAJA 16 JL LET MUROD 081273159691
83 L ≥60 4-Sep-21 Coronavac 2-Oct-21 Coronavac

Z-000A4NGM 32732020002590001 MUNIZAR LANSIA 62 JL TERS JAKARTA 085320477324
84 P 18-30 4-Sep-21 Coronavac 2-Oct-21 Coronavac

Q-000S1W4N 1602186406010001 DELLA CHANOLA C 20 DUSUN VI 081367713456
85 P 18-30 30-Aug-21 Coronavac 2-Oct-21 Coronavac

Q-000RIWH1 2171096904990001 ECHA APRILIA C 22 BENGKONG INDAH 082174971131
86 P-YM84NJXU 1671123004070000 L 12-17 10/2/2021 Coronavac

DAHNIL AFRIANSYAH C 14 LR PANCASILA 085368802800
87 P-YM4NKXHG 1671121311030001 L 18-30 10/2/2021 Coronavac

ADI DAMAR SYAHPUTRA C 18 LR PANCASILA 083187589289
88 P-YMAYILWV 1671061606890010 L 31-45 10/2/2021 Coronavac

ZAM ZAM C 32 JL. LETTU ROWI 082175324545
89 P-YMDVQVGB 1702172502040000 L 12-17 10/2/2021 Coronavac

KEVIN ARDIANSYAH C 17 JL PMD SUKODADI 088286256032
90 P-YMRKOASU 1607100806040000 L 12-17 10/2/2021 Coronavac

M ADAM C 17 KOMPLEK GRIYA HANDAYANI 083186412280
91 P-YNG55NQQ 1611022611900000 L 31-45 10/2/2021 Coronavac

JEKI SUSANTO C 31 BUKIT BARU 081273369300
92 P-YNIFBPBR : 1671150605780003 L 31-45 10/2/2021 Coronavac

BUSRO ALEXANDER C 43 JL. SOEKARNO HATTA 083176110256
93 P-YNKWNSFK 1611024707880000 P 31-45 10/2/2021 Coronavac
YEPI UMAMI C 33 BUKIT BARU 082373587542
94 P-YNRMD6XM P 12-17 10/2/2021 Coronavac

1671074111060005 FADILLAH PERMATA SARI C 15 TUNGGUL 2 08782028985
95 P-YO2AXENI P 46-59 10/2/2021 Coronavac

1671026606740004 SANTI C 47 TEMBOK BARU 081293092604
A = SDM KESEHATAN
B = PETUGAS PUBLIK
Kelompok Umur:
12-17 21
18-30 30
31-45 23
46-59 14
≥ 60 tahun 6
Total 94
Kategori Sasaran
A 0
B 8
C 80
Total 88

Jenis Kategori Umur

1 Q-000UEOOS 1671056512740002 DIAN ANGGRAENI P C 47 46-59 JL KASNARIANSYAH 081373347178 07 09 21 Coronavac 05 10 21 Coronavac
2 Q-000UEOPB 1671056210900003 EVA OKTARINA P C 31 31-45 JL KASNARIANSYAH 089673708107 07 09 21 Coronavac 05 10 21 Coronavac
3 Q-000UERCC 1671056306800004 LENI PUSPASARI P C 41 31-45 JL KASNARIANSYAH 081368053151 07 09 21 Coronavac 05 10 21 Coronavac
4 Q-000UFDTS 1671055305870007 MONALISA P C 34 31-45 JL LET MUROD 08996979383 07 09 21 Coronavac 05 10 21 Coronavac
5 Q-000UEM91 1601090904900003 DONI ARDIANSYAH L C 31 31-45 JL LET MUROD 081380555441 07 09 21 Coronavac 05 10 21 Coronavac
6 Q-000UHUXD 1609112507030001 JIVEN PRATAMA L C 18 18-30 PERUMNAS GRIYA TL KELAPA 085269510624 7-Sep-21 Coronavac 05 10 21 Coronavac
7 Q-000UFR2J 1671017009770001 WIWIK PRAWASTI P C 44 31-45 JL SULTAN MUHAMMAD MASYUR 081373870751 7-Sep-21 Coronavac 05 10 21 Coronavac
8 Z-000AD6W0 1602176508020001 ANNISA P C 19 18-30 DUSUN I SUKADARMA 083172248345 7-Sep-21 Coronavac 05 10 21 Coronavac
9 Q-000UGAXM 1607101110760005 SUTRAN L C 45 31-45 PERUM GRAHA TAMAN LESTARI 085269686117 7-Sep-21 Coronavac 05 10 21 Coronavac
10 Q-000UFR2Y '1671024611940007 AYU WANDIRA P C 27 18-30 JL INSPEKTUR MARZUKI 082281263999 7-Sep-21 Coronavac 05 10 21 Coronavac
11 Q-000UFDYX 1671136811060003 NADIFA PUTRI FATHIYAH P C 15 12-17 JL KAPTEN A ARSYAD 082362262544 7-Sep-21 Coronavac 05 10 21 Coronavac
12 Q-000UFR3E 1671056202630001 EVA LATIFAH P C 58 46-59 JL LET MUROD 081367265454 7-Sep-21 Coronavac 05 10 21 Coronavac
13 P-FM7XUSIQ 1671050908930005 ANGGA DWI PRABOWO L C 28 18-30 JL LET MUROD 089530608439 7-Sep-21 Coronavac 05 10 21 Coronavac
14 S-8FB623A5 1671025510590013 FATIMAH EMALIANTI P LANSIA 62 ≥60 JL KHA AZHARI 81368905310 7-Sep-21 Coronavac 05 10 21 Coronavac
15 Q-000UK68O 1671026306050009 LUTHFIAH ALFITRI P REMAJA 16 12-17 JL KHA AZHAARI 082279545522 7-Sep-21 Coronavac 05 10 21 Coronavac
16 P-MD45UT87 3273144402910001 ENDAH KARTIKASARI P C 30 18-30 KOMP OPI BLOK B NO 47 085280090263 7-Sep-21 Coronavac 05 10 21 Coronavac
17 P-MHI4DV5T 1671024403000011 PUPU AYU PUSPITA SARI P C 21 18-30 KOMP OPI BLOK B 08988768428 7-Sep-21 Coronavac 05 10 21 Coronavac
18 P-MEWTA0DQ 1671020603040006 AZZAM AKHMAD AL FIKRI L REMAJA 17 12-17 JL KHA AZHARI '087859695890 7-Sep-21 Coronavac 05 10 21 Coronavac
19 P-APP4YBZF 1671050108640003 ZULKONI L C 57 46-59 JL ARIODILLAH 081377890082 7-Sep-21 Coronavac 05 10 21 Coronavac
20 Q-000UEZ0G 1671057007650002 ASMAWATI P C 56 46-59 JL ARIODILLAH 085709836792 7-Sep-21 Coronavac 05 10 21 Coronavac
21 P-ALUDCMEH 1671056407990007 OCHA ZUL PITA SARI P C 22 18-30 JL ARIODILLAH 081379416874 7-Sep-21 Coronavac 05 10 21 Coronavac
22 Z-000AD9X4 1671050211880007 DICKY ARDIANSYAH L C 33 31-45 JL LET MUROD 085758403454 7-Sep-21 Coronavac 05 10 21 Coronavac
23 Q-000UF8TA 1671054406890007 REKA HADIJA P C 32 31-45 JL LET MUROD 081278350574 7-Sep-21 Coronavac 05 10 21 Coronavac
24 Q-000UHVJR 1610014803650001 MARINI P C 56 46-59 DUSUN II SERI MENANTI 085764943779 7-Sep-21 Coronavac 05 10 21 Coronavac
25 Q-000UERCL 1671055002040001 DELLA FEBRINA P REMAJA 17 12-17 JL KASNARIANSYAH 0895604608705 7-Sep-21 Coronavac 05 10 21 Coronavac
26 Q-000UEYSE 1671054406010005 RAKARINA AZZAHRA L C 20 18-30 JL LET MUROD 089629059146 7-Sep-21 Coronavac 05 10 21 Coronavac
27 Z-000ADXKB 1671095111580004 ROSILAWATI P LANSIA 63 ≥60 JL BASUKI RAHMAT 085208192004 7-Sep-21 Coronavac 05 10 21 Coronavac
28 Q-000UI081 1671066601010006 ATIKA WULANDARI P C 20 18-30 JL YASIN SALMAH 088287034007 7-Sep-21 Coronavac 05 10 21 Coronavac
29 P-L7SQ31JP 1671060401840004 ABDUL RONI L C 37 31-45 JL P KEMERDEKAAN 081278679340 7-Sep-21 Coronavac 05 10 21 Coronavac
30 P-KRMDNWZ1 1671104505810022 SANI YATI P C 40 31-45 JL TANJUNG SARI I 083862981664 7-Sep-21 Coronavac 05 10 21 Coronavac
31 Q-000UHSIW 1671145805060002 MUHAMMAD ARYA RIZTRA PASHA L C 15 12-17 JL TEGAL BINANGUN 089685564750 7-Sep-21 Coronavac 05 10 21 Coronavac
32 P-L95JNYQ5 1671081607910007 MUHAMMAD YAHYA L C 30 18-30 JL SUKATANI LR CENDANA 083170145363 7-Sep-21 Coronavac 05 10 21 Coronavac
33 P-LAIL0VVM 1671094911760008 DIAN MONANINGSIH P C 45 31-45 TALANG MERANJAT 081268009675 7-Sep-21 Coronavac 05 10 21 Coronavac
34 P-LDO8T0CC 1602121708840003 AHMAD EMIL AGUS KUSUMA P C 37 31-45 DUSUN I DESA SEPANG 083172654058 7-Sep-21 Coronavac 05 10 21 Coronavac
35 Q-000UII2Z 1671065404740014 SITI MASITHO P C 47 46-59 JL P KEMERDEKAAN 088286450358 7-Sep-21 Coronavac 05 10 21 Coronavac
36 P-LH2RNV1I 1671044807740003 ROSIAR YULIANTI P C 47 46-59 JL DWIKORA II 0874318363 7-Sep-21 Coronavac 05 10 21 Coronavac
37 Q-000UJBGO 1671041606950009 PERDINANDO YOGI SAPUTRA L C 26 18-30 JL MACAN KUMBANG 08998416590 07 09 21 Coronavac 05 10 21 Coronavac
38 Q-000UJBGX 1602126806950001 NIATI P C 26 18-30 DUSUN I DESA SEPANG 083172654058 7-Sep-21 Coronavac 05 10 21 Coronavac
39 J-0001EHED 1601142804740004 YOSE RIZAL L C 47 46-59 JL DWIKORA II 088747965707 7-Sep-21 Coronavac 05 10 21 Coronavac
40 P-LIANB2Q9 1671016106980007 ENY WIJAYANTI P C 23 18-30 LR SUNGAI TAWAR 089626407476 7-Sep-21 Coronavac 05 10 21 Coronavac
41 Z-000ADD6P 1671056606590004 SRIMUJIATI P LANSIA 62 ≥60 JL ARIODILLAH 085268076159 7-Sep-21 Coronavac 05 10 21 Coronavac
42 S-56EDE9AB 1671054411570002 YUSNAINI BBA P LANSIA 64 ≥60 JL ARIODILLAH 081278212091 7-Sep-21 Coronavac 05 10 21 Coronavac
43 S-29C4F7A2 1671055511590003 SUYATIN P LANSIA 62 ≥60 JL ARIODILLAH 082180807035 7-Sep-21 Coronavac 05 10 21 Coronavac
44 Q-000UGBIA 1671054501650003 LESTARI P C 56 46-59 JL ARIODILLAH 085212347447 7-Sep-21 Coronavac 05 10 21 Coronavac
45 P-RFGGCVTE 1671014310840010 DINA MARIANA P C 37 31-45 JL MAKRAYU 083801194145 7-Sep-21 Coronavac 05 10 21 Coronavac
46 P-KYN9P8VP 1671125307780003 ANISAH P C 43 31-45 LR KELURAHAN 0895327189125 7-Sep-21 Coronavac 05 10 21 Coronavac
47 P-9NQKJTVY 1671064201630007 DEWI RETNO KUSTIWI P C 58 46-59 KOMP VILLA KM 12 082175303463 7-Sep-21 Coronavac 05 10 21 Coronavac
48 Q-000UK8E1 1671025507970009 NYIMAS UMMU SALAMAH P C 24 18-30 PERUM TOP JL ANGGREK II 0895622022569 7-Sep-21 Coronavac 05 10 21 Coronavac
49 S-3448BCBF 1671141608580006 AGUS SYAFARUDDIN L LANSIA 63 ≥60 JL TEGAL BINANGUN 082180583891 7-Sep-21 Coronavac 05 10 21 Coronavac
50 Q-000UJPM0 1671096703040003 RIMA NADHIRA P REMAJA 17 12-17 CAMBAI AGUNG III 083157635082 7-Sep-21 Coronavac 05 10 21 Coronavac
51 Q-000UJPBL 1602176012030004 WANDA NOPITA SARI P REMAJA 17 12-17 GANG RALABAKTI II 088286348240 7-Sep-21 Coronavac 05 10 21 Coronavac
52 Q-000UPNVG 1671077006970008 SARTIKA DWI YOLANDA PUTRI P C 24 18-30 JL PIPA RT 10 081368975366 7-Sep-21 Coronavac 05 10 21 Coronavac
53 P-NR5AC1B5 1671071309080004 RIKI RAMADHAN L REMAJA 13 12-17 JL TAPAK SIRING 0895370590678 7-Sep-21 Coronavac 05 10 21 Coronavac
54 P-C8H5UKK5 1671076401060001 EVITA WULANDARI P REMAJA 15 12-17 JL KARTOWINANGUN 08982228284 7-Sep-21 Coronavac 05 10 21 Coronavac
55 P-MAFTW3RZ 1671071206830006 EKO MUTIYONO P C 38 31-45 JL TAPAK SIRING 081367976031 7-Sep-21 Coronavac 05 10 21 Coronavac
56 Q-000RX26C 1607112705880002 DEDDY IRAWAN L C 33 31-45 JL LET MUROD 085378575378 7-Sep-21 Coronavac 05 10 21 Coronavac
57 N-A302B44F 1671085608800010 LEONI ALPINA P C 41 31-45 JL MAWAR BLOK D8 08117301605 7-Sep-21 Coronavac 05 10 21 Coronavac
58 P-G1AIKHUH 1671081605070005 AHMAD RIZKI DAFFAA L REMAJA 14 12-17 JL MAWAR BLOK D8 08117307716 7-Sep-21 Coronavac 05 10 21 Coronavac
59 Q-000T43OY 1671156801050003 ATHIRAH RIFQAH AURELLIA P REMAJA 16 12-17 GRIYA BAHAGIA 089530694876 7-Sep-21 Coronavac 05 10 21 Coronavac
60 Q-000UJUCS 1671045501750004 ROHANA P C 46 46-59 JL KIKIM II 081281440389 7-Sep-21 Coronavac 05 10 21 Coronavac
61 P-M2KMDUQY 1671045402070002 SITI KHAIRIYAH DWIYANA PUTRI P REMAJA 14 12-17 JL KIKIM II 088268309563 7-Sep-21 Coronavac 05 10 21 Coronavac
62 P-EPB1SAYX 1671091509060001 MUHAMAD ROHIQ ASVERANO L REMAJA 15 12-17 TALANG BETUTU 081273878344 7-Sep-21 Coronavac 05 10 21 Coronavac
63 P-G63BXTKV 1671074911820017 VERA NOPRIANTI P C 39 31-45 TL BETUTU PALEMBANG 081273878344 7-Sep-21 Coronavac 05 10 21 Coronavac
64 P-G9J3PKOL 1671095305030001 RIZKINA NOER MEILANI BELADONA P C 18 18-30 TALANG BETUTU 083841146964 7-Sep-21 Coronavac 05 10 21 Coronavac
65 P-CAZWRZP4 3205194606990006 EVA ADILAH P C 23 18-30 TALANG BETUTU 088268030986 7-Sep-21 Coronavac 05 10 21 Coronavac
66 P-1RCZ3ZZC 1671076606030003 ELYSA P C 18 18-30 TALANG BETUTU 0895323416356 7-Sep-21 Coronavac 05 10 21 Coronavac
67 P-8WVWXYO2 1671034212870008 NYAYU MELISA P C 34 31-45 TALANG BETUTU 0895632787459 7-Sep-21 Coronavac 05 10 21 Coronavac
68 P-KCMZJQDF 1671062503740005 JON HERY L C 47 46-59 JL SEDUDUK PUTIH 081218120196 7-Sep-21 Coronavac 05 10 21 Coronavac
69 P-KBTYRLTY 1671065802770005 FADILAH HASTUTI P C 44 31-45 JL SEDUDUK PUTIH 081373799381 7-Sep-21 Coronavac 05 10 21 Coronavac
70 P-HR1B757C 1871016606020003 NILAM NASLATUL AUDA P C 19 18-30 JL MAWAR 085789063365 7-Sep-21 Coronavac 05 10 21 Coronavac
71 Q-000UGMR6 1871015601730002 ASMAWATI P C 48 46-59 JL MAWAR 082186897522 7-Sep-21 Coronavac 05 10 21 Coronavac
72 P-9ZUTN405 1671074607730004 RAMIDAH P C 48 46-59 JL LUBUK KAWAH 081273113390 7-Sep-21 Coronavac 05 10 21 Coronavac
73 Q-000UEM82 1671054106700005 SRI MARDENI P C 51 46-59 JL LET MUROD 081293951741 7-Sep-21 Coronavac 05 10 21 Coronavac
74 Q-000UF32M 1671052410970004 YUGO MANDALA PUTRA L C 24 18-30 JL KASNARIANSYAH 085329466855 7-Sep-21 Coronavac 05 10 21 Coronavac
75 P-0UCO7F7R 1671070211980005 FAUZAN AKBAR MUZAKKI P C 23 18-30 JL SUKA BAKTI 085658961164 05 10 21 Coronavac
76 P-OZ1YR2K0 1606066501020003 WIDYA PRATIWI P C 19 18-30 MANGUN JAYA 085211130856 7-Sep-21 Coronavac 05 10 21 Coronavac
77 P-18ITHZ1T 1672021712020001 MUHAMMAD AKBAR FAYAKUN L C 19 18-30 KEBAN AGUNG 082281806553 05 10 21 Coronavac
78 P-J6EM1074 1671042202020006 MUHD RIZKI ADHA L C 19 18-30 LRG FAMILI I 0895410470603 7-Sep-21 Coronavac 05 10 21 Coronavac
79 P-1RANE31Q 1671102208930005 BONAR HASUDUNGAN TAMPUBOLO P C 28 18-30 JL PRAJURIT YUSUF ZEN 085384415040 05 10 21 Coronavac
80 P-1T7SEQ01 1671144709890007 DINNI SEPTRILIZA P C 32 31-45 KP SUGUTAMU 082269049051 05 10 21 Coronavac
81 P-1WDMGXOV 1404132009820001 JOETO LUYONGSO SIANIPAR L C 39 31-45 KOMP SEDUDUK PUTIH 081369685481 05 10 21 Coronavac
82 P-25P6HDQR 1671045704820009 FITRIA P C 39 31-45 JL LETJEN H ALAMSYAH RPN 081373974840 05 10 21 Coronavac
83 P-2TOJLETE 1671046103870005 YENI MARLIYA SARI P C 34 31-45 JL TANJUNG BUBUK 081918915544 05 10 21 Coronavac
84 P-2VH20VJ4 1671020804830017 RUDI CAHAYADI L C 38 31-45 JL TANJUNG BUBUK 082185485864 05 10 21 Coronavac
85 P-2STNCMI9 1671075202620007 IDA ROVIDA AGUNG P C 59 46-59 JL SWADAYA NO 2735 081373703262 05 10 21 Coronavac
86 S-D3CAFB81 1671074210600005 SRI WURYANI P C 61 ≥60 JL SEPAKAT NO 57 081273978277 05 10 21 Coronavac
87 P-LBNIMGUW 1671090612650006 CIK UJANG. CN L C 56 46-59 JL MERANJAT RAYA 081271154223 05 10 21 Coronavac
88 P-4V1CZNVE 3510220807760005 EKO PURWOKO L C 45 31-45 DUSUN PECEMENGAN 081364228857 05 10 21 Coronavac
89 P-5PZKF6YD 1671076210960005 AYU ALRISMA OKTAVIANA P C 25 18-30 JL SRIJAYA NO 651 082186232662 05 10 21 Coronavac
90 P-65R3AV0Y 1671095411780003 LESIANA P C 43 31-45 JL LET MUROD 081367244123 05 10 21 Coronavac
91 P-67OLIFWV 1671091209730002 SAHRIZAL L C 48 46-59 JL LET MUROD 082183615244 05 10 21 Coronavac
92 Q-000UPL2O 1671075107990007 KEMALA OKTREZA P C 22 18-30 JL MAYOR ZURBI BUSTAM 081220436125 7-Sep-21 Coronavac 05 10 21 Coronavac
A = SDM KESEHATAN
B = PETUGAS PUBLIK
Kelompok Umur:
12-17 13
18-30 27
31-45 27
46-59 18
≥ 60 tahun 7
Total 92
Kategori Sasaran
A 0
B 0
C 75
Total 75

Jenis Kategori Umur

1 P-CQFL6RM5 1605026206680000 P 46-59 10/1/2021 Coronavac

ROSAMTI C 53 DUSUN II DESA MUARA RENGAS MUARA LAKITAN 082177028341
2 1671056304810000 P 31-45 JALAN LETNAN MUROD LRNG KEMIRI NO 375 10/1/2021 Coronavac
P-E3VGSUS2 RHAMA DHANI C 40 082183775668
3 S-E9F0E607 1671090107620020 L 46-59 JALAN LETNAN SIMANJUNTA LRNG LEBA MULYO NO 1462 10/1/2021 Coronavac
ZIKRI A C 59 082186955041
4 S-65E5C967 1671094301660000 P 46-59 JALAN LETNAN SIMANJUNTA LRNG LEBA MULYO NO 1462 10/1/2021 Coronavac
HELMIATI C 55
5 P-F71AWZ8W 1605025212790000 P 31-45 10/1/2021 Coronavac
WENI C 42 DUSUN II DESA MUARA RENGAS MUARA LAKITAN 082371975358
6 P-HVU4YEI9 1671056101650000 P 46-59 10/1/2021 Coronavac

FATIMAH C 56 JL. LETNAN MIUROD 081377547060
7 S-F73FB278 : 1671054612600003 P ≥60 JL. LET. MUROD LR. DAMAI NO. 594-40 10/1/2021 Coronavac
AISYAH C 61 082281716803
8 S-BC6B1544 1671052805730000 L 46-59 10/1/2021 Coronavac

YUDI PURWADI C 48 JL. LETNAN HADIN NO 47 081368888335
9 P-KW2YQE5O L 46-59 10/1/2021 Coronavac

1671050204700002 A RAHMAN C 51 JL. LETNAN MUROD LR DAMAI I NO. 594 081368048338
10 Q-000S6GEG P 31-45 9/1/2021 Coronavac 10/1/2021 Coronavac

1671085410840005 MARDENY C 37 JL. MUSI J 1-17 PUSRI SUKAMAJU 089614313917
11 P-1BNI77O0 1671084708090000 TAQYATUZZAHRA ARINY P 12-17 10/1/2021 Coronavac

REMAJA 12 JL. MUSI J 1-17 PUSRI SUKAMAJU 081271153989
12 P-9YYZBLJ2 P 18-30 081278473868 10/1/2021 Coronavac

1671074811910007 RETNO WAHYUNITA C 30 JALAN LETKOL ANDRINZ SKB II
13 P-LTHOZIVB 1671124708860000 TRI ASTUTI P 31-45 9/3/2021 Coronavac 10/1/2021 Coronavac

C 35 KL KADIR TKR 08127448581
14 Q-000SKRYU P 18-30 9/3/2021 Coronavac 10/1/2021 Coronavac

1702095605990001 CINDI ALFIANI C 22 PERUMAHAN SELINCAH RESIDANCE BLOK K NO 19 089682303116
15 Q-000T4W02 P 31-45 9/3/2021 Coronavac 10/1/2021 Coronavac

1671124510830008 EVI SRIANTI C 38 JL. P S ING KENAYAN 081259990646
16 Q-000T4WC4 P 12-17 9/3/2021 Coronavac 10/1/2021 Coronavac

1671126505060002 MEISYA AZZARA VIOLA REMAJA 15 JL KADIR TKR LR JAMBU 081279967572
17 Q-000T4U87 P 31-45 9/3/2021 Coronavac 10/1/2021 Coronavac

1671127004850004 LASMI PARMA SARI C 36 JL. KADIR TKR 088286426397
18 Q-000T4X2U L 31-45 9/3/2021 Coronavac 10/1/2021 Coronavac

1671030909840013 M NUR HARDIANSYAH C 37 JL. KADIR TKR 082186288039
19 P-HDECD1UN L 12-17 10/1/2021 Coronavac

1671053108050002 M AULIA FARIZ PASYA REMAJA 17 JL. LETNAN KASNARIANSYAH NO 68 081273743381
20 P-LSIF3ETM L 46-59 10/1/2021 Coronavac

1671052206100005 HERIYANTO C 57 JL. KENANGA NO. 64 081271311444
21 Q-000SMFUS P 31-45 9/2/2021 Coronavac 10/1/2021 Coronavac

1607015510850003 SRI GIYANTI C 36 JL. KR ROZALI LR KARET RT 15 085273962221
22 L 31-45 9/2/2021 Coronavac 10/1/2021 Coronavac

Q-000SM1YH 1671092508850006 IMAM AKBAR C 36 JL. LET SIMANJUNTAK NO. 1345 RT 20 08536888025
1671100604840013
23 : Z-000A6DNN M. AGUS EFENDI L 31-45 PERUMAHAN OPI 085268183198 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
B 37
081373971845
24 Z-000A75PE 1671021307650005 M YAMIN L 46-59 JL PANCA USAHA 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
B 56
081273076915
25 Q-000SZ33D 1671020607720010 EDI ERWANTO L 46-59 JL PANCA USAHA 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 49
1671024206690009 082177317585
26 Q-000SZ2EZ SULHA P 46-59 JL PANCA USAHA 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 52
1671021407950008
27 Z-000A75PG ANGGA PURWANTO L 18-30 JL PANCA USAHA 082181184899 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 26
081377879859
28 Q-000T3WMF 1671024501760005 ZAINUNAH P 31-45 JL PANCA USAHA 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 45
087890593061
29 Q-000T3YH2 1671141703990003 MARWAN ADITYA SAPUTRA L 18-30 JL MAHAMERU 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 22
30 Q-000T3HXN 1671020211050002 ANDIKA GILANG RAMADHAN L 12-17 JL PANCA USAHA 083178257830 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
REMAJA 16
31 P-FGRFKMKB 1671020808820007 IWAN SAPUTRA L 31-45 JL PANCA USAHA 082181002955 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 39
32 Q-000T3GJX 1671024112820009 DESI SUSANTI P 31-45 JL PANCA USAHA 082278221966 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 39
33 Z-000A75PN 1671045011600011 HALIMA P ≥60 JL BALAP SEPEDA 081279026617 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 61
34 Q-000T3N3U 1671144112790005 DINA P 31-45 JL TEGAL BINANGUN 081271937475 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 42
35 Q-000T3M84 1671047005610002 RABATIA P ≥60 JL BALAP SEPEDA 081386677558 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
LANSIA 60
36 Q-000T3ZQJ 1671046508720008 AGUS BANDIYAH P 46-59 JL BALAP SEPEDA 082179768936 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 49
37 Q-000T429X 1671044804680005 MARYANI P 46-59 JL SUHADA NO 1504 082180585954 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 53
38 Q-000T3IDU 1805064709010003 INTAN DWI PUTRI P 18-30 DUSUN IV LUBUK TUA 081274059031 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 20
39 Q-000T406R 1671042706710008 ERWIN NASRULLAH L 46-59 JL MUHAJIRIN IV 082182810927 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 50
40 Q-000T41KS 1671094503990004 AMASTASYA ADHITA PUTRI P 18-30 JL MAY SABARA 081272776326 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 22
41 Q-000T41SV 1671096007080002 KEYSHA PUTRI SABRINA P 12-17 JL MAY SABARA 089624649719 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
REMAJA 13
42 Q-000T3NIR 1671116103860001 MARITA WIJAYANTI P 31-45 CEMPAKA DALAM 081367631878 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 35
43 Q-000T3N6W 1671074405010010 DIKA ZANIRAH AVIVAH P 18-30 JL NASKAH KOMP BUKIT SEDERHANA 089630789455 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 20
44 Q-000T43MI 1671076407060003 DIKA ANISYAH NURUL KHOTIMAH P 12-17 JL NASKAH KOMP BUKIT SEDERHANA 082177774588 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
REMAJA 15
45 Q-000T43V8 1671074705040003 DIKA FISABILILLAHI ZAHARA P 12-17 JL NASKAH KOMP BUKIT SEDERHANA 082177774588 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
REMAJA 17
46 Q-000T3Z91 1671152409080002 DIMAS ABIYU ALBAASITH L 12-17 GRIYA BAHAGIA 081905838697 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
REMAJA 13
47 Q-000T3YOT 1671074911030005 NOVIA WINDI ASTUTY P 18-30 GRIYA BAHAGIA 089650603260 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
REMAJA 18
48 Q-000T3YYI 1671046505040006 ALFIRA ALQURATUAINI P 12-17 JL KANCIL PUTIH 088269205940 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
REMAJA 17
49 Q-000T3RCG 1671041411020011 ATHALLAH YANDRA ADHITAMA L 18-30 JL KANCIL PUTIH 085383755378 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 19
50 Q-000T3QXN 1671061705980006 M FIQKI WIJAYA L 18-30 JL PELTU TULUS YAHYA 089653020459 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 23
51 Q-000T3SV5 1671064704090001 SITI NAILA ZHAFIRAH P 12-17 JL KENTEN PIPA 085273209899 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
REMAJA 12
52 Z-000A75PK 1671066003830023 EMMA AMBARSARI, ST P 31-45 JL KENTEN PIPA 085273209899 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
B 38
53 Q-000T3W8Q 1671066907760009 YANTI P 31-45 JL SUMUR TINGGI III 0887437544400 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 45
54 Q-000T3OEX 1671060905750005 SUHARTO L 46-59 JL SERSAN ZAINI 085369325975 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 46
55 Q-000T3SKW 1671065003750007 HELPIANA P 46-59 JL LET JEND B UTOYO 085764737692 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 46
56 Q-000T3OEX 1671065508750013 WAHYUNI P 46-59 JL SERSAN ZAINI 081367701682 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 46
57 Q-000T4R6T 1671154303970002 MELISA ADERIA P 18-30 KOMP KEHUTANAN II 082177679603 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 24
58 Q-000T4WWU 1671066603030011 NADYA ELVIANA P 18-30 JL SUMUR TINGGI III 082179142229 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 18
59 Q-000T4TSR 1671064803030012 AMIRAH P 18-30 JL SUMUR TINGGI III 083802178656 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 18
60 P-LTHOZIVB 1671124708860002 DIMAS ABIYU ALBAASITH P 31-45 JL KADIR TKR 08127448581 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 35
61 Q-000T4JA7 1671061607790010 DAVID L 31-45 GG SELAMET 082269401473 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 42
62 Q-000T4JKX 1673054504940001 CLARA APRILLISA P 18-30 GG SELAMET 081312255812 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 27
63 Q-000T4LDG 1671050110680011 TONY AKHMAD .H L 46-59 JL TUGU MULYO 081278792601 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 53
64 Z-000A75PG 1671061207720008 ABUBAKAR L 46-59 JL DR M ISA 082182515624 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 49
65 Q-000T4MKH 1671085306890005 TRY SUSANTI MAGDALENA P 31-45 KOMP BUMI SAKO DAMAI 088747700357 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 32
66 Q-000T4MZ6 1671054905650006 ZAMARNI SH P 46-59 JL TUGU MULYO 082377658207 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 56
67 Z-000A74RU 1671046104880005 RIA HARTINI P 31-45 PERUM POLTEK UNSRI 082180907028 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 33
68 Q-000T4GIP 1671146612920001 PAULINDA NURLIANA SARI P 18-30 JL JEND BASUKI RAHMAT 081369562400 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 29
69 Q-000T4I9T 1671082106000007 FADEN ARYAPUTRA DOVINKA L 18-30 JL LEMATANG RAYA 081273745251 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 21
70 Z-000A75PO 671091909750002 EKA WARZA TAKBIR MULIA P 46-59 JL BASUKI RAHMAT 081279633210 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 46
71 J-00017YMW 1607104810690002 RITA ROSALINA P 46-59 KOMP GRIYA SUKAJADI PERMAI 088276468606 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 52
72 K-00010OKJ 1607100101700014 MAT SYAIPANI L 46-59 KOMP G S P II 081368287999 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 51
73 Z-000A75PS 1671141304880004 RAHMAD FIRDAUZ L 31-45 LR KESUMA BANGSA 081293681990 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 33
74 Q-000T4CYU 1671021110720008 SYAMSUL BAHRI L 46-59 JL PANCA USAHA 081270696088 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 49
75 Q-000T4SB4 1671085202750009 EVI TRIANA P 46-59 JL LEMATANG RAYA 089515279973 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 46
76 Q-000T4DOL 1671091301070001 BENNY BAKHTIAR L 12-17 SEKIP MADANG 081272123117 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
REMAJA 14
77 Q-000T4OCF 1671091203680004 BAMBANG SUHARTO L 46-59 SEKIP MADANG 081272123117 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 53
78 S-B3B7ED7D 1671042104800018 KGS. M. HUSNI L 31-45 JL POLTEK RT 006 081367708423 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 41
79 W-00007Y0A 167106802840012 HERLINA P 31-45 JL BALAP SEPEDA 081278398899 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 37
80 Q-000MI9M2 1671090807040001 BIMANTORO L 12-17 JL KOMP POL H.M DAMSYIK 08982028715 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
B 17
81 Q-0009OX3 3273304603750003 LENI SUTINA P 46-59 JL JAMARAS BARAT NO 329 081214811995 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 46
82 Q-0009O1A5 3273306007980001 CINDY NADYA P 18-30 JL SEILINCAH 6 08157169514 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 23
83 Q-0007O1Y0 1671116802810001 WINDA PURWITA SARI P 31-45 LR BATU NILAM GANG LANGGAR 082371050191 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
C 40
84 Q-000NFBKJ 1671090108620003 BUDJANG SETIAWAN L 46-59 JL INSPEKTUR MARZUKI 081289871836 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
B 59
85 P-K0Y1O15A 1671066907760009 YANTI P C 45 31-45 JL SUMUR TINGGI III 0887437544400 3-Sep-21 Coronavac 01-OKTOBER 2022 Coronavac
86 Q-000T4Q2U 1671115509040003 WAHDANA ERSA UTAMI P 12-17 LR BATU NILAM 087763651607 3-Sep-21 Coronavac 01-OKTOBER 2021 Coronavac
REMAJA 17
A = SDM KESEHATAN
B = PETUGAS PUBLIK
Kelompok Umur:
12-17 13
18-30 17
31-45 26
46-59 27
≥ 60 tahun 3
Total 86
Kategori Sasaran
A 0
B 5
C 67
Total 72

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Oktober 21

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FORMAT PENCATATAN PELAKSANAAN VAKSINASI COVID-19

TINGKAT PUSKESMAS/FASYANKES/POS VAKSINASI

Nama Puskesmas/Fasyankes/Pos : PUSKESMAS TALANG RATU

Dosis I Dosis 2 Dosis 3

Jenis Kategori Umur

1 L 46-59 9/10/2021 MODERNA 8-Oct-21 MODERNA

2 L 18-30 9/10/2021 MODERNA 8-Oct-21 MODERNA

3 L 31-45 9/10/2021 MODERNA 8-Oct-21 MODERNA

4 L 31-45 9/10/2021 MODERNA 8-Oct-21 MODERNA

5 L 31-45 9/10/2021 MODERNA 8-Oct-21 MODERNA

6 L 31-45 9/10/2021 MODERNA 8-Oct-21 MODERNA

7 L 31-45 9/10/2021 MODERNA 8-Oct-21 MODERNA

8 L 46-59 9/10/2021 MODERNA 8-Oct-21 MODERNA

9 L 31-45 9/10/2021 MODERNA 8-Oct-21 MODERNA

10 L 46-59 9/10/2021 MODERNA 8-Oct-21 MODERNA

11 L 46-59 9/10/2021 MODERNA 8-Oct-21 MODERNA

12 L 18-30 9/10/2021 MODERNA 8-Oct-21 MODERNA

13 L 46-59 9/10/2021 MODERNA 8-Oct-21 MODERNA

14 L 18-30 9/10/2021 MODERNA 8-Oct-21 MODERNA

15 46-59 9/10/2021 MODERNA 8-Oct-21 MODERNA

16 L 12-17 9/10/2021 Coronavac 8-Oct-21 Coronavac

17 L 46-59 9/10/2021 Coronavac 8-Oct-21 Coronavac

18 L ≥60 10/8/2021 Coronavac

19 L 18-30 9/10/2021 Coronavac 8-Oct-21 Coronavac

20 L 18-30 9/10/2021 Coronavac 8-Oct-21 Coronavac

21 L 18-30 9/10/2021 Coronavac 8-Oct-21 Coronavac

22 L 18-30 9/10/2021 Coronavac 8-Oct-21 Coronavac

23 L 18-30 9/10/2021 Coronavac 8-Oct-21 Coronavac

24 L 31-45 9/10/2021 Coronavac 8-Oct-21 Coronavac

26 L 46-59 9/10/2021 Coronavac 8-Oct-21 Coronavac

27 L 46-59 9/10/2021 Coronavac 8-Oct-21 Coronavac

28 L ≥60 10/8/2021 Coronavac

29 L 18-30 9/10/2021 Coronavac 8-Oct-21 Coronavac

30 L 18-30 9/10/2021 Coronavac 8-Oct-21 Coronavac

31 L 46-59 9/10/2021 Coronavac 8-Oct-21 Coronavac

32 L 18-30 9/10/2021 Coronavac 8-Oct-21 Coronavac

33 L 46-59 9/10/2021 Coronavac 8-Oct-21 Coronavac

34 L 18-30 9/10/2021 Coronavac 8-Oct-21 Coronavac

35 L 31-45 9/10/2021 Coronavac 8-Oct-21 Coronavac

36 L 31-45 9/10/2021 Coronavac 8-Oct-21 Coronavac

37 L 18-30 9/10/2021 Coronavac 8-Oct-21 Coronavac

38 L 0 9/10/2021 Coronavac 8-Oct-21 Coronavac

39 L 12-17 9/10/2021 Coronavac 8-Oct-21 Coronavac

40 L 31-45 9/10/2021 Coronavac 8-Oct-21 Coronavac

41 L 46-59 9/10/2021 Coronavac 8-Oct-21 Coronavac

42 L 46-59 9/10/2021 Coronavac 8-Oct-21 Coronavac

43 L 18-30 9/10/2021 Coronavac 8-Oct-21 Coronavac

44 L 18-30 10/8/2021 Coronavac

45 L ≥60 9/10/2021 Coronavac 8-Oct-21 Coronavac

46 L 18-30 10/8/2021 Coronavac

47 L 31-45 10/8/2021 Coronavac

48 L 18-30 10/8/2021 Coronavac

49 L 46-59 10/8/2021 Coronavac

50 L 46-59 10/8/2021 Coronavac

51 L 18-30 10/8/2021 Coronavac

52 L 31-45 10/8/2021 Coronavac

53 L 31-45 10/8/2021 Coronavac

54 L 46-59 10/8/2021 Coronavac

55 L 46-59 10/8/2021 Coronavac

56 L 31-45 10/8/2021 Coronavac

57 L 31-45 10/8/2021 Coronavac

58 L 31-45 10/8/2021 Coronavac

60 L 18-30 10/8/2021 Coronavac