FORMAT PENCATATAN PELAKSANAAN VAKSINASI COVID-19

TINGKAT PUSKESMAS/FASYANKES/POS VAKSINASI

Tanggal : 1 Desember 2021

Nama Puskesmas/Fasyankes/Pos : X Koto II
Kabupaten/Kota : Tanah Datar
Provinsi Sumatera Barat
Nag Panyalaian & SMP 1

Kepesertaan BPJS (tulis 'Ya' pada

Dosis I Dosis 2
kolom yang sesuai)

Umur Keterangan
Jenis Kelompok Merek Tanggal
No No. Registrasi NIK Nama Penerima Vaksin Pekerjaan* (18-59 Alamat No. Hp (Ditunda/Tidak
Kelamin Umur Vaksin*** Screening
tahun) Tanggal Tanggal Diberikan/Lanjut)
BPJS Non
BPJS PBI Non Anggota Pemberian No. Batch Pemberian No. Batch
PBI
Vaksinasi Vaksinasi

e 1 ;P-AU1ENWUU ;1304014303820002 RINAWATI P D 39 31-45 KOTO SUBARANG ;081317778439 12/2/2021 12/2/2021 SDEU1

2 P-6DSGUCOB ;1371015612610001 FIAN TISKA P L 60 LANSIA MATA AIR ;081270081054 12/2/2021 12/2/2021 SDEU1

3 ;1304014505950002 SONYA ANNISSA P D 27 18-30 BINTUNGAN V 12/2/2021 12/2/2021 SDEU1

P-FLB9SZE5 ;088888888

4 ;1304014709990001 PUTI MAYANG AYUNI P D 21 18-30 PANYALAIAN ;082172349483 V 12/2/2021 7/13/2021 24201321 12/20/2021 202109175M
Q-000IV2M5

5 ;1304012006020002 L D 20 18-30 PASA RA BA A ;08528306896 V 02/12/021 11/11/2021 30140BA 12/20/2021 202109175M

Q-001PP5BF RAHMAT SAPUTRA MARSAL

6 ;1304010106650003 YUNIS P D 57 46-59 BINTUNGAN ;08888888888 V 12/2/2021 12/2/2021 SDEU1

P-DJA78FWJ

7 DIPO L D 37 31-45 PANYALAIAN ;082388317713 V 02/12/021 11/11/2021 30140BA 12/20/2021 SDEU1

Q-001PP57U ;1304010104850006

8 ;1304014706590001 YUNI MARLINA P L 62 0 PINCURAN TINGGI ;085274322842 V 12/2/2021 7/13/2021 24201321 12/20/2021 202109175M
Z-0007STUP

9 ;1304015201880001 RAHMI AYU UTARI P D 33 31-45 KOTO TUO ;082283408601 V 12/2/2021 12/2/2021 SDEU1
P-ERXNMKXN

10 ;1304011008770004 MUHARDI HALIB L D 44 0 KOTO TUO ;085263673428 V 12/2/2021 12/2/2021 SDEU1

;P-GBUIMR6F

11 ;1304141708890003 HENDRI SUSILO L D 32 31-45 TIBALAU 12/2/2021 12/2/2021 SDEU1

;PGRR3EQOT ;082288584116

12 ;1304016612810003 DESSI WARNI P D 40 31-45 KOTO TUO ;082386248689 V 12/2/2021 12/2/2021 SDEU1
P-GKSOXE84

13 ;1377015212830002 RIAWATI P D 38 31-45 PINCURAN TINGGI ;082260717535 02/12/021 11/3/2021 4/5/2631 12/20/2021 202109175M
Q-001MJBS1

14 ;1306095712890002 DESMI WAHYUNITA P D 32 31-45 TILATANG K V 12/2/2021 11/4/2021 4/5/2631 12/20/2021 202109175M
Q-001MZ649 ;085264881303

15 ;1302111604750001 MUHAMAD ROZI P D 47 46-59 PANYALAIAN ;0851743444878 V 02/12/021 11/11/2021 30140BA 12/20/2021 202109175M
Q-001PP5AA

16 ;1304010303780002 IPEN RIZKI IRWANTO L D 43 31-45 BINTUNGAN ;082391199070 V 02/12/021 11/11/2021 30140BA 12/20/2021 SDEU1
Q-001PP30P

17 ;1304011008570001 DASRUL L L 64 0 PASA RABA A ;085265022999 V 12/2/2021 11/4/2021 24203321 12/20/2021 202109175M
Z-000DYD3I

18 P-IUUQNMEU ;1304014704040001 DEA MONICA P R 18 18-30 KOTO TUO ;088708230604 V 12/2/2021 12/2/2021 SDEU1

19 ;130401808660003 ZARNIMI P D 55 46-59 BINTUNGAN ;085274349878 V 12/2/2021 11/4/2021 24203321 12/20/2021 202109175M
Q-001N1U6H

20 ;1304011707560002 EDISON L L 66 0 PASA RABA A ;085272314881 V 12/2/2021 11/4/2021 24203321 12/20/2021 202109175M
Z-000DYD3E
21 ;1304096110850001 WENNY AURILIYA P D 35 31-45 PINCURAN TINGGI ;085264832610 12/2/2021 11/4/2021 24203321 12/20/2021 202109175M
Q-001N1HM8

22 ;2171091412900002 AFDUL L D 31 31-45 KUBU DIATEH V 12/2/2021 11/3/2021 24203621 12/20/2021 202109175M
Q-001MQB12 ;085264178954

23 ;1304011201970002 AKRAM RAMADHAN L D 24 18-30 KUBU DIATEH ;085766196973 12/2/2021 10/6/2021 202107143K 12/20/2021 202109175M
Q-0018V23V

24 ;1605085609990001 KHOLIFAH P D 22 18-30 PASA RABA A V 02/12/021 11/11/2021 30140BA 12/20/2021 202109175M
Q-001PQ536 ;081330368554

25 ;1304015203660002 ELFANETRI P D 55 46-59 KOTO TUO ;081268529196 12/2/2021 12/2/2021 SDEU1

P-LT5EK4CO

26 ;1304086712960001 MELLI YULIA P D 25 18-30 LURAH AMPANG ;081267634259 02/12/021 11/11/2021 30140BA 12/20/2021 SDEU1
Q-001PSLEI

27 ;1304014307780003 FERAWATI P D 43 31-45 PINCURAN TINGGI ;085265020216 V 12/2/2021 11/3/2021 24203621 12/20/2021 202109175M
Q-001MKWXL

28 ;1304014107660161 JANEWAR P D 56 FASE KOTO SUBARANG ;08583143608 V 12/2/2021 10/21/2021 202108171F 12/20/2021 202109175M
Q-001GFDWA

29 ;;1304010107600226 MARLIS P L 61 0 KOTO SUBARANG ;081261680001 12/2/2021 12/2/2021 SDEU1

S-DFE3F10C

30 ;1304011203690001 AWALUDIN L D 52 0 KUBU DIATEH ;081372453893 12/2/2021 11/11/0201 30140BA 11/20/2021 SDEU1
Q-001PWEVR

31 ;1304011809860005 SYOFYAN PURNAMA L D 25 0 KAPALO KOTO ;082297067890 12/2/2021 11/11/0201 30140BA 11/20/2021 SDEU1
Q-001PSTHJ

32 ;1304016609890001 DENI SAFITRI P D 32 31-45 KOTO SUBARANG ;085831436508 V 12/2/2021 12/2/2021 SDEU1
P-LU92IA4G

33 ;1375024607780001 ZURAIDA P D 43 31-45 MANDIANGIN ;08126775421 12/2/2021 12/2/2021 SDEU1

P-LUEVBVOW

34 ;1304016401970002 PUTRI RAHMADANI P D 24 18-30 MANDIANGIN ;081364606841 12/2/2021 12/2/2021 SDEU1

P-LUBOXVGZ

35 ;1304011903860001 YOSI PUTRAWAN L D 34 31-45 KOTO SUBARANG ;085274124510 12/2/2021 10/20/2021 24203621 12/2/2021 202109175M
Q-001KWFC7

36 ;1304015112660002 ASNAH P D 55 46-59 PANYALAIAN ;085274113869 12/2/2021 10/18/2021 202108137H 12/2/2021 202109175M
Q-001F4EYZ

37 ;1304012803890001 JEMMI SAPUTRA P D 32 FASE KOTO TUO ;082174653298 V 12/2/2021 11/4/2021 24203621 12/2/2021 202109175M
Q-001MYKJM

38 ;1304011909690002 ARMEN L D 52 FASE PINCURAN TINGGI ;085272979049 V 12/2/2021 12/2/2021 SDEU1

P-LTZPNOXP

39 SAMSUL BAHRI L D 32 31-45 BINTUNGAN ;081261691589 V 12/2/2021 12/2/2021 SDEU1

P-LUKOQI1E ;1302080209890001

40 ;1304015006650003 WELNIDAWATI P D 56 46-59 KOTO SUBARANG ;081261680001 12/2/2021 12/2/2021 SDEU1

P-LUS2SJ4T

41 ;1371116407890004 WIRA SARTIKA P D 32 31-45 BINTUNGAN ;081261691589 V 12/2/2021 12/2/2021 SDEU1

P-LUMEGONS

42 ;1304012310990002 SONY ADRIAN L D 22 18-30 KOTO TUO ;082387622257 12/2/2021 11/11/0201 30140BA 12/2/2021 SDEU1
Q-001PTQD9

43 Q-001MP67N ;1309055106940001 DERNI ANITA P D 27 18-30 BINTUNGAN ;085314951272 12/2/2021 11/3/2021 4/5/2631 12/2/2021 202109175M

44 ;1304011402850001 ERMAN L D 37 31-45 KUBU DIATEH ;088279663866 V 12/2/2021 03/11/20201 4/5/2631 12/2/2021 202109175M
Q-001MHLMU

45 PERAWATI P D 42 31-45 BINTUNGAN ;085265975104 V 12/2/2021 11/2/2021 24203621 12/2/2021 202109175M

Q-001RR734 ;137106507810004

46 ;1304014402800004 RIRI ERLINA P D 41 31-45 BINTUNGAN ;085375530091 V 12/2/2021 11/11/2021 30140BA 12/2/2021 SDEU1
Q-001PR78E

47 ;130401070990001 RAHMAT AFANDI L D 22 18-30 PASA RABA A 12/2/2021 10/30/2021 4/5/2631 12/2/2021 202109175M
Q-001KVQW8 ;089676212531

48 ;1304014303090002 AYU NI,MAH MADINA P P 13 REMAJA KOTO TOU ;082389691515 12/2/2021 12/2/2021 FK1754
P-LWCRGRSS

49 ;3216011310780004 ADITIA WARMAN L D 43 31-45 NGALAU ;085833215293 12/2/2021 11/4/2021 24203621 12/2/2021 202109175M
Q-001MZ6FP

50 ;1304016909060003 RAISA PUTRI P P 15 0 KOTO TUO ;083161277247 V 12/2/2021 10/21/2021 202108171F 12/2/2021 202109175M
Q-001GDKAT

51 ;1304010503740007 ERIZAL L D 48 46-59 KUBU DIATEH ;082389054161 02/12/021 10/30/2021 24203621 12/2/2021 202109175M
Q-001L07JW

52 ;13040117108003 MUHAMMAD HAFIZ L P 13 0 KOTO TUO ;082283408601 12/2/2021 12/2/2021 FK1754

P-LWMX8F9H
53 ;1304012510810003 ILHAM RANOVA L D 40 0 KOTO TUO ;085271552284 12/2/2021 12/2/2021 SDEU1 12/2/2021 FK1754
P-LVUH0QDS

54 ;1304012201770001 EDWARDO L D 44 0 HILIE BALAI ;081374288212 12/2/2021 12/2/2021 FK1754

Q-001Q1X7F

55 ;1304051106810002 YUNEVRYL MASALEV P D 40 31-45 KOTO SUBARANG 12/2/2021 12/12/2021 FK1754

P-LX07BOJF ;081364362108

56 ;1304012809820001 ZUL AZMI L D 39 31-45 PANINJAUAN ;085278535317 12/2/2021 11/11/2021 SDEH4 12/2/2021 FK1754
Q-001Q1X5J

57 ;1304016203770002 YELIZA FATMA P D 44 31-45 KOTO SUBARANG ;085274649504 12/2/2021 10/30/2021 24203621 12/2/2021 202109175M
Q-001KWCNS

58 ;1306045210990001 VIVI OKTAVIANTI P D 22 18-30 LAWANG TUO ;085267848399 12/2/2021 10/27/2021 C202106124 12/2/2021 202109175M
Q-001J76T3

59 ;1304014807910002 P D 32 31-45 BINTUNGAN ;085263992347 V 12/2/2021 12/2/2021 SDEU1

P-LW1KRSWY INTAN SARI

60 ;1302110101890008 L D 32 31-45 BINTUNGAN ;085271668877 V 12/2/2021 7/13/2021 24201321 12/2/2021 202109175M

Q-0001VFQJ RISKI KARDO

61 ;1304010805970006 L D 24 18-30 SAWAH PARIK ;0895320294469 V 02/12/021 11/4/2021 4/5/2631 12/2/2021 202109175M
Q-001MZ5NF RUFI ROSYID

62 ;1374016810930001 L D 28 18-30 KUBU DIATEH ;088279663866 V 12/2/2021 03/11/20201 24203621 12/2/2021 202109175M
Q-001MHLZE FADLI RAHMI

63 ;1304011112690002 BUJANG L D 52 46-59 PASA RABA A ;085265022999 V 12/2/2021 10/30/2021 24203621 12/2/2021 202109175M
Q-001KY6LC

64 ;1304016202980003 P D 23 18-30 HILIE BALAI ;082284363010 12/2/2021 11/11/2021 30140BA 12/2/2021 SDEU1
Q-001PSF08 DIANA EKA PUTRI

65 ;1304017112560014 ALIZAR L L 64 0 KOTO TUO ;082386663958 V 12/2/2021 12/2/2021 SDEU1

S-BAADF769

66 ;1304010303640002 L D 57 46-59 SAWAH PARIK ;082385328266 12/2/2021 7/13/2021 24201321 12/2/2021 202109175M
Q-0001L9RD NASRUL

67 ;130401010100008 RINDU FEBRIAN L D 21 18-30 KOTO SUBARANG ;08566316296 12/2/2021 11/4/2021 24203621 12/2/2021 202109175M
Q-001MWQPC

68 ;1304014701990003 L D 22 18-30 KOTO SUBARANG ;082169117296 12/2/2021 10/30/2021 4/5/2631 12/2/2021 202109175M
Q-001KVUZ7 REZA RAHMADANI

69 ;1304014302940006 DENI WULANDARI L D 25 18-30 PANYALAIAN ;085274042031 V 12/2/2021 11/3/2021 24203621 12/2/2021 202109175M
Z-000DWNIG

70 ;1304010101820003 SUARDI L D 39 0 KUBU DIATEH ;085835746522 V 12/2/2021 12/2/2021 FK1754

P-A9DXNE4M

71 ;1304010107710126 L D 50 46-59 KOTO SUBARANG ;085365539343 12/2/2021 10/30/2021 24203621 12/2/2021 202109175M
Q-001KWCDN YONDRIZAL

72 ;1304012507870003 JUNAL EFENDI L D 34 0 KUBU DIATEH ;088279663868 12/2/2021 11/3/2021 24203621 12/2/2021 202109175M
Q-001MIWUN

73 ;1304012606790001 L D 52 0 KUBU DIATEH ;082382570466 12/2/2021 12/2/2021 FK1754

P-KFJKJI0D SUDIRMAN

74 ;1304015010550004 P L 66 0 PASA RABA A ;088888888888 V 12/2/2021 10/18/2021 202108137H 12/2/2021 202109175M

Z-000CXK5F USNIARTY ILYAS

75 ;1304012103860001 L D 35 31-45 KUBU DIATEH ;081247097732 12/2/2021 11/3/2021 24203621 12/2/2021 202109175M
Q-001MI7SA ADRIYAN

76 ;1304010602820003 L D 39 31-45 KUBU DIATEH ;085805106331 11/2/2021 11/4/2021 24203321 12/2/2021 202109175M
Q-001N0X9A YOHANDRI

77 ;1306062710040003 L L 17 REMAJA PAKAN SINAYAN ;082229238207 V 12/2/2021 12/2/2021 FK1754

P-LYRBSD7C MUHAMMAD IDRIS

78 ;1304011505030001 L L 18 REMAJA PASA RABA A ;082272699728 V 12/2/2021 10/30/2021 4/5/2631 12/2/2021 202109175M
Q-001L0W18 MUHAMMAD HANDIKA

79 ;1371016612890001 P D 22 18-30 KOTO SUBARANG ;085263200922 V 12/2/2021 12/2/2021 FK1754

P-E6CBMNO9 ORVELLA MUFTI NUR

80 ;1304012401680001 L D 53 0 KOTO SUBARANG ;0888888888 V 12/2/2021 11/4/2021 24203621 12/2/2021 202109175M

Q-001MZ58R MUSLIM

81 ;1304016011670001 P D 54 46-59 PASA RABA A 12/2/2021 12/2/2021 FK1754

P-LZ5II4CO MESRA YENTI ;082386566862

82 ;1304012409540002 L D 67 LANSIA PASA RABA A ;081374088599 V 12/2/2021 10/30/2021 24203621 12/2/2021 202109175M
Z-000DNNUJ NASAR

83 ;1471011203840021 L D 37 31-45 KOTO TUO ;081161939343 12/2/2021 12/2/2021 FK1754

P-LYD2ZSD4 ADE SAPUTRA

84 ;21711207869001 L D 36 0 PINCURAN TINGGI ;089834287248 V 12/2/2021 11/11/2021 30140BA 12/2/2021 FK1754

Q-001PVFJA ARYA DINATA
 85 ;1304010104750011 L D 46 0 BALAI SATU ;081374372909 V 12/2/2021 11/11/2021 SDEH4 12/2/2021 FK1754
Q-001Q1WWH AFRI HENDRI

86 ;1306035403690001 P D 53 46-59 SAWAH PARIK ;085363537200 12/2/2021 11/11/2021 30140BA 12/2/2021 FK1754
Q-001PX12P MISNAWATI

87 ;1304012202020001 L D 19 18-30 PINCURAN TINGGI ;081275992125 V 12/2/2021 11/3/2021 24203621 12/2/2021 202109175M
Q-001MN6UG WENDI FEBRIANTO

88 ;1304014107530261 P D 68 LANSIA PASA RABAA ;0888888888 V 12/2/2021 11/4/2021 4/5/2631 12/2/2021 202109175M
Z-000DYDQG SYAMSIDAR

89 ;1304014605720003 P D 49 46-59 PINCURAN TINGGI ;085265207516 V 12/2/2021 12/2/2021 FK1754

P-LYH1F9SH MESRA ANDINI

90 ;1304015612060001 P D 15 REMAJA PANYALAIAN ;08888888888 12/2/2021 202109175M

NISSA HANIFAH

91 ;1306152008890001 L D 32 0 TILATANG KAMANG ;085264881303 V 12/2/2021 11/4/2021 24203621 12/2/2021 202109175M

Q-001MYKR7 SRI MUHAJRIL

92 ;1304016612560002 P D 66 LANSIA PASA RABA A ;08888888888 12/2/2021 11/4/2021 24203621 12/2/2021 202109175M
Z-000DYDSW ELINAR

93 ;1304014808580001 P P 63 LANSIA PANYALAIAN ;0813711069805 V 12/2/2021 12/2/2021 SDEU1

S-CDC26DFA IRIANI

94 ;1304011010770009 L D 43 LANSIA KUBU AMBACANG ;085274051981 V 12/2/2021 10/30/2021 24203621 12/2/2021 202109175M
Q-001KWEHP BUDI CHANIAGO

95 ;1304014603730001 P D 48 0 HILIE BALAI ;085765679924 12/2/2021 12/2/2021 FK1754

P-LZKKFUZL SALMA

96 ;1304010405710001 L D 50 0 PINCURAN TINGGI ;085376586352 12/2/2021 10/21/2021 202108171F 12/2/2021 202109175M

Q-001GKXQF RIDWAN

97 ;1404084503940005 P D 27 0 AIE ANGEK ;081372227656 12/2/2021 12/2/2021 FK1754

P-LZSQP81D SARIFAH

98 ;1306020405980003 L D 23 0 TANJUNG MUTIARA ;085667626922 12/2/2021 12/2/2021 FK1754

P-LZTKFBQ RENOL PUTRA SUGARDA

99 ;1303071710010002 L D 20 0 JORONG KOTO ;082285641592 12/2/2021 8/28/2021 24004721 12/2/2021 202109175M

Q-000S1FEC DION PRATAMA PUTRA

100 ;1306112203930001 L D 27 0 KOTO TUO ;088888888888 12/2/2021 12/2/2021 FK1754

P-M0I0IJ4P METRIO ADILOFA

101 ;082288108887 L D 19 0 KOTO TUO ;082288108887 12/2/2021 12/2/2021 FK1754

P-M0KSGSOR FAUZI ANUGRAH HIDAYAT

102 ;1304012911620001 L D 59 0 KOTO TUO ;083138877603 12/2/2021 12/2/2021 FK1754

P-M0B1N63V BUKHARI

103 ;1374011003570001 L D 64 LANSIA PADANG PANJANG ;081267254311 12/2/2021 8/13/2021 1/22/2088 12/2/2021 202109175M
SUARNA PUTRA

104 ;1304011707950005 L D 26 0 BINTUNGAN ;08888888888 12/2/2021 12/2/2021 202109175M

P-M0M933Z9 HENDRA

105 ;1304012401770004 L D 44 0 PANYALAIAN ;0888888888 12/2/2021 11/3/2021 24203621 12/2/2021 202109175M

Q-001MH282 AKHIRUL ASRI

106 ;1304010205920001 L D 29 0 KOTO TUO 82387602610 12/2/2021 202/12/2021 202109175M

P-M0NVWSQK WINDI RAHMAN

107 D 17 0 Koto Tuo V P 2/12/2021 2/12/2021 SDEU1

P-LYQC4BRW 1304015805040001 MELISA POLMAITIANA P 088271791839
108 Q-000TWPK6 1304010702030003 FARHAN ILHAM ALHADI L D 18 18-30 PINCURAN TINGGIO 085264532478 V A 2/12/2021 20-8-2021 24202021 2/12/2021 202109175M

109 34 31-45 KUBU DIATEH V A 2/12/2021 3/11/2021 24203621 2/12/2021 202109175M

Q-001ML7ZC 1304014408870002 HAIDIL YANTI P D 081297097732
110 D 47 46-59 BINTUNGAN V P 2/12/2021 2-12-2-21 FK1754
P-LYMIRL5I 1304014101740005 YURMILA DEFI P 085374747198
111 Q-001N0R8P 1304010801890002 ISKANDAR L D 32 31-45 SAWAH PARIK 85835523743 V A 2/12/2021 4/11/2021 24203321 2/12/2021 202109175M
112 Q-001PU7RZ 1304014512630005 ZUARNIS P D 57 46-59 PINCURAN TINGGIO 081363171338 V P 2/12/2021 11/11/2021 30140BA 2/12/2021 SDEU1

113 Q-001KWEWY 1604172303800002 MUKHLIS L D 41 31-45 KUBU DIATEH 082286490684 V A 2/12/2012 30-1-2021 4/5/2631 2/12/2021 202109175M

114 Q-001KWF10 1604174107820057 LASMINI P D 39 31-45 KUBU DIATEH 082286490684 V A 2/12/2012 30-1-2021 4/5/2631 2/12/2021 202109175M
115 Q-001PR6V9 1304014104630005 FARIDA P D 58 46-59 PINCURAN TINGGIO 081363171338 V P 2/12/2012 11/11/2021 3014BA 2/12/2021 SDEU1
116 S-67CEDBBB 1304014107520190 NURJANANI P D 69 LANSIA KUBU DIATEH 085766196573 V P 2/12/2021 2/12/2021 SDEU1
117 Q-001KVVFM 1304014701960002 JIHAN FITRIANI L D 25 18-30 PASA RABAA 082381858009 A 2/12/2021 30-10-2021 24203621 2/12/2021 202109175M
118 Q-001MR8AL 1304012101080001 RAIHAN AL BUCHORI L D 13 0 BINTUNGAN V A 2/12/2021 3/11/2021 24203621 2/12/2021 202109175M
119 Q-001MXM1W 1304014211700002 MARNIS P D 51 46-59 PASA RABAA 081374454977 A 2/12/2021 4/11/2021 24203621 2/12/2021 202109175M
120 P-CATEY3WV 1374010910790001 RAMO LINO FIRMANSYAH L D 42 LANSIA KOTO SUBARANG 081317778439 V P 2/12/2021 SDEU1

Keterangan ***Merek Vaksin

* Pekerjaan dikelompokkan menjadi: A = Sinovac

A = Petugas Medis dan Non Medis di Fasilitas Pelayanan Kesehatan B = Lainnya (Mohon disebutkan jenis vaksin yang diterima Puskesmas/Faskes)

B = Petugas pelayanan publik yang berhadapan langsung dengan masyarakat A 88 39

C = Administrator Pemerintahan PZ 14
D = Lainnya
E = Tidak Bekerja
Kelompok Umur: Kepesertaan BPJS Pekerjaan
18-30 22 BPJS PBI 0 A 0
31-45 32 BPJS Non PBI 0 B 0
46-59 17 Non Anggota 0 C 0
Total 71 Total Z D 0
Pekerjaan: Pemberian Dosis E 0
A 10 Dosis 1 119 Total 0
B #REF! Dosis 2 76
C #REF! Total
D #REF! 89 BBV0
E #REF! "
Total #REF! #REF!
Yang di di pcare tgl 1/12 /2021 vaksin tgl 26/11/2021

58 Q-001KCBI13040103WINDI R L D 15 REMAJA PS.RABA088279020314

088279020314 12/1/2021 10/29/2021 2.4E+07 11/26/2021 2E+08
DI VAKSNI TGL 26/11/21
absen