MONITORING PENGEMBALIAN REKAM MEDIS HARIAN PUSKESMAS PEKAPURAN RAYA

RUANG PELAYANAN
TANGGAL/
NO BULAN PEMERIKSAAN UMUM KIA KB DAN IMUNISASI PKPR KES. GIGI DAN MULUT TOTAL
KELUAR KEMBALI KELUAR KEMBALI KELUAR KEMBALI KELUAR KEMBALI KELUAR KEMBALI KELUAR KEMBALI
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
TOTAL PERBULAN
TOTAL PENGEMBALIAN REKAM MEDIS DALAM PERSENTASE PERBULAN
 MONITORING KELENGKAPAN KETETAPAN ISI REKAM MEDIS

PEMERIKSAAN
TANGGAL / IDENTITAS TANGGAL FISIK DAN RENCANA DIAGNOSA/ TERAPI/ INFORMED
NO BULAN NO RM PASIEN DAN WAKTU ANAMNESA PENUNJANG PELAYANAN ICD X TINDAKAN ODONTOGRAM CONSENT
 LOG BOOK KEGIATAN PENYAMPAIAN INFORMASI KEPADA PELANGGAN / PASIEN PUSKESMAS PEKAPURAN RAYA

PENYAMPAIAN HAK PETUGAS PELANGGAN/ PASIEN

NAMA PELANGGAN/
NO WAKTU DAN KEWAJIBAN INFORMASI LAIN YANG DITANYAKAN PENJELASAN PETUGAS
PASIEN
PASIEN MENGERTI DENGAN
PENJELASAN YANG
NAMA PARAF DISAMPAIKAN NAMA PARAF
REGISTER VAKSINASI COVID 19 PUSKESMAS PEKAPURAN RAYA
Nama Penerima Jenis
No TGL No. Registrasi NIK Pekerjaan*
Vaksin Kelamin

1 31-01-22 Q-001O6RF4 3527094302030006 USMIDAH P IRT

HULILUR
2 Q-001O6RF5 6371020706910011 L PEDAGANG
ROHMAN

ANANG
3 Q-002I8FA5 6371021210620005 L KETUA RT
SYARWANI

KARYAWAN
4 UU-005ISRM 6371024603900007 RAHMI JAMILAH P
TOKO

ANANG
5 Q-001LI9JL 6371020308830008 L PEDAGANG
SYARWANI

6 Q-001LI9JL 6371020308830008 AGUS RIYANTO L PEDAGANG

7 Q-001O7497 3526092010900001 IKROM L PEDAGANG

8 P-0FLIBONJ 6371023112620027 HAMID SAHI L PEDAGANG

9 Q-002K83FI 6303065801010001 NANA HARIYANI P MHS

10 UU-005HAAR 6304055010700007 NOOR ASIYAH P IRT

11 UU-007ZKXT 6371041209860009 M. ASWAD L SWASTA

12 Q-001K9X3M 6203011207820012 AKNI L SWASTA

HERIN
13 UU-005J5WG 6371045107720004 P IRT
SULISTYOWATI
14 UU-005J4AS 6371042211610003 MUNADI SUBRI L LANSIA

15 UU-005J27D 6371040904680003 SUROTO L SWASTA

AMABEL ELLIAN
16 UU-006YOY2 6371044611000005 P MHS
EMANUELLA

17 UU-005JORC 6372061111640001 ISPIANI L SWASTA

18 Q-001LGZWW 6371011509750005 RAHMADI L PEL PUB

19 UU-005IBLO 6310041006860008 LAHMUDINOR L PEL PUB

20 P-0O02NQ7 6371022503810005 MUCHLIS L BURUH

21 Q-001LETWZ 6371025012660003 DJUMATAN P IRT

22 P-OU8G1EB6 3526095307890001 MASRUFAH P IRT

23 Q-001NCL37 6371025904750004 HAYATI P IRT

24 Q-001O9FNI 6371021612850008 ARIF L PEDAGANG

25 P-1ALEGGKV 6371012106000003 ABDI P SWASTA

SALASIAH
26 Q-001KS1OO 6371016202790003 P IRT
NOOR

27 Q-001NCFBO 6371014608900015 YULIANA P IRT

28 UU-006P3N0 6371022905790003 MUKHTAR L KETUA RT

 TALITA HASNA
29 P-0F45ZC3H 63710247090003 P PELAJAR
HUMAIRA

30 UU-005IUQ5 6371024303630008 WIDYAWATI P IRT

RACHMAT
31 UU-005ISDW 6371021812620003 L KETUA RT
KUNTONO

MUHAMMAD BELUM
32 UU-006P3LD 6371022303030008 L
FAJAR ARMI KERJA

MUHAMMAD
FARID
33 3275111105980001 L MHS COAS
ADLIRAHRAHMA
N

6307020806850003 MUH NOR HADI L SWASTA

2/2/2022

DENNY
6371040110870003 L SWASTA
HARYANTO

6371031201880008 ACHMAD SYAIFI L SWASTA

LIZA MARLINA
6371054203900004 P SWASTA
DAMAYANTI
 BIMO
6307033105810001 PURNOMO L SWASTA
PUTRO

H DJUMADI MAS
6371040602540004 L LANSIA
DJAYA

HJ GT AINA
6371046209610001 P LANSIA
SARI

6371021305580005 MUSJAR L LANSIA

A FAZREHAN
6371022704030005 L MHS
NOVHANDI
6371021107570005 NOOR ARIFIN L LANSIA

LARASISCA
6401046305980002 DELLA P MHS
FARADILLA

RIANA RAHMI
6371017010880003 P SWASTA
SAFITRI

ATI HARLINA
62010246004770001 P IRT
DEWI

6371055002560006 MAISURAH P IRT

MUHAMMAD
3276016306020012 ZUBAIR L MHS
SILALAHI
 MUHAMMAD
6371022005000007 L MHS
ADLI

BAMBANG
6371020807830012 L POLRI
SUNARTO

ADITYA EKA
6371052601910003 L BUMD
TAMA

6371024707720009 LINDA RIAH P SWASTA

OKTA INDRA
6371031410920001 L SWASTA
SAPUTRA

ANNISA
6473014902980007 P MHS
MULYAWATI

SYAFWAT
6371016302860005 P PNS
HELDA

HJ SYAFWATUN
6371015204610004 P PNS
NOOR

637101030260006 H HELMANSYAH L PNS

HAYATUN
6371006408490003 P LANSIA
NUFUS
6371027112580086 HJ SITI SALEHA P LANSIA

6371026312560001 TITIN HARYATI P IRT

6371025702570005 YUDIANI P LANSIA

6371023112520041 H TARSI L LANSIA

6371014807020007 NURIDAH P SALON

 3403141703540001 CIPTO WARDOYO L LANSIA

6371055907630002 SARDIATUL AIDA P LANSIA

6371024710600006 SITI MARYAM P LANSIA

6371025208510001 HJ SARI BANUN P LANSIA

6310036303990001 HELDA NILIA P MHS

3526100107910506 USMAN L PEDAGANG

3526100203000008MUHAMMAD TOHA L PEDAGANG

3526104405920006 SULIHA P IRT

6371024609100004 KAYLA AZZAHRA P ANAK

SENDY
6304070809090001 YANSYAH L REMAJA
RAMDANI

6371020509640009 SAMRUN L PNS

6371022901070001 M RIZKY L PELAJAR

3/2/2022

WAHDA
6371027103780008 P IRT
HAIRUNNISA

NADIA ISLAMI
6371024402010005 P PEDAGANG
FADILA
6371012506710004 ABDUL KHOLIK L BURUH

WAHNA
6371026111790001 P IRT
MUHIRAWATI

HJ JUMATUL
6371024508780004 P PEDAGANG
SYAHBANIAH

6371023112590032 IBRAMSYAH L LANSIA

6371024702930004 AMALLIYAH P PEDAGANG

6371025802950005 AMINAH P PEDAGANG

6371020207600003 MAHMUDIN L LANSIA

6371020107900283 HAKIM L PEDAGANG

6371050905750002 ABDUL KHALIK L SWASTA

6371010902850010 SAIFUL BAHRI L PEDAGANG

6371020104530007 TAUFIK L LANSIA

6371022901070001 M. RIZKY L PELAJAR

6371010202990007 M. HARISANDI L SWASTA

3526090103040137 AHMAD PADILAH L UMUM

3526094107980357 NURHASANAH P PEGAWAI

PENSIUNAN
6371047101630002 HERLINAWATI P
PNS

6304011801000001 FATHULLAH L UMUM

6371024510090002 NOR HUSNA P PELAJAR

6371054407070002 NURLITA P PELAJAR

6371032504060002
A. HERDIYAN MAULANA L PELAJAR

3306130106990002
ACHMAD SAPARATUL FADLI
L SWASTA

MUHAMMAD
6471032909900001 L SWASTA
ARIFIN

6371021407990005 ACHMAD RIZKI L SWASTA

6371024704780011 AMAS MULIA P PEL PUB

630803680190001 SITI MUSTIFAHANI P IRT

6304056808010001 AMELIA P IRT

6371025206750018 PARIDAH P IRT

6371024101800035 ERNAWATI P SWASTA

6371016202520003
TOM YEN CHAI (ANDUY) P LANSIA

6371020607580002SYAMSUDIN NOOR L LANSIA

6201022112620002. THOMAS SIU L WIRASWASTA

6371011902830013. ADY CHANDRA L WIRASWASTA

6371026007050005. RIZQA AULIDA P PELAJAR

630415050490001. AHMAD DRAJAT L PELAJAR 23

6371014512010007. WINA ROSALIA P MAHASISWA

PELAJAR SMP
6371034312080008. RAINA P
23
PELAJAR SMP
6371034302070001. PUTRI AMANDA P
23

6371034112690004. MARIANA P IRT

6371015410730004. RUSLIANA P SWASTA

637101040720008. SANTONO L SWASTA

6371020505540009. HERRY SUSANTO L SWASTA

6371021901810004. ABDULLAH L SWASTA

3171021203570002. SADELI L SWASTA

6371014105840009. LISNAWATI P SWASTA

6303035002700006. MAIMUNAH P IRT

6371016011720005. YULINA FARIDA P IRT

63710111203850013. AS YARI L SWASTA

6371014903740004. ASIAH P IRT

6303021609030003. HAFIZHUDDIN L MAHASISWA

MAULANA AINUR
6371022512020012. L MAHASISWA
RAFIQ

MUHAMMAD
6371020808030008. L MAHASISWA
YASIN

6372045808750002. MILAWATI P IRT

6371011005710006. JUMAN L BURUH

6371020102750009. H.ABDUL WAHID L SWASTA

NAFISAH HAIRUL
6371026006980006. P IRT
MAR ATI

6371021207830008. MUSTAKIN P IRT

 6371051003900000 ABQORIE L SWASTA

6201022112620002. THOMAS SIU L WIRASWASTA

4/4/2022

6371011902830013. ADY CHANDRA L WIRASWASTA

6371026007050005. RIZQA AULIDA P PELAJAR

630415050490001. AHMAD DRAJAT L PELAJAR 23

6371014512010007. WINA ROSALIA P MAHASISWA

PELAJAR SMP
6371034312080008. RAINA P
23
PELAJAR SMP
6371034302070001. PUTRI AMANDA P 23

6371034112690004. MARIANA P IRT

6371015410730004. RUSLIANA P SWASTA

637101040720008. SANTONO L SWASTA

6371020505540009. HERRY SUSANTO L SWASTA

6371021901810004. ABDULLAH L SWASTA

3171021203570002. SADELI L SWASTA

6371014105840009. LISNAWATI P SWASTA

6303035002700006. MAIMUNAH P IRT

6371016011720005. YULINA FARIDA P IRT

63710111203850013. AS YARI L SWASTA

6371014903740004. ASIAH P IRT

6303021609030003. HAFIZHUDDIN L MAHASISWA

MAULANA AINUR
6371022512020012. RAFIQ L MAHASISWA

MUHAMMAD
6371020808030008. L MAHASISWA
YASIN

6372045808750002. MILAWATI P IRT

6371011005710006. JUMAN L BURUH

6371020102750009. H.ABDUL WAHID L SWASTA

6371026006980006. NAFISAH HAIRUL P IRT

MAR ATI

6371021207830008. MUSTAKIN P IRT

6371051003900000 ABQORIE L SWASTA

 Kepesertaan BPJS (tulis 'Ya' pada
Umur Kelompok Merek
No. Batch
Alamat No. Hp kolom yang sesuai)
BPJS Non
(18-59 Thn) Umur BPJS PBI
PBI
Non Anggota Vaksin*** Dosis I

PRONA ASTRAZ
19 85821360502
IV ENECA

PRONA ASTRAZ
27 8521360502
IV ENECA

ALMADA CORON
58 85246260646
NI RT 29 AVAC

GG
ASTRAZ
31 JAMIRI 2 87814905406
ENECA
RT 30
GG
ASTRAZ
38 MURNI 85849312570
ENECA
RT 1
JL. PR
ASTRAZ
38 GG 085849312570
ENECA
MURNI
JL.
ASTRAZ
32 PRONA 081953994545
ENECA
4 RT 34

JL. PR ASTRAZ
59 08225601191 V
RT 12 ENECA

AWANG
21 BANGKA 087840002025 PFIZER
L BARAT

GRIYA
PERMAT
51 A 085349994928 PFIZER
HANDIL
BAKTI
JL.
35 KELAYA 081348177165 PFIZER
NA

ASTRAZ
40 JL. PR 082350993744
ENECA

JL.
MALKO
49 085345619136 PFIZER
N
TEMON
 JL.
60 SULTAN 0811518155 PFIZER
ADAM
JL.
MALKO
53 085349269444 PFIZER
N
TEMON
JL.
MALKO
21 082297252551 PFIZER
N
TEMON
JL.
58 RAMBAI 082194244161 PFIZER
NO. 15
JL.
ASTRAZ
47 KELAYA 082157256668
ENECA
NA

JL.PR ASTRAZ
35 081348893455
BJM ENECA

JL. PR ASTRAZ
1981 083848091189 V
RT 1 ENECA

JL. AMD ASTRAZ

56 081255527631
BESAR ENECA

JL. PR
ASTRAZ
32 GG 082350314288 V
ENECA
MELATI

JL. PR ASTRAZ
42 082150047366
RT 10 ENECA

JL.
ASTRAZ
37 TUNJUN 085248077916
ENECA
G MAYA

JL.
ASTRAZ
21 PRONA 083863804243 V
ENECA
3
JL.
ASTRAZ
42 KELAYA 082154835551
ENECA
NB
JL. A
ASTRAZ
31 YANI KM 083150220461
ENECA
4.5
GG
ASTRAZ
42 SIRIH 087815644989
ENECA
RT 11
 KOMP
CORON 2021112
13 DHARM 085105114545
AVAC 36
A PRAJA

JL
AYANI
KOMP
58 082167786999 PFIZER
BULAN
MAS RT
34

JL
AYANI
KOMP
59 082167786999 PFIZER
BULAN
MAS RT
34
JL PEK
RAYA
ASTRAZ
19 GG 0895605529939
ENECA
GAMBIR
RT 12
KAMP
MELAYU
23 082298570051 PFIZER
GG
KENARI
JL
36 PENAS 081351581611 V V
TANI IV

JL
CEMAR
A RAYA
34 082153515315 V V
GG
AKASIA
VI NO 76

JL
33 DAHLIA 085348584234 V V
NO 46
JL
CEMPA
31 082254209272 V V
KA XIII
NO 5A
 JL A
YANI
KM,
13,600
40 08122871611 V V
ANUGE
RAH
REJEKI
III

JL
MASJID
67 JAMI - V V
11/30 RT
02
JL
MASJID
60 JAMI - V V
11/30 RT
02
JL PRY
63 - V V
RT 16
JL PRY
18 - V V
RT 15
64 JL PRY 081348995435 V V

JL
BETERA
23 08115999186 V V
N GG 9
NO 43

JL
KELAYA
34 N A GG 082157721547 V V
ANTASA
RI RT 5

JL H
44 ABD 081352870445 V V
SYUKUR

JL P
ANTASA
65 - V V
RI GG H
HASAN

JL
20 JAMBU 08170049789 V V
V NO 78
 JL
PENGA
21 MBANG 081365336522 V V
AN NO
287
KOMP
ASPOL
38 085340001919 V V
BINA
BRATA
JL AES
NASUTI
31 085248043773 V V
ON NO
08
JL
PRONA
49 III 081549130607 V V
LOKASI
II
JL
SUTOY
29 OS 081346808212 V V
KOMP
WILDAN
JL
24 KENAN 082253157577 V V
GA 1
JL
35 VETERA - V V
N

JL
60 - V V
RAMIN

JL
61 - V V
RAMIN
JL PRY
72 - V V
RT 30
JL PRY
63 081348345701 V V
RT 21
JL PRY
55 - V V
RT 13
JL PRY
64 - V V
RT 28
JL PRY
69 081348345701 V V
RT 25
JL
19 KELAYA 089620338974 V V
NA
 JL
SESUT
67 - V V
GEDAN
G SARI
JL
60 PULAU 081953725551 V V
LAUT

JL
BAWAN
62 081256806047 V V
G PUTIH
RT 22

JL
PLURUN
71 081251142105 V V
G
PUDAK
TANAH
22 085348589503 V V
BUMBU
36 JL PRY 081952484042 V V

DUSUN
22 LONBILL 083878809673 V V
AH
JL PRY
31 087815665524 V V
RT 20
JL PRY
GG
11 081645494404 V V
MELATI
1
JL PRY
GG
12 081256693170 V V
MELATI
1
JL PRY
KOMP
57 08125132577 V V
RUSUN
RT 21
JL PEK
15 RAYA 85386108987 V V
RT 30
JL PEK
RAYA
43 GG 85249266543 V V
MELATI
3 RT 21

JL PEK
21 82148084805 V V
RAYA
 PRONA
50 87814423711 V V
IV

JL PEK
RAYA
42 GG 85247436610 V V
MELATI
4 RT 21

JL PEK
43 81615388294 V V
RAYA

JL PEK
63 RAYA 82358720302 V V
RT 8

KJL PEK
RAYA
29 GG 81352132223 V V
MELATI
3

JL
PUTRI
27 81250137973 V V
JUNJUN
G BUIH

JL PEK
RAYA
61 81349599467 V DM V
GG
SIRIH

JL. PR
37 HARMO 081998482063 V V
NI 2
JL.
DAHLIA
47 081348989079 V V
KEBUN
SAYUR
JL.
36 PRONA 083159031766 V V
3
JL. P
68 ANTASA 085332526789 V V
RI
JL. PR
15 085386108987 V V
RT. 30
 JL.
SETIA
24 PEMUR 085750179710 V V
US
DALAM
DSN
17 PRENCE 0878110110016 V V
NG
JL. PR
24 LEMBU 087811004910 V V
JANTAN
KOMP
59 KAYUTA 08125002384 V V
NGI II
JL.
22 MUARA 081522852237 V V
KAMAM
JL. PR
39 089692108216 V V
RT. 23

JL.
14 TUNJUN 085387529966 V V
G MAYA

JL.
16 KELAYA 083159656070 V V
NA
POWER
22 082228674563 V V
JO

JL.
31 SIMPAN 085391016892 V V
G ANEM

JL. P
22 ANTASA 082256468725 V V
RI
JL. P
42 ANTASA 085345869222 V V
RI
JL.
33 KELAYA 085386994009 V V
NA
KOMP
ABDI
20 085389439040 V V
PERSAD
A1
JL. PR
46 GG 081549346995 V V
SIRIH
 JL. PR
GG
42 085654413581 V V
SARIWN
GI
JL.
RANTAU
71 081258092105 V V
AN
DARAT
JL.
63 KEBUN 085100627419 V
BUNGA
KEC.
58 ARUT 8.58E+10 √ √ PIZER
SELATAN

MAHONI I
RT 12
38 NO,32 89535420 √ √ PIZER
BANJAR 9390.
INDAH

TUNJUNG
MAYA RT
16 03.KEL. 8.31E+10 √ √ PIZER
KARANG
MEKAR

12 PEKAPUR 8.57E+10 √ √ CORONA

AN RAYA VAC

KELAYAN
CORONA
20 A GG 8.54E+10 √ √
VAC
SISODADI

PEK RAYA CORONA

13 8.14E+10 v √
GG SIRIH VAC
PEK RAYA 8.14E+10 CORONA
14 v √
GG SIRIH VAC
CORONA
53 PEK RAYA 8.14E+10 v √
VAC
KASTURI
48 RAYA NO 8.58E+10 v √ PIZER
89
KASTURI
49 RAYA NO 8.14E+10 v √ PIZER
89
A YANI CORONA
67 8.13E+10 v √
KM 4,5 VAC
 PEK RAYA
GG CORONA
41 8.13E+10 v √
INDAH VAC
SARI

TEMBUS
65 MANTUIL 8.12E+09 v √ PIZER
RT 23
KELAYAN 08525132 CORONA
38 BESAR II v √
4111. VAC
NO 25
KELAYAN
CORONA
48 BESAR II 8.52E+10 v √
VAC
NO 25

GRILYA
KOMP.GR
CORONA
49 IYA 8.13E+10 v √
VAC
MAHATA
MA

MELATI
CORONA
37 UJUNG RT 8.15E+10 v √
VAC
22
CORONA
47 PRONA II 8.52E+10 v √
VAC
A YANI 8.96E+10 CORONA
18 v √
KM 7.900 VAC
PEKAPUR CORONA
19 9E+10 v √
AN RAYA VAC

HARMONI
II KOM.
CORONA
18 BUMI 8.22E+10 v √
VAC
RAYA
PERMAI

SUKAMAR
A KOM CORONA
47 ASRI II 8.22E+10 v √
VAC
LAND
ULIN

KELAYAN
CORONA
50 BESAR II 8.52E+10 v √
VAC
NO 25
PEK RAYA
47 TUNJUNG 8.58E+10 v √ CORONA
VAC
MAYA
PEKAPUR CORONA
23
AN RAYA 8.2E+09
v √
VAC
KELAYAN CORONA
39
A GG II 8.78E+10
v √
VAC
 JL BUMI 08235436
31 MAS V V PFIZER
4227
RAYA
KEC.
58 ARUT 8.58E+10 √ √ PIZER
SELATAN

MAHONI I
RT 12
89535420
38 NO,32 √ √ PIZER
9390.
BANJAR
INDAH

TUNJUNG
MAYA RT
16 03.KEL. 8.31E+10 √ √ PIZER
KARANG
MEKAR

PEKAPUR CORONA
12 AN RAYA 8.57E+10 √ √ VAC

KELAYAN CORONA
20 A GG 8.54E+10 √ √
VAC
SISODADI

PEK RAYA CORONA

13 8.14E+10 v √
GG SIRIH VAC
PEK RAYA CORONA
14 GG SIRIH 8.14E+10 v √ VAC
CORONA
53 PEK RAYA 8.14E+10 v √ VAC
KASTURI
48 RAYA NO 8.58E+10 v √ PIZER
89
KASTURI
49 RAYA NO 8.14E+10 v √ PIZER
89
A YANI CORONA
67 8.13E+10 v √
KM 4,5 VAC
PEK RAYA
GG CORONA
41 8.13E+10 v √
INDAH VAC
SARI

TEMBUS
65 MANTUIL 8.12E+09 v √ PIZER
RT 23
KELAYAN 08525132
CORONA
38 BESAR II v √
4111. VAC
NO 25
 KELAYAN CORONA
48 BESAR II 8.52E+10 v √
VAC
NO 25

GRILYA
KOMP.GR
CORONA
49 IYA 8.13E+10 v √ VAC
MAHATA
MA

MELATI
CORONA
37 UJUNG RT 8.15E+10 v √
VAC
22
CORONA
47 PRONA II 8.52E+10 v √
VAC
A YANI CORONA
18
KM 7.900 8.96E+10
v √
VAC
PEKAPUR CORONA
19 AN RAYA 9E+10 v √ VAC

HARMONI
II KOM.
CORONA
18 BUMI 8.22E+10 v √
VAC
RAYA
PERMAI

SUKAMAR
A KOM
CORONA
47 ASRI II 8.22E+10 v √
VAC
LAND
ULIN

KELAYAN
CORONA
50 BESAR II 8.52E+10 v √
NO 25 VAC

PEK RAYA CORONA

47 TUNJUNG 8.58E+10 v √
VAC
MAYA

23 PEKAPUR 8.2E+09 v √ CORONA

AN RAYA VAC
KELAYAN 8.78E+10 CORONA
39 v √
A GG II VAC
JL BUMI 08235436
31 MAS V V PFIZER
4227
RAYA
No. Batch Tanggal DiImunisasi Keterangan
(Contoh: Ditunda/ Dirujuk/ Pulang
Dosis II Dosis I Dosis 2 Sehat/….)

324007P 31012022

324007P 31012022

2021112
31012022
36

V3324007P

FM7785

V3FM7785

V3FM7785

V3FM7785
 V3FM7785

V3FM7785

V3FM7785

V3FM7785

V3FM7785

V3324007P
 V

V3FM7785

V3FM7785

V3324007P

V3FM7785

02/02/20
PFIZER FM7785 V3
22

02/02/20
PFIZER FM7785 V3
22

02/02/20
PFIZER FM7785 V3
22

02/02/20
PFIZER FM7785 V3
22
 02/02/20
PFIZER FM7785 V3
22

02/02/20
PFIZER FM7785 V3
22

02/02/20
PFIZER FM7785 V3
22

02/02/20
PFIZER FM7785 V3
22
02/02/20
PFIZER FM7785 V3
22
02/02/20
PFIZER FM7785 V3
22

02/02/20
PFIZER FM7785 V3
22

PFIZER FM7785 02/02/2022

PFIZER FM7785 02/02/2022

02/02/20
PFIZER FM7785 V3
22

02/02/20
PFIZER FM7785 V3
22
 02/02/20
PFIZER FM7785 V3
22

02/02/20
PFIZER FM7785 V3
22

02/02/20
PFIZER FM7785 V3
22

PFIZER FM7785 02/02/2022

02/02/20
PFIZER FM7785 V3
22

02/02/20
PFIZER FM7785 V3
22

02/02/20
AZ 324007P V3
22

02/02/20
AZ 324007P V3
22

02/02/20
AZ 324007P V3
22
02/02/20
AZ 324007P V3
22
AZ 324007P 02/02/2022
02/02/20
AZ 324007P V3
22
02/02/20
AZ 324007P V3
22
AZ 324007P 02/02/2022

AZ 324007P 02/02/2022
 02/02/20
AZ 324007P V3
22

02/02/20
AZ 324007P V3
22

02/02/20
AZ 324007P V3
22

02/02/20
AZ 324007P V3
22

02/02/20
AZ 324007P
22
02/02/20
AZ 324007P
22

02/02/20
AZ 324007P
22

SINOVA 202111236 02/02/20

C F 22

SINOVA 2021112
02/02/2022
C 36F

SINOVA 2021112
02/02/2022
C 36F

SINOVA 202111236 02/02/20

C F 22

DALAM
CORON 202111236
3022022 GEDUN
AVAC F
G

ASTRAZ
324007P V
ENECA

ASTRAZ V332400
ENECA 7P
ASTRAZ
V V
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ASTRAZ
V V
ENECA

ASTRAZ V332400
ENECA 7P

ASTRAZ V332400
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ASTRAZ V332400
ENECA 7P

ASTRAZ V332400
ENECA 7P

KARTU
IMUNISA
ASTRAZ
V V SI BLM
ENECA
BISA
CETAK

CORON
V
AVAC

ASTRAZ
V3
ENECA

ASTRAZ
V
ENECA

ASTRAZ
V3
ENECA

CORON
V
AVAC
ASTRAZ
V
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CORON
V
AVAC

CORON
V
AVAC

CORON
V
AVAC

ASTRAZ
V
ENECA

CORON
V
AVAC

CORON
V
AVAC

CORON
V
AVAC

CORON
V
AVAC

ASTRAZ
V
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ASTRAZ
V
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ASTRAZ
V
ENECA

ASTRAZ
V
ENECA

ASTRAZ
V
ENECA

ASTRAZ
V
ENECA
ASTRAZ
V
ENECA

ASTRAZ
V3
ENECA

CORON
V
AVAC

FM7785 2/4/2022 PS

FM7785 2/4/2022 PS

FM7785 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

FM7785 2/4/2022 PS

FM7785 2/4/2022 PS

202112238G 2/4/2022 PS
202112238G 2/4/2022 PS

FM7785 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022

202112238G 2/4/2022
FM7785 2/4/2022

FM7785 2/4/2022 PS

FM7785 2/4/2022 PS

FM7785 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

FM7785 2/4/2022 PS

FM7785 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

FM7785 2/4/2022 PS

202112238G 2/4/2022 PS
 202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022 PS

202112238G 2/4/2022

202112238G 2/4/2022

FM7785 2/4/2022