Nama Puskesmas/Fasyankes/Pos

Kabupaten/Kota
Provinsi
Hari, Tanggal

No NIK

1 6212095805050002

2 6212094604050001

3 6212094406040001

4 6212094802060002

5 6212095001040001

6 6212091510030001

7 6212096401040002
8 6212095211050001

9 6212094502030001

10 6212095602040001

11 6212044505050005

12 6212094808050001

13 6212095106040001

14 6212096903040001

15 6212056903040001

16 6212092710990003

17 6212091603030001

18 6212091909030001

19 6212096211030001

20 6212092202050001

21 6212095204080001

22 6212096201020001

23 6212095204050002

24 6212096610040001
25 6212091912030001

26 6212091709030001

27 6212091512020001

28 6212094411050001

29 6212091709040001

30 6212097005050001

31 6212095211050003

32 6212096209050001

33 6212095904050001

34 6212096209000002

35 6212096112050002

36 6212095402060004

37 6212016701050002

38 6212096809050001

39 6212096707050001

40 6212092706050002

41 6212091708050001
42 6212056712050001

43 6212091405040001

44 6212090411050001

45 6212092011040002

46 6212098911030001

47 6212096912040001

48 6212094803770001

49 6212091605050001

50 6212091508050002

51 6212092602060001

52 6212094108000002

53 6212091912050001

54 6212094310050002

55 6212096410050002

56 6212090311060001

57 6212090305000002

58 6212090712030001

59 6212090511040001
60 6212092801000001

61 6212046901050001

62 6212020611040002

63 6212021502040003

64

6212026505040002
: MUARA JOLOI
:
:
: Sabtu, 18 sept 2021

Jenis
Nama Penerima Vaksin Pekerjaan*
Kelamin

SELVI P PELAJAR

SITI HARTINAH P PELAJAR

KELSI P PELAJAR

MARISA P PELAJAR

PUTRI RIMBA M U P PELAJAR

KARLINA MAYSA PUTRI P PELAJAR

ANITA RIANTI P PELAJAR

NORLINDA P PELAJAR

NIA P PELAJAR

NURHAYATI P PELAJAR

MITA P PELAJAR

MERSI P PELAJAR

LILIS DARMAWANTI P PELAJAR

MIRNAWATI P PELAJAR

VITALOKA P PELAJAR

HARI L PELAJAR

EKY L PELAJAR

EDY L PELAJAR

VITA ROSANDA P PELAJAR

HENDRA GUNAWAN L PELAJAR

LENSI P PELAJAR

ELVI P PELAJAR

DESI CANTIKA P PELAJAR

SELVI. A P PELAJAR
RIDWAN L PELAJAR

PERI RIADI L PELAJAR

PINGKI WIDODO L PELAJAR

TERA LESTARI P PELAJAR

RIJAL JIBRAN L PELAJAR

TUTI SUMANTI P PELAJAR

NOVIANTI KIKI P PELAJAR

CITRA DELLA ISMAWATI P PELAJAR

ROSALIANI P PELAJAR

NENENG P PELAJAR

SARMILA P PELAJAR

KARLIYANTI P PELAJAR

TIA MAULIDAH P PELAJAR

LASTRI AYU WULANDARI P PELAJAR

RODIAH P PELAJAR

MUHAMAD ANSOR SOLIHIN L PELAJAR

MUHAMMADASJANI L PELAJAR
AMELIA SORAYA P PELAJAR

RIKI AKBAR L PELAJAR

ARDITA KUSUMA L PELAJAR

PRAYOGA OKTAVIANUS L PELAJAR

M. SYARI ASSAGHATI L PELAJAR

MIKA P PELAJAR

JEFRI L PELAJAR

HAIRIL L PELAJAR

ERON L PELAJAR

RAFI SAPUTRA L PELAJAR

ARBAIDAH P PELAJAR

ZAKARIYA L PELAJAR

SEFRILLA DINI KARTIKA P PELAJAR

BUNGA DELIMA L PELAJAR

INDRA RAZIT SIDIK L PELAJAR

YUSRIL IZA MAHENDRA L PELAJAR

RIKI ANDRIO L PELAJAR

RONALDI L PELAJAR
MULIADI L PELAJAR

MISLIANI P PELAJAR

DANG FRIMA L K. SWASTA

GEVITRIO VERIS L K. SWASTA

MUQHAYANSYAH L PELAJAR

LEA P PELAJAR
 FORMAT PENCATATAN PELAKSANAAN VAKSINASI
TINGKAT PUSKESMAS/FASYANKES/POS VAKSI

Umur
Kelompok
Tanggal Lahir (18 sd ≥ 60 Alamat
Umur
tahun)

18/05/2005 16 0 MJ 1

16/04/2005 16 0 PARAHAU

04/06/2004 17 0 MJ 2

08/02/2006 16 0 MJ 2

10/01/2004 18 18-30 MJ 1

15/10/2003 18 18-30 MJ 1

24/01/2004 18 18-30 MJ 1
11/10/2005 16 0 MJ 1

05/12/2003 18 18-30 TBG JOJANG

16/02/2004 18 18-30 MJ 1

05/05/2005 16 0 MJ 1

08/08/2005 16 0 PARAHAU

11/06/2004 17 0 MJ

29/01/2004 18 18-30 PARAHAU

29/03/2004 17 0 TBG JOJANG

05/06/2001 20 18-30 MJ 2

16/03/2003 19 18-30 MJ 2

02/12/2004 17 0 MJ 2

22/11/2003 18 18-30 TBG JOJANG

22/02/2005 17 0 TBG JOJANG

12/04/2005 16 0 PARAHAU

08/08/2002 19 18-30 PARAHAU

12/06/2003 18 18-30 PARAHAU

06/09/2004 17 0 PARAHAU
19/12/2003 18 18-30 PARAHAU

12/04/2003 18 18-30 PARAHAU

15/02/2002 20 18-30 PARAHAU

07/08/2005 16 0 MJ 1

23/07/2004 17 0 PARAHAU

28/02/2005 17 0

20/11/2005 16 0

22/09/2005 16 0 MJ 1

19/04/2005 16 0 MJ

22/09/2000 21 18-30 MJ 2

21/12/2005 16 0 MJ 1

14/02/2006 16 0 MJ 1

27/01/2005 17 0 MJ 1

28/09/2005 16 0 MJ 1

27/07/2005 16 0 PARAHAU

27/06/2005 16 0 MJ 1

17/08/2005 16 0 MJ 1
27/12/2005 16 0 MJ 1

05/04/2005 16 0 MJ 1

09/11/2005 16 0 PARAHAU

20/11/2004 17 0 MJ 2

04/11/2005 16 0 MJ 1

29/12/2004 17 0 PARAHAU

25/08/2003 18 18-30 MJ 2

16/05/2005 16 0 PARAHAU

15/08/2005 16 0 MJ 2

26/07/2005 16 0 MJ 2

02/11/2002 19 18-30 MJ 1

19/12/2005 16 0 MJ 1

03/09/2005 16 0 MJ 1

24/12/2005 16 0 MJ 1

03/11/2006 15 0 MJ 1

03/05/2003 18 18-30 MJ 1

07/12/2003 18 18-30 MJ 1

05/11/2004 17 0 MJ 2
02/04/2002 19 18-30 MJ 2

29/01/2005 17 0 MJ 1

06/11/2004 17 0 CAMP MANAHAT

15/02/2004 18 18-30 CAMP MANAHAT

122 ≥60 LOKPON PARAHAU

25/08/2004 17 0 MJ 2

122 ≥60

122 ≥60

122 ≥60

122 ≥60

122 ≥60

122 ≥60

122 ≥60
AAN VAKSINASI COVID-19
NKES/POS VAKSINASI

Dosis I

Tanggal Nama/Jenis/
No. Hp
Screening Merek Vaksin***
Tanggal
Pemberian
Vaksinasi

082238271599 18-Sep-21 SINOVAC 18-Sep-21

082213793026 18-Sep-21 SINOVAC 18-Sep-21

082148492624 18-Sep-21 SINOVAC 18-Sep-21

081310642903 18-Sep-21 SINOVAC 18-Sep-21

081314671916 18-Sep-21 SINOVAC 18-Sep-21

081351229484 18-Sep-21 SINOVAC 18-Sep-21

082159180840 18-Sep-21 SINOVAC 18-Sep-21

081280642332 18-Sep-21 SINOVAC 18-Sep-21

081253783678 18-Sep-21 SINOVAC 18-Sep-21

085215017644 18-Sep-21 SINOVAC 18-Sep-21

082285403418 18-Sep-21 SINOVAC 18-Sep-21

081284510990 18-Sep-21 SINOVAC 18-Sep-21

082150232736 18-Sep-21 SINOVAC 18-Sep-21

085251219874 18-Sep-21 SINOVAC 18-Sep-21

081253783691 18-Sep-21 SINOVAC 18-Sep-21

082358566751 18-Sep-21 SINOVAC 18-Sep-21

081271182772 18-Sep-21 SINOVAC 18-Sep-21

085349312302 18-Sep-21 SINOVAC 18-Sep-21

081253332967 18-Sep-21 SINOVAC 18-Sep-21

081253332967 18-Sep-21 SINOVAC 18-Sep-21

085245008443 18-Sep-21 SINOVAC 18-Sep-21

085349312351 18-Sep-21 SINOVAC 18-Sep-21

082211428827 18-Sep-21 SINOVAC 18-Sep-21

082130378212 18-Sep-21 SINOVAC 18-Sep-21

082155136227 18-Sep-21 SINOVAC 18-Sep-21

081253923818 18-Sep-21 SINOVAC 18-Sep-21

082184465990 18-Sep-21 SINOVAC 18-Sep-21

085349308413 18-Sep-21 SINOVAC 18-Sep-21

083549740682 18-Sep-21 SINOVAC 18-Sep-21

081314931264 18-Sep-21 SINOVAC 18-Sep-21

082150537228 18-Sep-21 SINOVAC 18-Sep-21

082157413178 18-Sep-21 SINOVAC 18-Sep-21

082353146264 18-Sep-21 SINOVAC 18-Sep-21

081256940302 18-Sep-21 SINOVAC 18-Sep-21

082253938663 18-Sep-21 SINOVAC 18-Sep-21

081298709928 18-Sep-21 SINOVAC 18-Sep-21

081253783681 18-Sep-21 SINOVAC 18-Sep-21

082159184169 18-Sep-21 SINOVAC 18-Sep-21

082154591261 18-Sep-21 SINOVAC 18-Sep-21

082148798353 18-Sep-21 SINOVAC 18-Sep-21

082159184187 18-Sep-21 SINOVAC 18-Sep-21

081250588948 18-Sep-21 SINOVAC 18-Sep-21

082151850140 18-Sep-21 SINOVAC 18-Sep-21

081250812773 18-Sep-21 SINOVAC 18-Sep-21

085247284718 18-Sep-21 SINOVAC 18-Sep-21

082149157365 18-Sep-21 SINOVAC 18-Sep-21

082149553499 18-Sep-21 SINOVAC 18-Sep-21

082150539235 18-Sep-21 SINOVAC 18-Sep-21

082150412067 18-Sep-21 SINOVAC 18-Sep-21

081345391441 18-Sep-21 SINOVAC 18-Sep-21

081231773459 18-Sep-21 SINOVAC 18-Sep-21

081253783251 18-Sep-21 SINOVAC 18-Sep-21

082148219347 18-Sep-21 SINOVAC 18-Sep-21

081253122949 18-Sep-21 SINOVAC 18-Sep-21

082148217743 18-Sep-21 SINOVAC 18-Sep-21

081257769957 18-Sep-21 SINOVAC 18-Sep-21

0812255371820 18-Sep-21 SINOVAC 18-Sep-21

082350857826 18-Sep-21 SINOVAC 18-Sep-21

081256062960 18-Sep-21 SINOVAC 18-Sep-21

085249108236 18-Sep-21 SINOVAC 18-Sep-21

081250382069 18-Sep-21 SINOVAC 18-Sep-21

081352624327 18-Sep-21 SINOVAC 18-Sep-21

081352624327 18-Sep-21 SINOVAC 18-Sep-21

08125332967 18-Sep-21 SINOVAC 18-Sep-21

081345238239 18-Sep-21 SINOVAC 18-Sep-21

 Dosis I Dosis 2

Tanggal
No. Batch No. Serial Pemberian No. Batch
Vaksinasi

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

 2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

2021081531 18 Okt 2021 202108143H

202108152 G 18 Okt 2021 202108143H

202108152 G 18 Okt 2021 202108143H

202108152 G 18 Okt 2021 202108143H

202108152 G 18 Okt 2021 202108143H

202108152 G 18 Okt 2021 202108143H

202108152 G 18 Okt 2021 202108143H

202108152 G 18 Okt 2021 202108143H

202108152 G 18 Okt 2021 202108143H

202108152 G 18 Okt 2021 202108143H

202108152 G 18 Okt 2021 202108143H

2021071361 18 Okt 2021 202108143H

2021071361 18 Okt 2021 202108143H

2021071361 18 Okt 2021 202108143H

2021071361 18 Okt 2021 202108143H

2021071361 18 Okt 2021 202108143H

2021071361 18 Okt 2021 202108143H

2021071361 18 Okt 2021 202108143H

2021071361

2021071361 18 Okt 2021 202108143H

2021071361

2021071361 18 Okt 2021 202108143H

2021071361 18 Okt 2021 202108143H

2021071361 18 Okt 2021 202108143H

2021071361 18 Okt 2021 202108143H

2021071361 18 Okt 2021 202108143H

2021071361 30 OKT 2021 24203521

2021071361 18 Okt 2021 202108143H

2021071361
2021071361 18 Okt 2021 202108143H

2021071361 18 Okt 2021 202108143H

2021071361 18 Okt 2021 202108143H

2021071361 18 Okt 2021 202108143H

2021071361

18 Okt 2021 202108143H

osis 2

Keterangan
(Ditunda/Tidak Diberikan/Lanjut)
No. Serial