PENCATATAN VAKSIN ROKAN HULU

PENCATATAN PELAYANA
Nama Puskesmas/Fasyankes/Pos : KEPENUHAN HULU

Kabupaten/Kota : ROKAN HULU
Provinsi : RIAU
No No. Tiket NIK Nama Penerima Vaksin
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
Keterangan ***Merek Vaksin

* Pekerjaan dikelompokkan menjadi: A = Sinovac
A = Petugas Medis dan Non Medis di Fasilitas Pelay B = Lainnya (Mohon disebutkan jenis vaksin yang d
B = Petugas pelayanan publik yang berhadapan langsung dengan masyarakat
C = Administrator Pemerintahan
D = Lainnya
E = Tidak Bekerja
Kelompok Umur:
18-30 0
31-45 0
46-59 0
Total 0
Pekerjaan:
A 0
B 0
C 0
D 0
E 0
Total 0
N PELAYANAN VAKSINASI TAHAP II
Jenis
Pekerjaan* Umur Kelompok Umur
Kelamin
0
0
0
0
0
0
0
0
0
0
kan jenis vaksin yang diterima Puskesmas/Faskes)
Kepesertaan BPJS
BPJS PBI 0
BPJS Non PBI 0
Non Anggota 0
Total 0
Pemberian Dosis
Dosis 1 142
Dosis 2 0
Total 142
Kepesertaan BPJS (tulis 'Ya' p
Alamat No. Hp
BPJS PBI
Pekerjaan
A 0
B 0
C 0
D 0
E 0
Total 0
esertaan BPJS (tulis 'Ya' pada kolom yang
sesuai)
Tanggal Screening
BPJS Non PBI Non Anggota
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
Dosis I
Nama/Jenis/Merek Vaksin*** Tanggal Pemberian
No. Batch
Vaksinasi
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621

Dosis 2
Tanggal Pemberian
No. Serial No. Batch No. Serial
Vaksinasi
Keterangan
(Ditunda/Tidak Diberikan/Lanjut)
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
PENCATATAN PELAYANA

Provinsi : RIAU
1 P-HQTI84IR 1406051009810002 DELI RIANTO
2 P-HSRKCUQJ 1406156505850002 TITIN RAHAYU
3 1406154110720001 IDA
4 P-ITBMA1I0 1406151505720001 KUSNADI
5 P-J8G85VCV 1406054507750005 ILIS
6 YUSNIMAR
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
Keterangan ***Merek Vaksin

* Pekerjaan dikelompokkan menjadi: A = Sinovac
A = Petugas Medis dan Non Medis di Fasilitas Pelay B = Lainnya (Mohon disebutkan jenis vaksin yang d
B = Petugas pelayanan publik yang berhadapan langsung dengan masyarakat
C = Administrator Pemerintahan
D = Lainnya
E = Tidak Bekerja
Kelompok Umur:
18-30 0
31-45 3
46-59 1
Total 4
Pekerjaan:
A 0
B 0
C 0
D 0
E 0
Total 0
N PELAYANAN VAKSINASI TAHAP II
Jenis
Kelamin
L PELAYAN PUBLIK 39 31-45
P PEDAGANG PASAR 37 31-45
P 0
L MASYARAKAT UMUM 49 46-59
PUBLIK 0
0
0
0
0
0
0
0
0
0
0
kan jenis vaksin yang diterima Puskesmas/Faskes)
Kepesertaan BPJS
BPJS PBI 3
BPJS Non PBI 1
Non Anggota 0
Total 4
Pemberian Dosis
Dosis 1 142
Dosis 2 0
Total 142
Alamat No. Hp
BPJS PBI
DESA KEPENUHAN HULU 082268780035 YA
082284944102
DESA PEKAN TEBIH 081378584118

Pekerjaan
A 0
B 0
C 0
D 0
E 0
Total 0
esertaan BPJS (tulis 'Ya' pada kolom yang
sesuai)
Tanggal Screening
6/10/2021
6/10/2021
6/10/2021
YA 6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
6/10/2021
Dosis I
Nama/Jenis/Merek Vaksin*** Tanggal Pemberian
No. Batch
Vaksinasi
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621
MDV VAKSIN COVID-19 6/10/2021 24003621

Dosis 2
Tanggal Pemberian
No. Serial No. Batch No. Serial
Vaksinasi
Keterangan
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
PENCATATAN PELAYANAN VA
Nama Puskesmas/Fasyankes/P: KEPENUHAN HULU

Provinsi : RIAU
1 Z-0005QUTW 1406154101490001 ISAL
2 Z-00005E8O 1406054107550068 IYAH
3 Z-0005QWHK 1406152611540001 DARMAN
4 Z-0005J6E5 1406150204620003 HARMAINI
5 Z-00005EJ5 1406054107520034 BAHIRAM
6 Z-0005RKXZ 1406155007600001 ALIYEM
7 Q-0001WYV6 1406152202970001 JOHAN EKO PRABOWO
8 Q-000855S6 1406156708700002 ADE ERMA
9 Q-0001GMOD 1406154804750002 ARBI
10 Q-0000EYRP 1406150307830001 RUSTAM
11 Q-000BNPBZ 1406156302720001 EMIS

12 Q-000BPD3W 1406154102880001 SUPINA
13 Q-000BR0CJ 1406057004800001 ERLINA WATI
14 Q-000BOOGW 1406152003810001 ERDIANTO
15 Q-0002FQ7A 1406052711670002 JAGA SIAGIAN
16 Q-0008LAKQ 1406054107780226 ERAWATI
17 Q-00098XDP 1205112104650001 SUTIMAN
18 Q-0008LAMM 1406151112800002 BASRIFAL
19 Q-0002FQ78 1406050101840004 PETRUS ZEBUA
20 Q-000BM7TU 1406154101900003 DESI RENISTA
21 Q-0008LALU 1406086105700002 SRIANI
22 Q-0008LAK1 1209185012750002 RUBIAH
23 Q-00098XE5 1406151007750001 SUKUR MAIS
24 Q-0009KWGH 1406154305900001 JULIA
25 Q-00095P9P 1406157006910002 SUHARTINI
26 Q-000860WZ 1406155608850001 HELMIATI
27 Q-000BRE0Q 1406054801770002 SAMSIANI
28 Q-0008LARC 1406156508820002 ANITA
29 Q-000DJ0HQ 1406154202800001 IGA LINUR
30 Q-000860WT 1406155405920002 ELVI
31 Q-000BMO81 1406151007730002 AMRIZAL
32 Q-0009KWFU 1406054204980001 MONIKA AFRIANTI
33 Q-0008LAKD 1406050806820002 BAHARUDDIN

34 Q-0009898U 1406054602810001 MISNI
35 Q-00098O6O 1406154808720001 MENIK
36 Q-0009KWGE 1406151602730001 ASRI
37 Q-000BS9FS 1406151304770001 MASRIZAL
38 P-PVBDEGWJ 1406050805670001 SYAHBUDIN
39 P-PWUDCGDM 1406151902680002 RANTO SIMANGUNSONG
40 P-Q4MIXRIW 1406156905710001 TIOMIAN SIAGIAN
41 P-Q1ZLNTRT 1406050507700004 MARNALOM MANIK
42 S-360D21F5 1406150107590002 HASAN BASRI
43 P-PSOCGVNK 1406154912790001 HALIMAH
44 P-PSCR67AI 1406150107720001 AGUS SUPRIATNA
45 P-HJ5V45FE 1406151012650001 DAMRI POTI
46 P-Q1SFYJ30 1406070711900003 NEFRI TIAWARMAN
47 P-KOAS59C9 1406154902020001 FITRI RAHAYU
48 P-OFCXZT47 1406050510780002 JEFRIDEN
49 S-BB2F3C83 1406055009810002 FITRIANA
50 P-OFD66TRV 1471080705750021 JAMAAN
51 P-Q3UJ2INA 1406051405750001 PENYUSUNAN
52 P-NILK0MDP 1406152708020001 AIMAN RISQI FATHULLAH
53 P-PQYJHK4Q 1401162301910002 MUH TAJAB
54 P-PRZYOOBI 1406155008780001 MUKARTI
55 P-PSEDWNSW 1406154208990002 GUSTINI.S

56 P-PULMKU6L 1271080405800002 BURHANUDDIN NASUTION
57 Y-0111TROA 1403090609010004 ZULHENDRI DAULAY
58 P-O74WZVWR 1406155208000001 EGA PRATIKA
59 P-GJCYXUGK 1406155403000001 DEVI MUTIA
60 P-PR2N2VLE 1406154809790001 BUDIATI
61 P-Q0FMHE1X 1406150801840001 GIFSON HALOMOAN SITORUS
62 P-Q17TQP3K 1210145001960001 LUSIANA BR TUMORANG
63 P-Q1JFH3BB 1406051904030002 KHARIS FRANSISKO MANIK
64 P-Q2BDWB0J 1406050503710001 SUPANDI
65 P-Q3JUVO0B 1406154606760002 KARNI
66 P-Q44YFP8W 1406151810980001 MIKAEL SIMANGUNSONG
67 P-Q4ZC0PZ5 1219044404900013 ROSTIKARIA IMELDA BR
68 P-M23NP7EP 1406150105880001 JUMIRIN
69 P-PR4OLM0G 1406054404940005 RESKY AFRIANTI
1406155305870001
70 Y-0135Q7OW PUJIATI
71 P-PYFNFTGQ 1406155606810001 MARIA HUSOR PASARIBU
72 P-PW6NVX7J 1403162610990001 MUHAMMAD YUNUS
73 P-PTJK9IQB 1406156505010001 AFNI WULANDARI
74 P-MTLT8YH9 1406151610680001 ABUZAR
75 P-NLYE0BSY 1406151904720001 KASMIN
76 P-PYREEQDJ 1205114311720002 KUSMIATI
77 P-PWWC6KIJ 1406052109720002 HENDRA PARDEDE

78 P-Q1NZAT2L 1406057004730001 ROSTIANNA MANURUNG
79 P-Q2XYV9LM 1406152012790001 SISWANTO
80 P-Q4EWTDZL 1406151212720002 A. GANI
81 P-Q4U5NKF3 1406154107750011 ARTISAH
82 P-NAYAYXYZ 1406151101790001 ABDUL MUIS
83 P-PRJZT7IW 1406152808730001 ABDUL RAHMAN
84 P-PWIJHQPK 1406156311690001 KARTINI
85 S-5D9F7206 1406050107550085 SAKIMIN
86 P-PV07HQ42 1406055008730001 ERNA

N PELAYANAN VAKSINASI
Jenis
Kelamin
P LANSIA 72 0
P LANSIA 65 0
L LANSIA 66 0
L LANSIA 59 46-59
P LANSIA 68 0
P LANSIA 60 0
P MASYARAKAT RENTAN 50 46-59
P MASYARAKAT UMUM 48 46-59

L MASYARAKAT RENTAN 53 46-59
P PELAYANAN PUBLIK 42 31-45
L TOKOH AGAMA 56 46-59
L PEDAGANG PASAR 40 31-45
P PEDAGANG 41 31-45
L TRANSPORTASI PUBLIK 47 46-59
P PELAYAN PUBLIK 23 18-30
L PERANGKAT DESA 39 31-45

L PELAYANAN PUBLIK 48 46-59
L PRA LANSIA 54 46-59
P PRA LANSIA 50 46-59
L LANSIA 62 0
L PEGAWAI PEMERINTAH 55 46-59
L GURU SD 006 46 46-59


L LANSIA 66 0

Kepesertaan BPJS (tulis 'Ya' pada
kolom yang sesuai)
Alamat No. Hp
BPJS PBI
PEKAN TEBIH 082284084684
PEKAN TEBIH 085364541112 YA
KEPENUHAN JAYA 082272823641

KEPAYANG 081267348029
KEPAYANG 085375857929 YA
KEPAYANG 082384971929

DESA KEPAYANG 082288933013
DUSUN III DESA KEPAYANG 081371592565
KEPAYANG 081276851572
KEPENUHAN HULU 082286722798
KEPENUHAN HULU 082387046885 YA
KEPAYANG 082268590526

BULUH MANIS BATHIN SOLAPAN 085375591846
DFESA KEPENUHAN JAYA 082294662257
DESA KEPENUHAN JAYA 085271149200
DUSUN II SUKA DAMAI DESA KEPAYANG 082283579152
KEPAYANG 081268528352
RANGAU 082389345569
KEPAYANG 082268628592
KEPAYANG 081276851572
epesertaan BPJS (tulis 'Ya' pada
Dosis I
kolom yang sesuai)
BPJS Non Non Tanggal Screening Tanggal Pemberian
PBI Anggota Vaksinasi
YA 6/29/2021 6/29/2021
YA 6/3/2021 6/3/2021
YA 6/29/2021 6/29/2021
YA 6/26/2021 6/26/2021
6/3/2021 6/3/2021
YA 6/29/2021 6/29/2021
YA 6/10/2021 6/10/2021
YA 6/26/2021 6/26/2021
YA 6/8/2021 6/8/2021
YA 6/3/2021 6/3/2021
YA 7/6/2021 7/6/2021
YA 7/6/2021 7/6/2021
YA 7/6/2021 7/6/2021
YA 7/6/2021 7/6/2021
YA 6/14/2021 6/14/2021
YA 6/26/2021 6/26/2021
YA 6/29/2021 6/29/2021
6/26/2021 6/26/2021
YA 6/14/2021 6/14/2021
YA 7/6/2021 7/6/2021
YA 6/26/2021 6/26/2021
YA 6/26/2021 6/26/2021
YA 6/29/2021 6/29/2021
YA 6/29/2021 6/29/2021
YA 6/26/2021 6/26/2021
YA 6/26/2021 6/26/2021
YA 7/6/2021 7/6/2021
YA 6/26/2021 6/26/2021
YA 7/13/2021 7/13/2021
6/26/2021 6/26/2021
YA 7/6/2021 7/6/2021
YA 6/29/2021 6/29/2021
YA 6/26/2021 6/26/2021
YA 6/29/2021 6/29/2021
YA 6/29/2021 6/29/2021
YA 6/29/2021 6/29/2021
YA 7/6/2021 7/6/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
9/2/2021 9/2/2021
9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 6/10/2021
YA 9/2/2021 6/10/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021
9/2/2021
Dosis 2
Keterangan
Tanggal Pemberian (Ditunda/Tidak Diberikan/Lanjut)
Vaksinasi
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
9/2/2021 TUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
TUNDA (HT)
TUNDA (HT)
Nama Puskesmas/Fasyankes/P: KEPENUHAN HULU

Provinsi : RIAU
1 1406054308930001 AYU
Q-000DJ11F
2 Q-0001GV0T 1406042701830001 GUSLAN
3 Q-0001WCGH 1407085707920007 RIZKY FADILAH
4 Q-0001WE8J 1406154106810001 ELIANI
5 Q-0001VFHB 1406154402790001 ELI SABET SITI SOLEHA
6 Q-000JKCX1 1406151003690001 AFRIZAL
7 Q-000JK2AY 1406054107710107 ERNAWATI
8 Q-0002G63C 1406154712810001 KUS SUPRIYATI
9 Z-0000JX7D 1406051708780004 ALI ROSIDI

10 Q-0008LAOY 1406154807650001 DUMA SARI
11 Q-0009KWGW 1406155010900002 ERMANITA
12 Q-0008LAQZ 1406156304940002 SRI RIYANI
13 Q-0008LANT 1406154203890001 TINAH LESTARI
14 Q-0009KWFQ 1406051806990002 YULFI FADLI
30 Q-000A6BY2 1406056806660001 YUNIARTI
31 Q-000EP66C 1406154708870001 SUSI WULANDARI
18 Z-0005LVHH 1406055011600001 PUJIATI
17 Z-00060C98 1406052512550001 SUTANTO
58 Q-0001WRI5 1223050408900004 TULUS ARIANTO
59 Q-0001WRIB 1223054703940003 FITRI HARIATI
60 Q-0001W77V 1406152404850002 CECEP HERI
61 Q-0001W89R 1406155402880002 SUMARNI
62 Q-000AEROO 1406054203020002 DIAH WANTI
76 Q-0001GMNZ 1406154510910001 MUNARLI
15 P-LDZMIPUI 1406051003700005 ROBERT PASARIBU
16 P-LMGLY8DW 1406050202660003 SUPRIYADI
19 S-7EF24506 1406154103560001 ASNAH
20 S-0BC8EE48 1406054107500040 ASIAH
21 S-6592E38D 1406154111550001 UTAD
1406154107580011
22 S-5FEE27FF NURJANAH
23 Y-0135PGPC 1406054511970001 RIADUL AZIMAH

24 S-F1AE8ADF 1406150408890001 HABIBI
25 P-4UJCOG4Q 1406156207960001 SAFITRI
26 P-KSJGNHS7 1406155202720001 KOMALA DEWI
27 P-KSCRTXOA 1406086004690003 SUWARNI
28 P-LAKYY62J 1406054707730003 TIOMAN BR MANULANG
29 Y-0135QKFB 1406154306820001 ELIS
32 P-I5O9P2X3 1406054810720001 ROSMINA DORMAWATI BUTAR-BUT
33 S-0EE6807A 1406155408950001 RINI MULIANI
34 P-L7FSSGSC 1401065606960006 YUNIDAR MUIS
35 P-BWCT4KT1 1406152505740001 JUMIRIN
36 P-DGBE8INN 1406151002820002 MURTIYOSO
37 P-E14ABOJZ 1406056111870001 GIATIK
38 P-EYBARKHP 1406155207740001 ENITA BR MANULLANG
39 P-IZ9CYOSQ 1406054112030002 ABIGAIL CAHAYA KASIH
40 P-9BUSMRZZ 1406151604740002 WARJONO
41 P-KCQ0SS27 1406151402770001 MUHAMMAD AFIK
42 P-KXP12EYG 1406041512870002 ERWIN NASUTION
43 P-LQ0MIAKE 1406052912010003 MUHAMMAD IQBAL HADI
44 P-M0W6LSUB 1219043009870001 RENHARD NARDO MANURUNG
45 P-LNBTORMF 1406052605870001 THOMAS GINTING
46 P-MWCGVI0P 1406056908040002 KUNI NASHATI ALMAS
47 P-NQTKNED6 1406046310870001 HANNA KAMILAN

48 P-O9UODN3N 1406050903910004 MUHAMMAD FADHLI
49 P-FKU0EFFK 1406152212760002 GINONGGOM LUMBAN TOBING
50 P-GK4LIXOY 1406056105980002 NOVITA SARI SIMBOLON
51 P-HS6CGRM9 1406055307830003 SUKMAWATI
52 P-E8W4SAFS 1401066209780002 JASWATY
53 P-K8OD8PGT 1406054211690001 JAMILAH
54 P-KDRCF95L 1405094706940003 KHUMAIROH
55 P-KG4N2KKY 1406054807000003 TRI KUMALA DEWI
56 P-KL5OVSQS 1213061907840005 MUHAMMAD ZULFITRI AMIN NST
57 P-KOARK3TG 1406153105960001 ADE RIAWAN NATA SAPUTRA
63 P-CQJDVC4Z 1406156404970001 IRENE KRISTIANI
64 P-K902YY5S 1406056503030006 RAISHA WARDHANI
65 P-K2CWB00I 1406154702840001 SUPRIYATI
66 P-L2VZ0EJW 1406046307880002 JULIAH
67 P-MI5X3P4E 1406156511020001 ANDHANI PUTRI AFRIANA
68 P-OVMXSUZO 1471100112930002 MHD. ASFARI
69 P-LPEL0W83 1406156110880001 HENNI ARNOVA TARIGAN
70 P-3NHDYB6Z 1406154512710001 ENDANG SUSILOWATI
71 P-D1MJRPWU 1406156101770001 SARMINI RAHAYU
72 P-G256QHKQ 1406151105750001 KHOLIK
73 P-KDM6SPWL 1406050904790002 EDI SUKIRAN
74 P-LH6Q2SAJ 1406154503710001 BINTI MAHMUDAH

75 P-G8XMD9T1 1406050211710001 SAHAT SIMBOLON
77 P-AFRMZUN9 1406154107620004 SIWAN
78 P-L2RBO0BE 1406155005990001 ADE

Jenis
Kelamin
L PERANGKAT DESA 42 31-45

P KADER 27 18-30
P KADER 32 31-45
P LANSIA 61 0
L LANSIA 66 0
L PRA-LANSIA 51 46-59
L PRA-LANSIA 55 46-59
P LANSIA 65 0
P LANSIA 61 0
P LANSIA 65 0
P LANSIA 63 0
P GURU 01 23 46-59
P MASYARAKAT UMUM 17 0

P MASYARKAT UMUM 18 18-30

P PRA LANSIA 59 46-59

Kepesertaan BPJS (tulis 'Ya' pada kolom ya
sesuai)
Alamat No. Hp
BPJS PBI BPJS Non PBI
DESA KEPENUHAN JAYA 082284464857 YA
DESA PEKAN TEBIH 085363751538 YA
DESA PEKAN TEBIIH 085264450151 YA
DESA KEPAYANG 082268472844 YA

MUARA JAYA 082298748234 YA
KEPENUHAN JAYA 085363824525 YA
DESA MUARA JAYA 082387820445
KOTA TENGAH 082288384186 YA

DUSUN II DESA KEPAYANG 081311779375
RAMBAH HILIR 082171087537 YA
MUARA JAYA 085220781153
MUARA JAYA 081261367933
MUARA JAYA 082268258422

KOTA TENGAH 082288332005
DUSUN III DESA KEPAYANG 081267884514 YA
DUSUN II DESA KEPAYANG 082268472844 YA
MUARA JAYA 082218112136
MUARA JAYA 082284803829
MUARA JAYA 085279564434
MUARA JAYA 085263420883


is 'Ya' pada kolom yang
Dosis I Dosis 2
suai)
Tanggal Screening Tanggal Pemberian Tanggal Pemberian

Non Anggota
Vaksinasi Vaksinasi
7/13/2021 7/13/2021 9/7/2021
YA 6/8/2021 6/8/2021 9/7/2021
YA 6/10/2021 6/10/2021 9/7/2021
6/10/2021 6/10/2021 9/7/2021
YA 6/10/2021 6/10/2021 9/7/2021
7/27/2021 7/27/2021 9/7/2021
6/3/2021 6/3/2021 9/7/2021
6/14/2021 6/14/2021 9/7/2021
6/14/2021 6/14/2021 9/7/2021

YA 6/26/2021 6/26/2021 9/7/2021
YA 6/29/2021 6/29/2021 9/7/2021
YA 6/26/2021 6/26/2021 9/7/2021
YA 6/26/2021 6/26/2021 9/7/2021
6/29/2021 6/29/2021 9/7/2021
7/1/2021 7/1/2021 9/7/2021
YA 7/15/2021 7/15/2021 9/7/2021
6/26/2021 6/26/2021 9/7/2021
7/1/2021 7/1/2021 9/7/2021
YA 6/10/2021 6/10/2021 9/7/2021
YA 6/10/2021 6/10/2021 9/7/2021
6/10/2021 6/10/2021 9/7/2021
6/10/2021 6/10/2021 9/7/2021
7/1/2021 7/1/2021 9/7/2021
YA 6/8/2021 6/8/2021 9/7/2021
9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
9/7/2021 9/7/2021
9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
9/7/2021 9/7/2021
9/7/2021 9/7/2021
9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
9/7/2021 9/7/2021
9/7/2021 9/7/2021
9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
9/7/2021 9/7/2021
9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
9/7/2021 9/7/2021
9/7/2021 9/7/2021
9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
9/7/2021 9/7/2021
9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
9/7/2021 9/7/2021
9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
9/7/2021 9/7/2021
9/7/2021 9/7/2021
9/7/2021 9/7/2021
9/7/2021
9/7/2021
Keterangan
(Ditunda/Tidak
Diberikan/Lanjut)
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
TUNDA (HIPERTENSI)
TUNDA (HIPERTENSI)
Nama Puskesmas/Fasyankes/Pos
Kabupaten/Kota
Provinsi
No No. Tiket NIK
1 Z-0000E4MH 1406152703530001
2 Z-0000J0YR 1406154506600001
3 Z-0000AAR8 1406054107580157
4 Z-0000AV3N 1208070907540001
5 Z-00009VI6 1406156506590001
6 Q-000DJBGQ 1407052407720004
7 Q-000DODPL 1407055012740001
8 Q-0008LAR6 1406156505850002
9 Q-00099S58 1406050202700001
10 Q-000DIXAR 1406054107830223
11 Q-0000FBLI 1406154107830002
12 Q-0008LAKH 1406051009810002
13 Q-000AGVEF 1406156710010002
14 Q-0008LAN6 1406151409790002
15 Q-0009KWG9 1406150602880001
16 Z-0000APFI 2101100303670001
17 Q-000JNU00 1471092307760041
18 Q-000JNV9Y 1406101107900004
19 Q-0008LABV 1406156707820001
20 Q-000BNHO5 1406151009880001
21 Q-0001GQAY 1406056509810003
22 Q-0001GBH7 2101104807770002
23 Q-000ETTJM 1406151310760001
24 Q-000D7175 1406155003000002
25 Q-000DODXR 1407055607960001
26 Q-000DOEHM 1407051008990001
27 Z-0007RN0E 1406150706720001
28 Q-0008LGM5 1509032001840002
29 Q-0001G8HY 1406155512880002
30 Q-000DOD9W 1406154208680001
31 Q-0008LAOD 1406154502650001
32 Q-0001GY5B 1406154302650001
33 P-RPCED117 1407056910050006
34 P-RO51IJCY 1406152004040001
35 P-R7CG0XBO 1406156109040001
36 S-3A8E5F21 1406054203600001
37 P-RP57LRGN 1406151207640001
38 P-RPFOVOV4 1406151111650004
39 P-O1MEIQCZ 1406074103780004
40 P-RGCQFW42 1207315211860001
41 P-RKHSHANC 1406155207830001
42 P-RJJT6NI8 1406154910800001
43 P-RL7MGLSZ 1406156612850001
44 P-RJXD3I8I 1406051501730001
45 P-ROEO0PUR 1103054206880001
46 P-OTAWMHNY 1406054107770121
47 P-Q7JO9ABX 1406156006800001
48 P-RI8YRWM5 1406056704810001
49 P-RFN3AGS8 1271074310920002
50 P-RA16GOME 1223016003810008
51 P-RJBYBQCCQ 1208236602910004
52 P-REWKUO5U 1406155602870002
53 S-D3991E03 1406050305680004
54 P-RGKXQLMV 1406156610870001
55 P-RJ4YKJZD 1406154601970001
56 Y-0111LQYT 1403092504916707
57 P-R7OVMVT0 1406050709780003
58 P-GRMNR8FG 1871131306670001
59 P-NH7LD2R5 1406154608680002
60 Y-0111AQ8P 1403092207690005
61 P-R8V22J0P 1406051212650001
62 P-RO9X388L 1406051008690007
63 P-ROSK4KEV 1403095407690001
64 P-RK0M34T1 1406156010700001
65 P-LH0KHM9N 1406152101710001
66 P-HH45990V 1406081808900001
67 S-1AF9D417 1406150807890001
68 P-MIMNKIYP 1406056708990002
69 P-R7PS5IR3 1201194808880002
70 P-R9JZL1GJ 1207235012930002
71 P-RA4BQQYF 1204015909840005
72 P-RAHQXAMT 1271037112870010
73 P-RBDLPSVA 1406152212870001
74 P-RCZA3GA1 1406151909880001
75 P-RERK9L9E 1406154903780001
76 P-RFASEWZO 1220032802950001
77 P-RFRAWNX2 1406151610850002
78 P-RG2KVGRR 1406054404830006
79 P-RB43Q0M6 1278011002800001
80 P-RH5QCU1Z 1207232805860004
81 P-RHJEX7SH 1406155712820002
82 P-RISLPQ6P 1406155703830002
83 P-RJ9QOOJU 1272061404840009
84 P-RJEKPNI1 1406151201830001
85 P-RJOKCQST 5302080101930002
86 P-RK6DVTSF 1406150512910002
87 P-RKLTSYDI 1406150512950001
88 P-RKZ4GARO 1406155812980001
89 P-RNYXVTQL 1406150806810001
90 P-RO3V1K14 1406151204940001
91 P-ROIJOQZN 1406156511000001
92 S-015A8ED5 1403094508940002
93 P-RP60NO25 1406150101850007
94 P-RQ2UGJ93 1406031111910005
95 P-RQODXCCE 1208032111830003
96 P-CR329LT3 1406150204980001
97 P-F5JZ0AZF 1406150409830001
98 P-PGZ5EPQH 1406151005830001
99 P-R4OYZ4LY 1406151304790001
100 P-R8BJNU7O 1201191506890002
101 P-R8WWAW2D 1209180501810001
102 P-RCJB64MS 1406056412860003
103 P-RCXZ9NPP 1208080604960002
104 P-RDCLNUWZ 1406152204990001
105 P-RDQRLQ7Z 1406050503980004
106 P-RE0IF9NN 1406051402980004
107 P-RED0FCRT 1403092804830006

108 P-REQG2QVT 1406152707820002
109 P-RF0BWTFT 1406094305920010
110 P-RFCH6F6N 1406151111770002
111 P-RG8Z16U3 1406151705870002
112 P-RGPAQE42 1406151107030001
113 P-RH606P8B 1210022011990003
114 P-RHEIWFKI 1406154609880003
115 P-RHNTQ6FU 1406154102810002
116 P-RHXMSO4N 1406150307800003
117 P-RIEOGZSZ 1406151212760003
118 P-RIKTKG3O 1406152810740001
119 P-RIR8HH7I 1406151707760001
120 P-RIWU6CRL 1406151511780001
121 P-RJ2HZB0D 1406055712890002
122 P-RJBOGNTV 1208097110880002
123 P-RJG6W4W6 1406155507760002
124 P-RJLADCUT 1222031105900004
125 P-RJP5NV7L 1225015703980001
126 P-RJSXB0QF 1225012310970001
127 P-RJX6ACCO 1406056109790002
128 P-RK4LEAQ7 1406152808870001
129 P-RKAHRGFU 1406155004950001
130 P-RKDUL3JW 1406152611780001
131 P-RKI8XR4T 1406156501800002

132 P-RL0PTSV8 1401121209790007
133 P-RL6CKNOW 1406156503870001
134 P-RNRZF3OT 1406112812910004
135 P-RNXDG7BP 1406155803030002
136 P-RO2JGFXZ 1406154307890001
137 P-ROE9N7N3 1209205912910001
138 P-ROHZHCBJ 1406156906000002
139 P-ROLI86O4 1406152006000002
140 P-ROONYVG6 1403096312990005
141 P-ROX5IWN6 1406156508030002
142 P-RP1YFEI0 1208176206940001
143 P-RPM9TNG8 1406054107800172
144 P-RQBY1U5U 1406150604990001
145 P-IKZRA1R9 1312041602950003
146 P-K2ZCAP6L 1406054310970001
147 P-NA7LHECV 1406056610740001
148 P-N1PYLAX2 1406055204020007
149 P-O403895X 1406052311720003
150 P-QSO7LUB8 1406050101770012
151 P-R9RTUJZQ 1214030508820004
152 P-RAB4ZGB8 1223012404790007
153 P-RARQ0EFO 1406050508770003
154 P-RFHLQFCS 1406050107880106
155 P-RFNMF99V 1406154407970001

156 P-RFTCDEVQ 1406156712020001
157 P-RG0Z770B 1406156901880002
158 P-RG9WHY8O 1406050606790003
159 P-RILFDI3X 1406155708030001
160 P-RIX6FF0D 1406150101810004
161 P-RJJI4OD3K 1406156709970001
162 P-RK7R0NP6 1406040511010004
163 P-RKQKCEIV 1406154701710001
164 P-RKTQVRC0 1406154612990001
165 P-HYQMPMIQ 1401125608810005
166 P-ROCHA5Z4 1406155303910001
167 P-ROGLV9UP 1406152502880001
168 P-ROMTLYWM 1406151511770004
169 P-RORNRVRQ 1406152811980002
170 P-ROTGNQPV 1406054504870002
171 P-ROXIYYVV3 1406050502820003
172 P-RP4CEVYJ 1406151012880001
173 P-RCDA7MEU 1406041103890003
174 P-RJOEY4H7 1406155508000001
175 P-RQQSBUQH 1406150202960002
176 P-RBVZNL9O 1406155608830001
177 P-RIBNC9QP 1406155510780002
178 S-3026CADE 1406031002590001
179 P-RKHFVLRB 1406031001680002

180 P-RIXDBZ7S 1406156003800001
181 P-RKAY8VHJ 1406151508790002
182 P-R9M9U1EW 1406152605750001
183 P-RFXOOBHI 1406052207820003
1471121002770001
184 P-2CKNB75G
PENCATATAN PELAYANAN VAKSINASI
: KEPENUHAN HULU
: ROKAN HULU
: RIAU
Jenis
Nama Penerima Vaksin Pekerjaan*
Kelamin
A.JUMIRIN L LANSIA
NURAINI BR BUTAR-BUTAR P LANSIA
UNDAD P LANSIA
RAMLI KOTO L LANSIA
HAMDAH P LANSIA
YUDI HERMAWAN L PEDAGANG PASAR
RUSMAWATI P PEDAGANG PASAR
TITIN RAHAYU P PEDAGANG PASAR
MISDI L PEDAGANG PASAR
AMINAH P PEDAGANG PASAR
RATNA WATI P PELAYAN PUBLIK

DELI RIANTO L PELAYAN PUBLIK
DINA KHOIRIN ALHIDAYAH P PELAYAN PUBLIK
JOKO SISWANTO L PELAYAN PUBLIK
ALIAS FIKAL L PELAYAN PUBLIK
SYAMSURIZALD L PELAYAN PUBLIK
MUHAMMAD YUSUF L PELAYAN PUBLIK
SUPRIYANTO L PELAYAN PUBLIK
ERMA YUNI P PKK
DEDI SETIAWAN L MASYARAKAT UMUM
MARIANI P MASYARAKAT UMUM
DARMINA P MASYARAKAT UMUM
ABDUL KORI L MASYARAKAT UMUM
SRI RAHAYU P MASYARAKAT UMUM
RENICA NURHERMAWATI P MASYARAKAT UMUM
DWI JASWENDI HERMAWAN L MASYARAKAT UMUM
KEDUT MISWANTO L MASYARAKAT UMUM
YUDI ANSRI L MASYARAKAT UMUM
RAHMA YULIS P MASYARAKAT RENTAN
SURIATI P MASYARAKAT RENTAN
SUPIYATI P MASYARAKAT RENTAN
SARUNI P MASYARAKAT RENTAN
TRI CREYOLA HERMAWATI P REMAJA
RANGGA SADTRIO L REMAJA
NASYWA SALSABILA P REMAJA

HALIMAH P LANSIA
ABU LISIN L PRA-LANSIA
MUSTOFA L PRA-LANSIA
RAHMAWATI P PEDAGANG PASAR
SURYANI SILANGIT P PEDAGANG PASAR
LAILA FITRI P PEDAGANG PASAR
TURIYEM P PEDAGANG PASAR
LIDIA NATALIA HUTAGALUNG P PEDAGANG PASAR
NITHANEL TEFLOPO L PEDAGANG PASAR
SRI WAHYUNI P PEDAGANG PASAR
EPI RIDAWATI P PEDAGANG PASAR
MERISA HALAWA P PEDAGANG PASAR
SUJARWATI P PEDAGANG PASAR
OCTAVIANTY BR BUKIT P PEDAGANG PASAR
HERLINA PASARIBU P PEDAGANG PASAR
SARI PEBRELA TAMBUNAN P PEDAGANG PASAR
RUSMAYANTI P PEDAGANG PASAR
DAHLIUS L PELAYANAN PUBLIK
YURIANI NDURU P PELAYANAN PUBLIK
MIRNA WATI P PELAYANAN PUBLIK
Jefri Wandi L PELAYAN PUBLIK
ARNON FRANSISKA L TOKOH AGAMA
JANCE MAATITAWAER L TOKOH AGAMA
TIANUR BR PASARIBU P MASYARAKAT RENTAN

SYAFRIL L MASYARAKAT RENTAN
AMRAN L MASYARAKAT RENTAN
PONIRIN L MASYARAKAT RENTAN
SURIATI P MASYARAKAT RENTAN
SITI HALIMAH P MASYARAKAT RENTAN
MIRA KHAIRULZA L MASYARAKAT RENTAN
REKIAN PUTRA L MASYARAKAT UMUM
DAMRIZAL L MASYARAKAT UMUM
SRI HARTATI P MASYARAKAT UMUM
ROSMELINDA HALAWA P MASYARAKAT UMUM
DESINTA RAKNA SARI P MASYARAKAT UMUM
TIMERIA HALAWA P MASYARAKAT UMUM
RINA DORNAWAN BR TAMBUNAN P MASYARAKAT UMUM
SOLIKIN L MASYARAKAT UMUM
PAROLOAN TINAMBUNAN L MASYARAKAT UMUM
MELIANI ZEBUA P MASYARAKAT UMUM
RESTU ROMADON L MASYARAKAT UMUM
EVEREDI PERANGIN-ANGIN L MASYARAKAT UMUM
SITILINA BULO P MASYARAKAT UMUM
DAHAZISOKHI BU'ULOLO L MASYARAKAT UMUM
FRANKY VAN HOVEN L MASYARAKAT UMUM
SUDESTI SEMBIRING P MASYARAKAT UMUM
KHUSNUL GHONIMAH P MASYARAKAT UMUM
KURNIADI L MASYARAKAT UMUM

JIMRAN AMROSIUS TUALAKA L MASYARAKAT UMUM
JEMINIUS MISSA L MASYARAKAT UMUM
HABALIUS LAIA L MASYARAKAT UMUM
NANDA AJUAN L MASYARAKAT UMUM
DWI LESTARI P MASYARAKAT UMUM
SIMUTIR WARUWU L MASYARAKAT UMUM
MUHAMMAD RIDWAN L MASYARAKAT UMUM
NOVA SAPUTRI P MASYARAKAT UMUM
JUMIATI P MASYARAKAT UMUM
PERI GULO L MASYARAKAT UMUM
BENI SAPUTRA L MASYARAKAT UMUM
TEGUH ABDI NOVIANTO L MASYARAKAT UMUM
L MASYARAKAT UMUM
LUKMAN HENDRI L MASYARAKAT UMUM
JAMAL AKHMAD L MASYARAKAT UMUM
SYAMSUDDIN L MASYARAKAT UMUM
YAMONAHA WARUWU L MASYARAKAT UMUM
LARDI EFENDI L MASYARAKAT UMUM
SESI HIDAYATI P MASYARAKAT UMUM
BUDIONO L MASYARAKAT UMUM
ZULKARNAINI L MSYARAKAT UMUM
ROIDO NAUFAL HAMMAMI L MASYARAKAT UMUM
MAHADER MUHAMMAD L MASYARAKAT UMUM
ZUPRI RIZAL PANGGABEAN L MASYARAKAT UMUM

DARUN L MASYARAKAT UMUM
MELIBA LAIA P MASYARAKAT UMUM
YUSMAN LAOLI L MASYARAKAT UMUM
TOFILUS MAIMA L MASYARAKAT UMUM
DIAN HANDIKA L MASYARAKAT UMUM
FIRMAN NDURU L MASYARAKAT UMUM
SUHERMI P MASYARAKAT UMUM
MULIANI P MASYARAKAT UMUM
BAMBANG SISWANDI L MASYARAKAT UMUM
LEGIADI L MASYARAKAT UMUM
BAKHTIAR NDURU L MASYARAKAT UMUM
GUNTORO EFENDI L MASYARAKAT UMUM
FOGAMEMBEWE LAIA L MASYARAKAT UMUM
SUDINA HALAWA P MASYARAKAT UMUM
LESTARI L MASYARAKAT UMUM
YULIANTI ROSI.NST P MASYARAKAT UMUM
RUSMAN L MASYARAKAT UMUM
NUTIA HATI LAIA P MASYARAKAT UMUM
SAFERIAMAN LAIA P MASYARAKAT UMUM
MARIA KRISTINA MONA P MASYARAKAT UMUM
CLEVER BOY MANIHURUK L MASYARAKAT UMUM
ERNA FRIDA TAMPUBOLON P MASYARAKAT UMUM
NIRPAN SUHERI L MASYARAKAT UMUM
SITI KUSUMA P MASYARAKAT UMUM

SIHOL SINAGA L MASYARAKAT UMUM
JERNI SITORUS P MASYARAKAT UMUM
MUHAMMAD TAUFIQ L MASYARAKAT UMUM
ALFIRA KURNIATI L MASYARAKAT UMUM
IBENA NDURU P MASYARAKAT UMUM
LENNY KRISTINA BR PURBA P MASYARAKAT UMUM
NUR FERTIKA RAHAYU P MASYARAKAT UMUM
HARI SETIAWAN SARAGIH L MASYARAKAT UMUM
RAMA DANITA P MASYARAKAT UMUM
NURAISAH AMINI P MASYARAKAT UMUM
PINARSIH P MASYARAKAT UMUM
INOR P MASYARAKAT UMUM
AFRIZAL L MASYARAKAT UMUM
RIO ZALDI L MASYARAKAT UMUM
DESI OKTRIATI P MASYARAKAT UMUM
TELLI L MASYARAKAT UMUM
SONIA AFRIANI P MASYARAKAT UMUM
RUSTAM L MASYARAKAT UMUM
ASHADI L MASYARAKAT UMUM
RATALI LAIA P MASYARAKAT UMUM
FREDY SIMAJUNTAK L MASYARAKAT UMUM
MUKHLIS L MASYARAKAT UMUM
SUKAR L MASYARAKAT UMUM
AYU PITASARI P MASYARAKAT UMUM

AFRINA SARI P MASYARAKAT UMUM
AYU KENDAR WATI P MASYARAKAT UMUM
VICTOR ELI HALAWA L MASYARAKAT UMUM
RATU ADILLA ISLAMIA P MASYARAKAT UMUM
BONAR L MASYARAKAT UMUM
HARLI ASTUTI P MASYARAKAT UMUM
ORUDUGE LAIA L MASYARAKAT UMUM
CANTET P MASYARAKAT UMUM
DESI ULYA P MASYARAKAT UMUM
ELLY NORA BR SARAGIH P MASYARAKAT UMUM
RUBIAH P MASYARAKAT UMUM
SYAHRIZAL L MASYARAKAT UMUM
SUYADI L MASYARAKAT UMUM
GILANG SURYADANA Z L MASYARAKAT UMUM
SRI HUDAYANTI P MASYARAKAT UMUM
JONI ADRI L MASYARAKAT UMUM
SAHRIL L MASYARAKAT UMUM
SANDRA KAPANDO L MASYARAKAT UMUM
WINDI SRI P MASYARAKAT UMUM
RICKO ADE PUTRA L MASYARAKAT UMUM
NURLINCE HUTAURUK P PEDAGANG PASAR
SRI WIYANTI P PEDAGANG PASAR
ERKAT.S L PELAYANAN PUBLIK
SYAMSUL AKMAL L MASYARAKAT RENTAN

RATINA HALAWA P MASYARAKAT UMUM
RELIUS L MASYARAKAT UMUM
OBET FUFU L MASYARAKAT UMUM
PENGHIBUR SARUMAHA L MASYARAKAT UMUM
SYAFRIAL L MASYARAKAT UMUM

Umur Kelompok Umur Alamat
68 0 KEPENUHAN JAYA
61 0 KEPAYANG
0 DESA KEPENUHAN HULU
0 DESA PEKAN TEBIH
62 0 DESA KEPENUHAN HULU
48 46-59 KEPENUHAN JAYA
37 31-45 DESA KEPENUHAN HULU
51 46-59 PEKAN TEBIH
38 31-45 KEPENUHAN HULU

19 18-30 DESA MUARA JAYA
37 31-45 TEBO TENGAH
15 0 KEPENUHAN JAYA
17 0 DESA KEPENUHAN HULU
16 0 KEPENUHAN HULU
61 0 KUBU BARU KEPENUHAN
57 46-59 KEENUHAN HULU
43 31-45 KEPAYANG
34 31-45 KEPAYANG
38 31-45 KEPAYANG
35 31-45 KEPAYANG
48 46-59 KEPAYANG
33 31-45 KEPAYANG
41 31-45 KEPAYANG
40 31-45 KEPAYANG
28 18-30 KEPAYANG
40 31-45 KEPAYANG
30 18-30 DESA KEPAYANG
24 18-30 DESA KEPENUHAN HUL
42 31-45 KEPAYANG
54 46-59 KEPAYANG
53 46-59 KEPAYANG
52 46-59 JL RANGAU KM 14
53 46-59 KEPAYANG
22 18-30 KEPAYANG
33 31-45 KEPAYANG
27 18-30 KEPAYANG
36 31-45 KEPAYANG
33 31-45 KEPAYANG
33 31-45 KEPAYANG
32 31-45 KEPAYANG
43 31-45 KEPAYANG
26 18-30 KEPAYANG
35 31-45 KEPAYANG
38 31-45 KEPAYANG
41 31-45 KEPAYANG
35 31-45 KEPAYANG
38 31-45 KEPAYANG
38 31-45 KEPAYANG
37 31-45 KEPAYANG
38 31-45 KEPAYANG
30 18-30 KEPAYANG
29 18-30 KEPAYANG
25 18-30 MUARA JAYA
40 31-45 KEPAYANG
20 18-30 MUARA JAYA
36 31-45 KEPAYANG
37 31-45 KEPAYANG
42 31-45 KEPAYANG
33 31-45 KEPAYANG
40 31-45 KEPAYANG

40 31-45 KEPAYANG
29 18-30 KEPAYANG
43 31-45 KEPAYANG
34 31-45 KEPAYANG
18 18-30 KEPAYANG
22 18-30 KEPAYANG
32 31-45 KEPAYANG
40 31-45 KEPAYANG
41 31-45 KEPAYANG
44 31-45 KEPAYANG
46 46-59 KEPAYANG
45 31-45 KEPAYANG
42 31-45 KEPAYANG
32 31-45 KEPAYANG
32 31-45 KEPAYANG
45 31-45 KEPAYANG
31 31-45 KEPAYANG
23 18-30 KEPAYANG
23 18-30 KEPAYANG
42 31-45 KEPAYANG
34 31-45 KEPAYANG
26 18-30 KEPAYANG
42 31-45 KEPAYANG
41 31-45 KEPAYANG
42 31-45 KEPAYANG
34 31-45 KEPAYANG
30 18-30 KEPAYANG
32 31-45 KEPAYANG
30 18-30 KEPAYANG
21 18-30 MUARA JAYA
21 18-30 MUARA JAYA
21 18-30 JLN RANGAU KM 14
27 18-30 KEPAYANG
19 18-30 KUBU BARU KEPENUHAN
82 0 DESA KEPAYANG
33 31-45 DESA PEKAN TEBIH

38 31-45 KEPAYANG
62 0 PASIR PENGARAIAN
53 46-59 PASIR PENGARAIAN

41 31-45 KEPAYANG
42 31-45 KEPAYANG
46 46-59 KEPAYANG
39 31-45 KEPAYANG
44 31-45 PEKANBARU
Kepesertaan BPJS (tulis 'Ya' pada kolom yang
sesuai)
No. Hp
BPJS PBI BPJS Non PBI Non Anggota
085368454183 YA
081378516341 YA
085210331740 YA
081372330073 YA
085210331740 YA
082283222666 YA
082283222666 YA
082249325467 YA
082383585447 YA
081372982978 YA
081350687105 YA
082268780035 YA
082286601451 YA
082288562777 YA
082387758589 YA
085767271277 YA
081371384110 YA
082115072900 YA
082268411745 YA
081276806560 YA
082285294690 YA
085767271277 YA
085263388747 YA
085834387061 YA
082283222666 YA
082283222666 YA
082216418058 YA
085357999607 YA
085264367011 YA
082390688630 YA
082247115775 YA
081363647846 YA
082283222666 YA
085763140462 YA
085892235798 YA
082170057075 YA
081275236902 YA
085355292454 YA
081371903569 YA
08126329739 YA
082392126856 YA
085264490113 YA
081277874604 YA
081268792176 YA
085296027371 YA
081364254131 YA
082181902087 YA
085381506007 YA
081370436727 YA
081364254354 YA
081267354810 YA
082285402933 YA
081220022299 YA
085262771753 YA
082141634278 YA
081378089290 YA
082244694375 YA
081271658844 YA
081268529320 YA
081270569802 YA
082171759988 YA
085264497132 YA
082214950947 YA
081365820254 YA
082284606115 YA
085363499544 YA
082287638399 YA
081377006843 YA
082261360330 YA
085210940429 YA
081276223365 YA
081271658844 YA
082231895130 YA
082284578452 YA
081324750210 YA
082285014116 YA
081365099446 YA
085314704699 YA
081276223365 YA
082275678681 YA
082288065228 YA
082169567400 YA
085255260384 YA
081365594872 YA
085237699568 YA
081284777686 YA
085364924646 YA
082384431801 YA
08127782407 YA
085789538309 YA
082276115503 YA
081364473845 YA
085278146758 YA
081211939603 YA
085265568112 YA
082283294583 YA
085278588336 YA
081372387754 YA
081364067945 YA
082261360330 YA
085314882325 YA
085265842236 YA
085213285668 YA
082385876397 YA
082283526682 YA
081270504240 YA
082383869797 YA
082285402433 YA
085368438650 YA
082172343990 YA
081378124951 YA
081365788657 YA
082385970683 YA
081275808356 YA
081362147073 YA
082288065228 YA
081397142030 YA
081266677101 YA
082169567400 YA
082268205012 YA
081261883343 YA
085255260384 YA
081365228968 YA
082174355953 YA
082268761648 YA
082268761648 YA
081268370325 YA
085271150320 YA
085271150320 YA
082239670843 YA
082297155407 YA
081266563227 YA
082284232159 YA
085375282492 YA
082288243430 YA
08127782407 YA
082317170157 YA
082274282340 YA
081363640231 YA
081374814979 YA
085271377792 YA
081268819417 YA
085283143405 YA
082210830866 YA
082351247022 YA
082316048094 YA
081268460810 YA
082268313985 YA
081275808576 YA
085355359888 YA
082311583115 YA
082319414018 YA
081275808356 YA
082383529555 YA
085263230790 YA
082285916398 YA
082387473274 YA
081266544648 YA
082287472325 YA
082289647591 YA
082288871114 YA
082284185051 YA
082382097263 YA
081364254131 YA
081366563227 YA
082284011363 YA
082284011363 YA
081268709069 YA
082277774930 YA
081265768662 YA
081265768662 YA
081268819417 YA
082172923283 YA
081266047324 YA
081363626524 YA
082281016234 YA
081247805563 YA
081268000898 YA
081378888291 YA
082268205012 YA
081261013918 YA
082283336635 YA
081365416159 YA
081371665088 YA
Dosis I Dosis 2
N
o
.
Tanggal Screening Tanggal

Tanggal Pemberian BS
Pemberian
Vaksinasi ae
Vaksinasi
tr
ci
ha
l
6/10/2021 MDV VAKSIN6/10/2021

COVID-19 9/9/2021
6/14/2021 MDV VAKSIN6/14/2021

COVID-19 9/9/2021
6/8/2021 MDV VAKSIN COVID-19

6/8/2021 9/9/2021

6/8/2021 9/9/2021

6/8/2021 9/9/2021
7/13/2021 MDV VAKSIN7/13/2021

COVID-19 9/9/2021
7/13/2021 MDV VAKSIN7/13/2021

COVID-19 9/9/2021
6/26/2021 MDV VAKSIN6/26/2021

COVID-19 9/9/2021
6/29/2021 MDV VAKSIN6/29/2021

COVID-19 9/9/2021
7/13/2021 MDV VAKSIN7/13/2021

COVID-19 9/9/2021

6/3/2021 9/9/2021
6/26/2021 MDV VAKSIN6/26/2021
COVID-19 9/9/2021

7/1/2021 9/9/2021
6/26/2021 MDV VAKSIN6/26/2021

COVID-19 9/9/2021
6/29/2021 MDV VAKSIN6/29/2021

COVID-19 9/9/2021

6/8/2021 9/9/2021
7/27/2021 MDV VAKSIN7/27/2021

COVID-19 9/9/2021
7/27/2021 MDV VAKSIN7/27/2021

COVID-19 9/9/2021
6/26/2021 MDV VAKSIN6/26/2021

COVID-19 9/9/2021

7/6/2021 9/9/2021

6/8/2021 9/9/2021

6/8/2021 9/9/2021
7/15/2021 MDV VAKSIN7/15/2021

COVID-19 9/9/2021

9/9/2021 9/9/2021
7/13/2021 MDV VAKSIN7/13/2021

COVID-19 9/9/2021
7/13/2021 MDV VAKSIN7/13/2021

COVID-19 9/9/2021
7/22/2021 MDV VAKSIN7/22/2021

COVID-19 9/9/2021
6/26/2021 MDV VAKSIN6/26/2021

COVID-19 9/9/2021

6/8/2021 9/9/2021
7/13/2021 MDV VAKSIN7/13/2021

COVID-19 9/9/2021
6/26/2021 MDV VAKSIN6/26/2021

COVID-19 9/9/2021

6/8/2021 9/9/2021

9/9/2021

9/9/2021

9/9/2021
9/9/2021

9/9/2021

9/9/2021

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Keterangan
(Ditunda/Tidak
Diberikan/Lanjut)
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
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TUNTAS
TUNTAS
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TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
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LANJUT
LANJUT
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LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
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LANJUT
LANJUT
LANJUT
LANJUT
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LANJUT
LANJUT
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LANJUT
LANJUT
LANJUT
LANJUT
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LANJUT
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LANJUT
TUNDA (ASMA)
TUNDA (HT)
TUNDA (HT)
TUNDA (HT)
TUNDA (JANTUNG)
TUNDA (GINJAL)
TUUNDA (RA)
TUNDA (HT)
TUNDA (HT)
Nama Puskesmas/Fasyankes/P
Kabupaten/Kota
Provinsi
No No. Tiket NIK
1 Q-00098JNM 1406150704860001
2 Q-0008LABR 1406156703860002
3 Q-0009KWFS 1406053004910005
4 Q-00099S5Q 1406155308870002
5 S-DE074C29 1202094605530001
6 P-HF3RUZIP 1406150404650001
7 P-HX6BPMLP 1406155306630001
8 P-GGG7XAC9 1401120307820006
9 P-2UX7IHLV 1406150212700001
10 P-GSTGDC51 1406154404890001
11 P-MET3AL5N 1406152004910001
12 P-J1X63QPK 1401120601960002
13 P-5SZEU0LQ 1401100402920005
14 P-JHDHUTJH 1406042510740007
15 S-69940F6E 1406155212890003
16 S-D962BB8E 1406080610680001
17 P-H1KRWUPG 1871040303800016
18 P-459AI97G 1406156604820001
19 P-8MA3XYVG 1406155105830001
20 P-ACE3LQRL 1406045212820006
21 P-BSLMZ0LL 1406157011770001
22 P-CJTUXNO6 1406155609800001
23 P-DEU86IW4 1406154910940001
24 P-GQRB6NRN 1406154604770001
25 P-FHKTECSJ 1406156211720002
26 P-FWYX0VVS 1406156105850001
27 P-G456WRCR 1406150606800002
28 P-CC56AYNQ 1406150205760001
29 P-CR7S39RC 1406056109880002
30 P-DD5BI0RV 1406155707710002
31 P-DZEQ3XB3 1406056708810001
32 P-H8GAJHMV 1406155305860001
33 P-JDFW9UCO 1208234711920004
34 P-0OO19U7U 1406052203070003
35 S-DCFD7AAA 1406082905040001
36 P-48JYTPTW 1406152102040001
37 P-LW5IIQKI 1406156009050001
38 P-JD1OXQO4 1406150401060002
39 P-5CP8NLMH 1406155409950001
40 P-5KTDXQIC 1406156702790001
41 P-25BMSVC8 1406152304790001
42 P-3K3AFEWU 1406155608020001
43 P-53CZEKNK 1471066110910001
44 P-6BVTSCD5 1409061401720001
45 P-6MLUKPJI 1406156201830001
46 P-7AILYPLU 1208044111860001
47 P-7V6DOT9O 1406150910830001
48 P-8AUWTB4F 1208114211920002
49 P-8LNV6OWA 1406152604780002
50 P-9AOZCDIQ 1406051411030004
51 P-9SQVKDYZ 1401120606860008
52 P-ANUFQIU3 1406043007990002
53 P-AWHHN1KL 1410011701990001
54 P-B3X0MPN7 1406154106910002
55 P-BBFVQUCV 1406151201740001
56 P-BRROM0CC 1406055505840003
57 J-00013L20 1571076404730101
58 J-0000YRCQ 1571070904930061
59 P-DTFABSPU 1406152512870001
60 P-E780CC2U 1220020506820002
61 J-00013KTD 1407050112930005
62 P-EY1O5KM0 1406154709790001
63 P-FBMSZB2E 1406151502940001
64 P-FR1FPKHU 1406153004820002
65 P-GAZCESBD 1205080810810006
66 P-HK0YOQT3 1406155505950003
67 P-RIIS8ZY0 1406051708790003
68 P-HSZBZBCC 1406150907890001
69 P-IF715JKR 1406150505780004
70 P-IIUHSVDD 1406151811870001
71 P-IPOLOCHF 1406080103730004
72 P-IWIDRSKQ 1406150101750004
73 P-JM5TMT1R 1401125608900001
74 P-JPOS60QA 1406050904820005
75 P-K5HS1MIW 2171115806920004
76 P-KAE8KORT 1216094507950002
77 P-LTDSASX4 1406150911740003
78 P-LWFEAQHS 1219026206930003
79 P-LZ7VHMZG 1210085212810006
80 P-M2TDQ77G 1503095010890005
81 P-M83VZAMD 1406051708940007
82 P-MAMUATSF 1406050304020008
83 P-MLZD3VPK 1406056412980002
84 P-MGQVBEGH 1406152606760001
85 P-NLRRZ2A7 1406151811810001
86 P-4OBZSUX9 1406050505860003
87 P-52M8DCRU 1406056002860003
88 P-1WUNHZI2 1406151010920002
89 P-6ADYEGCC 1406151901800001
90 P-6LQFGXXU 1406150408730001
91 P-6V99FN2C 1406152005730001
92 P-76CQQ0J9 1406051408900003
93 P-9FH5AXOY 1406155708820001
94 P-9TPILL0I 1103130603960001
95 P-C00ORI40 1216026306890003
96 P-C8CILWRE 1406151411830001
97 P-CEOW788T 1406050810740001
98 P-A4JD3TOZ 1207081611930002
99 P-CP39NDEM 1406051205750004
100 P-D8Y2MQMG 1406154305880002
101 P-DLYT46AN 3321102204930001
102 P-DWB7LTRS 1406154412770001
103 P-E6CRGOLD 1406050503770003
104 P-EFTN55JP 1406151404760001
105 P-EKUIL5MQ 1406154307940001
106 P-GVDAATA8 1406156606750001
107 P-H0GATFWA 1406150402750001
108 P-H5PC2M9E 1208041603910000
109 P-HAYUKUGA 1406051102990005
110 P-HFHOWUMX 1406152111820001
111 P-HKKRCXMR 1406151007760001
112 P-HOMBJPCZ 1401102604890006
113 P-HTMARFXS 1406156309890001
114 P-HXM0YIVW 1406155502730001
115 P-I2DOAVE9 1406155905970001
165 P-7ONF12PY 1406155810800001
117 P-IJX8ZJ1I 1406155011920001
118 P-IRTH9I8O 1406080806860009
119 P-IWKQADP3 1401105302990004
120 P-J2T334S9 1401125106940003
121 P-J7KMYJZB 1401120110910003
122 P-JGRXBSFP 1406150502880001
123 P-JKBDUDUV 1406046312020003
124 P-JN9SCN2S 1401122811820006
125 P-K4GX1Z4Y 1407084803980003
126 P-KA8X1WCD 1216090812950002
127 P-LS2SZ71D 1406154404790001
128 P-LUDUW643 1401104305940004

129 P-LYZL5OQH 1406154211840001
130 P-M2IVNEML 1210082804800001
131 P-M5I0I5WH 1406151210840001
132 P-M7RLPE2Z 1214071609990005
133 P-MAKYKT98 1218160508910002
134 P-MCH09TUF 1401122407020003
135 P-MFONBLGB 1401100107950006
136 P-MSVZCJCN 1401122510710008
137 P-ES7HQDS8 1406156904020001
138 P-EYFFPRQ3 1406156511780002
139 P-F85XDLNW 1218156012930003
140 P-FN7V9QYJ 1406155006830001
141 P-FU8DWW8R 1406053112890005
142 P-GA22UJ6S 1205085908810004
143 P-GFORU6NL 1406150301800002
144 P-GLY6BGTP 1406051010870003
145 P-AN7PG14D 1471092405900002
146 P-AWLS4PSQ 1406150601840002
147 P-B65DY1XE 1406052705810003
148 P-N6JY9WLN 1406151810890001
149 P-NJ2PTCFA 1406056505840002
150 P-NMOC4AFC 1406154904850001
151 P-BEMS6D0L 1205082810760007
152 P-NAFWVULZ 1703074407000001
153 P-7JHBDU5A 1218152409850001
154 P-7T1R2C9C 1402080201910001
155 P-6VLBSFX9 1406051011660008
156 P-87TGY0TB 1406051304670003
157 P-FEZB2CLM 1406152707670001

158 P-G1QO3Z5G 1406150101690002
159 P-BHDD4D46 1278014803820001
160 P-C4N0KKX7 1406156112900003
161 P-GMARHTOF 1406154911940001
162 P-BLJM84PM 1223014209950001
163 P-JXCBB1U3 1406086007870004
164 P-H0WB97Z8 1406055404780005
116 P-IFIJANG6 1406156308880001
166 P-BXOFVNJN 1406151312730001
167 P-ENVJZNPG 1406152303900001
168 P-I3RBE40I 1406051412720002

: KEPENUHAN HULU
: ROKAN HULU
: RIAU
Jenis
Nama Penerima Vaksin
Kelamin
MUNARLI L
IKE IBRAWATI P
JOKO SETIAWAN L
LAILANI SAFITRI P
TIERMIN SILITONGA P
SYAFRUDDIN L
NUR AMINAH P
ADI YERMIA FIMARLI ELUAMA L
MUKSIN PURBA L
ANITA MUNGKUR P
ADIL DIRWANTO L
BAGUS NUARI SETIAWAN L

BOSTON SITUMORANG L
RUDI SINAGA L
Rus Sulaini P
DARUSMAN L
MARCEL BANAYAMAN WELEURAT L
ASNI ROMAIDAH PARHUSIP P
NINUK DWI LESTARI P
LISMARNI P
SRIYANTI P
ERNA.L P
TERIANI LASE P
NURMINA BR TUMORANG P
EEM SUHAENAH P
SITI ALFIAH P
SINAM L
DEDI FAIZAL L
MAUREN SITUMORANG P
SUDILA LAOLI P
NURIDA SIMARMATA P
LELI MARLINA P
SINUR HERLIDAWATI SINURAT P
ILHAM AULIA PUTRA TAMBUNAN L
ADITYA RAHMAN L
DWI KUSYARDI L
ANISA P
ANDARMEN ARIO MARBUN L
ASRI YANI P
RUSMINA HASIBUAN P
MARDINAN LUBIS L
DEWI ASMA YANTI P
RIBKA MANIK P
SUDARTO L
LANGGENG SETIAWATI P
ERISTAWANI TURNIP P
AHMAD BAIDOWI L
KIKI NOVIA ANDREYANI P
FADUHUSI TELAUMBANUA L
ABDUL RAHMAN L
SUHARDIMAN L
LESTA SAPUTRA L
M. ROMADAN AKHIRI L
NOVIDA P
TAHAN SITORUS L
ERNAWATI P
LISTENRIA SINAMBELA P
FRIANDANI LUMBAN TORUAN L
EKO PRATAMA LUBIS L
MEDIAN RITONGA L
FAIJER MANGIHUT HAMONANGAN PURBA L
HEMALINA SITEPU P
DEDI HERI TAMBA L
MAHMUDIN SIREGAR L
DARMANTO L
AYANG SARI SURBAKTI P
AGUSTINUS FATTU L
MUHAMMAD RUDI L
SUPRIADI L
YASABUDI ZALUKHU L
SUDARMO L
INDRA WAHYU HIDAYAT L
ESTERINA KARTIKA P
EBENHESER TALUMAU L
MARIA DEBORA SILALAHI P
MARIANA TINAMBUNAN P
PARULIAN HALOHO L
SUSI SUSANTI PASARIBU P
EMA CHRISTINA BR MANURUNG P
ROSLINA SIREGAR P
AGUSTINUS KADI L
SUTRISNO L
RIZKI HANDAYANI P
NATAR MANURUNG L
RANAP PAKPAHAN L
BENNI SUPRANTO TAMBUNAN L
LENA MAYUSRI SITOHANG P
YULIANDRI L
RIO JENERIO MANIHURUK L
DARIYANTO L
JUANDI L
SUDIRMAN L
ROSTIANA WARUWU P
ANDRIANSYAH PRATAMA L
ASRIN SIAMBATON L
RUSDIANTO L
FAHASORA DODO LAIA L
SUPRIANTO L
HAPOSAN SINAMBELA L
SITI RAHMAWATI P
MUHAMAD RIYANTO L
TITIN RAHAYU P
KARDIN HARAHAB L
ARIFIN L
SRI RAHAYU P
EPI YANUR P
ALPARIUS ANICETUS LUMBAN GAOL L
CHARLES TURNIP P
ARJUN YUDISTIRA L
HENOKH BABIS L
HENDRI SAPTONO L
PRANCIS SIMBOLON L
FARIDA SUSANTI P
EPIK SAPUTRI P
RIRIS LESTARI P
SUSILAWATI P
NOVERINA ZEGA P
SURYA DIWA PUTRA L
HANUM SETIAWATI P
YENITIA LATURE P
BOY LAIA L
LIVONTUS SITANGGANG L
ENJEL KRISTINA P
NODES RITONGA L
DESI RATNA SARI SITUMORANG P
TRI KARNO LUMBAN GAOL P
LINDA SUSI WIJAYA LINGGA P
EVI KRISTIANSEN BR.PAKPAHAN P

CAMELIA P
JAMES WESLY SIBURIAN L
JUNIATER SITORUS L
SUPERMAN LAIA L
ZULFIKAR SILITONGA L
PUTRA DONNIE ANGGORO L
GOSMAN RISKY EPENDI SILABAN L
PUJI RIATNO L
TIWI EKAWATI P
SITI AISYAH P
LINA LARINA SIAHAAN P
MANTINAK SITUMORANG P
KORNELIS DOWA KALLI L
KHAIRANI P
SURATMAN L
LINTAR PRAYATNA P
YUHERMAN L
SUHENDRIYANTO L
SUJONO L
LAMBOK SORMIN L
ROSPIDE MANUNGKALIT L
HERTI IDA MURNI SORMIN P
ARISTO PARLAUNGAN SIBURIAN L
DWI YOPITA SARI SINURAT P
PANGIHUTAN SITORUS L
JREOSNOMI CARDOVA LUMBAN RAJA L
M. SAID L
SOLIH L
SLAMET PUJIYANTO L
SODERTA GINTING L
ANNE GRACE FRISCA M. SIMANJUNTAK P
LUPITA SARI P
ERNY PERWIRAWATY SIMBOLON P
DINA ARIFIANI P
WIDYA JULIARTI P
SANTI MUNIR P
SUSILAWATI P
HADI JAYA KUSUMA L
RIS ANGGONO L
ALAMSYAH MARPAUNG L
DOSIS 1
LANSIA
PRA LANSIA
BUSUI RENTAN
PELAYAN PUBLIK
MASYARAKAT UMUM DAN RENTAN
PEDAGANG PASAR
TOTAL
N VAKSINASI
PELAYAN PUBLIK 35 31-45
MASYARAKAT UMUM 33 31-45
LANSIA 68 0
PRA LANSIA 56 46-59
PRA LANSIA 58 46-59

TRANSPORTASI PUBLIK 43 31-45
GURU SMP 3 32 31-45
GURU SD 007 52 46-59
TOKOH AGAMA 41 31-45
PEDAGANG PASAR 34 31-45
REMAJA 14 0
REMAJA 17 0
REMAJA 17 0
REMAJA 16 0
REMAJA 15 0




MASYARAKAT RENTAN 54 46-59

BUSUI MASYARAKAT RENTAN 39 31-45
IBU HAMIL MASYARAKAT RENTAN 30 18-30
IBU MENYUSUI MASYARAKAT RENTAN 25 18-30
DOSEN 34 31-45
DOSIS 2
Kepesertaan BPJS (tulis 'Ya'
Alamat No. Hp
BPJS PBI
DESA KEPENUHAN HULU 082387596636
KEPAYANG 082286434024
KEPENUHAN BARAT MULIA 082285127538
MUARA JAYA 082285581104
KEPAYANG 085265663257
KEPAYANG 081267422102
KEPAYANG 082268324124
KEPENUHAN 085279175900
KEPAYANG 082288534115
MUARA JAYA 082285583005
PT PIS 081278341052
DESA BARAT MULIA 082288534115
KEPAYANG 082211709967
KEPAYANG 082259660603
KEPAYANG 082283774049
KULIM JAYA RAMBAH HILIR 082286865396
MUARA JAYA 082238244795
MUARA JAYA 082285370072
KEPAYANG 085272132059
KEPAYANG 085272132059
MUARA JAYA 082288131024
KEPAYANG 081365366089
MUARA JAYA 081372123914
MUARA JAYA 085385488554
MUARA JAYA 082214204259
MUARA JAYA 081261362618
KEPAYANG 081365069276
MUARA JAYA 082384276465
MUARA JAYA 081268573635
MUARA JAYA 082280379545
MUARA JAYA 081262807099
MUARA JAYA 082172940607
MUARA JAYA 085296874196
MUARA JAYA 081365780818
MUARA JAYA 081372959748
MUARA JAYA 082268548715
MUARA JAYA 082271129581
MUARA JAYA 082256329697
KEPAYANG 081365750141
MUARA JAYA 082266781345
KEPAYANG 082288199809
KEPAYANG 082174357271
MUARA RUMBAI, RAMBAH HILIR 081381825113
MUARA JAYA 085364541112
MUARA JAYA 08126058215
MUARA JAYA 082261820367
MUARA JAYA 082386613753
MUARA JAYA 081268573603
MUARA JAYA 082173069261
KEPAYANG 085265926226
KEPAYANG 082386820776
MUARA JAYA 082170172778
MUARA JAYA 082384279814
MUARA JAYA 085353003576
KEPENUHAN RAYA 082311574734
MUARA JAYA 082384616346
MUARA JAYA 082169331845

MUARA JAYA 082173943325
KEPENUHAN BARU 082286722798
MUARA JAYA 081261727700
KUBU BARU 083194819905
MUARA JAYA 081261727700
MUARA JAYA 082172674001
MUARA JAYA 082169331846
MUARA JAYA 082230798281
MUARA JAYA 082386982636
PEKAN BARU 085376876060
PT PIS KEPENUHAN 081276155959
MUARA JAYA 082278964339

MUARA JAYA 081267884564
MUARA JAYA 085264381105
MUARA JAYA 082173069261
MUARA JAYA 082286653365
MUARA JAYA 085278117820
MUARA JAYA 081276283712
MUARA JAYA 082268548715
MUARA JAYA 085264641646
MUARA JAYA 085356213559
MUARA JAYA 082171214057
MUARA JAYA 085265264852
KEPENUHAN BARAT 085272499385
MUARA JAYA 082389470999
MUARA JAYA 082268915370
MUARA JAYA 081374594379
PASIR PANDAK 082174427531
MUARA JAYA 081346039726

MUARA JAYA 085263936701
MUARA JAYA 081374058128
MUARA JAYA 082169331845
KEPAYANG 081364172448
PEKAN BARU 085376346060
KEPENUHAN 081268964117 YA
KEPAYANG 085271071423
MUARA JAYA 085271768717
KEPAYANG 081275644842
pesertaan BPJS (tulis 'Ya' pada kolom
Dosis I Dosis 2
yang sesuai)
N N
o o
. .
Tanggal Screening Tanggal Tanggal

Non BS BS
BPJS Non PBI Pemberian Pemberian
Anggota ae ae
Vaksinasi Vaksinasi
tr tr
ci ci
ha ha
l l
YA 6/29/2021 6/29/2021
### 9/11/2021
YA 6/26/2021 6/26/2021
### 9/11/2021
YA 6/29/2021 6/29/2021
### 9/11/2021
YA 6/29/2021 6/29/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
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YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
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YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
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YA 9/11/2021 9/11/2021
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YA 9/11/2021 9/11/2021
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YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
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YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021
9/11/2021
YA 9/11/2021
YA 9/11/2021
YA 9/11/2021
YA 9/11/2021
Keterangan
TUNTAS
TUNTAS
TUNTAS
TUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
TUNDA (JANTUNG)
TUNDA (ALERGI OBAT)
TUNDA (ASMA)
TUNDA (HIPERTENSI)
TUNDA (ANEMIA)
TUNDA (HIPERTENSI)

Provinsi : RIAU
1 Z-0009243Z 1406050806580001 SULUGI
2 Q-000MHD41 1406156406000001 TIKA ROSANTI
3 Q-000MHD47 1406156805000002 RINI NURFAUZIAH
4 Q-000MHD4B 1406157003970001 MARIANI SAPUTRI
1406050705760002
5 Q-000MKSHQ SUTIKNAN
6 Q-000MI86Z 1406152505970001 DIAN SAPUTRA
7 Q-000MYYLZ 1218032510950005 AGUNG KURNIA BAKTI
8 Q-000XNMX9 1406156106770001 MARWIYAH
9 Q-000MI9A5 1406050511680001 KAMIRAN

10 Q-000XJSSI 1406054211660001 RUBIYAH
11 Q-000ADMHH 1406116411880001 NITA SAFITRI
12 Z-00091Y7E 1406054707840003 DEWI PUSPITASARI
13 Q-000AE05K 1406154903020002 ANITA ERVIANA
14 Q-000AFO28 1406152903940001 SATRIA PRIAMBORO
15 P-MREH8PB4 1406055703040001 DINDA EKA PERTIWI
16 P-N8KHEHV2 1406151401040001 HANDIKA PRANATA
17 P-OOKIRXSB 1406156704070001 NUR ALIA
18 P-PBWWDM6U 1406150108040001 YOGI OGISTIAN GULTOM
19 P-PCCNIMQ5 1406150903040001 EKA SUPRAYOGI
20 P-P6CSKLLL 1406054705040001 SRI MEI RUKMAN ASARI
21 P-PCII0Z8S 1406052801040001 YOSEPIN WINAJI
22 P-LT3EW44R 1406155709040002 SITI SEPTIYA NINGSIH
23 P-MP55J414 1406155808070002 ANISA DEWI RAHAYU
24 P-N7WJ6Q9V 1406153112050002 HARDIANSYAH PUTRA
25 P-NAIOVP3U 1406154911040001 DEVI LAILATUSSIAMI
26 P-OY8VMT62 1406151909040002 DIMAS BAGUS PRASTYO
27 P-PAEYHEKJ 1205191304090003 REYANDRA ALI NADRUSKY
28 P-PBN9GW8W 1406150812040001 FEMA ARDANI
29 P-PCGKFF1B 1406151501040001 M. RANGGA ANANDA
30 P-P04LF7U3 1406050312620001 SUGIARNO
31 S-53466EF7 1406150703580001 SUGIYANTO

32 S-0F21799B 1406054501490001 SUPRIYATI
33 S-949394F0 1406050905510001 SUWARNO
34 S-DF0BB63E 1406150507490001 KATIMUN
35 P-OIG2ZQND 1403094201920001 IRMAYASARI HARAHAP
36 P-OKDWDMVL 1406137107940001 ENDANG ASTUTI
37 P-OW6EJRPU 1406154307890002 KASIAN
38 P-PCUGFAUL 1406155010890002 MIRAWATI
39 P-KV6WYEQG 1406155310900001 ROHMATUL AMALIYA
40 P-LYFRPAPA 1406155804840001 ELFRIDA RUSANDI BR SIHOMBING
41 P-OTRTHRLW 1207024710940004 LENNI SUNDARI
42 P-ON4KZR8G 1406154808870003 MARIA SARTIKA
43 P-P9VV0LNJ 1406051602930003 RIKI SUDIRMAN
1406150807770001
44 S-5FC837FE SUGENG
45 P-OENHXEUQ 1406050102690006 WARDI
46 S-C662DC53 1406150503760001 SUGIARTO
47 S-C748D2F2 1406060108740004 BISLER RUMAPEA
48 S-BC1AE770 1476012011960002 TRI YOGA KUSUMA
49 S-3DBBFF66 1406151411640002 FREDDY ERLANGGA
50 P-N4W0JGTL 1406051505960001 KRISNO MAIHENDRA SITANGGANG
51 P-LVFSKLXW 1406150604750002 MARIMUN
52 P-M5U3L3T2 1406155212780001 NUR ASIAH
53 P-N2MZ9PJN 1406056208800002 IMAS NURHASANAH

54 P-N4VFU1MG 1406152001760002 RUDI HASIBUAN
55 P-NEFSGRIC 1406156612820001 MULYANI
56 P-NH6ACYAW 1406152104750001 BAKDI
57 P-OBUWG6HW 1406155910870001 SOPRIYANTI
58 P-ODZB9ZXX 1406153005820001 RASMAR PUTRA
59 P-OO2B1L0H 1406157108720001 ANNARIDA HARAHAP
60 P-P1TB09WJ 1406154311780002 RUBIATI
61 P-P384U4FD 1205085203840003 SITI AISYAH
62 P-PBC5T8E9 1406050807760002 SUMEH SUWANDI
63 P-PC3XGXU6 1406150511880002 TOHIRUN
64 P-NHPMIMU4 1406156201790001 MUDRIKAH
65 P-OR3RSNEE 1406155012790001 PARTINI
66 P-OVERGZGV 1210146308880001 AGUSTINA
67 P-M2GO5BMC 1202107007900001 BERTUA SIHOMBING
68 P-M5PVO28R 1406150303790001 DIDIT UNTORO
69 P-PEDRIP7L 1406053101860003 NASRUL HUDRI
70 P-KJXAD0LY 1406056206020002 RENI MELISA
71 P-KOVV1XCV 1406150710930003 ROGANTI LBN TUNGKUP
72 P-KS2USJ3H 1406151804820002 MUHAMMAD ZANER
73 P-NFGTCSYO 1406055209010002 AYU SETIA NINGSIH HASIBUAN
74 P-PC4Y4PAF 1406052604790003 ASEP DASUKI
75 P-NGJQ4MOV 1406152706960001 SLAMET RIANTO

76 P-KVCHSSEO 1406156812900001 IRENA FLORA TARIGAN
77 P-L0SVYFO2 1406150608890002 AGUSTINUR RAHMI
78 P-L4CDG40N 1406154601830001 SYAFRIDA INDAYANI
79 P-MBSWP5J1 1406156809940001 EVI HANDRIANI
80 P-OPDK6MPP 1406152011750001 BURHAN GULTOM
81 P-OPY99KLT 1406051810770002 MUHAMAT NASIKHUN
82 P-OQLCJDFL 1406154105760003 SRIANAH
83 P-L8XU6XQO 1406156405010001 EVA RIYANTINA BR. SEMBIRING
84 P-LNU5EVUA 1406153012940001 LUKAS JANTER
85 P-MU0C31LT 1406054408780001 SITI AISAH
86 P-MW7UJUYA 1406156904890001 DEWI APRILLIANTI
87 P-OFYSKHY3 1406066807870003 DELINA SURIYANTI
88 P-OGYRF0HD 1406050707900002 SAKIRMAN
89 P-MZVP8SPL 1602236109830002 INDRIANI
90 P-ORNAMMQ4 1406154502010003 ADE FEBRI YANTI
91 P-OS49J7RX 1406134709740002 SUPRIHATIN
92 P-OSNKZF2T 1406135005960002 REKSI MEIFIKASARI
93 P-OT66RNKJ 1406152002910001 AGUS TRIONO
94 P-OTNZ5YFE 1216016309730001 TURUT LUMBAN GAOL
95 P-OUBCP74L 1216011004700005 MAKNER NAINGGOLAN
96 P-OUUO3FEO 1406056512720005 RUSMIATI
97 P-N2HUPK0U 1406155606810002 DASLIA BR.PASARIBU

98 P-OM5HJIJW 1406150106860001 BUDI UTOMO
99 P-OZW6ZDMN 1406054512940002 DESI WIDYANINGSIH
100 P-P24SHQ5P 1406151004000001 MUHAMMAD IQBAL SAPUTRA
101 P-P80RU9OT 1205194601940006 IRMA ELYANA
102 P-P8IW1LKT 1205192704020001 SYAHPUTRA AFRILIYANTO
103 P-P8VODYEW 1406050910730001 SURIYANTO
104 P-P9AI4EY8 1406150201850001 PANJI HARIONO
105 P-P9K637HG 1406154707870002 MACHDANIAR HARAHAP
106 P-P2KJD45V 1406150101740003 SUWARNO
107 P-P2Y6GTRP 1801101007740009 BUDIONO
108 P-P3ITHFXO 1402060506960002 JAJA IRIA JAYA
109 P-P3VYHESY 1406156802980001 SRI DARWATI
110 P-P0CYWJ21 1205190812800005 SULENDRA MAWAN SUKARNO
111 P-PA5GGP6X 1406061403740001 SYAHRUN JONI
112 P-PB2JHCM0 1406050409820002 RAHMAT ANDRIAS
113 P-PBAV22WU 1406155504780003 JUMA'IYAH
114 P-PBI6FVEY 1406054108850002 SRI WAHYUNI
115 P-PBP0WODJ 1406051106770002 SUNANDAR
116 P-P0T1XAH4 1406156710770002 J.BR.TOBING
117 P-P55OAHTT 1406054203840002 SULASIH
118 P-PDELV0BP 1406151810780001 M. JUNAIDI
119 P-PDKSS5RK 1406156101810001 DUMAWATI BR NAINGGOLAN

120 P-PDX7TGSB 1406151605720001 KADERI
121 P-PE3OC69V 1406051708880005 JONI ASMARA
122 P-P6TV4NZU 1406154508820001 PONIYEM
123 P-P5MJUIRP 1406150508770001 SAIMIN
124 P-P615YXXC 1406055512990001 FITA FIVI LISTIANI
125 P-P18GQ1VI 1406151202770001 T.SIMARE.M
126 P-NAMC6U8B 1406156510980002 INDAH AYU SUKMA WARDANI
127 P-LQ8E567D 1406155406820002 ROSMINI
128 P-LSTFHZP7 1406150107790005 MARDIANTO
129 P-OWR1WHEG 1406150502810001 DAMSON SIREGAR
130 P-LVHPFNUL 1406064203950002 RIA SUTIANINGSIH
131 P-LYQ70PTX 1406150309810001 HENDRI HUTAGAUL
132 P-KBU068SQ 1471093005830001 AHMAD SABANDI
133 P-KG2ACTAO 1406155007840001 DEWI SARTIWI
134 P-KJUA4QOX 1221024705940002 YUNITA HASIBUAN
135 P-KONTLXJT 1221021109930002 ABDUL HARIS RAMBE
136 P-KRS0YNLC 1406154505830002 ASMANIDAR
137 P-L5DV4XST 1406155110800001 JULIANABR SILALAHI
138 P-LAILURKQ 1406065201000005 BERNADA DEBORA MANULANG
139 P-LJMELCKL 1217024501930001 LIJAN SEMTI NURMELIANA
140 P-LMRCTFJH 1406154703730002 TUMINI
141 P-LQ2QBLSS 1272054601950001 SRI DEVI OCTAVIA SIMORANGKIR

142 P-M2BBQPD1 1406016801840002 SHERLY ROMA INTAN SIMARMATA
143 P-M8YBMD2N 1406155705780001 JUMIATI
144 P-MED9F3CT 1406101408890001 SUGENG WIBOWO
145 P-MSCEJB43 1406056608860004 KUSMIATI
146 P-MUB7VDZ1 1406056606800003 WIWIK WIDIYAWATI
147 P-N09ZKEQA 1406154707850001 YUSNIKE YULIANTI.P
148 P-NFR1AEGU 1406152702890001 SUGIHARTO
149 P-OFIVPAD6 1406052509960003 KHOIRUL LATIFUL ROHMAN
150 P-OGSEMXOG 1406062308780001 IRWAN
151 P-OI1K27U0 1406054206780002 SULIYAH
152 P-OJ7A0CAA 1406132503020001 M.NUR SETIYAWAN.M
153 P-ON0V2KFQ 1406152903760002 KHAIRUL NAS
154 P-OPBDK95D 1406155711790001 DAMERIA BR SIJABAT
155 P-OQ9UYM6L 1406055706720001 UMIATI
156 P-OQW1ZOAE 1406150607720001 SYAIFUL HIKMAT
157 P-OS1WGIVF 1406052512770003 UMAR HASIBUAN
158 P-OUEHZF66 1406152711860002 EDI MULYONO
159 P-OV3U72OP 1406054710790001 SUMINAR ANTIKA
160 P-OVSS5P57 1208112211880003 ERWIN FERNANDO ARUAN
161 P-OWCSKDB0 1406152312810001 KUSMAN
162 P-OWWFKRFI 1406054604910002 EDENG
163 P-OZA5WAPA 1219075005850001 KARTINI

164 P-P2MHOBQX 1406155007020002 VIA FEBIOLA
165 P-P0QDUFKL 1218045703850001 BUNGA RIYANI
166 P-P3SVHU77 1406075701730001 SITI ROHANI NST
167 P-P4D7H5RQ 1406154612020001 FITRIA VATINKA
168 P-P5LYEDS8 1221026605960001 ROISAH HOTMA SARI SIREGAR
169 P-P60BO5MM 1406152608970001 LUTFI ROFANSYAH
170 P-P6IHLXTQ 1406051009750003 IMAM
171 P-P72WCGPD 1406156907850001 SHINTA WATI
172 P-P7ZPPV34 1406155803020001 ERNA
173 P-P8F7ALCD 1406051705920001 HANDRI SETIAWAN
174 P-P8TIRAFZ 1406055706740002 JUWARIYAH
175 P-P9A3QDDB 1406055108770003 WELAS ASIH
176 P-P9QFLG6W 1406154411970001 DWI WIDIA WATI
177 P-PA2P6VMR 1406065704820004 YULIANTI
178 P-PAQHORKM 1223015106940002 MARTIKA SIJABAT
179 P-PAZWOLRB 1401191806930003 SURYA SAPUTRA
180 P-PBX56775 1406056007810001 JUANAH
181 P-PCMOU6MV 1406051702920001 HERYANTO
182 P-PCSJW1B8 1406152910740001 TAMUN
183 P-PCZRE261 1406156811760001 KUSPRIATI
184 P-PD8HURO6 1406052012950002 DODI RATNO
185 P-PDHBA6K3 1406051406800003 SUPRIYANTO

186 P-PDZFJ7D3 1406150805980002 HENDRA
187 P-PE6D4GKW 1205202911800003 HEMI ADI SAPUTRA
188 P-PEJRSLXN 1406151211840001 SISEL ALDI
189 P-PEZPMX0D 3519020102840001 ANDRI HARTANTO
190 P-PFF2PIJC 1406150603840002 MUH JAPAR
191 P-PFMQ6HPH 1401011007880005 PONIMIN
192 P-M98HNKAM 1406150503700001 PARMIN RIADI
193 P-PD1J7GVX 1406054806680001 TINI
194 P-PD8Y3TDB 1406150208700001 SATIMAN
195 P-NDRDBY2H 1406050101700007 PARING SUHENDRA
196 P-OXQH83LT 1406050307700001 SAIRI
197 P-PAGLJZWW 1406150405670001 WAKILTA SEMBIRING
198 P-PAUQNXNL 1406050602670003 SUJITO
199 P-P1NDUC4S 1406050509700005 SUGENG RIADI
1406052508740002
200 Y-0135ZC2D RONI HARDI
201 P-PCNPBEVS 1406150101710003 SAMSI
202 P-OJEZI3P5 1406052010680007 ARMED SINAGA
203 P-OO00J1DW 1406150510700003 ABRIADI PANDIANGAN
204 P-MOI4WBIB 1406050507700003 TAMRIN
205 P-L0SY3O8S 1406050411680002 MUHLASIN
206 P-P7HKOQ5Y 1406150307700002 SUGINO
207 P-PDN3DIXI 1406156007710001 MURTA BR SINAMBELA

208 P-PDTDE24O 1406151502700001 HALASAN SITUMORANG
209 P-6C58SR6R 1406055106710004 SUMIATUN
210 S-57A47EE7 1406154404480001 SRI GATUN
211 P-P1D2WVFO 1406054405790002 SUTINAH
212 P-PAOI1QA3 1406051702000003 TEDY KURNIAWAN

Jenis
Kelamin
L LANSIA 63 0

P REMAJA 17 0
L REMAJA 17 0
P REMAJA 14 0
L REMAJA 17 0
L REMAJA 17 0
P REMAJA 17 0
L REMAJA 17 0
P REMAJA 17 0
P REMAJA 14 0
L REMAJA 15 0
P REMAJA 16 0
L REMAJA 17 0
L REMAJA 12 0
L REMAJA 16 0
L REMAJA 17 0
L LANSIA 63 0
P LANSIA 0
L LANSIA 70 0
L LANSIA 72 0
P BUSUI MASYARAKAT RENTAN 29 18-30
P GURU TK PERTIWI 34 31-45
L GURU SMA KUNTO 28 18-30
P TOKOH AGAMA 25 18-30








P RENTAN 50 46-59
P LANSIA 0
P UMUM 42 31-45

Kepesertaan BPJS (tulis 'Ya' pada
kolom yang sesuai)
Alamat No. Hp BPJS Non

BPJS PBI Non Anggota
PBI
MURA JAYA 082320632455 YA

DESA MUARA JAYA 085284700928 YA

PAGARAN TAPAH 082174439193 YA









Dosis I Dosis 2
N
o
.
Keterangan
Tanggal Screening Tanggal Pemberian BSTanggal Pemberian (Ditunda/Tidak
Vaksinasi ae Vaksinasi Diberikan/Lanjut)
tr
ci
ha
l
8/12/2021 8/12/2021 9/14/2021 TUNTAS
8/12/2021 8/12/2021 9/14/2021 TUNTAS
8/12/2021 8/12/2021 9/14/2021 TUNTAS
8/12/2021 8/12/2021 9/14/2021 TUNTAS
8/12/2021 8/12/2021 9/14/2021 TUNTAS
8/12/2021 8/12/2021 9/14/2021 TUNTAS
8/14/2021 8/14/2021 9/14/2021 TUNTAS
8/12/2021 8/12/2021 9/14/2021 TUNTAS
8/12/2021 8/12/2021 9/14/2021 TUNTAS

7/15/2021 7/15/2021
### 9/14/2021 TUNTAS
7/1/2021 7/1/2021
### 9/14/2021 TUNTAS
7/1/2021 8/12/2021 9/14/2021 TUNTAS
7/1/2021 7/1/2021
### 9/14/2021 TUNTAS
7/1/2021 7/1/2021
### 9/14/2021 TUNTAS
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
### LANJUT
9/14/2021 9/14/2021
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Kabupaten/Kota
Provinsi
No No. Tiket NIK
1 Z-00002AQP 3506210107320024
2 Q-000AG905 1406051702760003
3 Q-000MUEK9 1211044507750001
4 Q-000AANPU 1209294405920001
5 Q-000YQ0O8 1406054303710006
6 Z-000ASBQ5 1406150808680001
7 Q-000AB3DC 1406104806840002
8 Q-00005NBR 1406050505710008
9 Q-000AE7FC 1406054107750172
10 S-F76A45D4 3301014710570002
11 S-72B7F9D5 1406154412530001
12 P-SMUFDAFV 1406056906610001
13 P-SRTFDIPE 1406151306710001
14 P-SSAHFIC9 1406061105660001
15 P-T1N0XTS7 1406156404710001
16 P-SQJQHETL 1471095707680021
17 P-SUTSMP7O 1406154202700001
18 P-SS6AG09H 1406050509700004
19 P-SQPR2XXW 1406150406640001
20 P-SNMYJ838 1406061506700010
21 P-SNTV4XK7 1406155506690001
22 P-SSP3CIOE 1406054408660003
23 P-SVHDQ8LD 1406150401630001
24 P-T3UTOX5H 1406151503690002
25 P-T4DO6G6R 3507090605690001
26 P-SWDA23JT 1406050511040002
27 P-SWJSUODH 1406056411040002
28 P-T1MSKLD4 1406055911060001
29 P-T2GNVGXY 1406050502040003
30 P-T3151WXI 1308084812060002
31 P-T2L1P1VZ 1409017009060002
32 P-SOMCEVPH 1406151801080002
33 P-SREOPFWE 1406154506090001
34 P-SUMT466E 1406055909030001
35 P-SWQNHZGE 1406155707060002
36 P-T1S3R7EL 1406054911030003
37 P-T1Z6MQJM 1406054407040003
38 P-T2V8WUU1 1409054905070001
39 P-T33ZOQU5 1406153101050001
40 P-T3N9I1J2 1406052708040001
41 P-T3UIN67J 1406151404050003
42 P-T3EAZPZN 1406050804040004
43 P-T42CKCDQ 1406051101050002
44 P-SR1GAYFK 1406055602050002
45 P-SRCZ3C1T 1406156011080001
46 P-SWCD3445 1406150302040001
47 P-T21TUB9A 1406055011040002
48 P-T31JPAI9 1216013107040001
49 P-T32WLV7K 1406152606050002
50 P-T40WCUHB 1406155507060001
51 P-T40GC2LR 1406154810040001
52 P-T39IUT9I 1406155010830002
53 P-SQX9JCUI 1207325507000001
54 P-SUDGL5HY 1406154104980001
55 P-ST7ULPWF 1406156102970001
56 P-T3916FWC 1405034308920001
57 P-T40IEW1B 1406154902920001
58 P-T4IMLBVJ 1406055301980002
59 P-SPH270WC 1406055010930002
60 P-SU6WLGUT 1405016606830005
61 P-T2S90O95 1471096601840002
62 P-T3EA7RCI 1406064201950002
63 P-T2SM5JUV 3505072003690003
64 P-T3MKNFUH 1406150605990001
65 P-T4EPNMK8 1406056707870001
66 P-SIFZDWJM 1406151210750001
67 S-E042197D 1406150802650002
68 P-SWVL1OIW 1406065006000010
69 P-T2OEBCNU 1406150907890004
70 P-T3BYNWUK 1406050703940005
71 P-SL0HF4OO 1406050303800006
72 P-T2UXRNH4 1406050501740002
73 P-T44UX7ES 1406151109800001
74 P-SOOCTL9I 1406152912790001
75 P-SLVEMEPF 1406150511870002
76 P-T3SPPXNW 1406152209800001
77 P-SLCLIQBJ 1406055509790002
78 P-SPGB8ERW 1219034812850001
79 P-SQSDPSP2 1406054909800003
80 P-T2CRFQ4D 3514184406850001
81 P-SWPBTR4U 1406052302780002
82 P-SSRZL1UE 1406156802840001
83 P-SR8P4XBD 1406055607790001
84 P-SRIF6DIV 1406155010750002
85 P-SI21HEQS 1406155702830001
86 P-SLB6UFT0 1406154707800001
87 P-SLK3YNQ0 1406155011780001
88 P-SLRM2KHQ 1406156010800001
89 P-SSELUAYL 1406064408950002
90 P-SVFVCYO5 1406154111830001
91 P-SNEVBIDF 1406054803960001
92 P-SONHJ5V7 1406056007030001
93 P-SS00U6ZS 1406154502870002
94 P-STUTXJFG 1406055707800004
95 P-SUTBSGVC 1406156307830001
96 P-T25OQF0P 1406156408800001
97 P-T2GDKIBF 1406151304780001
98 P-T2LAHGGX 1406150405810003
99 P-T3XCMMFN 1406144207830001
100 P-T46RUZJ5 1406155303900001

101 P-T4YGROO0 1308086010830001
102 P-T4VSLIV9 1308082506740001
103 P-SIKMLBT8 1205204403890003
104 P-SJCEIHCK 1406155208970002
105 P-SJRXUAIJ 1406157108990001
106 P-SK9Z1W0I 1406051609910001
107 P-SKRD64OQ 1406155603010001
108 P-SLYU3B8L 1406151206890001
109 P-SM8BQWAS 1406066709010004
110 P-SMJ5JKNZ 1406151307750001
111 P-SMSSFN8Q 1406051802820001
112 P-PAOI1QA3 1406051702000003
113 P-SO5ZEXEO 1406154602910001
114 P-SP422XCK 3501104507030006
115 P-SPEWYTTN 1406014105030004
116 P-SPQ1FGRV 1406156007860001
117 P-SQ8EBFDZ 1406156104030002
118 P-SQHWB4RP 1406156006880001
119 P-SSLGDG4Y 1406052312970006
120 P-STG5JBNE 1406052302000003
121 P-STOM634M 1406057112820004
122 P-SU044ST3 1406051804020002
123 P-SU4DFIRR 1406055301980001
124 P-SV2OHL3L 1304031402980001
125 P-SVAW4MWE 1406011512920003
126 P-SVRMW7CV 1218151003840002
127 P-SW1E5VDL 1406152012020001
128 P-SRRBLZY0 1403135002860005
129 P-T1SJQQ9I 1406152808810001

130 P-T1Y3E5IS 1406154711800002
131 P-T292FG8O 1406154611940001
132 P-T2M4PAY0 1401182604910003
133 P-T2POFNHW 1406150501870001
134 P-T3CCWIH9 1406155603880003
135 P-T3VHQQ7L 1406055007020002
136 P-T49BBHSE 1406152907820001
137 P-SI8M8YPI 1406152505800001
138 P-T46HMWCV 1406011506970006
139 P-T4CLPYWD 1407111003820003
140 P-SJRG7BBP 1406116906950002
141 P-SK523F1S 1406050606790002
142 P-SKOLZPC0 1406055402840001
143 P-SLTDNARL 3525052102930002
144 P-SM5HEMTN 1406066205980006
145 P-SMIRDTTH 1406155111750002
146 P-SNTDMJKQ 1406142107930002
147 P-SPORL8WS 1406150307880001
148 P-SQ1NTQ3R 1406052803000003
149 P-SO1WXRBU 1406156312860001
150 P-SS2HSFMS 1219072810870002
151 P-SOCO69KW 1406151408980001
152 P-SMTIYQW5 1406052702020002
153 P-SR2SVXHC 1406055309020004
154 P-SOWCWOME 1404010601020005
155 P-STACF8SR 1205181505920003
156 P-STGSG7MN 1406156003020001
157 P-T27IQ9FF 1406151212830001
158 P-SRM0LVQB 1275011908840001

159 P-ST0Z8VMU 1406152606870001
160 P-SUXZLDYS 1406150106030001
161 P-SV5VT33E 1406152809980002
162 P-SVLEOJKL 1406154408880001
163 P-SVTOCDMM 1218042707010006
164 P-SWYWAV9K 1222026809890004
165 P-SWH3C4UY 1406053101030001
166 P-T2ZPNK6X 1208213101030001
167 P-SWMAT9ZV 1406152703970001
168 P-STN3E83G 1218031708840006
169 P-STURH2VL 1205230404840003
170 P-SSM7R3R1 1406151407970001
171 P-T3JEVNQF 1406151112970001
172 P-T2Q48NAW 3514182108030001
173 P-T3TRDUB5 1406060404850005
174 P-T2HCBTRS 1406155104820001
175 P-SN3EBBBN 1406155409790001
176 P-SI1265P7 1406152305810001
177 P-SIROM1K6 1406154412680001
178 P-SJ3JNAE7 1205200611860003
179 P-SKGFJIRK 1406055904980001
180 P-SLHMYU9S 1272024104760003
181 P-SLPU2PDO 1406050101820007
182 P-SM5BPMSV 1406051503790001
183 P-SMELK29E 3212211503960004
184 P-SMMOFTDG 1406050908970001
185 P-SNMH5EYF 1406154704010001
186 P-SNVTM9EW 1406156410780001
187 P-SO5OSLPP 1406155701930001

188 P-SOD28J4T 1406150606810002
189 P-P1D2WVFO 1406054405790002
190 P-SOX6QXGB 1406056410970002
191 P-SP8VFU2T 1406150611800001
192 P-SPOKTPJS 1406151607900001
193 P-SQ0GP7WN 1406156904840001
194 P-SQ93CQAR 1406052209850001
195 P-SQI9UEO7 1406150205760002
196 P-SQTHODJM 1406150709780001
197 P-SRKUHP7S 1406050702990003
198 P-SRRCTDA2 1406155904830001
199 P-SS8B4E0R 1220045507880003
200 P-SSGC3IQN 1406150705030001
201 P-SSVG2EYD 1406055411000002
202 P-ST2R6D9M 1206064303930001
203 P-STBJ4H3T 1406156708000001
204 P-STIDP3NR 1406155307920001
205 P-STOOY7E6 1205122508820004
206 P-SUMXPI7Q 1406155204010001
207 P-SUYLCT8T 1406055207880001
208 P-SV4BPPKL 3205322210890001
209 P-SVBYGZ15 1406156607760001
210 P-SVNH4SFP 1218154912900001
211 J-00013RC2 1401130104950001
212 P-SWQFEAK3 1406157006910001
213 P-T2C6GNKY 1406155106000001
214 P-T2UIYBZR 1308086501000001
215 P-T3HP0EHW 1406150204970002
216 P-T3KTMEZ7 1406155004790001

217 P-T3NWTY3U 1406152002780001
218 P-T3QHRZJA 1208082510890001
219 P-T44AW4MJ 1406157112710001
220 P-T4IGF56H 1406050405930004
221 P-T4KIKUJ3 1216082903980001
222 P-SKG51DVO 1406150203690001
223 P-SSSNSEW4 1218035002750001
224 P-SU3LG1PH 1406055503770007
225 P-T2D5OKL7 1406155105750002
226 P-T2LT9ZT6 1406153001780002
227 P-SQB61EJ4 1406155305760002
228 P-T3QIH4HK 1406150709810001
229 P-T3DFLHIC 1406155209790001
230 P-SPX4DAYJ 1406152205770001
231 P-SRYEH0Y2 1406154606790002
232 P-SSXXZXRT 1208211201780001
233 P-SUIW1FO9 1406152401800001
234 P-SVLVUBIA 3514180810790002
235 P-SWTYYA2F 1406150106730001
236 P-T20MPW0Q 1406151211730002
237 P-T24T5MGS 3205011009800003
238 P-T3PCXLXM 1406151704760001
239 P-T3S2GB6I 1406152210740001
240 P-6AGYV1BV 1406050909700004
241 S-59B9BCBF 1406151111600001
242 S-B82AF277 1406151010560001
243 S-C155036A 3315160711600001
244 P-SWZ945PV 1406156511780001
245 P-T4ICE0QV 1406055103940001

246 P-T341KCLR 1406151009720001
247 P-6C58SR6R 1406055106710004

: KEPENUHAN HULU
: ROKAN HULU
: RIAU
Jenis
Kelamin
PARKUN L
IPER BASUKI L
RUSTINA PASARIBU P
DIYAN WIYANTI P
UMI ROSIDAH P
KASMADI L
DARLIANTI P
JAJANG SURYANA L
SURYANI P
RUSMINI P
SUMINAH P
SARTUN P
MUPANGAT L
SUDARMADJI L
SITI NANGIMAH P
RITA PUSPITA P
SUKATMI P
NASIKUN AMIN L
SUMARMAN L
SUWARNO L
SUMINAH P
RUWANI P
JUNIANTO L
SURATMIN L
BUCE EKO PUTRANTO LOLOUAN L
DIMAS PRADANA L
SHIVA SALSABILA P
NOVI RIANINGSIH P
EKO RISKI FEBRIANTO L
WINALDA YERLIADI P
MIRNA BR SARAGI P
MARUF ACHMAD BAIDHOWI AL-ANSORI L
RASTY MELANIE.S P
IJAZATUL KAROMAH P
KARTIKA SITUMORANG P
ULIANA P
FINI NURFIANA P
CANTIKA AYU SULPA WINATA P
MUHAMMAD BINTANG.A L
PUTRA SUPRIYANTO L
RAIHAN ARIANSYAH L
AFRIZAL TINAMBUNAN L
RICKY YONES SIREGAR L
INDAH LESTARI P
CHELSEA EDITIA NOVIANTI P
MUHAMMAD FERNANDA L
DELA LAILATUR RAHMADANI P
BENGET ARIANTO BUATON L
BENDRI SIREGAR L
NURUL APRIANTI P
HERLIANTI P
SITI PARYATI P
DWI RATNA P
MURNI P
MURTI SHOLIHATI P
EVI YANI P
EKA PRASTIYANI P
ESRA BR SIREGAR P
TUTUT PURWOSARI P
ERLIN RIWANTI BR PASARIBU P
NURIMA P
ROVI ANAWATI P
WAHYONO L
ARI TRISMADANI L
NENNI WIJAYANTI P
SUGENG SANTOSO L
SUDARYOK L
SUPRIHATIN P
ILHAM FIRMANSYAH L
ANDI PURNOMO L
INDRA YANI L
MUH SOLIKUN L
PARMIN L
SLAMET KASIMIN L
SYAHRIAL ANA PUTRA L
PAIRIN L
SARINEM P
WAHIDATUL RAHMI P
DEWI ARIANI P
YUNITA PURWANTI P
PRAYITNO L
HERIANA BR TARIGAN P
NIKMATUL WASILAH P
ROSMANIAR PASARIBU P
PURWATI P
FERAWATI P
MARDIYANA ANDESTA SARI P
SUSIANTI P
ANGGUN SUCI ISTI ANDRIYANI P
SITI KAROMAH P
SITI MAIMUNAH P
TRI KARMILA SARI P
ERNIYATI P
YULIANI P
MARIYANI P
HODLYDA SINAGA P
AMERLON MATONDANG L
SUJIANTO L
ERNAWATI P
LINDA LESTARI P
YURNI P
MAINALDI L
ASIH PURWANI P
ADE NUR ADILLA P
LESTARI WIDYANA P
SUDIMAN L
ROSINTA DEWI WULANDARI P
FREDY PURBA L
ADE TRI ASTUTI P
SUHARMAN L
SUHADI L
TEDY KURNIAWAN L
YAYUK INDRAWATI P
ZAHRO MU'ALIFTA P
ELVI ANA FIRNANDA BR SIMANJUNTAK P
PUJI RAHAYU P
KARTINI DWITA PERTIWI P
LISNAWATI ARUAN P
ANDRE INSANI L
EKA FEBRI AJI S L
JUMIATUN P
JONI SETIAWAN L
MESRA BR SIREGAR P
SYARIF HIDAYATULLAH L
RAHMAD ANEKA PUTRA L
EKO PRANSISKA L
FERI IRAWAN L
NURHAYATI P
MUHAMMAD NURATIP L
SITI AISYAH P
SUKARELAWATI P
BUDI UTOMO SINAGA L
EKO WIBOWO L
KOMARIAH P
KHARISMA ANGGUN NURANI P
SAINO L
WARNO L
MOCHAMAD MUHAJIR L
EDI SAHPUTRA L
FIKA RAHAYU P
EKO WAHYUDI L
SUGINAH P
MUHAMMAD ZULFIKAR L
YULI TRIMAYASARI P
TRINO ASTI P
SUGIMAN L
HERIYANTO L
LUKMAN HADI WINOTO L
ELMI SUSANTI MATONDANG P
ANTON SETIAWAN L
MISMAN L
ADELIN RAHADIAN L
NUR ASMA INDRI LESTARI P
AHMAD GUSNADI L
SYARIF BAITULLAH L
INTAN JELITA MAHARANI P
SUGITA L
DEDI WAHYUDI L
ERIK JUWITANDRA L
AHMAD WALUYO L
ERFAN SETYONO L
SARLINA BR PANGARIBUAN P
HINCAT POHAN L
SUGANDAWATI P
FONDRI AGUSTIN L
ABDI DWI GUNA L
MUHAMMAD IHWANUDDIN L
HERDIANSYAH L
JOKO SULISTYO L
MUHAMMAD FAIZAL AZIZ L
MADAN RESTIONO L
ZULFIKRI RIZKIRYANSYAH AMARULLAH L
SUHENDRIK L
MARIATIK P
LINCERIA MALAU L
ZAKARIA L
TASMINI P
HERLIANSYAH L
ROSNITA DEWI RAHMAWATI P
SUHERNAWATY P
MOJO SARI L
ABU BAKAR L
AHMAD ROJANI L
DENI RYAN HIDAYAT L
WIDYA WERDININGSIH P
NURMIAH P
DINA MARIANA P
HERI MULYONO L
SUTINAH P
ULFA MARIFA P
SOFIAN L
MUHAMMAD SOLEH L
YUSMINEM P
ANTON HERI HERMANSYAH SIANTURI L
MALTOR SIHOMBING L
KOKO IJIN L
SAFRIL ARIF L
TISAH P
WIWIK RESMININGSIH P
YOHANES BISUK MARUSAHA S L
CANTIKA DWITANINGARUM BR P
RENI CRISTINA BR TARIGAN P
INDAH PURNAMASARI P
EVI PURWATI P
WAGIANTO L
CINDY AFRIANI P
SUSANTI P
ASEP RIJAL L
JULIANAN SIREGAR P
JURIANA WATI P
RAJA IKMAL L
YULIANI MARIATI P
PENTARIA SULANTI MATONDANG P
WIDYA NINDY RAHAYU P
MAYOR ROBINSON MANALU L
ARPAH BR BATU BARA P

ANWAR ROSIDI L
YUDI L
MISIYEM P
BERLIN HASIBUAN L
SUYARDANI SABAR P SILABAN L
MUKHIFUDIN L
HALIMATUSAKDIAH NASUTION P
LASMIAN SITUMORANG P
SUPRATIYAH P
AMTOMI L
FARIDA P
AGUS SUROSO L
SRI PURWATI P
MUHAMMAD BAKTI KESUMA L
TUMINI P
SUROTO L
RIWANSON PANGGABEAN L
MOH.SODIQ L
DEDI JUNAIDI L
ADE SAEPUDIN L
APIT H. R L
SUYATNO L
BAMBANG SUPRIYADI L
SUYITNO L
PARNINGOTAN MANALU L
SUPRIO L
SUWARDI L
WETRIDA NELFI P
ROSINDA BR PANJAITAN P
MUHAMAD HENDRIK ZALUKHU L
SUMIATUN P
DOSIS 1
LANSIA
PRA LANSIA
BUSUI RENTAN
PELAYAN PUBLIK
PEDAGANG PASAR
TOTAL
N VAKSINASI
LANSIA 65 0
UMUM 45 31-45
MASYARAKAT UUMUM 46 18-30
UPTD DISPORA 49 46-59
PKK 46 46-59
LANSIA 63 0
LANSIA 68 0
LANSIA 60 0
PRA-LANSIA 50 46-59
PRA-LANSIA 55 46-59
PRA-LANSIA 50 46-59
PRA-LANSIA 53 46-59
PRA LANSIA 51 46-59
PRA LANSIA 51 46-59
PRA LANSIA 57 46-59
PRA LANSIA 51 46-59
PRA LANSIA 52 46-59
PRA LANSIA 55 46-59
PRA LANSIA 58 46-59
PRA LANSIA 52 46-59
PRA LANSIA 52 46-59
REMAJA 16 0
REMAJA 16 0
REMAJA 14 0
REMAJA 17 0
REMAJA 14 0
REMAJA 15 0
REMAJA 12 0
REMAJA 12 0
REMAJA 17 0
REMAJA 15 0
REMAJA 17 0
REMAJA 17 0
REMAJA 14 0
REMAJA 16 0
REMAJA 17 0
REMAJA 16 0
REMAJA 17 0
REMAJA 16 0
REMAJA 16 0
REMAJA 12 0
REMAJA 17 0
REMAJA 16 0
REMAJA 17 0
REMAJA 16 0
REMAJA 15 0
REMAJA 16 0
PELAYANAN PUBLIK 45 31-45

TRANSPOTASI PUBLIK 33 31-45
TRANSPOTASI PUBLIK 41 31-45





LANSIA 60 0
LANSIA 64 0
LANSIA 61 0

DOSIS 2
Alamat No. Hp
BPJS PBI
MUARA JAYA 081267103625
MUARA JAYA 085272379372

MUARA JAYA 082297802697
MUARA JAYA 082269239767
MUARA JAYA 082170855460
MUARA JAYA 081388157321
MUARA JAYA 082246285581
MUARA JAYA 085274335667
KOTA BARU 081275250481
MUARA JAYA 082351055498
MUARA JAYA 085274913409
MUARA JAYA 082217738914
MUARA JAYA 082283902192
MUARA JAYA 082288953711
MUARA JAYA 082284472765
MUARA JAYA 082288194500
MUARA JAYA 085361670131
MUARA JAYA 082389109737
MUARA JAYA 082249383503
MUARA JAYA 082298748089
MUARA JAYA 082237705641
MUARA JAYA 082215290584
MUARA JAYA 082172850300
MUARA JAYA 085281928616
MUARA JAYA 081216968055
MUARA JAYA 085212786499

MUARA JAYA 082172050770
MUARA JAYA 082258571984
MUARA JAYA 082386613752
MUARA JAYA 082283086101
MUARA JAYA 082345784219
MUARA JAYA 082384105792
SEI ROKAN JAYA 082272960670
MUARA JAYA 085258272836
MUARA JAYA 081276183152
MUARA JAYA 082171822969
MUARA JAYA 082268647528

MUARA JAYA 081378203209
MUARA JAYA 082391832713
MUARA JAYA 085265978248
MUARA JAYA 085271510827
MUARA JAYA 082284871728
MUARA JAYA 082288671878
MUARA JAYA 082285191279
MUARA JAYA 081275741294
MUARA JAYA 082386974487
MUARA JAYA 082315491001
MUARA JAYA 081365360321
MUARA JAYA 081292101800
MUARA JAYA 085271510827
MUARA JAYA 081257820284
MUARA JAYA 081268773762
MUARA JAYA 082285233815

MUARA JAYA 081290760846
MUARA JAYA 081377690571
MUARA JAYA 082269414959
MUARA JAYA 085216879665
MUARA JAYA 082392955917
MUARA JAYA 082248073685
KOTA BARU 082135613682
MUARA JAYA 082285733906
MUARA JAYA 082360517084
MUARA JAYA 081374325448
MUARA JAYA 082290155521
MUARA JAYA 085363751804
MUARA JAYA 085374108068
MUARA JAYA 082298772734
MUARA JAYA 082388299454
MUARA JAYA 085272254026
MUARA JAYA 082236695289
MUARA JAYA 082287705955
MUARA JAYA 082388671588
MUARA JAYA 082298026612
MUARA JAYA 082289948382
MUARA JAYA 081267270203
MUARA JAYA 082285645363
MUARA JAYA 082277597845
MUARA JAYA 082287472455
MUARA JAYA 085284869281
MUARA JAYA 082284803829

MUARA JAYA 082255263586
MUARA JAYA 085264948069
MUARA JAYA 082386613752
MUARA JAYA 082113754350
MUARA JAYA 085236250098
MUARA JAYA 085264166767
MUARA JAYA 085226154988
MUARA JAYA 082288955388
MUARA JAYA 082287461209
MUARA JAYA 082171815237
MUARA JAYA 082282835210
MUARA JAYA 082268647528
KOTA RAYA 082285194347
KOTA BARU 082284688285
MUARA JAYA 082285135885
MUARA JAYA 085264497570
MUARA JAYA 085355596647
MUARA JAYA 082285794231
MUARA JAYA 082384779277
MUARA JAYA 081269353838
MUARA JAYA 082288753044
MUARA JAYA 082240454517
MUARA JAYA 085263659611
MUARA JAYA 082292644818
MUARA JAYA 082283086101
MUARA JAYA 082285359825
MUARA JAYA 082214171164
MUARA JAYA 082282540618

MUARA JAYA 081277492523
MUARA JAYA 082390848089
MUARA JAYA 082288847462
MUARA JAYA 082262372358
MUARA JAYA 082282898779
MUARA JAYA 082266781320
MUARA JAYA 085292093459
MUARA JAYA 082382884494
MUARA JAYA 082285271027
MUARA JAYA 085374990548
MUARA JAYA 082381999848
MUARA JAYA 085219569074
MUARA JAYA 081267254384
MUARA JAYA 082286681066
MUARA JAYA 082172047969
MUARA JAYA 082171280674
MUARA JAYA 081276958108

BANGKINANG 081334879376
DESA SEI ROKAN JAYA KEPENUHAN 085320359740

MUARA JAYA 085364340491
MUARA JAYA 082287995609
MUARA JAYA 082210492380
MUARA JAYA 082385250383
MUARA JAYA 082388248744
MUARA JAYA 082249539835
MUARA JAYA 085284034042
MUARA JAYA 085271550298
MUARA JAYA 085271478798
MUARA JAYA 082391629912
MUARA JAYA 082287995609
MUARA JAYA 085374667204
MUARA JAYA 082257869999
MUARA JAYA 081266413754
MUARA JAYA 081270887512
MUARA JAYA 081371255867
MUARA JAYA 082369192791
MUARA JAYA 085356872418
MUARA JAYA 082288983895
MUARA JAYA 085271894943
MUARA JAYA 085271550293
MUARA JAYA 081266413754
SEI ROKAN JAYA 082384284884

MUARA JAYA 082169352371

ertaan BPJS (tulis 'Ya' pada kolom yang
Dosis I
sesuai)
Tanggal Screening Tanggal Pemberian

Vaksinasi
YA 5/27/2021 5/27/2021
YA 7/1/2021 7/1/2021
YA 8/13/2021 8/13/2021
YA 7/1/2021 7/1/2021
YA 8/12/2021 8/12/2021
YA 8/12/2021 8/12/2021
YA 7/1/2021 7/1/2021
YA 5/27/2021 5/27/2021
YA 7/1/2021 7/1/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021 9/16/2021
YA 9/16/2021
YA 9/16/2021
YA 9/16/2021
YA 9/16/2021
YA 9/16/2021
YA 9/16/2021
YA 9/16/2021
Dosis 2
N
o
.
Keterangan
Tanggal Pemberian B (Ditunda/Tidak
Vaksinasi a Diberikan/Lanjut)
t
c
h
9/16/2021 TUNTAS
9/16/2021 TUNTAS
9/16/2021 TUNTAS
9/16/2021 TUNTAS
9/16/2021 TUNTAS
9/16/2021 TUNTAS
9/16/2021 TUNTAS
9/16/2021 TUNTAS
9/16/2021 TUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
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LANJUT
LANJUT
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LANJUT
LANJUT
LANJUT
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LANJUT
LANJUT
LANJUT
LANJUT
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LANJUT
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LANJUT
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LANJUT
LANJUT
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LANJUT
LANJUT
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LANJUT
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LANJUT
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LANJUT
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LANJUT
LANJUT
LANJUT
TUNDA(HT)
TUNDA(HT)
TUNDA
TUNDA (ASMA)
TUNDA(HAMIL)
TUNDA ( HIPERTENSI)
TUNDA ( HIPERTENSI)
Kabupaten/Kota
Provinsi
No No. Tiket NIK
1 Q-000DJ9B7 1406151706830001
2 Z-0006LTPN 1406152011950002
3 S-C61E4739 1406155609850001
4 S-B6E9B9BE 1406156810850001
5 P-KUKRHXCJ 1406061608950002
6 P-G6G9FD44 1406156106980001
7 P-BP8HLW4M 1406156702980002
8 P-EHBCINP1 1406155907060001
9 P-LVA1Q3JK 1406155306050001
10 P-BWLBCLYR 1406150803060002
11 P-ERT9X6HT 1406156802070001
12 P-G9Z0XEX4 1406156202070001
13 P-HT609DOH 1406150506070001
14 P-IYN03VIR 1406156809070002
15 P-K2HDBHGC 1406156302080001
16 P-0C2VMISP 1406150403070001
17 P-50KJQ1UF 1406055504070002
18 P-9UAIUXRH 1406155002070001
19 P-D2ZTLFGY 1406152103090001
20 P-GS5LECYQ 1406155212080001
21 P-L5R3WE1J 1406154701090002
22 P-MRR6CYQQ 1406150412080001
23 P-HICNVHYG 1406152104080002
24 P-IZR32RA7 1406151803080002
25 P-96H5FQNA 1406081011070001
26 P-3ISXKR2M 1406151902080001
27 P-7J0R0XE3 1406156106070001
28 P-AHBHFVQ5 1406154807070001
29 P-5MXAXB80 1406156709070001
30 P-9TW3D6TM 1406155305070002
31 P-BOQ7S8QF 1406156801080001
32 P-FHF0K9X1 1406155006070001
33 P-GFGOZT78 1406154107070002
34 P-HZMMC7NE 1406156911070001
35 P-JD0PHBEN 1406154306080001
36 P-LJ9WG8QJ 1406154406070001
37 P-2ANJNERD 1406155004080001
38 P-8VVRGEM0 1406156806080003
39 P-DXBDQJZG 1406156705090001
40 P-H6UTEJTX 1406153007090003
41 P-L6NH7MXM 1406150501090001
42 P-2XTQEM4E 1406156601090001
43 P-7ZUJGA2E 1406054706090001
44 P-6LF1AWL5 1406156806090003
45 P-AZY2XW04 1406046109070003
46 P-DULERG6V 1406150909090001
47 P-FU2IU7L8 1406152408090002
48 P-0HMMTQA4 1406151406080002
49 P-3C2ARKDE 1406152608080001
50 P-7GZHO7XZ 1406151007090001
51 P-1RJXNFVX 1406151506080002
52 P-26N99KU0 1406156912080001
53 P-6T8UV24C 1406154901080001
54 P-A6DJIU7B 1406157005080002
55 P-2SH6Q3VL 1406156808080003
56 P-8LCWSEE0 1406156009070001
57 P-FUQ0ZQU8 1406152302060001
58 P-GQYONALS 1471106602070001
59 P-ID1ECUIX 1406154107070001
60 P-IYQZDBTG 1406156109070001
61 P-JY0VEQ0I 1406152606080001
62 P-LCMADVVO 1406152907070002
63 P-302U7GQE 1406156011080003
64 P-DLUOSBKD 1406151710080003
65 P-JRZILFEN 1406150210080002
66 P-M5GZH99X 1406155001090001
67 P-34PUE6TD 1406154606090001
68 P-3UBOELPK 1406036806080004
69 P-8QBCJIQS 1406152001090002
70 P-A58FXOGP 1406151310080001
71 P-BIP03QIE 1406153011080002
72 P-CVU56JSG 1406151104090001
73 P-DQO7GC4W 1406151010080001
74 P-EJCN8XGY 1406152512080002
75 P-I46FD35O 1406150605080001
76 P-BAW2D595 1406151408070002
77 P-45JEVS4X 1406152207070001
78 P-26TJ595R 1406152102080002
79 P-749N298J 1406152009080004
80 P-BD7FDLXC 1406150107080002
81 P-CBPYYSRJ 1406150410070001
82 P-6GDPJCO2 1406150103080001
83 P-A2WBR85Z 1406050412060002
84 P-9AGIDQSS 1406052008070001
85 P-6INRGDFS 1406051908070001
86 P-AQ99STHK 1406082607070001
87 P-CN3Z8FTD 1406052709060002
88 P-DKJQAS0A 1406150909070001
89 P-EQPUWV8X 1401121501070004
90 P-FGGMLX5C 1406150908070001
91 P-4YF4SMRU 1406151801080001
92 P-CMG5WPNB 1406156602070001
93 P-DXETDKGU 1813095209080001
94 P-EY41C1X8 1409035402090002
95 P-GA7XBDKC 1406056008070001
96 P-GWFBY0WW 1406156710080001
97 P-3QNTJBJX 1406151003070001
98 P-CL5OVSL2 1406154505090002
99 P-1NZZHR9V 1406046101090003
100 P-0OW31PMA 1406155306060001

101 P-3YZD27AO 1406156605080002
102 P-6G40K267 1406155501080001
103 P-7XWJRXZK 1406155301070001
104 P-9NOC4I63 1406152509080001
105 P-8DAAFFKK 1406156905070001
106 P-BIOLT2WJ 1406150706090001
107 P-A9T2FVK0 1406152307090003
108 P-CWILQA17 1406156712070001
109 P-EEGQET8M 1278055402080001
110 P-GD45A89D 1406154706080001
111 P-HJJ55A0U 1406155901080002
112 P-D6JL1L9I 1406056408070002
113 P-4EEFKAEU 1406154105040001
114 P-6NA8ZUMO 1406155612080003
115 P-9ZBLGYEI 1407085312080001
116 P-G8R64K0S 1204180110040001
117 P-5KMK723V 1406152111060001
118 P-8RDFIOEE 1406152710080001
119 P-BBVI2PV6 1209142803060002
120 P-48ZNZ29C 1209211307080001
121 P-C2GSU1BY 1406152010070003
122 P-DGBA8ROP 1406151107080001
123 P-FD9AEGZX 1406156212080002
124 P-GK2EKRIR 1406155006080003
125 P-H3JU6MI2 1406150101080001
126 P-HM7N7C0N 1406155207070002
127 P-0KJZBHEX 1406150107080005
128 P-D2M2LYEG 1406156504070001
129 P-2SREQ0BH 1406155208060001

130 P-1QRKKD2V 1406156802080001
131
132 P-8BP324ES 1406152510070002
133 P-GFNSJDHV 1406150210080001
134 P-9ZW605DT 1406155712080001
135 P-7DQIY6MS 1406152103090002
136
137
138
139
140
: KEPENUHAN HULU
: ROKAN HULU
: RIAU
Jenis
Kelamin
TENGKU HARIZON P
JHON HENDRI L
ZULHELNA WITA P
RANITA P
AHMAD SAJIDIN L
SITI INDAH YUNI P
SONIA P
REFA AULIA FAIZAL P
FATIHADARDYNANTHI. A P
AHMAD MARTUAH HSB L
INDRI AULIA P
NUR RISKA LIANTI P
ABDALLAH RASHAD USMAN L

SYAHNI PRATAMA P
RASYA SAFITRI P
ABD. GUNAWAN L
SITI OLIVIA AFRIANI P
TIARA ANGGRIANI P
DAVA MAULANA L
ATIKA P
INTAN ZANIKA ZARIN P
ZULKIFLI L
MUHAMMAD FADLI KHOIRI L
FAHRI L
RIZKI ANNADHIF L
ALIF TRASANDA L
ESY WULANDARI P
RENAZA HIDAYAH P
NOVA LIZA P
SAFINA P
RARA WIDURI P
MELVY MANDASARI P
YOLANDA SAFITRI P
WAHYUNA FITRI P
YULIA ASTUTI P
SRI RAHAYU P
GESTIN KHAIRUNISA WINARDI P
SABRINA ANJELITA P
REFISSA MEILATI P
DECO AGATHA ALMIZA L
MUHAMMAD FAUZAN AZZIMA L
DELIMA ASIANI P
ASTUTI PANGGABEAN P
SUMIATI P
RESI RISKI ANANDA P
MISWANTO L
ALZAKI RAMADANI L
MARFEL SANI ALPHADLI L
WAHYUDI MAHENDRA L
FAHRI L
A.RADED ARDIANSYAH L
CICI PITALOKA P
NUR KHASANI P
MEISYA ATIRA PUTRI P
PUTRY MARATUS SIFA P
ROHANI RAMADANI P
FEBRIAN FAREL L
NAYYA AMANDA AYUMI P
SAFA NABILA P
WIWIN PAUZIAH P
FURQON L
TEGUH FRASSESTIO SATRIA KOBAR L
OCHA RAYVA P
FAREL ADITYA WIJAYA L
EL - FITRA SALAM. AS L
SEKAR SARI P
FAIZA NAFIZA P
YELNI P
ALVIN DIKA PRATAMA L
DAFA FAHRIZAL L
ILHAM ALFARIZA L
EVAN APRIANTO L
AHMAD IQBAL L
REYHANI SAPUTRA HARTONO L
AHMAD HAFIZ AFGHANI L
RISKI FADLI L
MUHAMMAD FIRMAN ARIFQI L
IMAM QODDRI L
FADHIL AZMI L
ABDI ARDIANSYAH L
RONALDO L
FATRA PRATAMA L
FAUZAN SYAHPUTRA L
RASYID SIDDIQ L
ALFA ROBBY L
CHOIRIL ROSI L
ANTONI L
DIKA PRATAMA L
SANDI DARMAWAN PURBA L
DAVID DENIAS SYAH PUTRA L
MHD. AGUNG WICAKSONO L
MELSI SUSANTI P
PUSPITA SEPTIA RAMADHANI P
INTAN DWI PRATIWI P
NINA JAMELA P
RIRIN RAMADANI P
ROMI L
SOVI P
ESTI KURNI DUATI GULE P
PINGKAN LASMINI P
MEISEN PUTRI WARUWU P
KOMBANG JUWITA P
YOSY KUMALA SARY P
RISKI RAHMAD L
SOFIA MUHAYANI P
SAITIR ZULFAHMI REZQI L
ADE SUHENDRI AL-MIKRAJ L
JUMITA P
FITRIANI ZEGA P
NADIA P
JUWITA HESTIANI P
DINIDA ROYANI P
TINA P
DEWI PUSPITA SARI P
HOLIZA P
OBERIUS ZEGA L
MHD.YUSUF ABI MAYU L
PAJRI ALFIANDA L
MUHAMMAD RIDWAN SIAGIAN L
MUHAMMAD ARYA DIKA L
RAFI PERMADI L
APIS RAMADANI L
ALIFIA SAHARA L
SHELLA NURLIZA P
RIDO SAPUTRA NDURU L
AFNI JULIANI P
RIO YUSANDI ANDIKA L
NOVITA RESLIN GULO P
WIKA RAHMAWATI P
SITI NURHABIBAH P
JELITA DESTARI P
PERJUANGAN WARUWU L
AL - FITRA SALAM. AS L
ELSA AULIA FITRI P
RIZKY PUTRA ALIMANSYAH L
DOSIS 1
LANSIA
PRA LANSIA
BUSUI RENTAN
PELAYAN PUBLIK
PEDAGANG PASAR
TOTAL
N VAKSINASI
GURU MTS 36 31-45
GURU SMP 3 35 31-45
REMAJA 15 0
REMAJA 16 0
REMAJA (MTS PEKAN TEBIH) 14 0

REMAJA (MTS PEKAN TEBIH) 13 18-30

REMAJA (MTS PEKAN TEBIH) 14 18-30

REMAJA (SMPN 1 KEP.HUL) 14 0


REMAJA (SMPN 1 KEP.HUL)
REMAJA MTS 12 0
REMAJA MTS 12 0
REMAJA MTS 12 0
DOSIS 2
Alamat No. Hp
BPJS PBI

082287121321
MUARA JAYA
KOTA RAYA KUNTO DARUSSALAM 082223959599

UJUNG GURAB 08127644578
KUBU BARU 082386729124 YA
KEPAYANG 082386729124
KEPAYANG 085830220242
KEPAYANG 081268174441
KEPAYANG 081268174441
KEPAYANG 081268174441
KEPAYANG 081268174441
KEPAYANG 081268174441
KEPENUHAN BARAT MULYA 081268174441
KEPAYANG 081268174441

KEPAYANG 08117685872
KEPYANG 085218669689


Dosis I
sesuai)

Vaksinasi
YA 7/13/2021 7/13/2021
YA 7/12/2021 7/12/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
YA 9/18/2021 9/18/2021
9/18/2021 9/18/2021
Dosis 2
N
o
.
Keterangan
t
c
h
9/18/2021 TUNTAS
9/18/2021 TTUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
TUNDA (FEBRIS)
TUNDA (POS OP CKB)
TUNDA (HEPATITIS)
TUNDA
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
Kabupaten/Kota
Provinsi
No No. Tiket NIK
1 Q-000NIMRM 1871136505690001
2 Q-0000SVFN 1406150110760002
3 Q-00095P9N 1406151407670001
4 Q-0008LAMH 1406151108750001
5 Q-0008LALX 1406150502740001
6 P-TNMIWXKQ 1471010101720041
7 P-RSPUEYE3 1406155304860001
8 P-TTUU8KH4 1406082608760001
9 P-TP35IFS5 1406155510720001
10 P-TDWB3QYL 2171036306809006
11 P-TNGQUNPP 1471014106750021
12 P-CCCCCIR2 1406052001880001
13 P-DVILUVZQ 1406152508990002
14 P-MYK8EOH3 1406150201840001
15 P-RCRVDIIQ 1406053009960001
16 P-RHU8T0P0 1406154104900004
17 P-MQECVEH2 1406051501030001
18 P-FCFH6QLJ 1406050808040001
19 P-GOVRLJ0U 1406155707070001
20 P-IAJZMAH4 1406055608060002
21 P-JUZJTHPS 1223061301060002
22 P-KKK1V1NS 1406152808080001
23 P-KSPIA2CD 1406152303080002
24 P-L1EAK9UU 1406156811070001
25 P-LBRH1EWM 1406155205060002
26 P-LQRVDNEN 1401172508050001
27 P-LZED3UIL 1406156011080002
28 P-MCEU86CQ 1406156005080002
29 P-CVLAZN6G 1406152906090001
30 P-J68JBZXT 1406150905070001
31 P-K67NQ01Z 1406155406080003
32 P-KSMB8G9D 1406156804080002
33 P-L1BE05C7 1406156505080001
34 P-LEGRCG5G 1406051304060001
35 P-LMK4VFWN 1406152211070004
36 P-MG8XPZHF 1406150709080001
37 P-NDMWN8PN 1406042604070004
38 P-NP3CQ3IX 1406152811070002
39 P-NQ1JMVSI 1406086209050001
40 P-O6GGDRU0 1406154703070002
41 P-P5FJIZKP 1406157012040001
42 P-PXDDKQRY 1671085108050005
43 P-QDRNB6DK 1406055412050003
44 P-QLQ67ONA 1406156008040001
45 P-TNG4EROT 1406150802050001
46 P-O3L18PRP 1406155711040002
47 P-OGSZUD4N 1406081001060001
48 P-TMC20ZAW 1406153011030002
49 P-Q1V3URUB 1406155909040002
50 P-QVNG7JC8 1406056008050003
51 P-RIL3KGWN 1406154404040001
52 P-RKRYABRE 1406054207040002
53 P-RM5R1YPX 1406154106050001
54 P-RN92TNH1 1406150804020001
55 P-RO5N4W3D 1406051903040001
56 P-SD6VUXB7 1406154806050002
57 P-RRDUO45U 1406152801040002
58 P-S8UUCBKD 1401135911040002
59 P-SGVNTPIE 1406054904070001
60 P-SK8O6BYU 1406154711050001
61 P-SNAIMJN5 1406155908060002
62 P-SP042B6C 1406156011050001
63 P-STIKDR4A 1406152903070001
64 P-SXCZGQHV 1406151405040001
65 P-T1BANDHC 1406055310060002
66 P-T5NKIWYY 1406052508050001
67 P-TAJ5G1WI 1406152509050001
68 P-TE750LE4 1406155311050001
69 P-TIDAHHEI 1406154311050001
70 P-TNDSF1AK 1406153108040002
71 P-TNLR1VSE 1406150804040001
72 P-TNTGZ9DC 1406154404030002
73 P-TOET62CG 1471014208050001
74 P-TQUESTKL 1406150201030001
75 P-TQZGZNGN 1406050308050004
76 P-TS6AHJXO 1406080208050001
77 P-TSOS23G6 1406154612060002
78 P-TSTF0V91 1406151305040001
79 P-QOFDHBFK 1406155901040001
80 P-SIZ2KALH 1471105311020021
81 P-TNXHLD1C 1406055412030001
82 P-TO1N8YRT 1406156108060001
83 P-TO6EKPRJ 1205115012050008
84 P-TO9HNJJU 1406054102060001
85 P-TOCVJ1U5 1401045310050005
86 P-TOG41JYC 1406055406060005
87 P-RTPLWRL4 1406154711050002
88 P-S1ZRNOLO 1406055406060004
89 P-S775ILRV 1406156201050003
90 P-SAWH06DW 1406156505070001
91 P-SEOT4RQS 1406054612050002
92 P-SLJ115CR 1406151404040003
93 P-SOVEDMKD 1406156306040001
94 P-ST3U5RG2 1406150408030002
95 P-SXJFDP9Q 1406150801040001
96 P-T1P2GZ73 1406151605030002
97 P-T8S7MUJD 1406156906050001
98 P-TI44P8MJ 2171032708079004
99 P-ML7BKNDA 1406154509860001
: KEPENUHAN HULU
: ROKAN HULU
: RIAU
Jenis
Kelamin
TIRZA EVA KAINDE P
ZULKARNAEN NASUTION L
SUTIMAN L
ARDI L
AGUS SALIM L
SYAHRIAL L
HUZAIPAH PITRIANI POHAN P
SAHRIL YAN PASIDI L
NURLAINI P
INSAN DAULAY P
ARMIATI P
SUARDIN ZAGOTO L
NOVEMBER LAIA L
TEGA GIAWA L
ABDUL AZIZ L
FEBI ANGGRAINI P
ALFENDI GIAWA L
HENDRI L
KASIH YULIANDA P
WINDA RAHMI P
DHANU ANGGARA PUTRA L
ANDIKA L
MULIADI L
MELI MULIANA P
NIAT PUTRI WARUWU P
M. ARIYA L
DEWI ERDIANA P
PINSA WILANDA P
RAMADHANSYAH L
RAHMAT RIADI L
ALIA P
AISYAH P
DIAN WULANDARI P
BAYU DWI PRATAMA L
MOHAMAD RAFLI L
ADITIA RAMADANI L
AHMAD HUSEIN L
WAHYU SAFANDY L
MILA SARI P
MARET ANGRAINI P
TRIANA LAMTIUR MARBUN P
ENJEL EKA PUTRI P

ESTER YORANTI P
WIWI WINARSIH P
IRPAN RIADI TAMBUNAN L
DEWI SRI RAHAYU WARUWU P
REZKI AIDIL ARI PUTRA L
PETRUS PANJAITAN L
RUMINTANG GINONGGOM SIAGIAN P
EKADA ROYANI P
RIMELDA ANGRIANI P
YELLYNA ROSDILA P
WIRA NADA NADI NADIA P
AZHAR AULYA L
ALFAJRI SURYA PUTRA L
TASYA NAMELDA P
SAPRIANDA L
ZAHWA AZZURA P
ANISA AFRILLA P
VIVIN SYAWALIA FITRI P
SIRNAWI PUTRI P
NOVITA LEGI P
DIKA WARDANA L
AFDAL AGIA L
FADILLA RATURAYASINTHA. A P
ISMAIL SAHRIZAL PUTRA L
HAFDULLAH HALOMOAN HASIBUAN L
ANGGUN NIATI P
YULIA SAFFITRI P
MUHAMMAD RISKY MANTOPANI L
ALDI PRATAMA L
NADYA AMANDA P
MUTIARA GUSTI INSANI P
ROMI ADRIAN SAPUTRA L
ABDUL KHOLIS L
AGUNG KHOIRI RAFLI L
RISDA.S P
FERI SATRIA PRATAMA L
ANNISA NUR 'ALIMA P
DAYU NOVIYANA P
FRICILIA ULFANI P
PUTRI HANDAYANI P
PITRI INDRAYANI P
SOFINA YASMIN P
LAILA UMAMI P
ADEK LASMINI P
JULIA RAHMADANI P
KAK LASMINI P
NOVA RIYUNITA P
SHINTIA SYAFIRA P
FITRIA AMNI NOER P
ROBI SANJAYA L
SERLY ANDINI PUTRI P
MUHAMAD AZHAR PRANATA L
WIRA HADI L
SAPI'I L
RENI SARIMA P
MUHAMAD ARDHANI L
ARIPATI HALAWA P
DOSIS 1
LANSIA
PRA LANSIA
BUSUI RENTAN
PELAYAN PUBLIK
PEDAGANG PASAR
TOTAL
N VAKSINASI
PRA LANSIA 52 46-59
ODGJ 45 31-45
ODGJ 37 31-45
PRA-LANSIA 50 46-59

REMAJA SMP 1 KEP HULU 17 0
REMAJA SMP 1 KEP HULU 13 18-30
REMAJA SMK 1 KEPENUHAN HULU 15 0

REMAJA SMA 1 KEPENUHAN HULU 17 0
REMAJA SMA 1 KEPENUHAN HULU 19 18-30

REMAJA MTS KOTA TENGAH 14 0

DOSIS 2
Alamat No. Hp
BPJS PBI
TELUK RITI 082387778003
GALIAN TANAH 085319380634

KEPAYANG 082267771465
SURAU MUNAI 082285829862

KEPAYANG 082285505199
KEPAYANG 082268642381
KEPAYANG 082268780581
MUARA RUMBAI 082285912568


Dosis I
sesuai)

Vaksinasi
YA 8/16/2021 8/16/2021
YA 6/2/2021 6/2/2021
YA 6/26/2021 6/26/2021
6/26/2021 6/26/2021
6/26/2021 6/26/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
9/20/2021 9/20/2021
9/20/2021 9/20/2021
9/20/2021 9/20/2021
9/20/2021 9/20/2021
9/20/2021 9/20/2021
9/20/2021 9/20/2021
9/20/2021 9/20/2021
9/20/2021 9/20/2021
9/20/2021 9/20/2021
9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021 9/20/2021
YA 9/20/2021
Dosis 2
N
o
.
Keterangan
t
c
h
9/20/2021 TUNTAS
9/20/2021 TUNTAS
9/20/2021 TUNTAS
9/20/2021 TUNTAS
9/20/2021 TUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
TLANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
TUNDA (MIALGIA)
Kabupaten/Kota
Provinsi
No No. Tiket NIK
1 Z-0000EHMP 1406150708520001
2 64.03.03.2002/08/102/2008
3 Z-0000EEBL 1406155412590001
4 Z-0007T2R4 1406155605590001
5 Q-0001WXAP 1406152303720004
Q-0001W2A6
6 1406151105710001
7 Q-0001W77Y 1406152405830001
8 Q-0001VWT0 1220035810931001
9 Q-0001W2IG 1406154102720001
10 Q-0001VVYG 1406155007970002
11 Q-0001WUVL 1406156311860001
12 Q-0001WWO0 1406156909950001
13 Q-0001VN9D 1406150105870002
14 Q-0001VUTV 1406156712760002
15 Q-0001T1QM 1406151512720002
16 Q-0001W6ZT 1406156604780001
17 Q-0001WL6F 1406154705920002
18 Q-0001SFUF 1406151001930002
19 Q-0001W477 1406155206910003
20 Q-0001X0MN 1406154501800002
21 Q-0001W6W5 1406155002800002
22 Q-0001WCG1 1406155012900002
23 Q-0001TU8A 1406150905010001
24 Q-0001VQ6H 1406155210780001
25 Q-00021MSR 1406156411810001
26 Q-0001WBMH 1406152810930001
27 Q-0001X0MU 1406156003820001
28 Q-0001VU84 1406150708870001
29 Q-0001W3WM 1223051602830004
30 Q-0001WW0N 1406156008820002
31 Q-0001WUV0 1406155603810001
32 Q-0001WWCX 1406155110790001
33 Q-0001VZ0U 1406151408960001
34 Q-0001WGOO 1406156001880001
35 Q-0001WKF1 1205076602890003
36 Q-0001VO78 1406051610710001
37 Q-0001WB92 1406154504930001
38 Q-0001WZVC 1406150103890001
39 Q-0001UYU0 1406055708850004
40 Q-0001W476 1406154606840002
41 Q-0001WE9W 1406055808010004
42 Q-0001VMNS 1406014910910002
43 Q-0001V9WC 1406151203810001
44 Q-0001VWT2 1223055104950002
45 Q-0001W77P 1406152307800001
46 Q-0001UA02 1406154803800002
47 Q-0001VFH6 1406154205790001
48 Q-0001WZ51 1406151509810001
49 Q-0001WXLG 1406154705840001
50 Q-0001W3OH 1406151904820001
51 Q-00021GX4 1406150810810001
52 Q-0001VWT5 1406035602980002
53 Q-0001VEAI 1406156202880001
54 Q-0002VZ76 3505144107610046
55 Q-0001U9ZR 1406154506780001
56 Q-0001V9WK 1406151412690001
57 Q-0001WDIG 1406063011700003
58 Q-0001T1PW 1406150708650001
59 P-UBJOCQ2U 1406155508940002
60 Y-00000N6T 1406151501570001
61 S-5E74A58A 1406150805430001
62 P-UGK5DS44 1406154307700001
63 P-UGLQ57XV 1406156101660001
64 P-U17PI1KL 1406155110690002
65 P-U53DR69W 1406053112610004
66 P-U4RSBULT 1406151306680001
67 P-UBPI1ZVL 1406150706630001
68 P-U3AW4I20 1406054201680002
69 P-U3GL7ECY 1406052203650001
70 P-U4FPELAD 1406152209680001
71 P-U3RLF2IG 1406051602690003
72 P-U47463WD 1406150107690001
73 P-U5LIGO2U 1406150509620001
74 P-TZJR5BJP 1406154904650001
75 P-U1JWC7ZW 1406155005630002
76 P-U1BIHCP9 1406155606860001
77 P-U70VYKNU 1406151004870001
78 P-U7DRTDJY 1406154112970001
79 P-UDIB3VT7 1406056512870001
80 P-UGPHS81Q 1406154110700001
81 P-UFTZNFK4 1406154202820002
82 P-UG9XA9UN 1222026010910006
83 P-UF3QPUVE 1406057012820003
84 P-UCGQXXQW 1406154204720004
85 P-UGE15C47 1406156409790001
86 P-UFAA3KR5 1406155510880001
87 P-UFVZCFGI 1406155008880002
88 P-UDQJSUKR 1406155906970001
89 P-UEFMV4P2 1406156104810002
90 P-UFIOMMD0 1406155605940001
91 P-U2T1RDYS 1406154710870001
92 P-U3SZ2IQ5 1406156505910002
93 P-U47WWDBW 1406154101850001
94 P-UFKQQWA8 1406052103670002
95 P-U6H80PLS 1406150906800001
96 P-U6VHXMC7 1406156810850002
97 Q-000A315P 1406150510940001
98 P-UGBLN4PV 1220065011820004
99 P-UFVQYVM0 1406154604890002
100 P-U59Z2ENW 1406151504850001

101 P-U5A9C47N 1406150404830001
102 P-U5GZ52XO 1406151207880001
103 P-U1OWEZC9 1406150503000001
104 P-U4CD9CGO 1406156311830001
105 P-U4RGGB4X 1406154411000001
106 P-U5PAT7OZ 1406150604850001
107 P-U5TPGDJA 1406032309010001
108 P-U6MEJLIA 1406150603820002
109 P-U6SOJE9B 1406155103900001
110 P-U767QASH 1406153010010001
111 P-U7LLHAYB 1406085606920004
112 P-UBDR9MIB 1406156505890001
113 P-UBFPFTR8 1406156008990001
114 P-UBNM7BQR 1406151309900001
115 P-UBTCKYBN 1406150107970001
116 P-UD3XRJVV 1406155504000001
117 P-UDMOY97M 1406152006820001
118 P-UDQTGR2K 1406153001970002
119 P-UDUAJEB2 1406152509000001
120 P-UEZNENJK 1406154704920001
121 P-UCJMCP21 1406154504870001
122 P-UCTBKTO9 1406055711990003
123 P-UF6WCT03 1216066702940002
124 P-UFC8Z0HF 1406152206990001
125 P-UFMOYI8V 1406051810020002
126 P-UFOF8TR0 1406150101850002
127 P-UFQ9AHYE 1406150111800001
128 P-UFS2DMTU 1406152203010002

129 P-UFXOFIHS 1406150603840001
130 P-UFZJDAUR 1406150803870002
131 P-UG1EBXZE 1406154303880002
132 P-UG3JSJM1 1406152302010001
133 P-UG5T58QQ 1406152212020001
134 P-UGJD9JAJ 1406151505970002
135 P-UGL2XGGB 1406151311860001
136 P-UGMEPQQH 1406032901000001
137 P-UGNGQM4A 1406032103030003
138 P-U2T1RDYS 1406154710870001
139 P-U5XQMGDU 1406071005860004
140 P-U1WBDB5W 1406152608030001
141 P-SVMXJWOF 1406055708900002
142 P-U3NNSK5G 1406157108850001
143 P-U6HXBZQ9 1406154303860001
144 P-U6TQ5QN4 1406156808950001
145 P-U6YZVQP7 1406157003010001
146 P-U78PWCBT 1223053012890005
147 P-UGMXH4ML 1406155605930001
148 P-UGO6AFM0 1406074205940003
149 P-UGPFWMSE 1406151602890002
150 P-UGQOLX2C 1406151811800001
151 P-UCLSLBXM 1406153005840001
152 P-UENUEZQU 1406154908010001
153 P-UDUJOQCS 1406151107010001
154 P-UE1UBZAU 1406155310800002

155 P-UFN0P0DK 1205086904880003
156 P-UFOMKAQJ 1406076707970001
157 P-UFQYRN7N 1406151308870002
158 P-UFTYMYZ7 1406151107830002
159 P-UERFEAVB 1403135708860008
160 P-UF6JDCEF 1406156808010001
161 P-UFDIV76T 1223055906830003
162 P-UFGF6V2T 1406156109860001
163 P-UETWUBJE 1406155010910002
164 P-UG24ILX3 1406055905000001
165 P-UG5Z6ZHZ 1406156703030001
166 P-UGATWEQK 1406154707870001
167 P-SVI8ZIOS 1406150408030001
168 P-UFY76IAF 1406151812830001
169 P-UECFCDY8 1406050506980003
170 P-UEWQM2HU 1406151708990001
171 P-UBCL1QIC 1406155307020001
172 P-UGGABQBD 1406154206990001
173 P-UDGG7E27 1406155212810001
174 P-UBHNIGYY 1406051609990001
175 P-UBTJRG3L 1406150707900003
176 P-UCS3M7BY 1406151204870001
177 P-U7KWL2XT 1406155411900001
178 P-U5LUJNAF 1406053112710001
179 P-U5SB2NWC 1406150606720001

180 P-UEL0NVT9 1406155504790001
181 P-UF0IOJTH 1220034606760002
182 P-UF3DSCMQ 1406154708800001
183 P-U4X4QPLN 1406154702760001
184 P-UE6PBP55 1406052007790003
185 P-UFZWSOEU 1406152608810002
186 P-UGD5Y09D 1406150607760001
187 P-UFKYLTHT 1406152303760001
188 P-UCOWJMCV 1406152904790001
189 P-U40T26KI 1406155512720001
190 P-UG7W7LH3 1406152307730002
191 P-UCZK0PG5 1406051403800003
192 P-UDCQDJJD 1406150404730002
193 P-U31K3LQK 1406151010740003
194 P-UCI1JQBB 1406054809720001
195 P-U7Q1UH0N 1406151305740001
196 P-U4W53NG0 1406154301770001
197 P-U55GHYXU 1406054504760003
198 P-U7HDZ6TH 1406152112790001
199 P-UCM9A7MJ 1406054204740002
200 P-UCZUP4VC 1406051605770002
201 P-UDYLXN65 1406157012730002
202 P-UE4YTY15 1406054608790002
203 P-UGFNP6QQ 1406150412790001
204 P-UFF05TFO 1406055111760003
205 P-UDLTNHOG 1406055909940002
206 P-U0W7Q1FE 1376015310970001

207 P-U2D19488 1406155606000002
208 P-U3LPA1EB 1406054803820001
209 P-U67K8CIP 1406056303830001
210 P-UBW9DMZP 1401100803050004
211 P-UBZX62DF 1406154408030001
212 P-UC3B8V7A 1406150610040001
213 P-UC7Q9K4K 1406155809030002
214 P-UCBGNU89 1406154212030001
215 P-UCECI8PP 1406056710040002
216 P-UBXIW4VI 1406152403040001
217 P-UC2G5P0E 1406051812030001
218 P-UC8SIJL0 1406155704050001
219 P-UCESGJEL 1406154601040001
220 P-UCWWGGJD 1406152510040001
221 P-UGEPFCD5 1406155111040002
222 S-5D9F7206 1406050107550085
223 S-EA6DCA5B 1406150610560001
224 S-BE634171 1406054808570002
225 S-DE47CEBC 1406151508600001
226 P-U33J90ZI 1406156105640001
227 P-U4HIACWN 1406154507630001
228 P-U0EU4F7G 1406072008690001
229 P-U0NAHR5H 1406151404650001
230 P-UEIIXHGI 1406154203980001
231 Q-00021AP5 1406151405800002
232 P-UFA7QAAX 1406056307010002
233 P-UG41BPXG 1406154208020002
234 P-U0TWQTHG 1406077010740006

: KEPENUHAN HULU
: ROKAN HULU
: RIAU
Jenis
Kelamin
SUDARSO L
SUEMAH P
BOINAH P
WARTINEM P
DEDIK SUTRISNA L
UMAR AFANDI L
ADI MARIYANTO L
JUWITA SARI NASUTION P
SUGINEM P
DESI APRIANTI P
RIA SUCI MAULIDIA P
DAHRIYANI P
EDI DARORI L
IRA LESTARI P
SURIYANTO L
KASMAWATI P
RINA P
MOH. HENDRA MUNALIS L
MAGDALENA SUMINA P
WASINI P
NGADIAH P
MIRAWATI P
ACHMAD RIDWAN HANANSYAH L
SUMARNI P
SITI SOLIKAH P
OBSI WIBOWO L
ERDIANA WATI TAMBA P
AHMAD APANDI L
BAHRUDIN L
JUMIATI P
JUMINEM P
HANI SUPRIHATIN P
AGUS RAHAYU WIDODO L
SITI NURHALIMAH P
SITI ROHANIYAH P
SUMIRAN L
INTAN P
PRIMA KURNIA ANAM L
HENDRA YULITA P
CHRISTINA WIWIT ISTRINI P
NURLIANA AGUSTINA P
NURHAMIDAH P
ROHMAN ROI L
SURYANI P
BENI ROMADIN L
JUMIATUN P
SUYATI P
KOMARUDIN L
SITI MARIANI P
KHAIRUL SALEH L
RAHMAT HIDAYAT L
LIFIA CLAUDIA P
NASIATUL BARIAH P
FATMIANA P
INEM P
KAMALUDIN L
RUBIONO L
SIMPEN L
MEGA WATI P
BONAJI L
SUMADI L
SRI RAHAYU P
KAMINI P
AZIZAH P
LEGINO L
PANIDI L
SUPRIADI P
NURHAYATI P
TAKIB L
ANWARUDIN L
ACE NURYAMAN L
SURIPTO L
PONIDI L
NURYATI P
KAMBIRAH P
HERLINA P
SIGIT WAHYUDI L
SITI ROSIDAH P
NENENG KURNIATI P
SUSMIATI P
NINING SUSILAWATI P
YUNIDA L
SUSIANI P
ERMA P
ANISSATUL FARIDA P
ROHANI P
PARIDA WATI P
SRI ANGRAINI LIA YUNITA P
RIRIN DWI ARSIH P
NELI SUSANTI P
NUR HAYATI P
MEI YANTI P
NINA MARYANA P
HAKIM L
HERI KUSUMA L
TITIN SUHAETI P
SAH MIRAL L
ROSANA DEWI DIRMANSYAH P
ENDANG LESTARI P
LIO CANDRA L
WAHYONO L
PURWANTO L
AANG KURNIAWAN L
MARIYANA P
RESTU ESTINA P
ADEN L
RIVAL VERNANDO L
SAMSUDIN L
ROHANI P
EDI EKO SAPUTRA L
SRI HERMAYANTI P
SURYA DEWI P
NURFIKA P
GATOT WIDODO L
YANTAKO L
NURAIDAH P
WINARKO L
BAROKAH GATOT SUSILO L
YOGI SIDIK L
ROSMI HATI GOASA P
SITI KHODIJAH P
NOPITA ROZA PATIMAH P
ROSDIANA P
LEO ARBARADO L
YUDHA PRADHANA INDRA LESMANA L
FRANDI L
ZULHERI L
AHMAD SIDIQ L
SAHIDIN L
DAPIT DWI SASONO L
RATNA DEWI RAHAYU P
DEBEB KEVIN L
FIRMAN ROSULLI L
ROKI ANDREA SAPUTRA L
MURIYANTO L
YUDHI PRIA SUDARMA L
RIVAI NOFANSAH L
NUR HAYATI P
ANTO L
DANDI KURNIAWAN L
YOANA BASUKI P
ERNA P
LASIMAH P
ANA AGUSTINA P
INDAH KRISNA DACHI P
SUKIRNO L
LUSIANA S P
SARI NINGSIH P
AGUS ARIWIBOWO L
RISWANTO L
ISROQ L
ANGGUN SETIA WATI P
HENDRA EGA SAPUTRA L
NIKHAYATUL QHOIRIYAH P
TRI YUNITA P
ERNITA MITRIA P
OSANEMA GOASA L
LATIF WINTOKO L
DEWI P
EGA PRASISKA DARMANSYAH P
NURAINUN HASIBUAN P
YENI ANGGRAINI P
SRI ASTUTI P
MEYLINDA NANDARIADI P
E.WAHYU NINGSIH P
YULIANI P
MUHAMMAD ABDULLOH MA'SUM L
MADROVI L
BAMBANG ALI NURMANSYAH L
DEDEK ANJAR WULAN L
BIBET WAHYUNI P
RINI P
RUMIARSIH P
MUSIRIN L
HERMANTO L
MUSTOPA L
DWI RAHAYU P
SURIADI L
NAZMUDDIN L
DAHLIA P
NURAINI P
GABRIELA DEWI PURNAMA P
SUTRI L
SAHLAN L
HERNAWAN L
KASTUM L
CANDRA ADY L
SARO'I L
SITI KORIAH P
ROHMAT SANTOSO L
DEDI HARYONO L
SUHERI L
SISWOYO L
SRINGATIN P
SUTIKNO L
SITI ZUBAIDAH P
RUMNASIH P
HARTOYO L
HOTIJAH P
MATIUS PAIMIN L
NORA P
IDA WATI P
AMILUDIN L
UNZILATUN KHASANAH P
NUR HIKMAH DEWI P
SARI OKTAVIA NINGSIH P

WATI P
SITI FATIMAH P
SANTI P
MUHAMMAD AZLAN L
DEWI MUSTIKA SARI P
SONI HIDAYAT L
CICI CAHYANI P
LUSI NOVITA SARI P
RIA AMELIA P
DARMA WARDANA L
MOCH RIFA'I AL-HIKAM L
AJENG WINDI ARDITA P
SAGITA P
RAHMADHON L
ROSDIYANA SAPITRI P
SAKIMIN L
SAR BUDI GOWASA L
SITI MASROPAH P
TATAK L
SUPATMI P
SATI FARHE DUHA P
NGADINO L
JAMUN L
KIKI LOSARI P
IMAM CHANAPI L
DEVITA AYU YULIASARI P
DELVINA P
WASIEM P
N VAKSINASI
LANSIA 69 0
LANSIA 67 0
LANSIA 61 0
LANSIA 62 0
PERANGKAT DESA 48 46-59
PERANGKAT DESA 38 31-45



NAKES 27 18-30
LANSIA 64 0
LANSIA 78 0
PRA-LANSIA 51 46-59
PRA-LANSIA 55 46-59
PRA-LANSIA 52 46-59
PRA-LANSIA 50 46-59
PRA-LANSIA 53 46-59
PRA-LANSIA 58 46-59
PRA-LANSIA 53 46-59
PRA-LANSIA 56 46-59
PRA-LANSIA 52 46-59
PRA LANSIA 52 18-30

PRA LANSIA 52 46-59
PRA LANSIA 59 46-59
PRA LANSIA 56 46-59
PRA LANSIA 58 46-59
PEDAGANG PASAR 0
RT 41 31-45


MASYARAKAT UMUM 0



REMAJA SMK 1 KEPENUHAN HULU 18 18-30
REMAJA SMK 1 KEPENUHAN HULU 18 18-30
REMAJA 16 0
REMAJA 16 0
LANSIA 66 0
LANSIA 64 0
LANSIA 64 0
LANSIA 61 0
PRA LANSIA 57 46-59
PRA LANSIA 58 46-59
PRA LANSIA 52 46-59
PRA LANSIA 56 46-59

Alamat No. Hp
BPJS PBI





082389492339
KEPENUHAN JAYA






Dosis I
sesuai)

Vaksinasi
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
6/10/2021 6/10/2021
6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
6/10/2021 6/10/2021
6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
6/10/2021 6/10/2021
6/10/2021 6/10/2021
6/10/2021 6/10/2021
6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
6/10/2021 6/10/2021
YA 6/10/2021 6/10/2021
YA 9/21/2021 9/21/2021
YA 6/10/2021 6/10/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021 9/21/2021
YA 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021
YA 9/21/2021
YA 9/21/2021
YA 9/21/2021
YA 9/21/2021
YA 9/21/2021 9/21/2021
YA 6/10/2021 6/10/2021
YA 9/21/2021
9/21/2021 9/21/2021
YA 9/21/2021
Dosis 2
N
o
.
Keterangan
t
c
h
9/21/2021 TUNTAS
9/21/2021 TUNTAS TIDAK ADA E-KTP
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
9/21/2021 TUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
TUNDA (MIALGIA)
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
TUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
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LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
TUNDA ( HT )
TUNDA (HT + SESAK)
TUNDA (COVID)
TUNDA (HT)
TUNDA (HT)
TUNDA (DEMAM)
TUNDA (ASMA)
TUNDA (JANTUNG)
TUNDA ( COVID )
TUNDA (ALERGI)
TUNDA (ASMA)
TUNDA ( GINJAL)
TUNDA (DM)
Kabupaten/Kota
Provinsi
No No. Tiket NIK
1 Q-000ITAHK 1406074207790004
2 Q-00021AP5 1406151405800002
3 S-AE43D0A5 1406154303600001
4 S-C1AE8D61 1406150201600001
5 P-VU7U3YTQ 1406151206710001
6 P-VU5N25S5 1203213005680001
7 P-VF5YD3SI 1406086904970003
8 P-VFFPD9FI 1406085001950001
9 P-VTZWPMEE 3308015801980001
10 P-VU0NVSER 1406155306000001
11 P-VTTAKDM9 1406154209700001
12 P-UFA7QAAX 1406056307010002
13 P-VTWLE6O5 1406150305710001
14 P-VTYBIGBX 1406150904930002
15 P-VU1VVB7X 1406151210830002
16 P-VU8CFR7G 1220030406901001
17 P-VUCUSGSV 1406155202890001
18 Y-0135PNIH 1406056603730002
19 P-VUCQFYDZ 1406151007840002
20 P-VTWESVLH 1406150808020001
21 P-VU0DIOYN 1406055411020003
22 P-VUAJYUP7 1406044708800008
23 P-VUANQ5N3 1406155309760001
24 P-VUABWQNV 1406155209020001
25 P-VEVAWBXA 1406150204080002
26 P-VFXF2KQG 1406151905080001
27 P-VG4EZ7RE 1406155411080001
28 P-VGGKZ9J0 1406150701080001
29 P-VGLMD03V 1406151611070001
30 P-VGS2P0BQ 1406151307080001
31 P-VGXHMOFY 1406152512080003
32 P-VH5QIJVB 1406150410080001
33 P-VHC9RS3P 1406151801080003
34 P-VHJIR4P5 1406154904080001
35 P-VHX8V9MK 1406151606090003
36 P-VI3MRRAN 1406151508080001
37 P-VIBST5TI 1406152512080001
38 P-VIH4DX14 1406150408080001
39 P-VILUKHPC 1406151501090002
40 P-VISEHOVW 1205085207080003
41 P-VJ5MWFFK 1406156405080001
42 P-VJ9966N9 1406155402090001
43 P-VJCHURUM 1406150312070001
44 P-VJG1EB1M 1406155505090002
45 P-VJKFVP1S 1406156809080001
46 P-VJPMVNF5 1214061004080001
47 P-VJUN7OZD 1406072005090003
48 P-VJYUZN53 1406155006080001
49 P-VK7XMJ23 1406152103070001
50 P-VKIKQSWL 1406156508070001
51 P-VKMNERPC 1406154810070001
52 P-VKQUFE14 1406152504070001
53 P-VKVBOFXE 1406152211070005
54 P-VL03VUIZ 1406154909070001
55 P-VL5XLXUK 1213061103070001
56 P-VLBOCDHB 1406152606070001
57 P-VLHHN1N6 1406152508070001
58 P-VLLBWZEE 1406152908080001
59 P-VLPEKYS5 1213066909080001
60 P-VLTQF83T 1406151301080001
61 P-KMGQC4EP 1406156804080001
62 P-VM31Z2NC 1406152101090001
63 P-VM9V0J8A 1406150707070001
64 P-VMGDLGO2 1406150907060001
65 P-VN0QFUMC 1406151710070001
66 P-VN42P3AR 1406155109070001
67 P-VN88YF9R 1406151404070001
68 P-VNBZCQRH 1406150502070001
69 P-VNELW4TL 1406076307080002
70 P-VNHLRIGI 1406156311070001
71 P-VNK2CSL4 1406150202070002
72 P-VNMKLZVP 1406155107060003
73 P-VNPT9X6W 1406156807070001
74 P-VNSI5MEC 1406152708070002
75 P-VSYPANGQ 1406151202060001
76 P-VT1ZWVNI 1406152905070001
77 P-VT4ZAYYS 1406150605070001
78 P-VT8MF3KO 1406154808090003
79 P-VTB98M2Z 1406156403070002
80 P-VFOCXQHS 1406140102060001
81 P-VG1NMLL5 1406156712060002
82 P-VGEKIUOC 1406154811070001
83 P-VGMD9JWP 1406155605080001
84 P-VH5UJGIP 1406155801090001
85 P-VHLHCBDJ 1406154707080001
86 P-VHQKVPRE 1406151504070001
87 P-VI9KMMLM 1406155302090001
88 P-VIG1OIMS 1406152607080001
89 P-VIMIYBT0 1406156604090001
90 P-VIS4K1WS 1406156802090001
91 P-VIW3SPLO 1406150202090002
92 P-VJBOUAES 1406155905080001
93 P-VJFMZD5Q 3505140907070002
94 P-VJOEUI2R 1406156301090001
95 P-VJSYT1ZN 1406155303090001
96 P-VK0P6JAL 1406150808080001
97 P-VK9Q11IY 1802042810080004
98 P-VKPYJSX2 1406150801070001
99 P-VKVQ0VD3 1210070512070003
100 P-VL0KRG7P 1406152308070001
101 P-VL5I1U27 1406155004080002
102 P-VLCBT93A 1406155106070001
103 P-VLJUVMSH 1406150709070002
104 P-VLO9IBW5 1406155209070001
105 P-VLS4K85V 1406154612070003
106 P-VLVFTG2D 1406150304070001
107 P-VM2X59VQ 1406155308070002
108 P-VM7PCSFI 1406156012070001
109 P-VMICOTON 1406154204080001
110 P-VN0O8JJP 1405062509080001
111 P-VN45227C 1406155710070001
112 P-VN7SC33Y 1406151010070001
113 P-VNBJQUP2 1406150802070001
114 P-VNEP9IU5 1406150905090001
115 P-VNIC3KQ4 1406155006080002
116 P-VNKOS5RY 1406152305080001
117 P-VNNCBT8F 1406151705080001
118 P-VNQ8QEL4 1406150907070001
119 P-VR950PT7 1406151512060001
120 P-VRCVNAZH 1406150402070001
121 P-VRF0KIIJ 1210074512050002
122 P-VRHE689D 1406154810060001
123 P-VRJQQUMN 1406150704070002
124 P-VRLKGPAU 1406154412050002
125 P-VRNT0Z43 1406155902060002
126 P-VRQDA9JA 1406152504070002
127 P-VRT2UWPV 1406150609060001
128 P-VRWJDLPZ 1406156701060002

129 P-VRYGC3QM 1406155911060001
130 P-VS0PEAGS 1406061301070002
131 P-VS4FCNUQ 1406152609050001
132 P-VS6XOHKG 1406050312060001
133 P-VSB1FRLT 1406155411060002
134 P-VSCM50JL 1406035508040002
135 P-VSFIAEH8 1406151309060001
136 P-VSHL2YH4 1406151007060002
137 P-VSK5VZ60 1406151107060001
138 P-VSM0MM5E 1406151101070002
139 P-VSNUBX50 1406150803060001
140 P-VSPTANF3 1406150207060001
141 P-VSRJFUIU 1406054312040001
142 P-VSSY6PJF 1406155106060001
143 P-VSUOI2H9 1223054808070004
144 P-VSYOG6NB 1406155803070001
145 P-VT1UCESE 1406051808050001
146 P-VT4ID5KC 1406156907060001
147 P-VT6VYJOD 1406055609060001
148 P-VT9X6B9R 1406155709060002
149 P-VGP53ZAT 1406154610080001
150 P-VHOQQ91X 1406155305080001
151 P-VIDE0LHI 1406156308080002
152 1406156308080000 1406152906080003
153 P-VJ3BF7XT 1406151003090001
154 P-VJGAXLDR 1406151912080001
155 P-VJPN5DTL 1606091610080002
156 P-VKAMMOQQ 1406151708070001
157 P-VKNETVQ3 1406153009070001

158 P-VKUGUC6L 1406156403080001
159 P-VLLHNHUT 1406155007080002
160 P-VM35RSRV 1406151003070002
161 P-VMJUDU7S 1406055502710002
162 P-VMQRTTXN 1406155606070001
163 P-VMXN3AJH 1406155611070001
164 P-VN4FBQUP 1406152904080002
165 P-VNCBSBUS 1406150307070001
166 P-VNIDC9UG 1406155607070003
167 P-VRSS1T3R 1406050702060001
168 P-VS2B4AEQ 1406156402070001
169 P-VS8LVS17 1406155702070001
170 P-VSDQIK0M 1406152209050002
171 081274630291 1406052008060001
172 P-VSLAMSOP 1406154108060001
173 P-VSOWTP7S 1406156212060001
174 P-VSRCO05Z 1406151011060001
175 P-VSV4QP1I 1406154806060001
176 P-VT10OBH0 1406150906050002
177 P-VT6BB9HI 1406154912060002
178 P-VTA3UVD4 1406156403040001
179 P-VTDD95GZ 1406154706060001
180 P-VTFPK04X 1406156811050001
181 P-VTHL6MRQ 1406156806050002
182 P-VTITUMSW 1406057003060001
183 P-VTL1E4C1 1222035605060012
184 P-VTMNXAUE 1406151411050001
185 P-VTO53F4C 1406151509050001
186 P-VTPJYUJF 1406154503050001

187 P-VTR368IC 1406155211040002
188 P-VTDCQR3H 1406150905060001
189 P-VTFRSHVC 1406150906050001
190 P-VTHG69TE 1406154512040001
191 P-VTJC4Z36 1406155505050001
192 P-VTKO9M6Q 1406156505050001
193 P-VTLSRQTA 1406154502060003
194 P-VTN2UTJD 1406052808040001
195 P-VTP2DMNM 1406056201050001
196 P-VTQFEKYR 1406156404030002
197 P-VTDL3N2L 1406055502060001
198 P-VTGJD0W5 1406152103040001
199 P-VTJSCBUL 1406155908060001
200 P-VTMX4VCT 1406154204060001
201 P-VUEIK33Q 1223053012690001

: KEPENUHAN HULU
: ROKAN HULU
: RIAU
Jenis
Kelamin
SUHARIYANTI P
IMAM CHANAPI L
SARTI P
MASIJAN L
MIFTAHUL HUDA L
TUKIMAN L
RISKE PASTIA P
YULI EKA PUTRI P
SITI NAHIYATUL MAKRUFAH P
IIS NURSARIFAH P
SULISTIO WATI P
DEVITA AYU YULIASARI P
SYAMSUL L
DIDIN AFRIADI L
IMAM MARZUKI L
SURATNO L
RAMSYIDAH P
JASNIMAR P
A. KAMALI L
PUTRA ADITYA L
ETY NOVIA RAHMADANI P
SAUDAH P
UMI HASANAH P
DESI RAHMAWATI P
MUHAMAD TARIS L
REJA RISKI SAPUTRA L
ENJELITA P
DAPIT ASTAR L
RIO SAPUTRA GOASA L
AFRYAN RAHMANSYAH L
MANDALA PUTRA L
ERVAN FITRIAWAN L
BISMAR L
APRILIYA AYU LESTARI P
RANO KARNO L
AHMAD ALIF TAMIS L
HANIF DAFA NAUFAL L
ALDO L
ARVAN TEGAR PRIZUANSYAH L
ENJEL LITA P
MELAWAHYUTI P
NOVI P
PATJRI RESKI SAPUTRA L
REFFA RAUDATUL ALIYA P
RIZKY SEPTIA RAMADANI P
ROZER FEDORER ZAI L
TORI SAFANDI L
WELLTY OCAH PEBIANTI P
ALDO SAPUTRA L
ANGGITA SALSABILA.A P
DEFI SAFITRI P
HARIYON MASWAN L
IQBAL ARDIANSYAH L
MARDIANA P
NAUFAN RAFIF HSB L
PRAYOGA IBNU HD SAPUTRA L
RIDO SAPUTRA L
RISKI KURNIAWAN L
RIZKA RAHMADHANI HSB P
SURYA NANDA L
VIRNANDA PUTRI KHARISMA P
VERRY TIA MAHENDRA L
ALDI ARWANSAH L
ANDRE GUNAWAN L
ARGANATA OKKI SADEWO L
DENI SEPTIANI L
ERWIN DARMANSAH L
FEBRI EKA SAPUTRA L
HUSNA ALSIKRA P
KAYLA INDRI NING TIYAS P

RAHMAT SETIA DACHI L
RISKA ANDRIANI P
SHELVI LUTHFINA P
SUES APRIANATA L
LUTHFI FEBRIANSAH L
MUHAMAD KESIHENDI WAHID L
SAIFUL AFRIZAL L
SUCI P
AMINATUN SABRI RAISSA P
ARMAN ARIFIN L
DITA DEWITA P
INDAH P
ENDANG PUSPITA P
ARYANTI NAZILA SAFA BR BATU BARA P
RAHMA SYARITA P
FIRAS TAUFIK QURRAHMAN L
CHRISTINA GRECA P
AHMAD ARDI WINATA L
CINDY APRIANA SARI P
DELLA AYUMI P
IQBAL HIDAYAH L
PITRI ANGGUN LESTARI P
RENDRA DWI PRAMANA L
RENI HIDAYAH SARI P
SHELLA FATMA WATI L
YUSUF SETIA DARMA L
ADI NUR PASE STIA L
DIMAS AZIZ SAPUTRA L
LEFI HERDIAN L
MESRI L
NIA AFRILIA PURWANTI P
RAHAYU NINGSIH P
RIAN ANDESTA L
RISTANTI FITRI RAMADHANTI P
SINDI AYU RISMAWATI P
TEGAR ADE PRABOWO L
TISA P
WILDA SAHARA TUL JANAH P
AMALIA PUSPITA SARI P
DEJA RAMADHAN L
DINI FITRIANI P
FADLI RAMADANI L
FAREL PRAMUJA L
IKHSAN NURHASBI AMMAR L
MELANI DWI SAPUTRI P
RAFFI PRATAMA L
NURFAN L
WAHYU URIP WIJAYA L
AL HAKIMI L
ALGA FEBRI INDRAWAN L
ANDINI P
ARDA DWI ARIANTI P
BAYU ADI SYAPUTRA L
FIKA NURJANAH P
MELINDA SUKMAWATI P
HARIYEN MASWIN L
M. REYKHAN DAVA FAIZAL L
NARI RATIH P
NOVELIA ARWANTI P
RANDI ARDI KURNIAWAN L
RICKY SIHOTANG L
RIKI MUHAMMAD HABI ALLAH L
SYNTIA ADELLIA P
TALITA NASWA P
YUNUS ANSORY L
ARIP MUSTOFA L
ANDREY KURNIAWAN L
AWAN SAHIF L
BAMBANG ANDRIAN WIRATAMA PUTRA L
DELVIA HERNANDA P
DIANA P
DINDA PUTRI PIANA P
HARTIKA SYAHPUTRI S P
INDRI TRIYANDANI P
MUHAMMAD PICKRI P
NOVI AULIA P
SEPTINA YULIANA CXANTIKA P
SUKMA INDRIYANTI P
HAIRUN NBISA L
LAILA NUR DIANA NINGSIH P
ANGGUN AULYA P
ALIF SAPUTRA L
NANDA KESUMA L
RAHMA FALDI L
RIFAN TRI ANDIKA L
AGUS PANDU PRATAMA L
BERNADETA BDITIA PALMA L

IKA AMELIA P
RIA MUSTIKA WATI P
SABIL AKBAR PRADANA L
ADITIA L
BUNGA ANGGRAINI P
DELLA NOVIANTI P
DIKA SETIAWAN L
HERU SETIAWAN L
NAZWA SAVIRA P
NANDA KURNIAWAN L
RAHAYU FEBIAN NINGSIH P
RISKIYANINGSIH BR SITORUS P
TRIO EKA SYAHPUTRA L
ANDI ABDUL MA'RUF L
ARMITA SARI P
DESI TIA ANANTA P
DIMAS WAHYU PAMUNGKAS L
HELMA AMELIA PUTRI P
HIDAYATUL MA'RIF L
PIPIT PUTRIYUPITASARI P
TISTA MERLIYANA PUTRI P
RIYAN HERMAWAN L
RANI RAMADANI P
LISA DWI ARIANTI P
LESTARI P
NUR ALNA ANISA P
AHMAD AFANDI L
ADI KURNIANTO L
FANNY SEPTI WULANDARI P

UMMIY CALZOEM P
IRFAN AFFANDI P
HIDAYATUL MARUF P
DESTIARA PUTRI NOVITA SARI P
TIA ARDIANTI P
TRI WULANDARI P
SITI NURHIKMAH P
ALDI KURNIAWAN L
JUWITA ANGGRAINI RINANDEA P
KURNIA JEANSARI P
PIKA RIANTI P
MARSEL L
RAMAWATI P
SITI ROHANI P
ANTONI PASHA L
N VAKSINASI
LANSIA 61 0
LANSIA 61 0
PRA LANSIA 50 46-59
PRA LANSIA 53 46-59
GURU SMK 1 KEPENUHAN HULU 24 18-30
GURU SMK 1 KEPENUHAN HULU 26 18-30
GURU (MI MIFTAHUL KHOIR) 23 18-30
GURU (MI MIFTAHUL KHOIR) 21 18-30

MASYARAKAT UMUM 0
REMAJA SMPN 2 SATAP 13 0

REMAJA SMPN 2 SATAP 14 18-30




REMAJA SMKN 1 KEPENUHAN HULU 15 0

REMAJA SMKN 1 KEPENUHAN HULU 18 18-30
PRA LANSIA 51 46-59

Alamat No. Hp
BPJS PBI
SEMPURNA ALAM, RAMBAH HILIR 082268402662
SEMPURNA ALAM, RAMBAH HILIR 082283783795 YA





DESSA KEPENUHAN JAYA 08126894902
DESA KEPENUHANJAYA 08126894902



Dosis I
sesuai)

Vaksinasi
7/22/2021 7/22/2021
YA 6/10/2021 6/10/2021
YA 9/23/2021 9/23/2021
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9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021 9/23/2021
9/23/2021
Dosis 2
N
o
.
Keterangan
t
c
h
9/23/2021 TUNTAS
9/23/2021 TUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
TUNDA (HT)
Kabupaten/Kota
Provinsi
No No. Tiket NIK
1 Q-000RL2PT 1406150210780001
2 Q-000RL2PN 1406051609820001
3 Q-000RL0G2 1406151011840001
4 Q-000M8GVL 1406151007940001
5 P-WWOPLAQY 1406152807050002
6 P-X4UAY3N9 1406152401040001
7 P-X4SUPMA2 1406132603030002
8 P-X5VRWKL5 1406154206050001
9 P-X6ALX0XG 1223044203050002
10 P-X16G0XOO 1406051010070001
11 P-X1DFXV8D 1406152006070001
12 P-X1XOWIFJ 1406131507090001
13 P-X26LZXQ6 1218052905090001
14 P-X3JTH4WQ 1401122510070005
15 P-X3RNWKXC 1406152405070001
16 P-X3YYSF49 1406152101080002
17 P-X4ELFHIY 1406150806080005
18 P-X3FLZOFZ 1406150102080001
19 P-X3QL8KGR 1408100902070001
20 P-X3Z5FR5B 1406151510060002
21 P-X49ZRPFH 1406151408060001
22 P-X6GQJWJ7 1406152209050001
23 P-X6NY24OF 1406156611050002
24 P-X9I7CR9D 1406155906030003
25 P-X5TEX4H4 1406051210030001
26 P-X6249XDR 1406052511030002
27 P-X69QTJHQ 1308080705030001
28 P-X6HOUT8X 1209143112050001
29 P-X6ONFU8C 1406156506060001
30 P-X9GICQZY 1406156512030002
31 P-PBMAXVFQ 1406154108010003
32 P-X7V9WBDB 3202041706880006
33 P-X72BG1VK 1406154101740002
34 P-X79WIMUA 1406056005840002
35 P-X6YDUJF3 1406151207000001
36 P-X6U9GZDB 1207230608980009
37 P-X7L4MNFH 1706110303990001
38 P-X7Q5X7W2 1406154505800002
: KEPENUHAN HULU
: ROKAN HULU
: RIAU
Jenis
Kelamin
SARDIYANTO L
EKO PRASETIO L
M. SHOLIKIN L
T.ROBBY KURNIAWAN L
MUHAMMAD ALI L
DISMAN NDURU L
LONGGINUS MELKY NAINAIF L
VIVIN ZALUKHU P
MEGANI ZILIWU P
FITRAH RAMADANI L
NAUFAL ZIKRI L
YOGA PRATAMA L
MHD. SUKMA WIJAYA L

LEONARDO RIVAIVEL SINAGA L
MEI PIKIR ZEGA L
FERIS HARIANTO L
JUL SAHPUTRA AGAS L
ALWAN NAUPAL SIREGAR L
COKY BATARA TANJUNG L
JOEY RAMDHAN HARAHAP L
BUDIMAN HALAWA L
ASKHA FARIDIL AFIF L
AMIL MUTHIA P
YONA FATMALLA P
MIKO HEDRIN L
JEFRI GAZALI L
ANANDA YERDINAL PUTRA L
RENO PRATOMO L
AISYAH P
SUSI ARIANTI P
INDAH SUNDARI P
SUTISNA L
CARINTA BR. SEMBIRING P
NURSITI SIREGAR P
SURYA DHARMA SINULINGGA L
JOSE HARMANTA SEMBIRING L
JADIAMAN L
SUSILAWATI P
DOSIS 1
LANSIA
PRA LANSIA
BUSUI RENTAN
PELAYAN PUBLIK
PEDAGANG PASAR
TOTAL
N VAKSINASI
REMAJA SMPN 1 KEPENUHAN HULU 13 0

REMAJA SMP 3 HATI 13 0
REMAJA (SMPNS 3 HATI) 13 0
REMAJA SMAN 1 KEPENUHAN HULU 16 0
REMAJA SMAN 1 KEPENUHAN HULU 18 18-30

DOSIS 2
Alamat No. Hp
BPJS PBI
085278033513
MUARA JAYA
082283113544
MUARA JAYA
085263411216
MUARA JAYA
KEPAYANG 082288739396
KEPAYANG 082389324154

KEPAYANG 082285884224
KEPAYANG 081389621029
KEPAYANG 082285884224
KEPAYANG 082285884224
KEPAYANG 085376742491
KP PANGKALAN PEKAN BARU 08566546858
KEPAYANG 081266677094
KEPAYANG 082285903712
SIMPANG PIS 2 082385750696
KEPAYANG 085264657591
Dosis I
sesuai)

Vaksinasi
YA 8/30/2021 8/30/2021
YA 8/30/2021 8/30/2021
YA 8/30/2021 8/30/2021
YA 8/10/2021 8/10/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
9/27/2021 9/27/2021
9/27/2021 9/27/2021
9/27/2021 9/27/2021
9/27/2021 9/27/2021
9/27/2021 9/27/2021
9/27/2021 9/27/2021
9/27/2021 9/27/2021
9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
YA 9/27/2021 9/27/2021
Dosis 2
N
o
.
Keterangan
t
c
h
9/27/2021 TUNTAS
9/27/2021 TUNTAS
9/27/2021 TUNTAS
9/27/2021 TUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
Kabupaten/Kota
Provinsi
No No. Tiket NIK
1 Z-000A0FXO 1406156803920001
2 Z-000A09YL 1406153012450001
3 Q-F566901A 1406155504940002
4 Q-000RV44G 1207230602090004
5 Q-000RS104 1406061002000007
6 Q-000RP0ZP 1406154304850002
7 Q-000RP53D 1406156111930001
8 1406156707020002
Q-000RPW98
9 Q-000ROIYT 1406156611030001
10 Q-000RSBXX 1406156105990001
11 Q-000RSOCA 1406053103800002
12 Q-000RQ3N8 1406150109020002
13 Q-000RTXQQ 1406055804880005
14 Q-000RTXQT 1406150104870001
15 Q-000RS6AP 1406154506850001
16 Q-000RU1WI 1406150611010001
17 Q-000RT5NG 1406081703800004
18 Q-000RSUOY 1406085006850003
19 1406051403740003
Q-000RSGUI
20 Q-0001EWXZ 1406157103750001
21 S-B40A3B70 1406050404500003
22 P-O7XY4EW9 1406155201820003
23 P-V4RHYY0Y 1406154905020001
24 P-1BYX7LSW 1406052204000001
25 P-3GGF1B06 1406152909010002
26 P-I6OGQ0E9 1406151111050001
27 P-J0DNMNUF 1406051905060002
28 P-KC7BUFO1 1209142210040001
29 P-LBGR90VM 1406150108040003
30 P-LWKWCULK 1406150704030003
31 P-NZTCC0L4 1406090411060004
32 P-74Y1A6W9 1406155511030002
33 P-CDT1LAM6 1406152612040001
34 P-P9TEXG8N 1403095011040002
35 P-Q1OI3YAV 1406152307060001
36 P-QYZCT7ZO 1406051302050003
37 P-RSEYEQ5H 1214030312050004
38 P-SX7N9716 1406156501050001
39 P-U4YLVDL8 1406056802050004
40 P-V3ROVOGL 1214075712020001
41 P-WDEK4BQT 1406150506050002
42 P-XGAT9A6B 1406055010060002
43 P-XGJ6LI9Y 1406055808050002
44 P-XGRRCHGB 1406056004060001
45 P-XGZYQ98L 1406156405050001
46 P-4P3HEP2D 1406050105050001
47 P-9FH3Y58R 1223043108030003
48 P-CRHIKDSU 1406151412050001
49 P-HB0Z9436 1406156006020003
50 P-LXSHEI0B 1406056007030003
51 P-OKTO6C2Q 1208294710040001
52 P-PG81W5VM 1406156802030001
53 P-QAPGRATU 1406152006040002
54 P-QWH95ZUL 1406152012040001
55 P-SX8YBUHC 1406154806050001
56 P-TVZDQ61R 1406052608040001
57 P-X4XTZMWR 1406157005050001
58 P-XGEUTK07 1406055411060002
59 P-XGPYSN4Z 1406156404050002
60 P-XGZ72YDN 1406046709060003
61 P-NJ85GV14 1406150710020003
62 P-O3KYWZ2E 1406153007060001
63 P-9RSIGOWA 1406051108030003
64 P-DEY9I3H5 1406055008060002
65 P-LNOQOU1R 1406150205030002
66 P-OI3J4WGT 1406154404040002
67 P-PB7QTHRI 1204122812020003
68 P-M5YF4DGD 1406150101040002
69 P-RDMT2591 1406151208060002
70 P-SCGMOYLA 1406155404040001
71 P-T1VEKSVX 1406157101050001
72 P-VJ4N209D 1406051707040002
73 P-XDHS4DD2 1406154203060001
74 P-XGFREBRK 1406055905080002
75 P-XGMWHD8Q 1406154909070002
76 P-XGVJ06PN 1207232111040008
77 P-XH4NIYPT 1406151911030001
78 P-XMVWGLW3 1406056712030001
79 P-XJNRK31F 1406152104040001
80 P-XOKJCOVQ 1406155604050001
81 P-XHX43NSP 1406152409070001
82 P-XJQ4FEAX 1406150902030001
83 P-XO1FJMJT 1406050508050001
84 P-XOHJ7DOQ 1406052009050001
: KEPENUHAN HULU
: ROKAN HULU
: RIAU
Jenis
Kelamin
JUMALIA P
ARMEN L
SRI EKA DAMAYANTI P
ALFALLIH BAGAS YASSARYUKO L
AKRON FATIHIN L
MARHENNITA P
SARPINDAH SUSANA P
DIAN SRIWILNA P
SITI ROHIMI P
TRI ASTUTIK P
SUBIYAKTO L
BOBI SEPTIAN A SIANIPAR L
SUNARNI P
PONIRIN L
SUPIATI P
RENALDI IKHSAN L
NURDIN L
ROSMIATI P
SUNARDI L
NURHIDAYAH P
MZEIN L
SAHROMIAH P
ANIS ARMANDANI P
APRIYANTO SAPUTRA WARUWU L
REFI RAHMAT ZEGA L
M. ADI SAPUTRA L
IKHWAN FAUZI SARAGIH L
ISMUL KHOIR SIRAIT L
M. NUR ALDY NDRAHA L
FAIZAL JAMEL L
SULAIMAN LAIA L
EMON LESTARI L
FAMIATI GULO L
ANASTASYA BR ARITONANG P
RANDI PRATAMA SIPAYUNG L
RAMCES HUTASOIT L
FINCER KARUNIA SAPUTRA LAIA L
NOVIZA P
ENONI DAELI L
MURLINA NDRURU P
T.RAHMAD FAISAL L
AMIKA LIVIA RAHMADANI SBR P
SUSANTI P
NUR AISYAH P
MAYNIDA P
MARKUS HERMANTO SIREGAR L
EFERAY STEPANUS ZEBUA L
SARNANDA EBATSON GULTOM L
PATIMAH SAHARA P
YULIDA ROYANI P
ADE RAMA SEFTY PURBA P
YAKIN EMARIA ZILIWU P
SYUKUR IMAN ZEGA L
IVANDI PAREBATAN GULTOM L
PUTRI AYU NENGSIH BR.PANJAITAN P
RENALDY SINAMBELA L
RAHMINA MEILANI FITRI P
LEVIA P
FIVI MARSELA WARUWU P
SEFTIA DARA OVISKA SARAGIH P
JEFRI SETIAWAN LAROSA L
JOHN FERGIAN BULOLO L
IWAN PUTRA JAYA ZILIWU L
NURHANIPA RAMBE P
METODIUS L
ANISA NDURU P
SETIAMAN ZEGA L
RIO AFANDI L
RIKARDIAS WARUWU L
RAHAYU P
LADYNA P
FANDI BULOLO L
IRDINA ILMUNA P
MEI SAHRANI P
ROLLA HERAWATI P
AWANG L
AFFANDI SASTRA ERDIANSYA L
ROZI KHOIRIZA FITRI P
IBRIL WAHYU LINANDA L
WIWIT YULIANTI P
ISNAINI RAMADHAN L
FARIZAL SAPUTRA L
ZULRIPAN HAKIM L
ZULKIFLI L
N VAKSINASI
NAKES 29 18-30
LANSIA 73 0
REMAJA 12 0
MASYARAKAT UMUM 17 0

MASYARAKAT UMUM (BUSUI) 36 31-45
LANSIA 71 0



Alamat No. Hp
BPJS PBI
MUARA JAYA 085277763368
MUARA JAYA 082252059016
KEPAYANG 082283934655

KEPAYANG 082288207340
KEPAYANG 085264910927
KEPAYANG 082288080231
KEPAYANG 085282515576
KEPAYANG 082268862670
MUARA JAYA 082297803418
KEPAYANG 082258792437
KEPAYANG 082284472937
PT PIS 081318782246
KEPAYANG 085272760091
KEPAYANG 082288836425
KEPAYANG 082285504898

SIMPANG PIS 082252256423

PEBADARAN DESA KEPENUHAN HULU 085765827307

Dosis I
sesuai)

Vaksinasi
YA 8/31/2021 8/31/2021
YA 8/31/2021 8/31/2021
YA 5/20/2021 5/20/2021
YA 8/31/2021 8/31/2021
YA 8/31/2021 8/31/2021
YA 8/31/2021 8/31/2021
YA 8/31/2021 8/31/2021
YA 8/31/2021 8/31/2021
YA 8/31/2021 8/31/2021
8/31/2021 8/31/2021
YA 8/31/2021 8/31/2021
YA 8/31/2021 8/31/2021
YA 8/31/2021 8/31/2021
YA 8/31/2021 8/31/2021
YA 8/31/2021 8/31/2021
YA 8/31/2021 8/31/2021
YA 8/31/2021 8/31/2021
YA 8/31/2021 8/31/2021
YA 8/31/2021 8/31/2021
YA 6/8/2021 6/8/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
YA 9/28/2021 9/28/2021
Dosis 2
N
o
.
Keterangan
t
c
h
9/28/2021 TUNTAS
9/28/2021 TUNTAS
9/28/2021 TUNTAS
9/28/2021 TUNTAS
9/28/2021 TUNTAS
9/28/2021 TUNTAS
9/28/2021 TUNTAS
9/28/2021 TUNTAS
9/28/2021 TUNTAS
9/28/2021 TUNTAS
9/28/2021 TUNTAS
9/28/2021 LTUNTAS
9/28/2021 TUNTAS
9/28/2021 TUNTAS
9/28/2021 TUNTAS
9/28/2021 TUNTAS
9/28/2021 TUNTAS
9/28/2021 TUNTAS
9/28/2021 TUNTAS
9/28/2021 TUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
Kabupaten/Kota
Provinsi
No No. Tiket NIK
1 Q-000SMOE9 1406151012650001
2 Q-000SNEJ7 1406070711900003
3 Q-000SITEB 1406150105880001
4 Q-000SMPXG 1406156311690001
5 Q-000SJ4S0 1406151904720001
6 Q-000SJVJ4 1406152808730001
7 Q-000SJ59T 1406151101790001
8 S-5D9F7206 1406050107550085
9 P-XZOKHT11 1406060812680001
10 P-XZT2MX4P 1406154402810001
11 P-XZXL4067 3217110403830003
12 P-VEXMCMU2 3329031105850007
13 P-TTOZ7J6H 1223054905890005
14 P-UE3UAARD 1406151303820002
15 P-UI6J81PX 1405055811960003
16 P-UNVNL95J 1406050409820001
17 P-Y2QFEU3T 1471084103870081
18 P-VIY9DJOD 1406051204730002
19 P-U8DPQ6EE 1406155602860001
20 P-W8YSMTIB 1406151505080004
21 P-XWC8ZMZ1 1406154607080001
22 P-XFO69IVP 1406155804080001
23 P-SM2ZZ3GA 1406152608080002
24 P-WZ0NS6P3 1406156304090001
25 P-Y1BH53KF 1406152202070003
26 P-Y1FA1Z4Z 1406152904080003
27 P-UTWVBDAO 1406154410070002
28 P-V1SBU9Q1 1406154907080002
29 P-Y1P40NES 1406155001080001
30 P-SOWZSVE6 1406156412070001
31 P-WQ51OAOH 1406150709070001
32 P-X4HCI7PA 3205010605070005
33 P-XJUPD757 1406154205080003
34 P-Y1JI1HWD 1406152601080002
35 P-Y1TRERHY 1406150312060001
36 P-Y1XPN3AB 1406156008070001
37 P-Y21YFQ4V 1406154901080002
38 P-Y2BWAW39 1406151311060001
39 P-Y0RLQ8ZP 1406150807060001
40 P-Y0Y3CWDT 1221091801060001
41 P-Y0MD7NSK 1406152601050001
42 P-XTIRP3DO 1406155707060003
43 P-WVB242LQ 1205084611060002
44 P-XBCDGWP6 1406054609060002
45 P-VOV4IKB6 1406150612060001
46 P-VZOANE5N 1406150201070001
47 P-WEES0TFF 1205144303050006
48 P-WM99YJIF 3403030702060001
49 P-XMUC6GZM 1406155611060001
50 P-XZ95NGT2 1406055309070002
51 P-XZGQGP5A 1406156004060001
52 P-Y0BHZ3BJ 1406152009060002
53 P-Y26ZS8QM 1406150202070001
54 P-SQF3SC1Y 1406152708070003
55 P-SZXYRNFL 1406155802090001
56 P-TOA61WE3 1406060102060003
57 P-TTVMH2VO 1406154406060003
58 P-U0MVJZ3C 1406150704080001
59 P-U6MMNLU5 1406155003090001
60 P-UGONG2QE 1222024405070005
61 P-UM7R5VHW 1406154406060002
62 P-URDX39VM 1406154703080001
63 P-UVUMSWKG 1406150805080003
64 P-UZWZRLMP 1406150909060001
65 P-V4AVEEP0 1406152612080002
66 P-VCWNB6R4 1221096303080001
67 P-VIDJ14HR 1406152908060001
68 P-VLR1YKTO 1409074910080001
69 P-VQKVZ1TY 1406151309080001
70 P-VTHD71RG 1406153010080004
71 P-W96BRXMU 1406055803080002
72 P-WG90LKWC 1209274704080001
73 P-WMJ4SXGA 1205021707040004
74 P-WYAEN119 1221080402070001
75 P-X2BEC6H4 1406055101070001
76 P-X8S22Q8I 1406054502070001
77 P-XBSARMSP 1406151908060001
78 P-XFJ626BE 1202114704070002
79 P-XKGTVO2D 1409064701080001
80 P-XQG664NJ 1802076610080001
81 P-XVVUCA72 1406156811080001
82 P-XZ9AJO3U 1406154509080001
83 P-XZFQH7ME 1406154802090001
84 P-XZS27KF8 1406154905060002
85 P-XZX5MH86 1406150712080001
86 P-Y03P1WAS 1406156201060001
87 P-Y0DJDJ8N 1406154404090002
88 P-Y0LJERQD 1406155504080001
89 P-Y0R52FY6 1406155407080001
90 P-Y0VROW1F 1406054709080002
91 P-Y12NMHT7 1406155402090004
92 P-Y18KHVVR 1406156302090002
93 P-Y1C8AG6G 1406154205080004
94 P-Y1GTXNEG 1406064210080001
95 P-Y1LJOCPP 1406154501090001
96 P-Y1U7OD8R 1406151407080001
97 P-Y1X6RRTT 1406151304080001
98 P-Y226SXH0 1406152012080001
99 P-Y26UIBNW 1406150910070002
100 P-Y2BLCY86 1406051810060001
101 P-Y2FEPMLI 1406151409070001
102 P-Y2IIH9CW 1205082108060004
103 P-SSKE6EYA 1406155512050001
104 P-TUFZWOAO 1407065007050008
105 P-U47TGPSC 1406156810070001
106 P-UEOQKWRJ 1406050912060001
107 P-UKLDP31C 1220044402090001
108 P-UUHGQMB1 1407044810070001
109 P-USFSYB06 1406157012080001
110 P-V85K754V 1406156104090001
111 P-VDR8YOVS 1406064603070001
112 P-VKMVCR6Y 1209305908070002
113 P-VPW4U83D 1407105408080001
114 P-VWCIQACU 1406152708070001
115 P-W2AA9OHM 1406155005070001
116 P-WDENQGJC 1406150609060002
117 P-WKAVALYA 1406150204090002
118 P-WV4AJ38R 1209302406070001
119 P-X0EY0UAS 1222035007060007
120 P-X64SUH4G 1401106003070009
121 P-XBGTMJ9E 1406151502080002
122 P-XGN0FM7Q 1406154501080001
123 P-XM7B09YE 1406156411080001

124 P-XPOVOV52 1406155009070001
125 P-XU32KNSV 1406157006080001
126 P-XZ8MV9JV 1406151108080001
127 P-XZGFAKQ4 1406060912060001
128 P-XZNNGOCY 1406151807080002
129 P-XZTPSYX7 1406156905080001
130 P-XZXYGKOG 1406156105080002
131 P-Y05IY3D6 1406104410080001
132 P-Y0DRAKUV 1209136708080001
133 P-Y0MOMDY3 1406155707080003
134 P-Y0Z09JZL 1406155901090001
135 P-Y1AF1IBU 1406052101070001
136 P-Y1F0DFFJ 1406052710060002
137 P-Y1J6CZ8Z 1406154708080001
138 P-Y1OANAM0 1406152412070001
139 P-Y1TY5RBC 1406151406080001
140 P-Y1ZHC2PA 1406151807080001
141 P-Y2ABEQWQ 1406153008040002
142 P-Y2FMZU08 1222034508070005
143 P-XQDCH7ZV 1406156009050002

: KEPENUHAN HULU
: ROKAN HULU
: RIAU
Jenis
Kelamin
DAMRI POTI L
NEFRI TIAWARMAN L
JUMIRIN L
KARTINI P
KASMIN L
ABDUL RAHMAN L
ABDUL MUIS L
SAKIMIN L
TRIMO L
KATMINI P
ROYANI L
MUH. MERIFUDDIN L
RITA JULIANA P
HERIANTO L
DEWI ISMAWATI P
JARWO L
LENI FITRIYANI P
AGUS SUKAMTO L
RITA JULIANI P
FARHI FIRDAUS SINAGA L
FINA ELVIANA P
ELLA KARTIKA P
IRAWANTO L
HUSNIA NAZILATUL MAGHFIROH P
HALASSON L
HEZEKIEL MANALU L
PUPUT RAHMADANI P
PUTRI RENIWATI SITOMPUL P
QAIRI AFRIYANDI L
DESERLA NATALIYA P
FAJAR EKA RAMDANI L
FENDI MUHAMAD RACHMAT L
DINDA MAYLIZA P
REFAN JANUARTA L
ENDRA NURWAHYUDIN L
TATA VEBIOLA P
YESIKA RISTIANA PUTRI P
REFALDO SETIAWAN L
SELAMET RAHAYU L
PRIGALANG MANALU L
RENDI SYAHPUTRA L
DINI FADILA P
FARAS FATHARANI P
FITA NURMALASARI P
DESPORMAN MATONDANG L
FERY ARDIANSYAH BARUS L
DINDA SAFITRI P
DIDIK SAPUTRA L
DUWI ANJANI P
INTAN ROULINA BR SITORUS P
YURIKA FAIZA PUTRI P
GILANG RISKY PRAMANA L
IMAM ARIFIN L
ABDI RIDWANSYAH L
ADINDA NATASAY P
AHMAD TINO ANDRIANSYAH L
AISYAH RAHMAWATI P
AKHIL MARVEL RAHMAWATI L
AMELIA PUTRI P
ANGGUN SASMITA P
ANISA RAHMAWATI P
AULIA SYAHPUTRI P
BAGAS PANGESTU L
BAGUS SETIAWAN L
BAYU DIKA ARDIANSYAH L
CHELSI BR MANALU P
CHRISTIAN LEONARDO L
CINTIA GRECIA BR MANURUNG P
DANU WINATA L
DEA BAYU ROSIDI L
SALSABILA TIARA RANI P
SUCI RAFA AQILA P
SYUHADA L
SYAHYUDI L
SEKAR ARUM P
SALSABILA FARADITA NESSA P
SAMUEL HALOHO L
SARDIANA FINTA SILABAN P
AMELIA PUTRI P
ARUM SUNDARI P
NOVALLIA AZZAHRA P
YESI LINAWATI P
NUR FEBI P
PUTRI YOHANA P
REVA ANSHORI L
RISKA FAULIA P
AREFA DWI LESTARI P
ZEVIRA APRILIA P
YULIA ERIKA SAFITRI P
PUTRI RAMAYA DANI P
KEYSA NABILA ANGGRAINI P
INTAN NUR AZIZAH P
TYARA MEYLINDA P
FITRIANA PUSPITA SARI P
JENI WIRYATAMA P
TRIJULI ANDIKA MIDARNO L
WASIS ALFATANI L
FERDI YANSA L
EJY FAHLEVI RAMADHAN PULUNG L
FITRA LEVI ANDRIANSYAH L
WILDANI DANUARTA L
REHAN AGISTA L
ISA IRAWATI P
JAMILAH P
JESIKA KRISTIANI RAJA GUK GUK P
KHOIRUL AHMAD MUZACKY L
KEYLA FEBRIANINDI P
LAILATUL KODRIAH P
KIARA CINTA BELLA P
LAVIGNE RISNA KUSUMA P
LAILIN NAFISAH P
LOLA AMALIYA P
LISMAWATI P
MARDIPRAN L
LUSI LISTIANINGSIH P
MUHAMMAD RAMZY L
MUHAMMAD ALREFAN PRATAMA L
MHD. RIZKY L
MIA SAFITRI P
MARWANI PUSPITA NASUTION P
MUHAMMAD ALFAROUX L
MASLIH LISANI P
MARWA NABILA P
MELISA NURLAILIN P
MELY NURDELIVA P
NUR RAHMAN AFANDI L
MARSELA NURVITASARI P
MALIKINAS SIREGAR L
NELLI MEILIYANI P
NESHA HASTIA P
NADIA MIRANTIKA P
NINDI RAHMANIA DEVYANTI P
NASWA ARTALITA P
ZARAH WIDIARNI P
RIKO INDRA WIJAYA L
RIAN ALFIANSYAH L
WINDAYANI P
RIFKI MUKHSINUN L
ZEHAN TAUFIQ ASWAD L
FANDI KURNIAWAN L
RANU SYAHPUTRA SURBAKTI L
BINTANG WIVA PRATAMA P
ANNISA NURHAYATI SUWARNO P

N VAKSINASI
PEGAWAI PEMERINTAH 55 46-59
LANSIA 66 0
PRA LANSIA 52 46-59

REMAJA SMP 3 KEPENUHAN HULU (7A) 13 31-45
REMAJA SMP 3 KEPENUHAN HULU (7A) 13 0
REMAJA SMP 3 KEPENUHAN HULU (7B) 13 0
REMAJA SMP 3 KEPENUHAN HULU (7C) 12 0
REMAJA SMP 3 KEPENUHAN HULU (7C) 14 0
REMAJA SMP 3 KEPENUHAN HULU (8B) 13 31-45

REMAJA SMP 3 KEPENUHAN HULU (9A) 14 31-45
REMAJA (SMPN3 MUARA JAYA) 14


REMAJA (SMPN3 MUARA JAYA) 15 0


Alamat No. Hp
BPJS PBI
PEKAN BARU 082174452283
MUARA JAYA 082288071664

MUARA JAYA 082390286171
MUARA JAYA 081276977909
MUARA JAYA 081276977909
MUARA JAYA 085263317151
MUARA JAYA 085263317151
MUARA JAYA 082283194613
MUARA JAYA 082283194613
MUARA JAYA 082385392478
MUARA JAYA 082385392478
MUARA JAYA 082385392478
MUARA JAYA 082385392478
MUARA JAYA 082370838086
MUARA JAYA 082370838086
MUARA JAYA 082370838086
MUARA JAYA 082370838086
MUARA JAYA 082370838086
MUARA JAYA 082370838086
MUARA JAYA 082370838086
MUARA JAYA 082370838086
MUARA JAYA 082387692952
MUARA JAYA 082387692952
MUARA JAYA 082387692952
MUARA JAYA 082387692952

MUARA JAYA 082387692952
MUARA JAYA 082387692952
MUARA JAYA 082387692952
MUARA JAYA 082387692952
MUARA JAYA 082387692952
MUARA JAYA 082285721720
MUARA JAYA 082285721720
MUARA JAYA 082285721720
MUARA JAYA 082285721720
MUARA JAYA 082285721720
MUARA JAYA 082285721720
MUARA JAYA 082285721720


MUARA JAYA 082387692952
MUARA JAYA 082387692952
MUARA JAYA 082370838086
MUARA JAYA 082387692952
MUARA JAYA 081276977909
MUARA JAYA 082385392478
MUARA JAYA 081276977909
MUARA JAYA 082251958684
MUARA JAYA 082385392478
MUARA JAYA 082285721720
MUARA JAYA 082283194613
MUARA JAYA 085264497472
MUARA JAYA 082370838086
MUARA JAYA 085375833064
MUARA JAYA 082364223596
MUARA JAYA 085261891532
MUARA JAYA 082285721720
MUARA JAYA 082344526652
MUARA JAYA 082370838086
MUARA JAYA 082385392478
MUARA JAYA 082387758765

MUARA JAYA 082385392478
MUARA JAYA 081276977909
MUARA JAYA 081266893349
MUARA JAYA 082370838086
MUARA JAYA 082283194613
MUARA JAYA 082283194613
MUARA JAYA 082283194613
MUARA JAYA 085263317151
MUARA JAYA 085265806500
MUARA JAYA 085263317151
MUARA JAYA 082283194613
MUARA JAYA 082268324239
MUARA JAYA 082268587757
MUARA JAYA 085263317151
MUARA JAYA 085216782220
MUARA JAYA 082252059048
MUARA JAYA 082251963356
MUARA JAYA 082268327096
MUARA JAYA 082385392478
MUARA JAYA 082370838086

Dosis I
sesuai)

Vaksinasi
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/30/2021 9/30/2021
YA 9/30/2021 9/30/2021
YA 9/30/2021 9/30/2021
YA 9/30/2021 9/30/2021
YA 9/30/2021 9/30/2021
YA 9/30/2021 9/30/2021
YA 9/30/2021 9/30/2021
YA 9/30/2021 9/30/2021
YA 9/30/2021 9/30/2021
YA 9/30/2021 9/30/2021
YA 9/30/2021 9/30/2021
YA 9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021 9/30/2021
9/30/2021
Dosis 2
N
o
.
Keterangan
Tanggal Pemberian B(Ditunda/Tidak Diberikan/Lanjut)
Vaksinasi a
t
c
h
9/30/2021 TUNTAS
9/30/2021 TUNTAS
9/30/2021 TUNTAS
9/30/2021 TUNTAS
9/30/2021 TUNTAS
9/30/2021 TUNTAS
9/30/2021 TUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LLANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNDA (HEPATITIS)
TUNDA (POS OP CKB)
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LTUNDA (GANGGUAN MOTORIK)

Kabupaten/Kota
Provinsi
No No. Tiket NIK
1 Q-000SOMT1 1406151902680002
2 Q-000SOQ37 1406156905710001
3 Q-000SNFD1 1406050507700004
4 Z-000A0UC1 1406075305830001
5 Q-000RW6CO 1406150811030002
6 Q-000RQXKT 1406051011030001
7 Q-000SJC0C 1471080705750021
8 Q-00098EMC 1406150711900004
9 Q-000RS101 1406150210710001
10 Q-000SNEDL 1406057004730001
11 Q-000RQN2K 1406155305700001
12 Q-000SJ4NX 1406152708020001
13 Q-000SJBYM 1406155208000001
14 Q-000RRAWG 1406154901740001
15 Q-000SN1WI 1406150801840001
16 Q-000SOCL6 1406151810980001
17 Q-000SOU18 1219044404900013
18 Q-000SNE3H 1210145001960001
19 Q-000SN0YV 1406155606810001
20 Q-000RSC3N 1406151212010001
21 Z-000A4L36 1403090609010004
22 P-GJCYXUGK 1406155403000001
23 P-LUH9FGJC 1208074706010001
24 P-M5TWZY60 1406154811890001
25 P-LN4WXG0U 1208075208630002
26 P-ADRKJQ4O 1406081406040001
27 P-B6ELFTM7 1406150110030001
28 P-BO623HHB 1407086404050010
29 P-3GTSA5D9 1220024308050001
30 P-527C56PB 1406156604040002
31 P-CN3D4ISG 1406054510030005
32 P-AZG4BGCI 3508074603040001
33 P-CBMHAT1X 1406052005050003
34 P-E8BPWO1C 1406056107060001
35 P-FCAAF4XI 1406155401050001
36 P-G2JRTMTJ 1406056607050001
37 P-GXA0OF6P 1406081812040001
38 P-IHNF0TAQ 1220020209050001
39 P-J77TWX07 1406156004040001
40 P-JPBS9MMI 1406050107040004
41 P-K4AL5F46 1406054103080002
42 P-KM6WTM5K 1406094303000009
43 P-KX6FRUOU 1214097005090002
44 P-L6B9QK5S 1406156505030002
45 P-LGM9P0MN 1406154910030001
46 P-MQHK8SWF 1406056204060001
47 P-NDVAPXRJ 1406152006060003
48 P-NVNYJP1O 1406155402040001
49 P-OCNYBOLP 1406156411040003
50 P-OLS23RTI 1406152810060001
51 P-PCMFHT3K 1406045803070007
52 P-PMRZVXSH 1406152312070001
53 P-PZZB63DY 1406153012070001
54 P-Q85SNQPU 1406154512060002
55 P-QGJ4HNFC 1406155108060001
56 P-QPZLE4EH 1406055804090001
57 P-RA22JLMX 1207320607080003
58 P-RHGNMI1O 1406153108070001
59 P-RMXA0T5V 1406152510070001
60 P-RSBORVLJ 3508072502080001
61 P-RYGONPFC 1406156506070002
62 P-K1PG8UCI 1406150407070001
63 P-KDXONSPP 1406040109070001
64 P-KMSTR0U4 1408105404050005
65 P-KYZOM9TT 1406153112070001
66 P-NFNAIHP8 1223015706070005
67 P-NRSTMQ2M 1406094611060004
68 P-NVXCZFGA 1406156907070001
69 P-O6J8CGKX 1406051012060004
70 P-OBKXN0Z2 1406153005060001
71 P-OI32SN4M 1406154505050002
72 P-OO2KGU4Z 1406056004070001
73 P-OSNJD5KR 1406152606060002
74 P-PRZP4U7M 1406054911060001
75 P-Q5TM180W 1218085005060004
76 P-QITEGF4Q 1406150303070001
77 P-QMALBVNF 1406155107080002
78 P-R0LWEFPR 1214030303080001
79 P-R6HXZZJF 1406155902080001
80 P-RBKJ7HPB 1406096806080002
81 P-RNVLZBWG 1406156208070001
82 P-RV5IVCKQ 1204015804070001
83 P-S15KJDBV 1214220512080001
84 P-793M80SK 122004******0003
85 P-AZG4BGCI 350807******0001
86 P-C3DOTZWF 140615******0002
87 P-APH1N5G8 140609******0005
88 P-FW34DNXA 120406******0003
89 P-GBXX0XY2 121402******0010
90 P-LQANJENP 140615******0001
91 P-LV5IKGOW 140615******0001
92 P-MBTVCIMM 140615******0001
93 P-MNZS8UFH 121905******0004
94 P-DEHGINUX 140615******0002
95 P-DQORHVBB 140604******0004
96 P-EFP39XPT 140615******0002
97 P-EUJBZUQD 122307******0002
98 P-FAR42W6U 140615******0002
99 P-H6HDBGMS 122001******0001
100 P-HNQIFBCK 140608******0001
101 P-I0658OPD 140615******0001
102 P-JQVW190Q 120412******0001

103 P-L595R5NC 140605******0001
104 P-LFDOXGNZ 140605******0001

105 P-M4MSXZHU 140615******0001
106 P-MIBQ7CAJ 140615******0001
107 P-N2G2EJG5 140615******0001
108 P-NBACOR6P 140605******0002

: KEPENUHAN HULU
: ROKAN HULU
: RIAU
Jenis
Kelamin
RANTO SIMANGUNSONG L
TIOMIAN SIAGIAN P
MARNALOM MANIK L
ERVIDA SIREGAR P
ARDI WIRADINATA L
RIZKI WAHYU RAMDANA MARPAUNG L
JAMAAN L
NOVER EVENDI L
TASIM L
ROSTIANNA MANURUNG P
ASNIDAR P
AIMAN RISQI FATHULLAH L
EGA PRATIKA P
SAPA'AH P
GIFSON HALOMOAN SITORUS P
MIKAEL SIMANGUNSONG L
ROSTIKARIA IMELDA BR P
LUSIANA BR TUMORANG P
MARIA HUSOR PASARIBU P
REDHO DARMAWAN L
ZULHENDRI DAULAY L
DEVI MUTIA P
YUNI VERA SULIS TIA NINGSIH P
HERLINA NDURU P
SUPIATI P
ARDIANSYAH L
EMANUEL ALAI LAIA L
NURAINI P
EFRIDASARI RAMBE P
NATASIA PUTRI BR SIPAYUNG P
RISKA HARAHAP P
BUNGA WAHDA WAFIKA P
NAMORA SAKTI RITONGA L
NURUL AINI P
APRILIA CAHAYA ISLAMI P
BELLA NOFALIA.SM P
YESI ARDIANSYAH L
MHD ROIS SIPAHUTAR L
HAPPY KRISTIANI ZAMASI P
ARYA L
JESTI KASIHONA TAMBUNAN P
SESI KEZYA SIALLAGAN P
KESYA BUULOLO P
SITI ROHMAH P
SITI NURAZIAH P
IKA SALSA FADILLAH P
RHOZAQIL L
PUTRIANI LASE P
PUJA BR SEMBIRING P
RIO A.MISSA L
FITRI AFSARI P
NATANAEL SYAHPUTRA SIRINGO RINGO L
PIUS BENEDIKTUS WARUWU P
WERNITA LAIA P
MURNIMAN BUULOLO P
MAULANISA KHUMAIRAH P
IBNU FAUZAN L
EFRONIUS L
PANDIAS GIAWA L
MUHAMMAD FIKI SUHENDRA L
ESTER ANGGREANI NDURU P
M.RIDHO AKBAR L
ARON MANALU L
ANJELITA TANJUNG P
RAFI ZADIANSYAH DAMANIK L
RIRIN ELVATALUNA S P
WENNI GULO P
YELI HATI LAIA P
SAMUEL NATHANAEL SINAGA L
DERMAN JAYA MENDOVA L
EWILINA LAIA P
APRILYA SRI DEVI P
YUSRIAL L
INTAN NOPRINDAH BR MANIK P
MEILANI ARTIKA P
FERDIN ANDRIANON NDURU L
LESTRAI NDURU P
OKBOL FARELSMAN LAIA L
ULANDARY P
JUWITA NILARIA ZILIWU P
SEFNIEL CINTA ZILIWU P
AYU WERDANINGSIH BULOLO P
DESKADAR ALVA HALAWA L
SRI WAHYUNI DAULAY P
BUNGA WAHDA WAFIKA P
SADARI ZALUKHU L
ALMA HAKIM L
WARISMAN NDRAHA L
APELIUSMAN LASE L
ADITIA L
WAHYU HIDAYAT L
NIARWATI HALAWA P
RIZKI PRATAMA L
MUHAMMAD NAZRIL AFANDI LUBIS L
M. ZULMI DERI YENDRI L
SANDIMAN HALAWA L
TUKARI PETRAN LAIA L
MELIZA NENENG P
SAIBANUR HANDAYANI P
IRFAN ROBIANSAH L
RANDA ELZANI L
MEIMAN TOLONI ZEGA L

NERVY MASLIA WARNI P
LASMANIDAR P
ALPINUR L
GADIS YUMINA P
IRPAN SYAH L
MELKI IHWAL L
PRA LANSIA 53 46-59

PRA LANSIA 50 46-59
PRA LANSIA 50 46-59
NAKES 37 31-45
REMAJA 17 0
REMAJA 17 0
PRA-LANSIA 58 46-59
REMAJA SMA 17 0
REMAJA SMK 18 18-30
REMAJA SMA 16 0
REMAJA SMK 16 0
REMAJA SMK 17 0
REMAJA SMK 17 0
REMAJA SMK 17 0
REMAJA SMK 16 0
REMAJA SMK 15 0
REMAJA SMA 16 0
REMAJA SMA 16 0
REMAJA SMA 16 0
REMAJA SMK 16 31-45
REMAJA SMA 17 0
REMAJA SMK 17 0
REMAJA SMA 18 18-30
REMAJA SMA 17 0
REMAJA SMA 15 0
REMAJA SMA 15 0
REMAJA SMK 17 0
REMAJA SMK 16 0
REMAJA SMK 17 0
REMAJA SMK 16 0
REMAJA SMK 16 0
REMAJA SMK 17 0
REMAJA SMK 17 0
REMAJA SMA 16 0
REMAJA SMK 16 0
REMAJA SMA 16 0
REMAJA SMA 14 0

REMAJA SMA 15 0
REMAJA SMA 17 0
REMAJA SMA 17 0
REMAJA SMA 15 0
REMAJA SMA 17 0
REMAJA SMA 16 0
Kepesertaan BPJS (tulis 'Ya' pada kolom ya
sesuai)
Alamat No. Hp
BPJS PBI BPJS Non PBI

KEPAYANG 082268724192
DFESA KEPENUHAN JAYA 082294662257 YA
KEPENUHAN JAYA '082285815006 YA
BULUH MANIS BATHIN SOLAPAN 085375591846 YA
RAMBAH HILIR TIMUR 082217210770
KUBU BARU 082386023514
KUBU BARU 085321781324
DUSUN KURNIA MULIA 081268865547 YA
KEPAYANG 082268023829
KEPAYANG 082268497424
KEPAYANG 082268595130
KEPAYANG 082268497424
KEPAYANG 082268595130
KEPAYANG 082268595130
KEPAYANG 082268595130
KEPAYANG 082268497424
KEPAYANG 082384937672
KEPAYANG 082268594938
KEPAYANG 082384937672
KEPAYANG '082384937672
KEPAYANG 082268594938
KEPAYANG 082384937672
KEPAYANG 082285884224
KEPAYANG 082285884224
PT.PISP 081278341052
KEPAYANG 081389621029
KEPAYANG 082268595130
KEPAYANG 082268595130
KEPAYANG 082268595130
KEPAYANG 082268595130
KEPAYANG 082268497424
KEPAYANG 082268497424
KEPAYANG 082268497424
KEPAYANG 082268497424
KEPAYANG 082268497424
KEPAYANG 082268595130
KEPAYANG 082268595130
KEPAYANG 082268594938
KEPAYANG 082268594938
KEPAYANG 082268594938
KEPAYANG 082268594938
KEPAYANG 082268594938
KEPAYANG 082268594938
KEPAYANG 082384937672
KEPAYANG 085263944495
KEPAYANG 082283544435
KEPAYANG 081276220070
KEPAYANG 082171997801
KEPAYANG 085279038842
KEPAYANG 082211246587
KEPAYANG 082171935836
KEPAYANG 082388682557
KEPAYANG 082172850220
KEPAYANG 082268019661
KEPAYANG 082389257228
KEPAYANG 082387058720
KEPAYANG 082381703410


is 'Ya' pada kolom yang
Dosis I Dosis 2
uai)
N
o
.
Tanggal Screening Tanggal Pemberian Tanggal Pemberian B

Non Anggota
Vaksinasi Vaksinasi a
t
c
h
9/2/2021 9/2/2021 10/4/2021

9/2/2021 9/2/2021 10/4/2021
9/2/2021 9/2/2021 10/4/2021
8/31/2021 8/31/2021 10/4/2021
YA 8/31/2021 8/31/2021 10/4/2021
YA 8/31/2021 8/31/2021 10/4/2021
9/2/2021 9/2/2021 10/4/2021
YA 6/29/2021 6/29/2021 10/4/2021
YA 8/31/2021 8/31/2021 10/4/2021
9/2/2021 9/2/2021 10/4/2021
YA 8/31/2021 8/31/2021 10/4/2021
YA 9/2/2021 9/2/2021 10/4/2021
9/2/2021 9/2/2021 10/4/2021
8/31/2021 8/31/2021 10/4/2021
9/2/2021 9/2/2021 10/4/2021
9/2/2021 9/2/2021 10/4/2021
9/2/2021 9/2/2021 10/4/2021
9/2/2021 9/2/2021 10/4/2021
9/2/2021 9/2/2021 10/4/2021
8/31/2021 8/31/2021 10/4/2021
9/2/2021 9/2/2021 10/4/2021
10/4/2021
YA 10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
YA 10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
YA 10/4/2021 10/4/2021
YA 10/4/2021 10/4/2021
YA 10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
YA 10/4/2021 10/4/2021
YA 10/4/2021 10/4/2021
YA 10/4/2021 10/4/2021
YA 10/4/2021 10/4/2021
10/4/2021 10/4/2021
YA 10/4/2021 10/4/2021
10/4/2021 10/4/2021
YA 10/4/2021 10/4/2021
10/4/2021 10/4/2021
YA 10/4/2021 10/4/2021
YA 10/4/2021 10/4/2021
YA 10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
10/4/2021 10/4/2021
Keterangan
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
TUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
Kabupaten/Kota
Provinsi
No No. Tiket NIK
1 Z-001FSPHL 1406054208500003
2 Q-000UI1U0 1406155202720001
3 Q-000UI1LT 1406086004690003
4 Q-000SJO8E 1406154809790001
5 Q-000UGQFR 1406054211690001
6 Q-000SN0U4 1406052109720002
7 S-597EB955 1406080709570001
8 P-7T50MFAO 1406086404620004
9 P-2ETANXBA 1218081002700004
10 P-61TGUWGX 1406052208860002
11 P-64J9DKUC 1406035207970003
12 P-2J6E2JIU 1218086506750005
13 P-1MNAAMRM 1406155010830001
14 P-1RD11OSL 1406150408940001
15 P-1WICO8II 1406154409030001
16 P-2LR36WE5 1208212704970001
17 P-423UC9GG 1406156309990001
18 P-7GOEE7FG 1406150806030001
19 P-RFXOOBHI 1406052207820003
20 P-2F92J5YY 1406151802780001
21 P-2JJ0MBH8 1406052307030001
22 P-2MOGFLIP 1406051709010006
23 P-2MSDWHLL 1406155109020001
24 P-20ZSHRAK 1406055302800002
25 P-9ZISF83S 1406150703770001
26 P-3FS2TKNL 1406052005040001
27 P-3V8SUEJJ 1406056510050003
28 P-4LLO5WLD 1406151407060001
29 P-8BT5YON8 1406152710050001
30 P-3IDWXHOA 1406156604040001
31 P-3O25LMMO 1406152606050003
32 P-3RJB0FMK 1406057004040001
33 P-47QY717E 1406086512040005
34 P-4MA82CMJ 1406052009050002
35 P-4UZOGDNW 1406152212030001
36 P-35CXVMBR 1406084509050002
37 P-38LFFHSI 1406080709030004
38 P-3KVHCDBZ 1406150507070001
39 P-3SRMYAMX 1406156710050001
40 P-427SURZX 1406081302000002
41 P-6LTRQGL3 1406155502040003
42 P-6JQNRAUB 1406150712050001
43 P-4D3V8LJ0 1406056007070001
44 P-4AB8UHEP 1406154808090001
45 P-28PMI5HU 1406155603840001
46 P-3QAUIYWY 1406050309740001
: KEPENUHAN HULU
: ROKAN HULU
: RIAU
Jenis
Kelamin
DAHNIAR P
KOMALA DEWI P
SUWARNI P
BUDIATI P
JAMILAH P
HENDRA PARDEDE L
NURIL L
ZAIPUL P
SUHERI L
JASMADI L
DEVI SEPTAYANTI ULANDARI P
ERNA PERWITASARI P
SANTI SAMSURIANI NAINGGOLAN P

RINTOS SARUMAHA L
EVI RONENCI PRAPAT P
ANDRI MAYANSAH L
WISNI WATI LAOLI P
KHOIRUL VIKRI L
PENGHIBUR SARUMAHA L
SARWEDI HARAHAP L
JULIAMAN ZEGA L
SEPRIAMAN ZEGA L
JERNIH RENUNGAN HATI ZEGA P
YUSMAISI GULO P
PIUS L
EDI SISWANDARI L
SITI NURALIZA P
BAYU ANRYANSAH L
DZIKRI RAMADHONA L
WILLYA AFRIYANI P
SABRI ISKANDAR DINATA L
LIDIYA HASNINDA P
DEA ANGGRAINI P
M.KHAIRIL BASRI L
SULFAN HERI SETIAWAN L
HERPISA SEPIANTI P
RIAN ALDI SAPUTRA L
HARDIANSYAH L
SRI RAMADHANI P
AFRINALDI L
MIMI LUTMILA P
DARBI L
WENI AULIA L
MELA RAHMAWATI P
NURSATIANA SIREGAR P
HAMDAN L
N VAKSINASI
LANSIA 71 0
LANSIA 64 0
PRA LANSIA 59 46-59
PRA LANSIA 50 46-59


MASYARAKAT RENTAN 47 #REF!

Alamat No. Hp
BPJS PBI
KEPAYANG 082286131354
RAMBAH HILIR 082171087537
DUSUN II SUKA DAMAI DESA KEPAYANG 082283579152
KEPAYANG 082268628592
TELUK RITI 085263473462
TELUK RITI 085263473462
KEPENUHAN TIMUR 081276074380
PASIR PENGARAIAN 085278781493
KEPAYANG 081267421250
KEPAYANG 082235867118
KEPAYANG 081276261141
MUARA JAYA 082274538352
KEPAYANG 082283465136
KEPAYANG 081365416159
KEPAYANG 085265908831

KEPAYANG 085263378670
Dosis I
sesuai)

Vaksinasi
YA 6/14/2021
YA 9/7/2021 9/7/2021
YA 9/7/2021 9/7/2021
YA 9/2/2021 9/2/2021
9/7/2021 9/7/2021
YA 9/2/2021 9/2/2021
YA 10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
10/5/2021 10/5/2021
10/5/2021 10/5/2021
10/5/2021 10/5/2021
10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
10/5/2021 10/5/2021
10/5/2021 10/5/2021
10/5/2021 10/5/2021
10/5/2021 10/5/2021
10/5/2021 10/5/2021
10/5/2021 10/5/2021
10/5/2021 10/5/2021
10/5/2021 10/5/2021
10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
10/5/2021 10/5/2021
10/5/2021 10/5/2021
10/5/2021 10/5/2021
10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
YA 10/5/2021 10/5/2021
Dosis 2
N
o
.
Keterangan
Vaksinasi a
t
c
h
10/5/2021 TUNTAS
10/5/2021 TUNTAS
10/5/2021 TUNTAS
10/5/2021 TUNTAS
10/5/2021 TUNTAS
10/5/2021 TUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
TUNDA (HT)
TUNDA (HT)
Kabupaten/Kota
Provinsi
No No. Tiket NIK
1 Z-00060CAF 1406153112490001
2 P-H00XARLA 1406150504660001
3 P-GJMWCRTH 1406150507650001
4 P-K7WTHLFV 1406050309700003
5 P-HSC92WRC 1406150107690006
6 P-H0BZCY2T 1406157112670002
7 P-JQEZANND 1205122303690001
8 P-XE2B8QJF 1406150702680001
9 P-HUHBFPS0 1406153112630003
10 P-J0B0P1KE 1406155209660001
11 P-JY4FJG0I 1406150804650002
12 P-K4LWEJA6 1205081111650003
13 P-K7E7P1J0 1406050107650163
14 P-K88W8NTL 1406052408700001
15 P-HXSX4Z1C 1406156707670001
16 P-H4A0IXH8 1209082408920001
17 P-HDROIABE 1406151511890002
18 P-GQSGQQ1I 1406150307910001
19 P-GSA0CA2V 1212040106860002
20 P-GTHHSNCL 1406152210850001
21 P-GUQ5JFZ9 1221051811830001
22 P-G2JW9BEU 1401121607900006
23 P-G75HF3XR 1406151303900001
24 P-GBBGLLHX 1406052511850001
25 P-GGKI3PTV 1223052407980001
26 P-C3HG57AX 1223052202950006
27 P-HHV7YBG6 1208212001890002
28 P-HJCBHAYP 1406132512980001
29 P-HQFDWNLE 1222031805890001
30 P-HSVCAUG7 1401121109970006
31 P-HUUSDYSG 1223011003970005
32 P-I07F4OVU 1406156502890001
33 P-IGXV3A35 1406152606920001
34 P-IKWQ58MT 1406151606820001
35 P-IM7Z2WCO 1406052010020003
36 P-IYS21LIF 1406155605850002
37 P-JMMLLV0H 1223070808850008
38 P-JNH7K6MV 1218166101850001
39 P-JSOCLGJ9 1211082806820001
40 P-JVOXT79L 1406050510830003
41 P-JWJLSB93 1406055008880002
42 P-JQUCGFBE 1208085202950003
43 P-JXYNDLRA 1406051001850002
44 P-JZB4HJV4 1209171010840004
45 P-K06F9HCY 1406152905830002
46 P-JYJFEG6B 1406152710910002
47 P-K0Y2WKG1 1406056005900005
48 P-K1S6PFAW 1221096312990001
49 P-K3BAMDNQ 1406060506820007
50 P-K40G2CYJ 1406050201030002
51 P-K4WH2K53 1208212608910001
52 P-K5OCIOAW 1208212106980001
53 P-K6BE7OYY 1406150408830002
54 P-K6XZ4A2M 1205022401020003
55 P-KCLP4DEV 1406151705870003
56 P-KDLTR11W 1407101510850005
57 P-KE1WPV8N 1406050101820025
58 P-G3R256UP 1406151607740001
59 P-G7ANQXQR 1406151411940001
60 P-GBKSEKJM 1405051909910001
61 P-GDDLZULE 1205201608970001
62 P-GGICIRGJ 1406052609900002
63 P-GI3MMRQL 1406151606910001
64 P-GJWWOM31 1223030805890001
65 P-GLM0O5FF 1408110903930001
66 P-GOIWQ4KY 1205200909790006
67 P-GQB2IJB0 1223010205960004
68 P-GTHIHTZU 1217022702990001
69 P-GUSJ1OGD 1221052512010001
70 P-GWI540MW 1406152801860002
71 P-GXVTWF7E 1406151707830002
72 P-H010NWRX 1407060307810003
73 P-H2NURG5Z 1205190101800014
74 P-H5RLPKXV 1203066008771001
75 P-H9DG5SFB 1208230901920008
76 P-HBMFXSEY 1406063112750013
77 P-HDAKAPD6 1406150312750002
78 P-HI7W1VJ2 1406152307780001
79 P-HJQJLWCI 1203062709910002
80 P-HVQJMWDF 1401042504890001
81 P-I15FLIW7 1406155604820001
82 Y-01352STV 1406111903920002
83 P-I6Q097RQ 1406151706820001
84 P-IG5I9P39 1406152704010001
85 P-ILYVIMCL 1409065205030003
86 P-IUP4W70E 1219041008930008
87 P-CGMKZQNL 1407064405860006
88 P-J0U8H6TA 1406156812730001
89 P-JLHK6F10 1207042712930002
90 P-JMB9QTJX 1406150706020001
91 P-JN7NCUNM 1219070811860002
92 P-JOG5LUXS 1406151104940001
93 P-CB5REUJM 1406151404010001
94 P-JPRI7TEO 1406152310860001
95 P-JRB3JLTN 1407101810840001
96 P-JRYRIOJ4 1208081006890001
97 P-JSR4A5IL 1406151211980001
98 P-JV7FK7M3 1406056201880002
99 P-JW2GO52F 1406152712840003
100 P-JXSSJI2N 1406053003820001
101 P-JYS5SNA1 1277030404850001
102 P-JZH7F9V7 1406050909830003
103 P-K19XCAHH 1406052105890001
104 P-K26MDANZ 1213063007980001
105 P-K3Q5D5XP 1406150311830001
106 P-K4FOY3ZL 1406151309790001
107 P-K58CRGHP 1406051509790004
108 P-K6NSDFBJ 1209300707770001
109 P-K7BU804C 1802121902970002
110 P-K8AO5TP7 1209160804880001
111 P-K9FPTAS5 1209323112870009
112 P-KDPW52HR 1205041701890004
113 P-KFMGVN1L 1219072810890002
114 P-KGBVF1PE 1401171206010002
115 P-KHG1VP2R 1406051407740006
116 P-G4HTWLEO 1401122808780012
117 P-G7D3QTEV 1406152911810001
118 P-G9RB7MN3 1406152007820001
119 P-GB2JTEWU 1202090901950002
120 P-GCIGM0B4 1406151008910002
121 P-GDYV7IWZ 1406151005860002
122 P-GFQZ919O 1405031811870009
123 P-GH9HIOYB 1223011002910001
124 P-GM0YIL8R 1406151010800002
125 P-GODV3899 1203051806870002
126 P-GQ1Y37BB 1276050305000004
127 P-GRKSF1LB 1406156606790001
128 P-GT0DAQHY 1406150404750002

129 P-GWPJ0TM1 1406133008880001
130 S-BEEE7C46 1205200410920001
131 P-H3Y6IDD3 1406071004900002
132 P-HGQKZ7J8 1406052803860001
133 P-HI949PPI 1208020107830028
134 P-HJKO4T81 1406130402760001
135 P-HNJZR0EU 1406051006720004
136 P-HR8OH1YL 1406151806770002
137 P-HSW5EGCM 1406151703820002
138 P-HVNK1KI3 1406150701860001
139 P-JT6JIGQH 1406051207850002
140 P-JTUBXXFZ 1208186808910004
141 P-JTNUWO28 1406155206880003
142 P-JV4WP9KD 1407100505800007
143 P-JVN6TQJP 1208081312920001
144 P-JWD7XPZS 1406051301790002
145 P-JWVVARKY 1208081604940001
146 P-JXK8BE7M 1213060507910001
147 P-JYUR7KCF 1209082103010002
148 P-JZSGVUUK 1213060304870005
149 P-K1PER3KU 1406150310750001
150 P-K2I0C98G 1406131802830001
151 P-K5AL8FZC 1218161306860005
152 P-K5SSLQBM 1223062308980002
153 P-K6DFGUGX 1406054504740003
154 P-CDIL3UBR 1406160609860001
155 P-KFFIKDNA 1406050804800007
156 P-KFUKSXLE 1204021412940001
157 P-KBPWDPS6 1218051602810002

158 P-G56461HK 1406050505700013
159 P-G99YUVMQ 1406150709750003
160 P-GCSSNOWD 1406152205700001
161 P-GEQNES08 1406152909720002
162 P-GI53LBPA 1406152612740001
163 P-GP9TD0MY 1406051002790004
164 P-GW1D0H8F 1406154704720001
165 P-GYQ8USUV 1406152010650001
166 P-H21ALHDP 1406151405740001
167 P-HGGT6OUD 1406062903790001
168 P-HL2AMGEM 1406153112780002
169 P-HOZUKBLA 1406151004780001
170 J-0005DBOH 1406150107800010
171 P-I54NUM3O 1406156903790001
172 P-IBRYJNIP 1406152706740001
173 P-IG8DHRBG 1406152711770001
174 P-JX81DKRK 1406150206770001
175 P-JQ6S8H3H 1406152609730002
176 P-K8OPSZTO 1401071109700001
177 P-KEQDV3LO 1223011212770006
178 P-GEQDGAMH 1406151804700001
179 P-GRRXDX3K 1406050806750004
180 P-HLLGBVNY 1406151308740001
181 P-ICXV7IBC 1406156002700001
182 P-JWY987T9 1406051303710004
183 P-K0CZE1RT 1406152607740002
184 P-KF2H13BK 1406151708740003
185 P-JRQRP9MF 1406056508870004

186 P-CGHIR21P 1406155007790001
187 P-GKGQBFVJ 1205026009940002
188 P-K10CCFTT 1219074508870006
189 P-GIU7WGT3 1207066009000001
190 P-I2FTF2O2 1406151207050002
191 P-IIDFVEYU 1406151510050001
192 P-IZ5YW1JQ 1407062602080003
193 P-K35DSG6N 1223016005060003
194 P-IIXXBJGD 1406150604060003
195 P-IZHNSGRB 1406155511050001
196 P-IQJDZAMU 1406154204070001
197 P-IKI5PXME 1406151204060002
198 P-IQK7WUA4 1406056304070001
199 P-IKZOOD97 1406050111060001
200 P-IQHCRMJO 1406054807070003
201 Y-0136K0K8 1406156112550001
202 P-K2HINICM 1406051007690001
203 P-HUA6OUS6 1406150306650002
204 P-GUX24NOP 1406153112630001
205 P-IX7BKT9K 1406151405820002
206 P-G9OL9R5Q 1406152305770001
207 P-HEVYAOY2 1205201012760001
208 P-K2Z3IDY3 1406136612850002
209 P-KELBLSW2 1406050808810005
210 P-HF8V3ZV7 1406150803840001
211 P-KDJIAWM 1406051503740001
212 S-2FD3E3E0 1406050103720002
213 S-C723BEB2 1401135111780001
214 P-HGEHIYVF 1406051104710003

: KEPENUHAN HULU
: ROKAN HULU
: RIAU
Jenis
Kelamin
GIMUN DALIANTO L
LEGIMUN L
SUMIN L
FRIKLES SILITONGA L
HOTBER PURBA L
YAMINI P
MARNO L
SAUT HABEAHAN L
SAREKO L
LISNA INDRAWATI L
NASARUDIN L
ZAINAL ABIDIN L
YATIN L
M.YASIN L
YATI P
EVAN AGUSTIAN NASUTION L
SAPUTRA L
UMRI PURBA L
EPENDI TAMPUBOLON L
ISWAHYUDI L
SUJIMAN L
ABADI HARAHAP L
EDI JARWO L
SINTONG GULTOM L
RIZQI ALDINO L
TAUFIQ RAHMADAN L
WALSON PANDIANGAN L
SAMUEL PASARIBU L
SAWAL L
DWI SAPUTRA L
JHON ERIKSON TANJUNG L
ICE NOFIANTI P
HERU SYAHPUTRA L
DEDE HADIS L
NUR IZAM AUZI L
RITA RIDA PANJAITAN P
PRINTON SINAGA L
LEONARDO MANURUNG L
ALI MARTOHAP SINAMBELA L
ORDEN NAINGGOLAN L
MUKKA ELISTINA SINURAT P
INDAH SRI UTAMI P

WAGINO L
MANUTTUN PANJAITAN L
DION BOI FRAN LUMBAN TOBING L
ANTONIUS SILABAN L
MARTA LUMBANTORUAN P
FRISKA YANTI BR MANALU P
AGUSTINUS GIAWA L
ADITYA WIGUNA L
ERWINSYAH L
JERY SETIAWAN L
SARIFUDIN L
DENI L
HENDRA PRAYUDI L
UNTUNG HALOMOAN RITONGA L
MASIMAN L
WARDIYO L
RUSIANDI L
ALFRIDIN SINAGA L
AGUS DERMAWAN L
JEPRY SIMAMORA L
LAIK ZAMRODIN L
PARIS SITORUS L
SAHRUL RAMADHAN L
TULUS PARULIAN NAINGGOLAN L
DONAL PARAPAT L
JAMES BOND PARAPAT L
YOGI NURROHMAN L
SIMON LUMBAN TOBING L

YADI L
MULYADI L
SARWONO L
GIOFARI SIMANUNGKALIT L
JOHAN BUTAR BUTAR L
BUDIANTO PULUNGAN L
HASANUDIN SILABAN L
TEDDY EFENDI SIMANJUNTAK L
FRAN DITO SIPAHUTAR L
MAKMUR WAHAB SINAGA L
ANCE MERY BR PASARIBU P
BUDI ARIFIN L
APRIMISWAN TANJUNG L
KURNIA MUJALIDIN LUBIS L
MARTA KRISTIAWATI P
SLAMET L
SITI AMINAH P
WINNA SARI LUBIS P
SANDI L
AHMAD ILIYAS TAUFIK L
SARIADI L
AHMAD ARIFIN L
TABAH MUHARAMSYAH ANANTA TARIGAN L
EKO ANDRIANTO L
NANANG. SP L
ICCO TUNAWAN SARAGIH L
FIRMAN SOLIHIN L
PARSINAH P
SAHABAT MANALU L
JULKIPLI PURBA L
IMAN HARAHAP L
AMRUN NAINGGOLAN L
MANGAPUL MARBUN L
MUHAMMAD YUSUF L
SURONO L
FATAHUDIN L
THONI SITORUS L
SUARDI S L
EKO CAHYANTO L
MAHDI SITOMPUL L
IRWANSYAH SIMATUPANG L
SIDEN TARIGAN L
RUDI L
FUJI TURWANDA L
MISRUN L
BAMBANG UNTORO L
WANTRI PAULUS TAMBUNAN L
RAHMADDI L
PARANCIS LUMBATORUAN L
NGADIONO L
HENDRA SAPUTRA L
JOHANESA PARAPAT L
ERIK HONASAN SINAGA L
SODIKIN L
HASRUN HARAHAP L
RIDO SAHPUTRA HARAHAP L
RITA PASARIBU P
SUNYOTO L
SEHAT PASARIBU L
MISTER MANULLANG L
ANTONI L
SUHAIRI L
HERDIANTO L
KAMAL LUBIS L
RISMAHADI L
SABIRIN MUNTHE L
JOYO MARYANTO SIBURIAN L
EDI SYAHPUTRA L
RIKARDO SINAGA L
RESKI TRIANA SARAGIH P
RANI SORAYA SITORUS P
RUMIDI L
DERIADI SITORUS L
M. SUDARNO L
MULIADI SITORUS L
WAHID NASIR L
DAVID KURNIAWAN L
APDAN PULUNGAN L
MINTON HABEAHAN L
RUDI HALOMOAN HUTABARAT L
KAMTO L
ALFIN AFANDI L
SURATMI P
FREDI SANTOSO L
YAS RIDWAN L
FEDIELI GEA L
NASRUN L
GIONO L
MARA SAFRI PULUNGAN L
SAMSUL BAHRI L
ROLAN SIANTURI L
BUDIMAN L
PANDAPOTAN ARITONANG L
RUSIYATI P
ABDUL MUIS L
HAPOSAN SIREGAR L
SAIFUL L
KIKIM L
PARDOMUAN PANJAITAN L
SYAHRONI SINULINGGA L
LUMINDAK NAINGGOLAN P
DARWIN SIREGAR L
MUKDIN GULTOM L
SURIANTO L
SUMINTO L
SEPPREDY SILITONGA L
HARYONO L
BESLI PANJAITAN L
YUSTINUS PINEM L
SUBUR ABDILLAH SURBAKTI L
S. SEPI SARTINI P
JAHARA JUMITA LISMAN NAINGGOLAN L
SUKIRNO L
BUDI HANDOYO L
JENRI NAIBAHO P
RATIH KUSMIRAHWATI P
SELI ANDINI P
YENI P
TESOLONIKA BR GINTING P
JHYAN CLAWDE SIMANJUNTAK L
BOY ALEXANDRA L
M.BAYU L
ALFINASARI P
ROZER ROPAR SAULIAN BAGARIANG L
MAHENA AULIA PULUNGAN P
DINDA NUR JANNAH P
DERI SAPUTRA L
SILVIA AMANDA P
AGEL RAEHAN L
WIKEN HEPPY DWI CAHYANTI P
NGADIRAH P
SUGIYONO L
MUHAMMAD ALI L
NUARI L
SUHADI L
DUTEMEI SEMBIRING L
H. SITOHANG L
RATNA SURYA BR. SIMANALU P
AGUS SIMBOLON L
ARIS DUHA L
HERMANTO L
Amat Kohidin L
Sri Widayati P
AMRI L
N VAKSINASI
LANSIA 72 0
PRA LANSIA 55 46-59
PRA LANSIA 56 46-59
PRA LANSIA 51 46-59
PRA-LANSIA 52 46-59
PRA LANSIA 53 46-59
PRA-LANSIA 52 46-59
PRA LANSIA 53 46-59
PRA LANSIA 57 46-59
PRA LANSIA 55 46-59
PRA LANSIA 56 46-59
PRA LANSIA 55 46-59
PRA LANSIA 56 46-59

PRA LANSIA 51 46-59






BUMIL MASYARAKAT RENTAN 21 18-30
REMAJA 16 0
REMAJA 15 0
REMAJA 13 0
REMAJA 15 0
REMAJA SMK KUNTO 1 15 0
REMAJA SMA SP 1 16 0
REMAJA SMPN 3 MUARA JAYA 14 0
LANSIA 65 0
PRA LANSIA 52 46-59
PRA-LANSIA 56 46-59
PRA LANSIA 57 46-59

Alamat No. Hp
BPJS PBI
MUARA JAYA 081375098834
MUARA JAYA 082286122965
MUARA JAYA 082246277079
PT EMA 082388550915
MUARA JAYA 082217343872
PT EMA MUARA JAYA 082387277366
MUARA JAYA 082390948265

MUARA JAYA 082171946764
MUARA JAYA 085270546098
MUARA JAYA 082286846921
MUARA JAYA 082258158022
MUARA JAYA 081276883824
MUARA JAYA 081364607559
MUARA JAYA 082217598078
MUARA JAYA 082268627144
MUARA JAYA 081362973061
MUARA JAYA 082290815838
MUARA JAYA 082294174219
MUARA JAYA 082216416739
MUARA JAYA 082386613649
MUARA JAYA 081363638593
MUARA JAYA 085244149639
MUARA JAYA 082299961524
MUARA JAYA 085213879747
MUARA JAYA 082389001484
MUARA JAYA 081377690571
MUARA JAYA 081268881605
MUARA JAYA 082268411334
MUARA JAYA 082370638433
MUARA JAYA 082351053798
MUARA JAYA 085376139053
MUARA JAYA 085360740493
PT EMA 082268354955
PT EMA 082213267288
MUARA JAYA 082217709715

PT EMA 082288032599
MUARA JAYA 081268192383
MUARA JAYA 085265307212
PT EMA 082213622732
PT EMA 082385343264
MUARA JAYA 081364002465
PT EMA 082361897395
MUARA JAYA 085359405536
MUARA JAYA 085270148807
PT EMA 082223696706
MUARA JAYA 081268099611
MUARA JAYA 083167664148
MUARA JAYA 082272105227
MUARA JAYA 085278033636
PT EMA 082382564240
MUARA JAYA 085265769660
MUARA JAYA 085315527452
MUARA JAYA 081364436994
MUARA JAYA 082256329697
MUARA JAYA 082286475216
MUARA JAYA 085265340424
MUARA JAYA 082169272352
MUARA JAYA 082384468974
MUARA JAYA 082286164072
MUARA JAYA 081378204165
MUARA JAYA 082286924667
MUARA JAYA 082285044833
MUARA JAYA 081260420513

MUARA JAYA 085363800225
MUARA JAYA 082286369758
MUARA JAYA 082287194254
MUARA JAYA 085284034135
MUARA JAYA 082284878181
MUARA JAYA 082391996902
MUARA JAYA 081365437572
MUARA JAYA 081365780818
MUARA JAYA 082172673641
MUARA JAYA+I44:S44 082285329481
MUARA JAYA 085264641952
MUARA JAYA 082284159609
MUARA JAYA 082389001484
MUARA JAYA 082216746112
MUARA JAYA 085264877989
MUARA JAYA 082286433912
MUARA JAYA 082286369758
MUARA JAYA 081314085790
MUARA JAYA 082370154247
MUARA JAYA 085251195448
MUARA JAYA 082172850254
MUARA JAYA 082287055138
MUARA JAYA 082236179946
MUARA JAYA 081268192349
MUARA JAYA 085273156795
MUARA JAYA 082320138078
MUARA JAYA 085273156795
MUARA JAYA 082288032599
MUARA JAYA 082288069315

MUARA JAYA 082286433740
MUARA JAYA 082268541584
MUARA JAYA 082126012947
MUARA JAYA 082385343264
MUARA JAYA 081361259649
MUARA JAYA 082386974356
MUARA JAYA 081327072164
MUARA JAYA 082391115350
MUARA JAYA 082385034041
MUARA JAYA 082287114164
MUARA JAYA 082285958690
MUARA JAYA 081260675571
MUARA JAYA 081366267179
MUARA JAYA 082214667501
MUARA JAYA 082268411978
MUARA JAYA 085359405536


MUARA JAYA 085213879759
MUARA JAYA 082286653375
MUARA JAYA 082387774310
MUARA JAYA 082249529835
MUARA JAYA 085268094851
MUARA JAYA 085264015838
MUARA JAYA 082384661257
MUARA JAYA 082381632295
MUARA JAYA 081279524023
MUARA JAYA 082288207205
MUARA JAYA 082271512145
MUARA JAYA 085376741184
MUARA JAYA 085270807095
MUARA JAYA 082171996495
MUARA JAYA 085265213558
MUARA JAYA 085314878205
MUARA JAYA 081268371342
MUARA JAYA 085273156795
MUARA JAYA 082388550915
PT EMA 081267103624
MUARA JAYA 081378845380
MUARA JAYA 082382878520
MUARA JAYA 082382706697
MUARA JAYA 085265213558
MUARA JAYA 082225434313
MUARA JAYA 081276883669
MUARA JAYA 082290663976
MUARA JAYA 082285169994

MUARA JAYA 081275027639
MUARA JAYA 085265204578
MUARA JAYA 085271189867
MUARA JAYA 082172050524
MUARA JAYA 082283486828
MUARA JAYA 085365520416
MUARA JAYA 082170779908
MUARA JAYA 081270644342
MUARA JAYA 081375098834
PT EMA 081292101784
MUARA JAYA 082384928756
MUARA JAYA 082285191287
MUARA JAYA 082285033691
MUARA JAYA 085261167975
MUARA JAYA 082290155260
MUARA JAYA 082286433797
MUARA JAYA 085278027372
MUARA JAYA 082273814122
MUARA JAYA 082284862232

Dosis I
sesuai)

Vaksinasi
YA 7/1/2021 7/1/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
10/7/2021 10/7/2021
YA 10/7/2021 10/7/2021
10/7/2021 10/7/2021
10/7/2021 10/7/2021
10/7/2021 10/7/2021
YA 10/7/2021
YA 10/7/2021
YA 10/7/2021
YA 10/7/2021
YA 10/7/2021
YA 10/7/2021
YA 10/7/2021
YA 10/7/2021
YA 10/7/2021
YA 10/7/2021
YA 10/7/2021
YA 10/7/2021
YA 10/7/2021
YA 10/7/2021
Dosis 2
N
o
.
Keterangan
Vaksinasi a
t
c
h
10/7/2021 TUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
TUNDA (HT)
TUNDA (HT)
TUNDA ( HT )
TUNDA (DM)
TUNDA (GANGGUAN KELENJAR)
TUNDA ( HT )
TUNDA ( ASMA )
TUDA ( GINJAL)
TUNDA ( GINJAL )
TUNDA (DEMAM)
TUNDA (HT)
TUNDA (JANTUNG)
TUNDA (ASMA)
TUNDA ( STROKE )
Kabupaten/Kota
Provinsi
No No. Tiket NIK
1 P-KKWDZME4 1406151402700001
2 P-KJUHJUQG 1208215404910003
3 P-KJEP7I7B 1406051208820007
4 P-KKTVZZXU 1206091111920001
5 P-KM7HHCNA 1406152808860001
6 P-KMKH3S9J 1406151112020001
7 P-KMUWT79W 1406152009970001
8 P-KN7SRU5Z 1406150505880004
9 P-KNI59NDJ 1218052508890004
10 P-KOCAAPOW 1218051702030003
11 P-KOJQQCNZ 1406151106860001
12 P-KOYUJSZA 1221080909760002
13 P-KPGVYABP 1406110608010003
14 P-KQ16A1XR 1401126511910004
15 P-KQC10Y06 1209190608850006
16 P-KQI7VNDA 1403132306950004
17 P-KQNTGQHV 1406153112940001
18 P-KQTZGKDP 1217082503930004
19 P-KRA9PIGE 1406051001910003
20 P-KRGD1ICY 1205191904990002
21 P-KRLXT6VD 1201062407910003
22 P-KRV9GL8U 1205190308020001
23 P-KRZGBICH 1406150109930002
24 P-KSWTA83L 1276030504950002
25 P-KKYZYVAV 1409111602810001
26 P-KLC2NVYY 1406050509850002
27 P-KLRI1EIL 1218060412790001
28 P-KM1JW0O6 1401100305840005
29 P-KMEHBMXD 1406051109990004
30 P-KN3CO4KV 1406092710800001
31 P-KNEYNC4W 1406050306840001
32 P-KNQDRSWZ 1221052510860002
33 P-KO2NHI5F 1402061101910009
34 P-KOI5R07A 1407082012900003
35 P-KOQQI6UK 1208230809850002
36 P-KP17YO9P 1218051304780001
37 P-KPALBG1V 1202060903950001
38 P-KPMNMLSM 1406150812810001
39 P-KPTIT6J4 1221081205820004
40 P-KQ3WI4LB 1401101911830004
41 P-KQBYBW5G 1223060607970002
42 P-KQJW8JM5 1209270304910001
43 P-KQR2K2LG 1205191401910002
44 P-KR3WKKKS 1218152711890002
45 P-KREV4I6T 1221053009920001
46 P-KRO7PUOF 1406150302050001
47 P-KS67F528 1409060710920001
48 P-KSR9S7K2 1216010906930001
49 P-KT8XYPQQ 1401081004770001
50 P-F6VKBZL6 1209202907000002
51 P-KI3RNKMG 1207065608950001
52 P-KJCR5E1R 1406152504980003
53 P-KJS9JWF7 1406141012730001
54 P-KKDK8475 1221080107740006
55 P-KKO3X6WV 1406151506880001
56 P-KL8DREYL 1406150601800001
57 P-KLH7SAEJ 1406152202950001
58 P-KLSVPX8D 1208191309830001
59 P-KMGAB5L9 1406052206820001
60 P-KMMVVPT7 1218091008940011
61 P-KMU8ATEW 1406152911820001
62 P-KN86OQ26 1205202008810006
63 P-KNGL5V5J 1216101212890001
64 P-KNNXZ3WT 1406150607780001
65 P-KNXFYCON 1401151003930003
66 P-KO7N1LXK 1209083010790003
67 P-KOGHEVD3 1207063112910002
68 P-KON4VR4D 1406151206960001
69 P-KOYJNZPS 1207062801960002
70 P-KP5MIBQO 1406151601790001
71 P-KPF1CIXH 1223012003920002
72 P-KPMMXN0T 1406050304780005
73 P-KPWRWCKC 1223062305920005
74 P-KQ4PW4RE 1207263112910019
75 P-KQD1ZR6V 1406152904770001
76 P-KQJLPFC7 1406151604000001
77 P-KQQBTXBJ 1205191806870001
78 P-KRALEKIH 1406150809020001
79 P-KRHQD6OI 1223082102000002
80 P-KROTMCBO 1406151309000001
81 P-KRWMILUF 1406055211770002
82 P-KSPI6F7T 1406150310930001
83 P-KSYQDSQI 1223012612010005
84 P-CGU7PT01 14061564077400001
85 P-KJTX3YW2 1102011108940001
86 P-KK6PNQJJ 1271111904780005
87 P-KKIBSS2N 1406152909810001
88 P-KL8VR09V 1406154706790001
89 P-KLHYICJ1 1406055502790001
90 P-KNQGIKLL 1406152705790001
91 P-KO0GNDLL 1406060205750006
92 P-KP6XFEIK 1406155504810002
93 P-KPNI67IU 1406116804760002
94 P-KPV9E0D3 1406050305740002
95 P-KR1FLSZL 1409051503800001
96 P-KSQR9J1B 1406153112780003
97 P-KMRCFYOJ 1406092101750006
98 P-L3554AH6 1406152507840001
99 P-KRXRFNVY 1406056304750001
100 P-KS2WNH52 1406051008730007

101 P-KKK86DQS 1102114812920001
102 P-X8D9HMVD 1406054411740004
103 P-KQZVIJU0 1406152612660001

: KEPENUHAN HULU
: ROKAN HULU
: RIAU
Jenis
Kelamin
JUSPI RITONGAN. D L
DINI SRI RAMAYANTI P
CHARLES NAINGGOLAN L
SATRIA SALMON TSL SIHOMBING L
ANDI SUPRIYANTO L
FENDI PERMANA L
HISAR PARULIAN SINURAT L
MARUDUT HASIHOLAN PURBA L
SARIYAN SYAH L
KHAIRUL AL FAREZI L
JULIADI L
SUPARMIN L
SARING L
RIA SASMITA P
MISWANDI L
M. FAUZI L
DIDUL L
OKI PARASIAN SIRINGORINGO L
RICO ANDI SYAHPUTRA L
JEPRI L
SUPRIADI SIMATUPANG L
IRAWAN L
DAMRI L
SYAMSUL BAHRI L
ARMAN KASPAR. N L
DEFIAN HOLING SIMATUPANG L
HAPOLTAHAN SITINJAK L
DARSON FRAY SIMANJUNTAK L
RISKI L
KUSMIADI L
JHON ADAM SIHOTANG L
AHMAD BASKIM L
EKO SUSANTO L
DEVIKA WARDANI L
PURWANTO L
RAMLI BARUS L
TAHAN SIMAMORA L
SAHAT PANJAITAN L
SYAHRUDDIN L
DEDY HARYANTO NASUTION L
ANDRE SURYA L
RAMLI DARMAWAN L
SYAHPUTRA L
PARDAMEAN NENGGOLAN HUTABALIAN L
ERPINSYAH DAULAY L
SURYA DARMA L
IRHANDI KASMARA L
TRINSIH SIHOTANG L
JAMIN L
ARIYA ABDI HUGRAHA L
ARLIANTA TARIGAN P
RONALDO CONZALE SAMOSIR L
JURI L
PADA HASIBUAN L
LILIK WINATA L
TOBA SITONGGANG L
MISHUDI L
ADI IRAWAN L
DEDEK WAHYUDI SITEPU L
EWIN SUSANTO L
PROSON SIMAJUNTAK L
WINARDI.L L
HARNEL DH MARBUN L
DANIEL NAINGGOLAN L
YUDHA CAKRA BUANA L
MESNAN L
FERNANDO BARUS L
MARDISMAN PURBA L
MUHAMMAD ALVI SYAHRIN L
ROY FRINCES RDAJA GUKGUK L
JEFRI HERMANTO L
ZAHDIN ANDRES NST L
RIAN SAPUTRA L
FAJAR DEWANTARA L
PONIMAN PURBA L
PRIYANTO L
LIYUN WAYUDRA L
AMIRUL FAJAR L
M SAFII L
MEKAR PUJA KUSUMA SAPUTRA L
MURNIATI P
JUWANDI NASUTION L
WILLY JEKSON TAMPUBOLON P
ANITA P
M. RIZA PAHLEPI L
JANTER BARASA L
SUDIRO L
ROMANAH P
MARINA BR TARIGAN P
MULYONO L
SODIKUN L
ARIYATI P
NUR PARIDA P
MAIDI L
SUPIAN SINAGA L
NURFIKRI ARIFIN L
JAMAL MAHRUDI L
MARUDUT PURBA L
NURHANDAYANI P
EDWAR NASUTION L
SAFIAH P
ARIYATI P
SAMSON SINAGA L
N VAKSINASI
PRA LANSIA 51 46-59




PRA LANSIA 54 46-59

Alamat No. Hp
BPJS PBI
PT EMA 085270148807 YA
PT EMA 082347904139
PT EMA 081365967759
MUARA JAYA 081267574598
MUARA JAYA 085322318019
MUARA JAYA 082324918618
PT EMA 082223696064
MUARA JAYA 082261359601
PT EMA 085375429060
PT EMA 082172369121
PT EMA 082262125934
PT EMA 082288262663
PT EMA 081269903878
PT EMA 085363179954
PT EMA 081372211931
MUARA JAYA 081378483955
PT EMA 085216477246
PT EMA 082249048349
PT EMA 082336668902
PT EMA 082249217508
PT EMA 082287055115
MUARA JAYA 082288838033
PT EMA 082243378340
MUARA JAYA 082288088231
MUARA JAYA 085263936323
MUARA JAYA 085264864395
MUARA JAYA 082253816972
PT EMA 085374189024
MUARA JAYA 082388331762
MUARA JAYA 085357941144
TALUK KUANTAN 085364509597
MUARA JAYA 081268598230
MUARA JAYA 081260427631
MUARA JAYA 082224147026
MUARA JAYA 081270029630
MUARA JAYA 081276028438
MUARA JAYA 081281032875
MUARA JAYA 082352446652
MUARA JAYA 082284129337
MUARA JAYA 082214823281

MUARA JAYA 082285292866
MUARA JAYA 081267103833
MUARA JAYA 082281765217
MUARA JAYA 082284711846
MUARA JAYA 082376312202
MUARA JAYA 085755311436
MUARA JAYA 081286032451
MUARA JAYA 081365437572

MUARA JAYA 081378483955
MUARA JAYA 082392983050
MUARA JAYA 085349931072
MUARA JAYA 082283903785
MUARA JAYA 082285939832
PT EMA 082382878520
MUARA JAYA 081378483955
PT EMA 082284878175
PT EMA 082246251349
PT EMA 082261820396
PT EMA 082261820396
PT EMA 082288446315
MUARA JAYA 082328618640
MUARA JAYA 082268329051
MUARA JAYA 081365437572
MUARA JAYA 085361056036

MUARA JAYA 082249539225
PT EMA 082289830120

Dosis I
sesuai)

Vaksinasi
YA 10/8/2021 10/8/2021
10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021 10/8/2021
YA 10/8/2021
YA 9/18/2021
Dosis 2
N
o
.
Keterangan
Vaksinasi a
t
c
h
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
TUNDA (HT)
LANJUT
Kabupaten/Kota
Provinsi
No No. Tiket NIK
1 Q-000WIDXS 1406154404890001
2 Q-000WIDTL 1406154604770001
3 Q-000WHS1C 1406156211720002
4 Q-000WCSUV 1406156702790001
5 Q-000WEDXL 1401120606860008
6 Q-000WNT7B 1406152606760001
7 Q-000WJSVZ 1406150505780004
8 Q-000WEDY6 1103130603960001
9 Q-000WEE5V 1207081611930002
10 Q-0000P9UZ 1406151608820001
11 Q-000WHQ6Z 1406152707670001
12 Q-000WIDPU 1406154911940001
13 Q-000WCE62 1406152102040001
14 Q-000WCPKQ 1406152304790001
15 Q-000WKKV6 1406150401060002
16 Q-000WIUD5 1406151007760001
17 Q-000SNE9V 1406051904030002
18 S-24FF9E19 1407084102570002
19 P-PETV48BQ 1406155010670001
20 P-OZT9QLHW 1401122808680011
21 P-PY2OJ8BA 1406152910620001
22 P-OIVSTI7P 1406044612940001
23 P-Q2SRE3R9 1401122604800006
24 P-PALRUKKX 1406052306730004
25 P-PXDPBVUI 1406141904010001
26 P-Q0YIJ2U9 1406045511820001
27 P-PT9K83Z0 1406156306750001
28 P-PBQ77BSV 1406054206780004
29 P-OVGPKL1W 1406154111810001
30 P-OQL1IBLB 1406154805890002
31 P-OHVFLYZJ 1406056310880003
32 P-OMUDXMIO 1801075009890002
33 P-O9BIJXWN 5371054204920001
34 P-ORI953BS 1406151001860001
35 P-OSKLYNYT 1406050509830001
36 P-I3RBE40I 1406051412720002
37 P-OWEMXUGD 1219042208870001
38 P-P10QWHFB 1406151807020001
39 P-P2A0U3W2 1222022910940003
40 P-P3H13BC5 1406061107970003
41 P-P4TQAS6H 1221044701930001
42 P-P9BWKJW2 1406155901850001
43 P-PD76MYFL 1110130506920001
44 P-PFSNRRUG 1401041212940005
45 P-PHHDNPBV 1406152004810001
46 P-PIBH4CSG 1220031410960001
47 P-PK5PWBHE 1408071311960005
48 P-28PMI5HU 1406155603840001
49 P-PM3YZ9F4 1406154204920003
50 P-BXOFVNJN 1406151312730001
51 P-PQSWGUR7 1406155012020003
52 P-PRKKGQMU 1406152511870001
53 P-PTWQFW7L 1401206512960003
54 P-PUX8CBD1 1406054105010002
55 P-PVK82FWC 1211133012880001
56 P-PWQEO0FU 1406051509030002
57 P-SO6WRSLL 1406155206870001
58 P-Q3JCJZXI 1406042707880009
59 P-Q3ZLULNE 1406151911820002
60 P-Q4LWFIJP 1406046908830001
61 P-Q1JFD5PA 1406050703730002
62 P-PNIGMGT7 1406154310740001
63 P-PPEBGR3W 1407052202750005
64 P-PGPCVONH 1406152202790001
65 P-P6FA121R 1406150911740002
66 P-P6Y6MEYI 1406052202780002
67 P-P82IS8GX 1406153005800001
68 P-OPSAJJ2S 1406056410780001
69 P-OLVOIFQV 1406051010760003
70 P-NIEC2A5G 1401120102780002
71 P-OELQLZBT 1406151005800001
72 P-OGN99WR4 1406045606900001
73 P-OK0CRPW7 1271194611880003
74 P-OKYGMUBJ 1401044506840006
75 P-OY2OZDIS 1401125007050002
76 P-PQ5CABMG 1406150103090002
77 P-OHLSL2FS 1406155504780002
78 P-OLZ40PHM 1406056111770001
79 P-OK83YC3C 1406156107810001
80 P-OQ7BHC9U 1406156908930002
81 P-P3WA19TP 1406155212900004
82 P-PDTOSRH8 1406155210880001
83 P-P77LUQWV 1406055707830001
84 P-PZB6AERR 1406046709790001
85 P-Q0VSWY3L 1406156709890002
86 P-P0AE6PGL 1401126308820009
87 P-P1PH2SY7 1406154303880005
88 P-PV6U7TKY 1216064409880001
89 P-Q3D2IW4C 1406156503890001
90 S-7C9A55E9 1406055812600001
91 P-PN82MKL6 1406156405670002
92 P-PEVUQETZ 1406152503630001
93 P-PWQSIOED 1406150809680001
94 P-NG9CUXSQ 1401127105860002
95 P-NYKK72C5 1406150403760001
96 P-OKS0TDGU 1208234704790001
97 P-ONCPUFFD 1407056708920009
98 P-OP8C9CWG 1406057005800001
99 P-ORAXE6AF 1401120405800002
100 P-OSJQ1XON 1406080409760004
101 P-OTJYP6MC 1406056810010003
102 P-OVDCOYQW 1221071212910004
103 P-OWBS3UOX 1214085308890002
104 P-OXDOVPAH 1406155007030001
105 P-OYITN492 1406056512820004
106 P-P2UYZ2KP 1406150209870001
107 P-P54N7OUI 1406152611020001
108 P-P8KJV8NW 1406156711800002
109 P-P9VE0O7K 1406151708820005
110 P-PAQGIJHC 1406150911820001
111 P-PCY77MOX 1401131202880001
112 P-PG202L14 1401046812910003
113 P-PGX24EEO 1406151201790002
114 P-PIYBLJT1 1214130509890001
115 P-PKLXS4W3 1406151007000003
116 P-PLHAC6KB 1406150111870001
117 P-PMF7K2DV 1406154112960001
118 P-PO27K05B 1407104703940001
119 P-POUQWJ75 1406052811750002
120 P-PPNIIOMF 1406051511020008
121 P-PQGEVMLU 1406050607760005

1407056411800002
122 P-E2ZX9G4Y
123 P-PSDACCS9 1406051212760004
124 P-PT36YCX0 1222036509870008
125 P-PTS296DP 1406051105020003
126 P-PUHZS4WR 1308052711950003
127 P-R9M9U1EW 1406152605750001

128 P-PXJK274T 1406061606860007
129 P-Q001RWSK 1406051712020001
130 P-Q1UQJIV8 6404055405850003
131 P-Q2HT5DSE 1406156606830002
132 P-Q6OVALAA 1225016305890001
133 P-Q40RKAFN 1406151602020001
134 P-OE6RDEXK 1406050309700002
135 P-OF3560WE 1406051509660001
136 P-RCHCDSE5 1406154505650001
137 P-OZTONRO5 1401127112660032
138 P-PNAHNSPA 1406156510650001
139 P-Q46GB0M0 1406150308700003
140 S-7B5D3C50 1406052404600001
141 P-OKMBYG8R 1406055005770002
142 P-ONGE8RNC 1406064503010004
143 P-PDF317KY 1403096711810005
144 P-P0UIEONW 1406156404740001
145 P-PKG0LHQE 1406054211740003
146 P-PQQXRT0M 1406156604820003
147 P-PRYJOLUB 1406055801810002
148 P-PT710HH3 1406056707840003
149 P-Q1GLOZOQ 1406044606780006
150 P-Q1VMNVW8 1406155911830004
151 P-PTQNQQQS 1406154501860001
152 P-OPIU1FBI 1401125905870001
153 P-T1XKLPM3 1406054409000002
154 P-PG0LLNWO 1208055210980002
155 P-OXDHYHC1 1406154704070001
156 P-P6NW3MGE 1406150506060001

157 P-Q5NQI6UT 1406041811030002
158 P-P5MF81UE 1406054511030003
159 P-PGPWABSV 1406050608060001
160 P-PWZKYE3Y 1406155909050002
161 P-PXKTTLKR 1406041010750010
162 P-MYTAETGT 5371012405980002
163 P-NLWPWM16 1406150112830001
164 P-O4UWOZ2M 5371010803900002
165 P-OG5UIKNJ 1406051604790002
166 P-OIFGFR30 1406056608800005
167 P-OJFX94FO 1110132908910001
168 P-9APU4QHQ 1406042904770003
169 P-KO0ZGLMF 3304125806910004
170 P-ORBVNYLG 1406051606030001
171 P-OVCEC3KT 1406080901860001
172 P-OVZRVC8N 1406134212890001
173 P-OYMLC92T 1406150810830001
174 P-P21VM81H 1406156612810001
175 P-P3ISRKMB 1406152510980001
176 P-P4NZAGA9 1209140411930001
177 P-P7RL4A84 1406152311840002
178 P-P9720FVG 1406155911820001
179 P-PA9C9BT9 1406152503840001
180 P-PB266FSM 1406157112800001
181 P-PCIHMTU3 1401134810900001
182 P-PEBF5HCA 1403091006770003
183 P-PF7DPTBV 1406043105000004
184 P-PHJ9SFN4 1406055111870003
185 P-PJ5BNQB8 1406151706730001

186 P-PL70V4FZ 1208300507900004
187 P-PON5A8NZ 1209164308930003
188 P-PPHR417C 1406150409890002
189 P-PREA83PS 1406054707960001
190 P-PSM68W7P 1406052006880003
191 P-PUAPKWF6 1406052404970002
192 P-PUT765GM 1406052608780001
193 P-PVF4R8YB 1406152206860001
194 P-PWHIVVUS 1406051504720001
195 P-PZ0GEGBK 1406050510840003
196 P-N4NW87RV 1406155108970001
197 P-Q0BLHIJH 1405122904990001
198 P-Q0VCQ6EC 1406056006920003
199 P-Q32XST62 1217041804930001
200 P-Q3P9JS9Z 1406151706840002
201 P-Q56HLWVZ 1204105905790003
202 P-Q6NEJX4S 1406150402790002
203 P-Q73OG7L6 1472016207810024
204 P-2CKNB75G 1471121002770001
205 S-5CE1F26A 1406050202600005
206 P-PDZKRTQ5 1406052104800001
207 P-POFT3P8G 1407085912870003
208 P-Q6LELCIC 1406155005800003
209 S-9625D977 1406050101570003
210 P-OMLKSCB5 1406051905710001

: KEPENUHAN HULU
: ROKAN HULU
: RIAU
Jenis
Kelamin
ANITA MUNGKUR P
NURMINA BR TUMORANG P
EEM SUHAENAH P
RUSMINA HASIBUAN P
SUHARDIMAN L
NATAR MANURUNG L
SUPRIADI L
ANDRIANSYAH PRATAMA L
SUPRIANTO L
ANTO ARIANDI SIMBOLON L
SLAMET PUJIYANTO L
ERNY PERWIRAWATY SIMBOLON P
DWI KUSYARDI L
MARDINAN LUBIS L
ANDARMEN ARIO MARBUN L
HENDRI SAPTONO L
KHARIS FRANSISKO MANIK L
MANTA MARPAUNG P
ELFRIDA HANNA PANJAITAN P
JIMMI TINDAON L
MARLON SINAGA L
DESI WAHYUNI P
TOGAR SAMOSIR L
JHONI LIMAU L
RENDY ALFANDISYAH L
NINA P
ESMINA BR MATUPANG P
ROSITA RAHAYU P
HASNAH SIMANJUNTAK P
CUANA FITRIANA P
SUSANTI P
SITI ROHANA P
FENCY DIANA SORU P
RIDUAN LUBIS L
ADONG SIMANJUNTAK L
ALAMSYAH MARPAUNG L
GUSTI KURNIAWAN L
BERKAT TULUS IMAN ZAMASI L
JEFRI SUPRAPTO L
HENDRI JAFNI L
DUMA SARI HASIBUAN P
ANTONIA HERLINA BR SIMAMORA P

PANJI PRADIPTA L
A. HAMDANI L
JHONNI EDISON HARAHAP L
RAHMAD WIJAYA L
ALVIN NOVIQ PRAMANA L
NURSATIANA SIREGAR P
KRISTINA KATARINA WARUWU P
HADI JAYA KUSUMA L
YULIA VIDYANTI P
UNDANG KURNIAWAN L
DESNIA HALAWA P
MEILANI HIDAYATI P
TUMPAL SUPARJO SIHOMBING L
RAHMAT TOBIB L
YARILINA HALAWA P
RAHMAD EFENDI L
DIRMAN ZAMASI L
LIANA ZEBUA P
TAONDASI LAIA L
NAULI BR PASARIBU P
ABDULLAH SANI HASIBUAN L
SAHAJI HARAHAP L
RINTO MARBUN L
MHD. SYAHRIL L
RANTO PANJAITAN L
APRIDA NASUTION P
EDIANTO GINTING L
ZAKARIAS TOAMNANU L
SUROSO L
WATI TINA NDURU P
ULFA KHAIRIZA P
APRINAWATI P
JULITA ASRIANI BR. SINAGA P
GLEEN RIVALDI SINAGA L
AFLIANA FUFU P
ROSMINI BR. SEMBIRING P
JULIANTY HUTAGALUNG P
EVA RAHMAYANI SITOMPUL P
INDAH DAMAYANTI SIRAIT P
RIANI ZEBUA P
RIANI P
SRIYANTI P
EMI SURYANI P
ROSMELIANA TAMPUBOLON P
DEWI SUTARSEH P
MAGDALENA BR PURBA P
ELVIS SUDIANTO BR HUTASOIT P
ATISANI WARUWU P
RUMIATI SINAMBELA P
HASONANGAN SIAHAAN L
FOH AROTA NDURU L
IDA WIDIAWATI P
HENDRIK MISSA L
NURYANI P
DEVI SELVIANA P
RIANI SITI SUMARNI BR HUTAGALUNG P

JAMISTER SIHOMBING L
SYAHRAN L
YESI LINTA SEMBIRING P
MUNAWIR SAJALI NASUTION L
SUASANA HALAWA P
ENDANG LISTIA NINGSIH P
NATALIA SIJABAT P
SURIANTO L
WIRA RAMADANA L
ERNITA BR.BUTAR BUTAR P
SAROHA HUTAGALUNG L
GUANRO HARYONO SIHOMBING L
SYAH RONI L
NURZANNAH P
HANSEN WISMAN SIJABAT L
ENAK SEMUA LOI L
VERIANIS LASE P
REZKY SIREGAR L
FIRA YANTI LASE P
IKA TRISNAWATI P
ABDULLAH L
KRISTOP DAELI L
ELVONEDI SINAGA L
ERLIANI PULUNGAN P
YARMAN WARUWU L
RINA BR SIMAMORA P
AHMAD FUADI L
NOFRI ADI L
OBET FUFU L
CANDRA WIJAYA L
FERTIANUS WARUWU L
MERDINA TARIHORAN P
RESTI BR SINAGA P
YULIATI NDRURU P
DANIEL NOVAN KRISTIAN NDURU L
HAZANEMA HULU L
FERDEDEN WARUWU L
NURLIA HABEAHAN P
RATNA BR SINAGA P
BUNGADA SINAGA P
JUSTIN ZAMASI L
FIDELIS ODODOGO DAELI L
RUMIATI P
HERVITA P
MESTIAR BR SIMBOLON P
ARIMANI TELAMBANUA P
HENNY.P P
MURTI P
LINDA LASE P
DONA PURBA L
MULYANI P
NURYANI MANGUNSONG P
EVENING BUULOLO P
IRENAWATI P
RIAMAWATI LAIA P
INDAH OKTAVIA P
PANESHYA APRIYANA BR TOBING P
FERDIAN NANDA HALAWA L

ALFIN BASTIAN WARUWU L
TINCE NOVERLINA HALAWA P
AL HAFIT FAHMI FAHREZI L
ESTER ALIVIA BR MANIK P
RASWANTO L
RANDI DOMINGGUS MISSA L
FERDINAN TEFSELE L
MAXI CHARLES FUFU L
SUHARDIANTO L
SUSILAWATI P
RASITO L
BUDI ARIANTO L
FRIMA DINARYANTI P
NELSON FIRDAUS SITEPU L
HERIANTO L
DELCIANA NEONBASU P
SOLIHIN L
SRI DEWI NATALINA PURBA P
HIDUP GINTING L
TAUFIK HIDAYAT L
HOT MANGAN PASARIBU L
SURIANI P
BUDI SIAGIAN L
KUSFIATUN P
SRI ULINA BR SITEPU P
HOBI FERNANDO ARITONAG L
RONI DAMANIK L
RINA MARISCHA P
BOTOAN MARBUN L
ZAINAL ABIDIN SARAGIH L
TUTI ROYANI P
MARTINUS NDURU L
NUR HOTIMAH P
ARSAN H MARBUN L
YUSUA LAIA L
MUHAMMAD MSURYA L
ALFA ROMEO SIREGAR L
SAHPUTRA L
TAUFIK HIDAYAT L
SUSI SUSANTI P
NANDA SAPUTRA L
JUNI KRISTINA WATI SITANGGANG P
QUASI MODO GENITI HARIANJA L
MUHAMMAD FAUZI SAPUTRA L
AYARMA ZAI P
TALISEKHI HULU L
JULIANI DAELI P
SYAFRIAL L
SUWONDO L
ERIKSON WARUWU L
PONI P
FAOMASI LASE P
SOFYAN ANUM L
KARIANTA SITEPU L
N VAKSINASI
REMAJA 17 0
REMAJA 15 0
LANSIA 64 0
PRA LANSIA 53 46-59
PRA LANSIA 53 46-59
PRA LANSIA 58 46-59
GURU TK TUNAS BANGSA 26 18-30


REMAJA 16 0
LANSIA 61 0
PRA-LANSIA 54 46-59
PRA-LANSIA 58 46-59
PRA-LANSIA 53 46-59


PRA LANSIA 51 46-59
PRA LANSIA 55 46-59
PRA LANSIA 56 46-59
PRA LANSIA 44 31-45
PRA LANSIA 55 46-59
PRA LANSIA 51 46-59
LANSIA 61 0
REMAJA (SMPN 3 HATI) 14 0
REMAJA (SMPN 3 HATI) 15 0

REMAJA SMKN 1 17 0
REMAJA 17 0
REMAJA 15 0
REMAJA 16 0

LANSIA 61 0
LANSIA 64 0
PRA LANSIA 50 46-59

Alamat No. Hp
BPJS PBI
KEPAYANG 081267422102
KEPAYANG 085272132059
KEPAYANG 085265926226
KEPAYANG 082288199809
DUSUN 3 KEPAYANG 082268543114
KEPAYANG 081364172448

DUSUN III KEPAYANG 085272132059



KEPAYANG 082283336635



Dosis I
sesuai)

Vaksinasi
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 6/4/2021 6/4/2021
9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/2/2021 9/2/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
10/9/2021 10/9/2021
10/9/2021 10/9/2021
10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
10/9/2021 10/9/2021
10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021 10/9/2021
YA 10/9/2021
YA 10/9/2021
YA 10/9/2021
YA 10/9/2021
YA 10/9/2021
YA 10/9/2021
YA 10/9/2021
Dosis 2
N
o
.
Keterangan
Vaksinasi a
t
c
h
10/9/2021 TUNTAS
10/9/2021 TUNTAS
10/9/2021 TUNTAS
10/9/2021 TUNTAS
10/9/2021 TUNTAS
10/9/2021 TUNTAS
10/9/2021 TUNTAS
10/9/2021 TUNTAS
10/9/2021 TUNTAS
10/9/2021 TUNTAS
10/9/2021 TUNTAS
10/9/2021 TUNTAS
10/9/2021 TUNTAS
10/9/2021 TUNTAS
10/9/2021 TUNTAS
10/9/2021 TUNTAS
10/9/2021 TUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
TUNDA
TUNDA (HT)
TUNDA (HT)
TUNDA (CA TIROID)
TUNDA (ANEMIA)
TUNDA (HT)
TUNDA (HT)
Kabupaten/Kota
Provinsi
No No. Tiket NIK
1 Z-000ANTFX 1202094605530001
2 Q-000WI5ZS 1401120307820006
3 Q-000WK9GY 1401120601960002
4 Q-000WFRTI 1406056109880002
5 Q-000WGZQX 1406056708810001
6 Q-000WKOJD 1208234711920004
7 Q-000WD1E2 1406156604820001
8 Q-000WGFW8 1406154910940001
9 Q-000WD2E9 1406151901800001
10 Q-000WKKWK 1406150502880001
11 Q-000WPENZ 1406056505840002
12 Q-0000D6DX 1406151506860003
13 Q-000WHTC5 1406053112890005
14 Q-000WIU4V 1406152111820001
15 Q-000WNDWJ 1406051708940007
16 Q-000WK2O1 1401105302990004
17 Q-000WJSZL 1406151811870001
18 Q-000WJT0W 1406155011920001
19 Q-0002GAKD 1406155612900001
20 Q-000WCOPX 1406056002860003
21 Q-000WCEKK 1406050505860003
22 Q-000WL4JJ 1407084803980003
23 Q-000WO758 1401122510710008
24 Q-000WND2Y 1406050304020008
25 Q-000WNN9G 1401122407020003
26 Q-0000T59M 1406152706790001
27 Q-000WKYO7 1406050904820005
28 Q-000WG2B3 1406051205750004
29 Q-000Y90GQ 1406131207840002
30 Q-000Y90GO 1406135008870003
31 Q-000WI6A3 1406051010870003
32 Q-000WKONN 1401125608900001
33 Q-000WK9MT 1401120110910003
34 Q-000WK9HM 1401125106940003
35 Q-000WLG5S 1216094507950002
36 Q-000WITTE 1406051102990005
37 Q-0000QIMQ 1406152401800002
38 Q-000WNNCO 1406152004910001
39 Q-000WCDBL 1406150212700001
40 P-QQ30OZ0E 1406150606850003
41 P-QQFDH1LI 1406154610970002
42 P-QRGI2HH5 1407114402990001
43 P-QYHQDNN9 1213165601860001
44 P-QZ4D4CPU 1406152708820001
45 P-QZB6GL1B 1401131501980001
46 P-QOZSJYND 1406052204740002
47 P-QNKRQI1 1406152612760001
48 P-QNZFBZ0D 1406150210760001
49 P-QRTDHBEV 1406054505750006
50 P-QTWOP35A 1406056202800001
51 P-QZGGIKEK 1406155010740004
52 P-BYQ3XSNH 1407081311800003
53 P-QM5OLAR0 1406050507710004
54 P-QMVWZIXM 1408042807910001
55 P-QNGNV72C 1406152908760001
56 P-QNT67W0D 1406153112860002
57 P-QO6DXQAC 1207326011830003
58 P-QP4P36EE 1406051908830001
59 P-QPGWCPVN 1406055708820002
60 P-QPQ1SL6J 1406150603000001
61 P-QQ1SYJH6 1406041101770002
62 P-QQH363F3 1406155606780001
63 P-QQQU6U1X 1216091212920004
64 P-QRVEWS77 1272051906870004
65 P-QS8ZZFIO 1406155401840001
66 P-QSYORD3T 1214240801950001
67 P-QTBAKGUK 1406091605970005
68 P-QTPJY3X7 1406151003770001
69 P-QX7TX44I 1406064204900004
70 P-LYO7DGHX 1406054403800004
71 P-QYG01YVH 1371085608870005
72 P-QZHZOLC4 1207081403910002
73 P-QZ2BY4EN 1213161012030001
74 P-QZAN8Y5T 1213161002050003
75 1209276210860003
76 P-QZJF5DUE 1213162609070002
77 P-QQONRXO9 1406150408700002
78 P-QN8ILFKL 1406156603850001
79 P-QOYSC2B3 1406156601750001
80 P-QQGLDLD9 1401124202840009
81 P-QQ5FH9CX 1406151507770001
82 P-QZE55R9K 1406151111720002
83 P-QTLUV9K2 1406052310780001
84 P-Q2JH04UH 1401125604760004
85 P-QNQ1XMG3 1406152808020002
86 P-QO1Z4JUX 1207321112840005
87 P-QOP9C5QJ 1406150912880003
88 P-QPUXD1QL 1406150709950002
89 P-QRFJMKCT 1207282110870003
90 P-QRUCCI0R 1406052610720001
91 P-QSJQEXBX 1406152012720001
92 P-QTTCVGK3 1406091206900008
93 P-QX5IHAXB 1406154704840002
94 P-QYB3MYXF 1406053004750003
95 P-QYKRJ1A8 1218082709880001
96 P-QZ3HQGC4 1407051709910004
97 P-QZ9UA81T 1406154507880001
98 Q-001AUIY4 1406052010720002
99 P-QOE5SHTI 1406155303700001
: KEPENUHAN HULU
: ROKAN HULU
: RIAU
Jenis
Kelamin
TIERMIN SILITONGA P
ADI YERMIA FIMARLI ELUAMA L
BAGUS NUARI SETIAWAN L
MAUREN SITUMORANG P
NURIDA SIMARMATA P
SINUR HERLIDAWATI SINURAT P
ASNI ROMAIDAH PARHUSIP P
TERIANI LASE P
RIO JENERIO MANIHURUK L
LIVONTUS SITANGGANG L
ROSPIDE MANUNGKALIT L
SAHAT PARULIAN SARAGIH L
KORNELIS DOWA KALLI L

HENOKH BABIS L
AGUSTINUS KADI L
HANUM SETIAWATI P
YASABUDI ZALUKHU L
NOVERINA ZEGA P
SABAR HATI BULOLO P
LENA MAYUSRI SITOHANG P
BENNI SUPRANTO TAMBUNAN L
DESI RATNA SARI SITUMORANG P
PUJI RIATNO L
SUTRISNO L
PUTRA DONNIE ANGGORO L
SUHAIMI L
EBENHESER TALUMAU L
HAPOSAN SINAMBELA L
HENGKI EDUAR H KOLIMON L
AGNES PUJI ASTUTI SIAHAAN P
LINTAR PRAYATNA P
ESTERINA KARTIKA P
BOY LAIA L
YENITIA LATURE P
MARIANA TINAMBUNAN P
ARJUN YUDISTIRA L
EDI SURIANTO SARAGIH L
ADIL DIRWANTO L
MUKSIN PURBA L
FIRDAUS LAIA L
SAMIRIA NDURU P
IIS SUGIANI P
CELSI SIMANJUNTAK P
RONAL TOBING L
JHON KARNIMAN L
NUAH P SEMBIRING L
GIMAN L
SABAR HATI SARUMAHA L
DINA EMILIA BR SINAGA P
YUISA LAIA P
REMI WATI DUHA P
SURATMAN L
JULIADI L
RIKI HAMDANI SIRAIT L
JERI.A.SIANIPAR L
RUWANTO L
HARTATIK JALUHU P
ARJUN ZEBUA L
GAENTINIA DAELI P
YUSPITER BATEE L
BUDI SUTIONO L
ADIRA AMI LAIA P
DESMON SAMOSIR L
JEFTA H. SIMAREMARE L
YANTI SARI HARITA P
XAFERIUS GIAWA L
FAOMASI LASE L
RAMLI SIREGAR L
JULIUS NDORO P
IDAROYANI TANJUNG L
HENNY RUSANDI MANULLANG L
EBENEZER TARIGAN L
FAHRI ROJI WARUWU L
BAGINDA PARDAMEAN WARUWU L
SITI SARIFAH P
PAJAR RUTDIN WARUWU L
JONRU SIANIPAR L
AINATUN IHDA P
RONNI BR MANULLANG P
SURIANI BR PANGARIBUAN P
BASERA BUULOLO L
BUALA LASE L
FAIGI HALAWA L
RUSMAINI BR LABAN P
FAHRUL ZAILANI L
JUNAIDI L
WILSON NAINGGOLAN L
BAZISOKHI HULU L
MUHAMMAD ALI SARAGIH L
BONGSU SIRINGO RINGO L
SUKA GINTING L
FAO'ATULE LASE L
HENIANI LASE P
BUDIONO L
M.ZAINAL ABIDIN SINAGA L
SURYA SETIADI HUTASOIT L
ASTUTI NDRAHA L
TUKIRAN L
SUSILAWATI P
N VAKSINASI
LANSIA 68 0



REMAJA SMK 17 0
REMAJA SMPN 3 HATI 14
PRA LANSIA 51
PEDAGANG PASAR 36
PEDAGANG PASAR 46
BUSUI MASYARAKAT RENTAN 37
MASYARAKAT RENTAN 44
MASYARAKAT UMUM 45
MASYARAKAT UMUM 21
MASYARAKAT UMUM 36
MASYARAKAT UMUM 32
MASYARAKAT UMUM 26
MASYARAKAT UMUM 33
MASYARAKAT UMUM 48
MASYARAKAT UMUM 48
MASYARAKAT UMUM 31
MASYARAKAT UMUM 37
MASYARAKAT UMUM 46
MASYARAKAT UMUM 33
MASYARAKAT UMUM 30
MASYARAKAT UMUM 33
MASYARAKAT UMUM 48
PRA LANSIA 51
Alamat No. Hp
BPJS PBI
KEPAYANG 082259660603
KEPAYANG 082283774049

KEPAYANG 082174357271
LUBUK SOTING 081374435421
LUBUK SOTING 081276220108
KEPAYANG 081268533818
KEPAYANG 082268324124
KEPAYANG 085265663257



Dosis I
sesuai)

Vaksinasi
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 6/2/2021 6/2/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 6/14/2021 6/14/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 6/2/2021 6/2/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/15/2021 9/15/2021
YA 9/15/2021 9/15/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 6/3/2021 6/3/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
YA 10/10/2021 10/10/2021
Dosis 2
N
o
.
Keterangan
Vaksinasi a
t
c
h
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 LANJUT
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
10/10/2021 TUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT MANUAL
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
Kabupaten/Kota
Provinsi
No No. Tiket NIK
1 Q-000WNNET 1401100107950006
2 Q-000REHKU 1208185507910001
3 Q-000REKQM 1401212003910002
4 Q-000WE16R 1406051411030004
5 Q-0002GFPD 1406150101630001
6 Q-000WDRQI 1406051304670003
7 Q-000WCE62 1406152102040001
8 Q-C93995EC 1406155302780001
9 Z-000AHVU7 1406054203600001
10 Z-000A32L0 1406081407610001
11 Q-000WJ5IO 1406150404650001
12 Q-000WEDPW 1871040303800016
13 Q-000WKKWX 1406042510740007
14 Q-000WD1P9 1401100402920005
15 Q-000SJC08 1406050510780002
16 Z-000A4E2H 1406055009810002
17 Q-000WGFV4 1406155707710002
18 Q-000WFRK4 1406155609800001
19 Q-000WEEWB 1406045212820006
20 Q-000WITRO 1406155305860001
21 Q-000WFEF1 1406157011770001
22 Q-000WEPCZ 1406043007990002
23 Q-000WD1YE 1471066110910001
24 Q-000WH0A5 1406050503770003
25 Q-000WD2MQ 1406150408730001
26 Q-000WF1OF 1406150601840002
27 Q-000WF1X4 1406154106910002
28 Q-00010KK1 1406050706800001
29 Q-000WH0C0 1220020506820002
30 Q-000WDRMB 1406150910830001
31 Q-000WDSB4 1406155810800001
32 Q-000WDGCC 1406051408900003
33 Q-000WDFH1 1406156201830001
34 Q-000WDFOT 1406152005730001
35 Q-000WNDZU 1218160508910002
36 Q-000WJ3WB 1406051708790003
37 Q-000WICQY 1406156606750001
38 Q-000WEZCH 1205082810760007
39 Q-000WDGUR 1208044111860001
40 Q-000WDH3U 1218152409850001
41 Q-000WNDVU 1214071609990005
42 Q-000WHB60 1406050810740001
43 Q-000WD2FF 1409061401720001
44 Q-000WHCKG 1218156012930003
45 Q-000WHBP3 1406156511780002
46 Q-000WHQ3C 1406151502940001
47 Q-000WGFQU 1406154305880002
48 Q-000WGZBI 1406152512870001
49 Q-000WHBOF 1406154709790001
50 Q-000WFQVK 1406151411830001
51 Q-000WE1AZ 1406155708820001
52 Q-000WE0Y2 1406152604780002
53 Q-000WEZ45 1406151201740001
54 Q-000WJ5RS 1401102604890006
55 Q-000WHSR3 1406155006830001
56 Q-000WHT3Q 1406153004820002
57 Q-000WITQQ 1208041603910000
58 Q-000WN89R 1219026206930003
59 Q-000WP03T 1703074407000001
60 Q-000WF20L 1406052705810003
61 Q-000WFEEK 1406055505840003
62 Q-000WN8C8 1210082804800001
63 Q-000WN8AN 1210085212810006
64 Q-000WH44I 1406156904020001
65 K-00018JGA 1571070904930061
66 K-00018JGC 1571076404730101
67 Q-000WI5X5 1406150301800002
68 Q-000WID0Q 1406150402750001
69 Q-000WFF5G 1216026306890003
70 Q-000WL4LQ 2171115806920004
71 Q-000WN8AG 1406154211840001
72 Q-000WNDTA 1503095010890005
73 Q-000WNDUH 1406151210840001
74 Q-00005OJ2 1406051501650001
75 Q-000WJH52 1406155505950003
76 Q-000WL5V4 1216090812950002
77 Q-000WKL1A 1406046312020003
78 Q-000WPHIO 1406151811810001
79 Q-000WPHKB 1406154904850001
80 Q-000WDRLK 1402080201910001
81 Q-000WI59L 1406150101690002
82 Q-000WDFPB 1406051011660008
83 Q-000SJ57N 1406151610680001
84 Q-000WFQSX 1406156112900003
85 Q-000WFEA6 1223014209950001
86 Q-000WEZL7 1278014803820001
87 Q-000WN2OX 1406156009050001
88 Q-000WC0U3 1406052203070003
89 P-SKHS3DGY 1406056303830011
90 P-HUA6OUS6 1406150306650002
91 P-SIMPNLR9 1406055508820006
92 P-SL2AVHK8 1406055010790007
93 P-SMY3QYRN 1406056009750003
94 P-SO3YXMPS 1406055411870004
95 P-SLQIZWEC 1406056712020006
96 P-SH0RKHLA 1406050705850003
97 P-SJQ4DPL6 2171077011870001
98 P-5L8XGMA5 1406051305820001
99 P-0ZBB6KTZ 1406052212880001
100 P-S9U2IMZO 1406090704780008
101 P-SJ7KWKST 1406050407810004
102 P-SBWHHUDL 1406094101870008
103 P-S0FO4GGN 1406156808080005
104 P-S1FEUFU1 1406052607070001
105 P-RYSU7E5S 1406053110060001
106 P-SCOWV11S 1406150601090002
107 P-SEXTSTWS 1406150205080004
108 P-SPHVWKDN 1406155511030001
109 P-SQK0222V 1406154110040001
110 P-SQY230EH 1406155709040003
111 P-SSPAPPUW 1406154212040001
112 P-RTAYAQ93 1406052606090002
113 P-SHWUPVKX 1406051406050003
114 P-SBQQFYR6 1406152806090001
115 P-SCLC5D80 1406156407080001
116 P-HCO4UGZL 1406054508750002
117 P-R1U4B63A 1223054411870001
118 P-R8PTEDEZ 1401100102770006
119 P-LI25FBRO 1406154612960001
120 P-JFF72SS3 1406050701750002
121 P-OQIJGGQE 1406150610750001
122 P-RIYQGBW1 1401101809740006
123 P-RG7A1EHT 1406154909740001
124 P-SUH1EYBN 1406051301710004
125 P-R1KKIDPP 1406051503750002
126 P-ICBN93SF 1406055404780006
127 P-2235E3VU 1471065010910021

128 P-5MWDOJ9T 1406156301020001
129 P-89USIE7W 1403091201940001
130 P-DFKVXFLL 1406055401810001
131 P-KUPMTZQO 1406056303860003
132 P-MN9LPMDO 1406154204000001
133 P-OBSSPEAC 1208122107840002
134 P-OZSRZUIU 1406150506920001
135 P-PGT3RK67 1209172712770001
136 P-PSAIO7KY 1406152701010001
137 P-Q3ZDUSSF 1406055702980001
138 P-QH50VKS7 1406150804970001
139 P-R1LC6ZCD 1201170503800001
140 P-JY0VO53C 1401101511910004
141 P-R618ZIRA 1406052601940001
142 P-R7D0FDOK 1401132606980001
143 P-RA6EQXR9 1224022009920001
144 P-RBIL82O1 1407034506010005
145 P-RCJTIUKC 1406051310910001
146 P-RDT41BR0 1405112008980002
147 P-REULWBHS 1406055606000005
148 P-RHR6E94D 1401104709860003
149 P-RPWTNH3Y 1406050304960001
150 P-RVG9192X 1406151006000001
151 P-SQT0OFP7 1406054909990007
152 P-SRCI2L1U 1406086604000002
153 P-RMC8PTJ4 1406055107670002
154 P-RNF9MKAO 1406050202620003
155 P-ROQOBZTO 1406056607710003
156 P-RR9F3ZP2 1406154307060001

157 P-RSTTBX66 1406052603070001
158 P-RTOZWHM9 1406151102070001
159 P-RUKDACXK 1406157005070001
160 P-RWMNVUKI 1406151810060001
161 P-RY0QYAJH 1406052605050001
162 P-RZ3NRNCQ 1204126507050001
163 P-S02H60QP 1208295504070002
164 P-S1AASFAN 1406156303070001
165 P-S2GQT01H 1406150101070005
166 P-S3RYEBNJ 1223045404090003
167 P-S4PSWFWZ 1406152705090001
168 P-S5U9J4MU 1406052406090003
169 P-S7NWCY7U 1406152106080001
170 P-S9DOPE0Q 1406050808080002
171 P-SG3IAJ2K 1406156908090001
172 P-SGQ31TJ7 1406156403080002
173 P-SHHHA7VX 1406151304070001
174 P-SHY1ULTH 1406155504040001
175 P-SIJBSQI6 1406050906080001
176 P-SJPAR1BP 1406150801080002
177 P-SKFUKWL6 1401126107090004
178 P-SKWT7VDM 1406155507070001
179 P-SLEHXHK4 1407081708060007
180 P-SLUWLBC4 1406154408090001
181 P-SMNHEHP8 1406155903070001
182 P-SOCOXGYF 1221052312060001
183 P-2EWUCG8J 1406155007090002
184 P-GPZJNES9 1406151308090001
185 P-IKB1RCKL 1406152409080002

186 P-K5SB2TAV 1406151002080003
187 P-AH0AQOCL 1406152201040001
188 P-NA9MCA0K 1406055706040003
189 P-QVY6WTMB 1406052010050001

: KEPENUHAN HULU
: ROKAN HULU
: RIAU
Jenis
Kelamin
GOSMAN RISKY EPENDI SILABAN L
SURIASEH P
SUPRIANTO L
ABDUL RAHMAN L
RAMLAN P
SOLIH L
DWI KUSYARDI L
YUSLINAR P
HALIMAH P
SYAPARUDDIN L
SYAFRUDDIN L
MARCEL BANAYAMAN WELEURAT L
RUDI SINAGA L
BOSTON SITUMORANG L
JEFRIDEN L
FITRIANA P
SUDILA LAOLI P
ERNA.L P
LISMARNI P
LELI MARLINA P
SRIYANTI P
LESTA SAPUTRA L
RIBKA MANIK P
KARDIN HARAHAB L
DARIYANTO L
SUHENDRIYANTO L
NOVIDA P
RUDI HARTONO L
MEDIAN RITONGA L
AHMAD BAIDOWI L
SUSILAWATI P
SUDIRMAN L
LANGGENG SETIAWATI P
JUANDI L
ZULFIKAR SILITONGA L
AGUSTINUS FATTU L
EPI YANUR P
ARISTO PARLAUNGAN SIBURIAN L
ERISTAWANI TURNIP P
PANGIHUTAN SITORUS L
SUPERMAN LAIA L
FAHASORA DODO LAIA L

SUDARTO L
LINA LARINA SIAHAAN P
SITI AISYAH P
DEDI HERI TAMBA L
SITI RAHMAWATI P
EKO PRATAMA LUBIS L
HEMALINA SITEPU P
RUSDIANTO L
ROSTIANA WARUWU P
FADUHUSI TELAUMBANUA L
TAHAN SITORUS L
PRANCIS SIMBOLON L
MANTINAK SITUMORANG P
MAHMUDIN SIREGAR L
CHARLES TURNIP P
SUSI SUSANTI PASARIBU P
DWI YOPITA SARI SINURAT P
SUJONO L
ERNAWATI P
JAMES WESLY SIBURIAN L
EMA CHRISTINA BR MANURUNG P
TIWI EKAWATI P
FRIANDANI LUMBAN TORUAN L
LISTENRIA SINAMBELA P
SURATMAN L
ALPARIUS ANICETUS LUMBAN GAOL L
ASRIN SIAMBATON L
MARIA DEBORA SILALAHI P
CAMELIA P
ROSLINA SIREGAR P
JUNIATER SITORUS L
MUKMIN L
AYANG SARI SURBAKTI P
TRI KARNO LUMBAN GAOL P
ENJEL KRISTINA P
RANAP PAKPAHAN L
HERTI IDA MURNI SORMIN P
JREOSNOMI CARDOVA LUMBAN RAJA L
SODERTA GINTING L
M. SAID L
ABUZAR L
LUPITA SARI P
DINA ARIFIANI P
ANNE GRACE FRISCA M. SIMANJUNTAK P
ANISA P
ILHAM AULIA PUTRA TAMBUNAN L
MARINI P
MUHAMMAD ALI L
RINA MULYANI P
SALMAH LUBIS P
SYAHLELA NURI LUBIS P
SUYANDAYANI P
AVIDA YOHANA NASUTION P
INGATI ZILIWU P
IKA PURNAMA DEWI BORU MANIK P
BANGKIT NABABAN L
MUHAMMAD FAUZI L
BINSAR SIALLAGAN L
INSAN PURNAMA L
JUNIAR BR MANURUNG P
ANGGUN LESTARI BR PAKPAHAN P
DAFFA ADDELIL PASA L
HOTLAN TRIPUTRA SIREGAR L
BUNGA YANA GULO P
YASRONI BUULOLO L
SINTIA ELFIKA P
SHALSA BHILA AMANDA.AS P
WAHYUNI P
SASMA WATI P
MUHAMMAD ZULHAM L
JUNTRI PRIATONI ZILIWU L
AZARYA SARAGIH L
DEBORAH JULIANI HALAWA P
NUR SALMI BTR P
VIKA DAMAYANTI P
SARWAN L
MEDINCE SATRIANI SIMAMORA P
PULO SIMAMORA P
PARULIAN L
EVIYANTO SUSI SETIAWAN L
HERLINA SAGALA P
AHMAD SOFYAN NASUTION L
HERMANTO L
RUSDIANA PAKPAKHAN P
ERNENGSIH P
LISNAWATI HALAWA P
MUHAMMAD FADLI HARAHAP L
NURHAYATI P
RONI BR SIMANGUNSONG P
ANNISA SALAMAH P
ROBBY HASUDUNGAN BUTAR BUTAR L
SYAFRI L
HERMAN WESLIN HERDIANTO MANURUNG L
T. ENDINGMAN ABDI ARIF L
WIDARI FEBRIANI ZULFIKAR P
APRI PERMANA PUTRA L
LOREN ALPON SIMAMORA L
IHWAN RAHWANA L
SURYADI L
FRISWAN EVRIADO NADEAK L
SELAMATAN TELAUMBANUA L
RANI NAWANG WULAN P
ADI CAHYO SUSILO L
DEFRI PRIANGGI L
JUNITA P
MARLIYAH P
SIGIT ADJIE PRABOWO L
ANDRE GANDA SITORUS L
NURAINI P
AMELYA RISKY P
NELLY LUBIS P
ALI REGAR L
KLINEM P
ROBYATUN NUR AVIVA P

JONATAN SAMUEL SITEPU L
TOGA OLOAN PASARIBU L
LASTRI MANDEPA P
YOVA ZATULO GULO L
ANDI HALAWA L
IMELDA JULIANI ZEGA P
DIVA AFRIANI PURBA P
RESLIN ZILIWU P
IKLAS BUULOLO L
BUNGA NATASYA ZALUKHU P
PANDU WIRAWAN L
FAREL EMERADIL SAPUTRA L
ERINGGA L
FAIZ ZAHRAN FIRAZ L
FADILLAH ANASTASYA M.LUBIS P
ANZELIA PUTRI NUR AL HADAWY P
ESTER FLORENTINA SILABAN P
SISTER FLORENTINA SILABAN P
RONI PANDOPOTAN HUTASOIT L
ANGGA SEMBIRING L
CINDY JELITA TOAMNANU P
JUWITA BR PURBA P
RONALDO KRISTIAN SINAGA L
AULIA DWI AHRINI P
YESRIDA NDURU P
AMANDO LUMBAN RAJA L
AMANDA UTARI P
MUHAMMAD ZAKY SUMBARI L
MAULANA RIANSAH L
ANDRE SYAHPUTRA L
SALEH L
RIBKA BR SINAGA P
MUHAMMAD AGUNG RAHMANDANA L

N VAKSINASI
REMAJA 17 0
LANSIA 61 0
LANSIA 60 0
PRA LANSIA 56 46-59



REMAJA 16 0
REMAJA 14 0
GURU TK MANDIRI PISP 38 31-45
PRA-LANSIA 56 46-59

REMAJA 12 0
REMAJA 15 0
SMP 3 HATI 12 0
SMP 3 HATI 13 0

PRA-LANSIA 54 46-59
PRA-LANSIA 59 46-59
PRA-LANSIA 51 46-59
SMP 3 HATI 15 0
SMP 3 HATI 14 0
SMP 3 HATI 14 0
SMP 3 HATI 14 0
SMP 3 HATI 14 0
SMP 3 HATI 16 0
SMP 3 HATI 17 0
SMP 3 HATI 14 0
SMP 3 HATI 14 0
SMP 3 HATI 14 0
SMP 3 HATI 13 0
SMP 3 HATI 13 0
SMP 3 HATI 12 0
SMP 3 HATI 13 0
SMP 3 HATI 13 0
SMP 3 HATI 12 0
SMP 3 HATI 12 0
SMP 3 HATI 14 0
SMP 3 HATI 15 0
SMP 3 HATI 13 0
SMP 3 HATI 13 46-59
SMP 3 HATI 12 0
SMP 3 HATI 14 0
SMP 3 HATI 15 0
SMP 3 HATI 12 0
SMP 3 HATI 14 0
SMP 3 HATI 14 0
REMAJA SMP 1 12 0
REMAJA SMP 1 12 0
REMAJA SMP 1 13 0
REMAJA SMP 1 13 0
REMAJA SMA 1 17 0
REMAJA SMA 1 KOTENG 15 0
REMAJA MEDAN 15 0
Alamat No. Hp
BPJS PBI
KEPAYANG 082389108606
KEPAYANG 082268436521
KEPAYANG 085760962083
MUARA JAYA 081346039726
KUBU BARU KEPENUHAN 082170057075
MUARA RUMBAI 08127781981
MUARA JAYA 082285581104
PT PIS 081278341052
KEPAYANG 082288534115
KEPAYANG 082211709967
DESA BARAT MULIA 082288534115
KEPAYANG 081365366089
KUBU BARU 083194819905
MUARA JAYA 082384279814
MUARA JAYA 085265264852
MUARA JAYA 082384276465
MUARA JAYA 081261362618
MUARA JAYA 082386982636
MUARA JAYA 085385488554
MUARA JAYA 085353003576
KEPAYANG 081365750141
MUARA JAYA 082389470999
MUARA JAYA 082214204259
MUARA JAYA 082268915370

MUARA JAYA 081372123914
MUARA JAYA 081276283712
MUARA JAYA 085278117820
MUARA JAYA 081372959748
MUARA JAYA 082173943325
MUARA JAYA 082172940607
MUARA JAYA 081365780818
MUARA JAYA 082169331845
KEPAYANG 081365069276
MUARA JAYA 081268573635
MUARA JAYA 082268548715
MUARA JAYA 082268548715
MUARA JAYA 082169331846
MUARA JAYA 082386613753
MUARA JAYA 085264381105
MUARA JAYA 081268573603
MUARA JAYA 082286653365
MUARA JAYA 081262807099
MUARA JAYA 082280379545
MUARA JAYA 085356213559
MUARA JAYA 082172674001
MUARA JAYA 082384616346
MUARA JAYA 081267884564

MUARA JAYA 082173069261
MUARA JAYA 082173069261
KEPAYANG DUSUN 2 085363206490 YA
MUARA JAYA 082256329697
KEPAYANG 082386820776
MUARA JAYA 081374594379
MUARA JAYA 085263936701
MUARA JAYA 082169331845
MUARA JAYA 081374058128
MUARA JAYA 082238244795
MUARA JAYA 082384928756

MUARA JAYA 082246251338

MUARA JAYA 085363666130
RAWA MAKMUR 082285197525
MUARA JAYA 082246251338
MARPOYAN DAMAI 082287802415



Dosis I
sesuai)

Vaksinasi
YA 9/11/2021 9/11/2021
YA 8/30/2021 8/30/2021
YA 8/30/2021 8/30/2021
YA 9/11/2021 9/11/2021
YA 6/14/2021 6/14/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 5/20/2021 5/20/2021
YA 9/9/2021 9/9/2021
YA 9/1/2021 9/1/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/2/2021 9/2/2021
YA 9/2/2021 9/2/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
5/27/2021 5/27/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
5/27/2021 5/27/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/2/2021 9/2/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 9/11/2021 9/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
10/11/2021 10/11/2021
YA 10/11/2021 10/11/2021
Dosis 2
N
o
.
Keterangan
Vaksinasi a
t
c
h
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
LANJUT
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
7/6/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
TUNDA
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
Kabupaten/Kota
Provinsi
No No. Tiket NIK
2 P-WG7BOBBO 1406051002660002
5 P-WMASAPEQ 1406154506770002
3 P-WIMMWC0P 1406156211730001
1 P-WDRV63AU 1307092104950001
12 P-X1T9UHHE 1406154408850001
4 P-WK214Y7F 1406054707880002
6 P-WNPD67YL 1207024308060006
7 P-WPICPHN2 1406154405070001
8 P-WQUCZV52 1406052901050002
9 P-WSMLGWH1 1406052205040001
10 P-WU44WI69 1406052801040002
11 P-WXDX0XLC 1272021005090004
13 P-X49DWSB1 1406150909780002
14 P-XA8PGZ4S 1406160201820001
15 P-XDNXUEDH 1504015509790002
16 P-XFMFE0DC 1406152603080001
17 P-XMAQRDV8 1406156207800001
18 P-XONT5JCG 1406151512720003
19 P-XQH13UVT 1221096303040003
20 P-XRX33OEO 1406055207750007
21 P-XT7PGWH6 1406152512880003
22 P-XUIRCWMM 1406154404840004
23 P-XXO9HU92 1406054103830002
24 P-XYTFCGUQ 3312084803990001
25 P-Y0757T16 1406155012870001
26 S-59B9BCBF 1406151111600001
27 P-Y2Q2QULL 1406154205680002
28 P-Y42HG7FJ 1406056011020002
29 P-Y5ATLAME 1406152102070001
30 P-Y6HNFS4Z 1406154911930001
31 P-Y7NM5AHL 1406054801040002
32 P-G9OL9R5Q 1406152305770001
33 P-YARZ9ZG5 1406155608980001
34 S-B0E15A5C 1202064107530002
35 P-YCRJXMGJ 1406154601800003
36 P-YDEP8ESA 1406150101730002
37 S-033E7A43 1406152012580001
38 S-BB901AFA 1406055004570002
39 P-YFTIQHWN 1406157006760001
40 P-YH35NDGL 1406156302090001
41 P-YVX3A1J3 1406150601730001
42 P-YW44BCPO 1406050106010003
43 P-YW83LTU4 1406151812860001
44 P-YWBV9347 1406156508000001
45 P-YWFL20E6 1406154502840001
46 P-YWJ22JEW 1205105606070001
47 P-YWMM24XR 1406156407810001
48 P-YWPU6OHB 1406151212790004
49 P-YWTGKGOQ 1401086012030001
50 P-KDJIAWMQ 1406051503740001
51 P-YWZ3UU9G 1406155703840001
52 P-YX1IU7YL 1406150703770002
53 P-YX6CGKZJ 1406154101070001
54 P-YXANFCTC 1406154905980001
55 P-YXCUPMLC 1406054407740001
56 P-YXF1QZ1H 1205072105850003
57 P-YXHGBH40 1406154405960001
58 P-YXYYJXSG 1406061502080002
59 P-YY0HAYLP 1406151807070001
60 P-YY2KRS6N 1406050712900001
61 P-YY4ARCVE 1406150910810002
62 P-YY6IM7YP 1406151808060001
63 P-YY95DHRG 1213062503860003
64 P-YYAQLMDE 1406150709840002
65 P-YYBTOWCQ 1406150407740001
66 P-HF8V3ZV7 1406150803840001
67 P-HEVYAOY2 1205201012760001
68 P-YYF6YTNY 1406150611980001
69 P-KT5YVPRG 1203047103950001
70 P-YYHPZXCT 1406151512730001
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
: KEPENUHAN HULU
: ROKAN HULU
: RIAU
Jenis
Kelamin
DAROJI L
ROWIYATI P
SRIYATI P
ARDIANTAMA L
SETIAWATI P
DARMIYATI P
SRI ANDINI P
ZASKIA MELLINDA P
EKA NUGRAHA WARDANA L
HABIBUL UMAM L
SANDI ALBAY HAQY L
VIRGIAWAN LISTANTO L
BAHARUDIN L
TURSAM L
SEPTINA JOJOR DELIMA LUMBANTOBING P
REYHAN MAULANA L
SUPRIHATIN P
SUTIONO L
RAMAYANA BR MANALU P
MESRAWATI P
BUDI ANWAR SITOMPUL L
MAMI SYAFITRI P
SUNTINI P
PARWANTI P
ROSNIDAR P
PARNINGOTAN MANALU L
GINAH P
LATIFAH FITRIANI P
YUDA PEBRI PRAYUGO L
LENA ATIKA DURI P
HOT DITA BR NAINGGOLAN P
DUTEMEI SEMBIRING L
FITRIA AGUSTIN P
SATDIA SIMANUNGKALIT P
ERPI PASARIBU P
SUDIYO L
YUSTADI L
GINAH P
TUGINI P
TRI FEBRI ANGGRAINI P
ROKIMIN L
RIDWAN FADHILA DIKRI L

AYEP MISRA L
ISMITA P
TRAMIATIN P
AJENG OCHA NABILA P
SUHATIMAH P
DEDI SARAGIH L
EMA KURNIASARI P
HERMANTO L
MARLIYAH P
SIKUN L
NABILLA DWI SYAFITRI P
ANISYAH NURJANAH P
RSIREGAR P
DANI RAMADHANI L
ISTIQOMAH P
HABIB DWI SETIAWAN L
RASYA NUR FADILAH L
FAUZAN L
R. BASUKI L
AGRES ELFANDI L
AHMAD DAMRI LUBIS L
HOTMAN. M. SIMBOLON L
GUNTUR WIJAYA PP.JT L
ARIS DUHA L
H. SITOHANG L
BUDI SAHYONO SILAEN L
RONASARI L
FADIL L
N VAKSINASI
PRA LANSIA 54
MASYARAKAT UMUM 26
MASYARAKAT UMUM 36
MASYARAKAT UMUM 33
REMAJA MTS ANA MUSLIM 15
REMAJA MTS ANA MUSLIM 14
REMAJA SMA 1 KEPENUHAN 16
REMAJA SMP 3 KEPHUL 12
PEDAGANG PASAR 43
PELAYAN PUBLIK 39
REMAJA SMP 3 KEPHUL 13
REMAJA 17
PEDAGANG PASAR 44
MASYARAKAT UMUM 32
MASYARAKAT UMUM 37
MASYARAKAT UMUM 38
MASYARAKAT UMUM 22
IBU MENYUSUI 36
LANSIA 62
PEDAGANG PASAR 53
REMAJA SMP 3 KEPHUL 15 0
LANSIA 68 0
LANSIA 63 0
LANSIA 64 0
REMAJA 009 MUARA JAYA 12 0

IBU MENYUSUI 18 18-30
0
0
0
0
0
0
0
0
46-59
0
0
0
Alamat No. Hp
BPJS PBI
MUARA JAYA 085365851381
MUARA JAYA 085244436088
MUARA JAYA 085365851381
MUARA JAYA 082298097011
MUARA JAYA 081273493212
MUARA JAYA 085244436088
MUARA JAYA 082287553405
MUARA JAYA 081319278605
TRAN TRIPA 081364378699
MUARA JAYA 085263916951
MUARA JAYA 085376737169

MUARA JAYA 085375247204
MUARA JAYA 082210532574
MUARA JAYA 082239654336
MUARA JAYA 082219643037
MUARA JAYA 081364279671
MUARA JAYA 082249255495
MUARA JAYA 082288740185
MUARA JAYA 082268532481
MUARA JAYA 085365425033
MUARA JAYA 081329273061
MUARA JAYA 082288983895
MUARA JAYA 081393411291
MUARA JAYA 085319019069
MUARA JAYA 082286601441
MUARA JAYA 082391404446
MUARA JAYA 085283474387
MUARA JAYA 082285033691
MUARA JAYA 082141566594
MUARA JAYA 082251966450
MUARA JAYA 085271883225
MUARA JAYA 085218370839
MUARA JAYA 085274100489
MUARA JAYA 085263254263
MUARA JAYA 085361895572
MUARA JAYA 082285603429
MUARA JAYA 082268999722

MUARA JAYA 081268878700
MUARA JAYA 082286512837
MUARA JAYA 082385379648
MUARA JAYA 082172368865
MUARA JAYA 081267103845
MUARA JAYA 085263049822
MUARA JAYA 082290663916
MUARA JAYA 082271511617
MUARA JAYA 081378008495
MUARA JAYA 082290815890
MUARA JAYA 082268719759
MUARA JAYA 082283265917
MUARA JAYA 082268200703
MUARA JAYA 082284707617
MUARA JAYA 085265745010
MUARA JAYA 082261093283
MUARA JAYA 085271461105
MUARA JAYA 081375625533
MUARA JAYA 082299143980
MUARA JAYA 085261167975
KOTA RAYA 081261254709
MUARA JAYA 085271261791
MUARA JAYA 082251963367

Dosis I
sesuai)

Vaksinasi
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
YA 10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
10/14/2021 10/14/2021
Dosis 2
N
o
.
Keterangan
Vaksinasi a
t
c
h
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
LANJUT
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
7/6/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
10/11/2021 TUNTAS
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
TUNDA
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT

PENCATATAN VAKSIN ROKAN HULU

Diunggah oleh

Informasi Dokumen

Deskripsi Asli:

Judul Asli

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

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Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

PENCATATAN VAKSIN ROKAN HULU

Diunggah oleh

Hak Cipta:

Format Tersedia

PENCATATAN PELAYANA

Nama Puskesmas/Fasyankes/Pos : KEPENUHAN HULU

No No. Tiket NIK Nama Penerima Vaksin

Keterangan ***Merek Vaksin

kan jenis vaksin yang diterima Puskesmas/Faskes)

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621

MDV VAKSIN COVID-19 6/10/2021 24003621