JENIS

KELOMPOK NAMA ALASAN TIDAK

NO No ticket "NIK" "NAMA_LENGKAP" "TMPT_LHR" "TGL_LHR" UMUR
UMUR "JENIS KELAMIN" "ALAMAT" "RT" "RW" "NAMA KELURAHAN PEKERJAA BPJS TANGGAL VAKSIN PENTAHAPAN VAKSIN-1 NO BATCH
KECAMATAN TERVAKSIN-1
N
(2) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (19) (20) (21) (22)

1 s-be884c54 3510042608430001 SAMIDI BANYUWANGI 8/26/43 77.0 Laki-laki RINGIN ASRI 35 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
2 s-c548ef95 3510046402470001 SARPIAH BANYUWANGI 2/24/47 74.0 Perempuan RINGIN ASRI 35 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
3 s-a9418236 3510040505450002 PONIRIN BANYUWANGI 5/5/45 75.0 Laki-laki RINGIN ASRI 35 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
4 s-d3aa7b05 3510045001460001 JAMSIYAH BLITAR 1/10/46 75.0 Perempuan RINGIN ASRI 34 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
5 s-od69e91a 3510042002480002 SUKARDJAN BANYUWANGI 2/20/48 73.0 Laki-laki RINGIN ASRI 34 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
6 s-8844b329 3510044606590002 TIPAH BANYUWANGI 6/6/59 61.0 Perempuan RINGIN ASRI 32 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
7 s-9c4bb41f 3510046503600001 NGATIRAH BANYUWANGI 3/25/60 61.0 Perempuan RINGIN ASRI 32 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
8 5-4f80e646 3510046204530001 SRIWATININGSIH BONDOWOSO 4/22/53 67.0 Perempuan RINGIN ASRI 31 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
9 s-50c87740 1807185801520001 KASINI BANYUWANGI 1/18/52 69.0 Perempuan RINGIN ASRI 34 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
10 s-5a520f66 3510040209520003 MAGI BANYUWANGI 9/2/52 68.0 Laki-laki RINGIN ASRI 32 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
11 s-b396f8ff 1807182210480001 SUKIRMAN BANYUWANGI 10/22/48 72.0 Laki-laki RINGIN ASRI 34 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
12 s-ff171a98 3510040706530001 PONIJO BANYUWANGI 6/7/53 67.0 Laki-laki RINGIN ASRI 32 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
13 s-10e96AA8 3510040402570005 SAMID BANYUWANGI 2/4/57 64.0 Laki-laki RINGIN ASRI 30 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
14 S-EF73791A 3510044606570002 BINTI MUTHAHARAH BANYUWANGI 6/6/57 63.0 Perempuan RINGIN ASRI 30 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
15 S-D8581061 3510045305600005 MISRIYATUN BANYUWANGI 5/13/60 60.0 Perempuan DSN. RINGIN ASRI 34 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
16 S-96CDE7F0 3510047006500088 SUMINEM BANYUWANGI 6/30/50 70.0 Perempuan RINGIN ASRI 33 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
17 P-SLLH1AER 3510044702430001 SITI AMINAH BANYUWANGI 2/7/43 78.0 Perempuan RINGIN ASRI 34 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
18 S-6C3FE185 3510046706590002 KATEMI BANYUWANGI 6/27/59 61.0 Perempuan RINGIN ASRI 35 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
19 S-691AD1E1 3510045506560003 SIREP BANYUWANGI 6/15/56 64.0 Perempuan RINGINASRI 33 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
20 Y-00003T17 3510044607600005 WARINEM BANYUWANGI 7/6/60 60.0 Perempuan RINGIN ASRI 25 6 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
21 S-28C33B59 3510041708520002 SUGIYO BANYUWANGI 8/17/52 68.0 Laki-laki RINGIN ASRI 35 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
22 S-C6C583C5 3510040203590004 SUKARDI BANYUWANGI 3/2/59 62.0 Laki-laki RINGIN ASRI 33 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
23 S-A79B2423 3510041109530002 GUNAWAN BANYUWANGI 9/11/53 67.0 Laki-laki RINGIN ASRI 30 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
24 S-9A1B6E6C 3510040404440001 NGADI BANYUWANGI 4/4/44 77.0 Laki-laki RINGIN ASRI 27 6 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
25 S-82FBBD62 3510044902580003 WAKILAH BANYUWANGI 2/9/58 63.0 Perempuan RINGIN ASRI 30 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
26 S-053EB449 3510043006510013 SARNI BANYUWANGI 6/30/51 69.0 Laki-laki RINGINASRI 33 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
27 S-3F380C33 3510042012500001 KASMAN ARIEF RACHMAD BANYUWANGI 12/20/50 70.0 Laki-laki RINGIN ASRI 34 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
28 S-39A3F2AC 3510044306550004 SALWATI BANYUWANGI 6/3/55 65.0 Perempuan RINGIN ASRI 31 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
29 S-D97DGD37 3510044607570003 ISWATI BANYUWANGI 7/6/57 63.0 Perempuan RINGIN ASRI 31 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
30 B-974E2A52 3510045108540001 MINEM BANYUWANGI 8/11/54 66.0 Perempuan RINGIN ASRI 31 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
31 S-D06DE0C6 3510047006480054 MARIYAH BANYUWANGI 6/30/48 72.0 Perempuan DSN. RINGINASRI 33 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
32 S-046B995C 3510044705560001 RUMINI BANYUWANGI 5/7/56 64.0 Perempuan RINGIN ASRI 34 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
33 S-336EOBO6 3510044504450004 TUMININGSIH BANYUWANGI 4/5/45 76.0 Perempuan RINGIN ASRI 34 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
34 S-C40802F2 3510047006560050 JEMIYEM BANYUWANGI 6/30/56 64.0 Perempuan RINGIN ASRI 32 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
35 S-C738F9AC 3510044405580004 SUTAMI BANYUWANGI 5/4/58 62.0 Perempuan RINGIN ASRI 33 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
36 S-0A09D728 3510047101600001 SRIYATUN MATASELIM BANYUWANGI 1/31/60 61.0 Perempuan RINGIN ASRI 34 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
37 S-E96FC889 3510044903500001 PONIJAH BANYUWANGI 3/9/50 71.0 Perempuan RINGIN ASRI 31 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
38 S-57160362 3510045102420002 SUKARMI BANYUWANGI 2/11/42 79.0 Perempuan RINGIN ASRI 29 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
39 S-7C75C044 3510047006500089 SUMINI BANYUWANGI 6/30/50 70.0 Perempuan RINGIN ASRI 31 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
40 S-907377D4 3510042606540002 MUKIMIN BANYUWANGI 6/26/54 66.0 Laki-laki RINGIN ASRI 35 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
41 S-ABBD1AD3 3510040901550002 MISDI BANYUWANGI 1/9/55 66.0 Laki-laki RINGIN ASRI 29 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
42 S-43CE2AD7 3510040111560001 FARKHANI BANYUWANGI 11/1/56 64.0 Laki-laki RINGIN ASRI 31 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
43 S-633071C2 3510041803530002 SUTIKNO BANYUWANGI 3/18/53 68.0 Laki-laki RINGIN ASRI 34 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
44 S-1AB5EA37 3510044608420003 SARINEM BANYUWANGI 8/6/42 78.0 Perempuan RINGIN ASRI 31 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
45 S-337B2491 3510046905500001 SURYATI BANYUWANGI 5/29/50 70 Perempuan WRINGINPITU 35 7 4 00-TEGALDLIMO 2006 5/19/2021 5 1 ctmav546
46 S-5EE964EB 3510045011360002 TUMIRAH BANYUWANGI 11/10/36 84.0 Perempuan RINGIN ASRI 25 6 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
47 S-7EF24FSB 3510040912470001 SABAR JEMBER 12/9/47 73.0 Laki-laki RINGIN ASRI 33 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
48 P-CW7K2R1X 3510041503610003 ABDULLAH BANYUWANGI 3/15/61 60.0 Laki-laki RINGIN ASRI 31 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
49 S-667D9985 3510041501610001 SUKRI BANYUWANGI 1/15/61 60.0 Laki-laki RINGIN ASRI 18 5 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
50 S-6C64EBE7 3510040910570005 MISENI BANYUWANGI 10/9/57 63.0 Laki-laki RINGIN ASRI 34 7 4 00-TEGALDLIMO 2,006 5/19/2021 5 1 ctmav546
51 S-858CB6F3 3510041503480002 MAT SUHUT BANYUWANGI 3/15/48 73.0 Laki-laki SUMBERLUHUR 10 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
52 S-38CA8E7 3510046105410002 SUMIYEM BANYUWANGI 5/21/41 79.0 Perempuan SUMBERLUHUR 5 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
53 S-F51D2096 3510043003340001 TUKIRAN MALANG 3/30/21 87.0 LAKI-LAKI SUMBERLUHUR 25 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
54 S-E77015A2 3510042010600002 SUJARI KS BANYUWANGI 10/20/60 60.0 Laki-laki SUMBERLUHUR 11 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
55 S-FBCC87CD 3510041006570003 PONIMAN BANYUWANGI 6/10/57 63.0 Laki-laki SUMBERLUHUR 9 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
56 s-f85f84fc 3510044806540001 MISINEM BANYUWANGI 6/8/54 66.0 Perempuan SUMBERLUHUR 9 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
57 S-BGC64EAA 3510043001570002 TUMIRAN BANYUWANGI 1/30/57 64.0 Laki-laki SUMBERLUHUR 11 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
58 s-2c9798d 3510040704570003 BEJO SUYADI BANYUWANGI 4/7/57 63.0 Laki-laki SUMBERLUHUR 21 3 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
59 S-2CB53E3A 3510040710510001 NGADINO BANYUWANGI 10/7/51 69.0 Laki-laki SUMBER LUHUR 8 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
60 S-5485AD11 3510042306550002 WARINO BLITAR 6/23/55 65.0 Laki-laki DUSUN SUMBERDAD 24 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
61 s-d3aa3e74 3510045503490003 WAGINEM BANYUWANGI 3/15/49 72.0 Perempuan DSN. SUMBERLUHU 10 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
62 S-89345318 3510047101360001 PARILAH BANYUWANGI 1/31/36 85.0 Perempuan SUMBERDADI 25 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
63 S-C7A1B7D6 3510041504600003 MESENO BANYUWANGI 4/15/60 60.0 Laki-laki SUMBERDADI 24 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
64 S-F30066B3 3510040608600003 SUPANGAT BANYUWANGI 8/6/60 60.0 Laki-laki SUMBERLUHUR 5 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
65 S-7016479F 3510042601420002 TUKIMIN BANYUWANGI 1/26/42 79.0 Laki-laki SUMBERDADI 24 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
66 S-8507F02E 3510046004590001 ENDANG PRIHATIN BANYUWANGI 4/20/59 61.0 Perempuan SUMBERLUHUR 1 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
67 S-26E94E8F 3510055104580001 SUPADMI BANYUWANGI 4/11/58 62.0 Perempuan DSN. SUNBERLUHU 8 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
68 S-338C4FD1 3510041703590002 BAMBANG SUBIANTORO BANYUWANGI 3/17/59 62.0 Laki-laki SUMBER LUHUR 3 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
69 P-DYPDK1W0 3510045706630002 Musinem sleman 6/17/63 Laki-laki sumberbadi 4 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
70 S-1DD07176 3510040603580002 SANTOSO BANYUWANGI 3/6/58 63.0 Laki-laki SUMBERLUHUR 4 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
71 S-1D02C758 3510044107540012 NGATENI BANYUWANGI 7/1/54 66.0 Perempuan SUMBERDADI 25 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
72 S-83E5BC7E 3510046112500001 SUMIATI BANYUWANGI 12/21/50 70.0 Perempuan SUMBERDADI 24 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
73 s-073d01d 3510044702550001 SUMINEM BANYUWANGI 2/7/55 66.0 Perempuan SUMBER LUHUR 9 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
74 s-ca99bc7 3510044508560002 SUKARTI BANYUWANGI 8/5/56 64.0 Perempuan SUMBERLUHUR 3 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
75 s-cfaf1a5b 3510040304510004 SUMANI BANYUWANGI 4/3/51 70.0 Laki-laki SUMBER LUHUR 6 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
76 s-7a3acb4 3510045908580002 KASMINAH BANYUWANGI 8/19/58 62.0 Perempuan SUMBERLUHUR 13 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
77 s-co3544 3510040205550003 SUJONO PACITAN 5/2/55 65.0 Laki-laki SUMBERLUHUR 1 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
78 S-B7ED1FC3 3510041908560001 YOEL AMUNAU BIAK NUMFOR 8/19/56 64.0 Laki-laki SUMBERLUHUR 13 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
79 S-80389BB 3510040604590004 SUDIYANTO BANYUWANGI 4/6/59 61.0 Laki-laki SUMBERLUHUR 9 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
80 S-DEFB9333F 3510041509600003 Parnomo sleman 9/15/60 60.0 Laki-laki sumberluhur 4 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
81 s-04eae639 3510042405450002 PAIRIN BANYUWANGI 5/24/45 75.0 Laki-laki SUMBERLUHUR 10 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
82 s-d8b1888f 3510043005500004 SUYONO BANYUWANGI 5/30/50 70.0 Laki-laki SUMBERDADI 26 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
83 s-098eb805 3510040810550005 SUMARDI BANYUWANGI 10/8/55 65.0 Laki-laki DUSUN SUMBERDAD 26 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
84 s-589de73c 3510044107470020 SUMILAH BANYUWANGI 7/1/47 73.0 Perempuan SUMBERDADI 25 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
85 s-d16e18c 3510042907350002 SUNARDI BANYUWANGI 7/29/35 85.0 Laki-laki SUMBERDADI 24 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
86 s-357oc489 3510041108300002 PAIMUN BANYUWANGI 8/11/30 90.0 Laki-laki SUMBERDADI 26 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
87 s-dc8ca09s 3510045711350002 WAGIYEM BANYUWANGI 11/17/35 85.0 Perempuan SUMBERDADI 24 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
88 s-9dedo1d5 3510043006480034 SALIM BANYUWANGI 6/30/48 72.0 Laki-laki SUMBERDADI 24 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
89 s-0978407a 3510047003520002 SIRUM BANYUWANGI 3/30/52 69.0 Perempuan SUMBERDADI 24 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
90 S-F1991D66 3510046506550002 KATIYEM BANYUWANGI 6/25/55 65.0 Perempuan SUMBERDADI 24 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
91 S-8961B811 3510046004500003 JULASMI YOGYAKARTA 4/20/50 70.0 Perempuan SUMBERDADI 24 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
92 S-0DBAD08E 3510041206590002 SUMARIONO BANYUWANGI 6/12/59 61.0 Laki-laki SUMBERDADI 24 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
93 S-428F560A 3510042405600002 TUKIMAN BANYUWANGI 5/24/60 60.0 Laki-laki SUMBERDADI 24 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
94 S-4096ED03 3510045203490002 SUPIATI BANYUWANGI 3/12/49 72.0 Perempuan SUMBERDADI 25 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
95 s-e8816423 3510041408470002 WARSONO BANYUWANGI 8/14/47 73.0 Laki-laki SUMBERLUHUR 10 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
96 s-7843077d 3510045906560004 KASMIRAH BANYUWANGI 6/19/56 64.0 Perempuan SUMBER LUHUR 10 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
97 s-c3fe0943 3510042104520002 WARINO IRAWAN BANYUWANGI 4/21/52 68.0 Laki-laki SUMBERLUHUR 9 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
98 S-BD1TTCAA 3510046909590001 PAINEM BANYUWANGI 9/29/59 61.0 Perempuan SUMBER LUHUR 8 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
99 S-2AC12BC7 3510045209570001 SUKINEM BANYUWANGI 9/12/57 63.0 Perempuan SUMBERLUHUR 6 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
100 S-D0660E6A 3510044406490004 SUMIATUN BANYUWANGI 6/4/49 71.0 Perempuan SUMBERDADI 26 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
101 S-B869F275 3510047006470044 TUKINEM BANYUWANGI 6/30/47 73.0 Perempuan SUMBERDADI 24 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
102 S-CE5FFOAO 3510043006450028 TUGIYO BANYUWANGI 6/30/45 75.0 Laki-laki SUMBERLUHUR 22 3 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
103 S-BA57E992 3510042710600002 SUTIYONO BANYUWANGI 10/27/60 60.0 Laki-laki SUMBERLUHUR 9 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
104 S-E2E4FO51 3510047006490026 GIYEM BANYUWANGI 6/30/49 71.0 Perempuan SUMBER LUHUR 9 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
105 S-362DDB35 3510040606560003 HERU SUTRISNO BANYUWANGI 6/6/56 64.0 Laki-laki SUMBERLUHUR 22 3 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
106 S-AE658F6F 3510046706580002 YAMSIH BANYUWANGI 6/27/58 62.0 Perempuan SUMBERDADI 24 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
107 S-868JOE7C 3510044903550006 SITI FATIMAH BANYUWANGI 3/9/55 66.0 Perempuan SUMBERLUHUR 22 3 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
108 S-4D3B46CS 3510046906530001 SUPIAH BANYUWANGI 6/29/53 67.0 Perempuan SUMBERLUHUR 8 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
109 S-9127082B 3510041705570003 SUKADI BANYUWANGI 5/17/57 63.0 Laki-laki SUMBERLUHUR 8 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
110 S-20260681 3510044801590002 JUWARIYAH BANYUWANGI 1/8/59 62.0 Perempuan SUMBERLUHUR 5 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
111 s-5a01981e 3510045906560003 JUWARIYAH BANYUWANGI 6/19/56 64.0 Perempuan SUMBERLUHUR 10 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
112 s-ec4c850d 3510043005590001 PANUT BANYUWANGI 5/30/59 61.0 Laki-laki SUMBERLUHUR 9 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
113 S-5D8858D8 3510040404590003 SUGINO BANYUWANGI 4/4/59 62.0 Laki-laki SUMBERLUHUR 11 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
114 S-95B7C786 3510041502600002 MAHAJI BANYUWANGI 2/15/60 61.0 Laki-laki SUMBERLUHUR 7 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
115 S-2626FEFB 3510046004530002 NGATIYEM BANYUWANGI 4/20/53 67.0 Perempuan SUMBERLUHUR 8 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
116 S-C81E3653 3510040211480002 TAUCHID BANYUWANGI 11/2/48 72.0 Laki-laki SUMBERLUHUR 7 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
117 S-01AB438B 3510042508520001 SUYOTO BANYUWANGI 8/25/52 68.0 Laki-laki SUMBER LUHUR 15 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
118 S-576E822F 3510042610550002 SUTAMADI BANYUWANGI 10/26/55 65.0 Laki-laki SUMBERLUHUR 10 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
119 S-CAE32616 3510041508570002 BUDIONO BANYUWANGI 8/15/57 63.0 Laki-laki SUMBERLUHUR 11 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
120 S-A43531C7 3510045104560002 SURYATI BANYUWANGI 4/11/56 64.0 Perempuan SUMBERLUHUR 10 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
121 S-803E4084 3510041508550001 L. SUJADI BANYUWANGI 8/15/55 65.0 Laki-laki SUMBERLUHUR 10 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
122 S-44F21605 3510045104580003 RUSEMI BANYUWANGI 4/11/58 62.0 Perempuan SUMBER LUHUR 2 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
123 S-94AC6617 3510046809420001 NGATINEM BANYUWANGI 9/28/42 78.0 Perempuan SUMBERLUHUR 4 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
124 S-3A7DAA97 3510045504410004 NGATINEM BANYUWANGI 4/15/41 79.0 Perempuan SUMBERDADI 27 5 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
125 S-FFAC6642 3510040804530001 SUMARDI BANYUWANGI 4/8/53 67.0 Laki-laki SUMBERDADI 25 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
126 S-F0817674 3510046505570002 ZURIAH BANYUWANGI 5/25/57 63.0 Perempuan SUMBERDADI 25 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
127 S-69FAD3FA 3510043006570054 SUTRISNO BANYUWANGI 6/30/57 63.0 Laki-laki SUMBERDADI 26 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
128 S-40B76CCE 3510045204540004 BOIRAH BANYUWANGI 4/12/54 66.0 Perempuan SUMBERDADI 26 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
129 S-A38CA1EC 3510041707510002 YUSAK HARMADI BANYUWANGI 7/17/51 69.0 Laki-laki SUMBERDADI 25 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
130 S-F52324D3 3510046510320001 KASIYEM YOGYAKARTA 10/25/32 88.0 Perempuan SUMBERDADI 26 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
131 S-C5E8FBF 3510042707500002 SUBARI BANYUWANGI 7/27/50 70.0 Laki-laki SUMBERDADI 25 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
132 S-DOCFBC22 3510046112600002 SARIKEM BANYUWANGI 12/21/60 60.0 Perempuan SUMBERDADI 25 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
133 S-DA722C41 3510044808550004 WARTINAH BANYUWANGI 8/8/55 65.0 Perempuan SUMBERLUHUR 8 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
134 S-F387DE8F 3510046007500002 JASMI BANYUWANGI 7/20/50 70.0 Perempuan SUMBER LUHUR 8 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
135 S-C3EB5CA7 3510046503590002 SATIYAH BANYUWANGI 3/25/59 62.0 Perempuan SUMBERLUHUR 6 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
136 S-5044BF76 3510044909580001 ZULAEHA BANYUWANGI 9/9/58 62.0 Perempuan SUMBERLUHUR 11 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
137 S-30A33430 3510043006540094 SUYOTO BANYUWANGI 6/30/54 66.0 Laki-laki SUMBERLUHUR 10 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
138 S-49790EB1 3510041102500002 IMAM SUTRISNO JEMBER 2/11/50 71.0 Laki-laki SUMBERLUHUR 7 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
139 S-D5E73BD7 3510044610500002 SAIMAH BANYUWANGI 10/6/50 70.0 Perempuan SUMBERLUHUR 9 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
140 S-F7E503EA 3510045810600002 TURSIANI BANYUWANGI 10/18/60 60.0 Perempuan SUMBERLUHUR 3 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
141 S-FOB24264 3510045708600004 SUJINAH HJ BANYUWANGI 8/17/60 60.0 Perempuan SUMBERDADI 25 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
142 S-1D175ABB 3510040506570004 SENO BANYUWANGI 6/5/57 63.0 Laki-laki SUMBERLUHUR 3 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
143 S-43AB6161 3510045506580005 SURATI BANYUWANGI 6/15/58 62.0 Perempuan SUMBERLUHUR 1 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
144 S-3E59ODAE 3510044305590003 RUSMIATI BANYUWANGI 5/3/59 61.0 Perempuan SUMBERLUHUR 11 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
145 S-85B4FF3D 3510044809520002 TUKINEM BANYUWANGI 9/8/52 68.0 Perempuan SUMBERLUHUR 3 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
146 S-971E7CFE 3510046011590002 SRIYATUN BANYUWANGI 11/20/59 61.0 Perempuan SUMBER LUHUR 15 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
147 S-4BF37ED4 3510041604590004 WARNOTO BANYUWANGI 4/16/59 61.0 Laki-laki SUMBERLUHUR 7 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
148 S-E3829D4B 3510042606570001 HASANUDIN JOMBANG 6/26/57 63.0 Laki-laki SUMBERLUHUR 1 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
149 S-5070D782 3510041506590005 SUKADI BANYUWANGI 6/15/59 61.0 Laki-laki SUMBERLUHUR 4 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
150 S-85155B2C 3510044910530006 SUMARNI BANYUWANGI 10/9/53 67.0 Perempuan SUMBERLUHUR 15 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
151 S-746C9BD 3510041906510002 JEMADI BANYUWANGI 6/19/51 69.0 Laki-laki SUMBERDADI 27 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
152 S-A30F3584 3510045403470002 PAISAH BANYUWANGI 3/14/47 74.0 Perempuan SUMBERDADI 24 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
153 S-801C767F 3510046704440001 SUPINGAH BANYUWANGI 4/27/44 76.0 Perempuan SUMBERLUHUR 5 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
154 S-212958E4 3510040505590003 SUGIYANTO BANYUWANGI 5/5/59 61.0 Laki-laki SUMBERLUHUR 5 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
155 S-DAAFB1AC 3510041004570001 DJUMARI BANYUWANGI 4/10/57 63.0 Laki-laki SUMBERLUHUR 4 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
156 S-1C755720 3510044804540001 MENIK SUJILAH BANYUWANGI 4/8/54 66.0 Perempuan SUMBERLUHUR 2 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
157 S-58410DEE 3510044106460002 NYANAH BANYUWANGI 6/1/46 74.0 Perempuan SUMBERLUHUR 5 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
158 S-6661FB9B 3510040907500003 SUKARNO BANYUWANGI 7/9/50 70.0 Laki-laki SUMBERLUHUR 10 2 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
159 S-119B2946 3510041508450001 SAMIRAN BANYUWANGI 8/15/45 75.0 Laki-laki SUMBERLUHUR 6 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
160 SC2309859 3510045407590001 SUGINEM BANYUWANGI 7/14/59 61.0 Perempuan SUMBERLUHUR 6 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
161 S-033B3A90 3510040704600005 SUPRIYADI BANYUWANGI 4/7/60 60.0 Laki-laki SUMBERDADI 25 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
162 S-EADAO7FD 3510046407590001 GIMAH BANYUWANGI 7/24/59 61.0 Perempuan SUMBERDADI 27 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
163 S-BB73706E 3510041508510002 KARSIDI BANYUWANGI 8/15/51 69.0 Laki-laki SUMBERDADI 25 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
164 S-B5F774F5 3510040208460001 H. ABDUL SYUKUR SUTAMIN BANYUWANGI 8/2/46 74.0 Laki-laki SUMBERDADI 27 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
165 S-BD2AA802 3510047005600012 MISIYATUN BANYUWANGI 5/30/60 60.0 Perempuan SUMBERDADI 25 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
166 S-41264A10 3510043006400055 SURADI BANYUWANGI 6/30/40 80.0 Laki-laki SUMBERDADI 25 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
167 S-CA09DDBC 3510042407510002 SLAMET JEMBER 7/24/51 69.0 Laki-laki SUMBERDADI 29 4 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
168 S-D983D75D 3510160807590004 MUH. NUR KHOIRI BANYUWANGI 7/8/59 61.0 Laki-laki SUMBERLUHUR 7 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
169 s-2845ff10 3510046910570001 KASIH BANYUWANGI 10/29/57 63.0 Perempuan SUMBERLUHUR 3 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
170 S-FEB7A25D 3510040708560005 SUGIMAN BANYUWANGI 8/7/56 64.0 Laki-laki SUMBERLUHUR 3 1 4 00-TEGALDLIMO 2,005 5/19/2021 5 1 CTMAV546
 ALASAN TIDAK
TANGGAL VAKSIN VAKSIN-2 NO BATCH SINOVAG FASKES NO.HP KETERANGAN
TERVAKSIN-2

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