DAFTAR PENGIRIMAN SAMPEL COVID 19

TANGGAL LAHIR
NAMA NIK JENIS KELAMIN NO. HP ALAMAT LENGKAP SESUAI DOMISILI KETERANGAN
(Tgl/Bln/Thn) TANGGAL TANGGAL
NO WNI/WNA RT RW PENGAMBILAN PENGIRIMAN
SPESIMEN SPESIMEN
(Pakai tanda apostrof (') di (Pakai tanda apostrof (') di (Pakai tanda apostrof (')
(HURUF KAPITAL) (PRIA/WANITA) (HURUF KAPITAL) SD/SMP/SMA/KARYAWAN
awal angka) awal angka) di awal angka)

1 AFIF MULYANDA ‘1307072709010002 ‘27/09/2001 PRIA ‘0895322310904 WNI JATIBENING, PONDOK GEDE, BEKASI BARA 2 14
2 ANDINI SRI AGUSTIN ‘3175105008011002 ‘10/08/2001 WANITA ‘089517120163 WNI KP.KRAMAT 5 4

3 APRIANA ZELDA SARI ‘1807085904020003 ‘19/04/2002 WANITA ‘085896625457 WNI JL KINCAN GG SWADAYA , PONDOK GEDE , 3 14

4 DEVITA CAHYANI ‘1801145603020001 ‘16/03/2002 WANITA ‘0812-7914-6898 WNI DUSUN 1 DESA SRI PENDOWO 8 1

5 DEWI AYU LESTARI PUTRI FADINAL ‘3275085404010016 ‘14/04/01 WANITA ‘0895-323-373-825 WNI JL.SWADAYA JATIBENING 2 14

6 DIAH FADILLAH ‘3602096809010001 ‘25/09/2001 WANITA ‘085780883750 WNI PASAR PICUNG 2 3

7 ECHI LUTFIA WARDANI ‘1306076912010002 ‘29/12/2001 WANITA ‘082173260079 WNI KOMPLEK DEPKES 1 JALAN HUSADA IV NOM 1 2

8 ELIKA BINTOLA ‘6108074302020013 ‘03/02/2002 WANITA ‘083151087903 WNI DUSUN SIDAS, DESA SIDAS, KECAMATAN S 4 1

9 FEIZA NURULADILA ‘3175036208020004 ‘22/08/2002 WANITA ‘089612306010 WNI JL.CIPINANG LONTAR 12 6

10 FIRDA RAUDHO ‘3175034702020006 ‘07/02/02 WANITA ‘089529838740 WNI JL BEKASI TIMUR IX 9 3

11 FITRI HANDAYANI ‘1807035001990003 ‘10/01/1999 WANITA ’0813‑1763‑4255 WNI KOSAN GRIYA AYU, JALAN SWADAYA, RT.2/R 2 14

12 FRANSISCA DEA ANGELA MUNTHE ‘3275035806020026 ‘18/06/2002 WANITA ‘089602681598 WNI PESONA ANGGREK HARAPAN BLOK C 10 NO 3 21

13 HILDA NATASYA ‘3201356211020003 ‘23/11/2002 WANITA ‘085891206474 WNI KP POJOK HILIR DESA CISARUA KECAMAT 3 1

14 IKE JULIANTI ‘3216186407020003 ‘24/07/2002 WANITA ‘085315803901 WNI KP.JATI DS. BURANGKENG KEC. SETU KAB. 2 3
15 INTAN FAUZIAH PUTRI ‘3275084802010010 ‘08/03/2001 WANITA ‘08990875922 WNI JLN MASJID NURUL IKHSAN 2,GANG OGUT 6 11

16 MEILIANA DAMAYANTI ‘3275035105020015 ‘11/05/2002 WANITA ‘085771822536 WNI ALINDA KENCANA PERMAI BLOK E1 NO 24 3 21

17 MILA AFIYATI ‘3175036102000009 ‘21/02/2000 WANITA ‘085772988454 WNI JL. BEKASI TIMUR 4 KEJAKSAAN NEGERI J 6 7

18 MUHAMAD FAISAL DZJAULHAQ R ‘3275090807990013 8/7/1999 PRIA ‘085715547008 WNI KP PONDOK BENDA 5 2

19 MUVDHILA ALIYYATUN CHASNA ‘3175024609020008 ‘06/09/2002 WANITA ‘085694339658 WNI JL. CIPINANG TIMUR NO. 34 KELURAHAN 8 11
 TANGGAL LAHIR
NAMA NIK
(Tgl/Bln/Thn)
NO

(Pakai tanda apostrof (') di (Pakai tanda apostrof (') di

(HURUF KAPITAL)
awal angka) awal angka)

1 ADE SIHAR HARIANI ‘3275024404980025 ‘04/04/1998

2 BELLA PUTRI SABRINA ‘3175064301020012 ‘03/01/2002

3 CUCU NURLAELA ‘3216055406810005 ‘14/6/1981

4 DARMADI ‘3275051508720014 ‘15/08/1972

5 DARYATI ‘3307027008000002 ‘30/08/2000

6 DEVIRON SITUMORANG ‘1201095809940001 ‘18/09/1994

7 DIANTI SURY ‘5371046904880005 ‘29/04/1988

8 FITRI RAHMADANI HANDONO ‘3216066612000022 ‘26/12/2000

9 FRIZKA EVA JULIANA ‘3275075907970019 ‘19/07/97

10 HERNAYANTI ‘3171065103740003 ‘11/03/1974

11 IRA NOVIYANTI ‘3216054911850008 ‘09/11/1985

12 MOHAMAD NURANTO ‘3275101705010019 ‘17/05/2001

13 MUHAMMAD ABDUL AZIZ AZAQI ‘3175031707020004 ‘17/07/2002

14 Ni KETUT NINA APRILIA ‘3671116104730001 ‘21/04/1973

15 RIZKY NUR FAUZY ‘1802092506020004 ‘26/06/2002

16 ROSIANY ‘3671115602820001 ‘16 FEB 1982

17 SALIMATU NUHANINGSIH ‘3175076908020003 ‘29/08/2002

18 SHOLIKHIN ‘3216052001850005 ‘20/01/1985

19 SRI RAHAYU ‘3’203154708000009 ‘01/11/2000

20 SRI YANI ‘3174046601810003 ‘26/01/1981

21 SUDIARTI DWI HARTATI ‘31773016506620008 ‘3173016506620003

22 TIKA ‘6107085010010003 ‘10/10/2001

23 TRI MULYA MUSTOFA ‘3175052106000007 ‘21/06/2002

24 WANSUR ‘3275051104810008 ‘11/04/1981

25 YESSY HARLIYANI ‘3216054910000009 ‘09/10/2000

26 YOLA KUSTANTI ‘1804024712990001 ‘26/07/1999

27 YULIA WENITAMARA ‘3275065407000012 ‘14/07/2000

28 ZUNAIDA SHOFIANA ‘3312214904020001 ‘09/04/2002

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99
 DAFTAR PENGIRIMAN SAMPEL COVID 19

JENIS KELAMIN NO. HP ALAMAT LENGKAP SESUAI DOMISILI

WNI/WNA

(Pakai tanda apostrof (')

(PRIA/WANITA) (HURUF KAPITAL)
di awal angka)

WANITA ‘0881024235149 KP TAMBUN

WANITA ‘085782262486 JL. WIJAYA KUSUMA 2 GANG 8 NO.194

WANITA ‘081510458466 VILA MUTIARA GADING 2 C6/17

PRIA ‘08128754815 PERUMNAS BOJONG MENTENG BLOK D NO.

WANITA ‘082245789414 KEL:PULOGEBANG,KEC:CAKUNG

WANITA ‘085719694795 RADEN SALEH II GANG II NO1B

WANITA ‘085711058088 JL. CENDRAWASIH X NO. 414

WANITA ‘0895322023432 ASRAMA YONIF MEKANIS 201

WANITA ‘081382954059 ASRAMA BATALYON ARMED-7/105 GS

WANITA ‘081315438172 MATRAMAN DALAM 3

WANITA ‘081283461514 KP BABAKAN DESA SATRIA JAYA KEC TAMB

PRIA ‘081284580149 KP.PONDOK RANGGON, RT 006/002, KEC.JA

PRIA ‘0895332113941 ASRAMA POLRI KELURAHAN BIDARACINA K

WANITA ‘08129525904 BUANA GARDENIA BLOK.C4 NO.20

PRIA ‘081283527594 JL. SWADAYA KUBAH PUTIH , JATIBENING ,

WANITA ‘082124897553 BUANA GARDENIA, JL. BUANA PERKASA V B

WANITA ‘089652109326 JL.PEMUDA KRANJI RT 03 RW 14 NO 22 KEC

PRIA ‘087888830230 KP NAMBO ANYAR PICUNG

WANITA ‘085721317625 KP BABAKAN

WANITA ‘081290717478 JL. BAMBU KUNING NO.13

WANITA ‘085697408215 APARTEMEN SAEMBA TOWER A 1204

WANITA ‘085752472402 DUSUN PAJILO DESA JAHANDUNG

PRIA ‘088212176387 JL.LEBAK PARA CIJANTUNG PASAR REBO J

PRIA ‘082110414145 PERUM.BOJONG MENTENG BLOK C 423 RA

WANITA ‘089669525564 PERUM TAMAN EDELWEIS BLOK D2 NO 8

WANITA ‘0856-9433-1210 PONDOK GEDE

WANITA ‘085891853675 GRIYA ASRI 2 BLOK I38 NO.1

WANITA ‘085642400354 JAMBUL,JEPORO,JATIPURNO, WONOGIRI,J

 KETERANGAN WILAYAH TL
TANGGAL TANGGAL
RT RW PENGAMBILAN PENGIRIMAN
SPESIMEN SPESIMEN

SD/SMP/SMA/KARYAWAN KOSONGKAN

1 10

10 7

1 24

4 11

10 2

0 0

4 7

10 5

4 7

16 7

3 2

6 2

1 13

5 4

2 14

6 4

3 14

11 3

2 3

7 1

6 5

5 2

5 5

8 10

6 12

1 12

10 41

1 1
PETUGAS TL

KOSONGKAN
Timestamp Gel Nama ( DENGAN HURUF KAPITAL) NIK, di awali dengan tanda
6/15/2022 13:58 1 AFIF MULYANDA ‘1307072709010002
6/15/2022 13:59 1 ANDINI SRI AGUSTIN ‘3175105008011002
6/15/2022 13:59 1 APRIANA ZELDA SARI ‘1807085904020003
6/15/2022 14:45 1 DEVITA CAHYANI ‘1801145603020001
6/15/2022 14:46 1 DEWI AYU LESTARI PUTRI FADINAL ‘3275085404010016
6/15/2022 14:56 1 DIAH FADILLAH ‘3602096809010001
6/15/2022 15:49 1 ECHI LUTFIA WARDANI ‘1306076912010002
6/15/2022 16:30 1 ELIKA BINTOLA ‘6108074302020013
6/15/2022 16:30 1 FEIZA NURULADILA ‘3175036208020004
6/15/2022 13:56 1 FIRDA RAUDHO ‘3175034702020006
6/15/2022 16:54 1 FITRI HANDAYANI ‘1807035001990003
6/15/2022 18:23 1 FRANSISCA DEA ANGELA MUNTHE ‘3275035806020026
6/15/2022 20:56 1 HILDA NATASYA ‘3201356211020003
6/15/2022 20:57 1 IKE JULIANTI ‘3216186407020003
6/15/2022 20:58 1 INTAN FAUZIAH PUTRI ‘3275084802010010
6/15/2022 21:15 1 MEILIANA DAMAYANTI ‘3275035105020015
6/15/2022 21:34 1 MILA AFIYATI ‘3175036102000009
6/16/2022 0:32 1 MUHAMAD FAISAL DZJAULHAQ R ‘3275090807990013
6/16/2022 5:48 1 MUVDHILA ALIYYATUN CHASNA ‘3175024609020008
6/16/2022 9:11 1 NISRINA NURAINI ‘3205266912010001
6/16/2022 10:54 1 NUR FATHIYAH HAKIMAH ‘3175085704020006
6/16/2022 10:57 1 NURCAYA ABDULLAH ‘210326081
6/16/2022 10:59 1 PUJI LESTARI ‘3172024708020010
6/16/2022 11:02 1 RAHMAT PERMANA ‘3276092507010001
6/16/2022 11:03 1 REVI MARISKA ‘1306077003010003
6/16/2022 11:15 1 RIRIN PASESA ‘1804010205010003
6/16/2022 12:35 1 SUMARNO ARDIYANTO ‘3207221107000002
1 FAURIZKA ASHARA
6/15/2022 13:57 2 ADE SIHAR HARIANI ‘3275024404980025
6/15/2022 14:01 2 BELLA PUTRI SABRINA ‘3175064301020012
6/15/2022 14:15 2 CUCU NURLAELA ‘3216055406810005
6/15/2022 14:16 2 DARMADI ‘3275051508720014
6/15/2022 14:26 2 DARYATI ‘3307027008000002
6/15/2022 14:34 2 DEVIRON SITUMORANG ‘1201095809940001
6/15/2022 14:57 2 DIANTI SURY ‘5371046904880005
6/15/2022 17:23 2 FITRI RAHMADANI HANDONO ‘3216066612000022
6/15/2022 19:12 2 FRIZKA EVA JULIANA ‘3275075907970019
6/15/2022 20:53 2 HERNAYANTI ‘3171065103740003
6/15/2022 21:14 2 IRA NOVIYANTI ‘3216054911850008
6/15/2022 22:52 2 MOHAMAD NURANTO ‘3275101705010019
6/16/2022 3:45 2 MUHAMMAD ABDUL AZIZ AZAQI ‘3175031707020004
6/16/2022 8:15 2 Ni KETUT NINA APRILIA ‘3671116104730001
6/16/2022 11:23 2 RIZKY NUR FAUZY ‘1802092506020004
6/16/2022 11:33 2 ROSIANY ‘3671115602820001
6/16/2022 11:38 2 SALIMATU NUHANINGSIH ‘3175076908020003
6/16/2022 11:40 2 SHOLIKHIN ‘3216052001850005
6/16/2022 11:50 2 SRI RAHAYU ‘3’203154708000009
6/16/2022 12:11 2 SRI YANI ‘3174046601810003
6/16/2022 12:28 2 SUDIARTI DWI HARTATI ‘31773016506620008
6/16/2022 12:54 2 TIKA ‘6107085010010003
6/16/2022 13:08 2 TRI MULYA MUSTOFA ‘3175052106000007
6/16/2022 13:10 2 WANSUR ‘3275051104810008
6/16/2022 13:23 2 YESSY HARLIYANI ‘3216054910000009
6/16/2022 13:31 2 YOLA KUSTANTI ‘1804024712990001
6/16/2022 14:19 2 YULIA WENITAMARA ‘3275065407000012
6/16/2022 15:10 2 ZUNAIDA SHOFIANA ‘3312214904020001
Tanggal Lahir, di aNomor hanphone, di aw
Jenis Kelamin Alamat
‘27/09/2001 ‘0895322310904 PRIA JATIBENING, PONDOK GEDE, BEKASI BARAT
‘10/08/2001 ‘089517120163 WANITA KP.KRAMAT
‘19/04/2002 ‘085896625457 WANITA JL KINCAN GG SWADAYA , PONDOK GEDE ,
‘16/03/2002 ‘0812-7914-6898 WANITA DUSUN 1 DESA SRI PENDOWO
‘14/04/01 ‘0895-323-373-825 WANITA JL.SWADAYA JATIBENING
‘25/09/2001 ‘085780883750 WANITA PASAR PICUNG
‘29/12/2001 ‘082173260079 WANITA KOMPLEK DEPKES 1 JALAN HUSADA IV NOM
‘03/02/2002 ‘083151087903 WANITA DUSUN SIDAS, DESA SIDAS, KECAMATAN SE
‘22/08/2002 ‘089612306010 WANITA JL.CIPINANG LONTAR
‘07/02/02 ‘089529838740 WANITA JL BEKASI TIMUR IX
‘10/01/1999 ’0813‑1763‑4255 WANITA KOSAN GRIYA AYU, JALAN SWADAYA, RT.2/R
‘18/06/2002 ‘089602681598 WANITA PESONA ANGGREK HARAPAN BLOK C 10 NO
‘23/11/2002 ‘085891206474 WANITA KP POJOK HILIR DESA CISARUA KECAMATA
‘24/07/2002 ‘085315803901 WANITA KP.JATI DS. BURANGKENG KEC. SETU KAB.
‘08/03/2001 ‘08990875922 WANITA JLN MASJID NURUL IKHSAN 2,GANG OGUT
‘11/05/2002 ‘085771822536 WANITA ALINDA KENCANA PERMAI BLOK E1 NO 24
‘21/02/2000 ‘085772988454 WANITA JL. BEKASI TIMUR 4 KEJAKSAAN NEGERI JA
8/7/1999 ‘085715547008 PRIA KP PONDOK BENDA
‘06/09/2002 ‘085694339658 WANITA JL. CIPINANG TIMUR NO. 34 KELURAHAN C
‘29/12/2001 ‘081321225111 WANITA KP. PACING, PEUNDEUY GARUT
‘17/04/2002 ‘089525950304 WANITA JALAN SWAKARSA IB NO.5B
‘18/11/2000 ‘081298246430 WANITA LEMBAH PINANG 5 BLOK I8 NO 24
‘07/08/2002 ‘0895396178503 WANITA JL RS ANCOL SELATAN
‘25/07/2001 ‘085719576266 PRIA JLN. PLN GANDUL KEC.CINERE
‘30032001 ‘083121295192 WANITA KOMPLEK DEPKES 1 JALAN HUSADA IV NO 1
‘20/04/2001 ‘082281563843 WANITA JL.SWADAYA
‘11/07/2000 ‘087831717354 PRIA JALAN JAKARTA SWADAYA

‘04/04/1998 ‘0881024235149 WANITA KP TAMBUN

‘03/01/2002 ‘085782262486 WANITA JL. WIJAYA KUSUMA 2 GANG 8 NO.194
‘14/6/1981 ‘081510458466 WANITA VILA MUTIARA GADING 2 C6/17
‘15/08/1972 ‘08128754815 PRIA PERUMNAS BOJONG MENTENG BLOK D NO.2
‘30/08/2000 ‘082245789414 WANITA KEL:PULOGEBANG,KEC:CAKUNG
‘18/09/1994 ‘085719694795 WANITA RADEN SALEH II GANG II NO1B
‘29/04/1988 ‘085711058088 WANITA JL. CENDRAWASIH X NO. 414
‘26/12/2000 ‘0895322023432 WANITA ASRAMA YONIF MEKANIS 201
‘19/07/97 ‘081382954059 WANITA ASRAMA BATALYON ARMED-7/105 GS
‘11/03/1974 ‘081315438172 WANITA MATRAMAN DALAM 3
‘09/11/1985 ‘081283461514 WANITA KP BABAKAN DESA SATRIA JAYA KEC TAMBU
‘17/05/2001 ‘081284580149 PRIA KP.PONDOK RANGGON, RT 006/002, KEC.JA
‘17/07/2002 ‘0895332113941 PRIA ASRAMA POLRI KELURAHAN BIDARACINA KE
‘21/04/1973 ‘08129525904 WANITA BUANA GARDENIA BLOK.C4 NO.20
‘26/06/2002 ‘081283527594 PRIA JL. SWADAYA KUBAH PUTIH , JATIBENING ,
‘16 FEB 1982 ‘082124897553 WANITA BUANA GARDENIA, JL. BUANA PERKASA V BL
‘29/08/2002 ‘089652109326 WANITA JL.PEMUDA KRANJI RT 03 RW 14 NO 22 KEC.
‘20/01/1985 ‘087888830230 PRIA KP NAMBO ANYAR PICUNG
‘01/11/2000 ‘085721317625 WANITA KP BABAKAN
‘26/01/1981 ‘081290717478 WANITA JL. BAMBU KUNING NO.13
‘317301650662000‘085697408215 WANITA APARTEMEN SAEMBA TOWER A 1204
‘10/10/2001 ‘085752472402 WANITA DUSUN PAJILO DESA JAHANDUNG
‘21/06/2002 ‘088212176387 PRIA JL.LEBAK PARA CIJANTUNG PASAR REBO JA
‘11/04/1981 ‘082110414145 PRIA PERUM.BOJONG MENTENG BLOK C 423 RAW
‘09/10/2000 ‘089669525564 WANITA PERUM TAMAN EDELWEIS BLOK D2 NO 8
‘26/07/1999 ‘0856-9433-1210 WANITA PONDOK GEDE
‘14/07/2000 ‘085891853675 WANITA GRIYA ASRI 2 BLOK I38 NO.1
‘09/04/2002 ‘085642400354 WANITA JAMBUL,JEPORO,JATIPURNO, WONOGIRI,JA
RT (denganRW (dengan angka latin)
2 14
5 4
3 14
8 1
2 14
2 3
1 2
4 1
12 6
9 3
2 14
3 21
3 1
2 3
6 11
3 21
6 7
5 2
8 11
4 1
4 3
6 9
21 1
25 5
1 2
2 14
2 14

1 10
10 7
1 24
4 11
10 2
0 0
4 7
10 5
4 7
16 7
3 2
6 2
1 13
5 4
 2 14
6 4
3 14
11 3
2 3
7 1
6 5
5 2
5 5
8 10
6 12
1 12
10 41
1 1