SPJ Vaksin Februari

DATA PCARE VAKSINASI TANGGAL 2 FEBRUARI 2022 DI PUSKESMAS KEBONAGUNG
TANGGAL
NO NO_TIKET NIK NAMA_LENGKAP USIA No_HP Kategori
DAFTAR
1 Q-003AFAWY 332114******0005 SRI KOMARIYAH 33 082136643460 MASYARAKAT UMUM 01/02/2022
2 P-06872KNL 332114******0001 HENI RAHMA ARYANI 20 0882005952145 MASYARAKAT UMUM 2/2/2022
3 P-0J2STHHT 332114******0001 SUNIAH 48 088216409451 MASYARAKAT UMUM 02/02/2022
4 P-2KB2FJSA 332114******0001 SUKARNO 52 082138764277 MASYARAKAT UMUM 02/02/2022
5 P-34U530BE 332114******0003 TAUFIQ ALBAR 57 081380361441 MASYARAKAT UMUM 02/02/2022
6 P-3WV2KCBC 332114******0003 MUHAMMAD RIZQI ROMADHONI 13 08816732686 REMAJA 02/02/2022
7 P-3WX16EER 331503******0003 MUHAMMAD EHZA FAJRIAN 16 087700723070 REMAJA 02/02/2022
8 P-4JHPTFSB 332114******0001 GABRIELLA ZEFANY MECCA 12 082135197949 REMAJA 02/02/2022
9 P-4PK0UQHD 332114******0002 NUR KHOLIS 53 087759030584 MASYARAKAT UMUM 02/02/2022
10 P-59YMGWO5 332114******0003 MUHAMMAD ANIS FUADI 20 085803758385 MASYARAKAT UMUM 02/02/2022
11 P-5C1REZQC 332114******0001 SUSANTO 27 087777883393 MASYARAKAT UMUM 02/02/2022
12 P-5EAIHR08 332114******0014 KOIDAH 54 08000000000 MASYARAKAT UMUM 02/02/2022
13 P-5EW3VJLK 332114******0001 MUH ROCHMAD 59 08000000000 MASYARAKAT UMUM 02/02/2022
14 P-5KY0TOTP 332114******0001 NIKEN AYU PRASANTY 28 088215746144 IBU HAMIL MASYARAKAT 02/02/2022
RENTAN
15 P-FJ72NYUV 332114******0002 AFIFAH HIDAYATUL ROHMAH 12 085725697964 ANAK 02/02/2022
16 Q-001RSF22 332114******0002 ISNATUN 40 081319503781 02/02/2022
17 q-001YGUY9 332106******0001 SOLEKHATUN 50 085643886730 MASYARAKAT UMUM 02/02/2022
18 q-001YH248 332106******0001 MASKURI, SPd 52 085276004668 MASYARAKAT UMUM 02/02/2022
19 q-001ZAMWZ 332106******0001 NUR KHAFIDHOH 21 089648857930 MASYARAKAT UMUM 02/02/2022
20 Q-00278JLZ 332111******0003 ZUMROTUZ ZAKIYA 22 0895359998651 02/02/2022
21 Q-0028HWZT 337405******0002 UMI SAROH 41 085225155590 MASYARAKAT UMUM 02/02/2022
22 Q-0028JM95 337405******0002 ZAIDUN 41 089535999651 MASYARAKAT UMUM 02/02/2022
23 Q-0029LVPS 332111******0003 MUNAWAROH 46 085290817322 MASYARAKAT UMUM 02/02/2022
24 Q-0029LVQG 332111******0001 PUJI SANTOSO 43 081326252710 MASYARAKAT UMUM 02/02/2022
25 S-F76B01A9 332114******0030 SUKISRI 71 0800000000000 LANSIA 02/02/2022
26 U-00012V3L 332114******0002 MASADATUN NIKMAH SPD 39 085226821349 02/02/2022
27 UL-001JN3E 332111******0006 Agus Supriyono 61 085226272234 02/02/2022
28 UL-001JR74 332114******0004 CHAYAT 61 081228308070 02/02/2022
29 UL-001JRFR 332114******0001 HARYONO 61 0 LANSIA 02/02/2022
30 UP-005GE33 332106******0002 ANI ZULFAH 47 081215391094 MASYARAKAT UMUM 02/02/2022
31 UP-005GIPW 332106******0002 MASKIANAH 51 085212522282 PELAYAN PUBLIK 02/02/2022
32 UP-005HVJ9 332111******0001 ENI MURDIATI 52 089624457993 02/02/2022
33 UP-005J14Y 332114******0003 NURUL AZIZAH 31 081329810811 02/02/2022
34 UU-001CC0M 317202******0013 IRWAN SUTIKNO 38 087776240569 02/02/2022
35 UU-0032I9D 331516******0003 FATKIYAH INDAH LESTARI 21 085875623117 02/02/2022
36 UU-0032M6G 331517******0003 USWATUN KHASANAH 51 081915173563 02/02/2022

37 UU-00364SD 332106******0002 SRI HASTATI WULANDARI 57 08156554263 02/02/2022
38 UU-003670A 332106******0002 HARYONO 54 081298769019 02/02/2022
39 UU-00367DZ 332106******0001 DHARMA NIRMALA EKA MAKHABATI 25 081225344753 02/02/2022
40 UU-0036AWX 332111******0004 SUPARDI 48 085290041974 02/02/2022
41 UU-0036BJE 332111******0005 SUGENG RIYADI 58 081325167387 02/02/2022
42 UU-0036EE9 332111******0001 DWI NINGSIH 38 081459054193 02/02/2022
43 UU-0036F1W 332111******0001 MUJI RISTIANI 41 088215743186 MASYARAKAT UMUM 02/02/2022
44 UU-0036HA2 332114******0001 Faishol Nur 40 081334570344 02/02/2022
45 UU-0036HLT 332114******0003 FITRIYA ANDRIYANI 38 081334570334 02/02/2022
46 UU-0036HNL 332114******0001 MUTMA`INNAH 48 085727583330 02/02/2022
47 UU-0036JAJ 332114******0001 MOH ANSORI 55 081326415147 02/02/2022
48 UU-0036JKG 332114******0001 MARYADI 58 082138085447 02/02/2022
49 UU-0036JR4 332114******0001 HANDOKO ADI SAPUTRO 32 089676693642 02/02/2022
50 UU-0036JRB 332114******0003 MARI 54 081326801533 02/02/2022
51 UU-0036JUW 332114******0002 YULI ARDIYANTI 31 08156633374 02/02/2022
52 UU-0036JV9 332114******0003 ELY FITRIANA 39 082134510936 02/02/2022
53 UU-0036JVU 332114******0001 PURWANIMAH 33 08562756713 02/02/2022
54 UU-0036JW6 332114******0002 SITI MUNAFI'AH 29 085236053640 02/02/2022
55 UU-0036KAF 332114******0001 SALMA RIFQOTUL ULYA 20 081329751864 02/02/2022
56 UU-005QTIZ 720407******0005 FAIRUZAJ AZHAR MALICHATU RAHMI 21 085643112668 02/02/2022
57 UU-005QU90 720407******0002 NURUL IZZAH 54 085242441568 02/02/2022
58 UU-008322M 332114******0001 SUMADI 55 - 02/02/2022
59 UU-0083231 332114******0003 RUFIATUN 54 - 02/02/2022
60 UU-00872F2 331006******0001 SILVIA ETIK NURJANAH 33 085284880002 02/02/2022
61 UU-00874L2 331503******0001 AHMAD KAMBALI 22 085712900751 02/02/2022
62 UU-00875FJ 331516******0001 SITI SARIAH 31 081228502683 02/02/2022
63 UU-00875FZ 331516******0002 NUR AMALIYAH 28 085866755695 02/02/2022
64 UU-00875G7 331516******0001 ANIK UMI QAMDHANAH 31 0895412638246 02/02/2022
65 UU-00875GU 331517******0005 AGUS FERIYANTO 29 082135842727 02/02/2022
66 UU-00875H1 331517******0003 MUSTAKIM 38 082138228767 02/02/2022
67 UU-00879TZ 332107******0004 MUHAMMAD NAJIBUL HUDA 22 085770793157 02/02/2022
68 UU-0087A56 332114******0003 SUGITO 35 088806772171 02/02/2022
69 UU-0087A5K 332114******0003 ZARKONI 46 081224624287 02/02/2022
70 UU-0087A69 332114******0003 RUSTATI 33 081806084092 02/02/2022
71 UU-0087XRV 352315******0001 FATKURAHMAN 37 081331036364 02/02/2022
72 Z-000D1UYF 332114******0002 UNTAWIS MURWATI 62 081390178900 02/02/2022
73 Z-000G8JBU 332111******0002 SULIDAH 69 085290817322 LANSIA 02/02/2022

74 Z-000G8UYT 332111******0001 SUNARTI 61 085640498681 LANSIA 02/02/2022
KESMAS KEBONAGUNG
HASIL
STATUS Nama_Vaksin Batch Dosis
OBSERVASI
Pemberian Vaksin Selesai CoronaVac 24000321 2 Tanpa Keluhan
Pemberian Vaksin Selesai COVID-19 Vaccine Pfizer FK0723 1 Tanpa Keluhan
Pemberian Vaksin Selesai COVID-19 Vaccine Pfizer fk0723 1 Tanpa Keluhan
Pemberian Vaksin Selesai CoronaVac b202106065 1 Tanpa Keluhan


DATA PCARE VAKSINASI TANGGAL 3 FEBRUARI 2022 DI BLAIDESA WERDOYO
NO NO_TIKET NIK NAMA_LENGKAP USIA No_HP Kategori TANGGAL

DAFTAR
1 P-17SL8YDJ 332114******0001 RIZKY PRIYANTO 13 080000000000 REMAJA 03/02/2022
MASYARAKAT
2 P-2TUP92K5 331517******0001 WIJAYA SAPUTRA 26 08981138215 03/02/2022
UMUM
3 P-37HTB60B 332114******0001 AHMAD TEGUH FEBRIANTO 11 08122532482 ANAK 03/02/2022
4 P-D7DUYBX0 332114******0002 MUHAMMAD RAKA ADITYA 6 08806486324 ANAK 03/02/2022
TSANIYA MAULIDATUS
5 P-I8BN687O 332114******0002 SYAHIDAH 8 082322774632 ANAK 03/02/2022
6 P-QVHBXYE1 332114******0001 MUHAMMAD RAIHAN AL FATIH 7 081326903192 ANAK 03/02/2022
7 P-TGCBP3K7 332114******0001 KHANIFATUL JANNAH 10 085640119656 ANAK 03/02/2022

8 P-TGCY9X76 332114******0003 MILATUL NAFIAH 12 085796748379 REMAJA 03/02/2022
9 P-WBMODU5A 160908******0002 DEVI RISMAWATI 8 088232004203 ANAK 03/02/2022
10 P-WBOXXI7M 332012******0002 PRADYTA ADHE SYAPUTRA 10 0818880000 ANAK 03/02/2022
11 Q-0010AAEA 332114******0002 MASRI'AH 42 082137071979 03/02/2022
12 Q-00134CTX 332114******0001 SLAMET 60 085201242903 03/02/2022
13 Q-0014E3VZ 332114******0001 SUPAADAH 47 082134783771 03/02/2022
14 Q-0014QN6X 332114******0001 MUSLIKIN 33 081215076309 03/02/2022
15 Q-0014WKY1 332114******0001 SARYATUN 54 081327623912 03/02/2022
16 Q-0018K167 332114******0003 LAILI MUTMAINNAH 28 081215076309 03/02/2022
17 Q-0018KVV9 332114******0002 MUHTAROM 29 088802845089 03/02/2022
18 Q-00192JBC 332114******0001 SUWARDI 49 082314973927 03/02/2022
MASYARAKAT
19 Q-0019R91K 332114******0027 KARTINI 58 088802592466 03/02/2022
UMUM
20 q-001XRPIE 331516******0004 SITI KHAMDANAH 43 082134484386 03/02/2022
21 q-001Z3MXQ 352304******0002 ZAINUL UMAM 18 081216739917 03/02/2022
22 q-001Z5SFR 352304******0002 IMAM BAHA'UDIN AL QODIRI 19 085227355949 03/02/2022
23 q-001Z5ZJG 352304******0002 AHMAD SIROJUL MILAL ALWAFA 17 08228812353 03/02/2022
24 Q-002GWA0Z 332114******0001 SOLEDAH 48 081325256564 03/02/2022

25 Q-002H3BLD 332105******0001 NURCHOLIS 52 081325256564 03/02/2022
26 Q-002IGOCF 332114******0001 DUROTUN NASEKHAH 27 082133913623 03/02/2022
27 Q-002IGZIU 332114******0001 KAMILATUL MAR'AH 7 080000000000 03/02/2022
28 Q-002IQQ0H 332114******0004 ATAR WILLYANSYAH 7 080000000000 03/02/2022
29 Q-002IQQ1A 332114******0001 AQILA NOVIANI 7 080000000000 03/02/2022
30 Q-002IQQ1F 332114******0002 ALIFYA ZANA ILMA 7 080000000000 03/02/2022
31 Q-002IQQ1J 332114******0001 ELANG PRANATA 7 080000000000 03/02/2022
32 Q-002IQQ1T 332114******0001 AIRAYATUL DWI WIJAYA 7 080000000000 03/02/2022
33 Q-002IQQ24 332105******0002 ALFINATUZ ZAHRO' 12 085291166606 03/02/2022
34 Q-002IQQ2P 332114******0003 DINA LUKITA SARI 10 081368641979 03/02/2022
35 Q-002IQQ2V 332114******0001 ELYSIA RAHMATA ZULIANTI 11 085867369173 03/02/2022
36 Q-002IQQ3A 332114******0003 AHMAD AZRIL LABIB ARRUZA 12 085741366182 03/02/2022
37 Q-002IQQ42 332114******0001 AHMAD MAFTUH JALALUDDIN 12 08884031212 03/02/2022
38 Q-002IQQ47 332114******0001 DAVA MAULANA NASRULLAH 12 085727417224 03/02/2022

39 Q-002IQQ4C 332114******0001 AHMAD MIFTAHUN NI'AM 10 080000000000 03/02/2022
40 Q-002IQQ4H 332114******0001 AHMAD FACHURI 11 085701088052 03/02/2022
41 Q-002IQQ4S 332114******0003 FAIQ ALFANO NUGRAHA 12 085225275807 03/02/2022
42 Q-002IQQ4Y 332101******0003 EXCEEL SETIAWAN WIJAYA 12 085875738338 03/02/2022
43 Q-002IQQ52 332114******0001 JAUHAR NUR ZAKKA 12 081584105502 03/02/2022
44 Q-002IQQ6P 332114******0001 INTAN RAMADHANI 7 080000000000 03/02/2022
45 Q-002IQQ6U 332114******0001 KHUSNUL BADI' 12 082134790358 03/02/2022
46 Q-002IQQ74 332114******0001 MUHAMMAD ERWIN SAPUTRA 11 085875622924 03/02/2022
47 Q-002IQQ7A 332114******0001 MUHAMMAD HADLOR IHSAN 12 088233982483 03/02/2022
48 Q-002IQQ7F 332114******0003 MUHAMMAD TAUFIQUL 11 088233982483 03/02/2022

FIRDAUS
49 Q-002IQQ7L 332114******0002 NAFIKA DWI FEBRIYANTI 13 082115029536 03/02/2022
50 Q-002IQQ7O 332114******0001 NOVA ARIANTI 12 080000000000 03/02/2022
51 Q-002IQQ7R 332114******0001 RAFA AUFA ABDILLAH 12 082134080924 03/02/2022
52 Q-002IQQ7W 332114******0001 RIAYATUL KHOIRIYAH 12 087705118323 03/02/2022
53 Q-002IQQ82 332114******0001 RENDRA ARYATAMA 11 081390851292 03/02/2022
54 Q-002IQQ8C 332114******0001 KAMILA CANTIKA LARASATI 11 089670004389 03/02/2022
55 Q-002IQQ8H 332114******0001 MAULIDATUS TSANIYATI 12 085869654975 03/02/2022
56 Q-002IQQ8M 332114******0001 MUHAMMAD BADRUDDUJA 12 085875307563 03/02/2022
57 Q-002IQQ8Z 332114******0002 SALSABILLA AMANDA PUTRI 12 085729399398 03/02/2022
58 Q-002IQQ94 332114******0001 SYAFA YULIANTI 12 080000000000 03/02/2022
59 Q-002IQQ9B 360301******0004 RIZKY RAMADHANI 11 082311993069 03/02/2022
60 Q-002IQQ9G 352112******0001 WAHYU DARIS SYIFAK 12 081274221736 03/02/2022
61 Q-002IQQX9 351706******0002 MUHAMMAD NOVA DWI 12 081392111401 03/02/2022

ARYANTO
62 Q-002IQR29 332114******0001 FATIMATUL ZAHRA 12 081321022875 03/02/2022
63 Q-002IQR6C 332114******0002 KARTIK AYU ALFIYANI 12 088238696610 03/02/2022
64 Q-002IQR83 332114******0002 MILLATIL AZKA 12 0882003899636 03/02/2022
DZAVIRA BENING MUTIARA
65 Q-002IQRBY 332114******0002 11 088233817927 03/02/2022
ZIEFA
66 Q-002IQRD6 332114******0001 MUHAMMAD RIZKY RAMADHANI 11 082328499799 03/02/2022
MUCHAMMAD FAIZ ANDISA

67 Q-002IQZKR 332114******0001 8 0800000000000 03/02/2022
PUTRA
68 Q-002IR6FW 332114******0001 MUFIDA SALSABILA RAMADHANI 6 080000000000 03/02/2022
69 Q-002IR6G0 332114******0001 HUMAM AL BAHREIS 7 080000000000 03/02/2022

70 Q-002IR6G7 332114******0002 IMAS DEWI NOVITASARI 7 080000000000 03/02/2022
71 Q-002IR6G8 332114******0001 IVANNY AGUSTIN 7 080000000000 03/02/2022
72 Q-002IR6Y2 332114******0001 MUHAMAD ZADAN FAIZAL 11 085156231881 03/02/2022
73 Q-002IR701 332114******0001 FITROKAL AKHIROTI 11 082226090656 03/02/2022
MUH ARJUNA ERLANGGA
74 Q-002IR72U 332114******0001 11 081211506094 03/02/2022
SAPUTRA
75 Q-002IR73T 332114******0002 AURA DINDA BILQIS 11 088802489425 03/02/2022
76 Q-002IR753 332114******0001 AULIA RAHMA 11 088220012437 03/02/2022
77 Q-002IR759 332114******0001 FIKRI HAIKAL 10 085876793596 03/02/2022
78 Q-002IR76C 332114******0001 FARIJUL KUROBI 10 082322300473 03/02/2022
79 Q-002IR78V 332114******0001 SUCI NUR FADHILAH 10 082328057944 03/02/2022
80 Q-002IR79X 332114******0003 FAREL ADITIYA SAPUTRA 6 081359537828 03/02/2022
ACHMAD ADIB FATKHUR
81 Q-002IR7BL 332114******0001 10 081215076309 03/02/2022
ROHMAN
82 Q-002IR7E1 332114******0003 AMELIA NUR AINI 10 081393545070 03/02/2022
83 Q-002IR7ER 332114******0001 ALFIN SAPUTRA 11 0882005921546 03/02/2022
84 Q-002IR7HI 332114******0001 MUHAMMAD NIZAM 9 088233794430 03/02/2022
85 Q-002IR7I8 332114******0001 MUHAMMAD MAULANA YUSUF 9 085293851182 03/02/2022
86 Q-002IR7J6 332114******0001 SASKIA TAUFUN NISAK 11 085329320308 03/02/2022
87 Q-002IR7JV 332114******0001 MUHAMMAD RIZQI 9 081225081563 03/02/2022

ROMADHONI
MUHAMMAD ABDUL QODAR
88 Q-002IR7KD 332207******0001 11 081392504371 03/02/2022
RAMADHAN
89 Q-002IR7L5 332114******0002 MUKHAMMAD ABIE KHOIER 10 082136869017 03/02/2022
90 Q-002IR7M1 332114******0001 SHABRINA SASA MIZA 10 088225295979 03/02/2022
91 Q-002IR7MF 332114******0001 SYAFAATUL AULIA ANGGRAINI 12 088233268872 03/02/2022
92 Q-002IR7N0 332114******0001 NUR AKMALINA SOFYANA 9 088220253117 03/02/2022

93 Q-002IR7OU 360411******0004 ARZAKI ANGGA SAPUTRA 11 081225521990 03/02/2022
94 Q-002IRL6M 332114******0003 MUHAMMAD ILHAM ATTAQI 7 080000000000 03/02/2022
95 Q-002IRL6S 332114******0001 MUHAMMAD WILDAN KHABIBI 7 080000000000 03/02/2022
96 Q-002IRL6V 332305******0001 RYA HIDHAYANTI SAPUTRI 7 080000000000 03/02/2022

97 Q-002IRL71 332114******0001 RAZIQ HANAN 6 080000000000 03/02/2022
98 Q-002IRL78 332114******0001 SEPTI MAESAROH 7 080000000000 03/02/2022
99 Q-002IRL7C 332114******0001 SALWA ALWALYA 7 080000000000 03/02/2022
100 Q-002IRL7F 332114******0001 SENJA TRI NURAZIZAH 7 080000000000 03/02/2022
101 Q-002IRL7J 332114******0001 TALITA FEBRIA UTAMI 7 080000000000 03/02/2022
102 Q-002IRL7O 332114******0002 TIARA DWI PRATAMA 7 080000000000 03/02/2022
103 Q-002IRL7R 332102******0003 VINA DWI INDRIYANI 7 080000000000 03/02/2022
104 Q-002IRL8G 332114******0001 MUHAMMAD CHILMI NUR 7 080000000000 03/02/2022

DYANSYAH
105 Q-002IRL8M 332114******0004 AHMAD FAHRUDIN UMAR 8 080000000000 03/02/2022
106 Q-002IRL8V 332114******0001 AHMAD ADI PRASETIYO 8 080000000000 03/02/2022
107 Q-002IRLC4 332114******0001 KAYYISA AQILA OKTAVIA 6 081318307491 03/02/2022
108 Q-002IRLCD 331518******0002 CHAYRA FAYYOLA NADHIFA 6 08816528395 03/02/2022
109 Q-002IRLFN 332114******0001 CHELSI SALSABILA AUFAL 6 085878493810 03/02/2022
110 Q-002IRLVT 332114******0001 NIHAYATUN NURUN NAFISAH 11 08818537276 03/02/2022
111 Q-002IRLWN 332114******0002 OKTANIA DHANI 11 085294267147 03/02/2022

112 Q-002IRM4D 332114******0002 RENDI SHOKHIBUL AKBAR 11 081297727391 03/02/2022
113 Q-002IRM5V 332107******0001 RIF'AH NISWA AHMADA 10 085290462505 03/02/2022
114 Q-002IRMAL 332114******0001 SALWA AQILA FIRDAUS 10 081391419177 03/02/2022
115 Q-002IRMDQ 332103******0002 MUHAMMAD AZKA AMRULLAH 10 085727699552 03/02/2022
116 Q-002IRMGE 332114******0001 SARI ELA NAJWA 11 082387536085 03/02/2022

MUHAMMAD AZKI ELCA
117 Q-002IRMIZ 332114******0003 10 082387536085 03/02/2022
ZULFANA
118 Q-002IRP9H 332114******0002 TANIA NATASYA 12 081336284108 03/02/2022
119 Q-002IRVC1 332114******0002 MUHAMMAD KHAMDANI 7 080000000000 03/02/2022
120 Q-002IRVC7 332111******0005 MUHAMMAD SABIQ ALFATHAH 8 080000000000 03/02/2022
121 Q-002IRVCD 332114******0001 AKHDAN RIZQY MAULANA 7 080000000000 03/02/2022

122 Q-002IRVCH 332114******0002 ANINDITA NAZILA ILMIRA 8 080000000000 03/02/2022
KUMALA DEWI KURNIA
123 Q-002IRVCT 332114******0001 8 080000000000 03/02/2022
WULANSIH
124 Q-002IRVD3 332114******0002 DENIAR DAVIN AIRLANGGA 8 080000000000 03/02/2022
125 Q-002IRVD7 332114******0002 IPANK ADHI SAPUTRA 9 080000000000 03/02/2022
126 Q-002IRVDD 332114******0001 KHOIRUL NUR ROKHMAN 8 080000000000 03/02/2022
127 Q-002IRVDF 332114******0002 CAHYA YUNI ANGGREINI 7 080000000000 03/02/2022
128 Q-002IRVDJ 332114******0002 DINA FARDIANA TASYARI 7 080000000000 03/02/2022
129 Q-002IRVDN 332114******0001 ANIS ATIKAH 8 080000000000 03/02/2022
130 Q-002IRVDV 330602******0002 ARZACHEL ALLAN POETRA 8 080000000000 03/02/2022
131 Q-002IRVGJ 332114******0001 DANI APRILIAWAN 7 085340502078 03/02/2022
132 Q-002IRVGY 332114******0001 FAHRA ANNAQIYA 7 085292248271 03/02/2022
133 Q-002IRVH8 332114******0001 DZIHNI NURUS SYIFA 6 085292248271 03/02/2022
134 Q-002IRVXH 332114******0001 SATRIA PRAMANA 11 082323997477 03/02/2022
135 Q-002IRVZA 332114******0002 ZIDNA ILMAH 10 083851082848 03/02/2022
136 Q-002IRWAK 332114******0002 UMI HANIK 10 088237071429 03/02/2022
137 Q-002IRWG1 332114******0002 WAHYU WIBOWO 10 085236820460 03/02/2022
138 Q-002IRZZN 332114******0001 AMRINA ROSYADA 10 082223726234 03/02/2022
139 Q-002IS6RF 332114******0001 ZULFA MALIYYATUL KHASANAH 8 080000000000 03/02/2022
140 Q-002IS6RM 332114******0002 ABDUL ROHMAN 9 080000000000 03/02/2022

141 Q-002IS6RQ 332114******0001 MUHAMMAD SAIQ MAFAZI 8 080000000000 03/02/2022
142 Q-002IS6SA 332114******0003 NEHLA HILWA TSANIA FAUZIA 7 080000000000 03/02/2022
PUTRI FINDA WANTI

143 Q-002IS6SC 332113******0003 9 080000000000 03/02/2022
PURNAMASARI
144 Q-002IS6SE 332114******0002 SYIFA ZAHRA HALIMA 7 080000000000 03/02/2022
145 Q-002IS6SG 332114******0001 YUANITA TRI HAPSARI 7 080000000000 03/02/2022
146 Q-002IS6SN 332114******0001 NAUFAL MUHAMMAD SYAFIQ 8 080000000000 03/02/2022

147 Q-002IS6SP 332114******0001 ADELE WAHYU RAMADHANI 8 080000000000 03/02/2022
148 Q-002IS6SR 332114******0001 MUHAMMAD SUBEKAN 8 080000000000 03/02/2022

SUSANTO
149 Q-002IS6VX 332114******0001 TALITA LUTFIANA PRAMESTI 7 081359361468 03/02/2022
150 Q-002IS74O 332114******0003 AGISTA ANJAR FERANIA 12 085878118262 03/02/2022
151 Q-002IS760 332114******0001 BAGAS RENGGA SYAPUTRA 12 081901328027 03/02/2022
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MUHAMMAD FADIL NUR

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ROHMAN
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PRASETIYO
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RAMADHAN
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MUHAMMAD SYIFA FAUZIL
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ADZIM
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ADLII CANDRASEKA FAJAR
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RAHMATULLAH
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298 Q-002ISTPJ 332104******0002 AHMAD SHOFY ATHOILLAH 10 081326659279 03/02/2022

AKBAR
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300 Q-002ISTPX 332114******0002 RAFA ANANDA PUTRA 9 081329179747 03/02/2022
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302 Q-002ISTQ8 332114******0001 WILDA LAILI TASKIYAH 8 081325611971 03/02/2022
303 Q-002ISTQB 332114******0001 MUHAMMAD RIZKY ILMAN NAFI' 8 081226980513 03/02/2022

304 Q-002ISTQK 610310******0003 MUHAMMAD MUDZHIB FALIH 8 081226054771 03/02/2022
305 Q-002ISTRM 332114******0002 EKA SEPTIANA ZULFA 9 088237097965 03/02/2022

306 Q-002ISTRO 332114******0002 DYAHAYUNING RISMA DEWI 10 085326279468 03/02/2022
GIOVANNI PRATAMA IVANDER
307 Q-002ISTRZ 332114******0002 9 082137113360 03/02/2022
LEE
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314 Q-002ISYH0 331518******0002 AL FARIZI ZUHRI 7 08816528395 03/02/2022

315 Q-002ISYH1 332114******0001 ALKAF RIZKI 8 085291996425 03/02/2022
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SISKA TIARA AMALIA
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PURNAMASARI
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364 Q-002J2FP9 332114******0004 RIFQI ADITYA IKHWAN 12 08122532482 03/02/2022

365 Q-002J327D 332114******0001 SURYA MAULANA ROZIKIN 10 08122532482 03/02/2022
SWANSTIKARASYAMENUR
366 Q-002J410Z 332114******0002 10 08122532482 03/02/2022
VIRGIANA
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MUHAMMAD ABI ABDULLAH
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USMAN
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AHMAD AGUNG RAMDANI
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HUSEIN
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385 Q-002J5MSO 332114******0002 MUHAMMAD BENI MAHARDIKA 10 081391249378 03/02/2022
386 Q-002J5MT9 332114******0001 NADA FATIYA ZAHRA 10 081391249378 03/02/2022

387 Q-002J5MTE 332114******0003 MUKHAMAD ANDIKA ADITYA 10 081391249378 03/02/2022
388 Q-002J5MTV 332114******0001 RAFA MAULANA IQBAL 9 081391249378 03/02/2022
389 Q-002J5MTY 332114******0002 SINTIA AULIA RAHMA 9 081391249378 03/02/2022
390 Q-002J5MUS 332407******0001 MUHAMMAD FAUQI HININ 9 081326205745 03/02/2022
391 Q-002J5MXB 332114******0002 MUHAMMAD HILMI MUAZZAM 8 081326205745 03/02/2022
392 Q-002J5MYA 332114******0003 RISKA AULIA RAHMA 8 081326205745 03/02/2022

393 Q-002J5MYM 332114******0001 SALSABILA AULIA NAJWA 8 081326205745 03/02/2022
394 Q-002J5MZB 332114******0001 AHMAD FARIS ARDIYANTO 9 081391249378 03/02/2022
395 Q-002J5MZS 331516******0003 ANNASTASYA LISTIANI 9 081391249378 03/02/2022
396 Q-002J5N0E 332114******0001 AZZAM KHOIRUL UMAM 9 081391249378 03/02/2022
397 Q-002J5N0R 332114******0001 MUHAMMAD LATIFUL ASRORI 7 085802303503 03/02/2022
398 Q-002J5N1D 332114******0002 AINYYA LUTHFIYATUN NISA 9 081326205745 03/02/2022
399 Q-002J5N1M 332114******0001 AISWARAY CONCHITA VIRGIANA 8 081326205745 03/02/2022
400 Q-002J5N28 331501******0002 ARYA DIKA WIDAGDO 8 081326205745 03/02/2022

401 Q-002J5N2U 332114******0001 AZKA MOHAMMAD RAFI 8 081326205745 03/02/2022
402 Q-002J5N3F 332114******0003 AZKA RASITA 9 081326205745 03/02/2022
403 Q-002J5N4L 332114******0001 BIMA ADE SAHPUTRA 9 081326205745 03/02/2022
404 Q-002J5N55 332114******0001 DESTYANA PUTRI SANTIKA 9 081326205745 03/02/2022
405 Q-002J5OG7 332114******0001 ZAHROTUS SHIFA 11 08122532482 03/02/2022
406 Q-002J5OHV 332114******0001 MUHAMMAD HAMDI HALIMI 8 08122532482 03/02/2022
407 Q-002J5OIM 332114******0002 SITI QO'IDATULAWALIYAH 10 08122532482 03/02/2022
408 UL-001JR33 332114******0001 KP RAHARJO 76 - 03/02/2022
409 UL-001JRJL 332114******0001 UMI SYAHLATUN 72 - 03/02/2022
410 UP-005J0WZ 332114******0002 NGAISAH 42 085786918199 03/02/2022
411 UU-0032IKK 331517******0002 ALIE SHOFI, S. KOM 37 081226109268 03/02/2022
412 UU-0032LWB 331517******0001 SITI SHOFIYAH 56 085640577243 03/02/2022
MASYARAKAT
413 UU-009N2M6 332114******0001 MUKHAMAD NAJIB 28 088226898190 03/02/2022
UMUM
414 Z-000CNKHD 332114******0019 SULIPAH 66 0800000000000 03/02/2022

DI BLAIDESA WERDOYO
STATUS Nama_Vaksin Batch Dosis HASIL

OBSERVASI





















































DATA PCARE VAKSINASI TANGGAL 4 FEBRUARI 2022 DI BLAIDESA MANGUNA
TANGGAL
DAFTAR
1 P-08KHPMK7 332114******0001 MAS'AH 52 085325984285 PRA-LANSIA 04/02/2022
2 P-0X88RC3J 332114******0002 REZA MAFTUCHAH 11 08000000000 ANAK 04/02/2022
3 P-1QAHV4UH 332114******0001 SRIYATUN 55 0888888888888 MASYARAKAT 04/02/2022

UMUM
4 P-2XMRQ2VS 332114******0001 EFENDI 30 085890649648 MASYARAKAT 04/02/2022

UMUM
MASYARAKAT
5 P-30B3W0K7 332114******0001 KARYATI 47 085227891010 UMUM 04/02/2022
MASYARAKAT
6 P-3A4Z5R7S 332106******0004 ZULAIKHAH 20 089520230833 UMUM 04/02/2022
7 P-3JXI53HN 332114******0001 BUDI UTOMO 49 082323725314 MASYARAKAT 04/02/2022

UMUM
8 P-3SKVHCZ5 332114******0002 MULYATI 52 85713382542 MASYARAKAT 04/02/2022

UMUM
9 P-3YQ1XPD7 332114******0003 MUALIMIN 44 089529098290 MASYARAKAT 04/02/2022

UMUM
10 P-46S0IFKO 332114******0001 KAYATI 56 082242484258 MASYARAKAT 04/02/2022

UMUM
11 P-4F2V31JE 332114******0001 SUNARDI 57 085641445561 MASYARAKAT 04/02/2022

UMUM
12 P-4FNFZ2UR 332114******0002 KAMSIRAH 52 082242484258 PRA-LANSIA 04/02/2022

13 P-4M6YE6KL 332114******0001 SODAH 50 0833000000 PRA-LANSIA 04/02/2022
14 P-4U3XIQUQ 332114******0003 KAHONO 56 08000000000 PRA-LANSIA 04/02/2022
15 P-76I0H9CC 331516******0004 AL QURROTU AYUNHI 11 088225166147 ANAK 04/02/2022
MASYARAKAT
16 P-ITQBUWTC 332114******0001 SARJONO 58 0882006170215 UMUM 04/02/2022
17 Q-000BQQIS 332114******0001 SUWARNO 60 081215012420 04/02/2022
18 Q-000YUY8Z 332114******0001 NAUFAL FAHMI AZKA 22 085755828023 04/02/2022
MASYARAKAT
19 Q-000ZQLMP 332114******0003 KASPIYAH 54 085248104186 UMUM 04/02/2022
20 Q-00180358 332114******0001 SUHARTO 59 082322787721 04/02/2022
21 Q-0019ZHQU 332114******0001 KHANIF MUSLIM 32 081278711553 04/02/2022
22 Q-001A1JDR 332114******0001 SUKARMADI 58 088239389226 04/02/2022
23 Q-001A7CGS 332114******0003 SITI MAEMUNAH 41 083838399324 04/02/2022
24 Q-001A841Y 332114******0004 MUHAMAD FADHOLI 19 081215352472 04/02/2022
25 Q-001CAUVU 332114******0001 RASMIDI 51 085870499628 04/02/2022
26 Q-001CK1LS 332114******0002 JUNAIDI 57 082325106107 04/02/2022
27 Q-001E7OV6 332320******0002 MISFANTIYAM 34 085740397000 04/02/2022
28 Q-001FPC2Y 332114******0001 MAKRUF 48 081394537003 04/02/2022
29 Q-001PCOMH 332114******0001 SURINTO 55 082242484258 04/02/2022
30 Q-001PE904 332114******0001 BAGAS FERYANSYAH 17 088232733635 04/02/2022
31 Q-001PERX4 332114******0001 NURYATININGSIH 43 082242484258 04/02/2022
32 Q-001PERXJ 332114******0001 ZUNAIDI 36 085886093940 04/02/2022
33 Q-001PGTXQ 332114******0002 AMAR ZAELANI 19 088806536701 04/02/2022

34 Q-001RSMW4 332114******0001 ASMIATUN 50 082137434420 04/02/2022
MASYARAKAT
35 Q-001RT6UY 332114******0001 RUSMINI 56 085842038736 04/02/2022
UMUM
36 Q-001RWA1W 332114******0001 SITI FATEKHAH 47 0865346789009 04/02/2022
37 Q-001U74E7 332114******0001 SUKIR 47 0852267890 04/02/2022
38 Q-001V0Q4B 332114******0001 MASNIAH 53 0852257869 04/02/2022
39 Q-002ITIUB 332114******0001 AISYAH HASNA MAULIDA 7 085712717494 04/02/2022

40 Q-002ITIUF 332114******0001 AQILA NDARU MAHANANI 7 088239445052 04/02/2022
41 Q-002ITIV9 332114******0001 MUHAMMAD IQBAL HAKIM 7 081228710633 04/02/2022
42 Q-002ITIXJ 332114******0001 RISMA DAMAYANTI 7 0895386812355 04/02/2022
43 Q-002ITIZQ 332114******0001 MUHAMAD BIMA UTAMA 7 085870911723 04/02/2022
44 Q-002ITIZV 332114******0001 FARIDA DAMAI FITRIYANI 6 0895383210653 04/02/2022
45 Q-002ITIZX 332114******0001 IMAM SAMUDRO 7 085803510966 04/02/2022
46 Q-002ITJ01 331603******0001 DELVIANO RENDI SAPUTRA 7 085876457875 04/02/2022
47 Q-002ITJIZ 332114******0001 ALFUHQRI DENATA PRATAMA 7 085870499628 04/02/2022
48 Q-002ITJJ4 332114******0001 ANDRA MOUSSINI MANDALA 8 085870499628 04/02/2022

49 Q-002ITJJ6 332114******0001 ALFIN JEFRI PRATAMA 9 085870499628 04/02/2022
50 Q-002ITJJ8 332114******0001 BARLEAN ALDIANO 7 085870499628 04/02/2022
51 Q-002ITJJC 332114******0001 ALENA HIDAYATUL AULIYA 7 085870499628 04/02/2022
52 Q-002ITJJE 332114******0002 AKIRA MAULAYA 7 085870499628 04/02/2022
53 Q-002ITJJG 332114******0002 CALTHA NASYITA 7 085870499628 04/02/2022
54 Q-002ITJJI 332114******0004 ASNA WAFI SAFIRA 10 085870499628 04/02/2022
55 Q-002ITJJL 332114******0001 AHMAD ZIDHAN FAUZI 7 085870499628 04/02/2022
56 Q-002ITJJO 332114******0001 AISYAH 8 085870499628 04/02/2022
57 Q-002ITJJR 332114******0001 DELFINA FRISTCA AMALIA 7 085870499628 04/02/2022
58 Q-002ITJJU 332114******0001 DESTRIANA AZZAHRA PUTRI 7 085870499628 04/02/2022
59 Q-002ITJM1 332114******0002 MAY AMALINA ZAKIYYAH 8 085870499628 04/02/2022
60 Q-002ITJM4 332114******0003 ISMI FARIYATI 7 085870499628 04/02/2022
61 Q-002ITJM7 332114******0001 KANZUL ARASI 8 085870499628 04/02/2022
62 Q-002ITJMA 332114******0001 EMBUN REVATA KASHELLA 9 085870499628 04/02/2022
63 Q-002ITJMD 332114******0002 EVAN DAFFA PRATAMA 8 085870499628 04/02/2022
MOHAMMAD KHOIRUL FADHLI
64 Q-002ITJMG 332114******0002 7 085870499628 04/02/2022
SAPUTRA
65 Q-002ITJMJ 331516******0002 MUHAMAD ANDI SAPUTRA 7 085870499628 04/02/2022
66 Q-002ITJMM 332114******0002 MUHAMAD BAGAS PRAMUDITYA 8 085870499628 04/02/2022
67 Q-002ITJMP 332114******0001 TRISTAN HAFIZ ADRIANTO 8 085870499628 04/02/2022

68 Q-002ITO9K 332114******0001 NAVIRA FAIZZATUL AULIA 6 082210789902 04/02/2022
69 Q-002ITQP5 332114******0001 NAVILA NOVA ARIANA 6 082323499100 04/02/2022
70 Q-002IUUSP 332114******0002 DANANG SATRIA 10 081914535650 04/02/2022
71 Q-002IUUST 332114******0002 EKA FEBRIANA PUTRI 11 085802821982 04/02/2022
72 Q-002IUUSV 332114******0002 GHANI AL GHAZALI 11 085862375449 04/02/2022
73 Q-002IUUT1 332114******0001 IHDA KAYLA SAL SABILA 11 085710409181 04/02/2022
74 Q-002IUUT6 332114******0002 INDRIANI SAPUTRI 10 089609984567 04/02/2022
75 Q-002IUUU5 332114******0001 CHIKA AYU ANGGRAINI 10 085877510825 04/02/2022
76 Q-002IUUUF 332114******0001 VANESSA APRILLIA PUTRI 10 085842792576 04/02/2022
77 Q-002IUUUH 332114******0002 AHMAD HADI SYARIFULLOH 10 085750430725 04/02/2022
78 Q-002IUUUQ 332114******0002 ALDI DWI SAPUTRA 11 085876800710 04/02/2022
79 Q-002IUUUT 331518******0001 NAURA NUR LAILY 9 085837176168 04/02/2022
80 Q-002IUUUW 332114******0001 TABITHA SENDY NATANIELLA 9 085704554014 04/02/2022
81 Q-002IUUV3 332114******0002 RAQILLA ARYA PRATAMA 9 085879605819 04/02/2022
82 Q-002IUUV5 332114******0002 NUR AINI 9 085894089062 04/02/2022
83 Q-002IUUV7 332114******0001 NAYSILLA LIVIA CAHYA 10 081575026808 04/02/2022
84 Q-002IVWSB 332114******0001 NABILATUL ADABIYAH 6 085866691953 04/02/2022
85 Q-002IVWWR 332114******0002 RIZKY BAGUS SAPUTRA 10 085603337531 04/02/2022
86 Q-002IVWWY 332114******0001 RAISA DYAH MAULANI 11 081567731548 04/02/2022
87 Q-002IVWX1 330918******0003 ZASKIA NUR AINI 10 085802841036 04/02/2022
88 Q-002IVWX5 332114******0001 KHAILA LARASATI AZ ZAHRA 10 085741222858 04/02/2022
89 Q-002IVWXA 332114******0001 MUHAMMAD SHOFI MAULA 11 085642615298 04/02/2022
90 Q-002IVWXE 332114******0002 MUHAMMAD IFZAL HARINA 10 081326520688 04/02/2022
91 Q-002IVWXT 332114******0001 AULIA AZZAHWA 12 085741696798 04/02/2022
92 Q-002IVWXZ 332114******0001 AISYA ZAHRA 12 085717517877 04/02/2022
93 Q-002IVWYA 332114******0002 IHWAL FAITH ARDHIKA 11 087828113134 04/02/2022

PRATAMA
94 Q-002IVWYF 332114******0001 ZUMROTUN NAFIAH 10 081617532425 04/02/2022
95 Q-002IVWYN 332114******0001 ADIN SATRIA NUGRAHA 12 082134122644 04/02/2022
96 Q-002IWZKJ 332114******0003 INTAN AYU CAHYANI 11 085795349745 04/02/2022
97 Q-002IWZQE 332114******0001 ADDISON VICTORIA ARGANA 12 085870499628 04/02/2022
98 Q-002IXWHM 331516******0001 KEINAN GIBRAN SANJAYA 7 085842792515 04/02/2022
99 Q-002IXWRQ 332114******0002 AFIKA NUR RAHMADHANI 8 085870499628 04/02/2022
100 Q-002IXWRW 332114******0001 ADITYA PUTRA PRATAMA 10 085870499628 04/02/2022
101 Q-002IXWSI 332114******0002 AHMAD RUDY SETIAWAN 12 085870499628 04/02/2022
102 Q-002IXWSO 332114******0002 AHMAD FAUZUL ADZIM 10 085870499628 04/02/2022
103 Q-002IYMR6 332114******0001 MUHAMMAD IBNU ATHO'ILLAH 7 085718129089 04/02/2022
104 Q-002IYMS2 332114******0001 JOHAN SUGONDO 12 085727671519 04/02/2022

105 Q-002IYMTM 332114******0001 AINAYA FATIYYATUROHMAH 10 085870499628 04/02/2022
106 Q-002IZEVZ 332114******0001 AVENDRA VICKY ALDIAN 8 085870449628 04/02/2022
107 Q-002IZUG5 332114******0001 ALFIAN RISQIE MUTHA 9 085870499628 04/02/2022
108 Q-002IZVXD 332114******0003 AHMAD ADI SAPUTRA 11 085227355315 04/02/2022
109 Q-002J0O9C 332114******0002 ALIF NUR ARIFIN 8 085870499628 04/02/2022
110 Q-002J0O9O 332114******0002 AMELIA MUSTIKA SARI 10 085870499628 04/02/2022
111 Q-002J0OA7 332114******0001 AMATUL KARIM FAKIRA 9 085870499628 04/02/2022
112 Q-002J191X 620903******0002 KHESA AIRIN MIPTAKHUL ADILA 12 085251920837 04/02/2022
113 Q-002J192V 332114******0001 ARYA SANDY PRATAMA 7 085870499628 04/02/2022

114 Q-002J1939 332114******0001 ARGA BISMA SAHREZA 9 085870499628 04/02/2022
115 Q-002J193U 332114******0001 ARINA APRILIA 10 085870499628 04/02/2022
116 Q-002J2FOY 332114******0002 MUKHAMMAD NABIL ABIMANYU 7 085839931933 04/02/2022
117 Q-002J2FSL 332114******0002 DEVA CANDRA WIGUNA 12 081226724919 04/02/2022

MUHAMMAD HAFID
118 Q-002J2FTZ 332114******0001 11 085869654972 04/02/2022
MUSTAFIRIN
119 Q-002J2FVP 332114******0003 ASKA CHANDRA ALVARO 9 085870499628 04/02/2022
120 Q-002J2FXS 332114******0002 CATUR AGUNG SAPUTRA 10 085870499628 04/02/2022
121 Q-002J2FYP 332114******0002 DAFFA RAFIF MAULANA 9 085870499628 04/02/2022
122 Q-002J2Y5A 332114******0005 ARVAN JUSTINE GEOVANI 11 081225276546 04/02/2022
123 Q-002J3285 332114******0002 DIAH AYU PUTRI MAYNINGRUM 12 088215446140 04/02/2022
124 Q-002J32A6 332114******0002 ERLANGGA ARYA BINTORO 8 085870499628 04/02/2022
125 Q-002J32AR 332114******0003 MUHAMAD BAGUS PRAMUDYA 8 085870499628 04/02/2022
126 Q-002J32B3 332114******0001 FATHIR ZULFAN NABIHAN 11 085870499628 04/02/2022

127 Q-002J32B5 332114******0003 HAIDAR AQIL ASHARI 10 085870499628 04/02/2022
128 Q-002J32BA 332114******0001 JANUARTA DWI PRASETYA 10 085870499628 04/02/2022
129 Q-002J32BE 332114******0001 KAYLA NADIYA FITRIANI 9 085870499628 04/02/2022
130 Q-002J32BO 332114******0001 FRANANDA RADITYA AL FAROBI 11 085870499628 04/02/2022
131 Q-002J32BV 332114******0003 GHEISHA DWI AL FIANO 11 085870499628 04/02/2022

132 Q-002J32CL 332114******0001 FATHIR AHMAD AZZAM 9 085870499628 04/02/2022
133 Q-002J32CX 332114******0002 MAULANA SURYA PRATAMA 10 085870499628 04/02/2022
134 Q-002J32D3 332114******0004 MAYA NOVIYANI 10 085870499628 04/02/2022
135 Q-002J3HVY 332114******0001 EKY NIKEN ELFIRA RAMADHANI 11 082322996062 04/02/2022
136 Q-002J3HX4 332114******0001 DEVITA LEONORA HASNA 9 085870499628 04/02/2022

137 Q-002J3HYL 332114******0001 DWI HASAN ABDUL SYUKUR 11 085870499628 04/02/2022
138 Q-002J3HYT 332114******0002 NOVITA RAMADANI 10 085870499628 04/02/2022
139 Q-002J3HYY 331516******0001 POPY ARI SAPUTRA 13 085870499628 04/02/2022
140 Q-002J3HZ0 332114******0002 PASHA ARYA PUTRA PRATAMA 8 085870499628 04/02/2022
141 Q-002J3HZ2 331502******0008 RICHI ESA NURWAHIRA 11 085870499628 04/02/2022

142 Q-002J3HZ9 332114******0001 ROSYAD ALFI LUJJEINI 8 085870499628 04/02/2022
143 Q-002J3HZB 332114******0001 SITI MAEMUNAH 10 085870499628 04/02/2022
144 Q-002J3HZE 332114******0001 SHAFA SANIYYA 12 085870499628 04/02/2022
145 Q-002J3HZH 332114******0001 MUHAMMAD HISYAM 9 085870499628 04/02/2022
146 Q-002J3HZS 332114******0001 MUHAMMAD HERDIAN SAYUTI 9 085870499628 04/02/2022
147 Q-002J3HZY 332114******0001 MUHAMMAD RIFQI MUSYAFA' 10 085870499628 04/02/2022
148 Q-002J3I01 331518******0001 NABILA ZAIDA ZAHRA 10 085870499628 04/02/2022

149 Q-002J3I04 332114******0002 NAJWA ANASTASYA 9 085870499628 04/02/2022
150 Q-002J3I09 332114******0002 NAYLA AFIZA ASHFA 9 085870499628 04/02/2022
151 Q-002J3I0B 332114******0003 NEVA HELSA FANIA 12 085870499628 04/02/2022
152 Q-002J3I0G 332114******0001 WISNU FITROTUL WAHYU 13 085870499628 04/02/2022
153 Q-002J3I0P 332114******0002 SYAMUSIR RAMADHAN KHADAFI 10 085870499628 04/02/2022
154 Q-002J3I0S 332114******0002 TANIA AULIANA MECCHA 11 085870499628 04/02/2022

155 Q-002J3I0U 332102******0006 TOHA ABDUR ROHMAN 13 085870499628 04/02/2022
156 Q-002J3I16 332114******0003 MUHAMMAD FAHRIE ARRASYID 10 085870499628 04/02/2022
157 Q-002J412N 332114******0003 FUAN ANANDA PUTRA 12 08882675953 04/02/2022

158 Q-002J4137 332114******0001 EKY AULYA RISNANDAR 11 085870499628 04/02/2022
DWI SABAT VALENI NUGRAHA
159 Q-002J4147 332114******0001 11 085870499628 04/02/2022
PUTRI
160 Q-002J56B4 332114******0002 GALIH AJI MAULANA 12 087815932625 04/02/2022
161 Q-002J5OGJ 332114******0001 AULIYA IRFANI 8 085875599992 04/02/2022
162 Q-002J5OGQ 332114******0001 ASYAM HANIF 7 088215743174 04/02/2022
163 Q-002J5OHQ 332114******0003 AMBAR AMRINA ROSADA 8 085725770083 04/02/2022
164 Q-002J5OHR 332114******0001 SILVIA AULIA MAELANI 7 08816788785 04/02/2022
165 Q-002J5OHT 332114******0002 AQILAH NAILIS SA'DIYAH 8 088806250051 04/02/2022
166 Q-002J5OI4 332114******0001 AUREL CANTIKA PUTRI 8 085291996474 04/02/2022
167 Q-002J5OI6 332114******0002 BANGKIT ADI PAMUNGKAS 8 085711279188 04/02/2022
168 Q-002J5OIR 332114******0001 CACA NUR HAKIKI 8 085229251225 04/02/2022
169 Q-002J5OJK 332114******0002 IQBAL ARDANA AJI PERMANA 8 081280221638 04/02/2022
170 Q-002J5OJW 332114******0001 KANA KHOLIQUL IZZA 8 081225178459 04/02/2022

171 Q-002J5OK4 332114******0001 KHARISA MAULIDA AN NAFA 8 085546443490 04/02/2022
172 Q-002J5OK8 332114******0001 MARZA NAFIZA ANGGRAENI 8 085869654971 04/02/2022
173 Q-002J5OKF 332114******0001 MUHAMMAD AMMAR HAFIZ 8 089695833544 04/02/2022
174 Q-002J5OKL 332114******0001 MUHAMMAD KHABIBI 8 0895380142721 04/02/2022
175 Q-002J5OKV 332114******0001 MUKHAMMAD RIZKY SYAPUTRA 8 085777853182 04/02/2022
176 Q-002J5OL1 332114******0002 MUSTIKA FAHMA ILMA 7 085802982515 04/02/2022

177 Q-002J5OLV 332114******0001 NESIA NAZWA ALSHINTA 7 085641616250 04/02/2022
178 Q-002J5OLX 332114******0003 ADAM HABIBIE ARKHA 7 085778855118 04/02/2022
179 Q-002J5OM4 332114******0002 AYUNDA CHAHYA NILASARI 8 085878992664 04/02/2022
180 Q-002J5OM5 332114******0001 ARI DIAN SAPUTRA 9 08146671626 04/02/2022
181 Q-002J5OM7 332114******0001 FAIZ AFFAN MAJID 8 085803510921 04/02/2022
182 Q-002J5ON6 332114******0001 DWI CITRA HANDAYANI 9 085802821982 04/02/2022
183 Q-002J5ONC 332114******0002 ESTA ARVITANTISYA 10 085855518936 04/02/2022
184 Q-002J5ONY 332114******0003 ARULLYAFIQA PUTRI DAMAYANTI 9 085849494005 04/02/2022
185 Q-002J5OOK 620102******0002 ATIKAH WARDAHNI 10 085754480878 04/02/2022

186 Q-002J5OOV 331402******0002 BERLIAN AULIYATUN NIKLAH 10 085225810306 04/02/2022
187 Q-002J5OP4 332114******0002 FABIANO EGA SANJAYA 10 085727591321 04/02/2022
188 Q-002J5OPB 332114******0002 FAISAL ASSYARIF 10 085701072765 04/02/2022
189 Q-002J5OPF 332114******0001 FAUZI ARI ADITYA 10 081936590278 04/02/2022
190 Q-002J5OPL 332114******0001 HAFIZ AHMAD RAYHAN 9 082136429819 04/02/2022
191 Q-002J5OPQ 332114******0001 KHANSA FARIHATUL HUSNA 10 085865732638 04/02/2022
MUHAMMAD ATAKA MILDA
192 Q-002J5OPV 332114******0001 10 085226108798 04/02/2022
RUHMA
193 Q-002J5OQ9 332114******0001 MUHAMMAD HABIBI 10 08818524319 04/02/2022
194 Q-002J5OQL 331516******0002 MUTIARA RINJANI 9 085803510963 04/02/2022
195 Q-002J5OQT 331515******0001 HAJJAR NUR POHANI 9 085839931933 04/02/2022
196 Q-002J5OQV 332114******0001 KHANZA NURSAVA AZAHRA 8 085884084336 04/02/2022
197 Q-002J5OQX 332114******0001 KHUMAIRA RIZKIA 8 085799779981 04/02/2022
198 Q-002J5OR0 332114******0002 MAHATMA ABQORI SACAL 9 085292167411 04/02/2022
199 Q-002J5OR3 332114******0002 MARSELINUS IWAN PRADANA 10 081328031207 04/02/2022
200 Q-002J5OR6 332114******0002 MUHAMMAD ADITYA PRAKOSO 9 085866624169 04/02/2022
201 Q-002J5ORC 332114******0001 MUHAMMAD ILHAM SETIAWAN 8 085792709447 04/02/2022
202 Q-002J5ORH 332114******0001 NABILLA RAMADHANI 8 085325201525 04/02/2022

MUHAMMAD
203 Q-002J5ORL 332114******0001 9 085726425829 04/02/2022
TAUFIQURROHMAN
204 Q-002J5ORN 332114******0002 NUR SYIFAUROHMAN 9 082137030997 04/02/2022
205 Q-002J5ORZ 332114******0001 RIHA DZATUL 'AISYI 9 088215285644 04/02/2022
206 Q-002J5OS9 332111******0002 RIZKI PUTRA PRATAMA 9 088232778001 04/02/2022
207 Q-002J5OSJ 332114******0002 ROBBI ARSYADANI SUBKHAN 8 085758739862 04/02/2022
208 Q-002J5OSP 332114******0001 ROOBIYATI 9 085755819387 04/02/2022
209 Q-002J5OUB 332114******0001 TITAH ALAM SYAH 9 088238979954 04/02/2022
210 Q-002J5OUJ 332114******0001 AMRINA ROSYADA 10 085728787972 04/02/2022
211 Q-002J5OVS 332114******0001 REYNA AVRA SHANTANA 12 089525764075 04/02/2022
212 Q-002J5RAF 332114******0002 SYIFA ISTIQOMAH 9 085866130071 04/02/2022
213 Q-002J5YDM 332114******0001 HUMAIRA KHOIRUNNISA 12 085877238557 04/02/2022
214 Q-002J5YFF 332114******0002 SABIEL AHMAD RASYIID 12 081225333041 04/02/2022
215 Q-002J5YFQ 331516******0002 SALMA NAZILLA ZAVANI 11 085727671519 04/02/2022
216 Q-002J686W 332114******0001 SATRIA NOVA DWI MURIA 11 08000000000 04/02/2022
217 Q-002JTO4N 332114******0001 AQILA FAIRUZ ZAHWA 9 085870499628 04/02/2022
218 Q-002JTO51 332114******0001 AQIF AMJAD UWAIS 8 085870499628 04/02/2022
219 Q-002JVDUR 330902******0002 DAVID NUGROHO 10 085870499628 04/02/2022
220 Q-002JVDX8 332114******0002 KHAYLA ALMIRA GHAISANI 8 085870499628 04/02/2022
221 UP-005IZCG 332114******0002 KARTONO 63 - 04/02/2022
222 UP-005J0V4 332114******0003 LULUK IRVANA 33 081328084009 04/02/2022
223 UP-005J1X0 332114******0001 SULASIH 63 - 04/02/2022
224 UU-0036HJK 332114******0002 MUALIMAH 42 081327470877 04/02/2022
225 UU-008CRG4 332114******0006 SISWANTO 47 0812257212228 04/02/2022
226 Z-000EU0YQ 332114******0001 SLAMET 62 081354303330 04/02/2022

BLAIDESA MANGUNAN LOR
HASIL
OBSERVASI

Pemberian Vaksin Selesai COVID-19 Vaccine Pfizer 330408D 1 Tanpa Keluhan






















DATA PCARE VAKSINASI TANGGAL 7 FEBRUARI 2022 DI BLA
MASYARAKAT
1 K-000240EL 331518******0002 ROCHMANIA 28 081325445303 UMUM
MASYARAKAT
2 P-32AA3VMZ 330701******0009 VIVI SITI FATIMAH 29 083839445126 UMUM
MASYARAKAT
3 P-3FJDWZ16 350215******0001 NURHADI 43 08978291663 UMUM
MASYARAKAT
4 P-3QT1IHV9 331519******0001 WAHYU IDI PANGESTU 25 085704960277 UMUM
5 P-40L8XSLB 332114******0001 ZAHRA IZZATIN NISA 8 085640900093 ANAK
6 P-4CY4DELK 332114******0002 ATIQAH AZIZAH 6 081390167973 ANAK
7 P-BX3L8PZM 332114******0001 MUHAMAD HAFIZH AS SYAFIQ 7 081325241669 ANAK
8 P-TQQZB98V 331517******0001 NATHASYA PUTRI SETYAWAN 9 08000000000 ANAK
9 Q-000DOHUH 332104******0004 MUHAMMAD IHLISOL ABDA 32 082312371383
10 Q-000ZQZKG 332114******0001 AGUNG SAPUTRO 33 082225746575
11 Q-001CIYHR 332114******0001 IDA AGUS NURYANTO 30 088215488657
12 Q-001CJWJR 332114******0001 ZUMROH 48 087742129120

13 Q-001CLM9G 332114******0011 KUSRIPAH 58 085327648161
14 Q-001DJZ10 350215******0003 SRI LESTARI 41 081325486986
15 Q-001OAX5M 332114******0002 SUWARNI 58 080000000000
16 Q-001TUF4V 332114******0001 SITI ASIYAH 42 089504444092
17 Q-001U1BWW 332114******0001 LULUKATUL HASANAH 34 081227471079
18 Q-002J8CR6 332114******0002 MUHAMMAD DAVID SETIAWAN 6 081325241669
19 Q-002J8CRA 332114******0001 MUHAMMAD ZAFRAN ARFA SYIHAB 7 081325241669
20 Q-002J8CRI 332114******0001 EARLYTA ARSYIFA SALSABILA 7 081325241669
21 Q-002J8CRK 332114******0002 SALWA ASSYIFATU HAIFA 7 081325241669
22 Q-002J8CRM 331516******0002 SITI FITRIA JULIANA ULFA 6 081325241669
23 Q-002J8CRN 332114******0003 SANDRO ADI SAPUTRA 7 081325241669
24 Q-002J8CRQ 332114******0003 AULIA NUR ARYANTI 7 081325241669
25 Q-002J8CRR 332114******0001 AINA ZAHRA PUTRI 7 081325241669
26 Q-002J8CRV 332114******0001 AZKA ALVARENDRA 6 081325241669
27 Q-002J8CRX 332114******0002 AHMAD RIZKI ALWI 7 081325241669
28 Q-002J8CRZ 332114******0001 KIRANA PRILY ANJANI 7 081325241669
29 Q-002J8CS1 332114******0001 MAIRA AMBARWATI 7 081325241669
30 Q-002J8CS5 332114******0001 AQILA KHOIRUN NISA 7 081325241669
31 Q-002J8CS7 332114******0001 AL KHAZINI YUDISTYA 7 081325241669
32 Q-002J8CSD 332114******0002 AFIDHA KEYZA MAULIDIYA 7 081325241669
33 Q-002J96IK 332114******0001 RAFI AHMAD HIDAYATULLAH 9 081325241669
34 Q-002J96IT 332114******0002 NINDI AULIA STYAWATI 10 081325241669
35 Q-002J96LW 332114******0003 RAHMA LATIFAH 9 081325241669
36 Q-002JAMXN 332114******0001 AVRILIA RIZQINA AFIFAH 11 081325241669
37 Q-002JAMXT 332114******0002 AFRIZA INDZANA ZULFA 10 081325241669
38 Q-002JAMXY 332114******0001 AQIMIL LAYALIYA LATIEFAH 11 081325241669
39 Q-002JAMYT 332114******0002 SITI SELFIANA 11 081325241669
40 Q-002JAN2W 331501******0001 SEPTIAWAN WIBISONO 9 081325241669
41 Q-002JANI2 332114******0002 SENJA CITRA LESTARI 10 081325241669
42 Q-002JANJ5 332114******0001 ICA CANDRA CAHYANINGRUM 10 081325241669
43 Q-002JANJT 332114******0005 HUSNA ANJANI 10 081325241669

44 Q-002JANKD 332114******0001 GALIH VINO INDRAYANTO 10 081325241669
45 Q-002JANKX 332114******0001 AZRIEL KAMIL 10 081325241669
46 Q-002JANLA 332114******0002 FAISAL RIDHO AL FAQIH 11 081325241669
47 Q-002JBR76 332114******0002 LULUK AWALIYATUL KHASANAH 11 081325241669
48 Q-002JBR7R 332114******0002 IZZA FAKHRIL AKBAR 10 081325241669

49 Q-002JBR87 332114******0001 IZAM KHOIRUN NIAM 10 081325241669
50 Q-002JBR98 332114******0002 RINAD LAILATUL MAYDA 11 081325241669
51 Q-002JBR9D 332114******0003 MAULANA IDA SISWANTO 11 081325241669
52 Q-002JBR9I 332114******0002 MUHAMMAD KAMIL ALY 10 081325241669
53 Q-002JBRA0 332101******0003 SAFARAZ AKMA YUSWANTO 11 081325241669
54 Q-002JBRAA 332114******0003 VIKA FARHA AULIA 10 081325241669
55 Q-002JBRAV 332114******0001 APRILLIA MAHARANI 12 081325241669
56 Q-002JBRB6 332114******0002 YANI PUTRIANI 11 081325241669
57 Q-002JBRBL 332114******0004 ADIKA APRILIANTO 12 081325241669
58 Q-002JCOR8 332114******0001 AJI SURYA PANGESTU SETIAWAN 7 081325241669
59 Q-002JCORL 332114******0002 DIAZ ATHA AL FARUQ 11 081325241669

60 Q-002JCORV 332114******0004 DAFA SETYAWAN 11 081325241669
61 Q-002JCORZ 332114******0001 ARHAB REYHAN ARDHANI 8 081325241669
62 Q-002JCOS6 332114******0001 ALFIYATUL AMIROH 8 081325241669
63 Q-002JDM9X 332114******0001 LATHIF ADAM FATHIN 7 081325241669
64 Q-002JDMA3 332114******0001 DAFFA ARYA FAITH 8 081325241669
65 Q-002JDMAB 332114******0001 MUHAMMAD ZAKI ALAWI 8 081325241669
66 Q-002JDMAE 332114******0001 BAMBANG BUDI YANTO 8 081325241669
67 Q-002JDMAG 332114******0001 BERLIAN MUSTIKA SARI 8 081325241669
68 Q-002JDMAK 332114******0001 MUTIARA AZZAHRA 8 081325241669
MUHAMMAD ARJU
69 Q-002JDMAM 332114******0002 7 081325241669
ROHMATALLAH
MUHAMMAD SYARIF AL
70 Q-002JDMAO 332114******0001 8 081325241669
MURTADZO
71 Q-002JDMAQ 332114******0001 RAGIL WAHYUDI 7 081325241669
72 Q-002JDMAS 332114******0001 UFAIRA NUR AFIFAH 8 081325241669
73 Q-002JDMAX 332114******0001 MAISYARA SALSABILA ARIYANTI 7 081325241669
74 Q-002JDMAZ 332114******0001 AYU APRILINA 8 081325241669

75 Q-002JDMB1 332114******0001 ASYIFA AZZAHRA 7 081325241669
76 Q-002JDMB8 332114******0002 AQILA MIA AUDINA 8 081325241669
77 Q-002JDMBC 332114******0001 YULIANA SAFIRA 8 081325241669
78 Q-002JDMBF 332114******0001 AIRIN SALMA NABILLA 9 081325241669
79 Q-002JDMBL 332114******0001 AMIR ZAKARIA EGA HAIDARIYAN 8 081325241669
80 Q-002JELAL 332114******0002 NIZAM MUAZZAM 8 081325241669

81 Q-002JELAU 332114******0001 SYAFIRA ANINDYA MAULANA 8 081325241669
82 Q-002JELAX 332114******0001 ALFIN MAULANA RIZQI 9 081325241669
83 Q-002JELB0 332114******0001 ALFIANA MAHARANI 10 081325241669
84 Q-002JELB3 332114******0002 AS'AD'AQILIL HIKAM 10 081325241669
85 Q-002JELB9 332114******0001 ARDHA ISHLAH FA'IS 10 081325241669
86 Q-002JELBF 332114******0001 AULIA NOVI NENGRUM 10 081325241669
87 Q-002JELBH 332114******0003 SEPTIO HANUNG AL JAELANI 8 081325241669
88 Q-002JELBQ 332114******0001 MUHAMMAD YANI MAGRIBI 9 081325241669
89 Q-002JELBT 332114******0001 MUHAMMAD RAFA TASTAFTIAN 10 081325241669
90 Q-002JELBW 330103******0004 GALUH PUTRA PRATAMA 10 081325241669

91 Q-002JELBY 332114******0001 HAZIQ MUHAMMAD IQBAL 9 081325241669
LAILATUL DESVITA PUTRI
92 Q-002JELC4 332114******0001 10 081325241669
HANDAYANI
93 Q-002JELC7 332114******0003 KHARISMA FAHMA AZZAHRA 10 081325241669
EARLITA NADIYA ARSYAFA
94 Q-002JELCA 332114******0002 9 081325241669
RABBANI
95 Q-002JELCI 332114******0001 FEBRI KUMALA WARDANI 10 081325241669
96 Q-002JELCM 332114******0002 BRANISLAVE PANDU EL NINO 10 081325241669
97 Q-002JELCO 332114******0002 CHOIRUL ANAN 9 081325241669
98 Q-002JELCQ 332114******0001 DWI MUSTIKA SYAFIANI 9 081325241669
99 Q-002JGPAY 332114******0002 MUHAMMAD HAFIDZ BAIHAQI 11 081325241669
100 Q-002JGPBT 332114******0001 RAYA BACHTIAR 11 081325241669

101 Q-002JGPBY 332114******0002 SAHIL NUR KHUSEN 12 081325241669
102 Q-002JGPCA 332114******0001 NAFISA NIFIANA PUTRI 12 081325241669
103 Q-002JHJUK 332114******0001 MUHAMMAD HASAN SIDIQ 12 08124566777
104 Q-002JHKE6 332114******0001 TIARA PUTRI 8 08000000000
105 Q-002JL2DH 332114******0001 FAHRI KHOIRVETIAN 9 081225375031
106 Q-002JOEWA 332114******0003 ARGA IBNUSINA 7 081229821126
107 Q-002JOEXT 332114******0002 MUHAMAT ALIF FIRDAUS 7 082136199919
108 Q-002JOEZG 332114******0001 SATRIYO PININGIT RAHMADHANI 6 085225320139
109 Q-002JP42U 332114******0001 HANIFA RAMADHANIE 7 08122513482

110 Q-002JP45O 332107******0001 GALANG EQI SAPUTRA 8 082136013055
111 Q-002JP472 332114******0001 ACTA JULIANA AWALIYAH 10 088216539727
112 Q-002JP4DJ 332114******0001 AHMAD PUTRA SUJABAT 11 08122532482
113 Q-002JP4E1 332114******0002 ADIBA SAKHI QOTHRUNNADA 10 08813898566
114 Q-002JQ2IL 332114******0002 HUSNA SYA'NAHA 8 081329322706

115 Q-002JQ2KX 332114******0002 AHMAD YUSUF HABIBULLOH 11 085713306426
116 Q-002JQ2OX 332114******0001 AFIFAH QURROTA AYUN 8 081329545680
117 Q-002JQ2SJ 332114******0001 ALINA NURKHALIFAH ANJANI 10 085291565309
118 Q-002JR1T1 332114******0002 MUHAMMAD BISMA AMADA 8 08818622150
119 Q-002JR1TI 332114******0001 MUHAMMAD EVAN ALDIANSYAH 8 085741821867
MUHAMMAD HARDIAN
120 Q-002JR1YQ 332114******0002 9 081218253649
SAHPUTRA
121 Q-002JR1ZG 332114******0001 AZAM AHMAD 11 081228393233
122 Q-002JR22O 332114******0001 MUHAMMAD DAFA WARDHANA 9 081390872083
123 Q-002JR24T 332114******0001 MOHAMMAD BAHRUL ULUM 9 081353552689

124 Q-002JR250 332114******0002 ANDREAN DWI ARDIYANTO 10 082360870258
125 Q-002JR254 332114******0001 KHANSA AULIA 9 081228393233
MUHAMMAD IQBAL
126 Q-002JR27Q 332114******0001 8 082326549066
FIRMANSYAH
MUTIARA MUNAF KHAFFI
127 Q-002JR2AU 332114******0002 8 082136199919
HARDIANA
128 Q-002JR2CE 332113******0001 AHMAD ILHAM ALVARO 9 088232072092
129 Q-002JR2CT 332114******0001 DIAJENG AYU ARIMBI 10 085225320139
130 Q-002JS5CO 332114******0001 AZZALEA KHANZA 6 081327552408
MUHAMMAD MARCHEL
131 Q-002JS5E0 332114******0001 8 082135875825
SYAHPUTRA
132 Q-002JS5GJ 332114******0001 MOHAMAD REZA SAIFUL ASHAR 10 0882003047435

133 Q-002JS5GU 332114******0004 MUHAMMAD KHOIRUL WIJAYA 9 0882003642487
134 Q-002JS5H1 332114******0001 ERIEN DWI NASIABELA 10 086903656795

135 Q-002JS5H3 332114******0001 CAHAYA SALSABILA ANJUNI 9 082134349417
136 Q-002JS5H9 332114******0001 AYUNI LUTHFIYANI 10 088239582691
137 Q-002JS5HB 332114******0002 ALVIN SAPUTRA 9 08882503055
MUHAMMAD MAULA AKMAL
138 Q-002JT04I 332114******0003 8 082325886029
NASHIR
139 Q-002JT0DH 332114******0001 MUHAMMAD KHOIRUL ANBIYA' 6 08885991488
140 Q-002JT0HF 332114******0001 MUHAMMAD RAFA SYAPUTRA 7 082265069023
141 Q-002JT0IP 332114******0001 NOVA ALVIAN ERICK WALUYO 7 082241610915
142 Q-002JT0LK 332114******0001 PUTRI DEWI SEPTIASARI 7 082290549893

143 Q-002JT0MR 332114******0001 PUTRI FATMA AZZAHRA 9 088233436458
144 Q-002JT0MZ 332114******0001 NABILA ARDINA PUJIONO 9 088224238092
145 Q-002JT0N7 332114******0001 NISAUL USNAH 10 08122532482
146 Q-002JT0NW 332114******0001 NIKEN AYU KUSUMA 9 0882005479987
147 Q-002JT0RD 332114******0003 NADYA WINDIYANI 10 081327000533
148 Q-002JT0RU 332114******0001 RAHMA NABILA 10 081225117580
149 Q-002JT0RZ 332114******0001 NAJMAH NURAINI 10 081575953892
150 Q-002JT0S2 332114******0001 RIZKIYATUL ASNA 10 082118010096
151 Q-002JTOEG 332114******0001 AMORA ARDISA FAYOLA IRSYI 8 082136518246
152 Q-002JTOFC 332114******0001 MAULIDA AYU ANGGRAINI 8 082224006155

153 Q-002JTOG1 332114******0001 RAIYA PUTRI KIRANA 8 088221712610
154 Q-002JTOGM 332114******0001 TOMY SANJAYA 8 085326262951
155 Q-002JTOLY 332114******0001 NOVIANDRI DARA NAJWA 8 087831449392
156 Q-002JTOQS 332114******0001 NAURA KHALILA RAZANI 8 081226981786
157 Q-002JTOTM 331516******0001 NABILA TASYA CALISTA BILQIS 8 089654386214
158 Q-002JTOWA 332114******0001 NOVA ADIYATUL FAIZAH 11 085875867489

159 Q-002JTOXL 332114******0002 NOR ROHMAN 10 085226214388
160 Q-002JTOXS 332114******0002 VIKY ADITYA PRATAMA 9 081325705665
161 Q-002JU3C9 332114******0002 ALI RAHMAN HAKIM 7 0882003642487
162 Q-002JUTKL 332114******0002 SADELIA RAMMADHANI 10 088221227106
163 Q-002JUTP4 332114******0003 SUGENG AS'AD 11 088239051272
164 Q-002JUTR2 332114******0002 AKBAR RIF'AT ZULIANSYAH 11 082314949692
165 Q-002JVE54 332114******0001 ALI RAHMAD 12 085225556159
166 Q-002JVE5I 332114******0001 AURA NAFISHA JIHAN FADHILA 12 0882006716782
MUHAMMAD RAYHAN ANDHIKA

167 Q-002JVE5R 332114******0002 12 088221196589
PUTRA
168 Q-002JVE5X 332114******0001 HABIBUR ROHMAN ADI GUNA 11 088232181582
169 Q-002JVE62 332114******0002 IKHAL RIZKI ADITYA 12 082134154811

170 Q-002JVE70 332114******0001 RENI FITRIYANI 11 085200128187
171 Q-002K0KHU 332114******0001 ALENA ARDIYANTI 7 085713982162
172 Q-002K0KIW 332114******0001 ALFIATI KHAYATUN NAVIA 6 08983703526
173 Q-002K0KLF 332114******0002 FAUZIYAH SAEFANY SIFA 11 081334341708
174 Q-002K0KLG 332114******0001 JAMI' ABRORI 10 0895360871319
175 Q-002K0KLI 327509******0002 MUCHAMMAD FACHRI FIRDAUS 12 085727551041
176 Q-002K0KLK 332114******0001 MUHAMMAD ARIFUDDIN 11 085225471290

MUHAMMAD RAYHAN SAIFUL
177 Q-002K0KLL 332114******0002 11 081226141760
MUARIFIN
MUHAMMAD NABIM
178 Q-002K0KLM 332114******0001 10 089605479010
FADHILLAH ALI
179 Q-002K0KLN 320113******0002 SITI AISYAH AULIA 11 085692483058
180 Q-002K0KLO 331517******0002 AFRIZAL CANDRA PRATAMA 11 085866166584
181 Q-002K0KLP 327508******0010 LIDIAH NOVIANI PRATIWI 11 082257356353
182 Q-002K0KLQ 332114******0001 CALLYSTA FIDA AL THAFUNNISA 12 089696148754
183 Q-002K0KLR 332114******0002 DWI PUTRI AISYAH 11 089637237715

184 Q-002K0KLS 332114******0001 SALSABILA KHOIRVETIANI 11 085803008204
185 Q-002K0KLT 317201******1011 TATA AULIA RAHMA 11 082313526791
186 Q-002K0KO2 332114******0001 ALIEF AULIA ABDURROHMAN 6 085225651420
187 Q-002K0KO3 332114******0001 ALYSA ARTANTI 7 085713982162
188 Q-002K0KO5 332114******0001 ARJUN ROBEN 6 085786743031
189 Q-002K0KO8 332114******0001 ANISA LATHIFA 6 085647788396
190 Q-002K0KOA 332114******0001 ARYA WIJAYAKUSUMA 7 085786921647
MUHAMMAD ALIF YUSUF
191 Q-002K0KOC 332114******0001 7 087834041258
HARYANTO
MUHAMMAD ERIK SAKBANI
192 Q-002K0KOD 332114******0001 7 085741124845
ALFAT
193 Q-002K0KOE 332114******0001 NADIFA AYU QANITA 7 083866564320
194 Q-002K0KOF 332114******0001 PUTRI CITRA KIRANA 6 085803008876
195 Q-002K0KOH 332114******0001 NAILAL MUNASYA 7 081476699338
196 Q-002K0KOI 332114******0001 RAFFI KHOIRVETIAN 7 085803008204
197 Q-002K0KOJ 332114******0001 RASIG AHMAD FATIH 7 08157615545
198 Q-002K0KOL 332114******0001 AL FARIS PUTRA ROMADHON 7 081327585496
199 Q-002K0KOM 331517******0005 AUFARA QISMI 7 085727845267
200 Q-002K0KON 332114******0001 KEVIN DWI DARMAWAN 7 089518557672
201 Q-002K0KOP 332114******0001 LUBAID ASYTAR ALFATIH 8 088216439652
202 Q-002K0KOQ 332114******0001 MUHAMAD FAREL AL FAJAR 8 081522874163
203 Q-002K0KOR 332114******0001 NIZAM AHMAD AULIYA 7 082351939780
204 Q-002K0KOS 332114******0002 RIZKI NUR UTOMO 8 085226152834
205 Q-002K0KOT 332114******0001 ZULFAN AZHAR RAIHAN 8 081217320898
206 Q-002K0KOU 332114******0001 AMELIA AQILA MEIDA 8 0895378082267
207 Q-002K0KOV 332114******0001 DANNIEL AL FARIS 8 081225375031
208 Q-002K0KOW 332114******0003 NUNU KHOIRUL AKHSAN 9 089505883219
209 Q-002K0KOX 331517******0001 NUR SABILA AYU WANDIRA 9 088221467814
210 Q-002K0KOY 327508******0005 SITI AFIFATUL AZIZAH 8 081228070643
211 Q-002K0KOZ 331501******0002 AISA RAHMADANI 9 085870701160
212 Q-002K0KP0 332114******0001 ALLESYA AZKAYLA NADHIFA 9 081226798094
213 Q-002K0KP1 337402******0003 AUREL OKTAVIANA 11 081252476236
214 Q-002K0KP2 332114******0003 DWI RIZQY AHMAD MAULANA 10 089504444092
215 Q-002K0KQ0 332114******0001 HANUM RIZQIA NINGRUM 10 081559912673

216 Q-002K0KQ4 331517******0001 HILDA IRDHANI 9 085643499346
217 Q-002K0KQ7 332114******0001 IBNU KHOIRIL ANAM 9 085727671886
MUHAMMAD AFIF JUNIOR
218 Q-002K0KQ9 332114******0001 9 088227316846
NAGA PRATAMA
219 Q-002K0KQB 332114******0001 NAHLA IMTIYAZ 9 085799771612
220 Q-002K0KQE 332114******0001 NAVISA ASDYA PUTRI 9 081522874163
221 Q-002K0KQH 332114******0001 RIKA AVRIZA 9 085225653396
222 Q-002K0KQN 332114******0001 ZAHRA KEYLA WIBOWO 9 082133935085
223 Q-002K0KQR 332114******0001 AFNA TSALITS NAFISAH 11 088216439652
224 Q-002K0KQS 331512******0005 RIO ADI PRATAMA 10 081337785034
AKHMAD FATKHI
225 Q-002K0KQU 332114******0001 10 083838113754
ALMUQORROBIN
226 Q-002K0KQY 332114******0002 DAIVA ELYSIA NISYWA 10 0895359971841
227 Q-002K0L97 332114******0001 ANGGA PRAST STYAWAN 7 082325889381
228 UP-005J079 332114******0001 NUGIE ARDHI 23 083865051823
229 UP-005J2JW 332114******0001 MUKHAYANAH 68 -
230 UP-005J2Q8 332114******0001 SITI SAADAH 45 08122574756
231 UP-005J3DK 332114******0001 MUZAENAB 42 081325697204
232 UU-0036J5I 332114******0003 ABDUL KHOLIQ 53 081355888905
233 UU-0036J6R 332114******0002 AGUS CHAKIM 54 085799880041
234 UU-0036JK6 332114******0001 TOHA MAHSUN 47 081215937902
235 UU-0036JW2 332114******0002 KASTINI 53 08122532482
236 UU-0036JZA 332114******0003 ROMDHONAH 50 081355888905
237 UU-0036JZX 332114******0002 NUR FAIZAH 47 082221435045
238 UU-0036K1G 332114******0001 YULI EKAWATI, SH 40 081390868156
239 UU-0036K9H 332114******0003 MASADAH 49 085290224778
240 UU-009VJUV 317502******0005 SOLEKAN 51 089669632569
241 UU-00A9KVZ 332114******0001 ALI MUNZILIN 37 085225656097
242 UU-00A9KWL 332114******0001 SITI SULASIYAH 36 082221435137

RUARI 2022 DI BLAIDESA PILANG WETAN
TANGGAL HASIL
DAFTAR OBSERVASI
07/02/2022 Pemberian Vaksin Selesai COVID-19 Vaccine Pfizer FK0723 2 Tanpa Keluhan
07/02/2022 Pemberian Vaksin Selesai CoronaVac 24007721 1 Tanpa Keluhan

























07/02/2022 Pemberian Vaksin Selesai COVID-19 Vaccine Pfizer 24007721 3 Tanpa Keluhan
DATA PCARE VAKSINASI TANGGAL 8 FEBRUARI 2022 DI BLAIDESA KEBONAGUNG
TANGGAL
DAFTAR
1 P-2AIW3LBO 331513******0004 SUJIYEM 53 082372519970 MASYARAKAT UMUM 08/02/2022
2 P-3ICREDQH 331516******0001 M. SETYO RUKHANI 25 088221091124 MASYARAKAT UMUM 08/02/2022
3 P-4RFFB2FW 332114******0002 TOYIB 51 085325862224 MASYARAKAT UMUM 08/02/2022
4 P-RU8LFQWK 332114******0001 MAHARANI PUTRI 12 081910503063 REMAJA 08/02/2022
5 P-VE123YYH 332107******0001 MUHAMMAD FILDAN SURURI 11 085747955627 ANAK 08/02/2022

6 Q-0011H87S 332114******0004 ANZAR ROZZAK 26 085715892629 08/02/2022
7 Q-0011HG13 332114******0002 ATMANAH 34 082136869008 08/02/2022
8 Q-0014WO1I 331518******0003 SUPRIYONO 32 081327623912 08/02/2022
9 Q-0016IGHP 332114******0001 HANA HARI NATASYA 15 082133697498 08/02/2022
10 Q-0016XU64 332114******0003 FITRIA SELA RAMADHANI 12 088225096466 08/02/2022
11 Q-0019D3DU 332114******0001 SOLIKHATUN 46 088802734276 MASYARAKAT UMUM 08/02/2022
12 Q-0019DKBF 332114******0001 LATHIFATUL FU'ADAH 19 085799383002 MASYARAKAT UMUM 08/02/2022
13 Q-0019E5RM 332114******0001 JUMADI 49 0888027344276 MASYARAKAT UMUM 08/02/2022
14 Q-0019PUKP 332114******0009 ROMYATUN 48 082197226868 MASYARAKAT UMUM 08/02/2022
15 Q-001AF316 332114******0005 LILIK SUWARNO 29 081296256476 08/02/2022
16 Q-001EMRT4 332114******0003 ZAIDI 41 082111553129 08/02/2022

17 Q-001KOJ9J 332114******0004 WALUYO SUPRIYONO 35 081329575409 08/02/2022
18 Q-001RGPUA 332114******0002 RUSMILAH 50 089525670914 08/02/2022
19 Q-001TDLAS 332114******0001 MUNFAATI 26 085647788136 08/02/2022
20 Q-001U6CR2 332114******0001 TUTIK NUR ROHMAH 18 08811005774 08/02/2022

21 Q-002J9I63 332114******0001 ARINA QURROTUL AIN 11 082374973827 08/02/2022
22 Q-002JBUFB 332114******0003 KHUSNUL KHOTIMAH 12 081393905607 08/02/2022
23 Q-002JIWTS 332114******0002 FAZA HAIDA ZAHRA 11 085649881966 08/02/2022
24 Q-002JKP26 332114******0001 AHMAD MAULIDI YAHYA 8 087828113514 08/02/2022
25 Q-002JKPHD 332114******0001 NAJMA KHASIFA ZAHRA 10 087828113514 08/02/2022
26 Q-002JKPKN 331513******0005 AULIA IZZATUN NISA 7 087828113514 08/02/2022
27 Q-002K23SJ 332114******0003 AGNES VALLENSIA 7 085290401315 08/02/2022
28 Q-002K23SK 332114******0001 ALVIAN AKBAR ARDHANA 7 085290401315 08/02/2022
29 Q-002K23SL 332114******0001 AHMAD BISMA BAGUS SAPUTRA 6 085290401315 08/02/2022
30 Q-002K23SM 332114******0001 AHMAD IQBAL MAULANA 8 085290401315 08/02/2022
31 Q-002K23SO 332114******0001 ALVIANO BALQIS RAMADHAN 7 085290401315 08/02/2022
32 Q-002K23SP 332114******0002 FAHMA NAILUL MUNA 7 085290401315 08/02/2022
33 Q-002K23SQ 332114******0001 'ASYMAWI SANUSI 7 085290401315 08/02/2022
34 Q-002K23SR 332105******0001 MUHAMMAD HASANUDDIN ALI 6 085290401315 08/02/2022
35 Q-002K23SS 332114******0002 HASBI SYAFIQ MUGHNI 7 085290401315 08/02/2022
36 Q-002K23ST 332114******0001 NAJWA PUTRI KAMILA 7 085290401315 08/02/2022
37 Q-002K23SU 332114******0001 NIHLAH NURIYAH 7 085290401315 08/02/2022
38 Q-002K23SV 320446******0001 SHERIL ARSILLA SATMA 7 085290401315 08/02/2022
39 Q-002K23SW 332114******0001 MUKHAMMAD YAZID ALBASTHOMI 7 085290401315 08/02/2022
40 Q-002K23T8 332114******0001 MUHAMMAD ABU DZARRIN 6 085290401315 08/02/2022

41 Q-002K23T9 331516******0001 LATIF FIRMANSYAH 7 085290401315 08/02/2022
42 Q-002K23TA 332114******0001 MUHAMMAD ANWARUL FAHMI 7 085290401315 08/02/2022
43 Q-002K23TB 332114******0002 MUHAMMAD ARDIANSYAH 7 085290401315 08/02/2022
44 Q-002K23TC 332114******0001 LAILATUL FITRIYAH 6 085290401315 08/02/2022
45 Q-002K23TD 332114******0001 MEITA DWI ANGGRAINI 6 085290401315 08/02/2022
46 Q-002K23TF 332112******0002 AHMAD ROMADHONI 7 082225852729 08/02/2022
47 Q-002K23TG 332102******0001 AMIRA HAFIZA QUR'AINI 7 082225852729 08/02/2022
48 Q-002K23TH 332114******0001 ARJUNA DWI PRASETYO 8 082225852729 08/02/2022
49 Q-002K23TI 332114******0002 AULIA IZZATUN NISA' 8 085290401315 08/02/2022
50 Q-002K23TJ 332114******0001 BILQIS FAIHA' RIFDA 7 085290401315 08/02/2022
51 Q-002K23TK 332114******0001 BINTANG FEBRIYANTI 8 085290401315 08/02/2022
52 Q-002K23TL 610102******0001 DINDA AMELIA AMANDA 7 085290401315 08/02/2022
53 Q-002K23TM 332114******0002 GALIH FARRAS HAZIM 8 085290401315 08/02/2022
54 Q-002K23TN 332114******0001 IBRAHIM KADAFI WIDIANTARA 7 085290401315 08/02/2022
55 Q-002K23TO 332114******0001 IBROHIM HUMAMI 8 085290401315 08/02/2022
56 Q-002K23TP 332114******0002 MUHAMMAD SYAEFULLAH 8 085290401315 08/02/2022
57 Q-002K23TQ 332114******0001 NAILA NISWATUN NABILA 7 085290401315 08/02/2022
58 Q-002K23TS 332114******0002 AHMAD IQBAL MUBAROK 8 0822252729 08/02/2022
59 Q-002K23V1 332114******0001 ABID AQILA PRANAJA 7 085848407666 08/02/2022
60 Q-002K23V2 332114******0001 ABIDA KESYA GHANIYA PUTRI 7 089668353164 08/02/2022
61 Q-002K23V3 332114******0002 ADY CANDRA GINANJAR 7 0895378143629 08/02/2022
62 Q-002K23V4 332114******0001 AINUN NISA RAMADHANI 6 085608615681 08/02/2022
63 Q-002K23V5 332114******0002 ANGGA SOMA 7 085704553150 08/02/2022
64 Q-002K23V6 332114******0001 AQILA DHIA SHARAFANA 7 085727663935 08/02/2022
65 Q-002K23V7 331518******0001 ARFINA ISMA ULI AJ' NEHA 7 085701087967 08/02/2022
66 Q-002K23VF 332114******0001 AZRIL AKBAR 7 081804122967 08/02/2022
67 Q-002K23VG 332114******0001 EARLYTA ARSYFA SYAHILA ISROFIL 6 085741362699 08/02/2022
68 Q-002K23VH 332114******0001 HABIBI RAHMAN 7 085857318964 08/02/2022
69 Q-002K23VI 331516******0004 KEISA LITUHAYUNISA 7 082111141190 08/02/2022
70 Q-002K23VJ 332114******0002 NADIA MAULIDA KHUSNA 6 080000000000 08/02/2022
71 Q-002K23VK 332114******0002 NILMA AINUN NUR ROHMAH 7 085719669920 08/02/2022
72 Q-002K23VL 332114******0001 SHAFIYYA KHAIRA AZZAHRA 7 082135675236 08/02/2022
73 Q-002K23VM 332114******0003 YONGKY PRATAMA 7 082112029735 08/02/2022
74 Q-002K23VN 332114******0001 ABID AQILA PRANAJA 8 089661137437 08/02/2022
75 Q-002K23VO 331516******0001 ADITYA NAUFAL ABIYYU 8 085720634278 08/02/2022
76 Q-002K23VP 332114******0003 R. AHMAD HAMDAN ZULFA 7 082136602942 08/02/2022
77 Q-002K23VQ 332114******0001 AHMAD KANZA ROBIH 8 085226118066 08/02/2022
78 Q-002K23VR 332114******0001 ALEXANDRIA AZZAHRA 8 085229949564 08/02/2022
79 Q-002K23VS 331516******0001 ALYA LIYANA ZAHIRAH 8 085702686320 08/02/2022
80 Q-002K23VT 331516******0004 AUFA DANI MAULANA 8 085641255964 08/02/2022
81 Q-002K23VU 331516******0004 CELLVIEN FAJAR SAPUTRA 8 085640610460 08/02/2022
82 Q-002K23VV 332114******0003 FATKHAN FARIKHA 8 085748596916 08/02/2022
83 Q-002K23WP 332114******0001 ABID FADHIL ABYAN 6 082324139334 08/02/2022
84 Q-002K23WQ 332114******0001 AHMAD ALFAN ROSYADI 8 08892293735 08/02/2022
85 Q-002K23WR 332114******0001 AHMAD FARID AKMAL 7 085729833896 08/02/2022
86 Q-002K23WS 332107******0003 ALIANDRA PUTRA PRADIPTA 6 08562687559 08/02/2022
87 Q-002K23WT 332114******0001 ANGGA MANGGALA PUTRA 7 087728908089 08/02/2022
88 Q-002K23WU 332107******0001 ARIF THARIQ MAFTUH ISHLAH 6 082133045978 08/02/2022
89 Q-002K23WV 332114******0001 FAJRI ASSEGAF 7 085200460663 08/02/2022
90 Q-002K23WW 332107******0001 JIHAN QOTHRUN NIDA 6 085602431493 08/02/2022
91 Q-002K23WX 332114******0003 KENZI ABID AMRULLOH 8 08522292441 08/02/2022
92 Q-002K23WY 332114******0001 ZAHIRA HASNAA ADITHYA PUTRI 11 087831111733 08/02/2022
93 Q-002K23WZ 332114******0003 KEILA NATASYA PUTRI 6 085290401315 08/02/2022
94 Q-002K28QO 332904******0003 MUHAMAD RESTU MAULANA 7 081359003487 08/02/2022
95 Q-002K2AEJ 332114******0002 ABDUL HAFIDZ APRIANO 9 082137439019 08/02/2022
96 Q-002K2BA0 332109******0004 HAMIZAN AMIN MUHAMMADY 7 088215488657 08/02/2022
97 Q-002K2LEB 332114******0001 SHELLA NATASHA 9 081213526468 08/02/2022
98 Q-002K2LEH 332114******0001 ABDUL WAFI ALFARIZI 10 085641306711 08/02/2022
99 Q-002K2LEK 332114******0001 ZIHAN RESPATI ARSADHANI 9 085704553150 08/02/2022
100 Q-002K2LEO 332114******0001 ADINDA RATIH FEBRIANA 10 085713359647 08/02/2022
101 Q-002K2LES 332114******0001 ACHMAD ARYA DWI MAULID 10 085325455399 08/02/2022
102 Q-002K2LEW 332114******0002 AJENG ISTIQOMAH CAHYA PUJI 10 082338776505 08/02/2022
103 Q-002K2LFC 317306******1002 ALVIANSYAH PUTRA 10 081295792586 08/02/2022
104 Q-002K2LFM 332114******0002 ANGGUN RAHMAWATI 12 088806765147 08/02/2022
105 Q-002K2LFY 332114******0001 NAJWA ASYIFATU HAIFA 8 08993800198 08/02/2022
106 Q-002K2LG2 332114******0001 NADZIFAL JAUZA 8 085866811022 08/02/2022
107 Q-002K2LGM 331516******0003 ARDIAN PUTRA PRATAMA 10 089622379368 08/02/2022
108 Q-002K2LHI 332114******0002 HENDRA PRASETIA 9 085866593641 08/02/2022
109 Q-002K2LHT 332114******0001 MUHAMMAD IBRAHIM 9 085703156553 08/02/2022
MUHAMMAD WAHYU BUDI
110 Q-002K2LHX 332114******0001
AFIYANTO
9 085848608975 08/02/2022
MUHAMMAD FIRSAVA RAMA

111 Q-002K2LI0 331516******0003
MAHESA
9 085310600334 08/02/2022
MUHAMMAD ARKAN ZIYAD

112 Q-002K2LI4 332114******0001 RASYIED 9 085602428886 08/02/2022
113 Q-002K2LIF 332114******0002 MUHAMAD RAKA GANDA ABIDIN 9 081390364477 08/02/2022

114 Q-002K2LIJ 332114******0002 MARSANDA EKA RAHAYU 9 085600607182 08/02/2022
115 Q-002K2LIN 331516******0001 NOVIA MIKA AFRIYANI 9 081364456420 08/02/2022
116 Q-002K2LIR 332114******0001 RAFA RAGA AKBAR 9 085727557077 08/02/2022
117 Q-002K2LJG 332114******0001 MUHAMMAD FARIS OKTA ADITYA 9 081548936472 08/02/2022
118 Q-002K2LJJ 332114******0001 NUR AKBAR MUSTAKIM 8 081228135202 08/02/2022
119 Q-002K2LJN 332114******0001 KEZYA CILLYA AZZAHRA 9 085872766848 08/02/2022
120 Q-002K2LJR 332107******0001 MUHAMMAD FAESYA HAMIZ 8 082242229629 08/02/2022
121 Q-002K2LJV 737113******0002 MOCH. DIPAYUANA 9 082292992379 08/02/2022
122 Q-002K2LJZ 332107******0002 RISMA ZUNITA KHALWA 8 081779867889 08/02/2022
123 Q-002K2LK3 332114******0001 RIZKIE FERBIANTI ASSYIFA 9 082323712209 08/02/2022
124 Q-002K2LK7 332114******0002 PUTRI ALFIOLA NOR AZIZAH 8 085228375250 08/02/2022
125 Q-002K2LKF 332114******0001 REVANDRA BAYU NARAYA 9 085739216944 08/02/2022
126 Q-002K2LTN 332114******0002 MUHAMMAD ILHAM NAUFAL 9 082220703767 08/02/2022
127 Q-002K2LTQ 332114******0002 SHELLA HARDIANINGTYAS 10 082157519116 08/02/2022
128 Q-002K2LUT 332114******0001 SILVIA ANJAYANI 10 085876841528 08/02/2022
129 Q-002K2LWA 332114******0001 SILVA WIDYAMIKA 10 085741397259 08/02/2022
130 Q-002K3D24 332114******0001 NARADIPA CANDRA KIRANI 9 085226244445 08/02/2022
131 Q-002K3D27 332107******0001 MUHAMMAD LUTHFI 10 082334157438 08/02/2022
132 Q-002K3D2A 332114******0002 HASYIM MUSTHOFA 9 085640579823 08/02/2022
MAULANA HAFIDZ NALENDRA
133 Q-002K3D2D 332114******0002
WICAKSANA
9 085226057011 08/02/2022
134 Q-002K3D2G 332107******0001 MUHAMMAD FAIZ SYAIFULLAH 9 088228676381 08/02/2022

AHMAD FURQON HABIBUR
135 Q-002K3D2J 332114******0001 ROHMAN 11 081548286865 08/02/2022
136 Q-002K3D2M 332114******0001 AHMAD ALFIYAN NUR FATIH 10 082332747321 08/02/2022

137 Q-002K3D2P 332114******0001 NURUS SAIDATUL FUADAH 9 0831044335409 08/02/2022
138 Q-002K3D2S 332114******0001 REIHAN WAHYU RAMADHANI 9 085643584885 08/02/2022
139 Q-002K3D2V 332114******0002 HAIKAL NUR KASYAFANI 10 0858656724441 08/02/2022
140 Q-002K3D2Y 331502******0004 CHALILA RIFDA ATHIFA 9 081325527085 08/02/2022
141 Q-002K3D32 332107******0002 DZUL FAHMIL AMIQ 10 089669384468 08/02/2022
ALVARO AGASTYA RAMADHAN
142 Q-002K3D35 351510******0004 HIDAYAT 9 081391354330 08/02/2022
143 Q-002K3D38 331504******0002 CAHYA TEGAR OCTA PRABOWO 10 085747981114 08/02/2022

144 Q-002K3D3B 332114******0001 TSABITA NAYLA NADA 10 081546224616 08/02/2022
145 Q-002K3D3E 332114******0001 AHMAD RIZKI ADITIA 9 081328811803 08/02/2022
146 Q-002K3D3H 332114******0001 RENATA APRIELLIA LAUSIA 10 085293332155 08/02/2022
147 Q-002K3D3K 332107******0001 ILHAM BAGAS ANDREAN 11 088216720306 08/02/2022
148 Q-002K3D3N 332114******0002 LESTIYA FANNI 11 085601017737 08/02/2022
149 Q-002K3D3P 332114******0001 HUMAIRA KHANZA NAFI'AH 10 081232870196 08/02/2022
150 Q-002K3D3S 332114******0005 AHMAD HAFIZ ASHARY 13 085727585182 08/02/2022
151 Q-002K3D3V 332114******0003 AHMAD RIFQI MUNTADHOR 11 081225206549 08/02/2022
152 Q-002K3D3Z 332114******0001 ALLAND PUTRA PRATAMA 10 088740063330 08/02/2022
153 Q-002K3D42 332114******0001 APNIZAR EKA SAPUTRI 11 085601367085 08/02/2022
154 Q-002K3D45 332106******0003 FANY NAJWA SALSABILA 11 088216328685 08/02/2022
155 Q-002K3D47 332107******0001 ARLIS HASIM MA'RUF 12 081216318824 08/02/2022
156 Q-002K3D4A 332114******0002 MUHAMMAD FAHRIL IZZAQI 11 081548989068 08/02/2022
157 Q-002K3D4E 332107******0001 MAS'UD SYA'RONY 11 08225124385 08/02/2022
158 Q-002K3D4G 332107******0001 MOHAMMAD ARJUNA PUTRA 10 085869277298 08/02/2022
159 Q-002K3D4J 332107******0003 MUHAMMAD ALI ALVAN 11 085649244271 08/02/2022
160 Q-002K3D6M 332114******0001 SHELLY OLIVIA SAPUTRI 9 082133430321 08/02/2022
161 Q-002K49AA 331503******0003 ANI LAILATUS SAADAH 11 085228001760 08/02/2022
162 Q-002K49AC 332114******0001 AHMAD AN'IM ULIL ABSOR 11 081220372058 08/02/2022
163 Q-002K49AF 332114******0001 YUDHISTIRA ADHI CHANDRA 11 085325921060 08/02/2022
164 Q-002K49AI 360328******0003 ALISIA APRILIANA 12 085607502470 08/02/2022
165 Q-002K49AL 332114******0001 AHMAD EKA KURNIAWAN 13 085291500343 08/02/2022
166 Q-002K49AR 332114******0002 PUTRI SYAFA'ATUL UZMA 10 085291500343 08/02/2022
167 Q-002K49AU 332114******0002 NISAUL HUSNA 11 085713281826 08/02/2022
168 Q-002K49AX 332114******0002 NAYLA DEWI PUSPITA SARI 11 085882843729 08/02/2022
169 Q-002K4DER 332114******0001 NIZHAMUL MAKARIM 11 085870499628 08/02/2022
170 Q-002K4K56 332114******0002 MUHAMMAD NURDIN KHOLID 11 089666921892 08/02/2022
171 Q-002K5987 332114******0002 ADNAN DWI SAPUTRA 10 085291734241 08/02/2022
172 Q-002K598B 332114******0001 PANDU ARYA PRAKASA 9 085882848409 08/02/2022
173 Q-002K640G 332114******0001 BACHRUL PUTRA ALAM SYAH 10 085328374845 08/02/2022
174 Q-002K640M 332114******0003 DAFFA FERDIAN RIZQY 10 081215689393 08/02/2022
175 Q-002K640O 332114******0001 DIMAS AFINO SEBASTIAN 10 085750552073 08/02/2022
176 Q-002K640S 332114******0001 AYUNDA ASMARANI 10 085737686808 08/02/2022
177 Q-002K644I 332114******0001 MUHAMMAD ILHAM SYI'AH 10 081325211484 08/02/2022
178 Q-002K6B4M 331505******0001 SITI LIFIANA MU'AFIDAH 10 081353343529 08/02/2022
179 Q-002K6F4V 332102******0001 LUSY CITRA NIRMALA 8 085602247488 08/02/2022
180 Q-002K6UY7 332114******0001 IZULA AL FATHIN 9 085640324869 08/02/2022
181 Q-002K6UYH 332111******0005 FAJRINA NUR AINI 9 085789125330 08/02/2022
182 Q-002K6UYK 332114******0001 GIGIH AKBAR ALMALIKI 10 082312230949 08/02/2022
183 Q-002K6UYO 332114******0001 EKA LATIFATUL KHALIYAH 10 081391840772 08/02/2022
184 Q-002K6UYT 332114******0004 EVI OKTAVIANI 10 082220075753 08/02/2022
185 Q-002K6UYV 331516******0001 FARIS IKMAL KHAFI 10 085771661932 08/02/2022
186 Q-002K6V2U 332114******0001 TSANI DZULKAFI AL KAUTSAR 9 081246916988 08/02/2022
187 Q-002K6V49 332114******0001 SITI SOFIYATUL KHUSNAH 10 081227326219 08/02/2022
188 Q-002K6V4D 332114******0002 NESYA IIN RAMADHANI 9 081227439371 08/02/2022
189 Q-002K6VAP 332114******0001 AHMAD ALVARO AZKA ANJULA 9 085290401315 08/02/2022
190 Q-002K6VI1 332114******0001 DWIE NASTUTI ARYANI 12 089530286640 08/02/2022
191 Q-002K78AI 332114******0002 CLARISSA TAMARA 11 0899450388 08/02/2022
192 Q-002K7HZP 331516******0001 MUHAMMAD AZKA AMAR FABI 9 085774588819 08/02/2022
193 Q-002K7HZQ 332114******0001 MUHAMMAD BADRIDDUJA 10 0895380121637 08/02/2022
194 Q-002K7HZU 332114******0002 MUHAMMAD KHAEDAR NIZAM 9 089503839403 08/02/2022
195 Q-002K7HZX 331516******0004 KEVIN ALVINO PRATAMA 10 085851406223 08/02/2022
196 Q-002K7HZY 331516******0002 MUHAMMAD ADITYA HERMAWAN 10 085887908857 08/02/2022
197 Q-002K7I2H 332210******0003 NURUL JAUZAA HAFIZAH 10 082133533640 08/02/2022

198 Q-002K7I4D 332114******0001 JACKLYN PUTRA PRATAMA 10 085290401315 08/02/2022
199 Q-002K7I4Z 332114******0001 MIFTAHUL IBAD AL INSHOFI 9 085290401315 08/02/2022
200 Q-002K7I56 332114******0001 JASSELYN PUTRI PRATAMA 10 085290401315 08/02/2022
201 Q-002K7I5C 317301******1001 KHANAFIA KHONSA ASSIFA 10 085290401315 08/02/2022
202 Q-002K7I5J 332114******0001 MUHAMMAD MIFTAKHUR ROKHIM 8 085290401315 08/02/2022
203 Q-002K7I5O 332114******0001 NADIA NUR LAILA 9 085290401315 08/02/2022

204 Q-002K7I7W 332114******0002 FADLY NOTO PRASETYO 10 085290401315 08/02/2022
205 Q-002K7I8P 332114******0001 MOHAMAD CATUR FEBRIYANSYAH 9 085290401315 08/02/2022
MUHAMMAD ADZIL JABAR

206 Q-002K7I8U 320446******0002
MAULANA
10 085290401315 08/02/2022
207 Q-002K7OY5 332114******0003 ABDUL KARIM 12 081353343529 08/02/2022

208 Q-002K7QGB 331516******0001 GALIH ARDILAWATI 11 0895604828767 08/02/2022
209 Q-002K84FO 332114******0001 NOVAL IBRAHIM ADI GUNA 10 085839095821 08/02/2022
MUHAMMAD SYARIFUDIN
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MUHAMMAD MAULANA IMAM
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MUHAMMAD HAFIDZ ALWI

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MUHAMMAD NADHIF ATHA
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MUHAMMAD ILHAM MAULANA
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MUHAMMAD ARYA PRADANA
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MUHAMAD AVIAN AQIL
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JIBRIL PERWIRA NEGARA SYAH
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MUHAMMAD BINTANG FAYZA
434 Q-002L22BO 332112******0004 NAUFAL 7 085713577311 08/02/2022
435 Q-002L22BP 332114******0002 MUHAMMAD AN NAJMU TSAQIB 7 085213711466 08/02/2022

436 Q-002L22BS 332114******0001 MUHAMMAD HAFIZH ADINATA 7 08812773385 08/02/2022
437 Q-002L22BX 332114******0001 FATIMAH ZAFIRA AZZAHRA 7 0817451647 08/02/2022
438 Q-002L22BY 332114******0001 AKBAR NURDAFFA PRATAMA 7 081392407647 08/02/2022
439 Q-002L22C0 332114******0001 ASRAF ZAHIRUL UBAID 7 085234409815 08/02/2022
440 Q-002L22C2 332114******0001 MIRZA KHAKIM 7 081380895697 08/02/2022
441 Q-002L22C3 332114******0002 ISNI IMAMATUL KHASANAH 7 088806407935 08/02/2022
442 Q-002L22C5 332114******0001 EMA ADELIA WIDODO PUTRI 6 085329689292 08/02/2022
443 Q-002L22CA 332114******0001 SEKAR AYU DIAZ KHOIRUNNISA 7 082298105701 08/02/2022
444 Q-002L22CD 332114******0001 ARENDRA SOFYAN ABIMANYU 7 0881038118578 08/02/2022
445 Q-002L22CF 332114******0002 HIMMATUL WILDANI 7 082311608328 08/02/2022
446 Q-002L22CG 332114******0002 FIKRI ADITYA ROMADHON 7 08812458199 08/02/2022
447 Q-002L22CH 332114******0001 FATHIN AQILLA RAHMA 8 0895412611694 08/02/2022
448 Q-002L22CI 332114******0002 ARFAN ADI NUGROHO 7 085870499628 08/02/2022
449 Q-002L22CK 332107******0002 ALISA KHOIRA WILDA 7 082223118286 08/02/2022
450 Q-002L22CN 332114******0001 FAIZ IZZUDDIN 8 082247902036 08/02/2022
451 Q-002L22CO 332114******0001 MUHAMMAD TRI BAYUAJI 7 081328194828 08/02/2022
MUHAMMAD ARJUNA AINUN
452 Q-002L22CQ 332114******0001
NIZAM
7 085870499628 08/02/2022
453 Q-002L22CV 332114******0001 RIZKA NUR HAFIZAH 7 088216348251 08/02/2022

454 Q-002L22CX 332114******0001 SINTA NUR ISMATUL AZIZAH 7 081466731782 08/02/2022
455 Q-002L22CY 332114******0001 BALYA BI GHOIRIL ASYROR 8 088238180233 08/02/2022
456 Q-002L22D1 332114******0002 AFIYAN REZA SETIAWAN 8 08812458199 08/02/2022
457 Q-002L22D4 332114******0001 BAGAS DWI CAHYO 8 082316284291 08/02/2022
458 Q-002L22D8 332114******0002 ADELIA NAURA KHALIZA UTAMA 8 081229821168 08/02/2022
459 Q-002L2S7R 332114******0002 ARJUNO 8 085870499628 08/02/2022
460 Q-002L2SAE 332114******0001 BAGASKARA ARIF DWI PAMBUDI 9 085102594020 08/02/2022
461 Q-002L3RM1 331518******0001 ABID AQILA PRANAJA 8 081329186194 08/02/2022
462 Q-002L3RMT 332114******0001 DWI CANDRA PRASETYA 9 085870499628 08/02/2022
463 Q-002L3RN1 332114******0002 DWI SURYO NUGROHO 9 085875445300 08/02/2022
464 Q-002L3RSY 332114******0001 ASYRAF KHAIRUL YUDHISTIRA 8 085290401315 08/02/2022
465 Q-002L48IA 331502******0005 ABEL SATYA PUTRA SUNARDI 11 085227891010 08/02/2022
466 Q-002L4VST 332114******0003 MUCHAMAD BASTIAN LUBIS 7 0895414528030 08/02/2022
467 Q-002L4VSY 332114******0001 FERGA FERDIAN ARKHA AMMUNA 9 08152028290 08/02/2022
468 Q-002L4VTA 332114******0003 MUHAMMAD AZKA MAULA 7 081226966908 08/02/2022
469 Q-002L4VTF 332114******0001 MUHAMMAD ARFA AQILA HIDAYAT 7 088232784182 08/02/2022
MUHAMMAD RIFKI WAHYU

470 Q-002L4VTJ 332114******0001
PRATAMA
8 085385961010 08/02/2022
471 Q-002L4VTX 332114******0001 NAZILATUL HUSNA 7 085769198079 08/02/2022

472 Q-002L4VU4 332114******0001 FITROTUZ ZULFA 9 08977476204 08/02/2022
473 Q-002L4VUV 332114******0001 KIDUNG CIWANITA 9 085200336512 08/02/2022
474 Q-002L4VV7 332114******0002 MAJIDA SHAKI AL MUSALIMA 8 082340183947 08/02/2022
475 Q-002L4XZ2 332104******0005 FELICIA PUTRI CARRISA WIDIYANTO 10 085290401315 08/02/2022
476 Q-002L4Y0J 332114******0002 AULYA DWI PRATIWI 10 085290401315 08/02/2022

MUHAMMAD SYARIF
477 Q-002L6H9Q 332114******0001
HIDAYATULLAH
9 085713206214 08/02/2022
478 Q-002L6HA6 332114******0001 INDAH SALSABILA AZZAHRA 8 082328407876 08/02/2022

479 Q-002L6HAB 352408******0001 KALYA MAULIDIA HERA SARI 8 081344029153 08/02/2022
480 Q-002L6HAE 332114******0001 KRESNA LAKSAMANA ILKHAQ 8 085870499628 08/02/2022
NAYLA PRAMUDYA KUSUMA
481 Q-002L6HAH 332114******0002 WARDANI 8 088215337039 08/02/2022
482 Q-002L6HAM 332114******0001 QUEISHA YOJA NAJWAA YURIZ 9 082237481483 08/02/2022
483 Q-002L821P 332114******0001 TRIA AYUDYA PRAMESTI 9 085726409268 08/02/2022
484 Q-002L8226 332114******0001 AHMAD ZAID ASYROFI JIDAN 9 08883924568 08/02/2022
485 Q-002L822B 332114******0001 SITI ZAHROTUS SYIFA 8 088740048757 08/02/2022
486 Q-002L8249 331108******0003 FATHIR AKHTAR MAULANA 9 081226945131 ANAK 08/02/2022
487 Q-002L92RT 332114******0001 DIANA NOVITA SARI 9 082136051726 08/02/2022
488 Q-002L92S1 332114******0002 KRISNA HANUM PERMANA 9 088221440919 08/02/2022
489 Q-002L92SD 332114******0001 JINGGA NAURA KHALISA 9 085876032286 08/02/2022
490 Q-002L92TT 332114******0002 MUHAMMAD YUDA VAMI ADIFA 12 08816778369 08/02/2022
491 Q-002L92TX 332114******0002 NAELA NGIZATUR ROHMAH 11 082329726928 08/02/2022
492 Q-002L92U4 332114******0004 PUTRI MADHINATUS ZAHRA 11 085803502933 08/02/2022
493 Q-002L92UG 332114******0001 SALWA AZZAHRA 11 085870499628 08/02/2022
494 Q-002L9YKL 337413******0001 ARYA DZAKY IBRAHIM 10 085225365368 08/02/2022
495 Q-002L9YL5 332114******0001 ARNETA INDIRA PUTRI 9 08810381185 08/02/2022
496 Q-002L9YMH 332114******0001 AZ ' ZAHRA LAILATUL LATIVA 9 089666323054 08/02/2022
497 Q-002L9YMT 332114******0001 AHMAD DAMAR SAPUTRA 10 088801962149 08/02/2022
498 Q-002L9YNV 332114******0001 SRI MULYANI 12 085870499628 08/02/2022
499 Q-002L9YO3 332114******0003 UMI KHULSUM 12 085780097369 08/02/2022
500 Q-002L9YOC 332114******0002 PIPIT SILVIANA 12 082138644875 08/02/2022
501 Q-002L9YOL 332114******0002 RIZKY PRATAMA 12 085291733836 08/02/2022
502 Q-002L9YP2 332114******0001 AIDA SAFITRI 12 08816706203 08/02/2022
503 Q-002LAVHA 332114******0001 DIMAS HADI SAPUTRA 9 082135984127 08/02/2022
504 Q-002LAVI2 332114******0002 DINITA AMALIA SEFTIANI 9 081391412685 08/02/2022
505 Q-002LAVJL 332114******0002 AZKIA NUR ALFIRA 9 081227989493 08/02/2022
506 Q-002LBOCV 332114******0002 FAREL DEKA PRATAMA 9 087831428948 08/02/2022
507 Q-002LBOD7 332114******0002 IMAM NUR ARDIANSYAH 10 081391815780 08/02/2022
508 Q-002LBODH 332006******0003 MARLINDA SAFIA PUTRI 9 082241387056 08/02/2022
509 Q-002LBODO 332114******0004 MASPUPAH 9 08886893493 08/02/2022
510 Q-002LBOED 332114******0001 MUHAMMAD FARID ARFIANSYAH 10 088233471916 08/02/2022
511 Q-002LBONE 332114******0001 MUHAMMAD JEZA HARYADI 9 081237527002 08/02/2022
512 Q-002LBOOF 332114******0001 NUR WAHIDAH 9 081392957587 08/02/2022
513 Q-002LBOP3 332114******0001 RAVA ANDIKA NUGROHO 9 088221795980 08/02/2022
514 Q-002LBOQU 332114******0001 RAYHAN RAZKA AZIZI 10 088806201413 08/02/2022
515 Q-002LBORE 332114******0001 RISMA INAYATUS SHIFA 10 082146993573 08/02/2022
516 Q-002LBOS8 332114******0001 TIARA JULI ANGGRAINI 9 08818564245 08/02/2022
517 Q-002LBOSE 332114******0001 ARGA BAHRUL SANJAYA 11 085225906977 08/02/2022
518 Q-002LBOT4 332114******0001 BAGAS ADRIANSYAH SAPUTRA 10 088215084557 08/02/2022
519 Q-002LBOU5 332114******0001 BAYU SUKMA ALIF 10 088238424472 08/02/2022
520 Q-002LBOV4 332114******0001 FAHMI NUR ARDIANSYAH 10 082229452580 08/02/2022
521 Q-002LBOWL 332114******0001 HELAL MAHMUD 11 081226974201 08/02/2022
MUHAMMAD CARAKA HARYO
522 Q-002LBOXI 332114******0003
TETUKO
11 085290212436 08/02/2022
523 Q-002LBOYG 332114******0002 MUHAMMAD DENIS DENIEL 10 088233851958 08/02/2022

MUHAMMAD FAJAR KURNIA
524 Q-002LBOZ0 332114******0001
FATKUR RIZKI
11 085742617855 08/02/2022
MUHAMMAD FAKHRI SYAIFIUL

525 Q-002LBOZ9 332114******0002
AULAD
10 082133691123 08/02/2022
526 Q-002LBP00 332114******0001 MUHAMMAD RIJAL WAHYU UTAMA 11 087831094144 08/02/2022
527 Q-002LBP0F 332114******0001 MUHAMMAD NURKHAMIM 11 081239691437 08/02/2022

528 Q-002LBP13 332114******0003 MUTIARA AMALIA 10 081225381040 08/02/2022
529 Q-002LBP1L 332114******0001 NURIN ALYAA MUSA'ADAH 10 082146092379 08/02/2022
530 Q-002LBP1O 760208******0001 RIKI ROHMAN 10 081327384964 08/02/2022
531 Q-002LBP45 332114******0002 HANUNG AYSEL ARAFAT 11 088221440919 08/02/2022
532 Q-002LBP4E 332114******0001 LINGGA FERNANDA RASENDRIYA 11 088221621958 08/02/2022
533 Q-002LBP51 332114******0001 SOULJA ABABIL 11 085641290000 08/02/2022
534 Q-002LBP67 332114******0001 AHMAD NAJZIL MUKSININ 11 085870499628 08/02/2022
ANINDA BEAUTIFUL ALTAR SYA'BAN
535 Q-002LBP79 332114******0001 SAPUTRO 11 085956726611 08/02/2022
536 Q-002LBP7S 332405******0002 FICKY PRATAMA 11 082111371514 08/02/2022

537 Q-002LBRV5 332114******0001 FITRI NUR AINI 12 082325561945 08/02/2022
538 Q-002LBRVV 332114******0001 HESTI MUTIARA ALFIANSYAH 11 081226487589 08/02/2022
539 Q-002LBRWF 332114******0001 HILYA TASKIYAH 11 082136034487 08/02/2022
540 Q-002LBRX7 332114******0001 MIFTAKHUL FALAK 12 085870499628 08/02/2022
MUHAMMAD AKBAR
541 Q-002LBRYF 332114******0003 HIDAYATULLAH 11 085225300269 08/02/2022
MUHAMMAD LUTHFI ZAENAL
542 Q-002LBRYK 332114******0002 MA'ARIS 11 085870499628 08/02/2022
543 Q-002LBS41 332114******0003 MUHAMMAD THOLIB AL FARISI 11 082311607727 08/02/2022

MUHAMMAD ACHSIN KAFA BIHI
544 Q-002LBSRN 332114******0001
SYAHIDA
7 085290401315 08/02/2022
545 Q-002LBSTA 332104******0002 AQILA NADA RAISHA 9 085290401315 08/02/2022
546 Q-002LEHZ7 140804******0002 GHAISAN NAWFAL ARTHA GHOENA 12 081563970205 08/02/2022
547 UP-005F2TY 332102******0002 ABDUL ROCHIM 62 - 08/02/2022
548 UP-005F6UO 332102******0002 RUMIYATI 56 089674408906 08/02/2022
549 UP-005FAVT 332102******0001 MAR'AH 64 08715361394 08/02/2022
550 UP-005J1S6 332114******0001 KUSTIMAH 68 - 08/02/2022
551 UP-005J3RI 332114******0001 MUSAROPAH 63 - 08/02/2022
552 UU-0032LQ1 331517******0003 DEWI WULANSARI 30 085290414989 08/02/2022
553 UU-0036HC3 332114******0001 AH FAIQ ERMAWAN 43 085691136028 08/02/2022
554 UU-0036HGD 332114******0001 Alainal Khikmah 29 085274140297 08/02/2022
555 UU-0036JBN 332114******0001 MOH MOKTAR, SH 46 08122513372 08/02/2022
556 UU-0036JCJ 332114******0001 ZAENAL ABIDIN 40 081270314238 08/02/2022
557 UU-0036KAT 332114******0002 SITI NURYATI 50 085225190613 08/02/2022
558 Z-000D1WSW 332114******0006 RUKANAH 62 085870499628 08/02/2022
559 Z-000F8T8I 332102******0002 NGATEMI 77 082242546413 08/02/2022

LAIDESA KEBONAGUNG
HASIL
OBSERVASI
Pemberian Vaksin Selesai COVID-19 Vaccine Pfizer Fk0723 1 Tanpa Keluhan
Pemberian Vaksin Selesai CoronaVac 2021091143P 1 Tanpa Keluhan

Pemberian Vaksin Selesai CoronaVac 202109143p 2 Tanpa Keluhan



Pemberian Vaksin Selesai CoronaVac 20210914EP 2 Tanpa Keluhan



























Pemberian Vaksin Selesai COVID-19 Vaccine Pfizer 202109143 3 Tanpa Keluhan

DATA PCARE VAKSINASI TANGGAL 9 FEBRUARI 2022 DI BLAIDESA MANGUN RE
TANGGAL
NO NO_TIKET NIK NAMA_LENGKAP USIA No_HP Kategori DAFTAR
1 K-000199ER 337205******0001 IWAN VITRIANTO 36 081251825249 09/02/2022
2 K-0002C19I 332114******0002 NAYLA FITRI PUSPITA SARI 9 08974327676 ANAK 09/02/2022
3 P-0BIDI5YS 332114******0001 AYLA YUFI MAHESWARI 6 085878292459 ANAK 09/02/2022
4 P-0QHZ4Y2A 332114******0002 MUHAMMAD BASARUL ANWAR 6 082221727223 ANAK 09/02/2022
5 P-1782XZOO 337410******0004 SITI SOLEKAH 44 087834574584 MASYARAKAT UMUM 09/02/2022
6 P-1F3A7JQT 332107******0001 KHARISATUL MUARIFAH 18 082325792279 REMAJA 09/02/2022
7 P-28ZXKBPP 740302******0001 ASSNAN MAULANA 16 082148715507 REMAJA 09/02/2022
8 P-2D4355MU 332114******0001 ARIFTA SYAFA MAKHROJA 12 08929098290 REMAJA 09/02/2022

9 P-2SHSNBT2 332114******0002 ADITYA RIFAI ABDULLAH 6 085225770477 ANAK 09/02/2022
10 P-37RSUDTD 332114******0001 ACHMAD AINUL YAKIN 12 08929098290 REMAJA 09/02/2022
11 P-3B4H4CLA 332114******0001 LIDIYA ERLIYANA 6 085225770477 ANAK 09/02/2022
12 P-3R7N3QJX 332114******0002 MUZAKKI TAUFIQILLAH 6 085225770477 ANAK 09/02/2022
13 P-3UZSSYGO 331516******0001 VANYA AGNA NOVITASARI 12 08929098290 REMAJA 09/02/2022
14 P-3WN7FYOI 332114******0001 NGADIMAN 61 087834574584 LANSIA 09/02/2022
15 P-3ZM8IOAG 332114******0001 NAJWA AL IFTITAH 12 08929098290 REMAJA 09/02/2022
16 P-44UB7BRG 331501******0001 RAFA ANDZIKRI 13 08929098290 REMAJA 09/02/2022
17 P-49H5UNLQ 331513******0003 AINA FAJAR RIZKIA 13 08929098290 REMAJA 09/02/2022
18 P-4CP7GR2X 332114******0001 FARKHAH PUTRI AMALIA 12 08929098290 REMAJA 09/02/2022
19 P-4JCBXHTJ 332114******0001 RAHMA SEFIRA RAMADHANI 12 08929098290 REMAJA 09/02/2022
20 P-4OKJQAYZ 332114******0001 SYAFA QIKMATAL AULA 12 08929098290 REMAJA 09/02/2022
21 P-4PYGG4F4 332114******0001 HASNA RAHMATILLAH 12 08929098290 REMAJA 09/02/2022
22 P-4U6379MX 331517******0004 AWALIA KHOIRUNNIDA'' 12 08929098290 REMAJA 09/02/2022
23 P-550YLHBS 332103******0003 FEBRIANSYAH ABDURROHMAN 28 085776299822 MASYARAKAT UMUM 09/02/2022
24 P-6H92EHMH 332114******0001 AHMAD SURYANTO 28 085659756670 MASYARAKAT UMUM 09/02/2022
25 P-6KWZRJZJ 140903******0001 NISA WULANDARI 12 08929098290 REMAJA 09/02/2022
26 P-7SU08HN1 332114******0001 DWI WAHYUNI 13 08929098290 REMAJA 09/02/2022
27 P-8BF59YCT 337414******0002 BUDIYARTO 30 0800000000 MASYARAKAT UMUM 09/02/2022
28 P-8C3KJGO1 332114******0004 ANI KHOIRUN NISA 19 089668038543 MASYARAKAT UMUM 09/02/2022
29 P-8CAFVOGP 332114******0004 YUDA ABDUL LATIF 18 0895336791551 MASYARAKAT UMUM 09/02/2022
30 P-MOQVFHI3 332114******0001 MUHAMMAD ASYGHAF LUBBAL 9 08000000000 ANAK 09/02/2022

AZKYA
31 P-R5TCFHVQ 332114******0002 ADIMAS SURYA NUGRAHA 6 08232068871 ANAK 09/02/2022
32 P-TKUTU2NH 331516******0001 MAYSA NAUREEN FEBIANA 7 08000000000 ANAK 09/02/2022
33 P-TL6SSLAX 350215******0001 MUHAMMAD RASYID RIZQUL HADI 7 08000000000 ANAK 09/02/2022
34 P-TLHHJTK7 332009******0002 NAURA NURUL AZKIYA 7 08000000000 ANAK 09/02/2022
35 P-TNTFPTJB 332114******0002 ETI EZZA MAELANI 8 082111480352 ANAK 09/02/2022
36 P-TNZUWN2F 337416******0001 FAIHA DZAKIYYA AL KAUNI 7 08000000000 ANAK 09/02/2022
37 P-TOFFZIE5 332101******0002 LATISYA AULIA FITRI 8 08000000000 ANAK 09/02/2022
38 P-TQ17JQHJ 332114******0003 VIONA MEYLIN FLORISCA 8 081226430181 ANAK 09/02/2022
39 P-TR3353MP 332511******0005 ZULFA DINNINAJJA MUKHTAROM 8 08000000000 ANAK 09/02/2022
40 P-TR7FKFNB 317202******1009 ABRAHAM KIANDRO EZRA 9 08000000000 ANAK 09/02/2022
41 P-TX5X6QQB 332107******0002 NININ KARNIA 25 082221999291 MASYARAKAT UMUM 09/02/2022
YUSUF MAULANA
42 P-TYTAMHFX 331504******0003 HABIBURROHMAN 9 08000000000 ANAK 09/02/2022
43 P-TYV87GWU 317206******1003 FIRNA CAHYANI KHUSNA 10 08000000000 ANAK 09/02/2022
44 P-V8UW2LC4 332114******0001 NAURA KUMALA FITRIANI 7 082137806921 ANAK 09/02/2022
45 P-VKS55EXA 332114******0002 MUHAMMAD ZIDDAN MAJIDI 11 08818537276 ANAK 09/02/2022
46 Q-000CW57Y 332114******0001 HARDI 52 085326631821 09/02/2022
47 Q-000Y0C2B 332114******0001 SUMIYAH 58 081343020390 09/02/2022
48 Q-000YEKY5 332112******0003 SLAMET SOLICHATUN 23 083826081017 09/02/2022
49 Q-000YFPKE 332114******0003 TORIQ MAULIK 19 088239389226 09/02/2022
50 Q-000ZCHLH 332114******0001 FATUL SITI KAROH 35 085290081164 09/02/2022
51 Q-0010B9BL 332114******0002 ARI WISNU PRASETYO 19 08157736440 09/02/2022
52 Q-001241TL 332114******0001 ANA NORMA AYUNINGSIH 25 089525668346 09/02/2022
53 Q-00126LX1 332114******0002 RADISAH 53 081325306187 09/02/2022
54 Q-0012E29K 332114******0003 SITI MAGFIROH 32 085326631973 09/02/2022
55 Q-0012GF25 332114******0004 NUR HANDOKO 24 081313906504 09/02/2022
56 Q-0014E3R7 332114******0001 SUJOKO 43 0812135915117 09/02/2022
57 Q-001702T3 332114******0001 FADHOLI 54 081326552239 09/02/2022
58 Q-0017041A 332114******0001 SITI SUMIATI 38 081343020390 09/02/2022
59 Q-00184PIK 332114******0002 NURUL AZIZAH 33 085643354201 09/02/2022
60 Q-00192017 332114******0002 MATNURI 46 081617681819 09/02/2022
61 Q-0019PWRN 331517******0006 FATIHATUSSHIFA NUR AULIA 13 08122222945 REMAJA 09/02/2022
62 Q-001B5WN6 332114******0001 HONO 52 0895424570500 MASYARAKAT UMUM 09/02/2022
63 Q-001C0RA2 332114******0001 MUKIBI 58 085327602185 09/02/2022
64 Q-001C2RE0 332114******0003 SITI SHOLEHAH 44 083843086595 09/02/2022

65 Q-001DEUPK 332114******0002 MOH JUAMIN 44 081000000000 09/02/2022
66 Q-001FB84A 332114******0002 NAF'AN ALBARIQI 23 085328902800 09/02/2022
67 Q-001FEY3I 332114******0001 ABDUL KALIM 47 082133330880 09/02/2022

68 Q-001IUD2W 332114******0001 PURWANTI 36 089529098290 09/02/2022
69 Q-001IUNGW 332114******0001 MOH FAHRUDI 36 089529098290 09/02/2022
70 Q-001NLAVA 332114******0002 AHMAD THOYYIBIN 23 088289349180 09/02/2022
71 Q-001O9RFF 331501******0002 MAYDA JELITA PUTRI 12 081134874575 09/02/2022
72 Q-001O9RQM 332114******0001 ARIF FAKHRUR ROHMAN 12 08000000000 09/02/2022
73 Q-001OAG5T 332114******0001 DEWI MAFTUKHATUR RIZQIYAH 12 08126691000 09/02/2022
74 Q-001OAG66 331516******0001 VIA AYU RIZQININGTYAS 12 080000000000 09/02/2022
75 Q-001OAG7B 337410******0003 NAJWA FITRI MAULIDA 12 080888888689 09/02/2022
76 Q-001OAG8E 331518******0002 ALFIYATUR ROHMANIYAH 12 089999999999 REMAJA 09/02/2022
77 Q-001OAKOB 321612******0002 LUTHFIATUN NADA AFIFAH 13 080000000000 09/02/2022
78 Q-001OAS66 331501******0001 ALLIFA FIKA RAMADHANI 12 080000000000 09/02/2022
79 Q-001ODYSC 160223******0002 ISNA FARKHANI ROHMAH 13 080000000000 REMAJA 09/02/2022
80 Q-001OG3OA 331517******0002 ANNISAUL FAIZAH 12 08888888888 REMAJA 09/02/2022
81 Q-001QBCHQ 332114******0001 NUR KHASANAH 32 085640498681 09/02/2022
82 Q-001QK8AH 332102******0003 ATTIN ALHADROTUSSYFA 12 0888205506338 09/02/2022
83 Q-001RF4MV 332114******0001 SUNARTO 45 085842476063 09/02/2022
84 Q-001RIK7J 332114******0002 SUWARDI 49 085876027916 09/02/2022

85 Q-001T972S 331517******0002 MUHAMMAD ISMUL FATAH 13 085900050631 09/02/2022
86 Q-001THZMY 332114******0001 AHMAD FATKHU RAHMAN 26 085880990013 09/02/2022
87 Q-001TNTY9 332114******0002 SULARMI 58 080000000000 09/02/2022
88 Q-001UHRAD 332114******0001 EDY KURNIAWAN 34 081382564752 09/02/2022
89 Q-001UJJR6 332114******0001 ARIF RAHMAD HIDAYAT 22 088221241464 09/02/2022
90 Q-001UYUYA 332007******0002 KAFID FEBRIANTO 14 0855865243252 09/02/2022
91 Q-001VAUED 332114******0001 MUCHAMMAD ZAENAL 14 085327648161 09/02/2022
92 Q-001VBU2H 331516******0002 MUHAMMAD ANKLING KUSUMA 13 081542200461 09/02/2022
93 q-001X1KPX 332114******0001 MINA SURYANINGSIH 31 0813254860000 09/02/2022
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MUHAMMAD YAZID SABILLUL
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UMAY AMAR MUHAMMAD JA'FAR
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MUHAMMAD YUSRIL AKBAR
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RAMADHAN
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MUHAMMAD RAFA ALANSYAH
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JAYAWARDHANA
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'ULUM
MUHAMMAD REGY
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ARNAS
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MUTAMASSIKIN
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AZKYA
MUHAMMAD ATMIM LANA
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IBAD
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TYAS SYAFIRA MUTIARA
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MUHAMMAD LUTHFI NURZAINI

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ANINDITA
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270 Q-002LW37E 332114******0001 MUHAMMAD AQIEL FAQEH AURO'I 9 08000000000 09/02/2022
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ROHMAN
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MAULANA
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318 Q-002LW3HS 332114******0001 FAZA KHOIRUR ROICHAN 8 085292249241 09/02/2022
319 Q-002LW3I0 332114******0001 IFFA ASTILA RAHMA 8 08993975195 09/02/2022
320 Q-002LW3L9 331517******0001 SHERLY NAFISA AZZAHRA 7 08000000000 09/02/2022
321 Q-002LW3LB 331517******0004 NUR SALAMAH MAULIDA 7 08000000000 09/02/2022
322 Q-002LW3LF 332101******0003 RAISYA AMALIA AGUSTIN 7 08000000000 09/02/2022
323 Q-002LW3LJ 331516******0002 MUHAMMAD SYAFIQ AZHAR 7 08000000000 09/02/2022
324 Q-002LW3LP 337406******0003 DESVITA NUR FAIZAH 8 08000000000 09/02/2022
325 Q-002LW3LR 317202******1004 FARIZ MAULANA ZAHY AL HANS 7 08000000000 09/02/2022
326 Q-002LW3M2 332101******0001 MUHAMMAD AZKA ALKHALIFI 7 08000000000 09/02/2022
327 Q-002LW3M7 332114******0001 MUHAMMAD RIZKI SANYOTO 7 08000000000 09/02/2022
328 Q-002LW3MX 337410******0003 ANNISA AINA ZAHRA 8 085325578706 09/02/2022
329 Q-002LW3NA 332114******0003 AHNAF MAULANA NAFI 7 08000000000 09/02/2022
330 Q-002LW3O4 332114******0001 'INDI MAWADDAH 8 085727586781 09/02/2022
331 Q-002LW3O5 332713******0004 PARSA AKIO AL ABRAR 7 08000000000 09/02/2022
332 Q-002LW3O7 332114******0001 ASIFA ZANUBAH 7 08000000000 09/02/2022
333 Q-002LW3OB 332102******0001 SURYA ADI SAPUTRA 8 08000000000 09/02/2022
334 Q-002LW3OE 331518******0001 UMAR FARID ATALLAH 7 08000000000 09/02/2022
335 Q-002LW3OM 332114******0002 AHMAD DINAR NUGROHO 8 085559201124 09/02/2022
336 Q-002LW3OR 332114******0001 AHMAD SONY SETIAWAN 8 0895422966312 09/02/2022
337 Q-002LW3P1 332114******0001 AHMAD SYAFI 8 085727884233 09/02/2022
338 Q-002LW3P7 332114******0001 AHMAD USYAQ LUBBAL AZKIYA 8 085727000111 09/02/2022
339 Q-002LW3QJ 332114******0001 SHOFWATUL MUNIROH 11 08000000000 09/02/2022
340 Q-002LW3QQ 332114******0003 MAULIDA AZKIA NAFISA 11 08000000000 09/02/2022
341 Q-002LW3QR 331517******0002 JESYA DEVIA JEEDDA 10 08000000000 09/02/2022
342 Q-002LW3QU 332114******0001 SITI ZULAICHA 11 08000000000 09/02/2022
343 Q-002LW3QW 332114******0001 HUSNA HAFIDHOTUN NAJWA 10 08000000000 09/02/2022
344 Q-002LW3QZ 910401******0001 WULAN CAHYANI 11 08000000000 09/02/2022
345 Q-002LW3R9 331519******0003 YUNANSA ASIFA ZARDANI 11 08000000000 09/02/2022
346 Q-002LW3RW 331517******0004 SABRINA DEE BERTHA ANDINI 9 08000000000 09/02/2022
347 Q-002LW3RX 331501******0002 AHMAD AZFAR MUNANDIR 10 08000000000 09/02/2022
348 Q-002LW3S0 337406******0001 LALA ADNIA NUR AULIA 10 08000000000 09/02/2022
349 Q-002LW3S1 337415******0001 MUHAMMAD FATHNAN AL ALAWI 10 08000000000 09/02/2022
350 Q-002LW3S2 331517******0004 NANDANA EKA TSAQIF 9 08000000000 09/02/2022
351 Q-002LW3S3 331517******0002 ARTA MEVIA RIZKY BINTANG 10 08000000000 09/02/2022
ZANUANTI
352 Q-002LW3S5 337406******0001 AUFA RAHMAN AULIA 10 08000000000 09/02/2022
353 Q-002LW3S7 331504******0004 EMILA CAHAYA MENTARI 10 08000000000 09/02/2022
354 Q-002LW3S8 337405******0003 INDAH NUR RAHMAWATI 10 08000000000 09/02/2022
355 Q-002LW3S9 331604******0001 ALLIF NUR HIDAYATI 9 08000000000 09/02/2022
356 Q-002LW3SA 332107******0001 ALFILA AZZA NISA 9 08000000000 09/02/2022
357 Q-002LW3SH 332114******0001 RIF'AT SYAUQI 11 08000000000 09/02/2022
358 Q-002LW3SI 332114******0001 AHMAD HANIF HAQIQI 11 08000000000 09/02/2022
359 Q-002LW3SK 332114******0002 MUHAMMAD NUH ALAMSYAH 11 08000000000 09/02/2022
360 Q-002LW3SL 332102******0003 MUHAMMAD PUTRA ROHIM 11 08000000000 09/02/2022
361 Q-002LW3SO 910106******0002 NURUL MA'RIFAH 11 08000000000 09/02/2022
362 Q-002LW3SQ 332114******0004 MUHAMMAD LUTHFI HAFIZH 11 08000000000 09/02/2022
363 Q-002LW3SR 332114******0001 AFNA AULIYA NUR AINI 11 08000000000 09/02/2022
364 Q-002LWSO6 331516******0002 SARI MEGA ASSYIFA 12 08000000000 09/02/2022
365 Q-002LWSO8 331516******0001 MAHDIYATUN NASHIHAH 11 08000000000 09/02/2022
366 Q-002LWSOA 217202******0002 BALQIS LUNA LUTHFIANA 13 08000000000 09/02/2022
367 Q-002LWSOC 332114******0001 SYARIFATUL IZZAH 12 08000000000 09/02/2022
368 Q-002LWSOE 332114******0001 UBAID RIZIEQ ALFIYAN 12 08000000000 09/02/2022
369 Q-002LWSOG 332114******0001 PUTRI ANNI RAHMAH 12 08000000000 09/02/2022
370 Q-002LWSOI 332114******0001 ALFI FAZA MAFATIHUNNAJAH 12 08000000000 09/02/2022
371 Q-002LWSOK 332114******0002 ZAHROTUS SYITA ARDLIA KARIM 12 08000000000 09/02/2022
372 Q-002LWSOM 332114******0001 FEBY ALDA SAFIRA 13 08000000000 09/02/2022
373 Q-002LWSOO 332114******0002 SADAH MACCA LUBBAL AZKYA 12 08000000000 09/02/2022
374 Q-002LWSOR 332114******0001 SYIFA ARUM LUTHFIYANA 11 08000000000 09/02/2022
375 Q-002LWSOV 332114******0002 MUHAMMAD 'AGIL SHOFI 12 08000000000 09/02/2022
376 Q-002LWSOX 332114******0001 WILDAN ADDAQIL 12 08000000000 09/02/2022
377 Q-002LWSOZ 332114******0001 MUHAMMAD ABDUL LATIF 12 08000000000 09/02/2022
378 Q-002LWSP1 337405******0002 CHILWA LABIBAH 12 08000000000 09/02/2022
379 Q-002LWSP5 331517******0001 IDA IKHSANUL HUSNA 11 08000000000 09/02/2022
380 Q-002LWSP7 331517******0002 FIKI MAULANA IBRAHIM 11 08000000000 09/02/2022
381 Q-002LWSP9 331517******0004 JULIETA CALISTA DESHARMA 11 08000000000 09/02/2022
382 Q-002LWSPB 331516******0001 KARISMA NUR MUHAMMADA 11 08000000000 09/02/2022
383 Q-002LWSQQ 337404******0002 VERA RAHMADILA 11 08000000000 09/02/2022
384 Q-002LWSQR 332112******0001 NUR MALINDA FEBRIANA 11 08000000000 09/02/2022
385 Q-002LWSQY 331517******0004 AFANA APRILIAN REZKY ANUGERAH 11 08000000000 09/02/2022
386 Q-002LWSR0 332106******0003 FITHRI AGUSTINA 10 08000000000 09/02/2022
387 Q-002LWSR4 331517******0001 SABRINA NAFI'ATUL ALIYAH 11 08000000000 09/02/2022
388 Q-002MLKA4 332114******0003 ZAIDA NAFISATUL AFIDAH 9 085325088425 09/02/2022
389 Q-002MNS6H 317202******1012 ALICIA ALIYA SEPTIYANI 10 081314076854 09/02/2022
390 Q-002MQ8ME 332114******0001 AHMAD NUR ROHMAN 11 085330782513 09/02/2022
391 Q-002MQKQX 332114******0001 MAULIDA MA'UNATUL AGNIYA 11 082242870939 09/02/2022
392 Q-002MR4GI 331517******0001 THORIQ ABDUSSALAM RAMDHANI 11 085727573150 09/02/2022
393 Q-002MR4UX 332101******0004 NEILA RAHMA ALFIYANI 10 082135290262 09/02/2022
394 Q-002MR9BJ 331501******0001 AHMAD LATIFUL FAHRI 10 085643584529 09/02/2022
395 S-0B527267 332114******0002 SUDARMIN 63 - 09/02/2022
396 S-2091A237 332114******0001 MASHUDI 62 081326516859 MASYARAKAT UMUM 09/02/2022
397 S-531FFFE1 332114******0002 DJARDIJANTO 74 08000000000 LANSIA 09/02/2022
398 S-E7D4505D 332113******0002 SITI WARDAH 68 - LANSIA 09/02/2022
399 S-F7FA458F 332114******0001 AFIF ULIN NUHA 34 082134623783 09/02/2022
400 UL-0016K4X 330406******0006 MASKURI 61 087835005355 09/02/2022
401 UL-001JR4W 332114******0001 HARTONO 72 - 09/02/2022
402 UL-001JR7E 332114******0001 KASROZI 62 - 09/02/2022
403 UL-001JR7J 332114******0002 ISMAIL 63 - 09/02/2022
404 UL-001JR9M 332114******0001 SUBADI 68 - 09/02/2022
405 UL-001JR9V 332114******0001 SUPRATNO 70 - 09/02/2022
406 UL-001JRAY 332114******0001 SURATMAN 67 - 09/02/2022
407 UL-001JRBC 332114******0001 TEMU SUWANDI 63 - 09/02/2022
408 UL-001JRDN 332114******0001 ASHARI 69 - 09/02/2022
409 UL-001JRDV 332114******0002 Hariyanto 65 083898762525 09/02/2022
410 UL-001JRFV 332114******0002 EDY TRIYONO 61 - 09/02/2022
411 UL-001JRGP 332114******0002 HARTONO SPDI 62 - 09/02/2022
412 UL-001JRL5 332114******0001 SITI ARTIJAH 62 - 09/02/2022
413 UL-001JRLD 332114******0001 SURATMINAH HJ 71 - 09/02/2022
414 UL-001JRLX 332114******0001 SALIPAH 68 - 09/02/2022
415 UL-001JRMF 332114******0001 KASMINAH 69 082140686058 09/02/2022
416 UL-001JROP 332114******0004 NUR KHASANAH 65 - 09/02/2022
417 UL-001JRR1 332114******0001 SIAMI MUNASTUTI 64 - 09/02/2022
418 UL-001JRRC 332114******0001 MASRIAH 63 - LANSIA 09/02/2022
419 UL-001JRTA 332114******0001 BAISYAH 68 - 09/02/2022
420 UL-001JRUD 332114******0001 SUHARSIH 70 - 09/02/2022
421 UL-001JRUO 332114******0001 SITI ROMLAH 72 - 09/02/2022
422 UL-001JRUR 332114******0002 DJUWARSIH 66 - 09/02/2022
423 UL-001JRV0 332114******0001 PARMIYATI 67 - 09/02/2022

424 UP-0050G3I 331504******0004 RITA SHOFA MULYANI 39 08122513482 09/02/2022
425 UP-0053KWA 331516******0006 SUMIAH NURIAH 62 - 09/02/2022
426 UP-005GP9B 332107******0001 MARIYA YULIANINGSIH 33 085727024778 09/02/2022
427 UP-005GT48 332107******0003 SOLICHATUN 34 089648956676 09/02/2022
428 UP-005IYXG 332114******0002 MUHAMMAD AMIR 50 081226222713 09/02/2022
429 UP-005IZ4Z 332114******0001 WARJO 68 - 09/02/2022
430 UP-005IZKJ 332114******0002 tri sugiatno 45 081225965452 09/02/2022
431 UP-005J0BZ 332114******0002 SUPARJO 43 081329545680 09/02/2022
432 UP-005J0D9 332114******0001 SUMONO 58 085328902800 09/02/2022
433 UP-005J0HV 332114******0001 SUKARNO 71 - 09/02/2022
434 UP-005J0SM 332114******0008 SURATEMI 68 082137434420 09/02/2022
435 UP-005J0VO 332114******0001 RIF'ATUL AZIZAH 19 082230142343 09/02/2022
436 UP-005J1BE 332114******0001 KASTIRAH 72 - 09/02/2022
437 UP-005J1CS 332114******0001 WAKINI 66 - 09/02/2022
438 UP-005J1DX 332114******0001 INDRIAWATI 39 082241993538 09/02/2022
439 UP-005J1E4 332114******0001 SILVIANA 25 0895639438035 09/02/2022
440 UP-005J1EK 332114******0003 ZAKIYATUL FAKHIROH 50 081229085155 09/02/2022
441 UP-005J1S8 332114******0002 PAINEM 64 - 09/02/2022
442 UP-005J28B 332114******0002 RASINAH 59 082137434420 09/02/2022
443 UP-005J2GH 332114******0004 ANIK YULIANTI 39 085292726244 09/02/2022
444 UP-005J320 332114******0001 MASJIDAH 55 081355888905 09/02/2022
445 UP-005J32E 332114******0001 SITI MARFU'AH 41 085327648161 09/02/2022
446 UP-005J3EL 332114******0002 MUZAROAH 51 08520081523 09/02/2022
447 UU-003235A 331503******0002 DINA RIA SARI 27 085747476171 09/02/2022
448 UU-003669H 332107******0002 LUTFI NOVIANA ANDRIYANI 36 088216386129 09/02/2022
449 UU-0036AND 332111******0002 SUMARLAN 36 085293377778 09/02/2022
450 UU-0036CZR 332111******0003 ALEX SEPTIYAWAN 27 082242663112 09/02/2022
451 UU-0036H8O 332114******0001 KHOSIIN 42 082298082727 09/02/2022
452 UU-0036HA0 332114******0001 MASHURI 60 081326700393 09/02/2022
453 UU-0036HBZ 332114******0001 MASKHAN 56 081328525838 09/02/2022
454 UU-0036HL8 332114******0002 MIETA NOVITANINGRUM 30 081225231487 09/02/2022
455 UU-0036HO6 332114******0001 SRI NINGSIH 50 085225770477 09/02/2022
456 UU-0036HP7 332114******0001 'anil Ishlakh 32 085727850375 09/02/2022
457 UU-0036HPO 332114******0013 RUMIJAH 56 081224567891 09/02/2022
458 UU-0036J22 332114******0001 ALI IMRON 52 082327019287 09/02/2022
459 UU-0036J2V 332114******0002 ABDUL SYUKUR 60 081226410622 09/02/2022
460 UU-0036J2Z 332114******0001 ahmad zarfai 52 081327012833 09/02/2022
461 UU-0036JAN 332114******0003 SUMARYOTO, S.Pdi. 60 085225142963 09/02/2022

462 UU-0036JK8 332114******0001 EKO SULANTO 44 081287723679 09/02/2022
463 UU-0036JMD 332114******0002 SUWITO 43 085740286829 09/02/2022
464 UU-0036JNL 332114******0001 ARIF SETYAWAN 40 0 09/02/2022
465 UU-0036JTU 332114******0004 REZA ARDHIA 28 081355888905 09/02/2022
466 UU-0036JXB 332114******0001 SRI LESMONOWATI 44 082134033874 09/02/2022
467 UU-0036JXX 332114******0002 MAILA AKRIMATUL FAZ 29 081326523164 09/02/2022
468 UU-0036JY0 332114******0001 SITI USWATIN 39 082135024371 09/02/2022
469 UU-0036JY4 332114******0001 MUNIFATUL INAROH 35 085713587981 09/02/2022
470 UU-0036JYA 332114******0001 WUWUN WULAN SUCI 33 089689866590 09/02/2022
471 UU-0036JYP 332114******0001 tutik handayani 44 085740816616 09/02/2022
472 UU-0036K16 332114******0002 TRI HANDAYANI 35 08122513482 09/02/2022
473 UU-0036K8V 332114******0003 ANIS AMALA MARDHIYYANA 36 085814237914 09/02/2022
474 UU-0036KAB 332114******0003 INFITACHATUN 35 082134493663 09/02/2022
475 UU-0036KBD 332114******0001 SITI ROMLAH 51 085229229552 09/02/2022
476 UU-0036KBK 332114******0001 RITA PURWIYATNI 51 08122532482 09/02/2022
477 UU-003B2NN 332818******0003 TRI MULYANI 32 085786006974 09/02/2022
478 UU-006IGIV 332114******0001 SITI SOFI'AH 51 085348657235 09/02/2022
479 UU-007AES7 331909******0007 SHOFWAM WAHYUDI 37 085641899144 09/02/2022
480 UU-007AIWI 332114******0001 SULTHONI 59 085328902800 09/02/2022
481 UU-007AIWR 332114******0001 SUPRAPTO 56 081384216379 09/02/2022
482 UU-007AIX2 332114******0001 ATINA NURUL IKHSANI 24 08979025934 09/02/2022
483 UU-007AIXP 332114******0004 FADHILAH 52 081329545680 09/02/2022
484 UU-007MY0E 332114******0001 FARCHUL HABIBIE 26 089669466389 09/02/2022
485 UU-0083227 332114******0001 SUKAMTO 51 081267374894 09/02/2022
486 UU-0083236 332114******0001 SRI SUKINI 53 085227891010 09/02/2022
487 UU-0087A54 332114******0002 ELYA HADI MULYADI 42 088226453467 09/02/2022
488 UU-0087A5X 332114******0001 SITI KHORIYAH 48 081215494016 09/02/2022
489 UU-0087A61 332114******0001 NANDA YUSVITA OKTAFIANI 24 081380879889 09/02/2022
490 UU-008GYW7 332114******0002 FAIZ MAULIDA 28 085642722370 09/02/2022

491 UU-00A9KAH 332107******0003 ZACKY TIFANI LAZUARDIAN 23 081249347313 09/02/2022
492 UU-00A9KAI 332107******0001 MASLAKUL ABID 19 081225666036 09/02/2022
493 UU-00AXXPQ 331517******0002 MILA RAHMAWATI 34 085740189008 09/02/2022
494 UU-00AY25R 332114******0001 BISRI MUSTHOFA 42 085713008008 09/02/2022
495 UU-00AY25X 332114******0001 MUHAMMAD FITRIAWAN 47 082133362660 09/02/2022
496 UU-00AY26I 332114******0002 ALIFIATI NURUL AINI 29 085641001122 09/02/2022
497 UU-00AY26R 332114******0002 SITI MURSIDAH 57 0853250868665 09/02/2022
498 UU-00AY26V 332114******0002 INSIATUN 37 085799771612 09/02/2022
499 UU-00AY270 332114******0002 NOR HIDAYAH 50 089692311773 09/02/2022

500 UU-00AY274 332114******0001 ULFIYAH 41 089503033190 09/02/2022
501 Z-000B5BRA 332114******0001 NUR HIDAYAT 32 081350715291 PEDAGANG PASAR 09/02/2022
502 Z-000BDHMS 332114******0004 ASPURIYAH 62 085895597559 09/02/2022
503 Z-000C5QLM 332114******0001 ULPAH 65 085325202917 09/02/2022
504 Z-000FP20B 332114******0001 SUPARMAN 63 08222705171 09/02/2022

DI BLAIDESA MANGUN REJO
HASIL
STATUS Nama_Vaksin Batch Dosis OBSERVASI



Pemberian Vaksin Selesai CoronaVac Fk0723 2 Tanpa Keluhan








Pemberian Vaksin Selesai CoronaVac V24007721 2 Tanpa Keluhan



Pemberian Vaksin Selesai Moderna M130311AA 3 Tanpa Keluhan


DATA PCARE VAKSINASI TANGGAL 10 FEBRUARI 2022 DI BLAIDESA M
TANGGAL
DAFTAR
MUHAMMAD ATHALLA
1 P-1MF8BBEQ 332114******0003 7 085877842472 ANAK 10/02/2022
MUSYAFFA
MUHAMMAD DANNY FIRMAN
2 P-1TQJZDUZ 332114******0001 8 081215217986 ANAK 10/02/2022
PRASETYO
3 P-1XKMJ8DS 332114******0002 KEYSHA NAURA SYAKILA 6 085559475737 ANAK 10/02/2022
MUHAMMAD FAJAR SABIHIL
4 P-3DD3XLXI 332114******0001 17 088221925855 MASYARAKAT UMUM 10/02/2022
MAROM
5 P-3HG6K5UK 332114******0004 BINTANG MARTINO PUTRA 11 081390245688 REMAJA 10/02/2022
6 P-3TJSB31B 332013******0003 SITI ZUALFAH 34 0882003802891 MASYARAKAT UMUM 10/02/2022
7 P-3YE2TQTZ 332114******0002 CINTA RAMADHANI 11 082338775817 ANAK 10/02/2022
8 P-5DHQ3KO6 332114******0001 ABDUL WAKID 35 088237115161 MASYARAKAT UMUM 10/02/2022
9 P-5JYN2R0N 332112******0003 FIFIN LUTFIANA 31 088227904851 MASYARAKAT UMUM 10/02/2022
10 P-6XQ3DWNB 332114******0001 MASHADI 43 082325346311 MASYARAKAT UMUM 10/02/2022
11 P-726JKPXH 332104******0006 LILI WIJAYANTI 18 081212148138 MASYARAKAT UMUM 10/02/2022
12 P-74YIH7EN 332114******0003 AYUK RENOWATI 23 082136013268 MASYARAKAT UMUM 10/02/2022
13 P-796MH6WP 332114******0006 SUJI 57 0800000000000 MASYARAKAT UMUM 10/02/2022
14 P-7LNH5AME 332114******0003 ANIS ZULFAIDAH 29 081353539812 MASYARAKAT UMUM 10/02/2022
15 P-7P33GWGY 332114******0004 AHMAD ROUF 35 081353539812 MASYARAKAT UMUM 10/02/2022
16 P-7ZCZLPHI 332004******0001 LAILI KHOIRUNNIAH 17 085325908370 REMAJA 10/02/2022
17 P-7ZUTTEU1 332107******0003 MUQOROBIN 34 081227425633 MASYARAKAT UMUM 10/02/2022
18 P-82EJWMGI 332107******0003 ZAINUDIN 26 081228121945 MASYARAKAT UMUM 10/02/2022
19 P-82NM6T9B 331516******0001 LU'LU' FUADATUL KAMALIYAH 21 085728344264 MASYARAKAT UMUM 10/02/2022
20 P-85YKQTQW 332114******0002 FEBRI ANGGRAINI 18 083827907434 MASYARAKAT UMUM 10/02/2022
21 P-86IBQ2XM 332114******0001 SUNARTI 50 085325908370 MASYARAKAT UMUM 10/02/2022
22 P-8CP50JSU 332114******0004 RODHIATUN 37 0800000000 MASYARAKAT UMUM 10/02/2022
23 P-8FHLEFFH 332114******0002 MOH SUMARYONO 49 081225424599 MASYARAKAT UMUM 10/02/2022
24 P-8FK57STE 332114******0002 KASTINI 58 0800000000 MASYARAKAT UMUM 10/02/2022
25 P-8FKMBQZU 332114******0001 IDA FATMAWATI 42 081225424599 MASYARAKAT UMUM 10/02/2022
26 P-8FOO0CEL 332114******0001 MOH ISNAENI 37 081319267406 MASYARAKAT UMUM 10/02/2022
27 P-8FOSFEHG 332114******0001 CANDRA KURNIAWAN 12 088229952865 MASYARAKAT UMUM 10/02/2022
28 P-8FTLW3LA 150208******0001 SHELLA AFDZILINA 19 085383270325 MASYARAKAT UMUM 10/02/2022
29 P-8FZKX5AK 332114******0002 ELFIRA RAHMAWATI 12 085327648161 REMAJA 10/02/2022
30 P-8G2PJ5ME 332114******0001 AHMAD SYUKRON 17 0882006297525 MASYARAKAT UMUM 10/02/2022
31 P-8G3BVCEH 140207******0003 ANISAK KHILMIYAH 18 082286831634 MASYARAKAT UMUM 10/02/2022

32 P-8G851K5V 332114******0001 ALI ROMADHONI 35 088233408323 MASYARAKAT UMUM 10/02/2022
33 P-8G8E00EZ 332112******0005 IIS FATIKHATI QOISAH 19 081296393909 MASYARAKAT UMUM 10/02/2022
34 P-8GB1B0YB 332114******0001 MUHAMAD KHOIRUR RIDHO 24 0813260265555 MASYARAKAT UMUM 10/02/2022
35 P-8GC22GSQ 332114******0001 SRI RAHAYU 46 085727833886 MASYARAKAT UMUM 10/02/2022
36 P-8GEEQVUS 317104******0001 NIKEN AYU SAHARANI 20 082242577995 MASYARAKAT UMUM 10/02/2022
37 P-8GF5F0VK 332113******0005 RINDI NOR ANTIKHA 14 081212148138 MASYARAKAT UMUM 10/02/2022
38 P-8GIMZKEM 332104******0002 ISNA NURUL LAILITA 13 0882005030593 REMAJA 10/02/2022
39 P-8GL1BTVS 337402******0002 RHEVADINA MISCHA DESIANA 13 085799875865 REMAJA 10/02/2022
40 P-8GURB5KA 332104******0002 SINTIA SALSABILA 12 081229760237 REMAJA 10/02/2022
41 P-8GWDBS79 332104******0004 BREGITA AYSA IRGAHAYU 13 081227900813 REMAJA 10/02/2022
42 P-8GYUDA1N 350725******0003 M REYFAN AL RISKY 15 081233440550 REMAJA 10/02/2022
43 P-8H2OSJDR 332114******0003 AGUS SUPRATNO 33 082324021934 MASYARAKAT UMUM 10/02/2022
MUHAMMAD ZIDANE
44 P-8H4P0MJX 331511******0001 13 085325908370 REMAJA 10/02/2022
IBRAHIMOVIC
45 P-8H6YZCDW 331516******0002 ACHMAD HASYIM KHABIBULLAH 14 085325908370 REMAJA 10/02/2022
46 P-8HEFOU0R 332114******0001 SUNARNO 38 0800000000 MASYARAKAT UMUM 10/02/2022
47 P-8HI4B7YJ 332114******0003 SULAIDAH 49 0800000000 MASYARAKAT UMUM 10/02/2022
48 P-8HKWWLUS 332114******0002 SRI WANTI 50 0800000000 MASYARAKAT UMUM 10/02/2022
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ANWAR
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MUBAROK
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MUHAMAD ISHOM HADZIK
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KARIM
MUHAMMAD ZA'IM
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FIRMANSYAH
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MUHAMMAD EKA YUDHA
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PRADANA
MUHAMMAD FAUZI
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MUHAMAD NOAF BAGUS
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MUHAMMAD ILHAM JAYA
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MOHAMMAD FRAN SUGENG

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511 Q-002M5CHV 332111******0002 NURIMAH DAMAI WIJAYANTI 11 081329000321 10/02/2022
512 Q-002M5CIA 332114******0002 NAWA HANIFAH 11 087711786740 10/02/2022
513 Q-002M5CJR 332114******0001 ZAKIYA NAFSA 11 082314239980 10/02/2022
MUHAMMAD AZHAFRAN
514 Q-002M5TI4 332114******0001 ALRAFIF 8 081476697012 10/02/2022
515 Q-002M5TIM 332114******0001 FIDELYO MUHAMMAD ARDHANI 6 082328586831 10/02/2022
516 Q-002M5TIR 332114******0001 MAULANA JALALUDDIN RUMI 7 085727467694 10/02/2022
517 Q-002M5TIU 331502******0001 MUFIT HARDIANSYAH AUWAL 7 082114645559 10/02/2022
518 Q-002M5TJC 332114******0002 SATRYO EVANDHANA 7 082134527503 10/02/2022

519 Q-002M5TJL 332114******0003 ACHMAD JAINURI 8 081548211460 10/02/2022
520 Q-002M5TJT 332114******0001 AHMAD ZULFAN KHOIRI 7 081548936461 10/02/2022
521 Q-002M5TJZ 332114******0001 ALFI NADHOROTIN NAFI'AH 7 085713794728 10/02/2022
522 Q-002M5TK3 332114******0001 ADITYA NAUFAL DARY ABIYYU 7 085783217845 10/02/2022
523 Q-002M5TKC 331516******0002 BILQIS ALHAFIZA RAMANDHANI 6 082136247505 10/02/2022
524 Q-002M9YEM 332114******0001 NOVITA DWI AYU PUJIANI 10 085876307253 10/02/2022

525 Q-002MCII5 332114******0001 DAFFA NAILUN ADRIEL 7 081282769824 10/02/2022
526 Q-002MCIJD 332114******0001 HAPPY AWALI YANI 11 085786167601 10/02/2022
527 Q-002Q3KOK 332114******0001 UMI KHOLIFAH 13 08000000000 10/02/2022
528 S-10BA8CE5 332114******0009 DARSILAH 62 08000000000 LANSIA 10/02/2022
529 S-133E8D13 332114******0001 MASDI 65 - LANSIA 10/02/2022

530 S-E458034D 332114******0001 SUKIRAH 68 085325908370 LANSIA 10/02/2022
531 U-00005HKT 332114******0003 SUNOTO 36 082241456504 10/02/2022
532 U-00012V0M 332114******0005 YUNI ARDIYANTI 32 082134783771 10/02/2022
533 UL-001JR3Y 332114******0001 SUKARJI 66 - 10/02/2022
534 UL-001JR3Z 332114******0001 WAKIDI 64 087831111733 10/02/2022
535 UL-001JR4G 332114******0001 MAHARGONO 66 - 10/02/2022
536 UL-001JR6A 332114******0001 WAGIMAN 67 085293017162 LANSIA 10/02/2022
537 UL-001JR6B 332114******0001 PARDI 67 - 10/02/2022
538 UL-001JR6N 332114******0001 MASUD 66 - 10/02/2022
539 UL-001JR6Q 332114******0001 MARYONO 70 081219791480 10/02/2022
540 UL-001JR7D 332114******0001 MARGITO 65 - 10/02/2022
541 UL-001JR7Z 332114******0001 MARDI 78 - 10/02/2022
542 UL-001JR86 332114******0001 SUPIYO 71 - 10/02/2022
543 UL-001JRBV 332114******0001 WISTOYO 61 - 10/02/2022
544 UL-001JRFX 332114******0001 MASUD 64 - 10/02/2022
545 UL-001JRHI 332114******0001 KASTAM 73 - 10/02/2022
546 UL-001JRKO 332114******0002 HINDUN 62 - 10/02/2022
547 UL-001JRLH 332114******0001 MASAMAH 66 - 10/02/2022
548 UL-001JROK 332114******0001 SUPARTINI 73 - 10/02/2022
549 UL-001JROQ 332114******0001 WATIYEM 63 - 10/02/2022
550 UL-001JRRQ 332114******0001 SUMIYATI 61 - LANSIA 10/02/2022
551 UL-001JRSM 332114******0001 MOEKAROMAH 67 - 10/02/2022
552 UL-001JRVK 332114******0001 SITI MASTIRAH 66 - 10/02/2022
553 UL-001JRVU 332114******0007 KIPYAH 73 - 10/02/2022
554 UP-005IY2D 332114******0002 KASTOLANI 71 - 10/02/2022
555 UP-005IY8T 332114******0001 M. TOHA 60 081228662780 10/02/2022
556 UP-005IYD8 332114******0006 Muhlisin 37 081384216379 10/02/2022
557 UP-005IYDN 332114******0004 Slamet 35 - 10/02/2022
558 UP-005IYHR 332114******0001 SARWAN HAMID 63 081329002240 10/02/2022
559 UP-005IYQ4 332114******0001 SUWONDO 59 08156633374 10/02/2022
560 UP-005IYR2 332114******0001 MAHARGIYO 57 087742198627 10/02/2022
561 UP-005IZ7L 332114******0003 M SAPUAN 50 081215744909 10/02/2022

562 UP-005J0CW 332114******0001 AKHMAD JUNAEDI 46 089530557567 10/02/2022
563 UP-005J12U 332114******0001 SOPIATUN 43 081392193918 10/02/2022
564 UP-005J1LK 332114******0001 SITI KOSIDAH 45 081219791488 10/02/2022
565 UP-005J1PF 332114******0002 SITI KORIAH 42 085713841667 10/02/2022
566 UP-005J1QO 332114******0001 DAKILAH 48 081219791488 10/02/2022
567 UP-005J1UU 332114******0002 WATIYEM 75 - 10/02/2022
568 UP-005J22W 332114******0001 SITI AMANAH 67 085227891010 10/02/2022
569 UP-005J295 332114******0001 SUYATI 54 085865900476 10/02/2022
570 UP-005J2KO 332114******0001 UCI SETIANINGRUM 36 081477033109 10/02/2022
571 UP-005J2S9 332114******0001 NANIK NASIHATUL KHOIRIYAH 40 081393758929 10/02/2022
572 UP-005J34Q 332114******0002 JUMINI 37 082135659149 10/02/2022
573 UP-005J3A3 332114******0002 DUROTUL AZIZAH 33 082245831587 10/02/2022
574 UP-005J3F9 332114******0002 KHUNAYAH 39 085870499628 10/02/2022
575 UP-005J3U9 332114******0001 SUSILOWATI 34 085870449628 10/02/2022
576 UP-005J3V9 332114******0002 NUR KHAYATI 38 085713841667 10/02/2022
577 UU-002T8D0 330219******0015 FENTI SETIANINGSIH 31 085227891010 10/02/2022
578 UU-0032LRG 331517******0003 ANIK FITRIYANI 34 085640114884 10/02/2022
579 UU-0036DA9 332111******0001 ABDUL ROUF 31 082138898736 10/02/2022
580 UU-0036H6A 332114******0002 AHSIN MAULANA 26 082377479910 10/02/2022
581 UU-0036H88 332114******0001 Sulhadi 41 081225318973 10/02/2022
582 UU-0036HAG 332114******0002 ALI MAHMUDHON 60 0 MASYARAKAT UMUM 10/02/2022
583 UU-0036HBB 332114******0003 MUSLIM 50 081327470877 10/02/2022
584 UU-0036HFX 332114******0001 SRI PURWATI 43 081327470877 10/02/2022
585 UU-0036HGF 332114******0001 WARSIH 55 081283227798 10/02/2022
586 UU-0036HGN 332114******0004 HARTANTI LESTYONINGSIH 37 081326005590 10/02/2022
587 UU-0036HHO 332114******0001 ZULAIFAH 41 085741473454 10/02/2022
588 UU-0036HJV 332114******0001 MIFTAHUL JANNAH 50 081327517825 MASYARAKAT UMUM 10/02/2022
589 UU-0036HLC 332114******0001 WASIYAH 53 085740816616 10/02/2022
590 UU-0036HLG 332114******0001 SUKIR 35 085130343565 10/02/2022
591 UU-0036J5L 332114******0003 SUKIRNO 48 085238486878 10/02/2022
592 UU-0036JHX 332114******0001 KUSNAN 58 085865170537 10/02/2022
593 UU-0036JP7 332114******0001 ROFIUL HADI SYUKRON 25 081225376626 10/02/2022

594 UU-0036JRV 332114******0005 CHOZINAH HARTINI 58 0 MASYARAKAT UMUM 10/02/2022
595 UU-0036JRZ 332114******0001 ITA DWI JASMI NARYANTI 36 082325984667 MASYARAKAT UMUM 10/02/2022
596 UU-0036JVW 332114******0001 DINDA ARISTIA 29 081327273993 10/02/2022
597 UU-0036K8Q 332114******0002 TRI RAHAYU 37 085740816616 10/02/2022
598 UU-0036K8R 332114******0002 JUWARIYAH 52 0853250868665 10/02/2022
599 UU-0036KB2 332114******0001 ZULI ISMONOWATI 44 081327470877 10/02/2022
600 UU-0036KBI 332114******0010 ISTIKOMAH 36 085712164189 10/02/2022
601 UU-0036KCY 332114******0002 SETIYAWATI 40 085395351115 10/02/2022
602 UU-0036P9O 332206******0004 MUCHAMAD MUAZIF 43 082233886247 10/02/2022
603 UU-0067I4O 927102******0003 SITI RONDHIYAH 40 085244153364 10/02/2022
604 UU-006IGIK 332114******0001 SITI MUDRIKAH 40 087742198627 10/02/2022
605 UU-007AIWX 332114******0001 RICHA ALIFIYA RIZQI 20 088239280281 10/02/2022
606 UU-007AIX4 332114******0001 MUKAYAH 46 08122532482 10/02/2022
607 UU-007B3N7 337406******0009 FELICIA REGINA TASYA 21 085600297279 10/02/2022
608 UU-007MY0A 332114******0002 BENI DWI OKTAVIYANTO 32 08157672033 10/02/2022
609 UU-007U0FN 332114******0001 AKMALUN NA'IM 22 082226842139 10/02/2022
610 UU-007U0GB 332114******0002 ERI WATI 35 082221732029 10/02/2022
611 UU-007U0GD 332114******0002 SULASTRI 58 081219791480 10/02/2022
612 UU-008322W 332114******0004 SHODIKIN 41 082226356273 10/02/2022
613 UU-008322X 332114******0001 SITI MUKAROMAH 47 081228115640 MASYARAKAT UMUM 10/02/2022
614 UU-008730G 331025******0002 GAIB SUWARNO 34 085643020012 10/02/2022
615 UU-008G92O 320902******0012 MIFTAH FARIZ 40 081395574444 10/02/2022
616 UU-008GU48 331516******0001 SAEPUL ANAM 44 085290624115 10/02/2022
617 UU-008GU4Z 331516******0003 AGUS HIDAYAT 34 085290122490 10/02/2022
618 UU-008GU7S 331516******0003 ALIF FAJAR ROMADHON 31 085865055647 10/02/2022
619 UU-008GUBW 331517******0005 AMAT ZAENURI 32 085851592057 10/02/2022
620 UU-008GYKP 332107******0003 ARMETA NANA PALESTINA 31 0895388966041 10/02/2022
621 UU-008GYVW 332114******0002 MOCH FAHRIZAL ARIADI 53 081280296327 10/02/2022
622 UU-008H3D1 337205******0043 ATUR SUSANTO 39 085725112230 10/02/2022
623 UU-009A5C1 332114******0001 BAGUS PRIBADI 31 082243584872 10/02/2022
624 UU-009A5D6 332114******0003 SUKINAH 46 085848674621 10/02/2022
625 UU-009A5DN 332114******0002 FAIZUN WULANI MAULIDIAH 24 085725763248 10/02/2022

626 UU-009A5DP 332114******0002 SETYO RINI 33 08157905462 10/02/2022
627 UU-009A5E7 332114******0001 FADIA LAILI SABRINA 19 085624824556 10/02/2022
628 UU-009JGH4 352427******0001 SAFITRI ANA MURNI 27 085520754304 10/02/2022
629 UU-009SCJR 332114******0002 AHMAD AMINUDDIN 29 081450249329 10/02/2022
630 UU-00B0I55 530201******0002 NGATINI 41 082144325567 MASYARAKAT UMUM 10/02/2022
631 UU-00B8V5K 331504******0001 ARI NOVITANINGRUM 30 085868558497 10/02/2022
632 UU-00B8VLJ 331516******0004 ANISATUL ULFAH 32 085740607074 10/02/2022
633 UU-00B8VOX 331519******0001 ABDUR ROUF 36 081329178729 10/02/2022
634 Z-00007ZQC 332114******0001 NARTI 69 - 10/02/2022

635 Z-000BKRMJ 332114******0003 SRI MURNI 62 085225690313 10/02/2022
636 Z-000BOTVW 332114******0002 SAEFULLAH 66 - 10/02/2022
637 Z-000BVJIP 332114******0002 MURSIDI 63 081933233327 10/02/2022
638 Z-000C0S0G 332114******0004 MASKONAH 63 - 10/02/2022
639 Z-000CNI7C 332114******0001 KARYONO 72 085713627357 10/02/2022
640 Z-000CNL7Y 332114******0006 PATIMAH 76 081325723911 10/02/2022
641 Z-000CNLM5 332114******0001 HARNI 66 085540222314 10/02/2022
642 Z-000CNM1P 332114******0001 SITI UMI 67 085713627357 10/02/2022
643 Z-000CNQFZ 332114******0001 NGADERI 62 085640498681 10/02/2022
644 Z-000CNQYF 332114******0001 PERET 82 085713627357 10/02/2022
645 Z-000CTQAW 332114******0001 HARTINI 63 0813254356543 10/02/2022

646 Z-000D92GD 332114******0001 SARMIN 63 085327648161 10/02/2022
647 Z-000EBQPZ 332114******0001 SUMARMI 76 085877842472 LANSIA 10/02/2022
648 Z-000EU0YV 332114******0002 BAKRI 68 0800000000000 10/02/2022
649 Z-000EWC90 332114******0002 NASOKA 67 - LANSIA 10/02/2022
650 Z-000EWD6N 332114******0001 SUHARDI 70 - LANSIA 10/02/2022
651 Z-000F5EH6 332114******0003 SURIPAH 69 082146092379 10/02/2022
652 Z-000F5FQ5 332114******0002 NGADI MAKNO 65 081225034877 10/02/2022
653 Z-000F5LW7 332114******0001 SUDARJO 63 - LANSIA 10/02/2022
654 Z-000GCNXL 332114******0005 KARSIH 62 0818157755559 10/02/2022

ARI 2022 DI BLAIDESA MIJEN
HASIL
OBSERVASI
Pemberian Vaksin Selesai COVID-19 Vaccine Pfizer 202109143P 1 Tanpa Keluhan






Pemberian Vaksin Selesai COVID-19 Vaccine Pfizer FM2956 2 Tanpa Keluhan

Pemberian Vaksin Selesai CoronaVac FK072324007721 2 Tanpa Keluhan


















































DATA PCARE VAKSINASI TANGGAL 11 FEBRUARI 2022 DI BLAIDESA TLOGOSIH
TANGGAL
DAFTAR
1 P-A6WGBTVM 332114******0001 KUMAIRA AZZAHRA RAMADANI 7 081339767751 ANAK 11/02/2022
2 P-FSQURQFZ 332114******0002 YANUBA ALFIANA ZULFA 10 081338358972 ANAK 11/02/2022

3 P-UI5BFMGX 332114******0003 MUHAMMAD ABBAS 10 082323088310 ANAK 11/02/2022
4 P-V8C8ZRUB 332114******0002 AHMAD NURUL AHSAN 10 08000000000 ANAK 11/02/2022
5 Q-000HUVEZ 332114******0001 SUMADIYONO 52 085894668610 11/02/2022
6 Q-0010A9N0 332114******0002 SITI KOMARIYAH 51 0800000000000 11/02/2022
7 Q-0010AAMH 332114******0001 TUKINI 53 081229085155 11/02/2022
8 Q-0011HIAJ 352419******0001 SITI MUNAWAROH 29 08386944440 11/02/2022
9 Q-0012AVBR 332114******0002 WAGIYEN 55 081514011317 11/02/2022
10 Q-0014S212 332114******0001 SUMARNO 58 085229258580 11/02/2022
11 Q-00166438 332114******0001 PARSIUN 42 082137434420 11/02/2022
12 Q-0016VF2M 332114******0001 SUNARDI 49 081343020390 11/02/2022
MASYARAKAT
13 Q-001A039Z 332114******0001 DARMIYATI 58 081225969457 UMUM 11/02/2022
14 Q-001A1B6O 332114******0002 NUR HABIB HUSAIN 33 085212900771 11/02/2022
15 Q-001A1KPZ 332107******0002 FERI AFANDA 23 085732322168 11/02/2022
16 Q-001A2036 332114******0001 KASMIR 57 085726374052 11/02/2022
17 Q-001A20E4 332114******0002 ULFAH 56 085726374052 11/02/2022
18 Q-001A2X48 332114******0001 SUPRIYANTO 46 081229700577 11/02/2022
19 Q-001B6Q2N 332114******0004 SAELUN 58 08122882920 11/02/2022
20 Q-001BWLDG 332114******0001 PASMI 56 085787243597 11/02/2022
21 Q-001BX9O9 332114******0001 SITI KAROMAH 49 081325523920 11/02/2022
22 Q-001BX9OL 332114******0003 NURUS SA'ADAH 26 085879949603 11/02/2022
23 Q-001BX9R7 332114******0003 CHUDLORI 56 085327602185 11/02/2022
24 Q-001CK1BD 332114******0003 MURTASIMAH 47 085875280974 11/02/2022
25 Q-001CRHR1 332114******0001 SOLIKUL AMIN 32 089908876654 11/02/2022
26 Q-001DX6K2 332114******0001 NUR HIDAYAH 31 082338158594 11/02/2022

27 Q-001DX6TD 332114******0002 SUPATMI 50 085640498681 11/02/2022
28 Q-001DXXJK 332114******0001 DWI ASTUTI 51 085328902800 11/02/2022
29 Q-001E6TLZ 730507******0001 SRI FAIDAH 34 087742198627 11/02/2022
30 Q-001E9HBU 332114******0001 SUKAYAH 57 089525670914 11/02/2022
31 Q-001GIEGA 332114******0001 INDARWATI 32 085327648161 11/02/2022
32 Q-001PH157 332114******0002 SUDARWATI 47 082227551659 11/02/2022
33 Q-001RT4ML 332114******0001 SUMARLAN 54 0800000000000 11/02/2022
34 Q-001RT78D 332114******0001 MUTTAQIN 59 0800000000000 11/02/2022
35 Q-001RT9Y8 332114******0001 SULASI 52 0800000000000 11/02/2022
36 Q-001RUE1Z 332114******0001 NUR KHASANAH 42 0800000000000 11/02/2022
37 Q-001RX3QK 332114******0001 KASRIPIN 58 0800000000000 11/02/2022
38 Q-001UYYHN 332114******0002 NILA SILVANI 24 089647460199 11/02/2022

39 Q-0029D15P 332114******0002 DANU AGUS TIARSO 32 082233885501 11/02/2022
40 Q-002C7FKD 332114******0001 SULASMI 50 085325578706 11/02/2022
MUHAMMAD LUKMANUL
41 Q-002FHEMG 332114******0001 26 082138628007 11/02/2022
HAKIM
42 Q-002HKQQP 331517******0001 JONI DWI HANTORO 39 088706302568 11/02/2022
MUHAMMAD ARMAN
43 Q-002IT0J0 332114******0001 MAULANA 7 08000000000 11/02/2022
44 Q-002K23SN 332114******0001 ALIFA PUTRI KANIA 7 085290401315 11/02/2022

45 Q-002KAGWD 610417******0003 MUTAMAR 34 085870499627 11/02/2022
46 Q-002KBDTF 332114******0002 MUHAMAD REZA IBNUL ARKHAN 10 085738468308 11/02/2022
47 Q-002KBVIS 332114******0001 NABILA MEYSUN 11 081226975294 11/02/2022

48 Q-002KEES8 332114******0002 AHMAD FAHMI SYAHPUTRA 9 0895386150400 11/02/2022
49 Q-002KEES9 332114******0001 AHMAD FAHRI SYAHPUTRA 9 0895386150400 11/02/2022
50 Q-002KREL5 332114******0001 HIDAYATUL KHUSNA 11 083843086595 11/02/2022
51 Q-002L3RMH 332114******0001 MUHAMMAD ARIK ISKANDAR 7 085290401315 11/02/2022
52 Q-002L49IG 337406******0002 VIONNA CHANDRA KIRANA 8 085713930993 11/02/2022

MUHAMMAD SA'ID QOMAR
53 Q-002L4W10 332114******0001 10 085602472392 11/02/2022
RAMADHAN
54 Q-002L4W5F 332114******0001 SEKAR ALYKA PUTRI 10 081229026716 11/02/2022
55 Q-002L82CN 332114******0001 APRILIANO NESKHA SAGORO 12 082138394387 11/02/2022
56 Q-002L8BM6 332114******0001 WILDA WULANDARI 10 085643318440 11/02/2022
57 Q-002L92X2 332114******0004 ROSHELA INDRIYANI 11 085643167644 11/02/2022
58 Q-002LBACR 332102******0003 SATRIA ANJANU FAWWAZ ZAKI 11 081390550456 11/02/2022
59 Q-002LDQRN 332114******0001 DIAH VELESA AGUSTINA 11 085212537978 11/02/2022

60 Q-002LFBDM 332114******0003 BAYU 7 081325241669 11/02/2022
61 Q-002LNKT7 332114******0001 AHMAD BAYU AGIL SHIROTD 10 082138382898 11/02/2022
62 Q-002LOMB6 332114******0001 NADINA NOVIYANTI 9 085713378992 11/02/2022
63 Q-002LPHI6 332114******0002 ELLA FITRI WIT SANTIKA 10 083843086595 11/02/2022
64 Q-002LPHIX 332114******0001 EXELL REYKHAN MAOLHANA 10 08122532482 11/02/2022
65 Q-002LPHMR 332114******0002 ASMAUS SAYIDAH 11 08122532482 11/02/2022
66 Q-002LPHNA 332114******0001 AZIKA BIAN ATHFAL 11 085876167717 11/02/2022
67 Q-002LPHNW 332114******0001 DANANG PRASETYO 11 08122532482 11/02/2022
68 Q-002LPTV5 332108******0001 NUR AZZAKYATURROHMAH 9 082138382898 11/02/2022
69 Q-002LPVI9 332114******0001 MUHAMMAD ALIF PUTRA 9 081210670191 11/02/2022
70 Q-002LQL10 332114******0003 KEVIN DAIN FAZANI 9 085228473485 11/02/2022
71 Q-002LQN1W 332114******0001 KAMELIA NURUL SYIFA' 10 08122532482 11/02/2022
72 Q-002LQN2T 332114******0001 IZWAH ANINDIA SUCI 11 08122532482 11/02/2022
73 Q-002LQN4C 332114******0002 JUMINAH PUTRI LESTARI 11 08122532482 11/02/2022
74 Q-002LQW91 332108******0004 PANDU TIAS ADIPUTRA 8 082227141387 11/02/2022
75 Q-002LRND1 332114******0001 MUHAMMAD CHOIRUL LIZAM 10 088228945187 11/02/2022
76 Q-002LRND8 332114******0001 KAMILA AZZALEA PUTRI 10 085876167717 11/02/2022
77 Q-002LRNDU 332114******0002 MUCHAMMAD RIDHWAN 12 085876167717 11/02/2022
78 Q-002LS3RY 332114******0001 KESTIAWAN KHOIRUL ADJZAM 7 085870499627 11/02/2022
79 Q-002LSO20 332114******0001 NAILA SALSABIL RAMADHANIA 10 08122532482 11/02/2022
80 Q-002LSO3C 332114******0001 TASYA SEKAR AJENG PRAMESTI 11 083843086595 11/02/2022
81 Q-002LSO41 332114******0002 ROIHATUL MUNTASIROH 10 08122532482 11/02/2022

82 Q-002LTN5M 332114******0001 TULUS ADI PRASOJO 10 08122532482 11/02/2022
83 Q-002LTNGB 332114******0001 ZAHROUL MAULUDIYAH 11 08122532482 11/02/2022
84 Q-002LUL32 332114******0001 AL AFNI NESHA MAULIDA 12 08122532482 11/02/2022
85 Q-002LUL36 332114******0001 DEWI AGUSTINA RAMADHANI 11 083843086595 11/02/2022
86 Q-002LUL3X 332114******0002 BIMA AGENG SAPUTRA 11 082326274218 11/02/2022

87 Q-002LVDSL 332114******0004 FAJAR IMAM SYAHPUTRA 11 08884114100 11/02/2022
88 Q-002LW37V 332114******0001 VANIA BELVA 9 081229492310 11/02/2022
89 Q-002LW381 332114******0001 VANIA CAHYANINGTYAS 9 085860258694 11/02/2022
90 Q-002LW383 332114******0001 ABDUL MAJID 10 081225097158 11/02/2022
91 Q-002LW38J 332114******0001 AHMAD ZAFIL FIKRI 10 081228364004 11/02/2022
92 Q-002LW38T 332114******0001 AJI JAYA NUGROHO 9 082138542715 11/02/2022
93 Q-002LW396 332114******0001 AMALIA HUSNA 10 082194218264 11/02/2022
94 Q-002LW39B 332114******0002 ARIZ LATHIFATUS SALWA 9 082325466943 11/02/2022
95 Q-002LW39Y 332114******0001 AZZAHRA CHESA RAMADHANI 10 082114063052 11/02/2022
96 Q-002LW3AB 332114******0001 BELA WAHYUNI 9 082137441318 11/02/2022

97 Q-002LW3BK 332114******0001 DESI KUSUMA AYU 10 082314523172 11/02/2022
98 Q-002LW3DN 332114******0001 MUHAMAD RIFKI AHSANI 8 082326487061 11/02/2022
99 Q-002LW3DQ 332114******0001 MUHAMMAD KELVIN FEBRIANO 9 081226887736 11/02/2022
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330 Q-002MIGP2 332114******0001 CAHYO PUTRA PRABOWO 9 08000000000 11/02/2022
331 Q-002MIGP6 332114******0001 RAVI KURNIA NUGROHO 7 08000000000 11/02/2022
332 Q-002MIGPN 332114******0001 JULIA KISWATUL JANNAH 8 08000000000 11/02/2022
333 Q-002MIGPP 332114******0001 HANA TURJAUN 7 08000000000 11/02/2022
334 Q-002MIHRK 332114******0001 ROBI ASEP ALFINO 11 083866004074 11/02/2022
335 Q-002MIICX 332114******0001 MUHAMMAD WISNU SAPUTRA 6 0800000000 11/02/2022
336 Q-002MIKJC 332114******0001 FATIKHATUL ZAHRA ARROZAQ 6 081228890443 11/02/2022
337 Q-002MIPXD 332114******0001 MUHAMMAD RAFFAEL 6 088216070415 11/02/2022

338 Q-002MISB3 332114******0001 SITI ALISHA KHAIRA WILDA 6 082313701339 11/02/2022
MUKHAMAD MAHER ALIEF
339 Q-002MIZ80 332114******0001 8 08000000000 11/02/2022
ALFIKRI
340 Q-002MIZ83 317206******1003 PUTRA MAULANA 7 08000000000 11/02/2022
341 Q-002MIZ8C 332114******0001 KAYLA AZZAHRA 8 08000000000 11/02/2022
342 Q-002MIZ8R 332114******0003 MUHAMMAD YUSUF 8 08000000000 11/02/2022
343 Q-002MIZ91 332114******0001 AQILA KHANZA AZZAHRA 7 08000000000 11/02/2022
344 Q-002MIZ99 332114******0002 AHMAD AZKA MULTAZAM 7 08000000000 11/02/2022
345 Q-002MIZ9E 332112******0003 DANESH NASYAMAH AL-DITHIYA 6 08000000000 11/02/2022
346 Q-002MIZ9N 332114******0001 ICHA PUTRI AMELIA 6 08000000000 11/02/2022

347 Q-002MIZA4 332114******0001 KANISA ZAHRA 7 08000000000 11/02/2022
348 Q-002MIZA9 332114******0002 MEICHA WIDYA KHUMAIRA 7 08000000000 11/02/2022
349 Q-002MIZAD 332114******0001 MUHAMMAD ABIBZAR AL GIFARI 7 08000000000 11/02/2022
MUHAMMAD ARDHILANA
350 Q-002MIZAL 332114******0001 ASSYAFI'I 7 08000000000 11/02/2022
351 Q-002MIZAZ 332114******0001 RAISA HILMA MUMTAZAH 7 08000000000 11/02/2022

352 Q-002MIZBE 332114******0001 SITI HIMATUL ALIYAH 6 08000000000 11/02/2022
353 Q-002MIZBK 332114******0001 MUHAMMAD HAMID AL IRSAD 6 08000000000 11/02/2022
354 Q-002MIZNE 332114******0001 NAYLA DZAWATIN NAWA 8 082313617255 11/02/2022

355 Q-002ML968 332114******0001 FIKA SYIFAURROHMAH 12 081390623732 11/02/2022
356 Q-002MOF34 332114******0001 MOHAMAD KHOERODIN 16 082326330159 11/02/2022
357 Q-002MP2F1 332108******0001 SITI NUR KOIDAH 31 082326330159 11/02/2022
358 Q-002MWE3M 332108******0002 ZAHWA ASYILA 8 088239059898 11/02/2022
359 Q-002MWEVQ 332114******0001 WIDYA PUTRI PUSPITA SARI 8 088233298195 11/02/2022
360 Q-002MWGZ9 332114******0002 AULA KHABIB 8 081215399267 11/02/2022
361 Q-002MWHD6 332114******0001 BILAL HABIB MUKHLASIN 8 081259576871 11/02/2022
362 Q-002MWHE1 332114******0001 ARJUNA CHOIRUN NAWA 8 082370361350 11/02/2022
363 Q-002MWOX2 332114******0003 WILDAN MAULANA 8 082334754838 11/02/2022
364 Q-002MWQI9 337413******0004 KIRANA PUTRI ALFAIZ 8 085641691120 11/02/2022
365 Q-002MWQJN 332114******0001 HANA MAULIDA AZNI 8 081329575454 11/02/2022
366 Q-002MYD1X 332114******0001 AHMAD NAUFAL FAIZ 7 08122532482 11/02/2022
367 Q-002MYQUH 332114******0001 ADELLA FAHRANNISA' 8 088229593608 11/02/2022
368 Q-002MZVCO 332114******0001 MUHAMMAD FATIH MUALIF 11 08238516223 11/02/2022
369 Q-002MZWAO 332114******0001 MUHAMMAD YUSUF BAIHAQI 10 082326496966 11/02/2022
370 Q-002MZWZ4 332114******0002 NABILA ALMIRA AZZALIA 9 082313968511 11/02/2022
371 Q-002N00CG 332114******0002 MUHAMMAD AINUL ARIF 10 0882006924235 11/02/2022
372 Q-002N012F 332114******0001 NI'MATUL ALIYYAH 10 085225496746 11/02/2022
373 Q-002N01Z9 332114******0001 MUHAMMAD FAKHRI AL FARIS 9 08122532482 11/02/2022
374 Q-002N02G4 332107******0002 ADHIEN ALGIA ANNORA 9 081229492864 11/02/2022

MUHAMMAD REHAN ADI
375 Q-002N04CK 332114******0001 SAPUTRA 8 082134552754 11/02/2022
376 Q-002N06EE 332114******0002 RAFFA ARDHY PRASETYA 9 081343020390 11/02/2022

377 Q-002N07HQ 332114******0001 HABIBI MUHAMMAD 9 08223191123 11/02/2022
378 Q-002N09QX 332114******0002 MUHAMMAD RIJAL AL GHOIBI 11 08124115954 11/02/2022
MUHAMAD ASYFAQ
379 Q-002N0DY2 332114******0001 UBAYDILLAH ABI 8 082133672297 11/02/2022
380 Q-002N0EIQ 332114******0001 MOH CHOIRIL FATAH AL YUSUF 9 081338358972 11/02/2022
381 Q-002N1DXJ 332114******0001 SYIFA FITRIYANI 9 0882005473587 11/02/2022

382 Q-002N1J3R 332114******0003 NAJWA 9 089656472838 11/02/2022
383 Q-002N1J6B 331501******0002 ZAHRA AFIFATU RAHMANI 9 081359361408 11/02/2022
384 Q-002N1KCS 332114******0002 AULIA NUR HANI'AH 8 082325984667 11/02/2022
385 Q-002N1M3Z 332114******0002 ANDIKA PRATAMA PUTRA 10 085859688447 11/02/2022
386 Q-002N1MBB 332114******0001 BADRIYATUNNISA 10 08812461886 11/02/2022
387 Q-002N1NRO 332107******0001 ALGIAND ADE ANDARU 10 081228480125 11/02/2022
388 Q-002N1TS5 332114******0002 ELZA ZAHROTUN NISA' 9 082241624236 11/02/2022
389 Q-002N1UWV 332114******0002 ERMA WINDI ASTUTIK 11 081229689116 11/02/2022
390 Q-002N1WPJ 332114******0001 BAYU ADITYA WIJAYA 10 081225730156 11/02/2022
391 Q-002N21NH 332114******0002 RISMA LUTHFI ANI 8 082138516223 11/02/2022
392 Q-002N2XS7 332114******0001 KISWATUS SA'ADAH 10 081229193418 11/02/2022
393 Q-002N2ZAR 170406******0002 M. RIDHO ZATIT TAQWA 9 082372544283 11/02/2022
394 Q-002N304R 332114******0002 MASAYED YOGA PRATAMA 10 082235507944 11/02/2022
395 Q-002N3313 332114******0001 HUSNA ALYA MAYSUN 10 08991388200 11/02/2022
MUHAMMAD SYAHRUL ALDY
396 Q-002N3865 332114******0002 11 08818502689 11/02/2022
SAPUTRA
397 Q-002N38QU 332114******0003 MOHAMMAD HANDI 9 082137198981 11/02/2022
398 Q-002N38T6 332114******0001 MAYYADAL AZMAH 10 0895811249400 11/02/2022
399 Q-002N3GNL 332114******0001 PUTRA ALFIN MUBAROK 9 085230137351 11/02/2022
400 Q-002N3KHQ 332114******0002 SAMIA ROSYADA SUPRIYADI 10 081211055770 11/02/2022
401 Q-002N3KJ6 332114******0002 NADA HIKMATUS SOLIHAH 9 085200336909 11/02/2022
402 Q-002N3XBP 332114******0002 AHMAD ZAID AL AUFA 11 082138658423 11/02/2022
403 Q-002N40TJ 332114******0001 SASKIA PUTRI NAJWA 9 085859688447 11/02/2022
404 Q-002N42T9 332114******0002 LINA APRIL LIYANTI 11 082003639491 11/02/2022
405 Q-002N44XM 332114******0001 ABDULAH 11 088220258095 11/02/2022
406 Q-002N455L 332114******0007 ASMA NAILATUL KHOIRIYAH 10 082314597472 11/02/2022
407 Q-002N46XI 332114******0003 FATKHUL MAJID 12 08895050339 11/02/2022
408 Q-002N494P 332114******0001 DAVAN ADITYA SAPUTRA 11 081254288908 11/02/2022
409 Q-002N4CDK 332114******0001 ANISA KHALIMATUS SA'DIYAH 10 088233798633 11/02/2022
410 Q-002N4CHY 317510******1004 AKHMAD FAUZI RAKHMATULOH 12 085213178726 11/02/2022
411 Q-002N4HKV 332114******0002 BAYU PUTRA TRI TAMA 11 085255070585 11/02/2022

412 Q-002N4HRM 332114******0003 ELVIRA NATASYA 11 088802576240 11/02/2022
413 Q-002N6TTT 332114******0001 HABIB KHOIRUL FAHMI 10 08122532482 11/02/2022
414 Q-002N7VHG 332114******0002 MUHAMMAD TAUFIQIL HUDA 34 082133691123 11/02/2022
415 Q-002N9H0Z 332114******0003 ZIAROTUL ZAHRA MAHARANI 7 082311931309 11/02/2022

416 Q-002N9H20 332114******0003 RAKHA FIRJALHAM 7 082327140220 11/02/2022
417 Q-002NA56Q 332114******0002 KHOIRUL UMAM 7 081343020390 11/02/2022
418 Q-002NA56R 332114******0001 MOZA RIZKY OKTAVIANA 7 085325535526 11/02/2022
419 Q-002NA57K 332114******0001 ASYRAF KHAIRUL AZZAM 7 081343020390 11/02/2022
420 Q-002NA57M 332114******0002 DEVIKA MAULIDYA RAHMA 7 082325380765 11/02/2022
421 Q-002NA57N 332114******0002 FATIMATUZZAHRO 7 0895811249400 11/02/2022
422 Q-002NA57O 331516******0002 IHSAN NABIL HASAN 7 088215084743 11/02/2022
423 Q-002NA57Q 332114******0002 KHOIRUL ANNAS 7 081312317263 11/02/2022
424 Q-002NA57S 332107******0002 NOVITA SEPTYA RAMADANI 7 08884137315 11/02/2022
425 Q-002NA689 332114******0001 RIZKY ADITYA 11 088227803058 11/02/2022
426 Q-002NB4VZ 332114******0001 ANGGIS SUNAH 8 0881025912054 11/02/2022
427 Q-002NGVLI 337409******0003 SYARIROTUL ISLAMIAH 27 082324231294 11/02/2022
428 Q-002NGY25 337403******0002 TOMMY REZA FERY ADITYA 40 081328545177 11/02/2022
429 Q-002OBC27 332114******0001 MUHAMAD AGUS SALIM 21 085346372976 11/02/2022
430 S-273D69BB 337406******0083 SUPARTI 65 - 11/02/2022
431 S-3948CC73 332112******0002 IKA RAHMAWATI 36 081548989523 11/02/2022
432 S-F8744F4E 332114******0004 IDA SENSUSIWATI 31 085290444365 11/02/2022
433 U-00005I27 332114******0001 DWI RETNO WAHYUNINGSIH 29 085290071207 11/02/2022
434 UL-001JR4P 332114******0001 BAMBANG SUGENG 61 081326868143 11/02/2022
435 UL-001JR5A 332114******0001 BUSIRI 70 - 11/02/2022
436 UL-001JR5Y 332114******0001 MOH KUNDHORI 64 - 11/02/2022
437 UL-001JR6X 332114******0001 SUHARDJONO 65 - 11/02/2022
438 UL-001JR73 332114******0003 AHMAD JUPRI 62 - 11/02/2022
439 UL-001JRD2 332114******0001 MUGUH JANU ISMANTO H 71 - 11/02/2022
440 UL-001JRDE 332114******0001 KASLAN 64 - 11/02/2022
441 UL-001JREI 332114******0001 NUR KHOLIS 65 - 11/02/2022
442 UL-001JRM4 332114******0001 WIJI ASIH 62 - 11/02/2022
443 UL-001JRQS 332114******0001 KARNI 66 - 11/02/2022
444 UL-001JRSS 332114******0001 SEMI 61 085225678901 11/02/2022
445 UL-001JRTB 332114******0001 SUHARTI 67 - 11/02/2022
446 UP-0053H5D 331516******0002 KANTI PRIHATI ARI 41 08122532482 11/02/2022
447 UP-0053VEC 331517******0003 ZULFA 33 08993975042 11/02/2022
448 UP-005IZ9N 332114******0002 SARIMUN 76 - 11/02/2022
449 UP-005IZFR 332114******0001 NUR AIDI 51 08122532482 11/02/2022
450 UP-005IZSB 332114******0001 MUHAMAD AAN MAQNURI 28 088227701566 11/02/2022
451 UP-005IZUC 332114******0004 MUSAFAK 43 0821899502 11/02/2022
452 UP-005J04J 332114******0001 ARIFIN 51 081326356996 11/02/2022
453 UP-005J053 332114******0001 SUKARLI 62 085290420985 11/02/2022
454 UP-005J0QR 332114******0001 NIA KURNIATI 39 081233566415 11/02/2022
455 UP-005J0UX 332114******0001 SRI ZUANA 34 082326487072 11/02/2022
456 UP-005J13Q 332114******0003 MUZAROAH 37 08122513482 11/02/2022
457 UP-005J198 332114******0001 SUWARTI 63 081281741276 11/02/2022
458 UP-005J1M1 332114******0001 SETYAWATI 58 081329720076 11/02/2022
459 UP-005J232 332114******0002 WARTINAH 36 08122532482 11/02/2022

460 UP-005J24H 332114******0001 KUSRIYAH 42 08122532482 11/02/2022
461 UP-005J2DK 332114******0001 SUWARSI 54 085290135232 11/02/2022
462 UP-005J2IM 332114******0002 SITI NURKHASANAH 36 08122532482 11/02/2022
463 UP-005J2US 332114******0002 NUNK WAHYU LARASATI 30 081328409763 11/02/2022
464 UP-005J2XW 332114******0001 JATEMI 46 082134821444 11/02/2022
465 UP-005J31H 332114******0001 SITI MUSRIYATUN 56 085227891010 11/02/2022
466 UP-005J322 332114******0001 SUGIYEM 52 08122532482 11/02/2022
467 UP-005J36J 332114******0001 IRA RUSWITA 33 082242870939 11/02/2022
468 UP-005J380 332114******0002 SHOLECHAH 33 081355888905 11/02/2022
469 UP-005J39V 332114******0001 SULISTIATI 40 081229120988 11/02/2022
470 UP-005J3IM 332114******0001 TUMIRAH 46 08122532482 11/02/2022
471 UP-005J3LY 332114******0001 SITI MUNASIYAH 38 081325810021 11/02/2022
472 UP-005J3S2 332114******0001 ALFA RUKHANAH 45 082134821444 11/02/2022
473 UP-005J3Z2 332114******0001 MURTINI 44 08122532482 11/02/2022
474 UU-0032KY3 331518******0001 PUJIYATI 41 081325137201 11/02/2022
475 UU-0036H66 332114******0002 EKO SUYUTI 38 081219791485 11/02/2022
476 UU-0036H6T 332114******0001 ARIF LUTFIL HAKIM 29 082135623167 11/02/2022
477 UU-0036HBI 332114******0002 H. KARSIDI 53 08122886556 11/02/2022
478 UU-0036HDR 332114******0001 RUKANI 59 081281741276 11/02/2022
479 UU-0036HG9 332114******0001 SITI ROFIATUN 34 085226214431 11/02/2022
480 UU-0036HNB 332114******0001 SITI SOLEKHAH 57 081325678901 11/02/2022
481 UU-0036HNN 332114******0003 DIAN WORO WIJAYANTI 38 082227730375 11/02/2022
482 UU-0036J2D 332114******0002 EKO BUDI WINARNO 54 085327602185 11/02/2022
483 UU-0036J2N 332114******0002 MOHAMAD MU'ARIF 43 085225123534 11/02/2022
484 UU-0036JBB 332114******0004 AKHINA LUTFIL HAKIM 43 62 11/02/2022
485 UU-0036JKU 332114******0001 SUBANDI 41 081228687081 11/02/2022
486 UU-0036JUY 332114******0001 SITI CHOIRIYAH 43 081329645062 11/02/2022
487 UU-0036K0D 332114******0001 Ika Ristianti 35 082227141387 11/02/2022
488 UU-0036K8M 332114******0003 SHOLAEDAH 60 081281741276 11/02/2022
489 UU-0036K96 332114******0001 UMI HANIK 33 085290361407 11/02/2022
490 UU-0036KAN 332114******0001 SITI ZUMROTUN NAIMAH 37 085227859177 11/02/2022
491 UU-0036KAW 332114******0003 MUSYAPAAH 41 085229689589 11/02/2022

492 UU-0036KC5 332114******0001 AINIS SA'ADAH 34 082326257654 11/02/2022
493 UU-006XUSM 331518******0005 SRI WAHYUNI 45 082324515648 11/02/2022
494 UU-007AIXL 332114******0001 SITI FAISAH 37 082189869502 11/02/2022
495 UU-007U0FO 332114******0001 KUSNO 52 085227891010 11/02/2022
496 UU-007U0FS 332114******0004 MUHAMAD MUSLIM 43 085225248521 11/02/2022
497 UU-007U0G2 332114******0003 JAMUSATUN 48 085227891010 11/02/2022
498 UU-007U0GA 332114******0001 SITI MUSTIKOATUN 39 088215037650 11/02/2022
499 UU-00A9FU0 331514******0001 UMTATIK 40 082134821444 11/02/2022
500 UU-00A9KE2 332108******0004 SITI ULFAH 34 08122532482 11/02/2022
501 UU-00A9KW8 332114******0002 MULYADI 39 085225341419 11/02/2022
502 UU-00A9KWI 332114******0003 AENI NUR KHOLIFAH 26 082134821444 11/02/2022
503 UU-00A9KWK 332114******0001 MUSYAHIDAH 50 08122532482 11/02/2022
504 UU-00A9KWT 332114******0001 FERI HIDAYATI 22 08122532482 11/02/2022
505 UU-00B911C 332114******0001 ABDUL KHAMID 47 082314568660 11/02/2022
506 UU-00B9127 332114******0002 SUNARSIH 44 08133899058 11/02/2022
507 UU-00B912A 332114******0002 SITI ISTIKOMAH 47 08993975042 11/02/2022
508 UU-00B912G 332114******0002 alisa qothrunnada 19 085729823469 11/02/2022
509 UU-00B912I 332114******0001 ULYA ABQORY ANIQOH 20 081226887860 11/02/2022
510 UU-00B912K 332114******0001 MAYSURIN NIAMAH 22 085602237487 11/02/2022
511 UU-00BI36P 332114******0001 JUMARI 69 082225066520 LANSIA 11/02/2022
512 Z-000AX6M2 332011******0006 MUHAMMAD RIF'AN 32 082323032148 11/02/2022
513 Z-000CNLOW 332114******0001 MUSLIMAH 61 085875280974 11/02/2022
514 Z-000CNLSH 332114******0001 UMAR 79 089525670914 11/02/2022
515 Z-000CNSN9 317301******0022 SUSY APRIHATI 42 082137931117 11/02/2022
516 Z-000CNTJ4 332114******0001 SUDARYATI 74 089525670914 11/02/2022

517 Z-000CTHII 332114******0001 MUHADI 69 082338158594 11/02/2022
518 Z-000F5K7U 332114******0001 KARNIN 72 081325228177 11/02/2022
519 Z-000GH87W 332114******0002 YATEMI 61 - LANSIA 11/02/2022

2022 DI BLAIDESA TLOGOSIH
HASIL
OBSERVASI













































Pemberian Vaksin Selesai COVID-19 Vaccine Pfizer PFIZER 3 Tanpa Keluhan


DATA PCARE VAKSINASI TANGGAL 12 FEBRUARI 2022 DI BLAIDESA PRIGI
TANGGAL
DAFTAR
1 P-0PJYJCP7 332703******0003 SARNOTO 31 085870499628 MASYARAKAT UMUM 12/02/2022
2 P-0WOMU4W6 332114******0003 MUHAMMAD KHOIRUL MUJIB 17 088238176593 REMAJA 12/02/2022
3 P-0XU5S5MS 332114******0001 BIMA ADI SAPUTRA 17 085870862366 MASYARAKAT UMUM 12/02/2022
4 P-1CDLQKNY 331508******0001 NELI UMIHANIK 26 085870499628 MASYARAKAT UMUM 12/02/2022
5 P-1KCM7020 332106******0002 MUKHAMMAT RIZKI PRATAMA 17 081463806838 MASYARAKAT UMUM 12/02/2022
6 P-1KCNKDYP 332114******0002 THORIIQOTUL JANNAH 6 081343020390 ANAK 12/02/2022

7 P-1PSXO4WI 332114******0001 MUHAMMAD ALVINNI'AM 8 081343020390 ANAK 12/02/2022
8 P-1RRSFZYH 332106******0001 ASMI'AH 56 085640498681 MASYARAKAT UMUM 12/02/2022
9 P-1SJKD3A6 332106******0006 ISLAMIYAH 39 085225045709 MASYARAKAT UMUM 12/02/2022
10 P-1TJB6C1I 332114******0002 MUSAFAAH 42 085640498681 MASYARAKAT UMUM 12/02/2022
11 P-1UJFAMHZ 332114******0001 BANU ABDUL MU'IZ 10 088227830323 ANAK 12/02/2022

12 P-1W4UKNLK 332114******0002 NURIL FURQON 10 085641501685 ANAK 12/02/2022
13 P-1XD3X5LH 332114******0002 WIWIK SULISTIYOWATI 53 085640498681 MASYARAKAT UMUM 12/02/2022
14 P-1XY2XVB1 332114******0001 NOVI AFRIANI 17 0895638849031 MASYARAKAT UMUM 12/02/2022
15 P-1YYAYGML 332114******0002 AHMAD MUSBIKIN 37 085640498681 MASYARAKAT UMUM 12/02/2022
16 P-22YYRB0P 332114******0001 NISAATUS SHOLEHAH 7 082335808696 ANAK 12/02/2022

17 P-26R0LHXZ 332114******0003 MUHAMMAD NUR IDHOFI 10 081390043408 ANAK 12/02/2022
18 P-2MCTA9K0 332114******0001 MUHAMMAD AL FATIH 6 085600494951 ANAK 12/02/2022
19 P-2NKRYKKR 530201******0001 LISA AMELIA 9 0813254356543 MASYARAKAT UMUM 12/02/2022
20 P-2PFAKLAP 332114******0001 SITI MUKHOTIYAH 46 085227891010 MASYARAKAT UMUM 12/02/2022
21 P-2UPUIYKJ 332114******0002 NIFA ILAF MUJIYANA 6 081212116926 ANAK 12/02/2022
22 P-3EKL169I 332101******0001 DYAH AYU PERWITASARI 27 085870499628 MASYARAKAT UMUM 12/02/2022
23 P-3TKSP17H 332114******0001 EKA YUNAENI 38 085870499628 MASYARAKAT UMUM 12/02/2022
24 P-5J3CDMP7 332114******0001 INDAH RAHMAWATI 21 08814112838 MASYARAKAT UMUM 12/02/2022
25 P-5JUBXNBB 332114******0001 LUIS ENDANG WIGATI 20 088226751808 MASYARAKAT UMUM 12/02/2022
26 P-5KXH7F2I 332114******0001 ALIMATUL ULYA KAMALASARI 18 081343020390 MASYARAKAT UMUM 12/02/2022
27 P-FDJBWO4M 332114******0001 RISDA ZAHROTUN NAFIAH 12 081392993088 REMAJA 12/02/2022
28 P-KZO06YEC 331517******0002 RAFANDRA AQILA AHZA 10 087833703859 ANAK 12/02/2022
29 P-NBQYE8L3 332114******0003 ANANG SETYAWAN 38 081225326372 MASYARAKAT UMUM 12/02/2022
30 P-OXETZ3KC 332109******0005 HERY SETIAWAN 35 085640498681 MASYARAKAT UMUM 12/02/2022
31 Q-0019SL5D 332111******0001 FATKHUR ROHMAN 42 081908132626 12/02/2022
32 Q-0019UD4F 332110******0004 SITI SAONDAH 40 081908132626 12/02/2022
33 Q-001C0D5Q 332114******0002 NGATINI 49 085327602185 12/02/2022
34 Q-0029RDS4 332114******0001 SITI NASILAH 41 089504806622 12/02/2022
35 Q-002FVW52 161107******0035 ZULKARNAIN 51 085217062213 12/02/2022

36 Q-002J8CR2 332114******0001 NASHIIROTUN NABIILLAH 7 081325241669 12/02/2022
37 Q-002J8CR8 332114******0002 MUHAMMAD ALWI ALHANI 6 081325241669 12/02/2022
UMI KHAIRAT MASITHOH
38 Q-002J8CRC 332114******0001 7 081325241669 12/02/2022
KAFFAH
39 Q-002J8CRT 332114******0001 AURORA ARSYA BONANZA 7 081325241669 12/02/2022
40 Q-002J8CS3 332114******0001 AJI SOKO WICAKSONO 8 081325241669 12/02/2022
41 Q-002JDM9U 332114******0001 INNA AQILA KHAWA 9 081325241669 12/02/2022
42 Q-002L22HU 331517******0001 RAZAN NATASYA AYU 6 081325241669 12/02/2022
MUHAMMAD HUMAM
43 Q-002L3RTD 332114******0001 MUNTAHA 7 081325241669 12/02/2022
44 Q-002L3RZ9 332114******0002 ADITYA RAMA PUTRA 8 081325241669 12/02/2022
45 Q-002L4W9W 332114******0001 VERRA VIVIANA GIO GRASILLA 7 081325241669 12/02/2022
46 Q-002L58VW 332114******0004 MUHAMMAD NUGROHO 13 089525670914 12/02/2022

47 Q-002L88Z3 332114******0001 SANDY DHANI FIRMANSYAH 9 082265025850 12/02/2022
48 Q-002LA6SR 332106******0002 ANDIKA WAHYU PUTRA 10 081325249752 12/02/2022
49 Q-002LB8M0 332114******0003 MUHAMMAD QOIRUL MUSA 7 085600531477 12/02/2022
50 Q-002LEKJ4 332114******0001 DINA MA'RIFATUL ULYA 12 085226487045 12/02/2022
51 Q-002MWIEH 332114******0001 VIOLETTA AULIA BAHRAN 7 082282666602 12/02/2022
QOTHRUNNADA FAUZIYYAH
52 Q-002MXWF1 332114******0001 9 085867167769 12/02/2022
RAMADHANI
53 Q-002MXWFJ 332114******0003 RAVAEL OKTA KIANO 10 088233456379 12/02/2022
NAYLA SYIFA FAWWAZAH
54 Q-002MXWIT 160315******0003 9 082254360654 12/02/2022
SANTOSO
55 Q-002MXWL6 331513******0001 KENZIE PUTRA RIELEN 10 085866755624 12/02/2022
56 Q-002MXWMK 332114******0003 MAULANA MALIK IBRAHIM 10 088802861900 12/02/2022
MUHAMMAD MAULANA
57 Q-002MXWNA 332114******0003 10 088227393116 12/02/2022
FEBRIANUDIN
58 Q-002MXWP0 332114******0001 NOVELIANA PUTRI ANISA 9 081228520054 12/02/2022
59 Q-002MYKIT 332114******0003 BUNGA AFRILIA ALAMSYAH 12 081238370520 12/02/2022
60 Q-002MYM9K 332107******0001 ALIM MIFTAHUL KHOIR 12 081390613328 12/02/2022
61 Q-002MZODT 332114******0002 ALMIRA AKSELIA RASENDRIYA 6 081392426162 12/02/2022
ARDIAN RANGGA PUTRA

62 Q-002MZORD 332114******0001 10 081548214119 12/02/2022
MAULANA
63 Q-002MZOS5 332114******0001 RENCY AQILA SYAFA 9 088802895044 12/02/2022
64 Q-002MZOSJ 332114******0002 SAKHA MAHESHA MURTI 8 081328441472 12/02/2022
65 Q-002MZOSV 332114******0001 APRILIA FAJRIA AZZAHRA 9 082313674007 12/02/2022
66 Q-002MZOT8 332114******0001 ADI PUTRA MAHENDRA 8 085876876349 12/02/2022
67 Q-002MZOTS 332114******0001 YUSTINA AYU PARAMITA 8 088220080414 12/02/2022
68 Q-002MZOU4 332114******0002 SITI NURUL HAFIZHAH 8 088225093151 12/02/2022
69 Q-002MZOUP 332114******0001 MUHAMMAD ZUDI FEBRIANO 10 088229902248 12/02/2022
70 Q-002MZOWO 332114******0001 SYIFA AZALIA 9 082136924004 12/02/2022
71 Q-002MZOXT 332114******0002 YALINA ZAHROTUN NISSA 9 088233501392 12/02/2022
72 Q-002MZOYF 332114******0001 ALFA ZAHROTUNNISA 9 085742114402 12/02/2022
73 Q-002MZUMU 332114******0002 KHAMED REZA ARROFI' 12 082136302405 12/02/2022
74 Q-002N06UE 332114******0001 PRADANA ARGA SEPTIANSYAH 10 088233826148 12/02/2022
75 Q-002N0701 332114******0001 RIZKA NURUSSA'DIYAH 11 082135444789 12/02/2022

76 Q-002N08MG 332114******0001 SITI MILLATUL ULYA 11 088239239116 12/02/2022
77 Q-002N08RH 332114******0002 VIRKA RIFKY AFANKA 11 081248857070 12/02/2022
78 Q-002N09MN 332114******0001 ZIDAN IKBALUL KHOIR 11 081393781321 12/02/2022
79 Q-002N0AJ2 331516******0001 ASEF ROMI FIRLI 11 081229391765 12/02/2022
80 Q-002N0AX1 332114******0001 ARI LUKMAN WAHID 12 08812461886 12/02/2022
81 Q-002N0G9T 332114******0002 SHIFA ZAINATUL MUSTAQFIROH 10 088232262157 12/02/2022
82 Q-002N169S 332114******0002 ALVINO EKO PRASETYO 11 08814186496 12/02/2022

83 Q-002N16BY 332114******0001 ALFIYATUR ROHMANIYAH 10 088232977576 12/02/2022
84 Q-002N1MGI 332114******0001 FIKRATUHA NABIH JINANUH 12 085225945495 12/02/2022
85 Q-002N1UKS 332114******0001 INTANIA NAURA HANIFAH 12 08895734431 12/02/2022
86 Q-002N2SD4 332114******0003 ARGYA ANJI KAYANA 10 085726424015 12/02/2022
87 Q-002N2SDG 332114******0001 ELYCIA AFRILIA PUTRI 10 085228327865 12/02/2022
88 Q-002N2SE6 332215******0002 DEVIKA DAHIWHATUL ARIFAH 10 081384700060 12/02/2022
HIBATULLAH DAFIQ
89 Q-002N2SGM 332114******0004 10 088227948161 12/02/2022
KHUSNADZAR
90 Q-002N32YJ 332114******0002 PUTRI RAHMANIA FIRDAUS 12 085882005421 12/02/2022
91 Q-002N3811 332114******0001 SUTA MAULANA HUSAIN 12 081000000000 12/02/2022
92 Q-002N3GXY 332114******0001 SHIFAUL MUNADIROH 12 082134790571 12/02/2022
93 Q-002N3JZB 332114******0003 NIKEN AYU FITRIANI 12 085878337864 12/02/2022
94 Q-002N3T1R 332114******0001 AUDIA SIRIL KAFILA 11 088239962985 12/02/2022
95 Q-002N3T9Y 332107******0002 ISTIKOMATUL AULIA 10 088238064115 12/02/2022
96 Q-002N3Y5O 332114******0001 SYAFATUL KHIFDHIYAH 11 088232270469 12/02/2022
97 Q-002N420E 332114******0002 SUCI ALIYATUL HUSNAH 10 0882005494701 12/02/2022
98 Q-002N4A0B 332114******0002 AHMAD DZUL HIKAM 11 085226417830 12/02/2022
99 Q-002N4AX0 332114******0001 SYARIFAH ALAWIYAH 12 081391438183 12/02/2022
100 Q-002N4BPJ 332114******0001 DEWI MURTIYANINGTYAS 12 081325909279 12/02/2022
SHERIN AURELIA PUTRI
101 Q-002N4G5T 332114******0002 RAMADHANI 12 081575649481 12/02/2022
102 Q-002N5029 321606******0007 DEAN ALVARO 9 085215412744 12/02/2022

MUHAMMAD FIRMAN
103 Q-002N5E9R 332114******0002 12 088221508658 12/02/2022
IRGIANSYAH
104 Q-002N5N43 332114******0001 ISABELLA TRIA WAHYUNINGSIH 12 081225529648 12/02/2022
105 Q-002N6RJU 332114******0001 NUR HALIMAH 10 088232181730 12/02/2022
106 Q-002N6SSY 331503******0001 RAHMAD NEVAN KURNIAWAN 9 08884135671 12/02/2022
107 Q-002N71EM 332114******0002 ANINDYA RINTRI WARDANI 7 08886660916 12/02/2022

108 Q-002N73SD 332114******0001 RIZKA AULIA RAMADHANI 9 081918775923 12/02/2022
109 Q-002N7Q0T 331220******0001 PRAYOGA 11 081391424531 12/02/2022
110 Q-002N7YMM 332114******0001 TIFHANY NOVELIA PUTRI 11 081275910190 12/02/2022
111 Q-002N9GES 332114******0001 NAJWA SARIFATUL ADKHA 9 081328340827 12/02/2022
112 Q-002N9NXX 331513******0003 MOKHAMAT REJEKI ANUGRAH 11 088233192146 12/02/2022
113 Q-002N9QWK 332114******0001 MUHAMMAD RIZA FADILA 11 085778651126 12/02/2022

114 Q-002Q3KLK 332114******0001 IBRAHIM UMAR FARUQ 8 088233173202 12/02/2022
115 Q-002Q3KLS 332114******0001 DAHLAN ZAINUL ARIFIN 7 085842032628 12/02/2022
116 Q-002Q3KM3 332114******0001 ADNAN ERJE FIDELYO 7 081326208236 12/02/2022
117 Q-002Q3KM4 332114******0002 DIMAS PUTRA ERLANGGA 8 088802716157 12/02/2022
118 Q-002Q3KMD 332114******0001 IRKHAM ROMDLONA 8 085870499628 12/02/2022
119 Q-002Q3KN1 332114******0001 SADIYA BASWARA 6 081226130831 12/02/2022
120 Q-002Q3KN7 332114******0002 SADIRA BASWARA 6 081226130831 12/02/2022
121 Q-002Q3KO3 332114******0001 GHASSANI NAA'IMAH 7 088221528390 12/02/2022
122 Q-002Q3KO8 332114******0001 BILQIS ZAHWA QATRUNNADA 8 081568491695 12/02/2022
123 Q-002QAQ3E 367103******0006 ARJUNA RASYA AL FAJRI 8 087887339576 12/02/2022
124 S-6E57E7B3 332111******0002 SHOLECHAH 63 - 12/02/2022
125 S-EED2DDE0 332114******0001 NURSIDI 67 085640498681 LANSIA 12/02/2022
126 U-00004Z5N 332102******0002 Priskila Dian Kurniawati 29 089670196569 12/02/2022
127 U-0000UFT5 332111******0002 MUNFAATULIYA 27 082313307711 12/02/2022
128 UL-001JR4H 332114******0001 KASMIR SPD 65 - 12/02/2022
129 UL-001JR92 332114******0002 NURHADI 67 - 12/02/2022
130 UL-001JREB 332114******0001 ASHARI 79 - 12/02/2022
131 UL-001JRGO 332114******0001 HARYONO SAg 62 - 12/02/2022
132 UL-001JRHQ 332114******0001 PURYANTO 66 085290081164 12/02/2022
133 UP-005GDWP 332106******0002 SITI ROMLAH 73 085227891010 LANSIA 12/02/2022
134 UP-005IYDT 332114******0001 SLAMET 58 08122532482 12/02/2022
135 UP-005IYNZ 332114******0006 SAIFUL ANWAR 38 085691590083 MASYARAKAT UMUM 12/02/2022

136 UP-005IZU6 332114******0001 SUMARYADI 34 085701556459 MASYARAKAT UMUM 12/02/2022
137 UP-005IZUZ 332114******0002 ZAINI AHMAD 57 081229085155 12/02/2022
138 UP-005J1OF 332114******0001 SITI MARYAMAH 60 081390267890 12/02/2022
139 UP-005J29J 332114******0001 KASRITI 66 - 12/02/2022
140 UP-005J3JT 332114******0001 WAHYU DWI RAHMAWATI 32 088232784097 12/02/2022
141 UP-005J3PZ 332114******0001 SRI WARSINI 59 082331491566 12/02/2022
142 UP-005J3QR 332114******0001 MASTIAH 33 08122532482 12/02/2022
143 UP-005J3TZ 332114******0001 LULUK TRININGRUM 29 081225505473 12/02/2022
144 UU-0032HFH 331516******0004 BAKU SUJARWO 41 085229338984 12/02/2022
145 UU-0036J3X 332114******0002 SANGIDUN 57 081226222713 12/02/2022
146 UU-0036JEK 332114******0004 SUPRIYONO 39 085385554434 12/02/2022
147 UU-0036JXU 332114******0002 NANIK DWIYANI 41 081227877111 12/02/2022
148 UU-0036K9F 332114******0001 PENI SETYOATI 50 081325678901 12/02/2022
149 UU-003DP56 337402******0004 YULIATI 54 081325553186 12/02/2022
150 UU-006IFRZ 332107******0002 MASTUNI 40 081215450135 12/02/2022
151 UU-0079HQE 327611******0001 NENI HERLINA 39 081226222713 12/02/2022
152 UU-007AHMM 332105******0005 MACHMUD ISKHANDAR 26 082337248039 12/02/2022
153 UU-008VFEX 331516******0012 HASTU RAHMA ANGGRAINI 28 082133029252 12/02/2022
154 UU-008VKKQ 332511******0002 AHMAD SHIDIQ 28 082136704139 12/02/2022
155 UU-00A9KW0 332114******0004 SUGIYONO 41 085857361251 12/02/2022
156 UU-00A9KWD 332114******0001 NURUL JAMAL 36 082134821444 12/02/2022
157 UU-00A9KWO 332114******0001 SOMIAH 36 085201204104 12/02/2022
158 UU-00BNMY1 332114******0002 MUHAJIRIN 42 081390747307 12/02/2022
159 Z-000B8IFO 332106******0001 MUHLISIN 56 085225045709 12/02/2022
160 Z-000F9VDM 332111******0001 PURYATI 64 085327758869 12/02/2022
161 Z-000HRQRL 331518******0004 NUR RACHMAWATI 35 0 MASYARAKAT UMUM 12/02/2022

022 DI BLAIDESA PRIGI
HASIL
OBSERVASI
















DATA PCARE VAKSINASI TANGGAL 14 FEBRUARI 2022 DI PUSKESMAS KEBONAG
TANGGAL
DAFTAR
1 P-07KL8EQB 332114******0001 ADITYA AINNURACHMAN 6 0813211111111 ANAK 14/02/2022
2 P-0MJ9GSVQ 332114******0001 CANDRA AGUNG PRASETYA 9 082133029358 ANAK 14/02/2022
3 P-1E0PFFSM 332114******0001 KAILA VERLINDA OKTAVIA 9 088239389226 ANAK 14/02/2022
4 P-1VBDOBAU 332114******0002 ZAKI BASYA 11 081237471388 ANAK 14/02/2022
HANNYFA NAURA CAHYA
5 P-2TMHAGOR 331516******0003 DIANTO 11 082351865798 ANAK 14/02/2022
6 P-2VDEVBQQ 332114******0001 SAYYIDATUR ROHMAH 11 085290112887 ANAK 14/02/2022

7 P-2W3Z7FNF 332114******0001 MUDRIKATUL FALAKHAH 6 0800000000000 ANAK 14/02/2022
8 P-31YD1K2Y 332114******0001 MUHAMMAD SUBCHAN ARIF 11 088239389226 ANAK 14/02/2022
9 P-N6RQ2H3P 332114******0002 DEVI AULIA ANGGRAINI 10 081225803085 ANAK 14/02/2022
10 Q-000ZDORO 332114******0002 PRASETYO WAHYU UTOMO 20 082134344192 14/02/2022
11 Q-000ZMW9P 332114******0002 ABDUL MUKHID 51 082333106055 14/02/2022
12 Q-002ISC3Y 332114******0001 AHDLA LI ARFA'A 9 080000000000 14/02/2022
13 Q-002JT0QR 332114******0002 USWATUN KHASANAH 10 088232049728 14/02/2022
14 Q-002K2LE8 332114******0001 RAMA ADI PRASETYO 9 081215917406 14/02/2022
MUHAMMAD 'ABID EGA
15 Q-002KAXRL 332114******0005 11 085727105845 14/02/2022
ALBANU
16 Q-002KEE0U 331516******0002 SAFIRA SETYA MAWAR RANI 11 0895421881981 14/02/2022
MUHAMMAD FAHRI ADI
17 Q-002KEE1V 331516******0004 8 085713519501 14/02/2022
SAPUTRA
18 Q-002KQFCM 332114******0001 ZAHRATUS SITA 6 080000000000 14/02/2022
19 Q-002KRDB2 332114******0001 ALISHA KHAIRINNISWA 8 081227145401 14/02/2022
20 Q-002KVEV1 331806******0002 SYIFA PERMATA MEDINA 12 088225032879 14/02/2022
21 Q-002L22GA 332114******0001 AFANIN DZAKIRA SYAUQI WILDA 7 081227795878 14/02/2022
22 Q-002L22GD 332114******0002 AURELIA YOJA NAURA ZAFARANI 7 085700930093 14/02/2022
23 Q-002L22GG 332114******0003 APRILIA PUTRI 7 08000000000 14/02/2022

MUHAMMAD MASHUMUN
24 Q-002LOPXS 332114******0001 8 080000000000 14/02/2022
ALFIKRI
25 Q-002LR0HP 332107******0002 RAFA ALVIARANGGA DESTA 8 08888888888 14/02/2022
26 Q-002LRYA6 332114******0002 NESHA FADHILATUL ISNIYAH 8 082221364318 14/02/2022
27 Q-002LS1PT 332114******0001 MAYASIRUL SYIFAUL IZZA 11 08888888882 14/02/2022
28 Q-002LTXY6 317303******1001 NABILA ADELIANI 8 08888888882 14/02/2022
29 Q-002LX2CB 332114******0001 RISKA ANIFTA SAFITRI 7 08888888882 14/02/2022
30 Q-002M5J0Z 332114******0001 SAHIRA AMELLIYA PUTRI 8 08888888882 14/02/2022
31 Q-002M5VAQ 332114******0002 AYU MISLA KUSNIKAWATI 7 081584325748 14/02/2022
32 Q-002M6JES 332114******0002 AINUL MAULIDATUR ROSYIDAH 9 085326536718 14/02/2022
33 Q-002MIGE0 332114******0001 MUHAMMAD BAGUS SAJIWO 8 08000000000 14/02/2022

34 Q-002MNGPC 332114******0001 AZAM MIFTAKHURROHMAN 10 085268202800 14/02/2022
35 Q-002MOK09 332114******0002 IZZA ASMAUL HUSNA 12 08888888882 14/02/2022
36 Q-002MOLB2 332108******0001 MUKHAMMAD IZZA NAFIS 11 08888888882 14/02/2022
37 Q-002MOLDO 332110******0001 VANESIA ALIYAH HIKMAH 8 085742283082 14/02/2022
38 Q-002MPH0Z 332114******0002 RANGGA PRATAMA YOGI 10 08888888888 14/02/2022
39 Q-002MZOCJ 332114******0002 MUMTAZAH 7 081215078731 14/02/2022
MUHAMMAD REHAN
40 Q-002MZOVN 332107******0001 8 088216057955 14/02/2022
SYAHPUTRA
41 Q-002N43UJ 332114******0001 MUHAMAD DERI SUDRAJAT 12 088238106839 14/02/2022
42 Q-002O1TEY 332114******0001 NURUL HIDAYAH 8 088802402556 14/02/2022
43 Q-002O1TF3 332114******0002 MUHAMMAD FATKUR ROHMAN 10 085602886193 14/02/2022
44 Q-002O1TFC 332114******0003 NATASYA FIDYA PUTRI 11 085875634894 14/02/2022
45 Q-002O1THO 332114******0004 ABIYYU NAUFAL RAJO TUNGGAL 7 082003286220 14/02/2022
46 Q-002O1WLG 332114******0002 MUHAMMAD NAJIH NASRULLAH 9 081225424599 14/02/2022
47 Q-002O1Y71 332114******0001 AHMAD IRGA MUTHI KHASAN 8 088238028024 14/02/2022
48 Q-002O1Z0S 332114******0001 CITRA AYU NOVITA SARY 12 081325228177 14/02/2022

49 Q-002O26UZ 332511******0005 NABILA INDAH SYAFITRI 6 082137439019 14/02/2022
50 Q-002O28EB 332107******0001 ADRIAN RAFIF PRADIPTA 8 085713300963 14/02/2022
51 Q-002O28YW 321509******0001 MUHAMMAD KEVIN IBNU HAFIZ 7 081388141787 14/02/2022
52 Q-002O40CR 332114******0001 MUHAMMAD URAYNA AFRA 7 088232306472 14/02/2022

53 Q-002O47XM 332114******0001 BINTANG BUDI PRADITYA 7 088232766933 14/02/2022
54 Q-002O4ALY 332114******0003 KARIMATUNNURIL FALAH 8 087733793006 14/02/2022
55 Q-002O4JST 332114******0002 KHRISNA ADITYA ROHMAN 8 088232307768 14/02/2022
56 Q-002O4K45 332114******0002 NOVA DWI ALAMSYAH 11 082113582803 14/02/2022
57 Q-002O4LPO 332114******0001 AYINATUL LATIFAH 10 083825241704 14/02/2022
58 Q-002O5A4O 332114******0002 NAURA HASNA ANNIDA 9 081225081100 14/02/2022
59 Q-002O5AFJ 332014******0001 PUTRA DEWANTO 9 088215302069 14/02/2022
60 Q-002O5AG7 332114******0001 NAERA ANASTASYA 9 081326715774 14/02/2022
61 Q-002O5CKV 332114******0001 BAYU SURYA KUSUMA 12 081215937195 14/02/2022
62 Q-002O5OYT 332114******0001 IZZATUNNAFSIL MUSTAFIDAH 10 088221253504 14/02/2022
63 Q-002O5R8S 332114******0002 BINTAR PUTRA WARDANA 7 088232766933 14/02/2022
64 Q-002O5T43 332114******0002 PANDU DEWANANTA PRASASTI 8 087733863089 14/02/2022
65 Q-002O603R 332114******0001 SABILUNNAJA 8 081328492317 14/02/2022

66 Q-002O675B 332114******0002 ANGGUN AYU SYAFITRI 7 085230109008 14/02/2022
67 Q-002O6A75 332114******0002 RAHMA AZIM ZAILANI 11 081327340327 14/02/2022
68 Q-002O6C8F 332114******0001 FATHI HIDAYAT 10 085799774213 14/02/2022
69 Q-002O6CP2 332114******0001 REVA THALITA ANDINI 6 081233566238 14/02/2022
MUHAMMAD ADISTA ILYAS
70 Q-002O6Y2W 332114******0002 10 085727591741 14/02/2022
SAPUTRA
71 Q-002O6Y32 332114******0001 YAZID SHOFIUDDIN 7 085880242959 14/02/2022
72 Q-002O6Y39 332114******0002 BHAGASKARA FAIDLURRAHMAN 10 088220248812 14/02/2022
73 Q-002O6Y3I 332114******0003 GISTA SUCI YULIYANA 7 085722802808 14/02/2022

74 Q-002O6Y3O 332114******0002 ARIQA KANZA AZZAHRA 8 085872766799 14/02/2022
75 Q-002O6Y46 332114******0003 BUNGA NATASYA PUTRI 11 085876785632 14/02/2022
76 Q-002O988S 332114******0001 AZKA SYANDANA RAHMAN 9 080000000000 14/02/2022
77 Q-002O988X 332114******0001 ZAHWA BERLIANA 8 089602150906 14/02/2022
78 Q-002O98F9 332114******0001 RIZKI JIAN PRATAMA 11 088806233130 14/02/2022
79 Q-002O9VP4 332114******0001 ADINDA TRIE KUSUMA ANJANI 12 08232255488 14/02/2022
MUHAMMAD ZIDHAN EL
80 Q-002O9YPB 332114******0002 SYARAWI 6 085113309736 14/02/2022
81 Q-002O9ZBI 332114******0001 RAFA AZKA PUTRA 6 085225258527 14/02/2022

ANGELLIA AGUSTINA
82 Q-002OA4LF 332114******0001 RAMADHANI 11 088233815295 14/02/2022
OCTIKA KANNA CAHYANINGRUM

83 Q-002OAGN2 332114******0003 AL MAKRUB 11 082171343086 14/02/2022
84 Q-002OAGNB 332114******0001 AHMAD THORIQ AL KARIMI 12 085291995471 14/02/2022

85 Q-002OAGNW 332114******0001 NU'LINUL KHAKIM 12 08000000000 14/02/2022
86 Q-002OB3JD 331516******0002 FADIL NUR ROHMAD 12 082138223695 14/02/2022
87 Q-002OB3JR 332114******0001 NAURA FITRI AZ ZAHRA 8 081222804704 14/02/2022
88 Q-002OD66X 332114******0001 AKHSAN AINUR ROZIQIN 6 085842012275 14/02/2022
89 Q-002OD6CM 332114******0001 SAFA ALMIRA 11 0895359971841 14/02/2022
90 Q-002ODLYC 332114******0001 PUTRI FATIMATUZZAHRO 7 081390511191 14/02/2022
91 Q-002ODM0G 332114******0001 KEYSHA VIRGINIA PUTRI 7 088221342043 14/02/2022
92 Q-002ODM0J 332114******0001 MUHAMMAD ILHAM ZAHRANI 8 085225000129 14/02/2022
93 Q-002ODM0O 332114******0001 MUHAMMAD DAFA FEBRIAN 10 085607560436 14/02/2022

94 Q-002ODM0T 332114******0001 SHELLO SYAHRI MUHTAROM 10 085799782637 14/02/2022
95 Q-002ODM0Z 332114******0003 DINDA AYU PRAMESTI 9 085600556503 14/02/2022
96 Q-002ODM17 331516******0002 MUFTI YAZQIA ALFATYH 10 085727112162 14/02/2022
97 Q-002ODM1O 331519******0001 AZKA RAMADHAN 7 081227444928 14/02/2022
98 Q-002ODM2B 332114******0001 SHINDY AULIA 10 08000000000 14/02/2022
99 Q-002ODM30 332114******0001 AHMAD IFAN SHOLA KHUDIN 10 08000000000 14/02/2022
100 Q-002Q3KN9 332114******0001 DINDA MARLIN AYUNDA UTAMI 7 089621460302 14/02/2022

DI PUSKESMAS KEBONAGUNG
HASIL
OBSERVASI












DATA PCARE VAKSINASI TANGGAL 15 FEBRUARI 2022 DI BALAIDESA SARIMULYO
TANGGAL
DAFTAR
1 P-2LWBNWGO 332114******0001 MUHAMMAD IRSYAD 6 081312368040 ANAK 15/02/2022
MASYARAKAT
2 P-31IQYELE 332114******0001 SUGIYANTI 42 0800000000000 15/02/2022
UMUM
MASYARAKAT
3 P-4IUEVS6G 332114******0001 MUTIAH 38 085842472050 15/02/2022
UMUM
MASYARAKAT
4 P-6RY7I4WJ 332204******0004 SATIYO 42 081229338235 15/02/2022
UMUM
MASYARAKAT
5 P-6SIBBPPC 332114******0003 SITI NURKHASANAH 19 082241878716 15/02/2022
UMUM
MASYARAKAT
6 P-6T2LR9WN 332114******0001 MEI FAJAR SARI 20 085701067352 15/02/2022
UMUM
MASYARAKAT
7 P-6TU4XW7S 332114******0003 SURIJAN 50 085210907317 15/02/2022
UMUM
MASYARAKAT
8 P-6U9C9KJO 332114******0001 NURIYAH 29 085218393573 15/02/2022
UMUM
MASYARAKAT
9 P-6UZQMHC0 332114******0002 SUGIATI 56 085226884838 UMUM 15/02/2022
MASYARAKAT
10 P-6VFTYGXA 332114******0003 HAMAM IZAL MUTAQI 20 0882003057130 UMUM 15/02/2022
11 Q-00015U0P 332114******0005 CANDRA DEVI MAHARANI 23 085777382380 15/02/2022

12 Q-001G9BHG 332114******0001 DUROTUN NASIKHAH 40 085640498681 15/02/2022
13 q-001Z785W 331516******0003 DWI ADHI MAHENDRA 31 081249797018 15/02/2022
14 q-001Z78JO 331516******0001 AYU NILAM SARI 24 089619672830 15/02/2022
15 Q-002CPFYS 332114******0005 MASRIPAN 51 085327648161 15/02/2022
16 Q-002JWBN7 332114******0001 ADNAN YASA ALFAWWAS 7 0888888888 15/02/2022
17 Q-002JWCRD 332217******0001 FAISAL ZAQI MAULANA 6 08100000000 15/02/2022
18 Q-002JWXFS 332114******0001 MILADIA NUR 'ARIFAH 6 088888888988 15/02/2022
19 Q-002K0OAC 332114******0001 MUHAMMAD RAIHAN ALFAQIH 6 080000000000 15/02/2022
20 Q-002L22FV 332114******0001 KANISA NAYLA PUTRI ILMIANTO 6 081325121733 15/02/2022
21 Q-002LC2ZU 332106******0002 ERFINA RISTA AULIA 6 088233776504 15/02/2022

22 Q-002M5MDQ 332114******0002 ABIDZHAR KHOIRUR RAMA 8 088232181693 15/02/2022
23 Q-002O28AE 140503******0002 RANUM SEPTIA ZHARUFA 6 082356797940 15/02/2022
24 Q-002O45IY 332114******0002 MUHAMMAD ALZAM SAFARAZ 6 088888888888 15/02/2022
25 Q-002O49BN 332701******0003 MUHAMAD BERYLEZA PRATAMA 6 0882005336152 15/02/2022
26 Q-002O4FH8 332114******0001 DAVIN PRADANA ALFA RIZKI 6 089523323249 15/02/2022

27 Q-002O4LOQ 351002******0001 SAKTI SIGIT ALFATAH 6 082324325175 15/02/2022
28 Q-002O5FDV 332114******0002 MUKHAMAD SULTAN AL FATHIR 6 0888888888 15/02/2022
29 Q-002O5R32 332114******0001 NIFA ASFIROTUN NIDA 6 081339271489 15/02/2022

30 Q-002O5SO2 332114******0003 FRANANDA ADI BASKORO 6 0888888888 15/02/2022
31 Q-002O69FU 337407******0002 ALIFIAN SANDI KRISHNA 11 085385585399 15/02/2022
32 Q-002O6KGJ 332114******0001 ADIBA SHAKILA RAHMAWATI 6 0888888888 15/02/2022
33 Q-002O9CCL 332114******0002 NADHIFA IZZATUNNISA 6 08882757709 15/02/2022
34 Q-002O9GP5 332114******0001 MUHAMMAD ARFAN HASHIF 6 0888888888 15/02/2022
35 Q-002O9LLO 332114******0002 MUHAMMAD ILHAM SAPUTRA 6 08888888888 15/02/2022
36 Q-002O9MCZ 332114******0002 ARVY DARREL ARRASYA 6 0888888888 15/02/2022

37 Q-002O9O81 332114******0001 ALEXA SETIANA DEWI 6 082137790094 15/02/2022
38 Q-002OA0YL 332114******0002 KEYSA PUTRI ALESINDA 6 082329139832 15/02/2022
39 Q-002OA2EE 332114******0001 BAYU ADHI PRASETYO 6 085226666459 15/02/2022
40 Q-002OA2TQ 332114******0001 RANIA HUMAYRA ZIDNI 6 081390581091 15/02/2022
41 Q-002OA3GW 332114******0001 EVA GITA HERLINA 6 085647793128 15/02/2022
42 Q-002OA3QM 332114******0001 AULIYA PUTRI LESTARI 6 085726646635 15/02/2022
43 Q-002OA3XR 332114******0001 ALVIS FHADIL ABQORI 6 082340881885 15/02/2022
44 Q-002OA403 332114******0001 ANNISAMUFTY MI'ROJ 7 081390747307 15/02/2022
45 Q-002OAAQA 332114******0001 OKTAVIANA ADELIA PUTRI 6 0888888888 15/02/2022
46 Q-002OAIOP 332107******0002 STEFANNY ANINDYA KAMAL 6 085811550082 15/02/2022
47 Q-002OAJZQ 332114******0002 YUSSYIF FAHADH SYAHMAL 6 085601367078 15/02/2022
48 Q-002OAMKW 331516******0001 ARDIAN NOVA SETYO AJI 6 083869653784 15/02/2022
MUHAMMAD WAHYU AKSHAY
49 Q-002OANHP 331516******0001 6 085852377816 15/02/2022
PUJIANTO
50 Q-002OANUX 332114******0001 ABDULLAH IBNU HASAN 6 089635993157 15/02/2022
AHMAD HAYKAL RAHMAT
51 Q-002OAOD2 332114******0001 SAPUTRA 6 089668296003 15/02/2022
52 Q-002OASBK 332114******0002 AHMAD MIRZA HAKIM 6 085291730751 15/02/2022

53 Q-002OAU21 332114******0001 ARSAKHA VIRENDRA GHANI 6 081385255435 15/02/2022
MUHAMAD RAFIQ MAULANA
54 Q-002OAU5T 332114******0001 WIBOWO 6 0888888888 15/02/2022
55 Q-002OAUU7 332114******0001 AKIFA NAILA SAPUTRI 6 0882003788630 15/02/2022

56 Q-002OBGAY 332114******0001 ADIBA SHAKILA ATMARINI 6 085641853983 15/02/2022
57 Q-002OCLYQ 337407******0001 GHIFARI ARSHAD SALAM 7 085385585399 15/02/2022
58 Q-002OCLYV 331516******0001 RAFKHA RADIT FADLIANSYAH 7 085864151963 15/02/2022
59 Q-002OCS2G 332114******0002 AFFAN GHIYATSA NUR FALAH 6 085280268004 15/02/2022
60 Q-002ODB9J 332114******0001 ANINDA HUMAIRA PUTRI 6 08813715931 15/02/2022
61 Q-002Q3KLD 332114******0002 MUHAMMAD AQIL MUJTABA 6 081328409763 15/02/2022
62 Q-002Q3KMH 332114******0001 AQIL AZKA AFFANDI 6 085860353096 15/02/2022
63 Q-002Q3KMU 332114******0001 ELSYA SHAKILA ANINDYA 6 081329162633 15/02/2022
64 Q-002Q3KNQ 332114******0001 ANISA VALENZIA FEBRIANI 7 08888888888 15/02/2022
65 UP-005J35M 332114******0001 SRI LESTARI 43 081226222713 15/02/2022
66 UU-0036H6Z 332114******0005 sukisno 43 0853250868665 15/02/2022
67 UU-0036HFT 332114******0002 AINUR ROHMAH 34 085877639690 15/02/2022
68 UU-0036HJJ 332114******0001 SUPARYEM 47 085728957948 15/02/2022
69 UU-0036JX7 332114******0002 SRI WAHYUNI 40 082227551633 15/02/2022
70 UU-0036K24 332114******0005 SITI 47 085740816616 15/02/2022
71 UU-006HZM8 331516******0002 DEDY KUSYANTO 25 088227324304 15/02/2022
72 UU-007AIXQ 332114******0004 TRI LESTARI 31 081281741276 15/02/2022
73 UU-009A5CC 332114******0001 KENSTANO ALSANOGIAR 29 087742120012 15/02/2022
74 UU-009A5D7 332114******0005 SUKILAH 38 085325086865 15/02/2022
75 UU-00CEYQJ 331517******0001 HERI SISWANTO 51 081325723911 15/02/2022
76 UU-00CEYR7 331517******0002 FADIA TALIA SALSABILA HERVI 21 081325723911 15/02/2022
77 UU-00CEYR8 331517******0002 EVI ARSUL TSANI 52 081325723911 15/02/2022

78 UU-00CEYRE 331517******0005 SYIFA HASNA NABILA 21 081325723911 15/02/2022
79 UU-00CEYRG 331517******0002 DINAR BARKI KAUTSAR HERVI 23 081325723911 15/02/2022

DI BALAIDESA SARIMULYO
HASIL
OBSERVASI
Pemberian Vaksin Selesai Astra Zeneca 3325709V 1 Tanpa Keluhan









DATA PCARE VAKSINASI TANGGAL 16 FEBRUARI 2022 DI BALAIDESA SOLO
TANGGAL
DAFTAR
1 P-0VZAZ1VT 332114******0001 NAURA SAFIYA MAHARANI 6 08157793764 ANAK 16/02/2022
2 P-1FGTO9YN 332114******0002 NIZAR AFNAN ASSYAFIQ 6 081918774565 ANAK 16/02/2022
3 P-1QLEG41A 332114******0001 AFIATUL MUNASIROH 7 085600608441 ANAK 16/02/2022
4 P-1W2DFJG2 332114******0001 BISMA ADITYA FERNANDO 6 085713631016 ANAK 16/02/2022
5 P-1Z0XDDGP 331516******0001 HANUNG ADHYAKSA 6 08886527296 ANAK 16/02/2022
6 P-2IFVEBA3 331501******0001 ABINAYA BASUPATI SUKARMAN 6 082133369175 ANAK 16/02/2022
7 P-2USXL1KA 331516******0002 ALVIAN DWI SAPUTRA 6 085228905814 ANAK 16/02/2022

8 P-3HQ43N6H 332114******0002 HANA ZAHRAH UZMA 6 085870499627 ANAK 16/02/2022
9 Q-000QHQ3U 332114******0002 HERI SETIAWAN 22 085641089413 16/02/2022
BAYU DWI CAHYO PRASETYO
10 Q-002O29FK 332114******0002 10 088233031558 16/02/2022
UTOMO
11 Q-002O3ZAS 332114******0001 CHIKA KHANSA KHALIDA 6 085213711881 16/02/2022
12 Q-002OZ46L 331516******0001 RIDHO HADI WIBOWO 6 081326274059 16/02/2022
13 Q-002OZ49Z 332114******0001 FIA ZIA RAFA JAZILA 6 085718005185 16/02/2022
14 Q-002OZ5LD 332114******0002 VINO ADI PRAYOGA 6 085641265639 16/02/2022
15 Q-002OZ7RZ 331516******0001 MA'RIFATUL IFLAKH 6 0895640465060 16/02/2022
16 Q-002OZAHK 332114******0001 GHIFARI NADIYAN 6 085727351413 16/02/2022
17 Q-002OZCOE 332114******0003 BALQIS CALLISTA MAHARANI 6 081228133836 16/02/2022
18 Q-002OZD3C 332114******0001 AHMAD ABAS HAFIZI 6 08199999999 16/02/2022
19 Q-002OZYAB 332114******0001 MUHAMMAD RAFA AZKA PUTRA 6 08199999999 16/02/2022
20 Q-002OZYDC 332114******0001 MUHAMMAD RAFKA ARDHANI 6 08000000000 16/02/2022
21 Q-002P00KU 337204******0003 ADILLA NURUN NISA 6 08199999999 16/02/2022

22 Q-002P15DE 321303******0006 RAJA MIFTAHUL HUDA 6 08199999999 16/02/2022
23 Q-002P1NFZ 331517******0002 NIKO PUTRA PRATAMA 7 082326081714 16/02/2022
24 Q-002P1OCA 332114******0001 FELISHA BIKRUM SAKHI 6 085784659400 16/02/2022
25 Q-002P2CLN 332114******0002 AVICHA DINDA KUSUKMA 6 08000000000 16/02/2022
26 Q-002P2EC0 332114******0002 AKBAR NURDAFFA PRATAMA 6 08199999999 16/02/2022
27 Q-002P2I88 332114******0001 KAYYISA GHANI AFRIN 6 08199999999 16/02/2022
28 Q-002P2JK5 332505******0002 NAUFAL JABALLAH AL ARIF 7 082133925594 16/02/2022
29 Q-002P2MEF 332114******0003 INZAGGI AHMAD MAULANA 6 08199999999 16/02/2022
30 Q-002P2MQH 332114******0002 ANANG BAYU SAPUTRA 6 080000000000 16/02/2022
31 Q-002P2Q9U 331518******0002 TITIS DZAKY FHA'ADHILLAH 6 08000000000 16/02/2022
32 Q-002P2R7V 332114******0001 ULFA UMMU HABIBAH 6 085319549242 16/02/2022
33 Q-002P3P7Q 332114******0003 OLIVIA ZAHRA 6 08000000000 16/02/2022
34 Q-002P3SVR 332114******0001 SATRIA AGUNG SAPUTRA 7 08199999999 16/02/2022
35 Q-002P4LCV 332114******0001 SABRINA HASNA ADIBA 6 08199999999 16/02/2022
36 Q-002P4VNJ 332114******0001 AMANDA AMELIA 6 08000000000 16/02/2022
37 Q-002P4VYQ 332114******0001 QOTRUNNADA NAZHIFAH 6 08199999999 16/02/2022
38 Q-002P5PW0 332114******0002 SAFIRA FITRIATUL ZAHRA 6 08199999999 16/02/2022
39 Q-002P5TLY 332114******0001 NAJWA KHAIRA WILDA 6 08000000000 16/02/2022
40 Q-002P5U1K 327312******0005 ASYFA PUTRI HUMAIRA 6 08199999999 16/02/2022
41 Q-002P5V3A 332114******0001 FAIRUZ ALTARRA HUSAIN 6 08199999999 16/02/2022
42 Q-002P5XD2 332114******0001 ZAHFI KHOIROTUN NISA 6 08199999999 16/02/2022
43 Q-002P7LBV 331516******0001 MAHESA PUTRA MAHFUD 6 085762352644 16/02/2022
44 Q-002P93D7 332114******0003 HANI YASMIN KHAILAH 6 080000000000 16/02/2022
45 Q-002Q3KLW 332114******0002 BAEDHOWI WAHYU PRATAMA 7 082134123258 16/02/2022
46 Q-002Q3KOF 332114******0001 AFIQA AYUNINDYA RAMADHANI 6 0882211903154 16/02/2022

2 DI BALAIDESA SOLOWIRE
HASIL
OBSERVASI




DATA PCARE VAKSINASI TANGGAL 17 FEBRUARI 2022 DI BALAIDESA KLAMPOK LOR
TANGGAL
DAFTAR
1 J-00076TSM 332809******0001 ABDUR ROFIK 22 085730514326 17/02/2022
2 K-00018CCB 340107******0002 ALVIN NUR RIZKI 22 081237530151 17/02/2022
3 P-0NW3U2UD 332104******0003 SRI WAHYU NINGSIH 22 0812222222222 MASYARAKAT 17/02/2022
UMUM
MASYARAKAT
4 P-0SNC4EIE 330919******0001 ANNISA SALSABILLA 20 085229015667 UMUM 17/02/2022
5 P-0U5VSLEC 332103******0003 REZA NAURA AZZAHRA 15 085227891010 REMAJA 17/02/2022
6 P-16ORMKX2 332112******0003 AFLAKA MAN ZAKAH 13 087758862395 REMAJA 17/02/2022
7 P-18GTLAH4 332114******0001 AINUN NAFISAH 12 0828587141258 REMAJA 17/02/2022
8 P-1PJ5QJAA 332104******0002 TALITHA YUMNA WIJAYANTI 13 08122222222 REMAJA 17/02/2022
9 P-1UXQAWLM 332104******0003 NAILIS SANIYYAH 12 082134504448 REMAJA 17/02/2022
10 P-1V5HZDMF 332104******0002 CHILMA AFIDA 12 0812222222222 REMAJA 17/02/2022
11 P-1VZ74F4F 332114******0001 ALIFVIA RAHMAWATI 12 0813259258188 REMAJA 17/02/2022
12 P-23GUKOWV 332112******0002 EKA AININ NIHA 12 085227891010 REMAJA 17/02/2022
MASYARAKAT
13 P-26DLLJKK 332103******0001 SITI ZAHROTUN NI'MAH 17 081326750099 UMUM 17/02/2022
14 P-26UD9THT 332114******0002 JIHAN KASIHATI 15 088239389226 REMAJA 17/02/2022
15 P-2BWB9UWE 332104******0002 ERLY NAJWA KHAYA TUNNISA 12 085227891010 REMAJA 17/02/2022
16 P-2K28QK3B 332103******0002 DWI WULAN DARI 16 088215766242 REMAJA 17/02/2022
17 P-2K405T5Y 332114******0002 AHMAD FARKHAN SAPUTRA 13 085641226063 REMAJA 17/02/2022
18 P-2K40PHPQ 331503******0002 PANJI DWI PERMANA 17 081329788749 REMAJA 17/02/2022
19 P-2WHJ13BF 332104******0004 ILHAM NUR SAPUTRA 16 0812222222222 MASYARAKAT 17/02/2022

UMUM
20 P-2XR3T9YH 352225******0003 KHYAROTUN NISA' 18 088239389226 MASYARAKAT 17/02/2022

UMUM
21 P-30DKGCFE 332112******0003 KHUSNUL KHULUK 21 085227891010 MASYARAKAT 17/02/2022

UMUM
22 P-33POKIPZ 332114******0002 MUHAMAD NAFI UDDIN 14 0812222222222 MASYARAKAT 17/02/2022

UMUM
23 P-34HHEEHU 331505******0002 ZAINAL MUTTAKIN 19 085227891010 MASYARAKAT 17/02/2022

UMUM
24 P-38HUN04U 332104******0002 FEBY TEGUH RAHMATTULLOH 13 081215747440 REMAJA 17/02/2022
25 P-3B3GNWL2 332104******0005 ARJUN NAJAH 14 082136798990 REMAJA 17/02/2022
26 P-3JHJX3WB 331513******0001 MUHAMMAD ROFIQ 12 082136798990 REMAJA 17/02/2022
MUHAMMAD NURCAHYO AJI

27 P-3POFSHX5 332104******0001 SANTOSO 13 08884047367 REMAJA 17/02/2022
28 P-3PQH5Z0S 332111******0003 ADITYA PRAKOSO 12 0882003999872 REMAJA 17/02/2022
29 P-3UGOIOSJ 332112******0002 KHIKAM JAUHARI FACHRUDDIN 22 082136798990 MASYARAKAT 17/02/2022

UMUM
MASYARAKAT
30 P-41YCOI9Q 332112******0004 AHMAD RIF'AN 18 082136798990 UMUM 17/02/2022
31 P-47OI1YBR 332114******0001 MUHAMAD KHAFIDLLUDIN 17 082136798990 MASYARAKAT 17/02/2022

UMUM
32 P-4GG8LIAY 330919******0001 HANIF KURNIAWAN 18 08136798990 MASYARAKAT 17/02/2022

UMUM
33 P-4KVOBHDT 331516******0001 AHMAD FAISAL GALANG PRATAMA 16 082136798990 MASYARAKAT 17/02/2022

UMUM
34 P-4P37NMFF 332112******0004 MAS ABDUR ROHIM 15 082136798990 MASYARAKAT 17/02/2022

UMUM
35 P-H263OC1N 332103******0002 MUHAMMAD ARWANI 13 082136798990 REMAJA 17/02/2022

36 P-QEZ2ZBHJ 332114******0001 NADHIFATUL ISTIQOMAH 12 081228129082 REMAJA 17/02/2022
37 Q-000RJAH8 332103******0001 HARIS KURNIAWAN SE 43 081390393905 17/02/2022
38 Q-000WI0ZL 331908******0001 ATHIYYATUL MILKI IZZA 23 085692535130 17/02/2022
39 Q-0010NEHO 332104******0005 NURU KAHFI NAJUA 14 082137433812 17/02/2022
40 Q-0010RHA5 140312******0611 NUR HAIRI KHAIRANI 19 082172729916 17/02/2022
41 Q-0010SNJY 140301******4271 YULI YANI 22 0895346141116 17/02/2022
42 Q-0010UFV7 330816******0001 HABIBATUROHMAH 21 083869778055 17/02/2022
43 Q-0013OVWN 332108******0002 EVI ISWAFIYAH 20 088229890108 17/02/2022
44 Q-0014LL3G 332114******0003 ACHMAD ARRAIHAN IN'AM 15 08895160518 17/02/2022
45 Q-0019TNVK 332104******0001 AHMAD RIZQI ANANDA 18 085740124332 REMAJA 17/02/2022
MASYARAKAT
46 Q-0019U572 332114******0001 AHMAD THOYIBUL HAKIM AL FAIZIN 20 085740124332 UMUM 17/02/2022
47 Q-001REOT3 332103******0002 AHMAD FATHUN NAFI 25 085601550395 17/02/2022

48 q-001XUEMQ 330412******0001 UMI KARIMAH 23 081578788992 17/02/2022
49 q-001XWAMH 150208******0004 NUR KHASANAH VIKI YANI 24 085290623256 17/02/2022
50 q-001XWAQ1 332104******0002 NIA RAMADHANI 20 083325928178 17/02/2022
51 q-001XWB9Y 332103******0001 TITIN PARTINI 23 085290623256 17/02/2022
52 q-001XWBCM 150208******0001 DERA MUTIAH SARI 21 085325928178 17/02/2022
53 q-001XWBWX 332112******0002 DEWI AZZAHRA 19 085290673256 17/02/2022
54 q-001XWCCS 331505******0004 MARDLIYAH 26 085290673256 17/02/2022
55 q-001XWFTU 160109******0005 KHOIRUL KHAFIDLOTUSSOLIKHA 17 085357262109 17/02/2022
56 q-001XWHSR 332103******0001 NOVA IZUL SAFA'AH 16 085290673256 17/02/2022
57 Q-0029LE82 332106******0002 ZULFATUN NI'MAH 22 082000000000 17/02/2022
58 Q-0029LL86 332112******0003 MAULIDATUL KHASANAH 21 085290623256 17/02/2022
59 Q-0029LOJ8 332112******0009 MUTAHAROH 21 083838580337 17/02/2022
60 Q-0029LOJE 332112******0002 MAISATURROHMAH 22 085290623256 17/02/2022
61 Q-0029LRJP 332114******0003 LAILATUL MUBAROKAH 20 085290623256 17/02/2022
62 Q-0029LS4H 332105******0001 ADI NUR ROHMAN 14 0813366873529 17/02/2022
63 Q-002D7XN2 331511******0002 MOHAMAD CHAIRUL HUDA 17 088744977786 17/02/2022
64 Q-002FWA1W 332105******0003 MUKARROMAH 20 085943001957 MASYARAKAT 17/02/2022
UMUM
65 Q-002I6DYH 332112******0001 ITA PURNAMASARI 19 081997668408 17/02/2022
66 Q-002ITIUI 332114******0001 DANENDRA NAUFAL SYAHREZA 7 081228801400 17/02/2022
67 Q-002IVWZ2 332114******0001 AHMAD HERI SETIAWAN 12 085803510946 17/02/2022
68 Q-002J2FS9 127110******0003 NAJWA PUTRI LESTARI 12 085694333245 17/02/2022
69 Q-002J5OOR 332111******0005 BIMA ADIT PRADITA 10 082161350050 17/02/2022
70 Q-002J5OP1 332114******0001 DEFTANIA NAJWA PRAMESTI 9 085877135268 17/02/2022
71 Q-002MOBNX 331517******0004 EMILY SABRINA RIANI 10 082133328677 17/02/2022
72 Q-002NF4CF 332114******0002 ADI PRASETYO 16 087764728782 17/02/2022
73 Q-002O3ZE8 337406******0003 ALIFIA BUNGA RIZKIYANI 10 08000000000 17/02/2022
74 Q-002O5A3U 332114******0002 ARYA PUTRA 6 085329355882 17/02/2022
75 Q-002O606S 332001******0003 MUHAMMAD ADITTIYA PUTRA 7 085713358112 17/02/2022
PRATAMA
76 Q-002OD5VP 332114******0001 NISA MARYANI ERLINA 7 08157791791 17/02/2022
77 Q-002OD5W4 332114******0002 SHINTA HERLINA 6 085882932114 17/02/2022
78 Q-002OD5ZW 332112******0002 AHMAD ALVIN HUSNI RIDLO 7 08000000000 17/02/2022
79 Q-002OD60A 331501******0002 FAQIH AL MUBARAK 7 08000000000 ANAK 17/02/2022
80 Q-002OD60R 337406******0002 GENDIS AZKIYA CAHYA 8 08000000000 ANAK 17/02/2022
81 Q-002OD61E 332114******0004 THALITA FITRIANI 8 085226039952 17/02/2022
82 Q-002OD63H 331517******0001 MUHAMMAD SHOFIYULLOH 7 08000000000 ANAK 17/02/2022
83 Q-002OD63L 331516******0002 RENIM NAJWA ANGELLENA 7 08000000000 ANAK 17/02/2022
84 Q-002OD63Y 620102******0002 HAIKAL FIKRI DIYA'ULHAQ 7 08000000000 17/02/2022
85 Q-002OD64L 332114******0001 LUK LUK ALIFA HIDAYAH 10 081210958160 17/02/2022
86 Q-002OD64S 332114******0001 MUHAMMAD KEVIN AL HAQQANI 10 085866355417 17/02/2022
87 Q-002OD654 332114******0001 NI'MATUL MALICHAH 9 081325782927 17/02/2022
88 Q-002OD657 337406******0003 DELIMA KIRANA RIZKIYANI 8 08000000000 17/02/2022
89 Q-002OD659 332114******0001 MUHAMMAD ULINNUHA 10 085727586781 17/02/2022
90 Q-002OD65C 331517******0001 SIGID HASAN FIRMANSYAH 8 08000000000 17/02/2022
91 Q-002OD65U 331517******0001 WILDAN KHOIRUR RIZQ 9 08000000000 17/02/2022
92 Q-002OD660 331517******0002 UMARUL YAHYA ALFARUQ 10 08000000000 17/02/2022
93 Q-002OD678 332114******0001 AFFANDI AFHAM SYAKUR 11 08000000000 17/02/2022
94 Q-002OD67C 332101******0001 HAFIDZ AHMAD IBNU HADI 11 08000000000 17/02/2022
95 Q-002OD69U 332114******0001 ANDIKA RISKYA RAGIL SAPUTRA 13 08000000000 17/02/2022
96 Q-002OD6C1 337405******0002 NISATUL LATIFAH 12 08000000000 17/02/2022
97 Q-002OD6C7 337405******0004 SHOFWATUL MUNA 11 08000000000 17/02/2022
98 Q-002OD6C9 331518******0002 BAYU CAHYA KUSUMA 11 08000000000 17/02/2022
99 Q-002OD6CV 331518******0002 DILLA NOVILIANA SA'ADAH 12 08000000000 17/02/2022
100 Q-002Q08OK 332114******0001 FAZA AMIRUL HAQ 14 0882003196195 17/02/2022
101 Q-002Q2BPV 332106******0005 KHOIRUL ZAMRONNI 20 0882007815686 17/02/2022
102 Q-002Q2EC8 332105******0001 IMAM FAHMI ROSIKHIN 19 081329788749 17/02/2022

103 Q-002UO66B 332114******0002 FAHAD DWI MAULANA 12 082220225949 17/02/2022
104 UL-001JR52 332114******0001 PARJAN 73 - 17/02/2022
105 UL-001JRJY 332114******0011 DEWI 66 - 17/02/2022
106 UL-001JRN9 332114******0002 ENDANG AMIN SULINA HJ 62 - 17/02/2022
107 UP-005IZCH 332114******0001 PURNOMO 42 082227651827 17/02/2022
108 UP-005IZMR 332114******0002 ALI MASTUB 43 085607033440 17/02/2022
109 UP-005IZRG 332114******0002 MICO ANDREANSYAH 21 082383910960 17/02/2022
110 UP-005IZW1 332114******0001 MUHAMMAD ALFAN NAIM 19 081215744909 17/02/2022
111 UP-005J0K0 332114******0001 MUHANDIRIN 44 085870449628 17/02/2022
112 UP-005J0M9 332114******0002 MAULULUDI YULIANTO 25 085875436641 17/02/2022
113 UP-005J0Y9 332114******0001 JASMI 70 - 17/02/2022
114 UP-005J1DS 332114******0001 MARMINAH 63 - 17/02/2022
115 UP-005J1JQ 332114******0002 SULASTRI 51 085225512900 17/02/2022
116 UP-005J1KI 332114******0001 ANI MUSTAGFIROH 38 085870499628 17/02/2022
117 UP-005J2J3 332114******0001 ERNA ROKAYATI 36 082314433331 MASYARAKAT 17/02/2022

UMUM
118 UP-005J2S3 332114******0002 INDAR SUGIYARTI 27 087747876021 17/02/2022
119 UP-005J3HI 332114******0001 SUTINI 57 081325697204 17/02/2022
120 UP-005J3QK 332114******0003 NELI ROSIDAH 32 081329178729 17/02/2022
121 UU-00322UY 331501******0002 EDY HARYANTO 47 085227431978 17/02/2022
122 UU-0036HEH 332114******0001 ENDAH WIDIASTUTI 44 082323503579 17/02/2022
123 UU-0036JKR 332114******0001 MOH RIDWAN 34 085799058247 17/02/2022
124 UU-0036JOW 332114******0001 SAMSUL FALAG 38 081316160046 17/02/2022
125 UU-007AIVU 332114******0001 DODIEK SETIAWAN 29 081219791489 17/02/2022
126 UU-00B906T 332107******0004 PUTTATUN NAIMAH 32 085225258527 17/02/2022
127 UU-00B9126 332114******0001 ZENI ANGGRAENI 20 088232101795 17/02/2022
128 UU-00CPFFX 332114******0001 ALFIAN KRISNA MUKTI 18 082134308540 17/02/2022
129 UU-00CTYTM 332114******0003 SITI ZUBAIDAH 50 085225673389 17/02/2022
130 UU-00CZ1MD 332107******0005 SUPARMIN 39 085225345688 17/02/2022
131 UU-00CZ1VF 332114******0002 ARIF ABDUL AZIS 47 08122821915 17/02/2022
132 UU-00CZ1VI 332114******0001 WAHYU INDAH WIJAYANTI 42 082243984689 17/02/2022

DI BALAIDESA KLAMPOK LOR
HASIL
OBSERVASI

Pemberian Vaksin Selesai Astra Zeneca 325709P 2 Tanpa Keluhan



DATA PCARE VAKSINASI TANGGAL 18 FEBRUARI 2022 DI BALAIDESA SOKO
TANGGAL
DAFTAR
1 P-1QXQW21X 332114******0002 MUHAMMAD RESTU FAJRI 10 0813260265555 ANAK 18/02/2022
2 P-4G3MXE0B 332114******0002 AIDA YUFITA SAFITRI 12 08100000000 REMAJA 18/02/2022
3 Q-000ZORVU 332114******0001 SITI RIFAAH 43 085600486450 18/02/2022

4 Q-002J32CA 332114******0001 MARENDRA ABIE SANTOSO 11 085870499628 18/02/2022
5 Q-002JP5XT 332114******0002 ASRI WAHYU WULANDARI 8 089530967921 18/02/2022
6 Q-002JR5HN 332114******0001 SHANDI SYAHPUTRA 8 08888888888 18/02/2022
7 Q-002K0PXH 332114******0002 FADLI FIRMAN FIRDAUS 6 089525668830 18/02/2022
8 Q-002K1D04 332711******0001 GIO RAGIL ROMADHON 6 0895336791516 18/02/2022
9 Q-002K1DHI 332114******0001 AQILA SHOFA LUTFIYANA 7 085256676241 18/02/2022
10 Q-002K1GLB 332114******0001 MUHAMAD WILDAN FIRDAUS 9 080000000000 18/02/2022
11 Q-002K1JSS 332114******0001 ADI BINTANG CRISTYAN 8 080000000000 18/02/2022
12 Q-002K1JUH 332114******0002 ELZA ANASTASYA PUTRI 7 088888888888 18/02/2022
13 Q-002KVEEU 331501******0003 VIKRY ARYA NABYL PRATAMA 9 080000000000 18/02/2022
14 Q-002LOO4B 331517******0001 NASYWA KAMILA 8 085226005218 18/02/2022

15 Q-002M5WEV 332114******0001 JAVAS ALBY BRILIANTO 7 085712156862 18/02/2022
16 Q-002MODIF 332114******0001 ROHMAT LUBI MUZAKA 13 081225234882 18/02/2022
17 Q-002N3SZC 332114******0001 LASTUNING 11 08814175474 18/02/2022
18 Q-002N3T9F 332114******0002 KAYLA NOVIASARI 10 085741692781 18/02/2022
19 Q-002O44QU 332114******0001 MUHAMMAD RIZAL MIFTAH 12 087875816690 18/02/2022
20 Q-002O4EGD 332114******0002 CARISSA ZUNITA SAVIRA 11 089525669603 18/02/2022
21 Q-002O5A7B 337402******0003 CINTA LAVINA SALSABILLA 8 080000000000 18/02/2022
22 Q-002O79IK 332114******0001 APRILLIA DWI RAHMAWATI 11 089529098290 18/02/2022
23 Q-002O9H8Q 331516******0002 LUTHFIANA FAFIA ROFI'AH 10 082133619666 18/02/2022
24 Q-002O9NRA 332114******0001 BUNGA LIA ASMARA 9 083124114866 18/02/2022
25 Q-002O9PVU 331517******0004 MUHAMMAD AZKA ALKAFI 8 0889902972863 18/02/2022
26 Q-002OA164 332114******0003 ALISYA DEA SAFILA 8 082328911719 18/02/2022
27 Q-002P4BOQ 332114******0001 MUHAMMAD BAGUS NAUVAL 6 08199999999 18/02/2022
28 Q-002PJT8Z 332114******0001 MUALIFAH ZAHROTUNNISA 6 081390109002 18/02/2022
29 UP-005J3AO 332114******0004 AMI DZATUT THOIMAH 34 085852380699 MASYARAKAT 18/02/2022

UMUM
30 UU-0036HDA 332114******0002 TULKHAH MAKMUN 48 0821972268688 18/02/2022
31 UU-007AIXB 332114******0001 SITI RUKAYAH 57 085291568221 18/02/2022
32 UU-007AIXW 332114******0001 NADIA HAKUL ULYA 23 082241705795 18/02/2022
33 UU-00B9128 332114******0002 NUR IKASARI 27 085712692818 2/18/2022

DI BALAIDESA SOKO KIDUL
HASIL
OBSERVASI


Pemberian Vaksin Selesai CoronaVac 20210914ep 2 Tanpa Keluhan
Pemberian Vaksin Selesai CoronaVac 20210914ep 2 Tanpa Keluhan

DATA PCARE VAKSINASI TANGGAL 19 FEBRUARI 2022 DI BALAIDESA BAB
TANGGAL
DAFTAR
FAHMIYATUSSOFA LAILATUL MASYARAKAT
1 P-2LNX5L8S 332114******0003 18 085226498731 19/02/2022
IZZAH UMUM
MASYARAKAT
2 P-3FIRQYOP 332113******0006 SITI FATIMAH 28 082325889410 19/02/2022
UMUM
3 P-MPXF4W5M 332114******0001 MAHENDRA SATYA HANANTA 11 085642963005 ANAK 19/02/2022
4 Q-000EV226 332114******0001 AHMAT BASORI 21 085648160370 19/02/2022

5 Q-000P0VNG 332106******0002 AGUS ZAENI 35 081349760492 19/02/2022
6 Q-000RO0G7 332106******0002 KHOIRUL UMAM 33 089657105546 19/02/2022
7 Q-001ENHU0 332104******0001 NOVIANA RIKHATUL WALIDA 14 085729983504 19/02/2022
8 Q-001QJPAM 331516******0002 ADISTA FRISMAWATI DINOVITA 13 085227891010 19/02/2022
9 Q-002IRVCP 332114******0001 MIFTAKHUL RIZKI AHMADA 8 080000000000 19/02/2022

MUHAMMAD JHONNATAN KAFA
10 Q-002O604T 332114******0001 8 080000000000 19/02/2022
BILLAH
11 Q-002OZ49J 332114******0001 MUHAMMAD RIZKI PRATAMA 6 081326775651 19/02/2022
12 Q-002P2PZC 332114******0002 RIZKI RAMADHONI 6 082338776505 19/02/2022

13 Q-002P4SIP 332114******0001 ERISA RIA AFRIANTI 11 08199999999 19/02/2022
14 UP-005G8EW 332106******0007 SYAHRONI 74 085227891010 LANSIA 19/02/2022
MASYARAKAT
15 UP-005G982 332106******0001 KASMIR 59 089608985919 19/02/2022
RENTAN
MASYARAKAT
16 UP-005GAZA 332106******0001 ABDUL ZAENI 49 089506351855 19/02/2022
UMUM
17 UP-005GEC5 332106******0003 SITI AISAH 48 089678981211 MASYARAKAT 19/02/2022

UMUM
18 UP-005GHNY 332106******0002 ZUMROAH 44 089506351855 MASYARAKAT 19/02/2022

UMUM
19 UP-005J3UJ 332114******0003 SULIPAH 63 - 19/02/2022
20 UU-0032HGW 331516******0002 MUHAMMAD BAHAUDDIN 24 085693024360 19/02/2022
21 UU-003676F 332106******0001 MUGIYONO 43 081331202682 19/02/2022
22 UU-00367CX 332106******0001 SAIROH 47 081331202682 19/02/2022
23 UU-0036HAT 332114******0003 maskuri 60 081326031736 19/02/2022
24 UU-0036JTF 332114******0002 siti zaenah 54 081225134586 19/02/2022
25 UU-0036KBV 332114******0001 widad athiyah 22 085712473185 19/02/2022
26 UU-007Y8KE 337410******0003 Diyah Winda Astuti 35 081336310910 19/02/2022
27 UU-00831YR 332111******0001 NUR ELSA YULAIKAH 23 0895385001366 19/02/2022
28 UU-008GOC9 330216******0003 ARIF ROKHMAN 40 085729811066 19/02/2022
29 UU-009II1T 331516******0005 ISBIYANTI HASANAH 27 085740269315 19/02/2022
30 UU-009IMED 332107******0001 ANI RAHMAWATI 24 082313544499 19/02/2022
31 UU-00AY25Y 332114******0001 MUH NUR 51 081357194014 19/02/2022

MASYARAKAT
32 UU-00CF4N5 332111******0006 PRAMA HADITYA BAYU PUTRA 23 0895358691696 19/02/2022
UMUM
33 UU-00CTYT9 332114******0001 PUJI INDARSIH 41 081326643025 19/02/2022
MASYARAKAT
34 UU-00D58O0 332111******0001 SUNARDI 49 081215929355 19/02/2022
UMUM
35 Z-000IBBYP 332114******0002 RUMIYONO 44 081327789615 19/02/2022

22 DI BALAIDESA BABAT
HASIL
OBSERVASI

Pemberian Vaksin Selesai Astra Zeneca 066D21A 2 Tanpa Keluhan



DATA PCARE VAKSINASI TANGGAL 21 FEBRUARI 2022 DI BALAIDESA MEGO
TANGGAL
DAFTAR
MASYARAKAT
1 P-2I0LKZEF 332114******0001 ZULTONI SUGIARTO 34 089601608005 21/02/2022
UMUM
2 Q-000I2KFM 332114******0001 EKO SUSANTO 33 085290961964 21/02/2022
3 Q-000LZ55H 332114******0001 AHMAD NIZAR 25 081391547332 21/02/2022
4 Q-0029S6EM 332114******0001 NUR ROKHMAN 48 085727686944 21/02/2022
5 Q-002JUWF9 332114******0001 MUHAMMAD FADOL 22 0882007236321 21/02/2022
6 Q-002M6R3G 332114******0002 NAILA TALITA ZAHRA 8 081382431175 21/02/2022
7 Q-002MF3K7 332114******0001 BILQIS SALWA NABILA 9 081805858216 21/02/2022
8 Q-002MHXXY 332114******0003 AHMAD ZAMRAL ZAINULHAQ 10 085600609128 21/02/2022
9 Q-002N59P5 332114******0001 DENIS WIDIANSYAH 9 081326469968 21/02/2022
10 Q-002O9CJG 332114******0001 AHMAD ARI ALGHOZALI 6 085290016169 21/02/2022
11 Q-002OA61Q 317409******1007 AULIA BUDIMAN ASTORINA 7 0888888888 21/02/2022
12 Q-002OAOT7 332114******0003 ADHYASTA GILANG PRASAJA 6 082134126158 21/02/2022
13 Q-002P4O3Y 332114******0001 FAHMI BACHTIAR 6 085290509869 21/02/2022
14 Q-002P4R5V 332114******0002 KENZO YOGA PRATAMA 6 08199999999 21/02/2022
15 Q-002Q7372 332114******0001 FAHREZA REYNAND WIBOWO 6 082136923580 21/02/2022
16 Q-002SISUN 332114******0001 BUDI SUWITO 30 081329004983 21/02/2022
17 Q-002SIT4Y 332114******0002 M. YUSUF ROMADLON 21 08976730325 21/02/2022
18 Q-002SJC8U 332114******0001 MUSLEH 29 08981138185 21/02/2022
19 UL-001JR59 332114******0001 SUMADI 69 - 21/02/2022
20 UP-005GBTL 332106******0001 SOIM 64 087700151323 21/02/2022
21 UU-00363KO 332105******0003 Diyah Umi Fitriyaningsih 33 082135752988 21/02/2022
22 UU-0036JTW 332114******0001 CHASANAH 60 0812245689514 21/02/2022
23 UU-007AIXT 332114******0001 ANJANI KURNIAWATI 23 082137719103 21/02/2022
24 UU-008322T 332114******0001 SANIUL ARIF 55 085225085001 21/02/2022
25 UU-00AY25J 332114******0001 ALVIAN INDRA CAHYA 20 0895387625699 21/02/2022
26 UU-00AY26W 332114******0001 DARSILAH 39 088216439652 21/02/2022
MASYARAKAT
27 UU-00CF4PU 332111******0001 GALUH TRIWINTORO 28 085536594324 21/02/2022
UMUM
28 UU-00CTW6A 332101******0003 AZWAR ANAS 34 082314588875 21/02/2022
29 UU-00CTYRC 332114******0001 ALIM ARDIANTO 20 085712565582 21/02/2022
30 UU-00D5955 332114******0003 HARMAKA 44 081225144096 21/02/2022
31 UU-00DAYKX 331601******0001 hananto feri anggriawan 28 085640715651 21/02/2022
32 UU-00DBIQJ 337413******0004 IKA WAHYU NUR ANNISA 23 088225012049 21/02/2022
33 UU-00DGDUN 347103******0001 TITIK WAHYUNI 56 081250660768 21/02/2022
34 UU-00DLEGW 332114******0004 EKO BUDI SULISTYO 46 088801991456 21/02/2022

35 UU-00DLEGY 332114******0001 ERMA NOVITA 20 082242387410 21/02/2022
36 UU-00DLEHE 332114******0001 WINDA RESTIAYU MAESAROH 25 085865712563 21/02/2022
37 UU-00DLEHT 332114******0001 HENY SULISTYOWATI 48 085803512932 21/02/2022
38 UU-00DYP9D 332111******0001 MEY NURHAJATI 53 0895358691696 21/02/2022
39 UU-00DYP9K 332111******0001 WULANDARI AIZAH RISMAWATI 18 088239559100 REMAJA 21/02/2022
40 Z-000IKEQ6 332114******0003 JUMARI 32 085643459503 21/02/2022

DI BALAIDESA MEGONTEN
HASIL
OBSERVASI


332114431101000
Pemberian Vaksin Selesai COVID-19 Vaccine Pfizer 3 Tanpa Keluhan
1

DATA PCARE VAKSINASI TANGGAL 26 FEBRUARI 2022 DI PUSKESMAS KEBON
TANGGAL
DAFTAR
1 P-MLJYKWLE 331516******0002 ADWAOLA AS-SABRINA ANKA 8 085786883536 ANAK 23/02/2022
2 Q-000S2MEQ 332114******0001 MIFTAKHUL HUDA 37 085226921129 23/02/2022

MASYARAKAT
3 Q-000SSYBW 332114******0002 3321140804850002 37 085341311151 23/02/2022
UMUM
4 Q-001KO9PQ 320124******0003 AJAT SUDRAJAT 26 082125991227 23/02/2022
5 Q-0029S5B6 332114******0002 DUROKHIM 49 085870499627 23/02/2022
6 Q-002J4BIF 320104******0004 AMIR 25 08111111134 23/02/2022
7 Q-002OYNSP 332114******0002 MIRZA ALBY HAMIZAN 10 08122517372 23/02/2022
8 Q-002Q8L6H 332114******0001 SHODA ZAAKIYATUL WILDA 6 0800000000 23/02/2022
9 UP-005J2ZT 332114******0001 SUMINAH 59 081226222713 23/02/2022
10 Q-001DLR5K 332114******0001 GEMI 58 081325486986 25/02/2022

11 P-06IOUI5M 332106******0002 ABDULLAH ZAINI 55 0896089888888 MASYARAKAT UMUM 26/02/2022
12 Q-002QZ74S 332114******0004 FARENZA HAFSYA ABQORIYYA 9 08122516021 26/02/2022
13 Q-002QZ7C5 332114******0001 ARDELIVIA ELLYASYA ARDESIA 7 08122516021 26/02/2022
I PUSKESMAS KEBONAGUNG
HASIL
OBSERVASI
Pemberian Vaksin Selesai Astra Zeneca az0212 2 Tanpa Keluhan


Pemberian Vaksin Selesai COVID-19 Vaccine Pfizer FL3208 1 Tanpa Keluhan

SPJ Vaksin Februari

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DATA PCARE VAKSINASI TANGGAL 2 FEBRUARI 2022 DI PUSKESMAS KEBONAGUNG

1 Q-003AFAWY 332114******0005 SRI KOMARIYAH 33 082136643460 MASYARAKAT UMUM 01/02/2022

2 P-06872KNL 332114******0001 HENI RAHMA ARYANI 20 0882005952145 MASYARAKAT UMUM 2/2/2022

3 P-0J2STHHT 332114******0001 SUNIAH 48 088216409451 MASYARAKAT UMUM 02/02/2022

4 P-2KB2FJSA 332114******0001 SUKARNO 52 082138764277 MASYARAKAT UMUM 02/02/2022

5 P-34U530BE 332114******0003 TAUFIQ ALBAR 57 081380361441 MASYARAKAT UMUM 02/02/2022

6 P-3WV2KCBC 332114******0003 MUHAMMAD RIZQI ROMADHONI 13 08816732686 REMAJA 02/02/2022

7 P-3WX16EER 331503******0003 MUHAMMAD EHZA FAJRIAN 16 087700723070 REMAJA 02/02/2022

8 P-4JHPTFSB 332114******0001 GABRIELLA ZEFANY MECCA 12 082135197949 REMAJA 02/02/2022

9 P-4PK0UQHD 332114******0002 NUR KHOLIS 53 087759030584 MASYARAKAT UMUM 02/02/2022

10 P-59YMGWO5 332114******0003 MUHAMMAD ANIS FUADI 20 085803758385 MASYARAKAT UMUM 02/02/2022

11 P-5C1REZQC 332114******0001 SUSANTO 27 087777883393 MASYARAKAT UMUM 02/02/2022

12 P-5EAIHR08 332114******0014 KOIDAH 54 08000000000 MASYARAKAT UMUM 02/02/2022

13 P-5EW3VJLK 332114******0001 MUH ROCHMAD 59 08000000000 MASYARAKAT UMUM 02/02/2022

15 P-FJ72NYUV 332114******0002 AFIFAH HIDAYATUL ROHMAH 12 085725697964 ANAK 02/02/2022

16 Q-001RSF22 332114******0002 ISNATUN 40 081319503781 02/02/2022

17 q-001YGUY9 332106******0001 SOLEKHATUN 50 085643886730 MASYARAKAT UMUM 02/02/2022

18 q-001YH248 332106******0001 MASKURI, SPd 52 085276004668 MASYARAKAT UMUM 02/02/2022

19 q-001ZAMWZ 332106******0001 NUR KHAFIDHOH 21 089648857930 MASYARAKAT UMUM 02/02/2022

20 Q-00278JLZ 332111******0003 ZUMROTUZ ZAKIYA 22 0895359998651 02/02/2022

21 Q-0028HWZT 337405******0002 UMI SAROH 41 085225155590 MASYARAKAT UMUM 02/02/2022

22 Q-0028JM95 337405******0002 ZAIDUN 41 089535999651 MASYARAKAT UMUM 02/02/2022

23 Q-0029LVPS 332111******0003 MUNAWAROH 46 085290817322 MASYARAKAT UMUM 02/02/2022

24 Q-0029LVQG 332111******0001 PUJI SANTOSO 43 081326252710 MASYARAKAT UMUM 02/02/2022

25 S-F76B01A9 332114******0030 SUKISRI 71 0800000000000 LANSIA 02/02/2022

26 U-00012V3L 332114******0002 MASADATUN NIKMAH SPD 39 085226821349 02/02/2022

27 UL-001JN3E 332111******0006 Agus Supriyono 61 085226272234 02/02/2022

28 UL-001JR74 332114******0004 CHAYAT 61 081228308070 02/02/2022

29 UL-001JRFR 332114******0001 HARYONO 61 0 LANSIA 02/02/2022

30 UP-005GE33 332106******0002 ANI ZULFAH 47 081215391094 MASYARAKAT UMUM 02/02/2022

31 UP-005GIPW 332106******0002 MASKIANAH 51 085212522282 PELAYAN PUBLIK 02/02/2022

32 UP-005HVJ9 332111******0001 ENI MURDIATI 52 089624457993 02/02/2022

33 UP-005J14Y 332114******0003 NURUL AZIZAH 31 081329810811 02/02/2022

34 UU-001CC0M 317202******0013 IRWAN SUTIKNO 38 087776240569 02/02/2022

35 UU-0032I9D 331516******0003 FATKIYAH INDAH LESTARI 21 085875623117 02/02/2022

36 UU-0032M6G 331517******0003 USWATUN KHASANAH 51 081915173563 02/02/2022

38 UU-003670A 332106******0002 HARYONO 54 081298769019 02/02/2022

39 UU-00367DZ 332106******0001 DHARMA NIRMALA EKA MAKHABATI 25 081225344753 02/02/2022

40 UU-0036AWX 332111******0004 SUPARDI 48 085290041974 02/02/2022

41 UU-0036BJE 332111******0005 SUGENG RIYADI 58 081325167387 02/02/2022

42 UU-0036EE9 332111******0001 DWI NINGSIH 38 081459054193 02/02/2022

43 UU-0036F1W 332111******0001 MUJI RISTIANI 41 088215743186 MASYARAKAT UMUM 02/02/2022

44 UU-0036HA2 332114******0001 Faishol Nur 40 081334570344 02/02/2022

45 UU-0036HLT 332114******0003 FITRIYA ANDRIYANI 38 081334570334 02/02/2022

46 UU-0036HNL 332114******0001 MUTMA`INNAH 48 085727583330 02/02/2022

47 UU-0036JAJ 332114******0001 MOH ANSORI 55 081326415147 02/02/2022

48 UU-0036JKG 332114******0001 MARYADI 58 082138085447 02/02/2022

49 UU-0036JR4 332114******0001 HANDOKO ADI SAPUTRO 32 089676693642 02/02/2022

50 UU-0036JRB 332114******0003 MARI 54 081326801533 02/02/2022

51 UU-0036JUW 332114******0002 YULI ARDIYANTI 31 08156633374 02/02/2022

52 UU-0036JV9 332114******0003 ELY FITRIANA 39 082134510936 02/02/2022

53 UU-0036JVU 332114******0001 PURWANIMAH 33 08562756713 02/02/2022

54 UU-0036JW6 332114******0002 SITI MUNAFI'AH 29 085236053640 02/02/2022

55 UU-0036KAF 332114******0001 SALMA RIFQOTUL ULYA 20 081329751864 02/02/2022

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