FORMAT PENCATATAN PELAKSANAAN VAKSINASI COVID-19

TINGKAT PUSKESMAS/FASYANKES/POS VAKSINASI

Nama Puskesmas/Fasyankes/Pos
Kabupaten/Kota : WAY KANAN
Provinsi : LAMPUNG
Hari, Tanggal : SELASA, 26 OKTOBER 2021

Kepesertaan BPJS (tulis

'Ya' pada kolom yang Dosis I Dosis 2
sesuai)
Umur Nama/Jenis/ Keterangan
Jenis Kelompo Tanggal
No No. Tiket NIK Nama Penerima Vaksin Pekerjaan* Tanggal Lahir (18 sd ≥ 60 Alamat No. Hp Merek (Ditunda/Tidak
Kelamin k Umur Screening
tahun) BPJS Vaksin*** Tanggal Tanggal Diberikan/Lanjut)
BPJS Non
Non Pemberian No. Batch No. Serial Pemberian No. Batch No. Serial
PBI Anggota
PBI Vaksinasi Vaksinasi

P BLM BEKRJA 11/6/2003 ≥60 BRATAYUDA V LANJUT

1 J-0006G3A3 180801******0001 NOVRILIA RAMADHINA 18 085609470092 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 6/18/1995 ≥60 GEDUNG HARAPAN V LANJUT

2 J-0006MCWZ 180807******0002 EDI SUSANTO 26 085368998116 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/25/1987 31-45 BRATAYUDA V LANJUT

3 J-0006N80L 180801******0007 JAMIKO 33 082377862414 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 5/8/1999 ≥60 SRIWIJAYA V LANJUT

4 J-0006OEHL 180801******0003 HERI PURWANTO 22 085384471834 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/21/1970 ≥60 GEDUNG BATIN V LANJUT

5 J-0006ORTT 180801******0003 TARMIZI 51 083809601112 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/18/1984 ≥60 SRIWIJAYA V LANJUT

6 J-0006QB6O 180801******0006 KAYADI 37 088272495542 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 1/19/1991 ≥60 GEDUNG BATIN V LANJUT

7 N-3271DCE3 180810******0004 MUSLIM 30 085788886046 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 11/4/1995 ≥60 GEDUNG HARAPAN LANJUT

8 P-01XXIJM5 180807******0002 AGUS NOVIANTO 26 082273049374 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 1/5/1966 ≥60 GEDUNG HARAPAN V LANJUT

9 P-03GWBNB6 180807******0002 SUKARSIH 55 085381418685 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 9/27/1964 ≥60 GEDUNG HARAPAN V LANJUT

10 P-03WVUJVP 180807******0001 FATONAH 57 082289893695 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 1/18/1984 ≥60 GEDUNG HARAPAN V LANJUT

11 P-051RIWKY 180807******0002 AHMAD JUMADI 37 082278923475 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 5/27/1992 ≥60 GEDUNG HARAPAN V LANJUT

12 P-08807CKI 180807******0001 NURYATIMAH 29 085279856514 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/25/1994 ≥60 GEDUNG HARAPAN V LANJUT

13 P-0A7CVO9C 180807******0001 PONIRAH 27 082279972101 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/15/1978 ≥60 GEDUNG HARAPAN V LANJUT

14 P-0BACUD4S 180807******0001 SRI LESTARI 43 082376868535 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/16/1985 ≥60 GEDUNG HARAPAN V LANJUT

15 P-0CRL34HX 180807******0002 SAPARUDIN 36 082320404598 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 3/18/1961 ≥60 GEDUNG HARAPAN V LANJUT

16 P-0CTALIMX 180807******0001 SOBIYAH 60 085269826658 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/18/1988 ≥60 GEDUNG HARAPAN V LANJUT

17 P-0EHX9V5U 180807******0001 YULI FARDIANTI 33 082380963264 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 7/14/1986 ≥60 GEDUNG HARAPAN V LANJUT

18 P-0FCHL6IB 180807******0002 SUDIR 35 085279461779 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 7/19/1982 ≥60 GEDUNG HARAPAN V LANJUT

19 P-0GACGDSH 180807******0003 HARIYONO 39 085384930950 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 12/21/1978 ≥60 GEDUNG BATIN V LANJUT

20 P-0I9UC32T 180801******0001 ROSADI 42 082210706090 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 8/20/1974 ≥60 GEDUNG BATIN V LANJUT

21 P-1VHQZNGZ 180801******0006 NURSIDAH 47 085368026828 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 9/24/1996 ≥60 GEDUNG HARAPAN V LANJUT

22 P-4UIOGAYM 180308******0002 SEPTI RESTIKA 25 085369993413 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 5/8/1996 ≥60 NEGERI AGUNG V LANJUT

23 P-510OHALF 180807******0005 VIGIN NURYADI 25 083163510476 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 11/26/1978 ≥60 GEDUNG BATIN V LANJUT

24 P-5E5RSKO6 180801******0001 TEGUH SUTRISNO 42 082374613746 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 3/6/1993 ≥60 GEDUNG BATIN V LANJUT

25 P-5GP466AK 180513******0005 PINA MERIA 28 085384868466 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 4/27/1997 ≥60 GUNUNG KATUN V LANJUT

26 P-5JFR2YP8 180804******0002 MINDARNI 42 081274265729 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 9/9/1999 ≥60 GEDUNG BATIN V LANJUT

27 P-5LTHSTLF 180801******0005 HERLIN ADEYO PRISKA 22 082184640819 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/3/1980 ≥60 GEDUNG BATIN V LANJUT

28 P-5O38PUFS 180801******0008 MARYANTO 41 085368856175 26/10/2021 Astra Zeneca 26/10/2021 PW40166
 L PETANI 7/3/1976 ≥60 GEDUNG BATIN V LANJUT
29 P-5Q1DLHBG 180801******0003 KARSO 45 082281498035 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 10/4/1963 ≥60 GEDUNG BATIN V LANJUT

30 P-5SSD5MWF 180801******0001 SUGIYEM 58 081273897272 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 8/15/1989 ≥60 GEDUNG BATIN V LANJUT

31 P-5UY8HKOG 180801******0005 RIYADI 32 082298527819 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/21/1968 ≥60 GEDUNG BATIN V LANJUT

32 P-5XPATBP2 180801******0005 NUN AINI 53 081273772303 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/4/1981 ≥60 SRIWIJAYA V LANJUT

33 P-6044WFSH 180410******0001 EDI WINOTO 40 085269242617 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/12/1979 ≥60 SRIWIJAYA V LANJUT

34 P-63FUHTIG 180801******0005 TUGIYO 42 088706470949 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 6/4/1991 ≥60 SRIWIJAYA V LANJUT

35 P-67GP3C5Z 320306******0006 DIDIN SARIPUDIN 30 088287329771 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P WIRASWASTA 6/10/1986 ≥60 SRIWIJAYA V LANJUT

36 P-6ADBI98K 180801******0011 NUR KHALIMAH 35 088286109137 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L TDK BEKERJA 12/31/1941 ≥60 SRIWIJAYA V LANJUT

37 P-6DIYAHSR 180801******0001 B.URIP 79 082186282150 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 1/1/1993 ≥60 SRIWIJAYA V LANJUT

38 P-6IKBF2B4 180801******0005 ARDI WINATA 28 082281537727 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PELAJAR 12/15/1999 ≥60 SRIWIJAYA V LANJUT

39 P-6N85KN98 180803******0001 MISNAWATI 21 082279162993 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 5/5/1968 ≥60 SRIWIJAYA V LANJUT

40 P-6QNWNVR9 180801******0009 YULITA SUPRIYATI 53 082133086884 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P BLM BEKRJA 12/13/2001 SRIWIJAYA V LANJUT

41 P-6SQTM18G 180801******0005 SELA ANGGELINA 19 085381692217 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 5/2/1980 ≥60 SRIWIJAYA V LANJUT

42 P-6VK72OAK 180410******0003 MUSINAH 41 085269242617 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 2/14/1990 ≥60 GUNUNG KATUN V LANJUT

43 P-7MA7M14E 180804******0003 BUCHORI 31 082176021724 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 9/2/1989 ≥60 GUNUNG KATUN V LANJUT

44 P-7RN0PFRL 180323******0001 SELVI 32 082281860044 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 10/28/1992 ≥60 SRIWIJAYA V LANJUT

45 P-7VLIZ5KM 180804******0003 MARGONO 29 082286415262 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 8/17/1996 ≥60 GEDUNG BATIN V LANJUT

46 P-7YETNW79 180801******0023 AGUS SUSILO 25 082280980456 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/18/1987 ≥60 GEDUNG BATIN V LANJUT

47 P-8025BIDQ 180801******0001 ANITA 34 082377867298 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/24/1977 ≥60 SRIWIJAYA V LANJUT

48 P-8317IH6J 180801******0005 GIYONO 43 081369340127 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 5/11/1978 ≥60 GUNUNG KATUN V LANJUT

49 P-85BEKJM4 180804******0003 NURAINI 43 085379836332 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 11/20/1964 ≥60 GEDUNG BATIN V LANJUT

50 P-87Y110ZR 180801******0003 M. YUSUP 56 085282354956 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 3/23/1972 ≥60 SUDIMORO V LANJUT

51 P-8AECFJ0N 350112******0002 SUPARNEN 49 08388609509 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 1/1/1974 ≥60 SUDIMORO V LANJUT

52 P-8DGDEGUR 350112******0003 MALIYANTO 47 08785801504 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 9/10/1981 ≥60 GUNUNG KATUN V LANJUT

53 P-8DLR6NKH 180804******0002 JUWARDI 60 082183584775 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 9/15/1979 ≥60 SRIWIJAYA V LANJUT

54 P-8J0UZ5G7 180801******0003 IWAN YUNADA 42 082371781803 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/17/1994 ≥60 BARADATU V LANJUT

55 P-8KS5FSN0 180804******0001 SUTIONO 27 082186558992 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 4/24/1988 ≥60 SRIWIJAYA V LANJUT

56 P-8M1ZHHIE 180804******0001 ARIF FIANTO 33 081271955275 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 3/9/1988 ≥60 GEDUNG BATIN V LANJUT

57 P-8NZOXGK2 180804******0003 YULIANA SARI 33 085279074549 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/10/1988 ≥60 GEDUNG HARAPAN V LANJUT

58 P-8O0QLWPD 180807******0005 SUTINI 33 085380201315 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 11/18/1971 ≥60 NEGERI AGUNG V LANJUT

59 P-8O3VF6K9 180807******0001 WINARSIH 50 082289427502 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 2/2/1972 ≥60 NEGERI AGUNG V LANJUT

60 P-8OA7G2OU 180807******0005 SUMARNO 49 082279137754 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 11/11/1970 ≥60 NEGERI AGUNG V LANJUT

61 P-8OCGNZIY 180807******0001 MUGIONO 51 082217844191 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 10/10/1984 ≥60 NEGERI AGUNG V LANJUT

62 P-8OEO0C20 180807******0003 SITI AMINAH 37 085320212568 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 2/8/1962 ≥60 NEGERI AGUNG V LANJUT

63 P-8OSAYFTQ 180807******0001 SAIKEM 59 082371218445 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 6/6/1986 ≥60 NEGERI AGUNG V LANJUT

64 P-8OVIDKA6 180807******0005 SALMIYATI 35 082279332787 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/5/1965 ≥60 NEGERI AGUNG V LANJUT

65 P-8OY7SJ9Q 180807******0008 SARJONO 56 082371610740 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 4/5/1963 ≥60 NEGERI AGUNG V LANJUT

66 P-8P0IXH3H 180807******0003 LAMINO 58 082371946304 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L IRT 6/16/1980 ≥60 GEDUNG HARAPAN V LANJUT

67 P-8P4A4ZKW 180807******0001 SUNARTO 42 085357469125 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/5/1968 ≥60 NEGERI AGUNG V LANJUT

68 P-8P6NU1D2 180807******0005 LAMIATI 53 082371946304 26/10/2021 Astra Zeneca 26/10/2021 PW40166
 P IRT 7/14/1988 ≥60 NEGERI AGUNG V LANJUT
69 P-8P96JTKC 180807******0001 YENI ANI 33 082282922911 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/15/1967 ≥60 NEGERI AGUNG V LANJUT

70 P-8PBN4KQU 180807******0001 MARYANTO 54 085382663656 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 4/28/1992 ≥60 NEGERI AGUNG V LANJUT

71 P-8PDMTFMQ 180801******0003 RUDI MUSTOLI 29 085279457017 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 5/12/1986 ≥60 NEGERI AGUNG V LANJUT

72 P-8PFBBIV2 180807******0007 ARYUNA 35 082289507911 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/29/1983 ≥60 NEGERI AGUNG V LANJUT

73 P-8PHIPLP6 180807******0001 SUKEMI 58 082277844191 26/10/2021 Astra Zeneca 26/10/2021 PW40166

p IRT 5/5/1980 ≥60 GRDUNG BATIN V LANJUT

74 P-8PIMTGRG 160107******0002 AYUNI 41 082374231843 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 4/14/1978 ≥60 NEGERI AGUNG V LANJUT

75 P-8PL577EQ 180807******0002 SUKRISMAN 43 082377673078 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 9/5/1977 ≥60 NEGERI AGUNG V LANJUT

76 P-8PN3RX85 180807******0001 IDA ROSIDA 44 082217844191 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 10/6/1973 NEGERI AGUNG V LANJUT

77 P-8POYW6BF 180807******0003 MIRAH 48 082377673084 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 2/10/1961 ≥60 GEDUNG HARAPAN V LANJUT

78 P-8PQV34VH 187104******0001 NGATNO 60 082183650074 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/3/1972 ≥60 GEDUNG HARAPAN V LANJUT

79 P-8PSTRF0S 180807******0002 JAMINAH 49 082183650074 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/23/1983 ≥60 GEDUNG HARAPAN V LANJUT

80 P-8Q0TECVY 180807******0004 MUHAMMAT SUNALI 38 085368504631 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 12/23/2000 ≥60 GEDUNG HARAPAN V LANJUT

81 P-8Q3C1PXQ 180807******0003 DEDI SAPUTRA 20 082279395545 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 4/9/1970 ≥60 GEDUNG HARAPAN V LANJUT

82 P-8Q5MHX8M 180807******0001 WIJIANTO 51 085381172046 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 2/1/1997 ≥60 GEDUNG HARAPAN V LANJUT

83 P-8Q847NLA 180807******0002 NOVI SAPUTRA 24 082371794592 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 4/20/1972 ≥60 GEDUNG HARAPAN V LANJUT

84 P-8QACY0QJ 180807******0007 SODIKIN 49 08567231925 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 6/5/1981 ≥60 GEDUNG HARAPAN V LANJUT

85 P-8QCG09MR 180807******0003 HERI SUHENDAR 40 085383810085 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P WIRASWASTA 4/20/1989 ≥60 GEDUNG HARAPAN V LANJUT

86 P-8QIYX20J 180210******0002 EKA SUWARDAYANI 32 085369281433 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/13/1979 ≥60 GEDUNG HARAPAN V LANJUT

87 P-8QKWYUQ2 180807******0002 SUMINAH 42 082366949382 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/6/1970 ≥60 GEDUNG HARAPAN V LANJUT

88 P-8QMXY1YP 180807******0004 SULIKAH 51 082282943367 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 5/4/1981 ≥60 GEDUNG HARAPAN V LANJUT

89 P-8QP55R4K 180807******0003 AGUS SISWANTO 40 082376592443 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 11/2/1978 ≥60 GEDUNG HARAPAN V LANJUT

90 P-8QRSV24L 180807******0001 SUMIRAH 43 082184045903 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 11/22/1974 ≥60 GEDUNG HARAPAN V LANJUT

91 P-8QTUQ7PC 180807******0004 MISNO 47 085268554333 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 10/14/1980 ≥60 GEDUNG HARAPAN V LANJUT

92 P-8QVGLWJV 180807******0002 SUGIYATNO 41 081373169500 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 11/2/1989 ≥60 GEDUNG HARAPAN V LANJUT

93 P-8QXHZ8HY 180804******0002 NOVANTRI 32 085383898978 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 2/27/1989 ≥60 GEDUNG HARAPAN V LANJUT

94 P-8QZASF8D 180807******0003 NATALIA TRI LESTARI 32 085378350404 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 3/1/1986 ≥60 GEDUNG HARAPAN V LANJUT

95 P-8R26MKEZ 180807******0004 FRISLI SUSANTO 35 085266396848 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 11/15/1964 ≥60 GEDUNG HARAPAN V LANJUT

96 P-8R4PHEWK 180807******0001 RUSLINADI 57 085269833403 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 9/24/1976 ≥60 GEDUNG HARAPAN V LANJUT

97 P-8R6KPHDM 180807******0001 TITI ENDANG SUMILAH 45 082377045246 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 11/12/1972 ≥60 NEGERI AGUNG V LANJUT

98 P-8R89R6UC 180807******0001 SAMIDI 49 082269116161 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L KARYAWAN SWASTA 3/27/1982 ≥60 GEDUNG HARAPAN V LANJUT

99 P-8RAW81OL 180807******0004 YUSUF PRAYITNO 39 081281048409 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 8/28/1987 ≥60 NEGERI AGUNG V LANJUT

100 P-8RDBAPFE 180804******0006 SUSANA SURYANI 34 082269978526 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 9/12/1972 ≥60 NEGERI AGUNG V LANJUT

101 P-8REQM9XV 180807******0003 KARTI 49 085263536116 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/20/1985 ≥60 SRIWIJAYA V LANJUT

102 P-8RHXN8J2 120201******0005 MARTINEM 36 082180072353 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/3/1974 ≥60 GEDUNG HARAPAN V LANJUT

103 P-8RIB3IZQ 180807******0003 SUGIMAN 47 082269157786 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/16/1973 ≥60 GEDUNG BATIN V LANJUT

104 P-8RJI730S 160107******0002 ZAKARIA 47 082374231843 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 1/6/1979 ≥60 GEDUNG HARAPAN V LANJUT

105 P-8RLP9DK3 180807******0002 LISWATI 41 085357469125 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/30/1980 ≥60 GEDUNG HARAPAN V LANJUT

106 P-8RMWTNQA 180804******0001 FRANSISKUS SULIYONO 40 082269978526 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 10/10/1975 ≥60 GEDUNG HARAPAN V LANJUT

107 P-8RONZC5B 180113******0016 USMAN 46 081299682752 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/16/1956 ≥60 GEDUNG HARAPAN V LANJUT

108 P-8RT4XMJW 180807******0001 SUMARSIH 47 085267276209 26/10/2021 Astra Zeneca 26/10/2021 PW40166
 L PETANI 10/5/1982 ≥60 GEDUNG HARAPAN V LANJUT
109 P-8RU8OIW9 180807******0004 SUNGKONO 39 085366278796 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/27/1966 ≥60 NEGERI AGUNG V LANJUT

110 P-8RVJRP0K 180807******0001 SRIYEM 58 082269682052 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/4/1994 ≥60 GEDUNG HARAPAN V LANJUT

111 P-8RWZQGJL 180813******0004 ANI ATMAWATI 27 082269682052 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P WIRASWASTA 6/16/1984 ≥60 NEGERI AGUNG V LANJUT

112 P-8RYYII9G 180807******0002 JUNI SETIAWATI 37 082380521727 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 9/30/2003 ≥60 GEDUNG HARAPAN V LANJUT

113 P-8S0CV384 180807******0001 DAFIT MAULANA 18 082310796370 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 3/27/1963 ≥60 GEDUNG HARAPAN V LANJUT

114 P-8S3ALVM0 180807******0002 LEGIMAN 55 082269682052 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 2/10/1962 ≥60 GEDUNG HARAPAN V LANJUT

115 P-8S64RGRZ 180807******0002 PARNITO 59 085281739355 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/10/1972 ≥60 GEDUNG HARAPAN V LANJUT

116 P-8S7J6RRR 180807******0004 HENDRA 49 082310796370 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/3/1972 ≥60 GEDUNG HARAPAN V LANJUT

117 P-8S97SPEI 180807******0004 BIBIT SUWITO 48 085381177861 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 4/21/1973 GEDUNG HARAPAN V LANJUT

118 P-8SB0MNE3 180807******0001 SUTARJO 48 082269080140 26/10/2021 Astra Zeneca 26/10/2021 PW40166

≥60 LANJUT
119 P-8SC3CS1Q 180807******0001 SULASMI 45 082278131495 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 2/8/1999 ≥60 NEGERI AGUNG V LANJUT

120 P-8SIT2EFY 180805******0002 NURAINI 22 085384960246 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P BLM BEKRJA 9/30/2001 ≥60 NEGERI AGUNG V LANJUT

121 P-8SJWAL86 180807******0002 RENIKA PUTRI OKTARINA 20 082376791803 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 7/8/1994 ≥60 NEGERI AGUNG V LANJUT

122 P-8SO26BCR 180309******0004 F.ANIS LADYA KOMARIAH 27 085380345726 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 3/25/1980 ≥60 GEDUNG BATIN V LANJUT

123 P-8SPBK7R7 180807******0003 NURIDA ROYANI 41 085366192946 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/3/1993 ≥60 GEDUNG BATIN V LANJUT

124 P-8SQHAI0W 180807******0007 IDA OMAYA RAHAYU 28 082378939134 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 1/10/1979 ≥60 NEGERI AGUNG V LANJUT

125 P-8SRJKCRI 160519******0001 SAMSIAH 42 082307665722 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/12/1962 ≥60 NEGERI AGUNG V LANJUT

126 P-8SSHOCEN 180807******0002 SARTINI 59 082278167648 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/8/1987 ≥60 NEGERI AGUNG V LANJUT

127 P-8STHNQWR 180805******0001 LIA DASWATI 34 082289984667 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/20/1999 ≥60 NEGERI AGUNG V LANJUT

128 P-8SU5L70R 180807******0004 ENI PURWASIH 22 082278167648 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 4/10/1978 ≥60 NEGERI AGUNG V LANJUT

129 P-8SV7VLE7 180807******0005 ISNEN 43 085381172046 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/1/1968 ≥60 GEDUNG HARAPAN V LANJUT

130 P-8SW2UODJ 180807******0006 JAMI 53 085384315358 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 7/1/1984 ≥60 GEDUNG HARAPAN V LANJUT

131 P-8SYC4WMS 180807******0071 SONDARI 37 085383060355 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/8/2002 ≥60 GEDUNG HARAPAN V LANJUT

132 P-8SZL4RRL 180807******0005 TIKA SURI YANI 19 085267203871 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 10/13/1989 ≥60 BARADATU V LANJUT

133 P-8T15TUNE 180804******0001 SRI SARMINI 32 081272527143 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/10/1995 ≥60 NEGERI AGUNG V LANJUT

134 P-8T1G0JW4 180807******0005 SURANTO 25 085213220320 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 2/11/1970 ≥60 NEGERI AGUNG V LANJUT

135 P-8T31MYQX 180807******0001 MARDI 51 082183805669 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 2/7/1995 ≥60 NEGERI AGUNG V LANJUT

136 P-8T4EUD3L 180201******0006 YUNDA WATI 26 081285575431 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/6/1990 ≥60 NEGERI AGUNG V LANJUT

137 P-8T6CSKX9 180807******0006 WARTINI 31 085267475846 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 1/18/1996 ≥60 NEGERI AGUNG V LANJUT

138 P-8T7J6RYK 180807******0002 DESI SETIAWAN 25 085367145196 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 9/27/1976 ≥60 NEGERI AGUNG V LANJUT

139 P-8T8UF1EZ 180807******0002 MUJIONO 45 081376110584 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/7/1976 ≥60 GEDUNG HARAPAN V LANJUT

140 P-8TA4NNBJ 180807******0003 MARIAMAH 46 085282950676 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 10/10/1997 ≥60 NEGERI AGUNG V LANJUT

141 P-8TAVMJVY 180807******0007 KUSWOYO 24 082282943366 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/12/1965 ≥60 NEGERI AGUNG V LANJUT

142 P-8TBQ8WP3 180807******0004 SUDARNI 56 082282545771 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 11/24/1996 ≥60 NEGERI AGUNG V LANJUT

143 P-8TCPHSXQ 180807******0001 ERIKA NOVIA DEWI 22 082280116185 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 3/21/1988 ≥60 SRIWIJAYA V LANJUT

144 P-8TDP9GGO 180801******0003 AMIN MUSTOFA 33 082180072353 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 10/12/1950 ≥60 NEGERI AGUNG V LANJUT

145 P-8TEKJUGK 180807******0002 WAGINEM 71 082380963264 26/10/2021 Astra Zeneca 26/10/2021 PW40166

≥60 LANJUT
146 P-8TFHBOZW 180807******0001 RUBIYAH 55 082281552214 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/18/1986 ≥60 NEGERI AGUNG V LANJUT

147 P-8TGBNI5S 180316******0002 MISTUN 32 085384930950 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L KARYAWAN SWASTA 12/7/1965 ≥60 NEGERI AGUNG V LANJUT

148 P-8THB8EV1 180807******0001 SUBARDI 55 082375975025 26/10/2021 Astra Zeneca 26/10/2021 PW40166
 P IRT 7/10/1985 ≥60 NEGERI AGUNG V LANJUT
149 P-8TI4JL8X 180807******0006 YULIANI 36 082269787848 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 12/14/1993 ≥60 GEDUNG HARAPAN V LANJUT

150 P-8TIZ6LPN 180807******0002 DESI ARIANTI 27 085231348937 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/11/1978 ≥60 NEGERI AGUNG V LANJUT

151 P-8TJWX2NP 180807******0002 DEDI ALMADI 44 082380963264 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 11/29/2000 ≥60 NEGERI AGUNG V LANJUT

152 P-8TL1UVF3 180807******0002 SAPRI RUSMAWAN 20 085269826627 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 4/26/1992 ≥60 NEGERI AGUNG V LANJUT

153 P-8TMLNLKV 180807******0001 SUTOMO 29 082377212682 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 1/9/1978 ≥60 NEGERI AGUNG V LANJUT

154 P-8TNG4GVZ 180807******0001 MISIYEM 43 082180091322 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 5/3/1973 ≥60 GEDUNG HARAPAN V LANJUT

155 P-8TOSVJEN 180807******0002 SAINEM 48 085382718650 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/9/1989 ≥60 GEDUNG HARAPAN V LANJUT

156 P-8TPJR4RM 180807******0006 PURNIASIH 32 082317831082 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 7/7/1981 ≥60 GEDUNG HARAPAN V LANJUT

157 P-8TQE56UI 180807******0001 HUDI PRAYOGO 40 082297498971 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 3/30/1969 ≥60 GEDUNG HARAPAN V LANJUT

158 P-8TR4Y1WU 180807******0001 AINUN JARIAH 52 085366212728 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 5/11/1996 ≥60 GEDUNG HARAPAN V LANJUT

159 P-8TS6CHTJ 180807******0002 HENDRIC HERDIYANTO 25 085382891487 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 4/6/1993 ≥60 GEDUNG HARAPAN V LANJUT

160 P-8TT2H6DO 180807******0001 SURAHMANTO 28 085382718650 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 5/17/1998 ≥60 GEDUNG HARAPAN V LANJUT

161 P-8TTRD7JK 180807******0002 MONIKA MAELANI 23 082371218445 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/10/1997 ≥60 GEDUNG HARAPAN V LANJUT

162 P-8TUT0T4S 180807******0001 EFTA VIYANA 24 082317992730 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 9/28/1985 ≥60 GEDUNG HARAPAN V LANJUT

163 P-8TVO3EDY 180807******0003 ANDIKA SETIAWAN 36 085369676080 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 7/15/1975 ≥60 NEGERI AGUNG V LANJUT

164 P-8TXTBYKC 180807******0001 SAMIDI 46 082184046903 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 11/11/1991 ≥60 NEGERI AGUNG V LANJUT

165 P-8TZDTJJP 180807******0006 UUD HARIYANTO 30 082280232074 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 9/1/1992 ≥60 GEDUNG HARAPAN V LANJUT

166 P-8U041YK3 180807******0005 AHMAD EFENDI 29 082241484721 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 11/12/1973 ≥60 GEDUNG HARAPAN V LANJUT

167 P-8U2D9EFK 180807******0006 SUKATNO 48 082376010637 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/6/1994 ≥60 GEDUNG HARAPAN V LANJUT

168 P-8U3A1G3C 180807******0005 SUYATMI 27 082280232074 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L KARYAWAN SWASTA 11/10/1970 ≥60 GEDUNG HARAPAN V LANJUT

169 P-8U4CLM5M 180807******0003 SUHERMAN 51 082377044924 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P WIRASWASTA 7/30/1990 ≥60 GEDUNG HARAPAN V LANJUT

170 P-8U5M8H5G 180811******0002 AYU SUSANTI 31 085273540697 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 10/6/1968 ≥60 GEDUNG HARAPAN V LANJUT

171 P-8U6MDYTM 180807******0001 MARTINI 53 082282922911 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/12/1975 ≥60 GEDUNG HARAPAN V LANJUT

172 P-8U7KKW84 180807******0001 WARSONO 46 085273790410 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L IRT 4/23/1987 ≥60 GEDUNG HARAPAN V LANJUT

173 P-8U8X4HQ4 180807******0001 SUGIARTI 34 082269293012 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 6/10/1980 ≥60 SRIWIJAYA V LANJUT

174 P-8UCR3LOC 180807******0003 SLAMET 40 082372995733 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 7/26/1976 ≥60 GEDUNG HARAPAN V LANJUT

175 P-8UDHQUHE 180807******0001 GUNTORO TOTO PRIBADI 45 085368203417 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 3/9/1974 ≥60 GEDUNG HARAPAN V LANJUT

176 P-8UEA4G6D 180807******0003 RAHNI 47 081398294686 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 3/7/1965 ≥60 GEDUNG HARAPAN V LANJUT

177 P-8UEZS87B 180807******0003 KIDIN 56 082375696041 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/10/1974 ≥60 GEDUNG HARAPAN V LANJUT

178 P-8UFSSB83 180807******0007 SALIMAN 47 082376868535 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/8/1998 ≥60 GEDUNG HARAPAN V LANJUT

179 P-8UGSLB0D 180814******0002 WAYAN WAHONO 23 081386256363 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 2/7/1977 ≥60 GEDUNG HARAPAN V LANJUT

180 P-8UHKPRRA 180902******0002 SAMINEM 44 08523408327 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 12/8/1985 ≥60 GEDUNG HARAPAN V LANJUT

181 P-8UIFJZW8 180807******0002 PITRIANI 35 082183645941 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 9/20/1975 ≥60 GEDUNG HARAPAN V LANJUT

182 P-8UJ2WHQF 180905******0004 SEPIA 46 082282920357 26/10/2021 Astra Zeneca 26/10/2021 PW40166

IRT 6/21/1998 ≥60 GEDUNG HARAPAN V LANJUT

183 P-8UJNL36R 180807******0002 AYU SAPUTRI 23 082391044986 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 9/5/2002 ≥60 GEDUNG HARAPAN V LANJUT

184 P-8UL52B8U 180807******0002 TRIYANTO 19 082216899611 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 4/13/1985 ≥60 GEDUNG BATIN V LANJUT

185 P-8ULTVFJU 180811******0007 SUGITO 33 085223540697 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/4/1986 ≥60 NEGERI AGUNG V LANJUT

186 P-8UNPBDAR 180807******0002 DEDIK SULAIMAN 35 085267475846 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 3/6/1989 ≥60 NEGERI AGUNG V LANJUT

187 P-8UO66SEN 180807******0003 WARTINI 32 085267475846 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/10/1980 ≥60 NEGERI AGUNG V LANJUT

188 P-8UOQ3JAR 180807******0007 PRAPTI 41 082279332787 26/10/2021 Astra Zeneca 26/10/2021 PW40166
 L PETANI 5/5/1988 ≥60 NEGERI AGUNG V LANJUT
189 P-8UPE0UCS 180807******0001 SUGITO 44 085366192946 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 12/5/1975 ≥60 NEGERI AGUNG V LANJUT

190 P-8UPUNI6O 180807******0004 SRI PATIMAH 45 082376010637 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 7/7/1982 ≥60 NEGERI AGUNG V LANJUT

191 P-8URHJGAB 180807******0005 YULIANTO 39 082175164430 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 9/7/1979 ≥60 NEGERI AGUNG V LANJUT

192 P-8USA4GDG 180807******0002 MUTMAINAH 42 085379608499 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 5/3/1982 ≥60 NEGERI AGUNG V LANJUT

193 P-8USO70J4 180807******0003 GIANTI 39 081376110584 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 10/16/1996 ≥60 NEGERI AGUNG V LANJUT

194 P-8UTAGGVW 180807******0001 LIA ERVIANA 25 082374815589 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 7/11/1996 ≥60 GEDUNG BATIN V LANJUT

195 P-8UTV1HJW 180801******0004 AJI MATLIAS 23 085366069938 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 6/29/1999 ≥60 NEGERI AGUNG V LANJUT

196 P-8UTVNUNU 180807******0001 FERDI YANSAH 22 085266753217 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 10/7/1990 ≥60 NEGERI AGUNG V LANJUT

197 P-8UUR24D5 180807******0008 JUWARIYAH 31 082175164430 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 11/5/1965 ≥60 NEGERI AGUNG V LANJUT

198 P-8UVRVG5O 180807******0004 SAONAH 56 085221389964 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 10/3/1971 ≥60 NEGERI AGUNG V LANJUT

199 P-8UX1TBST 180807******0002 TAMAR WINARSIH 50 082269293012 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/25/1962 ≥60 NEGERI AGUNG V LANJUT

200 P-8UXNWM93 180807******0002 SUPARTI 59 082269293012 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 10/25/1983 ≥60 GEDUNG HARAPAN V LANJUT

201 P-8UZEH9BW 180807******0002 SURATMIN 38 085369290459 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/13/1997 ≥60 GEDUNG HARAPAN V LANJUT

202 P-8UZWKSFT 180807******0003 TATIK VATMAWATI 24 082241484721 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 6/19/1999 ≥60 GEDUNG HARAPAN V LANJUT

203 P-8V2I2KIE 180807******0004 PANDU SAPUTRA 22 082282943367 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 12/22/1975 ≥60 GEDUNG HARAPAN V LANJUT

204 P-8VDLD6JD 180807******0004 SULASTRI 60 082375696131 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/19/1957 ≥60 GEDUNG HARAPAN V LANJUT

205 P-8VEAVQK2 180807******0001 SAMINTEN 57 081272098338 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 3/29/1993 ≥60 GEDUNG HARAPAN V LANJUT

206 P-8VEPNJ1Z 180225******0002 RIYADI 28 082352049328 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/10/1995 ≥60 GEDUNG HARAPAN V LANJUT

207 P-8VFAYN2R 180807******0004 SITI ROHIMAH 26 085381215732 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L IRT 8/5/1986 ≥60 GEDUNG BATIN V LANJUT

208 P-8VGD4KP2 180807******0003 AHMAD ARIEFUDIN 35 082380504031 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/5/1988 ≥60 GEDUNG HARAPAN V LANJUT

209 P-8VHCIIO6 180807******0008 ROSITA 33 085383810085 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/9/1987 ≥60 GEDUNG HARAPAN V LANJUT

210 P-8VHSLL3A 180807******0003 TRIYASIH 34 082183650132 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 8/17/1980 ≥60 GEDUNG HARAPAN V LANJUT

211 P-8VIEYQF0 180807******0005 KASNO 41 082183650132 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 11/30/1977 ≥60 GEDUNG HARAPAN V LANJUT

212 P-8VIWSKOS 180807******0001 BUDIONO 43 085279077899 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 3/4/1974 ≥60 GEDUNG HARAPAN V LANJUT

213 P-8VJFQANV 180807******0002 SARMINI 47 081230294089 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/2/1975 ≥60 GEDUNG HARAPAN V LANJUT

214 P-8VJULTA2 180807******0003 MARYOTO 46 085381172046 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 2/22/1980 ≥60 GEDUNG HARAPAN V LANJUT

215 P-8VKDXGCQ 180807******0004 YULIANI 41 085279077899 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 4/14/2002 ≥60 GEDUNG HARAPAN V LANJUT

216 P-8VKSUCLD 180807******0003 ROMI SUSILO 19 082376010697 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 6/10/1987 ≥60 GEDUNG HARAPAN V LANJUT

217 P-8VLHT0RR 180901******0008 SUPRATNO 34 082180547453 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P WIRASWASTA 6/9/1984 ≥60 GEDUNG HARAPAN V LANJUT

218 P-8VM5FQV7 180807******0002 YUNIARTI 37 082287991536 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/27/1980 ≥60 GEDUNG HARAPAN V LANJUT

219 P-8VMIBXQC 180807******0002 HARTATI 41 085366192698 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/15/1981 ≥60 GEDUNG HARAPAN V LANJUT

220 P-8VNK8JI7 180807******0001 WAGIYEM 40 085295367836 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PELAJAR 6/2/2000 ≥60 GEDUNG HARAPAN V LANJUT

221 P-8VOFO8LL 180807******0001 YESI PRATIKA SARI 21 082289893706 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 12/8/1988 ≥60 GEDUNG HARAPAN V LANJUT

222 P-8VOTZA5S 180807******0003 SUTOYO 32 082273049374 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/5/1985 ≥60 GEDUNG HARAPAN V LANJUT

223 P-8VPDJ4AX 180807******0006 YULIANTI 36 082298059757 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 1/14/1983 ≥60 GEDUNG HARAPAN V LANJUT

224 P-8VPUFJIS 180807******0001 SUGIANTO 38 085379115751 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/2/1981 ≥60 GEDUNG HARAPAN V LANJUT

225 P-8VQC3PSB 180807******0005 CUT LINAWATI 40 082176571444 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/4/1977 ≥60 GEDUNG HARAPAN V LANJUT

226 P-8VQVWWDE 180807******0005 PARTI 44 082377636517 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/7/1989 ≥60 GEDUNG HARAPAN V LANJUT

227 P-8VRICZO3 180807******0004 SRI YANTO 32 085367368321 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/9/1973 ≥60 GEDUNG HARAPAN V LANJUT

228 P-8VRW6OQB 180807******0003 MARIYO 48 082371702296 26/10/2021 Astra Zeneca 26/10/2021 PW40166
 L PETANI 11/1/1972 ≥60 GEDUNG HARAPAN V LANJUT
229 P-8VSFSGFQ 180209******0002 WALJIMAN 49 082181103945 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P WIRASWASTA 3/27/1984 ≥60 GEDUNG HARAPAN V LANJUT

230 P-8VSUCTKX 180807******0001 TRIASIH 37 082174265785 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/2/1976 ≥60 GEDUNG HARAPAN V LANJUT

231 P-8VTAR4DZ 180807******0001 SUNARTI 45 081218131018 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/1/1993 ≥60 GEDUNG HARAPAN V LANJUT

232 P-8VTR8B72 180808******0001 LILIK WULANDARI 28 085349430464 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 8/17/1990 ≥60 GEDUNG HARAPAN V LANJUT

233 P-8VU5C5L1 180807******0006 PUGUH RUDIYANTO 31 082311735234 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/31/1994 ≥60 GEDUNG HARAPAN V LANJUT

234 P-8VUHLN5U 180805******0002 EKA KUSUMA WATI 27 082311755234 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/4/1981 ≥60 GEDUNG HARAPAN V LANJUT

235 P-8VUZ0SG3 180807******0006 SANIATI 40 082269080140 26/10/2021 Astra Zeneca 26/10/2021 FW40166

≥60 GEDUNG HARAPAN V LANJUT

236 P-8VVQCNLY 180802******0001 SITI KARLIYAH 19 082289893695 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 3/6/1990 ≥60 GEDUNG HARAPAN V LANJUT

237 P-8VWDGJAZ 180807******0002 TRIYONO 31 082289984614 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 3/3/1975 ≥60 GEDUNG HARAPAN V LANJUT

238 P-8VWTCYEN 180807******0004 SEMIATI 46 085215804925 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 11/10/1982 ≥60 GEDUNG HARAPAN V LANJUT

239 P-8VXB5X9K 180807******0006 SUGIANTO 39 085267157675 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/8/1981 ≥60 GEDUNG BATIN V LANJUT

240 P-8WEVOLXD 180801******0001 SALAM 40 088706470969 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 3/21/1982 ≥60 SRIWIJAYA V LANJUT

241 P-8WR1ON62 180801******0005 PRASTYO 39 082372292994 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 3/7/2003 ≥60 GEDUNG BATIN V LANJUT

242 P-8Y1K2TVQ 180801******0003 ROHANA 18 085366069938 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 12/8/1970 ≥60 SRIWIJAYA V LANJUT

243 P-8ZRUFMU7 180801******0003 SARTI 50 088287204044 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/8/1988 ≥60 RENGAT V LANJUT

244 P-92CJHICQ 180801******0002 DIDI HARIYANTO 33 082180072400 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 3/6/1983 ≥60 SRIWIJAYA V LANJUT

245 P-93HA0MGV 180801******0006 SUPRAYITNO 38 081379186001 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 5/16/1983 ≥60 BARADATU V LANJUT

246 P-94KBT7F4 180804******0006 RODIYAH 38 088747847282 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 1/10/1978 ≥60 SRIWIJAYA V LANJUT

247 P-96J9EM6D 180801******0005 SUHERIYANTO 43 088276756317 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/7/1968 ≥60 BARADATU V LANJUT

248 P-96WG5KLI 180804******0007 BOIJAN 53 082278024589 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 6/6/1981 ≥60 GEDUNG HARAPAN V LANJUT

249 P-96ZGHSSA 180807******0005 ROLI ARIGO 40 085267215578 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 2/23/1998 ≥60 GEDUNG HARAPAN V LANJUT

250 P-970BFJA9 180807******0001 EKO WAGIYANTO 23 085380542421 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/27/1996 ≥60 GEDUNG HARAPAN V LANJUT

251 P-971X5TNI 180806******0004 PRASTONO 23 082219309021 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/26/1980 ≥60 GEDUNG HARAPAN V LANJUT

252 P-972DZCOQ 180807******0002 LUTFIATUN NADIROH 41 085368082721 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PELAJAR 3/27/2000 ≥60 GEDUNG HARAPAN V LANJUT

253 P-972QX36C 180807******0003 MERI HANDAYANI 21 081273673957 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 30/30/75 ≥60 GEDUNG HARAPAN V LANJUT

254 P-973ARHDC 180807******0001 APRISAL 46 081271443073 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 11/3/1967 ≥60 GEDUNG HARAPAN V LANJUT

255 P-973N3XOW 180807******0001 WINARSIH 34 082178721680 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/12/1973 ≥60 GEDUNG HARAPAN V LANJUT

256 P-9743RANS 180807******0006 MARIKEM 48 082376010703 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/29/1980 ≥60 GEDUNG HARAPAN V LANJUT

257 P-975DTLRG 180807******0001 SUYANTO 40 082279972107 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 3/14/1982 ≥60 GEDUNG MENONG V LANJUT

258 P-975SM7A7 180807******0001 SULASMI 39 082317731640 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/25/2000 ≥60 GEDUNG MENONG V LANJUT

259 P-9768620P 180501******0001 ETIK NURHAYATI 21 082281564347 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 6/3/2000 ≥60 GEDUNG HARAPAN V LANJUT

260 P-976Z1AS8 180807******0001 RENDI IRAWAN 21 082278918224 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 11/10/1979 ≥60 GEDUNG HARAPAN V LANJUT

261 P-977J8WRK 180806******0002 LENA WATI 42 085273789984 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/2/1970 ≥60 GEDUNG HARAPAN V LANJUT

262 P-97824DES 180807******0003 DARMAWAN 51 082289747469 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 3/16/1984 ≥60 GEDUNG HARAPAN V LANJUT

263 P-978IK1CG 180807******0001 SUGENG RIYADI 37 082377414435 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/8/1997 ≥60 GEDUNG HARAPAN V LANJUT

264 P-978ZNPI1 180807******0002 WINARTI 24 082289747443 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 5/2/1999 ≥60 GEDUNG HARAPAN V LANJUT

265 P-979R0QNQ 180807******0003 ROBERTUS PRAYOGO 22 085314824043 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 1/30/1985 ≥60 GEDUNG HARAPAN V LANJUT

266 P-97ADH0UF 180807******0002 RINI SENTIA 36 085267215578 26/10/2021 Astra Zeneca 26/10/2021 PW40166

p IRT 6/12/1979 ≥60 GEDUNG HARAPAN V LANJUT

267 P-97BBDWTM 180807******0002 MARLINA 42 082377673078 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 1/1/1980 ≥60 GEDUNG HARAPAN V LANJUT

268 P-97BJIRQV 180807******0019 SARMINI 41 085384408577 26/10/2021 Astra Zeneca 26/10/2021 PW40166
 P IRT 9/26/1991 ≥60 GEDUNG HARAPAN V LANJUT
269 P-97BSJHHL 180807******0004 SINTIYA DEWI 30 082273049374 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 7/6/1979 ≥60 GEDUNG HARAPAN V LANJUT

270 P-97C17M7L 180807******0006 M. ZAILANI 42 082176571444 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/10/2000 ≥60 GEDUNG HARAPAN V LANJUT

271 P-97CBHE9A 180807******0001 JEPRI WIDIANTO 21 082381248353 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 1/14/1982 ≥60 GEDUNG HARAPAN V LANJUT

272 P-97CJI5XJ 180807******0002 SUJARMONO 39 082375364847 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 5/15/1984 ≥60 GEDUNG HARAPAN V LANJUT

273 P-97CRUT21 180807******0006 SITI ROHANI 37 082375364847 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 9/7/1976 ≥60 GEDUNG HARAPAN V LANJUT

274 P-97D10JXL 180807******0001 MELIYANA 45 082373356912 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/7/1991 ≥60 GEDUNG HARAPAN V LANJUT

275 P-97EWU9T4 180806******0005 SULISTIYONO 30 082380963159 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 4/4/1974 ≥60 GEDUNG HARAPAN V LANJUT

276 P-97F6CXTZ 180807******0004 NGUDI 47 085217531629 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 9/1/1968 ≥60 GEDUNG HARAPAN V LANJUT

277 P-97FE852X 180807******0002 YUHANAN 53 082298058915 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/2/1970 ≥60 GEDUNG HARAPAN V LANJUT

278 P-97FLG8K6 180807******0003 SUYAHMIN 51 082178721653 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/10/1962 ≥60 GEDUNG HARAPAN V LANJUT

279 P-97FUNUL7 180807******0006 SUPAIDO 59 085384116314 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 4/10/1979 ≥60 GEDUNG HARAPAN V LANJUT

280 P-97G4CQ7P 180807******0003 SUPRIYADI 42 085384408577 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L KARYAWAN SWASTA 2/27/1968 ≥60 GEDUNG HARAPAN V LANJUT

281 P-97GGKM2J 187105******0010 LUGIMAN 53 082376010703 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 12/25/1971 ≥60 GEDUNG HARAPAN V LANJUT

282 P-97GPPUXE 180807******0002 MARWOTO 49 082244464725 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/12/1986 ≥60 GEDUNG HARAPAN V LANJUT

283 P-97GVX2SD 180806******0006 SAWITRI 35 082269787893 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 10/22/1982 ≥60 GEDUNG HARAPAN V LANJUT

284 P-97H5IBSZ 180807******0003 PONIMAN 39 082269787893 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 2/21/1992 ≥60 GEDUNG HARAPAN V LANJUT

285 P-97HZMHX1 180807******0001 DADANG ARISANDI 28 082311735293 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/13/1999 ≥60 GEDUNG HARAPAN V LANJUT

286 P-97IAKVNW 180807******0003 ANDREAS AFENDI 21 082281746745 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 3/3/1970 ≥60 GEDUNG HARAPAN V LANJUT

287 P-97ILOUTG 180807******0001 SARIYONO 51 081272101706 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 12/21/1979 ≥60 GEDUNG HARAPAN V LANJUT

288 P-97IS8WK0 180807******0002 WASTINEM 41 081272101706 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/22/1993 ≥60 GEDUNG HARAPAN V LANJUT

289 P-97JAGQSQ 180807******0001 RIA WULANDARI 28 085366523086 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/12/1985 ≥60 GEDUNG HARAPAN V LANJUT

290 P-97JKPAMI 180806******0001 IDA YANA 36 081273919226 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 8/8/1993 ≥60 GEDUNG HARAPAN V LANJUT

291 P-97K5MN1D 160812******0001 AGUS REFAI 28 082185489016 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/16/1979 ≥60 GEDUNG HARAPAN V LANJUT

292 P-97KHNS5M 180807******0005 PONIRAH 42 082307287968 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/11/1993 ≥60 GEDUNG HARAPAN V LANJUT

293 P-97LDTQ5L 180807******0001 YERI 27 082374608976 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 5/7/1973 ≥60 GEDUNG HARAPAN V LANJUT

294 P-97LN2VFJ 180807******0007 SUWENI 48 085267942519 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 3/4/1959 ≥60 GEDUNG HARAPAN V LANJUT

295 P-97LUPGSK 180807******0005 MISIRAH 42 085267232252 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/7/1979 ≥60 GEDUNG HARAPAN V LANJUT

296 P-97M1ZRND 180807******0003 APRIYATI 42 082377673083 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 1/5/1964 ≥60 GEDUNG HARAPAN V LANJUT

297 P-97MBJ7OD 180807******0002 RASIYAH 57 085267232253 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/25/1962 ≥60 GEDUNG HARAPAN V LANJUT

298 P-97MPVUU4 180807******0001 SRI LESTARI 59 082311735234 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/1/1971 ≥60 GEDUNG HARAPAN V LANJUT

299 P-97MVZH8X 180807******0003 SITAS 50 081272233367 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 5/21/1985 ≥60 GEDUNG HARAPAN V LANJUT

300 P-97N5RW9K 180807******0001 PARINEM 36 082371518439 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PELAJAR 1/14/2001 ≥60 GEDUNG HARAPAN V LANJUT

301 P-97NGEQ9U 187105******0006 NURUL HASANAH 20 081278846194 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PELAJAR 6/27/1999 ≥60 GEDUNG HARAPAN V LANJUT

302 P-97NWHUGE 180807******0003 SUPRIYANTO 22 081278846194 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/11/1978 ≥60 GEDUNG HARAPAN V LANJUT

303 P-97O9KR4L 180807******0003 SAM'AH 43 085268865275 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 12/25/1988 ≥60 GEDUNG HARAPAN V LANJUT

304 P-97OHCZCJ 180807******0002 TUKIYO 32 085384115681 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 12/8/1996 ≥60 GEDUNG HARAPAN V LANJUT

305 P-97OOR8PD 180807******0001 YUDI 24 082296572898 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 10/5/1996 ≥60 GEDUNG HARAPAN V LANJUT

306 P-97P1630V 180807******0005 ERLINA 25 082374608976 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/6/1985 ≥60 GEDUNG HARAPAN V LANJUT

307 P-97P9NFBQ 180807******0003 KARSINI 36 082269157786 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 1/7/1992 ≥60 GEDUNG HARAPAN V LANJUT

308 P-97PHR9JS 180807******0005 DENI PUSPITA SARI 29 082372952349 26/10/2021 Astra Zeneca 26/10/2021 PW40166
 P IRT 1/6/1961 ≥60 GEDUNG HARAPAN V LANJUT
309 P-97PQQOQK 180807******0001 MUJIYEM 60 081386256363 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 12/9/1992 ≥60 GEDUNG HARAPAN V LANJUT

310 P-97QHNPPA 180807******0001 W. INGGIT INDIARTO 28 085379598100 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 7/22/1976 ≥60 GEDUNG HARAPAN V LANJUT

311 P-97QQFDYW 180807******0001 SUJARKO 45 085379432028 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 1/2/1986 ≥60 GEDUNG HARAPAN V LANJUT

312 P-97QWB4JN 180807******0008 PITOYO 35 081386256363 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 2/20/2002 ≥60 GEDUNG HARAPAN V LANJUT

313 P-97R2K5US 180807******0002 RIKI VERNANDO 19 082183650073 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/29/1988 ≥60 GEDUNG HARAPAN V LANJUT

314 P-97R9D3EF 180807******0001 NGATMIATI 33 08136553216 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 10/29/1981 ≥60 GEDUNG HARAPAN V LANJUT

315 P-97RI3VS1 180807******0001 PARIMIN 40 082280778025 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/16/1986 ≥60 GEDUNG HARAPAN V LANJUT

316 P-97RP22BR 180807******0009 WINARNI 35 082372995733 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/20/1983 ≥60 GEDUNG HARAPAN V LANJUT

317 P-97S0HYB1 180807******0004 SARNI 38 085267232164 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 2O/6/2001 ≥60 GEDUNG HARAPAN V LANJUT

318 P-97S9GC9L 180611******0003 LENI MULYATI 20 082376010292 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 11/8/1998 ≥60 GEDUNG HARAPAN V LANJUT

319 P-97SHI8CH 180805******0002 PATMO WATI 23 082289747451 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/14/1966 ≥60 GEDUNG HARAPAN V LANJUT

320 P-97SNKKNM 180807******0001 PONIDI 55 085267276209 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/23/1986 ≥60 GEDUNG HARAPAN V LANJUT

321 P-97STJRGM 180814******0001 WINARNI 35 085379182665 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 3/16/1998 ≥60 GEDUNG HARAPAN V LANJUT

322 P-97SZ61AA 180807******0002 RIO KELANA 23 082280268876 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 12/21/2001 ≥60 GEDUNG HARAPAN V LANJUT

323 P-97T6YW5Z 180807******0001 YANDRI SETIAWAN 19 082290101106 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 11/5/1995 ≥60 SRIWIJAYA V LANJUT

324 P-97T73BMC 180807******0004 IWAN SAPUTRA 26 081373791698 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/3/1981 ≥60 NEGERI AGUNG V LANJUT

325 P-97TF4SHF 180807******0002 RUWIYAH 40 085377765299 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 9/25/2001 ≥60 GEDUNG BATIN V LANJUT

326 P-97TS1ENZ 180801******0002 DARMANSAH 20 083192425686 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/8/1975 ≥60 SRIWIJAYA V LANJUT

327 P-97TSAPXM 160902******0001 BUDIYANTO 46 085381692217 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 11/4/1989 ≥60 GUNUNG KATUN LANJUT

328 P-97U2ZY3B 180804******0002 ENI SILVIANI 32 085795301023 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 12/27/1998 ≥60 GEDUNG BATIN V LANJUT

329 P-97U4KOFI 180801******0004 TURIMAN 22 081273903294 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 2/12/1984 ≥60 GEDUNG BATIN V LANJUT

330 P-97USIXTJ 180801******0002 RISWANTO 37 085377194004 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 9/17/2002 ≥60 GEDUNG BATIN V LANJUT

331 P-97UYMFDU 180801******0002 SUBANDI 19 088706496864 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 2/20/1981 ≥60 SRIWIJAYA V LANJUT

332 P-97UZXAHC 180801******0007 JUMANGAT 40 085159555235 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/10/1985 ≥60 SRIWIJAYA V LANJUT

333 P-97V5BDRA 180801******0017 BAMBANG HERMANTO 36 088274272485 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 5/30/1980 ≥60 GUNUNG KATUN V LANJUT

334 P-97V7CM8Z 180804******0001 ELIYANTI 41 082376122468 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 11/1/1985 ≥60 BRATAYUDA V LANJUT

335 P-97VBKGOP 180801******0004 MAHMUD MARDI BASUKI 36 082371884105 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 10/10/1991 ≥60 BUMI RATU V LANJUT

336 P-97VG55MY 180801******0020 ANDI RIYANTO 30 082376271084 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/6/1977 ≥60 LANJUT

337 P-97VLTK7P 180801******0006 MUKIDI 44 082181522301 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 2/4/1969 ≥60 SRIWIJAYA V LANJUT

338 P-97VQ2SVP 180801******0002 SOBIRIN 52 085384496780 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/5/1973 ≥60 LUBUK LINGGAU V LANJUT

339 P-97VUZVFA 167301******0002 IDA ARYANI 48 082382456650 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 11/13/1999 ≥60 SRIWIJAYA V LANJUT

340 P-97VWICAO 180801******0003 RISKI HARIYADI 22 081272527481 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 3/14/2003 ≥60 SRIWIJAYA V LANJUT

341 P-97W3E0TT 180801******0002 ANGGA ADI SETIAWAN 18 085367066468 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 5/18/1987 ≥60 GUNUNG KATUN V LANJUT

342 P-97W8L96G 180804******0004 PITRIONO 34 085382456650 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 4/5/1961 ≥60 GEDUNG BATIN V LANJUT

343 P-97WA7DSC 180801******0002 TARYUMI 60 088743764584 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/20/1987 ≥60 GEDUNG BATIN V LANJUT

344 P-97WDD4ZF 180801******0002 WIN NOPI 33 082282462762 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 5/9/1973 ≥60 GEDUNG BATIN V LANJUT

345 P-97WKO3MY 180801******0001 SUMYANI 48 085383850974 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PERDAGANGAN 11/16/1982 ≥60 GEDUNG BATIN V LANJUT

346 P-97WLCUOW 180801******0003 PERI NIRWAN 38 085279314110 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/1/1970 ≥60 GEDUNG BATIN V LANJUT

347 P-97WR3C35 180801******0002 SAHMIN 51 085273656426 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 7/6/1970 ≥60 GEDUNG BATIN V LANJUT

348 P-97WRCOKX 180801******0006 RAJA AMIN 51 082282729655 26/10/2021 Astra Zeneca 26/10/2021 PW40166
 L IRT 10/7/1988 ≥60 GEDUNG BATIN V LANJUT
349 P-97WXD8L0 180801******0008 SRI DURIYATI 33 082377867298 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 5/31/2003 ≥60 SRIWIJAYA V LANJUT

350 P-97X0KOOL 180801******0002 JONI ANGGARA 18 082287106892 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L IRT 12/25/1967 ≥60 GEDUNG BATIN V LANJUT

351 P-97X3YOZF 180801******0001 PIATUN 53 081273903294 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P BLM BEKRJA 2/8/1998 ≥60 GUNUNG KATUN V LANJUT

352 P-97X7YF0J 180801******0004 WENI EKA NUR FITRIA 23 082317946634 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 3/17/1982 ≥60 GEDUNG BATIN V LANJUT

353 P-97XAUZUW 180801******0004 YARTO 39 087845284630 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 5/15/1995 ≥60 SRIWIJAYA V LANJUT

354 P-97XDTQWG 180801******0011 ANTON DARMAWAN 26 088286839008 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/28/1975 ≥60 GEDUNG BATIN V LANJUT

355 P-97XEY19Q 180801******0003 SELAMET 46 088274174072 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 12/29/1982 ≥60 GEDUNG BATIN V LANJUT

356 P-97XKRJ6Q 180801******0004 YANTINAH 38 088274174072 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 10/4/1979 ≥60 GUNUNG KATUN V LANJUT

357 P-97XOALH4 180804******0002 HERWAN 42 082376122468 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/10/1965 ≥60 GEDUNG BATIN V LANJUT

358 P-97XXBSCX 180801******0005 M. MUSA 56 082377867298 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 9/5/1967 ≥60 BUMI RATU V LANJUT

359 P-97Y3CE7M 180801******0003 IDRIS 54 082282942863 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 5/5/1994 ≥60 BRATAYUDA V LANJUT

360 P-97YEEFI2 180801******0005 MISDIYANTO 27 085279760638 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 8/8/1996 ≥60 SRIWIJAYA V LANJUT

361 P-97YKRCAT 180801******0011 AGUNG PRAYOGO 25 085839335135 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 11/11/1971 ≥60 GEDUNG BATIN V LANJUT

362 P-97YQNE97 180801******0003 YAMINUDIN 50 088287261940 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 7/16/2000 ≥60 SRIWIJAYA V LANJUT

363 P-97YUIPZZ 180801******0010 JOKO LENO 21 085709984716 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L KARYAWAN SWASTA 11/10/1964 ≥60 GEDUNG BATIN V LANJUT

364 P-97YUPZIC 180801******0005 ANDI HARTANTO 32 082374613746 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 9/15/1976 GEDUNG BATIN V LANJUT

365 P-97Z2JVGG 180801******0003 SOHIDIN 45 081273903294 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 10/19/1969 ≥60 SRIWIJAYA V LANJUT

366 P-97Z5LTGC 180801******0004 TATI HARTINI 52 085367023394 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/10/1965 ≥60 GEDUNG BATIN V LANJUT

367 P-97Z8UTQL 180801******0007 SAINAL ARIPIN 57 082181303761 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 5/30/1990 ≥60 GEDUNG BATIN V LANJUT

368 P-97ZB9NWW 180801******0004 RITA SURYANI 31 085267477211 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/1/1972 ≥60 GEDUNG BATIN V LANJUT

369 P-97ZCLPDG 180801******0039 DARTIYEM 49 088287597271 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P BLM BEKRJA 4/4/2991 ≥60 SRIWIJAYA V LANJUT

370 P-97ZGVXA5 180801******0004 INTAN ASMANI 20 081914249663 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/29/1984 ≥60 GEDUNG BATIN V LANJUT

371 P-97ZI6ZHU 180801******0003 KUSNO 37 082377306195 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L KARYAWAN SWASTA 11/10/1964 ≥60 GEDUNG BATIN V LANJUT

372 P-97ZNAKXY 180801******0004 LANJAR 57 088287597271 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 12/11/1987 ≥60 SRIWIJAYA V LANJUT

373 P-97ZPYUG9 180801******0010 JUMANTO 33 085366580409 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 7/1/1965 ≥60 GEDUNG BATIN V LANJUT

374 P-97ZUBS7W 180801******0047 TUSINAH 56 087845284630 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/9/1977 ≥60 GUNUNG KATUN V LANJUT

375 P-97ZVNGJD 180804******0001 SIROM 44 085244166003 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/10/1978 ≥60 GEDUNG BATIN V LANJUT

376 P-97ZZIDMW 180801******0008 RUSMALA DEWI 43 082177536034 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/4/1972 ≥60 GEDUNG BATIN V LANJUT

377 P-9806TOW0 160602******0001 SAMSIADI 48 085383850974 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 1/10/1969 ≥60 GUNUNG KATUN V LANJUT

378 P-9807ZDAM 180801******0001 WARSONO 52 082317946634 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 5/24/1981 ≥60 GUNUNG KATUN V LANJUT

379 P-980M8VGJ 180801******0001 MUS MULYADI 40 088281303761 26/10/2021 Astra Zeneca 26/10/2021 PW40166

≥60 LANJUT
380 P-980Q0YNT 180801******0004 SRI SULASIH 47 081379269067 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/15/1980 ≥60 SIDOARJO V LANJUT

381 P-980XEBO7 180801******0001 SUGENG 40 083153464745 26/10/2021 Astra Zeneca 26/10/2021 PW40166

≥60 LANJUT
382 P-980Z4ENB 180807******0001 MEGA PURNAMA SARI 28 082374613746 26/10/2021 Astra Zeneca 26/10/2021 PW40166

≥60 LANJUT
383 P-9817DIXI 180801******0002 IDRUS 38 087816068701 26/10/2021 Astra Zeneca 26/10/2021 PW40166

≥60 LANJUT
384 P-981K8LUZ 180801******0001 ROHIMA 59 085367863150 26/10/2021 Astra Zeneca 26/10/2021 PW40166

≥60 LANJUT
385 P-981TD5ST 180801******0005 HERI 23 088268319389 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 9/17/1997 ≥60 BRATAYUDA V LANJUT

386 P-98211XPP 180801******0003 SETIA BUDI 24 082298880200 26/10/2021 Astra Zeneca 26/10/2021 PW40166

≥60 LANJUT
387 P-9828GQ7N 160602******0003 M SALMAN ALFARISI 33 082281722502 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/4/1977 ≥60 GUNUNG KATUN V LANJUT

388 P-982DFDUX 180801******0008 RIRIN INDRAWATI 44 082269071412 26/10/2021 Astra Zeneca 26/10/2021 PW40166
 ≥60 LANJUT
389 P-982G4CFM 180801******0004 AMIN SAPUTRA 26 088287597271 26/10/2021 Astra Zeneca 26/10/2021 PW40166

≥60 LANJUT
390 P-982NOHN8 180801******0005 PARIDA 35 082377867298 26/10/2021 Astra Zeneca 26/10/2021 PW40166

≥60 LANJUT
391 P-982WEYVX 180801******0002 MARYATI 58 082377867298 26/10/2021 Astra Zeneca 26/10/2021 PW40166

≥60 LANJUT
392 P-9836RSCC 180804******0004 ANTON SAHRONI 33 081274619852 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 11/22/1992 ≥60 BUMI RATU V LANJUT

393 P-983C24JU 180801******0003 NOVISKA 28 082376271084 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/17/1970 ≥60 GEDUNG BATIN V LANJUT

394 P-983E0QD7 180801******0004 WAGIRUN 51 082185956894 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 8/25/1989 ≥60 GEDUNG BATIN V LANJUT

395 P-983LEBWX 180804******0001 SUDAROJAT 32 082176848416 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 10/11/1989 ≥60 GEDUNG BATIN V LANJUT

396 P-983MYGCB 180801******0009 LENA SARI 32 087816068701 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 12/23/1961 ≥60 GEDUNG BATIN V LANJUT

397 P-983TB5M2 180801******0001 HALIJAH 59 082181303761 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 5/25/1990 ≥60 GEDUNG BATIN V LANJUT

398 P-983TGMIE 180801******0004 BASRI PURWANTO 41 087791555862 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 11/30/1985 ≥60 GEDUNG BATIN V LANJUT

399 P-984A1B5Q 180801******0003 MUGI SUPRIYADI 35 08121709013 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 9/26/1979 ≥60 GEDUNG BATIN V LANJUT

400 P-984AJT0M 180801******0001 SESWATI 42 087791555862 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L IRT 7/29/1982 ≥60 GEDUNG BATIN V LANJUT

401 P-984GQQVD 160602******0001 SURYATI 39 081377867298 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PELAJAR 3/22/2003 ≥60 GEDUNG BATIN V LANJUT

402 P-984HRENE 180801******0004 PUTRI DWI NUR MALASARI 18 082269071412 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/10/1976 ≥60 BRATAYUDA V LANJUT

403 P-984LI6C0 180801******0005 SARIYANTO 44 085266157332 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 7/1/1972 ≥60 GEDUNG BATIN V LANJUT

404 P-984ON00A 180801******0040 WURYATI 49 085279074549 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PELAJAR 1/17/1998 ≥60 SRIWIJAYA V LANJUT

405 P-984UMQIH 180801******0004 RENI MARISKA 23 082279979373 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/10/1972 ≥60 BRATAYUDA V LANJUT

406 P-9852MWH6 180801******0005 IDA ASTUTI 49 085279768638 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 12/13/1996 ≥60 BRATAYUDA V LANJUT

407 P-985HBNJS 180803******0003 RISNA DEVASANTI 24 085380324553 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P WIRASWASTA 4/30/1982 ≥60 SRIWIJAYA V LANJUT

408 P-985OM1VT 180801******0003 ERNAWATI 39 082181522236 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 6/24/1988 ≥60 SRIWIJAYA V LANJUT

409 P-985WJOBO 180801******0005 DEDI SANTOSO 33 08876501450 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/1/1991 ≥60 SRIWIJAYA V LANJUT

410 P-9860Z405 180801******0006 ISNANI 30 085266054775 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/13/1993 ≥60 SRIWIJAYA V LANJUT

411 P-98662O5L 180801******0003 AGUS SURAHMAN 28 085709985028 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 11/10/1961 ≥60 GEDUNG BATIN V LANJUT

412 P-986NJL6Y 180801******0004 SITI ARMAH 60 082186764793 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 2/14/1995 ≥60 NEGERI AGUNG V LANJUT

413 P-986SQQPO 180807******0003 ANGGARI 26 082269072377 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/24/1992 ≥60 GEDUNG BATIN V LANJUT

414 P-986ZNCGQ 180801******0002 ERAWATI 29 082186764793 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 2/10/1965 ≥60 GEDUNG BATIN V LANJUT

415 P-9875W8WL 180801******0004 SUKUR 56 08121709013 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 6/11/1977 ≥60 GEDUNG BATIN V LANJUT

416 P-987B7AA2 180801******0002 SITI 49 085279074549 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 10/8/1962 ≥60 GEDUNG BATIN V LANJUT

417 P-987F268D 180801******0001 DEHAWA 59 085279074549 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 9/5/1995 ≥60 SRIWIJAYA V LANJUT

418 P-99JKWY13 180804******0002 TUGIRIN 26 082183184940 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 4/15/1969 ≥60 SRIWIJAYA V LANJUT

419 P-9CHGY0NS 180801******0006 SUGIMAR 52 085366190447 26/10/2021 Astra Zeneca 26/10/2021 PW40166

≥60 LANJUT
420 P-9GMDFIJB 180801******0002 MARYANTO 44 081273010719 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/14/1982 ≥60 GUNUNG KATUN V LANJUT

421 P-9K4JR4LA 180804******0002 CIK UTI 39 082372019656 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 8/26/1992 ≥60 BUMI RATU V LANJUT

422 P-9LCQAHIG 180801******0001 AGUS SUPRIYANTO 29 085382031655 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/9/1992 ≥60 SRIWIJAYA V LANJUT

423 P-9N1QEZYF 180801******0006 SUGIYATNO 29 085217072793 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/22/1988 ≥60 GEDUNG BATIN V LANJUT

424 P-9OHWY6KS 180801******0003 HAYATI 33 088286137662 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/29/1996 ≥60 SRIWIJAYA V LANJUT

425 P-9PNW3Y0A 180801******0003 SUROTO 25 085874052243 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L IRT 3/1/1978 ≥60 SRIWIJAYA V LANJUT

426 P-9REH2AA2 180801******0002 SUKARTI 43 081273010719 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 10/14/1978 ≥60 SRIWIJAYA V LANJUT

427 P-9SLTCUP4 180801******0006 MUSTORY 43 0813791783 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/12/1993 ≥60 GUNUNG KATUN V LANJUT

428 P-9V3VRJ1C 180804******0002 SANTRI 28 088274240166 26/10/2021 Astra Zeneca 26/10/2021 PW40166
 L BLM BEKRJA 7/1/1991 ≥60 GEDUNG BATIN V LANJUT
429 P-9WV5OOW2 180801******0073 DASKA AGUNG 30 085609420092 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 1/6/1984 ≥60 GEDUNG BATIN V LANJUT

430 P-9ZWEK5FN 180801******0001 JUANSAH 37 081272624305 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 1/31/2000 ≥60 GEDUNG BATIN V LANJUT

431 P-A1JWNNQX 180801******0002 NUR MUFLIHIN 21 082269866704 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 3/29/1994 ≥60 SRIWIJAYA V LANJUT

432 P-A1MXH0UZ 180801******0004 BURHAN SETIAWAN 27 082307339206 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 7/3/1982 ≥60 SRIWIJAYA V LANJUT

433 P-A3RVA7D9 180801******0010 MUJADI 39 082278291906 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L KARYAWAN SWASTA 10/11/1984 ≥60 GEDUNG BATIN V LANJUT

434 P-A4TURITX 160222******0004 NURMAN 37 082377867298 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 11/18/1977 ≥60 SRIWIJAYA V LANJUT

435 P-A59WK8NY 180801******0001 SUGIHARTI 43 082372292994 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 1/10/1976 ≥60 GEDUNG BATIN V LANJUT

436 P-A64DP3GE 180801******0005 JUNARTI 45 082188956894 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 10/28/1984 ≥60 GEDUNG BATIN V LANJUT

437 P-A6UZOEBJ 180801******0001 SITI MUTMAINAH 37 088743704585 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 2/24/1979 ≥60 SRIWIJAYA V LANJUT

438 P-A743KGFG 180802******0001 HIDAYAT 42 082385476741 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 4/7/1985 ≥60 SRIWIJAYA V LANJUT

439 P-A9NBI7DF 180804******0006 JUNAIDI 36 082278291906 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 9/8/1962 ≥60 GUNUNG KATUN V LANJUT

440 P-AAGEWDIL 180804******0003 WAINAH 59 082175745833 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/27/1983 ≥60 GEDUNG BATIN V LANJUT

441 P-AAP83LZ7 180801******0008 WANTO BUDAYA 38 082377867298 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/10/1990 ≥60 SRIWIJAYA V LANJUT

442 P-ABD98SRO 180801******0005 PONIMAN 31 085357176060 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/2/1961 ≥60 GUNUNG KATUN V LANJUT

443 P-AC1IG9J4 180804******0002 SUKARDI 60 082175745833 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 2/13/1969 ≥60 GEDUNG BATIN V LANJUT

444 P-ACJNKVWT 180801******0002 PARIDA 52 088286098685 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 6/22/1993 ≥60 SRIWIJAYA V LANJUT

445 P-ACU9LKJJ 180801******0002 PURWANTO 28 082214994570 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L IRT 8/18/1974 ≥60 TIUH BALAK V LANJUT

446 P-ADUFRV1I 180804******0003 YURMA YULIASNI 47 087744555128 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 12/18/1998 ≥60 GEDUNG BATIN V LANJUT

447 P-AEL6BF0C 160602******0001 ANDIKA SAPUTRA 22 088246993852 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 11/27/1992 ≥60 SRIWIJAYA V LANJUT

448 P-AFIWEMEM 180222******0002 RAHMAT HIDAYAT 28 081279720000 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/23/1996 ≥60 SRIWIJAYA V LANJUT

449 P-AG9O32EJ 180801******0004 NARTO 25 088268317876 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 3/13/1983 ≥60 SRIWIJAYA V LANJUT

450 P-AHG9UDLU 180801******0009 MARSAHID 38 082377636926 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/18/1977 ≥60 SRIWIJAYA V LANJUT

451 P-AI9ODQOO 180801******0006 ENDRIYANI 44 081279720000 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/6/1996 ≥60 SRIWIJAYA V LANJUT

452 P-AITRD37W 180801******0003 SURANTO 25 08876447114 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P BLM BEKRJA 10/1/1990 ≥60 BARADATU V LANJUT

453 P-AJNMBI8Z 180804******0003 MAINA SARI 31 082896330421 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 6/5/1990 ≥60 GEDUNG BATIN V LANJUT

454 P-AL8005PQ 180801******0010 DEPI SAPUTRA 31 082278964025 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 10/10/1998 ≥60 SRIWIJAYA V LANJUT

455 P-ALTAI4ZD 180801******0008 SITI KOMSATUN 23 088268317876 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/4/1961 ≥60 GUNUNG KATUN V LANJUT

456 P-AMHZ13B0 180804******0001 RATNA 60 082289723345 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 7/20/1987 ≥60 SRIWIJAYA V LANJUT

457 P-ANKNFLHE 180801******0003 NURCAHYADI 34 085208581929 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/13/1984 ≥60 GUNUNG KATUN V LANJUT

458 P-AODDC59T 180804******0001 RITA PURNAMAWATI 37 082289247540 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/27/1973 ≥60 GEDUNG BATIN V LANJUT

459 P-APMWGQ4R 180801******0002 JUMIATI 48 083809601112 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PELAJAR 9/28/1998 ≥60 GEDUNG BATIN V LANJUT

460 P-AQR1JCHG 180801******0002 CICI MARLENI 23 081240836608 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 1/28/1987 ≥60 SRIWIJAYA V LANJUT

461 P-AQXTTLJN 180801******0003 AHMAD JANJANG NUGROHO 34 085379458793 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/9/1975 ≥60 SRIWIJAYA V LANJUT

462 P-ARINJS47 180801******0003 SUMARI 46 082371031361 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 4/4/1995 ≥60 GUNUNG KATUN V LANJUT

463 P-ASAJNAHA 180804******0007 KOIRUL HUDA ALYAKIN 26 082306166499 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/19/1989 ≥60 GEDUNG BATIN V LANJUT

464 P-ASPCIHXX 180801******0001 REHMAWATI 32 082377867298 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 9/29/1983 ≥60 GUNUNG KATUN V LANJUT

465 P-ASQFF6JO 180804******0005 BOBI WANANDA SAPUTRA 38 088286247669 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 3/15/1961 ≥60 GEDUNG BATIN V LANJUT

466 P-ATAKRJKL 180801******0003 SURYATI 60 08121709013 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 3/12/1976 ≥60 SRIWIJAYA V LANJUT

467 P-ATRE8YNG 180801******0004 MUSTAKIM 45 085366166582 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 10/11/1998 ≥60 GEDUNG BATIN V LANJUT

468 P-AUES242G 180801******0003 WARTOMO 23 088274312736 26/10/2021 Astra Zeneca 26/10/2021 PW40166
 L PNS 8/12/1959 ≥60 GUNUNG KATUN V LANJUT
469 P-AUT5D10K 180801******0003 ROMLI 48 085367863150 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 1/15/1993 ≥60 GEDUNG BATIN V LANJUT

470 P-AVK0AIAY 180801******0003 IRWANTO 28 088287928043 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 4/15/1989 ≥60 GEDUNG BATIN V LANJUT

471 P-AVQAHMVK 180801******0006 SAHRIL 32 08121709013 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/5/2001 ≥60 GEDUNG BATIN V LANJUT

472 P-AWAA4ZC7 180807******0003 ADE RINA ANJAYANI 20 088268319389 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P BLM BEKRJA 2/5/2002 ≥60 SRIWIJAYA V LANJUT

473 P-AXK6COF8 180801******0004 SITI FATIMAH 19 08876501450 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/1/1987 ≥60 GEDUNG BATIN V LANJUT

474 P-AXUMC346 180801******0040 SUPARTI 34 082377463753 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 10/21/2022 ≥60 BUMI RATU V LANJUT

475 P-AY7FLOUF 180801******0001 AJI YANSYAH 21 082180738633 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 7/6/1995 ≥60 GUNUNG KATUN V LANJUT

476 P-AYTSUDDY 180804******0002 AHMAD YULIANTO 26 085379836332 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 1/1/1994 ≥60 GEDUNG BATIN V LANJUT

477 P-AZQU1DMJ 180801******0009 RUNCIK 27 088706470969 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L IRT 6/2/1982 ≥60 GUNUNG KATUN V LANJUT

478 P-B0X2DP4Y 180804******0003 TATIK HARIATI 39 085379836332 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 1/2/1984 ≥60 GEDUNG BATIN V LANJUT

479 P-B1NZZFFG 180801******0005 REBUDIN 37 082377867298 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 12/19/1986 ≥60 GEDUNG BATIN V LANJUT

480 P-B1PEJ03N 327602******0002 RINA 34 081211110986 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 1/14/1988 ≥60 GEDUNG BATIN V LANJUT

481 P-B20WLK0E 180801******0001 WINARTI 33 082178711528 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 10/6/1989 ≥60 GEDUNG BATIN V LANJUT

482 P-B2N4FLGB 180801******0003 TAMTA MAULANA 32 082178711528 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 9/26/1990 ≥60 GEDUNG BATIN V LANJUT

483 P-B3BCAH0Y 180801******0003 AHMADYANI 31 085384991516 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/25/1990 ≥60 GEDUNG BATIN V LANJUT

484 P-B3LR6OX5 180801******0001 TANTI YUSELA 31 085367598422 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/3/1979 ≥60 SRIWIJAYA V LANJUT

485 P-B4L4RGAR 180801******0004 SUROTO 41 085379958793 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 10/10/1988 ≥60 GUNUNG KATUN V LANJUT

486 P-B5ARXE4E 180804******0004 YUYUN OCTA FRIYANI 33 088286238256 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/31/1994 ≥60 GEDUNG BATIN V LANJUT

487 P-B5NKW08K 180316******0004 YULIANA 27 085273601040 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PELAJAR 6/8/2000 ≥60 SRIWIJAYA V LANJUT

488 P-B6UZBG9L 180801******0005 WIWIN YUNI SULASTRI 21 085694498177 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/2/1964 ≥60 SRIWIJAYA V LANJUT

489 P-B7U2EJRE 180801******0002 TRI YONO 57 088287204044 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/24/1971 ≥60 SRIWIJAYA V LANJUT

490 P-B8GEVMKD 180801******0003 SUMIYATI 50 082377675497 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/6/1986 ≥60 SRIWIJAYA V LANJUT

491 P-B8GUFT97 180801******0002 SARWONO 35 082177048225 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 10/10/1977 ≥60 SRIWIJAYA V LANJUT

492 P-B8H1WJEK 180801******0011 SUYAMNO 44 085273116684 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/10/1992 ≥60 SRIWIJAYA V LANJUT

493 P-B8HBPYK5 180801******0005 SUKIMAN 28 082177048225 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 11/30/2002 ≥60 SRIWIJAYA V LANJUT

494 P-B8HJJMKA 180801******0010 ERWIN 18 088276794545 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 10/15/1970 ≥60 SRIWIJAYA V LANJUT

495 P-B8HSLH3Q 180801******0001 WIDODO 51 082377692668 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 1/10/1975 ≥60 SRIWIJAYA V LANJUT

496 P-B8HY3N8M 180801******0003 NGALIAH 46 082377692668 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 9/19/1994 ≥60 BANYUMAS V LANJUT

497 P-B8IFD7Q7 180804******0002 RISE ISPITA 27 081273772303 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/12/1974 ≥60 SRIWIJAYA V LANJUT

498 P-B8IM6GFK 180801******0004 SURATNO B. 46 082374607721 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 9/4/1992 ≥60 SIDOARJO V LANJUT

499 P-B8IU2V9W 180804******0001 BUDI KUSUMA 29 082282628767 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 7/15/1974 ≥60 SRIWIJAYA V LANJUT

500 P-B8JACTFD 180801******0007 BANGUN S. AG 47 082280233246 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 11/29/1990 ≥60 BRATAYUDA V LANJUT

501 P-B8JHAJL8 180801******0003 ARDIYANSAH 30 081273772303 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/15/1972 ≥60 GUNUNG KATUN V LANJUT

502 P-B8JM76C3 180804******0001 DAHLAN 49 085383703472 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 11/27/2003 ≥60 GEDUNG BATIN V LANJUT

503 P-B8JRHERA 180801******0005 RONI ISKANDAR 17 081273772303 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/18/1981 ≥60 SRIWIJAYA V LANJUT

504 P-B8JZ1OD2 180801******0003 AGUS YONO 40 082279428642 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 1/8/2003 ≥60 SRIWIJAYA V LANJUT

505 P-B8K4H6YY 180801******0003 ADI SAPUTRA 18 082311601347 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/13/1983 ≥60 SRIWIJAYA V LANJUT

506 P-B8K9S0B4 180801******0001 SUHARJI 37 082180072353 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/17/1995 ≥60 SRIWIJAYA V LANJUT

507 P-B8KKY0PZ 180801******0005 WINARKO 26 082280870925 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/12/1979 ≥60 SRIWIJAYA V LANJUT

508 P-B8KPBXX6 180801******0004 SOLEHAN 42 082378229634 26/10/2021 Astra Zeneca 26/10/2021 PW40166
 L PETANI 12/30/1990 ≥60 SRIWIJAYA V LANJUT
509 P-B8KU1TRM 180801******0002 GUNAWAN 30 088706469351 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 3/3/1985 ≥60 GEDUNG BATIN V LANJUT

510 P-B8KZTWUE 180801******0003 SUMARNI 43 082374607721 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 7/3/1981 ≥60 GEDUNG HARAPAN V LANJUT

511 P-B8L4P5MS 180801******0008 SLAMET 41 082181522301 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/4/1971 ≥60 SRIWIJAYA V LANJUT

512 P-B8LBAHAX 180801******0002 KASINO 50 082123113307 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 1/15/1965 ≥60 SRIWIJAYA V LANJUT

513 P-B8M89QSS 180801******0001 SULIYAH 56 085267487074 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 7/11/1972 ≥60 SRIWIJAYA V LANJUT

514 P-B8MEJI71 180801******0006 NUROHMAN 49 085267481610 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/3/1978 ≥60 SRIWIJAYA V LANJUT

515 P-B8MIH36A 180801******0003 SUBARDI 43 085366985459 26/10/2021 Astra Zeneca 26/10/2021 PW40166

≥60 LANJUT
516 P-B8MNFJYJ 180801******0002 SUMARNI 36 082377306195 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 5/21/1994 ≥60 SIDOARJO V LANJUT

517 P-B8MOBF6H 180801******0002 M. HASANUDIN 27 082269909075 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 3/12/1987 ≥60 SRIWIJAYA V LANJUT

518 P-B8MTQVOU 180801******0005 NANIK MASITOH 34 082208980487 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 11/17/1978 ≥60 SRIWIJAYA V LANJUT

519 P-B8N0SAZU 180801******0004 ASTIKA LELA 42 082280233246 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L KARYAWAN SWASTA 11/13/1970 ≥60 NEGERI AGUNG V LANJUT

520 P-B8N8HOJL 180807******0003 WARSITO 51 082377675497 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 2/10/1992 ≥60 SRIWIJAYA V LANJUT

521 P-B8NEBP4N 180801******0014 TOTO WINARNO 29 088286520081 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 10/3/1981 ≥60 GUNUNG KATUN V LANJUT

522 P-B8NIS1GO 180804******0001 HARTOMO 40 085382525189 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 11/25/1969 ≥60 GUNUNG KATUN V LANJUT

523 P-B8NNCNXB 180801******0001 NUR AISAH 51 087794285817 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 10/23/1997 ≥60 SRIWIJAYA V LANJUT

524 P-B8NVP8OA 180801******0001 FENDI KURNIA 25 085694498177 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/5/1986 ≥60 SRIWIJAYA V LANJUT

525 P-B8O1YEA8 180801******0010 YUSUF SUTRIANTO 35 085273447274 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 9/5/1994 ≥60 SRIWIJAYA LANJUT

526 P-B8O8DZQ6 180801******0004 CATUR APRILIAN 27 088267074520 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L KARYAWAN SWASTA 8/4/1963 ≥60 SRIWIJAYA V LANJUT

527 P-B8OE0NHD 180801******0006 MARYONO 58 085279469097 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 4/20/2003 ≥60 SRIWIJAYA V LANJUT

528 P-B8OHDEK1 180801******0003 RIDWAN ANSORI 18 085159555235 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/8/1979 ≥60 GEDUNG BATIN V LANJUT

529 P-BAGZ0S7T 180801******0006 BAJBS Ajglus jxhxd Aj 42 082178752677 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/11/1978 ≥60 SRIWIJAYA V LANJUT

530 P-BBUF5TDE 180801******0002 SUPARMI 43 082372292994 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 2/7/2000 ≥60 GEDUNG BATIN V LANJUT

531 P-BDCMHTRW 180801******0003 PANANDI 21 081282213913 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P BLM BEKRJA 8/31/2003 ≥60 SRIWIJAYA V LANJUT

532 P-BKE0UGS0 180801******0002 WAHYU PUTRY NIKMAH 18 085279040464 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P BLM BEKRJA 12/7/2001 ≥60 GEDUNG BATIN V LANJUT

533 P-BM32SEG8 180801******0003 NIA WATI 19 085273656426 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/18/1985 ≥60 BARADATU V LANJUT

534 P-BNMKVMU0 180804******0003 SURYANI 36 082377867298 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 2/10/1979 ≥60 GEDUNG BATIN V LANJUT

535 P-BP5GP8TG 180801******0001 SARINEM 42 082377867288 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/10/1985 ≥60 GEDUNG BATIN V LANJUT

536 P-BQYIHKKE 180801******0009 NURHAYATI 36 087845284630 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 7/1/1962 ≥60 GEDUNG BATIN V LANJUT

537 P-BSFKUXRR 180801******0029 SANAAN 59 082377867298 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 2/14/2003 ≥60 GEDUNG BATIN V LANJUT

538 P-BTTK6DWA 180801******0004 PIRDAUS 18 081272948780 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 5/8/1995 ≥60 SRIWIJAYA V LANJUT

539 P-BV9YRDQA 180801******0001 SARTONO 26 088274272485 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 3/10/1983 ≥60 SRIWIJAYA V LANJUT

540 P-BWNTEQME 180801******0007 TRISNA WATI 38 081379186001 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/4/1975 ≥60 SRIWIJAYA V LANJUT

541 P-BZ8PUX36 180801******0013 GIMIN 46 082372398449 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/1/1988 ≥60 GEDUNG BATIN V LANJUT

542 P-C1OJCT6H 180801******0005 EDI SAPUTRA 33 082281158545 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 7/13/2001 ≥60 BRATAYUDA V LANJUT

543 P-C3XVT3DA 180801******0002 AHMAD SYAIFUL 20 081272747605 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 6/6/1988 ≥60 BRATAYUDA V LANJUT

544 P-C7WHQRO4 180801******0006 SAM HAJI 33 083809731486 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/25/1990 ≥60 BRATAYUDA V LANJUT

545 P-CA7V29J8 180801******0002 SUSANTI 31 082306166499 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 1/7/1981 ≥60 GEDUNG BATIN V LANJUT

546 P-CBYQFZI7 180801******0002 ROHMAN 40 082185956894 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 2/11/1980 ≥60 GUNUNG KATUN V LANJUT

547 P-CEGI5HDK 180804******0001 SITI SAPARIAH 41 082183061515 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 7/1/1970 ≥60 GEDUNG BATIN V LANJUT

548 P-CG2TOV3L 180801******0044 SITI HANA 51 085273601040 26/10/2021 Astra Zeneca 26/10/2021 PW40166
 P IRT 1/28/1977 ≥60 GEDUNG BATIN V LANJUT
549 P-CHCR69EO 180801******0002 HARI YANTI 44 082377867298 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 9/19/1977 ≥60 NEGERI AGUNG V LANJUT

550 P-CK8UHR6T 180801******0006 SUGITO 36 082177536034 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P WIRASWASTA 10/4/1987 ≥60 SRIWIJAYA V LANJUT

551 P-CM5BJ2TT 180801******0006 WAHYU SUPRIHATIN 24 082186558992 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 12/24/1997 ≥60 GEDUNG BATIN V LANJUT

552 P-CNK3UVNK 180801******0003 ASEP MAULANA 23 085383850974 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PELAJAR 8/28/1981 ≥60 GEDUNG BATIN V LANJUT

553 P-COTIB0XT 180801******0002 SUMINO 40 0887437045854 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 9/5/1970 ≥60 GEDUNG BATIN V LANJUT

554 P-CQS4MUPC 180801******0003 ROHMAH 51 085273656426 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L KARYAWAN SWASTA 8/18/1965 ≥60 GEDUNG BATIN V LANJUT

555 P-CS83NNEW 180801******0003 SUPARYO 56 082377867298 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/17/1972 ≥60 GEDUNG BATIN V LANJUT

556 P-CTLXPXOF 180801******0008 AGUS CIK 49 085379975597 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L KARYAWAN SWASTA 6/10/1963 ≥60 GEDUNG BATIN V LANJUT

557 P-CVI96PV8 180801******0004 MUSIMIN 58 082183908550 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 3/14/1976 ≥60 GEDUNG BATIN V LANJUT

558 P-CWU3IGHI 180801******0002 RUSTIATI 45 082377867298 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 3/22/1984 ≥60 GEDUNG BATIN V LANJUT

559 P-CWZWFSVF 180801******0001 SURATMI 37 082177536034 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 9/18/1971 ≥60 GEDUNG BATIN V LANJUT

560 P-CX0GFFV3 180801******0002 NURDIN . S 50 082377867298 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 3/1/2002 ≥60 GEDUNG BATIN V LANJUT

561 P-CX0QDO59 180801******0003 MUSTAKIM 19 082373847385 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 5/21/1984 ≥60 GEDUNG BATIN V LANJUT

562 P-CX14GNB9 180801******0003 ATIKA 37 082178752677 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 2/1/1962 ≥60 GEDUNG BATIN V LANJUT

563 P-CX1EQOEL 180801******0004 RIDUAN 59 08121709013 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 1/12/1980 ≥60 GEDUNG BATIN V LANJUT

564 P-CX1PLL0M 180801******0004 SUDARMI 41 082375847385 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 4/8/1999 ≥60 TANJUNG RAJA V LANJUT

565 P-CX21LAYX 180304******0001 RYAN ISKANDAR 22 082175485851 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P BLM BEKRJA 1/19/1999 ≥60 BARADATU V LANJUT

566 P-CXBIR0VZ 180804******0002 SYAHARA DEWI 22 082280181256 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/7/1965 ≥60 BARADATU V LANJUT

567 P-CXDNM5S6 180804******0003 SAK UDAH 56 082280181256 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 5/19/1972 ≥60 GEDUNG BATIN V LANJUT

568 P-CXF78K55 180801******0002 RUSMIYATI 49 082269866704 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 9/7/1972 ≥60 GEDUNG BATIN V LANJUT

569 P-CXH4ZUHT 180801******0004 RUSNAWATI 49 082183908550 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/6/1978 ≥60 NEGERI AGUNG V LANJUT

570 P-E1ELBJNW 180807******0001 SUMADI 42 085273188396 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 5/3/1970 ≥60 BARADATU V LANJUT

571 P-JG6ZMJ3G 180804******0001 ROHIMAH 51 081279708028 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 2/14/1974 ≥60 BARADATU V LANJUT

572 P-JG7BUIL6 180804******0002 SITI FATONAH 47 087794043770 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 11/28/1962 ≥60 BARADATU V LANJUT

573 P-JG7K01TQ 180804******0001 INSIADI 58 085384310410 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 1/5/1975 ≥60 BARADATU V LANJUT

574 P-JG7V9KGG 180804******0005 NURMANSYAH 46 087738187506 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 8/2/1965 ≥60 BARADATU v LANJUT

575 P-JG85NMQZ 180804******0004 SEMIATI 56 085357870027 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/12/2002 ≥60 GEDUNG REJO V LANJUT

576 P-JG8FQQBE 180804******0005 AHMAD RIYADI 19 085609793759 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/6/1964 ≥60 SUKOSARI V LANJUT

577 P-JG8P7JG8 180804******0002 SURATMI 57 087868870252 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 4/13/2003 ≥60 WAY BUNGUR V LANJUT

578 P-JG9WFHY1 180723******0002 MAULANA FANSUR 18 081279708028 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/14/1988 ≥60 NEGERI AGUNG V LANJUT

579 P-KXCCZL6B 180210******0001 TRIYANTO 33 082279617046 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/13/1948 ≥60 NEGERI AGUNG V LANJUT

580 S-0126752C 180807******0001 NIAH 73 082383520798 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/11/1959 ≥60 NEGERI AGUNG V LANJUT

581 S-01AD4411 180807******0002 MARIYUN 62 082282922911 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 1/2/1950 ≥60 GUNUNG KATUN V LANJUT

582 S-04D067EE 180804******0002 KARLINIATI 71 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/15/1947 ≥60 GEDUNG HARAPAN V LANJUT

583 S-06BA12A2 180807******0001 KATENI 74 82375808292 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/5/1956 ≥60 SRIWIJAYA V LANJUT

584 S-09E0A584 180801******0007 SUBARDI 65 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/7/1948 ≥60 SRIWIJAYA V LANJUT

585 S-1486C56A 180801******0004 SABERI 73 085366988459 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/28/1992 ≥60 GEDUNG HARAPAN V LANJUT

586 S-1980EB8D 180807******0002 SUKRI 29 082286418969 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L BLM BEKRJA 7/14/1947 ≥60 GEDUNG BATIN V LANJUT

587 S-1A10DA18 180801******0002 DADI SURYADI 74 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 7/5/1950 ≥60 GEDUNG BATIN V LANJUT

588 S-1BA89657 180801******0006 SITI AMENAH 71 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166
 P PETANI 8/27/1959 ≥60 GEDUNG BATIN V LANJUT
589 S-1D674361 180801******0003 JUARIAH 62 082377867298 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 1/9/1948 ≥60 GEDUNG HARAPAN V LANJUT

590 S-1EFBF32E 180807******0001 MARTO WIKROMO 73 085273540697 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/10/1959 ≥60 GEDUNG HARAPAN V LANJUT

591 S-21532C4B 180807******0003 JUMAR 62 082269239352 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/25/1957 ≥60 GEDUNG HARAPAN V LANJUT

592 S-222C22B5 180807******0001 PANIJO 64 081273673957 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 1/2/1960 ≥60 SRIWIJAYA V LANJUT

593 S-247CE345 180801******0001 SUROSO 61 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 7/15/1973 ≥60 GEDUNG BATIN V LANJUT

594 S-25FB3B14 180804******0003 ROMLI 62 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/1/1958 ≥60 GUNUNG KATUN V LANJUT

595 S-269FF31E 180804******0017 SANTOSO 63 082177339050 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 5/24/1957 ≥60 GUNUNG KATUN V LANJUT

596 S-26A96FD3 180804******0001 EWAYANA 64 08127282292 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 7/13/1938 ≥60 NEGERI AGUNG V LANJUT

597 S-271A7843 180807******0003 SURYOTO 83 082383520798 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 11/10/1960 ≥60 GUNUNG KATUN V LANJUT

598 S-2D0DB5BB 180801******0009 JUPRI 61 082377867298 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/5/1955 ≥60 SRIWIJAYA V LANJUT

599 S-2D6BA50D 180801******0005 AMAD SARI 65 082281168674 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/8/1960 ≥60 GEDUNG HARAPAN V LANJUT

600 S-2F131D38 180807******0003 LAMAN 61 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 7/3/1955 ≥60 NEGERI AGUNG V LANJUT

601 S-310F8889 180807******0003 SUKIMAN 66 085221389964 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/24/1988 ≥60 GEDUNG BATIN V LANJUT

602 S-329F26CB 180801******0001 RIDUWAN 83 082289335062 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 9/7/1957 ≥60 GEDUNG BATIN V LANJUT

603 S-39C4A7A2 180801******0001 M TUAH 64 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 11/2/1974 ≥60 GEDUNG HARAPAN V LANJUT

604 S-43A7FDA9 180807******0001 SUMARSIH 65 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/22/1950 ≥60 GEDUNG HARAPAN V LANJUT

605 S-440DDE02 180807******0001 RONIYAH 71 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 4/4/1954 ≥60 GEDUNG BATIN V LANJUT

606 S-47E6C22B 180801******0005 MIRUN 67 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/1/1957 ≥60 BRATAYUDA V LANJUT

607 S-51EB2205 180801******0018 NASIYAH 64 085379516219 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 5/7/1957 ≥60 GEDUNG HARAPAN V LANJUT

608 S-568EC2A1 180807******0001 KASTINI 64 085267002411 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/12/1956 ≥60 GEDUNG HARAPAN V LANJUT

609 S-56D10491 180807******0001 TURNI 65 082269080140 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 6/5/1946 ≥60 SRIWIJAYA V LANJUT

610 S-5980DB7D 180801******0001 WATIYEM 75 081369995366 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 1/8/1980 ≥60 GEDUNG HARAPAN V LANJUT

611 S-5B7B0C10 180807******0001 HANIYAH 61 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 7/1/1952 ≥60 BRATAYUDA V LANJUT

612 S-60AF4C1E 180801******0024 RUMINI 69 082377697470 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/11/1957 ≥60 GEDUNG BATIN V LANJUT

613 S-62210A4A 180801******0002 ROHANI 64 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 7/15/1959 ≥60 SRIWIJAYA V LANJUT

614 S-6250CBEA 180801******0004 BASUKI 62 085269280634 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/14/1954 ≥60 GEDUNG BATIN V LANJUT

615 S-6B34935B 180801******0002 ACHMAD IBRAHIM 67 085279074549 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 3/2/1960 ≥60 SRIWIJAYA V LANJUT

616 S-6FFB150B 180801******0002 DASMIN 61 082213168988 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 10/2/1952 ≥60 BRATAYUDA V LANJUT

617 S-70DA5907 180801******0005 DASINEM 69 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/11/1957 ≥60 GEDUNG BATIN V LANJUT

618 S-732EE589 180801******0005 TUKILAH 63 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L KPL DESA 3/26/1963 ≥60 GEDUNG HARAPAN V LANJUT

619 S-79DB7151 180807******0002 KIRTAM 63 085364443227 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/12/1951 ≥60 GUNUNG KATUN V LANJUT

620 S-7AB01DF0 180804******0001 SAK UDAH 70 082372498882 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/7/1953 ≥60 GEDUNG BATIN V LANJUT

621 S-80D6FD39 180801******0001 HAKMAN 67 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/4/1958 ≥60 NEGERI AGUNG V LANJUT

622 S-83F0C5D9 180807******0001 SUKAMTO 65 081278932765 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/1/1958 ≥60 NEGERI AGUNG V LANJUT

623 S-8436AA63 180807******0003 SUPARMI 63 085384497577 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/5/1954 ≥60 NEGERI AGUNG V LANJUT

624 S-84F914F1 180807******0001 ARWIN 67 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 3/6/1940 ≥60 GEDUNG BATIN V LANJUT

625 S-8810B5B6 180801******0001 DARWATI 81 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L HONORER 8/15/1986 ≥60 SRIWIJAYA V LANJUT

626 S-894ED470 180801******0007 SYAHRUNI 35 082213168988 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 5/30/1958 ≥60 GEDUNG BATIN V LANJUT

627 S-8CAF3369 180801******0001 YUMIYATI 63 08121709013 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/21/1958 ≥60 GEDUNG BATIN V LANJUT

628 S-8D712730 180801******0002 ISHAK 63 082307511322 26/10/2021 Astra Zeneca 26/10/2021 PW40166
 L PETANI 4/8/1955 ≥60 GEDUNG HARAPAN V LANJUT
629 S-92E6BD2F 180807******0002 WAGIRAN 73 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 10/6/1989 ≥60 GEDUNG HARAPAN V LANJUT

630 S-92FF3222 180807******0001 TUKUL 62 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 2/1/1955 ≥60 GEDUNG KATUN V LANJUT

631 S-9DB44AC1 180804******0003 SUWADI 66 082183061515 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 8/2/1959 ≥60 SRIWIJAYA V LANJUT

632 S-9F8E4EEA 180801******0003 KAMIJAH 62 085366988459 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 9/15/1948 ≥60 NEGERI AGUNG V LANJUT

633 S-A6F24480 180807******0001 KARJO 73 085267232276 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 7/18/1957 ≥60 GEDUNG HARAPAN V LANJUT

634 S-AB407F66 180801******0001 WASITO 64 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/4/1979 ≥60 GEDUNG HARAPAN V LANJUT

635 S-ABA9E799 180807******0002 MISIRAH 62 085384930950 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 8/22/1958 GEDUNG HARAPAN V LANJUT

636 S-B0F67EB4 180807******0002 TUKIYEM 63 082297696014 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 7/29/1956 ≥60 GEDUNG BATIN V LANJUT

637 S-B20D24FF 180807******0003 SUYATMI 65 082278918209 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 10/4/1954 ≥60 GEDUNG HARAPAN V LANJUT

638 S-B6AECCEB 180807******0001 SULIMIN 67 82289893695 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 10/16/1945 ≥60 GEDUNG BATIN V LANJUT

639 S-BD3EB70A 180801******0002 TARSIYAH 76 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P PETANI 9/10/1948 ≥60 GEDUNG BATIN V LANJUT

640 S-BD95D2FD 180801******0001 ROIMAH 73 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 10/21/1953 ≥60 SRIWIJAYA V LANJUT

641 S-C55A2B4D 180801******0001 JUMIYO 68 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 7/4/1957 ≥60 BRATAYUDA V LANJUT

642 S-CF7EBC77 180801******0002 MARYONO 64 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 12/23/1951 ≥60 GEDUNG HARAPAN V LANJUT

643 S-D761DEA8 180807******0001 PONIMAN 69 082180091822 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 6/3/1957 ≥60 GEDUNG HARAPAN V LANJUT

644 S-D76F327A 180807******0001 BAWON 64 082373236384 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/10/1957 ≥60 NEGERI AGUNG V LANJUT

645 S-D96FBDA4 180807******0003 KUSNO 64 082289984614 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 9/3/1950 ≥60 SRIWIJAYA V LANJUT

646 S-DC9B787A 180801******0002 KATARINA LANDEP 71 085839147850 26/10/2021 Astra Zeneca 26/10/2021 PW40166

≥60 LANJUT
647 S-DD20319A 180807******0001 SUMINTEN 64 082374209356 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 3/15/1958 ≥60 SRIWIJAYA V LANJUT

648 S-E7A6A485 180801******0003 MENENG 65 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 4/7/1952 ≥60 GEDUNG BATIN V LANJUT

649 S-EA4B113B 180801******0001 SITI MAISURI 69 083160275916 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/9/1990 ≥60 SRIWIJAYA V LANJUT

650 S-F0B17266 180801******0006 SUKARI 71 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 8/3/1944 ≥60 NEGERI AGUNG V LANJUT

651 S-F15A3449 180807******0001 SUYITNO 77 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 4/3/1958 ≥60 GUNUNG KATUN V LANJUT

652 S-F9981134 180804******0003 MUHADI 63 082183110221 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 7/10/1944 ≥60 SRIWIJAYA V LANJUT

653 S-FDDF6BB7 180801******0002 RATINI 77 082371422697 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L WIRASWASTA 1/21/1983 ≥60 NEGERI AGUNG V LANJUT

654 Y-012ZT1ZL 180807******0003 VIVIN ANGGI FIRMANSYAH 28 082289747467 26/10/2021 Astra Zeneca 26/10/2021 PW40166

P IRT 1/12/1981 ≥60 SRIWIJAYA V LANJUT

655 Y-01351W16 317404******0020 SUPRIATIN 40 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166

L PETANI 5/4/1981 ≥60 SRIWIJAYA V LANJUT

656 Y-0136GZQ6 317404******0015 ILHAM 40 - 26/10/2021 Astra Zeneca 26/10/2021 PW40166
Keterangan ***Merek Vaksin
* Pekerjaan dikelompokkan menjadi: A = Sinovac
A = Petugas Medis dan Non Medis di Fasilitas Pelayanan B = Lainnya (Mohon disebutkan jenis vaksin yang diterima Puskesmas/Faskes)
B = Petugas pelayanan publik yang berhadapan langsung
C = Administrator Pemerintahan
D = Lainnya
E = Tidak Bekerja

Kelompok Umur: Kepesertaan BPJS Pekerjaan

12_17 5
18-30 10 BPJS PBI 6 A 0
31-45 8 BPJS Non PBI 19 B 8
46-59 2 Non Anggota 3 C 0
≥ 60 tahun 3
Total 28 Total 28 D 10
Pekerjaan: Pemberian Dosis E 10
A 0 Dosis 1 0 Total 28
B 0 Dosis 2 28
C 0 Total 28
D 0
E 0
Total
 FORMAT REKAPITULASI PEL
TINGKAT PUSKESMAS/
Nama Puskesmas/Fasyankes/Pos : UPT PUSKESMAS BLAMBAN
Kabupaten/Kota : WAY KANAN
Provinsi : LAMPUNG

Sasaran
Tahap 1 Tahap 2
Tanggal/ Bulan
Pelaksanaan
SDM Kesehatan Lansia Pelayan Publik

8/5/2021 96

TOTAL 0 0 96
REKAPITULASI PELAKSANAAN VAKSINASI COVID-19
GKAT PUSKESMAS/FASYANKES/POS VAKSINASI

Penerima Vaksin Dosis 1

Total Dosis I Tahap 1 Tahap 2
(Semua Tahapan)
SDM Kesehatan Lansia
Total Sasaran

# % # % # %

96 1 1.041667 #DIV/0! #DIV/0!

0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
0 0 #DIV/0! #DIV/0! #DIV/0!
96 1 1.041667 0 #DIV/0! 0 #DIV/0!
OVID-19
SI

sin Dosis 1 Tunda Vaksin Dosis 1

Tahap 2 Total Tunda Dosis I Tahap 1 Tahap 2
(Semua Tahapan)
Pelayan Publik SDM Kesehatan Lansia

# % # % # % #

1 1.04166667 0 0.0 #DIV/0!

#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 #DIV/0! #DIV/0!
1 1.04166667 0 0.0 0 #DIV/0! 0
Tunda Vaksin Dosis 1 Batal Vaksin Dos
Tahap 2 Total Batal Dosis I Tahap 1
(Semua Tahapan)
Lansia Pelayan Publik SDM Kesehatan

% # % # % # %

#DIV/0! 0 0 0.0 #DIV/0!

#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! 0 0 0 #DIV/0! 0 #DIV/0!
Batal Vaksin Dosis 1 Penerima Vaks
Tahap 2 Total Dosis 2 Tahap 1
(Semua Tahapan)
Lansia Pelayan Publik SDM Kesehatan

# % # % # % # %

#DIV/0! 0 95 98.958333 #DIV/0!

#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
0 #DIV/0! 0 0 95 98.958333 0 #DIV/0!
Penerima Vaksin Dosis 2 Tunda Vaksin Dosis 2
Total Tunda Dosis
Tahap 2 2 Tahap 1 Tahap 2
(Semua Tahapan)
Lansia Pelayan Publik SDM Kesehatan Lansia

# % # % # % # % #

#DIV/0! 95 98.958333 0 0.0 #DIV/0!

#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0!
0 #DIV/0! 95 98.958333 0 0.0 0 #DIV/0! 0
Tunda Vaksin Dosis 2 Batal Vaksin Dosis 2
Total Batal Dosis
Tahap 2 2 Tahap 1 Tahap 2
(Semua Tahapan)
Lansia Pelayan Publik SDM Kesehatan Lansia

% # % # % # % # %

#DIV/0! 0 0 0.0 #DIV/0! #DIV/0!

#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0! #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0! #DIV/0! #DIV/0!
#DIV/0! 0 0 0 0.0 0 #DIV/0! 0 #DIV/0!
sin Dosis 2 Indeks Pemakaian Vaksin Berdasarkan Merek
Tahap 2
Coronavac Vaksin Covid-19 BF
Pelayan Publik (Single Dose Vial) (Multi Dose Vial)

Jmlh Vial Jmlh Jmlh Vial Jmlh

# % IP IP
Terpakai Diimunisasi Terpakai Diimunisasi
0 #DIV/0! 9 96 10.7
#DIV/0! #DIV/0! 0 #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0!
#DIV/0! #DIV/0! 0 #DIV/0!
0 0 0 96 #DIV/0! 9 96 10.7