Format Pendataan Vaksin DINKES Februari 2022

DAFTAR VAKSINASI THL DAN TKS
UNIT KERJA DINAS KESEHATAN DAERAH KABUPATEN PADANG LAWAS UTARA
UPDATE BULAN FEBRUARI 2022

VAKSIN
NO. NAMA NIP. KETERANGAN
1 TGL. VAKSIN 2 TGL. VAKSIN 3 TGL. VAKSIN
1 MASBULAN HARAHAP - √ 02 Desember 2021 √ 04 Februari 2022 15-Apr-22 Selesai
2 MARA HALIM LUBIS - √ 30 Juni 2021 √ 27 Juli 2021 √ 29 Oktober 2021 Selesai
3 RISAL EPENDI HARAHAP - √ 24 Februari 2021 √ 10 Maret 2021 √ 07 Maret 2022 Selesai
4 AMIR HAMZAH SIREGAR - √ 24 Februari 2021 √ 10 Maret 2021 √ 26 Februari 2022 Belum Keluar Kartu
5 WENNI SABRIKA - √ 08 Juli 2021 √ 06 Oktober 2021 √ 10 Maret 2022 Selesai
6 HENY ESTI ROSALINA SRG - √ 08 Maret 2021 √ 24 Maret 2021 √ 26-Nov-21 Selesai
7 MUHAMMAD ALI SIREGAR - √ 09 Juli 2021 √ 9/25/2021 √ 07 Maret 2022 Selesai
8 RACHMADANI BATUBARA - √ 7-Apr-21 √ 05 Mei 2021 √ 25 Februari 2022 Selesai
9 LORINDA PAHMA HARAHAP - √ 08 Maret 2021 √ 24 Maret 2021 √ 01 Juni 2022 Selesai
10 AGUSTINA BORU HRP - √ 24 Februari 2021 √ 10 Maret 2021 √ 22 Oktober 2021 Selesai
11 MEWAH MELATI KHOIRIAH HSB - √ 07 Desember 2021 √ 16 Maret 2022 Menunggu V3/ 16 Juni 2022
12 NUR FAUZIAH POHAN - - - - - - - Tanpa Keterangan
13 PUSPA SARI HARAHAP - √ 30 Juni 2021 √ 26 Februari 2022 Menunggu V3/ 26 Mei 2022
14 NURSAKINAH - √ 07 Desember 2021 √ 25 Februari 2022 Menunggu V3/ 25 Mei 2022
15 SITI HOTLIANA HASIBUAN - √ 15-Nov-21 Melahirkan
16 DEPIANA GUSTINA HARAHAP - √ 18 Maret 2021 √ 08 Desember 2021 √ 25 Februari 2022 Selesai
17 ASRIAL HASIBUAN - √ 10 Maret 2021 √ 29 Maret 2021 √ 25 Februari 2022 Selesai
18 PANDAPOTAN TAMPUBOLON - √ 13 Februari 2021 Sudah Layak Vaksin 2 Tanggal 13 Maret 2021
19 HOTRIN SALEH AL HATIB - √ 06 Juli 2021 √ 26-Nov-21 25 Februari 2022 Kartu Vaksin Belum Keluar
20 KASUMA DEWI HARAHAP - √ 23 Februari 2021 √ 10 Maret 2021 √ 15-Sep-21 Selesai
21 KURNIAWAN FAHRUDIN SRG - √ 23 Maret 2021 √ 7-Apr-21 Sudah Layak Vaksin 3 Tanggal 07 Juli 2021
22 PANDI MANGASA SIREGAR - √ 02 Desember 2021 √ 26 Februari 2022 MenungguV3/ 26 Mei 2022
23 IDAM SUHALIS DALIMUNTHE - √ 24 Februari 2021 √ 10 Maret 2021 √ 26-Nov-21 Selesai
24 TRI HARTANTO SIREGAR - √ 26-Nov-21 Sudah Layak Vaksin 2 Tanggal 26 Desember 2021
25 ISWAN ADI PANSURI HARAHAP - √ 26-Nov-21 √ 02 Maret 2022 MenungguV3/ 02 Juni 2022
26 ARI RAHMAT KURNIA SIREGAR - √ 01 Oktober 2021 √ 4-Nov-21 Sudah Layak Vaksin 3 Tanggal 04 Februari 2022
27 ALI SARDANA HARAHAP - √ 12 Maret 2021 √ 03 Maret 2022 Menunggu V3/ 03 Juni 2022
28 AGUS PUTRA RAMBE - √ 26-Nov-21 √ 25 Februari 2022 Menunggu V3/ 25 Mei 2022
29 BARRI PRIMA HARAHAP - √ 26-Nov-21 √ 26 Februari 2022 Menunggu V3/ 26 Mei 2022
30 FAZLUR ARIFIN - √ 24 Februari 2021 √ 24 Maret 2021 √ 25 Februari 2022 Selesai
31 YASSIR KHULUDI HARAHAP - √ 24 Februari 2021 √ 12 Maret 2021 √ 10 Maret 2022 Selesai
32 TAGOR MUDA HARAHAP - √ 24 Februari 2021 √ 12 Maret 2021 √ 16 Februari 2022 Selesai
33 ISHAR SANI LUBIS - √ 24 Februari 2021 √ 10 Maret 2021 Sudah Layak Vaksin 3 Tanggal 10 Juni 2021
34 RIZA ANGRAINI HARAHAP - √ 08 Maret 2021 √ 22 Maret 2021 13 Mei 2022 Selesai
35 ASEAN HARAHAP - √ 08 Desember 2021 √ 12 Februari 2022 Menunggu V3/ 12 Mei 2022
36 ADELINA SARI HARAHAP - √ 25 Maret 2021 √ 22-Apr-21 √ 07 Maret 2022 Selesai
37 MEI RAHMI SIREGAR - √ 01 Juli 2021 √ 12 Maret 2022 Menunggu V3/ 12 Juni 2022
38 MONCOT WANITA - √ 27 Oktober 2021 √ 03 Desember 2021 √ 12 Maret 2022 Selesai
39 NURMALA SARI - √ 08 Desember 2021 √ 12 Februari 2022 Menunggu V3/ 12 Mei 2022
40 JUL BAHRI HARAHAP -
41 ERLINA KHAIRANI SIREGAR - √ 24 Februari 2021 √ 24 Maret 2021 √ 25 Februari 2022 Selesai
42 AMELIA WARDAH SIREGAR - √ 24 Februari 2021 √ 10 Maret 2021 √ 25 Februari 2022 Selesai
43 ZURAIDA BANUN SIREGAR - √ 30 Agustus 2021 √ 28-Sep-21 √ 04 Maret 2022 Selesai
44 DIANA AZIZAH BATUBARA - √ 07 Desember 2021 √ 26 Januari 2022 √ 26-Apr-22 Selesai
45 RISMAYANTI SIMAMORA - √ 23 Februari 2021 √ 10 Maret 2021 √ 22-Sep-21 Selesai
46 SOFIA KARALINA HARAHAP - √ 29-Sep-21 √ 29 Oktober 2021 √ 07 Maret 2022 Selesai
47 FITRI DAMAYANTI LUBIS - √ 27 Agustus 2021 √ 26 Februari 2022 Menunggu V3/ 26 Mei 2022
48 RISNIDAR SIREGAR - √ 25 Maret 2021 √ 22-Apr-21 √ 07 Maret 2022 Selesai
49 JENNY MAYANA SIREGAR - √ 15 Maret 2021 √ 15-Apr-21 √ 25 Februari 2022 Selesai
50 RAHMAN RANGKUTI - √ 25 Maret 2021 √ 22-Apr-21 √ 07 Maret 2022 Selesai
51 NOVITA SYAHRIANI - Tanpa Keterangan
52 RISKA YULIA - √ 18 Agustus 2021 √ 24-Nov-21 Menunggu V3/ Maret 2022
DAFTAR VAKSINASI PNS
UNIT KERJA DINAS KESEHATAN DAERAH KABUPATEN PADANG LAWAS UTARA
UPDATE BULAN FEBRUARI 2022

VAKSIN
NO. NAMA NIP. KETERANGAN
1 dr. Sri Prihatin Kurnia Ningsih Harahap, M.K.M 19760821 200907 2 001 √ 09 Februari 2021 √ 23 Februari 2021 Sudah Layak Vaksin 3 Tanggal 23 Mei 2021
2 Adelyanti Siagian, SKM 19770917 200604 2 001 √ 23 Februari 2021 √ 09 Maret 2021 √ 26-Nov-21 Selesai
3 Yasser Arafat Harahap, SKM 19821105 201001 1 025 √ 22 Februari 2021 √ 08 Maret 2021 √ 14 Oktober 2021 Selesai
4 Yenni Fitrianingsih G,S.Kep, Ners 19810801 200904 2 003 √ 22 Februari 2021 √ 08 Maret 2021 √ 24 Februari 2022 Selesai
5 Nur Azizah Harahap, SKM 19880518 201001 2 013 √ 17 Maret 2021 √ 15-Apr-21 Selesai Melahirkan
6 Yusnani Harahap, SKM 19840315 200904 2 008 √ 17 Maret 2021 √ 10 Juni 2021 √ 09 Februari 2022 Selesai
7 Romaito Harahap, SKM 19890727 201101 2 005 √ 22 Februari 2021 √ 08 Maret 2021 √ 12 Maret 2022 Selesai
8 Rosnaubah Harahap, Am. Keb 19861225 201001 2 027 √ 17 Maret 2021 √ 28-Sep-21 √ 25 Desember 2021 Selesai
9 dr. Afrida Henny 19810102 200907 2 001 √ 09 Februari 2021 √ 23 Februari 2021 √ 15 Januari 2022 Selesai
10 Masnaini Nasution, SKM 19680618 199103 2 004 √ 23 Februari 2021 √ 09 Maret 2021 √ 3-Sep-21 Selesai
11 dr. Mandayani Adelina Harahap 19820522 201001 2 001 √ 21-Sep-21 √ 08 Februari 2022 √ 27 Mei 2022 Selesai
12 Bajora Hapni Harahap, S.Kep 19851004 201001 2 036 √ 13 Desember 2021 √ 21 Januari 2022 MenungguV3/21 April 2022
13 Nursia Harahap, S.Kep 19750414 200604 2 003 √ 22 Februari 2021 √ 08 Maret 2021 √ 26-Nov-21 Selesai
14 Mara Lengkung Hasibuan, SKM 19750909 200701 1 005 √ 26 Juni 2021 √ 27 Juli 2021 √ 4-Nov-21 Selesai
15 Dewi Sartika Siregar S.Kep 19751228 201407 2 003 √ 08 Februari 2021 √ 10 Maret 2022 √ 07 Juni 2022 Selesai
16 Bintang Simbolon 19861002 201101 2 006 √ 22 Februari 2021 √ 03 Maret 2021 √ 07 Maret 2022 Selesai
17 Muhammad Azan Zuhri Daulay, SKM 19930404 201903 1 010 √ 11 Februari 2021 √ 25 Februari 2021 √ 25 Februari 2022 Selesai
18 Ongku Bosar Hasibuan, S.Kep. Ns 19880809 201903 1 013 √ 22 Februari 2021 √ 08 Maret 2021 √ 25 Februari 2022 Selesai
19 Dewi Marlina, Am.Kep 19830812 201407 2 004 √ 22 Februari 2021 √ 08 Maret 2021 √ 25 Februari 2022 Selesai
20 dr. Dewi Khairani 19740430 200212 2 003 √ 22 Februari 2021 √ 08 Maret 2021 √ 26-Nov-21 Selesai
21 dr. Elly Rikayanti 19810503 201001 2 026 √ 22 Februari 2021 √ 08 Maret 2021 26 Januari 2022 Selesai
22 Mawaddah Tsaniyah, SKM,MPH 19840810 200904 2 009 √ 28 Oktober 2021 √ 27-Nov-21 √ 07 Maret 2022 Selesai
23 Risma Pittauli Simanjuntak, S.Kep. Ners 19730520 201001 2 004 √ 22 Februari 2021 √ 06 Maret 2021 √ 03 Desember 2021 Selesai
24 Ayu Ade Fatma D Sirait, SKM, M.KL 19810217 201101 2 002 √ 05 Juli 2021 √ 26-Sep-21 Sudah Layak V3 Tanggal 26 Desember 2021
25 Nurhanifa Hanum, S.Kep 19771108 201001 2 017 √ 07 Desember 2021 √ 21 Januari 2022 Menunggu V3/ 21 April 22
26 Idah Fitri Khoirih, S.Kep 19840827 201101 2 006 √ 22 Februari 2021 √ 08 Maret 2021 √ 07 Maret 2022 Selesai
27 Muhammad Umar Nst, SE, MM 19831209 201101 1 004 √ 24-Apr-21 √ 08 Juli 2021 √ 07 Maret 2022 Selesai
28 Riwandi Yusuf H, S.Farm. Apt 19890321 201402 1 005 √ 17 Maret 2021 √ 14-Apr-21 √ 25 Februari 2022 Selesai
29 Lisa Febrina Nasution, SKM 19880211 201001 2 012 √ 17 Maret 2021 √ 15-Apr-21 Hamil
30 Samsul Bahri Siregar, SKM 19861230 201001 1 009 √ 23 Februari 2021 √ 09 Maret 2021 √ 10-Sep-21 Selesai
31 Reti Zanar Harahap,AM. Keb 19890610 201101 2 004 Cuti Partus
32 Heni Handayani, SKM 19840212 201001 2 033 √ 23 Februari 2021 √ 09 Maret 2021 Hamil
33 Zulfalia Nuzula, Amd 19900129 201402 2 006 √ 22 Februari 2021 √ 08 Maret 2021 √ 26-Nov-21 Selesai
34 Emmi Sari Pohan, SST,M.Kes 19800515 201001 2 028 √ 22 Februari 2021 √ 08 Maret 2021 √ 07 Maret 2022 Selesai
35 Afrida Wati Harahap, AM.Keb 19780430 200604 2 017 √ 7-Apr-21 √ 05 Mei 2021 √ 07 Maret 2022 Selesai
36 Sri Dewi, SKM 19851021 200904 2 003 √ 22 Februari 2021 √ 08 Maret 2021 √ 10 Desember 2021 Selesai
37 Siti Arafah Siregar,SKM 19870912 201101 2 004 √ 26 Oktober 2021 Kartu Belum Keluar
38 Nurhawati harahap, S.Kep 19760125 200701 2 004 √ 7-Apr-21 √ 05 Mei 2021 √ 25 Februari 2022 Selesai
39 Mariana Hasibuan, SKM 19880511 201001 2 020 √ 5-Apr-21 √ 10 Juni 2021 √ 26 Februari 2022 Selesai
40 Rodikson Simanullang, S.Kep 19840406 200904 1 003 √ 22 Februari 2021 √ 08 Maret 2021 √ 18 Januari 2022 Selesai
41 Nurkholiza Siregar, S.Kep 19790120 201001 2 014 √ 21-Sep-21 √ 27 Februari 2022 Sudah Layak Vaksin 2 Tanggal 21 Oktober 2021
42 Biastif Muda Siregar '19690927 200904 1 002 √ 10 Februari 2021 √ 25 Februari 2021 √ 8-Sep-21 Selesai
43 Desi Sasmita Tampubolon, A.Md.Keb 19880125 201704 2 002 √ 13 Februari 2021 √ 27 Februari 2021 √ 02 Juni 2022 Selesai
44 Latifa Hanum, A.Md.Gz 19950922 201903 2 023 √ 22 Februari 2021 √ 08 Maret 2021 √ 26-Nov-21 Selesai
45 Jelita Ulianti Siregar, S.Farm 19810521 201001 2 003 √ 22 Februari 2021 √ 08 Maret 2021 √ 26-Nov-21 Selesai
46 Muhammad Rasid Lubis 19861230 201001 1 010 √ 22 Februari 2021 √ 05 Maret 2021 √ 22 Oktober 2021 Selesai
DAFTAR PNS DAN THL VAKSINASI
UNIT KERJA UPTD PUSKESMAS BATANG PANE II
VAKSIN
NO NAMA NIP KETERANGAN
1 H.Zulkifli.SKM 19640427 198810 1 001 √ 10-Feb-21 √ 24-Feb-21 √ 22-Sep-21
2 Ide Ibana fajrin 19820605 201704 2 008 √ 10-Feb-21 √ 24-Feb-21 √ 6-Sep-21
3 Subariyah 19740810 200701 2 003 √ 10-Feb-21 √ 24-Feb-21 √ 16-Sep-21
4 Rosmariani haloho 19850327 200904 2 004 √ 18-Feb-21 √ 4-Mar-21 √ 20-Sep-21
5 Ernidawati harahap 19880318 201704 2 002 √ 18-Feb-21 √ 5-Mar-21 √ 23-Sep-21
6 E.Ida Suriani Hasibuan 19890505 201704 2 009 √ 18-Feb-21 √ 4-Mar-21 √ 20-Sep-21
7 Mosniari Yuwanita Dewi 19710215 199103 2 001 √ 18-Feb-21 √ 4-Mar-21 √ 22-Sep-21
8 Leli Dores 19850718 201704 2 006 √ 18-Feb-21 √ 4-Mar-21 √ 30-Oct-21
9 Leni Agustina Rambe 19840806 200904 2 011 √ 18-Feb-21 √ 4-Mar-21 √ 22-Sep-21
10 Yusniati Nasution 19780911 200212 2 008 √ 10-Feb-21 √ 24-Feb-21 √ 22-Sep-21
11 Sri Naviani 19861126 200904 2 004 √ 10-Feb-21 √ 24-Feb-21 √ 13-Sep-21
12 Taimun Siregar 19850119 201704 2 007 √ 18-Feb-21 √ 4-Feb-21 √ 20-Sep-21
13 Ariany dwi hidayati 19851218 201704 2 006 √ 10-Feb-21 √ 24-Feb-21 √ 26-Oct-21
14 Kamilah Rambe 19701103 199103 2 001 √ 18-Feb-21 √ 4-Mar-21 √ 20-Sep-21
15 Eka Susanti 19870206 201704 2 009 √ 18-Feb-21 √ 4-Mar-21 √ 29-Sep-21
16 Nenti Dameria Sinambela 19850721 201704 2 011 √ 10-Feb-21 √ 24-Feb-21 Belum Vaksin
17 Yunita Mariana 19840619 201704 2 002 √ 18-Feb-21 √ 4-Mar-21 √ 20-Sep-21
18 Hotmayani Siregar 19750202 199702 2 001 √ 18-Feb-21 √ 4-Mar-21 √ 22-Sep-21
19 Riana Dorty 19720907 200701 2 002 √ 18-Feb-21 √ 4-Mar-21 Belum Vaksin
20 Nur bintang Harahap 19770215 200701 2 0004 √ 22-Feb-21 √ 8-Mar-21 √ 16-Sep-21
21 Lusteria Damanik 19760401 200801 2 003 √ 18-Feb-21 √ 4-Mar-21 √ 16-Sep-21
22 Ira Maya Syerni Harahap 19890906 201101 2 003 √ 18-Feb-21 √ 4-Mar-21 √ 22-Sep-21
23 Redes 19750501 200801 2 005 √ 10-Feb-21 √ 24-Feb-21 √ 22-Sep-21
24 Siti Harona 19730415 200701 2 005 √ 10-Feb-21 √ 24-Feb-21 √ 23-Sep-21
25 Nuraini Ritonga 19880716 201101 2 006 √ 22-Feb-21 √ 8-Mar-21 √ 23-Sep-21
26 Hani Muliani Harahap 19890501 201704 2 003 √ 10-Feb-21 √ 24-Feb-21 √ 20-Sep-21
27 Nurmailan Siregar 19750423 200701 2 003 √ 10-Feb-21 √ 24-Feb-21 √ 13-Sep-21
28 Siti Zakia Siregar 19751030 199593 2 002 √ 18-Feb-21 √ 4-Mar-21 √ 22-Sep-21
29 Wirda 19880314 201001 2 022 √ 22-Sep-21 √ 26-Oct Belum Vaksin
30 Maharani 19830725 201704 2 001 √ 18-Feb-21 √ 4-Mar-21 √ 20-Sep-21
31 Rika Mulyanti 19850919 201704 2 006 √ 18-Feb-21 √ 4-Mar-21 √ 23-Sep-21
32 Ojir 19860810 201001 2 040 √ 18-Feb-21 √ 4-Mar-21 √ 20-Sep-21
33 Ermala Dewi 19851014 201001 2 025 √ 18-Feb-21 √ 4-Mar-21 Belum Vaksin
34 Rida Marisi Gultom 19740502 200604 2 011 √ 18-Feb-21 √ 4-Mar-21 √ 16-Sep-21
35 Maswati Nasution 19720310 200701 2 002 √ 18-Feb-21 √ 4-Mar-21 √ 22-Sep-21
36 Nurasiah Siregar 19810809 201704 2 003 √ 18-Feb-21 √ 4-Mar-21 √ 20-Sep-21
37 Natalia Indah Barus 19781225 201905 2 002 √ 18-Feb-21 √ 4-Mar-21 √ 2-Dec-21
38 Tuminah 19840324 201704 2 013 √ 18-Feb-21 √ 4-Mar-21 √ 21-Sep-21
39 Masdewani 19850817 201704 2 014 √ 18-Feb-21 √ 4-Mar-21 Belum Vaksin
40 Berliana Sinaga 19700525 199103 2 006 √ 18-Feb-21 √ 4-Mar-21 √ 20-Sep-21
41 Muthiasri Afrina 19930919 202012 2 004 √ 18-Feb-21 √ 12-Mar-21 √ 22-Sep-21
42 Hotna sari 198601222017042004 √ 18-Feb-21 √ 4-Mar-21 Belum Vaksin
43 Doharni 19820719 201704 2 005 √ 18-Feb-21 √ 14-Mar-21 √ 23-Sep-21
44 Asriani Harahap 19760324 200701 2 002 √ 10-Feb-21 √ 24-Feb-21 √ 23-Oct-21
45 Merihdayanti Dasopang 19850812 201704 2 005 √ 18-Feb-21 √ 4-Mar-21 √ 22-Sep-21
46 Jamilah 19770428 200801 2 001 √ 18-Feb-21 √ 4-Mar-21 √ 16-Sep-21
47 Golda Mawar 19740924 200604 2 013 √ 18-Feb-21 √ 4-Mar-21 √ 20-Nov-21
48 Khairunnisa Nasution 19950612 201903 2 005 √ 22-Feb √ 8-Mar-21 √ 16-Sep-21
49 Saprida Hannum Nasution 19961215 201903 2 003 √ 10-Feb-21 √ 24-Feb-21 √ 16-Sep-21
50 Hilda Syafitri Siregar 19860617 201903 2 010 √ 10-Feb-21 √ 24-Feb-21 √ 22-Sep-21
51 Arfan Saleh Lubis 198909072019031010 √ 18-Feb-21 √ 4-Mar-21 √ 23-Oct-21
52 Hera Mailin 198208052017042004 √ 13-Nov-21 √ 11-Jan-22 Belum Vaksin
53 Elisa Rebeca 19890316 201704 2 003 √ 10-Feb-21 √ 24-Feb-21 √ 20-Sep-21
54 Hotna dewi Harahap 19770412 200801 2 003 √ 22-Feb-21 √ 8-Mar-21 √ 22-Sep-21
55 Enni Marlina 19800517 201001 2 027 √ 28-Apr-21 √ 14-Jun-21 √ 22-Sep-21
56 Eva Suriani Lumban Tobing 19870419 201704 2 003 √ 18-Feb-21 √ 4-Mar-21 √ 21-Sep-21
57 Maslah Hayati 19821015 201001 2 026 √ 18-Feb-21 √ 4-Mar-21 √ 22-Sep-21
58 Ernawati 19730226 199303 2 001 √ 10-Feb-21 √ 24-Feb-21 √ 20-Sep-21
59 Ongku Parmonangan 19711015 199103 1 003 √ 10-Feb-21 √ 24-Feb-21 √ 20-Sep-21
60 Sugianty 19701213 199103 2 002 √ 23-Dec-21 √ 20-Jan-22 Belum Vaksin
1 Rika Hairani Harahap THL √ 22-Feb-21 √ 8-Mar-21 √ 30-Oct-21

2 Salbiah Hasibuan THL √ 10-Feb-21 √ 24-Feb-21 √ 22-Sep-21
3 Rosuludin THL √ 10-Feb-21 √ 24-Feb-21 √ 7-Sep-21
4 Nur Aziza THL √ 18-Feb-21 √ 4-Mar-21 √ 23-Oct-21
5 Ester marina THL √ 10-Feb-21 √ 24-Feb-21 √ 30-Oct-21
6 Sudiyanto THL √ 12-Feb-21 √ 4-Mar-21 √ 16-Sep-21
7 Amar Umando THL √ 8-Apr √ 6-May-21 √ 16-Sep-21
1 Lisnawati Siregar TKS √ 18-Feb-21 √ 4-Mar-21 √ 30-Oct-21

2 Mardiah Pasaribu TKS √ 26-Nov-21 √ 24-Dec-21 belum vaksin
3 Sartika dewi TKS √ 7-Jul-21 √ 28-Dec-21 belum vaksin
4 Septi merianti TKS √ 1-Jul-21 √ 23-Aug-21 √ 30-Oct-21
5 Maslin Harahap TKS √ 18-Feb-21 √ 4-Mar-21 √ 30 0ct 2021
6 Nurliana Siregar TKS √ 18-Feb-22 √ 9-Mar-21 √ 30-Oct-21 M
7 Aswat prayudha Hrp TKS √ 17-Feb-21 √ 5-Mar-21 belum vaksin
PNS THL TKS KEPALA PUSKESMAS BATANG PANE II

V1 : 60 Orang V1 : 7 Orang V1 : 7 Orang
V3 : 52 Orang V3 :7 Orang V3 : 4 Orang ZULKIFLI,SKM
NIP. 19640427 198810 1 001
UNIT KERJA UPTD PUSKESMAS LANGKIMAT
VAKSIN
1 HASAN BASRIN NASUTION,SKM 198404182009041005 √ 2/10/2021 √ 2/24/2021 √ 20-Sep-21
2 dr.ERLINA 198112292010012003 √ 2/10/2021 √ 2/24/2021 √ 15-Sep-21
3 dr. WENNY 198609252014122001 √ 2/10/2021 √ 2/24/2021 √ 3-Sep-21
4 dr. DIAN AZHARI 199007272020121001 √ 2/10/2021 √ 2/24/2021 √ 9/7/2021
5 NURLIANA PASARIBU 197503211999032002 √ 2/10/2021 √ 3/4/2021 √ 9/3/2021
6 MARIA SITI HARAHAP.AM.Kep 198004242009042004 √ 2/10/2021 √ 2/24/2021 √ 9/20/2021
7 SISKA SURIYANTI,S.Tr.Keb 197707122008012000 √ 2/11/2021 √ 2/25/2021 √ 9/7/2021
8 SUSI HARTATYS,S.Tr.Keb 197103112007012003 √ 2/10/2021 √ 2/24/2021 √ 03/22/2021
9 WINDA WATI SITUNGKIR.AM.Keb 197303312007012002 √ 2/10/2021 √ 2/24/2021 √ 9/3/2021
10 NURLIANA RAMBEY AM.Keb 197704212008012004 √ 2/11/2021 √ 2/25/2021 √ 9/3/2021
11 FRONIKA PURBA AM.Kep 198512272017042005 √ 2/11/2021 √ 2/25/2021 √ 9/15/2021
12 SUAIBATULASLAMIYAH RAMBEY 198712052017042004 √ 2/12/2021 √ 2/26/2021 √ 9/8/2021
13 HOTMASARI HARAHAP 198307182017042007 √ 1/30/2022 √ 2/24/2022 Belum bisa vaksin 3
14 SAFRIANI,Amd.Far 199510102019032006 √ 2/11/2021 √ 2/25/2021 √ 9/3/2021
15 FITRI WULANDARI BATUBARA,Amd 199405122019032007 √ 2/13/2021 √ 3/4/2021 √ 9/20/2021
16 AGUSTINA ANGRAINI.AM.Keb 198808272017042005 Ada riwayat penyakit stephen johnson
17 ASROANI SIREGAR.AM.Keb 198605022017042010 √ 3/8/2021 √ 4/6/2021 √ 9/14/2021
18 ELLY SURIANI NST AM.Keb 198805022017042006 √ 3/4/2021 √ 3/18/2021 √ 9/14/2021
19 FITRI MELDAWATI HSB.AM.Keb 198904152017042007 √ 2/11/2021 √ 3/4/2021 √ 9/7/2021
20 HAFNI FITRINA SIREGAR AM.Keb 198307272017042009 √ 3/4/2021 √ 3/18/2021 √ 9/14/2021
21 HERLINA GULTOM.AM.Keb 198401272017042006 √ 2/11/2021 √ 2/25/2021 √ 9/7/2021
22 ILVA MERIANI SIREGAR AM.Keb 198503072017042011 √ 2/13/2021 √ 3/4/2021 √ 9/20/2021
23 LISNI HARYANI AM.Keb 198906062017042006 √ 2/10/2021 √ 2/24/2021 √ 9/7/2021
24 MASRIA IROMANI,AM.Keb 198412072017042006 √ 2/11/2021 √ 3/8/2021 √ 8/13/2021
25 MERLIANA HARAHAP,AM.Keb 198807302017042004 √ 2/10/2021 √ 2/24/2021 √ 9/7/2021
26 MESIANA HUTASOIT,AM.Keb 198406242017042009 √ 3/4/2021 √ 3/18/2021 √ 9/7/2021
27 MUTIATUR RIBIHANI,AM.Keb 198803222017042006 √ 9/11/2021 √ 12/1/2021 Belum bisa vaksin 3
28 NURAMINAH HARAHAP,AM.Keb 198811142017042003 √ 2/13/2021 √ 2/27/2021 √ 9/14/2021
29 NURHASANAH SIREGAR,AM.Keb 198803152017042003 √ 2/17/2021 √ 3/4/2021 √ 9/14/2021
30 RASMI HASIBUAN,AM.Keb 197402152019052001 √ 3/4/2021 Tanpa Keterangan
31 SITI MARYAM DIAH POHAN,AM.Keb 198610202017042005 √ 2/13/2021 √ 2/27/2021 √ 9/7/2021
32 SRI YUSMA HELMI HARAHAP,AM.Keb198706042017042005 √ 2/25/2021 √ 8/23/2021 √ 9/7/2021
33 SUHAIMI DAULAY,AM.Keb 198808082017042010 √ 2/11/2021 √ 2/25/2021 √ 8/24/2021
34 ZAHARA HASIBUAN,AMKeb 198604122017042009 √ 2/11/2021 √ 2/27/2021 √ 9/7/2021
1 SITI NURLINDA SARI SIREGAR THL √ 10/8/2021 √ 11/13/2021 Belum bisa vaksin 3
2 EMMI HAIRANI SIREGAR THL √ 9/13/2021 √ 10/25/2021 Belum bisa vaksin 3
3 ABDUL WAHAB HASIBUAN THL √ 2/11/2021 √ 2/25/2021 √ 9/15/2021
4 ERLI WATI SIREGAR THL √ 2/11/2021 √ 2/25/2021 √ 9/20/2021
5 LASIA YUSPA SUSI RAMBE THL √ 2/13/2021 √ 2/27/2021 √ 11/21/2021
6 MERLIHATI HARAHAP THL √ 1/22/2021 √ 9/8/2021 Tanpa Keterangan
7 PADANG BOLAK HARAHAP THL √ 2/10/2021 √ 2/24/2021 √ 9/7/2021
8 SRI INTAN MAYASARI THL √ 2/13/2021 √ 3/4/2021 √ 11/24/2021
9 IRWAN HASIBUAN THL √ 2/13/2021 √ 3/8/2021 √ 9/7/2021
1 RISFA RESMIDA SARI HASIBUAN TKS √ 2/11/2021 √ 2/25/2021 Tanpa Keterangan

2 NURSITI HASIBUAN TKS √ 11/15/2021 √ 2/24/2021 Tanpa Keterangan
3 SARAH HASIBUAN TKS √ 2/17/2021 √ 3/4/2021 √ 11/24/2021
4 SITI ROBULAN HARAHAP TKS √ 11/16/2021 √ 12/18/2021 Belum bisa vaksin 3
5 YUSRIANI HASIBUAN TKS √ 11/16/2021 √ 2/24/2021 Tanpa Keterangan
6 NURHIKMA HARAHAP TKS √ 2/17/2021 √ 11/13/2021 Belum bisa vaksin 3
7 INDAH HASIBUAN TKS √ 2/17/2021 √ 3/4/2021 √ 2/8/2021
8 WAHYU TKS Ada riwayat penyakit asma
V1 :49 Orang Diketahui

V2 : 48 Orang KepalaUPTD Puskesmas Langkimat
V3 : 38 Orang
HASAN BASRIN NASUTION,SKM

NIP. 10940418 200904 1005
UNIT KERJA PUSKESMAS NAGASARIBU
VAKSIN
1 Sahari Bulan Harahap, S.Tr.Keb 196612311990032000 √ 2/16/2021 √ 3/6/2021 √ 8/25/2021
2 dr. Narlis Surianti Ritonga 198112062014122000 √ 2/10/2021 √ 3/2/2021 √ 9/3/2021
3 dr. Fyma Diniyah Siregar 198608052014022000 √ 2/10/2021 √ 3/2/2021 √ 9/6/2021
4 drg. Sry Mawar Panjaitan 198608132017042000 √ 2/10/2021 √ 3/2/2021 √ 9/3/2021
5 Emma Puri Handayani Srg, Am.Keb 198806132011012000 √ 2/10/2021 √ 2/24/2021 √ 9/23/2021
6 Eva Solina Harahap, Am.Keb 198804142011012000 √ 3/2/2021 √ 7/5/2021 √ 11/24/2021
7 Reni Chintya Siregar, AMK 199101022014022003 √ 2/10/2021 √ 2/24/2021 √ 9/6/2021
8 Nurhawati, S.Kep,Ns 198205102010012039 √ 2/10/2021 √ 2/24/2021 √ 10/22/2021
9 Efrida Sari, SKM 198705102011012000 √ 3/2/2021 √ 7/5/2021 √ 10/22/2021
10 Sari Madonni Lubis, S.Kep, Ns 199303012020122003 √ 11/8/2021 √ 12/6/2021 - - Belum bisa vaksin 3
11 Ahmad Rukun Harahap, AM.Kep 197901162011011003 √ 2/10/2021 √ 2/24/2021 √ 9/6/2021
12 Elsyah Eriani Harahap, Am.Keb 199009302014022004 √ 2/10/2021 √ 2/24/2021 √ 9/6/2021
13 Siti Hanisah Siregar, Am.Keb √ 2/10/2021 √ 7/6/2021 √ 11/18/2021
14 Ngatini, Am.Keb 197508252008012001 √ 2/16/2021 √ 3/2/2021 √ 10/22/2021
15 Musiatun, SKM 197303242007012003 √ 2/10/2021 √ 2/24/2021 √ 9/6/2021
16 Yeni Rambe, Am.Keb 198409282017042005 √ 2/10/2021 √ 2/24/2021 √ 10/22/2021
17 Ida Lestari Siregar, Am.Keb 198707082017042006 √ 2/10/2021 √ 2/24/2021 √ 9/6/2021
18 Aisyah Rumondang Siregar, Am.Keb 198903212017042000 √ 2/10/2021 √ 2/24/2021 √ 10/22/2021
19 Erfina Siregar, Am.Keb 198601032017042000 √ 6/24/2021 √ 7/26/2021 √ 11/18/2021
20 Nur Abidah Siregar, Am.Keb 198811112017042005 √ 6/19/2021 √ 7/19/2021 √ 10/22/2021
21 Rama Suriani Sihaloho, Am.Keb 198910212017042006 √ 3/4/2021 √ 7/6/2021 √ 10/22/2021
22 Diana Pisesa, Am.Keb 198508202017042005 √ 3/2/2021 √ 9/7/2021 √ 10/22/2021
23 Siti Lannur Harahap, Am.Keb 198408062017042010 √ 3/2/2021 √ 4/1/2021 √ 9/3/2021
24 Derliana Siregar, Am.Keb 198201082017042007 √ 3/2/2021 √ 9/7/2021 √ 10/22/2021
1 Junita Sari Siregar THL √ 2/10/2021 √ 2/24/2021 √ 11/9/2021

2 Toibah Siregar THL √ 5/28/2021 √ 6/25/2021 √ 12/6/2021
3 Desniarti Daulay THL √ 10/22/2021 √ 11/29/2021 - - Belum bisa vaksin 3
4 Ahmad Junaidi Harahap THL √ 2/10/2021 √ 2/24/2021 √ 9/6/2021
5 Sori Tua Khalid Siregar THL √ 7/8/2021 √ 8/16/2021 √ 2/16/2022
6 Henny Rozidah Harahap THL √ 2/10/2021 √ 2/24/2021 √ 11/9/2021
7 Putri Henti Harahap THL √ 5/28/2021 √ 3/2/2021 √ 10/22/2021
8 Listi Aryani Harahap THL √ 2/10/2021 √ 3/2/2021 √ 10/22/2021
9 Irma Sahriani Siregar THL √ 2/2/2021 √ 10/9/2021 √ 12/6/2021
10 Khairunnisa Parapat THL √ 2/10/2021 √ 2/24/2021 √ 9/8/2021
11 Muhammar Khadapi THL √ 2/10/2021 √ 2/24/2021 √ 9/8/2021
12 Muslim Andi Harahap THL √ 2/10/2021 √ 2/24/2021 √ 9/3/2021
13 Erliani Daulay THL √ 2/16/2021 √ 3/2/2021 √ 10/22/2021
14 Elli Yannum Siregar THL √ 2/10/2021 √ 2/24/2021 √ 1/12/2022
1 Sri Wahyuni TKS √ 2/16/2021 √ 3/2/2021 √ 10/29/2021

2 Ulfa Maspupah Parapat TKS √ 9/8/2021 √ 10/7/2021 √ 11/5/2021
3 Erli Diani Harahap TKS √ 6/30/2021 √ 9/6/2021 √ 12/18/2021
4 Arnida Mayanti Dalimunthe TKS √ 2/16/2021 √ 3/4/2021 √ 9/10/2021
5 Melpa Ariani TKS √ 5/28/2021 √ 6/25/2021 √ 12/6/2021
Keterangan : KEPALA PUSKESMAS NAGASARIBU

PNS THL TKS
V3 : 23 Orang V3 : 13 Orang V3 : 5 Orang Sahari Bulan Harahap, S.Tr.Keb
196612311990032000
UPTD PUSKESMAS SIUNGGAM
VAKSIN
1 drg. Firly Oktariani 198010092010012025 √ 2/10/2021 √ 2/24/2021 √ 10/29/2021
2 dr. Adi Azwan Harahap 198601282017041001 √ 2/4/2021 √ 2/18/2021 √ 9/21/2021
3 dr.Yuni Astuti Lubis 198101022009072001 √ 2/16/2021 √ 3/2/2021 √ 9/21/2021
4 Lilis Handayani, SKM 198506282009042004 √ 2/10/2021 √ 2/24/2021 √ 10/29/2021
5 Nikmat Rambe Am. Keb 198008252008012003 √ 2/10/2021 √ 2/24/2021 √ 11/2/2021
6 Asminawati Harahap, Amd 198504252009042007 √ 2/16/2021 √ 3/2/2021 √ 9/3/2021
7 Yenni Susanti Daulay, Am.Keb 198611222009042003 √ 2/10/2021 √ 2/24/2021 √ 10/29/2021
8 Sri Anda Rezeki Am.Keb 197607052008012007 √ 2/10/2021 √ 2/24/2021 √ 9/21/2021
9 A.Rusdy Harahap, Am.Kep 198510112010011009 √ 2/10/2021 √ 2/24/2021 √ 9/9/2021
10 Murni Damanik, S.Tr.Keb 197404212007012004 √ 2/16/2021 √ 3/2/2021 √ 10/29/2021
11 Putri Dahlena Nasution, SKM 198907262020012003 √ 2/10/2021 √ 2/24/2021 √ 9/7/2021
12 Mastika Sari Siregar, Am.Kep 198004042014072002 √ 3/2/2021 √ 3/16/2021 √ 9/21/2021
13 Masriani Lubis, Am.Keb 198812292017042004 √ 2/16/2021 √ 3/2/2021 √ 10/29/2021
14 Atri Juita Simamora, Am.Keb 198907032017042004 √ 2/16/2021 √ 3/2/2021 √ 11/2/2021
15 Rohima, Am.Keb 198106162017042003 √ 2/10/2021 √ 2/24/2021 √ 9/3/2021
16 Herlina Silitonga, Am.Keb 198512012017042009 √ 2/10/2021 √ 2/24/2021 √ 9/3/2021
17 Melfrida Pasaribu, Am.Keb 198502102017042010 √ 2/10/2021 √ 2/24/2021 √ 11/24/2021
18 Seri Wahyuni, Am.Keb 198703252017042007 √ 3/2/2021 √ 3/16/2021 √ 9/13/2021
19 Hasyuna Sari Siregar, Am.Keb 198701202017042007 √ 6/18/2021 √ 7/19/2021 √ 10/29/2021
20 Suriani Sinaga, Am.Keb 198408212017042006 √ 2/24/2021 √ 3/10/2021 √ 9/8/2021
21 Nurmaida Ito Harahap, Am.Keb 197705042019052002 √ 2/10/2021 √ 2/24/2021 √ 10/29/2021
22 Surti Handayani, Am.Keb 198103242019052003 √ 3/2/2021 √ 3/16/2021 √ 9/8/2021
1 dr. Putri Ariani Siregar THL √ 6/18/2021 √ 7/21/2021 √ 10/29/2021

2 Indah Permatasari Dlt, SKM THL √ 6/15/2021 √ 7/21/2021 √ 11/2/2021
3 Rosiana Siregar, SKM THL √ 3/2/2021 √ 3/16/2021 √ 11/2/2021
4 Siti Mewah Hasibuan, SKM THL √ 2/10/2021 √ 2/24/2021 √ 10/29/2021
5 Povi Anggraini THL √ 2/24/2021 √ 3/10/2021 √ 2/25/2022
6 Hetti Mardiyah Siregar , Am.Keb THL √ 2/10/2021 √ 2/24/2021 √ 10/29/2021
7 Nurkholijah Rambe, Am.Keb THL √ 2/11/2021 √ 2/26/2021 √ 9/21/2021
8 Memi Khairani Hsb.Am.Keb THL √ 2/16/2021 √ 3/2/2021 √ 11/3/2021
9 Dedi Fadly Harahap, A.M.K THL √ 2/10/2021 √ 2/24/2021 √ 9/3/2021
10 Hadatuon Siregar THL √ 2/10/2021 √ 2/24/2021 √ 11/2/2021
1 Denni Dawati Daulay TKS √ 2/10/2021 √ 2/24/2021 √ 11/2/2021

2 Tika Sepriani Siregar TKS √ 6/18/2021 √ 7/21/2021 √ 10/29/2021
3 Holija Pulungan TKS √ 2/10/2021 √ 2/24/2021 √ 11/2/2021
4 Efrida Harahap TKS √ 2/16/2021 √ 6/15/2021 √ 9/7/2021 Kartu Belum Keluar
5 Erindah Mustika Daulay TKS √ 2/16/2021 √ 3/2/2021 √ 9/7/2021
Keterangan : KEPALA PUSKESMAS SIUNGGAM

PNS THL TKS
drg. Firly Oktariani
198010092010012000
UNIT KERJA UPTD PUSKESMAS KOSIK PUTIH
VAKSIN
1 Amir Hamzah S. Siregar, S.Kep 199006102014021001 √ 2/10/2021 √ 2/24/2021 √ 2/20/2022
2 Dr.Ilham Dahari Lubis 189008172014121001 √ 2/17/2021 √ 3/3/2021 √ 9/3/2021
3 Fera Natalia Sembiring, SKM 189412232010012008 √ 2/10/2021 √ 2/24/2021 √ 9/7/2021
4 Maria Devina Tampubolon, S.Kep 199008072014022001 √ 2/10/2021 √ 2/24/2021 √ 9/10/2021
5 Bavona Febriani Pasaribu , Am. Kep 198702072014022005 √ 2/18/2021 √ 3/4/2021 √ 9/22/2021
6 Inayah Dalimunthe S. Farm, Apt 198708082020012002 √ 9/22/2021 √ 10/28/2021 Belum bisa vaksin 3
7 Feriyani, AM. Keb 198511212017042007 √ 2/10/2021 √ 2/24/2021 √ 9/6/2021
8 Vera Idayanti, AM. Keb 198509102017042009 √ 2/10/2021 √ 2/24/2021 √ 10/7/2021
9 Mesridah, Amd 198105152019052002 √ 2/10/2021 √ 2/24/2021 √ 9/7/2021
1 Nur Azizah zein Lubis, S.Tr.Gz √ 5/28/2021 √ 7/1/2021 √ 9/29/2021

2 Uci Wulandari, A.Md. AK √ 5/28/2021 √ 7/1/2021 √ 9/29/2021
3 Linda Hariyanti Harahap, SKM √ 12/22/2021 √ 1/25/2022 Belum bisa vaksin 3
4 Winda puspita Sari, S.Kep , Ns √ 2/17/2021 √ 3/3/2021 √ 9/22/2021
5 Jesica Siahaan, SE √ 2/10/2021 √ 2/24/2021 √ 10/7/2021
6 Saidah, Spd √ 5/28/2021 √ 7/1/2021 Tidak ada keterangan
7 Arni Ernila sari Siregar, AM. Keb √ 12/23/2021 Tidak ada keterangan
8 Hermawati Tanjug, AM. Keb √ 2/10/2021 √ 2/24/2021 √ 9/6/2021
9 Nurkumalasari, Amd √ 2/17/2021 √ 3/3/2021 √ 9/29/2021
Keterangan :
PNS THL KEPALA PUSKESMAS KOSIK PUTIH
V1 : 9 Orang V1 : 4 Orang
Amir Hamzah S. Siregar, S.Kep
TKS NS 199006102014021000
V1. 3 Orang V1. 2 Orang
v2. 2 orang V2. 2 0rang
V3.2 0rang V3. 2 0rang
OSIK PUTIH
UNIT KERJA HUTAIMBARU
VAKSIN
1 Yusna Sari Harahap 19800905 201001 2 028 √ 2/11/2021 √ 2/25/2021 √ 11/1/2021
2 drg.Runi Syahriani 19870326 201412 2 002 √ 2/15/2021 √ 3/1/2021 √ 9/20/2021
3 dr. Mulai Oloan Nauly Harahap 198909292019031008 √ 2/11/2021 √ 2/25/2021 √ 1/26/2022
4 Mila Heriani Harahap 19780218 199803 2 002 AUTOIMUN
5 Hotnida Sari Siregar 19720719 199203 2 001 √ 3/1/2021 √ 3/15/2021 √ 9/3/2021
6 Rohima Harahap 19800509 200801 2 006 √ 9/18/2021 √ 10/28/2021 BELUM VAKSIN
7 Lenni Sartika Siregar 19800513 200801 2 003 √ 12/22/2021 √ 2/19/2022 BELUM VAKSIN
8 Efirianti Harahap 19880628 201001 2 014 √ 7/21/2021 √ 9/2/2021 BELUM VAKSIN
9 Ade Maulana Durahman Siregar 19900621 201101 2 002 √ 11/6/2021 √ 12/4/2021 BELUM VAKSIN
10 Nurlina Hasibuan 19811006 200801 2 004 √ 7/9/2021 √ 9/1/2021 BELUM VAKSIN
11 Tursinawati 19711021 200701 2 001 √ 2/11/2021 √ 1/25/2021 √ 9/22/2021
12 Lasma Duma Pasaribu 19740511 200701 2 001 √ 2/10/2021 √ 2/24/2021 √ 9/22/2021
13 Suryanita Harahap 19751115 200801 2 002 √ 2/17/2021 √ 3/3/2021 BELUM VAKSIN
14 Tukmaida K.S Siregar 19800801 200701 2 002 √ 2/10/2021 √ 3/3/2021 √ 11/1/2021
15 Hotmaita Harahap 19790310 201407 2 002 √ 2/10/2021 √ 2/24/2021 √ 11/1/2021
16 Nova Erpi Iska Situmorang 19910405 201903 2 025 √ 2/10/2021 √ 2/24/2021 √ 9/3/2021
17 Hairani Harahap 19880517 201507 2 001 √ 2/17/2021 √ 3/3/2021 BELUM VAKSIN
18 Marina 19710917 199303 2 002 √ 2/10/2021 √ 3/3/2021 √ 11/1/2021
19 Lina Efriska 19940323 201903 2 009 √ 10/19/2021 √ 11/17/2021 BELUM VAKSIN
20 Asni Damayanti Harahap 19950519 201903 2 017 √ 2/11/2021 √ 2/25/2021 BELUM VAKSIN
21 Ita Yusriani Harahap 19960423 201903 2 007 √ 2/10/2021 √ 2/24/2021 √ 9/20/2021
22 Nona Sari Harahap 19890207 201704 2 002 √ 2/10/2021 √ 2/25/2021 √ 11/1/2021
23 Tri Widiastuti 19881027 201704 2 001 √ 2/11/2021 √ 2/25/2021 √ 9/10/2021
1 dr. Linni Rimaya Harahap THL √ 2/15/2021 √ 3/1/2021 √ 11/1/2021

2 Susi Susanti Harahap THL √ 2/15/2021 √ 3/1/2021 BELUM VAKSIN
3 Nuropida Yani THL √ 2/11/2021 √ 2/25/2021 √ 11/1/2021
4 Ranto Madi Harahap THL √ 2/11/2021 √ 3/1/2021 √ 12/4/2021
5 Adelia Fitri Harahap THL √ 2/15/2021 √ 3/1/2021 √ 11/1/2021
6 Nuradawiyah Siregar THL √ 10/4/2021 √ 11/1/2021 BELUM VAKSIN
7 Irpan Soleman Nasution THL √ 2/11/2021 √ 2/25/2021 √ 9/6/2021
8 Gurda Gunawan Siregar THL √ 2/11/2021 √ 2/25/2021 √ 11/1/2021
9 Siti Madina Hasibuan THL √ 2/10/2021 √ 3/3/2021 √ 9/22/2021
10 Yulia Erianti Harahap THL √ 2/11/2021 √ 2/25/2021 √ 1/26/2022
11 Dahriani Siregar THL √ 2/11/2021 √ 2/25/2021 √ 2/19/2022
Keterangan : KEPALA PUSKESMAS HUTAIMBARU

PNS THL
V3 : 13 Orang V3 : 9 Orang Yusna Sari Harahap
19800905 201001 2 028
HUTAIMBARU
UNIT KERJA PUSKESMAS PASAR MATANGGOR
VAKSIN
1 Fitri Rikiah Matondang,S.Kep 19860608 200904 2 009 √ 11/02/2021 √ 25/02/2021 √ 09/09/2021
2 Sian Tumanggor, AM.Keb 19701125199309 2 001 √ 3/5/2021 √ 3/19/2021 √ 9/10/2021
3 Leli Asni 19640819 198601 2 002 √ 3/5/2021 √ 3/19/2021 Tanpa Keterangan
4 Darwisah Hasibuan,S.Fam 19841228 200904 2 007 √ 3/16/2021 √ 3/30/2021 Tanpa Keterangan
5 drg. Linni Adelima Siregar 19861001 201412 2 001 √ 3/5/2021 √ 3/19/2021 √ 9/6/2021
6 Lenni Firdawati, Am.Kep 19800205 200312 2 007 √ 3/5/2021 √ 3/19/2021 √ 9/7/2021
7 Helmidayanti, Am.Keb 19790325 200801 2 004 √ 10/8/2021 √ 11/5/2021 √ 1/5/2022
8 Sri Anna Siregar, Am.Keb 19810905 200604 2 032 √ 11/02/2021 √ 25/02/2021 √ 20/09/2021
9 Elpi Dayanti Ritonga, Am.Keb 19761120 200801 2003 √ 3/16/2021 √ 3/30/2021 √ 10/25/2021
10 Minarti Siregar, Am.Keb 19851130 200904 2 007 √ 05/03/2021 √ 3/19/2021 √ 9/6/2021
11 dr. Dedy Iswandi Pardede 19920125 201903 1 005 √ 3/1/2021 √ 3/16/2021 √ 9/9/2021
12 Yeza Cahyana, Am.Keb 19780222 201001 2 015 √ 3/17/2021 √ 3/31/2021 √ 9/6/2021
13 Ade Martini Nasution, S.Kep 19841017 201001 2 024 √ 3/5/2021 √ 3/19/2021 √ 9/20/2021
14 Siti Akbari, Am.Keb 19740511 200701 2 002 √ 3/1/2021 √ 3/16/2021 √ 9/9/2021
15 Ermaida Lubis, AMKG 19821206 201001 2 024 √ 2/11/2021 √ 2/25/2021 √ 9/7/2021
16 Nur Saemah ,S.Kep.Ners 19780114 201101 0 202 √ 3/16/2021 √ 3/30/2021 √ 9/6/2021
17 Mardina Sagala, STr.Keb 19880322 201101 2004 √ 05/11/2021 √ 08/12/2021 Tanpa Keterangan
18 Derhani, SKM 19790915 2001101 2004 √ 3/16/2021 √ 3/30/2021 √ 9/6/2021
19 Ade Yusrabia 19771225 200801 2002 √ 6/25/2021 √ 7/29/2021 √ 10/8/2021
20 Dewi Sartika, Am.Keb 19770711 201101 2 002 √ 5/28/2021 √ 6/25/2021 √ 9/29/2021
21 Riska Yaniti Siregar, Am.Kep 19800519 200801 2002 √ 12/14/2021 √ 1/12/2022 Belum bisa vaksin 3
22 Yanriva 19750106 200801 1 002 √ 3/5/2021 √ 3/19/2021 √ 9/9/2021
23 Yati 19800519 200801 2 002 √ 12/20/2021 √ 1/17/2022 Belum bisa vaksin 3
24 Hairani Simatupang 19750817 200801 2001 √ 5/28/2021 √ 6/25/2021 √ 9/23/2021
25 Putri Handayani Siregar, S.Kep,Ns 19940518 2019 032025 √ 7/1/2021 √ 9/7/2021 Tanpa Keterangan
26 Erfida Hannum Pulungan 19780211 200801 2008 √ 2/11/2021 √ 2/25/2021 √ 9/7/2021
27 Gustina Hasibuan,A.Md.Farm 19910828 201903 2001 √ 3/16/2021 √ 3/30/2021 √ 9/6/2021
28 Lidyawati, AM.Keb 19720328 200701 2 001 √ 2/10/2021 √ 25-02-2021 √ 9/6/2021
29 Rosni Khairani 19781107 201905 2 002 √ 3/5/2021 √ 3/19/2021 √ 9/20/2021
30 Rosmawati Hutagaol 19820116 201704 2 002 √ 22/02/2021 √ 08/03/2021 √ 20/09/2021
31 Sumartini 19830724 201704 2 006 √ 2/14/2021 √ 3/1/2021 √ 9/3/2021
32 Ermina Daulay 19750728 201905 2 001 √ 3/1/2021 √ 3/16/2021 √ 9/3/2021
33 Sapriani Samosir 19800115 201805 2 001 √ 2/14/2021 √ 3/1/2021 √ 9/9/2021
34 Nurbaity 19850512 201704 2 013 √ 9/28/2021 √ 11/8/2021 Belum bisa vaksin 3
35 Pauziah Hariani 19820725 201704 2 002 √ 3/3/2021 √ 3/17/2021 √ 9/3/2021
36 Yunita Siregar 19860712 201704 2 008 √ 3/18/2021 √ 4/15/2021 √ 9/6/2021
37 Yusdarni Sitorus 19850626 201704 2 012 √ 2/14/2021 √ 3/1/2021 √ 9/6/2021
38 Jernih Miliati Siregar 19850626 201704 2 012 √ 2/11/2021 √ 2/25/2021 √ 9/6/2021
39 Rosmalini 19760926 201905 2 001 √ 3/3/2021 √ 3/17/2021 √ 9/20/2021
40 Reni Nurhasni 19770222 201905 2 001 √ 3/16/2021 √ 3/30/2021 √ 9/9/2021
41 Fifin Felania Sipayung 19840325 201704 2 007 √ 3/16/2021 √ 3/30/2021 √ 9/9/2021
42 Asnita Ritonga 19851029 201704 2 007 √ 05/03/2021 √ 19/03/2021 √ 05/11/2021
43 Rini Aisyah Hasibuan 19870526 201704 2 007 √ 2/11/2021 √ 2/25/2021 √ 9/9/2021
44 Yusnijar Hasibuan 19860801 201704 2 002 √ 2/14/2021 √ 3/1/2021 √ 9/3/2021
45 Dessy Isnaini Lubis 19861222 201704 2 006 √ 2/11/2021 √ 2/25/2021 Tanpa Keterangan
46 Maimunah Harahap 19791107 201905 2 003 √ 11/02/2021 √ 25/02/2021 √ 09/09/2021
47 Pratiwi H Siregar 19870525 201704 2 007 √ 3/1/2021 √ 3/16/2021 √ 9/9/2021
48 Evi Pratiwi Harahap 19881012 201704 2 004 √ 2/14/2021 √ 3/1/2021 √ 10/25/2021
49 Susy Tri Wahyuni Srg 19791116 201905 2 002 √ 2/11/2021 √ 2/25/2021 √ 10/25/2021
50 Meilinda Suzannah 19850517 201704 2 011 √ 2/11/2021 √ 2/25/2021 √ 9/3/2021
51 Cindi Agustina Nasution 19870817 201704 2 009 √ 2/11/2021 √ 2/25/2021 √ 9/9/2021
52 Nelli Harahap 19840607 201704 2 005 √ 11/02/2021 √ 25/02/2021 √ 09/09/2021
53 Lenni Mariana Siagian 19810207 201905 2 002 √ 3/5/2021 √ 3/19/2021 √ 9/9/2021
54 Sukma Yani 19880512 201704 2 008 √ 9/24/2021 √ 1/5/2022 Belum bisa vaksin 3
55 Khotimatul Wiladah 19890830 201704 2 002 √ 2/11/2021 √ 2/25/2021 √ 9/3/2021
56 Novri Juita Sari Pasaribu 19861008 201704 2 010 √ 2/14/2021 √ 3/14/2021 √ 9/3/2021
57 Wahida Hasibuan 19880102 201704 2 004 √ 3/3/2021 √ 3/17/2021 √ 9/6/2021
58 Mei Safitri Nasution 19880516 201704 2 008 √ 9/24/2021 Tanpa Keterangan
1 Nurma Sari Harahap, SKM THL √ 3/1/2021 √ 3/16/2021 √ 9/24/2021
2 Asmia Irawan Siregar, S.Ak THL √ 24/03/2021 √ 22/04/2021 √ 25/10/2021
3 Surtina Harahap THL √ 2/11/2021 √ 2/25/2021 √ 9/9/2021
4 Ramliatan Safari Pohan THL √ 3/16/2021 √ 3/30/2021 √ 9/9/2021
5 Syari Yani Rambe, AM.Keb THL √ 3/1/2021 √ 3/16/2021 √ 9/24/2021
6 Riski Wahyuni Siregar, SKM THL √ 3/3/2021 √ 3/17/2021 Tanpa Keterangan
7 Rahmi Romaito Hasibuan THL √ 9/24/2021 √ 11/4/2021 Belum bisa vaksin 3
1 Hairani Siregar, AM.Keb TKS √ 3/1/2021 √ 3/16/2021 √ 9/24/2021

2 Risna Elmiah Harahap TKS √ 9/24/2021 √ 11/4/2021
3 Eka Yuliani Harahap TKS √ 24/03/2021 √ 22/04/2021 √ 09/09/2021
4 Yuhani Siregar TKS √ 9/24/2021
5 Ade Riski Harahap TKS √ 9/24/2021 √ 12/8/2021 Belum bisa vaksin 3
Keterangan : KEPALA PUSKESMAS PASAR MATANGGOR

PNS : 58 Orang THL : 7 Orang
V3 : 48 Orang V3 : 5 Orang Fitri Rikiah Matondang,S.Kep
19860608 200904 2 009
TKS : 5 Orang
V1 : 5 Orang
V2 : 4 Orang
V3 : 2 Orang
DAFTAR VAKSINASI PNS DAN THL VAKSINASI
PUSKESMAS PORTIBI
NIP VAKSIN
NO NAMA KETERANGAN
1 TGL. VAKSIN 2 TGL.VAKSIN III TGL. VAKSIN
1 YUSNITA RAMADONNA HARAHAP, SKM 198306122010012030 √ 2/10/2021 √ 2/24/2021 √ 10/27/2022
2 dr. DELVI SYAMRI RANGKUTI 198512292011012010 √ 2/18/2021 √ 3/5/2021 √ 9/8/2021
3 JULIANTI SIREGAR, AMKeb 197011081992032003 √ 2/10/2021 √ 2/24/2021 √ 9/9/2021
4 JUNIDAR HARAHAP '197306061993032004 √ 2/10/2021 √ 2/24/2021 √ 9/23/2021
5 MASPURI SIREGAR, AMKep 197711252002122000 √ 2/10/2021 √ 2/24/2021 √ 9/23/2021
6 AMIR SIRGAR , Skep 197804072007011004 √ 2/10/2021 √ 2/24/2021 √ 9/23/2021
7 ANNY KHOLILA HASIBUAN AMKeb 198306112005022002 √ 2/10/2021 √ 2/24/2021 √ 9/10/2021
8 drg. CUT EKA PUTRI 198006272014122001 √ 2/10/2021 √ 2/24/2021 √ 9/9/2009
9 DESI ARIANI HARAHAP AMKeb 198212292009042005 √ 2/10/2021 √ 2/25/2021 √ 9/9/2021
10 EVNI FAIZAH AMKep 197612082008012002 √ 2/10/2021 √ 2/24/2021 √ 9/13/2021
11 HASNA HANUM SIREGAR, Amf 198112212006042014 √ 2/10/2021 √ 2/24/2021 √ 9/23/2021
12 HERNI SARPINA LUBIS, Skep 198012292008012003 √ 2/11/2021 √ 2/25/2021 √ 9/23/2021
13 IRMA WATI SIREGAR, AMKep 197909102007012004 √ 2/11/2021 √ 2/25/2021 √ 9/9/2021
14 JUMIATI ISWANINGSIH A.Mak 198108102006042008 √ 2/15/2021 √ 3/1/2021 √ 9/23/2021
15 MARATUA LUBIS, AMKep 198006072007011003 √ 2/11/2021 √ 2/25/2021 √ 05/11/02021
16 NURMALENI SIREGAR, AMKeb 198205052005022003 √ 2/10/2021 √ 2/24/2021 √ 9/3/2021
17 TIAMIDAR, AMKeb 197805152006042020 √ 9/30/2021 √ 11/9/2021 √ 12/22/2021
18 MARIA OCTAVIA SINAGA, Am.Kep 19840314 2010012032 √ 2/10/2021 √ 2/25/2021 √ 10/27/2021
19 dr. S. SHELLY HAZLINA '198503072015032000 √ 4/6/2021 √ 4/28/2021 √ 12/22/2021
20 dr. ABDUL HALIM HARAHAP 199007202019031012 √ 1/16/2021 √ 2/9/2021 √ 8/5/2021
21 dr. JULIANA SIREGAR 19820529 2017042003 √ 9/29/2021 √ 11/11/2021 √ 12/9/2021
22 AFNIDA SARAGIH, AMKep 197703202011012002 √ 2/10/2021 √ 2/24/2021 √ 9/24/2022
23 EFRIDAYANI PULUNGAN, AMKeb 198705052010012038 √ 2/15/2021 √ 3/1/2021 √ 9/6/2021
24 ENNI INDRANI HARAHAP, AMKeb 197902242005022002 √ 2/10/2021 √ 2/24/2021 √ 9/9/2021
25 HENNI SURYANI Hsb, AMKg 198104292005022002 √ 10/4/2021 √ 11/9/2021 BLM DAPAT TANGGAL
26 IRA AHMITA POHAN, AMKep 198609272010012034 √ 2/10/2021 √ 2/24/2021 √ 9/13/2022
27 JAKARIA AMKep 197706122010011025 √ 2/10/2021 √ 2/24/2021 √ 9/7/2022
28 LANSRI MURNI POHAN, AMKeb 198310102010012039 √ 2/10/2021 √ 2/24/2021 √ 9/3/2021
29 MASRIA HARAHAP, AMKEb 197911072010012025 √ 2/10/2021 √ 2/24/2021 √ 10/27/2022
30 MAWAR ARMYNA BETHARIA HRP 198812132011012006 √ 2/10/2021 √ 2/25/2021 √ 9/3/2021
31 NASOAN AMIN HARAHAP SKM 198104212006041018 √ 2/11/2021 √ 2/25/2021 √ 10/27/2021
32 NURHAYANI AMKep 198105302011012003 √ 2/10/2021 √ 2/24/2021 √ 9/13/2021
33 NURIMAN SIREGAR, AMKeb 198312112010012027 √ 2/10/2021 √ 2/24/2021 √ 9/3/2021
34 PUJIATI HARAHAP, AMKeb 198708222010012024 √ 2/11/2021 √ 3/22/2021 √ 9/9/2021
35 SERI YANTIKA, AMKep 198202032010012025 √ 2/15/2021 √ 3/5/2021 √ 9/20/2021
36 SRI WAHYUNI, AMKep 197808102010012025 √ 2/10/2021 √ 2/24/2021 √ 9/20/2021
37 HENDRA HALOMOAN NASUTION, Skep 198608242011011002 √ 2/11/2021 √ 2/25/2021 √ 11/5/2021
38 MERI WATI SIRGAR 197406092007012003 √ 2/11/2022 √ 2/25/2022 √ 9/8/2022
39 NILA SARI SIREGAR, SKM 199107312019032023 √ 10/7/2021 √ 11/6/2021 BLM DAPAT TANGGAL
40 PAHRANI CAESAR, AMKep 198106302011012002 √ 2/11/2022 √ 2/25/2022 √ 9/8/2022
41 RODYAH BR HARAHAP, AMKep 198309212011012005 √ 2/11/2021 √ 2/26/2021 √ 9/6/2022
42 SALMA DIANA, AMKeb 197210162006042007 √ 2/10/2021 √ 2/24/2021 √ 9/23/2021
43 SARTIKA NINA NOVITA RITONGA, Skep.NS199207282019032023 √ 2/18/2021 √ 3/5/2021 √ 9/23/2021
44 TIA ROPA SARI SIREGAR, AMKeb 198908092011012003 - - - TANPA KETERANGAN
45 ANITA TANJUNG, AMKeb 198602282017042012 √ 2/18/2021 √ 3/5/2021 √ 9/13/2021
46 ANNI JUNI SAIDAH, AMKeb 198206292017042002 √ 2/10/2021 √ 2/25/2021 √ 11/5/2021
47 DANIATI HARAHAP, AMKeb 198710102017042010 √ 2/10/2021 √ 2/24/2021 √ 9/9/2021
48 DESI RATNA SARI, AMKeb 198901182017042004 √ 2/11/2021 √ 3/11/2021 √ 9/9/2021
49 EFRIDAWATI SIREGAR, AMKeb 198804012017042008 √ 9/15/2021 √ 10/28/2021 Vaksin 1 dan 2 Moderna
50 EKA PERTIWI HASIBUAN, A.MD.FARM 199005232019032018 √ 2/11/2021 √ 2/25/2021 √ 9/23/2021
51 ELI FITRI ANI, AMKeb 198512232017042010 √ 2/18/2021 √ 3/5/2021 √ 9/8/2021
52 ELLYANA, AMKeb 198609162017042005 √ 2/18/2021 √ 3/5/2021 √ 9/8/2021
53 ERNI SABRIDA HARAHAP, AMKeb 198608282017042003 √ 9/15/2021 √ 10/28/2021 Vaksin 1 dan 2 Moderna
54 GABENA HARAHAP, AMKeb 198802072017042006 √ 2/19/2021 √ 3/5/2021 √ 11/28/2021
55 GALU HAPIPA 198709132017042004 √ 2/11/2021 √ 2/25/2021 √ 10/5/2021
56 HAPSAH WIDAWIYAH SIREGAR, A.MD.GZ199509172019032004 √ 2/19/2021 √ 3/5/2021 √ 11/5/2021
57 ISMAYANI HARAHAP, AMKeb 197908022019052001 √ 2/10/2021 √ 2/24/2021 √ 10/27/2021
58 JENNIATI, AMKeb 198807172017042007 √ 2/11/2022 √ 2/25/2022 √ 9/8/2022
59 JULIANI, AMKeb 198507112017042005 √ 2/15/2021 √ 2/28/2021 √ 11/5/2021
60 JULIANTI HARAHAP, AMKeb 198103052019052001 √ 2/10/2021 √ 2/24/2021 √ 9/9/2021
61 JUNIATI SIREGAR, AMKeb 198407012017042012 √ 7/2/2021 √ 8/18/2021 √ 11/18/2021
62 KARLINA PRATIWI, AMKeb 198808092017042004 √ 2/10/2021 √ 2/28/2021 √ 9/7/2021
63 LANNIARI HARAHAP, AMKeb 198510012017042008 √ 11/5/2021 √ 12/3/2021 BLM DAPAT TANGGAL
64 LINA ROSITA HASIBUAN, AMKeb 198501312017042009 √ 11/29/2021 √ 27/12/20211 BLM DAPAT TANGGAL
65 MASKHOLIJAH, AMKeb 198705152017042008 √ 2/18/2021 √ 3/5/2021 √ 9/9/2021
66 MASNIZAR, AMKeb 197704012019052001 √ 2/10/2021 √ 2/24/2021 √ 10/27/2021
67 MELLI YANA, AMKG 199411252019032010 √ 2/10/2021 √ 2/24/2021 PARTUS
68 NORLENI SIANIPAR, AMKeb 198503212017042014 √ 2/10/2021 √ 2/25/2021 √ 9/10/2021
69 NUR GABENA HARAHAP, AMKeb 198011082019052003 √ 2/15/2021 √ 3/1/2021 √ 9/9/2021
70 NURAINI SIRAIT, AMKeb 198108242017042003 √ 2/10/2021 √ 2/24/2021 √ 9/3/2021
71 NURGAHARA AMKeb 197803312019052003 √ 2/10/2021 √ 2/25/2021 √ 9/13/2021
72 NURHAWANI Hrp, AMKeb 198505052017042014 √ 2/18/2021 √ 3/5/2021 √ 2/15/2022
73 NURJAMIA HARAHAP, AMKeb 198203172017042002 √ 2/10/2021 √ 2/25/2021 √ 9/9/2021
74 NURMALA SARI HUTASUHUT, AMKeb 198109132017042001 √ 2/18/2021 √ 3/5/2021 √ 9/9/2021
75 RENI WIRAWATI, AMKeb 198610302017042009 √ 2/10/2021 √ 2/24/2021 √ 9/7/2021
76 RINA NURMAISAROH, AMKeb 198605232017042006 √ 2/11/2021 √ 2/25/2021 PARTUS
77 ROBIANNA SIREGAR, AMKeb 198911072017042007 √ 2/10/2021 √ 2/25/2021 PARTUS
78 ROLINA GULTOM, AMKeb 198312252017042009 √ 2/11/2021 √ 2/25/2021 √ 9/3/2021
79 SITI HERLINA HARAHAP, AMKeb 198404192017042007 √ 2/10/2021 √ 2/25/2021 √ 9/3/2021
80 SRI AGUSTINA, AMKeb 198708282017042008 √ 2/15/2021 √ 3/1/2021 √ 9/7/2021
81 SURATIK, AMKeb 197409292019052001 √ 9/15/2021 √ 12/22/2021 vaksin 1 dan 2 moderna
82 TINA AKHIRANI Hrp, AMKeb 198411282017042009 √ 10/28/2021 √ 11/25/2021 BELUM DAPAT TANGGAL
83 UMMI AMINAH, AMKeb 198807212017042006 √ 2/15/2021 √ 3/1/2021 √ 10/27/2021
84 YANTI LINDAWATI T, AMKeb 198308312017042003 √ 2/11/2021 √ 2/25/2021 √ 9/3/2021
85 EEN HANDAYANI HARAHAP, AMKeb 198603032017042012 √ 9/13/2021 √ 11/5/2021 BELUM DAPAT TANGGAL
86 CARLES SIREGAR 196712312007011536 √ 2/10/2021 √ 2/24/2021 √ 9/24/2021
1 dr. JULIANI HARAHAP THL √ 2/10/2021 √ 2/26/2021 √ 9/10/2021

2 dr. AGUSTINA SARI HRP THL √ 9/8/2021 √ 12/8/2021 BELUM DAPAT TANGGAL
3 RAUSIN HARAHAP,SE THL √ 2/11/2021 √ 2/25/2021 √ 10/27/2021
4 ADE ERIDA SIREGAR, SKM THL √ 2/10/2021 √ 2/24/2021 √ 9/23/2021
5 NOVITA SARI HASIBUAN,SKM THL √ 2/11/2021 √ 2/25/2021 √ 10/28/2021
6 ISRONIATI, Am.Kep THL √ 2/11/2021 √ 2/25/2021 √ 9/23/2021
7 HILDA FEBRIANI RAMBE, Am.Keb THL √ 6/21/2021 √ 7/30/2021 HAMIL
8 SITI MASNAMORA HARAHAP, Am.Keb THL √ 2/18/2021 √ 3/5/2021 √ 11/30/2021
9 RAFIKA DEWI SIREGAR THL √ 2/10/2021 √ 2/24/2021 √ 9/23/2021
10 NOVITA MAWARNI, Am.Keb THL √ 2/18/2021 √ 3/5/2021 √ 9/21/2021
11 ALEX SHANDER TANJUNG THL √ 2/11/2021 √ 2/25/2021 √ 10/27/2021
1 WINDA PERMATASARI TKS √ 2/11/2021 √ 2/25/2021 √ 9/6/2021

2 DEVIANA SARI TKS √ 2/10/2021 √ 2/24/2021 √ 9/23/2021
3 HANIFA HUTAGALUNG TKS √ 2/10/2021 √ 2/24/2021 Hamil
4 PEBRINA PUTRI TKS √ 2/10/2021 √ 2/24/2021 √ 9/8/2021
5 MIJANI TKS √ 2/11/2021 √ 9/8/2021 √ 11/5/2021
Keterangan : Portibi, 25 Februari 2022

PNS THL TKS Kepala UPTD Puskesmas Portibi
V1 : 85 Orang V1 : 11 Orang V1: 5 Orang
Yusnita Ramadonna Harahap, SKM
NIP. 19830612 201001 2 030
UPTD PUSKESMAS RAWAT INAP GUNUNGTUA
VAKSIN
1 dr. Herlina Sonera Batubara 19700517 200312 2 002 √ 12-2-2021 √ 26-02-2021 √ 03-09-2021
2 dr. Hj. Ropiah 19720720 200604 2 009 √ 10-02-2021 √ 24-02-2021 √ 09-09-2021
3 drg. Mildawati 19720202 200604 2 003 √ 10-12-2021 Vaksin 1 Moderna
Hj. Robiatul Adawiyah Ritonga √ 17-02-2021
4 19710712 199103 2 001 Vaksin 1 dan 2 Alergi Vaksin Sinovac
STr. Keb
5 Hj. Rida Wati Sidabalok, SKM 19740103 199303 2001 √ 2/11/2021 √ 2/25/2021 √ 9/22/2021
6 Asri Rawati Siregar, S.Kep, Ners 19740728 200212 2 003 √ 10-02-2021 √ 24-02-2021 √ 06-09-2021
7 Hj.Suriati.SKM 19640217 198402 2 001 √ 31-08-2021 √ 28-09-2021 √ 27-03-2022
8 Ester Siregar, SH 19640917 198503 2 005 √ 18-08-2021 √ 29-09-2021 Vaksin 2 Moderna
9 Roswita 19671001 199103 2 003 √ 12/21/2021 √ 2/10/2022 Belum bisa vaksin 3
10 Latifa Hanum Tanjung, Akzi 19750729 199803 2 001 √ 11-02-2021 √ 25-02-2021 √ 22-09-2021
11 Nurhidayah Ritonga, AM.Ak 19801013 200801 2 004 √ 17-02-2021 √ 08-03-2021 √ 22-07-2021
12 Elpinawati Dasopang 19730401 1995032001 √ 03-03-2021 √ 17-03-2021 √ 22-09-2021
13 Ali Muda Harahap 19640902 198503 1 004 √ 11-02-2021 √ 25-02-2021 √ 10-09-2021
14 Zekson Siregar 19671101 198803 1 001 √ 23-07-2021 √ 22-09-2021 √ 23 Maret 2022
15 Ahnija Nurliani Siregar.AM.Keb 19740916 199603 2 001 Tanpa Keterangan
16 drg. Siti Lathipah N. Pulungan 19861004 201402 2 002 √ 11-02-2021 √ 25-02-2021 √ 08-09-2021
17 Sriyati SKM 19850606 200904 2008 √ 31-05-2021 √ 30-06-2021 √ 29-09-2021
18 Ahmad Adha Siregar, S.Kep 19850826 200904 1 003 √ 11-02-2021 √ 25-02-2021 √ 14-09-2021
19 dr. Laysia Dora 19910831 201903 2 009 √ 18-08-2021 √ 16-09-2021 √ 14-12-2021
20 Salfiana , Am.Kep 19791217 201001 2 021 √ 10-02-2021 √ 26-02-2021 √ 09-09-2021
21 Siti Rodiah, Am.Kep 19771220 200701 2 004 √ 11-02-2021 √ 25-02-2021 √ 08-09-2021
22 Dermawati Harahap, AM.Kep 19790712 200801 2 003 √ 11-02-2021 √ 25-02-2021 √ 06-09-2021
23 Nurhaidah Harahap 19650210 198603 2 003 √ 24-02-2021 √ 10-03-2021 √ 22-09-2021
24 Pertiwi Jaya Siregar, AM.Keb 19811214 200502 2 004 √ 13-02-2021 √ 27-02-2021 √ 15-09-2021
25 Gusnida Syahrina A.M.kep 19870809 201001 2 024 √ 13-02-2021 √ 03-03-2021 √ 09-09-2021
26 Tukmasari Dalimunthe 19820411 201001 2 020 √ 11-02-2021 √ 25-02-2021 √ 10-09-2021
Adelina Andriani Harahap, Am. √ 24-01-2021 √ 23-02-2021 √ 08-09-2021
27 19850401 201101 2 004
Ak
28 Endang Fitriani Harahap, Str.Keb 19860801 201001 2 040 √ 2/11/2021 √ 2/27/2021 √ 9/7/2021
29 Hj. Binah, SKM 19740217 200701 2 002 √ 24-02-2021 √ 10-03-2021 √ 08-09-2021
30 Harpina Harahap, S.Sos 198407082008012001 √ 10-02-2021 √ 24-02-2021 √ 22-09-2021
31 Siti Aisyah Siagian SKM 19881019 201101 2 005 √ 10-02-2021 √ 24-02-2021 √ 06-09-2021
32 Syarifah Mazni, AM.Keb 19731213 200701 2 005 √ 12-02-2021 √ 26-02-2021 √ 14-10-2021
33 Tetty Kurniasih, Am.Keb 19760221 200801 2 001 √ 10-02-2021 √ 24-02-2021 √ 22-09-2021
34 Ganda Friska Siringo –Ringo, Str. 19720215 200701 2 001 √ 2/10/2021 √ 2/24/2021 Vaksin ke-3 (07-09-2021)
35 Lasmarito Siregar, AM.Keb 19800129 200801 2 001 √ 10-02-2021 √ 24-02-2021 √ 03-09-2021
36 Nurhayati, Am.Keb 19720608 200701 2 006 √ 13-02-2021 √ 27-02-2021 √ 29-09-2021
37 Romauli Sitinjak, STR.Keb 19880316 201101 2 002 Tanpa Keterangan
38 Suryani Nasution,SKM 19750421 200604 2 011 √ 11-02-2021 √ 25-02-2021 √ 06-09-2021
39 Erna Julira, Am.Keb 19721031 200701 2 002 Tanpa Keterangan
40 Dahniar Lubis, Am.Keb 19751222 200801 2002 √ 13-02-2021 √ 27-02-2021 √ 06-09-2021
41 Syafni Rani, SKM 19900831 201402 2 004 √ 09-03-2021 √ 23-03-2021 √ 06-09-2021
42 Sumiati , SKM 19770504 200801 2 008 √ 10-02-2021 √ 24-02-2021 √ 24-09-2021
43 Lia Anggita Harahap,S.Kep.Ns 19940727 201903 2 025 √ 11-02-2021 √ 25-02-2021 √ 22-09-2021
44 Yenti Tiurlan ,SKM,Kes 19740815 201407 2 002 Tanpa Keterangan
45 Herlina Marito Rambe A.M.Keb 19870626 201101 2 008 Tanpa Keterangan
46 Sispa Jusmita Sianipar, Am. Farm 19891205 201402 2 003 √ 10-02-2021 √ 24-02-2021 √ 06-09-2021
47 Erlina Hanum Harahap 19790917 201101 2 003 Tanpa Keterangan
48 Dina Mariana, Am.Keb 19881215 201704 2 003 √ 13-02-2021 √ 27-02-2021 Tanpa Keterangan
49 Novita Dwi Kartini, Am.Keb 19911129 201704 2 001 √ 13-02-2021 √ 27-02-2021 √ 06-09-2021
50 Nurafni Br Ritonga 19840416 201704 2 009 √ 10-02-2021 √ 24-02-2021 √ 03-09-2021
51 Hesty Mufidah Nasution 19960922 201903 2 005 √ 10-02-2021 √ 24-02-2021 √ 08-09-2021
52 Pinta Ito Lubis, Am.Keb 19870705 201704 2 008 √ 11-02-2021 √ 25-02-2021 √ 06-09-2021
53 Doharni Harahap, Am.Kep 19780427 200312 2 002 √ 17-02-2021 √ 03-03-2021 √ 03-09-2021
54 Asma Nurida 19851202 200904 2 007 Tanpa Keterangan
55 Ria Asmuna, Am.Keb 19860920 201001 2 029 √ 2/12/2021 √ 10-03-2021 √ 06-09-2021
56 Sri Budihandayani, Am.Kep 19751007 201001 2 013 √ 22-09-2021 √ 08-02-2022 √ 07-08-2022
57 Eva Suriani, Am.Kep 19860802 2011012002 Tanpa Keterangan
58 Nurjannah, Am.Keb 19730202 200801 2 003 √ 26-06-2021 √ 23-02-2021 √ 29-11-2021
59 Elfi Suryani Ritonga, Am.Keb 19840612 201704 2 009 √ 20-05-2021 √ 13-08-2021 √ 21-02-2021
60 Dasnyar Adhi Utama,Am.Keb 19841220 201704 2 009 √ 22-09-2021 √ 29-11-2021 Vaksin ke 3 ( 29-05-2022)
61 Nursaipe Siregar, Am.Keb 19880628 201101 2 002 √ 17-02-2021 √ 03-03-2021 √ 03-09-2021
62 Rosmaidiani Siregar 196411121984032001 Tanpa Keterangan
63 Rusnani, Am.Keb 19730203 200604 2 007 √ 12-02-2021 √ 26-02-2021 √ 06-09-2021
64 Nurbaiti Rahayu 19780415 200812 2 004 √ 11-02-2021 √ 25-02-2021 √ 03-09-2021
65 Maulinna 19861114 201704 2 007 √ 23-09-2021 √ 11/4/2021 Vaksin 1 & 2 Moderna
66 Hj. Nursaima Siregar 19670816 199002 2 001 Tanpa Keterangan
67 Nopita Sari, S.Kep 19751110 200101 2 019 √ 11-02-2021 √ 25-02-2021 √ 06-09-2021
68 Irmayanti, Am.Keb 19730429 200604 2 012 Riwayat Penyakit Jantung
69 Taty Siregar, STR Keb 19740517 200701 2004 Tanpa Keterangan
70 Suwarni 19740328 200701 2 003 Tanpa Keterangan
71 Sri Indah Rezeki, Am.Keb 19740204 200701 2 005 Tanpa Keterangan
72 Habibah 19720629 200604 2 001 Tanpa Keterangan
73 Mohammad Yusuf Harahap 19700626 199203 1 003 Tanpa Keterangan
74 Ani Mastina, Am.Keb 19860319 201704 2 006 √ 12-02-2021 √ 03-03-2021 √ 13-09-2021
75 Asmaria, Am.Keb 19881103 201704 2 003 √ 13-02-2021 √ 27-07-2021 Riwayat Penyakit Sesak Nafas
76 Derma Sani Siregar, Am.Keb 19880619 201704 2 004 √ 13-02-2021 √ 27-02-2021 √ 13-09-2021
77 Dina Evirianti Simbolon, Am.Keb 19880407 201704 2 007 √ 30-08-2021 √ 29-09-2021 Vaksin ke 3 ( 29-03-2022)
78 Emmi Rahma Harahap, Am.Keb 19820615 201704 2 005 √ 13-02-2021 √ 27-02-2021 √ 29-09-2021
79 Ermi Darleni, Am.Keb 19820514 201704 2 005 √ 17-02-2021 √ 03-03-2021 √ 14-09-2021
80 Fitri Erniyati Harahap, Am.Keb 19850627 201704 2 014 √ 22-09-2021 √ 04-11-2021 Vaksin ke 2 Moderna
81 Fitri Handayani, Am.Keb 19840630 201704 2 018 √ 03-03-2021 √ 18-03-2021 √ 10-09-2021
82 Imelda Martika Yansyah, Am.Keb 19890314 201704 2 004 √ 11-02-2021 √ 08-03-2021 √ 09-09-2021
83 Indah Loliyanti, Am.Keb 19890627 201704 2 006 √ 13-02-2021 √ 27-02-2021 √ 08-09-2021
84 Irma Julaili, Am.Keb 19860724 201704 2 003 √ 12-02-2021 √ 27-02-2021 √ 13-09-2021
85 Laila Wahyuni Siregar, Am.Keb 19870625 201704 2 005 √ 22-09-2021 Vaksin 1 Moderna
86 Lia Sartika Harahap, Am.Keb 19860707 201704 2 014 √ 11-02-2021 √ 25-02-2021 √ 03-09-2021
87 Lisda Yanti Pohan, Am.Keb 19861201 201704 2 006 √ 13-09-2021 Vaksin 1 Moderna
88 Mahmida Wati Harahap, Am.Keb 19871118 201704 2 005 √ 12-02-2021 √ 26-02-2021 √ 06-09-2021
89 Nuranita Rambe, Am.Keb 19880910 201704 2 007 √ 12-02-2021 √ 27-02-2021 √ 03-09-2021
90 Nurmaida Harahap, Am.Keb 19890105 201704 2 007 √ 12-02-2021 √ 26-02-2021 √ 21-09-21
91 Riyanti Harahap, Am.Keb 19830101 201704 2 009 √ 07-06-2021 √ 06-07-2021 √ 26-11-2021
92 Rodia Hanum Simamora, Am.Keb 19860201 201704 2 005 √ 14-07-2021 √ 18-08-2021 √ 26-11-2021
93 Roslina Pasaribu, Am.Keb 19860410 201704 2 009 √ 13-02-2021 √ 27-02-2021 √ 03-09-2021
94 Roslina Herawati, Am.Keb 19830809 201704 2 004 √ '12-02-2021 √ 04-03-2021 √ 29-09-2021
95 Sartika Ramadani, Am.Keb 19830630 201704 2 004 √ 11-02-2021 √ 25-02-2021 √ 06-09-2021
96 Siti Maryam Hasibuan, Am.Keb 19860620 201704 2 015 √ 22-09-2021 √ 10-12-2021 Vaksin 1 &2 Moderna
97 Srimayanti Siregar, Am.Keb 19860909 201704 2 012 √ 12-02-2021 √ 26-02-2021 √ 06-09-2021
98 Shinta Dewi, Am.Keb 19861116 201704 2 002 √ 13-02-2021 √ 27-02-2021 √ 06-09-2021
99 Wenni Sahdiani Ritonga, Am.Keb 19870213 201704 2 003 √ 13-02-2021 √ 27-02-2021 √ 03-09-2021
100 Yulia Fitri, Am.Keb 19860608 201704 2 006 √ 17-02-2021 √ 03-03-2021 √ 06-09-2021
101 Yunita Sari Simanjuttak, Am.Keb 19870613 201704 2 003 √ 13-02-2021 √ 27-02-2021 √ 09-06-2021
102 Juwita Octayani Manalu 19801008 201905 2 001 √ 13-02-2021 √ 03-03-2021 √ 22-09-2021
103 Wenni Yunianti 19800613 201905 2 003 √ 12-02-2021 √ 29-02-2021 √ 03-09-2021
104 Anita Suryani 19800705 201905 2 001 √ 12-02-2021 √ 26-02-2021 √ 06-09-2021
105 Linda Marlina 19770423 201905 2 001 √ 12-02-2021 √ 26-02-2021 √ 13-09-2021
106 Lenny Marlina wati lubis 19790306 201905 2 001 √ 24-02-2021 √ 10-03-2021 √ 22-09-2021
107 Isramei 19810526 201905 2 001 √ 12-02-2021 √ 29-02-2021 √ 03-09-2021
108 Ongku Mardiah 19790208 201905 2 001 √ 02-12-2021 √ 26-02-2021 √ 08-09-2021
dr.FRISCA OCTARY √ 11-02-2021 √ 03-03-2021 √ 06-09-2021
1 -
RANGKUTI
2 SITI HASANA - √ 23-10-2021 √ 22-09-2021 √ 3/23/2022
3 IRMA SURYANI SIREGAR - √ 2/12/2021 √ 2/26/2021 √ 08-09-202
4 LILA KUSMAWATI HARAHAP - √ 2/17/2021 √ 3/3/2021 √ 9/22/2022
5 NOVI DILIYANTI - √ 2/12/2021 √ 7/15/2021 √ 10/13/2021
6 HASNATUL FAUZIAH - √ 10-02-2021 √ 24-02-2021 √ 06-09-2021
7 ETTI SUSANA MARITO - √ 01-09-2021 √ 29-09-2021 Vaksin ke 3 (23-03-2022)
8 ERLINA SARI SIREGAR - √ 18-08-2021 √ 23-09-2021 √ 14-12-2021
9 AHMAD SAYUTI - √ 09-12-2021 √ 25-01-2021 Vaksin ke 3 (25-07-2022)
10 HIKMA LESTARI - √ 10-02-2021 √ 24-02-2021 √ 03-09-2021
11 NINA MORA LUBIS - √ 10-06-2021 √ 15-07-2021 √ 26-11-2021
12 WIRDA - √ 11/29/2021 √ 1/21/2022 Tanggal 21/01/2022
PNS THL KEPALA PUSKESMAS GUNUNGTUA

dr. Herlina Sonera Batubara
19700517 200312 2 002
UNIT KERJA PUSKESMAS BATUGANA
VAKSIN
1 Junita Siregar, SKM 198006082006042007 √ 2/16/2021 √ 3/4/2021 √ 11/3/2021
2 dr. Wanda Effendi Husein Siregar 198212142010011004 √ 3/4/2021 √ 3/19/2021 √ 9/3/2021
3 Anti Panjaitan, Am. Kep 197905312010012013 √ 3/4/2021 √ 3/19/2021 √ 9/13/2021
4 drg. Febriyanthi Harahap 198402052014122001 √ 2/10/2021 √ 2/25/2021 √ 9/3/2021
5 Irma Suryani, Am.Keb 198902142011012001 √ 2/14/2021 √ 3/4/2021 √ 9/6/2021
6 Efrida Ariyani, Am.Keb 198702222009042003 √ 6/26/2021 √ 7/27/2021 √ 11/3/2021
7 Erna Khairani 198311172009042010 √ 2/11/2021 √ 2/25/2021 √ 9/13/2021
8 Renny Hartaty Harahap Am.Kep 197512102009042002 √ 2/14/2021 √ 3/4/2021 √ 9/10/2021
9 Tio Rosa Paulina,Am.Keb 198601202011012004 √ 2/11/2021 √ 2/25/2021 √ 9/7/2021
10 Biastif Muda Siregar, S.Sos 196909272009041002 √ 2/10/2021 √ 2/25/2021 √ 9/6/2021
11 dr. Fandy Ibrahim Siregar 198706152019031004 √ 2/25/2021 √ 3/11/2021 √ 9/3/2021
12 Amanda Yuliana Harahap, SKM 199007012019032025 √ 6/10/2021 √ 8/23/2021 √ 11/3/2021
13 Anita Sari Sihombing, S,Kep. Ns 198906152016032011 √ 3/4/2021 √ 3/19/2021 √ 9/10/2021
14 Mariana, Am.Keb 197708272008012002 √ 2/10/2021 √ 2/25/2021 √ 9/10/2021
15 Ahmad Indra Jaya Siregar, Am.Kep 198103122014071003 √ 2/10/2021 √ 2/25/2021 √ 9/8/2021
16 Nasrulloh Harahap, Am.Kep 198201152014071003 √ 2/10/2021 √ 2/25/2021 √ 9/10/2021
17 Ernita, Am.Keb 198212072017042006 √ 2/25/2021 √ 3/11/2021 √ 9/5/2021
18 Hasri Aini Siregar, AMG 199205262019032033 √ 2/10/2021 √ 2/25/2021 √ 9/9/2021
19 Nur Aisyah Harahap, Am.Keb 199109182017022001 √ 3/1/2021 √ 3/15/2021 √ 7/16/2021
20 Riski Indah Harahap, AMD 199307112019032006 √ 8/23/2021 √ 9/22/2021 √ 12/12/2021
21 Risky Hanifah, AMD.Far 199504232019032007 √ 2/10/2021 √ 2/25/2021 √ 9/3/2021
22 Siti Fatimah Am.Kep 197908122010012020 √ 2/18/2021 √ 3/4/2021 - Vaksin 3 Menolak
23 Tukmasari Siregar, Am.Kep 198001142008012001 √ 2/11/2021 √ 2/25/2021 √ 9/6/2021
24 Nismarito Siregar,Am.Keb 198807162011012007 √ 2/11/2021 √ 2/25/2021 √ 9/6/2021
25 Refina, Am.Keb 197410152007012004 √ 2/15/2021 √ 3/1/2021 √ 9/7/2021
26 Hotnida Daulay 197510042014072002 √ 2/11/2021 √ 2/25/2021 √ 9/20/2021
27 Hotlaini, Am.Kep 197608122000032002 √ 2/25/2021 √ 3/11/2021 √ 9/6/2021
28 Ariyanti Tanjung, Am.Keb 198810172017042002 √ 2/10/2021 √ 2/25/2021 √ 9/9/2021
29 Efriyadi Dalimunthe, Am.Keb 198201282017042001 √ 2/10/2021 √ 2/25/2021 √ 9/8/2021
30 Enna Sari Harahap, Am.Keb 198007012019052001 √ 2/25/2021 √ 3/11/2021 √ 9/3/2021
31 Ferawaty Lubis, Am.Keb 198708182017042006 √ 2/25/2021 √ 3/11/2021 √ 7/16/2021
32 Fitriati Siregar, Am.Keb 198805242017042004 √ 2/10/2021 √ 2/25/2021 √ 9/9/2021
33 Hikma Sari Siregar, Am.Keb 198908152017042004 √ 2/16/2021 √ 3/4/2021 √ 9/3/2021
34 Intan Murniati, Am.Keb 198509032017042010 √ 2/10/2021 √ 2/25/2021 √ 9/10/2021
35 Irma Julisah Hutagalung, Am.Keb 198707022017042006 √ 3/1/2021 √ 3/15/2021 √ 9/9/2021
36 Junaida, Am.Keb 198406012017042007 √ 3/4/2021 √ 4/5/2021 √ 9/10/2021
37 Lili Historis Siregar, Am.Keb 198804282017042007 √ 2/25/2021 √ 3/11/2021 √ 9/13/2021
38 Meli Dianawati, Am.Keb 198710222017042004 √ 2/25/2021 √ 3/11/2021 √ 11/3/2021
39 Nurdelina Hasibuan, Am.Keb 198904052017042006 √ 3/4/2021 √ 4/5/2021 √ 9/10/2021
40 Ratna Sari Handayani, Am.Keb 198408202017042007 √ 2/25/2021 √ 3/11/2021 √ 7/16/2021
41 Reni Mahrani, AM.Keb 198812132017042003 √ 2/10/2021 √ 2/25/2021 √ 9/10/2021
42 Risda Lubis, Am.Keb 198608302017042008 √ 2/25/2021 √ 3/11/2021 √ 7/16/2021
43 Risna Hasibuan. Am.Keb 198609162017042006 √ 2/25/2021 √ 3/11/2021 √ 10/7/2021
44 Risma Nainggolan, Am.Keb 198902192017032004 √ 2/25/2021 √ 3/11/2021 √ 7/16/2021
45 Irwan Saleh - √ 2/10/2021 √ 2/25/2021 √ 9/7/2021
46 Rijal Efendi - √ 2/11/2021 √ 3/1/2021 √ 9/24/2021
47 Nur Asiah - √ 10/15/2021 √ 11/12/2021 - Belum Dapat Jadwal Vaksin 3
Keterangan :
PNS THL
V1 : 44 Orang V1 : 3 Orang KEPALA PUSKESMAS BATUGANA
Junita Siregar, SKM

198006082006042007
UNIT KERJA UPTD PUSKESMAS RAWAT INAP AEK GODANG
Vaksin
No Nama Nip
1 Tgl Vaksin 2 Tgl Vaksin
1 Yusniar Hrp, S.kep 198006092009042000 √ 15/02/2021 √ 4/3/2021
2 dr. Rillyani 19880218 201402 2 002 √ 11/2/2021 √ 25/02/2021
3 drg. Indryani lbs 19860915 201412 2 001 √ 11/2/2021 √ 25/02/2021
4 Febriana Dewi Sari 19920205 201402 2 001 √ 15/02/2021 √ 1/3/2021
5 Ria Arnih Afrita 19870412 201001 2 021 √ 16/08/2021 √ 14/09/2021
6 Hetty Riana srg 19790606 2010012019 √ 17/02/2021 √ 3/3/2021
7 Chairanie 1974 0526 2006042009 √ 8/24/2021 √ 9/28/2021
8 Nurfida Sari Koto 198005212019052000' √ 11/6/2021 √ 5/7/2021
9 Ade Linda Hanum 19800927 200604 2 007 √ 11/2/2021 √ 25/02/2021
10 Lely Octarina 19861008 201001 2 006 √ 17/02/2021 √ 2/9/2021
11 Afridayanti 198704272017042000' √ 11/2/2021 √ 25/02/2021
12 Yunita Sari 19780119 2009042003 √ 18/02/2021 √ 5/3/2021
13 Eva Yanti 19820207 2011012006 √ 11/2/2021 √ 25/02/2021
14 Isro 19890214 201704 2 004 √ 11/2/2021 √ 25/02/2021
15 Hasmaleni 19790227 2006042006 √ 9/24/2021 √ 26/10/2021
16 Isna Anjelia 19870323 200904 2006 √ 16/06/2021 √ 5/7/2021
17 Nurdiah Pohan 198706302017042000' √ 12/2/2021 √ 1/3/2021
18 Maimah Rafni 198505072009042000' √ 17/02/2021 √ 3/3/2021
19 DesmaSuryani 19881230 201704 2 010 √ 11/2/2021 √ 25/02/2021
20 Nelly Gustina 198412292017042000' √ 11/2/2021 √ 25/02/2021
21 Ismawarini 198406252010012000' √ 11/2/2021 √ 25/02/2021
22 Nurliani pgb 198306162017042000' √ 2/11/2021 √ 2/25/2021
23 Manimpo 19800612 2014071004 √ 11/2/2021 √ 25/02/2021
24 Nurliana Sormin 19820128 2010012019 √ 9/9/2021
25 Latifa Hannum psb √ 4/10/2021 √ 29/12/2021
26 Erida Aryani 19801105 201001 2 032 √ 11/2/2021 √ 25/02/2021
27 Lenni Marlina 19750622 2008012001 √ 18/12/2021 √ 25/01/2022
28 Elpi Sahara 19750622 200801 2 002 √ 15/07/2021 √ 19/08/2021
29 Ali Syahbana 197212081998031000' √ 16/12/2021
30 Midawati 19800309 2005022002 √ 2/17/2021 √ 3/5/2021
31 Febri Saulina 19850209 200904 2 005 √ 2/19/2021 √ 3/5/2021
32 Gantina Smp 198204272017042000' √ 15/02/2021 √ 4/10/2021
33 Susi Meri lbs 198503032017042000' √ 11/2/2021 √ 27/02/2021
34 Sri Wahyuni 19860930 2009042004 √ 19/02/2021 √ 5/3/2021
35 Fitri Rahmadani 199104132019032000' √ 12/2/2021 √ 27/02/2021
36 Risma Warni 1989091520170420002' √ 11/2/2021 √ 27/02/2021
37 Juraidah 19750 304 2008012005 √ 8/9/2021 √ 18/10/2021
38 Parida Eriwati 19820419 2014072006 √ 11/2/2021 √ 25/02/2021
39 Neny M Dlt 1989010120100120003' √ 28/06/2021 √ 2/9/2021
40 Juliadi 1973071319950310001' √ 15/02/2021 √ 1/3/2021
41 Irma Suryani 1978040120190520002' √ 12/2/2021 √ 1/3/2021
42 Edoard Rizki 19881215 2019031 012 √ 11/2/2021 √ 25/02/2021
43 Dina Syofia Syamer 19811221 2009042004 √ 8/9/2021 √ 28/10/2021
44 Ikhdasari 19830927 200904 2 007 √ 24/08/2021 √ 29/09/2021
45 Rosidah Yanthy 198605102017042009' √ 15/02/2021 √ 1/3/2021
46 Winayati 19840605 201001 2037 √ 7/5/2021 √ 9/7/2021
47 Misbah Nora 198603122010012034 √ 2/11/2021 √ 2/25/2021
48 Hendra Muda 197605182010011012
1 dr. Hilda Rafni Aulia THL √ 17/02/2021 √ 3/3/2021

2 dr. Nuraini hrp THL √ 10/2/2021 √ 24/02/2021
3 Azizah Robyani THL √ 15/02/2021 √ 1/3/2021
4 Rosia THL √ 15/02/2021 √ 4/3/2021
5 Risnawati THL √ 15/02/2021 √ 1/3/2021
6 Hapni Khairani THL √ 11/2/2021 √ 25/02/2021
7 Abdul Halim THL √ 2/11/2021 √ 2/5/2021
8 Aprilia THL √ 11/2/2021 √ 2/3/2021
9 Dewi Sartika THL √ 2/11/2021 √ 3/1/2021
10 Riduan Nst THL √ 2/16/2021 √ 3/4/2021
11 Pardomuan Dsp THL √ 2/11/2021 √ 2/25/2021
1 Rika TKS √ 11/2/2021 √ 25/02/2021

2 Gustina Hairani TKS √ 11/10/2021 √ 8/11/2021
3 Berdina Fifi TKS √ 10/12/2021 √ 17/01/2022
4 Seri Budiati TKS √ 13/02/2021 √ 11/10/2021
5 Hodma Chari TKS √ 26/12/2021 √ 27/01/2022
6 Elfitriani TKS √ 12/2/2021 √ 1/3/2021
7 Fatimah TKS √ 7/9/2021 √ 11/10/2021
8 Ema Suryani TKS √ 11/10/2021 √ 22/11/2021
9 Noer Halimah TKS √ 10/12/2021 √ 17/01/2022
10 Siti Nurhanifah TKS √ 18/02/2021 √ 4/3/2021
11 Armina TKS √ 15/02/2021 √ 1/3/2021
12 Fitri Darmi TKS √ 15/02/2021 √ 4/3/2021
13 Nur Maulida TKS √ 15/02/2021 √ 1/3/2021
14 Nursaima TKS √ 15/02/2021 √ 4/3/2021
15 Cindy Tabita TKS √ 20/03/2021 √ 3/4/2021
16 Nisfah Riski TKS √ 2/15/2021 √ 3/1/2021
17 Ahmad Soleh TKS √ 2/15/2021 √ 3/4/2021
18 Jernilan TKS
19 Yusnida TKS
20 Erlin TKS √ 2/13/2021 √ 3/4/2021
21 Mardiana TKS √ 2/19/2021 √ 3/5/2021
PNS THL TKS

V1 : 47 Orang V1 : 11 org V1 : 19 org
V2 : 45 Orang V2 : 11 org V2 : 19 org
V3 : 29 Orang V3 : 10 org V3 : 10 org
INASI
NAP AEK GODANG
sin
Keterangan
3 Tgl Vaksin
√ 3/9/2021
√ 8/11/2021
√ 8/9/2021
Bumil trimester 1
sdh v3, tp blm bisa dionlinekn
√ 1/11/2021
sdh v3, tp blm bs d onlinekan
√ 4/10/2021
√ 7/9/2021
√ 7/12/2021
√ 6/9/2021
√ 8/9/2021
√ 3/9/2021
√ 3/9/2021
sdh v3, tp blm bs d onlinekan
√ 3/10/2021
√ 6/9/2021
√ 7/9/2021
partus
√ 3/9/2021
√ 3/9/2021
√ 3/9/2021
√ 6/9/2021
sakit
belum waktunya
√ 8/11/2021
blm waktunya
blm waktunya
Sakit
√ 9/7/2021
√ 7/9/2021
blm waktunya
√ 8/10/2021
√ 7/9/2021
√ 8/9/2021
√ 6/9/2021
blm waktunya
bumil trimester 1
sdh v3, tp blm bisa dionlinekan
√ 3/2/2022
√ 6/9/2021
√ 7/12/2021
blm waktunya
sdh v3, tp blm bs dionlinekan
√ 6/9/2021
sakit
tdk hadir
1/11/2021
14/02/2022
7/9/2021
6/9/2021
22/09/2021
bumil trimester 1
10/9/2021
22/09/2021
9/7/2021
11/1/2021
11/1/2021
√ 22/09/2021
sakit
blm waktunya
blm waktunya
√ 14/12/2021
blm waktunya
blm waktunya
√ 9/9/2021
√ 9/9/2021
√ 7/9/2021
√ 24/02/2022
bumil trimester 1
√ 25/02/2022
√ 9/10/2021
√ 11/1/2021
sakit
√ 9/10/2021
KEPALA PUSKESMAS AEK GODANG

Yusniar Hrp, S.kep
'198006092009042000
UNIT KERJA PUSKESMAS SIMUNDOL
VAKSIN
NO NAMA NIP
1 TGL. VAKSIN 2
1 SINAR RITONGA, SKM 196410131985012001 √ 16-02-2021 √
2 DAHLAN RITONGA, SKM 197105101994031005 √ 17-02-2021 √
3 dr. YUDISTIRA NUGRAHA 197912172009041003 √ 16-02-2021 √
4 dr. KARNO 198702162014021001 √ 16-02-2021 √
5 MADDAL UMRI, SKM 198904232014021001 √ 16-02-2021 √
6 NURLIANA 196907151991032003 √ 14-08-2021 √
7 FITRI ANGGRIANI, SST 198506252009042002 √ 08-03-2021 √
8 drg. JEREMIA BANGUN 198701152017041001 √ 17-02-2021 √
9 EVA SURIANTA, SKM 197502252008012002 √ 16-02-2021 √
10 MAHIR RITONGA, Am.Kep 198302142011011001 √ 16-02-2021 √
11 dr. MUHAMMAD RIZKI SARAGIH 199003172019031011 √ 17-02-2021 √
12 LISNA RITONGA, AM.Keb 198703092010012034 √ 16-02-2021 √
13 SRI SUSIANTI, AM.Kep 198010102010012034 √ 16-02-2021 √
14 MERI HASIBUAN, AM.Kep 198109282010012017 √ 16-02-2021 √
15 HASTUTI NASUTION, SKM 198005032014072003 √ 16-02-2021 √
16 IRMA SURYANI PASARIBU, SKM 197812112014072002 √ 16-02-2021 √
17 RIYANI , AM.Keb 197203162007012004 √ 17-02-2021 √
DELLY TUNGGAL FEBRI SURYANTO,
18 199002012019031016 √ 17-02-2021 √
S.Kep. Ns
19 LILI HERAWATI RITONGA, AM.Kep 198209272010012028 √ 16-02-2021 √
20 MAHDALENA POHAN, SKM 197612132010012010 √ 17-09-2021 √
21 NILAWATI SIREGAR 197410082006042013 √ 16-02-2021 √
22 IRMA DALIMUNTHE, AM.Keb 198803102011012003 √ 16-02-2021 √
23 RENI PADILAH RITONGA, SKM 198707312010012023 √ 16-02-2021 √
24 RESLI ELMERIA DAMANIK 197404012007012007 √ 07-12-2021 √
25 RISNAWATY GINTING, A.M.Keb 197503302008012002 √ 16-02-2021 √
26 WIDAWATI , AM.Keb 197403022007012004 √ 03-03-2021 √
27 YUSMIDAR SITEPU , AM.Keb 197607172008012002 √ 23-11-2021 √
28 MASTULEN HASIBUAN, AM.Kep 198410252011012004 √ 17-02-2021 √
29 MARIANI RAMBE, AMd.AFM 198712252011012005 √ 16-02-2021 √
30 MIMI SURYANA KESUMA , AM.Keb 197804032008012002 √ 16-02-2021 √
31 NGATIAH 197505212006042001 √ 17-02-2021 √
32 KHOIRUN TAMIMI HASIBUAN, SKM 198902212020121002 √ 17-02-2021 √
33 DIANA WAHYUNI 197512262008012001 √ 08-03-2021 √
34 KHAIRANI LUBIS 197401052008012016 √ 16-02-2021 √
35 NURBIANI RITONGA, AM.Kep 198008112014072004 √ 08-03-2021 √
36 ROILAN HARAHAP , A.M.Keb 197604182008012001 √ 17-02-2021 √
37 FARIDAH HANUM, Am.Keb 197007272007012003 √ 04-09-2021 √
38 DELIANA NASUTION, Am.Keb 198404292017042005 √ 16-02-2021 √
39 REZEKI HANDAYANI, Am.Keb 198404062017042013 √ 17-02-2021 √
40 SITI AFRI ZENY HRP, Am.Keb 198504072017042006 √ 16-02-2021 √
41 JULI ASTATI RITONGA, Am.Keb 198207072017042002 √ 16-02-2021 √
42 NURHAMIDAH RITONGA,Am.Keb 198303152017042008 √ 16-02-2021 √
43 RIANA, Am.Keb 198405182017042009 √ 16-02-2021 √
44 YUYUN KURNIA HARAHAP, Am.Keb 198604302017042007 √ 08-03-2021 √
45 DESNI PUSNITA, Am.Keb 198612162017042004 √ 17-02-2021 √
46 NURBULAN RITONGA, Am.Keb 198512302017042009 √ 16-02-2021 √
47 MEGAWATI SIREGAR,Am.Keb 198610072017042009 √ 16-02-2021 √
48 AINIL FITRI, Am.Keb 198903072017042004 √ 10-12-2021 √
49 IIN PURWATI RITONGA, Am.Keb 198901052017042006 √ 17-02-2021 √
50 DEVI HASIBUAN, Am.Keb 198807012017042007 √ 16-02-2021 √
51 MAHYUNI RITONGA, Am.Keb 198806262017042006 √ 08-03-2021 √
52 FITRIAH NASUTION, Am.Keb 198307102017042009 √ 16-02-2021 √
53 JULIATI , Am.Keb 198708272017042006 √ 08-03-2021 √
54 ELVINA HASIBUAN, Am.Keb 198903032017042003 √ 15-11-2021 √
55 LIANA RAMBE , Am.Keb 198809152017042004 √ 17-02-2021 √
56 MARDIANA RITONGA, Am.Keb 198803122017042008 √ 08-03-2021 √
SAUDATUL HANIM RITONGA,
57 198806042017042006 √ 16-02-2021 √
Am.Keb
58 SITI AISAH RAMBE, Am.Keb 198807162017042004 √ 16-02-2021 √
59 IRMA SURYANI RITONGA, Am.Keb 198609292017042004 √ 17-02-2021 √
60 YATMI, Am.Keb 198812212017042005 √ 17-02-2021 √
61 NIRMALASARI SIREGAR, Am.Keb 198303232017042006 √ 18-02-2021 √
62 JULICA ISKANDAR, Am.Keb 198607112017042008 √ 17-02-2021 √
63 SRI DEWI, Am.Keb 198704062017042010 √ 03-03-2021 √
64 NURHAYATI , Am.Keb 198101182019052002 √ 16-02-2021 √
1 ALPI SAHRIANTI HARAHAP, AM.Keb THL √ 16-02-2021 √

2 SIHAJAR SIREGAR, AM.Keb THL √ 09-12-2021 √
3 NURASIAH PANE, AM.Kep THL √ 28-11-2021 √
4 DARMAWATI RITONGA, AM.Keb THL √ 08-03-2021 √
5 KIKI PRADANA RAMBE THL √ 08-03-2021 √
6 DEDI IRAWAN RAMBE THL √ 16-02-2021 √
7 NURDIANA PUTRI , SKM THL √ 16-02-2021 √
8 ZAINAL MUSTAFA RITONGA, AM.Kep THL √ 17-02-2021 √
9 YUSPITA SARI THL √ 06-12-2021 √
10 JULIANA RITONGA, AM.Keb THL √ 08-03-2021 √
11 SITI MERI RAMBE, AM.Keb THL √ 08-03-2021 √
12 CHAIRIL TAMIMI RITONGA, AM.Kep THL √ 08-03-2021 √
13 NOVITA SARI SIREGAR, AM.Keb THL √ 17-02-2021 √
Keterangan :
PNS THL
L VAKSINASI
MAS SIMUNDOL
VAKSIN
KETERANGAN
TGL. VAKSIN 3 TGL. VAKSIN
02-03-2021 √ 01-11-2021
03-03-2021 √ 08-09-2021
08-03-2021 √ 20-09-2021
02-03-2021 √ 10-09-2021
08-03-2021 √ 09-09-2021
11-09-2021 √ 25-02-2022
24-03-2021 √ 10-09-2021
03-03-2021 √ 09-12-2021
02-03-2021 √ 22-09-2021
08-03-2021 √ 01-11-2021
03-03-2021 √ 20-09-2021
02-03-2021 √ 10-09-2021
03-03-2021 √ 09-09-2021
08-03-2021 √ 10-09-2021
02-03-2021 √ 10-09-2021
08-03-2021 √ 08-09-2021
03-03-2021
03-03-2021 √ 10-09-2021
08-03-2021 √ 10-09-2021
02-12-2021 √ 30-12-2021
02-03-2021
02-03-2021 √ 10-09-2021
08-03-2021 √ 01-11-2021
06-01-2022
08-03-2021 √ 20-09-2021
11-08-2021 √ 09-11-2021
03-01-2022
26-11-2021
08-03-2021 √ 27-12-2021
08-03-2021 √ 09-09-2021
03-03-2021 √ 06-12-2021
08-03-2021 √ 09-09-2021
22-03-2021 √ 08-09-2021
02-03-2021 √ 01-11-2021
22-03-2021
03-03-2021 √ 08-09-2021
09-10-2021 √ 03-01-2022
03-03-2021 √ 07-09-2021
08-03-2021 √ 09-09-2021
02-03-2021 √ 01-11-2021
01-03-2021 √ 07-09-2021
03-03-2021 √ 16-12-2021
08-03-2021 √ 01-11-2021
24-03-2021 √ 09-09-2021
13-09-2021 √ 03-11-2021
02-03-2021 √ 10-09-2021
15-07-2021 √ 30-12-2021
27-01-2022
08-03-2021 √ 07-09-2021
08-03-2021 √ 07-09-2021
24-03-2021 √ 09-09-2021
03-03-2021 √ 03-09-2021
08-09-2021 √ 13-09-2021
27-12-2021 √ 28-01-2022
08-03-2021 √ 07-09-2021
24-03-2021 √ 09-09-2021
08-03-2021 √ 07-09-2021
02-03-2021 √ 06-09-2021
08-03-2021 √ 30-12-2021
08-03-2021 HAMIL
13-09-2021 √ 03-01-2022
03-03-2021 √ 08-09-2021
31-03-2021 √ 09-12-2021
03-03-2021 √ 03-09-2021
08-03-2021 √ 01-11-2021
03-02-2022
04-01-2022
24-03-2021 √ 01-11-2021
04-09-2021
08-03-2021 √ 21-07-2021
08-03-2021
03-03-2021 √ 25-02-2022
10-01-2022
08-09-2021
24-03-2021
24-03-2021 √ 01-11-2021
08-03-2021 √ 03-02-2022
KEPALA PUSKESMAS SIMUNDOL
SINAR RITONGA, SKM

'196410131985012001
DAFTAR PNS DAN THL VAKSINAS
UNIT KERJA UPTD PUKEMA NAPAGADUNG LAUT
VAKSIN
NO NAMA NIP
1 TGL. VAKSIN 2 TGL. VAKSIN 3 TGL. VAKSIN KETERANGAN
1 Latifah Nasution, SKM 197312151993032003 √ 16 Februari 2021 √ 02 Maret 2021 √ 14 November 2021
2 R. Ritha Juliani Dalimunthe, SKM 198407302014022001 √ 16 Februari 2021 √ 02 Maret 2021 √ 07 September 2021
3 dr. Riski Nurdelima 199002192019032006 √ 09 Desember 2021
4 dr. Rini Arie Yunitha 198904242020122002 √ 12 Februari 2021 √ 26 Februari 2021 √ 09 September 2021
5 Agustina, SST 197608082014022001 √ 16 Februari 2021 √ 02 Maret 2021 √ 02 November 2021

6 Elis Marlina, S.Kep. Ns 198903042019032016 √ 16 Februari 2021 √ 02 Maret 2021 √ 24 September 2021
7 Henlina Sianturi, AM. Keb 198312152014022002 √ 09 November 2021
8 Nila Wardani Harahap, AM. Kep 198112292014022002 √ 08 November 2021
9 Deny Saputra Pasaribu, AM. Kep 198906182014021001 √ 16 Februari 2021 √ 15 Maret 2021 √ 09 September 2021
10 Sari Yanti, AMK 198912172014022006 √ 11 Februari 2021 √ 25 Februari 2021 √ 22 September 2021
11 Lita Sari Tambunan, AM. Keb 198906062014022004 √ 16 Februari 2021 √ 23 September 2021
12 Lely Soraya, AMG 199207172019032008 √ 09 November 2021
13 Arlisa Ritonga, AM. Keb 198812062017042003 √ 11 September 2021
14 Nurlia, AM. Keb 198912172017042002 √ 09 November 2021
15 Sri Haryani, AM. Keb 198410232017042012 √ 16 Februari 2021 √ 02 Maret 2021

16 Sri Kurniati, AM. Keb 198303012017042003 √ 11 Februari 2021 √ 25 Februari 2021 √ 22 September 2021
17 Duma Sari Lumban Tobing, AM. Keb 198901132017042004 √ 09 November 2021
18 Syuryana Minta Ito Siregar, AM. Keb 198709302017042004 √ 16 Februari 2021 √ 02 Maret 2021
19 Siti Aminah Harahap, AM. Keb 198702012017042005 √ 12 Februari 2021 √ 26 Februari 2021
20 Sartika Batubara, AM. Keb 198805282017042005 √ 13 September 2021 √ 14 November 2021
21 Nova Sri Maryati, AM. Keb 198909112017042006 √ 16 Februari 2021 √ 02 Maret 2021 √ 22 September 2021
22 Santi Silvana, AM. Keb 198511192017042008 √ 11 Februari 2021 √ 02 Maret 2021 √ 13 September 2021
23 Nurhalimah Siregar, AM. Keb 198509282017042009 √ 11 Februari 2021 √ 25 Februari 2021 √ 06 September 2021
24 Suebah, AM. Keb 197907062019052002 √ 16 Februari 2021 √ 02 Maret 2021 √ 22 September 2021
25 Mariatul Hasanah Dalimunthe, AM. Keb 197805302019052002 √ 16 Februari 2021 √ 02 Maret 2021 √ 14 September 2021
1 Elmina Harahap Honor √ 16 Februari 2021 √ 02 Maret 2021 √ 04 November 2021
2 Lenni Marlina Harahap Honor √ 16 Februari 2021 √ 02 Juni 2021 √ 09 November 2021
3 Muhammad Okto Kayali Hasibuan Honor √ 11 Februari 2021 √ 25 Februari 2021 √ 04 November 2021
4 Muhammad Kasim, Amd. KL 02.7.0711437 √ 04 Juni 2021 √ 14 Agutus 2021 √ 09 November 2021
5 Laurensius Maring, . Farm 02.7.0511435 √ 02 Juni 2021 √ 30 Juni 2021 √ 09 November 2021
6 Ika Padlina, Amd. AK 02.7.1111436 √ 02 Juni 2021 √ 30 Juni 2021
KEPALA PUSKESMAS NAPAGADUNG LAUT

PNS THL
V3 : 13 Orang V3 : 5 Orang Latifah Nasution, SKM
197312151993032000
DAFTAR PNS DAN THL VAKSINASI PUSKESMAS ULAK TANO
KECAMATAN SIMANGAMBAT KABUPATEN PADANG LAWAS UTARA
STATUS
KEPEGAWAIA VAKSINASI
NO NAMA N
NON
ASN 1 TGL VAKSIN 2 TGL VAKSIN 3
ASN
1 Samsuriana, S.Tr, Keb √ √ 2/10/2021 √ 2/24/2021 √
2 dr. Muhammad Rosi Andri √ √ 2/11/2021 √ 2/25/2021 √
3 dr. Elizah Yanti √ √ 12/15/2021 √ 1/14/2022
4 Umroh, SKM √ √ 2/11/2021 √ 2/25/2021 √
5 Lahmi Fitri Harahap, AM.Kep √ √ 10/8/2021 √ 11/8/2021 √
6 Fitriani Hasibuan, AM.Kep √ √ 2/11/2021 √ 2/25/2021 √
7 Henricson Simangunsong, S.Kep., Ners √ √ 2/11/2021 √ 2/25/2021 √
8 Derliana Sari Harahap, S.Kep., Ners √ √ 3/1/2021 √ 8/24/2021 √
9 Kholilah Daulay, S.Kep, Ners √ √ 2/22/2022
10 Siti Kholijah Dalimunthe, AM.Keb √ √ 2/10/2021 √ 2/24/2021 √
11 Lina Susanti Sitompul, AM.Keb √ √ 3/1/2021 √ 8/21/2021 √
12 Siti Rosmayani Sir, AM.Keb √ √ 2/11/2021 √ 2/25/2021 √
13 Asriannawati Hutagaol, AM.Keb √ √ 9/11/2021 √ 10/10/2021 √
Mahlinatul Mubarokah Dalimunthe,
14 √ √ 2/10/2021 √ 2/24/2021 √
AM.Keb
15 Surianti Hasibuan, AM.Keb √ √ 3/1/2021 √ 7/29/2021 √
16 Siti Rona Nasution, AM.Keb √ √ 2/10/2021 √ 2/24/2021 √
17 Syahriatul Adwiyah Lubis, AM.Keb √ √ 2/10/2021 √ 2/24/2021 √
18 Samsiana, AM.Keb √ √ 2/11/2021 √ 2/25/2021 √
19 Romaida Siregar, AM.Keb √ √ 2/11/2021 √ 2/25/2021 √
20 Evika Yulianti, AM.Keb √ √ 2/10/2021 √ 7/27/2021 √
21 Ubawati Marlina Harahap, AM.Keb √ √ 2/11/2021 √ 2/25/2021 √
22 Ita Purnama Ritonga, AM.Keb √ √ 11/29/2021 √ 12/29/2021
23 Nurmaya Sari, AM.Keb √ √ 2/24/2021 √ 7/29/2021 √
24 Nursaima Dalimunthe, AM.Keb √ √ 7/29/2021 √ 9/26/2021 √
25 Asruliana Ritonga, AM.Keb √ √ 2/10/2021 √ 7/29/2021 √
26 Gustina Sitompul, AM.Keb √ √ 2/10/2021 √ 2/24/2021 √
27 Tukmaida Siregar, AM.Keb √ √ 2/10/2021 √ 7/29/2021
28 Efrinawati Siregar, AM.Keb √ √ 3/1/2021 √ 7/27/2021 √
29 Sony Mariana Siregar, AM.Keb √ √ 3/1/2021 √ 7/30/2021 √
30 Rosmawati Dasopang, AM.Keb √ √ 3/1/2021 √ 9/7/2021 √
1 Nurlela Sari Siregar √ √ 3/1/2021 √ 7/6/2021 √

2 Desi Fitriani Nasution √ √ 9/22/2021 √ 10/1/2021 √
3 Nurianna Harahap √ √ 3/1/2021 √ 7/29/2021 √
4 Lisda Siregar √ √ 3/1/2021 √ 7/29/2021 √
5 Sri Aspanita Tanjung √ √ 9/22/2021 √ 10/21/2021 √
6 Yuni Permata Sari Manurung √ √ 2/10/2021 √ 2/24/2021 √
7 Nurjannah Siregar √ √ 8/26/2021 √ 9/3/2021 √
8 Khoiriah Hasibuan √ √ 7/28/2021 √ 8/26/2021 √
9 Santri Romaito Lubis √ √ 2/10/2021 √ 2/24/2021 √
10 Nurjanna √ √ 2/11/2021 √ 2/25/2021 √
11 Ropiah Tanjung √ √ 2/11/2021 √ 2/25/2021
12 Riza Merchylia √ √ 10/21/2021 √ 11/19/2021 √
13 Halimatusakdiah Siregar, AMKep √ √ 2/10/2021 √ 2/24/2021 √
14 Mhd Saddam Husein Harahap, AMKep √ √ 3/1/2021 √ 7/6/2021 √
15 Baginda Syukur Dalimunthe, AMKep √ √ 2/10/2021 √ 7/29/2021 √
16 Nur Saima Hasibuan √ √ 2/11/2021 √ 2/25/2021 √
17 Partahanan Harahap √ √ 3/1/2021 √ 7/29/2021 √
18 Robbil Akhir Hasibuan √ √ 10/7/2021 √ 11/5/2021 √
19 Ahmad Dairobi Harahap, AMKep √ √ 2/10/2021 √ 7/31/2021 √
20 Saripah Siregar, AMKep √ √ 2/11/2021 √ 2/25/2021 √
21 Lestu Peramita Dalimunthe √ √ 2/10/2021 √ 2/24/2021 √
22 Rostiani Siregar √ √ 3/1/2021 √ 7/29/2021 √
23 Lidiya Fitri Riski Siregar √ √ 6/29/2021 √ 8/14/2021 √
KETERANGAN : Ulak Tano, Desember 2021

PNS THL Kepala UPTD Puskesmas Ulak Tano
V1: 30 orang V1: 23 orang
Samsuriana, S.Tr, Keb
19760225 200801 2 003
LAK TANO
LAWAS UTARA
TGL VAKSIN KETERANGAN
9/3/2021
9/3/2021
Belum waktunya
10/7/2021
12/19/2021
9/3/2021
9/20/2021
9/20/2021
Belum waktunya
9/20/2021
12/6/2021
9/3/2021
12/11/2021
9/3/2021
11/3/2021
9/7/2021
9/24/2021
9/7/2021
10/7/2021
9/25/2021
9/7/2021
Belum waktunya
9/24/2021
12/6/2021
9/7/2021
9/7/2021
Belum waktunya
11/3/2021
10/28/2021
12/6/2021
10/7/2021
12/19/2021
11/3/2021
11/3/2021
12/19/2021
9/24/2021
12/19/2021
11/23/2021
9/3/2021
9/3/2021
Belum waktunya
12/19/2021
9/3/2021
10/7/2021
11/3/2021
10/7/2021
11/1/2021
12/12/2021
11/3/2021
10/7/2021
10/7/2021
10/27/2021
2/23/2021
, Desember 2021
TD Puskesmas Ulak Tano
200801 2 003
UNIT KERJA PUSKESMAS PANGIRKIRAN TAHUN 2022
VAKSIN
NO NAMA NIP
1 TGL. VAKSIN 2
1 ASMIDAR,S.Tr.Keb 19730512 200701 2007 √ 2/17/2021 √
2 dr. H. SYOFIAN DEDI SIREGAR 19851217 201412 1 002 √ 2/17/2021 √
3 dr. ENDANG PRIMAWATY HARAHAP 19860311 201412 2 001
4 drg. ALFRIANI SYAH PUTRI NASUTION 19860807 201903 2 017 √ 11/4/2021
5 dr.ANITA RATNA DEWY HARAHAP 19891028 201503 2009 √ 12/17/2021
6 SITI MOUR RITONGA AM.Kep 19781012 200701 2 001 √ 2/10/2021 √
7 SAHRI AGUS 19640817 198501 1 001
8 HOTNI IDA SIREGAR AM.Keb 19791111 200212 2 004 √ 8/2/2021 √
9 SAIPUL ARWAN RAMBE 19800408 200212 1 003 √ 2/12/2021 √
10 ANNA DEWI SITOMPUL Am.Keb 197406212007012 0004 √ 2/11/2021 √
11 SITI SARAH AM.Keb 19731010 200701 2 012 √ 3/1/2021 √
12 RINA WATI STr.Keb 19741030 200801 2 004 √ 2/10/2021 √
13 EMMI PARIDA SIREGAR AM.Keb 19790306 200801 2 003 √ 2/10/2021 √
14 TIRAJANI 19641230 198603 2 004
15 SITI NAHAJAR SIREGAR AM.Kep 19830301 201001 2 029 √ 2/18/2021 √
16 LELLI MEGAWATI SIREGAR AM.Kep 19770710 201001 2 016 √ 2/17/2021 √
17 ENTA MARLINA HARAHAP S.Kep,Ns 19861027 201101 2 008 √ 2/15/2021 √
18 MEIDIANA HARAHAHAP AM.Keb 19880502 201101 2 005 √ 2/11/2021 √
19 ASMI RAWATI HARAHAP AM.Keb 19890701 201101 2 003 √ 2/15/2021 √
20 FERYYANTO P.LUBIS S.Kep, NS 19921128 201903 1018 √ 2/10/2021 √
21 ASMADA SIREGAR SKM 19931123 201903 2 006 √ 2/10/2021 √
22 ELISA FITRI DAULAY A.Md.Farm 19910416 201903 2 017 √ 2/11/2021 √
23 NORA AMINAH SIREGAR.A.Md.Gizi 19940910 201903 2 012 √ 3/3/2021 √
24 ROYANI SIREGAR 19750606 201407 2 002 √ 2/11/2021 √
25 NORA SUSANTI HARAHAP AM.Keb 19850529 201704 2 008 √ 10/2/2021 √
26 RESMIATI SIREGAR AM.Keb 19871027 201704 2 004 √ 2/10/2021 √
27 NURHOTMA SURIYANI HRP AM. Keb 19840319 201704 2 006 √ 5/27/2021 √
28 SITI GABENA HARAHAP AM. Keb 19880313 201704 2 002 √ 2/11/2021 √
29 MAHLENI HARAHAP AM. Keb 19890325 201704 2 003 √ 2/11/2021 √
30 SANTI SIREGAR AM. Keb 19860125 201704 2 005 √ 2/11/2021 √
31 MEILINA HARAHAP AM, Keb 19860530 201704 2 008 √ 2/11/2021 √
32 IFROH MEIYANTI HARAHAP AM. Keb 19870504 201704 2 002 √ 2/10/2021 √
33 JELITA INDAH NEGARA HARAHAP AM. Keb19870326 201704 2 008 √ 2/11/2021 √
34 JUMRO HOTNA SIREGAR AM. Keb 19821117 201704 2 001 √ 2/15/2021 √
35 HUSNIATI SIREGAR AM. Keb 19870419 201704 2 004
36 JUITA SIRAIT AM. Keb 19841018 201704 2 008 √ 2/15/2021 √
37 JUNIAR SASRIMADONI SIREGAR AM. Keb 19840808 201704 2 009 √ 2/10/2021 √
38 ROSMEILI AM. Keb 19880807 201704 2 014
39 LENI PERMADANI AM. Keb 19840608 201704 2 012 √ 11/2/2021 √
40 RAWATI JULEHA DASOPANG AM. Keb 19881106 201704 2 003 √ 2/11/2021 √
41 FITRI RAHMADANI SIREGAR AM. Keb 19880505 201704 2 007 √ 2/11/2021 √
42 NILA SASTRAWATI HARAHAP AM. Keb 19890801 201704 2 008 √ 2/10/2021 √
43 SRIMAWARNI AM.KEP 19760810 201905 2 002 √ 9/15/2021 √
1 dr.JUS HIDAYAT HASIBUAN Sip.503/0039/IP-D/DPMPTSP √ 7/5/2021 √

2 FITRI HAIRANI MANURUNG.SKM HONOR √ 7/19/2021 √
3 NURHAYATI HARAHAP Am.Keb HONOR √ 2/10/2021 √
4 PUTRI YUNINGSIH HARAHAP.SKM HONOR √ 9/13/2021 √
5 DOHAR MAIDA HARAHAP Am.Keb HONOR √ 2/12/2021 √
6 LELIANA SIMBOLON Am.Keb HONOR √ 11/4/2021 √
7 NUKMANSYAH HONOR √
8 IWAN RIFAI ALAM SIREGAR.SE HONOR √ 2/11/2021 √
9 YUNI HONOR √
10 NURHAMIMA THL √ 6/23/2021 √
11 NUR EVA THL √ 2/17/2021 √
12 YUSLINDA THL √ 12/20/2021
13 SITI FATIMAH THL √ 8/23/2021 √
14 TUTI THL
15 ERIYANTI RAMBE THL
16 SITI BAINA RITONGA THL √ 12/16/2021
17 NURSAIMA HARAHAP THL √ 12/14/2021
18 SYARIFAH ZULAINI HARAHAP THL √ 8/20/2021
KETERANGAN :
PNS THL
KSINASI
RAN TAHUN 2022
VAKSIN
KETERANGAN
TGL. VAKSIN 3 TGL. VAKSIN
3/3/2021 √ 11/4/2021
3/3/2021 √ 9/3/2021
TUBEL
2/24/2021 √ 9/3/2021
8/30/2021 √ 11/28/2021
3/3/2021 √ 9/12/2021
3/3/2021 √ 9/20/2021
3/15/2021 √ 9/3/2021
2/24/2021 √ 9/3/2021
2/24/2021 √ 9/3/2021
3/4/2021 √ 9/12/2021
3/3/2021 √ 9/15/2021
3/15/2021 √ 9/15/2021
3/11/2021 √ 3/9/2021
3/15/2021 √ 11/4/2021
2/24/2021 √ 12/6/2021
3/1/2021
3/11/2021 √ 11/4/2021
3/29/2021 √ 9/3/2021
2/25/2021 √ 9/6/2021
2/25/2021 √ 9/20/2021
2/25/2021 √ 9/3/2021
7/15/2021
3/3/2021 √ 9/20/2021
2/25/2021
3/3/2021 √ 9/20/2021
2/25/2021 √ 9/3/2021
2/25/2021 √ 9/3/2021
8/9/2021 √ 12/27/2021
3/15/2021 √ 12/27/2021
3/3/2021 √ 9/3/2021
3/1/2021 √ 9/3/2021
hypertirod
8/9/2021 √ 12/27/2021
9/8/2021 √ 12/27/2021
3/3/2021 √ 9/3/2021
2/25/2021 √ 9/3/2021
10/12/2021
9/10/2021 √ 11/4/2021
8/30/2021 √ 11/14/2021
2/25/2021
11/24/2021
3/12/2021 √ 10/29/2021
12/6/2021
2/25/2021 √ 11/4/2021
8/23/2021 √ 2/22/2021
3/3/2021 √ 11/4/2021
9/24/2021
Kepala UPTD Puskesmas Pangirkiran
ASMIDAR,S.Tr.Keb
19730512 200701 2007
UNIT KERJA PUSKESMAS SIPIONGOT
VAKSIN
NO NAMA NIP
1 TGL. VAKSIN 2 TGL. VAKSIN
1 ERNITA MANURUNG,MKM 197508092008012001 √ 2/11/2021 √ 2/25/2021
2 ADI GANTI RITONGA, AM.Kep 198306042010011028 √ 2/11/2021 √ 2/25/2021
3 TIANGGUR SILALAHI, AM.Keb 197205062007012001 √ 2/12/2021 √ 2/26/2021
4 SRIGANTI SIREGAR, AM.Keb 198511102010012033 √ 2/11/2021 √ 2/25/2021
5 ENISA MARHAMAH SIREGAR, AM.Keb 197606142008012005 √ 2/17/2021 √ 3/3/2021
6 ROSMIDA RAMBE, AM.Keb 197809152008012002 √ 2/11/2021 √ 3/3/2021
7 JURAIDAH, AM.Keb 197506292007012002 √ 2/11/2021 √ 2/26/2021
8 ELLI DIANA SIREGAR, AM.Keb 198601122017042009 √ 2/11/2021 √ 2/25/2021
9 ANNI RIZKIYAH, S.Kep, Ns 198908192014022004 √ 2/12/2021 √ 2/26/2021
10 RUMI DAMANIK,AM.Keb 198405282017042011 √ 2/27/2021 √ 3/27/2021
11 IRMA DAMAYANTI, AM.Keb 198805122017042007 √ 2/11/2021 √ 2/25/2021
12 LILIANTI RITONGA, AM.Keb 198908182017042004 √ 2/11/2021 √ 2/25/2021
13 SUDIATI, AM.Keb 197006211993032005 √ 2/11/2021 √ 2/25/2021
14 SOFIANNA, AM.Keb 198107222010012024 √ 2/11/2021 √ 2/25/2021
15 LESMARIDA SINAGA, AM.Keb 197409042007012003 √ 2/25/2021 √ 3/11/2021
16 LASMARIDDA HRP, AM.Keb 198806132010012008 √ 3/3/2021 √ 3/3/2021
17 NUR MAHAYA SIREGAR 196901231991032003 √ 2/11/2021 √ 2/25/2021
18 SITI GABENA SIREGAR, AM.Keb 198810032017042004 √ 2/12/2021 √ 2/26/2021
19 ERNIANTI SIREGAR, AM.Keb 198707282017042007 √ 3/3/2021 √ 3/17/2021
20 NUR HAYANI MANULLANG, AM.Keb 198707312917042005 √ 3/3/2021 √ 3/17/2021
21 NUR JANNAH, AM.Keb 198612082017042010 √ 2/12/2021 √ 3/3/2021
22 RITA DHARMA HSB, AM.Keb 198606022017042012 √ 2/12/2021 √ 3/3/2021
23 LILI MARLINA RITONGA, AM.Keb 198706032017042004 √ 2/17/2021 √ 3/3/2021
24 NUR AINUN, AM.Keb 198902162017042004 √ 3/3/2021 √ 9/2/2021
25 SINAR SIREGAR, AM.Keb 198703202017042006 √ 3/3/2021 √ 3/26/2021
26 RATISA DONGORAN, AM.Keb 198904152017042005 √ 3/3/2021 √ 3/26/2021
27 DINA MARDIANA, AM.Keb 198406282017042012 √ 2/12/2021 √ 2/26/2021
28 NUR MELIS MERTI ENTI, AM.Keb 198509212017042011 √ 2/17/2021 √ 3/3/2021
29 PUTRI ASWATI, AM.Keb 199004122017042002 √ 2/12/2021 √ 3/3/2021
30 PUSPINTA PURNAMA, AM.Keb 198709102017042004 √ 2/12/2021 √ 3/3/2021
31 NIDA RAHAYU,AM.Keb 198807032017042006 √ 2/12/2021 √ 3/3/2021
32 LISMA LILAYANTI, AM.Keb 198812122017042003 √ 2/17/2021 √ 3/3/2021
33 NUR TETTY SIAGIAN, AM.Keb 198505032017042011 √ 2/12/2021 √ 3/3/2021
34 SRI HANDAYANI DALIMUNTHE, AM.Keb198708032017042009 √ 3/3/2021 √ 3/31/2021
35 PELITA HATI SRG, AM.Keb 198705052017042008 √ 2/17/2021 √ 3/3/2021
36 ELPI SAHRIA, AM.Keb 198805112017042007 √ 2/12/2021 √ 2/26/2021
37 AFRIANTI FAUZI, AM.Keb 198809202017042004 √ 2/18/2021 √ 3/4/2021
38 ANNA DELINA SIMBOLON, AM.Keb 198806162017042005 √ 2/12/2021 √ 2/26/2021
39 GERAWATI RAMBE, AM.Keb 198901182017042005 √ 2/12/2021 √ 2/26/2021
40 IDA ROYANI, AM.Keb 198712072017042007 √ 2/12/2021 √ 2/26/2021
41 IRFA ZUHOIRIAH, AM.Keb 198607062017042011 √ 2/17/2021 √ 3/3/2021
42 TANTI ASRINA, AM.Keb 198906222017042004 √ 3/3/2021 √ 3/17/2021
43 SITI HAFSAH, AM.Keb 198607072017042015 √ 2/17/2021 √ 3/3/2021
44 PARDAMEAN RITONGA 198004192010011004 √ 2/11/2021 √ 2/25/2021
45 NUR HAFNI NST, AM.Keb 197910122008012007 √ 2/11/2021 √ 2/25/2021
46 MUHAMMAD NASIR RAMBE, S.Kep, Ns 198805282019031009 √ 2/12/2021 √ 3/3/2021
47 SARIFAH TARIGAN, AM.Keb 197902032019052002 √ 2/11/2021 √ 2/25/2021
48 SITI JARODAH SIREGAR, AM.Keb 198309052017042008 √ 2/17/2021 √ 3/3/2021
49 IRMAYANTI DAULAY, AM.Keb 198706052017042011 √ 2/11/2021 √ 2/25/2021
50 SUSI SUSANTI SRG, AM.Keb 198709022017042002 √ 3/3/2021 √ 8/24/2021
51 SANTA DAMERIA PASARIBU, SKM 198901172019032006 √ 3/3/2021 √ 3/17/2021
52 DEDE MINTA ITO SRG, AM.Keb 199004122017042002 √ 2/12/2021 √ 2/26/2021
53 SITI HAIDAH SANGKOT P, AM.Keb 198705112017042006 √ 2/12/2021 √ 3/3/2021
54 SITI KAHINAH HSB, AM.Keb 197507272006042015 √ 2/18/2021 √ 3/4/2021
55 ENNI HETTI PANE, AM.Keb 198807132017042003 √ 11/30/2021
56 SITI NURMALA MARPAUNG, AM.Keb 199107262014022005 √ 11/3/2021
57 DAHLIA PURBA, AM.Keb 197402022007012007 √ 9/2/2021 √ 9/30/2021
58 ONYEKIARNI, AM.Keb 197303072008012002 √ 6/29/2021 √ 8/14/2021
59 DR.SYAHREZA MARTUA HRP 199008242019031002 √ 2/12/2021 √ 3/3/2021
60 NELLY TANJUNG, AM.Keb 198204032008012003 √ 2/13/2021 √ 3/3/2021
61 NOPRIDA ISNAINI, AM.Keb 198711302017042004 √ 3/3/2021 √ 3/17/2021
62 RINI ISMAN, AM.Keb 198904152017042006 √ 3/3/2021 √ 9/3/2021
63 JULIATI, AM.Keb 196702021989032005 √ 9/8/2021 √ 10/8/2021
64 KURNIATI, AM.Keb 198907222011012005 √ 2/12/2021
65 ENNI TANJUNG, AM.Keb 198811272017042003 √ 2/17/2021 √ 11/16/2021
1 MASTURI DALIMUNTHE, AM.Kep HONORER √ 2/11/2021 √ 2/25/2021

2 GUSTINA PANGARIBUAN, AM.Kep HONORER √ 2/11/2021 √ 2/25/2021
3 LENNI LESTARI HRP, AM.Keb HONORER √ 3/17/2021 √ 4/14/2021
4 MISBA RITONGA, SKM HONORER √ 3/3/2021 √ 3/31/2021
5 HESTI DOMINGGO RITONGA, STr.Keb HONORER √ 2/11/2021 √ 9/2/2021
6 AINI LOVITA FIFIANI SITOMPUL, AM.KeHONORER √ 2/11/2021 √ 2/25/2021
7 NUR SAHDA RITONGA, AM.Kep HONORER √ 2/13/2021 √ 3/13/2021
8 MUHAMMAD NAWI HRP, AM.Kep HONORER √ 2/11/2021 √ 2/26/2021
9 RINA REZKI SRG, SM HONORER √ 2/18/2021 √ 9/2/2021
10 IHSAN NURONI, AM.Kep HONORER √ 2/12/2021 √ 2/26/2021
11 MHD NASIR SITOMPUL HONORER √ 2/11/2021 √ 2/26/2021
12 AGUSTINA SIREGAR, SKM HONORER √ 7/25/2021 √ 9/2/2021
13 SOHIBIN HRP HONORER √ 2/12/2021 √ 3/3/2021
14 M.TAPPIL NST HONORER √ 2/12/2021 √ 2/26/2021
15 AGUS SALIM RAMBE HONORER √ 2/11/2021 √ 3/3/2021
16 RASMI TANJUNG, AM.Keb HONORER √ 9/13/2021 √ 10/12/2021
17 ASMARI RAMBE, AM.Kep HONORER √ 9/13/2021 √ 10/12/2021
18 drg. NIRWANA DEWI HONORER √ 7/16/2021 √ 8/13/2021
19 LISMA FAUZIAH , AM.KeB HONORER √ 9/13/2021 √ 10/19/2021
20 PEPI YANI MANURUNG HONORER √ 2/11/2021 √ 2/25/2021
2
1 SITI GAHARA, AM.Keb TKS √ 2/12/2021 √ 2/26/2021
2 GUSTINA DELKIS, AM.Keb TKS √ 8/17/2021 √ 9/14/2021
3 HINDUN HARAHAP, AM.Keb TKS √ 2/12/2021 √ 3/3/2021
4 SURIATI HARTATI HSB, AM.Keb TKS √ 9/13/2021 √ 10/12/2021
5 DIRA PAHRENI, AM.Keb TKS √ 2/11/2021
6 NUR LAILI TANJUNG, AM.Keb TKS √ 11/3/2021
Keterangan :
PNS THL TKS
T
AKSIN
KETERANGAN
3 TGL. VAKSIN
√ 9/6/2021
√ 9/6/2021
√ 9/6/2021
√ 9/6/2021
√ 9/6/2021
√ 9/6/2021
√ 9/6/2021
√ 9/6/2021
√ 9/6/2021
√ 9/6/2021
√ 9/6/2021
√ 9/6/2021
√ 9/6/2021
√ 9/6/2021
√ 9/9/2021
√ 9/13/2021
√ 9/9/2021
√ 9/9/2021
√ 9/9/2021
√ 9/9/2021
√ 9/9/2021
√ 9/9/2021
√ 9/9/2021
√ 9/9/2021
√ 9/9/2021
√ 9/9/2021
√ 9/9/2021
√ 9/7/2021
√ 9/13/2021
√ 9/13/2021
√ 9/13/2021
√ 9/13/2021
√ 9/13/2021
√ 9/13/2021
√ 9/13/2021
√ 9/13/2021
√ 9/13/2021
√ 9/13/2021
√ 9/13/2021
√ 9/13/2021
√ 9/13/2021
√ 9/13/2021
√ 9/16/2021
√ 9/16/2021
√ 9/16/2021
√ 9/16/2021
√ 9/16/2021
√ 9/16/2021
√ 9/16/2021
√ 9/16/2021
√ 9/16/2021
√ 9/20/2021
√ 9/16/2021
√ 12/7/2021
√ 12/7/2021
√ 9/6/2021
√ 9/6/2021
√ 9/13/2021
√ 9/6/2021
√ 9/6/2021
√ 9/6/2021
√ 12/7/2021
√ 9/9/2021
√ 9/16/2021
√ 11/20/2021
√ 9/16/2021
√ 9/16/2021
√ 9/16/2021
√ 2/16/2022
√ 2/16/2022
√ 9/16/2021
√ 9/16/2021
√ 9/20/2021
Kepala UPTD Puskesmas Sipiongot
ERNITA MANURUNG,MKM
197508092008012000
RUMAH SAKIT UMUM DAERAH GUTUNUNGTUA
VAKSIN
NO NAMA NIP
VAKSIN I VAKSIN II
1 dr. ANITA SYAFRIDA LUBIS, M.Kes 19820220 201001 2 024
2/9/2021 11/22/2021
2 SUKLENY RAHMAWATI HARAHAP, SKM, M.Kes 19751003 200504 2 002 3/24/2021 7/28/2021
3 JUNITA SONDANG RAMADAN HSB,SKM 1984 0617 2011 01 2005 2/19/2021 3/22/2021
4 ARMADAN SIREGAR S. Sos 1981 0703 2007 011004
5 DELI CANDRA KARTIKA HARAHAP,AMTE 19811101 201001 2022 2/19/2021 3/15/2021
6 HELMI SIREGAR,S.Sos 1974 0601 2007 012004 3/22/2021 4/5/2021
7 ASNUN,S.Sos 1979 0315 2007 012005 2/19/2021 3/5/2021
8 RAHMIATI HARAHAP,S.Sos 1974 0404 2003 122002 2/18/2021 3/4/2021
9 MARUBA HABSA SRG,S.Sos 1980 0317 2007 01 2003 3/22/2021 4/5/2021
10 NURISAN HARAHAP,S.Sos 1969 0715 2007 012006 2/19/2021 3/10/2021
11 ANNY MARHAMAH SIREGAR,Am.Keb 19861017 2010012027 12/3/2021
12 ARLIN SIREGAR,SH 1970 0415 2010 011001 3/22/2021 4/5/2021
13 ARMAN BAJORA SIREGAR 1977 1217 2007 011002 4/6/2021
14 MARA SAMAN SIREGAR 1975 0515 2010 011004 3/24/2021 4/19/2021
15 RAJA MUDA LUBIS 1969 0302 2007 011008 3/22/2021 4/5/2021
16 PULIANA 197004272007012003 2/19/2021 3/10/2021
17 SAMSUL SIREGAR 1977 0201 2009 041002 2/12/2021 2/26/2021
18 SAPII HARAHAP 1967 0504 2008 011021 2/18/2021 3/10/2021
19 MHD. IMRAN SIREGAR,SKM 19680829 199003 1 004 _ _
20 SERI WENNY HARAHAP, S. Kep, Ns 19760510 201001 2 011 8/26/2021 10/22/2021
21 OKTAVIYANTI HASIBUAN, SKM 1979 1015 2010 01 2025 2/19/2021 3/15/2021
22 AHMAD JUNGJUNG SIREGAR, S.Farm.Apt 197607092009041001 2/18/2021 3/5/2021
23 LISBET Br.SIAHAAN, S.Farm, Apt 198102252010012021 3/3/2021 3/17/2021
24 DOHARNI TANJUNG,S.SI,Apt 197708272010012009 2/18/2021 3/5/2021
25 LENNI CHOIRIA SIREGAR,SKM 1981 0216 2006 04 2010 3/23/2021 4/6/2021
26 MARDIANA SIMAMORA,Am.Kes 198010252009032001 12/21/2021
27 SYARIPAH AINI,AM.Farm 19790614 200904 2 006 2/12/2021 2/26/2021
28 MEILINA SARI HRP,Amd.AK 1980 0509 2007 012016 2/19/2021 3/5/2021
29 RONAL SIREGAR,SKM 19790326 200904 1 002 2/17/2021 3/5/2021
30 ZULFIKAR HARAHAP,SKM 1986 1123 201001 1 009 2/18/2021 05/03/221
31 ROMAWATI SIREGAR,AMD 19701019 200003 2 004 2/19/2021 3/15/2021
32 IRMA YUSNITA LUBIS,S.Farm,Apt 199207132019032001 3/23/2021
33 NURMAHAYA, S.Farm 19781103 201407 2 003 2/19/2021 3/15/2021
34 HALOMOAN SAPUTRA LUBIS,AM.Tem 1990 0729 2014 02 1003 2/18/2021 3/4/2021
35 EMMELIA SIHOTANG,SKM 1983 0203 2011 01 2005 2/18/2021 3/4/2021
36 DESI ARISANTI,AMTR 198612272009042 2006 3/24/2021 4/7/2021
37 ROSITA,A.M.K.G 1984 1205 2009 04 2005 2/17/2021 3/5/2021
38 HADI MUKARROM SIREGAR,AMG 1985 0827 2014 02 1001 2/18/2021 3/5/2021
39 REVANDO BODI,Amd.Gz 199110022019031006 2/15/2021 3/3/2021
40 SANTI EKA SARI HASIBUAN,A.M.K.G 199610102019032010 2/11/2021 2/25/2021
41 SITI SARIAH SIREGAR,Am.Farm 199504142019032010 2/12/2021 2/26/2021
42 YUSMAIDA DALIMUNTHE,AMF 198611212019032013 2/18/2021 3/10/2021
43 dr. JULIA ERLINA NASUTION 19840105 200904 2 007 3/22/2021 4/19/2021
44 dr. ABRIYANTI BATUBARA 19821005 201101 2 005 04/11/202 12/3/2021
45 YUNIHAR MARPAUNG,S.Kep,Ners 1981 1130 2011 01 2004 3/22/2021 4/22/2021
46 dr.SRI SURYANI HASANAH HARAHAP 196804011999032001 3/10/2021 3/24/2021
47 dr. I R W A N 196711272003121002 2/10/2021 2/24/2021
48 dr.MAHYUDA SIREGAR 19831010 201101 1 010 2/11/2021 2/25/2021
49 dr. REDHA CIPTA UTAMA 19870831 2014 021002 7/8/2021 8/5/2021
50 dr.FREDY TARIGAN 198910052019031008 2/19/2021 3/5/2021
51 drg. VIVI ZAYANTI REZEKI NASUTION 199101112019032020 2/17/2021 3/3/2021
52 drg. RAINY OKTAVIA ATHOS PUTRI DAULAY 198510282019032004 2/18/2021 3/5/2021
53 dr.ANNISA PUSPITA DASOPANG 19900112 201903 2 002
54 dr MUHAMMAD TAUFIQ SIREGAR, Sp.PD 198011162010011011 2/11/2021 2/25/2021
55 dr.ERWIN EDI SAHPUTRA HARAHAP, Sp.OG 19790501 200907 1 001 2/10/2021 2/24/2021
56 dr. SRI RANI SYAHPUTRI NASUTION,Sp.THT 19800419 200907 2 001 2/10/2021 2/24/2021
57 dr.ARDYANSYAH NASUTION, M.Ked, Sp.THT 19870915 201402 1 001 2/19/2021 3/5/2021
58 dr.TRI BUDI SETIAWAN NASUTION,M.Ked 19841112 201001 1 018 2/22/2021 3/9/2021
59 IRMA JUNIANTI PULUNGAN,Am.Keb 1980 0624 2006 04 2037 2/18/2021 3/4/2021
60 ANNI ATHIFAH SIREGAR,S.Kep, Ners 1980 0102 2007 01 2006 2/18/2021 3/4/2021
61 HOTNI SARI DEWI SIREGAR, S.Kep 1982 1028 201001 2037 2/12/2021 2/26/2021
62 LILY FATRANI SIREGAR, SKM, M.Kes 1980 0104 2002 122002
63 RATNA DEWI,Am.Kep 1979 0524 2007 012003 2/10/2021 2/24/2021
64 LELLIANI SIREGAR,S.Kep,Ns 1980 1112 2007 012002 2/12/2021 2/26/2021
65 TIANA SIREGAR,SKM 1976 0811 2002 122004 2/18/2021 3/5/2021
66 MITA AYU DINA,A.M.Keb 1987 0706 2009 04 2005 3/22/2021 4/7/2021
67 LINA SURYANI DALIMUNTHE,SKM 1987 0410 2010 012 035 2/18/2021 3/4/2021
68 MARIATI HARAHAP,SKM 1981 0326 2002 122004 2/18/2021 3/22/2021
69 JULIADRIANI HARAHAP,SKM 1986 0722 2010 012 040 3/29/2021 4/19/2021
70 ANNY MARLINA NST,SKM 1988 0120 2010 01 2016 2/18/2021 3/29/2021
71 SOPIA HARAHAP,A.M.Kep 198407222009032008 2/19/2021 3/5/2021
72 NURHASANAH,AM.Keb 1985 0312 2010 01 2035 2/18/2021 3/4/2021
73 MASDIANA HARAHAP,S.Kep,Ners 1985 0327 2011 01 2004 2/18/2021 3/4/2021
74 SITI KHAIRANI AM,Keb 1988 1010 2011 01 2009 2/19/2021 3/5/2021
75 ELISNA SARI,S.Kep 1981 0106 2010 012 025 2/10/2021 2/24/2021
76 WILLIANDA,Am.Kep 1981 0616 2008 01 1003 3/22/2021 4/5/2021
77 SITI HASANAH SIREGAR,A.M.Kep 197909212007012003 2/19/2021 3/10/2021
78 NAZRIL AKHMAD SIREGAR,S.Kep 1983 0224 2011 01 1002 2/18/2021 3/10/2021
79 ENDANG SRI HARNANI, S.Kep 1986 0719 2011 01 2004 10/1/2021 11/4/2021
80 LILY SURYANI SRG 1982 0718 2006 042012 2/19/2021 3/10/2021
81 FEBRIDAYANNI HUTAPEA,AM.Keb 1989 0309 2011 01 2002 2/11/2021 2/25/2021
82 ROPIAH DARAJAH LS,S.Kep 1980 0114 2006 042017 2/10/2021 2/24/2021
83 JUPRIADI HIBURAN,SKM 19790605 200801 1 003 3/22/2021 4/5/2021
84 AZWAR AKHMAD SIREGAR,AM.Kep 1985 0215 2011 01 1011 4/19/2021 8/13/2021
85 EVIDASANTI SIREGAR,AM.Keb 1989 0504 2011 01 2004 2/10/2021 3/5/2021
86 SONJA ELISNA DEWI,Am.Keb 1977 1124 2006 04 2011 2/12/2021 2/26/2021
87 MEWARNI JULIANA HARAHAP 19790701 2006 04 2024 3/24/2021 12/22/2021
88 DEWI SARTIKA SIREGAR,A.M.Kep 197905022011012002 2/19/2021 3/10/2021
89 LOLINA SARI HASIBUAN,A.M.Kep 198405112010012028 2/19/2021 3/5/2021
90 HASANUDDIN HARAHAP,AM.Kep 198708032010011010 2/19/2021 3/5/2021
91 AHMAD FADLY DAULAY,S.Kep, Ners 199207142019031009 3/3/2021 3/17/2021
92 IRMA SARI SIREGAR,S.Kep.Ners 197809082014072004 2/10/2021 2/24/2021
93 PARLUHUTAN SIREGAR,SKM 19790205 200701 1 006 2/18/2021 3/4/2021
94 NUR AZIZAH SIREGAR, S.Tr.Keb 19940921 2020122002 2/12/2021 2/26/2021
95 REPIDA HANDAYANI HARAHAP,AM.Kep 1983 0408 2008 012001 2/19/2021 3/24/2021
96 HENDRI ADY SIREGAR,Am.Kep 19880909 201101 1 003 2/17/2021 3/3/2021
97 MHD SUTEN HRP 1977 1010 2007 011007 3/24/2021 4/22/2021
98 EKONG HARAHAP, Am.Kep 197712172014121001 2/12/2021 2/26/2021
99 dr. MULIA OLOAN NAULI HARAHAHAP 1977 1010 2007 011007 2/11/2021 2/25/2021
Keterangan
PNS
V1 : 98 Orang
V2 : 96 Orang
V3 : 97
INASI
TUNUNGTUA
VAKSIN
KETERANGAN
VAKSIN III
Hasil Vaksin 3 tdk keluar
9/14/2021
Tidak bisa diberikan vaksin karena sakit jantung
11/5/2021
9/23/2021
9/23/2021
9/23/2021
11/4/2021
Hasil Vaksin 3 tdk keluar di online/sudah vaksin

9/24/2021 Dosis ke 2 tdk ada
10/7/2021
9/24/2021
_ Tidak bisa diberikan vaksin karena sakit jantung
4/4/2021
9/14/2021
9/14/2021
11/4/2021
9/21/2021
Vaksin 2 dan 3 ditunda dikarena hamil
9/24/2021
9/21/2021
9/20/2021
9/28/2021
9/24/2021
Vaksin 2 dan 3 ditunda dikarena memiliki Asma
11/4/2021
11/4/2021
9/3/2021
9/6/2021
9/23/2021
3/15/2021
9/15/2021
9/3/2021
9/24/2021
9/22/2021
9/8/2021
9/23/2021
11/4/2021
9/20/2021
9/14/2021
Belum vaksin ke 3
9/14/2021
Hasil Vaksin 3 tdk keluar/padahal sudah di vaksin
10/7/2021
Pegawai Baru
Belum divaksin ke 3
9/17/2021
9/6/2021
9/24/2021
9/15/2021
9/20/2021
3/24/2021
7/11/2021
9/20/2021
9/24/2021
9/8/2021
9/20/2021
9/22/2021
10/7/2021
9/21/2021
9/21/2021
9/15/2021
9/30/2021
11/4/2021
9/24/2021
9/21/2021
10/7/2021
9/30/2021
9/22/2021
11/4/2021
9/22/2021
11/9/2021
9/23/2021
9/21/2021

9/20/2021
3/23/2021
9/10/2021
9/8/2021
11/4/2021
9/21/2021
9/21/2021
9/20/2021
9/21/2021
Direktur RSUD Gunungtua
dr Anita Syabrida Lubis M.Kes

Nip. 198202202010012024
DAFTAR THL DAN TKS VAKSINASI
RUMAH SAKIT UMUM DAERAH GUNUNGTUA
VAKSIN
NO NAMA JABATAN
VAKSIN I
1 HOTNISARI SIREGAR,S.Sos Staf Pengaju Klaim BPJS 2/19/2021
2 ASMIDA WATI, S.Sos Staf Pelayanan Rujukan
3 SINTA JULI YANNI SIREGAR, S.Sos Staf Subbag Administrasi Kepeg 3/24/2021
4 LINNA HARAHAP,SPd Staf Subbag Keuangan 2/19/2021
5 ERNAWATI TANJUNG, S.Sos Staf Rekam Medis 2/10/2021
6 PIPI YANTI SIMAMORA,Amd.Kom Staf Rekam Medis 2/18/2021
7 ABDUL KOHAR Satpam 3/23/2021
8 EKA PRAMITA LUBIS Staf Rekam Medis 2/18/2021
9 NELLY ANGRIANA LUBIS Staf Perlengkapan 2/19/2021
10 EDI CANDRA SIREGAR,AM.Kep Staf Rekam Medis 3/24/2021
11 UMMI,SPd Staf Subbag Keuangan 2/19/2021
12 APRI ANITA Staf Pengaju Klaim BPJS 3/22/2021
13 NORA FIKA AMALIA Staf Pengaju Klaim BPJS 2/18/2021
14 DEWI HARNISA SIREGAR Staf Rekam Medis 2/18/2021
15 EVA SUSANTI SIREGAR,S.Kep Ners Staf Pelayanan Medik 2/18/2021
16 JEPANNY,S.Kom Staf Subbag Administrasi Kepeg 2/19/2021
17 HILDA MAYANTI HASIBUAN Staf Pelayanan Medik 2/10/2021
18 RIZKY FITRIANI LESTARI SIREGAR Staf Perlengkapan 3/24/2021
19 SITI NURCAHAYA ALPIA Staf Rekam Medis 2/18/2021
20 SEPRIYANTI HARAHAP Staf Penunjang Medis 2/18/2021
21 SITI ANNI SURYANI HARAHAP Staf Pelayanan Rujukan 2/19/2021
22 EKA OKTALINA NASUTION Staf Subbag Administrasi Kepeg 2/19/2021
23 MEYSI ANGRIANI Staf Subbag TU/Komplain dan Saran 2/11/2021
24 PEBRIANI LUBIS Staf Rekam Medis 11/4/2021
25 RAHMA AMINAH RAMBE Staf Pelayanan Medik 2/18/2021
26 MUHAMMAD KAYA IMAN SIREGAR Staf Rekam Medis 2/18/2021
27 SRI LINDA YANTI Staf Subbag Program
28 UNTUNG PANDAPOTAN Staf Subbag Program 2/10/2021
29 SUSI YANTI SIREGAR Staf Farmasi Klinis 2/19/2021
30 EFRIANI SIREGAR Staf Rekam Medis 2/19/2021
31 FITRI HIDAYANI HASIBUAN, S.Si Staf Perlengkapan 2/18/2021
32 ARIF KURNIAWAN HARAHAP, S.Kep. Ners Staf Subbag Keuangan 2/24/2021
33 BAGINDA SANY SIREGAR Staf Perlengkapan 3/24/2021
34 ROSDELIMA SIREGAR, AMF Staf Rekam Medis
35 dr.AGUSTINA SARI HARAHAP Dokter Umum
36 dr. FAHRI PARLAUNGAN HARAHAP Dokter Umum 2/18/2021
37 dr.ALI AKBAR Dokter Umum 2/10/2021
38 dr. FAROUQ ALWI SIREGAR Dokter Umum 2/11/2021
39 drg. PUTRI SYAWALANI HERY KARNI Dokter Gigi Umum 12/23/2021
40 dr. DEBORA ENJENG OLOAN SIREGAR Dokter Umum
41 EMMI FITRIANI HASIBUAN,Am.Keb Bidan Poliklinik Obgyn 2/10/2021
42 MARLIATI HASIBUAN,Am.Keb Bidan Poliklinik Syaraf 2/18/2021
43 ELISNA ERIANA HARAHAP,Am.Keb Bidan Poliklinik Bedah 4/19/2021
44 NUR FADHILAH BATUBARA,Am.Keb Bidan Poliklinik THT 9/7/2021
45 SITI ROHANI HARAHAP,Am.Keb Bidan Poliklinik Penyakit Dalam 2/10/2021
46 NUR HAFSAH RAMBE,Am.Keb Bidan Poliklinik Penyakit Dalam 11/4/2021
47 PATIMAH CANIAGO,Am.Kep Perawat Poli Anak 2/19/2021
48 USNIATI HARAHAP,Am.Kep Perawat Poli Anak 4/6/2021
49 EFRIDAWATI SIREGAR S.Farm Staf Apotik R. Jalan 2/10/2021
50 ROKIAH SIREGAR Staf Apotik R. Jalan 2/18/2021
51 FITRIANA HRP S.farm Staf Apotik R. Jalan 2/19/2021
52 ANNA TIMAH RANI HARAHAP Staf Apotik R. Jalan 2/11/2021
53 YUNI LESTARI HARAHAP,S.Farm Staf Apotik R. Jalan 2/12/2021
54 MARWAN HADOMUAN HARAHAP,S.Farm Staf Apotik R. Jalan 2/18/2021
55 RINI GUSTIKA, S.Farm Staf Apotik R. Jalan
56 SARI BULAN,S.Farm Staf Apotik R. Jalan 9/28/2021
57 PITTA KHAIRANI SIREGAR Staf Apotik R. Inap 2/12/2021
58 HENRA ROMADON HARAHAP,Am.Farm Staf Apotik R. Inap 2/18/2021
59 JUNI YANTY SIREGAR Staf Apotik R. Inap 2/18/2021
60 NUR AJIJA SIREGAR, Am.Farm Staf Apotik R. Inap 11/5/2021
61 NUR AINUN SIMAMORA Staf Apotik R. Inap 2/11/2021
62 NAHDATUL AVIDA Petugas SEP 2/15/2021
63 APRI YANI AISYAH NASUTION Petugas SEP 3/23/2021
64 SYAWAL ARIAWAN HARAHAP Petugas SEP 2/18/2021
65 MARA LIANNA Petugas SEP 2/18/2021
66 SITI MARLINA SIREGAR Petugas Resepsionis 2/18/2021
67 MERI KRISTINA HTJL,S.Kep Ners Perawat IGD 2/10/2021
68 MARWAN EFENDI HRP,Am.Kep Perawat IGD 2/11/2021
69 SAHRUDDIN LUBIS,Am.Kep Perawat IGD 2/12/2021
70 NUR HALIMATUN SAHDIAH HRP,Am.Kep Perawat IGD 2/19/2021
71 UMAR PANE,Am.Kep Perawat IGD 2/12/2021
72 JAGO HASIBUAN,Am.Kep Perawat IGD 2/11/2021
73 OLOAN SURIYADI HARAHAP,Am.Kep Perawat IGD 2/17/2021
74 AGUS SALIM HASIBUAN,Am.Kep Perawat IGD 2/19/2021
75 POSNIROHA HARAHAP,Am.Kep Perawat IGD 2/12/2021
76 LAMRO HUTASUHUT,Am.Kep Perawat IGD 2/12/2021
77 NUR HAFNIDA HARAHAP,Am.Kep Perawat IGD 2/11/2021
78 AFNI RAWATI,Am.Keb Bidan IGD 2/18/2021
79 ELLY YUNI YANTI LUBIS,Am.Keb Bidan IGD 2/18/2021
80 NURDIAN HARAHAP,Am.Keb Bidan IGD 2/11/2021
81 TIKA ELVIANA,Am.Keb Bidan IGD 2/17/2021
82 DEDIADI SIREGAR,Am.Kep Perawat IGD 2/12/2021
83 IBNAISAH HARAHAP,Am.Kep Perawat IGD 2/18/2021
84 JULIANTI SIREGAR,Am.Kep Perawat IGD 2/19/2021
85 RIZKY RAMADHAN SIAGIAN,Am.Kep Perawat IGD 2/18/2021
86 ERLINA WATI RAMBE,Am.Keb Bidan Ruang Pakkat 3/4/2021
87 LINDA SARI HARAHAP,Am.Keb Bidan Ruang Pakkat
88 EFRITA SARI SIREGAR,Am.Keb Bidan Ruang Pakkat 2/18/2021
89 MASNAWARI RAMBE,Am.Keb Bidan Ruang Pakkat 2/18/2021
90 NURMA SARI RTNG,Am.Kep Perawat Ruang Pakkat 2/19/2021
91 RITA AFRIANTI SIREGAR,S.Kep Ners Perawat Ruang Pakkat 2/11/2021
92 ELPI JUNARI TAMBAK,Am.Kep Perawat Ruang Pakkat 2/10/2021
93 SARTINA WAHDINI SIREGAR,Am.Kep Perawat Ruang Pakkat 3/24/2021
94 MEI RHOMADANI SIREGAR,Am.Keb Bidan R.Inap Ponek 2/11/2021
95 YENNI SIREGAR,Am.Keb Bidan R.Inap Ponek 2/18/2021
96 TRIA FITRIANA,Am.Keb Bidan R.Inap Ponek 9/28/2021
97 NURLAILATUL QODAR,Am.Keb Bidan R.Inap Ponek 2/18/2021
98 SITI AISYAH,Am.Keb Bidan R.Inap Ponek 2/12/2021
99 NURDIA,Am.Keb Bidan R.Inap Ponek 2/18/2021
100 JULIATI NASUTION,Am.Keb Bidan R.Inap Ponek 2/18/2021
101 ARNA RAMBE,Am.Keb Bidan R.Inap Ponek 2/18/2021
102 TATI ERNISA SIREGAR, Str.Keb Bidan R.Inap Ponek 9/22/2021
103 PEBRINAWATI SIREGAR,Am.Keb Bidan R. Perinatologi 2/18/2021
104 ROSLINA OCTORIA SIREGAR,Am.Keb Bidan R. Perinatologi 2/12/2021
105 UMMI KALSUM,Am.Keb Bidan R. Perinatologi
106 ISMA YANTI HASIBUAN,Am.Keb Bidan R. Perinatologi 2/17/2021
107 RINDOM HARAHAP,Am.Keb Bidan R. Perinatologi 2/18/2021
108 MASDAWIYAH HARAHAP,Am.Keb Bidan R. Perinatologi 9/28/2021
109 DEVIANI HARAHAP,Am.Keb Bidan R. Perinatologi 2/18/2021
110 TOYBAH,Am.Keb Bidan R. Perinatologi 2/18/2021
111 INDAH FITRIA SIHOMBING,Amd.AK Petugas Laboratorium 2/18/2021
112 RESINA HRP Petugas Laboratorium 2/18/2021
113 ARISMA KARYA,Amd.AK Petugas Laboratorium 2/18/2021
114 ELVA EJERINA HARAHAP,Amd.AK Petugas Laboratorium 2/10/2021
115 PUJA SARMAIDA POHAN,Amd.AK Petugas Laboratorium 2/18/2021
116 BELLA MULINDA,Amd.AK Petugas Laboratorium 2/18/2021
117 SARIPA APNI HARAHAP,S.Kep Admin Laboratorium
118 MELPIANA ROSA Petugas Kasir 2/18/2021
119 PUTRI NOVITA SARI HARAHAP Petugas Kasir 2/19/2021
120 RAHMAD RASOKI Petugas Kasir 2/12/2021
122 AJIMAH SIREGAR,Am.Kep Petugas Kasir 2/10/2021
123 HUKSAR KHALID HARAHAP,AMTR Petugas Radiologi 2/19/2021
124 BALEO SARNANG HARAHAP,AMTR Petugas Radiologi 4/5/2021
126 MI’RAJ HABIBI HARAHAP, A.Md.Kes Petugas Radiologi 10/7/2021
127 RAHMAD HAMONANGAN,Am.Kep Perawat Ruangan Bedah 2/18/2021
128 SUSILAWATI,Am.Keb Bidan Ruangan Bedah 2/18/2021
129 AMRIL ARDIMANSYAH,Am.Kep Perawat Ruangan Bedah 2/17/2021
130 LINDA SARI,Am.Keb Bidan Ruangan Bedah 2/18/2021
131 ELLI HERAWATI HRP,Am.Keb Bidan Ruangan Bedah 3/24/2021
132 RISWAN EFENDI HARAHAP,Am.Kep Perawat Ruangan Bedah 2/18/2021
133 NEWLOT FAVOUR LAROSA,Am.Kep Perawat Ruangan Bedah 2/11/2021
134 NURAINI SARIFAH BTR,Am.Kep Perawat Ruangan HCU 3/23/2021
135 ISRO HAMIDA,Am.Kep Perawat Ruangan HCU 3/25/2021
136 NOPISAHARI SIREGAR,Am.Kep Perawat Ruangan HCU 12/7/2021
137 ALAM HARAHAP,Am.Kep Perawat Ruangan HCU 3/25/2021
138 AKHIR MADA SIREGAR,AMK Perawat Ruangan HCU 3/24/2021
139 MUSA PRADISIAKA PARAPAT,Am.Kep Perawat Ruangan HCU 9/23/2021
140 ZULKARIADI,Am.Kep Perawat Ruangan HCU 2/15/2021
141 MUHAMMAD ROHIM SIREGAR,Am.Kep Perawat Ruangan HCU 2/19/2021
142 SARTIKA DALIMUNTHE,Am.Kep Perawat Ruangan HCU 2/18/2021
FAHRUL RAZY MUDA
143 HARAHAP,S.Kep.Ners Perawat Ruangan HCU 2/17/2021
144 RAHMAT SAHRUL HARAHAP,Am.Kep Perawat Ruangan HCU 2/18/2021
145 DERLINA HASIBUAN,Am.Kep Perawat R.INAP Pining 2/18/2021
146 AFRIDA SARI,Am.Kep Perawat R.INAP Pining
147 ROBIANNI SIREGAR,Am.Kep Perawat R.INAP Pining 2/18/2021
148 SADDAM HUSEIN,Am.Kep Perawat R.INAP Pining 2/19/2021
149 HERLINA TANJUNG,Am.Kep Perawat R.INAP Pining 2/12/2021
150 MAISAROH,AMK Perawat R.INAP Pining 2/19/2021
151 INTAN KUMALA SARI,Am.Kep Perawat R.INAP Pining 2/17/2021
152 ELPIANA SIREGAR,Am.Kep Perawat R.INAP Pining 2/10/2021
153 MARWAH SIKUMBANG,Am.Keb Bidan R.INAP Pining 9/28/2021
154 VIVI AULIA HARAHAP,Am.Keb Bidan R.INAP Pining 2/18/2021
155 HENRI MUDA SIREGAR,Am.Kep Perawat R.INAP Pining 3/22/2021
156 RIHAL HAYANI,Am.Keb Bidan R.INAP Pining 3/24/2021
157 SITI ISRO DAULAY,Am.Keb Bidan R.INAP Pining 12/9/2021
158 SITI PATIMAH HRP,AMK Perawat R.INAP Haramonting 2/19/2021
159 FATIMAH AMINATUN SIREGAR,S.Kep Ners Perawat R.INAP Haramonting 3/24/2021
160 TUKMAIDA SARI HARAHAP,Am.Kep Perawat R.INAP Haramonting 2/18/2021
161 SITI ESRINA SARI HASIBUAN,Am.Kep Perawat R.INAP Haramonting 2/12/2021
162 MASNIWATI HARAHAP,Am.Kep Perawat R.INAP Haramonting 2/17/2021
163 IDA MARIANA HARAHAP,Am.Keb Bidan R.INAP Haramonting 2/19/2021
164 ABDUL HARIS SIREGAR,Am.Kep Perawat R.INAP Haramonting 2/19/2021
165 FITRIANI HARAHAP,Am.Kep Perawat R.INAP Haramonting 2/17/2021
166 ESFIANI HARAHAP,Am.Keb Bidan R.INAP Haramonting 2/17/2021
167 UMMI KALSUM PULUNGAN,Am.Keb Bidan R.INAP Haramonting 2/19/2021
168 RINA PUSPA SARI SIREGAR,Am.Keb Bidan R.INAP Sihim 2/18/2021
169 TRI JULIANA HARAHAP,Am.Keb Bidan R.INAP Sihim 2/18/2021
170 IRFINA ZAINAB SIREGAR,Am.Keb Bidan R.INAP Sihim 3/22/2021
171 MAHRANI HASIBUAN,Am.Keb Bidan R.INAP Sihim 10/7/2021
172 INTAN SYAHRIANA HASIBUAN,Am.Kep Perawat R.INAP Sihim 10/7/2021
173 AHMAD FAUZI HASIBUAN,Am.Kep Perawat R.INAP Sihim 2/10/2021
174 NURLAILAH SYARIH DALIMUNTHE,Am.Kep Perawat R.INAP Sihim 2/18/2021
175 NORA VERONIKA SIREGAR,Am.Kep Perawat R.INAP Sihim 2/18/2021
176 HOTNILA SARI,Am.Keb Bidan R.INAP Antara 9/28/2021
177 LILY ANRIANI SIREGAR,Am.Kep Perawat R.INAP Antara 2/19/2021
178 IRNA MARLINA SIREGAR,Am.Keb Bidan R.INAP Antara 2/18/2021
179 ASPAR HADI DAULAY,Am.Kep Perawat Ruang Isolasi 2/10/2021
180 ASPAWATI HARAHAP,Am.Kep Perawat Ruang Isolasi 2/19/2021
181 ZURMANSYAH HARAHAP,Am.Kep Perawat Ruang Isolasi 2/18/2021
182 NUR AISYAH SIREGAR,Am.Kep Perawat Ruang Isolasi 2/17/2021
183 IBRAHIM MUDA HARAHAP,Am.Kep Perawat Ruang Isolasi 3/23/2021
184 ISMAIL HARAHAP,Am.Kep Perawat Ruang Isolasi 3/22/2021
185 EVA YUNI SIREGAR,Am.Keb Bidan Ruang Isolasi 2/10/2021
186 HOTIP SOLEH SIREGAR,Am.Kep Petugas Scrining 2/10/2021
187 DEDEK GWEE HASANUDDIN RITONGA,Am.K Petugas Scrining 2/18/2021
188 DESY RIAWATI SIREGAR,AMG Bagian Gizi (Dapur) 2/10/2021
189 SOPIANI HARAHAP Bagian Gizi (Dapur) 2/12/2021
190 PUTRI IRAWAN SIREGAR Bagian Gizi (Dapur) 2/19/2021
191 TETTY TANJUNG Bagian Gizi (Dapur) 2/11/2021
192 NOVITASARI SIREGAR Bagian Gizi (Dapur) 11/4/2021
193 ASTUTI SIREGAR Bagian Gizi (Dapur) 2/15/2021
194 ROMAITO DASOPANG Bagian Gizi (Dapur) 2/18/2021
195 NURJAIMA HARAHAP Bagian Gizi (Dapur) 3/30/2021
196 SITI AMSA Bagian Gizi (Dapur)
197 PAISAL HAMIDI SIREGAR Supir Ambulance 2/19/2021
198 SAHIRAN Supir Ambulance 2/19/2021
199 PANGADILAN SIREGAR Supir Ambulance 2/19/2021
200 HAMLAN SOLEH Supir Ambulance 3/26/2021
201 HASANUDDIN Petugas Instalasi IPAL 2/17/2021
202 IRWAN Petugas Instalasi IPAL 2/18/2021
203 MUHAMMAD NUR Petugas Instalasi IPAL 2/11/2021
204 RIZAL SIREGAR Petugas Instalasi IPAL 2/19/2021
205 MARA HALIM HARAHAP Petugas Instalasi IPAL 3/24/2021
206 ASWAN SIREGAR Gudang Farmasi 2/19/2021
207 UCI PITRIANI,Amd.Kom Gudang Farmasi 12/8/2021
208 ALI ABRI HARAHAP,SE Gudang Farmasi 3/23/2021
209 AFNI DAHLIA SIREGAR Gudang Farmasi 10/1/2021
210 MHD SAHRIJAL,Am.Kep Perawat R.Jenazah 2/11/2021
211 AMINUDDIN NASUTION Rohaniawan Muslim 2/12/2021
212 PARSAORAN MUNTHE,S.Th Rohaniawan Kristen 2/17/2021
213 ISNUNARIANTI Cleaning Cervice 2/17/2021
214 PANERANGAN SIREGAR Cleaning Cervice 3/23/2021
215 ASWADI SIREGAR Cleaning Cervice 3/23/2021
216 SITI GERHANA Cleaning Cervice 2/18/2021
217 FEPPI RIA RIZKI SIREGAR Cleaning Cervice 2/18/2021
218 TIASRO Cleaning Cervice 2/17/2021
219 MASROHANI HARAHAP Cleaning Cervice 10/5/2021
220 MHD IDRIS HASIBUAN Cleaning Cervice 3/23/2021
221 ESMA Cleaning Cervice 2/11/2021
222 HAFNI SERI HARAHAP Cleaning Cervice 2/10/2021
223 LENI MUHAIRIANI DAULAY Cleaning Cervice 2/18/2021
224 NURHAMIDA SIREGAR Cleaning Cervice 2/18/2021
225 ABSO NASUTION Cleaning Cervice 2/11/2021
226 ROSMIAN HARAHAP Cleaning Cervice 3/22/2021
227 RIKA SURIANA HARAHAP Cleaning Cervice 10/8/2021
228 DAMRONA SIREGAR Cleaning Cervice 3/3/2021
229 EPI SURIYANI Cleaning Cervice 2/11/2021
230 DESI Cleaning Cervice 2/11/2021
231 NORMA YUNITA Cleaning Cervice 3/22/2021
232 EMAS DAYANI Cleaning Cervice 2/18/2021
233 MASLIANA HARAHAP Cleaning Cervice 2/19/2021
234 SARIATI HARAHAP Cleaning Cervice 2/19/2021
235 ITA JUNAIDA Cleaning Cervice 2/18/2021
236 SITI MARIA Cleaning Cervice 2/17/2021
237 PARIDA MANALU Cleaning Cervice 2/11/2021
238 JULHAN SIREGAR Cleaning Cervice 2/19/2021
239 LEO WANGSA SAPUTRA Cleaning Cervice 3/24/2021
240 ROSLINDA Cleaning Cervice 2/19/2021
241 SUHARLAN Satuan Pengaman/Satpam 2/15/2021
242 ERPIN SIREGAR Satuan Pengaman/Satpam 2/18/2021
243 ALI AKBAR Satuan Pengaman/Satpam 2/18/2021
244 ALI SAPUTRA Satuan Pengaman/Satpam 2/19/2021
245 HASMAR EPENDI Satuan Pengaman/Satpam 2/17/2021
246 ISNAN ADI PUTRA HARAHAP Satuan Pengaman/Satpam 3/22/2021
247 KAMALUDIN Satuan Pengaman/Satpam 2/15/2021
248 ILHAM FAUZI Satuan Pengaman/Satpam 2/11/2021
249 AMINUDDIN Satuan Pengaman/Satpam 2/11/2021
250 JUBEIR RITONGA Satuan Pengaman/Satpam 2/19/2021
251 ENDAR PANGADILAN SIREGAR Satuan Pengaman/Satpam 2/18/2021
252 ZONI MALIK IBAROHIM Satuan Pengaman/Satpam 2/15/2021
253 JUNAIDI Satuan Pengaman/Satpam 2/17/2021
254 AHMAD YUNAN Satuan Pengaman/Satpam 3/22/2021
255 ASAZ JURPAQDA DAULAY Satuan Pengaman/Satpam 2/19/2021
256 SUARDI Satuan Pengaman/Satpam 3/22/2021
257 RIJALUDDIN SIREGAR Satuan Pengaman/Satpam 2/17/2021
Keterangan
Honor/TKS
V1 : 241 Orang
V2 : 227 Orang
V3 : 205 Orang
KS VAKSINASI
AERAH GUNUNGTUA
VAKSIN
VAKSIN II VAKSIN III KETERANGAN
3/5/2021 9/28/2021
11/5/2021 Tidak Vaksin 1 dan 2 pas hamil
4/22/2021 9/30/2021
3/22/2021 Belum Vaksin ke 3
3/5/2021 9/30/2021
3/5/2021 9/20/2021
4/19/2021 9/22/2021
3/5/2021 10/1/2021
3/5/2021 9/21/2021
Dosis 2 tdk ada
3/15/2021
4/5/2021 9/28/2021
3/5/2021 12/22/2021
3/5/2021 9/28/2021
3/5/2021 9/24/2021
3/15/2021 10/7/2021
2/24/2021 9/24/2021
4/10/2021 9/28/2021
3/15/2021 11/4/2021
3/5/2021 11/5/2021
3/10/2021 9/28/2021
3/5/2021 9/22/2021
2/25/2021 9/23/2021
Belum Vaksin ke 2 ke 3
3/4/2021 9/21/2021
3/5/2021 9/28/2021
Belum Vaksin ke 1 2 ke 3 hamil
2/25/2021 9/22/2021
3/5/2021 9/21/2021
3/5/2021 vaksin ke 3 tdk ada krn hamil
3/5/2021
4/22/2021 9/23/2021
9/2/2021
Berhenti
3/4/2021 9/21/2021
Belum vaksin ke 2 dan ke 3
9/21/2021
Vaksi ke 2 dan 3 mengalami KIPI
3/22/2021 8/10/2021
8/30/2021 11/4/2021
11/6/2021 Belum vaksin ke 3
3/5/2021 10/1/2021
11/4/2021
3/5/2021 9/28/2021
8/30/2021 9/22/2021
2/26/2021 9/23/2021
3/4/2021 9/24/2021
2/25/2021 9/21/2021
2/26/2021 9/23/2021
3/5/2021 10/7/2021
pegawai baru
2/26/2021 9/21/2021
3/24/2021 10/8/2021
Belum vaksin ke 2 ke 3
2/25/2021 9/24/2021
3/5/2021 9/22/2021
4/6/2021 9/23/2021
3/5/2021 9/30/2021
3/5/2021 9/22/2021
3/5/2021 10/7/2021
2/24/2021 9/15/2021
2/25/2021 9/20/2021
2/26/2021 10/8/2021
3/5/2021 9/23/2021
2/26/2021 9/21/2021
2/26/2021 9/22/2021
3/5/2021 9/24/2021
3/23/2021 9/24/2021
2/26/2021 10/7/2021
2/26/2021 9/24/2021
2/25/2021 9/24/2021
3/5/2021 9/23/2021
3/5/2021 9/24/2021
2/25/2021 9/22/2021
3/5/2021 9/24/2021
2/26/2021 9/20/2021
3/5/2021 9/25/2021
3/17/2021 9/21/2021
3/18/2021 9/28/2021
vaksin ditunda
3/10/2021 9/24/2021
3/4/2021 9/28/2021
3/5/2021 9/30/2021
2/26/2021 9/28/2021
2/3/2021 9/14/2021
4/22/2021 9/28/2021
3/3/2021 Vaksin ke 3 NIK belum terdaftar
3/10/2021 9/24/2021
9/28/2021
3/5/2021 9/22/2021
3/4/2021 9/21/2021
3/10/2021 9/24/2021
3/5/2021 9/24/2021
3/5/2021 9/30/2021
3/4/2021 9/28/2021
9/24/2021
3/5/2021 9/30/2021
vaksin ke 2 ke 3 tidak ada
3/10/2021 9/22/2021
3/4/2021 9/22/2021
3/5/2021 9/24/2021
3/4/2021 9/24/2021
3/5/2021 9/23/2021
2/25/2021 9/22/2021
3/5/2021 9/22/2021
3/5/2021 9/28/2021
pegawai baru
3/4/2021 9/23/2021
3/5/2021 2/11/2022
3/5/2021 9/23/2021
3/4/2021 11/5/2021
3/5/2021 11/5/2021
vaksin ke 2 dan 3 tidak ada
3/5/2021 9/23/2021
3/5/2021
3/24/2021 9/20/2021
3/10/2021 10/8/2021
3/5/2021 10/8/2021
2/25/2021 9/20/2021
4/6/2021 10/7/2021
4/22/2021 9/21/2021
4/22/2021 21/092021
4/7/2021 10/8/2021
3/10/2021 10/7/2021
3/10/2021 9/21/2021
3/10/2021 9/23/2021
3/5/2021 9/21/2021
3/10/2021 9/23/2021
3/10/2021 9/23/2021
tidak bisa di vaksin karena kemoterapy
3/10/2021 9/30/2021
3/10/2021 9/28/2021
3/5/2021 9/28/2021
3/10/2021 9/24/2021
3/5/2021 9/24/2021
9/28/2021
3/10/2021 9/24/2021
4/22/2021 9/21/2021
4/7/2021 9/21/2021
3/5/2021 9/30/2021
4/22/2021 10/8/2021
3/10/2021 9/28/2021
3/10/2021 9/8/2021
3/5/2021 9/14/2021
3/10/2021 10/8/2021
3/5/2021 10/1/2021
3/5/2021 10/7/2021
3/4/2021 10/7/2021
3/4/2021 9/28/2021
12/10/2021 11/5/2021
12/22/2021 10/7/2021
10/7/2021
3/23/2021 10/7/2021
3/4/2021 9/14/2021
3/4/2021 9/14/2021
11/5/2021 11/5/2021
3/16/2021 11/4/2021
3/5/2021 10/7/2021
2/24/2021 10/7/2021
3/15/2021 9/22/2021
3/5/2021 9/22/2021
4/7/2021 9/23/2021
4/5/2021 9/24/2021
3/5/2021 9/24/2021
2/24/2021 9/14/2021
3/4/2021 9/21/2021
2/24/2021 9/14/2021
2/26/2021 11/4/2021
3/5/2021 9/23/2021
2/25/2021 11/23/2021
12/22/2021 11/4/2021
3/3/2021 9/23/2021
3/4/2021 9/23/2021
9/20/2021 12/7/2021
Pegawai Baru
3/5/2021 9/20/2021
3/5/2021 10/7/2021
9/21/2021 Dosis 2 tdk ada
3/4/2021 9/24/2021
3/10/2021 10/8/2021
3/22/2021 10/7/2021
3/22/2021 10/7/2021
2/25/2021 9/22/2021
3/3/2021
3/5/2021 10/1/2021
Belum vaksin ke 3
3/4/2021 9/23/2021
3/4/2021 9/23/2021
3/16/2021 9/30/2021
12/1/2021 12/21/2021
2/25/2021 9/30/2021
2/24/2021 10/7/2021
3/4/2021 9/23/2021
3/4/2021 10/7/2021
2/25/2021 9/23/2021
4/5/2021 10/7/2021
12/7/2021
3/17/2021 9/23/2021
2/25/2021 9/30/2021
5/6/2021 12/7/2021
3/4/2021 9/23/2021
3/5/2021 10/1/2021
3/5/2021 9/30/2021
3/5/2021 10/1/2021
3/4/2021 9/24/2021
2/25/2021 10/1/2021
3/5/2021
3/5/2021 9/22/2021
3/3/2021 10/1/2021
3/4/2021 10/7/2021
3/4/2021 1/10/2021
3/10/2021 12/22/2021
3/4/2021 10/7/2021
4/5/2021 10/7/2021
3/3/2021 10/8/2021
2/25/2021 10/8/2021
2/25/2021 9/23/2021
3/10/2021 10/8/2021
3/5/2021 10/1/2021
3/5/2021 10/1/2021
3/10/2021 10/8/2021
11/5/2021 Dosis 2 tdk ada
3/5/2021 10/7/2021
4/5/2021 10/7/2021
3/10/2021 10/8/2021
Direktur RSUD Gunungtua
dr Anita Syabrida Lubis M.Kes

Nip. 198202202010012024
UNIT KERJA PUSKESMAS SIBIO-BIO
VAKSIN
NO NAMA NIP
1 TGL. VAKSIN 2 TGL. VAKSIN
1 Ali Kobal Pasaribu, SKM 19730611 201407 1 002 √ 2/13/2021 √ 2/27/2021
2 Pahrul Amri Rambe, AM.Kep 19850312 201101 1 004 - - - -
3 Taufik Hidayah Siregar 197412101987022000 √ 2/13/2021 √ 2/27/2021
4 Nanda Kristiani, S.Kep, Ns. 19871028 201402 2 004 √ 2/13/2021 √ 2/27/2021
5 Erlinda Harahap, S.Farm, Apt 198801082020122001 √ 11/17/2021 √ 12/15/2021
6 Erbin Pesta K. Silitonga, A.M. Kep 19870406 201402 1 001 √ 2/13/2021 √ 2/27/2021
7 Theresia Katarina 19710418 200701 2 026 √ 2/13/2021 √ 2/27/2021
8 Siti Yusra Hasibuan, AM.Keb 19871030 201704 2 006 √ 2/13/2021 √ 2/27/2021
9 Lys Indriani Siregar, AM.Keb 19861002 201704 2 006 √ 11/15/2021
10 Risnawati Tanjung, AM.Keb 19860503 201704 2 010 √ 11/3/2021 √ 12/17/2021
11 Tiomina Dalimunthe, AM.Keb 19860610 201704 2 014 √ 2/13/2021 √ 2/27/2021
1 Endar Rambe √ 2/13/2021 √ 2/27/2021

2 Illan Nurhasanah Siregar, AM.Keb √ 2/13/2021 √ 2/27/2021
3 Nova Santri Simbolon, SKM √ 12/6/2021
4 Zulfahmi Sipahutar √ 2/13/2021 √ 2/27/2021
5 Lidya Romaito Siregar, S.Apt √ 2/27/2021 √ 3/15/2021
6 Uba Mahendra Rambe √ 2/13/2021 √ 2/27/2021
7 Lisda Sihombing, Am.Keb √ 6/30/2021 √ 8/4/2021
8 Julianti Rambe, Amd.Com √ 6/17/2021 √ 7/15/2021
9 Haima Ritonga, Am.Keb √ 9/24/2021 √ 11/3/2021
10 Pebriyanti Pane, Am.Keb √ 10/11/2021 √ 11/23/2021
11 Nuraisah Rambe, Am.Keb - - - -
12 Yusrian Pane √ 10/7/2021 √ 12/7/2021
13 Asir Ritonga, Am.Kep √ 2/13/2021 √ 2/27/2021
Keterangan :
PNS THL
KSINASI
SIBIO-BIO
KSIN
KETERANGAN
3 TGL. VAKSIN
√ 9/10/2021
- - TANPA KETERANGAN
√ 9/10/2021
√ 9/10/2021
BELUM DAPAT JADWAL VAKSIN KE III
√ 9/10/2021
√ 10/14/2021
√ 9/10/2021
BELUM DAPAT JADWAL VAKSIN KE II
√ 10/26/2021

√ 10/26/2021
BELUM DAPAT JADWAL VAKSIN KE II
√ 10/14/2021
√ 10/14/2021
√ 10/26/2021
√ 10/14/2021
- - TANPA KETERANGAN
Kepala UPTD Puskesmas Sibio bio
Ali Kobal Pasaribu, SKM

19730611 201407 1 002

Format Pendataan Vaksin DINKES Februari 2022

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DAFTAR VAKSINASI THL DAN TKS

UNIT KERJA DINAS KESEHATAN DAERAH KABUPATEN PADANG LAWAS UTARA

UPDATE BULAN FEBRUARI 2022

UPDATE BULAN FEBRUARI 2022

1 Rika Hairani Harahap THL √ 22-Feb-21 √ 8-Mar-21 √ 30-Oct-21

1 Lisnawati Siregar TKS √ 18-Feb-21 √ 4-Mar-21 √ 30-Oct-21

PNS THL TKS KEPALA PUSKESMAS BATANG PANE II

1 RISFA RESMIDA SARI HASIBUAN TKS √ 2/11/2021 √ 2/25/2021 Tanpa Keterangan

V1 :49 Orang Diketahui

HASAN BASRIN NASUTION,SKM

1 Junita Sari Siregar THL √ 2/10/2021 √ 2/24/2021 √ 11/9/2021

1 Sri Wahyuni TKS √ 2/16/2021 √ 3/2/2021 √ 10/29/2021

Keterangan : KEPALA PUSKESMAS NAGASARIBU

1 dr. Putri Ariani Siregar THL √ 6/18/2021 √ 7/21/2021 √ 10/29/2021

1 Denni Dawati Daulay TKS √ 2/10/2021 √ 2/24/2021 √ 11/2/2021

Keterangan : KEPALA PUSKESMAS SIUNGGAM

1 Nur Azizah zein Lubis, S.Tr.Gz √ 5/28/2021 √ 7/1/2021 √ 9/29/2021

1 dr. Linni Rimaya Harahap THL √ 2/15/2021 √ 3/1/2021 √ 11/1/2021

Keterangan : KEPALA PUSKESMAS HUTAIMBARU

1 Hairani Siregar, AM.Keb TKS √ 3/1/2021 √ 3/16/2021 √ 9/24/2021

Keterangan : KEPALA PUSKESMAS PASAR MATANGGOR

1 dr. JULIANI HARAHAP THL √ 2/10/2021 √ 2/26/2021 √ 9/10/2021

1 WINDA PERMATASARI TKS √ 2/11/2021 √ 2/25/2021 √ 9/6/2021

Keterangan : Portibi, 25 Februari 2022

PNS THL KEPALA PUSKESMAS GUNUNGTUA

Junita Siregar, SKM

1 dr. Hilda Rafni Aulia THL √ 17/02/2021 √ 3/3/2021

1 Rika TKS √ 11/2/2021 √ 25/02/2021

PNS THL TKS

KEPALA PUSKESMAS AEK GODANG

1 ALPI SAHRIANTI HARAHAP, AM.Keb THL √ 16-02-2021 √

KEPALA PUSKESMAS SIMUNDOL

SINAR RITONGA, SKM

3 dr. Riski Nurdelima 199002192019032006 √ 09 Desember 2021

5 Agustina, SST 197608082014022001 √ 16 Februari 2021 √ 02 Maret 2021 √ 02 November 2021

7 Henlina Sianturi, AM. Keb 198312152014022002 √ 09 November 2021

8 Nila Wardani Harahap, AM. Kep 198112292014022002 √ 08 November 2021

13 Arlisa Ritonga, AM. Keb 198812062017042003 √ 11 September 2021

14 Nurlia, AM. Keb 198912172017042002 √ 09 November 2021

15 Sri Haryani, AM. Keb 198410232017042012 √ 16 Februari 2021 √ 02 Maret 2021

6 Ika Padlina, Amd. AK 02.7.1111436 √ 02 Juni 2021 √ 30 Juni 2021

KEPALA PUSKESMAS NAPAGADUNG LAUT

1 Nurlela Sari Siregar √ √ 3/1/2021 √ 7/6/2021 √

KETERANGAN : Ulak Tano, Desember 2021

TGL VAKSIN KETERANGAN

1 dr.JUS HIDAYAT HASIBUAN Sip.503/0039/IP-D/DPMPTSP √ 7/5/2021 √

Kepala UPTD Puskesmas Pangirkiran

1 MASTURI DALIMUNTHE, AM.Kep HONORER √ 2/11/2021 √ 2/25/2021

Kepala UPTD Puskesmas Sipiongot

Hasil Vaksin 3 tdk keluar di online/sudah vaksin

Hasil Vaksin 3 tdk keluar

Direktur RSUD Gunungtua

dr Anita Syabrida Lubis M.Kes

Direktur RSUD Gunungtua

dr Anita Syabrida Lubis M.Kes

1 Endar Rambe √ 2/13/2021 √ 2/27/2021

BELUM DAPAT JADWAL VAKSIN KE III

Kepala UPTD Puskesmas Sibio bio

Ali Kobal Pasaribu, SKM

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