Vaksinasi Maret 21

Nama Puskesmas/Fasyankes/Pos : PKM GADINGREJO
Kabupaten/Kota : PASURUAN
Provinsi : JAWA TIMUR
Tanggal Pelaksanaan : 01 MARET 2021
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No No. Registrasi NIK Nama Penerima Vaksin Umur ok Alamat No. Hp Merek Vaksin Tanggal Tanggal
No.
Umur Pemberian No. Batch Pemberian
Batch
Vaksinasi Vaksinasi
1 N-A60EC88A 357301******0005 ANDRYANI WIDYASTUTI 38 : JL. LETJEN SUTOYO DALAM 27 MALANG 081234499376 CoronaVac 01/03/2021 24000221
2 P-7DOPFSGZ 351407******0003 SARIFUL ANAM 41 : DSN. BABATAN RT03/RW06 Kel. Bakalan Kec. Bu
085101749450 CoronaVac 01/03/2021 24000221
3 P-9FPB8VKU 357502******0007 SITI AISAH 38 : JL BALAIKOTA NO 9 RT 6 RW 1 081259021620 CoronaVac 01/03/2021 24000221
4 P-ARIRCSHF 357503******0002 FAISOL 29 : RANDUSARI RT 2 RW 8 085733093066 CoronaVac 01/03/2021 24000221
5 P-CFF8RIII 357502******0002 TONY SANTOSO 52 : JL ERLANGGA GG 13 NO 4 081331949224 CoronaVac 01/03/2021 24000221
6 P-CNJA5HUT 357502******0003 SETYA BIMANTARA 27 : JL Ir. H. Juanda RT02/RW04 Kel. Tapaan 0895401583679 CoronaVac 01/03/2021 24000221
7 P-DQD7XZAV 357502******0004 ALAN NUARI 30 : JL Ir. H. Juanda RT02/RW04 Kel. Tapaan 082232649882 CoronaVac 01/03/2021 24000221
8 P-EFK2Z3BB 357806******0002 FIKRI FADHLURROHMAN BHIFANI 22 : BANYU URIP KIDUL 7/23 SURABAYA 081333109675 CoronaVac 01/03/2021 24000221
9 P-EGYTNAO4 357503******0003 MUHAMMAD YAZID 51 : JL PATIMURA NO. 58 081252741652 CoronaVac 01/03/2021 24000221
10 P-IDIHFP5U 357502******0004 PURYANTO 45 : JL R W MONGINSIDI NO 13 RT 01 RW 04 KE 082338005425 CoronaVac 01/03/2021 24000221
11 P-J7D3UJVM 352901******0006 BRINA BRILYANTIKA 34 : PERUM PURI CANDI BLOK D-18 0895337906741 CoronaVac 01/03/2021 24000221
12 P-JMCXL32H 357502******0002 SUTRISNO 42 : JL KYAI SARKOWI RT 2 RW 3 TEMBOKREJO 082329751535 CoronaVac 01/03/2021 24000221
13 P-JXGUNLJL 357503******0001 Amat Amir 38 : JL. BLANDONGAN RT 2 RW 4 BLANDONGAN B082232367745 CoronaVac 01/03/2021 24000221
14 P-K8ODWOHF 357503******0003 IRVAN HUTOMO PUTERA 29 : JL. BLANDONGAN RT 2 RW 4 BLANDONGAN B085236070678 CoronaVac 01/03/2021 24000221
15 P-KXSELYKD 332407******0001 FEBRIANA DYAH UTARI 26 JL MANGGA 6A PURUTREJO 081230000619 CoronaVac 01/03/2021 24000221
16 P-KZ15O3IR 352504******0001 IQBAL MAULANA AKBAR 24 DSN NGEPUNG RT 7 RW 4 KLAMPOK BENJING 085733392792 CoronaVac 01/03/2021 24000221
17 P-ODRQMMMC 357502******0003 KARTIKA SHINTA DEWI 35 JL KEBONJAYA NO 191 081220007854 CoronaVac 01/03/2021 24000221
18 P-OV1WQSFG 357301******0002 MUHAMMAD FAJRI MUBARAK 28 JL. KAYAN NO. 21 085646652568 CoronaVac 01/03/2021 24000221
19 P-PKKSDE23 357502******0003 ELISA NUR HIDAYAH 23 JL HANG TUAH N0 2 RT 2 RW 6 NGEMPLAKREJ087873101033 CoronaVac 01/03/2021 24000221
20 P-PLV55Z74 351416******0004 EVI SUWANDI 42 DUSUN GETAS RW 01 RT 004 081233303362 CoronaVac 01/03/2021 24000221
21 P-RS7MAN9X 357503******0001 SUBKHAN 53 JL. NANAS 3 BLOK I -6/14 BUGUL PERMAI 085103876607 CoronaVac 01/03/2021 24000221
22 P-RYRQAFUD 357502******0001 MUKH.MAKHMUD 33 JL. KYAI SUPIK RT 1 RE 2 TEMBOKREJO 081249031271 CoronaVac 01/03/2021 24000221
23 P-SDRZRX0O 357503******0006 HOCKY UDIK PRASETYO PUTRO 36 PERUM KARYA BHAKTI KENCANA ASRI BLOK J 081232570599 CoronaVac 01/03/2021 24000221
24 P-T5JEN1UR 357502******0001 MOCH. YAYIT ALBUSTOMI 30 GAYAMAN RT 1 RW 3 08132594748 CoronaVac 01/03/2021 24000221
25 P-UTFC4FBX 357501******0002 ZAINUL ARIFIN 54 JL KYAI SEPUH GG 2 0858804073373 CoronaVac 01/03/2021 24000221
26 P-W4X5NEVJ 351417******0002 ACHMAD YANI 28 JL MAYJEND S PARMAN GG 10 0821421420 CoronaVac 01/03/2021 24000221
27 P-XV5PT0J3 357502******0003 MALA NUR ALIMA 27 PERUM TIARA CANDI 3 BLOK F.38 081217564486 CoronaVac 01/03/2021 24000221
28 P-Y6F13AEJ 357503******0001 MOH. RIZQI RAMADHAN 22 JL Ir H JUANDA 11 RT 1 RW 3 BUGUL KIDUL 081232593910 CoronaVac 01/03/2021 24000221
29 P-ZSPHN117 357503******0078 NASIKHUL 41 JL TRUNOJOYO RT 1 RW 1 BUGUL KIDUL 082229373580 CoronaVac 01/03/2021 24000221
30 S-0038F560 357502******0001 DYAH ERMITASARI 49 KELURAHAN TEMBOKREJO KECAMATAN PUR 081333003572 CoronaVac 01/03/2021 24000221
31 S-052E7AF2 351416******0004 HASANUDIN 40 : DUSUN JAMBU RT/RW: 003/005 DESA: NGEM 082140536820 CoronaVac 01/03/2021 24000221
32 S-05EACEFE 357201******0004 YULIANI RUKMIASIH 33 : JL. SRIGADING GG.3A NO.3 RT 03/13 KEPANJ 085649917846 CoronaVac 01/03/2021 24000221
33 S-05FD6453 357503******0001 MOCHAMAD AMIEN 52 : JL. TRUNOJOYO NO.256 KECAMATAN BUGUL 085853667906 CoronaVac 01/03/2021 24000221
34 S-077DB53A 357502******0003 YENNY ROSDIANAWATI 41 RT. 001 RW.007 KEL. KEBONSAR 082140164947 CoronaVac 01/03/2021 24000221
35 S-0D964268 357502******0005 FIRMAN HADI PRASETYA 37 : JL. JAMBANGAN III/15B RT. 05 RW. 02 KEL 082336044072 CoronaVac 01/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
36 S-0E095DE4 357502******0003 GUSTAP PURWOKO 54 : PERUM BUMI TUNGGUL WULUNG INDAH BLOK082245924841
S CoronaVac 01/03/2021 24000221
37 S-0ED0C466 351420******0002 MUHAMMAD IKSAN 35 : JL.CITANDUI BLOK I NO. 2 RT. 08 RW. 05 P 083833097971 CoronaVac 01/03/2021 24000221
38 S-0FFA6213 357503******0002 M. SUUD 48 085232785045 CoronaVac 01/03/2021 24000221
39 S-12377718 147111******0001 MUHAMMAD IRFAN 27 : KAMPUS IPDN JL.RAYA BANDUNG-SUMEDANG081310570047 CoronaVac 01/03/2021 24000221
40 S-18957FAB 351414******0002 LULUK ISNAWATI 44 : JL. ABUSONO RT. 014 RW. 003 KEL. NGAMPE 082142905548 CoronaVac 01/03/2021 24000221
41 S-1D0CE87D 357503******0001 NJOMAN SWASTI 42 : SUNAN AMPEL BARAT II, RT IV RW. V, PET 081330631165 CoronaVac 01/03/2021 24000221
42 S-1F28C5EF 357403******0001 KASBAN 40 : JL. DARMOYUDO UTAMA. 59B. RT.02/ RW.01. 085257779809 CoronaVac 01/03/2021 24000221
43 S-21C09264 357502******0004 FITAYATUL MUIZAH 41 : JL. KH. ACHMAD DAHLAN 16/3 RT.5 RW.3 K 081331995390 CoronaVac 01/03/2021 24000221
44 S-2F19B98D 357503******0002 SITI ZUNIATI 58 : JL.KH. HASYIM ASHARI RT.01 RW.01 KRAMP 082230083936 CoronaVac 01/03/2021 24000221
45 S-2F42DB89 357501******0001 EKO SUYANTO 49 : PERUM. GRAHA INDAH BLOK I NO 34 RT. 04 081230616048 CoronaVac 01/03/2021 24000221
46 S-328CDA7A 357502******0001 RIA FITRIANA 41 : JL. KH. WAHID HASYIM 9C / 2 RT. 01 RW. 06 085259233878 CoronaVac 01/03/2021 24000221
47 S-34C24ECF 357503******0001 SAHARI PUTRO 54 : JL. SEKARSONO I/15 PASURUAN 081232849122 CoronaVac 01/03/2021 24000221
48 S-38467C61 351416******0004 KOKOH ARIE HIDAYAT 45 : TUNGGAAN 2 RT. 2 RW. 4 NO. 34 KRATON PA 08123327016 CoronaVac 01/03/2021 24000221
49 S-3A669724 357502******0004 DWI AGUS SULISTYORINI 40 : JL. URIP SUMOHARJO RT 08 RW 01 KEL. P 081217154155 CoronaVac 01/03/2021 24000221
50 S-3D0A93C8 350723******0001 MOHAMMAD AGUS FADJAR 42 : PERUM. PRATAMA B1 / 1 DESA GIRIMOYO RT 08123318034 CoronaVac 01/03/2021 24000221
51 S-3D50F566 357826******0001 ADITYO NUGRAHA 40 : SUTOREJO TENGAH 13/5 SURABAYA 081331655115 CoronaVac 01/03/2021 24000221
52 S-3ED6E8FD 357503******0002 DWI PRASTIWI TINGGAL LESTARI 56 : PERUM PESONA CANDI 2 BLOK K-22 KEL.S 087754542800 CoronaVac 01/03/2021 24000221
53 S-408527BE 357503******0001 SAIFURRIZAL 34 : JL. SULTAN AGUNG NO.33 KELURAHAN KR 085258716777 CoronaVac 01/03/2021 24000221
54 S-40A59B84 357301******0006 AMAT SOLEH 40 : JL. PULOSARI I. E/13. RT. 004 RW. 007. DES 082231856084 CoronaVac 01/03/2021 24000221
55 S-44C00848 351418******0001 IMAM SUBEKTI 48 : PERUM KEBONCANDI PERMAI CC-16 GDGWE 08125295966 CoronaVac 01/03/2021 24000221
56 S-493FC966 357503******0001 BANGKIT WANIPIKIR HADI 33 : JL. PATIUNUS XVI / 07 KOTA PASURUAN 085746187290 CoronaVac 01/03/2021 24000221
57 S-4EAF9E3E 357503******0002 APRIAN EKA SARI 35 : JL. SEKARSONO I NO. 34 PASURUAN 081231512020 CoronaVac 01/03/2021 24000221
58 S-4F4E020F 357502******0004 MEIRINA GINA ADRIANA 39 : JL. SEKARSONO I NO. 34 PASURUAN 082225472136 CoronaVac 01/03/2021 24000221
59 S-534405FB 351813******0001 BRAMANTO PAMBUDI SAMPURNO 35 : KEMANREN, RT.007 RW.001 KEMANTREN RE 081233242286 CoronaVac 01/03/2021 24000221
60 S-5551AD70 357503******0001 MOKHAMAD FAQIH 55 : PERUM SEKAR INDAH 2 DD-25 BAKALAN 081249123178 CoronaVac 01/03/2021 24000221
61 S-567703C7 351411******0001 TITA NIRMALA MANAN 41 : DUSUN TAWANG RT.1 RW. 4 TAWANGREJO 085234100188 CoronaVac 01/03/2021 24000221
62 S-59E06899 357502******0001 DIAH KRISNAWATI 35 : JL.PANGLIMA SUDIRMAN NO.4F RT.001 RW.0 081233465798 CoronaVac 01/03/2021 24000221
63 S-5A4B1332 351416******0001 MANGUDI 54 : DUSUN GETAS RT/RW : 005/001, KELURAHA 081998954590 CoronaVac 01/03/2021 24000221
64 S-6687DB44 357503******0001 SUGIYANTO 54 : JL. GARUDA 13/A RT 03/RW 2 KEL KANDANG 0811365105 CoronaVac 01/03/2021 24000221
65 S-679EA7C4 357503******0001 EDY ANA SETYOWIDODO 57 : JL.MANGGIS VI BLOK B6 NO.9 RT.002 RW.00 081334295064 CoronaVac 01/03/2021 24000221
66 S-68B266E2 357503******0003 AGUS ISMONO 46 : PERUMNAS BUGUL PERMAI. JL. MANGGIS B.1082229004406 CoronaVac 01/03/2021 24000221
67 S-7022A86A 357503******0003 YUDIE ANDI PRASETYA 53 :: PERUM
JL NANAS I H8 /28CANDI 2 BLOK L-18 RT04 081334741302
PESONA CoronaVac 01/03/2021 24000221
68 S-70D006E6 357503******0002 ABDUL KODIR 46 : JL. 07
RW SUNAN AMPEL NO 7 PASURUAN
KEL SEKARGADUNG KEC - JAWA T 085236725190 CoronaVac 01/03/2021 24000221
69 S-7219ED02 357503******0001 SIYANTO 58 085105788215 CoronaVac 01/03/2021 24000221
70 S-75990BEF 357503******0001 YUYUT HERNAWAN 50 : JL.NANAS RAYA BLOK I 2 NO 24 PERUM BU 082244169271 CoronaVac 01/03/2021 24000221
71 S-8A10B3AB 351510******0004 DIDIK SUHARIONO 53 : DESA JIMBARAN WETAN RT 04 RW 01 KEC. 081331183666 CoronaVac 01/03/2021 24000221
72 S-8A6B35B2 357502******0001 WINTOLO 46 : JL. DR WAHIDIN SUDIROHUSODO GG X A NO. 081333742312 CoronaVac 01/03/2021 24000221
73 S-8AF169E1 357501******0002 IIL ROSIAWATI 42 : JL. KYAI SEPUH II RT/RW 002/001 KEL. GA 08123122838 CoronaVac 01/03/2021 24000221
74 S-9662D9B2 351413******0008 FURY RETNO HANDAYANI 46 : PERUMAHAN TAMAN PERMATA INDAH / AA-05,08123453887 CoronaVac 01/03/2021 24000221
75 S-9C8FBC6A 351406******0004 DADANG HARIADI 45 : PERUM. PONDOK MENTARI K-21 RT.003/RW. 081233942682 CoronaVac 01/03/2021 24000221
76 S-9E42F0CC 357503******0004 SRI KARTIKAWATI 48 : SEKARGADUNG RT 006 RW 001 KELURAHAN 081358672354 CoronaVac 01/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
77 S-9EAE3B5E 357502******0002 SUGENG HARIYANTO 43 : JLN. SLAMET RIYADI RT.03/RW.05 KEL.SEBA 081331068278 CoronaVac 01/03/2021 24000221
78 S-A1B50927 357502******0003 INDRA FIRA SAPUTRA 36 : GAYAMAN RT.03 RW.03 KELURAHAN KEBO 08983395333 CoronaVac 01/03/2021 24000221
79 S-ABB238D4 351420******0002 SLAMET SUPRIYONO 48 : BANDILAN II RT. 02 RW. 02 DESA RANUKLI 081217573922 CoronaVac 01/03/2021 24000221
80 S-ADCA7166 357502******0001 MUHAMAD SUKOCO 48 : JL ERLANGGA 19B NO 9 087743276651 CoronaVac 01/03/2021 24000221
81 S-B302C88A 351811******0005 NURAINI 41 : PERUM TAMAN PERMATA INDAH AB-05 RT. 0 081333552580 CoronaVac 01/03/2021 24000221
82 S-B819BFA3 357501******0001 ABDUL MAJID JUPRI 49 : JL. HASANUDIN, GANG 15, NO 35, RT/RW : 081233425242 CoronaVac 01/03/2021 24000221
83 S-BF827B2C 357303******0006 RIZAL ARULLY 37 : JL. DANAU KERINCI V G6C NO.17 RT.11/07 K 085646556922 CoronaVac 01/03/2021 24000221
84 S-C0498453 357501******0001 YUDHI HARNENDRO 53 : JL HASANUDIN 19 NO 30 081233604400 CoronaVac 01/03/2021 24000221
85 S-C06708E8 357502******0004 NUR FADIAH 45 : JLN.SUNAN AMPEL NO.7 RT. 05/ RW.I KEL. 085645949393 CoronaVac 01/03/2021 24000221
86 S-C0FEB8B9 357503******0001 LILIK ASMAWATI 44 : JLN.SUNAN AMPEL NO.7 RT. 05/ RW.I KEL. 081330009051 CoronaVac 01/03/2021 24000221
87 S-C3C33054 357503******0003 GUNA WAHYUNINGSIH 46 : JL. PATIMURA NO. 58 RT 05 RW 03 KELURA 08123561573 CoronaVac 01/03/2021 24000221
88 S-C75841AC 357502******0004 AGUS WIDODO 42 : PERUM TAMBAK YUDAN MAKMUR BLOK J-6 085258711407 CoronaVac 01/03/2021 24000221
89 S-CC9EC584 357501******0002 ALYASA AKBAR 36 : JL. ASTER I NO. 20 PERUM GADING PERMAI 082139572522 CoronaVac 01/03/2021 24000221
90 S-CDC2E102 357502******0003 WILDANI YUSRON 37 : JL. KH. ABDUL CHAMID XII/ 61C RT.02 RW.05 082334003556 CoronaVac 01/03/2021 24000221
91 S-CE4FFAFA 357503******0001 SULISTIYAWATI 49 : KELURAHAN SEKARGADUNG RT3 RW4 KECA 081359412134 CoronaVac 01/03/2021 24000221
92 S-D4115E73 351417******0003 MUSLIKHAN 38 : SEKARGADUNG RT. 004/RW. 002 085100732366 CoronaVac 01/03/2021 24000221
93 S-DA03D097 357502******0001 MUKHAMMAD ALFIAN AFANDI 36 : PERUM PESONA CANDI BLOK U-54 081333221233 CoronaVac 01/03/2021 24000221
94 S-DBA7FAEF 357502******0011 AGUS HARIONO 48 : JL. DR WAHIDIN SH GG. MANGGIS RT. 5 RW 085233296595 CoronaVac 01/03/2021 24000221
95 S-E1372290 357503******0001 ACHMAD SUDARTO 57 : JL.MANGGIS VI/13 PERUM BUGUL PERMAI 081357551964 CoronaVac 01/03/2021 24000221
96 S-EBE899B0 351717******0002 PATRIOT MUSLIM BALADITROS 37 : DSN RANDUWATANG KIDUL RT 04/ RW 01 N 081233700484 CoronaVac 01/03/2021 24000221
97 S-F26A91F3 357502******0006 FITRI HAYATI 39 : PERUM PURI CANDI BLOK G NO. 55 RT. 005, 081227023705 CoronaVac 01/03/2021 24000221
98 S-F6290D1A 357503******0002 ERMI IKAWANTI 41 : JL. IMAM BONJOL NO. 86 RT 02 RW 03 KOTA 081231404018 CoronaVac 01/03/2021 24000221
99 S-FADA00C8 357304******0003 ROSEPTA DINI FEBRIANI 39 : GADANG XI B NO 41 B MALANG 081252112020 CoronaVac 01/03/2021 24000221
100 S-FBCC38E3 351413******0004 LUQMAN KHAKIM 44 : PERUM BANGIL PERMATA INDAH RT.03/RW.04082338406578 CoronaVac 01/03/2021 24000221
Mengetahui Pasuruan, 01-03-2021

Kepala UPT Puskesmas Gadingrejo Admin Vaksinasi
drg GETHA NUR HAMZAH FARIDA KUSUMAWATI, A.Md.Gz

NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 P-53DA99T4 357503******0003 CHOIRUL BASjAR 47 081334741287 CoronaVac 02/03/2021 24000221

2 P-5O54CU2P 357502******0010 MUH. MUSLIH 39 081216476674 CoronaVac 02/03/2021 24000221
3 P-8CIW7TK3 351418******0002 USMAN. 38 085377410776 CoronaVac 02/03/2021 24000221
4 P-8NUWSL58 357503******0001 SYAHRUL ROMADHON 24 083873414198 CoronaVac 02/03/2021 24000221
5 P-A7GYNS09 357501******0001 BUDI SISWANTO 30 081217201604 CoronaVac 02/03/2021 24000221
6 P-AHRXODWR 357503******0002 WARDA AVIS SUNANI 25 08983916521 CoronaVac 02/03/2021 24000221
7 P-ALZNGQKN 351423******0001 MOHAMMAD FIRMAN 26 083820024620 CoronaVac 02/03/2021 24000221
8 P-BTXX9A1D 350724******0002 ANNUR FURQIN USTIA 32 081233953628 CoronaVac 02/03/2021 24000221
9 P-CHJCUR2Y 357503******0001 INDRI ARDININGTIA 37 081333941638 CoronaVac 02/03/2021 24000221
10 P-DHN500EQ 357501******0004 NABILA MAULITA ISKAHAR 21 081330017005 CoronaVac 02/03/2021 24000221
11 P-EGKKYBZU 357503******0002 FARIZ MUHAMMAD BAIHAGI 24 081906845516 CoronaVac 02/03/2021 24000221
12 P-G3V00FJE 351418******0002 Syahrul Alfani 20 081217791424 CoronaVac 02/03/2021 24000221
13 P-GA6G1V4R 357501******0003 WISNU GUNAWAN 50 0895396072272 CoronaVac 02/03/2021 24000221
14 P-IVCIA3HE 357503******0004 NENTA BREVI WINDU MUKTI 34 081358114545 CoronaVac 02/03/2021 24000221
15 P-JGITPUPY 357501******0002 RISMA RESTY AGUSTIN 31 082234039535 CoronaVac 02/03/2021 24000221
16 P-KJZSGJZC 357503******0001 BAYU ADI NUGROHO 31 081336535775 CoronaVac 02/03/2021 24000221
17 P-LH3J1WYJ 357501******0003 SYAIFUL KHAQ 46 085156534218 CoronaVac 02/03/2021 24000221
18 P-LMHDVJIO 357501******0007 MARDEYAH 39 083848378249 CoronaVac 02/03/2021 24000221
19 P-M3TMIATV 357501******0001 FAISOL AMIR 27 081228744871 CoronaVac 02/03/2021 24000221
20 P-MW90H3J7 357502******0002 MUNAWAROH 40 082244102680 CoronaVac 02/03/2021 24000221
21 P-MX3KH541 357501******0004 NUR ROHMAD 39 081334427450 CoronaVac 02/03/2021 24000221
22 P-N21YO1GI 351423******0003 MOHAMMAD MUKHTAR 36 085746781722 CoronaVac 02/03/2021 24000221
23 P-OFHCP8VW 351414******0005 Degi Muhammad 23 085232721979 CoronaVac 02/03/2021 24000221
24 P-P0EV3BOT 357501******0002 SITI RAHAYU 57 085656649706 CoronaVac 02/03/2021 24000221
25 P-P6UVAASJ 357503******0001 ACHMAD GUSYAIRI 22 089699313888 CoronaVac 02/03/2021 24000221
26 P-PMWLRSFG 350702******0001 KAMAL FATURROHMAN 26 085606520978 CoronaVac 02/03/2021 24000221
27 P-QBVJDE1B 351416******0001 MOCH. NUR ARIFIN 27 081217055881 CoronaVac 02/03/2021 24000221
28 P-RESVU6RC 357503******0001 KHUSNUL KHOTIMAH 41 085230473380 CoronaVac 02/03/2021 24000221
29 P-RI1VYI5Z 357502******0004 RITA ROSITA WATININGSIH 28 081331359992 CoronaVac 02/03/2021 24000221
30 P-RKBTW4H2 351418******0002 MOH.NURUDDIN 46 081249732578 CoronaVac 02/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
31 P-RXL39OUE 351605******0001 VIRRA YULINDA 23 081334858458 CoronaVac 02/03/2021 24000221

32 P-SPMKEMZ6 357501******0001 ROBIATUL ADAWIYAH 44 081917352388 CoronaVac 02/03/2021 24000221
33 P-SWTLDVVB 357501******0002 SRI RACHMAWATI 32 085748005917 CoronaVac 02/03/2021 24000221
34 P-U7TW8KCN 357502******0001 NIKMATUL FATIMAH 25 082231900131 CoronaVac 02/03/2021 24000221
35 P-UIXFXGWA 357502******0001 INDAH PUTRI FATMASARI 27 082333145657 CoronaVac 02/03/2021 24000221
36 P-UVF0S30O 351508******0003 FAISAL ARBIYANTO 33 085852000612 CoronaVac 02/03/2021 24000221
37 P-UW8YL3EF 351413******0004 PUTRI SILVIA FITRIANA WARDOYO 34 081232592038 CoronaVac 02/03/2021 24000221
38 P-VBDGQRK6 357503******0001 DENNY SEPTYANTO 30 085648226009 CoronaVac 02/03/2021 24000221
39 P-VWGZPEQC 357502******0001 ALIF IMANSYAH KURNIAWAN 30 085746054026 CoronaVac 02/03/2021 24000221
40 P-WZXLPAYE 357501******0003 DWI ISTIANA 25 085707024024 CoronaVac 02/03/2021 24000221
41 P-XQ57GGNO 357501******0005 WIWIK ARIYANI 36 085606175985 CoronaVac 02/03/2021 24000221
42 P-Z3MNR0TC 357502******0001 DEWI MUKTIMAH 48 081556999739 CoronaVac 02/03/2021 24000221
43 P-ZTTHGRSD 357501******0001 ABDUL KARIM 28 082137800311 CoronaVac 02/03/2021 24000221
44 S-022A2566 352422******0002 YOGA ARDIWIRATAMA 27 081336559931 CoronaVac 02/03/2021 24000221
45 S-0887169F 351407******0001 NURIL MACHMUDI 38 082131799499 CoronaVac 02/03/2021 2400021
46 S-0DA4A662 357502******0004 HARIYONO 50 081233669192 CoronaVac 02/03/2021 24000221
47 S-10C66F74 351416******0005 MUKHAMMAD MUZAKI 39 085101848415 CoronaVac 02/03/2021 24000221
48 S-1424317D 357503******0002 ACHMAD YAZID HILMI 41 081330107756 CoronaVac 02/03/2021 24000221
49 S-159D1DC2 351608******0004 MOCH. CHOIRUL ANWAR 41 081232948533 CoronaVac 02/03/2021 24000221
50 S-16C5BC0B 357502******0006 ABDUL ROKHIM 45 081310811951 CoronaVac 02/03/2021 24000221
51 S-16D640E1 351416******0004 WAWAN INDRA CAHYONO 41 085156945869 CoronaVac 02/03/2021 24000221
52 S-1A2F8D11 351417******0001 YUDY PRASETYO 40 081216899540 CoronaVac 02/03/2021 24000221
53 S-1CFEFC9B 357503******0004 HADI PRASETYO 40 0817532619 CoronaVac 02/03/2021 24000221
54 S-25D9736C 351807******0004 RUDY KURNIAWAN 38 085804156563 CoronaVac 02/03/2021 24000221
55 S-2FD54881 357503******0002 RIZKY PRAMITANINGRUM 40 0811360143 CoronaVac 02/03/2021 24000221
56 S-38BD5386 351418******0001 M. JAKPAR 38 081239860977 CoronaVac 02/03/2021 24000221
57 S-38EB9929 357502******0001 Dewi Kusmayanti 26 085739183696 CoronaVac 02/03/2021 24000221
58 S-3B3ADEA6 357502******0001 WIDYA RUSVITASARI 41 081357541498 CoronaVac 02/03/2021 24000221
59 S-402706DC 357503******0001 HERU TRIA LENGGONO 48 081334873845 CoronaVac 02/03/2021 24000221
60 S-49287941 351413******0003 RINDA MEYLIA WIDYASARI 28 082233743484 CoronaVac 02/03/2021 24000221
61 S-4AC10037 357502******0002 TRI MAYANG SARI 24 085852478226 CoronaVac 02/03/2021 24000221
62 S-4AF998A7 350725******0001 ARFAT KUSAERI 56 081333096650 CoronaVac 02/03/2021 24000221
63 S-519409BB 357401******0004 SUDARTO 42 085233028092 CoronaVac 02/03/2021 24000221
64 S-53E2AE99 357303******0005 CHARNIA REINANTI DEWANTARI 28 082234986266 CoronaVac 02/03/2021 24000221
65 S-54A4B00C 357501******0001 LILIK CHAIDAROH 50 081233223946 CoronaVac 02/03/2021 24000221
66 S-5601581A 357501******0003 RAHMAT HIDAYAT 28 085755457577 CoronaVac 02/03/2021 24000221
67 S-5AC3AE71 357503******0002 PRENAN ARGADJATOE WIDIANA 44 081334415841 CoronaVac 02/03/2021 24000221
68 S-5BA4B800 357503******0005 FAUJI 49 085815571928 CoronaVac 02/03/2021 24000221
69 S-5F1CE64A 330905******9003 ANITA MARTA HAPSARI 36 085647495323 CoronaVac 02/03/2021 24000221
70 S-5F635F60 357503******0001 MUHAMMAD ARIF WICAKSONO 54 082232369910 CoronaVac 02/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
71 S-630E1EFF 357503******0002 NURUL IKSAN 52 081233885251 CoronaVac 02/03/2021 24000221

72 S-64B26137 351407******0001 KUROTUL KARIMAH 25 081615212540 CoronaVac 02/03/2021 24000221
73 S-6531B137 357305******0005 NUR SAPTO RETNANINGTYAS 57 081137708889 CoronaVac 02/03/2021 24000221
74 S-6C97ED8C 357502******0002 ANITA RACHMAWATI 42 085231692522 CoronaVac 02/03/2021 24000221
75 S-6D68D329 351419******0001 ITA WIJI LESTARI 34 081331764876 CoronaVac 02/03/2021 24000221
76 S-6D87B984 357501******0001 ARIEF SUBECHAN 49 085203079129 CoronaVac 02/03/2021 24000221
77 S-71756CDA 357502******0003 ZULFIKRY ARIF 40 081357001480 CoronaVac 02/03/2021 24000221
78 S-74320E63 351712******0002 AFIFUDIN AMIRULLOH 32 085655204912 CoronaVac 02/03/2021 24000221
79 S-7507077B 351423******0001 ARMIYANA 38 085230620963 CoronaVac 02/03/2021 24000221
80 S-7904AAAF 357403******0001 SYAFUARI 53 081334842333 CoronaVac 02/03/2021 24000221
81 S-7A6A0B1C 357501******0001 AGUS SANTOSO 36 082142393364 CoronaVac 02/03/2021 24000221
82 S-7B52FB41 357503******0003 IMAM MAHDI 34 081331052010 CoronaVac 02/03/2021 24000221
83 S-7DA8795B 352403******0002 SHOBAH FAUZUL ULA KHOIRIYAH 23 085794642842 CoronaVac 02/03/2021 24000221
84 S-7E544DFE 357503******0004 NIKMAH HAYATI 46 085234219770 CoronaVac 02/03/2021 24000221
85 S-810A24D4 357501******0003 SITI AISYAH 41 082245462897 CoronaVac 02/03/2021 24000221
86 S-892F13CC 357501******0001 SAMSUL ARIFIN 38 081252587361 CoronaVac 02/03/2021 24000221
87 S-8BA1AE9B 357501******0001 ERNY SETIYONINGRUM 38 085815651279 CoronaVac 02/03/2021 24000221
88 S-8FF4CD7D 357503******0003 ARI IMANUDDIN 40 081227090462 CoronaVac 02/03/2021 24000221
89 S-920B3F3E 357501******0002 MOCHAMAD NIÀM 49 081233327890 CoronaVac 02/03/2021 24000221
90 S-94F3AC87 357502******0002 SAMSUL RIZAL 47 087789758809 CoronaVac 02/03/2021 24000221
91 S-9A513893 350722******0002 ILHAM AKBAR WICAKSONO 25 083834553995 CoronaVac 02/03/2021 24000221
92 S-9B8BBEB9 357502******0004 PURWOKO ADICAHYONO 49 081252234231 CoronaVac 02/03/2021 24000221
93 S-A0E37AE6 351418******0002 KHAULAN 54 08121666201 CoronaVac 02/03/2021 24000221
94 S-A11442FC 357502******0003 LIANAH 56 081336332900 CoronaVac 02/03/2021 24000221
95 S-A1ACBCE1 351418******0001 CHOIRIYAH 26 085228050822 CoronaVac 02/03/2021 24000221
96 S-A30A589E 357502******0003 RUDIYANTO 48 081334252063 CoronaVac 02/03/2021 24000221
97 S-AA1DA322 357502******0001 LAILY ABIDAH PRATIWI 35 081231383261 CoronaVac 02/03/2021 24000221
98 S-AEB4B525 357816******0001 MOHAMAD FARID 36 081232190790 CoronaVac 02/03/2021 24000221
99 S-AF883048 357503******0006 ZAENAL ARIFIN 47 081917776935 CoronaVac 02/03/2021 24000221
100 S-B3B9F4A1 352105******0006 RITA PUSPITASARI 22 085790318673 CoronaVac 02/03/2021 24000221
101 S-B78E7CDF 357503******0003 AMINUDINI 49 085101236446 CoronaVac 02/03/2021 24000221
102 S-B7C84B4A 357503******0003 MUJI ANGGRINI SUMINAR 42 081335262332 CoronaVac 02/03/2021 2400024
103 S-BF997464 357503******0001 ANDIK PURWANTO 52 081230563891 CoronaVac 02/03/2021 24000221
104 S-C45233D0 357503******0001 CHOIRUL ANAM 58 081216731128 CoronaVac 02/03/2021 24000221
105 S-C5068FBE 357503******0002 Dinda Kusuma Oktaviriantika 22 085790492698 CoronaVac 02/03/2021 24000221
106 S-C85AF8CF 351610******0001 EDY MAHMUD 53 081334687060 CoronaVac 02/03/2021 24000221
107 S-C93B2883 357503******0001 SAROFAH 58 082232369910 CoronaVac 02/03/2021 24000221
108 S-CA9F7551 357502******0003 ARIA PRAKASA 34 081233130787 CoronaVac 02/03/2021 24000221
109 S-CB48F1FE 351507******0004 NUR FAUZIAH 25 083849475602 CoronaVac 02/03/2021 24000221
110 S-CE3A4043 357503******0002 ARIES YULIANTO 41 085234163818 CoronaVac 02/03/2021 24000221
111 S-CE7DFC43 357501******0004 ZAINUL AKHWAN 52 08123123658 CoronaVac 02/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
112 S-D657E06B 357503******0003 RETNO UYUN RUDATIN 54 081233555444 CoronaVac 02/03/2021 24000221
113 S-D6B36132 357502******0003 TITRIT SATRIJA NIMPUNA 51 08123306155 CoronaVac 02/03/2021 24000221
114 S-DA609244 357301******0001 ANY WULANDARI 39 081235022735 CoronaVac 02/03/2021 24000221
115 S-DC747DB6 357501******0001 SITI ROFIAH 39 089675559808 CoronaVac 02/03/2021 24000221
116 S-E88E0509 357501******0001 ANIS YUNI KUSRINI 41 081233510881 CoronaVac 02/03/2021 24000221
117 S-EEA78D4F 357501******0002 MARIA ULFAH 40 082337598043 CoronaVac 02/03/2021 24000221
118 S-F2E4402E 357502******0001 NUR RONI 50 081554070871 CoronaVac 02/03/2021 24000221
119 S-F92B888F 351405******0001 SITI NUR FAIZAH 25 089695376880 CoronaVac 02/03/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 P-74HJAMOH 357501******0001 SAJIDAH A'IZZUN 21 082325700746 CoronaVac 03/03/2021 24000221

2 P-8H3AD22N 357502******0003 ACHMAD CHUMAIDI 34 082330769868 CoronaVac 03/03/2021 24000221
3 P-8IYZ3URK 357501******0003 ALFIANI 33 082232245888 CoronaVac 03/03/2021 24000221
4 P-AUJMW4F2 357501******0002 AMIN CHILMIDHIN 36 085733701664 CoronaVac 03/03/2021 24000221
5 P-B37D1WIR 352215******0006 LEFY ULINNUHA 43 085203026365 CoronaVac 03/03/2021 24000221
6 P-BFAPF2LQ 357502******0005 DWI ARIYONO BAYU SAKTI 41 081555963699 CoronaVac 03/03/2021 24000221
7 P-DACZKDBN 357501******0002 NUR INDAH RACHMAWATI 26 081333431016 CoronaVac 03/03/2021 24000221
8 P-GQ9QJFAY 357503******0001 AYUNI NORAWATI 20 085749978787 CoronaVac 03/03/2021 24000221
9 P-HX4UGHOI 357503******0002 FECKY IRAWAN 42 082338784785 CoronaVac 03/03/2021 24000221
10 P-INNCP0OA 331406******0004 SESARIA HADIANI 34 081329570003 CoronaVac 03/03/2021 24000221
11 P-J2FY7HZ1 351405******0002 Firdaus Aunurochim 26 081216846343 CoronaVac 03/03/2021 24000221
12 P-J2G37IO6 357503******0003 UMAR FARUK 44 081234328327 CoronaVac 03/03/2021 24000221
13 P-J2GGB86K 351416******0005 AJENG DEARISTA WULANSARI 26 082330753705 CoronaVac 03/03/2021 24000221
14 P-KIIWA95B 357501******0001 MUHAMMAD KHUMAIDI 38 087846261563 CoronaVac 03/03/2021 24000221
15 P-KIJ3CC37 357502******0001 CONDRO JATI CAHYONUGROHO 21 081555323476 CoronaVac 03/03/2021 24000221
16 P-LLQXN6YF 357503******0002 ASPARAGA 33 082139333591 CoronaVac 03/03/2021 24000221
17 P-OONI2FRD 357503******0002 ILMIYAH 26 085943433389 CoronaVac 03/03/2021 24000221
18 P-OYJJVELR 357503******0001 NUR AFIDAH 41 083834051477 CoronaVac 03/03/2021 24000221
19 P-QNY682KX 357501******0002 AKHMAD ERWINSYAH 27 081332789415 CoronaVac 03/03/2021 24000221
20 P-UEBK4V7R 357503******0005 SITI MASFUFAH 32 083834258339 CoronaVac 03/03/2021 24000221
21 P-X2PSRVM5 357503******0001 AINUR INDARIYAH 30 082393528912 CoronaVac 03/03/2021 24000221
22 P-X6177AYI 357503******0005 R. DUDY WAHYUDI 50 081333324397 CoronaVac 03/03/2021 24000221
23 P-X6Q8H0GI 357501******0001 TITIN HIDAYATI 43 085797610502 CoronaVac 03/03/2021 24000221
24 P-XXDCIDD4 357503******0001 ALI MUKSIN 34 082132512600 CoronaVac 03/03/2021 24000221
25 P-YNDRPQKP 357501******0001 RINI MUJIWATI 59 081233933511 CoronaVac 03/03/2021 24000221
26 P-ZHBHW7I7 350724******0003 IDHAM WAHYUDI 47 085233060465 CoronaVac 03/03/2021 24000221
27 S-000BE43E 351414******0001 SAROMAH SADIKYAH 44 081333468486 CoronaVac 03/03/2021 24000221
28 S-00F50DFE 357503******0003 SUKWANTI ASTIWI 52 082233841854 CoronaVac 03/03/2021 24000221
29 S-0836E102 351508******0002 FITRI KURNIAWATI 34 085730102833 CoronaVac 03/03/2021 24000221
30 S-17DA47D0 357503******0001 DWI RACHMAWATI 38 082232383930 CoronaVac 03/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
31 S-24FBB3E1 357501******0001 BAROR MASFUFAH 53 085233878738 CoronaVac 03/03/2021 24000221

32 S-28EB9C6F 357501******0004 EKO DWI ASMARAATI 58 082336266662 CoronaVac 03/03/2021 24000221
33 S-2CC9B12D 357502******0008 ANGGA RINI NORMA SHINTA 39 08123369502 CoronaVac 03/03/2021 24000221
34 S-34EB2308 351417******0002 Rosyidah Diana 24 082229078423 CoronaVac 03/03/2021 24000221
35 S-37E55E85 357503******0004 RADEN RORO VENTY EMAWATI 52 081357943246 CoronaVac 03/03/2021 24000221
36 S-388B3426 330505******0001 NURHAYATI 36 081390633284 CoronaVac 03/03/2021 24000221
37 S-3DC97C3C 357501******0003 DEWI SUKMANINGSIH 54 081999838442 CoronaVac 03/03/2021 24000221
38 S-3FC2E551 357502******0001 ADRI DJOKO SRIJONO 60 081233347478 CoronaVac 03/03/2021 24000221
39 S-4066A16F 351423******0002 HENY WULANDARI SUKARNO 37 082245761984 CoronaVac 03/03/2021 24000221
40 S-4FDB51FC 357501******0001 NAILIR ROCHMAH 36 085608343338 CoronaVac 03/03/2021 24000221
41 S-514A7905 351417******0001 FEINNA MAAYA SABARA 31 082244432369 CoronaVac 03/03/2021 24000221
42 S-5A7831CA 357502******0001 AINUR RAKHMAN 33 082245890137 CoronaVac 03/03/2021 24000221
43 S-5D20857D 357503******0005 ENDAH SETIJORINI 50 081938117477 CoronaVac 03/03/2021 24000221
44 S-62A246DF 357503******0001 DIMAS CANDRANATA 37 082234291125 CoronaVac 03/03/2021 24000221
45 S-66A87CBA 357503******0002 DODIK TRIATMAJA 40 085292086475 CoronaVac 03/03/2021 24000221
46 S-6AC92731 350709******0001 TAUFIK MADURETNO 54 081334551850 CoronaVac 03/03/2021 24000221
47 S-6D450C98 357815******0002 BUSTOMI 45 085648443648 CoronaVac 03/03/2021 24000221
48 S-7D612122 357503******0002 PRAYIT SUTANTO 42 085100255491 CoronaVac 03/03/2021 24000221
49 S-84ADE5BF 357502******0003 SATINA RUSTANTI 40 081259422532 CoronaVac 03/03/2021 24000221
50 S-885DB96C 351504******0005 ATOK HANDOKO 40 08123165056 CoronaVac 03/03/2021 24000221
51 S-8D156B2C 357502******0003 LAILUL MACHNUNA 51 082139193742 CoronaVac 03/03/2021 24000221
52 S-8F35272E 357502******0001 DENNY KUSTIYANTONO 52 0817397433 CoronaVac 03/03/2021 24000221
53 S-8F732B9B 357404******0002 PUTRI MARDIAWATI 34 081234068293 CoronaVac 03/03/2021 24000221
54 S-927F701B 357503******0004 NUR AFIDAH 41 082257004744 CoronaVac 03/03/2021 24000221
55 S-9E7D84AD 357502******0001 SUPRIYANTO 48 082140338198 CoronaVac 03/03/2021 24000221
56 S-A0005E69 357501******0007 RITA DWI RAHAYU 38 085103847788 CoronaVac 03/03/2021 24000221
57 S-A9137BA6 351416******0004 KOMARIYAH 53 085755128046 CoronaVac 03/03/2021 24000221
58 S-B5DAFA05 357404******0004 NUR HIDAYATI HILMIAH 33 085232089015 CoronaVac 03/03/2021 24000221
59 S-B9944C40 357501******0001 SULASTRI 40 082330992454 CoronaVac 03/03/2021 24000221
60 S-B9CA7542 357502******0001 SAFIUDIN 49 0895365203075 CoronaVac 03/03/2021 24000221
61 S-BAAFC422 352804******0140 AYU RAHMANIYAH 33 08113660101 CoronaVac 03/03/2021 24000221
62 S-BB3360DB 350931******0002 ERNANDA DWINOVITA 39 085258636969 CoronaVac 03/03/2021 24000221
63 S-C067E504 357502******0002 IMAM BUCHORI 36 081233017917 CoronaVac 03/03/2021 24000221
64 S-C1F30786 357502******0002 NOVEL AMIRUDIN 39 081252587573 CoronaVac 03/03/2021 24000221
65 S-C39B25EF 357503******0003 YUNI ENDAH LESTARI 49 081336603393 CoronaVac 03/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
66 S-CDCD9CAE 357808******0001 PRASASTIPIKA ENDRIYONO 32 0895384444110 CoronaVac 03/03/2021 24000221

67 S-D0B979DF 357502******0002 ARIFAH 37 082257801678 CoronaVac 03/03/2021 24000221
68 S-D4FFED9D 357501******0005 MUKRI 57 085234953272 CoronaVac 03/03/2021 24000221
69 S-DBB84FD8 357503******0003 Hakimah Zulfaizah 48 081217701973 CoronaVac 03/03/2021 24000221
70 S-DD1CA2F7 357503******0001 KHOIRON 47 082234056682 CoronaVac 03/03/2021 24000221
71 S-E5B7FBB8 357502******0003 NURLIS ERMAWATI 44 081252717433 CoronaVac 03/03/2021 24000221
72 S-E8703C1A 357502******0003 SITI ROCHANA 52 082143148664 CoronaVac 03/03/2021 24000221
73 S-E8A555C9 357502******0006 NURIL HIDAYATI 41 085655007400 CoronaVac 03/03/2021 24000221
74 S-EF6118BB 357203******0005 RATIH DWIANITASARI 38 082143515042 CoronaVac 03/03/2021 24000221
75 S-F005C967 351422******0001 LULUK MAKNUNAH 40 085103753343 CoronaVac 03/03/2021 24000221
76 S-F0666677 357503******0001 Hj. MAMLUATUS SA'ADAH, S.Psi 37 087754349848 CoronaVac 03/03/2021 24000221
77 S-F0D98B18 351401******0004 TRI HANDAYANI 41 081334632273 CoronaVac 03/03/2021 24000221
78 S-F13491E8 357301******0003 TRISYA MAULIA MAHARANI 41 08179603136 CoronaVac 03/03/2021 24000221
79 S-F6AFB3F7 357501******0004 ARIYANTO 49 081235019746 CoronaVac 03/03/2021 24000221
80 S-FA9CB872 351406******0001 Nasiha 28 083846817788 CoronaVac 03/03/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 P-4TSWNVR8 351417******0003 ULINA NUR SA'IDA 21 085649917504 CoronaVac 04/03/2021 24000221

2 P-5OFYQWBZ 351421******0001 MOKHAMMAD GUFRON 26 085335189131 CoronaVac 04/03/2021 24000221
3 P-67RXB3R8 357503******0003 MOH ACHSAN 33 082244432223 CoronaVac 04/03/2021 24000221
4 P-9APCS4BS 357503******0004 GIANTONO 48 083834534541 CoronaVac 04/03/2021 24000221
5 P-9NK06TOX 351416******0002 SAIFUL RIZAL 29 082330439008 CoronaVac 04/03/2021 24000221
6 P-9O5X49RD 351413******0006 EKO PRASETIO 42 085607251238 CoronaVac 04/03/2021 24000221
7 P-D2557BWA 352802******0001 MOHAMMAD SUFYAN HADI 29 0881026008268 CoronaVac 04/03/2021 24000221
8 P-EBBNST5M 351406******0002 MAHDI 43 082142327034 CoronaVac 04/03/2021 24000221
9 P-FUFF8XKN 351418******8000 SAICHUR RIZKYAN 23 085649877809 CoronaVac 04/03/2021 24000221
10 P-G9XOFQL2 351416******0002 MUHAMAD ZAKARIA 27 085646480441 CoronaVac 04/03/2021 24000221
11 P-GXKIQPTH 357503******0001 ARDIAN BHAGASKARA 23 089687853741 CoronaVac 04/03/2021 24000221
12 P-H56DA5RI 352804******0002 BAGUS PERMADI 28 085230886175 CoronaVac 04/03/2021 24000221
13 P-IECRBQCP 351415******0002 ROFIQ HIDAYATULLOH 28 082133231938 CoronaVac 04/03/2021 24000221
14 P-J2GAQ9JO 357502******0003 ABDUL MUSLIK 47 082231878774 CoronaVac 04/03/2021 24000221
15 P-J8ISYELC 357501******0002 M. NUR FAIZIN 20 087765977799 CoronaVac 04/03/2021 24000221
16 P-K2G3VTDC 350311******0001 LUKI AGUNG PRAYITNO 28 082330712440 CoronaVac 04/03/2021 24000221
17 P-KDZ6U7MQ 357502******0003 ERWIN PRAYOGA SAPUTRA 29 085749388484 CoronaVac 04/03/2021 24000221
18 P-KIJ0MCGY 357502******0003 MOH AGUS FATKHUR ROJI 25 085856376775 CoronaVac 04/03/2021 24000221
19 P-LCDONO4P 350519******0024 WAWAN TIPAN RAHMADI 33 08113055150 CoronaVac 04/03/2021 24000221
20 P-M2VFAQZ8 357502******0002 DURROTUL QODRIYAH, S.Sos 47 081330676566 CoronaVac 04/03/2021 24000221
21 P-MB1HFPO1 351420******0001 EDI SUSILO 41 085334932001 CoronaVac 04/03/2021 24000221
22 P-MHHZCQXV 350714******0001 ALLAN MOHAMAD NURVIRDAUS 27 089666777009 CoronaVac 04/03/2021 24000221
23 P-MJFGFHX4 350725******0003 ARGI AZRUL HERDIAWAN 26 081334523382 CoronaVac 04/03/2021 24000221
24 P-MQ5X9K7H 357503******0003 MUHAMMAD KHOZIN 37 082244103744 CoronaVac 04/03/2021 24000221
25 P-O7GJE2RP 351416******0003 CITRA ANGGISTIA ILMI 33 082228083828 CoronaVac 04/03/2021 24000221
26 P-OADHF71C 351909******0003 WIKE FOURINA PUSPITASARI 33 082232857778 CoronaVac 04/03/2021 24000221
27 P-OCZVBUHR 357503******0001 FARIS SETIAWAN 29 085755564453 CoronaVac 04/03/2021 24000221
28 P-OFALKRLA 351414******0002 ATIKAH KAMALIAH 24 085755377209 CoronaVac 04/03/2021 24000221
29 P-OKFCSHLP 351505******0001 APRILIA DWI ANGGITA 20 085229499512 CoronaVac 04/03/2021 24000221
30 P-OVWFASAL 357503******0006 mochammad richie pradhana 28 083834913484 CoronaVac 04/03/2021 24000221
31 P-PBJBJNIU 351413******0001 NISRINA FIRDAUSI 26 0895328520473 CoronaVac 04/03/2021 24000221
32 P-PIMLCVHE 351411******0001 ANGGI KHARISMA 20 0895321591699 CoronaVac 04/03/2021 24000221
33 P-PP5VKKE6 351412******0001 MOKHAMMAD YAZIDUL BUSTOM 22 085808285478 CoronaVac 04/03/2021 24000221
34 P-RK4G6FEV 351319******0004 UMIRUL ILMI 25 085232636538 CoronaVac 04/03/2021 24000221
35 P-RLM1CPIV 351419******0001 IKA RUSMADINA 21 08983656848 CoronaVac 04/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
36 P-UH6OHOLS 351414******0004 RANI DWI MELINDA 23 081259075225 CoronaVac 04/03/2021 24000221

37 P-W2JQEJF1 352804******0005 RIRI MAULITI SANTOSO 28 087701713153 CoronaVac 04/03/2021 24000221
38 P-WHG09UQO 351422******0006 MUHAMMAD AS'ADI 26 081252884114 CoronaVac 04/03/2021 24000221
39 P-WOAIYPZD 351703******0004 MOH EFENDI HARIYANTO 20 083851733927 CoronaVac 04/03/2021 24000221
40 P-Y6NRLCSO 357503******0002 ACH WAHYONO 29 089699531599 CoronaVac 04/03/2021 24000221
41 P-ZPBRJX0O 357503******0002 ACHMAD TAUFIK 24 0895366249687 CoronaVac 04/03/2021 24000221
42 S-06CE10D8 357502******0001 RADITYA DWI PRASETYA 30 082233336685 CoronaVac 04/03/2021 24000221
43 S-07B9D9D6 357503******0004 NANANG BUDIANTO 50 085791681098 CoronaVac 04/03/2021 24000221
44 S-084D4473 357503******0001 GURUH FEBRIYANTO 31 08113667688 CoronaVac 04/03/2021 24000221
45 S-0E78B1FA 357501******0006 NANIK INDRAWATI 52 082141980172 CoronaVac 04/03/2021 24000221
46 S-1228058B 357502******0003 MARIA ULFA 43 08221155004 CoronaVac 04/03/2021 24000221
47 S-144DE3CD 351406******0004 DZURROTUL FAIZAH 29 083866827636 CoronaVac 04/03/2021 24000221
48 S-19E14308 357503******0001 ARIF EFENDI 54 081360512635 CoronaVac 04/03/2021 24000221
49 S-1E53B93C 357503******0003 TEGUH ROEBIARSO 34 089530511115 CoronaVac 04/03/2021 24000221
50 S-26F84B9E 351709******0004 HERMANTO 37 08123222282 CoronaVac 04/03/2021 24000221
51 S-37E51982 351709******0002 Andri Priyanto 35 082231027626 CoronaVac 04/03/2021 24000221
52 S-3BE6CE04 357501******0004 AMINAH 43 082244033779 CoronaVac 04/03/2021 24000221
53 S-3E04EC17 357501******0001 TOMMY ARI SAPUTRA 40 08155097660 CoronaVac 04/03/2021 24000221
54 S-4490A936 351406******0004 KHOLIL 42 082230468849 CoronaVac 04/03/2021 24000221
55 S-459FB03D 357502******0002 NIA KUSUMA WARDANI 30 085230746206 CoronaVac 04/03/2021 24000221
56 S-4876345F 352925******0001 INDA SRI WAHYUNI 33 081234538788 CoronaVac 04/03/2021 24000221
57 S-48AA2698 357502******0001 IMAMUL CHARIS 29 089519264391 CoronaVac 04/03/2021 24000221
58 S-49CB74E5 357502******0001 MUKHAMAD SYAHRONI 31 081331020531 CoronaVac 04/03/2021 24000221
59 S-4A6A44CA 357503******0001 ANNA LAILY 42 085230846800 CoronaVac 04/03/2021 24000221
60 S-4E14178E 352804******0001 WHENNY AGUSTINI 37 081357067200 CoronaVac 04/03/2021 24000221
61 S-4ED22B82 357503******0004 EKO ARDIANSYAH SUNARKO 32 082245762413 CoronaVac 04/03/2021 24000221
62 S-51CF4689 357502******0001 WIDJI LESTARI 56 081331271585 CoronaVac 04/03/2021 24000221
63 S-530608DD 351414******0003 FAHRUDIN 49 081937015551 CoronaVac 04/03/2021 24000221
64 S-58D15573 350725******0004 WINDOYONO 53 08125227469 CoronaVac 04/03/2021 24000221
65 S-621FE290 357503******0001 MUHAMMAD HATTA 44 08123315694 CoronaVac 04/03/2021 24000221
66 S-62FF45EB 357503******0001 EKO WAHYUDI POERNOMO 55 082231287566 CoronaVac 04/03/2021 24000221
67 S-6C16AED7 357502******0002 NINA TRI YULIARNI 38 085749518718 CoronaVac 04/03/2021 24000221
68 S-6F86BDE5 517102******0002 QONITA 39 083848186160 CoronaVac 04/03/2021 24000221
69 S-72483123 357501******0001 KHISWATI ROKHMAH 51 082139015682 CoronaVac 04/03/2021 24000221
70 S-72E10446 357502******0001 Nurul Faizah Halim 33 081235674109 CoronaVac 04/03/2021 24000221
71 S-7366FD76 357502******0004 SUGENG HENDRO WAHYONO 50 082231965877 CoronaVac 04/03/2021 24000221
72 S-75834AEB 351414******0007 KHUSWATUL LAILY MAGHFIROH 24 085796394644 CoronaVac 04/03/2021 24000221
73 S-79113C0D 357502******0005 SUKINDRO WARDOYO 51 082143148954 CoronaVac 04/03/2021 24000221
74 S-7B3F02D5 351414******0002 EKO EDI PURNOMO 56 081249187154 CoronaVac 04/03/2021 24000221
75 S-7D014507 357503******0002 ERLIN RAKHMAWATI 35 082141893255 CoronaVac 04/03/2021 24000221
76 S-809EA658 350305******0001 DWI CAHYONO 29 085330178089 CoronaVac 04/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
77 S-827DB8D6 357501******0001 EKO SUPRIYATININGSIH 49 081334949216 CoronaVac 04/03/2021 24000221

78 S-827E1D93 351418******0002 RUDI AGUSTONO 51 087856953215 CoronaVac 04/03/2021 24000221
79 S-8A1230F2 351419******0001 ATIBUR ROHMAN 35 085755118389 CoronaVac 04/03/2021 24000221
80 S-935D9E9B 357503******0001 MUKHAMAD WAHYU KURNIAWAN 19 0895337431291 CoronaVac 04/03/2021 24000221
81 S-9C848FAB 351614******0001 FIRDIANA LUCITA ARIS TANTI 29 082273754699 CoronaVac 04/03/2021 24000221
82 S-9CD751F0 357503******0002 Dewi Mariyah 31 0895322198177 CoronaVac 04/03/2021 24000221
83 S-A2400AE7 357502******0002 NURUL ALFIAH 32 085755172286 CoronaVac 04/03/2021 24000221
84 S-A6BBE96B 357502******0001 WAHYU AJI RAHMANTO 34 081335116114 CoronaVac 04/03/2021 24000221
85 S-B5F3F22F 357502******0001 CANDRA SUDARMOKO 44 085755604066 CoronaVac 04/03/2021 24000221
86 S-B8AC77AE 351410******0005 WIDI FEBRIYANTO 26 085156368157 CoronaVac 04/03/2021 24000221
87 S-B8B363A2 350921******0016 RONNY FEBRIYAN FIRMANSYAH 40 085259066660 CoronaVac 04/03/2021 24000221
88 S-C5C69ED4 351418******0003 MOHAMAD YANTO 52 082331058553 CoronaVac 04/03/2021 24000221
89 S-C5C7E3D2 350725******0002 DWI RACHMAT SUDJATMIKO 53 081230227420 CoronaVac 04/03/2021 24000221
90 S-CB39B5D5 357503******0003 DENY YUDHISTIRA HARIYONO 33 085716583373 CoronaVac 04/03/2021 24000221
91 S-D3803046 357502******0003 DEDY TRI OKTAFIANTO 34 081231168955 CoronaVac 04/03/2021 24000221
92 S-D575AB94 330608******0002 ANISSA TRISNA ARGARINI 29 082244830001 CoronaVac 04/03/2021 24000221
93 S-D5DC7B5D 357501******0004 MOCHAMMAD NUR SOBACH 23 082230301124 CoronaVac 04/03/2021 24000221
94 S-D6E91BF0 351407******0002 BAMBANG RUSTAMAR 49 081232962281 CoronaVac 04/03/2021 24000221
95 S-DA068C41 351419******0002 IKA YULI SETIAWATI 40 085648393594 CoronaVac 04/03/2021 24000221
96 S-DACB523A 357501******0002 YANIK EFILUARDANI 50 082141815656 CoronaVac 04/03/2021 24000221
97 S-DACF7FD1 357503******0001 IKKE HARDIANA KURNIANINGSIH 45 081281202395 CoronaVac 04/03/2021 24000221
98 S-DBF915E7 357501******0001 MASRINI 57 081333984910 CoronaVac 04/03/2021 24000221
99 S-DC5AAF8D 357502******0003 IKA JUWITA PUSPITASARI 39 081230135444 CoronaVac 04/03/2021 24000221
100 S-DFB27AB3 357503******0001 MUKHAMAD ARIF ANDRIAN 29 081259170879 CoronaVac 04/03/2021 24000221
101 S-E6AE1163 357503******0004 WIDI NURDAYA 54 085649267197 CoronaVac 04/03/2021 24000221
102 S-E892561D 357502******0001 WURI YUNIADEWI 42 081559926643 CoronaVac 04/03/2021 24000221
103 S-EBED40E2 357502******0003 ENGKUS KUSUMAH 56 082132850637 CoronaVac 04/03/2021 24000221
104 S-ED6BD7C5 357501******0001 MOKHAMAD ZAKARIA 30 085546489800 CoronaVac 04/03/2021 24000221
105 S-F07E2290 351414******0001 YUSUF WIBISONO 34 081357561124 CoronaVac 04/03/2021 24000221
106 S-F4B94BFF 357501******0003 DODDY PURWANTORO 34 081230428069 CoronaVac 04/03/2021 24000221
107 S-F7F65C7F 357501******0002 SITI KHOTIJAH 43 085746648592 CoronaVac 04/03/2021 24000221
108 S-FA304513 357503******0001 SITI MARIYAM 54 081334600240 CoronaVac 04/03/2021 24000221
109 S-FA8E95C5 351507******0005 TRIANTI ANNISA PUSPASARI 25 085711112610 CoronaVac 04/03/2021 24000221
110 S-FBAFE41D 351317******0001 YUDHA AGUSDIAN 32 081370333175 CoronaVac 04/03/2021 24000221

Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi

NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 P-7KTJ4KSK 357501******0002 Mukhamad Efendi 24 085851602260 CoronaVac 05/03/2021 24000221

2 P-9J5PCKXY 357503******0001 DEDY EKA FEBRIYANTO 40 082330382155 CoronaVac 05/03/2021 24000221
3 P-AW6Y77ON 357501******0003 AHMAD NAWAWI 55 081235775000 CoronaVac 05/03/2021 24000221
4 P-DYNF3OK0 357501******0002 TRI AMIYANTO 34 085646450303 CoronaVac 05/03/2021 24000221
5 P-EQNDKS1N 357502******0003 KHUMAIROH ISNAENI 23 08885850254 CoronaVac 05/03/2021 24000221
6 P-FWRVWW6I 357502******0006 SLAMET 43 082228289903 CoronaVac 05/03/2021 24000221
7 P-HU3AVIKM 357502******0003 RIO RACHMANTO 29 081234640533 CoronaVac 05/03/2021 24000221
8 P-IINS66VG 357501******0001 MOKHAMAD ZAINUR ROZIQIN 22 083833777172 CoronaVac 05/03/2021 24000221
9 P-LBCKZLH0 357501******0004 MOKHAMAD ALIEF SYAHRUDIN 21 089530810407 CoronaVac 05/03/2021 24000221
10 P-LE35JWGO 357501******0001 SUNIK ANDARWATI 54 085858334796 CoronaVac 05/03/2021 24000221
11 P-M2PSZ085 357501******0001 KHASBULLOH 44 089519266689 CoronaVac 05/03/2021 24000221
12 P-M5IDC4GL 357501******0001 RACHMAD YUDHA SAPUTRA 23 0895396002409 CoronaVac 05/03/2021 24000221
13 P-QUQISADA 357502******0005 IRFAN NUR HANDOKO 43 085853973209 CoronaVac 05/03/2021 24000221
14 P-QVU5DRC4 357502******0004 SITI ROMLAH 29 081216111296 CoronaVac 05/03/2021 24000221
15 P-R7O2LI65 357502******0002 PURI ANDRIANA 39 082244401413 CoronaVac 05/03/2021 24000221
16 P-WR3K5IDW 357502******0007 MULYO BUDIARTO 37 085608183745 CoronaVac 05/03/2021 24000221
17 P-XBL78OG3 357501******0001 MOKH SAIFUL ANAM 37 085745891884 CoronaVac 05/03/2021 24000221
18 P-YEZQ0MUL 357503******0004 RIADUS SHOLIKHIN 23 083852929466 CoronaVac 05/03/2021 24000221
19 S-12FCB333 350605******0001 AAN PRASETYO 41 082334265557 CoronaVac 05/03/2021 24000221
20 S-151B0A19 357502******0006 ENY PUJI LESTARI 44 082139075251 CoronaVac 05/03/2021 24000221
21 S-194CAF3B 357501******0001 MOHAMAD KHOLILI 57 081293343175 CoronaVac 05/03/2021 24000221
22 S-1FDEFFBA 357501******0003 NIKMATUS SHOLIKHAH 50 081357402302 CoronaVac 05/03/2021 24000221
23 S-26B96D8D 357503******0002 ABDULLAH 56 081558536108 CoronaVac 05/03/2021 24000221
24 S-28513C45 357502******0006 AKHMAT YANI 43 081233229596 CoronaVac 05/03/2021 24000221
25 S-3267E33A 357501******0004 NIKMAH NURHAYATI 54 081230085033 CoronaVac 05/03/2021 24000221
26 S-336D7A91 357501******0001 MUKAYANI 57 082132870035 CoronaVac 05/03/2021 24000221
27 S-36EC8CA2 331105******0001 GALEH LANJATI 28 08122503870 CoronaVac 05/03/2021 24000221
28 S-4DE7C41D 357501******0002 AKHMAD JUPRI 55 082266096771 CoronaVac 05/03/2021 24000221
29 S-60B33C70 357502******0001 DANU EKO SUPRAPTO 40 08563320020 CoronaVac 05/03/2021 24000221
30 S-613DA765 357503******0004 ESTY RISTYAWATI 41 081235485558 CoronaVac 05/03/2021 24000221
31 S-6B361CE8 357501******0001 AGUS SANTOSO 51 085755914962 CoronaVac 05/03/2021 24000221
32 S-7237159E 351419******0001 BUDI PRIYANTO 55 081334304615 CoronaVac 05/03/2021 24000221
33 S-73C50CDA 351414******0005 MOCHAMMAD ROBI ABDILA 26 085746426114 CoronaVac 05/03/2021 24000221
34 S-7D674AEA 357503******0004 ARIEF HARNANTO 45 08123464329 CoronaVac 05/03/2021 24000221
35 S-7E363F90 357501******0005 HILMY YULIARDI SETIAWAN 43 082244460505 CoronaVac 05/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
36 S-8BEF8DF7 357501******0001 MISNO 56 081359530371 CoronaVac 05/03/2021 24000221

37 S-8E3FC778 357502******0001 SUTRISNO 43 085748618088 CoronaVac 05/03/2021 24000221
38 S-91D56A23 351514******0001 HAMDAN YUWAFI 30 081233074561 CoronaVac 05/03/2021 24000221
39 S-9A2A9B69 357503******0002 MIFTAKHUL JANNAH 45 082223612016 CoronaVac 05/03/2021 24000221
40 S-9C6E892D 351417******0001 PUGUH HARIYANTO 52 085100894004 CoronaVac 05/03/2021 24000221
41 S-A51A9C97 357502******0004 ABDUL ROHMAN 51 082131878590 CoronaVac 05/03/2021 24000221
42 S-AF374A99 357503******0004 BUDI SUGIHARTO WIBOWO 40 085755342800 CoronaVac 05/03/2021 24000221
43 S-AFE22150 351416******0004 SUTARTO 58 081249664600 CoronaVac 05/03/2021 24000221
44 S-B54F1591 357501******0009 RIFQI ATIKAH 44 082338574572 CoronaVac 05/03/2021 24000221
45 S-BC2E2825 357502******0003 HERU KUSUMA KRISTANTO 36 081330313398 CoronaVac 05/03/2021 24000221
46 S-BD533864 357501******0006 SAIKHU ANWAR 42 082140127779 CoronaVac 05/03/2021 24000221
47 S-E5101195 357503******0001 HARIYANTO 42 081335653007 CoronaVac 05/03/2021 24000221
48 S-E99D6228 357502******0002 UMI KALSUM 54 082230035385 CoronaVac 05/03/2021 24000221
49 S-F9CE521F 350923******0001 JIHAN ARS MUNAWIR 25 085884773445 CoronaVac 05/03/2021 24000221
50 S-FA10B489 357501******0001 SUKADI 57 081259506565 CoronaVac 05/03/2021 24000221
51 S-FB8CB45A 357503******0001 PURWADI MOCHAMAD ROSUL 50 085330139696 CoronaVac 05/03/2021 24000221
52 S-FC81653E 350718******0004 LIA MAHDIANA SAFITRI 26 081333377195 CoronaVac 05/03/2021 24000221
53 S-FFE77A8E 351407******0002 KHUSNUL LUTFI 55 082230106884 CoronaVac 05/03/2021 24000221
54 S-8536D54C 3575025005670004 MIFTACHUS SIRODJAH 10/5/1967 87757927724 CoronaVac 22/04/2021 24000221
55 P-ZCBNEKOE 3575016312840003 DEVI TRI UTAMI 23-12-1984 85655024264 CoronaVac 22/04/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 P-4ZZEITWC 357501******0003 YONO 56 81937004174 CoronaVac 3/6/2021 24000221

2 P-501BTV5U 351418******0003 KOMARIYAH 40 85850122298 CoronaVac 3/6/2021 24000221
3 P-50580YN4 357501******0002 KASIANAH 52 81230392169 CoronaVac 3/6/2021 24000221
4 P-50JR8RMP 357503******0002 MEITY FAUZYA 59 8174142232 CoronaVac 3/6/2021 24000221
5 P-50MCHJHF 357303******0002 MOCHAMMAD TAUFAN 27 89523534149 CoronaVac 3/6/2021 24000221
6 P-50OHQBE3 357501******0129 EVI KUSUMANINGRUM 42 85100798910 CoronaVac 3/6/2021 24000221
7 P-50PEE0LN 357501******0004 SISKA ANGGRAENI 31 8563020138 CoronaVac 3/6/2021 24000221
8 P-50SBW3EX 351422******0012 MAHFUD 44 81336784852 CoronaVac 3/6/2021 24000221
9 P-51IUP08J 357501******0004 CHALIMAH 60 8113777705 CoronaVac 3/6/2021 24000221
10 P-51KEF3AR 357501******0006 LUKLIN MAKLUM 38 82350596961 CoronaVac 3/6/2021 24000221
11 P-51KPJGVB 351406******0003 HASBULLOH HUDA 26 85799922787 CoronaVac 3/6/2021 24000221
12 P-51L97E6F 357503******0003 ABDUL KODIR 32 83822002009 CoronaVac 3/6/2021 24000221
13 P-KLL9YX31 351406******0001 LUKMAN HAKIM 30 82257400253 CoronaVac 3/6/2021 24000221
14 S-06324267 357501******0002 RIA HARDINI 38 85649219115 CoronaVac 3/6/2021 24000221
15 S-161D148C 351409******0001 EKI JULI PRISTANTO 36 85736951915 CoronaVac 3/6/2021 24000221
16 S-1C2720D0 357501******0002 ENDAH RUSMINAH 52 82139140858 CoronaVac 3/6/2021 24000221
17 S-1EC8B6FE 357502******0004 LUKMAN HADI WISNU PURWARI 32 82140687107 CoronaVac 3/6/2021 24000221
18 S-7ACCD486 351418******0004 JOKO SANTOSO 48 81235259550 CoronaVac 3/6/2021 24000221
19 S-A45411C4 357501******0002 AHMAD NUR RAHMAN FARIS 27 82358201260 CoronaVac 3/6/2021 24000221
20 S-AC203148 351418******0001 MISNOYO 56 82336547052 CoronaVac 3/6/2021 24000221
21 S-C45BC036 351418******0001 ABDUL ROZAK 37 81217746577 CoronaVac 3/6/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 P-50LJJ3WM 351415******0004 SAEFI 41 085130357010 CoronaVac 08/03/2021 24000221

2 P-50RKMQ13 357501******0003 MOCHAMMAD SOLEH 51 081775081171 CoronaVac 08/03/2021 24000221
3 P-5DIX5OYY 352802******0003 NOFA RISMAN HIDAYAT 31 085258839383 CoronaVac 08/03/2021 24000221
4 P-5DN4FBFU 351412******0001 ILHAM MISBACHUL ULUM 28 082186890012 CoronaVac 08/03/2021 24000221
5 P-5DQ2TXKU 357503******0001 HADI SOESANTOKO 57 085645202023 CoronaVac 08/03/2021 24000221
6 P-5F07XST7 357501******0003 KHOLIQUL AMIN 49 081234940471 CoronaVac 08/03/2021 24000221
7 P-5FC9E62B 357501******0004 DAYU WAHYUDI PUTRA 23 085730931570 CoronaVac 08/03/2021 24000221
8 P-5FM19ZXV 357501******0001 ROFI AH 53 081234940471 CoronaVac 08/03/2021 24000221
9 P-5JDASRQO 357503******0003 MARFU'AH 39 083862762687 CoronaVac 08/03/2021 24000221
10 P-5K8FXVVM 357503******0002 MOH. RAZIQ ALFARIST ARIF 24 082245049495 CoronaVac 08/03/2021 24000221
11 P-5MW4CVQO 351417******0002 MASDANIYAH 37 085102633985 CoronaVac 08/03/2021 24000221
12 P-5NDHSV2A 351418******0009 SUTARNO 47 081357255328 CoronaVac 08/03/2021 24000221
13 P-5QLZPFBZ 357501******0006 BASORI ALWI 52 085334404443 CoronaVac 08/03/2021 24000221
14 P-5RJRLWNN 357503******0003 TRI HARIYANTI 38 081334912833 CoronaVac 08/03/2021 24000221
15 P-5UA4FYWW 357501******0001 EGADINTA PRAMUDYA JATAYU 29 085230733944 CoronaVac 08/03/2021 24000221
16 P-5UHCUCVX 351410******0004 EKO SAPUTRO 33 085780147175 CoronaVac 08/03/2021 24000221
17 P-5V4CB8LS 351415******0005 WINDA NUR FARIDA 32 082197879387 CoronaVac 08/03/2021 24000221
18 P-5XTL3KYH 357501******0001 SYARIFAH ZAHRA MIRA SYAFITRI 26 085607506851 CoronaVac 08/03/2021 24000221
19 P-5YTPX99J 357501******0002 VENI FARIAJANAH 33 082231658395 CoronaVac 08/03/2021 24000221
20 P-5ZGXZ5KH 357501******0003 PUTRI HARDIYANTI 25 089612368368 CoronaVac 08/03/2021 24000221
21 P-60RZ66LU 351416******0001 SADAM HUSEN 28 081336182492 CoronaVac 08/03/2021 24000221
22 P-63TMCCVE 357501******0004 NENI WIJAYANTI RAHAYU 41 085259154155 CoronaVac 08/03/2021 24000221
23 S-009980B0 357502******0005 SITI ISTIANAH 43 085330994456 CoronaVac 08/03/2021 24000221
24 S-00D2E53B 357501******0001 JIAMINAH 48 081336769998 CoronaVac 08/03/2021 24000221
25 S-01C0C4FB 357501******0002 Catur Wahyu Novita Santi 41 082257196446 CoronaVac 08/03/2021 24000221
26 S-01FDF3A3 351416******0001 MULYOHADI 54 083152054064 CoronaVac 08/03/2021 24000221
27 S-0525793A 357503******0004 Fitri Mulyani 36 081334174091 CoronaVac 08/03/2021 24000221
28 S-08117C6E 357501******0001 Yayuk 55 087853722083 CoronaVac 08/03/2021 24000221
29 S-0F1B0694 357502******0003 DONI SETIAWAN 26 085731176703 CoronaVac 08/03/2021 24000221
30 S-0F474FE2 357501******0002 LILIK MUHAMIDAH 57 085606162183 CoronaVac 08/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
31 S-133C7F5B 357501******0003 Muhammad Sofuan Efendi 34 085856930587 CoronaVac 08/03/2021 24000221

32 S-15BB45DE 357503******0001 Alfa Chasanah 32 085859856283 CoronaVac 08/03/2021 24000221
33 S-1CA618E9 357501******0003 MASDUQI 57 081216452769 CoronaVac 08/03/2021 24000221
34 S-1CA9CA47 357501******0002 SITI CHOTIJAH 60 082131959099 CoronaVac 08/03/2021 24000221
35 S-1F90FE8F 351418******0001 NAWANG PRESTIWENI 56 081232985220 CoronaVac 08/03/2021 24000221
36 S-202D5A3A 357501******0001 SATUKI 56 085733085232 CoronaVac 08/03/2021 24000221
37 S-20D1F726 351506******0002 NURKHOLILAH 49 081357259180 CoronaVac 08/03/2021 24000221
38 S-2207DA3C 357501******0003 Khumairoh 37 081335332183 CoronaVac 08/03/2021 24000221
39 S-2BC2A489 357501******0001 Fani Yunianto 40 081335332183 CoronaVac 08/03/2021 24000221
40 S-2C50B314 357502******0002 URIFAH 51 082244337817 CoronaVac 08/03/2021 24000221
41 S-2C779154 357502******0002 TITIK SUPRIHATI 51 081331273535 CoronaVac 08/03/2021 240002221
42 S-30C6AB1E 350912******0007 PUTRA CANDRA ADITYA 29 081362091099 CoronaVac 08/03/2021 24000221
43 S-31CBAA42 351418******0001 DIDIK SURYADI 50 081334766369 CoronaVac 08/03/2021 24000221
44 S-33AB4570 351306******0002 MUHAMMAD HUSAENI 37 082333859725 CoronaVac 08/03/2021 24000221
45 S-38894399 357501******0005 Reni Larasati 52 081917777218 CoronaVac 08/03/2021 24000221
46 S-3B8D3FAB 357501******0001 SRI WAHYUNI 50 082140919132 CoronaVac 08/03/2021 24000221
47 S-3BD3EDC5 357501******0001 SUMARTINI 58 081351477110 CoronaVac 08/03/2021 24000221
48 S-3CE52484 357701******0001 SYAHLUL RIZKI YULANDRA 36 08563408485 CoronaVac 08/03/2021 24000221
49 S-40429A3F 351418******0001 ASIH SAYEKTI 53 082142216246 CoronaVac 08/03/2021 24000221
50 S-414BE1A0 357501******0009 Dwi Yanuar Cahyono 35 082266096464 CoronaVac 08/03/2021 24000221
51 S-44C952F1 357502******0001 SYAIFUDDIN 39 081234960422 CoronaVac 08/03/2021 24000221
52 S-49042E26 351419******0003 MUKHAMMAD FARIED ISKANDAR 39 081553575339 CoronaVac 08/03/2021 24000221
53 S-4A6C6C55 357501******0001 Mohammad Ali Saifi 46 083834548840 CoronaVac 08/03/2021 24000221
54 S-4E6EE90E 357501******0001 Arif Giyantri M 35 085804377645 CoronaVac 08/03/2021 24000221
55 S-4F617B78 357502******0001 Tomi Ardiono 43 082139910510 CoronaVac 08/03/2021 24000221
56 S-501A6073 357502******0001 KURNIA FITRI MAHARDINI 26 085755705706 CoronaVac 08/03/2021 24000221
57 S-50DBDC39 357502******0002 MOH. ALI HIDAYAT 55 081359923047 CoronaVac 08/03/2021 24000221
58 S-58130FEB 357810******0004 SARWONO 53 082336049997 CoronaVac 08/03/2021 24000221
59 S-5C19ED62 357502******0003 LUKMAN HADI 41 085736855613 CoronaVac 08/03/2021 24000221
60 S-5EDEEC7E 357503******0005 Endang Ganefa Listiyowati 57 085746912765 CoronaVac 08/03/2021 24000221
61 S-5F971141 357503******0001 RINCI SURYADI 56 081227689225 CoronaVac 08/03/2021 24000221
62 S-61F1E2A5 357503******0001 AKHMAD FAUZI 32 081217292069 CoronaVac 08/03/2021 24000221
63 S-62C1A196 351412******0003 AROFEQ MAULANA LUBIS 31 082231413543 CoronaVac 08/03/2021 24000221
64 S-6330EAB5 351420******0001 RATIH INDRITANINGRUM 47 081252992861 CoronaVac 08/03/2021 2400021
65 S-67FFC762 357502******0018 NURUL LAKHIQOH 53 081233600349 CoronaVac 08/03/2021 24000221
66 S-699E31C7 357502******0004 Novi Eka Rini Suseno 42 085230551179 CoronaVac 08/03/2021 24000221
67 S-6CF128BA 357502******0001 INDARTHA MEIPUTRA 31 085645949476 CoronaVac 08/03/2021 24000221
68 S-6DAFEC6E 350701******0001 SANTA ANGGRAITA WIJAYANTI 32 081233878804 CoronaVac 08/03/2021 24000221
69 S-6E7B9A5C 357501******0007 DEWI MASNUNAH 36 081233049000 CoronaVac 08/03/2021 24000221
70 S-70131AA5 357502******0002 ABDULLAH FATKHI 20 085733680927 CoronaVac 08/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
71 S-719062F7 357501******0001 LILI SURIANI 52 081330747491 CoronaVac 08/03/2021 24000221

72 S-71F40861 357501******0002 SITI CHOTIJAH 41 089531108877 CoronaVac 08/03/2021 24000221
73 S-72FCC84D 351406******0002 PRIYO UTOMO 40 082228011114 CoronaVac 08/03/2021 24000221
74 S-76772CF7 357503******0001 ANIK BUDIARTI 59 082142321504 CoronaVac 08/03/2021 24000221
75 S-76A49FE2 357503******0001 Vera Yunita Mardianingtias 43 085235681379 CoronaVac 08/03/2021 24000221
76 S-777A0DA7 357502******0003 CICIK WINARSIH 43 08563418040 CoronaVac 08/03/2021 24000221
77 S-7C0ED104 357501******0002 Dwi Suwanti 54 082335586779 CoronaVac 08/03/2021 24000221
78 S-7C71438B 357502******0002 SUHAIRI 56 087754451747 CoronaVac 08/03/2021 24000221
79 S-7D10F7AD 357501******0001 Mukhamad Junaidi 31 085790950711 CoronaVac 08/03/2021 24001821
80 S-7E9B6A47 351418******0001 KHALIMATUSSA`DEYAH 56 087888800513 CoronaVac 08/03/2021 24000221
81 S-8412DFCA 351013******0004 SITI MASITOH SARI 28 081217960408 CoronaVac 08/03/2021 24000221
82 S-867FFC1B 357501******0004 Sugeng Riadi 44 081234491214 CoronaVac 08/03/2021 24000221
83 S-8B85EB8B 351416******0004 Sri Wijayanti 32 085790813238 CoronaVac 08/03/2021 24000221
84 S-8E3A1A7C 357501******0003 Risa Novita Suryanata 31 081216428784 CoronaVac 08/03/2021 24000221
85 S-8FA92161 357502******0009 ARYUNI PRASETYOWATI 51 081216918706 CoronaVac 08/03/2021 24000221
86 S-9024863E 357501******0002 Jumaiyah 39 081392025748 CoronaVac 08/03/2021 24000221
87 S-91B1ED85 351416******0001 NIMATUL IZZAH 35 087789010186 CoronaVac 08/03/2021 24000221
88 S-98A414CE 357501******0002 Luluk Kaidah 43 081233855881 CoronaVac 08/03/2021 24000221
89 S-9BF711D9 357502******0002 SAMSUDIN 58 085904292886 CoronaVac 08/03/2021 24000221
90 S-9E8A5482 351315******0002 Bulil 51 085259049262 CoronaVac 08/03/2021 24000221
91 S-A1265B22 351417******0001 Khuril'in 29 082234252666 CoronaVac 08/03/2021 24000221
92 S-A613735B 357502******0001 SUPRIANI 58 085204561734 CoronaVac 08/03/2021 24000221
93 S-A6A8E7ED 351409******0001 GITA RAHMAYANI 26 085755548624 CoronaVac 08/03/2021 24000221
94 S-A9748D42 357503******0001 ABD. SUKRI ZULKIFLI 41 081327405799 CoronaVac 08/03/2021 24000221
95 S-ABAFE937 351414******0001 ASTI PRATIWI 29 085704147294 CoronaVac 08/03/2021 24000221
96 S-AE91F5CF 357501******0001 Septiyan Indra Pratama 29 083122351083 CoronaVac 08/03/2021 24000221
97 S-B15C3F40 357501******0005 Nurul Khasanah 49 081330080566 CoronaVac 08/03/2021 24000221
98 S-B17D1D22 357501******0003 Retno Andrianingsih 42 082231522462 CoronaVac 08/03/2021 24000221
99 S-B5793384 351512******0001 AMBAR WAHYU NINGRUM 32 082144183625 CoronaVac 08/03/2021 24000221
100 S-B5E29362 357503******0002 Muhammad Choiron 36 087857374544 CoronaVac 08/03/2021 24000221
101 S-B7CC33B0 357501******0002 NUR ASMANINGSIH 59 087853022627 CoronaVac 08/03/2021 24000221
102 S-BE792738 351412******0002 R. FARIDA RAHMAYANTI 30 085730437262 CoronaVac 08/03/2021 24000221
103 S-C3D2E362 357501******0002 Eka Nofita 36 081238459974 CoronaVac 08/03/2021 24000221
104 S-C7AC38BD 357501******0003 ANIK AMRITA 55 081233666505 CoronaVac 08/03/2021 24000221
105 S-C89D7287 357501******0001 Yusniar Dwi Rosyida 24 085815786278 CoronaVac 08/03/2021 24000221
106 S-C8B2F79A 357503******0001 DINA NOVITA PURNAMANINGSIH 36 081249900809 CoronaVac 08/03/2021 24000221
107 S-CB9CD7C8 357502******0001 Heru Yulianto 42 082210383459 CoronaVac 08/03/2021 24000221
108 S-CBF21198 350804******0004 MUTIARA 29 085933821227 CoronaVac 08/03/2021 24000221
109 S-D4EC5A0E 357501******0003 Hafis Syarifudin 31 082244826245 CoronaVac 08/03/2021 24000221
110 S-D5C082A4 357503******0001 Indah Tri Winarsih 39 081276027882 CoronaVac 08/03/2021 24000221
111 S-D6707BAF 357502******0002 ADHE IRNA ZAHRA 32 081210626117 CoronaVac 08/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
112 S-DA4E39DC 357501******0001 NANIK MISNIATI 53 082131448771 CoronaVac 08/03/2021 24000221

113 S-DCC85DB6 357501******0001 Siti Khoiriyah 38 089678868535 CoronaVac 08/03/2021 24000221
114 S-DD455909 357501******0005 Zainur Roziqin 27 081515147684 CoronaVac 08/03/2021 24000221
115 S-DED034D4 357503******0001 WINARNI 45 082245961166 CoronaVac 08/03/2021 24000221
116 S-DF1A3E6F 357503******0001 MARIYAH ULFAH 37 081391174913 CoronaVac 08/03/2021 24000221
117 S-E5CCE86F 357502******0004 DWI ARIESTYOWATI 53 085330295530 CoronaVac 08/03/2021 24000221
118 S-E88969B7 357303******0003 SURYO HADI 37 081252708234 CoronaVac 08/03/2021 24000221
119 S-EEA68217 357502******0004 TANJUNG SOOKO AMASTANI 36 08123310343 CoronaVac 08/03/2021 24000221
120 S-EF95F3CB 357502******0002 MUHAMMAD SABILI 28 081945745984 CoronaVac 08/03/2021 24000221
121 S-EFB786E5 357503******0003 YURICO RESTU WULANDARI 30 081232150556 CoronaVac 08/03/2021 24000221
122 S-F080F645 357502******0002 Lailatul Mahfiroh 43 085755870588 CoronaVac 08/03/2021 24000221
123 S-F0D027D1 357501******0001 Nunuk Purwati 54 085895200672 CoronaVac 08/03/2021 24000221
124 S-F1AC8D80 357502******0003 MIFTACHUL CHOIRONI 33 082351963993 CoronaVac 08/03/2021 24000221
125 S-F1C58E00 357502******0006 RETNO ANGGRAENI 57 082232130068 CoronaVac 08/03/2021 24000221
126 S-F2EFF6F8 357502******0002 LAILATUL FAJRIYAH 36 081553488277 CoronaVac 08/03/2021 24000221
127 S-F687C973 357503******0002 YOSIDA ROSANTI 52 081357759644 CoronaVac 08/03/2021 24000221
128 S-F9997A0B 357502******0001 HINDUN HIDAYATI 43 081339847884 CoronaVac 08/03/2021 24000221
129 W-D3F46DCC 357502******0002 IRWAN SANTOSO 60 081905265718 CoronaVac 08/03/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 P-6GICAXT8 357501******0001 FATTAH KURNIAWAN 31 085102868996 CoronaVac 09/03/2021 24000221

2 P-6IK26GN3 357301******0007 SITI JUWARIYAH 36 082150390959 CoronaVac 09/03/2021 24000221
3 P-6IWG0WUH 357403******0004 DIDIK PURWANTO 44 085853113638 CoronaVac 09/03/2021 24000221
4 P-6MGENOS2 357501******0001 ELLY AMALIYAH 32 081233113057 CoronaVac 09/03/2021 24000221
5 P-6NLH8NUU 357503******0002 SRI PENI CIPTANINGDIAN 43 081333800428 CoronaVac 09/03/2021 24000221
6 P-6ODCTFXQ 357404******0002 PRADITA PURI MAHARDIKA 23 085232806563 CoronaVac 09/03/2021 24000221
7 P-6TA6M0LI 357502******0002 DWI RACHMAWATI 36 085755113789 CoronaVac 09/03/2021 24000221
8 P-6UC5K22G 357501******0005 NUR AZIZAH RAMADHANI 27 083848940219 CoronaVac 09/03/2021 24000221
9 P-73RGDMUQ 351413******0001 MUHAMAD ALI ANSORI 45 085755464392 CoronaVac 09/03/2021 24000221
10 P-75B1ZOEC 357503******0002 M. AUVA YAFI 30 085607998163 CoronaVac 09/03/2021 24000221
11 P-76ERZ6CI 357501******0001 NURUL HIDAYATI 23 081235963964 CoronaVac 09/03/2021 24000221
12 P-76OUQV6O 357501******0004 ASFIASARI NUR AZIZUN 36 083833472929 CoronaVac 09/03/2021 24000221
13 P-7BSO62CX 357503******0004 AHMAD NADHIF 35 085746900090 CoronaVac 09/03/2021 24000221
14 S-0116DD25 357502******0011 Muhamad Mauludin 47 085100774627 CoronaVac 09/03/2021 24000221
15 S-04DECAA8 357502******0002 JULAICHAH 52 081216908642 CoronaVac 09/03/2021 24000221
16 S-078A579D 357501******0001 IDAH FITRIANI 46 082118597479 CoronaVac 09/03/2021 24000221
17 S-08A8D79D 357502******0002 JUWARIYAH 58 082132663507 CoronaVac 09/03/2021 24000221
18 S-093A7174 357501******0001 IDA NURYANTI 27 085755623163 CoronaVac 09/03/2021 24000221
19 S-0B21D4F1 357501******0003 ROIKHANAH 38 085749643600 CoronaVac 09/03/2021 24000221
20 S-0D49752F 357501******0001 WIDIARSIH 49 082139147909 CoronaVac 09/03/2021 24000221
21 S-0E03B74F 357503******0002 CHUSNUL CHOTIMAH 50 085259027090 CoronaVac 09/03/2021 24000221
22 S-11AB6CD7 351416******0028 Ahmad Syaiful Bachri 33 0895804265655 CoronaVac 09/03/2021 24000221
23 S-12C78382 357501******0013 Nur Indah Ermalidiyah 37 08814567890 CoronaVac 09/03/2021 24000221
24 S-147BAC74 357501******0004 UMI SAKINAH 42 082333123500 CoronaVac 09/03/2021 24000221
25 S-1957B8F6 357501******0002 ABDUL MUIID ALEK SUGIARTO 37 085233114455 CoronaVac 09/03/2021 24000221
26 S-1FDBB5EE 351415******0004 VIVI NUR INDAH SARI 31 0895617818249 CoronaVac 09/03/2021 24000221
27 S-217C67A3 357501******0004 KHUMAIDA IRMANIA 25 082122972887 CoronaVac 09/03/2021 24000221
28 S-22E8D117 357501******0002 lu'lu'ul maknuunah 29 081252992779 CoronaVac 09/03/2021 24000221
29 S-234F732F 357501******0006 ANIS RAHAYU 39 081932781053 CoronaVac 09/03/2021 24000221
30 S-239ABA20 357501******0001 SUMARLIK 69 081357992006 CoronaVac 09/03/2021 24000221
31 S-23F98EE1 357502******0005 Fauziah 40 085232543255 CoronaVac 09/03/2021 24000221
32 S-25D6C557 351413******0001 AKHMAD SYAHRUL MUBAROK 26 081358858418 CoronaVac 09/03/2021 24000221
33 S-27657019 357501******0002 MUSRIFAH 52 082233093785 CoronaVac 09/03/2021 24000221
34 S-278AC2B6 357502******0001 MUJIATI 58 081359559596 CoronaVac 09/03/2021 24000221
35 S-27DA57E5 357501******0005 NANING SOFIYANTI 38 082232081655 CoronaVac 09/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
36 S-298250C4 351423******0005 ABDUL MUJIB ASRORI 36 085334343383 CoronaVac 09/03/2021 24000221

37 S-2A05B5B4 357501******0002 HARUM MUSTIKANINGSIH 35 085746903364 CoronaVac 09/03/2021 24000221
38 S-2E2E7A27 351415******0001 NURUL APRILIANI 32 085731808180 CoronaVac 09/03/2021 24000221
39 S-35A7684E 357501******0008 UMMU SALAMATURROHMAH 39 085231758206 CoronaVac 09/03/2021 24000221
40 S-37461EE8 357501******0001 Devi Ernawati 34 085648705598 CoronaVac 09/03/2021 24000221
41 S-399882D2 357501******0005 YUNIATI 45 082331563710 CoronaVac 09/03/2021 24000221
42 S-3D1CEDD7 357502******0001 KHOIRUL ANAM 28 082232126346 CoronaVac 09/03/2021 24000221
43 S-3DF7437E 357501******0001 SADI 54 085852412782 CoronaVac 09/03/2021 24000221
44 S-46256F0F 351417******0001 SLAMET ISROIL 31 083830578887 CoronaVac 09/03/2021 24000221
45 S-480CC34B 357501******0003 ANIK SUNDARI 42 082338978343 CoronaVac 09/03/2021 24000221
46 S-4816FDFB 357501******0007 LAILATUL FITRIYAH 34 082332981800 CoronaVac 09/03/2021 24000221
47 S-4A1A3DA9 351411******0005 KURSIATI 44 085102668350 CoronaVac 09/03/2021 24000221
48 S-4A1D7545 357501******0001 Nurul Hidayati 44 083122067667 CoronaVac 09/03/2021 24000221
49 S-4D18814E 357501******0003 KHUSNUL KHOTIMAH 51 081334127541 CoronaVac 09/03/2021 24000221
50 S-4F78DCD1 357501******0001 NUR HIDAYATI 38 085103749661 CoronaVac 09/03/2021 24000221
51 S-50C2D2F3 357501******0001 Nur Afidah 46 081216878554 CoronaVac 09/03/2021 24000221
52 S-52DBCEAA 357501******0002 SITI JAMIAH. 48 085648386840 CoronaVac 09/03/2021 24000221
53 S-548AE9F4 357501******0002 SUSIYANTI 43 085257559365 CoronaVac 09/03/2021 24000221
54 S-5490F165 357502******0001 Suroya 26 08815533408 CoronaVac 09/03/2021 24000221
55 S-59BF9214 357501******0004 KHODIJAH 46 085704836211 CoronaVac 09/03/2021 24000221
56 S-5DED6810 357502******0001 SHOLIHATIN 46 081252633372 CoronaVac 09/03/2021 24000221
57 S-697A17EC 357501******0001 Kasnadi 49 081235826092 CoronaVac 09/03/2021 24000221
58 S-6AA4248D 351417******0001 Khambali 34 085850127194 CoronaVac 09/03/2021 24000221
59 S-6AAD5C2D 357501******0001 NUR KHOTIJAH 42 085791581619 CoronaVac 09/03/2021 24000221
60 S-76D2CCDA 351419******0002 AKH SUFYAN 32 083854130642 CoronaVac 09/03/2021 24000221
61 S-783FDC4C 357502******0004 FITRIA DWI YUNIAR 36 081249681808 CoronaVac 09/03/2021 24000221
62 S-7C7639DB 357501******0003 Siti Mariyam 45 085607544102 CoronaVac 09/03/2021 24000221
63 S-87D1E7D6 357501******0003 ANA ZUBAIDAH 45 085101205779 CoronaVac 09/03/2021 24000221
64 S-8807E432 357502******0001 VITA ANGGRAINI 26 081336705554 CoronaVac 09/03/2021 24000221
65 S-8A4599A9 357503******0004 LILIS HARI SUGIARTI 37 082244865730 CoronaVac 09/03/2021 24000221
66 S-8BFABCFA 357503******0002 Djaniati 53 085336982489 CoronaVac 09/03/2021 24000221
67 S-8CC71B2E 357502******0005 DORA IRAWATI 37 082140543027 CoronaVac 09/03/2021 24000221
68 S-8CE35D1D 357501******0003 Mas' uda 22 089666449799 CoronaVac 09/03/2021 24000221
69 S-8DACF600 351423******0001 AKHMAD DAHLAN 41 082245293393 CoronaVac 09/03/2021 24000221
70 S-8F474849 352513******0001 ACHUL KHOIRUN NISA 30 089699898489 CoronaVac 09/03/2021 24000221
71 S-936ECF8C 357502******0003 ERIKA IRIYANTI 39 082141818108 CoronaVac 09/03/2021 24000221
72 S-9402B82A 357501******0001 AKHMAD FAUZI 26 089683822815 CoronaVac 09/03/2021 24000221
73 S-95791A0B 357502******0001 Dupita Sun Aluwih 39 08155205641 CoronaVac 09/03/2021 24000221
74 S-96935978 357502******0005 MOHAMAD ROIS 58 081216897141 CoronaVac 09/03/2021 24000221
75 S-96A4A626 351423******0001 Lidya Nur Auliyani 24 089665200675 CoronaVac 09/03/2021 24000221
76 S-988E63E0 357501******0001 ENY NURVITA 39 085234300033 CoronaVac 09/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
77 S-98932290 357501******0004 NURMAH 37 0885026655984 CoronaVac 09/03/2021 24000221

78 S-9A3460E0 357502******0005 SRI WAHYUNING 59 081329766042 CoronaVac 09/03/2021 24000221
79 S-9ADDAEDF 351417******0001 NININ SUDIHARTINI 56 08563141295 CoronaVac 09/03/2021 24000221
80 S-9D7D922A 351423******0001 SITI FADILAH 52 081259521033 CoronaVac 09/03/2021 24000221
81 S-9E2F3936 357501******0002 Mukhammad Faiz 31 081231172555 CoronaVac 09/03/2021 24000221
82 S-9EE41BA6 357501******0001 DEWI YANTI 46 082231258392 CoronaVac 09/03/2021 24000221
83 S-A6109AB3 351410******0004 Rusikin 40 085733091555 CoronaVac 09/03/2021 24000221
84 S-A69E6D3C 357501******0003 NURIL ISMIYAH 42 081331779888 CoronaVac 09/03/2021 24000221
85 S-AB94FA95 351418******0001 RATNA TIANA RUNITA 49 081217563323 CoronaVac 09/03/2021 24000221
86 S-AC4539FB 357501******0008 IKAWATI LUSIA DEWI 37 081232336959 CoronaVac 09/03/2021 24000221
87 S-AE729CDD 357501******0003 ASMANIA 57 085790453864 CoronaVac 09/03/2021 24000221
88 S-AEA7E47F 357501******0001 RINI SETYOWATI 55 089678427920 CoronaVac 09/03/2021 24000221
89 S-B0938735 357502******0001 CHUDAIBIJAH 50 082233954709 CoronaVac 09/03/2021 24000221
90 S-C670E004 357501******0005 MAFULLA 43 081336178478 CoronaVac 09/03/2021 24000221
91 S-C7892C48 351406******0001 Yuli Ismundiarti Palupi 48 081249187440 CoronaVac 09/03/2021 24000221
92 S-C8D37212 357501******0002 Catur Rahayu Kurniawati 47 081332805027 CoronaVac 09/03/2021 24000221
93 S-CA547079 357502******0002 NANIS TRI ISWARI 53 085649647969 CoronaVac 09/03/2021 24000221
94 S-CCEBF9CC 357501******0002 SOFIA NUR DIANA 39 085334194314 CoronaVac 09/03/2021 24000221
95 S-CE063F24 357501******0003 DINI NURUL HIDAYAH 44 081331332109 CoronaVac 09/03/2021 24000221
96 S-D19883FC 357501******0001 SUCIATI 57 085746904872 CoronaVac 09/03/2021 24000221
97 S-D3284F0B 357502******0002 RIRIN SULISTYOWATI FITRIYAH 37 081939713117 CoronaVac 09/03/2021 24000221
98 S-D6223C4F 357501******0001 EMY MUJIWATI 57 085232677767 CoronaVac 09/03/2021 24000221
99 S-D7DC9A90 351417******0004 SOLICHATUL ILMIA 38 082232305146 CoronaVac 09/03/2021 24000221
100 S-D7F37DD6 357503******0006 Layli Fitria 38 081252688866 CoronaVac 09/03/2021 24000221
101 S-E88588D7 357502******0002 CHOTIP 56 081233083455 CoronaVac 09/03/2021 24000221
102 S-E8CA9D15 357501******0003 AISYATUL BAROH 37 085102843675 CoronaVac 09/03/2021 24000221
103 S-E8EB659E 357503******0006 SITI KHOSIYATILAH 33 085755376953 CoronaVac 09/03/2021 24000221
104 S-EC451A2C 357501******0001 PUJIASIH 39 085103872066 CoronaVac 09/03/2021 24000221
105 S-EE6B2845 357502******0001 NUR LAILA 53 08813365607 CoronaVac 09/03/2021 24000221
106 S-F846A919 357503******0003 Febrianto 33 083136232847 CoronaVac 09/03/2021 24000221
107 S-F9C9A16F 357501******0002 ROMLI 56 081555368555 CoronaVac 09/03/2021 24000221
108 S-FCE89F9A 357503******0003 MOHAMMAD SYAIKHU 40 085233078023 CoronaVac 09/03/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 P-53BAA103 357501******0001 TRI WURYANINGSIH 65 081334447433 CoronaVac 10/03/2021 202011048

2 P-FFFDC219 357501******0003 SRI HARTATIK MULYANI HASTINI 62 082331922232 CoronaVac 10/03/2021 202011048
3 W-CCEE0D32 357502******0003 dr. WITO ASTOERA 61 082233839615 CoronaVac 10/03/2021 202011048
4 P-7OGUZWEB 350920******0002 YULIANING HARIYANTI 36 085784295579 CoronaVac 10/03/2021 24000221
5 P-7QYI6N03 357501******0003 KHRISMA AYU QADARYANTI 35 082335472356 CoronaVac 10/03/2021 24000221
6 P-7RAN113T 357501******0011 SAIFUL 39 082334875677 CoronaVac 10/03/2021 24000221
7 P-7RYCGV5P 357502******0003 MARIYATUL QIBTIYAH 30 082332304474 CoronaVac 10/03/2021 24000221
8 P-7SD4N3XN 357503******0003 AKHMAD MUZAKKI 37 088230264396 CoronaVac 10/03/2021 24000221
9 P-7ST0OCC4 357502******0003 KHURIN AINI 28 081244434822 CoronaVac 10/03/2021 24000221
10 P-7T0QZJE1 357502******0001 SAILAH ILMIYAH 26 085850154775 CoronaVac 10/03/2021 24000221
11 P-7WWZ1YXG 357501******0001 BUDI SANTOSO 48 081231632730 CoronaVac 10/03/2021 24000221
12 P-7ZZMXPNV 357501******0001 ATIK ISMIATI 46 085235138466 CoronaVac 10/03/2021 24000221
13 P-80UXFDHY 357502******0003 KHUSNUL KHOTIMAH 36 085791577358 CoronaVac 10/03/2021 24000221
14 S-0249B210 357502******0001 Muhammad Badrus Salam 32 085856573989 CoronaVac 10/03/2021 24000221
15 S-02B5C10A 357502******0005 Delia Nurul Bahjah 38 081259524279 CoronaVac 10/03/2021 24000221
16 S-0E9DEB62 357501******0003 TA"DIMATUL FATMA 23 085852777975 CoronaVac 10/03/2021 24000221
17 S-120157D5 351417******0003 Juni Kurniawati 29 082233184040 CoronaVac 10/03/2021 24000221
18 S-14C84A57 357503******0001 Arie Iswadi 37 0859188350759 CoronaVac 10/03/2021 24000221
19 S-2950A72E 357502******0003 Rocheya 48 085733464557 CoronaVac 10/03/2021 24000221
20 S-3E38AD0F 357501******0002 Greftika Arumawati 31 081336640289 CoronaVac 10/03/2021 24000221
21 S-444FF2FC 352506******0001 Siti Maulana, S.pdi.mi 29 0895366401481 CoronaVac 10/03/2021 24000221
22 S-51103B65 357502******0004 BURHANU NISWATIL IFFA 40 081235786640 CoronaVac 10/03/2021 24000221
23 S-573C2E0C 351416******0033 Faris Zulkarnain 37 082233507524 CoronaVac 10/03/2021 24000221
24 S-5814BC27 357501******0004 SITI AMINAH 40 082231373050 CoronaVac 10/03/2021 24000221
25 S-5B7930ED 357502******0001 Wenny Agustiningsih 33 085604198488 CoronaVac 10/03/2021 24000221
26 S-679554FA 351416******0005 NURUL BADRIYYAH 30 085101778438 CoronaVac 10/03/2021 24000221
27 S-67CBA3FA 357502******0002 Prihatin Fitriyaningsih 35 081334140664 CoronaVac 10/03/2021 24000221
28 S-775A70EF 357502******0002 Suciana 36 082143482955 CoronaVac 10/03/2021 24000221
29 S-7D259693 357503******0002 IRANA NOVIYANTI 24 087889569103 CoronaVac 10/03/2021 24000221
30 S-84455F6B 357502******0004 Evi Nur Hidayah 43 085259497979 CoronaVac 10/03/2021 24000221
31 S-8AC105FE 357502******0001 CHUSNUL CHOTIMAH 52 089699649475 CoronaVac 10/03/2021 24000221
32 S-8FCD97BC 357503******0008 FATKHUL JANNAH 45 085852480991 CoronaVac 10/03/2021 24000221
33 S-9021E756 357502******0003 Iffa Yuliana 44 082140542253 CoronaVac 10/03/2021 24000221
34 S-920AD96D 357501******0003 Fauziah 42 085238797292 CoronaVac 10/03/2021 24000221
35 S-94CD73EF 357502******0005 Bustanul Arifin 30 082231286464 CoronaVac 10/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
36 S-98D50A71 357503******0001 Masita 37 083833654784 CoronaVac 10/03/2021 24000221

37 S-9A454241 351413******0002 RUKHIYATI 54 085708868951 CoronaVac 10/03/2021 24000221
38 S-A355C9B7 351417******0002 ENDAH RAHMAHWATI 29 083854163580 CoronaVac 10/03/2021 24000221
39 S-A37FA760 350928******0003 LILIK MARDIANA 33 082337163397 CoronaVac 10/03/2021 24000221
40 S-D03E5DA2 351414******0003 ZAHROTUL WARDA 32 0895366153055 CoronaVac 10/03/2021 24000221
41 S-D33FF3F9 357503******0016 Khurotul 'aini 37 085106483469 CoronaVac 10/03/2021 24000221
42 S-E71FAFF5 357502******0002 Slamet Gani Siswono 55 085895199978 CoronaVac 10/03/2021 24000221
43 S-F6302053 351420******0002 MOH NURSALIM 59 082339337765 CoronaVac 10/03/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 Q-021F0F51 351421******0002 DANANG PUJO WALUYO 38 081252337382 CoronaVac 12/03/2021 24000221

2 Q-06582942 357501******0002 LUTFI HADI NUGROHO 36 081233344150 CoronaVac 12/03/2021 24000221
3 Q-0B541D08 351413******0001 DODIK ANDRIYANTO 42 081231502502 CoronaVac 12/03/2021 24000221
4 Q-174ECFBA 357503******0002 HARIS FARIZY 38 082111172777 CoronaVac 12/03/2021 24000221
5 Q-2607F305 351504******0003 MUHAMMAD MUCHLIS 28 087770713471 CoronaVac 12/03/2021 24000221
6 Q-261589E6 357503******0004 SLAMET BUDIONO 46 082234811469 CoronaVac 12/03/2021 24000221
7 Q-372EDC8C 351314******0004 RACHMAD DJUNAEDI 37 081336219825 CoronaVac 12/03/2021 24000221
8 Q-4D72F104 351323******0003 MUCHAMMAD TAUFIK SUYITNO 26 085330147763 CoronaVac 12/03/2021 24000221
9 Q-5CB391CF 357502******0002 SUPRIHATIN, SE 56 081235000265 CoronaVac 12/03/2021 24000221
10 Q-95903F8A 351406******0004 DONO DWI SAsONGKO 38 085234861983 CoronaVac 12/03/2021 24000221
11 Q-A2B1CB9B 357302******0007 ARIEF MOEDJIB SOEBAKTI 43 082234000832 CoronaVac 12/03/2021 24000221
12 Q-B3B8124D 357503******0002 ARI PURWANTO 39 08121668739 CoronaVac 12/03/2021 24000221
13 Q-BC7E1073 357502******0029 WELLY ARI WIDJAYA 44 082232081081 CoronaVac 12/03/2021 24000221
14 Q-C2057B47 357502******0008 ANDRI SUSANTO 44 081233526422 CoronaVac 12/03/2021 24000221
15 Q-CE105629 352421******0002 IWAN SUDARMONO 36 082231744771 CoronaVac 12/03/2021 24000221
16 Q-DC96E243 351516******0004 DHANY ARIESTIAWAN 35 082141778877 CoronaVac 12/03/2021 24000221
17 Q-DCE50440 351609******0008 AGUS PRIYANTO 49 081331831166 CoronaVac 12/03/2021 24000221
18 Q-E3CA7EA6 351605******0001 TAUFIK EKA PRAHUT TOMO 39 082143301789 CoronaVac 12/03/2021 24000221
19 Q-E3D21D77 357503******0002 WAHYU WIDODO 43 081230086060 CoronaVac 12/03/2021 24000221
20 Q-E5C51316 357503******0002 YULI JATMIKO 48 082230016431 CoronaVac 12/03/2021 24000221
21 Q-E9B03A3F 357503******0003 LAILUL UDIN ALZA 39 081235820896 CoronaVac 12/03/2021 24000221
22 Q-ECFF503A 357501******0001 YULI HARI PRABOWO 37 08125161984 CoronaVac 12/03/2021 24000221
23 Q-EF21F5A1 351508******0006 RIO SAGITA EKA WARDHANA 43 081330449665 CoronaVac 12/03/2021 24000221
24 Q-EF41A844 357502******0003 SUDIRMAN 54 082231862999 CoronaVac 12/03/2021 24000221
25 W-02090C1F 357503******0001 NANANG SUGIYONO 51 081330314999 CoronaVac 12/03/2021 24000221
26 W-03F20D6C 351420******0003 FERY SETIO WAHONO 35 082233241549 CoronaVac 12/03/2021 24000221
27 W-057F7083 351420******0006 BAMBANG SUGIANTO 43 085331262323 CoronaVac 12/03/2021 24000221
28 W-0623231F 357502******0004 NUR ACHMAD 44 081330293444 CoronaVac 12/03/2021 24000221
29 W-071CD4AA 351207******0005 ENDRI PRASETYO UTORO 57 081357111231 CoronaVac 12/03/2021 24000221
30 W-07D0FB93 351421******0001 SALIM JULIANTONO 36 08133444811 CoronaVac 12/03/2021 24000221
31 W-08333BDA 351601******0002 FEBRIANA FITRI NURIDIA 25 082131075835 CoronaVac 12/03/2021 24000221
32 W-08E6F7EB 357503******0001 DEDY MAYDIANSYAH 38 085852213451 CoronaVac 12/03/2021 24000221
33 W-0A2B4FF2 351507******0005 MUHAMMAD YACHYA 27 081252578995 CoronaVac 12/03/2021 24000221
34 W-0AC71766 351414******0002 MUHAMMAD BUCHORI ALMUZAMMI 21 082142597594 CoronaVac 12/03/2021 24000221
35 W-0ADB3433 357502******0001 AGUS MUKLISON 58 081230018836 CoronaVac 12/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
36 W-0BF22A5A 350810******0001 KUKUH EKO PRASETYO 41 081336440050 CoronaVac 12/03/2021 24000221

37 W-0DC31DAA 357501******0001 FERDHIAS HERMAWAN 35 081252728602 CoronaVac 12/03/2021 24000221
38 W-0DF2231F 351504******0027 SUKARMAN HENDRA WAHYUDI 47 081553224430 CoronaVac 12/03/2021 24000221
39 W-104D3C7B 357503******0002 WILANG LANGSUNG 57 085259356685 CoronaVac 12/03/2021 24000221
40 W-14D8BF5E 351416******0001 NUKMAN ROZAK 34 081370303682 CoronaVac 12/03/2021 24000221
41 W-14EA7632 351314******0001 KUSWANDI 37 082231734393 CoronaVac 12/03/2021 24000221
42 W-16487922 357501******0002 NURYAHYA HANAFI 40 081333126947 CoronaVac 12/03/2021 24000221
43 W-17E348EB 357503******0002 IDAYU HARIMURTI 33 082233260633 CoronaVac 12/03/2021 24000221
44 W-18437F47 351507******0002 GUMELAR AJI LAKSONO 27 081333222535 CoronaVac 12/03/2021 24000221
45 W-1968587E 351505******0001 ANANG HEERY S 35 082234828687 CoronaVac 12/03/2021 24000221
46 W-1A3E570F 351420******0004 ABDULLAH MALIK 38 081357256060 CoronaVac 12/03/2021 24000221
47 W-1AD2ADF1 351414******0003 SOEKARSONO 57 081259241209 CoronaVac 12/03/2021 24000221
48 W-20F6D970 357502******0001 ALI MASKUR 45 082131463848 CoronaVac 12/03/2021 24000221
49 W-229CC2E1 357103******0001 RIZKI SETIAWAN 24 081337778600 CoronaVac 12/03/2021 24000221
50 W-22F0CA9D 357503******0001 OKTABRIANTO PATTY NURRANI PR 34 081217550330 CoronaVac 12/03/2021 24000221
51 W-24E1F534 351605******0001 MUHAMMAD KURNIA SALIM 22 081230112194 CoronaVac 12/03/2021 24000221
52 W-255AD5C6 351416******0001 MARTONO 57 081238740438 CoronaVac 12/03/2021 24000221
53 W-2561E0CF 351418******0002 EKO AIRUDIN 43 087754440010 CoronaVac 12/03/2021 24000221
54 W-26445545 357503******0001 FIAN PANDU ANDIKA 38 081334334657 CoronaVac 12/03/2021 24000221
55 W-28EB1212 160205******0008 PRIYANTO 41 082254222323 CoronaVac 12/03/2021 24000221
56 W-2C407A49 357503******0006 HASANUDDIN 49 081333961000 CoronaVac 12/03/2021 24000221
57 W-2CDA1868 351405******0001 ADI KURNIAWAN 38 082230041777 CoronaVac 12/03/2021 24000221
58 W-2E03FB38 357503******0002 DINA NOVITAYANTI 41 08123221979 CoronaVac 12/03/2021 24000221
59 W-2E3C6E82 351402******0001 SINGGIH SULARSO 35 082131318466 CoronaVac 12/03/2021 24000221
60 W-2F664FF6 351804******0003 ALIF RAHMADHANI 24 081335984441 CoronaVac 12/03/2021 24000221
61 W-313D0661 357502******0005 EKA AGUNG NUGRAHA 34 081232661987 CoronaVac 12/03/2021 24000221
62 W-3159528B 352304******0003 YANUAR KRISNANDRI 34 081234587009 CoronaVac 12/03/2021 24000221
63 W-3239324B 351408******0001 ISMANU 35 081334844408 CoronaVac 12/03/2021 24000221
64 W-34675B5D 357502******0001 PANJI KURNIAWAN VEBRIANTO 35 081259420080 CoronaVac 12/03/2021 24000221
65 W-351D62DE 357502******0001 YUDI PRASETYO 51 082141914645 CoronaVac 12/03/2021 24000221
66 W-3661F709 351414******0001 MUHAMMAD KHOIRUL ANIS 36 082302032688 CoronaVac 12/03/2021 24000221
67 W-372848A1 630805******0001 ABDUL KHALIM 38 083833902137 CoronaVac 12/03/2021 24000221
68 W-37EA3A80 351408******0001 SAIDI 55 082131084518 CoronaVac 12/03/2021 24000221
69 W-39756A12 352511******0003 SHANDY RESZA WIJAYA 35 082214323457 CoronaVac 12/03/2021 24000221
70 W-3988E9A1 357502******0006 BAGUS YUDHA HARIYANTO 36 081233748555 CoronaVac 12/03/2021 24000221
71 W-3A32C901 350713******0002 AGUNG NOVI YUDNO 35 081233633814 CoronaVac 12/03/2021 24000221
72 W-3B1358F4 352315******0002 MOHAMAD SHOLAHUDIN FAHMI 25 081230265908 CoronaVac 12/03/2021 24000221
73 W-3D1DAF09 357501******0002 BAMBANG JUMARIYONO 48 085234745334 CoronaVac 12/03/2021 24000221
74 W-3D9C66D9 351808******0001 YUDIYONO 54 081330392999 CoronaVac 12/03/2021 24000221
75 W-3DF13F83 351421******0001 DONI ARIE SASONGKO 36 081230334300 CoronaVac 12/03/2021 24000221
76 W-40053D97 351406******0004 NYOMAN SUYATNO 40 081231662642 CoronaVac 12/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
77 W-42B0E959 351504******0004 TATUK SLAMET IRIANTO 52 08121726965 CoronaVac 12/03/2021 24000221

78 W-43A841C6 351417******0002 SUWAJI 50 081334255556 CoronaVac 12/03/2021 24000221
79 W-4662A7BB 357502******0004 SUKRISNO 46 082131087678 CoronaVac 12/03/2021 24000221
80 W-46FFA905 357503******0001 SUHARIYONO 54 081259087234 CoronaVac 12/03/2021 24000221
81 W-4700BC7A 357503******0002 AGUNG WICAKSONO 25 082143089027 CoronaVac 12/03/2021 24000221
82 W-474A9751 357503******0002 SALMAN ALFARISI 33 081326918455 CoronaVac 12/03/2021 24000221
83 W-4FB50579 357502******0004 ACHMAD ATIKULLAH ALQAKIM 36 081334217645 CoronaVac 12/03/2021 24000221
84 W-512AF998 351618******0001 SITI INDAH KUSUMAWANTI 26 081330683168 CoronaVac 12/03/2021 24000221
85 W-57720192 357503******0003 AMIN MASKURI 36 081230008151 CoronaVac 12/03/2021 24000221
86 W-5B15C78E 350724******0004 HANGGA SHENA HERDYATMA 25 082334228180 CoronaVac 12/03/2021 24000221
87 W-5B3D45BB 357503******0002 KISWORO MUJI WIDODO 41 081332806697 CoronaVac 12/03/2021 24000221
88 W-5BEED7AC 351618******0001 ARDIANSYAH SAPUTRO 24 085730099792 CoronaVac 12/03/2021 24000221
89 W-5CFCF2C6 517102******0004 JUMAARI 41 085333111437 CoronaVac 12/03/2021 24000221
90 W-623E392D 357503******0002 DONI HANDOKO 42 081259562379 CoronaVac 12/03/2021 24000221
91 W-66BC67DF 351416******0004 MISRAN 43 082341501585 CoronaVac 12/03/2021 24000221
92 W-67386D11 357503******0004 DEDIK SETIAWAN 38 081334001194 CoronaVac 12/03/2021 24000221
93 W-67AD4DA6 352405******0005 DARMONO 38 085755844456 CoronaVac 12/03/2021 24000221
94 W-684F7B2D 351303******0002 ASEP SOEBIYANTORO 56 085204561456 CoronaVac 12/03/2021 24000221
95 W-686E0E04 357502******0004 ARIF TRIYONO 38 082257801605 CoronaVac 12/03/2021 24000221
96 W-6B13A12F 357503******0003 AKHMAD SANTOSO 45 085331706342 CoronaVac 12/03/2021 24000221
97 W-6E0D9C07 351504******0002 BUDIANTO 35 085790603328 CoronaVac 12/03/2021 24000221
98 W-6FCE96F1 351515******0002 MIFTAH FARIZ ANUGRAH 23 081392143202 CoronaVac 12/03/2021 24000221
99 W-71750B68 351509******0001 MUCHAMMAD NUR ROCHIM 27 082233033944 CoronaVac 12/03/2021 24000221
100 W-72A30520 357502******0001 RIZQA FEBRYAN PRASTYO 34 081133330139 CoronaVac 12/03/2021 24000221
101 W-77CB8FF7 357903******0001 AGUNG DWI WICAKSONO 37 0813326086 CoronaVac 12/03/2021 24000221
102 W-78140957 357501******0001 MOKHAMAD ZULKARNAIN 31 081235050123 CoronaVac 12/03/2021 24000221
103 W-7C65F0B5 351516******0001 ANGGA ALMANTARA 28 081235526096 CoronaVac 12/03/2021 24000221
104 W-7C95C4C5 357503******0001 ARI KUNTO HARTONO 37 081232367264 CoronaVac 12/03/2021 24000221
105 W-7CA74FBD 357502******0001 RUD GUNTHUR SETYAWAN BELLA 33 081359838000 CoronaVac 12/03/2021 24000221
106 W-7F3E4F3D 357502******0001 JEFRI ARDIANSYAH 37 085259380168 CoronaVac 12/03/2021 24000221
107 W-7F74F8E9 351420******0001 MURJIANTO 39 081333159762 CoronaVac 12/03/2021 24000221
108 W-820FE72B 352309******0002 ANDHIKA BAGUS PRIBADI 24 081231649692 CoronaVac 12/03/2021 24000221
109 W-82AC5464 351509******0005 RAYI NANDA DIAN YUDA 24 082232134463 CoronaVac 12/03/2021 24000221
110 W-8440ECAE 357502******0002 SOLEMAN 56 085230077905 CoronaVac 12/03/2021 24000221
111 W-854EC4B8 351412******0004 M. WAHYU DWI FIRMANSYAH 21 081217111731 CoronaVac 12/03/2021 24000221
112 W-87642409 351413******0002 OKTA ARIF RAHMAN 35 082231873169 CoronaVac 12/03/2021 24000221
113 W-88B02618 351608******0001 MUHAMMAD CAHYO PRASETYO 24 081259966780 CoronaVac 12/03/2021 24000221
114 W-8BA9C3FC 357305******0014 WIWIK PURWOWIDODO 37 082331113860 CoronaVac 12/03/2021 24000221
115 W-8C64C04A 357501******0004 AHMAD HASBY 39 082122949596 CoronaVac 12/03/2021 24000221
116 W-8CEE8845 357502******0005 HERI PURWANTO 43 085232629970 CoronaVac 12/03/2021 24000221
117 W-8DD89486 357502******0002 R FIRMAN ANDHIKA 36 085335220584 CoronaVac 12/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
118 W-900BDD33 357502******0002 KETUT WIWOHO PRAKOSA 57 082234413323 CoronaVac 12/03/2021 24000221
119 W-92466EC7 351504******0002 ACHMAD TOHARI 51 085257246161 CoronaVac 12/03/2021 24000221
120 W-93BE30FF 351511******0002 FANDI AHMAD ZEIN 26 082139910886 CoronaVac 12/03/2021 24000221
121 W-942DDFE5 351614******0001 ANANDA AKHMAD FADILLAH 23 085338120795 CoronaVac 12/03/2021 24000221
122 W-94382FD9 350709******0002 ARIS NURSANTO 37 085272547254 CoronaVac 12/03/2021 24000221
123 W-965C9694 357502******0001 YANUAR SIDIK PRASAJA 33 082257927991 CoronaVac 12/03/2021 24000221
124 W-96B1BF05 350724******0001 TIMBUL WAHONO 57 08125266349 CoronaVac 12/03/2021 24000221
125 W-976D3EDA 351505******0004 NOVA PRIHARIYONO 41 085785549825 CoronaVac 12/03/2021 24000221
126 W-9AADAA94 351712******0004 BAGUS AKHDAN AZZUDDIN 25 081235500096 CoronaVac 12/03/2021 24000221
127 W-9B2C1AA2 351412******0004 TUBAGUS HARYO ADI WICAKSONO 21 082234580066 CoronaVac 12/03/2021 24000221
128 W-9FAD2BCB 351518******0005 ISROFI WAHYU KURNIAWAN 23 081554000003 CoronaVac 12/03/2021 24000221
129 W-9FBF7527 350709******0002 AGUS BUDI UTOMO 46 081213274195 CoronaVac 12/03/2021 24000221
130 W-9FEBFDA4 351418******0001 MITARTA 49 088217990448 CoronaVac 12/03/2021 24000221
131 W-A006DE6E 357502******0001 FITRIATU YURIAH 58 085733483822 CoronaVac 12/03/2021 24000221
132 W-A050444C 350703******0005 JOHAN WIDODO 35 081334474060 CoronaVac 12/03/2021 24000221
133 W-A0F1AA31 351418******0001 MUHAMMAD SULHAN ARIF 22 082331828236 CoronaVac 12/03/2021 24000221
134 W-A13E18E1 357503******0001 A HIDAYAT SYAH 46 085330834598 CoronaVac 12/03/2021 24000221
135 W-A387BF5F 357304******0001 ROSLI AMIJAYA 34 081233220227 CoronaVac 12/03/2021 24000221
136 W-A40B25FF 357501******0004 RULLY ANDY IRAWAN 38 081211112210 CoronaVac 12/03/2021 24000221
137 W-A41CA2AA 351418******0003 ROXI DESA ARISZONA 34 082266295758 CoronaVac 12/03/2021 24000221
138 W-A507B774 351415******0001 RUDYANTO 39 081233273880 CoronaVac 12/03/2021 24000221
139 W-A5AFB5BA 357501******0004 PUGUH ADMANAGARA 36 085546777114 CoronaVac 12/03/2021 24000221
140 W-AA0417D7 351716******0001 NOVAN TRIYAN BUDI 24 082266190396 CoronaVac 12/03/2021 24000221
141 W-AB767223 350731******0002 KUKUH PRAKOSA 35 082111431056 CoronaVac 12/03/2021 24000221
142 W-ADC70D1A 351423******0002 ENDRO SUSANTO 38 081216580750 CoronaVac 12/03/2021 24000221
143 W-AE531E84 357501******0002 YUDI KRISTIANTO 35 081235066264 CoronaVac 12/03/2021 24000221
144 W-AE708A60 357502******0001 SUPRIADI 39 082257099432 CoronaVac 12/03/2021 24000221
145 W-B07F3F89 351402******0003 AGUNG PRASTYO WIDODO 24 082232134255 CoronaVac 12/03/2021 24000221
146 W-B6667F81 357502******0006 ARIF HARYAWAN 43 081252469130 CoronaVac 12/03/2021 24000221
147 W-B8EBECE9 351421******0001 BENDOT SUNARIYADI 54 081252677326 CoronaVac 12/03/2021 24000221
148 W-BA736363 351419******0003 M. MUNIR 41 085236663335 CoronaVac 12/03/2021 24000221
149 W-BBB3F70F 357503******0001 RATNA WIYATI 57 082234291521 CoronaVac 12/03/2021 24000221
150 W-BD4F837B 357903******0001 INDRO YULIARSO 36 085234994666 CoronaVac 12/03/2021 24000221
151 W-BFBBD4DA 357302******0005 GEMILANG ILHAM MAHARDIKA 21 081250044394 CoronaVac 12/03/2021 24000221
152 W-C4C70289 357502******0002 MOCH. MUCHAROM 57 081333850777 CoronaVac 12/03/2021 24000221
153 W-C6B5CA9C 352309******0003 SAIFUL MAARIF 25 082234561149 CoronaVac 12/03/2021 24000221
154 W-C95695F5 357501******0002 M. RIZKY EKO ADIPUTRO 35 082234002699 CoronaVac 12/03/2021 24000221
155 W-C982DFDD 357302******0005 EFENDI 41 081331021288 CoronaVac 12/03/2021 24000221
156 W-CA417507 351611******0007 TRI WAHYU PAMUNGKAS 25 081334835230 CoronaVac 12/03/2021 24000221
157 W-CBD1E46D 351518******0003 DEKA PRAKOSO PUTRA ERSA 26 081249371213 CoronaVac 12/03/2021 24000221
158 W-CE6CDE1D 357403******0001 GINANJAR DIMAS H 36 081234580111 CoronaVac 12/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
159 W-CF6EEDB0 357502******0002 RINO WAHYU PATRIASTOKO 33 082234378325 CoronaVac 12/03/2021 24000221
160 W-D35BDB09 357502******0003 NURKHAN 49 081357084275 CoronaVac 12/03/2021 24000221
161 W-D3B50AF2 357502******0001 RANA MURSIDDY LUKMANTARA 33 081233520272 CoronaVac 12/03/2021 24000221
162 W-D457CB99 351504******0001 MOCH. MAKRUP 26 082190911995 CoronaVac 12/03/2021 24000221
163 W-D5FB2C4B 357502******0003 LILIA YUNDANI 45 081330541603 CoronaVac 12/03/2021 24000221
164 W-DA199F20 357501******0003 MUTOYO 57 082232367964 CoronaVac 12/03/2021 24000221
165 W-DE11C25F 351412******0001 APRILIA DWI KUSUMAWATI 35 08121736866 CoronaVac 12/03/2021 24000221
166 W-E0DAF6C5 350404******0004 GATUT PRATIKNO 37 08113688686 CoronaVac 12/03/2021 24000221
167 W-E298E41B 351417******0001 PURWANTO 35 082244736648 CoronaVac 12/03/2021 24000221
168 W-E497043C 357501******0001 MAWAN BUDI PRABOWO 39 082337670770 CoronaVac 12/03/2021 24000221
169 W-E5406328 357503******0002 SITI NURHAJATI 50 081334723434 CoronaVac 12/03/2021 24000221
170 W-E615D1A3 357502******0003 EKO EDI SUSILO 53 085234296901 CoronaVac 12/03/2021 24000221
171 W-EABCB20E 357501******0002 DEDY KURNIAWAN 22 081331322110 CoronaVac 12/03/2021 24000221
172 W-EBF824A1 357502******0005 SATRIA ADI WICAKSONO 24 081330524007 CoronaVac 12/03/2021 24000221
173 W-EE4CC2BE 350719******0003 TRIAS CAISAR SAPUTRA 22 089602726063 CoronaVac 12/03/2021 24000221
174 W-F163C8D4 351418******0005 BUDI TRIONO 36 085785553666 CoronaVac 12/03/2021 24000221
175 W-F1DB745D 351505******0005 MUHAMMAD IMAM AROBI 26 082245021537 CoronaVac 12/03/2021 24000221
176 W-F275BFDF 351516******0003 TRI SETIYA YULIYANTO 29 082233884004 CoronaVac 12/03/2021 24000221
177 W-F44ECDE3 357502******0001 DYMAS RICKY HARIANTO 32 08123666677 CoronaVac 12/03/2021 24000221
178 W-F59F3488 351423******0001 LISMA ENDRA SETYO BUDI 33 081334202092 CoronaVac 12/03/2021 24000221
179 W-F7B74AC2 357827******0002 ALI MUSTOFA 25 087853509883 CoronaVac 12/03/2021 24000221
180 W-F926B517 357502******0005 CATUR AGUNG SUSIANTO 38 087715669237 CoronaVac 12/03/2021 24000221
181 W-FCC1A5B0 351420******0001 SUTIKNO 58 081334529166 CoronaVac 12/03/2021 24000221
182 W-FF6E46C1 352808******0001 FATKHUL ANWAR, SH 45 081331275554 CoronaVac 12/03/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 Q-068DAA4D 351417******0002 ACHMAD YANI 28 082142021428 CoronaVac 15/03/2021 24000221

2 Q-06CD33DB 352504******0001 IQBAL MAULANA AKBAR 24 085733392792 CoronaVac 15/03/2021 24000221
3 Q-07405C0D 352901******0006 BRINA BRILYANTIKA 34 0895337906741 CoronaVac 15/03/2021 24000221
4 Q-074FCEF6 357501******0002 ZAINUL ARIFIN 54 0858804073373 CoronaVac 15/03/2021 24000221
5 Q-0756370A 357502******0001 MUKH.MAKHMUD 33 081249031271 CoronaVac 15/03/2021 24000221
6 Q-0788E46C 357502******0004 PURYANTO 45 082338005425 CoronaVac 15/03/2021 24000221
7 Q-07ED4F90 357502******0002 SUTRISNO 42 082329751535 CoronaVac 15/03/2021 24000221
8 Q-07F208B2 357502******0001 MOCH. YAYIT ALBUSTOMI 30 08132594748 CoronaVac 15/03/2021 24000221
9 Q-0872CC9E 357502******0003 KARTIKA SHINTA DEWI 35 081220007854 CoronaVac 15/03/2021 24000221
10 Q-087CDE6C 357502******0003 SETYA BIMANTARA 27 0895401583679 CoronaVac 15/03/2021 24000221
11 Q-088A23A7 357502******0003 ELISA NUR HIDAYAH 23 087873101033 CoronaVac 15/03/2021 24000221
12 Q-089D0EC4 357502******0003 MALA NUR ALIMA 27 081217564486 CoronaVac 15/03/2021 24000221
13 Q-09088026 357503******0078 NASIKHUL 41 082229373580 CoronaVac 15/03/2021 24000221
14 Q-09193972 357503******0002 FAISOL 29 085733093066 CoronaVac 15/03/2021 24000221
15 Q-09BCEF49 357301******0002 MUHAMMAD FAJRI MUBARAK 28 085646652568 CoronaVac 15/03/2021 24000221
16 Q-0A0C6E2B 357503******0001 Amat Amir 38 082232367745 CoronaVac 15/03/2021 24000221
17 Q-0A1B8561 357806******0002 FIKRI FADHLURROHMAN BHIFANI 22 081333109675 CoronaVac 15/03/2021 24000221
18 Q-0A429B69 357503******0003 IRVAN HUTOMO PUTERA 29 085236070678 CoronaVac 15/03/2021 24000221
19 Q-0B84AFE8 357503******0001 SUBKHAN 53 085103876607 CoronaVac 15/03/2021 24000221
20 Q-181335DF 357503******0001 SAIFURRIZAL 34 085258716777 CoronaVac 15/03/2021 24000221
21 Q-1B12CEED 351416******0004 EVI SUWANDI 42 081233303362 CoronaVac 15/03/2021 24000221
22 Q-40ABB89C 357502******0002 TONY SANTOSO 52 081331949224 CoronaVac 15/03/2021 24000221
23 Q-4C020B10 351416******0004 HASANUDIN 40 082140536820 CoronaVac 15/03/2021 24000221
24 Q-4C99A1D6 357502******0004 ALAN NUARI 30 082232649882 CoronaVac 15/03/2021 24000221
25 Q-6173D6BC 357502******0011 AGUS HARIONO 48 085233296595 CoronaVac 15/03/2021 24000221
26 Q-7E102AD4 351407******0003 SARIFUL ANAM 41 085101749450 CoronaVac 15/03/2021 24000221
27 Q-86E55054 332407******0001 FEBRIANA DYAH UTARI 26 081230000619 CoronaVac 15/03/2021 24000221
28 Q-87DC389A 357501******0002 ALYASA AKBAR 36 082139572522 CoronaVac 15/03/2021 24000221
29 Q-9048331B 357503******0006 HOCKY UDIK PRASETYO PUTRO 36 081232570599 CoronaVac 15/03/2021 24000221
30 Q-91259FA3 357502******0007 SITI AISAH 38 081259021620 CoronaVac 15/03/2021 24000221
31 Q-9DE6AC24 357503******0003 MUHAMMAD YAZID 51 081252741652 CoronaVac 15/03/2021 24000221
32 Q-D25804E2 357502******0004 AGUS WIDODO 42 085258711407 CoronaVac 15/03/2021 24000221
33 W-023E001B 357503******0001 EDY ANA SETYOWIDODO 57 081334295064 CoronaVac 15/03/2021 24000221
34 W-03F2006A 357503******0004 SRI KARTIKAWATI 48 081358672354 CoronaVac 15/03/2021 24000221
35 W-054368CF 351416******0004 KOKOH ARIE HIDAYAT 45 08123327016 CoronaVac 15/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
36 W-096F9ECE 357502******0001 WINTOLO 46 081333742312 CoronaVac 15/03/2021 24000221

37 W-0A04682A 357502******0003 GUSTAP PURWOKO 54 082245924841 CoronaVac 15/03/2021 24000221
38 W-0D20C425 357503******0001 MOKHAMAD FAQIH 55 081249123178 CoronaVac 15/03/2021 24000221
39 W-14701B64 351416******0001 MANGUDI 54 081998954590 CoronaVac 15/03/2021 24000221
40 W-16BA92E1 357502******0001 MUKHAMMAD ALFIAN AFANDI 36 081333221233 CoronaVac 15/03/2021 24000221
41 W-1E489E7C 357501******0002 IIL ROSIAWATI 42 08123422838 CoronaVac 15/03/2021 24000221
42 W-1EB78897 357502******0003 WILDANI YUSRON 37 082334003556 CoronaVac 15/03/2021 24000221
43 W-24F74F56 357503******0002 APRIAN EKA SARI 35 081231512020 CoronaVac 15/03/2021 24000221
44 W-2546D3D7 357502******0001 DYAH ERMITASARI 49 081333003572 CoronaVac 15/03/2021 24000221
45 W-2AA92900 351417******0003 MUSLIKHAN 38 085100732366 CoronaVac 15/03/2021 24000221
46 W-2E974C31 357502******0004 DWI AGUS SULISTYORINI 40 081217154155 CoronaVac 15/03/2021 24000221
47 W-35DF0BDF 357502******0002 SUGENG HARIYANTO 43 081331068278 CoronaVac 15/03/2021 24000221
48 W-3F312F0F 351414******0002 LULUK ISNAWATI 44 082142905548 CoronaVac 15/03/2021 24000221
49 W-46C83B95 357502******0001 DIAH KRISNAWATI 35 081233465798 CoronaVac 15/03/2021 24000221
50 W-48AADD06 357503******0001 ACHMAD SUDARTO 57 081357551964 CoronaVac 15/03/2021 24000221
51 W-4C57689F 357502******0005 FIRMAN HADI PRASETYA 37 082336044072 CoronaVac 15/03/2021 24000221
52 W-5218ECF7 357503******0001 NJOMAN SWASTI 42 081330631165 CoronaVac 15/03/2021 24000221
53 W-56FF5CE1 351420******0002 MUHAMMAD IKSAN 35 083833097971 CoronaVac 15/03/2021 24000221
54 W-5C13B3DC 357503******0003 AGUS ISMONO 46 082229004406 CoronaVac 15/03/2021 24000221
55 W-5FD719A6 351411******0001 TITA NIRMALA MANAN 41 085234100188 CoronaVac 15/03/2021 24000221
56 W-6163965A 357503******0002 ERMI IKAWANTI 41 081231404018 CoronaVac 15/03/2021 24000221
57 W-67301A2A 357502******0003 YENNY ROSDIANAWATI 41 082140164947 CoronaVac 15/03/2021 24000221
58 W-717FA3DF 357301******0005 ANDRYANI WIDYASTUTI 38 081234499376 CoronaVac 15/03/2021 24000221
59 W-78D34795 351418******0001 IMAM SUBEKTI 48 08125295966 CoronaVac 15/03/2021 24000221
60 W-7A0773EC 357403******0001 KASBAN 40 085257779809 CoronaVac 15/03/2021 24000221
61 W-7A38AFD5 357503******0001 YUYUT HERNAWAN 50 082244169271 CoronaVac 15/03/2021 24000221
62 W-7AB530E1 351413******0004 LUQMAN KHAKIM 44 082338406578 CoronaVac 15/03/2021 24000221
63 W-7FD52D67 357502******0004 MEIRINA GINA ADRIANA 39 082225472136 CoronaVac 15/03/2021 24000221
64 W-8395FDA0 357503******0001 LILIK ASMAWATI 44 081330009051 CoronaVac 15/03/2021 24000221
65 W-874AF0D3 357826******0001 ADITYO NUGRAHA 40 081331655115 CoronaVac 15/03/2021 24000221
66 W-87BECD59 351420******0002 SLAMET SUPRIYONO 48 081217573922 CoronaVac 15/03/2021 24000221
67 W-88DB83EE 351813******0001 BRAMANTO PAMBUDI SAMPURNO 35 081233242286 CoronaVac 15/03/2021 24000221
68 W-8D6D9540 357503******0002 ABDUL KODIR 46 085236725190 CoronaVac 15/03/2021 24000221
69 W-913FDE6F 357503******0003 GUNA WAHYUNINGSIH 46 08123561573 CoronaVac 15/03/2021 24000221
70 W-96AAEAE9 357503******0002 SITI ZUNIATI 58 082230083936 CoronaVac 15/03/2021 24000221
71 W-9A85251A 351510******0004 DIDIK SUHARIONO 53 081331183666 CoronaVac 15/03/2021 24000221
72 W-A1F12076 357503******0002 MOKHAMAD YUSUF 38 085234224116 CoronaVac 15/03/2021 24000221
73 W-A9D7DC67 357503******0001 SIYANTO 58 085105788215 CoronaVac 15/03/2021 24000221
74 W-AA2C96CE 357301******0006 AMAT SOLEH 40 082231856084 CoronaVac 15/03/2021 24000221
75 W-AD625141 357503******0001 SUGIYANTO 54 0811365105 CoronaVac 15/03/2021 24000221
76 W-AE291A01 357503******0003 YUDIE ANDI PRASETYA 53 081334741302 CoronaVac 15/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
77 W-B45D02CE 351406******0004 DADANG HARIADI 45 081233942682 CoronaVac 15/03/2021 24000221

78 W-B6C72A4A 357502******0006 FITRI HAYATI 39 081227023705 CoronaVac 15/03/2021 24000221
79 W-C2A87277 357304******0003 ROSEPTA DINI FEBRIANI 39 081252112020 CoronaVac 15/03/2021 24000221
80 W-CA8C982C 357501******0001 EKO SUYANTO 49 081230616048 CoronaVac 15/03/2021 24000221
81 W-CC1A0AAD 357502******0001 MUHAMAD SUKOCO 48 087743276651 CoronaVac 15/03/2021 24000221
82 W-CD597672 357502******0004 FITAYATUL MUIZAH 41 081331995390 CoronaVac 15/03/2021 24000221
83 W-CD857365 357503******0001 SULISTIYAWATI 49 081359412134 CoronaVac 15/03/2021 24000221
84 W-D7292D31 357502******0004 NUR FADIAH 45 085645949393 CoronaVac 15/03/2021 24000221
85 W-DDAC99DE 351413******0008 FURY RETNO HANDAYANI 46 08123453887 CoronaVac 15/03/2021 24000221
86 W-DF321445 357503******0001 SAHARI PUTRO 54 081232849122 CoronaVac 15/03/2021 24000221
87 W-DF9D9808 357502******0001 RIA FITRIANA 41 085259233878 CoronaVac 15/03/2021 24000221
88 W-E138395E 351811******0005 NURAINI 41 081333552580 CoronaVac 15/03/2021 24000221
89 W-E4A46626 357201******0004 YULIANI RUKMIASIH 33 085649917846 CoronaVac 15/03/2021 24000221
90 W-F2A029AA 357501******0001 YUDHI HARNENDRO 53 081233604400 CoronaVac 15/03/2021 24000221
91 W-FD1799A1 147111******0001 MUHAMMAD IRFAN 27 081310570047 CoronaVac 15/03/2021 24000221
92 Z-07B13DF1 357501******0001 ABDUL MAJID JUPRI 49 081233425242 CoronaVac 15/03/2021 24000221
93 Z-151CDC2C 357503******0002 M. SUUD 48 085232785045 CoronaVac 15/03/2021 24000221
94 Z-61B710E4 357503******0001 BANGKIT WANIPIKIR HADI 33 085746187290 CoronaVac 15/03/2021 24000221
95 Z-AE0D877F 357503******0002 DWI PRASTIWI TINGGAL LESTARI 56 087754542800 CoronaVac 15/03/2021 24000221
96 Z-C0EB5D2B 351717******0002 PATRIOT MUSLIM BALADITROS 37 081233700484 CoronaVac 15/03/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 Q-1943C99F 351608******0004 MOCH. CHOIRUL ANWAR 41 081232948533 CoronaVac 16/03/2021 24000221

2 Q-41885A36 357501******0001 ABDUL KARIM 28 082137800311 CoronaVac 16/03/2021 24000221
3 Q-49A9F5E9 351423******0001 MOHAMMAD FIRMAN 26 083820024620 CoronaVac 16/03/2021 24000221
4 Q-544E9589 350724******0002 ANNUR FURQIN USTIA 32 081233953628 CoronaVac 16/03/2021 24000221
5 Q-54CB6F8E 351418******0002 Syahrul Alfani 20 081217791424 CoronaVac 16/03/2021 24000221
6 Q-550AD9CB 351423******0003 MOHAMMAD MUKHTAR 36 085746781722 CoronaVac 16/03/2021 24000221
7 Q-55136664 351508******0003 FAISAL ARBIYANTO 33 085852000612 CoronaVac 16/03/2021 24000221
8 Q-55947B7B 357501******0002 SITI RAHAYU 57 085656649706 CoronaVac 16/03/2021 24000221
9 Q-559CDC1C 357501******0004 NUR ROHMAD 39 081334427450 CoronaVac 16/03/2021 24000221
10 Q-55A6F94B 357501******0003 SYAIFUL KHAQ 46 085154534218 CoronaVac 16/03/2021 24000221
11 Q-55AE005D 357501******0001 FAISOL AMIR 27 081228744871 CoronaVac 16/03/2021 24000221
12 Q-561A533D 357501******0007 MARDEYAH 39 083848378249 CoronaVac 16/03/2021 24000221
13 Q-57C3B459 357501******0001 ROBIATUL ADAWIYAH 44 081917352388 CoronaVac 16/03/2021 24000221
14 Q-5822018B 357501******0002 RISMA RESTY AGUSTIN 31 082234039535 CoronaVac 16/03/2021 24000221
15 Q-5824C996 357501******0003 WISNU GUNAWAN 50 0895396072272 CoronaVac 16/03/2021 24000221
16 Q-5899E7CD 357502******0001 NIKMATUL FATIMAH 25 082231900131 CoronaVac 16/03/2021 24000221
17 Q-58B402B2 357502******0004 RITA ROSITA WATININGSIH 28 081331359992 CoronaVac 16/03/2021 24000221
18 Q-58B6A5AB 357501******0005 WIWIK ARIYANI 36 085606175985 CoronaVac 16/03/2021 24000221
19 Q-592B004B 357502******0002 MUNAWAROH 40 082244102680 CoronaVac 16/03/2021 24000221
20 Q-593ABCCC 357502******0001 DEWI MUKTIMAH 48 081556999739 CoronaVac 16/03/2021 24000221
21 Q-59475FF8 357503******0001 SYAHRUL ROMADHON 24 081615739042 CoronaVac 16/03/2021 24000221
22 Q-59C4332E 357503******0001 DENNY SEPTYANTO 30 085648226009 CoronaVac 16/03/2021 24000221
23 Q-59D646CC 357503******0003 CHOIRUL BASjAR 47 081334741287 CoronaVac 16/03/2021 24000221
24 Q-5A358521 357503******0001 ACHMAD GUSYAIRI 22 089699313888 CoronaVac 16/03/2021 24000221
25 Q-5A63ABCC 357503******0001 BAYU ADI NUGROHO 31 081336535775 CoronaVac 16/03/2021 24000221
26 Q-5B0EDE09 357503******0004 NENTA BREVI WINDU MUKTI 34 081358114545 CoronaVac 16/03/2021 24000221
27 Q-5B26C4AB 357503******0002 WARDA AVIS SUNANI 25 08983916521 CoronaVac 16/03/2021 24000221
28 Q-5DFF21C9 357503******0001 KHUSNUL KHOTIMAH 41 085230473380 CoronaVac 16/03/2021 24000221
29 Q-71B11AC9 357503******0002 FARIZ MUHAMMAD BAIHAGI 24 081906845516 CoronaVac 16/03/2021 24000221
30 Q-790C0842 351414******0005 Degi Muhammad 23 085232721979 CoronaVac 16/03/2021 24000221
31 Q-973EFB0F 357502******0001 INDAH PUTRI FATMASARI 27 082333145657 CoronaVac 16/03/2021 24000221
32 Q-98807858 357501******0002 SRI RACHMAWATI 32 085748005917 CoronaVac 16/03/2021 24000221
33 Q-9CA1E8AB 351418******0002 MOH.NURUDDIN 46 081249732578 CoronaVac 16/03/2021 24000221
34 Q-9DE4357F 351605******0001 VIRRA YULINDA 23 081334858458 CoronaVac 16/03/2021 24000221
35 Q-A2F0E008 357501******0004 NABILA MAULITA ISKAHAR 21 081330017005 CoronaVac 16/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
36 Q-A582A0A7 351413******0004 PUTRI SILVIA FITRIANA WARDOYO 34 081232592038 CoronaVac 16/03/2021 24000221
37 Q-C2AF2078 351419******0001 ITA WIJI LESTARI 34 081331764876 CoronaVac 16/03/2021 24000221
38 Q-CE92A456 357503******0003 IMAM MAHDI 34 081331052010 CoronaVac 16/03/2021 24000221
39 Q-F1B4DD5E 350702******0001 KAMAL FATURROHMAN 26 085606520978 CoronaVac 16/03/2021 24000221
40 Q-F8E00362 357502******0004 PURWOKO ADICAHYONO 49 081252234231 CoronaVac 16/03/2021 24000221
41 W-0204C220 357502******0006 ABDUL ROKHIM 45 081310811951 CoronaVac 16/03/2021 24000221
42 W-05C3A153 352105******0006 RITA PUSPITASARI 22 085790318673 CoronaVac 16/03/2021 24000221
43 W-11AA49FE 357501******0001 ARIEF SUBECHAN 49 085203079129 CoronaVac 16/03/2021 24000221
44 W-12500B5C 357503******0001 MUHAMMAD ARIF WICAKSONO 54 082232369910 CoronaVac 16/03/2021 24000221
45 W-12772EC7 357503******0003 MUJI ANGGRINI SUMINAR 42 081335262332 CoronaVac 16/03/2021 24000221
46 W-1D850E33 357502******0003 LIANAH 56 081336332900 CoronaVac 16/03/2021 24000221
47 W-1E436FB3 357301******0001 ANY WULANDARI 39 081235022735 CoronaVac 16/03/2021 24000221
48 W-1F39A3F8 357503******0002 NURUL IKSAN 52 081233885251 CoronaVac 16/03/2021 24000221
49 W-1FB2D918 357502******0004 ELY HARIYANTO 52 08819548108 CoronaVac 16/03/2021 24000221
50 W-223133C2 357503******0002 PRENAN ARGADJATOE WIDIANA 44 081334415841 CoronaVac 16/03/2021 24000221
51 W-297D0EAD 351417******0001 YUDY PRASETYO 40 081216899540 CoronaVac 16/03/2021 24000221
52 W-2E969AEF 357503******0006 ZAENAL ARIFIN 47 081917776935 CoronaVac 16/03/2021 24000221
53 W-3161A73B 357303******0005 CHARNIA REINANTI DEWANTARI 28 082234986266 CoronaVac 16/03/2021 24000221
54 W-36FDBEDE 357503******0001 SAROFAH 58 082232369910 CoronaVac 16/03/2021 24000221
55 W-3D5A8B8F 357503******0001 HERU TRIA LENGGONO 48 081334873845 CoronaVac 16/03/2021 24000221
56 W-3E574ADE 351507******0004 NUR FAUZIAH 25 083849475602 CoronaVac 16/03/2021 24000221
57 W-4321DF5D 357501******0002 MOCHAMAD NIÀM 49 081233327890 CoronaVac 16/03/2021 24000221
58 W-4A54BDA8 357502******0001 Dewi Kusmayanti 26 085739183696 CoronaVac 16/03/2021 24000221
59 W-505A5A6E 351712******0002 AFIFUDIN AMIRULLOH 32 085655204912 CoronaVac 16/03/2021 24000221
60 W-50CCB567 357305******0005 NUR SAPTO RETNANINGTYAS 57 081137708889 CoronaVac 16/03/2021 24000221
61 W-522C815B 357503******0002 ARIES YULIANTO 41 085234163818 CoronaVac 16/03/2021 24000221
62 W-57D12B2D 351807******0004 RUDY KURNIAWAN 38 085804156563 CoronaVac 16/03/2021 24000221
63 W-5B9BA367 351413******0003 RINDA MEYLIA WIDYASARI 28 082233743484 CoronaVac 16/03/2021 24000221
64 W-5F1F5598 351416******0005 MUKHAMMAD MUZAKI 39 085101848415 CoronaVac 16/03/2021 24000221
65 W-63485121 357501******0001 LILIK CHAIDAROH 50 081233223946 CoronaVac 16/03/2021 24000221
66 W-6A526C9D 352403******0002 SHOBAH FAUZUL ULA KHOIRIYAH 23 085794642842 CoronaVac 16/03/2021 24000221
67 W-6A99F9C6 357403******0001 SYAFUARI 53 081334842333 CoronaVac 16/03/2021 24000221
68 W-71C208EE 350723******0001 MOHAMMAD AGUS FADJAR 42 08123318034 CoronaVac 16/03/2021 24000221
69 W-74FD7785 357501******0002 MARIA ULFAH 40 082337598043 CoronaVac 16/03/2021 24000221
70 W-80D996C6 357503******0003 ARI IMANUDDIN 40 081227090462 CoronaVac 16/03/2021 24000221
71 W-8250FE63 357503******0001 ANDIK PURWANTO 52 081230563891 CoronaVac 16/03/2021 24000221
72 W-88ACBF98 357502******0001 LAILY ABIDAH PRATIWI 35 081231383261 CoronaVac 16/03/2021 24000221
73 W-8EC017C4 357501******0001 AGUS SANTOSO 36 082142393364 CoronaVac 16/03/2021 24000221
74 W-92008101 357502******0003 ZULFIKRY ARIF 40 081357001480 CoronaVac 16/03/2021 24000221
75 W-92E5C9A1 357503******0004 NIKMAH HAYATI 46 085234219770 CoronaVac 16/03/2021 24000221
76 W-946BFE87 351610******0001 EDY MAHMUD 53 081334687060 CoronaVac 16/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
77 W-963214E8 357503******0003 RETNO UYUN RUDATIN 54 081233555444 CoronaVac 16/03/2021 24000221

78 W-96E79313 357502******0002 SAMSUL RIZAL 47 087789758809 CoronaVac 16/03/2021 24000221
79 W-9A699CC3 357501******0003 RAHMAT HIDAYAT 28 085755457577 CoronaVac 16/03/2021 24000221
80 W-9D313806 357502******0003 ARIA PRAKASA 34 081233130787 CoronaVac 16/03/2021 24000221
81 W-A6FB627E 330905******9003 ANITA MARTA HAPSARI 36 085647495323 CoronaVac 16/03/2021 24000221
82 W-AA9AAD07 357816******0001 MOHAMAD FARID 36 081232190790 CoronaVac 16/03/2021 24000221
83 W-ACE12FE3 351416******0004 WAWAN INDRA CAHYONO 41 085156945869 CoronaVac 16/03/2021 24000221
84 W-AF26E8C2 357503******0004 HADI PRASETYO 40 0817532619 CoronaVac 16/03/2021 24000221
85 W-BF8C32BE 351418******0001 M. JAKPAR 38 081239860977 CoronaVac 16/03/2021 24000221
86 W-C20E98E6 357502******0003 TITRIT SATRIJA NIMPUNA 51 08123306155 CoronaVac 16/03/2021 24000221
87 W-C22ADD54 357502******0001 WIDYA RUSVITASARI 41 081357541498 CoronaVac 16/03/2021 24000221
88 W-C24AFD99 357502******0004 HARIYONO 50 081233669192 CoronaVac 16/03/2021 24000221
89 W-C2716DA5 357501******0004 ZAINUL AKHWAN 52 08123123658 CoronaVac 16/03/2021 24000221
90 W-CE4A8929 357401******0004 SUDARTO 42 085233028092 CoronaVac 16/03/2021 24000221
91 W-D7FC1C3E 350725******0001 ARFAT KUSAERI 56 081333096650 CoronaVac 16/03/2021 24000221
92 W-DCDDABF4 357503******0001 MOCHAMAD AMIEN 52 085853667906 CoronaVac 16/03/2021 24000221
93 W-E4E8962D 357503******0003 AMINUDINI 49 085101236446 CoronaVac 16/03/2021 24000221
94 W-EDB76452 357503******0002 ACHMAD YAZID HILMI 41 081330107756 CoronaVac 16/03/2021 24000221
95 W-F43DF6F8 357503******0001 CHOIRUL ANAM 58 081216731128 CoronaVac 16/03/2021 24000221
96 W-F7BD9BEA 357501******0001 ERNY SETIYONINGRUM 38 085815651279 CoronaVac 16/03/2021 24000221
97 W-F922B815 351407******0001 NURIL MACHMUDI 38 082131799499 CoronaVac 16/03/2021 24000221
98 W-FCC3C764 357501******0001 SAMSUL ARIFIN 38 081252587361 CoronaVac 16/03/2021 24000221
99 W-FEF90A59 357503******0005 FAUJI 49 085815571928 CoronaVac 16/03/2021 24000221
100 Z-07E23AA3 350722******0002 ILHAM AKBAR WICAKSONO 25 083834553995 CoronaVac 16/03/2021 24000221
101 Z-09FE20CD 352422******0002 YOGA ARDIWIRATAMA 27 081336559931 CoronaVac 16/03/2021 24000221
102 Z-25115740 357501******0003 SITI AISYAH 41 082245462897 CoronaVac 16/03/2021 24000221
103 Z-45E4C15F 357501******0001 SITI ROFIAH 39 089675559808 CoronaVac 16/03/2021 24000221
104 Z-49ED4FCF 357502******0001 CHUSNUL CHOTIMAH 30 082317180933 CoronaVac 16/03/2021 24000221
105 Z-9528DA6B 357502******0002 TRI MAYANG SARI 24 085852478226 CoronaVac 16/03/2021 24000221
106 Z-B3EB8ABA 357503******0002 Dinda Kusuma Oktaviriantika 22 085790492698 CoronaVac 16/03/2021 24000221
107 Z-B3F53AA8 357502******0003 Maghfiroh 29 081230854174 CoronaVac 16/03/2021 24000221
108 Z-D46FBB42 351407******0001 KUROTUL KARIMAH 25 081615212540 CoronaVac 16/03/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 Q-23D8BF0E 357503******0001 ALI MUKSIN 34 082132512600 CoronaVac 17/03/2021 24000221

2 Q-248E7A18 357501******0001 SAJIDAH A'IZZUN 21 082325700746 CoronaVac 17/03/2021 24000221
3 Q-34511A11 357501******0001 RINI MUJIWATI 59 081233933511 CoronaVac 17/03/2021 24000221
4 Q-4A0D7ED7 357502******0001 AGUS HARTANTYO 35 081353653399 CoronaVac 17/03/2021 24000221
5 Q-4F909751 357503******0005 SITI MASFUFAH 32 083834258339 CoronaVac 17/03/2021 24000221
6 Q-53D13F7B 357501******0001 TITIN HIDAYATI 43 085797610502 CoronaVac 17/03/2021 24000221
7 Q-54DE0A33 357501******0004 EKO DWI ASMARAATI 58 082336266662 CoronaVac 17/03/2021 24000221
8 Q-582BA643 357502******0010 MUH. MUSLIH 39 081216476674 CoronaVac 17/03/2021 24000221
9 Q-5B5E25F3 357503******0001 JONI SUPRATMAN 56 082234953582 CoronaVac 17/03/2021 24000221
10 Q-622924F9 357502******0005 DWI ARIYONO BAYU SAKTI 41 081555963699 CoronaVac 17/03/2021 24000221
11 Q-6FF707AF 357501******0001 MUHAMMAD KHUMAIDI 38 087846261563 CoronaVac 17/03/2021 24000221
12 Q-8253C2FC 357501******0003 ALFIANI 33 082232245888 CoronaVac 17/03/2021 24000221
13 Q-82ECBA98 357503******0002 ILMIYAH 26 085943433389 CoronaVac 17/03/2021 24000221
14 Q-84514EF7 357501******0002 NUR INDAH RACHMAWATI 26 081333431016 CoronaVac 17/03/2021 24000221
15 Q-8C42C8A3 357502******0001 CONDRO JATI CAHYONUGROHO 21 081555323476 CoronaVac 17/03/2021 24000221
16 Q-AECFF666 357503******0003 UMAR FARUK 44 081234328327 CoronaVac 17/03/2021 24000221
17 Q-AF66211A 331406******0004 SESARIA HADIANI 34 081329570003 CoronaVac 17/03/2021 24000221
18 Q-BCFDD2DC 357501******0002 AMIN CHILMIDHIN 36 085733701664 CoronaVac 17/03/2021 24000221
19 Q-CBCA41BE 351405******0002 Firdaus Aunurochim 26 081216846343 CoronaVac 17/03/2021 24000221
20 Q-EAAB7FDA 352215******0006 LEFY ULINNUHA 43 085203026365 CoronaVac 17/03/2021 24000221
21 W-0E7C675F 357503******0003 YUNI ENDAH LESTARI 49 081336603393 CoronaVac 17/03/2021 24000221
22 W-0E835773 357501******0005 MUKRI 57 085234953272 CoronaVac 17/03/2021 24000221
23 W-106AB5DC 357503******0003 SUKWANTI ASTIWI 52 082233841854 CoronaVac 17/03/2021 24000221
24 W-22228FB0 351408******0002 ANGGA TRISNA P 36 082140541406 CoronaVac 17/03/2021 24000221
25 W-2345D482 357501******0004 ARIYANTO 49 081235019746 CoronaVac 17/03/2021 24000221
26 W-28AF5C44 357502******0002 NOVEL AMIRUDIN 39 081252587573 CoronaVac 17/03/2021 24000221
27 W-366AC675 351504******0005 WISNU HARY NATA 36 081335223788 CoronaVac 17/03/2021 24000221
28 W-3926C915 357503******0001 BAGUS PRASAKTI WIBOWO 34 081234337655 CoronaVac 17/03/2021 24000221
29 W-39447917 351607******0002 HILMAN LUBIS ALFATONI 27 082233319948 CoronaVac 17/03/2021 24000221
30 W-3CDB72D1 351508******0002 FITRI KURNIAWATI 34 085730102833 CoronaVac 17/03/2021 24000221
31 W-49E422FF 357502******0001 YUDI HADI PRANATA 41 085790813459 CoronaVac 17/03/2021 24000221
32 W-57C02A52 351406******0001 Nasiha 28 083846817788 CoronaVac 17/03/2021 24000221
33 W-5A45E6E5 350931******0002 ERNANDA DWINOVITA 39 085258636969 CoronaVac 17/03/2021 24000221
34 W-5F7A3EDA 357404******0004 NUR HIDAYATI HILMIAH 33 085232089015 CoronaVac 17/03/2021 24000221
35 W-664BA3A0 351418******0001 CHOIRIYAH 26 085228050822 CoronaVac 17/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
36 W-6945B6A7 357502******0002 IMAM BUCHORI 36 081233017917 CoronaVac 17/03/2021 24000221

37 W-76BB95C3 357815******0002 BUSTOMI 45 085648443648 CoronaVac 17/03/2021 24000221
38 W-8073345A 357808******0001 PRASASTIPIKA ENDRIYONO 32 0895384444110 CoronaVac 17/03/2021 24000221
39 W-877E9059 351414******0001 SAROMAH SADIKYAH 44 081333468486 CoronaVac 17/03/2021 24000221
40 W-A29DD67C 357502******0001 SUPRIYANTO 48 082140338198 CoronaVac 17/03/2021 24000221
41 W-AC3A65B3 357502******0004 ADAM NOOR RADYANTO 37 082247497711 CoronaVac 17/03/2021 24000221
42 W-AD4AE2D3 357502******0003 SATINA RUSTANTI 40 081259422532 CoronaVac 17/03/2021 24000221
43 W-AD878E57 351401******0001 MOKHAMAD HANAFI 35 085233039024 CoronaVac 17/03/2021 24000221
44 W-B2AF5624 357502******0002 ANITA RACHMAWATI 42 085231692522 CoronaVac 17/03/2021 24000221
45 W-B3549964 357501******0001 BAROR MASFUFAH 53 085233878738 CoronaVac 17/03/2021 24000221
46 W-B5E6743E 357501******0007 RITA DWI RAHAYU 38 085103847788 CoronaVac 17/03/2021 24000221
47 W-C312C2B2 351412******0002 WAHYU AGUNG HERMANTO 35 082141643842 CoronaVac 17/03/2021 24000221
48 W-C54DC505 357501******0003 DEWI SUKMANINGSIH 54 081999838442 CoronaVac 17/03/2021 24000221
49 W-D203FD23 352804******0140 AYU RAHMANIYAH 33 08113660101 CoronaVac 17/03/2021 24000221
50 W-D7880365 357502******0001 DENNY KUSTIYANTONO 52 0817397433 CoronaVac 17/03/2021 24000221
51 W-D7BA752B 357503******0001 DWI RACHMAWATI 38 082232383930 CoronaVac 17/03/2021 24000221
52 W-D9A933A3 357502******0001 ACH. ISHARI 54 082331912000 CoronaVac 17/03/2021 24000221
53 W-E1614946 357503******0005 ENDAH SETIJORINI 50 081938117477 CoronaVac 17/03/2021 24000221
54 W-E57701CF 357404******0002 PUTRI MARDIAWATI 34 081234068293 CoronaVac 17/03/2021 24000221
55 W-F7747924 357501******0005 KHOLID FAUZI 37 081330338111 CoronaVac 17/03/2021 24000221
56 Z-008FF1D9 357503******0004 NUR AFIDAH 41 082257004744 CoronaVac 17/03/2021 24000221
57 Z-1BB10FE1 357501******0001 SULASTRI 40 082330992454 CoronaVac 17/03/2021 24000221
58 Z-46000794 357203******0005 RATIH DWIANITASARI 38 082143515042 CoronaVac 17/03/2021 24000221
59 Z-9DE1296A 357502******0006 NURIL HIDAYATI 41 085655007400 CoronaVac 17/03/2021 24000221
60 Z-9E7AC373 351423******0001 ARMIYANA 38 085230620963 CoronaVac 17/03/2021 24000221
61 Z-C2DE262D 357501******0007 S. HILMIAH 29 082214052045 CoronaVac 17/03/2021 24000221
62 Z-C7D20D47 357501******0001 NAILIR ROCHMAH 36 085608343338 CoronaVac 17/03/2021 24000221
63 Z-D1CDD851 351416******0004 KOMARIYAH 53 085755128046 CoronaVac 17/03/2021 24000221
64 Z-E269A017 330505******0001 NURHAYATI 36 081390633284 CoronaVac 17/03/2021 24000221
65 Z-F7B85CAA 357501******0002 NAQIDAH 24 082333703057 CoronaVac 17/03/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Kelomp Dosis I Dosis 2

No.
Batch
1 P-D6Y32HLX 351418******0001 SAICHUR RIZKYAN 23 85649877809 CoronaVac Vaksinasi
3/18/2021 24000221 Vaksinasi
2 Q-0112AB50 357503******0001 FARIS SETIAWAN 29 85755564453 CoronaVac 3/18/2021 24000221
3 Q-019C2D0D 351909******0003 WIKE FOURINA PUSPITASARI 33 82232857778 CoronaVac 3/18/2021 24000221
4 Q-0744C13C 357503******0001 KHOIRON 47 82234056682 CoronaVac 3/18/2021 24000221
5 Q-090D1793 351420******0001 EDI SUSILO 41 85334932001 CoronaVac 3/18/2021 24000221
6 Q-0E9FF43A 357503******0001 ARDIAN BHAGASKARA 23 89687853741 CoronaVac 3/18/2021 24000221
7 Q-0ECDA143 351703******0004 MOH EFENDI HARIYANTO 20 83851733927 CoronaVac 3/18/2021 24000221
8 Q-1EED369E 351422******0006 MUHAMMAD AS'ADI 26 81252884114 CoronaVac 3/18/2021 24000221
9 Q-245265F2 351419******0001 IKA RUSMADINA 21 8983656848 CoronaVac 3/18/2021 24000221
10 Q-2ADD257C 351413******0001 SITI ROECHAH 53 895328520473 CoronaVac 3/18/2021 24000221
11 Q-35CBE82A 357503******0001 AYUNI NORAWATI 20 85749978787 CoronaVac 3/18/2021 24000221
12 Q-398BAEDF 351416******0005 AJENG DEARISTA WULANSARI 26 82330753705 CoronaVac 3/18/2021 24000221
13 Q-3A8AB3E4 350714******0001 ALLAN MOHAMAD NURVIRDAUS 27 89666777009 CoronaVac 3/18/2021 24000221
14 Q-3A963BA2 351319******0004 UMIRUL ILMI 25 85232636538 CoronaVac 3/18/2021 24000221
15 Q-3B29DD13 351415******0002 ROFIQ HIDAYATULLOH 28 82133231938 CoronaVac 3/18/2021 24000221
16 Q-3BB392F8 352802******0001 MOHAMMAD SUFYAN HADI 29 81357872739 CoronaVac 3/18/2021 24000221
17 Q-3BB50D74 352804******0005 RIRI MAULITI SANTOSO 28 87701713153 CoronaVac 3/18/2021 24000221
18 Q-3BBC98A3 357501******0002 M. NUR FAIZIN 20 87765977799 CoronaVac 3/18/2021 24000221
19 Q-3D9ACEA3 351411******0001 ANGGI KHARISMA 20 895321591699 CoronaVac 3/18/2021 24000221
20 Q-456AE0AA 357502******0002 DURROTUL QODRIYAH, S.Sos 47 81330676566 CoronaVac 3/18/2021 24000221
21 Q-53077265 357503******0002 ACHMAD TAUFIK 24 895366249687 CoronaVac 3/18/2021 24000221
22 Q-5E707947 351414******0004 RANI DWI MELINDA 23 81259075225 CoronaVac 3/18/2021 24000221
23 Q-5FCD3F77 357503******0002 ASPARAGA 33 82139333591 CoronaVac 3/18/2021 24000221
24 Q-658C96E3 357503******0002 ACH WAHYONO 29 89699531599 CoronaVac 3/18/2021 24000221
25 Q-68797A47 357503******0001 NUR AFIDAH 41 83834051477 CoronaVac 3/18/2021 24000221
26 Q-7173737C 350519******0024 WAWAN TIPAN RAHMADI 33 8113055150 CoronaVac 3/18/2021 24000221
27 Q-725A738E 351412******0001 MOKHAMMAD YAZIDUL BUSTOM 22 85808285478 CoronaVac 3/18/2021 24000221
28 Q-79A7A91C 351416******0003 CITRA ANGGISTIA ILMI 33 82228083828 CoronaVac 3/18/2021 24000221
29 Q-82AF6C0C 357503******0005 R. DUDY WAHYUDI 50 81333324397 CoronaVac 3/18/2021 24000221
30 Q-996DD1D3 351406******0002 MAHDI 43 82142327034 CoronaVac 3/18/2021 24000221
31 Q-9BCA8295 357502******0003 MOH AGUS FATKHUR ROJI 25 85856376775 CoronaVac 3/18/2021 24000221
32 Q-A4C06573 357503******0006 mochammad richie pradhana 28 83834913484 CoronaVac 3/18/2021 24000221
33 Q-AA658313 357502******0003 ERWIN PRAYOGA SAPUTRA 29 85749388484 CoronaVac 3/18/2021 24000221
34 Q-B3CAB4A4 351414******0002 ATIKAH KAMALIAH 24 85755377209 CoronaVac 3/18/2021 24000221
35 Q-C27A0CDC 351416******0002 SAIFUL RIZAL 29 82330439008 CoronaVac 3/18/2021 24000221
36 Q-C499808D 351505******0001 APRILIA DWI ANGGITA 20 85229499512 CoronaVac 3/18/2021 24000221
37 Q-C9062526 350311******0001 LUKI AGUNG PRAYITNO 28 82330712440 CoronaVac 3/18/2021 24000221
38 Q-CBC7BC25 351421******0001 MOKHAMMAD GUFRON 26 85335189131 CoronaVac 3/18/2021 24000221
No.
Batch
39 Q-DC785D48 357503******0004 GIANTONO 48 83834534541 CoronaVac Vaksinasi Vaksinasi
3/18/2021 202011048
40 Q-DF639558 357502******0003 ABDUL MUSLIK 47 82231878774 CoronaVac 3/18/2021 24000221
41 Q-E78D39FF 357503******0002 FECKY IRAWAN 42 82338784785 CoronaVac 3/18/2021 24000221
42 Q-FB0172FE 350725******0003 ARGI AZRUL HERDIAWAN 26 81334523382 CoronaVac 3/18/2021 24000221
43 W-0E70AB8F 357501******0003 DODDY PURWANTORO 34 81230428069 CoronaVac 3/18/2021 24000221
44 W-111F27A7 351419******0002 IKA YULI SETIAWATI 40 85648393594 CoronaVac 3/18/2021 24000221
45 W-12ADDFC1 357502******0001 SAFIUDIN 49 895365203075 CoronaVac 3/18/2021 24000221
46 W-12F0912E 351614******0001 FIRDIANA LUCITA ARIS TANTI 29 82273754699 CoronaVac 3/18/2021 24000221
47 W-14AE4D31 350305******0001 DWI CAHYONO 29 85330178089 CoronaVac 3/18/2021 24000221
48 W-1624102C 357503******0001 Hj. MAMLUATUS SA'ADAH, S.Psi 37 87754349848 CoronaVac 3/18/2021 24000221
49 W-18FBEF42 357503******0002 PRAYIT SUTANTO 42 85100255491 CoronaVac 3/18/2021 24000221
50 W-1C453090 357501******0004 MOCHAMMAD NUR SOBACH 23 82230301124 CoronaVac 3/18/2021 24000221
51 W-22F9601A 357503******0001 SITI MARIYAM 54 81334600240 CoronaVac 3/18/2021 24000221
52 W-298C4DA1 350921******0016 RONNY FEBRIYAN FIRMANSYAH 40 85259066660 CoronaVac 3/18/2021 24000221
53 W-29DEE605 357501******0001 MOKHAMAD ZAKARIA 30 85546489800 CoronaVac 3/18/2021 24000221
54 W-2FDAB46D 352925******0001 INDA SRI WAHYUNI 33 81234538788 CoronaVac 3/18/2021 24000221
55 W-30C3506C 351419******0001 ATIBUR ROHMAN 35 85755118389 CoronaVac 3/18/2021 24000221
56 W-33451829 357502******0001 IMAMUL CHARIS 29 89519264391 CoronaVac 3/18/2021 24000221
57 W-39F937BF 350725******0004 WINDOYONO 53 8125227469 CoronaVac 3/18/2021 24000221
58 W-4461927A 357503******0004 RADEN RORO VENTY EMAWATI 52 81357943246 CoronaVac 3/18/2021 24000221
59 W-49C263B5 357501******0001 TOMMY ARI SAPUTRA 40 8155097660 CoronaVac 3/18/2021 24000221
60 W-4BF7DD4F 357503******0001 EKO WAHYUDI POERNOMO 55 82231287566 CoronaVac 3/18/2021 24000221
61 W-4EF2642E 357502******0001 AINUR RAKHMAN 33 82245890137 CoronaVac 3/18/2021 24000221
62 W-5DD8FE72 357502******0001 CANDRA SUDARMOKO 44 85755604066 CoronaVac 3/18/2021 24000221
63 W-5EAD221C 357502******0001 Nurul Faizah Halim 33 81235674109 CoronaVac 3/18/2021 24000221
64 W-601FDDBE 357502******0001 WAHYU AJI RAHMANTO 34 81335116114 CoronaVac 3/18/2021 24000221
65 W-649A7F9F 357501******0001 MASRINI 57 81333984910 CoronaVac 3/18/2021 24000221
66 W-66B59B2D 357503******0003 DENY YUDHISTIRA HARIYONO 33 85716583373 CoronaVac 3/18/2021 24000221
67 W-6AD29358 351709******0002 Andri Priyanto 35 82231027626 CoronaVac 3/18/2021 24000221
68 W-6F939DB8 351407******0002 BAMBANG RUSTAMAR 49 81232962281 CoronaVac 3/18/2021 24000221
69 W-7086B3D5 357503******0004 WIDI NURDAYA 54 85649267197 CoronaVac 3/18/2021 24000221
70 W-70AA705D 351507******0005 TRIANTI ANNISA PUSPASARI 25 85711112610 CoronaVac 3/18/2021 24000221
71 W-742A2D2E 357502******0003 IKA JUWITA PUSPITASARI 39 81230135444 CoronaVac 3/18/2021 24000221
72 W-74AE2A0D 357503******0002 RIZKY PRAMITANINGRUM 40 811360143 CoronaVac 3/18/2021 24000221
73 W-7508F963 357503******0001 MUKHAMAD WAHYU KURNIAWAN 19 895337431291 CoronaVac 3/18/2021 24000221
74 W-77F72FBA 357502******0003 MARIA ULFA 43 82221155004 CoronaVac 3/18/2021 24000221
75 W-788894FE 351414******0002 EKO EDI PURNOMO 56 81249187154 CoronaVac 3/18/2021 24000221
76 W-7991FF2A 357501******0004 AMINAH 43 82244033779 CoronaVac 3/18/2021 24000221
77 W-84296395 357502******0003 DEDY TRI OKTAFIANTO 34 81231168955 CoronaVac 3/18/2021 24000221
78 W-86021C7C 351410******0005 WIDI FEBRIYANTO 26 85156368157 CoronaVac 3/18/2021 24000221
79 W-871F8433 357503******0002 ERLIN RAKHMAWATI 35 82141893255 CoronaVac 3/18/2021 24000221
80 W-877F67E1 351414******0003 FAHRUDIN 49 85947542075 CoronaVac 3/18/2021 24000221
81 W-8C1152B1 357502******0003 LAILUL MACHNUNA 51 82139193742 CoronaVac 3/18/2021 24000221
82 W-8C3BBFFF 351423******0002 HENY WULANDARI SUKARNO 37 82245761984 CoronaVac 3/18/2021 24000221
No.
Batch
83 W-8DAFAE67 357502******0001 WURI YUNIADEWI 42 81559926643 CoronaVac Vaksinasi Vaksinasi
3/18/2021 24000221
84 W-905E454F 352804******0001 WHENNY AGUSTINI 37 81357067200 CoronaVac 3/18/2021 24000221
85 W-9157FB88 357502******0003 SITI ROCHANA 52 82143148664 CoronaVac 3/18/2021 24000221
86 W-97C49108 357503******0004 NANANG BUDIANTO 50 85791681098 CoronaVac 3/18/2021 24000221
87 W-98F4F006 357502******0002 ARIFAH 37 82257801678 CoronaVac 3/18/2021 24000221
88 W-9EB2D7CD 351418******0002 RUDI AGUSTONO 51 87856953215 CoronaVac 3/18/2021 24000221
89 W-A04034AC 357502******0002 NINA TRI YULIARNI 38 85749518718 CoronaVac 3/18/2021 24000221
90 W-A7A511FE 351406******0004 KHOLIL 42 82230468849 CoronaVac 3/18/2021 24000221
91 W-A7F2C1A2 357503******0001 ARIF EFENDI 54 81360512635 CoronaVac 3/18/2021 24000221
92 W-BA72012E 357502******0003 ENGKUS KUSUMAH 56 82132850637 CoronaVac 3/18/2021 24000221
93 W-C574FDAF 357503******0001 GURUH FEBRIYANTO 31 8113667688 CoronaVac 3/18/2021 24000221
94 W-C61F6D10 357502******0004 SUGENG HENDRO WAHYONO 50 82231965877 CoronaVac 3/18/2021 24000221
95 W-CD77DF22 351418******0003 MOHAMAD YANTO 52 82331058553 CoronaVac 3/18/2021 24000221
96 W-D9F9D135 357503******0001 DIMAS CANDRANATA 37 82234291125 CoronaVac 3/18/2021 24000221
97 W-DA6B5E80 351414******0007 KHUSWATUL LAILY MAGHFIROH 24 85796394644 CoronaVac 3/18/2021 24000221
98 W-DE9AD54E 357501******0001 EKO SUPRIYATININGSIH 49 81334949216 CoronaVac 3/18/2021 24000221
99 W-E03B0CEC 357502******0001 MUKHAMAD SYAHRONI 31 81331020531 CoronaVac 3/18/2021 24000221
100 W-E1783134 357503******0004 EKO ARDIANSYAH SUNARKO 32 82245762413 CoronaVac 3/18/2021 24000221
101 W-E476C464 350725******0002 DWI RACHMAT SUDJATMIKO 53 81230227420 CoronaVac 3/18/2021 24000221
102 W-E5EB78C3 351709******0004 HERMANTO 37 8123222282 CoronaVac 3/18/2021 24000221
103 W-EABDCC64 357503******0003 TEGUH ROEBIARSO 34 89530511115 CoronaVac 3/18/2021 24000221
104 W-EBAE87D9 357503******0001 MUKHAMAD ARIF ANDRIAN 29 81259170879 CoronaVac 3/18/2021 24000221
105 W-F5B5010F 357502******0002 NURUL ALFIAH 32 85755172286 CoronaVac 3/18/2021 24000221
106 W-F8BA1DC8 351414******0001 YUSUF WIBISONO 34 81357561124 CoronaVac 3/18/2021 24000221
107 W-FA8C7531 357503******0001 MUHAMMAD HATTA 44 8123315694 CoronaVac 3/18/2021 24000221
108 W-FBD84831 357502******0005 SUKINDRO WARDOYO 51 82143148954 CoronaVac 3/18/2021 24000221
109 W-FD8E132A 351317******0001 YUDHA AGUSDIAN 32 81370333175 CoronaVac 3/18/2021 24000221
110 Z-3BC8352E 357501******0006 NANIK INDRAWATI 52 82141980172 CoronaVac 3/18/2021 24000221
111 Z-4D5836BC 517102******0002 QONITA 39 83848186160 CoronaVac 3/18/2021 24000221
112 Z-58FCAA27 357503******0003 Hakimah Zulfaizah 48 81217701973 CoronaVac 3/18/2021 24000221
113 Z-6C5003E0 351417******0001 FEINNA MAAYA SABARA 31 82244432369 CoronaVac 3/18/2021 24000221
114 Z-6E5680F8 351422******0001 LULUK MAKNUNAH 40 85103753343 CoronaVac 3/18/2021 24000221
115 Z-88966562 357502******0002 NIA KUSUMA WARDANI 30 85230746206 CoronaVac 3/18/2021 24000221
116 Z-9395B124 357503******0001 IKKE HARDIANA KURNIANINGSIH 45 81281202395 CoronaVac 3/18/2021 24000221
117 Z-B7B81031 351406******0004 DZURROTUL FAIZAH 29 83866827636 CoronaVac 3/18/2021 24000221
118 Z-BB2169C2 357502******0001 WIDJI LESTARI 56 81331271585 CoronaVac 3/18/2021 24000221
119 Z-BBB78B5C 357503******0001 ANNA LAILY 42 85230846800 CoronaVac 3/18/2021 24000221
120 Z-F8C35124 357503******0002 Dewi Mariyah 31 895322198177 CoronaVac 3/18/2021 24000221

No.
Batch
Vaksinasi Vaksinasi
NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 Q-0BB60109 357501******0002 Mukhamad Efendi 24 085851602260 CoronaVac 19/03/2021 24000221

2 Q-1D210B03 331105******0001 GALEH LANJATI 28 08122503870 CoronaVac 19/03/2021 24000221
3 Q-303309E3 351416******0001 MOCH. NUR ARIFIN 27 081217055881 CoronaVac 19/03/2021 24000221
4 Q-5F7D1EDC 350923******0001 JIHAN ARS MUNAWIR 25 085884773445 CoronaVac 19/03/2021 24000221
5 Q-825F70B4 357502******0003 ACHMAD CHUMAIDI 34 082330769868 CoronaVac 19/03/2021 24000221
6 Q-8D9409EC 357501******0003 AHMAD NAWAWI 55 081235775000 CoronaVac 19/03/2021 24000221
7 Q-8DC1E509 357501******0001 RACHMAD YUDHA SAPUTRA 23 0895396002409 CoronaVac 19/03/2021 24000221
8 Q-8E010E31 357501******0001 MOKHAMAD ZAINUR ROZIQIN 22 083833777172 CoronaVac 19/03/2021 24000221
9 Q-8EA0FF1B 357501******0004 MOKHAMAD ALIEF SYAHRUDIN 21 089530810407 CoronaVac 19/03/2021 24000221
10 Q-8EB5681A 357502******0005 IRFAN NUR HANDOKO 43 085853973209 CoronaVac 19/03/2021 24000221
11 Q-8F21F8A4 357502******0003 RIO RACHMANTO 29 081234640533 CoronaVac 19/03/2021 24000221
12 Q-984411FA 357501******0002 TRI AMIYANTO 34 085646450303 CoronaVac 19/03/2021 24000221
13 Q-9A6813DA 357502******0002 PURI ANDRIANA 39 082244401413 CoronaVac 19/03/2021 24000221
14 Q-A0E8C19A 357503******0004 ARIEF HARNANTO 45 08123464329 CoronaVac 19/03/2021 24000221
15 Q-A23C7413 357502******0004 SITI ROMLAH 29 081216111296 CoronaVac 19/03/2021 24000221
16 Q-A25D5A92 357503******0004 RIADUS SHOLIKHIN 23 083852929466 CoronaVac 19/03/2021 24000221
17 Q-A2D8750D 357503******0001 DEDY EKA FEBRIYANTO 40 082330382155 CoronaVac 19/03/2021 24000221
18 Q-CE3827FB 357502******0007 MULYO BUDIARTO 37 085608183745 CoronaVac 19/03/2021 24000221
19 Q-CF87C0FB 357501******0001 SUNIK ANDARWATI 54 085858334796 CoronaVac 19/03/2021 24000221
20 Q-E3AE8409 357502******0006 SLAMET 43 082228289903 CoronaVac 19/03/2021 24000221
21 W-012AFA24 357502******0004 ABDUL ROHMAN 51 082131878590 CoronaVac 19/03/2021 24000221
22 W-07202811 351407******0002 KHUSNUL LUTFI 55 082230106884 CoronaVac 19/03/2021 24000221
23 W-1554784D 357501******0002 YANIK EFILUARDANI 50 082141815656 CoronaVac 19/03/2021 24000221
24 W-26674ABB 357503******0002 DODIK TRIATMAJA 40 085292086475 CoronaVac 19/03/2021 24000221
25 W-3240AC8E 357501******0003 Abdul Hamid 30 085646437711 CoronaVac 19/03/2021 24000221
26 W-32EF66BF 357502******0001 SUTRISNO 43 085748618088 CoronaVac 19/03/2021 24000221
27 W-3DB44766 357501******0001 SUKADI 57 081259506565 CoronaVac 19/03/2021 24000221
28 W-3ED47700 357502******0006 AKHMAT YANI 43 081233229596 CoronaVac 19/03/2021 24000221
29 W-41DA7477 357503******0001 PURWADI MOCHAMAD ROSUL 50 085330139696 CoronaVac 19/03/2021 24000221
30 W-56D754A0 351401******0004 TRI HANDAYANI 41 081334632273 CoronaVac 19/03/2021 24000221
31 W-5C067458 357501******0009 RIFQI ATIKAH 44 082338574572 CoronaVac 19/03/2021 24000221
32 W-60DBB7CF 357501******0003 NIKMATUS SHOLIKHAH 50 081357402302 CoronaVac 19/03/2021 24000221
33 W-73F2EAD7 357502******0006 ENY PUJI LESTARI 44 082139075251 CoronaVac 19/03/2021 24000221
34 W-772EF6C8 357501******0004 NIKMAH NURHAYATI 54 081230085033 CoronaVac 19/03/2021 24000221
35 W-790A2CB7 357501******0001 MISNO 56 081359530371 CoronaVac 19/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
36 W-7C520AFC 357501******0001 AGUS SANTOSO 51 085755914962 CoronaVac 19/03/2021 24000221

37 W-7F3AD70E 357503******0001 HARIYANTO 42 081335653007 CoronaVac 19/03/2021 24000221
38 W-8BFB1FF9 350605******0001 AAN PRASETYO 41 082334265557 CoronaVac 19/03/2021 24000221
39 W-984EE5F8 357502******0003 HERU KUSUMA KRISTANTO 36 081330313398 CoronaVac 19/03/2021 24000221
40 W-A421B489 351414******0005 MOCHAMMAD ROBI ABDILA 26 085746426114 CoronaVac 19/03/2021 24000221
41 W-A8553962 357501******0001 MUKAYANI 57 082132870035 CoronaVac 19/03/2021 24000221
42 W-B3161F1E 357502******0001 DANU EKO SUPRAPTO 40 08563320020 CoronaVac 19/03/2021 24000221
43 W-B610B2EB 357501******0006 SAIKHU ANWAR 42 082140127779 CoronaVac 19/03/2021 24000221
44 W-C44C4F3B 357502******0002 UMI KALSUM 54 082230035385 CoronaVac 19/03/2021 24000221
45 W-CAA3D140 357503******0002 MIFTAKHUL JANNAH 45 082223612016 CoronaVac 19/03/2021 24000221
46 W-E27B5E17 357501******0001 MOHAMAD KHOLILI 57 081293343175 CoronaVac 19/03/2021 24000221
47 W-EC37A065 351417******0001 PUGUH HARIYANTO 52 085100894004 CoronaVac 19/03/2021 24000221
48 W-FC234F96 357503******0004 ESTY RISTYAWATI 41 081235485558 CoronaVac 19/03/2021 24000221
49 W-FCB4DEF9 351514******0001 HAMDAN YUWAFI 30 081233074561 CoronaVac 19/03/2021 24000221
50 Z-044E1747 357501******0005 HILMY YULIARDI SETIAWAN 43 082244460505 CoronaVac 19/03/2021 24000221
51 Z-439FED26 357503******0002 ABDULLAH 56 081558536108 CoronaVac 19/03/2021 24000221
52 Z-4F0BAD7E 350718******0004 LIA MAHDIANA SAFITRI 26 081333377195 CoronaVac 19/03/2021 24000221
53 Z-CA47F3EE 357501******0001 KHISWATI ROKHMAH 51 082139015682 CoronaVac 19/03/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 Q-2A8740DD 351406******0001 LUKMAN HAKIM 30 82257400253 CoronaVac 3/20/2021 24000221

2 Q-2C6F8C74 351418******0003 KOMARIYAH 40 85850122298 CoronaVac 3/20/2021 24000221
3 Q-51F03064 357501******0002 KASIANAH 52 81230392169 CoronaVac 3/20/2021 24000221
4 Q-69F16156 357501******0003 YONO 56 81937004174 CoronaVac 3/20/2021 24000221
5 Q-86B20BA3 357503******0002 MEITY FAUZYA 59 8174142232 CoronaVac 3/20/2021 24000221
6 Q-92310EC7 357501******0129 EVI KUSUMANINGRUM 42 85100798910 CoronaVac 3/20/2021 24000221
7 Q-A23377E5 357502******0003 KHUMAIROH ISNAENI 23 83132655158 CoronaVac 3/20/2021 24000221
8 Q-AFD05B31 357303******0002 MOCHAMMAD TAUFAN 27 89523534149 CoronaVac 3/20/2021 24000221
9 Q-B74B80D3 357501******0004 SISKA ANGGRAENI 31 8563020138 CoronaVac 3/20/2021 24000221
10 W-362965D8 351418******0004 JOKO SANTOSO 48 81235259550 CoronaVac 3/20/2021 24000221
11 W-3BC976D3 351409******0001 EKI JULI PRISTANTO 36 85736951915 CoronaVac 3/20/2021 24000221
12 W-7CEC4378 350601******0002 RAHMAD SAHARA 23 82297777461 CoronaVac 3/20/2021 24000221
13 W-877BBB94 357501******0007 AGUS HADI SANTOSO 35 81230768995 CoronaVac 3/20/2021 24000221
14 W-952EA48B 357501******0002 AHMAD NUR RAHMAN FARIS 27 82358201260 CoronaVac 3/20/2021 24000221
15 W-ECEAAAAD 351418******0001 ABDUL ROZAK 37 81217746577 CoronaVac 3/20/2021 24000221
16 P-3GBQIWWK 351504******0002 SUTIYONO 37 82257140442 CoronaVac 3/20/2021 24000221
17 P-9ZSDLDDC 351416******0001 LENNY PERFINTA SARI 25 89523550551 CoronaVac 3/20/2021 24000221
18 P-EFQ9MRZ2 357503******0002 BAGUS PERMANA MARULITUA 20 81216092627 CoronaVac 3/20/2021 24000221
19 P-EFXBJTGI 357501******0001 RICARDO 21 85273555999 CoronaVac 3/20/2021 24000221
20 P-EHRPYFLD 357502******0001 SELO HARI SAPUTRO 36 85234785555 CoronaVac 3/20/2021 24000221
21 P-EHVCDZ7J 357502******0003 AVIV RACHMAN N 37 81330590303 CoronaVac 3/20/2021 24000221
22 P-EIM7EYM3 357502******0002 MARI YUDIANI 41 85258880765 CoronaVac 3/20/2021 24000221
23 P-EJ8FLT4V 357503******0001 TRISNANI ARIE MURTI 32 82232357993 CoronaVac 3/20/2021 24000221
24 P-EMGZQNWQ 357502******0002 LAILATUL MAGFIROH 20 81238032261 CoronaVac 3/20/2021 24000221
25 P-EN0LLBBY 351421******0004 ANITA MUSDIYANTI 39 82244720399 CoronaVac 3/20/2021 24000221
26 P-ENW8YJQ7 351418******0001 MUHAMMAD GANDA ARIZQIA 28 81334642485 CoronaVac 3/20/2021 24000221
27 P-EPB3ZWCQ 357501******0002 SURYANI 44 82140522721 CoronaVac 3/20/2021 24000221
28 P-EPFBSHJ3 351513******0001 DYAH WIJAYANTI 39 81336779776 CoronaVac 3/20/2021 24000221
29 P-G6BDRF67 357501******0001 KHOIRUL AKHWAN 42 895366853088 CoronaVac 3/20/2021 24000221
30 P-TOMCQHBZ 357503******0002 INDAH SARI PRAYUGI 23 88996109731 CoronaVac 3/20/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
31 Q-C8DED007 351422******0012 MAHFUD 44 81336784852 CoronaVac 3/20/2021 24000221

32 S-017E33F6 357501******0001 BUDI HARTOYO 59 81225000408 CoronaVac 3/20/2021 24000221
33 S-06CAFB06 357503******0004 WASITO 43 81133330133 CoronaVac 3/20/2021 24000221
34 S-07C5412E 351614******0002 ERLISIA TITASARI 25 81333128337 CoronaVac 3/20/2021 24000221
35 S-093717A0 357503******0003 YUDISTIRA TAKAYOMI 34 82111111937 CoronaVac 3/20/2021 24000221
36 S-0A6E2F60 357501******0002 RUWAIDAH 43 85231684412 CoronaVac 3/20/2021 24000221
37 S-0BFF42AF 357501******0002 NANANG ABDUL MUKTI 47 81233073527 CoronaVac 3/20/2021 24000221
38 S-16380045 357501******0022 NURCHOLID 51 81319852169 CoronaVac 3/20/2021 24000221
39 S-185EB6C9 357501******0001 RAMUDJI 69 81805730182 CoronaVac 3/20/2021 24000221
40 S-27450D89 357501******0003 MAY LULUK 71 81234689102 CoronaVac 3/20/2021 24000221
41 S-30B689B2 357501******0169 SUSILA 68 81334864246 CoronaVac 3/20/2021 24000221
42 S-3C95ED5E 357502******0004 SYAMSUL MA'ARIF 42 82244003800 CoronaVac 3/20/2021 24000221
43 S-4DD20A98 357502******0005 SITI ANISAH 43 83833975679 CoronaVac 3/20/2021 24000221
44 S-4DFBCE1F 357501******0002 EKO WAHYUDI 54 82232229440 CoronaVac 3/20/2021 24000221
45 S-533A9A7E 357502******0002 ACH LUTFI 47 85330146290 CoronaVac 3/20/2021 24000221
46 S-5390834D 331026******0004 VIDARA AGUSTINA PUTRI 25 85640800054 CoronaVac 3/20/2021 24000221
47 S-5442DD7C 357501******0005 MOCH SAKRI 56 81330667855 CoronaVac 3/20/2021 24000221
48 S-5530A317 357501******0002 SUWINTOYO 49 81334864246 CoronaVac 3/20/2021 24000221
49 S-5A9E5AC4 357501******0002 SULASTRI 45 85230536050 CoronaVac 3/20/2021 24000221
50 S-5EC3AACF 357502******0001 Nina Lestari 39 85645929798 CoronaVac 3/20/2021 24000221
51 S-6495E9C5 351506******0001 MOHAMMAD MUCLAS 27 81259029353 CoronaVac 3/20/2021 24000221
52 S-720CC492 351412******0001 ADETYA DIOCHA ERVANDA 24 81336661997 CoronaVac 3/20/2021 24000221
53 S-7B47DEBB 350722******0001 BARRU ABDILLAH 21 85735695790 CoronaVac 3/20/2021 24000221
54 S-8DA4AB7F 351420******0002 EKO ARISTYA HANDIYANTONO 34 85804411777 CoronaVac 3/20/2021 24000221
55 S-9222A374 351420******0005 MOCH. SAFI'IH 46 85204991699 CoronaVac 3/20/2021 24000221
56 S-9457FB37 357501******0001 M NAWAWI 62 85736533589 CoronaVac 3/20/2021 24000221
57 S-9B83EE36 357813******0006 IIN INDAH HATI 48 82232080597 CoronaVac 3/20/2021 24000221
58 S-9BFBEFAB 357503******0003 ASTUTIK SPD 41 81615883976 CoronaVac 3/20/2021 24000221
59 S-9C5A3C67 351416******0001 Sutrisno 58 85106668080 CoronaVac 3/20/2021 24000221
60 S-AC08ABED 357503******0001 THRUNO ARITONANG 62 81216819579 CoronaVac 3/20/2021 24000221
61 S-B9697791 357502******0002 MUHAMMAD ALI 46 85649264941 CoronaVac 3/20/2021 24000221
62 S-C45E48A9 357501******0001 ARUMIATI NARTININGTYAS 63 82331946495 CoronaVac 3/20/2021 24000221
63 S-C5D307F7 351510******0002 HASRUL FAKHRUR ROSYADI 26 82233590057 CoronaVac 3/20/2021 24000221
64 S-CC6390C9 351416******0003 SALAMAH 54 85101685305 CoronaVac 3/20/2021 24000221
65 S-D1D2E57C 357503******0003 MOEHAMMAD RUSMIN NOERYADIN 41 82301232214 CoronaVac 3/20/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
66 S-D2F038F5 357503******0002 ARIE ACHMAD 45 81334348483 CoronaVac 3/20/2021 24000221

67 S-DD2EB1DC 357502******0002 NURI HELMI 37 81334730885 CoronaVac 3/20/2021 24000221
68 S-E00CB77C 357501******0003 DIAN PUSPITASARI 34 81216581970 CoronaVac 3/20/2021 24000221
69 S-E04D40EB 357502******0006 YUSUF 44 85330001090 CoronaVac 3/20/2021 24000221
70 S-E7119118 357501******0001 SITI ROMLAH 52 81330667855 CoronaVac 3/20/2021 24000221
71 S-EA24B205 357503******0002 ANTONIUS HANDOKO 51 82337100200 CoronaVac 3/20/2021 24000221
72 S-F5F35AB4 357501******0011 SUPARTO 71 81334864246 CoronaVac 3/20/2021 24000221
73 S-F83C32F0 357501******0004 ANDRI WIJATMIKO 39 81333245672 CoronaVac 3/20/2021 24000221
74 S-FD511F2B 357501******0001 ELIES ZUYYINA 62 81515889695 CoronaVac 3/20/2021 24000221
75 W-2BAB52D2 351418******0001 MISNOYO 56 82336547052 CoronaVac 3/20/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 Q-0942FECF 357503******0003 MARFU'AH 39 083862762687 CoronaVac 22/03/2021 24000221

2 Q-0C43D178 351415******0005 WINDA NUR FARIDA 32 082197879387 CoronaVac 22/03/2021 24000221
3 Q-0CCE376A 357501******0003 PUTRI HARDIYANTI 25 089612368368 CoronaVac 22/03/2021 24000221
4 Q-0D2FE294 357501******0001 EGADINTA PRAMUDYA JATAYU 29 085230733944 CoronaVac 22/03/2021 24000221
5 Q-0E0BB374 357501******0002 VENI FARIAJANAH 33 082231658395 CoronaVac 22/03/2021 24000221
6 Q-0E1399F7 357501******0001 SYARIFAH ZAHRA MIRA SYAFITRI 26 085607506851 CoronaVac 22/03/2021 24000221
7 Q-1C98874F 357501******0001 ROFI AH 53 081234940471 CoronaVac 22/03/2021 24000221
8 Q-2FAC2E44 351417******0003 ULINA NUR SA'IDA 21 085649917504 CoronaVac 22/03/2021 24000221
9 Q-30552CC6 357501******0006 BASORI ALWI 52 085334404443 CoronaVac 22/03/2021 24000221
10 Q-38D49656 357503******0001 HADI SOESANTOKO 57 085645202023 CoronaVac 22/03/2021 24000221
11 Q-58CA364E 357502******0001 KURNIA FITRI MAHARDINI 26 085755705706 CoronaVac 22/03/2021 24000221
12 Q-8D139DD7 357501******0004 NENI WIJAYANTI RAHAYU 41 085259154155 CoronaVac 22/03/2021 24000221
13 Q-A40B4DCB 357501******0003 KHOLIQUL AMIN 49 081234940471 CoronaVac 22/03/2021 24000221
14 Q-A68275E4 357503******0002 MOH. RAZIQ ALFARIST ARIF 24 082245049495 CoronaVac 22/03/2021 24000221
15 Q-AAEDF5DE 351417******0002 MASDANIYAH 37 085102633985 CoronaVac 22/03/2021 24000221
16 Q-B22EFD21 357501******0004 DAYU WAHYUDI PUTRA 23 085730931570 CoronaVac 22/03/2021 24000221
17 Q-BD086DF0 352802******0003 NOFA RISMAN HIDAYAT 31 085258839383 CoronaVac 22/03/2021 24000221
18 Q-C5596691 351418******0009 SUTARNO 47 081357255328 CoronaVac 22/03/2021 24000221
19 Q-D09B0DFE 357503******0003 TRI HARIYANTI 38 081334912833 CoronaVac 22/03/2021 24000221
20 Q-E4B316A8 351412******0001 ILHAM MISBACHUL ULUM 28 085730951459 CoronaVac 22/03/2021 24000221
21 Q-FAA39B0A 357501******0003 Khumairoh 37 081335332183 CoronaVac 22/03/2021 24000221
22 W-02611BEA 357502******0002 LAILATUL FAJRIYAH 36 081553488277 CoronaVac 22/03/2021 24000221
23 W-0561D10E 357502******0018 NURUL LAKHIQOH 53 081233600349 CoronaVac 22/03/2021 24000221
24 W-07BD4907 357502******0002 ABDULLAH FATKHI 20 085733680927 CoronaVac 22/03/2021 24000221
25 W-08FE6C35 357501******0003 Muhammad Sofuan Efendi 34 085856930587 CoronaVac 22/03/2021 24000221
26 W-0D7BB558 357503******0002 Muhammad Choiron 36 087857374544 CoronaVac 22/03/2021 24000221
27 W-0EEAD05F 357502******0003 CICIK WINARSIH 43 08563418040 CoronaVac 22/03/2021 24000221
28 W-11DA0E7C 351506******0002 NURKHOLILAH 49 081357259180 CoronaVac 22/03/2021 24000221
29 W-11E706C0 351416******0001 MULYOHADI 54 083152054064 CoronaVac 22/03/2021 24000221
30 W-13653BCE 357503******0001 Vera Yunita Mardianingtias 43 085235681379 CoronaVac 22/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
31 W-1D50E43E 357501******0007 DEWI MASNUNAH 36 081233049000 CoronaVac 22/03/2021 24000221

32 W-216320E1 357501******0001 JIAMINAH 48 081336769998 CoronaVac 22/03/2021 24000221
33 W-23BA2807 357503******0001 MARIYAH ULFAH 37 081391174913 CoronaVac 22/03/2021 24000221
34 W-28E40D47 357501******0003 Retno Andrianingsih 42 082231522462 CoronaVac 22/03/2021 24000221
35 W-2979744E 357501******0002 LILIK MUHAMIDAH 57 085606162183 CoronaVac 22/03/2021 24000221
36 W-2F654A54 357502******0001 SUPRIANI 58 085204561734 CoronaVac 22/03/2021 24000221
37 W-3099BF34 351414******0001 ASTI PRATIWI 29 085704147294 CoronaVac 22/03/2021 24000221
38 W-30E26B22 357501******0002 SITI CHOTIJAH 41 089531108877 CoronaVac 22/03/2021 24000221
39 W-325BA60B 350912******0007 PUTRA CANDRA ADITYA 29 081362091099 CoronaVac 22/03/2021 24000221
40 W-3F739CAE 351512******0001 AMBAR WAHYU NINGRUM 32 082144183625 CoronaVac 22/03/2021 24000221
41 W-43A392AC 357503******0003 YURICO RESTU WULANDARI 30 081232150556 CoronaVac 22/03/2021 24000221
42 W-43A68CCB 357503******0001 Indah Tri Winarsih 39 081276027882 CoronaVac 22/03/2021 24000221
43 W-46878239 351420******0001 RATIH INDRITANINGRUM 47 081252992861 CoronaVac 22/03/2021 24000221
44 W-4CA7ECCC 357501******0001 LILI SURIANI 52 081330747491 CoronaVac 22/03/2021 24000221
45 W-4EB5638F 357502******0002 MUHAMMAD SABILI 28 081945745984 CoronaVac 22/03/2021 24000221
46 W-54273AA2 357501******0003 ANIK AMRITA 55 081233666505 CoronaVac 22/03/2021 24000221
47 W-5557A223 357503******0001 AKHMAD FAUZI 32 081217292069 CoronaVac 22/03/2021 24000221
48 W-57E1C089 351406******0002 PRIYO UTOMO 40 082228011114 CoronaVac 22/03/2021 24000221
49 W-5AD35DE5 357303******0003 SURYO HADI 37 081252708234 CoronaVac 22/03/2021 24000221
50 W-5D862881 357501******0001 MUJIATI 54 081555847976 CoronaVac 22/03/2021 24000221
51 W-5DB180C7 357501******0001 Yusniar Dwi Rosyida 24 085815786278 CoronaVac 22/03/2021 24000221
52 W-608233C7 357502******0009 ARYUNI PRASETYOWATI 51 081216918706 CoronaVac 22/03/2021 24000221
53 W-67F225F4 351419******0003 MUKHAMMAD FARIED ISKANDAR 39 081553575339 CoronaVac 22/03/2021 24000221
54 W-6AE802ED 357503******0001 WINARNI 45 082245961166 CoronaVac 22/03/2021 24000221
55 W-6AF440AC 357502******0004 DWI ARIESTYOWATI 53 085330295530 CoronaVac 22/03/2021 24000221
56 W-734C03AD 357501******0004 Sugeng Riadi 44 081234491214 CoronaVac 22/03/2021 24000221
57 W-7A52AD60 357501******0001 SATUKI 56 085733085232 CoronaVac 22/03/2021 24000221
58 W-7EECA73C 357503******0001 RINCI SURYADI 56 081227689225 CoronaVac 22/03/2021 24000221
59 W-7F56AD8C 357501******0005 Zainur Roziqin 27 081515147684 CoronaVac 22/03/2021 24000221
60 W-8A3C7667 351418******0001 ASIH SAYEKTI 53 082142216246 CoronaVac 22/03/2021 24000221
61 W-8A460B63 357502******0001 SYAIFUDDIN 39 081234960422 CoronaVac 22/03/2021 24000221
62 W-8B6BF699 357502******0002 URIFAH 51 082244337817 CoronaVac 22/03/2021 24000221
63 W-930EFA55 357502******0002 Lailatul Mahfiroh 43 085755870588 CoronaVac 22/03/2021 24000221
64 W-94FA2458 357501******0001 SUMARTINI 58 081351477110 CoronaVac 22/03/2021 24000221
65 W-96348B30 357501******0002 Dwi Suwanti 54 082335586779 CoronaVac 22/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
66 W-96690309 351418******0001 KHALIMATUSSA`DEYAH 56 087888800513 CoronaVac 22/03/2021 24000221

67 W-A58A2336 357501******0003 MASDUQI 57 081216452769 CoronaVac 22/03/2021 24000221
68 W-AA704F44 357810******0004 SARWONO 53 082336049997 CoronaVac 22/03/2021 24000221
69 W-AC8AEDF5 351418******0001 NAWANG PRESTIWENI 56 081232985220 CoronaVac 22/03/2021 24000221
70 W-AD2A44EF 351013******0004 SITI MASITOH SARI 28 081217960408 CoronaVac 22/03/2021 24000221
71 W-B3A80B29 357502******0001 HINDUN HIDAYATI 43 081339847884 CoronaVac 22/03/2021 24000221
72 W-B45ADECC 357502******0005 SITI ISTIANAH 43 085330994456 CoronaVac 22/03/2021 24000221
73 W-B8C7AFA1 357501******0002 NUR ASMANINGSIH 59 087853022627 CoronaVac 22/03/2021 24000221
74 W-BCB248CB 357502******0002 SAMSUDIN 58 085904292886 CoronaVac 22/03/2021 24000221
75 W-C3E37805 357503******0001 ANIK BUDIARTI 59 082142321504 CoronaVac 22/03/2021 24000221
76 W-CDA4F852 351306******0002 MUHAMMAD HUSAENI 37 082333859725 CoronaVac 22/03/2021 24000221
77 W-CF7725F4 350701******0001 SANTA ANGGRAITA WIJAYANTI 32 081233878804 CoronaVac 22/03/2021 24000221
78 W-CFD01003 357502******0006 RETNO ANGGRAENI 57 082232130068 CoronaVac 22/03/2021 24000221
79 W-E27AA704 351418******0001 DIDIK SURYADI 50 081334766369 CoronaVac 22/03/2021 24000221
80 W-E28E5679 357501******0002 Jumaiyah 39 081392025748 CoronaVac 22/03/2021 24000221
81 W-E748B375 357503******0001 Alfa Chasanah 32 085859856283 CoronaVac 22/03/2021 24000221
82 W-E7F0703C 357502******0004 TANJUNG SOOKO AMASTANI 36 08123310343 CoronaVac 22/03/2021 24000221
83 W-EB18397D 357501******0001 Arif Giyantri M 35 085804377645 CoronaVac 22/03/2021 24000221
84 W-EBBD621B 351409******0001 GITA RAHMAYANI 26 085755548624 CoronaVac 22/03/2021 24000221
85 W-ECAD6E6A 357502******0002 SUHAIRI 56 087754451747 CoronaVac 22/03/2021 24000221
86 W-EF829774 357502******0004 LUKMAN HADI WISNU PURWARI 32 085335604839 CoronaVac 22/03/2021 24000221
87 W-F3BC1916 357502******0002 MOH. ALI HIDAYAT 55 081359923047 CoronaVac 22/03/2021 24000221
88 W-F4AA7E93 357502******0003 DONI SETIAWAN 26 085731176703 CoronaVac 22/03/2021 24000221
89 W-F62567ED 357502******0001 INDARTHA MEIPUTRA 31 085645949476 CoronaVac 22/03/2021 24000221
90 W-F8B62B99 357502******0003 LUKMAN HADI 41 085736855613 CoronaVac 22/03/2021 24000221
91 W-F9BEB09F 357503******0001 DINA NOVITA PURNAMANINGSIH 36 081249900809 CoronaVac 22/03/2021 24000221
92 Z-12D413A7 357501******0001 Nunuk Purwati 54 085895200672 CoronaVac 22/03/2021 24000221
93 Z-18598991 357503******0005 Endang Ganefa Listiyowati 57 085746912765 CoronaVac 22/03/2021 24000221
94 Z-187ACF6F 357501******0009 Dwi Yanuar Cahyono 35 082266096464 CoronaVac 22/03/2021 24000221
95 Z-1BA6F544 357502******0001 Tomi Ardiono 43 082139910510 CoronaVac 22/03/2021 24000221
96 Z-2C58CC52 357501******0001 Septiyan Indra Pratama 29 083122351083 CoronaVac 22/03/2021 24000221
97 Z-3584080D 357501******0001 SRI WAHYUNI 50 082140919132 CoronaVac 22/03/2021 24000221
98 Z-582D5708 357501******0002 Eka Nofita 36 081238459974 CoronaVac 22/03/2021 24000221
99 Z-5C3D3233 351412******0002 R. FARIDA RAHMAYANTI 30 085730437262 CoronaVac 22/03/2021 24000221
100 Z-65866147 351315******0002 Bulil 51 085259049262 CoronaVac 22/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
101 Z-72D22427 357501******0001 NANIK MISNIATI 53 082131448771 CoronaVac 22/03/2021 24000221

102 Z-7BBD2781 351416******0001 NIMATUL IZZAH 35 087789010186 CoronaVac 22/03/2021 24000221
103 Z-7EEB3738 357501******0003 Risa Novita Suryanata 31 081216428784 CoronaVac 22/03/2021 24000221
104 Z-7FA8E532 357501******0001 Mohammad Ali Saifi 46 083834548840 CoronaVac 22/03/2021 24000221
105 Z-826787E4 357501******0002 SITI KHOTIJAH 43 085746648592 CoronaVac 22/03/2021 24000221
106 Z-915DB5D0 357501******0001 Siti Khoiriyah 38 089678868535 CoronaVac 22/03/2021 24000221
107 Z-9395213E 357502******0001 Heru Yulianto 42 082210383459 CoronaVac 22/03/2021 24000221
108 Z-A18263F9 357503******0004 Fitri Mulyani 36 081334174091 CoronaVac 22/03/2021 24000221
109 Z-A8ABC50F 357501******0005 Nurul Khasanah 49 081330080566 CoronaVac 22/03/2021 24000221
110 Z-A96F3B00 357502******0003 MIFTACHUL CHOIRONI 33 082351963993 CoronaVac 22/03/2021 24000221
111 Z-AF8D448C 357501******0002 Luluk Kaidah 43 081233855881 CoronaVac 22/03/2021 24000221
112 Z-B7385B29 357501******0001 Fani Yunianto 40 081335332183 CoronaVac 22/03/2021 24000221
113 Z-D3D67AC1 357502******0002 ADHE IRNA ZAHRA 32 081210626117 CoronaVac 22/03/2021 24000221
114 Z-D5E93879 357501******0002 Catur Wahyu Novita Santi 41 082257196446 CoronaVac 22/03/2021 24000221
115 Z-D63CCE58 351417******0002 Rosyidah Diana 24 082229078423 CoronaVac 22/03/2021 24000221
116 Z-D77D92F6 351417******0001 Khuril'in 29 082234252666 CoronaVac 22/03/2021 24000221
117 Z-D8E697A7 357501******0001 Yayuk 55 087853722083 CoronaVac 22/03/2021 24000221
118 Z-DA1DA55A 357501******0003 Hafis Syarifudin 31 082244826245 CoronaVac 22/03/2021 24000221
119 Z-E20DBB75 350804******0004 MUTIARA 29 085933821227 CoronaVac 22/03/2021 24000221
120 Z-F1F71781 357501******0005 Reni Larasati 52 081917777218 CoronaVac 22/03/2021 24000221
121 S-B01DD9E0 351416******0018 SRI WIJAYANTI 32 085790813238 CoronaVac 22/03/2021 24000221
122 S-B32A92A9 351503******0003 MUKHAMMAD RUSLAN 40 081331048751 CoronaVac 22/03/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 P-ELB1AR4G 357501******0001 YANTI AGUSTINI 52 PEDAGANG PASAR 082331515623 CoronaVac 23/03/2021 24000221
2 Q-1AF35423 357403******0004 DIDIK PURWANTO 44 085853113638 CoronaVac 23/03/2021 24000221
3 Q-1EC8F6CE 357404******0002 PRADITA PURI MAHARDIKA 23 082145561956 CoronaVac 23/03/2021 24000221
4 Q-1F03BB94 357501******0001 ELLY AMALIYAH 32 081233113057 CoronaVac 23/03/2021 24000221
5 Q-1F5D3DAE 357502******0002 DWI RACHMAWATI 36 085755113789 CoronaVac 23/03/2021 24000221
6 Q-1F6EC341 357503******0002 SRI PENI CIPTANINGDIAN 43 081333800428 CoronaVac 23/03/2021 24000221
7 Q-45039B50 351418******0006 DEWI KINANAH 22 085736554278 CoronaVac 23/03/2021 24000221
8 Q-483A575D 357501******0001 FATTAH KURNIAWAN 31 085102868996 CoronaVac 23/03/2021 24000221
9 Q-51814266 357301******0007 SITI JUWARIYAH 36 082150390959 CoronaVac 23/03/2021 24000221
10 Q-5520CBE9 357501******0001 BUDI SISWANTO 30 081217201604 CoronaVac 23/03/2021 24000221
11 Q-56F3AFB5 357501******0003 DWI ISTIANA 25 085707024024 CoronaVac 23/03/2021 24000221
12 Q-5A6A9404 357503******0004 AHMAD NADHIF 35 085746900090 CoronaVac 23/03/2021 24000221
13 Q-5AFBE69E 357503******0001 INDRI ARDININGTIA 37 081333941638 CoronaVac 23/03/2021 24000221
14 Q-5DF62DFA 351418******0002 USMAN. 38 085377410776 CoronaVac 23/03/2021 24000221
15 Q-6FFE1790 357501******0006 LUKLIN MAKLUM 38 082350596961 CoronaVac 23/03/2021 24000221
16 Q-8F234FC2 357501******0001 NURUL HIDAYATI 23 081235963964 CoronaVac 23/03/2021 24000221
17 Q-8F2D5992 357501******0004 ASFIASARI NUR AZIZUN 36 083833472929 CoronaVac 23/03/2021 24000221
18 Q-9DAED714 357503******0003 ABDUL KODIR 32 083822002009 CoronaVac 23/03/2021 24000221
19 Q-E0BFF844 351413******0001 MUHAMAD ALI ANSORI 45 085755464392 CoronaVac 23/03/2021 24000221
20 W-035E29DD 357503******0002 CHUSNUL CHOTIMAH 50 085259027090 CoronaVac 23/03/2021 24000221
21 W-085CB54C 351418******0001 RATNA TIANA RUNITA 49 081217563323 CoronaVac 23/03/2021 24000221
22 W-127E7F77 357501******0005 MAFULLA 43 081336178478 CoronaVac 23/03/2021 24000221
23 W-1C67FE1A 357501******0002 MUSRIFAH 52 082233093785 CoronaVac 23/03/2021 24000221
24 W-3CD3FA3F 357501******0002 ABDUL MUIID ALEK SUGIARTO 37 085233114455 CoronaVac 23/03/2021 24000221
25 W-4319BAD3 357501******0001 RINI SETYOWATI 55 083848264516 CoronaVac 23/03/2021 24000221
26 W-440EF36D 357502******0002 JULAICHAH 52 081216908642 CoronaVac 23/03/2021 24000221
27 W-4B78B8EE 351417******0001 NININ SUDIHARTINI 56 08563141295 CoronaVac 23/03/2021 24000221
28 W-4E684520 351410******0004 Rusikin 40 085733091555 CoronaVac 23/03/2021 24000221
29 W-597213BE 351423******0005 ABDUL MUJIB ASRORI 36 085334343383 CoronaVac 23/03/2021 24000221
30 W-5FB06419 357502******0004 FITRIA DWI YUNIAR 36 081249681808 CoronaVac 23/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
31 W-630BC43F 351417******0001 SLAMET ISROIL 31 083830578887 CoronaVac 23/03/2021 24000221

32 W-63ABF16B 351417******0004 SOLICHATUL ILMIA 38 082232305146 CoronaVac 23/03/2021 24000221
33 W-6CCD5E4F 357501******0001 AKHMAD FAUZI 26 089683822815 CoronaVac 23/03/2021 24000221
34 W-6E53FB37 357502******0005 MOHAMAD ROIS 58 081216897141 CoronaVac 23/03/2021 24000221
35 W-77E2B50A 351415******0004 VIVI NUR INDAH SARI 31 0895617818249 CoronaVac 23/03/2021 24000221
36 W-79E4B1E0 357501******0001 SUCIATI 57 085746904872 CoronaVac 23/03/2021 24000221
37 W-7BCE4ABA 357502******0003 RUDIYANTO 48 081334252063 CoronaVac 23/03/2021 24000221
38 W-862763AF 357502******0001 CHUDAIBIJAH 50 082233954709 CoronaVac 23/03/2021 24000221
39 W-8A9C9EF1 357501******0002 SUSIYANTI 43 085257559365 CoronaVac 23/03/2021 24000221
40 W-8B19FFE7 357501******0003 ASMANIA 57 085790453864 CoronaVac 23/03/2021 24000221
41 W-9858A233 357501******0001 SADI 54 085852412782 CoronaVac 23/03/2021 24000221
42 W-99D0C963 357501******0001 EMY MUJIWATI 57 085232677767 CoronaVac 23/03/2021 24000221
43 W-9A1989A8 357501******0002 ROMLI 56 081555368555 CoronaVac 23/03/2021 24000221
44 W-A35FC435 351411******0005 KURSIATI 44 085102668350 CoronaVac 23/03/2021 24000221
45 W-A4906F67 357502******0002 CHOTIP 56 081233083455 CoronaVac 23/03/2021 24000221
46 W-AEFF3DCE 351423******0001 AKHMAD DAHLAN 41 082245293393 CoronaVac 23/03/2021 24000221
47 W-AF3F625A 357501******0003 AISYATUL BAROH 37 085102843675 CoronaVac 23/03/2021 24000221
48 W-B3BECDCE 351415******0001 NURUL APRILIANI 32 085731808180 CoronaVac 23/03/2021 24000221
49 W-B914C281 357501******0002 HARUM MUSTIKANINGSIH 35 085746903364 CoronaVac 23/03/2021 24000221
50 W-BA8A65C6 351423******0001 SITI FADILAH 52 081259521033 CoronaVac 23/03/2021 24000221
51 W-BEB0664D 357701******0001 SYAHLUL RIZKI YULANDRA 36 08563408485 CoronaVac 23/03/2021 24000221
52 W-D4375CED 357502******0001 MUJIATI 58 081359559596 CoronaVac 23/03/2021 24000221
53 W-D65E064D 357501******0003 DINI NURUL HIDAYAH 44 081331332109 CoronaVac 23/03/2021 24000221
54 W-D82F5321 357502******0002 NANIS TRI ISWARI 53 085649647969 CoronaVac 23/03/2021 24000221
55 W-E7EF2EDB 357502******0001 NUR LAILA 53 08813365607 CoronaVac 23/03/2021 24000221
56 W-EC5715ED 357501******0004 KHODIJAH 46 085704836211 CoronaVac 23/03/2021 24000221
57 W-EE699CB4 357502******0002 JUWARIYAH 58 082132663507 CoronaVac 23/03/2021 24000221
58 W-F1745A49 357501******0006 ANIS RAHAYU 39 081932781053 CoronaVac 23/03/2021 24000221
59 W-F2A86DDC 357501******0008 UMMU SALAMATURROHMAH 39 085231758206 CoronaVac 23/03/2021 24000221
60 W-F83CA0BA 351413******0001 AKHMAD SYAHRUL MUBAROK 26 081358858418 CoronaVac 23/03/2021 24000221
61 W-F8C6CD07 351416******0004 SUTARTO 58 081249664600 CoronaVac 23/03/2021 24000221
62 W-FF5DC477 351419******0001 BUDI PRIYANTO 55 081334304615 CoronaVac 23/03/2021 24000221
63 Z-013EC30E 357502******0003 ERIKA IRIYANTI 39 082141818108 CoronaVac 23/03/2021 24000221
64 Z-03C7F121 357501******0001 IDAH FITRIANI 46 082118597479 CoronaVac 23/03/2021 24000221
65 Z-0EB2BE7C 357501******0001 Devi Ernawati 34 085648705598 CoronaVac 23/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
66 Z-102246F0 357501******0005 NANING SOFIYANTI 38 082232081655 CoronaVac 23/03/2021 24000221

67 Z-16BC337E 357501******0002 SITI JAMIAH. 48 085648386840 CoronaVac 23/03/2021 24000221
68 Z-1FE8E9B5 357502******0005 DORA IRAWATI 37 082140543027 CoronaVac 23/03/2021 24000221
69 Z-22E5626D 357502******0001 KHOIRUL ANAM 28 082232126346 CoronaVac 23/03/2021 24000221
70 Z-23BE4836 357502******0001 SHOLIHATIN 46 081252633372 CoronaVac 23/03/2021 24000221
71 Z-25AD31B6 357501******0007 LAILATUL FITRIYAH 34 082332981800 CoronaVac 23/03/2021 24000221
72 Z-288B0BE5 352513******0001 ACHUL KHOIRUN NISA 30 089699898489 CoronaVac 23/03/2021 24000221
73 Z-2FB224DB 357503******0006 Layli Fitria 38 081252688866 CoronaVac 23/03/2021 24000221
74 Z-31C3F368 357503******0003 Febrianto 33 083136232847 CoronaVac 23/03/2021 24000221
75 Z-3C3ED019 357501******0003 ANIK SUNDARI 42 082338978343 CoronaVac 23/03/2021 24000221
76 Z-419C7A10 357501******0001 PUJIASIH 39 085103872066 CoronaVac 23/03/2021 24000221
77 Z-4497837D 357502******0002 RIRIN SULISTYOWATI FITRIYAH 37 081939713117 CoronaVac 23/03/2021 24000221
78 Z-4886BBDA 357501******0001 Kasnadi 49 081235826092 CoronaVac 23/03/2021 24000221
79 Z-4B5C1E1B 357501******0001 Nurul Hidayati 44 083122067667 CoronaVac 23/03/2021 24000221
80 Z-4FEC1EA4 357501******0005 YUNIATI 45 082331563710 CoronaVac 23/03/2021 24000221
81 Z-50DB5D34 357501******0003 ANA ZUBAIDAH 45 085101205779 CoronaVac 23/03/2021 24000221
82 Z-57B4D9FB 351423******0001 Lidya Nur Auliyani 24 089665200675 CoronaVac 23/03/2021 24000221
83 Z-57B88BB8 357502******0005 Fauziah 40 085232543255 CoronaVac 23/03/2021 24000221
84 Z-5840C990 357501******0001 NUR KHOTIJAH 42 085791581619 CoronaVac 23/03/2021 24000221
85 Z-5CC38613 357503******0002 Djaniati 53 085336982489 CoronaVac 23/03/2021 24000221
86 Z-5D4CE7BD 357501******0004 NURMAH 37 088502665598 CoronaVac 23/03/2021 24000221
87 Z-6A2CA829 357501******0003 KHUSNUL KHOTIMAH 51 081334127541 CoronaVac 23/03/2021 24000221
88 Z-6EBC5F4A 357501******0002 SOFIA NUR DIANA 39 085334194314 CoronaVac 23/03/2021 24000221
89 Z-773F4AF3 357501******0001 WIDIARSIH 49 082139147909 CoronaVac 23/03/2021 24000221
90 Z-7E6DE83C 357501******0001 NUR HIDAYATI 38 085103749661 CoronaVac 23/03/2021 24000221
91 Z-833418BC 357501******0001 Nur Afidah 46 081216878554 CoronaVac 23/03/2021 24000221
92 Z-83F37AF1 357502******0001 Dupita Sun Aluwih 39 08155205641 CoronaVac 23/03/2021 24000221
93 Z-8DEB215A 357501******0004 UMI SAKINAH 42 082333123500 CoronaVac 23/03/2021 24000221
94 Z-8F698011 351419******0002 AKH SUFYAN 32 083854130642 CoronaVac 23/03/2021 24000221
95 Z-9782B7D6 357502******0001 Suroya 26 08815533408 CoronaVac 23/03/2021 24000221
96 Z-9AB3795F 357501******0002 Catur Rahayu Kurniawati 47 081332805027 CoronaVac 23/03/2021 24000221
97 Z-AF495FCF 357501******0001 IDA NURYANTI 27 085755623163 CoronaVac 23/03/2021 24000221
98 Z-B29D9903 357502******0001 VITA ANGGRAINI 26 081336705554 CoronaVac 23/03/2021 24000221
99 Z-BD8F262C 357501******0003 Mas' uda 22 089666449799 CoronaVac 23/03/2021 24000221
100 Z-BF47CD0F 357502******0011 Muhamad Mauludin 47 085100774627 CoronaVac 23/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
101 Z-C1C4074F 357501******0003 NURIL ISMIYAH 42 081331779888 CoronaVac 23/03/2021 24000221

102 Z-C20E4A60 357501******0004 KHUMAIDA IRMANIA 25 082122972887 CoronaVac 23/03/2021 24000221
103 Z-CBA12547 357501******0008 IKAWATI LUSIA DEWI 37 081232336959 CoronaVac 23/03/2021 24000221
104 Z-CEE1FE46 357503******0006 SITI KHOSIYATILAH 33 085755376953 CoronaVac 23/03/2021 24000221
105 Z-D30E4ED2 357501******0001 ENY NURVITA 39 085234300033 CoronaVac 23/03/2021 24000221
106 Z-DFD9BE1D 357501******0013 Nur Indah Ermalidiyah 37 08814567890 CoronaVac 23/03/2021 24000221
107 Z-E2799DEE 357501******0001 DEWI YANTI 46 082231258392 CoronaVac 23/03/2021 24000221
108 Z-E7B14557 357503******0003 MOHAMMAD SYAIKHU 40 085233078023 CoronaVac 23/03/2021 24000221
109 Z-EA9F4541 351406******0001 Yuli Ismundiarti Palupi 48 081249187440 CoronaVac 23/03/2021 24000221
110 Z-EECAFA73 357501******0003 ROIKHANAH 38 085749643600 CoronaVac 23/03/2021 24000221
111 Z-F55CCC34 357501******0003 Siti Mariyam 45 085607544102 CoronaVac 23/03/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 Q-06A255B0 350920******0002 YULIANING HARIYANTI 36 085784295579 CoronaVac 24/03/2021 24000221

2 Q-17AF03C7 357502******0002 Prihatin Fitriyaningsih 35 081334140664 CoronaVac 24/03/2021 24000221
3 Q-34760B45 357502******0001 SAILAH ILMIYAH 26 085850154775 CoronaVac 24/03/2021 24000221
4 Q-5DE961AD 357502******0003 KHURIN AINI 28 081244434822 CoronaVac 24/03/2021 24000221
5 Q-63A37094 357501******0001 BUDI SANTOSO 48 081231632730 CoronaVac 24/03/2021 24000221
6 Q-66233A3F 352804******0002 BAGUS PERMADI 28 085230886175 CoronaVac 24/03/2021 24000221
7 Q-B1AD2750 357501******0001 ATIK ISMIATI 46 085235138466 CoronaVac 24/03/2021 24000221
8 Q-BC0A1D91 357503******0003 AKHMAD MUZAKKI 37 081234325720 CoronaVac 24/03/2021 24000221
9 Q-BC77A4D5 351414******0003 ZAHROTUL WARDA 32 0895366153055 CoronaVac 24/03/2021 24000221
10 Q-C0D6E10F 357502******0003 KHUSNUL KHOTIMAH 36 085791577358 CoronaVac 24/03/2021 24000221
11 Q-C59A7DED 357502******0003 MARIYATUL QIBTIYAH 30 082332304474 CoronaVac 24/03/2021 24000221
12 Q-DB709C3E 351416******0001 SADAM HUSEN 28 081336182492 CoronaVac 24/03/2021 24000221
13 Q-EA877BE5 351415******0004 SAEFI 41 085130357010 CoronaVac 24/03/2021 24000221
14 W-0C094AF9 357502******0001 CHUSNUL CHOTIMAH 52 089699649475 CoronaVac 24/03/2021 24000221
15 W-10316B51 357501******0003 Fauziah 42 085238797292 CoronaVac 24/03/2021 24000221
16 W-1F663B42 351417******0002 ENDAH RAHMAHWATI 29 083854163580 CoronaVac 24/03/2021 24000221
17 W-21DC62F3 357501******0002 RIA HARDINI 38 085649219115 CoronaVac 24/03/2021 24000221
18 W-39E6AEE2 357503******0016 Khurotul 'aini 37 085106483469 CoronaVac 24/03/2021 24000221
19 W-3ABD6F2A 357503******0002 YOSIDA ROSANTI 52 081357759644 CoronaVac 24/03/2021 24000221
20 W-4369C2BB 350709******0001 TAUFIK MADURETNO 54 081334551850 CoronaVac 24/03/2021 24000221
21 W-9E17B508 352506******0001 Siti Maulana, S.pdi.mi 29 0895366401481 CoronaVac 24/03/2021 24000221
22 W-AAE3A888 357502******0004 Evi Nur Hidayah 43 085259497979 CoronaVac 24/03/2021 24000221
23 W-B08D5C09 357502******0004 BURHANU NISWATIL IFFA 40 081235786640 CoronaVac 24/03/2021 24000221
24 W-B4B63295 357501******0003 TA"DIMATUL FATMA 23 085852777975 CoronaVac 24/03/2021 24000221
25 W-B5E70D8D 357503******0001 Arie Iswadi 37 0859188350759 CoronaVac 24/03/2021 24000221
26 W-D9BC07E7 330608******0002 ANISSA TRISNA ARGARINI 29 082244830001 CoronaVac 24/03/2021 24000221
27 W-F0A8506D 357502******0003 Rocheya 48 085733464557 CoronaVac 24/03/2021 24000221
28 Z-02D15D18 357502******0001 Muhammad Badrus Salam 32 085856573989 CoronaVac 24/03/2021 24000221
29 Z-03692FB8 350928******0003 LILIK MARDIANA 33 082337163397 CoronaVac 24/03/2021 24000221
30 Z-0456E38C 357503******0001 Masita 37 083833654784 CoronaVac 24/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
31 Z-23E872A1 357502******0001 Wenny Agustiningsih 33 085604198488 CoronaVac 24/03/2021 24000221

32 Z-3AA16819 357502******0005 Delia Nurul Bahjah 38 081259524279 CoronaVac 24/03/2021 24000221
33 Z-775CF3BE 351416******0005 NURUL BADRIYYAH 30 085101778438 CoronaVac 24/03/2021 24000221
34 Z-7F1667C3 351417******0003 Juni Kurniawati 29 082332184040 CoronaVac 24/03/2021 24000221
35 Z-84C0224D 357502******0002 Slamet Gani Siswono 55 085895199978 CoronaVac 24/03/2021 24000221
36 Z-9488BDF7 351416******0033 Faris Zulkarnain 37 082233507524 CoronaVac 24/03/2021 24000221
37 Z-96A02CB0 357502******0002 Suciana 36 082143482955 CoronaVac 24/03/2021 24000221
38 Z-9E9FE2E5 351416******0028 Ahmad Syaiful Bachri 33 0895804265655 CoronaVac 24/03/2021 24000221
39 Z-A87E4A3D 351413******0002 RUKHIYATI 54 085708868951 CoronaVac 24/03/2021 24000221
40 Z-AA083350 357502******0003 Iffa Yuliana 44 082140542253 CoronaVac 24/03/2021 24000221
41 Z-C31C4556 357501******0002 Mukhammad Faiz 31 081231172555 CoronaVac 24/03/2021 24000221
42 Z-CACF9B5E 357502******0005 Bustanul Arifin 30 082231286464 CoronaVac 24/03/2021 24000221
43 Z-E2071D3B 357503******0008 FATKHUL JANNAH 45 085852480991 CoronaVac 24/03/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 P-7Q7DOYXL 357503******0006 DEVI PERMATA SARI 24 082264555036 CoronaVac 25/03/2021 24000221

2 P-HEDOTRO4 357502******0005 EKA RAHMAWATI 24 081554428554 CoronaVac 25/03/2021 24000221
3 P-HEX4QFKA 357502******0001 IZZATUL MAHBUBAH 22 083119774818 CoronaVac 25/03/2021 24000221
4 P-HGMRPWJI 351417******0002 ZIAN AR RAZY 31 085732041171 CoronaVac 25/03/2021 24000221
5 P-HGVJS22W 351418******0001 ALFIYAN KHAMAMI 22 085790600257 CoronaVac 25/03/2021 24000221
6 P-HIEUELIP 357501******0005 LILIK SUCIATI 48 081334278887 CoronaVac 25/03/2021 24000221
7 P-HJ1GCI07 357501******0001 MUHAMMAD WAHYUDI 48 082139194772 CoronaVac 25/03/2021 24000221
8 P-HJIY1VCY 357501******0006 SALSYABILLAH KURNIA PUTRI 21 088228300876 CoronaVac 25/03/2021 24000221
9 P-HJVSU0SJ 357502******0003 ROMLAH 58 081332747708 CoronaVac 25/03/2021 24000221
10 P-HK8FBJ0P 351416******0003 H. M SYA'IN 50 085103777083 CoronaVac 25/03/2021 24000221
11 P-HKS8CIZN 351416******0002 MUHAMMAD ALDI 21 081357590377 CoronaVac 25/03/2021 24000221
12 P-HLIXPBFD 357501******0001 SULAIMAN 51 081333953008 CoronaVac 25/03/2021 24000221
13 P-HMAESMWP 351423******0003 ABDUL NAHAK 38 085331050092 CoronaVac 25/03/2021 24000221
14 P-HMKEGOD7 351416******0001 MOH SAFIN 59 081335015574 CoronaVac 25/03/2021 24000221
15 P-HMXXX3OW 357502******0002 NUR KHOLIS 47 081459154760 CoronaVac 25/03/2021 24000221
16 P-HQD1GBDD 357304******0004 FUAD CAHYADI 37 081233687706 CoronaVac 25/03/2021 24000221
17 P-HSFOHO4R 357501******0001 SALAMUN 53 085715917596 CoronaVac 25/03/2021 24000221
18 P-HSRIJQ10 351417******0004 ACHMAD BASORI 51 088230206147 CoronaVac 25/03/2021 24000221
19 P-HTJPH8AK 357502******0001 ILMIYATUN NADIROH 22 085850799762 CoronaVac 25/03/2021 24000221
20 P-HUVUCEEY 357501******0006 ARIF EFENDI 36 082245463777 CoronaVac 25/03/2021 24000221
21 P-HVQQCJZ6 351417******0001 ACHMAD AFANDI 21 088230206147 CoronaVac 25/03/2021 24000221
22 P-HVYHVQNI 357503******0001 KUSEN 53 085100622738 CoronaVac 25/03/2021 24000221
23 P-HW7IBHNM 351417******0009 MUNADI ALDA 49 081232465563 CoronaVac 25/03/2021 24000221
24 P-HXUS1G5U 351406******0007 TONI WIJAYA 39 082139187887 CoronaVac 25/03/2021 24000221
25 P-HZCF19SI 351703******0002 DJUNAEDI ERWANTO 42 085791165553 CoronaVac 25/03/2021 24000221
26 P-HZLRQ96M 351416******0002 HIDAYATULLOH 43 085257596780 CoronaVac 25/03/2021 24000221
27 P-I15H3SDV 150817******0001 PUTRA RAHMAN FITRIANTO 21 082271196334 CoronaVac 25/03/2021 24000221
28 P-I1GKHSVY 351416******0008 M IMRON 40 082131021177 CoronaVac 25/03/2021 24000221
29 P-I1RCNRW2 357501******0002 WAGIYANTO 29 083834548774 CoronaVac 25/03/2021 24000221
30 S-016304CF 351515******0004 MUNAWAROH 52 081331330032 CoronaVac 25/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
31 S-10F09BEE 351417******0001 SAMUDI 62 082139900530 CoronaVac 25/03/2021 24000221

32 S-1545B464 357201******0002 EDI RISMAWAN 43 081334820018 CoronaVac 25/03/2021 24000221
33 S-18B4DE69 357502******0001 SULISTYOWATI RIANI 48 085234845250 CoronaVac 25/03/2021 24000221
34 S-19465905 357501******0003 AGUS HARIANTO 55 081333412887 CoronaVac 25/03/2021 24000221
35 S-2647C036 357501******0004 Dyah Puspita Rini 37 081999014669 CoronaVac 25/03/2021 24000221
36 S-2A090E30 357502******0002 MARTIWIJASRI 51 081333915166 CoronaVac 25/03/2021 24000221
37 S-5446B2E1 351423******0004 Elvida 50 0818304697 CoronaVac 25/03/2021 24000221
38 S-59C14C45 357503******0004 Kuswandari 53 082132869195 CoronaVac 25/03/2021 24000221
39 S-5DA24072 357502******0004 Rini Andriyani 36 087856877998 CoronaVac 25/03/2021 24000221
40 S-819F2DF7 357502******0001 Heru Sudariyanto 46 085257747062 CoronaVac 25/03/2021 24000221
41 S-91409321 357501******0001 NISWATI, S.Pd. 60 085104850013 CoronaVac 25/03/2021 24000221
42 S-AEBB2679 357501******0001 LULUT INDRAWATI 49 081259599988 CoronaVac 25/03/2021 24000221
43 S-BB782964 357503******0001 Nurul Faizah 38 082140912660 CoronaVac 25/03/2021 24000221
44 S-F44BE092 357503******0001 Priyanto 62 085100629054 CoronaVac 25/03/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 P-IFYLM0V8 351417******0001 MASLIKHAH 52 082244741110 CoronaVac 26/03/2021 24000221

2 P-IGBR7SKE 351417******0001 MUFIDATUL NI'MAH 22 0821460641790 CoronaVac 26/03/2021 24000221
3 P-IGHORQ0B 357501******0001 JUWARIYAH 41 082132197006 CoronaVac 26/03/2021 24000221
4 P-IGKO2Q05 357502******0003 MOHAMAD AMIN 46 085103641990 CoronaVac 26/03/2021 24000221
5 P-II9KKK9A 357502******0003 FARIDATUL IZZAH 54 0811368143 CoronaVac 26/03/2021 24000221
6 P-IKL7E4FM 357503******0005 AKHMAD KHOIRUL MUTTAQIN 25 089699291954 CoronaVac 26/03/2021 24000221
7 P-IRL05MLB 357502******0001 WAHYU SETYO NINGRUM 33 08885032262 CoronaVac 26/03/2021 24000221
8 P-IROMEKTW 351416******0003 SATRIO ADI RUBIANTORO 25 081555408133 CoronaVac 26/03/2021 24000221
9 P-ISFPNL0D 357502******0001 WARDATUL INSANIYAH 24 082335556670 CoronaVac 26/03/2021 24000221
10 P-ITZYKUYV 357501******0001 AGUSTIA DEWI ANGGRAINI 25 083119191996 CoronaVac 26/03/2021 24000221
11 P-IUKSO6UC 357502******0005 SU'UDI 38 082131938088 CoronaVac 26/03/2021 24000221
12 P-IVHU37N4 351409******0002 M. SAMSUL HADI 34 082244036330 CoronaVac 26/03/2021 24000221
13 P-IVIEOUOL 357502******0004 MOCHAMMAD WACHID 28 082140007727 CoronaVac 26/03/2021 24000221
14 P-IVSGKUNF 357503******0004 ASRI MAULINA 44 085258367702 CoronaVac 26/03/2021 24000221
15 P-IVVMJB7E 351416******0001 DEWI SAFITRI 20 081285061130 CoronaVac 26/03/2021 24000221
16 S-0677AF4E 357503******0002 WIDYA FAHMI 33 085704200344 CoronaVac 26/03/2021 24000221
17 S-0A8E3E7D 357502******0001 DJAMAALI 69 081332609055 CoronaVac 26/03/2021 24000221
18 S-0BDB63AB 357503******0001 M WIRSHON HADIYUDDIN 22 085334961510 CoronaVac 26/03/2021 24000221
19 S-0C4D7FCB 357501******0003 Indria Mawaddah 51 085745383030 CoronaVac 26/03/2021 24000221
20 S-0FEA5A49 357501******0002 RIGA AJENG SELARASARI 29 085727219743 CoronaVac 26/03/2021 24000221
21 S-11324A8C 357501******0003 KHOIRUL ANAM 36 085806307716 CoronaVac 26/03/2021 24000221
22 S-133E0BB6 357501******0001 FITRI FARIDIA DEVI 29 085733236040 CoronaVac 26/03/2021 24000221
23 S-13645842 357502******0003 MUHAMMAD BUSTOMY 29 085334441046 CoronaVac 26/03/2021 24000221
24 S-13821D3A 357502******0004 HARIONO 46 085806655475 CoronaVac 26/03/2021 24000221
25 S-19D1791D 357502******0005 DEWI RATNA SARI 27 081350608488 CoronaVac 26/03/2021 24000221
26 S-1B2F7E8D 357501******0005 HANIFA MUDRIKA 32 081264588389 CoronaVac 26/03/2021 24000221
27 S-1CA0E695 357503******0001 LAILATUL QODRIYAH 42 085730793149 CoronaVac 26/03/2021 24000221
28 S-1CBDD11F 357502******0005 ACHMAD AFRIANDI 35 085646417414 CoronaVac 26/03/2021 24000221
29 S-1CECBE7A 357501******0001 SANTI YUNI PURWATI 27 085334256826 CoronaVac 26/03/2021 24000221
30 S-1F07EBD4 357501******0001 FITRIA ULFAH 26 085232722060 CoronaVac 26/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
31 S-2187F7A4 357503******0004 UYUNUM MASYKURO 54 081249891722 CoronaVac 26/03/2021 24000221

32 S-21E24D82 351504******0002 NURUL FITRI 52 085707619780 CoronaVac 26/03/2021 24000221
33 S-22F64A7E 351416******0001 KIKI RATNO JAYANTI 25 087846276741 CoronaVac 26/03/2021 24000221
34 S-24230450 357501******0001 KARTIKA EKA SURYANISPD 29 081936821682 CoronaVac 26/03/2021 24000221
35 S-26093F9B 357503******0004 EKA HARIYANTI 35 082230312080 CoronaVac 26/03/2021 24000221
36 S-3148DBF8 351418******0002 LUKMAN CHAMZAH 43 082141113330 CoronaVac 26/03/2021 24000221
37 S-33D1EE0F 357503******0002 AMINATUS ZUHRIAH 39 081336465191 CoronaVac 26/03/2021 24000221
38 S-34C8931C 357503******0001 JIHAN QOTRUNNADA 26 081217586214 CoronaVac 26/03/2021 24000221
39 S-38056F74 351513******0003 ISMI BARIYAH 39 085645046454 CoronaVac 26/03/2021 24000221
40 S-3E7BDEF1 351418******0002 NAILATUL FAIDAH SPD 30 082231401499 CoronaVac 26/03/2021 24000221
41 S-4361FD5F 357502******0001 SITI KHOFILAH 54 08311461061 CoronaVac 26/03/2021 24000221
42 S-44DB02C8 357501******0001 IMAM MASHUDI 48 085790987634 CoronaVac 26/03/2021 24000221
43 S-4C03A135 351423******0002 KARIMATUL AMINAH 27 082334300840 CoronaVac 26/03/2021 24000221
44 S-4C8075A5 357502******0001 SITI NAFISAH 47 085100831748 CoronaVac 26/03/2021 24000221
45 S-59BC97E9 357503******0001 LAILIATUL FAIZAH 35 081515177809 CoronaVac 26/03/2021 24000221
46 S-5A80CBA4 357501******0001 ANANDA 24 089654194842 CoronaVac 26/03/2021 24000221
47 S-5E343233 357502******0005 MUH. SALIM 41 081334127950 CoronaVac 26/03/2021 24000221
48 S-5F59BEC0 351416******0002 SUHARTINI 39 085732039422 CoronaVac 26/03/2021 24000021
49 S-5F6F8807 351204******0001 KHALIS NURUL HIDAYAH 31 081259551014 CoronaVac 26/03/2021 24000221
50 S-74DFF9D7 357503******0001 SUKENDRO 51 085730534121 CoronaVac 26/03/2021 24000221
51 S-79D670E3 351418******0002 DIAH FIKRIA 25 085704382652 CoronaVac 26/03/2021 24000221
52 S-7BC5815A 352602******0007 M. SYAIFUL MAÀRIF 35 087854488820 CoronaVac 26/03/2021 24000221
53 S-7DA4D66A 357502******0001 SITI AMINAH 36 085236107901 CoronaVac 26/03/2021 24000221
54 S-84CE2F5D 357503******0001 CHOMSAH SPDSD 40 082335131250 CoronaVac 26/03/2021 24000221
55 S-85B1F75C 357503******0001 M. NUR IKHSAN 26 082335566599 CoronaVac 26/03/2021 24000221
56 S-8A0AF188 357502******0002 SITI UMI HANIK SPDI 31 082334123154 CoronaVac 26/03/2021 24000221
57 S-8ED7F83A 357503******0001 MAULIDIA EKA PUTRI JULAEKHA 29 085719912219 CoronaVac 26/03/2021 24000221
58 S-91C9130B 357502******0003 DEVIE TRI SHINTYA 25 085815321465 CoronaVac 26/03/2021 24000221
59 S-9470A24C 357502******0003 MOKHAMAD NUR MUJIB 31 0895377318404 CoronaVac 26/03/2021 24000221
60 S-99228884 357501******0002 ACHMAD GHUFRON AFFANDI 26 081334121412 CoronaVac 26/03/2021 24000221
61 S-9B704F3F 357503******0005 NANING SAADAH 44 085235409529 CoronaVac 26/03/2021 24000221
62 S-9B79B2F9 357502******0001 ANIS PINURIH, SE 51 085755699798 CoronaVac 26/03/2021 24000221
63 S-9DF66B26 357501******0001 RISTA INDAH YUSIYANTI 32 085808171811 CoronaVac 26/03/2021 24000221
64 S-9EFA30BF 357503******0003 EKA FEBRI YUNIATI SPD 33 085649560694 CoronaVac 26/03/2021 24000221
65 S-A8B8207D 357502******0001 TITIK ATIKA 50 085607099877 CoronaVac 26/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
66 S-B010A12B 351423******0003 BAYU HENIK KRISTINA 34 085815555200 CoronaVac 26/03/2021 24000221

67 S-B1BDE839 357501******0002 MASITA 56 087754309422 CoronaVac 26/03/2021 24000221
68 S-BBD3833C 357501******0001 MAGHFIROTUL KHUSNAINI 28 081359098262 CoronaVac 26/03/2021 24000221
69 S-BF007445 357502******0001 CUCUN MARYUNANI 52 082335484183 CoronaVac 26/03/2021 24000221
70 S-C9367DA9 357503******0005 KHARIRAH 46 081358367447 CoronaVac 26/03/2021 24000221
71 S-CB2747AE 357501******0001 HARIYANTO 50 083830935149 CoronaVac 26/03/2021 24000221
72 S-D02BDC9C 357503******0001 FITROTUN AZIZAH SPD 41 081554815368 CoronaVac 26/03/2021 24000221
73 S-D1993B87 351416******0002 DIAN MUSLIMAWATI 20 081331763085 CoronaVac 26/03/2021 24000221
74 S-DC7F5074 357501******0004 MOKHAMMAD SHOLIKHUD TAMAMI 37 082229237770 CoronaVac 26/03/2021 24000221
75 S-DF299A70 351418******0002 MARZUKI 36 081217501725 CoronaVac 26/03/2021 24000221
76 S-E63A833B 357501******0001 SITI CHOIRIYAH 36 085334433826 CoronaVac 26/03/2021 24000221
77 S-E65B5441 357503******0001 SITI ALFIYAH 42 087898405788 CoronaVac 26/03/2021 24000221
78 S-E75C1BBE 357501******0003 RIRIN NURYANTI 50 085730860856 CoronaVac 26/03/2021 24000221
79 S-E907B5CF 357501******0004 KUSTAMAJI NURHASYIM 44 085755473007 CoronaVac 26/03/2021 24000221
80 S-E950E05F 357502******0002 RODOTUL KHUNAINI SPD 36 081239419100 CoronaVac 26/03/2021 24000221
81 S-EAD64F3F 357503******0001 CHIKMATUL JANNAHSPD 48 082233839159 CoronaVac 26/03/2021 24000221
82 S-EB056676 357502******0001 SITI AMINAH 36 085785506385 CoronaVac 26/03/2021 24000221
83 S-EFC1127B 357502******0004 ANIK MUFIDAH 44 081333302788 CoronaVac 26/03/2021 24000221
84 S-F1BB96FC 357503******0001 FATIYATUL MAHMUDAH 53 081331315315 CoronaVac 26/03/2021 24000221
85 S-F4728E49 357503******0001 SRI HARIANI 43 081352003636 CoronaVac 26/03/2021 24000221
86 S-F780517F 357503******0002 MUKHAMMAD WAHYUDI 28 085646426290 CoronaVac 26/03/2021 24000221
87 S-F97C90AA 357503******0003 MUHAMMAD NASIHUN AMIN 21 085735029529 CoronaVac 26/03/2021 24000221
88 S-FD267227 357501******0005 WACHYUDI ACHMAD 39 08113505081 CoronaVac 26/03/2021 24000221
89 Y-00004FU8 357501******0001 WILDAN ROMADHONI 28 082257061341 CoronaVac 26/03/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 P-JCVUI6TS 357503******0002 ILMIYAH 36 085755186590 CoronaVac 27/03/2021 24000221

2 P-JD3VJDQL 357502******0002 AFANI KURNIAWAN 22 081231705627 CoronaVac 27/03/2021 24000221
3 P-JDPHB4PO 351420******0005 NOR KOMARIYAH 32 085258730967 CoronaVac 27/03/2021 24000221
4 P-JDYGHQKN 357502******0001 SITI NUR FAIZAH 25 085784449938 CoronaVac 27/03/2021 24000221
5 P-JEBAOV2W 351418******0002 MACHMUDAH 41 085855242327 CoronaVac 27/03/2021 24000221
6 P-JEJT96QP 357502******0007 NUR MAZIDAH 39 083132145569 CoronaVac 27/03/2021 24000221
7 P-JGEAY3PD 357502******0003 ACHMAD JAELANI 28 08595497444 CoronaVac 27/03/2021 24000221
8 P-JGNLSLF8 357501******0003 NUR DUCHAH 51 087852821078 CoronaVac 27/03/2021 24000221
9 P-JGP7MZJT 357501******0002 FATMAWATI 40 085101562600 CoronaVac 27/03/2021 24000221
10 P-JH6WPI9X 357501******0001 LAILY BUDIARTI 26 082244736519 CoronaVac 27/03/2021 24000221
11 P-JHQ112M2 357501******0001 ERNAWATI 35 085606907874 CoronaVac 27/03/2021 24000221
12 P-JIDIJHFR 351422******0001 IRFAN ABDUL GHONI 24 0895801042836 CoronaVac 27/03/2021 24000221
13 P-JIPOOAJL 351416******0005 ANISA USOLIHA 42 085730949593 CoronaVac 27/03/2021 24000221
14 P-JKFXM00S 357503******0005 MUFIDATUL FITRIAH 20 085746320210 CoronaVac 27/03/2021 24000221
15 P-JKNKRVO5 357503******0001 MALIHA 24 089673383081 CoronaVac 27/03/2021 24000221
16 P-JL2TMYKU 351419******0001 NOVI INDAH KURNIAWATI 20 083898380935 CoronaVac 27/03/2021 24000221
17 P-JLBOKINP 357503******0003 ANGGITYA OKTAFISARI 20 087507261465 CoronaVac 27/03/2021 24000221
18 P-JLM1UWCM 357501******0001 MUHAMMAD NURUDDIN ISLAM 24 083833248326 CoronaVac 27/03/2021 24000221
19 P-JLRY9A5F 357503******0003 FERDHA INDRA PRASETYA 24 08176727674 CoronaVac 27/03/2021 24000221
20 P-JMCPVIAT 357503******0003 SITI KHUSNATI 29 085791960068 CoronaVac 27/03/2021 24000221
21 P-JN67GYO0 350301******0003 DADANG PRABOWO 33 081228744728 CoronaVac 27/03/2021 24000221
22 P-JOM6N0FC 351421******0002 MUHAMMAD FUADI SURURUZZAMA 23 085791602080 CoronaVac 27/03/2021 24000221
23 P-JOZSA19U 357501******0001 FATHIRA NADIA MAKKA 23 082330819988 CoronaVac 27/03/2021 24000221
24 P-JPO11TEZ 357502******0003 SHOLIHATI 44 082333178908 CoronaVac 27/03/2021 24000221
25 S-00A318C9 357501******0001 MALIHATUN NIMAH 24 08883305338 CoronaVac 27/03/2021 24000221
26 S-024766CF 357502******0003 ISNAINI 36 082244035325 CoronaVac 27/03/2021 24000221
27 S-03A0040A 357502******0002 LILIK SAFRIDA 25 085707639580 CoronaVac 27/03/2021 24000221
28 S-086CEDF2 357501******0004 NURUL KHIKMAH, S.PDI 50 081332607575 CoronaVac 27/03/2021 24000221
29 S-0BD39090 357501******0005 ELLY REJEKI INDIJANI 56 085851972996 CoronaVac 27/03/2021 24000221
30 S-0EE645CB 351417******0001 Indah Novita Ary Permatasari 29 085655881027 CoronaVac 27/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
31 S-10FAFD2A 351418******0001 ISNIYAHSPD 30 081330617839 CoronaVac 27/03/2021 24000221

32 S-11F06733 357502******0001 NUR ZAKIYAH SPD 26 085606181283 CoronaVac 27/03/2021 24000221
33 S-1293185B 357502******0002 M SULTHON FATHONI 41 085230306550 CoronaVac 27/03/2021 24000221
34 S-146536AD 357503******0005 NAFISAHSPD 40 082331434514 CoronaVac 27/03/2021 24000221
35 S-1B96715D 357502******0004 NUR KHOLIDA 35 08113600205 CoronaVac 27/03/2021 24000221
36 S-1E99F24D 357502******0003 IRODATUROHMAN 34 082231402577 CoronaVac 27/03/2021 24000221
37 S-22073235 357502******0004 Moch. Atfal Sidiq 49 081232973091 CoronaVac 27/03/2021 24000221
38 S-296F2C22 357502******0002 EVI MAULIDA 31 082232129704 CoronaVac 27/03/2021 24000221
39 S-327736F5 351423******0004 ASSOMATUH ZAHRO 33 085730802520 CoronaVac 27/03/2021 24000221
40 S-332AA44D 357503******0001 MAHIROTUL ULA SPDI 33 082331511415 CoronaVac 27/03/2021 24000221
41 S-347C2FD0 351413******0001 LINA YULIASTUTIK 38 08775679322 CoronaVac 27/03/2021 24000221
42 S-36E50638 351415******0009 SUBKHAN 52 083132415700 CoronaVac 27/03/2021 24000221
43 S-40989EFD 357501******0001 NOVI KURNIAWATI SPDAUD 29 085336289714 CoronaVac 27/03/2021 24000221
44 S-4628B00A 357502******0005 ACHIRUS SANAH 40 081358397646 CoronaVac 27/03/2021 24000221
45 S-53D3E080 357502******0002 MASROHA 56 081553909278 CoronaVac 27/03/2021 24000221
46 S-543A3A84 357503******0001 NURUL HIDAYATI 35 082334718598 CoronaVac 27/03/2021 24000221
47 S-57052629 357503******0001 Sakina Febriani 24 089606070273 CoronaVac 27/03/2021 24000221
48 S-59D5312B 357503******0003 KHALIMATUS SADIYAH 38 085230761029 CoronaVac 27/03/2021 24000221
49 S-5F740116 351420******0004 ARIF FAZLURROHMAN 37 082140129140 CoronaVac 27/03/2021 24000221
50 S-60C5EBDB 357503******0001 DESI KAFANILA 33 0895805014379 CoronaVac 27/03/2021 24000221
51 S-66C7A4C6 357503******0001 ACHMAD FARIDZ AGUNG WIJAYA 31 085335955184 CoronaVac 27/03/2021 24000221
52 S-67E0B19A 351423******0004 KHOIRUN NISA 39 083111021727 CoronaVac 27/03/2021 24000221
53 S-6A879E07 357503******0002 FADHYA 50 081265800165 CoronaVac 27/03/2021 24000221
54 S-6B365ED9 357502******0003 SITI FATIMAHSPDI 40 081394662216 CoronaVac 27/03/2021 2400021
55 S-6C67A718 357503******0001 CHUSNUL FITRIANI SPD 26 081259058852 CoronaVac 27/03/2021 24000221
56 S-6CD8F1F4 357503******0001 YENI TRI YUNITA 34 085755000524 CoronaVac 27/03/2021 24000221
57 S-72269E3B 357501******0001 MAIMUNATUS SYARIFAH 22 085655044996 CoronaVac 27/03/2021 24000221
58 S-7A851256 351423******0003 Elok Fauziyah, S.Pd.AUD 42 0881026999583 CoronaVac 27/03/2021 24000221
59 S-7C97EDE5 357502******0001 SITI HINDUN 24 081556995558 CoronaVac 27/03/2021 24000221
60 S-7E87FF27 357503******0002 DESI INDRIASTUTI 39 082233841816 CoronaVac 27/03/2021 24000221
61 S-7ED42904 357503******0003 KHUDAIBIYAHSPD 37 081232940335 CoronaVac 27/03/2021 24000221
62 S-84AA88A7 351423******0001 UMI KULSUM 40 082233819182 CoronaVac 27/03/2021 24000221
63 S-89D9D190 357502******0002 SOFIYATUS SOLIKHA 36 081217203901 CoronaVac 27/03/2021 24000221
64 S-8A176AF0 357502******0003 ETIK MASLUKHAH SPDI 34 0895366338431 CoronaVac 27/03/2021 24000221
65 S-8A40853D 357503******0004 NANIK MUJIATI SPD 56 085646560668 CoronaVac 27/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
66 S-90B7107A 357502******0002 DEWI MASILA 34 082329443526 CoronaVac 27/03/2021 24000221

67 S-918E435A 357502******0002 ARI HINDRIYANI 43 081252396580 CoronaVac 27/03/2021 24000221
68 S-91E99C5A 357503******0001 WIDIAH EKA PUTRI 25 082257389220 CoronaVac 27/03/2021 24000221
69 S-96357727 351418******0002 KHAMIMAHSPDI 39 082140717688 CoronaVac 27/03/2021 24000221
70 S-9BA1B06C 357503******0004 BADIAH 37 081335008790 CoronaVac 27/03/2021 24000221
71 S-9C00CD85 357503******0001 VIVI KHOIRUN NISA SPD 29 085777496876 CoronaVac 27/03/2021 24000221
72 S-9C5266F3 357502******0003 DEWI MAS'ILLAH 24 089678859220 CoronaVac 27/03/2021 24000221
73 S-9D6B4AE9 351418******0003 SITI MAULIDAH 32 PENDIDIK 085755600864 CoronaVac 27/03/2021 24000221
74 S-A3841936 357503******0001 HOLIL 60 083848383208 CoronaVac 27/03/2021 24000221
75 S-A38814A0 357502******0001 NAILY NUR SYA'BANI 21 0895327527878 CoronaVac 27/03/2021 24000221
76 S-B0E69B74 357503******0004 ANIS APRIANI 40 085606838881 CoronaVac 27/03/2021 24000221
77 S-B12DD240 351417******0001 SITI FATIMAH 54 082230949664 CoronaVac 27/03/2021 24000221
78 S-B2306272 351416******0004 ACHMAD FAUZI 35 085257699454 CoronaVac 27/03/2021 24000221
79 S-B305770B 357503******0001 FITRIANA DIAN SARI 33 082220777284 CoronaVac 27/03/2021 24000221
80 S-B462C232 357502******0001 ROSIDATUL FIGHIYAH 30 082264632833 CoronaVac 27/03/2021 24000221
81 S-BEF1E2F4 357502******0003 AFIFAH AZZAHRAH 37 085755828956 CoronaVac 27/03/2021 24000221
82 S-C04B068B 357502******0004 TRI ISMULYANTO 37 081330231762 CoronaVac 27/03/2021 24000221
83 S-C258C485 357501******0001 MISLIKHAH 48 089836609968 CoronaVac 27/03/2021 24000221
84 S-C2C406AF 351414******0003 Silvia Yuzanda 32 082165052734 CoronaVac 27/03/2021 24000221
85 S-C5A501AD 357503******0002 MUTOHARO SPDI 37 0895601123070 CoronaVac 27/03/2021 24000221
86 S-C7B37A74 357502******0004 JUWARIYAH 48 085107021656 CoronaVac 27/03/2021 24000221
87 S-C93B8A08 357502******0064 AROFAH 67 085104850013 CoronaVac 27/03/2021 24000221
88 S-CA10728D 357502******0001 VINTA YUANASPD 36 081264777211 CoronaVac 27/03/2021 24000221
89 S-CAD71A9F 357503******0004 UMI KULSUM SPD 29 083833612700 CoronaVac 27/03/2021 24000221
90 S-CCA5C71D 357502******0002 ARMINI 56 081216465775 CoronaVac 27/03/2021 24000221
91 S-CEBEB108 357503******0002 NUR KHOLIFAH HIDAYATI 30 082323421665 CoronaVac 27/03/2021 24000221
92 S-CF6C774E 357502******0006 FAUZIYAH MASRUROH 34 081231632726 CoronaVac 27/03/2021 24000221
93 S-D1B82644 357503******0001 ZAINUL ROKHMAN 41 085755882425 CoronaVac 27/03/2021 24000221
94 S-D3EA3A8A 357502******0005 DIAN SAPUTRI 39 081359549674 CoronaVac 27/03/2021 24000221
95 S-D8C7EBCE 357501******0002 SITI CHOTIDJAH 21 085706987541 CoronaVac 27/03/2021 24000221
96 S-DAF16816 357501******0001 MURIYA AGUSTIN 26 081252629560 CoronaVac 27/03/2021 24000221
97 S-DF93BB62 357503******0001 MUHAMMAD MUKHLIS 35 0895632189928 CoronaVac 27/03/2021 24000221
98 S-E0BBC143 357503******0001 HANAFI 59 085655542791 CoronaVac 27/03/2021 24000221
99 S-E260421F 357501******0001 NURUL AULA 39 082141306633 CoronaVac 27/03/2021 24000221
100 S-E6396CDB 357502******0004 FARIDA NURAINI 38 081234774330 CoronaVac 27/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
101 S-E93391E4 351417******0002 AKHMAD SAKRONI 24 085954710969 CoronaVac 27/03/2021 24000221

102 S-EA072476 357502******0001 SITI FATIMAH SPDI 35 081937030135 CoronaVac 27/03/2021 24000221
103 S-F1B00D4D 357502******0004 SETYANINGTYAS 39 082139569488 CoronaVac 27/03/2021 24000221
104 S-F343F05C 357503******0003 CHALIMATUS SYADIYAH 43 087754507415 CoronaVac 27/03/2021 24000221
105 S-F8069BCD 357501******0003 UKRIMATUS SAADAH SS 41 082234431135 CoronaVac 27/03/2021 24000221
106 S-FD8AF109 351406******0001 MUKHAMAD SOLIKHAN 37 085749441111 CoronaVac 27/03/2021 24000221
107 S-FE90A9B3 351208******0002 Triyas Rahayu 30 085336554880 CoronaVac 27/03/2021 24000221
108 S-FEF1417E 351416******0004 SRI AVIANI 29 081252957651 CoronaVac 27/03/2021 24000221
109 Y-00004FXB 357502******0001 MULAICHAH 53 08977418498 CoronaVac 27/03/2021 24000221
110 Y-00004FYS 357503******0007 MAULIDATUL BUDUR 20 081703766743 CoronaVac 27/03/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 P-D3DB73E6 357501******0001 SUGENG WINARTO 64 0816556134 CoronaVac 29/03/2021 202011048

2 Q-BA7732B1 351406******0003 HASBULLOH HUDA 26 085799922787 CoronaVac 29/03/2021 24000221
3 N-4359C3E6 357501******0001 SUKO WIDODO 72 081331399793 CoronaVac 29/03/2021 24000221
4 P-1IQWSFDP 357501******0002 DYAH BUDIANI 65 081554370773 CoronaVac 29/03/2021 24000221
5 P-K70K1HZ0 357503******0002 SAFUAN 60 081919691961 CoronaVac 29/03/2021 24000221
6 P-KAAG657L 352215******0002 OKTIVIANI CHOIRIMA 25 082231093749 CoronaVac 29/03/2021 24000221
7 P-KB6BC6YQ 357404******0008 AHMAT SAIFUL 44 085215432204 CoronaVac 29/03/2021 24000221
8 P-KCJJJ1BN 357806******0007 MUHAMMAD LUTHFI CHOIRUL ANAM 27 082234410406 CoronaVac 29/03/2021 24000221
9 P-KCR443O0 357503******0005 M ROFII 44 085746344474 CoronaVac 29/03/2021 24000221
10 P-KD0H41QO 351419******0003 FAHRUDIN ALIF 42 082146981229 CoronaVac 29/03/2021 24000221
11 P-KDPGD5K5 351408******0001 AGUS NURHADI 24 085815237138 CoronaVac 29/03/2021 24000221
12 P-KE1WI768 357301******0002 SUHERMIN PRATIWI 30 087759609347 CoronaVac 29/03/2021 24000221
13 P-KGR3MEYC 357501******0002 ALFIAH 59 08164293810 CoronaVac 29/03/2021 24000221
14 P-KJOXNRVB 357501******0002 MULYADI 46 081559613363 CoronaVac 29/03/2021 24000221
15 P-KL8PYJAO 351418******0001 SU'UDI 46 081332671891 CoronaVac 29/03/2021 24000221
16 P-KM6RZSLC 351322******0004 SUGIONO 39 085282482812 CoronaVac 29/03/2021 24000221
17 P-KNC4HRU0 351416******0003 ANSORI 46 082234303854 CoronaVac 29/03/2021 24000221
18 P-KNKKNZ76 357201******0001 MOHAMMAD ZUHDI ARIANTO 36 085755277010 CoronaVac 29/03/2021 24000221
19 P-KOBBI5SZ 351322******0001 ASMAT 53 085204577664 CoronaVac 29/03/2021 24000221
20 P-KOKZH8FR 351421******0003 SANTU 41 085231441570 CoronaVac 29/03/2021 24000221
21 P-KORWBFH8 351408******0007 DENI EKO SUHENDRO 32 081217176499 CoronaVac 29/03/2021 24000221
22 P-KOZ7MR19 351410******0001 CHOIRUL ARIFIN 34 085850219495 CoronaVac 29/03/2021 24000221
23 P-KP9AFHIJ 357809******0005 ANDIK WIBOWO 41 082228507700 CoronaVac 29/03/2021 24000221
24 P-KPJOY3SG 351408******0003 SAMSUL MOKHAMAD SYARONI 33 085649930940 CoronaVac 29/03/2021 24000221
25 P-KQPGJ5IM 357303******0003 FARHAN ALIF L.Q. ROMADLON 23 087701681925 CoronaVac 29/03/2021 24000221
26 P-KQUAJPGK 351416******0037 MOHAMMAD KHOIRON 33 082333122217 CoronaVac 29/03/2021 24000221
27 P-KR0BOVSU 357502******0001 AKHMAD FUAD 33 081246037391 CoronaVac 29/03/2021 24000221
28 P-KRE5UTVN 351406******0001 MOKHAMAD SUBADAR 43 085791057624 CoronaVac 29/03/2021 24000221
29 P-KRLAFLAD 351418******0001 MOHAMMAD JUKHAR 27 081333550703 CoronaVac 29/03/2021 24000221
30 P-KRQB4QRE 351418******0001 MOCH AFANDI 28 082228971598 CoronaVac 29/03/2021 24000221
31 P-KRVL0UMY 351408******0004 SUWONO 53 085826636695 CoronaVac 29/03/2021 24000221
32 P-KS3386UX 351408******0004 NOYO 45 085895684158 CoronaVac 29/03/2021 24000221
33 P-KS9NB6KO 357502******0002 BUDI SUDARMANTO 46 085102213742 CoronaVac 29/03/2021 24000221
34 P-KSDOEKB7 351416******0001 MUKHLIS 51 085755452786 CoronaVac 29/03/2021 24000221
35 P-KSHOMXFO 351423******0006 MOHAMMAD ASYIQ 55 085232118060 CoronaVac 29/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
36 P-KSTQQXR2 357503******0003 MUH BUKHORI 28 085606656450 CoronaVac 29/03/2021 24000221

37 P-KSXQR3RI 357503******0001 ATFIEN DHIVAN 32 08585699901 CoronaVac 29/03/2021 24000221
38 P-KT2FQC3C 357503******0007 ACHMAD NASHIKHUDIN 35 085853684275 CoronaVac 29/03/2021 24000221
39 P-KT77AFTO 351414******0003 AINUR ROFIK 30 0895406000706 CoronaVac 29/03/2021 24000221
40 P-KTH0VSAA 351418******0003 MUHAMMAD WILDANI 22 083841667370 CoronaVac 29/03/2021 24000221
41 P-KTKXVQW8 351419******0002 MUKHAMMAD ZAKI 43 082334877708 CoronaVac 29/03/2021 24000221
42 P-KTOFD7NW 351418******0002 SAIFUL ANAM. 32 083853501221 CoronaVac 29/03/2021 24000221
43 P-KTYU3LE6 350725******0001 NISA SUBAKTI 28 085815297737 CoronaVac 29/03/2021 24000221
44 P-KU38E2JE 351421******0007 MUHAMMAD ZAHRIFUDIN 35 083144400788 CoronaVac 29/03/2021 24000221
45 P-KU85X4DX 351408******0005 SAFIÌ 44 08563214147 CoronaVac 29/03/2021 24000221
46 P-KUBOOB7G 351410******0001 SUNANDAR ARIK WIJIANTO 30 082229404234 CoronaVac 29/03/2021 24000221
47 P-KUF5TMDH 351406******0002 FAISAL RISA AROFI 33 085755558788 CoronaVac 29/03/2021 24000221
48 P-KUIYU2DD 350724******0002 MUHAMMAD FAUZI 32 085791774758 CoronaVac 29/03/2021 24000221
49 P-KULOA8DD 351413******0003 DANANG EDIK SISWORO 38 085785102910 CoronaVac 29/03/2021 24000221
50 P-KURDNRYF 351413******0002 KHULAFUUR ROSIDIN 28 085791937892 CoronaVac 29/03/2021 24000221
51 P-KUXXQIN3 351410******0005 KASMUDI 42 085607306506 CoronaVac 29/03/2021 24000221
52 P-KV5OCI9I 351407******0001 MOCH GUFRON 36 082233046059 CoronaVac 29/03/2021 24000221
53 P-KV9I6K3B 357502******0001 ANDRI WIRA BUANA 39 082216775260 CoronaVac 29/03/2021 24000221
54 P-KVBDKOG7 350725******0001 HASAN 36 085736060046 CoronaVac 29/03/2021 24000221
55 P-KVJXZTKK 351408******0002 Moch. Subhan 41 085850664734 CoronaVac 29/03/2021 24000221
56 P-KVO17JFM 351422******0006 TRIYO YOGA SAPUTRA 31 085732061290 CoronaVac 29/03/2021 24000221
57 P-KVQGHF3Q 351421******0003 MUHAMMAD JAJULI 26 085731073343 CoronaVac 29/03/2021 24000221
58 P-KVTJ3Y7Z 351421******0002 M. ALIP PRADIPTA 29 085791576303 CoronaVac 29/03/2021 24000221
59 P-KVYUKAXW 351416******0001 IRFAN 30 085102742355 CoronaVac 29/03/2021 24000221
60 P-KW3B0PEB 351406******0001 IRWAN PUJIONO 33 0881026468383 CoronaVac 29/03/2021 24000221
61 P-KW7AHASW 351406******0002 AHMAD WAHYUDI 24 085854483683 CoronaVac 29/03/2021 24000221
62 P-KWAENCBY 351406******0005 MOKHAMAD YASIN 48 085808300463 CoronaVac 29/03/2021 24000221
63 P-KWD0OMZ9 351406******0010 NARDI 49 085706110030 CoronaVac 29/03/2021 24000221
64 P-KWHOAH2P 351406******0003 SAMSUL HADI 31 082335343250 CoronaVac 29/03/2021 24000221
65 P-KWJUHX8K 351418******0001 FATHUR ROZAK 37 089685257647 CoronaVac 29/03/2021 24000221
66 P-KXFDHAUT 351412******0003 MUHAMMAD NIZAR FAMBUDI 29 081703138258 CoronaVac 29/03/2021 24000221
67 P-KXKYCJT6 351413******0002 MUHAMMAD AMIN NUDIN 25 08563583334 CoronaVac 29/03/2021 24000221
68 P-KXQGVWZ6 351412******0001 KUSNAWI 42 082236564672 CoronaVac 29/03/2021 24000221
69 P-KXUXSF72 351412******0002 ZAINUL HARIANTO 34 081341293174 CoronaVac 29/03/2021 24000221
70 P-KY4RVQLN 357502******0002 ERIK SISWOYO 37 087711062703 CoronaVac 29/03/2021 24000221
71 P-KYA0RTY3 351421******0002 PRIYO SUDARMONO 36 082236562103 CoronaVac 29/03/2021 24000221
72 P-KYETV78F 351418******0002 MUHAMMAD AGUS JAZULI 38 085755055373 CoronaVac 29/03/2021 24000221
73 P-KYIVK1W9 351418******0002 EKO RIYANTO 30 08999456358 CoronaVac 29/03/2021 24000221
74 P-KYMV9HIB 351418******0003 M LUKMAN ROCHIM 34 083833133498 CoronaVac 29/03/2021 24000221
75 P-KYS7WM40 351419******0001 NADIF 27 082135732573 CoronaVac 29/03/2021 24000221
76 P-KYV9VVFT 351420******0003 ABDUL KHOLEK 37 082332835581 CoronaVac 29/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
77 S-021E845F 357501******0001 SITI KOLIPAH 49 081358674269 CoronaVac 29/03/2021 24000221

78 S-035A01FB 351305******0001 AKHMAD WAGITO 54 085236962600 CoronaVac 29/03/2021 24000221
79 S-051A5748 357501******0002 SEMILAH 61 0818535616 CoronaVac 29/03/2021 24000221
80 S-0831B7F7 357501******0001 MUYATUN 61 081234332295 CoronaVac 29/03/2021 24000221
81 S-19DDABFD 357501******0001 DARYANI 63 08123171450 CoronaVac 29/03/2021 24000221
82 S-1A29BDAD 351319******0003 MUHAMMAD SAMSUL 38 085258112587 CoronaVac 29/03/2021 24000221
83 S-1C16E9A9 351305******0004 SLAMET HADI SISWOYO 46 085230708255 CoronaVac 29/03/2021 24000221
84 S-21E0A098 351416******0058 SALIM 56 081259073219 CoronaVac 29/03/2021 24000221
85 S-27D4BECA 357501******0001 MUALIFAH 65 082139870983 CoronaVac 29/03/2021 24000221
86 S-2D2A04C2 357501******0002 KASIYAN 54 082141476319 CoronaVac 29/03/2021 24000221
87 S-37A5AE40 350725******0007 JOKO SETYO UTOMO 46 085646134449 CoronaVac 29/03/2021 24000221
88 S-3816BD95 351418******0004 SUYONO 50 082333104203 CoronaVac 29/03/2021 24000221
89 S-3AE5D089 357502******0002 HENDRA PRASETIYO 40 081227469537 CoronaVac 29/03/2021 24000221
90 S-3CB1C924 357501******0001 LADIFAH 63 081217562325 CoronaVac 29/03/2021 24000221
91 S-4147BE57 357501******0001 GIRI PRAYOGO 62 08155042882 CoronaVac 29/03/2021 24000221
92 S-419920DE 351319******0002 RUDIANTO 39 082317772475 CoronaVac 29/03/2021 24000221
93 S-42CF6689 357502******0001 SUPARTINI 43 081231069176 CoronaVac 29/03/2021 24000221
94 S-43AEC582 357501******0003 SARE ISWANTO 42 089524372088 CoronaVac 29/03/2021 24000221
95 S-555E86AD 357402******0002 JOKO SLAMET SUHARTO 54 085231330231 CoronaVac 29/03/2021 24000221
96 S-57F7E718 357501******0001 GUNAWAN YUWONO 86 0811336300 CoronaVac 29/03/2021 24000221
97 S-59D8BE47 357501******0001 TITIEK SRIWARNI ESTUNINGSIH 69 081334690423 CoronaVac 29/03/2021 24000221
98 S-5D9D3397 357501******0098 DJUMIATI 67 085704827832 CoronaVac 29/03/2021 24000221
99 S-5E052079 357501******0002 DIDIK PURNOMO 61 087856787722 CoronaVac 29/03/2021 24000221
100 S-6CE731D3 351419******0002 HASAN BISRI 56 085755390311 CoronaVac 29/03/2021 24000221
101 S-6D7829A7 351406******0003 ROMLI 53 081328558076 CoronaVac 29/03/2021 24000221
102 S-6E870E0A 357503******0001 DARIYONO RACHMAD 66 081290339915 CoronaVac 29/03/2021 24000221
103 S-72C63C4F 357501******0001 RIFAI 68 085100754655 CoronaVac 29/03/2021 24000221
104 S-732D92EC 351421******0002 TAUFAN HIKMAH 44 081334721017 CoronaVac 29/03/2021 24000221
105 S-78CDE45A 357501******0002 DARTINI 69 085334432352 CoronaVac 29/03/2021 24000221
106 S-84BCDBFA 351421******0001 SUPAEDAH 43 082359156474 CoronaVac 29/03/2021 24000221
107 S-84E8EF04 357501******0002 SOEMIARTIE 75 085791915666 CoronaVac 29/03/2021 24000221
108 S-85A761AB 357501******0042 SAHLAN 80 0895332911048 CoronaVac 29/03/2021 24000221
109 S-88122D60 357502******0003 ABDUL ROHMAN 53 081234000919 CoronaVac 29/03/2021 24000221
110 S-8F802977 357501******0001 MURWANDONO 65 081328826996 CoronaVac 29/03/2021 24000221
111 S-94F440B7 357404******0009 MUHAMMAD FACHRU SYAHRONI ZA 38 085230582684 CoronaVac 29/03/2021 24000221
112 S-9BD9097A 357501******0003 ENDANG HENIK TJOKRO 67 083849593190 CoronaVac 29/03/2021 24000221
113 S-9D57C2AF 357501******0001 SUKAJI 61 082139870983 CoronaVac 29/03/2021 24000221
114 S-A408A1EB 351418******0001 PUJI MULYANTO 51 085101783358 CoronaVac 29/03/2021 24000221
115 S-A589DA86 357503******0005 NUR HASAN 46 081216890346 CoronaVac 29/03/2021 24000221
116 S-A77F30EA 357502******0001 SUKAMTO 53 081216920158 CoronaVac 29/03/2021 24000221
117 S-A8F7AF64 357503******0002 TJUTJU SUBANDIAH 65 082142087236 CoronaVac 29/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
118 S-ABF74627 351417******0003 SLAMET HARIANTO 40 082150390798 CoronaVac 29/03/2021 24000221

119 S-AFCF3E17 357501******0002 TATIEK NURAINI 63 082257585081 CoronaVac 29/03/2021 24000221
120 S-B109A866 357501******0002 SADUN SUHADI 79 085853184333 CoronaVac 29/03/2021 24000221
121 S-B4EF2787 357501******0001 IRAWAN ROEDYONO 67 081326488687 CoronaVac 29/03/2021 24000221
122 S-B549F30A 357501******0001 MUCHTAR 69 081232464285 CoronaVac 29/03/2021 24000221
123 S-B81972F6 357502******0003 BUDI WIBOWO 41 085815551113 CoronaVac 29/03/2021 24000221
124 S-B878E686 357503******0002 FIKRI SISWANTO 47 082142161350 CoronaVac 29/03/2021 24000221
125 S-BEEC3F58 357501******0001 SUSILOWATI DIAH LUKITANINGSIH 62 08155076898 CoronaVac 29/03/2021 24000221
126 S-BF841AC4 357501******0001 DARIO DANANG 78 081331174451 CoronaVac 29/03/2021 24000221
127 S-C264143B 351416******0003 INEKE AGUSTINI 44 085330932612 CoronaVac 29/03/2021 24000221
128 S-CBE40FEB 357501******0027 SUKAJATIN 65 082245477237 CoronaVac 29/03/2021 24000221
129 S-CCBDD275 357402******0004 HAMIDI 39 082334143045 CoronaVac 29/03/2021 24000221
130 S-CE4DA161 351408******0003 ABDUSY SYUKUR 36 081335067367 CoronaVac 29/03/2021 24000221
131 S-D2E74E15 351416******0038 SUGI WARAS ASTUTIK 43 081233634134 CoronaVac 29/03/2021 24000221
132 S-D33A5967 357501******0001 MUHANAH 63 082334479749 CoronaVac 29/03/2021 24000221
133 S-D3FA836A 351409******0001 MOKHAMAD RIZKY AMALI 36 082141682300 CoronaVac 29/03/2021 24000221
134 S-D3FFE1B1 350725******0003 MUCHAMAD SYAIFUL 42 085745777444 CoronaVac 29/03/2021 24000221
135 S-D7383212 357501******0007 ARSIATI 79 081282363346 CoronaVac 29/03/2021 24000221
136 S-DAA21D3C 351419******0004 NUR CHOLIS 47 085100733542 CoronaVac 29/03/2021 24000221
137 S-DB87B202 351417******0001 SAMSUDIN 50 085100844572 CoronaVac 29/03/2021 24000221
138 S-E2381A7C 357503******0001 ZULAIKHA 55 085755441242 CoronaVac 29/03/2021 24000221
139 S-EAF6038D 351319******0002 ANDI TAUFIK 40 082143316806 CoronaVac 29/03/2021 24000221
140 S-F796F159 351417******0001 KHAMID PURWANTO 48 089681882809 CoronaVac 29/03/2021 24000221
141 S-F8419862 357501******0002 DEWI SUTJIATI 63 083848868294 CoronaVac 29/03/2021 24000221
142 S-FC25D89E 357501******0001 MUKMINAH 72 085855839955 CoronaVac 29/03/2021 24000221
143 S-FDCDFDCB 351320******0002 BAMBANG HERMANTO 38 085258392168 CoronaVac 29/03/2021 24000221
144 S-FF660C7C 357502******0004 KRISDIANTO 49 081338119151 CoronaVac 29/03/2021 24000221
145 W-0CC932E2 357502******0003 NURLIS ERMAWATI 44 081252717433 CoronaVac 29/03/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 P-L8KTL414 357501******0004 LILIK ASBAWON 60 082328642919 CoronaVac 30/03/2021 24000221

2 P-LBGKC5IQ 351413******0001 NORIS BAGUS MULYO 26 085755036226 CoronaVac 30/03/2021 24000221
3 P-LBQX9GW4 351419******0002 ALBAR NURHASBIANSAH 28 082232354841 CoronaVac 30/03/2021 24000221
4 P-LFXHDKHN 357502******0002 Hani Fauziah 49 087847458733 CoronaVac 30/03/2021 24000221
5 P-LHJLS473 357502******0001 ETIK MISTYOWATI 48 082132579391 CoronaVac 30/03/2021 24000221
6 P-LIFN12G0 351418******0002 MOCH. KHOIRUR ROZAQ 29 082234757716 CoronaVac 30/03/2021 24000221
7 P-LK8C03OT 357503******0001 M. MUZAKI 24 087752364398 CoronaVac 30/03/2021 24000221
8 P-LKNJG4KC 351518******0002 IMAM BUCHORI 30 085335485440 CoronaVac 30/03/2021 24000221
9 P-LLNKAJCJ 351423******0001 MALIKIL AKBAR 23 087875220295 CoronaVac 30/03/2021 24000221
10 P-LQCAXO1F 351423******0002 IMAMATUL UDZMAH 20 087752364423 CoronaVac 30/03/2021 24000221
11 P-LSFDWFC6 351423******0001 KHUNAINAH 22 081917709880 CoronaVac 30/03/2021 24000221
12 S-051E4C1B 357502******0005 KARTIKA WAHYU HADININGSIH 42 085649549144 CoronaVac 30/03/2021 24000221
13 S-0B39CF92 357501******0001 BAMBANG SUSANTO 71 085100814343 CoronaVac 30/03/2021 24000221
14 S-0E2B78B5 351418******0002 Ike Rahmawati 53 081559557550 CoronaVac 30/03/2021 24000221
15 S-108A6CFD 357501******0004 Happy Indra Laksmana 30 089513198138 CoronaVac 30/03/2021 24000221
16 S-130AFC21 351417******0001 DIDIK SURYAWAN 49 081553049433 CoronaVac 30/03/2021 24000221
17 S-171B2F23 351412******0002 Irma Wahyuning Tiyas 28 082234911628 CoronaVac 30/03/2021 24000221
18 S-185F9E42 357503******0001 MADYA HARBUDHI 47 081233345938 CoronaVac 30/03/2021 24000221
19 S-1FC9404E 351418******0003 EDY SUTARTO 40 087754313581 CoronaVac 30/03/2021 24000221
20 S-216DCE81 357502******0008 APRILINA KURNIA WIDHIASTUTI 35 085646564636 CoronaVac 30/03/2021 24000221
21 S-23D5A9AF 357501******0001 TINY PUDJIASTUTI 66 081333757063 CoronaVac 30/03/2021 24000221
22 S-2F85BF01 352506******0001 HERU PRASETIYO 40 082140037044 CoronaVac 30/03/2021 24000221
23 S-33360671 357502******0003 CHODIJAH 50 082142508083 CoronaVac 30/03/2021 24000221
24 S-3824E8F3 357501******0001 DJOKO SULISTYA 62 082234311881 CoronaVac 30/03/2021 24000221
25 S-41590434 357501******0002 SIJONO 74 082143613799 CoronaVac 30/03/2021 24000221
26 S-468F3D3B 357502******0001 Dwi Wahyuni Erawati 31 085706319487 CoronaVac 30/03/2021 24000221
27 S-4F261CDF 350725******0002 HARMEIDA SECONDRIANI 40 08113609902 CoronaVac 30/03/2021 24000221
28 S-4F66EA76 357501******0002 FITHRI FADHILAH 39 088805892345 CoronaVac 30/03/2021 24000221
29 S-536C3E18 351413******0003 KUKUH SANTOSO 61 081298701653 CoronaVac 30/03/2021 24000221
30 S-59D1A2BA 357503******0001 FAUZAH 43 081217463511 CoronaVac 30/03/2021 24000221
31 S-5A4C60C8 351413******0001 Oking Adi Setiawan 31 085880600800 CoronaVac 30/03/2021 24000221
32 S-5BE42D5E 357503******0001 MARIANI SETIJO OETAMI 57 08123322498 CoronaVac 30/03/2021 24000221
33 S-5D9689D3 351412******0001 Lukas Priyo Utomo 44 082233858550 CoronaVac 30/03/2021 24000221
34 S-5DEA2F69 351423******0001 Ahmad Suhail 23 085850800378 CoronaVac 30/03/2021 24000221
35 S-5F336A13 357501******0001 KHOLIFATUL AZIZAH 52 082139799121 CoronaVac 30/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
36 S-62A3EC21 357501******0001 ARIFIN BUDI PURNOMO 69 082143089944 CoronaVac 30/03/2021 24000221

37 S-62B1C6F4 357501******0001 TUMURUNNINGSIH 73 081331174451 CoronaVac 30/03/2021 24000221
38 S-6507E5DD 357501******0002 KUSTINI 63 082143089944 CoronaVac 30/03/2021 24000221
39 S-6B8B1AFA 351414******0005 INUL QOMARIYAH 58 085855252464 CoronaVac 30/03/2021 24000221
40 S-796ECA61 357503******0001 ERNI SETIYANINGSIH 43 081334486446 CoronaVac 30/03/2021 24000221
41 S-7ADA77D3 357501******0001 RIJANTO 69 081555727685 CoronaVac 30/03/2021 24000221
42 S-7D27C385 357503******0003 Eka Ratna Yulianti 54 081333756227 CoronaVac 30/03/2021 24000221
43 S-7F228F0E 351414******0001 HEDI RUSWANTO 50 085733473343 CoronaVac 30/03/2021 24000221
44 S-7FDF3AD3 351423******0003 Khusnia Herawati Effendi 39 082243623201 CoronaVac 30/03/2021 24000221
45 S-837319F5 357502******0007 KURNIA IKA AMININGSIH 39 082264802060 CoronaVac 30/03/2021 24000221
46 S-83977944 357501******0007 SAPIAH 66 082328642919 CoronaVac 30/03/2021 24000221
47 S-888141F3 357503******0001 AFIFATUZ ZAHRO 46 081234724333 CoronaVac 30/03/2021 24000221
48 S-89641C50 357501******0001 SOES KHOTBAHYA 68 085649711744 CoronaVac 30/03/2021 24000221
49 S-8A8FD32C 357501******0001 MAIMUNAH 65 08983380560 CoronaVac 30/03/2021 24000221
50 S-8E0BD376 351411******0002 JOKO SEPUTRO 50 085779054818 CoronaVac 30/03/2021 24000221
51 S-8F90ABDE 357501******0001 LISANATI 39 085736041163 CoronaVac 30/03/2021 24000221
52 S-94454DCB 357502******0001 CERRIS FAJAR HARI ASTUTY 44 081235829854 CoronaVac 30/03/2021 24000221
53 S-9456FB02 351416******0001 Apik Wicaksono 29 085733254146 CoronaVac 30/03/2021 24000221
54 S-9459BB83 357501******0001 ENDANG MYWATI 64 081330490133 CoronaVac 30/03/2021 24000221
55 S-962441D1 357502******0002 FX. AGUNG TRIFIBRI WIDHY NUGR 40 082333850999 CoronaVac 30/03/2021 24000221
56 S-99262DD6 357501******0001 RUMININGSIH 69 083167270651 CoronaVac 30/03/2021 24000221
57 S-9CF72962 357502******0003 Abdul Wahid 39 081413120668 CoronaVac 30/03/2021 24000221
58 S-9E8FDAC0 357502******0007 ERWIN DWI MEIDIYANTO 43 081335067327 CoronaVac 30/03/2021 24000221
59 S-9F234CE8 357501******0001 THEODURUS KUNCORO 63 081938254577 CoronaVac 30/03/2021 24000221
60 S-9F3E2A8F 357501******0022 SOEPARTOYO 75 082143001377 CoronaVac 30/03/2021 24000221
61 S-A1A1C404 357501******0001 SRI MARTINI 69 082143001377 CoronaVac 30/03/2021 24000221
62 S-A331574C 357301******0003 BAMBANG KISWAJI 68 087743291783 CoronaVac 30/03/2021 24000221
63 S-A743FCAB 357502******0001 AGUSTINI RIYATMIYATI 58 082131924239 CoronaVac 30/03/2021 24000221
64 S-AA5F4251 357502******0002 KARTIKA INDRA SARI 45 081615806890 CoronaVac 30/03/2021 24000221
65 S-B79A7983 357502******0001 Lia Yusnita 46 081936921508 CoronaVac 30/03/2021 24000221
66 S-B9EE1A0B 351407******0001 Faizal Rahmad 32 082234090819 CoronaVac 30/03/2021 24000221
67 S-BDB41D8D 357503******0002 Jarot Tri Waluyo 32 081615213177 CoronaVac 30/03/2021 24000221
68 S-C2A33592 357501******0001 FATIMAH ZAHRO 50 081336894230 CoronaVac 30/03/2021 24000221
69 S-C41DBB5F 357501******0001 MULYADI 71 085232039900 CoronaVac 30/03/2021 24000221
70 S-C91A485E 357502******0003 ASEP JUNAEDI MAKHBUB 39 085257222572 CoronaVac 30/03/2021 24000221
71 S-CB03CB5D 357503******0002 Arli Roichani 28 085706036337 CoronaVac 30/03/2021 24000221
72 S-CF67E3BC 350725******0001 JATI ANDAYANI 44 08883860461 CoronaVac 30/03/2021 24000221
73 S-CF752D55 350719******0001 Anita Soegiarto 41 082257273939 CoronaVac 30/03/2021 24000221
74 S-D8CFD7FB 357823******0001 MARTHA VANUANING DIAR 41 081233385850 CoronaVac 30/03/2021 24000221
75 S-D96D9D28 357502******0004 INDAH OKTARIESATA 37 085232284939 CoronaVac 30/03/2021 24000221
76 S-DA3A1E6E 357501******0001 SRI UTAMI 66 081232464285 CoronaVac 30/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
77 S-DA72EFE7 357501******0003 NUNUK SUSIASTUTI 62 087863455681 CoronaVac 30/03/2021 24000221

78 S-DAF343D0 357503******0001 EZZAMIR WARDANA 42 081333648024 CoronaVac 30/03/2021 24000221
79 S-E0589278 357502******0004 ACHMAD ROSIDI 48 081556417502 CoronaVac 30/03/2021 24000221
80 S-E1E9839B 357503******0002 ARIK MURWANTO 39 0816550692 CoronaVac 30/03/2021 24000221
81 S-E3FAC78E 351421******0004 DITA TUSARI INDRAYATI 38 08883704001 CoronaVac 30/03/2021 24000221
82 S-E92828D9 357502******0002 Dedi Hariono 34 081227406166 CoronaVac 30/03/2021 24000221
83 S-F06344E6 351409******0010 ARIF RAHMAN 41 085785552072 CoronaVac 30/03/2021 24000221
84 S-F0F1B1C3 351408******0001 Harta Mardiyanto 35 085259386720 CoronaVac 30/03/2021 24000221
85 S-F1577C77 357503******0002 ISMAULIAWATI 57 081334607304 CoronaVac 30/03/2021 24000221
86 S-F1A8A6F5 357503******0006 M. Iskandar 35 085755713702 CoronaVac 30/03/2021 24000221
87 S-F28413D2 357503******0004 ANITA RATNASARI 39 081332285466 CoronaVac 30/03/2021 24000221
88 S-F2C80EEE 351420******0007 LILIS ANGGRAENI 37 085648552285 CoronaVac 30/03/2021 24000221
89 S-F497F3B9 357503******0002 DJOKO WALUYO 58 081222201448 CoronaVac 30/03/2021 24000221
90 S-F6B94A20 357501******0001 YUSUP DALI BATARA 78 085232023355 CoronaVac 30/03/2021 24000221
91 S-FC129E85 357501******0001 ENDANG SUNARSIH 66 08175111002 CoronaVac 30/03/2021 24000221
92 S-FC2960AF 351423******0001 Arifin 50 085731200477 CoronaVac 30/03/2021 24000221
93 S-FD782F25 351414******0004 ALI SURURI 46 082232019118 CoronaVac 30/03/2021 24000221
94 S-FF468584 357806******0007 AFIF ALI 42 085730107000 CoronaVac 30/03/2021 24000221
95 S-FF6B414C 357502******0001 KHUSNI MUBAROK 39 0816555640 CoronaVac 30/03/2021 24000221
96 S-FFEFC4AE 357501******0001 ISTIQOMAH 62 0895322198265 CoronaVac 30/03/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 Q-8F37F937 357503******0002 M. AUVA YAFI 30 085607998163 CoronaVac 31/03/2021 24000221

2 W-A27C9FE5 357502******0002 LOEDFI SUPENO 35 081267469993 CoronaVac 31/03/2021 24000221
3 Y-00004FU1 357501******0001 ZAINAL MUSYARIF 69 085335230089 CoronaVac 31/03/2021 24000221
4 Z-41177C4F 351417******0001 Khambali 34 085850127194 CoronaVac 31/03/2021 24000221
5 Z-5FFB60B0 357501******0002 lu'lu'ul maknuunah 29 081252992779 CoronaVac 31/03/2021 24000221
6 P-HS5DD6QS 357501******0003 YUNIATININGSIH 45 085336023673 CoronaVac 31/03/2021 24000221
7 P-M8OZVBUS 357501******0002 UMIYATI 58 081937032900 CoronaVac 31/03/2021 24000221
8 P-MAMGORUB 357501******0002 SARIWATI ANJANI 33 082245977884 CoronaVac 31/03/2021 24000221
9 P-MAQT8GQP 357501******0002 SITI ROKHAYAH 50 081234646986 CoronaVac 31/03/2021 24000221
10 P-MFWN3RES 357501******0002 ENDANG WIDOWATI SUTJIPTO 60 087754303173 CoronaVac 31/03/2021 24000221
11 P-MG31EIBM 357502******0001 ALIT ILHAM PRIAWAN 31 082233818882 CoronaVac 31/03/2021 24000221
12 S-078A12C5 357501******0027 MARSAID 64 081536521608 CoronaVac 31/03/2021 24000221
13 S-0E7F07F2 351502******0002 AKH SIGIT SUYANI 55 0822344615591 CoronaVac 31/03/2021 24000221
14 S-150F75E6 351418******0001 BAMBANG SUGIANTO 64 087709352917 CoronaVac 31/03/2021 24000221
15 S-1C50B41C 357501******0001 ENDANG SUKMANING AYU 62 087709352917 CoronaVac 31/03/2021 24000221
16 S-1E6CF7DE 357501******0002 LIEM KWIE ING 79 085943123747 CoronaVac 31/03/2021 24000221
17 S-29C729E0 357501******0001 LULUK MAFRUCHA 65 085257720240 CoronaVac 31/03/2021 24000221
18 S-3B0BB44E 357501******0002 KARTINI 68 082335383818 CoronaVac 31/03/2021 24000221
19 S-3BBF38FA 357501******0002 DJOKO SUMENGKO 65 08165420526 CoronaVac 31/03/2021 24000221
20 S-3E33C20C 357501******0001 SUPAAT 65 082143692177 CoronaVac 31/03/2021 24000221
21 S-4BE8C287 357501******0002 LIEM KWIE TJHUN 77 08123583830 CoronaVac 31/03/2021 24000221
22 S-4DE3F074 357503******0002 ENDANG KUSMININGSIH 63 082228813003 CoronaVac 31/03/2021 24000221
23 S-55DDEAD9 357501******0001 SAMINAH 86 085746694243 CoronaVac 31/03/2021 24000221
24 S-6085C234 357501******0004 IMAM NAWAWI 74 085232568409 CoronaVac 31/03/2021 24000221
25 S-6354F239 357501******0001 KASIH 63 085659578834 CoronaVac 31/03/2021 24000221
26 S-6BA465CB 351407******0001 SAECHAH 69 081334150555 CoronaVac 31/03/2021 24000221
27 S-6E461CC2 357503******0004 HERU NARKO 37 085790866665 CoronaVac 31/03/2021 24000221
28 S-802C26EC 357503******0001 Mudmainah 53 087741177840 CoronaVac 31/03/2021 24000221
29 S-84AEAF42 351414******0002 AGUS SUPRIADI 48 082131094255 CoronaVac 31/03/2021 24000221
30 S-8CA9F1F8 357501******0005 CHASANAH 62 082229004628 CoronaVac 31/03/2021 24000221
31 S-8FD7E611 357503******0003 MOH MONASIK 43 081936801133 CoronaVac 31/03/2021 24000221
32 S-9511060C 357501******0002 SUMARMI 62 081334001786 CoronaVac 31/03/2021 24000221
33 S-9B1C7A33 357501******0001 MUJAYANAH 45 088217702977 CoronaVac 31/03/2021 24000221
34 S-9F631925 357501******0005 KHUSNUL KHOTIMAH 51 089699767535 CoronaVac 31/03/2021 24000221
35 S-AF55A6A3 357501******0001 KASIYAN 61 0895809049040 CoronaVac 31/03/2021 24000221
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
36 S-BBDE78C3 357503******0018 MUHAMMAD SOLEH 36 082115599185 CoronaVac 31/03/2021 24000221

37 S-D5FCC121 357501******0001 SUWARNO 72 082335383818 CoronaVac 31/03/2021 24000221
38 S-D9A45A41 357501******0002 RASIANI 64 081249383811 CoronaVac 31/03/2021 24000221
39 S-DD68DFBC 357501******0001 SAADAH 69 082132367075 CoronaVac 31/03/2021 24000221
40 S-E4681052 357501******0001 LILIK SUKARSIH 62 085216925904 CoronaVac 31/03/2021 24000221
41 S-E6086ADA 351423******0001 Ihwan Wahyudi 41 085815733570 CoronaVac 31/03/2021 24000221
42 S-E938E409 357501******0001 MISIRAN 71 081331529985 CoronaVac 31/03/2021 24002421
43 S-EAC452F6 357501******0087 KASIAMI 74 083853462243 CoronaVac 31/03/2021 24000221
44 S-FC066660 357501******0001 SITI FATIMAH 65 081353732300 CoronaVac 31/03/2021 24000221
45 S-FFAD7FDC 357501******0001 WAWAN MISWANDA 69 085748427444 CoronaVac 31/03/2021 24000221
46 W-5C16CF92 357501******0002 ENDAH RUSMINAH 52 082139140858 CoronaVac 31/03/2021 24000221
47 Y-00004FUC 357501******0001 HENRY ARTIONO 67 0811441550 CoronaVac 31/03/2021 24000221
48 Y-00004FW9 357502******0005 TEGUH KUSWARI 37 082132881318 CoronaVac 31/03/2021 24000221


NIP. 19900501 201903 1 003 NIP. 19721016 199603 2 003
Kategori : UMUM
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
1 P-ZCBNEKOE 3575016312840003 DEVI TRI UTAMI 37 UMUM 85655024264 CoronaVac 22/04/2021 24000221
2 S-D4115E73 351417******0003 MUSLIKHAN 38 UMUM : SEKARGADUNG RT. 004/RW. 002 085100732366 CoronaVac 01/03/2021 24000221
3 P-J7D3UJVM 352901******0006 BRINA BRILYANTIKA 34 UMUM : PERUM PURI CANDI BLOK D-18 0895337906741 CoronaVac 01/03/2021 24000221
4 S-1F28C5EF 357403******0001 KASBAN 40 UMUM : JL. DARMOYUDO UTAMA. 59B. RT.02/ RW.01. 085257779809 CoronaVac 01/03/2021 24000221
5 P-74HJAMOH 357501******0001 SAJIDAH A'IZZUN 21 UMUM 082325700746 CoronaVac 03/03/2021 24000221
6 P-EFXBJTGI 357501******0001 RICARDO 21 UMUM 85273555999 CoronaVac 3/20/2021 24000221
7 P-IINS66VG 357501******0001 MOKHAMAD ZAINUR ROZIQIN 22 UMUM 083833777172 CoronaVac 05/03/2021 24000221
8 S-72269E3B 357501******0001 MAIMUNATUS SYARIFAH 22 UMUM 085655044996 CoronaVac 27/03/2021 24000221
9 P-M5IDC4GL 357501******0001 RACHMAD YUDHA SAPUTRA 23 UMUM 0895396002409 CoronaVac 05/03/2021 24000221
10 P-76ERZ6CI 357501******0001 NURUL HIDAYATI 23 UMUM 081235963964 CoronaVac 09/03/2021 24000221
11 P-JOZSA19U 357501******0001 FATHIRA NADIA MAKKA 23 UMUM 082330819988 CoronaVac 27/03/2021 24000221
12 S-C89D7287 357501******0001 Yusniar Dwi Rosyida 24 UMUM 085815786278 CoronaVac 08/03/2021 24000221
13 S-5A80CBA4 357501******0001 ANANDA 24 UMUM 089654194842 CoronaVac 26/03/2021 24000221
14 P-JLM1UWCM 357501******0001 MUHAMMAD NURUDDIN ISLAM 24 UMUM 083833248326 CoronaVac 27/03/2021 24000221
15 S-00A318C9 357501******0001 MALIHATUN NIMAH 24 UMUM 08883305338 CoronaVac 27/03/2021 24000221
16 P-ITZYKUYV 357501******0001 AGUSTIA DEWI ANGGRAINI 25 UMUM 083119191996 CoronaVac 26/03/2021 24000221
17 P-5XTL3KYH 357501******0001 SYARIFAH ZAHRA MIRA SYAFITRI 26 UMUM 085607506851 CoronaVac 08/03/2021 24000221
18 S-9402B82A 357501******0001 AKHMAD FAUZI 26 UMUM 089683822815 CoronaVac 09/03/2021 24000221
19 S-1F07EBD4 357501******0001 FITRIA ULFAH 26 UMUM 085232722060 CoronaVac 26/03/2021 24000221
20 P-JH6WPI9X 357501******0001 LAILY BUDIARTI 26 UMUM 082244736519 CoronaVac 27/03/2021 24000221
21 S-DAF16816 357501******0001 MURIYA AGUSTIN 26 UMUM 081252629560 CoronaVac 27/03/2021 24000221
22 P-M3TMIATV 357501******0001 FAISOL AMIR 27 UMUM 081228744871 CoronaVac 02/03/2021 24000221
23 S-093A7174 357501******0001 IDA NURYANTI 27 UMUM 085755623163 CoronaVac 09/03/2021 24000221
24 S-1CECBE7A 357501******0001 SANTI YUNI PURWATI 27 UMUM 085334256826 CoronaVac 26/03/2021 24000221
25 P-ZTTHGRSD 357501******0001 ABDUL KARIM 28 UMUM 082137800311 CoronaVac 02/03/2021 24000221
26 S-BBD3833C 357501******0001 MAGHFIROTUL KHUSNAINI 28 UMUM 081359098262 CoronaVac 26/03/2021 24000221
27 Y-00004FU8 357501******0001 WILDAN ROMADHONI 28 UMUM 082257061341 CoronaVac 26/03/2021 24000221
28 P-5UA4FYWW 357501******0001 EGADINTA PRAMUDYA JATAYU 29 UMUM 085230733944 CoronaVac 08/03/2021 24000221
29 S-AE91F5CF 357501******0001 Septiyan Indra Pratama 29 UMUM 083122351083 CoronaVac 08/03/2021 24000221
30 S-133E0BB6 357501******0001 FITRI FARIDIA DEVI 29 UMUM 085733236040 CoronaVac 26/03/2021 24000221
31 S-24230450 357501******0001 KARTIKA EKA SURYANISPD 29 UMUM 081936821682 CoronaVac 26/03/2021 24000221
32 S-40989EFD 357501******0001 NOVI KURNIAWATI SPDAUD 29 UMUM 085336289714 CoronaVac 27/03/2021 24000221
33 P-A7GYNS09 357501******0001 BUDI SISWANTO 30 UMUM 081217201604 CoronaVac 02/03/2021 24000221
34 S-ED6BD7C5 357501******0001 MOKHAMAD ZAKARIA 30 UMUM 085546489800 CoronaVac 04/03/2021 24000221
35 S-7D10F7AD 357501******0001 Mukhamad Junaidi 31 UMUM 085790950711 CoronaVac 08/03/2021 24001821
Dosis I Dosis 2
Kelomp
No.
Batch
Vaksinasi Vaksinasi
36 P-6GICAXT8 357501******0001 FATTAH KURNIAWAN 31 UMUM 085102868996 CoronaVac 09/03/2021 24000221

37 P-6MGENOS2 357501******0001 ELLY AMALIYAH 32 UMUM 081233113057 CoronaVac 09/03/2021 24000221
38 S-9DF66B26 357501******0001 RISTA INDAH YUSIYANTI 32 UMUM 085808171811 CoronaVac 26/03/2021 24000221
39 S-37461EE8 357501******0001 Devi Ernawati 34 UMUM 085648705598 CoronaVac 09/03/2021 24000221
40 S-4E6EE90E 357501******0001 Arif Giyantri M 35 UMUM 085804377645 CoronaVac 08/03/2021 24000221
41 P-JHQ112M2 357501******0001 ERNAWATI 35 UMUM 085606907874 CoronaVac 27/03/2021 24000221
42 S-7A6A0B1C 357501******0001 AGUS SANTOSO 36 UMUM 082142393364 CoronaVac 02/03/2021 24000221
43 S-4FDB51FC 357501******0001 NAILIR ROCHMAH 36 UMUM 085608343338 CoronaVac 03/03/2021 24000221
44 S-E63A833B 357501******0001 SITI CHOIRIYAH 36 UMUM 085334433826 CoronaVac 26/03/2021 24000221
45 P-XBL78OG3 357501******0001 MOKH SAIFUL ANAM 37 UMUM 085745891884 CoronaVac 05/03/2021 24000221
46 S-892F13CC 357501******0001 SAMSUL ARIFIN 38 UMUM 081252587361 CoronaVac 02/03/2021 24000221
47 S-8BA1AE9B 357501******0001 ERNY SETIYONINGRUM 38 UMUM 085815651279 CoronaVac 02/03/2021 24000221
48 P-KIIWA95B 357501******0001 MUHAMMAD KHUMAIDI 38 UMUM 087846261563 CoronaVac 03/03/2021 24000221
49 S-DCC85DB6 357501******0001 Siti Khoiriyah 38 UMUM 089678868535 CoronaVac 08/03/2021 24000221
50 S-4F78DCD1 357501******0001 NUR HIDAYATI 38 UMUM 085103749661 CoronaVac 09/03/2021 24000221
51 S-DC747DB6 357501******0001 SITI ROFIAH 39 UMUM 089675559808 CoronaVac 02/03/2021 24000221
52 S-988E63E0 357501******0001 ENY NURVITA 39 UMUM 085234300033 CoronaVac 09/03/2021 24000221
53 S-EC451A2C 357501******0001 PUJIASIH 39 UMUM 085103872066 CoronaVac 09/03/2021 24000221
54 S-E260421F 357501******0001 NURUL AULA 39 UMUM 082141306633 CoronaVac 27/03/2021 24000221
55 S-8F90ABDE 357501******0001 LISANATI 39 UMUM 085736041163 CoronaVac 30/03/2021 24000221
56 S-B9944C40 357501******0001 SULASTRI 40 UMUM 082330992454 CoronaVac 03/03/2021 24000221
57 S-3E04EC17 357501******0001 TOMMY ARI SAPUTRA 40 UMUM 08155097660 CoronaVac 04/03/2021 24000221
LAPORAN CAPAIAN VAKSINASI COVID-19 SASARAN ANAK-ANAK (6-11 TAHUN) KOTA PASURUAN
PER PUSKESMAS
TARGET CAPAIAN SELISIH KETERANGAN

NO PUSKESMAS %
ANAK-ANAK DOSIS 1 % DOSIS 2 % D1-D2
1 GADINGR 2,454 0.00% #DIV/0! 0 #DIV/0!
2 KARANGK 2,259 0.00% #DIV/0! 0 #DIV/0!
3 SEKARG 3,010 0.00% #DIV/0! 0 #DIV/0!
4 KEBONA 2,828 0.00% #DIV/0! 0 #DIV/0!
5 BUGULKI 3,133 0.00% #DIV/0! 0 #DIV/0!
6 TRAJENG 2,243 0.00% #DIV/0! 0 #DIV/0!
7 KEBONSA 1,916 0.00% #DIV/0! 0 #DIV/0!
8 KANDANG 2,566 0.00% #DIV/0! 0 #DIV/0!
TOTAL 20,409 0 0 0 0 0 0
LAPORAN CAPAIAN VAKSINASI COVID-19 SASARAN LANSIA KOTA PASURUAN

PER PUSKESMAS
TARGET CAPAIAN SELISIH

NO PUSKESMAS
LANSIA DOSIS 1 % DOSIS 2 % DOSIS 3 % D2-D3
1 GADINGR 1,930 104 5.39% 7 6.73% 0.00% 7
2 KARANGK 1,707 0.00% #DIV/0! #DIV/0! 0
3 SEKARG 2,386 0.00% #DIV/0! #DIV/0! 0
4 KEBONA 2,506 0.00% #DIV/0! #DIV/0! 0
5 BUGULKI 2,607 0.00% #DIV/0! #DIV/0! 0
6 TRAJENG 1,710 0.00% #DIV/0! #DIV/0! 0
7 KEBONSA 1,392 0.00% #DIV/0! #DIV/0! 0
8 KANDANG 1,929 0.00% #DIV/0! #DIV/0! 0
TOTAL 16,167 104 0 7 0 0 0 7
LAPORAN CAPAIAN VAKSINASI COVID-19 SASARAN MASYARAKAT UMUM (18 TAHUN KEATAS) KOTA PASURUAN
PER PUSKESMAS

NO PUSKESMAS
MASY. UMUM DOSIS 1 % DOSIS 2 % DOSIS 3 % D2-D3
1 GADINGR 12,206 722 5.92% 492 68.14% 0.00% 492
2 KARANGK 10,757 0.00% #DIV/0! #DIV/0! 0
3 SEKARG 15,856 0.00% #DIV/0! #DIV/0! 0
4 KEBONA 15,382 0.00% #DIV/0! #DIV/0! 0
5 BUGULKI 15,768 0.00% #DIV/0! #DIV/0! 0
6 TRAJENG 10,621 0.00% #DIV/0! #DIV/0! 0
7 KEBONSA 8,702 0.00% #DIV/0! #DIV/0! 0
8 KANDANG 12,074 0.00% #DIV/0! #DIV/0! 0
TOTAL 101,366 722 0 492 0 0 0 492
LAPORAN CAPAIAN VAKSINASI COVID-19 SASARAN REMAJA (12-17 TAHUN) KOTA PASURUAN
PER PUSKESMAS

NO PUSKESMAS
REMAJA DOSIS 1 % DOSIS 2 % DOSIS 3 % D2-D3
1 GADINGREJO #DIV/0! #DIV/0! #DIV/0! 0
2 KARANGKETUG #DIV/0! #DIV/0! #DIV/0! 0
3 SEKARGADUNG #DIV/0! #DIV/0! #DIV/0! 0
4 KEBONAGUNG #DIV/0! #DIV/0! #DIV/0! 0
5 BUGULKIDUL #DIV/0! #DIV/0! #DIV/0! 0
6 TRAJENG #DIV/0! #DIV/0! #DIV/0! 0
7 KEBONSARI #DIV/0! #DIV/0! #DIV/0! 0
8 KANDANGSAPI #DIV/0! #DIV/0! #DIV/0! 0
TOTAL 0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0
LAPORAN CAPAIAN VAKSINASI COVID-19 SASARAN MASYARAKAT RENTAN (50-59 TAHUN) KOTA PASURUAN
PER PUSKESMAS

NO PUSKESMAS
MASY RENTAN
DOSIS 1 % DOSIS 2 % DOSIS 3 % D2-D3
1 GADINGREJO 204 #DIV/0! 142 69.61% 0.00% 142
5 BUGULKIDUL #DIV/0! #DIV/0! #DIV/0! 791
7 KEBONSARI #DIV/0! #DIV/0! #DIV/0! 0
8 KANDANGSAPI #DIV/0! #DIV/0! #DIV/0! 0
TOTAL 0 204 #DIV/0! 142 #DIV/0! 0 #DIV/0! 142
LAPORAN CAPAIAN VAKSINASI COVID-19 SASARAN HAMIL KOTA PASURUAN

PER PUSKESMAS

NO PUSKESMAS
MASY RENTAN
DOSIS 1 % DOSIS 2 % DOSIS 3 % D2-D3
1 GADINGREJO #DIV/0! #DIV/0! #DIV/0! 0
5 BUGULKIDUL 59 #DIV/0! 34 57.63% 5 14.71% 791
7 KEBONSARI 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! 0
8 KANDANGSAPI 3 #DIV/0! 3 100.00% 1 33.33% 2
TOTAL 0 62 #DIV/0! 37 #DIV/0! 6 #DIV/0! 31
PUSKESMAS KEBONSARI UNTUK BUMIL MASUK KE MASYARAKAT UMUM

JANUARI 2021 PEBRUARI 2021 MARET 202
KETERANGAN ANAK ANAK ANAK
DOSIS 1 DOSIS 2 DOSIS 1 KOMULATIF DOSIS 2 KOMULATIF DOSIS 1
RUAN

LANSIA LANSIA LANSIA
%
#DIV/0! 6 6 1 1 98
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
0
ATAS) KOTA PASURUAN

UMUM UMUM UMUM
%
#DIV/0! 32 93 125 52 52 629
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
0
TA PASURUAN

REMAJA REMAJA REMAJA
%
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
UN) KOTA PASURUAN

RENTAN RENTAN RENTAN
%
#DIV/0! 23 23 3 3 181
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
RUAN

IBU HAMIL IBU HAMIL IBU HAMIL
%
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
15820.00%
#DIV/0!
#DIV/0!
200.00%
#DIV/0!
MARET 2021
ANAK
KOMULATIF DOSIS 2 KOMULATIF
MARET 2021
LANSIA
104 6 7
MARET 2021
UMUM
722 440 492
MARET 2021
REMAJA
MARET 2021
RENTAN
204 139 142
MARET 2021
IBU HAMIL

Vaksinasi Maret 21

Diunggah oleh

Informasi Dokumen

Judul Asli

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

Vaksinasi Maret 21

Diunggah oleh

Hak Cipta:

Format Tersedia

Nama Puskesmas/Fasyankes/Pos : PKM GADINGREJO

Mengetahui Pasuruan, 01-03-2021

drg GETHA NUR HAMZAH FARIDA KUSUMAWATI, A.Md.Gz

1 P-53DA99T4 357503******0003 CHOIRUL BASjAR 47 081334741287 CoronaVac 02/03/2021 24000221

31 P-RXL39OUE 351605******0001 VIRRA YULINDA 23 081334858458 CoronaVac 02/03/2021 24000221

71 S-630E1EFF 357503******0002 NURUL IKSAN 52 081233885251 CoronaVac 02/03/2021 24000221

Mengetahui Pasuruan, 02-03-2021

drg GETHA NUR HAMZAH FARIDA KUSUMAWATI, A.Md.Gz

1 P-74HJAMOH 357501******0001 SAJIDAH A'IZZUN 21 082325700746 CoronaVac 03/03/2021 24000221

31 S-24FBB3E1 357501******0001 BAROR MASFUFAH 53 085233878738 CoronaVac 03/03/2021 24000221

66 S-CDCD9CAE 357808******0001 PRASASTIPIKA ENDRIYONO 32 0895384444110 CoronaVac 03/03/2021 24000221

Mengetahui Pasuruan, 03-03-2021

drg GETHA NUR HAMZAH FARIDA KUSUMAWATI, A.Md.Gz

1 P-4TSWNVR8 351417******0003 ULINA NUR SA'IDA 21 085649917504 CoronaVac 04/03/2021 24000221

36 P-UH6OHOLS 351414******0004 RANI DWI MELINDA 23 081259075225 CoronaVac 04/03/2021 24000221

77 S-827DB8D6 357501******0001 EKO SUPRIYATININGSIH 49 081334949216 CoronaVac 04/03/2021 24000221

Mengetahui Pasuruan, 04-03-2021

drg GETHA NUR HAMZAH FARIDA KUSUMAWATI, A.Md.Gz

1 P-7KTJ4KSK 357501******0002 Mukhamad Efendi 24 085851602260 CoronaVac 05/03/2021 24000221

36 S-8BEF8DF7 357501******0001 MISNO 56 081359530371 CoronaVac 05/03/2021 24000221

Mengetahui Pasuruan, 05-03-2021

drg GETHA NUR HAMZAH FARIDA KUSUMAWATI, A.Md.Gz

1 P-4ZZEITWC 357501******0003 YONO 56 81937004174 CoronaVac 3/6/2021 24000221

Mengetahui Pasuruan, 06-03-2021

drg GETHA NUR HAMZAH FARIDA KUSUMAWATI, A.Md.Gz

1 P-50LJJ3WM 351415******0004 SAEFI 41 085130357010 CoronaVac 08/03/2021 24000221

31 S-133C7F5B 357501******0003 Muhammad Sofuan Efendi 34 085856930587 CoronaVac 08/03/2021 24000221

71 S-719062F7 357501******0001 LILI SURIANI 52 081330747491 CoronaVac 08/03/2021 24000221

112 S-DA4E39DC 357501******0001 NANIK MISNIATI 53 082131448771 CoronaVac 08/03/2021 24000221

Mengetahui Pasuruan, 08-03-2021

drg GETHA NUR HAMZAH FARIDA KUSUMAWATI, A.Md.Gz

1 P-6GICAXT8 357501******0001 FATTAH KURNIAWAN 31 085102868996 CoronaVac 09/03/2021 24000221

36 S-298250C4 351423******0005 ABDUL MUJIB ASRORI 36 085334343383 CoronaVac 09/03/2021 24000221

77 S-98932290 357501******0004 NURMAH 37 0885026655984 CoronaVac 09/03/2021 24000221

Mengetahui Pasuruan, 09-03-2021

drg GETHA NUR HAMZAH FARIDA KUSUMAWATI, A.Md.Gz

1 P-53BAA103 357501******0001 TRI WURYANINGSIH 65 081334447433 CoronaVac 10/03/2021 202011048

36 S-98D50A71 357503******0001 Masita 37 083833654784 CoronaVac 10/03/2021 24000221

Mengetahui Pasuruan, 10-03-2021

drg GETHA NUR HAMZAH FARIDA KUSUMAWATI, A.Md.Gz

1 Q-021F0F51 351421******0002 DANANG PUJO WALUYO 38 081252337382 CoronaVac 12/03/2021 24000221

36 W-0BF22A5A 350810******0001 KUKUH EKO PRASETYO 41 081336440050 CoronaVac 12/03/2021 24000221

77 W-42B0E959 351504******0004 TATUK SLAMET IRIANTO 52 08121726965 CoronaVac 12/03/2021 24000221

Mengetahui Pasuruan, 12-03-2021

drg GETHA NUR HAMZAH FARIDA KUSUMAWATI, A.Md.Gz

1 Q-068DAA4D 351417******0002 ACHMAD YANI 28 082142021428 CoronaVac 15/03/2021 24000221

36 W-096F9ECE 357502******0001 WINTOLO 46 081333742312 CoronaVac 15/03/2021 24000221

77 W-B45D02CE 351406******0004 DADANG HARIADI 45 081233942682 CoronaVac 15/03/2021 24000221

Mengetahui Pasuruan, 15-03-2021

drg GETHA NUR HAMZAH FARIDA KUSUMAWATI, A.Md.Gz

1 Q-1943C99F 351608******0004 MOCH. CHOIRUL ANWAR 41 081232948533 CoronaVac 16/03/2021 24000221

77 W-963214E8 357503******0003 RETNO UYUN RUDATIN 54 081233555444 CoronaVac 16/03/2021 24000221

Mengetahui Pasuruan, 16-03-2021

drg GETHA NUR HAMZAH FARIDA KUSUMAWATI, A.Md.Gz

1 Q-23D8BF0E 357503******0001 ALI MUKSIN 34 082132512600 CoronaVac 17/03/2021 24000221

36 W-6945B6A7 357502******0002 IMAM BUCHORI 36 081233017917 CoronaVac 17/03/2021 24000221

Mengetahui Pasuruan, 17-03-2021

drg GETHA NUR HAMZAH FARIDA KUSUMAWATI, A.Md.Gz

Kelomp Dosis I Dosis 2

Mengetahui Pasuruan, 18-03-2021

1 Q-0BB60109 357501******0002 Mukhamad Efendi 24 085851602260 CoronaVac 19/03/2021 24000221

36 W-7C520AFC 357501******0001 AGUS SANTOSO 51 085755914962 CoronaVac 19/03/2021 24000221

Mengetahui Pasuruan, 19-03-2021