Format Pencatatan Hasil Pelayanan Vaksinasi Manual Pusk Fasyankes Pos

FORMAT PENCATATAN PELAKSANAAN VAKSINASI COVID-19
TINGKAT PUSKESMAS/FASYANKES/POS VAKSINASI
Nama Puskesmas/Fasyankes/Pos : Puskesmas Kolakaasi

Kabupaten/Kota : Kolaka
Provinsi : Sulawesi Tenggara
Dosis I Dosis 2
Keterangan
Umur
No. Jenis Kelompok Tanggal (Ditunda/Tidak
No NIK Nama Penerima Vaksin (18-59 Alamat No. Hp
Registrasi Kelamin Umur Screening Tanggal Tanggal Diberikan/Lanj
tahun)
Pemberian Pemberian ut)
No. Batch No. Batch
Vaksinasi Tahap Vaksinasi
I Tahap II
1 003 7401045803820006 CITRA DEWI, SKM KOLAKAASI P 38 31-45 BUKIT MEKONGGAA PERMAI JL KOLUMBA BLOK
0811408023 3/2/2021 3/2/2021 202011044 17/2/2021 202011044 SELESAI
2 005 7401145512960001 HARDIANTI, Amd.Keb KOLAKAASI P 24 18-30 JL DURIAN NO 120 A 085215518424 3/2/2021 3/2/2021 202011044 17/2/2021 202011044 SELESAI
3 006 7401145901660002 WARTINI, AMK KOLAKAASI P 35 31-45 JL DELIMA KEL SEA 085343715681 3/2/2021 3/2/2021 202011044 17/2/2021 202011044 SELESAI
4 008 7401145406830002 ULAN SARI DHAMAYANTI KOLAKAASI P 37 31-45 JL DELIMA NO 25 KEL SEA 082293733638 3/2/2021 3/2/2021 202011044 17/2/2021 202011044 SELESAI
5 007 7401016303840002 DARLITA KOLAKAASI P 36 31-45 JL POROS KOLAKA POMALAA 081255323429 3/2/2021 3/2/2021 202011044 17/2/2021 202011044 SELESAI
6 002 7401125602730002 YUSHARTINA KOLAKAASI P 32 31-45 JL MESJID RAYA NO 7 KEL SEA 08522233447 3/2/2021 3/2/2021 202011044 17/2/2021 202011044 SELESAI
7 009 7408066502820002 NS HARMA S.KEP KOLAKAASI P 39 31-45 JL PENDIDIKAN KEL LALOEHA 085241665935 3/2/2021 3/2/2021 202011044 17/2/2021 202011044 SELESAI
8 018 7401145101930002 AYU KARMILA KOLAKAASI P 28 18-30 JL ABADI KEL KOLAKAASI 085241892706 3/2/2021 3/2/2021 202011044 17/2/2021 202011044 SELESAI
9 015 7401146009980001 WILDAYANTI, Amd.Keb KOLAKAASI P 22 18-30 JL SUNU N0 112 082187882144 3/2/2021 3/2/2021 202011044 18/2/2021 202011044 SELESAI
10 016 7401148202890001 MELISA. Amd.Keb KOLAKAASI P 32 31-45 JL ABADI KEL KOLAKAASI 082343808327 3/2/2021 3/2/2021 202011044 18/2/2021 202011044 SELESAI
11 017 7401046503950010 LILIS DAYANTI KOLAKAASI P 25 18-30 JL KONGGOASA KEL LAMOKATO 082259999643 3/2/2021 3/2/2021 202011044 17/2/2021 202011044 SELESAI
12 019 7408045611810001 INDRAYANA KOLAKAASI P 36 31-45 JL LANDAK NO 18 KEL LALOMBA 082235119323 3/2/2021 3/2/2021 202011044 17/2/2021 202011044 SELESAI
13 020 7401146808960005 RATNASARI,Amd.Keb KOLAKAASI P 24 18-30 JL OPO KEL KOLAKAASI 082188410248 3/2/2021 3/2/2021 202011044 17/2/2021 202011044 SELESAI
14 021 74011430099800001 SUBHAN, Amd.Keb KOLAKAASI L 22 18-30 JL. CAREDE NO 2 082290122463 3/2/2021 3/2/2021 202011044 17/2/2021 202011044 SELESAI
15 028 7401141409900001 BASO RATULANGI KOLAKAASI L 30 18-30 HKSN MINA PERMAI KEL MANGOLO 085230832608 3/2/2021 3/2/2021 202011044 17/2/2021 202011044 SELESAI
16 023 7401144709970001 RISCHA DAMAYANTI KOLAKAASI P 23 18-30 KEL KOLAKAASI 082259077787 3/2/2021 3/2/2021 202011044 18/2/2021 202011044 SELESAI
17 022 7401104107970035 ANDI NURWIANY ULFAH,Amd.Keb KOLAKAASI p 23 18-30 JL SIRA KEL LAMOKATO 085341890677 3/2/2021 3/2/2021 202011044 17/2/2021 202011044 SELESAI
18 029 7401145705860002 JUMRIAH, AMK KOLAKAASI P 34 31-45 JL DURIAN LRG MESJID KEL SAKULI 082346272105 3/2/2021 3/2/2021 202011044 18/2/2021 202011044 SELESAI
19 030 7401044507960002 PUTRI WAHYUNI JUMAIL KOLAKAASI P 24 18-30 JL PEMUDA LRG CRYSTAL 082195408564 3/2/2021 3/2/2021 202011044 17/2/2021 202011044 SELESAI
20 032 7401224210900003 ANDI WAHYUNI, AMK KOLAKAASI P 30 18-30 JL PAHLAWAN KEL LAMOKATO 082293139792 3/2/2021 3/2/2021 202011044 17/2/2021 202011044 SELESAI
21 033 7401147003950002 RISKA WULANDARI KOLAKAASI P 25 18-30 JL KEPITING KEL KOLAKAASI 082194246976 3/2/2021 3/2/2021 202011044 17/2/2021 202011044 SELESAI
22 011 7401146007710001 NURWATI MADJID SKM KOLAKAASI P 49 46-59 JL PANCASILA NO 6 KEL SEA 085240662364 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
23 004 7401041008820004 NASRUDDIN DINKES L 38 31-45 JL PEMUDA 0852411918178 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
24 006 7401045903870002 ROIANA SURGA, SKM DINKES P 33 31-45 PERUMNAS BLOK A NO 27 082191995770 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
25 009 7401071206780002 JAMES S PAONGANAN DINKES L 43 31-45 JL EKONOMI NO 8 0811400348 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
26 011 7401142602750001 HAERUN, SKM DINKES L 45 31-45 JL DELIMA NO 69 085241874848 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
27 014 7401045007730002 SYAHRIAH THAHA DINKES P 47 46-59 KOMP BTN BLOK 6 NO 20 08215746593 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
28 020 7401040505930006 ISMAIL USMAN, S.Kep DINKES L 27 18-30 JL AHMAD MUSTIN 085398757013 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
29 016 7401040611730002 IWAN, SKM DINKES L 48 46-59 JL RUMAH SELATAN NO 207 085235609432 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
30 018 740101247009960001 RENITA ANWAR DINKES P 24 18-30 DUSUN SUKA MAJU 082396134208 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
31 024 7401086705850003 MERIANA TASIK DINKES P 35 31-45 JL BENDUNGAN 082395044224 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
32 023 7401045208630001 SITTI ROHMULYANI DINKES P 58 46-59 JL ALAM MEKONGGA 081341581804 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
33 026 7401044501920003 ST SALSABILA DINKES P 29 18-30 JL SLAMET RIADI NO 12 0823939642360 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
34 029 7401042909740001 HUSAIN ST DINKES L 46 46-59 JL PERUMNAS UTARA V NO 57 085230417974 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
35 031 7401042504970001 DWI JATMIKO DARMAWAN DINKES L 24 18-30 JL PEMUDA LRG PARINDING 082297333786 4/2/2021 4/2/2021 202011044 20/2/2021 202011044 SELESAI
36 030 7401045505860005 JUMIATI BANDU DINKES P 34 31-45 JL PEMUDA NO 41 085341516607 4/2/2021 4/2/2021 202011044 19/2/2021 202011044 SELESAI
37 017 74010410-1910001 ANDI ADHE INDRA SAPUTRA DINKES L 30 18-30 PERUMNAS NO 127 085241577348 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
38 035 7401047112710032 ROSMAWATI RUSMAN, SKM DINKES P 49 46-59 JL CHAIRIL ANWAR NO 48 085241840781 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
39 037 7401040506680006 AMIR DINKES L 53 46-59 KOMP BTN 081245274791 4/2/2021 4/2/2021 202011044 19/2/2021 202011044 SELESAI
40 041 7401141705940001 SUBHAN AP SAHAKA DINKES L 26 18-30 JL ABADI NO 1 082346513517 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
41 066 7401046701890000 IRMAYANI DINKES P 33 31-45 JL LURE 085241922271 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
42 045 7401076109810002 NUR AFNI SURIYANI GAVOER DINKES P 41 31-45 JLN PULAU PADAMARANG NO 4 081245213396 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
43 049 7401042907730002 MUHAMMAD HIDAYAT DINKES L 48 46-59 JL MISTIK 085399446972 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
44 054 7401126311720002 NETTY RUBA BALIK DINKES P 48 46-59 BTN LANGORI PERMAI 085219015288 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
45 051 7401045502980002 INDAH DWI LESTARY DINKES P 22 18-30 JL PEMUDA LRG LAMBADA NO 154 082292905930 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
46 048 7401040110760002 ARWANG ARIFIN DINKES L 44 31-45 JL BADEWI NO 28 081210836875 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
47 052 7405083110980001 RIVALDI ANTONIO PETRUS DINKES L 22 18-30 JL PATIMURA NO 181 081281516333 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
48 053 740104650690002 ULVA RAMDHANI BASIR DINKES P 24 18-30 BTN BLOK IV 082273446740 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
49 040 7401141408920001 SANDI SURAHMAN DINKES L 28 18-30 JL ABADI LORONG NO 12 0852389099479 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
50 055 7401145403950001 RAHMI AINY TONY DINKES P 25 18-30 JL KADUE NO 5 082349866679 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
51 046 7401045409930001 RIEKA ANGELA KADANG DINKES P 22 18-30 JL PAHLAWAN GANG 082293456030 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
52 056 7401075505950001 YARNIS DINKES P 25 18-30 JL EKONOMI NO 74 081344799471 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
53 058 7401046006910001 HESTI PUTRI HANDAYANI DINKES P 29 18-30 SABILAMBO 0852424500580 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
54 059 7401046303960003 SANTI SUPARNO DINKES P 24 18-30 JL ALAM MEKONGGA 08229120613 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
55 062 7401046604970001 NUR ALAM DINKES P 23 18-30 JL PEMUDA 085256997383 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
56 057 7401044912940001 KHADIJAH MUSPAH DINKES P 26 18-30 JL GARUDA 085395923721 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
57 065 7401044501780001 HARTAWATI DINKES P 43 31-45 JL MISTIK III 081341529963 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
58 064 7401134107960110 ELMA WATI, AMK DINKES P 24 18-30 JL PENDIDIKAN 085340831081 4/2/2021 4/2/2021 202011044 19/2/2021 202011044 SELESAI
59 069 7401040705810003 MUSTAJAB SUKARDI DINKES L 41 31-45 LINGKUNGAN II MOSEHA 085330785011 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
60 071 7401142704800002 SITTI HAJAR DINKES P 36 31-45 JL H LARURU NO 6 085242543420 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
61 070 7401040409930003 MUHAMMAD RIJALULHAK SYAHRIDINKES L 27 18-30 JL PAHLAWAN LRG TERATAI NO 3 085343618393 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
62 076 7401194704840001 SHERTY EDY SUBA DINKES P 37 31-45 JL PATIMURA NO 16 0811245837788 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
63 074 7401145504950001 SALMA DINKES P 25 18-30 KOLAKAASI 085337781295 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
64 078 7401045304850003 IDA PURWASTUTI DINKES P 35 31-45 JL SLAMET RIADI NO 7 082189213089 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
65 079 7401127101830002 SUHENNY ZAINUDDIN, S.Kep DINKES L 44 31-45 JL BADEWI BLOK H NO 8 085241699626 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
66 063 7401046509970001 RAHMIANI. Amd.Keb DINKES P 23 18-30 JL MEKONGGA INDAH 081345510005 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
67 081 7405191708950001 TEGUH SAMPURNO DINKES L 24 18-30 JL BENDUNGAN BTN KHR 085333679475 4/2/2021 4/2/2021 202011044 18/2/2021 202011044 SELESAI
68 013 7401040903820001 RAHMATIAH, S.Kep DINKES P 37 31-45 LINGKUNGAN I KEL WUNDULAKO 081341513061 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
69 003 7401041106690002 SANTOSA DINKES L 51 46-59 KOMP BTN BLOK G NO 20 0811405590 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
70 017 7401015503800004 DWI RISMA FADILLAH, SKM DINKES P 41 31-45 DUSUN I TOWUA 085312548110 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
71 025 7401040808690002 TOTALYS DJARWANTO DINKES L 51 46-59 JL SLAMET RIADI N0 13 082194212227 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
72 005 7401041902870001 TRI INDRA JAYA R MALIK DINKES L 33 31-45 JL NURI 085255557760 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
73 019 7401047107810001 YULI ARIANI DINKES P 40 31-45 JL KONGGOASA NO 39 08113178776 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
74 004 7401040312790001 HAERUDDIN SKM DINKES L 41 31-45 JL PEMUDA NO 41 08114082411 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
75 023 7401205208970001 NIMMAWATI KOLAKAASI P 23 18-30 LIKU SAMATURU 085243230071 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
76 018 7401046911880005 SRI SULASTRIANI, SKM DINKES P 32 31-45 JL SAM RAATULANGI 081341656266 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
77 024 7401046304920001 FEBRIYANTI,Am.Keb KOLAKAASI P 29 18-30 JL SULTAN HASANUDDI N III 085263792860 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
78 029 740112560730002 ADOLFINA KABANGNGA KOLAKAASI P 48 46-59 LINGKUNGAN IV UNAASI 085311509456 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
79 028 7401044209930001 ELVA CRIISTY IRIANTI KOLAKAASI P 27 18-30 JL MERPATI NO 25 KOLAKA 085254863401 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
80 007 7401044101880003 NURUL QOLBY DINKES P 33 31-45 JL BELIBIS NO 3 0811455668 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
81 006 7401047112920001 LINDA DESRIANI BIANTONG DINKES P 28 18-30 JL PEMUDA LRG ZIG ZAG 082325174274 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
82 008 7401042607820002 ASHAR, SKM DINKES L 38 31-45 JL PONDOK PESANTREN NO 26 085363589556 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
83 033 7401146101640001 YENI MOGOT, SE DINKES P 57 46-59 JL DURIAN LRG KANTOR LURAH NO 5 081341977606 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
84 035 7401076010970002 MAYA BACHTIAR, Amd.Kep DINKES P 24 18-30 JL NUSANTARA NO 86 085825536782 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
85 013 74011403075720001 SATUKAN DINKES L 48 46-59 JL DG PASAU 082291176478 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
86 037 7401075010850001 OKTAVIANI DINKES P 35 31-45 JL PRAMUKA 082353220966 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
87 040 7401046104710001 ABIA KARTINI, SKM DINKES P 49 46-59 LRG MISTIK BTN GELORA NO 3 081341948943 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
88 014 7401042512700001 MUNG RAHADI, SKM DINKES L 50 46-59 JL PERUMNAS IV BLOK A NO 172 081341693747 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
89 006 7401044511670000 ROSNAWATI RAHIM DINKES P 53 46-59 BTN GRIYA LALOMBA MANDIRI BLOK B 0811406691 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
90 043 7401041610730001 NURSYAM ARSJAD DINKES L 47 46-59 KOMP PERUMNAS NO 135 LALOMBAA 085394584374 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
91 044 74711010112730006 MUHAMMAD ARIF LAHABO DINKES L 48 46-59 KOLAKA 085241566660 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
92 046 7401126303960002 MARSELINA REZKY, Amd.Keb DINKES P 24 18-30 DUSUN III MATAIWOI 082396135710 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
93 047 7401040204630001 ABD KADIR K, SE DINKES L 58 46-59 BTN TAHOA BLOK A 085343919494 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
94 048 7401145408880002 NITA PRAVITA DINKES P 32 31-45 JL ABADI 08521502477 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
95 011 7401045406740001 FATMAWATI, SKM DINKES P 47 46-59 JL MISTIK 082396567672 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
96 050 7401045709900001 RISKIAH RAHMAN, SKM DINKES P 30 18-30 JL CENDRAWASIH 085396487077 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
97 052 7401035411930001 ASMAIDA DINKES P 28 18-30 LINGKUNGAN III POLOA WOITOMBO 082349762302 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
98 054 74011446044940001 YUSPA INDAR FARDANI,Amd.Keb DINKES P 25 18-30 JL CAKALANG NO 3 085242470481 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
99 055 7401201005840001 RAHMAN.S.Sos.M.Kes DINKES P 36 31-45 DUSUN II LAONE KEL WAWO TAMBOLI 082293577804 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
100 053 7401046512950005 DHEA RISKI ANANDA AMIN KOLAKAASI P 25 18-30 JL ABUNAWAS LASANDARA NO 15 082238566695 5/2/2021 5/2/2021 202011044 20/2/2021 202011044 SELESAI
101 056 7401044304730002 RUHAEDA DINKES P 47 46-59 JL KAKATUA N0 12 082293135799 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
102 057 7401015004846001 NELI SUASANA, Amd.AK DINKES P 36 31-45 JL CENDRAWASIH 08113179495 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
103 062 7401034103850001 MARPINA, SKM DINKES P 35 31-45 BALANDETE GRIYA SATELIT 085241816246 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
104 065 7401145207630001 DJUMATI DINKES P 57 46-59 JL KADUE NO 5 085396032813 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
105 066 740104604660001 MUSTOPA DINKES P 56 46-59 JL PEMUDA LRG PERINDING 085213999905 5/2/2021 5/2/2021 202011044 20/2/2021 202011044 SELESAI
106 067 7401044603930002 RIZKI RAMADANI NUR DINKES P 27 18-30 BTN BLOK F NO 11 KEL TAHOA 085342028896 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
107 016 7401044403710004 ERNAWATI MUSA, AMG DINKES P 42 31-45 JL PAHLAWAN NO 27 085241607771 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
108 068 7401045108920002 SITTI FAUZIAH DINKES P 28 18-30 KOMP BTN TAHOA BLOK 4 NO 15 082291010455 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
109 069 7401044609830001 RUKAYAH DINKES P 37 31-45 JL PAHLAWAN LRG TERATAI NO 3 0811400064 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
110 064 7401046801780001 MASNIYATIN TASMAN DINKES P 42 31-45 JL PERUMNAS UTARA V NO 57 081211935343 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
111 022 7401142009780001 HARISMA ANDRIES KOLAKAASI L 42 31-45 JL PANCASILA NO 70 085394443999 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
112 049 7401074411890001 ELSY WIJAYA DINKES P 32 31-45 JL EKONOMI NO 20 081242599968 5/2/2021 5/2/2021 202011044 19/2/2021 202011044 SELESAI
113 001 7401411709940001 SEPRIAN HILMAN KOLAKAASI L 26 18-30 LINGKUNGAN II LALODIPU NO 151 08124289924 6/2/2021 6/2/2021 202011044 22/2/2021 202011044 SELESAI
114 005 7401046109780001 RUHAMINA KOLAKAASI P 42 31-45 JL PELANDUK NO 80 082346966651 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
115 002 7401145904850000 FERAWATI,S.Kep.Ns KOLAKAASI P 35 31-45 LRG IKLIM 082217363879 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
116 004 7401146409970003 HUMAERA, AMD KEP KOLAKAASI P 23 18-30 JL LURE 085290544480 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
117 006 7401042504650001 SYAMSIR AMSIR DINKES L 56 46-59 BTN BALANDETE BLOK H 082325455467 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
118 010 74011470990001 HASTUTI KOLAKAASI P 31 31-45 JL PANORMA NO 42 082262662083 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
119 008 7401044601840002 DWI AYU HARTATI DINKES P 37 31-45 JL BENDUNGAN BTN KHR BLOK E NO 6 085241750123 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
120 012 7401011505770003 MOSES DINKES L 43 31-45 DESA UUNAMEDAA 081341797700 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
121 013 7401146105930002 MIFTAHUL RAMLI KOLAKAASI P 27 18-30 JL H LARURU NO 163 085242099222 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
122 012 7401032404760001 APRIADI POHIWO, SKM DINKES L 44 31-45 JL A LASANDARA LINGKUNGAN III 081343867271 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
123 015 7401145007830001 KUSNAWATI DINKES P 37 31-45 JL KEMAKMURAN NO 28 085299335083 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
124 016 7401044809990001 CINTIA PRATIWI SEPTIANINGSIH DINKES P 21 18-30 LRG MISTIK BTN GELORA NO 3 08124166031 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
125 018 7401040706760003 PURWONO DINKES L 53 46-59 LRG IKLIM 085145506377 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
126 019 7401146802830003 HJ HASRIANI, SKM KOLAKAASI P 37 31-45 JL TPI NO 9 KOLAKAASI 085238985833 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
127 007 7401141311930001 RISJAL KOLAKAASI L 28 18-30 JL BEKICOT NO 3 085397945606 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
128 027 7401141806650001 SAMSIR DINKES L 55 46-59 JL MEOHAI 081345510005 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
129 020 7401017107830001 RAMAYANTI SUPRIADI DINKES P 37 31-45 DUSUN I MONAPA 082347415069 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
130 021 7401146607780001 SITTI MALANIA L, SKM DINKES P 47 46-59 JL BINA GUNA 082293537009 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
131 009 7401146312770002 HJ ASNI DINKES P 55 46-59 JL DERMAGA 081355779374 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
132 024 74011144306930002 HJ RAHMA, AMD KEB KOLAKAASI P 27 18-30 JL CAREDE KOLAKAASI 085397039555 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
133 023 7401044505840005 RISNAH,S.Si.Apt KOLAKAASI P 36 31-45 JL H LARURU 081241967765 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
134 027 7401042202920003 ACHMAD FAUZI KOLAKAASI L 28 18-30 JL PAHLAWAN NO 76 085241626455 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
135 028 7401045607980001 NADIA KUSFAINI MULIADI DINKES P 23 18-30 JL PEMUDA KEL SABILAMBO 085240663016 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
136 025 7308052009910001 SUPARDI KOLAKAASI L 30 18-30 KOMP BTN TAHOA BLOK P NO 6 085247777967 6/2/2021 6/2/2021 202011044 20/2/2021 202011045 SELESAI
137 029 7401040107750074 RISAL DINKES L 45 31-45 BTN TAHOA LRG 3 JL TINUMBU NO 6 082293649264 6/2/2021 6/2/2021 202011044 20/2/2021 202011045 SELESAI
138 030 7401140302780001 SUPRIADI SULTAN KOLAKAASI L 42 31-45 JL. KAYANGAN 082237538553 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
139 031 7401074507950002 YUSPITA DINKES P 25 18-30 POMALA 085145266254 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
140 032 3673010808810015 BASTANG BAKTI KOLAKAASI L 40 31-45 JL. OPO NO. 35 KEL. KOLAKAASI 085212272348 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
141 033 7401047112940007 DESI ARWANTI KOLAKAASI P 26 18-30 JL LUMBA LUMBA KOMP BTN 085241444830 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
142 034 7401206103960001 IRMA SURYANI KOLAKAASI P 24 18-30 DUSUN IV LIKU 082395035473 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
143 035 7401144703840003 ROHANI KOLAKAASI P 36 31-45 JL KAYANGAN 085215228566 6/2/2021 6/2/2021 202011044 20/2/2021 202011044 SELESAI
144 006 740104010980001 REFICHA HADIANTY SLAMET DINKES P 22 18-30 JL PEMUDA LRG MISTIK V 082293420782 8/2/2021 8/2/2021 202011044 22/2/2021 202011044 SELESAI
145 002 7401140602860001 HENDRA SULTRAWAN DINKES L 35 31-45 JL ONEMBUTE 085253975375 8/2/2021 8/2/2021 202011044 22/2/2021 202011044 SELESAI
146 007 7401040412900002 DESPI PALINKIN DINKES L 32 31-45 JL HALUOLEO 085341526114 8/2/2021 8/2/2021 202011044 22/2/2021 202011044 SELESAI
147 008 74010444603850001 SOLIHATUNINGSIH DINKES P 35 31-45 JL TMD NO 3 0811404072 8/2/2021 8/2/2021 202011044 22/2/2021 202011044 SELESAI
148 010 7401047110850001 DARMAWATI DINKES P 35 31-45 LINHKUNGAN IV TADAI-DAI 085241632439 8/2/2021 8/2/2021 202011044 22/2/2021 202011044 SELESAI
149 011 7401042609940001 ARMAN DINKES L 26 18-30 JL DG PASAU NO 59 085298912882 8/2/2021 8/2/2021 202011044 22/2/2021 202011044 SELESAI
150 014 7401146612730001 DESI KOLAKAASI P 47 46-59 JL ABADI KEL SEA 082189663813 8/2/2021 8/2/2021 202011044 22/2/2021 202011044 SELESAI
151 013 7401045505960001 ISMI MAYASARI DINKES P 24 18-30 JL BANTENG NO 10 085333376665 8/2/2021 8/2/2021 202011044 22/2/2021 202011044 SELESAI
152 012 7401046001950001 TIRTA JUWITA HARJUD DINKES P 26 18-30 JL WUTALAWU NO 2 082293423611 8/2/2021 8/2/2021 202011044 22/2/2021 202011044 SELESAI
153 001 7313034108960001 ANDI BESSE SRI ELIKA DINKES P 24 18-30 LINGKUNGAN II MATABALE WUNDULAKO 082292475311 9/2/2021 9/2/2021 202011044 23/2/2021 202011044 SELESAI
154 003 7401035108980001 ASMATUL FADILLAH DINKES P 22 18-30 SABI-SABILA MOWEWE 085396170101 9/2/2021 9/2/2021 202011044 23/2/2021 202011044 SELESAI
155 005 7308095208830001 KURNIATI DINKES P 37 31-45 JL KASUARI NO 14 085241211808 9/2/2021 9/2/2021 202011044 23/2/2021 202011044 SELESAI
156 004 7401046609800001 FATMAWATI, A.MKL DINKES P 40 31-45 DUSUN II SAMATURU 085241666030 9/2/2021 9/2/2021 202011044 23/2/2021 202011044 SELESAI
157 006 7401146610760001 SITTI SALMA DINKES P 44 31-45 JL DG PASAU TAHOA 081341541357 9/2/2021 9/2/2021 202011044 23/2/2021 202011044 SELESAI
158 008 7401045604940005 APRIANI BUDIMAN DINKES P 26 18-30 KPR BTN BLOK A NO 21 085241989899 9/2/2021 9/2/2021 202011044 23/2/2021 202011044 SELESAI
159 009 7401146008870001 SRI DAMAYANTI KOLAKAASI P 34 31-45 JL CEPA CEPA 085254456747 9/2/2021 9/2/2021 202011044 23/2/2021 202011044 SELESAI
160 015 740104561180002 YANTI SUSANTI, SKM DINKES P 40 31-45 JL. PEMUDA LRG CELINCING 0811408992 9/2/2021 9/2/2021 202011044 23/2/2021 202011044 SELESAI
161 016 7401044910850003 MILIAWATI, AMK KOLAKAASI P 35 31-45 BTN BENDUNGAN 081240811113 9/2/2021 9/2/2021 202011044 23/2/2021 202011044 SELESAI
162 082 7401042610640001 Drs. HARUN MASIRRI DINKES L 56 46-59 PERUMNAS LALOMBAA PERMAI BLOK A NO 42 0812414419 10/2/2021 10/2/2021 202011044 23/2/2021 202011044 SELESAI
163 002 7401044208730002 RIDHAYANI DJABAR DINKES P 47 46-59 JL NURI NO 9 085241448957 10/2/2021 10/2/2021 202011044 23/2/2021 202011044 SELESAI
164 004 7401044901630001 TITIK HARIYANTI DINKES P 57 46-59 KOMP BTN BLOK 12 NO 1 085241605728 10/2/2021 10/2/2021 202011044 24/2/2021 202011044 SELESAI
165 001 7401046311760002 DARLINA DINKES P 44 31-45 JL PEMUDA LRG MISTIK 085241697789 10/2/2021 10/2/2021 202011044 24/2/2021 202011044 SELESAI
166 014 7401045512750001 TAMSIDAR DINKES P 45 31-45 JL NURI NO 315 082271095043 17/2/2021 17/2/2022 202011044 3/3/2021 202011044 SELESAI
167 015 7401044310760001 OKTI ARTANTI DINKES P 44 31-45 WATULIANDU 08114005307 17/2/2021 17/2/2022 202011044 4/3/2021 202011044 SELESAI
168 021 7401074208750001 SANIATI DINKES P 45 31-45 JL MESJID NURUL YAQIN NO 9 085241811411 18/2/2021 18/2/2021 202011044 4/3/2021 202011044 SELESAI
169 052 7401145111960001 NISWA NURUL SAKINAH KOLAKAASI P 24 18-30 JL KEMAKMURAN KEL SEA 082348260117 18/2/2021 18/2/2021 202011044 4/3/2021 202011044 SELESAI
170 001 7401045609850001 IIN INDRAWATI KOLAKAASI P 35 31-45 JL MEKONGGA INDAH 082196159151 4/3/2021 4/3/2021 24000521 18/32021 24000521 SELESAI
171 002 HARSIAH RASI KOLAKAASI P 35 31-45 JL JENDRAL SUDIRMAN 081355194992 4/3/2021 4/3/2021 24000521 18/32021 24000521 SELESAI
172 003 7401046304730004 HASNAH KOLAKAASI P 47 46-59 JL KHAIRIL ANWAR NO 5 LAMOKATO 081284395843 4/3/2021 4/3/2021 24000521 18/32021 24000521 SELESAI
173 004 7401146911880001 NURHAYATI KOLAKAASI P 33 31-45 JL ABADI KEL KOLAKAASI 085222638486 4/3/2021 4/3/2021 24000521 18/32021 24000521 SELESAI
174 005 7401046110950001 SITTI KHADIJATUS S KOLAKAASI P 25 18-30 PERUMNAS BLOK A NO 80 085239525520 4/3/2021 4/3/2021 24000521 18/32021 24000521 SELESAI
175 006 VEBRIANTI KADIR KOLAKAASI P 24 18-30 JL TPI NO 35 082274761228 4/3/2021 4/3/2021 24000521 18/32021 24000521 SELESAI
176 007 7401140101870004 ARJUN KOLAKAASI P 34 31-45 JL CAKALANG 082195348722 4/3/2021 4/3/2021 24000521 18/32021 24000521 SELESAI
177 008 7401145702940001 NUR AISYA KOLAKAASI P 27 18-30 JL KEPITING NO 26 082299268381 4/3/2021 4/3/2021 24000521 18/32021 24000521 SELESAI
178 009 7401046003980002 RESKI MAULANI KOLAKAASI P 22 18-30 JL KASUARI 085346577766 4/3/2021 4/3/2021 24000521 18/32021 24000521 SELESAI
179 010 7401046304950001 SRI MAHARANI ULLFAH KOLAKAASI P 25 18-30 PERUMNAS BLOK A NO 142 085340274071 4/3/2021 4/3/2021 24000521 18/32021 24000521 SELESAI
180 7401145311999001 JAQUELINE GRESTIFILA NS P 21 JL. PANCASILA NO 70 085343919332 26/4/2021 24000521 SELESAI
181
182
183
184
185
186
187
188
189
Keterangan ***Merek Vaksin

* Pekerjaan dikelompokkan menjadi: A = Sinovac
A = Petugas Medis dan Non Medis di Fasilitas B = Lainnya (Mohon disebutkan jenis vaksin yang diterima Puskesmas/Faskes)
B = Petugas pelayanan publik yang berhadapan langsung dengan masyarakat
C = Administrator Pemerintahan
D = Lainnya
E = Tidak Bekerja
Kelompok Umur: Pekerjaan

18-30 71 7 A 0
31-45 74 128 B 0
46-59 34 0 C 0
Total 179 135 D 0
Pekerjaan: E 0
A 0 179 Total 0
B 0 180
C 0
D 0
E 0
Total 0
MANUAL
MANUAL
MANUAL
MANUAL
MANUAL STATUS TUNDA APLIKASI
MANUAL
MANUAL
MANUAL
MANUAL
MANUAL
MANUAL

MANUAL
MANUAL
MANUAL
MANUAL
MANUAL
MANUAL
MANUAL
MANUAL
MANUAL
MANUAL
MANUAL
MANUAL
MANUAL
MANUAL
MANUAL
MANUAL
MANUAL
MANUAL
MANUAL
MANUAL

MANUAL
MANUAL
MANUAL
VAKSIN PERTAMA PKM LATAMBAGA
7401141808850002AZWAR L 31-45 JL ANDI JEM 085341889966 3/3/2021 24000521 19/3/2021 24000521 SELESAI POLISI
7401041506360002RUSLAN L 31-45 PERUMNAS L082271086076 4/3/2021 24000521 19/3/2021 24000521 SELESAI POLISI
7471106006880001ADY YULIANI P 31-45 LAMOKATO 085241023253 4/3/2021 24000521 19/3/2021 24000521 SELESAI POLISI
7401140806860001ANDI AKBAR USMAN L 31-45 JLN DURIAN 85398504603 4/3/2021 24000521 19/3/2021 24000521 SELESAI POLISI
7401126410980001VALENT TRIFENA GA L 18-30 JL GAJAH 082242759175 4/3/2021 24000521 19/3/2021 24000521 SELESAI POLISI


Dosis I Dosis 2
Keterangan
Umur
Jenis Kelompok Tanggal (Ditunda/Tidak
No No. Registrasi NIK (18-59 Alamat No. Hp
Kelamin Umur Screening Tanggal Tanggal Diberikan/Lanj
tahun)
No. Batch No. Batch
I Tahap II
1 POLISI 7401042212690001 AKHMAD TARMIDI L 52 46-59 LALOEHA 082290130844 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
2 POLISI 740104160492001 IRVAN DIRGANTARA L 28 18-30 JL PENDIDIKAN NO 29 085342976665 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
3 POLISI 7401071501860001 JEFFRYANI L 34 31-45 JL SERUNI NO 29 085241631797 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
4 POLISI 7401140507810002 ALIM BACHRI L 39 31-45 JL.JEND.SUDIRMAN 85242568355 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
5 POLISI 740107301280001 MATIUS SABA SAKKE L 40 31-45 DUSUN III MARGA SARI 085244869686 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
6 POLISI 7401200101840006 UMAR USMAN L 36 31-45 JL PEMUDA 085399048203 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
7 POLISI 7401141308800002 MARSAN L 41 31-45 JL KHAIRIL ANWAR 081341541999 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
8 POLISI 740104021178003 SULTAN L 42 31-45 JL PAHLAWAN 081341554223 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
9 POLISI 7401071301640001 DANIEL PAKULLA L 58 46-59 JL EKONOMI 081241949433 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
10 POLISI 7402020909920002 HENDRA GUNAWAN L 26 18-30 JL ABADI NO 226 082266104586 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
11 POLISI 740114307790002 ZAMILUDDIN L 41 31-45 JL TMD 081245206288 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
12 POLISI 7401041002780002 BAKHTIAR BASO L 43 31-45 JL PEMUDA NO 348 082240397880 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
13 POLISI 7401041302950007 KUKUH TAUFIK LASIYANTO L 26 18-30 BTN TAHOA, BLOG F 085243174119 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
14 POLISI 7401040709630001 JAYA SATRIA. L L 58 46-59 LALOEHA 085313787777 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
15 POLISI 7401041212740003 BASRI L 44 31-45 JL DR SAMRATULANGI 085398682222 5/3/2021 5/3/2021 24000521 LANJUT
16 POLISI 7401011906770001 RUSTANG L 44 31-45 DUSUN III MAMBULO 082291231280 5/3/2021 5/3/2021 24000521 20/3/2021 24000521 SELESAI
17 POLISI 7401120707790003 SYAHARUDDIN L 42 31-45 DUSUN II PIONER KEC BAULA 082292409595 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
18 POLISI 74010803019440001 I KADEK AGUS MARTAYASA L 27 18-30 LINGKUNGAN 1 TANDEBURA 081324581356 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
19 TNI 7401020808820005 WAHYUL L 39 31-45 KOMP TNI AL 082290293434 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
20 POLISI 7401041403810001 BUDI CAHYONO L 40 31-45 JL WOLTER MONGINSIDI NO 13 082292294463 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
21 TNI 7402192208790001 AWALUDIN L 41 31-45 DS TOMILIPU RT 01/01 NO 65 081341602429 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
22 TNI 7401120910890001 BASTIAN AS L 31 31-45 JL SUNU KEL SEA KEC LATAMBAGA 082217980002 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
23 TNI 9202121212820006 PUNARDIN L 39 31-45 BTN BUKIT KARTIKA 085244430022 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
24 POLISI 7402030101760008 MUSTAMIN L 45 31-45 DUSUN I KEC POMALA 081341608992 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
25 POLISI 7401013011820001 JAMAL, P.SH L 39 31-45 LINGKUNGAN III LATAMBAGA KEC WUNDULAKO082291550822 5/3/2021 5/3/2021 24000521 LANJUT
26 POLISI 7401252705840001 WAYAN RUDITA, SH L 36 31-45 DUSUN IV WATUDEMBA KEC POLINGGONA 081341992273' 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
27 POLISI 7408013012770004 YONATHAN L 43 31-45 JL KONGGOASA 082191991086 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
28 POLISI 7401072808790001 MUH RIZAL L 41 31-45 JL EKONOMI NO 19 081355484054 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
29 POLISI 7401041006740001 HAMSIR L 46 46-59 JL USMAN RENCONG 082193141777 5/3/2021 5/3/2021 24000521 20/3/2021 24000521 SELESAI
30 POLISI 7401141005810001 MUH. RIJAI L 40 31-45 KOMP BTN TAHOA BLOK E 082213004202 5/3/2021 5/3/2021 24000521 LANJUT
31 POLISI 7401081104940001 YOGI SATYA L 27 18-30 LING I TANDEBURA 085241664662 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
32 POLISI 7401181608730001 AGUS L 48 46-59 JL PELABUHAN 085256611567 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
33 POLISI 7401071407780003 ARMAN JAYA S L 42 31-45 JL HATI SENANG 081341685854 5/3/2021 5/3/2021 24000521 19/3/2021 24000521 SELESAI
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155 NAKES 7401045307970001 MARHA P 23 18-30 JL BENDUNGAN BALANDETE 082187364839 6/3/2021 6/3/2021 24000521 20/3/2021 24000521 SELESAI
156 7401096607980001 DWI SRIRAHAYU P 22 18-30 LINGK II KEL LADONGI 082271182020 6/3/2021 6/3/2021 24000521 20/3/2021 24000521 SELESAI
157 7401046408790001 AGUS FITRIA P 41 31-45 JL PEMUDA 085255093906 6/3/2021 6/3/2021 24000521 20/3/2021 24000521 SELESAI
158 POLISI 7401121208810005 ARNOL L 39 31-45 DUSUN II MARGA UTAMA BAULA 082293641214 6/3/2021 6/3/2021 24000521 20/3/2021 24000521 SELESAI
159 POLISI 741010701960005 AGUNG TRI L 25 18-30 UNAMENDAA 082397798714 6/3/2021 6/3/2021 24000521 20/3/2021 24000521 SELESAI
160 POLISI 7401041708840001 SUGIANTO HUTKRI L 37 31-45 JL ABADI MANGGOLO 085253963226 6/3/2021 6/3/2021 24000521 20/3/2021 24000521 SELESAI
161 POLISI 7401141505840002 ARDIANSYAH L 37 31-45 JL CEPA CEPA 085299526366 6/3/2021 6/3/2021 24000521 20/3/2021 24000521 SELESAI
162 POLISI 740201508800003 USMAN L 40 31-45 DUSUN I KONDARASI 085398199585 6/3/2021 6/3/2021 24000521 20/3/2021 24000521 SELESAI
163 7401044210740001 VERONICA P 46 46-59 JL PAHLAWAN NO 85 085342407331 6/3/2021 6/3/2021 24000521 20/3/2021 24000521 SELESAI
164 NAKES 7401044904880003 YUNITA P 32 31-45 JL BENDUNGAN BALANDETE 085255767736 6/3/2021 6/3/2021 24000521 20/3/2021 24000521 SELESAI
165 7401147112830008 FRISKA FRISILIA P 37 31-45 JL PANCASILA 085222088873 6/3/2021 6/3/2021 24000521 20/3/2021 24000521 SELESAI
166 POLISI 7401010405850001 HAMKA SURYA L 35 31-45 JL KEMAKMURAN NO 29 082348441101 6/3/2021 6/3/2021 24000521 20/3/2021 24000521 SELESAI
167 POLISI 7401040401860001 HENDRIYONO L 35 31-45 LRG SOPPENG JL PEMUDA 085219447484 9/3/2021 9/3/2021 24000521 23/3/2021 24000521 SELESAI
168 POLISI 7401040507860002 MUHAMMAD MUJRIR L 35 31-45 BTN BLOK XI NO 01 081244438356 9/3/2021 9/3/2021 24000521 24/3/2021 24000521 SELESAI
169 POLISI 7401070209870001 HANDRIYANUS PATAYANG L 34 31-45 JL EKONOMI POMALAA 085398999060 9/3/2021 9/3/2021 24000521 23/3/2021 24000521 SELESAI
170 POLISI 7401042802850002 A.H.MUSLIM L 35 31-45 JL PEMUDA LRG IKLIM 081245645488 9/3/2021 9/3/2021 24000521 23/3/2021 24000521 SELESAI
171 POLISI 7401071507940001 AAN ANDRIAWAN L 27 18-30 JL PLN KEL PELAMBUA 085255522996 9/3/2021 9/3/2021 24000521 23/3/2021 24000521 SELESAI
172 POLISI 7401046402940005 NURFADILA. H P 27 18-30 JL BARU BANDARA 082292265738 9/3/2021 9/3/2021 24000521 23/3/2021 24000521 SELESAI
173 NAKES 7401264710870002 ROSLINDA P 33 31-45 JL PEMUDA LRG BAPERISKOM 085242068877 9/3/2021 9/3/2021 24000521 23/3/2021 24000521 SELESAI
174 POLISI 7401042009750001 MUHARRAM L 45 31-45 085394565554 9/3/2021 9/3/2021 24000521 23/3/2021 24000521 SELESAI
175 NAKES 7401044211970009 REUNI PUSPITA SARI P 23 18-30 JL PEMUDA LRG MISTIK 082290808898 9/3/2021 9/3/2021 24000521 23/3/2021 24000521 SELESAI
176 NAKES 7401144303880001 MARLINDA P 33 31-45 JL ABADI NO 3 085349327124 9/3/2021 9/3/2021 24000521 23/3/2021 24000521 SELESAI
177 POLISI 7401091708820002 MUH GAZALI L 38 31-45 KEL BALANDETE 082386666123 10/3/2021 10/3/2021 24000521 24/3/2021 24000521 SELESAI
178 POLISI 7401071808920001 AGUS SUHANANTO L 28 18-30 ASPOLRES KOLAKA 085240362129 10/3/2021 10/3/2021 24000521 24/3/2021 24000521 SELESAI
179 POLISI 7373090602800001 HENDRA HERMAWAN L 41 31-45 JL DR.SUTOMO NO 21 082348429114 10/3/2021 10/3/2021 24000521 24/3/2021 24000521 SELESAI
180 POLISI 7401092606960006 WAYAN ADI AKARSA L 25 18-30 ASPOLRES KOLAKA 085203923385 10/3/2021 10/3/2021 24000521 24/3/2021 24000521 SELESAI
181 POLISI 7401010711950001 FIRMAN L 25 18-30 KEL NGAPA 082191777222 10/3/2021 10/3/2021 24000521 24/3/2021 24000521 SELESAI
182 POLISI 7401010606630001 MAPPAGAWE L 57 46-59 WUNDULAKO 085242854497 10/3/2021 10/3/2021 24000521 24/3/2021 24000521 SELESAI
183 POLISI 7401042412860005 ANDI ILHAM L 34 31-45 DUSUN II DESA LATUO 085281713386 10/3/2021 10/3/2021 24000521 24/3/2021 24000521 SELESAI
184 POLISI 73081209920002 YUSRAN L 28 18-30 ASPOLRES KOLAKA 085298572363 10/3/2021 10/3/2021 24000521 24/3/2021 24000521 SELESAI
185 POLISI 7401140910880002 PADLI ABD KARIM L 32 31-45 DESA AWA KEC SAMATURU 085231843440 10/3/2021 10/3/2021 24000521 24/3/2021 24000521 SELESAI
186 POLISI 7401141808850002 AZWAR L 35 31-45 JL ANDI JEMMA 085341889966 3/3/2021 3/3/2021 24000521 19/3/2021 24000521 SELESAI
187 POLISI 7401041506360002 RUSLAN L 44 31-45 PERUMNAS LALOMBAA 082271086076 4/3/2021 4/3/2021 24000521 19/3/2021 24000521 SELESAI
188 POLISI 7471106006880001 ADY YULIANI P 32 31-45 LAMOKATO 085241023253 4/3/2021 4/3/2021 24000521 19/3/2021 24000521 SELESAI
189 POLISI 7401140806860001 ANDI AKBAR USMAN L 34 31-45 JLN DURIAN 85398504603 4/3/2021 4/3/2021 24000521 19/3/2021 24000521 SELESAI
190 POLISI 7401126410980001 VALENT TRIFENA GALENTA L 24 18-30 JL GAJAH 082242759175 4/3/2021 4/3/2021 24000521 19/3/2021 24000521 SELESAI
191 POLISI 740108061187001 I PUTU ADI CANDRA L 33 31-45 TAHOA 081245818082 4/3/2021 4/3/2021 24000521 19/3/2021 24000521 SELESAI
192 POLISI 7401042904840000 HAMSAR SODDING L 36 31-45 JL BADEWI 081339529657 4/3/2021 4/3/2021 24000521 19/3/2021 24000521 SELESAI
193 POLISI 7401040911790003 DIRMAWAN L 41 31-45 JL PENDIDIKAN 081245713006 4/3/2021 4/3/2021 24000521 19/3/2021 24000521 SELESAI
194 POLISI 7401094107930088 M AKMAL L 28 18-30 JL KONGGOASA 085240264383 4/3/2021 4/3/2021 24000521 19/3/2021 24000521 SELESAI
195 POLISI 7408082110910002 MUH IRVAN L 30 18-30 ASRAMA POLRES 082199532169 4/3/2021 4/3/2021 24000521 19/3/2021 24000521 SELESAI
196 POLISI 7401070904870006 VINCENT APRILETUS L 34 31-45 PELAMBUA 082346285085 4/3/2021 4/3/2021 24000521 19/3/2021 24000521 SELESAI
197 POLISI 7401140709710001 SOEKOTJO L 49 46-59 WATULIANDU 082189323271 4/3/2021 4/3/2021 24000521 20/3/2021 24000521 SELESAI
198 POLISI 7401042907630001 IRIANTO TAWIL L 57 46-59 082268149709 4/3/2021 4/3/2021 24000521 20/3/2021 24000521 SELESAI
199 POLISI 7401011011860004 LA ODE MUSAFIR H L 35 31-45 JL PEMUDA 082292658950 4/3/2021 4/3/2021 24000521 20/3/2021 24000521 SELESAI
200 POLISI 7401141212840003 MUSTADIRANG L 36 31-45 JL BOLU NO 15 085242125066 19/3/2021 19/3/2021 24000521 3/4/2021 24000521 SELESAI
201 POLISI 740114130790002 HUDAL L 41 31-45 JL CUMI CUMI NO 7 082393156900 19/3/2021 19/3/2021 24000521 3/4/2021 24000521 SELESAI
202 POLISI 7401041205820002 MUH HAIDAR L 39 31-45 JL KHAIRIL ANWAR 085399412047 19/3/2021 19/3/2021 24000521 LANJUT
203 POLISI 7371090804810012 IKBAL SYAHRIR L 40 31-45 JL MERPATI 082271657309 19/3/2021 19/3/2021 24000521 3/4/2021 24000521 SELESAI
204 POLISI 7471091404950002 MUH ZULKARNAEN ADAM MJ L 25 18-30 BTN BIPS BLOK A 10 NO 14 082292186996 19/3/2021 19/3/2021 24000521 3/4/2021 24000521 SELESAI
205 POLISI 740104500280002 EVI MARIANA P 36 31-45 JL BADEWI NO 7 0811406272 19/3/2021 19/3/2021 24000521 3/4/2021 24000521 SELESAI
206 ALODIA 7401076009930001 RATIH ANGREINI P 27 18-30 PELAMBUA 082260053582 19/3/2021 19/3/2021 24000521 3/4/2021 24000521 SELESAI
207 ALODIA 7401045307960002 MARIA ELISABETH P 24 18-30 JL NURI 081370327706 19/3/2021 19/3/2021 24000521 3/4/2021 24000521 SELESAI
208 ALODIA 7401015010930001 YALMI ARNI RESTU P 27 18-30 WUNDULAKO 082190409952 19/3/2021 19/3/2021 24000521 3/4/2021 24000521 SELESAI
209 ALODIA 7401145907940001 HILDA ANGRAENI P 26 18-30 JL CENGKEH 082333000539 19/3/2021 19/3/2021 24000521 3/4/2021 24000521 SELESAI
210 POLISI 7401070109900001 IRVAN GUNAWAN L 30 18-30 POMALAA 085241912333 3/3/2021 3/3/2021 24000521 3/4/2021 24000521 SELESAI

A = Petugas Medis dan Non Medis di Fasilitas Pelayan B = Lainnya (Mohon disebutkan jenis vaksin yang diterima Puskesmas/Faskes)
D = Lainnya
E = Tidak Bekerja

18-30 48 0 A 0
31-45 145 0 B 0
46-59 17 0 C 0
Total 210 0 D 0
Pekerjaan: E 0
A 0 210 Total 0
B 0 198
C 0
D 0
E 0
Total 0



Dosis I Dosis 2
Keterangan
Umur
No No. Registrasi NIK NAMA (18-59 Alamat No. Hp
tahun)
No. Batch No. Batch
I Tahap II
1 7401122904730000 ISKANDAR S.PD L 47 46-59 Dusun III karya 085241822573 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
2 740101101730003 ZULFIKAR LWSE, M.SC L 48 46-59 JL. PENDIDIKAN NO.3 LAMOKATO 082344578529 25/3/2021 25/3/2021 24000521
3 7401045407690003 ROSNAENI P 51 46-59 JL. PENDIDIKAN LALOEHA 085298690579 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
4 7401045408730004 GUSNIATI, S.Pdi P 47 46-59 LR.IKLIM LALOEHA 085341523797 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
5 74010470126220002 LINDA SIAGIAN, .Pd P 58 46-59 JL. PAHLAWAN NO.2 081341858551 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
6 7401041912700002 DASEP RUHYANA L 50 46-59 JL. SAM RATULANGI NO.49 081341727260 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
7 7401085410680001 OKTAVINA P 52 46-59 TANDEBURA 085397019924 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
8 7401045111870003 HASTUTI P 33 31-45 JL. KARYA 081354583221 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
9 7401044401860002 SATRIANI, S.Pd P 35 31-45 JL. KHAIRIL ANWAR 082188561349 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
10 7401205002720001 NURLINAH, S.Pd P 49 46-59 J. WORTEL MONGINSIDI 082346803575 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
11 740101203700002 MARAJA, S.Pd L 51 46-59 LR. DEPAN SMP 1 BALANDETE 081242275330 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
12 740101481070004 HERLINA DESI PALILING P 59 46-59 DESA 19 NOVEMBER 085241679538 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
13 7401044105680002 ASRAWATI SAAD, S.Pd P 52 46-59 JL. INDUMO 085241736488 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
14 7401046507740001 DEWI SARASWATI P 46 46-59 JL. SUPRAPTO 082292924510 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
15 7401045311670001 ASIRAWATI P 53 46-59 PONDUI NO. 28 082291070350 25/3/2021 25/3/2021 24000521 23/4/2021 24000521 SELESAI
16 7401040807840002 ARHAM L 36 31-45 LR. LATAMBAGA 08114114628 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
17 7401147112630029 HERLINA P 57 46-59 JL. PRAMUKA LR. SWADAYA 085231442387 25/3/2021 25/3/2021 24000521 23/4/2021 24000521 SELESAI
18 7401045404630001 IMAMONG P 57 46-59 JL. WOLTER MONGINSIDI NO.13 081355311947 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
19 7401041708680001 AGUSTINUS LELE L 52 46-59 JL. WOLTER MONGINSIDI 082312638264 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
20 7401046305680001 SRI MURSILAH, S.Pd P 52 46-59 JL. KERAPUH NO. 3 TAHOA 085340427612 25/3/2021 25/3/2021 24000521 23/4/2021 24000521 SELESAI
21 740145407750002 YULI RANTE RAPA P 45 31-45 JL. BADEWI 085215060419 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
22 740104010163007 PIETHER PAMPANG L 58 46-59 JL. BADEWI 082312638463 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
23 7401144412680001 NURMALA P 52 46-59 JL. MERDEKA NO. 18 082291690588 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
24 7401045805660001 Dra. ST. NURL P 54 46-59 JL. JEND. SUDIRMAN 082259476423 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
25 7401044302840001 RITAWATI S.Pd P 37 31-45 JL. PEMUDA BTN GRIYA 082235742713 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
26 7401015504630004 ARIANTJE SIYU P 57 46-59 PERUMAHAN BUKIT MEKONGGA 085255330659 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
27 7401042202700001 SULWAN SOVIAN L 51 46-59 LALOMBA 085256246289 25/3/2021 25/3/2021 24000521 23/4/2021 24000521 SELESAI
28 7401046909770003 SITTI SAKIA MU'MIN P 43 31-45 JL. MESJID DARUSSALAM LAMOKATO 085394567669 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
29 7401041106840003 HAIRIL ANWAR L 36 31-45 JL. CAKALANG 082329990189 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
30 7401044407790002 NURMA, S.Pd P 41 31-45 JL. PAHLAWAN 085280461380 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
31 7401044201660004 NARTI. S.Pd P 55 46-59 JL. WOLTER MONGINSIDI NO.7 085241803593 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
32 7401044107640032 SITTI SANIAH P 56 46-59 JL. MEKONGGA INDAH 081342607432 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
33 7401070603700002 SULUSA S.Pd, M.M.Pd L 50 46-59 JL. PROTOKOL NO. 23 081341502552 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
34 7401046008640001 MASITA S.Pd P 56 46-59 JL. PEMUDA KOMP. BTN 081240550726 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
35 74010403860001 MUHAMMAD SYAKIR S.Pd L 52 46-59 JL. GARUDA LR. 1 085241629994 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
36 740104470870001 BAUK TOKNOK S.Pd P 50 46-59 JL. GARUDA LR. 1 085241955772 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
37 7401046606650001 ARNAWATI P 55 46-59 KPR BTN TAHOA A NO. 5 082348683550 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
38 7401045507720002 YULIANA P 48 46-59 JL. GAJAH LALOMBA 085242380918 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
39 7401045808680001 ESTER PINDAN PAGALLUNGAN P 52 46-59 JL. WULALAWU NO. 30 082187039251 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
40 7401045809720005 IDA P 48 46-59 KOMP. SMP 1 KOLAKA 082259762847 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
41 7401044604620002 ROSMINAR HUTAGALUNG P 58 46-59 JL. SULTAN HASANDDIN NO. 11 081341582397 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
42 7401076404810002 ALFRIDA PAIMAN P 39 31-45 JL. KALI BARU 085242712194 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
43 '7401045309660002 SINCE P 54 46-59 JL. MAS NO. 29 TAHOA 085255442682 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
44 7401046302680001 RAPIA P 53 46-59 PERUMNAS LALOMBA BLOK 1/67 081341731050 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
45 7401040104690001 BAHARUDDIN L 51 46-59 JL. DR. SUTOMO 082296652441 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
46 7401044303670002 DARSUNI P 54 46-59 JL. PENDIDIKAN 085298473650 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
47 7401041306660002 ASPIRIN ALI L 54 46-59 LALOMBA 082316305349 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
48 7401042202760002 SYAHRUDDIN M. S.Pd L 45 31-45 JL. CENDRAWASIH 082261975994 25/3/2021 25/3/2021 24000521 23/4/2021 24000521 SELESAI
49 7401045912610002 SULISWATI P 59 46-59 BTN PERMAI BLOK I NO. 2 081245803026 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
50 7401045507660001 SITTI SULAMAH P 54 46-59 JL. PEMUDA BALANDETE 082191798010 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
51 7401046112660004 ROSMAWATI P 54 46-59 JL. PRAMUKA LR. SIRA 085299408857 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
52 74011046006720005 RUT YULI MANGALIK P 48 46-59 JL. PAHLAWAN 081341521668 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
53 3502085110880001 PUJI LESTARI P 32 31-45 HKSN MINA PERMAI 085335796648 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
54 7401041012640002 SEMMANG L 56 46-59 JL. PRAMUKA NO. 86 085241175346 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
55 7401044209710001 RAHMAWATI P 49 46-59 JL. KARPER N0. 24 082189998899 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
56 740144702660001 RAJEMIANA P 55 46-59 JL. PEMUDA LR. IKLIM 085241725308 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
57 7401044507770002 JUMASIAH, S.Ag P 43 31-45 KOMP. BTN 249 088 085340249088 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
58 7401140803650001 SUMARJONO L 56 46-59 JL. AIR PANAS N0.96 085341890123 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
59 7401040102630001 ANTON KENDEK L 58 46-59 DESA 19 NOVEMBER 081341848268 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
60 7401043112720026 LA UDI L 48 46-59 JL. PEMUDA LR. BLK 082191955551 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
61 7401044904690002 ROSNAWATI P 51 46-59 JL. PRAMUKA NO. 25 082193157134 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
62 7401015105680001 MARTHA MARHINA P 52 46-59 KEL. 19 NOVEMBER WUNDULAKO 081341879366 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
63 7401041708700004 AMIR KADIR L 49 46-59 BTN TAHOA 081341531766 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
64 ;7401044607660001 NURHAYANI P 54 46-59 BTN TAHOA NO. 15 LR. I 081243888874 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
65 740104450570009 MULYANI P 51 46-59 BTN TAHOA BLOK F NO. 11 085241528068 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
66 7401046711730002 RIDHAYANI P 47 46-59 JL. PEMUDA 0811406106 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
67 7401045011650001 NURMINI P 56 46-59 JL. KAKATUA 082292362969 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
68 7401016601710002 INDRAWATI P 50 46-59 JL. POROS KOLAKA POMALA 085242036783 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
69 7401184512800001 MARWIAH P 40 31-45 KEL TAHOA 081341887035 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
70 7401042307690003 M. ASRIF L 51 46-59 JL. A. YANI NO. 40 082155123585 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
71 7401045705620002 ST. ROHANA P 58 46-59 BTN TAHOA 085342685459 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
72 7471093008820001 HUSNIATI P 38 31-45 JL. MEKONGGA INDAH 085145676049 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
73 74010441105740001 ETTY S.Pak P 45 31-45 JL. PANORAMA N0. 65 081334393553 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
74 7401044208820001 UMMI KALSUM SALEH P 38 31-45 JL. MANGGIS NO. 163 081242499776 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
75 74010455086880004 SITTI MING P 53 46-59 JL. MEKONGGA INDAH NO.17 085398768617 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
76 740104406640002 SITTI HASNAH P 56 46-59 JL. SULTAN HASANDDIN 0885396461654 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
77 7308216407750002 NURHAENI S.Ag P 46 46-59 JL. KEMAKMURAN NO. 1 08534777897397 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
78 7401126905810001 FATMAWATI GAMA P 39 31-45 JL. PEMUDA BTN WONUA 082310696808 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
79 7401045905800001 RISA UMAMI P 40 31-45 JL. PENDIDIKAN 082189633782 25/3/2021 25/3/2021 24000521 23/4/2021 24000521 SELESAI
80 7401047112680059 JUMIATI P 52 46-59 JL. BOKEO KOMP. SMP 3 082189315460 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
81 7401044512720001 SRI HAYATI AKBAR P 48 46-59 KOMP. BTN TAHOA BLOK V 081355286092 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
82 ;7401041611700001 LA SAMADI L 50 46-59 JL. BOKEO KOMP. SMP 3 085145722736 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
83 740114502740001 HUSNANI A.Ma P 46 46-59 JL. PUSARA 085231351856 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
84 7401044503650001 NURMIATY P 56 46-59 JL. PONDI 085242052711 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
85 7401046506720001 ABIDA S.Pdi P 48 46-59 JL. KAKATUA NO. 21 085259135958 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
86 7401015602670001 RATNIA TENGGA P 54 46-59 DUSUN II PUNLORO 085316108206 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
87 7401044510670001 MUSDALIFAH P 53 46-59 JL. GARUDA 085241803267 25/3/2021 25/3/2021 24000521 23/4/2021 24000521 SELESAI
88 7401046210730001 ROSIDA P 47 46-59 JL. PEMUDA 0811403265 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
89 7401044107680074 ST. NAIMAH P 53 46-59 BTN TAHOA, JL. LUMBA-LUMBA 082210737694 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
90 7401046707700004 MARANI P 50 46-59 BTN TAHOA 082266892952 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
91 7401045704760001 ASTY JAYA RAZAK P 44 31-45 JL. TAMALAKI 0822948924390 25/3/2021 25/3/2021 24000521 23/4/2021 24000521 SELESAI
92 7401197112630003 ST. AMINAH P 57 46-59 JL. PEMUDA 081241204441 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
93 7401040607750002 SYAHRIR L 45 31-45 JL. PONDUI 082154305961 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
94 7401045804720006 SENIWATI LATIEF P 49 46-59 JL. PEMUDA 081342770130 25/3/2021 25/3/2021 24000521 23/4/2021 SELESAI
95 7401045502810003 NUR AINI P 40 31-45 PERUMNAS NO. 53 081342093661 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
96 7401045407700001 WAHIDAH P 51 46-59 JL. BOKEO NO. 43 082189930301 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
97 740104603690002 ERNA KISNAWATI P 52 46-59 JL. PUYUH 081245844078 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
98 7401047112740009 WA NDOLILI P 46 46-59 JL. PONDUI NO. 26 085241565530 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
99 7401126203810001 DARNAWATI P 39 31-45 JL. TMD 08529036325 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
100 7401045504640003 KARNIATY P 55 46-59 JL. WOLTER MONGINSIDI 085213394223 25/3/2021 25/3/2021 24000521 22/4/2021 24000521 SELESAI
101 7401041007740004 H. ETHYMAN KADIMAN L 47 46-59 JL. KANCIL 085396491074 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
102 7401046007710001 MISNAWATI HASAN P 49 46-59 JL. PEMUDA SRI MURSILAH 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
103 7401042203710002 DAKIR L 50 46-59 BTN TAHOA BLOK 18 NO. 12 081341551715 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
104 7401047004750001 ST. RABNI P 45 JL. PANORAMA 081263948773 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
105 7401046801850001 ANDI DEWI ASTUTI P 36 31-45 JL. PEMUDA NO. 289 085396105150 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
106 7401045607780001 RACMAWATI P 43 31-45 BTN TAHOA BLOK G 082187183188 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
107 7401045807710002 HJ. JUHARIA UKKAS P 49 46-59 JL. KOLUMBA PERUMNAS 082348429369 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
108 740104550370002 MURHAENI P 50 46-59 JL. PEMUDA LRG. ZIG ZAG 085241567299 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
109 7401201405830001 MUH. YUSUF L 37 31-45 JL. KHAIRIL ANWAR 085214140573 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
110 7310035501860001 ENDANG SRI HERLINA P 35 31-45 JL. TAMAN SISWA NO. 16 0811400213 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
111 740144808740001 WIWIN WIBAWATI P 46 46-59 PERUMNAS LALOMBA 085241577106 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
112 7401045705680001 ASTIN P 52 46-59 JL. ALAM MEKONGGA 085241550202 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
113 RUTAN 3309051805789005 TUTUT JEMI SETIAWAN L 43 31-45 CANDI BARU, PLUMBANGAN 081393705500 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
114 7401045405630002 NUR INTAN P 57 46-59 JL BENDUNGAN BALANDETE 082188995423 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
115 RUTAN 740104040166100001 NUR YAHYA L 54 46-59 JL PRNDIDIKAN KOMP RUTAN 081242202020 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
116 7401041503710001 MARTEN SAMPE L 50 46-59 JL MEKONGGA INDAH 082291833374 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
117 7401145001790000 KARTINI P 42 31-45 JL PEMUDA 85241697780 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
118 RUTAN 7401040310740001 ARIFUDDIN L 48 46-59 JL PEMUDA 085210771406 26/3/2021 26/3/2021 24000521 LANJUT
119 RUTAN 7401046811810002 RITA SAHDA P 39 31-45 JL PENDIDIKAN 085241796776 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
120 7371094408860003 SRIYANI R P 34 31-45 JL CENDRAWASIH 085240401326 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
121 RUTAN 7471050208940002 MUHAMMAD AYUBI L L 26 18-30 JL SULTAN HASANUDDIN 082344583824 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
122 7401045208670001 ROSMINI PILE P 53 46-59 BTN TAHOA BLOK H 12 081341911229 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
123 RUTAN 7401043112660027 SALAHUDDIN L 56 46-59 JL LUMBA LUMB BTN TAHOA 081341735349 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
124 RUTAN 7373021709970004 EGY ROBERTO L 23 18-30 JL PAHLAWAN NO 38 C 085399919009 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
125 RUTAN 7405220108970001 KOMANG ADI WIRA S L 24 18-30 DUSUN III AMOKUNI 082237717240 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
126 7401046706840002 RAHMAWATY NUR P 36 31-45 JL PRAMUKA LRG SWADAYA 082215355619 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
127 7401044705790003 IRNANI ABDULLAHH A MA P 42 31-45 JL PEMUDA LING I 082393865797 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
128 7401044506710002 KARRAMA P 49 46-59 KOMP BTN TAHOA BLOK XVIII NO 12 081341997457 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
129 7401096707810003 ASNI P 39 31-45 JL BELIBIS PERUMAHAN MEGONGGA INDAH 085340115733 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
130 7401045101730000 DARNI P 47 46-59 JL PENMUDA NO 22 SABILAMBO 81236897138 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
131 7401045609720001 SUAEDAH L 48 46-59 JL AHMAD YANI NO 42 082168093918 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
132 7471106508790002 IRMAWATY TANGKE PADANG P 42 31-45 JL PUYUH NO 124 081341839695 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
133 7401045002730001 ELLY WARNI ZATRIA P 48 46-59 JL MISTIK III 082290734814 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
134 7401041706660002 JAMALUDDIN L 53 46-59 JL PELANDUK NO 34 LALOMBAA 082352111006 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
135 7401045109610001 SUDARMIN NIO P 59 46-59 JL TUNAMBAE NO 10 SABILAMBO 081341520660 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
136 7401040912750001 IRWAN L 45 31-45 LINGKUNGAN IV LALOMBAA 085239629597 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
137 7401045810630003 MASWIAH L 58 46-59 JL DR.SAMRATULANGI 082271475236 26/3/2021 26/3/2021 24000521 LANJUT
138 MASYARAKAT 740120203920003 HAWIR L 27 18-30 DUSUN I LIKU SAMATURU 082292378465 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
139 MASYARAKAT 731801650620001 LUDIA MALOLO P 59 46-59 TULAK LANGI 082197215454 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
140 7401010703750001 SULTAN JUNAWAR L 46 46-59 DUSUN I LAKONDOLE 081341799393 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
141 740801580800001 MUH YUSKI L 20 18-30 JL PATOWANUA, KEL LASUSUA KOLUT 081342041511 26/3/2021 26/3/2021 24000521 28/4/2021 24000521 SELESAI
142 740104620680002 RISMA SANTI RAUF P 41 31-45 JL MEKONGGA INDAH 085242365983 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
143 7401046805740001 NUR PURNAMA OLGA P 47 46-59 JL PAHLAWAN LR 1 081341745928 26/3/2021 26/3/2021 24000521 16-07-2021 24200721 SELESAI
144 7401045207720003 SULMIATI P 48 46-59 BTN BALANDETE BLOG G 085342419539 26/3/2021 26/3/2021 24000521 26/4/2021 24000521 SELESAI
145 7401045203830002 HASRIAH SARI P 36 31-45 JL HALUOLEO 085283712777 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
146 7401014106730001 JUMRIATI P 48 46-59 DUSUN I LAKONDOLE 085241914242 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
147 7405044111750001 SITTI MARLIAN P 45 31-45 JL TAHOA 082293273777 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
148 7401251507900002 ISMAIL L 30 18-30 DESA PU UDONGI 085299005919 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
149 7401046501790001 MUSDALIFA MUSTAMIN P 41 31-45 JL AHMAD MUSTIN 08114000579 26/3/2021 26/3/2021 24000521 23/4/2021 24000521 SELESAI
150 7401041401620001 JARIDUAN RAJA GUK GUK L 59 46-59 JL PERMUMNAS UTARA II NO 124 LALOMBAA 081341864863 3/4/2021 3/4/2021 24000521 1/5/2021 24000521 SELESAI
151 7401046603650002 CAHAYA ALAM P 56 46-59 JL HALU OLEO NO 20 B WATULIANDU 085256006061 3/4/2021 3/4/2021 24000521 1/5/2021 24000521 SELESAI
152 7401046405760003 MERDIANA PAREWANG P 44 31-45 JL KONGGOASA NO 4 LAMOKATO 081356068546 3/4/2021 3/4/2021 24000521 1/5/2021 24000521 SELESAI
153 7401140802720001 IDRIS L 49 46-59 JL BEKICOT NO 16 KOLAKAASI 082349699493 3/4/2021 3/4/2021 24000521 1/5/2021 24000521 SELESAI
154 740114500270001 SAHRAWATI P 51 46-59 BTN VILA INDAH BALANDETE 085256474378 3/4/2021 3/4/2021 24000521 1/5/2021 24000521 SELESAI
155 7401101512650001 SUTIKNO L 56 46-59 JL TINUMBU LRG 3 TAHOA 081245803198 3/4/2021 3/4/2021 24000521 1/5/2021 24000521 SELESAI
156 7402024111690003 NURMIYANTI P 51 46-59 JL PEMUDA KM 2 081222393062 3/4/2021 3/4/2021 24000521 3/5/2021 24001321 SELESAI
157 7401204505990001 NURFADILLAH P 21 18-30 DUSUN II KAYUANGIN 082293077788 3/4/2021 3/4/2021 24000521 7/5/2021 24001321 SELESAI
158 7408075504990002 AFRILLA DWI ANDHARA P 21 18-30 JL DURIAN NO 11 082210687895 3/4/2021 3/4/2021 24000521 1/5/2021 24000521 SELESAI
159 7401102104660002 SUKARAN BIN TOLO L 55 46-59 JL BADEWI BTN BUKIT BALANDETE PERMAI 085241713494 3/4/2021 3/4/2021 24000521 1/5/2021 24000521 SELESAI
160 0

D = Lainnya
E = Tidak Bekerja

18-30 8 0 A 0
31-45 40 0 B 0
46-59 110 0 C 0
Total 158 0 D 0
Pekerjaan: E 0
A 0 159 Total 0
B 0 156
C 0
D 0
E 0
Total 0


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 JAMAAH 740114550380001 RAHMAWATI UNTUNG P 63 60-199 SEA 082394042626 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401143112580007 MASE P 98 60-199 JL. ABADI NO. 290 085241024025 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401087112590001 RUKAYAH P 62 60-199 LING. III TOBE'U WATUBANGGA 082288712735 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401200811520001 KAHARUDDIN L 97 60-199 JL. PELABUHAN TONGANAPO 0822324874562 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401144107470005 HANISA NUHUNG P 75 60-199 JL. SUNU NO. 38 082343067345 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401045212450003 DG. LIJA P 76 60-199 JL. TADAI-DAI 082236228150 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
7 7401142006650002 BANGU L 55 46-59 JL. CUMI-CUMI 085254207191 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401204107540038 SENGGE L 66 60-199 DESA TAMBOLI 085145817303 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401015903400001 KUDE P 81 60-199 LINGK. III KONGGOASA 085145817303 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
10 JAMAAH 7401185601620001 SAMI P 59 46-59 DUSUN III TALODO 085241845708 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401181206560001 AMBO TANG S L 65 60-199 DUSUN III TALODO 082189911823 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401141010520001 ABD. KADIR DG. TIRO L 67 60-199 JL. KEMAKMURAN 082192294441 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401041810610001 RIVAI L 60 60-199 KOMP. BTN TAHOA 081341689780 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401046108590001 HASMYN RAHIM P 62 60-199 KOMP. BTN TAHOA 085241702906 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 740114600150001 NURLELA A.MA P 64 60-199 JL. KAYANGAN NO.1 085399412432 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401104809570001 NI'MA P 64 60-199 LINGK. IV LAPALISU PANTAI 085263053078 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401145001550002 NURHAYATI NURDIN P 66 60-199 JL. KAYANGAN NO.1 085396291757 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401145401510001 FAJRI GAZALI P 70 60-199 JL. JEND. SUDIRMAN NO.45 081242477569 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 MASYARAKAT 7401040206540001 DRS. JUNIRMAN PASARIBU L 67 60-199 JL. DR. SUTOMO NO.12 081210265005 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 MASYARAKAT 7401045401560003 RAMIAN SINAGA P 65 60-199 JL. DR. SUTOMO NO.12 081210444340 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401015211580001 BADERIA P 63 60-199 LINGK. II PUUTOBO 085220757386 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401075002600001 ENANG P 74 60-199 JL. PELITA NO. 14 082346051065 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401010305420001 JIMAN L 79 60-199 LINGK. II PUUTOBO 085342859781 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401106105600001 SITTI AISYAH P 61 60-199 DUSUN III TAMBOBUNGI 082348090273 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401083112530001 AMINUDDIN AMA,PD L 68 60-199 DESA POLENGA 085259331317 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401084708570001 NUR INTAN P 65 60-199 DUSUN TAQWA WATUBANGGA 082322319287 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401184102400003 SATIRA P 97 60-199 ANAWOI TANGGETADA 081342045512 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401147112600012 MARTANG P 61 60-199 JL ABADI NO 63 KOLAKAASI 082376343562 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
29 JAMAAH 7401046303620004 NURBAETY P 59 46-59 KPR BTN BLOK 18 NO 1 TAHOA 081341832519 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
1 JAMAAH 7401205110550001 MINAH P 66 60-199 LINGKUNGA I TOSIBA SAMATURU 081341741263 7/4/2021 7/4/2021 24000521 5/5/2021 24001321 SELESAI
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153 DEPAG 7401180112770001 NURDAYADI L 44 31-45 BTN BUKIT BALANDETE PERMAI 082188682123 5/5/2021 5/5/2021 24001321 LANJUT
154 DEPAG 7471091205790001 JHONY L,S.Pi L 42 31-45 JL DURIAN NO 38 085255346797 5/5/2021 5/5/2021 24001321 5/6/2021 24003321 SELESAI
155 DEPAG 19641019991120001 ST ROHANA P 57 46-59 KEL LALOEHA 082291791751 5/5/2021 5/5/2021 24001321 5/6/2021 24003321 SELESAI
156 DEPAG 7471104310930001 SITI NUR AISYIAH SYAHRIR P 27 18-30 JL MERPATI 08524144440 5/5/2021 5/5/2021 24001321 5/6/2021 24003321 SELESAI
157 DEPAG 7401047112630046 HJ NURSIDAWATI P 58 46-59 JL KASUARI KEL.LALOEHA 085241718627 5/5/2021 5/5/2021 24001321 5/6/2021 24003321 SELESAI
158 DEPAG 7401040107670063 DJAMALI L 56 46-59 TAHOA 081341990996 5/5/2021 5/5/2021 24001321 LANJUT
159 DEPAG 7401044402730001 RUSDIANA P 48 46-59 PERUMNAS LALOMBAA 082330167031 5/5/2021 5/5/2021 24001321 17-6-2021 24003321 LANJUT
160 DEPAG 7401142611920002 ERWIN ROIYANSAH L 28 18-30 JL BOLU NO 41 085341943440 5/5/2021 5/5/2021 24001321 5/6/2021 24003321 SELESAI
161 DEPAG 7401140608840001 IRWAN L 37 31-45 JL MESJID RAYA NO 37 082349757008 6/5/2021 6/5/2021 24001321 5/6/2021 24003321 SELESAI
162 DEPAG 7401040510850007 SABRIL L 36 31-45 KL HALUOLEO NO 5C 082259605005 6/5/2021 6/5/2021 24001321 LANJUT
163 DEPAG 7401040456700002 MUH YASIN L 54 46-59 KOMP BTN BLOK C 081341505724 6/5/2021 6/5/2021 24001321 5/6/2021 24003321 SELESAI
164 DEPAG 7401045903890003 ALIAN SUHATMIN P 32 31-45 JL AHMAD MUSTIN 082193270591 6/5/2021 6/5/2021 24001321 LANJUT
165 DEPAG 7401146404840002 HERAWANTI P 37 31-45 JL DERMAGA 085396030300 6/5/2021 6/5/2021 24001321 5/6/2021 24003321 SELESAI
166 DEPAG 7401100404830001 RONI KRISNIADI L 37 31-45 DUSUN V POLEWALI 085396826585 6/5/2021 6/5/2021 24001321 LANJUT
167 DEPAG 7401044412920005 RIZQA DESIARTI P 28 18-30 JL PEMUDA 081292019737 6/5/2021 6/5/2021 24001321 5/6/2021 24003321 SELESAI
168 DEPAG 7401144707900002 IKA SARTIKA P 30 18-30 JL GAJAH NO 66 085395342292 6/5/2021 6/5/2021 24001321 5/6/2021 24003321 SELESAI
169 DEPAG 7401042710740001 ISHAK KADIR L 46 46-59 JL SAMRATULANGI NO 92 081355050100 6/5/2021 6/5/2021 24001321 5/6/2021 24003321 SELESAI
170 DEPAG 7401046708640003 MARLINAH P 57 46-59 JL ALAM MEKONGGA NO 9 085241794018 6/5/2021 6/5/2021 24001321 LANJUT
171 DEPAG 740101640670001 RAHONA P 48 46-59 DUSUN III WATUMBALI 085241957624 6/5/2021 6/5/2021 24001321 LANJUT
172 DEPAG 3203084710700007 DARMAWATI P 51 46-59 JL BADEWI BTN GRIYA 081322822194 6/5/2021 6/5/2021 24001321 5/6/2021 24003321 SELESAI
173 DEPAG 7401044101690004 ASMAWATI P 51 46-59 JL PEMUDA KOMP BLK 085241523638 6/5/2021 6/5/2021 24001321 5/6/2021 24003321 SELESAI
174 DEPAG 7401011609720002 RAYS MASA L 48 46-59 DUSUN III WATUMBALI 085225672131 6/5/2021 6/5/2021 24001321 LANJUT
175 DEPAG 7303021501920001 NURUL QADRI P 29 18-30 JL NURI NO 311 082395141988 6/5/2021 6/5/2021 24001321 5/6/2021 24003321 SELESAI
176 DEPAG 7401046205710002 NURTIA KADIR P 0 KOMP BTN BALANDETE 081355632662 6/5/2021 6/5/2021 24001321 5/6/2021 24003321 SELESAI
177 DEPAG 7401047112620056 ST AMANG P 59 46-59 BTN BLOK IV NO 10 082194981539 6/5/2021 6/5/2021 24001321 LANJUT
178 DEPAG 7401040212670001 DRS. AGUS RAMADHAN, MA L 54 46-59 JL PERUMNAS 081341502807 6/5/2021 6/5/2021 24001321 LANJUT
0
0
0
0
0
0

D = Lainnya
E = Tidak Bekerja

18-30 16 0 A 0
31-45 16 0 B 0
46-59 38 0 C 0
Total 70 0 D 0
Pekerjaan: E 0
A 0 179 Total 0
B 0 163
C 0
D 0
E 0
Total 0
VAKSIN I PKM WUNDULAKO
5/6/2021
5/6/2021

Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401101203790000 TAHUDDIN L 41 31-45 DUSUN III KOOIMEN 82391546780 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
2 7406077107760001 WALANG P 45 31-45 DUSUSN POLEWALI POLEANG BARAT 082348183641 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
3 7406076106780001 SUHAEDA P 47 46-59 DUSUSN POLEWALI POLEANG BARAT 085348042380 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 24/5/2022
4 92710501076770003 ABD. ASIS L 54 46-59 CUMENE PATTIRO RIOO 081240370724 26/4/2021 26/4/2021 24000521 - - SELESAI
5 7308084107800050 NURBAYA P 41 31-45 BOOTO PATTIRO RIOLO 085299874354 26/4/2021 26/4/2021 24000521 - - SELESAI
6 7401077112650001 BOLONG P 56 46-59 DUSUN I LALONGGULANI 082259982365 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
7 7401075501750001 SUARTINI P 46 46-59 JL. P MANIANG 085242421129 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
8 7401254707750001 HASMAWATTI P 46 46-59 DUSUN I PEWISOA 081245709990 26/4/2021 26/4/2021 24000521 LANJUT
9 7401070204720001 KASMAN L 49 46-59 JL. P MANIANG 081341694139 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
10 7401252205680001 DADAN SOLIHUL ANWAR L 53 46-59 DUSUN I PEWISOA 085242190707 26/4/2021 26/4/2021 24000521 LANJUT
11 7401077112720005 MARDAWIAH P 49 46-59 JL. MELENIUM NO. 8 POMALAA 081392247275 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
12 74010727720001 RASMAJA L 49 46-59 JL. MELENIUM NO. 8 POMALAA 082312654777 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
13 7401081602630001 BAHRI L 58 46-59 DUSUN IV MEKAR JAYA 082198333464 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
14 '7373026711630002 SUHRIA P 58 46-59 KOLAKAASI 085397870660 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
15 7401074508650001 MARSIA P 56 46-59 DUSUN LAMBOATO 082320691483 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
16 7401255909720001 SRI YUNDA ABDULLAH S.SOS P 49 46-59 DUSUN I PEWISOA 081355321752 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
17 7401180305710002 GANING L 50 46-59 ANAIWOI 081342045512 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
18 7401201201880001 JUSTAM L 33 31-45 DUSUN I BANDILA SAMATURU 085299751253 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
19 7401100408220001 MUH. SAPPI L 99 60-199 LADAHI IWOIMENDA 082150138528 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
20 7401074512640001 YONDE P 57 46-59 DUSUN I HAKANGGAPU 085240644706 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
21 740107470582 ATIRA P 37 31-45 DUSUN I LALONGGULANI 082195269526 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
22 7401184608740001 ROSTINA P 47 46-59 DUSUN PUUWA TANGGETADA 082195269526 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
23 7401075805800001 ROSDIANA P 41 31-45 JL. POROS POMALAA 082318968575 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
24 7401182811720001 MUHSIN L 49 46-59 DUSUN PUUWA TANGGETADA 0853426988367 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
25 7401071001740001 MUH. TANG L 47 46-59 JL POROS POMALAA 085333263293 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
26 7406074204640001 ROSMIATI P 57 46-59 TOTOBO POMALAA 085345625727 26/4/2021 26/4/2021 24000521 LANJUT
27 7401107112450016 NAMING P 96 60-199 DUSUN III SUKA KARYA 082292066977 26/4/2021 26/4/2021 24000521 LANJUT
28 7401072904790005 M. TAHIR L 42 31-45 JL. MESJID RAYA NO. 53 081341737570 26/4/2021 26/4/2021 24000521 27/5/2021 24001321 SELESAI
29 7401076210830002 WAHIDA P 38 31-45 JL. MESJID RAYA NO. 53 081341737570 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
30 7401074303790001 DWI SUJIATI P 42 31-45 DUSUN II HUKO-HUKO 085241734806 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
31 7401075707680002 SUAEBAH P 53 46-59 JL. TELUK MEKONGGA NO. 6 POMALAA 082189299168 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
32 7401075107780001 SILVIA RAMLI P 43 31-45 JL. SERUNI NO 1 081341909888 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
33 3525144505590023 SITTI ASMAWATI P 62 60-199 DR. WAHIDIN SH KEBOMAS 085101747868 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
34 7401073112730013 SIRMAN L 48 46-59 JL. CAKALANG DAWI-DAWI 085240856766 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
35 7401086005690001 MARDIANA P 52 46-59 LING. IV WAKUBANGGA 085254628810 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
36 7406073012670002 JAMALUDDIN L 54 46-59 DESA TIMBALA 082346963338 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
37 7408084107700060 NURHAENI P 41 31-45 CUMENE PATTIRO RIOO 085210583566 26/4/2021 26/4/2021 24000521 - - SELESAI
38 7401085805750001 MULIATI P 46 46-59 DUSUN IV MEKAR JAYA 085255519630 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
39 7401071405780003 MUZAKIR L 43 31-45 JL. PROTOKOL NO. 3 DAWI-DAWI 081236114478 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
40 7401070508710001 A. AMIDU L 50 46-59 JL. NUSANTARA 085242283333 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
41 7401140812770001 MUHAMMAD YUNUS L 44 31-45 TONDOWOLIO 081341091222 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
42 7371077006840006 FITRIANI HAMZAH P 44 31-45 JL. PROTOKOL NO. 3 DAWI-DAWI 081242220607 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
43 7401074804840001 ROSDIANA P 37 31-45 JL. BAYPASS 085241983144 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
44 7401075404810001 RUSNIA P 40 31-45 JL. KAMPUNG BARU DUSUN III TOTOBO 082210324969 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
45 7401076409840001 HERIATI UMAR P 38 31-45 DUSUN II SANRE BULU 082293680639 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
46 7401075606660001 RATNAWATI P 45 31-45 JL. MESJID NURUL YAQIN DAWI-DAWI 08255133870 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
47 7401076409650001 ROSNANI P 56 46-59 DUSUN II BTN GRAND FILE HUKO-HUKO 085241221115 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
48 7401074809680001 NIKMAH P 53 46-59 JL. KONGGOASA NO. 45 085396322379 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
49 7401075801980001 ASRYANI P 23 18-30 JL. MESJID RAYA NO. 11 08114055328 26/4/2021 26/4/2021 24000521 27/5/2021 24001321 SELESAI
50 7401074307790002 NURJANNAH P 42 31-45 DUSUN I WIA-WIA MATA USU 0811405328 26/4/2021 26/4/2021 24000521 31/5/2021 24001321 SELESAI
51 7401200502720001 AMIRUDDIN L 49 46-59 DUSUN IV UIU KONAWEHA 085397657037 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
52 7401074211760001 NOVIANI P 45 31-45 KUMORO POMALA 081341732645 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
53 7401204812810001 MISBARIANI P 42 31-45 DUSUN IV LUKUIYA 082216947153 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
54 7401074303710001 SARPIANAH P 50 46-59 JL. HATI GEMBIRA 081245825164 26/4/2021 26/4/2021 24000521 LANJUT
55 7401074305830002 MEGAWATI P 38 31-45 JL EKONOMI NO. 19 TONGGONI 085341756583 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
56 740107072720001 MUSTAMIN P 49 46-59 JL. MERDEKA NO. 14 DAWI-DAWI 081356689537 26/4/2021 26/4/2021 24000521 27/5/2021 24001321 SELESAI
57 7401075603760001 NELLI P 45 31-45 JL. USAHA TANI PELAMBUA 085394158845 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
58 7401076811940001 HERAYANTI P 27 18-30 JL. CAKALANG DAWI-DAWI 0853252477031 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
59 7401074710870004 EKA RAHMATIA BARI P 34 31-45 JL. PELABUHAN NO. 33 DAWI-DAWI 085255258231 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
60 7406074107570033 YONDENG P 64 60-199 JL. TOTOBO POMALAA 081230591682 26/4/2021 26/4/2021 24000521 25/5/2021 24001321 SELESAI
61 7401070507630001 GUNTUR MUHASAM L 58 46-59 JL. HATI GEMBIRA NO. 34 POMALAA 085255771127 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
62 7401074304780003 HUBARIANA P 43 31-45 DUSUN II PELAMBUA 081343752390 26/4/2021 26/4/2021 24000521 27/5/2021 24001321 SELESAI
63 7401043112600029 DRS. MARMIN P 61 60-199 JL. PONDUI KM 2 08124246944 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
64 7401077112630019 FITRIANI P 58 46-59 J. EKONOMI NO. 51 082255847327 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
65 7401044204650002 ST. RUSMI P 56 46-59 JL. PEMUDA 081242286022 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
66 740602410777013 SALMIAH P 44 31-45 JL. EKONOMI 082337261851 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
67 7401206508680001 RAMLAH P 63 60-199 LING. III POLEWALI 0852898244451 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
68 7406024107580046 MURTI P 63 60-199 PUULEMO POLEANG TIMUR 082347971107 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
69 7401044303830006 RAHMAWATY P 37 31-45 JL KHAIRIL ANWAR NO 23 085241711676 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
70 7401041301630001 YUSUF L 58 46-59 JL PEMUDA 082345899396 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
71 7406024107710057 SUMARNI P 50 46-59 JL EKONOMI DAWI DAWI POMALA 081248070711 26/4/2021 26/4/2021 24000521 24/5/2021 24001321 SELESAI
72 74010461009620001 MUNAWAR P 59 46-59 JL. PONDUI KM 2 085342912055 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
73 7401145007850002 ASMAWATI P 36 31-45 JL. CAREDE KOLAKAASI 082333499500 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
74 7309120312880005 HAMZAH L 32 31-45 DUSUN KOKOA 082193260402 27/4/2021 27/4/2021 24000521 LANJUT
75 74011440909710001 KASMA JUGGA P 50 46-59 JL. OPO KOLAKAASI 085394768687 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
76 7409125003900004 ATIKA P 31 31-45 DUSUN KOKOA MARANNU 081354347898 27/4/2021 27/4/2021 24000521 LANJUT
77 7309124205850001 HAFSA P 36 31-45 DUSUN KOKOA MARANNU 082257589054 27/4/2021 27/4/2021 24000521 LANJUT
78 7401142411700001 SAIFUDDIN L 51 46-59 JL. TPI NO. 10 KOLAKAASI 081343869423 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
79 7406024107710057 DARMAWATI SYAKIR P 52 46-59 KOMP. ASDP 085396171338 27/4/2021 27/4/2021 24000521 5/6/2021 24003321 SELESAI
80 740041305680001 SUBARDIN L 53 46-59 JL. PEMUDA LRG DEPAN SMP 085396034179 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
81 7401045411650003 SRI MARYAM P 56 46-59 KOMP. BTN BLOK G NO. 20 085394308444 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
82 7401012412710001 DOLLAH L 50 46-59 DUSUN KOWUNA 082216172183 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
83 7309120107790096 ABD HARIS L 39 31-45 DUSUN KOKOA 082293037442 27/4/2021 27/4/2021 24000521 LANJUT
84 7401014908720001 SITTI DARMATASIA P 49 46-59 DUSUN IV KOWUNA WUNDULAKO 085397861786 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
85 7401045605660001 RUAEDAH P 55 46-59 JL. DR SAMRATULANGI 081341217310 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
86 7401014401640002 ENDANG WIDIARSIH P 57 46-59 LRG LAMBADA 085241844831 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
87 7309126703810001 KUMALA P 40 31-45 DUSUN TANGKURU 082195922654 27/4/2021 27/4/2021 24000521 LANJUT
88 731511450630001 HAMIDA P 58 46-59 SULILI BARAT 085256740298 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
89 7401015510650001 MARWATI P 56 46-59 DUSUN I WUNDULAKO 085333679491 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
90 7401010304530001 MANGGU L 68 60-199 DUSUN IV KOWUNA WUNDULAKO 081340715396 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
91 7401145002710001 HASNAWATI P 50 46-59 JL. ABADI NO. 220 085397455088 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
92 7401044407620001 SUWARNI M P 59 46-59 JL. SULTAN HASANUDDIN 082188709144 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
93 7401144312700002 MARIANI P 51 46-59 LING. V WATUBANGGA INDUHA 082335595247 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
94 7401043112630033 SYAFRUDDIN SINOSI L 58 46-59 KOMP. BTN BLOK G NO. 20 082347099922 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
95 7401121812800001 ANDI NURSYAM L 41 31-45 PELAMBUA 085395662839 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
96 7401124205780001 RIANI P 43 31-45 PELAMBUA 081342729927 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
97 7401014505630001 NADIMA P 58 46-59 LING III MATABONDU SILEA 085299685180 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
98 7401047101730001 HASNAH P 48 46-59 BALANDETE 081140218 27/4/2021 27/4/2021 24000521 27/5/2021 24001321 SELESAI
99 7401144401870002 ROSMIATI P 34 31-45 JL. ABADI 085213686626 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
100 7401044112790001 SALMIAH P 42 31-45 JL. PRAMUKA NO. 61 082256518722 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
101 7401204107530086 PETTA MASIKA P 68 60-199 LING. I TOSIBA SAMATURU 082333375823 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
102 7406027112790007 LUSIANA LA UPE P 42 31-45 DUSUN PANGI-PANGI POLEANG TIMUR 081245908207 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
103 7401146711880003 KASMAWATI P 33 31-45 J. WOLTER MONGINSIDI 085396445784 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
104 7401045804830003 SITTI ZULAIKHA P 38 31-45 LRG. ZIG-ZAG 081310875231 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
105 7401041007720001 SAINUDDIN AT L 49 46-59 JL.MESJID HIDAYATULLAH LAMOKATO 081241009577 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
106 7401040702720003 FERRY WASONO HALIARDI L 49 46-59 JL. USMAN RENCONG NO. 24 081343868286 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
107 74011144505680002 HASNAH P 53 46-59 LRG. IKLIM 085345413812 27/4/2021 27/4/2021 24000521 LANJUT
108 7401144809660003 NURAEHA P 55 46-59 JL. KAMBOJA NO. 4 082191537205 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
109 7401144110780001 NURWATI P 43 31-45 JL. DELIMA NO.81 081341666777 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
110 7401143112530011 FIRMAN L 68 60-199 LING. IV WOWOTA 082214043493 27/4/2021 27/4/2021 24000521 3/6/2021 24003321 SELESAI
111 7401126104880001 YANTI P 33 31-45 WATALLARA 085394426725 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
112 7401043112640016 USMAN L 57 46-59 JL. PRAMUKA NO. 18 081242577468 27/4/2021 27/4/2021 24000521 27/5/2021 24001321 SELESAI
113 7401144505700001 HARMIA P 51 46-59 JL. SUNU NO. 36 082260508647 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
114 7401145707890002 RISNA P 32 31-45 JL. ABADI NO. 270 082237490100 27/4/2021 27/4/2021 24000521 27/5/2021 24001321 SELESAI
115 7401016810720001 HASNI MUSTARING P 49 46-59 LINGK. I PEBUSIA WUNDULAKO 082376434562 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
116 7401144412760001 SITTI MAAESURI P 45 31-45 JL. ABADI NO. 2 081344545333 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
117 7401044402800003 SURIANI P 41 31-45 JL. BADEWI BALANDETE 0822938007225 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
118 7401014909660002 SALMA A. P 55 46-59 LING. III TAWENGGARE WUNDULAKO 085241796639 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
119 7401045708700001 MULIANA P 51 46-59 LRG. PERINTIS 085395807744 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
120 7401045611710002 HULDIAH LA HAMID P 50 46-59 LRG. ZIG-ZAG 081366678994 27/4/2021 27/4/2021 24000521 24/5/2021 24001321 SELESAI
121 7401144506740001 ANI SAKKA P 47 46-59 JL. OPO KOLAKAASI 085345414880 27/4/2021 27/4/2021 24000521 27/5/2021 24001321 SELESAI
122 7401145010740004 SURI P 47 46-59 JL. AIR PANAS ULUNGGOLAKA 085232461329 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
123 '7401047006500002 RUSNI P 71 60-199 JL. KONGGOASA NO. 10 LAMOKAT0 081245728250 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
124 7401146812770001 HASMAWATI P 44 31-45 JL. ABADI NO.2 LATAMBAGA 085242725687 27/4/2021 27/4/2021 24000521 LANJUT
125 MASYARAKAT 740111409550002 RUDY YAURY L 66 60-199 JL. DERMAGA NO. 28 LATAMBAGA 085241568888 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
126 MASYARAKAT 740114912550001 INDRAWATI CHANDRA P 66 60-199 JL. DERMAGA NO. 28 LATAMBAGA 085319582039 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
127 PEGAWAI DEPAG 7401100411760002 DARUSSALAM L 45 31-45 JL. BELIBIS NO. 12 LALOEHA 081355593531 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
128 PEGAWAI DEPAG 7401040807830001 MUHAMMAD IQBAL B L 38 31-45 JL. HALUOLEO NO. 48 WATULIANDU 085259183602 27/4/2021 27/4/2021 24000521 27/5/2021 24001321 SELESAI
129 PEGAWAI DEPAG 7401070312700001 ASRI MANGKA L 51 46-59 JL. KAPTEN TENDEAN NO. 1 POMALAA 085397013000 27/4/2021 27/4/2021 24000521 LANJUT
130 PEGAWAI DEPAG 7401040708720002 ALIMUDDIN L 49 46-59 PERUMNAS LALOMBAA 085399968017 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
131 PEGAWAI DEPAG 7401144306760002 RU'YANA P 43 31-45 JL. H. MUSAKKIR NO. 10 KOLAKAASI 085241866500 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
132 PKM KOLAKAASI 740114007880003 SURIANI L 32 31-45 JL. SUNU NO. 60 SEA 085242120973 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
133 PEGAWAI DEPAG 7308184806950002 MUHAJIRAH P 25 18-30 JL. OPO KOLAKAASI 082348353190 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
134 PEGAWAI DEPAG 7401041206670003 MUHAMMAD ALIAS L 54 46-59 JL. DR.SAMRATULANGI NO. 45 LAMOKATO 081245740215 27/4/2021 27/4/2021 24000521 25/5/2021 24001321 SELESAI
135 7401101004770001 RAMLI L 44 31-45 LINGK. V LALONGGOKI WOLO 082393840806 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
136 7401180407690001 MALLOLOANG L 52 46-59 DUSUN I LALONGGOLOSUA 085256262720 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
137 7401204807670001 HAJRAH P 54 46-59 DUSUN TOKALE SANI-SANI 082271418396 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
138 7401205606780004 SALBIA P 43 31-45 DUSUN I LALONGGOLOSUA 085256661899 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
139 7401105008780001 SURYA P 43 31-45 LINGK. V LALONGGOPI 082258460554 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
140 7401201201660001 ABD. RAHIM A L 55 46-59 DUSUN TOKALE SANI-SANI 082348840216 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
141 7401085810660001 NURHAYATI P 55 46-59 DUSUN I ARUM SARI RANOTETA 082151684035 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
142 7401205403780001 ROSMINI P 44 31-45 DUSUN II LAPANGI MALAHA 082393701224 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
143 7401203112590003 LA UMBA L 62 60-199 JL. TRANS SULAWESI NO. 21 KONAWEHA 081245808908 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
144 7401207105780002 HAMIDAH P 43 31-45 DUSUN I SANI-SANI 082318249794 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
145 7401201504770001 SUDIRMAN L 44 31-45 LING. V BENTENG TOSIBA 081245704787 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
146 7401185210690001 RATNAWATI P 52 46-59 DUSUN III NONA TANGGETADA 085242281601 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
147 7401185712640001 HASMA P 57 46-59 JL POROS DUSUN RAYON TANGGETADA 082290162925 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
148 7401012005420001 YETU L 101 60-199 DUSUN IV KOWUNA SABIANO 085243261161 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
149 7401185705820001 RAHMATANG P 39 31-45 DUSUN I OKO-OKO LAMEDAI 085299877746 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
150 7401207005800004 MISNAH A.MD P 41 31-45 LINGK. V BENTENG TOSIBA 081244379553 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
151 7401204107800176 CAMBO P 41 31-45 DESA MALAHA 085242821268 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
152 7401207112670016 SOPPENG P 54 46-59 DUSUN III TANGGANA SAMATURU 085256790949 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
153 7401200107780167 BAHARUDDIN L 43 31-45 DESA MALAHA 085242821268 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
154 7401204107720208 DARMI P 49 46-59 DUSUN I MALAHA 082363364473 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
155 7401204109820001 SALMIATI P 39 31-45 DUSUN I LALONGGASU 082376438712 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
156 7401204504820001 JUSNI P 39 31-45 DUDUN IV TOBEU MALAHA 085396646188 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
157 7401207112850004 RABA P 36 31-45 DUSUN I MALAHA 085226244104 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
158 7401205507800004 JUME P 41 31-45 DUSUN II KAPU SANI-SANI 082296018721 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
159 7401174707720003 ANDI NIRMAWATI P 49 46-59 DUSUN LAMEDAI 085241723373 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
160 7401087010950001 MUSRIFAH TAHAR P 25 18-30 LINGK. III TOBEKU WATUBANGGA 085398757651 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
161 7401076305800001 ST. RACHMI S P 36 31-45 JL. MESJID NURUL YAQIN DAWI-DAWI 085396663735 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
162 7401086712800001 YULIANA P 41 31-45 LINGK. III TOBEKU WATUBANGGA 081341666811 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
163 7401144101470001 SUAEBA P 74 60-199 JL. DELIMA KOLAKAASI 081241623061 28/4/2021 28/4/2021 24000521 LANJUT
164 7401084505720001 SUNARSIH P 49 46-59 LINGK. IV WATUBANGGA 081341780449 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
165 7401085507830001 HASNIAR P 38 31-45 LINGK. II OMBO WOLUL 085241451465 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
166 7401245712760001 ARIANTI P 45 31-45 DUSUN I HORONGKULI TOARI 085343701731 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
167 740124410765001 SENNA P 56 46-59 DUSUN I HORONGKULI TOARI 082228912760 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
168 7401240502760001 SUKIRMAN P 47 46-59 DUSUN I HORONGKULI TOARI 081341601779 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
169 740120411640001 NAHAR P 57 46-59 DUSUN II AMOMOLI NO 5 SAMATURU 085215181710 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
170 740118550750002 SYAMSIDAR P 46 46-59 DUSUN II POLEWALI TONDOWOLI 085240575523 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
171 7401084206730001 MURNI S P 48 46-59 DUSUN PUUKOHO LAMUNDRE 085333959732 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
172 7401204607660003 HASBIAH P 55 46-59 DUSUN V SALEA KONAWEHA 085397379084 28/4/2021 28/4/2021 24000521 LANJUT
173 7401045506690002 BABA INDAH P 52 46-59 JL. BADEWI BALANDETE 085241733453 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
174 7401206808870001 HERAWATI P 34 31-45 DUSUN V PONU-PONU KONAWEHA 085824653720 28/4/2021 28/4/2021 24000521 LANJUT
175 7401201008850002 HAERULLAH L 36 31-45 DUSUN V PONU-PONU KONAWEHA 082343077180 28/4/2021 28/4/2021 24000521 LANJUT
176 7401106107820004 HARNI LADAY P 39 31-45 DUSUN V MATUNGENGKENG TOLOWE 085200745888 28/4/2021 28/4/2021 24000521 2/6/2021 24003321 SELESAI
177 7401201706640001 ARIFIN L 57 46-59 DUSUN V SALEA KONAWEHA 085756010867 28/4/2021 28/4/2021 24000521 LANJUT
178 7401201705760001 ABDUL HAFID L 45 31-45 DUSUN SILEA 085244115172 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
179 740120480670003 JUHERA P 45 31-45 DUSUN SILEA 085250223192 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
180 7401204611720002 HAJERAH S.PD P 49 46-59 DUSUN IV LAMBO SAMATURU 085255099733 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
181 7401202704680001 MARJUTANG L 53 46-59 DUSUN VI LAMBOLEMO SAMATURU 085241744388 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
182 7401201710770001 SAHRIR L 44 31-45 DUSUN V SALEA KONAWEHA 081244756273 28/4/2021 28/4/2021 24000521 LANJUT
183 7401180506810001 JUSMAN L 40 31-45 LING. V ANAIWOI 082259658902 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
184 7401085505700002 SARDIANI HADIA P 51 46-59 DUSUN III SINGI-SINGI 082189281477 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
185 7401186707700001 NADI P 51 46-59 LING. V ANAIWOI 082292297511 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
186 3174052009830007 FARID WADJI L 38 31-45 JL. ALAM MEKONGGA 082346507024 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
187 7401102411780001 RIDWAN L 43 31-45 DUSUN V MATUNGENGKENG TOLOWE 085200745888 28/4/2021 28/4/2021 24000521 2/6/2021 24003321 SELESAI
188 7401104502800001 SULEHA ST. AISYAH P 41 31-45 DUSUN III MALAMBOI DONGGALA 085399513693 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
189 7401102005770002 SYAHRUDDIN L 44 31-45 DUSUN III MALAMBOI DONGGALA 085241571016 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
190 MASYARAKAT 7401145011690002 FANNY WONGSAN P 52 46-59 SEA 082344344450 28/4/2021 28/4/2021 24000521 LANJUT
191 7401105006600001 NORMIN P 61 60-199 LINGK. I KONIALI ULU WOLO 085254596057 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
192 7401205404790002 MUSLINA P 42 31-45 JL. PEMBANGUNAN NO 2 SAMATURU 085255072142 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
193 MASYARAKAT 7401070201820003 H. JABAL RAHMAT L 38 31-45 LINGK. TOSUI BAMBAEA 085333926666 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
194 7401181505710001 ABD RASYID HUSENG L 50 46-59 ANAWOI TANGGEYADA 085256250967 28/4/2021 28/4/2021 24000521 LANJUT
195 7401040505660001 MUHAMMAD YANI,S.Pd L 54 46-59 JLKASUARI NO 4 LALOEHA 081341689766 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
196 740104501187006 ASRIANI SE P 34 31-45 BTN BALANDETE 082292066977 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
197 7401100103640002 MARWANG L 57 46-59 WOLO 85145027187 28/4/2021 28/4/2021 24000521 27/5/2021 24001321 SELESAI
198 DESTRI MULIASTRI P 26 18-30 23/5/2021 24001321 SELESAI

D = Lainnya
E = Tidak Bekerja

18-30 5 0 A 0
31-45 82 0 B 0
46-59 94 0 C 0
Total 181 0 D 0
Pekerjaan: E 0
A 0 197 Total 0
B 0 177
C 0
D 0
E 0
Total 0
24/5/2021
25/5/2021
26/5/2021


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 LANSIA 7401142808490001 BURAERA L 72 60-199 JL KADUE NO 43 SEA 085240489872 29/4/2021 29/4/2021 24000521 27/5/2021 24001321 SELESAI
2 LANSIA 7401142202470001 H.M.CHAERUDDIN L 74 60-199 JL REPELITA NO 39 SEA 085211193749 29/4/2021 29/4/2021 24000521 27/5/2021 24001321 SELESAI
3 7401045603850002 DRG.SYALMIAH LAUNU P 36 31-45 JL KAKATUA NO 24 LALEOHA 085242633074 29/4/2021 29/4/2021 24000521 27/5/2021 24001321 SELESAI
4 7308230107910030 M JAMIL L 30 18-30 JL SUNU NO 60 SEA 085341170802 29/4/2021 29/4/2021 24000521 28/7/2021 24001321 SELESAI
5 7401046707980002 AMALIA SABILLAH P 23 18-30 JL WORTEL WENGENSIDI LAMOKATO 081252300418 29/4/2021 29/4/2021 24000521 - - SELESAI
6 LANSIA 7401043112620058 YAVET GAMANG L 59 46-59 JL PRAMUKA LRG GARUDA LAMOKATO 085342695999 29/4/2021 29/4/2021 24000521 27/5/2021 24001321 SELESAI
7 7371040808900002 IRIANTO S OTTONG L 30 18-30 JL SULTAN HASAANUDDIN NO 28 085243043400 29/4/2021 29/4/2021 24000521 27/5/2021 24001321 SELESAI
8 7401195606830002 SUNARTI P 38 31-45 DUSUN II SOPPENG DANGIA 082292645519 29/4/2021 29/4/2021 24000521 LANJUT
9 7371011601000007 HERMAWAN ARFAN L 21 18-30 JL RAJAWALI I LR 10 MARISO 082228645755 29/4/2021 29/4/2021 24000521 27/5/2021 24001321 SELESAI
10 LANSIA 7401140508580000 SUJONO L 63 60-199 JL. DURIAN NO. 5 081342978939 30/4/2021 30/4/2021 24000521 28/5/2021 24001321 SELESAI
11 LANSIA 7401144408570001 SOPHIA MOGOT P 64 60-199 JL. DURIAN NO. 100 082398676996 30/4/2021 30/4/2021 24000521 28/7/2021 24001321 SELESAI
12 7401040910650003 YOJI SULTRA SIDUPA L 56 46-59 JL. SLAMET RIADI 085241887065 30/4/2021 30/4/2021 24000521 28/7/2021 24001321 SELESAI
13 7401142112990002 RAHMANUDDIN L 27 18-30 JL. DURIAN NO. 120 A 081543492392 30/4/2021 30/4/2021 24000521 - - SELESAI
14 7401146512750003 HASMIA P 46 46-59 JL. DURIAN NO. 120 A 085240721878 30/4/2021 30/4/2021 24000521 28/7/2021 24001321 SELESAI
15 7401143012700001 ISMAIL L 51 46-59 JL. DURIAN NO. 120 A 082191106830 30/4/2021 30/4/2021 24000521 28/7/2021 24001321 SELESAI
16 7401146509690001 MERY KRISTIAN SH P 52 46-59 JL. PANCASILA NO. 72 087843866000 30/4/2021 30/4/2021 24000521 28/7/2021 24001321 SELESAI
17 7401140404020001 MUHAMMAD FADIL L 19 18-30 JL. DURIAN NO. 120 A 085281584350 30/4/2021 30/4/2021 24000521 28/7/2021 24001321 SELESAI
18 7401120611840001 ADRIANUS PASANG L 36 31-45 DUSUN II MARGA ULANIA BAULA 082293065357 30/4/2021 30/4/2021 24000521 28/7/2021 24001321 SELESAI
19 7401145707690001 HUI MING P 52 46-59 JL. KENANGA NO. 7 081341910521 30/4/2021 30/4/2021 24000521 28/7/2021 24001321 SELESAI
20 LANSIA 7401042501590002 MARTNUS PISE 62 60-199 J. HALUOLEO 085397455097 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
28 0 24000521 LANJUT
29 0 24000521 LANJUT
30 0 24000521 LANJUT
31 0 24000521 LANJUT
32 0 24000521 LANJUT
33 0 24000521 LANJUT
34 0 24000521 LANJUT
35 0 24000521 LANJUT
36 0 24000521 LANJUT
37 0 24000521 LANJUT
38 0 24000521 LANJUT
39 0 24000521 LANJUT
40 0 24000521 LANJUT
41 0 24000521 LANJUT
42 0 24000521 LANJUT
43 0 24000521 LANJUT
44 0 24000521 LANJUT
45 0 24000521 LANJUT
46 0 24000521 LANJUT
47 0 24000521 LANJUT
48 0 24000521 LANJUT
49 0 24000521 LANJUT
50 0 24000521 LANJUT
51 0 24000521 LANJUT
52 0 24000521 LANJUT
53 0 24000521 LANJUT
54 0 24000521 LANJUT
55 0 24000521 LANJUT
56 0 24000521 LANJUT
57 0 24000521 LANJUT
58 0 24000521 LANJUT
59 0 24000521 LANJUT
60 0 24000521 LANJUT
61 0 24000521 LANJUT
62 0 24000521 LANJUT
63 0 24000521 LANJUT
64 0 24000521 LANJUT
65 0 24000521 LANJUT
66 0 24000521 LANJUT
67 0 24000521 LANJUT
68 0 24000521 LANJUT
69 0 24000521 LANJUT
70 0 24000521 LANJUT
71 0 24000521 LANJUT
72 0 24000521 LANJUT
73 0 24000521 LANJUT
74 0 24000521 LANJUT
75 0 24000521 LANJUT
76 0 24000521 LANJUT
77 0 24000521 LANJUT
78 0 24000521 LANJUT
79 0 24000521 LANJUT
80 0 24000521 LANJUT
81 0 24000521 LANJUT
82 0 24000521 LANJUT
83 0 24000521 LANJUT
84 0 24000521 LANJUT
85 0 24000521 LANJUT
86 0 24000521 LANJUT
87 0 24000521 LANJUT
88 0 24000521 LANJUT
89 0 24000521 LANJUT
90 0 24000521 LANJUT
91 0 24000521 LANJUT
92 0 24000521 LANJUT
93 0 24000521 LANJUT
94 0 24000521 LANJUT
95 0 24000521 LANJUT
96 0 24000521 LANJUT
97 0 24000521 LANJUT
98 0 24000521 LANJUT
99 0 24000521 LANJUT
100 0 24000521 LANJUT
101 0 24000521 LANJUT
102 0 24000521 LANJUT
103 0 24000521 LANJUT
104 0 24000521 LANJUT
105 0 24000521 LANJUT
106 0 24000521 LANJUT
107 0 24000521 LANJUT
108 0 24000521 LANJUT
109 0 24000521 LANJUT
110 0 24000521 LANJUT
111 0 24000521 LANJUT
112 0 24000521 LANJUT
113 0 24000521 LANJUT
114 0 24000521 LANJUT
115 0 24000521 LANJUT
116 0 24000521 LANJUT
117 0 24000521 LANJUT
118 0 24000521 LANJUT
119 0 24000521 LANJUT
120 0 24000521 LANJUT
121 0 24000521 LANJUT

122 0 24000521 LANJUT
123 0 24000521 LANJUT
124 0 24000521 LANJUT
125 0 24000521 LANJUT
126 0 24000521 LANJUT
127 0 24000521 LANJUT
128 0 24000521 LANJUT
129 0 24000521 LANJUT
130 0 24000521 LANJUT
131 0 24000521 LANJUT
132 0 24000521 LANJUT
133 0 24000521 LANJUT
134 0 24000521 LANJUT
135 0 24000521 LANJUT
136
137 0 24000521 LANJUT
138 0 24000521 LANJUT
139 0 24000521 LANJUT
140 0 24000521 LANJUT
141 0 24000521 LANJUT
142 0 24000521 LANJUT
143 0 24000521 LANJUT

144 0 24000521 LANJUT
145 0 24000521 LANJUT
146 0 24000521 LANJUT
147 0 24000521 LANJUT
148 0 24000521 LANJUT
149 0 24000521 LANJUT
150 0 24000521 LANJUT
151 0 24000521 LANJUT
152 0 24000521 LANJUT
153 0 24000521 LANJUT
154 0 24000521 LANJUT
155 0 24000521 LANJUT
156 0 24000521 LANJUT
157 0 24000521 LANJUT
158 0 24000521 LANJUT
159 0 24000521 LANJUT
160 0 24000521 LANJUT
161 0 24000521 LANJUT
162 0 24000521 LANJUT
163 0 24000521 LANJUT
164 0 24000521 LANJUT
165 0 24000521 LANJUT
166 0 24000521 LANJUT

167 0 24000521 LANJUT
168 0 24000521 LANJUT
169 0 24000521 LANJUT
170 0 24000521 LANJUT
171 0 24000521 LANJUT
172 0 24000521 LANJUT
173 0 24000521 LANJUT
174 0 24000521 LANJUT
175 0 24000521 LANJUT
176 0 24000521 LANJUT
177 0 24000521 LANJUT
178 0 24000521 LANJUT
179 0 24000521 LANJUT
180 0 24000521 LANJUT
181 0 24000521 LANJUT
182 0 24000521 LANJUT
183 0 24000521 LANJUT
184 0 24000521 LANJUT
185 0 24000521 LANJUT
186 0 24000521 LANJUT
187 0 24000521 LANJUT
188 0 24000521 LANJUT
189 0 24000521 LANJUT

190 0 24000521 LANJUT
191 0 24000521 LANJUT
192 0 24000521 LANJUT
193 0 24000521 LANJUT
194 0 24000521 LANJUT
195 0 24000521 LANJUT
196 0 24000521 LANJUT
197 0 24000521 LANJUT
198 0 24000521 LANJUT
199 0 24000521 LANJUT
200 0 24000521 LANJUT
201 0 24000521 LANJUT
202 0 24000521 LANJUT
203 0 24000521 LANJUT
204 0 24000521 LANJUT
205 0 24000521 LANJUT
206 0 24000521 LANJUT
207 0 24000521 LANJUT
208 0 24000521 LANJUT
209 0 24000521 LANJUT
210 0 24000521 LANJUT
211 0 24000521 LANJUT
212 0 24000521 LANJUT

213 0 24000521 LANJUT
214 0 24000521 LANJUT
215 0 24000521 LANJUT
216 0 24000521 LANJUT
217 0 24000521 LANJUT
218 0 24000521 LANJUT
219 0 24000521 LANJUT
220 0 24000521 LANJUT
221 0 24000521 LANJUT
222 0 24000521 LANJUT
223 0 24000521 LANJUT
224 0 24000521 LANJUT
225 0 LANJUT
226 0 LANJUT
227 0 LANJUT
228 0
229 0
230 0
231 0
232 0
233 0
234 0
235
236
237

D = Lainnya
E = Tidak Bekerja

18-30 6 0 A 0
31-45 3 0 B 0
46-59 6 0 C 0
Total 15 0 D 0
Pekerjaan: E 0
A 0 20 Total 0
B 0 19
C 0
D 0
E 0
Total 0
27/5/2021
VAKSIN 2 DIJAKARTA
28/5/2021
VAKSIN 2 DIMAKASSAR


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 MASYARAKAT 7401145507650002 MAJAHANA P 38 31-45 JL. DURIAN NO. 8 085255374399 24/5/2021 24/5/2021 24001321 2/7/2021 24200321 SELESAI
2 BNI 7401045703770001 IR. HJ. A. ERNAWATI MANSYUR P 44 31-45 JL. BELIBIS NO.2 081342045130 24/5/2021 24/5/2021 24001321 6/21/2021 6/21/2021 SELESAI
3 BNI 7401141004940001 ARDIAN SYARIF L 27 18-30 JL. DURIAN NO. 144 082293135630 24/5/2021 24/5/2021 24001321 LANJUT
4 BNI 7401045412940005 NATALIA P 25 18-30 JL. ZIG-ZAG 081299542122 24/5/2021 24/5/2021 24001321 6/21/2021 6/21/2021 SELESAI
5 MASYARAKAT 7401042701710001 SIRWAN JAYA RAZAK L 50 46-59 JL. SULTAN HASANUDDIN 081341888505 24/5/2021 24/5/2021 24001321 6/21/2021 6/21/2021 SELESAI
6 MASYARAKAT 7401046708780001 HAERATI REMBA P 42 31-45 JL. KANCIL NO.10 085232459119 24/5/2021 24/5/2021 24001321 28-06-2021 24003721 SELESAI
7 MASYARAKAT 7401044206850003 RAHYUNI P 35 31-45 BTN TAHOA NO. 2 085215025656 24/5/2021 24/5/2021 24001321 28-06-2021 24003721 SELESAI
8 MASYARAKAT 3578157006850011 SRI UTAMI P 36 31-45 JL. LASANDARA LINGK III SABILAMBO 082262662790 24/5/2021 24/5/2021 24001321 2/7/2021 24200321 SELESAI
9 MASYARAKAT 7401046810860003 ANDI PUTRY MERDWKAWATY P 35 31-45 JL. LOWA WUNDULAKO 085394566886 24/5/2021 24/5/2021 24001321 LANJUT
10 MASYARAKAT 7401045606880001 EKAYUNI PERTIWI P 32 31-45 JL PEMUDA BALANDETE 082138389710 24/5/2021 24/5/2021 24001321 2/7/2021 24200321 SELESAI
11 MASYARAKAT 7401145602730001 NORMALA DEWI P 47 46-59 JL. DG. PASAU TAHOA 0812425525999 24/5/2021 24/5/2021 24001321 2/7/2021 24200321 SELESAI
12 MASYARAKAT 7401015703870001 S. INDRAWATI P 34 31-45 KOWIOHA, WUNDULAKO 085341046114 24/5/2021 24/5/2021 24001321 LANJUT
13 0 24001321 LANJUT
14 0 24001321 LANJUT
15 0 24001321 LANJUT
16 0 24001321 LANJUT
17 0 24001321 LANJUT
18 0 24001321 LANJUT
19 0 24001321 LANJUT
20 0 24001321 LANJUT
21 0 24001321 LANJUT
22 0 24001321 LANJUT
23 0 24001321 LANJUT
24 0 24001321 LANJUT
25 0 24001321 LANJUT
26 0 24001321 LANJUT
27 0 24001321 LANJUT
28 0 24001321 LANJUT
29 0
30 0
31 0
32 0
33 0
34 0
35 0
36 0
37 0
38 0
39 0
40 0
41 0
42 0
43 0
44 0
45 0
46 0
47 0
48 0
49 0
50 0
51 0
52 0
53 0
54 0
55 0
56 0
57 0
58 0
59 0
60 0
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0
71 0
72 0
73 0
74 0
75 0
76 0
77 0
78 0
79 0
80 0
81 0
82 0
83 0
84 0
85 0
86 0
87 0
88 0
89 0
90 0
91 0
92 0
93 0
94 0
95 0
96 0
97 0
98 0
99 0
100 0
101 0
102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0

D = Lainnya
E = Tidak Bekerja

18-30 2 0 A 0
31-45 8 0 B 0
46-59 2 0 C 0
Total 12 0 D 0
Pekerjaan: E 0
A 0 12 Total 0
B 0 9
C 0
D 0
E 0
Total 0
21/6/2021
7401126410980001VALENT TRIFENA GALE L 18-30 JL GAJAH 082242759175 4/3/2021 24000521 19/3/2021 24000521 SELESAI POLISI


Dosis I Dosis 2 Keterangan

Umur
tahun)
No. Batch No. Batch
I Tahap II
1 BRI 7401043011830000 PURNOMO L 38 31-45 JL. BENDUNGAN KOMP. BTN 082313927444 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
2 BRI 7401012909740001 ADI HIDAYAT L 37 31-45 JL. AL MUHAJIRIN 081341502233 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
3 BRI 7401042701840003 SATRUR RIJAL L 37 31-45 JL. ALAM MEKONGGA NO.1 08114032321 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
4 BRI 7316020911730002 ACHYAR L 48 46-59 PERUM. BUKIT MANGGALA PERMAI BLOK B/8 08241388700 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
5 BRI 7401041011950003 ARISANDI L 25 18-30 JL. BENDUNGAN 081212438991 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
6 BRI 7401041512730001 LA ODE FILI L 48 46-59 KOMP. BTN TAHOA LRG. BANDENG NO. 11 082384290733 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
7 BRI 7401091503910002 EKO SUYONO L 30 18-30 LING. II SIDOMULYO LADONGI 085145153585 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
8 BRI 7471091801880001 GOENADI LANDRY GOZAL L 33 31-45 BTN LATJINTA BLOK A NO12/13 KENDARI 08114030301 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
9 BRI 7401144108800001 INDRASWATI P 40 31-45 JL. ALAM MEKONGGA LRG. BENGKEL NO. 1 085299191777 1/5/2021 1/5/2021 24000521 14/6/2021 24001321 SELESAI
10 BRI 7401040910860001 IRSAN ALI WARDANA L 35 31-45 JL. BADEWI 081285336512 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
11 BRI 7401146808800002 RINA STEKASARI P 41 31-45 JL. KAHARIL ANWAR 082192446109 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
12 BRI 7371130904680007 HARI SUGIYANTO L 52 46-59 BTN MINASA UPA BLOK AB II 081248092826 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
13 BRI 74010458038900002 ZAENAB SURIANI P 32 31-45 JL. INDUMO NO. 21 081355173715 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
14 BRI 7401140111850001 AZHAR SABARUDDIN L 36 31-45 JL. JEND. SUDIRMAN NO. 43 085231650656 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
15 BRI 7401045112890006 SYAHRIANA P 31 31-45 JL. PEMUDA 082293822598 1/5/2021 1/5/2021 24000521 2/6/2021 24003321 SELESAI
16 BRI 740104460396002 REGINA ZEBRIANI SYAM P 25 18-30 JL. SULTAN HASANUDDIN NO. 14 081324707005 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
17 BRI 7401015508950002 CITRA AYU LESTARI P 25 18-30 19 NOPEMBER 081341660743 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
18 BRI 74010467129500006 IRMA P 25 18-30 DUSUN I PUUWIAU 085244224063 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
19 BRI 7401043012800003 JUSRIN L 40 31-45 JL. PEMUDA 081341072505 1/5/2021 1/5/2021 24000521 3/6/2021 24003321 SELESAI
20 BRI 7401044906860001 NURUL FITRIYUNI P 35 31-45 JL. KONGGOASA NO. 12 081334749816 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
21 BRI 7401046610890001 TRISNANI WULANDARI P 31 31-45 JL. ZIG-ZAG NO. 7 085299354649 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
22 BRI 7401141511970002 BAHARUDDIN P 23 18-30 LING. IV KAMPUNG BARU 082344559313 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
23 BRI 740111402002690002 SYUKURULLAH L 51 46-59 JL. JEND. SUDIRMAN 082296617568 1/5/2021 1/5/2021 24000521 LANJUT
24 BAHTERAMAS 7471075505850002 NENENG IMELDA SUDJANA P 36 31-45 DESA BENUA 0811403117 1/5/2021 1/5/2021 24000521 2/6/2021 24003321 SELESAI
25 BRI 7401041505780003 MUSTAMAR L 36 31-45 JL. PEMUDA 081314967842 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
26 MASYARAKAT 1871094711750004 SIANE HERAWATI P 46 46-59 VILLA CITRA 2 BLOK M I NO.8 0812723222 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
27 MASYARAKAT 7401143012660001 FRANS TJONG L 55 46-59 JL.KENANGA NO.7 08124222436 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
28 BRI 7401140303830002 MAHFUL MARHUM L 38 31-45 JL. MISTIK LRG 5 081355477489 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
29 BRI 7401046501410001 ARNI ARIASTA P 30 18-30 LR. LAMBADA 082293676671 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
30 BRI 7401010706840002 HENDRIANTO SE L 37 31-45 LING II PUUTOBU 08114618775 1/5/2021 1/5/2021 24000521 2/6/2021 24003321 SELESAI
31 BRI 7402050607860001 BUDIANTO L 34 31-45 JL. PEMUDA KOLAKAA 082346519502 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
32 BRI 7401043112720045 SYAMSUL BAHRI L 49 46-59 JL. PEMUDA LRG. MISTIK 085242417217 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
33 BRI 7401010405800002 MARDANI IBRAHIM L 41 31-45 JL. TMD NO. 2 0811494212 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
34 BRI 74010420007690001 MUHLIS KAHAR L 51 46-59 BTN BUKIT BALANDETE 081241974059 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
35 BRI 7401043112780027 SUALIM KASIM L 43 31-45 KOWIOHA WUNDULAKO 085241917174 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
36 BRI 7471031207770001 SYARIF L 43 31-45 JL. ANAWAI 081341676567 1/5/2021 1/5/2021 24000521 LANJUT
37 BRI 7401045005910002 TAHTIHAL P 30 18-30 JL. PEMUDA KOMP. BLK 085320676701 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
38 BRI 7401142012830003 JASMIN L 39 31-45 JL. DURIAN LINGK. III LATAMBAGA 08113673657 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
39 BRI 740108100699001 PUJI LESTARI L 21 18-30 DUSUN III ANGGALOMEURA 082397053559 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
40 BRI 7401041007760006 DEDI SASWOSANTO L 45 31-45 JL. PINTU SELATAN NO. 99 TAHOA 081341989399 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
41 BRI 7401041103660001 GINANJAR L 36 31-45 JL. MERPATI NO. 264 082187887347 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
42 7471052805880000 MUHAMMAD UMAR SAIFAL L 34 31-45 JL. IR. SOEKARNO NO. 16Q KENDARI 085241976971 1/5/2021 1/5/2021 24000521 2/7/2021 24200321 SELESAI
43 BRI 740141708820006 SYARIFUDDIN L 37 31-45 JL. MESJID RAYA NO. 14 082149191822 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
44 BAHTERAMAS 7401121005920002 YONATHAN BANGUN L 28 18-30 DUSUN II WATAPUTE BAULA 082293716701 1/5/2021 1/5/2021 24000521 2/6/2021 24003321 SELESAI
45 BRI 3604091610810001 LUBIS L 40 31-45 JL. PEMUDA NO.14 SABILAMBO 085256442289 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
46 BRI 7401040305940002 MUH. IKSAN LAKSAN L 27 18-30 JL. GAJAH LALOMBAAA 085256441926 1/5/2021 1/5/2021 24000521 LANJUT
47 BRI 7401041705000002 JAMAL L 20 18-30 JL. PEMUDA SABILAMBO 085398763689 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
48 BRI 7401080904930001 MATORI L 31 31-45 DUSUN VI SUDOMULYO WATYBANGGA 085341045316 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
49 BRI 7401046605800002 ILVANA KAMIL P 41 31-45 JL. PEMUDA LRG. MISTIK 081340004277 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
50 BRI 7471050610830003 LAODE MUH. IZHAR L 37 31-45 JL. KARYA INDAH NO.5 081355445528 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
51 BRI 7402031307950002 FANDI RENALDI L 26 18-30 JL. GAJAH NO. 12 LALOMBAA 081299532730 1/5/2021 1/5/2021 24000521 2/6/2021 24003321 SELESAI
52 BRI 7401040705850006 SARWAN SYAHRIAL L 36 31-45 JL. PEMUDA O. 357 LALOEHA 082195998177 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
53 BRI 7401142109830001 HAMZAH L 38 31-45 JL. ABADI 085241733231 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
54 BRI 7401045202880002 FAJRIANI GAFFAR P 33 31-45 JL. AHMAD MUSTIN 085299433006 1/5/2021 1/5/2021 24000521 2/6/2021 24003321 SELESAI
55 BRI 7401042005860002 RUSDIN L 35 31-45 KOMP. GRIYA MANDIRI II LALOMBAA 082293120151 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
56 BRI 7401076510950001 REZKY OCTAVIYANNI ANANDA P 25 18-30 JL. HATI MULIA POMALAA 085255175155 1/5/2021 1/5/2021 24000521 2/6/2021 24003321 SELESAI
57 BRI ;7401044701980001 EMILIA SALIN P 23 18-30 JL. WUTALAWU NO. 30 082261882093 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
58 BRI 7471011102910002 MUH. FERMANSYAH L 30 18-30 BN DEYOSA TAHOA 085298993977 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
59 BRI 7401047112860004 NOVITA ANGGUN P 35 31-45 JL. PEMUDA NO. 74 SABILAMBO 082390164790 1/5/2021 1/5/2021 24000521 3/6/2021 24003321 SELESAI
60 7406025510940002 RUSMAWATI P 26 18-30 PERUM WONUA KAPITA ASRI BLOK G/9 082158236626 1/5/2021 1/5/2021 24000521 18-06-2021 24003321 SELESAI
61 BRI 7401140103790001 SUPARDI L 42 31-45 JL. KAMBOJA NO.1 081341595404 1/5/2021 1/5/2021 24000521 31/5/2021 24001321 SELESAI
62 BTN 74710869099980001 NI KOMANG WIDIYANTI P 22 18-30 JL. TANUKILA LR TETUKO NO. 46 085396209229 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
63 MANDIRI 7171090712810010 DONIT ASTIKA ISMAYA L 39 31-45 JAGA VIII DESA WATUTUMOU III 085298895386 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
64 MANDIRI 3509210610860004 PANDU SETIA PUTRA L 35 31-45 JL. RAJAWALI III KOTA TIMUR GORONTALO 08114335579 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
65 BSI 7403161007860901 NAPIRUDDIN S.PD L 35 31-45 JL. PENDIDIKAN RT 001 RW 005 MUNA 08113960594 3/5/2021 3/5/2021 24001321 2/6/2021 24003321 SELESAI
66 7472061604910001 ICHSAN ABDUL MANAF L 30 18-30 JL. DR. WAHIDIN NO. 2 085228223515 3/5/2021 3/5/2021 24001321 LANJUT
67 BTN 74771086703970003 WIDYA HISNARMAYA SUGENG P 24 18-30 JL. MEKAR NO. 14 B 085398719911 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
68 MANDIRI 7401185402960001 ANTI LESTARI P 25 18-30 DUSUN II SOGAE TANGGETADA 081244444727 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
69 BTN 7401225403950001 DAMARIS P 36 31-45 JL. PUNDARI POLIPOLIA 085394761787 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
70 MANDIRI 7401184202940002 LILIS KARMILA P 27 18-30 JL. PRODUKSI DESA PALEWALI 085363589815 3/5/2021 3/5/2021 24001321 LANJUT
71 MANDIRI 7401204902950001 NUR NABILA ASYIMA P 26 18-30 DUSUN I LAMBOLEMO SAMATURU 082292420293 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
72 MANDIRI 7401011107960001 MUH. INDRA GANU L 25 18-30 DUSUN III DIPONEGORO WUNDULAKO 082349826861 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
73 BTN 7401071701860002 JUMADI JAYADI L 35 31-45 POMALAA 081287886729 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
74 MANDIRI 7401040801930001 MUHAMMAD HIDAYATULLAH L 28 18-30 JL PONDUI NO. 42 05230100175 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
75 MANDIRI 7401044309960001 PUJI SHINTA SARI P 25 18-30 JL. BADEWI BALANETE 082293672531 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
76 MANDIRI 7401094203920002 YUSMANIAR P 29 18-30 JL. BADEWI BALANDETE 085340326673 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
77 MANDIRI 740104229960001 MUH ABDI SYAM L 24 18-30 JL. LULO SABILAMBO 082296294101 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
78 MANDIRI 7401141111830001 SYAMSURI L 38 31-45 LING I ULUNGGOLAKA 081242083946 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
79 MANDIRI 7471012807800002 EDY SULFAKAR L 41 31-45 JL. WULELE PERUM KENDARI INDAH 0812420099939 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
80 BSI 7471055911960001 DINDA MASITA NURDIN P 24 18-30 JL. BUNG TOMO KENDARI 082395495996 3/5/2021 3/5/2021 24001321 2/6/2021 24003321 SELESAI
81 MANDIRI 7401012307970003 ANAS ALAUDDIN L 24 18-30 DUSUN WIRABUANA 085394328651 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
82 MANDIRI 7471080808870002 ALFRED RIYANTO TOLLA L 34 31-45 JL. MEKONGGA INDAH BY PASS 082398677084 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
83 MANDIRI 740522180290001 DEWA PUTU SUGITA L 31 31-45 DS. JATI BALI RANOMETO 085395916512 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
84 BTN 7401041705910002 ESRA GRAHA L 30 18-30 JL. KAKAK TUA 082250480094 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
85 MASYARAKAT 7401041601680001 SYARIFUDDIN DG. PAGESSA L 53 46-59 JL. MEKONGGA INDAH NO. 35 A 082115254894 3/5/2021 3/5/2021 24001321 31/5/2021 24001321 SELESAI
86 BTN 7401201506880004 HASRIFAL L 33 31-45 JL. KENANGA NO. 19 082282811889 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
87 MANDIRI 7471081801890001 HARDI CRISTIAN L 32 31-45 JL. TANUKILA NO. 20 085255081789 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
88 BTN 73711210006840011 ABUZAR ADRWIS L 37 31-45 JL. PEMUDA KM 5 BALANDETE 085397549954 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
89 MANDIRI 7401141302010001 ALDI ANSYAH L 20 18-30 LINGK II LALODIPU MANGOLO 082197838565 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
90 73711311077900012 A. MUH. IQBAL L 42 31-45 JL. PRAMUKA NO. 13 08124039659 3/5/2021 3/5/2021 24001321 LANJUT
91 MASYARAKAT 3277034107840275 ANDI FITRIA P 37 31-45 JL. ARTILERI NO4 085221518821 3/5/2021 3/5/2021 24001321 31/5/2021 24003321 SELESAI
92 MANDIRI 72040722005790001 FACHRUDIN SYAH L 42 31-45 JL. KARYA INDAH 082114858630 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
93 7172061710840002 HERIANTO L 37 31-45 JL. KOLOHIPO LALOEHA 085299391076 3/5/2021 3/5/2021 24001321 LANJUT
94 MANDIRI 7401042310920001 MUHAMMAD RESTU AULIA L 29 18-30 JL PEMUDA LRG. ZIG-ZAG 085289585767 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
95 MANDIRI 740100507920001 AHMAD IBNU SUTOWO L 29 18-30 JL. TAMALAKI NO. 5 0811400339 3/5/2021 3/5/2021 24001321 LANJUT
96 BNI 7471022108890003 AGUNG PRILAKSONO L 32 31-45 BTN BUMI INDAH PERMATASARI KENDARI 08114016661 3/5/2021 3/5/2021 24001321 2/6/2021 24003321 SELESAI
97 BNI 7401090211870004 IRVAN HARIS HARYONO L 34 31-45 BLOK E LING. II LADONGI 082188772018 3/5/2021 3/5/2021 24001321 2/6/2021 24003321 SELESAI
98 MANDIRI 7401040903870004 SUJUD JOKO MARIANTO L 34 31-45 JL. PEMUDA NO. 76 BALANDETE 082350694678 3/5/2021 3/5/2021 24001321 LANJUT
99 BNI 7471031402890001 ELIM ASRUDDIN L 32 31-45 JL MAYJEN KATAMSO 085255918349 3/5/2021 3/5/2021 24001321 2/6/2021 24003321 SELESAI
100 BNI 7401141402880001 ASWAR RAHMAT L 33 31-45 JL. SUNU NO. 56 0811403946 3/5/2021 3/5/2021 24001321 2/6/2021 24003321 SELESAI
101 BNI 7401133003950001 SUITNO L 26 18-30 DUSUN I PORAMBUA KOLAKA TIMUR 082259959152 3/5/2021 3/5/2021 24001321 2/6/2021 24003321 SELESAI
102 BNI 7401141005790002 SUPRIADIN SYARIF L 42 31-45 JL. KAMBOJA NO. 9 085394830020 3/5/2021 3/5/2021 24001321 2/6/2021 24003321 SELESAI
103 7372032907790002 SOPYAN SUKARNO L 42 31-45 JL. DERMAGA 081355091918 3/5/2021 3/5/2021 24001321 18-06-2021 24003721 SELESAI
104 MANDIRI 7401201212990001 MUH. RAFIQ AKBAR L 22 18-30 JL. TAMALAKI III LALOEHA 085256471900 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
105 MANDIRI 7401202405890001 ARWANDI L 32 31-45 DESA MALAHA KEC SAMATURU 085241418757 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
106 MANDIRI 7401042302880001 YUSRAN L 32 31-45 JL. PANORAMA SABILAMBO 081210078188 3/5/2021 3/5/2021 24001321 LANJUT
107 MANDIRI 7401070210680001 ABU SAHMAN L 53 46-59 BTN GRIYA SATELIT 0811408694 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
108 CJH 7401200508740001 ANWAR L 47 46-59 DS LIKU SAMATURU 085253892607 3/5/2021 3/5/2021 24001321 31/5/2021 24001321 SELESAI
109 CJH 7401205507830001 DARMAWATI P 37 31-45 DS LIKU SAMATURU 085342802067 3/5/2021 3/5/2021 24001321 31/5/2021 24001321 SELESAI
110 MANDIRI 747104280790002 SYAHRULRAHMAD HARIS L 30 18-30 JL. PANORAMA NO. 24 085241418757 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
111 MANDIRI 7401142312890001 ERWIN LUKMAN L 32 31-45 JL. ABADI NO 55 SEA 082349221567 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
112 MANDIRI REDI R PADAUHAN L 29 18-30 JL. SUMBER REJEKI 085340437959 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
113 MANDIRI 7401042307840002 ERNEST TROUBACH L 37 31-45 JL. LAWANGANO SABILAMBO 081247330631 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
114 MANDIRI 7401010501920002 HALIM L 29 18-30 SILEA WUNDULAKO 082259080200 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
115 BNI 7401134809930001 ERDIN L 28 18-30 DUSUN V ANDOMAO 085299939282 3/5/2021 3/5/2021 24001321 2/6/2021 24003321 SELESAI
116 MASYARAKAT 7401140403960001 HAMKA NINSYAH L 25 18-30 JL. ABADI NO. 70 082299379882 3/5/2021 3/5/2021 24001321 31/5/2021 24001321 SELESAI
117 MASYARAKAT 74010715667760002 BUN YAMIN L 44 31-45 JL. KOLAKA POMALA 085399891946 3/5/2021 3/5/2021 24001321 LANJUT
118 MASYARAKAT 7401142704730002 SULTRADY L 48 46-59 JL. PEMUDA 081247330631 3/5/2021 3/5/2021 24001321 31/5/2021 24001321 SELESAI
119 MANDIRI 7401142601880001 IRSANDI M DJAYA L 33 31-45 JL. PALA NO. 8 08229721914 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
120 MANDIRI 7406142911910002 FERRY DIANSYAH L 29 18-30 TEAMOKOLE KABENA 0811401878 3/5/2021 3/5/2021 24001321 3/6/2021 24003321 SELESAI
121 BNI 74010270494002 HAERILZAH L 27 18-30 LINGK. V KALDORA LATAMBAGA 082217704174 3/5/2021 3/5/2021 24001321 2/6/2021 24003321 SELESAI
122 BNI 7401142311840001 RESDIN L 37 31-45 JL. PANCASILA NO. 34 082292177044 3/5/2021 3/5/2021 24001321 2/6/2021 24003321 SELESAI
123 BNI 7471086307920001 NURUL FATIMAH P 28 18-30 JL. SUROMAINDO NO.114 KENDARI 085241829611 3/5/2021 3/5/2021 24001321 2/6/2021 24003321 SELESAI
124 BNI 7401010705980003 YODI FERNIAWAN L 23 18-30 JL.NANNGOMBA WUNDULAKO 082293332491 3/5/2021 3/5/2021 24001321 2/6/2021 24003321 SELESAI
125 BNI 7405214107930025 KARMILA P 28 18-30 JL. MEKONGGA INDAH LALOEHA 081369885585 3/5/2021 3/5/2021 24001321 2/6/2021 24003321 SELESAI
126 NAKES 7406025002930001 SUTIANA P 28 18-30 PANGI-PANGI BOMBANA 082292138705 3/5/2021 3/5/2021 24001321 4/6/2021 24003321 SELESAI
127 BNI 7401141301770001 AKMIL L 44 31-45 JL. INDUMO 081241721760 3/5/2021 3/5/2021 24001321 2/6/2021 24003321 SELESAI
128 MASYARAKAT 7401042003010002 MUH. KHAIRUL RIJAL P 20 18-30 PERUMNAS BLOK A NO 88 082396196481 3/5/2021 3/5/2021 24001321 31/5/2021 24001321 SELESAI
129 NAKES 7302015901787001 ERNAWATI S.ST L 42 31-45 KONAWE/ ASOLU 082349444744 3/5/2021 3/5/2021 24001321 2/6/2021 24003321 SELESAI
130 MASYARAKAT 7401044906840002 EKA YUANITA TANRIADY P 36 31-45 3/5/2021 3/5/2021 24001321 2/6/2021 24003321 SELESAI
131 MASYARAKAT 7401041007790004 DAVID YAURY L 42 31-45 3/5/2021 3/5/2021 24001321 2/6/2021 24003321 SELESAI
132 MANDIRI 7401043009930001 MUHAMMAD AFANDI L 28 18-30 JL. HALUELOE NO. 23 0811400092 4/5/2021 4/5/2021 24001321 LANJUT
133 MANDIRI 7471054210960001 HERYANA AFNI OCTAVIANI P 25 18-30 JL. TEKAKA NO. 3 085241703936 4/5/2021 4/5/2021 24001321 3/6/2021 24003321 SELESAI
134 MANDIRI 74010014105950002 MEIDY RISKINA EKA PUTRI P 26 18-30 JL. ANGGREK 19 NOVEMBER 082287375570 4/5/2021 4/5/2021 24001321 3/6/2021 24003321 SELESAI
135 7401260305930001 ILHAM SAM L 28 18-30 LOEA KOLAKA TIMUR 085210927900 4/5/2021 4/5/2021 24001321 16-06-2021 24003321 SELESAI
136 BPD 7401041401890001 ASWIN AR L 32 31-45 JL. PEMUDA NO. 236 LALOMBAA 0811400037 4/5/2021 4/5/2021 24001321 4/6/2021 24003321 SELESAI
137 BPD 7471072706690002 M THAHA LUHULIMA L 52 46-59 JL. TOARIMA NO. 17 KENDARI 0811405243 4/5/2021 4/5/2021 24001321 4/6/2021 24003321 SELESAI
138 BPD 7401042203980001 ARYA PRABOWO LAHA L 23 18-30 BTN GRIYA SATELIT KOLAKA 081245315766 4/5/2021 4/5/2021 24001321 4/6/2021 24003321 SELESAI
139 BPD 7471040601740001 MUHAMMAD ALI IMRON L 47 46-59 JL. SINGA RT 005 RW 005 KENDARI 081341741341 4/5/2021 4/5/2021 24001321 18-06-2021 24003321 SELESAI
140 BPD 7401041010730004 IRWAN L 37 31-45 JL. PAHLAWAN 085255854514 4/5/2021 4/5/2021 24001321 4/6/2021 24003321 SELESAI
141 MUAMALAT 7401041012890001 MUH. SYAFRUDDIN L 31 31-45 JL. PAHLAWAN 085241868464 4/5/2021 4/5/2021 24001321 3/6/2021 24003321 SELESAI
142 MUAMALAT 7471080712860002 IKSAN JAYA R L 36 31-45 JL. PEMUDA 085241629008 4/5/2021 4/5/2021 24001321 4/6/2021 24003321 SELESAI
143 7401142507870002 WAHYUDIN AZIZ L 34 31-45 JL. ABADI NO. 209 KOLAKAASI 08237640848 4/5/2021 4/5/2021 24001321 LANJUT
144 MUAMALAT 7401040606770002 RUSLAN SH L 44 31-45 JL.PEMUDA LRG. IKLIM NO. 2 085331343234 4/5/2021 4/5/2021 24001321 LANJUT
145 MANDIRI 7401095511970001 ICE ANDRIANI P 23 18-30 JL. LAMOKATO 081279787644 4/5/2021 4/5/2021 24001321 3/6/2021 24003321 SELESAI
146 MANDIRI 7405191909950002 FACHRI FADHIL L 27 18-30 DS. RAMBU RAMBU LAEYA 082196516751 4/5/2021 4/5/2021 24001321 3/6/2021 24003321 SELESAI
147 CJH 7401044909670003 NILAWATI P 54 46-59 JL. GARUDA NO 17 082312062302 4/5/2021 4/5/2021 24001321 LANJUT
148 MASYARAKAT 7401041306770001 SEMMY TANDRIADY L 44 31-45 JL PRAMUKA NO 63 082348213141 4/5/2021 4/5/2021 24000521 2/6/2021 24003321 SELESAI
149 MASYARAKAT 7401141801800002 DEDI TANDRIADY L 41 31-45 JL PANCASILA NO 68 081341799256 4/5/2021 4/5/2021 24000521 2/6/2021 24003321 SELESAI
150 MASYARAKAT 7401143112490002 TING TANRIADY P 72 60-199 JL PANCASILA NO 68 085395810371 4/5/2021 4/5/2021 24000521 2/6/2021 24003321 SELESAI
151 GURU 7401047112760014 ST.AISYAH P 43 31-45 KOMP BTN BLOK F TAHOA 082349518287 31/5/2021 24001321 SELESAI
152 GURU 7401015707750003 WARDA P 45 31-45 19 NOPEMBER 081342992109 31/5/2021 24001321 SELESAI
153 GURU 7371055001780004 DARMAWATI P 42 31-45 082191996594 31/5/2021 24001321 SELESAI
154 GURU 7302074711650001 AMINAH P 56 46-59 082188998776 31/5/2021 24001321 SELESAI
155 7401046907810001 RINA REMBAH,ST P 39 31-45 JL KANCIL NO 10 081383505252 31/5/2021 31/5/2021 24001321 28-06-2021 24003721 SELESAI
156 BRI 7401042004960001 AHMAD HIDAYAT L 25 18-30 JL HASANUDDIN III NO 11 082292386423 31/5/2021 31/5/2021 24001321 2/7/2021 24200321 SELESAI
157 BRI 7401045611750001 SITTI NURHAENI P 46 46-59 JL TAMALAKI NO 87 LALOEHA 081341695544 31/5/2021 31/5/2021 24001321 2/7/2021 24200321 SELESAI
158 BRI 7401145410790001 ARNANINGSIH P 42 31-45 JL JEND SUDIRMAN NO 6 085241711714 31/5/2021 31/5/2021 24001321 2/7/2021 24200321 SELESAI
159 BRI 7405190511900001 DENI JUNIAWAN B L 30 18-30 DUSUN IIAMBEBEA 081266460941 31/5/2021 31/5/2021 24001321 2/7/2021 24200321 SELESAI
160 BRI 7408016201970002 ISMI ASIS P 24 18-30 DESA PATOWONUA 082293038082 31/5/2021 31/5/2021 24001321 2/7/2021 24200321 SELESAI
161 BRI 7401141803920001 DIRMAN L 29 18-30 MANGOLO 085340436336 31/5/2021 31/5/2021 24001321 LANJUT
162 MASYARAKAT 7401042110600001 TARPIN ADAM L 61 60-199 JL PATIMURA NO 11 082214168467 31/5/2021 31/5/2021 24001321 28-06-2021 24003721 SELESAI
163 BNI 747101500800001 EKA WIDYA P 20 18-30 2/6/2021 24003321 SELESAI
164 BNI 7408015704940001 FITRAH AULIA P 27 18-30 JL TRANS SULAWESI 081224770607 2/6/2021 2/6/2021 24003321 LANJUT
165 BNI 7408016010910001 DEVI HILDA P 30 18-30 LASUSUA 082320025091 2/6/2021 2/6/2021 24003321 LANJUT
167 BTN 7401076202870002 ASRIANI P 34 31-45 3/6/2021 24003321 SELESAI
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 24000521 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT

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

18-30 62 0 A 0
31-45 85 0 B 0
46-59 17 0 C 0
Total 164 0 D 0
Pekerjaan: E 0
A 0 160 Total 0
B 0 148
C 0
D 0
E 0
Total 0
29/5/2021
31/5/2021
1/6/2021
29/6/2021
PCARE BERMASALAH
VAKSIN 1 RS SANTA ANNA
VAKSIN 1 KENDARI


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 JAMAAH 7401010505500001 SUDIHARTO L 60 60-199 DUSUN IV PATIMURA KEL UNAMNDA 081230378505 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
2 BANK MANDIRI 7405211512930001 SOEFANDI ASBAR L 28 18-30 BTN GRIYA TAPALOSA BARUGA BLOK A6 085343635159 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
3 BANK MANDIRI 7471015601940001 INDAH HAFSARI P 27 18-30 JL OIKUMENE MANDONGA 085397999494 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
4 BANK MANDIRI 7405120808030002 DANDY RAHMAT L 19 18-30 DESA MONDOKE KONSEL 082213960969 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
5 GURU 7401141503710002 MUSTAKING L 50 46-59 ULUNGGOLAKA 082238311400 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
6 GURU 7401146302810001 FEBRIDAWATI P 37 31-45 JL ABAD NO 221 085394533702 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
7 JAMAAH 7401071903750002 ARIS DG SITUJU L 46 46-59 DUSUN I LALONGGALUHI 085241983429 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
8 BAYANGKARI 187105409800009 ERLINA IRDAH ARTIE P 41 31-45 JL PAHLAWAN NO 85 085240542474 8/5/2021 8/5/2021 24001321 17/6/2021 24003321 SELESAI
9 MASYARAKAT 7401141207700003 DAFID L 51 46-59 JL AHMAD YANI NO 18 082196010103 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
10 MASYARAKAT 7401141909690001 HASLAN LIOKO L 52 46-59 JL DURIAN SAKULI 082259983093 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
11 BANK MANDIRI 3174071707790002 EDY SANTOSO L 42 31-45 JL KIRAI RT 010 JAKSEL 081311438590 8/5/2021 8/5/2021 24001321 14/6/2021 24003321 LANJUT
12 BANK MANDIRI 7471080408850002 GUSTI ARUNG L 36 31-45 JL MEKAR SONAYA 085241823815 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
13 NAKES 7401076409850002 LUDIA LUINIMBO P 36 31-45 JL WR SUPRATMAN 082395528208 8/5/2021 8/5/2021 24001321 LANJUT
14 MASYARAKAT 7401046110780001 CHATERINA HALIM P 42 31-45 JL PRAMUKA NO 63 082287458568 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
15 BANK MANDIRI 7471104404970001 DINY TRI ANGGRAENI P 24 18-30 JL HEA MOKODOMPIT 082395050025 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
16 BANK BPD 7471072605910001 ABDI DZIL IKRAM L 29 18-30 JL GURO 08114004801 8/5/2021 8/5/2021 24001321 6/19/2021 24003721 SELESAI
17 BANK BPD 9271065407980001 FATIMAH LUKMAN P 22 18-30 JL JATI RAYA NO 48 D 081247551832 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
18 MASYARAKAT 7401141604710001 BINTARY L 50 46-59 JL PANCASILA 28 085241578288 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
19 MUAMALAT 7401040112930002 FAEDEL ARIFIN L 27 18-30 JL TAMALAKI 082334334896 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
20 MUAMALAT 7401042504960001 AHMAD FAISAL NASIR L 25 18-30 DUSUN II LAMBOLEMO 082194850313 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
21 BANK BPD 7401144401950002 HASNAWATI P 26 18-30 JL CAKALANG NO 7 085241578260 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
22 BANK BPD 7401017008940002 SINTIYA AULIA SEPTI P 26 18-30 LINGKUNGAN 1 082363366606 8/5/2021 8/5/2021 24001321 LANJUT
23 MASYARAKAT 7371094612890011 SILVANA RESKI MULIAWAN P 31 31-45 VILLA RACING CENTER BLOK I 081392782777 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
24 MASYARAKAT 7371123010890006 RAHMAT MU'TAZIM EKA PUTRA L 31 31-45 VILLA RACING CENTER BLOK I 085255635665 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
25 MASYARAKAT 7401141312980001 SURIADI L 22 18-30 JL DERMAGA KOLAKAASI 085326029176 8/5/2021 8/5/2021 24001321 5/6/2021 24003321 SELESAI
26 MASYARAKAT 7401144604960002 ADE PRATIWI P 25 18-30 JL UDANG NO 30 082280866299 8/5/2021 8/5/2021 24001321 LANJUT
27 MASYARAKAT 7401140205760001 HAMZAH L 45 31-45 JL DELIMA NO 23 082337111995 8/5/2021 8/5/2021 24001321 2/7/2021 24200321 SELESAI
28 MASYARAKAT 7401144702850001 ASMI P 36 31-45 JL DELIMA NO 23 08523888330 8/5/2021 8/5/2021 24001321 2/7/2021 24200321 SELESAI
29 0
30 0
31 0
32 0
33 0
34 0
35 0
36 0
37 0
38 0
39 0
40 0
41 0
42 0
43 0
44 0
45 0
46 0
47 0
48 0
49 0
50 0
51 0
52 0
53 0
54 0
55 0
56 0
57 0
58 0
59 0
60 0
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0
71 0
72 0
73 0
74 0
75 0
76 0
77 0
78 0
79 0
80 0
81 0
82 0
83 0
84 0
85 0
86 0
87 0
88 0
89 0
90 0
91 0
92 0
93 0
94 0
95 0
96 0
97 0
98 0
99 0
100 0
101 0
102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0

D = Lainnya
E = Tidak Bekerja

18-30 12 0 A 0
31-45 10 0 B 0
46-59 5 0 C 0
Total 27 0 D 0
Pekerjaan: E 0
A 0 28 Total 0
B 0 25
C 0
D 0
E 0
Total 0
5/6/2021


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 MASYARAKAT 7401043009960002 MUH FAIZAL SYAM L 24 18-30 JL AHMAD MUSTIN NO 7 082345216059 3/6/2021 3/6/2021 24003321 2/7/2021 24200321 SELESAI
2 PT.WINGS 7402195607950002 ITMA YANI P 26 18-30 LINGK III PUUTOBU 85242869493 3/6/2021 3/6/2021 24003321 2/7/2021 24200321 SELESAI
3 PT.WINGS 7401010103890006 HASRUL TAMING L 32 31-45 DUSUN III WATUMBASI 85399555020 3/6/2021 3/6/2021 24003321 2/7/2021 24200321 SELESAI
4 PT.WINGS 7401105004970001 JUSNIATI P 24 18-30 JL DG MANGATTA 082190309934 3/6/2021 3/6/2021 24003321 2/7/2021 24200321 SELESAI
5 BPD 7401045412750001 LENI MARLINA L P 42 31-45 KOMP BTN TAHOA 085396990700 4/6/2021 4/6/2021 24003321 2/7/2021 24200321 SELESAI
6 BPD 7401144506830005 ANDI RIZKA KUSUMA P 38 31-45 JL ABADI NO 22 Kolakaasi 0811409933 4/6/2021 4/6/2021 24003321 2/7/2021 24200321 SELESAI
7 BPD 7401044707860001 YULINDA P 35 31-45 JL SULTAN HASANUDDIN 085241689116 4/6/2021 4/6/2021 24003321 2/7/2021 24200321 SELESAI
8 BPD 7405032805950002 ARWANSYAH FAJAR L 26 18-30 DESA POTORO KEC ANDOLO 082297268155 4/6/2021 4/6/2021 24003321 2/7/2021 24200321 SELESAI
9 BPD 7401042301710001 JERMIAS SAULAUDA L 50 46-59 LRG PERINDANG KEL LALOEHA 085343054700 4/6/2021 4/6/2021 24003321 2/7/2021 24200321 SELESAI
10 BPD 7401040207700002 BAINI L 51 46-59 JL TMD 081355170603 4/6/2021 4/6/2021 24003321 2/7/2021 24200321 SELESAI
11 BPD 7471082312920003 ANDREW L 28 18-30 JL MEKAR NO 33 latambaga 085341508363 4/6/2021 4/6/2021 24003321 14-07-2021 24200321 SELESAI
12 BPD 7401140301770002 MUHAMMAD HADINDA L 43 31-45 JL PPN SAKULI LATAMBAGA 082292205000 4/6/2021 4/6/2021 24003321 2/7/2021 24200321 SELESAI
13 BPD 7401040701880004 HARI SUDIN SUNARTA L 33 31-45 JL HALUOLEO 085242659572 4/6/2021 4/6/2021 24003321 2/7/2021 24200321 SELESAI
14 BPD 7471012412860001 IRHAM LAMARUNDU L 34 31-45 JL BUNGA KAMBOJA NO 44 085338666653 4/6/2021 4/6/2021 24003321 2/7/2021 24200321 SELESAI
15 BPD 7471086504690002 JUMINA SAMAI P 52 46-59 KOMPLEKS ANTAM 081341934343 4/6/2021 4/6/2021 24003321 2/7/2021 24200321 SELESAI
16 7401201107860001 ANDI MUH TAUFIK L 35 31-45 DUSUN TAMBOLI 081241140807 4/6/2021 4/6/2021 24003321 2/7/2021 24200321 SELESAI
17 MASYARAKAT 7401142312930002 FERRYANSYAH L 28 18-30 JL PANCASILA latambaga 081210826138 5/6/2021 5/6/2021 24003321 LANJUT
18 MASYARAKAT 7401145510880003 SUHARNI P 33 31-45 JL ABADI kolakaasi 085341614654 5/6/2021 5/6/2021 24003321 27/7/2021 24201121 SELESAI
19 BPD 7401046102740001 SITTI NUR KARNI P 47 46-59 JL ALAM MEKONGGA 0811409656 2/7/2021 2/7/2021 24200321 LANJUT
20 BPD 7401106006890001 PERIANTI P 32 31-45 JL SUNU kolakaasi 085241928860 2/7/2021 2/7/2021 24200321 LANJUT
21 BPD 0 LANJUT
22 0 LANJUT
23 0 LANJUT
24 0 LANJUT
25 0 LANJUT
26 0 LANJUT
27 0 LANJUT
28 0 LANJUT
29 0
30 0
31 0
32 0
33 0
34 0
35 0
36 0
37 0
38 0
39 0
40 0
41 0
42 0
43 0
44 0
45 0
46 0
47 0
48 0
49 0
50 0
51 0
52 0
53 0
54 0
55 0
56 0
57 0
58 0
59 0
60 0
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0
71 0
72 0
73 0
74 0
75 0
76 0
77 0
78 0
79 0
80 0
81 0
82 0
83 0
84 0
85 0
86 0
87 0
88 0
89 0
90 0
91 0
92 0
93 0
94 0
95 0
96 0
97 0
98 0
99 0
100 0
101 0
102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0

D = Lainnya
E = Tidak Bekerja

18-30 6 0 A 0
31-45 10 0 B 0
46-59 4 0 C 0
Total 20 0 D 0
Pekerjaan: E 0
A 0 20 Total 0
B 0 17
C 0
D 0
E 0
Total 0
1/7/2021
2/7/2021
2/8/2021


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 MASYARAKAT 74011203039990000 GABRIEL RANTEALLO L 22 18-30 LING. IV UNAASI 085252952896 16-06-2021 16-06-2021 24003321 LANJUT
2 MASYARAKAT 740112020650001 SILFESTER RANTTEALLO L 56 46-59 LING. IV UNAASI 085241549816 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
3 BANK PANIN 7471104508800001 NORMA YUITA KUMBA P 31 31-45 JL. PANORAMANO. 1 0811400224 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
4 BANK PANIN 7401070812870001 MUH. FIRMANSYAH AMIN L 34 31-45 JL. MERDEKA NO. 6 0811404045 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
5 BANK PANIN 7401143003960001 EDI SUPRIANTO L 25 18-30 JL. JEND. SUDIRMAN 082276965949 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
6 BANK PANIN 7401046002900001 FEBRY WULANDARI P 31 31-45 BTN TAHOA BLOK IV 081341538112 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
7 BANK PANIN 7401011810940001 MUH. FADLAN L 27 18-30 WUNDULAKO 082292827709 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
8 7403151406910001 LA ODE NAZARUDDIN L 30 18-30 JL. JAMBU PERUMAHAN PURI MAHARANI 08114091144 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
9 7401045802570003 LEONARDA L. M P 64 60-199 JL. PATTIMURA NO. IV 085212309784 16-06-2021 16-06-2021 24003321 LANJUT
10 7171081604760003 BACTIAR ASYHRI L 45 31-45 BTN GRIYA SATELIT 085240925840 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
11 3175026004740004 HELEN SURYACITA P 47 46-59 JL. KELAPA LILIN V NG 11 NO. 4 081286923358 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
12 7401014606910003 ANDI ASMA P 31 31-45 DESA 19 NOVEMBER 081341264281 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
13 7401010611840001 SULEMAN L 36 31-45 DUSUN IV UNAASI 085241885110 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
14 7401044501790004 IRWANI P 42 31-45 JL. PRAMUKA NO. 9 085299954048 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
15 MASYARAKAT 7401040411940002 WAHYUDI PRATAMA MUSTAPA L 27 18-30 KOMP BTN TAHOA NO. 5 085298573311 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
16 7306082304910005 AHMAD SYAWAL ARIFIN L 30 18-30 JL. CHAIRIL ANWAR NO. 34 D 085395076602 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
17 7401040809880002 SUJIAD MIKO ANTRI L 32 31-45 SABILAMBO 082346955352 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
18 7471036107890002 TRIFENA LUMNETA P 31 31-45 JL. HAEBA 003/001 WUA-WUA 085341519411 16-06-2021 16-06-2021 24003321 LANJUT
19 7401074303880004 MARSYA MASAK IDI P 33 31-45 JL. RAMBUTAN NO. 2 085255624692 16-06-2021 16-06-2021 24003321 16-07-2021 24201321 SELESAI
20 3307083105910002 ANANG ARDIYANTO L 30 18-30 BTN GRIYA SATELIT 081288375491 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
21 7371076804840008 VERA CHANDRA P 37 31-45 JL. ABADI 0813414915420 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
22 7401142112730001 LUTFI RAHMAN L 48 46-59 JL. CAKALANGG NO. 2 085298418013 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
23 7401010309950002 SEMING RAHMANUDDIN L 26 18-30 DUSUN II MATTIRO BULU 082292615619 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
24 7402032706830001 ASRUL L 37 31-45 INOLOBU 085241591949 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
25 7371115212930018 ROSDIANA P 28 18-30 BTP BLOK L NO.29 082189082970 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
26 7401105705980003 NURFADILLAH P 37 31-45 DUSUN I PUNGGALUKU 082290737727 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
27 7401041008830003 SULPIADI L 37 31-45 JL. PANORAMA NO. 65 082296980499 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
28 7401046207560002 SARAH SURA P 28 18-30 JL. SLAMET RIYADI NO. 11 081341520180 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
29 740104610770001 AWAN ABIA LEMPNGAN P 44 31-45 JL. PAHLAWAN NO. 52 085255247777 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
30 7401044609930002 SYAMSINAR P 28 18-30 JL. PEMUDA 085340403059 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
31 7401045101950005 HESTIANA P 26 18-30 JL. PEMUDA NO. 11 085383337775 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
32 7401215010930001 EKA LESTARI P 28 18-30 PONDUI BLOK C N0. 87 082187177622 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
33 7401045811940001 AMANAH P 27 18-30 JL. PEMUDA LORONG AMANAH 082187293719 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
34 7402036410860002 MINA P 35 31-45 WAAOTOBI 081244941240 16-06-2021 16-06-2021 24003321 LANJUT
35 7401146909940001 MIRNAWATI P 28 18-30 JL. AIR PANAS 085396644825 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
36 7401040212910001 HASRUL L 30 18-30 JL. AHMAD YANI 08114006711 16-06-2021 16-06-2021 24003321 26/7/2021 24201121 SELESAI
37 7401041103970002 MUH. ISAL L 24 18-30 JL. PEMUDA NO. 132 082239020527 16-06-2021 16-06-2021 24003321 LANJUT
38 7401121010980002 MUHAMMAD ALI L 23 18-30 DUSUSN IV IWOIMOARE 08290613785 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
39 7371133110890003 YOKTAVIANUS L 32 31-45 JL. BANTA-BANTAENGXI G/III/20 082188637199 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
40 740109040960001 MUHAMMAD APRIL AZIS L 25 18-30 LINGK. II LADONGI KEL. LADONGI 082188038348 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
41 7471095203930002 FITRAH RAMADANI P 28 18-30 JL. LIAMB0 NO. 8 082322144424 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
42 7401204306970001 MIRNA P 24 18-30 JL. ABADI 085341686524 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
43 7401126401950001 FELLYAGI SUHARYANTO PUTRI P 32 31-45 DUSUN IV LONGORI BAULA 082291969695 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
44 7401046912830002 DEVI JUMIARTI P 37 31-45 JL. PEMUDA 082311909101 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
45 7401141808890001 BAKHTIAR L 32 31-45 JL. LUMBA-LUMBA KOLAKAASI 082293929241 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
46 7401044910000002 GAYATRI P 21 18-30 JL. PEMUDA KM 3 BALANDETE 085823222532 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
47 7401076901950001 ASTIN P 26 18-30 JL. CAKALANG DAWI-DAWI 082299172799 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
48 7602035506000005 ILMA MAGFIRA P 22 18-30 JL . MERDEKA NO. 4 082259576183 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
49 7401046009000005 YUNI SARTIKA P 22 18-30 JL. AHMAD YANI 085224709075 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
50 7401046512910002 NATALIA P 30 18-30 JL. AHMAD MEKONGGA NO. 5 082215864640 16-06-2021 16-06-2021 24003321 LANJUT
51 7401262312940003 KURNIAWAN L 27 18-30 LOEA 085256465643 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
52 7401142505980005 MUH. IMAM AFANDI L 23 18-30 TAMALAKI 082293509541 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
53 7401260202030001 MH. FADLY ADHA L 18 18-30 LING. I LOEA 085217411238 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
54 7401012711680001 UJANG KOMARUDIN L 57 46-59 WUNDULAKO 085342273647 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
55 7401076810880002 RIS OKTAVIA MANGGUALI P 33 31-45 DUSUSN 4 MANGGUALI 082292752165 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
56 7401144707990001 PUJI YULIANINGSIH P 21 18-30 JL HATI SENANG 085240528939 16-06-2021 16-06-2021 24003321 LANJUT
57 740104160889001 ASWAR AKSAR L 32 31-45 JL OPO NO 20 085255111156 16-06-2021 16-06-2021 24003321 14-07-2021 24200321 SELESAI
58 7471035606950001 VINA ALFIONA P 23 18-30 JL CRISTINA MARTHA 082290625135 14-07-2021 24200321 SELESAI
59 7402155304980001 SARWATI P 23 18-30 DESA ASAO 082296247265 14-07-2021 24200321 SELESAI
1 7401045801830001 HADIJAH,S.Sos P 38 31-45 JL BENDUNGAN 08233309660 14-07-2021 14-07-2021 24201321 LANJUT
7401147007790002 DIAN HERAWATY SULTAN P 42 31-45 BUKIT BALANDETE PERMAI 082399627363 14-07-2021 14-07-2021 24201321 LANJUT
7401124201000001 WAYAN RESINI P 21 18-30 DUSUN II PANCA UTAMA 082247036311 14-07-2021 14-07-2021 24201321 LANJUT
740104251290003 RICKI GUNAWAN L 25 18-30 JL USMAN RENCONG NO 18 082293271902 14-07-2021 14-07-2021 24201321 25-08-2021 24005121 SELESAI
7401045010850008 ANNE OCTIAN NITA P 36 31-45 JL KONGGOASA 085386828062 14-07-2021 14-07-2021 24201321 LANJUT
7401082612000001 AWALUDDIN L 21 18-30 KEL WATUBANGGA 082292419237 14-07-2021 14-07-2021 24201321 LANJUT
7401141401940003 ABD HARIS LAHIARO L 27 18-30 BALANDETE 082291693543 14-07-2021 14-07-2021 24201321 LANJUT
7401040812800003 ZAKARIA L 41 31-45 JL KAKATUA 081242777417 14-07-2021 14-07-2021 24201321 LANJUT
7401100101710001 NASRUDDIN L 50 46-59 DUSUN III BABARINA 085397087041 14-07-2021 14-07-2021 24201321 LANJUT
7408014211810001 HERNIATI P 40 31-45 LAMOKATO 0812422122263 14-07-2021 14-07-2021 24201321 LANJUT
7312061405890002 KAMARUDDIN L 32 31-45 HKSN MINA PERMAI 085336737477 14-07-2021 14-07-2021 24201321 LANJUT
7371116210750001 LIMAN ARISANDI P 46 46-59 KOMP BTN CITRA SUDIANG INDAH 081241064106 14-07-2021 14-07-2021 24201321 LANJUT
3578204808720002 TRI MIGATI P 49 46-59 WIYUNG 082323352863 14-07-2021 14-07-2021 24201321 LANJUT
731500609920001 USMAN L 30 18-30 JL PERMATA BIRU 085299880851 14-07-2021 14-07-2021 24201321 LANJUT
7401144808900002 NURAENI P 31 31-45 JL ABADI 081357946209 15-07-2021 15-07-2021 24201321 LANJUT
74010441110100001 NOVITA REGINA URSULA P 21 18-30 JL PAHLAWAN 082214781895 15-07-2021 15-07-2021 24201321 LANJUT
7401141508890002 ARISNAL TAMRIN L 32 31-45 JL ABADI 085222272244 15-07-2021 15-07-2021 24201321 LANJUT
7401141103870001 ACHIRUL AWAL L 34 31-45 JL LURE 085241922274 15-07-2021 15-07-2021 24201321 LANJUT
60 0

D = Lainnya
E = Tidak Bekerja

18-30 38 0 A 0
31-45 31 0 B 0
46-59 7 0 C 0
Total 76 0 D 0
Pekerjaan: E 0
A 0 75 Total 0
B 0 53
C 0
D 0
E 0
Total 0
14-07-2021
VAKSIN KEDUA DI KENDARI
SAKIT
HT
SAKIT
12/8/2021
13/8/2021


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401044402880001 HARTATI P 33 31-45 ASPOLRES KOLAKA 0851455048181 17-06-2021 17-06-2021 24003321 16-07-2021 24201321 SELESAI
2 7401145206800002 HARSIA P 41 31-45 JL CUMI CUMI kolakaasi 082393156900 17-06-2021 17-06-2021 24003321 15-07-2021 24201321 SELESAI
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47 7401294101830004 MISRAWATI P 38 31-45 DUSUN II LAKIOLO SAMATURU 085256998083 18-06-2021 18-06-2021 24003721 16-07-2021 24201321 SELESAI
48 7401043110840002 UMAR SIDDIQ L 37 31-45 JL. HALUOLEO NO. 38 082190418414 18-06-2021 18-06-2021 24003721 16-07-2021 24201321 SELESAI
49 7404246310890001 SRI WAHYU NINGSIH P 32 31-45 LALOWOSULA POLSEK LADONGI 085342474333 18-06-2021 18-06-2021 24003721 17/7/2021 24200721 SELESAI
50 7401205003930002 ANDI DZULVA DARWIS P 28 18-30 DUSUN AHRAPAN JAYA 082333047324 18-06-2021 18-06-2021 24003721 17/7/2021 24200721 LANJUT
51 7401045008830003 MARYANI ALKAP P 38 31-45 JL. CAKALANG NO. 39 sea 085341111999 18-06-2021 18-06-2021 24003721 LANJUT
52 7401042506030003 DEWA NUGRAHA IRPANSHA L 17 0 POMALAA 085231882148 18-06-2021 18-06-2021 24003721 16-07-2021 24201321 SELESAI
53 7401045404960001 NURWAHIDAH P 25 18-30 DUSUN III INEA 082292024196 18-06-2021 18-06-2021 24003721 16-07-2021 24201321 SELESAI
54 74011450009850001 RISTA ANADIA SARI P 36 31-45 JL. PEMUDA 08188545985 18-06-2021 18-06-2021 24003721 16-07-2021 24201321 SELESAI
55 7401027008750001 SUHARIANI P 46 46-59 RATE-RATE 082271101510 18-06-2021 18-06-2021 24003721 LANJUT
56 7401046009860001 MUTMAINNAH P 34 31-45 JL. DR. SUTOMO 085299996686 18-06-2021 18-06-2021 24003721 16-07-2021 24201321 SELESAI
57 7401016004920001 TITIEK ROSANA P 27 18-30 JL. WIRABUANA WUNDULAKO 081242140012 18-06-2021 18-06-2021 24003721 16-07-2021 24201321 SELESAI
58 LANSIA 7401046101610001 HUSNAWATI P 60 60-199 JL .PATTIMURA 081342315818 18-06-2021 18-06-2021 24003721 LANJUT
59 3524066405870001 NUR ILA P 34 31-45 JL. TMD 082319172897 18-06-2021 18-06-2021 24003721 16-07-2021 24201321 SELESAI
60 7401265007950003 WAYAN RISA KUMALA DEWI P 26 18-30 JL. PENDIDIKAN 085323088269 18-06-2021 18-06-2021 24003721 16-07-2021 24201321 SELESAI
61 7401145505660001 ROSDIANA P 55 46-59 JL. ABADI NO. 242 kolkaasi 085398767463 18-06-2021 18-06-2021 24003721 LANJUT
62 7401042501770002 ALFIF MA'RUF L 44 31-45 JL. TMD 081527244418 18-06-2021 18-06-2021 24003721 16-07-2021 24201321 SELESAI
63 7401034311870003 LILI SYSANDRA P 34 31-45 DUSUN I WATUPUTE 082293697161 18-06-2021 18-06-2021 24003721 LANJUT
64 7401105109950001 CAYANTI P 26 18-30 LING. II PUTOBO 082292030030 18-06-2021 18-06-2021 24003721 16-07-2021 24201321 SELESAI
65 7401144402980001 SRI HIDAYANTI P 23 18-30 JL. GAJAH NO. 9 082379364777 18-06-2021 18-06-2021 24003721 16-07-2021 24201321 SELESAI
66 7401145701690001 MULANA NUR P 52 46-59 JL DURIAN sakuli 081341635150 18-06-2021 18-06-2021 24003721 16-07-2021 24201321 SELESAI
67 7401146306840001 SULPIANA P 37 31-45 JL DERMAGA NO 84 kolakaasi 082294571373 18-06-2021 18-06-2021 24003721 17/7/2021 24200721 SELESAI
68 7401046507880004 IRMA B P 33 31-45 BTN GRIYA SATELIT 085231495492 18-06-2021 18-06-2021 24003721 17/7/2021 24200721 SELESAI
69 7401096508890003 DWI ASTUTI P 32 31-45 DUSUN I WOIHA 085342790051 18-06-2021 18-06-2021 24003721 LANJUT
70 7471014405840002 ITA NINGSI P 37 31-45 JLN PEMUDA KEL LALOMBA 082259543038 18-06-2021 18-06-2021 24003721 16-07-2021 24201321 SELESAI
71 7308234107890149 IRMAWATI P 32 31-45 JL EKONOMI NO 3 085299858898 18-06-2022 18-06-2022 24003721 16-07-2021 24201321 SELESAI
72 7401076701910001 IRAWATI P 30 18-30 DAWI-DAWI 085243040808 18-06-2023 18-06-2023 24003721 28/7/2021 24201121 SELESAI
73 7401205010940006 IRMA OKTAVIANINGSIH P 27 18-30 DESA MALAHA KEC. SAMATURU 082189213343 18-06-2024 18-06-2024 24003721 LANJUT
74 7401041501720001 IWAN L 49 46-59 WATULIANDU 082292575409 18-06-2025 18-06-2025 24003721 16-07-2021 24201321 SELESAI
75 LANSIA 7401046909590001 HJ. HASNAH P 62 60-199 JL. SAM RAULANGI 082188670847 18-06-2025 18-06-2025 24003721 LANJUT
76 7401040106980004 BILQIZR FIRGIAWAN P 23 18-30 JL. SULTAN HASANUDDIN 082293177246 18-06-2025 18-06-2025 24003721 16-07-2021 24201321 SELESAI
77 7401041508020001 FARHAN AHAMD L 19 18-30 JL LAMBADA 085251395043 18-06-2021 18-06-2021 24003721 16-07-2021 24201321 SELESAI
7401145307870001 ROSNIATI P 34 31-45 SAKULI 082282285323 16-07-2021 24201321 SELESAI
7401141205840001 FIDYAL L 37 31-45 kolakaasi 0811400673 16-07-2021 24200721 SELESAI
3674022304710000 AKMAL AR L 50 46-59 kolakaasi 081319911968 16-07-2021 24200721 SELESAI
1 POLWAN 741025706950003 RIKA LESTARI P 26 18-30 JL SUNU kolakaasi 085239867503 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
2 KELUARGA POLRI 7401045401690001 YETTI NINGSIH P 52 46-59 JL SLAMET RIADI 081341639014 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
3 BAYANGKARI 7401145403800001 SUHARTATY P 41 31-45 KOLAKAASI 081341729995 19-06-2021 19-06-2021 24003721 LANJUT
4 KELUARGA POLRI 7401041503940001 BUCEK JALU PRASETYO A L 27 18-30 JL SLAMET RIADI 085256213377 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
5 POLISI 7405096002960001 PUPUT SARI DEWI P 25 18-30 JL GAJAH 082351593934 19-06-2021 19-06-2021 24003721 LANJUT
6 PENSIUNAN POLISI 7401040104420001 DANIEL BANNE L 79 60-199 JL SLAMET RIADI 085240417766 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
7 MASYARAKAT 1209310211971001 ADE YUSTI P L 24 18-30 KAB MERANGIN 082273516376 19-06-2021 19-06-2021 24003721 LANJUT
8 KELUARGA POLRI 7401046001000003 ANDI NUR MELY P 21 18-30 JL PEMUDA LRG PERINTIS 082291817885 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
9 BAYANGKARI 7401045912640001 JURAEDAH, SH P 57 46-59 JL LAMBADA 081342214701 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
10 BAYANGKARI 740114460280001 HASMIAH RAHIM P 41 31-45 JL JENDRAL SUDIRMAN 082349514147 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
11 MASYARAKAT 3310231203890002 ANDI KURNIYANTO L 32 31-45 KAB KLATEN 081225354107 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
12 BAYANGKARI 7401045709770001 RAHMAWATI NUR P 44 31-45 JL PEMUDA LRG PERINTIS 082292619811 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
13 MASYARAKAT 3310064106970003 LILIS DWI SURYANI P 24 18-30 KAB KLATEN 081226591756 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
14 KELUARGA POLRI 7401040406820002 SUHAERI WALUYP L 39 31-45 JL PEMUDALRG ZIG ZAG 0821388425756 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 LANJUT
15 MASYARAKAT 7401042410620001 ARDJUNA LAKASA L 59 46-59 JL SLAMET RIADI 08124262982 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 LANJUT
16 BAYANGKARI 7401044512760001 SAMSIAR P 45 31-45 KPR BTN BLOK 17 081354637856 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
17 BAYANGKARI 7401044107840050 MARNIATI P 37 31-45 JL BY PASS 081343784883 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
18 KELUARGA POLRI 7401045907840001 SITI HOTIJAH P 27 18-30 JL PEMUDA LRG ZIGZAG 081342209980 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 LANJUT
19 KELUARGA POLRI 740104310760002 IS HARTONO L 61 60-199 JL. PEMUDA LRG ZIG-ZAG 085231449555 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 LANJUT
20 BAYANGKARI 8207026307870001 RUVANDI SUIVINDI MOKAR P 34 31-45 GOTALAMO, MOROTAI SELATAN 081243934957 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
21 7471096507690001 SUKMAWATI P 52 46-59 JL. PEMUDA NO.310 01341923300 19-06-2021 19-06-2021 24003721 24-07-2021 24201121 SELESAI
22 KELUARGA POLRI 7401146010960002 RISNA P 25 18-30 JL. ABADI NO. 97 kolakaasi 082197019601 19-06-2021 19-06-2021 24003721 28/7/2021 24201121 SELESAI
23 KELUARGA POLRI 7401184507910001 FATMA P 30 18-30 BTN TAHOA BLOK 4 08124216151 19-06-2021 19-06-2021 24003721 28/7/2021 24201121 SELESAI
24 PENSIUNAN POLISI 7471090108540001 MUHAMMAD HATTA PANNE L 67 60-199 JL. PEMUDA NO. 310 085242339226 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
25 KELUARGA POLRI 7401045002980002 TIARA TRI WULANDARI P 23 18-30 JL. PEMUDA LRG ZIG-ZAG 085156573677 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
26 BAYANGKARI 7401046008890002 INDAH ADI NINGSIH P 32 31-45 JL. PALA NO. 12 081355795765 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
27 POLRI 7401071707770005 KARMANG L 44 31-45 JL. EKONOMI ASPOL 082228912674 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
28 KELUARGA POLRI 730404690993001 RUDI L 28 18-30 CAMPANGA LOE 082395989083 19-06-2021 19-06-2021 24003721 LANJUT
29 BAYANGKARI 7405076105870002 IRDAWATI P 34 31-45 JL. PELANDUK NO. 84 085255479192 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
30 BAYANGKARI 7401075503910001 NOVITA PERMATASARI P 30 18-30 JL. BADEWI 082326333315 19-06-2021 19-06-2021 24003721 LANJUT
31 KELUARGA POLRI 7401040108960005 IKWAN MAULANA HATTA L 25 18-30 JL. PEMUDA NO. 310 082230668480 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
32 BAYANGKARI 740104490974001 TRIYANA P 47 46-59 ASPOL POLRES 082191773635 19-06-2021 19-06-2021 24003721 LANJUT
33 KELUARGA POLRI 7401096810580001 HJ. HARIMAH P 63 60-199 JL. PEMUDA 081341559412 19-06-2021 19-06-2021 24003721 24-07-2021 24201121 SELESAI
34 BAYANGKARI 74401135705920002 ULTRIANI P 29 18-30 JL. MERPATI 081242231442 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
35 BAYANGKARI 7401134705970001 AYU WANDIRA P 24 18-30 SABILAMBO 081267528095 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
36 KELUARGA POLRI 7401142205740001 MUHAMMAD NUR L 74 60-199 JL. BOLU sea 082344559266 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
37 BAYANGKARI 7401044710910002 ANDI ANNI SORAYA P 30 18-30 JL. PENDIDIKAN 082311505349 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
38 KELUARGA PURN 7401041708010006 MIRSHAD MADANI L 20 18-30 JL. PEMUDA 085334862740 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 LANJUT
39 BAYANGKARI 7401045201890002 SUSI SUSANTI L 34 31-45 BAY PASS 085299805544 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
40 KELUARGA POLRI 7401144201000001 RAHMAWATI P 21 18-30 JL. DURIAN sakuli 082259679766 19-06-2021 19-06-2021 24003721 28/7/2021 24201121 SELESAI
41 7401146410810001 KURNIA P 40 31-45 JL. TMD 082395673333 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
42 BAYANGKARI 7308124105950001 ANDI LISMA LESTARI P 24 18-30 ASPOL POLRES 082347252158 19-06-2021 19-06-2021 24003721 LANJUT
43 PURNAWIRAWAN 7401041602560001 MUH. IDRIS T L 65 60-199 JL. BELIBIS 081341765977 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
44 KELUARGA POLRI 7401015304900001 REZKY KRISTIANI P P 23 18-30 DESA UNAMENDAA 085234983816 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
45 KELUARGA POLRI 7401087112720003 WAYAN TAGA L 49 46-59 DESA UNAMENDAA 085241063325 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
46 KELUARGA POLRI 7401081404650001 I GEDE ASTIKA P 56 46-59 WUNDULAKO 085397546081 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
47 KELUARGA POLRI 7401095509010001 RUHAMAYANTI SALMAN P 20 18-30 JL. GAJAH 082348514845 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
48 KELUARGA POLRI 7401016502000002 FISRIANA SIRANTE P 21 18-30 DESA 19 NOVEMBER 082292815705 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
49 KELUARGA POLRI 7401014411870005 IRMAYANTI P 34 31-45 JL. TEMBANG sea 082292335334 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
50 KELUARGA POLRI 7401080502790001 MADE SUTAMA L 42 31-45 PERUMAHAN BUKIT MEKONGGA 082237253338 19-06-2021 19-06-2021 24003721 LANJUT
51 KELUARGA POLRI 7401044706660001 ANI EKAWATI P 55 46-59 JL. ZIG-ZAG 085241644028 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
52 KELUARGA POLRI 7401140103760001 DEDI HAMID L 45 31-45 JL. SUNU kolakaasi 082190182939 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
53 MASYARAKAT 7401043112660028 NAKEAN L 55 46-59 LING. XI PAPAWU 081342615179 19-06-2021 19-06-2021 24003721 LANJUT
54 MASYARAKAT 7105075406990001 FERARY KEWO P 22 18-30 LALOMBA 085823759882 19-06-2021 19-06-2021 24003721 LANJUT
55 BAYANGKARI 7401046312930001 DESHARDIANTI INTAN PRATIWI P 28 18-30 JL. PENDIDIKAN 085242333043 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
56 KELUARGA POLRI 7401146407740001 SUSILAH P 47 46-59 JL. BAKTI 082334291914 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
57 7401144410880001 MASNIATI P 33 31-45 JL. DURIAN sakuli 082157999927 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
58 BAYANGKARI 7401044808850001 ELYSA HANDAYANI P 36 31-45 JL. PATTIMURA 0811400506 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
59 KELUARGA POLRI 7401044306940001 ST. AHRDIANTI NURDIN P 27 18-30 KOLOHIPO 085146076002 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
60 KELUARGA POLRI 7401046304990002 DEFI APRILIA P 22 18-30 KOLOHIPO 082325170607 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
61 BAYANGKARI 7401075710920001 FATMAWATIMISKANDAR P 29 18-30 POMALAA 08227111099 19-06-2021 19-06-2021 24003721 LANJUT
62 POLRI 74042104610001 REVI RAMBEBUOCH L 60 60-199 JL. PAHLAWAN 0812413530 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
63 KELUARGA POLRI 7401041705630002 AL FAN KRISTIAN L 58 46-59 JL. MAYJEN KATAMSO 085346143571 19-06-2021 19-06-2021 24003721 LANJUT
64 KELUARGA POLRI 7401040711880003 MUH. TAUFIQ T L 33 31-45 JL. PAHLAWAN 0811408072 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
65 KELUARGA POLRI 7401041711990002 PIERRE ROLAND CELINE L 22 18-30 JL. MAYJEN KATAMSO 081240369733 19-06-2021 19-06-2021 24003721 LANJUT
66 KELUARGA POLRI 7401045007670001 YUMILIA P 54 46-59 JL. MAYJEN KATAMSO 085340570077 19-06-2021 19-06-2021 24003721 LANJUT
67 MASYARAKAT 7401046608880001 KASNIDAR P 33 31-45 JL. PEMUDA 085298773552 19-06-2021 19-06-2021 24003721 LANJUT
68 KELUARGA POLRI 7401046101670001 NUR IDA P 54 46-59 JL. POROS KOLAKA 081244584133 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
69 KELUARGA POLRI 7401011610980001 AHMAD AKBAR ASTIN L 23 18-30 DUSUN II PUULORO 085329182390 19-06-2021 19-06-2021 24003721 LANJUT
70 BAYANGKARI 740104600990003 RAGIL ANJARSARI P 31 31-45 JL KARYA INDAH 081241444483 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
71 BAYANGKARI 7401084306870002 SISKA MARDIANA P 34 31-45 JL PEMUDA 085399642087 19-06-2021 19-06-2021 24003721 LANJUT
72 KELUARGA POLRI 7401076004940002 RATIH KUMALA DEWI P 27 18-30 BTN BUKIT ALAM MEKONGGA 081245847251 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
73 KELUARGA POLRI 7403185910980001 JOULAND TAMBUWUN P 23 18-30 DUSUN I LANGORI 082296414942 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
74 BAYANGKARI 7401146001950001 ARDIANTI NAWIR P 25 18-30 JL LETNAN HASAN 082292521869 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
75 KELUARGA POLRI 7405080707600001 ROBBY LUMENTA L 61 60-199 DESA AMOITO 085241667100 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
76 KELUARGA POLRI 7405085812620001 DAMARIS TEFBAHA L 59 46-59 DESA AMOITO 085823869216 19-06-2021 19-06-2021 24003721 17/7/2021 24200721 SELESAI
77 KELUARGA POLRI 7401141204940001 HERLIN L 27 18-30 DUSUN IV KOWUNA 082188670155 19-06-2022 19-06-2022 24003721
78 7401222809940002 ANDI ZAINUDDIN L 27 18-30 LAMOKATO 082292155554 19-06-2023 19-06-2023 24003721 17/7/2021 24200721 SELESAI
79 KELUARGA POLRI 7401195112970001 FIRDAYANI DWI P 0 JL. HALULOEO 082292242798 19-06-2024 19-06-2024 24003721 17/7/2021 24200721 LANJUT
ANDI MUHAMMAD KHAIDIR L 27 JL. IRIAN NO. 33 081355420404 17/7/2021 24200721 SELESAI
EVA P 19 COMPIENGNGE 085657045729 17/7/2021 24200721 SELESAI
1 3205151204890001 RIKI RIDWAN JUNAEDI L 32 31-45 KP GUNUNG GELAP 085298717611 16-07-2021 16-07-2021 24200721
2 7401101606010001 ISWAN L 20 18-30 LING 4 LAPALISU 082347229091 16-07-2021 16-07-2021 24200721
3 7401101406020001 AHMAD AL ASHAR L 19 18-30 LING 4 WOLO PANTAI 082271011562 16-07-2021 16-07-2021 24200721
4 7401041608020004 REZAQ HAIDER ALI L 19 18-30 JL USMAN RENCONG 082244239589 16-07-2021 16-07-2021 24200721
5 7471034907640001 MARYAM ABDULLAH P 57 46-59 JL MAYJEN 082349382715 16-07-2021 16-07-2021 24200721
6 7401044905970001 SULASTRI P 24 18-30 JL. SULTAN HASANUDDIN 085348311832 16-07-2021 16-07-2021 24200721
7 7315027112660038 NADIMA P 55 46-59 BTN TAHOA 082291066808 16-07-2021 16-07-2021 24200721
8 7401227006010001 PUTU IDA PADMAWATI P 20 18-30 KOLTIM 082296252710 16-07-2021 16-07-2021 24200721
9 0
10 0

D = Lainnya
E = Tidak Bekerja

18-30 87 0 A 0
31-45 109 0 B 0
46-59 38 0 C 0
Total 234 0 D 0
Pekerjaan: E 0
A 0 251 Total 0
B 0 201
C 0
D 0
E 0
Total 0
15-07-2021
VAKSIN 2 KOLTIM
VAKSIN 2 KENDARI
16-07-2021
INPUT 14/8/2021 PCARE 2
VAKSIN 1 PKM LATAMBAGA
VAKSIN 1 PKM LATAMBAGA
17-07-2021
VAKSIN 2 KODIM
VAKSIN 2 KODIM
VAKSIN 2 KODIM


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7406102505870001 AMRAN L 34 31-45 DESA LALONGGOMBU 08529813134 6/21/2021 6/21/2021 24003721 LANJUT
2 7401015909910001 NANI ASYI SAMPINE P 29 18-30 NGAPA KEL. WUNDULAKO 082192593442 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
3 7401042306610001 Y. TANKE KALO L 60 60-199 JL. PERUMNAS 085397794542 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
4 7401046008010003 AGNES INDAN P 20 18-30 JL. PERUMNAS 082292523082 6/21/2021 6/21/2021 24003721 LANJUT
5 7401141007960003 SAPRUL L 25 18-30 JL. AIR PANAS 082292956626 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
6 7401200603760002 SAID WAKANG L 45 31-45 DUSUN IV KAMPUNG BAJO 085396630418 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
7 1208141503960001 JASTON RAIJA BUTAR L 25 18-30 TIGARUNGGU 082384619945 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
8 7401045109020002 JAQUELLIN CAHYANI P 19 18-30 JL. GAJAH 081929885399 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
9 7401042006900003 YUSUF KHAERANI L 31 31-45 DUSUN III SUMBER SARI 082349695148 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
10 7401011311920001 sulfadli suardi L 29 18-30 DUSUNI LAKONDOLE 082239733986 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
11 7302075804980001 WARHAM JUNAID L 23 18-30 JL. PANORAMA N0. 8 085256029228 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
12 7401084904870002 SALMA SE P 34 31-45 JL. PEMUDALRG ZIG-ZAG NO. 13 08114419491 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
13 7309072401900001 YAKUB YULIUS THOMAS L 31 31-45 DUSUN CARANGKI UTARA 082321734020 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
14 7401241508980001 IRGAN AGUS PRIANTO L 23 18-30 TOARI 082293133073 6/21/2021 6/21/2021 24003721 LANJUT
15 740104490901002 WIDYA IGONITA NATALIA P 20 18-30 JL. PANORAMA 08229281873 6/21/2021 6/21/2021 24003721 LANJUT
16 7401040409860002 HENDRA PAULUS L 35 31-45 JL. PAHLAWAN WATULIANDU 085756872846 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
17 7401042303880003 MA'RIFATULLAH L 33 31-45 JL. LANDAK NO. 12 085242848944 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
18 7401044103000002 HERLISA P 21 18-30 JL. KELINCI LALOMBA 082298955232 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
19 7401040411000001 RISKAWAN L 21 18-30 JL. INDUMO 082217864753 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
20 7401040704830002 DEDY PALOBA L 38 31-45 JL. PELANDUK 085241983534 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
21 7401140506960001 INDRA JAYA L 25 18-30 JL. AIR PANAS 085346121036 6/21/2021 6/21/2021 24003721 LANJUT
22 740124480490001 MARYANA P 31 31-45 JL. MERPATI 082188420193 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
23 7401202910920003 JURHMAN L 29 18-30 DESA ULAWENG SAMATURU 082292569145 6/21/2021 6/21/2021 24003721 LANJUT
24 7371030408920003 ILHAM MAYAPADA L 29 18-30 JL. DG. SIRAJU 082271359992 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
25 7401011467990002 PANDI L 1822 0 DUSUN I MEOHAI 082293949562 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
26 740112121940001 SYAHRIADIN P 27 18-30 JL. PUSKESMAS DESA BAULA 082292787258 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
27 7401016512950001 SINAR AYU P 26 18-30 J;. POROS KOLAKA-POMALA 081354506694 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
28 7401010910910005 RUSLAN L 30 18-30 DUSUN I TOWUA 082296096190 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
29 7401101007980002 OKTOVIANUS L 25 18-30 DUSUN I 082320616426 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
30 7402021306920001 AHMAD RANTO LAMALIGA L 29 18-30 WUNDULAKO 0811402303 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
31 7401041105830002 MUHAMMAD ASWAR HASBI L 38 31-45 JL. PATTIMURA 082336168108 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
32 7401041409810002 MELDY SALASA L 40 31-45 JL. ANGGREK 085255416069 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
33 7401244205940001 SUCI HARDYANTI P 27 18-30 JL. DARUSSALAM 082260724101 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
34 7401142108000001 DIMAS SETOWARDANA L 21 18-30 JL. ABADI 081258500383 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
35 7401207012930001 HENDRA L 28 18-30 DUSUN I KONDASARI 082227860805 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
36 7401140210940001 AYUB L 27 18-30 LALODIPU 082296888945 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
37 7401035710910002 JASMAWATI L 30 18-30 WUNDULAKO 082291399630 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
38 7371132006790015 SUAIB BUDHI SETIAWAN L 42 31-45 JL. DR. SOETOMO 081333382222 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
39 7401021212790002 MUH. ZAKRY L 47 46-59 JL. KONGGOASA 085342272924 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
40 7401012990390001 RIZAL L 31 31-45 WUNDULAKO 081912911548 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
41 74001071001920003 YAHDI L 29 18-30 WUNDULAKO 082291546294 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
42 7324070107880074 FAISAL L 33 31-45 PUUTOBU 082297330269 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
43 7401045010970004 AYU RAHMA OKTAVIANI P 24 18-30 SABILAMBO 081346325298 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
44 7401141906920001 HENDRIK KARAMBE L 29 18-30 LINGK. V KAMPUNG BARU 0822355547779 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
45 7401040204730002 APRISAL SALEA L 47 46-59 JL. BADEWI 085397024678 6/21/2021 6/21/2021 24003721 27/7/2021 24201121 SELESAI
46 7206122809800001 RUDIYANTO ABDULLAH L 41 31-45 NGAPA KEL. WUNDULAKO 085255622027 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
47 7401142303920003 BURHANUDDIN L 29 18-30 BTN INDAH PONDUI 082290114523 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
48 7401220708870001 SAEFUL L 34 31-45 JL. PENDIDIKAN 085397556669 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
49 7401040611990002 RYAN ISWARA L 22 18-30 JL. PEMUDA 082190285662 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
50 74010608760002 KASLI L 45 31-45 DESA 19 NOVEMBER 085238088760 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
51 7401011505770002 AMIR USMAN L 44 31-45 NGAPA KEL. WUNDULAKO 082290613877 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
52 7401042409980001 MIUH. ZAESAR MARDANI L 23 18-30 JL. PANORAMA 082253739501 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
53 7401044505770001 HJ. SYAMSINAH SE P 44 31-45 SABILAMBO 082345260741 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
54 3372012106940002 ANANG L 27 18-30 BTN ASAS MULIA 08111874366 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
55 7401046003860001 MARDIANA NUR P 35 31-45 JL. SAMRATULANGI 085239644888 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
56 7401042208820004 HENDY RAHARDJO L 39 31-45 SABILAMBO 085298487787 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
57 7401045502970004 DIAH AJENG NURUL SALMA P 24 18-30 JL. KASUARI 082399988202 6/21/2021 6/21/2021 24003721 LANJUT
58 7401016804850001 RESMA P 32 31-45 WUNDULAKO 082217550533 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
59 BHAYANGKARI 7311074305880003 WYDIASARI ASTUTY KAHAR P 33 31-45 JL. DR. MUH. HATTA 08114190705 6/21/2021 6/21/2021 24003721 LANJUT
60 7401140105930001 AGUSTAN L 28 18-30 JL. SUNU 082334986979 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
61 7401202309990001 MUH. RENALDI L 22 18-30 MALAHA 082271504123 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
62 7401041411900001 SYAMSUDDIN BASTIAN L 31 31-45 JL. PANORAMA 082271181715 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
63 7401041206980006 EFRIADI SUSANTO L 23 18-30 JL. PEMUDA NO. 32 085158269855 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
64 740104500290005 ELVIANTI P 31 31-45 JL. MEKONGGA INDAH 081270570459 6/21/2021 6/21/2021 24003721 26/7/2021 24201121 SELESAI
65 740104050190005 DANDI DARKONO L 31 31-45 KOMP. BTN TAHOA 085219447117 6/21/2021 6/21/2021 24003721 LANJUT
66 7470912890001 ARIF PRASETYA L 32 31-45 PRAMUKA 082188410750 6/21/2021 6/21/2021 24003721 LANJUT
67 7401141812950007 DESAN PARIANTO L 26 18-30 JL. ABADI 085217411838 6/21/2021 6/21/2021 24003721 LANJUT
68 0
69 7307031610860002 ILYAS L 35 31-45 JL. KASUARI 085242510637 26/7/2021 24201121 SELESAI
70 7401041208580001 MASDJAYA L 63 60-199 WATULIANDU 08530427476 26/7/2021 24201121 SELESAI
71 74010410983000022 ABBAS L 43 31-45 KOLAKA 085217399070 26/7/2021 24201121 SELESAI
72 7401045005760002 SUPRANI P 45 31-45 JL. PRAMUKA 085242714861 26/7/2021 24201121 SELESAI
73 7401044106700003 MUAFILAH NUR P 51 46-59 JL. PRAMUKA 081341803400 26/7/2021 24201121 SELESAI
74 740104502600001 SUTIRA P 61 60-199 JL. GAJAH NO. 59 085241554050 26/7/2021 24201121 SELESAI
75 74010470045300001 ST. KATIJAH P 68 60-199 BTN GREEN LAND BLOK A 082293515050 26/7/2021 24201121 SELESAI
76 7401040612780001 ANWAR SADAT HARTONO L 48 46-59 JL. KONGGOASA 082399628209 26/7/2021 24201121 SELESAI
77 0
78 0
79 0
80 0
81 0
82 0
83 0
84 0
85 0
86 0
87 0
88 0
89 0
90 0
91 0
92 0
93 0
94 0
95 0
96 0
97 0
98 0
99 0
100 0
101 0
102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0

D = Lainnya
E = Tidak Bekerja

18-30 36 0 A 0
31-45 30 0 B 0
46-59 4 0 C 0
Total 70 0 D 0
Pekerjaan: E 0
A 0 67 Total 0
B 0 64
C 0
D 0
E 0
Total 0
26-07-2021


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401140112710002 USMANIR L 50 46-59 JL. AMANAH KOLAKAASI 081341810700 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
2 7401146707860001 HAJRAWATI TAKDIR P 35 31-45 JL. ABADI NO. 258 082291691827 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
3 7401146004770001 NURAINUN P 44 31-45 JL. AMANAH KOLAKAASI 085241718822 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
4 77401141109810001 MUHAMMAD NAWAWI ASLI L 41 31-45 JL. ABADI 085241242243 26-06-2021 26-06-2021 24003721 28/7/2021 24201121 SELESAI
5 7401142010660001 MUH. ISRA L 56 46-59 DUSUN III PULUWOU 081342418867 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
6 7401143101030001 AHMAD AL BUKHARI MUNANDAR L 18 18-30 JL. AMANAH KOLAKAASI 085244114802 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
7 7401140204840002 IRWAN L 37 31-45 JL. ABADI 085221182300 26-06-2021 26-06-2021 24003721 1/9/2021 24201121 SELESAI
8 7308166309890002 MIRNAYANTI P 33 31-45 JL. ABADI 082292293511 26-06-2021 26-06-2021 24003721 14-08-2021 24201121 SELESAI
9 7401144211780001 DAHLIA P 44 31-45 JL. DURIAN 081343787809 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
10 7401143112820023 ERIK SUSWANTO P 40 31-45 JL. DURIAN NO. 136 082192580460 26-06-2021 26-06-2021 24003721 24201121 DO
11 7401045504900009 FITRIANA INDAH ANWAR YUSUF P 31 31-45 JL. TOMADINA NO. 18 081222350903 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI-V3
12 7401141706970001 JONES TIGOR HUTABARAT L 24 18-30 JL ABADI 081241231027 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
13 7401141803850001 ARISAL SUPARDI L 36 31-45 JL KEPITING 021902102010 26-06-2021 26-06-2021 24003721 4/9/2021 24201121 SELESAI
14 7401200511890001 RAHMAN YUNUS L 33 31-45 JL. SUNU 081242111189 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
15 7401140508640001 YUSUF. S L 57 46-59 JL DURIAN 081341015744 26-06-2021 26-06-2021 24003721 9/9/2021 24201121 SELESAI
16 7401140408640002 ZAENAL ABIDIN L 57 46-59 JL ABADI 085242552036 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
17 7309026311980001 NURHIKMA INDRIANY P 24 18-30 DUSUN SAWARU DESA SAWARU MAROS 085242390816 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
18 7401144307980002 ANISA ZAGWA P 23 18-30 JL. ABADI 082237538582 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
19 7401146806960001 SISKA AMELIA P 25 18-30 JL.KEMAKMMURAN NO. 23 085342844444 26-06-2021 26-06-2021 24003721 27-07-2021 24201121 SELESAI
20 7401144507870002 LISA SULISTIAWATI P 39 31-45 JL. BEKICOT 082349455096 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
21 7401142305750001 ASRUDDIN L 46 46-59 JL. PANCASILA SEA 085357777423 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
22 7401147103860001 MARTINA PINGAK P 35 31-45 JL. KEMAKMURAN 082292705002 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
23 7401142212730001 AUDIN L 49 46-59 JL. KEMAKMURAN 085349463613 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
24 7401074910750002 HASNA P 45 31-45 JL. DR. SOETOMO 081342028889 26-06-2021 26-06-2021 24003721 26/7/2021 24201121 SELESAI
25 7401075312990001 SYUCIRIANA SYARIFUDDIN P 23 18-30 JL. DR. SOETOMO 085241562992 26-06-2021 26-06-2021 24003721 26/7/2021 24201121 SELESAI
26 3204320212950012 PANJI PRAMANA L 27 18-30 KOMP. GALIH PAWARTI BANDUNG 081901510576 26-06-2021 24003721 24-07-2021 24201121 SELESAI V3
27 7302074107010114 YUNI LESTARI P 20 18-30 ASOLU KONAWE 085299301072 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
28 7401140208830001 FIRMAN L 35 31-45 JL ABADI 081355848423 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
29 7401045302670001 FARIDA P 54 46-59 JL. SUTANTO BAULA 081245926704 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
30 7401141303990002 M. FAUZAN AKBAR L 22 18-30 JL. DURIAN SAKULI 085254062957 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
31 7401147105860001 NURAMILA DEWI P 35 31-45 JL. DURIAN SAKULI 085215518515 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
32 7401146103030003 DWI SAFITRI P 18 18-30 JL. UDANG 081344110097 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
33 7401146707580002 HUSAIMA P 63 60-199 JL. TPI NO. 9 081342678533 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
34 '7401145507930003 YUSTIFANIYUSRI P 28 18-30 JL. KENANGA NO. 17 085399966722 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
35 7401045709930002 DWI USWATUN KHASANAH P 29 18-30 JL.PEMUDA LRG KRISTAL NO. 10 082195307467 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
36 7401044508930002 INTAN PERMATA SARI BAKRI P 29 18-30 J. AHMAD YANI NO. 20 082194195925 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
37 6471015602940004 ROSITA HAJI SALIM P 27 18-30 JL. DERMAGA 085392186615 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
38 7401144810860001 SUNARNI P 36 31-45 JL. DURIAN SAKULI 085341868730 26-06-2021 26-06-2021 24003721 28/7/2021 24201121 SELESAI
39 7401144606770003 HASMIA P 44 31-45 JL. DURIAN SAKULI 085341868730 26-06-2021 26-06-2021 24003721 9/9/2021 24201121 SELESAI
40 7401140605960001 RACHMA HIDAYAT L 25 18-30 JL. CAKALANG 081299673009 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
41 7401142101920001 ASRUL P 29 18-30 JL. CAKALANG 084212656899 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
42 7401140109970002 RUSLAN L 25 18-30 JL. LURE 081251776460 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
43 7401144809830002 STIA NINGRUM P 39 31-45 JL. DURIAN SAKULI 085289697640 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
44 7401140112990004 FAHRAWANSA YOGANANDI L 23 18-30 JL. DURIAN 081259432908 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
45 7401142504010001 REPANGGA TRIYANSA L 20 18-30 JL. DURIAN LRG PPN NO. 8B 082354569509 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
46 7401145210690001 SUHARLI P 53 46-59 JL. DURIAN SAKULI 05298584462 26-06-2021 26-06-2021 24003721 9/9/2021 24201121 SELESAI
47 357816170760002 POEA ONO L 62 60-199 SAWAH PULOWETAN SURABAYA 081231233567 26-06-2021 26-06-2021 24003721 26/7/2021 24201121 SELESAI
48 7401142211910001 ASWAR ANAS L 31 31-45 JL. SUNU 082215898467 26-06-2021 26-06-2021 24003721 26/7/2021 24201121 SELESAI
49 7406141510960001 MUH. SYAIFUL L 26 18-30 KABAENA BARAT BOMBANA 085218319041 26-06-2021 26-06-2021 24003721 26/7/2021 24201121 SELESAI
50 7302075007000002 YULIANI P 21 18-30 ASOLU KONAWE 081340023895 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
51 7401140307650001 HADIMU L 56 46-59 JL. ABADI SEA 081245587227 26-06-2021 26-06-2021 24003721 10/8/2021 24201121 SELESAI
52 7308092310890002 ERWIN L 33 31-45 DUSUN KADING 085298999907 26-06-2021 26-06-2021 24003721 16-12-2021 24201121 SELESAI
53 7317191510910001 SYAMSUL BAHRI L 31 31-45 LINDAJANG LUWU 085387915448 26-06-2021 26-06-2021 24003721 26/7/2021 24201121 SELESAI
54 7373051304770001 ABDUL KADIR L 44 31-45 SALU INDUK LUWU 085248260433 26-06-2021 26-06-2021 24003721 26/7/2021 24201121 SELESAI
55 7308151607860001 KAHARUDDIN L 35 31-45 CELLU BONE 085324206876 26-06-2021 26-06-2021 24003721 31-03-2022 24201121 SELESAI V3
56 7373051304770001 SYUKRI SYAHRIR L 34 31-45 TANETE RIATTANG BONE 082333003306 26-06-2021 26-06-2021 24003721 26/7/2021 24201121 SELESAI
57 7401147112660014 SARIFA P 55 46-59 JL. OPO 085394448140 26-06-2021 26-06-2021 24003721 23-11-2021 24201121 SELESAI
58 74010410120800001 ANDI SANGIANG L 42 31-45 BUKIT MEKONGGA INDAH 0811407895 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
59 7401041002820003 RUDI L 39 31-45 JL. PANCASILA SEA 085825344088 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
60 7309032604880001 MAKMUR L 33 31-45 JL. DURIAN 085399058294 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
61 7401145906900002 HASNA P 41 31-45 JL. ABADI 085298518988 26-06-2021 26-06-2021 24003721 16-12-2021 24201121 SELESAI
62 7401140504880001 RUSTAM L 33 31-45 JL. DURIAN 082197280603 26-06-2021 26-06-2021 24003721 16-12-2021 24201121 SELESAI
63 7401071207810002 DEDI L 40 31-45 JL. DURIAN 081223689100 26-06-2021 26-06-2021 24003721 22-12-2021 24201121 SELESAI
64 '7401143112810023 MASRIADI L 41 31-45 LINGK. I LAKONDOLO 082318072233 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
65 7401145212610001 ROSMAWATI P 68 60-199 JL. ABADI 082393673990 26-06-2021 26-06-2021 24003721 28/7/2021 24201121 SELESAI
66 741101450900001 ANDRYANI P 32 31-45 JL. DERMAGA 085398233661 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
67 7401145708820001 HERIANTI NAWAWI P 40 31-45 JL. ABADI 085289459578 26-06-2021 26-06-2021 24003721 8/9/2021 24201121 SELESAI
68 7371146505870022 SYAHRINA RAMADHONA P 34 31-45 JL. H. LARURU 085270015883 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
69 7202221101820002 IMANUEL TAMMA MANGALIK L 39 31-45 JL. H. MUZAKKIR 085395070008 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
70 7408065801800001 HJ. JUSTINA P 41 31-45 KOLAKAASI 082188886432 26-06-2021 26-06-2021 24003721 7/4/2022 24201121 SELESAI V3
71 7401142508670002 KAHARUDDIN SALEH L 55 46-59 JL. ABADI NO. 288 082337111677 26-06-2021 26-06-2021 24003721 11/4/2022 24201121 SELESAI
72 7401144607740001 NURLAELA LADJUDA P 47 46-59 JL. DURIAN 081341656777 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
73 7401144707730002 HUMRANI P 48 46-59 JL. ABADI NO. 288 085398757198 26-06-2021 26-06-2021 24003721 16-12-2021 24201121 SELESAI
74 7401146511800001 RUSDA P 34 31-45 JL. DELIMA 085145993537 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
75 7408076206910002 SYAHRANIJF. TAMBORA P 30 18-30 JL. ABADI N0. 160 082259736984 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
76 7401140111780003 SUPRIANTO L 44 31-45 JL. LURE NO. 24 082288734895 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
77 7401141507700001 SYARIFUDDIN NOOR L 51 46-59 JL ABADI 081250489770 26-06-2021 26-06-2021 24003721 27/7/2021 24201121 SELESAI
78 7401144304800001 SAIMA P 41 31-45 JL ABADI 085210930822 26-06-2021 26-06-2021 24003721 27/7/2021 24201121 SELESAI
79 7401040602920002 MUH JEFRI SYAM L 29 18-30 JL PELANDUK 085340212303 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
80 7401043112890011 ASDAR L 32 31-45 KEC TIRAWUTA 082344327616 26-06-2021 26-06-2021 24003721 23-12-2021 24004421 SELESAI
81 7401040205700001 MANSYUR IMAM L 51 46-59 JL MEKONGGA INDAH 085298040407 26-06-2021 26-06-2021 24003721 24004421 DO
82 7405122611960002 MUH FAHROJI L 25 18-30 LING. III 085299981282 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
83 7403240205930002 LA ODE SAMAI L 28 18-30 JL PROF DR ABDURAUF 082348233249 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
84 7405120906020001 MUHAMMAD RAHIM L 19 18-30 PUOSU JAYA 085232415103 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
85 7472025806990001 LIA ENDRIANI P 32 31-45 JL WORTEL MONGINSIDI 081355612930 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
86 6472033004930007 DEDE BERLIN L 23 18-30 JL FALAH 081245403394 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
87 7471073108020001 RENALDI DIAS L 19 18-30 JL TOBELI 085252594624 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
88 7401202404910001 ASWAR L 30 18-30 KEL MALAHA 085264528400 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
89 7401140304900001 MIRJAK AMIR L 31 31-45 HKSN MANGOLO 082255779466 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
90 7471032407960001 ASWAD L 25 18-30 BTN LATJINTA 085314793667 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
91 737114160990003 A FADEL RIFAI L 22 18-30 MAKASSAR 081256442525 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
92 740104300573001 HARUN L 48 46-59 JL PANCASILA 081342450484 26-06-2021 26-06-2021 24003721 24004421 DO
93 7401141011970002 M.SYALWI L 24 18-30 JL DURIAN 085240539615 26-06-2021 26-06-2021 24003721 14-08-2021 24004421 SELESAI
94 74710727071070001 YULI TAMAR L 34 31-45 JL. DR. SUTOMO PUWATU 085398874727 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
95 7401070504890001 RAMADHAN L 32 31-45 DUSUN I HUKO HUKO 082347308669 26-06-2021 26-06-2021 24003721 11/5/2022 24004421 SELESAI V3
96 7401145404740004 HJ. NURMIAH P 47 46-59 JL. SUNU 082260064116 26-06-2021 26-06-2021 24003721 23-12-2021 24004421 SELESAI
97 7401076207880001 YENSI MARIYONAL P 33 31-45 JL. DURIAN NO. 159 082292335518 26-06-2021 26-06-2021 24003721 9/9/2021 24004421 SELESAI
98 7401140508930001 MULIADI JAYA L 29 18-30 JL. DURIAN NO. 224 085282212329 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
99 7401206803950002 SRI WINDASARI P 26 18-30 SAKULI 085256447512 26-06-2021 26-06-2021 24003721 9/9/2021 24004421 SELESAI
100 7405121809960001 ZAENAL MUKHLISSIH L 26 18-30 BLOK A DUSUN II LALEMBUU 082292222642 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
101 7401143112700020 HALDI L 52 46-59 JL. CUMI-CUMI 0821536024256 26-06-2021 26-06-2021 24003721 24-07-2021 24004421 SELESAI
102 7401140307710001 JALHAR L 50 46-59 JL. DERMAGA 082194099077 26-06-2021 26-06-2021 24003721 24-07-2021 24004421 SELESAI
103 7401141105840003 ASPUL L 37 31-45 JL. DURIAN 085299666958 26-06-2021 26-06-2021 24003721 3/8/2022 24004421 SELESAI
104 7305071505960004 IRPAN L 25 18-30 JL. TAMALAKI 082292489635 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
105 7401142712910001 USBAN ADITYA SAPUTRA L 31 31-45 JL. DURIAN 082191955661 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
106 740237005830001 BADRUN L 38 31-45 KOLAKAASI 085394217694 26-06-2021 26-06-2021 24003721 24-07-2021 24004421 SELESAI
107 7303013112810043 KAHARUDDIN L 41 31-45 JL. KASIA 082195943555 26-06-2021 26-06-2021 24003721 29-12-2021 24004421 SELESAI
108 7401142701950002 DARMAWANZAH L 25 18-30 JL. DERMAGA 082397447974 26-06-2021 26-06-2021 24003721 24-07-2021 24004421 SELESAI
109 73220601100790001 ROSID RITANTO L 42 31-45 JL. DERMAGA 085298899926 26-06-2021 26-06-2021 24003721 24004421 DO
110 7408080710970002 RONI ANGGARA L 24 18-30 LAMBAI 081341261482 26-06-2021 26-06-2021 24003721 26/7/2021 24004421 SELESAI
111 7401182206880002 RANDY RUSDI RAHIM L 33 31-45 ANAIWOI 085394191699 26-06-2021 26-06-2021 24003721 24-07-2021 24004421 SELESAI
112 7401012611850002 AKSAR L 36 31-45 DUSUN III PETUDUA 085241544870 26-06-2021 26-06-2021 24003721 24-07-2021 24004421 SELESAI
113 7406041006880006 WAHYUDIN MUSTAFA SALEH L 33 31-45 LINGK. III WATUMBASI 082293269377 26-06-2021 26-06-2021 24003721 24-07-2021 24004421 SELESAI
114 7401011508890003 SUHIRWAN L 32 31-45 LRG. PELAMBUA PLN 085398194123 26-06-2021 26-06-2021 24003721 24-07-2021 24004421 SELESAI
115 7406100310890003 ASDAR NASARUDDIN L 32 31-45 JL. PENDIDIKAN POMALAA 082377410000 26-06-2021 26-06-2021 24003721 24-07-2021 24004421 SELESAI
116 7401017603930001 MARTHEN L 28 18-30 DUSUN I MEOHAI 082311126592 26-06-2021 26-06-2021 24003721 24-07-2021 24004421 SELESAI
117 7471091403830002 ANDI SIYAHRIANTO L 38 31-45 BTN II WUA WUA 082193993002 26-06-2021 26-06-2021 24003721 24-07-2021 24004421 SELESAI
118 7471012306970002 ANDI ANJAS MARA L 24 18-30 JL. MESJID AGUNG V BLOK B 082221751771 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
119 7401040202890002 HAMZAR H L 32 31-45 JL. GAJAH 082290732987 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
120 7401141307970001 MUH. HASWAR L 24 18-30 JL. DURIAN 081241883381 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
121 7401145008860005 HJ. MARIANTI ARIFIN P 35 31-45 JL. CARIA 085341188193 26-06-2021 26-06-2021 24003721 23-12-2021 24004421 SELESAI
122 YURIUS DONLORENSO A P 42 31-45 JL. PAHLAWAN 08249520988 26-06-2021 26-06-2021 24003721 24004421 LANJUT
123 740104241081003 ULIARTA SUMONO L 40 31-45 WATULIANDU 082393269716 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
124 730901115860005 AL HALIPAN L 35 31-45 082148321095 26-06-2021 26-06-2021 24003721 24-07-2021 24004421 SELESAI
125 7401146408750001 HUSNIATI P 46 46-59 JL. UDANG NO. 30 085238868533 26-06-2021 26-06-2021 24003721 24-07-2021 24004421 SELESAI
126 740104150360007 H. ANWAR YUSUF L 61 60-199 JL. PRAMUKA 081355777981 26-06-2021 26-06-2021 24003721 14-07-2022 24004421 SELESAI V3
127 7401144610680001 MURNIATI SIMA P 53 46-59 JL. REPELITA 082292808783 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
128 7401041404630002 PATRISIUS PATUR P 58 46-59 JL. NURI LALOEHA 085398094976 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
129 7401041609020002 MUHAMMAD IHZA PUTRA H L 19 18-30 JL. PAHLAWAN 085340194741 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
130 7401043012650009 MUSTAKING L 0 JL. PAHLAWAN 082347630265 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
131 5135020304920002 BONESIUS JAGU L 29 18-30 LERENG DESA KOSONG KUWUS 085242627200 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
132 7471095712890001 ROSMAWATI MADJID P 32 31-45 JL. AHMAD YANI 085241547361 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
133 7401045303020003 NAOMI CARRYN ROMAULI P 19 18-30 JL. NURI 085333344495 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
134 7401040810940001 ABDIMAN L 27 18-30 JL. PEMUDA 081311265942 26-06-2021 26-06-2021 24003721 10/8/2021 24004421 SELESAI
135 74010403048000 ISAYAS JAPAI L 38 31-45 JL. NURI LALOEHA 081242591085 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
136 1208132811900003 TOHO FRENGKI L 38 31-45 JL. NURI LALOEHA 082189988789 26-06-2021 26-06-2021 24003721 31/7/2021 24004421 SELESAI
137 7401186306800001 ANDI NIRWANA P 41 31-45 BTN BALANDETE 085341892706 26-06-2021 26-06-2021 24003721 26/7/2021 24201121 SELESAI
138 7401147107010002 HASRIANA P 20 18-30 BTN BALANDETE 085796296272 26-06-2021 26-06-2021 24003721 26/7/2021 24201121 SELESAI
139 7401044511920001 NURFAIDAH P 29 18-30 BTN BALANDETE 085343737599 26-06-2021 26-06-2021 24003721 26/7/2021 24201121 SELESAI
140 74010406720001 AYUB MUSU L 49 46-59 JL. PEMUDA LR. SOPPENG 081341653131 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
140 7401046404910001 ENAH ROHAENAH KASIM P 30 18-30 LAMOKATO 085241673010 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
7401043004020002 KEVIN YULIANTO L 19 46-59 LAMOKATO 08219006940 24-07-2021 24201121 SELESAI
7401046502740002 LUCIA P 47 18-30 LAMOKATO 081341046000 24-07-2021 24201121 SELESAI

7401040703750003 HENGKY YULIANTO L 46 18-30 LAMOKATO 081248272827 24-07-2021 24201121 SELESAI
7322112012980002 RAMA HAMDANI L 23 18-30 BABUNTA KAB LUWU UTARA 081241007937 21-06-2021 21-06-2021 24003721 24-07-2021 24201121 SELESAI
7317116803960002 OMEGA RINI SAMPETODING P 25 18-30 MASAMBA 085242711302 21-06-2021 21-06-2021 24003721 24-07-2021 24201121 SELESAI
7371096104010006 ASTRID AYU KARTINI P 20 18-30 JL PAMPANG 5 085239144660 21-06-2021 21-06-2021 24003721 24-07-2021 24201121 SELESAI
7401046109910004 IKA SULISTIA NINGRUM P 30 18-30 JL PEMUDALRG KRISTAL 082271222151 26-06-2021 26-06-2021 24003721 24-07-2021 24201121 SELESAI
140 7471052711830001 DEDY FRI HERDIAWANSYAH L 38 18-30 JL MANUNGGAL I NO 4 08525600181 31/7/2021 24004421 SELESAI

D = Lainnya
E = Tidak Bekerja

18-30 47 0 A 0
31-45 65 0 B 0
46-59 23 0 C 0
Total 135 0 D 0
Pekerjaan: E 0
A 0 140 Total 0
B 0 135
C 0
D 0
E 0
Total 0
24-07-2021
INPUT TGL 25
LUAR WILAYAH
LUAR WILAYAH
LUAR WILAYAH
LUAR WILAYAH
LUAR WILAYAH
LUAR WILAYAH


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401047112560031 SITTI SYARABIAH P 65 60-199 JL PEMUDA LRG IKLIM 085255013060 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
2 7401044302690001 NIA TRIHERNANINGSIH P 52 46-59 JL PAHLAWAN 0811401262 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
3 3175107004690006 MARTINA P 52 46-59 JL TUGU 08121099612 30-06-2021 30-06-2021 24200321 LANJUT
4 7401040705030001 MUH. SADDAM RESKI L 18 18-30 JL. BANTENG TAHOA 081346776457 30-06-2021 30-06-2021 24200321 LANJUT
5 7401042401000002 IFDAL YUHAR M L 21 18-30 BTN TAHOA PERMAI 081311904215 30-06-2021 30-06-2021 24200321 LANJUT
6 7401045607810001 JAYANTI YANCE P 40 31-45 JL. WOLTER MENGINSIDI 082291470354 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
7 7403104808990201 WAZRIA NAN PUTRI P 23 18-30 JL. LUMBA-LUMBA 082293658198 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
8 7401040803840002 NASRUDDIN L 37 31-45 JL PONDUI 082188001086 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
9 7401045607730002 YULIANA P 48 46-59 JL HALUOLEO 082196608909 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
10 7401140112790003 YONES L 43 31-45 LINGK. IV WOWOTA 082192946853 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
11 740104211940002 NOVRIZAL PUTRA PRATAMA L 28 18-30 KOLOHIPO 082293212705 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
12 7401141611840001 JAMAL JALANI L 38 31-45 JL. SAMRATULANGI 082293272388 30-06-2021 30-06-2021 24200321 4/8/2021 24004421 SELESAI
13 7401140402750001 HAMSA L 46 46-59 LINGK. IV WOWOTA 085346945583 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
14 7401141412960002 ASRIANTO L 24 18-30 LINGK. IV WOWOTA 082259077877 30-06-2021 30-06-2021 24200321 LANJUT
15 7401043108690004 YONAS SIPRIANUS L 53 46-59 WATULIANDU 082131830199 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
16 7401041603930001 SONYA SANJAYA L 28 18-30 BTN GREN LINE 085241661123 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
17 740104521194007 NOVIOLA NAVIRI P 28 18-30 HOLUOLEO NO.30 082349587878 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
18 7401044605780003 SAMSURIATY A P 43 31-45 KOMP GRIYAA SATELIT 082189490416 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
19 7401145206910001 NASTUTI NILAWATI P 30 18-30 JL. SUNU LR. CARIA 08229022497 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
20 3203084505920002 MELYUNI ASTIKA P 29 18-30 JL. ANDI PUNNA 082292533781 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
21 7401046606850004 IKA FITRIANI ARIEF P 36 31-45 JL. CENDRAWASIH NO. 342 08242195388 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
22 701141209780001 IRWAN TJONGGO L 44 31-45 MANGOLO 085241983962 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
23 7401204103880002 WINDA FIRSANI P 33 31-45 JL. MEKONGGA INDAH 082399389290 30-06-2021 30-06-2021 24200321 LANJUT
24 740114610970001 SERLI LIESWAN P 51 46-59 JL. REPELITA NO. 62 082188992222 30-06-2021 30-06-2021 24200321 LANJUT
25 7401040609930002 SILKPAM HABILL L 28 18-30 JL CENDRAWASIH 08229697606 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
26 7401041407740001 ARMAN L 47 46-59 JL. PONDOK PASANTREN 081341793702 30-06-2021 30-06-2021 24200321 LANJUT
27 7401045010920004 NUNUNG NUR MM P 30 18-30 JL. CENDRAWASIH 082239772808 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
28 7401044311830002 SULIYEM P 39 31-45 JL. INDUMO 082393861989 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
29 7314043009910001 MUHAMMAD IRFAN L 31 31-45 JL. BADEWI NO. 13 085343606479 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
30 7401194104850001 ARDANA P 36 31-45 KOLAKAASI 085145506254 30-06-2021 30-06-2021 24200321 LANJUT
31 7401191006850001 AHMAD L 41 31-45 KOLAKAASI 085241517398 30-06-2021 30-06-2021 24200321 LANJUT
32 7401144802820001 NURSIH P 39 31-45 LING. III TELUNO 085756529511 30-06-2021 30-06-2021 24200321 LANJUT
33 7401146906760001 JULAEHA P 45 31-45 LING. III TELUNO 082393346115 30-06-2021 30-06-2021 24200321 LANJUT
34 7401147012700001 SITTI AISYAH P 52 46-59 MANGOLO 082129977659 30-06-2021 30-06-2021 24200321 LANJUT
35 7401144902810002 MISNAR HASANUDDIN P 40 31-45 JL PANCASILA 085256695891 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
36 7401042507890005 ANUGRAH K L 32 31-45 LINGK. V TRI MULYO 081342064641 30-06-2021 30-06-2021 24200321 LANJUT
37 740601522850002 FITRIA P 37 31-45 JL. BADEWI 085281493897 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
38 7471050310750002 YUSRI ZUBAIR L 47 46-59 MANGOLO 08134550977 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
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326 7401142002880001 ADI SAPUTRA L 33 31-45 JL. PEMUDA 081341825900 30-06-2021 30-06-2021 24200321 4/8/2021 24004421 SELESAI
327 7401040707040001 WAWAN L 23 18-30 JL. INDUMO 085340206105 30-06-2021 30-06-2021 24200321 LANJUT
328 7317052204860001 ABD. RAHIMUDDIN L 35 31-45 TAHOA 085332002626 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
329 7405182510950001 ROMI SETIAWAN L 26 18-30 KONAWE SELATAN 085245409598 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
330 IRMAN L 38 31-45 BTN GRAHA MEKONGGA 085293750888 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
331 740104028610001 ZAKIR MANROW L 60 60-199 JL. PATTIMURA 085255869138 30-06-2021 30-06-2021 24200321 LANJUT
332 740104220280003 SUDIRA L 41 31-45 BTN TAHOA 085299447522 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
333 740104680660002 DWI LUKUR SARI L 53 46-59 WARILIANDU 085258821004 30-06-2021 30-06-2021 24200321 LANJUT
334 7401071002680001 JAMALUDDIN L 53 46-59 DAWI DAWI 081213332603 30-06-2021 30-06-2021 24200321 LANJUT
335 740045905000001 EGA RESTU TONAPA P 21 18-30 JL. GAJAH 082277263923 30-06-2021 30-06-2021 24200321 4/8/2021 24004421 SELESAI
336 74001211501710001 MULYADI L 50 46-59 TINONDO 082247388070 30-06-2021 30-06-2021 24200321 LANJUT
337 74001046605750001 NINING SETIAWATI P 46 46-59 JL/ PEMUDA 082322220552 30-06-2021 30-06-2021 24200321 LANJUT
338 7401123101790001 MIRWANTO MUDA L 42 31-45 08114099464 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
339 7401144907750001 SITTI FATIMAH P 42 31-45 LALOEHA 085345415107 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
340 7401144805760001 HASNA P 45 31-45 JL. KEMAKMURAN 082393210175 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
341 7401181302740001 LAKADIR L 47 46-59 LAMEDAI DUSUN IV 08342639852 30-06-2021 30-06-2021 24200321 LANJUT
342 740104034970005 APRIYANTO YUDHA L 24 18-30 JL. TUNAMBAE 081244111955 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
343 740114078760002 CHALEOK MAHDI L 45 31-45 JL. DERMAGA 085394234924 30-06-2021 30-06-2021 24200321 LANJUT
344 7401202210020001 IRGI SETIAWAN L 19 18-30 DUSUN II LALOEHA 082259031355 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
345 7401041002650002 AMRAN L 56 46-59 LALOEHA 082393199354 30-06-2021 30-06-2021 24200321 LANJUT
346 7401046212000001 ROHMATINI FITRIANI P 21 18-30 JL. ALAM MEKONGGA 082391388680 30-06-2021 30-06-2021 24200321 LANJUT
347 082293571358 SRI WULAN P 22 18-30 WUNDULAKO 082293571358 30-06-2021 30-06-2021 24200321 4/8/2021 24004421 SELESAI
348 7401044104010003 APRIANA INGKASARI P 20 18-30 JL. ALAM MEKONGGA 083177353083 30-06-2021 30-06-2021 24200321 LANJUT
349 7401041206860001 RAHMAN L 35 31-45 JL. POROS KOLAKA 0852166185659 30-06-2021 30-06-2021 24200321 LANJUT
350 7401142312900003 ANSAR L 31 31-45 KOLAKAASI 082288246792 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
351 7402021807790001 RUSMAN WALLY L 47 46-59 JL. ABUNAWAS UNAHAA 08227113259 30-06-2021 30-06-2021 24200321 LANJUT
352 740102406980001 RISNO L 23 18-30 LALOMBAA 082291539020 30-06-2021 30-06-2021 24200321 LANJUT
353 7401141907900001 NISAR WAHYUDI L 31 31-45 JL. ABADI 081330346606 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
354 7401241103890001 DADANG FIRMANTO L 32 31-45 LALOMBAA 085241987665 30-06-2021 30-06-2021 24200321 LANJUT
355 7401146609760001 ASTRY P 45 31-45 LALOMBAA 082333282272 30-06-2021 30-06-2021 24200321 LANJUT
356 7401146005020002 LATIFAH NUDEA P 19 18-30 JL. ALAM MEKONGGA 081241855150 30-06-2021 30-06-2021 24200321 LANJUT
357 7401075405900003 RISMA DANIEL L 31 31-45 DUSUN I PELAMBUA 082293612181 30-06-2021 30-06-2021 24200321 28/7/2021 24201121 SELESAI
358 7401040809870003 ARMAN FATTAH L 34 31-45 30-06-2021 30-06-2021 24200321 LANJUT
359 7401142609970001 NURHIZAM L 24 18-30 JL. AIR PANAS 082297335809 30-06-2021 30-06-2021 24200321 LANJUT
360 7401044305990002 AMELIA PRATIWI P 22 18-30 JL BOKEO 082259309959 28/7/2021 24201121 SELESAI
361 7401070508870002 ANDI ARUNG L 34 31-45 SEA 081353777773 28/7/2021 24201121 SELESAI
362 740803470990002 DESTI SRI P 23 18-30 BATU ADI 085146154863 28/7/2021 24201121 SELESAI
363 7401045003990001 RINA HERLIANTI P 22 18-30 HKSN MANGOLO 082293641314 28/7/2021 24201121 SELESAI
364 9109010606710003 JONI PATAWATARAN L 50 46-59 TORAJA 085243947445 28/7/2021 24201121 SELESAI
7401015804000002 BERNADETH DEWI P 21 18-30 19 NOPEMBER 085282408609 28/7/2021 24201121 SELESAI
7401017007960002 BERGITA DUMAR P 25 18-30 19 NOPEMBER 085255300900 28/7/2021 24201121 SELESAI
740107630980001 YENNY SAMPARAYA P 41 31-45 POMALAA 082271052800 28/7/2021 24201121 SELESAI
7401076012900001 DESI SAMPARAYA P 31 31-45 POMALAA 085281002682 28/7/2021 24201121 SELESAI
7401145505840003 ROSMAWATI P 37 31-45 JL DR SUTOMO 082280903205
740103520490001 ARIK RAHMA P 31 31-45 MOWEWE 085321236252
365 0 LANJUT
366 0 LANJUT
367 0 LANJUT
368 0 LANJUT
369 0 LANJUT
370 0 LANJUT

D = Lainnya
E = Tidak Bekerja

18-30 146 0 A 0
31-45 149 0 B 0
46-59 61 0 C 0
Total 356 0 D 0
Pekerjaan: E 0
A 0 358 Total 0
B 0 227
C 0
D 0
E 0
Total 0
PCRE BERMASLAH
INPUT TGL 25


Dosis I Dosis 2
Umur Keterangan
Jenis Kelompok Tanggal
No No. Registrasi NIK NAMA (18-59 Alamat No. Hp (Ditunda/Tidak
Kelamin Umur Screening Tanggal Tanggal
tahun) Diberikan/Lanjut)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 740108010940002 LUHER BUDI RAHARJO L 28 18-30 LINGK. III TOBE'U WATUBANGGA 082346361876 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
2 7401044305790002 EBARTI P 42 31-45 JL BOKEO SABILAMBO 085241919059 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
3 7401045904950004 IMANIAH MARISSA P 26 18-30 JL. PANCASILA NO. 37 082347675625 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
4 7401036201940001 DEWI PERMATASARI P 27 18-30 KEL. HORODOPI NO. 56 082211584342 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
5 7401044711000002 FARADILLAH P 21 18-30 JL. GARUDA 087810114311 28-06-2021 28-06-2021 24003721 LANJUT
6 '7401040704890004 HARMAN ALANG L 32 31-45 JL. KOLOHIPO 082349475823 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
7 7401046401010001 ARSYA NURTIFANI P 20 18-30 JL. TAMALAKI 087754553792 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
8 7401145612910001 ERNI P 31 31-45 JL. DELIMA 082231777533 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
9 7401041303840002 SYARIFUDDIN L 37 31-45 JL ABADI LRG 5. KOLAKAASI 082187494784 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
10 7401046809830002 MARLIATI P 39 31-45 DUSUN II POLEWALI 08255281052 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
11 7401016405940001 ANDI NURLELA P 27 18-30 WUNDULAKO 081299645424 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
12 741045711910001 WIRDA ULHAYATI P 31 31-45 LALOLMBAA 082295666510 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
13 7401041001950005 HASBUDINANSYAH L 26 18-30 JL. PINTU SELATAN 082213635265 28-06-2021 28-06-2021 24003721 LANJUT
14 741041010790002 HARIANTO L 43 31-45 BUKIT MEKONGGA PERMAI 082347453535 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
15 7401215711970001 SRI WITA RUBAK P 25 18-30 DUSUN III TABINI 082292914545 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
16 7371110706730004 AHMAD BAHAR L 48 46-59 JL. GARUDA 08124102537 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
17 7401074212960002 INDRI AGELIA P 26 18-30 HUKO-HUKO 082292299412 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
18 7401041308990002 HELFIANSYAH L 23 18-30 JL. PINTU SELATAN 082349949841 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
19 7401015410000001 SITTI AISYAH NURRAHMAWATI P 22 18-30 SILEA WUNDULAKO 082246052278 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
20 7401044901940001 KIKI INDRIANI P 27 18-30 JL. PANORAMA 082130822275 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
21 7401015001970001 SUCIYANTI P 24 18-30 WUNDULAKO 082293685008 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
22 7322114702920007 INDAR P 29 18-30 JL. LAMOKATO 085399213564 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
23 7401146406740001 MULIANA P 47 46-59 JL. REPELITA NO. 21 082394488992 28-06-2021 28-06-2021 24003721 LANJUT
24 740101660686001 JENI P 36 31-45 UNAMENDAA 082190762633 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
25 7401043009890001 SEPTI ADRIAN ST L 33 31-45 JL. PONDUI KM 2 LALOEHA 085255200739 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
26 7401015010910005 RISNAWATI P 31 31-45 DUSUN I WIRABUANA 082344789351 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
27 7318196101910001 VERAWATI P 30 18-30 JL. CENDRAWASIH 082292492924 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
28 7401144509900001 HALIMA P 32 31-45 JL. PANCASILA N0. 50 085241535422 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
29 7402026309910002 WIDYA WAHYUNI HAFID P 31 31-45 JL. PONDUI KM 2 LALOEHA 082187335153 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
30 7401046606860005 MARDIANA P 35 31-45 JL. POROS KOLAKA 085242917071 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
31 7401045208920003 TRI ASTUTI P 30 18-30 JL. PONDUI KM 2 LALOEHA 085240676410 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
32 7401040709940001 ISNUR JAYA L 28 18-30 LALOLMBAA '082345827468 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
33 7401041602810001 SUDARMONO L 40 31-45 JL. GARUDA NO. 12 081341789199 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
34 7401042207750001 THOMAS TANDIAWAN L 47 46-59 JL. PEMUDA NO. 217 081341971838 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
35 7401044212900002 NI KOMANG DESI RATNASARI P 32 31-45 JL. PEMUDA NO. 217 082347308777 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
36 7401042211980001 IYAN ANTONI L 24 18-30 JL. DELIMA 082351328827 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
37 7401042611950001 MUH. FEBRY M L 27 18-30 JL. AHMAD YANI 082259544105 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
38 7401046104680004 AGUSTINA MANDA P 53 46-59 JL. PAHLAWAN NO. 8 085398126897 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
39 7401044207910002 MARDIANA P 30 18-30 JL. AHMAD MUSTIN 082348209716 28-06-2021 28-06-2021 24003721
40 7401146808890001 RISKA VERA NINGSIH P 33 31-45 JL. ABADI NO. 32 085824055914 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
41 7401145106890001 IKA PRATIWI P 32 31-45 JL. ABADI NO. 175 082331570658S 28-06-2021 28-06-2021 24003721 LANJUT
42 3275095112640011 LUCIANA P 58 46-59 GRAND WISATA 081319982121 28-06-2021 28-06-2021 24003721 LANJUT
43 3275090211630016 DJONYAS SINGGEOE L 59 46-59 GRAND WISATA 081310525275 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
44 7401124212770001 SRI DORANTI P 45 31-45 LINGK. III WONUANGGOEA 082347741939 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
45 7401044612820002 ERNI P 40 31-45 JL. KELINCI 085395496105 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
46 7371032010890005 LIGNANUS MIKAEL L 33 31-45 JL. PAHLAWAN NO.4 082292212308 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
47 7401015706000001 CINDY THERESSYA P 21 18-30 HORODOPI 082190751275 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
48 7401045212930004 DESI RATNA BENYAMIN P 28 18-30 JL PAHLAWAN NO 4 081335225746 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
49 7401014209920001 ANDI SAFLINDA P 30 18-30 DUSUN III LAMEKONGGA 082281607369 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
50 7401015405940001 RIKAWATI P 27 18-30 DUSUN I WIEABUANA WUNDULAKO 082293706838 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
51 7401046710020005 EVA PUSPITA SARI P 22 18-30 JL. PANORAMA 082293434930 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
52 7401144402930001 RESKY SIDIN P 28 18-30 JL. PANCASILA NO. 34 082150774005 28-06-2021 28-06-2021 24003721 LANJUT
53 7401010809940001 EMI MARTHEN P 28 18-30 UNAMENDAA 081292085440 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
54 7471096510950003 HARYATI LESTARI P 27 18-30 BTN TAHOA 082121422247 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
55 7401040912000005 FRIA RAMDANI MURSIN L 22 18-30 JL. KOLOHIPO 082262515391 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
56 7401144807760001 MASRAWATI P 45 31-45 HKSN MINA PERMAI 05299019000 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
57 7401045211940008 MARDIANA P 28 18-30 KOLOHIPO 082293652579 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
58 7308165506000001 FRISKA ANGRIANI P 21 18-30 WOLO 082291322799 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
59 7471063101790001 ISWANDI ADIGUNA L 42 31-45 DESA WOWOSUNGGGU KONAWE 082333967444 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
60 7401046408950001 EKA VIRASAQIA PRATIWI P 27 18-30 BTN TAHOA JL. BANDENG NO. 14 082187964700 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
61 7401145008860001 ANDI HERLINA P 37 31-45 JL. KENANGA NO. 10 082348993135 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
62 7603024612010001 SRI WASTI P 23 18-30 BATANGURU TIMUR 085343958435 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
63 7401141504870001 ABBY MUBAAK L 34 31-45 JL. DURIAN 085341911663 28-06-2021 28-06-2021 24003721 LANJUT
64 7401145312920001 MIRNAWATI P 30 18-30 WOWOTA LINGK. IV 08114005892 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
65 7401144504870001 NIRWANA P 34 31-45 JL. TPI 08229919987 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
66 7401040803600001 RUSMAN L 61 60-199 JL. PRAMUKA 085270872654 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
67 7471020509900001 ARDILLAH L 32 31-45 JL. RE MARTADINATA 085298475848 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
68 7401146810970002 ISNA ARISKA P 25 18-30 HKSN MINA PERMAI 085256183063 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
69 740805480800001 RAHAYU PUTRI ANNA P 22 18-30 JL. BEKICOT 082257343366 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
70 7408025110970002 INSIRA SUFIATI P 24 18-30 JL. PEMUDA 082293927029 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
71 7401047108930002 HASRINA P 29 18-30 JL. MERPATI 082293119754 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
72 7401081402990001 RUSTAM L 22 18-30 WATUBANGGA 082129360165 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
73 7401016404960001 ILMAYANTI DARWIS P 25 18-30 LINGK. I PEBUSIA WUNDULAKO 085267451961 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
74 7401042506820004 BERTHUS L 39 31-45 BTN TAHOA BLOK 13 NO. 1 082191994989 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
75 7401041811000002 MUH. ALFIAN L 22 18-30 BALANDETE 082317611195 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
76 SINAR BAJA 7401015407920001 TELLY PURNAMA SARI PATU P 29 18-30 KEL. 19 NOVEMBER 081342326425 28-06-2021 28-06-2021 24003721 LANJUT
77 3212201904930002 KOENCORO SRI C L 28 18-30 PERUMAHAN LALOMBAA 081299028043 28-06-2021 28-06-2021 24003721 LANJUT
78 SINAR BAJA 7401016404000001 FIRIANTI SELMA P 21 18-30 DESA 19 NOVEMBER 082290823189 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
79 7202015006880001 NI PUTU FRIDA LUSYANTI P 33 31-45 LALOLMBAA 082333666950 28-06-2021 28-06-2021 24003721 LANJUT
80 7401190708900002 SAADAM AMIN SARDI L 31 31-45 KOLOHIPO 081238093298 28-06-2021 28-06-2021 24003721 LANJUT
81 7401046512980001 ANDI FANI PRATIWI P 23 18-30 JL. MEKONGGA INDAH NO. 35 A 0878100078543 28-06-2021 28-06-2021 24003721 LANJUT
82 7401045904950003 ANDI TENRI RAWE P 26 18-30 JL. MEKONGGA INDAH NO. 35 A 085242716937 28-06-2021 28-06-2021 24003721 LANJUT
83 7401125311740001 HERLINA LILING MISANAN P 47 46-59 BTN LANGORI POMALA 082293385498 28-06-2021 28-06-2021 24003721 LANJUT
84 SINAR BAJA 7401024301850001 INA ROSALINA SOLONG P 36 31-45 RATE-RATE 082395031115 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
85 7401145003830001 JUMRANA P 38 31-45 JL. BOLU 081242056721 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
86 7401045411890003 PURNAMASARI HARIS P 32 31-45 JL. MEKONGGA INDAH NO. 10 082291153188 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
87 7401044212910006 EVI SAVITRI P 30 18-30 JL. PEMUDA 082293576914 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
88 7408011904550004 H. PAIDING L 65 60-199 JL. CAKALANG 085241736441 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
89 7401095011880003 NURCAHAYA P 33 31-45 KOLOHIPO 085398749092 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
90 7401011209920001 ASDAR L 27 18-30 LINGK. IV PADAMALA 085757596191 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
91 7401145011890003 RISKA FITRIANI P 33 31-45 JL. REPELITA 081343865166 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
92 7401204508850001 HASRIANI P 37 31-45 SAMATURU 085398765998 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
93 7401041610800002 SYAMSURIADI L 42 31-45 TAHOA 081355210001 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
94 7401035110970001 FITRI FEBRIANI P 24 18-30 HORODOPI 082290597540 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
95 740103520880004 NURHAEDAH P 34 31-45 WATULIANDU 085333370338 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
96 7371141702850001 DIMAS HARRY BUDIMAN L 36 31-45 PERUM TOGIKA RESIDENCE 081241700678 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
97 7401202704900001 A.ADNAN RISAL L 31 31-45 DESA LIKU 02236887208 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
98 7308234107930312 KASMAWATI A P 28 18-30 LINGK. AWASSALO 085825485886 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
99 7401012701920003 HABIBI L 29 18-30 JL. MATABALE WUNDULAKO 082293270222 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
100 7401036907970006 MUTMAINNA P 24 18-30 JL. CAKALANG 082293902759 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
101 7401040104920002 ZUL FADLI L 29 18-30 JL. CAKALANG 082191383116 28-06-2021 28-06-2021 24003721 LANJUT
102 7401044412920004 DAHLIA P 30 18-30 JL. MEKONGGA INDAH 082237700673 28-06-2021 28-06-2021 24003721 LANJUT
103 7401014703740001 MARTHA LIMBBONG P 47 46-59 DESA 19 NOVEMBER 085241766774 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
104 7471014107890001 FLORENTINA APRIYANI SURI P 32 31-45 JL. IMAM BONJOL 082217961561 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
105 SINAR BAJA 7401044112010001 KHUSNUL AMALIA P 21 18-30 LALOEHA 082298977980 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
106 SINAR BAJA 741035012990001 IRMA FITRIANI P 23 18-30 INEBENGGI MOWEWE 082271507731 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI
107 7471051210830002 SAMSUDDIN L 37 31-45 JL. DR. SAMRATULANGI 082291669082 28-06-2021 28-06-2021 24003721 27/7/2021 24201121 SELESAI

D = Lainnya
E = Tidak Bekerja

18-30 56 0 A 0
31-45 41 0 B 0
46-59 8 0 C 0
Total 105 0 D 0
Pekerjaan: E 0
A 0 107 Total 0
B 0 90
C 0
D 0
E 0
Total 0
27-07-2021


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401040512970001 REZA KRISTIAN L 24 18-30 JL. SLAMET RIYADI NO.0 082271123530 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
2 7408045010990001 NOVANI P 22 18-30 J. PEMUDA 082234731247 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
3 7401034609910001 WILDA ELSA SAFITRI P 25 18-30 JL. SULTAN HASANUDDIN 085396101252 6/7/2021 6/7/2021 24200321 LANJUT
4 7401042509900001 ADYA MAHARDIAN L 31 31-45 JL. PERUMNAS RAYA 082293883211 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
5 7401145503520001 SITTI NURHAYATI P 69 60-199 JL. JEND. SUDIRMAN NO. 6 081341508915 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
6 7401140805970003 JOKO SAMPURNO L 24 18-30 JL. DURIAN NO. 26 082291299944 6/7/2021 6/7/2021 24200321 LANJUT
7 7401044401810001 NIDA ERWINDA P 40 31-45 JL. KAKAP NO.17 081342637072 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
8 7401147112600005 A. NURHAEDA P 61 60-199 JL. ABADI 085298974711 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
9 7401144404640001 NURHAENA P 57 46-59 JL. MERDEKA NO. 5 082192580421 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
10 7401144903720004 ROSMIARNI P 49 46-59 JL. REPELITA NO. 44 085241446710 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
11 7401144808730002 KUSMIATI P 48 46-59 JL. ABADI NO. 20 085341609312 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
12 7401044905590001 SITTI FATIMAH P 62 60-199 JL. LANDAK NO. 38 085241858620 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
13 7401147112000006 MARWANA P 21 18-30 JL. ABADI 082291574357 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
14 32010209990008 FAJAR SIDIK L 22 18-30 JL. KP. PODURENAN CIBINONG 085156923225 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
15 3404073008830017 JHONYFRANKY S.M.S SIREGAR L 38 31-45 PERUM KANANA SEJAHTERA NO. 2 E 08112953434 6/7/2021 6/7/2021 24200321 LANJUT
16 7401014310940001 NIKEN RAHAYU P 27 18-30 JL. SLAMET RIADI 082292571112 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
17 7371097112420129 MAIDA P 79 60-199 KOMP. BTN TAHOA BLOK 18 NO. 8 085399339381 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
18 7401043112710022 KUSWANDI L 50 46-59 SIRA LAMOKATO 0812421349911 6/7/2021 6/7/2021 24200321 LANJUT
19 7401046702510001 MIENTJE NUPPU P 70 60-199 JL. HALUOLEO NO. 40. B 082187672713 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
20 7401041212810003 BASTYAN L 40 31-45 PONDUI LALOEHA 081341553415 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
21 332541507020001 RIFKI AZIZI L 19 18-30 DS. ADINUSO 085325295242 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
22 7401045010810003 SARKIA R P 40 31-45 JL. PONDOK PASANTREN 081341844813 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
23 7401147112660011 NURHANA P 58 46-59 JL. ABADI SEA 085299298481 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
24 7401144409890001 FITRIANI P 32 31-45 LINGK. V KAMPUNG BERINGIN 082188401339 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
25 7401146411900001 MITA APRIANI P 31 31-45 JL. KARTINI 082250947694 6/7/2021 6/7/2021 24200321 LANJUT
26 7401045503800003 MIRNAWATI P 41 31-45 KOMP. BTN BLOK 18 NO. 15 082255393774 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
27 7401041207010007 MUHAMMAD FAKHRI HAFIZH L 20 18-30 JL. AHMAD YANI 085157797827 6/7/2021 6/7/2021 24200321 LANJUT
28 7371107112490023 BIMBI P 72 60-199 JL. BONTODURI NO. 7 082210551603 6/7/2021 6/7/2021 24200321 LANJUT
29 7208091111870002 ASKURDIN L 34 31-45 JL. PRAMUKA NO. 3 085241431555 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
30 7401086402950001 FEBBY ARNIA AMIR P 26 18-30 LINGK. I WOLULU WATUBANGGA 082293290443 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
31 7401142706720001 IRWAN L 49 46-59 JL. ALAM MEKONGGA 0811405588 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
32 9109015503910001 MILA SARI P 30 18-30 JL. CAKALANG SEA LATAMBAGA 081243096115 6/7/2021 6/7/2021 24200321 LANJUT
33 7401044703690001 HJ. NURHANA P 62 60-199 JL. SIRA 08124199022 6/7/2021 6/7/2021 24200321 LANJUT
34 7401046603740002 SUTIYEM P 47 46-59 JL. PRAMUKA 082211948594 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
35 7401042810820008 SUKISNO BASIR L 39 31-45 JL. TAKWA NO. 7 081244444894 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
36 7401046211880001 IDA WAHYUNI P 33 31-45 JL. LANDAK NO. 38 085299952520 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
37 7401042905800004 SAMSI USMAN L 41 31-45 JL. KASUARI LALOEHA 085256045008 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
38 7401146101920001 IRMA AMALIA P 29 18-30 JL. MERDEKA NO. 5 085299921830 6/7/2021 6/7/2021 24200321 LANJUT
39 7401144101910004 MULIANI P 30 18-30 JL. PRAMUKA 082188010794 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
40 7401140907870002 HELDARSYAH L 34 31-45 JL. SULTAN HASANUDDIN 085241559838 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
41 7401140709840001 MUSTAMING L 37 31-45 HKSN MINA PERMAI 081341678999 6/7/2021 6/7/2021 24200321 LANJUT
42 7401144105670001 NURIANI P 54 46-59 JL. DURIAN NO. 57 085250231721 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
43 7401076208760001 SUMARNI P 45 31-45 DUSUN I WIRABUANA 082293134926 6/7/2021 6/7/2021 24200321 LANJUT
44 7401045506650002 LARSI P 56 46-59 MURUH DESA SLOGORETNO 082326170847 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
45 3522230708820002 WANURI L 39 31-45 KOLAKA 085854744453 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
46 3522230911880001 HANDRI SETIYAWAN L 33 31-45 KOLAKA 082223646050 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
47 3522231608760009 TARMUJI L 45 31-45 KOLAKA 081332717701 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
48 7401044112640002 INDAHARI P 57 46-59 JL. SIRA NO. 9 081341214137 6/7/2021 6/7/2021 24200321 LANJUT
49 7401143012950001 MUH. BASRUL ANWAR L 26 18-30 LINGK. I MANGOLO 082398712596 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
50 7401045312890003 RATIH P 32 31-45 JL.MEKONGGA INDAH 082188166888 6/7/2021 6/7/2021 24200321 LANJUT
51 7401047112800032 HARIANI P 41 31-45 JL, ALAM MEKONGGA 085241942191 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
52 7401044601780002 MURYANI P 43 31-45 JL. HALUOLEO NO. 40. A 081350350575 6/7/2021 6/7/2021 24200321 LANJUT
53 320521600680002 WIDA P 41 31-45 SINDANG SARI 082321590632 6/7/2021 6/7/2021 24200321 LANJUT
54 7309120107350019 BUSRAN L 50 46-59 JL. KEMAKMURAN 085241576559 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
55 7401144704030004 DELLA APRILIANA PRATIWI P 18 18-30 JL. DURIAN 082349222687 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
56 7401144201910001 HOERIYAH P 30 18-30 JL. HALUOLEO NO. 38 082290130718 6/7/2021 6/7/2021 24200321 LANJUT
57 7401043112810029 ALI L 40 31-45 JL PEMUDA 082188815517 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
58 7401046706550001 DJUNELLAH PINGAK P 66 60-199 LALOMBAA 085398184378 6/7/2021 6/7/2021 24200321 LANJUT
59 7401140404950001 M. REZKY RIDWAN L 22 18-30 JL. ABADI 081349536760 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
60 7401043005020002 MUH. RYAN ADITYA L 19 18-30 JL. DR. SUTOMO 085351369799 6/7/2021 6/7/2021 24200321 LANJUT
61 7401146903030001 INGGIT RAHMA SARI P 18 18-30 JL. LURE 085398808841 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
62 7401144101710003 ATI P 50 46-59 JL. LURE 085239601991 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
63 7401040412600001 ANTHON LUKAS L L 61 60-199 JL. PAHLWAN 081245850777 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
64 7401461117960001 HARIYANI P 38 31-45 JL. ABADI 082349222884 6/7/2021 6/7/2021 24200321 LANJUT
65 7401141109980001 MUH. ILHAM SYAHRIR L 23 18-30 JL. LURE 082353331739 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
66 7307016504950002 NISMANIYAR P 26 18-30 ARANGO SINJAI BARAT 085343765849 6/7/2021 6/7/2021 24200321 LANJUT
67 7401142505750001 BAKRI USMAN L 46 46-59 JL. PONDOK PASANTREN 085340000152 6/7/2021 6/7/2021 24200321 LANJUT
68 7401010505780004 ALIMUDDIN C L 43 31-45 TOWUA DUSUN I 082393439229 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
69 7401146006830004 KARMILA P 38 31-45 JL. LURE 081242019985 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
70 3311040406660002 KISNO L 55 46-59 TANJUNG SARI 081245698743 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
71 7401031810840002 KASMIN L 37 31-45 JL. BENDUNGAN LINGK. II 085255763736 6/7/2021 6/7/2021 24200321 LANJUT
72 7401140404860002 SUYANTO L 35 31-45 JL. WTA LAWU 082261590695 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
73 7401045804790002 MUSDALIFAH P 42 31-45 JL. WOLTER MONGINSIDI 085241600970 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
74 7401046405840001 VERONICA P 38 31-45 JL. PAHLAWAN NO. 38 085397021342 6/7/2021 6/7/2021 24200321 LANJUT
75 7401044501750002 YANTI TAPOOMBII P 46 46-59 JL. HALUOLEO NO. 42 081259450149 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
76 7401042802830004 ERWIN SIMARE MARE L 38 31-45 JL. HALUOLEO NO. 30 085298129471 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
77 3509080505690003 AHMAD ARIFIN L 52 46-59 DUSUN Krpian JATIM 085730479143 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
78 350905013730002 HASAN RUSDI L 49 46-59 JATIM 081246968789 6/7/2021 6/7/2021 24200321 LANJUT
79 7405226005850001 SARLIANTI P 36 31-45 JL. ABADI LERG. MEOHAI 082347283824 6/7/2021 6/7/2021 24200321 LANJUT
80 7401046407850001 MINARTI P 35 31-45 KOLAKAASI 085255555703 6/7/2021 6/7/2021 24200321 LANJUT
81 3509080107730647 ABDUL MUTOLIP L 48 46-59 JATIM 083852331636 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
82 7401046504750001 SUSI SUSANTI P 46 46-59 JL. PRAMUKA NO. 60 085241829455 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
83 7401141205670001 UMAR HS L 54 46-59 JL. KEMAKMURAN 085241669067 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
84 3506042209920002 ANNAS AKABAR PRTAMA L 29 18-30 DUSUN BADUNG 08114006690 6/7/2021 6/7/2021 24200321 LANJUT
85 7401143112550003 JAMAL L 66 60-199 JL. PALA 081245615637 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
86 7401254910790001 YAKOLINA DAMITA P 42 31-45 JL. TAMALAKI KOLAKAASI 082290065852 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
87 7401044406010002 RESTINA MAULIYANTI P 20 18-30 JL. WOLTER MONGINSIDI 082293160015 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
88 7401141505770003 MUH. ARSYID L 44 31-45 JL. DURIAN 081340403663 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
89 7401044309980001 STEVIANA KASIM P 23 18-30 KOMPLEKS BTN PERMAI BLOK G NO. 25 085299333471 6/7/2021 6/7/2021 24200321 LANJUT
90 7401140105900002 YASDAR YAHYA L 31 31-45 JL. ABADI 082292204971 6/7/2021 6/7/2021 24200321 LANJUT
91 7401044112990004 MUSLINDA P 22 18-30 JL. PEMUDA LR SOPPENG 0852289457834 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
92 3321030905830002 NURYADI L 38 31-45 BAKALREJO JAWA TENGAH 08120024055 6/7/2021 6/7/2021 24200321 LANJUT
93 730205508920001 JUMARNI P 29 18-30 MANGOLO 08187150343 6/7/2021 6/7/2021 24200321 LANJUT
94 7401086204940001 SALISATUN MUNAWAROH P 27 18-30 LINGK. III WATUBANGGA 081247086689 6/7/2021 6/7/2021 24200321 LANJUT
95 7401045507880002 JUMRIANI P 33 31-45 LRG SOPPENG 08236554573 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
96 7401044210730001 ST. NURWAHIDAH P 48 46-59 LRG. IKLIM 085242356234 6/7/2021 6/7/2021 24200321 LANJUT
97 3322150506930003 IMAM ROFSAMJANI L 28 18-30 JATENG 081225671121 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
98 7401144809980001 RISKIANADEWI P 23 18-30 JL. TPI 085299522229 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
P 33122141100100003 WAHYU NINDA M. P 20 18-30 JATENG 082226005155 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
100 3202472811960001 ARIS WAHYUDDIN L 25 18-30 CIPAMUTIH 085872306638 6/7/2021 6/7/2021 24200321 LANJUT
101 7401043112690026 SULAIMAN L 52 46-59 LAMOKAO 085240842349 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
102 352112211077002 PURNOMO L 44 31-45 JATIM 081242581433 6/7/2021 6/7/2021 24200321 LANJUT
103 1202074601890001 JAMIANTI PERONKA MANALU P 31 31-45 DUSUN V PARCEMBILAN 082393318638 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
104 7401141407900001 TIRTA SANJAYA L 31 31-45 JL. PENDIDIKAN 08525665412 6/7/2021 6/7/2021 24200321 LANJUT
105 7401041405010001 CHANDRA ADI KUSUMA JAYA L 20 18-30 JL. KAKAKTUA 085340169426 6/7/2021 6/7/2021 24200321 LANJUT
106 7403014603930001 ASLIA P 28 18-30 JL. PERMATA BIRU 082290660134 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
107 7401045412820002 ST. ASIYAH P 39 31-45 JL. SIRA 082189919046 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
108 7401145305860001 SUHARNI P 35 31-45 MANGOLO 085656761929 6/7/2021 6/7/2021 24200321 LANJUT
109 7401041106830003 GUNAWAN L 38 31-45 LALOMBAA 082190751349 6/7/2021 6/7/2021 24200321 LANJUT
110 7371096403980009 PUTRI SRI RAHAYU P 23 18-30 JL. PALA 082394567612 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
111 7401046412790001 INDIYANI BAGSAWAN P 42 31-45 KOMP. PERUM DOSEN IKIP 082393333079 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
112 7401025608960001 RISMAWATI P 25 18-30 JL. DURIAN NO. 114 082273455803 6/7/2021 6/7/2021 24200321 LANJUT
113 7302062011910002 UMAR L 30 18-30 MANGOLO 085394527808 6/7/2021 6/7/2021 24200321 LANJUT
114 7401041911920001 MIFTAH FARID LATIF L 29 18-30 JL. PRAMUKA 082346678903 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
115 7401140101630001 RAJIMIN L 58 46-59 JL. PALA 082293623585 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
116 7401040809940001 CHAIDIR FADHIL L L 27 18-30 JL. PRAMUKA 082127771669 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
117 7401146511860001 RATNA MUSA P 35 31-45 JL. DURIAN 085342685334 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
118 7401141805950001 HARDIANTO L 26 18-30 JL. H. LARURU 082336180044 6/7/2021 6/7/2021 24200321 LANJUT
119 7401047012640001 HALIJA P 57 46-59 JL. MESJID DARUSSALAM 081341787312 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
120 7401142301950001 BERTY FAHMY L 26 18-30 JL. ABADI SEA 082344136210 6/7/2021 6/7/2021 24200321 LANJUT
121 7318203004000003 PRASETYO SALUU L 21 18-30 LIMBONG 082391738950 6/7/2021 6/7/2021 24200321 4/8/2021 24004421 SELESAI
122 7401075609720002 RABIAH P 49 46-59 JL. KENANGA 082187699180 6/7/2021 6/7/2021 24200321 LANJUT
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140 7401074302020003 FEBY RESKY.A P -19 0 JL.KORAPO 085299637363 30/6/2021 30/6/2021 24003721 4/8/2021 24004421 SELESAI
141 7308214505670002 ERNI P -54 0 JL.KORAPU 085342124321 30/6/2021 30/6/2021 24003721 4/8/2021 24004421 SELESAI
142 7401146104970003 SISKA NUR FAJRIANI P -24 0 SEA 082291406696 26/6/2021 26/6/2021 24003721 4/8/2021 24004421 SELESAI
143 7401251411970001 JUMARDI L -24 0 JL.USAHA TANI 085299634916 30/6/2021 30/6/2021 24003721 4/8/2021 24004421 SELESAI
144 7401146609850002 ANITA PUSPITA PANDIRI P -36 0 SEA 082152359093 26/6/2021 26/6/2021 24003721 4/8/2021 24004421 SELESAI
145 7308212604810003 YANSON L -40 0 SEA 082346218855 26/6/2021 26/6/2021 24003721 4/8/2021 24004421 SELESAI
146 7401141010810003 SUPARMAN SYAMSUDDIN L -40 0 HKSN 082194471772 30/6/2021 30/6/2021 24003721 4/8/2021 24004421 SELESAI
147 740104411790003 MAYA ARIANI P -42 0 JL.NURI 081241993993 26/6/2021 26/6/2021 24003721 4/8/2021 24004421 SELESAI
148 74011415048700001 ABBY MUBARAK L -34 0 JL.DURIAN 085341511663 28/6/2021 28/6/2021 24003721 4/8/2021 24004421 SELESAI
149 7401042605870001 DEDI L -34 0 JL.SLAMET RIADI 082239999113 26/6/2021 26/6/2021 24003721 4/8/2021 24004421 SELESAI
150 74011445002980002 NUR MELINDA P -23 0 SANI-SANI 082275542210 7/5/2021 7/5/2021 24001321 4/8/2021 24004421 SELESAI
151 7309071007900002 WAWAN L -31 0 LALOEHA 085241868751 30/6/2021 30/6/2021 24003721 4/8/2021 24004421 SELESAI
152 7401206606970001 NURUL HIJRAH P -24 0 SANI-SANI 081245045382 7/5/2021 7/5/2021 24001321 4/8/2021 24004421 SELESAI
153 7401040863790001 DHUDY HARYADI L -42 0 JL.NURI 08124397698 4/7/2021 4/7/2021 24003721 4/8/2021 24004421 SELESAI
154 7401044807780001 MURSIDA MAKMUR P -43 0 SITISEWU YOGYAKARTA 082191789678 26/6/2021 26/6/2021 24003721 4/8/2021 24004421 SELESAI
155 7403104606980201 ANGRY YUSTIANI ADI NINGSIH P -23 0 DESA WAWESA KAB.MUNA 081991012544 26/6/2021 26/6/2021 24003721 4/8/2021 24004421 SELESAI
156 7407045008940001 LISMIHARTI P -27 0 LING.SOWA KEL.PALAHIDU 082187933173 26/6/2021 26/6/2021 24003721 4/8/2021 24004421 SELESAI
157 7471015511920001 MISNAWATI P 29 18-30 JL SUBSIDI 085343556772 4/8/2021 24004421 SELESAI
158 740114420420002 WANNY HUTABARAT P 19 18-30 KOLAKAASI 082346405377 4/8/2021 24004421 SELESAI
159 7471034307990001 ZARA ASMAUL P 22 18-30 KENDARI 085298537618 4/8/2021 24004421 SELESAI
160 7471014404910001 NUR APRIYANTI P 30 18-30 KENDARI 081311538869 4/8/2021 24004421 SELESAI
161 7471045405980001 ERPINA ELPIANI P 23 18-30 JL AIR MATA 082293640798 4/8/2021 24004421 SELESAI
162 7401206610020005 NURUL HIKAMAH P 19 18-30 SAMATURU 082259544248 4/8/2021 24004421 SELESAI
163 7401042211850001 FIRMAN L 36 31-45 LAMOKATO 085241818874 4/8/2021 24004421 SELESAI
164 7405126404980001 RUSNAH P 23 18-30 KONSEL 085299393614 4/8/2021 24004421 SELESAI
165 7407014705970002 SITI NUR ANJANI P 24 18-30 WAKATOBI 082261052445 4/8/2021 24004421 SELESAI
166 7407075707950002 SRI HASTI P 26 18-30 BAHARI BARAT 082196311480 4/8/2021 24004421 SELESAI
167 7401145104000001 FITRIANI P 21 18-30 ULAKA 085326819365 4/8/2021 24004421 SELESAI
168 7401145001940004 AYU LESTARI P 27 18-30 SAKULI 082215330157 4/8/2021 24004421 SELESAI
169 7401145211000001 SITI ADELIA QURANIA P 21 18-30 JL DERMAGA 082254730466 4/8/2021 24004421 SELESAI
170 74010712060100002 MUH AVIN ALKADIN L 20 18-30 PANCORAN 082292502012 4/8/2021 24004421 SELESAI
171 7401046803030001 ANANDA NURUL P 18 18-30 JL NURI 0821965853713 4/8/2021 24004421 SELESAI
172 7401046512980001 ANDI FANI PRATIWI P 23 18-30 JL MEKONGGA INDAH 087810078543 4/8/2021 24004421 SELESAI
173 7401146905900001 AYU ANDIRA P 31 31-45 WOWOTA 4/8/2021 24004421 SELESAI
174 740104290200000 ILHAM NURWANDY L 21 18-30 JL PAHLAWAN 4/8/2021 24004421 SELESAI
175 7401042802860005 JUNAEDI L 35 31-45 TAHOA 4/8/2021 24004421 SELESAI
176 7401045705660001 NURNIA SAMMANG P 55 46-59 4/8/2021 24004421 SELESAI
177 7405136707010003 MUSDALIFAH P 21 18-30 DUSUN IV 082292522668 4/8/2021 24004421 SELESAI
178 7472015703950001 SALMATIA P 26 18-30 J. HOGA BAU-BAU 085399505572 4/8/2021 24004421 SELESAI
179 7402016008980001 ARNIA P 22 18-30 DESA AMBERI 082250436535 4/8/2021 24004421 SELESAI
180 74021952019660001 RISMAWATI P 25 18-30 DESA KASUKIA 082259745619 4/8/2021 24004421 SELESAI
181 7401044408990002 ASTAGHYNA ALPHY AURORA P 22 18-30 ASPOLRES KOLAKA 082271222801 4/8/2021 24004421 SELESAI
182 7401040302010003 MUH. YUSUF SALEH L 20 18-30 JL. NURI NO. 29 082238492101 8/4/2021 8/4/2021 24004421 4/8/2021 24004421 SELESAI
183 7371054103000002 ANNISA FADILAH AHMAD P 21 18-30 JL. SATANDO 082192359582 8/4/2021 8/4/2021 24004821 4/8/2021 24004421 SELESAI
184 7401071008780001 ZULKARNAIN L 43 31-45 JL. GARUDA LRG I 4/8/2021 24004421 SELESAI
185 7401040304890007 MUH ANDRI ASHARI L 32 31-45 TAHOA 4/8/2021 24004421 SELESAI
186 14007052810900003 ISHAK MASHUDI L 31 31-45 4/8/2021 24004421 SELESAI
187 7401145311000003 AZIZAH AZZAHRA P 21 18-30 JL REPELITA NO 1 4/8/2021 24004421 SELESAI
188 3311046304680002 SUGIATI P 53 46-59 JL NURI 4/8/2021 24004421 SELESAI

189 7401044604020006 KHARISMA SULISTYA P 19 18-30 POASIA 4/8/2021 24004421 SELESAI
190 7401144809830003 HJ ROSNANI P 38 31-45 JL USMAN RENCONG 4/8/2021 24004421 SELESAI
191 7401144206030000 ANNISA MALIKA AKBAR P 18 18-30 JL USMAN RENCONG 4/8/2021 24004421 SELESAI
192 0 192
193 0 251
194 0
195 0
196 0
197 7401075603960005 RUTH MELDA MANIK LATHU P 25 18-30 JL.KHAIRIL ANWAR 082344499969 30/6/2021 30/6/2021 24200321 4/8/2021 24004421 SELESAI

D = Lainnya
E = Tidak Bekerja

18-30 175 0 A 0
31-45 148 0 B 0
46-59 87 0 C 0
Total 410 0 D 0
Pekerjaan: E 0
A 0 402 Total 0
B 0 313
C 0
D 0
E 0
Total 0
3/8/2021
DOSIS II
INPUT TGL 25
4/8/2021


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401046108910001 ANGGUN SASMITA P 30 18-30 JL MEKONGGA INDAH 082292215702 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
2 7401044801950002 SASTRIND JANUARNI UMAR P 26 18-30 BTN TAHOA 085340579378 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
3 7401145703500002 HJ MINA P 71 60-199 JL CAREDE 085311079807 10/7/2021 10/7/2021 24201321 LANJUT
4 7401044105660002 SUKMIATI P 55 46-59 BTN TAHOA 082299741391 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
5 7401044805030002 WAFIQ ASIZAH P 18 18-30 BTN TAHOA 085256309642 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
6 7408084705870003 HERLINA P 34 31-45 DESA LAMBAI 082259761668 10/7/2021 10/7/2021 24201321 LANJUT
7 7401140112730001 H NANANG P 48 46-59 JL CAREDE 085241575782 10/7/2021 10/7/2021 24201321 LANJUT
8 7401144107740001 H ONDONG P 47 46-59 JL CAREDE 082254727694 10/7/2021 10/7/2021 24201321 LANJUT
9 7401041508900003 OKY AGUSTA SURA L 31 31-45 JL SLAMET RIYADI 082194082416 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
10 7401042303930002 MINALDIN FAISAL L 28 18-30 JL LULO 082196091114 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
11 7401041211860005 URYADI UMAR L 35 31-45 JL. KONGGOASA NO. 18 085222444146 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
12 7371116508870003 ASTRID CIPTA LESTARI P 34 31-45 BUMI PERMATA SUDIANG BLOK 12/16 082393355933 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
13 740101012650003 UNIT DJARWANTO L 36 31-45 JL. KASUARI NO. 10 085241802768 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
14 7401046202960004 FITRI DWI MANGASTUTY P 25 18-30 JL. INDUMO 085299870231 10/7/2021 10/7/2021 24201321 LANJUT
15 7309141303890007 NURDIN L 32 31-45 JL. DURIAN 085216188887 10/7/2021 10/7/2021 24201321 LANJUT
16 7408040501720001 ABU BAKAR L 49 46-59 DESA LANDOLIA 085212933897 10/7/2021 10/7/2021 24201321 LANJUT
17 350161504000003 ALAM JUANG SABATAMA L 21 18-30 JL. TARAKAN 085824054729 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
18 7401145909920002 HASNIATI P 30 18-30 JL. CAREDE 085299804726 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
19 7401145007770002 MIRNA UMADJI P 44 31-45 JL. ABADI LRG. TANI 082293720571 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
20 7401144201020002 VICKY AMALIA P 19 18-30 JL. DELIMA 082150138551 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
21 7401047007730001 WAYAN SUARNI P 48 46-59 JL. PEMUDA 085241598345 10/7/2021 10/7/2021 24201321 LANJUT
22 7401044901950002 FERA RAHMAYANI P 26 18-30 BTN TAHOA BLOK G 081242371185 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
23 7378043005830001 DENNIS JULIANTO L 38 31-45 BRATANG GEDE 085731775222 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
24 7401040107590030 UMAR L 62 60-199 JL. PAUS 085241767021 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
25 7401141712010001 MUH. ALIMUDDIN L 20 18-30 LINGK. II LALODIPU 085298974119 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
26 7401145007680002 SITTI AMINA P 53 46-59 JL DURIAN 082194579856 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
27 7401144809710001 WARNIDAH P 50 46-59 JL. SUNU NO. 112 085397586454 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
28 7401141203690001 MUHAMMAD NUR L 52 46-59 JL. DURIAN NO.3 082247122122 10/7/2021 10/7/2021 24201321 LANJUT
29 7401015504980002 RISNAWATI P 23 18-30 JL. SUMBER REJEKI 085525344138 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
30 7315111012750002 BURHANUDDIN L 50 46-59 JL. CAREDE 081218367256 10/7/2021 10/7/2021 24201321 LANJUT
31 7401227112520001 ANDI SALEHA P 69 60-199 LAMOKATO 082290130345 10/7/2021 10/7/2021 24201321 LANJUT
32 7401146505750003 NAMRI P 46 46-59 JL. CAREDE 085395227383 10/7/2021 10/7/2021 24201321 LANJUT
33 7401043007790001 MADE ALI L 42 31-45 JL. BANTENG NO. 71 08124397396 10/7/2021 10/7/2021 24201321 LANJUT
34 7401140911020002 ALWI RAMADHAN L 19 18-30 JL. BOLU NO. 30 085319170179 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
35 730903411040001 HAWANIAH P 81 60-199 BULUSIPONG 085238985833 10/7/2021 10/7/2021 24201321 LANJUT
36 7401142507820001 KARTONO WAFIR L 39 31-45 JL. ABADI 085319554195 10/7/2021 10/7/2021 24201321 LANJUT
37 7401145910780002 FATRA L 43 31-45 JL. BOLU NO. 30 085351369826 10/7/2021 10/7/2021 24201321 LANJUT
38 7401144810810001 ERNI P 40 31-45 JL. TPI 081245933154 10/7/2021 10/7/2021 24201321 LANJUT
39 7313084912870004 FITRIANI P 34 31-45 JL. H. MUZAKKIR 082317344134 10/7/2021 10/7/2021 24201321 LANJUT
40 7401044301990002 LISA APRIANTI P 22 18-30 JL. PEMDA LRG SOPPENG 082217230994 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
41 7312085308920002 AFENNY P 29 18-30 JL. PEMUDA NO. 16 082394641769 10/7/2021 10/7/2021 24201321 LANJUT
42 7401146804870001 RAHMAWATI HATTTA P 34 31-45 JL. ABADI NO. 40 085396967006 10/7/2021 10/7/2021 24201321 LANJUT
43 74010471126800021 ANDI DARMA P 53 46-59 JL. PAHLAWAN 082293139792 10/7/2021 10/7/2021 24201321 LANJUT
44 7401146310960001 ARMIA P 25 18-30 JL. KAMBOJA 08229228798 10/7/2021 10/7/2021 24201321 LANJUT
45 7401014309910001 WARNI P 30 18-30 TAHOA 082226453227 10/7/2021 10/7/2021 24201321 LANJUT
46 7401147112770002 SARI BUNGA P 44 31-45 JL. DERMAGA 082293617607 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
47 7401144605750003 SURIYANI P 46 46-59 JL. DERMAGA 085322984045 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
48 7401044707960002 FITMISARI P 25 18-30 JL. AHMAD YANI 085298141147 10/7/2021 10/7/2021 24201321 LANJUT
49 7401145607780001 SYAMSIDAR TAKDIR P 43 31-45 JL. ABADI NO. 226 085311854033 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
50 7401074211890001 SUSANTI P 32 31-45 JL. PAHLAWAN 085396729297 10/7/2021 10/7/2021 24201321 LANJUT
51 7408040108950002 RIWAN L 26 18-30 DESA TOROTUA 082264947567 10/7/2021 10/7/2021 24201321 LANJUT
52 7401146904000001 WAHIDAH P 21 18-30 JL. CAREDE 081241311778 10/7/2021 10/7/2021 24201321 LANJUT
53 7401201208010001 JUMARDI L 20 18-30 DUSUN IV SILEA 082120443849 10/7/2021 10/7/2021 24201321 LANJUT
54 7401184810850002 A. RESINA RESMI P 36 31-45 BTN BUKIT BALNDETE 082291981377 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
55 7401146301750001 NINI P 46 46-59 JL. CAREDE 082394244119 10/7/2021 10/7/2021 24201321 LANJUT
56 7401145206820001 SUKMAWATI ISMAIL P 39 31-45 JL. KAMBOJA 085241919733 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
57 7408015207880002 IDA YARO SE P 33 31-45 JL. HALUOLEO 085234831231 10/7/2021 10/7/2021 24201321 LANJUT
58 7408010703860002 ARFADIANTO AM S.PSI L 35 31-45 JL. HALUOLEO 082334646797 10/7/2021 10/7/2021 24201321 LANJUT
59 74011459073930001 HARDIANTI RUKMANA P 28 18-30 JL. DELIMA 0822901624455 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
60 7401140107870006 BATMAN L 34 31-45 JL. DERMAGA 082333358974 10/7/2021 10/7/2021 24201321 19/8/2021 24004821 SELESAI
61 7401141808730003 HARUNA L 48 46-59 JL. CAREDE 081341701812 10/7/2021 10/7/2021 24201321 LANJUT
62 7401145702980002 FARADIBA SABIR P 23 18-30 JL. TAMAN LAUT 085255126917 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
63 7401146409000001 DIAN P 21 18-30 JL. ABADI 08122231572 10/7/2021 10/7/2021 24201321 LANJUT
64 7401141011990002 IRWAN MT L 22 18-30 JL. CAREDE 085396623676 10/7/2021 10/7/2021 24201321 LANJUT
65 7401145907990001 INGGRID ASTRIANTHY P 22 18-30 JL. DURIAN N0. 10 081213364805 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
66 7401044705950005 RISCA NURMEILANI P 26 18-30 JL. PATTIMURA NO. 2 085394088114 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
67 7401041607910000 ARRAM WIRADAT JAYA L 30 18-30 JL. PATTIMURA NO. 2 085399112113 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
68 7406215511910001 MUTIARA WAHYUNI S P 30 18-30 JL. ABADI 081292019758 10/7/2021 10/7/2021 24201321 LANJUT
69 7401044608910001 NUR HAIDA P 29 18-30 JL. TAMALAKI 082349802452 10/7/2021 10/7/2021 24201321 LANJUT
70 7401044103670001 HASNA P 54 46-59 JL. TAMALAKI 082349802452 10/7/2021 10/7/2021 24201321 LANJUT
71 7401045702980001 NUR MADINA LATIF P 23 18-30 JL. PRAMUKA 081243356739 10/7/2021 10/7/2021 24201321 LANJUT
72 7308212204010004 MUH. AGUNG MASSARDI L 20 18-30 JL. DELIMA 081238856786 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
73 7401042707990000 ANDI FANY ANUGRAH L 22 18-30 JL. PAHLAWAN 081210477735 10/7/2021 10/7/2021 24201321 LANJUT
74 7401045806800004 NUSARIA P 39 31-45 JL. PRAMUKA 085334833404 10/7/2021 10/7/2021 24201321 LANJUT
75 7401146905710001 RAMLA P 50 46-59 JL. ABADI 085397325540 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
76 7401140508990003 MUH. RIZAL JIBRAN L 22 18-30 JL. ABADI 082282587218 10/7/2021 10/7/2021 24201321 LANJUT
77 7401140507930001 SYAHRUL L 28 18-30 JL. SUNU 085333179090 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
78 7401041808860001 RUSTAM L 35 31-45 JL. DERMAGA 082249014086 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
79 7401147112580022 HJ. LANI P 63 60-199 JL. CAREDE 085397462783 10/7/2021 10/7/2021 24201321 LANJUT
80 7401140402680001 ARIYANTO L 53 46-59 JL. CAKALANG 085823802399 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
81 7401145007740001 MARWATI P 47 46-59 JL. CAKALANG NO.14 085656578379 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
82 7401145907650001 HJ. DARMA P 50 46-59 JL. SUNU 085298384676 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
83 7308231804920003 MOH. ADI L 29 18-30 ABBEKE 085397039555 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
84 7401144208720001 SYARIF RIKSAN L 30 18-30 JL. JEND. SUDIRMAN 085386824186 10/7/2021 10/7/2021 24201321 LANJUT
85 7401040705850005 M NASWAR SYAMSUL L 36 31-45 KOMP. PASAR MEKONGGA 085395228333 10/7/2021 10/7/2021 24201321 LANJUT
86 7401211709020001 AHMAD REZKI EFENDI L 19 18-30 LRG. PLN 087761441066 10/7/2021 10/7/2021 24201321 LANJUT
87 7401141908870001 HASANUDDIN L 34 31-45 JL. LUMBA-LUMBA 085241816745 10/7/2021 10/7/2021 24201321 LANJUT
88 7401261212900001 MUSDAR L 31 31-45 LINGK. III BULUSA 082250175065 10/7/2021 10/7/2021 24201321 LANJUT
89 7401022903770001 SATAR TARIF L 44 31-45 JL. PEMUDA 082259079252 10/7/2021 10/7/2021 24201321 LANJUT
90 7401040510830003 ADIANTO L 38 31-45 JL. MERPATI NO.7 085211059667 10/7/2021 10/7/2021 24201321 LANJUT
91 7401040210690002 MUH. SAING L 52 46-59 JL. PRAMUKA 085240677708 10/7/2021 10/7/2021 24201321 LANJUT
92 7407335209940001 RUSNA SARI P 27 18-30 KAPOLALA 085333371610 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
93 7401045208020001 NUR RIFKA KHAERUNNISA P 19 18-30 JL. GURAMI BLOK G N0.2 085298003708 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
94 74011453047900001 SUHARNANIK P 42 31-45 JL. GARUDA NO. 17 A 081341849999 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
95 74011422040300001 WAHYU THAHA YASIN L 18 18-30 JL. GARUDA NO. 17 081248177621 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
96 7401145001780001 IMA P 43 31-45 JL. ABADI 081244444985 10/7/2021 10/7/2021 24201321 LANJUT
97 7401140202780001 RIDWAN SAAD L 43 31-45 JL. ABADI 082188113164 10/7/2021 10/7/2021 24201321 LANJUT
98 7401140205970001 SAHARUDDIN L 24 18-30 JL. ABADI 082259298824 10/7/2021 10/7/2021 24201321 LANJUT
P 7401144511810003 MEGAWATI P 40 31-45 JL. KAYANGAN N0. 9, SAKULI 085241709077 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
100 7401144602020002 RAHMA SARDIANTI P 19 18-30 JL. DELIMA NO. 3 085225012106 10/7/2021 10/7/2021 24201321 LANJUT
101 1273046307910001 AYU LESTARI LUBIS P 30 18-30 JL. PERALIHAN NO. 22 081260083993 10/7/2021 10/7/2021 24201321 LANJUT
102 7408016608830001 MIRA ADRIANI L.G P 38 31-45 LONGORI 085341008544 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
103 7401141406990005 ADJIE ARDIANSYAH L 22 18-30 JL. KAYANGAN NO. 9, LATAMBAGA 081243711116 10/7/2021 10/7/2021 24201321 9/8/2021 24004821 SELESAI
104 7405195001890001 P 32 31-45 KONAWE SELATAN 085241822393 10/7/2021 10/7/2021 24201321 LANJUT
1 7401146904980002 MAYANG APRILYA P 33 31-45 JL. KAYANGAN 085399076767 26/7/2021 26/7/2021 24201121 LANJUT
2 1271144507860012 JUBEL G PURBA P 35 31-45 JL. KHAIRIL ANWAR 081263157108 26/7/2021 26/7/2021 24201121 LANJUT
3 74010407039600001 ANDI MUH. IAN L 25 18-30 JL. PRAMUKA 082248188372 26/7/2021 26/7/2021 24201121 LANJUT
4 7401140911950001 MUH. IRFAN AMIN L 26 18-30 LINGK. II PUUWIAU 082296246046 26/7/2021 26/7/2021 24201121 LANJUT
5 740124131293001 ASBAR L 28 18-30 DESA WOWOLI 082346813496 26/7/2021 26/7/2021 24201121 LANJUT
6 7401145312880001 FATMAWATII P 33 31-45 JL. AHMAD YANI 081241444337 26/7/2021 26/7/2021 24201121 LANJUT
7 7401142010850003 ANDI RIFIAL L 36 31-45 JL. BANTENG NO. 15 082188348819 26/7/2021 26/7/2021 24201121 LANJUT
8 7401141105020001 FADLILAH MEIDYANSYAH L 19 18-30 JL ABADI N0 254 081344495966 26/7/2021 26/7/2021 24201121 LANJUT
9 7401252601020002 ARNOLDUS RANGGA L 19 18-30 PLASMA JAYA 0881244501349 26/7/2021 26/7/2021 24201121 LANJUT
10 7401045503650003 SARNAWIAH P 56 46-59 JL PRAMUKA 085299583305 26/7/2021 26/7/2021 24201121 LANJUT
11 7401141511760002 YUSUF BEDDU L 45 31-45 JL KAMBOJA 085397089800 27/7/2021 27/7/2021 24201121 LANJUT
12 7401076802010002 SARAH AMELIA P 2021 0 JL DIPONEGORO 081242584356 27/7/2021 27/7/2021 24201121 LANJUT
13 3374021903790001 YOHANES L 42 31-45 081326275668 27/7/2021 27/7/2021 24201121 LANJUT
14 7401146305020002 NIFSAH HASTARI P 19 18-30 KELURAHAN MANGOLO 081245597344 27/7/2021 27/7/2021 24201121 LANJUT
15 7401041101820002 SUDIRMAN L 39 31-45 KELURAHAN SABILAMBO 082194735795 27/7/2021 27/7/2021 24201121 LANJUT
16 7371110406980004 REYNALDI L 23 18-30 085250898174 27/7/2021 27/7/2021 24201121 LANJUT

17 7371070202990005 RAHMATULLAH L 23 18-30 082348434290 27/7/2021 27/7/2021 24201121 LANJUT
18 7401041412900005 INKA ANGGA L 31 31-45 JL AHMAD YANI 082292828822 27/7/2021 27/7/2021 24201121 LANJUT
19 7408062007920002 SAMSUL L 29 18-30 JL PEMUDA LRG IKLIM 082215616112 27/7/2021 27/7/2021 24201121 LANJUT
20 7401205509970002 NUR ILMI P 24 18-30 SAMATURU 082354950417 27/7/2021 27/7/2021 24201121 LANJUT
21 7401205901010001 NURJANNAH P 20 18-30 085248544948 27/7/2021 27/7/2021 24201121 LANJUT
22 7401046408820003 MAYA INDRIATY P 39 31-45 BTN TAHOA 082346908338 28/7/2021 28/7/2021 24201121 LANJUT
23 7401141009030002 JONATHAN JUAN CARLOS L 18 18-30 JL BAKTI 081346403725 28/7/2021 28/7/2021 24201121 LANJUT
24 7401145912040001 CLARRISA TITANIA P 17 0 JL BAKTI 081219592346 28/7/2021 28/7/2021 24201121 LANJUT
25 7371030308890002 RAHMAT KURNIAWAN L 32 31-45 JL. BATUA RAYA 081355558040 28/7/2021 28/7/2021 24201121 LANJUT
26 7401214305850001 ILIYANTI P 35 31-45 DUSUN 4 AMBAPA 082191260623 28/7/2021 28/7/2021 24201121 LANJUT
27 7401014501040001 USWATUN HASANAH SULIS P 17 0 BTN TAHOA 082310770670 28/7/2021 28/7/2021 24201121 LANJUT
28 7401046206030001 IRDA AFIFAH RAHMAT P 18 18-30 JL TMD 081215677392 28/7/2021 28/7/2021 24201121 LANJUT
29 7401040705930002 SANDY WAHYUDI L 28 18-30 JL KONGGOASA 082291817557 28/7/2021 28/7/2021 24201121 LANJUT
30 740104271200003 TONNY KRISTIAN L 31 31-45 KOMP BTN 082344181416 28/7/2021 28/7/2021 24201121 LANJUT
31 7401144912770002 ROSMIATI P 44 31-45 LING 5 KAMP.BERINGIN 0823465530101 31/7/2021 31/7/2021 24004421 LANJUT
32 7318054203930001 RAHMAWATI P 28 18-30 WALASIHO 082251553548 31/7/2021 31/7/2021 24004421 LANJUT
33 6474012409860005 RESTU KUMEDEHO P 35 31-45 JL GUNUNG MALABAR 082251917925 31/7/2021 31/7/2021 24004421 LANJUT
34 7401140504040002 MUH APRIL L 17 0 LALODIPU 081527208622 31/7/2021 31/7/2021 24004421 LANJUT
35 7401141312940001 AMRIN L 27 18-30 JL POROS KOLAKA-WOLO 082121421801 31/7/2021 31/7/2021 24004421 LANJUT
36 7401142007950001 FAUZAN AKBAR L 26 18-30 LING 4 WOWOTA 082228295498 31/7/2021 31/7/2021 24004421 LANJUT
37 7471074909980001 IRDA TRI BUANA DEWI P 23 18-30 JL DR SUTOMO 082242070830 31/7/2021 31/7/2021 24004421 LANJUT
38 7401147011960004 VIRA YUNIAR RUKMANA P 25 18-30 LALODIPU 085311117785 31/7/2021 31/7/2021 24004421 LANJUT
39 7401044508850002 AKVA EBEL P 36 31-45 JL HALUOLEO 082393269716 31/7/2021 31/7/2021 24004421 LANJUT
40 7401144711830002 SALMA ELA P 38 31-45 LATAMBAGA 085145151262 31/7/2021 31/7/2021 24004421 LANJUT
41 7401144909830002 PENAS KARYAWANTI P 38 31-45 JL BOTTO BOTTO NO 4 081250254869 31/7/2021 31/7/2021 24004421 LANJUT
42 7401142103730001 AMIRUDDIN L 48 46-59 JL KENANGA NO 21 085335743333 31/7/2021 31/7/2021 24004421 9/2/2021 24005321 SELESAI
43 7401140701800004 ASRIL L 41 31-45 BOTTO-BOTTO 085394447789 31/7/2021 31/7/2021 24004421 LANJUT
44 7401045703010004 ANDI RISKAH P 20 18-30 JL PONDUI 082339612214 31/7/2021 31/7/2021 24004421 LANJUT
45 7401142603010001 MUH FAHRUL L 20 18-30 JL CEMPAKA 085238434827 31/7/2021 31/7/2021 24004421 LANJUT
46 7401184703030001 LUTFI ANISH P 18 18-30 TANGGETADA 082189964850 31/7/2021 31/7/2021 24004421 LANJUT
47 3673051903060002 M.SAIMAN AL-FARISI L 15 0 PERMATA BANJAR 085314112541 4/8/2021 4/8/2021 24004421 LANJUT
48 7401042707900000 AFRIANDI YUDISTIRA L 31 31-45 JL. UNTA 0813434008352 8/9/2021 24004821 SELESAI
49 7318055305740001 RIA ARIANTY PAHOLABU P 47 46-59 PANTAN 082396681522 8/9/2021 24004821 SELESAI
50 7318051904730002 HENRI KAMASE L 48 46-59 JL. PONGTIKU 085397710705 8/9/2021 24004821 SELESAI
51 9271015405900011 EMI MEYLANSARI P 31 31-45 JL. UNTA 085244296920 8/9/2021 24004821 SELESAI
52 7401042205980006 wahyu aldian gandi L 22 18-30 LRG MISTIK 082217974691 8/9/2021 24004821 SELESAI
53 7401044601810002 NUNUK INDRA SUSANTI P 40 31-45 BALANDETE 085398757295 8/9/2021 24004821 SELESAI
54 7471036610850001 IRMA YUNITA ALADIN P 35 31-45 SAKULI 085241930005 8/9/2021 24004821 SELESAI
55 740104411920002 NUR FAISAH MURTANG P 29 18-30 WATULIANDU 085241369045 8/9/2021 24004821 SELESAI
56 '7318052402030002 MUHAMMAD FARHAN KAMASE L 18 18-30 RSUD LAKIPADDA 081356882010 8/9/2021 24004821 SELESAI
57 7411016607000001 SONIA PUTRI NURHIDAYAH P 21 18-30 DUSUN IV PUUWONUA 085216941875 8/9/2021 24004821 SELESAI
58 7306081001960004 IVAN GEORGE TUMBAGE L 25 18-30 BUMI SAMATA PERMAI 081260688972 8/9/2021 24004821 SELESAI
59 7401040304890005 HASBY ASH SHIDDIQ L 32 31-45 JL. DELIMA 085394442742 8/9/2021 24004821 SELESAI
60 7401041604980001 RISALMAN L 23 18-30 JL. SLAMET RIYADI 085215914198 8/9/2021 24004821 SELESAI
61 7401044712920001 RAHMANIYAH RAHMAN P 29 18-30 LALOEHA 085253128262 8/9/2021 24004821 SELESAI
62 7605021901990004 DICKY WAHYUDIN L 22 18-30 TINAMBUNG 082187627613 8/9/2021 24004821 SELESAI
63 7401144108990001 ANDYHYA NILAM SENTIKA L 22 18-30 LATAMBAGA 085825343974 8/9/2021 24004821 SELESAI
64 7401141408940001 RENALDY ARISANDY IBRAHIM L 26 18-30 LAPAO LAPAO 085242642028 8/9/2021 8/9/2021 24004821 LANJUT
65 7401146808030001 RIZKA GUSTIKA ZHESARIA P 18 18-30 JL. PANCASILA 082191830138 8/9/2021 8/9/2021 24004821 LANJUT
66 7401140202020001 BAYU SETIAJI L 19 18-30 JL DURIAN NO. 5 082191492221 8/9/2021 8/9/2021 24004821 LANJUT
67 7401041011010002 PERMANA AGUNG HERIANTO L 20 18-30 LINGK. V LADOYU 082259424758 8/9/2021 8/9/2021 24004821 LANJUT
68 7401040105000002 MUHAMMAD AYYUB HERIANTO L 21 18-30 LINGK. V LADOYU 082296067220 8/9/2021 8/9/2021 24004821 LANJUT
69 7401236303010001 VITA VIDIA SARI P 20 18-30 LINGK. IV MOLIOKA 082271013017 8/9/2021 8/9/2021 24004821 LANJUT
70 7401271211000001 MUH. ALI L 21 18-30 DUSUN I LAWALIA 082290734866 8/9/2021 8/9/2021 24004821 LANJUT
71 74010411403940001 HERDIN HIDAYAT SAPUTRA L 27 18-30 JL. GAJAH 082333742666 8/9/2021 8/9/2021 24004821 LANJUT
72 7401182110000002 NUGROHO TRI LAKSONO L 21 18-30 PEWISOA JAYA 082239588733 8/9/2021 8/9/2021 24004821 LANJUT
73 7401205111000004 NIRWANA NOVIYANTI POTRI P 21 18-30 DUSUN II LAPANGI 082348902023 8/9/2021 8/9/2021 24004821 LANJUT
74 7401046312930002 HERA DESRIYANTI P 28 18-30 JL. GAJAH 082259371516 8/9/2021 8/9/2021 24004821 LANJUT
75 7401144508950001 EKA PRATIWI P 26 18-30 JL. ABADI 085340525319 8/9/2021 8/9/2021 24004821 LANJUT
76 7401141107950001 AHMAD FATHANAH L 26 18-30 JL. KEPITING 082290890270 8/9/2021 8/9/2021 24004821 LANJUT
77 7401205109990003 FITRI RAHAYU NINGSIH P 22 18-30 MALAHA 082233783161 8/9/2021 8/9/2021 24004821 LANJUT
78 7401094509000005 NUR FADILLA P 21 18-30 DUSUN V HARAPAN MAJU 081247167445 8/9/2021 8/9/2021 24004821 LANJUT
79 7401015004010001 ANANDA NURUL ARIANI P 20 18-30 LINGK. III KONGGOASA 085242 191 873 8/9/2021 8/9/2021 24004821 LANJUT
80

D = Lainnya
E = Tidak Bekerja

18-30 91 0 A 0
31-45 58 0 B 0
46-59 24 0 C 0
Total 173 0 D 0
Pekerjaan: E 0
A 0 167 Total 0
B 0 65
C 0
D 0
E 0
Total 0
7/8/2021
23/8/2021
DOSIS I
DOSIS I
DOSIS I
DOSIS I
DOSIS I
DOSIS I
DOSIS I
DOSIS I
DOSIS I
DOSIS I
DOSIS I
DOSIS I
DOSIS I
DOSIS I
DOSIS I
DOSIS I


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 731004711270039 MARPLIAH P 54 46-59 JL. COPPO TOMPONG 082337561290 17/7/2021 17/7/2021 24200721 LANJUT
2 7401122812020001 NATANAEL L 19 18-30 DESA PUURODA BAULA 082216172198 17/7/2021 17/7/2021 24200721 LANJUT
3 7401126102710001 ROHANI P 50 46-59 DESA PUURODA BAULA 085331282975 17/7/2021 17/7/2021 24200721 LANJUT
4 7401041210550004 HERMAN HAMARA L 66 60-199 JL. LASAHINA NO. 2 082292571954 17/7/2021 17/7/2021 24200721 LANJUT
5 7401044604870001 WITANTRI P 34 31-45 JL. MEKONGGA INDAH 082346965688 17/7/2021 17/7/2021 24200721 LANJUT
6 7401040303970001 MUH. YOGI ANUGRAH L 23 18-30 JL. MERPATI NO. 7 082259877580 17/7/2021 17/7/2021 24200721 LANJUT
7 7401141609960001 FACHRUL RIJAL L 25 18-30 JL. CAKALANG NO. 6 085110455521 17/7/2021 17/7/2021 24200721 LANJUT
8 7401145107750001 NURUZZAKIAH MUSA P 46 46-59 JL. KOLOHIPO 085230808819 17/7/2021 17/7/2021 24200721 LANJUT
9 7401142505750002 MARLIN L 46 46-59 JL. POROS KOLAKA WOLO 085343553341 17/7/2021 17/7/2021 24200721 LANJUT
10 74010115207990001 ALFANI PRATIWI P 22 18-30 LAMEKONGGA 082259389163 17/7/2021 17/7/2021 24200721 LANJUT
11 7401144307990001 ILNAYANTI ILHAM P 22 18-30 JL. DURIAN 085298518766 17/7/2021 17/7/2021 24200721 25-08-2021 24005121 SELESAI
12 7401014905940002 INDAH WAHYUNI P 27 18-30 LAMEKONGGA 085145817302 17/7/2021 17/7/2021 24200721 LANJUT
13 7401147112580011 HUDAEDA P 63 60-199 WOWOTA 082214043493 17/7/2021 17/7/2021 24200721 LANJUT
14 7401105705030003 PUTRI AISYAH ASHARI P 18 18-30 LINGK. I WOLO 082315961709 17/7/2021 17/7/2021 24200721 LANJUT
15 7406076608990001 FATRIA NINGSI P 22 18-30 DESA RAKADUA 082291567127 17/7/2021 17/7/2021 24200721 LANJUT
16 7401146305020001 SYADZA SAFA AMELIA P 19 18-30 JL. KONGGOASA NO. 7 082261589265 17/7/2021 17/7/2021 24200721 LANJUT
17 7401145009810001 JEMMA P 40 31-45 JL. KEMAKMURRAN 0852410612343 17/7/2021 17/7/2021 24200721 LANJUT
18 7401125004710002 NURLIANA P 50 46-59 DESA PUURODA BAULA 082343581719 17/7/2021 17/7/2021 24200721 LANJUT
19 7401045010000007 NURFADILLA SARI P 21 18-30 SABILAMBO 082217953234 17/7/2021 17/7/2021 24200721 LANJUT
20 7471055303010001 GHINA NISRINA P 20 18-30 JL. ABADI NO. 22 085242078512 17/7/2021 17/7/2021 24200721 LANJUT
21 7371115610630007 ORPAH P 58 46-59 JL. PEMUDA LRG LAMBADA 085340307322 17/7/2021 17/7/2021 24200721 LANJUT
22 7271010706870004 DENI MANGIA L 34 31-45 JL. MALEO 081342523023 17/7/2021 17/7/2021 24200721 LANJUT
23 7401122512980004 ADI MALAKA L 23 18-30 DESA PUURODA BAULA 082325027847 17/7/2021 17/7/2021 24200721 LANJUT
24 7308075506000001 ALDA P 21 18-30 PERUMNAS LALOMBA 082291988954 17/7/2021 17/7/2021 24200721 LANJUT
25 74014510960002 SELVIRA S.A P 25 18-30 JL. PAHLAWAN N0. 28 085206555558 17/7/2021 17/7/2021 24200721 LANJUT
26 7401045506980003 SUKMAWATI P 23 18-30 SABILAMBO 085340181454 17/7/2021 17/7/2021 24200721 LANJUT
27 740104005020007 IPUNG SAPUTRA L 22 18-30 JL. PEMUDA LRG MISTIK 082395300301 17/7/2021 17/7/2021 24200721 LANJUT
28 7401146511000003 NUR HAFSAH P 21 18-30 JL. DURIAN 085396965100 17/7/2021 17/7/2021 24200721 LANJUT
29 7401147008790001 SITTI MUSLIMAH P 42 31-45 HKSN MINA PERMAI 085657164255 17/7/2021 17/7/2021 24200721 LANJUT
30 371033103940006 DONU ADAM L 27 18-30 JL. PRAMUKA 085782440993 17/7/2021 17/7/2021 24200721 LANJUT
31 7401076102980001 YUYUN PURWITA SARI P 23 18-30 JL. RUSA 082293272168 17/7/2021 17/7/2021 24200721 LANJUT
32 737103110970003 LAVRENSIUS MASSORA L 24 18-30 JL. BADAK 085310142406 17/7/2021 17/7/2021 24200721 LANJUT
33 7401121006650002 TOMBANG SAMBIRA L 56 46-59 DESA PUURODA BAULA 082349699339 17/7/2021 17/7/2021 24200721 LANJUT
34 7401047107700001 AN'NISA P 52 46-59 JL. PEMUDA LRG LAMBADA 082188598313 17/7/2021 17/7/2021 24200721 LANJUT
35 740603710890001 LUTFIAH P 23 18-30 PONI-PONIKI 085397503507 17/7/2021 17/7/2021 24200721 LANJUT
36 7401046101030007 MUSDALIFA P 18 18-30 BALANDETE 085345749690 17/7/2021 17/7/2021 24200721 LANJUT
37 7401091907940001 NOVYAR FIRWANSYAH L 27 18-30 WANDE KOLAKA TIMUR 085377774107 17/7/2021 17/7/2021 24200721 LANJUT
38 7401140209990001 HENDRAWAN SETIAWAN L 22 18-30 HKSN MINA PERMAI 085657164255 17/7/2021 17/7/2021 24200721 LANJUT
39 7401046910000003 TRI AYU LESTARI L 21 18-30 JL. WOLTER MONGINSIDI 085298772351 17/7/2021 17/7/2021 24200721 LANJUT
40 7401042310990001 MUH. ILHAM HIDAYATULLAH L 22 18-30 JL. PEMUDA NO. 270 082244239600 17/7/2021 17/7/2021 24200721 LANJUT
41 7402196901980001 SRI RAHMAWATI P 24 18-30 DS WUNDUATU 082261212767 17/7/2021 17/7/2021 24200721 LANJUT
42 7401042702010002 ALFIAN INSAN MUHAMMAD L 20 18-30 JL. PEMUDA NO. 27 082249582148 17/7/2021 17/7/2021 24200721 LANJUT
43 7401011111950002 ASARULLAH L 26 18-30 DUSUN I TOWUA 081343028076 17/7/2021 17/7/2021 24200721 LANJUT
44 7401041308000001 MUH. FADHIL TRI AGUSTIAN L 21 18-30 JL. POROS KOLAKA POMALAA 082347735127 17/7/2021 17/7/2021 24200721 LANJUT
45 7401042410020066 IBNU RIANSYAH L 22 18-30 BALANDETE 17/7/2021 17/7/2021 24200721 LANJUT
46 7401140706990001 AHMAD RIJAL L 22 18-30 AHMAD RIJAL 082213390887 17/7/2021 17/7/2021 24200721 LANJUT
47 7401044806030001 SITTI MARYM ULFA P 18 18-30 KOMP. PASAR RAYA MEKONGGA 081342663238 17/7/2021 17/7/2021 24200721 LANJUT
48 7401042211990001 TRI ANUGRAH L 22 18-30 JL. PEMUDA LRG LAMBADA 082111117694 17/7/2021 17/7/2021 24200721 LANJUT
49 7401142511960001 MUH. DARISMAN L 25 18-30 LINGK. I MANGOLO 082273456891 17/7/2021 17/7/2021 24200721 LANJUT
50 7308027112020006 KHARISMA P 19 18-30 JL. AHMAD YANI 085232444683 17/7/2021 17/7/2021 24200721 LANJUT
51 7401145111000005 NUR FAIZAH P 21 18-30 JL. ABADI 082293634501 17/7/2021 17/7/2021 24200721 LANJUT
52 740104680290004 NIRWANA P 22 18-30 LINGK. IV TADAI-DAI 082335227523 17/7/2021 17/7/2021 24200721 LANJUT
53 740114060369001 NASRULLAH S L 52 46-59 JL. PUSARA 082337039157 17/7/2021 17/7/2021 24200721 LANJUT
54 7401011101000003 HERDIANSYAH L 21 18-30 DUSUN IV KOWUNA 081288273114 17/7/2021 17/7/2021 24200721 LANJUT
55 7401042710020004 REYNAL PARONGKO L 19 18-30 JL BADEWI 082276133461 17/7/2021 17/7/2021 24200721 LANJUT
56 7401140707650001 MUSA L 56 46-59 JL LURE 085394245642 17/7/2021 17/7/2021 24200721 LANJUT
57 747108700500001 ANNISA PUTRI AURALIA P 21 18-30 JL. SAO SAO 082187450076 17/7/2021 17/7/2021 24200721 LANJUT
58 7471086905980001 ELHA BRILLIANT NADYA P 23 18-30 JL. SAO SAO 082293916757 17/7/2021 17/7/2021 24200721 LANJUT
59 7371072901040004 M. RIFALDO L 17 0 JL. PEMUDA 082189095778 17/7/2021 17/7/2021 24200721 LANJUT
60 7401044803990001 RABIATUL ADAWIYAH P 22 18-30 JL. PEMUDA 082271327250 17/7/2021 17/7/2021 24200721 LANJUT
61 7408040812980002 ZULFADLI L 23 18-30 DESA LANDOLIA 082348663168 17/7/2021 17/7/2021 24200721 LANJUT
62 740104691290002 ALFRIDHA IDHAM PARDAP P 24 18-30 JL. PEMUDA 085394975106 17/7/2021 17/7/2021 24200721 LANJUT
63 7401040606950003 MUH. RUSLAN L 26 18-30 JL. PEMUDA 085398764241 17/7/2021 17/7/2021 24200721 LANJUT
64 7401040501030004 MUH. RICKY RIFALDY P 18 18-30 JL. PEMUDA NO. 129 081223686823 17/7/2021 17/7/2021 24200721 LANJUT
65 740105010000003 SANTI AYU LESTARI P 22 18-30 DESA 19 NOVEMBER 085244764293 17/7/2021 17/7/2021 24200721 LANJUT
66 3374110402010002 ARYA PRADANA L 20 18-30 JL. GRAND SARI 081226759162 17/7/2021 17/7/2021 24200721 LANJUT
67 7401045502550002 SUMIATI P 66 60-199 JL. AHMAD YANI 085825508559 17/7/2021 17/7/2021 24200721 LANJUT
68 7401013112810002 MULYADI L 40 31-45 DESA BENDE 0811377200 17/7/2021 17/7/2021 24200721 LANJUT
69 7401140305880002 RAUF L 33 31-45 JL. EMI SAILAN 082395141925 17/7/2021 17/7/2021 24200721 LANJUT
70 7401122701980001 BUDI PRIHATIN L 24 18-30 DUSUN II MARGA UTAMA 081241874007 17/7/2021 17/7/2021 24200721 LANJUT
71 7401146710990002 AYU MURNI WAHYUNI P 22 18-30 JL. TAMALAKI 082292432750 17/7/2021 17/7/2021 24200721 LANJUT
72 74010447290002 KASMAWATI P 31 31-45 JL. BADEWI 085396725861 17/7/2021 17/7/2021 24200721 LANJUT
73 7401144501030002 NUR ILMIAH P 18 18-30 JL. TAMALAKI 085348839316 17/7/2021 17/7/2021 24200721 LANJUT
74 3175031603790012 FADHLY L 42 31-45 KOMPLEX TNI AL 0812844444779 17/7/2021 17/7/2021 24200721 LANJUT
75 7314095305720001 NURMIA P 49 46-59 JL.BELIBIS 085397025090 17/7/2021 17/7/2021 24200721 LANJUT
76 7401141602730001 ACHMAD L 48 46-59 JL. POROS MANGOLO 082291222021 17/7/2021 17/7/2021 24200721 LANJUT
77 74010468801940001 INDRIFUTRISARI P 27 18-30 JL. PEMUDA 085341511494 17/7/2021 17/7/2021 24200721 LANJUT
78 7401146210020001 FADILLAH AMANDA PUTRI P 19 18-30 JL. POROS MANGOLO 082251965882 17/7/2021 17/7/2021 24200721 LANJUT
79 7401145601750001 HENNY P 46 46-59 JL. POROS MANGOLO 082189491049 17/7/2021 17/7/2021 24200721 LANJUT
80 7401041804030001 MUH. NUR FAIZHYN L 18 18-30 JL. PEMUDA 082320691786 17/7/2021 17/7/2021 24200721 LANJUT
81 7401145208920001 NURHAYANI P 29 18-30 JL. DELIMA NO. 14 085342646317 17/7/2021 17/7/2021 24200721 LANJUT
82 7401045902670001 NURHAYATI P 54 46-59 JL. PASAR MEKONGGA 081341668899 17/7/2021 17/7/2021 24200721 LANJUT
83 8171025506920009 HASNI YULIATI P 29 18-30 JL.PEMUDA 085241887431 17/7/2021 17/7/2021 24200721 LANJUT
84 74010921296001 ADE SAPUTRA L 25 18-30 DESA LEMBAH SUBUR 081343961755 17/7/2021 17/7/2021 24200721 LANJUT
85 7401015707950001 INDRAYANA P 26 18-30 KOWIOHA WUNDULAKO 082293415489 17/7/2021 17/7/2021 24200721 LANJUT
86 7403052704960201 IDZUL ARAFAH L 25 18-30 DESA GUALI MUNA BARAT 082396260123 17/7/2021 17/7/2021 24200721 LANJUT
87 7401205009990002 JUSTIANA P 22 18-30 JL. BADEWI 082237019138 17/7/2021 17/7/2021 24200721 LANJUT
88 7471077010980001 DELLA SELVI DAGAS P 23 18-30 DESA PUUWATU 082191197925 17/7/2021 17/7/2021 24200721 LANJUT
89 7401186911970002 NOVITA P 24 18-30 JL. PONDOK PASANTREN 085246515032 17/7/2021 17/7/2021 24200721 LANJUT
90 7401140206640001 ABD. KAHAR L 57 46-59 JL. CAKALANG NO. 24 082296296157 17/7/2021 17/7/2021 24200721 LANJUT
91 7401045112890004 FUTRIANA P 32 31-45 JL. BADEWI 082293121311 17/7/2021 17/7/2021 24200721 LANJUT
92 3301140602030003 AZIS SUTYA SAPUTRA L 18 18-30 PADANG RAYA 085348042259 17/7/2021 17/7/2021 24200721 LANJUT
93 740104680785003 RUSTIANI P 36 31-45 JL. AHMAD YANI 082188699487 17/7/2021 17/7/2021 24200721 LANJUT
94 7301051805000001 RONI RIRIN L 21 18-30 JL BLK CENDRAWASIH 081914734282 17/7/2021 17/7/2021 24200721 LANJUT
95 6107084907000002 DINDA JULIARSIH P 21 18-30 DUSUN PAKUCING 085655282841 17/7/2021 17/7/2021 24200721 LANJUT
96 7401094109030001 FRANSISKA CAHYANA P 18 18-30 LINGK. III LADONGI 082249263495 17/7/2021 17/7/2021 24200721 LANJUT
97 7401145409910001 UMMU KALSUM P 30 18-30 JL. SUNU N0. 3 082273456 303 17/7/2021 17/7/2021 24200721 LANJUT
98 7401075904010001 APRILIA RENATA SITANGGANG P 20 18-30 JL.PEMUDA 081257129753 17/7/2021 17/7/2021 24200721 LANJUT
99 7401104802010002 MUSDALIFAH P 20 18-30 DUSUN 3 POLEWALI 082187739250 17/7/2021 17/7/2021 24200721 LANJUT
100 740107440499003 RARA ARMITA RAIS P 22 18-30 DS. TOTOBO 08221982587 17/7/2021 17/7/2021 24200721 LANJUT
101 7313114607000002 SAMSIAR P 21 18-30 LAMONGISO 085397172575 17/7/2021 17/7/2021 24200721 LANJUT
102 7401206411000001 MAGETIRA TUNNISA P 21 18-30 LIKU JAYA 081313484961 17/7/2021 17/7/2021 24200721 LANJUT
103 3507066804010002 LOUTAMARA VENA P 20 18-30 DUSUN SUKAMAJU 0853477882437 17/7/2021 17/7/2021 24200721 LANJUT
104 7309074604910003 JUM ARNY P 30 18-30 AERE 081242424565 17/7/2021 17/7/2021 24200721 LANJUT
105 7401045303900001 NURFADHILAH SUHAN P 31 31-45 JL. PUYUH NO. 99 085397880501 17/7/2021 17/7/2021 24200721 LANJUT
106 7401102111950002 SUPRATMA L 26 18-30 JL. NUSANTARA 082291454609 17/7/2021 17/7/2021 24200721 LANJUT
107 7401076903010001 VIVI AFRIANI P 20 18-30 JL. KAMPUNG BARU 085340150442 17/7/2021 17/7/2021 24200721 LANJUT
108 7401140108900001 USMAN L 31 31-45 LINGK. IV DAMARWULAN 082335608969 17/7/2021 17/7/2021 24200721 LANJUT
109 7401044405020003 KARINA SYUKRI P 19 18-30 JL. PAHLAWAN NO. 55 17/7/2021 17/7/2021 24200721 LANJUT
110 7401144109010001 INDAH SEPTIANA THAMRIN P 20 18-30 JL. DURIAN NO. 23 081342803310 17/7/2021 17/7/2021 24200721 LANJUT
111 7401047112650030 HASMI L 54 46-59 JL SULTAN HASANUDDIN 082347180196 17/7/2021 17/7/2021 24200721 LANJUT
112 7401044710690001 HASNIATI P 52 46-59 JL PEMUDA 081355994341 17/7/2021 17/7/2021 24200721 LANJUT
113 7401070105580001 WARIS MUSIDI L 63 60-199 POMALAA 082349219999 17/7/2021 17/7/2021 24200721 LANJUT
114 7401043112600035 ASNAWI L 61 60-199 JL GARUDA 085238975739 17/7/2021 17/7/2021 24200721 LANJUT
115 7401043112580017 H ANDI BATARA L 63 60-199 JL ALAM MEKONGGA 08124152423 17/7/2021 17/7/2021 24200721 LANJUT
116 7401044212580002 FERONIKA LAKASA P 63 60-199 JL HALUOLEO 085394538469 17/7/2021 17/7/2021 24200721 LANJUT
117 7401042608980001 NURARACHMAT L 23 18-30 JL GARUDA 082239519336 17/7/2021 17/7/2021 24200721 LANJUT
118 7402375002630001 SAIDAH P 58 46-59 DUSUN LAPUTO 085394977872 17/7/2021 17/7/2021 24200721 LANJUT
119 7401147112000001 NUR AZIZAH RAHMAH P 21 18-30 JL POROS KOLAKA 085240425145 17/7/2021 17/7/2021 24200721 LANJUT
120 7401146012990001 ANNISA AULIA RAHMA P 22 18-30 TAMAN LAUT 087845186301 17/7/2021 17/7/2021 24200721 LANJUT
121 7401145105010001 INDAH WIRATAMI P 20 18-30 JL ABADI 082188348623 17/7/2021 17/7/2021 24200721 LANJUT
122 74012059070001 YULFINA P 21 18-30 DUSUN I LIKU 082346290778 17/7/2021 17/7/2021 24200721 LANJUT
123 7401041510010001 MUH ISRA L 20 18-30 JL GARUDA 082334335210 17/7/2021 17/7/2021 24200721 LANJUT
124 731004122600008 SRIYAN L 61 60-199 JL COPPO 085258206163 17/7/2021 17/7/2021 24200721 LANJUT
125 740141609960001 FAHRUL RIJAL L 25 18-30 JL CAKALANG 085110455521 17/7/2021 17/7/2021 24200721 LANJUT
126 7401044411990002 RISKITA VIRASARI P 22 18-30 JL PANORAMA 082292835561 17/7/2021 17/7/2021 24200721 LANJUT
127 7401046812680002 SUHAYA P 53 46-59 JL PANORAMA 082259665583 17/7/2021 17/7/2021 24200721 LANJUT
128 7401044505750011 ROS P 46 46-59 JL PAHLAWAN 081258771464 17/7/2021 17/7/2021 24200721 LANJUT
129 7306074703870007 ENDANG LESTARI P 35 31-45 WUNDULAKO 081341701139 17/7/2021 17/7/2021 24200721 LANJUT
130 7401041301990002 NAIM RIZKY R L 22 18-30 JL PEMUDA 085241708518 17/7/2021 17/7/2021 24200721 LANJUT
131 5371033010970001 SUDIRMAN ASIS L 24 18-30 POMALAA 085255930178 17/7/2021 17/7/2021 24200721 LANJUT
132 7401074303990001 RESKI YANTI ANANDA P 22 18-30 POMALAA 082291782218 17/7/2021 17/7/2021 24200721 LANJUT
133 7401014508860002 KUSNAWATI P 35 31-45 LAMENGGA 085333663025 17/7/2021 17/7/2021 24200721 LANJUT
134 7401144202980002 FEBRIANTI P 23 18-30 JL KAYANGAN 081292096355 17/7/2021 17/7/2021 24200721 LANJUT
135 7401144107020003 IBNU YULIHARIANTO L 19 18-30 JL ABADI 082246120690 17/7/2021 17/7/2021 24200721 LANJUT
136 7401043101700003 DWIJO HARTONO L 51 46-59 JL SULTAN HASANUDDIN 085296230813 17/7/2021 17/7/2021 24200721 LANJUT
137 74011413106860001 ASDAR SUDIRMAN L 35 31-45 JL OPO 085241698395 17/7/2021 17/7/2021 24200721 LANJUT
138 7317175604960001 RUSMIN ROMBE P 25 18-30 JL NURI 087772630222 17/7/2021 17/7/2021 24200721 LANJUT
139 7401145112030001 GRETTISYA CHIJANDA P 18 18-30 JL KENANGA 081245089158 17/7/2021 17/7/2021 24200721 LANJUT
140 7317175008930003 RESPIN P 28 18-30 JL DR SUTOMO 085342966000 17/7/2021 17/7/2021 24200721 LANJUT
141 7401044908930002 NURLINA P 28 18-30 JL DR SUTOMO 082291691080 17/7/2021 17/7/2021 24200721 LANJUT
142 7401072606820004 RUSDIN DIANG LALLO L 39 31-45 JL POROS POMALAA 08534243481 17/7/2021 17/7/2021 24200721 LANJUT
143 7401016003990002 SASMITA RASRIANI P 22 18-30 LAMEKONGGA 082350373157 17/7/2021 17/7/2021 24200721 LANJUT
144 7401042904010001 GUGUN APRILLIANTO L 20 18-30 JL PEMUDA 082261372893 17/7/2021 17/7/2021 24200721 LANJUT
145 7401015804020001 ARINI ASTARI TASRIN P 19 18-30 LAMEKONGGA 082295347807 17/7/2021 17/7/2021 24200721 LANJUT
146 7401046001860001 NUNUN NISWAH P 35 31-45 JL OPO 082282230220 17/7/2021 17/7/2021 24200721 LANJUT
147 7502040505700004 PURWOKO SOENYOTO L 51 46-59 LIMBATTO 082271504068 17/7/2021 17/7/2021 24200721 LANJUT
148 7401014712990001 SUCHI WULANDARI P 22 18-30 LAMEKONGGA 085348556232 17/7/2021 17/7/2021 24200721 LANJUT
149 7401013112860004 MUKTAR M L 35 31-45 MATABONDU 081527909594 17/7/2021 17/7/2021 24200721 LANJUT
150 7401014609030003 SINTA IKDAR P 18 18-30 LAMEKONGGA 082292192722 17/7/2021 17/7/2021 24200721 LANJUT
151 7401016712990001 DEVI RAHMAYANTI P 22 18-30 LAMEKONGGA 081914739928 17/7/2021 17/7/2021 24200721 LANJUT
152 7401144705030001 ASRIDA PUJA ASTUTI P 18 18-30 JL KEMAKMURAN 082214456147 17/7/2021 17/7/2021 24200721 LANJUT
153 7401146807980002 SELLA YULIA LOMALASARI P 23 18-30 JL DURIAN 082292534219 17/7/2021 17/7/2021 24200721 LANJUT
154 7401141408710001 HAMSAN L 50 46-59 HKSN MANGOLO 085232926653 17/7/2021 17/7/2021 24200721 LANJUT
155 7401143105030001 MUH AKBAR L 18 18-30 MANGOLO 081292694179 17/7/2021 17/7/2021 24200721 LANJUT
156 7401097003990001 NURJANNAH P 22 18-30 WANDE 082292292395 17/7/2021 17/7/2021 24200721 LANJUT
157 7401124802040002 IRMA DARMAWATI P 17 0 DAYA BAKTI 082271102235 17/7/2021 17/7/2021 24200721 LANJUT
158 7401046509730001 SITTI SAMRIANI P 48 46-59 JL AHMAD YANI 081356001973 17/7/2021 17/7/2021 24200721 LANJUT
159 7401122002990001 FEDELIS MALLISA L 22 18-30 PIONER 082290735041 17/7/2021 17/7/2021 24200721 LANJUT
160 7401144509640001 HARLINA P 57 46-59 082347339777 17/7/2021 17/7/2021 24200721 LANJUT
161 7401044711940001 YULIANA WATI P 27 18-30 JL BADEWI 085394673401 17/7/2021 17/7/2021 24200721 LANJUT
162 7401141012030001 ANDRI ARDIANSYAH P 18 18-30 HKSN MANGOLO 085657164255 17/7/2021 17/7/2021 24200721 LANJUT
163 7401124605030001 AULIA NURUL FADILLA P 18 18-30 BAULA 082264875971 17/7/2021 17/7/2021 24200721 LANJUT
164 7401146910990002 ADE REFIANTI P 22 18-30 JL KEMAKMURAN 085298992276 17/7/2021 17/7/2021 24200721 LANJUT
165 7401045312020002 ISMA FADILLA P 19 18-30 BALANDETE 082290066626 17/7/2021 17/7/2021 24200721 LANJUT
166 7401101310970004 MUH JABI L 24 18-30 LADAHAI 082266044668 17/7/2021 17/7/2021 24200721 LANJUT
167 7401101002000003 MUH HASIB MAHDIN L 22 18-30 WOLO 081292016101 17/7/2021 17/7/2021 24200721 LANJUT
168 7401043107020001 FAUZAN AL HIDAYAT L 19 18-30 BTN TAHOA 081356739506 17/7/2021 17/7/2021 24200721 LANJUT
169 6472052512000006 MUH FICHRI RAMADHAN L 21 18-30 SAMARINDA 085284031676 17/7/2021 17/7/2021 24200721 LANJUT
170 7308024107710167 NURJANNAH P 50 46-59 JL AHMAD YANI 082343479380 17/7/2021 17/7/2021 24200721 LANJUT
171 6408045808990002 ALFRIDA TIRSA P 23 18-30 UNAMENDAA 082232331175 17/7/2021 17/7/2021 24200721 LANJUT
172 7401015002020001 VELA VENIA SANDE P 20 18-30 UNAMENDAA 082253415438 17/7/2021 17/7/2021 24200721 LANJUT
173 7401045106840002 HASNIATI P 37 31-45 KOMP PASAR RAYA MEKONGGA 081342663238 17/7/2021 17/7/2021 24200721 LANJUT
174 7401041606860001 MARNO L 35 31-45 JL PELANDUK 082292914583 17/7/2021 17/7/2021 24200721 LANJUT
175 7401044907030001 AMELIA PUTRI P 18 18-30 JL KOLOHIPO 081341655192 17/7/2021 17/7/2021 24200721 LANJUT
176 7105075406990001 FERARY KEWO P 22 18-30 RAANAH LAWA 085823759882 17/7/2021 17/7/2021 24200721 LANJUT
177 7401042211900004 MUH KAMAL AHMAD L 31 31-45 JL PEMUDA 081243841494 17/7/2021 17/7/2021 24200721 LANJUT
178 7401040107000040 RADIATUL ADEWIAH P 21 18-30 BTN TAHOA 082190484051 17/7/2021 17/7/2021 24200721 LANJUT
179 7401042809950001 FADHIL ZULFIKRI L 26 18-30 JL PEMUDA 085823522348 17/7/2021 17/7/2021 24200721 LANJUT
180 7371024911770001 ELIZABETH TANDE P 44 31-45 PESONA BAROMBONG 081241928948 17/7/2021 17/7/2021 24200721 LANJUT
181 7405090509990003 RAHMAT L 22 18-30 DESA LANGGAPULO 082252869736 17/7/2021 17/7/2021 24200721 LANJUT
182 7371030907920008 HARYANTO L 29 18-30 JL PEMUDA 082158781953 17/7/2021 17/7/2021 24200721 LANJUT
183 7314091606980001 ASRAH WILYANTO P 23 18-30 JL BELIBIS 082293697577 17/7/2021 17/7/2021 24200721 LANJUT
184 7401041012990003 AHMAD SYAHRU RAMDHANI L 22 18-30 JL KONGGOASA 082347453201 17/7/2021 17/7/2021 24200721 LANJUT
185 7401120107960005 DARMAN L 25 18-30 MARGA UTAMA 082296163086 17/7/2021 17/7/2021 24200721 LANJUT
186 7401045506030001 HANING PRAMESTI P 18 18-30 BTN TAHOA 085347887262 17/7/2021 17/7/2021 24200721 LANJUT
187 7401146904970001 SARI WULANDARI P 24 18-30 JL TAMALAKI 085222249429 17/7/2021 17/7/2021 24200721 LANJUT
188 '7401046007910001 NASMAH RIAYANI P 30 18-30 LRG IKLIM 085242825290 17/7/2021 17/7/2021 24200721 LANJUT
189 7401076811990001 NOVIRIANI ARDYANTI P 22 18-30 LAMEKONGGA 082293907481 17/7/2021 17/7/2021 24200721 LANJUT
190 7401080308970001 ARIF TRYONO P 24 18-30 WATUBANGGA 081354900144 17/7/2021 17/7/2021 24200721 LANJUT
191 7401097001290003 A MUSDALIFA P 31 31-45 JL PERMATA BIRU 085282726267 17/7/2021 17/7/2021 24200721 LANJUT
192 7401026711830001 TUSRI ARIANA P 38 31-45 JL KENANGA 085241746999 17/7/2021 17/7/2021 24200721 LANJUT
193 7401040707960001 ANDRI ACHMADY L 25 18-30 JL POROS MANGOLO 085240076668 17/7/2021 17/7/2021 24200721 LANJUT
194 7401144705000002 FASTHA MAETYASTANTY P 21 18-30 JL ABADI 082255593984 17/7/2021 17/7/2021 24200721 LANJUT
195 7401040506000004 SARWAN AMIN L 21 18-30 JL DURIAN 082334606538 17/7/2021 17/7/2021 24200721 LANJUT
196 7471103101940002 ANDRI FERDFIANSYAH L 27 18-30 JL H.E.A MOKODOPIT 082288146521 17/7/2021 17/7/2021 24200721 LANJUT
197 7306016110940002 RANTINA DEWI P 27 18-30 LALOEHA 082353220140 17/7/2021 17/7/2021 24200721 LANJUT
198 7471054107020010 INDAH CAHYANI P 19 18-30 KENDARI 085257875968 17/7/2021 17/7/2021 24200721 LANJUT
199 7472066608990002 VIVIT ITMIFATIMA P 22 18-30 085145242974 17/7/2021 17/7/2021 24200721 LANJUT
200 7471105011900001 DIRGAHAYU SRI RAZAK P 31 31-45 PERUMAHAN GRIYA 086299221918 17/7/2021 17/7/2021 24200721 LANJUT
201 7401123101980001 AWAL RAMADHAN L 23 18-30 PEEWUTAA 081223689967 17/7/2021 17/7/2021 24200721 LANJUT
202 0 LANJUT
LANJUT
202 0 LANJUT

D = Lainnya
E = Tidak Bekerja
18-30 51 0 A 0
31-45 6 0 B 0
46-59 10 0 C 0
Total 67 0 D 0
Pekerjaan: E 0
A 0 71 Total 0
B 0 1
C 0
D 0
E 0
Total 0
14/8/2021


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401134205010001 HASRIANA P 20 18-30 DUSUN II KAPU '087877640290 8/4/2021 8/4/2021 24004821 LANJUT
2 7371034312900007 CLARA TRY DWI ASTUTI P 31 31-45 JL. VETERAN UTARA 082134566788 8/4/2021 8/4/2021 24004821 LANJUT
3 74010402108900075 RISZKI FAUZI P 32 31-45 JL. PEMUDA 081288147777 8/4/2021 8/4/2021 24004821 LANJUT
4 7401040405790001 M. AMRIN L 42 31-45 JL. PEMUDA 081248691010 8/4/2021 8/4/2021 24004821 LANJUT
5 0 LANJUT
6 0 LANJUT
7 0 LANJUT
8 0 LANJUT
9 0 LANJUT
10 0 LANJUT
11 0 LANJUT
12 0 LANJUT
13 0 LANJUT
14 0 LANJUT
15 0 LANJUT
16 0 LANJUT
17 0 LANJUT
18 0 LANJUT
19 0 LANJUT
20 0 LANJUT
21 0 LANJUT
22 0 LANJUT
23 0 LANJUT
24 0 LANJUT
25 0 LANJUT
26 0 LANJUT
27 0 LANJUT
28 0 LANJUT
29 0 LANJUT
30 0 LANJUT
31 0 LANJUT
32 0 LANJUT
33 0 LANJUT
34 0 LANJUT
35 0 LANJUT
36 0 LANJUT
37 0 LANJUT
38 0 LANJUT
39 0 LANJUT
40 0 LANJUT
41 0 LANJUT
42 0 LANJUT
43 0 LANJUT
44 0 LANJUT
45 0 LANJUT
46 0 LANJUT
47 0 LANJUT
48 0 LANJUT
49 0 LANJUT
50 0
51 0
52 0
53 0
54 0
55 0
56 0
57 0
58 0
59 0
60 0
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0
71 0
72 0
73 0
74 0
75 0
76 0
77 0
78 0
79 0
80 0
81 0
82 0
83 0
84 0
85 0
86 0
87 0
88 0
89 0
90 0
91 0
92 0
93 0
94 0
95 0
96 0
97 0
98 0
99 0
100 0
101 0
102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0

D = Lainnya
E = Tidak Bekerja

18-30 1 0 A 0
31-45 3 0 B 0
46-59 0 0 C 0
Total 4 0 D 0
Pekerjaan: E 0
A 0 4 Total 0
B 0 0
C 0
D 0
E 0
Total 0
DOSIS I
DOSIS I
DOSIS I
DOSIS I


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
2 7401145112570001 MARLIN L 64 60-199 JL JEND SUDIRMAN 085299479292 19-08-2021 19-08-2021 24004821 LANJUT
4 74010409712590003 NURMINH ALI P 62 60-199 JL DURIAN NO 8 sakuli 081243096260 19-08-2021 19-08-2021 24004821 LANJUT
5 7401141203520001 KAMARULLAH UMAR L 69 60-199 JL JEND SUDIRMAN 081341767548 19-08-2021 19-08-2021 24004821 LANJUT
6 74011471125900006 MUSBARIAH P 62 60-199 JL KADUE NO 26 081355660010 19-08-2021 19-08-2021 24004821 LANJUT
7 7401143112530006 AMINUDDIN H.AMIN L 68 60-199 JL KADUE NO 26 085241516110 19-08-2021 19-08-2021 24004821 LANJUT
13 7401147112550020 NGAISAH P 66 60-199 JL KADUE 085395512442 19-08-2021 19-08-2021 24004821 LANJUT
16 7401145012600001 HJ ST RUWAIDAH P 61 60-199 JL JEND SUDIRMAN 081341866675 19-08-2021 19-08-2021 24004821 LANJUT
35 7401145212580001 SYAMSIAH P 63 60-199 JL DURIAN NO 10 sakuli 085342274334 19-08-2021 19-08-2021 24004821 LANJUT
112 7401041107560004 A WAHAB L 65 60-199 BTN PERMAI BLLOK 1 085399850112 19-08-2021 19-08-2021 24004821 LANJUT
131 740114435590001 MERLINA POSSUMAH P 62 60-199 JL PANCASILA latambaga 082189329092 19-08-2021 19-08-2021 24004821 LANJUT
195 740114490460001 RUJIYEM P 61 60-199 JL REPELITA 085241502795 19-08-2021 19-08-2021 24004821 LANJUT
200
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT

D = Lainnya
E = Tidak Bekerja

18-30 106 0 A 0
31-45 52 0 B 0
46-59 24 0 C 0
Total 182 0 D 0
Pekerjaan: E 0
A 0 197 Total 0
B 0 2
C 0
D 0
E 0
Total 0


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 740114030420003 BABA HERMAWAN L 49 46-59 JL DURIAN 081354436707 25-08-2021 25-08-2021 24005121 LANJUT
2 7401142810030001 ARYA RANGGA RAMADAN L 18 18-30 JL KEMAKMURAN 082324939168 25-08-2021 25-08-2021 24005121 LANJUT
3 7401145802920002 HENIZELA POPIR P 29 18-30 JL DURIAN 085217728686 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
4 7401141006830001 SURIANUR GERHAN S L 38 31-45 JL KEMAKMURAN 085299948356 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
5 7401046206680005 AMINI P 53 46-59 JL DURIAN 082293845312 25-08-2021 25-08-2021 24005121 LANJUT
6 3510091707620004 TRIYONO L 59 46-59 BANYUWANGI 082332661582 25-08-2021 25-08-2021 24005121 LANJUT
7 7401046406030003 YUNI CAHYANI AWE P 18 18-30 JL MESJID DARUSSALAM 085351369804 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
8 7401145201000002 LUSY WIDYA LESTARI P 18 18-30 JL DURIAN 081238543669 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
9 7401141811860002 HENDRA POPIR L 35 31-45 JL DURIAN 082189998227 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
10 7401146812870002 ROSMILA P 34 31-45 JL DURIAN 085341782124 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
11 7401142712780001 USRIANTO L 43 31-45 KOLAKA 082188115406 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
12 74011454068100001 DANIA P 40 31-45 JL DURIAN 082394595428 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
13 7401144303750004 BONDENG P 46 46-59 JL DURIAN 081998014324 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
14 7401146802010002 MUTIARA KINANTI P 19 18-30 JL DURIAN 085215023232 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
15 7401143103010001 MUH RAHUL L 20 18-30 JL DURIAN 085299960581 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
16 74011144107020002 BERLIAN DWU BASKARA P 19 18-30 JL DURIAN 082137795394 25-08-2021 25-08-2021 24005121 LANJUT
17 7401145604870001 USMILA WULANDARI P 34 31-45 JL DURIAN 082259884717 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
18 7401144511750001 SARIFAH P 46 46-59 JL DURIAN 085280847761 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
19 7401145609860001 ASTUTI ISMAIL P 41 31-45 JL DURIAN 085394244498 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
20 7401140108020001 MUH ALAMSYAH L 19 18-30 JL DURIAN 085255911405 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
21 7401144303020001 NUR FARAH HANIA P 19 18-30 JL DURIAN 082259079530 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
22 7302024505840006 HARBIA P 37 31-45 JL DURIAN 082259664749 25-08-2021 25-08-2021 24005121 LANJUT
23 7401141210730002 DARWIS L 48 46-59 JL DURIAN 082393004820 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
24 7401145005720002 NINGSIH WAHYUNI P 49 46-59 JL DURIAN 082189572388 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
25 7401145505830003 TASRAWATI P 38 31-45 JL DURIAN 085211460127 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
26 740114420267000 NURLIANG P 54 46-59 JL DURIAN 085241622341 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
27 3276015207840021 NURLAELA P 37 31-45 JL DURIAN 081213330766 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
28 7401143112500017 BONE L 71 60-199 JL DURIAN 082246177198 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
29 7401144512850001 SANNANG P 36 31-45 JL DURIAN 082188115406 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
30 7401146408030001 SITTI FATIMAH P 18 18-30 JL DURIAN 082394034419 25-08-2021 25-08-2021 24005121 LANJUT
31 7401146008010001 EKA PUTRI EMBUN M P 20 18-30 JL DURIAN 082259828965 25-08-2021 25-08-2021 24005121 LANJUT
32 74011040408810001 SAMINGAN L 40 31-45 JL DURIAN 085242905298 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
33 7401041201650001 SULTAN AMIN L 56 46-59 JL DURIAN 082293845312 25-08-2021 25-08-2021 24005121 LANJUT
34 7401146511780001 SUNGGU P 43 31-45 JL DURIAN 081355072220 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
35 74011419059700001 MUH RIAN ATMAJAYA L 24 18-30 JL DURIAN 082246177198 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
36 7401041103910002 AHMAD FADLY L 30 18-30 JL GARUDA 082293515035 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
37 7401144311780001 NUR DIYANTI P 43 31-45 JL DURIAN 082225151122 25-08-2021 25-08-2021 24005121 LANJUT
38 7401146506880001 NURHIDAYA P 33 31-45 JL DURIAN 082215876537 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
39 7401140607930002 ANTO L 28 18-30 JL DURIAN 085326673746 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
40 7401142705000001 YUSRIF PRAJIDNO L 21 18-30 JL DURIAN 082275813572 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
41 917103410780005 BASIRA L 41 31-45 JL DURIAN 082217861355 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
42 7401140309970001 BUSRI SAPUTRA L 24 18-30 JL DURIAN 082129388977 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
43 7401144904030001 ANNISAA APRILIA RUSLI P 18 18-30 JL BENDUNGAN 082313358466 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
44 7401146507010001 ALDAMAYANTI NENGSIH P 20 18-30 JL DURIAN 081341525469 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
45 7405040107880018 ARWAN L 27 18-30 JL DURIAN 082347361820 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
46 7401145812950001 LISNA SRI RAHAYU P 26 18-30 JL DURIAN 082259664452 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
47 7304116906940001 NURAHMA HASANUDDIN P 27 18-30 JL DURIAN 085348956346 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
48 7304116906940001 PANURIA P 59 46-59 JL DURIAN 081341620446 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
49 7401144901860001 ELLY EMELDA P 35 31-45 JL DURIAN 081257978510 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
50 7401146411840001 MIRNA P 37 31-45 JL DURIAN 085823271183 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
51 7401146508760001 TASMIA P 45 31-45 JL DURIAN 085253958004 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
52 7401145403760001 SULASTRI P 45 31-45 JL DURIAN 082352081885 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
53 74011452047500001 WATI P 46 46-59 JL DURIAN 085394426295 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
54 7401146410800001 JUMITA THAMRIN P 41 31-45 JL DURIAN 085255770410 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
55 9171034107990004 ASRIANI P 27 18-30 JL DURIAN 082217861355 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
56 7401146601720004 PATIMASANG P 49 46-59 JL DURIAN 082349225793 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
57 7401146911790001 SITTI FARIDA P 42 31-45 BALANDETE 082393540536 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
58 7401041709860001 SYAMSUL BAHRI P 35 31-45 JL DURIAN 08229111291 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
59 7401144504740002 KARWATI P 47 46-59 JL DURIAN 085342100036 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
60 7401145004880001 SUSILAWATI P 33 31-45 JL DURIAN 082346593883 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
61 7401144204030003 ALFIRA YUNITA P 18 18-30 JL DURIAN 082292432595 25-08-2021 25-08-2021 24005121 LANJUT
62 7401145008920002 SINDI ASTRI PARADILLAH P 29 18-30 JL DURIAN 0822397727561 25-08-2021 25-08-2021 24005121 LANJUT
63 7401046802030001 FEBRIAN AMIRUL A L 18 18-30 JL PEMUDA 082292977678 25-08-2021 25-08-2021 24005121 LANJUT
64 7401146404030001 KHUSNUL HASUAH P 18 18-30 JL DURIAN 085244224946 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
65 7401045712900003 WAHYU NINGSIH P 31 31-45 JL DURIAN 081210826016 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
66 7401040202850004 JUSMAN L 36 31-45 JL PRAMUKA 085343919354 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
67 7401114707840001 FATMAWATI P 37 31-45 JL KEMAKMURAN 085256339050 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
68 7401042808880001 ABD RAHMAN S L 33 31-45 JL PAHLAWAN 085343919354 25-08-2021 25-08-2021 24005121 LANJUT
69 7401147001750001 MISRAWATY TJAMALUDDIN P 46 46-59 JL DURIAN 085280284416 25-08-2021 25-08-2021 24005121 LANJUT
70 7401147112060009 DESHITA NURMAHENY P 25 18-30 JL DURIAN 085342100036 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
71 7401144405980001 SRI WAHYUNI KISMAN P 23 18-30 JL DURIAN 082293272710 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
72 7401146404880001 ULFA JAYANTI P 33 31-45 JL KEMAKMURAN 085299948356 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
73 7401146905950001 NORMAWATI P 26 18-30 JL DURIAN 082296255414 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
74 740114550993002 DARNI P 28 18-30 JL DURIAN 085241061167 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
75 7401045504780001 LENI MASIDO P 43 31-45 JL PELANDUK 082347818121 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
76 74011450129290003 LISKA DEWI RAHAYU P 29 18-30 JL DURIAN 085241061167 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
77 7401141701780001 MUHASBIN NUR L 43 31-45 JL DURIAN 085298975751 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
78 7401146009710001 MARIAMA P 49 46-59 JL DURIAN 082349225793 25-08-2021 25-08-2021 24005121 LANJUT
79 7371087112530011 MASIA P 68 60-199 JL DURIAN 085244763178 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
80 7401145002830001 HARNITA P 38 31-45 JL DURIAN 085391115823 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
81 7401145410820001 NUR LESTARI P 39 31-45 JL DURIAN 081342009338 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
82 7401045406030001 PUTRI AYU P 18 18-30 JL SLAMET RIADI 082348683544 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
83 7401146010930002 SINTA PUTRIANI LASADE P 29 18-30 JL DURIAN 085212656065 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
84 7401044906740001 RIANTI RAUF P 47 46-59 JL MEKONGGA INDAH 081354822932 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
85 7401046603040001 AURA TRIAPSARI P 17 0 JL DR SAM RATULANGI 082252457960 25-08-2021 25-08-2021 24005121 LANJUT
86 740114590503002 INGGRID AURELIYA P 18 18-30 JL DURIAN 085234383173 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
87 7401146906030001 MASYA ABEL GISTHA P 18 18-30 JL DURIAN 082188260739 25-08-2021 25-08-2021 24005121 LANJUT
88 740120711267007 ROSMIATI A P 54 46-59 JL DURIAN 085330105161 25-08-2021 25-08-2021 24005121 LANJUT
89 351009554680007 SITI NAFSIKAH P 53 46-59 BANYUWANGI 081338603473 25-08-2021 25-08-2021 24005121 LANJUT
90 7401144507800002 YULIANTI KONGGOASA P 41 31-45 JL DURIAN 085255346767 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
91 7401147112680039 SALMAWATI P 53 46-59 JL DURIAN 085241578940 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
92 7302091808680003 ABDUL KAHAR L 53 46-59 JL DURIAN 082260568506 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
93 740607510020001 ANNISA SULYAMARATUNNUR P 19 18-30 POLEANG BARAT 081341559387 25-08-2021 25-08-2021 24005121 LANJUT
94 7401041403000003 MUH RESKY AGUS RINALDI L 21 18-30 BTN TAHOA 085341914445 25-08-2021 25-08-2021 24005121 LANJUT
95 7401142504980001 FIKRI SAPUTRA L 23 18-30 JL DURIAN 082328083419 25-08-2021 25-08-2021 24005121 LANJUT
96 7401143112750004 JINARTO L 46 46-59 JL DURIAN 081524971186 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
97 7401145512830002 MARDIANA P 38 31-45 JL DURIAN 082297336378 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
98 7406074107800022 SUMANG P 41 31-45 POLEANG BARAT 082188556091 25-08-2021 25-08-2021 24005121 LANJUT
99 7401142905720001 HAMRIN L 49 46-59 JL DURIAN 085343582278 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
100 7408071506850002 IMAM NOERRUDDIN L 36 31-45 SOROGENEN 081329280387 25-08-2021 25-08-2021 24005121 LANJUT
101 7401011507940002 FIRDAUS L 26 18-30 JL BYPASS 082348661739 25-08-2021 25-08-2021 24005121 LANJUT
102 7471056309880003 SINAR P 33 31-45 JL MEKONGGA INDAH 085256339050 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
103 7401044803020001 PUPUT AMELIA TAWAI P 19 18-30 JL CHAIRIL ANWAR 085232066550 25-08-2021 25-08-2021 24005121 LANJUT
104 7401140404040002 RINTO FIRMANSYAH L 17 0 JL PONDUI 082235794939 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
105 7401144804810001 SIRIATI P 40 31-45 JL DURIAN 082315531754 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
106 3172046708010002 NUR FAUJIAH P 20 18-30 JL DELIMA 085241919499 25-08-2021 25-08-2021 24005121 LANJUT
107 7401144811990001 RIRIN ANJANI P 22 18-30 JL KAKATUA 085341609033 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
108 7401142205290001 MUH FAHRI JAMIL L 29 18-30 JL DELIMA 085241919499 25-08-2021 25-08-2021 24005121 LANJUT
109 7408016910040003 ADELIA ADRIA PURWANTO P 18 18-30 JL DURIAN 085281713368 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
110 7401045806810003 RAHMA P 40 31-45 JL PRAMUKA 085208666333 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
111 7401140312010002 MUH FAHRI L 19 18-30 JL DURIAN 081218508908 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
112 7401142310020001 MUH ADRIAN L 19 18-30 JL KEMAKMURAN 082393210175 25-08-2021 25-08-2021 24005121 LANJUT
113 7401044905970001 SULASTRI P 24 18-30 JL SULTAN HASANUDDIN 085348311832 25-08-2021 25-08-2021 24005121 LANJUT
114 7401146104720001 NURWATI P 49 46-59 JL DURIAN 082293779243 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
115 7401046003000001 SRI AINUN HIJRIANTI P 21 18-30 JL PEMUDA 082318486269 25-08-2021 25-08-2021 24005121 LANJUT
116 7401140108790001 ILHAM L 42 31-45 JL DELIMA 0811403130 25-08-2021 25-08-2021 24005121 LANJUT
117 7401140205720001 ARIFIN L 49 46-59 JL KEMAKMURAN 085241551887 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
118 7401141001020003 MUH DITO L 19 18-30 JL DURIAN 085398108262 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
119 7401145104810001 SULASTRI P 37 31-45 JL DURIAN 082310669848 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
120 7401144907920001 RIKA/ ALSRINA P 29 18-30 JL. KEMAKMURAN 085333176700 25-08-2021 25-08-2021 24005121 LANJUT
121 7401140304020001 FARHAN MAULANA L 29 18-30 JL. KEMAKMURAN 081341911670 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
122 7401096201040002 A. OKSA AQUARI P 17 0 ATULA 082261201433 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
123 7401041107900003 AHMAD HIDAYAT L 31 31-45 KOMPLEKS BTN TAHOA 082264851146 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
124 7406075007850001 NURWAHIDA P 36 31-45 DUSUN POMPANG 082293808571 25-08-2021 25-08-2021 24005121 LANJUT
125 7401146405800002 MULIYATI P 41 31-45 JL. ANDI PUNNA 082346571927 25-08-2021 25-08-2021 24005121 LANJUT
126 7405011510980001 ALPIN POREMBA L 23 18-30 LINGK. III TINANGGEA 085240588878 25-08-2021 25-08-2021 24005121 LANJUT
127 7401041304050001 AHMAD FATUL MUBARAK L 16 0 JL. PRAMUKA 082215601218 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
128 7401143006010001 MUH ADI IQWAL L 20 18-30 JL DURIAN 082217961460 25-08-2021 25-08-2021 24005121 LANJUT
129 7401046707010011 DINI AYU LESTARI P 20 18-30 BTN TAHOA 082399629035 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
130 7401147112710005 ATI P 50 46-59 JL KEMAKMURAN 081245667057 25-08-2021 25-08-2021 24005121 LANJUT
131 7401016104970001 NUR KARTINI P 24 18-30 BTN TAHOA 082268631887 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
132 7401142110970001 RISALDI L 24 18-30 JL DURIAN 082346955380 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
133 7401146906770001 ERNAWATI LALOASA P 44 31-45 JL DURIAN 082293102868 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
134 7401145507870004 MASITA P 34 31-45 JL DURIAN 085240094383 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
135 7401143112710001 SUKI L 50 46-59 JL DURIAN 082346955380 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
136 7401045011740002 MULIATI P 47 46-59 JL KAKATUA 085230100113 25-08-2021 25-08-2021 24005121 LANJUT
137 7471055509760002 MARIANA P 45 31-45 KENDARI BARAT 081340774277 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
138 7401144306750001 LUSIA PETRONELA P 46 46-59 ULUNGGOLAKA 081341648733 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
139 7401140902770001 FERDIAN WASTON ADA L 44 31-45 ULUNGGOLAKA 082341958377 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
140 7401146209750001 SITTI NADIRAH P 46 46-59 JL. DELIMA N0. 69 082239518456 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
141 7401146803890001 CUTI SRI RAHAYU P 32 31-45 JL. SABIANO 082187293616 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
142 7401142704800002 NGATAWI L 41 31-45 JL DURIAN 082349222665 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
143 7472010501930001 MUH SYAFAAT L 28 18-30 JL GAJAH MUDA 081356578919 25-08-2021 25-08-2021 24005121 LANJUT
144 7401141111610001 HASANUDDIN L 60 60-199 JL DURIAN 085241578940 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
145 7371030512740005 FREDY L 47 46-59 MANGOLO 082187636190 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
146 7401042505950005 ASKAR L 26 18-30 LALOMBAA 082293766292 25-08-2021 25-08-2021 24005121 LANJUT
147 7401046501020001 GISELLE ANGELA HOKLEY P 19 18-30 JL PEMUDA 082293946700 25-08-2021 25-08-2021 24005121 LANJUT
148 7401146303740003 SITTI HINAYAH P 47 46-59 JL SUNU 085824054736 25-08-2021 25-08-2021 24005121 LANJUT
149 7401144902020001 ADEWIAH SARI P 19 18-30 JL SUNU 081949520985 25-08-2021 25-08-2021 24005121 LANJUT
150 7401145309000001 SOVIAN SIMIN L 21 18-30 JL TINUMBU 082250037749 25-08-2021 25-08-2021 24005121 LANJUT
151 74011140410020003 NASIR L 19 18-30 JL DURIAN 082216179971 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
152 7401146612990003 WINA SOFIANA P 22 18-30 JL ABADI 082290729790 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
153 74011145604920001 SALMIATI P 29 18-30 JL ABADI 082217724243 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
154 7401145808760003 RAUGI P 45 31-45 JL DURIAN 085399048250 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
155 740104610288002 RAHMAWATI BUDIMAN P 33 31-45 JL USMAN RENCONG 085240531251 25-08-2021 25-08-2021 24005121 LANJUT
156 7401045707670003 HJ RATNAWATI P 50 46-59 JL USMAN RENCONG 081355553299 25-08-2021 25-08-2021 24005121 LANJUT
157 7401046712020005 PUTRI MEGAWATI P 19 18-30 JL USMAN RENCONG 082231130415 25-08-2021 25-08-2021 24005121 LANJUT
158 7405081206690001 MUCHLIS SURAP L 52 46-59 JL DURIAN 082193548989 25-08-2021 25-08-2021 24005121 LANJUT
159 7401145310000001 WILDA OKTAVIANTI P 21 18-30 KOLAKAASI 082353089191 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
160 7401145211990001 HASRAWATI P 22 18-30 JL DURIAN 081292034939 25-08-2021 25-08-2021 24005121 LANJUT
161 740114270270001 MUHASDIN L 45 31-45 JL DURIAN 081342061732 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
162 7408051902990001 A ALIF WAHIDUL L 22 18-30 KOLAKA UTARA 082393638588 25-08-2021 25-08-2021 24005121 LANJUT
163 3528070111740001 PATSAL L 47 46-59 PAMEKASAN 082278214414 25-08-2021 25-08-2021 24005121 LANJUT
164 7401206701960001 FADILAH P 25 18-30 SAMATURU 085356692703 25-08-2021 25-08-2021 24005121 LANJUT
165 7401141517770002 IRSAN L 44 31-45 JL DURIAN 085398504478 25-08-2021 25-08-2021 24005121 LANJUT
166 7401015103970003 FARYDATN P 24 18-30 WUNDULAKO 085398081969 25-08-2021 25-08-2021 24005121 LANJUT
167 3528120304820009 MOH HAFID L 39 31-45 PAMEKASAN 081245936680 25-08-2021 25-08-2021 24005121 LANJUT
168 7401106801960001 MILA LESTARI RAMADANI P 25 18-30 WOLO 085255118149 25-08-2021 25-08-2021 24005121 LANJUT
169 7401025802010001 KAMARIA P 20 18-30 AJJALIRENG 082310672287 25-08-2021 24005121 SELESAI
170 7401144706960001 FITRIANI RASYID P 25 18-30 JL KAMBOJA 082215640620 25-08-2021 25-08-2021 24005121 LANJUT
171 740104610970002 SITTI NUR SAPIAH P 24 18-30 KONGGOASA 082211695467 25-08-2021 25-08-2021 24005121 LANJUT
172 740125270400001 IRSYAD SAEFULLOH L 21 18-30 POLINGGONA 085232447118 25-08-2021 25-08-2021 24005121 LANJUT
173 7401042807970001 SAKRI ABIDIN M L 24 18-30 JL PEMUDA 082253456821 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
174 5294080206760001 ASMARI SUKRI L 45 31-45 BANGKALAN 081339849918 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
175 7302061012850001 RUKMIN L 36 31-45 BULUKUMBA 088889994441 25-08-2021 25-08-2021 24005121 LANJUT
176 7401096307980002 SITI NURHABIBAH P 23 18-30 LADONGI 082293674402 25-08-2021 25-08-2021 24005121 LANJUT
177 8203051306771001 MOH HARUN L 44 31-45 BANGKALAN 085656968500 25-08-2021 25-08-2021 24005121 LANJUT
178 3526022701010003 ABDUL SHOMAD L 20 18-30 BANGKALAN 085813163299 25-08-2021 25-08-2021 24005121 LANJUT
179 7401142810990002 ASRIN SAPUTRA L 22 18-30 JL DURIAN 082241367257 25-08-2021 25-08-2021 24005121 LANJUT
180 7401140104410001 HENDRIAWAN L 30 18-30 JL DURIAN 085321200120 25-08-2021 25-08-2021 24005121 LANJUT
181 7401144305040001 IKHWA AULIA FATIMAH A P 17 0 JL KENANGA 082346183473 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
182 7401144512670003 SILPIA P 54 46-59 JL DURIAN 082261589978 25-08-2021 25-08-2021 24005121 22-09-2021 202107135i SELESAI
183 7401042005880003 SLAMET FREDY T L 33 31-45 JL PAHLAWAN 082311391304 25-08-2021 25-08-2021 24005121 LANJUT
184 7401144708990001 IRMAYANTI P 22 18-30 JL DURIAN 082128695068 25-08-2021 25-08-2021 24005121 22-09-2021 202108119H SELESAI
185 7401042810790001 GAFUR ARDIANSYAH L 42 31-45 BTN TAHOA 082190511151 22-09-2021 202108119H SELESAI
186 7471042908860001 IMAM MUNADAR L 35 31-45 DUSUN 3 TANIUSI 085342813158 22-09-2021 202107135i SELESAI
187 7401140101800007 TAHARUDIN L 41 31-45 DESA KOKOE 082293619587 22-09-2021 202107135i SELESAI
188 3329020704680004 SAEPUDIN JUHRI L 53 46-59 BUARAN SELATAN 081341758075 22-09-2021 22-09-2021 202107135i LANJUT
189 7401041110030003 YAN NUR SA'BAN L 18 18-30 JL AHMAD YANI 081241621135 22-09-2021 22-09-2021 202107135i LANJUT
190 7401141211030001 MUH SALMAN R L 18 18-30 JL DURIAN 085240721813 22-09-2021 22-09-2021 202107135i LANJUT
191 7401145507710003 ASRIANA P 50 46-59 JL DURIAN 085341710662 22-09-2021 22-09-2021 202107135i LANJUT
192 7401145012770002 HAPSA P 44 31-45 JL DURIAN 085241056194 22-09-2021 202107135i SELESAI
193 MUH IDRA ERLANGGA L 0 22-09-2021 202107135i SELESAI
194 7401147112830007 NARNIA P 38 31-45 SAKULI 082346745542 22-09-2021 22-09-2021 202107135i LANJUT
195 7401146302650001 MULIYATI NUR P 56 46-59 JL RAMBUTAN 082320691832 22-09-2021 22-09-2021 202107135i LANJUT
196 7401035208870001 RISNAWATI P 34 31-45 WUNDULAKO 082271639419 22-09-2021 22-09-2021 202107135i LANJUT
197 7401045103830003 YUSNITA YUSUF P 38 31-45 JL PEMUDA 085241861682 22-09-2021 22-09-2021 202107135i LANJUT
198 7401044702910002 JUMARNI K P 30 18-30 JL DURIAN 082217980545 22-09-2021 22-09-2021 202107135i LANJUT
199 7310104107820065 ST RABIAH P 39 31-45 JL DURIAN 082297517949 22-09-2021 22-09-2021 202107135i LANJUT
200 7202015006880001 NI PUTU FRIDA P 33 31-45 LALOMBAA 082333666950 22-09-2021 202107135i SELESAI
201 7401145110850005 RINI MUSTAFA ASIA P 36 31-45 SAKULI 082214587425 22-09-2021 22-09-2021 202107135i LANJUT
202 7401200303840001 AHMAD WAHIDIN L 37 31-45 KOLAKAASI 087750874995 22-09-2021 202107135i SELESAI
203 7401046410690002 PATIMAH P 52 46-59 JL PELANDUK 082337106982 22-09-2021 22-09-2021 202107135i LANJUT
204 7401145707850002 REPIANA P 36 31-45 JL DURIAN 085325640834 22-09-2021 22-09-2021 202107135i LANJUT
205 7310106812770002 SRI ASRIANTI P 44 31-45 SAKULI 081199344880 22-09-2021 22-09-2021 202107135i LANJUT
206 7401140711930003 PAISAL L 28 18-30 JL DURIAN 081245250490 22-09-2021 202107135i SELESAI
207 7401140301990001 DHANDY SWANDY BASMAN L 22 18-30 LAMOKATO 082219904972 22-09-2021 202107135i SELESAI
208 7401042205070001 MIKHAEL C POSSUWAH L 14 0 JL EMI SAELAN 082192403601 22-09-2021 22-09-2021 202107135i LANJUT
209 7401041905090002 MARVELLE Y TARIGAN L 12 0 JL EMI SAELAN 085394428819 22-09-2021 22-09-2021 202107135i LANJUT
210 7401145501630001 SANNENG P 58 46-59 JL DURIAN 082312061823 22-09-2021 22-09-2021 202107135i LANJUT
211 7401141708640001 AGUS SALIM L 57 46-59 SAKULI 082312061823 22-09-2021 22-09-2021 202107135i LANJUT
212 7401142704100006 MUH FAREL L 14 0 JL DURIAN 082259664874 22-09-2021 22-09-2021 202107135i LANJUT
213 7401141708040004 HASBI L 17 0 JL DURIAN 081243096292 22-09-2021 22-09-2021 202107135i LANJUT
214 3276015708040008 INEL AULIA P 17 0 JL DURIAN 081340185435 22-09-2021 202107135i SELESAI
215 7401146002930002 ASRI ASTERIA P 28 18-30 MANGOLO 085395520219 22-09-2021 202107135i SELESAI
216 7401042112850002 M ASHAR L 36 31-45 JL DURIAN 085240133318 22-09-2021 202107135i SELESAI
217 7401145303740001 RITA P 47 46-59 JL DURIAN NO. 127 081316774736 22-09-2021 22-09-2021 2021071351 LANJUT
218 7401143112760023 NURDIN DG. TOMPO L 45 31-45 JL. DURIAN 081343787809 22-09-2021 22-09-2021 2021071351 LANJUT
219 7401202712930001 AMIN RAIS L 27 18-30 DUSUN II LAONE 081345278154 22-09-2021 22-09-2021 2021071351 LANJUT
220 7401205212000002 ASRIANI P 33 31-45 DUSUN II AMBAOAO 081342011172 22-09-2021 22-09-2021 2021071351 LANJUT
221 740104481190002 DEWI PUSPITA SARI P 31 31-45 JL. PAHLAWAN 082265456535 22-09-2021 22-09-2021 2021071351 LANJUT
222 7401042701890002 RISALBASNAPOL L 32 31-45 JL. GAJAH 081253077799 22-09-2021 22-09-2021 2021071351 LANJUT
223 3329026312790001 YAYAN ROMAYATI P 42 31-45 BREBES JAWA TENGAH 082325564288 22-09-2021 22-09-2021 2021071351 LANJUT
224 73090531128100012 ABDULLAH L 40 31-45 LINGK. SULI SULI 0852139070004 22-09-2021 2021071351 SELESAI
225 7401146808030001 RIZKA GUSTIKA ZHESARIA P 18 18-30 JL. PANCASILA 082191830138 22-09-2021 2021071351 SELESAI

D = Lainnya
E = Tidak Bekerja
18-30 89 0 A 0
31-45 80 0 B 0
46-59 42 0 C 0
Total 211 0 D 0
Pekerjaan: E 0
A 0 210 Total 0
B 0 130
C 0
D 0
E 0
Total 0
22-09-2021


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
9 7401143112580041 ABD GALIB L 63 60-199 JL KENANGA 085298800984 02-09-2021 02-09-2021 24005321 9/30/2021 202108122H SELESAI
10 7401145406550000 HJ SITTI AMINAH P 66 60-199 JL REPELITA 08521193749 02-09-2021 02-09-2021 24005321 LANJUT
13 7401141212590003 HASANUDDIN HL L 62 60-199 JL KAMBOJA 085395708579 02-09-2021 02-09-2021 24005321 LANJUT
80 7401144409590001 SITTI DJUAERAH P 62 60-199 JL CAKALANG 085299432690 02-09-2021 02-09-2021 24005321 LANJUT
111 7401143112600021 M RADI L 61 60-199 JL CEMPAKA 085221182300 02-09-2021 02-09-2021 24005321 LANJUT
112 7401045102070001 ALYA FEBRIANA CIPTA P 14 0 JL PEDA PEDA 082112001201 02-09-2021 02-09-2021 24005321 LANJUT
193 0 02-09-2021 02-09-2021 24005321 LANJUT
195 7401144409590001 SITI DJUAERAH. M P 62 60-199 JL CAKALANG NO.10 085299432690 30-9-2021 9/30/2021 202108122H SELESAI
226 7401074708720001 NURAIDA P 62 60-199 TANGGONI 085342273125 9/30/2021 9/30/2021 202108122H SELESAI
237 7401141212590003 HASANUDDIN L 62 60-199 JL. KAMBOJA 085395708579 9/30/2021 9/30/2021 202108122H SELESAI
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT

D = Lainnya
E = Tidak Bekerja

18-30 106 0 A 0
31-45 73 0 B 0
46-59 52 0 C 0
Total 231 0 D 0
Pekerjaan: E 0
A 0 200 Total 0
B 0 154
C 0
D 0
E 0
Total 0


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 672022703940004 SYAWAL ADITYA PRATAMA L 27 18-30 MOMEA 082349398325 27-07-2021 27-07-2021 24004821 NIK SALAH LANJUT
2 7401042512620001 ABD KAHAR L 59 46-59 JL HALUOLEO 082192529090 27-07-2021 27-07-2021 24004821 24-09-2021 202107135i SELESAI
3 7401045408630001 HJ ST MAENAB P 58 46-59 JL HALUOLEO 08124520992 27-07-2021 27-07-2021 24004821 24-09-2021 202107135i SELESAI
4 7401190507990002 USWATUL NUGRAHA PUTRA L 22 18-30 JL SUNU 085341589698 27-07-2021 27-07-2021 24004821 24-09-2021 202107135i SELESAI
5 7401076305840002 SABRINA SAMAI P 37 31-45 JL POROS KENDARI 082243575494 27-07-2021 27-07-2021 24004821 17-03-2022 SELESAI V3
6 7401042204930002 APRIAN SAPUTRA L 28 18-30 BTN TAHOA 085242813344 27-07-2021 27-07-2021 24004821 DO
7 7401041711750003 SUKMAN,SE L 46 46-59 PERUMNAS 085242092123 27-07-2021 27-07-2021 24004821 24-09-2021 202107135i SELESAI
8 7401145502030001 AMIRATUN NISA P 18 18-30 JL UDANG 082291377349 27-07-2021 27-07-2021 24004821 19-12-2021 SELESAI
9 7401044706960004 SRI HANDAYANI P 25 18-30 BTN TAHOA 085240090223 27-07-2021 27-07-2021 24004821 11/11/2021 SELESAI
10 7408014606810001 ROSMIATI K P 40 31-45 JL DURIAN 082398586165 27-07-2021 24004821 SELESAI
11 7401146204080001 NURUL ANNISA P 20 18-30 JL POROS KOLAKA WOLO 082230795138 27-07-2021 27-07-2021 24004821 21-12-2021 SELESAI
12 7401145703830002 SUHARTI P 38 31-45 JL ABADI 085343863078 27-07-2021 27-07-2021 24004821 24-09-2021 202107135i SELESAI
13 7308116404920001 HASNI P 29 18-30 BTN BONE BIRU 085255242421 27-07-2021 27-07-2021 24004821 11/11/2021 SELESAI
14 7401040105840001 IRWAN L 37 31-45 JL SLAMET RIADI 085244399722 27-07-2021 27-07-2021 24004821 28-09-2021 SELESAI
15 7401144803830003 DAHLIA P 38 31-45 JL TPI 085299337913 27-07-2021 27-07-2021 24004821 24-09-2021 202107135i SELESAI
16 7471092204980002 MUHAMMAD NUR AKRAM L 23 18-30 JL JAMBU PUTIH 082292196543 27-07-2021 27-07-2021 24004821 30-09-2021 SELESAI
17 7302046201920001 NUR FADILLAH P 29 18-30 JL MAKAM 085242683086 27-07-2021 27-07-2021 24004821 19-04-2022 SELESAI V3
18 7408044109920001 SRI HARIANTI P 29 18-30 JL BEKICOT 085299363225 27-07-2021 27-07-2021 24004821 2/10/2021 SELESAI
19 7401046106900002 ALFIAH TRISNAWATI P 31 31-45 JL BADEWI 085244151571 27-07-2021 27-07-2021 24004821 24-09-2021 202107135i SELESAI
20 7401075212010001 FITRAH DARMAWATI P 20 18-30 JL POROS POMALAA KOLAKA 082290130944 27-07-2021 27-07-2021 24004821 18-03-2022 SELESAI V3
21 7401045409030001 STEVI NATALIA P P 18 18-30 JL WR SUPRATMAN 082293350481 27-07-2021 27-07-2021 24004821 13-05-2022 SELESAI V3
22 322025402030001 KHUSNUL KHOTIMA P 18 18-30 DUSUN 4 PESAUHA 082248109515 27-07-2021 27-07-2021 24004821 NIK SALAH SELESAI
23 6402142705820002 SIMON L 39 31-45 JL DELIMA 081258106799 27-07-2021 27-07-2021 24004821 30-09-2021 SELESAI
24 7401144705030002 ADELIA KARMILA P 18 18-30 JL ABADI 082291333400 27-07-2021 27-07-2021 24004821 12/10/2021 SELESAI
25 7401044501900008 ANNA RUKMANA P 31 31-45 BALANDETE 081344798500 27-07-2021 24004821 SELESAI
26 7401145512770002 ROSMIATI P P 44 31-45 JL SUNU 085211460144 27-07-2021 27-07-2021 24004821 24-09-2021 SELESAI
27 7401045408970003 RAMDANI P 24 18-30 JL. KELINCI 082246052082 27-07-2021 27-07-2021 24004821 1/4/2022 SELESAI
28 7401205610880001 SUKMAWATI, AMK P 33 31-45 SAKULI 085230685616 27-07-2021 27-07-2021 24004821 16-07-2022 SELESAI V3
29 701041404020003 AHMAD MUSTHAFA L 19 18-30 JL. TMD 082393149707 27-07-2021 27-07-2021 24004821 27-08-2021 SELESAI
30 7401214305850001 ILIYANTI P 36 31-45 DUSUN IV AMBAPA 082191260623 27-07-2021 27-07-2021 24004821 25-11-2021 SELESAI
31 7401041803070002 SHAREEN THOMAS P 14 0 JL. DR. SUTOMO 082235703741 27-07-2021 27-07-2021 24004821 25-09-2021 SELESAI
32 7401047105050001 MEILANY OLYVIA P 16 0 JL. BADEWI 082393058841 27-07-2021 27-07-2021 24004821 24-09-2021 SELESAI
33 740103590480001 RUMIA P 38 31-45 JL. BADEWI 082194882434 27-07-2021 27-07-2021 24004821 NIK SALAH LANJUT
34 7401041405010004 MUHAMMAD QADRI L 20 18-30 JL. AHMAD MUSTIN II NO. 3 082317725857 27-07-2021 27-07-2021 24004821 24-09-2021 202107135i SELESAI
35 3171072912841002 ARDIANSYAH PUTRA L 37 31-45 JL. DELIMA NO. 90 085343715681 27-07-2021 27-07-2021 24004821 12/9/2022 SELESAI V3
36 7401041011020004 MUNANDAR ADI ATMA L 19 18-30 JL. SIRA 085289456450 27-07-2021 27-07-2021 24004821 24-09-2021 202107135i SELESAI
37 7401142703070001 RHEET VALIANT FS L 14 0 JL PANCASILA 081242764443 27-07-2021 27-07-2021 24004821 24-09-2021 202107135i SELESAI
38 7401140110890001 FENDY SANTOSO L 32 31-45 JL CENGKEH 08114080333 27-07-2021 24004821 SELESAI
39 7401142705860002 ASMADI L 35 31-45 JL ALAM MEKONGGA 082347342777 27-07-2021 27-07-2021 24004821 24-09-2021 202107135i SELESAI
40 7401145102070001 AURELYA YUDHIE P 14 0 JL. PANCASILA NO. 48 082253544177 27-07-2021 27-07-2021 24004821 26-10-2021 SELESAI
41 7401141707090001 STEVE ALVRO L 12 0 JL. PANCASILA NO. 90 082259950508 27-07-2021 27-07-2021 24004821 24-09-2021 202107135i SELESAI
42 7401015606980001 ADHEKZY TYAS UNTARI P 23 18-30 BENDE 082291657660 27-07-2021 27-07-2021 24004821 25-03-2022 SELESAI
43 7312045808710001 ANDI ALDINNAH P 50 46-59 LAPAJUNG 082320584005 27-07-2021 27-07-2021 24004821 27-07-2021 24004821 SELESAI
53 740104071890003 WAWAN L 32 31-45 JL. MEKONGGA INDAH 082393163161 8/28/2021 8/28/2021 24004821 NIK SALAH LANJUT
54 7401086106060001 SITTI NURPADILLA P 15 0 LINGK. C LABOTE WATUBANGGA 082217863904 8/28/2021 8/28/2021 24004821 4/10/2021 SELESAI
55 7401146507030001 NABILA DWI PUSPITA SARI P 18 18-30 JL. ABADI N0. 43 085257981496 8/28/2021 8/28/2021 24004821 28-09-2021 SELESAI
56 '7401141807060001 MUH. FADLY RIDZKY ARDIANSYAH L 15 0 JL. DELIMA 081284264440 8/28/2021 8/28/2021 24004821 2/10/2021 SELESAI
57 7401044512040002 FIRLIZA ARJU LESTRAI P 17 0 BTN TAHOA BLOK G NO. 34 082293127117 8/28/2021 8/28/2021 24004821 30-09-2021 SELESAI
58 7401045606030003 ALFINA NADYANTY NDY P 18 18-30 JL. PEMUDA NO. 12 082261598862 8/28/2021 8/28/2021 24004821 28-07-2022 SELESAI
59 7401144209680001 SAWIAH P 53 46-59 JL. SULTAN HASANUDDIN 085255520644 8/28/2021 8/28/2021 24004821 30-09-2021 SELESAI
60 740104411130001 RAMDHANI P 18 18-30 BTN TAHOA BLOK G NO. 7 085825004901 8/28/2021 8/28/2021 24004821 30-09-2021 SELESAI
61 7401044803770003 NURHAYATI P 44 31-45 JL. PAHLAWAN NO. 15 081228126664 8/28/2021 8/28/2021 24004821 16-10-2021 SELESAI
62 7401144809050001 YUSTIKA SARI P 18 18-30 JL. BEKICOT NO. 1 085256524733 8/28/2021 8/28/2021 24004821 24-12-2021 SELESAI
63 7401044805770005 MILKA MAYA B P 44 31-45 PERUMNAS LALOMBAA BLOK A 201 08114005501 8/28/2021 8/28/2021 24004821 19-11-2021 SELESAI
66 7401047112740014 ASMA P 47 46-59 JL PONDOK PESANTREN NO 14 081355573578 24-09-2021 24-09-2021 202107135i 12/5/2022 SELESAI
67 7326115707960001 MULIANI MAMBELA P 25 18-30 PAULASAN 08533669426 24-09-2021 24-09-2021 202107135i SELESAI
2/4/2022
68 7401126205040001 AQILAH AURA MEILANI P 17 0 BTN GREENVILLE RESIDENCE 082292042555 24-09-2021 24-09-2021 202107135i SELESAI
1/11/2021
69 7401144708690001 RUSNI ARIFIN P 52 46-59 HKSN MANGGOLO 082123898527 24-09-2021 24-09-2021 202107135i SELESAI
5/11/2021
70 7401140208970002 FIRMAN ALDI L 24 18-30 KOLAKAASI 082189909535 24-09-2021 202107135i SELESAI
71 7401141603810001 BAHARUDDIN L 40 31-45 LAMOKATO 085256846837 24-09-2021 202107135i SELESAI
72 7401144505820005 NUR ASIA P 39 31-45 LAMOKATO 085256846873 24-09-2021 202107135i SELESAI
73 7401143112780004 NURDIN L 43 31-45 JL UDANG 082291377349 24-09-2021 24-09-2021 202107135i 15-12-2021 SELESAI
74 7401145505820002 RAHMAH P 39 31-45 JL UDANG 085283822221 24-09-2021 24-09-2021 202107135i 15-12-2021 SELESAI
75 7401145210900001 NADIA MARSANDA DARMAN P 31 31-45 HKSN MANGGOLO 082187615048 24-09-2021 24-09-2021 202107135i 29-10-2021 SELESAI
76 7401145709880001 TEMMA P 33 31-45 JL UDANG 081343958257 24-09-2021 24-09-2021 202107135i 15-12-2021 SELESAI
77 7401142107850001 SYAHRU L 36 31-45 JL UDANG 082219722378 24-09-2021 24-09-2021 202107135i 15-12-2021 SELESAI
78 7401144202000006 MUNAWARAH PASKUR P 21 18-30 JL CAREDE NO 17 082293658136 24-09-2021 24-09-2021 202107135i 29-10-2021 SELESAI
79 7401040710000003 MUH ILHAM ARIFIN L 21 18-30 JL PAHLAWAN 082287319430 24-09-2021 202107135i SELESAI
80 7401144508950001 EKA PRATIWI P 26 18-30 JL ABADI 085340525319 24-09-2021 202107135i SELESAI
81 7401141912010001 BAYU ASMARA UNTUNG L 20 18-30 JL DELIMA 085825529606 24-09-2021 24-09-2021 202107135i 22-06-2022 SELESAI
82 7408012805020001 MUH. AKBAR L 19 18-30 WATULIANDU 085756867402 24-09-2021 24-09-2021 202107135i 4/11/2021 SELESAI
83 7401041905950001 MUHAMMAD HAERUL L 26 18-30 WATULIANDU 082210713433 24-09-2021 202107135i SELESAI
84 7401043005980006 M WIRJAN AFANDI AHSAN L 23 18-30 BTN ANDUONOHU REGENCY 082261538737 24-09-2021 202107135i SELESAI
85 7401041503980003 AINUL NURUL MUHAMMAD L 23 18-30 LALOEHA 082293514848 24-09-2021 24-09-2021 202107135i LANJUT
86 0 LANJUT
87 0 LANJUT
88 0 LANJUT
89 0 LANJUT
90 0 LANJUT
91 0 LANJUT
92 0 LANJUT
93 0 LANJUT
94 0 LANJUT
95 0 LANJUT
96 0 LANJUT
97 0 LANJUT
98 0 LANJUT
99 0 LANJUT
100 0 LANJUT
101 0 LANJUT
102 0 LANJUT
103 0 LANJUT
104 0 LANJUT
105 0 LANJUT
106 0 LANJUT
107 0 LANJUT
108 0 LANJUT
109 0 LANJUT
110 0 LANJUT
111 0 LANJUT
112 0 LANJUT
113 0 LANJUT
114 0 LANJUT
115 0 LANJUT
116 0 LANJUT
117 0 LANJUT
118 0 LANJUT
119 0 LANJUT
120 0 LANJUT
121 0 LANJUT
122 0 LANJUT
123 0 LANJUT
124 0 LANJUT
125 0 LANJUT
126 0 LANJUT
127 0 LANJUT
128 0 LANJUT
129 0 LANJUT
130 0 LANJUT
131 0 LANJUT
132 0 LANJUT
133 0 LANJUT
134 0 LANJUT
135 0 LANJUT
136 0 LANJUT
137 0 LANJUT
138 0 LANJUT
139 0 LANJUT
140 0 LANJUT
141 0 LANJUT
142 0 LANJUT
143 0 LANJUT
144 0 LANJUT
145 0 LANJUT
146 0 LANJUT
147 0 LANJUT
148 0 LANJUT
149 0 LANJUT
150 0 LANJUT
151 0 LANJUT
152 0 LANJUT
153 0 LANJUT
154 0 LANJUT
155 0 LANJUT
156 0 LANJUT
157 0 LANJUT
158 0 LANJUT
159 0 LANJUT
160 0 LANJUT
161 0 LANJUT
162 0 LANJUT
163 0 LANJUT
164 0 LANJUT
165 0 LANJUT
166 0 LANJUT
167 0 LANJUT
168 0 LANJUT
169 0 LANJUT
170 0 LANJUT
171 0 LANJUT
172 0 LANJUT
173 0 LANJUT
174 0 LANJUT
175 0 LANJUT
176 0 LANJUT
177 0 LANJUT
178 0 LANJUT
179 0 LANJUT
180 0 LANJUT
181 0 LANJUT
182 0 LANJUT
183 0 LANJUT
184 0 LANJUT
185 0 LANJUT
186 0 LANJUT
187 0 LANJUT
188 0 LANJUT
189 0 LANJUT
190 0 LANJUT
191 0 LANJUT
192 0 LANJUT
193 0 LANJUT
194 0 LANJUT
195 0 LANJUT
196 0 LANJUT
197 0 LANJUT
198 0 LANJUT
199 LANJUT
200 0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT

D = Lainnya
E = Tidak Bekerja

18-30 33 0 A 0
31-45 25 0 B 0
46-59 7 0 C 0
Total 65 0 D 0
Pekerjaan: E 0
A 0 64 Total 0
B 0 72
C 0
D 0
E 0
Total 0
9/24/2021
DOSIS 2
10/22/2021


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
181 7401120303040001 FREDERIK AHMED L 17 12-17 UNAASI 085240426062 29-09-2021 29-09-2021 202108122H LANJUT
182 7401041106040002 RAFAEL KEVIN JUNA L 17 12-17 LALOMBAA 082231130375 29-09-2021 29-09-2021 202108122H LANJUT
183 7401142603040001 MUH FAKHRIANSYAH L 17 12-17 JL CAKALANG 085756195600 29-09-2021 29-09-2021 202108122H LANJUT
184 7401141902030001 MUH RIFKY L 18 0 JL CAREDE 082260053845 29-09-2021 29-09-2021 202108122H LANJUT
185 7401042603030002 MUH FAHRUL GHIFARI L 18 0 JL PEMUDA 082293621775 29-09-2021 29-09-2021 202108122H LANJUT
187 7309040708030001 FIRMAN HIDAYAT L 18 0 JL PEMUDA 085213204147 29-09-2021 29-09-2021 202108122H LANJUT
188 7401012906040001 MUH AKBAR FALA IQRA L 17 12-17 JL POROS KOLAKA-KENDARI 082313636845 29-09-2021 29-09-2021 202108122H LANJUT
189 7401041906040001 MUH FIFADLI RESTU L 17 12-17 JL PELANDUK 081280474263 29-09-2021 29-09-2021 202108122H LANJUT
190 7401044806050001 MONIKA P 16 12-17 JL PERUMAHAN BIRU 085796601930 29-09-2021 29-09-2021 202108122H LANJUT
191 7401040112040003 RIFKY ASHADI RAMLI L 17 12-17 JL KOLOHIPO 082154177877 29-09-2021 29-09-2021 202108122H LANJUT
192 7401041208040002 FADHLURAHMAN PRASETYO L 17 12-17 JL PATIMURA 082122738784 29-09-2021 29-09-2021 202108122H LANJUT
193 7401045207040001 NUR AFNI YULIANTI P 17 12-17 JL PEMUDA 081241047947 29-09-2021 29-09-2021 202108122H LANJUT
194 7401016708040001 NUR ALYA P 17 12-17 KEL NGAPA 081523667247 29-09-2021 29-09-2021 202108122H LANJUT
195 7401041807040001 RAFLIYANDI DWI ANUGRAH L 17 12-17 PERUMNAS 082187609533 29-09-2021 29-09-2021 202108122H LANJUT
196 7302084505040003 DEA MEILANI NUR P 17 12-17 JL POROS KOLAKA-KENDARI 082258814280 29-09-2021 29-09-2021 202108122H LANJUT
197 7401144202040005 ANDI NASRAH P 17 12-17 LALODIPU 081324223318 29-09-2021 29-09-2021 202108122H LANJUT
198 7401044505040002 MERINDA MEST P 17 12-17 JL PENDIDIKAN 08786107979 29-09-2021 29-09-2021 202108122H LANJUT
199 7401011902060001 MUH RIVALDI KASRIO L 15 12-17 KEL 19 NOPEMBER 082347254091 29-09-2021 29-09-2021 202108122H LANJUT
200 7401043110040001 SAIMAN AL BUGISY L 17 12-17 BALANDETE 082249452487 29-09-2021 29-09-2021 202108122H LANJUT
201 7401092111050001 ANDRE RIYANTO L 16 12-17 JL PENDIDIKAN 082296252966 29-09-2021 29-09-2021 202108122H LANJUT
202 7401147012040000 ASMONE ALFRITA P 17 12-17 PERUMNAS 081340405646 29-09-2021 29-09-2021 202108122H LANJUT
203 7401142304040001 BINTAR TAURA PALAWA L 17 12-17 JL PALA 085394134866 29-09-2021 29-09-2021 202108122H LANJUT
204 7401042101070004 MUH AL USRI L 14 12-17 JL PONDUI 081524866709 29-09-2021 29-09-2021 202108122H LANJUT
205 7401045201070002 ANDI NUR FADILLAH P 14 12-17 JL PONDUI 085243136379 29-09-2021 29-09-2021 202108122H LANJUT
207 7401041801040001 MUH FADLY HUBULO L 17 12-17 BTN TAHOA 081346209886 29-09-2021 29-09-2021 202108122H LANJUT
208 7401040203060001 DIRYAT MARWANTO L 15 12-17 JL PEMUDA 082346167328 29-09-2021 29-09-2021 202108122H LANJUT
209 7401142806090001 IVAN. J. YOS L 15 12-17 JL. DERMAGA 082396098589 29-09-2021 29-09-2021 202108122H LANJUT
210 7401042403040001 RHOKIB KASMAN L 17 12-17 JL. BENDUNGAN 082259486929 29-09-2021 29-09-2021 202108122H LANJUT
211 7401041902050001 MUH ALFARIZI TRIAANSYAH L 16 12-17 PERUMNAS 082260820613 29-09-2021 29-09-2021 202108122H LANJUT
212 7401142506030003 SUARDIANSA L 18 0 JL PANCASILA 085238571161 29-09-2021 29-09-2021 202108122H LANJUT
213 7401045704050001 RISKA APRILIA P 16 12-17 JL PAHLAWAN 085347898093 29-09-2021 29-09-2021 202108122H LANJUT
214 7401210511040001 ULDI L 17 12-17 JL KARTINI 081242731196 29-09-2021 29-09-2021 202108122H LANJUT
7401040805040003 AFFAN L 17 12-17 JL DG PASAU 085823372425 29-09-2021 29-09-2021 202108122H LANJUT

7401046010040001 USWATUN HASANAH P 17 12-17 JL PENDIDIKAN 081354659811 29-09-2021 29-09-2021 202108122H LANJUT
7401044501070002 AMELIA SASKIA ALPIANI P 14 12-17 JL PEMUDA 085299401669 29-09-2021 29-09-2021 202108122H LANJUT
7401046904050002 TASI SUDARMALA P 16 12-17 JL BADEWI 082210198508 29-09-2021 29-09-2021 202108122H LANJUT
7411012401040001 MUH RIVALDIANSYAH L 17 12-17 JL PUYUH 082399588613 29-09-2021 29-09-2021 202108122H LANJUT
7401046811040001 FIRNA DWI ANANDA P 17 12-17 JL SIRA 081251376660 29-09-2021 29-09-2021 202108122H LANJUT
7401041506050001 HENDRO PEBRISON L 16 12-17 JL PEMUDA 082296926890 29-09-2021 29-09-2021 202108122H LANJUT
7401045910060002 FATIMAH P 15 12-17 JL PEMUDA 082292575440 29-09-2021 29-09-2021 202108122H LANJUT
7401201408030001 AMARWANDI L 18 0 JL PONDUI 082262777282 29-09-2021 29-09-2021 202108122H LANJUT
7401044503060001 NABILA AINUN NAJIYAH P 15 12-17 PERUMNAS 082253034708 29-09-2021 29-09-2021 202108122H LANJUT
7401144505050004 TASYA MAULIA P 16 12-17 JL SUNU 082152216941 29-09-2021 29-09-2021 202108122H LANJUT
7401146010050002 ANDI RIZKY P 16 12-17 BTN CITRA LATAMBAGA 082275878084 29-09-2021 29-09-2021 202108122H LANJUT
7471021604050003 ILHAM WINARTO L 16 12-17 JL PANORAMA 085347882491 29-09-2021 29-09-2021 202108122H LANJUT
7401041701060001 MUH FARID FAUZAN L 15 12-17 JL PEMUDA 081342642136 29-09-2021 29-09-2021 202108122H LANJUT
7401040209050001 ANDI MUH FADEL B L 16 12-17 JL PEMUDA 081245921977 29-09-2021 29-09-2021 202108122H LANJUT
7302011204060002 MUH SAFRIL QODRI L 15 12-17 JL PEMUDA 082261214188 29-09-2021 29-09-2021 202108122H LANJUT
7401145905050002 IMELDA P 16 12-17 JL DURIAN 085342553205 29-09-2021 29-09-2021 202108122H LANJUT
7401046211050001 ZALFA SASKIA P 16 12-17 JL ANDI PUNNA 085280288631 29-09-2021 29-09-2021 202108122H LANJUT
7401204501050001 RESKY AULIA P 16 12-17 TAMALAKI 085394539494 29-09-2021 29-09-2021 202108122H LANJUT
7401206014060002 AINI MAULI ZAHRA P 15 12-17 DESA TAMBOLI 082255019269 29-09-2021 29-09-2021 202108122H LANJUT
7305074612050002 SHAKIRA ADELINE P 16 12-17 JL BAKTI 081282753168 29-09-2021 29-09-2021 202108122H LANJUT
7401015010050001 NUR RAHMADANI P 16 12-17 JL DG PASAU 082310696368 29-09-2021 29-09-2021 202108122H LANJUT
7401272310060001 MUH ALFATH L 15 12-17 JL BENDUNGAN 085346527772 29-09-2021 29-09-2021 202108122H LANJUT
7401041602050004 HERGIANSYAH L 16 12-17 LALOMBAA 082298195773 29-09-2021 29-09-2021 202108122H LANJUT
7401041401050001 FAUZAN ABIZAR L 16 12-17 JL PATIMURA 085255380588 29-09-2021 29-09-2021 202108122H LANJUT
7401144603050004 DIAN PRAMARTA P 16 12-17 DESA ULU WAWO 082232125820 29-09-2021 29-09-2021 202108122H LANJUT
7401145605050001 NUR AISYAH P 16 12-17 JL ABADI 085334500959 29-09-2021 29-09-2021 202108122H LANJUT
7401042507050003 RALDIN L 16 12-17 JL PEMUDA 082255855640 29-09-2021 29-09-2021 202108122H LANJUT
7401044307050002 GITA AZAHRA P 16 12-17 JL TMD 085232459821 29-09-2021 29-09-2021 202108122H LANJUT
7401045907070001 EKA SYAHRIA ADAM P 14 12-17 JL PEMUDA 0856548090003 29-09-2021 29-09-2021 202108122H LANJUT
7401040706040001 YUDHA PRAYITNA L 17 12-17 JL BENDUNGAN 082347561949 29-09-2021 29-09-2021 202108122H LANJUT
7401042305040001 FAUZAN ARIANO L 17 12-17 JL PENDIDIKAN 082135174035 29-09-2021 29-09-2021 202108122H LANJUT
7408126503060001 PUTRI PASEBA P 15 12-17 POREHU 0822915572020 29-09-2021 29-09-2021 202108122H LANJUT
7401046404050001 NUR APRILIA NINGSIH P 16 12-17 JL KANCIL 085349518294 29-09-2021 29-09-2021 202108122H LANJUT
7401045604050002 NURUL APRILIA P 16 12-17 JL SIRA 082259390375 29-09-2021 29-09-2021 202108122H LANJUT
7401140510040004 M IKSAN PRATAMA L 17 12-17 JL LUMBA LUMBA 082251782766 29-09-2021 29-09-2021 202108122H LANJUT
7401041503050001 MUH BINTANG L 17 12-17 LALOMBAA 085282726301 29-09-2021 29-09-2021 202108122H LANJUT
1903016704050002 ULFAH DWIYANI P 16 12-17 JL PEMUDA 082375636065 29-09-2021 29-09-2021 202108122H LANJUT
7401047003060001 PUTU ANGGITA P 15 12-17 BTN TAHOA 082266929368 29-09-2021 29-09-2021 202108122H LANJUT
7401040509050002 PUTRA PANCA MUNAJAB L 16 12-17 JL PEMUDA 082210085846 29-09-2021 29-09-2021 202108122H LANJUT
7401041212040004 ALDI JAYA L 17 12-17 JL DG PASAU 085398804511 29-09-2021 29-09-2021 202108122H LANJUT
7401201612050001 ARIPUDDIN L 16 12-17 LRG AKPER 08532579543 29-09-2021 29-09-2021 202108122H LANJUT
7401040510050001 MUH GIBRAN RAMADHAN L 16 12-17 JL BENDUNGAN 085824063025 29-09-2021 29-09-2021 202108122H LANJUT
7401047009030002 UMMU CHOLYFAUR P 18 0 BTN TAHOA 082259122937 29-09-2021 29-09-2021 202108122H LANJUT
7204070309050003 FACHMI ILMAN L 16 12-17 BTN TAHOA 082293471182 29-09-2021 29-09-2021 202108122H LANJUT
7401044204050002 AALIYAH MARIFAT P 16 12-17 JL SLAMET RIYADI 082261660789 29-09-2021 29-09-2021 202108122H LANJUT
7401042812060002 ARIF SURYA L 15 12-17 LALOMBAA 082394491398 29-09-2021 29-09-2021 202108122H LANJUT
7401040609040001 MUH FADIL L 17 12-17 JL BENDUNGAN 081352223229 29-09-2021 29-09-2021 202108122H LANJUT
7401040510060001 ULIL AMRI R L 15 12-17 PERUMAHAN BIRU 085213685754 29-09-2021 29-09-2021 202108122H LANJUT
7401044202050001 TIKA PEBRIANI P 16 12-17 JL PEMUDA 085713373777 29-09-2021 29-09-2021 202108122H LANJUT
7401041307070002 MUH KHADAFI L 14 12-17 JL PEMUDA 085823555110 29-09-2021 29-09-2021 202108122H LANJUT
7401044706060003 A REVALINA ANGRAENI P 15 12-17 JL PEMUDA 082291377233 29-09-2021 29-09-2021 202108122H LANJUT
7408074204060001 NABILA SASKIA P 15 12-17 JL PANCASILA 085341053527 29-09-2021 29-09-2021 202108122H LANJUT
7401041807070001 ANDRE RECHMANSYAH L 14 12-17 BTN TAHOA 081341262352 29-09-2021 29-09-2021 202108122H LANJUT
7401046512030003 DEA MELPINA P 18 0 BTN TAHOA 081354654088 29-09-2021 29-09-2021 202108122H LANJUT
7401016007060002 JUNITA MELANI P 15 12-17 JL SUMBER REJEKI 085340427499 29-09-2021 29-09-2021 202108122H LANJUT
7401014904060002 TRI PUTRI MAULIA P 15 12-17 KEL 19 NOPEMBER 085340192539 29-09-2021 29-09-2021 202108122H LANJUT
7401045406060001 MEGA KIRAMIA P 15 12-17 JL PEMUDA 081236254337 29-09-2021 29-09-2021 202108122H LANJUT
7401042506060003 THEZAR ADHITYA L 15 12-17 JL DURIAN 085657304042 29-09-2021 29-09-2021 202108122H LANJUT
7402046402060001 AZKA AIRIN NISA L 15 12-17 JL PANORAMA 085213697006 29-09-2021 29-09-2021 202108122H LANJUT
7400150005060002 SAZKYA CHALISA MEYLANI P 15 12-17 JL POROS KOLAKA-KENDARI 085241899733 29-09-2021 29-09-2021 202108122H LANJUT
7401146604050001 NIMAS AYU MAHARANI P 16 12-17 JL CENDRAWASIH 081257978106 29-09-2021 29-09-2021 202108122H LANJUT
7401041202050001 TEGAR FEBRIAN L 16 12-17 JL PENDIDIKAN 085239185052 29-09-2021 29-09-2021 202108122H LANJUT
7401016408070002 EKCLESIA DESTI P 14 12-17 WUNDULAKO 085341708901 29-09-2021 29-09-2021 202108122H LANJUT
7401044202060003 MUTIA KUSUMA P 15 12-17 JL TAMALAKI 081524970716 29-09-2021 29-09-2021 202108122H LANJUT
7401041910050002 MUH ADAM L 16 12-17 BTN TAHOA 082137309218 29-09-2021 29-09-2021 202108122H LANJUT
7401141009060002 MUH IHWANSYAH L 15 12-17 JL JEND SUDIRMAN 081327829718 29-09-2021 29-09-2021 202108122H LANJUT
7401140205060001 MUH REYZA VAHLEFY L 15 12-17 JL DURIAN 08152312534 29-09-2021 29-09-2021 202108122H LANJUT
7401142108050001 MUH RIFKI MAULANA L 16 12-17 JL KAMBOJA 081527925378 29-09-2021 29-09-2021 202108122H LANJUT
7401124704050007 RISSA PUTRI P 16 12-17 JL ABADI 082259917834 29-09-2021 29-09-2021 202108122H LANJUT
7401042909060001 MUH IHSAN L 15 12-17 JL CHAIRIL ANWAR 085256446213 29-09-2021 29-09-2021 202108122H LANJUT
7401142310050001 AKBAR RAMADHAN L 16 12-17 JL SUNU 08152792403 29-09-2021 29-09-2021 202108122H LANJUT
7401104902060001 RATNA JUWITA P 15 12-17 JL PENDIDIKAN 082318275119 29-09-2021 29-09-2021 202108122H LANJUT
7401041403070001 RANGGA HARDIANSYAH L 14 12-17 JL PEMUDA 082394555043 29-09-2021 29-09-2021 202108122H LANJUT
7401040405060001 MUH ALIF M P 15 12-17 JL TMD 085325791497 29-09-2021 29-09-2021 202108122H LANJUT
7401024902070001 FEBRYANA PUTRI R P 14 12-17 JL POROS KOLAKA-WOLO 082349337188 29-09-2021 29-09-2021 202108122H LANJUT
7401041108060001 MUH DWI RIZKY L 15 12-17 JL PEMUDA 085156868935 29-09-2021 29-09-2021 202108122H LANJUT
7401106406060002 NUR AVIA P 15 12-17 BTN TAHOA 082246813342 29-09-2021 29-09-2021 202108122H LANJUT
7401142904060002 MUH AQIL ARHUB L 15 12-17 JL TAMALAKI 082292015328 29-09-2021 29-09-2021 202108122H LANJUT
7401140412030001 KRISMA BAYU L 18 0 JL DURIAN 081213486897 29-09-2021 29-09-2021 202108122H LANJUT
7401017003060001 ELVIRA NIROCA P 16 12-17 JL PENDIDIKAN 082149866318 29-09-2021 29-09-2021 202108122H LANJUT
7405086812060002 DIAN ASTRIANI P 16 12-17 PERUMNAS 082399627394 29-09-2021 29-09-2021 202108122H LANJUT
7401144709050001 HILDA P 16 12-17 JL DURIAN 082215958857 29-09-2021 29-09-2021 202108122H LANJUT
7401141406060001 THEODORUS SASELA L 15 12-17 JL DURIAN 081349797065 29-09-2021 29-09-2021 202108122H LANJUT
7401205804050001 IRMA SYAHRANI P 16 12-17 JL PONDUI 082314063867 29-09-2021 29-09-2021 202108122H LANJUT
7401145610060001 A FAHRIANI L 15 12-17 JL CAKALANG 081341993231 29-09-2021 29-09-2021 202108122H LANJUT

D = Lainnya
E = Tidak Bekerja

18-30 3 0 A 0
31-45 0 0 B 0
46-59 0 0 C 0
Total 3 0 D 0
Pekerjaan: E 0
A 0 296 Total 0
B 0 156
C 0
D 0
E 0
Total 0


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 9109011208040010 RHAINA SALSABILA P 17 12-17 JL DURIAN 085242917210 11-09-2021 11-09-2021 202108119H LANJUT
2 7401045608040002 REGINA TRI OLIVIA P 17 12-17 JL PELANDUK 085343716136 11-09-2021 11-09-2021 202108119H LANJUT
3 7313065612040001 ATIKA RESKI P 17 12-17 JL BOTTO BOTTO 082192113512 11-09-2021 11-09-2021 202108119H LANJUT
4 7401145912040002 RINDA DESWITA P 17 12-17 JL DURIAN 081242003263 11-09-2021 11-09-2021 202108119H LANJUT
5 7401140802060002 MUH MILKA L 15 12-17 JL CAREDE 082347333603 11-09-2021 11-09-2021 202108119H LANJUT
6 7401045106040001 AJEN GLADIS KARTIKA P 17 12-17 JL BADEWI 082197324279 11-09-2021 11-09-2021 202108119H LANJUT
7 7401045008040002 RESHIKA AULIA P 17 12-17 JL DR SAM RATULANGI 085254158609 11-09-2021 11-09-2021 202108119H LANJUT
8 7401046210050002 PUTRI RAMADHANI P 16 12-17 JL HALUOLEO 082152285884 11-09-2021 11-09-2021 202108119H LANJUT
9 7401204509050003 ANASTYA P 16 12-17 SAMATURU 082293891492 11-09-2021 11-09-2021 202108119H LANJUT
10 7401044508050001 AGISTA AMELIA P 16 12-17 JL PELANDUK 082258676181 11-09-2021 11-09-2021 202108119H LANJUT
11 7401120303990002 GABRIEL RANTEALLO L 22 0 UNAASI 085252952896 11-09-2021 202108119H SELESAI

12 9105156703040001 DWI NITA RISMAWANTI P 17 12-17 JL MESJID DARUSSALAM 081340403640 11-09-2021 11-09-2021 202108119H LANJUT
13 7401046406040001 JOSEFHINE HERMAN L 17 12-17 JL PAHLAWAN 087757980525 11-09-2021 11-09-2021 202108119H LANJUT
14 7401044202050002 APRILIANTI P 16 12-17 JL POROS KOLAKA WOLO 082231131123 11-09-2021 11-09-2021 202108119H LANJUT
15 7401044403830001 SYAHRIANI P 38 18-30 JL KASUARI 081245262106 11-09-2021 11-09-2021 202108119H LANJUT
16 7401146101920001 IRMA AMALIA P 29 0 JL MERDEKA 08529992183 11-09-2021 202108119H SELESAI
17 9124016308050001 ANDINI VERONICA P 16 12-17 JL AHMAD MUSTIN 08522859100 11-09-2021 11-09-2021 202108119H LANJUT
18 7401145104060002 ANDI NAGLAH MARSYA P 15 12-17 JL DURIAN 082271397773 11-09-2021 11-09-2021 202108119H LANJUT
19 7401145312040001 ANDI NADYA NQ P 17 12-17 JL DURIAN 08115585360 11-09-2021 11-09-2021 202108119H LANJUT
20 7401146803070001 FIONAGITA SABIR P 14 12-17 JL TAMAN LAUT 085333685381 11-09-2021 11-09-2021 202108119H LANJUT
21 7401045210050002 NUR ALAM P 16 12-17 JL PERMATA BIRU 085218649135 11-09-2021 11-09-2021 202108119H LANJUT
22 6271030302060007 RAKA PRADITO L 15 12-17 JL ALAM MEKONGGA 081345148283 11-09-2021 11-09-2021 202108119H LANJUT
23 7401074605070005 ANDI VIVI ANDRIANI PUTRI P 14 12-17 JL BTN BUKIT MEKONGGA 082259080707 11-09-2021 11-09-2021 202108119H LANJUT
24 7401146006050001 VIRGINIA YUNISKHA P 16 12-17 JL PALA 082155212025 11-09-2021 11-09-2021 202108119H LANJUT
25 7401046510060003 AZZALIA ALIFIAH P 15 12-17 BTN CITRA LATAMBAGA 085213205223 11-09-2021 11-09-2021 202108119H LANJUT
26 7601025309040003 SARIPA SEPTIANI P 17 12-17 JL PEMUDA 082296051858 11-09-2021 11-09-2021 202108119H LANJUT
27 7401044601050001 ANNISA PUTRI P 16 12-17 JL GARUDA 082150157534 11-09-2021 11-09-2021 202108119H LANJUT
28 7401145301050001 CINDY AULIA P 16 12-17 JL ABADI 085601988201 11-09-2021 11-09-2021 202108119H LANJUT
29 7401044508060001 SUCI DILLAWANTI P 15 12-17 JL KAKATUA 081245240004 11-09-2021 11-09-2021 202108119H LANJUT
30 7401045312050002 DITA PARAMITA P 16 12-17 JL HALUOLEO 081218525365 11-09-2021 11-09-2021 202108119H LANJUT
31 7401046112070001 SILVIA AZZAHRA P 14 12-17 JL DR SAM RATULANGI 085299928819 11-09-2021 11-09-2021 202108119H LANJUT
32 7401045505050002 ALINI P 16 12-17 JL KELINCI 082235815187 11-09-2021 11-09-2021 202108119H LANJUT
33 7401145802060001 AGNESIA SYAHRA P 15 12-17 JL SUNU 082246052062 11-09-2021 11-09-2021 202108119H LANJUT
34 7401044902070001 AFLAH ANAWAY M P 14 12-17 JL LANDAK 082259212021 11-09-2021 11-09-2021 202108119H LANJUT
35 7401046012040001 DESTARIPUTRI ANDARGIT P 17 12-17 JL KASUARI 085242448189 11-09-2021 11-09-2021 202108119H LANJUT
36 7401045105060001 AAFAANII FATIMAH P 15 12-17 PERUMNAS 085825008450 11-09-2021 11-09-2021 202108119H LANJUT
37 7401045812060001 DELLA MUSTIKA P 15 12-17 JL BENDUNGAN 082292489893 11-09-2021 11-09-2021 202108119H LANJUT
38 7401046809060001 LUNA RAMADHANI P 15 12-17 JL PATIMURA 085299889544 11-09-2021 11-09-2021 202108119H LANJUT
39 7401046311050004 MASYITA NURUL AFIAHH P 16 12-17 JL PAHLAWAN 081311911528 11-09-2021 11-09-2021 202108119H LANJUT
40 7401044808050004 RIANI KUSUMA WARDANI P 16 12-17 JL KASUARI 085242174474 11-09-2021 11-09-2021 202108119H LANJUT
41 7401046409050002 RINI ARIYANI S P 16 12-17 JL KOLOHIPO 082296580916 11-09-2021 11-09-2021 202108119H LANJUT
42 7401046607050001 INDRI JULI RAHMA P 16 12-17 JL PELANDUK 082347974205 11-09-2021 11-09-2021 202108119H LANJUT
43 7401145506060002 YUNI SARDILA P 15 12-17 JL DURIAN 081292007921 11-09-2021 11-09-2021 202108119H LANJUT
44 7401045607040002 RIZKY AULYA AKBAR P 17 12-17 JL TAMALAKI 082310672336 11-09-2021 11-09-2021 202108119H LANJUT
45 74011052411060001 SAHRUL L 15 12-17 JL TAMALAKI 082297077951 11-09-2021 11-09-2021 202108119H LANJUT
46 7401045511060001 ALIYA MUTMAINNAH P 15 12-17 JL PRAMUKA 085825008454 11-09-2021 11-09-2021 202108119H LANJUT
47 7401045009050001 REVALIN ARSYAD P 16 12-17 JL GAJAH 082261587000 11-09-2021 11-09-2021 202108119H LANJUT
48 7401045803050001 ALYA MARDELAS P 15 12-17 JL KASUARI 082198947460 11-09-2021 11-09-2021 202108119H LANJUT
49 7401041503060001 MUH IKSAN L 15 12-17 JL PENDIDIKAN 082290065330 11-09-2021 11-09-2021 202108119H LANJUT
50 7401144206060001 SRI AMANDA LUTPIA P 15 12-17 JL CEPA CEPA 085825534258 11-09-2021 11-09-2021 202108119H LANJUT
51 7401045408050001 MUTMAINNAH P 16 12-17 BTN TAHOA 087885532024 11-09-2021 11-09-2021 202108119H LANJUT
52 7401224700606001 SERLI PRIDAWATI P 15 12-17 JL SUMBER REJEKI 085283842942 11-09-2021 11-09-2021 202108119H LANJUT
53 7401140109050001 MUH ARIA ANANDA L 16 12-17 JL PANCASILA 085241059780 11-09-2021 11-09-2021 202108119H LANJUT
54 7401042807050002 NUGROHO SETIA L 16 12-17 JL USMAN RENCONG 081347275835 11-09-2021 11-09-2021 202108119H LANJUT
55 7401041707050002 SYAWAL ABDI L 16 12-17 JL BELIBIS 085399503746 11-09-2021 11-09-2021 202108119H LANJUT
56 7401145407040003 KHAERUNISA P 17 12-17 JL BAKTI 082345869920 11-09-2021 11-09-2021 202108119H LANJUT
57 9171035512050005 FARAH AULIA P 16 12-17 JL PEMUDA 08778886494 11-09-2021 11-09-2021 202108119H LANJUT
58 7401044510060002 UMMI RISKI RAMADHANI P 15 12-17 JL HJ YUSUF 085314667539 11-09-2021 11-09-2021 202108119H LANJUT
59 7401042903050001 MUH REHAN FAWWAZ L 16 12-17 JL PRAMUKA 081806972659 11-09-2021 11-09-2021 202108119H LANJUT
60 7401044404050001 ELDA APRILIANI P 16 12-17 JL BADEWI 081241899771 11-09-2021 11-09-2021 202108119H LANJUT
61 7401042601060001 AHMAD FAHRIL L 15 12-17 JL KHAIRIL ANWAR 085242670770 11-09-2021 11-09-2021 202108119H LANJUT
62 3174052302061005 MUH SYAUQILAH L 15 12-17 JL PINTU SELATAN 082293675579 11-09-2021 11-09-2021 202108119H LANJUT
63 7401041108050001 MUH BAGRAN BURHAN L 16 12-17 JL TMD 082282280268 11-09-2021 11-09-2021 202108119H LANJUT
64 7401146909040001 REYNA ZAHRA P 17 12-17 JL ABADI 085394087487 11-09-2021 11-09-2021 202108119H LANJUT
65 7401146611040003 RIRIN NOVIYANTI P 17 12-17 JL KEMAKMURAN 082264874529 11-09-2021 11-09-2021 202108119H LANJUT
66 7401047005050001 NUR AFANY AULIA P 16 12-17 JL DG PASAU 085241894934 11-09-2021 11-09-2021 202108119H LANJUT
67 7401145301060002 IRSYA NURUL FAZYIRAH P 15 12-17 JL ABADI 085757020300 11-09-2021 11-09-2021 202108119H LANJUT
68 7401044405060002 NADYA SAMANTHA P 16 12-17 BTN BUKIT BALANDETE 082294711800 11-09-2021 11-09-2021 202108119H LANJUT
69 7401044402070003 SHINTYA FEBRIANI P 15 12-17 BTN BUKIT BALANDETE 085244741416 11-09-2021 11-09-2021 202108119H LANJUT
70 7401210107040002 ARMADAN L 17 12-17 JL ABADI 082271071856 11-09-2021 11-09-2021 202108119H LANJUT
71 7401084502040001 NABILA ZAZKIA P 16 12-17 JL BYPASS 082260331066 11-09-2021 11-09-2021 202108119H LANJUT
72 7401044910060001 ARIN RAMADANI P 15 12-17 JL GAJAH 085362925191 11-09-2021 11-09-2021 202108119H LANJUT
73 7401075208020001 AUDRY JESIKA P P 19 0 JL TELUK BONE 082187921120 11-09-2021 202108119H SELESAI
74 7401075705020001 GLENKRISTIN P 19 0 POMALAA 082252406213 11-09-2021 202108119H SELESAI
75 7401075306020001 ANASTASYA YUNIAR P 19 0 POMALAA 082293187094 11-09-2021 202108119H SELESAI
76 7401141703050001 MUH ILHAM L 16 12-17 JL MEKONGGA INDAH 082129393740 11-09-2021 11-09-2021 202108119H LANJUT
77 7401045708060003 WINDA DWIYNI P 15 12-17 JL KOLOHIPO 085241758724 11-09-2021 11-09-2021 202108119H LANJUT
78 7401014508060002 ESELSY PUTRI P 15 12-17 JL SUMBER REJEKI 0821593692236 11-09-2021 11-09-2021 202108119H LANJUT
79 7401043108050001 DIMAS SATRIO L 16 12-17 JL PENDIDIKAN 082191873664 11-09-2021 11-09-2021 202108119H LANJUT
80 7401142003030001 IMAM SAPUTRA L 16 12-17 JL CAKALANG 081225324086 11-09-2021 11-09-2021 202108119H LANJUT
81 7401140502690001 H AMINULLAH L 52 0 SEA 081241772265 11-09-2021 11-09-2021 202108119H LANJUT
82 7401047408050001 MUH RAFLY L 16 12-17 JL PENDIDIKAN 082339997022 11-09-2021 11-09-2021 202108119H LANJUT
83 7401041501060002 MUH ABDUH ANDRIAWAN L 15 12-17 JL PRAMUKA 085241001593 11-09-2021 11-09-2021 202108119H LANJUT
84 7401044408050001 GITA PUTRI AMALIA P 16 12-17 JL PENDIDIKAN 082187438820 11-09-2021 11-09-2021 202108119H LANJUT
85 7401045212050001 AMALIA KHAERUNNISA P 16 12-17 JL PAHLAWAN 082251158078 11-09-2021 11-09-2021 202108119H LANJUT
86 7401047003030002 AZZAHRA AYU P 18 0 KOMP BTN TAHOA 085242291874 11-09-2021 202108119H SELESAI
87 7401046011670002 SHERLY P 54 0 KOMP BTN TAHOA 0811409937 11-09-2021 11-09-2021 202108119H LANJUT
88 7401142905050001 FAUZAN L 16 12-17 SEA 082193558917 11-09-2021 11-09-2021 202108119H LANJUT
89 7401045702740001 RINI DWI ASTUTI P 47 0 JL TMD 082259763018 11-09-2021 202108119H SELESAI
90 7401142804020001 MUH FAUZAN L 19 0 JL BOLU 082293350561 11-09-2021 202108119H SELESAI
91 7401041108020001 FATHAN ILLIYIN PRABA L 19 0 JL TMD 081247133387 11-09-2021 202108119H SELESAI
92 7401141302900002 FADLY SABIR L 31 18-30 LATAMBAGA 082349991111 11-09-2021 202108119H SELESAI
93 7401144211740001 WILDHANA L 47 0 JL BOLU 081356763057 11-09-2021 202108119H SELESAI
94 7401040501050001 MUH VARIEL CHESAR L 16 12-17 PERUMAHAN BIRU 082252457960 11-09-2021 11-09-2021 202108119H LANJUT
95 7401041912050002 MUH FAUZI FATIR L 16 12-17 JL NURI 082248940952 11-09-2021 11-09-2021 202108119H LANJUT
96 7401044911060002 AMAZIA TYANOVA A P 15 12-17 JL PANOMARA 082333282090 11-09-2021 11-09-2021 202108119H LANJUT
97 7401142704050001 MUH KHAERUL L 16 12-17 JL TEMBANG 082223131779 11-09-2021 11-09-2021 202108119H LANJUT
98 7401045607040001 NI MADE DWU JAYANTI P 17 12-17 BTN BUKIT BALANDETE 082195443277 11-09-2021 11-09-2021 202108119H LANJUT
99 7401040703050001 MUH KASYIF L 16 12-17 JL WORTEL MONGISIDI 082154305958 11-09-2021 11-09-2021 202108119H LANJUT
100 7401044303050003 KADEK EKY VIRJI P 16 12-17 JL ALAM MEKONGGA 082291816988 11-09-2021 11-09-2021 202108119H LANJUT
101 7401041411060003 BAYU ADITYA L 15 12-17 JL BENDUNGAN 082271457035 11-09-2021 11-09-2021 202108119H LANJUT
102 7401040106060001 ADITYA ALAMSYAH L 20 0 JL HALUOLEO 085824082054 11-09-2021 11-09-2021 202108119H LANJUT
103 7371020702050006 LAODE DEWA L 16 12-17 JL KOLOHIPO 081222007663 11-09-2021 11-09-2021 202108119H LANJUT
104 7401140601070001 DAVID BENGURION L 14 12-17 JL PANCASILA 085256137921 11-09-2021 11-09-2021 202108119H LANJUT
105 7401140202020001 BAYU SETIAJI L 19 0 JL DURIAN 082191492221 11-09-2021 202108119H SELESAI
106 7401142211050001 MUH GIFFARI SAKKIR L 16 12-17 JL ABADI 081284732695 11-09-2021 11-09-2021 202108119H LANJUT
107 7401141405050001 MUHAMMAD FIKRIADY L 16 12-17 JL DR SUTOMO 082252251198 11-09-2021 11-09-2021 202108119H LANJUT
108 7401141212910003 IKBAL L 30 18-30 JL REPELITA 081220427913 11-09-2021 202108119H SELESAI
109 7471107101930001 RESNI RESNA MENTARI P 28 0 MOWEWE 085256504983 11-09-2021 11-09-2021 202108119H LANJUT
110 7401041409840006 ZUL MULYADI MUHAMMAD L 37 18-30 JL SULTAN HASANUDDIN 082292295649 11-09-2021 11-09-2021 202108119H LANJUT
111 7401042609650001 TRI JAKASANTOSA L 56 0 LALOEHA 081240663101 11-09-2021 11-09-2021 202108119H LANJUT
112 7401040712060002 MUH FADHIL GAZALI L 15 12-17 BTN BUKIT BALANDETE 082386666123 11-09-2021 11-09-2021 202108119H LANJUT
113 0

D = Lainnya
E = Tidak Bekerja

18-30 4 0 A 0
31-45 0 0 B 0
46-59 0 0 C 0
Total 4 0 D 0
Pekerjaan: E 0
A 0 99 Total 0
B 0 13
C 0
D 0
E 0
Total 0
09-10-2021


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401045503650003 ASMIRAH K P 32 31-45 JL BENDUNGAN 04-09-2021 04-09-2021 24005321 LANJUT
2 7401045503650003 SARNAWIAH P 56 46-59 JL PRAMUKA 085299583305 04-09-2021 24005321 SELESAI
4 7401044910870007 RANI P 34 31-45 BTN TAHOA 085239816079 04-09-2021 04-09-2021 24005321 LANJUT
5 7401204406950002 HJ CAHAYA P 66 60-199 DESA KONAWEHA 082292138589 04-09-2021 04-09-2021 24005321 LANJUT
8 7401145405010002 TRI WULANDARI P 20 18-30 LALODIPU 085718668919 04-09-2021 04-09-2021 24005321 LANJUT
11 7401141108030002 MUH BAYU PRATAMA L 18 18-30 LALODIPU 085757007879 04-09-2021 04-09-2021 24005321 LANJUT
12 7401090105020001 ALVIN L 19 18-30 LALODIPU 082346171530 04-09-2021 04-09-2021 24005321 LANJUT
14 7316054601940003 KIKI ALPIYANTI P 27 18-30 ENREKANG 082131830230 04-09-2021 04-09-2021 24005321 LANJUT
15 7401046406030002 REZKY ANGGUN ANASTASYA P 18 18-30 DESA TOWUA 085295087353 04-09-2021 04-09-2021 24005321 LANJUT
16 740104101060007 SUDIRMAN T L 61 60-199 JL WORTEL MONGINSI 081341767040 04-09-2021 04-09-2021 24005321 LANJUT
18 7401044105810001 MARYANTI P 40 31-45 JL TMD 082187247906 04-09-2021 04-09-2021 24005321 LANJUT

22 KLINIK POLRES 7401142905030004 MUH TEGAR L 18 18-30 MANGOLO 082329287426 04-09-2021 04-09-2021 24005321 LANJUT
23 KLINIK POLRES 7401044310020004 NUR AFIAT FADILLAH P 19 18-30 BTN TAHOA 085396189955 04-09-2021 04-09-2021 24005321 LANJUT
24 KLINIK POLRES 7401046608010003 REZDKY CAHYANI RUKMANA P 20 18-30 BTN TAHOA 082198592921 04-09-2021 04-09-2021 24005321 LANJUT
25 KLINIK POLRES 7401045001920001 EKA SRI WAHYUNI P 29 18-30 DUSUN WONUA 081245815053 04-09-2021 04-09-2021 24005321 SELESAI
26 KLINIK POLRES 7401036501970001 ANNA SRIYANA SYAM P 24 18-30 KEL INEBENGGI 085231509641 04-09-2021 04-09-2021 24005321 LANJUT
27 KLINIK POLRES 7501141505000002 WILLY AHMY ARDY L 21 18-30 WOWOTA 081218510056 04-09-2021 04-09-2021 24005321 LANJUT
29 KLINIK POLRES 7401141910880001 RISPAL L 33 31-45 JL PRAMUKA 085241868860 04-09-2021 04-09-2021 24005321 LANJUT
31 KLINIK POLRES 7401040510080005 DIRGANTARA DWI OCLA L 13 0 JL KONGGOSA 082248113139 04-09-2021 04-09-2021 24005321 LANJUT
32 KLINIK POLRES 7401044611050002 SORAYA SALWAN SYAIRA P 16 0 JL KONGGOSA 082248273049 04-09-2021 04-09-2021 24005321 LANJUT
33 7401145001770001 NURLINA P 44 31-45 MANGOLO 085256698787 04-09-2021 04-09-2021 24005321 LANJUT
35 7401017007950002 CAHAYA P 26 18-30 KOWIOHA 082349222644 04-09-2021 24005321 SELESAI
38 7401046706550001 DJUNELLAH PINGAK P 66 60-199 LALOMBAA 085398184378 04-09-2021 24005321 SELESAI
39 KLINIK POLRES 7401046812980001 YUDINA P 23 18-30 JL DR SUTOMO 082293584008 04-09-2021 04-09-2021 24005321 LANJUT
40 KLINIK POLRES 7401044107020001 AMELIA VEGA P 19 18-30 JL PELANDUK LALOMBA 082399625436 04-09-2021 04-09-2021 24005321 LANJUT
41 KLINIK POLRES 7401146505020001 MEISYA ARDHANA MUKHTAR P 19 18-30 BTN TAHOA 082190750676 04-09-2021 04-09-2021 24005321 LANJUT
45 KLINIK POLRES 7401141406760001 ADNAN L 45 31-45 BTN AZATATA CITRA 081341827765 04-09-2021 24005321 SELESAI
47 7401045710750001 ST SUKMAWATI SAMAD P 46 46-59 JL SULTAN HASANUDDIN 082345828282 04-09-2021 04-09-2021 24005321 LANJUT
49 7401045010010012 HARIYANTI P 20 18-30 JL BENDUNGAN 082292736287 04-09-2021 04-09-2021 24005321 LANJUT
50 7303071301010001 MUH NURSAN L 20 18-30 JL SAMRATULANGI 082398061062 04-09-2021 04-09-2021 24005321 LANJUT
51 7308094112030001 MUSFIRAH P 18 18-30 DUSUN LAMPE'E 081247329435 04-09-2021 04-09-2021 24005321 LANJUT
52 7401045212020003 NADIYAH NURFDHILAH P 19 18-30 PERUMNAS 081247329432 04-09-2021 04-09-2021 24005321 LANJUT
53 7401044910010005 AMELYA NURUL ISLAMI P 20 18-30 LRG KARYA 081344269264 04-09-2021 04-09-2021 24005321 LANJUT
54 7401044401020002 FIRA MAHARANI P 19 18-30 JL PELANDUK LALOMBA 082293763690 04-09-2021 04-09-2021 24005321 LANJUT
55 7401044201050001 ATIQAH RAHMAH PUTRI P 16 0 JL TMD 082190165550 04-09-2021 04-09-2021 24005321 LANJUT
57 7401244107940003 NAFISATUL MAR'AH P 27 18-30 JL PONDOK PESANTREN 082324996559 04-09-2021 04-09-2021 24005321 LANJUT
58 7401049312700001 HERAWATI TAUFAN P 51 46-59 JL WR SUPRATMAN 085241905100 04-09-2021 04-09-2021 24005321 LANJUT
60 7401042310670002 BACHTIAR L 54 46-59 BTN TAHOA 082187673308 04-09-2021 04-09-2021 24005321 LANJUT
61 7401124801970001 FITRI DAHRUL P 24 18-30 BAULA 082249589065 04-09-2021 04-09-2021 24005321 LANJUT
62 7401191502020002 RUSDA IRWANDA L 19 18-30 DESA MOKUPA 085396636291 04-09-2021 04-09-2021 24005321 LANJUT
63 0 LANJUT
64 0 LANJUT
65 0 LANJUT
66 0 LANJUT
67 0 LANJUT
68 0 LANJUT
69 0 LANJUT
70 0 LANJUT
71 0 LANJUT
72 0 LANJUT
73 0 LANJUT
74 0 LANJUT
75 0 LANJUT
76 0 LANJUT
77 0 LANJUT
78 0 LANJUT
79 0 LANJUT
80 0 LANJUT
81 0 LANJUT
82 0 LANJUT
83 0 LANJUT
84 0 LANJUT
85 0 LANJUT
86 0 LANJUT
87 0 LANJUT
88 0 LANJUT
89 0 LANJUT
90 0 LANJUT
91 0 LANJUT
92 0 LANJUT
93 0 LANJUT
94 0 LANJUT
95 0 LANJUT
96 0 LANJUT
97 0 LANJUT
98 0 LANJUT
99 0 LANJUT
100 0 LANJUT
101 0 LANJUT
102 0 LANJUT
103 0 LANJUT
104 0 LANJUT
105 0 LANJUT
106 0 LANJUT
107 0 LANJUT
108 0 LANJUT
109 0 LANJUT
110 0 LANJUT
111 0 LANJUT
112 0 LANJUT
113 0 LANJUT
114 0 LANJUT
115 0 LANJUT
116 0 LANJUT
117 0 LANJUT
118 0 LANJUT
119 0 LANJUT
120 0 LANJUT
121 0 LANJUT
122 0 LANJUT
123 0 LANJUT
124 0 LANJUT
125 0 LANJUT
126 0 LANJUT
127 0 LANJUT
128 0 LANJUT
129 0 LANJUT
130 0 LANJUT
131 0 LANJUT
132 0 LANJUT
133 0 LANJUT
134 0 LANJUT
135 0 LANJUT
136 0 LANJUT
137 0 LANJUT
138 0 LANJUT
139 0 LANJUT
140 0 LANJUT
141 0 LANJUT
142 0 LANJUT
143 0 LANJUT
144 0 LANJUT
145 0 LANJUT
146 0 LANJUT
147 0 LANJUT
148 0 LANJUT
149 0 LANJUT
150 0 LANJUT
151 0 LANJUT
152 0 LANJUT
153 0 LANJUT
154 0 LANJUT
155 0 LANJUT
156 0 LANJUT
157 0 LANJUT
158 0 LANJUT
159 0 LANJUT
160 0 LANJUT
161 0 LANJUT
162 0 LANJUT
163 0 LANJUT
164 0 LANJUT
165 0 LANJUT
166 0 LANJUT
167 0 LANJUT
168 0 LANJUT
169 0 LANJUT
170 0 LANJUT
171 0 LANJUT
172 0 LANJUT
173 0 LANJUT
174 0 LANJUT
175 0 LANJUT
176 0 LANJUT
177 0 LANJUT
178 0 LANJUT
179 0 LANJUT
180 0 LANJUT
181 0 LANJUT
182 0 LANJUT
183 0 LANJUT
184 0 LANJUT
185 0 LANJUT
186 0 LANJUT
187 0 LANJUT
188 0 LANJUT
189 0 LANJUT
190 0 LANJUT
191 0 LANJUT
192 0 LANJUT
193 0 LANJUT
194 0 LANJUT
195 0 LANJUT
196 0 LANJUT
197 0 LANJUT
198 0 LANJUT
199 0 LANJUT
200 0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT

D = Lainnya
E = Tidak Bekerja

18-30 34 0 A 0
31-45 15 0 B 0
46-59 5 0 C 0
Total 54 0 D 0
Pekerjaan: E 0
A 0 50 Total 0
B 0 12
C 0
D 0
E 0
Total 0
2-10-2021


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7306071010990001 MUH. ALWI AL MUWAWAR L 22 0 JL. GAJAH 082252855201 07-09-2021 07-09-2021 24005321 LANJUT
2 7401041304790002 NURMANSYAH L 42 18-30 JL. GAJAH NO. 41 085255330807 07-09-2021 07-09-2021 24005321 LANJUT
3 7401047112780024 GUNA P 43 31-45 JL. GAJAH 082191830090 07-09-2021 07-09-2021 24005321 LANJUT
4 7401041808750002 JAMAL L 48 46-59 JL. GAJAH 082191830090 07-09-2021 07-09-2021 24005321 LANJUT
5 7401041102870002 FEBRIANTO KABIU L 34 31-45 JL. PEMUDA NO. 135 082292187823 07-09-2021 07-09-2021 24005321 LANJUT
6 7401044510620002 SITTI PONSIYAH P 59 46-59 JL. GAJAH NO. 4 085299634451 07-09-2021 07-09-2021 24005321 LANJUT
7 7401046505770004 MERAWATI P 44 31-45 JL. HAJAH NO. 90 081341098696 07-09-2021 07-09-2021 24005321 LANJUT
8 7401045111750002 NURHAYATI P 46 46-59 JL. GAJAH NO. 41 082346966328 07-09-2021 07-09-2021 24005321 LANJUT
9 7401042107030003 ANANDA MANGUDU P 18 18-30 LALOMBAA 085345427192 07-09-2021 07-09-2021 24005321 LANJUT
10 7401046304890002 SRI RAMAYANTI P 32 31-45 JL. GAJAH NO. 4 0853944428781 07-09-2021 07-09-2021 24005321 LANJUT
11 7401045203830001 BECE TAOLO P 38 31-45 JL. GAJAH 082188679546 07-09-2021 07-09-2021 24005321 LANJUT
12 7401046112810001 SUHARNI P 40 31-45 LALOMBAA 085342410346 07-09-2021 07-09-2021 24005321 LANJUT
13 7401045908070001 CENDANA REFIUTAMI SAMPELINO P 14 12-17 JL. GAJAH N0. 83 085231316061 07-09-2021 07-09-2021 24005321 LANJUT
14 7401046810020005 VIA AMANDA P 19 18-30 JL. LANDAK N0. 95 087891248733 07-09-2021 07-09-2021 24005321 LANJUT
15 7408082610850001 ARBAIN L 36 31-45 JL. PELABUHAN DS. LAMBAI 082319639777 07-09-2021 07-09-2021 24005321 LANJUT
16 7401013107730001 TADIUS TOMBI L 48 46-59 JL. ANGGREK 082189662439 07-09-2021 07-09-2021 24005321 LANJUT
17 7401045510970004 KURNIA P 24 18-30 JL. PEMUDA 085343737613 07-09-2021 24005321 SELESAI
18 7401044311930001 NOVIANTY BANNE P 28 18-30 DUSUN IV UNAASI 082354910134 07-09-2021 24005321 SELESAI
19 7401041506840003 YOHANIS L 37 31-45 BTN BLOK 19 NO. 23 082359253333 07-09-2021 24005321 SELESAI
20 7401044906860003 MARIATI KENEDEK P 35 31-45 JL. KELINCI 082344350679 07-09-2021 07-09-2021 24005321 LANJUT
21 7401044209810008 NUR AWALDA P 30 18-30 LALOMBAA 082394785407 07-09-2021 24005321 SELESAI
22 7308025709890002 A. SUSI SUSANTI P 32 31-45 BTN BUKIT MEKONGGA PERMAI 085343530721 07-09-2021 07-09-2021 24005321 LANJUT
23 7401041511920004 NOVRA PAKULU L 28 18-30 LALOMBAA 085255888004 07-09-2021 24005321 SELESAI
24 7401045605800001 NURIANA P 41 31-45 JL. GAJAH 082153047786 07-09-2021 07-09-2021 24005321 LANJUT
25 7401044912010001 DESTIANI P 20 18-30 JL. GAJAH 082153047786 07-09-2021 07-09-2021 24005321 SELESAI
26 740102482060001 YULIA SASMITA P 15 12-17 JL. GAJAH NO. 28 085340427462 07-09-2021 07-09-2021 24005321 LANJUT
27 7401044710730001 ADERLIAN P 48 46-59 JL. GAJAH NO. 100 085299312776 07-09-2021 07-09-2021 24005321 LANJUT
28 7401045110840003 HERLINA P 37 31-45 JL. GAJAH 082129982891 07-09-2021 07-09-2021 24005321 LANJUT
29 7401047008800002 HARTINI P 41 31-45 LALOMBAA 082293621670 07-09-2021 07-09-2021 24005321 LANJUT
30 9203025103850001 PAULA YOLANDA SIMAUW P 36 31-45 FAK-FAK 082192294091 07-09-2021 24005321 SELESAI
31 8107016204820003 ANDI VITARIA P 39 31-45 JL. TANJUNG BIRA NO. 57 081241292848 07-09-2021 24005321 SELESAI
32 7401040609840003 PITER MANGIRI L 37 31-45 JL. PEMUDA 082399627290 07-09-2021 07-09-2021 24005321 LANJUT
33 740104460566001 SINARTI P 55 46-59 JL. GAJAH N0O. 40 082193379854 07-09-2021 07-09-2021 24005321 LANJUT
34 7401041011030001 MUH. RANGGA RAMADAN L 18 18-30 JL. GAJAH 085331992025 07-09-2021 07-09-2021 24005321 LANJUT
35 740104640920003 ROSMINI P 29 18-30 KOLAKA 085241644739 07-09-2021 24005321 SELESAI
36 7401042205040002 YEHEZKIEL L 17 12-17 JL. PUSARA LALOMBAA 085341302766 07-09-2021 07-09-2021 24005321 LANJUT
37 7401045403080002 FRIDA P 13 12-17 JL. GAJAH 085823531452 07-09-2021 07-09-2021 24005321 LANJUT
38 7401120110850001 DEDI BOLANG L 36 31-45 JL. KEMAKMURAN 081243096131 07-09-2021 07-09-2021 24005321 SELESAI
39 7401010606070003 ALFRENO TANGKEARUNG L 14 12-17 JL. 19 NOVEMBER 082291702609 07-09-2021 07-09-2021 24005321 LANJUT
40 7401041404520001 PETRUS SALEA TITTINA L 59 46-59 JL. AHMAD MUSTIN 085340271997 07-09-2021 07-09-2021 24005321 LANJUT
41 7318122203070001 JULIAN ALEXIO MARIANDRA L 14 12-17 KOLAKA 082190924403 07-09-2021 07-09-2021 24005321 LANJUT
42 7401043112550021 CORNELIUS L 66 60-199 JL. PEMUDA N0. 222 085241763386 07-09-2021 07-09-2021 24005321 LANJUT
43 7401041004880006 MICHAEL ALEXANDER L 33 31-45 JL. KELINCI NO. 35 085399275684 07-09-2021 24005321 SELESAI
44 7401044202040002 FEBY FEBRIYANI P 17 12-17 SABILAMBO 082192738449 07-09-2021 07-09-2021 24005321 LANJUT
45 7401040909790001 WENI HAPASO L 42 31-45 JL. GAJAH NO. 72 082188679546 07-09-2021 07-09-2021 24005321 LANJUT
46 7401044101720002 SARTINA P 49 46-59 JL. GAJAH N0. 43 085341756751 07-09-2021 07-09-2021 24005321 LANJUT
47 7401045703630001 SITTI HASNA P 61 60-199 JL. GAJAH 082322319225 07-09-2021 07-09-2021 24005321 LANJUT
48 7401012812020002 YONATHAN SAPUTRA L 19 18-30 DESA 19 NOVEMBER 082217556724 07-09-2021 07-09-2021 24005321 LANJUT
49 7401046105050002 RIRIN DEWI ANDRIANI P 16 12-17 JL. GAJAH NO. 94 082198859414 07-09-2021 07-09-2021 24005321 LANJUT
50 7401044404040001 DELPI P 17 12-17 JL. GAJAH NO. 90 081341098696 07-09-2021 07-09-2021 24005321 LANJUT
51 7202050611020004 RIVAEL CHRISTOVEL TUMONGGI L 19 18-30 DESA POLEGANYARA 082293462311 07-09-2021 07-09-2021 24005321 LANJUT
52 7401015311710001 NURMIN P 50 46-59 JL. LANDAK 082322319243 07-09-2021 07-09-2021 24005321 LANJUT
53 7401041908650002 ENDANG P 56 46-59 JL. GAJAH 085219022596 07-09-2021 07-09-2021 24005321 LANJUT
54 7401042411990003 ANDIKA PRESETYO SAPUTRA L 22 18-30 JL. LANDAK 082322319243 07-09-2021 07-09-2021 24005321 LANJUT
55 7401041012550004 TODING AMPULEMBANG L 66 60-199 JL. BADEWI 081341865688 07-09-2021 07-09-2021 24005321 LANJUT
56 7401040707760002 M. SYAHRIR L 45 31-45 JL. PEMUDA ;085238570499 07-09-2021 07-09-2021 24005321 LANJUT
57 7401042212010001 MUHAMMAD FAJRIN. A L 20 18-30 JL GAJAH NO 72 082188679546 07-09-2021 07-09-2021 24005321 LANJUT
58 7401043112670030 NGADI L 54 46-59 JL. GAJAH NO. 43 085253925228 07-09-2021 07-09-2021 24005321 LANJUT
59 732202450567001 YOHANA BATO P 54 46-59 PSN KULURI POREANG 082259121290 07-09-2021 07-09-2021 24005321 LANJUT
60 7401047112650067 ROSTINA P 56 46-59 JL. GAJAH 081245834932 07-09-2021 07-09-2021 24005321 LANJUT
61 7401040201810004 BAHARUDDIN L 40 31-45 KOLAKA 085241867494 07-09-2021 2021071351 SELESAI
62 7401040412770002 SYAMSUDDIN L 44 31-45 JL. GAJAH 085293598581 07-09-2021 07-09-2021 2021071351 LANJUT
63 7401044506790004 YULIANA P 42 31-45 JL. GAJAH 085293598581 07-09-2021 07-09-2021 2021071351 LANJUT
64 7401144107710004 HARTATI P 50 46-59 JL. DURIAN 08145673433 07-09-2021 07-09-2021 2021071351 LANJUT
65 7401124504090001 LUDWINA M P 12 12-17 JL. BENDUNGAN 082310205781 07-09-2021 07-09-2021 2021071351 LANJUT
66 7401121911060001 JOESEL MANIK L 15 12-17 JL. BENDUNGAN 085280096086 07-09-2021 07-09-2021 2021071351 LANJUT
67 7401121104050001 ARBI APRIADIN MANIK L 16 12-17 JL. BENDUNGAN 0852400637896 07-09-2021 07-09-2021 2021071351 LANJUT
68 7401040505000001 ANGGA SAPUTRA L 21 18-30 JL. GAJAH NO. 43 085217737244 07-09-2021 07-09-2021 2021071351 LANJUT
69 7401046603910002 YUSNITA P 30 18-30 JL. GAJAH 081292012526 07-09-2021 07-09-2021 2021071351 LANJUT
70 7401046105050001 ERIKA P 16 12-17 LINGK. III 081248074679 07-09-2021 07-09-2021 2021071351 LANJUT
71 7401044205050001 AYU MEIDITA SANCOKO P 16 12-17 LALOMBAA 082260701773 07-09-2021 07-09-2021 24005321 LANJUT
72 7401046502550002 ABE P 66 60-199 JL. GAJAH NO. 21 081355755433 07-09-2021 07-09-2021 24005321 LANJUT
73 0 07-09-2021 07-09-2021 24005321 LANJUT
74 0 07-09-2021 07-09-2021 24005321 LANJUT
75 0 01-09-2021 01-09-2021 24005121 LANJUT
76 0 01-09-2021 01-09-2021 24005121 LANJUT
77 0 01-09-2021 01-09-2021 24005121 LANJUT

78 0 01-09-2021 01-09-2021 24005121 LANJUT
79 0 01-09-2021 01-09-2021 24005121 LANJUT
80 0 01-09-2021 01-09-2021 24005121 LANJUT
81 0 01-09-2021 01-09-2021 24005121 LANJUT
82 0 01-09-2021 01-09-2021 24005121 LANJUT
83 0 01-09-2021 01-09-2021 24005121 LANJUT
84 0 01-09-2021 01-09-2021 24005121 LANJUT
85 0 01-09-2021 01-09-2021 24005121 LANJUT
86 0 01-09-2021 01-09-2021 24005121 LANJUT
87 0 01-09-2021 01-09-2021 24005121 LANJUT
88 0 01-09-2021 01-09-2021 24005121 LANJUT
89 0 01-09-2021 01-09-2021 24005121 LANJUT
90 0 01-09-2021 01-09-2021 24005121 LANJUT
91 0 01-09-2021 01-09-2021 24005121 LANJUT
92 0 01-09-2021 01-09-2021 24005121 LANJUT
93 0 01-09-2021 01-09-2021 24005121 LANJUT
94 0 01-09-2021 01-09-2021 24005121 LANJUT
95 0 01-09-2021 01-09-2021 24005121 LANJUT
96 0 01-09-2021 01-09-2021 24005121 LANJUT
97 0 01-09-2021 01-09-2021 24005121 LANJUT
98 0 01-09-2021 01-09-2021 24005121 LANJUT
99 0 01-09-2021 01-09-2021 24005121 LANJUT

100 0 01-09-2021 01-09-2021 24005121 LANJUT
101 0 01-09-2021 01-09-2021 24005121 LANJUT
102 0 01-09-2021 01-09-2021 24005121 LANJUT
103 0 01-09-2021 01-09-2021 24005121 LANJUT
104 0 01-09-2021 01-09-2021 24005121 LANJUT
105 0 01-09-2021 01-09-2021 24005121 LANJUT
106 0 01-09-2021 01-09-2021 24005121 LANJUT
107 0 01-09-2021 01-09-2021 24005121 LANJUT
108 0 01-09-2021 01-09-2021 24005121 LANJUT
109 0 01-09-2021 01-09-2021 24005121 LANJUT
110 0 01-09-2021 01-09-2021 24005121 LANJUT
111 0 01-09-2021 01-09-2021 24005121 LANJUT
112 0 01-09-2021 01-09-2021 24005121 LANJUT
113 0 01-09-2021 01-09-2021 24005121 LANJUT
114 0 01-09-2021 01-09-2021 24005121 LANJUT
115 0 01-09-2021 01-09-2021 24005121 LANJUT
116 0 01-09-2021 01-09-2021 24005121 LANJUT
117 0 01-09-2021 01-09-2021 24005121 LANJUT
118 0 01-09-2021 01-09-2021 24005121 LANJUT
119 0 01-09-2021 01-09-2021 24005121 LANJUT
120 0 01-09-2021 01-09-2021 24005121 LANJUT
121 0 01-09-2021 01-09-2021 24004821 LANJUT

122 0 01-09-2021 01-09-2021 24004821 LANJUT
123 0 01-09-2021 01-09-2021 24004821 LANJUT
124 0 01-09-2021 01-09-2021 24004821 LANJUT
125 0 01-09-2021 01-09-2021 24004821 LANJUT
126 0 01-09-2021 01-09-2021 24004821 LANJUT
127 0 01-09-2021 01-09-2021 24004821 LANJUT
128 0 01-09-2021 01-09-2021 24004821 LANJUT
129 0 01-09-2021 01-09-2021 24004821 LANJUT
130 0 01-09-2021 01-09-2021 24004821 LANJUT
131 0 01-09-2021 01-09-2021 24004821 LANJUT
132 0 01-09-2021 01-09-2021 24004821 LANJUT
133 0 01-09-2021 01-09-2021 24004821 LANJUT
134 0 01-09-2021 01-09-2021 24004821 LANJUT
135 0 01-09-2021 01-09-2021 24004821 LANJUT
136 0 01-09-2021 01-09-2021 24004821 LANJUT
137 0 01-09-2021 01-09-2021 24004821 LANJUT
138 0 01-09-2021 01-09-2021 24004821 LANJUT
139 0 01-09-2021 01-09-2021 24004821 LANJUT
140 0 01-09-2021 01-09-2021 24004821 LANJUT
141 0 01-09-2021 01-09-2021 24004821 LANJUT
142 0 01-09-2021 01-09-2021 24004821 LANJUT
143 0 01-09-2021 01-09-2021 24004821 LANJUT

144 0 01-09-2021 01-09-2021 24004821 LANJUT
145 0 01-09-2021 01-09-2021 24004821 LANJUT
146 0 01-09-2021 01-09-2021 24004821 LANJUT
147 0 01-09-2021 01-09-2021 24004821 LANJUT
148 0 01-09-2021 01-09-2021 24004821 LANJUT
149 0 01-09-2021 01-09-2021 24004821 LANJUT
150 0 01-09-2021 01-09-2021 24004821 LANJUT
151 0 01-09-2021 01-09-2021 24004821 LANJUT
152 0 01-09-2021 01-09-2021 24004821 LANJUT
153 0 01-09-2021 01-09-2021 24004821 LANJUT
154 0 01-09-2021 01-09-2021 24004821 LANJUT
155 0 01-09-2021 01-09-2021 24004821 LANJUT
156 0 01-09-2021 01-09-2021 24004821 LANJUT
157 0 01-09-2021 01-09-2021 24004821 LANJUT
158 0 01-09-2021 01-09-2021 24004821 LANJUT
159 0 01-09-2021 01-09-2021 24004821 LANJUT
160 0 01-09-2021 01-09-2021 24004821 LANJUT
161 0 01-09-2021 01-09-2021 24004821 LANJUT
162 0 01-09-2021 01-09-2021 24004821 LANJUT
163 0 01-09-2021 01-09-2021 24004821 LANJUT
164 0 01-09-2021 01-09-2021 24004821 LANJUT
165 0 01-09-2021 01-09-2021 24004821 LANJUT

166 0 01-09-2021 01-09-2021 24004821 LANJUT
167 0 01-09-2021 01-09-2021 24004821 LANJUT
168 0 01-09-2021 01-09-2021 24004821 LANJUT
169 0 01-09-2021 01-09-2021 24004821 LANJUT
170 0 01-09-2021 01-09-2021 24004821 LANJUT
171 0 01-09-2021 01-09-2021 24004821 LANJUT
172 0 01-09-2021 01-09-2021 24004821 LANJUT
173 0 01-09-2021 01-09-2021 24004821 LANJUT
174 0 01-09-2021 01-09-2021 24004821 LANJUT
175 0 01-09-2021 01-09-2021 24004821 LANJUT
176 0 01-09-2021 01-09-2021 24004821 LANJUT
177 0 01-09-2021 01-09-2021 24004821 LANJUT
178 0 01-09-2021 01-09-2021 24004821 LANJUT
179 0 01-09-2021 01-09-2021 24004821 LANJUT
180 0 01-09-2021 01-09-2021 24004821 LANJUT
181 0 01-09-2021 01-09-2021 24004821 LANJUT
182 0 LANJUT
183 0 LANJUT
184 0 LANJUT
185 0 LANJUT
186 0 LANJUT
187 0 LANJUT
188 0 LANJUT
189 0 LANJUT
190 0 LANJUT
191 0 LANJUT
192 0 LANJUT
193 0 LANJUT
194 0 LANJUT
195 0 LANJUT
196 0 LANJUT
197 0 LANJUT
198 0 LANJUT
199 0 LANJUT
200 0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
Keterangan
* Pekerjaan dikelompokkan menjadi:
A = Petugas Medis dan Non Medis di Fasilitas Pelayanan Kesehatan
D = Lainnya
E = Tidak Bekerja
Pekerjaan
A 0
B 0
C 0
D 0
E 0
Total 0
29-09-2021


Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401074411890001 ELSY WIJAYA P 32 18-30 JL EKONOMI 081242599968 10/09/2021 TAHAP 3 012D21A
2 7371116605820013 RISMA P 39 18-30 JL DR SUTOMO NO 12 082188188877 10/09/2021 TAHAP 3 012D21A
3 7401040809800002 MARINGAN L 41 31-45 JL DR SUTOMO NO 12 085242755899 10/09/2021 TAHAP 3 012D21A
4 7401126807980001 IGNASENSIA V SADO P 23 18-30 LANGORI 081343763269 10/09/2021 TAHAP 3 012D21A
5 7401076109810002 NUR AFNI SURIYANI P 40 31-45 JL PULAU PADAMARANG 081245213369 10/09/2021 TAHAP 3 012D21A
6 7401144701940001 RIMA NINGSIH P 27 18-30 JL INDUMO 082140309424 10/09/2021 TAHAP 3 012D21A
7 7401044501780001 HARTAWATI P 43 31-45 JL MISTIK II KANAN 081341529963 10/09/2021 TAHAP 3 012D21A
8 7401144709900001 HASTUTI P 31 31-45 JL PANORAMA 082262662083 10/09/2021 TAHAP 3 012D21A
9 7401142006650002 BANGU L 56 46-59 JL CUMI-CUMI 085254207191 10/09/2021 TAHAP 3 012D21A
10 7401045208630001 SITTI ROHMULYANI P 58 46-59 JL ALAM MEKONGGA 081341581804 10/09/2021 TAHAP 3 012D21A
11 7401144210930002 FAJAR VILBRA AYU LESTARI P 28 18-30 DESA LAMOLUO WOWONI 087839289296 10/09/2021 TAHAP 3 012D21A
12 74011459904800001 ERLINA WATI LALOASA P 41 31-45 JL DURIAN 085241942115 10/09/2021 TAHAP 3 012D21A
13 7401010403750001 SABARUDIN L 46 0 JL SANGIA BENDERA 082291503749 10/09/2021 DOSIS I 012D21A
14 7401044910850003 MILIAWATI P 36 31-45 JL. LANDAK 081240811113 10/09/2021 TAHAP 3 012D21A
15 7401045307970001 MARHA P 24 18-30 JL BENDUNGAN BALANDETE 082187364839 10/09/2021 TAHAP 3 012D21A
16 7401142602750001 HAERUN,SKM L 46 46-59 085241874848 15-10-2021 TAHAP 3 083D21A KELOMPOK I
17 7401141408920001 SANDI SURAHMAN L 29 18-30 085238909479 15-10-2021 TAHAP 3 083D21A KELOMPOK I
18 7401141705940001 SUBHAN AP SAHAKA L 27 18-30 082346513517 15-10-2021 TAHAP 3 083D21A KELOMPOK I
19 7401041610730001 NUR SYAM ARSYAD L 48 46-59 085394584374 15-10-2021 TAHAP 3 083D21A KELOMPOK I
20 7401146008870001 SRI DAMAYANTI P 34 31-45 085254456747 15-10-2021 TAHAP 3 083D21A KELOMPOK I
21 7401126303960002 MARSELINA RESKY P 25 18-30 082396135710 15-10-2021 TAHAP 3 083D21A KELOMPOK I
22 7401044912940001 KHADIJAH MUSPAH P 27 18-30 082395923721 15-10-2021 TAHAP 3 083D21A KELOMPOK I
23 7401046506960002 ULVA RAMDHANI BASIR P 25 18-30 082273446740 15-10-2021 TAHAP 3 083D21A KELOMPOK I
24 7401045409930001 RIEKA ANGELA KADANG P 28 18-30 082293456030 15-10-2021 TAHAP 3 083D21A KELOMPOK I
25 7471054310830001 SITTI MALANG P 38 31-45 082293537009 15-10-2021 TAHAP 3 083D21A KELOMPOK I
26 740104570990001 RISKIAH RAHMAN P 22 0 085396487077 15-10-2021 TAHAP 3 083D21A KELOMPOK I
27 7401127101830002 RAHMATIAH P 38 31-45 085241840781 15-10-2021 TAHAP 3 083D21A KELOMPOK I
28 7401045502980002 INDAH P 23 18-30 082299905930 15-10-2021 TAHAP 3 083D21A KELOMPOK I
29 7401047112710032 ROSMAWATI RUSMAN P 50 46-59 085241840781 15-10-2021 TAHAP 3 083D21A KELOMPOK I
30 7401017107830001 RAMAYANTI.S P 38 31-45 082347415069 15-10-2021 TAHAP 3 083D21A KELOMPOK I
31 7401040506680006 AMIR L 53 46-59 081245274791 15-10-2021 TAHAP 3 083D21A KELOMPOK II
32 7401040412900002 DESPI PALINTIH L 31 31-45 085341526004 15-10-2021 TAHAP 3 083D21A KELOMPOK II

33 7401141806650001 SAMSIR L 56 46-59 085213181066 15-10-2021 TAHAP 3 083D21A KELOMPOK II
34 7401046502890003 TRISNAWATI TETAMBE P 32 31-45 081245924517 15-10-2021 TAHAP 3 083D21A KELOMPOK II BELUM DOSIS 2
35 7401046509970001 RAHMIANI P 24 18-30 081345510005 15-10-2021 TAHAP 3 083D21A KELOMPOK II
36 7401040110990002 WAHYUDDIN L 22 0 082280606752 15-10-2021 TAHAP 3 083D21A KELOMPOK II
37 7401145403950001 RAHMI AINY T P 26 0 082349866679 15-10-2021 TAHAP 3 083D21A KELOMPOK II
38 7401046610930003 RESA SELVIA P 28 18-30 082292618390 15-10-2021 TAHAP 3 083D21A KELOMPOK II
39 7401075505950001 YARNIS P 26 0 081344799471 15-10-2021 TAHAP 3 083D21A KELOMPOK II
40 7401076010970002 MAYA BAHTIAR P 25 18-30 082236968854 15-10-2021 TAHAP 3 083D21A KELOMPOK II
41 7401040505930006 ISMAIL USMAN L 28 0 085398757013 15-10-2021 TAHAP 3 083D21A KELOMPOK II
42 7401032404760001 APRIADI POHIWO L 45 31-45 081343867271 15-10-2021 TAHAP 3 083D21A KELOMPOK II
43 7401145007830003 ROSLINDA P 34 31-45 085299335003 15-10-2021 TAHAP 3 083D21A KELOMPOK II
44 7401046006910001 HASTI PUTRI HANDAYANI P 30 18-30 085242450080 15-10-2021 TAHAP 3 083D21A KELOMPOK II
45 7401146312770002 HJ ASNI P 44 31-45 15-10-2021 TAHAP 3 083D21A KELOMPOK II
46 7401145007830003 KUSNAWATI,SKM P 38 31-45 085299355003 15-10-2021 TAHAP 1 083D21A KELOMPOK III LANJUT
47 7401201005840001 RAHMAN L 37 31-45 082393577804 15-10-2021 TAHAP 3 083D21A KELOMPOK III
48 7401040707670003 PURWONO L 54 46-59 085145506377 15-10-2021 TAHAP 3 083D21A KELOMPOK III
49 7401144102940001 ALFRIDA RIANI P 27 0 082292740459 15-10-2021 TAHAP 3 083D21A KELOMPOK III
50 7401041902820001 TRI INDRAJAYA L 34 18-30 085255557760 15-10-2021 TAHAP 3 083D21A KELOMPOK III
51 7401041507610002 ABD RAHMAN L 60 60-199 HKSN MANGOLO 085243350459 15-10-2021 TAHAP 1 083D21A KELOMPOK III LANJUT
52 7373052702790001 RISWAN L 42 31-45 JL DURIAN 082122642777 15-10-2021 TAHAP 1 083D21A KELOMPOK III LANJUT
53 7371095504900007 FITRIANI INDAH ANWAR P 31 31-45 085242714861 15-10-2021 TAHAP 3 083D21A KELOMPOK III
54 7401045009950002 DECHANY AISYAH P 26 18-30 082251782772 15-10-2021 TAHAP 3 083D21A KELOMPOK III
55 7401044211840001 DIAN RESTY IRIANTO P 37 31-45 JL NURI 085213344000 15-10-2021 TAHAP 3 083D21A KELOMPOK III LANJUT
56 7371124111850008 MUSFIRAH,S.Kep P 36 31-45 081334729467 15-10-2021 TAHAP 3 083D21A KELOMPOK III 36.2, 110, 70 BELUM PCARE
57 7401046110950001 SITTI KHADIJATUS P 26 18-30 085239525520 15-10-2021 TAHAP 3 083D21A KELOMPOK III 36.2, 100, 80 BELIM PCARE
58 7401195112970001 FIRDAYANI P 24 18-30 082336472264 15-10-2021 TAHAP 3 083D21A KELOMPOK III 36, 120, 80 BELUM PCARE
59 7401145101930002 AYU KARMILA P 28 18-30 JL ABADI 085241842706 15-10-2021 TAHAP 3 083D21A KELOMPOK III
60 7401146802800002 SULDA INDAH P 41 31-45 082191374999 15-10-2021 TAHAP 3 083D21A KELOMPOK III
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0
71 0
72 0
73 0
74 0
75 0
76 0
77 0
78 0
79 0
80 0
81 0
82 0
83 0
84 0
85 0
86 0
87 0
88 0
89 0
90 0
91 0
92 0
93 0
94 0
95 0
96 0
97 0
98 0
99 0
100 0
101 0
102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0
131 0
132 0
133 0
134 0
135 0
136 0
137 0
138 0
139 0
140 0
141 0
142 0
143 0
144 0
145 0
146 0
147 0
148 0
149 0
150 0
151 0
152 0
153 0
154 0
155 0
156 0
157 0
158 0
159 0
160 0
161 0
162 0
163 0
164 0
165 0
166 0
167 0
168 0
169 0
170 0
171 0
172 0
173 0
174 0
175 0
176 0
177 0
178 0
179 0
180 0
181 0
182 0
183 0
184 0
185 0
186 0 LANJUT
187 0 LANJUT
188 0 LANJUT
189 0 LANJUT
190 0 LANJUT
191 0 LANJUT
192 0 LANJUT
193 0 LANJUT
194 0 LANJUT
195 0 LANJUT
196 0 LANJUT
197 0 LANJUT
198 0 LANJUT
199 0 LANJUT
200 0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
Keterangan
D = Lainnya
E = Tidak Bekerja
Pekerjaan
A 0
B 0
C 0
D 0
E 0
Total 0
10/8/2021
36.2, 110, 70 BELUM PCARE
36.2, 100, 80 BELIM PCARE
36, 120, 80 BELUM PCARE



Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401040511770003 ROY LIESWAN L 44 18-30 JL. PRAMUKA NO. 48 082190751388 18-09-2021 18-09-2021 202107135i LANJUT
2 7372030211940008 ELIAS YOHANIS L 27 0 JL. SIBALI 082213456625 18-09-2021 18-09-2021 202107135i LANJUT
3 7401046801750004 YENNI P 46 46-59 JL. PRAMUKA 18-09-2021 18-09-2021 202107135i LANJUT
4 7401046403960001 MARSELAH P 25 18-30 JL. AHMAD YANI NO. 29 082291469707 18-09-2021 18-09-2021 202107135i LANJUT
5 7401121507530001 MULIYADI L 68 60-199 DUSUN DAYA BAKTI 085215023424 18-09-2021 18-09-2021 202107135i LANJUT
6 7401141403750002 SUDARMIN L 46 46-59 MGL 082191798947 18-09-2021 202107135i SELESAI
7 7401016805910001 ISA KRISTINA P 30 18-30 DUSUN III PETUDUA 082187668909 18-09-2021 202107135i SELESAI
8 7401012807030002 JOHAN IMANUEL SENDE L 18 18-30 DUSUN III PETUDUA 082192705940 18-09-2021 202107135i SELESAI
9 7401014909640001 DORCE P 57 46-59 DUSUN III LAMEKONGGA 085223945490 18-09-2021 202107135i SELESAI
11 7401145501770002 NIA P 44 31-45 HKSN MANGOLO 085331578874 18-09-2021 18-09-2021 202107135i LANJUT
13 7401045004990007 HASMAWATI P 22 0 KOLOHIPO 082214748639 18-09-2021 18-09-2021 202107135i LANJUT

14 7401045211950003 UDRA LYSA GRECATHALIA P 26 18-30 JL. AHMAD YANI NO. 23 082193505596 18-09-2021 18-09-2021 202107135i LANJUT
15 7401014802940001 SELPI PEBRIANTI P 27 18-30 DUSUN II RAMA 085355825219 18-09-2021 202107135i SELESAI
17 7405083005680001 AGUS MUH. SYAFEI L 53 46-59 DUSUN III DUDURIA 082317519081 18-09-2021 18-09-2021 202107135i LANJUT
18 7401015506920002 JUNIARTI PATULAK P 29 18-30 WUNDULAKO 081343942818 18-09-2021 18-09-2021 202107135i LANJUT
19 7401044108780001 HASLINA JAYA RAZAK L 43 31-45 JL. TRANS SULWESI 085290940359 18-09-2021 18-09-2021 202107135i LANJUT
21 7401047007030001 ANNISA NURRAHMADIVA P 18 18-30 JL. PAHLAWAN NO. 25 082347719544 18-09-2021 202107135i SELESAI
22 7401011312870001 ENOS LOLO L 34 31-45 JL. SUMBER REJEKI 081527923987 18-09-2021 202107135i SELESAI
23 740107411288001 MEGAWATI P 33 31-45 DUSUN III BMW 082292419125 18-09-2021 18-09-2021 202107135i LANJUT
24 7401040509980002 MUH. ALI AKBAR L 23 18-30 KOLOHIPO 081277950724 18-09-2021 18-09-2021 202107135i LANJUT
25 7401144308030003 VIRSA AULIA UMMI P 18 18-30 JL. CEMPAKA 085346132277 18-09-2021 202107135i SELESAI
26 3329012503890001 HERU HIDAYAT L 32 18-30 LAMOKATO 082319874481 18-09-2021 202107135i SELESAI
27 7401186106000001 JULIANI J P 21 18-30 LAMEDAI 082393289567 18-09-2021 202107135i SELESAI
29 7401045210750001 NISRA SIJA DG. NGAI P 46 46-59 JL. PEMUDA 085146260518 18-09-2021 18-09-2021 202107135i LANJUT
30 7401214407970001 RAFIQA DURI P 24 18-30 DUSUN I TUTUWI 082271999251 18-09-2021 18-09-2021 202107135i LANJUT
31 7306063010920001 RAHMAD HIDAYAT L 29 18-30 SAPIRI 08135005541 18-09-2021 202107135i SELESAI
32 7401044812820001 HASRINA HAKIM P 39 31-45 JL. WR. SUPRATMAN 081248730462 18-09-2021 202107135i SELESAI
33 7401042111830001 ALI AKBAR L 38 31-45 JL.KHAIRIL ANWAR '082393300456 18-09-2021 202107135i SELESAI
34 613071502860001 HERMAN L 35 31-45 DUSUN BALAI KARANGAN II 085757210814 18-09-2021 18-09-2021 202107135i LANJUT
35 7401011107940001 LEONARDO JULIAS HENDRIK L 27 18-30 BTN VILLA INDAH 085242743874 18-09-2021 18-09-2021 202107135i LANJUT
36 740104070397002 RAHMAT AGUNG L 24 18-30 BTN TAHOA BLOK III 085316187122 18-09-2021 202107135i SELESAI
37 7401044707730004 HIKMAWATI P 48 46-59 BTN TAHOA 05241858747 18-09-2021 202107135i SELESAI
38 7401232908910001 MUH AKBAR SANDIMA L 30 18-30 DUSUN I URATIOMBO 082292981827 18-09-2021 18-09-2021 202107135i LANJUT
40 74011423108660001 MISWAR UMAR L 35 31-45 JL. PEMUDA 082264264575 18-09-2021 18-09-2021 202107135i LANJUT
41 7401044111910002 NOVITA SARI P 30 18-30 JL. SULTAN HASANUDDIN 085399511007 18-09-2021 202107135i SELESAI
42 6103214809930001 TAMILIA P 28 18-30 DUSUN ENTIKONG 081293674463 18-09-2021 18-09-2021 202107135i LANJUT
43 7326021203990001 MARSCHEL YUOI L 22 18-30 PALWA SESEAN 085299661461 18-09-2021 18-09-2021 202107135i SELESAI
44 74010359044990001 RIA ANDITA TAOLO P 23 18-30 MOWEWE 082344304992 18-09-2021 18-09-2021 202107135i LANJUT
45 7401181707960001 IKO AGUS SATRIYA L 25 18-30 TANGGETADA 081240660744 18-09-2021 18-09-2021 202107135i LANJUT
46 7401010202830002 HASRUN L 38 31-45 DUSUN II LALOMBATO 082280411532 18-09-2021 18-09-2021 202107135i LANJUT
47 7401072312050001 PUTRA MAAULANA ISHAK L 16 12-17 POMALA 082398738073 18-09-2021 18-09-2021 202107135i LANJUT
48 7401041102090001 IGNACIO KRISTOTO SAMPE L 12 12-17 LRG. MISTIK 082279397298 18-09-2021 18-09-2021 202107135i LANJUT
49 7401042103790004 SUPRIANTO L 42 18-30 WATULIANDU 082255842969 18-09-2021 202107135i SELESAI
50 7401141211950003 IRKHAS KASIM L 26 18-30 BTN GRIYA SATELIT 082199463218 18-09-2021 18-09-2021 202107135i LANJUT
51 7401042806020001 MUH. REZKY SAYRIF L 19 18-30 JL. PERUMNAS RAYA 085299139466 18-09-2021 18-09-2021 202107135i LANJUT
52 7302015909930002 AYU RAHAYU P 28 18-30 PADANG 082395664353 18-09-2021 202107135i SELESAI
53 740101630483001 MISNAWATI P 38 31-45 JL. NANGGOMBA 0855345419511 18-09-2021 18-09-2021 202107135i LANJUT
54 7401044202950002 LISA SRI RINDANI ARIF P 26 18-30 JL. PAHLAWAN 082153534541 18-09-2021 202107135i SELESAI
55 7401045008850001 RURU P 36 31-45 LRG SUMBER REJEKI 085256107596 18-09-2021 18-09-2021 202107135i LANJUT
57 7401012309020003 DILAN RASYID L 19 18-30 DUSUN I LAKODOLE 085243019798 18-09-2021 18-09-2021 202107135i LANJUT
58 7401142806860001 ACI CANRA L 35 31-45 JL. ARWANA TAHO 082292615551 18-09-2021 18-09-2021 202107135i LANJUT
60 7401010304790003 SABRANG A. MD L 42 31-45 TANGGETADA 085218649155 18-09-2021 18-09-2021 202107135i LANJUT
61 7371096706880001 IZKI FIKRIANI AMIR P 33 31-45 KARAMPUANG 081356642014 18-09-2021 202107135i SELESAI
62 7401041605930002 ADE MULYAKIN ASIB L 28 18-30 JL.PEMUDA 082188416643 18-09-2021 18-09-2021 202107135i LANJUT
63 7401046706980006 YULIANTI P 33 31-45 DESA UNAMENDAA 082292492233 18-09-2021 18-09-2021 202107135i LANJUT
64 7315064110900003 HASTUTI P 26 18-30 DUSUN I KALIMERAH 085256029179 18-09-2021 18-09-2021 202107135i LANJUT
65 7401044106890003 RISNA P 32 18-30 JL. ANDI PUNNA 08124353636 18-09-2021 202107135i SELESAI
66 74010101820002 AWAL L 39 18-30 DESA 19 NOVEMBER 082284368811 18-09-2021 18-09-2021 202107135i LANJUT
67 7401044311010004 FADIAH IFGANNISA P 20 18-30 JL. KASUARI 085823807191 18-09-2021 18-09-2021 202107135i LANJUT
68 7401041303810006 SULAEMAN L 40 31-45 JL. PEMUDA 085387522193 18-09-2021 18-09-2021 202107135i LANJUT
69 7308024107710167 NURJANNAH P 50 46-59 JL. AHMAD YANI 082343479380 18-09-2021 202107135i SELESAI
70 7401044706880001 ENA SUAIB P 33 18-30 JL. KASUARI 082346534466 18-09-2021 18-09-2021 202107135i LANJUT
71 740114290584001 BASRAWI, SH.MH L 37 18-30 JL. KASUARI 085299957730 18-09-2021 18-09-2021 202107135i LANJUT
72 3175046201810003 YANI WULANDARI P 40 31-45 KALIMANTAN BARAT 081282213354 18-09-2021 18-09-2021 202107135i LANJUT
73 1208292109840002 JUMPA TUAH S L 37 31-45 JL. HANDAYANI 081361002896 18-09-2021 18-09-2021 202107135i LANJUT
74 74010403009060002 FATHIN MUHAMMAD L 15 0 JL. AHMAD YANI 082248274063 18-09-2021 18-09-2021 202107135i LANJUT
75 74010450120300002 ARDJINGGA VHAIRINISA P 18 18-30 JL. KASUARI 082291190007 18-09-2021 18-09-2021 202107135i LANJUT
76 7401125310870001 ASNIATI P 34 31-45 PIUNDOHO 0811404330 18-09-2021 18-09-2021 202107135i LANJUT
77 7401044507930001 CRISTINE CALUDIA P 28 18-30 JL. MERPATI 0811427427 18-09-2021 18-09-2021 202107135i LANJUT
78 7401121605810002 ANDRIADIN P 40 31-45 BAULA 085280096016 18-09-2021 18-09-2021 202107135i LANJUT
79 7401040108710003 MULYADI L 50 46-59 JL. AHMAD YANI 082349444373 18-09-2021 18-09-2021 202107135i LANJUT
80 7401140201890001 HASRAN L 32 31-45 LINGK. V KAMPUNG BARU 085240515345 18-09-2021 18-09-2021 202107135i LANJUT
81 7401071806780002 ISWANTO L 43 31-45 DAWI-DAWI 082187117939 18-09-2021 18-09-2021 202107135i LANJUT
82 7401041311060003 ALDEBARAN BERTOTO SAMPE L 15 0 LRG MISTIK 085215019129 18-09-2021 18-09-2021 202107135i LANJUT
83 74021561060660001 NAURA AMALIA SALIHA P 16 0 KONAWE 081340570872 18-09-2021 18-09-2021 202107135i LANJUT
85 730808180874002 SUDIRMAN L 27 18-30 JL. AHMAD YANI 082188075946 18-09-2021 202107135i SELESAI
86 7401147011990003 REZHA IRAWAN PUTRI P 22 18-30 JL. AHMAD YANI 082291823635 18-09-2021 18-09-2021 202107135i LANJUT
87 7401045604830002 YUNITA SYAMSUDDIN P 38 31-45 JL.MERPATI 082394759562 18-09-2021 202107135i SELESAI
88 7401047012770001 ASMAWATI P 44 31-45 JL. DR SAM RATULANGI 085255955838 18-09-2021 202107135i SELESAI
89 7405036905030001 NATIFA ASTISA P 19 18-30 BTN TAHOA 082282280695 18-09-2021 18-09-2021 202107135i LANJUT
91 7401046102030005 HAJRAH P 18 18-30 JL. USMAN RENCONG 082347982957 18-09-2021 202107135i SELESAI
93 7401046005870003 ENISKA LESTARI WULNDARI P 34 31-45 JL. ANDI JEMMA 082290241878 18-09-2021 202107135i SELESAI
94 7401041212750003 PARTO L 46 46-59 JL. INDUMO 085395664091 18-09-2021 202107135i SELESAI
95 7401044402930007 HASNAH AMD. KEB P 28 18-30 JL.USMAN RENCONG 085241681440 18-09-2021 202107135i SELESAI
96 7401140606980002 RISMANTO L 23 18-30 LINGK. V KAMPUNG BARU 082191547255 18-09-2021 18-09-2021 202107135i LANJUT
97 7401046404030008 THERESIA ANASTASIA ABAT P 18 18-30 JL. SULTAN HASANUDDIN 08225942570 18-09-2021 202107135i SELESAI
98 740114709050003 INNA MUTMAINNA P 16 0 LATAMBAGA 085240515214 18-09-2021 18-09-2021 202107135i LANJUT
100 7401201202910001 HENDRA L 30 18-30 DUSUN III KAMPUNG TENGAH 085255555900 18-09-2021 18-09-2021 202107135i LANJUT
101 7401041503930001 MUH SARDIN L 28 18-30 JL. NURI 082217861331 18-09-2021 18-09-2021 202107135i LANJUT
102 740119260600001 MUH. YUSUF L 21 18-30 LATAMBAGA 085340161873 18-09-2021 18-09-2021 202107135i LANJUT
103 740114509880002 ROS AMELIA P 33 31-45 WOWOTA 085363270950 18-09-2021 18-09-2021 202107135i LANJUT
104 740112511670004 ATIRAH P 54 46-59 BAULA 082323927262 18-09-2021 202107135i SELESAI
105 7401041102000003 MUH. AZIZUL HAQIM L 21 18-30 JL. PRAMUKA 082298180100 18-09-2021 18-09-2021 202107135i LANJUT
106 7401086404900001 SHESI PIANDANI P 25 18-30 WATUBANGGA 085340829066 18-09-2021 202107135i SELESAI
108 7401046909790001 ATIKA P 42 31-45 JL. SULTAN HASANUDDIN 082213512803 18-09-2021 18-09-2021 202107135i LANJUT
109 7471056001010005 DINDA DWI FADILLAH P 20 18-30 JL. KONGGOASA 085213992976 18-09-2021 18-09-2021 202107135i LANJUT
110 6310092202890003 AMIRULLAH L 32 31-45 DESA LAMUNDRE 082353016660 18-09-2021 18-09-2021 202107135i LANJUT
111 7401104505990001 NURANISA P 22 18-30 MANGOLO 085333651511 18-09-2021 18-09-2021 202107135i LANJUT
112 7318024112060001 RATNA SARI P 21 18-30 LE TEK 082266460098 18-09-2021 18-09-2021 202107135i LANJUT
113 7315063005980003 MUHAJIR L 23 18-30 DUSUN BABANA 082243920604 18-09-2021 18-09-2021 202107135i LANJUT
114 7401042804040001 MUH. YUSUF AMIR L 17 0 JL. PRAMUKA 0813551742004 18-09-2021 18-09-2021 202107135i LANJUT
115 740114250700002 RUDI PURWANSYAH L 21 18-30 JL. KANCIL 081245595725 18-09-2021 202107135i SELESAI
117 7401044711790001 LILIS FATIMAH P 42 31-45 TAHOA 085231509939 18-09-2021 18-09-2021 202107135i LANJUT
118 7408016811850002 ASMAWATI P 36 31-45 DEA PTOWONUA 082237410881 18-09-2021 18-09-2021 202107135i LANJUT
119 7401040605020004 MUH. ZHAFRAN L 19 18-30 JL. PENDIDIKAN 082246036500 18-09-2021 202107135i SELESAI
120 7401146005800003 SARI P 41 31-45 MANGOLO 082280385237 18-09-2021 18-09-2021 202107135i LANJUT
121 7401042904080003 AFDAL L 13 0 JL. PRAMUKA 082241367440 18-09-2021 18-09-2021 202107135i LANJUT
122 7401046409730002 SARAH RATUWALANGON P 48 46-59 JL. AHMAD YANI 082298910291 18-09-2021 18-09-2021 202107135i LANJUT
123 7401145605980002 SUMARNI P 23 18-30 INDUHA 082192627998 18-09-2021 202107135i SELESAI
124 3518040611930003 ZULFIKAR HALIM L 28 18-30 PERUMNAS CANDIREJO 081284404105 18-09-2021 202107135i SELESAI
125 740113440780001 DIAN P 41 31-45 LATAMBAGA 082260056966 18-09-2021 18-09-2021 202107135i LANJUT
126 7401145609900001 MASTIN P 31 31-45 LINGK. II 082260056966 18-09-2021 18-09-2021 202107135i LANJUT
127 7401012711860002 MARSIDIN L 35 31-45 DS. TIKONO 082310124210 18-09-2021 18-09-2021 202107135i LANJUT
128 7401040505630003 HASTU L 58 46-59 JL. PINTU SELATAN 085213162427 18-09-2021 202107135i SELESAI
129 7401040904770003 AMIN L 44 31-45 JL. INDUMO 0823933336304 18-09-2021 202107135i SELESAI
130 740104180880005 YUDI AGUSMAN L 33 31-45 JL. MEKONGGA INDAH 085221462929 18-09-2021 18-09-2021 202107135i LANJUT
131 7308062002920001 KHAYATUL QARIMA P 29 18-30 TANABATUE 085299053874 18-09-2021 18-09-2021 202107135i LANJUT
132 7408074607960001 NURUL SAPARIDA P 25 18-30 TIKONU 085796915643 18-09-2021 18-09-2021 202107135i LANJUT
133 7401036405840001 NINING SRIANA P 37 31-45 SAMATURU 082252250059 18-09-2021 202107135i SELESAI
135 7401015507810002 HATIJA P 40 31-45 WUNDULAKO 085287285127 18-09-2021 18-09-2021 202107135i LANJUT
136 '7401012004840001 APRIYANSYAH L 36 31-45 LATAMBAGA 081242477784 18-09-2021 18-09-2021 202107135i LANJUT
137 7401014302020002 RISNAWATI P 19 18-30 SILEA 085287285127 18-09-2021 18-09-2021 202107135i LANJUT
138 7401144212970001 INDAH DWI LESTARI P 24 18-30 TINUMBU 085238435573 18-09-2021 18-09-2021 202107135i LANJUT
139 7401041903030002 TEDI L 19 18-30 JL. PEMUDA 085219395613 18-09-2021 18-09-2021 202107135i LANJUT
140 7401241103890001 DADANG FIRMANTO L 32 31-45 WOWOLI 085241987665 18-09-2021 202107135i SELESAI
141 7401045010800002 RISNAWATI IDRIS P 41 31-45 BTN BUKIT BALANDETE 082396664447 18-09-2021 202107135i SELESAI
142 0 LANJUT
143 0 LANJUT
144 0 LANJUT
145 0 LANJUT
146 0 LANJUT
147 0 LANJUT
148 0 LANJUT
149 0 LANJUT
150 0 LANJUT
151 0 LANJUT
152 0 LANJUT
153 0 LANJUT
154 0 LANJUT
155 0 LANJUT
156 0 LANJUT
157 0 LANJUT
158 0 LANJUT
159 0 LANJUT
160 0 LANJUT
161 0 LANJUT
162 0 LANJUT
163 0 LANJUT
164 0 LANJUT
165 0 LANJUT
166 0 LANJUT
167 0 LANJUT
168 0 LANJUT
169 0 LANJUT
170 0 LANJUT
171 0 LANJUT
172 0 LANJUT
173 0 LANJUT
174 0 LANJUT
175 0 LANJUT
176 0 LANJUT
177 0 LANJUT
178 0 LANJUT
179 0 LANJUT
180 0 LANJUT
181 0 LANJUT
182 0 LANJUT
183 0 LANJUT
184 0 LANJUT
185 0 LANJUT
186 0 LANJUT
187 0 LANJUT
188 0 LANJUT
189 0 LANJUT
190 0 LANJUT
191 0 LANJUT
192 0 LANJUT
193 0 LANJUT
194 0 LANJUT
195 0 LANJUT
196 0 LANJUT
197 0 LANJUT
198 0 LANJUT
199 0 LANJUT
200 0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
0 LANJUT
Keterangan
D = Lainnya
E = Tidak Bekerja
Pekerjaan
A 0
B 0
C 0
D 0
E 0
Total 0
16-10-2021

Dosis I Dosis 2
Umur Keterangan
No No. Registrasi NIK NAMA (18-59 Alamat No. Hp (Ditunda/Tidak
tahun) Diberikan/Lanjut)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 3376025301950003 NURDIANA SARI P 26 18-30 JAWA BARAT 082223042525 18-09-2021 18-09-2021 202107135i 29-07-2022 SELESAI VAKSIN 3
2 7401042004000002 WILLY VINCENTIUS LILIBOY L 21 18-30 JL. SULTAN HASANUDDIN 085242432718 18-09-2021 18-09-2021 202107135i 18-09-2021 202107135i SELESAI
3 7401041010030005 RENDI L 18 18-30 JL. AHMAD YANI 082235727695 18-09-2021 18-09-2021 202107135i 26-09-2022 SELESAI
4 7401046505890003 ASTINA P 32 31-45 JL. PUSARA 085341987666 18-09-2021 18-09-2021 202107135i 18-09-2021 202107135i SELESAI
5 7401014710850003 RETNAWATI P 36 31-45 JL. SANGIA NIBANDERA 085242896670 18-09-2021 18-09-2021 202107135i 6/11/2021 SELESAI
6 7401042809040001 ADRIAN L 17 12-17 JL. AHMAD YANI 085234479245 18-09-2021 18-09-2021 202107135i 16-10-2021 SELESAI
7 7401071808960001 MUH. PAJRIN ANUGRAH L 25 18-30 POMALAA 082187461894 18-09-2021 202107135i SELESAI
8 740110540992001 IRDAWATI P 29 18-30 JL. MELATI LINGK V 082399325342 18-09-2021 202107135i SELESAI
9 7401194412020002 NURUL AWALIA P 19 18-30 JL. PERUMNAS LALOMBAA 082187850354 18-09-2021 202107135i SELESAI
10 7406055905910001 RIA AMALIA RMIN P 30 18-30 TEAMOKOLE KABAEN 081282198118 18-09-2021 202107135i SELESAI
11 7401042308970001 AGUS SALIM SUHERMAN L 24 18-30 PERUMNAS 081288941139 18-09-2021 18-09-2021 202107135i 18-09-2021 202107135i SELESAI
13 7401040405790001 M. AMRIN L 42 18-30 JL. PEMUDA 081248691010 18-09-2021 18-09-2021 202107135i 18-09-2021 SELESAI
14 7401045012020002 UPIE FITRI NURQALBY P 19 18-30 BTN BUKIT BALANDETE 085252338402 18-09-2021 18-09-2021 202107135i 18-09-2021 202107135i SELESAI
15 7401045010740009 EVIE ASTUTY ARIEF P 47 46-59 BTN BUKIT BALANDETE 085241683443 18-09-2021 18-09-2021 202107135i 18-09-2021 SELESAI
16 7403051304870202 KADIRUN L 34 31-45 LALOMBA 082198308971 18-09-2021 18-09-2021 202107135i SELESAI

5/9/2022
18 7401041110620001 ABU BAKAR L 59 46-59 JL. KHAIRIL ANWAR 085256941235 18-09-2021 202107135i SELESAI
19 740107412990003 RISDAYANTI P 22 18-30 JL. HIDAYATULLAH 08259576306 18-09-2021 202107135i SELESAI
20 740114611730001 HARNINA P 48 46-59 JL. AHMAD YANI 085756116181 18-09-2021 18-09-2021 202107135i NIK SALAH LANJUT
21 740119411095001 NURASFIDAR P 26 18-30 DUSUN V MATTIRO WALIE 082293652250 18-09-2021 202107135i SELESAI
22 7401046109720002 MASNAWATI P 49 46-59 JL. AHMAD YANI 082224143651 18-09-2021 18-09-2021 202107135i 18-10-2021 SELESAI
23 7401041202020002 RAHMAN L 19 18-30 JL. AHMAD YANI 085289459842 18-09-2021 18-09-2021 202107135i 16-10-2021 SELESAI
24 7401200402980001 MUHAMMAD NURSYAM L 23 18-30 ULU KONAWEHA 082273457063 18-09-2021 202107135i SELESAI
25 7401143004040006 YEHEZQEL CRISTOPER L 17 12-17 BTN OREN LINE BALANDETE 01244860223 18-09-2021 18-09-2021 202107135i 16-10-2021 SELESAI
26 7308220107030078 IMRAN L 19 18-30 JL. INDUMO 081523754489 18-09-2021 18-09-2021 202107135i SELESAI
4/11/2021
29 740114020280003 ZULKIFLI L 41 31-45 PERUM. DAYA RESIDENCE 082190019988 18-09-2021 18-09-2021 202107135i 30-11-2021 SELESAI
31 7401045402710002 MARIYATI P 50 46-59 LAMOKATO 081356674364 18-09-2021 202107135i SELESAI
32 7402194612860002 MARATU ROIFAH P 35 31-45 PONDUI 082259479522 18-09-2021 18-09-2021 202107135i 18-12-2021 SELESAI
33 7401142705010002 ALFIAN L 20 18-30 WOWOTA 085823771803 18-09-2021 18-09-2021 202107135i 27-01-2022 SELESAI
34 7401145904720001 SISWANTI P 49 46-59 WOWOTA 085823771803 18-09-2021 18-09-2021 202107135i 16-10-2021 SELESAI
35 74012305920001 ASHAR SABIRIN L 29 18-30 WUNDULAKO 082363365853 18-09-2021 18-09-2021 202107135i NIK SALAH
36 7401045310960003 PRATIWI KREZHNAWATI P 25 18-30 JL.PANORAMA 082259076186 18-09-2021 202107135i SELESAI
37 7371095602770008 SUHARNI P 44 18-30 INDUMO 085342257728 18-09-2021 202107135i SELESAI
38 7401014609890001 NURHIDAYAH RANNU P 32 31-45 WUNDULAKO 082335371086 07-09-2021 07-09-2021 202107135i 19-10-2021 SELESAI
40 7401041507990002 GANDI DAHLAN L 22 18-30 JL. GAJAH 082295757623 18-09-2021 18-09-2021 202107135i 19-10-2021 SELESAI
41 7302074301790001 NUR USRIANI P 42 18-30 JL. TMD 085342133939 18-09-2021 202107135i SELESAI
43 3173032306060002 MUH. NURFA ARUL L 15 12-17 JL. HIDAYATULLAH 085299222196 18-09-2021 18-09-2021 202107135i 16-10-2021 SELESAI
44 7401046005910001 DEWI UTAMI P 30 18-30 SABILAMBO 085341504789 18-09-2021 202107135i SELESAI
45 7401042512010001 MUH IKBAL L 20 18-30 JL. PAHLAWAN 085212616939 18-09-2021 202107135i SELESAI
47 350171807980001 ARIF SANDRA USTOFA L 23 18-30 BLITAR 081347483294 18-09-2021 18-09-2021 202107135i NIK SALAH LANJUT
48 7401047112850022 RAMLA DG LAYU P 36 31-45 LAMOKATO 082398676986 18-09-2021 18-09-2021 202107135i 16-10-2021 SELESAI
49 740107520983003 YULIANA P 38 18-30 JL. ANDI JEMMA 082345260663 18-09-2021 18-09-2021 202107135i NIK SALAH LANJUT
50 7401044710740002 HASNIATI P 47 46-59 JL. AHMAD YANI 082293961609 18-09-2021 18-09-2021 202107135i 16-10-2021 SELESAI
52 7401045406840002 IKA ARIANI P 37 31-45 LAMEKONGGA 081298676986 18-09-2021 18-09-2021 202107135i 16-10-2021 SELESAI
53 740104030451001 ABU HASAN L 70 60-199 JL. AHMAD YANI 082348683911 18-09-2021 18-09-2021 202107135i NIK SALAH LANJUT
54 7401044106840001 SAMSIDAR P 37 31-45 JL. MEKONGGA INDAH 085213692378 18-09-2021 18-09-2021 202107135i 16-10-2021 SELESAI
55 7401010503990001 AOCHENK HIDAYAT SAPUTRA L 22 18-30 WUNDULAKO 081245435577 18-09-2021 18-09-2021 202107135i DO LANJUT
56 7401013101010004 MUH. RICHARD L 20 18-30 WUNDULAKO 085282953343 18-09-2021 18-09-2021 202107135i 2/8/2022 SELESAI
57 7404051210940002 RAMIL L 27 18-30 BUTON 081224412005 18-09-2021 18-09-2021 202107135i DO LANJUT
58 7401091501990001 SANDY ALMAHNEDRA L 22 18-30 KOLTIM 082298277027 18-09-2021 18-09-2021 202107135i 11/12/2021 SELESAI
59 7401041904840001 RUDIN L 37 31-45 LINGK. I 085398142076 18-09-2021 18-09-2021 202107135i 11/12/2021 SELESAI
62 740121491195002 HASLIA P 26 18-30 TINONDO 082335596590 18-09-2021 202107135i SELESAI
64 730209160993001 AGUS ARIANTO L 28 18-30 DUSUN TANAH EJA 085394272986 18-09-2021 202107135i SELESAI
66 7401204310010001 FEGI MELIANI P 20 18-30 SAMATURU 082188702915 18-09-2021 202107135i SELESAI
67 3309060210940003 ANDRIYANTO L 27 18-30 BLIMBINGSARI 082267387420 18-09-2021 202107135i SELESAI
69 747107150680001 DERIYANTO TETAMBE L 41 31-45 BTN TAHOA 085200421333 18-09-2021 18-09-2021 202107135i NIK SALAH LANJUT
70 7401044508850002 AKVA EBEL P 36 18-30 JL. HALUOLEO 082393269716 18-09-2021 202107135i SELESAI
71 1501172006810002 HERMAN DOLI L 40 18-30 JAMBI 081277747845,K; 18-09-2021 18-09-2021 202107135i 17-11-2021 SELESAI
72 7401070105910001 ZULKARNAEN BACHTIAR L 30 18-30 JL. MUH. TAHIR 082188882006 18-09-2021 18-09-2021 202107135i 24-03-2022 SELESAI
73 7401041004920001 APRIADI L 31 31-45 JL. AHMAD YANI 082210938904 18-09-2021 18-09-2021 202107135i 24-03-2022 SELESAI
74 740112581296001 DESRIANA DATULANGI P 25 18-30 JL. AHMAD YANI 082210938904 18-09-2021 18-09-2021 202107135i NIK SALAH LANJUT
75 7401096109850003 MURNIYATI P 36 31-45 JL. BAY PAS 085231347933 18-09-2021 18-09-2021 202107135i 16-10-2021 SELESAI
77 730602670473001 MURNI P 48 46-59 JL. PINTU SELATAN 082394723641 18-09-2021 18-09-2021 202107135i 16-10-2021 SELESAI
78 7401044708610001 HJ. MARDAWIAH P 60 60-199 JL. PRAMUKA 081248100212 18-09-2021 18-09-2021 202107135i 16-10-2021 SELESAI
79 740114520776002 IDA ROYANI P 45 31-45 JL. H. LARURU 085397350829 18-09-2021 18-09-2021 202107135i 19-10-2021 SELESAI
80 7401044404884007 SAPRIANTI P 37 31-45 JL. PEMUDA 085299367333 18-09-2021 18-09-2021 202107135i NIK SALAH LANJUT
81 7401090104820001 RUSTAM L 39 31-45 JL. BAY PAS 085231347933 18-09-2021 18-09-2021 202107135i 16-10-2021 SELESAI
82 74010425001030002 SLAMET L 18 18-30 JL. AHMAD YANI 085216941946 18-09-2021 18-09-2021 202107135i NIK SALAH LANJUT
84 7401045402070005 PUTRI AULIA RAHMAYANTI P 14 12-17 JL. PRAMUKA 05824061866 18-09-2021 18-09-2021 202107135i 16-10-2021 SELESAI
85 7401074208080001 AYU SUCI ANGGRAINI P 13 12-17 PELAMBUA 085757221918 18-09-2021 18-09-2021 202107135i 16-10-2021 SELESAI
86 7401126812060001 SARINA WULANDARI P 15 12-17 LANGORI 081524970102 18-09-2021 18-09-2021 202107135i 16-10-2021 SELESAI
88 3404100103950001 ARDHAEGA PRADHIPTA L 26 18-30 SLEMAN 082262485566 18-09-2021 202107135i SELESAI
89 7401042804980002 TRY ARDHI NUGRAHA P 23 18-30 JL. PINTU SELATAN 0822925693991S 18-09-2021 202107135i SELESAI
90 7401046806780001 NUR FAUZIAH P 43 31-45 BTN TAHOA 082214207810 18-09-2021 18-09-2021 202107135i 18-09-2021 202107135i SELESAI
91 7307063103940001 ALMISBAHUDDIN L 27 18-30 SAMATURU 082343444995 18-09-2021 18-09-2021 202107135i 6/4/2022 SELESAI
92 3328143103860002 ARI GUNARSO L 35 31-45 TEGAL 082225560888 18-09-2021 202107135i SELESAI
93 7401125608880001 AGUS VITA RITA P 33 31-45 BAULA 082397798747 18-09-2021 202107135i SELESAI
94 7401042111990006 MUH AFIF FADHIL L 22 18-30 JL. AHMAD YANI 085216941948 18-09-2021 202107135i SELESAI
95 7401040402890003 CHANDRA KASIM L 32 31-45 SABILAMBO 085220682350 18-09-2021 18-09-2021 202107135i 28-10-2021 SELESAI
97 760414712730053 ST. MARYAM P 48 46-59 PERUMAHAN BIRU 082259540783 18-09-2021 18-09-2021 202107135i NIK SALAH LANJUT
98 7401040707040001 WAWAN SUGIAANTO L 23 18-30 INDUMO 085340206105 18-09-2021 202107135i SELESAI
99 74010447100002 FADILLA P 21 18-30 JL. GARUDA 085334855787 18-09-2021 202107135i SELESAI
100 7302056404990003 SRI TENRIANI ALWI P 22 18-30 BALANDETE 082344787869 18-09-2021 202107135i SELESAI
MASYARAKAT UMUM DOSIS 1= 86 ORANG

DOSIS 2=43 ORANG
REMAJA DOSIS 1= 10 ORANG
LANSIA DOSIS 1= 1 ORANG
VAKSIN POLRES 50 VIAL
VAKSIN DINKES 70 VIAL
Keterangan
D = Lainnya
E = Tidak Bekerja
Pekerjaan
A 0
B 0
C 0
D 0
E 0
Total 0
16-10-2021

Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 POLRES 7401144101840006 HUSNIA P 37 31-45 JL. DURIAN 085298489161 09-09-2021 09-09-2021 2021071351 07-10-2021 202108139H SELESAI
2 POLRES 7401141011790004 SUARDI L 42 31-45 JL. DURIAN 085298489161 09-09-2021 09-09-2021 2021071351 07-10-2021 202108139H SELESAI
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7406014508970002 RISDA ARMITA SARI P 24 18-30 JL KEMAKMURAN 082354569779 07-10-2021 202108169I SELESAI
7401140610970003 MUH TESAR TASMAN L 24 18-30 JL DURIAN 082292147108 07-10-2021 202108169I SELESAI
7401145011790001 HATIJA P 42 31-45 LATAMBAGA 085241062678 07-10-2021 202108169I SELESAI
7401141411060002 MUH FITRA RAMADAN L 15 0 JL DURIAN 082291027326 07-10-2021 07-10-2021 202108169I LANJUT
7401144705010001 AMELIA PUTRI A P 20 18-30 JL DURIAN 082278461968 07-10-2021 07-10-2021 202108169I LANJUT
7401044107920005 YUYUN FIRAWATI P 29 18-30 JL GAJAH 085216394320 07-10-2021 07-10-2021 202108169I LANJUT
7401145408830002 HASNIAR SAMIR P 38 31-45 KOLAKAASI 082188509448 07-10-2021 07-10-2021 202108169I LANJUT
7401142307070002 RAFLI L 14 0 JL DURIAN 081311903501 07-10-2021 07-10-2021 202108169I LANJUT
7401146807990001 ESTER NURHANA P 22 18-30 JL DURIAN 082293128812 07-10-2021 202108169I SELESAI
7401140701550001 TOMMY SANTOSO L 66 60-199 JL MEKONGGA INDAH 081355647773 07-10-2021 202108169I SELESAI
7401140106080002 MUH ADE RIO JUNIOR L 13 0 JL DURIAN 082187323806 07-10-2021 07-10-2021 202108169I LANJUT
7401140304060003 ARYA AFRIZA L 15 0 JL DURIAN 082393346064 07-10-2021 07-10-2021 202108169I LANJUT
7401140502730001 TONI RAMDANI L 48 46-59 JL DURIAN 085394066699 07-10-2021 07-10-2021 202108169I LANJUT
7401142311040001 ADITYA AHMAD L 17 0 JL DURIAN 081292036273 07-10-2021 07-10-2021 202108169I LANJUT
7401144911920003 IRMAWATI P 29 18-30 JL DURIAN 081247554426 07-10-2021 07-10-2021 202108169I LANJUT
7401146504090001 REZIA RAHMWATI P 13 0 SAKULI 082393198880 07-10-2021 07-10-2021 202108169I LANJUT
6402164509850001 NI NYOMAN SUWARNI P 36 31-45 DUSUN MEKAR 082348841577 07-10-2021 07-10-2021 202108169I LANJUT
7401181207820003 I KOMANG BAGIADA L 39 31-45 DUSUN MEKAR 082348841577 07-10-2021 07-10-2021 202108169I LANJUT
7308191302980001 ARDI L 23 18-30 WATANG PADAENGA 085254364898 07-10-2021 202108169I SELESAI
7401036501970001 ANNA SRIYANA SYAM P 24 18-30 KEL.INEBENGGI 085231509641 07-10-2021 202108169I SELESAI
7308190107630185 PATTAN BIN SAPPE L 58 46-59 CABBENG BONE 081342011008 07-10-2021 07-10-2021 202108169I LANJUT
7372040401070001 ALDO PERNANDO L 14 0 JL REFORMASI 082293961550 07-10-2021 07-10-2021 202108169I LANJUT
7401140309070002 DODY KURNIAWAN L 14 0 SAKULI 081218526647 07-10-2021 07-10-2021 202108169I LANJUT
7401146603860001 YULIANI P 35 31-45 SAKULI 082191046243 07-10-2021 07-10-2021 202108169I LANJUT
7308192212900001 IRWAN L 31 31-45 WATANG PADAENGA 082296415437 07-10-2021 202108169I SELESAI
7308235708030002 PUTRI ADELLA SALSABILA P 18 18-30 JL KAMBOJA 082240263872 07-10-2021 07-10-2021 202108169I LANJUT
7401105701980002 NOPITA SARI AP P 23 18-30 BTN GRAND BOULEVARD 085271044944 07-10-2021 07-10-2021 202108169I LANJUT
7401144106940002 YUNITA MANDAR P 27 18-30 JL DURIAN 082394567664 07-10-2021 202108169I SELESAI
3174016408640009 SITTI ZULAEHA P 57 46-59 BALIMATRAMAN 082394328314 07-10-2021 07-10-2021 202108169I LANJUT
7401144104010001 LAODE SAPUTRA L 22 18-30 JL DURIAN 082394042263 07-10-2021 07-10-2021 202108169I LANJUT
7401143012780003 IMAM SOLIHIN L 43 31-45 JL DURIAN 085244759279 07-10-2021 07-10-2021 202108169I LANJUT
7401144101810002 SUHARNI P 40 31-45 JL DURIAN 085320186234 07-10-2021 07-10-2021 202108169I LANJUT
7401142905050006 MUH FAHRUL IMAM L 16 0 JL DURIAN 085346380253 07-10-2021 07-10-2021 202108169I LANJUT
7401144107740001 HJ ONDONG P 47 46-59 JL CAREDE 082254727694 07-10-2021 202108169I SELESAI
7401145703500002 HJ MINA P 71 60-199 JL CAREDE 085397039555 07-10-2021 202108169I SELESAI
7401041610080001 MUH RAHLIL SP L 13 0 TAHOA 07-10-2021 202108169I SELESAI
7401046509040001 ASTUTI ALLAWIAH P 17 0 LAMOKATO 082291337976 07-10-2021 202108169I SELESAI
7315111012750002 BURHANUDDIN L 50 46-59 JL CAREDE 085397039555 07-10-2021 202108169I SELESAI
7401146505750003 NAMRI P 46 46-59 JL CAREDE 085397039555 07-10-2021 202108169I SELESAI

MASYARAKAT UMUM DOSIS 1= 22 ORANG
DOSIS 2=76 ORANG
0
DOSIS 2= 6 ORANG
LANSIA DOSIS 1= 1 ORANG
DOSIS 2= 7 ORANG

D = Lainnya
E = Tidak Bekerja

18-30 69 0 A 0
31-45 59 0 B 0
46-59 35 0 C 0
Total 163 0 D 0
Pekerjaan: E 0
A 0 139 Total 0
B 0 115
C 0
D 0
E 0
Total 0
07-10-2021

Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401044203920004 ERNI SUTIAH P 29 18-30 JL PANCASILA 081242236781 11-10-2021 11-10-2021 202108174F LANJUT
2 7408070708900001 IRWAN L 31 31-45 DESA ULU WOLO 085299037188 11-10-2021 11-10-2021 202108174F LANJUT
3 7401141812030002 ANDI AGUNG L 18 18-30 JL DELIMA 082245272530 11-10-2021 11-10-2021 202108174F LANJUT
4 7401140207670001 MUH QALBY L 54 46-59 JL RAMBUTAN 082296296101 11-10-2021 11-10-2021 202108174F LANJUT
5 7401147112850030 MEGAWATI P 36 31-45 JL DURIAN 085340635961 11-10-2021 11-10-2021 202108174F LANJUT
6 7401202007950004 SAFRUDDIN L 26 18-30 LIKU 082290598829 11-10-2021 11-10-2021 202108174F LANJUT
7 7401147112710004 RAMLA P 50 46-59 JL RAMBUTAN 085256524612 11-10-2021 11-10-2021 202108174F LANJUT
8 7401072507890002 SYARIFUDDIN L 32 31-45 POMALAA 08229258540 11-10-2021 11-10-2021 202108174F LANJUT
9 7401041508450002 DRS.H.ADEL BERTY L 76 60-199 JL GAJAH LALOMBAA 085242076687 11-10-2021 11-10-2021 202108174F LANJUT
10 7401075703790001 SURYANI P 42 31-45 DUSUN I LAOLNGGULAHI 085396497278 11-10-2021 11-10-2021 202108174F LANJUT
11 7401141002690002 AMIR LILI L 52 46-59 JL DURIAN 085282212323 11-10-2021 11-10-2021 202108174F LANJUT
12 7401141602020001 KARISMA P 19 18-30 JL DURIAN 081354823417 11-10-2021 11-10-2021 202108174F LANJUT
13 7401141111810002 ALEX T L 40 31-45 JL DURIAN 085256881116 11-10-2021 11-10-2021 202108174F LANJUT

14 7401044210700002 NATASYA FABILLA P 17 0 JL PONDUI 081245566688 11-10-2021 11-10-2021 202108174F LANJUT
15 7401145003890003 NETTY IRAWATI P 32 31-45 JL DURIAN 085256524612 11-10-2021 11-10-2021 202108174F LANJUT
16 7401143112540014 ACHAMD TALIB L 67 60-199 JL DURIAN 085255442534 11-10-2021 11-10-2021 202108174F LANJUT
17 7401141810580001 MISDI TARMUJI L 63 60-199 JL DURIAN 081355230557 11-10-2021 11-10-2021 202108174F LANJUT
18 7401146412800001 SANIA P 41 31-45 JL PANCASILA 08124397402 11-10-2021 11-10-2021 202108174F LANJUT
19 7401146404820002 DEWI HARTATI L P 38 31-45 BTN BUKIT MEKONGGA PERMAI 082214639101 11-10-2021 11-10-2021 202108174F LANJUT
20 7401046607960006 AYUNINGSIH PUSPITASRI P 25 18-30 GRIYA PERMATA KOLUT 085281777500 11-10-2021 11-10-2021 202108174F LANJUT
21 7401145902940001 FEBY RISKY P 27 18-30 JL RAMBUTAN 085215529576 11-10-2021 11-10-2021 202108174F LANJUT
22 7401145603930001 WINDA AYU ANDINI P 28 18-30 JL KAYANGAN 082347936994 11-10-2021 11-10-2021 202108174F LANJUT
23 7401145005760001 YATI P 45 31-45 JL DURIAN 11-10-2021 11-10-2021 202108174F LANJUT
24 7401045005720001 ROHANI P 49 46-59 JL PRAMUKA 081210265141 11-10-2021 11-10-2021 202108174F LANJUT
25 3510231601890005 MOHAMMAD YANI L 32 31-45 DUSUN SUMBERJO 085213677560 11-10-2021 11-10-2021 202108174F LANJUT
26 7306084701690004 SYAMSURI L 52 46-59 TAMBEA 085240588625 11-10-2021 11-10-2021 202108174F LANJUT
27 7401145510960001 NURHIDAYAH P 25 18-30 JL ABADI 085394244450 11-10-2021 11-10-2021 202108174F LANJUT
28 7401146106740001 GOARIA P 47 46-59 JL DURIAN 085342255501 11-10-2021 11-10-2021 202108174F LANJUT
29 7401141907690001 HUKI L 52 46-59 JL DURIAN 085250218283 11-10-2021 11-10-2021 202108174F LANJUT
30 7401141505660002 YULLA DG KULLE L 55 46-59 JL DURIAN 082255720493 11-10-2021 11-10-2021 202108174F LANJUT
31 7401142812750002 SAM ARISAL L 46 46-59 JL RAMBUTAN 082344456199 11-10-2021 11-10-2021 202108174F LANJUT
32 7401146905920001 IRMA P 29 18-30 JL RAMBUTAN 0853421255501 11-10-2021 11-10-2021 202108174F LANJUT
33 7317085310860002 HAMRANA P 35 31-45 DUSUN I MENTARI 085289451382 11-10-2021 202108174F SELESAI
34 7401044912990002 ALIKHA NUR SAFITRI P 22 18-30 JL PRAMUKA 085343608135 11-10-2021 202108174F SELESAI
35 7401046908980001 SRI DWIYANTI P 23 18-30 DUSUN RAYON PALANGGA 082149446420 11-10-2021 202108174F SELESAI
36 7401145007820002 RISNAWATY P 39 31-45 JL PAHLAWAN 082194098136 11-10-2021 202108174F SELESAI
37 7401045112870001 NURSIA P 34 31-45 JL DURIAN 082394034718 11-10-2021 202108174F SELESAI
38 7401044212070001 ARIDAH ZAHIRA R P 14 0 AS POLRES KOLAKA 082321650010 11-10-2021 202108174F SELESAI
39 7401071805050001 M RIVAL K L 16 0 AS POLRES KOLAKA 081244245071 11-10-2021 202108174F SELESAI
40 7401042705940001 IRWAN IDRIS L 27 18-30 JL PRAMUKA 082255869627 11-10-2021 202108174F SELESAI
41 7401141607520001 MUCHTAR L 69 60-199 JL DURIAN 08124291705 11-10-2021 202108174F SELESAI
42 7401040411020003 RAYHAN GIRANDI L 19 18-30 LAMOKATO 082336572564 11-10-2021 202108174F SELESAI
43 7401146505870005 YUNG PALMAI P 34 31-45 JL ABADI KOLAKAASI 085240367444 11-10-2021 202108174F SELESAI
44 7401146701020001 TARISA P 19 18-30 JL DURIAN 085256524958 11-10-2021 11-10-2021 202108174F LANJUT
45 7408062904980001 ISHAL L 23 18-30 DUSUN III 085340189059 11-10-2021 11-10-2021 202108174F LANJUT
46 7408065010980001 ROSA ADELIA P 23 18-30 DUSUN I MATAWOI 082221954341 11-10-2021 11-10-2021 202108174F LANJUT
47 7401010208990002 HERI SANTOSO L 22 18-30 DUSUN I TOWUA 085341756939 11-10-2021 11-10-2021 202108174F LANJUT
48 7313054106000001 ANDI AYU WULANDARI P 21 18-30 DESA WALASIHO 11-10-2021 11-10-2021 202108174F LANJUT
49 7401041511030002 MUH ADITYA FAUZAB L 18 18-30 BTN TAHOA 085280256344 11-10-2021 11-10-2021 202108174F LANJUT
50 7401046009990007 ANDI LESTARI P 22 18-30 BTN TAHOA 085218360710 11-10-2021 11-10-2021 202108174F LANJUT
51 7401142105880002 AWALUDDIN L 33 31-45 JL RAMBUTAN 082192579910 11-10-2021 11-10-2021 202108174F LANJUT
52 7401145212880003 ERTI P 33 31-45 JL DURIAN 082214782566 11-10-2021 11-10-2021 202108174F LANJUT
53 7401141305000001 BOGI SETIAWAN L 20 18-30 JL DURIAN 082214993634 11-10-2021 11-10-2021 202108174F LANJUT
54 7401145902990001 SILLA SULISTIAWATI P 22 18-30 JL DURIAN 082261221842 11-10-2021 11-10-2021 202108174F LANJUT
55 7401140704940002 RISWANDI L 27 18-30 JL DURIAN 082251156869 11-10-2021 11-10-2021 202108174F LANJUT
56 7401143112630023 HARIS DG LAHE L 58 46-59 JL DURIAN 082251156889 11-10-2021 11-10-2021 202108174F LANJUT
57 740456104990003 HARTINA P 22 18-30 MAWASANGKA 085398165291 11-10-2021 11-10-2021 202108174F LANJUT

58 7404054101890003 YUSTI AMIRA NINGSIH P 22 18-30 MAWASANGKA 085145021347 11-10-2021 11-10-2021 202108174F LANJUT
59 7401044501830002 ANDI ASRIANI P 38 31-45 BTN TAHOA 082296926893 11-10-2021 11-10-2021 202108174F LANJUT
60 7404054208990005 HARFIDA P 22 18-30 OENGKOLAKI 085145811239 11-10-2021 11-10-2021 202108174F LANJUT
61 7401012905990001 ASDIN L 22 18-30 WUNDULAKO 081341097220 11-10-2021 11-10-2021 202108174F LANJUT
62 7401140708940001 ILHAM AGUSTIAN L 27 18-30 JL DURIAN 081341097220 11-10-2021 11-10-2021 202108174F LANJUT
63 740104505920001 AISYAH AIRIN HARDIANTI P 29 18-30 JL PANCASILA 0811405679 11-10-2021 11-10-2021 202108174F LANJUT
64 7401146307940001 PUTRI ANATASIA P 27 18-30 JL DURIAN 081244359200 11-10-2021 11-10-2021 202108174F LANJUT
65 7401146512720001 JASWATI P 49 46-59 081243096289 11-10-2021 11-10-2021 202108174F LANJUT
66 9208012805070004 MUH DAFFA AR.RISKY L 14 0 JL PANORAMA KOLAKA 08289632072 11-10-2021 202108174F SELESAI
67 7401144711820009 ICE KRISMAWATI P 39 31-45 JL RAMBUTAN 081257978089 11-10-2021 202108174F SELESAI
68 7401141607690001 BAHARUDDIN L 57 46-59 JL SUNU KOLAKAASI 085240237228 11-10-2021 202108174F SELESAI
69 7401041601170002 SHERLY P 54 46-59 BTN TAHOA 0811409937 11-10-2021 202108174F SELESAI
70 7401045608980002 DESI ANWAR P 23 18-30 JL INDOMU 085145015701 11-10-2021 202108174F SELESAI
71 7401042707940002 YUSUF ANWAR L 27 18-30 LAMOKATO 085242092900 11-10-2021 202108174F SELESAI
72 7371127112630010 HJ SARNAINI P 58 46-59 BTN GRIYA SATELIT 085299489522 11-10-2021 202108174F SELESAI
73 7401147011600002 AGUSTINA P 61 60-199 JL DURIAN 085256474071 11-10-2021 11-10-2021 202108174F LANJUT
74 7403107112990203 RENA AGUSTINA P 23 18-30 DESA WAKORAMBU 085342563450 11-10-2021 11-10-2021 202108174F LANJUT
75 7401047008980002 NURUL HUDA NUR P 23 18-30 JL HALULOEO 082224188228 11-10-2021 11-10-2021 202108174F LANJUT
76 7401041009060003 RIANGGA SEPTIAN L 15 0 JL PONDUI 085756725755 11-10-2021 11-10-2021 202108174F LANJUT
77 7401046705730001 HJ SUKMAWAATI P 48 46-59 JL USMAN RENCONG 081341555503 11-10-2021 202108174F SELESAI
78 7401046703960001 MARTIANI P 25 18-30 JL DR SUTOMO 082292700858 11-10-2021 202108174F SELESAI
79 7408064909990008 TANTI AMRIANI P 22 18-30 KOLUT 082278639476 11-10-2021 202108174F SELESAI

80 7401191302000002 ARDIANSYAH L 21 18-30 KOLTIM 082211724262 11-10-2021 202108174F SELESAI
81 KODIM 3517190501810004 MOH YAHYA L 40 31-45 JOMBANG 082230774665 11-10-2021 202108169I SELESAI
82 KODIM 3517190501810004 ELPIN BAYU SETYAWAN L 22 18-30 DUSUN SUMBERJO 082147119811 11-10-2021 11-10-2021 202108169I LANJUT
83 KODIM 7371110810790005 HARUDDIN L 42 31-45 JL PINISI 085233098141 11-10-2021 11-10-2021 202108169I LANJUT
84 KODIM 7401042709950002 MUH SIGRAULLAH AGUSSALIM L 26 18-30 BTN TAHOA 085241056162 11-10-2021 11-10-2021 202108169I LANJUT
85 KODIM 3510234509070002 SAYEM P 51 46-59 DUSUN SUMBERJO 081330820357 11-10-2021 11-10-2021 202108169I LANJUT
86 KODIM 7401144810060001 REZKY RAMADHANI D P 15 0 JL MEERDEKA 085394367867 11-10-2021 11-10-2021 202108169I LANJUT
87 KODIM 7401145009690001 HASNAH HAFID P 52 46-59 LATAMBAGA 085242235122 11-10-2021 11-10-2021 202108169I LANJUT
88 KODIM 7401120506910002 SURPRIANTO L 30 18-30 BAULA 085341585485 11-10-2021 11-10-2021 202108169I LANJUT
89 KODIM 3510230503710001 SUWONDO L 50 46-59 TEGALSARI 082359173781 11-10-2021 11-10-2021 202108169I LANJUT
90 KODIM 7401144202840003 HASNAWATI TONGA P 37 31-45 JL DURIAN 085228103935 11-10-2021 11-10-2021 202108169I LANJUT
91 KODIM 3510231706940002 DEFRI PRASETYO L 26 18-30 DUSUN SUMBERJO 081914734239 11-10-2021 11-10-2021 202108169I LANJUT
92 KODIM 7401144810060002 TIARA RAMADHANI P 15 0 JL RAMBUTAN 082189696299 11-10-2021 202108169I SELESAI
93 KODIM 7405204911940001 EKA SUPRIHATINI P 27 18-30 JL DURIAN 082292956368 11-10-2021 11-10-2021 202108169I LANJUT
94 KODIM 7401147112580022 HJ LANI P 63 60-199 JL CAREDE 085397039555 11-10-2021 202108169I SELESAI
95 KODIM 7401140112730001 H. NANANG L 48 46-59 JL CAREDE 085397039555 11-10-2021 202108169I SELESAI
96 KODIM 740114705790001 SRI SUMIATI P 42 31-45 LATAMBAGA 082292950363 11-10-2021 11-10-2021 202108169I LANJUT
97 KODIM 7401141808700002 AGUS SALIM L 51 46-59 JL JEND SUDIRMAN 085341547796 11-10-2021 11-10-2021 202108169I LANJUT
98 KODIM 7401142507670002 TAMBARU K L 54 46-59 JL CAKALANG 081243297442 11-10-2021 11-10-2021 202108169I LANJUT
99 KODIM 7401144810810001 ERNI P 40 31-45 JL TPI 085397039555 11-10-2021 202108169I SELESAI
100 KODIM FITRI P 0 085397039555 11-10-2021 202108169I SELESAI
101 KODIM 7401101007930001 DARWIN PETRA L 28 18-30 JL SULTAN HASANUDDIN 085336666443 11-10-2021 11-10-2021 202108169I LANJUT
102 KODIM 7401147112980001 DEVI DESTRIANA P 23 18-30 JL LULO SABILAMBO 082235538248 11-10-2021 11-10-2021 202108169I LANJUT
103 0
JUMLAH YANG DI VKSIN

LANSIA DOSIS 1=4 ORANG
DOSIS 2= 2 ORANG
DOSIS 2=4 ORANG
MASYARAKAT DOSIS 1=67 ORANG
DOSIS 2= 22 ORANG
JML VAKSIN DIPAKAI, KODIM 11 VIAL, DINKES 40 VIAL
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0
131 0
132 0
0
0
0
0
0
0

D = Lainnya
E = Tidak Bekerja

18-30 44 0 A 0
31-45 23 0 B 0
46-59 21 0 C 0
Total 88 0 D 0
Pekerjaan: E 0
A 0 74 Total 0
B 0 28
C 0
D 0
E 0
Total 0
08-11-2021

Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 740104100560004 Abd.Kadir Hasan P 56 46-59 Jln.Mekongga Indah 085378143096 10/16/2021 10/16/2021 202108160i LANJUT
2 7401142601950001 Sukarno L 26 18-30 Kukutio 082292865091 10/16/2021 10/16/2021 202108160i LANJUT
3 7401046710730001 Rahmawati P 51 46-59 Jln.Pendidikan No.16 082210797717 10/16/2021 10/16/2021 202108160i LANJUT
4 7401041102090001 Ignacio Kristoto Sampe L 12 0 Lrg.Mistik BTN Tahoa No.3 Kel.Taho 082297397298 10/16/2021 202108160i SELESAI
5 7401140905850001 Rikal L 36 31-45 jln.opo Kelurahan Kolakaasi 085340328645 10/16/2021 10/16/2021 202108160i LANJUT
6 7401040506040001 Raihan Mallarangeng L 17 0 Jln.Samratulangi 085398841148 10/16/2021 10/16/2021 202108160i LANJUT
7 7308184411890001 Syahriana P 32 31-45 Jln Ling II kel Rate-Rate Kec Tirawuta 082293652748 10/16/2021 202108160i SELESAI
8 7401043112660024 Holidin L 55 46-59 Jln.Indumo No.12 Watuliandu 082238311397 10/16/2021 10/16/2021 202108160i LANJUT
9 7401101705730003 AMBOTANG L 48 46-59 DESA ULUKALO KEC SAMATURU 085255503577 10/16/2021 10/16/2021 202108160i LANJUT
10 3503140404960001 DIDIK SANTOSO L 25 18-30 DESA NGARANDU KEC SURUH 082317433530 10/16/2021 10/16/2021 202108160i LANJUT
11 3503141404890001 SUHARMANTO L 32 31-45 TRENGGALEK 082261591645 10/16/2021 10/16/2021 202108160i LANJUT
12 7401040106070002 MUH SYAFIQ MUSTA'AN H L 14 0 JL KHAIRIL ANWAR 085242408434 10/16/2021 10/16/2021 202108160i LANJUT
13 7401105107980004 EVI DZAKIYYAH SLAMET P 23 18-30 JL AHMAD MUSTIN 085600648367 10/16/2021 10/16/2021 202108160i LANJUT
14 3175040202900012 RIKARDO TAMA L 31 31-45 DESA KARANGAN KEC KARANGAN 081216629619 10/16/2021 10/16/2021 202108160i LANJUT
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164 7401043112020028 Mahamuddin L 39 31-45 Jln.Pendidikan No.40 Kel.Laloeha 085395508710 16-10-2021 16-10-2021 202108160i LANJUT
165 7401041505800004 Iksan L 41 31-45 Perumahan Biru Kel.Lamokato 082224185141 16-10-2021 16-10-2021 202108160i LANJUT
166 7401143108950001 Bende L 26 18-30 Kel.Ulunggolaka Kec.Latambaga 081527244471 16-10-2021 16-10-2021 202108160i LANJUT
167 7401101111890002 Aswar Atmin L 32 31-45 Lawolia, Iwoimenda Kolaka 082193253510 16-10-2021 16-10-2021 202108160i LANJUT
168 7318054403980001 Sriansi Rerung L 23 18-30 Jln.Kijang Kel.Tumpas Kec.Unaaha 082290031981 16-10-2021 16-10-2021 202108160i LANJUT
169 7401140712790001 Mansyur L 42 31-45 Jln.Pondui Kel.Laloeha 085299020604 16-10-2021 16-10-2021 202108160i LANJUT
170 7401046811700001 Ninik Budiartini P 51 46-59 Jln.Pemuda no.3 lrg perindag kel laloeha 085395270042 16-10-2021 16-10-2021 202108160i LANJUT
171 7401015203020008 Rismawati P 26 18-30 Desa Towua 1 Kec.Wundulako 082296398392 16-10-2021 16-10-2021 202108160i LANJUT
172 7401146904980002 Mayang Aplriliya P 23 18-30 Jln.Kayangan Kel.Sakuli 085399076767 16-10-2021 202108160i LANJUT
173 7401147112540024 Sitti Nia P 67 60-199 Kel.Mangolo 082259606730 16-10-2021 16-10-2021 202108160i LANJUT
174 7401042911780001 Roni L 43 31-45 Perumahan Biru Kel.Lamokato 085341050196 16-10-2021 16-10-2021 202108160i LANJUT
175 7403155808890001 Narti P 32 31-45 Jln.Wolter Monginsidi Kel.Lamokato 085233188106 16-10-2021 16-10-2021 202108160i LANJUT
176 7401044412830001 Hasrawati P 38 31-45 Jln.A.Mustin Kel.Laloeha 082344304506 16-10-2021 16-10-2021 202108160i LANJUT
177 7401043003070000 Machrifal Arif Supriadi L 14 0 Jln.Permata Biru Kel.Lamokato 08134007731 16-10-2021 16-10-2021 202108160i LANJUT
178 7401047112620048 ST Maryam P 59 46-59 Jln.Konggoasa No.31 Kel.Lamokato 081241384555 16-10-2021 16-10-2021 202108160i LANJUT
179 7401204706710001 Nurmawati P 50 46-59 Dusun Liku 085396445703 16-10-2021 16-10-2021 202108160i LANJUT
180 7401087112700006 Rumisih P 51 46-59 Kukutio Watubangga 085145687122 16-10-2021 16-10-2021 202108160i LANJUT
181 7401046107700008 Murtini P 51 46-59 Jln.Dr.Samratulangi 082235032505 16-10-2021 16-10-2021 202108160i LANJUT
182 7401040110050001 Bayu Rezky L 16 0 Jln.Lulo Kel.Sabilambo Kec.kolaka 082269944058 16-10-2021 16-10-2021 202108160i LANJUT
183 7401046601020002 Ilma Amaliah Alhusna P 19 18-30 Perumnas Lalomba Blok A No.145 082348764149 16-10-2021 16-10-2021 202108160i LANJUT
184 7401146008020002 Wulandari P 19 18-30 Ling II Puuwiau Kel.Ulunggolaka 082197131913 16-10-2021 16-10-2021 202108160i LANJUT
185 7401147112630004 Kartini P 58 46-59 Perumahan Biru Kel.Lamokato 085348073348 16-10-2021 16-10-2021 202108160i LANJUT
186 7401140509870001 Akbar AR L 34 31-45 Komp.Perumahan Biru Kel.Lamokato 085348073348 16-10-2021 16-10-2021 202108160i LANJUT
187 7401192504790001 Hasrianto L 42 31-45 Jln.Sira Kel.Lamokato 082347682115 16-10-2021 16-10-2021 202108160i LANJUT
188 7401045509720002 Hariani Huseng P 49 46-59 Jln.Sam Ratulangi 64 Watuliandu 085242405571 16-10-2021 16-10-2021 202108160i LANJUT
189 7401045804040006 Reski Fajar P 19 18-30 Jln.Mekongga Indah 085255423187 16-10-2021 16-10-2021 202108160i LANJUT
190 7401041506980001 Andri Nurmansya L 23 18-30 Jln.Balandete 082210713940 16-10-2021 16-10-2021 202108160i LANJUT
191 7401045006090001 Zahrah P 12 0 Kel.Lamokato 085240844433 16-10-2021 16-10-2021 202108160i LANJUT
192 3510164207630004 Misratun P 58 46-59 Jln.Ikan Tongkol kel.balandete 081527207521 16-10-2021 16-10-2021 202108160i LANJUT
193 7401045707700007 Sahmiati P 51 46-59 Jln Pintu Selatan Tahoa 081321215227 16-10-2021 16-10-2021 202108160i LANJUT
194 7401130105050001 Yoga Pratama L 16 0 Jln.Pemuda Lrg Kristal 082210319957 16-10-2021 16-10-2021 202108160i LANJUT
195 7303024105720004 Rahmawati P 34 31-45 Jln.Kartini Kel.Latambaga 082351413230 16-10-2021 16-10-2021 202108160i LANJUT
196 7401022010990001 ABD.Rahman L 22 18-30 Rate-rate 082292742019 16-10-2021 16-10-2021 202108160i LANJUT
197 7401041010040004 Ahmad Subhan L 17 0 Jln Tamalaki Kel.Laloeha 085216125852 16-10-2021 16-10-2021 202108160i LANJUT
198 7401245608040001 Nurrani P 17 0 Jln Sunu No.108 Kelurahan Kolakaasi 085298691821 16-10-2021 16-10-2021 202108160i LANJUT
199 7401040712050002 Muh.Fadhil L 16 0 Jln.Mesjid Darussalam No.5 Kel Lamokato 082256724702 16-10-2021 16-10-2021 202108160i LANJUT
200 7306074101690001 Mulyati P 52 46-59 jln gajah kel lalomba 082259467464 16-10-2021 16-10-2021 202108160i LANJUT
201 7401082309800001 Sunoto L 41 31-45 Ling II Tambak Sari Kel.Tandebura 081210457095 16-10-2021 16-10-2021 202108160i LANJUT
202 3204285006850019 Nia Kurniasih P 36 31-45 Ling I Mangolo Latambaga 085353588152 16-10-2021 16-10-2021 202108160i LANJUT
203 7401014505090003 Nona Keraf P 12 0 Dusun II Bende 081362327312 16-10-2021 16-10-2021 202108160i LANJUT
204 7401094909990005 Anisa Kurniasih P 22 18-30 Blok D Kel.Atula Kec.Ladongi 082239419829 16-10-2021 16-10-2021 202108160i LANJUT
205 7401046312030000 Nurhalisa Putri Sofian P 18 18-30 Jln Ahmad Yani No.12 C 082293960390 16-10-2021 16-10-2021 202108160i LANJUT
206 7313090908040000 Afandi L 17 0 Jln TMD Balandete 085213969469 16-10-2021 16-10-2021 202108160i LANJUT
207 7401014202740000 Rumi P 47 46-59 DusunTowua 085244338106 16-10-2021 16-10-2021 202108160i LANJUT
208 7401041809080004 Gobergad Irwan Tana L 12 0 Jln.Konggoasa Kel.Lamokato 082210805944 16-10-2021 16-10-2021 202108160i LANJUT
209 7401142707570001 Zulkifli Pai L 64 60-199 Ulunggolaka 082194097972 16-10-2021 16-10-2021 202108160i LANJUT
210 7406014808880001 Nurkisnawati P 33 31-45 Wundulako 082290712900 16-10-2021 16-10-2021 202108160i LANJUT
0
0
0
0
0
0

D = Lainnya
E = Tidak Bekerja

18-30 76 0 A 0
31-45 52 0 B 0
46-59 33 0 C 0
Total 161 0 D 0
Pekerjaan: E 0
A 0 200 Total 0
B 0 10
C 0
D 0
E 0
Total 0
11/13/2021

Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401120710920001 MUH IRFAN L 29 18-30 DUSUN IV LANGORI 082251363274 10/24/2021 10/24/2021 20210817I
2 7401140403830001 SUDIRMAN L 38 31-45 MANGGOLO 082393269712 10/24/2021 10/24/2021 20210817I
3 7401141208720000 JUSMAN L 49 46-59 ULUNGGOLAKA 085241764056 10/24/2021 10/24/2021 20210817I
4 7401142804860002 SUTRIAWAN L 35 31-45 MANGGOLO 082398676819 10/24/2021 10/24/2021 20210817I
5 7401143112550001 JALLA DG. MAMASE L 66 60-199 JL PANCASILA NO 4 SEA 081341995738 10/24/2021 10/24/2021 20210817I
6 7471092710910001 TAUFIK ISMAIL L 30 18-30 JL WULELE BTN KENDARI 08114008234 10/24/2021 10/24/2021 20210817I
7 7401141405480000 NGATIMO L 73 60-199 JL.REPELITA NO.17 081217157667 10/24/2021 10/24/2021 20210817I
8 7401142909930001 TRI ARDILAN L 27 18-30 JL.ABADI 081245904805 10/24/2021 10/24/2021 20210817I
9 7401105810000002 DEWI L 23 18-30 LINK.III LABUANG BAJO 082271654585 10/24/2021 10/24/2021 20210817I
10 7408012712920002 SUHERMANTO L 29 18-30 BALANDETE 085395273333 10/24/2021 10/24/2021 20210817I
11 7401041707810001 IWAN SABA L 40 31-45 PONDUI 081221020293 10/24/2021 10/24/2021 20210817I
12 7401181508710001 MUSLIMIN L 50 46-59 LALODIPU 081245766825 10/24/2021 10/24/2021 20210817I
13 7401147112570001 ST.RAHMATIA P 64 60-199 JL.PANCASILA NO.4 081341995738 10/24/2021 10/24/2021 20210817I

14 740104240665000 DAVI MARTHEN CUSSOY L 56 46-59 JL.INDUMO N0.31 0852 40118522 10/24/2021 10/24/2021 20210817I
15 3525146210930021 ALDILLAH RIFSA GLAISANI p 28 18-30 randu angung 08133722566 10/24/2021 10/24/2021 20210817I
16 7401141708040003 DIRGA DWI WAHYU ARDIKA L 17 0 JL JEND SUDIRMAN 085284076493 10/24/2021 10/24/2021 20210817I
17 7401042407070003 MUH FUAD AL MUZAMMIL L 14 0 JL PAHLAWAN 085311854049 10/24/2021 10/24/2021 20210817I
18 7401141012720002 MAKMUN ARIFIN L 49 46-59 JL REPELITA NO 22 LATAMBAGA 085242580070 10/24/2021 10/24/2021 20210817I
19 7401142006590001 HAMZAH L 62 60-199 JL.JENDRAL SUDRIMAN 085213615091 10/24/2021 10/24/2021 20210817I
20 7401141107040003 WAHYUDIN HAMZAH L 17 0 JL.JENDRAL SUDIRMAN LATAMBAGA 082271397786 10/24/2021 10/24/2021 20210817I
21 7324031510890002 DASHAR L 32 JL.ABADI 081340028929 10/24/2021 10/24/2021 20210817I
22 7401141112860004 RESKY AL KAUSAR L 2021-1986 JL.JENDRAL SUDIRMAN LATAMBAGA 081292198152 10/24/2021 10/24/2021 20210817I
23 7401043110920003 PRAYUDI ISMAIL L 29 18-30 JL.PONDUI LALOEHA 082150222989 10/24/2021 10/24/2021 20210817I
24 7401140202030001 MUH.FIDRI RINALDI L 18 18-30 JL.MERDEKA NO.8 081913405285 10/24/2021 10/24/2021 20210817I
25 7401040402060002 ADITYA IRVIN GUNAWAN L 15 0 KEL.SEA KEC.LATAMBAGA 085299933069 10/24/2021 10/24/2021 20210817I
26 740200601910002 RIDWAN L 30 18-30 DESA ANAWUA KE.TOARI 082299928588 10/24/2021 10/24/2021 20210817I
27 7401146512760002 HASNAWATI MUHAJI P 45 31-45 JL.DURIAN NO.10 LATAMBAGA 082214471937 10/24/2021 10/24/2021 20210817I
28 7401142906760001 KASMAN AHSIN L 45 31-45 JL.DURIAN KEL.SAKULI 0822060063051 10/24/2021 10/24/2021 20210817I
29 7401145207820007 SRI WAHYUNI P 39 31-45 JL.DURIAN KEL.SAKULI 082260063051 10/24/2021 10/24/2021 20210817I
30 7401147112730019 RAETI P 48 46-59 JL.ABADI 085257634338 10/24/2021 10/24/2021 20210817I
31 7401141912010001 BAYU ASMARA UNTUNG L 20 18-30 JL.DELIMA NO.26 085825529606 10/24/2021 10/24/2021 20210817I
32 7404104110460001 HASFIAH HASAN P 75 60-199 WATULIANDU 085230988959 10/24/2021 10/24/2021 20210817I
33 7401146311030002 AINI FITRI RAMADANI P 18 18-30 JL.PANCASILANO.29 082293621820 10/24/2021 10/24/2021 20210817I
34 7401146504750001 SUNARTI P 46 46-59 JL.JENDRAL SUDIRMAN LATAMBAGA 082238452650 10/24/2021 20210817I
35 7401144408820001 IRA MARDIYANA P 39 31-45 JL.DURIAN NO.48 082396554563 10/24/2021 20210817I

36 7401147112640032 SITTI AMINAH P 57 46-59 JL.DURIAN KEL.LATAMBAGA 081245671455 10/24/2021 20210817I
37 7402195210820004 INDRI ROHMATUL SOFIA P 19 18-30 MATAIWOI KEC.ONEMBUTE 085345627240 10/24/2021 20210817I
38 7401140610570001 PETRUS SOLON L 64 60-199 JL.MERDEKA 081340707252 10/24/2021 20210817I
39 7318024112060001 RATNA SARI P 21 18-30 LE TEK KEL.LE TEK 082266460098 10/24/2021 20210817I
40 7315063005980003 MUHAJIR L 23 18-30 DUSUN BABANA 082243920604 10/24/2021 20210817I
41 9125012504990008 PAULUS PAONGANAN L 22 18-30 KIMAK KEL.ILAGA 085330105473 10/24/2021 20210817I
42 7371045512620002 HANA P 59 46-59 UJUNG PANDANG 082239772762 10/24/2021 20210817I
43 7371042707830002 EKDWAR L 38 31-45 LING.IV UNAASI KEL.19 NOPEMBER 082244239511 10/24/2021 20210817I
44 7318094509020001 MARIANA MALAN P 19 18-30 SIMBUANG KAB.TANA TORAJA 082353331840 10/24/2021 20210817I
45 7401012509910001 MUH.RIFKY ASTIN L 30 18-30 DUSUN II PUULORO 085255851854 10/24/2021 20210817I
46 7401201707570002 JUME L 64 60-199 LING.V BENTENG KEL.TOSIBA 081346623124 10/24/2021 20210817I
47 7401041703850004 KASIM SEYTY L 36 31-45 JL.GAJAH 082259340084 10/24/2021 20210817I
48 7401146510870001 HASMAWATI P 34 31-45 LING.IV KAMPUNG BARU 085394082027 10/24/2021 20210817I
49 7401106404000001 RINI PRIADIA NINGSIH P 21 18-30 LALONGGOPI KEC.WOLO 085339328585 10/24/2021 20210817I
50 7401141109950002 JAMAL L 26 18-30 LING.II PUUWIA KEL.ULONGGOLAKA 085257876520 10/24/2021 20210817I
51 0
52 0
53 0
54 0
55 0
56 0
57 0
58 0
59 0
60 0
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0
71 0
72 0
73 0
74 0
75 0
76 0
77 0
78 0
79 0
80 0
81 0
82 0
83 0
84 0
85 0
86 0
87 0
88 0
89 0
90 0
91 0
92 0
93 0
94 0
95 0
96 0
97 0
98 0
99 0
100 0
101 0
102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0
131 0
132 0
133 0
134 0
135 0
136 0
137 0
138 0
139 0
140 0
141 0
142 0
143 0
144 0
145 0
146 0
147 0
148 0
149 0
150 0
151 0
152 0
153 0
154 0
155 0
156 0
157 0
158 0
159 0
160 0
161 0
162 0
163 0
164 0
165 0
166 0
167 0
168 0
169 0
170 0
171 0
172 0
173 0
174 0
175 0
176 0
177 0
178 0
179 0
180 0
181 0
182 0
183 0
184 0
185 0
186 0
187 0
188 0
189 0
190 0
191 0
192 0
193 0
194 0
195 0
196 0
197 0
198 0
199 0
200 0
201 0
202 0
203 0
204 0
205 0
206 0
207 0
208 0
209 0
210 0
0
0
0
0
0
0

D = Lainnya
E = Tidak Bekerja

18-30 19 0 A 0
31-45 10 0 B 0
46-59 8 0 C 0
Total 37 0 D 0
Pekerjaan: E 0
A 0 26 Total 0
B 0 24
C 0
D 0
E 0
Total 0

Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401016503590001 ETI P 62 60-199 JL POROS KOLAKA 082322319366 10/26/2021 10/26/2021 24203221 LANJUT
2 7401144307060001 LELI ASTRIANI P 15 0 LING 03 TELUNO 0857565295111 10/26/2021 10/26/2021 24203221 LANJUT
3 7401140312970001 ASDAR SAPUTRA L 24 18-30 LINGK IV KAMPUNG BARU 082292963742 10/26/2021 10/26/2021 24203221 LANJUT
4 7401140212990001 MUHAMMAD TANG L 26 18-30 DUSUN II LASAREMBA 082253515662 10/26/2021 10/26/2021 24203221 LANJUT
5 7401206111820001 DEWI IRAWATI P 39 31-45 DESA LIKU 082122194980 10/26/2021 10/26/2021 24203221 LANJUT
6 7401016605060001 ASYHARA P M P 15 0 KEL WUNDULAKO 081371712760 10/26/2021 10/26/2021 24203221 LANJUT
7 8202036712050001 DESTY FAJRIA P 16 0 KEL KOWIOHA 082310672257 10/26/2021 10/26/2021 24203221 LANJUT
8 7401205308990003 MARYATI P 22 18-30 DUSUN III TANGGAN 08523222549 10/26/2021 10/26/2021 24203221 LANJUT
9 7401041801050001 AMARULLAH ALZIKRA P 16 0 LRG MISTIK TAHOA 085394087489 10/26/2021 10/26/2021 24203221 LANJUT
10 7401144204030002 RESKY ARYA AFRILLA P 18 18-30 LRG MISTIK TAHOA 082235460709 10/26/2021 10/26/2021 24203221 LANJUT
11 7401014104680002 MARSELINA S P 52 46-59 UNAASI 082349950966 10/26/2021 10/26/2021 24203221 LANJUT
12 7401011101580001 SIMON TANDI L 63 60-199 DS 19 NOPEMBER 085256483053 10/26/2021 10/26/2021 24203221 LANJUT
13 7401141009190001 WILDAYANTY P 20 18-30 HKSN MANGOLO 085348128227 10/26/2021 10/26/2021 24203221 LANJUT
14 7401011010540001 DEMMANGAE L 67 60-199 UNAASI 08124291691 10/26/2021 10/26/2021 24203221 LANJUT
15 7401045506980004 SUMIATI P 23 18-30 HKSN MANGOLO 082191176621 10/26/2021 10/26/2021 24203221 LANJUT
16 7401141706880003 RUSLI L 33 31-45 HKSN MANGOLO 082296655714 10/26/2021 10/26/2021 24203221 LANJUT
17 7401184106910001 JUNIATI T P 30 18-30 HKSN MANGOLO 082293585376 10/26/2021 10/26/2021 24203221 LANJUT
18 7401041405050001 ANGGA KURNIAWAN L 16 0 JL KHAIRIL ANWAR 082188997840 10/26/2021 10/26/2021 24203221 LANJUT
19 7401015203050001 OLYVIA DIAN S P 16 0 WUNDULAKO 085757595065 10/26/2021 10/26/2021 24203221 LANJUT
20 7401044607040002 ANDI HUSNUL M P 17 0 JL ANDI JEMMA 085259179374 10/26/2021 10/26/2021 24203221 LANJUT
21 7406104202980001 SUTRANAL P 23 DESA LAMEDAI 085234405312 10/26/2021 10/26/2021 24203221 LANJUT
22 7308235506760001 MUSNAH P 45 HKSN MANGOLO 081244111412 10/26/2021 10/26/2021 24203221 LANJUT
23 7401144710030001 AIRIN ILHAM L 17 0 HKSN MANGOLO 081244111412 10/26/2021 10/26/2021 24203221 LANJUT
24 7401016205060001 ANDI NAYA M P 15 0 WUNDULAKO 082213725623 10/26/2021 10/26/2021 24203221 LANJUT
25 7324064101900003 NASRIANI P 31 31-45 KEL KOLAKAASI 082237628336 10/26/2021 10/26/2021 24203221 LANJUT
26 7408077110970001 LISMARDIANA P 24 18-30 DS WAWO 082293577152 10/26/2021 10/26/2021 24203221 LANJUT
27 7401044608920003 HOSRATUN HASANAH P 29 18-30 KEL WATULIANDU 081245154056 10/26/2021 10/26/2021 24203221 LANJUT
28 7401145703040001 ASMAUL HUSNA P 17 0 KEL MANGOLO 081340403631 10/26/2021 10/26/2021 24203221 LANJUT
29 7401146305710003 MASWIYAH P 50 46-59 HKSN MANGOLO 085348128227 10/26/2021 10/26/2021 24203221 LANJUT
30 7401144204060001 SYAHRA MAULANI P 15 0 JL LURE KEL SEA 082188117850 10/26/2021 10/26/2021 24203221 LANJUT
31 7401102912030001 MUH ADITYA M L 18 18-30 PONRE WARU 085397989610 10/26/2021 10/26/2021 24203221 LANJUT
32 7401140708070001 AIMAN HAIKAL A L 14 0 JL BOLU SEA 082346849915 10/26/2021 10/26/2021 24203221 LANJUT
33 1606092211010004 SULTON FIL HUDA L 21 18-30 KEL LALOEHA 082139274947 10/26/2021 10/26/2021 24203221 LANJUT
34 7401182110910001 FIRMAN L 30 18-30 DESA LAMEDAI 085340815063 10/26/2021 10/26/2021 24203221 LANJUT
35 7401142110050001 MUH FAUZAN L 16 0 JL BOLU SEA 082346849815 10/26/2021 10/26/2021 24203221 LANJUT
36 7401046901770001 MURNI P 44 31-45 KEL SABIAMBO 082344088662 10/26/2021 10/26/2021 24203221 LANJUT
37 7401045203110002 SYARIANTI HS P 50 46-59 JL PEMUDA 082346388179 10/26/2021 10/26/2021 24203221 LANJUT
38 7401046708680002 SYARIANI HS P 27 18-30 JL PUSARA 082393632837 10/26/2021 10/26/2021 24203221 LANJUT
39 740105607690001 NURSIA P 52 46-59 JL PEMUDA 081317900062 10/26/2021 10/26/2021 24203221 LANJUT
40 7401181211710002 BARTOLEMIUS L 50 46-59 TANGETADA 085361663805 10/26/2021 10/26/2021 24203221 LANJUT
41 7401102612890001 YUSAK SANDALANGI L 32 31-45 DESA LALONAHA WOLO 085343800389 10/26/2021 10/26/2021 24203221 LANJUT
42 7401046911640001 ANDI IRA L 57 46-59 KEL LALOEHA 082272158019 10/26/2021 10/26/2021 24203221 LANJUT
43 7401041912980006 MUH FAHRULRIZAL R L 23 18-30 KEL LALOEHA 081242705838 10/26/2021 10/26/2021 24203221 LANJUT
44 7401200707810001 MUH DARWIS L 40 31-45 SAMATURU 082231697512 10/26/2021 10/26/2021 24203221 LANJUT
45 7401046810940001 ST HASNAH UNO P 72 60-199 KOLAKA 082259499640 10/26/2021 10/26/2021 24203221 LANJUT
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70 74010352208870001 RISNAWATI P 34 31-45 WUNDULAKO 082271639419 26-10-2021 24203221 SELESAI
71 7401016306880003 JENIWATI P 33 31-45 KEL. 19 NOIVEMBER 081341860748 26-10-2021 24203221 SELESAI
72 7401046605650001 NURHANA P 56 46-59 WATULIANDU 081218509192 26-10-2021 24203221 SELESAI
73 7401073112790007 MUH. ALI L 42 31-45 POMALA 082292509663 26-10-2021 24203221 SELESAI
74 7401071201920001 ILHAM L 29 18-30 SOPORA 08114006467 26-10-2021 24203221 SELESAI
75 7401040707890005 MUQARRABIN L 32 31-45 JL. TAMALAKI LOLOEHA 081523914262 26-10-2021 24203221 SELESAI
76 740104421070001 SALWIA P 51 46-59 JL. AHMAD YANI 082345260502 26-10-2021 24203221 SELESAI
77 7401040103630001 RAHIM L 58 46-59 JL. AHMAD YANI 082217466726 26-10-2021 24203221 SELESAI
78 7401134407800001 DIAN P 41 31-45 LATAMBAGA 082260056966 26-10-2021 24203221 SELESAI

79 7303012303750002 RAMLO DG BUANG L 43 31-45 JL ,INDUMO 02346167451 26-10-2021 24203221 SELESAI
80 7401139407010001 YUSTIAN OTTON L 20 18-30 SANGGONA 085245669682 26-10-2021 24203221 SELESAI
81 740114451810001 MUHLISA P 40 31-45 LATAMBAGA 082292489779 26-10-2021 24203221 SELESAI
82 7401036501660002 SAKIRA P 55 46-59 LINGK. III KONGGOASA 085244430136 26-10-2021 24203221 SELESAI
83 '7401040608680003 BAMBANG WALUYO L 53 46-59 JL. PEMUDA 081245586444 26-10-2021 24203221 SELESAI
84 7401145211060001 ARIFNI NOVIANDRHANY P 15 0 JL. OPO KOLAKAASI 085212251367 26-10-2021 24203221 SELESAI
85 7322081706870021 SAHRIR L 34 31-45 OKO OKO POMALA 081297290889 26-10-2021 24203221 SELESAI
86 7401180410790001 ARIF BAKIR L 42 31-45 DAWI DAWI POMALA 085340557997 26-10-2021 24203221 SELESAI
87 7401200111580001 UDDIN L 63 60-199 SAMATURU 085394768509 26-10-2021 24203221 SELESAI
88 7302014112690003 DAHNIAR L 52 46-59 POMALA 085823428587 26-10-2021 24203221 SELESAI
89 7302014710970001 RISKA PRATIWI P 24 18-30 POMALA 0855796450753 26-10-2021 24203221 SELESAI
90 7401074406780001 SANTI P 43 31-45 POMALA 081255361446 26-10-2021 24203221 SELESAI
91 7401070612740001 MUSTARI L 47 46-59 POMALA 081355361446 26-10-2021 24203221 SELESAI
92 74011457010120001 FEBRYANTY P 19 18-30 TELUNO 085567144786 26-10-2021 24203221 SELESAI
93 7401071005800001 NASARUDDIN L 35 31-45 DUSUN IV TOBIMEITA 085242076779 26-10-2021 24203221 SELESAI
94 731819097710002 RUDI L 50 46-59 DESA SUKAMUKTI 085757690464 26-10-2021 24203221 SELESAI
95 7326082304880001 ADELBERTUS ALFIANUS L 33 31-45 POMALA 081343798068 26-10-2021 24203221 SELESAI
96 7401014705030002 MAWAR P 18 18-30 SILEA 087701038850 26-10-2021 24203221 SELESAI
97 7401014905010003 MALINDA SARI P 20 18-30 SILEA 08229061670 26-10-2021 24203221 SELESAI
98 7401144912770012 ROSMIATI P 44 31-45 KAMPUNG BERINGIN 082346553010 26-10-2021 24203221 SELESAI
99 7401042901690002 SOFYAN L 52 46-59 WATULIANDU 082193002517 26-10-2021 24203221 SELESAI
100 7322040107710190 MARIADI MAHIR L 50 46-59 POMALA 081343747574 26-10-2021 24203221 SELESAI
101 7401070806000001 AKHIRUL REZA L 21 18-30 POMALA 082292217270 26-10-2021 24203221 SELESAI
102 7401071908900001 ARIFAI L 31 31-45 POMALA 085340404442 26-10-2021 24203221 SELESAI
103 7401082712000002 MUCHMAMMAD NUGROHO L 21 18-30 KUKUTIO 082345838046 26-10-2021 24203221 SELESAI
104 7401047112770026 NIA P 44 31-45 SULTAN HASANUDDIN 085299711259 26-10-2021 24203221 SELESAI
105 7471095903720002 SAMRIA P 49 46-59 JL. PENDIDIKAN 085241629282 26-10-2021 24203221 SELESAI
106 7401045404850005 AISYAH P 36 31-45 LALOMBAA 082214782667 26-10-2021 24203221 SELESAI
107 7401042004900702 FAUZI RAMADHAN L 31 31-45 LALOMBAA 085398582667 26-10-2021 24203221 SELESAI
108 7401240212990001 RENDI ROSALIN L 21 18-30 TANNGETADA 0823468498815 26-10-2021 24203221 SELESAI
109 7401040110010001 MUH. ARISAKTI L 21 18-30 JL. LANDAK 082347974391 26-10-2021 24203221 SELESAI
110 7401045804040001 NUR AISYAH P 17 0 JL. PEMUDA KOLAKA 085325690824 26-10-2021 24203221 SELESAI
111 7401103007030001 FERDINAND PALAYUKAN L 18 18-30 WOLO 082196994585 26-10-2021 24203221 SELESAI
112 7401046709760002 BUNGA ROS MAWAR P 45 31-45 TAHOA 082188459373 26-10-2021 24203221 SELESAI
113 7308094704970002 RISNAWATI P 24 18-30 TAHOA 082149868761 26-10-2021 24203221 SELESAI
114 740104460910001 KASMAWATI P 31 31-45 SABILAMBO 085213165301 26-10-2021 24203221 SELESAI
115 1671065109890010 SUSANTY P 32 31-45 JL. TAMALAKI LOLOEHA 085396901115 26-10-2021 24203221 SELESAI
116 7401043103070002 ADITIA PUTRA L 14 0 PONDUI 085244764256 26-10-2021 24203221 SELESAI
117 7401142412070002 MUH. FADHIL FIRAAS L 14 0 SEA 083117310908 26-10-2021 24203221 SELESAI
118 7401142303930003 HARDIANSYAH L 29 18-30 KOLAKAASI 085825511683 26-10-2021 24203221 SELESAI
119 7401103009880001 DANIEL L 33 31-45 WOLO 082347416622 26-10-2021 24203221 SELESAI
120 7401105004900001 MEGA WULANDARI P 27 18-30 KOLAKAASI 082291890977 26-10-2021 24203221 SELESAI
121 7371030107890005 ARI PRATAMA L 23 18-30 WUNDULAKO 082359391770 26-10-2021 24203221 SELESAI
122 7401045912820002 IRMAWATI P 39 JL. SULTAN HASANUDDIN 082293899761 26-10-2021 24203221 SELESAI
123 740110014020001 AIDIL FITRAH L 20 18-30 SAMAENRE 082398477682 26-10-2021 24203221 SELESAI
124 7401142110980001 SULKIFLI L 23 18-30 JL. LURE 081355779259 26-10-2021 24203221 SELESAI
125 74014580864003 DG. CAYA P 57 46-59 JL. AHMAD YANI 081365032506 26-10-2021 24203221 SELESAI
126 7401202408000001 IRFANDI L 21 18-30 SAMATURU 082292241803 26-10-2021 24203221 SELESAI
127 7401047004050004 TRI AYU APRILIANTI P 16 0 JL. HALUULEO 085394428499 26-10-2021 24203221 SELESAI
128 7401145805030003 RISKY AULIA ALKIANA P 18 18-30 JL. ABADI 082257503086 26-10-2021 24203221 SELESAI
129 7406104608010001 NUR SYAFIKA P 20 18-30 PUSUEA 082271507281 26-10-2021 24203221 SELESAI
130 7471046604030002 PRADNYA KALILA ALI IMRON L 18 18-30 KENDARI 087348642524 26-10-2021 24203221 SELESAI
131 7401101606020002 ASRAN IGAMITRA L 19 18-30 WOLO 085756061448 26-10-2021 24203221 SELESAI
132 7401140712020002 RAMLAN P 19 18-30 KOLAKAASI 087841139095 26-10-2021 24203221 SELESAI
133 740104410162005 DJARIAH P 59 46-59 WATULIANDU 085395509718 26-10-2021 24203221 SELESAI
134 740104150357007 NASIR L 64 60-199 WATULIANDU 085395509718 26-10-2021 24203221 SELESAI
135 7401045211020004 NATASYA MUTMAINNAH P 19 18-30 LAMOKATO 082328319203 26-10-2021 24203221 SELESAI
136 740104630200002 MIFTAHUL ULUN P 19 18-30 PERUMNAS 087810999309 26-10-2021 24203221 SELESAI
137 7401145207820001 UMRAH P 39 31-45 JL. ABADI KOLAKAASI 082346519320 26-10-2021 24203221 SELESAI
138 7401040201700001 M. ARIF L 51 46-59 JL. AHMAD YANI 085341169957 26-10-2021 24203221 SELESAI
139 7471071506800001 DERIYANTO T L 41 TAHOA 085200421333 26-10-2021 24203221 SELESAI
140 7401030312900001 DEKRI L 31 31-45 MOWEWE 08114031290 26-10-2021 24203221 SELESAI
141 7401140102010001 MUH ARIEL L 20 JL. TAMALAKI 082259917872 26-10-2021 24203221 SELESAI
142 74010466306010001 MAZITA P 20 TAHOA 082210941835 26-10-2021 24203221 SELESAI
143 747106506010001 NURUL HIDAYAT P 20 POASIA 081244270781 26-10-2021 24203221 SELESAI
144 740104441101003 CLERIS MURERDA SYARIF P 20 18-30 ASRAMA KOREM 082248112762 26-10-2021 24203221 SELESAI
145 7401075207860001 NIATI P 35 POMALA 082293383798 26-10-2021 24203221 SELESAI
146 7401197004060002 AFRILIA MAULANI P 15 0 JL TAMALAKI LALEOHA 082287663900

D = Lainnya
E = Tidak Bekerja

18-30 138 0 A 0
31-45 88 0 B 0
46-59 58 0 C 0
Total 284 0 D 0
Pekerjaan: E 0
A 0 307 Total 0
B 0 145
C 0
D 0
E 0
Total 0

Dosis I Dosis 2
Keterangan
Umur
Kelamin Umur Screening Tanggal Diberikan/Lanj
tahun) Tanggal
Pemberian ut)
No. Batch Pemberian No. Batch
Vaksinasi Tahap
Vaksinasi Tahap II
I
1 7401140901040001 MUHAMMAD RIFALDI L 17 0 JL. LURE 085341123117 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
2 740114641050002 NUR ALVIYA NOVITHA SYAHRIR P 16 0 JL. SUNU 085361664240 30-09-2021 30-09-2021 202108122H NIK SLAH 2420322i LANJUT
3 5203051804911002 RAPSANJANI P 30 18-30 JL. KAMBOJA 085390975473 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
4 7401141203030002 MUH. IKSANUDDIN L 18 18-30 JL. LURE 082399190012 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
5 7401146501950001 MIKIYAL L 26 18-30 JL. TINUMBU 082311537355 30-09-2021 30-09-2021 202108122H 18-01-2022 2420322i SELESAI
6 7401144508680002 SITTI ARIP SANAWING P 53 46-59 JL. CAKALANG 085242152755 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
7 7302075509970004 NUR KHAIRAH P 24 18-30 JL. DR. SAM RATULANGI 085341616239 30-09-2021 30-09-2021 202108122H 10/11/2021 2420322i SELESAI
8 7401146101840001 HERLINDA BAKRI P 37 31-45 JL. CAKALANG 081241218292 30-09-2021 30-09-2021 202108122H 21-11-2021 2420322i SELESAI
9 7401146802990001 MUFIDATUL HASANAH P 22 18-30 JL CAKALANG 085222309817 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
10 7401146306860003 ICE TRISNAWATI P 35 31-45 JL. SUNU 085241938988 30-09-2021 30-09-2021 202108122H 16-11-2021 2420322i SELESAI
11 7401147005040002 RISKA DAMAYANTI P 16 0 JL. CEPA CEPA 082255869680 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
12 7401141203860002 HERMANSYAH L 35 31-45 JL. ABADI 085241044441 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
13 7401143112650001 PATARAI L 56 46-59 JL. CAKALANG 085230406555 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
14 7401141901630001 AHMAD DAHLAN L 59 46-59 KOLAKAASI 082337040633 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
15 7401144709900002 FATMA P 31 31-45 JL. ABADI 082259423102 30-09-2021 30-09-2021 202108122H 28-10-2021 2420322i SELESAI
16 7401145504010003 DESI PERMATASARI P 20 18-30 JL. ABADI 082259968719 30-09-2021 30-09-2021 202108122H 28-10-2021 2420322i SELESAI
17 7401144612890002 HASNAWATI P 32 31-45 JL. ABADI 082291027281 30-09-2021 30-09-2021 202108122H 28-10-2021 2420322i SELESAI
18 7401146010810003 RATNAWATI P 40 31-45 JL. ABADI 085289450307 30-09-2021 30-09-2021 202108122H 28-10-2021 2420322i SELESAI
19 7401146511910001 RUSNIDA P 27 18-30 JL. DELIMA 082395492754 30-09-2021 30-09-2021 202108122H 16-11-2021 2420322i SELESAI
20 7401145610630001 KADARWATI P 58 46-59 JL. BOLU 085340667267 30-09-2021 30-09-2021 202108122H 1/9/2022 2420322i SELESAI V3
21 9103015209660001 HERAWATI P 55 46-59 JL. BOLU 081275397583 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
22 7401144605740001 MUANAH P 47 46-59 SEA 082190325850S 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
23 7401145204770005 YULIANTI P 44 31-45 JL. KAMBOJA 082394856428 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
24 740114121256000 SARIBUDDIN MALHAP L 65 60-199 SEA 081241776396 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
25 740114174840002 SYAHRUDDIN L 37 31-45 JL. ABADI 085298094066 30-09-2021 30-09-2021 202108122H NIK SALAH 2420322i SELESAI
26 7401147112760016 ROSMINI P 45 31-45 JL. ABADI 082259968719 30-09-2021 30-09-2021 202108122H 20-12-2021 2420322i SELESAI
27 7401141910840001 ARIANTO SASTRAWAN L 37 31-45 JL. KADUE 081356882681 30-09-2021 30-09-2021 202108122H 30-09-2021 2420322i SELESAI
28 7401141910840001 S. HARNO L 63 60-199 JL. KAMBOJA 085242037228 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
29 3375037508650006 JUMIRAH P 56 46-59 PERUM SWADAYA 082135023539 30-09-2021 30-09-2021 202108122H NIK SALAH 2420322i LANJUT
30 7602010803720001 SAHABUDDING LANCONG L 49 46-59 JL. KADUE 085397220089 30-09-2021 30-09-2021 202108122H 28-10-2021 2420322i SELESAI
31 740114590368001 FATMAWATI P 53 46-59 JL. CAKALANG 085347887216 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
32 7401146804870001 RAHMAWATI HATTA P 34 31-45 JL. ABADI 085396967006 30-09-2021 30-09-2021 202108122H 30-09-2021 2420322i SELESAI
33 74011422706740001 MUSTAKING L 47 46-59 JL. ABADI 082314986777 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
34 7401146204720001 WAHIDAYANI P 49 46-59 JL. CAKALANG 085340115542 30-09-2021 30-09-2021 202108122H 29-10-2021 2420322i SELESAI
35 74011030809010001 FERDI L 20 18-30 LINGK I 082296535633 30-09-2021 30-09-2021 202108122H NIK SALAH 2420322i SELESAI
36 7401146610970001 ENDANG PUJIANI P 24 18-30 JL. KAMBOJA 082293709931 30-09-2021 30-09-2021 202108122H 20-11-2021 2420322i SELESAI
37 7401140104040001 FAJAR ALAMSYAH L 17 0 JL BOLU 082252795801 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
38 7401147112720002 HALIJAH P 49 46-59 JL. ABADI SEA 082349475815 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
39 7401142104860001 MUSAFIR L 35 31-45 JL. DELIMA 082193359673 30-09-2021 30-09-2021 202108122H 29-10-2021 2420322i SELESAI
40 7401146803860002 NURASNI P 35 31-45 JL. DELIMA 082349513479 30-09-2021 30-09-2021 202108122H 25-11-2021 2420322i SELESAI
41 7401147112740002 JUMRAH P 47 46-59 JL. SUNU 085395433664 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
42 7401146708850003 SURAHMI P 36 31-45 JL. KEPITING 082193004003 30-09-2021 30-09-2021 202108122H 16-11-2021 2420322i SELESAI
43 7401144711750002 RAHMATIA P 46 46-59 JL. KANERA 085386707417 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
44 7401146710000004 ZAKIA P 21 18-30 JL. CAKALANG 082335781927 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
45 7401147008020001 KHUSNUL KHOTIMAH P 19 18-30 JL. KENANGA 082296689639 30-09-2021 30-09-2021 202108122H 4/11/2021 2420322i SELESAI
46 7401140811840001 WAHYUDI L 37 31-45 JL. CAKALANG 081341745004 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
47 7401144607020002 MISAUL HAD BINTUHAS L 19 18-30 JL REPELITA 081280770064 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
48 7401144101770005 MULIATI P 44 31-45 JL. REPELITA 082214942612 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
49 7401146302820001 SURIANI P 39 31-45 JL. ABADI 082353074739 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
50 7401144708870002 ASMAUL HUSNA P 34 31-45 JL. MESJID RAYA 085349862 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
51 7401045505870012 SALMA P 34 31-45 JL. ABADI 082312638343 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
52 7401145905770002 LINA P 44 31-45 JL. ABADI 085299318047 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
53 7401145505860002 RASBIAH P 41 31-45 SEA 085299584301 30-09-2021 30-09-2021 202108122H 25-11-2021 2420322i SELESAI
54 7401144405620001 HASMA P 59 46-59 JL. TINUMBU 082396098527 30-09-2021 30-09-2021 202108122H 4/11/2021 2420322i SELESAI
55 7401144708830002 SRI WAHYUNI P 38 31-45 JL. ABADI 082333282117 30-09-2021 30-09-2021 202108122H 4/11/2021 2420322i SELESAI
56 7401141206720001 M YUNUS PAGE L 49 46-59 JL. BOLU 085396034577 30-09-2021 30-09-2021 202108122H 18-08-2022 2420322i SELESAI
57 7401144504810001 ROSNI P 40 31-45 JL. ABADI SEA 081341887885 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
58 7401146512850001 UMRAH YANTI P 36 31-45 JL. ABADI SEA 085343548392 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
59 740114450780002 EVA PERMATASARI P 35 31-45 JL. ABADI 085232852246 30-09-2021 30-09-2021 202108122H 22-09-2021 2420322i SELESAI
60 7401146702850001 FITRIANI P 36 31-45 JL. ABADI SEA 082243055145 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
61 7401145006820003 SAMSINAR TAPPA P 39 31-45 JL. SUNU 082393269064 30-09-2021 30-09-2021 202108122H 29-10-2021 2420322i SELESAI
62 7401145402020001 NURHANI P 19 18-30 JL. KADUE 082292488874 30-09-2021 30-09-2021 202108122H 4/11/2021 2420322i SELESAI
63 7401146305650001 PUTRI SUWITA TARI P 16 0 JL. ABADI 082204176626 30-09-2021 30-09-2021 202108122H NIK SALAH 2420322i SELESAI
64 7401145211820001 HERIYANTI P 40 31-45 JL. REPELITA 082396098527 30-09-2021 30-09-2021 202108122H 14-03-2022 2420322i SELESAI
65 7401142006060001 MUH. AKBAR L 15 0 JL. DERMAGA 082324453907 30-09-2021 30-09-2021 202108122H 27-11-2021 2420322i SELESAI
66 740104420897001 FIKRIAH ANGRIANI AGUS P 24 18-30 JL. PERUMNAS 082393375864 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
67 7401145606750002 HASNA P 46 46-59 JL. DELIMA SEA 085299337597 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
68 7401145711920001 MULIANI P 27 18-30 JL. DELIMA 085343548406 30-09-2021 30-09-2021 202108122H 29-12-2021 2420322i SELESAI
69 740114504850001 HERFINA BAKRI P 59 46-59 JL. CAKALANG 085241060647 30-9-2021 30-9-2021 202108122H 10/28/2021 2420322i SELESAI
70 7401147112710013 SALMA P 50 46-59 JL. ABADI 085293939466 30-09-2021 30-09-2021 202108122H 28-10-2021 2420322i SELESAI
71 337503590884002 KUSTINAH P 37 31-45 JL. TINUMBU 085776037797 30-09-2021 30-09-2021 202108122H 10/5/2022 2420322i SELESAI
72 7401143112680021 TAJUDDIN L 35 31-45 JL. ABADI 085298023569 30-09-2021 30-09-2021 202108122H DO
73 7401147112720030 NURAEDA P 49 46-59 JL. ABADI 085298023569 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
74 7401144012800001 TRISMA LESTARI R L 41 31-45 JL. ABADI 082348421253 30-09-2021 30-09-2021 202108122H NIK SALAH 2420322i LANJUT
75 7401144907990001 ASMAUL HUSNA P 22 18-30 JL. KADUE 0821894244414 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
76 7401146003000001 RIZKI FAUZIAH P 21 18-30 JL. KAMBOJA 085341702408 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
77 9171054711780002 MARLINA P 30 18-30 JL. ABADI 082333301997 30-09-2021 30-09-2021 202108122H 23-11-2021 2420322i SELESAI
78 7401140510620001 LUKMAN L 59 46-59 JL. ABADI SEA 082217961308 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
79 7401011604660001 ARDIANTO WIBOWO L 55 46-59 JL ALAM MEKONGGA 085231436541 30-09-2021 30-09-2021 202108122H 29-10-2021 2420322i SELESAI
80 8104120507970003 AKBAR TANJUNG L 24 18-30 LINGK. II 085298036373 30-09-2021 30-09-2021 202108122H 31-12-2021 2420322i SELESAI
81 7401142810960006 ZULKIFLI PRADANA L 25 18-30 JL. DELIMA 082259968727 30-09-2021 30-09-2021 202108122H DO DO
82 7312042810880002 RUDI L 33 31-45 JL. DELIMA 085299889947 30-09-2021 30-09-2021 202108122H 28-10-2021 2420322i SELESAI
83 7401146811980001 RIKA WAHYUNI ALI P 23 18-30 JL. ABADI 082153872176 30-09-2021 30-09-2021 202108122H 4/11/2021 2420322i SELESAI
84 7401142312020000 MUH. FARHAN L 19 18-30 JL. KAMBOJA 085322385136 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
85 74010160006800002 SULEHA P 41 UNAMENDAA 085220715407 30-09-2021 30-09-2021 202108122H 25-11-2021 2420322i SELESAI
86 7401146004750001 NANI P 46 LINGK. IV DAMAR WULAN 081244935912 30-09-2021 30-09-2021 202108122H 4/12/2021 2420322i SELESAI
87 7401011406050002 AL FAHRU BAHRIAN L 16 KOLAKAASI 08226186216 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
88 7401144511000002 REZKA AULIA P 21 18-30 JL. ABADI 08246890472 30-09-2021 30-09-2021 202108122H DO D0
89 7401015406730001 LILIS NURHIDAYANTI P 48 46-59 JL.DERMAGA 082250036844 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
90 7401146811770001 KARMILA P 44 31-45 SEA 085326029007 30-09-2021 30-09-2021 202108122H 10/28/2021 2420322i SELESAI
91 7401140102870003 MUH.ALI L 34 31-45 JL. ABADI SEA 082189323077 30-9-2021 30-9-2021 202108122H 10/28/2021 2420322i SELESAI
92 332709207760004 MULYONO L 45 31-45 JL.WOIRA WARI 083801959385 9/30/2021 9/30/2021 202108122H NIK SALAH LANJUT
93 7401254112990001 WANIANSE ALI L 22 18-30 JL. PANCASILA 085256454748 9/30/2021 9/30/2021 202108122H 10/28/2021 2420322i SELESAI
94 7401144108960004 TIKA MARTINA P 25 18-30 JL. CEPA-CEPA 082255869680 9/30/2021 9/30/2021 202108122H 10/28/2021 2420322i SELESAI
95 7401146507810001 FITRI P 40 31-45 JL. SUNU 085255819774 9/30/2021 9/30/2021 202108122H 18-12-2021 2420322i SELESAI
96 7401146707790001 JUMANI P 42 31-45 JL. PANCASILA NO 32 082293706811 9/30/2021 9/30/2021 202108122H 10/28/2021 2420322i SELESAI
97 7401144101650001 ARFAH P 56 46-59 JL. ABADI NO.56 082352127276 9/30/2021 9/30/2021 202108122H 10/28/2021 2420322i SELESAI
98 7401147112740020 SURIANI P 47 46-59 JL. DELIMA 085352123276 9/30/2021 9/30/2021 202108122H 10/28/2021 2420322i SELESAI
99 7401143112700001 FACHRUDDIN L 51 46-59 JL. TIINUMBU NO 16 085396825005 9/30/2021 9/30/2021 202108122H 10/28/2021 2420322i SELESAI
100 7401091810920001 RAHMAN L 29 18-30 BAHO MAKMUR 085256194540 9/30/2021 9/30/2021 202108122H 28-10-2021 2420322i SELESAI
101 7401146506790001 HERAWATITI P 42 31-45 JL. CAKALANG NO 16 085299776888 9/30/2021 9/30/2021 202108122H 28-10-2021 2420322i SELESAI
102 7401140904660001 SUDIRMAN L 55 46-59 JL. DELIMA 085241929394 9/30/2021 9/30/2021 202108122H 10/28/2021 2420322i SELESAI
103 7401146610030001 FATMAWATI P 18 18-30 JL. ABADI SEA 082352127276 9/30/2021 9/30/2021 202108122H 10/28/2021 2420322i SELESAI
104 7401144103840002 ANISA P 37 31-45 JL. DERMAGA KOLAKAASI 085342552010 10/28/2021 2420322i SELESAI
105 7401141709060001 BAHRAIN RIZKY L 15 0 JL. KAMBOJA 082293102809 10/28/2021 2420322i SELESAI
106 7401085407960003 SITI NURYANA P 25 18-30 JL. ABADI 082349482355 10/28/2021 2420322i SELESAI
107 7401142310860001 MISWAR UMAR L 35 31-45 JL. ABADI SEA 082264264575 10/28/2021 2420322i SELESAI
104 7304046106940003 ZALFIANA P 27 18-30 JL. KAMBOJA SEA 082197281460S 10/28/2021 2420322i SELESAI
105 7401045911660003 ZAENAB RAZAK P 55 46-59 JL. PAHLAWAN 081342195366 10/28/2021 2420322i SELESAI
106 7401144304900002 CAHYANI LESTARI P 31 31-45 JL. BEKICOT KOLAKAASI 082190341226 10/28/2021 2420322i SELESAI
107 7306030107880048 ELIS PIKAL L 33 31-45 JL. KAMBOJA SEA 082193064131 10/28/2021 2420322i SELESAI
108 7401141504040001 MUH. SYAHRIAL S L 17 0 JL. SUNU 085335048532 10/28/2021 2420322i SELESAI
109 7401145911960001 NOVEL P 25 18-30 JL. ABADI 082293352757 10/28/2021 2420322i SELESAI
110 7401040210690002 MUH. SAING L 52 46-59 JL. PRAMUKA 085240677708 10/28/2021 2420322i SELESAI
111 7401144303830003 NURHAYATI P 38 31-45 JL. TAMALAKI KOLAKAASI 082284300829 10/28/2021 2420322i SELESAI
112 7307056609870002 SUMIATI P 34 31-45 JL. DERMAGA KOLAKAASI 082189574713 10/28/2021 2420322i SELESAI
113 7401142004930001 HAJIR L 28 18-30 JL. ABADI SEA 085394066654 10/28/2021 2420322i SELESAI
114 7401147112580027 SUTRAH P 63 60-199 JL. TAMALAKI KOLAKAASI 082333595111 10/28/2021 2420322i SELESAI
115 7401142708050001 MUH ARIF L 16 0 JL. CAKALANG 081241997808 10/28/2021 2420322i SELESAI
116 7401042912710002 AHMAD TANAKA L 50 46-59 BTN BALANDETE 081341511662 28-10-2021 28-10-2021 2420322i 21-04-2022 SELESAI V3
25-11-2021
117 7401205407000001 SITTI RAHMA AZISA P 21 18-30 DUSUN I LIKUU SAMATURU 082259409008 28-10-2021 28-10-2021 2420322i SELESAI V3
25-03-2022 22-08-2022
118 7401146808490001 SITTI ROSDIANA P 54 46-59 SEA 082290241219 28-10-2021 28-10-2021 2420322i SELESAI
15-12-2021
119 7401146910880001 HJ. MULDIANTI P 33 31-45 JL. KADUE SEA 081342968090 28-10-2021 28-10-2021 2420322i SELESAI V3
3/12/2021 8/3/2022
120 7401145402650001 HAMSIAH P 56 46-59 JL. TINUMBU SEA 085656418054 28-10-2021 28-10-2021 2420322i DO DO
121 7317114203880003 SARTIKA P 33 31-45 JL. LUMBA-LUMBA KOLAKAASI 08225998238 28-10-2021 28-10-2021 2420322i 16-12-2021 SELESAI
122 740104101195004 HENDRAWAN L 26 18-30 LALOEHA 082189129004 28-09-2021 28-09-2021 2420322i DO DO
123 7401140110930002 SUMARDAN L 28 18-30 MANGOLO 085756131584 28-09-2021 28-09-2021 2420322i SELESAI
18-12-2021
124 7401140810870001 SUPIRMAN L 34 31-45 MANGOLO 085757188382S 28-09-2021 28-09-2021 2420322i SELESAI
25-11-2021
125 7401201110960001 RUSLAN L 25 18-30 JL. DERMAGA 082231536604 28-09-2021 28-09-2021 2420322i 16-12-2021 SELESAI
126 7401140704710002 RUSLI L 50 46-59 JL. ABADI SEA 082393201938 28-09-2021 28-09-2021 2420322i 25-11-2021 SELESAI
127 7401142107690001 ABD. KADIR M L 52 46-59 JL. PANCASILA 082335293333 28-09-2021 28-09-2021 2420322i 25-11-2021 SELESAI
128 7401146006090001 AIRA PUTRI Z P 12 0 JL. ABADI SEA 082394041756 28-09-2021 28-09-2021 2420322i 27-11-2021 SELESAI
129 7401142405780002 IRWAN BAKRI L 42 31-45 KOLAKA 082293339600 28-09-2021 28-09-2021 2420322i 24-01-2022 SELESAI
130 7401144901800002 ADE IRMAWATY P 41 31-45 JL. PANCASILA 085311888752 28-09-2021 28-09-2021 2420322i 25-11-2021 SELESAI
131 7401146512900001 NURFAIDAR P 31 31-45 GRIYA MANDIRI 085394788 28-09-2021 28-09-2021 2420322i 28-12-2021 SELESAI
132 7401140708990001 YUDI ADISTIRA L 22 18-30 JL. ABADI SEA 085341615857 28-09-2021 28-09-2021 2420322i 25-11-2021 SELESAI
133 7401142401970002 RESTU PADLI L 24 18-30 JL. ABADI SEA 085348809215 28-09-2021 28-09-2021 2420322i 25-11-2021 SELESAI
134 7471024406010001 SRI AMELIA WAHYUNI P 20 18-30 LALOEHA 085213526066 28-09-2021 28-09-2021 24203221 DO DO
135 740115512570002 SUARNI P 64 60-199 WOLO 085240636188 28-09-2021 28-09-2021 24203221 NIK SALAH SELESAI
136 7304032109050003 ALDI SUWANDI L 16 0 MANGOLO 085657116253 28-09-2021 28-09-2021 24203221 25-11-2021 SELESAI
137 7401145209990001 ATNI P 22 18-30 JL. TAMALAKI KOLAKAASI 082189034845 28-09-2021 28-09-2021 24203221 17-12-2021 SELESAI
138 7401143006070002 ASRAN L 14 0 MANGOLO 085757226542 28-09-2021 28-09-2021 24203221 25-11-2021 SELESAI
139 730403112820012 SUWANDI DG EMBO L 39 31-45 MANGOLO 085057116253 28-09-2021 28-09-2021 24203221 NIK SALAH SELESAI
140 7401145610670001 ROSMIATI P 54 46-59 JL. ALAM MEKONGGA 085394526269 28-09-2021 28-09-2021 24203221 27-11-2021 SELESAI
141 7401141508930001 NALDI L 28 18-30 KOLAKAASI 082127020506 28-10-2021 28-10-2021 24203221 21-12-2021 SELESAI
142 8171025004730004 JUSMIAH P 48 46-59 BATU MERAH 01344733322S 28-10-2021 28-10-2021 24203221 SELESAI V3
11/1/2022 11/4/2022
143 7401046610980001 OKTVIA MUTMAINNA P 23 18-30 JL. SULTAN HASANUDDIN 082198211156 28-10-2021 28-10-2021 24203221 15-12-2021 SELESAI
144 7401146109010001 CICI PARAMIDA P 21 18-30 JL. DELIMA SEA 082246829727 28-10-2021 28-10-2021 24203221 15-12-2021 SELESAI
145 31750702007061001 BILLY JUSHUA L 13 0 JABAR 082298477097 28-10-2021 28-10-2021 24203221 NIK SALAH
146 7401140809740001 LIN ASMAR L 47 46-59 JL. DELIMA 085397778 28-10-2021 28-10-2021 24203221 18-12-2021 SELESAI
147 7401146102820001 HASNAWATI P 39 31-45 JL. ABADI SEA 0822569668 28-09-2021 28-09-2021 24203221 25-11-2021 SELESAI
148 7401140111040001 AMAL FACHTURAHMAN L 17 0 JL. DELIMA SEA 082213113204 28-09-2021 28-09-2021 24203221 SELESAI
5/12/2021
149 7401141203980002 RAHMAN EFENDI L 23 18-30 JL. DELIMA SEA 082317344146 28-09-2021 28-09-2021 24203221 23-12-2021 SELESAI
150 7401144105670002 ISAH P 54 31-45 JL. ABADI SEA 085341614354 28-09-2021 28-09-2021 24203221 18-12-2021 SELESAI
151 7401140105570001 SAUDI L 64 60-199 JL. ABADI SEA 085341614354 28-09-2021 28-09-2021 24203221 18-12-2021 SELESAI
152 7401147112630030 SITTI P 58 46-59 REPELITA 085214942612 28-09-2021 28-09-2021 24203221 15-12-2021 SELESAI
153 740104501930006 KHAERUNNISA P 28 18-30 KOLAKA 085251299554 28-09-2021 28-09-2021 24203221 NIK SALAH
154 7401147112920008 KARNILA P 29 18-30 JL. BOLU 082238212774 28-09-2021 28-09-2021 24203221 5/12/2021 SELESAI
155 74011003112480013 DJAMALUDDIN L 73 60-199 WOLO 085240636188 28-09-2021 28-09-2021 24203221 NIK SALAH
156 7401146210010001 FIRDA NUR CAHYATI P 20 18-30 JL. CAKALANG 0855394474822S 28-09-2021 28-09-2021 24203221 24-01-2022 SELESAI
157 LA ODE MUH GHULAM L 12 0 PERUMNAS 082259421494S 28-09-2021 28-09-2021 24203221 TDK ADA NIK
158 LA ODE MUH NAUFAL L 16 0 BUKIT MEKONGGA 081242653301 28-09-2021 28-09-2021 24203221 TDK ADA NIK
159 7401146005870002 MARLINA P 34 31-45 JL. TEMBANG 085330788419 28-09-2021 28-09-2021 24203221 15-01-2022 SELESAI
160 3523070407960001 MUH. SOLIKIN L 25 18-30 JL. CAKALANG SEA 081350396627 28-09-2021 28-09-2021 24203221 25-11-2021 SELESAI
161 7401145801080001 JIHAN SYAFIRA P 13 0 JL. LURE 085340861017 28-09-2021 28-09-2021 24203221 16-12-2021 SELESAI
162 3573111008960001 SAIFUL ANAM L 25 18-30 081350396627 28-09-2021 28-09-2021 24203221 NIK SALAH
163 3523171011870003 SUDRMOKO L 34 31-45 JL. CAKALANG SEA 081131067805 28-09-2021 28-09-2021 24203221 25-11-2021 SELESAI
164
Keterangan ***Merek Vaksin DOSIS 1 = 48

* Pekerjaan dikelompokkan menjadi: A = Sinovac DOSIS 2 = 67
A = Petugas Medis dan Non Medis di Fasilitas Pelayan B = Lainnya (Mohon disebutkan jenis vaksin yang diterima Puskesmas/Faskes) TOTAL = 115 DOSIS
D = Lainnya
E = Tidak Bekerja

18-30 48 0 A 0
31-45 55 0 B 0
46-59 38 0 C 0
Total 141 0 D 0
Pekerjaan: E 0
A 0 151 Total 0
B 0 166
C 0
D 0
E 0
Total 0

Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401145511690001 NURAENI P 52 46-59 JL. ABADI LINGK. III 085347887101 27-10-2021 27-10-2021 24203221 LANJUT
2 7401044202990003 YANANI P 22 18-30 JL. TAMALAKI LINGK. III 082399125858 27-10-2021 27-10-2021 24203221 LANJUT
3 7408025301910001 SALMA P 30 18-30 DESA SIPAKAINGE 085340822586 27-10-2021 27-10-2021 24203221 LANJUT
4 7401147114711280017LINDA P 41 31-45 JL. DELIMA NO. 91 085394505670 27-10-2021 27-10-2021 24203221 LANJUT
5 7401140912730001 BOBI L 48 46-59 JL. MANGIWENG KOLAKAKASI 082197019526 27-10-2021 27-10-2021 24203221 LANJUT
6 7401141608950001 SUPRAJA L 26 18-30 JL. ABADI KOLAKAASI 082259160326 27-10-2021 27-10-2021 24203221 LANJUT
7 7401146309000002 ERIKA TRIANA TAHIR P 21 JL. ABADI KOLAKAASI 085756010769 27-10-2021 27-10-2021 24203221 LANJUT
8 7308212003920002 SUPRIADI L 29 18-30 JL. ABADI 082232022963 27-10-2021 27-10-2021 24203221 LANJUT
9 7401140101600001 RAIS T L 61 60-199 JL. TAMALAKI KOLAKAASI 081245687144 27-10-2021 27-10-2021 24203221 LANJUT
10 7401144406920001 RIRIN DWI PUTRI P 29 18-30 JL. ABADI KOLAKAASI 082316376451 27-10-2021 27-10-2021 24203221 LANJUT
11 3320053112820007 SUNTONO L 39 31-45 RENGGING JEPARA 081215011643 27-10-2021 27-10-2021 24203221 LANJUT
12 7314074807940001 NURAZISAH P 27 18-30 JL. ABADI KOLAKAASI 082188405393 27-10-2021 27-10-2021 24203221 LANJUT
13 7401142308760001 ARWAN BALAMO L 45 31-45 JL. TAMALAKI 081245687144 27-10-2021 27-10-2021 24203221 LANJUT
14 7401140308810001 SUDARTO L 40 31-45 JL. ABADI 085341596776 27-10-2021 27-10-2021 24203221 LANJUT
15 7401147112610018 PAUJIA P 60 60-199 JL. ABADI KOLAKAASI 082348305656 27-10-2021 27-10-2021 24203221 LANJUT
16 7401142112930002 SAFRIADI L 28 18-30 JL. CARIA KOLAKAASI 082293938692 27-10-2021 27-10-2021 24203221 SELESAI
17 7402110406890002 ERFANDI L 32 31-45 JL. KEPITING KOLAKAASI 085240540241 27-10-2021 27-10-2021 24203221 SELESAI
18 7401144301620001 ST HALIJA P 59 46-59 KOLAKAASI LING 3 085342029027 27-10-2021 27-10-2021 24203221 SELESAI
19 7401142711860002 DARMAN L 35 31-45 JL ABADI LING 3 085343523277 27-10-2021 27-10-2021 24203221 SELESAI
20 7401144305980002 MEISA SAFITRI P 23 18-30 JL ABADI LING 3 85298796946 27-10-2021 27-10-2021 24203221 SELESAI
21 7401145204960001 RISKA RIA PINOLA P 25 18-30 JL TAMALAKI LING 3 082291842703 27-10-2021 27-10-2021 24203221 LANJUT
22 7401143112670028 HASYIM L 54 46-59 JL BEKICOT 082191106807 27-10-2021 27-10-2021 24203221 LANJUT
23 7401144207990002 LISA PEBRIANTI P 22 18-30 JL TAMALAKI LING 3 085233196270 27-10-2021 27-10-2021 24203221 LANJUT
24 7401144507830002 HAYATI P 38 31-45 JL TAMALAKI LING 3 085353944653 27-10-2021 27-10-2021 24203221 LANJUT
25 7401145102980002 ANDI CITRA LATAMBAGA P 23 18-30 JL ABADI KEL KOLAKAASI 085333616484 27-10-2021 27-10-2021 24203221 LANJUT
26 7401144305900001 LISNAWATI P 31 31-45 JL TAMALAKI LING 3 081340710848 27-10-2021 27-10-2021 24203221 LANJUT
27 7401146903960001 LUNA SUSILAWATI P 25 18-30 JL ABADI 081244625700 27-10-2021 27-10-2021 24203221 LANJUT
28 7401145510700001 WAHIDAH P 49 46-59 JL KEPITING N0 25 082271327308 27-10-2021 27-10-2021 24203221 SELESAI
29 7401205206860004 ASTRIANTI P 35 31-45 DUSUN 3 TOHO 085 349317072 27-10-2021 27-10-2021 24203221 LANJUT
30 7401140507910002 KAMAL L 30 18-30 JL ABADI 085341857471 27-10-2021 27-10-2021 24203221 LANJUT
31 7401145204870003 HAMDANA L 34 31-45 JL TAMALAKI LING 3 082259884378 27-10-2021 27-10-2021 24203221 SELESAI
32 7401145510890002 MULIATI P 32 31-45 JL LUMBA LUMBA 082344136878 27-10-2021 27-10-2021 24203221 LANJUT
33 7401147010840001 MULIANA HT P 37 31-45 JL TAMALAKI LING 3 085319581876 27-10-2021 27-10-2021 24203221 LANJUT
34 7401076711990002 FITRIANA ABDUL ASIS P 22 18-30 JL CAKALANG 082291330807 27-10-2021 27-10-2021 24203221 LANJUT
35 7401146408760001 NURWATI P 45 31-45 JL ABADI LING 2 KOLAKAASI 085299439729 27-10-2021 27-10-2021 24203221 LANJUT
36 7401044510710001 HAMIDA P 50 46-59 JL. BEKICOT 082246052086 27-10-2021 27-10-2021 24203221 LANJUT
37 7401141010830009 ASIS MAJID L 38 31-45 JL. OPO KOLAKAASI 085241870642 27-10-2021 27-10-2021 24203221 LANJUT
38 7401141512840001 DEDI SUPRIADI L 37 31-45 JL. ABADI KOLAKAASI 082293102757 27-10-2021 27-10-2021 24203221 LANJUT
39 7401147112720019 SUGIANA P 49 46-59 JL. LUMBA-LUMBA KOLAKAASI 082344136878 27-10-2021 27-10-2021 24203221 LANJUT
40 740114057580001 M. YUNUS DG TABA L 63 60-199 JL. ABADI KOLAKAASI 082296339264 27-10-2021 27-10-2021 24203221 LANJUT
41 7401145503890001 NINING P 32 31-45 JL. TAMALAKI 085335018056 27-10-2021 27-10-2021 24203221 LANJUT
42 7401144411850002 ASMI P 36 31-45 JL. TAMALAKI KOLAKAASI 08539115897 27-10-2021 27-10-2021 24203221 LANJUT
43 7401145402890001 HELFIANA HARDIN P 32 31-45 JL. TANI KOLAKAASI 085212616796 27-10-2021 27-10-2021 24203221 LANJUT
44 7401147103880004 HENNI P 33 31-45 JL. TAMALAKI KOLAKAASI 081356943740 27-10-2021 27-10-2021 24203221 LANJUT
45 7401147004760001 JUHASANA P 45 31-45 JL. TAMALAKI KOLAKAASI 082259884378 27-10-2021 27-10-2021 24203221 LANJUT
46 7401146002990001 RIA PUSPITA SARI P 22 18-30 JL. ABADI 082259421567 27-10-2021 27-10-2021 24203221 LANJUT
47 7401146407800001 ENUR KOMALA HIKMAH P 41 31-45 JL..BEKICOT KOLAKAASI 081244440859 27-10-2021 27-10-2021 24203221 SELESAI
48 7401140508900002 MUH. ASRI L 25 18-30 JL. ABADI KOLAKAASI 085396463763 27-10-2021 27-10-2021 24203221 LANJUT
49 7401144512910001 NURHAYATI P 30 18-30 JL. TAMALAKI KOLAKAASI '082252422907 27-10-2021 27-10-2021 24203221 LANJUT
50 74010815119499923 JUFRIANTO L 27 18-30 JL. ABADI KOLAKAASI 082284833958 27-10-2021 27-10-2021 24203221 LANJUT
51 7401141111660002 ASBAR ABO L 55 46-59 JL. ABADI KOLAKAASI 085240076251 27-10-2021 27-10-2021 24203221 SELESAI
52 7401141501890003 JERI SUYUTI L 32 31-45 JL. ABADI KOLAKAASI 02348019203 27-10-2021 27-10-2021 24203221 LANJUT
53 7401145602060001 HASNI P 24 18-30 JL. OPO KOLAKAASI 081356578020 27-10-2021 27-10-2021 24203221 LANJUT
54 7401144910890002 JUSNITA P 32 31-45 JL. CUMI-CUMI KOLAKAASI 081343799054 27-10-2021 27-10-2021 24203221 LANJUT
55 7401144507599003 MARGARETHA P 62 60-199 JL. UDANG KOLAKAASI 082198929125 27-10-2021 27-10-2021 24203221 LANJUT
56 7401206509950003 ANNA SEPTIANI AKBAR P 25 18-30 JL. SUNU 082292619043 27-10-2021 27-10-2021 24203221 LANJUT
57 7401146505890005 HARIANTI P 32 31-45 JL. TAMALAKI 085299889405 27-10-2021 27-10-2021 24203221 SELESAI
58 0 LANJUT
59 0 LANJUT
60 0 SELESAI
61 0 SELESAI
62 0 LANJUT
63 0 LANJUT
64 0 SELESAI
65 0 SELESAI
66 0 LANJUT
67 0 LANJUT
68 0 LANJUT
69 0 LANJUT
70 0 LANJUT
71 0 LANJUT
72 0 LANJUT
73 0 LANJUT
74 0 LANJUT
75 0 LANJUT
76 0 LANJUT
77 0 LANJUT
78 0 LANJUT
79 0 SELESAI
80 0 LANJUT
81 0 LANJUT
82 0 LANJUT
83 0 LANJUT
84 0 LANJUT
85 0 LANJUT
86 0 LANJUT
87 0 10/27/2021 24203221 SELESAI
88 0 10/27/2021 24203221 SELESAI
89 0 LANJUT
90 0 LANJUT
91 0 LANJUT
92 0 LANJUT
93 0 LANJUT
94 0 LANJUT
95 0 LANJUT
96 0 LANJUT
97 0 LANJUT
98 0 LANJUT
99 0 LANJUT
100 0 LANJUT
101 7405134305940001 SITI SUNDARI P 27 18-30 MANGGA DUA 082290592319 10/27/2021 24203221 SELESAI
102 7401146411670001 SITI AISYAH P 54 46-59 JL. ABADI KOLAKAASI 082187181709 10/27/2021 24203221 SELESAI
103 7401146302880001 ALIANAH AHMAD P 33 31-45 JL. ABADI KOLAKAASI 0811406718 10/27/2021 24203221 SELESAI
104 7401140212840001 YASSER MUBARAK L 37 31-45 JL. ABADI KOLAKAASI 085398114654 10/27/2021 24203221 SELESAI
105 7401142806090001 IVAN J YOS L 15 0 JL DERMAGA 082396098589 10/27/2021 24203221 SELESAI
106 7401140202780001 RIDWAN SAAD L 43 31-45 JL ABADI 082188113164 10/27/2021 24203221 SELESAI
107 7401147112590017 GAENATI P 62 60-199 JL TAMALAKI LING 3 085298747027 10/27/2021 24203221 SELESAI
108 7401146010920003 ASRIANINGSIH P 29 18-30 JL ABADI NO 108 081243337773 10/27/2021 24203221 SELESAI
109 740144202040005 ANDI NASRAH P 17 0 LALODIPU 081329223318 10/27/2021 24203221 SELESAI
110 7401141902030001 MUHAMMAD RIFKHY L 18 18-30 JL. CAREDE 082260053845 10/27/2021 24203221 SELESAI
111 7401144205000002 FRATIWI P 21 18-30 MANGOLO 085242841836 10/27/2021 24203221 SELESAI
112 7401146307000001 UMMI KALSUM P 21 18-30 SAKULI 740114630700001 10/27/2021 24203221 SELESAI
113 7401141708840005 SAENAL ABIDIN L 37 31-45 JL. ABADI KOLAKAASI 081310593231 10/27/2021 24203221 SELESAI
114 7401145612830003 HASLIA P 38 31-45 JL. TAMALAKI KOLAKAASI 085298747027 10/27/2021 24203221 SELESAI
115 7401145902000001 SELFIANA MARINTIN P P 21 18-30 MANGOLO 085341616320 10/27/2021 24203221 SELESAI
116 0 10/27/2021 24203221 SELESAI
117 0 LANJUT
118 0 LANJUT
119 0 LANJUT
120 0 LANJUT
121 0 LANJUT
122 0 LANJUT
123 0 LANJUT
124 0 LANJUT
125 0 SELESAI
126 0 LANJUT
127 0 LANJUT
128 0 LANJUT
129 0 LANJUT
130 0 LANJUT
131 0 SELESAI
132 0 LANJUT
133 0 LANJUT
134 0 LANJUT
135 0 LANJUT
136 0 LANJUT
137 0 LANJUT
138 0 LANJUT
139 0 LANJUT
140 0 LANJUT
141 0 LANJUT
142 0 LANJUT
143 0
144 0 SELESAI
145 0
146 0
147 0
148 0
149 0 SELESAI
150 0 SELESAI
151 0 LANJUT
152 0 LANJUT
153 0 LANJUT
154 0 SELESAI
155 0 LANJUT
156 0 LANJUT
157 0 LANJUT
158 0 SELESAI
159 0 LANJUT
160 0 LANJUT
161 0 LANJUT
162 0 LANJUT
163 0 LANJUT
164 0 SELESAI
165 0 LANJUT
166 0 LANJUT
167 0 LANJUT
168 0 LANJUT
169 0 LANJUT
170 0 LANJUT
171 0 LANJUT
172 0 LANJUT
173 0 LANJUT
174 0 LANJUT
175 0 LANJUT
176 0 LANJUT
177 0 LANJUT
178 0 SELESAI
179 0 LANJUT
180 0 LANJUT
181 0 LANJUT
182 0 LANJUT
183 0 LANJUT
184 0 LANJUT
185 0 LANJUT
186 0 LANJUT
187 0 LANJUT
188 0 LANJUT
189 0 LANJUT
190 0 LANJUT
191 0 LANJUT
192 0 LANJUT
193 0 LANJUT
194 0 LANJUT
195 0 LANJUT
196 0 LANJUT
197 0 LANJUT
198 0 LANJUT
199 0 LANJUT
200 0 LANJUT
201 0 SELESAI
202 0 SELESAI
203 0 SELESAI
204 0 SELESAI
205 0 SELESAI
206 0 SELESAI
3 0 SELESAI
208 0 SELESAI
209 0 SELESAI
210 0 SELESAI
211 0 SELESAI
212 0 SELESAI
213 0 SELESAI
214 0 SELESAI
215 0 SELESAI
216 0 SELESAI
217 0 SELESAI
218 0 SELESAI
219 LANJUT
220 0 LANJUT
221 0 LANJUT
222 0 LANJUT
223 0 LANJUT
224 0 LANJUT
225 0 LANJUT
226 0 LANJUT
227 0 LANJUT
228 0 LANJUT
229 0 LANJUT
230 LANJUT
231 LANJUT
232 LANJUT
233 LANJUT
234 LANJUT
235 LANJUT
236 LANJUT
237 LANJUT

D = Lainnya
E = Tidak Bekerja

18-30 26 0 A 0
31-45 29 0 B 0
46-59 9 0 C 0
Total 64 0 D 0
Pekerjaan: E 0
A 0 57 Total 0
B 0 18
C 0
D 0
E 0
Total 0
24-11-2021

Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401142010850001 AHMAD FEBRIANTO L 38 31-45 JL DURIAN SAKULI 085656324013 11/2/2021 11/2/2021 24203221 LANJUT
2 3276010507070003 M ALIF RIZQY HENDI DEMA L 14 0 JL DURIAN SAKULI 082293424833 11/2/2021 11/2/2021 24203221 LANJUT
3 7401144911920004 RATNA P 29 18-30 SAKULI 085241061038 11/2/2021 11/2/2021 24203221 LANJUT
4 7401145107570001 ST HASIAH P 64 60-199 JL DURIAN SAKULI 085257137591 11/2/2021 11/2/2021 24203221 LANJUT
5 7401145204730001 HASRIANA P 48 46-59 SAKULI 082347231903 11/2/2021 11/2/2021 24203221 LANJUT
6 7401042612050002 MUH ARIEL AKBAR BARTY P 16 0 JL BTN BUKIT MEKONGGA 082144555688 11/2/2021 11/2/2021 24203221 LANJUT
7 7401145601830003 LIDIANA P 38 31-45 JL DURIAN LRG MASJID NO 9 082293461908 11/2/2021 11/2/2021 24203221 LANJUT
8 740112707780002 MUH MANNENG P 43 31-45 JL KAYANGAN SAAKULI 085347897114 11/2/2021 11/2/2021 24203221 LANJUT
9 7371094105960001 MUSDALIFAH P 25 18-30 JL LAUTE 082188264491 11/2/2021 11/2/2021 24203221 LANJUT
10 7401144805040002 MELIA P 17 0 JL DURIAN SAKULI 082191384735 11/2/2021 11/2/2021 24203221 LANJUT
11 7401145010820004 PONISRI P 39 31-45 JL DURIAN NO 137 SAKULI 085240632246 11/2/2021 11/2/2021 24203221 LANJUT
12 7401146911900001 ULVAYANTI P 31 31-45 JL SUNU NO 103 082218422351 11/2/2021 11/2/2021 24203221 LANJUT
13 7401145110900001 SRI SUSI SUSANTI P 31 31-45 JL SUNU NO 103 082251802753 11/2/2021 11/2/2021 24203221 LANJUT
14 7401145007710003 YANTI P 50 46-59 JL DURIAN SAKULI 085242777493 11/2/2021 11/2/2021 24203221 LANJUT
15 7401142807800001 SUMANTO L 41 31-45 JL DURIAN NO 190 085240717771 11/2/2021 11/2/2021 24203221 LANJUT
16 7401041308960002 FATHUL KHAIR ANWAR L 25 18-30 JL KASUARI NO 7 LALOEHA 082261882044 11/2/2021 11/2/2021 24203221 LANJUT
17 7401047112620026 ZAIDAR AMR P 59 46-59 JL KASUARI NO 7 082291577070 11/2/2021 11/2/2021 24203221 LANJUT
18 7401145010820005 ROSNAENI P 39 31-45 JL DURIAN SAKULI 082255589103 11/2/2021 11/2/2021 24203221 LANJUT
19 74011415003780003 YUSRI L 43 31-45 JL DURIAN NO 222 SKULLI 081341924926 11/2/2021 11/2/2021 24203221 LANJUT
20 7306086307840003 IRAWATY P 37 31-45 JL USAHA TANI TAHOA 081244461521 11/2/2021 11/2/2021 24203221 LANJUT
21 7302076105890003 FARIDA P 32 31-45 SAKULI 085298256543 11/2/2021 11/2/2021 24203221 LANJUT
22 7401141405750001 IRWAN B L 46 46-59 JL DURIAN SAKULI 082267773901 11/2/2021 11/2/2021 24203221 LANJUT
23 7318122002000002 RACHMAD FAJAR BATAU L 21 18-30 LORONG IKLIM KOLAKA 085298412305 11/2/2021 11/2/2021 24203221 LANJUT
24 7401145111070002 SARTIKA P 14 0 JL DURIAN SAKULI 085242777993 11/2/2021 11/2/2021 24203221 LANJUT
25 7401145611850001 DEWI KOMALASARI P 36 31-45 JL DURIAN NO 87 SAKULI 082393539758 11/2/2021 11/2/2021 24203221 LANJUT
26 7401140307840003 BURHANUDDIN L 37 31-45 JL DURIAN 082215355598 11/2/2021 11/2/2021 24203221 LANJUT
27 7401144311680001 LAILA P 53 46-59 JL DURIAN NO 111 SAKULI 081354505991 11/2/2021 11/2/2021 24203221 LANJUT
28 7401142007000002 YUSRAN L 21 18-30 JL DUEIAN SAKULI 085259917882 11/2/2021 11/2/2021 24203221 LANJUT
29 7401042504060002 MUHAMMAD ARDIANSYAH IHSAN L 15 0 JL SAMRATULANGI 082248273060 11/2/2021 11/2/2021 24203221 LANJUT
30 7401145801830001 SUSANTI P 38 31-45 JL DURIAN 082343909893 11/2/2021 11/2/2021 24203221 LANJUT
31 7401045707070004 RISKI ANDITA PRATIWI P 14 0 LINK TAWATU LALOEHA 081248274133 11/2/2021 11/2/2021 24203221 LANJUT
32 7401012512060001 ANDI MUH CAESAR, Z L 15 0 19 NOVEMBER 08228539188 11/2/2021 11/2/2021 24203221 LANJUT
33 7401047006850002 JAYANTI P 36 31-45 SAKULI 081248274133 11/2/2021 11/2/2021 24203221 LANJUT
34 7401044202060003 NESA INDIRA PRATAMA P 15 0 LINGK TAWATU LALOEHA 081248274133 11/2/2021 11/2/2021 24203221 LANJUT
35 7408012911080001 IAN SULTRA PURWANTO L 13 0 JL DURIAN SAKULI 082398586165 11/2/2021 11/2/2021 24203221 LANJUT
36 74011410116600001 BASTIAN L 55 46-59 JL DURIAN NO 162 SAKULI 085241062715 11/2/2021 11/2/2021 24203221 LANJUT
37 7401070904940001 ANDIKA L 27 18-30 JL SUNU NO 103 082251802753 11/2/2021 11/2/2021 24203221 LANJUT
38 7401140304090003 MUH AFGAN BASMAAN L 12 0 JL DURIAN NO 140 082341695636 11/2/2021 11/2/2021 24203221 LANJUT
39 7401142403000004 ARYA KAMANDNU L 21 18-30 JL DURIAN SAKULI 085242670601 11/2/2021 11/2/2021 24203221 LANJUT
40 7401144306080001 CHIKA AMANDA HERMAN P 13 0 JL DURIAN SAKULI 085394814053 11/2/2021 11/2/2021 24203221 LANJUT
41 7401148712800003 HJ SUDHARTY P 41 31-45 JL DURIAN NO 8 SAKULI 082188866798 11/2/2021 11/2/2021 24203221 LANJUT
42 0 SELESAI
43 0 LANJUT
44 0 LANJUT
45 0 SELESAI
46 0 SELESAI
47 0 LANJUT
48 0 LANJUT
49 0 SELESAI
50 0 SELESAI
51 0 LANJUT
52 0 LANJUT
53 0 LANJUT
54 0 LANJUT
55 0 LANJUT
56 0 LANJUT
57 0 LANJUT
58 0 LANJUT
59 0 LANJUT
60 0 LANJUT
61 0 LANJUT
62 0 LANJUT
63 0 LANJUT
64 0 SELESAI
65 0 LANJUT
66 0 LANJUT
67 0 LANJUT
68 0 LANJUT
69 0 LANJUT
70 0 LANJUT
71 0 LANJUT
72 0 10/27/2021 24203221 SELESAI
73 0 10/27/2021 24203221 SELESAI
74 0 LANJUT
75 0 LANJUT
76 0 LANJUT
77 0 LANJUT
78 0 LANJUT
79 0 LANJUT
80 0 LANJUT
81 0 LANJUT
82 0 LANJUT
83 0 LANJUT
84 0 LANJUT
85 0 LANJUT
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106 0 LANJUT
107 0 LANJUT
108 0 LANJUT
109 0 LANJUT
110 0 SELESAI
111 0 LANJUT
112 0 LANJUT
113 0 LANJUT
114 0 LANJUT
115 0 LANJUT
116 0 SELESAI
117 0 LANJUT
118 0 LANJUT
119 0 LANJUT
120 0 LANJUT
121 0 LANJUT
122 0 LANJUT
123 0 LANJUT
124 0 LANJUT
125 0 LANJUT
126 0 LANJUT
127 0 LANJUT
128 0
129 0 SELESAI
130 0
131 0
132 0
133 0
134 0 SELESAI
135 0 SELESAI
136 0 LANJUT
137 0 LANJUT
138 0 LANJUT
139 0 SELESAI
140 0 LANJUT
141 0 LANJUT
142 0 LANJUT
143 0 SELESAI
144 0 LANJUT
145 0 LANJUT
146 0 LANJUT
147 0 LANJUT
148 0 LANJUT
149 0 SELESAI
150 0 LANJUT
151 0 LANJUT
152 0 LANJUT
153 0 LANJUT
154 0 LANJUT
155 0 LANJUT
156 0 LANJUT
157 0 LANJUT
158 0 LANJUT
159 0 LANJUT
160 0 LANJUT
161 0 LANJUT
162 0 LANJUT
163 0 SELESAI
164 0 LANJUT
165 0 LANJUT
166 0 LANJUT
167 0 LANJUT
168 0 LANJUT
169 0 LANJUT
170 0 LANJUT
171 0 LANJUT
172 0 LANJUT
173 0 LANJUT
174 0 LANJUT
175 0 LANJUT
176 0 LANJUT
177 0 LANJUT
178 0 LANJUT
179 0 LANJUT
180 0 LANJUT
181 0 LANJUT
182 0 LANJUT
183 0 LANJUT
184 0 LANJUT
185 0 LANJUT
186 0 SELESAI
187 0 SELESAI
188 0 SELESAI
189 0 SELESAI
190 0 SELESAI
191 0 SELESAI
192 0 SELESAI
193 0 SELESAI
194 0 SELESAI
195 0 SELESAI
196 0 SELESAI
197 0 SELESAI
198 0 SELESAI
199 0 SELESAI
200 0 SELESAI
201 0 SELESAI
202 0 SELESAI
203 0 SELESAI
204 LANJUT
205 0 LANJUT
206 0 LANJUT
207 0 LANJUT
208 0 LANJUT
209 0 LANJUT
210 0 LANJUT
211 0 LANJUT
212 0 LANJUT
213 0 LANJUT
229 0 LANJUT
230 LANJUT
231 LANJUT
232 LANJUT
233 LANJUT
234 LANJUT
235 LANJUT
236 LANJUT
237 LANJUT

D = Lainnya
E = Tidak Bekerja

18-30 7 0 A 0
31-45 16 0 B 0
46-59 6 0 C 0
Total 29 0 D 0
Pekerjaan: E 0
A 0 41 Total 0
B 0 2
C 0
D 0
E 0
Total 0
11/30/2021

Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401144308610001 A HARTATI P 60 60-199 JL DURIAN KEL SAKULI 085299804689 7-12-2021 202109145P SELESAI
2 7401145501540001 BAEDAH P 67 60-199 JL SUNU KEL KOLAKAASI 082399319427 7-12-2021 202109145P SELESAI
3 7401145710020001 FIRDAYANTI P 19 18-30 JL OPO KEL KOLAKAASI 081524738878 7-12-2021 202109145P SELESAI
4 317304811731001 TARMIDZI L 48 46-59 LUAR WILAYAH 081291155007 7-12-2021 202109145P SELESAI
5 7401144105830002 DEWI SARTIKA P 38 31-45 KOLAKAASI 082312061825 7-12-2021 202109145P SELESAI
6 7401147112790010 BUNGALIA P 42 31-45 JL BEKICOT KEL KOLAKAASI 085298747157 7-12-2021 202109145P SELESAI
7 7401146905030001 DINDA SRIANTI P 18 18-30 JL DERMAGA KEL KOLAKAASI 085756067769 7-12-2021 202109145P SELESAI
8 7401120809070002 WAHYUDI L 14 0 JL TAMALAKI KEL KOLAKAASI 082210602368 7-12-2021 202109145P SELESAI
9 7401145510890002 MULIATI P 32 31-45 JL LUMBA-LUMBA KEL KOLAKAASI 082344136878 7-12-2021 202109145P SELESAI
10 7406010107610033 BALI RAJA L 60 60-199 LUAR WILAYAH 082140942847 7-12-2021 202109145P SELESAI
11 7401044202990003 YAYANI P 22 18-30 JL TAMALAKI KEL KOLAKAASI 082399125858 7-12-2021 202109145P SELESAI
12 7408030409960001 IWAN ASRIANTO L 25 18-30 LUAR WILAYAH 082290292546 7-12-2021 202109145P SELESAI
13 7401146006730001 KASMIATI P 48 46-59 JL ABADI KEL KOLAKAASI 082312062026 7-12-2021 202109145P SELESAI
14 7401043112680049 SOLIKIN L 53 46-59 JL USMAN RENCONG 085242115333 7-12-2021 202109145P SELESAI
15 7401146408760001 NURWATI P 45 31-45 JL ABADI KEL KOLAKAASI 085299439729 7-12-2021 202109145P SELESAI
16 7407081501920001 NASIR L 29 18-30 JL ABADI KEL KOLAKAASI 082349183667 7-12-2021 202109145P SELESAI
17 7401144918900002 JUSNITA P 32 31-45 JL CUMI CUMI KEL KOLAKAASI 081343799054 7-12-2021 202109145P SELESAI
18 7401141707010001 MUH IKSAN N L 20 18-30 JL ABADI KEL KOLAKAASI 085342209008 7-12-2021 202109145P SELESAI
19 7401140912730001 BOBI L 48 46-59 JL MANGIWENG KEL KOLAKAASI 082228224709 7-12-2021 202109145P SELESAI
20 7401142505910002 SULHAEDI P 30 18-30 JL KEPITING KEL KOLAKAASI 081347726484 7-12-2021 202109145P SELESAI
21 740114230876001 ARWAN BALAMO L 45 31-45 JL TAMALAKI KEL KOLAKAASI 081245687144 7-12-2022 202109145P SELESAI
22 7401145011950002 MUSFIANA P 26 18-30 JL TEMBANG KEL KOLAKAASI 082355195723 7-12-2023 202109145P SELESAI
23 7401140308810001 SUDARTO L 40 31-45 JL ABADI KEL KOLAKAASI 085341596776 7-12-2024 202109145P SELESAI
24 7401141111660002 ASBAR ABO L 55 46-59 JL ABADI KEL KOLAKAASI 085240076251 7-12-2025 202109145P SELESAI
25 7401143009940001 ASGAR TAMIR L 28 18-30 JL DERMAGA KEL KOLAKAASI 085240002777 7-12-2026 202109145P SELESAI
26 7401044210060003 AINUN FITRI MAHENDRA P 15 0 LUAR WILAYAH 082251938048 7-12-2027 202109145P SELESAI
27 7401147112720019 SUGIANA P 49 46-59 JL LUMBA-LUMBA KEL KOLAKAASI 082344136878 7-12-2028 202109145P SELESAI
28 7401144211010001 PUTRI P 20 18-30 JL MEOHAI KEL KOLAKAASI 082343903410 7-12-2029 202109145P SELESAI
29 7401206509950001 ANNA SEPTIANI ANSAR P 25 18-30 JL SUNU KEL KOLAKAASI 082292619043 7-12-2030 202109145P SELESAI
30 7401144206790001 MARLINA P 42 31-45 JL MEOHAI KEL KOLAKAASI 081242115862 7-12-2031 202109145P SELESAI
31 8206104037800001 ERNI MUHAMMAD P 41 31-45 JL ABADI KEL KOLAKAASI 085256732466 7-12-2032 202109145P SELESAI
32 7401140101600001 RAIS T L 61 60-199 JL TAMALAKI KEL KOLAKAASI 081245687144 7-12-2033 202109145P SELESAI
33 7401041503960002 IZAL SABILAN L 25 18-30 JL PEMUDA BALANDETE 082293652566 7-12-2034 202109145P SELESAI
34 7401141712790003 MUHTAR L 42 31-45 KOLAKAASI 082198343035 7-12-2035 202109145P SELESAI
35 7401146412720001 SUWARNI P 49 31-45 JL CUMI CUMI KEL KOLAKAASI 085256011767 7-12-2036 202109145P SELESAI
36 7401142703800001 ARIFIN L 41 31-45 KOLAKAASI 085299839300 7-12-2037 202109145P SELESAI
37 7401147112610018 PAUJIA P 60 60-199 JL ABADI KEL KOLAKAASI 082348305656 7-12-2038 202109145P SELESAI
38 7401142305980003 ARIFIN L 23 18-30 JL OPO KEL KOLAKAASI 082344340615 7-12-2039 202109145P SELESAI
39 7401144807060002 YANTI P 15 0 JL BECIKOT KEL KOLAKAASI 081288803226 7-12-2040 202109145P SELESAI
40 7401144303050002 PUTRI DWI LESTARI P 16 0 JL ABADI KEL KOLAKAASI 082349280059 7-12-2041 202109145P SELESAI
41 7329030501810005 KUSNAN L 40 31-45 JL MERDEKA KEL LATAMBAGA 082276066189 7-12-2042 202109145P SELESAI
42 7401074109980001 SARDIANA P 23 18-30 LUAR WILAYAH 082216895148 7-12-2043 202109145P SELESAI
43 7401140209790003 MUH ADENK L 42 31-45 KOLAKAASI 085342851899 7-12-2044 202109145P SELESAI
44 7401106802050001 RASNAYANTI P 16 0 KOLAKAASI 085246132582 7-12-2045 202109145P SELESAI
45 7401144810990001 SULPIANA P 22 18-30 JL SUNU KEL KOLAKAASI 085341930003 7-12-2046 202109145P SELESAI
46 7401144406800001 FITRI P 41 31-45 JL TEMBANG KEL KOLAKAASI 085341614479 7-12-2047 202109145P SELESAI
47 7401144705790001 SRI SUMIATI P 42 31-45 LATAMBAGA 082292956308 7-12-2048 202109145P SELESAI
48 7401044107860064 SRI WAHYUNI P 35 31-45 JL REPELITA KEL LATAMBAGA 081342374312 7-12-2049 202109145P SELESAI
49 7401140306960001 MUH ALI NUR SIDIK L 25 18-30 JL REPELITA KEL LATAMBAGA 082311505514 7-12-2050 202109145P SELESAI
50 7401042506070001 ALPENDI MULANA L 14 0 JL REPELITA KEL LATAMBAGA 085225212731 7-12-2051 202109145P SELESAI
51 7405204911940001 EKA SUPRIHATIN P 27 18-30 JL DURIAN KEL SAKULI 082292956368 7-12-2051 202109145P SELESAI
52 7401141303070002 IMAM ANUGRAH L 14 0 KOLAKAASI 082393218005 7-12-2051 202109145P SELESAI
53 7401140405090001 MUH FAHRY L 12 0 JL ABADI KEL KOLAKAASI 085399416415 7-12-2051 202109145P SELESAI
54 7401144206820002 HARTATI P 44 31-45 JL CUMI CUMI KEL KOLAKAASI 082292489642 7-12-2051 202109145P SELESAI
55 7401146407800001 ENUR KOMALA HIKMAH P 41 31-45 JL BEKICOT KEL KOLAKAASI 081244440859 7-12-2051 202109145P SELESAI
56 7308043103710002 IDAWATI P 46 46-59 JL OPO KEL KOLAKAASI 085299804605 7-12-2052 202109145P SELESAI
57 3329030804830003 LUKMAN KHUSNUL L 38 31-45 LUAR WILAYAH 082218858868 7-12-2053 202109145P SELESAI
58 7401145205860003 RUKMAWATI H P 35 31-45 JL DERMAGA KEL KOLAKAASI 085284000629 7-12-2054 202109145P SELESAI
59 7401145511690001 NURAENI P 52 46-59 JL ABADI KEL KOLAKAASI 085347887101 7-12-2055 202109145P SELESAI
60 7401145001020001 NURHALISA M P 19 18-30 JL ABADI KEL KOLAKAASI 082399627663 7-12-2056 202109145P SELESAI
61 7401146303860001 YAN VELINA P 35 31-45 JL ABADI KEL KOLAKAASI 082399627663 7-12-2057 202109145P SELESAI
62 7401144107880005 VINA P 33 31-45 JL DELIMA KEL KOLAKAASI 085268784026 7-12-2057 202109145P SELESAI
63 7401146002990001 RIA PUSPITA SARI P 22 18-30 JL ABADI KEL KOLAKAASI 085216274545 7-12-2057 202109145P SELESAI
64 0 SELESAI
65 0 SELESAI
66 0 SELESAI
67 0 SELESAI
68 0 SELESAI
69 0 SELESAI
70 0 SELESAI
71 0 SELESAI
72 0 SELESAI
73 0 SELESAI
74 0 SELESAI
75 0 SELESAI
76 0 SELESAI
77 0 SELESAI
78 0 SELESAI
79 0 SELESAI
80 0 SELESAI
81 0 SELESAI
82 0 SELESAI
83 0 SELESAI
84 0 SELESAI
85 0 SELESAI
86 0 SELESAI
87 0 SELESAI
88 0 SELESAI
89 0 SELESAI
90 0 SELESAI
91 0 SELESAI
92 0 SELESAI
93 0 SELESAI
94 0 SELESAI
95 0 SELESAI
96 0 SELESAI
97 0 SELESAI
98 0 SELESAI
99 0 SELESAI
100 0 SELESAI
101 0 LANJUT
102 0 LANJUT
103 0 LANJUT
104 0 LANJUT
105 0 LANJUT
106 0 LANJUT
107 0 LANJUT
108 0 LANJUT
109 0 LANJUT
110 0 LANJUT
111 0 LANJUT
112 0 LANJUT
113 0 LANJUT
114 0 LANJUT
115 0 LANJUT
116 0 LANJUT
117 0 LANJUT
118 0 LANJUT
119 0 LANJUT
120 0 LANJUT
121 0 LANJUT
122 0 LANJUT
123 0 LANJUT
124 0 LANJUT
125 0 LANJUT
126 0 LANJUT
127 0 LANJUT
128 0 LANJUT
129 0 LANJUT
130 0 LANJUT
131 0 LANJUT
132 0 LANJUT
133 0 LANJUT
134 0 LANJUT
135 0 LANJUT
136 0 LANJUT
137 0 LANJUT
138 0 LANJUT
139 0 LANJUT
140 0 LANJUT
141 0 LANJUT
142 0 LANJUT
143 0 LANJUT
144 0 LANJUT
145 0 LANJUT
146 0 LANJUT
147 0 LANJUT
148 0 LANJUT
149 0 LANJUT
150 0 LANJUT
151 0 LANJUT
152 0 LANJUT
153 0 LANJUT
154 0 LANJUT
155 0 LANJUT
156 0 LANJUT
157 0 LANJUT
158 0 LANJUT
159 0 LANJUT
160 0 LANJUT
161 0 LANJUT
162 0 LANJUT
163 0 LANJUT
164 0 LANJUT
165 0 LANJUT
166 0 LANJUT
167 0 LANJUT
168 0 LANJUT
169 0 LANJUT
170 0 LANJUT
171 0 LANJUT
172 0 LANJUT
173 0 LANJUT
174 0 LANJUT
175 0 LANJUT
176 0 LANJUT
177 0 LANJUT
178 0 LANJUT
179 0 LANJUT
180 0 LANJUT
181 0 LANJUT
182 0 LANJUT
183 0 LANJUT
184 0 LANJUT
185 0 LANJUT
186 0 LANJUT
187 0 LANJUT
188 0 LANJUT
189 0 LANJUT
190 0 LANJUT
191 0 LANJUT
192 0 LANJUT
193 0 LANJUT
194 0 LANJUT
195 0 LANJUT
196 0 LANJUT
197 0 LANJUT
198 0 LANJUT
199 0 LANJUT
200 0 LANJUT
201 0 LANJUT
202 0 LANJUT
203 0 LANJUT
204 0 LANJUT
205 0 LANJUT
206 0 LANJUT
207 0 LANJUT
208 0 LANJUT
209 0 LANJUT
210 0 LANJUT
211 0 LANJUT
212 0 LANJUT
213 0 LANJUT
214 0 LANJUT
215 0 LANJUT
216 0 LANJUT
217 0 LANJUT
218 0 LANJUT
219 LANJUT
220 0 LANJUT
221 0 LANJUT
222 0 LANJUT
223 0 LANJUT
224 0 LANJUT
225 0 LANJUT
226 0 LANJUT
227 0 LANJUT
228 0 LANJUT
229 0 LANJUT
230 LANJUT
231 LANJUT
232 LANJUT
233 LANJUT
234 LANJUT
235 LANJUT
236 LANJUT
237 LANJUT
238 LANJUT
239 LANJUT
240 LANJUT
LANJUT

D = Lainnya
E = Tidak Bekerja

18-30 19 0 A 0
31-45 23 0 B 0
46-59 8 0 C 0
Total 50 0 D 0
Pekerjaan: E 0
A 0 0 Total 0
B 0 63
C 0
D 0
E 0
Total 0

Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 3351040111740003 BAGIYO SUTIYONO L 47 46-59 LUAR WILAYAH 08135287564 08-12-2021 202109145P SELESAI
2 7401141101840002 ABD SALAM L 37 31-45 JL DURIAN KEL SAKULI 082292335518 08-12-2021 202109145P SELESAI
3 7313063112870008 RUDI KARMA L 54 46-59 BALANDETE 0823141477272 08-12-2021 202109145P SELESAI
4 7405085211920003 RITA YANTI P 29 18-30 JL DURIAN KEL SAKULI 08226778392 08-12-2021 202109145P SELESAI
5 7401144801660001 MARTINA P 55 46-59 JL DURIAN KEL SAKULI 081341708545 08-12-2021 202109145P SELESAI
6 7371094105960001 MUSDALIFAH P 25 18-30 JL DURIAN KEL SAKULI 082188264491 08-12-2021 202109145P SELESAI
7 7401145010820004 PONISRI P 39 31-45 JL DURIAN KEL SAKULI 085240032246 08-12-2021 202109145P SELESAI
8 7401145601830003 LIDIANA P 38 31-45 JL DURIAN KEL SAKULI 082293461408 08-12-2021 202109145P SELESAI
9 7401141503780003 YUSRI L 43 31-45 JL DURIAN KEL SAKULI 081341924926 08-12-2021 202109145P SELESAI
10 7401145010820005 ROSNENI P 39 31-45 JL DURIAN KEL SAKULI 082255589103 08-12-2021 202109145P SELESAI
11 7401010804980001 MUH ABDIKAH ABDULLAH L 23 18-30 WUNDULAKO 082266897182 08-12-2021 202109145P SELESAI
12 7401145204730001 HASRIANA P 48 46-59 JL DURIAN KEL SAKULI 082347231903 08-12-2021 202109145P SELESAI
13 7401142704100006 MUH FAREL L 14 0 JL DURIAN KEL SAKULI 082259664874 08-12-2021 202109145P SELESAI
14 7401144911920004 RATNA P 29 18-30 JL DURIAN KEL SAKULI 085241061038 08-12-2021 202109145P SELESAI
15 7401145110900001 SRI SUSI SUSANTI P 31 31-45 JL DURIAN KEL SAKULI 085241061067 08-12-2021 202109145P SELESAI
16 7401142808780003 \ L 43 31-45 JL DURIAN KEL SAKULI 082191955719 08-12-2021 202109145P SELESAI
17 7307055508850001 HALMA P 36 31-45 JL DURIAN KEL SAKULI 085232824385 08-12-2021 202109145P SELESAI
18 7401145801830001 SUSANTI P 38 31-45 JL DURIAN KEL SAKULI 082343909893 08-12-2021 202109145P SELESAI
19 7401141211030001 MUH SALMAN RAMADAHAN L 18 18-30 JL DURIAN KEL SAKULI 085240721813 08-12-2021 202109145P SELESAI
20 7401140307840003 BURHANUDDIN L 37 31-45 JL DURIAN KEL SAKULI 082215355598 08-12-2021 202109145P SELESAI
21 7401142504980001 FIKRI SAPUTRA L 23 18-30 JL DURIAN KEL SAKULI 082328083419 08-12-2021 202109145P SELESAI
22 7401146701080002 KEILA ANAYA PUTRI P 13 0 JL DURIAN KEL SAKULI 082291027312 08-12-2021 202109145P SELESAI
23 7401142311040001 ADITYA AHMAD L 17 0 JL DURIAN KEL SAKULI 081292036273 08-12-2021 202109145P SELESAI
24 7401142010850001 AHMAD FEBRIANTO L 38 31-45 JL DURIAN KEL SAKULI 085656324013 08-12-2021 202109145P SELESAI
25 7401141011660001 BASTIAN L 55 46-59 JL DURIAN KEL SAKULI 085241062715 08-12-2021 202109145P SELESAI
26 7401016904650001 SARTINI P 56 46-59 WUNDULAKO 081240950074 08-12-2021 202109145P SELESAI
27 7401141602020001 KARISMA L 19 18-30 JL DURIAN KEL SAKULI 081354823417 08-12-2021 202109145P SELESAI
28 7401142612000003 MUH GILANG L 25 18-30 JL DURIAN KEL SAKULI 081245571995 08-12-2021 202109145P SELESAI
29 7408070707890001 IRWAN L 31 31-45 KOLAKAASI 085299037188 08-12-2021 202109145P SELESAI
30 7401141704830001 ALI AKBAR L 38 31-45 BALANDETE 082252251160 08-12-2021 202109145P SELESAI
31 7401120207950004 SAFRUDDIN L 26 18-30 KOLAKA 082290598824 08-12-2021 202109145P SELESAI
32 7401072507890002 SYARIFUDDIN L 32 31-45 KOLAKAA 082292588540 08-12-2021 202109145P SELESAI
33 7401202604000002 HENDRI WIJAYA L 21 18-30 KOLAKAASI 085215539199 08-12-2021 202109145P SELESAI
34 7401145111070002 SARTIKA P 14 0 JL DURIAN KEL SAKULI 085242777993 08-12-2021 202109145P SELESAI
35 7401146911080002 SATRIANI P 13 31-45 JL DURIAN KEL SAKULI 082297517949 08-12-2021 202109145P SELESAI
36 7401141503720001 SAHABUDDIN L 49 46-59 JL DURIAN KEL SAKULI 082353252707 08-12-2021 202109145P SELESAI
37 7401047006850002 JAYANTI P 36 31-45 JL DURIAN KEL SAKULI 081248274133 08-12-2021 202109145P SELESAI
38 7401044202060003 NESA INDIRA PRATAMA P 15 0 JL DURIAN KEL SAKULI 081248274133 08-12-2021 202109145P SELESAI
39 7401045707070004 RISKI ANDITA PRATIWI P 14 0 JL DURIAN KEL SAKULI 081248274133 08-12-2021 202109145P SELESAI
40 7326102701400001 THOMAS RANDALINGI L 81 60-199 POMALAA 081342951121 08-12-2021 202109145P SELESAI
41 0 08-12-2021 202109145P SELESAI
42 0 08-12-2021 202109145P SELESAI
43 0 08-12-2021 202109145P SELESAI
44 0 08-12-2021 202109145P SELESAI
45 0 08-12-2021 202109145P SELESAI
46 0 08-12-2021 202109145P SELESAI
47 0 08-12-2021 202109145P SELESAI
48 0 08-12-2021 202109145P SELESAI
49 0 08-12-2021 202109145P SELESAI
50 0 08-12-2021 202109145P SELESAI
51 0 202109145P SELESAI
52 0 202109145P SELESAI
53 0 202109145P SELESAI
54 0 202109145P SELESAI
55 0 202109145P SELESAI
56 0 202109145P SELESAI
57 0 202109145P SELESAI
58 0 202109145P SELESAI
59 0 202109145P SELESAI
60 0 202109145P SELESAI
61 0 202109145P SELESAI
62 0 202109145P SELESAI
63 0 202109145P SELESAI
64 0 SELESAI
65 0 SELESAI
66 0 SELESAI
67 0 SELESAI
68 0 SELESAI
69 0 SELESAI
70 0 SELESAI
71 0 SELESAI
72 0 SELESAI
73 0 SELESAI
74 0 SELESAI
75 0 SELESAI
76 0 SELESAI
77 0 SELESAI
78 0 SELESAI
79 0 SELESAI
80 0 SELESAI
81 0 SELESAI
82 0 SELESAI
83 0 SELESAI
84 0 SELESAI
85 0 SELESAI
86 0 SELESAI
87 0 SELESAI
88 0 SELESAI
89 0 SELESAI
90 0 SELESAI
91 0 SELESAI
92 0 SELESAI
93 0 SELESAI
94 0 SELESAI
95 0 SELESAI
96 0 SELESAI
97 0 SELESAI
98 0 SELESAI
99 0 SELESAI
100 0 SELESAI
101 0 LANJUT
102 0 LANJUT
103 0 LANJUT
104 0 LANJUT
105 0 LANJUT
106 0 LANJUT
107 0 LANJUT
108 0 LANJUT
109 0 LANJUT
110 0 LANJUT
111 0 LANJUT
112 0 LANJUT
113 0 LANJUT
114 0 LANJUT
115 0 LANJUT
116 0 LANJUT
117 0 LANJUT
118 0 LANJUT
119 0 LANJUT
120 0 LANJUT
121 0 LANJUT
122 0 LANJUT
123 0 LANJUT
124 0 LANJUT
125 0 LANJUT
126 0 LANJUT
127 0 LANJUT
128 0 LANJUT
129 0 LANJUT
130 0 LANJUT
131 0 LANJUT
132 0 LANJUT
133 0 LANJUT
134 0 LANJUT
135 0 LANJUT
136 0 LANJUT
137 0 LANJUT
138 0 LANJUT
139 0 LANJUT
140 0 LANJUT
141 0 LANJUT
142 0 LANJUT
143 0 LANJUT
144 0 LANJUT
145 0 LANJUT
146 0 LANJUT
147 0 LANJUT
148 0 LANJUT
149 0 LANJUT
150 0 LANJUT
151 0 LANJUT
152 0 LANJUT
153 0 LANJUT
154 0 LANJUT
155 0 LANJUT
156 0 LANJUT
157 0 LANJUT
158 0 LANJUT
159 0 LANJUT
160 0 LANJUT
161 0 LANJUT
162 0 LANJUT
163 0 LANJUT
164 0 LANJUT
165 0 LANJUT
166 0 LANJUT
167 0 LANJUT
168 0 LANJUT
169 0 LANJUT
170 0 LANJUT
171 0 LANJUT
172 0 LANJUT
173 0 LANJUT
174 0 LANJUT
175 0 LANJUT
176 0 LANJUT
177 0 LANJUT
178 0 LANJUT
179 0 LANJUT
180 0 LANJUT
181 0 LANJUT
182 0 LANJUT
183 0 LANJUT
184 0 LANJUT
185 0 LANJUT
186 0 LANJUT
187 0 LANJUT
188 0 LANJUT
189 0 LANJUT
190 0 LANJUT
191 0 LANJUT
192 0 LANJUT
193 0 LANJUT
194 0 LANJUT
195 0 LANJUT
196 0 LANJUT
197 0 LANJUT
198 0 LANJUT
199 0 LANJUT
200 0 LANJUT
201 0 LANJUT
202 0 LANJUT
203 0 LANJUT
204 0 LANJUT
205 0 LANJUT
206 0 LANJUT
207 0 LANJUT
208 0 LANJUT
209 0 LANJUT
210 0 LANJUT
211 0 LANJUT
212 0 LANJUT
213 0 LANJUT
214 0 LANJUT
215 0 LANJUT
216 0 LANJUT
217 0 LANJUT
218 0 LANJUT
219 LANJUT
220 0 LANJUT
221 0 LANJUT
222 0 LANJUT
223 0 LANJUT
224 0 LANJUT
225 0 LANJUT
226 0 LANJUT
227 0 LANJUT
228 0 LANJUT
229 0 LANJUT
230 LANJUT
231 LANJUT
232 LANJUT
233 LANJUT
234 LANJUT
235 LANJUT
236 LANJUT
237 LANJUT
238 LANJUT
239 LANJUT
240 LANJUT
LANJUT

D = Lainnya
E = Tidak Bekerja

18-30 10 0 A 0
31-45 16 0 B 0
46-59 7 0 C 0
Total 33 0 D 0
Pekerjaan: E 0
A 0 0 Total 0
B 0 50
C 0
D 0
E 0
Total 0

Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401040606960001 SULPRATMAN L 25 18-30 JL BADEWI KEL BALANDETE 082292913018 09-12-2021 202109145P SELESAI
2 7401045709720002 WD HASMIA ADAR P 49 46-59 LALOEHA 081341638022 09-12-2021 202109145P SELESAI
3 7401042110970001 YAHYA AHMAD L 24 18-30 TAHOA 082292864147 09-12-2021 202109145P SELESAI
4 7401075407820001 NATI SRIYANTI P 39 31-45 POMALAA 081342544702 09-12-2021 202109145P SELESAI
5 7401226512050001 PUTU SRI DEVI P 15 0 LALOMBAA 082341115525 09-12-2021 202109145P SELESAI
6 3275052802000015 JOSHUA FEBRI SATRIA L 21 18-30 KOLAKA 081318702344 09-12-2021 202109145P SELESAI
7 7406191204000001 NASARUDDIN L 21 18-30 BALANDETE 082248914199 09-12-2021 202109145P SELESAI
8 7401046205880002 ETRI DAMAYANTI P 33 31-45 LALOMBAA 082347230460 09-12-2021 202109145P SELESAI
9 7401145701080002 ANINDA PRATIWI P 13 0 JL PANCASILA KEL LATAMBAGA 086395629244 09-12-2021 202109145P SELESAI
10 7401044212070002 LULU LAILIAH P 14 0 TAMALAKI KEL TAHOA 085796166548 09-12-2021 202109145P SELESAI
11 7401095206080001 SRI JUNIARTI P 13 0 JL DURIAN KEL SAKULI 082259664490 09-12-2021 202109145P SELESAI
12 7401044202050001 TIKA PEBRIANI P 16 0 JL PEMUDA KEL BALANDETE 085713373777 09-12-2021 202109145P SELESAI
13 7401041406970003 AKZAN L 24 18-30 JL PEMUDA KEL BALANDETE 08532315999 09-12-2021 202109145P SELESAI
14 7401101503960002 HASRI P 25 18-30 BALANDETE 082293348172 09-12-2021 202109145P SELESAI
15 7401102703990001 ANDI AHMAD MUIADI L 22 18-30 TOSIBA 085340452064 09-12-2021 202109145P SELESAI
16 7401146005020002 LATIFAH NUDEA P 19 18-30 JL ALAM MEKONGGA 081241855150 09-12-2021 202109145P SELESAI
17 3507066804010002 LOLI TAMARA VENA P 20 18-30 LALOEHA 085347882437 09-12-2021 202109145P SELESAI
18 6107084907000002 DINDA JULIARSIH P 21 18-30 LALOMBAA 085655282841 09-12-2021 202109145P SELESAI
19 7401032510900003 OKTAVIAN NUR P 31 31-45 WUNDULAKO 081354677813 09-12-2021 202109145P SELESAI
20 7401040707950002 MULFIAN JUMPRATAMA SAMSUL L 26 18-30 JL PENDIDIKAN 085656799919 09-12-2021 202109145P SELESAI
21 7401085210790002 HUSNAWATI P 42 31-45 MANGOLO 081341722213 09-12-2021 202109145P SELESAI
22 7401140310070002 SINTIA AYU SAPUTRI P 14 0 KOLAKA 081218526141 09-12-2021 202109145P SELESAI
23 7401011306080001 ALFIN BARDIN L 13 0 MEKONGGA 082250036844 09-12-2021 202109145P SELESAI
24 7401145405070003 RISNAYANTI P 14 0 ULUNGOLAKA 085656763811 09-12-2021 202109145P SELESAI
25 7401146005050001 ALIYA P 17 0 SAKULI 082286284044 09-12-2021 202109145P SELESAI
26 7401145209070004 SUCI RAHMADANI P 14 0 SAKULI 082238529540 09-12-2021 202109145P SELESAI
27 7401170309070002 DODY KURNIAWAN L 14 0 SAKULI 081218526647 09-12-2021 202109145P SELESAI
28 7401041007830001 SUHARMAN SAMING P 38 31-45 JL PEMUDA KEL LALOEHA 082291231750 09-12-2021 202109145P SELESAI
29 7401040503990004 ANDI ARJUN PRATAMA L 22 18-30 JL PEMUDA KEL TAHOA 085247237217 09-12-2021 202109145P SELESAI
30 7401070104980001 ANGGADA BAGASKARA L 23 18-30 POMALAA 082310787238 09-12-2021 202109145P SELESAI
31 7401085104920002 HALIA P 29 18-30 JL PEMUDA KEL LALOEHA 082129946484 09-12-2021 202109145P SELESAI
32 7401012303000003 SABIL MUFLIH AL FAUZAN L 21 18-30 UNAMENDAA WUNDULAKO 082292619454 09-12-2021 202109145P SELESAI
33 7401046112830002 ERVINA P 38 31-45 JL INDOMU WATULIANDU 082246508106 09-12-2021 202109145P SELESAI
34 7313062411960001 ABDUL DJABAR L 25 18-30 JL PANCASILA KEL LATAMBAGA 082312288491 09-12-2021 202109145P SELESAI
35 7401046509020001 CICI AWARTI P 19 31-45 JL PENDIDIKAN 085756531085 09-12-2021 202109145P SELESAI

36 7401046506040001 RAYZA NURUL P 17 0 JL PEMUDA 085824282850 09-12-2021 202109145P SELESAI
37 7401045408970001 CITRA DEWI P 24 18-30 JL PEMUDA 082376449543 09-12-2021 202109145P SELESAI
38 7401011707970001 RISDA P 24 18-30 WUNDULAKO 085397455685 09-12-2021 202109145P SELESAI
39 740508681260002 DIAN ASTRIANI PUTRI P 15 0 LALOMBAA 082399627394 09-12-2021 202109145P SELESAI
40 7401146007060001 NURFIRA P 15 0 ULUNGOLAKA 085756872491 09-12-2021 202109145P SELESAI
41 7401070904940001 ANDIKA L 27 18-30 JL SUNU KEL KOLAKAASI 082251802753 09-12-2021 202109145P SELESAI
42 7401040707940006 ASHRUL SAID LASANDARI L 27 18-30 JL PEMUDA 082259666516 09-12-2021 202109145P SELESAI
43 7401041911040001 A MUH SYAWAL SURYA L 17 0 JL WORTEL MONGINSIDI 082198997634 09-12-2021 202109145P SELESAI
44 7401216209990001 WAHYUNI P 22 18-30 KOLTIM 085255213093 09-12-2021 202109145P SELESAI
45 7401142109010001 ASWAR AMIRULLAH L 20 18-30 JL DURIAN KEL SAKULI 081241032094 09-12-2021 202109145P SELESAI
46 7401142711970001 SUBYATUL RIJAL L 24 18-30 LALODIPU 09-12-2021 202109145P SELESAI
47 7401040301810003 SIRMAN L 40 31-45 JL GAJAH 085242907097 09-12-2021 202109145P SELESAI
48 7401042702790002 MUHAMMAD SUKRI L 42 31-45 JL PENDIDIKAN 085241944747 09-12-2021 202109145P SELESAI
49 0 09-12-2021 202109145P SELESAI
50 0 09-12-2021 202109145P SELESAI
51 0 202109145P SELESAI
52 0 202109145P SELESAI
53 0 202109145P SELESAI
54 0 202109145P SELESAI
55 0 202109145P SELESAI
56 0 202109145P SELESAI
57 0 202109145P SELESAI
58 0 202109145P SELESAI
59 0 202109145P SELESAI
60 0 202109145P SELESAI
61 0 202109145P SELESAI
62 0 202109145P SELESAI
63 0 202109145P SELESAI
64 0 SELESAI
65 0 SELESAI
66 0 SELESAI
67 0 SELESAI
68 0 SELESAI
69 0 SELESAI
70 0 SELESAI
71 0 SELESAI
72 0 SELESAI
73 0 SELESAI
74 0 SELESAI
75 0 SELESAI
76 0 SELESAI
77 0 SELESAI
78 0 SELESAI
79 0 SELESAI
80 0 SELESAI
81 0 SELESAI
82 0 SELESAI
83 0 SELESAI
84 0 SELESAI
85 0 SELESAI
86 0 SELESAI
87 0 SELESAI
88 0 SELESAI
89 0 SELESAI
90 0 SELESAI
91 0 SELESAI
92 0 SELESAI
93 0 SELESAI
94 0 SELESAI
95 0 SELESAI
96 0 SELESAI
97 0 SELESAI
98 0 SELESAI
99 0 SELESAI
100 0 SELESAI
101 0 LANJUT
102 0 LANJUT
103 0 LANJUT
104 0 LANJUT
105 0 LANJUT
106 0 LANJUT
107 0 LANJUT
108 0 LANJUT
109 0 LANJUT
110 0 LANJUT
111 0 LANJUT
112 0 LANJUT
113 0 LANJUT
114 0 LANJUT
115 0 LANJUT
116 0 LANJUT
117 0 LANJUT
118 0 LANJUT
119 0 LANJUT
120 0 LANJUT
121 0 LANJUT
122 0 LANJUT
123 0 LANJUT
124 0 LANJUT
125 0 LANJUT
126 0 LANJUT
127 0 LANJUT
128 0 LANJUT
129 0 LANJUT
130 0 LANJUT
131 0 LANJUT
132 0 LANJUT
133 0 LANJUT
134 0 LANJUT
135 0 LANJUT
136 0 LANJUT
137 0 LANJUT
138 0 LANJUT
139 0 LANJUT
140 0 LANJUT
141 0 LANJUT
142 0 LANJUT
143 0 LANJUT
144 0 LANJUT
145 0 LANJUT
146 0 LANJUT
147 0 LANJUT
148 0 LANJUT
149 0 LANJUT
150 0 LANJUT
151 0 LANJUT
152 0 LANJUT
153 0 LANJUT
154 0 LANJUT
155 0 LANJUT
156 0 LANJUT
157 0 LANJUT
158 0 LANJUT
159 0 LANJUT
160 0 LANJUT
161 0 LANJUT
162 0 LANJUT
163 0 LANJUT
164 0 LANJUT
165 0 LANJUT
166 0 LANJUT
167 0 LANJUT
168 0 LANJUT
169 0 LANJUT
170 0 LANJUT
171 0 LANJUT
172 0 LANJUT
173 0 LANJUT
174 0 LANJUT
175 0 LANJUT
176 0 LANJUT
177 0 LANJUT
178 0 LANJUT
179 0 LANJUT
180 0 LANJUT
181 0 LANJUT
182 0 LANJUT
183 0 LANJUT
184 0 LANJUT
185 0 LANJUT
186 0 LANJUT
187 0 LANJUT
188 0 LANJUT
189 0 LANJUT
190 0 LANJUT
191 0 LANJUT
192 0 LANJUT
193 0 LANJUT
194 0 LANJUT
195 0 LANJUT
196 0 LANJUT
197 0 LANJUT
198 0 LANJUT
199 0 LANJUT
200 0 LANJUT
201 0 LANJUT
202 0 LANJUT
203 0 LANJUT
204 0 LANJUT
205 0 LANJUT
206 0 LANJUT
207 0 LANJUT
208 0 LANJUT
209 0 LANJUT
210 0 LANJUT
211 0 LANJUT
212 0 LANJUT
213 0 LANJUT
214 0 LANJUT
215 0 LANJUT
216 0 LANJUT
217 0 LANJUT
218 0 LANJUT
219 LANJUT
220 0 LANJUT
221 0 LANJUT
222 0 LANJUT
223 0 LANJUT
224 0 LANJUT
225 0 LANJUT
226 0 LANJUT
227 0 LANJUT
228 0 LANJUT
229 0 LANJUT
230 LANJUT
231 LANJUT
232 LANJUT
233 LANJUT
234 LANJUT
235 LANJUT
236 LANJUT
237 LANJUT
238 LANJUT
239 LANJUT
240 LANJUT
LANJUT

D = Lainnya
E = Tidak Bekerja

18-30 23 0 A 0
31-45 9 0 B 0
46-59 1 0 C 0
Total 33 0 D 0
Pekerjaan: E 0
A 0 0 Total 0
B 0 50
C 0
D 0
E 0
Total 0

Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401200906960001 SULTAN L 25 18-30 LAMBOLEMO, SAMATURU 085325233598 13-12-2021 202109145P SELESAI
2 7401017012800002 JUMIATI P 41 31-45 19 NOPEMBER 085298988956 202109145P SELESAI
3 7408065006900002 ITTIS DAMIANTI P 31 31-45 TUNAMBEA, KOLAKA 085397565919 202109145P SELESAI
4 7401140305020003 MUH SIDIQ L 19 18-30 JL SUNU 081344447492 202109145P SELESAI
5 7401141407990001 FAHRI GAZALI L 22 18-30 JL TEMBANG 082130819078 202109145P SELESAI
6 74010402860003 TRIS BUSTANTO L 35 31-45 JL BENDUNGAN BALANDETE 082271625426 202109145P SELESAI
7 7401146403990001 ANI WAHIDA P 22 18-30 JL LURE KEL SEA 081340370203 202109145P SELESAI
8 7401142806000002 MUHAMMAD FIKHRI L 21 18-30 KOLAKAASI 082292849716 202109145P SELESAI
9 7401042708960001 M FAHRUL HAS L 25 18-30 JL MEKONGGA INDAH 081214675478 202109145P SELESAI
10 7401040905050003 IMRAN ELNI L 26 18-30 JL PEMUDA 082292131489 202109145P SELESAI
11 7401141079600032 WIDIA HARNIANTI P 25 18-30 JL DELIMA SEA 082292410913 202109145P SELESAI
12 7401142206880001 LISMAN IBNU L 33 31-45 JL BADEWI BALANDETE 085241301265 202109145P SELESAI
13 740104030980001 DARSAH L 23 18-30 JL AHMAD MUSTIN 082293666613 202109145P SELESAI

14 7401145510960001 NURHIDAYAH P 25 18-30 JL ABADI KOLAKAASI 085394244450 202109145P SELESAI
15 7317077005910001 YUNITHA P 30 18-30 JL DERMAGA KOLAKAASI 085393363455 202109145P SELESAI
16 7401045604840005 SANDRANANTI P 37 31-45 JL ALAM MEKONGGA 082344329868 202109145P SELESAI
17 7409011908910001 CANDRA L 30 18-30 WUNDULAKO 082297652840 202109145P SELESAI
18 7401140208970003 ABDUL RAZAK L 24 18-30 JL CARIA KEL 082296941374 202109145P SELESAI
19 7409011505900001 AMIR L 31 31-45 KOLAKAASI 087788861405 202109145P SELESAI
20 7401041180910002 MUH SUDRAJAT L 20 18-30 JL CENDRAWASIH 082293537060 202109145P SELESAI
21 7401141002050001 MUHAMMAD ALLAM PRATAMA L 16 0 JL ABADI KOLAKAASI 082243530024 202109145P SELESAI
22 7405150408980001 ARIS MUNANDAR L 23 18-30 RAKAWUTA 082341686209 202109145P SELESAI
23 0 202109145P SELESAI
24 0 202109145P SELESAI
25 0 202109145P SELESAI
26 0 202109145P SELESAI
27 0 202109145P SELESAI
28 0 202109145P SELESAI
29 0 202109145P SELESAI
30 0 202109145P SELESAI
31 0 202109145P SELESAI
32 0 202109145P SELESAI
33 0 202109145P SELESAI
34 0 202109145P SELESAI
35 31-45 202109145P SELESAI

36 0 202109145P SELESAI
37 0 202109145P SELESAI
38 0 202109145P SELESAI
39 0 202109145P SELESAI
40 0 202109145P SELESAI
41 0 202109145P SELESAI
42 0 202109145P SELESAI
43 0 202109145P SELESAI
44 0 202109145P SELESAI
45 0 202109145P SELESAI
46 0 202109145P SELESAI
47 0 202109145P SELESAI
48 0 202109145P SELESAI
49 0 202109145P SELESAI
50 0 202109145P SELESAI
51 0 202109145P SELESAI
52 0 202109145P SELESAI
53 0 202109145P SELESAI
54 0 202109145P SELESAI
55 0 202109145P SELESAI
56 0 202109145P SELESAI
57 0 202109145P SELESAI
58 0 202109145P SELESAI
59 0 202109145P SELESAI
60 0 202109145P SELESAI
61 0 202109145P SELESAI
62 0 202109145P SELESAI
63 0 202109145P SELESAI
64 0 SELESAI
65 0 SELESAI
66 0 SELESAI
67 0 SELESAI
68 0 SELESAI
69 0 SELESAI
70 0 SELESAI
71 0 SELESAI
72 0 SELESAI
73 0 SELESAI
74 0 SELESAI
75 0 SELESAI
76 0 SELESAI
77 0 SELESAI
78 0 SELESAI
79 0 SELESAI
80 0 SELESAI
81 0 SELESAI
82 0 SELESAI
83 0 SELESAI
84 0 SELESAI
85 0 SELESAI
86 0 SELESAI
87 0 SELESAI
88 0 SELESAI
89 0 SELESAI
90 0 SELESAI
91 0 SELESAI
92 0 SELESAI
93 0 SELESAI
94 0 SELESAI
95 0 SELESAI
96 0 SELESAI
97 0 SELESAI
98 0 SELESAI
99 0 SELESAI
100 0 SELESAI
101 7401144505650008 AGUSTINA P 56 46-59 JL ABUNAWAS LASANDARA 13-12-2021 SDFW7 LANJUT

102 7401145504890001 TRI AFRIANTI P 32 31-45 MANGOLO 085242429615 13-12-2021 SDFW7 LANJUT
103 7401046108720001 YULIATI P 49 46-59 TAHOA KOLAKA 081257692856 13-12-2021 SDFW7 LANJUT
104 7401146309800002 ARNIATI USMAN P 41 31-45 JL PANCASILA 085242039538 13-12-2021 SDFW7 LANJUT
105 7401041801990002 MUH TAUFIK L 22 18-30 JL PRAMUKA 082132713894 13-12-2021 SDFW7 LANJUT
106 7401146601720001 HJ NORMA P 49 46-59 TAHOA KOLAKA 085241518611 13-12-2021 SDFW7 LANJUT
107 7401046302990001 ARIYATI FEBRIANI P 22 18-30 JL TAMALAKI TAHOA 085241394468 13-12-2021 SDFW7 LANJUT
108 7401143112960005 HARIS L 25 18-30 MANGOLO 082259487692 13-12-2021 SDFW7 LANJUT
109 7401147112660015 SITTI RAHMAN P 55 46-59 JL LURE KEL SEA 085394883979 13-12-2021 SDFW7 LANJUT
110 7401145106970001 IRDHA SARI DEWI P 24 18-30 JL LURE KEL SEA 082292569275 13-12-2021 SDFW7 LANJUT
111 3171025606950003 NABILAH GAFUR P 26 18-30 JL BADEWI BALANDETE 085396979621 13-12-2021 SDFW7 LANJUT
112 7408016905630001 JUMRANA P 58 46-59 JL CAKALANG KEL SEA 081355121985 13-12-2021 SDFW7 LANJUT
113 7401041611960001 MUH ARMANA L 25 18-30 JL KONGGOASA 082274917654 13-12-2021 SDFW7 LANJUT
114 7401144805860003 WIDIAWATI P 35 31-45 JL DERMAGA KOLAKAASI 082393392495 13-12-2021 SDFW7 LANJUT
115 7408015807850003 NIRWANA P 36 31-45 JL CAKALANG KEL SEA 082376434960 13-12-2021 SDFW7 LANJUT
116 7408014707670003 RESMIATI P 54 46-59 JL CAKALANG KEL SEA 081299539442 13-12-2021 SDFW7 LANJUT
117 6473014909900002 HASMAWATI P 31 31-45 JL MANGIWENG KOLAKAASI 082217088580 13-12-2021 SDFW7 LANJUT
118 7401145310960001 MIRNAWATI P 25 18-30 JL OPO KOLAKAASI 082316525541 13-12-2021 SDFW7 LANJUT
119 7401043112510012 NIHAYA BA L 61 60-199 JL PAHLAWAN 082217953193 13-12-2021 SDFW7 LANJUT
120 7401104307970001 HARNIDAR P 25 18-30 JL DERMAGA KOLAKAASI 081342216057 13-12-2021 SDFW7 LANJUT
121 7401140906990001 SAPRIADI L 22 18-30 JL KEPITING KEL KOLAKAASI 082290067193 13-12-2021 SDFW7 LANJUT
122 7401014101880004 ELIS P 33 31-45 JL ABADI SEA 082259999619 13-12-2021 SDFW7 LANJUT
123 7401044608810001 ROSNIANI P 40 31-45 JL MEKONGGA INDAH 082259080609 13-12-2021 SDFW7 LANJUT
124 7401070405990001 ANDY KAHARUDDIN L 22 18-30 POMALAA 085311391011 13-12-2021 SDFW7 LANJUT
125 7401141405030001 MUH ICHSAN SAPUTRA L 18 18-30 JL TPI KOLAKAASI 081270138960 LANJUT
126 7324094107810034 NURBAYA P 32 31-45 JL DELIMA SEA 085330814159 LANJUT
127 7401045701770001 IDA FARIDA P 44 31-45 TAHOA KOLAKA 081341745213 LANJUT
128 7401140505980003 ANDIKA L 23 18-30 JL ABADI SEA 085263561899 LANJUT
129 7401142105890002 RISWAN L 32 31-45 JL DERMAGA KOLAKAASI 082393392495 LANJUT
130 7401012410810001 ASPRIANTO L 40 31-45 JL ABADI SEA 085241991566 LANJUT
131 0 LANJUT
132 0 LANJUT
133 0 LANJUT
134 0 LANJUT
135 0 LANJUT
136 0 LANJUT
137 0 LANJUT
138 0 LANJUT
139 0 LANJUT
140 0 LANJUT
141 0 LANJUT
142 0 LANJUT
143 0 LANJUT
144 0 LANJUT
145 0 LANJUT
146 0 LANJUT
147 0 LANJUT
148 0 LANJUT
149 0 LANJUT
150 0 LANJUT
151 0 LANJUT
152 0 LANJUT
153 0 LANJUT
154 0 LANJUT
155 0 LANJUT
156 0 LANJUT
157 0 LANJUT
158 0 LANJUT
159 0 LANJUT
160 0 LANJUT
161 0 LANJUT
162 0 LANJUT
163 0 LANJUT
164 0 LANJUT
165 0 LANJUT
166 0 LANJUT
167 0 LANJUT
168 0 LANJUT
169 0 LANJUT
170 0 LANJUT
171 0 LANJUT
172 0 LANJUT
173 0 LANJUT
174 0 LANJUT
175 0 LANJUT
176 0 LANJUT
177 0 LANJUT
178 0 LANJUT
179 0 LANJUT
180 0 LANJUT
181 0 LANJUT
182 0 LANJUT
183 0 LANJUT
184 0 LANJUT
185 0 LANJUT
186 0 LANJUT
187 0 LANJUT
188 0 LANJUT
189 0 LANJUT
190 0 LANJUT
191 0 LANJUT
192 0 LANJUT
193 0 LANJUT
194 0 LANJUT
195 0 LANJUT
196 0 LANJUT
197 0 LANJUT
198 0 LANJUT
199 0 LANJUT
200 0 LANJUT
201 0 LANJUT
202 0 LANJUT
203 0 LANJUT
204 0 LANJUT
205 0 LANJUT
206 0 LANJUT
207 0 LANJUT
208 0 LANJUT
209 0 LANJUT
210 0 LANJUT
211 0 LANJUT
212 0 LANJUT
213 0 LANJUT
214 0 LANJUT
215 0 LANJUT
216 0 LANJUT
217 0 LANJUT
218 0 LANJUT
219 LANJUT
220 0 LANJUT
221 0 LANJUT
222 0 LANJUT
223 0 LANJUT
224 0 LANJUT
225 0 LANJUT
226 0 LANJUT
227 0 LANJUT
228 0 LANJUT
229 0 LANJUT
230 LANJUT
231 LANJUT
232 LANJUT
233 LANJUT
234 LANJUT
235 LANJUT
236 LANJUT
237 LANJUT
238 LANJUT
239 LANJUT
240 LANJUT
LANJUT

D = Lainnya
E = Tidak Bekerja

18-30 27 0 A 0
31-45 18 0 B 0
46-59 6 0 C 0
Total 51 0 D 0
Pekerjaan: E 0
A 0 24 Total 0
B 0 1
C 0
D 0
E 0
Total 0
03-01-2022

Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401141512530002 DUMA PASILU L 68 60-199 JL DURIAN LATAMBAGA 082394488443 SINOVAC 23-12-2021 202109198G SELESAI
2 7401144708620001 SAMSIDAR P 59 46-59 JL BEKICOT KOLAKAASI 085342569030 PFIZER 23-12-2021 330408D SELESAI
3 7401146705880001 JULIANI P 33 31-45 JL BEKICOT KOLAKAASI 085342569030 PFIZER 23-12-2021 SELESAI
4 7401045101860003 ARISTA P 35 31-45 MANGOLO 082337107049 SINOVAC 23-12-2021 SELESAI
5 7401141907690001 HURI L 52 46-59 JL DURIAN LATAMBAGA 085250218283 SINOVAC 23-12-2021 SELESAI
6 7304032508770001 SARIPUDDIN SAMPARA L 44 31-45 JL BEKICOT KOLAKAASI 08229233876 PFIZER 23-12-2021 SELESAI
7 7408140903030002 FIKRUL HIDAYAT L 18 18-30 LALOEHA 082171841201 PFIZER 23-12-2021 SELESAI
8 7401141508810001 ALI KAMRI L 40 31-45 JL BEKICOT KOLAKAASI 085299869339 PFIZER 23-12-2021 SELESAI
9 7401041109720001 NANDANG K WIJAYA L 49 46-59 WATULIANDU 082311280042 PFIZER 23-12-2021 SELESAI
10 7401146402880004 RITA P 33 31-45 JL DURIAN SAKULI 082234454029 SINOVAC 23-12-2021 SELESAI
11 7401141010960002 ERWIN YOS L 25 18-30 JL DERMAGA KOLAKAASI 082329560464 PFIZER 23-12-2021 SELESAI
12 7401140902630002 HATTA K L 59 46-59 JL DURIAN SAKULI 082188801919 SINOVAC 23-12-2021 SELESAI
13 7401044301760001 ERWATI P 45 31-45 WATULIANDU 082264706481 PFIZER 23-12-2021 SELESAI

14 7403011912900201 SARIFUDIN L 31 31-45 SAKULI 082351077729 PFIZER 23-12-2021 330408D SELESAI
15 7401145207020002 MARINI P 19 18-30 JL BEKICOT KOLAKAASI 085333007204 PFIZER 23-12-2021 SELESAI
16 7401041412640001 BAHARUDDIN L 57 46-59 WATULIANDU 081341805795 PFIZER 23-12-2021 SELESAI
17 7401045411060001 INDAH LESTARI P 15 0 MEKONGGA INDAH 085823899272 PFIZER 23-12-2021 SELESAI
18 7401144611960001 RINI APRIYANTI P 25 18-30 JL TINUMBU SEA 081997136266 SINOVAC 23-12-2021 SELESAI
19 7305084605780001 KASTURI DG TE'NE L 43 31-45 JL DR SUTOMO 081245955970 PFIZER 23-12-2021 SELESAI
20 7401146107740002 ROS INDRAWATI P 47 46-59 JL DURIAN SAKULI 081341742235 SINOVAC 23-12-2021 SELESAI
21 7401140407760001 ABD RAJAB L 45 31-45 JL PANCASILA SEA 085241646827 PFIZER 23-12-2021 SELESAI
22 7401145204770003 MARHAYANI P 44 31-45 JL PANCASILA SEA 081340403661 PFIZER 23-12-2021 SELESAI
23 7401140312010002 MUH FAHRI L 19 18-30 JL DURIAN SAKULI 081218508908 SINOVAC 23-12-2021 SELESAI
24 7401044909850002 NAHARIA P 36 31-45 JL DR SUTOMO 0821963238222 PFIZER 23-12-2021 SELESAI
25 7501222812760001 I NYOMAN SUKANADIYASA L 45 31-45 JL PENDIDIKAN 082290407486 PFIZER 23-12-2021 SELESAI
26 740101570990001 FIRNAWATI P 31 31-45 SILEA 085225237920 PFIZER 23-12-2021 SELESAI
27 7401224404820001 NI WAYAN SUMIATI P 39 31-45 BALANDETE 082293096686 PFIZER 23-12-2021 SELESAI
28 7401226611000001 NOVI SWANDARI P 21 18-30 BALANDETE 082152625896 PFIZER 23-12-2021 SELESAI
29 7401226603070002 NI LUH DWI PUSPITA P 14 0 BALANDETE 081299515838 PFIZER 23-12-2021 SELESAI
30 7401042002730001 I MADE SUTAMAYASA L 48 46-59 BALANDETE 082394799696 PFIZER 23-12-2021 SELESAI
31 7401141201940002 REYAN MULYAWAN L 27 18-30 BALANDETE 082318239981 PFIZER 23-12-2021 SELESAI
32 7304035504800003 SITTI ROHMA MORA P 41 31-45 JL BEKICOT KOLAKAASI 085215704460 PFIZER 23-12-2021 SELESAI
33 7401040605050007 DEDEH ADJIE HENDRA PUTRA P 16 0 PONDUI 081292088122 PFIZER 23-12-2021 SELESAI
34 7401141012750001 DARWIS L 46 46-59 MANGOLO 085228511202 PFIZER 23-12-2021 SELESAI
35 7401045107760001 NURAENI P 45 31-45 BALANDETE 085322396319 PFIZER 23-12-2021 SELESAI

36 7401145601030002 HASNAWATI P 18 18-30 LALODIPU 085255698391 PFIZER 23-12-2021 SELESAI
37 7401145506630001 SITTI RAHIM P 58 46-59 JL KEMAKMURAN SEA 082394874620 SINOVAC 23-12-2021 SELESAI
38 7401141909670001 DJAMIAT H L 55 46-59 MANGOLO 085256809567 PFIZER 23-12-2021 SELESAI
39 7401145010880006 SUADA P 44 31-45 LAMOKATO 085242907071 SINOVAC 23-12-2021 SELESAI
40 7471071204900001 LA FAISAL L 31 31-45 LW 082266062460 SINOVAC 23-12-2021 SELESAI
41 740114611760001 DEWI SARTIKA P 45 31-45 JL KEMAKMURAN SEA 082187079801 SINOVAC 23-12-2021 SELESAI
42 7401221507030001 ADY RIFKI L 18 18-30 BALANDETE 085259653384 PFIZER 23-12-2021 SELESAI
43 7401144608680001 HALIA P 53 46-59 JL KEMAKMURAN SEA 082267773865 SINOVAC 23-12-2021 SELESAI
44 7401035207010001 RISMA YULIANA DEWI P 20 18-30 BALANDETE 085254048537 SINOVAC 23-12-2021 SELESAI
45 7306081207490002 BASO DG SURUO L 42 31-45 LAMOKATO 085242004040 SINOVAC 23-12-2021 SELESAI
46 7401141305940002 ERWIN L 27 18-30 JL DERMAGA KOLAKAASI 082393300393 PFIZER 23-12-2021 SELESAI
47 7401042310060002 MUH FITRAH ANANDA L 15 0 LALOEHA 08533941823 PFIZER 23-12-2021 SELESAI
48 7401143112600013 BAHAR L 61 60-199 JL DURIAN SAKULI 082191955719 SINOVAC 23-12-2021 SELESAI
49 7401140411040002 MUH RANGGA L 17 0 JL DURIAN SAKULI 085341296837 SINOVAC 23-12-2021 SELESAI
50 7401205003820001 WARNIDA P 39 31-45 JL TINUMBU SEA 082290711954 PFIZER 23-12-2021 SELESAI
51 7401144111730001 SITTI ALMAIDA P 48 46-59 JL DURIAN SAKULI 082128695068 SINOVAC 23-12-2021 SELESAI
52 7401041405830003 HERMAN L 38 31-45 JL PANCASILA SEA 082346571597 PFIZER 23-12-2021 SELESAI
53 3175072007081001 BILLY JOSHUA L 13 0 WATULIANDU 082298477097 SINOVAC 23-12-2021 SELESAI
54 7401205501850002 HARLINA P 36 31-45 JL DURIAN SAKULI 085255625889 SINOVAC 23-12-2021 SELESAI
55 7401145007710003 YANTI P 50 46-59 JL DURIAN SAKULI 085245777443 SINOVAC 23-12-2021 SELESAI
56 7401141509970003 AZZHARI L 24 18-30 KOLAKAASI 082293102876 SINOVAC 23-12-2021 SELESAI
57 7401045408910002 VIKA ANGRIANI P 30 18-30 JL DURIAN SAKULI 085240364364 SINOVAC 23-12-2021 SELESAI
58 7401093112920002 ANCA L 29 18-30 SAKULI 082120098089 SINOVAC 23-12-2021 SELESAI
59 7401256512970001 HASNANIWATI P 24 18-30 LAMOKATO 082271295309 PFIZER 23-12-2021 SELESAI
60 7411123112820004 SUPARDI L 39 31-45 JL PEMUDA 082259418182 PFIZER 23-12-2021 SELESAI
61 7401044111990002 WIYADAMAYANTI P 22 18-30 LALOEHA 082279398503 SINOVAC 23-12-2021 SELESAI
62 7471056202950001 NIRMALASARI P 26 18-30 BALANDETE 082280897339 SINOVAC 23-12-2021 SELESAI
63 7401225102970001 EKA EVIANA P 24 18-30 POLI POLIA 082296542509 PFIZER 23-12-2021 SELESAI
64 7401220701000001 MADE SAWAN ANTARA L 21 18-30 POLI POLIA PFIZER 23-12-2021 SELESAI
65 7401040712980002 ANDI RAFLI HAIDAYAT L 23 18-30 LAMOKATO 082150979114 SINOVAC 23-12-2021 SELESAI
66 7401145110850005 RINI MUSTAFA P 36 31-45 SAKULI 082214587425 SINOVAC 23-12-2021 SELESAI
67 3205121807860004 DEDE RAHMAT L 35 31-45 JL BEKICOT KOLAKAASI 081243383887 PFIZER 23-12-2021 SELESAI
68 7401141808960004 AGUS SANJAYA L 25 18-30 JL DERMAGA KOLAKAASI 082393300393 PFIZER 23-12-2021 SELESAI
69 7401046202060001 FIONA AZZAHRA ADRIS P 15 0 BTN TAHOA 085220801601 PFIZER 23-12-2021 SELESAI
70 7401040506730002 MUH ADRIS L 48 46-59 BTN TAHOA 085146261881 PFIZER 23-12-2021 SELESAI
71 7401146503080001 SHINTYA RAFFILLA P 13 0 JL DURIAN SAKULI 082275541891 PFIZER 23-12-2021 SELESAI
72 7401144910980002 SAFIRA SALAM P 23 18-30 JL ABADI SEA 082293159962 SINOVAC 23-12-2021 SELESAI
73 7401144709070001 AYESA TITAH RAMADANI P 14 0 JL SUNU SEA 082259599343 PFIZER 23-12-2021 SELESAI
74 7401205707070001 RESKI FAUSIAH P 14 0 JL SIRA LAMOKATO 085298045829 PFIZER 23-12-2021 SELESAI
75 7401143008820001 IWAN L 30 18-30 JL DURIAN SAKULI 085394201185 SINOVAC 23-12-2021 SELESAI
76 7401147112710030 HASNA P 50 46-59 JL KARTINI SEA 085242258004 SINOVAC 23-12-2021 SELESAI
77 7313090908040001 AFANDI L 17 0 BALANDETE 085213969469 SINOVAC 23-12-2021 SELESAI
78 7401146309900001 ELNI AYU LESTARI P 31 31-45 JL PANCASILA SEA 085395227837 PFIZER 23-12-2021 SELESAI
79 7401141511770002 IRSAN L 44 31-45 JL DURIAN SAKULI 085398504478 SINOVAC 23-12-2021 SELESAI

80 7401144906070002 FIRDA LESTARI P 14 0 JL DELIMA SEA 081340028320 PFIZER 23-12-2021 SELESAI
81 7401146302060001 FEBRIANTI P 15 0 JL DELIMA SEA 081341017978 PFIZER 23-12-2021 SELESAI
82 7401144909900003 ANDI ASWATI P 31 31-45 JL BEKICOT KOLAKAASI 74011444990003 SINOVAC 23-12-2021 SELESAI
83 7405134104020003 UNITA P 19 18-30 JL DR SUTOMO 082290659208 PFIZER 23-12-2021 SELESAI
84 7401270702200005 MAHARANI P 21 18-30 LAMOKATO 082285714393 PFIZER 23-12-2021 SELESAI
85 7401140205740002 ANSAR L 47 46-59 JL KEMAKMURAN SEA 085256483680 SINOVAC 23-12-2021 SELESAI
86 7401146209980003 ILDAR LESTARI SULTAN P 23 18-30 JL SUNU KOLAKAASI 085213160899 SINOVAC 23-12-2021 SELESAI
87 7401141605950001 ACHMAD RIVAI L 26 18-30 JL SUNU SEA 082291574730 SINOVAC 23-12-2021 SELESAI
88 7401146409970002 PIRDA SYAMSU ALAM P 24 18-30 JL ABADI SEA 082296829274 SINOVAC 23-12-2021 SELESAI
89 7401142512080001 MARWAN DARMAWAN L 13 0 LAMOKATO 085241598537 PFIZER SELESAI
90 7401144110830002 MARLINA TAHIR P 38 31-45 JL BOTTO-BOTTO SEA 081340406202 SINOVAC SELESAI
91 7401141203980002 RAHMAN EFENDI L 23 18-30 JL DELIMA SEA 082317344146 SINOVAC SELESAI
92 0 SELESAI
93 0 SELESAI
94 0 SELESAI
95 0 SELESAI
96 0 SELESAI
97 0 SELESAI
98 0 SELESAI
99 0 SELESAI
100 0 SELESAI
101 0 23-12-2021 330508D LANJUT

102 0 LANJUT
103 0 LANJUT
104 0 LANJUT
105 0 LANJUT
106 0 LANJUT
107 0 LANJUT
108 0 LANJUT
109 0 LANJUT
110 0 LANJUT
111 0 LANJUT
112 0 LANJUT
113 0 LANJUT
114 0 LANJUT
115 0 LANJUT
116 0 LANJUT
117 0 LANJUT
118 0 LANJUT
119 0 LANJUT
120 0 LANJUT
121 0 LANJUT
122 0 LANJUT
123 0 LANJUT
124 0 LANJUT
125 0 LANJUT
126 0 LANJUT
127 0 LANJUT
128 0 LANJUT
129 0 LANJUT
130 0 LANJUT
131 0 LANJUT
132 0 LANJUT
133 0 LANJUT
134 0 LANJUT
135 0 LANJUT
136 0 LANJUT
137 0 LANJUT
138 0 LANJUT
139 0 LANJUT
140 0 LANJUT
141 0 LANJUT
142 0 LANJUT
143 0 LANJUT
144 0 LANJUT
145 0 LANJUT
146 0 LANJUT
147 0 LANJUT
148 0 LANJUT
149 0 LANJUT
150 0 LANJUT
151 0 LANJUT
152 0 LANJUT
153 0 LANJUT
154 0 LANJUT
155 0 LANJUT
156 0 LANJUT
157 0 LANJUT
158 0 LANJUT
159 0 LANJUT
160 0 LANJUT
161 0 LANJUT
162 0 LANJUT
163 0 LANJUT
164 0 LANJUT
165 0 LANJUT
166 0 LANJUT
167 0 LANJUT
168 0 LANJUT
169 0 LANJUT
170 0 LANJUT
171 0 LANJUT
172 0 LANJUT
173 0 LANJUT
174 0 LANJUT
175 0 LANJUT
176 0 LANJUT
177 0 LANJUT
178 0 LANJUT
179 0 LANJUT
180 0 LANJUT
181 0 LANJUT
182 0 LANJUT
183 0 LANJUT
184 0 LANJUT
185 0 LANJUT
186 0 LANJUT
187 0 LANJUT
188 0 LANJUT
189 0 LANJUT
190 0 LANJUT
191 0 LANJUT
192 0 LANJUT
193 0 LANJUT
194 0 LANJUT
195 0 LANJUT
196 0 LANJUT
197 0 LANJUT
198 0 LANJUT
199 0 LANJUT
200 0 LANJUT
201 0 LANJUT
202 0 LANJUT
203 0 LANJUT
204 0 LANJUT
205 0 LANJUT
206 0 LANJUT
207 0 LANJUT
208 0 LANJUT
209 0 LANJUT
210 0 LANJUT
211 0 LANJUT
212 0 LANJUT
213 0 LANJUT
214 0 LANJUT
215 0 LANJUT
216 0 LANJUT
217 0 LANJUT
218 0 LANJUT
219 LANJUT
220 0 LANJUT
221 0 LANJUT
222 0 LANJUT
223 0 LANJUT
224 0 LANJUT
225 0 LANJUT
226 0 LANJUT
227 0 LANJUT
228 0 LANJUT
229 0 LANJUT
230 LANJUT
231 LANJUT
232 LANJUT
233 LANJUT
234 LANJUT
235 LANJUT
236 LANJUT
237 LANJUT
238 LANJUT
239 LANJUT
240 LANJUT
LANJUT

D = Lainnya
E = Tidak Bekerja

18-30 29 0 A 0
31-45 30 0 B 0
46-59 16 0 C 0
Total 75 0 D 0
Pekerjaan: E 0
A 0 1 Total 0
B 0 88
C 0
D 0
E 0
Total 0
INPUT TGL 28 36.5 140/80

Dosis I Dosis 2
Umur
tahun)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 7402025609050001 CUT ANGGUN SAMRI P 16 0 JL PRAMUKA LAMOKATO 085314112585 PFIZER 11-01-2022 33048BD
2 7401145307060003 ST VARADHIBA AZZAHRA P 15 0 JL UDANG KOLAKAASI 085255914774 PFIZER 11-01-2022 33048BD
3 7401076106580001 MIHSIN LAODA P 63 60-199 BALANDETE 085330890687 SINOVAC 11-01-2022 202109198G
4 7371050905070001 ABDURRAZIQ HABIBIE L 15 0 JL PRAMUKA LAMOKATO 081341682682 PFIZER 11-01-2022 33048BD
5 7404051104030001 MUHAMMAD ALFARUQ L 18 18-30 JL PRAMUKA LAMOKATO 081341682682 PFIZER 11-01-2022 33048BD
6 7401077112740005 MASRINA NAHARI P 47 46-59 POMALAA 085330890687 SINOVAC 11-01-2022 202109198G
7 7401205205080001 ELSA AHMAD P 13 0 SAMATURU 082320933321 PFIZER 11-01-2022 33048BD
8 7401146202670001 MARYANI P 54 46-59 JL PANCASILA SEA 085256876022 PFIZER 11-01-2022 33048BD
9 7401141012580001 LUKMAN M L 63 60-199 JL PANCASILA SEA 085394016807 PFIZER 11-01-2022 33048BD
10 7401145303880001 HELMAWATI P 33 31-45 SEA 081242693150 PFIZER 11-01-2022 33048BD
11 7401146504720001 AISYAH P 49 46-59 JL CAKALANG SEA 082271071929 SINOVAC 11-01-2022 202109198G
12 7401145109820001 ANDI KARMILA P 39 31-45 SEA 082245159387 PFIZER 11-01-2022 33048BD
13 7401145111510001 HJ ST AISYAH P 70 60-199 LATAMBAGA 081347066617 PFIZER 11-01-2022 33048BD

14 7401142008570001 SAKIR L 64 60-199 LATAMBAGA 085213906447 SINOVAC 11-01-2022 202109198G
15 7401140109490001 M SAKIB SIDIK L 72 60-199 LATAMBAGA 081347066617 PFIZER 11-01-2022 33048BD
16 7303024606990004 RAHMAWATI P 22 18-30 SAKULI 082393136941 PFIZER 11-01-2022 33048BD
17 7401140404760001 ABD HAMID L 45 31-45 JL KADUE SEA 082214237893 PFIZER 11-01-2022 33048BD
18 7401147001620001 ROSDIANA P 59 46-59 JL CAKALANG SEA 082154317559 SINOVAC 11-01-2022 202109198G
19 7401026201030005 RESKI P 18 18-30 JL PEMUDA 081244974006 PFIZER 11-01-2022 33048BD
20 7401045811090001 ALIYAH ANSAR P 12 0 JL LANDAK 081240811113 PFIZER 11-01-2022
21 7401144103840001 ASNIAR RUSLAN L 37 31-45 JL LURE SEA 085394663657 PFIZER 11-01-2022
22 7401144808720001 ROSMIATI P 49 46-59 JL LURE SEA 085394244495 SINOVAC 11-01-2022
23 7401142001060004 IKBAL L 15 0 JL ABADI SEA 085213509796 PFIZER 11-01-2022
24 7401045502040005 KHAERUNNISA AHKAM P 17 0 TAHOA 082296757431 PFIZER 11-01-2022
25 7401041002820001 IRWAN L 39 31-45 JL PEMUDA 0811406929 PFIZER 11-01-2022
26 7401045308020002 INDAH LESTARI P 19 18-30 TAHOA 085823108709 PFIZER 11-01-2022
27 7401047112670018 SUKAENA P 54 46-59 JL PEMUDA 0811406929 PFIZER 11-01-2022
28 7401146707090003 POPPY P 12 0 JL ABADI SEA 085213509796 PFIZER 11-01-2022
29 7401145110070001 FEBI YANTI P 14 0 JL ABADI SEA 085757202406 PFIZER 11-01-2022
30 7401043003910001 SUMARDI L 28 18-30 JL PEMUDA 082273446630 PFIZER 11-01-2022
31 0 11-01-2022
32 0 11-01-2022
33 0 11-01-2022
34 0 11-01-2022
35 31-45 11-01-2022
36 0 11-01-2022
37 0 11-01-2022
38 0 11-01-2022
39 0 11-01-2022
40 0 11-01-2022
41 0 11-01-2022
42 0 11-01-2022
43 0 11-01-2022
44 0 11-01-2022
45 0 11-01-2022
46 0 11-01-2022
47 0 11-01-2022
48 0 11-01-2022
49 0 11-01-2022
50 0 11-01-2022
51 0
52 0
53 0
54 0
55 0
56 0
57 0
58 0
59 0
60 0
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0
71 0
72 0
73 0
74 0
75 0
76 0
77 0
78 0
79 0
80 0
81 0
82 0
83 0
84 0
85 0
86 0
87 0
88 0
89 0
90 0
91 0
92 0
93 0
94 0
95 0
96 0
97 0
98 0
99 0
100 0
101 0 11-01-2022 330508D

102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0
131 0
132 0
133 0
134 0
135 0
136 0
137 0
138 0
139 0
140 0
141 0
142 0
143 0
144 0
145 0
146 0
147 0
148 0
149 0
150 0
151 0
152 0
153 0
154 0
155 0
156 0
157 0
158 0
159 0
160 0
161 0
162 0
163 0
164 0
165 0
166 0
167 0
168 0
169 0
170 0
171 0
172 0
173 0
174 0
175 0
176 0
177 0
178 0
179 0
180 0
181 0
182 0
183 0
184 0
185 0
186 0
187 0
188 0
189 0
190 0
191 0
192 0
193 0
194 0
195 0
196 0
197 0
198 0
199 0
200 0
201 0
202 0
203 0
204 0
205 0
206 0
207 0
208 0
209 0
210 0
211 0
212 0
213 0
214 0
215 0
216 0
217 0
218 0
219
220 0
221 0
222 0
223 0
224 0
225 0
226 0
227 0
228 0
229 0
230
231
232
233
234
235
236
237
238
239
240

A = Petugas Medis dan Non Medis di Fasilitas Pelayanan KesehB = Lainnya (Mohon disebutkan jenis vaksin yang diterima Puskesmas/Faskes)
D = Lainnya
E = Tidak Bekerja

18-30 5 0 A 0
31-45 6 0 B 0
46-59 6 0 C 0
Total 17 0 D 0
Pekerjaan: E 0
A 0 1 Total 0
B 0 50
C 0
D 0
E 0
Total 0
Keterangan
(Ditunda/Tidak
Diberikan/Lanj
ut)
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT

Dosis I Dosis 2
Umur
tahun)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 7401141703930002 AHLIDIN L 29 18-30 JL ABADI SEA 82398676827 PFIZER 1/12/2022 33048BD
2 7401145307060003 BUDI L 33 31-45 LING V KAMP BERINGIN 85348349550 PFIZER 1/12/2022 33048BD
3 7401142401930001 MUHAMMAD ABBAS L 29 18-30 JL MEKONGGA INDAH 85259183583 PFIZER 1/12/2022 202109198G
4 7401104912040002 QONITA AGUS P 18 18-30 LAPAO PAO 81342392217 PFIZER 1/12/2022 33048BD
5 7401141708580001 ISMAIL L 64 60-199 JL KERUNG KERUNG 82311501580 PFIZER 1/12/2022 33048BD
6 7401140307710003 NASIR ARIFIN L 51 46-59 JL ABADI SEA 0.082193064575 PFIZER 1/12/2022 202109198G
7 701104206080001 MUTIARA P 14 0 MALAOMBO 082346506668 PFIZER 1/12/2022 33048BD
8 9202124107070026 AQILA ASSAHRA P 15 0 TOSIBA 082198330839 PFIZER 1/12/2022 33048BD
9 7471054504840005 ST. SYARTINA P 38 31-45 JL ABADI SEA 082243152269 PFIZER 1/12/2022 33048BD
10 7401144908580001 SATRINA P 64 60-199 JL ABADI KOLAKAASI 085247262278 PFIZER 1/12/2022 33048BD
11 7401145405070002 MIFTAHUL JANNAH P 15 0 JL SUNU 085817778154 PFIZER 1/12/2022 202109198G
12
13
14
15
16
17
18
31 0 11-01-2022
32 0 11-01-2022
33 0 11-01-2022
34 0 11-01-2022
35 31-45 11-01-2022
36 0 11-01-2022
37 0 11-01-2022
38 0 11-01-2022
39 0 11-01-2022
40 0 11-01-2022
41 0 11-01-2022
42 0 11-01-2022
43 0 11-01-2022
44 0 11-01-2022
45 0 11-01-2022
46 0 11-01-2022
47 0 11-01-2022
48 0 11-01-2022
49 0 11-01-2022
50 0 11-01-2022
51 0
52 0
53 0
54 0
55 0
56 0
57 0
58 0
59 0
60 0
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0
71 0
72 0
73 0
74 0
75 0
76 0
77 0
78 0
79 0
80 0
81 0
82 0
83 0
84 0
85 0
86 0
87 0
88 0
89 0
90 0
91 0
92 0
93 0
94 0
95 0
96 0
97 0
98 0
99 0
100 0
101 0 11-01-2022 330508D

102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0
131 0
132 0
133 0
134 0
135 0
136 0
137 0
138 0
139 0
140 0
141 0
142 0
143 0
144 0
145 0
146 0
147 0
148 0
149 0
150 0
151 0
152 0
153 0
154 0
155 0
156 0
157 0
158 0
159 0
160 0
161 0
162 0
163 0
164 0
165 0
166 0
167 0
168 0
169 0
170 0
171 0
172 0
173 0
174 0
175 0
176 0
177 0
178 0
179 0
180 0
181 0
182 0
183 0
184 0
185 0
186 0
187 0
188 0
189 0
190 0
191 0
192 0
193 0
194 0
195 0
196 0
197 0
198 0
199 0
200 0
201 0
202 0
203 0
204 0
205 0
206 0
207 0
208 0
209 0
210 0
211 0
212 0
213 0
214 0
215 0
216 0
217 0
218 0
219
220 0
221 0
222 0
223 0
224 0
225 0
226 0
227 0
228 0
229 0
230
231
232
233
234
235
236
237
238
239
240

D = Lainnya
E = Tidak Bekerja

18-30 3 0 A 0
31-45 3 0 B 0
46-59 1 0 C 0
Total 7 0 D 0
Pekerjaan: E 0
A 0 1 Total 0
B 0 31
C 0
D 0
E 0
Total 0
Keterangan
(Ditunda/Tidak
Diberikan/Lanj
ut)
SELESAI
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SELESAI TGL 15-01-2022 PCARE DOSIS 2
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Dosis I Dosis 2
Umur
tahun)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 7401045306130003 ANDI ZALABILLA NUR REZKI P 8 0 TAHOA 085240617785 13-01-2022 202109198G
2 7401041302130002 RAJA MUH GHAFFAR FEBRIAN L 8 0 KOLAKAASI 082394760146 13-01-2022 202109198G
3 7401042204140003 MUH HAIKAL L 7 0 KOLAKAASI 081225488223 13-01-2022 202109198G
4 7401145512110002 NUR ALIYAH KHAIRUNNISA P 10 0 KOLAKAASI 082195954481 13-01-2022 202109198G
5 7401045910090001 ISNATUL QOYYIM FIDA SUARI P 12 0 KOLAKAASI 085396098615 13-01-2022 202109198G
6 7401146411130002 ZYILA AL BHIIRA P 8 0 KOLAKAASI 082320872400 13-01-2022 202109198G
7 7401044504110001 AISYAH TRINADYA P 10 0 TAHOA 082282280151 13-01-2022 202109198G
8 7401140906130001 ABDULLAH SIDDIQ L 8 0 KOLAKAASI 085298704726 13-01-2022 202109198G
9 7401145408120002 RAISA RESKI RAMADANI P 9 0 KOLAKAASI 082310894744 13-01-2022 202109198G
10 7401146203100001 EGA SASKIA ARISKA P 11 0 KOLAKAASI 081245966566 13-01-2022 202109198G
11 7401142412110001 MUH SYAHRUL L 10 0 KOLAKAASI 085341049365 13-01-2022 202109198G
12 7401142403110001 MUH IBNU GHALY GAZALI L 10 0 KOLAKAASI 0811408991 13-01-2022 202109198G
13 7401140203100001 AIMAN PRATAMA L 11 0 KOLAKAASI 082259375428 13-01-2022 202109198G

14 7401044603100003 ASMANIAR ISHAK P 11 0 KOLAKAASI 085231111535 13-01-2022 202109198G
15 7401144209110002 MESYAH SAFITRI P 10 0 KOLAKAASI 082293909118 13-01-2022 202109198G
16 7401015109110002 NURJANNA JUSWAN P 10 0 KOLAKAASI 085247777233 13-01-2022 202109198G
17 7401141011120001 ALFATHAR RIZKY SAPUTRA L 9 0 KOLAKAASI 085395666556 13-01-2022 202109198G
18 7401140302150001 FRANSISCO DAVID FEBRUARI L 6 0 KOLAKAASI 085161875198 13-01-2022 202109198G
19 74011449407130001 ALYA RAHMAWATI P 8 0 KOLAKAASI 085255376378 13-01-2022 202109198G
20 7401140306110002 MUH ALSHAR L 10 0 KOLAKAASI 085342272600 13-01-2022 202109198G
21 7401141806110004 MUH SULFIKAR SYARIF L 10 0 KOLAKAASI 085210930822 13-01-2022 202109198G
22 7401144307100003 PUTRI ANANDA ZAAINUDDIN P 11 0 KOLAKAASI 082311288099 13-01-2022 202109198G
23 7408034909100001 HERLINA FITRIANI P 11 0 KOLAKAASI 082296339198 13-01-2022 202109198G
24 7401142612090001 MUH REZKI SAPUTRA L 12 0 KOLAKAASI 082259950566 13-01-2022 202109198G
25 7401145801110001 SHELIN SELYA P 10 0 KOLAKAASI 085298661950 13-01-2022 202109198G
26 7401146811100001 REZKIA NUR FATHINA P 11 0 LAMOKATO 085757589461 13-01-2022 202109198G
27 7401011606150001 MUH FIQRI RAMADAN YASTIN L 6 0 POMALAA 082122277385 13-01-2022 202109198G
28 7401145009120002 NURHALIZA IRWAN P 9 0 KOLAKAASI 085241883499 13-01-2022 202109198G
29 7310080611130002 MUH ALQADRI L 8 0 KOLAKAASI 082210863754 13-01-2022 202109198G
30 7401141203110002 MUSTAPA DANDI L 10 0 KOLAKAASI 081247294126 13-01-2022 202109198G
31 7401146404120001 AISYAH KHUMAIRA HANNA P 9 0 KOLAKAASI 085388930555 13-01-2022 202109198G
32 7401142905110003 HAIKAL KAMIL L 10 0 KOLAKAASI 082346518995 13-01-2022 202109198G
33 7313055511100001 PIONA ROSALINDA P 11 0 KOLAKAASI 0811401419 13-01-2022 202109198G
34 7401145001120002 ANDRIANI P 9 0 KOLAKAASI 085256634976 13-01-2022 202109198G
35 7401140809120002 ARDIAN L 9 31-45 KOLAKAASI 08534169921 13-01-2022 202109198G

36 7401140705100002 MUH AFDAL MAULANA L 11 0 KOLAKAASI 085341511265 13-01-2022 202109198G
37 7401145806130002 NURCAHAYA P 8 0 KOLAKAASI 085346097752 13-01-2022 202109198G
38 7401146604140001 MIKAILA AZAHRA P 7 0 KOLAKAASI 083341511265 13-01-2022 202109198G
39 7401145309090002 NANDA WULAN SAFITRI P 12 0 KOLAKAASI 085256446603 13-01-2022 202109198G
40 7401142506100004 MUH IKRAM KAHARUDDIN L 11 0 KOLAKAASI 085398757198 13-01-2022 202109198G
41 7401144110100001 KARTIKA P 11 0 KOLAKAASI 085824061736 13-01-2022 202109198G
42 7371100506150004 ABD.RAHMAN L 6 0 KOLAKAASI 08217350025 13-01-2022 202109198G
43 7401146208100002 PITRI P 11 0 KOLAKAASI 081210468816 13-01-2022 202109198G
44 7401141204120001 MUH FACHRI YASIT L 9 0 KOLAKAASI 085219419657 13-01-2022 202109198G
45 7401140901150002 ASRAF L 6 0 KOLAKAASI 081325999040 13-01-2022 202109198G
46 74011015306120001 KAYLA SHABIRA AZIS P 9 0 KOLAKAASI 085331580626 13-01-2022 202109198G
47 7401145602110002 NUR MAULIDA SYAHIRA P 10 0 KOLAKAASI 082396366939 13-01-2022 202109198G
48 7401140603140002 MUH AL GHAZALI L 7 0 KOLAKAASI 085399881315 13-01-2022 202109198G
49 7401140803130001 MUH REYHAN KURNIAWAN L 8 0 KOLAKAASI 085299255442 13-01-2022 202109198G
50 7401142404120002 MUH. NABIL PRATAMA L 9 0 KOLAKAASI 082353331960 13-01-2022 202109198G
51 7401141706130001 PUTRA NIKTARAF L 8 0 KOLAKAASI 082311214613 13-01-2022 202109198G
52 7401141806120002 MUH HAIKAL RASKA L 9 0 KOLAKAASI 082296147199 13-01-2022 202109198G
53 7401147103130001 RIRY REZKYA SURIANTO P 8 0 KOLAKAASI 0852415555517 13-01-2022 202109198G
54 7401144505140002 HULWATUL SANIA P 7 0 KOLAKAASI 085256029288 13-01-2022 202109198G
55 7606051305130001 A.ALFAHRI RAHMAT HIDAYAT L 8 0 KOLAKAASI 082190181344 13-01-2022 202109198G
56 7606051305130002 A.AL ADIT RAHMAT HIDAYAT L 8 0 KOLAKAASI 082190181344 13-01-2022 202109198G
57 7401145402140001 AQILA AKHANZA P 7 0 KOLAKAASI 082292230080 13-01-2022 202109198G

58 7401140601100001 ILHAM HAKIM L 11 0 KOLAKAASI 085398764491 13-01-2022 202109198G
59 7371130807090002 FAJRIN RAFAEL L 12 0 WOWOTA 085907179140 13-01-2022 202109198G
60 7401141404140002 MIRSANDY GIAN VARELLA P 7 0 KOLAKAASI 085396466196 13-01-2022 202109198G
61 7401140703090003 MUH YUSRIL MALIK L 12 0 KOLAKAASI 082278839112 13-01-2022 202109198G
62 7308216007100001 ANDI RESKI FITRIANI P 11 0 KOLAKAASI 081245657652 13-01-2022 202109198G
63 7401141703120002 MUH ARA NAUFUL L 9 0 KOLAKAASI 082347283824 13-01-2022 202109198G
64 7401146104130002 ISMA AZ-ZAHRA P 8 0 KOLAKAASI 085391115897 13-01-2022 202109198G
65 7401142110140002 MUH IKSAN L 7 0 KOLAKAASI 082259466774 13-01-2022 202109198G
66 7401146805110001 NASYA SITARA SAENAL P 10 0 KOLAKAASI 082352892551 13-01-2022 202109198G
67 7401142802080002 FEBRIANTO L 13 0 KOLAKAASI 081333569618 13-01-2022 202109198G
68 74011067004130001 SASA APRILIA P 8 0 KOLAKAASI 082259073040 13-01-2022 202109198G
69 7401142602130001 MUH RIFKI ADITIYA L 8 0 KOLAKAASI 085219419657 13-01-2022 202109198G
70 7401140606110001 MUH RESKY KURNIAWAN L 10 0 KOLAKAASI 085332363733 13-01-2022 202109198G
71 7401145109120001 AYU AZIZAH AHMAD P 9 0 KOLAKAASI 081342421984 13-01-2022 202109198G
72 7401146512110002 DELFI NATASYA P 10 0 KOLAKAASI 081241926699 13-01-2022 202109198G
73 7401145610130003 WULANDARI P 8 0 KOLAKAASI 085351259429 13-01-2022 202109198G
74 7401142408130001 MUH ISMAIL BASRI L 8 0 KOLAKAASI 082349810630 13-01-2022 202109198G
75 7401142309110002 MUH RAYHAN L 10 0 KOLAKAASI 085241685802 13-01-2022 202109198G
76 7401145311130002 ALIFA HUMAIRAH P 8 0 KOLAKAASI 085240019564 13-01-2022 202109198G
77 7401145507140001 ANDI DIZYA RAMADHANI P 7 0 KOLAKAASI 082299500217 13-01-2022 202109198G
78 7401143105120001 MUH GHNAY ZAKI A L 9 0 KOLAKAASI 0811408991 13-01-2022 202109198G
79 7401232305110000 ARHAM L 10 0 KOLAKAASI 085203048357 13-01-2022 202109198G

80 7401142709100002 MAHESA ERLINA L 11 0 KOLAKAASI 085341699323 13-01-2022 202109198G
81 7401140904140001 A FAHRUL L 7 0 KOLAKAASI 0822293207467 13-01-2022 202109198G
82 7401145307130002 NIA RAMADHANI P 8 0 KOLAKAASI 082187039597 13-01-2022 202109198G
83 7401146804140001 RESTI AULIA ARIFIN P 7 0 KOLAKAASI 081242115862 13-01-2022 202109198G
84 7401201104120001 MUH FADLAN AL FAJRIN L 9 0 KOLAKAASI 085211046682 13-01-2022 202109198G
85 7401144807100003 CELSY JULIA RAMADHANI P 11 0 KOLAKAASI 082271359972 13-01-2022 202109198G
86 7402190303100002 AWAN RIAN SAPUTRA L 11 0 KOLAKAASI 081527215387 13-01-2022 202109198G
87 16080129110130002 AGUNG WIJAYA L 8 0 KOLAKAASI 082398712550 13-01-2022 202109198G
88 74011400901100004 FERDY L 11 0 KOLAKAASI 081355624667 13-01-2022 202109198G
89 7401041104140001 ADLYE FAIRUS L 7 0 KOLAKAASI 082290710994 13-01-2022 202109198G
90 7401142410100001 TIRTA ARDIANSYAH L 11 0 KOLAKAASI 082230553763 13-01-2022 202109198G
91 74O1147112120001 NAILA ASYIFA SABRANI P 9 0 KOLAKAASI 085217393417 13-01-2022 202109198G
92 7411015206120001 ISYA SALSABILA P 9 0 KOLAKAASI 082316446544 13-01-2022 202109198G
93 7401145606140001 RISKA NURMAWADDAH P 7 0 KOLAKAASI 085398822577 13-01-2022 202109198G
94 7401146506100001 SHIVA P 11 0 KOLAKAASI 082189311582 13-01-2022 202109198G
95 7401140911100002 MUH RAFLI L 11 0 KOLAKAASI 085333461842 13-01-2022 202109198G
96 7401141404130001 CHEVINK L 8 0 KOLAKAASI 085353944653 13-01-2022 202109198G
97 7401012902120001 SURYA SAPTA SAGENA L 9 0 KOLAKAASI 082347456503 13-01-2022 202109198G
98 7401146211080002 AZIZAH MANSUR P 13 0 KOLAKAASI 082347720182 13-01-2022 202109198G
99 7401142202130001 ROLAND L 8 0 KOLAKAASI 082291066596 13-01-2022 202109198G
100 7405175911100001 BELA NOVITA P 11 0 KOLAKAASI 082281066048 13-01-2022 202109198G
101 7401142707100001 MUH RISKY AULIA J L 11 0 KOLAKAASI 085299839472 13-01-2022 202109198G

102 7401145802100001 AURA KASIH S P 11 0 KOLAKAASI 081333569621 13-01-2022 202109198G
103 7401142306100002 M.RIDO L 11 0 KOLAKAASI 085824054003 13-01-2022 202109198G
104 7401141211120002 MUH ASYARAF JASLI L 9 0 KOLAKAASI 082217620866 13-01-2022 202109198G
105 7401145706140002 NATASYA NURFADILLAH P 7 0 KOLAKAASI 085656323971 13-01-2022 202109198G
106 7401145202120002 AISYAH FEBRIANTI P 9 0 KOLAKAASI 085330106274 13-01-2022 202109198G
107 7401206504130001 FANY APRILIA FADILLA P 8 0 KOLAKAASI 082248120310 13-01-2022 202109198G
108 7401146104100001 RAHMAWATI K P 11 0 KOLAKAASI 082271295961 13-01-2022 202109198G
109 7401145004130001 RISKY SYANJAENI P 8 0 KOLAKAASI 082290240247 13-01-2022 202109198G
110 7401146304150001 SYAFIRA PUTRI P 6 0 KOLAKAASI 085240019564 13-01-2022 202109198G
111 7401144506150001 RIVANY ASY ZAHRA PUTRI P 6 0 KOLAKAASI 081283208209 13-01-2022 202109198G
112 7401145009100001 SUCI SAFITRIANI P 11 0 KOLAKAASI 085340121373 13-01-2022 202109198G
113 7401144708100001 CHITRA RAMADHANI P 11 0 KOLAKAASI 082290240247 13-01-2022 202109198G
114 7310096612130001 NATASYA P 8 0 KOLAKAASI 085341747346 13-01-2022 202109198G
115 7401145512140003 HUSNUL KHOTIMAH P 7 0 KOLAKAASI 082290155756 13-01-2022 202109198G
116 7401142106110002 ANUGRAH P 10 0 KOLAKAASI 085333461842 13-01-2022 202109198G
117 7401146805100002 NUR CAHAYA P 11 0 KOLAKAASI 081238543830 13-01-2022 202109198G
118 7401144107120001 YULIANTI P 9 0 KOLAKAASI 082291027344 13-01-2022 202109198G
119 7401145807120002 ALIQA NURFADILLAH P 9 0 KOLAKAASI 082346518995 13-01-2022 202109198G
120 7401145810100001 DEWI P 11 0 KOLAKAASI 081241192721 13-01-2022 202109198G
121 7401144808100001 ELTIH P 11 0 KOLAKAASI 081210468816 13-01-2022 202109198G
122 7401140809090001 SULTAN TRIJAYA L 12 0 KOLAKAASI 085796253316 13-01-2022 202109198G
123 74011405030900001 DIMAS BECK L 12 0 KOLAKAASI 081386181533 13-01-2022 202109198G

124 7401144201110001 MAULINDA FEBRIANTI P 10 0 KOLAKAASI 082346483425 13-01-2022 202109198G
125 7401190407110002 RESTU ADITYA L 10 0 KOLAKAASI 082393200500 13-01-2022 202109198G
126 7401140701110004 MUH FADHIL ANUGRAH L 10 0 KOLAKAASI 085326986844 13-01-2022 202109198G
127 7401201403120002 MUH ARYA KENXI L 9 0 KOLAKAASI 081244111489 13-01-2022 202109198G
128 7401140703130002 NUR RAISYAH M P 8 0 KOLAKAASI 082194212037 13-01-2022 202109198G
129 740144502140001 ZAKINAH AHVA F P 7 0 KOLAKAASI 085255376378 13-01-2022 202109198G
130 740114806090001 REVI P 12 0 KOLAKAASI 082393871369 13-01-2022 202109198G
131 740114020113003 MUH AIRLANGGA MUSAKKIR L 8 0 KOLAKAASI 082293731932 13-01-2022 202109198G
132 7401146111130002 NUR AISYAH P 8 0 KOLAKAASI 081340403537 13-01-2022 202109198G
133 7401146508120002 DAFFANIA SYAHIRA P 9 0 KOLAKAASI 081244111489 13-01-2022 202109198G
134 7401141406140001 RIZKI L 7 0 KOLAKAASI 08225006858 13-01-2022 202109198G
135 7401140605120001 IRWANSYAH SAPUTRA L 9 0 KOLAKAASI 085298473334 13-01-2022 202109198G
136 7401042701120001 MUH AZRIL AL DZIKRI B L 9 0 KOLAKAASI 0811409645 13-01-2022 202109198G
137 7401145606110002 NUNI AYU DIANINGSIH P 10 0 KOLAKAASI 082271295961 13-01-2022 202109198G
138 7401140207120002 MUH RISQY L 9 0 KOLAKAASI 082393792882 13-01-2022 202109198G
139 7401013009140001 AL QAIZAR ALFATIH L 7 0 KOLAKAASI 082284079477 13-01-2022 202109198G
140 7401142406080002 MUHAMMAD ALIF L 13 0 KOLAKAASI 082291027344 13-01-2022 202109198G
141 7401140107100004 AKMAL L 11 0 KOLAKAASI 085796253316 13-01-2022 202109198G
142 74011409001100001 M.RAKHA RAIHAN L 11 0 KOLAKAASI 085399881315 13-01-2022 202109198G
143 7401140912110001 M.RISYAWAL AKBAR L 10 0 KOLAKAASI 082345875774 13-01-2022 202109198G
144 7401141701120002 MUH RAFA AL QADRI L 9 0 KOLAKAASI 085219147097 13-01-2022 202109198G
145 74011442031000001 KHAILA PRATIWI P 11 0 KOLAKAASI 082259375428 13-01-2022 202109198G

146 7401140106120002 RINALDY SAIFUL ASNAM L 9 0 KOLAKAASI 082298914202 13-01-2022 202109198G
147 740114431010002 NUR SYAWA INDAH SEIAWAN P 11 0 KOLAKAASI 082393871369 13-01-2022 202109198G
148 7401143004100001 ABDILLAH AL HAFIDZ ASHARI L 11 0 KOLAKAASI 082319715563 13-01-2022 202109198G
149 7401141111090002 IRPAN L 12 0 KOLAKAASI 082319715563 13-01-2022 202109198G
150 7401144406100001 NABILA AZHARAH P 11 0 KOLAKAASI 085217393433 13-01-2022 202109198G
151 7401140801120002 MUH AFDAL L 9 0 KOLAKAASI 082188994193 13-01-2022 202109198G
152 7401141602100002 SATRIA L 11 0 KOLAKAASI 082319715563 13-01-2022 202109198G
153 7401144909100001 ASYIFA SAFITRI AHMAD P 11 0 KOLAKAASI 082343078604 13-01-2022 202109198G
154 7401141804100008 MISRAN MAULANA ARA L 11 0 KOLAKAASI 082319715563 13-01-2022 202109198G
155 7401140409120001 MUH RAYYAN TABOKUA L 9 0 KOLAKAASI 085255143555 13-01-2022 202109198G
156 7401040504100001 MUH AMIRUL AL DZIKRI B L 11 0 KOLAKAASI 0811409645 13-01-2022 202109198G
157 7401140507100001 SYAHID ABD.SALEH L 11 0 KOLAKAASI 081242024444 13-01-2022 202109198G
158 7401142411140001 MUH KHAERUL ALI MANSUR L 7 0 KOLAKAASI 085343863078 13-01-2022 202109198G
159 7401140112120004 MUH FATUR S L 9 0 KOLAKAASI 085397037716 13-01-2022 202109198G
160 7401140105140002 ALIF L 7 0 KOLAKAASI 085238789398 13-01-2022 202109198G
161 7401146909100002 AMIRA PUTRI P 11 0 KOLAKAASI 082114811231 13-01-2022 202109198G
162 7401140201110001 RAFHA EKA PUTRAA L 11 0 KOLAKAASI 081325999040 13-01-2022 202109198G
163 7401147010100001 EVI SASKIYA P 11 0 KOLAKAASI 081247295543 13-01-2022 202109198G
164 7401144110140002 NUR HIKMAH P 7 0 KOLAKAASI 085394244419 13-01-2022 202109198G
165 7401140711130001 MUH REYHAN DWI PRANATA L 8 0 KOLAKAASI 085244401675 13-01-2022 202109198G
166 7401144507140001 AQIFAH NAILA RAMADHANI P 7 0 SEA 082214617166 13-01-2022 202109198G
167 7401046105090001 AMELIA P 12 0 KOLAKAASI 082260950106 13-01-2022 202109198G

168 7401144808080002 ANDI AGUERENA KIRANA L P 13 0 KOLAKAASI 082394878526 13-01-2022 202109198G
169 7401146404130002 SAHIRA NURUL NUBUA P 8 0 KOLAKAASI 085340116757 13-01-2022 202109198G
170 7401144310140003 NUR HAJIZA P 7 0 KOLAKAASI 082259078415 13-01-2022 202109198G
171 7408022302100001 ARAFIL ASYARAF AKBAR L 11 0 KOLAKAASI 081242247198 13-01-2022 202109198G
172 7401141607110002 SATRIA L 10 0 KOLAKAASI 085288890577 13-01-2022 202109198G
173 7402036810120001 RATU AYYINUNNISA P 9 0 KOLAKAASI 082290370245 13-01-2022 202109198G
174 7401141010110002 RENALDI L 10 0 KOLAKAASI 081340403537 13-01-2022 202109198G
175 7401141408100003 TYSON L 11 0 KOLAKAASI 081242247198 13-01-2022 202109198G
176 74011411909110001 MUH AIDIL PRATAMA L 10 0 KOLAKAASI 082284079477 13-01-2022 202109198G
177 7401143005120003 AL MUKRAM L 9 0 KOLAKAASI 0811242889841 13-01-2022 202109198G
178 7401045010090003 KHALIZA NURFADILLAH P 12 0 LAMOKATO 085332083977 13-01-2022 202109198G
179 74011419040900001 ADRIAN L 12 0 KOLAKAASI 08529925578 13-01-2022 202109198G
180 740114570110001 RASTI P 10 0 KOLAKAASI 085251299065 13-01-2022 202109198G
181 7401144403090001 RACHILLA P 12 0 KOLAKAASI 085656323903 13-01-2022 202109198G
182 0
183 0
184 0
185 0
186 0
187 0
188 0
189 0
190 0
191 0
192 0
193 0
194 0
195 0
196 0
197 0
198 0
199 0
200 0
201 0
202 0
203 0
204 0
205 0
206 0
207 0
208 0
209 0
210 0
211 0
212 0
213 0
214 0
215 0
216 0
217 0
218 0
219
220 0
221 0
222 0
223 0
224 0
225 0
226 0
227 0
228 0
229 0
230
231
232
233
234
235
236
237
238
239
240

D = Lainnya
E = Tidak Bekerja

18-30 0 0 A 0
31-45 1 0 B 0
46-59 0 0 C 0
Total 1 0 D 0
Pekerjaan: E 0
A 0 179 Total 0
B 0 2
C 0
D 0
E 0
Total 0
Keterangan
(Ditunda/Tidak
Diberikan/Lanj
ut)
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
SELESAI
SELESAI
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT

Dosis I Dosis 2
Umur
tahun)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 7401141409110004 ANDI MUH AL FARABI L 10 0 KOLAKAASI 082353221280 17-01-2022 202110201i
2 7307091507110001 MUH RIFKI L 10 0 KOLAKAASI 081243479964 17-01-2022 202110201i 16-02-2022 202112232i
3 7401202404120002 RISKI SAPUTRA L 10 0 KOLAKAASI 082259917733 17-01-2022 202110201i
4 7401140709120001 MUH YULHAIDIR YUSUF L 9 0 KOLAKAASI 085341614354 17-01-2022 202110201i 16-02-2022 202112232i
5 7371114208110006 FITRIA RAMDAHANI P 10 0 KOLAKAASI 085343779283 17-01-2022 202110201i 16-02-2022 202112232i
6 7401142209110001 AHMAD RIDWAN S L 10 0 KOLAKAASI 082312638074 17-01-2022 202110201i 16-02-2022 202112232i
7 7401145306130001 AHRAJAL MARWAA P 9 0 KOLAKAASI 085298691275 17-01-2022 202110201i 16-02-2022 202112232i
8 7401101605070001 LUKMAN NUR HAKIM L 12 0 KOLAKAASI 082348790550 17-01-2022 202110201i
9 7401145609100001 KIRANA P 11 0 KOLAKAASI 081292198152 17-01-2022 202110201i 16-02-2022 202112232i
10 740114084120002 ANDIKA PRATAMA L 9 0 KOLAKAASI 085339777288 17-01-2022 202110201i
11 7401041306130004 MUHAMMAD RACHMAT R L 8 0 LAMOKATO 082292215702 17-01-2022 202110201i
12 7401140707120001 MUH REHAN L 9 0 KOLAKAASI 082246052104 17-01-2022 202110201i 16-02-2022 202112232i
13 7401145709120002 KISDHA P 9 0 KOLAKAASI 082297652854 17-01-2022 202110201i 16-02-2022 202112232i

14 3502105801100002 QUEENZA BILQIS ARISHA P 11 0 KOLAKAASI 085824283490 17-01-2022 202110201i 16-02-2022 202112231
15 7401045508100003 ANDI PUTRI RAMADANI P 11 0 KOLAKAASI 082336822539 17-01-2022 202110201i
16 7401145911120002 YULANDARI ZAKARIA P 9 0 SEA 082397868460 17-01-2022 202110201i
17 7401142901130001 AGUSNAWAN L 8 0 KOLAKAASI 085391405759 17-01-2022 202110201i 16-02-2022 202112232i
18 7401140512120003 MUH ADRIAN L 9 0 SEA 081341017978 17-01-2022 202110201i
19 7308176701130003 NURFADILLAH P 8 0 KOLAKAASI 082349574647 17-01-2022 202110201i
20 7401141505190002 AULIA RAMADHANI P 11 0 KOLAKAASI 085241933752 17-01-2022 202110201i 16-02-2022 202112232i
21 7401142105100001 RAFI HIDAYAH L 11 0 KOLAKAASI 085222638486 17-01-2022 202110201i 16-02-2022 202112232i
22 7401142603130001 ADITYA SAPUTRA L 8 0 KOLAKAASI 082187628010 17-01-2022 202110201i
23 7401146711120001 SARAH DWI NOVIANTI P 9 0 SEA 085338680829 17-01-2022 202110201i
24 7401146308140001 NUR KHAYLA P 7 0 KOLAKAASI 085298486251 17-01-2022 202110201i 16-02-2022 202112232i
25 7401145806130001 AQILAH MIKHAYYIRAH P 8 0 KOLAKAASI 082195834615 17-01-2022 202110201i
26 7401142811140001 RIFKY RAHMATULLAH A L 7 0 KOLAKAASI 085363270955 17-01-2022 202110201i 16-02-2022 202112232i
27 7401145005150001 MEINANDA FAJARIA S P 7 0 KOLAKAASI 085341614354 17-01-2022 202110201i 16-02-2022 202112232i
28 7401042303140001 MUH ADIB ALZUHDY L 7 0 TAHOA 082259612176 17-01-2022 202110201i 16-02-2022 202112232i
29 7401141302140001 DIMAS ADISTYA L 7 0 KOLAKAASI 085281779290 17-01-2022 202110201i 16-02-2022 202112232i
30 7401141010130003 DAFFA PRATAMA L 8 0 SEA 085242345728 17-01-2022 202110201i 16-02-2022 202112231
31 7308182909130001 AHMADA SADEWA L 8 0 SEA 085256732466 17-01-2022 202110201i
32 7401144607130001 ADIBA AZAHRA P 8 0 KOLAKAASI 085340121287 17-01-2022 202110201i 16-02-2022 202112232i
33 7401144905130001 KIRANA PUTRI UMAERA P 8 0 KOLAKAASI 081338788719 17-01-2022 202110201i
34 7401141903140001 FIRMAN L 7 0 KOLAKAASI 081245654161 17-01-2022 202110201i
35 7401146002120001 ZIZKY AMALIA P 9 31-45 KOLAKAASI 082192292759 17-01-2022 202110201i

36 7401141902120001 MUH ILHAM L 9 0 KOLAKAASI 082259658714 17-01-2022 202110201i 16-02-2022 202112232i
37 7401140302130001 MUH KRISNA ARIF L 8 0 KOLAKAASI 081929547986 17-01-2022 202110201i 16-02-2022 202112232i
38 7401141701150001 MUH ALBIQSAR L 6 0 KOLAKAASI 085340121287 17-01-2022 202110201i 16-02-2022 202112232i
39 7401040807110002 MUH KHAERUL L 10 0 KOLAKAASI 082191366632 17-01-2022 202110201i
40 7401141208170004 FAREL NUAL L 7 0 KOLAKAASI 082259983311 17-01-2022 202110201i 16-02-2022 202112232i
41 7401141906120001 SALDI SALAM L 9 0 KOLAKAASI 081523754240 17-01-2022 202110201i
42 7401140505120001 MUH TIRTA L 9 0 KOLAKAASI 085281779290 17-01-2022 202110201i 16-02-2022 202112232i
43 7401144510110001 NUR ZAHRA P 10 0 SEA 085222859829 17-01-2022 202110201i 16-02-2022 202112232i
44 7401145409140001 NABILA MUSLIADI NASIR P 7 0 KOLAKAASI 081335114101 17-01-2022 202110201i 16-02-2022 202112232i
45 7401142407120001 ADAM AL BUKHARI L 9 0 KOLAKAASI 085240717519 17-01-2022 202110201i 16-02-2022 202112232i
46 7401145902140003 ANDI REZKILA P 7 0 KOLAKAASI 085256325352 17-01-2022 202110201i 16-02-2022 202112232i
47 7401207110140001 INDRIANI P 7 0 KOLAKAASI 082259917743 17-01-2022 202110201i
48 3 7401144305100001 FARAH P 11 0 SEA 081245522844 17-01-2022 202110201i
49 7401146411110001 NUR AFIKA P 10 0 SEA 082193124844 17-01-2022 202110201i 16-02-2022 202112232i
50 7401141005150001 AHMAD SYAKIR L 6 0 KOLAKAASI 082290103727 17-01-2022 202110201i
51 1404092802130003 M ALDIKA RAHMAR L 9 0 KOLAKAASI 085146335811 17-01-2022 202110201i
52 74011403111140002 MUH RIZQULLAH MUFU L 9 0 KOLAKAASI 082399189991 17-01-2022 202110201i
53 7401146203150001 RANIA KHUMAIRA P 6 0 SEA 085319554128 17-01-2022 202110201i 16-02-2022 202112232i
54 3 7401140811080002 MUSLIMAN L 13 0 SEA 081340030021 17-01-2022 202110201i 16-02-2022 202112232i
55 7401140412130001 AL FIQRAM L 8 0 KOLAKAASI 081340028324 17-01-2022 202110201i 16-02-2022 202112232i
56 74011412208110001 HALKING L 10 0 KOLAKAASI 082271304727 17-01-2022 202110201i
57 7401145302150001 CHIKA AMELIA P 6 0 KOLAKAASI 085281779290 17-01-2022 202110201i 16-02-2022 202112232i

58 7401141204130002 MUH RIJAL L 8 0 SEA 0823126381343 17-01-2022 202110201i 16-02-2022 202112232i
59 7401145104110001 ADELIA P 10 0 SEA 085396645124 17-01-2022 202110201i
60 7401144111120002 AINUN ANNAYRA P 9 0 KOLAKAASI 082296689568 17-01-2022 202110201i
61 7401106706150001 AISYAH FATIYATUH RAHMA P 6 0 KOLAKAASI 082296689568 17-01-2022 202110201i
62 3 7401145407090001 VERONIKA JUANA P 14 0 LALOEHA 082271037731 17-01-2022 202110201i 16-02-2022 202112232i
63 3 7401144711100001 RISDAYANTI P 11 0 KOLAKAASI 081342092336 17-01-2022 202110201i 16-02-2022 202112232i
64 7401111203080004 RIFKI RIADI RAMLI L 7 0 KOLAKAASI 085397299505 17-01-2022 202110201i 16-02-2022 202112232i
65 7401141411120002 MUH RAIS L 9 0 MANGOLO 081340334166 17-01-2022 202110201i 16-02-2022 202112232i
66 7401146509120001 AMILDA RUSMAN P 9 0 KOLAKAASI 082271327348 17-01-2022 202110201i 16-02-2022 202112232i
67 7401144208130002 AQILA RAMADANI P 8 0 KOLAKAASI 082299407526 17-01-2022 202110201i 16-02-2022 202112232i
68 7401141208100001 MUH AWAL RAMADAN L 11 0 KOLAKAASI 082217863755 17-01-2022 202110201i 16-02-2022 202112232i
69 7401142007130002 IQWAHNUL RAMADAN L 8 0 KOLAKAASI 082292732409 17-01-2022 202110201i 16-02-2022 202112232i
70 3 7401142603080002 MUH RAFLI L 13 0 SEA 085823194051 17-01-2022 202110201i
71 7401142510100002 MUH RAZI1 SYAHMI L 11 0 KOLAKAASI 082349133307 17-01-2022 202110201i
72 7401145907130001 NUR ALIFAH P 8 0 KOLAKAASI 081242092405 17-01-2022 202110201i 16-02-2022 202112232i
73 7401141805130003 ADB RAHIM L 8 0 KOLAKAASI 082197128008 17-01-2022 202110201i
74 3 7401145502100005 AYU SAFIRNA P 11 0 SEA 082398250674 17-01-2022 202110201i 16-02-2022 202112232i
75 7401144405130002 REVA MULIA ASRI P 8 0 KOLAKAASI 082293266636 17-01-2022 202110201i 16-02-2022 202112232i
76 3 7401140510100001 RIFKI ANEMON SALAM L 11 0 KOLAKAASI 082259459690 17-01-2022 202110201i
77 7401145103130003 EKHA SRI WULANDARI P 8 0 KOLAKAASI 085255154156 17-01-2022 202110201i 16-02-2022 202112232i
78 7401144310110001 FERLITA NUAL P 10 0 SEA 082259983311 17-01-2022 202110201i 16-02-2022 202112232i
79 7401141010130004 AL FAJAR L 8 0 KOLAKAASI 081245917996 17-01-2022 202110201i

80 3 7401144601140001 DIVA NADIRA P 7 0 KOLAKAASI 082195951297 17-01-2022 202110201i 16-02-2022 202112232i
81 3 7401141505140001 BASDIAR L 7 0 MANGOLO 081342092336 17-01-2022 202110201i
82 7401146208130002 NABILA P 8 0 SEA 082259757387 17-01-2022 202110201i
83 7401144206140003 RAODAH ASSYIFATUL MILLAH P 7 0 KOLAKAASI 082393437033 17-01-2022 202110201i
84 3 7401045111110002 NUR SEPTIANA DEWI P 10 0 SEA 02393300434 17-01-2022 202110201i 16-02-2022 202112231
85 7401142004100002 MUH HALILINTAR L 11 0 KOLAKAASI 081245661472 17-01-2022 202110201i 16-02-2022 202112232i
86 7401140105140001 MUH ABDULLAH ILHAM L 7 0 KOLAKAASI 085255909886 17-01-2022 202110201i 16-02-2022 202112232i
87 3 7401142805080001 RIFAL L 13 0 SEA 085757202406 17-01-2022 202110201i 16-02-2022 202112232i
88 7401146907100002 NABILA P 11 0 SEA 085270406033 17-01-2022 202110201i 16-02-2022 202112232i
89 7401140306140001 MUH YUSRAN YAZID L 7 0 KOLAKAASI 085396622731 17-01-2022 202110201i
90 7401144210120001 ANISA INDRIANI P 9 0 SEA 082191798810 17-01-2022 202110201i 16-02-2022 202112232i
91 7401141705110002 ARIFIN L 10 0 SEA 085396967006 17-01-2022 202110201i
92 7401142305130001 ALIF L 8 0 SEA 082244949610 17-01-2022 202110201i
93 7401140603150001 ZULKIFLI SALIM L 6 0 KOLAKAASI 082255869714 17-01-2022 202110201i 16-02-2022 202112232i
94 7401144509120002 SYAHWA SALIM P 9 0 KOLAKAASI 082255869714 17-01-2022 202110201i 16-02-2022 202112232i
95 3 7401144607090003 NURSIA KADIR P 12 0 KOLAKAASI 081524153566 17-01-2022 202110201i 16-02-2022 202112232i
96 7401142004140001 MUH ALIF AKBAR L 7 0 SEA 082320691977 17-01-2022 202110201i
97 3 7401140204110002 MUH APRILIANSYAH PUTRA L 10 0 KOLAKAASI 081340030021 17-01-2022 202110201i 16-02-2022 202112232i
98 7401072701130001 MUH REZA MAULAN SAPUTRA L 8 0 SEA 082290370362 17-01-2022 202110201i 16-02-2022 202112232i
99 7401141811100003 MUH ZULHAJRI L 11 0 KOLAKAASI 085258457551 17-01-2022 202110201i 16-02-2022 202112232i
100 7401142203100001 MUH HARIFAI L 11 0 KOLAKAASI 082348008930 17-01-2022 202110201i 16-02-2022 202112232i
101 7401140301130002 FARHAN L 8 0 KOLAKAASI 085282562204 17-01-2022 202110201i 16-02-2022 202112232i

102 3 7401146801110002 NUR SASKIA P 10 0 SEA 085242377595 17-01-2022 202110201i 16-02-2022 202112232i
103 3 7401141202110002 MUH SAKIR L 10 0 SEA 082348683963 17-01-2022 202110201i 16-02-2022 202112232i
104 7401015805130001 NUR AQILA P 8 0 KOLAKAASI 085394446770 17-01-2022 202110201i 16-02-2022 202112232i
105 7401142201140001 AL AKBAR CAESAR N F L 7 0 SEA 085249560534 17-01-2022 202110201i 16-02-2022 202112232i
106 7401143105130002 MUH FADRIANSYAH L 8 0 KOLAKAASI 081240596874 17-01-2022 202110201i 16-02-2022 202112232i
107 7401144402140001 AKILA P 7 0 SEA 081245522844 17-01-2022 202110201i
108 7401142503130001 MUH ALIF L 8 0 SEA 081341017978 17-01-2022 202110201i
109 7401145604110003 NUR AULIL ILMI P 10 0 SEA 082187874231 17-01-2022 202110201i 16-02-2022 202112232i
110 7401145009120001 ASYFA DWI ZAHRA P 9 0 SEA 082187010167 17-01-2022 202110201i 16-02-2022 202112232i
111 7401147008120001 AGUSTINA P 9 0 SEA 082188471814 17-01-2022 202110201i
112 3 7401142012140001 MUH SAFWAN L 7 0 SEA 082188170849 17-01-2022 202110201i 16-02-2022 202112232i
113 3 7401141905140004 MUH IBNU ALFARIZI L 7 0 SEA 082188170849 17-01-2022 202110201i 16-02-2022 202112232i
114 7401142409090002 MUH IKSAN L 12 0 SEA 085240086763 17-01-2022 202110201i
115 3 7401142303100002 RAFLY ZHACKY SAPUTRA L 11 0 KOLAKAASI 083839792892 17-01-2022 202110201i 16-02-2022 202112232i
116 3 7401144807120001 AMAS RESKI ALIYAH P 9 0 SEA 081247949149 17-01-2022 202110201i 16-02-2022 202112232i
117 7401041406090001 RIADIL ATHSANI L 12 0 SEA 08292500175 17-01-2022 202110201i
118 7401144603120001 LESTARI P 10 0 KOLAKAASI 082345745271 17-01-2022 202110201i
119 7401106011110001 DELVI RAHMADANI P 10 0 SEA 085259794084 17-01-2022 202110201i 16-02-2022 202112232i
120 7401145801110002 AJWA KISWAN P 10 0 KOLAKAASI 082353252658 17-01-2022 202110201i 16-02-2022 202112232i
121 7401146406110001 ISMI FAIRIN ANGGRAENI P 10 0 SEA 0823960985677 17-01-2022 202110201i
122 7401142712100001 MUH RESKY MAULANA L 11 0 KOLAKAASI 085298486251 17-01-2022 202110201i
123 7401145201100001 SILVANA P 11 0 KOLAKAASI 085298486251 17-01-2022 202110201i 16-02-2022 202112232i

124 7401142308100003 MUH I'AM RAMADAN L 11 0 KOLAKAASI 082239785076 17-01-2022 202110201i 16-02-2022 202112232i
125 3 7401142108130003 MUH FADHIL ALFAIRIZI L 8 0 KOLAKAASI 082293144241 17-01-2022 202110201i
126 7401145706100003 MARNI P 11 0 KOLAKAASI 082259474067 17-01-2022 202110201i 16-02-2022 202112232i
127 7401145903100003 SAKINAH MULIANA PUTRI P 11 0 SEA 085338680829 17-01-2022 202110201i 16-02-2022 202112232i
128 7401143108110001 MUH ILHAM RAMADAN L 10 0 KOLAKAASI 081335114101 17-01-2022 202110201i 16-02-2022 202112232i
129 7401141705110001 MUH AGHIF L 10 0 SEA 085342272220 17-01-2022 202110201i
130 3 7401140612120001 DIMAS DHIAFAKHRI L 9 0 SEA 082195951297 17-01-2022 202110201i 16-02-2022 202112232i
131 7401145911100001 ASMAUL HUSNA P 11 0 KOLAKAASI 082218395770 17-01-2022 202110201i 16-02-2022 202112232i
132 7206051802100002 M FADIL ARKAS L 11 0 SEA 085696567312 17-01-2022 202110201i
133 7401144903120001 NABILA KHANSA LATHIFAH P 9 0 SEA 085343548392 17-01-2022 202110201i 16-02-2022 202112232i
134 3502100607140003 AVRAM BRAVIA VERINDANA L 7 0 KOLAKAASI 085824283490 17-01-2022 202110201i 16-02-2022 202112231
135 7401140711090001 M.ALIF L 12 0 KOLAKAASI 082197124008 17-01-2022 202110201i
136 6404051106100001 M RIZKY SYAPUTRA L 11 0 KOLAKAASI 081254805700 17-01-2022 202110201i 16-02-2022 202112232i
137 7401145707090002 SERLI YANTI P 12 0 KOLAKAASI 082260053807 17-01-2022 202110201i 16-02-2022 202112232i
138 7401145809110002 ANISA P 10 0 KOLAKAASI 081340028324 17-01-2022 202110201i 16-02-2022 202112232i
139 7401142602080005 IRSAL USMAN L 13 0 SEA 082219253376 17-01-2022 202110201i 16-02-2022 202112232i
140 7401140101100003 BILSABRI L 11 0 KOLAKAASI 082345745271 17-01-2022 202110201i 16-02-2022 202112232i
141 7401144410090002 GITA AYU LESTARI P 12 0 SEA 085251854138 17-01-2022 202110201i 16-02-2022 202112232i
142 7206052309090002 FITRAH AZZUKHRUF L 12 0 LAMOKATO 085259421524 17-01-2022 202110201i 16-02-2022 202112232i
143 7401142712100002 SYAIFUL FARHAN L 11 0 SEA 081355114101 17-01-2022 202110201i 16-02-2022 202112232i
144 7401146404100001 APRILIANI P 11 0 KOLAKAASI 081245951008 17-01-2022 202110201i 16-02-2022 202112232i
145 7401141805110003 YOWAN ALIN ZAKARIA L 11 0 SEA 082397868460 17-01-2022 202110201i 16-02-2022 202112232i
146 731115108090004 YUNIAR FIRDAYANTI P 12 0 KOLAKAASI 085343779283 17-01-2022 202110201i 16-02-2022 202112232i
147 7401145203100001 NUR INTAN P 11 0 SEA 085240636191 17-01-2022 202110201i 16-02-2022 202112232i
148 7401145911090002 SABRINA P 12 0 KOLAKAASI 085343779283 17-01-2022 202110201i 16-02-2022 202112232i
149 7401143005090002 MUH IKSAN L 12 0 SEA 085397451700 17-01-2022 202110201i 16-02-2022 202112232i
150 7401015708100002 AFIFAH NUR MALIKA P 11 0 KOLAKAASI 085394417037 17-01-2022 202110201i 16-02-2022 202112231
151 7401146804100002 NUR ASIFA P 11 0 SEA 082193124844 17-01-2022 202110201i 16-02-2022 202112232i
152 3 7401141801130004 MUH ROIHAN L 8 0 SEA 082353074739 17-01-2022 202110201i 16-02-2022 202112232i
153 7401140606110002 ABDUL ROCHIM L 10 0 SEA 082293089773 17-01-2022 202110201i 16-02-2022 202112231
154 7307092502100001 MUH ARKAM L 11 0 KOLAKAASI 081243147964 17-01-2022 202110201i
155 7401145908100001 IQMA RAMADHANI P 11 0 MANGOLO 082193242444 17-01-2022 202110201i 16-02-2022 202112232i
156 7401045108100001 SUCI P 11 0 SABILAMBO 085244265232 17-01-2022 202110201i 16-02-2022 202112232i
157 7401142808100002 MUH YULFI NADHIL L 11 0 SEA 081244053435 17-01-2022 202110201i
158 74050716081000002 MUH HILAL R T L 11 0 LAMOKATO 085241272303 17-01-2022 202110201i 16-02-2022 202112232i
159 7401140807110001 MUH ANUGRAH L 10 0 KOLAKAASI 082281545438 17-01-2022 202110201i
160 7401142407120002 MUH KASRAN R L 9 0 KOLAKAASI 082281545438 17-01-2022 202110201i
161 7401144404090001 INDRIANI PUTRI P 12 0 SEA 082219253376 17-01-2022 202110201i
162 7411452120900002 TIARA P 12 0 SEA 081341215143 17-01-2022 202110201i 16-02-2022 202112231
163 74010157007100002 NADIRA ANGGRAENI P 11 0 KOLAKAASI 085394446770 17-01-2022 202110201i 16-02-2022 202112231
164 3 7401142511110008 ARJUNA SAPUTRA L 10 0 SEA 085289450307 17-01-2022 202110201i 16-02-2022 202112231
165 3 7401144908110001 ALIYAH KADIR P 10 0 KOLAKAASI 081524153566 17-01-2022 202110201i 16-02-2022 202112232i
166 7401140809080016 MUH YUSRI L 11 0 KOLAKAASI 085395475940 17-01-2022 202110201i 16-02-2022 202112232i
167 7401145207100002 RARA NESTASYA R P 11 0 KOLAKAASI 085397299565 17-01-2022 202110201i 16-02-2022 202112232i
168 7401145004110002 FAIQAH AFYAH AZAHRA P 11 0 KOLAKAASI 082191346999 17-01-2022 202110201i 16-02-2022 202112232i
169 7401144204100002 NADILA ZAKKYA P 11 0 KOLAKAASI 082259059814 17-01-2022 202110201i 16-02-2022 202112232i
170 7401141801130003 AKZAN RIZKY R L 8 0 WOWOTA 082244239552 17-01-2022 202110201i
171 7401142104100001 REIHAN L 11 0 KOLAKAASI 082189281362 17-01-2022 202110201i 16-02-2022 202112232i
172 3 7401142710120001 SYAMSU ALAM L 9 0 SEA 085242035977 17-01-2022 202110201i 16-02-2022 202112232i
173 7401144303100001 IKRA ARMADA KASIH L 11 0 SEA 085396645124 17-01-2022 202110201i 16-02-2022 202112232i
174 7401044311100002 KHAERUNNISA NAILA ADILLAH P 11 0 WATULIANDU 081243096327 17-01-2022 202110201i 16-02-2022 202112232i
175 7401147112130003 ELISYA PERMATASARI P 8 0 KOLAKAASI 081340434369 17-01-2022 202110201i 16-02-2022 202112232i
176 7401141309110001 MUH SYAWAL L 10 0 KOLAKAASI 081245587227 17-01-2022 202110201i 16-02-2022 202112232i
177 3 7401141107130001 RISKI RAMDHANI L 8 0 SEA 082323022963 17-01-2022 202110201i 16-02-2022 202112232i
178 7401142709100003 HAERUL UBAID L 11 0 KOLAKAASI 085241894002 17-01-2022 202110201i
179 7401142705110001 RESKI FAREL L 10 0 KOLAKAASI 085299592885 17-01-2022 202110201i 16-02-2022 202112232i
180 7401144811110002 AINI SYAHRINI P 10 0 KOLAKAASI 082187628010 17-01-2022 202110201i 16-02-2022 202112232i
181 7401145502110003 VIELY ALISYA D P 10 0 SEA 082181602247 17-01-2022 202110201i 16-02-2022 202112232i
182 7401144811100002 NINDIRA P 11 0 KOLAKAASI 085240747519 17-01-2022 202110201i 16-02-2022 202112232i
183 7401141010130005 MUH RIJAL KURNIAWAN L 8 0 KOLAKAASI 082239785076 17-01-2022 202110201i 16-02-2022 202112232i
184 7401142308100002 MUH AISNUL RAMADAN L 11 0 SEA 082189664376 17-01-2022 202110201i 16-02-2022 202112232i
185 7401142605100003 FADIL L 11 0 SEA 081245587227 17-01-2022 202110201i
186 3 7401142012110001 MUH ILMAN L 10 0 SEA 082228182942 17-01-2022 202110201i 16-02-2022 202112232i
187 3 7401145307110001 AFIKA P 10 0 SEA 081245522844 17-01-2022 202110201i
188 3 7401143105120002 MUH RIFKY L 9 0 SEA 081245654069 17-01-2022 202110201i 16-02-2022 202112231
189 7401145706120001 ARSYILLA MANOKASI P 9 0 KOLAKAASI 082399627668 17-01-2022 202110201i 16-02-2022 202112232i
190 3 7401144104110001 SELFI P 11 0 KOLAKAASI 082228182942 17-01-2022 202110201i 16-02-2022 202112232i
191 7401146910140001 NUR AISYA SYAFA P 7 0 KOLAKAASI 08239636939 17-01-2022 202110201i 16-02-2022 202112232i
192 7401144304120001 FAIKA FAUSIAH P 9 0 SEA 085343702855 17-01-2022 202110201i
193 7401146110120003 MICHELLE P 9 0 SEA 081245587227 17-01-2022 202110201i
194 7401145209130001 AQILA SYAHWA ARPIN P 8 0 KOLAKAASI 081214099276 17-01-2022 202110201i 16-02-2022 202112232i
195 7401144401130002 FITRIANA RUSLI P 8 0 KOLAKAASI 082294571373 17-01-2022 202110201i
196 7401145702100001 FARADILLA RUSLI P 11 0 KOLAKAASI 082294571373 17-01-2022 202110201i
197 7401146911130001 NURFAH P 9 0 SEA 085270406033 17-01-2022 202110201i 16-02-2022 202112232i
198 7401140105130001 MUH IRHAM L 9 0 SEA 081340030021 17-01-2022 202110201i 16-02-2022 202112232i
199 7401046307120002 FITRIANI S P 10 0 SEA 085298757332 17-01-2022 202110201i 16-02-2022 202112232i
200 7401146206120001 NUR AFIKA P 10 0 SEA 085342272930 17-01-2022 202110201i 16-02-2022 202112232i
201 7401145903110001 AKIFA NAILA P 11 0 SEA 082188401339 17-01-2022 202110201i 16-02-2022 202112232i
202 7401146801100001 NUR HIKMA YANTI P 12 0 SEA 082296475227 17-01-2022 202110201i 16-02-2022 202112232i
203 7401146309120001 RIANA P 10 0 KOLAKAASI 082259763068 17-01-2022 202110201i 16-02-2022 202112232i
204 7401144606110002 SITI AMINA P 11 0 SEA 081341215143 17-01-2022 202110201i 16-02-2022 202112232i
205 7401146810110001 CHADIBA NUR SARI P 11 0 KOLAKAASI 085299409148 17-01-2022 202110201i 16-02-2022 202112232i
206 7401140506110002 MUH IRWAN L 11 0 SEA 085397451700 17-01-2022 202110201i 16-02-2022 202112232i
207 7401141705110001 MUH AGHIFAN TAQWA L 11 0 SEA 08534272220 17-01-2022 202110201i 16-02-2022 202112232i
208 7401145708110001 RAHMAWATI P 11 0 KOLAKAASI 082259414061 17-01-2022 202110201i 16-02-2022 202112232i
209 3172010112101003 AHMAD KEVIN NUGRAHA L 12 0 SEA 082344778686 17-01-2022 202110201i 16-02-2022 202112232i
210 7401041806130001 MUH IKRAM L 9 0 WATULIANDU 082393300454 17-01-2022 202110201i 16-02-2022 202112232i
211 7401142908150001 SHAWN DEDAN SURYACITRA L 7 0 MANGOLO 08211248027 16-02-2022 202112232i

212 7401145404120002 ENDANG SRI RAHAYU P 10 0 KOLAKAASI 081244111488 16-02-2022 202112232i
213 7401142512120001 SANTO SHE DESUS BRIA L 1 0 KOLAKAASI 16-02-2022 202112232i
214 7401145906130001 ARIFA NURFADILA P 9 0 KOLAKAASI 085395805919 16-02-2022 202112232i
215 7401140108100001 MUH ZAIN AL ZUFAR L 12 0 MANGOLO 085345414806 16-02-2022 202112232i
216 7401140901140001 FAIRUZ ZHAFRAN L 8 0 SEA 085342363027 16-02-2022 202112232i
217 8206086702100001 ANIZA FEBRUSNA P 12 0 SEA 082296735366 16-02-2022 202112232i
218 7401141708100001 MUH AL FAHRESHI DIRGAHAYU L 12 0 KOLAKAASI 082239663257 16-02-2022 202112232i
219 7401146101130001 ALIFA KUMALA TC P 9 0 SEA 081343734125 16-02-2022 202112232i
220 7401144402140002 ALIKA KUMALA TC P 8 0 SEA 081343734125 16-02-2022 202112232i
221 7401142802120002 MUH FADLAN L 10 0 SEA 082292663481 16-02-2022 202112232i
222 7401144303110001 KHAERATUNNISA P 11 0 MANGOLO 085333263266 16-02-2022 202112232i
223 7401145202140001 TIARA KHALIFAH P 8 0 SEA 081341185450 16-02-2022 202112232i
224 7401141803110001 MUH HADI DERMAWAN L 11 0 SEA 082233572614 16-02-2022 202112232i
225 7401146910100002 PUTRI MULIANA P 12 0 KOLAKAASI 082246688776 16-02-2022 202112232i
226 7401140806140002 RAHMAT L 8 0 KOLAKAASI 082271304727 16-02-2022 202112232i
227 7401144607130002 ANDI NUR AKILA P 9 0 KOLAKAASI 085250228588 16-02-2022 202112232i
228 7401041812130001 M REHAN SAPUTRA L 9 0 KOLAKAASI 082189933506 16-02-2022 202112232i
229 0
230
231
232
233
234
235
236
237
238
239
240

D = Lainnya
E = Tidak Bekerja

18-30 0 0 A 0
31-45 1 0 B 0
46-59 0 0 C 0
Total 1 0 D 0
Pekerjaan: E 0
A 0 228 Total 0
B 0 146
C 0
D 0
E 0
Total 0
Keterangan
(Ditunda/Tidak
Diberikan/Lanj
ut)
LANJUT
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
LANJUT
LANJUT SDN 2 LAMOKATO
SELESAI
SELESAI
SELESAI
LANJUT
LANJUT
SELESAI
LANJUT
LANJUT
SELESAI
SELESAI
LANJUT
LANJUT
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
LANJUT
LANJUT
LANJUT
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
LANJUT
SELESAI
LANJUT
LANJUT
LANJUT
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
LANJUT
LANJUT
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
LANJUT
SELESAI
LANJUT
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
LANJUT
SELESAI
LANJUT
LANJUT
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
LANJUT
LANJUT
SELESAI
SELESAI
SELESAI INPUT VAKSIN 2 TGL 16/3/2022 36.5 130/80
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
LANJUT
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
LANJUT
LANJUT
SELESAI
SELESAI
LANJUT
LANJUT
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
LANJUT
SELESAI
LANJUT
LANJUT
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
LANJUT
SELESAI
LANJUT
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI INPUT VAKSIN 2 TGL 16/3/2022 36 100/60
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT

Dosis I Dosis 2
Keterangan
Umur
tahun)
No. Batch No. Batch
I Tahap II
1 7401142603140003 MUH. OZIL PRATAMA L 7 0 HKSN MINA PERMAI 085220889707 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
2 74011446101460001 CELIA RAMADANI P 7 0 JL. ABADI KOLAKAASI 081245660893 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
3 74011404111130001 YUSRIL L 8 0 JL. OPO KOLAKAASI 085299911702 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
4 7401146008140002 HASNI P 7 0 JL. CAREDE KOLAKAASI 085241575782 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
5 7303010508140001 MUH. FAHRI L 7 0 JL. OPO KOLAKAASI 081356883541 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
6 7401140411140003 BASMAN ABBAS L 7 0 JL. ABADI KOLAKAASI 085212566820 18-1-2022 18-1-2022 202110201l LANJUT
7 7401141411140001 DIRGA WAHYU PRATAMA L 7 0 KOLAKAASI 085343863097 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
8 7401144901150001 SARLINA PUTRI P 6 0 JL. CAREDE KOLAKAASI 082333499500 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
9 740114202140001 ARJUM FARHAM L 7 KOLAKAASI 081245310920 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
10 7606054707140001 ANDI LUTFIA RAMADANI P 7 JL.BEKICOT KOLAKAASI 082292193383 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
11 7401045002140001 ANISA P 7 JL. CUMI-CUMI KOLAKAASI '0853421221169 18-1-2022 18-1-2022 202110201l LANJUT
12 7401145111120001 HILYATUL JANNA P 9 JL. ABADI KOLAKAASI 085299757277 18-1-2022 18-1-2022 202110201l LANJUT
13 7401141507140001 MUH. RESKI RAMADHAN L 7 KOLAKAASI 085396620509 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
14 7401142502130002 AHMAD KHAIRAN L 8 JL. PEMUDA 082189574787 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
15 7401144802140002 HAERANI P 7 JL. OPO KOLAKAASI 085338841968 18-1-2022 18-1-2022 202110201l LANJUT
16 740114011113002 DHANANG SUDRAJAT L 8 JL. ABADI KOLAKAASI 081355324880 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
17 7401144611130001 IIN AMIRATUL AZ ZAHRA P 8 HKSN MANGOLO 085796166959 18-1-2022 18-1-2022 202110201l LANJUT
18 7401140203140001 MUH. ALIF ALDIANSYAH L 7 JL. DURIAN SAKULI 082323811662 18-1-2022 18-1-2022 202110201l LANJUT
19 7401140201140001 MUHAMMAD RAFA L 7 0 JL. ABADI KOLAKAASI '082260053872 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
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158 7401144101100001 NATASYA P 11 0 KOLAKAASI 085268784026 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
159 7401146011100002 SELIKA YASMIN P 10 0 KOLAKAASI 082395605329 18-1-2022 18-1-2022 202110201l 18-01-2022 202110201L SELESAI
160 7401146209100001 ELZHA RAHMALIA P 11 0 KOLAKAASI 082280687955 18-1-2022 18-1-2022 202110201l LANJUT
161 7401142011110001 MUH ALFAUZAN L 10 0 SEA 082246052289 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
162 7401146901100001 MELINDA P 11 0 KOLAKAASI 081356883541 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
163 74011462121300002 AMELIN PETRUS P 8 0 KOLAKAASI 082211906415 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
164 7401147006140002 NURKAILA RAHMADANI P 7 0 KOLAKAASI 085343636916 18-1-2022 18-1-2022 202110201l LANJUT
165 7401146103100001 SARI AYU P 11 0 KOLAKAASI 085282032702 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
166 7401141206150001 REHAN L 6 0 KOLAKAASI 085246237337 18-1-2022 18-1-2022 202110201l LANJUT
167 7401041412080001 AJIS BURHAN MAULANA L 13 0 KOLAKAASI 082194000054 17-02-2022 20211223i SELESAI
168 7401140510110001 HAIZAL L 10 0 LALOEHA 082195955290 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
169 7401144308100001 AJENG AISYAH RAMADANI P 11 0 KOLAKAASI 082310637525 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
170 7401141911110001 ZULHAJRI L 10 0 KOLAKAASI 082155801815 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
171 7401140809120001 ALDIANSYAH PRATAMA L 9 0 KOLAKAASI 081340407021 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
172 7401144103130001 ALYA ZALSABILA P 9 0 KOLAKAASI 085394171143 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
173 7401142512090001 ARIL L 12 0 KOLAKAASI 085399513707 18-1-2022 18-1-2022 202110201l LANJUT
174 7401145312100002 FITRI RAMADANI P 11 0 KOLAKAASI 085399513707 18-1-2022 18-1-2022 202110201l LANJUT
175 74011432308110002 ADAM L 10 0 KOLAKAASI 082235887894 18-1-2022 18-1-2022 202110201l LANJUT
176 7401045708100001 ALVINA RAMADANI P 11 0 KOLAKAASI 0812454654401 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
177 7401142004100001 MUH RIFKI SYARIF L 11 0 SEA 082311501580 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
178 7401140902130003 ALIF L 8 0 KOLAKAASI 0852556969325 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
179 7401142006100001 ANDI SULFIKAR L 11 0 KOLAKAASI 082189574787 18-1-2022 18-1-2022 202110201l LANJUT
180 7401142603120002 MUH ALIANSYAH L 9 0 KOLAKAASI 082191946434 18-1-2022 18-1-2022 202110201l LANJUT
181 7401146512110001 RIVANA ZAHARA SAPUTRI L 10 0 KOLAKAASI 085241933355 18-1-2022 18-1-2022 202110201l LANJUT
182 010455232712329 ALDI GIFARI RAMADAN L 11 0 SEA 085394582556 18-1-2022 18-1-2022 202110201l LANJUT
183 7401147009110001 SYARINI P 10 0 KOLAKAASI 085241870642 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
184 7401144601120002 SARPIKA P 9 0 KOLAKAASI 081341630421 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
185 7401144308110001 PUTRI AENI P 10 0 KOLAKAASI 082333386247 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
186 7401144103100001 SELVIANTI P 11 0 SEA 082259919163 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
187 7401142804120001 FADIL L 9 0 KOLAKAASI 082299233190 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
188 7401146303110003 RISKA P 11 0 KOLAKAASI 082399319461 18-1-2022 18-1-2022 202110201l LANJUT
189 7401142501130002 IBRAHIM L 8 0 SEA 08522278312 18-1-2022 18-1-2022 202110201l LANJUT

190 7401144101110001 WINDA P 10 0 KOLAKAASI 081341768450 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
191 7401141411080002 HERDIN L 13 0 KOLAKAASI 081340189605 17-02-2022 20211223i SELESAI
192 7401142702110002 MUH REZA L 10 0 KOLAKAASI 085146157130 18-1-2022 18-1-2022 202110201l LANJUT
193 7401145107120001 SAHWA RAHMADANI P 9 0 KOLAKAASI 085146157130 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
194 7401140606120004 AHMAD RIFANDI L 9 0 KOLAKAASI 082292849109 18-1-2022 18-1-2022 202110201l LANJUT
195 7401144408120001 GITA P 9 0 MANGOLO 085298096445 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
196 7401140912130002 ABD AHMAD FAISAL L 8 0 SEA 081266558819 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
197 7401142304090001 MUH AKBAR L 12 0 KOLAKAASI 082399319461 18-1-2022 18-1-2022 202110201l LANJUT
198 7401144302080001 ANISA P 13 0 KOLAKAASI 081292023539 18-1-2022 18-1-2022 202110201l LANJUT
199 7401047107110001 WANGI RATMULYA P 10 0 KOLAKAASI 082194000054 18-1-2022 18-1-2022 202110201l LANJUT
200 7401145250810012 HERMALIA RAMADANI P 11 0 KOLAKAASI 082195951163 18-1-2022 18-1-2022 202110201l 17-02-2022 20211223i SELESAI
201 7401140311130001 MUH. FATHUR MAHFUNI L 8 0 KOLAKAASI 081524849443 18-1-2022 18-1-2022 202110201l LANJUT
202 7401042511090002 ALIF MAULANA QADRI L 11 0 KOLAKAASI 081285318291 18-1-2022 18-1-2022 202110201l LANJUT
203 7401141703140001 MUH ARKAN RAMADHAN L 8 0 KOLAKAASI 085279008829 17-02-2022 20211223i SELESAI
204 7401142910140002 MUH FARZAN L 8 0 BTN VILLA INDAH 082281249495 17-02-2022 20211223i SELESAI
205 0
206 0
207 0
1 7401144201140001 MAQYIRA QALIFAH. H P 8 0 KOLAKAASI 082296689571 17-02-2022 17-02-2022 20211223i LANJUT
2 7401141111120003 MUH ALIF OBAMA L 10 0 KOLAKAASI 082296689571 17-02-2022 17-02-2022 20211223i LANJUT
3 7401142105110003 ANUGERAH SAPUTRA IRWAN L 11 0 KOLAKAASI 082285767035 17-02-2022 17-02-2022 20211223i LANJUT
4 7371096509140003 A. TENDRI P 8 0 KOLAKAASI 0852222987217 17-02-2022 17-02-2022 20211223i LANJUT

5 7401144112100001 MELDA PUTRI CAHYANI P 12 0 DERMAGA KOLAKAASI 082281593047 17-02-2022 17-02-2022 20211223i LANJUT
6 7401144903110001 SALWA NUR FAIZHA P 11 0 JL KEPITING KOLAKAASI 082293458228 17-02-2022 17-02-2022 20211223i LANJUT
7 7371061611140002 GEORGE HANZEL YAPARI L 8 0 PANCASILA LATAMBAGA 085397785307 17-02-2022 17-02-2022 20211223i LANJUT
8 7401147001110001 ERNA YULIA RAHMA P 11 0 KOLAKAASI 082296101113 17-02-2022 17-02-2022 20211223i LANJUT
9 7401145606100002 SAFA REGINA PUTRI P 12 0 PAHLAWAN , KOLAKA 085394813865 17-02-2022 17-02-2022 20211223i LANJUT
10 7401143101110001 FIKRAH L 11 0 KOLAKAASI 082296689571 17-02-2022 17-02-2022 20211223i LANJUT
11 7308134701130001 PUTRI JAYANTI P 8 0 SUNU KOLAKAASI 085255787377 17-02-2022 17-02-2022 20211223i LANJUT
12 7401143105130003 RIZAL HIDAYAT L 9 0 KOLAKAASI 085395957745 17-02-2022 17-02-2022 20211223i LANJUT
13 7401140102120001 FAHRIL L 10 0 KOLAKAASI 082281249495 17-02-2022 17-02-2022 20211223i LANJUT
126 0
127 0
128 0
129 0
130 0
131 0
132 0
133 0
134 0
135 0
136 0
137 0
138 0
139 0
85 0
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
80 0
1 0 20-12-2021 303408D
2 0 20-12-2021 303408D
3 0 20-12-2021 303408D
4 0 20-12-2021 303408D
5 0 20-12-2021 303408D
0
1 0 20-12-2021 202109198G
2 0 20-12-2021 202109198G
3 0 20-12-2021 202109198G
4 0 20-12-2021 202109198G
5 0 20-12-2021 202109198G
6 0 20-12-2021 202109198G
7 0 20-12-2021 202109198G
8 0 20-12-2021 330408D
9 0 20-12-2021 330408D
10 0 20-12-2021 202109198G
11 0
0
0
0
0

A = Petugas Medis dan Non Medis di Fasilitas Pelayanan B = Lainnya (Mohon disebutkan jenis vaksin yang diterima Puskesmas/Faskes) 15
D = Lainnya
E = Tidak Bekerja
DOSIS I Pekerjaan
SEA 81 346 A 231
KOLAKAASI 114 596 B 240
SAKULI 6 596 C 4
LATAMBAGA 5 6
LUAR WILAYAH 71 D 115
JUMLAH 277 E
DOSIS II Total 596
SEA 5
KOLAKAASI 17 11
SAKULI 1
LATAMBAGA 1
LUAR WILAYAH 12
JUMLAH 36
SINOVAC

Dosis I Dosis 2
Umur
tahun)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 7401140211120002 MUH ILLIANSYAH L 9 0 KOLAKAASI 082217704243 18-01-2022 202110201L
2 7401141805150001 MUH FARID ASRUL L 6 0 SAKULI 082347623967 18-01-2022 202110201L
3 7401145507140002 ALYA RAMADHANI P 7 0 KOLAKAASI 085298747043 18-01-2022 202110201L
4 7401146808140002 DEWI P 7 0 KOLAKAASI 08525655709 18-01-2022 202110201L
5 7401140404100002 M.FAJAR L 11 0 KOLAKAASI 085242281355 18-01-2022 202110201L
6 7401140904100004 JUSMI AMANDA P 11 0 KOLAKAASI 081356546131 18-01-2022 202110201L
7 7401141102100001 AHMAD YANI L 11 0 KOLAKAASI 08124840360 18-01-2022 202110201L
8 7471095301140002 SITTI AISYAH AL KH P 7 0 KOLAKAASI 085299578133 18-01-2022 202110201L
9 7401145912100003 JIHAN NURAENI P 11 0 KOLAKAASI 082292489642 18-01-2022 202110201L
10 7401041812120003 ACHMAD FAREL AK L 9 0 LALOEHA 082292617344 18-01-2022 202110201L
11 7401041805130002 MUH AR KHIR MIKAYLA L 8 0 KOLAKAASI 082393300475 18-01-2022 202110201L
12 7401102204130001 MUH ALIF BASRI L 8 0 KOLAKAASI 081340407021 18-01-2022 202110201L
13 7401145807110001 TITIN JULIA DWI SAPUTRI P 10 0 KOLAKAASI 085343863097 18-01-2022 202110201L

14 74012050801150001 AISYAQILAH M P 6 0 KOLAKAASI 081295951163 18-01-2022 202110201L
15 7401144401110001 MUTMAINNAH CITRA KIRANA P 10 0 KOLAKAASI 085340450958 18-01-2022 202110201L
16 7401144103090002 DIVA P 12 0 KOLAKAASI 085298045871 18-01-2022 202110201L
17 7401145004150001 ANNISA PUTRI P 6 0 KOLAKAASI 081245950585 18-01-2022 202110201L
18 7401144912140002 NUR HALIFA P 7 0 KOLAKAASI 085299757277 18-01-2022 202110201L
19 7401140812120001 MUH FAUZAN MB L 9 0 KOLAKAASI 082259666680 18-01-2022 202110201L
20 7401142809100001 MUH PANJI SATRYO L 11 0 SEA 082188117850 18-01-2022 202110201L
21 7406015612100001 NURAINI P 11 0 SEA 085298677569 18-01-2022 202110201L
22 7401144304140002 FITRAH KHUMAIRAH P 7 0 KOLAKAASI 085241026275 18-01-2022 202110201L
23 7401141610120003 ISMAIL NUGRAHA L 9 0 KOLAKAASI 085340450958 18-01-2022 202110201L
24 7401145585110001 TERESSA P 10 0 KOLAKAASI 082348901972 18-01-2022 202110201L
25 7401145304120001 VANESSA P 9 0 KOLAKAASI 082293089872 18-01-2022 202110201L
26 7401140903110001 BINTANG TRY ARDANI L 10 0 KOLAKAASI 082393269050 18-01-2022 202110201L
27 7401205910120002 AISYAH PUTRI P 9 0 KOLAKAASI 082271625120 18-01-2022 202110201L
28 7401144101100001 NATASYA P 11 0 KOLAKAASI 085268784026 18-01-2022 202110201L
29 7401146011100002 SELIKA YASMIN P 10 0 KOLAKAASI 082395605329 18-01-2022 202110201L
30 7401146209100001 ELZHA RAHMALIA P 11 0 KOLAKAASI 082280687955 18-01-2022 202110201L
31 7401142011110001 MUH ALFAUZAN L 10 0 SEA 082246052289 18-01-2022 202110201L
32 7401146901100001 MELINDA P 11 0 KOLAKAASI 081356883541 18-01-2022 202110201L
33 74011462121300002 AMELIN PETRUS P 8 0 KOLAKAASI 082211906415 18-01-2022 202110201L
34 7401147006140002 NURKAILA RAHMADANI P 7 0 KOLAKAASI 085343636916 18-01-2022 202110201L
35 7401146103100001 SARI AYU P 11 0 KOLAKAASI 085282032702 18-01-2022 202110201L

36 7401141206150001 REHAN L 6 0 KOLAKAASI 085246237337 18-01-2022 202110201L
37 7401041412080001 AJIS BURHAN MAULANA L 13 0 KOLAKAASI 082194000054 18-01-2022 202110201L
38 7401140510110001 HAIZAL L 10 0 LALOEHA 082195955290 18-01-2022 202110201L
39 7401144308100001 AJENG AISYAH RAMADANI P 11 0 KOLAKAASI 082310637525 18-01-2022 202110201L
40 7401141911110001 ZULHAJRI L 10 0 KOLAKAASI 082155801815 18-01-2022 202110201L
41 7401140809120001 ALDIANSYAH PRATAMA L 9 0 KOLAKAASI 081340407021 18-01-2022 202110201L
42 7401144103130001 ALYA ZALSABILA P 8 0 KOLAKAASI 085394171143 18-01-2022 202110201L
43 7401142512090001 ARIL L 12 0 KOLAKAASI 085399513707 18-01-2022 202110201L
44 7401145312100002 FITRI RAMADANI P 11 0 KOLAKAASI 085399513707 18-01-2022 202110201L
45 74011432308110002 ADAM L 10 0 KOLAKAASI 082235887894 18-01-2022 202110201L
46 7401045708100001 ALVINA RAMADANI P 11 0 KOLAKAASI 0812454654401 18-01-2022 202110201L
47 7401142004100001 MUH RIFKI SYARIF L 11 0 SEA 082311501580 18-01-2022 202110201L
48 7401140902130003 ALIF L 8 0 KOLAKAASI 0852556969325 18-01-2022 202110201L
49 7401142006100001 ANDI SULFIKAR L 11 0 KOLAKAASI 082189574787 18-01-2022 202110201L
50 7401142603120002 MUH ALIANSYAH L 9 0 KOLAKAASI 082191946434 18-01-2022 202110201L
51 7401146512110001 RIVANA ZAHARA SAPUTRI L 10 0 KOLAKAASI 085241933355 18-01-2022 202110201L
52 010455232712329 ALDI GIFARI RAMADAN L 11 0 SEA 085394582556 18-01-2022 202110201L
53 7401147009110001 SYARINI P 10 0 KOLAKAASI 085241870642 18-01-2022 202110201L
54 7401144601120002 SARPIKA P 9 0 KOLAKAASI 081341630421 18-01-2022 202110201L
55 7401144308110001 PUTRI AENI P 10 0 KOLAKAASI 082333386247 18-01-2022 202110201L
56 7401144103100001 SELVIANTI P 11 0 SEA 082259919163 18-01-2022 202110201L
57 7401142804120001 FADIL L 9 0 KOLAKAASI 082299233190 18-01-2022 202110201L

58 7401146303110003 RISKA P 11 0 KOLAKAASI 082399319461 18-01-2022 202110201L
59 7401142501130002 IBRAHIM L 8 0 SEA 08522278312 18-01-2022 202110201L
60 7401144101110001 WINDA P 10 0 KOLAKAASI 081341768450 18-01-2022 202110201L
61 7401141411080002 HERDIN L 13 0 KOLAKAASI 081340189605 18-01-2022 202110201L
62 7401142702110002 MUH REZA L 10 0 KOLAKAASI 085146157130 18-01-2022 202110201L
63 7401145107120001 SAHWA RAHMADANI P 9 0 KOLAKAASI 085146157130 18-01-2022 202110201L
64 7401140606120004 AHMAD RIFANDI L 9 0 KOLAKAASI 082292849109 18-01-2022 202110201L
65 7401144408120001 GITA P 9 0 MANGOLO 085298096445 18-01-2022 202110201L
66 7401140912130002 ABD AHMAD FAISAL L 8 0 SEA 081266558819 18-01-2022 202110201L
67 7401142304090001 MUH AKBAR L 12 0 KOLAKAASI 082399319461 18-01-2022 202110201L
68 7401144302080001 ANISA P 13 0 KOLAKAASI 081292023539 18-01-2022 202110201L
69 7401047107110001 WANGI RATMULYA P 10 0 KOLAKAASI 082194000054 18-01-2022 202110201L
70 7401145250810012 HERMALIA RAMADANI P 11 0 KOLAKAASI 082298792743 18-01-2022 202110201L
71 0 18-01-2022 202110201L
72 0 18-01-2022 202110201L
73 0 18-01-2022 202110201L
74 0 18-01-2022 202110201L
75 0 18-01-2022 202110201L
76 0 18-01-2022 202110201L
77 0 18-01-2022 202110201L
78 0 18-01-2022 202110201L
79 0 18-01-2022 202110201L
80 0 18-01-2022 202110201L
81 0 18-01-2022 202110201L
82 0 18-01-2022 202110201L
83 0 18-01-2022 202110201L
84 0 18-01-2022 202110201L
85 0 18-01-2022 202110201L
86 0 18-01-2022 202110201L
87 0 18-01-2022 202110201L
88 0 18-01-2022 202110201L
89 0 18-01-2022 202110201L
90 0 18-01-2022 202110201L
91 0 18-01-2022 202110201L
92 0 18-01-2022 202110201L
93 0 18-01-2022 202110201L
94 0 18-01-2022 202110201L
95 0 18-01-2022 202110201L
96 0 18-01-2022 202110201L
97 0 18-01-2022 202110201L
98 0 18-01-2022 202110201L
99 0 18-01-2022 202110201L
100 0 18-01-2022 202110201L
101 0 18-01-2022 202110201L

102 0 18-01-2022 202110201L
103 0 18-01-2022 202110201L
104 0 18-01-2022 202110201L
105 0 18-01-2022 202110201L
106 0 18-01-2022 202110201L
107 0 18-01-2022 202110201L
108 0 18-01-2022 202110201L
109 0 18-01-2022 202110201L
110 0 18-01-2022 202110201L
111 0 18-01-2022 202110201L
112 0 18-01-2022 202110201L
113 0 18-01-2022 202110201L
114 0 18-01-2022 202110201L
115 0 18-01-2022 202110201L
116 0 18-01-2022 202110201L
117 0 18-01-2022 202110201L
118 0 18-01-2022 202110201L
119 0 18-01-2022 202110201L
120 0 18-01-2022 202110201L
121 0 18-01-2022 202110201L
122 0 18-01-2022 202110201L
123 0 18-01-2022 202110201L

124 0 18-01-2022 202110201L
125 0 18-01-2022 202110201L
126 0 18-01-2022 202110201L
127 0 18-01-2022 202110201L
128 0 18-01-2022 202110201L
129 0 18-01-2022 202110201L
130 0 18-01-2022 202110201L
131 0 18-01-2022 202110201L
132 0 18-01-2022 202110201L
133 0 18-01-2022 202110201L
134 0 18-01-2022 202110201L
135 0 18-01-2022 202110201L
136 0 18-01-2022 202110201L
137 0 18-01-2022 202110201L
138 0 18-01-2022 202110201L
139 0 18-01-2022 202110201L
140 0 18-01-2022 202110201L
141 0 18-01-2022 202110201L
142 0 18-01-2022 202110201L
143 0 18-01-2022 202110201L
144 0 18-01-2022 202110201L
145 0 18-01-2022 202110201L

146 0 18-01-2022 202110201L
147 0 18-01-2022 202110201L
148 0 18-01-2022 202110201L
149 0 18-01-2022 202110201L
150 0 18-01-2022 202110201L
151 0 18-01-2022 202110201L
152 0 18-01-2022 202110201L
153 0 18-01-2022 202110201L
154 0 18-01-2022 202110201L
155 0 18-01-2022 202110201L
156 0 18-01-2022 202110201L
157 0 18-01-2022 202110201L
158 0 18-01-2022 202110201L
159 0 18-01-2022 202110201L
160 0 18-01-2022 202110201L
161 0 18-01-2022 202110201L
162 0 18-01-2022 202110201L
163 0 18-01-2022 202110201L
164 0 18-01-2022 202110201L
165 0 18-01-2022 202110201L
166 0 18-01-2022 202110201L
167 0 18-01-2022 202110201L

168 0 18-01-2022 202110201L
169 0 18-01-2022 202110201L
170 0 18-01-2022 202110201L
171 0 18-01-2022 202110201L
172 0 18-01-2022 202110201L
173 0 18-01-2022 202110201L
174 0 18-01-2022 202110201L
175 0 18-01-2022 202110201L
176 0 18-01-2022 202110201L
177 0 18-01-2022 202110201L
178 0 18-01-2022 202110201L
179 0 18-01-2022 202110201L
180 0 18-01-2022 202110201L
181 0 18-01-2022 202110201L
182 0 18-01-2022 202110201L
183 0 18-01-2022 202110201L
184 0 18-01-2022 202110201L
185 0 18-01-2022 202110201L
186 0 18-01-2022 202110201L
187 0 18-01-2022 202110201L
188 0 18-01-2022 202110201L
189 0 18-01-2022 202110201L

190 0 18-01-2022 202110201L
191 0 18-01-2022 202110201L
192 0 18-01-2022 202110201L
193 0 18-01-2022 202110201L
194 0 18-01-2022 202110201L
195 0 18-01-2022 202110201L
196 0 18-01-2022 202110201L
197 0 18-01-2022 202110201L
198 0 18-01-2022 202110201L
199 0 18-01-2022 202110201L
200 0 18-01-2022 202110201L
201 0
202 0
203 0
204 0
205 0
206 0
207 0
208 0
209 0
210 0
211 0
212 0
213 0
214 0
215 0
216 0
217 0
218 0
219
220 0
221 0
222 0
223 0
224 0
225 0
226 0
227 0
228 0
229 0
230
231
232
233
234
235
236
237
238
239
240

D = Lainnya
E = Tidak Bekerja

18-30 0 0 A 0
31-45 0 0 B 0
46-59 0 0 C 0
Total 0 0 D 0
Pekerjaan: E 0
A 0 197 Total 0
B 0 3
C 0
D 0
E 0
Total 0
Keterangan
(Ditunda/Tidak
Diberikan/Lanj
ut)
LANJUT 15-02-2022
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT

Dosis I Dosis 2
Umur
tahun)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 6474011105150003 MISHARY RASYID L 6 0 WOWOTA 085319558605 20-01-2022 202110201L 19-02-2022 202112232I
2 7408050807090001 AHKAAMUN NAZHRI L 12 0 WOWOTA 085233104222 20-01-2022 202110201L
3 7401140307100001 MUH WAHYU L 11 0 WOWOTA 085335012633 20-01-2022 202110201L 19-02-2022 202112232I
4 7401144103110001 MARIAMA P 10 0 WOWOTA 082349279699 20-01-2022 202110201L 19-02-2022 202112232I
5 7401140202100003 FEBRIAN L 11 0 WOWOTA 082259919992 20-01-2022 202110201L
6 7401140810130004 MUH AFRISAL L 8 0 WOWOTA 082349279699 20-01-2022 202110201L 19-02-2022 202112232I
7 7401144410150001 PUTRI HANISZA P 6 0 WOWOTA 082346073968 20-01-2022 202110201L 19-02-2022 202112232I
8 7401140303100002 MUH IKHSAN S MANDA L 11 0 WOWOTA 081245654586 20-01-2022 202110201L
9 7401145811110002 NAURA AMALIA P A P 10 0 KOLAKAASI 081241099276 20-01-2022 202110201L 19-02-2022 202112232I
10 7401145805120001 NUR ASRIN P 9 0 MANGOLO 08221061948 20-01-2022 202110201L 19-02-2022 202112232I
11 7401145403110002 NURAENI P 11 0 WOWOTA 082218471754 20-01-2022 202110201L
12 7401146202130002 PRISILIA DAMAYANTI P 8 0 WOWOTA 085255496359 20-01-2022 202110201L 19-02-2022 202112232I
13 7401145906120001 NITA AYUSTIANDANDA Y P 9 0 WOWOTA 082238667900 20-01-2022 202110201L 19-02-2022 202112232I

14 7401144103140001 FIDYANA MUJUR P 7 0 WOWOTA 082190751998 20-01-2022 202110201L 19-02-2022 202112232I
15 7401142402110001 AIDIL L 10 0 WOWOTA 085656612850 20-01-2022 202110201L 19-02-2022 202112232I
16 7401146711140001 SELA MARSELIA P 7 0 WOWOTA 081341576747 20-01-2022 202110201L
17 7405213011120001 FERDI ALAMSYAH L 9 0 WOWOTA 085242666686 20-01-2022 202110201L
18 7401140404100001 MAHARDIKA ALAN P L 11 0 WOWOTA 085342906699 20-01-2022 202110201L 19-02-2022 202112232I
19 7401146906100001 KAMILA ASYAH HIDAYAH P 11 0 WOWOTA 0814005892 20-01-2022 202110201L 19-02-2022 202112232I
20 7401146511130003 ZAHRA ULFA TALITA P 8 0 WOWOTA 082387448036 20-01-2022 202110201L 19-02-2022 202112232I
21 7401141401100001 DENI P L 11 0 WOWOTA 082253094440 20-01-2022 202110201L
22 7401140211100003 ALIF ASMAR L 11 0 KOLAKAASI 082291322948 20-01-2022 202110201L 19-02-2022 202112232I
23 7401142310090001 WILDA NUR ANGGRAENI P 11 0 WOWOTA 082316444839 20-01-2022 202110201L
24 7401141502110001 FEBRIANSYAH L 10 0 WOWOTA 085255536122 20-01-2022 202110201L
25 7405215711090001 NADA CINTA P 12 0 WOWOTA 085241635947 20-01-2022 202110201L
26 740144311120001 AFHIKA NAMIRA FERRY P 10 0 MANGOLO 082347903017 20-01-2022 202110201L 19-02-2022 202112232I
27 7401145506110001 ALZA MUTIARA Y P 10 0 WOWOTA 085242140731 20-01-2022 202110201L 19-02-2022 202112232I
28 7401143010110001 MUH ABDILLAH ZULKRNAEN L 10 0 WOWOTA 082271304792 20-01-2022 202110201L
29 7401146512130001 NUR NATALIA P 8 0 WOWOTA 081342218052 20-01-2022 202110201L
30 7401143012100001 SYAMSUL ALAM L 11 0 WOWOTA 082194591197 20-01-2022 202110201L 19-02-2022 202112232I
31 7401144607090002 FIRA P 12 0 WOWOTA 085322843628 20-01-2022 202110201L
32 7401142001140001 MUH EMIL L 7 0 WOWOTA 082398250691 20-01-2022 202110201L 19-02-2022 202112232I
33 7401146710140001 RIRIN SAPUTRI P 7 0 WOWOTA 082393392498 20-01-2022 202110201L 19-02-2022 202112232I
34 7401142605120002 MUH IBADUR RAHMAN NUR L 9 0 WOWOTA 081245657472 20-01-2022 202110201L 19-02-2022 202112232I
35 7401146111130001 SEFTI RAISA P 8 0 WOWOTA 082393392498 20-01-2022 202110201L 19-02-2022 202112232I

36 7401145510140001 FATIMAH AZZAHRA P 7 0 WOWOTA 082293623742 20-01-2022 202110201L 19-02-2022 202112232I
37 7401142308110002 MUH FAJAR RAMADHAN L 10 0 WOWOTA 082217527341 20-01-2022 202110201L 19-02-2022 202112232I
38 7401144402130002 SHOFIYYAH NUR AFIFAH P 8 0 WOWOTA 082291473625 20-01-2022 202110201L
39 7401144303110002 NURAENI P 10 0 WOWOTA 085242743994 20-01-2022 202110201L
40 7401142205140001 MUH BILAL L 7 0 WOWOTA 081387448309 20-01-2022 202110201L
41 7401141210110001 WAHYU RAHARDIANSYAH L 10 0 WOWOTA 085256412461 20-01-2022 202110201L 19-02-2022 202112232I
42 7401140710130003 DALVI PRADIKA YUSUF L 6 0 WOWOTA 08134306091 20-01-2022 202110201L
43 7401140905150001 MUH EZHA AL RAHMAN L 6 0 KOLAKAASI 085298632986 20-01-2022 202110201L
44 7401145302150002 RAHMAWATI P 6 0 WOWOTA 085394768400 20-01-2022 202110201L 19-02-2022 202112232I
45 7401146912120002 NIRWANA P 9 0 WOWOTA 082259665586 20-01-2022 202110201L 19-02-2022 202112232I
46 7401141312100001 MUH. RISAL L 11 0 WOWOTA 085394329913 20-01-2022 202110201L
47 7408056411120001 KANZA KURRATUL UYYUN P 9 0 MANGOLO 085233104222 20-01-2022 202110201L
48 7401144511110002 ELZHA NURFADILLAH P 10 0 KOLAKAASI 085298632986 20-01-2022 202110201L
49 7401144506120002 NAFEEZAH KHUSNUL KP P 9 0 WOWOTA 085254498947 20-01-2022 202110201L 19-02-2022 202112232I
50 7401144506120001 NAZIRAH KHUSNUL KP P 9 0 WOWOTA 085254498947 20-01-2022 202110201L 19-02-2022 202112232I
51 7401142105140004 MUH JEFRY MAIDANNAH P 7 0 WOWOTA 082273440587 20-01-2022 202110201L
52 7401144203150001 AIZAH MAHARANI P 6 0 WOWOTA 082348449304 20-01-2022 202110201L 19-02-2022 202112232I
53 7401145902140002 MAWAR AYU LESTARI P 7 0 MANGOLO 082343530988 20-01-2022 202110201L 19-02-2022 202112232I
54 7401140501100003 RIFANDI MANDE L 11 0 WOWOTA 082241363508 20-01-2022 202110201L 19-02-2022 202112232I
55 7401141203150001 FERDI MAULANA L 8 0 WOWOTA 085756067643 20-01-2022 202110201L
56 7401140807130001 AKSAN RAMADAN SAPUTRA L 8 0 WOWOTA 085340225669 20-01-2022 202110201L 19-02-2022 202112232I
57 7401146105120001 MARZYA ASHARI P 9 0 KOLAKAASI 082293089879 20-01-2022 202110201L 19-02-2022 202112232I

58 7401145901090001 ELSYA ASHARI P 12 0 KOLAKAASI 082293089879 20-01-2022 202110201L
59 7401140702120001 ADE RISPAN L 9 0 WOWOTA 085342552024 20-01-2022 202110201L
60 7401141202140003 MUH RIFKI L 7 0 WOWOTA 081221983634 20-01-2022 202110201L 19-02-2022 202112232I
61 7401141002130001 MUH AL GAZALY L 8 0 WOWOTA 081221983634 20-01-2022 202110201L 19-02-2022 202112232I
62 7401141910130001 MUH ABIZAR L 8 0 WOWOTA 082217349886 20-01-2022 202110201L
63 7401141809140001 MUH ADAM L 7 0 WOWOTA 082264345512 20-01-2022 202110201L
64 7401140107080003 RIZKY ADITYA PUTRA L 13 0 WOWOTA 081527460351 20-01-2022 202110201L
65 7401142808080004 RANDHI SETIAWAN L 13 0 WOWOTA 085342552024 20-01-2022 202110201L
66 7401145705140002 HAFIZA NUR ALIFA P 7 0 WOWOTA 085242140731 20-01-2022 202110201L 19-02-2022 202112232I
67 7401143003110001 MUH RASYID S MANDA L 10 0 WOWOTA 081346121219 20-01-2022 202110201L
68 7401144403100001 NINDI P 11 0 WOWOTA 081356943740 20-01-2022 202110201L
69 7401141004110001 AGUNG L 10 0 WOWOTA 081356943740 20-01-2022 202110201L
70 7401141211130001 MUH FAUZAN L 8 0 WOWOTA 082197131942 20-01-2022 202110201L
71 7401142704140001 WEELY WIBAWA L 8 0 WOWOTA 085823698869 19-02-2022 202112232I
72 7401146507090002 AUREL AIRHA PRATAMA P 13 0 WOWOTA 085213201145 19-02-2022 202112232I
73 7401142602140001 MUH ALIF L 8 0 MANGOLO 085394329709 19-02-2022 202112232I
74 7401142011110002 ILHAM L 11 0 MANGOLO 085298679520 19-02-2022 202112232I
75 7317085911840002 LENI MARLINA P 38 31-45 WOWOTA 085321754514 19-02-2022 202112232I
76 7401141407080005 ANUGRAH SURYA PRATAMA L 14 0 WOWOTA 085338844403 19-02-2022 202112232I
77 7317082603090003 ISRAJA P 13 0 WOWOTA 085321754514 19-02-2022 202112232I
78 7401142302150003 HELSKY ANUGERAH L 7 0 WOWOTA 0823945651004 19-02-2022 202112232I
79 7401146608130001 NABILA FATIN ATIKA P 9 0 WOWOTA 08524190051 19-02-2022 202112232I

80 7401147110130004 AZHARA NAURA PUTRI P 9 0 WOWOTA 085299415296 19-02-2022 202112232I
81 7401141511120004 HAMDAN L 10 0 WOWOTA 082348449304 19-02-2022 202112232I
82 7401145605130001 VIONA NURHARNIA P 9 0 WOWOTA 082197131865 19-02-2022 202112232I
83 7401146712110001 NUR ZALSABILLA P 11 0 WOWOTA 082290019584 19-02-2022 202112232I
84 7401142812120002 M DZIKRA AL GHAZALI L 10 0 WOWOTA 082259627236 19-02-2022 202112232I
85 7371082303120001 BAMBANG L 10 0 WOWOTA 085321754514 19-02-2022 202112232I
86 7371081409140001 JAKAM L 8 0 WOWOTA 085321754514 19-02-2022 202112232I
87 7401147105150003 ANGGUN SAPITRI P 7 0 WOWOTA 085231721912 19-02-2022 202112232I
88 7401146103150003 NUR ATHIFAH P 7 0 WOWOTA 081524147914 19-02-2022 202112232I
89 7401140803140001 AIMAN FARUQ L 8 0 WOWOTA 085238836363 19-02-2022 202112232I
90 7401143006150002 AL GIBRAN RAMADHAN L 7 0 WOWOTA 085394093050 19-02-2022 202112232I
91 0
92 0
93 0
94 0
95 0
96 0
97 0
98 0
99 0
100 0
101 0
102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0
131 0
132 0
133 0
134 0
135 0
136 0
137 0
138 0
139 0
140 0
141 0
142 0
143 0
144 0
145 0
146 0
147 0
148 0
149 0
150 0
151 0
152 0
153 0
154 0
155 0
156 0
157 0
158 0
159 0
160 0
161 0
162 0
163 0
164 0
165 0
166 0
167 0
168 0
169 0
170 0
171 0
172 0
173 0
174 0
175 0
176 0
177 0
178 0
179 0
180 0
181 0
182 0
183 0
184 0
185 0
186 0
187 0
188 0
189 0
190 0
191 0
192 0
193 0
194 0
195 0
196 0
197 0
198 0
199 0
200 0
201 0
202 0
203 0
204 0
205 0
206 0
207 0
208 0
209 0
210 0
211 0
212 0
213 0
214 0
215 0
216 0
217 0
218 0
219
220 0
221 0
222 0
223 0
224 0
225 0
226 0
227 0
228 0
229 0
230
231
232
233
234
235
236
237
238
239
240

D = Lainnya
E = Tidak Bekerja

18-30 0 0 A 0
31-45 1 0 B 0
46-59 0 0 C 0
Total 1 0 D 0
Pekerjaan: E 0
A 0 79 Total 0
B 0 48
C 0
D 0
E 0
Total 0
Keterangan
(Ditunda/Tidak
Diberikan/Lanj
ut)
SELESAI 17-02-2022
LANJUT
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
LANJUT
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
LANJUT
LANJUT
LANJUT
SELESAI
SELESAI
LANJUT
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
LANJUT
LANJUT
SELESAI
LANJUT
LANJUT
SELESAI
SELESAI
LANJUT
LANJUT
LANJUT
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
LANJUT
LANJUT
SELESAI SMPN 1 LATAMBAGA
SELESAI
LANJUT
LANJUT
LANJUT
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT

Dosis I Dosis 2
Umur
tahun)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 7401142302860001 BAHANA ALAM L 1986 0 JL. DELIMA SEA 081341768869 1/21/2022 1/21/2022 202110201L
2 7401145008960001 SRI MARYAM H.S P 1996 0 JL. DERMAGA, KOLAKAASI 082260284713 1/21/2022 1/21/2022 202110201L
3 7401140403960002 IRFAN SETIAWAN L 1996 0 J. CAKALANG NO. 13 KOLAKAASI 082149885783 1/21/2022 1/21/2022 33040BD
4 7371142810900010 MUHAMMAD PARAWANSA L 1990 0 JL. KANERA SEA 082396191396 1/21/2022 1/21/2022 33040BD
5 7401206111950003 DEVI ARISANDI P 1995 0 SEA 085241771789 1/21/2022 1/21/2022 33040BD
6 7401145702950001 RAEHANA P 1995 0 JL. LURE SEA 082293578317 1/21/2022 1/21/2022 33040BD
7 7401142405850001 HAMSAH SALING L 1985 0 KOLAKAASI 085342212152 1/21/2022 1/21/2022 33040BD
8 7408050309970001 SAFIRUDDIN L 1997 0 KODEOHA, KOLAKA UTARA 085342212152 1/21/2022 1/21/2022 33040BD
9 7401044505650008 AGUSTINA P 1965 0 JL. ABUNAWAS LASANDARA 082349660017 1/21/2022 1/21/2022 33040BD
10 7408101802050001 ALGAZALI L 2005 0 JL. LANDAK LALOMBAA 081240811113 1/21/2022 1/21/2022 33040BD
11 7401141008920002 TAFSIR L 1992 0 JL. KELINCI, LALOMBAA 082231777538 1/21/2022 1/21/2022 33040BD
12 7401020405910001 ALFRIADI L 1991 0 DUSUN II WONUA SANGIA 085283123122 1/21/2022 1/21/2022 33040BD
13 7401044811840002 RAHMATIA P 1984 0 JL. PRAMUKA LAMOKATO 082189040333 1/21/2022 1/21/2022 33040BD
14 7401041010790004 DJAMULUDDIN L 1979 0 JL. PRAMUKA LAMOKATO 082188679345 1/21/2022 1/21/2022 33040BD
15 7401205110970002 HASMIDAS P 1997 0 SAMATURU 082259945710 1/21/2022 1/21/2022 33040BD
16 7405126207970001 MELDA YULIANTI P 1997 0 PONPES, LAMOKATO 082343064980 1/21/2022 1/21/2022 33040BD
17 7401146803020001 MUTIARA AMANDA P 2002 0 SAKULI 081524970632 1/21/2022 1/21/2022 33040BD
18 7401140710580002 EKO MUH. SALEH L 1958 0 JL. ABADI NO.12 08347626799 1/21/2022 1/21/2022 33040BD
19 7401140403110003 USAMA AL-MUBARAK L 2011 0 JL. ABADI KOLAKAASI 0811407898 1/21/2022 1/21/2022 202110201L
20 7401140404150001 AIMAN ABDURRAHMAN L 2015 0 JL. ABADI KOLAKAASI 0811407898 1/21/2022 1/21/2022 202110201L
21 7401041812850003 AHMAD M L 1985 0 085282954345 1/21/2022 1/21/2022 33040BD
22 7401145906820002 NURFAIDA AHMAD P 1982 0 BTN TAHOA 081293103111 1/21/2022 1/21/2022 33040BD
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
32 0
33 0
34 0
35 0
36 0
37 0
38 0
39 0
40 0
41 0
42 0
43 0
44 0
45 0
46 0
47 0
48 0
49 0
50 0
51 0
52 0
53 0
54 0
55 0
56 0
57 0
58 0
59 0
60 0
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0
71 0
72 0
73 0
74 0
75 0
76 0
77 0
78 0 20-01-2022 202110201L
79 0 20-01-2022 202110201L
80 0 20-01-2022 202110201L
81 0 20-01-2022 202110201L
82 0 20-01-2022 202110201L
83 0 20-01-2022 202110201L
84 0 20-01-2022 202110201L
85 0 20-01-2022 202110201L
86 0 20-01-2022 202110201L
87 0 20-01-2022 202110201L
88 0 20-01-2022 202110201L
89 0 20-01-2022 202110201L
90 0 20-01-2022 202110201L
91 0 20-01-2022 202110201L
92 0 20-01-2022 202110201L
93 0 20-01-2022 202110201L
94 0 20-01-2022 202110201L
95 0 20-01-2022 202110201L
96 0 20-01-2022 202110201L
97 0 20-01-2022 202110201L
98 0 20-01-2022 202110201L
99 0 20-01-2022 202110201L
100 0 20-01-2022 202110201L
101 0 20-01-2022 202110201L

102 0 20-01-2022 202110201L
103 0 20-01-2022 202110201L
104 0 20-01-2022 202110201L
105 0 20-01-2022 202110201L
106 0 20-01-2022 202110201L
107 0 20-01-2022 202110201L
108 0 20-01-2022 202110201L
109 0 20-01-2022 202110201L
110 0 20-01-2022 202110201L
111 0 20-01-2022 202110201L
112 0 20-01-2022 202110201L
113 0 20-01-2022 202110201L
114 0 20-01-2022 202110201L
115 0 20-01-2022 202110201L
116 0 20-01-2022 202110201L
117 0 20-01-2022 202110201L
118 0 20-01-2022 202110201L
119 0 20-01-2022 202110201L
120 0 20-01-2022 202110201L
121 0 20-01-2022 202110201L
122 0 20-01-2022 202110201L
123 0 20-01-2022 202110201L

124 0 20-01-2022 202110201L
125 0 20-01-2022 202110201L
126 0 20-01-2022 202110201L
127 0 20-01-2022 202110201L
128 0 20-01-2022 202110201L
129 0 20-01-2022 202110201L
130 0 20-01-2022 202110201L
131 0 20-01-2022 202110201L
132 0 20-01-2022 202110201L
133 0 20-01-2022 202110201L
134 0 20-01-2022 202110201L
135 0 20-01-2022 202110201L
136 0 20-01-2022 202110201L
137 0 20-01-2022 202110201L
138 0 20-01-2022 202110201L
139 0 20-01-2022 202110201L
140 0 20-01-2022 202110201L
141 0 20-01-2022 202110201L
142 0 20-01-2022 202110201L
143 0 20-01-2022 202110201L
144 0 20-01-2022 202110201L
145 0 20-01-2022 202110201L

146 0 20-01-2022 202110201L
147 0 20-01-2022 202110201L
148 0 20-01-2022 202110201L
149 0 20-01-2022 202110201L
150 0 20-01-2022 202110201L
151 0 20-01-2022 202110201L
152 0 20-01-2022 202110201L
153 0 20-01-2022 202110201L
154 0 20-01-2022 202110201L
155 0 20-01-2022 202110201L
156 0 20-01-2022 202110201L
157 0 20-01-2022 202110201L
158 0 20-01-2022 202110201L
159 0 20-01-2022 202110201L
160 0 20-01-2022 202110201L
161 0 20-01-2022 202110201L
162 0 20-01-2022 202110201L
163 0 20-01-2022 202110201L
164 0 20-01-2022 202110201L
165 0 20-01-2022 202110201L
166 0 20-01-2022 202110201L
167 0 20-01-2022 202110201L

168 0 20-01-2022 202110201L
169 0 20-01-2022 202110201L
170 0 20-01-2022 202110201L
171 0 20-01-2022 202110201L
172 0 20-01-2022 202110201L
173 0 20-01-2022 202110201L
174 0 20-01-2022 202110201L
175 0 20-01-2022 202110201L
176 0 20-01-2022 202110201L
177 0 20-01-2022 202110201L
178 0 20-01-2022 202110201L
179 0 20-01-2022 202110201L
180 0 20-01-2022 202110201L
181 0 20-01-2022 202110201L
182 0 20-01-2022 202110201L
183 0 20-01-2022 202110201L
184 0 20-01-2022 202110201L
185 0 20-01-2022 202110201L
186 0 20-01-2022 202110201L
187 0 20-01-2022 202110201L
188 0 20-01-2022 202110201L
189 0 20-01-2022 202110201L

190 0 20-01-2022 202110201L
191 0 20-01-2022 202110201L
192 0 20-01-2022 202110201L
193 0 20-01-2022 202110201L
194 0 20-01-2022 202110201L
195 0 20-01-2022 202110201L
196 0 20-01-2022 202110201L
197 0 20-01-2022 202110201L
198 0 20-01-2022 202110201L
199 0 20-01-2022 202110201L
200 0 20-01-2022 202110201L
201 0
202 0
203 0
204 0
205 0
206 0
207 0
208 0
209 0
210 0
211 0
212 0
213 0
214 0
215 0
216 0
217 0
218 0
219
220 0
221 0
222 0
223 0
224 0
225 0
226 0
227 0
228 0
229 0
230
231
232
233
234
235
236
237
238
239
240

D = Lainnya
E = Tidak Bekerja

18-30 0 0 A 0
31-45 0 0 B 0
46-59 0 0 C 0
Total 0 0 D 0
Pekerjaan: E 0
A 0 129 Total 0
B 0 16
C 0
D 0
E 0
Total 0
Keterangan
(Ditunda/Tidak
Diberikan/Lanj
ut)
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SSELESAI
SELESAI
SSELESAI
SSELESAI
SSELESAI
SSELESAI
SSELESAI
SSELESAI
SELESAI
SELESAI
SSELESAI
SSELESAI
SMPN 1 LATAMBAGA
SMPN 1 LATAMBAGA
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT

Dosis I Dosis 2
Umur
tahun)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 7308114802910001 Nurfadillah p 31 31-45 Jl. Khairil Anwar, Lamokato 085342954554 1/24/2022 1/24/2022 202110201L
2 74011465007080001 Muthia Zahra p 14 0 jl. Udang 08124153394 1/24/2022 1/24/2022 202110201L
3 7371116303090008 Sarah Aslim p 13 0 jl. Pondok pesantren 085255914774 1/24/2022 1/24/2022 202110201L
4 74011045908080005 Yusfi Nur Rohimi p 14 0 jl. Gurami Blok. E , Tahoa 085242851250 1/24/2022 1/24/2022 202210201L
5 7401044609060001 Lilis Chalisa p 2006 0 perumnas lalomba 08524153394 1/24/2022 1/24/2022 202211021L
6 7472025012060005 Wafiq Aziza p 2006 0 jl. Pondok pesantren {bau bau24/01/202 085255914779 1/24/2022 1/24/2022 202110201L
7 7401146211080001 Zahrana Munadhilah p 2008 0 mangolo 085348881100 1/24/2022 1/24/2022 202110201L
8 74011045906080001 As.syifa insani Kamila p 2008 0 jl. Konggoasa 085341883107 1/24/2022 1/24/2022 202110201L
9 7308167012550001 hj.Naya p 1955 0 Malela 081342609276 1/24/2022 1/24/2022 Fm2957
10 7401045101080003 Bening Fauziyah p 2008 0 jl. Puyuh 085240628851 1/24/2022 1/24/2022 20211021L
11 7401127007050001 Nbilah Muthiah Juliani p 2005 0 Btn Greenviille { huko huko 082292042555 1/24/2022 1/24/2022 20211021L
12 7401144509080001 Zahra Azila Azmil p 2008 0 Jl. Sunu 08124153394 1/24/2022 1/24/2022 20210201L
13 7401147112730030 Rayuani p 1973 0 jl. Cakalang 082247418689 1/24/2022 1/24/2022 Fm2957

14 7401145011890002 Enny p 1988 0 Jl. Jendral 082196571589 1/24/2022 1/24/2022 20210201L
15 7402030402090001 Ach. Fakhri Ikram L 2009 0 jl. Pondok pesantren 085255914774 1/24/2022 1/24/2022 20210201L
16 740114007630001 Syahraeni p 1963 0 jl.pancasila 082128840398 1/24/2022 1/24/2022 fm957
17 7401141607770001 Abidin L 1977 0 JL.Baruikang 082196323442 1/24/2022 1/24/2022 202110201L
18 7401140808580001 Syahrir Lewang L 1958 0 JL. Cakalang 08124715378 1/24/2022 1/24/2022 fm2957
19 740452707060001 Muhazir L 2006 0 JL. Pondok pesantren 081355573578 1/24/2022 1/24/2022 20210201L
20 7401146006570001 Harisa p 1957 0 jl. Dermaga no 38 085340679444 1/24/2022 1/24/2022 FM2957
21 7401146907080001 Isra Zyahira p 2008 0 Mangolo 085824110509 1/24/2022 1/24/2022 fm2957
22 7401145302790001 Subaedah p 1959 0 Jl. Repalita 085213906447 1/24/2022 1/24/2022 Fm2957
23 7404055710040001 Fitrah Ramadani p 2004 0 Wawasangkan[buton] 085255914774 1/24/2022 1/24/2022 Fm2957
24 7401105010050001 Dini Nursa Ilahi p 2005 0 Iwoimenda 085398495512 1/24/2022 1/24/2022 Fm2957
25 73070767050500001 Anggina Putri p 2005 0 Sinjai 081245766535 1/24/2022 1/24/2022 Fm2957
26 7406144209040001 Andi Fitrah Ramadhani p 2004 0 Bombana 085255914774 1/24/2022 1/24/2022 FM2957
27 7313053112870074 Sudarmansa L 1987 0 JL. Bolu 081355408237 1/24/2022 1/24/2022 Fm2957
28 7401146009760001 Masnaeni P 1976 0 Jl. Bolu no 37 082271327366 1/24/2022 1/24/2022 20210201L
29 7401142406520001 Muh.Arif. S L 1952 0 Jl.Sunu NO 20 082387434718 1/24/2022 1/24/2022 20210201L
30 740114300459 Umar Padu L 1959 0 JL. Delima 085256810410 1/24/2022 1/24/2022 fm2957
31 7401191110960002 M. Bahtiar Ibrahim L 1996 0 Lambandia 082199864365 1/24/2022 1/24/2022 Fm2957
32 7401101309060001 Nur Alim Fatwa p 2006 0 Jl. Pondok Pesantren [ Iwoimenda] 081355573578 1/24/2022 1/24/2022 20210201L
33 7401146108850002 Sandra P 1985 0 Jl. Pancasila 085298519004 1/24/2022 1/24/2022 20210201L
34 7401044305770001 Milliawati P 1977 0 Jl. Pemuda 085241579883 1/24/2022 1/24/2022 FM2957
35 740104210030001 Muh.Ridwan.S L 2003 0 JL.Abadi 081245657458 1/24/2022 1/24/2022 20210201L

36 7402020909060005 Rifky Daffa L 2006 0 JL. Pondok Pesantren 085255914774 1/24/2022 1/24/2022 20210201L
37 9171030810050005 Ibnu DZhaky L 2005 0 JL. Pondok pesantren 081355573578 1/24/2022 1/24/2022 20210201L
38 74011040304670001 Patahang L 1967 0 Jl. Pemuda 0813418390130 1/24/2022 1/24/2022 Fm2957
39 7406191407050001 Muh. Annas Al Irsyad L 2005 0 MULAENO 08529862993 1/24/2022 1/24/2022 Fm2957
40 7471084111860002 Wiwiet Aswanty P 1986 0 19 November 081341055540 1/24/2022 1/24/2022 FM2957
41 7401145309070002 Annisa Ramadhani P 2007 0 JL. Kenanga 082232697152 1/24/2022 1/24/2022 Fm2957
42 7401140710880001 Ikhsan L 1988 0 JL. Kenanga 085282726267 1/24/2022 1/24/2022 Fm2957
43 7401144503050001 Muthia Az Zahra P 2005 0 JL. Kenanga 082347232722 1/24/2022 1/24/2022 Fm2957
44 74011471124700012 Kurdia P 1947 0 JL. Cakalang 081247153178 1/24/2022 1/24/2022 Fm2957
45 740114570864001 Hayati P 1964 0 Jl. Pancasila 085241056342 1/24/2022 1/24/2022 Fm2957
46 7401141105670001 ABD. Asis L 1967 0 Jl. Bolu No. 3 085241653424 1/24/2022 1/24/2022 Fm2957
47 7401045801080000 Rateh Wulan Lestari P 2008 0 Jend. Sudirman 082261391179 1/24/2022 1/24/2022 fm2957
48 7401044104050002 Ririn Dwi Aryani P 2005 0 Anaiwoi 085241668219 1/24/2022 1/24/2022 FM2957
49 910612620704007 Dewi Arifyani P 2004 0 BTN. Woweta Mangolo 1/24/2022 1/24/2022 FM2957
50 7406015109080001 Asy'syifa Ramadhani Akbar P 2008 0 1/24/2022 1/24/2022 FM2957
51 0401040704770003 Munir L 1977 0 JL. Pancasila 085213162453 1/24/2022 1/24/2022 20210201L
52 7401104209080001 Herlinda P 2008 0 DS. Lapao-Pao 082239189306 1/24/2022 1/24/2022 20210201L
53 740010690508000 Juswanda P 2008 0 Dusun V, Kampung Baru 082283924176 1/24/2022 1/24/2022 202101021L
54 7402054310910004 Trimulyaningsih P 1991 0 Desa Lasoso 085299880678 1/24/2022 1/24/2022 202110201L
55 740114200760002 Suraji Sadikin L 1960 0 SEA 082223667363 1/24/2022 1/24/2022 202110201L
56 7373056208050001 Andini Aulia syair P 2005 0 Palopo [ Sulsel ] 085241991180 1/24/2022 1/24/2022 FM2957
57 7401146305030002 Mutmainnah P 2003 0 SEA 085255082850 1/24/2022 1/24/2022 Fm2957

58 7401142108760002 Muh. Tahrir L 1976 0 Jl. Bolu 082193216768 1/24/2022 1/24/2022 FM2957
59 7401045203040001 Vira Hardianti P 2004 0 Perumnas 82214292062 1/24/2022 1/24/2022 Fm2957
60 7401104471820002 ST. Mahraeni P 1982 0 JL. Kakatua 85241505515 2/24/2022 1/24/2022 Fm2957
61 740114711260008 Asmiati P 1960 0 JL. Opo 081242213314 1/24/2022 1/24/2022 Fm2957
62 7401045303060006 Annisa Namira Qalbi P 2006 0 Jl. Pramuka 085241937603 1/24/2022 1/24/2022 Fm2957
63 7401045201920002 Agung Ayu Megawati P 1996 0 JL. Ahmad Yani 082187415585 1/24/2022 1/24/2022 FM2957
64 7401146312790001 Erlin Sri Kawari P 1979 0 Kamboja 085343581523 1/24/2022 1/24/2022 FM2957
65 7401120910790001 Syamsuddin L 1979 0 JL. Jendral Sudirman 085241972150 1/24/2022 1/24/2022 Fm2957
66 7401142106050001 Ahmad Safai L 2005 0 Jl. Sunu 087745774448 1/24/2022 1/24/2022 Fm2957
67 7308221205010001 Salman L 2001 0 jl. Konggoasa 081341883107 1/24/2022 1/24/2022 Fm2957
68 7401204905080001 Latisya Nabilla Annisa P 2008 0 Dusun 1 pudongi 08121083488 1/24/2022 1/24/2022 Fm2957
69 7401040806840002 Iwan Setiawan L 1984 0 Jl. Cempaka 085712870689 1/24/2022 1/24/2022 20211021L
70 7401044811050001 Sahrani Safitri P 2005 0 JL. Mistik 082194737483 1/24/2022 1/24/2002 Fm2957
71 7401141703800001 Syamsul Bahri L 1980 0 JL. Abadi 085241862333 1/24/2022 1/24/2022 20210201L
72 7401144612750001 Nusbia P 1975 0 JL. Kemakmuran 08292957077 1/24/2022 1/24/2022 FM2957
73 7401144705080002 Dini Muniroh P 2008 0 JL. DR. Sutomo 85241536383 1/24/2022 1/24/2022 Fm2957
74 7313055011070002 Andi. Wafiq Azizah P 2007 0 Uraiyang 081355408237 1/24/2922 1/24/2022 Fm2957
75 740114650280001 Irmawati P 1985 0 Jl. Sunu 085394565161 1/24/2022 1/24/2022 20210201L
76 731302512080001 Andi muh. Yusran L 2008 0 JL. Bekicot 082190312324 1/24/2022 1/24/2022 202110201L
77 7401106304040002 Mutmainnah P 2004 0 JL. TMD 085335276466 1/24/2022 1/24/2022 202110201L
78 7401145404770002 Farida p 1977 0 Jl. Sunu 085396895154 1/24/2022 1/24/2022 fm2957
79 7401101205040002 Hadrian Jaya L 2004 0 Muara Lapao-Pao 082152601683 1/24/2022 20-01-2022 FM2957
80 7401144909680001 Yusnah Kamedi P 1968 0 JL. Cakalang 085230406555 1/24/2022 1/24/2022 202110201L
81 7401145010790002 Hatimang P 1979 0 JL. Dermaga 085340679444 1/24/2022 1/24/2022 202110201L
82 7401146712730001 Kurniah P 1973 0 JL. Abadi 085342553240 1/24/2022 1/24/2022 202110201L
83 7401141501990003 Alfian L 1999 0 Jl. Udang 085333184584 1/24/2022 1/24/2022 202110201L
84 7401042004020001 Ahmad Raihan L 2002 0 JL. dr. Sutomo 081776077833 1/24/2022 1/24/2022 202110201L
85 740114420874 Karmila P 1974 0 JL. Delima 082347242410 2/24/2022 1/24/2022 202110201L
86 740114450209001 Febriana Saputri P 2009 0 JL. Cepa-Cepa 085260838808 1/24/2022 1/24/2022 FM2957
87 Idhul L 1976 0 Kemkmuran 081356402937 1/24/2022 1/24/2022 Fm2957
88 7401142107030001 Imam Fajrin L 2003 0 JL. Tinumbu 085231257848 1/24/2022 1/24/2022 202110201L
89 74011140904080001 Muh. Sapril L 2008 0 Sea 08565687297 1/24/2022 1/24/2022 202110201L
90 7308237112620007 Mardia P 1962 0 JL. KH. Syamsuddin 085259221849 1/24/2022 1/24/2022 FM2957
91 740107609700001 Syasfiana P 1970 0 JL. Jendral sudirman No 24 085158802451 1/24/2022 1/24/2022 2021102011L
92 7401047004090001 Rifdatul Basyariah P 2009 0 Kolaka 0852415154029 1/24/2022 20-01-2022 FM2957
93 7401145208090001 Nur Fauzia Asra P 2009 0 JL. Bolu 082292732117 1/24/2022 20-01-2022 FM2957
94 740120490210002 Nurul Mutiah P 2010 0 Konaweha 085395810266 1/24/2022 20-01-2022 FM2957
95 74011452004090001 Hasnidar P 2009 0 JL. Abadi 085345802640 1/24/2022 1/24/2022 Fm2957
96 7401145808790 Naida P 1979 0 JL. Cempaka 082393346733 1/24/2022 1/24/2022 Fm2957
97 7401147101740001 Busnia P 1974 0 JL. Cakalang 085657313613 1/24/2022 1/24/2022 fm2957
98 7401492068 Syarifuddin L 0 A.Yani 082262105793 1/24/2022 1/24/2022 FM2957
99 Kasmawati P 1989 0 JL. Abadi 085399555769 1/24/2022 1/24/2022 202110201L
100 7401146106930001 Sinta P 1993 0 JL. Abadi 085242654469 1/24/2022 1/24/2022 202110201L
101 7401143112680019 Adol Bastian L 1968 0 JL. Abadi 082194472058 1/24/2022 1/24/2022 202110201L
102 74011041701810001 Latang L 1981 0 Kamboja 082271230543 1/24/2022 1/24/2022 FM2957
103 7401146504850004 Harmawati P 1985 0 JL. Delima 082246126468 1/24/2022 1/24/2022 FM2957
104 7401121404860001 Sudarman Nasir L 1986 0 JL. Cempaka 085394440677 1/24/2022 1/24/2022 FM2957
105 7401184603010001 Luh Eka Rizkiani P 2001 0 JL. Sunu 082324874091 1/24/2022 1/24/2022 202110201L
106 740104460810001 Rosniani P 1981 0 JL. Mekongga Indah 082259080608 1/24/2022 1/24/2022 FM2957
107 7308186403910001 Rismayanti P 1991 0 Jl.Cempaka 085340536559 1/24/2022 1/24/2022 Fm2957
108 7401147112690032 Hale L 1969 0 JL. Abadi 082213800408 1/24/2022 1/24/2022 202110201L
109 7401144809710002 Sitti Marwah P 1971 0 JL. Bolu 085342175640 1/24/2022 1/24/2022 Fm2957
110 74011404040090004 Ahmad Syaltud Al-Wahidin L 2009 0 Tahoa 085241537940 1/24/2022 1/24/2022 Fm2957
111 7401046204990001 Ega Novia P 1999 0 JL. Bolu 085396637491 1/24/2022 1/24/2022 202110201L
112 7401146005890004 Nurwajadah P 1989 0 JL. Dermaga 085341554554 1/24/2022 1/24/2022 202110201L
113 7401144205720001 Murniati P 1972 0 JL. Bolu 085285195744 1/24/2022 1/24/2022 202110201L
114 0 20-01-2022 202110201L
115 0 20-01-2022 202110201L
116 0 20-01-2022 202110201L
117 0 20-01-2022 202110201L
118 0 20-01-2022 202110201L
119 0 20-01-2022 202110201L
120 0 20-01-2022 202110201L
121 0 20-01-2022 202110201L
122 0 20-01-2022 202110201L
123 0 20-01-2022 202110201L

124 0 20-01-2022 202110201L
125 0 20-01-2022 202110201L
126 0 20-01-2022 202110201L
127 0 20-01-2022 202110201L
128 0 20-01-2022 202110201L
129 0 20-01-2022 202110201L
130 0 20-01-2022 202110201L
131 0 20-01-2022 202110201L
132 0 20-01-2022 202110201L
133 0 20-01-2022 202110201L
134 0 20-01-2022 202110201L
135 0 20-01-2022 202110201L
136 0 20-01-2022 202110201L
137 0 20-01-2022 202110201L
138 0 20-01-2022 202110201L
139 0 20-01-2022 202110201L
140 0 20-01-2022 202110201L
141 0 20-01-2022 202110201L
142 0 20-01-2022 202110201L
143 0 20-01-2022 202110201L
144 0 20-01-2022 202110201L
145 0 20-01-2022 202110201L

146 0 20-01-2022 202110201L
147 0 20-01-2022 202110201L
148 0 20-01-2022 202110201L
149 0 20-01-2022 202110201L
150 0 20-01-2022 202110201L
151 0 20-01-2022 202110201L
152 0 20-01-2022 202110201L
153 0 20-01-2022 202110201L
154 0 20-01-2022 202110201L
155 0 20-01-2022 202110201L
156 0 20-01-2022 202110201L
157 0 20-01-2022 202110201L
158 0 20-01-2022 202110201L
159 0 20-01-2022 202110201L
160 0 20-01-2022 202110201L
161 0 20-01-2022 202110201L
162 0 20-01-2022 202110201L
163 0 20-01-2022 202110201L
164 0 20-01-2022 202110201L
165 0 20-01-2022 202110201L
166 0 20-01-2022 202110201L
167 0 20-01-2022 202110201L

168 0 20-01-2022 202110201L
169 0 20-01-2022 202110201L
170 0 20-01-2022 202110201L
171 0 20-01-2022 202110201L
172 0 20-01-2022 202110201L
173 0 20-01-2022 202110201L
174 0 20-01-2022 202110201L
175 0 20-01-2022 202110201L
176 0 20-01-2022 202110201L
177 0 20-01-2022 202110201L
178 0 20-01-2022 202110201L
179 0 20-01-2022 202110201L
180 0 20-01-2022 202110201L
181 0 20-01-2022 202110201L
182 0 20-01-2022 202110201L
183 0 20-01-2022 202110201L
184 0 20-01-2022 202110201L
185 0 20-01-2022 202110201L
186 0 20-01-2022 202110201L
187 0 20-01-2022 202110201L
188 0 20-01-2022 202110201L
189 0 20-01-2022 202110201L

190 0 20-01-2022 202110201L
191 0 20-01-2022 202110201L
192 0 20-01-2022 202110201L
193 0 20-01-2022 202110201L
194 0 20-01-2022 202110201L
195 0 20-01-2022 202110201L
196 0 20-01-2022 202110201L
197 0 20-01-2022 202110201L
198 0 20-01-2022 202110201L
199 0 20-01-2022 202110201L
200 0 20-01-2022 202110201L
201 0
202 0
203 0
204 0
205 0
206 0
207 0
208 0
209 0
210 0
211 0
212 0
213 0
214 0
215 0
216 0
217 0
218 0
219
220 0
221 0
222 0
223 0
224 0
225 0
226 0
227 0
228 0
229 0
230
231
232
233
234
235
236
237
238
239
240

D = Lainnya
E = Tidak Bekerja

18-30 0 0 A 0
31-45 1 0 B 0
46-59 0 0 C 0
Total 1 0 D 0
Pekerjaan: E 0
A 0 102 Total 0
B 0 99
C 0
D 0
E 0
Total 0
Keterangan
(Ditunda/Tidak
Diberikan/Lanj
ut)
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
LANJUT SMPN 1 LATAMBAGA
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
LANJUT
LANJUT
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT

Dosis I Dosis 2
Umur
tahun)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 7401145604570001 RATNA P 64 60-199 KOLAKAASI 082346668267 SINOVAC 26-01-2022 C202109194
2 7401046603140001 ROFINA DZAROH P 7 0 LAMOKATO 082216988394 SINOVAC 26-01-2022 C202109194
3 7401146108130001 AKILA SAHRA P 8 0 KOLAKAASI 085241519925 SINOVAC 26-01-2022 C202109194
4 7401140411060001 MUH ILHAM L 15 0 KOLAKAASI 082244155840 PFIZER 26-01-2022 FM2957
5 7401211610060002 MUH RAMADHAN L 15 0 KOLAKAASI 082153656798 PFIZER 26-01-2022 FM2957
6 7401140611100001 MUH AL FADHIL WIJAYA L 11 0 KOLAKAASI 082195955399 SINOVAC 26-01-2022 C202109194
7 7401140306120002 MOCH IRSAN L 9 0 KOLAKAASI 081244440859 SINOVAC 26-01-2022 C202109194
8 7401142403990003 M.ANNUR ALAM L 22 18-30 KOLAKAASI 082311284256 PFIZER 26-01-2022 FM2957
9 7401145404140003 ALILAH AHNA MALAIKA P 7 0 KOLAKAASI 081244929997 SINOVAC 26-01-2022 C202109194
10 7401140811120001 MUH REZKY ZULKIFLI L 9 0 KOLAKAASI 085299437169 SINOVAC 26-01-2022 C202109194
11 74011471001140001 ASHILA S P 7 0 KOLAKAASI 081340391707 SINOVAC 26-01-2022 C202109194
12 7303010901990001 RISWAN L 22 18-30 KOLAKAASI 085217737318 PFIZER 26-01-2022 FM2957
13 7401145004130003 IFFAASTILLAH RAHMA P 8 0 KOLAKAASI 082259981581 SINOVAC 26-01-2022 C202109194

14 7401144206150002 MARSA BELLA JUNITA P 6 0 WOWOTA 085258808420 SINOVAC 26-01-2022 C202109194
15 7401144771650001 HASNIA P 56 46-59 KOLAKAASI 082296339198 PFIZER 26-01-2022 FM2957
16 7401140212080003 NIRWAN L 13 0 KOLAKAASI 085656088025 PFIZER 26-01-2022 FM2957
17 7401144805500001 NIKMA P 71 60-199 KOLAKAASI 082348305656 PFIZER 26-01-2022 FM2957
18 74080369018000001 MASRIANI P 41 31-45 KOLAKAASI 082296339198 PFIZER 26-01-2022 FM2957
19 7401146610110001 HAURAH BUNGA S P 10 0 KOLAKAASI 085241811941 SINOVAC 26-01-2022 C202109194
20 7401142309090002 YAN L 12 0 KOLAKAASI 085656088025 SINOVAC 26-01-2022 C202109194
21 3315032605110001 HANDRA HAERIL L 10 0 KOLAKAASI 082262160133 SINOVAC 26-01-2022 C202109194
22 7401041901040001 ALAN NUARI L 8 0 LAMOKATO 081341138928 PFIZER 26-01-2022 FM2957
23 7324035010880002 MARLINA P 33 31-45 LALOEHA 082239163886 PFIZER 26-01-2022 FM2957
24 7401043011050001 SOPYAN L 16 0 KOLAKAASI 081341139428 PFIZER 26-01-2022 FM2957
25 740065202800001 SULISNA P 41 31-45 KOLAKAASI 085340323403 PFIZER 26-01-2022 FM2957
26 7306080606730006 HASANUDDIN L 48 46-59 KOLAKAASI 088704336294 PFIZER 26-01-2022 FM2957
27 7401146808060001 CITRA WIDYA SAPUTRI P 15 0 KOLAKAASI 082333556204 PFIZER 26-01-2022 FM2957
28 740806690310002 CINTA NURUL HIKMA P 11 0 KOLAKAASI 085340323403 SINOVAC 26-01-2022 C202109194
29 7401140806910001 AGUS L 30 18-30 SAMATURU 082278462242 PFIZER 26-01-2022 FM2957
30 7308204805890001 KAMSIA P 32 31-45 KOLAKAASI 085256435709 PFIZER 26-01-2022 FM2957
31 7401140711820001 ARPIN L 39 31-45 KOLAKAASI 081241099276 PFIZER 26-01-2022 FM2957
32 7401142404120003 RAFKI APRILIO L 9 0 MANGOLO 085241545657 SINOVAC 26-01-2022 C202109194
33 7401144806100003 SYERINA NATASYA P 11 0 KOLAKAASI 085219022858 SINOVAC 26-01-2022 C202109194
34 7401141404980001 MOSLIMIN L 23 18-30 KOLAKAASI 081216138310 PFIZER 26-01-2022 FM2957
35 7401141509960001 TASLIM L 25 18-30 KOLAKAASI 082216138310 PFIZER 26-01-2022 FM2957

36 7401104107640037 NURDIA P 57 46-59 KOLAKAASI 085256449667 PFIZER 26-01-2022 FM2957
37 7401142308080001 ISMAIL L 13 0 KOLAKAASI 082216138310 SINOVAC 26-01-2022 C202109194
38 7401142101910002 HERMAN L 30 18-30 KOLAKAASI 081350716516 PFIZER 26-01-2022 FM2957
39 7401142906960001 MUH RIJAL L 25 18-30 KOLAKAASI 085256412294 PFIZER 26-01-2022 FM2957
40 7471015006100001 SRI WAHYUNI P 11 0 KOLAKAASI 081245660877 PFIZER 26-01-2022 FM2957
41 7401146904060002 ALISA P 15 0 KOLAKAASI 085656053128 PFIZER 26-01-2022 FM2957
42 7401145404140002 MASRSHANTY ANA VARELLA P 7 0 KOLAKAASI 085396466195 SINOVAC 26-01-2022 C202109194
43 7401142403110002 MUH GIRAN L 10 0 KOLAKAASI 08533685430 SINOVAC 26-01-2022 C202109194
44 7401147112670013 ROSNAWATI A P 54 46-59 KOLAKAASI 08121044765 PFIZER 26-01-2022 FM2957
45 7401140707890002 ISMAIL L 32 31-45 MANGOLO 085244633268 PFIZER 26-01-2022 FM2957
46 7401142205020001 ADITYA L 19 18-30 MANGOLO 081334437485 PFIZER 26-01-2022 FM2957
47 7401144510070001 AULIA RAMADHANI P 14 0 KOLAKAASI 081244288785 PFIZER 26-01-2022 FM2957
48 7401146612060001 MIRNA P 15 0 KOLAKAASI 085656088025 PFIZER 26-01-2022 FM2957
49 74011427120800006 FERDIANSYAH L 13 0 KOLAKAASI 085796208610 PFIZER 26-01-2022 FM2957
50 0 26-01-2022
51 0
52 0
53 0
54 0
55 0
56 0
57 0
58 0
59 0
60 0
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0
71 0
72 0
73 0
74 0
75 0
76 0
77 0
78 0
79 0
80 0
81 0
82 0
83 0
84 0
85 0
86 0
87 0
88 0
89 0
90 0
91 0
92 0
93 0
94 0
95 0
96 0
97 0
98 0
99 0
100 0
101 0
102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0
131 0
132 0
133 0
134 0
135 0
136 0
137 0
138 0
139 0
140 0
141 0
142 0
143 0
144 0
145 0
146 0
147 0
148 0
149 0
150 0
151 0
152 0
153 0
154 0
155 0
156 0
157 0
158 0
159 0
160 0
161 0
162 0
163 0
164 0
165 0
166 0
167 0
168 0
169 0
170 0
171 0
172 0
173 0
174 0
175 0
176 0
177 0
178 0
179 0
180 0
181 0
182 0
183 0
184 0
185 0
186 0
187 0
188 0
189 0
190 0
191 0
192 0
193 0
194 0
195 0
196 0
197 0
198 0
199 0
200 0
201 0
202 0
203 0
204 0
205 0
206 0
207 0
208 0
209 0
210 0
211 0
212 0
213 0
214 0
215 0
216 0
217 0
218 0
219
220 0
221 0
222 0
223 0
224 0
225 0
226 0
227 0
228 0
229 0
230
231
232
233
234
235
236
237
238
239
240

D = Lainnya
E = Tidak Bekerja

18-30 8 0 A 0
31-45 6 0 B 0
46-59 4 0 C 0
Total 18 0 D 0
Pekerjaan: E 0
A 0 50 Total 0
B 0 0
C 0
D 0
E 0
Total 0
Keterangan
(Ditunda/Tidak
Diberikan/Lanj
ut)
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
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Dosis I Dosis 2
Umur
tahun)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 7401044102880005 FITRIANI P 33 31-45 KOLAKAASI 082188408062 SINOVAC 26-01-2022 C202109194
2 7401141008980001 TIAR P 23 18-30 KOLAKAASI 082271275339 PFIZER 26-01-2022 FM2957
3 7401142501070001 ARIEF HIDAYAT L 14 0 KOLAKAASI 082279901814 SINOVAC 26-01-2022 C202109194
4 7401045010580001 BASSE P 63 60-199 KOLAKAASI 082298914144 SINOVAC 26-01-2022 C202109194
5 7401145105050001 HUSNUL KHATIMAH P 16 0 KOLAKAASI 085342686162 PFIZER 26-01-2022 FM2957
6 7401141506630001 ARIFIN L 58 46-59 KOLAKAASI 085342686162 PFIZER 26-01-2022 FM2957
7 7401146001670001 HARTINI P 54 46-59 KOLAKAASI 085341993388 SINOVAC 26-01-2022 C202109194
8 7401147112570029 SAODA P 64 60-199 KOLAKAASI 082260053872 PFIZER 26-01-2022 FM2957
9 7401140505980002 SAFRUDDIN L 23 18-30 KOLAKAASI 082344183857 SINOVAC 26-01-2022 C202109194
10 74011447088000001 HATYATI P 41 31-45 KOLAKAASI 082344183857 SINOVAC 26-01-2022 C202109194
11 7401044903950002 SUKMAWATI P 26 18-30 KOLAKAASI 082221295954 SINOVAC 26-01-2022 C202109194
12 7401143112670011 JAWING L 54 46-59 KOLAKAASI 082395144675 PFIZER 26-01-2022 FM2957
13 7401146212760001 ST NURHAYATI P 45 31-45 KOLAKAASI 082188812365 SINOVAC 26-01-2022 C202109194

14 7401207009800001 SINAR P 38 31-45 KOLAKAASI 085246237337 PFIZER 26-01-2022 FM2957
15 7401144107620004 SUHERIA P 59 46-59 KOLAKAASI 081524971335 PFIZER 26-01-2022 FM2957
16 7401145506910001 RISMA P 30 18-30 KOLAKAASI 082260053872 PFIZER 26-01-2022 FM2957
17 7401251012810001 SULEMAN L 30 18-30 KOLAKAASI 081318949831 PFIZER 26-01-2022 FM2957
18 74011424049800001 ADRIAN PERMANA L 23 18-30 KOLAKAASI 082215712040 PFIZER 26-01-2022 FM2957
19 7401144310060002 NURWINDA P 15 0 KOLAKAASI 082278461992 PFIZER 26-01-2022 FM2957
20 7401146609080001 RAYSNA PRAMANA PUTRI P 13 0 KOLAKAASI 082393173598 PFIZER 26-01-2022 FM2957
21 7401141209080004 SALDIANSYAH L 14 0 KOLAKAASI 082185409773 SINOVAC 26-01-2022 C202109194
22 7401143010080001 MUH AL MAJID ADAM L 13 0 KOLAKAASI 085757002580 PFIZER 26-01-2022 FM2957
23 7401015503050001 CAHYA FIRJINIA P 16 0 KOLAKAASI 085287283561 PFIZER 26-01-2022 FM2957
24 7401146811040001 NURFADILLAH P 17 0 KOLAKAASI 082241469033 PFIZER 26-01-2022 FM2957
25 817102140809005 MUH IKDAL YUSRAB L 12 0 SABILAMBO 082311117148 SINOVAC 26-01-2022 C202109194
26 7408074603040002 ELSA SAFITRI P 17 0 KOLAKAASI 085657302955 PFIZER 26-01-2022 FM2957
27 7401140201040002 MUH FADLY S L 7 0 KOLAKAASI 082150139132 SINOVAC 26-01-2022 C202109194
28 7401141501960001 HENGKI L 25 18-30 MANGOLO 082350840126 SINOVAC 26-01-2022 C202109194
29 7401202209970001 WANDI SAPUTRA L 22 18-30 SAMATURU 081340264045 SINOVAC 26-01-2022 C202109194
30 7401253010050003 SAPARUDDING L 16 0 KOLAKAASI 085696705210 PFIZER 26-01-2022 FM2957
31 7310102701030001 IBRAHIM L 18 18-30 SEA 082246890478 SINOVAC 26-01-2022 C202109194
32 7401140901020002 JUMADIL L 19 18-30 SEA 085334885535 SINOVAC 26-01-2022 C202109194
33 7401140707900001 HARIANTO L 31 31-45 KOLAKAASI 082188218926 SINOVAC 26-01-2022 C202109194
34 7308224611030002 NUR HIDAYAH P 18 18-30 KOLAKAASI 085287283561 PFIZER 26-01-2022 FM2957
35 740104161970001 SOFYAN NUGRAHA SUBAIR L 24 18-30 LAMOKATO 082397172006 SINOVAC 26-01-2022 C202109194
36 7406072312070001 AINAL ASWAN L 14 0 KOLAKAASI 082298279799 PFIZER 26-01-2022 FM2957
37 CHILIAS PURTI P 17 0 KOLAKAASI 085255174703 SINOVAC 26-01-2022 C202109194
38 7408074112030001 HASMANIAR P 18 18-30 KOLAKAASI SINOVAC 26-01-2022 C202109194
39 7401040208150004 SUBAIR L 56 46-59 LAMOKATO 082214452022 SINOVAC 26-01-2022 C202109194
40 7401142803050002 MUH RAYHAN PRAMANA P L 16 0 KOLAKAASI 0823111537369 SINOVAC 26-01-2022 C202109194
41 7308205405040001 MUTMAINNA P 17 0 KOLAKAASI 085287283561 PFIZER 26-01-2022 FM2957
42 706011807080002 ANDI AFDIL AIYAS L 13 0 KOLAKAASI 082195955204 PFIZER 26-01-2022 FM2957
43 740114507530001 DG CALLO L 68 60-199 KOLAKAASI 082349133267 PFIZER 26-01-2022 FM2957
44 7401145212960001 JESICA DESTIANA P 25 18-30 TANGGATADA 085211525042 SINOVAC 26-01-2022 C202109194
45 74011402058000001 MARWAN HANNA P 41 31-45 KOLAKAASI 085388930555 SINOVAC 26-01-2022 C202109194
46 7401146608050001 AMELIA AKMAL P 16 0 KOLAKAASI 085211009097 SINOVAC 26-01-2022 C202109194
47 7401145507790001 SALMA P 42 31-45 KOLAKAASI 082349133267 PFIZER 26-01-2022 FM2957
48 7401141205080002 RIYAN L 13 0 KOLAKAASI 085315692839 SINOVAC 26-01-2022 C202109194
49 7401045005090005 AIRA NURUL SYIFA P 12 0 KOLAKAASI 085241521217 SINOVAC 26-01-2022 C202109194
50 7408014151280003 HARIANA P 41 31-45 KOLAKAASI 082339674064 SINOVAC 26-01-2022 C202109194
51 740114808960004 RIZKA RAYA P 25 18-30 KOLAKAASI 082259981581 PFIZER 26-01-2022 FM2957
52 7401145604070003 ALNES ISRAYANTI P 14 0 KOLAKAASI 08569354226 SINOVAC 26-01-2022 C202109194
53 7402155004720002 TUNJI MU'MININ P 49 46-59 KOLAKAASI 082223132617 PFIZER 26-01-2022 FM2957
54 7401143112630013 USMAN L 58 46-59 KOLAKAASI 085244591780 SINOVAC 26-01-2022 C202109194
55 7401140611720001 MUH ALPAN TALURI L 49 46-59 KOLAKAASI 082193382728 SINOVAC 26-01-2022 C202109194
56 7401040502030002 MUH AKSAN L 18 18-30 KOLAKAASI 085240638024 SINOVAC 26-01-2022 C202109194
57 730820501050002 HASNANIA P 16 0 KOLAKAASI 085240830146 SINOVAC 26-01-2022 C202109194

58 740145410950001 YUSI WIDYA PRESTI P 26 18-30 LAMOKATO 085333257913 SINOVAC 26-01-2022 C202109194
59 7401145212840002 HARTWATI P 37 31-45 KOLAKAASI 085212526675 SINOVAC 26-01-2022 C202109194
60 7401140806090001 ANDRE DWI AGASKARA L 12 0 KOLAKAASI 081244869331 SINOVAC 26-01-2022 C202109194
61 7401141309060003 ARIEL L 15 0 KOLAKAASI 081245657724 SINOVAC 26-01-2022 C202109194
62 7401143012990002 ALKUDRI L 22 18-30 KOLAKAASI 081340391707 SINOVAC 26-01-2022 C202109194
63 7401141107640002 HASANI L 57 46-59 KOLAKAASI 085314122485 SINOVAC 26-01-2022 C202109194
64 7401140601960003 ALAN NUARI L 25 18-30 KOLAKAASI 085240621761 SINOVAC 26-01-2022 C202109194
65 7401140707800001 MUS MUSLIAYDI B L 41 31-45 KOLAKAASI 082246688776 SINOVAC 26-01-2022 C202109194
66 7401144506450001 SITTI P 58 46-59 KOLAKAASI 087810955666 SINOVAC 26-01-2022 C202109194
67 7401144211060001 FITRA HARIANI M P 15 0 KOLAKAASI 082359388038 SINOVAC 26-01-2022 C202109194
68 7401140601980005 RAHMAT L 23 18-30 KOLAKAASI 082231301678 PFIZER 26-01-2022 FM2957
69 7409024705030001 WD. NURHALIZA P 18 18-30 WUNDULAKO 085241405746 SINOVAC 26-01-2022 C202109194
70 7313063112750007 AMBO TANG L 46 46-59 KOLAKAASI 082191389059 SINOVAC 26-01-2022 C202109194
71 7401040506960002 ILHAM L 25 18-30 KOLAKAASI 082271300177 SINOVAC 26-01-2022 C202109194
72 7401143007530001 MUH GUNTUR L 60 60-199 KOLAKAASI 082316446544 SINOVAC 26-01-2022 C202109194
73 7401144706900002 MEGAWATI P 29 18-30 KOLAKAASI 082346286847 PFIZER 26-01-2022 FM2957
74 7401145011500002 BULANG P 71 60-199 KOLAKAASI 085210886572 SINOVAC 26-01-2022 C202109194
75 7401146905040001 AYU LESTARI P 19 18-30 KOLAKAASI 082349797462 SINOVAC 26-01-2022 C202109194
76 7401140710090003 FADIN PRATAMA L 12 0 KOLAKAASI 085398582143 SINOVAC 26-01-2022 C202109194
77 7401145511070001 HETRYANTI P 14 0 KOLAKAASI 085240019564 SINOVAC 26-01-2022 C202109194
78 7401140305010002 FATHUR RAHMAN L 20 18-30 KOLAKAASI 081526046146 SINOVAC 26-01-2022 C202109194
79 7401143112700058 RAMLI L 51 46-59 KOLAKAASI 081243062352 SINOVAC 26-01-2022 C202109194

80 7401144706930001 LINDA P 28 18-30 KOLAKAASI 082299500217 PFIZER 26-01-2022 FM2957
81 7401142210070002 SURIADI SAPUTRA L 14 0 KOLAKAASI 082344889688 PFIZER 26-01-2022 FM2957
82 7401142005080001 MUH AFDAL L 13 0 KOLAKAASI 081247454107 PFIZER 26-01-2022 FM2957
83 7401146503750001 MASITA P 46 46-59 KOLAKAASI 085246643430 PFIZER 26-01-2022 FM2957
84 7401146603050001 SRI ASTRI YANI P 16 0 KOLAKAASI 085657116445 SINOVAC 26-01-2022 C202109194
85 7401144303000003 LINA SARINA P 21 18-30 KOLAKAASI 081247687699 PFIZER 26-01-2022 FM2957
86 7401146110810001 SITTI NORMA P 40 31-45 KOLAKAASI 085247262278 PFIZER 26-01-2022 FM2957
87 7401144506050001 NURLINDA P 16 0 KOLAKAASI 082259470381 SINOVAC 26-01-2022 C202109194
88 7401142905050003 AHMAD DAHRANI L 16 0 KOLAKAASI 082253921318 PFIZER 26-01-2022 FM2957
89 7401040409730001 JUANDA L 48 46-59 KOLAKAASI 081242351063 SINOVAC 26-01-2022 C202109194
90 7401164303070003 RAYA AULIA PUTRI P 14 0 KOLAKAASI 0853409292114 SINOVAC 26-01-2022 C202109194
91 7302012008030002 ARDIANSYAH L 16 0 KOLAKAASI 0852263335461 SINOVAC 26-01-2022 C202109194
92 7401144412070001 CITRA P 14 0 KOLAKAASI 08349316951 SINOVAC 26-01-2022 C202109194
93 7401144303080001 ASYIFA MANOKASI P 13 0 KOLAKAASI 085213181088 SINOVAC 26-01-2022 C202109194
94 7401145210920001 DARNI P 29 18-30 SEA 082259679583 PFIZER 26-01-2022 FM2957
95 7401145109030001 PUPUT P 18 18-30 SAKULI 081241077255 PFIZER 26-01-2022 FM2957
96 7401142607060001 MUH FASLUR RAHMAN L 15 0 SEA 081527208541 PFIZER 26-01-2022 FM2957
97 7308190107540072 BEDDU SAMDE L 67 60-199 KOLAKAASI 085318580040 PFIZER 26-01-2022 FM2957
98 7306081704820009 MUH RUSLI L 39 31-45 KOLAKAASI 081343641482 PFIZER 26-01-2022 FM2957
99 7401041912590001 AHMAR ARIFIN L 62 60-199 KOLAKAASI 081341699300 SINOVAC 26-01-2022 C202109194
100 7401140409050001 ILHAM L 16 0 KOLAKAASI 085331528000 PFIZER 26-01-2022 FM2957
101 8272015102770001 MURNIA MASNYUR P 44 31-45 KOLAKAASI 085280410395 SINOVAC 26-01-2022 C202109194
102 7306082706810001 RUSLAN L 40 31-45 KOLAKAASI 088215523031 PFIZER 26-01-2022 FM2957
103 7401146310050001 SAPUTRI ANGGRAENI P 16 0 KOLAKAASI 081245660870 SINOVAC 26-01-2022 C202109194
104 7401142204020003 CANDRA L 19 18-30 KOLAKAASI 085331540898 SINOVAC 26-01-2022 C202109194
105 7401144306090001 ANISA AMELIA PUTRI P 13 0 KOLAKAASI 081272782923 SINOVAC 26-01-2022 C202109194
106 7401141407830001 RIVAL ARIFAI L 38 31-45 KOLAKAASI 081340189517 SINOVAC 26-01-2022 C202109194
107 7308234107890318 MARLINDA P 32 31-45 KOLAKAASI 085341547796 PFIZER 26-01-2022 FM2957
108 7401145003050001 RANTI P 16 0 KOLAKAASI 0823960098504 PFIZER 26-01-2022 FM2957
109 7401206505910001 RUHLIANA P 30 18-30 KOLAKAASI 082135844777 PFIZER 26-01-2022 FM2957
110 701142205030001 MUH ALDI SYAPUTRA L 18 18-30 KOLAKAASI 085211276438 PFIZER 26-01-2022 FM2957
111 7401041404040001 ASFAN L 17 0 KOLAKAASI 082246052086 PFIZER 26-01-2022 FM2957
112 7401145102780001 SAMSIA P 43 31-45 KOLAKAASI 085210886572 PFIZER 26-01-2022 FM2957
113 7401144304070001 CINTA RAMADANI PUTRI P 14 0 KOLAKAASI 081343495420 PFIZER 26-01-2022 FM2957
114 7401144308040001 NADIA P 17 0 KOLAKAASI 082246052086 SINOVAC 26-01-2022 C202109194
115 7401144109070002 KIKI PERTIWI P 14 0 KOLAKAASI 082260658155 SINOVAC 26-01-2022 C202109194
116 7401141708990003 ISMAIL ABD GAFFAR L 22 18-30 KOLAKAASI 082277093756 SINOVAC 26-01-2022 C202109194
117 7408076504890001 RAMLAH RASYID P 32 31-45 KOLAKAASI 085338841968 SINOVAC 26-01-2022 C202109194
118 7401145201070001 NURFADILLAH P 14 0 KOLAKAASI 085334885535 SINOVAC 26-01-2022 C202109194
119 7401045912660002 SRIYANI P 55 46-59 KOLAKAASI 081341699300 SINOVAC 26-01-2022 C202109194
120 7314110105500005 LASOLLE L 61 60-199 SEA 081292016136 SINOVAC 26-01-2022 C202109194
121 7401144605050003 WANDA SARI WIT P 16 0 KOLAKAASI 0822977100449 SINOVAC 26-01-2022 C202109194
122 7401144210060002 SUCI RAMADANI P 15 0 KOLAKAASI 082393346208 SINOVAC 26-01-2022 C202109194
123 7305046309020003 KASMAWATI P 19 18-30 KOLAKAASI 082347734772 SINOVAC 26-01-2022 C202109194

124 7401146908000002 IRMAYANTI P 21 18-30 KOLAKAASI 081215280277 SINOVAC 26-01-2022 C202109194
125 7401147012760001 INDO ESSE P 45 31-45 KOLAKAASI 081215802277 SINOVAC 26-01-2022 C202109194
126 7401143108050002 RAHMAT WARDANI L 16 0 KOLAKAASI 082346296014 SINOVAC 26-01-2022 C202109194
127 7401145503090001 NURFADILLAH P 12 0 KOLAKAASI 085399976789 SINOVAC 26-01-2022 C202109194
128 7401146307080001 ALIFVIA A NAWIR P 13 0 KOLAKAASI 085321006065 SINOVAC 26-01-2022 C202109194
129 7401144601080003 DINA SRI LESTARI P 13 0 KOLAKAASI 085241231137 SINOVAC 26-01-2022 C202109194
130 7401145303080001 SALSABILA P 13 0 KOLAKAASI 085219022858 PFIZER 26-01-2022 FM2957
131 7401144606040001 NUR FATIMA P 17 0 KOLAKAASI 082123535975 PFIZER 26-01-2022 FM2957
132 7401143112550026 SAKIR L 66 60-199 KOLAKAASI 082260053872 PFIZER 26-01-2022 FM2957
133 7401040607080003 WAHYU PUTRA SETIAWAN L 13 0 KOLAKAASI 082218472077 SINOVAC 26-01-2022 C202109194
134 7401046009050005 ANDI ARYA PUTRA L 16 0 KOLAKAASI 085241262136 PFIZER 26-01-2022 FM2957
135 7308200107050023 MIFTAHUL AHYAR SYAM L 16 0 KOLAKAASI 082298375853 PFIZER 26-01-2022 FM2957
136 7401141502090001 REHAN FEBRIAN L 12 0 KOLAKAASI 081241192699 SINOVAC 26-01-2022 C202109194
137 7401200901060001 WAHYUDIN L 16 0 KOLAKAASI 082292956807 SINOVAC 26-01-2022 C202109194
138 7406072412050001 YUSRIL AMRI L 16 0 KOLAKAASI 085341187991 SINOVAC 26-01-2022 C202109194
139 7401142912050001 LESMANA L 16 0 KOLAKAASI 0852988704783 SINOVAC 26-01-2022 C202109194
140 7306166512790001 RALLEWATI DG SONA P 42 31-45 KOLAKAASI 082311288099 SINOVAC 26-01-2022 C202109194
141 7401023004050001 AHMAD PUTRA L 16 0 KOLAKAASI 085232432285 PFIZER 26-01-2022 FM2957
142 7306160409040002 MUH ANUGERAH L 17 0 KOLAKAASI 085810493989 SINOVAC 26-01-2022 C202109194
143 73061612057000002 ZAINUDDIN DG NYALA L 51 46-59 KOLAKAASI 082311288099 SINOVAC 26-01-2022 C202109194
144 7401142109030002 FIRMANSYAH L 18 18-30 KOLAKAASI 085338736942 SINOVAC 26-01-2022 C202109194
145 7401144803030001 FARIDA P 18 18-30 KOLAKAASI 081215280277 SINOVAC 26-01-2022 C202109194

146 7408070707070001 FAREL L 14 0 KOLAKAASI 082204091833 SINOVAC 26-01-2022 C202109194
147 7401144907060003 MASLINA P 15 0 KOLAKAASI 085341519511 SINOVAC 26-01-2022 C202109194
148 7401141012600001 ANAS L 61 60-199 KOLAKAASI 082311214552 SINOVAC 26-01-2022 C202109194
149 7401140208080002 MUH ZAHRIL L 13 0 SEA 085213181171 SINOVAC 26-01-2022 C202109194
150 7401140705680001 ANSAR L 53 46-59 SAKULI 082252422740 PFIZER 26-01-2022 FM2957
151 740104101040004 WAGE RUDOLFY L 57 46-59 WATULIANDU 085333683224 PFIZER 26-01-2022 FM2957
152 7401142408060002 ABD RAJIB L 15 0 KOLAKAASI 085757179315 PFIZER 26-01-2022 FM2957
153 7401143112550034 DG SAMBE L 66 60-199 KOLAKAASI 082399319427 PFIZER 26-01-2022 FM2957
154 7401146706830001 HASRIANI P 38 31-45 SEA 085221482514 SINOVAC 26-01-2022 C202109194
155 7401104305070002 ALIYA P 14 0 KOLAKAASI 08528378655 SINOVAC 26-01-2022 C202109194
156 7308084405620002 HJ RABIA P 59 46-59 MANGOLO 082268622639 PFIZER 26-01-2022 FM2957
157 7401104107940023 ROSDA P 27 18-30 KOLAKAASI 085394087605 SINOVAC 26-01-2022 C202109194
158 7401140101750007 ANJAS L 46 46-59 KOLAKAASI 082319173185 PFIZER 26-01-2022 FM2957
159 7401146605080002 RAYA LUTHFIA P 13 0 KOLAKAASI 082113768528 SINOVAC 26-01-2022 C202109194
160 7408010208070001 AGUSTINUS L 14 0 KOLAKAASI 082339674064 SINOVAC 26-01-2022 C202109194
161 7401141512870001 PAHRUDDIN L 34 31-45 LATAMBAGA 082348518707 SINOVAC 26-01-2022 C202109194
162 7401145101020001 MUTIARA RAHMADANI P 14 0 KOLAKAASI 082271359802 SINOVAC 26-01-2022 C202109194
163 740114260280006 SAMADIL AHADIL L 13 0 KOLAKAASI 085342029027 PFIZER 26-01-2022 FM2957
164 7401141002030002 BURHANUDDIN L 18 18-30 KOLAKAASI 08131067904 SINOVAC 26-01-2022 C202109194
165 7401142801070002 MUH DJUARI M L 14 0 KOLAKAASI 082248267668 SINOVAC 26-01-2022 C202109194
166 74011464080700001 NOVI INDRIANI P 14 0 KOLAKAASI 082346296014 SINOVAC 26-01-2022 C202109194
167 7401144606090003 AIRIN P 12 0 KOLAKAASI 081244288785 SINOVAC 26-01-2022 C202109194

168 7401141010680002 SYARIPUDDIN L 53 46-59 KOLAKAASI 085396997506 SINOVAC 26-01-2022 C202109194
169 7401141805040002 REZKI ADITYA L 17 0 KOLAKAASI 085796208578 SINOVAC 26-01-2022 C202109194
170 7401145910020001 SRI AYU SAFITRI P 18 18-30 KOLAKAASI 081527219293 PFIZER 26-01-2022 FM2957
171 7401144303030007 ANDINI RAHMAN P 18 18-30 KOLAKAASI 085348073268 PFIZER 26-01-2022 FM2957
172 7401144895000001 FIRDI FEBRTIANTI P 21 18-30 KOLAKAASI 082252241998 SINOVAC 26-01-2022 C202109194
173 7401144101070002 RASTI P 14 0 KOLAKAASI 082271304727 SINOVAC 26-01-2022 C202109194
174 7401144606080001 MONALISA P 13 0 KOLAKAASI 085261299423 SINOVAC 26-01-2022 C202109194
175 7401145505660002 NURAENI P 55 46-59 SEA 082188408647 SINOVAC 26-01-2022 C202109194
176 7401146809050002 NOVI AZALIA P 16 0 KOLAKAASI 085827892954 PFIZER 26-01-2022 FM2957
177 7401145811800001 YANTI OHEN P 41 31-45 KOLAKAASI 085342187470 SINOVAC 26-01-2022 C202109194
178 7401144703770002 RUHAYATI P 44 31-45 MANGOLO 082239527887 SINOVAC 26-01-2022 C202109194
179 7401107006830001 RATNA P 58 46-59 KOLAKAASI 085241933752 SINOVAC 26-01-2022 C202109194
180 7324070911860001 ANDI SURIYANTO L 35 31-45 KOLAKAASI 082311288089 SINOVAC 26-01-2022 C202109194
181 7371075911960004 RISMAWATI P 25 18-30 SEA 085397818098 SINOVAC 26-01-2022 C202109194
182 7306086506090001 NUR WIRA WATI P 12 0 KOLAKAASI 081241192334 SINOVAC 26-01-2022 C202109194
183 7401141811040001 RIAN SAPUTRA L 17 0 KOLAKAASI 085825485243 SINOVAC 26-01-2022 C202109194
184 7401147003040003 SITTI RAHMI P 17 0 KOLAKAASI 082298914183 SINOVAC 26-01-2022 C202109194
185 6474014611090001 SELVY NOVIA P 12 0 KOLAKAASI 081215142124 SINOVAC 26-01-2022 C202109194
186 7401146509080002 NUR RAHAYU P 13 0 KOLAKAASI 085757305278 SINOVAC 26-01-2022 C202109194
187 7401144902100001 SASKIA IMELDA ARSYAD P 12 0 KOLAKAASI 085299858475 SINOVAC 26-01-2022 C202109194
188 7401146111090001 SASKIA AULIA ARIFIN P 12 0 KOLAKAASI 082343903410 SINOVAC 26-01-2022 C202109194
189 7401145401000002 LINDAMIANTI P 21 18-30 MANGOLO 082237355523 SINOVAC 26-01-2022 C202109194

190 74011470128400002 HARIANTI P 37 31-45 KOLAKAASI 085242662431 SINOVAC 26-01-2022 C202109194
191 7306085808800005 SRI LESTARI P 41 31-45 KOLAKAASI 081241192334 SINOVAC 26-01-2022 C202109194
192 7401140905050001 ANDI MUB FIKRANA L 16 0 KOLAKAASI 085293315990 SINOVAC 26-01-2022 C202109194
193 7401142911070001 ABD MALIK RIZQI L 14 0 KOLAKAASI 085213509707 SINOVAC 26-01-2022 C202109194
194 7401142107840006 JUMARDI L 37 31-45 KOLAKAASI 085341049365 SINOVAC 26-01-2022 C202109194
195 7401140505670001 SARKUN L 54 46-59 KOLAKAASI 085346097752 SINOVAC 26-01-2022 C202109194
196 7401140255030008 RIKA APRIYANTI P 18 18-30 KOLAKAASI 082173710805 SINOVAC 26-01-2022 C202109194
197 7401146206080001 MAHARANI P 13 0 KOLAKAASI 085241695189 SINOVAC 26-01-2022 C202109194
198 7401141812080002 ANDI FAREL L 13 0 KOLAKAASI 082150157679 SINOVAC 26-01-2022 C202109194
199 7401142504080002 MUH IKMAL L 13 0 KOLAKAASI 08152604992 SINOVAC 26-01-2022 C202109194
200 7401141203050005 MUH IKSAN L 16 0 KOLAKAASI 081248739343 SINOVAC 26-01-2022 C202109194
201 7401142908060003 MUH AFDHAL DZAKI L 15 0 KOLAKAASI 081218510041 SINOVAC 26-01-2022 C202109194
202 7401142607070005 NUR FAJRIANA P 14 0 KOLAKAASI 087871769916 PFIZER 26-01-2022 FM2957
203 7401147112700042 RUWAYA P 51 46-59 KOLAKAASI 085255238787 PFIZER 26-01-2022 FM2957
204 7401145208880004 WARDANIANTI P 33 31-45 MANGOLO 085255238787 PFIZER 26-01-2022 FM2957
205 7401142904060003 MUH. SAIFULLAH L 15 0 KOLAKAASI 085341699323 PFIZER 26-01-2022
206 7401147112690009 HAYATI P 52 46-59 KOLAKAASI 082393713215 PFIZER
207 0
208 0
209 0
210 0
211 0
212 0
213 0
214 0
215 0
216 0
217 0
218 0
219
220 0
221 0
222 0
223 0
224 0
225 0
226 0
227 0
228 0
229 0
230
231
232
233
234
235
236
237
238
239
240

D = Lainnya
E = Tidak Bekerja

18-30 45 0 A 0
31-45 29 0 B 0
46-59 26 0 C 0
Total 100 0 D 0
Pekerjaan: E 0
A 0 0 Total 0
B 0 205
C 0
D 0
E 0
Total 0
Keterangan
(Ditunda/Tidak
Diberikan/Lanj
ut)
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT

Dosis I Dosis 2
Umur
tahun)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 7401141512540001 RUSTAM L 67 60-199 SAKULI 081245788188 PFIZER 28-01-2022 FM2957
2 7401147112700052 ARMIATI P 51 46-59 SEA 081245788188 PFIZER 28-01-2022 FM2957
3 7401140209060001 MUH RAMADHAN L 15 0 TAHOA 082293244126 PFIZER 28-01-2022 FM2957
4 74011447007030001 NATSAYA TENRI AYU P 19 18-30 SAKULI 085255504107 PFIZER 28-01-2022 FM2957
5 7401142610760001 SAIFUL L 45 31-45 LATAMBAGA 082393269093 PFIZER 28-01-2022 FM2957
6 740114460910001 ZAHRA RAMADHANI P 11 0 KOLAKAASI 0811406718 SINOVAC 28-01-2022 C202109194
7 7401144212590001 JUMRAN B L 62 60-199 LATAMBAGA 082393269093 PFIZER 28-01-2022 FM2957
8 7401144210150002 NUR AQILA P 6 0 SAKULI 085242138708 SINOVAC 28-01-2022 C202109194
9 7401046510910002 RANI ELIZABETH P P 30 18-30 LAMOKATO 081327839230 PFIZER 28-01-2022 FM2957
10 7401144308030002 ANGGUN STEVYRA P 18 18-30 SAKULI 085298694121 PFIZER 28-01-2022 FM2957
11 7401041411960001 MUH JAYADIN SYAM L 25 18-30 LALOMBAA 082195992395 PFIZER 28-01-2022 FM2957
12 0 28-01-2022
13 0 28-01-2022
14 0 28-01-2022
15 0 28-01-2022
16 0 28-01-2022
17 0 28-01-2022
18 0 28-01-2022
19 0 28-01-2022
20 0 28-01-2022
21 0 28-01-2022
22 0 28-01-2022
23 0 28-01-2022
24 0 28-01-2022
25 0 28-01-2022
26 0 28-01-2022
27 0 28-01-2022
28 0 28-01-2022
29 0 28-01-2022
30 0 28-01-2022
31 0 28-01-2022
32 0 28-01-2022
33 0 28-01-2022
34 0 28-01-2022
35 0 28-01-2022
36 0 28-01-2022
37 0 28-01-2022
38 0 28-01-2022
39 0 28-01-2022
40 0 28-01-2022
41 0 28-01-2022
42 0 28-01-2022
43 0 28-01-2022
44 0 28-01-2022
45 0 28-01-2022
46 0 28-01-2022
47 0 28-01-2022
48 0 28-01-2022
49 0 28-01-2022
50 0 28-01-2022
51 0 28-01-2022
52 0 28-01-2022
53 0 28-01-2022
54 0 28-01-2022
55 0 28-01-2022
56 0 28-01-2022
57 0 28-01-2022
58 0 28-01-2022
59 0 28-01-2022
60 0 28-01-2022
61 0 28-01-2022
62 0 28-01-2022
63 0 28-01-2022
64 0 28-01-2022
65 0 28-01-2022
66 0 28-01-2022
67 0 28-01-2022
68 0 28-01-2022
69 0 28-01-2022
70 0 28-01-2022
71 0 28-01-2022
72 0 28-01-2022
73 0 28-01-2022
74 0 28-01-2022
75 0 28-01-2022
76 0 28-01-2022
77 0 28-01-2022
78 0 28-01-2022
79 0 28-01-2022
80 0 28-01-2022
81 0 28-01-2022
82 0 28-01-2022
83 0 28-01-2022
84 0 28-01-2022
85 0 28-01-2022
86 0 28-01-2022
87 0 28-01-2022
88 0 28-01-2022
89 0 28-01-2022
90 0 28-01-2022
91 0 28-01-2022
92 0 28-01-2022
93 0 28-01-2022
94 0 28-01-2022
95 0 28-01-2022
96 0 28-01-2022
97 0 28-01-2022
98 0 28-01-2022
99 0 28-01-2022
100 0 28-01-2022
101 0 28-01-2022
102 0 28-01-2022
103 0 28-01-2022
104 0 28-01-2022
105 0 28-01-2022
106 0 28-01-2022
107 0 28-01-2022
108 0 28-01-2022
109 0 28-01-2022
110 0 28-01-2022
111 0 28-01-2022
112 0 28-01-2022
113 0 28-01-2022
114 0 28-01-2022
115 0 28-01-2022
116 0 28-01-2022
117 0 28-01-2022
118 0 28-01-2022
119 0 28-01-2022
120 0 28-01-2022
121 0 28-01-2022
122 0 28-01-2022
123 0 28-01-2022
124 0 28-01-2022
125 0 28-01-2022
126 0 28-01-2022
127 0 28-01-2022
128 0 28-01-2022
129 0 28-01-2022
130 0 28-01-2022
131 0 28-01-2022
132 0 28-01-2022
133 0 28-01-2022
134 0 28-01-2022
135 0 28-01-2022
136 0 28-01-2022
137 0 28-01-2022
138 0 28-01-2022
139 0 28-01-2022
140 0 28-01-2022
141 0 28-01-2022
142 0 28-01-2022
143 0 28-01-2022
144 0 28-01-2022
145 0 28-01-2022
146 0 28-01-2022
147 0 28-01-2022
148 0 28-01-2022
149 0 28-01-2022
150 0 28-01-2022
151 0 28-01-2022
152 0 28-01-2022
153 0 28-01-2022
154 0 28-01-2022
155 0 28-01-2022
156 0 28-01-2022
157 0 28-01-2022
158 0 28-01-2022
159 0 28-01-2022
160 0 28-01-2022
161 0 28-01-2022
162 0 28-01-2022
163 0 28-01-2022
164 0 28-01-2022
165 0 28-01-2022
166 0 28-01-2022
167 0 28-01-2022
168 0 28-01-2022
169 0 28-01-2022
170 0 28-01-2022
171 0 28-01-2022
172 0 28-01-2022
173 0 28-01-2022
174 0 28-01-2022
175 0 28-01-2022
176 0 28-01-2022
177 0 28-01-2022
178 0 28-01-2022
179 0 28-01-2022
180 0 28-01-2022
181 0 28-01-2022
182 0 28-01-2022
183 0 28-01-2022
184 0 28-01-2022
185 0 28-01-2022
186 0 28-01-2022
187 0 28-01-2022
188 0 28-01-2022
189 0 28-01-2022
190 0 28-01-2022
191 0 28-01-2022
192 0 28-01-2022
193 0 28-01-2022
194 0 28-01-2022
195 0 28-01-2022
196 0 28-01-2022
197 0 28-01-2022
198 0 28-01-2022
199 0 28-01-2022
200 0 28-01-2022
201 0 28-01-2022
202 0
203 0
204 0
205 0
206 0
207 0
208 0
209 0
210 0
211 0
212 0
213 0
214 0
215 0
216 0
217 0
218 0
219
220 0
221 0
222 0
223 0
224 0
225 0
226 0
227 0
228 0
229 0
230
231
232
233
234
235
236
237
238
239
240

D = Lainnya
E = Tidak Bekerja

18-30 4 0 A 0
31-45 1 0 B 0
46-59 1 0 C 0
Total 6 0 D 0
Pekerjaan: E 0
A 0 201 Total 0
B 0 0
C 0
D 0
E 0
Total 0
Keterangan
(Ditunda/Tidak
Diberikan/Lanj
ut)
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT

Dosis I Dosis 2
Umur
tahun)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 7401041304490001 DRS.H.DUNNAHI L 72 60-199 WATULIANDU 085394444475 PFIZER 28-01-2022 FM2957
2 7401146709590001 NURJANNAH P 62 60-199 SAKULI 085242826684 PFIZER 28-01-2022 FM2957
3 7401140509600001 ZAINUDDIN L 61 60-199 SEA 085238866644 PFIZER 28-01-2022 FM2957
4 7401142011590002 RAMLI L 62 60-199 LATAMBAGA 081245556396 PFIZER 28-01-2022 FM2957
5 7401140104630002 APRIL L 38 31-45 SAKULI 082395015551 PFIZER 28-01-2022 FM2957
6 74011407058400002 SARIANTO L 36 31-45 SAKULI 085396272932 SINOVAC 28-01-2022 C202109194
7 7401146502750001 NURHAYATI P 46 46-59 SAKULI 085342262608 PFIZER 28-01-2022 FM2957
8 7401146410980003 ULFA OKTAVIANI P 23 18-30 SAKULI 082298789626 PFIZER 28-01-2022 FM2957
9 7501146605650001 NURSIAH P 56 46-59 SAKULI 0812245788188 SINOVAC 28-01-2022 C202109194
10 7401141102940001 ALI RAMDAHAN L 27 18-30 LATAMBAGA 085219409791 PFIZER 28-01-2022 FM2957
11 7401140812750003 JUMADI L 46 46-59 WATULIANDU 086256183551 PFIZER 28-01-2022 FM2957
12 7401143112940001 JOPAN L 27 18-30 LAMOKATO 0812201484794 PFIZER 28-01-2022 FM2957
13 7371111501710016 MUCHTAR GANI ALI L 50 46-59 KOLAKAASI 081254345271 SINOVAC 28-01-2022 C202109194
14 7401141506800004 PEPEN SRI L 41 31-45 LATAMBAGA 082290552224 SINOVAC 28-01-2022 C202109194
15 7401250903040001 ABD KARIM L 17 0 SAKULI 081220484794 PFIZER 28-01-2022 FM2957
16 7401141004940004 SUPRI L 28 18-30 SAKULI 082292634980 PFIZER 28-01-2022 FM2957
17 7401044712690001 NURHIKMAH P 52 46-59 LALOEHA 085242131024 SINOVAC 28-01-2022 C202109194
18 7401141210590003 KELI L 62 60-199 LATAMBAGA 085345771139S SINOVAC 28-01-2022 C202109194
19 7401046606910003 AIDIL FITNAR P 30 18-30 WATULIANDU 085399558408 SINOVAC 28-01-2022 C202109194
20 7401146911030004 FITRA NADILA P 18 18-30 WATULIANDU 085796921735 SINOVAC 28-01-2022 C202109194
21 7401146608770001 WATI P 24 18-30 WATULIANDU 085796921735 SINOVAC 28-01-2022 C202109194
22 7401145808980002 REKAYANTI P 23 18-30 LATAMBAGA 081311904095 SINOVAC 28-01-2022 C202109194
23 74011425708960003 SITI ARDIANA P 25 18-30 LATAMBAGA 081225318231 SINOVAC 28-01-2022 C202109194
24 7401044507480002 SUARTINI YAHYA P 74 60-199 WATULIANDU 0811404135 PFIZER 28-01-2022 FM2957
25 7401147004930001 APRYANTI P 28 18-30 SAKULI 082347623967 PFIZER 28-01-2022 FM2957
26 7401044304910004 LAILA APRILINA P 30 18-30 WATULIANDU 081244778372 PFIZER 28-01-2022 FM2957
27 740114512900003 KARTINI P 31 31-45 SAKULI 085213993012 PFIZER 28-01-2022 FM2957
28 7401046704050003 ANA P 16 0 SAKULI 082239424940 SINOVAC 28-01-2022 C202109194
29 7401041612090001 MUH RIZA AULIYA KAMAL L 12 0 WATULIANDU 0821188571343 PFIZER 28-01-2022 FM2957
30 7401146312860002 NURHAEDA P 35 31-45 SAKULI 085234456466 SINOVAC 28-01-2022 C202109194
31 7401203008880001 ADRAWID ISMAIL L 33 31-45 MANGOLO 085823869967 SINOVAC 28-01-2022 C202109194
32 7401140606720001 ANDI MUH ASRI AHIR L 49 46-59 LAMOKATO 082292947311 SINOVAC 28-01-2022 C202109194
33 7401140903050001 RENO MARDIANSYAH L 16 0 SAKULI 081341013259 SINOVAC 28-01-2022 C202109194
34 7401142510090003 MUH ILHAM AIDIL R L 12 0 SAKULI 085710604902 SINOVAC 28-01-2022 C202109194
35 740114260000001 RANDI AFRIZA L 21 18-30 SAKULI 081241095270 SINOVAC 28-01-2022 C202109194

36 7401147008040001 INTAN NURAENI P 17 0 SAKULI 082250428734 SINOVAC 28-01-2022 C202109194
37 7406014111010001 YUSNITA FEBRIANA P 20 18-30 BALANDETE 081524148336 SINOVAC 28-01-2022 C202109194
38 7401075803090002 AISYAH SALSABILA SABA P 12 0 LALOEHA 081247102405 SINOVAC 28-01-2022 C202109194
39 7401146612030002 KIKI RESKI RAHMADANI P 18 18-30 SAKULI 082293623820 SINOVAC 28-01-2022 C202109194
40 7401146103060002 MIFTAHUL REZKI P 15 0 SAKULI 08534955230 SINOVAC 28-01-2022 C202109194
41 7401141205610002 BASO P L 60 60-199 MANGOLO 085341301935 PFIZER 28-01-2022 FM2957
42 7401141209550001 ALIMIN L 66 60-199 SAKULI 082250428734 PFIZER 28-01-2022 FM2957
43 7401144211810001 JUMINEN P 40 31-45 SAKULI 081243725224 PFIZER 28-01-2022 FM2957
44 7401044407030004 AYU ALMIRAH P 18 18-30 SAKULI 085254612903 SINOVAC 28-01-2022 C202109194
45 7401141603820001 HARRYANTO L 39 31-45 LATAMBAGA 085241863482 SINOVAC 28-01-2022 C202109194
46 INDRA GANDI L 41 31-45 KOLAKAASI 081341541169 PFIZER 28-01-2022
47 0 28-01-2022
48 0 28-01-2022
49 0 28-01-2022
50 0 28-01-2022
51 0 28-01-2022
52 0 28-01-2022
53 0 28-01-2022
54 0 28-01-2022
55 0 28-01-2022
56 0 28-01-2022
57 0 28-01-2022
58 0 28-01-2022
59 0 28-01-2022
60 0 28-01-2022
61 0 28-01-2022
62 0 28-01-2022
63 0 28-01-2022
64 0 28-01-2022
65 0 28-01-2022
66 0 28-01-2022
67 0 28-01-2022
68 0 28-01-2022
69 0 28-01-2022
70 0 28-01-2022
71 0 28-01-2022
72 0 28-01-2022
73 0 28-01-2022
74 0 28-01-2022
75 0 28-01-2022
76 0 28-01-2022
77 0 28-01-2022
78 0 28-01-2022
79 0 28-01-2022
80 0 28-01-2022
81 0 28-01-2022
82 0 28-01-2022
83 0 28-01-2022
84 0 28-01-2022
85 0 28-01-2022
86 0 28-01-2022
87 0 28-01-2022
88 0 28-01-2022
89 0 28-01-2022
90 0 28-01-2022
91 0 28-01-2022
92 0 28-01-2022
93 0 28-01-2022
94 0 28-01-2022
95 0 28-01-2022
96 0 28-01-2022
97 0 28-01-2022
98 0 28-01-2022
99 0 28-01-2022
100 0 28-01-2022
101 0 28-01-2022
102 0 28-01-2022
103 0 28-01-2022
104 0 28-01-2022
105 0 28-01-2022
106 0 28-01-2022
107 0 28-01-2022
108 0 28-01-2022
109 0 28-01-2022
110 0 28-01-2022
111 0 28-01-2022
112 0 28-01-2022
113 0 28-01-2022
114 0 28-01-2022
115 0 28-01-2022
116 0 28-01-2022
117 0 28-01-2022
118 0 28-01-2022
119 0 28-01-2022
120 0 28-01-2022
121 0 28-01-2022
122 0 28-01-2022
123 0 28-01-2022
124 0 28-01-2022
125 0 28-01-2022
126 0 28-01-2022
127 0 28-01-2022
128 0 28-01-2022
129 0 28-01-2022
130 0 28-01-2022
131 0 28-01-2022
132 0 28-01-2022
133 0 28-01-2022
134 0 28-01-2022
135 0 28-01-2022
136 0 28-01-2022
137 0 28-01-2022
138 0 28-01-2022
139 0 28-01-2022
140 0 28-01-2022
141 0 28-01-2022
142 0 28-01-2022
143 0 28-01-2022
144 0 28-01-2022
145 0 28-01-2022
146 0 28-01-2022
147 0 28-01-2022
148 0 28-01-2022
149 0 28-01-2022
150 0 28-01-2022
151 0 28-01-2022
152 0 28-01-2022
153 0 28-01-2022
154 0 28-01-2022
155 0 28-01-2022
156 0 28-01-2022
157 0 28-01-2022
158 0 28-01-2022
159 0 28-01-2022
160 0 28-01-2022
161 0 28-01-2022
162 0 28-01-2022
163 0 28-01-2022
164 0 28-01-2022
165 0 28-01-2022
166 0 28-01-2022
167 0 28-01-2022
168 0 28-01-2022
169 0 28-01-2022
170 0 28-01-2022
171 0 28-01-2022
172 0 28-01-2022
173 0 28-01-2022
174 0 28-01-2022
175 0 28-01-2022
176 0 28-01-2022
177 0 28-01-2022
178 0 28-01-2022
179 0 28-01-2022
180 0 28-01-2022
181 0 28-01-2022
182 0 28-01-2022
183 0 28-01-2022
184 0 28-01-2022
185 0 28-01-2022
186 0 28-01-2022
187 0 28-01-2022
188 0 28-01-2022
189 0 28-01-2022
190 0 28-01-2022
191 0 28-01-2022
192 0 28-01-2022
193 0 28-01-2022
194 0 28-01-2022
195 0 28-01-2022
196 0 28-01-2022
197 0 28-01-2022
198 0 28-01-2022
199 0 28-01-2022
200 0 28-01-2022
201 0
202 0
203 0
204 0
205 0
206 0
207 0
208 0
209 0
210 0
211 0
212 0
213 0
214 0
215 0
216 0
217 0
218 0
219
220 0
221 0
222 0
223 0
224 0
225 0
226 0
227 0
228 0
229 0
230
231
232
233
234
235
236
237
238
239
240

D = Lainnya
E = Tidak Bekerja

18-30 15 0 A 0
31-45 9 0 B 0
46-59 6 0 C 0
Total 30 0 D 0
Pekerjaan: E 0
A 0 0 Total 0
B 0 200
C 0
D 0
E 0
Total 0
Keterangan
(Ditunda/Tidak
Diberikan/Lanj
ut)
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI

Dosis I Dosis 2
Umur
tahun)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 7401044401100001 SHALATIHA ALTFUNNISA P 12 0 PERUMNAS 0822596049393 PFIZER 29-01-2022 FM2957
2 74011460070700001 AYU ANDIRA P 14 0 KOLAKAASI 0823447913769 PFIZER 29-01-2022
3 7401014404050001 MUSDADALIFA P 16 0 WUNDULAKO 081327034233 PFIZER 29-01-2022
4 7401145503660001 HASNAWATI P 55 46-59 KOLAKAASI 087841139127 PFIZER 29-01-2022
5 7401142011620002 JUMARRANG L 60 60-199 KOLAKAASI 081240675148 PFIZER 29-01-2022
6 7401140102970002 SUDIRMAN L 26 18-30 KOLAKAASI 081341015765 PFIZER 29-01-2022
7 74011024502960001 KARTIA P 26 18-30 LALOEHA 085218586392 PFIZER 29-01-2022
8 7401147105100001 AULIANA RAMDANI P 12 0 KOLAKAASI 085281779290 PFIZER 29-01-2022
9 740834609990001 IIN APRIANI P 23 18-30 MANGOLIO 081343021942 PFIZER 29-01-2022
10 7401146504140001 NAURAH ASKIA P 8 0 KOLAKAASI 082213444866 SINOVAC 29-01-2022
11 7401145410130003 ARIFAH RAHIM P 9 0 KOLAKAASI 081245995333 SINOVAC 29-01-2022
12 74011415119300002 ASWAR L 29 18-30 MANGOLIO 082243954621 PFIZER 29-01-2022
13 74001143112860026 RANDI LESTARI L 36 31-45 KOLAKAASI 085256325352 PFIZER 29-01-2022

14 74011448050130003 KHUMAIRAH P 8 0 KOLAKAASI 082255779476 SINOVAC 29-01-2022
15 7401144612760001 HUSNAWATI P 46 46-59 KOLAKAASI 0822887723324 PFIZER 29-01-2022
16 7401141811100002 ASRIL L 11 0 KOLAKAASI 082239709539 SINOVAC 29-01-2022
17 7401143009070001S RASYA L 15 0 KOLAKAASI 082239709539 PFIZER 29-01-2022
18 7401146508010005 TRI MAYA SARI P 20 18-30 KOLAKAASI 082214942553 PFIZER 29-01-2022
19 7401140704130001 MUH SAFIR L 8 0 KOLAKAASI 082354951729 SINOVAC 29-01-2022
20 7401140502070001 MUH ARDIANSYAH L 14 0 KOLAKAASI 08521856806 PFIZER 29-01-2022
21 NURJANNAH P 53 46-59 KOLAKAASI 085270908584 PFIZER 29-01-2022
22 0 29-01-2022
23 0 29-01-2022
24 0 29-01-2022
25 0 29-01-2022
26 0 29-01-2022
27 0 29-01-2022
28 0 29-01-2022
29 0 29-01-2022
30 0 29-01-2022
31 0 29-01-2022
32 0 29-01-2022
33 0 29-01-2022
34 0 29-01-2022
35 0 29-01-2022
36 0 29-01-2022
37 0 29-01-2022
38 0 29-01-2022
39 0 29-01-2022
40 0 29-01-2022
41 0 29-01-2022
42 0 29-01-2022
43 0 29-01-2022
44 0 29-01-2022
45 0 29-01-2022
46 0 29-01-2022
47 0 29-01-2022
48 0 29-01-2022
49 0 29-01-2022
50 0 29-01-2022
51 0 29-01-2022
52 0 29-01-2022
53 0 29-01-2022
54 0 29-01-2022
55 0 29-01-2022
56 0 29-01-2022
57 0 29-01-2022
58 0 29-01-2022
59 0 29-01-2022
60 0 29-01-2022
61 0 29-01-2022
62 0 29-01-2022
63 0 29-01-2022
64 0 29-01-2022
65 0 29-01-2022
66 0 29-01-2022
67 0 29-01-2022
68 0 29-01-2022
69 0 29-01-2022
70 0 29-01-2022
71 0 29-01-2022
72 0 29-01-2022
73 0 29-01-2022
74 0 29-01-2022
75 0 29-01-2022
76 0 29-01-2022
77 0 29-01-2022
78 0 29-01-2022
79 0 29-01-2022
80 0 29-01-2022
81 0 29-01-2022
82 0 29-01-2022
83 0 29-01-2022
84 0 29-01-2022
85 0 29-01-2022
86 0 29-01-2022
87 0 29-01-2022
88 0 29-01-2022
89 0 29-01-2022
90 0 29-01-2022
91 0 29-01-2022
92 0 29-01-2022
93 0 29-01-2022
94 0 29-01-2022
95 0 29-01-2022
96 0 29-01-2022
97 0 29-01-2022
98 0 29-01-2022
99 0 29-01-2022
100 0 29-01-2022
101 0 29-01-2022
102 0 29-01-2022
103 0 29-01-2022
104 0 29-01-2022
105 0 29-01-2022
106 0 29-01-2022
107 0 29-01-2022
108 0 29-01-2022
109 0 29-01-2022
110 0 29-01-2022
111 0 29-01-2022
112 0 29-01-2022
113 0 29-01-2022
114 0 29-01-2022
115 0 29-01-2022
116 0 29-01-2022
117 0 29-01-2022
118 0 29-01-2022
119 0 29-01-2022
120 0 29-01-2022
121 0 29-01-2022
122 0 29-01-2022
123 0 29-01-2022
124 0 29-01-2022
125 0 29-01-2022
126 0 29-01-2022
127 0 29-01-2022
128 0 29-01-2022
129 0 29-01-2022
130 0 29-01-2022
131 0 29-01-2022
132 0 29-01-2022
133 0 29-01-2022
134 0 29-01-2022
135 0 29-01-2022
136 0 29-01-2022
137 0 29-01-2022
138 0 29-01-2022
139 0 29-01-2022
140 0 29-01-2022
141 0 29-01-2022
142 0 29-01-2022
143 0 29-01-2022
144 0 29-01-2022
145 0 29-01-2022
146 0 29-01-2022
147 0 29-01-2022
148 0 29-01-2022
149 0 29-01-2022
150 0 29-01-2022
151 0 29-01-2022
152 0 29-01-2022
153 0 29-01-2022
154 0 29-01-2022
155 0 29-01-2022
156 0 29-01-2022
157 0 29-01-2022
158 0 29-01-2022
159 0 29-01-2022
160 0 29-01-2022
161 0 29-01-2022
162 0 29-01-2022
163 0 29-01-2022
164 0 29-01-2022
165 0 29-01-2022
166 0 29-01-2022
167 0 29-01-2022
168 0 29-01-2022
169 0 29-01-2022
170 0 29-01-2022
171 0 29-01-2022
172 0 29-01-2022
173 0 29-01-2022
174 0 29-01-2022
175 0 29-01-2022
176 0 29-01-2022
177 0 29-01-2022
178 0 29-01-2022
179 0 29-01-2022
180 0 29-01-2022
181 0 29-01-2022
182 0 29-01-2022
183 0 29-01-2022
184 0 29-01-2022
185 0 29-01-2022
186 0 29-01-2022
187 0 29-01-2022
188 0 29-01-2022
189 0 29-01-2022
190 0 29-01-2022
191 0 29-01-2022
192 0 29-01-2022
193 0 29-01-2022
194 0 29-01-2022
195 0 29-01-2022
196 0 29-01-2022
197 0 29-01-2022
198 0 29-01-2022
199 0 29-01-2022
200 0 29-01-2022
201 0 29-01-2022
202 0
203 0
204 0
205 0
206 0
207 0
208 0
209 0
210 0
211 0
212 0
213 0
214 0
215 0
216 0
217 0
218 0
219
220 0
221 0
222 0
223 0
224 0
225 0
226 0
227 0
228 0
229 0
230
231
232
233
234
235
236
237
238
239
240

D = Lainnya
E = Tidak Bekerja

18-30 5 0 A 0
31-45 1 0 B 0
46-59 3 0 C 0
Total 9 0 D 0
Pekerjaan: E 0
A 0 201 Total 0
B 0 0
C 0
D 0
E 0
Total 0
Keterangan
(Ditunda/Tidak
Diberikan/Lanj
ut)
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT
LANJUT

Dosis I Dosis 2
Umur
tahun)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 7401041708870006 DEDY SETIADI L 34 31-45 KOLAKAASI 082287360024 PFIZER 29-01-2022
2 7401142610950001 ROY SUSANTO L 26 18-30 KOLAKAASI 085333261558 PFIZER 29-01-2022
3 7401141510710001 JUFRI SULO L 50 46-59 KOLAKAASI 085280295860 SINOVAC 29-01-2022
4 7401142204020004 CANRI L 19 18-30 KOLAKAASI 0834155354 SINOVAC 29-01-2022
5 7401141101960001 BAGUS BUDIYANTO L 25 18-30 MANGOLO 082194204289 SINOVAC 29-01-2022
6 7401142510010002 FAJAR L 20 18-30 IWOIMENDAA 082396540508 SINOVAC 29-01-2022
7 7401143103600001 ABD FATTAH L 61 60-199 KOLAKAASI 081527243575 SINOVAC 29-01-2022
8 7401143112670016 SYAHRUDDIN L 49 46-59 KOLAKAASI 085239185186 SINOVAC 29-01-2022
9 7401140612030001 RIAN SAPUTRA L 18 18-30 KOLAKAASI 085340450958 SINOVAC 29-01-2022
10 7401143112550016 HASMAN L 66 60-199 KOLAKAASI 085341211117 SINOVAC 29-01-2022
11 7401145002890001 HERNI P 32 31-45 LAMOKATO 082317424431 SINOVAC 29-01-2022
12 74011141011950002 DENI IRFAN L 26 18-30 KOLAKAASI 082190229861 PFIZER 29-01-2022
13 7401140504750001 HASNUR L 46 46-59 KOLAKAASI 082347281595 PFIZER 29-01-2022

14 7401143011690001 BURHAN L 53 46-59 KOLAKAASI 085298045871 SINOVAC 29-01-2022
15 7401144408060001 USNUL HATIMA P 15 0 MANGOLO 085738386088 SINOVAC 29-01-2022
16 7401140909060002 RIPAL AMRI L 15 0 KOLAKAASI 082338174018 PFIZER 29-01-2022
17 7401144506830003 NURLELA P 39 31-45 KOLAKAASI 082351066717 PFIZER 29-01-2022
18 7401146601640001 KEMBANG P 58 46-59 KOLAKAASI 085145014449 PFIZER 29-01-2022
19 7401141303440001 ABD RAHIM L 78 60-199 SEA 081341843601 SINOVAC 29-01-2022
20 7401076704870002 HARNIIS P 35 31-45 KOLAKAASI 085757585474 PFIZER 29-01-2022
21 7401144705780001 NURHANA P 44 31-45 KOLAKAASI 085342551947 PFIZER 29-01-2022
22 7401146604070001 AISYAH APRILIA SARI P 15 0 KOLAKAASI 082312237055 PFIZER 29-01-2022
23 7401144810710001 HASNAH P 51 46-59 KOLAKAASI 085657304118 SINOVAC 29-01-2022
24 7401140906990001 SAPRIADI L 24 18-30 KOLAKAASI 082290067193 PFIZER 29-01-2022
25 7303040307970001 SANDI L 25 18-30 KOLAKAASI 082291623634 PFIZER 29-01-2022
26 7408121306090001 MUH FAUZA N L 13 0 KOLAKAASI 082389356389 SINOVAC 29-01-2022
27 7401143012670002 SAHABUDING L 54 46-59 KOLAKAASI 085255698275 SINOVAC 29-01-2022
28 7401045503720002 ERNA P 50 46-59 LAMOKATO 085340686041 SINOVAC 29-01-2022
29 7406012912080002 AHMAD RIFKI YUSRIL L 14 0 KOLAKAASI 082389356389 SINOVAC 29-01-2022
30 7401041010680003 M FACHRI TAUFAN L 54 46-59 LAMOKATO 081341641587 SINOVAC 29-01-2022
31 7401142502030001 MUH RISAL L 19 18-30 KOLAKAASI 08528095860 SINOVAC 29-01-2022
32 7401141707640001 MUSTAFA L 58 46-59 KOLAKAASI 085256455883 PFIZER 29-01-2022
33 7401140410980002 RISWAN L 25 18-30 WUNDULAKO 082293524770 SINOVAC 29-01-2022
34 7401143112480011 USMAN SAID L 74 60-199 KOLAKAASI 082255872501 PFIZER 29-01-2022
35 7401014612910002 ARNI P 31 31-45 KOLAKAASI 085241264676 PFIZER 29-01-2022

36 7401141509570001 H NURDIN L 65 60-199 KOLAKAASI 082347441811 PFIZER 29-01-2022
37 7401144101700005 HASRIANI USMAN P 52 46-59 KOLAKAASI 082248267668 PFIZER 29-01-2022
38 7401145403770002 NURHANI P 45 31-45 KOLAKAASI 085255083675 PFIZER 29-01-2022
39 7401143112790003 SUARDI L 43 31-45 KOLAKAASI 081244930173 PFIZER 29-01-2022
40 7401140809650001 AMRI DR L 57 46-59 KOLAKAASI 081281517444 SINOVAC 29-01-2022
41 7401147112700021 HARMIA P 45 31-45 KOLAKAASI 085298974140 SINOVAC 29-01-2022
42 7401146101870001 SAJEWANNG P 35 31-45 KOLAKAASI 085363270930 SINOVAC 29-01-2022
43 7401046711050001 NOVI RATMULIA P 17 0 KOLAKAASI 085757494853 SINOVAC 29-01-2022
44 7401145505980001 ASMI MEISTIAWATI P 24 18-30 SAKULI 082259416160 SINOVAC 29-01-2022
45 7401140404920001 ANDIKA SAPUTRA L 29 18-30 KOLAKAASI 081242111881 SINOVAC 29-01-2022
46 7401140603060001 FAHRIL L 16 0 KOLAKAASI 085796208592 SINOVAC 29-01-2022
47 7401140112790001 ANDY L 43 31-45 KOLAKAASI 085343919674 SINOVAC 29-01-2022
48 7401144212990001 DESI IRTA KANAYA P 23 18-30 SEA 082393621552 SINOVAC 29-01-2022
49 7401142212910002 MUH ISHAR L 30 18-30 SEA 082296977767 SINOVAC 29-01-2022
50 7401143112920007 YUSUF L 28 18-30 KOLAKAASI 082348209725 PFIZER 29-01-2022
51 7401146502740002 MUSRIANA P 48 46-59 KOLAKAASI 085282485158 PFIZER 29-01-2022
52 74011034303030001 ASRI BUDLAWATI P 19 18-30 KOLAKAASI 082290735434 PFIZER 29-01-2022
53 7401146302970002 ISTI MARSELA AMIR P 25 18-30 SAKULI 082293514624 PFIZER 29-01-2022
54 7401144205030001 MEYSU PUTRI M P 19 18-30 SEA 082267774940 PFIZER 29-01-2022
55 7401140704650001 SYAMSURI KADIR L 57 46-59 KOLAKAASI 085215914323 SINOVAC 29-01-2022
56 3172046009940003 SHEPTIANIS P 28 18-30 KOLAKAASI 081340056540 PFIZER 29-01-2022
57 7401144101900006 KIKI P 32 31-45 KOLAKAASI 085299911702 PFIZER 29-01-2022

58 7401144201970001 ASNI P 25 18-30 KOLAKAASI 082271304727 PFIZER 29-01-2022
59 7401143112650012 ABD AZIS L 57 46-59 KOLAKAASI 082189293447 PFIZER 29-01-2022
60 74011458050900003 SRI ULFA DAMAYANTI P 13 0 KOLAKAASI 081242092403 SINOVAC 29-01-2022
61 7401141507000002 RAHMAT HIDAYAT L 21 18-30 LATAMBAGA 085322164467 SINOVAC 29-01-2022
62 7401142606870002 RUSDI L 35 31-45 KOLAKAASI SINOVAC 29-01-2022
63 7401140108800003 RIZAL L 33 31-45 KOLAKAASI 08234617653 SINOVAC 29-01-2022
64 7401046104620002 NURALAM S P 54 46-59 SAKULI 082259416160 SINOVAC 29-01-2022
65 7401142911800002 ILHAM L 41 31-45 KOLAKAASI 082190845697 PFIZER 29-01-2022
66 7401146201920001 MEGAWATI P 29 18-30 KOLAKAASI 085212343950 PFIZER 29-01-2022
67 7401144809940001 MEGAWATI P 27 18-30 KOLAKAASI 085398094432 PFIZER 29-01-2022
68 7401141805740004 JAJAN WIHERMAN L 47 46-59 KOLAKAASI 081220302267 PFIZER 29-01-2022
69 74011144507810001 ROSMIATI P 40 31-45 KOLAKAASI 085340328702 PFIZER 29-01-2022
70 7401046412080001 DHEA INDAH LESTARI P 13 0 KOLAKAASI 081245660842 PFIZER 29-01-2022
71 7401142707090001 MUH AFGAN AZHAR L 12 0 KOLAKAASI 082291691827 SINOVAC 29-01-2022
72 7401041404800003 ABD SALAM L 41 31-45 LAMOKATO 081245657660 SINOVAC 29-01-2022
73 7401145512950004 MINARNI P 26 18-30 KOLAKAASI 085345811884 SINOVAC 29-01-2022
74 7401142804940002 ACHMAD YANI L 27 18-30 KOLAKAASI 082312186715 SINOVAC 29-01-2022
75 7401141501690002 INDAR DEWA L 52 46-59 KOLAKAASI 08233386247 SINOVAC 29-01-2022
76 7401042512820001 RUKMAWANG L 39 31-45 LALOEHA 085259799493 SINOVAC 29-01-2022
77 7401084702980002 WIWIN FEBRIANI P 23 18-30 TAHOA 082239772907 SINOVAC 29-01-2022
78 7401147112960010 SWAIKA P 25 18-30 TAHOA 082239772902 SINOVAC 29-01-2022
79 7401140503010001 ASRIJA P 20 18-30 KOLAKAASI 081342091707 SINOVAC 29-01-2022

80 7401142012790002 SOPIAN L 42 31-45 KOLAKAASI 082189281362 PFIZER 29-01-2022
81 7401147112650017 INDO UPE P 56 46-59 KOLAKAASI 085231010158 PFIZER 29-01-2022
82 7401144505550001 SITTI RAHMANG P 66 60-199 KOLAKAASI 081341730110 PFIZER 29-01-2022
83 7401145801050002 ALYA ARIMBI AZZAHRA P 16 0 KOLAKAASI 085245817696 PFIZER 29-01-2022
84 7401143112600023 SAHIBU L 61 60-199 KOLAKAASI 082194735350 SINOVAC 29-01-2022
85 7401146207030001 FIKA AMELIA LESTARI P 18 18-30 KOLAKAASI 082282588200 SINOVAC 29-01-2022
86 7401085101740001 NURFAIDA P 47 46-59 KOLAKAASI 085397039555 SINOVAC 29-01-2022
87 7401144202000008 FITRIYANTI P 21 18-30 KOLAKAASI 082299234864 SINOVAC 29-01-2022
88 740114509990001 DEWI ANGRIANI P 22 18-30 KOLAKAASI 082230416254 SINOVAC 29-01-2022
89 7401145607990002 RISKA P 22 18-30 MANGOLO 085757223306 SINOVAC 29-01-2022
90 7401145212600003 SULASNI RUNDAH P 61 60-199 KOLAKAASI 085242543420 PFIZER 29-01-2022
91 7041206210090001 ALMAIDAH P 12 0 KOLAKAASI 082332662518 PFIZER 29-01-2022
92 7401144708040001 CIDY AULIA SARI P 17 0 KOLAKAASI 085346132353 PFIZER 29-01-2022
93 740146407050001 NADIA AULIA P 16 0 SEA 085115240 SINOVAC 29-01-2022
94 7401045311950003 RIKA RUSLAN P 26 18-30 KOLAKAASI 082397798661 PFIZER 29-01-2022
95 7401142809940002 ARDIANSYAH L 27 18-30 KOLAKAASI 082297778012 PFIZER 29-01-2022
96 740200705800003 HASBI ASISDIK L 41 31-45 KOLAKAASI 085243947377 SINOVAC 29-01-2022
97 7401143112850024 MUHTAR AN L 36 31-45 KOLAKAASI 085340636155 SINOVAC 29-01-2022
98 7401043112880005 TAMSIR L 33 31-45 KOLAKAASI 085343548355 SINOVAC 29-01-2022
99 7401146607070001 ABI SURAHMI P 14 0 KOLAKAASI 082135961112 SINOVAC 29-01-2022
100 7401106102020001 WARDA P 19 18-30 KOLAKAASI 085823802046 SINOVAC 29-01-2022
101 7401146509060002 NIA RAMADANI P 15 0 KOLAKAASI 085213181203 SINOVAC 29-01-2022

102 7401141405030001 MUH. ICHSAN SAPUTRA L 18 18-30 KOLAKAASI 081341692615 PFIZER 29-01-2022
103 740114401920005 RAMLAWAI P 27 18-30 KOLAKAASI 085342853028 PFIZER 29-01-2022
104 74011467049900004 RAHMAWATI P 20 18-30 KOLAKAASI 082214589177 PFIZER 29-01-2022
105 740114581108001 DIVA AULIA P 13 0 KOLAKAASI 085301664274 PFIZER 29-01-2022
106 7401147112830012 KAMRIA P 38 31-45 KOLAKAASI 085395809587 PFIZER 29-01-2022
107 7401142512030001 ASHAR L 18 18-30 SEA 08222333441 PFIZER 29-01-2022
108 7401141005920001 AHMAD AKMAL L 29 18-30 KOLAKAASI 085243363636 SINOVAC 29-01-2022
109 74014034940004 SISWANDY L 27 18-30 KOLAKAASI 082228295196 SINOVAC 29-01-2022
110 7401141801040001 FERDYANSYAH L 17 0 KOLAKAASI SINOVAC 29-01-2022
111 7401140712970002 MUH. RAHMATULLAH L 24 18-30 KOLAKAASI 082293624031 SINOVAC 29-01-2022
112 7401147112720016 INDO MASSE P 49 46-59 KOLAKAASI 085242470345 SINOVAC 29-01-2022
113 7308044107840002 MARDIAH P 41 31-45 KOLAKAASI 081340434916 SINOVAC 29-01-2022
114 7401143112700026 SYAMSU ALAM L 45 31-45 KOLAKAASI 085242470345 SINOVAC 29-01-2022
115 74011429038190001 ASDAR L 62 60-199 KOLAKAASI 082215113953 SINOVAC 29-01-2022
116 0 29-01-2022
117 0 29-01-2022
118 0 29-01-2022
119 0 29-01-2022
120 0 29-01-2022
121 0 29-01-2022
122 0 29-01-2022
123 0 29-01-2022
124 0 29-01-2022
125 0 29-01-2022
126 0 29-01-2022
127 0 29-01-2022
128 0 29-01-2022
129 0 29-01-2022
130 0 29-01-2022
131 0 29-01-2022
132 0 29-01-2022
133 0 29-01-2022
134 0 29-01-2022
135 0 29-01-2022
136 0 29-01-2022
137 0 29-01-2022
138 0 29-01-2022
139 0 29-01-2022
140 0 29-01-2022
141 0 29-01-2022
142 0 29-01-2022
143 0 29-01-2022
144 0 29-01-2022
145 0 29-01-2022
146 0 29-01-2022
147 0 29-01-2022
148 0 29-01-2022
149 0 29-01-2022
150 0 29-01-2022
151 0 29-01-2022
152 0 29-01-2022
153 0 29-01-2022
154 0 29-01-2022
155 0 29-01-2022
156 0 29-01-2022
157 0 29-01-2022
158 0 29-01-2022
159 0 29-01-2022
160 0 29-01-2022
161 0 29-01-2022
162 0 29-01-2022
163 0 29-01-2022
164 0 29-01-2022
165 0 29-01-2022
166 0 29-01-2022
167 0 29-01-2022
168 0 29-01-2022
169 0 29-01-2022
170 0 29-01-2022
171 0 29-01-2022
172 0 29-01-2022
173 0 29-01-2022
174 0 29-01-2022
175 0 29-01-2022
176 0 29-01-2022
177 0 29-01-2022
178 0 29-01-2022
179 0 29-01-2022
180 0 29-01-2022
181 0 29-01-2022
182 0 29-01-2022
183 0 29-01-2022
184 0 29-01-2022
185 0 29-01-2022
186 0 29-01-2022
187 0 29-01-2022
188 0 29-01-2022
189 0 29-01-2022
190 0 29-01-2022
191 0 29-01-2022
192 0 29-01-2022
193 0 29-01-2022
194 0 29-01-2022
195 0 29-01-2022
196 0 29-01-2022
197 0 29-01-2022
198 0 29-01-2022
199 0 29-01-2022
200 0 29-01-2022
201 0
202 0
203 0
204 0
205 0
206 0
207 0
208 0
209 0
210 0
211 0
212 0
213 0
214 0
215 0
216 0
217 0
218 0
219
220 0
221 0
222 0
223 0
224 0
225 0
226 0
227 0
228 0
229 0
230
231
232
233
234
235
236
237
238
239
240

D = Lainnya
E = Tidak Bekerja

18-30 42 0 A 0
31-45 25 0 B 0
46-59 21 0 C 0
Total 88 0 D 0
Pekerjaan: E 0
A 0 0 Total 0
B 0 200
C 0
D 0
E 0
Total 0
Keterangan
(Ditunda/Tidak
Diberikan/Lanj
ut)
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI

Dosis I Dosis 2
Umur
tahun)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 7401141207030001 MUH IKMAL L 18 18-30 KOLAKAASI 082213503258 SINOVAC 03-02-2022 C202109194
2 7401140107910002 AKMAL L 26 18-30 KOLAKAASI 082246052103 SINOVAC 03-02-2022 C202109194
3 7401040506780002 AWAN DARMAWAN L 43 31-45 KOLAKAASI 082394488889 SINOVAC 03-02-2022 C202109194
4 7401143112410005 DG.SORE L 80 60-199 KOLAKAASI 085756067769 SINOVAC 03-02-2022 C202109194
5 7403114101600002 RAHMATIA P 61 60-199 SEA 082110815059 PFIZER 03-02-2022 FM2957
6 7403110911570001 DRS HAMRI L 64 60-199 SEA 081245978558 PFIZER 03-02-2022 FM2957
7 7401145009980001 ANDRIANI NINGSIH P 23 18-30 KOLAKAASI 082290078678 PFIZER 03-02-2022 FM2957
8 7401147112820002 SALMIA P 39 31-45 KOLAKAASI 082191775998 PFIZER 03-02-2022 FM2957
9 7401141801070001 FADHIL HAFIDZ S AGAM L 14 0 KOLAKAASI 082191346999 PFIZER 03-02-2022 FM2957
10 74011450510080002 ERWANSYAH BAYU PRATAMA L 13 0 KOLAKAASI 085216058794 PFIZER 03-02-2022 FM2957
11 7401146507790001 NOVITA P 42 31-45 SEA 082195834675 SINOVAC 03-02-2022 C202109194
12 7401186410940001 IIN OKTAVIANI P 27 18-30 WATULIANDU 081344300587 SINOVAC 03-02-2022 C202109194
13 7401141407000004 LUKMAN L 22 18-30 KOLAKA 082247036195 SINOVAC 03-02-2022 C202109194

14 7401041007850004 JUPRI L 36 31-45 WATULIANDU 081341551003 SINOVAC 03-02-2022 C202109194
15 7402054101720002 RATNA P 49 46-59 WATULIANDU 082243682433 SINOVAC 03-02-2022
16 7401042203030002 SANDI DWIRA L 18 18-30 WATULIANDU 082296575028 SINOVAC 03-02-2022
17 7401145507120002 SALWA P 9 0 KOLAKAASI 082260053807 SINOVAC 03-02-2022 C202109194
18 7401146306120001 REVANY NUR FABILA P 9 0 MANGOLO 082187615048 SINOVAC 03-02-2022 C202109194
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
32 0
33 0
34 0
35 0
36 0
37 0
38 0
39 0
40 0
41 0
42 0
43 0
44 0
45 0
46 0
47 0
48 0
49 0
50 0
51 0
52 0
53 0
54 0
55 0
56 0
57 0
58 0
59 0
60 0
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0
71 0
72 0
73 0
74 0
75 0
76 0
77 0
78 0
79 0
80 0
81 0
82 0
83 0
84 0
85 0
86 0
87 0
88 0
89 0
90 0
91 0
92 0
93 0
94 0
95 0
96 0
97 0
98 0
99 0
100 0
101 0
102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0
131 0
132 0
133 0
134 0
135 0
136 0
137 0
138 0
139 0
140 0
141 0
142 0
143 0
144 0
145 0
146 0
147 0
148 0
149 0
150 0
151 0
152 0
153 0
154 0
155 0
156 0
157 0
158 0
159 0
160 0
161 0
162 0
163 0
164 0
165 0
166 0
167 0
168 0
169 0
170 0
171 0
172 0
173 0
174 0
175 0
176 0
177 0
178 0
179 0
180 0
181 0
182 0
183 0
184 0
185 0
186 0
187 0
188 0
189 0
190 0
191 0
192 0
193 0
194 0
195 0
196 0
197 0
198 0
199 0
200 0
201 0
202 0
203 0
204 0
205 0
206 0
207 0
208 0
209 0
210 0
211 0
212 0
213 0
214 0
215 0
216 0
217 0
218 0
219
220 0
221 0
222 0
223 0
224 0
225 0
226 0
227 0
228 0
229 0
230
231
232
233
234
235
236
237
238
239
240

D = Lainnya
E = Tidak Bekerja

18-30 6 0 A 0
31-45 4 0 B 0
46-59 1 0 C 0
Total 11 0 D 0
Pekerjaan: E 0
A 0 2 Total 0
B 0 16
C 0
D 0
E 0
Total 0
Keterangan
(Ditunda/Tidak
Diberikan/Lanj
ut)
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI

Dosis I Dosis 2
Umur
tahun)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 7371065905890005 H. RESKY AMELIA p 33 JL. MERPATI 081245761664 29-4-2022 2021122321i
2 7401040507810001 RUKMAN HAKIM P 41 JL. MERPATI 081245761664 29-4-2022 2021122321i
3 740104301220001 MAHASENG P 60 JL. PONDUI 29-4-2022 2021122321i
4 7401045709750005 DEWI ARIANI P 47 JL. PONDUI 082347331849 29-4-2022 2021122321i
5 7401142101110002 MUH. IRFAN FADLAN L 11 SAKULI 082124641757 29-4-2022 29-4-2022 2021122321i
6 7401042805130001 MUH. FAUZAN AL GHIFARI L 9 KOLAKA 085342412598 29-4-2022 2021122321i
10
11
12
13
14
15
16
17
18
19
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
32 0
33 0
34 0
35 0
36 0
37 0
38 0
39 0
40 0
41 0
42 0
43 0
44 0
45 0
46 0
47 0
48 0
49 0
50 0
51 0
52 0
53 0
54 0
55 0
56 0
57 0
58 0
59 0
60 0
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0
71 0
72 0
73 0
74 0
75 0
76 0
77 0
78 0
79 0
80 0
81 0
82 0
83 0
84 0
85 0
86 0
87 0
88 0
89 0
90 0
91 0
92 0
93 0
94 0
95 0
96 0
97 0
98 0
99 0
100 0
101 0
102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0
131 0
132 0
133 0
134 0
135 0
136 0
137 0
138 0
139 0
140 0
141 0
142 0
143 0
144 0
145 0
146 0
147 0
148 0
149 0
150 0
151 0
152 0
153 0
154 0
155 0
156 0
157 0
158 0
159 0
160 0
161 0
162 0
163 0
164 0
165 0
166 0
167 0
168 0
169 0
170 0
171 0
172 0
173 0
174 0
175 0
176 0
177 0
178 0
179 0
180 0
181 0
182 0
183 0
184 0
185 0
186 0
187 0
188 0
189 0
190 0
191 0
192 0
193 0
194 0
195 0
196 0
197 0
198 0
199 0
200 0
201 0
202 0
203 0
204 0
205 0
206 0
207 0
208 0
209 0
210 0
211 0
212 0
213 0
214 0
215 0
216 0
217 0
218 0
219
220 0
221 0
222 0
223 0
224 0
225 0
226 0
227 0
228 0
229 0
230
231
232
233
234
235
236
237
238
239
240

D = Lainnya
E = Tidak Bekerja

18-30 0 0 A 0
31-45 0 0 B 0
46-59 0 0 C 0
Total 0 0 D 0
Pekerjaan: E 0
A 0 1 Total 0
B 0 5
C 0
D 0
E 0
Total 0
Keterangan
(Ditunda/Tidak
Diberikan/Lanj
ut)
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
LANJUT
LANJUT
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI

Dosis I Dosis 2
Umur
tahun)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 1703084911950001 HANIFATUN AZIIZAH P 27 18-30 JLN. PEMUDA LRG PONDUI 8/6/2022 DOSIS III FT5335
2 7401140402040002 TOTTI HERDIANSYAH SURDIN L 18 18-30 JLN. KEMAKMURAN NO.07 081218509150 8/6/2022 DOSIS III FT5335
3 7401036402040001 FEBRIANTI P 18 18-30 DESA INEBENGGI 082297597616 8/6/2022 DOSIS III FT5335
4 7401046707040005 USSY PAWENNARI P 18 18-30 JLN. PEMUDA NO.99 8/6/2022 DOSIS III FT5335
5 7401141010690003 H. NASRUDDIN L 53 46-59 JLN. KADUE NO. 37 8/6/2022 DOSIS III FT5335
6 7401097012900003 A. MUSDALIFA P 32 31-45 JLN. PERMATA BIRU 081245113295 8/6/2022 DOSIS III FT5335
7 7401144606850001 HJ. RISNA WATI P 37 31-45 JLN. KADUE NO. 34 085255128166 8/6/2022 DOSIS III FT5335
8 7401142308730001 SUDIRMAN L 49 46-59 JLN. PONDOK PESANTREN 8/6/2022 DOSIS III FT5335
9 7401194609830001 IRMA SURIANI P 39 31-45 JLN. PRAMNUKA N0. 81 08211402600 8/6/2022 DOSIS III FT5335
10 7401046505730003 JUNIAR P 49 46-59 BTN BALANDETE BLOK A 085340307266 8/6/2022 DOSIS III FT5335
11 7401044404760004 HASMIATI P 46 46-59 JLN. BELIBIS NO.12 0811404406 8/6/2022 DOSIS III FT5335
12 0
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
32 0
33 0
34 0
35 0
36 0
37 0
38 0
39 0
40 0
41 0
42 0
43 0
44 0
45 0
46 0
47 0
48 0
49 0
50 0
51 0
52 0
53 0
54 0
55 0
56 0
57 0
58 0
59 0
60 0
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0
71 0
72 0
73 0
74 0
75 0
76 0
77 0
78 0
79 0
80 0
81 0
82 0
83 0
84 0
85 0
86 0
87 0
88 0
89 0
90 0
91 0
92 0
93 0
94 0
95 0
96 0
97 0
98 0
99 0
100 0
101 0
102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0
131 0
132 0
133 0
134 0
135 0
136 0
137 0
138 0
139 0
140 0
141 0
142 0
143 0
144 0
145 0
146 0
147 0
148 0
149 0
150 0
151 0
152 0
153 0
154 0
155 0
156 0
157 0
158 0
159 0
160 0
161 0
162 0
163 0
164 0
165 0
166 0
167 0
168 0
169 0
170 0
171 0
172 0
173 0
174 0
175 0
176 0
177 0
178 0
179 0
180 0
181 0
182 0
183 0
184 0
185 0
186 0
187 0
188 0
189 0
190 0
191 0
192 0
193 0
194 0
195 0
196 0
197 0
198 0
199 0
200 0
201 0
202 0
203 0
204 0
205 0
206 0
207 0
208 0
209 0
210 0
211 0
212 0
213 0
214 0
215 0
216 0
217 0
218 0
219
220 0
221 0
222 0
223 0
224 0
225 0
226 0
227 0
228 0
229 0
230
231
232
233
234
235
236
237
238
239
240

D = Lainnya
E = Tidak Bekerja

18-30 4 0 A 0
31-45 3 0 B 0
46-59 4 0 C 0
Total 11 0 D 0
Pekerjaan: E 0
A 0 11 Total 0
B 0 0
C 0
D 0
E 0
Total 0
Keterangan
(Ditunda/Tidak
Diberikan/Lanj
ut)
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI

Dosis I Dosis 2
Umur
tahun)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 7401204909930001 LISNAWATI P 27 18-30 TOSIBA 085342638203 7/7/2022 DOSIS III FM2957
2 7402190602910001 UJANG FIRMAN SETIAWAN L 31 31-45 DS. SILEA KEC. ONEMBUTE 085241808486 7/7/2022 DOSIS III FM2957
3 7401016309980001 WINDASARI FIRDANI P 24 18-30 KEL. NGAPA, KEC. WUNDULAKO 082213169231 7/7/2022 DOSIS III FM2957
4 7401203105960001 TRI WAHYU BAHARCA L 26 18-30 TOSIBA 082291366613 7/7/2022 DOSIS III FM2957
5 7401121010980002 MUH. ALI L 24 18-30 BAULA 082290613873 7/7/2022 DOSIS III FM2957
6 7401012507950001 MUH. INDIHANAN L 27 18-30 085399049366 7/7/2022 DOSIS III FM2957
7 7401141808890001 BAKHTIAR L 33 31-45 082293020241 7/7/2022 DOSIS III FM2957
8 7401041703960002 ACHMAD ZAKARIA L 26 18-30 TOWUA 1 082188804442 7/7/2022 DOSIS III FM2957
9 7401206106990001 MIATRI P 23 18-30 DUSUN 1 SANI-SANI 082239022721 7/7/2022 DOSIS II FM2957
10 7401041306710002 MAJID RUSDIN P 51 46-59 JL. IMAM BONJOL 085255355650 7/7/2022 DOSIS III FM2957
11 7401141006830001 SURIANUR GURHAN SYARIFUDDIN L 39 31-45 JL. KEMAKMURAN KEL. SAKULI 085299948356 7/7/2022 DOSIS III FM2957
12 7401047112600023 FATIMAH P 62 60-199 JL. ALAM MEKONGGA 081230345477 7/7/2022 DOSIS II FM2957
13 7401145310960002 NURWAHIDAH P 26 18-30 JL. OPO 082187994289 7/7/2022 DOSIS III FM2957
14 7401040412680001 SUNARLIN L 54 46-59 081341510113 7/7/2022 DOSIS III FM2957
15 7401070410780001 SOFYAN HARDONO ST. L 44 31-45 POMALA 7/7/2022 DOSIS III FM2957
16 7401140908710001 AGUS SALIM RAHIKI L 51 46-59 JL. PALA NO. 22 7/7/2022 DOSIS III FM2957
17 7471105505730002 NURSANI HASAN P 49 46-59 LALOMBA 085394765882 7/7/2022 DOSIS II FM2957
18 7401042609060001 FAIZ GENG L 21 18-30 LALOMBA 082271232300 7/7/2022 DOSIS I 7/28/2022 FM2957
19 7401145000730001 RASNA P 49 46-59 JL. REPELITA 42 082303303657 7/7/2022 DOSIS III FM2957
20 7401041909650001 HARTONO L 57 46-59 082191995613 7/7/2022 DOSIS III FM2957
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
32 0
33 0
34 0
35 0
36 0
37 0
38 0
39 0
40 0
41 0
42 0
43 0
44 0
45 0
46 0
47 0
48 0
49 0
50 0
51 0
52 0
53 0
54 0
55 0
56 0
57 0
58 0
59 0
60 0
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0
71 0
72 0
73 0
74 0
75 0
76 0
77 0
78 0
79 0
80 0
81 0
82 0
83 0
84 0
85 0
86 0
87 0
88 0
89 0
90 0
91 0
92 0
93 0
94 0
95 0
96 0
97 0
98 0
99 0
100 0
101 0
102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0
131 0
132 0
133 0
134 0
135 0
136 0
137 0
138 0
139 0
140 0
141 0
142 0
143 0
144 0
145 0
146 0
147 0
148 0
149 0
150 0
151 0
152 0
153 0
154 0
155 0
156 0
157 0
158 0
159 0
160 0
161 0
162 0
163 0
164 0
165 0
166 0
167 0
168 0
169 0
170 0
171 0
172 0
173 0
174 0
175 0
176 0
177 0
178 0
179 0
180 0
181 0
182 0
183 0
184 0
185 0
186 0
187 0
188 0
189 0
190 0
191 0
192 0
193 0
194 0
195 0
196 0
197 0
198 0
199 0
200 0
201 0
202 0
203 0
204 0
205 0
206 0
207 0
208 0
209 0
210 0
211 0
212 0
213 0
214 0
215 0
216 0
217 0
218 0
219
220 0
221 0
222 0
223 0
224 0
225 0
226 0
227 0
228 0
229 0
230
231
232
233
234
235
236
237
238
239
240

D = Lainnya
E = Tidak Bekerja

18-30 9 0 A 0
31-45 4 0 B 0
46-59 6 0 C 0
Total 19 0 D 0
Pekerjaan: E 0
A 0 20 Total 0
B 0 1
C 0
D 0
E 0
Total 0
Keterangan
(Ditunda/Tidak
Diberikan/Lanj
ut)
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI

Dosis I Dosis 2
Umur
tahun)
Pemberian Pemberian
No. Batch No. Batch
I Tahap II
1 7401045505950000 Dewi Arisandy Lorena P 27 JLN LAWANGANO NO.15 082343132225 9/14/2022 DOSIS III FULL P0001384
2 7401146309800002 ARNIATI USMAN P 42 JLN PANCASILA N0 21 LATAMBAGA 085242039538 9/14/2022 9/14/2022 P0001384
3 7401045208050001 NABILA RIZKY PRATIWI P 17 BTN GRIYA LOK 5 082235125729 9/14/2022 9/14/2022 P0001384
4 7401146512810001 KARDINA P 41 KOMP BTN BLOK 17 081355418733 9/14/2022 DOSIS III P0001384
5 7401206111950003 DEVI ARISANDI P 27 JLN KERUNG KERUNG KEL KOLAKAASI 085241771789 9/14/2022 DOSIS III P0001384
6 7408065006900002 ITTIS DARMIATI P 32 SABILAMBO 085397565919 9/14/2022 DOSIS III P0001384
7 7401044801860001 SULFITRI YUNUS P 36 JLN WATULIANDU 082379777233 9/14/2022 9/14/2022 P0001384
10
11
12
13
14
15
16
17
18
19
20
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
32 0
33 0
34 0
35 0
36 0
37 0
38 0
39 0
40 0
41 0
42 0
43 0
44 0
45 0
46 0
47 0
48 0
49 0
50 0
51 0
52 0
53 0
54 0
55 0
56 0
57 0
58 0
59 0
60 0
61 0
62 0
63 0
64 0
65 0
66 0
67 0
68 0
69 0
70 0
71 0
72 0
73 0
74 0
75 0
76 0
77 0
78 0
79 0
80 0
81 0
82 0
83 0
84 0
85 0
86 0
87 0
88 0
89 0
90 0
91 0
92 0
93 0
94 0
95 0
96 0
97 0
98 0
99 0
100 0
101 0
102 0
103 0
104 0
105 0
106 0
107 0
108 0
109 0
110 0
111 0
112 0
113 0
114 0
115 0
116 0
117 0
118 0
119 0
120 0
121 0
122 0
123 0
124 0
125 0
126 0
127 0
128 0
129 0
130 0
131 0
132 0
133 0
134 0
135 0
136 0
137 0
138 0
139 0
140 0
141 0
142 0
143 0
144 0
145 0
146 0
147 0
148 0
149 0
150 0
151 0
152 0
153 0
154 0
155 0
156 0
157 0
158 0
159 0
160 0
161 0
162 0
163 0
164 0
165 0
166 0
167 0
168 0
169 0
170 0
171 0
172 0
173 0
174 0
175 0
176 0
177 0
178 0
179 0
180 0
181 0
182 0
183 0
184 0
185 0
186 0
187 0
188 0
189 0
190 0
191 0
192 0
193 0
194 0
195 0
196 0
197 0
198 0
199 0
200 0
201 0
202 0
203 0
204 0
205 0
206 0
207 0
208 0
209 0
210 0
211 0
212 0
213 0
214 0
215 0
216 0
217 0
218 0
219
220 0
221 0
222 0
223 0
224 0
225 0
226 0
227 0
228 0
229 0
230
231
232
233
234
235
236
237
238
239
240

D = Lainnya
E = Tidak Bekerja

18-30 0 0 A 0
31-45 0 0 B 0
46-59 0 0 C 0
Total 0 0 D 0
Pekerjaan: E 0
A 0 5 Total 0
B 0 2
C 0
D 0
E 0
Total 0
Keterangan
(Ditunda/Tidak
Diberikan/Lanj
ut)
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI
SELESAI

Format Pencatatan Hasil Pelayanan Vaksinasi Manual Pusk Fasyankes Pos

Diunggah oleh

Informasi Dokumen

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

Format Pencatatan Hasil Pelayanan Vaksinasi Manual Pusk Fasyankes Pos

Diunggah oleh

Hak Cipta:

Format Tersedia

FORMAT PENCATATAN PELAKSANAAN VAKSINASI COVID-19

TINGKAT PUSKESMAS/FASYANKES/POS VAKSINASI

Nama Puskesmas/Fasyankes/Pos : Puskesmas Kolakaasi

Keterangan ***Merek Vaksin

Kelompok Umur: Pekerjaan

MANUAL STATUS TUNDA APLIKASI

MANUAL STATUS TUNDA APLIKASI

MANUAL STATUS TUNDA APLIKASI

MANUAL STATUS TUNDA APLIKASI

MANUAL STATUS TUNDA APLIKASI

MANUAL STATUS TUNDA APLIKASI

MANUAL STATUS TUNDA APLIKASI

MANUAL STATUS TUNDA APLIKASI

MANUAL STATUS TUNDA APLIKASI

MANUAL STATUS TUNDA APLIKASI

MANUAL STATUS TUNDA APLIKASI

FORMAT PENCATATAN PELAKSANAAN VAKSINASI COVID-19

Nama Puskesmas/Fasyankes/Pos : Puskesmas Kolakaasi

Keterangan ***Merek Vaksin

Kelompok Umur: Pekerjaan

VAKSIN PERTAMA PKM LATAMBAGA

VAKSIN PERTAMA PKM LATAMBAGA

VAKSIN PERTAMA PKM LATAMBAGA

VAKSIN PERTAMA PKM LATAMBAGA

VAKSIN PERTAMA PKM LATAMBAGA

VAKSIN PERTAMA PKM LATAMBAGA

VAKSIN PERTAMA PKM LATAMBAGA

VAKSIN PERTAMA PKM LATAMBAGA

VAKSIN PERTAMA PKM LATAMBAGA

VAKSIN PERTAMA PKM LATAMBAGA

VAKSIN PERTAMA PKM LATAMBAGA

VAKSIN PERTAMA PKM LATAMBAGA

VAKSIN PERTAMA PKM LATAMBAGA

FORMAT PENCATATAN PELAKSANAAN VAKSINASI COVID-19

Nama Puskesmas/Fasyankes/Pos : Puskesmas Kolakaasi

Keterangan ***Merek Vaksin

Kelompok Umur: Pekerjaan

FORMAT PENCATATAN PELAKSANAAN VAKSINASI COVID-19

Nama Puskesmas/Fasyankes/Pos : Puskesmas Kolakaasi

Keterangan ***Merek Vaksin

Kelompok Umur: Pekerjaan

Nama Puskesmas/Fasyankes/Pos : Puskesmas Kolakaasi

198 DESTRI MULIASTRI P 26 18-30 23/5/2021 24001321 SELESAI

Keterangan ***Merek Vaksin

Kelompok Umur: Pekerjaan

FORMAT PENCATATAN PELAKSANAAN VAKSINASI COVID-19

Nama Puskesmas/Fasyankes/Pos : Puskesmas Kolakaasi

101 0 24000521 LANJUT

102 0 24000521 LANJUT

103 0 24000521 LANJUT

104 0 24000521 LANJUT

105 0 24000521 LANJUT

106 0 24000521 LANJUT

107 0 24000521 LANJUT

108 0 24000521 LANJUT

109 0 24000521 LANJUT

110 0 24000521 LANJUT

111 0 24000521 LANJUT

112 0 24000521 LANJUT

113 0 24000521 LANJUT

114 0 24000521 LANJUT

115 0 24000521 LANJUT

116 0 24000521 LANJUT

117 0 24000521 LANJUT